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masked Int 4 Complete UV 2.16.840.1.113883.4.3.27 MinnesotaDLN masked masked Int 4 Complete UV 2.16.840.1.113883.4.4 EIN masked masked Int 4 Complete UV 2.16.840.1.113883.4.5 PTIN masked masked Int 4 Complete UV 2.16.840.1.113883.5 v3codeSystems HL7 V3 Coding Systems masked masked Int 5 Complete UV 2.16.840.1.113883.5.1 administrativeGender Administrative Gender masked masked Int 5 Complete UV 2.16.840.1.113883.5.2 MaritalStatus MaritalStatus masked masked Int 5 Complete UV 2.16.840.1.113883.5.1001 actMood Act Mood masked masked Int 5 Complete 2009/09/11 12:00:00 UV 2.16.840.1.113883.5.1002 actRelationshipType Act Relationship Type masked masked Int 5 Complete 2009/12/22 12:00:00 UV 2.16.840.1.113883.5.1003 Service actor type Service actor type code masked masked Int 5 Unknown UV 2.16.840.1.113883.5.1004 Service target type Service target type code masked masked Int 5 Unknown UV 2.16.840.1.113883.5.1007 DataType DataType masked masked Int 5 Retired UV 2.16.840.1.113883.5.1008 nullFlavor Null Flavor masked masked Int 5 Complete 2009/12/22 12:00:00 UV 2.16.840.1.113883.5.1009 CompressionALgorithm CompressionALgorithm masked masked Int 5 Complete UV 2.16.840.1.113883.5.1010 IntegrityCheckAlgorithm IntegrityCheckAlgorithm masked masked Int 5 Complete UV 2.16.840.1.113883.5.1011 TelecommunicationAddressUse TelecommunicationAddressUse masked masked Int 2.16.840.1.113883.5.1119 5 Retired UV 2.16.840.1.113883.5.1012 PostalAddressUse PostalAddressUse masked masked Int 2.16.840.1.113883.5.1119 5 Retired UV 2.16.840.1.113883.5.1013 Postal Address part type Postal Address part type code masked masked Int 5 Retired UV 2.16.840.1.113883.5.1014 Person Name part type Person Name part type masked masked Int 5 Retired UV 2.16.840.1.113883.5.1015 Person Name part type Person Name part qualifier masked masked Int 5 Retired UV 2.16.840.1.113883.5.1016 OrganizationNameType OrganizationNameType masked masked Int 5 Complete UV 2.16.840.1.113883.5.1017 CalendarType CalendarType 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McDonald masked Daniel Vreeman 410 West 10th Street Suite 2000 Indianapolis, IN 46202 317-274-9229 masked Associate Director for Terminology Services Regenstrief Institute 410 West 10th Street Suite 2000 Indianapolis, IN 46202 317-423-5500 loinc@regenstrief.org http://www.regenstrief.org Academic Int 6 Complete 2007/07/18 12:00:00 2009/10/14 12:00:00 2013/11/21 03:13:27 LN UV 2.16.840.1.113883.6.2 icd9cm National Center for Health Statistics Michelle Williamson masked Donna Pickett OCD/Classifications and Public Health Data Standards; National Center for Health StatisticsCenters for Disease Control and Prevention3311 Toledo RoadHyattsville, MD 20782 (301) 458-4434, 1.2.4.Fax (301) 458-4022 masked National Center for Health Statistics OCD/Classifications and Public Health Data Standards; National Center for Health StatisticsCenters for Disease Control and Prevention3311 Toledo RoadHyattsville, MD 20782 http://www.cdc.gov/nchs/icd9.htm. Govt body 2.16.840.1.114222 Int 2.16.840.113883.6.103, 2.16.840.113883.6.104 6 Retired 2009/10/07 12:00:00 I9C UV 2.16.840.1.113883.6.3 icd10 ICD10 Ted Klein masked Nenad Kostanjsek Avenue Appia 20 1211 Geneva 27 Switzerland +41794755474 masked Technical Officer for Classifications and Terminologies World Health Organization Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 info@who.int https://who.int SDO Int 6 Complete 2009/10/07 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.6.4 icd10PCS International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) Michelle Williamson masked Pat Brooks CMM, HAPG, Division of Acute Care, Centers for Medicare and Medicaid Services, 7500 Security Boulevard; C4-08-06 Baltimore, MD 21244-1850 (410) 786-5318, 1.2.4.Fax (410) - 786-0169 masked Centers for Medicare and Medicaid Services 7500 Security Boulevard; C4-08-06 Baltimore, MD 21244-1850 http://cms.hhs.gov/paymentsystems/icd9/icd10.asp Govt body Int 6 Complete 2009/10/14 12:00:00 2009/10/14 12:00:00 UV 2.16.840.1.113883.6.5 snm SNOMED masked masked College of American Pathologists Int 6 Complete 2009/10/14 12:00:00 2009/10/14 12:00:00 SNM UV 2.16.840.1.113883.6.6 read-Codes CTV3 David Robinson masked Paul Frosdick, NHS Information Authority Aqueous 2, Rocky lane, Aston cross, Birmingham, UK +44 (0)121 333 0331 masked National Health Service (UK) Aqueous II Aston Cross Rocky Lane Birmingham B6 5RQ UK +44 (0)121 333 0333 information@nhsia.nhs.uk http://www.nhsia.nhs.uk/def/home.asp Provider Int 6 Complete 2009/10/14 12:00:00 2009/10/14 12:00:00 UV 2.16.840.1.113883.6.7 naaccrCodes NAACCR Ted Klein masked Lori Havener North American Association of Central Cancer Registries, Inc. 2121 West White Oaks Drive Suite B Springfield, IL 62704-6495 (217) 698-0800 Ext. 3 masked North American Association of Central Cancer Registries, Inc. 2121 West White Oaks Drive Suite B Springfield, IL 62704-6495 (217) 698-0800 http://www.naaccr.org/ Int 14 6 Complete 2009/10/14 12:00:00 2009/10/24 12:00:00 UV 2.16.840.1.113883.6.8 ucum Unified Code for Units of Measure Harold Solbrig masked Gunther Schadow 410 West 10th Street Suite 2000 Indianapolis, IN 46202 masked Regenstrief Institute 410 West 10th Street Suite 2000 Indianapolis, IN 46202 loinc@regenstrief.iupui.edu http://www.regenstrief.org Academic Int 6 Complete 2009/10/14 12:00:00 2009/10/14 12:00:00 UCUM UV 2.16.840.1.113883.6.9 iso4217-HL7 ISO 4217 currency code masked masked SDO Int 1.0.4217 6 Deprecated 2009/10/14 12:00:00 UV 2.16.840.1.113883.6.10 mime IETF MIME masked masked Int 6 Complete UV 2.16.840.1.113883.6.11 url URL masked masked Int 6 Complete UV 2.16.840.1.113883.6.12 cpt-4 Current Procedure Terminology 4 (CPT-4) Harold Solbrig masked Dorith Brown American Medical Association 515 N. 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Assigned Numbers Authority (IANA) Int 5 Complete 2009/12/22 12:00:00 UV 2.16.840.1.113883.5.80 MessageCondition MessageCondition masked masked Int 5 Complete UV 2.16.840.1.113883.5.81 ModifyIndicator ModifyIndicator masked masked Int 5 Complete UV 2.16.840.1.113883.5.83 observationInterpretation Observation Interpretation masked masked Int 5 Complete UV 2.16.840.1.113883.5.84 observationMethod Observation Method masked masked Int 5 Complete 2009/12/22 12:00:00 UV 2.16.840.1.113883.5.85 orderableDrugForm Orderable Drug Form masked masked Int 5 Complete UV 2.16.840.1.113883.5.87 ParameterizedDataType ParameterizedDataType masked masked Int 5 Complete UV 2.16.840.1.113883.5.88 participationFunction Participation Function masked masked Int 5 Complete 2009/12/22 12:00:00 UV 2.16.840.1.113883.5.89 participationSignature Participation Signature masked masked Int 5 Complete 2009/12/22 12:00:00 UV 2.16.840.1.113883.5.90 ParticipationType ParticipationType masked masked Int 5 Complete UV 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RelationalOperator RelationalOperator masked masked Int 5 Complete UV 2.16.840.1.113883.5.106 RelationshipConjunction RelationshipConjunction masked masked Int 5 Complete UV 2.16.840.1.113883.5.107 RoleLinkType RoleLinkType masked masked Int 5 Complete UV 2.16.840.1.113883.5.108 ResponseLevel ResponseLevel masked masked Int 5 Complete UV 2.16.840.1.113883.5.109 responseModality Response Modality masked masked Int 5 Complete UV 2.16.840.1.113883.5.110 roleClass Role Class Russ Hamm masked HL7 Modeling and Methodology Workgroup (+1) 734-677-7777 masked HL7 Modeling and Methodology Workgroup 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA (+1) 734-677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 5 Complete 2009/12/22 12:00:00 ROLECLASS UV 2.16.840.1.113883.5.111 roleCode Role Code masked HL7 Modeling and Methodology Workgroup (+1) 734-677-7777 masked HL7 Modeling and Methodology Workgroup 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA (+1) 734-677-7777 hq@hl7.org http://www.hl7.org SDO Int 5 Complete 2009/12/22 12:00:00 UV 2.16.840.1.113883.5.112 routeOfAdministration Route Of Administration masked HL7 Pharmacy Workgroup 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA (+1) 734-677-7777 masked HL7 Pharmacy Workgroup 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA (+1) 734-677-7777 hq@hl7.org http://www.hl7.org SDO Int 5 Complete 2009/12/22 12:00:00 UV 2.16.840.1.113883.5.113 sequencing Sequencing masked HL7 Modeling and Methodology Workgroup 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA (+1) 734-677-7777 masked HL7 Modeling and Methodology Workgroup 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA (+1) 734-677-7777 hq@hl7.org http://www.hl7.org SDO Int 5 Complete 2009/12/22 12:00:00 UV 2.16.840.1.113883.5.114 Service Service masked masked Int 5 Retired UV 2.16.840.1.113883.5.115 ParticipationActor ParticipationActor masked masked Int 5 Retired UV 2.16.840.1.113883.5.116 ServiceActorFunction ServiceActorFunction masked masked Int 5 Retired UV 2.16.840.1.113883.5.117 ServiceActorSignature ServiceActorSignature masked masked Int 5 Retired UV 2.16.840.1.113883.5.118 ServiceConfidentiality ServiceConfidentiality masked masked Int 5 Retired UV 2.16.840.1.113883.5.119 ServiceInterpretation ServiceInterpretation masked masked Int 5 Retired UV 2.16.840.1.113883.5.120 ServiceListType ServiceListType masked masked Int 5 Retired UV 2.16.840.1.113883.5.121 ServiceMood ServiceMood masked masked Int 5 Retired UV 2.16.840.1.113883.5.122 ServicePriority ServicePriority masked masked Int 5 Retired UV 2.16.840.1.113883.5.123 ServiceRelationshipType ServiceRelationshipType masked masked Int 5 Retired UV 2.16.840.1.113883.5.124 ServiceRelationshipCheckPoint ServiceRelationshipCheckPoint masked masked Int 5 Retired UV 2.16.840.1.113883.5.125 ServiceRelationshipConjunction ServiceRelationshipConjunction masked masked Int 5 Retired UV 2.16.840.1.113883.5.126 ServiceRelationshipJoin ServiceRelationshipJoin masked masked Int 5 Unknown UV 2.16.840.1.113883.5.127 ServiceRelationshipSplit ServiceRelationshipSplit masked masked Int 5 Retired UV 2.16.840.1.113883.5.128 ServiceTargetType ServiceTargetType masked masked Int 5 Retired UV 2.16.840.1.113883.5.129 SpecimenType SpecimenType masked masked Int 5 Complete UV 2.16.840.1.113883.5.130 SupplyService SupplyService masked masked Int 5 Retired UV 2.16.840.1.113883.5.131 TableCellHorizontalAlign TableCellHorizontalAlign masked masked Int 5 Complete UV 2.16.840.1.113883.5.132 TableCellScope TableCellScope masked masked Int 5 Complete UV 2.16.840.1.113883.5.133 TableCellVerticalAlign TableCellVerticalAlign masked masked Int 5 Complete UV 2.16.840.1.113883.5.134 TableFrame TableFrame masked masked Int 5 Complete UV 2.16.840.1.113883.5.135 TableRowGroupType TableRowGroupType masked masked Int 5 Retired UV 2.16.840.1.113883.5.136 TableRules TableRules masked masked Int 5 Complete UV 2.16.840.1.113883.5.137 TargetAwareness TargetAwareness masked masked Int 5 Complete UV 2.16.840.1.113883.5.139 TimingEvent TimingEvent masked masked Int 5 Complete UV 2.16.840.1.113883.5.140 TribalEntityUS TribalEntityUS masked masked Int 5 Complete UV 2.16.840.1.113883.5.141 UnitsOfMeasure UnitsOfMeasure masked masked Int 5 Complete UV 2.16.840.1.113883.5.142 UnitsOfMeasureCaseSensitive UnitsOfMeasureCaseSensitive masked masked Int 5 Retired UV 2.16.840.1.113883.5.143 urlScheme Universal Resource Locator Scheme masked HL7 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA (+1) 734-677-7777 masked Health Level Seven 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA (+1) 734-677-7777 hq@hl7.org http://www.hl7.org SDO Int 5 Complete 2009/12/22 12:00:00 UV 2.16.840.1.113883.5.144 VaccineManufacturer VaccineManufacturer masked masked Int 5 Complete UV 2.16.840.1.113883.5.145 VaccineType VaccineType masked masked Int 5 Complete UV 2.16.840.1.113883.5.146 ValueSetOperator ValueSetOperator masked masked Int 5 Complete UV 2.16.840.1.113883.5.147 VocabularyDomainQualifier VocabularyDomainQualifier masked masked Int 5 Complete UV 2.16.840.1.113883.3.6 Beeler Consulting George W. Beeler masked George W. Beeler, Jr. 807 Tenth Ave SW Rochester, MN 55902 USA masked Beeler Consulting LLC 2.16.840.1.113883.3.6 Int 3 Complete 2001/10/31 12:00:00 2001/11/08 12:00:00 2001/10/31 12:00:00 UV 2.16.840.1.113883.3.7 sciphox Kai U. Heitmann masked Kai U. Heitmann, M.D. Joseph-Stelzman-Str. 9, 50931 Cologne, Germany +49 221 478 6507 masked IMSIE - University of Cologne Academic 2.16.840.1.113883.3.7 Int 3 Complete 2001/12/21 12:00:00 2002/01/11 12:00:00 2002/01/11 12:00:00 UV 2.16.840.1.113883.19 Examples Root Woody Beeler masked Woody Beeler masked Beeler Consulting, Inc. Int 19 Complete 2002/04/30 12:00:00 2002/04/30 12:00:00 2002/04/30 12:00:00 UV 2.16.840.1.113883.10 templates HL7 Registered Templates Root Ted Klein masked HL7 International +1 734-677-7777 masked HL7 Templates WorkGroup hq@hl7.org HL7 body Int 10 Complete UV 2.16.840.1.113883.6.21 nubc-UB92 NUBC UB92 Melinna Giannini masked masked National Uniform Billing Committee (NUBC) tomundson@aha.org http://www.nubc.org/ Int 6 Complete 2001/05/10 12:00:00 2001/05/10 12:00:00 2001/05/10 04:05:00 UV 2.16.840.1.113883.3.8 mckesson Helen Stevens masked Rick Spates 5995 Windward Parkway, Alpharetta, GA, 30005 (404) 338-3539 masked www.mckesson.com Vendor 2.16.840.1.113883.3.8 Int 3 Complete 2002/05/06 12:00:00 2002/05/07 12:00:00 2002/05/07 12:00:00 UV 2.16.840.1.113883.2.1 hl7UK HL7 United Kingdom OID Root David Markwell masked Rik Smithies HL7 UK Ltd PO Box 7230, Hook RG27 9WX (+44) (0)8700 112 866 masked HL7 UK tcchair@hl7.org.uk SDO 2.16.840.1.113883 Int 2 Complete 2002/05/29 12:00:00 2002/05/29 12:00:00 2016/04/07 05:34:52 UV 2.16.840.1.113883.3.9 CICUK David Markwell masked David Markwell, 93 Wantage Road, Reading, RG30 2SN, England masked The Clinical Information Consultancy The Clinical Information Consultancy http://www.clinical-info.co.uk Vendor 2.16.840.1.113883.3.9 Int 3 Complete 2002/05/29 12:00:00 2002/05/29 12:00:00 2002/05/29 12:00:00 UV 2.16.840.1.113883.3.10 laitek Fred Behlen masked Fred Behlen 17743 Gladville AvenueHomewood, IL 60430 (708) 960-4164 masked Laboratory Automation Inc., an Illinois Corporation d.b.a. LAI Technology Laboratory Automation Inc. 17743 Gladville AvenueHomewood, IL 60430 (708) 960-4164 fbehlen@laitek.com http://www.laitek.com Vendor 2.16.840.1.113883.310 Int 3 Complete 2002/07/13 12:00:00 2002/07/13 12:00:00 2002/07/13 12:00:00 UV 1.2.246.777 hl7FI HL7 Finland OID Root Timo Tarhonen masked Timo Tarhonen Tietotarha Oy, Tukholmankatu 2, Seven'th level, 00250 Helsinki, FINLAND +358-9-41558530, Fax: +358-9-2410662, Mobile: +358-400-409271 masked HL7 Finland /o VTT Information Technology, PO Box 1206, FIN-33101 Tampere, Finland +358-3-3163300, fax: +358-3-3174102 niilo.saranummi@vtt.fi www.hl7.fi SDO 2.16.840.1.113883 Ext 2 Complete 2002/09/24 12:00:00 2002/09/29 12:00:00 UV 2.16.840.1.113883.2.2 hl7Japan OID Root for HL7 Japan masked Michio Kimura, MD, PhD Hamamatsu Univ. School of Med, Medical Informatics, 1-20-1 Handa, Hamamatsu 431-3102 81-3-35-6-8010 masked Chair, HL7 Japan HL7 Japan kimura@mi.hama-med.ac.jp SDO 2.16.840.1.113883 Int 2 Complete 2002/10/03 12:00:00 2006/04/04 12:00:00 2011/05/17 03:38:23 UV 2.16.840.1.113883.2.3 hl7Aus HL7 Australia OID Root Heath Frankel masked Elizabeth Moss +61 413 644 282 masked secretarty HL7 Australia PO Box 3289, Weston 2611, ACT, Australia +61 413 644 282 admin@hl7-australasia.org http://www.hl7-australasia.org SDO 2.16.840.1.113883 Int 2 Complete 2002/10/03 12:00:00 2002/10/04 12:00:00 2002/10/03 12:00:00 UV 2.16.840.1.113883.3.11 KVeil Klaus Veil masked Klaus Veil PO Box 857, Avalon 2107, NSW, Australia +61 412 746 457 masked principal Klaus Veil Consulting PO Box 857, Avalon 2107, NSW, Australia +61 412 746 457 kveil@compuserve.com http://www.hl7.com.au Vendor 2.16.840.1.113883.3.11 Int 3 Complete 2002/10/04 12:00:00 2002/10/04 12:00:00 2002/10/04 12:00:00 UV 2.16.840.1.113883.6.22 pnds Perioperative Nursing Data Set Suzanne Bakken masked Janice Kelly 2170 South Parker Road, Suite 300 Denver, Colorado 80013 303-368-6223 masked President, AORN Syntegrity AORN 2170 South Parker Road, Suite 300 Denver, Colorado 80013 303-368-6223 jkelly@aorn.org www.aorn.org Professional Society Int 6 Complete 2002/05/02 12:00:00 2002/10/09 12:00:00 2026/02/05 10:49:09 UV 2.16.840.1.113883.6.23 nmmds Nursing Management Minimum Data Set Suzanne Bakken masked Connie Delaney, PhD, RN, FAAN and Diane Huber, PhD, RN, FAAN 464 Nursing Building, Iowa City, Iowa 52242 319-335-7113 or 319-335-7110 masked The University of Iowa, College of Nursing 464 Nursing Building, Iowa City, Iowa 52242 319-335-7113 or 319-335-7110 connie-delaney@uiowa.edu or diane-huber@uiowa.edu Int 6 Complete 2009/09/11 12:00:00 UV 2.16.840.1.113883.6.24 mdc ISO 11073-10101 Health informatics Point-of-care medical device communication - Nomenclature Todd Cooper masked Melvin Reynolds AMS Consulting, Ashcote, Walford Road, Ross-on-Wye, Herefordshire, HR9 5PQ, UK +44 1989 763120 masked ISO TC215 WG2 SG1 Chair IEEE 1073 General Committee 12127 Ragweed Street San Diego, CA 92129-4103 858.484.8231 t.cooper@ieee.org http://www.hl7.org Int 6 Complete 2002/10/09 12:00:00 2002/10/10 12:00:00 2002/10/10 12:00:00 UV 2.16.840.1.113883.6.25 abcCodes ABCcodes Melinna Giannini masked Melinna Giannini 1065 S. Main, Building C, Las Cruces, NM 88005 505-527-0636 masked Alternative Link Systems, Inc. 1065 S. Main, Building C, Las Cruces, NM 88005 505-527-0636 mg@alternativelink.com http://www.alternativelink.com/ali/home/default.asp Int 6 Complete 2002/10/10 12:00:00 2002/10/10 12:00:00 2002/10/10 12:00:00 UV 2.16.840.1.113883.6.26 medcin MEDCIN David Lareau masked David Lareau 14500 Avion Parkway, Suite 175 Chantilly, VA 20151 703-803-8080 masked Medicomp Systems 14500 Avion Parkway, Suite 175 Chantilly, VA 20151 703-803-8080 info@medicomp.com http://www.medicomp.com Int 6 Complete 2002/10/10 12:00:00 2002/10/10 12:00:00 2002/10/10 12:00:00 UV 2.16.840.1.113883.6.27 multum Multum Lexicon Tim McNamara masked masked Multum Information Services 3200 Cherry Creek South Drive Suite 300 Denver, CO 80209 (303) 733-4447 info@multum.com http://www.multum.com Vendor Int 6 Complete 2002/10/10 12:00:00 2002/10/10 12:00:00 2002/10/10 12:00:00 UV 2.16.840.1.113883.6.28 rcFB The Read Codes Four Byte Set: David Robinson masked Paul Frosdick, NHS Information Authority Aqueous 2, Rocky lane, Aston cross, Birmingham, UK +44 (0)121 333 0331 masked National Health Service (UK) Aqueous II Aston Cross Rocky Lane Birmingham B6 5RQ UK +44 (0)121 333 0333 information@nhsia.nhs.uk http://www.nhsia.nhs.uk/def/home.asp Provider Int 6 Complete 2002/10/10 12:00:00 2002/10/10 12:00:00 2002/10/10 12:00:00 UV 2.16.840.1.113883.6.29 rcV2 The Read Codes Version 2 David Robinson masked Paul Frosdick, NHS Information Authority Aqueous 2, Rocky lane, Aston cross, Birmingham, UK +44 (0)121 333 0331 masked National Health Service (UK) Aqueous II Aston Cross Rocky Lane Birmingham B6 5RQ UK +44 (0)121 333 0333 information@nhsia.nhs.uk http://www.nhsia.nhs.uk/def/home.asp Provider Int 6 Complete 2002/10/10 12:00:00 2002/10/10 12:00:00 2002/10/10 12:00:00 UV 2.16.840.1.113883.3.12 PentaxMedical Matthew L. Alverson masked Matthew L. Alverson 201 Windy Rush Lane, DeWitt, MI 48820 800.328.0713 x3132 masked Pentax Precision Instrument Corporation 30 Ramland Road, Orangeburg, NY 10962 http://pentaxmedical.com Vendor 2.16.840.1.113883.3.12 Int 3 Complete 2002/10/12 12:00:00 2002/10/12 12:00:00 2002/10/12 12:00:00 UV 2.16.840.1.113883.6.30 as4 ASTM E1238-E1467 masked ASTM International 100 Barr Harbor Drive, PO Box C700 West Conshohocken, PA 19428-2959 USA masked American Society for Testing & Materials ASTM International 100 Barr Harbor Drive, PO Box C700 West Conshohocken, PA 19428-2959 USA http://www.astm.org/Standards/E1238.htm Prof Soc Int 6 Obsolete 1999/12/30 12:00:00 2010/01/26 12:00:00 2010/01/26 11:34:56 AS4 UV 2.16.840.1.113883.6.76 ACR ACR masked masked Int 6 Pending 1899/12/30 12:00:27 UV 2.16.840.1.113883.6.77 ATC ATC masked masked Int 6 Pending 1899/12/30 12:00:27 UV 2.16.840.1.113883.6.78 as4e AS4E masked masked Int 6 Pending 1999/12/30 12:00:00 UV 2.16.840.1.113883.6.79 CDS CDS masked masked Int 6 Pending 1899/12/30 12:00:27 UV 2.16.840.1.113883.6.80 CE CE masked masked Int 6 Pending 1899/12/30 12:00:27 UV 2.16.840.1.113883.6.81 CLP CLP masked masked Int 6 Pending 1899/12/30 12:00:27 UV 2.16.840.1.113883.6.82 C5 C5 masked masked Int 6 Pending 1899/12/30 12:00:27 UV 2.16.840.1.113883.6.83 DCL DCL masked masked Int 6 Deprecated 1899/12/30 12:00:27 2003/06/09 12:00:00 UV 2.16.840.1.113883.6.31 dicomMDLTY DICOM modality codes masked masked Int 1.2.840.10008.2.16.4 6 Deprecated 1899/12/30 12:00:27 2009/10/14 12:00:00 UV 2.16.840.1.113883.6.32 dicomqry DICOM Query Label masked masked Int 1.2.840.10008.2.16.4 6 Deprecated 1899/12/30 12:00:27 UV 2.16.840.1.113883.6.33 ENZC ENZC masked masked Int 6 Rejected 1999/12/30 12:00:00 2010/01/26 12:00:00 2010/01/26 12:31:25 UV 2.16.840.1.113883.6.34 euclides EUCLIDES masked masked Euclides Foundation International Int 6 Complete 1899/12/30 12:00:27 2009/10/14 12:00:00 2009/10/14 12:00:00 E UV 2.16.840.1.113883.6.35 e5 Euclides quantity codes masked masked Int 6 Complete 1899/12/30 12:00:27 2009/10/14 12:00:00 2009/10/14 12:00:00 E5 UV 2.16.840.1.113883.6.36 e6 Euclides Lab method codes masked masked Int 6 Complete 1899/12/30 12:00:27 2009/10/14 12:00:00 2009/10/14 12:00:00 E6 UV 2.16.840.1.113883.6.37 e7 Euclides Lab equipment codes masked masked Int 6 Complete 1899/12/30 12:00:27 2009/10/14 12:00:00 2009/10/14 12:00:00 E7 UV 2.16.840.1.113883.6.38 fdk FDA K10 masked masked Govt body Int 6 Complete 1899/12/30 12:00:27 2009/10/14 12:00:00 2009/10/14 12:00:00 FDK UV 2.16.840.1.113883.6.39 hi Health Outcomes Institute codes for outcome variables masked masked Stratis Health (formerly Foundation for Health Care Evaluation and Health Outcomes Institute) 2901 Metro Drive, Suite 400 Bloomington, MN, 55425-1525 Int 6 Complete 1899/12/30 12:00:27 2009/10/14 12:00:00 2009/10/14 12:00:00 HI UV 2.16.840.1.113883.6.40 hibccHIN HIBCC masked masked Health Industry Business Communications Council 5110 N. 40th St., Ste 120 Phoenix, AZ 85018 602.381.1091 info@hibcc.org http://www.hibcc.org/ Int 6 Complete 1899/12/30 12:00:27 2009/10/14 12:00:00 2009/10/14 12:00:00 HB UV 2.16.840.1.113883.6.41 ics International Classification of Clinical Services masked masked Commission on Professional and Hospital Activities (CPHA) Int 6 Complete 1899/12/30 12:00:27 2009/10/14 12:00:00 ICS UV 2.16.840.1.113883.6.42 icd9 International Classification of Diseases, Version 9 Nenad Kostanjsek masked Nenad Kostanjsek Avenue Appia 20 1211 Geneva 27 Switzerland +41794755474 masked Technical Officer for Classifications and Terminologies World Health Organization Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 info@who.int https://who.int SDO Int 6 Complete 1999/12/30 12:00:00 2009/10/14 12:00:00 UV 2.16.840.1.113883.6.43 icd-o International Classification of Diseases for Oncology: ICD-O Ted Klein masked masked World Health Organization (WHO) http://www.who.int/en/ SDO Int 6 Complete 1899/12/30 12:00:27 2009/09/11 12:00:00 UV 2.16.840.1.113883.6.44 ichppc-2 ICHPPC-2 Harold Solbrig masked masked Int 6 Complete 1999/12/30 12:00:00 2010/01/26 12:00:00 2010/01/26 12:40:40 IC2 UV 2.16.840.1.113883.6.45 icsd International Classification of Sleep Disorders masked Jos&#233; Vis Slaapcentrum SEIN Zwolle (SSZ) Dr. Denekampweg 20 8025 BV Zwolle The Netherlands +31-038 - 455 7185 masked Secretary European Society of Sleep Technologists http://www.esst.org/ SDO Int 6 Complete 1999/12/30 12:00:00 2010/01/26 12:00:00 2010/01/26 04:47:05 UV 2.16.840.1.113883.6.46 iupp IUPP masked Dr. John W. Jost IUPAC Secretariat 104 T.W. Alexander Drive, Building 19 Research Triangle Park, NC 27709, USA +1 919 485 8700 masked Executive Director International Union of Pure and Applied Chemistry IUPAC Secretariat 104 T.W. Alexander Drive, Building 19 Research Triangle Park, NC 27709, USA +1 919 485 8700 secretariat@iupac.org http://www.iupac.org Prof Soc Int 6 Complete 1999/12/30 12:00:00 2010/01/26 12:00:00 2010/01/26 05:01:49 UV 2.16.840.1.113883.6.47 iupc IUPAC/IFCC Component Codes masked Dr. John W. Jost IUPAC Secretariat 104 T.W. Alexander Drive, Building 19 Research Triangle Park, NC 27709, USA +1 919 485 8700 masked Executive Director International Union of Pure and Applied Chemistry IUPAC Secretariat 104 T.W. Alexander Drive, Building 19 Research Triangle Park, NC 27709, USA +1 919 485 8700 secretariat@iupac.org http://www.iupac.org Prof Soc Int 6 Complete 1999/12/30 12:00:00 2010/01/26 12:00:00 2010/01/26 05:07:56 UV 2.16.840.1.113883.6.48 JC8 JC8 masked masked Govt body Int 6 Pending 1899/12/30 12:00:27 UV 2.16.840.1.113883.6.49 OHA OHA masked masked Int 2.16.840.1.113883.6.98 6 Rejected 1899/12/30 12:00:27 2009/09/11 12:00:00 UV 2.16.840.1.113883.6.50 POS POS masked masked Int 6 Pending 1899/12/30 12:00:27 UV 2.16.840.1.113883.6.51 SNM3 SNM3 masked masked SDO Int 6 Pending 1899/12/30 12:00:27 UV 2.16.840.1.113883.6.52 SNT SNT masked masked SDO Int 6 Pending 1899/12/30 12:00:27 UV 2.16.840.1.113883.6.53 SDM SDM masked masked Int 6 Pending 1899/12/30 12:00:27 UV 2.16.840.1.113883.6.54 UC UC masked masked Int 6 Pending 1899/12/30 12:00:27 UV 2.16.840.1.113883.6.55 UPC UPC masked masked Int 6 Pending 1899/12/30 12:00:27 UV 2.16.840.1.113883.6.56 UML UML masked masked Int 6 Pending 1899/12/30 12:00:27 UV 2.16.840.1.113883.6.57 CDCA CDCA masked masked Int 6 Pending 1899/12/30 12:00:27 UV 2.16.840.1.113883.6.58 CDCM CDCM masked masked Int 6 Pending 1899/12/30 12:00:27 UV 2.16.840.1.113883.6.59 cvx CVX masked masked hq@hl7.org Govt body Int 6 Retired 1999/12/30 12:00:00 2013/01/22 12:00:00 2013/01/22 09:28:18 UV 2.16.840.1.113883.6.60 mvx MVX masked masked hq@hl7.org Int 6 Retired 1999/12/30 12:00:00 2013/01/22 12:00:00 2013/01/22 11:00:53 UV 2.16.840.1.113883.6.61 CAS CAS masked masked Int 6 Pending 1899/12/30 12:00:27 UV 2.16.840.1.113883.6.62 CST CST masked masked Int 6 Pending 1899/12/30 12:00:27 UV 2.16.840.1.113883.6.63 FDDX FDDX masked masked Vendor Int 6 Pending 1899/12/30 12:00:27 UV 2.16.840.1.113883.6.64 FDDC FDDC masked masked Vendor Int 6 Pending 1899/12/30 12:00:27 UV 2.16.840.1.113883.6.65 medispanMedicalConditions Medi-Span Medical Conditions masked Howard Strasberg Wolters Kluwer Health -- Medi-Span 8425 Woodfield Crossing Blvd. Suite 490 Indianapolis, IN 46240 858-481-4249 masked VP Medical Informatics Wolters Kluwer Health -- Medi-Span howard.strasberg@wolterskluwer.com http://www.medispan.com/ Vendor Int 6 Complete 1999/12/30 12:00:00 2013/10/21 12:00:00 2013/10/21 03:33:00 UV 2.16.840.1.113883.6.66 MEDX MEDX masked masked Vendor Int 6 Pending 1899/12/30 12:00:27 UV 2.16.840.1.113883.6.67 MEDC MEDC masked masked Int 6 Pending 1899/12/30 12:00:27 UV 2.16.840.1.113883.6.68 medispanGPI Medi-Span GPI masked Howard Strasberg Wolters Kluwer Health -- Medi-Span 8425 Woodfield Crossing Blvd. Suite 490 Indianapolis, IN 46240 858-481-4249 masked VP Medical Informatics Wolters Kluwer Health -- Medi-Span howard.strasberg@wolterskluwer.com http://www.medispan.com/ Vendor Int 6 Complete 1999/12/30 12:00:00 2013/10/21 12:00:00 2013/10/21 03:31:15 UV 2.16.840.1.113883.6.69 ndc National Drug Codes System CAPT William A. Hess masked William A. Hess Food and Drug Administration 10903 New Hampshire Ave WO32-Room 4152 Silver Spring MD 20993-0002 301-796-8494 masked Pharmacist FDA Data Standards Council Food and Drug Administration 10903 New Hampshire Ave WO32-Room 4152 Silver Spring MD 20993-0002 301-796-8494 william.hess@fda.hhs.gov http://www.fda.gov/ForIndustry/DataStandards/default.htm Int 6 Complete 1899/12/30 12:00:27 2009/10/14 12:00:00 2011/11/21 01:58:55 UV 2.16.840.1.113883.6.70 MEDR MEDR masked masked Int 2.16.840.1.113883.6.163 6 Rejected 1899/12/30 12:00:27 2009/09/11 12:00:00 UV 2.16.840.1.113883.6.71 whoDDDrugCode WHO Drug Dictionary Drug Code Magnus Wallberg masked Magnus Wallberg Box 1051 SE-751 40 UPPSALA SWEDEN +46 18 65 60 60 masked Technology Evangelist Uppsala Monitoring Centre Uppsala Monitoring Centre Box 1051 SE-751 40 UPPSALA SWEDEN +46 18 65 60 60 info@who-umc.org http://www.who-umc.org/ SDO Int 6 Complete 1999/12/30 12:00:00 2022/10/25 12:00:00 2022/10/25 08:36:43 UV 2.16.840.1.113883.6.72 W4 W4 masked masked Int 6 Pending 1899/12/30 12:00:27 UV 2.16.840.1.113883.6.73 whoATC WHO Anatomical Therapeutic Chemical classification Harold Solbrig masked Ola Strandberg Box 1051 SE-751 40 Uppsala Sweden +46 18 65 60 60 masked Vendor Liaison Officer World Health Organization ola.strandberg@umc-products.com http://www.who-umc.org/ SDO Int 14 6 Complete 1999/12/30 12:00:00 2011/02/23 12:00:00 2011/02/23 09:58:51 UV 2.16.840.1.113883.6.74 art ART masked masked http://www.who-umc.org/ Pxy 6 Complete 1899/12/30 12:00:27 2009/09/11 12:00:00 UV 2.16.840.1.113883.6.75 UMD UMD masked masked Int 6 Pending 1899/12/30 12:00:27 UV 2.16.840.1.113883.5.1050 acknowledgementCondition Acknowledgement Condition masked masked Int 5 Complete UV 2.16.840.1.113883.5.1051 ActInvoiceElementModifier ActInvoiceElementModifier masked masked Int 5 Complete UV 2.16.840.1.113883.5.1052 actSite Act Site masked masked Int 5 Complete UV 2.16.840.1.113883.5.1053 actUncertainty Act Uncertainty masked masked Int 5 Complete UV 2.16.840.1.113883.5.1054 AmericanIndianAlaskaNativeLanguages AmericanIndianAlaskaNativeLanguages masked masked Int 5 Complete UV 2.16.840.1.113883.5.1055 Calendar Calendar masked masked Int 5 Complete UV 2.16.840.1.113883.5.1056 CommunicationFunctionType CommunicationFunctionType masked masked Int 5 Complete UV 2.16.840.1.113883.5.1057 ContextControl ContextControl masked masked Int 5 Complete UV 2.16.840.1.113883.5.1058 Currency Currency masked masked Int 5 Complete UV 2.16.840.1.113883.5.1059 EmployeeJobClass EmployeeJobClass masked masked Int 5 Complete UV 2.16.840.1.113883.5.1060 entityCode Entity Code masked masked Int 5 Complete UV 2.16.840.1.113883.5.1061 EntityStatus EntityStatus masked masked Int 5 Complete UV 2.16.840.1.113883.5.1062 ManagedParticipationStatus ManagedParticipationStatus masked masked Int 5 Complete UV 2.16.840.1.113883.5.1063 observationValue Observation Value masked masked Int 5 Complete UV 2.16.840.1.113883.5.1064 participationMode Participation Mode masked masked Int 5 Complete 2009/12/22 12:00:00 UV 2.16.840.1.113883.5.1065 ProcedureMethod ProcedureMethod masked masked Int 5 Complete UV 2.16.840.1.113883.5.1066 QueryQuantityUnit QueryQuantityUnit masked masked Int 5 Complete UV 2.16.840.1.113883.5.1067 queryResponse QueryResponse masked masked Int 5 Complete UV 2.16.840.1.113883.5.1068 roleStatus Role Status masked HL7 Modeling and Methodology Workgroup 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA (+1) 734-677-7777 masked HL7 Modeling and Methodology Workgroup 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA (+1) 734-677-7777 hq@hl7.org http://www.hl7.org SDO Int 5 Complete 2009/12/22 12:00:00 UV 2.16.840.1.113883.5.1069 SetOperator SetOperator masked masked Int 5 Complete UV 2.16.840.1.113883.5.1070 substanceAdminSubstitution Substance Admin Substitution masked HL7 Pharmacy Workgroup 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA (+1) 734-677-7777 masked HL7 Pharmacy Workgroup 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA (+1) 734-677-7777 hq@hl7.org http://www.hl7.org SDO Int 5 Complete 2009/12/22 12:00:00 UV 2.16.840.1.113883.5.1071 substitutionCondition Substitution Condition masked HL7 Vocabulary Workgroup 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA (+1) 734-677-7777 masked HL7 Vocabulary Workgroup 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA (+1) 734-677-7777 hq@hl7.org http://www.hl7.org SDO Int 5 Complete 2009/12/22 12:00:00 UV 2.16.840.1.113883.5.1072 UnitOfMeasurePrefix UnitOfMeasurePrefix masked masked Int 5 Complete UV 2.16.840.1.113883.5.1073 UnitOfMeasurePrefixCaseSensitive UnitOfMeasurePrefixCaseSensitive masked masked Int 5 Retired UV 2.16.840.1.113883.6.84 IETF1766 IETF1766 HRS masked masked SDO Ext 6 Pending 2003/01/29 12:00:00 UV 2.16.840.1.113883.6.85 naics North American Industry Classification System HRS masked masked US Census Bureau U.S. Census Bureau 4600 Silver Hill Road Washington, DC 20233 301-763-INFO (4636) http://www.census.gov Int 6 Complete 2009/10/14 12:00:00 2003/01/29 12:00:00 UV 2.16.1 ISO3166-1 ISO3166-1 Ted Klein masked masked Ext 1.0.3166.1 6 Retired 2005/09/16 12:00:00 UV 2.16.2 ISO3166-2 ISO 3166 3 Character country codes HRS Klein masked Sundak Ganesan masked SDO Ext 6 Deprecated 2005/09/16 12:00:00 UV 2.16.3 ISO3166-3 ISO 3166 Numeric Character country codes HRS Klein masked Sundak Ganesan masked SDO Ext 6 Deprecated 2005/09/16 12:00:00 UV 2.16.840.1.113883.5.1074 CodingRationale CodingRationale HRS masked masked int 5 Proposed 2003/02/10 12:00:00 UV 2.16.840.1.113883.5.1075 PatientImportance PatientImportance HRS masked masked int 5 Proposed 2003/02/10 12:00:00 UV 2.16.840.1.113883.5.1076 ReligiousAffiliation ReligiousAffiliation HRS masked masked int 5 Proposed 2003/02/10 12:00:00 UV 2.16.840.1.113883.5.1077 EducationLevel EducationLevel HRS masked masked int 5 Proposed 2003/02/10 12:00:00 UV 2.16.840.1.114222.4 cdc-PHIN-root CDC Public Health Information Network Root W. Ted Klein masked Barry Rhodes 404-639-7608 masked Center for Disease Control and Prevention 1600 Clifton Rd., Mailstop D45 Atlanta, GA 30333 (404) 639-7600 cdcinfo@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222 Ext 3 Complete 2.16.840.1.113883 2003/02/25 12:00:00 2003/02/25 12:00:00 2003/02/25 12:00:00 UV 2.16.840.1.113883.4.3.57 BCE Pilot Project IDs BCE Pilot Project Identifiers Michael van Campen masked Anne Belford 5190 Explorer Drive, Toronto Ontario Canada 905.629.5729 masked BCE Emergis 5190 Explorer Drive, Toronto Ontario Canada 905.629.5729 http://www.emergis.com/en/ Vendor Int 4 Complete 2003/03/13 12:00:00 2003/03/13 12:00:00 UV 2.16.840.1.113883.2.5 hl7Switzerland HL7 Switzerland OID Root Tony Schaller masked Beat Heggli NEXUS SCHWEIZ, Sonnenbergstrasse 72, CH-8603 Schwerzenbach, Switzerland +41 (44) 806 11 11 masked Chairman HL7 Switzerland Beat Heggli,Beat Heggli,Beat Heggli,Beat Heggli,HL7 Switzerland,Beat Heggli,Beat Heggli,Beat Heggli, tc@hl7.ch http://www.hl7.ch HL7 body 2.16.840.1.113883 Int 2 Complete 2003/04/16 12:00:00 2007/10/09 01:19:13 UV 2.16.840.1.113883.6.86 umls Unified Medical Language System HRS masked masked National Library of Medicine National Library of Medicine 8600 Rockville Pike Bethesda, MD 20894 custserv@nlm.nih.gov http://www.nlm.nih.gov Govt body Pxy 6 Complete 2009/10/14 12:00:00 2003/01/29 12:00:00 UV 2.16.840.1.113883.12.1 Administrative sex Administrative sex W. Ted Klein masked masked Oidregistry@HL7.org HL7 body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 HL70001 UV 2.16.840.1.113883.12.2 Marital status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.3 Event type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.4 Patient class W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.5 Race W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.6 Religion W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.7 Admission type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.8 Acknowledgment code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.9 Ambulatory status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.10 Physician ID W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.17 Transaction type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.18 Patient type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.19 Anesthesia code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.21 Bad debt agency code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.22 Billing status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.23 Admit source W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.24 Fee schedule W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.27 Priority W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.32 Charge/price indicator W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.38 Order status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.42 Company plan code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.43 Condition code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.44 Contract code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.45 Courtesy code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.46 Credit rating W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.48 What subject filter W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.49 Department code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.50 Accident code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.51 Diagnosis code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.52 Diagnosis type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.53 Diagnosis coding method W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.55 Diagnosis related group W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.56 DRG grouper review code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.59 Consent code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.61 Check digit scheme W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.62 Event reason W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.63 Relationship W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.64 Financial class W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.65 Specimen action code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.66 Employment status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.68 Guarantor type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.69 Hospital service W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.70 Specimen source codes W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.72 Insurance plan ID W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.73 Interest rate code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.74 Diagnostic service section ID W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.76 Message type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.78 Abnormal flags W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.80 Nature of abnormal testing W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.83 Outlier type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.84 Performed by W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.85 Observation result status codes interpretation W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.86 Plan ID W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.87 Pre-admit test indicator W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.88 Procedure Code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.89 Procedure coding method W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.91 Query priority W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.92 Re-admission indicator W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.93 Release information W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.98 Type of agreement W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.99 VIP indicator W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.100 When to charge W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.102 Delayed acknowledgment type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.103 Processing ID W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.104 Version ID W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.105 Source of comment W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.106 Query/response format code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.107 Deferred response type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.108 Query results level W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.109 Report priority W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.110 Transfer to bad debt code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.111 Delete account code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.112 Discharge disposition W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.113 Discharged to location W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.114 Diet type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.115 Servicing facility W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.116 Bed status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.117 Account status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.118 Major diagnostic category W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.119 Order Control codes W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.121 Response flag W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.122 Charge type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.123 Result status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.124 Transportation mode W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.125 Value type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.126 Quantity limited request W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.127 Allergen type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.128 Allergy severity W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.129 Accommodation code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.130 Visit user code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.131 Contact Role W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.132 Transaction code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.133 Procedure practitioner identifier code type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.135 Assignment of benefits W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.136 Yes/no indicator W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.137 Mail claim party W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.139 Employer information data W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.140 Military service W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.141 Military rank/grade W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.142 Military status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.143 Non-covered insurance code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.144 Eligibility source W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.145 Room type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.146 Amount type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.147 Policy type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.148 Penalty type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.149 Day type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.150 Pre-certification patient type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.151 Second opinion status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.152 Second opinion documentation received W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.153 Value code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.155 Accept/application acknowledgment conditions W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.156 Which date/time qualifier W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.157 Which date/time status qualifier W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.158 Date/time selection qualifier W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.159 Diet code specification type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.160 Tray type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.161 Allow substitution W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.162 Route of administration W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.163 bodySite W. Ted Klein masked masked HL7 body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.164 Administration device W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.165 Administration method W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.166 RX component type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.167 Substitution status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.168 Processing priority W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.169 Reporting priority W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.170 Derived specimen W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.171 Citizenship W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.172 Veterans military status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.173 Coordination of benefits W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.174 Nature of service/test/observation W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.175 Master file identifier code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.177 Confidentiality code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.178 File level event code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.179 Response level W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.180 Record-level event code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.181 MFN record-level error return W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.182 Staff type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.183 Active/inactive W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.184 Department W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.185 Preferred method of contact W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.186 Practitioner category W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.187 Provider billing W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.188 Operator ID W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.189 Ethnic group W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.190 Address type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.191 Type of referenced data W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.193 Amount class W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.200 Name type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.201 Telecommunication use code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.202 Telecommunication equipment type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.203 Identifier type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.204 Organizational name type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.205 Price type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.206 Segment action code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.207 Processing mode W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.208 Query response status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.209 Relational operator W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.210 Relational conjunction W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.211 Alternate character sets W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.212 Nationality W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.213 Purge status code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.214 Special Program Codes W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.215 Publicity code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.216 Patient Status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.217 Visit priority code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.218 Patient charge adjustment W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.219 Recurring Service W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.220 Living arrangement W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.222 Contact reason W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.223 Living dependency W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.224 Transport arranged W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.225 Escort required W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.227 mvx Vaccine Manufacturer W. Ted Klein masked Rob Savage 10 Calumet Cir Madison, WI 53705 608 233 6129 masked Centers for Disease Control and Prevention rbsavage@cdc.gov http://www2a.cdc.gov/vaccines/iis/iisstandards/vaccines.asp?rpt=mvx HL7 body 2.16.840.1.114222 Int 6 Complete 2.16.840.1.113883 2016/03/02 12:00:00 2013/01/22 11:05:20 MVX, HL70227 US 2.16.840.1.113883.12.228 Diagnosis classification W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.229 DRG payor W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.230 Procedure functional type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.231 Student status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.232 Insurance company contact reason W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.233 Non-concur code/description W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.234 Report timing W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.235 Report source W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.236 Event reported to W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.237 Event qualification W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.238 Event seriousness W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.239 Event expected W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.240 Event consequence W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.241 Patient outcome W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.242 Primary observer's qualification W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.243 Identity may be divulged W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.244 Single use device W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.245 Product problem W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.246 Product available for inspection W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.247 Status of evaluation W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.248 Product source W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.249 Generic product W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.250 Relatedness assessment W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.251 Action taken in response to the event W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.252 Causality observations W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.253 Indirect exposure mechanism W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.254 Kind of quantity W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.255 Duration categories W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.256 Time delay post challenge W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.257 Nature of challenge W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.258 Relationship modifier W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.259 Modality W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.260 Patient location type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.261 Location equipment W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.262 Privacy level W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.263 Level of care W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.264 Location department W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.265 Specialty type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.267 Days of the week W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.268 Override W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.269 Charge on indicator W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.270 Document type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.271 Document completion status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.272 Document confidentiality status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.273 Document availability status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.275 Document storage status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.276 Appointment reason codes W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.277 Appointment type codes W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.278 Filler status codes W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.279 Allow substitution codes W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.280 Referral priority W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.281 Referral type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.282 Referral disposition W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.283 Referral status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.284 Referral category W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.285 Insurance Company ID Codes W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.286 Provider role W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.287 Problem/goal action code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.288 Census tract W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.289 County/parish W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.290 MIME base64 encoding characters W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.291 Subtype of referenced data W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.292 cvx Vaccine Administered W. Ted Klein masked Rob Savage 10 Calumet Cir Madison, WI 53705 608-233-6129 masked Centers for Disease Control and Prevention rbsavage@cdc.gov http://www2a.cdc.gov/vaccines/iis/iisstandards/vaccines.asp?rpt=cvx HL7 body 2.16.840.1.114222 Int 6 Complete 2.16.840.1.113883 2013/01/22 12:00:00 2013/01/22 11:03:38 CVX, HL70292 US 2.16.840.1.113883.12.293 Billing category W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.294 Time selection criteria parameter class codes W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.295 Handicap W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.296 Primary language W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.297 CN ID source W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.298 CP range type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.299 Encoding W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.300 Namespace ID W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.301 Universal ID type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.302 Point of care W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.303 Room W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.304 Bed W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.305 Person location type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.306 Location status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.307 Building W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.308 Floor W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.309 Coverage type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.311 Job status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.312 Policy scope W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.313 Policy source W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.315 Living will code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.316 Organ donor code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.317 Annotations W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.319 Department Cost Center W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.320 Item Natural Account Code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.321 Dispense method W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.322 Completion status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.323 Action code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.324 Location characteristic ID W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.325 Location relationship ID W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.326 Visit indicator W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.327 Job code/class W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.328 Employee classification W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.329 Quantity method W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.330 Marketing basis W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.331 Facility type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.332 Source type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.333 Driver's license issuing authority W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.334 Disabled person W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.335 Repeat pattern W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.336 Referral reason W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.337 Certification status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.338 Practitioner ID number type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.339 Advanced beneficiary notice code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.340 Procedure Code modifier W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.341 Guarantor credit rating code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.342 Military recipient W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.343 Military handicapped program code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.344 Patient's relationship to insured W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.345 Appeal reason W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.346 Certification agency W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.347 Auto accident state W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.348 Special program indicator W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.349 PSRO/UR approval indicator W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.350 Occurrence code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.351 Occurrence span W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.353 CWE statuses W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.354 Message structure W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.355 Primary key value type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.356 Alternate character set handling scheme W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.357 Message error condition codes W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.358 Practitioner group W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.359 Diagnosis priority W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.360 Degree W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.361 Sending/receiving application W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.362 Sending/receiving facility W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.363 Assigning authority W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.364 Comment type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.365 Equipment state W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.366 Local/remote control state W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.367 Alert level W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.368 Remote control command W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.369 Specimen role W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.370 Container status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.371 Additive W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.372 Specimen component W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.373 Treatment W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.374 System induced contaminants W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.375 Artificial blood W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.376 Special handling considerations W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.377 Other environmental factors W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.378 Carrier type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.379 Tray type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.380 Separator type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.381 Cap type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.382 Drug interference W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.383 Substance status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.384 Substance type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.385 Manufacturer identifier W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.386 Supplier identifier W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.387 Command response W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.388 Processing type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.389 Analyte repeat status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.391 Segment group W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.392 Match reason W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.393 Match algorithms W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.394 Response modality W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.395 Modify indicator W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.396 Coding System W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.397 Sequencing W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.398 Continuation style code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.399 Country code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.401 Government reimbursement program W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.402 School type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.403 Language ability W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.404 Language proficiency W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.405 Organization unit W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.406 Organization unit type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.409 Application change type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.411 Supplemental service information values W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.412 Category identifier W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.413 Consent identifier W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.414 Units of time W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.415 DRG transfer type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.416 Procedure DRG type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.417 Tissue type code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.418 Procedure priority W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.421 Severity of illness code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.422 Triage code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.423 Case category code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.424 Gestation category code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.425 Newborn code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.426 bloodProductCode HL7 table 0426 Blood product code W. Ted Klein masked masked HL7 body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.427 Risk management incident code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.428 Incident type code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.429 Production class Code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.430 Mode of arrival code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.431 Recreational drug use code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.432 Admission level of care code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.433 Precaution code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.434 Patient condition code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.435 Advance directive code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.436 Sensitivity to Causative Agent code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.437 Alert device code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.438 Allergy clinical status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.440 Data types W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.441 Immunization registry status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.442 Location service code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.443 Provider role W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.444 Name assembly order W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.445 Identity Reliability Code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.446 Species Code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.447 Breed Code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.448 Name context W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.449 Conformance statements W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.450 Event type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.451 Substance identifier W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.452 Health care provider type code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.453 Health care provider classification W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.454 Health care provider area of specialization W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.455 Type of bill code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.456 Revenue code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.457 Overall claim disposition code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.458 OCE edit code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.459 Reimbursement Action Code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.460 Denial or rejection code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.461 License number W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.462 Location cost center W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.463 Inventory number W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.464 Facility ID W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.465 Name/address representation W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.466 Ambulatory payment classification code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.467 Modifier edit code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.468 Payment adjustment code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.469 Packaging status code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.470 Reimbursement type code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.471 Query name W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.472 TQ Conjunction ID W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.473 Formulary status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.474 Organization unit type - ORG W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.487 Specimen Type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.488 Specimen Collection Method W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.489 Risk Codes W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.490 Specimen Reject Reason W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.491 Specimen Quality W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.492 Specimen Appropriateness W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.493 Specimen Condition W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.494 Specimen Child Role W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.541 Specimen Type Modifier W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.542 Specimen Source Type Modifier W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.543 Specimen Collection Site W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.12.544 Container Condition W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.6.87 nmds Nursing Minimum Data Set Suzanne Bakken masked Connie Delaney, PhD, RN, FAAN and Diane Huber, PhD, RN, FAAN 464 Nursing Building, Iowa City, Iowa 52242 319-335-7113 or 319-335-7110 masked The University of Iowa, College of Nursing 464 Nursing Building, Iowa City, Iowa 52242 319-335-7113 or 319-335-7110 connie-delaney@uiowa.edu or diane-huber@uiowa.edu Int 6 Complete 2009/09/11 12:00:00 2003/04/28 12:00:00 UV 2.16.840.1.113883.6.88 rxNorm RxNorm Stuart Nelson masked masked National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (888) 346-3656 http://www.nlm.nih.gov/ Govt body Int 6 Complete 2009/10/14 12:00:00 2003/04/28 12:00:00 UV 2.16.840.1.113883.6.89 deeds(old) DEEDS(old) masked Dan Pollock 404-639-7715 masked Centers for Disease Control and Prevention http://www.cdc.gov 2.16.840.1.114222 Int 2.16.840.1.113883.6.102 6 retired 2003/04/28 12:00:00 UV 2.16.840.1.113883.6.90 icd10CM International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) Michelle Williamson masked Donna Pickett (301) 458-4434, 1.2.4.Fax (301) 458-4022 masked National Center for Health Statistics/Centers for Disease Control and Prevention 3311 Toledo Road; Hyattsville, MD 20782 http://www.cdc.gov/nchs/about/otheract/icd9/icd10cm.htm Govt body 2.16.840.1.114222 Int 6 Complete 2003/04/29 12:00:00 UV 2.16.840.1.113883.12 v2tables W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/04/28 02:02:42 UV 2.16.840.1.113883.19.5 HL7 Coding Systems Examples Root Woody Beeler masked Woody Beeler masked Beeler Consulting, Inc. Int 19 Complete 2002/04/30 12:00:00 2002/04/30 12:00:00 2002/04/30 12:00:00 UV 2.16.840.1.113883.19.6 External Coding Systems Examples Root Woody Beeler masked Woody Beeler masked Beeler Consulting, Inc. Int 19 Complete 2002/04/30 12:00:00 2002/04/30 12:00:00 2002/04/30 12:00:00 UV 2.16.840.1.113883.5.1078 QueryEventStatus QueryEventStatus HRS masked masked int 5 Proposed 2003/03/03 12:00:00 UV 2.16.840.1.113883.5.1079 HL7V3 HL7V3 HRS masked masked int 5 Proposed 2003/03/31 12:00:00 UV 2.16.840.1.113883.5.1080 Dentition Dentition Stan Huff masked masked int 5 Pending 2003/03/20 12:00:00 UV 2.16.840.1.113883.5.1081 CIHIAdj CIHIAdj Donald Kroetsch masked masked int 5 Pending 2002/03/12 12:00:00 UV 2.16.840.1.113883.5.1082 acknowledgementDetailType AcknowledgementDetailType unspecified masked masked Int 5 Pending 2003/03/12 12:00:00 UV 2.16.840.1.113883.5.1083 messageWaitingPriority Message Waiting Priority unspecified masked masked Int 5 Pending 2003/03/12 12:00:00 UV 2.16.840.1.113883.5.1084 EncounterAcuity EncounterAcuity Norman Daoust masked masked int 5 Pending 2003/03/12 12:00:00 UV 2.16.840.1.113883.5.1085 CodeSystemType CodeSystemType HRS masked masked int 5 Pending 2003/03/10 12:00:00 UV 2.16.840.1.113883.5.1086 ConceptStatus ConceptStatus HRS masked masked Int 5 Pending 2003/03/10 12:00:00 UV 2.16.840.1.113883.5.1087 ConceptProperty ConceptProperty HRS masked masked Int 5 Pending 2003/03/10 12:00:00 UV 2.16.840.1.113883.5.1088 ConceptCodeRelationship ConceptCodeRelationship HRS masked masked Int 5 Pending 2003/03/10 12:00:00 UV 2.16.840.1.113883.5.1089 dentition Dentition Stan Huff masked missing data 99999 masked missing data missing data missing data missingdata@gmail.com http://www.missingdata.com SDO Int 5 Rejected 2003/03/20 12:00:00 2009/09/15 12:00:00 2009/09/15 04:52:36 UV 2.16.840.1.113883.5.1090 CalendarCycleOneLetter CalendarCycleOneLetter HRS masked masked Int 5 Retired 2003/04/20 12:00:00 2003/04/20 12:00:00 UV 2.16.840.1.113883.19.5.1091 BEERS HRS masked masked Int 19 Pending 2003/04/28 12:00:00 UV 1.3.6.1.4.1.12009 regenstrief Regenstrief Institute, Inc Gunther Schadow masked Daniel Vreeman 410 West 10th Street Suite 2000 Indianapolis, IN 46202 317-274-9229 masked Research Scientist Regenstrief Institute, Inc mgray@regenstrief.org http://regenstrief.org Academic Int 3 Complete 2003/05/17 12:00:00 2013/11/21 03:14:20 UV 2.16.840.1.113883.3.13 Cerner Cerner Corporation OID Root Steven Baranowski masked Steven Baranowski 2800 Rockcreek Parkway, Kansas City, MO 64117-2551 (816)-201-1405 masked Cerner Corporation 2800 Rockcreek Parkway, Kansas City, MO 64117-2551 http://www.cerner.com Vendor Int 3 Complete 2003/05/20 12:00:00 2003/05/20 12:00:00 UV 2.16.840.1.113883.6.91 fipspub92 FIPS_SOC Ted Klein masked Elizabeth Lennon Stop 8901, Gaithersburg, MD 20899-8901 (301) 975-2832 masked National Institute of Standards and Technology, Information Technology Laboratory Stop 8901, Gaithersburg, MD 20899-8901 http://www.itl.nist.gov/ Govt body Int 2.16.840.1.113883.6.243 6 Obsolete 2003/06/02 12:00:00 2009/09/15 12:00:00 2003/06/02 12:00:00 UV 2.16.840.1.113883.6.92 fipsPUB2 FIPS PUB2 - STATE CODES Ted Klein masked Elizabeth Lennon Stop 8901 Gaithersburg, MD 20899-8901 (301) 975-2832 masked National Institute of Standards and Technology, Information Technology Laboratory Stop 8901 Gaithersburg, MD 20899-8901 http://www.itl.nist.gov/ Govt body Int 6 Complete 2003/06/02 12:00:00 2009/12/28 12:00:00 2009/12/28 06:00:13 UV 2.16.840.1.113883.6.93 fipsPUB6-4 FIPS PUB 6-4 COUNTY CODES Ted Klein masked Elizabeth Lennon Stop 8901 Gaithersburg, MD 20899-8901 (301) 975-2832 masked National Institute of Standards and Technology, Information Technology Laboratory Stop 8901 Gaithersburg, MD 20899-8901 (301) 975-NIST(6478) inquiries@nist.gov http://www.itl.nist.gov/ Govt body Int 6 Complete 2003/06/02 12:00:00 2009/12/28 12:00:00 2009/12/28 05:59:42 UV 1.2.840.10008.2.16.4 DCM DICOM Controlled Terminology Harry Solomon masked Harry Solomon masked DICOM Standards Committee http://medical.nema.org/ SDO Ext 6 Complete 2003/06/09 12:00:00 2003/06/09 12:00:00 UV 2.16.840.1.113883.6.94 icd10-CA ICD10 CA Gavin Tong masked Canadian Institute for Health Information 4110 Yonge Street, Suite 300 Toronto, ON M2P 2B7 Canada 416-481-2002 masked Canadian Institute for Health Information 495 Richmond Road, Suite 600 Ottawa, ON K2A 4H6 Canada 613-241-7860 ccicd-10@cihi.ca www.cihi.ca HL7 body Int 6 Complete 2003/06/11 12:00:00 2009/12/23 12:00:00 2009/12/23 09:21:32 UV 2.16.840.1.113883.6.95 cci Canadian Classification of Health Interventions Gavin Tong masked Donald Kroetsch Canadian Institute for Health Information 4110 Yonge Street, Suite 300 Toronto, ON M2P 2B7 Canada 416-481-2002 masked CIHI (Canadian Institute for Health Information) 495 Richmond Road, Suite 600 Ottawa, ON K2A 4H6 Canada 613-241-7860 ccicd-10@cihi.ca http://www.cihi.ca SDO Int 6 Complete 2003/06/11 12:00:00 2009/11/03 12:00:00 2009/12/22 11:08:11 UV 2.16.840.1.113883.2.4 hl7Neth HL7 The Netherlands OID Root Rene Spronk masked Rene Spronk masked HL7 body 2.16.840.1.113883 Int 2 Complete 2003/09/02 12:00:00 2003/09/02 12:00:00 UV 2.16.840.1.113883.6.96 snomed-CT SNOMED Clinical Terms Ellen Ryske masked John Gutai International Health Terminology Standards Development Organisation Rued Langgaards Vej 7, 5te &#8211; 5A, 56 2300 Copenhagen S Denmark +45 36448736 masked Chief Technical Officer International Health Terminology Standards Development Organisation International Health Terminology Standards Development Organisation Rued Langgaards Vej 7, 5te &#8211; 5A, 56 2300 Copenhagen S Denmark +45 36448736 jgu@ihtsdo.org http://www.ihtsdo.org Prof Soc Int 6 Complete 2003/09/07 12:00:00 2009/10/14 12:00:00 2012/02/07 10:16:32 UV 2.16.840.1.113883.6.97 icnp International Classification for Nursing Practice Amy Amherdt masked Amy Coenen, Director - ICNP&#174; Programme University of Wisconsin-Milwaukee, College of Nursing P.O. Box 413 Milwaukee, Wisconsin, USA 53201-041 414 229-5146 masked International Council of Nurses (ICN) 3 place Jean-Marteau, CH-1201 Geneva, Switzerland 41 (22) 908 0100 icn@icn.ch http://www.icn.ch/ Prof Soc Int 6 Complete 2003/09/07 12:00:00 2009/10/14 12:00:00 2003/09/07 12:00:00 UV 2.16.840.1.113883.6.98 oms Omaha System Karen S. Martin masked Karen S. Martin, RN, MSN, FAAN 2115 S. 130th St., Omaha NE 68144 (402) 333-1962 masked Karen S. Martin, RN, MSN, FAAN 2115 S. 130th St., Omaha NE 68144 (402) 333-1962 martinks@tconl.com Academic Int 6 Complete 2003/09/09 12:00:00 2003/09/09 12:00:00 UV 2.16.840.1.113883.3.14 IMSS IMSS OID root Diana Perez masked Diana Perez Holbein 113 Col. Nochebuena, CP 03720, Mexico City, Mexico (52)(55)52382700 x 12814 masked Mauricio Derbez Tokio 80, Col Juarez, CP 06600, Mexico City, Mexico (52)(55)52382713 mauricio.derbez@imss.gob.mx http://www.imss.gob.mx/ Govt body Int 3 Complete 2003/10/07 12:00:00 2003/10/07 12:00:00 2003/10/07 12:00:00 UV 2.16.840.1.113883.3.15 IHC IHC OID root Stanley M. Huff masked Stanley M. Huff 4646 West Lake Park Drive, SLC, UT 84120 801-442-4885 masked Senior Informaticist Intermountain Health Care 801-442-5000 www.ihc.com Vendor Int 3 Complete 2003/10/27 12:00:00 2003/10/28 12:00:00 2003/10/28 12:00:00 UV 2.16.840.1.113883.6.99 ISO639-1 ISO 639-1 Alpha-2 Language Codes Harold Solbrig masked Harold Solbrig 200 First Street SW, Rocheseter, MN 507 284-0753 masked International Information Centre for Terminology (Infoterm) Aichholzgasse 6/12 A-1120 Vienna, Austria +43/1/817 44 88 infopoint@infoterm.org http://linux.infoterm.org/ SDO Pxy 6 Deprecated 2003/10/31 12:00:00 2009/12/23 12:00:00 2009/12/23 04:19:36 UV 2.16.840.1.113883.6.100 ISO639-2 ISO 639-2 Alpha-3 Language Codes Harold Solbrig masked Harold Solbrig 200 First Street SW, Rocheseter, MN 507 284-0753 masked The Library of Congress Network Development & MARC Standards Office Washington, DC 20540-4402 1 202 707 6237 Iso639-2@loc.gov Govt body Pxy 6 Deprecated 2003/10/31 12:00:00 2009/12/23 12:00:00 2009/12/23 04:21:08 UV 2.16.840.1.113883.3.16 ucdavisHealthSystems UC Davis Health Systems Cecil Lynch masked Cecil Lynch 1616 Capitol Avenue MS 7320 P.O. Box 942732 Sacramento, CA 94234-7320 916-803-6287 masked UC Davis Health Systems 2315 Stockton Blvd. Sacramento, CA 95817 (916) 734-2011 http://www.ucdmc.ucdavis.edu/ Provider Int 3 Complete 2003/11/18 12:00:00 2003/10/28 12:00:00 2003/11/18 12:00:00 UV 2.16.840.1.113883.5.1092 hl7ITSVersionCode HL7 ITS Version Code Harold Solbrig masked Harold Solbrig 200 First Street SW, Rocheseter, MN 507 284-0753 masked Health Level Seven 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA (+1) 734-677-7777 hq@hl7.org http://www.hl7.org SDO Int 5 Complete 2003/11/24 12:00:00 2009/12/20 12:00:00 2003/11/24 12:00:00 UV 2.16.840.1.113883.6.101 providertaxonomy Health Care Provider Taxonomy Harold Solbrig masked Nancy Spector American Medical Association 25 Massachusetts Ave, NW Washington, DC 20001 202-789-4586 masked Chair, National Uniform Claim Committee National Uniform Claim Committee (NUCC) American Medical Association 25 Massachusetts Ave, NW Washington, DC 20001 202-789-4586 nancy.spector@ama-assn.org http://www.nucc.org/ Prof Soc Pxy 6 Complete 2003/10/31 12:00:00 2003/10/31 12:00:00 2014/01/24 09:44:04 HCPT US 2.16.840.1.113883.3.17 ringholm Ringholm GmbH Rene Spronk masked Rene Spronk +31 655363446 masked Ringholm GmbH Box 320264, 45246 Essen, Germany +49 700 RINGHOLM info@ringholm.com http://www.ringholm.com Vendor Int 3 Complete 2003/12/02 12:00:00 2003/12/02 12:00:00 2003/12/02 12:00:00 UV 2.16.840.1.113883.6.102 DEEDS DEEDS vocabularies Wes Rishel masked Wes Rishel masked Network Development & MARC Standards Office SDO Pxy 6 Complete 2003/12/05 12:00:00 2003/12/05 12:00:00 2003/12/05 12:00:00 UV 2.16.840.1.113883.6.102.2.10 DEEDS2.10 DEEDS2.10 Wes Rishel masked Wes Rishel masked Network Development & MARC Standards Office SDO Pxy 6 Complete 2003/12/05 12:00:00 2003/12/05 12:00:00 2003/12/05 12:00:00 UV 2.16.840.1.113883.6.102.4.2 DEEDS4.02 DEEDS4.02 Wes Rishel masked Wes Rishel masked Network Development & MARC Standards Office SDO Pxy 6 Complete 2003/12/05 12:00:00 2003/12/05 12:00:00 2003/12/05 12:00:00 UV 2.16.840.1.113883.6.102.4.5 DEEDS4.05 DEEDS4.05 Wes Rishel masked Wes Rishel masked Network Development & MARC Standards Office SDO Pxy 6 Complete 2003/12/05 12:00:00 2003/12/05 12:00:00 2003/12/05 12:00:00 UV 2.16.840.1.113883.6.102.4.7 DEEDS4.07 DEEDS4.07 Wes Rishel masked Wes Rishel masked Network Development & MARC Standards Office SDO Pxy 6 Complete 2003/12/05 12:00:00 2003/12/05 12:00:00 2003/12/05 12:00:00 UV 2.16.840.1.113883.6.102.4.8 DEEDS4.08 DEEDS4.08 Wes Rishel masked Wes Rishel masked Network Development & MARC Standards Office SDO Pxy 6 Complete 2003/12/05 12:00:00 2003/12/05 12:00:00 2003/12/05 12:00:00 UV 2.16.840.1.113883.6.102.4.14 DEEDS4.14 DEEDS4.14 Wes Rishel masked Wes Rishel masked Network Development & MARC Standards Office SDO Pxy 6 Complete 2003/12/05 12:00:00 2003/12/05 12:00:00 2003/12/05 12:00:00 UV 2.16.840.1.113883.6.102.4.15 DEEDS4.15 DEEDS4.15 Wes Rishel masked Wes Rishel masked Network Development & MARC Standards Office SDO Pxy 6 Complete 2003/12/05 12:00:00 2003/12/05 12:00:00 2003/12/05 12:00:00 UV 2.16.840.1.113883.6.102.4.16 DEEDS4.16 DEEDS4.16 Wes Rishel masked Wes Rishel masked Network Development & MARC Standards Office SDO Pxy 6 Complete 2003/12/05 12:00:00 2003/12/05 12:00:00 2003/12/05 12:00:00 UV 2.16.840.1.113883.6.102.4.18 DEEDS4.18 DEEDS4.18 Wes Rishel masked Wes Rishel masked Network Development & MARC Standards Office SDO Pxy 6 Complete 2003/12/05 12:00:00 2003/12/05 12:00:00 2003/12/05 12:00:00 UV 2.16.840.1.113883.6.102.4.22 DEEDS4.22 DEEDS4.22 Wes Rishel masked Wes Rishel masked Network Development & MARC Standards Office SDO Pxy 6 Complete 2003/12/05 12:00:00 2003/12/05 12:00:00 2003/12/05 12:00:00 UV 2.16.840.1.113883.6.102.4.24 DEEDS4.24 DEEDS4.24 Wes Rishel masked Wes Rishel masked Network Development & MARC Standards Office SDO Pxy 6 Complete 2003/12/05 12:00:00 2003/12/05 12:00:00 2003/12/05 12:00:00 UV 2.16.840.1.113883.6.102.4.27 DEEDS4.27 DEEDS4.27 Wes Rishel masked Wes Rishel masked Network Development & MARC Standards Office SDO Pxy 6 Complete 2003/12/05 12:00:00 2003/12/05 12:00:00 2003/12/05 12:00:00 UV 2.16.840.1.113883.6.102.5.6 DEEDS5.06 DEEDS5.06 Wes Rishel masked Wes Rishel masked Network Development & MARC Standards Office SDO Pxy 6 Complete 2003/12/05 12:00:00 2003/12/05 12:00:00 2003/12/05 12:00:00 UV 2.16.840.1.113883.6.102.5.8 DEEDS5.08 DEEDS5.08 Wes Rishel masked Wes Rishel masked Network Development & MARC Standards Office SDO Pxy 6 Complete 2003/12/05 12:00:00 2003/12/05 12:00:00 2003/12/05 12:00:00 UV 2.16.840.1.113883.6.102.5.19 DEEDS5.19 DEEDS5.19 Wes Rishel masked Wes Rishel masked Network Development & MARC Standards Office SDO Pxy 6 Complete 2003/12/05 12:00:00 2003/12/05 12:00:00 2003/12/05 12:00:00 UV 2.16.840.1.113883.4.6 npi National Provider ID Wes Rishel masked Wes Rishel masked SDO Pxy 4 Complete 2003/12/05 12:00:00 2003/12/05 12:00:00 2003/12/05 12:00:00 UV 2.16.840.1.113883.12.9000 ScheduledEMSReason HL7 Reason for Scheduled EMS Trip Wes Rishel masked Wes Rishel masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/12/05 12:00:00 2003/12/05 12:00:00 2003/12/05 12:00:00 UV 2.16.840.1.113883.12.9002 RehabilitationPlanStatus HL7 Rehabilitation Plan Status Wes Rishel masked Wes Rishel masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/12/05 12:00:00 2003/12/05 12:00:00 2003/12/05 12:00:00 UV 2.16.840.1.113883.12.9003 RehabilitationPlanContinue/DiscontinueInd HL7 Rehabilitation Plan Continue/Discontinue Indicator Wes Rishel masked Wes Rishel masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/12/05 12:00:00 2003/12/05 12:00:00 2003/12/05 12:00:00 UV 2.16.840.1.113883.12.9005 RehabilitationPlanPrognosis HL7 Rehabilitation Plan Prognosis Wes Rishel masked Wes Rishel masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/12/05 12:00:00 2003/12/05 12:00:00 2003/12/05 12:00:00 UV 2.16.840.1.113883.12.9006 RehabilitationServiceRemissionStatus HL7 RehabilitationService Remission Status Wes Rishel masked Wes Rishel masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/12/05 12:00:00 2003/12/05 12:00:00 2003/12/05 12:00:00 UV 2.16.840.1.113883.12.9007 AmbulanceTripType HL7 Ambulance Trip Type Wes Rishel masked Wes Rishel masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/12/05 12:00:00 2003/12/05 12:00:00 2003/12/05 12:00:00 UV 2.16.840.1.113883.12.9008 RationaleforDestination HL7 Rationale for Destination Wes Rishel masked Wes Rishel masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/12/05 12:00:00 2003/12/05 12:00:00 2003/12/05 12:00:00 UV 2.16.840.1.113883.12.9010 UnscheduledTripReason HL7 Medical Reason for Unscheduled Trip Wes Rishel masked Wes Rishel masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/12/05 12:00:00 2003/12/05 12:00:00 2003/12/05 12:00:00 UV 2.16.840.1.113883.12.9015 FrequencyBasePeriod HL7 Frequency Base Period Wes Rishel masked Wes Rishel masked HL7 Body Int 12 Complete 2.16.840.1.113883 2003/12/05 12:00:00 2003/12/05 12:00:00 2003/12/05 12:00:00 UV 2.16.840.1.113883.6.102.4.12 DEEDS4.12 DEEDS4.12 Wes Rishel masked Wes Rishel masked Network Development & MARC Standards Office SDO Pxy 6 Complete 2003/12/05 12:00:00 2003/12/05 12:00:00 2003/12/05 12:00:00 UV 2.16.840.1.113883.3.18 IBM Amnon Shabo masked Amnon Shabo (Shvo) IBM Research Lab, Haifa University, Haifa 31905, Israel +972-4-8296358 masked Amnon Shabo (Shvo), Ph.D. Clinical-Genomic Solutions IBM Research Lab in Haifa IBM IBM Research Lab, Haifa University, Haifa 31905, Israel +972-4-8296358 shabo@il.ibm.com http://www.ibm.com Vendor Int 3 Complete 2004/02/16 12:00:00 2004/02/16 12:00:00 2004/02/16 12:00:00 UV 2.16.840.1.113883.3.19 csi19 Continovation Services Inc. Paul Knapp masked Joel Bisson 800 Industrial Ave, Unit 11 Ottawa, ON K1G 4B8 (613) 523-4930x223 masked Continovation Services Inc. 800 Industrial Ave, Unit 11 Ottawa, ON K1G 4B8 (613) 523-4938 jbisson@continovation.com http://www.continovation.com Vendor Int 3 Complete 2004/03/06 12:00:00 2004/03/06 12:00:00 2013/08/27 04:06:13 UV 2.16.840.1.113883.3.20 can-dent-assoc Canadian Dental Association Paul Knapp masked Geoff Valentine 1815 Alta Vista Drive, Ottawa ON CANADA (800) 267-6354 masked Manager, Health Informatics Services Canadian Dental Association 1815 Alta Vista Drive, Ottawa ON CANADA (800) 267-6354 gvalentine@cda-adc.ca http://www.cda-adc.ca Prof Soc Int 4 Complete 2004/03/06 12:00:00 2014/05/05 01:17:32 UV 2.16.840.1.113883.2.6 hl7Germany HL7 Germany OID Root Rene Spronk masked rene.spronk@ringholm.com Frank Oemig +49(0)700 77776767 masked HL7 Germany 45472 Muelheim, NRW, 45472 Germany +49(0)700 77776767 Frank.Oemig@ringholm.de HL7 body 2.16.840.1.113883 Int 2 Complete 2004/03/30 12:00:00 2004/03/30 12:00:00 2004/03/30 12:00:00 UV 2.16.840.1.113883.3.21 MModal Multimodal Technologies Detlef Koll masked Detlef Koll 319 St Craig St, 15213 Pittsburgh, PA 412-578-9700 Ext 11 masked Multimodal Technologies, Inc. 319 St Craig St, 15213 Pittsburgh, PA 412-578-9700 Ext 11 koll@mmodal.com http://www.mmodal.com Vendor Int 3 Complete 2004/04/30 12:00:00 2004/04/30 12:00:00 UV 2.16.840.1.113883.2.7 hl7Croatia HL7 Croatia OID Root Miroslav Kon&#269;ar masked Miroslav Kon&#269;ar Krapinska 45, P.O.Box 93, HR-10002 Zagreb, Croatia +38513653479 masked HL7 Croatia Croatian Society for Medical Informatics, Rockefellerova 4, HR-10000 Zagreb, Croatia +38513653479 miroslav.koncar@ericsson.com HL7 body 2.16.840.1.113883 Int 2 Complete 2004/06/09 12:00:00 2004/06/09 12:00:00 2004/06/09 12:00:00 UV 2.16.840.1.113883.3.22 GuidantCorp Guidant Corporation Linda Halvorson masked Linda Halvorson 4100 Hamline Avenue North St. Paul, MN 55112-5798 (651) 582-5203 masked Guidant Corporation 4100 Hamline Avenue North St. Paul, MN 55112-5798 (651) 582-4000 http://www.guidant.com Vendor Int 3 Complete 2004/04/30 12:00:00 2004/04/30 12:00:00 UV 2.16.840.1.113883.3.23 CHBOSTON Children's Hospital Boston Scott L. Ogawa masked Patricia Meyer Children's Hospital Boston Information Systems 1295 Boylston St Boston, MA 02215 617-355-7199 masked Children's Hospital Boston 1295 Boylston St. Boston, MA 02215 617-355-7065 scott.ogawa@childrens.harvard.edu http://www.childrenshospital.org Provider Int 3 Complete 2004/07/29 12:00:00 2004/07/29 12:00:00 UV 2.16.840.1.114060 oracleHealthSol Siemens Medical Solutions David Murray masked Hans Buitendijk +1 202 721 4894 masked Senior Director, Interoperability Strategy Oracle Health 2300 Oracle Way, Austin, TX 78741, United States +1 737 867 1000 hans.buitendijk@oracle.com http://www.oracle.com Vendor Ext 3 Complete 2004/08/17 12:00:00 2026/07/30 11:30:24 UV 2.16.840.1.113883.4.7 CLIA CLIA Number Aurelia Ford masked masked Centers for Medicare and Medicaid Services http://www.cms.hhs.gov/default.asp? Govt Body Int 4 Complete 2004/09/05 12:00:00 2006/09/06 12:00:00 2004/09/06 12:00:00 UV 2.16.840.1.113883.4.8 UPIN UPIN Number Aurelia Ford masked masked Centers for Medicare and Medicaid Services http://www.cms.hhs.gov/default.asp? Govt body Int 4 Complete 2004/09/05 12:00:00 2006/09/06 12:00:00 2004/09/06 12:00:00 UV 2.16.840.1.113883.3.24 FDA US FDA OID Root Sandy Boyer masked Randy Levin masked U.S. Food and Drug Administration http://www.fda.gov Govt body Int 3 Complete 2004/08/06 12:00:00 2004/08/06 12:00:00 UV 2.16.840.1.113883.3.25 NovaPro Nova Pro consultancy Root Tom de Jong masked Tom de Jong Ruth Firststraat 14 1447 WV Purmerend The Netherlands +31-653255291 masked Nova Pro consultancy www.nova-pro.nl Vendor Int 3 Complete 2004/08/06 12:00:00 2004/08/06 12:00:00 UV 2.16.840.1.113883.3.26 nci National Cancer Institute HL7 OID root Frank Hartel masked Robinette Renner Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5089 masked Program Director for Semantic Infrastructure National Cancer Institute, Center for Biomedical Informatics and Information Technology Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5541 nciappsupport@nih.gov https://datascience.cancer.gov/ Govt body 2.16.840.1.113883.3.26 Int 3 Complete 2004/08/06 12:00:00 2009/10/15 12:00:00 2023/07/13 12:02:37 UV 2.16.840.1.113883.3.27 OAC Opticians Association of Canada OID Root Mary Field masked Pat Dobbyn 2706 - 83 Garry Street Winnipeg, Manitoba R3C 4J9 800-847-3155 masked Opticians Association of Canada 2706 - 83 Garry Street Winnipeg, Manitoba R3C 4J9 800-847-3155 canada@opticians.ca www.opticians.ca Prof Soc Int 3 Complete 2004/11/22 12:00:00 2004/11/22 12:00:00 2004/11/22 12:00:00 UV 2.16.840.1.113883.3.28 CCA Canadian Chiropractic Association OID Root H. James Duncan masked H. James Duncan, CAE 1396 Eglinton Ave. West Toronto, ON, M6C 2E4 800-668-2076 masked The Canadian Chiropractic Association 1396 Eglinton Ave. West Toronto, ON, M6C 2E4 800-668-2076 jduncan@ccachiro.org www.ccachiro.org Prof Soc Int 3 Complete 2004/11/22 12:00:00 2004/11/22 12:00:00 2004/11/22 12:00:00 UV 2.16.840.1.113883.3.29 CPA Canadian Physiotherapy Association OID Root Ms. Pamela Fralick masked Ms. Pamela Fralick 2345 Yonge Street, Suite 410 Toronto, ON M4P 2E5 800-297-8679 masked Canadian Physiotherapy Association 2345 Yonge Street, Suite 410 Toronto, ON M4P 2E5 800-297-8679 pfralick@physiotherapy.ca www.physiotherapy.ca Prof Soc Int 3 Complete 2004/11/23 12:00:00 2004/11/23 12:00:00 2004/11/23 12:00:00 UV 2.16.840.1.113883.2.8 hl7France HL7 France OID Root Fran&#231;ois Macary masked Jean-Yves LEMARCHAND HPRIM 3, rue de Soug&#232;res Laborde 89000 AUXERRE FRANCE +33 (0)3 86 48 21 25 masked HL7 France HPRIM 3, rue de Soug&#232;res Laborde 89000 AUXERRE FRANCE +33 (0)3 86 48 21 25 hprim@wanadoo.fr http://www.hl7francehprim.org HL7 body 2.16.840.1.113883 Int 2 Complete 2004/11/26 12:00:00 2004/12/15 12:00:00 2004/11/26 12:00:00 UV 2.16.840.1.113883.3.30 IBC The Insurance Bureau of Canada OID Root Winnie Wong masked Winnie Wong 2235 Sheppard Avenue East, Atria II, Suite 1100, Toronto, Ontario M2J 5B5 800-761-6703 masked The Insurance Bureau of Canada 2235 Sheppard Avenue East, Atria II, Suite 1100, Toronto, Ontario M2J 5B5 800-761-6703 wwong@ibc.ca www.ibc.ca Prof Soc Int 3 Complete 2004/11/23 12:00:00 2004/11/23 12:00:00 2004/11/23 12:00:00 UV 2.16.840.1.113883.6.103 icd-9CM-diagnosiscodes ICD-9-CM Nenad Kostanjsek masked Nenad Kostanjsek Avenue Appia 20 1211 Geneva 27 Switzerland +41794755474 masked Technical Officer for Classifications and Terminologies World Health Organization Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 info@who.int https://who.int SDO Int 6 Complete 2005/12/21 12:00:00 2005/12/21 12:00:00 2005/12/21 12:00:00 UV 2.16.840.1.113883.6.104 ICD-9CM (procedure codes) National Center for Health Statistics Michelle Williamson masked Donna Pickett OCD/Classifications and Public Health Data Standards; National Center for Health StatisticsCenters for Disease Control and Prevention3311 Toledo RoadHyattsville, MD 20782 (301) 458-4434, 1.2.4.Fax (301) 458-4022 masked National Center for Health Statistics OCD/Classifications and Public Health Data Standards; National Center for Health StatisticsCenters for Disease Control and Prevention3311 Toledo RoadHyattsville, MD 20782 http://www.cdc.gov/nchs/icd9.htm. Govt body 2.16.840.1.114222 Int 6 Complete 2005/12/21 12:00:00 2005/12/21 12:00:00 2005/12/21 12:00:00 UV 2.16.840.1.113883.3.31 InVita InVita OID Root Ghesquieres David masked Ghesquieres David 118-122 Avenue de France 75013 Paris (France) +33 1 53 23 65 55 masked InVita 118-122 Avenue de France 75013 Paris (France) +33 1 53 23 65 55 wwong@ibc.ca Vendor Int 3 Complete 2005/01/24 12:00:00 2005/01/24 12:00:00 2005/01/24 12:00:00 UV 2.16.840.1.113883.3.32 LioraDemoOID Liora Alschuler OID root Liora Alschuler masked Liora Alschuler PO Box 177 East Thetford, VT 05043 802/785-2623 masked Liora Alschuler PO Box 177 East Thetford, VT 05043 802/785-2623 liora@the-word-electric.com Vendor Int 3 Complete 2005/01/24 12:00:00 2005/01/24 12:00:00 2005/01/24 12:00:00 UV 2.16.840.1.113883.5.1093 TranslationQuality TranslationQuality Harold Solbrig masked --Needs CP data-- masked Int 5 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.5.1094 MatchAlgorithm MatchAlgorithm Harold Solbrig masked --Needs CP data-- masked Int 5 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.111 alt Alternative Billing Concepts Harold Solbrig masked Bernd G. Lucks 6121 Indian School Road NE, Suite 131 Albuquerque, NM 87110 United States +1-877-621-5465 masked Chief Operating Officer ABC Coding Solutions - Alternative Link 6121 Indian School Road NE, Suite 131 Albuquerque, NM 87110 United States +1-505-875-0002 ext Legal@ABCcodes.com http://www.abccodes.com Pxy 6 Complete 2005/01/25 12:00:00 2010/01/26 12:00:00 2010/01/26 05:22:59 UV 2.16.840.1.113883.6.112 aod Alcohol and Other Drug Thesaurus Harold Solbrig masked Nancy Winstanley NIAAA Library c/o CSR Incorporated 2107 Wilson Blvd., Suite 1000 Arlington, VA 22201 +1 703-741-7147 masked NIAAA Library c/o CSR Incorporated 2107 Wilson Blvd., Suite 1000 Arlington, VA 22201 +1 703-741-7147 Prof Soc Pxy 6 Complete 2005/01/25 12:00:00 2010/01/26 12:00:00 2010/01/26 05:16:17 UV 2.16.840.1.113883.6.113 bi Beth Israel Problem List Vocabulary Harold Solbrig masked Howard Goldberg, MD. 330 Brookline Avenue Boston, MA 02215 masked Beth Israel Deaconess Medical Center 330 Brookline Avenue Boston, MA 02215 +1 617-667-7000 http://www.bidmc.org/ Provider Pxy 6 Complete 2005/01/25 12:00:00 2010/01/26 12:00:00 2010/01/26 05:27:58 UV 2.16.840.1.113883.6.114 ccpss Clinical Problem Statements Harold Solbrig masked Steven Brown, M.D. Room 442 Eskind Biomedical Library Vanderbilt University Medical Center 2209 Garland Ave Nashville TN 37232-8340 USA +1 615-321-6335 masked Associate Professor, Biomedical Informatics Vanderbilt University Medical Center Eskind Biomedical Library Vanderbilt University Medical Center 2209 Garland Ave Nashville TN 37232-8340 USA Pxy 6 Complete 2005/01/25 12:00:00 2010/01/26 12:00:00 2010/01/26 05:55:51 UV 2.16.840.1.113883.6.115 ccs Clinical Classifications Categories Harold Solbrig masked Anne Elixhauser, Ph.D. AHRQ 540 Gaither Road Rockville, MD 20850 USA +1 301-594-1430 masked Senior Research Scientist Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 USA +1 301-427-1364 http://www.ahrq.gov Govt body Pxy 6 Complete 2005/01/25 12:00:00 2010/01/26 12:00:00 2010/01/26 06:00:52 UV 2.16.840.1.113883.6.116 CDT Current Dental Terminology Harold Solbrig masked --Needs CP data-- masked Pxy 6 Rejected 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.117 costar Computer-Stored Ambulatory Records (COSTAR) Harold Solbrig masked G.Octo Barnett, M.D. Laboratory of Computer Science Massachusetts General Hospital 50 Staniford Street, 5th Floor Boston, MA 02114 USA +1 617-726-3939 masked Laboratory of Computer Science Massachusetts General Hospital 50 Staniford Street, 5th Floor Boston, MA 02114 USA http://www.lcs.mgh.harvard.edu/ Provider Pxy 6 Complete 2005/01/25 12:00:00 2010/01/26 12:00:00 2010/01/26 06:08:44 UV 2.16.840.1.113883.6.118 CPM Medical Entities Dictionary Harold Solbrig masked George Hripcsak, M.D. Department of Biomedical Informatics Vanderbilt Clinic VC-5 Columbia University 622 W. 168th Street New York, New York 10032 USA +1 212-305-5780 masked Professor and Chair Columbia University DBMI Department of Biomedical Informatics Vanderbilt Clinic VC-5 Columbia University 622 W. 168th Street New York, New York 10032 USA +1 212-305-3302 http://www.dbmi.columbia.edu Academic Pxy 6 Complete 2005/01/25 12:00:00 2010/01/26 12:00:00 2010/01/26 06:14:27 UV 2.16.840.1.113883.6.119 fma Foundational Model of Anatomy Ontology Harold Solbrig masked Gail Dykstra UW Tech Transfer Digital Ventures University of Washington Seattle, WA 98195 USA + 1 206-543-4611 masked curator Jose Leonardo V Mejino Jr. MD, Structural Informatics Group Box 345420 HSB Biostructure University of Washington School of Medicine Seattle, WA 98195 USA 206-543-7118 mejino@u.washington.edu http://depts.washington.edu/ventures/UW_Technology/ Academic Pxy 6 Complete 2005/01/25 12:00:00 2010/01/26 12:00:00 2010/01/26 06:25:00 UV 2.16.840.1.113883.6.12.1 cptSP CPT Spanish Harold Solbrig masked Dorith Brown American Medical Association 515 N. State Street Chicago, IL 60610 United States 1-312-464-5762 masked CPT Intellectual Property Services American Medical Association 515 N. State Street Chicago, IL 60610 United States 1-800-621-8335 http://www.ama-assn.org Prof Soc Pxy 6 Complete 2005/01/25 12:00:00 2010/01/26 12:00:00 2010/01/26 11:24:52 UV 2.16.840.1.113883.6.120 csp CRISP Thesaurus Harold Solbrig masked Dorrette Finch 6701 Rockledge Drive Bethesda, MD 20892-7983 USA masked Director, Division of Research Documentation National Institutes of Health Anita Ghebeles, NIH/OD/OER/ORA 6705 Rockledge Drive, Room 4162, MSC 7983 Bethesda, MD 20892-7983 USA +1 301-435-0653 http://www.nih.gov/ Govt body Pxy 6 Complete 2005/01/25 12:00:00 2010/01/26 12:00:00 2010/01/26 06:51:16 UV 2.16.840.1.113883.6.122 ddb Diseases Database Harold Solbrig masked Malcolm Duncan Medical Object Oriented Software Enterprises Ltd. Unit 36c Marryat Square Fulham, London SW6 6UA, UK +44 (0)20 7381 4220 masked Medical Object Oriented Software Enterprises Ltd. Unit 36c Marryat Square Fulham, London SW6 6UA, UK +44 (0)20 7381 4220 100416.1761@compuserve.com http://www.diseasesdatabase.com Pxy 6 Complete 2005/01/25 12:00:00 2010/01/26 12:00:00 2010/01/26 09:43:34 UV 2.16.840.1.113883.6.125 dsm3r DSM-III-R Harold Solbrig masked --Needs CP data-- American Psychiatric Press Inc. 1400 K Street N.W. Washington DC 20005 USA masked American Psychiatric Press Inc. 1400 K Street N.W. Washington DC 20005 USA csdept@appi.org Prof Soc Pxy 6 Complete 2005/01/25 12:00:00 2010/01/26 12:00:00 2010/01/26 09:47:19 UV 2.16.840.1.113883.6.126 dsm4 DSM-IV Harold Solbrig masked APA Answer Center 1000 Wilson Boulevard Suite 1825 Arlington, VA 22209 USA +1-703-907-7300 masked American Psychiatric Association 1000 Wilson Boulevard Suite 1825 Arlington, VA 22209 USA +1-703-907-7300 apa@psych.org http://www.psych.org Prof Soc Pxy 6 Complete 2005/01/25 12:00:00 2010/01/26 12:00:00 2010/01/26 09:51:56 UV 2.16.840.1.113883.6.127 dxp DXplain Harold Solbrig masked G. Octo Barnett, M.D. Laboratory of Computer Science, Massachusetts General Hospital 50 Staniford Street, 5th Floor Boston, MA 02114 USA +1 617-726-3939 masked Laboratory of Computer Science, Massachusetts General Hospital 50 Staniford Street, 5th Floor Boston, MA 02114 USA +1 617-726-3939 Barnett.Octo@mgh.harvard.edu http://www.lcs.mgh.harvard.edu/ Academic Pxy 6 Complete 2005/01/25 12:00:00 2010/01/26 12:00:00 2010/01/26 09:55:31 UV 2.16.840.1.113883.6.128 go Gene Ontology Harold Solbrig masked masked The Gene Ontology Consortium gohelp@geneontology.org http://www.geneontology.org/ Prof Soc Pxy 6 Complete 2005/01/25 12:00:00 2010/01/26 12:00:00 2010/01/26 09:59:32 UV 2.16.840.1.113883.6.129 HCDT Current Dental Terminology in HCPCS Harold Solbrig masked --Needs CP data-- masked Pxy 6 Rejected 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.130 HCPT CPT in HCPCS Harold Solbrig masked --Needs CP data-- masked Pxy 6 Rejected 2005/01/25 12:00:00 2009/10/14 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.132 hlrel ICPC2E ICD10 Relationships Harold Solbrig masked Henk Lamberts masked University of Amsterdam H.Lamberts@AMC.UVA.NL Academic Pxy 6 Complete 2005/01/25 12:00:00 2010/01/26 12:00:00 2010/01/26 10:03:06 UV 2.16.840.1.113883.6.133 HUGO HUGO, 2004 Harold Solbrig masked --Needs CP data-- masked Pxy 2.16.840.1.113883.6.281 6 Rejected 2005/01/25 12:00:00 2005/01/25 12:00:00 2009/05/21 01:21:00 UV 2.16.840.1.113883.6.135 icd10am ICD-10 Austral Mod Harold Solbrig masked --Needs CP data-- University of Sydney Faculty of Health Sciences PO Box 170 Lidcombe, NSW, Australia 1825 +61 2 9351 9461 masked National Centre for Classification in Health, University of Sydney University of Sydney Faculty of Health Sciences PO Box 170 Lidcombe, NSW, Australia 1825 +61 2 9351 9461 D.Truran@cchs.usyd.edu.au Academic Pxy 6 Complete 2005/01/25 12:00:00 2010/01/26 12:00:00 2010/01/26 10:06:23 UV 2.16.840.1.113883.6.135.1 icd10AMAE ICD-10 Austral Mod Am Engl Harold Solbrig masked University of Sydney Faculty of Health Sciences PO Box 170 Lidcombe, NSW, Australia 1825 +61 2 9351 9461 masked National Centre for Classification in Health University of Sydney Faculty of Health Sciences PO Box 170 Lidcombe, NSW, Australia 1825 +61 2 9351 9461 D.Truran@cchs.usyd.edu.au SDO Pxy 6 Complete 2005/01/25 12:00:00 2010/01/26 12:00:00 2010/07/07 04:21:03 UV 2.16.840.1.113883.6.138 icpc International Classification of Primary Care, 1993 edition Harold Solbrig masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 info@who.int http://www.who.int/classifications/icd/adaptations/icpc2/en/ Prof Soc Pxy 14 6 Complete 2005/01/25 12:00:00 2009/10/06 12:00:00 2009/10/06 09:58:39 UV 2.16.840.1.113883.6.138.1 icpc-BAQ International Classification of Primary Care 1993 Basque Harold Solbrig masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 info@who.int http://www.who.int/classifications/icd/adaptations/icpc2/en/ Pxy 6 Complete 2005/01/25 12:00:00 2009/10/07 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.138.10 icpc-NOR International Classification of Primary Care 1993 Norwegian Harold Solbrig masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 info@who.int http://www.who.int/classifications/icd/adaptations/icpc2/en/ Pxy 6 Complete 2005/01/25 12:00:00 2009/10/07 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.138.11 icpc-POR International Classification of Primary Care 1993 Portuguese Harold Solbrig masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 info@who.int http://www.who.int/classifications/icd/adaptations/icpc2/en/ Pxy 6 Complete 2005/01/25 12:00:00 2009/10/07 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.138.12 icpc-SPA International Classification of Primary Care 1993 Spanish Harold Solbrig masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 info@who.int http://www.who.int/classifications/icd/adaptations/icpc2/en/ Pxy 6 Complete 2005/01/25 12:00:00 2009/10/07 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.138.13 icpc-SWE International Classification of Primary Care 1993 Swedish Harold Solbrig masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 info@who.int http://www.who.int/classifications/icd/adaptations/icpc2/en/ Pxy 6 Complete 2005/01/25 12:00:00 2009/10/07 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.138.2 icpc-DAN International Classification of Primary Care 1993 Danish Harold Solbrig masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 info@who.int http://www.who.int/classifications/icd/adaptations/icpc2/en/ Pxy 6 Complete 2005/01/25 12:00:00 2009/10/07 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.138.3 icpc-DUT International Classification of Primary Care 1993 Dutch Harold Solbrig masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 info@who.int http://www.who.int/classifications/icd/adaptations/icpc2/en/ Pxy 6 Complete 2005/01/25 12:00:00 2009/10/07 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.138.4 icpc-FIN International Classification of Primary Care 1993 Finnish Harold Solbrig masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 info@who.int http://www.who.int/classifications/icd/adaptations/icpc2/en/ Pxy 6 Complete 2005/01/25 12:00:00 2009/10/07 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.138.5 icpc-FRE International Classification of Primary Care 1993 French Harold Solbrig masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 info@who.int http://www.who.int/classifications/icd/adaptations/icpc2/en/ Pxy 6 Complete 2005/01/25 12:00:00 2009/10/07 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.138.6 icpc-GER International Classification of Primary Care 1993 German Harold Solbrig masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 info@who.int http://www.who.int/classifications/icd/adaptations/icpc2/en/ Pxy 6 Complete 2005/01/25 12:00:00 2009/10/07 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.138.7 icpc-HEB International Classification of Primary Care 1993 Hebrew Harold Solbrig masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 info@who.int http://www.who.int/classifications/icd/adaptations/icpc2/en/ Pxy 6 Complete 2005/01/25 12:00:00 2009/10/07 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.138.8 icpc-HUN International Classification of Primary Care 1993 Hungarian Harold Solbrig masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 info@who.int http://www.who.int/classifications/icd/adaptations/icpc2/en/ Pxy 6 Complete 2005/01/25 12:00:00 2009/10/07 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.138.9 icpc-ITA International Classification of Primary Care 1993 Italian Harold Solbrig masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 info@who.int http://www.who.int/classifications/icd/adaptations/icpc2/en/ SDO Pxy 6 Complete 2005/01/25 12:00:00 2009/10/07 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.139.1 icpc2E-ENG International Classification of Primary Care, second edition, English Harold Solbrig masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 info@who.int http://www.who.int/classifications/icd/adaptations/icpc2/en/ SDO Pxy 14 6 Complete 2005/01/25 12:00:00 2009/10/07 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.139.2 icpc2E-DUT ICPC2E, Dutch Translation Harold Solbrig masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 info@who.int http://www.who.int/classifications/icd/adaptations/icpc2/en/ Pxy 6 Complete 2005/01/25 12:00:00 2009/10/07 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.139.3 mthicpc2E-AE ICPC2E Am Engl (Metathesaurus) Harold Solbrig masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 info@who.int http://www.who.int/classifications/icd/adaptations/icpc2/en/ Pxy 6 Complete 2005/01/25 12:00:00 2009/10/07 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.140.1 icpc2E-P-AE ICPC2E 1998 Plus Am Engl Harold Solbrig masked --Needs CP data-- 8600 Rockville Pike Bethesda, MD 20894 masked National Library of Medicine 8600 Rockville Pike Bethesda, MD 20894 (301) 496-6308 http://www.nlm.nih.gov/research/umls/ SDO Pxy 6 Complete 2005/01/25 12:00:00 2009/10/07 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.140.2 icpc2E-P-AUS ICPC2P 1998 Plus Austral Mod Harold Solbrig masked --Needs CP data-- 8600 Rockville Pike Bethesda, MD 20894 masked National Library of Medicine 8600 Rockville Pike Bethesda, MD 20894 (301) 496-6308 http://www.nlm.nih.gov/research/umls/ SDO Pxy 6 Complete 2005/01/25 12:00:00 2009/10/07 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.142.4 icpc2-icd10-ENG ICPC2-ICD10 Thesaurus (English) Harold Solbrig masked Dr. Inge M. Okkes Veemkade 1208 1019 BZ AMSTERDAM The Netherlands masked WHO Collaborating Centre for the FIC in The Netherlands Veemkade 1208 1019 BZ AMSTERDAM The Netherlands http://www.rivm.nl/who-fic/thesauruseng.htm SDO Pxy 6 Complete 2005/01/25 12:00:00 2009/10/07 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.142.1 icpc2-icd10-DUT ICPC2-ICD10ENG Thesaurus, Dutch Translation Harold Solbrig masked Dr. Inge M. Okkes Veemkade 1208 1019 BZ AMSTERDAM The Netherlands masked WHO Collaborating Centre for the FIC in The Netherlands Veemkade 1208 1019 BZ AMSTERDAM The Netherlands http://www.rivm.nl/who-fic/thesauruseng.htm SDO Pxy 6 Complete 2005/01/25 12:00:00 2009/10/07 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.142.2 mth-icpc2-icd10-7B ICPC2-ICD10 Thesaurus, 7-bit Harold Solbrig masked Dr. Inge M. Okkes Veemkade 1208 1019 BZ AMSTERDAM The Netherlands masked WHO Collaborating Centre for the FIC in The Netherlands Veemkade 1208 1019 BZ AMSTERDAM The Netherlands http://www.rivm.nl/who-fic/thesauruseng.htm SDO Pxy 6 Complete 2005/01/25 12:00:00 2009/10/07 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.142.3 mth-icpc2-icd10-AE ICPC2-ICD10 Thesaurus, Am Engl Harold Solbrig masked Dr. Inge M. Okkes Veemkade 1208 1019 BZ AMSTERDAM The Netherlands masked WHO Collaborating Centre for the FIC in The Netherlands Veemkade 1208 1019 BZ AMSTERDAM The Netherlands http://www.rivm.nl/who-fic/thesauruseng.htm SDO Pxy 6 Complete 2005/01/25 12:00:00 2009/10/07 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.158 jabl Congenital Mental Retardation Syndromes Harold Solbrig masked Stanley Jablonski National Library of Medicine 8600 Rockville Pike Bethesda MD 20894 USA masked National Library of Medicine 8600 Rockville Pike Bethesda MD 20894 USA stanley_jablonski@nlm.nih.gov http://www.nlm.nih.gov/ Govt body Pxy 6 Complete 2005/01/25 12:00:00 2010/01/26 12:00:00 2010/01/26 10:11:29 UV 2.16.840.1.113883.6.159 LCH Library of Congress Subject Headings Harold Solbrig masked --Needs CP data-- masked Govt body Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.160 MBD MEDLINE Backfile Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.161 mcm Glossary of Clinical Epidemiologic Terms Harold Solbrig masked R. Brian Haynes, M.D., Ph.D. Clinical Epidemiology & Biostatistics and Medicine, Faculty of Health Sciences McMaster University Room 2C10B 1200 Main Street West Hamilton Ontario, Canada L8N 3Z5 (905) 525-9140 masked McMaster University Clinical Epidemiology & Biostatistics and Medicine, Faculty of Health Sciences McMaster University Room 2C10B 1200 Main Street West Hamilton Ontario, Canada L8N 3Z5 (905) 525-9140 Academic Pxy 6 Complete 2005/01/25 12:00:00 2010/01/26 12:00:00 2010/01/26 10:15:32 UV 2.16.840.1.113883.6.162 MDDB Master Drug Data Base Harold Solbrig masked Howard Strasberg Wolters Kluwer Health 8425 Woodfield Crossing Blvd, Suite 490 Indianapolis, IN 46240 858.481.4249 masked Wolters Kluwer Health -- Medi-Span 8425 Woodfield Crossing Blvd, Suite 490 Indianapolis, IN 46240 howard.strasberg@wolterskluwer.com Vendor Pxy 6 Retired 2005/01/25 12:00:00 2005/01/25 12:00:00 2013/10/22 03:48:02 UV 2.16.840.1.113883.6.163 mdr MedDRA Elizabeth A. d'Alelio masked Patrick Revelle 12011 Sunset Hills Rd, VAR1 7B52, Reston, VA 20190 703-345-7722 masked MedDRA MSSO/ Northrop Grumman,MedDRA MSSO/ Northrop Grumman 12011 Sunset Hills Rd, VAR1 7B52, Reston, VA 20190 703-345-7722 Patrick.Revelle@ngc.com www.meddramsso.com Pxy 6 Complete 2005/01/25 12:00:00 2005/08/23 12:00:00 2005/08/23 12:00:00 UV 2.16.840.1.113883.6.163.1 MDRAE MedDRA Am Engl Elizabeth A. d'Alelio masked Patrick Revelle 12011 Sunset Hills Rd, VAR1 7B52, Reston, VA 20190 703-345-7722v masked MedDRA MSSO/ Northrop Grumman,MedDRA MSSO/ Northrop Grumman 12011 Sunset Hills Rd, VAR1 7B52, Reston, VA 20190 703-345-7722 Patrick.Revelle@ngc.com www.meddramsso.com Pxy 6 Complete 2005/01/25 12:00:00 2005/08/23 12:00:00 2005/08/23 12:00:00 UV 2.16.840.1.113883.6.163.2 MDRDUT MedDRA Dutch Elizabeth A. d'Alelio masked Patrick Revelle 12011 Sunset Hills Rd, VAR1 7B52, Reston, VA 20190 703-345-7722 masked MedDRA MSSO/ Northrop Grumman,MedDRA MSSO/ Northrop Grumman 12011 Sunset Hills Rd, VAR1 7B52, Reston, VA 20190 703-345-7722 Patrick.Revelle@ngc.com www.meddramsso.com Pxy 6 Complete 2005/01/25 12:00:00 2005/08/23 12:00:00 2005/08/23 12:00:00 UV 2.16.840.1.113883.6.163.3 MDRFRE MedDRA French Elizabeth A. d'Alelio masked Patrick Revelle 12011 Sunset Hills Rd, VAR1 7B52, Reston, VA 20190 703-345-7722 masked MedDRA MSSO/ Northrop Grumman,MedDRA MSSO/ Northrop Grumman 12011 Sunset Hills Rd, VAR1 7B52, Reston, VA 20190 703-345-7722 Patrick.Revelle@ngc.com www.meddramsso.com Pxy 6 Complete 2005/01/25 12:00:00 2005/08/23 12:00:00 2005/08/23 12:00:00 UV 2.16.840.1.113883.6.163.4 MDRGER MedDRA German Elizabeth A. d'Alelio masked Patrick Revelle 12011 Sunset Hills Rd, VAR1 7B52, Reston, VA 20190 703-345-7722 masked MedDRA MSSO/ Northrop Grumman,MedDRA MSSO/ Northrop Grumman 12011 Sunset Hills Rd, VAR1 7B52, Reston, VA 20190 703-345-7722 Patrick.Revelle@ngc.com www.meddramsso.com Pxy 6 Complete 2005/01/25 12:00:00 2005/08/23 12:00:00 2005/08/23 12:00:00 UV 2.16.840.1.113883.6.163.5 MDRPOR MedDRA Portuguese Elizabeth A. d'Alelio masked Patrick Revelle 12011 Sunset Hills Rd, VAR1 7B52, Reston, VA 20190 703-345-7722 masked MedDRA MSSO/ Northrop Grumman,MedDRA MSSO/ Northrop Grumman 12011 Sunset Hills Rd, VAR1 7B52, Reston, VA 20190 703-345-7722 Patrick.Revelle@ngc.com www.meddramsso.com Pxy 6 Complete 2005/01/25 12:00:00 2005/08/23 12:00:00 2005/08/23 12:00:00 UV 2.16.840.1.113883.6.163.6 MDRSPA MedDRA Spanish Elizabeth A. d'Alelio masked Patrick Revelle 12011 Sunset Hills Rd, VAR1 7B52, Reston, VA 20190 703-345-7722 masked MedDRA MSSO/ Northrop Grumman,MedDRA MSSO/ Northrop Grumman 12011 Sunset Hills Rd, VAR1 7B52, Reston, VA 20190 703-345-7722 Patrick.Revelle@ngc.com www.meddramsso.com Pxy 6 Complete 2005/01/25 12:00:00 2005/08/23 12:00:00 2005/08/23 12:00:00 UV 2.16.840.1.113883.6.164 MDREX MedDRA expanded Elizabeth A. d'Alelio masked Patrick Revelle 12011 Sunset Hills Rd, VAR1 7B52, Reston, VA 20190 703-345-7722 masked MedDRA MSSO/ Northrop Grumman,MedDRA MSSO/ Northrop Grumman 12011 Sunset Hills Rd, VAR1 7B52, Reston, VA 20190 703-345-7722 Patrick.Revelle@ngc.com www.meddramsso.com Pxy 6 Complete 2005/01/25 12:00:00 2005/08/23 12:00:00 2005/08/23 12:00:00 UV 2.16.840.1.113883.6.164.1 MDREA MedDRA Am Engl expanded Elizabeth A. d'Alelio masked Patrick Revelle 12011 Sunset Hills Rd, VAR1 7B52, Reston, VA 20190 703-345-7722 masked MedDRA MSSO/ Northrop Grumman,MedDRA MSSO/ Northrop Grumman 12011 Sunset Hills Rd, VAR1 7B52, Reston, VA 20190 703-345-7722 Patrick.Revelle@ngc.com www.meddramsso.com Pxy 6 Complete 2005/01/25 12:00:00 2005/08/23 12:00:00 2005/08/23 12:00:00 UV 2.16.840.1.113883.6.165 MTHMDRSPA MTH MedDRA Spanish Elizabeth A. d'Alelio masked Patrick Revelle 12011 Sunset Hills Rd, VAR1 7B52, Reston, VA 20190 703-345-7722 masked MedDRA MSSO/ Northrop Grumman,MedDRA MSSO/ Northrop Grumman 12011 Sunset Hills Rd, VAR1 7B52, Reston, VA 20190 703-345-7722 Patrick.Revelle@ngc.com www.meddramsso.com Pxy 6 Complete 2005/01/25 12:00:00 2005/08/23 12:00:00 2005/08/23 12:00:00 UV 2.16.840.1.113883.6.172 MED MEDLINE Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.173 MEDLINEPLUS MedlinePlus Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.174 MIM Online Mendelian Inheritance in Man 1993 Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.175 mmsl Multum Harold Solbrig masked --Needs CP data-- masked Multum Information Services, Inc. Colorado Center Tower One 2000 South Colorado Boulevard Suite 11000 Denver, Colorado 80222 888-633-4772 x1420 info@multum.com http://www.multum.com/ Pxy 6 Complete 2005/01/25 12:00:00 2005/01/25 12:00:00 2009/12/30 03:15:07 UV 2.16.840.1.113883.6.176 mmx Micromedex Harold Solbrig masked masked Thomson Reuters 4301 Connecticut Avenue, NW Suite 330 Washington, D.C. 20008 +1(877) 843-6796 http://www.thomsonreuters.com/healthcare Vendor Pxy 6 Complete 2005/01/25 12:00:00 2009/12/30 12:00:00 2009/12/30 03:23:47 UV 2.16.840.1.113883.6.177 MSH MeSH Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.177.1 MSHCZE MeSH Czech Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.177.10 MSHSPA MeSH Spanish Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.177.11 MSHSWE MeSH Swedish Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.177.2 MSHDUT MeSH Dutch Harold Solbrig masked --Needs CP data-- masked Govt body Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.177.3 MSHFIN MeSH Finnish Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.177.4 MSHFRE MeSH French Harold Solbrig masked --Needs CP data-- masked Govt body Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.177.5 MSHGER MeSH German Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.177.6 MSHITA MeSH Italian Harold Solbrig masked --Needs CP data-- masked Govt body Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.177.7 MSHJPN MeSH Japanese Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.177.8 MSHPOR MeSH Portuguese Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.177.9 MSHRUS MeSH Russian Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.189 MTH Metathesaurus Names Harold Solbrig masked --Needs CP data-- masked Govt body Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.190 MTHCH UMLS Hierarchical Terms CPT Harold Solbrig masked --Needs CP data-- masked Govt body Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.191 MTHFDA FDA National Drug Code Directory Harold Solbrig masked --Needs CP data-- masked Govt body Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.192 MTHHH UMLS Hierarchical Terms HCPCS Harold Solbrig masked --Needs CP data-- masked Govt body Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.193 MTHICD9 UMLS ICD-9-CM Terms Harold Solbrig masked --Needs CP data-- masked Govt body Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.198 MTHMST UMLS Minimal Standard Terms Intl Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.198.1 MTHMSTFRE UMLS Minimal Standard Terms French Harold Solbrig masked --Needs CP data-- masked Govt body Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.198.2 MTHMSTITA UMLS Minimal Standard Terms Italian Harold Solbrig masked --Needs CP data-- masked Govt body Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.201 MTHPDQ MTHPDQ Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.202 MTHSCT Metathesaurus forms of SNOMED Clinical Terms Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.202.1 MTHSCTSPA Metathesaurus forms of Spanish SNOMED Clinical Terms Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.204 NAN Classification of Nursing Diagnoses Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.205 NCBI Taxonomy from NCBI Harold Solbrig masked --Needs CP data-- masked Govt body Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.206 NCI NCI Thesaurus Harold Solbrig masked --Needs CP data-- masked Pxy 2.16.840.1.113883.3.26.1.1 6 Rejected 2005/01/25 12:00:00 2005/01/25 12:00:00 2009/09/11 12:00:00 UV 2.16.840.1.113883.6.207 NCISEER NCI SEER ICD Mappings Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.208 nddf National Drug Data File Harold Solbrig masked --Needs CP data-- masked Pxy 6 Complete 2005/01/25 12:00:00 2009/09/11 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.209 NDFRT National Drug File - Reference Terminology Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.210 NEU Neuronames Brain Hierarchy Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.211 NLM-MED Medline Data Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.212 PCDS Patient Care Data Set Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.213 PDQ Physician Data Query Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.214 PPAC Pharmacy Practice Activity Classification Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.215 PSY Psychological Index Terms Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.216 QMR Quick Medical Reference Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.217 RAM Clinical Concepts by R A Miller Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.220 RCDSY Read Codes Synth Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.220.1 RCDSA Read Codes Am Synth Harold Solbrig masked --Needs CP data-- masked SDO Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.220.2 RCDAE Read Codes Am Engl Harold Solbrig masked --Needs CP data-- masked SDO Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.224 SPN Standard Product Nomenclature Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.226 ULT UltraSTAR Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.227 UMD Universal Medical Devices Nomenclature Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.227.1 DMDUMD Universal Medical Devices Nomenclature German Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.228 UWDA Digital Anatomist Harold Solbrig masked --Needs CP data-- masked Academic Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.229 VANDF National Drug File Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.230 whoARTfl WHO Adverse Reaction Terms foreign language translations Harold Solbrig masked --Needs CP data-- masked http://www.who-umc.org/ Pxy 6 Complete 2005/01/25 12:00:00 2009/09/11 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.230.1 whoFRE WHO Adverse Reaction Terms French Harold Solbrig masked --Needs CP data-- masked http://www.who-umc.org/ Pxy 6 Complete 2005/01/25 12:00:00 2009/09/11 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.230.2 whoGER WHO Adverse Reaction Terms German Harold Solbrig masked --Needs CP data-- masked http://www.who-umc.org/ Pxy 6 Complete 2005/01/25 12:00:00 2009/09/11 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.230.3 whoPOR WHO Adverse Reaction Terms Portuguese Harold Solbrig masked --Needs CP data-- masked http://www.who-umc.org/ Pxy 6 Complete 2005/01/25 12:00:00 2009/09/11 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.230.4 whoSPA WHO Adverse Reaction Terms Spanish Harold Solbrig masked --Needs CP data-- masked http://www.who-umc.org/ Pxy 6 Complete 2005/01/25 12:00:00 2009/09/11 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.3.1 icd10ae ICD-10 American English Harold Solbrig masked Nenad Kostanjsek Avenue Appia 20 1211 Geneva 27 Switzerland +41794755474 masked Technical Officer for Classifications and Terminologies World Health Organization Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 info@who.int https://who.int SDO Int 6 Complete 2005/01/25 12:00:00 2009/10/07 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.3.2 icd10dut ICD10, Dutch Translation Harold Solbrig masked Nenad Kostanjsek Avenue Appia 20 1211 Geneva 27 Switzerland +41794755474 masked Technical Officer for Classifications and Terminologies World Health Organization Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 info@who.int https://who.int SDO Int 6 Complete 2005/01/25 12:00:00 2009/10/07 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.3.3 dmdICD10 ICD-10 German Harold Solbrig masked Nenad Kostanjsek Avenue Appia 20 1211 Geneva 27 Switzerland +41794755474 masked Technical Officer for Classifications and Terminologies World Health Organization Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 info@who.int https://who.int SDO Int 6 Complete 2005/01/25 12:00:00 2009/10/07 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.96.1 sctSPA SNOMED Clinical Terms, Spanish Language Edition Harold Solbrig masked --Needs CP data-- masked Pxy 6 Pending 2005/01/25 12:00:00 2005/01/25 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.121 ietf3066 Tags for the Identification of Languages Harold Solbrig masked --Needs CP data-- masked The Internet Engineering Task Force (IETF) IETF Secretariat c/o Association Management Solutions, LLC (AMS) 48377 Fremont Blvd., Suite 117 Fremont, California 94538 USA +1-510-492-4080 iad@ietf.org http://www.ietf.org Prof Soc Pxy 6 Complete 2005/01/25 12:00:00 2009/12/23 12:00:00 2009/12/23 10:40:58 UV 2.16.840.1.113883.3.33 AtlasDev Jason A. Siegel masked Russell von Blanck Jason A. Siegel 26679 West Agoura Road, Bldg-C Ste-200, Calabasas, CA 91307 818-224-6247 masked Chief Medical Informaticist Atlas Development Corporation 26679 West Agoura Road, Bldg-C Ste-200, Calabasas, CA 91307 818-340-7080 www.atlasdev.com Vendor INT 3 Complete 2005/02/03 12:00:00 2005/02/03 12:00:00 UV 2.16.840.1.113883.3.34 OZ OZ Systems masked Sachin Jain 2515 McKinney Avenue, suite 850, Dallas TX 75201 214.631.6161 masked Senior Software Engineer INT 3 Complete 2005/02/04 12:00:00 2005/02/04 12:00:00 UV 2.16.840.1.113883.2.9 hl7Italia HL7 Italy OID Root Paolo Marcheschi masked Paolo Marcheschi Via G. Moruzzi 1, 56100 Pisa +39-050-3152822 masked Dr. HL7 Italia Piazza Sett'Angeli 10, 90134 Palermo +39 091 2192 457 info@hl7italia.it www.hl7italia.it HL7 body 2.16.840.1.113883 INT 2 Complete 2005/02/25 12:00:00 2005/02/25 12:00:00 UV 2.16.840.1.113883.6.231 uspostalcodes US Postal Codes Ted Klein masked Robert McClure 3039266771 masked United States Postal Service 800-275-8777 unknown@us.gov http://www.usps.com/ Govt body INT 6 Complete 2005/03/03 12:00:00 2015/12/31 01:21:55 UV 2.16.840.1.113883.1.6 InteractionID INTERACTIONS Ted Klein masked masked Int 1 Complete 2005/03/04 12:00:00 2005/03/04 12:00:00 2005/03/04 12:00:00 UV 2.16.840.1.113883.5.1095 styleType Style Type Ted Klein masked HL7 Structured Documents Workgroup (+1) 734-677-7777 masked Health Level Seven 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA (+1) 734-677-7777 hq@hl7.org http://www.hl7.org SDO Int 5 Complete 2009/12/21 12:00:00 2009/12/21 12:00:00 2009/12/21 04:58:27 UV 2.16.840.1.113883.3.26.1.2 ncim NCI Metathesaurus Frank Hartel masked Robinette Renner Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5089 masked Program Director for Semantic Infrastructure National Cancer Institute, Center for Biomedical Informatics and Information Technology Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5541 NCIAppSupport@nih.gov https://datascience.cancer.gov Govt body 2.16.840.1.113883.3.26 Ext 14 3 Complete 2.16.840.1.113883.3.26.1.2 2005/03/08 12:00:00 2009/10/15 12:00:00 2023/07/10 03:52:37 UV 2.16.840.1.113883.3.35 XPress Technologies Edsel Pertile masked Edsel Pertile 4720 Salisbury Rd. Jacksonville, FL 32256 904-493-6037 masked CIO INT 3 Complete 2005/04/13 12:00:00 2005/04/13 12:00:00 UV 2.16.840.1.113883.3.36 Medical Informatics, Dalhousie University Grace Paterson masked Grace Paterson 5849 University Avenue, Halifax, NS B3H 4H7 Canada 902-494-1764 masked Clinical Informatician Medical Informatics, Dalhousie University,Medical Informatics, Dalhousie University 5849 University Avenue, Halifax, NS B3H 4H7 Canada 902-494-1764 grace.paterson@dal.ca informatics.medicine.dal.ca Academic INT 3 Complete 2005/04/13 12:00:00 2005/04/13 12:00:00 UV 2.16.840.1.113883.3.37 InterComponentWare AG Thomas Liebscher masked Thomas Liebscher Otto-Hahn-Str. 3 69190 Walldorf Germany +49 6227 385-114 masked InterComponentWare AG,InterComponentWare AG Otto-Hahn-Str. 3 69190 Walldorf Germany +49 6227 385-114 thomas.liebscher@intercomponentware.com http://www.intercomponentware.com Vendor INT 3 Complete 2005/04/13 12:00:00 2005/04/13 12:00:00 UV 2.16.840.1.113883.3.38 VHA Enterprise Terminology Reference Omar Bouhaddou masked Michael Lincoln VA 801-588-5032 masked Chief Terminologist Veterans Health Administration,Veterans Health Administration http://www1.va.gov/health_benefits/ Govt body INT 3 Complete 2005/04/13 12:00:00 2005/04/13 12:00:00 UV 2.16.840.1.113883.3.39 Test of Email Server ---Delete---- Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane 916-797-1208 masked Cecil Lynch Cecil Lynch 6500 Countrywoods Lane 916-797-1208 clynch@surewest.net INT 3 Retired 2005/04/13 12:00:00 2005/04/13 12:00:00 UV 2.16.840.1.113883.3.40 whic-ProviderRegistries WHIC Provider Registries Robert Grant masked Anita Malovec 250-952-2570 masked Corporate Registries Manager BC Ministry Of Health Services 1515 Blanshard Street Victoria, B.C. Canada none hlth.prsadmin@gems3.gov.bc.ca none Govt body Int 3 Complete 2005/04/19 12:00:00 2009/10/14 12:00:00 2009/10/15 08:34:44 UV 1.2.276.0.76 gesundheitswesen dgfd masked dfgd 211221 masked Ext 4 Rejected 1.2.276.0.76 2005/04/21 12:00:00 2010/11/16 12:00:00 2010/11/16 04:34:05 UV 2.16.840.1.113883.3.41 hcpcsIIALPHA Tom Oniki masked none none masked CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) none none HCPCS@cms.hhs.gov http://www.cms.hhs.gov Govt body Int 3 Rejected 2005/04/26 12:00:00 2009/10/15 12:00:00 2009/10/15 06:31:10 UV 2.16.840.1.113883.3.42 dod-MHS OID root for the Military Health System (MHS) Colonel David Williams masked Nick Cheng Rick Barnhill Madigan Army Medical Center Fort Lewis, WA 98431 253-968-4376 masked Program Manager, Regional Informatics, WRMC US DOD MHS 5119 Leesburg Pike Falls Church, VA 22041 703-681-5611 x 6830 Nancy.Orvis@tma.osd.mil none Govt body Int 3 Complete 2005/05/02 12:00:00 2009/10/15 12:00:00 2009/10/15 08:37:38 UV 1.2.840.10008.2.6.1 dcmUID DICOM UID Harry Solomon masked Howard Clark NEMA, Suite 1752 1300 North 17th Street Rosslyn, VA 22209 USA 703-841-3285 masked DICOM Secretariat DICOM Standards Committee NEMA, Suite 1752 1300 North 17th Street Rosslyn, VA 22209 USA 703-841-3285 how_clark@nema.org http://dicom.nema.org SDO 1.2.840.10008.2.6.1 Ext 4 Complete 1.2.840.10008.2.6.1 2005/05/05 12:00:00 2010/01/27 12:00:00 2010/01/27 12:17:43 UV 2.16.840.1.113883.3.43 healthvision Healthvision Michael Spillane masked Michael Spillane 1601 Trapelo Road Waltham, MA 02451 781-906-8452 masked Director, Clinical Product Strategy Healthvision,Healthvision 1601 Trapelo Road Waltham, MA 02451 781-906-8452 mspillane@healthvision.com www.healthvision.com Vendor Int 3 Complete 2005/05/06 12:00:00 2009/10/15 12:00:00 2005/05/06 12:00:00 UV 2.16.840.1.113883.3.44 mni OID Root for MNI Lu&#237;s Gaspar masked Nuno Pina Cabral Lu&#237;s Gaspar +351228328980 masked MNI, M&#233;dicos na Internet, SA Rua Ant&#243;nio Bessa Leite, 1430, 2&#186;Dt&#186;. 4150-074 Porto. Portugal +351228328980 luis.gaspar@mni.pt none Vendor Int 3 Complete 2005/05/10 12:00:00 2009/10/15 12:00:00 2009/10/15 08:42:24 UV 2.16.840.1.113883.1.18 triggerEventID Trigger Event ID Rene Spronk masked Rene Spronk +31 655363446 masked HL7 Modeling and Methodology Workgroup 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA (+1) 734-677-7777 hq@hl7.org http://www.hl7.org SDO Int 5 Complete 2005/05/12 12:00:00 2009/12/22 12:00:00 2005/05/12 12:00:00 UV 2.16.840.1.113883.6.232 sic US Census Bureau Ted Klein masked Ted Klein 47 Old Saddle Rd. Ridge, NY 11961 631-924-6922 masked President, KCI US Census Bureau http://www.census.gov/epcd/www/sic.html Govt body INT 6 Complete 2005/05/19 12:00:00 2009/09/11 12:00:00 2005/05/19 12:00:00 UV 2.16.840.1.113883.6.233 VHA US Department of Veterans Affairs Omar Bouhaddou masked Sarah Maulden, MD Salt Lake OI Field Office, 550 Foothill Drive, Suite 400, Salt Lake City, UT 84113 801-588-5242 masked US Department of Veterans Affairs Salt Lake OI Field Office, 550 Foothill Drive, Suite 400, Salt Lake City, UT 84113 801-588-5242 Sarah.Maulden@med.va.gov Govt body INT 6 Complete 2005/05/19 12:00:00 2005/05/19 12:00:00 UV 2.16.840.1.113883.3.46 zedLogic ZedLogic Dale Nelson masked Dale Nelson 916-367-1458 masked Zed-Logic Informatics, Inc. PO Box 6447 Folsom, CA 95763-6447 916-367-1458 dale@zed-logic.com http://www.zed-logic.com Vendor Int 3 Complete 2005/05/20 12:00:00 2015/06/29 12:00:00 2015/06/29 03:28:53 UV 2.16.840.1.113883.2.10 hl7Argentina HL7 Argentina OID Root DIEGO KAMINKER masked DANIEL LUNA DIEGO KAMINKER MORENO 1353 5 26 43820699 masked TECH COORDINATOR HL7 ARGENTINA MORENO 1353 5 26 43813970 daniel.luna@hospitalitaliano.org.ar www.hl7argentina.org.ar HL7 body 2.16.840.1.113883 INT 2 Complete 2005/06/02 12:00:00 2005/06/02 12:00:00 UV 2.16.840.1.113883.6.234 ahfs American Society of Health-System Pharmacists Jeff Shick masked Gerald K. McEvoy, Pharm.D. 7272 Wisconsin Avenue, Bethesda, Maryland, USA 20814 +1 (301) 657-3000 masked American Society of Health-System Pharmacists 7272 Wisconsin Avenue, Bethesda, Maryland, USA 20814 +1 (301) 657-3000 ahfs@ashp.org http://www.ahfsdruginformation.com/class Prof Soc INT 6 Complete 2005/06/06 12:00:00 2005/06/06 12:00:00 2009/08/10 03:02:31 UV 2.16.840.1.113883.1.7 Structured Document HMDs Structured Document HMDs Harry Solomon masked masked HL7 Structured Documents HL7 body Int 1 Complete 2005/06/06 12:00:00 2005/06/06 12:00:00 2005/06/06 12:00:00 UV 2.16.840.1.113883.1.7.1 CDA Release 1 CDA Release 1 Harry Solomon masked masked HL7 Structured Documents HL7 body Int 1 Complete 2005/06/06 12:00:00 2005/06/06 12:00:00 2005/06/06 12:00:00 UV 2.16.840.1.113883.1.7.2 CDA Release 2 CDA Release 2 Harry Solomon masked masked HL7 Structured Documents HL7 body Int 1 Complete 2005/06/06 12:00:00 2005/06/06 12:00:00 2005/06/06 12:00:00 UV 2.16.840.1.113883.1.7.3 SPL Release 1 SPL Release 1 Harry Solomon masked masked HL7 Structured Documents HL7 body Int 1 Complete 2005/06/06 12:00:00 2005/06/06 12:00:00 2005/06/06 12:00:00 UV 2.16.840.1.113883.3.26.2 caDSR Cancer Data Standards Repository Frank Hartel masked Robinette Renner Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5089 masked Program Director for Semantic Infrastructure National Cancer Institute, Center for Biomedical Informatics and Information Technology Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5541 nciappsupport@nih.gov https://datascience.cancer.gov/ Govt body 2.16.840.1.113883.3.26 Ext 3 Complete 2.16.840.1.113883.3.26.2 2005/07/14 12:00:00 2023/07/11 10:46:41 UV 2.16.840.1.113883.3.26.1.1 ncit NCI Thesaurus Frank Hartel masked Robinette Renner Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5089 masked Program Director for Semantic Infrastructure National Cancer Institute, Center for Biomedical Informatics and Information Technology Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5541 NCIAppSupport@nih.gov https://datascience.cancer.gov Govt body 2.16.840.1.113883.3.26 Ext 6 Complete 2.16.840.1.113883.3.26.1.1 2005/07/14 12:00:00 2023/07/13 11:57:53 UV 2.16.840.1.113883.3.47 HCPCSIIALPHA Tom Oniki masked Cindy Hake (410) 786-3404 masked Centers for Medicare & Medicaid Services (CMS) www.cms.hhs.gov Govt body INT 3 Rejected 2005/07/18 12:00:00 2009/10/14 12:00:00 2005/07/18 12:00:00 UV 2.16.840.1.113883.3.48 Biomedsys K. Michael Kroehnke masked K. Michael Kroehnke 77 Progress Parkway St. Louis, MO 63043 314-576-6800 masked Director, QA/RA Biomedical Systems Corp.,Biomedical Systems Corp. 77 Progress Parkway St. Louis, MO 63043 314-576-6800 www.biomedsys.com Vendor INT 3 Complete 2005/08/05 12:00:00 2005/08/05 12:00:00 UV 2.16.840.1.113883.3.49 ECOM E-COM Technology Ltd. masked Xiangyun,Wang 86+756 339 2211 masked INT 3 Complete 2005/08/07 12:00:00 2005/08/07 12:00:00 UV 2.16.840.1.113883.3.50 PMSI Corey Spears masked Corey Spears 2033 6th Ave, Suite 707 (206)269-1211 masked Integration Manager INT 3 Complete 2005/08/08 12:00:00 2006/01/29 12:00:00 UV 2.16.840.1.113883.3.51 BC Health Dale Smith masked Dale Smith 250 356 5525 masked Sr. Analyst - BC Health BC Ministry of Health 250 356 5525 dale.g.smith@gov.bc.ca Govt body INT 3 Complete 2005/08/15 12:00:00 2006/01/29 12:00:00 UV 2.16.840.1.113883.3.26.1.1.1 roa Route of Administration Frank Hartel masked Margaret Haber Robinette Renner Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5089 masked Program Director for Semantic Infrastructure National Cancer Institute, Center for Biomedical Informatics and Information Technology Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5541 nciappsupport@nih.gov https://datascience.cancer.gov/ Govt body 2.16.840.1.113883.3.26 Ext 3 Complete 2.16.840.1.113883.3.26.1.1.1 2005/08/22 12:00:00 2023/07/13 11:56:45 UV 2.16.840.1.113883.3.26.1.1.2 pharmDF Pharmaceutical Dosage Form Frank Hartel masked Margaret Haber Robinette Renner Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5089 masked Program Director for Semantic Infrastructure National Cancer Institute, Center for Biomedical Informatics and Information Technology Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5541 nciappsupport@nih.gov https://datascience.cancer.gov/ Govt body 2.16.840.1.113883.3.26 Ext 3 Complete 2.16.840.1.113883.3.26.1.1.2 2005/08/22 12:00:00 2023/07/13 11:54:03 UV 2.16.840.1.113883.3.26.1.1.4 potunt Potency Unit Frank Hartel masked Margaret Haber Robinette Renner Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5089 masked Program Director for Semantic Infrastructure National Cancer Institute, Center for Biomedical Informatics and Information Technology Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5541 nciappsupport@nih.gov https://datascience.cancer.gov/ Govt body 2.16.840.1.113883.3.26 Ext 3 Complete 2.16.840.1.113883.3.26.1.1.4 2005/08/22 12:00:00 2023/07/13 11:48:55 UV 2.16.840.1.113883.3.26.1.1.3 drgpkg Drug Packaging Frank Hartel masked Margaret Haber Robinette Renner Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5089 masked Program Director for Semantic Infrastructure National Cancer Institute, Center for Biomedical Informatics and Information Technology Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5541 nciappsupport@nih.gov https://datascience.cancer.gov/ Govt body 2.16.840.1.113883.3.26 Ext 3 Complete 2.16.840.1.113883.3.26.1.1.3 2005/08/22 12:00:00 2023/07/13 11:51:09 UV 2.16.840.1.113883.3.26.1.1.5 splColor Structured Product Label Color Frank Hartel masked Margaret Haber Robinette Renner Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5089 masked Program Director for Semantic Infrastructure National Cancer Institute, Center for Bioinformatics and Information Technology Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5541 nciappsupport@nih.gov https://datascience.cancer.gov/ Govt body 2.16.840.1.113883.3.26 Ext 3 Complete 2.16.840.1.113883.3.26.1.1.5 2005/08/22 12:00:00 2023/07/10 03:21:00 UV 2.16.840.1.113883.3.26.1.1.6 splshpe Structured Product Label Shape Frank Hartel masked Margaret Haber Robinette Renner Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5089 masked Program Director for Semantic Infrastructure National Cancer Institute, Center for Bioinformatics and Information Technology Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5541 nciappsupport@nih.gov https://datascience.cancer.gov/ Govt body 2.16.840.1.113883.3.26 Ext 3 Complete 2.16.840.1.113883.3.26.1.1.6 2005/08/22 12:00:00 2023/07/10 03:26:10 UV 2.16.840.1.113883.4.9 Unique Ingredient Identifier (UNII) Gunther Schadow masked Randy Levin Randy Levin (301) 827-7784 masked US Federal Drug Administratrion (FDA) Govt body INT 4 Complete 2005/09/12 12:00:00 2005/09/12 12:00:00 UV 2.16.840.1.113883.3.57 dbMotion dbMotion masked Davidi Bachrach 6206888 masked INT 3 Complete 2005/09/22 12:00:00 2005/09/22 12:00:00 UV 2.16.840.1.113883.3.65 Misys Healthcare Wenzhi Li masked Wenzhi Li 420 E 70th St., Apt 3A 2124724015 masked INT 3 Complete 2005/09/23 12:00:00 2006/01/28 12:00:00 UV 2.16.840.1.113883.5.1096 queryParameterValue Query Parameter Value Russell Hamm masked Russell Hamm 507 284-9348 masked HL7 Modeling and Methodology Workgroup 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA (+1) 734-677-7777 hq@hl7.org http://www.hl7.org SDO Int 5 Complete 2005/09/29 12:00:00 2009/12/22 12:00:00 2009/12/22 01:32:53 UV 2.16.840.1.113883.3.66 Kona Memorial Hospital mike cassidy masked mike cassidy 610-219-3036 masked HL7 body INT 3 Pending 2005/09/29 12:00:00 2005/09/29 12:00:00 UV 2.16.840.1.113883.3.933 Demo OID Cecil Lynch masked Cecil Lynch 916-803-6287 masked HL7,HL7 http://www.hl7.org HL7 body Ext 19 Edited 2.16.840.1.113883.3.933 2005/09/29 12:00:00 2005/09/29 11:26:01 UV 2.16.840.1.113883.11 Value Sets Ted Klein masked Ted Klein masked HL7 Vocabulary Technical Committee http://www.hl7.org HL7 body INT 11 Complete 2.16.840.1.113883 2005/10/04 12:00:00 2005/10/04 12:00:00 2005/10/04 12:00:00 UV 2.16.840.1.113883.5.1097 hl7StandardVersionCode HL7 Standard Version Code Mark Shafarman masked Modeling and Methodology Workgroup masked Health Level Seven 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA (+1) 734-677-7777 hq@hl7.org http://www.hl7.org SDO Int 5 Complete 2003/06/03 12:00:00 2009/12/20 12:00:00 UV 2.16.840.1.113883.5.1098 StyleType masked 2/22/2005 masked Pending INT 5 Complete UV 2.16.840.1.113883.5.1099 actRelationshipSubset Act Relationship Subset Lloyd McKenzie masked Modeling and Methodology Workgroup masked Health Level Seven 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA (+1) 734-677-7777 hq@hl7.org http://www.hl7.org SDO Int 5 Complete 2005/02/02 12:00:00 2009/12/20 12:00:00 ACTRELSS UV 2.16.840.1.113883.5.1100 acknowledgementDetailCode Acknowledgement Detail Code masked Lloyd McKenzie 2/22/2005 masked HL7 Modeling and Methodology Workgroup 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA (+1) 734-677-7777 hq@hl7.org http://www.hl7.org SDO Int 5 Complete UV 2.16.840.1.113883.5.1091 versionIdentifiers Version identifiers masked masked Int 5 Complete 2005/03/01 12:00:00 UV 2.16.840.1.113883.19.5.1 Example code systems Example code systems masked masked INT 5 Complete UV 2.16.840.1.113883.11.171 Country Country masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19650 ResponseMode ResponseMode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.1 AdministrativeGender AdministrativeGender masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10349 ActRelationshipCheckpoint ActRelationshipCheckpoint masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.103 ProcessingID ProcessingID masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10196 actMood ActMood masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10197 ActMoodCompletionTrack ActMoodCompletionTrack masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10199 ActMoodIntent ActMoodIntent masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10202 ActMoodPredicate ActMoodPredicate masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16730 x_ActMoodOrdPrmsEvn x_ActMoodOrdPrmsEvn masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16735 x_ActMoodOrdPrms x_ActMoodOrdPrms masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16742 x_ActMoodIntentEvent x_ActMoodIntentEvent masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18943 x_ActMoodDocumentObservation x_ActMoodDocumentObservation masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18965 x_ActMoodEvnOrdPrmsPrp x_ActMoodEvnOrdPrmsPrp masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19371 x_ActMoodDefEvnRqoPrmsPrp x_ActMoodDefEvnRqoPrmsPrp masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19372 x_ActMoodRqoPrpAptArq x_ActMoodRqoPrpAptArq masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19375 x_ActMoodDefEvn x_ActMoodDefEvn masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19458 x_DocumentActMood x_DocumentActMood masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19459 x_DocumentEncounterMood x_DocumentEncounterMood masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19460 x_DocumentProcedureMood x_DocumentProcedureMood masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19461 x_DocumentSubstanceMood x_DocumentSubstanceMood masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19644 x_ClinicalStatementObservationMood x_ClinicalStatementObservationMood masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19645 x_ClinicalStatementSubstanceMood x_ClinicalStatementSubstanceMood masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19646 x_ClinicalStatementSupplyMood x_ClinicalStatementSupplyMood masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19647 x_ClinicalStatementProcedureMood x_ClinicalStatementProcedureMood masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19648 x_ClinicalStatementEncounterMood x_ClinicalStatementEncounterMood masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19649 x_ClinicalStatementActMood x_ClinicalStatementActMood masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19689 ActMoodProposal ActMoodProposal masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19692 x_ActMoodPermPermrq x_ActMoodPermPermrq masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10317 ActRelationshipType ActRelationshipType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10318 ActRelationshipHasComponent ActRelationshipHasComponent masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10324 ActRelationshipOutcome ActRelationshipOutcome masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10329 ActRelationshipPertains ActRelationshipPertains masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10330 ActClassHasSupport ActClassHasSupport masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10337 ActRelationshipSequel ActRelationshipSequel masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10338 ActRelationshipReplacement ActRelationshipReplacement masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10342 ActRelationshipFulfills ActRelationshipFulfills masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11610 x_ActRelationshipDocument x_ActRelationshipDocument masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14900 ActRelationshipAccounting ActRelationshipAccounting masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18660 ActRelationshipExcerpt ActRelationshipExcerpt masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18977 ActRelationshipConditional ActRelationshipConditional masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19000 x_ActRelationshipExternalReference x_ActRelationshipExternalReference masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19005 x_ActRelationshipPatientTransport x_ActRelationshipPatientTransport masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19376 ActRelationshipReason ActRelationshipReason masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19446 x_ActRelationshipEntry x_ActRelationshipEntry masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19447 x_ActRelationshipEntryRelationship x_ActRelationshipEntryRelationship masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19562 x_ActRelationshipPertinentInfo x_ActRelationshipPertinentInfo masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19587 ActClassTemporallyPertains ActClassTemporallyPertains masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19609 ActRelationshipPosting ActRelationshipPosting masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19610 ActRelationshipCostTracking ActRelationshipCostTracking masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19617 ActRelationshipObjective ActRelationshipObjective masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10774 DataType DataType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10775 DataTypeDataValue DataTypeDataValue masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10776 DataTypeBoolean DataTypeBoolean masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10777 DataTypeBinaryData DataTypeBinaryData masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10778 DataTypeEncodedData DataTypeEncodedData masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10779 DataTypeCharacterString DataTypeCharacterString masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10780 DataTypeConceptDescriptor DataTypeConceptDescriptor masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10781 DataTypeConceptRole DataTypeConceptRole masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10782 DataTypeCodedSimpleValue DataTypeCodedSimpleValue masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10783 DataTypeCodedValue DataTypeCodedValue masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10784 DataTypeCodedWithEquivalents DataTypeCodedWithEquivalents masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10785 DataTypeInstanceIdentifier DataTypeInstanceIdentifier masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10786 DataTypeObjectIdentifier DataTypeObjectIdentifier masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10787 DataTypeTelecommunicationAddress DataTypeTelecommunicationAddress masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10788 DataTypeUniversalResourceLocator DataTypeUniversalResourceLocator masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10789 DataTypePersonNameType DataTypePersonNameType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10790 DataTypePersonNamePart DataTypePersonNamePart masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10791 DataTypePostalAndResidentialAddress DataTypePostalAndResidentialAddress masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10792 DataTypeAddressPart DataTypeAddressPart masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10793 DataTypeOrganizationName DataTypeOrganizationName masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10794 DataTypeQuantity DataTypeQuantity masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10795 DataTypeIntegerNumber DataTypeIntegerNumber masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10796 DataTypeRealNumber DataTypeRealNumber masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10797 DataTypePhysicalQuantity DataTypePhysicalQuantity masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10798 DataTypeMonetaryAmount DataTypeMonetaryAmount masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10799 DataTypePointInTime DataTypePointInTime masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10800 DataTypeRatio DataTypeRatio masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10801 DataTypeSet DataTypeSet masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10802 DataTypeSetOfConceptDescriptors DataTypeSetOfConceptDescriptors masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10803 DataTypeSetOfCodedSimpleValue DataTypeSetOfCodedSimpleValue masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10804 DataTypeSetOfCodedValue DataTypeSetOfCodedValue masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10805 DataTypeSetOfCodedWithEquivalents DataTypeSetOfCodedWithEquivalents masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10807 DataTypeSetOfPointsInTime DataTypeSetOfPointsInTime masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10808 DataTypeGeneralTimingSpecification DataTypeGeneralTimingSpecification masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10809 DataTypeSetOfCharacterStrings DataTypeSetOfCharacterStrings masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10810 DataTypeSetOfSequencesOfCharacterStrings DataTypeSetOfSequencesOfCharacterStrings masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10811 DataTypeSetOfAddresses DataTypeSetOfAddresses masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10812 DataTypeSetOfHistoricalAddresses DataTypeSetOfHistoricalAddresses masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10813 DataTypeHistoryOfAddress DataTypeHistoryOfAddress masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10814 DataTypeSetOfUncertainValueProbabilistic DataTypeSetOfUncertainValueProbabilistic masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10815 DataTypeNonParametricProbabilityDistribution DataTypeNonParametricProbabilityDistribution masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10816 DataTypeSetOfUncertainProbabilisticConceptDescriptor DataTypeSetOfUncertainProbabilisticConceptDescriptor masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10818 DataTypeSetOfPhysicalQuantities DataTypeSetOfPhysicalQuantities masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10819 DataTypeSetOfUncertainProbabilisticIntervalOfPhysicalQuantities DataTypeSetOfUncertainProbabilisticIntervalOfPhysicalQuantities masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10821 DataTypeSequence DataTypeSequence masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10822 DataTypeSequenceOfBooleans DataTypeSequenceOfBooleans masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10823 DataTypeSequenceOfSequencesOfDataValues DataTypeSequenceOfSequencesOfDataValues masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10824 DataTypeSequenceOfSequenceOfBooleans DataTypeSequenceOfSequenceOfBooleans masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10825 DataTypeSequenceOfBinaryData DataTypeSequenceOfBinaryData masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10826 DataTypeSequenceOfEncodedData DataTypeSequenceOfEncodedData masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10827 DataTypeSequenceOfCharacterStrings DataTypeSequenceOfCharacterStrings masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10828 DataTypeSequenceOfPersonNameParts DataTypeSequenceOfPersonNameParts masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10829 DataTypeSequenceOfPostalAddressParts DataTypeSequenceOfPostalAddressParts masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10831 DataTypeBag DataTypeBag masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10832 DataTypeBagOfConceptDescriptors DataTypeBagOfConceptDescriptors masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10833 DataTypeBagOfPhysicalQuantities DataTypeBagOfPhysicalQuantities masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10834 DataTypeInterval DataTypeInterval masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10835 DataTypeIntervalOfIntegerNumbers DataTypeIntervalOfIntegerNumbers masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10837 DataTypeIntervalOfRealNumbers DataTypeIntervalOfRealNumbers masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10839 DataTypeIntervalOfPhysicalQuantities DataTypeIntervalOfPhysicalQuantities masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10841 DataTypeIntervalOfPointsInTime DataTypeIntervalOfPointsInTime masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10843 DataTypePeriodicIntervalOfTime DataTypePeriodicIntervalOfTime masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10844 DataTypeEventRelatedInterval DataTypeEventRelatedInterval masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10845 DataTypeAnnotated DataTypeAnnotated masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10846 DataTypeAnnotatedConceptDescriptor DataTypeAnnotatedConceptDescriptor masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10848 DataTypeAnnotatedPhysicalQuantity DataTypeAnnotatedPhysicalQuantity masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10850 DataTypeHistorical DataTypeHistorical masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10851 DataTypeHistoricalAddress DataTypeHistoricalAddress masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10853 DataTypeUncertainValueNarrative DataTypeUncertainValueNarrative masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10854 DataTypeUncertainNarrativeConceptDescriptor DataTypeUncertainNarrativeConceptDescriptor masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10856 DataTypeUncertainValueProbabilistic DataTypeUncertainValueProbabilistic masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10857 DataTypeUncertainProbabilisticConceptDescriptor DataTypeUncertainProbabilisticConceptDescriptor masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10859 DataTypeUncertainProbabilisticIntervalOfPhysicalQuantities DataTypeUncertainProbabilisticIntervalOfPhysicalQuantities masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10862 DataTypeNonParametricProbabilityDistributionOfConceptDescriptor DataTypeNonParametricProbabilityDistributionOfConceptDescriptor masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10863 DataTypeNonParametricProbabilityDistributionOfIntervalOfPhysicalQuantities DataTypeNonParametricProbabilityDistributionOfIntervalOfPhysicalQuantities masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10864 DataTypeParametricProbabilityDistribution DataTypeParametricProbabilityDistribution masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10865 DataTypeParametricProbabilityDistributionOfRealNumbers DataTypeParametricProbabilityDistributionOfRealNumbers masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10866 DataTypeParametricProbabilityDistributionOfPhysicalQuantities DataTypeParametricProbabilityDistributionOfPhysicalQuantities masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10867 DataTypeSetOfIntegerNumbers DataTypeSetOfIntegerNumbers masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10868 DataTypeSetOfRealNumbers DataTypeSetOfRealNumbers masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10869 DataTypeSetOfIntervalsOfPhysicalQuantitiy DataTypeSetOfIntervalsOfPhysicalQuantitiy masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10609 NullFlavor NullFlavor masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10610 NoInformation NoInformation masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10612 Unknown Unknown masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10614 AskedButUnknown AskedButUnknown masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10616 Other Other masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10620 CompressionAlgorithm CompressionAlgorithm masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.207 ProcessingMode ProcessingMode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17385 IntegrityCheckAlgorithm IntegrityCheckAlgorithm masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.201 TelecommunicationAddressUse TelecommunicationAddressUse masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10628 HomeAddressUse HomeAddressUse masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10637 PostalAddressUse PostalAddressUse masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.190 AddressUse AddressUse masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19641 WorkPlaceAddressUse WorkPlaceAddressUse masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.204 OrganizationNameType OrganizationNameType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10682 CalendarType CalendarType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.91 QueryPriority QueryPriority masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10747 ProbabilityDistributionType ProbabilityDistributionType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10720 GTSAbbreviation GTSAbbreviation masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10725 GTSAbbreviationHolidays GTSAbbreviationHolidays masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10726 GTSAbbreviationHolidaysChristianRoman GTSAbbreviationHolidaysChristianRoman masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10733 GTSAbbreviationHolidaysUSNational GTSAbbreviationHolidaysUSNational masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18899 QueryStatusCode QueryStatusCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14914 Race Race masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14915 RaceNativeAmerican RaceNativeAmerican masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14916 RaceAmericanIndian RaceAmericanIndian masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14919 RaceAmericanIndianApache RaceAmericanIndianApache masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14929 RaceAmericanIndianArapaho RaceAmericanIndianArapaho masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14935 RaceAmericanIndianAssiniboineSioux RaceAmericanIndianAssiniboineSioux masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14941 RaceAmericanIndianCaddo RaceAmericanIndianCaddo masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14943 RaceAmericanIndianCahuilla RaceAmericanIndianCahuilla masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14951 RaceAmericanIndianCalifornia RaceAmericanIndianCalifornia masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14965 RaceCanadianLatinIndian RaceCanadianLatinIndian masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14972 Catawba Catawba masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14975 RaceAmericanIndianChemakuan RaceAmericanIndianChemakuan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14979 RaceAmericanIndianCherokee RaceAmericanIndianCherokee masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14991 RaceAmericanIndianCheyenne RaceAmericanIndianCheyenne masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14995 RaceAmericanIndianChickahominy RaceAmericanIndianChickahominy masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14999 RaceAmericanIndianChinook RaceAmericanIndianChinook masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15007 RaceAmericanIndianChippewa RaceAmericanIndianChippewa masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15033 RaceAmericanIndianChippewaCree RaceAmericanIndianChippewaCree masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15036 RaceAmericanIndianChoctaw RaceAmericanIndianChoctaw masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15042 RaceAmericanIndianChumash RaceAmericanIndianChumash masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15049 RaceAmericanIndianComanche RaceAmericanIndianComanche masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15055 RaceAmericanIndianCoushatta RaceAmericanIndianCoushatta masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15059 RaceAmericanIndianCreek RaceAmericanIndianCreek masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15074 RaceAmericanIndianCupeno RaceAmericanIndianCupeno masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15076 RaceAmericanIndianDelaware RaceAmericanIndianDelaware masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15083 RaceAmericanIndianDiegueno RaceAmericanIndianDiegueno masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15093 RaceAmericanIndianEasternTribes RaceAmericanIndianEasternTribes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15116 RaceAmericanIndianGrosVentres RaceAmericanIndianGrosVentres masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15120 RaceAmericanIndianHoopa RaceAmericanIndianHoopa masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15126 RaceAmericanIndianIowa RaceAmericanIndianIowa masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15129 RaceAmericanIndianIroquois RaceAmericanIndianIroquois masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15144 RaceAmericanIndianKickapoo RaceAmericanIndianKickapoo masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15147 RaceAmericanIndianKiowa RaceAmericanIndianKiowa masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15149 RaceAmericanIndianKlallam RaceAmericanIndianKlallam masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15157 RaceAmericanIndianLongIsland RaceAmericanIndianLongIsland masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15162 RaceAmericanIndianLuiseno RaceAmericanIndianLuiseno masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15172 RaceAmericanIndianMaidu RaceAmericanIndianMaidu masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15180 RaceAmericanIndianMiami RaceAmericanIndianMiami masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15185 RaceAmericanIndianMicmac RaceAmericanIndianMicmac masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15194 RaceAmericanIndianNavajo RaceAmericanIndianNavajo masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15200 RaceAmericanIndianNorthwestTribes RaceAmericanIndianNorthwestTribes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15215 RaceAmericanIndianOttawa RaceAmericanIndianOttawa masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15219 RaceAmericanIndianPaiute RaceAmericanIndianPaiute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15242 RaceAmericanIndianPassamaquoddy RaceAmericanIndianPassamaquoddy masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15245 RaceAmericanIndianPawnee RaceAmericanIndianPawnee masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15248 RaceAmericanIndianPeoria RaceAmericanIndianPeoria masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15250 RaceAmericanIndianPequot RaceAmericanIndianPequot masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15252 RaceAmericanIndianPima RaceAmericanIndianPima masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15257 RaceAmericanIndianPomo RaceAmericanIndianPomo masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15266 RaceAmericanIndianPonca RaceAmericanIndianPonca masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15269 RaceAmericanIndianPotawatomi RaceAmericanIndianPotawatomi masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15278 RaceAmericanIndianPueblo RaceAmericanIndianPueblo masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15306 RaceAmericanIndianPugetSoundSalish RaceAmericanIndianPugetSoundSalish masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15333 RaceAmericanIndianSacFox RaceAmericanIndianSacFox masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15342 RaceAmericanIndianSeminole RaceAmericanIndianSeminole masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15348 RaceAmericanIndianSerrano RaceAmericanIndianSerrano masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15351 RaceAmericanIndianShawnee RaceAmericanIndianShawnee masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15356 RaceAmericanIndianShoshone RaceAmericanIndianShoshone masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15371 RaceAmericanIndianShoshonePaiute RaceAmericanIndianShoshonePaiute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15376 RaceAmericanIndianSioux RaceAmericanIndianSioux masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15414 RaceAmericanIndianTohonoOOdham RaceAmericanIndianTohonoOOdham masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15423 RaceAmericanIndianUmpqua RaceAmericanIndianUmpqua masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15425 RaceAmericanIndianUte RaceAmericanIndianUte masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15431 RaceAmericanIndianWampanoag RaceAmericanIndianWampanoag masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15436 RaceAmericanIndianWashoe RaceAmericanIndianWashoe masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15442 RaceAmericanIndianWinnebago RaceAmericanIndianWinnebago masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15447 Wiyot Wiyot masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15451 Yaqui Yaqui masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15455 Yokuts Yokuts masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15460 RaceAmericanIndianYuman RaceAmericanIndianYuman masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15468 RaceAmericanIndianYurok RaceAmericanIndianYurok masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15470 RaceAlaskanNative RaceAlaskanNative masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15471 RaceAlaskanIndian RaceAlaskanIndian masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15472 RaceAlaskanIndianAthabascan RaceAlaskanIndianAthabascan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15543 RaceSoutheastAlaskanIndian RaceSoutheastAlaskanIndian masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15544 RaceSoutheastAlaskanIndianTlingit RaceSoutheastAlaskanIndianTlingit masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15567 RaceSoutheastAlaskanIndianTsimshian RaceSoutheastAlaskanIndianTsimshian masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15569 RaceAlaskanNativeEskimo RaceAlaskanNativeEskimo masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15571 RaceAlaskanNativeInupiatEskimo RaceAlaskanNativeInupiatEskimo masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15617 RaceAlaskanNativeSiberianEskimo RaceAlaskanNativeSiberianEskimo masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15621 RaceAlaskanNativeYupikEskimo RaceAlaskanNativeYupikEskimo masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15690 RaceAlaskanNativeAleut RaceAlaskanNativeAleut masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15691 RaceAlaskanNativeAleutAlutiiq RaceAlaskanNativeAleutAlutiiq masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15705 RaceAlaskanNativeAleutChugach RaceAlaskanNativeAleutChugach masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15711 RaceAlaskanNativeAleutKoniag RaceAlaskanNativeAleutKoniag masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15722 RaceAlaskanNativeAleutUnangan RaceAlaskanNativeAleutUnangan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15743 RaceAsian RaceAsian masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15768 RaceBlackOrAfricanAmerican RaceBlackOrAfricanAmerican masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15771 RaceAfricanAmericanAfrican RaceAfricanAmericanAfrican masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15787 RaceHawaiianOrPacificIsland RaceHawaiianOrPacificIsland masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15788 RacePacificIslandPolynesian RacePacificIslandPolynesian masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15794 RacePacificIslandMicronesian RacePacificIslandMicronesian masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15808 RacePacificIslandMelanesian RacePacificIslandMelanesian masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15814 RaceWhite RaceWhite masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15815 RaceWhiteEuropean RaceWhiteEuropean masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15824 RaceWhiteMiddleEast RaceWhiteMiddleEast masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15834 RaceWhiteArab RaceWhiteArab masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16466 RaceAlaskanNativeAleutBristolBay RaceAlaskanNativeAleutBristolBay masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.209 RelationalOperator RelationalOperator masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.155 AcknowledgementCondition AcknowledgementCondition masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17704 ActInvoiceElementModifier ActInvoiceElementModifier masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19732 HumanSubstanceAdministrationSite HumanSubstanceAdministrationSite masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16537 ActSite ActSite masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16538 HumanActSite HumanActSite masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16539 AnimalActSite AnimalActSite masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19438 InjuryActSite InjuryActSite masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16899 ActUncertainty ActUncertainty masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18130 AmericanIndianAlaskaNativeLanguages AmericanIndianAlaskaNativeLanguages masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18131 Algic Algic masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18132 Algonquian Algonquian masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18135 CreeMontagnais CreeMontagnais masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18136 Cree Cree masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18142 Arapahoan Arapahoan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18143 ArapahoGrosVentre ArapahoGrosVentre masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18156 Ojibwayan Ojibwayan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18164 SaukFoxKickapoo SaukFoxKickapoo masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18171 EasternAlgonquin EasternAlgonquin masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18174 Abenakian Abenakian masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18184 Delawaran Delawaran masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18189 Ritwan Ritwan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18191 EskimoAleut EskimoAleut masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18192 Eskimoan Eskimoan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18193 SirenikskiYupik SirenikskiYupik masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18210 InuitInupiaq InuitInupiaq masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18221 Aleut Aleut masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18223 Caddoan Caddoan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18224 NorthernCaddoan NorthernCaddoan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18233 SouthernCaddoan SouthernCaddoan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18238 Chimakuan Chimakuan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18241 Hokan Hokan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18244 Shasta Shasta masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18248 Palaihnihan Palaihnihan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18253 Pomoan Pomoan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18274 CochimiYuman CochimiYuman masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18275 Yuman Yuman masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18276 Pai Pai masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18282 River River masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18291 DeltaCalifornia DeltaCalifornia masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18292 Diegueno Diegueno masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18306 Iroquoian Iroquoian masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18307 NorthernIroquoian NorthernIroquoian masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18319 Keresan Keresan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18327 KiowaTanoan KiowaTanoan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18331 Tiwa Tiwa masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18338 Muskogean Muskogean masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18339 WesternMuskogean WesternMuskogean masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18342 CentralMuskogean CentralMuskogean masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18352 Nadene Nadene masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18356 AthapaskanEyak AthapaskanEyak masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18358 Athapaskan Athapaskan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18359 SouthernAlaska SouthernAlaska masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18365 CentralAlaskaYukon CentralAlaskaYukon masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18366 KoyukonIngalik KoyukonIngalik masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18371 TananaTutchone TananaTutchone masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18374 Tanana Tanana masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18379 KutchinHan KutchinHan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18386 PacificCoastAthapaskan PacificCoastAthapaskan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18387 OregonAthapaskan OregonAthapaskan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18391 CaliforniaAthapaskan CaliforniaAthapaskan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18399 Apachean Apachean masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18400 WesternApachean WesternApachean masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18407 EasternApachean EasternApachean masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18413 Penutian Penutian masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18414 Chinookan Chinookan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18415 UpperChinook UpperChinook masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18421 Coosan Coosan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18424 Takelman Takelman masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18425 Kalapuyan Kalapuyan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18431 Wintuan Wintuan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18435 Maiduan Maiduan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18458 Utian Utian masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18459 Miwokan Miwokan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18460 WesternMiwok WesternMiwok masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18463 EasternMiwok EasternMiwok masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18479 Yokutsan Yokutsan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18498 PlateauPenutian PlateauPenutian masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18500 Sahaptian Sahaptian masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18511 Tsimshianic Tsimshianic masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18518 Pidgin Pidgin masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18523 Salishan Salishan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18524 CentralSalish CentralSalish masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18533 Tsamosan Tsamosan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18540 InteriorSalish InteriorSalish masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18552 SiouanCatawba SiouanCatawba masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18553 Siouan Siouan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18554 MissouriRiver MissouriRiver masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18562 MississippiValley MississippiValley masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18563 Dakotan Dakotan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18580 Dhegiha Dhegiha masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18593 ChiwereWinnebago ChiwereWinnebago masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18605 UtoAztecan UtoAztecan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18606 Numic Numic masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18607 WesternNumic WesternNumic masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18611 CentralNumic CentralNumic masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18617 SouthernNumic SouthernNumic masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18621 Takic Takic masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18622 SerranoGabrielino SerranoGabrielino masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18624 Cupan Cupan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18629 Tepiman Tepiman masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18636 Taracahitan Taracahitan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18637 Cahitan Cahitan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18640 Wakashan Wakashan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18641 Nootkan Nootkan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18646 Yukian Yukian masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17422 Calendar Calendar masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16031 CommunicationFunctionType CommunicationFunctionType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16478 ContextControl ContextControl masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18934 ContextControlAdditive ContextControlAdditive masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18935 ContextControlOverriding ContextControlOverriding masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18936 ContextControlPropagating ContextControlPropagating masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18937 ContextControlNonPropagating ContextControlNonPropagating masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17388 Currency Currency masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16036 EmployeeJobClass EmployeeJobClass masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19694 EmployeeOccupationCode EmployeeOccupationCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10365 RelationshipConjunction RelationshipConjunction masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19729 ActiveIngredientDrugEntityType ActiveIngredientDrugEntityType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19730 VaccineEntityType VaccineEntityType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16040 EntityCode EntityCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16041 MaterialEntityClassType MaterialEntityClassType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16042 MaterialEntityAdditive MaterialEntityAdditive masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16100 PlaceEntityType PlaceEntityType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16143 ContainerEntityType ContainerEntityType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16144 PackageEntityType PackageEntityType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16145 KitEntityType KitEntityType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16147 NonRigidContainerEntityType NonRigidContainerEntityType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16152 RigidContainerEntityType RigidContainerEntityType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16153 MultiUseContainerEntityType MultiUseContainerEntityType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16155 BottleEntityType BottleEntityType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16159 PlasticBottleEntityType PlasticBottleEntityType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16170 CompliancePackageEntityType CompliancePackageEntityType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16171 BlisterPackEntityType BlisterPackEntityType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16176 IndividualPackageEntityType IndividualPackageEntityType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16188 MedicalDevice MedicalDevice masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16189 AdministrationMedicalDevice AdministrationMedicalDevice masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16191 InjectionMedicalDevice InjectionMedicalDevice masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16196 InhalerMedicalDevice InhalerMedicalDevice masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16200 AccessMedicalDevice AccessMedicalDevice masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16201 LineAccessMedicalDevice LineAccessMedicalDevice masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16205 ClinicalDrug ClinicalDrug masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16206 ManufacturedDrug ManufacturedDrug masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16530 DrugEntity DrugEntity masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19608 OrganizationEntityType OrganizationEntityType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19618 PackagedDrugProductEntity PackagedDrugProductEntity masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19623 DeviceGenericType DeviceGenericType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19624 IndividualCaseSafetyReportSenderType IndividualCaseSafetyReportSenderType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19652 ResourceGroupEntityType ResourceGroupEntityType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19667 x_AdministeredSubstance x_AdministeredSubstance masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19668 x_Medicine x_Medicine masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19701 ExposureAgentEntityType ExposureAgentEntityType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19702 NonDrugAgentEntity NonDrugAgentEntity masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16005 EntityStatus EntityStatus masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16006 EntityStatusNormal EntityStatusNormal masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15992 ManagedParticipationStatus ManagedParticipationStatus masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15993 ManagedParticipationStatusNormal ManagedParticipationStatusNormal masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19724 IssueTriggerObservationValue IssueTriggerObservationValue masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16614 ObservationValue ObservationValue masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16615 DiagnosisValue DiagnosisValue masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16643 SeverityObservation SeverityObservation masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18120 PartialCompletionScale PartialCompletionScale masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19332 AnnotationValue AnnotationValue masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19333 ECGAnnotationValue ECGAnnotationValue masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19390 InjuryObservationValue InjuryObservationValue masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19625 IndividualCaseSafetyReportValueDomains IndividualCaseSafetyReportValueDomains masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19626 CaseSeriousnessCriteria CaseSeriousnessCriteria masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19627 SubjectReaction SubjectReaction masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19628 ProductCharacterization ProductCharacterization masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19629 PertinentReactionRelatedness PertinentReactionRelatedness masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19630 SubjectReactionOutcome SubjectReactionOutcome masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19631 SubjectReactionEmphasis SubjectReactionEmphasis masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19632 DeviceManufacturerEvaluationResult DeviceManufacturerEvaluationResult masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19633 DeviceManufacturerEvaluationInterpretation DeviceManufacturerEvaluationInterpretation masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19634 DeviceManufacturerEvaluationMethod DeviceManufacturerEvaluationMethod masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19635 ReactionActionTaken ReactionActionTaken masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19699 AllergyTestValue AllergyTestValue masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19700 IntoleranceValue IntoleranceValue masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19735 IndicationValue IndicationValue masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19736 SymptomValue SymptomValue masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19737 OtherIndicationValue OtherIndicationValue masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16543 ParticipationMode ParticipationMode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16544 ParticipationModeVerbal ParticipationModeVerbal masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16549 ParticipationModeWritten ParticipationModeWritten masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16554 ParticipationModeElectronicData ParticipationModeElectronicData masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19743 x_PhysicalVerbalParticipationMode x_PhysicalVerbalParticipationMode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16541 ProcedureMethod ProcedureMethod masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.126 QueryQuantityUnit QueryQuantityUnit masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.208 QueryResponse QueryResponse masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15999 RoleStatus RoleStatus masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16000 RoleStatusNormal RoleStatusNormal masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11037 ValueSetOperator ValueSetOperator masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17416 SetOperator SetOperator masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11603 RoleLinkType RoleLinkType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19643 RelatedLinkType RelatedLinkType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16621 ActSubstanceAdminSubstitutionCode ActSubstanceAdminSubstitutionCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16623 SubstanceAdminGenericSubstitution SubstanceAdminGenericSubstitution masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17719 SubstitutionCondition SubstitutionCondition masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17720 Conditional Conditional masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19744 x_SubstitutionConditionNoneOrUnconditional x_SubstitutionConditionNoneOrUnconditional masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.12814 UnitOfMeasurePrefixInsens UnitOfMeasurePrefixInsens masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13104 UnitOfMeasurePrefixSens UnitOfMeasurePrefixSens masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19250 CodingRationale CodingRationale masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19265 PatientImportance PatientImportance masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19185 ReligiousAffiliation ReligiousAffiliation masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19175 EducationLevel EducationLevel masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14761 ResponseLevel ResponseLevel masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19342 PermanentDentition PermanentDentition masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19343 SupernumeraryTooth SupernumeraryTooth masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19344 PrimaryDentition PrimaryDentition masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19345 ArtificialDentition ArtificialDentition masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19346 Dentition Dentition masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19358 AcknowledgementDetailType AcknowledgementDetailType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19581 MessageWaitingPriority MessageWaitingPriority masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19359 CodeSystemType CodeSystemType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19360 ConceptStatus ConceptStatus masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19361 ConceptPropertyId ConceptPropertyId masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19362 ValueSetPropertyId ValueSetPropertyId masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19363 ConceptCodeRelationship ConceptCodeRelationship masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.394 ResponseModality ResponseModality masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19449 HL7ITSVersionCode HL7ITSVersionCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19373 HL7StandardVersionCode HL7StandardVersionCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19602 StyleType StyleType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19603 FontStyle FontStyle masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19604 TableRuleStyle TableRuleStyle masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19605 ListStyle ListStyle masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19606 OrderedListStyle OrderedListStyle masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19607 UnorderedListStyle UnorderedListStyle masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19750 QueryParameterValue QueryParameterValue masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19613 ActRelationshipSubset ActRelationshipSubset masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19614 ActRelationshipPastSubset ActRelationshipPastSubset masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19615 ActRelationshipExpectedSubset ActRelationshipExpectedSubset masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10416 RoleClassRelationshipFormal RoleClassRelationshipFormal masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10418 RoleClassDistributedMaterial RoleClassDistributedMaterial masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10428 RoleClassOntological RoleClassOntological masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10429 RoleClassPartitive RoleClassPartitive masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10430 RoleClassIngredientEntity RoleClassIngredientEntity masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10441 RoleClassIsSpeciesEntity RoleClassIsSpeciesEntity masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11555 RoleClass RoleClass masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11569 RoleClassEmployee RoleClassEmployee masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11580 RoleClassManufacturedProduct RoleClassManufacturedProduct masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11591 RoleClassSpecimen RoleClassSpecimen masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11595 RoleClassAssignedEntity RoleClassAssignedEntity masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.12205 RoleClassContact RoleClassContact masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13940 RoleClassRoot RoleClassRoot masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14006 RoleClassAgent RoleClassAgent masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14008 x_RoleClassCoverage x_RoleClassCoverage masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14013 x_RoleClassCoverageInvoice x_RoleClassCoverageInvoice masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16772 x_InformationRecipientRole x_InformationRecipientRole masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16773 LicensedEntityRole LicensedEntityRole masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16815 RoleClassLocatedEntity RoleClassLocatedEntity masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16927 RoleClassServiceDeliveryLocation RoleClassServiceDeliveryLocation masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16930 x_RoleClassCredentialedEntity x_RoleClassCredentialedEntity masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19089 RoleClassInactiveIngredient RoleClassInactiveIngredient masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19105 RoleClassPassive RoleClassPassive masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19313 RoleClassAssociative RoleClassAssociative masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19316 RoleClassMutualRelationship RoleClassMutualRelationship masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19352 x_AccommodationRequestorRole x_AccommodationRequestorRole masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19367 x_DocumentEntrySubject x_DocumentEntrySubject masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19368 x_DocumentSubject x_DocumentSubject masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19382 x_RoleClassAccommodationRequestor x_RoleClassAccommodationRequestor masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19395 x_RoleClassPayeePolicyRelationship x_RoleClassPayeePolicyRelationship masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19677 RoleClassInvestigationSubject RoleClassInvestigationSubject masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19638 AcknowledgementDetailCode AcknowledgementDetailCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19639 AcknowledgementDetailSyntaxErrorCode AcknowledgementDetailSyntaxErrorCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19640 AcknowledgementDetailNotSupportedCode AcknowledgementDetailNotSupportedCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19728 MedicationGeneralizationRoleType MedicationGeneralizationRoleType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10588 DedicatedClinicalLocationRoleType DedicatedClinicalLocationRoleType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10589 OutpatientFacilityPracticeSetting OutpatientFacilityPracticeSetting masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10590 CardClinPracticeSetting CardClinPracticeSetting masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10593 RheumClinPracticeSetting RheumClinPracticeSetting masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10596 HospitalUnitPracticeSetting HospitalUnitPracticeSetting masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10598 ERPracticeSetting ERPracticeSetting masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10599 ICUPracticeSetting ICUPracticeSetting masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10602 HospitalPracticeSetting HospitalPracticeSetting masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10605 NursingOrCustodialCarePracticeSetting NursingOrCustodialCarePracticeSetting masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10607 ResidentialTreatmentPracticeSetting ResidentialTreatmentPracticeSetting masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10902 DiagTherPracticeSetting DiagTherPracticeSetting masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10903 CVDiagTherPracticeSetting CVDiagTherPracticeSetting masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10906 GIDiagTherPracticeSetting GIDiagTherPracticeSetting masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10908 RadDiagTherPracticeSetting RadDiagTherPracticeSetting masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10916 PedsICUPracticeSetting PedsICUPracticeSetting masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10920 PedsPracticeSetting PedsPracticeSetting masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10931 EndocrinologyClinic EndocrinologyClinic masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10934 GIClinicPracticeSetting GIClinicPracticeSetting masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10936 HemClinPracticeSetting HemClinPracticeSetting masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10939 IDClinPracticeSetting IDClinPracticeSetting masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10943 NephClinPracticeSetting NephClinPracticeSetting masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10947 MedOncClinPracticeSetting MedOncClinPracticeSetting masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10949 OrthoClinPracticeSetting OrthoClinPracticeSetting masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10953 PedsClinPracticeSetting PedsClinPracticeSetting masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10968 SurgClinPracticeSetting SurgClinPracticeSetting masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11567 Sibling Sibling masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.12206 RoleCode RoleCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13792 ChronicCareFacility ChronicCareFacility masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13799 MilitaryHospital MilitaryHospital masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15920 ContactRoleType ContactRoleType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15925 MemberRoleType MemberRoleType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16346 Parent Parent masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16349 Grandparent Grandparent masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16360 Child Child masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16368 LivingSubjectProductionClass LivingSubjectProductionClass masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16501 ClinicalOrganizationRoleType ClinicalOrganizationRoleType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16515 SpecimenRoleType SpecimenRoleType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16521 QualitySpecimenRoleType QualitySpecimenRoleType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17622 AdministrativeContactRoleType AdministrativeContactRoleType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17660 ServiceDeliveryLocationRoleType ServiceDeliveryLocationRoleType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17930 NaturalChild NaturalChild masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18105 x_PayeeRelationshipRoleType x_PayeeRelationshipRoleType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18877 CoverageRoleType CoverageRoleType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19263 NDCRelatedDrugEntityType NDCRelatedDrugEntityType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19381 x_AdverseEventReporterQualificationRoleCode x_AdverseEventReporterQualificationRoleCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19417 ResearchSubjectRoleBasis ResearchSubjectRoleBasis masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19450 DedicatedServiceDeliveryLocationRoleType DedicatedServiceDeliveryLocationRoleType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19451 IncidentalServiceDeliveryLocationRoleType IncidentalServiceDeliveryLocationRoleType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19452 DedicatedNonClinicalLocationRoleType DedicatedNonClinicalLocationRoleType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19563 PersonalRelationshipRoleType PersonalRelationshipRoleType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19564 AdoptedChild AdoptedChild masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19565 FosterChild FosterChild masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19566 ChildInLaw ChildInLaw masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19567 StepChild StepChild masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19568 NaturalParent NaturalParent masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19569 ParentInLaw ParentInLaw masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19570 StepParent StepParent masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19571 GreatGrandparent GreatGrandparent masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19572 Spouse Spouse masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19573 GrandChild GrandChild masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19574 NieceNephew NieceNephew masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19575 NaturalSibling NaturalSibling masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19576 HalfSibling HalfSibling masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19577 StepSibling StepSibling masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19578 SiblingInLaw SiblingInLaw masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19579 FamilyMember FamilyMember masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19585 MobileUnit MobileUnit masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19612 SignificantOtherRoleType SignificantOtherRoleType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19637 DeviceOperatorType DeviceOperatorType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19671 StudentRoleType StudentRoleType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19678 AdmistrativeLocationRoleType AdmistrativeLocationRoleType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19679 AssignedRoleType AssignedRoleType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19680 CommissioningPartyRoleType CommissioningPartyRoleType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19681 EmployeeRoleType EmployeeRoleType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19682 HealthcareProviderRoleType HealthcareProviderRoleType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19683 LicensedRoleType LicensedRoleType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19684 OrganizationPartRoleType OrganizationPartRoleType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19685 QualifiedRoleType QualifiedRoleType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19691 x_LabSpecimenCollectionProviders x_LabSpecimenCollectionProviders masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19693 AffiliationRoleType AffiliationRoleType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14581 RouteOfAdministration RouteOfAdministration masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14582 Chew Chew masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14584 Diffusion Diffusion masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14586 Dissolve Dissolve masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14589 Douche Douche masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14591 Enema Enema masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14594 Flush Flush masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14598 Implantation Implantation masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14602 Infusion Infusion masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14609 IntravenousInfusion IntravenousInfusion masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14615 Inhalation Inhalation masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14617 NasalInhalation NasalInhalation masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14619 NebulizationInhalation NebulizationInhalation masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14622 OralInhalation OralInhalation masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14628 Injection Injection masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14639 IntraarterialInjection IntraarterialInjection masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14644 IntracardiacInjection IntracardiacInjection masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14650 IntracoronaryInjection IntracoronaryInjection masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14657 IntramuscularInjection IntramuscularInjection masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14670 IntravenousInjection IntravenousInjection masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14687 Insertion Insertion masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14696 Instillation Instillation masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14715 RectalInstillation RectalInstillation masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14721 Irrigation Irrigation masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14725 UrinaryBladderIrrigation UrinaryBladderIrrigation masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14728 Nebulization Nebulization masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14730 Rinse Rinse masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14736 Swish Swish masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14739 TopicalApplication TopicalApplication masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16931 RouteByMethod RouteByMethod masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16935 InfiltrationRoute InfiltrationRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16990 IontophoresisRoute IontophoresisRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16995 LavageRoute LavageRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16997 MucosalAbsorptionRoute MucosalAbsorptionRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17003 SuppositoryRoute SuppositoryRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17006 TopicalAbsorptionRoute TopicalAbsorptionRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17019 ElectroOsmosisRoute ElectroOsmosisRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17021 RouteBySite RouteBySite masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17022 AmnioticFluidSacRoute AmnioticFluidSacRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17024 BiliaryRoute BiliaryRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17027 BodySurfaceRoute BodySurfaceRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17034 BuccalMucosaRoute BuccalMucosaRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17036 CecostomyRoute CecostomyRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17038 CervicalRoute CervicalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17042 DentalRoute DentalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17045 EndocervicalRoute EndocervicalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17048 EnteralRoute EnteralRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17051 EpiduralRoute EpiduralRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17056 ExtracorporealCirculationRoute ExtracorporealCirculationRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17059 ExtraAmnioticRoute ExtraAmnioticRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17061 GastricRoute GastricRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17066 GenitourinaryRoute GenitourinaryRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17068 GingivalRoute GingivalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17071 HairRoute HairRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17074 InterameningealRoute InterameningealRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17076 InterstitialRoute InterstitialRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17078 IntraabdominalRoute IntraabdominalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17080 IntraarterialRoute IntraarterialRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17085 IntraarticularRoute IntraarticularRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17087 IntrabronchialRoute IntrabronchialRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17089 IntrabursalRoute IntrabursalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17091 IntracardiacRoute IntracardiacRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17097 IntracartilaginousRoute IntracartilaginousRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17099 IntracaudalRoute IntracaudalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17101 IntracavernosalRoute IntracavernosalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17103 IntracavitaryRoute IntracavitaryRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17105 IntracerebralRoute IntracerebralRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17107 IntracervicalRoute IntracervicalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17109 IntracisternalRoute IntracisternalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17111 IntracornealRoute IntracornealRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17113 IntracoronalRoute IntracoronalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17115 IntracoronaryRoute IntracoronaryRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17119 IntracorpusCavernosumRoute IntracorpusCavernosumRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17121 IntratendinousRoute IntratendinousRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17123 IntradermalRoute IntradermalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17126 IntradiscalRoute IntradiscalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17128 IntraductalRoute IntraductalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17130 IntraduodenalRoute IntraduodenalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17133 IntraduralRoute IntraduralRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17135 IntraepidermalRoute IntraepidermalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17137 IntraepithelialRoute IntraepithelialRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17139 IntraesophagealRoute IntraesophagealRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17142 IntragastricRoute IntragastricRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17146 IntrailealRoute IntrailealRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17149 IntralesionalRoute IntralesionalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17153 IntraluminalRoute IntraluminalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17156 IntralymphaticRoute IntralymphaticRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17158 IntramedullaryRoute IntramedullaryRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17160 IntramuscularRoute IntramuscularRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17164 IntraocularRoute IntraocularRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17170 IntraosseousRoute IntraosseousRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17173 IntraovarianRoute IntraovarianRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17175 IntrapericardialRoute IntrapericardialRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17177 IntraperitonealRoute IntraperitonealRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17182 IntrapleuralRoute IntrapleuralRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17185 IntraprostaticRoute IntraprostaticRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17187 IntrapulmonaryRoute IntrapulmonaryRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17190 IntrasinalRoute IntrasinalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17192 IntraspinalRoute IntraspinalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17194 IntrasternalRoute IntrasternalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17196 IntrasynovialRoute IntrasynovialRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17198 IntratesticularRoute IntratesticularRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17200 IntrathecalRoute IntrathecalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17203 IntrathoracicRoute IntrathoracicRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17205 IntratrachealRoute IntratrachealRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17208 IntratubularRoute IntratubularRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17210 IntratumorRoute IntratumorRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17212 IntratympanicRoute IntratympanicRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17214 IntrauterineRoute IntrauterineRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17219 IntravascularRoute IntravascularRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17224 IntravenousRoute IntravenousRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17235 IntraventricularRoute IntraventricularRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17237 IntravesicleRoute IntravesicleRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17239 IntravitrealRoute IntravitrealRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17241 JejunumRoute JejunumRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17245 LacrimalPunctaRoute LacrimalPunctaRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17247 LaryngealRoute LaryngealRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17250 LingualRoute LingualRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17252 MucousMembraneRoute MucousMembraneRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17254 NailRoute NailRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17256 NasalRoute NasalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17264 OphthalmicRoute OphthalmicRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17266 OralRoute OralRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17276 OromucosalRoute OromucosalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17282 OropharyngealRoute OropharyngealRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17284 OticRoute OticRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17286 ParanasalSinusesRoute ParanasalSinusesRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17289 ParenteralRoute ParenteralRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17291 PerianalRoute PerianalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17293 PeriarticularRoute PeriarticularRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17295 PeriodontalRoute PeriodontalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17298 PeriduralRoute PeriduralRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17300 PerinealRoute PerinealRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17302 PerineuralRoute PerineuralRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17304 PulmonaryRoute PulmonaryRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17311 RectalRoute RectalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17319 RespiratoryTractRoute RespiratoryTractRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17321 RetrobulbarRoute RetrobulbarRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17323 ScalpRoute ScalpRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17325 SinusUnspecifiedRoute SinusUnspecifiedRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17328 SkinRoute SkinRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17331 SoftTissueRoute SoftTissueRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17334 SubarachnoidRoute SubarachnoidRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17336 SubconjunctivalRoute SubconjunctivalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17339 SubcutaneousRoute SubcutaneousRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17345 SublesionalRoute SublesionalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17347 SublingualRoute SublingualRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17349 SubmucosalRoute SubmucosalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17352 TracheostomyRoute TracheostomyRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17356 Transdermal Transdermal masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17357 TransmucosalRoute TransmucosalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17359 TransplacentalRoute TransplacentalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17361 TranstrachealRoute TranstrachealRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17363 TranstympanicRoute TranstympanicRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17366 UreteralRoute UreteralRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17368 UrethralRoute UrethralRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17373 UrinaryBladderRoute UrinaryBladderRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17378 UrinaryTractRoute UrinaryTractRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17380 VaginalRoute VaginalRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17384 VitreousHumourRoute VitreousHumourRoute masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.390 Sequencing Sequencing masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10360 actRelationshipJoin ActRelationshipJoin masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19464 SpecimenEntityType SpecimenEntityType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10355 ActRelationshipSplit ActRelationshipSplit masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10981 TableCellHorizontalAlign TableCellHorizontalAlign masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11012 TableCellScope TableCellScope masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10987 TableCellVerticalAlign TableCellVerticalAlign masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10992 TableFrame TableFrame masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11002 TableRules TableRules masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10310 TargetAwareness TargetAwareness masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10706 TimingEvent TimingEvent masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15933 ActStatus ActStatus masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15936 ActStatusNormal ActStatusNormal masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16916 x_DocumentStatus x_DocumentStatus masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11631 TribalEntityUS TribalEntityUS masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11969 NativeEntityAlaska NativeEntityAlaska masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.12548 NativeEntityContiguous NativeEntityContiguous masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.12549 UnitsOfMeasureCaseInsensitive UnitsOfMeasureCaseInsensitive masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.12550 UnitOfMeasureAtomBaseUnitInsens UnitOfMeasureAtomBaseUnitInsens masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.12558 UnitOfMeasureAtomInsens UnitOfMeasureAtomInsens masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.12839 UnitsOfMeasureCaseSensitive UnitsOfMeasureCaseSensitive masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.12840 UnitOfMeasureAtomBaseUnitSens UnitOfMeasureAtomBaseUnitSens masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.12848 UnitOfMeasureAtomSens UnitOfMeasureAtomSens masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14866 URLScheme URLScheme masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19745 x_PhoneOrEmailURLScheme x_PhoneOrEmailURLScheme masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19746 x_PhoneURLScheme x_PhoneURLScheme masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.227 VaccineManufacturer VaccineManufacturer masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.228 VaccineType VaccineType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11046 VocabularyDomainQualifier VocabularyDomainQualifier masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11047 Extensibility Extensibility masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11050 RealmOfUse RealmOfUse masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10642 AddressPartType AddressPartType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10648 StreetName StreetName masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10649 BuildingNumber BuildingNumber masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10651 AdditionalLocator AdditionalLocator masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14822 StreetAddressLine StreetAddressLine masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17887 DeliveryAddressLine DeliveryAddressLine masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.8 AcknowledgementType AcknowledgementType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.12212 MaritalStatus MaritalStatus masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14853 Charset Charset masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.396 CodeSystem CodeSystem masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11033 ConceptGenerality ConceptGenerality masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10228 Confidentiality Confidentiality masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10229 ConfidentialityByAccessKind ConfidentialityByAccessKind masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10236 ConfidentialityModifiers ConfidentialityModifiers masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10240 ConfidentialityByInfoType ConfidentialityByInfoType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16926 x_BasicConfidentialityKind x_BasicConfidentialityKind masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19742 x_VeryBasicConfidentialityKind x_VeryBasicConfidentialityKind masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14049 ContainerCap ContainerCap masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16184 MedicationCap MedicationCap masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14054 ContainerSeparator ContainerSeparator masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19675 CountryEntityType CountryEntityType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10878 EntityDeterminer EntityDeterminer masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10879 EntityDeterminerDetermined EntityDeterminerDetermined masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19670 x_DeterminerInstanceKind x_DeterminerInstanceKind masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14066 DeviceAlertLevel DeviceAlertLevel masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.271 DocumentCompletion DocumentCompletion masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10584 DocumentStorageActive DocumentStorageActive masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.275 DocumentStorage DocumentStorage masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11040 EditStatus EditStatus masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11042 ActiveEditStatus ActiveEditStatus masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11043 RejectedEditStatus RejectedEditStatus masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11044 InactiveEditStatus InactiveEditStatus masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11045 ObsoleteEditStatus ObsoleteEditStatus masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.12231 EncounterAccident EncounterAccident masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.12234 EncounterAdmissionSource EncounterAdmissionSource masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19706 ObservationFoodAllergyType ObservationFoodAllergyType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19707 ObservationEnvironmentalAllergyType ObservationEnvironmentalAllergyType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19708 ObservationNonAllergyIntoleranceType ObservationNonAllergyIntoleranceType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19709 Drug Non-AllergyIntolerance Drug Non-AllergyIntolerance masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19710 ObservationFoodNonAllergyIntoleranceType ObservationFoodNonAllergyIntoleranceType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19711 ObservationEnvironmentalNonAllergyIntoleranceType ObservationEnvironmentalNonAllergyIntoleranceType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19712 ObservationDrugIntoleranceType ObservationDrugIntoleranceType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19713 ObservationFoodIntoleranceType ObservationFoodIntoleranceType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19714 ObservationEnvironmentalIntoleranceType ObservationEnvironmentalIntoleranceType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19715 ActCognitiveProfessionalServiceCode ActCognitiveProfessionalServiceCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19717 ActSubstanceAdministrationCode ActSubstanceAdministrationCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19718 ActSubstanceAdministrationImmunizationCode ActSubstanceAdministrationImmunizationCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19719 ActTherapyDurationWorkingListCode ActTherapyDurationWorkingListCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19720 SimpleMeasurableClinicalObservationType SimpleMeasurableClinicalObservationType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19721 ObservationIssueTriggerCodedObservationType ObservationIssueTriggerCodedObservationType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19722 ObservationIssueTriggerMeasuredObservationType ObservationIssueTriggerMeasuredObservationType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19723 PatientCharacteristicObservationType PatientCharacteristicObservationType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10376 ActDietCode ActDietCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13953 ActCode ActCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13954 HL7DefinedActCodes HL7DefinedActCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13955 ActEncounterCode ActEncounterCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13957 ActSpecObsCode ActSpecObsCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14040 ActSpecimenTreatmentCode ActSpecimenTreatmentCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14058 ActContainerRegistrationCode ActContainerRegistrationCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14352 ActSpecObsDilutionCode ActSpecObsDilutionCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14369 ActSpecObsVolumeCode ActSpecObsVolumeCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14382 ActSpecObsInterferenceCode ActSpecObsInterferenceCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14804 ActFinancialTransactionCode ActFinancialTransactionCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14809 ActAccountCode ActAccountCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14811 CreditCard CreditCard masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16117 ROIOverlayShape ROIOverlayShape masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16124 ActDetectedIssueCode ActDetectedIssueCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16130 ActEncounterAccommodationCode ActEncounterAccommodationCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16208 ActPharmacySupplyType ActPharmacySupplyType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16209 FirstFillPharmacySupplyType FirstFillPharmacySupplyType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16215 RefillPharmacySupplyType RefillPharmacySupplyType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16220 EmergencyPharmacySupplyType EmergencyPharmacySupplyType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16226 ObservationType ObservationType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16228 ObservationDiagnosisTypes ObservationDiagnosisTypes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16231 ActMonitoringProtocolCode ActMonitoringProtocolCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16232 ControlledSubstanceMonitoringProtocol ControlledSubstanceMonitoringProtocol masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16493 ExternallyDefinedActCodes ExternallyDefinedActCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16508 ActIncidentCode ActIncidentCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16535 ActProcedureCode ActProcedureCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16656 ActSuppliedItemDetectedIssueCode ActSuppliedItemDetectedIssueCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16657 AdministrationDetectedIssueCode AdministrationDetectedIssueCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16658 AppropriatenessDetectedIssueCode AppropriatenessDetectedIssueCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16659 InteractionDetectedIssueCode InteractionDetectedIssueCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16664 ObservationDetectedIssueCode ObservationDetectedIssueCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19733 ActPrivilegeCategorization ActPrivilegeCategorization masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16665 ConditionDetectedIssueCode ConditionDetectedIssueCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16669 AgeDetectedIssueCode AgeDetectedIssueCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16672 ReactionDetectedIssueCode ReactionDetectedIssueCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16676 RelatedReactionDetectedIssueCode RelatedReactionDetectedIssueCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16680 DosageProblemDetectedIssueCode DosageProblemDetectedIssueCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16681 DoseHighDetectedIssueCode DoseHighDetectedIssueCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16682 DoseLowDetectedIssueCode DoseLowDetectedIssueCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16683 DoseIntervalDetectedIssueCode DoseIntervalDetectedIssueCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16684 DoseDurationDetectedIssueCode DoseDurationDetectedIssueCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16685 DoseDurationLowDetectedIssueCode DoseDurationLowDetectedIssueCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16686 DoseDurationHighDetectedIssueCode DoseDurationHighDetectedIssueCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16687 ComplianceDetectedIssueCode ComplianceDetectedIssueCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16691 SupplyDetectedIssueCode SupplyDetectedIssueCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16695 ActDetectedIssueManagementCode ActDetectedIssueManagementCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16696 TherapyAppropriateManagementCode TherapyAppropriateManagementCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16700 ConsultedPrescriberManagementCode ConsultedPrescriberManagementCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16703 OtherActionTakenManagementCode OtherActionTakenManagementCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16709 SupplyAppropriateManagementCode SupplyAppropriateManagementCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16847 ActInpatientEncounterCode ActInpatientEncounterCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16857 ActControlVariable ActControlVariable masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17449 ActMedicalServiceCode ActMedicalServiceCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17472 ActAdjudicationResultActionCode ActAdjudicationResultActionCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17478 ActBillingArrangementCode ActBillingArrangementCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17487 ActCoverageConfirmationCode ActCoverageConfirmationCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17488 ActCoverageEligibilityConfirmationCode ActCoverageEligibilityConfirmationCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17491 ActCoverageAuthorizationConfirmationCode ActCoverageAuthorizationConfirmationCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17496 ActCoverageLimitCode ActCoverageLimitCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17522 ActInvoiceElementSummaryCode ActInvoiceElementSummaryCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17523 InvoiceElementSubmitted InvoiceElementSubmitted masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17530 InvoiceElementAdjudicated InvoiceElementAdjudicated masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17563 InvoiceElementPaid InvoiceElementPaid masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17590 ActInvoiceOverrideCode ActInvoiceOverrideCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17610 ActPaymentCode ActPaymentCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17616 ActAdjudicationCode ActAdjudicationCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17794 WeightAlert WeightAlert masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17795 HeightSurfaceAreaAlert HeightSurfaceAreaAlert masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17807 TherapeuticProductDetectedIssueCode TherapeuticProductDetectedIssueCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17814 ClinicalActionDetectedIssueCode ClinicalActionDetectedIssueCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17815 DrugActionDetectedIssueCode DrugActionDetectedIssueCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17816 TimingDetectedIssueCode TimingDetectedIssueCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17896 ActBoundedROICode ActBoundedROICode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17958 ActProductAcquisitionCode ActProductAcquisitionCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17959 Transfer Transfer masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17961 Loan Loan masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17963 x_ActFinancialProductAcquisitionCode x_ActFinancialProductAcquisitionCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17968 ActAdjudicationGroupCode ActAdjudicationGroupCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19254 DEADrugSchedule DEADrugSchedule masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19255 FDALabelData FDALabelData masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19321 ObservationSeriesType ObservationSeriesType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19322 ECGObservationSeriesType ECGObservationSeriesType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19325 ObservationSequenceType ObservationSequenceType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19328 ECGObservationSequenceType ECGObservationSequenceType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19329 AnnotationType AnnotationType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19330 ECGAnnotationType ECGAnnotationType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19331 ECGControlVariable ECGControlVariable masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19347 AdjudicatedWithAdjustments AdjudicatedWithAdjustments masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19350 ActInsurancePolicyCode ActInsurancePolicyCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19364 ActListCode ActListCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19369 ActMedicationList ActMedicationList masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19370 ActObservationList ActObservationList masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19383 ActAdjudicationInformationCode ActAdjudicationInformationCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19397 ActInvoiceElementCode ActInvoiceElementCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19398 ActInvoiceGroupCode ActInvoiceGroupCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19399 ActInvoiceRootGroupCode ActInvoiceRootGroupCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19400 ActInvoiceInterGroupCode ActInvoiceInterGroupCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19401 ActInvoiceDetailCode ActInvoiceDetailCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19402 ActInvoiceDetailDrugProductCode ActInvoiceDetailDrugProductCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19404 ActInvoiceDetailClinicalProductCode ActInvoiceDetailClinicalProductCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19405 ActInvoiceDetailClinicalServiceCode ActInvoiceDetailClinicalServiceCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19406 ActInvoiceDetailPreferredAccommodationCode ActInvoiceDetailPreferredAccommodationCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19407 ActInvoiceDetailGenericCode ActInvoiceDetailGenericCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19408 ActInvoiceDetailGenericProviderCode ActInvoiceDetailGenericProviderCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19409 ActInvoiceDetailTaxCode ActInvoiceDetailTaxCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19410 ActInvoiceDetailGenericModifierCode ActInvoiceDetailGenericModifierCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19411 ActInvoiceDetailGenericAdjudicatorCode ActInvoiceDetailGenericAdjudicatorCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19412 ActInvoiceAdjudicationPaymentCode ActInvoiceAdjudicationPaymentCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19413 ActInvoiceAdjudicationPaymentSummaryCode ActInvoiceAdjudicationPaymentSummaryCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19414 ActInvoiceAdjudicationPaymentGroupCode ActInvoiceAdjudicationPaymentGroupCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19415 x_ActInvoiceDetailPharmacyCode x_ActInvoiceDetailPharmacyCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19416 x_ActInvoiceDetailPreferredAccommodationCode x_ActInvoiceDetailPreferredAccommodationCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19427 HL7TriggerEventCode HL7TriggerEventCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19428 ActFinancialDetectedIssueCode ActFinancialDetectedIssueCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19429 ActAdministrativeDetectedIssueCode ActAdministrativeDetectedIssueCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19430 ActFinancialDetectedIssueManagementCode ActFinancialDetectedIssueManagementCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19431 ActAdministrativeDetectedIssueManagementCode ActAdministrativeDetectedIssueManagementCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19440 ActBillableTreatmentPlanCode ActBillableTreatmentPlanCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19586 ActOrderCode ActOrderCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19616 PrescriptionObservationType PrescriptionObservationType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19619 AuthorizationIssueManagementCode AuthorizationIssueManagementCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19620 ActAdministrativeAuthorizationDetectedIssueCode ActAdministrativeAuthorizationDetectedIssueCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19621 ActAdministrativeRuleDetectedIssueCode ActAdministrativeRuleDetectedIssueCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19622 IndividualCaseSafetyReportType IndividualCaseSafetyReportType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19642 ActDisciplinaryActionCode ActDisciplinaryActionCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19656 x_LabProcessCodes x_LabProcessCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19658 ActObservationVerificationCode ActObservationVerificationCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19659 ActInfoPersistCode ActInfoPersistCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19660 ActSpecimenLabelCode ActSpecimenLabelCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19661 ActSpecimenManifestCode ActSpecimenManifestCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19662 ActSpecimenAccessionCode ActSpecimenAccessionCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19663 ActSpecimenTransportCode ActSpecimenTransportCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19664 ActClassStorage ActClassStorage masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19669 ActInjuryCode ActInjuryCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19672 ActClaimAttachmentCode ActClaimAttachmentCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19673 ActInvoicePaymentCode ActInvoicePaymentCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19674 ActConditionList ActConditionList masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19698 ObservationAllergyTestType ObservationAllergyTestType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19703 ObservationIntoleranceType ObservationIntoleranceType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19704 ObservationAllergyType ObservationAllergyType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19705 ObservationDrugAllergyType ObservationDrugAllergyType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19734 ObservationIndicationType ObservationIndicationType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19738 ActTransportationModeCode ActTransportationModeCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19739 ActPatientTransportationModeCode ActPatientTransportationModeCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19740 Ambulance Ambulance masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19749 x_MedicationOrImmunization x_MedicationOrImmunization masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.12242 EncounterSpecialCourtesy EncounterSpecialCourtesy masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10882 EntityClass EntityClass masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10883 EntityClassMaterial EntityClassMaterial masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10884 EntityClassLivingSubject EntityClassLivingSubject masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10889 EntityClassOrganization EntityClassOrganization masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10892 EntityClassPlace EntityClassPlace masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11621 EntityClassNonPersonLivingSubject EntityClassNonPersonLivingSubject masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11622 EntityClassContainer EntityClassContainer masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11623 EntityClassDevice EntityClassDevice masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13922 EntityClassRoot EntityClassRoot masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13934 EntityClassManufacturedMaterial EntityClassManufacturedMaterial masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19455 State State masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19462 x_EntityClassDocumentReceiving x_EntityClassDocumentReceiving masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19463 x_EntityClassPersonOrOrgReceiving x_EntityClassPersonOrOrgReceiving masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13988 EntityHandling EntityHandling masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10659 PersonNamePartQualifier PersonNamePartQualifier masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10660 PersonNamePartChangeQualifier PersonNamePartChangeQualifier masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10666 PersonNamePartAffixTypes PersonNamePartAffixTypes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10671 PersonNamePartMiscQualifier PersonNamePartMiscQualifier masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15888 EntityNamePartQualifier EntityNamePartQualifier masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15889 OrganizationNamePartQualifier OrganizationNamePartQualifier masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10653 x_PersonNamePartType x_PersonNamePartType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15880 EntityNamePartType EntityNamePartType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15881 x_OrganizationNamePartType x_OrganizationNamePartType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15913 EntityNameUse EntityNameUse masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15914 OrganizationNameUse OrganizationNameUse masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17860 NameRepresentationUse NameRepresentationUse masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19611 EntityNameSearchUse EntityNameSearchUse masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.200 PersonNameUse PersonNameUse masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10405 EntityRisk EntityRisk masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10407 MaterialDangerInfectious MaterialDangerInfectious masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10412 MaterialDangerInflammable MaterialDangerInflammable masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10896 EquipmentAlertLevel EquipmentAlertLevel masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15836 Ethnicity Ethnicity masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15837 EthnicityHispanic EthnicityHispanic masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15838 EthnicityHispanicSpaniard EthnicityHispanicSpaniard masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15848 EthnicityHispanicMexican EthnicityHispanicMexican masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15854 EthnicityHispanicCentralAmerican EthnicityHispanicCentralAmerican masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15863 EthnicityHispanicSouthAmerican EthnicityHispanicSouthAmerican masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11523 GenderStatus GenderStatus masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10603 GeneralAcuteCareHospital GeneralAcuteCareHospital masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10604 RehabilitationHospital RehabilitationHospital masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13129 HealthcareProviderTaxonomyHIPAA HealthcareProviderTaxonomyHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13130 IndividualHealthcareProviderHIPAA IndividualHealthcareProviderHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13131 BehavioralHealthAndOrSocialServiceProviderHIPAA BehavioralHealthAndOrSocialServiceProviderHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13132 BehavioralHealthAndOrSocialServiceCounselorHIPAA BehavioralHealthAndOrSocialServiceCounselorHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13134 NursingServiceRelatedProviderTechnicianHIPAA NursingServiceRelatedProviderTechnicianHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13136 OtherServiceProviderHIPAA OtherServiceProviderHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13139 OtherServiceProviderContractorHIPAA OtherServiceProviderContractorHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13147 NeuropsychologistHIPAA NeuropsychologistHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13149 PsychoanalystHIPAA PsychoanalystHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13152 PsychologistHIPAA PsychologistHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13171 SocialWorkerHIPAA SocialWorkerHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13174 AbstractChiropractersHIPAA AbstractChiropractersHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13175 ChiropractersHIPAA ChiropractersHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13188 DentistHIPAA DentistHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13195 Prosthodontics Prosthodontics masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13197 DietaryAndOrNutritionalServiceProviderHIPAA DietaryAndOrNutritionalServiceProviderHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13198 DietaryManagerHIPAA DietaryManagerHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13201 RegisteredDieticianHIPAA RegisteredDieticianHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13205 NutritionistHIPAA NutritionistHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13207 EmergencyMedicalServiceProviderHIPAA EmergencyMedicalServiceProviderHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13211 EyeAndVisionServiceProviderHIPAA EyeAndVisionServiceProviderHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13212 OptometristHIPAA OptometristHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13219 EyeAndVisionServiceProviderTechnicianAndOrTechnologistHIPAA EyeAndVisionServiceProviderTechnicianAndOrTechnologistHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13229 NursingServiceProviderHIPAA NursingServiceProviderHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13232 RegisteredNurseHIPAA RegisteredNurseHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13289 NursingServiceRelatedProviderHIPAA NursingServiceRelatedProviderHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13347 OtherServiceProviderSpecialistHIPAA OtherServiceProviderSpecialistHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13352 VeterinarianHIPAA VeterinarianHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13354 PharmacyServiceProviderHIPAA PharmacyServiceProviderHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13355 PharmacistHIPAA PharmacistHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13361 PharmacyServiceProviderTechnicianHIPAA PharmacyServiceProviderTechnicianHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13363 PhysicianAssistantsAndOrAdvancedPracticeNursingProviderHIPAA PhysicianAssistantsAndOrAdvancedPracticeNursingProviderHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13364 ClinicalNurseSpecialistHIPAA ClinicalNurseSpecialistHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13402 NursePractitionerHIPAA NursePractitionerHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13422 PhysicianAssistantHIPAA PhysicianAssistantHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13425 PhysicianHIPAA PhysicianHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13426 PhysicianAndOrOsteopathHIPAA PhysicianAndOrOsteopathHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13578 OtherPhysicianProviderHIPAA OtherPhysicianProviderHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13579 OtherPhysicianOsteopathHIPAA OtherPhysicianOsteopathHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13582 PodiatricMedicineAndOrSurgeryServiceProviderHIPAA PodiatricMedicineAndOrSurgeryServiceProviderHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13584 PodiatristHIPAA PodiatristHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13592 RespiratoryAndOrRehabilitativeAndOrRestorativeProviderHIPAA RespiratoryAndOrRehabilitativeAndOrRestorativeProviderHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13598 OccupationalTherapistHIPAA OccupationalTherapistHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13609 PhysicalTherapistHIPAA PhysicalTherapistHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13625 RehabilitationCounselorHIPAA RehabilitationCounselorHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13629 RespiratoryTherapistHIPAA RespiratoryTherapistHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13631 RespiratoryAndOrRehabilitativeAndOrRestorativeSpecialistOrTechnologistHIPAA RespiratoryAndOrRehabilitativeAndOrRestorativeSpecialistOrTechnologistHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13634 SpeechAndOrLanguageAndOrHearingServiceProviderHIPAA SpeechAndOrLanguageAndOrHearingServiceProviderHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13635 AudiologistHIPAA AudiologistHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13637 Audiologist Audiologist masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13640 SpeechAndOrLanguageAndOrHearingServiceSpecialistOrTechnologistHIPAA SpeechAndOrLanguageAndOrHearingServiceSpecialistOrTechnologistHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13644 OtherTechnologistAndOrTechnicianHIPAA OtherTechnologistAndOrTechnicianHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13645 RadiologicTechnologistHIPAA RadiologicTechnologistHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13660 CardiologySpecialistOrTechnologistHIPAA CardiologySpecialistOrTechnologistHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13669 HealthInformationSpecialistOrTechnologistHIPAA HealthInformationSpecialistOrTechnologistHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13673 OtherTechnologistOrTechnicianHIPAA OtherTechnologistOrTechnicianHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13688 PathologySpecialistOrTechnologistHIPAA PathologySpecialistOrTechnologistHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13700 CardiologyTechnicianHIPAA CardiologyTechnicianHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13703 HealthInformationTechnicianHIPAA HealthInformationTechnicianHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13705 OtherTechnologistOrTechnicianProviderHIPAA OtherTechnologistOrTechnicianProviderHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13711 PathologyTechnicianHIPAA PathologyTechnicianHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13715 OrganizationalHealthcareProviderHIPAA OrganizationalHealthcareProviderHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13716 AbstractHealthcareProviderAgencyHIPAA AbstractHealthcareProviderAgencyHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13717 HealthcareProviderAgencyHIPAA HealthcareProviderAgencyHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13725 AmbulatoryHealthCareFacilityHIPAA AmbulatoryHealthCareFacilityHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13726 AmbulatoryClinicOrCenterHIPAA AmbulatoryClinicOrCenterHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13808 LaboratoryHIPAA LaboratoryHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13812 ManagedCareOrganizationHIPAA ManagedCareOrganizationHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13833 SupplierHIPAA SupplierHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13835 DurableMedicalEquipmentAndOrMedicalSupplySupplierHIPAA DurableMedicalEquipmentAndOrMedicalSupplySupplierHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13849 TransportationServiceHIPAA TransportationServiceHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13850 AmbulanceHIPAA AmbulanceHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16460 DentalServiceProviderHIPAA DentalServiceProviderHIPAA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10034 HL7CommitteeIDInRIM HL7CommitteeIDInRIM masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10010 HL7ConformanceInclusion HL7ConformanceInclusion masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10012 InclusionNotMandatory InclusionNotMandatory masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10015 InclusionNotRequired InclusionNotRequired masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10083 HL7DefinedRoseProperty HL7DefinedRoseProperty masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10018 HL7UpdateMode HL7UpdateMode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10024 SetUpdateMode SetUpdateMode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11017 HtmlLinkType HtmlLinkType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11527 actClass ActClass masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11529 ActClassObservation ActClassObservation masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11530 ActClassPublicHealthCase ActClassPublicHealthCase masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11534 ActClassControlAct ActClassControlAct masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11535 ActClassSupply ActClassSupply masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13856 ActClassRoot ActClassRoot masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.13948 ActClassClinicalDocument ActClassClinicalDocument masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14002 ActClassContract ActClassContract masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14003 ActClassFinancialContract ActClassFinancialContract masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17893 ActClassROI ActClassROI masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18875 ActClassObservationSeries ActClassObservationSeries masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.18938 ActClassDocument ActClassDocument masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19441 ActClassExtract ActClassExtract masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19442 ActClassComposition ActClassComposition masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19443 ActClassOrganizer ActClassOrganizer masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19444 ActClassEntry ActClassEntry masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19445 ActClassContainer ActClassContainer masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19580 ActClassCondition ActClassCondition masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19598 x_ActClassDocumentEntryOrganizer x_ActClassDocumentEntryOrganizer masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19599 x_ActClassDocumentEntryAct x_ActClassDocumentEntryAct masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19657 x_LabProcessClassCodes x_LabProcessClassCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19665 ActClassProcedure ActClassProcedure masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19666 ActClassSpecimenCollection ActClassSpecimenCollection masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.12249 LanguageAbilityMode LanguageAbilityMode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.12199 LanguageAbilityProficiency LanguageAbilityProficiency masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10189 Institution Institution masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.220 LivingArrangement LivingArrangement masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10975 LocalMarkupIgnore LocalMarkupIgnore masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10893 LocalRemoteControlState LocalRemoteControlState masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11052 MapRelationship MapRelationship masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16866 ActPriority ActPriority masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16871 ActPriorityCallback ActPriorityCallback masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19457 x_EncounterAdmissionUrgency x_EncounterAdmissionUrgency masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10444 MaterialType MaterialType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10045 MDFAttributeType MDFAttributeType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10076 MdfHmdMetSourceType MdfHmdMetSourceType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10069 MdfHmdRowType MdfHmdRowType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10063 MdfRmimRowType MdfRmimRowType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10029 MDFSubjectAreaPrefix MDFSubjectAreaPrefix masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14824 MediaType MediaType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14825 TextMediaType TextMediaType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14832 ApplicationMediaType ApplicationMediaType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14835 AudioMediaType AudioMediaType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14839 ImageMediaType ImageMediaType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14845 VideoMediaType VideoMediaType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14848 ModelMediaType ModelMediaType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14850 MultipartMediaType MultipartMediaType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19725 ActNoImmunizationReason ActNoImmunizationReason masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19726 ActSupplyFulfillmentRefusalReason ActSupplyFulfillmentRefusalReason masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19727 SubstanceAdminSubstitutionNotAllowedReason SubstanceAdminSubstitutionNotAllowedReason masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14878 ActReason ActReason masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14879 SchedulingActReason SchedulingActReason masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15983 TransferActReason TransferActReason masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.17425 ActAccommodationReason ActAccommodationReason masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19355 ActIneligibilityReason ActIneligibilityReason masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19377 SubstanceAdminSubstitutionReason SubstanceAdminSubstitutionReason masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19385 ActAdjudicationReason ActAdjudicationReason masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19388 ActBillableClinicalServiceReason ActBillableClinicalServiceReason masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19456 x_ActEncounterReason x_ActEncounterReason masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19636 ReasonForNotEvaluatingDevice ReasonForNotEvaluatingDevice masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19695 ControlActReason ControlActReason masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19696 ControlActReasonConditionNullify ControlActReasonConditionNullify masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19697 EligibilityActReasonCode EligibilityActReasonCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19741 CoverageEligibilityReason CoverageEligibilityReason masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19747 ReferralReasonCode ReferralReasonCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19748 NonPerformanceReasonCode NonPerformanceReasonCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.357 MessageCondition MessageCondition masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.395 ModifyIndicator ModifyIndicator masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10206 ObservationInterpretationNormality ObservationInterpretationNormality masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10208 ObservationInterpretationNormalityAbnormal ObservationInterpretationNormalityAbnormal masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10209 ObservationInterpretationNormalityLow ObservationInterpretationNormalityLow masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10210 ObservationInterpretationNormalityHigh ObservationInterpretationNormalityHigh masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10211 ObservationInterpretationNormalityAlert ObservationInterpretationNormalityAlert masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10214 ObservationInterpretationChange ObservationInterpretationChange masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10219 ObservationInterpretationSusceptibility ObservationInterpretationSusceptibility masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10225 ObservationInterpretationExceptions ObservationInterpretationExceptions masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.78 observationInterpretation ObservationInterpretation Russ Hamm masked Russ Hamm 734-677-7777 masked Vocab Harmonization HL7 Ann Arbor, MI 734-677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19716 VerificationMethod VerificationMethod masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14079 ObservationMethod ObservationMethod masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19378 DecisionObservationMethod DecisionObservationMethod masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19379 AlgorithmicDecisionObservationMethod AlgorithmicDecisionObservationMethod masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19380 x_AdverseEventCausalityAssessmentMethods x_AdverseEventCausalityAssessmentMethods masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19686 _0272 _0272 masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19687 _0275a _0275a masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19688 _0280 _0280 masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14411 OrderableDrugForm OrderableDrugForm masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14412 DispensableDrugForm DispensableDrugForm masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14413 Liquid Liquid masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14414 LiquidCleanser LiquidCleanser masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14417 OilDrugForm OilDrugForm masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14419 SolutionDrugForm SolutionDrugForm masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14420 DropsDrugForm DropsDrugForm masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14427 IrrigationSolution IrrigationSolution masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14431 OralSolution OralSolution masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14437 TopicalSolution TopicalSolution masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14441 LiquidSolidSuspension LiquidSolidSuspension masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14442 GelDrugForm GelDrugForm masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14449 VaginalGel VaginalGel masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14451 PasteDrugForm PasteDrugForm masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14454 SuspensionDrugForm SuspensionDrugForm masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14457 OralSuspension OralSuspension masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14458 ExtendedReleaseSuspension ExtendedReleaseSuspension masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14463 LiquidLiquidEmulsion LiquidLiquidEmulsion masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14464 LotionDrugForm LotionDrugForm masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14466 CreamDrugForm CreamDrugForm masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14473 VaginalCream VaginalCream masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14475 OintmentDrugForm OintmentDrugForm masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14482 VaginalOintment VaginalOintment masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14484 SolidDrugForm SolidDrugForm masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14485 BarDrugForm BarDrugForm masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14486 BarSoapDrugForm BarSoapDrugForm masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14497 PadDrugForm PadDrugForm masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14499 PatchDrugForm PatchDrugForm masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14500 TransdermalPatch TransdermalPatch masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14506 PillDrugForm PillDrugForm masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14507 CapsuleDrugForm CapsuleDrugForm masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14508 OralCapsule OralCapsule masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14509 EntericCoatedCapsule EntericCoatedCapsule masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14511 ExtendedReleaseCapsule ExtendedReleaseCapsule masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14515 TabletDrugForm TabletDrugForm masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14516 OralTablet OralTablet masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14518 BuccalTablet BuccalTablet masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14524 EntericCoatedTablet EntericCoatedTablet masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14526 ExtendedReleaseTablet ExtendedReleaseTablet masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14534 PowderDrugForm PowderDrugForm masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14535 TopicalPowder TopicalPowder masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14538 SuppositoryDrugForm SuppositoryDrugForm masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14542 SwabDrugForm SwabDrugForm masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14545 GasLiquidMixture GasLiquidMixture masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14546 FoamDrugForm FoamDrugForm masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14549 VaginalFoam VaginalFoam masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14551 AerosolDrugForm AerosolDrugForm masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14559 GasSolidSpray GasSolidSpray masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14560 InhalantDrugForm InhalantDrugForm masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14568 GasDrugForm GasDrugForm masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14570 AdministrableDrugForm AdministrableDrugForm masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10759 ParameterizedDataType ParameterizedDataType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10760 ParameterizedDataTypeType ParameterizedDataTypeType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10761 ParameterizedDataTypeSet ParameterizedDataTypeSet masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10762 ParameterizedDataTypeSequence ParameterizedDataTypeSequence masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10763 ParameterizedDataTypeBag ParameterizedDataTypeBag masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10764 ParameterizedDataTypeInterval ParameterizedDataTypeInterval masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10765 ParameterizedDataTypePeriodicInterval ParameterizedDataTypePeriodicInterval masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10766 ParameterizedDataTypeEventRelatedInterval ParameterizedDataTypeEventRelatedInterval masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10767 ParameterizedDataTypeAnnotated ParameterizedDataTypeAnnotated masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10768 ParameterizedDataTypeHistorical ParameterizedDataTypeHistorical masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10769 ParameterizedDataTypeUncertainValueNarrative ParameterizedDataTypeUncertainValueNarrative masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10770 ParameterizedDataTypeUncertainValueProbabilistic ParameterizedDataTypeUncertainValueProbabilistic masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10771 ParameterizedDataTypeNonParametricProbabilityDistribution ParameterizedDataTypeNonParametricProbabilityDistribution masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10772 ParameterizedDataTypeParametricProbabilityDistribution ParameterizedDataTypeParametricProbabilityDistribution masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10267 ParticipationFunction ParticipationFunction masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10282 ParticipationSignature ParticipationSignature masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10684 CalendarCycle CalendarCycle masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10685 CalendarCycleTwoLetter CalendarCycleTwoLetter masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10701 CalendarCycleOneLetter CalendarCycleOneLetter masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10758 GregorianCalendarCycle GregorianCalendarCycle masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10247 ParticipationAncillary ParticipationAncillary masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10248 ParticipationPhysicalPerformer ParticipationPhysicalPerformer masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10251 ParticipationInformationGenerator ParticipationInformationGenerator masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10259 ParticipationVerifier ParticipationVerifier masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10263 ParticipationInformationRecipient ParticipationInformationRecipient masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10286 ParticipationTargetDirect ParticipationTargetDirect masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10298 ParticipationTargetDevice ParticipationTargetDevice masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10302 ParticipationTargetLocation ParticipationTargetLocation masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10901 ParticipationType ParticipationType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16764 x_EncounterPerformerParticipation x_EncounterPerformerParticipation masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19032 ParticipationIndirectTarget ParticipationIndirectTarget masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19080 x_ParticipationAuthorPerformer x_ParticipationAuthorPerformer masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19083 x_ParticipationVrfRespSprfWit x_ParticipationVrfRespSprfWit masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19366 x_InformationRecipient x_InformationRecipient masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19584 ParticipationTargetSubject ParticipationTargetSubject masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19588 x_ParticipationEntVrf x_ParticipationEntVrf masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19589 x_ParticipationPrfEntVrf x_ParticipationPrfEntVrf masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19600 x_EncounterParticipant x_EncounterParticipant masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19601 x_ServiceEventPerformer x_ServiceEventPerformer masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19676 ParticipationInformationTranscriber ParticipationInformationTranscriber masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19690 PART PART masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.14908 PaymentTerms PaymentTerms masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10186 MobilityImpaired MobilityImpaired masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.295 PersonDisabilityType PersonDisabilityType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19731 ActMedicationDocumentCode ActMedicationDocumentCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10870 DocumentType DocumentType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.10871 DocumentSectionType DocumentSectionType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16492 LogicalObservationIdentifierNamesAndCodes LogicalObservationIdentifierNamesAndCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19465 nuccProviderCodes NUCC Provider Codes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2009/09/15 12:00:00 UV 2.16.840.1.113883.11.19466 NursingServiceProvidersProviderCodes NursingServiceProvidersProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19467 RegisteredNurseProviderCodes RegisteredNurseProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19468 RespiratoryRehabilitativeandRestorativeServiceProvidersProviderCodes RespiratoryRehabilitativeandRestorativeServiceProvidersProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19469 OccupationalTherapistProviderCodes OccupationalTherapistProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19470 PhysicalTherapistProviderCodes PhysicalTherapistProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19471 RehabilitationCounselorProviderCodes RehabilitationCounselorProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19472 RespiratoryTherapistCertifiedProviderCodes RespiratoryTherapistCertifiedProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19473 RespiratoryTherapistRegisteredProviderCodes RespiratoryTherapistRegisteredProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19474 SpecialistTechnologistProviderCodes SpecialistTechnologistProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19475 NursingServiceRelatedProvidersProviderCodes NursingServiceRelatedProvidersProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19476 TechnicianProviderCodes TechnicianProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19477 PharmacyServiceProvidersProviderCodes PharmacyServiceProvidersProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19478 PharmacistProviderCodes PharmacistProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19479 TechnologistTechnicianandOtherTechnicalServiceProvidersProviderCodes TechnologistTechnicianandOtherTechnicalServiceProvidersProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19480 SpecialistTechnologistPathologyProviderCodes SpecialistTechnologistPathologyProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19481 TechnicianHealthInformationProviderCodes TechnicianHealthInformationProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19482 TechnicianOtherProviderCodes TechnicianOtherProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19483 TechnicianPathologyProviderCodes TechnicianPathologyProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19484 RadiologicTechnologistProviderCodes RadiologicTechnologistProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19485 SpecialistTechnologistCardiovascularProviderCodes SpecialistTechnologistCardiovascularProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19486 SpecialistTechnologistHealthInformationProviderCodes SpecialistTechnologistHealthInformationProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19487 SpecialistTechnologistOtherProviderCodes SpecialistTechnologistOtherProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19488 BehavioralHealthandSocialServiceProvidersProviderCodes BehavioralHealthandSocialServiceProvidersProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19489 SocialWorkerProviderCodes SocialWorkerProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19490 CounselorProviderCodes CounselorProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19491 NeuropsychologistProviderCodes NeuropsychologistProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19492 PsychologistProviderCodes PsychologistProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19493 PhysicianAssistantsandAdvancedPracticeNursingProvidersProviderCodes PhysicianAssistantsandAdvancedPracticeNursingProvidersProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19494 ClinicalNurseSpecialistProviderCodes ClinicalNurseSpecialistProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19495 NursePractitionerProviderCodes NursePractitionerProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19496 PhysicianAssistantProviderCodes PhysicianAssistantProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19497 AmbulatoryHealthCareFacilitiesProviderCodes AmbulatoryHealthCareFacilitiesProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19498 Clinic/CenterProviderCodes Clinic/CenterProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19499 DietaryandNutritionalServiceProvidersProviderCodes DietaryandNutritionalServiceProvidersProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19500 DietitianRegisteredProviderCodes DietitianRegisteredProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19501 NutritionistProviderCodes NutritionistProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19502 HospitalUnitsProviderCodes HospitalUnitsProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19503 RespiteCareFacilityProviderCodes RespiteCareFacilityProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19504 SuppliersProviderCodes SuppliersProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19505 DurableMedicalEquipmentandMedicalSuppliesProviderCodes DurableMedicalEquipmentandMedicalSuppliesProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19506 HospitalsProviderCodes HospitalsProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19507 ChronicDiseaseHospitalProviderCodes ChronicDiseaseHospitalProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19508 GeneralAcuteCareHospitalProviderCodes GeneralAcuteCareHospitalProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19509 MilitaryHospitalProviderCodes MilitaryHospitalProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19510 RehabilitationHospitalProviderCodes RehabilitationHospitalProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19511 LaboratoriesProviderCodes LaboratoriesProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19512 ResidentialTreatmentFacilitiesProviderCodes ResidentialTreatmentFacilitiesProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19513 AllopathicandOsteopathicPhysiciansProviderCodes AllopathicandOsteopathicPhysiciansProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19514 AllergyandImmunologyProviderCodes AllergyandImmunologyProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19515 AnesthesiologyProviderCodes AnesthesiologyProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19516 DermatologyProviderCodes DermatologyProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19517 EmergencyMedicineProviderCodes EmergencyMedicineProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19518 FamilyPracticeProviderCodes FamilyPracticeProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19519 InternalMedicineProviderCodes InternalMedicineProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19520 MedicalGeneticsProviderCodes MedicalGeneticsProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19521 NuclearMedicineProviderCodes NuclearMedicineProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19522 ObstetricsGynecologyProviderCodes ObstetricsGynecologyProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19523 OrthopaedicSurgeryProviderCodes OrthopaedicSurgeryProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19524 OtolaryngologyProviderCodes OtolaryngologyProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19525 PainMedicineProviderCodes PainMedicineProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19526 PathologyProviderCodes PathologyProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19527 PediatricsProviderCodes PediatricsProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19528 PhysicalMedicineandRehabilitationProviderCodes PhysicalMedicineandRehabilitationProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19529 PlasticSurgeryProviderCodes PlasticSurgeryProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19530 PreventiveMedicineProviderCodes PreventiveMedicineProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19531 PsychiatryandNeurologyProviderCodes PsychiatryandNeurologyProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19532 RadiologyProviderCodes RadiologyProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19533 SurgeryProviderCodes SurgeryProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19534 DentalProvidersProviderCodes DentalProvidersProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19535 DentistProviderCodes DentistProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19536 ManagedCareOrganizationsProviderCodes ManagedCareOrganizationsProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19537 PodiatricMedicineandSurgeryProvidersProviderCodes PodiatricMedicineandSurgeryProvidersProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19538 PodiatristProviderCodes PodiatristProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19539 EmergencyMedicalServiceProvidersProviderCodes EmergencyMedicalServiceProvidersProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19540 NursingandCustodialCareFacilitiesProviderCodes NursingandCustodialCareFacilitiesProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19541 OtherServiceProvidersProviderCodes OtherServiceProvidersProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19542 ContractorProviderCodes ContractorProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19543 SpecialistProviderCodes SpecialistProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19544 VeterinarianProviderCodes VeterinarianProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19545 TransportationServicesProviderCodes TransportationServicesProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19546 AmbulanceProviderCodes AmbulanceProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19547 AgenciesProviderCodes AgenciesProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19548 SpeechLanguageandHearingProvidersProviderCodes SpeechLanguageandHearingProvidersProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19549 AudiologistProviderCodes AudiologistProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19550 Specialist/TechnologistProviderCodes Specialist/TechnologistProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19551 EyeandVisionServiceProvidersProviderCodes EyeandVisionServiceProvidersProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19552 OptometristProviderCodes OptometristProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19553 TechnicianTechnologistProviderCodes TechnicianTechnologistProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19554 ChiropracticProvidersProviderCodes ChiropracticProvidersProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19555 ChiropractorProviderCodes ChiropractorProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19556 GroupProviderCodes GroupProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19557 AssistedLivingFacilityProviderCodes AssistedLivingFacilityProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19558 CustodialCareFacilityProviderCodes CustodialCareFacilityProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19559 SkilledNursingFacilityProviderCodes SkilledNursingFacilityProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19560 SubstanceAbuseDisorderRehabilitationFacilityProviderCodes SubstanceAbuseDisorderRehabilitationFacilityProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19561 RespiteCareProviderCodes RespiteCareProviderCodes masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.11526 HumanLanguage HumanLanguage masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19357 ProductEntityType ProductEntityType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19394 HealthCareCommonProcedureCodingSystem HealthCareCommonProcedureCodingSystem masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19432 CanadianActInvoiceDetailClinicalProductCode CanadianActInvoiceDetailClinicalProductCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19435 CanadianProductEntityType CanadianProductEntityType masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15931 DiagnosisICD9CM DiagnosisICD9CM masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15929 MaritalStatusUB92 MaritalStatusUB92 masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.15930 EmploymentStatusUB92 EmploymentStatusUB92 masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19453 USEncounterDischargeDisposition USEncounterDischargeDisposition masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19454 USEncounterReferralSource USEncounterReferralSource masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19334 ECGLeadTypeMDC ECGLeadTypeMDC masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19335 ECGAnnotationTypeMDC ECGAnnotationTypeMDC masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19336 ECGControlVariableMDC ECGControlVariableMDC masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19337 ECGBeatTypeMDC ECGBeatTypeMDC masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19338 ECGWaveComponentTypeMDC ECGWaveComponentTypeMDC masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19339 ECGRhythmTypeMDC ECGRhythmTypeMDC masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19340 ECGNoiseTypeMDC ECGNoiseTypeMDC masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19341 ECGContourObservationTypeMDC ECGContourObservationTypeMDC masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.16039 IndustryClassificationSystem IndustryClassificationSystem masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19298 OrganizationIndustryClassNAICS OrganizationIndustryClassNAICS masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19348 ActInjuryCodeCSA ActInjuryCodeCSA masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19437 CanadianWorkInjuryOrDiseaseCode CanadianWorkInjuryOrDiseaseCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19439 CanadianActInjurySite CanadianActInjurySite masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19349 ActProcedureCodeCCI ActProcedureCodeCCI masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19433 CanadianActProcedureCode CanadianActProcedureCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19434 CanadianActInvoiceDetailClinicalServiceCode CanadianActInvoiceDetailClinicalServiceCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.11.19436 CanadianDiagnosisCode CanadianDiagnosisCode masked masked HL7 http://www.hl7.org SDO 2.16.840.1.113883 INT 11 Complete 2.16.840.1.113883 2005/10/12 12:00:00 2005/10/12 12:00:00 UV 2.16.840.1.113883.6.235 csaid CSAID Donald Kroetsch masked masked Canadian Standards Association (CSA) 5060 Spectrum Way Mississauga, Ontario Canada L4W 5N6 (416) 747-4000 Govt body Int 6 Complete 2002/03/12 12:00:00 2009/11/03 12:00:00 UV 2.16.840.1.113883.6.238 cdcrec CDC Race and Ethnicity Code System Sundak Ganesan masked Jenny Couse 3014584049 masked Health Scientist-Informatics Centers for Disease Control and Prevention 1600 Clifton Road Atlanta, GA 30329-4027 USA 800-232-4636 (800-CDC-INFO) PHINVS@cdc.gov http://phinvads.cdc.gov Govt body Pxy 6 Complete 2.16.840.1.114222 2005/08/15 12:00:00 2005/10/12 12:00:00 2024/01/25 08:32:23 US 2.16.840.1.113883.3.58 MediNotes Davin Hills masked Davin Hills 515-327-8850 x250 masked Vice President MediNotes Corporation 1025 Ashworth Suite 222 515-327-8850 davin@medinotes.com http://www.medinotes.com Vendor INT 3 Complete 2005/10/25 12:00:00 2006/01/28 12:00:00 UV 2.16.840.1.113883.3.59 olis Ontario Laboratories Information System (OLIS) Alex McLellan masked Alex McLellan 415 Yonge St., Suite 1100, Toronto, Ontario, Canada, M5B 2E7 416 314 2480 masked Business Analyst Ontario Laboratories Information System Project,Ontario Laboratories Information System Project 415 Yonge St., Suite 1100, Toronto, Ontario, Canada, M5B 2E7 416 314 2258 olis@ssha.ca Govt body Int 3 Complete 2005/11/02 12:00:00 2010/01/28 12:00:00 2006/01/28 12:00:00 UV 2.16.840.1.113883.19.6.1 specialArrangement Special Arrangement Russell Hamm masked Woody Beeler Russell Hamm 507 284-9348 masked Vocabulary Toolsmith Int 5 Complete 2005/11/09 12:00:00 2005/11/09 12:00:00 UV 2.16.840.1.113883.3.60 Healthphone Healthphone masked Healthphone 57 Symonds St, Auckland, NZ 3778341 masked Development Manager INT 3 Complete 2005/11/17 12:00:00 2006/01/28 12:00:00 UV 2.16.840.1.113883.19.7.1 Artefact Type: HL7 V3 Message Doug Pratt masked Doug Pratt 610-219-3050 masked InM TC Co-chair InM TC HL7 body Int 5 Rejected 2005/11/18 12:00:00 2009/12/28 12:00:00 2009/12/28 06:26:02 UV 2.16.840.1.113883.19.8.1 Artefact Type: HL7 V2 Message Doug Pratt masked Doug Pratt 610-219-3050 masked InM Tech Committee HL7 body Int 5 Rejected 2005/11/18 12:00:00 2009/12/28 12:00:00 2009/12/28 06:24:56 UV 2.16.840.1.113883.19.9.1 Artefact Type: CDA Document Doug Pratt masked Doug Pratt 610-219-3050 masked InM Tech Committee HL7 body Int 5 Rejected 2005/11/18 12:00:00 2009/12/28 12:00:00 2009/12/28 06:26:54 UV 2.16.840.1.113883.6.236 ccc Clinical Care Classification System Suzanne Bakken masked Virginia K. Saba 2332 South Queen Street Arlington, VA 22202 703-521-6132 masked Presodent & CEO SabaCare Inc. Virginia K. Saba vsaba@att.net http://www.sabacare.com/ Academic Int 6 Complete 2005/07/15 12:00:00 2005/11/20 12:00:00 2011/09/30 02:01:44 UV 2.16.840.1.113883.12.519 Override reason W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.521 Override code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.523 Computation type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.524 Sequence condition W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.525 Privilege W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.526 Privilege class W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.527 Calendar alignment W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.528 Event related period W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.529 Precision W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.530 Organization, agency, department W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.531 Institution W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.532 Expanded yes/no indicator W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.533 Application error code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.534 Notify Clergy Code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.535 Signature Code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.536 Certificate Status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.537 Institution W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.538 Institution Relationship Type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.539 Cost Center Code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.540 Inactive Reason Code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.545 Language Translated To W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.547 Jurisdictional Breadth W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.548 Signatory_s Relationship to Subject W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.549 NDC Codes W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.550 Body Parts W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.552 Advanced beneficiary notice override reason W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.475 Charge Type Reason W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.476 Medically Necessary Duplicate Procedure Reason for suggested values. User-define W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.477 Controlled Substance Schedule* W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.478 Formulary Status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.479 Pharmaceutical Substances W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.480 Pharmacy Order Types W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.482 Order Type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.483 Authorization Mode W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.484 Dispense Type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.485 Extended Priority Codes W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.495 Body Site Modifier W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.496 Consent Type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.497 Consent Mode W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.498 Consent Status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.499 Consent Bypass Reason W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.500 Consent Disclosure Level W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.501 Consent Non-Disclosure Reason W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.502 Non-Subject Consenter Reason W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.503 Sequence/Results Flag W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.504 Sequence Condition Code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.505 Cyclic Entry/Exit Indicator W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.506 Service Request Relationship W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.507 Observation Result Handling W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.508 Blood Product Processing Requirements W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.509 Indication For Use W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.510 Blood Product Dispense Status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.511 BP Observation Status Codes Interpretation W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.512 Commercial Product W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.513 Blood Product Transfusion/Disposition Status W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.514 Transfusion Adverse Reaction W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.515 Transfusion Interrupted Reason W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.516 Error severity W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.517 Inform person code W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.12.518 Override type W. Ted Klein masked masked HL7 Body Int 12 Complete 2.16.840.1.113883 2005/11/20 12:00:00 2005/11/20 12:00:00 2005/11/20 10:47:03 UV 2.16.840.1.113883.2.11 hl7-LT HL7 Lithuania OID Root HL7 Lithuania masked Vytenis Punys +003 7037451577 masked HL7 body 2.16.840.1.113883 INT 2 Complete 2.16.840.1.113883 2005/11/28 12:00:00 2005/11/28 12:00:00 2005/11/28 12:00:00 UV 2.16.840.1.113894 ORCL Tom Oniki masked Ganesh Singh # 9, Hosur Rd, Prestige Blue chip, Block I, Level I, Bangalore: 560029 91 80 4108 3050 masked Senior Product Manager Oracle Corporation,Oracle Corporation 500 Oracle Parkway, Redwood Shores, CA 94065 91 80 4108 3000 Vendor 2.16.840.1.113894 Ext 4 Edited 2.16.840.1.113894 2005/12/06 12:00:00 2007/03/28 02:09:50 UV 2.16.840.1.113883.3.61 OntoReason Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane 916-797-1208 masked Cecil Lynch Cecil Lynch 6500 Countrywoods Lane 916-797-1208 clynch@surewest.net INT 3 Complete 2005/12/06 12:00:00 2006/01/28 12:00:00 UV 2.16.840.1.113883.3.62 medecision Medecision Edward Smolen masked Mary Boyle Jennifer Escarge 550 E Swedesford Rd Ste. 220 Wayne, PA 19087 6105400202 masked Senior Product Analyst Medecision, INC 550 E Swedesford Rd Ste. 220 Wayne, PA 19087 610-540-0202 jennifer.escarge@medecision.com https://medecision.com/ Vendor INT 3 Complete 2005/12/08 12:00:00 2021/03/26 04:48:57 UV 2.16.840.1.113883.3.64 MedicalKnowledge ClinicalDocument Author Medical Knowledge Inc. masked Mike Rainey 312-376-8118 masked INT 3 Complete 2005/12/09 12:00:00 2006/01/28 12:00:00 UV 2.16.840.1.113883.3.52 Nellcor Mark Shafarman masked Scott Amundson Scott Amundson Tyco/Nellcor Healthcare, 4280 Hacienda Drive, Pleasanton CA 94588 1-925-463-4738 masked Software Group Leader Corydon "C.A." Hinton Tyco/Nellcor Healthcare, 4280 Hacienda Drive, Pleasanton CA 94588 1-925-463-4607 corydon.hinton@tycohealthcare.com http://www.nellcor.com Vendor INT 3 Complete 2005/12/12 12:00:00 2005/12/12 12:00:00 UV 2.16.840.1.113883.3.63 SantecSolutions Dipak Kumar Roy masked Dipak Kumar Roy Santec Solutions, 250 lloyds road, Royapettah, Chennai, TN, India 044 4221 0000 masked Business Analyst Santec Solutions Santec Solutions, 250 lloyds road, Royapettah, Chennai, TN, India 044 4221 0000 info@santecsolutions.com http://www.santecsolutions.com/ Vendor INT 3 Complete 2005/12/16 12:00:00 2006/01/28 12:00:00 UV 2.16.840.1.113883.3.53 Exodus Exodus Software masked Richard Boyd 5 Northumberland Ave, Dun Laoghaire Co Dublin, Ireland +353 1 2802535 masked Exodus Software Ltd 5 Northumberland Ave, Dun Laoghaire Co Dublin, Ireland rboyd@exodus.ie http://www.exodus.ie Vendor INT 3 Complete 2005/12/20 12:00:00 2005/12/20 12:00:00 UV 2.16.840.1.113883.3.54 Tropical Medical Bureau Tropical Medical Bureau masked Richard Boyd 5 Northumberland Ave, Dun Laoghaire, Co Dublin, Ireland +353 1 2804996 masked Tropical Medical Bureau 5 Northumberland Ave, Dun Laoghaire, Co Dublin, Ireland +353 1 2804996 richard.boyd@tmb.ie http://www.tmb.ie Provider INT 3 Complete 2005/12/20 12:00:00 2005/12/20 12:00:00 UV 2.16.840.1.113883.6.239 CDA_RUS CDA_RUS Emelin masked Emelin +7(495)202-2630 masked General Research Computer Center INT 6 Complete 2005/12/28 12:00:00 2005/12/28 12:00:00 UV 2.16.840.1.113883.3.55 nodalia NODALIA Solutions OID Root Alberto S&#225;ez masked Alvaro Dominguez &#193;lvaro Dom&#237;nguez C/ Garc&#237;a Morato N&#186; 27 47007 VALLADOLID SPAIN 034 983228222 masked Interface Analyst CINNTES. CENTRO DE INNOVACI&#211;N EN TECNOLOG&#205;AS SANITARIAS,CINNTES. CENTRO DE INNOVACI&#211;N EN TECNOLOG&#205;AS C/ Garc&#237;a Morato N&#186; 31 47007 VALLADOLID SPAIN 034 983228222 alvaro.dominguez@nodalia.es http://www.nodalia.es Provider Int 3 Complete 2006/01/10 12:00:00 2009/10/15 12:00:00 2009/10/15 08:50:54 UV 2.16.840.1.113883.3.56 cloverleaf Cloverleaf interface engine Renard Currie masked Renard Currie 15301 Dallas Parkway Suite 900 Addison, TX 75001 469-855-6403 masked VP, Product Management Renard Currie 15301 Dallas Parkway Suite 900 Addison, TX 75001 469-855-6403 rey.currie@quovadx.com http://www.healthvision.com/ Vendor Int 3 Complete 2006/01/17 12:00:00 2009/10/15 12:00:00 2009/10/15 09:21:05 UV 2.16.840.1.113883.3.68 chuTivoli CHUTivoli CHU Tivoli masked Etienne Stanus 34 Avenue Max Buset, B7100 La Louviere, Belgium 3264276509 masked Head of Informatic Dept Centre Hospitalier Universitaire du Tivoli 34 Avenue Max Buset B7100 La Louviere Belgium 3264276509 direction.informatique@chu-tivoli.be http://www.chu-tivoli.be Int 3 Complete 2006/01/21 12:00:00 2012/06/30 12:00:00 2012/06/30 09:02:53 UV 2.16.840.1.113883.3.67 telligen Telligen Christopher Pound masked Chad Bennett 515-267-6298 masked Director, Product Development Telligen 1776 West Lakes Parkway, West Des Moines, Iowa, 50266 1.800.383.2856 information@telligen.org http://www.telligen.org Govt body Int 3 Complete 2006/01/23 12:00:00 2012/06/30 12:00:00 2012/06/30 08:50:52 UV 2.16.840.1.113883.6.240 US_COC US Census Occupation Code Ted Klein masked masked US Census Bureau U.S. Census Bureau # 4700 Silver Hill Road # Washington DC 20233-0001 240-420-6020 http://www.census.gov Govt body Pxy 6 Complete 2005/01/26 12:00:00 2005/01/26 12:00:00 UV 2.16.840.1.113883.5.1101 HL7Domains HL7 Domains Ted Klein masked masked Health Level Seven http://www.hl7.org SDO INT 5 Complete 2.16.840.1.113883 2006/01/30 12:00:00 2006/01/30 12:00:00 2006/01/30 12:00:00 UV 2.16.840.1.113883.3.26.1.5 nciVersionOfNDF-RT NCI Version of NDF-RT Frank Hartel masked Margaret Haber Robinette Renner Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5089 masked Program Director for Semantic Infrastructure National Cancer Institute, Center for Biomedical Informatics and Information Technology Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5541 nciappsupport@nih.gov https://datascience.cancer.gov/ Govt body 2.16.840.1.113883.3.26 Ext 6 Complete 2.16.840.1.113883.3.26.1.5 2006/02/06 12:00:00 2009/10/14 12:00:00 2023/07/11 11:10:36 UV 2.16.840.1.113883.11.12.19436 comsats Saira Ilyas masked Saira Ilyas 5118014 masked Int 11 Rejected 2006/02/25 12:00:00 2009/12/28 12:00:00 2009/12/28 06:38:18 UV 2.16.840.1.113883.2.12 CIIT Adnan masked Aden 5110814 masked INT 2 Rejected 2006/03/05 12:00:00 2006/03/05 12:00:00 UV 2.16.840.1.113883.5.1102 opinions Online Product Identification Number Index of Nova Scotia Russell Hamm masked Infoway Standards Collaborative - SCWG 6 150 King Street West, Suite 1300 Toronto, Ontario M5H 1J9 1-877-595-3417 masked SCWG 6 is responsible for registration and maintenance of code system OIDs used in Canada Atlantic Pharmaceutical Services Inc. 1470 Dresden Row, Halifax, NS B3J 3T5, Canada +1-902-422-9583 lloyd@lmckenzie.com http://www.atlanticpharmaceutical.ca Vendor Int 5 Complete 2006/03/25 12:00:00 2008/12/15 12:00:00 2006/03/25 12:00:00 UV 2.16.840.1.113883.5.1103 hc-AIC Active Ingredient Code Russell Hamm masked Lloyd McKenzie Infoway Standards Collaborative - SCWG 6 150 King Street West, Suite 1300 Toronto, Ontario M5H 1J9 1-877-595-3417 masked SCWG 6 is responsible for registration and maintenance of code system OIDs used in Canada Health Canada Therapeutic Products Directorate Health Products and Food Branch Address Locator: 3106B Ottawa, Ontario K1A 0K9 (613) 957-0368; Fax: (613) 952-7756 hc.DIN.sc@canada.ca http://www.hc-sc.gc.ca/index-eng.php Govt body Int 6 Complete 2006/03/25 12:00:00 2008/12/15 12:00:00 2020/11/17 09:28:20 UV 2.16.840.1.113883.5.1104 hc-AIGC Active Ingredient Group Code Russell Hamm masked Lloyd McKenzie Infoway Standards Collaborative - SCWG 6 150 King Street West, Suite 1300 Toronto, Ontario M5H 1J9 1-877-595-3417 masked SCWG 6 is responsible for registration and maintenance of code system OIDs used in Canada Health Canada Therapeutic Products Directorate Health Products and Food Branch Address Locator: 3106B Ottawa, Ontario K1A 0K9 (613) 957-0368; Fax: (613) 952-7756 hc.DIN.sc@canada.ca http://www.hc-sc.gc.ca/index-eng.php Govt body Int 6 Complete 2006/03/25 12:00:00 2008/12/15 12:00:00 2020/11/17 09:29:56 UV 2.16.840.1.113883.5.1106 hc-AIGN Active Ingredient Group Number Russell Hamm masked Lloyd McKenzie Infoway Standards Collaborative - SCWG 6 150 King Street West, Suite 1300 Toronto, Ontario M5H 1J9 1-877-595-3417 masked SCWG 6 is responsible for registration and maintenance of code system OIDs used in Canada Health Canada Therapeutic Products Directorate Health Products and Food Branch Address Locator: 3106B Ottawa, Ontario K1A 0K9 (613) 957-0368; Fax: (613) 952-7756 hc.DIN.sc@canada.ca http://www.hc-sc.gc.ca/index-eng.php Govt body Int 6 Complete 2006/03/25 12:00:00 2008/12/15 12:00:00 2020/11/17 09:32:37 UV 2.16.840.1.113883.5.1108 encode-FM Electronic Nomenclature and Classification Of Disorders and Encounters for Family Medicine Russell Hamm masked Lloyd McKenzie Russell Hamm masked INSITE Family Medicine Inc. insite@insite-fm.com http://www.insite-fm.com/ Vendor Int 6 Complete 2006/03/25 12:00:00 2009/12/28 12:00:00 2009/12/28 06:47:12 UV 2.16.840.1.113883.3.69 CUMC Stephen Johnson masked Stephen Johnson 212-305-1858 masked professor Columbia University Medicial Center http://www.hs.columbia.edu/ Academic INT 3 Complete 2006/03/31 12:00:00 2006/03/31 12:00:00 UV 2.16.840.1.113883.3.70 carrera-group Carrera Group, Inc. XPress Technologies masked Angelo Kastroulis 904.382.8351 masked Carrera Group, Inc. 11 Fairway Lane, Jacksonville Beach, FL 32250 hello@carrera.io http://www.carrera.io Vendor INT 3 Complete 2006/04/05 12:00:00 2024/01/15 12:12:09 UV 2.16.840.1.113883.3.71 IBSALUT otic (ibsalut) masked Antoni Sanchez Magraner +34 971 429303 masked Govt body INT 3 Complete 2006/04/07 12:00:00 2006/04/07 12:00:00 UV 2.16.840.1.113883.3.72 nistHealthcare NIST Healthcare Project root Len Gallagher masked Len Gallagher NIST, 100 Bureau Drive Stop 8970, Gaithersburg, MD 20899 +1-301-975-3251 masked National Institute of Standards and Technology Healthcare Project http://www.nist.gov/div897/ Govt body Int 3 Complete 2006/04/13 12:00:00 2009/12/30 12:00:00 2009/12/30 04:05:48 UV 2.16.840.1.113883.3.73 unmC UNMC James Campbell masked James McClay James Campbell 983331 Nebraska Medical Center 402-559-7299 masked Chief Medical Information Officer University of Nebraska Medical Center,University of Nebraska Medical Center campbell@unmc.edu http://info.unmc.edu Academic Int 3 Complete 2006/04/13 12:00:00 2006/04/13 12:00:00 UV 2.16.840.1.113883.3.74 accentureNHINPrototype Accenture NHIN Prototype Julie Carson masked Julie Carson 11951 Freedom Drive, Reston, VA 20190 (703) 994-2294 masked Medical Terminology Consultant Accenture 11951 Freedom Drive, Reston, VA 20190 (703) 994-2294 julie.a.carson@accenture.com http://www.accenture.com/ Vendor Int 3 Complete 2006/04/14 12:00:00 2010/11/16 12:00:00 2010/11/16 04:31:38 UV 2.16.840.1.113883.3.75 Tolven John Churin masked John Churin 707-738-7266 masked Chief Technology Officer Tolven Inc,Tolven Inc info@tolvenhealth.com http://www.tolvenhealth.com Vendor INT 3 Complete 2006/04/21 12:00:00 2006/04/21 12:00:00 UV 2.16.840.1.113883.3.76 Ochsner Mark Neill masked Mark Neill (504) 842-5708 masked Ochsner Health System,Ochsner Health System Provider INT 3 Complete 2006/04/26 12:00:00 2006/04/26 12:00:00 UV 2.16.840.1.113883.3.77 ghs LHIE General Health Systems Root Catherine Sherwood masked Catherine Sherwood 3434 N. Boulevard Baton Rouge, LA 810-577-3608 masked Director, Inegration Technology General Health Systems 3434 N. Boulevard Baton Rouge LA 70806 810-577-3608 catherine.sherwood@phns.com http://www.dhh.louisiana.gov/offices/?ID=313 Provider Int 3 Complete 2006/05/22 12:00:00 2009/12/28 12:00:00 2010/07/07 04:25:47 UV 2.16.840.1.113883.3.78 lsu_mcl Medical Center of Louisiana Wayne Wilbright masked Wayne Wilbright 504-610-1078 masked LSU Health New Orleans 433 Bolivar Street New Orleans, LA 70112 (504) 568-4808 wwilbr@lsuhsc.edu http://www.lsuhsc.edu/ Govt body Int 3 Complete 2006/06/02 12:00:00 2015/06/26 12:00:00 2015/06/26 04:12:23 UV 2.16.840.1.113883.3.79 ncpdp National Council for Prescription Drug Programs (NCPDP) Lynne Gilbertson masked Lynne Gilbertson 615-754-0445 masked Director, Standards Development National Council for Prescription Drug Programs (NCPDP),National Council for Prescription Drug Progr 9240 E. Raintree Drive, Scottsdale, AZ 85260 480-477-1000 ncpdp@ncpdp.org SDO INT 3 Complete 2006/06/07 12:00:00 2006/06/07 12:00:00 UV 2.16.840.1.113883.2.13 standardBillingUnit Standard Billing Unit Lynne Gilbertson masked Lynne Gilbertson 615-754-0445 masked VP, Standards Development National Council for Prescription Drug Programs (NCPDP),National Council for Prescription Drug Progr 9240 E. Raintree Drive, Scottsdale, AZ 85260 480-477-1000 ncpdp@ncpdp.org SDO 2.16.840.1.113883.3.79 INT 6 Complete 2006/06/07 12:00:00 2009/10/14 12:00:00 2008/11/21 01:00:36 UV 2.16.840.1.113883.4.11 mbcpn Provider Registry Common Party Number - Manitoba, Canada (MBCPN) Jane Curry masked Jan Labovich Manitoba Health, 300 Carlton Street, Winnipeg, Manitoba, Canada, R3B 3M9 204-786-7246 masked Department of Health, Manitoba, Canada 300 Carlton St, Winnipeg, MB, R3B 3M9 rguerard@gov.mb.ca http://www.gov.mb.ca/health/index.html Govt body Ext 4 Complete 2006/06/14 12:00:00 2009/12/30 12:00:00 2009/12/30 03:05:26 UV 2.16.840.1.113883.4.12 mhphin Manitoba Health Personal Health Identification Number - MHPHIN Jane Curry masked Jan Labovich Manitoba Health, 300 Carlton Street, Winnipeg, Manitoba, Canada, R3B 3M9 204-786-7246 masked Department of Health, Manitoba, Canada 300 Carlton St, Winnipeg, MB, R3B 3M9 204-945-6137 yhopper@gov.mb.ca http://www.gov.mb.ca/health/index.html Govt body Ext 4 Complete 2006/06/14 12:00:00 2009/12/31 12:00:00 2009/12/31 06:07:48 UV 2.16.840.1.113883.4.13 peiphni Prince Edward Island, Canada Personal Health Number Identifier (PEIPHNI) Jane Curry masked Patti Wheatley PO Box 2000 16 Garfield Street, 1st Floor Charlottetown, PE, C1A 7N8 902-368-6179 masked Prince Edward Island Department of Health PO Box 2000 16 Garfield Street, 1st Floor Charlottetown, PE, C1A 7N8 902-368-6179 phwheatley@ihis.org http://www.gov.pe.ca/ Govt body Ext 4 Complete 2006/06/14 12:00:00 2010/01/06 12:00:00 2010/01/06 11:33:36 UV 2.16.840.1.113883.4.14 peicpsln Prince Edward Island, Canada College of Physicians and Surgeons License Number (peicpsln) Jane Curry masked Patti Wheatley PO Box 2000 16 Garfield Street, 1st Floor Charlottetown, PE, C1A 7N8 902-368-6179 masked College of Physicians and Surgeons of Prince Edward Island The College of Physicians and Surgeons of Prince Edward Island 199 Grafton Street Charlottetown, PE C1A 1L2 902-566-3861 mmacdonald@collegeofphysicians.pe.ca http://www.cpspei.ca Prof Soc Ext 4 Complete 2006/06/14 12:00:00 2010/01/06 12:00:00 2010/01/06 11:34:20 UV 2.16.840.1.113883.4.15 peipbpln Prince Edward Island, Canada Pharmacy Board Pharmacist License Number (peipbpln) Jane Curry masked Patti Wheatley 902-368-6179 masked Pharmacy Board of Prince Edward Island PO Box 89 Crapaud, PE C0A 1J0 902-658-2212 peipharm@pei.aibn.com http://www.gov.pe.ca/infopei/index.php3?number=5435&lang=E Prof Soc Ext 4 Complete 2006/06/14 12:00:00 2010/01/06 12:00:00 2010/01/06 11:35:18 UV 2.16.840.1.113883.4.16 peipbn Prince Edward Island, Canada Department of Health Physician Billing Number Identifier (peipbn) Jane Curry masked Patti Wheatley 902-368-6179 masked Prince Edward Island Department of Health PO Box 2000 16 Garfield Street, 1st Floor Charlottetown, PE, C1A 7N8 902-368-6179 phwheatley@ihis.org http://www.gov.pe.ca/health/index.php3 Govt body Ext 4 Complete 2006/06/14 12:00:00 2010/01/06 12:00:00 2010/01/06 11:36:13 UV 2.16.840.1.113883.4.17 peipharmbn Prince Edward Island, Canada Deptartment of Health Pharmacist Billing Number Identifier (peipharmbn) Jane Curry masked Patti Wheatley 902-368-6179 masked Prince Edward Island Department of Health PO Box 2000 16 Garfield Street, 1st Floor Charlottetown, PE, C1A 7N8 902-368-6179 phwheatley@ihis.org http://www.gov.pe.ca/health/index.php3 Govt body Ext 4 Complete 2006/06/14 12:00:00 2010/01/06 12:00:00 2010/01/06 11:36:56 UV 2.16.840.1.113883.4.19 peipi Prince Edward Island, Canada Department of Health Pharmacy Identifier (peipi) Jane Curry masked Patti Wheatley 902-368-6179 masked Prince Edward Island Department of Health PO Box 2000 16 Garfield Street, 1st Floor Charlottetown, PE, C1A 7N8 902-368-6179 phwheatley@ihis.org http://www.gov.pe.ca/health/index.php3 Govt body Ext 4 Complete 2006/06/14 12:00:00 2010/01/06 12:00:00 2010/01/06 11:38:09 UV 2.16.840.1.113883.4.20 abcauli Alberta, Canada Unique Lifetime Identifier (ULI) Jane Curry masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780-415-1552 masked Alberta Health, Alberta, Canada ABHL7@gov.ab.ca http://www.health.gov.ab.ca/ Govt body Ext 4 Complete 2006/06/14 12:00:00 2010/01/06 12:00:00 2020/08/10 05:09:40 UV 2.16.840.1.113883.4.21 ab-coRAC-LN College of Acupuncturists of Alberta license number (ab-coRAC-LN) Jane Curry masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 415-1552 masked College and Association of Acupuncturists of Alberta, Canada 1-780-466-7787 assistant@acupuncturealberta.ca https://acupuncturealberta.ca/ Prof Soc Ext 4 Complete 2006/06/14 12:00:00 2010/01/06 12:00:00 2020/08/10 06:02:37 UV 2.16.840.1.113883.4.22 ab-coCHIRO-LN The College of Chiropractors of Alberta license number (ab-coCHIRO-LN) Jane Curry masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked The College of Chiropractors of Alberta, Canada 780 427 4734 ABHL7@gov.ab.ca http://www.health.gov.ab.ca/ Prof Soc Ext 4 Complete 2006/06/14 12:00:00 2010/01/06 12:00:00 2017/04/27 10:17:26 UV 2.16.840.1.113883.4.23 ab-coCLXT-LN The College of Combined Laboratory and X-Ray Technologists license number (ab-coCLXT-LN) Jane Curry masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 415-1552 masked Alberta College of Combined Laboratory and X-Ray Technologists, Canada 780 438-3323 info@acclxt.ca https://www.acclxt.com/ Prof Soc Ext 4 Complete 2006/06/14 12:00:00 2010/01/06 12:00:00 2020/08/10 05:28:19 UV 2.16.840.1.113883.4.24 ab-coDENA-LN College of Alberta Dental Assistants license number (ab-coDENA-LN) Jane Curry masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 415-1552 masked College of Alberta Dental Assistants, Canada 780 486-2526 contact@abrda.ca https://abrda.ca/ Prof Soc Ext 4 Complete 2006/06/14 12:00:00 2010/01/06 12:00:00 2020/08/10 05:54:02 UV 2.16.840.1.113883.4.25 ab-coRDH-LN College of Registered Dental Hygienists of Alberta license number (ab-coRDH-LN) Jane Curry masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 415-1552 masked College of Registered Dental Hygienists of Alberta, Canada 780 465-1756 info@crdha.ca https://crdha.ca/ Prof Soc Ext 4 Complete 2006/06/14 12:00:00 2010/01/06 12:00:00 2020/08/10 05:52:12 UV 2.16.840.1.113883.4.26 ab-coRDT-LN College of Dental Technologists of Alberta license number (ab-coRDT-LN) Jane Curry masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 415-1552 masked College of Dental Technologists of Alberta, Canada 780 469-0615 membersinfo@cdta.ca https://cdta.ca/ Prof Soc Ext 4 Complete 2006/06/14 12:00:00 2010/01/06 12:00:00 2020/08/10 05:49:21 UV 2.16.840.1.113883.4.27 ab-coDEN-LN Alberta Dental Association License Number (ab-coDEN-LN) Jane Curry masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 415-1552 masked Alberta Dental Association and College, Canada 780 432-1012 reception@adaandc.com https://www.dentalhealthalberta.ca/ Prof Soc Ext 4 Complete 2006/06/14 12:00:00 2010/01/06 12:00:00 2020/08/10 05:47:53 UV 2.16.840.1.113883.4.28 ab-coDENT-LN College of Alberta Denturists license number (ab-coDENT-LN) Jane Curry masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 415-1552 masked College of Alberta Denturists, Canada 780 429-2330 info@abdenturists.ca https://www.abdenturists.ca/ Prof Soc Ext 4 Complete 2006/06/14 12:00:00 2010/01/06 12:00:00 2020/08/10 05:45:57 UV 2.16.840.1.113883.4.29 ab-coHAP-LN College of Hearing Aid Practitioners of Alberta license number (ab-coHAP-LN) Jane Curry masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 415-1552 masked College of Hearing Aid Practitioners of Alberta, Canada 780 760-4327 https://www.chapa.ca/ https://www.chapa.ca/ Prof Soc Ext 4 Complete 2006/06/14 12:00:00 2010/01/06 12:00:00 2020/08/10 05:33:11 UV 2.16.840.1.113883.4.31 ab-coMLT-LN Alberta College of Medical Laboratory Technologists license number Jane Curry masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 415-1552 masked College of Medical Laboratory Technologists of Alberta, Canada 780 435-5452 info@cmlta.org https://cmlta.org/ Prof Soc Ext 4 Complete 2006/06/14 12:00:00 2010/01/27 12:00:00 2020/08/10 05:26:00 UV 2.16.840.1.113883.4.32 ab-coMDTT-LN Alberta College of Medical Diagnostic and Therapeutic Technologists license number Jane Curry masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 415-1552 masked Alberta College of Medical Diagnostic and Therapeutic Technologists, Canada 780 487-6130 info@acmdtt.com https://www.acmdtt.com Prof Soc Ext 4 Complete 2006/06/14 12:00:00 2010/01/27 12:00:00 2020/08/10 05:44:41 UV 2.16.840.1.113883.4.33 ab-coRM-LN College of Midwives of Alberta license number Jane Curry masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 415-1552 masked College of Midwives of Alberta, Canada 1-403-474-3999 info@albertamidwives.org https://www.albertamidwives.org Prof Soc Ext 4 Complete 2006/06/14 12:00:00 2010/01/27 12:00:00 2020/08/10 05:22:23 UV 2.16.840.1.113883.4.34 ab-coNPD-LN College of Naturopathic Doctors of Alberta license number Jane Curry masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 415-1552 masked College of Naturapathic Doctors of Alberta, Canada 403-266-2446 info@cnda.net https://www.cnda.net/ Prof Soc Ext 4 Complete 2006/06/14 12:00:00 2010/01/27 12:00:00 2020/08/10 05:15:47 UV 2.16.840.1.113883.4.35 ab-coOT-LN The Alberta College of Occupational Therapists license number Jane Curry masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 415-1529 masked The Alberta College of Occupational Therapists, Canada 780 427 4734 ABHL7@gov.ab.ca http://www.health.gov.ab.ca Prof Soc Ext 4 Complete 2006/06/14 12:00:00 2010/01/27 12:00:00 2020/08/12 04:44:51 UV 2.16.840.1.113883.4.36 ab-coRO-LN College of Opticians of Alberta license number Jane Curry masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked College of Opticians of Alberta, Canada 780 427 4734 ABHL7@gov.ab.ca http://www.health.gov.ab.ca Prof Soc Ext 4 Complete 2006/06/14 12:00:00 2010/01/27 12:00:00 2017/04/27 10:22:45 UV 2.16.840.1.113883.4.37 ab-coOPT-LN The Alberta College of Optometrists license number Jane Curry masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked The Alberta College of Optometrists, Canada 780 427 4734 ABHL7@gov.ab.ca http://www.health.gov.ab.ca Prof Soc Ext 4 Complete 2006/06/14 12:00:00 2010/01/27 12:00:00 2017/04/27 10:23:04 UV 2.16.840.1.113883.4.38 ab-coPMD-LN The Alberta College of Paramedics license number Jane Curry masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked The Alberta College of Paramedics, Canada 304 Capilano Centre, 9945 50 street, edmonton, Alberta Canada T6A 0L4 1-780-466-2772 acp@collegeofparamedics.org http://www.collegeofparamedics.org Prof Soc Ext 4 Complete 2006/06/14 12:00:00 2010/01/27 12:00:00 2017/04/27 10:23:22 UV 2.16.840.1.113883.4.39 ab-coPHARM-LN Alberta College of Pharmacists license number Jane Curry masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked Alberta College of Pharmacists, Canada Suite 1200, 10303 Jasper Avenue NW, Edmonton, Alberta Canada T5J 3N6 1-780-990-0321 acpinfo@phamacists.ab.ca https://pharmacists.ab.ca/college Prof Soc Ext 4 Complete 2006/06/14 12:00:00 2010/01/27 12:00:00 2017/04/27 10:23:41 UV 2.16.840.1.113883.4.40 ab-coPT-LN College of Physical Therapists of Alberta license number Jane Curry masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked College of Physical Therapists of Alberta, Canada 780 427 4734 ABHL7@gov.ab.ca http://www.health.gov.ab.ca Prof Soc Ext 4 Complete 2006/06/14 12:00:00 2010/01/27 12:00:00 2017/04/27 10:24:00 UV 2.16.840.1.113883.4.41 ab-coMD-LN College of Physicians and Surgeons of Alberta license number Jane Curry masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked College of Physicians and Surgeons of Alberta, Canada 2700 - 10020 100 Street NW Edmonton, AB T5J 0N3 Canada 1-780-423-4764 info@cpsa.ab.ca http://www.cpsa.ab.ca Prof Soc Ext 4 Complete 2006/06/14 12:00:00 2010/01/27 12:00:00 2017/04/27 10:24:18 UV 2.16.840.1.113883.4.42 ab-coPSYCH-LN The College of Alberta Psychologists license number Jane Curry masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked The College of Alberta Psychologists, Canada 780 427 4734 ABHL7@gov.ab.ca http://www.health.gov.ab.ca Prof Soc Ext 4 Complete 2006/06/14 12:00:00 2010/01/27 12:00:00 2017/04/27 10:24:34 UV 2.16.840.1.113883.4.43 ab-coRD-LN College of Dieticians of Alberta license number Jane Curry masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked College of Dieticians of Albert, Canada 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427 4734 ABHL7@gov.ab.ca http://www.health.gov.ab.ca Prof Soc Ext 4 Complete 2006/06/14 12:00:00 2010/01/27 12:00:00 2017/04/27 04:28:24 UV 2.16.840.1.113883.4.44 ab-coRN-LN College of Registered Nurses of Alberta license number Jane Curry masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked College of Registered Nurses of Alberta, Canada 11620 - 168 street, Edmonton, Alberta Canada T5M 4A6 1-780-451-0043 crna@nurses.ab.ca http://www.nurses.ab.ca Prof Soc Ext 4 Complete 2006/06/14 12:00:00 2010/01/27 12:00:00 2025/01/15 09:19:02 UV 2.16.840.1.113883.4.45 ab-coRPN-LN College of Registered Psychiatric Nurses of Alberta license number Jane Curry masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked College of Registered Psychiatric Nurses of Alberta, Canada 780 427 4734 ABHL7@gov.ab.ca http://www.health.gov.ab.ca Prof Soc Ext 4 Complete 2006/06/14 12:00:00 2010/01/27 12:00:00 2017/04/27 10:25:17 UV 2.16.840.1.113883.4.46 ab-coRT-LN College and Association of Respiratory Therapists of Alberta license number Jane Curry masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked College and Association of Respiratory Therapists of Alberta, Canada Suite #370, 6715- 8th Street N.E., Calgary, Alberta T2E 7H7 Canada 780 427 4734 ABHL7@gov.ab.ca http://www.health.gov.ab.ca Prof Soc Ext 4 Complete 2006/06/14 12:00:00 2010/01/27 12:00:00 2017/04/27 10:25:40 UV 2.16.840.1.113883.4.47 ab-coSW-LN Alberta College of Social Workers license number Jane Curry masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked Alberta College of Social Workers, Canada #550 10707 100 Avenue NW Edmonton, AB T5J 3M1 Canada 780 427 4734 ABHL7@gov.ab.ca http://www.health.gov.ab.ca Prof Soc Ext 4 Complete 2006/06/14 12:00:00 2010/01/27 12:00:00 2017/04/27 10:26:02 UV 2.16.840.1.113883.4.48 ab-coSLPA-LN Alberta College of Speech-Language Pathologists and Audiologists license number Jane Curry masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked Alberta College of Speech-Language Pathologists and Audiologists, Canada #209, 3132 Parsons Road Edmonton, Alberta T6N 1L6 Canada 780 427 4734 ABHL7@gov.ab.ca http://www.acslpa.ab.ca Prof Soc Ext 4 Complete 2006/06/14 12:00:00 2010/01/27 12:00:00 2017/04/27 10:26:15 UV 2.16.840.1.113883.5.1109 actTherapyDurationWorkingListCode actTherapyDurationWorkingListCode Russell Hamm masked Russell Hamm 200 First Street SW 507 284-9348 masked Mayo Clinic info@mayo.edu Provider Int 5 Complete 2006/06/15 12:00:00 2013/12/01 12:00:00 2013/12/01 02:33:50 UV 2.16.840.1.113883.3.80 ERA-EDTA Ronald Cornet masked Ronald Cornet Academic Medical Center - ERA-EDTA Registry, J1b-115 +31 20 566 5188 masked Assistant Professor European Renal Association - European Dialysis and Transplant Association,European Renal Association Via Spolverini 243100 Parma Italy http://www.era-edta.org/ Prof Soc INT 3 Complete 2006/06/21 12:00:00 2006/06/21 12:00:00 UV 2.16.840.1.113883.3.81 adusoft Adusoft Nicolas Canu masked Nicolas Canu 33 2 35 60 41 97 masked Adusoft nicolas.canu@wanadoo.fr Vendor Int 3 Complete 2006/06/21 12:00:00 2012/05/31 12:00:00 2012/06/01 01:03:30 UV 2.16.840.1.113883.6.241 scdHECGISSpatialAccuracyTiers SCDHEC GIS Spatial Accuracy Tiers Cecil Lynch masked James T. Case (530) 752-4408 masked South Carolina Department of Health and Environmental Control jtcase@ucdavis.edu Govt body Ext 6 Complete 2006/06/25 12:00:00 2015/06/30 12:00:00 2015/06/30 08:21:14 UV 2.16.840.1.113883.6.242 epsg-GeodeticParameterDataset EPSG Geodetic parameter dataset Cecil Lynch masked Abby Findlay masked OGP Surveying and Positioning Committee OGP 209-215 Blackfriars Road London SE1 8NL UK richard.j.wylde@exxonmobil.com http://www.epsg.org/ Prof Soc Ext 6 Complete 2006/06/25 12:00:00 2009/12/30 12:00:00 2009/12/30 03:31:07 UV 2.16.840.1.113883.3.82 cic-ConsultingInform&#225;tico Consulting Inform&#225;tico de Cantabria Sergio Iglesias masked Sergio Herrera Iglesias Paseo de la Castellana n&#186;123 Madrid, Spain +0034902269017 masked Project Manager Consulting Inform&#225;tico de Cantabria Paseo de la Castellana n&#186;123 Madrid, Spain +0034902269017 sherrera@cic-sl.es http://www.cic-sl.es/ Int 3 Complete 2006/07/04 12:00:00 2012/06/30 12:00:00 2012/06/30 08:04:24 UV 2.16.840.1.113883.3.84 FDB HIC Code FDB HIC Code Peter Scott masked Peter Scott Suite 300, University Ave, PE Canada, C1A4K9 902 628 4592 masked Deltaware Systems,Deltaware Systems Suite 300, University Ave, PE Canada, C1A4K9 (902) 368-8122 dsi@deltaware.com http://www.deltaware.com Vendor INT 6 Complete 2006/07/05 12:00:00 2006/07/05 12:00:00 UV 2.16.840.1.113883.3.86 interSystems InterSystems Corporation Michael LaRocca masked James Bourette 1 Memorial Dr Cambridge, MA 02142 617-395-1324 masked Developer InterSystems Corporation One Memorial Drive Cambridge, MA 02142 617-621-0600 James.bourette@intersystems.com http://www.intersystems.com Vendor Int 3 Complete 2006/07/17 12:00:00 2010/09/22 12:00:00 2012/05/18 09:47:14 UV 2.16.840.1.113883.6.243 soc Standard Occupation Code Cecil Lynch masked Cecil O Lynch 916-412-5504 masked U.S. Bureau of Labor Statistics Division of Occupational Employment Statistics,Suite 2135,2 Massachusetts Ave., NE,Washington, DC 20212-0001 202-691-6500 soc@bls.gov http://www.bls.gov/soc/ Govt body Pxy 6 Complete 2006/07/30 12:00:00 2009/09/15 12:00:00 2006/07/30 12:00:00 UV 2.16.840.1.113883.3.87 DavidClunieRoot David Clunie masked David Clunie 570-897-7123 masked INT 3 Complete 2006/08/05 12:00:00 2006/08/05 12:00:00 UV 2.16.840.1.113883.3.88 HITSPCETC Keith Boone masked charles.parisot@ge.com Keith Boone 116 Huntington Ave 617-519-2076 masked Lead Interoperability System Designer HITSP Consumer Empowerment Technical Committee,HITSP Consumer Empowerment Technical Committee SDO INT 3 Complete 2006/08/17 12:00:00 2006/08/17 12:00:00 UV 2.16.840.1.113883.3.59.4 ca-onindf Ontario Independent Health Facilities Lloyd McKenzie masked Alex McLellan Ontario Laboratories Information System Project, 415 Yonge Street, Suite 1100, Toronto, ON M5B 2E7 Canada 1-866-532-3161 masked Ministry of Health and Long-Term Care, Ontario, Canada Ontario Laboratories Information System Project, 415 Yonge Street, Suite 1100, Toronto, ON M5B 2E7 Canada 1-866-532-3161 general@ontario.ca www.health.gov.on.ca Govt body Ext 4 Complete 2.16.840.1.113883.3.59.4 2006/08/27 12:00:00 2010/01/28 12:00:00 2010/02/04 11:15:50 UV 2.16.840.1.113883.3.89 orion-health Orion Health Caryn Harris masked Caryn Harris Suite 1900, 10020 101A Avenue, Phipps McKinnon Building, Edmonton, AB T5J 3G2, Canada 780-969 0206 masked Solution Architect Orion Health,Orion Health Physical: Orion House, 181 Grafton Road, Grafton, Auckland 1010 Postal: PO Box 8273, Symonds Street, Auckland 1150, NEW ZEALAND +64 9 638 0600 information@orionhealth.com http://www.orionhealth.com Vendor INT 3 Complete 2006/08/30 12:00:00 2015/04/28 04:05:51 UV 2.16.840.1.113883.3.59.1 olis-sp Ontario Laboratory Service Providers Cecil Lynch masked Alex McLellan Ontario Laboratories Information System Project, 415 Yonge Street, Suite 1100, Toronto ON M5B 2E7 Canada 416-314-2480 masked Ministry of Health and Long-Term Care, Ontario, Canada Ontario Laboratories Information System Project, 415 Yonge Street, Suite 1100, Toronto ON M5B 2E7 Canada 1-866-752-6405 olis.eho@ehealthontario.on.ca Govt body 2.16.840.1.113883.3.59 Ext 4 Complete 2.16.840.1.113883.3.59.1 2006/08/30 12:00:00 2010/01/28 12:00:00 2010/02/04 10:57:56 UV 2.16.840.1.113883.3.59.2 olis-scc Ontario Specimen Collection Centres Lloyd McKenzie masked Alex McLellan Ontario Laboratories Information System Project, 415 Yonge Street, Suite 1100, Toronto ON M5B 2E7 Canada 1-866-752-6405 masked Ministry of Health and Long-Term Care, Ontario, Canada Ontario Laboratories Information System Project, 415 Yonge Street, Suite 1100, Toronto ON M5B 2E7 Canada 1-866-752-6405 olis.eho@ehealthontario.on.ca Govt body 2.16.840.1.113883.3.59 Ext 4 Complete 2.16.840.1.113883.3.59.2 2006/08/30 12:00:00 2010/01/28 12:00:00 2010/02/04 11:00:49 UV 2.16.840.1.113883.3.59.3 ca-onhosp Canada Ontario Hospital Identifier Lloyd McKenzie masked Alex McLellan Ontario Laboratories Information System Project, 415 Yonge Street, Suite 1100, Toronto ON M5B 2E7 Canada 1-866-752-6405 masked Ministry of Health and Long-Term Care, Ontario, Canada 200 Front Street West, Suite 2800 Toronto, Ontario M5V 3L1, Canada 1-800-598-8002 info@oha.com www.oha.com Govt body Ext 4 Complete 2.16.840.1.113883.3.59.3 2006/08/30 12:00:00 2010/01/28 12:00:00 2010/02/04 11:03:33 UV 2.16.840.1.113883.3.90 ab-CHR-ID Calgary Health Region Identifier Trevor Sandor masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked Alberta Health Services, Calgary Health Region ABHL7@gov.ab.ca http://www.health.gov.ab.ca Govt body INT 3 Complete 2006/08/31 12:00:00 2017/04/27 10:07:08 UV 2.16.840.1.113883.3.91 kciRoot Klein Consulting, Inc. OID Root Ted Klein masked Ted Klein 47 Old Saddle Rd., Ridge, NY 11961 USA 631-924-6922 masked President Klein Consulting Inc. 47 Old Saddle Rd., Ridge, NY 11961 USA 631-924-6922 kci@tklein.com http://www.tklein.com/kleinconinc.shtml Vendor INT 3 Complete 2006/09/01 12:00:00 2006/09/01 12:00:00 UV 2.16.840.1.113883.3.91.3.1 kci_NBIS_root Ted Klein masked Ted Klein 47 Old Saddle Rd., Ridge, NY 11961 USA 631-924-6922 masked President Klein Consulting Inc. 47 Old Saddle Rd., Ridge, NY 11961 USA 631-924-6922 kci@tklein.com http://www.tklein.com/kleinconinc.shtml Vendor 2.16.840.1.113883.3.91 Ext 3 Complete 2.16.840.1.113883.3.91.3.1 2006/09/01 12:00:00 2006/09/01 12:00:00 UV 2.16.840.1.113883.6.244 d1cs DiagnosisONE Coding System Ahmad Kasmieh masked Ahmad Kasmieh 603 897-1884 masked Chief Technology Officer DiagnosisONE, Inc. 61 Spit Brook Road Nashua, NH 03060 +1 603.897.1884 x5 inquiry@DiagnosisONE.com http://www.diagnosisone.com Vendor Int 6 Complete 2006/09/07 12:00:00 2009/12/30 12:00:00 2010/11/16 04:40:29 UV 2.16.840.1.113883.4.49 d1OID DiagnosisONE Object Identifier System Ahmad Kasmieh masked Ahmad Kasmieh 61 Spit Brook Road Nashua, NH 03060 USA 603 897-1884 masked Chief Technology Officer DiagnosisONE, Inc. 61 Spit Brook Road Nashua, NH 03060 USA inquiry@DiagnosisONE.com http://www.diagnosisone.com Vendor Ext 4 Complete 2.16.840.1.113883.4.49 2006/09/07 12:00:00 2010/01/28 12:00:00 2010/01/28 11:30:23 UV 2.16.840.1.113883.3.92 chinookRegionalHealthAuthority Chinook Regional Health Authority Fred Agyepong masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked Chinook Regional Health Authority ABHL7@gov.ab.ca Govt body INT 3 Complete 2006/09/07 12:00:00 2017/04/27 10:07:26 UV 2.16.840.1.113883.3.93 palliserHealthRegion Palliser Health Region Fred Agyepong masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked Palliser Health Region,Palliser Health Region ABHL7@gov.ab.ca Govt body INT 3 Complete 2006/09/07 12:00:00 2017/04/27 10:07:50 UV 2.16.840.1.113883.3.94 davidThompsonRegionalHealthAuthority David Thompson Regional Health Authority Fred Agyepong masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked Davd Thompson Regional Health Authority,Davd Thompson Regional Health Authority ABHL7@gov.ab.ca Govt body INT 3 Complete 2006/09/07 12:00:00 2017/04/27 10:06:51 UV 2.16.840.1.113883.3.95 capitalHealth Capital Health Fred Agyepong masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked Capital Health,Capital Health ABHL7@gov.ab.ca Govt body INT 3 Complete 2006/09/07 12:00:00 2017/04/27 10:08:30 UV 2.16.840.1.113883.6.245 usBoardonGeographicNames U.S. Board on Geographic Names Sundak Ganesan masked byy4@cdc.gov Roger L. Payne 703-648-4544 masked Manager U.S. Geological Survey 12201 Sunrise Valley Drive, MS 523, Reston, Virginia 20192-0523 1-888-275-8747 BGNEXEC@usgs.gov http://geonames.usgs.gov/index.html Govt body Int 6 Complete 2006/09/07 12:00:00 2015/06/30 12:00:00 2015/06/30 09:11:05 UV 2.16.840.1.113883.3.96 nehen New England Health Exchange Network Vinod Muralidhar masked Gail Fournier 781-290-1356 masked Partner MA-SHARE,MA-SHARE 266 2nd Ave Waltham MA 02451 781.890.6040 gfourni3@csc.com http://www.nehen.org/ INT 3 Complete 2006/09/08 12:00:00 2010/03/18 08:32:23 UV 2.16.840.1.113883.3.97 mem Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane 916-797-1208 masked Cecil Lynch Cecil Lynch 6500 Countrywoods Lane 916-797-1208 clynch@ontoreason.com INT 3 Pending 2006/09/10 12:00:00 2006/09/10 12:00:00 UV 2.16.840.1.113883.3.98 eastCentralHealth East Central Health Fred Agyepong masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked East Central Health,East Central Health ABHL7@gov.ab.ca Govt body INT 3 Complete 2006/09/10 12:00:00 2017/04/27 10:08:53 UV 2.16.840.1.113883.3.99 aspenRegionalHealthAuthority Aspen Regional Health Authority Fred Agyepong masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked Aspen Regional Health Authority ABHL7@gov.ab.ca Govt body INT 3 Complete 2006/09/10 12:00:00 2017/04/27 10:09:19 UV 2.16.840.1.113883.3.100 peaceCountryHealth Peace Country Health Fred Agyepong masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked Peace Country Health ABHL7@gov.ab.ca Govt body INT 3 Complete 2006/09/10 12:00:00 2017/04/27 10:10:13 UV 2.16.840.1.113883.3.101 northernLightsHealthRegion Northern Lights Health Region Fred Agyepong masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked Northern Lights Health Region ABHL7@gov.ab.ca Govt body INT 3 Complete 2006/09/10 12:00:00 2017/04/27 10:10:56 UV 2.16.840.1.113883.3.102 albertaCancerBoard Alberta Cancer Board Fred Agyepong masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked Alberta Cancer Board ABHL7@gov.ab.ca Govt body INT 3 Complete 2006/09/10 12:00:00 2017/04/27 10:11:28 UV 2.16.840.1.113883.3.103 albertaMentalHealthBoard Alberta Mental Health Board Fred Agyepong masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked Alberta Mental Health Board ABHL7@gov.ab.ca Govt body INT 3 Complete 2006/09/10 12:00:00 2017/04/27 10:11:55 UV 2.16.840.1.113883.3.104 regionalSharedHealthInformationProgram Regional Shared Health Information Program Fred Agyepong masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked Regional Shared Health Information Program ABHL7@gov.ab.ca Govt body INT 3 Complete 2006/09/10 12:00:00 2017/04/27 10:12:19 UV 2.16.840.1.113883.3.105 newYorkStateDepartmentofHealth New York State Department of Health Ivan Gotham masked Debra Sottolano 800 North Pearl Street, Albany, NY 12204 518/473-1809 masked NYS HAN Coordinator, Informatics Group Manager New York State Department of Health ,New York State Department of Health Corning Tower, Empire State Plaza, Albany, NY 12237 dls20@health.state.ny.us http://health.state.ny.us Govt body Int 3 Complete 2006/09/21 12:00:00 2014/05/13 12:00:00 2006/09/21 12:00:00 UV 2.16.840.1.113883.6.246 Telin Telin garry Lee masked Garry Lee 205 1040 7 Ave SW 1 (403) 616-0270 masked Managing Partner Vendor INT 6 Pending 2006/09/23 12:00:00 2006/09/23 12:00:00 UV 2.16.840.1.113883.4.50 ca-bcPHN British Columbia Personal Health Number Cecil Lynch masked Lloyd McKenzie Standards Collaborative 150 King Street West, Suite 1308, Toronto, ON M5H 1J9 Canada +1-866-595-3417 masked Ministry of Health Services (Government of British Columbia),Ministry of Health Services (Government 1-800-465-4911 dale.g.smith@gov.bc.ca http://www.gov.bc.ca/healthservices/ Govt body INT 4 Complete 2006/09/27 12:00:00 2011/08/24 01:58:02 UV 2.16.840.1.113883.4.51 ca-nbPHN New Brunswick, Canada Personal Health Number Cecil Lynch masked Lloyd McKenzie Standards Collaborative 150 King Street West, Suite 1308, Toronto, ON M5H 1J9 Canada +1-866-595-3417 masked New Brunswick, Canada Personal Health Number,New Brunswick, Canada Personal Health Number 1-506-457-4800 hw_sme@gnb.ca INT 4 Complete 2006/09/27 12:00:00 2011/08/24 01:59:01 UV 2.16.840.1.113883.4.52 ca-nlPHN Newfoundland and Labrador, Canada Personal Health Number Cecil Lynch masked Lloyd McKenzie Standards Collaborative 150 King Street West, Suite 1308, Toronto, ON M5H 1J9 Canada +1-866-595-3417 masked Department of Health and Community Services (Government of Newfoundland and Labrador),Department of P.O. Box 8700 1st Floor, West Block Confederation Building St. John's, NL A1B 4J6 Canada 1-800-465-4911 healthinfo@gov.nl.ca http://www.health.gov.nl.ca/health/ Govt body INT 4 Complete 2006/09/27 12:00:00 2011/08/24 02:01:14 UV 2.16.840.1.113883.4.53 nsCPHN Nova Scotia, Canada Personal Health Number Cecil Lynch masked Lloyd McKenzie Standards Collaborative 150 King Street West, Suite 1300, Toronto, ON M5H 1J9 Canada +1-866-595-3417 masked Nova Scotia Department of Health,Nova Scotia Department of Health 1-902-424-5818 DOHWEB@gov.ns.ca https://www.gov.ns.ca/health/ Govt body INT 4 Complete 2006/09/27 12:00:00 2011/08/24 02:02:31 UV 2.16.840.1.113883.4.54 nwtCPHN Northwest Territories, Canada Personal Health Number Cecil Lynch masked Lloyd McKenzie Standards Collaborative 150 King Street West, Suite 1300, Toronto, ON M5H 1J9 Canada +1-866-595-3417 masked Health and Social Services (Government of the Northwest Territories),Health and Social Services (Gov 1-800-465-4911 hsscommunications@gov.nt.ca http://www.hlthss.gov.nt.ca/ Govt body INT 4 Complete 2006/09/27 12:00:00 2011/08/24 02:05:52 UV 2.16.840.1.113883.4.55 ca-nuPHN Nunavut, Canada Personal Health Number Cecil Lynch masked Lloyd McKenzie Standards Collaborative 150 King Street West, Suite 1300, Toronto, ON M5H 1J9 Canada +1-866-595-3417 masked Health and Social Services (Government of Nunavut),Health and Social Services (Government of Nunavut Department of Health and Social Services P.O. Box 1000, Station 1000 Iqaluit, Nunavut X0A 0H0 noemail@email.com http://www.gov.nu.ca/hsssite/hssmain.shtml# Govt body INT 4 Complete 2006/09/27 12:00:00 2011/08/24 02:10:21 UV 2.16.840.1.113883.3.106 capmedPHR Capmed PHR Dmitry Shalimov masked Dmitry Shalimov 2677573312 masked Dmitry Shalimov 2677573312 dshalimov@capmed.com Int 3 Complete 2006/09/27 12:00:00 2015/06/26 12:00:00 2015/06/26 04:21:15 UV 2.16.840.1.113883.6.247 ethNICITY ETHNICITY Fred Agyepong masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked WHIC 2nd Floor, 10025 Jasper Ave, Telus Plaza North Tower, Edmonton, Alberta, T5J 2N3 780 427 5135 whic.sec@whic.org Govt body Int 6 Complete 2006/09/27 12:00:00 2010/11/16 12:00:00 2018/10/19 11:21:41 UV 2.16.840.1.113883.6.248 firSTNATIONSSTATUS FIRST NATIONS STATUS Fred Agyepong masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked WHIC 2nd Floor, 10025 Jasper Ave, Telus Plaza North Tower, Edmonton, Alberta, T5J 2N3 780 427 5135 whic.sec@whic.org Govt body Int 6 Complete 2006/09/27 12:00:00 2010/11/16 12:00:00 2018/10/19 11:34:39 UV 2.16.840.1.113883.6.249 metabolicSyndrome METABOLIC SYNDROME Fred Agyepong masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked WHIC 2nd Floor, 10025 Jasper, Telus Plaza North Tower, Edmonton, Alberta, T5J 2N3 780 427-5135 whic.sec@whic.org Govt body Int 6 Complete 2006/09/27 12:00:00 2009/12/22 12:00:00 2018/10/19 12:02:58 UV 2.16.840.1.113883.6.250 retINOPATHYINTERPRETATION RETINOPATHY INTERPRETATION Fred Agyepong masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked WHIC 2nd Floor, 10025 Jasper Ave, Telus Plaza North Tower, Edmonton, Alberta, T5J 2N3 780 427-5135 whic.sec@whic.org Govt body Int 6 Complete 2006/09/27 12:00:00 2010/11/16 12:00:00 2018/10/19 12:05:07 UV 2.16.840.1.113883.6.251 smoKER SMOKER Fred Agyepong masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked WHIC 2nd Floor, 10025 Jasper Ave, Telus Plaza North Tower, Edmonton, Alberta, T5J 2N3 780 427-5135 whic.sec@whic.org Govt body Int 6 Complete 2006/09/27 12:00:00 2010/11/16 12:00:00 2018/10/19 12:06:12 UV 2.16.840.1.113883.6.252 diaGNOSTICIMAGEMETHODCODE DIAGNOSTIC IMAGE METHOD CODE Fred Agyepong masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked WHIC 2nd Floor, 10025 Jasper Ave, Telus Plaza North Tower, Edmonton, Alberta, T5J 2N3 780 427-5135 whic.sec@whic.org Govt body Int 6 Complete 2006/09/27 12:00:00 2010/11/16 12:00:00 2018/10/19 12:07:14 UV 2.16.840.1.113883.4.56 ca-qcPHN Quebec, Canada Unique Identification Number Cecil Lynch masked Lloyd McKenzie Maxime Morneau Minist&#232;re de la sant&#233; et des services sociaux, 4e &#233;tage - Bureau 425, 1075 Chemin Ste-Foy, Qu&#233;bec, QC G1S 2M1 1-418-266-4566 masked Minist&#232;re de la Sant&#233; et des Services sociaux du Qu&#233;bec,Minist&#232;re de la Sant&#233; et des Services sociau 1-418-644-4545 maxime.morneau@msss.gouv.qc.ca http://www.msss.gouv.qc.ca/ Govt body 2.16.124.10.101.1.60 INT 4 Complete 2006/09/27 12:00:00 2022/06/21 03:50:48 UV 2.16.840.1.113883.4.57 ca-skPHN Saskatchewan, Canada Personal Health Number Cecil Lynch masked Yashu Bither 3475 Albert Street Regina, Saskatchewan Canada S4S 6X6 1-306-787-0587 masked Saskatchewan Health,Saskatchewan Health T.C. Douglas Building 3475 Albert Street Regina, Saskatchewan Canada S4S 6X6 1-306-787-0146 info@health.gov.sk.ca http://www.health.gov.sk.ca/ Govt body INT 4 Complete 2006/09/27 12:00:00 2011/08/24 02:14:48 UV 2.16.840.1.113883.4.58 ca-ytPHN Yukon, Canada Personal Health Number Cecil Lynch masked Lloyd McKenzie Standards Collaborative 150 King Street West, Suite 1300, Toronto, ON M5H 1J9 Canada +1-866-595-3417 masked Health and Social Services (Government of Yukon),Health and Social Services (Government of Yukon) 1-867-667-3673 hss@gov.yk.ca http://www.hss.gov.yk.ca/ Govt body INT 4 Complete 2006/09/27 12:00:00 2011/08/24 02:17:35 UV 2.16.840.1.113883.4.59 ca-onPHN Ontario, Canada Personal Health Number Cecil Lynch masked Lloyd McKenzie Igor Sirkovich 1075 Bay Street, 2nd Floor, Toronto, Ontario, Canada M5S 2B1 +1-416-326 - 4873 masked HL7 Methodology Specialist, Information Architect Ministry of Health and Long-Term Care (Government of Ontario),Ministry of Health and Long-Term Care 1-416-314-5518 infoline@moh.gov.on.ca http://www.health.gov.on.ca/ Govt body INT 4 Complete 2006/09/28 12:00:00 2011/08/24 02:30:06 UV 2.16.840.1.113883.10.20 hl7SDTC-RegisteredTemplatesRoot hl7 SDTC Registered Templates Root Bob Dolin masked Bob 714 562 3456 masked SDTC Co-chair HL7 Termlates WG hq@hl7.org SDO Ext 10 Complete 2.16.840.1.113883.10.20 2006/10/02 12:00:00 2011/06/22 12:00:00 2011/06/22 08:51:12 UV 2.16.840.1.113883.4.60 genzyme Genzyme BMRA Monica Mehta masked Monica Mehta Genzyme Corporation 500 Kendall Street Cambridge, MA 02142 USA (617) 768-6652 masked Genzyme Corporation 500 Kendall Street Cambridge, MA 02142 USA +1 617-252-7500 Int 4 Complete 2006/10/02 12:00:00 2010/01/28 12:00:00 2010/01/28 11:50:26 UV 2.16.840.1.113883.5.1110 contentProcessingMode Content Processing Mode Russell Hamm masked Rene Spronk +31(0)655 363 446 masked INM Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 (+1) 734-677-7777 hq@HL7.org www.HL7.org HL7 body Int 5 Complete 2006/10/11 12:00:00 2010/11/16 12:00:00 2010/11/16 09:39:33 UV 1.3.6.1.4.1.27196 Harder Software Ian Harder masked Ian Harder 705 - 1112 West Pender St, Vancouver, BC, V6E 2S1, Canada 604-730-4827 masked President Ext 3 Edited 1.3.6.1.4.1.27196 2006/10/16 12:00:00 2006/10/16 03:42:30 UV 2.16.840.1.113883.3.107 TruBridge root OID Sean Wentworth masked TruBridge Support 54 St. Emanuel Street Mobile, AL 36602 (800) 711-2774 masked TruBridge 54 St. Emanuel Street Mobile, AL 36602 (800) 711-2774 oidsupport@trubridge.com https://trubridge.com Provider INT 3 Complete 2006/10/17 12:00:00 2025/07/17 02:12:19 UV 2.16.840.1.113883.4.61 providerLicense Provider License Number Mike Cassidy masked Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body INT 4 Complete 2006/10/27 12:00:00 2009/09/09 12:00:00 2006/10/30 04:01:13 UV 2.16.840.1.113883.19.2744 ASIGexample mike cassidy masked mike cassidy 610-219-3036 masked HL7 Attachments SIG HL7 body Ext 19 Complete 2.16.840.1.113883.19.2744 2006/10/30 12:00:00 2006/10/30 12:00:00 UV 2.16.840.1.113883.3.108 diskriter Diskriter Company Allen Kitchen masked Diskriter Inc. 2840 Library Road Suite 300 Pittsburgh, PA 15234 800-242-1622 masked Diskriter Inc. 2840 Library Road Suite 300 Pittsburgh, PA 15234 800-242-1622 diskriterproducts@diskriter.com http://www.diskriter.com Vendor INT 3 Complete 2006/10/30 12:00:00 2016/02/16 10:08:00 UV 2.16.840.1.113883.3.109 NextGen Healthcare Information Systems, Inc. yvan charpentier masked yvan 795 Horsham Road, Horsham, PA 19044 215-657-7010x1331 masked Software Engineer NextGen Healthcare Information Systems, Inc.,NextGen Healthcare Information Systems, Inc. 795 Horsham Road, Horsham, PA 19044 215-657-7010 ycharpentier@nextgen.com http://www.nextgen.com Vendor INT 3 Complete 2006/11/02 12:00:00 2006/11/02 12:00:00 UV 2.16.840.1.113883.4.62 ifmi IFMI OID Root Michael Marschollek masked Marschollek Muehlenpfordtstrasse 23 +49 531 3919504 masked research assistant Institute for Medical Informatics (IfMI) Muehlenpfordtstrasse 23 m.marschollek@mi.tu-bs.de http://www.ifmi.org Academic Int 4 Complete 2006/11/08 12:00:00 2010/01/28 12:00:00 2010/01/28 02:01:39 UV 2.16.840.1.113883.3.111 LMM Powerpath Case Test Lawrence Babb masked Lawrence Babb 65 Landsdowne Street, Cambridge, MA 617-768-8432 masked HPCGG IT Staff Harvard Partners Center for Genetics & Genomics,Harvard Partners Center for Genetics & Genomics 65 Landsdowne Street, 3rd Floor, Cambridge, MA 617-768-8432 lbabb@partners.org http://www.hpcgg.org Vendor INT 3 Complete 2006/11/08 12:00:00 2006/11/08 12:00:00 UV 2.16.840.1.113883.3.112 HPCGG GVAD Test Lawrence Babb masked Lawrence Babb 65 Landsdowne Street, Cambridge, MA 617-768-8432 masked HPCGG IT Staff Harvard Partners Center for Genetics & Genomics,Harvard Partners Center for Genetics & Genomics 65 Landsdowne Street, 3rd Floor, Cambridge, MA 617-768-8432 lbabb@partners.org http://www.hpcgg.org Vendor INT 3 Edited 2006/11/08 12:00:00 2006/11/08 01:39:50 UV 2.16.840.1.113883.3.113 PAML DALE CYR masked DALE CYR 509 755 8149 masked Senior Software Engineer PATHOLOGY ASSOCIATES MEDICAL LABORATORIES,PATHOLOGY ASSOCIATES MEDICAL LABORATORIES 110 W CLIFF AVE, SPOKANE, WA 99204 http://www.paml.com Provider INT 3 Complete 2006/11/08 12:00:00 2006/11/08 12:00:00 UV 2.16.840.1.113883.3.114 RemedyMD Brian Schaad masked Marlow Einelund Brian Schaad 9350 South 150 East, Suite 950, Sandy, Utah 84070 (801) 733-3300 ext. 350 masked Directory of Architectural Development Brian Schaad,Brian Schaad 9350 South 150 East, Suite 950, Sandy, Utah 84070 (801) 733-3300 bschaad@remedymd.com http://www.remedymd.com/ Vendor INT 3 Complete 2006/11/08 12:00:00 2006/11/08 12:00:00 UV 1.2.276.0.76.2 dimdi German Institute of Medical Documentation and Information Sylvia Thun masked Thun Waisenhausgasse 36-38a 00492214724344 masked Dr. DIMDI Waisenhausgasse 36-38a sylvia.thun@dimdi.de https://www.dimdi.de Govt body 1.2.276.0.76 Ext 3 Complete 1.2.276.0.76.2 2006/11/28 12:00:00 2009/12/28 12:00:00 2009/12/28 06:07:11 UV 2.16.840.1.113883.4.64 gcn-seqno Clinical Formulation ID George Robinson masked tom_bizzaro@firstdatabank.com George Robinson First DataBank, Inc., 500 East 96th Street, Suite 500, Indianapolis, IN 46240 317-571-7248 masked VP Knowledge Base Development First DataBank, Inc.,First DataBank, Inc.,First DataBank, Inc.,First DataBank, Inc. 500 East 96th Street, Suite 500, Indianapolis, IN 46240 317-571-7200 george_robinson@firstdatabank.com http://www.firstdatabank.com Vendor 2.16.840.1.113883.3.567 Int 6 Complete 2006/11/29 12:00:00 2010/03/10 12:00:00 2012/07/12 01:14:37 UV 2.16.840.1.113883.4.65 hic-SEQN Hierarchical Ingredient Code Sequence Number (HIC_SEQN) George Robinson masked tom_bizzaro@firstdatabank.com George Robinson First DataBank, Inc., 500 East 96th Street, Suite 500, Indianapolis, IN 46240 317-571-7248 masked VP Knowledge Base Development First DataBank, Inc. 500 East 96th Street, Suite 500, Indianapolis, IN 46240 317-571-7200 george_robinson@firstdatabank.com http://www.firstdatabank.com Vendor Int 6 Complete 2006/11/29 12:00:00 2010/01/28 12:00:00 2010/01/28 12:08:03 UV 2.16.840.1.113883.4.66 hic Hierarchical Ingredient Code (HIC) George Robinson masked tom_bizzaro@firstdatabank.com George Robinson First DataBank, Inc., 500 East 96th Street, Suite 500, Indianapolis, IN 46240 317-571-7248 masked VP Knowledge Base Development First DataBank, Inc. 500 East 96th Street, Suite 500, Indianapolis, IN 46240 317-571-7200 george_robinson@firstdatabank.com http://www.firstdatabank.com Vendor Int 6 Complete 2006/11/29 12:00:00 2010/01/28 12:00:00 2010/01/28 12:07:29 UV 2.16.840.1.113883.6.253 mddid MDDID Sagara Wickramasekara masked Sagara Wickramasekara 386-418-7193 masked INT 6 Complete 2006/11/30 12:00:00 2009/09/11 12:00:00 2006/11/30 12:00:00 UV 2.16.840.1.113883.1.11.20 HL7 SDTC value set OIDs Bob Dolin masked Bob Dolin 714 562 3456 masked MD Structured Documents TC HL7 body Int 2.16.840.1.113883.11.20 11 deprecated 2.16.840.1.113883.1.11.20 2006/11/30 12:00:00 2006/11/30 12:00:00 UV 2.16.840.1.113883.4.67 ca-saskCPN Saskatchewan Canada Common Provider Number (CPN) Lloyd McKenzie masked Yashu Bither 3475 Albert Street, Regina, Saskatchewan, S4S 6X6 Canada 1-306-787-0587 masked Saskatchewan Health, Health Information Solutions Centre, Saskatchewan, Canada 3475 Albert Street, Regina, Saskatchewan S4S 6X6 Canada 1-306-791-4630 ybither@health.gov.sk.ca Govt body Int 4 Complete 2006/12/05 12:00:00 2010/01/28 12:00:00 2010/02/04 11:22:19 UV 1.2.752.108.1 npu NPU Gunnar Nordin masked Gunnar Nordin EQUALIS, Box 977, SE 75109 Sweden + 46 18 69 31 45 masked Managing director EQUALIS AB Box 977, SE 75109 Uppsala, Sweden http://www.equalis.se Prof Soc 1.2.752.108 Ext 4 Complete 1.2.752.108.1 2006/12/12 12:00:00 2010/11/16 12:00:00 2010/11/16 09:42:40 UV 2.16.840.1.113883.3.115 MOH DD Hui Nar Quek masked Hui-Nar Quek +65 6435 3655 masked INT 3 Complete 2006/12/19 12:00:00 2006/12/19 12:00:00 UV 2.16.840.1.113883.4.18 peihi Prince Edward Island, Canada Department of Health Hospital Identifier (peihi) Wendy Huang masked Kim Knox 1-902-368-6179 masked Prince Edward Island Department of Health PO Box 2000 16 Garfield Street, 1st Floor Charlottetown, PE, C1A 7N8 902-368-6149 kjknox@ihis.org http://www.gov.pe.ca/health/index.php3 Govt body Ext 4 Complete 2.16.840.1.113883.4.18 2007/01/04 12:00:00 2010/01/06 12:00:00 2011/08/23 03:37:15 UV 2.16.840.1.113883.3.116 HDS Scott DuVall masked Kevin Coonan Scott DuVall PO BOX 58784, Salt Lake City, UT 84158-0784 (801) 938-6811 masked Vice President Health Data Security, Inc.,Health Data Security, Inc. PO Box 58785, Salt Lake City, UT 84158-0784 (801) 938-6811 hl7@healthdatasecurity.com http://www.healthdatasecurity.com Vendor INT 3 Complete 2007/01/09 12:00:00 2007/01/10 12:00:00 UV 2.16.840.1.113883.4.68 ca-peiPOI Prince Edward Island, Canada Department of Health Physician Office Identifier Wendy Huang masked Kim Knox PO Box 2000 Chartlottetown, PEI, C1A 7N8 Canada 1-902-368-6179 masked Prince Edward Island Department of Health PO Box 2000 16 Garfield Street, 1st Floor Charlottetown, PE, C1A 7N8 Canada (902)-368-6130 mrdevine@gov.pe.ca http://www.gov.pe.ca/health/index.php3 Govt body Int 4 Complete 2007/01/15 12:00:00 2010/01/28 12:00:00 2010/02/04 11:58:19 UV 2.16.840.1.113883.4.69 ca-peiLTCFI Prince Edward Island, Canada Department of Health Long Term Care Facility Identifier Wendy Huang masked Kim Knox PO Box 2000 16 Garfield Street, 1st Floor Charlottetown, PE, C1A 7N8 Canada 1-902-368-6179 masked Prince Edward Island Department of Health PO Box 2000 16 Garfield Street, 1st Floor Charlottetown, PE, C1A 7N8 Canada 1-902-368-6149 kjknox@ihis.org http://www.gov.pe.ca/health/index.php3 Govt body Int 4 Complete 2007/01/15 12:00:00 2010/01/28 12:00:00 2010/02/04 12:00:00 UV 2.16.840.1.113883.4.70 ca-peiMHF Prince Edward Island, Canada Department of Health Mental Health Care Facility Wendy Huang masked Kim Knox PO Box 2000 16 Garfield Street, 1st Floor Charlottetown, PE, C1A 7N8 Canada 1-902-368-6179 masked Prince Edward Island Department of Health PO Box 2000 16 Garfield Street, 1st Floor Charlottetown, PE, C1A 7N8 Canada 1-902-368-6149 kjknox@ihis.org http://www.gov.pe.ca/health/index.php3 Govt body Int 4 Complete 2007/01/15 12:00:00 2010/01/28 12:00:00 2010/02/04 12:01:34 UV 2.16.840.1.113883.4.71 ca-peiACI Prince Edward Island, Canada Department of Health Addiction Centre Identifier Wendy Huang masked Kim Knox PO Box 2000 16 Garfield Street, 1st Floor Charlottetown, PE, C1A 7N8 Canada 1-902-368-6179 masked Prince Edward Island Department of Health PO Box 2000 16 Garfield Street, 1st Floor Charlottetown, PE, C1A 7N8 Canada 1-902-368-6149 kjknox@ihis.org http://www.gov.pe.ca/health/index.php3 Govt body Int 4 Complete 2007/01/15 12:00:00 2010/01/28 12:00:00 2010/02/04 12:04:03 UV 2.16.840.1.113883.4.72 peiDOHAddictionCentreID Prince Edward Island, Canada Department of Health Addiction Centre Identifier Wendy Huang masked Kim Knox 1-902-368-6179 masked Prince Edward Island Department of Health 1-902-368-6149 kjknox@ihis.org Govt body Int 4 Rejected 2007/01/15 12:00:00 2010/01/28 12:00:00 2010/01/28 12:33:04 UV 2.16.840.1.113883.4.73 ca-peiVCI Prince Edward Island, Canada Department of Health Veterinary Clinic Identifier Wendy Huang masked Kim Knox PO Box 2000 16 Garfield Street, 1st Floor Charlottetown, PE, C1A 7N8 Canada 1-902-368-6179 masked Prince Edward Island Department of Health PO Box 2000 16 Garfield Street, 1st Floor Charlottetown, PE, C1A 7N8 Canada 1-902-368-6149 kjknox@ihis.org http://www.gov.pe.ca/health/index.php3 Govt body Int 4 Complete 2007/01/15 12:00:00 2010/01/28 12:00:00 2010/02/04 12:08:17 UV 2.16.840.1.113883.4.74 ca-peiVLN Prince Edward Island, Canada Department of Health Veterinarian License Number Identifier Wendy Huang masked Kim Knox PO Box 2000 16 Garfield Street, 1st Floor Charlottetown, PE, C1A 7N8 Canada 1-902-368-6179 masked PEI Veterinary Medical Association The Farm Centre Building 420 University Avenue Charlottetown, PE C1A 7Z5 Canada 1-902-367-3757 admin@peivma.com http://www.peivma.com Prof Soc Int 4 Complete 2007/01/15 12:00:00 2010/01/28 12:00:00 2010/02/04 12:11:11 UV 2.16.840.1.113883.4.75 ca-peiEN Prince Edward Island, Canada Department of Health Employee Number Wendy Huang masked Kim Knox PO Box 2000 16 Garfield Street, 1st Floor Charlottetown, PE, C1A 7N8 Canada 1-902-368-6179 masked Prince Edward Island Department of Health PO Box 2000 16 Garfield Street, 1st Floor Charlottetown, PE, C1A 7N8 Canada 1-902-368-6149 kjknox@ihis.org http://www.gov.pe.ca/health/index.php3 Govt body Int 4 Complete 2007/01/15 12:00:00 2010/01/28 12:00:00 2010/02/04 12:16:25 UV 2.16.840.1.113883.4.76 ca-peiPTI Prince Edward Island Canada Department of Health Pharmacy Technician Identifier Wendy Huang masked Kim Knox PO Box 2000 16 Garfield Street, 1st Floor Charlottetown, PE, C1A 7N8 Canada 1-902-368-6179 masked Prince Edward Island Department of Health PO Box 2000 16 Garfield Street, 1st Floor Charlottetown, PE, C1A 7N8 Canada 1-902-368-6149 kjknox@ihis.org http://www.gov.pe.ca/health/index.php3 Govt body Int 4 Complete 2007/01/15 12:00:00 2010/01/28 12:00:00 2010/02/04 12:21:36 UV 2.16.840.1.113883.3.117 lantanaConsultingGroup Lantana Consulting Group (formerly Alschuler Associates, LLC) Rick Geimer masked Rick Geimer 650-839-1521 masked Associate Lantana Consulting Group (formerly Alschuler Associates, LLC) rick.geimer@lantanagroup.com Vendor INT 3 Complete 2007/01/18 12:00:00 2011/11/22 04:55:46 UV 2.16.840.1.113883.2.14 hl7Uruguay HL7 Uruguay OID Root JULIO CARRAU masked DANIEL BERRETTA DANIEL BERRETTA 18 de julio 462 - CP 70000 - Colonia - URUGUAY 5985222579 masked SUEIIDISS,SUEIIDISS Av. Italia s/n CP 11600 - Montevideo - URUGUAY 59824871140 secretaria@sueiidiss.org http://www.sueiidiss.org HL7 body 2.16.840.1.113883 INT 2 Complete 2007/01/24 12:00:00 2007/02/19 12:00:00 2007/02/14 04:24:08 UV 2.16.840.1.113883.3.118 Cyclops Aldo von Wangnheim masked Aldo von Wangnheim 554837219516 masked SDO INT 3 Complete 2007/02/02 12:00:00 2007/02/02 12:00:00 UV 2.16.840.1.113883.3.119 mindlinc Mindlinc Dean Atchley masked Dean Atchley 919-681-3985 masked Mindlinc dean.atchley@mindlinc.com Vendor INT 3 Complete 2007/02/06 12:00:00 2015/07/22 05:53:31 UV 2.16.840.1.113883.3.120 Sage Health Root Todd Treiber masked Todd Treiber 386-418-7169 masked Director of Development Sage Software Healthcare Division,Sage Software Healthcare Division 15151 NW 99th ST, Alachua, FL 32615 386-462-2148 http://www.sagehealth.com Vendor INT 3 Complete 2007/02/13 12:00:00 2007/02/13 12:00:00 UV 2.16.840.1.113883.5.1111 TransmissionRelationshipType Russell Hamm masked Rene Spronk Russell Hamm 507-284-9348 masked INT 5 Complete 2007/02/13 12:00:00 2007/02/13 12:00:00 UV 2.16.840.1.113883.6.254 icf International Classification of Function William Goossen masked T. B. &#220;st&#252;n 20, Avenue Appia, 1211 Geneva, Switzerland 999-999-9999 masked Coordinator Classification, Assessment, Surveys and Terminology Unit. World Health Organisation 20, Avenue Appia, 1211 Geneva, Switzerland 999-999-9999 ustunb@who.int http://www.who.int/classifications/icf/en/ SDO Int 6 Complete 2007/02/20 12:00:00 2010/11/16 12:00:00 2010/11/16 09:45:22 UV 2.16.840.1.113883.3.121 Children's Health System Stephen Strickland masked Scott Leising Stephen Strickland 1600 7th Avenue South, Birmingham, AL 35233 (205) 212-7865 masked Manager of Systems Integration Children's Health System,Children's Health System 1600 7th Avenue South, Birmingham, AL 35233 (205) 939-9621 SystemsIntegrationTeam@chsys.org http://www.chsys.org Provider INT 3 Complete 2007/02/21 12:00:00 2007/02/21 12:00:00 UV 2.16.840.1.113883.6.255 x12.3 X12.3 Data Elementary Dictionary Keith Boone masked Stuart Beaton 615.376.2483 masked Co-Chair X12N/TG2/WG1 - Health Care Eligibility X12N StuartBeaton@aol.com SDO Int 6 Complete 2007/02/23 12:00:00 2015/06/29 12:00:00 2015/06/29 03:22:43 UV 2.16.840.1.113883.6.255.1336 x12N-1336 Insurance Type Code Keith Boone masked Stuart Beaton 615.376.2483 masked Co-Chair X12N/TG2/WG1 Health Care Eligibility Work Group X12N StuartBeaton@aol.com SDO Ext 6 Complete 2.16.840.1.113883.6.255.1336 2007/02/23 12:00:00 2015/06/29 12:00:00 2015/06/29 03:25:38 UV 2.16.840.1.113883.3.122 panCANPHCDSMP Pan-Canadian Public Health Communicable Disease Surveillance and Management Project Steve Sagodi masked Doug.Williscroft@gov.bc.ca Steve Sagodi 200 - 1803 Douglas St, Victoria BC, Canada, V8T5C3 250-298-9865 masked IT Architect IBM Canada 200 - 1803 Douglast St, Victoria BC, Canada, V8T5C3 250-298-9865 sagodis@ca.ibm.com http://www.ibm.com/ca/ Vendor Int 3 Complete 2007/03/01 12:00:00 2010/11/16 12:00:00 2010/11/16 09:48:48 UV 2.16.840.1.113883.3.123 chaman3 Chaman 3 Health Information System jesus villagrasa masked jesus villagrasa pau alcover 33 - Barcelona - Spain 34-93-2536100 masked project manager jesus villagrasa pau alcover 33 - Barcelona - Spain 34-93-2536100 jvillagrasa@costaisa.com http://www.costaisa.com Vendor Int 3 Complete 2007/03/06 12:00:00 2010/11/15 12:00:00 2010/11/15 01:49:01 Chaman3 UV 2.16.840.1.113883.4.77 Global Assessment of Functioning (GAF) Scale mike cassidy masked mike cassidy 610-219-3036 masked HL7 ASIG co-chair HL7 Attachments SIG,HL7 Attachments SIG HL7 body INT 4 Edited 2007/03/06 12:00:00 2007/03/06 06:54:44 UV 2.16.840.1.113883.3.124 CLINICARE Antonio Elumir masked Antonio Elumir 4032592244 x.225 masked INT 3 Complete 2007/03/07 12:00:00 2007/03/07 12:00:00 UV 2.16.840.1.113883.3.125 Noemalife Root OID Giorgio Cassetti masked Giorgio Cassetti via P.Gobetti 52 +39 051 7098211 masked INT 3 Complete 2007/03/29 12:00:00 2007/03/29 12:00:00 UV 2.16.840.1.113883.10.20.2 handPv1.0TemplatesRoot Hand Pv1.0 Templates Root Bob Dolin masked Bob Dolin 714 562 3456 masked SDWG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 robert.h.dolin@kp.org HL7 body Int 10 Complete 2.16.840.1.113883.10.20.2 2007/03/30 12:00:00 2015/06/29 12:00:00 2015/06/29 08:06:08 UV 2.16.840.1.113883.10.20.3 cda4cdGeneralHeaderConstraints cda4cdGeneralHeaderConstraints Bob Dolin masked Bob 714 562 3456 masked SDWG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 Robert.H.Dolin@kp.org HL7 body Int 10 Complete 2.16.840.1.113883.10.20.3 2007/03/30 12:00:00 2015/06/29 12:00:00 2015/06/29 08:19:02 UV 2.16.840.1.113883.3.126 Summit Imaging Darren Meyer masked Reed Gibson Darren Meyer 200 NE Mulberry Suite 102 Lee's Summit, MO 64086 816-246-5777 masked President Darren Meyer,Darren Meyer 200 NE Mulberry Suite 102 Lee's Summit, MO 64086 816-246-5777 dkmeyer@summitimaging.net http://www.summitimaging.net Vendor INT 3 Complete 2007/04/10 12:00:00 2007/04/10 12:00:00 UV 2.16.840.1.113883.6.256 radLex RadLex Cecil Lynch masked Fred Behlen Chris Carr 820 Jorie Boulevard Oak Brook, IL 60523 1-630-368-3739 masked Director of Informatics Radiological Society of North America 820 Jorie Boulevard Oak Brook, IL 60523 1-630-368-3739 ccarr@rsna.org http://www.radlex.org Prof Soc Ext 6 Complete 2007/04/18 12:00:00 2009/12/30 12:00:00 2009/12/30 03:42:20 UV 2.16.840.1.113883.3.127 InfoWorld Catalin Branea masked Cristian Taslitchi +40-21-243-0590 masked Info World,Info World http://www.infoworld.ro Vendor INT 3 Complete 2007/04/20 12:00:00 2007/04/20 12:00:00 UV 2.16.840.1.113883.4.78 sharedHealth Shared Health Sudhindra Ramamurthy masked David Proctor 401 Chestnut St Chattanooga, TN 37421 423-535-2994 masked Technology Manager Shared Health 401 Chestnut St Chattanooga, TN 37421 423-535-2905 hugh.hale@sharedhealth.com http://www.sharedhealth.com Vendor INT 3 Complete 2007/05/15 12:00:00 2009/09/11 12:00:00 2009/04/02 01:41:01 UV 2.16.840.1.113883.3.128 chaman2 Chaman 2 Health Information System jesus villagrasa masked jesus villagrasa pau alcover 33 - Barcelona - Spain 34932536100 masked project manager jesus villagrasa pau alcover 33 - Barcelona - Spain 34932536100 jvillagrasa@costaisa.com Vendor Int 3 Complete 2007/05/22 12:00:00 2010/11/16 12:00:00 2010/11/16 09:53:37 UV 2.16.840.1.113883.3.129 usbsTurkiye Turkiye Ulusal Saglik Bilgi Sistemi (USBS) Timurhan &#199;evik masked Fatih Boy Ataturk Bulvari No:380 Kat:7 35220 Alsancak IZMIR TURKEY 902324647733 masked Software Specialist Fatih Boy Ataturk Bulvari No:380 Kat:7 35220 Alsancak IZMIR TURKEY 902324647733 fatihboy@birim.com.tr Govt body Int 3 Complete 2007/05/30 12:00:00 2009/12/30 12:00:00 2011/11/15 04:38:44 UV 2.16.840.1.113883.10.5 implGuidesSNOMEDCTroot implGuidesSNOMEDCTroot Bob Dolin masked Bob Dolin 949 466 3695 masked SDWG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 robert.h.Dolin@kp.org HL7 body Int 10 Complete 2.16.840.1.113883.10.5 2007/06/02 12:00:00 2015/06/30 12:00:00 2015/06/30 08:03:43 UV 2.16.840.1.113883.3.130 geHealthcareEDIServices GE Healthcare EDI Services Paul Cahill masked Paul Cahill 6175192361 masked GE Healthcare EDI Services paul.cahill@ge.com Provider Int 3 Complete 2007/06/07 12:00:00 2014/12/15 12:00:00 2014/12/15 08:01:31 UV 2.16.840.1.113883.6.257 mds Minimum Data Set for Long Term Care Keith Boone masked Keith W. Boone 617-519-2076 masked Centers for Medicare and Medicaid Services keith.boone@ge.com Int 6 Complete 2007/06/14 12:00:00 2015/06/30 12:00:00 2015/06/30 09:21:23 UV 2.16.840.1.113883.4.79 GCDF GCDF George Robinson masked George Robinson 500 E 96th St., Suite 500, Indianapolis, IN 46240 317-571-7248 masked VP Knowledge Base Development First DataBank, Inc,First DataBank, Inc,First DataBank, Inc,First DataBank, Inc,First DataBank, Inc, 500 East 96th Street, Suite 500 317-571-7248 george_robinson@firstdatabank.com http://www.firstdatabank.com Vendor INT 6 Complete 2007/06/20 12:00:00 2007/06/20 12:00:00 UV 2.16.840.1.113883.4.80 GCRT GCRT George Robinson masked George Robinson 500 E 96th St, Suite 500, Indianapolis, IN 46240 317-571-7248 masked VP Knowledge Base Dev First DataBank, Inc,First DataBank, Inc,First DataBank, Inc,First DataBank, Inc,First DataBank, Inc, 500 E 96th St., Suite 500, Indianapolis, IN 46240 317-571-7248 george_robinson@firstdatabank.com http://www.firstdatabank.com Vendor INT 6 Complete 2007/06/20 12:00:00 2007/06/20 12:00:00 UV 2.16.840.1.113883.6.258 caefi-rcco Canadian Adverse Event Following Immunization reporting criteria and concurrent observations Wendy Huang masked Helen Anyoti 100 promenade Eglantine Driveway Bldg # 6, Room 2437 Tunney's Pasture, Al 0602C Ottawa, Ontario Canada K1R 0K9 1-613-941-9132 masked Public Health Agency of Canada Vaccine Safety Unit, Bldg #6, Tunney's Pasture 0602C, Ottawa, Ontario K1Y 0L9 1-613-954-5590 CAEFI@phac-aspc.gc.ca http://www.phac-aspc.gc.ca/im/aefi-form_e.html Govt body Ext 6 Complete 2007/06/20 12:00:00 2010/11/16 12:00:00 2010/11/16 09:57:36 UV 2.16.840.1.113883.3.131 ASEPEYO jesus villagrasa masked jesus villagrasa pau alcover 33 - Barcelona - Spain 34932536100 masked project manager INT 3 Complete 2007/06/27 12:00:00 2007/06/27 12:00:00 UV 1.3.160 gtin GTIN Global Trade Item Number Christian Hay masked Christian Hay 3000 Bern, Switzerland +41218253219 masked Delegate Healthcare GS1 1050 Brussels +3227887823 henri.barthel@gs1.org http://www.gs1.org SDO 1.3.160 Ext 4 Complete 1.3.160 2007/06/27 12:00:00 2009/12/23 12:00:00 2009/12/23 09:29:35 UV 2.16.840.1.113883.3.132 Pfizer Inc William Rosen masked William Rosen 50 Pequot Avenue, MS-6025, B5218, New London, CT 06320 (860) 732-9244 masked Executive Director, Worldwide Policy and Intelligence Pfizer Incorporated,Pfizer Incorporated 235 East 42nd Street, NY, NY 10017 212-733-2323 william.rosen@pfizer.com http://www.pfizer.com HL7 body INT 3 Complete 2007/07/03 12:00:00 2007/07/03 12:00:00 UV 2.16.840.1.113883.5.1112 queryRequestLimit Query Request Limit Russell Hamm masked Rene Spronk 555-5555 masked Sr.Consultant HL7 Modeling and Methodology Workgroup 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA (+1) 734-677-7777 hq@hl7.org http://www.hl7.org SDO Int 5 Complete 2007/07/10 12:00:00 2009/12/22 12:00:00 2009/12/22 02:13:01 UV 2.16.840.1.113883.3.133 canNLEHR Newfoundland and Labrador Canada Electronic Health Record Marguerite Foote masked Sisira De Silva Newfoundland and Labrador Centre for Health Information, 70 O'Leary Avenue, St. John's, NL, Canada, A1B 2C7 1-709-752-6026 masked EHR Informatics Consultant Newfoundland and Labrador Centre for Health Information (Canada) Newfoundland and Labrador Centre for Health Information, 70 O'Leary Avenue, St. John's, NL, Canada, A1B 2C7 1-709-752-6000 EHRstandards@nlchi.nl.ca http://www.nlchi.nl.ca Govt body Int 3 Complete 2007/07/11 12:00:00 2010/11/16 12:00:00 2018/03/05 12:26:57 UV 2.16.840.1.113883.3.134 CBay Systems & Services Doug Wackowski masked Michael Malling 21752 Regents Park Circle 703-444-7172 masked Interface Manager INT 3 Complete 2007/07/12 12:00:00 2007/07/12 12:00:00 UV 2.16.840.1.113883.4.260 Newfoundland and Labrador Canada Electronic Health Record Wendy Huang masked Marguerite Foote Newfoundland and Labrador Centre for Health Information, 28 Pippy Place, St. John's, NL Canada AlB 3X4 709-752-6107 masked Newfoundland and Labrador Centre for Health Information (Canada),Newfoundland and Labrador Centre fo Newfoundland and Labrador Centre for Health Information, 28 Pippy Place, St. John's, NL Canada AlB 3X4 709-752-6107 margueritef@nlchi.nl.ca http://www.nlchi.nl.ca/ Govt body Int 4 Deprecated 2007/07/16 12:00:00 2013/12/03 04:23:22 UV 2.16.840.1.113883.4.261 ca-nflPLN Newfoundland and Labrador Canada Pharmacist License Number Wendy Huang masked Marguerite Foote Newfoundland and Labrador Centre for Health Information, 28 Pippy Place, St. John's, NL AlB 3X7 Canada 709-752-6107 masked Newfoundland and Labrador Pharmaceutical Association (Canada),Newfoundland and Labrador Pharmaceutic Newfoundland and Labrador Centre for Health Information, 28 Pippy Place, St. John's, NL AlB 3X4 Canada 709-752-6107 margueritef@nlchi.nl.ca http://www.nlchi.nl.ca/ Prof Soc Int 4 Complete 2007/07/16 12:00:00 2010/01/28 12:00:00 2010/02/04 12:23:36 UV 2.16.840.1.113883.4.262 ca-nflPLN Canada Newfoundland and Labrador Physician License Identifier Wendy Huang masked Marguerite Foote Newfoundland and Labrador Centre for Health Information, 28 Pippy Place, St. John's, NL AlB 3X8 Canada 709-752-6107 masked College of Physicians and Surgeons (Newfoundland and Labrador, Canada),College of Physicians and Sur 139 Water Street Suite 603 St. John's, Newfoundland & Labrador A1C 1B2 Canada 709-726-8546 cpsnl@cpsnl.ca http://www.nmb.ca/ Prof Soc Int 4 Complete 2007/07/16 12:00:00 2010/01/28 12:00:00 2010/02/04 12:26:34 UV 2.16.840.1.113883.4.263 ca-nflDLN Newfoundland and Labrador Canada Dentist License Number Wendy Huang masked Marguerite Foote Newfoundland and Labrador Centre for Health Information, 28 Pippy Place, St. John's, NL AlB 3X9 Canada 709-752-6107 masked Newfoundland and Labrador Dental Board (Canada),Newfoundland and Labrador Dental Board (Canada) 139 Water Street St. John's, NL A1C 1B2 Canada 709- 579-2391 nfdental@nfld.net http://www.nlda.net/ Prof Soc Int 4 Complete 2007/07/16 12:00:00 2010/01/28 12:00:00 2010/02/04 12:28:26 UV 2.16.840.1.113883.4.264 ca-nflVLN Newfoundland and Labrador Canada Veterinarian License Number Wendy Huang masked Marguerite Foote Newfoundland and Labrador Centre for Health Information, 28 Pippy Place, St. John's, NL Canada AlB 3X9 709-752-6107 masked Newfoundland and Labrador College of Veterinarians (Canada),Newfoundland and Labrador College of Vet Newfoundland & Labrador Veterinary Medical Assocation P.O. Box 818 Mount Pearl, NL A1N 3C8 709-752-6107 nalvma@nalvma.ca http://nalvma.ca/ Prof Soc Int 4 Complete 2007/07/16 12:00:00 2010/01/28 12:00:00 2010/02/04 12:30:32 UV 2.16.840.1.113883.4.265 ca-nflOLN Newfoundland and Labrador Canada Optometrist License Number Wendy Huang masked Marguerite Foote Newfoundland and Labrador Centre for Health Information, 28 Pippy Place, St. John's, NL Canada AlB 3X9 709-752-6107 masked Newfoundland and Labrador Optometric Board (Canada),Newfoundland and Labrador Optometric Board (Cana Po Box 23085 Rpo Churchill Sq. St. John's, NL A1B 4J9 Canada 709-739-8378 nlao@nl.rogers.com http://www.nao.opto.ca Prof Soc Int 4 Complete 2007/07/16 12:00:00 2010/01/28 12:00:00 2010/06/11 01:13:36 UV 2.16.840.1.113883.4.266 ca-nflNLN Newfoundland and Labrador Canada Nurse License Number Wendy Huang masked Marguerite Foote Newfoundland and Labrador Centre for Health Information, 28 Pippy Place, St. John's, NL Canada AlB 3X9 709-752-6107 masked Association of Registered Nurses of Newfoundland and Labrador (Canada),Association of Registered Nur 55 Military Road St. John's, NL A1C 2C5 Canada 709-753-6040 info@arnnl.ca http://www.arnnl.nf.ca/ Prof Soc Int 4 Complete 2007/07/16 12:00:00 2010/01/28 12:00:00 2010/02/04 12:37:39 UV 2.16.840.1.113883.4.267 ca-nflDOI Newfoundland and Labrador Canada EHR Delivery Organization ID Wendy Huang masked Marguerite Foote Newfoundland and Labrador Centre for Health Information, 28 Pippy Place, St. John's, NL AlB 3X9 Canada 709-752-6107 masked Newfoundland and Labrador Centre for Health Information (Canada) Newfoundland and Labrador Centre for Health Information, 28 Pippy Place, St. John's, NL AlB 3X4 Canada 709-752-6107 margueritef@nlchi.nl.ca http://www.nlchi.nl.ca/ Govt body Int 4 Complete 2007/07/16 12:00:00 2010/01/28 12:00:00 2010/02/04 12:39:00 UV 2.16.840.1.113883.3.26.3 caGrid Cancer Biomedical Informatics Grid (caBIG) Frank Hartel masked Robinette Renner Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5089 masked Program Director for Semantic Infrastructure National Cancer Institute, Center for Biomedical Informatics and Information Technology Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5541 nciappsupport@nih.gov https://datascience.cancer.gov/ Govt body 2.16.840.1.113883.3.26 Ext 3 3 Complete 2.16.840.1.113883.3.26.3 2007/07/23 12:00:00 2010/01/27 12:00:00 2023/09/08 11:56:04 UV 2.16.840.1.113883.4.268 FOALINFORMATICA Aldo Forte masked Aldo +39.349.4073967 masked INT 4 Pending 2007/07/23 12:00:00 2007/07/23 12:00:00 UV 1.3.6.1.4.1.29148 axolotl-PEN Axolotl PEN Nick Radov masked Ray Scott Linda Michaelsen PO BOX 9472 MINNEAPOLIS MN 55440-9472 USA +1(612) 632-6664 masked Software Engineer Cnslt Optum Services, Inc. 11000 Optum Circle Eden Prairie, MN 55344 USA +1(877) 296-5685 HIEsupport@optum.com http://www.optum.com/ Vendor 1.3.6.1.4.1.29148 Ext 2.16.840.1.113883.3.2966 3 Deprecated 1.3.6.1.4.1.29148 2007/07/23 12:00:00 2010/11/17 12:00:00 2018/03/02 10:20:49 UV 2.16.840.1.113883.3.26.3.1 caGridCAC-PAndP-Stmt caGrid Certificate Authority: Certificate Policy and Practice Statement Frank Hartel masked George Komatsoulis Robinette Renner Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5089 masked Program Director for Semantic Infrastructure National Cancer Institute, Center for Biomedical Informatics and Information Technology Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5541 nciappsupport@nih.gov https://datascience.cancer.gov/ Govt body 2.16.840.1.113883.3.26 Ext 7 Complete 2.16.840.1.113883.3.26.3.1 2007/07/25 12:00:00 2010/01/27 12:00:00 2023/07/11 10:42:02 UV 2.16.840.1.113883.10.20.4 cda4cdtConsultNote cda4cdtConsultNote Bob Dolin masked Bob Dolin 949 466 3695 masked SDWG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 Robert.H.Dolin@kp.org HL7 body Int 10 Complete 2.16.840.1.113883.10.20.4 2007/07/27 12:00:00 2015/06/29 12:00:00 2015/06/29 08:24:19 UV 2.16.840.1.113883.4.269 meDevLab Merc&#250;rio - Development Laboratory Daniel Lobo masked Daniel Lobo +351912789218 masked Merc&#250;rio - Development Laboratory daniel.filipe.lobo@gmail.com Int 3 Complete 2007/08/07 12:00:00 2022/10/25 12:00:00 2022/10/25 10:03:32 UV 2.16.840.1.113883.4.270 ndeSa&#250;de Identifica&#231;&#227;o do N&#250;mero de Sa&#250;de do Servi&#231;o Nacional de Sa&#250;de Portugu&#234;s Daniel Lobo masked Daniel Lobo +351912789218 masked Servi&#231;o Nacional de Sa&#250;de Portugu&#234;s daniel.filipe.lobo@gmail.com Govt body Int 3 Complete 2007/08/07 12:00:00 2022/10/25 12:00:00 2022/10/25 10:12:43 UV 2.16.840.1.113883.3.135 MedQuist, Inc V Jagannathan masked V. Juggy Jagannathan 235 High Street, Suite 213, Morgantown, WV 26505 304-296-7550 x 101 masked VP of Research MedQuist, Inc,MedQuist, Inc 1000 Bishops Gate Blvd. Suite 300, Mount Laurel, NJ 08054 856-206-4000 mivie@medquist.com http://www.medquist.com Vendor INT 3 Complete 2007/08/07 12:00:00 2007/08/07 12:00:00 UV 2.16.840.1.113883.4.271 healthe Healthe Phenix Qin masked Phenix Pu Qin Unit 408, Building 22, Shuang Yu Shu Dong Li, Haidian District, Beijing 100086, P.R.China +86 10 8212 5295 masked Product Development Manager Phenix Pu Qin Unit 408, Building 22, Shuang Yu Shu Dong Li, Haidian District, Beijing 100086, P.R.China +86 10 8212 5295 pqin@healthe.com http://healthe.com/ Vendor Int 4 Complete 2007/08/23 12:00:00 2010/11/17 12:00:00 2010/11/17 04:05:05 UV 2.16.840.1.113883.4.272 canadaSIN Canada Social Insurance Number (SIN) Maxime Morneau masked Standards Collaborative HL7 Canada, 150 King Street West, Suite 1300, Toronto, Ontario M5H 1J9 1-877-595-3417 masked Human Resources and Social Development Canada Service Canada, Social Insurance Registration Office, P.O. Box 7000, Bathurst, New Brunswick E2A 4T1 1-800-206-7218 ontario.inquiry@hrsdc-rhdcc.gc.ca http://www.hrsdc.gc.ca Govt body Int 4 Complete 2007/08/30 12:00:00 2010/01/28 12:00:00 2010/02/04 10:51:42 UV 2.16.840.1.113883.4.273 ca-qcLOCID Canada Quebec EHR Location ID Wendy Huang masked Maxime Morneau Minist&#232;re de la sant&#233; et des services sociaux, 4e &#233;tage - Bureau 425, 1075 Chemin Ste-Foy, Qu&#233;bec, QC G1S 2M1 1-418-266-4566 masked Minist&#232;re de la sant&#233; et des services sociaux du Qu&#233;bec (Canada) Minist&#232;re de la sant&#233; et des services sociaux, 1075, chemin Sainte-Foy, 15e &#233;tage, Qu&#233;bec (Quebec) G1S 2M1 Canada 1-418-644-4545 maxime.morneau@msss.gouv.qc.ca http://www.msss.gouv.qc.ca/ Govt body 2.16.124.10.101.1.60 Int 4 Complete 2007/08/30 12:00:00 2010/01/28 12:00:00 2010/02/04 01:57:43 UV 2.16.840.1.113883.4.274 qc-EHROrgID Canada Quebec EHR Organization ID Wendy Huang masked Maxime Morneau Minist&#232;re de la sant&#233; et des services sociaux, 4e &#233;tage - Bureau 425, 1075 Chemin Ste-Foy, Qu&#233;bec, QC G1S 2M1 1-418-266-4566 masked Minist&#232;re de la sant&#233; et des services sociaux du Qu&#233;bec (Canada) Minist&#232;re de la sant&#233; et des services sociaux, 1075, chemin Sainte-Foy, 15e &#233;tage, Qu&#233;bec (Qu&#233;bec) G1S 2M1 1-418-644-4545 maxime.morneau@msss.gouv.qc.ca http://www.msss.gouv.qc.ca/ Govt body 2.16.124.10.101.1.60 Int 4 Complete 2007/08/30 12:00:00 2010/01/28 12:00:00 2010/02/04 10:53:01 UV 2.16.840.1.113883.3.136 tuyet Tuyet Thieu Tuyet Thieu masked Tuyet Thieu 902-435-1217 masked Tuyet Thieu tuyet@cphci.ca Exchange Int 3 Complete 2007/09/05 12:00:00 2022/10/25 12:00:00 2022/10/25 07:48:26 UV 2.16.840.1.113883.3.137 trinityhealth Trinity Health OID Root Peter Gilbert masked Michael E. Kelly 34605 W. Twelve Mile Road Farmington Hills, MI 48331 248-489-5088 masked Director of Interoperability Trinity Health Trinity Health 27870 Cabot Drive Novi, MI 48377-2920 +1 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org/index.htm Provider Int 3 Complete 2007/09/24 12:00:00 2009/12/31 12:00:00 2010/12/21 08:34:13 UV 2.16.840.1.113883.4.275 ahcccs-ID AHCCCS Member ID Lupita Figueroa Figueroa masked Lupita Figueroa 700 E. Jefferson st. MD-900, Phoenix, AZ 85034 602-417-6989 masked Arizona Health Care Cost Containment System,Arizona Health Care Cost Containment System,Arizona Heal 700 E. Jefferson st. MD-900, Phoenix, AZ 85034 602-417-6989 lupita.figueroa@azahcccs.gov http://www.azahcccs.gov/site/ Govt body 2.16.840.1.113883 Int 4 Complete 2007/10/05 12:00:00 2010/01/28 12:00:00 2010/01/28 02:26:22 UV 2.16.840.1.113883.3.138 ahcccs Arizona Health Care Cost Containment System Lupita Figueroa masked Lupita Figueroa 700 E. Jefferson st. MD-900 Phoenix, AZ 85034 602-417-6989 masked Sr. System Program Analyst Arizona Health Care Cost Containment System 700 E. Jefferson st. MD-900 Phoenix, AZ 85034 602-417-6989 lupita.figueroa@azahcccs.gov http://www.azahcccs.gov/site/ Govt body Int 3 Complete 2007/10/24 12:00:00 2009/12/31 12:00:00 2009/12/31 03:21:38 UV 2.16.840.1.113883.4.276 healthunity HealthUnity Network root OID Goutham Sukumar masked Goutham 777 NE 108th ave, Suite 1640, bellevue, wa, 98004, USA (425)454 6699 masked VP of engineering Goutham Sukumar 777 NE 108th ave, Suite 1640, bellevue, wa, 98004, USA (425)454 6699 gouthams@healthunity.com http://www.healthunity.com Vendor Int 3 Complete 2007/10/29 12:00:00 2010/01/28 12:00:00 2010/01/28 02:27:23 UV 2.16.840.1.113883.3.139 proPharmLimited ProPharm Limited OID Root Rajie Ragbeer masked Robin Paradis 800-387-6093 masked ProPharm Limited 131 McNabb Street Markham, Ontario L3R 5V7 800-387-6093 rparadis@propharm.com http://www.propharm.com Provider Int 3 Complete 2007/10/30 12:00:00 2009/12/31 12:00:00 2009/12/31 03:23:25 UV 2.16.840.1.113883.3.140 intergy-product-suite Intergy Product Suite Anthony LaRocca masked Alan Uhl Fred Harmon 13545 Progress Blvd. Alachua, FL 32615 386-418-7325 masked Application Programmer IV Greenway Medical Solutions 121 Greenway Blvd. Carrollton, GA 30117 678-839-4346 Tee.Green@greenwayhealth.com http://www.greenwayhealth.com/ Vendor 2.16.840.1.113883.3.441 INT 3 Complete 2007/11/02 12:00:00 2009/09/09 12:00:00 2014/02/13 01:37:08 UV 2.16.840.1.113883.4.277 ca-qcEHRPI Quebec, Canada EHR Provider ID Wendy Huang masked Maxime Morneau Minist&#232;re de la sant&#233; et des services sociaux, 4e &#233;tage - Bureau 425, 1075 Chemin Ste-Foy, Qu&#233;bec (Quebec), QC G1S 2M1 Canada 1-418-266-4566 masked Minist&#232;re de la sant&#233; et des services sociaux du Qu&#233;bec (Canada) Minist&#232;re de la sant&#233; et des services sociaux, 1075, chemin Sainte-Foy, 15e &#233;tage, Qu&#233;bec (Quebec) G1S 2M1 Canada 1-418-644-4545 maxime.morneau@msss.gouv.qc.ca http://www.msss.gouv.qc.ca/ Govt body 2.16.124.10.101.1.60 Int 4 Complete 2007/11/08 12:00:00 2010/01/28 12:00:00 2010/02/04 02:00:44 UV 2.16.840.1.113883.3.141 wellmed Wellmed OID Root Eric Pena masked Eric Pena 6347 Sunset haven 2106174023 masked Sr. Enterprise Developer WellMed WellMed Medical Management, Inc. 8637 Fredericksburg Rd., Suite 360 San Antonio, TX 78240 +1 210-615-9355 customerservice@wellmed.net http://www.wellmedmedicalgroup.com/ Provider Int 3 Complete 2007/11/12 12:00:00 2009/12/31 12:00:00 2009/12/31 03:27:11 UV 2.16.840.1.113883.3.143 scbit Scbit Zuofeng Li masked Zuofeng Li Shanghai Center for Bioinformatics Technology 86 21 masked Dr. Scbit zfli@scbit.org http://www.scbit.org:8080/scbit_en/pages/index.do Vendor Int 3 Complete 2007/11/13 12:00:00 2012/05/31 12:00:00 2012/06/01 01:20:45 UV 2.16.840.1.113883.3.144 saskatchewanHealth Saskatchewan Health OID Root Wendy Huang masked Yashu Bither 3475 Albert Street Regina, Saskatchewan Canada S4S 6X6 1-306-787-0587 masked Saskatchewan Health, Health Information Solutions Centre, Saskatchewan, Canada T.C. Douglas Building 3475 Albert Street Regina, Saskatchewan Canada S4S 6X6 1-306-787-0146 info@health.gov.sk.ca http://www.health.gov.sk.ca/ Govt body Int 3 Complete 2007/11/20 12:00:00 2009/12/31 12:00:00 2009/12/31 03:29:42 UV 2.16.840.1.113883.4.278 ca-saskSPRID Service Provider Registry Identifier (SPRID) Wendy Huang masked Yashu Bither 3475 Albert Street, Regina, Saskatchewan, Canada S4S 6X6 1-306-787-0587 masked Saskatchewan Health, Health Information Solutions Centre, Saskatchewan, Canada T.C. Douglas Building 3475 Albert Street Regina, Saskatchewan S4S 6X6 Canada 1-306-337-0670 jcollum@health.gov.sk.ca http://www.health.gov.sk.ca/ Govt body 2.16.840.1.113883.3.144 Int 4 Complete 2007/11/20 12:00:00 2010/01/28 12:00:00 2010/02/04 02:02:39 UV 2.16.840.1.113883.4.279 ca-saskCPSSID College of Physicians and Surgeons (CPSS) of Saskatchewan License Number (CPSID) Wendy Huang masked Yashu Bither 3475 Albert Street Regina, Saskatchewan, S4S 6X6 Canada 1-306-787-0587 masked Saskatchewan Health, Health Information Solutions Centre, Saskatchewan, Canada T.C. Douglas Building 3475 Albert Street Regina, Saskatchewan S4S 6X7 CANADA 1-306-337-0670 jcollum@health.gov.sk.ca http://www.health.gov.sk.ca/ Govt body 2.16.840.1.113883.3.144 Int 4 Complete 2007/11/20 12:00:00 2010/01/28 12:00:00 2010/02/04 03:18:00 UV 2.16.840.1.113883.4.280 ca-saskCDSSID College of Dental Surgeons of Saskatchewan (CDSS) License Number (DENID) Wendy Huang masked Yashu Bither 3475 Albert Street Regina, Saskatchewan, S4S 6X6 Canada 1-306-787-0587 masked Saskatchewan Health, Health Information Solutions Centre, Saskatchewan, Canada T.C. Douglas Building 3475 Albert Street Regina Saskatchewan S4S 6X7 CANADA 1-306-337-0671 jcollum@health.gov.sk.ca http://www.health.gov.sk.ca/ Govt body 2.16.840.1.113883.3.144 Int 4 Complete 2007/11/20 12:00:00 2010/01/28 12:00:00 2010/02/04 03:19:13 UV 2.16.840.1.113883.4.281 ca-saskRNID Saskatchewan Canada Registered Nurse (RN) License Number (RNID) Wendy Huang masked Yashu Bither 3475 Albert Street Regina, Saskatchewan, S4S 6X6 Canada 1-306-787-0587 masked Saskatchewan Health, Health Information Solutions Centre, Saskatchewan, Canada T.C. Douglas Building 3475 Albert Street Regina, Saskatchewan S4S 6X7 CANADA 1-306-337-0670 jcollum@health.gov.sk.ca http://www.health.gov.sk.ca/ Govt body 2.16.840.1.113883.3.144 Int 4 Complete 2007/11/20 12:00:00 2010/01/28 12:00:00 2010/02/04 03:20:52 UV 2.16.840.1.113883.4.282 ca-saskRNPID Registered Nurse (Nurse Practitioner) RN(NP) License Number (RNPID) Wendy Huang masked Yashu Bither 3475 Albert Street Regina, Saskatchewan, S4S 6X6 Canada 1-306-787-0587 masked Saskatchewan Health, Health Information Solutions Centre, Saskatchewan, Canada T.C. Douglas Building 3475 Albert Street Regina, Saskatchewan S4S 6X7 Canada 1-306-337-0670 jcollum@health.gov.sk.ca http://www.health.gov.sk.ca/ Govt body 2.16.840.1.113883.3.144 Int 4 Complete 2007/11/20 12:00:00 2010/01/28 12:00:00 2010/02/04 03:23:05 UV 2.16.840.1.113883.4.283 ca-saskPHYID Saskatchewan Pharmacy License Number Identifier Wendy Huang masked Yashu Bither 3475 Albert Street, Regina, Saskatchewan, Canada S4S 6X6 1-306-787-0587 masked Saskatchewan Health, Health Information Solutions Centre, Saskatchewan, Canada T.C. Douglas Building 3475 Albert Street Regina, Saskatchewan CANADA S4S 6X7 1-306-337-0670 jcollum@health.gov.sk.ca http://www.health.gov.sk.ca/ Govt body 2.16.840.1.113883.3.144 Int 4 Complete 2007/11/20 12:00:00 2010/01/28 12:00:00 2010/02/04 03:25:19 UV 2.16.840.1.113883.4.284 ca-saskPHID Saskatchewan College of Pharmacists (SCP) License Number (PHID) Wendy Huang masked Yashu Bither 3475 Albert Street Regina, Saskatchewan S4S 6X6 Canada 1-306-787-0587 masked Saskatchewan Health, Health Information Solutions Centre, Saskatchewan, Canada T.C. Douglas Building 3475 Albert Street Regina, Saskatchewan S4S 6X6 Canada 1-306-337-0670 jcollum@health.gov.sk.ca http://www.health.gov.sk.ca/ Govt body 2.16.840.1.113883.3.144 Int 4 Complete 2007/11/20 12:00:00 2010/01/28 12:00:00 2010/02/04 03:33:33 UV 2.16.840.1.113883.4.285 ca-saksOPID Saskatchewan Association of Optometrists (SAO) License Number (OPTID) Wendy Huang masked Yashu Bither 3475 Albert Street Regina, Saskatchewan S4S 6X6 Canada 1-306-787-0587 masked Saskatchewan Health, Health Information Solutions Centre, Saskatchewan, Canada T.C. Douglas Building 3475 Albert Street Regina, Saskatchewan S4S 6X6 Canada 1-306-337-0670 jcollum@health.gov.sk.ca http://www.health.gov.sk.ca/ Govt body 2.16.840.1.113883.3.144 Int 4 Complete 2007/11/20 12:00:00 2010/01/29 12:00:00 2010/02/04 03:38:52 UV 2.16.840.1.113883.4.286 ca-saskMSBID Medical Services Branch identifier (MSBID) Wendy Huang masked Yashu Bither 3475 Albert Street Regina, Saskatchewan S4S 6X6 Canada 1-306-787-0587 masked Saskatchewan Health, Health Information Solutions Centre, Saskatchewan, Canada T.C. Douglas Building 3475 Albert Street Regina, Saskatchewan S4S 6X6 Canada 1-306-337-0670 jcollum@health.gov.sk.ca http://www.health.gov.sk.ca/ Govt body 2.16.840.1.113883.3.144 Int 4 Complete 2007/11/20 12:00:00 2010/01/29 12:00:00 2010/02/04 03:40:47 UV 2.16.840.1.113883.4.287 RxBIN Lynne Gilbertson masked Lynne Gilbertson 6157540445 masked SDO 2.16.840.1.113883.3.79 INT 4 Pending 2007/12/04 12:00:00 2007/12/04 12:00:00 UV 2.16.840.1.113883.5.1113 ExposureMode ExposureMode W. Ted Klein masked Woody Beeler masked PHER HL7 body INT 5 Complete 2.16.840.1.113883 2007/12/05 12:00:00 2007/12/05 12:00:00 2007/12/05 12:00:00 UV 2.16.840.1.113883.5.1114 ActExposureLevelCode ActExposureLevelCode W. Ted Klein masked Woody Beeler masked PHER HL7 body INT 5 Complete 2.16.840.1.113883 2007/12/05 12:00:00 2007/12/05 12:00:00 2007/12/05 12:00:00 UV 2.16.840.1.113883.4.288 ca-qcPHYID Coll&#232;ge des m&#233;decins du Qu&#233;bec Canada License Number Wendy Huang masked Maxime Morneau Minist&#232;re de la sant&#233; et des services sociaux, 4e &#233;tage - Bureau 425, 1075 Chemin Ste-Foy, Qu&#233;bec (Quebec) G1S 2M1 Canada 1-418-266-4566 masked Minist&#232;re de la sant&#233; et des services sociaux du Qu&#233;bec (Canada) Minist&#232;re de la sant&#233; et des services sociaux, 1075, chemin Sainte-Foy, 15e &#233;tage, Qu&#233;bec (Quebec) G1S 2M1 Canada 1-418-644-4545 maxime.morneau@msss.gouv.qc.ca http://www.msss.gouv.qc.ca/ Govt body 2.16.124.10.101.1.60 Int 4 Complete 2007/12/11 12:00:00 2010/01/29 12:00:00 2010/02/04 03:42:28 UV 2.16.840.1.113883.4.289 ca-abDSLID Alberta Canada Delivery Site Location Identifier Wendy Huang masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked Alberta Health 1-780-427-4734 ABHL7@gov.ab.ca Govt body Int 2.16.840.1.113883.4.961 4 Retired 2007/12/11 12:00:00 2010/01/29 12:00:00 2019/07/15 10:01:00 UV 2.16.840.1.113883.2.15 hl7Malaysia HL7 Malaysia OID Root azmi hashim masked azmi hashim 38, jalan dagang 4/2 +60123205797 masked Director for Medical Informatics Vendor 2.16.840.1.113883 INT 2 Complete 2007/12/16 12:00:00 2007/12/16 12:00:00 UV 2.16.840.1.113883.4.290 medicaidIdentifier-MCDPI Medicaid Provider Identifier(MCAID) Lou Lunetta masked Lou 770-829-1186 masked Centers for Medicare and Medicaid Services http://www.cms.hhs.gov/home/medicaid.asp Govt body Pxy 14 4 Complete 2007/12/21 12:00:00 2009/10/06 12:00:00 2007/12/21 12:00:00 UV 2.16.840.1.113883.3.145 goldStandardInc Gold Standard Inc. OID Root Wuhong Li masked Wuhong Li 302 Knights Run Ave, Suite 800, Tampa, FL 33602 813-579-3873 masked Sr. Vice President Gold Standard Inc. li.w@goldstandard.com http://www.goldstandard.com/pages/contactUs.html Int 3 Complete 2007/12/27 12:00:00 2014/12/15 12:00:00 2014/12/15 02:33:33 UV 2.16.840.1.113883.4.81 cpnum Gold Standard's Clinical Pharmacology Monograph Number Wuhong Li masked Wuhong Li 813-579-3873 masked Gold Standard Inc. 302 Knights Run Ave, Suite 800 li.w@goldstandard.com http://www.goldstandard.com Vendor 2.16.840.1.113883.3.145 INT 6 Complete 2007/12/27 12:00:00 2009/09/15 12:00:00 2007/12/27 12:00:00 UV 2.16.840.1.113883.4.291 languaL Anders M&#248;ller masked Anders M&#248;ller Borgediget 12, DK-4000 Roskilde, Denmark +4546366430 masked INT 4 Complete 2008/01/03 12:00:00 2008/01/04 12:25:51 UV 2.16.840.1.113883.3.146 amphia-hospital Amphia Hospital Brian Sanderse masked Eric Polman Brian Sanderse +31 76 595 1419 masked IT Architect Amphia Hospital bsanderse@amphia.nl Provider Int 3 Complete 2008/01/04 12:00:00 2012/06/30 12:00:00 2012/06/30 07:52:03 UV 2.16.840.1.113883.4.292 fundacioTicsalut Oficina Estandards e interoperabilitat Fundacio Ticsalut Carlos Gallego P&#233;rez masked Carlos Gallego Av. Puig i Cadafalch 101-111 935532641 masked Manager of Office Standards and interoperability Fundacio TicSalut cgallego@ticsalut.cat Int 3 Complete 2008/01/07 12:00:00 2022/10/25 12:00:00 2022/10/25 08:46:14 UV 2.16.840.1.113883.3.147 acs-INC ACS INC Lou Lunetta masked Lou Lunetta 770 829 1186 masked ACS ACS Corporate Headquarters 2828 North Haskell Dallas, TX 75204 770 829 1186 Lou.Lunetta@acs-inc.com http://www.acs-inc.com/ Vendor Int 3 Complete 2008/01/07 12:00:00 2010/11/17 12:00:00 2010/11/17 04:16:48 UV 2.16.840.1.113883.4.293 ashpDMI American Society of Health-System Pharmacists (ASHP) Drug Monograph Identifier Wendy Huang masked Yashu Bither 3475 Albert Street, Regina, Saskatchewan, S4S 6X6 Canada 1-306-787-0587 masked First DataBank, Inc. 701 Gateway Blvd., Suite 600 So. San Francisco, CA 94080 USA 1-317-571-7265 Gina_Dube@firstdatabank.com http://www.firstdatabank.com/ Vendor Int 4 Complete 2008/01/08 12:00:00 2010/01/29 12:00:00 2010/02/04 03:49:15 UV 2.16.840.1.113883.4.294 fdb-PMI FDB Patient Monograph Identifier Wendy Huang masked Yashu Bither 3475 Albert Street, Regina, Saskatchewan, Canada S4S 6X6 1-306-787-0587 masked First DataBank, Inc. First DataBank, Inc.500 East 96th Street, Suite 500, Indianapolis, IN 46240 1-317-571-7265 Gina_Dube@firstdatabank.com http://www.firstdatabank.com/ Vendor Int 4 Complete 2008/01/08 12:00:00 2010/01/29 12:00:00 2010/02/04 03:49:44 UV 2.16.840.1.113883.4.295 fdb-DDIMI First Data Bank DDI Monograph Identifier Wendy Huang masked Yashu Bither 3475 Albert Street, Regina, Saskatchewan S4S 6X6 Canada 1-306-787-0587 masked First DataBank, Inc. First DataBank, Inc.500 East 96th Street, Suite 500, Indianapolis, IN 46240 1-317-571-7265 Gina_Dube@firstdatabank.com http://www.firstdatabank.com/ Vendor Int 4 Complete 2008/01/08 12:00:00 2010/01/29 12:00:00 2010/02/04 03:58:41 UV 2.16.840.1.113883.4.296 fdb-AGID First Data Bank Allergen Group identifier Wendy Huang masked Yashu Bither 3475 Albert Street, Regina, Saskatchewan, Canada S4S 6X6 1-306-787-0587 masked First DataBank, Inc. First DataBank, Inc. 500 East 96th Street, Suite 500, Indianapolis, IN 46240 1-317-571-7265 Gina_Dube@firstdatabank.com http://www.firstdatabank.com/ Vendor Int 4 Complete 2008/01/08 12:00:00 2010/01/29 12:00:00 2010/01/29 12:06:04 UV 2.16.840.1.113883.4.298 ca-qcPharmLN Ordre des Pharmaciens du Qu&#233;bec (Canada) License Number Wendy Huang masked Taha Chaabouni Minist&#232;re de la sant&#233; et des services sociaux, 1075, chemin Sainte-Foy, 15e &#233;tage, Qu&#233;bec (Quebec) G1S 2M1 Canada 418-266-4531 masked Minist&#232;re de la sant&#233; et des services sociaux du Qu&#233;bec (Canada) Minist&#232;re de la sant&#233; et des services sociaux, 1075, chemin Sainte-Foy, 15e &#233;tage, Qu&#233;bec (Quebec) G1S 2M1 Canada 1-418-644-4545 maxime.morneau@msss.gouv.qc.ca http://www.msss.gouv.qc.ca/ Govt body 2.16.124.10.101.1.60 Int 4 Complete 2008/01/08 12:00:00 2010/01/29 12:00:00 2010/02/05 05:13:10 UV 2.16.840.1.113883.4.299 ca-qcOptLN Ordre des optom&#233;tristes du Qu&#233;bec License Number Wendy Huang masked Maxime Morneau Minist&#232;re de la sant&#233; et des services sociaux, 4e &#233;tage - Bureau 425, 1075 Chemin Ste-Foy, Qu&#233;bec, QC G1S 2M1 1-418-266-4566 masked Minist&#232;re de la sant&#233; et des services sociaux du Qu&#233;bec (Canada) Minist&#232;re de la sant&#233; et des services sociaux, 1075, chemin Sainte-Foy, 15e &#233;tage, Qu&#233;bec (Qu&#233;bec) G1S 2M1 1-418-644-4545 maxime.morneau@msss.gouv.qc.ca http://www.msss.gouv.qc.ca/ Govt body 2.16.124.10.101.1.60 Int 4 Complete 2008/01/08 12:00:00 2010/01/29 12:00:00 2010/02/05 05:30:46 UV 2.16.840.1.113883.4.300 quebec-PodiatristLicNum Ordre des podiatres du Qu&#233;bec (Canada) License Number Wendy Huang masked Maxime Morneau Minist&#232;re de la sant&#233; et des services sociaux, 4e &#233;tage - Bureau 425, 1075 Chemin Ste-Foy, Qu&#233;bec, QC G1S 2M1 1-418-266-4566 masked Minist&#232;re de la sant&#233; et des services sociaux du Qu&#233;bec (Canada) Minist&#232;re de la sant&#233; et des services sociaux, 1075, chemin Sainte-Foy, 15e &#233;tage, Qu&#233;bec (Qu&#233;bec) G1S 2M1 1-418-644-4545 maxime.morneau@msss.gouv.qc.ca http://www.msss.gouv.qc.ca/ Vendor 2.16.124.10.101.1.60 Int 4 Complete 2008/01/08 12:00:00 2010/01/29 12:00:00 2010/01/29 12:13:58 UV 2.16.840.1.113883.4.301 ca-qcMidwLN Ordre des sages-femmes du Qu&#233;bec (Canada) License Number Wendy Huang masked Maxime Morneau Minist&#232;re de la sant&#233; et des services sociaux, 1075, chemin Sainte-Foy, 15e &#233;tage, Qu&#233;bec (Quebec) G1S 2M1 Canada 1-418-266-4566 masked Minist&#232;re de la sant&#233; et des services sociaux du Qu&#233;bec (Canada) Minist&#232;re de la sant&#233; et des services sociaux, 1075, chemin Sainte-Foy, 15e &#233;tage, Qu&#233;bec (Quebec) G1S 2M1 Canada 1-418-644-4545 maxime.morneau@msss.gouv.qc.ca http://www.msss.gouv.qc.ca/ Vendor 2.16.124.10.101.1.60 Int 4 Complete 2008/01/08 12:00:00 2010/01/29 12:00:00 2010/02/04 05:22:42 UV 2.16.840.1.113883.4.302 ca-qcDenLN Ordre des dentistes du Qu&#233;bec (Canada) License Number Wendy Huang masked Maxime Morneau Minist&#232;re de la sant&#233; et des services sociaux, 4e &#233;tage - Bureau 425, 1075 Chemin Ste-Foy, Qu&#233;bMinist&#232;re de la sant&#233; et des services sociaux, 1075, chemin Sainte-Foy, 15e &#233;tage, Qu&#233;bec (Quebec) G1S 2M1 Canadaec, QC G1S 2M1 1-418-266-4566 masked Minist&#232;re de la sant&#233; et des services sociaux du Qu&#233;bec (Canada) Minist&#232;re de la sant&#233; et des services sociaux, 1075, chemin Sainte-Foy, 15e &#233;tage, Qu&#233;bec (Quebec) G1S 2M1 Canada 1-418-644-4545 maxime.morneau@msss.gouv.qc.ca http://www.msss.gouv.qc.ca/ Vendor 2.16.124.10.101.1.60 Int 4 Complete 2008/01/08 12:00:00 2010/01/29 12:00:00 2010/02/04 05:25:06 UV 2.16.840.1.113883.4.303 ca-qcRNLN Ordre des infirmi&#232;res et infirmiers du Qu&#233;bec (Canada) License Number Wendy Huang masked Maxime Morneau Minist&#232;re de la sant&#233; et des services sociaux, 1075, chemin Sainte-Foy, 15e &#233;tage, Qu&#233;bec (Quebec) G1S 2M1 Canada 1-418-266-4566 masked Minist&#232;re de la sant&#233; et des services sociaux du Qu&#233;bec (Canada) Minist&#232;re de la sant&#233; et des services sociaux, 1075, chemin Sainte-Foy, 15e &#233;tage, Qu&#233;bec (Quebec) G1S 2M1 Canada 1-418-644-4545 maxime.morneau@msss.gouv.qc.ca http://www.msss.gouv.qc.ca/ Vendor 2.16.124.10.101.1.60 Int 4 Complete 2008/01/08 12:00:00 2010/01/29 12:00:00 2010/02/04 05:26:19 UV 2.16.840.1.113883.3.148 jsb-IMI Identifier for Medical Images Navdeep Kooner masked Navdeeprana@cdacmohali.in J.S Bhatia A-34,Phase VIII,Industrial Area,Mohali-160071,India 91-172-2237052 masked Director J.S Bhatia A-34,Phase VIII,Industrial Area,mohali-160071 91-172-2237052 jsb@cdacmohali.in http://cdacmohali.in/ Govt body Int 3 Complete 2008/01/09 12:00:00 2012/06/30 12:00:00 2012/06/30 09:10:25 UV 2.16.840.1.113883.4.304 bcbs-AL OID root for Blue Cross Blue Shield of Alabama Lou Lunetta masked Todd Chambers 205 220-7738 masked Systems Consultant Blue Cross Blue Shield of Alabama 450 Riverchase Pkwy E 205 220-7738 tchambers@bcbsal.org http://www.bcbsal.org Int 3 Complete 2008/01/10 12:00:00 2010/01/29 12:00:00 2010/01/29 12:44:01 UV 2.16.840.1.113883.4.305 vitl Vermont RHIO OID root Lauri Scharf masked Lauri Scharf 144 Main Street, Suite 1 Montpelier, Vermont 05602 USA 802-223-4100 masked VITL 144 Main Street, Suite 1 Montpelier, Vermont 05602 USA 802-223-4100 lscharf@vitl.net http://www.vitl.net/ Govt body Int 3 Complete 2008/01/23 12:00:00 2010/01/29 12:00:00 2010/01/29 12:23:22 UV 2.16.840.1.113883.3.149 codeofFederalRegulations Code of Federal Regulations Lonnie Smith masked Lonnie Smith 5600 Fishers Lane, Room 14B-45 301-594-0011 masked Project Manager, Structured Product Labeling Food and Drug Administration Food and Drug Administration 10903 New Hampshire Ave Silver Spring, MD 20993 301-594-0011 lonnie.smith@fda.hhs.gov http://www.fda.gov/oc/datacouncil/ Govt body Int 3 Complete 2008/01/30 12:00:00 2010/11/17 12:00:00 2010/11/17 04:34:01 UV 2.16.840.1.113883.3.150 fdaSubmissionTrackingSystem FDA Submission Tracking System Lonnie Smith masked Lonnie Smith 5600 Fishers Lane, Room 14B-45 301-594-0011 masked Project Manager, Structured Product Labeling Food and Drug Administration Food and Drug Administration 10903 New Hampshire Ave Silver Spring, MD 20993 301-594-0011 lonnie.smith@fda.hhs.gov http://www.fda.gov/oc/datacouncil/ Govt body Int 3 Complete 2008/01/30 12:00:00 2010/11/17 12:00:00 2010/11/17 04:21:53 UV 2.16.840.1.113883.3.151 kn_USIIS Department of Health, Utah State Keyi Niu masked Keyi Niu 801-647-0298 masked Department of Health, Utah State 1480 West North Temple kniu@utah.gov Govt body Int 3 Complete 2008/01/31 12:00:00 2022/10/25 12:00:00 2022/10/25 07:31:10 UV 2.16.840.1.113883.3.152 fdaApplicationTrackingSystem FDA Application Tracking System William Hess masked William Hess HF-18, 5600 Fishers Ln, Rockville, MD 20857 301-827-7865 masked U.S. Food and Drug Administration HF-18, 5600 Fishers Ln, Rockville, MD 20857 301-827-7865 william.hess@fda.hhs.gov http://www.fda.gov/ Govt body 2.16.840.1.113883.3.24 Int 3 Complete 2008/01/31 12:00:00 2010/11/17 12:00:00 2010/11/17 11:08:30 UV 2.16.840.1.113883.6.259 HSLOC NHSN Healthcare Facility Patient Care Location Robert Hausam masked Cecil Lynch Sheila Abner 1600 Clifton Road NE Mail Stop A24 Atlanta, GA 30333 404 639 4237 masked NHSN Terminologist Centers for Disease Control and Prevention, National Healthcare Safety Network 1600 Clifton Road NE Mail Stop A24 Atlanta, GA 30333 404 639 4237 SAbner@cdc.gov https://www.cdc.gov/nhsn/ Govt body Int 6 Complete 2008/02/14 12:00:00 2009/10/20 12:00:00 2024/07/31 07:56:17 UV 2.16.840.1.113883.3.153 springMedicalSystems Spring Medical Systems OID Root Justin Williams masked Cecil Lynch Justin Williams 14511 Falling Creek Ste 305 Houston, Texas 77014 281-537-0186 masked Senior Developer Springer Medical 14511 Falling Creek Ste 305 Houston, Texas 77014 916-412-5504 justin.williams@springmedical.com http://www.springmedical.com Vendor Int 3 Complete 2008/02/15 12:00:00 2009/12/31 12:00:00 2009/12/31 03:31:46 UV 2.16.840.1.113883.3.154 mihs Maricopa Integrated Health System Michael Totherow masked Kelly Summers 2619 E Pierce Phoenix, AZ 85008 602-344-8500 masked Vice President and Chief Information Officer Maricopa Integrated Health System Kyle.Yarbrough@mihs.org Provider Int 3 Complete 2008/02/15 12:00:00 2013/09/10 12:00:00 2014/01/24 01:38:03 UV 2.16.840.1.113883.2.16 hl7Austria HL7 Austria OID Root Stefan Sabutsch masked FH Joanneum, Eggenberger Allee 11, 8020 Graz, AUSTRIA +43.664.3132505 masked Chair of HL7 Austria HL7 Austria,HL7 Austria Eggenberger Allee 11, 8020 Graz, AUSTRIA +43.664.3132505 info@hl7.at http://www.hl7.at HL7 body 2.16.840.1.113883 INT 2 Complete 2008/02/15 12:00:00 UV 2.16.840.1.113883.6.260 icd-10-dualCoding ICD-10 Dual Coding Grahame Grieve masked Nenad Kostanjsek Avenue Appia 20 1211 Geneva 27 Switzerland +41794755474 masked Technical Officer for Classifications and Terminologies World Health Organization Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 info@who.int http://www.who.int/classifications/icd/en/ SDO Pxy 6 Complete 2008/02/16 12:00:00 2022/02/10 12:00:00 2022/02/10 09:49:02 UV 2.16.840.1.113883.6.261 ICD-9 Dual Coding ICD-9 Dual Coding Grahame Grieve masked Vocab co-chairs or Grahame +61394502230 masked HL7,HL7,HL7,HL7 c/o HQ (+1) 734-677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Pxy 6 Edited 2008/02/16 12:00:00 2008/03/02 07:07:05 UV 2.16.840.1.113883.6.273 NHSNOccasionOfDetection NHSN Occasion Of Detection Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 Ext 6 Retired 2008/02/17 12:00:00 2018/09/14 12:00:00 2018/09/14 11:26:02 US 2.16.840.1.113883.3.155 eHealthConceptRootIITKGP IITKGP E-Health Concept Root Debkumar Patra masked Debkumar Patra Room No. 202, Block C, Vikram Saravai Residential Complex (VSRC) IIT Kharagpur 913222281432 masked Indian Institute of Technology, Kharagpur Computer Science and Engineering, IIT Kharagpur, West Bengal - 721302, India 913222281432 debkumar.patra@gmail.com http://www.iitkgp.ac.in/ Academic INT 3 Complete 2008/02/18 12:00:00 2009/12/29 12:50:49 UV 2.16.840.1.113883.10.20.5 sdtcHAIreportTemplateRoot SDTC Healthcare Associated Infection Report root template OID Bob Dolin masked Bob Dolin 949 466 3695 masked SDWG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 robert.h.dolin@kp.org HL7 body Int 10 Complete 2.16.840.1.113883.10.20.5 2008/02/18 12:00:00 2015/06/29 12:00:00 2015/06/29 08:31:42 UV 2.16.840.1.113883.13 externalValueSets W. Ted Klein masked W. Ted Klein 47 Old Saddle Rd. Ridge, New York 11961 631-924-6922 masked HL7 SDO 2.16.840.1.113883 Int 13 Complete 2.16.840.1.113883 2008/02/19 12:00:00 2008/02/19 12:00:00 2008/02/19 12:00:00 UV 2.16.840.1.113883.6.263 NHSNHipReplacement NHSN Hip Replacement Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 Int 6 Retired 2008/02/17 12:00:00 2018/09/14 12:00:00 2018/09/14 11:17:23 UV 2.16.840.1.113883.6.262 NHSNSpinalFusionApproach NHSN Spinal Fusion Approach Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 Int 6 Retired 2008/02/17 12:00:00 2018/09/14 12:00:00 2018/09/14 11:16:28 US 2.16.840.1.113883.6.264 NHSNKneeReplacement NHSN KneeR eplacement Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 Int 6 Retired 2008/02/17 12:00:00 2018/09/14 12:00:00 2018/09/14 11:18:17 UV 2.16.840.1.113883.6.265 NHSNSSILocationType NHSN SSI Location Type Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 Int 6 Retired 2008/02/17 12:00:00 2018/09/14 12:00:00 2018/09/14 11:18:55 UV 2.16.840.1.113883.6.266 NHSNBSIRiskFactors NHSN BSI Risk Factors Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 Int 6 Retired 2008/02/17 12:00:00 2018/09/14 12:00:00 2018/09/14 11:20:02 UV 2.16.840.1.113883.6.267 NHSNLCBIPathways NHSN LCBI Pathways Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 Int 6 Retired 2008/02/17 12:00:00 2018/09/14 12:00:00 2018/09/14 11:20:29 UV 2.16.840.1.113883.6.268 NHSNInfectionType NHSN Infection Type Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 Int 6 Retired 2008/02/17 12:00:00 2018/09/14 12:00:00 2018/09/14 11:20:55 UV 2.16.840.1.113883.6.269 NHSNSpinalFusionLevel NHSN Spinal Fusion Level Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 Int 6 Retired 2008/02/17 12:00:00 2018/09/14 12:00:00 2018/09/14 11:21:25 UV 2.16.840.1.113883.6.270 NHSNSummaryData NHSN Summary Data Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 Int 6 Retired 2008/02/17 12:00:00 2018/09/14 12:00:00 2018/09/14 11:21:56 UV 2.16.840.1.113883.6.272 NHSNSSIAnatomicSite NHSN SSI Anatomic Site Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 Int 6 Retired 2008/02/17 12:00:00 2018/09/14 12:00:00 2018/09/14 11:22:46 UV 2.16.840.1.113883.13.1 NHSNEncounterTypeCode Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 INT 13 Complete 2008/02/17 12:00:00 2008/02/17 12:00:00 UV 2.16.840.1.113883.13.2 NHSNSpinalFusionApproachCode Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 INT 13 Complete 2008/02/17 12:00:00 2008/02/17 12:00:00 UV 2.16.840.1.113883.13.3 NHSNHipReplacementCode Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 INT 13 Complete 2008/02/17 12:00:00 2008/02/17 12:00:00 UV 2.16.840.1.113883.13.4 NHSNKneeReplacementCode Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 INT 13 Complete 2008/02/17 12:00:00 2008/02/17 12:00:00 UV 2.16.840.1.113883.13.5 NHSNSSILocationTypeCode Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 INT 13 Complete 2008/02/17 12:00:00 2008/02/17 12:00:00 UV 2.16.840.1.113883.13.6 NHSNBSIRiskFactorsCode Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 INT 13 Complete 2008/02/17 12:00:00 2008/02/17 12:00:00 UV 2.16.840.1.113883.13.7 NHSNBloodStreamInfectionCode Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 INT 13 Complete 2008/02/17 12:00:00 2008/02/17 12:00:00 UV 2.16.840.1.113883.13.8 NHSNLCBIPathwaysCode Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 INT 13 Complete 2008/02/17 12:00:00 2008/02/17 12:00:00 UV 2.16.840.1.113883.13.9 NHSNWoundClassCode Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 INT 13 Complete 2008/02/17 12:00:00 2008/02/17 12:00:00 UV 2.16.840.1.113883.13.10 NHSNASAClassCode Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 INT 13 Complete 2008/02/17 12:00:00 2008/02/17 12:00:00 UV 2.16.840.1.113883.13.11 NHSNSpinalFusionLevelCode Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 INT 13 Complete 2008/02/17 12:00:00 2008/02/17 12:00:00 UV 2.16.840.1.113883.13.12 NHSNOccasionOfDetectionCode Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 INT 13 Complete 2008/02/17 12:00:00 2008/02/17 12:00:00 UV 2.16.840.1.113883.13.13 NHSNDrugSusceptibilityFindingCode Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 INT 13 Complete 2008/02/17 12:00:00 2008/02/17 12:00:00 UV 2.16.840.1.113883.13.14 NHSNSummaryDataCode Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 INT 13 Complete 2008/02/17 12:00:00 2008/02/17 12:00:00 UV 2.16.840.1.113883.13.15 NHSNDrugSusceptibilityTestCode Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 INT 13 Complete 2008/02/17 12:00:00 2008/02/17 12:00:00 UV 2.16.840.1.113883.13.16 NHSNPathogenCode Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 INT 13 Complete 2008/02/17 12:00:00 2008/02/17 12:00:00 UV 2.16.840.1.113883.13.17 NHSNProcedureCategoryCode Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 INT 13 Complete 2008/02/17 12:00:00 2008/02/17 12:00:00 UV 2.16.840.1.113883.13.18 NHSNSurgicalSiteInfectionAnatomicSiteCode Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 INT 13 Complete 2008/02/17 12:00:00 2008/02/17 12:00:00 UV 2.16.840.1.113883.13.19 NHSNHealthcareServiceLocationCode Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 INT 13 Complete 2008/02/17 12:00:00 2008/02/17 12:00:00 UV 2.16.840.1.113883.6.271 NHSNProcedureCategory NHSN Procedure Category Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 Int 6 Retired 2008/02/17 12:00:00 2018/09/14 12:00:00 2018/09/14 11:25:26 UV 2.16.840.1.113883.13.20 NHSNInfectionTypeCode Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 INT 13 Complete 2008/02/17 12:00:00 2008/02/17 12:00:00 UV 2.16.840.1.113883.3.156 DUHS Pete Woods masked Cecil Lynch Peter Woods 2424 Erwin Rd Suite 10000 Rm 36 Durham NC 27710 (919) 668-9042 masked Consultant,IT Duke University Health System,Duke University Health System 2424 Erwin Rd Suite 10000 Rm 36 Durham NC 27710 (919) 668-9042 Peter.Woods@Duke.EDU http://www.dukemedicine.org Academic INT 3 Complete 2008/02/23 12:00:00 2008/02/27 12:09:56 UV 2.16.840.1.113883.3.157 IIT, Kharagpur Debkumar Patra masked Cecil Lynch Debkumar Patra IIT, Kharagpur 913222281432 masked Indian Institute of Technology, Kharagpur Kharagpur, West Bengal - 721302, India http://www.iitkgp.ac.in Provider INT 3 Complete 2008/02/23 12:00:00 2008/02/23 12:00:00 UV 2.16.840.1.113883.6.274 NHSNVocabulary NHSN HAI Vocabulary Sundak Ganesan masked MAlbitz@cdc.gov Daniel Pollock 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 404-639-4237 masked Surveillance Branch Chief, Division of Healthcare Quality Promotion Centers for Disease Control and Prevention,Centers for Disease Control and Prevention 1600 Clifton Road,NE, Mail Stop A24,Atlanta, GA 30333 (800) 311-3435 DPollock@cdc.gov http://www.cdc.gov Govt body 2.16.840.1.114222.4 Int 6 Retired 2008/02/25 12:00:00 2018/09/14 12:00:00 2018/09/14 11:24:21 US 2.16.840.1.113883.3.158 dfci Dana-Farber Cancer Institute Joseph White masked John Quackenbush Kevin Coonan, MD Dana-Farber Cancer Institute, 44 Binney St., Boston, MA 02115 617-582-7212 masked Medical Informaticist Dana-Farber Cancer Institute,Dana-Farber Cancer Institute,Dana-Farber Cancer Institute,Dana-Farber C 44 Binney St., Boston, MA 02115, USA http://www.danafarber.org/ Academic INT 3 Complete 2008/02/28 12:00:00 2009/09/11 12:00:00 2009/07/25 11:16:04 UV 2.16.840.1.113883.3.160 NLCHI-REGTEAM David Roy masked David Roy 709-757-6042 masked Technical Architect INT 3 Edited 2008/02/28 12:00:00 2008/02/28 06:30:27 UV 2.16.840.1.113883.13.23 imhao International or multinational humanitarian or aid organization issued patient identifiers Kevin Coonan masked Kevin Coonan, MD 801 5809 4236 masked International or multinational humanitarian or aid organization kevin.coonan@gmail.com HL7 body Int 3 Complete 2008/02/29 12:00:00 2022/10/25 12:00:00 2022/10/25 08:31:37 UV 2.16.840.1.113883.3.161 Emergis_Vendor_OID Francois Belair masked Francois Belair (800) 363-9398 ext 2149 masked INT 3 Edited 2008/03/04 12:00:00 2008/03/05 02:58:25 UV 1.3.6.1.4.1.27263 netsmartPublicHealth Netsmart Public Health Kevin Davidson masked Kevin Davidson 8642322666 x3505 masked General Manager Netsmart Public Health, Inc. 37 Villa Road, Greenville, SC 29615 USA 8642322666 kdavidson@ntst.com http://www.ntst.com/solutions/public%20health/index.asp Vendor 1.3.6.1.4.1.27263 Ext 3 Complete 1.3.6.1.4.1.27263 2008/03/05 12:00:00 2010/11/17 12:00:00 2010/11/17 11:12:14 UV 2.16.840.1.113883.10.20.6 cDAR2DiagnosticImagingReportIG CDA R2 Diagnostic Imaging Report IG Bob Dolin masked Bob Dolin 949 466 3695 masked SDWG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 robert.h.dolin@kp.org HL7 body Ext 10 Complete 2.16.840.1.113883.10.20.6 2008/03/06 12:00:00 2015/06/29 12:00:00 2015/06/29 09:15:41 UV 2.16.840.1.113883.3.162 wewwewewe aasas asasas masked asasas 1212121212 masked Int 3 Rejected 2008/03/06 12:00:00 2010/11/17 12:00:00 2010/11/17 11:14:16 UV 2.16.840.1.113883.10.20.7 cDAR2cda4cdtOperativeNote CDA R2 cda4cdt Operative Note Bob Dolin masked Bob Dolin 949 466 3695 masked SDWG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 robert.h.dolin@kp.org HL7 body Ext 10 Complete 2.16.840.1.113883.10.20.7 2008/03/12 12:00:00 2015/06/29 12:00:00 2015/06/29 09:20:03 UV 2.16.840.1.113883.10.20.8 cDAR2AHIPPHRSummaryExchangeDocument CDA R2 AHIP PHR Summary Exchange Document Rick Geimer masked Rick Geimer 650-209-4839 masked Associate SDWG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 rick@alschulerassociates.com HL7 body Ext 10 Complete 2.16.840.1.113883.10.20.8 2008/03/13 12:00:00 2015/06/29 12:00:00 2015/06/29 09:24:02 UV 2.16.840.1.113883.4.306 ca-saskMLTID Saskatchewan, Canada Society of Medical Laboratory Technologists (SSMLT) License Number (MLTID) Wendy Huang masked Yashu Bither 3475 Albert Street Regina Saskatchewan S4S 6X7 Canada 1-306-787-0587 masked Saskatchewan Health, Health Information Solutions Centre, Saskatchewan, Canada T.C. Douglas Building 3475 Albert Street Regina Saskatchewan S4S 6X7 Canada 1-306-337-0670 jcollum@health.gov.sk.ca http://www.health.gov.sk.ca/ Govt body Int 4 Complete 2008/03/13 12:00:00 2010/01/29 12:00:00 2010/02/04 05:28:02 UV 2.16.840.1.113883.4.307 ca-saskMidwLN Saskatchewan, Canada College of Midwives (SCM) License Number (RMID) Wendy Huang masked Yashu Bither 3475 Albert Street Regina Saskatchewan S4S 6X7 Canada 1-306-787-0587 masked Saskatchewan Health, Health Information Solutions Centre, Saskatchewan, Canada T.C. Douglas Building 3475 Albert Street Regina Saskatchewan S4S 6X7 Canada 1-306-337-0670 jcollum@health.gov.sk.ca http://www.health.gov.sk.ca/ Govt body Int 4 Complete 2008/03/13 12:00:00 2010/01/29 12:00:00 2010/02/04 05:39:59 UV 2.16.840.1.113883.4.308 ca-saskCHIROID Chiropractors Association Saskatchewan Canada (CAS) License Number (CHIROID) Wendy Huang masked Yashu Bither 3475 Albert Street, Regina, Saskatchewan, Canada S4S 6X6 1-306-787-0587 masked Saskatchewan Health, Health Information Solutions Centre, Saskatchewan, Canada T.C. Douglas Building 3475 Albert Street Regina, Saskatchewan S4S 6X7 Canada 1-306-337-0670 jcollum@health.gov.sk.ca http://www.health.gov.sk.ca/ Govt body Int 4 Complete 2008/03/13 12:00:00 2010/01/29 12:00:00 2010/02/04 05:38:32 UV 2.16.840.1.113883.4.309 ca-saskPHYSIOID Saskatchewan, Canada Physiotherapy Association (SPA) License Number (PHYSIOID) Wendy Huang masked Yashu Bither 3475 Albert Street Regina, Saskatchewan, S4S 6X6 Canada 1-306-787-0587 masked Saskatchewan Health, Health Information Solutions Centre, Saskatchewan, Canada T.C. Douglas Building 3475 Albert Street Regina, Saskatchewan, S4S 6X6 Canada 1-306-337-0670 jcollum@health.gov.sk.ca http://www.health.gov.sk.ca/ Govt body Int 4 Complete 2008/03/13 12:00:00 2010/01/29 12:00:00 2010/02/04 05:39:33 UV 2.16.840.1.113883.3.163 albertaHealth Alberta Health Systems Fred Agyepong masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427 4734 masked Alberta Health ABHL7@gov.ab.ca http://www.health.gov.ab.ca Govt body Int 3 Complete 2008/03/17 12:00:00 2010/11/17 12:00:00 2017/04/27 10:13:01 UV 2.16.840.1.113883.3.164 This is a test Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane 916-412-5504 masked Cecil Lynch Cecil Lynch 6500 Countrywoods Lane 916-412-5504 clynch@ontoreason.com http://www.ontoreason.com Provider Int 3 Rejected 2008/03/21 12:00:00 2010/11/17 12:00:00 2010/11/17 11:19:52 UV 2.16.840.1.113883.3.165 questDiagnosticsIncorporated Quest Diagnostics Incorporated Kenneth McCaslin masked Ken McCaslin 400 Egypt Road, MS WN2045, W. Norriton, PA 19403 610-650-6692 masked Director, Healthcare Standards Quest Diagnostics Incorporated 3 Giralda Farms Madison, NJ 07940 800-222-0446 kenneth.h.mccaslin@questdiagnostics.com http://www.questdiagnostics.com Provider Int 3 Complete 2008/03/25 12:00:00 2010/11/17 12:00:00 2012/03/13 04:48:57 UV 2.16.840.1.113883.3.166 careSpark CareSpark Chien Cheng masked Deb Ingram 112 W. Main Street PO Box 657 Kingsport, TN 37662 423-765-9341 masked CareSpark 112 W. Main Street PO Box 657 Kingsport, TN 37662 423-765-9341 info@carespark.com http://www.carespark.com/ Provider Int 3 Complete 2008/03/27 12:00:00 2010/11/17 12:00:00 2010/11/17 11:26:36 UV 1.0.3166.1 iso3166-1 ISO 3166 Part 1 Country Codes Ted Klein masked Dr. Mary Lou Pelaprat Standards Department, ISO Central Secretariat, 1, chemin de la Voie Creuse, P.O. Box 56, CH-1211 Geneva 20 Switzerland +41 22 749 73 66 masked Secretary of ISO 3166/MA International Standards Organization (ISO) 1 ch. de la Voie-Creuse, Case postale 56, CH-1211 Geneva 20, Switzerland +41 22 749 01 11 central@iso.org http://www.iso.org SDO 1 Ext 6 Complete 2008/03/31 12:00:00 2008/03/31 12:00:00 2008/03/31 12:00:00 UV 1.0.3166.1.2 iso3166-1edition2 ISO 3166 Part 1 Country Codes, 2nd Edition Ted Klein masked Dr. Mary Lou Pelaprat Standards Department, ISO Central Secretariat, 1, chemin de la Voie Creuse, P.O. Box 56, CH-1211 Geneva 20 Switzerland +41 22 749 73 66 masked Secretary of ISO 3166/MA International Standards Organization (ISO) 1 ch. de la Voie-Creuse, Case postale 56, CH-1211 Geneva 20, Switzerland +41 22 749 01 11 http://www.iso.org SDO 1 EXT 6 Complete 2008/03/31 12:00:00 2008/03/31 12:00:00 2008/03/31 12:00:00 UV 1.0.3166.1.2.2 iso3166-1edition2alpha2 ISO 3166 Part 1 Country Codes, 2nd Edition, Alpha-2 Ted Klein masked Dr. Mary Lou Pelaprat Standards Department, ISO Central Secretariat, 1, chemin de la Voie Creuse, P.O. Box 56, CH-1211 Geneva 20 Switzerland +41 22 749 73 66 masked Secretary of ISO 3166/MA International Standards Organization (ISO) 1 ch. de la Voie-Creuse, Case postale 56, CH-1211 Geneva 20, Switzerland +41 22 749 01 11 http://www.iso.org SDO 1 EXT 6 Complete 2008/03/31 12:00:00 2008/03/31 12:00:00 2008/03/31 12:00:00 UV 2.16.840.1.113883.4.310 variantWire-Test Lawrence Babb masked Lawrence Babb 65 Landsdowne Street, Cambridge, MA 617-768-8432 masked HPCGG IT Staff Harvard Partners Center for Genetics & Genomics,Harvard Partners Center for Genetics & Genomics 65 Landsdowne Street, 3rd Floor, Cambridge, MA 617-768-8432 lbabb@partners.org http://www.hpcgg.org Provider Int 4 Rejected 2008/04/02 12:00:00 2010/01/29 12:00:00 2010/01/29 12:41:40 UV 2.16.840.1.113883.3.167.3 hPCGG-VWIRE-TEST HPCGG-VWIRE-TEST Lawrence Babb masked Lawrence Babb 65 Landsdowne Street, Cambridge, MA 617-768-8432 masked HPCGG IT Senior Staff Harvard Partners Center for Genetics & Genomics 65 Landsdowne Street, 3rd Floor, Cambridge, MA 617-768-8432 lbabb@partners.org http://www.hpcgg.org Vendor 2.16.840.1.113883.3.167 Ext 3 Complete 2.16.840.1.113883.3.167.3 2008/04/02 12:00:00 2010/11/17 12:00:00 2010/11/17 11:29:32 UV 2.16.840.1.113883.3.167 pcpgm Partners HealthCare Center for Personalized Genetic Medicine (PCPGM) Lawrence Babb masked Lawrence Babb Laboratory for Molecular Medicine Partners HealthCare Center for Personalized Genetic Medicine 65 Landsdowne Street Cambridge, MA, 02139 617-768-8432 masked GeneInsight Principal Developer Partners HealthCare Center for Personalized Genetic Medicine (PCPGM) 77 Avenue Louis Pasteur, Suite 250 Boston, MA 02115 617-525-4558 lbabb@partners.org http://pcpgm.partners.org Vendor 2.16.840.1.113883.3.167 Ext 3 Complete 2.16.840.1.113883.3.167 2008/04/02 12:00:00 2010/11/17 12:00:00 2011/10/14 09:34:50 UV 2.16.840.1.113883.3.167.1 pcpgm-lmm PCPGM-Laboratory for Molecular Medicine Lawrence Babb masked Lawrence Babb Laboratory for Molecular Medicine Partners HealthCare Center for Personalized Genetic Medicine 65 Landsdowne Street Cambridge, MA, 02139 617-768-8432 masked GeneInsight Principal Developer Partners HealthCare Center for Personalized Genetic Medicine Laboratory for Molecular Medicine Partners HealthCare Center for Personalized Genetic Medicine 65 Landsdowne Street Cambridge, MA, 02139 617-768-8432 lbabb@partners.org http://pcpgm.partners.org Vendor 2.16.840.1.113883.3.167 Ext 3 Complete 2.16.840.1.113883.3.167.1 2008/04/02 12:00:00 2010/11/17 12:00:00 2011/10/14 09:33:55 UV 2.16.840.1.113883.3.167.12 hPCGG-LMM-GVIE-TEST HPCGG-LMM-GVIE-TEST Lawrence Babb masked Lawrence Babb 65 Landsdowne Street, Cambridge, MA 617-768-8432 masked HPCGG IT Senior Staff Harvard Partners Center for Genetics & Genomics 65 Landsdowne Street, 3rd Floor, Cambridge, MA 617-768-8432 lbabb@partners.org http://www.hpcgg.org Vendor 2.16.840.1.113883.3.167 Ext 3 Complete 2.16.840.1.113883.3.167.12 2008/04/02 12:00:00 2010/11/17 12:00:00 2010/11/17 11:44:19 UV 2.16.840.1.113883.2.17 hl7CO HL7 Columbia OID Root Ted Klein masked Fernando A. Portilla V. Calle 5 # 36-08 HUV Cali - Valle - Columbia 572+6206028 masked Chair HL7 Colombia / IT Manager Hospital Universitario del Valle HL7 Columbia Calle 5 # 36-08 HUV Cali - Valle - Columbia 572+6206028 fportilla@huv.gov.co http://www.hl7.org.co SDO 2.16.840.1.113883 INT 2 Complete 2008/04/07 12:00:00 2008/09/20 12:00:00 2008/04/07 12:00:00 UV 2.16.840.1.113883.3.170 OID HL7 RAMON RIBA masked RAMON capitan salom 30, 6D +34636973756 masked INT 3 Pending 2008/04/10 12:00:00 2008/04/10 12:00:00 UV 2.16.840.1.113883.3.171 OID_HL7 MIGUEL VICH masked MIGUEL C/ BELLPUIG N&#186;43 ATICO B +34 661449270 masked INTEGRATOR INT 3 Pending 2008/04/10 12:00:00 2008/04/10 12:00:00 UV 2.16.840.1.113883.3.172 aFHCAN AFHCAN Oran Dennison masked Oran Dennison 4000 Ambassador Dr. Anchorage, AK 99508 (907) 729-2261 masked Senior Software Architect AFHCAN,AFHCAN 4000 Ambassador Dr. Anchorage, AK 99508 (907) 729-2260 customersupport@afhcan.org http://www.afhcan.org Vendor Int 3 Complete 2008/04/11 12:00:00 2012/06/30 12:00:00 2012/06/30 10:32:33 UV 2.16.840.1.113883.4.311 ca-peiDenBN Prince Edward Island Canada Dentist Billing Number Wendy Huang masked Kim Knox Kim Knox, Provincial Treasury, PO Box 2000, Charlottetown, PE, C1A 7N8 902-368-6149 masked Prince Edward Island Department of Health Kim Knox, Provincial Treasury, PO Box 2000, Charlottetown, PE, C1A 7N8 902-368-6149 kjknox@ihis.org Govt body Int 4 Complete 2008/04/14 12:00:00 2010/01/29 12:00:00 2010/02/04 05:41:15 UV 2.16.840.1.113883.4.312 ca-peiNPBN PEI Canada Nurse Practicioner Billing Number Wendy Huang masked Kim Knox Kim Knox, Provincial Treasury, PO Box 2000, Charlottetown, PE, C1A 7N8 Canada 902-368-6149 masked Prince Edward Island Department of Health Kim Knox, Provincial Treasury, PO Box 2000, Charlottetown, PE, C1A 7N8 Canada 902-368-6149 kjknox@ihis.org Govt body Int 4 Complete 2008/04/14 12:00:00 2010/01/29 12:00:00 2010/02/04 05:45:15 UV 2.16.840.1.113883.4.313 ca-qcChemLN Ordre des chimistes du Qu&#233;bec (Canada) License Number Wendy Huang masked Taha Chaabouni Minist&#232;re de la sant&#233; et des services sociaux, 4e &#233;tage - Bureau 427, 1075 Chemin Ste-Foy, Qu&#233;bec, QC G1S 2M1 1-418-266-4531 masked Minist&#232;re de la sant&#233; et des services sociaux du Qu&#233;bec (Canada) Minist&#232;re de la sant&#233; et des services sociaux, 1075, chemin Sainte-Foy, 15e &#233;tage, Qu&#233;bec (Qu&#233;bec) G1S 2M1 "1-418-644-4545 taha.chaabouni@msss.gouv.qc.ca http://www.msss.gouv.qc.ca/ Govt body 2.16.124.10.101.1.60 Int 4 Complete 2008/04/15 12:00:00 2010/01/29 12:00:00 2010/02/04 05:48:12 UV 2.16.840.1.113883.4.314 ca-qcBioLN Association des biologistes du Qu&#233;bec (Canada) License Number Wendy Huang masked Taha Chaabouni Minist&#232;re de la sant&#233; et des services sociaux, 1075, chemin Sainte-Foy, 15e &#233;tage, Qu&#233;bec (Quebec) G1S 2M1 Canada 1-418-266-4531 masked Minist&#232;re de la sant&#233; et des services sociaux du Qu&#233;bec (Canada) Minist&#232;re de la sant&#233; et des services sociaux, 1075, chemin Sainte-Foy, 15e &#233;tage, Qu&#233;bec (Quebec) G1S 2M1 Canada 1-418-644-4545 taha.chaabouni@msss.gouv.qc.ca http://www.msss.gouv.qc.ca/ Govt body 2.16.124.10.101.1.60 Int 4 Complete 2008/04/15 12:00:00 2010/01/29 12:00:00 2010/02/04 05:51:22 UV 2.16.840.1.113883.4.315 ca-qcRadTechLN Ordre des technologues en radiologie du Qu&#233;bec (Canada) License Number Wendy Huang masked Taha Chaabouni Minist&#232;re de la sant&#233; et des services sociaux, 1075, chemin Sainte-Foy, 15e &#233;tage, Qu&#233;bec (Quebec) G1S 2M1 Canada 1-418-266-4531 masked Minist&#232;re de la sant&#233; et des services sociaux du Qu&#233;bec (Canada) Minist&#232;re de la sant&#233; et des services sociaux, 1075, chemin Sainte-Foy, 15e &#233;tage, Qu&#233;bec (Quebec) G1S 2M1 Canada 1-418-644-4545 taha.chaabouni@msss.gouv.qc.ca http://www.msss.gouv.qc.ca/ Govt body Int 4 Complete 2008/04/15 12:00:00 2010/01/29 12:00:00 2010/11/17 11:47:06 UV 2.16.840.1.113883.3.173 OID_HL7SP Carlos Parra masked Carlos Gallego Carlos Parra Direcci&#243;n Regional de Recursos Inform&#225;ticos del Servicio Andaluz de Salud, Avda. Am&#233;rico Vespucio, 13 Isla de la Cartuja, Sevilla Spain (41092) +34697954864 masked Technical Manager Carlos Gallego,Carlos Gallego,Carlos Gallego,Carlos Gallego Asepeyo 935653900 cgallego@asepeyo.es HL7 body 2.16.840.1.113883.2 INT 3 Complete 2008/04/16 12:00:00 2008/04/16 12:00:00 UV 2.16.840.1.113883.13.24 ACS Clinical Message Lou Lunetta masked Lou Lunetta 770-829-1186 masked ACS Government Healthcare 770 829-1186 Lou.Lunetta@acs-inc.com Vendor 2.16.840.1.113883.3.147 INT 13 Pending 2008/04/21 12:00:00 2008/04/21 12:00:00 UV 2.16.840.1.113883.3.174 sql-lab Sonora Quest Laboratories Clark Jolkovski masked Nick 602-685-5328 masked Nick Kester Sonora Quest Laboratories/Laboratory Sciences of Arizona 424 S 56th St #100 Phoenix, AZ 85034 602-685-5328 nick.kester@sonoraquest.com http://www.sonoraquest.com/ Provider Int 3 Complete 2008/04/30 12:00:00 2010/11/17 12:00:00 2025/04/02 10:31:31 UV 1.2.840.10004.1.1.1.0.0.1.0.0.1.2680 eUI-64 EUI-64 Rick Geimer masked Rick Geimer 650-209-4839 masked Rick Geimer rick@alschulerassociates.com Vendor Ext 3 Complete 1.2.840.10004.1.1.1.0.0.1.0.0.1.2680 2008/05/12 12:00:00 2015/06/26 12:00:00 2015/06/26 05:58:41 UV 2.16.840.1.113883.4.316 net.Orange Net.Orange cOS Clinical Operating System Robert Alkire masked Ravi Seshadri 1333 Corporate Drive, Suite 216 Irving, TX 75039 214-642-8852 masked CTO Net.Orange 1333 Corporate Drive, Suite 216 Irving, TX 75039 974-550-0568 support@ndorange.com http://ww3.ndorange.com/corp/ Vendor 2.16.840.1.113883.6.777 Int 3 Complete 2008/05/12 12:00:00 2010/01/29 12:00:00 2010/01/29 12:47:00 UV 2.16.840.1.113883.3.175 photoDetectionSystems PhotoDetection Systems, Inc. Olof Johnson masked Olof Johnson PhotoDetection Systems, Inc 85 Swanson Rd Boxboro, MA 01719 978 266 0420 masked Director of Development Olof Johnson PhotoDetection Systems, Inc 85 Swanson Rd Boxboro, MA 01719 978 266 0420 johnson@photodetection.com www.photodetection.com Vendor Int 3 Complete 2008/05/21 12:00:00 2010/11/17 12:00:00 2010/11/18 12:05:41 UV 2.16.840.1.113883.3.176 lipix Long Island Patient Information eXchange Benjamin Stein masked James Heiman 100 N Centre Avenue Suite 400 Rockville Centre, NY 11570 347 W 36th Street (Btwn 8th & 9th ave) Suite 201 New York, NY 10018 516-567-9086 masked Project Manager LIPIX, Inc. LIPIX, Inc. 100 N Centre Avenue Suite 400 Rockville Centre, NY 11570 1-877-MY-LIPIX bstein@lipix.org http://www.lipix.org/ Provider INT 3 Complete 2008/05/27 12:00:00 2009/09/09 12:00:00 2010/06/09 08:25:49 UV 2.16.840.1.113883.3.26.1.3 biomedGT National Cancer Institute Frank Hartel masked Robinette Renner Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5089 masked Program Director for Semantic Infrastructure National Cancer Institute, Center for Biomedical Informatics and Information Technology Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5541 nciappsupport@nih.gov https://datascience.cancer.gov/ Govt body 2.16.840.1.113883.3.26 Ext 3 Complete 2008/05/28 12:00:00 2023/09/08 11:52:52 UV 2.16.840.1.113883.3.178 thipa-PXS-system THIPA PXS system Alec Gimurtu masked Alec Gimurtu 4156900610 masked Solutions Architect THIPA PXS system alec.gimurtu@icw.de Provider Int 3 Complete 2008/05/28 12:00:00 2022/10/25 12:00:00 2022/10/25 08:11:28 UV 2.16.840.1.113883.3.179 robert robert song masked robert 13264068488 masked INT 3 Rejected 2008/05/29 12:00:00 2008/05/29 12:00:00 UV 2.16.840.1.113883.4.317 e-MDs Master e-MDs OID Kip LeCrone masked Neil Simon 10901 Stonelake Blvd. ste. 200 Austin, TX 78759 469-863-8300 masked Chief Operating Officer eMDs, Inc. 10901 Stonelake Blvd. ste. 200 Austin, TX 78759 512-257-5200 product@emds.com http://www.emds.com/ Vendor Int 3 Complete 2008/06/26 12:00:00 2010/11/17 12:00:00 2021/10/19 12:24:15 UV 2.16.840.1.113883.6.275 usEPAsrs US EPA Substance Registry System John Harman masked John Harman 1200 Pennsylvania Ave NW; Washington, DC 20460 MC: 2823T 202 566 0748 masked Environmental Protection Specialist US Environmental Protection Agency 1200 Pennsylvania Ave NW; Washington, DC 20460; MC 2323T 202 566 0748 harman.john@epa.gov Govt body INT 6 Complete 2008/06/26 12:00:00 2008/06/26 12:00:00 UV 2.16.840.1.113883.3.181 sT-JOSEPHS ST JOSEPHS Lupita Figueroa masked Siva Kumar 480 302-1783 masked St. Joseph's Hospital 350 W. Thomas Road, Phoenix, AZ 85013 602 307-2965 tallurishiv.kumar@chw.edu http://www.chwhealth.org/index.htm Provider Int 3 Complete 2008/06/26 12:00:00 2010/11/17 12:00:00 2010/11/18 12:17:16 UV 2.16.840.1.113883.3.182 aHCCCS-RX-VENDOR AHCCCS RX VENDOR Lupita Figueroa masked Lupita 602-417-6989 masked Sr. System Analyst AHCCCS Medication History Vendor AHCCCS Administration 701 E. Jefferson St. MD-7400 Phoenix, AZ 85034 602-417-6989 lupita.figueroa@azahcccs.gov http://www.azahcccs.gov/ Vendor Int 3 Complete 2008/06/26 12:00:00 2010/11/17 12:00:00 2010/11/18 12:20:54 UV 1.0.3166.2 iso3166-2 ISO 3166 Part 2 Country Subdivision Codes Ted Klein masked Dr. Mary Lou Pelaprat Standards Department, ISO Central Secretariat, 1, chemin de la Voie Creuse, P.O. Box 56, CH-1211 Geneva 20 Switzerland +41 22 749 73 66 masked Secretary of ISO 3166/MA International Standards Organization (ISO),International Standards Organization (ISO) 1 ch. de la Voie-Creuse, Case postale 56, CH-1211 Geneva 20, Switzerland +41 22 749 01 11 http://www.iso.org SDO 1 EXT 6 Edited 2008/03/31 12:00:00 2008/06/22 12:00:00 2008/07/23 05:15:16 UV 2.16.840.1.113883.2.18 hl7NZ HL7 New Zealand OID Root Klein Ted masked David Hay Middlemore Hospital, Private Bag 93 311, Otahuhu, Auckland, New Zealand 1041 +64 021 224 2760 masked HL7 New Zealand NZ Ministry of Health, Care of NZHUG, Middlemore Hospital, Private Bag 93 311, Otahuhu, Auckland, New Zealand 1041 +64 021 224 2760 david.hay@helthalliance.co.nz http://www.hl7.org.nz/ HL7 body 2.16.840.1.113883 INT 2 Complete 2008/06/26 12:00:00 2008/09/20 12:00:00 2008/06/26 12:00:00 UV 2.16.840.1.113883.3.183 healthbridge HealthBridge Rodney Cain masked Mike Wells 615 Elsinore Place, Suite 500 Cincinnati, Ohio 45202 (513) 618-3600 masked Director, Information Security The Health Collaborative 615 Elsinore Place, Suite 500 Cincinnati, Ohio 45202 (513) 618-3600 hostmaster@healthbridge.org http://www.healthcollab.org Exchange Int 3 Complete 2008/07/01 12:00:00 2010/11/17 12:00:00 2019/12/03 09:22:35 UV 2.16.840.1.113883.3.184 ssa Social Security Administration Martin Prahl masked Brian Chew 6401 Security Baltimore, MD 21244 (410) 965-7141 masked Branch Chief Social Security Administration 6401 Security Baltimore, MD 21244 (410) 965-7141 Brian.K.Chew@ssa.gov http://www.ssa.gov Govt body Int 3 Complete 2008/07/03 12:00:00 2012/06/30 12:00:00 2023/09/12 08:25:17 US 2.16.840.1.113883.3.185 dHIN Delaware Health Information Network Gina Perez masked Gina Perez (302) 678-0220 masked Delaware Health Information Network 107 Wolf Creek Blvd., Suite 2 Dover, DE 19901 (302) 678-0220 gina.perez@dhin.org http://dhin.org/ Govt body Int 3 Complete 2008/07/03 12:00:00 2010/11/17 12:00:00 2010/11/18 12:33:38 UV 2.16.840.1.113883.3.186 bIDMC Beth Israel Deaconess Medical Center, Boston, MA Robert Beckley masked Robert Beckley One Garrison Drive 781 271-1535 masked Beth Israel Deaconess Medical Center 330 Brookline Avenue Boston, MA 02215 617-754-8000 rbeckley@bidmc.harvard.edu http://www.bidmc.harvard.edu Academic Int 3 Complete 2008/07/03 12:00:00 2010/11/18 12:00:00 2010/11/18 12:39:58 UV 2.16.840.1.113883.3.187 redwoodmednet RWMN Services Will Ross masked Tanya Laino Will 216 W. Perkins Street, Suite 206, Ukiah, California 95482, USA 1.707.462.6369 masked Project Manager Redwood MedNet, Inc. 216 W. Perkins Street, Suite 206, Ukiah, California 95482, USA 1.707.462.6369 ops@redwoodmednet.org Exchange Int 3 Complete 2008/07/08 12:00:00 2014/08/22 12:00:00 2021/09/14 05:25:41 UV 2.16.840.1.113883.3.188 longBNH Long Beach Network for Health Will Ross masked llandry@lbnh.org Laura Landry 562-436-2923 masked Executive Director Long Beach Network for Health llandry@lbnh.org Int 3 Complete 2008/07/08 12:00:00 2014/12/15 12:00:00 2014/12/15 02:40:23 UV 2.16.840.1.113883.4.318 nmHIC New Mexico Health Information Collaborative (NMHIC) Kent Langsteiner masked Kelly Wilson 2309 Renard Pl. SE Suite #103 Albuquerque, NM 87106 505-938-9912 masked IS Security Manager Lovelace Clinic Foundation dba LCF Research 2309 Renard Pl. SE Suite #103 Albuquerque, NM 87106 505-938-9900 kwilson@lcfresearch.org http://www.nmhic.org Exchange Int 3 Complete 2008/07/09 12:00:00 2010/01/29 12:00:00 2012/11/09 04:44:17 UV 2.16.840.1.113883.3.189 keyHIE Keystone Health Information Exchange Root OID Gregory Miller masked Gregory Miller 100 N Academy Ave, Danville, PA 17822 570-214-9927 masked Lead System Analyst Keystone Health Information Exchange gjmiller@geisinger.edu Int 3 Complete 2008/07/10 12:00:00 2014/12/15 12:00:00 2014/12/15 02:45:52 UV 2.16.840.1.113883.13.25 HealthLinc.BloomingtonHospital Mike Heuring masked Kim Mills Mike Heuring P.O. Box 1149, Bloomington, IN 47402 812-353-9245 masked INT 13 Pending 2008/07/15 12:00:00 2008/07/15 12:00:00 UV 2.16.840.1.113883.3.190 medVirginiaSolution MedVirginia Solution Joelle Buckner masked Steven Leighty 8045009140 masked MedVirginia Solution sleighty@clareto.com Exchange Int 3 Complete 2008/07/16 12:00:00 2014/12/15 12:00:00 2017/11/30 09:13:58 UV 2.16.840.1.113883.3.191 cNAI Computer Network Architects, Inc. Michael Glickman masked Michael L. Glickman 13308 Ridge Drive 1 301 346 1000 masked President Computer Network Architects, Inc. 13308 Ridge Drive 1 301 346 1000 MGlickman@CNAInc.com http://www.cnainc.com Vendor Int 3 Complete 2008/07/18 12:00:00 2010/11/18 12:00:00 2010/11/18 03:46:36 UV 2.16.840.1.113883.3.192 nGHIES Northrop Grumman HIE Services Steven Clark masked Steven Clark 801.302.3518 masked Software Architect Northrop Grumman 1840 Century Park East Los Angeles, California 90067-2199 801.302.3500 steven.clark@ahlta.ngc.com http://www.northropgrumman.com/ Vendor Int 3 Complete 2008/07/21 12:00:00 2010/11/17 12:00:00 2010/11/18 04:30:35 UV 2.16.840.1.113883.3.193 naomiSystems Naomi Systems, Inc. Allen Lu masked Allen P. Lu 17128 Colima Rouad, Suite 708, Hacienda Heights, CA 91745 626-617-1111 masked President Naomi Systems, Inc. 17128 Colima Rouad, Suite 708, Hacienda Heights, CA 91745 626-617-1111 alu@naomisystems.com http://www.naomisystems.com Vendor Int 3 Complete 2008/07/22 12:00:00 2010/11/17 12:00:00 2010/11/18 04:33:31 UV 2.16.840.1.113883.4.82 FDA Regulatory Compliance Service Lonnie Smith masked Lonnie Smith 5600 Fishers Lane, Room 14B-45 301-594-0011 masked Project Manager, Structured Product Labeling Food and Drug Administration 5600 Fishers Lane 301-594-0011 lonnie.smith@fda.hhs.gov http://www.fda.gov/oc/datacouncil/ Govt body INT 4 Complete 2008/07/28 12:00:00 2008/07/28 12:00:00 UV 2.16.840.1.113883.3.195 nYCLIX NYCLIX, Inc. Natasha Johnson masked Gilad Kuperman 212-585-6847 masked Board Chairman NYCLIX, Inc. 525 East 68th Street, Box 437, New York, NY 10065 212-585-6803 info@nyclix.org http://www.nyclix.org Provider Int 3 Complete 2008/07/28 12:00:00 2010/11/18 12:00:00 2010/11/18 04:41:25 UV 2.16.840.1.113883.3.196 ema-net Raphael Ruiz masked Ruiz 195 cours Gallieni +33556249900 masked Provider INT 3 Pending 2008/07/29 12:00:00 2008/07/29 12:00:00 UV 2.16.840.1.113883.3.197 FEDNHIE1 Anthony Galluscio masked Anthony Galluscio 703-889-3891 masked Program Manager Vanessa Manchester 2022050419 Vanessa.Manchester@hhs.gov http://gforge.nhiegateway.org Govt body INT 3 Pending 2008/07/29 12:00:00 2008/07/29 12:00:00 UV 2.16.840.1.113883.3.198 MHSNHIE1 MHSNHIE1 Anthony Galluscio masked Anthony Galluscio 703-889-3891 masked Program Manager Steve Steffensen, MD Bldg. 1054 Patchel Street Fort Detrick, Maryland 21702-5012 202-205-0419 steffensen@TATRC.ORG http://www.tatrc.org Govt body Int 3 Complete 2008/07/29 12:00:00 2010/11/18 12:00:00 2010/11/18 04:48:05 UV 2.16.840.1.113883.10.20.9 cDA_R2PersonalHealth MonitoringReport CDA_R2 Personal Health Monitoring (PHM) Report Rick Geimer masked Rick Geimer 650-209-4839 masked SDWG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 rick@alschulerassociates.com http://www.hl7.org SDO Ext 10 Complete 2.16.840.1.113883.10.20.9 2008/07/30 12:00:00 2015/06/29 12:00:00 2015/06/29 09:29:21 UV 2.16.840.1.113883.3.199 aayushkaamiya Aayushkaamiya SrinivasMadhusudhan Kandada masked Dr Chandralatha Dr Chandralatha Kandada A1-37,Mayuri Apartments Mayurmarg, Begampet Hyderbad-16. Andhrapradesh, India 04064517779 masked CEO AayushKaamiya drmadhukandada@gmail.com Provider Int 3 Complete 2008/08/05 12:00:00 2015/06/26 12:00:00 2015/06/26 04:33:16 UV 2.16.840.1.113883.3.200 dVANHIE1 DVANHIE1 Anthony Galluscio masked Elizabeth Franchi 414-389-4191 masked Functional Analyst Department of Veterans Affairs 414-389-4191 Elizabeth.franchi2@va.gov http://www1.va.gov/vha_oi/ Govt body Int 3 Complete 2008/08/06 12:00:00 2012/06/30 12:00:00 2012/06/30 09:25:33 UV 2.16.840.1.113883.4.319 hixny Hixny Ray Murphy masked John Bunnell 80 Wolf Rd, Suite 500 Albany, NY 12205 518.640.0023 masked Director of Account Operations Hixny 80 Wolf Rd, Suite 500 Albany, NY 12205 518.640.0023 jbunnell@hixny.org https://www.hixny.org Exchange Int 3 Complete 2008/08/12 12:00:00 2019/02/28 12:00:00 2019/02/28 09:46:43 UV 2.16.840.1.113883.13.26 pARClass PAR Class Laura Gibson masked Karen Eckert Laura Gibson 8425 Woodfield Crossing Blvd Suite 490 Indianapolis, IN 46240 317-705-7616 masked Product Manager Medi-Span/Wolters Kluwer Health 8425 Woodfield Crossing Blvd Suite 490 Indianapolis, IN 46240 317-735-5300 laura.gibson@wolterskluwer.com http://www.medispan.com Vendor Int 6 Complete 2008/08/14 12:00:00 2010/11/18 12:00:00 2010/11/18 04:54:35 UV 2.16.840.1.113883.4.320 GUP MOSSTROYRESURS Ivan Kvasnikov masked Ivan Moscow,Novokuznetskaya 20/19-21 +74957969340 masked System administrator INT 4 Pending 2008/08/14 12:00:00 2008/08/14 12:00:00 UV 2.16.840.1.113883.3.201 aHMCC ActiveHealth Root OID Frank Norman masked Frank Norman 102 Madison Ave., 12th Floor New York, NY 10016 212 590 2630 masked EVP & CIO ActiveHealth Management 1333 Broadway New York, NY 10018 212-651-8200 fnorman@activehealth.net http://www.activehealth.com/ Vendor Int 3 Complete 2008/08/19 12:00:00 2014/12/15 12:00:00 2014/12/15 02:55:38 UV 2.16.840.1.113883.3.202 cPHCS California Prison Health Care Services Glen Moy masked Glen Moy 501 J Street, Suite 605, Sacramento, CA 95812 (415) 517-7862 masked Dir, Health Information Integration California Prison Health Care Services P.O. Box 4038, Sacramento, CA 95812 (916) 323-1923 Contact_us@cprinc.org http://www.cprinc.org/ Govt body Int 3 Complete 2008/08/21 12:00:00 2010/11/18 12:00:00 2010/11/18 05:07:35 UV 2.16.840.1.113883.4.321 cogonSystems Cogon Systems, LLC. Robert Elens masked Robert Elens +1 (850) 429-1633 x312 masked Cogon Systems, LLC. One Pensacola Plaza 125 W Romana Street, Suite 210 Pensacola, FL 32502 (850) 429-1633 x312 robert.elens@cogonsystems.com Vendor Int 4 Complete 2008/08/25 12:00:00 2010/11/18 12:00:00 2010/11/18 05:13:51 UV 2.16.840.1.113883.4.322 abHSPID Alberta, Canada Health Service Provider Identifier (HSPID) Wendy Huang masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 1-780-415-1552 masked Alberta Health ProviderRegistry@gov.ab.ca https://www.alberta.ca/provincial-provider-registry.aspx Govt body INT 4 Complete 2008/08/26 12:00:00 2009/09/11 12:00:00 2020/08/10 05:34:53 UV 2.16.840.1.113883.3.203 csc-oid Chester Springs Consulting OID Brent Jones masked Brent Jones 610-368-7344 masked President/Owner Chester Springs Consulting 610-368-7344 jjonness@yahoo.com Vendor Int 3 Complete 2008/09/03 12:00:00 2014/12/15 12:00:00 2014/12/15 03:01:41 UV 2.16.840.1.113883.4.323 mmf MMF Systems UUID namespace qualifier Sagar Sanghavi masked Sagar Sanghavi 445 Park Avenue, Suite 900 New York, NY 10022 USA 212-871-8079 masked VP Product Development MMF Systems, Inc. 445 Park Avenue, Suite 900 New York, NY 10022 USA 212-871-9708 aa@mmf.com https://www.mmf.com Vendor Int 4 Complete 2008/09/09 12:00:00 2010/01/29 12:00:00 2010/01/29 12:51:32 UV 2.16.840.1.113883.3.204 hsgbu Oracle Health Sciences Global Business Unit Jeff Jacobs masked Jim Gilkeson Brixham Green One 15800 John J. Delaney Drive Suite 500 Charlotte , NC 28277 US +1 (704) 423-1381 masked Practice Director Oracle Health Sciences Global Business Unit Brixham Green One 15800 John J. Delaney Drive Suite 500 Charlotte, NC 28277 US +1 (704) 423-1381 james.gilkeson@oracle.com http://www.oracle.com/us/industries/healthcare/index.html Int 3 Complete 2008/09/10 12:00:00 2012/05/31 12:00:00 2012/06/01 12:48:43 UV 2.16.840.1.113883.3.205 providenceHealth-and-Services Providence Health & Services Erik Sargent masked Erik Sargent 11308 SW 68th Parkway Tigard, OR 97223 503.216.4904 masked Enterprise Architect Providence Health & Services 11308 SW 68th Parkway Tigard, OR 97223 503.216.4904 erik.sargent@providence.org INT 3 Complete 2008/09/19 12:00:00 2009/09/15 12:00:00 2008/09/19 12:00:00 UV 2.16.840.1.113883.2.19 hl7Spain HL7 Spain OID Root Jesus Villagrasa masked Ted Klein Jesus Villagrasa address needed +34-932536100 ext. 846 masked Director Metodolog&#237;a y Calidad HL7 Spain,HL7 Spain address needed +34-932536100 jvillagrasa@costaisa.com http://www.hl7spain.org HL7 body 2.16.840.1.113883 INT 2 Complete 2008/11/20 12:00:00 2008/09/22 09:20:41 UV 2.16.840.1.113883.4.324 foundationLaboratory Foundation Laboratory Jim Timmins masked Jim Timmins 909-623-9301x143 masked Foundation Laboratory 1716 W Holt Ave, Pomona CA 91768 909-623-9301x143 jtimmins@foundationlaboratory.com http://www.foundationlaboratory.com/ Provider Int 4 Complete 2008/09/22 12:00:00 2010/11/18 12:00:00 2010/11/19 12:48:56 UV 2.16.840.1.113883.3.206 kinderKare KinderKare OID Brett Marquard masked David 516-565-0402 masked KinderKare 516-565-0402 david@kidsei.com Provider Int 3 Complete 2008/09/26 12:00:00 2014/12/15 12:00:00 2014/12/15 03:40:02 UV 2.16.840.1.113883.5.1116 identifierScope Identifier Scope Ted Klein masked Grahame Grieve Grahame Grieve 17 Burgundy St., Suite 8A, Heidelberg, Victoria 3084, Australia +61-3-9450-2222 masked Cochair, INM HL7 Infrastructure and Messaging (INM),HL7 Infrastructure and Messaging (INM) 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104, USA 734-677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 5 Complete 2008/09/28 12:00:00 2008/09/28 12:00:00 UV 2.16.840.1.113883.5.1117 identifierReliability Ted Klein masked Grahame Grieve Grahame Grieve 17 Burgundy St., Suite 8A, Heidelberg, Victoria 3084, Australia +61-3-9450-2222 masked Cochair, INM HL7 Infrastructure and Messaging (INM),HL7 Infrastructure and Messaging (INM) 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104, USA 734-677-7777 hq@hl7.org http://www.hl7.org HL7 body INT 5 Complete 2008/09/28 12:00:00 2008/09/28 12:00:00 UV 2.16.840.1.113883.4.325 ca-qcIntervenantID Quebec, Canada IPC - intervenant Wendy Huang masked Taha Chaabouni Minist&#232;re de la sant&#233; et des services sociaux, 1075, chemin Sainte-Foy, 15e &#233;tage, Qu&#233;bec (Quebec) G1S 2M1 Canada 1-418-266-4531 masked Minist&#232;re de la sant&#233; et des services sociaux du Qu&#233;bec (Canada) Minist&#232;re de la sant&#233; et des services sociaux, 1075, chemin Sainte-Foy, 15e &#233;tage, Qu&#233;bec (Quebec) G1S 2M1 Canada "1-418-644-4545 taha.chaabouni@msss.gouv.qc.ca http://www.msss.gouv.qc.ca/ Govt body 2.16.124.10.101.1.60 Int 4 Complete 2008/09/30 12:00:00 2010/01/29 12:00:00 2010/02/04 06:00:30 UV 2.16.840.1.113883.13.27 r-bACHPCR1 HL7 Version 3 Standard: Role-based Access Control Healthcare Permission Catalog, Release 1 Glen Marshall masked Mike Davis 309 Cerro Street, Encinitas, CA 92024 760-632-0294 masked HL7 Security Workgroup mike.davis@med.va.gov SDO Int 13 Complete 2008/10/01 12:00:00 2012/08/30 12:00:00 2012/08/30 03:24:59 UV 2.16.840.1.113883.3.207 claricode Claricode, Inc. Peter Harris masked Peter Harris 716 Main St., 2nd Floor, Waltham, MA 02451 781-899-9190 masked Solutions Architect Claricode, Inc. 716 Main St., 2nd Floor, Waltham, MA 02451 781-899-9190 andrew.needleman@claricode.com http://www.claricode.com Vendor Int 3 Complete 2008/10/01 12:00:00 2010/11/18 12:00:00 2010/11/19 12:54:08 UV 1.0.3166.1.2.3 iso3166-1edition2alpha3 ISO 3166 Part 1 Country Codes, 2nd Edition, Alpha-3 Ted Klein masked Dr. Mary Lou Pelaprat Standards Department, ISO Central Secretariat, 1, chemin de la Voie Creuse, P.O. Box 56, CH-1211 Geneva 20 Switzerland +41 22 749 73 66 masked Secretary of ISO 3166/MA International Standards Organization (ISO) 1 ch. de la Voie-Creuse, Case postale 56, CH-1211 Geneva 20, Switzerland +41 22 749 01 11 http://www.iso.org SDO 1 EXT 6 Complete 2008/03/31 12:00:00 2008/03/31 12:00:00 2008/03/31 12:00:00 UV 1.0.3166.1.2.1 iso3166-1edition2numeric ISO 3166 Part 1 Country Codes, 2nd Edition, Numeric Ted Klein masked Dr. Mary Lou Pelaprat Standards Department, ISO Central Secretariat, 1, chemin de la Voie Creuse, P.O. Box 56, CH-1211 Geneva 20 Switzerland +41 22 749 73 66 masked Secretary of ISO 3166/MA International Standards Organization (ISO) 1 ch. de la Voie-Creuse, Case postale 56, CH-1211 Geneva 20, Switzerland +41 22 749 01 11 http://www.iso.org SDO 1 EXT 6 Complete 2008/03/31 12:00:00 2008/03/31 12:00:00 2008/03/31 12:00:00 UV 2.16.840.1.113883.4.326 MedLink Konrad Kim masked Konrad Kim 11 Oval Dr. Islandia NY 11749 631-342-8808 masked CTO MedLink International,MedLink International,MedLink International,MedLink International 11 Oval Dr. Islandia NY 11749 631-342-8800 info@medlinkus.com http://medlinkus.com Vendor 2.16.840.1.113883.4.325 Int 4 Rejected 2008/10/02 12:00:00 2010/11/05 12:00:00 2010/11/05 10:49:00 UV 2.16.840.1.113883.3.208 medLink MedLink OID Root Ted Klein masked Konrad Kim 11 Oval Dr. 631-342-8808 masked CTO MedLink International,MedLink International 11 Oval Dr. 631-342-8800 info@medlinkus.com http://medlinkus.com Vendor Int 3 Complete 2008/10/02 12:00:00 2009/10/08 12:00:00 2009/10/08 12:10:44 UV 2.16.840.1.113883.13.28 medi-Clinic Medi-Clinic Corporation Herbert Felber masked Studer Christian Seefeldstrasse 214, 8008 Z&#252;rich +41 (0) 44 388 67 25 masked Member of Medi-Clinic Corporation Information System (MCCIS) Exco Medi Clinic International Seefeldstrasse 214, 8008 Z&#252;rich +41 (0) 44 388 67 25 christian.studer@hirslanden.ch Provider Int 13 Complete 2008/10/03 12:00:00 2010/11/18 12:00:00 2010/11/19 12:58:23 UV 2.16.840.1.113883.3.209 actihealth Actihealth Thomas Blackadar masked Thomas Blackadar 542 Westport Av Norwalk CT 978-357-8081 masked COO FitLinxx Inc 542 Westport Av Norwalk CT 978-357-8081 tblackadar@fitlinxx.com http://www.fitlinxx.com Vendor Int 3 Complete 2008/10/05 12:00:00 2010/11/18 12:00:00 2010/11/19 01:05:11 UV 2.16.840.1.113883.3.210 ihsNHIE1 Indian Health Service NHIN Connect root OID Virginia John masked James Garvie 12300 Twinbrook Parkway, Suite 300, Rockville, MD 20852 301 443-3369 masked Health Services Officer Indian Health Service 12300 Twinbrook Parkway, Suite 300, Rockville, MD 20852 301 443-3369 james.garvie@ihs.gov http://www.ihs.gov Govt body Int 3 Complete 2008/10/06 12:00:00 2009/10/08 12:00:00 2009/10/08 12:14:26 UV 1.3.6.1.4.1.31523 cHIC CHIC Seonho Kim masked Cheryl Stephens 404 W. Superior Street Suite 250, MN 55802 218-625-5515 masked Community Health Information Collaborative (CHIC) 404 W. Superior Street Suite 250, MN 55802 218-625-5515 cstephens@medinfosystems.org http://www.chic-rhio.org/ Provider Ext 3 Complete 1.3.6.1.4.1.31523 2008/10/06 12:00:00 2015/06/26 12:00:00 2015/06/26 05:09:56 UV 1.3.6.1.4.1.28603 apenimed ApeniMED, Inc. Seonho Kim masked Seonho Kim 510 First Avenue North Suite 650, Minneapolis, MN 55403 612-435-7604 masked Chief Architect ApeniMED, Inc. 510 First Avenue North Suite 650, Minneapolis, MN 55403 612-435-7604 seonho.kim@apenimed.com http://www.apenimed.com Vendor Ext 3 Complete 1.3.6.1.4.1.28603 2008/10/06 12:00:00 2015/06/26 12:00:00 2015/06/26 05:21:28 UV 2.16.840.1.113883.3.211 eTRIu-HealthManager ETRI u-Health Manager Joon-Ho Lim masked Joon-Ho Lim 161 Gajeong-dong Yuseong-Gu Daejeon Korea +82-42-860-1322 masked Researcher ETRI u-Health Manager joonho.lim@etri.re.kr Vendor Int 3 Complete 2008/10/07 12:00:00 2015/06/26 12:00:00 2015/06/26 05:37:17 UV 2.16.840.1.113883.3.212 Published Model Artifact Matt Potter masked Matt Potter Oregon, USA 503-531-7000 masked INT 3 Pending 2008/10/10 12:00:00 2008/10/10 12:00:00 UV 2.16.840.1.113883.3.213 tehc Ts'ewulhtun Health Centre Mingyuan Zhao masked Bill Aumen 250 746 8958 masked Ts'ewulhtun Health Centre bill@aumenconsulting.com Provider Int 3 Complete 2008/10/15 12:00:00 2014/12/15 12:00:00 2014/12/15 06:40:42 UV 2.16.840.1.113883.3.214 qhc Qwemtsin Health Centre Mingyuan Zhao masked Bill Aumen 250 746 8958 masked Qwemtsin Health Centre bill@aumenconsulting.com Provider Int 3 Complete 2008/10/15 12:00:00 2014/12/15 12:00:00 2014/12/15 06:42:57 UV 2.16.840.1.113883.4.327 Indian registry number Mingyuan Zhao masked Bill Aumen 250 746 8958 masked INT 4 Pending 2008/10/16 12:00:00 2008/10/16 12:00:00 UV 2.16.840.1.113883.5.1105 hc-DIN Health Canada Drug Id Number Ted Klein masked Lloyd McKenzie Infoway Standards Collaborative - SCWG 6 150 King Street West, Suite 1300 Toronto, Ontario M5H 1J9 1-877-595-3417 masked Health Canada,Health Canada Therapeutic Products Directorate Health Products and Food Branch Address Locator: 3106B Ottawa, Ontario K1A 0K9 (613) 957-0368; Fax: (613) 952-7756 hc.DIN.sc@canada.ca http://www.hc-sc.gc.ca/index-eng.php Govt body Int 6 Complete 2006/03/25 12:00:00 2008/12/15 12:00:00 2020/11/17 09:31:03 UV 2.16.840.1.113883.5.1107 hc-NPN Health Canada Natural Product Number Ted Klein masked Lloyd McKenzie Infoway Standards Collaborative - SCWG 6 150 King Street West, Suite 1300 Toronto, Ontario M5H 1J9 1-877-595-3417 masked Health Canada,Health Canada Therapeutic Products Directorate Health Products and Food Branch Address Locator: 3106B Ottawa, Ontario K1A 0K9 (613) 957-0368; Fax: (613) 952-7756 hc.nnhpd-dpsnso.sc@canada.ca http://www.hc-sc.gc.ca/index-eng.php Govt body Int 6 Complete 2006/03/25 12:00:00 2020/11/17 09:34:20 UV 2.16.840.1.113883.3.215 sdsalud Secretar&#237;a de Salud Cuauhtemoc Mancha masked Cuauhtemoc Mancha AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 (+52 55) 5514-3356 masked Adjunct General Director Secretar&#237;a de Salud AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 5514-3356 cmancha@salud.gob.mx http://www.salud.gob.mx Govt body Int 3 Complete 2008/10/21 12:00:00 2011/11/09 12:00:00 2011/11/09 01:15:36 UV 2.16.840.1.113883.3.216 spantel Spantel PRADEEP KUMAR RAGHAVAN masked PRADEEP KUMAR RAGHAVAN 7328217075 x 106 masked Spantel LLC 3084 Suite 8, Route 27, Kendall Park, NJ 08824 7328217075 x 106 pradeep@spantel.net http://www.spantel.com/ Vendor 2.16.840.1.113883 Int 3 Complete 2008/10/22 12:00:00 2010/11/18 12:00:00 2010/11/19 01:09:29 UV 2.16.840.1.113883.13.29 Global Medical Device Nomenclature (GMDN) Code System Bob Dolin masked Rick Geimer na masked sdwg na na INT 13 Rejected 2008/10/23 12:00:00 2008/10/23 12:00:00 UV 2.16.840.1.113883.6.276 GMDN Global Medical Device Nomenclature Ted Klein masked Bob Dolin Rick Geimer PO Box 3557, Federal Way, WA 98063 650-209-4839 masked Chief Architect GMDN Agency Ltd. The Stables, Sugworth Lane, Radley, Oxford, OX14 2HX, UK +44 (0) 1865 735840 gmdn_agency@btinternet.com http://www.gmdnagency.com SDO INT 6 Complete 2008/10/24 12:00:00 2008/10/24 12:00:00 2008/10/24 12:00:00 UV 1.0.4217 iso4217 ISO 4217 Currency Codes Ted Klein masked Dr. Mary Lou Pelaprat Standards Department, ISO Central Secretariat, 1, chemin de la Voie Creuse, P.O. Box 56, CH-1211 Geneva 20 Switzerland +41 22 749 73 66 masked Secretary of ISO 3166/MA International Standards Organization (ISO),International Standards Organization (ISO) 1 ch. de la Voie-Creuse, Case postale 56, CH-1211 Geneva 20, Switzerland +41 22 749 01 11 http://www.iso.org SDO 1 EXT 6 Complete 2008/03/31 12:00:00 2008/10/24 12:00:00 2008/10/24 09:36:00 UV 2.16.840.1.113883.13.30 HU-XDS-Repository Man M Garg masked Man M Garg 5626503865 masked INT 13 Pending 2008/10/30 12:00:00 2008/10/30 12:00:00 UV 2.16.840.1.113883.3.217 wADOHNHIE1 WADOHNHIE1 Virginia John masked David Dobbs 770-936-6300 masked Washington State Department of Health 770-936-6300 DAVID.O.DOBBS@saic.com http://www.doh.wa.gov/ Govt body Int 3 Complete 2008/10/31 12:00:00 2014/12/15 12:00:00 2014/12/15 06:48:09 UV 2.16.840.1.113883.3.218 nYDOHNHIE1 NYDOHNHIE1 Virginia John masked Linh Le 518-473-1809 masked New York Department of Health 518-473-1809 lhl02@health.state.ny.us http://www.health.state.ny.us/ Govt body Int 3 Complete 2008/10/31 12:00:00 2014/12/15 12:00:00 2014/12/15 06:50:57 UV 2.16.840.1.113883.3.219 nCINHIE1 NCINHIE1 Virginia John masked Kevin Puscas 301-919-2978 masked National Cancer Institute 301-919-2978 Kevin.Puscas@nih.hhs.gov http://www.cancer.gov/ Govt body Int 3 Complete 2008/10/31 12:00:00 2014/12/15 12:00:00 2014/12/15 06:53:31 UV 1.3.6.1.4.1.24369 medem Medem, Inc. Douglas Kunz masked Jessica Formoe 100 Pine Street, 3rd Floor, San Francisco CA 94111, USA +1-415-644-3916 masked Director, Software Development Internet Assigned Numbers Authority (IANA) 4676 Admiralty Way, Suite 330, Marina del Rey, CA 90292, USA +1 3108239358 ext. 2 iana@iana.org http://www.iana.org/ Govt body 1.3.6.1.4 Ext 3 Complete 1.3.6.1.4.1.24369 2008/10/31 12:00:00 2022/10/25 12:00:00 2022/10/25 08:50:17 UV 2.16.840.1.113883.10.20.10 cDC/NCPHICDAReportingTemplatesRoot CDC/NCPHI CDA for Public Health Case Reporting Templates Root Bob Dolin masked Bob Dolin 949 466 4035 masked SDWG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 BobDolin@gmail.com HL7 body Ext 10 Complete 2.16.840.1.113883.10.20.10 2008/11/06 12:00:00 2015/06/30 12:00:00 2015/06/30 07:54:10 UV 2.16.840.1.113883.3.220 clinixis Clinixis Health Systems Mark Bryant masked Mark Bryant 206-963-1259 masked Chief Software Architect Clinixis Health Systems 3518 Fremont Ave N, #571 Seattle, WA 98103 mark.bryant@clinixis.com http://www.clinixis.com/ Vendor Int 3 Complete 2008/11/08 12:00:00 2011/12/19 12:00:00 2011/12/19 03:57:45 UV 2.16.840.1.113883.13.31 ISO6710 Alberto Saez masked Alberto Saez 034627303865 masked ISO SDO INT 13 Pending 2008/11/10 12:00:00 2008/11/10 12:00:00 UV 2.16.840.1.113883.3.221 phdsc Jason Siegel masked Anna Orlova 624 N. Broadway Room 382, ore MD 21205 410-614-3463 masked Executive Director Public Health Data Standards Consortium,Public Health Data Standards Consortium,Public Health Data S 624 N. Broadway Room 382, ore MD 21205 410-614-3463 aorlova@jhsph.edu http://www.phdsc.org SDO Int 3 Complete 2008/11/13 12:00:00 2011/10/03 12:00:00 2011/10/03 11:11:22 UV 2.16.840.1.113883.4.328 canadianDentalHygienistsAssoc Canadian Dental Hygienists Association OID Root Paul Knapp masked Ms Ann Wright Ms Ann Wright 96 Centrepointe Drive- Ottawa- Ontario- CANADA-K2G 6B1 613 224-5515 masked Independent Practice Advisor Canadian Dental Hygienists Association 96 Centrepointe Drive- Ottawa- Ontario- CANADA-K2G 6B1 613 224-5515 aew@cdha.ca http://www.cdha.ca Prof Soc Int 4 Complete 2008/11/19 12:00:00 2010/01/29 12:00:00 2010/01/29 12:56:34 UV 2.16.840.1.113883.2.20 hl7Canada HL7 Canada OID Root Lloyd McKenzie masked Ted Klein HL7 Canada Same as below 416-595-3417 masked HL7 Canada Affiliate Chair HL7 Canada HL7 Canada c/o Canada Health Infoway 150 King Street West, Suite 1300 Toronto, Ontario M5H 1J9 Canada 416-595-3417 standards@infoway-inforoute.ca https://ic.infoway-inforoute.ca/en/collaboration/communities/hl7 HL7 body 2.16.840.1.113883 INT 2 Complete 2008/11/20 12:00:00 2008/11/20 12:00:00 2016/03/09 09:22:51 UV 2.16.840.1.113883.2.21 hl7Brasil HL7 Brasil OID Root Ted Klein masked Ted Klein Marivan Santiago Abrahao HL7 Brasil Rua Loefgren 662 Vila Clementino 04040-000-001, Sao Paulo, SP Brasil +55-11-5082-2286 masked HL7 Brasil Affiliate Chair HL7 Brasil HL7 Brasil Rua Loefgren 662 Vila Clementino 04040-000-001, Sao Paulo, SP Brasil +55-11-5082-2286 marivan@mac.com http://www.hl7.org.br HL7 body 2.16.840.1.113883 INT 2 Complete 2008/11/20 12:00:00 2008/11/20 12:00:00 2016/01/14 01:36:37 UV 2.16.840.1.113883.2.22 hl7Chile HL7 Chile OID Root Ted Klein masked Ted Klein Sergio A. K&#246;nig HL7 Chile Napoleon 3037, 8vo Piso, Las Condes, Santiago, Chile +56-2-7697996 masked HL7 Chile Affiliate Chair HL7 Chile HL7 Chile Napoleon 3037, 8vo Piso, Las Condes, Santiago, Chile +56-2-7697996 coordinacion@hl7chile.cl http://www.hl7chile.cl/ HL7 body 2.16.840.1.113883 INT 2 Complete 2008/11/20 12:00:00 2008/11/20 12:00:00 2011/03/29 02:18:44 UV 2.16.840.1.113883.2.23 hl7China HL7 China OID Root Ted Klein masked Ted Klein Baoluo Li No11, Shuangying Rd Chaoyang Dist. Beijing 100012, China +86-10-84980641 masked HL7 China Affiliate Chair HL7 China No11, Shuangying Rd Chaoyang Dist. Beijing 100012, China +86-010-84980641 crystal.li0925@qq.com HL7 body 2.16.840.1.113883 INT 2 Complete 2008/11/20 12:00:00 2008/11/20 12:00:00 2018/11/08 11:29:30 UV 2.16.840.1.113883.2.24 hl7Denmark HL7 Denmark OID Root Ted Klein masked Ted Klein Marie Gradert c/o Danish Standards Kollegievej 6 DK-2920 Charlottenlund Denmark +46-39-96-61-89 masked HL7 Denmark Affiliate Chair HL7 Denmark HL7 Denmark c/o Danish Standards Kollegievej 6 DK-2920 Charlottenlund Denmark +46-39-96-61-89 mgr@ds.dk HL7 body 2.16.840.1.113883 INT 2 Complete 2008/11/20 12:00:00 2008/11/20 12:00:00 2008/11/20 10:50:41 UV 2.16.840.1.113883.2.25 hl7Greece HL7 Greece OID Root Ted Klein masked Ted Klein George Patoulis MD, MPH 3 Themistokleous Street 15122 Athens, Greece +30-210-8067888 masked HL7 Greece Affiliate Chair HL7 Greece HL7 Greece 9th klm Thessaloniki-Thermi, 570 01 Thessloniki - GREECE +30-210-8067888 chair@hl7.org.gr HL7 body 2.16.840.1.113883 INT 2 Complete 2008/11/20 12:00:00 2008/11/20 12:00:00 2008/11/26 02:28:14 UV 2.16.840.1.113883.2.26 hl7India HL7 India OID Root Ted Klein masked Ted Klein Saji Salam MD Cognizant Technology Solutions, 4th Fl Tidel ParkTaramani, Chennai 600 113India +044-254-0555 masked HL7 India Affiliate Chair HL7 India +044-254-0555 hl7india@yahoo.com http://www.hl7india.org HL7 body 2.16.840.1.113883 INT 2 Complete 2008/11/20 12:00:00 2008/11/21 12:00:00 2008/11/26 02:29:40 UV 2.16.840.1.113883.2.27 hl7Ireland HL7 Ireland OID Root Ted Klein masked Ted Klein Peter Lennon c/o National Practice Information Technology GroupFloor 11, Hawkins HouseHawkins Street, Dublin 2Ireland 01-635-3011/13 masked HL7 Ireland Affiliate Chair HL7 Ireland c/o National Practice Information Technology GroupFloor 11, Hawkins HouseHawkins Street, Dublin 2Ireland 01-635-3011/13 pamlennon@eircom.net HL7 body 2.16.840.1.113883 INT 2 Complete 2008/11/20 12:00:00 2008/11/26 02:31:33 UV 2.16.840.1.113883.2.28 hl7Korea HL7 Korea OID Root Ted Klein masked Ted Klein Yun Sik Kwak MD PhD Kyungpook National University School of Medicine 50 Samduck 2-Ga Choong-Ku Daegu, 700-721 Korea +82-53-420-6050 masked HL7 Korea Affiliate Chair HL7 Korea +82-53-420-6050 HL7 body 2.16.840.1.113883 INT 2 Complete 2008/09/20 12:00:00 2008/09/20 10:20:41 UV 2.16.840.1.113883.2.29 hl7Mexico HL7 Mexico OID Root Ted Klein masked Ted Klein Mauricio Derbez del Pino Pri. Cocoyoles Casa 62Km 1 Periferico NorteMerida, Yucatan 997305Mexico +52-999-913-8351 masked HL7 Mexico Affiliate Chair HL7 Mexico +52-999-913-8351 mauricio.derbez@imss.gob.mx http://www.hl7mexico.org HL7 body 2.16.840.1.113883 Int 2 Retired 2008/11/20 12:00:00 2013/04/01 01:26:18 UV 2.16.840.1.113883.2.30 hl7Romania HL7 Romania OID Root Ted Klein masked Ted Klein Florica Moldoveanu c/o Univ Politechnica of Bucharest Dept of Computer Science and Engineering Rm ED419 Splaiul Independentei,Nr. 313,sector 6 Bucharest Romania +40-21-4115781 masked HL7 Romania Affiliate Chair HL7 Romania HL7 Romania c/o Univ Politechnica of Bucharest Dept of Computer Science and Engineering Rm ED419 Splaiul Independentei,Nr. 313,sector 6 Bucharest Romania +40-21-4115781 HL7 body 2.16.840.1.113883 INT 2 Complete 2008/11/20 12:00:00 2008/11/21 10:22:41 UV 2.16.840.1.113883.2.31 hl7Singapore HL7 Singapore Ted Klein masked Ted Klein Hui-Nar Quek c/o MOH Holdings Pte Ltd, 83 Clemenceau Avenue #10-03 UE Square Singapore 239920 +65 6471 9310 masked HL7 Singapore Exco HL7 Singapore,HL7 Singapore HL7 Singaporec/o MOH Holdings Pte Ltd83 Clemenceau Avenue #10-03 UE SquareSingapore 239920Singapore 65 9728 2696 fong.choon.khin@singhealth.com.sg HL7 body 2.16.840.1.113883 INT 2 Complete 2008/11/20 12:00:00 2009/09/11 12:00:00 2009/01/05 10:36:58 UV 2.16.840.1.113883.2.32 hl7Sweden HL7 Sweden OID Root Ted Klein masked Ted Klein Fredrik Strom M.Sc. Brainpool AB Solna Torg 19, 3 tr : 171 45 Solna Sweden +46 8 527 400 00 masked HL7 Sweden Affiliate Chair HL7 Sweden +46 8 527 400 00 http://www.hl7.se/ HL7 body 2.16.840.1.113883 INT 2 Complete 2008/11/20 12:00:00 2008/11/21 10:28:41 UV 2.16.840.1.113883.2.33 hl7Taiwan HL7 Taiwan OID Root Ted Klein masked Ted Klein Jin-Shin Lai MD 12F.-3 No.20 Mincyuan W.Rd. Jhongshan District Taipei City 104 Taiwan +886-2-25233900 masked HL7 Taiwan Affiliate Chair HL7 Taiwan http://www.hl7.org.tw HL7 body 2.16.840.1.113883 INT 2 Complete 2008/11/20 12:00:00 2008/11/21 10:30:41 UV 2.16.840.1.113883.2.34 hl7Turkey HL7 Turkey OID Root Ted Klein masked Ted Klein Bulent Kunac Gazi Universitesi Tip FakultesiNukleer Tip Ana Bilim DaliAnkara 06510Turkey +90 312 291 91 00 masked HL7 Turkey Affiliate Chair HL7 Turkey HL7 Turkey - Tip Bilisimi DernegiGazi Universitesi Tip FakultesiNukleer Tip Ana Bilim DaliAnkara 06510Turkey bkunac@tepeteknoloji.com.tr http://www.turkmia.org HL7 body 2.16.840.1.113883 INT 2 Complete 2008/11/20 12:00:00 2008/11/26 02:47:22 UV 2.16.840.1.113883.6.277 CDCNHSN NHSN Surveillance System Codes Sundak Ganesan masked Ted Klein Sheila Abner 1600 Clifton Road, NE, Mail Stop A24 Atlanta, GA 30333 404-639-4237 masked NHSN Terminologist Centers for Disease Control and Prevention - National Healthcare Safety Network Centers for Disease Control and Prevention - National Healthcare Safety Network 1600 Clifton Road, NE, Mail Stop A24 Atlanta, GA 30333 SAbner@cdc.gov https://www.cdc.gov/nhsn/ Govt body 2.16.840.1.114222 Ext 6 Complete 2008/10/24 12:00:00 2008/10/24 12:00:00 2024/07/31 08:16:30 UV 2.16.840.1.113883.10.20.11 mDSv3R1TemplateRoot MDSv3, Release 1.0 Template Root Bob Dolin masked Bob Dolin 949 466 4035 masked SDWG 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA (+1) 734-677-777 hq@HL7.org www.HL7.org HL7 body Ext 10 Complete 2.16.840.1.113883.10.20.11 2008/11/23 12:00:00 2010/11/29 12:00:00 2010/11/30 01:07:09 UV 2.16.840.1.113883.13.32 CTSAOntologyMapper CTSAOntologyMapper Rob Wynden masked Davera Gabriel Rob Wynden 1855 Folsom St, San Francisco, CA 94143 415-476-3728 masked Senior Architect and Team Leader - Academic Research Systems UCSF 1855 Folsom St, San Francisco, CA 94143 415-476-3728 rob.wynden@ucsf.edu http://www.ucsf.edu Academic INT 2.16.840.1.113883.3.223 13 Retired 2008/11/24 12:00:00 2009/09/09 12:00:00 2008/11/24 12:00:00 UV 2.16.840.1.113883.3.222 cCRECGCoreLab CCR ECG Core Lab Ken Barz masked Ken Barz 303-860-9900 masked Senior Statistical Programmer Colorado Clinical Research (CCR) ECG Core Lab 303-860-9900 Evan.King@cpcmed.org Vendor Int 3 Complete 2008/11/24 12:00:00 2014/12/15 12:00:00 2014/12/15 06:58:58 UV 2.16.840.1.113883.3.223 ctsaOntologyMapper CTSA Ontology Mapper Rob Wynden masked Ted Klein Rob Wynden 1855 Folsom St, San Francisco, CA 94143 415-476-3728 masked Senior Architect and Team Leader - Academic Research Systems UCSF 1855 Folsom St, San Francisco, CA 94143 415-476-3728 rob.wynden@ucsf.edu http://www.ucsf.edu Academic INT 3 Complete 2008/11/24 12:00:00 2009/09/09 12:00:00 2008/11/24 12:00:00 UV 2.16.840.1.113883.2.20.1 pan-CanadianSpecificationReleaseNumber pan-Canadian Specification Release Number Wendy Huang masked Standards Collaborative 150 King St. West, Toronto, Ontario Canada M5H 1J9 1-877-595-3417 masked Standards Collaborative 150 King St. West, Toronto, Ontario Canada M5H 1J9 1-877-595-3417 standards@infoway-inforoute.ca http://www.infoway-inforoute.ca Govt body 2.16.840.1.113883.2.20 Ext 4 Complete 2.16.840.1.113883.2.20.1 2008/11/25 12:00:00 2009/09/15 12:00:00 2009/09/15 06:42:40 UV 2.16.840.1.113883.2.20.2 pan-CanadianConformanceProfile pan-Canadian Conformance Profile Wendy Huang masked Standards Collaborative 150 King St. West, Toronto, Ontario Canada M5H 1J9 1-877-595-3417 masked Standards Collaborative 150 King St. West, Toronto, Ontario Canada M5H 1J9 1-877-595-3417 standards@infoway-inforoute.ca http://www.infoway-inforoute.ca Govt body 2.16.840.1.113883.20 Ext 4 Complete 2.16.840.1.113883.2.20.2 2008/11/25 12:00:00 2009/09/15 12:00:00 2009/09/15 06:43:49 UV 2.16.840.1.113883.4.329 geHealthcareNamespace GE Healthcare Namespace Darren Hudgins masked Darren Hudgins 5121 Cottonwood St Murray UT 84107 703.593.4448 masked Engineering Manager GE Healthcare 5121 Cottonwood St South Office Building 4th Floor Murray UT 84107 703.593.4448 darren.hudgins@ge.com http://www.gehealthcare.com Vendor Int 3 Complete 2008/12/02 12:00:00 2010/01/29 12:00:00 2010/01/29 01:01:22 UV 2.16.840.1.113883.2.20.5.1 pclocd pan-Canadian LOINC &#174; Observation Code Database Wendy Huang masked Clinical Systems Interoperability Same as below 1-877-595-3417 masked Clinical Systems Interoperability Canada Health Infoway Inc. 150 King St. West, Suite 1300 Toronto, Ontario Canada M5H 1J9 1-877-595-3417 standards@infoway-inforoute.ca http://www.infoway-inforoute.ca Govt body 2.16.840.1.113883.2.20 Ext 6 Complete 2.16.840.1.113883.2.20.5.1 2008/12/02 12:00:00 2009/12/22 12:00:00 2016/03/09 09:29:47 UV 2.16.840.1.113883.3.224 bMC-CIE BMC CIE Nicholas Pallang masked Nicholas Pallang 617-638-8620 masked Senior Business Application Developer Boston Medical Center 617-638-8000 nicholas.pallang@bmc.org http://www.bmc.org/ Provider Int 3 Complete 2008/12/08 12:00:00 2012/06/30 12:00:00 2012/06/30 09:33:13 UV 2.16.840.1.113883.2.20.5.2 sctemp pan-Canadian Temporary Codes Wendy Huang masked Clinical Systems Interoperability Same as below 1-877-595-3417 masked Clinical Systems Interoperability Canada Health Infoway Inc. 150 King St. West Suite 1300, Toronto, Ontario Canada M5H 1J9 1-877-595-3417 standards@infoway-inforoute.ca http://www.infoway-inforoute.ca Govt body 2.16.840.1.113883.2.20 Ext 6 Complete 2.16.840.1.113883.2.20.5.2 2008/12/09 12:00:00 2009/12/22 12:00:00 2016/03/09 09:30:59 UV 2.16.840.1.113883.2.20.5.3 scptype pan-Canadian Provider Types Wendy Huang masked Clinical Systems Interoperability Same as below 1-877-595-3417 masked Clinical Systems Interoperability Canada Health Infoway 150 King St. West Suite 1300, Toronto, Ontario Canada M5H 1J9 1-877-595-3417 standards@infoway-inforoute.ca http://www.infoway-inforoute.ca Govt body 2.16.840.1.113883.2.20 Ext 6 Complete 2.16.840.1.113883.2.20.5.3 2008/12/09 12:00:00 2009/12/28 12:00:00 2016/03/09 09:31:56 UV 2.16.840.1.113883.2.20.5.4 scpqual pan-Canadian Provider Qualification Wendy Huang masked Clinical Systems Interoperability Same as below 1-877-595-3417 masked Clinical Systems Interoperability Canada Health Infoway 150 King St. West Suite 1300, Toronto, Ontario Canada M5H 1J9 1-877-595-3417 standards@infoway-inforoute.ca http://www.infoway-inforoute.ca Govt body 2.16.840.1.113883.2.20 Ext 6 Complete 2.16.840.1.113883.2.20.5.4 2008/12/09 12:00:00 2009/12/22 12:00:00 2016/03/09 09:32:50 UV 2.16.840.1.113883.3.225 glenwoodSystems Glenwood Systems, LLC. Ganeshram Sivashanmugam masked Samuel Raj 100 Grand Street Waterbury CT 06702 2034376047 masked Technical Director Glenwood Systems LLC 100 Grand Street Waterbury CT 06702 2034376047 sam@glenwoodmicro.net http://www.glenwoodsystems.com Vendor Int 3 Complete 2008/12/11 12:00:00 2010/11/19 12:00:00 2012/12/06 05:04:29 UV 2.16.840.1.113883.1.8 hl7-BRIDG-DAM HL7 BRIDG Domain Access Model Cecil Lynch masked Cecil Lynch 916-412-5504 masked BRIDG Consultant HL7 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 1-734-677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 1 Complete 2008/12/11 12:00:00 2008/12/11 12:00:00 UV 2.16.840.1.113883.4.330 passportNumbers Passport Numbers Root Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA 734-677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2.16.840.1.113883 2008/12/11 12:00:00 2008/12/11 12:00:00 UV 2.16.840.1.113883.4.330.4 passportNumNS-AFG Passport Numbers Namespace for AFGHANISTAN Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.248 passportNumNS-ALA Passport Numbers Namespace for ALAND ISLANDS Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.8 passportNumNS-ALB Passport Numbers Namespace for ALBANIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.12 passportNumNS-DZA Passport Numbers Namespace for ALGERIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.16 passportNumNS-ASM Passport Numbers Namespace for AMERICAN SAMOA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.20 passportNumNS-AND Passport Numbers Namespace for ANDORRA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.24 passportNumNS-AGO Passport Numbers Namespace for ANGOLA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.660 passportNumNS-AIA Passport Numbers Namespace for ANGUILLA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.10 passportNumNS-ATA Passport Numbers Namespace for ANTARCTICA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.28 passportNumNS-ATG Passport Numbers Namespace for ANTIGUA AND BARBUDA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.32 passportNumNS-ARG Passport Numbers Namespace for ARGENTINA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.51 passportNumNS-ARM Passport Numbers Namespace for ARMENIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.533 passportNumNS-ABW Passport Numbers Namespace for ARUBA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.36 passportNumNS-AUS Passport Numbers Namespace for AUSTRALIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.40 passportNumNS-AUT Passport Numbers Namespace for AUSTRIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.31 passportNumNS-AZE Passport Numbers Namespace for AZERBAIJAN Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.44 passportNumNS-BHS Passport Numbers Namespace for BAHAMAS Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.48 passportNumNS-BHR Passport Numbers Namespace for BAHRAIN Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.50 passportNumNS-BGD Passport Numbers Namespace for BANGLADESH Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.52 passportNumNS-BRB Passport Numbers Namespace for BARBADOS Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.112 passportNumNS-BLR Passport Numbers Namespace for BELARUS Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.56 passportNumNS-BEL Passport Numbers Namespace for BELGIUM Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.84 passportNumNS-BLZ Passport Numbers Namespace for BELIZE Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.204 passportNumNS-BEN Passport Numbers Namespace for BENIN Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.60 passportNumNS-BMU Passport Numbers Namespace for BERMUDA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.64 passportNumNS-BTN Passport Numbers Namespace for BHUTAN Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.68 passportNumNS-BOL Passport Numbers Namespace for BOLIVIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.70 passportNumNS-BIH Passport Numbers Namespace for BOSNIA AND HERZEGOVINA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.72 passportNumNS-BWA Passport Numbers Namespace for BOTSWANA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.74 passportNumNS-BVT Passport Numbers Namespace for BOUVET ISLAND Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.76 passportNumNS-BRA Passport Numbers Namespace for BRAZIL Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.86 passportNumNS-IOT Passport Numbers Namespace for BRITISH INDIAN OCEAN TERRITORY Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.96 passportNumNS-BRN Passport Numbers Namespace for BRUNEI DARUSSALAM Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.100 passportNumNS-BGR Passport Numbers Namespace for BULGARIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.854 passportNumNS-BFA Passport Numbers Namespace for BURKINA FASO Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.108 passportNumNS-BDI Passport Numbers Namespace for BURUNDI Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.116 passportNumNS-KHM Passport Numbers Namespace for CAMBODIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.120 passportNumNS-CMR Passport Numbers Namespace for CAMEROON Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.124 passportNumNS-CAN Passport Numbers Namespace for CANADA Ted Klein masked Canada Health Infoway Standards Collaborative 150 King St. Weest Suite 1300 Toronto, Ontario M5H 1J9 CANADA 1-877-585-3417 masked Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA 1-734-677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2010/01/29 11:58:00 UV 2.16.840.1.113883.4.330.132 passportNumNS-CPV Passport Numbers Namespace for CAPE VERDE Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.136 passportNumNS-CYM Passport Numbers Namespace for CAYMAN ISLANDS Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.140 passportNumNS-CAF Passport Numbers Namespace for CENTRAL AFRICAN REPUBLIC Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.148 passportNumNS-TCD Passport Numbers Namespace for CHAD Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.152 passportNumNS-CHL Passport Numbers Namespace for CHILE Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.156 passportNumNS-CHN Passport Numbers Namespace for CHINA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.162 passportNumNS-CXR Passport Numbers Namespace for CHRISTMAS ISLAND Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.166 passportNumNS-CCK Passport Numbers Namespace for COCOS (KEELING) ISLANDS Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.170 passportNumNS-COL Passport Numbers Namespace for COLOMBIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.174 passportNumNS-COM Passport Numbers Namespace for COMOROS Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.178 passportNumNS-COG Passport Numbers Namespace for CONGO Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.180 passportNumNS-COD Passport Numbers Namespace for CONGO, THE DEMOCRATIC REPUBLIC OF THE Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.184 passportNumNS-COK Passport Numbers Namespace for COOK ISLANDS Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.188 passportNumNS-CRI Passport Numbers Namespace for COSTA RICA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.384 passportNumNS-CIV Passport Numbers Namespace for COTE D'IVOIRE Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.191 passportNumNS-HRV Passport Numbers Namespace for CROATIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.192 passportNumNS-CUB Passport Numbers Namespace for CUBA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.196 passportNumNS-CYP Passport Numbers Namespace for CYPRUS Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.203 passportNumNS-CZE Passport Numbers Namespace for CZECH REPUBLIC Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.208 passportNumNS-DNK Passport Numbers Namespace for DENMARK Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.262 passportNumNS-DJI Passport Numbers Namespace for DJIBOUTI Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.212 passportNumNS-DMA Passport Numbers Namespace for DOMINICA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.214 passportNumNS-DOM Passport Numbers Namespace for DOMINICAN REPUBLIC Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.218 passportNumNS-ECU Passport Numbers Namespace for ECUADOR Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.818 passportNumNS-EGY Passport Numbers Namespace for EGYPT Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.222 passportNumNS-SLV Passport Numbers Namespace for EL SALVADOR Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.226 passportNumNS-GNQ Passport Numbers Namespace for EQUATORIAL GUINEA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.232 passportNumNS-ERI Passport Numbers Namespace for ERITREA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.233 passportNumNS-EST Passport Numbers Namespace for ESTONIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.231 passportNumNS-ETH Passport Numbers Namespace for ETHIOPIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.238 passportNumNS-FLK Passport Numbers Namespace for FALKLAND ISLANDS (MALVINAS) Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.234 passportNumNS-FRO Passport Numbers Namespace for FAROE ISLANDS Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.242 passportNumNS-FJI Passport Numbers Namespace for FIJI Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.246 passportNumNS-FIN Passport Numbers Namespace for FINLAND Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.250 passportNumNS-FRA Passport Numbers Namespace for FRANCE Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.254 passportNumNS-GUF Passport Numbers Namespace for FRENCH GUIANA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.258 passportNumNS-PYF Passport Numbers Namespace for FRENCH POLYNESIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.260 passportNumNS-ATF Passport Numbers Namespace for FRENCH SOUTHERN TERRITORIES Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.266 passportNumNS-GAB Passport Numbers Namespace for GABON Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.270 passportNumNS-GMB Passport Numbers Namespace for GAMBIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.268 passportNumNS-GEO Passport Numbers Namespace for GEORGIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.276 passportNumNS-DEU Passport Numbers Namespace for GERMANY Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.288 passportNumNS-GHA Passport Numbers Namespace for GHANA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.292 passportNumNS-GIB Passport Numbers Namespace for GIBRALTAR Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.300 passportNumNS-GRC Passport Numbers Namespace for GREECE Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.304 passportNumNS-GRL Passport Numbers Namespace for GREENLAND Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.308 passportNumNS-GRD Passport Numbers Namespace for GRENADA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.312 passportNumNS-GLP Passport Numbers Namespace for GUADELOUPE Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.316 passportNumNS-GUM Passport Numbers Namespace for GUAM Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.320 passportNumNS-GTM Passport Numbers Namespace for GUATEMALA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.831 passportNumNS-GGY Passport Numbers Namespace for GUERNSEY Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.324 passportNumNS-GIN Passport Numbers Namespace for GUINEA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.624 passportNumNS-GNB Passport Numbers Namespace for GUINEA-BISSAU Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.328 passportNumNS-GUY Passport Numbers Namespace for GUYANA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.332 passportNumNS-HTI Passport Numbers Namespace for HAITI Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.334 passportNumNS-HMD Passport Numbers Namespace for HEARD ISLAND AND MCDONALD ISLANDS Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.336 passportNumNS-VAT Passport Numbers Namespace for HOLY SEE (VATICAN CITY STATE) Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.340 passportNumNS-HND Passport Numbers Namespace for HONDURAS Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.344 passportNumNS-HKG Passport Numbers Namespace for HONG KONG Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.348 passportNumNS-HUN Passport Numbers Namespace for HUNGARY Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.352 passportNumNS-ISL Passport Numbers Namespace for ICELAND Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.356 passportNumNS-IND Passport Numbers Namespace for INDIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.360 passportNumNS-IDN Passport Numbers Namespace for INDONESIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.364 passportNumNS-IRN Passport Numbers Namespace for IRAN (ISLAMIC REPUBLIC OF) Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.368 passportNumNS-IRQ Passport Numbers Namespace for IRAQ Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.372 passportNumNS-IRL Passport Numbers Namespace for IRELAND Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.833 passportNumNS-IMM Passport Numbers Namespace for ISLE OF MAN Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.376 passportNumNS-ISR Passport Numbers Namespace for ISRAEL Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.380 passportNumNS-ITA Passport Numbers Namespace for ITALY Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.388 passportNumNS-JAM Passport Numbers Namespace for JAMAICA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.392 passportNumNS-JPN Passport Numbers Namespace for JAPAN Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.832 passportNumNS-JEY Passport Numbers Namespace for JERSEY Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.400 passportNumNS-JOR Passport Numbers Namespace for JORDAN Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.398 passportNumNS-KAZ Passport Numbers Namespace for KAZAKHSTAN Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.404 passportNumNS-KEN Passport Numbers Namespace for KENYA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.296 passportNumNS-KIR Passport Numbers Namespace for KIRIBATI Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.408 passportNumNS-PRK Passport Numbers Namespace for KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.410 passportNumNS-KOR Passport Numbers Namespace for KOREA, REPUBLIC OF Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.414 passportNumNS-KWT Passport Numbers Namespace for KUWAIT Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.417 passportNumNS-KGZ Passport Numbers Namespace for KYRGYZSTAN Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.418 passportNumNS-LAO Passport Numbers Namespace for LAO PEOPLE'S DEMOCRATIC REPUBLIC Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.428 passportNumNS-LVA Passport Numbers Namespace for LATVIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.422 passportNumNS-LBN Passport Numbers Namespace for LEBANON Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.426 passportNumNS-LSO Passport Numbers Namespace for LESOTHO Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.430 passportNumNS-LBR Passport Numbers Namespace for LIBERIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.434 passportNumNS-LBY Passport Numbers Namespace for LIBYAN ARAB JAMAHIRIYA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.438 passportNumNS-LIE Passport Numbers Namespace for LIECHTENSTEIN Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.440 passportNumNS-LTU Passport Numbers Namespace for LITHUANIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.442 passportNumNS-LUX Passport Numbers Namespace for LUXEMBOURG Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.446 passportNumNS-MAC Passport Numbers Namespace for MACAO Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.807 passportNumNS-MKD Passport Numbers Namespace for MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.450 passportNumNS-MDG Passport Numbers Namespace for MADAGASCAR Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.454 passportNumNS-MWI Passport Numbers Namespace for MALAWI Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.458 passportNumNS-MYS Passport Numbers Namespace for MALAYSIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.462 passportNumNS-MDV Passport Numbers Namespace for MALDIVES Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.466 passportNumNS-MLI Passport Numbers Namespace for MALI Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.470 passportNumNS-MLT Passport Numbers Namespace for MALTA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.584 passportNumNS-MHL Passport Numbers Namespace for MARSHALL ISLANDS Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.474 passportNumNS-MTQ Passport Numbers Namespace for MARTINIQUE Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.478 passportNumNS-MRT Passport Numbers Namespace for MAURITANIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.480 passportNumNS-MUS Passport Numbers Namespace for MAURITIUS Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.175 passportNumNS-MYT Passport Numbers Namespace for MAYOTTE Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.484 passportNumNS-MEX Passport Numbers Namespace for MEXICO Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.583 passportNumNS-FSM Passport Numbers Namespace for MICRONESIA, FEDERATED STATES OF Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.498 passportNumNS-MDA Passport Numbers Namespace for MOLDOVA, REPUBLIC OF Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.492 passportNumNS-MCO Passport Numbers Namespace for MONACO Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.496 passportNumNS-MNG Passport Numbers Namespace for MONGOLIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.499 passportNumNS-MNE Passport Numbers Namespace for MONTENEGRO Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.500 passportNumNS-MSR Passport Numbers Namespace for MONTSERRAT Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.504 passportNumNS-MAR Passport Numbers Namespace for MOROCCO Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.508 passportNumNS-MOZ Passport Numbers Namespace for MOZAMBIQUE Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.104 passportNumNS-MMR Passport Numbers Namespace for MYANMAR Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.516 passportNumNS-NAM Passport Numbers Namespace for NAMIBIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.520 passportNumNS-NRU Passport Numbers Namespace for NAURU Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.524 passportNumNS-NPL Passport Numbers Namespace for NEPAL Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.528 passportNumNS-NLD Passport Numbers Namespace for NETHERLANDS Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.530 passportNumNS-ANT Passport Numbers Namespace for NETHERLANDS ANTILLES Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.540 passportNumNS-NCL Passport Numbers Namespace for NEW CALEDONIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.554 passportNumNS-NZL Passport Numbers Namespace for NEW ZEALAND Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.558 passportNumNS-NIC Passport Numbers Namespace for NICARAGUA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.562 passportNumNS-NER Passport Numbers Namespace for NIGER Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.566 passportNumNS-NGA Passport Numbers Namespace for NIGERIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.570 passportNumNS-NIU Passport Numbers Namespace for NIUE Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.574 passportNumNS-NFK Passport Numbers Namespace for NORFOLK ISLAND Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.580 passportNumNS-MNP Passport Numbers Namespace for NORTHERN MARIANA ISLANDS Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.578 passportNumNS-NOR Passport Numbers Namespace for NORWAY Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.512 passportNumNS-OMN Passport Numbers Namespace for OMAN Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.586 passportNumNS-PAK Passport Numbers Namespace for PAKISTAN Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.585 passportNumNS-PLW Passport Numbers Namespace for PALAU Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.275 passportNumNS-PSE Passport Numbers Namespace for PALESTINIAN TERRITORY, OCCUPIED Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.591 passportNumNS-PAN Passport Numbers Namespace for PANAMA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.598 passportNumNS-PNG Passport Numbers Namespace for PAPUA NEW GUINEA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.600 passportNumNS-PRY Passport Numbers Namespace for PARAGUAY Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.604 passportNumNS-PER Passport Numbers Namespace for PERU Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.608 passportNumNS-PHL Passport Numbers Namespace for PHILIPPINES Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.612 passportNumNS-PCN Passport Numbers Namespace for PITCAIRN Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.616 passportNumNS-POL Passport Numbers Namespace for POLAND Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.620 passportNumNS-PRT Passport Numbers Namespace for PORTUGAL Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.630 passportNumNS-PRI Passport Numbers Namespace for PUERTO RICO Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.634 passportNumNS-QAT Passport Numbers Namespace for QATAR Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.638 passportNumNS-REU Passport Numbers Namespace for REUNION Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.642 passportNumNS-ROU Passport Numbers Namespace for ROMANIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.643 passportNumNS-RUS Passport Numbers Namespace for RUSSIAN FEDERATION Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.646 passportNumNS-RWA Passport Numbers Namespace for RWANDA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.652 passportNumNS-BLM Passport Numbers Namespace for SAINT BARTHELEMY Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.654 passportNumNS-SHN Passport Numbers Namespace for SAINT HELENA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.659 passportNumNS-KNA Passport Numbers Namespace for SAINT KITTS AND NEVIS Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.662 passportNumNS-LCA Passport Numbers Namespace for SAINT LUCIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.663 passportNumNS-MAF Passport Numbers Namespace for SAINT MARTIN (FRENCH PART) Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.666 passportNumNS-SPM Passport Numbers Namespace for SAINT PIERRE AND MIQUELON Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.670 passportNumNS-VCT Passport Numbers Namespace for SAINT VINCENT AND THE GRENADINES Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.882 passportNumNS-WSM Passport Numbers Namespace for SAMOA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.674 passportNumNS-SMR Passport Numbers Namespace for SAN MARINO Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.678 passportNumNS-STP Passport Numbers Namespace for SAO TOME AND PRINCIPE Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.682 passportNumNS-SAU Passport Numbers Namespace for SAUDI ARABIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.686 passportNumNS-SEN Passport Numbers Namespace for SENEGAL Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.688 passportNumNS-SRB Passport Numbers Namespace for SERBIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.690 passportNumNS-SYC Passport Numbers Namespace for SEYCHELLES Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.694 passportNumNS-SLE Passport Numbers Namespace for SIERRA LEONE Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.702 passportNumNS-SGP Passport Numbers Namespace for SINGAPORE Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.703 passportNumNS-SVK Passport Numbers Namespace for SLOVAKIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.705 passportNumNS-SVN Passport Numbers Namespace for SLOVENIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.90 passportNumNS-SLB Passport Numbers Namespace for SOLOMON ISLANDS Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.706 passportNumNS-SOM Passport Numbers Namespace for SOMALIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.710 passportNumNS-ZAF Passport Numbers Namespace for SOUTH AFRICA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.239 passportNumNS-SGS Passport Numbers Namespace for SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.724 passportNumNS-ESP Passport Numbers Namespace for SPAIN Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.144 passportNumNS-LKA Passport Numbers Namespace for SRI LANKA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.736 passportNumNS-SDN Passport Numbers Namespace for SUDAN Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.740 passportNumNS-SUR Passport Numbers Namespace for SURINAME Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.744 passportNumNS-SJM Passport Numbers Namespace for SVALBARD AND JAN MAYEN Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.748 passportNumNS-SWZ Passport Numbers Namespace for SWAZILAND Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.752 passportNumNS-SWE Passport Numbers Namespace for SWEDEN Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.756 passportNumNS-CHE Passport Numbers Namespace for SWITZERLAND Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.760 passportNumNS-SYR Passport Numbers Namespace for SYRIAN ARAB REPUBLIC Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.158 passportNumNS-TWN Passport Numbers Namespace for TAIWAN, PROVINCE OF CHINA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.762 passportNumNS-TJK Passport Numbers Namespace for TAJIKISTAN Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.834 passportNumNS-TZA Passport Numbers Namespace for TANZANIA, UNITED REPUBLIC OF Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.764 passportNumNS-THA Passport Numbers Namespace for THAILAND Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.626 passportNumNS-TLS Passport Numbers Namespace for TIMOR-LESTE Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.768 passportNumNS-TGO Passport Numbers Namespace for TOGO Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.772 passportNumNS-TKL Passport Numbers Namespace for TOKELAU Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.776 passportNumNS-TON Passport Numbers Namespace for TONGA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.780 passportNumNS-TTO Passport Numbers Namespace for TRINIDAD AND TOBAGO Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.788 passportNumNS-TUN Passport Numbers Namespace for TUNISIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.792 passportNumNS-TUR Passport Numbers Namespace for TURKEY Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.795 passportNumNS-TKM Passport Numbers Namespace for TURKMENISTAN Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.796 passportNumNS-TCA Passport Numbers Namespace for TURKS AND CAICOS ISLANDS Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.798 passportNumNS-TUV Passport Numbers Namespace for TUVALU Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.800 passportNumNS-UGA Passport Numbers Namespace for UGANDA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.804 passportNumNS-UKR Passport Numbers Namespace for UKRAINE Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.784 passportNumNS-ARE Passport Numbers Namespace for UNITED ARAB EMIRATES Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.826 passportNumNS-GBR Passport Numbers Namespace for UNITED KINGDOM Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.840 passportNumNS-USA Passport Numbers Namespace for UNITED STATES Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.581 passportNumNS-UMI Passport Numbers Namespace for UNITED STATES MINOR OUTLYING ISLANDS Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.858 passportNumNS-URY Passport Numbers Namespace for URUGUAY Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.860 passportNumNS-UZB Passport Numbers Namespace for UZBEKISTAN Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.548 passportNumNS-VUT Passport Numbers Namespace for VANUATU Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.862 passportNumNS-VEN Passport Numbers Namespace for VENEZUELA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.704 passportNumNS-VNM Passport Numbers Namespace for VIET NAM Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.92 passportNumNS-VGB Passport Numbers Namespace for VIRGIN ISLANDS (BRITISH) Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.850 passportNumNS-VIR Passport Numbers Namespace for VIRGIN ISLANDS (U.S.) Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.876 passportNumNS-WLF Passport Numbers Namespace for WALLIS AND FUTUNA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.732 passportNumNS-ESH Passport Numbers Namespace for WESTERN SAHARA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.887 passportNumNS-YEM Passport Numbers Namespace for YEMEN Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.891 passportNumNS-YUG Passport Numbers Namespace for YUGOSLAVIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.894 passportNumNS-ZMB Passport Numbers Namespace for ZAMBIA Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.4.330.716 passportNumNS-ZWE Passport Numbers Namespace for ZIMBABWE Ted Klein masked Ted Klein 631-924-6922 masked Cochair, HL7 Vocab Health Level Seven 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 4 Complete 2008/12/11 12:00:00 2009/12/11 12:00:00 2008/12/11 08:30:00 UV 2.16.840.1.113883.5.1118 TelecommunicationCapabilities Telecommunication Capabilities Russell Hamm masked Grahame Grieve +61411867065 masked INT 5 Complete 2008/12/15 12:00:00 2008/12/15 12:00:00 2008/12/15 12:00:00 UV 2.16.840.1.113883.5.1119 addressUse Address Use Ted Klein masked Lloyd McKenzie Lloyd McKenzie 780-993-9501 masked Chair, MnM Health Level Seven, Inc. 3300 Washtenaw Avenue, Suite 227, Ann Arbor, MI 48104 USA 734-677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 INT 5 Complete 2008/12/15 12:00:00 2008/12/15 12:00:00 2008/12/15 12:00:00 UV 2.16.840.1.113883.6.278 epsg-crs European Petroleum Survey Group Geodetic Parameter Dataset Coordinate Reference System Ted Klein masked Lloyd McKenzie Jack Verouden Shell International E&P BV, Kesslerpark 1, 2288 GS Rijswijk (ZH), The Netherlands masked Chair, OGP Surveying and Positioning Committee International Association of Oil & Gas Producers 209-215 Blackfriars Road, London SE1 8NL, United Kingdom +44 (0)20 7633 0272 http://www.epsg.org/Geodetic.html Prof Soc Ext 6 Complete 2008/12/16 12:00:00 2008/12/16 12:00:00 2008/12/16 12:00:00 UV 2.16.840.1.113883.6.279 epsg-ca European Petroleum Survey Group Geodetic Parameter Dataset Coordinate Axis Ted Klein masked Lloyd McKenzie Jack Verouden Shell International E&P BV, Kesslerpark 1, 2288 GS Rijswijk (ZH), The Netherlands masked Chair, OGP Surveying and Positioning Committee International Association of Oil & Gas Producers 209-215 Blackfriars Road, London SE1 8NL, United Kingdom +44 (0)20 7633 0272 http://www.epsg.org/Geodetic.html Prof Soc Ext 6 Complete 2008/12/16 12:00:00 2008/12/16 12:00:00 2008/12/16 12:00:00 UV 2.16.840.1.113883.5.1120 entityNameUseR2 EntityNameUseR2 Russell Hamm masked Grahame Grieve +61411867065 masked HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO Int 5 Complete 2008/12/16 12:00:00 2016/09/22 12:00:00 2016/09/22 01:44:08 UV 2.16.840.1.113883.5.1122 entityNamePartQualifierR2 EntityNamePartQualifierR2 Russell Hamm masked Grahame Grieve +61411867065 masked HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO Int 5 Complete 2008/12/16 12:00:00 2016/09/22 12:00:00 2016/09/22 01:51:32 UV 2.16.840.1.113883.4.331 testIdentifierOID testIdentifierOID Bob Dolin masked Cecil Lynch 6500 Countrywoods Lane 916-412-5504 masked Cecil Lynch HL7 Test 7575959434 hl7@hl7.org http://www.hl7.org HL7 body Int 4 Rejected 2008/12/18 12:00:00 2010/01/29 12:00:00 2010/01/29 01:02:35 UV 2.16.840.1.113883.13.33 mama mhcd smsd masked lyfg.l 5648654 masked INT 13 Rejected 2008/12/22 12:00:00 2008/12/22 12:00:00 UV 2.16.840.1.113883.3.226 cloudMedNS MEDENT Larry Aultman masked Larry Aultman 2355 Wayside Farm Rd, Tallahassee, FL 32333 850-216-1204 masked Chief Soffware Architect CloudMed 2355 Wayside Farm Rd, Tallahassee, FL 32333 850-216-1204 laultman@cloudmed.net http://www.cloudmed.net Vendor Int 3 Complete 2008/12/28 12:00:00 2015/06/29 12:00:00 2015/06/29 03:37:46 UV 2.16.840.1.113883.3.227 medent MEDENT Software System Amanda Clifford masked Amanda Clifford 15 Hulbert Street, Auburn, NY 13021 315-255-1751 masked Special Project Development Community Computer Service, Inc.,Community Computer Service, Inc. 15 Hulbert Street, Auburn, NY 13021 315-255-1751 tinat@medent.com http://www.medent.com INT 3 Complete 2009/01/06 12:00:00 2009/03/17 09:13:50 UV 2.16.840.1.113883.3.228 can-NSEHR Nova Scotia Canada Electronic Health Record Marc LeBlanc masked Rod Thurber Rod Thurber Suite 900, 5161 George St., Haifax, NS B3J 1M7 (902) 470-7616 masked Manager, Technical Services Nova Scotia Department of Health Suite 900, 5161 George St., Haifax, NS B3J 1M7 (902) 470-7616 rod.thurber@nshealth.ca http://www.nshealth.ca Govt body 2.16.840.1.113883.3.331 Int 3 Complete 2009/01/07 12:00:00 2010/11/18 12:00:00 2010/11/19 01:18:57 UV 2.16.840.1.113883.4.332 ca-nsCPSRN Nova Scotia Canada College of Physicians and Surgeons Registration Number Marc LeBlanc masked Rod Thurber Rod Thurber 1690 Hollis Street PO Box 488 Halifax Nova Scotia B3J 2R8 Canada (902) 470-7616 masked Manager, Technical Services Nova Scotia Department of Health Joseph Howe Building 1690 Hollis Street PO Box 488 Halifax Nova Scotia B3J 2R8 Canada 1-902-424-5818 DoHweb@gov.ns.ca http://www.gov.ns.ca/health/ Govt body 2.16.840.1.113883.4.331 Int 4 Complete 2009/01/07 12:00:00 2010/01/29 12:00:00 2010/02/04 06:08:10 UV 2.16.840.1.113883.4.333 ca-nsCRNLN College of Registered Nurses of Nova Scotia Canada Registration Number Marc LeBlanc masked Rod Thurber Rod Thurber 1690 Hollis Street PO Box 488 Halifax Nova Scotia B3J 2R8 Canada (902) 470-7616 masked Manager, Technical Services Nova Scotia Department of Health Joseph Howe Building 1690 Hollis Street PO Box 488 Halifax Nova Scotia B3J 2R8 Canada 1-902-424-5818 DoHweb@gov.ns.ca http://www.gov.ns.ca/health/ Govt body 2.16.840.1.113883.4.333 Int 4 Complete 2009/01/07 12:00:00 2010/01/29 12:00:00 2010/02/04 06:10:40 UV 2.16.840.1.113883.4.334 ca-nsPharmRN Nova Scotia Pharmacy Regulator Registration Number Marc LeBlanc masked Rod Thurber Chuntang Liu 15 Western Parkway, 6th Floor Bedford, Nova Scotia Canada B4B 0V1 902-402-8618 masked Senior System Analyst Nova Scotia Department of Health Joseph Howe Building 1690 Hollis Street PO Box 488 Halifax Nova Scotia B3J 2R8 Canada 1-902-424-5818 DoHweb@gov.ns.ca http://www.gov.ns.ca/health/ Govt body 2.16.840.1.113883.4.334 Int 4 Complete 2009/01/07 12:00:00 2010/01/29 12:00:00 2025/07/02 11:24:54 UV 2.16.840.1.113883.3.229 iatricSystems OID Root for Iatric Systems, Inc. Bonnie McAllister masked Charlie Baxter Bonnie McAllister 27 Great Pond Drive, Boxford MA 01921 978-805-4196 masked Project Manager Charlie Baxter 27 Great Pond Drive, Boxford MA 01921 978-805-4177 Charlie.Baxter@Iatric.com http://www.iatric.com/index.asp Vendor Int 3 Complete 2009/01/14 12:00:00 2009/09/15 12:00:00 2011/05/27 02:56:10 UV 2.16.840.1.113883.3.230 STHSOID Morris Tidwell masked Morris Tidwell 4515 Harding Rd. Nashville, TN 37205 615 222-5535 masked Application Integration Team Leader 4220 Harding Rd. Nashville, TN 37205 615 222-5535 morris.tidwell@baptisthospital.com http://www.stthomas.org INT 3 Complete 2009/01/16 12:00:00 2009/09/11 12:00:00 2009/09/11 03:18:06 UV 2.16.840.1.113883.3.231 Quadramed Corporation Jonathan DeVries masked Jonathan DeVries 12110 Sunset hills rd #600 703-709-2413 masked Software Architect Quadramed 12110 Sunset Hills rd #600 703-709-2400 contact@quadramed.com http://www.quadramed.com Vendor INT 3 Complete 2009/01/22 12:00:00 2009/03/08 12:00:00 2009/01/22 12:00:00 UV 2.16.840.1.113883.3.232 mmm-tcs 3M Terminology Consulting Services Shaun Shakib masked Senthil Nachimuthu Shaun Shakib 575 West Murray Blvd, Murray UT 84123 801-265-4432 masked 3M Health Information Systems, Inc.,3M Health Information Systems, Inc.,3M Health Information System 575 West Murray Blvd, Murray UT 84123 800-367-2447 hi-hdd@mmm.com http://www.3mtcs.com Vendor INT 3 Complete 2009/01/26 12:00:00 2009/09/15 12:00:00 2009/09/21 02:29:55 UV 2.16.840.1.113883.11.20.2.1 QRDA BMIPhysicalEncounter Bob Dolin masked Bob Dolin 949 466 4035 masked SDWG na na na HL7 body Ext 13 Complete 2.16.840.1.113883.11.20.2.1 2009/01/26 12:00:00 2009/03/08 12:00:00 2009/01/26 12:00:00 UV 2.16.840.1.113883.11.20 SDWGExternalValueSetRootOID Bob Dolin masked Cecil Lynch Bob Dolin 949 466 4035 masked HL7 2.16.840.1.113883 Int 13 Complete 2009/01/27 12:00:00 2009/03/08 12:00:00 2009/01/27 12:00:00 UV 2.16.840.1.113883.11.20.1 OpNoteValueSetRoot Bob Dolin masked Cecil Lynch Bob Dolin 949 466 4035 masked HL7 2.16.840.1.113883 Int 13 Complete 2009/01/27 12:00:00 2009/03/08 12:00:00 2009/01/27 12:00:00 UV 2.16.840.1.113883.11.20.1.1 OpNoteDocumentTypeValueSet Bob Dolin masked Cecil Lynch Bob Dolin 949 466 4035 masked HL7 2.16.840.1.113883 Int 13 Complete 2009/01/27 12:00:00 2009/03/08 12:00:00 2009/01/27 12:00:00 UV 2.16.840.1.113883.11.20.2 QRDAValueSetRoot Bob Dolin masked Cecil Lynch Bob Dolin 949 466 4035 masked HL7 2.16.840.1.113883 Int 13 Complete 2009/01/27 12:00:00 2009/03/08 12:00:00 2009/01/27 12:00:00 UV 2.16.840.1.113883.10.20.12 QRDACatITemplateRootOID Bob Dolin masked Cecil Lynch Bob Dolin 949 466 4035 masked HL7 2.16.840.1.113883 Int 10 Complete 2009/01/27 12:00:00 2009/03/08 12:00:00 2009/01/27 12:00:00 UV 2.16.840.1.113883.10.20.12.1 NeonatalAdmissionTemperature Bob Dolin masked Cecil Lynch Bob Dolin 949 466 4035 masked HL7 2.16.840.1.113883 Int 10 Complete 2009/01/27 12:00:00 2009/03/08 12:00:00 2009/01/27 12:00:00 UV 2.16.840.1.113883.10.20.12.2 PediatricBMIPercentile Bob Dolin masked Cecil Lynch Bob Dolin 949 466 4035 masked HL7 2.16.840.1.113883 Int 10 Complete 2009/01/27 12:00:00 2009/03/08 12:00:00 2009/01/27 12:00:00 UV 2.16.840.1.113883.10.20.13 QRDACatIITemplateRootOID Bob Dolin masked Cecil Lynch Bob Dolin 949 466 4035 masked HL7 2.16.840.1.113883 Int 10 Complete 2009/01/27 12:00:00 2009/03/08 12:00:00 2009/01/27 12:00:00 UV 2.16.840.1.113883.10.20.14 QRDACatIIITemplateRootOID Bob Dolin masked Cecil Lynch Bob Dolin 949 466 4035 masked HL7 2.16.840.1.113883 Int 10 Complete 2009/01/27 12:00:00 2009/03/08 12:00:00 2009/01/27 12:00:00 UV 2.16.840.1.113883.13.34 cmsnhin Centers for Medicare and Medicaid Service Nationwide Health Information Network Gateway Pilot Projects Erick Royle masked Erick Royle 7500 Security Blvd Baltimore, MD 21244 4107860076 masked IT Specialist Erick Royle 7500 Security Blvd Baltimore, MD 21244 4107860076 erick.royle@cms.hhs.gov http://www.cms.hhs.gov/ Govt body Int 3 Complete 2009/01/28 12:00:00 2010/04/07 12:00:00 2010/04/06 08:19:48 UV 2.16.840.1.113883.11.20.3 haiValueSetRoot CDA R2 HAI Implementation Guide Value Set Root Bob Dolin masked Bob Dolin 949 466 4035 masked SDWG na na missingdata@gmail.com http://www.hl7.org HL7 body Ext 13 Complete 2.16.840.1.113883.11.20.3 2009/01/28 12:00:00 2009/09/15 12:00:00 2009/09/15 05:52:22 UV 2.16.840.1.113883.13.35 Spectrum Laboratory Network John Boyles masked John Boyles 4380 Federal Drive, Suite 100 336-315-6262 masked Programmer/Analyst Spectrum Laboratory Network 4380 Federal Drive, Suite 100 (888) 664-7601 http://www.spectrumlab.org Vendor INT 13 Pending 2009/01/30 12:00:00 2009/01/30 12:00:00 UV 2.16.840.1.113883.4.335 digitalMedicalLinkageSystem zhao yunda masked zhaoyunda Xi'an, China 86-013720600516 masked DMLS Xi'an, China 86-013720600516 zhaoyunda2003@hotmail.com http://www.CAH.cc/ Ext 3 Complete 2.16.840.1.113883.4.335 2009/01/31 12:00:00 2009/03/08 12:00:00 2009/01/31 01:45:58 UV 2.16.840.1.113883.10.20.15 cda-PHCR-templateRoot CDA Public Health Case Report template root Bob Dolin masked Bob Dolin 949 466 4035 masked SDWG na na missingdata@gmail.com http://www.hl7.org HL7 body Ext 10 Complete 2.16.840.1.113883.10.20.15 2009/02/02 12:00:00 2009/09/15 12:00:00 2009/09/15 05:55:25 UV 2.16.840.1.113883.3.234 hvsi Healthvision Solutions, Inc. Maria Vivette Reolada masked Maria Vivette Reolada 469-420-3753 masked Healthvision Solutions, Inc. vreolada@healthvision.com Int 3 Complete 2009/02/08 12:00:00 2014/12/15 12:00:00 2014/12/15 07:01:53 UV 2.16.840.1.113883.3.235 CLHV George Getty masked George Getty 339-203-2146 masked Solutions Architect INT 3 Pending 2009/02/10 12:00:00 2009/02/10 12:00:00 UV 2.16.840.1.113883.3.236 nMICS NMICS Geremy Havanec masked Geremy Havanec 34555 Chagrin Blvd. Suite 200 Cleveland Ohio 440-319-3940 masked CIO Medical Imaging Co. 34555 Chagrin Blvd. Suite 200 Cleveland Ohio 440-893-9949 ghavanec@nmics.com http://www.neo-pet.com HL7 body Int 3 Complete 2009/02/13 12:00:00 2010/11/18 12:00:00 2010/11/19 01:22:56 UV 2.16.840.1.113883.3.237 waDOHROOT Washington State Department of Health Root Rita Altamore masked Phill Lowe Rita Altamore PO Box 47811, Olympia, WA 98504 360-951-4925 masked Epidemiologist Washington State Department of Health PO Box 47811, Olympia, WA 98504 360-236-4458 Informatics.csc@doh.wa.gov http://www.doh.wa.gov Govt body (requesting) Int 3 Complete 2009/02/13 12:00:00 2009/09/15 12:00:00 2009/09/15 06:07:44 UV 2.16.840.1.113883.3.238 nDMS_NHIE_DEV1 NDMS_NHIE_DEV1 Mark Yuen masked Peter Yang 409 3rd St SW, Washington, DC 20024 2028216069 masked System Administrator Peter Yang 409 3rd St SW, Washington, DC 20024 2028216069 peter.yang@hhs.gov http://ndms.hhs.gov Govt body Int 3 Complete 2009/02/17 12:00:00 2010/11/19 12:00:00 2010/11/19 01:30:57 UV 2.16.840.1.113883.3.239 eHealth-Ontario eHealth Ontario (Canada) Root OID Igor Sirkovich masked Igor Sirkovich 777 Bay Street, 2nd Floor, Toronto, Ontario, Canada M5G 2C8 1 (416) 500 - 6879 masked Senior eHealth Standards and Architecture Consultant eHealth Ontario, Ontario, Canada P.O. Box 148, 777 Bay Street, Suite 701, Toronto, Ontario, M5G 2C8 1 (416) 586 - 6500 info@ehealthontario.on.ca http://www.ehealthontario.on.ca/ Govt body 2.16.840.1.113883.3.239 Int 3 Complete 2009/02/17 12:00:00 2010/11/19 12:00:00 2014/09/02 01:44:53 UV 2.16.840.1.113883.3.240 healthInsight HealthInsight Don Pettini masked Don Pettini 25 First Street, Suite 414, Cambridge, MA 02141 617.475.3880 masked CTO Health Insight Technologies 25 First Street, Suite 414, Cambridge, MA 02141 617.475.3800 don.pettini@nsight-health.com Vendor Int 3 Complete 2009/02/19 12:00:00 2010/11/19 12:00:00 2010/11/22 07:29:00 UV 2.16.840.1.113883.3.241 aRCHIE Adirondack Health Information Exchange (aka ARCHIE) Dirk Rittenhouse masked Dirk Rittenhouse 518-248-6247 masked Adirondack Health Information Exchange 2 Broad St Glens Falls NY 518-743-1993 dritt@nycap.rr.com Provider Int 3 Complete 2009/02/19 12:00:00 2012/05/31 12:00:00 2012/06/01 01:29:50 UV 2.16.840.1.113883.3.245 efrmedcom EFR MedCom NHIN Connect NHIN Gateway William Smith masked William Smith 2600 Virginia Ave NW Ste 709 202-333-3506 masked CEO MedRed LLC,MedRed LLC 2600 Virginia Ave NW, Suite 709 202-333-3506 drsmith@medred.com http://www.medred.com Vendor INT 3 Complete 2009/03/01 12:00:00 2009/09/15 12:00:00 2009/03/23 02:11:55 UV 2.16.840.1.113883.3.246 intellicure Intellicure EHR David Walker masked David Walker 2700 Technology Forest Blvd Suite 250 The Woodlands, Texas 77381 US 800-603-7896 masked President and CEO Intellicure, Inc. 2700 Technology Forest Blvd Suite 250 The Woodlands, Texas 77381 US 800-603-7896 helpdesk@intellicure.com http://www.intellicure.com Vendor Int 3 Complete 2009/03/02 12:00:00 2011/12/19 12:00:00 2011/12/19 03:46:32 UV 2.16.840.1.113883.3.247 iMO Intelligent Medical Objects Bob Dolin masked Ann Phillips 9600 West Bryn Mawr Avenue Suite 100 Rosemont, IL 60018 847 613 6655 masked Manager Government and Standards IMO 9600 West Bryn Mawr Avenue Suite 100 Rosemont, IL 60018 847-613-6655 support@imohealth.com https://www.imohealth.com/ Vendor Int 3 Complete 2009/03/02 12:00:00 2010/11/19 12:00:00 2021/01/15 02:14:59 UV 2.16.840.1.113883.3.248 mirth Mirth Integration Engine Gary Teichrow masked Jon Teichrow Gary Teichrow 18831 Von Karman Ave, Irvine CA 949-255-5053 masked VP, Chief Architect Mirth Corporation 18831 Von Karman Ave, Suite 300, Irvine CA 92612 949-255-5053 garyt@webreachinc.com http://www.mirthcorp.com/ Vendor 2.16.840.1.113883.3.400 INT 3 Complete 2009/03/04 12:00:00 2009/09/11 12:00:00 2009/03/04 12:00:00 UV 2.16.840.1.113883.4.336 CMSCertificationNumber Bob Dolin masked Bob Dolin masked SDWG NA NA NA HL7 body INT 4 Complete 2009/03/06 12:00:00 2009/03/08 12:00:00 2009/03/06 12:00:00 UV 2.16.840.1.113883.4.337 mdsStateProviderNumber CMS MDS State Provider Number Bob Dolin masked Bob Dolin masked SDWG NA NA HL7 body Int 4 Complete 2009/03/06 12:00:00 2010/01/29 12:00:00 2010/01/29 01:10:43 UV 2.16.840.1.113883.4.338 MDSMedicareNumber Bob Dolin masked Bob Dolin 949 466 4035 masked SDWG NA NA HL7 body INT 4 Complete 2009/03/06 12:00:00 2009/03/08 12:00:00 2009/03/06 12:00:00 UV 2.16.840.1.113883.4.339 MDSRailroadInsNumber Bob Dolin masked Bob 949 466 4035 masked SDWG NA NA NA HL7 body INT 4 Complete 2009/03/06 12:00:00 2009/03/08 12:00:00 2009/03/06 12:00:00 UV 2.16.840.1.113883.3.249 cms United States Centers for Medicare & Medicaid Services (CMS) Bob Dolin masked Bob Dolin 949 466 4035 masked United States Centers for Medicare & Medicaid Services (CMS) cbennett@ifmc.org http://www.cms.hhs.gov/ Govt body Pxy 3 Complete 2009/03/06 12:00:00 2015/06/26 12:00:00 2015/06/26 05:51:09 UV 2.16.840.1.113883.4.340 cmsLocalCodes Centers for Medicare & Medicaid Services (CMS) Local Codes Bob Dolin masked Bob Dolin 949 466 4035 masked SDWG NA NA HL7 body Int 6 Complete 2009/03/06 12:00:00 2010/01/29 12:00:00 2010/01/29 01:13:04 UV 2.16.840.1.113883.3.24.6.1 fda-FFRN Food and Drug Administration Food Facility Registration Numbers William Hess masked Ted Klein CAPT William A. Hess HF-18, Pkln Bldg Rm 12-81, 5600 Fishers Lane, Rockville, MD 20857 301-827-7865 masked FDA Data Standards Council HF-18, Pkln Bldg Rm 12-81, 5600 Fishers Lane, Rockville, MD 20857 301-827-7865 William.hess@fda.hhs.gov http://www.fda.gov/ Govt body INT 2.16.840.1.113883.4.344 6 Retired 2009/03/08 12:00:00 2009/09/11 12:00:00 2009/03/08 06:08:00 UV 2.16.840.1.113883.3.24.6.2 fda-FCE Food and Drug Administration Food Canning Establishments William Hess masked Ted Klein CAPT William A. Hess HF-18, Pkln Bldg Rm 12-81, 5600 Fishers Lane, Rockville, MD 20857 301-827-7865 masked FDA Data Standards Council HF-18, Pkln Bldg Rm 12-81, 5600 Fishers Lane, Rockville, MD 20857 301-827-7865 William.hess@fda.hhs.gov http://www.fda.gov/ Govt body INT 2.16.840.1.113883.4.345 6 Retired 2009/03/08 12:00:00 2009/09/11 12:00:00 2009/03/08 06:08:00 UV 2.16.840.1.113883.3.250 costaisa Costaisa jesus villagrasa masked jesus villagrasa pau alcover 33 - barcelona- spain 34932536100 masked project manager jesus villagrasa pau alcover 33 - barcelona - spain 34 932536100 jvillagrasa@costaisa.com Vendor Int 3 Complete 2009/03/10 12:00:00 2010/11/19 12:00:00 2010/11/22 07:25:32 UV 2.16.840.1.113883.3.251 iSoft iSoft Edoeard Kroetkov masked Edoeard Kroetkov +31636311825 masked iSoft edoeard.Kroetkov@iSoft.nl Int 3 Complete 2009/03/11 12:00:00 2014/12/15 12:00:00 2014/12/15 07:09:04 UV 2.16.840.1.113883.3.180 benLevyExperimentation Ben Levy Experimentation Benjamin Levy masked Benjamin Levy 4581 Settles Bridge Road; Suwanee, GA 30024 770-853-4852 masked Consultant 4581 Settles Bridge Road; Suwanee, GA 30024 770-853-4852 ben.levy@corepointhealth.com Vendor INT 3 Complete 2008/06/02 12:00:00 2009/09/09 12:00:00 2009/03/11 05:09:04 UV 2.16.840.1.113883.3.252 sunMicrosystemsHealthcare Sun Microsystems Healthcare Sean Keane masked Sean Keane Sun Microsystems 703 753 2802 masked Solution Architect Sean Keane Sun Microsystems 703 753 2802 sean.keane@sun.com http://www.sun.com Vendor Int 3 Complete 2009/03/12 12:00:00 2009/10/22 12:00:00 2009/10/22 10:37:23 UV 2.16.840.1.113883.13.36 bIHCP-CNES Brazilian Identifier for HC Providers - CNES Claudio Giulliano Alves da Costa masked Marivan Santiago Abrahao Beatriz de Faria Leao Av. MAcuco 550 apto 72 Sao Paulo SP Brazil +55-11-81141617 masked HL7 Brazil Rua Afonso Braz 644 sala 14,04511-001, S&#227;o Paulo, SP, Brasil 55-11-3045-3045 chair@hl7brasil.org.br http://www.hl7brazil.org.br HL7 body Int 13 Complete 2009/03/18 12:00:00 2010/11/19 12:00:00 2010/11/22 07:34:37 UV 2.16.840.1.113883.13.37 bNUI-CNS-SIGASAUDE Brazilian National Unique Identifier - CNS-SIGASAUDE Claudio Giulliano Alves da Costa masked Marivan Santiago Abrahao Beatriz de Faria Leao Rua Miguel Tostes 230 Porto Alegre RS Brazil 555181533043 masked HL7 Brazil Rua Afonso Braz 644 sala 14,04511-001, S&#227;o Paulo, SP, Brasil +55-11-3045-3045 chair@hl7brasil.org.br http://www.hl7brazil.org.br HL7 body Int 13 Complete 2009/03/18 12:00:00 2010/11/19 12:00:00 2014/03/02 11:34:00 UV 2.16.840.1.113883.4.342 vich-AnimalBreed VICH Animal Breed Lise Stevens masked Glenn Peterson Glenn Peterson 7519 Standish Place Rockville, MD 20855 240-453-6876 masked MATHEMATICAL STATISTICIAN Veterinary International Conference on Harmonisation (VICH) c/o IFAH, International Federation for Animal Health Rue Defacqz 1-1000 Brussels, Belgium +32-2-5437572 sec@vichsec.org http://www.vichsec.org/ SDO Int 6 Complete 2009/03/18 12:00:00 2010/01/29 12:00:00 2010/01/29 01:14:26 UV 2.16.840.1.113883.4.343 primp MediRec Inc. OID Root Joel Cajigas masked Nadia Olarte Joel Cajigas Balboa Industrial Park Bldg 177 Mayaguez, PR 00680 (787) 805-0505 masked Operations Director MediRec Inc. Balboa Industrial Park Bldg 177 Mayaguez, PR 00680 (787) 805-0505 joel@medirecpr.com Vendor Int 3 Complete 2009/03/18 12:00:00 2010/01/29 12:00:00 2010/01/29 01:56:22 UV 2.16.840.1.113883.3.253 providenceTech Providence Technologies ANIL THOMAS masked ANIL THOMAS 908-879-5480 masked Administrator Anil Thomas anil.thomas@providenceusa.com Int 3 Complete 2009/03/18 12:00:00 2012/05/31 12:00:00 2012/06/01 12:41:40 UV 2.16.840.1.113883.3.254 dHIMSTEST1 DHIMSTEST1 Guy Feltenstein masked Guy Feltenstein 703-998-6900 masked Systems Engineer DHIMS, Department of Defense 5109 Leesburg Pike, Suite 702. Falls Church, VA 22041 703-998-6900 Guy.Feltenstein.CTR@tma.osd.mil http://citpo.ha.osd.mil/ Govt body Int 3 Complete 2009/03/19 12:00:00 2010/11/19 12:00:00 2010/11/22 07:41:52 UV 2.16.840.1.113883.2.21.10 brazilianProcedureCodesSUS Brazilian Procedure Codes SUS Beatriz Leao masked Marivan Santiago Abrahao Beatriz de Faria Leao Av. MAcuco 550 apto 72 Sao Paulo SP Brazil +55-11-81141617 masked HL7 Brazil Rua Afonso Braz 644 sala 14,04511-001, S&#227;o Paulo, SP, Brasil +55-11-3045-3045 chair@hl7brasil.org.br HL7 body 2.16.840.1.113883.2.21 Ext 6 Complete 2.16.840.1.113883.2.21.10 2009/03/20 12:00:00 2009/09/15 12:00:00 2009/03/20 12:00:00 UV 2.16.840.1.113883.3.255 fogelberg Fogelberg Root OID Jonas Fogelberg masked Jonas Fogelberg +4613235200 masked Jonas Fogelberg doc.fogel@gmail.com Provider Int 3 Complete 2009/03/25 12:00:00 2014/12/15 12:00:00 2014/12/15 07:13:29 UV 2.16.840.1.113883.4.345 fda-FCE Food and Drug Administration Food Canning Establishments William Hess masked Ted Klein CAPT William A. Hess HF-18, 5600 Fishers Lane, Rockville, MD 20857 301-827-7865 masked Lexicographer/Center Consultant U.S. Food and Drug Administration HF-18, 5600 Fishers Lane, Rockville, MD 20857 301-827-7865 william.hess@fda.hhs.gov http://www.fda.gov/ Govt body 2.16.840.1.113883.3.24 INT 4 Complete 2009/03/31 12:00:00 2009/09/11 12:00:00 2009/03/31 12:00:00 UV 2.16.840.1.113883.3.256 TTESTER1 Tony Galluscio masked Tony Galluscio 321-298-4296 masked CONNECT Chantilly, VA 321-298-4296 agallusc@harris.com http://www.connectopensource.org Govt body INT 3 Pending 2009/03/31 12:00:00 2009/03/31 12:00:00 UV 2.16.840.1.113883.3.257 HarrisTestServer Scott Russell masked Scott Russell 3219846064 masked Software Engineer Scott Russell,Scott Russell 3219846064 srusse07@harris.com Govt body Int 3 Rejected 2009/04/02 12:00:00 2012/02/09 08:50:36 UV 2.16.840.1.113883.4.346 Vasya Pupkin Vasya Pupkin masked Vasya Moscow +7234556677 masked Prof Soc Int 4 Rejected 2009/04/06 12:00:00 2010/11/05 12:00:00 2010/11/05 11:03:56 UV 2.16.840.1.113883.3.258 SSSMedicare Rudra Nevatia masked Rudra Nevatia 9820758513 masked INT 3 Pending 2009/04/07 12:00:00 2009/04/07 12:00:00 UV 2.16.840.1.113883.4.347 canONT-CPSOLN Ontario, Canada CPSO License Number Wendy Huang masked Igor Sirkovich 777 Bay Street, 2nd Floor, Toronto, Ontario, Canada M5G 2C8 1 (416) 500 - 6879 masked Senior eHealth Standards and Architecture Consultant eHealth Ontario, Ontario, Canada P.O. Box 148, 777 Bay Street, Suite 701, Toronto, Ontario, M5G 2C8 1 (416) 586 - 6500 info@ehealthontario.on.ca http://www.ehealthontario.on.ca/ Govt body Int 4 Complete 2009/04/07 12:00:00 2010/11/19 12:00:00 2014/09/02 01:42:19 UV 1.3.6.1.4.1.16517 partners-healthcare Partners HealthCare System Perry Mar masked Perry Mar Clinical Informatics R&D, Information Systems, Partners HealthCare System, 93 Worcester Street, Suite 201, P.O. Box 81905, Wellesley, MA 02481 (781) 416-8526 masked Senior Medical Informatician Partners HealthCare System Prudential Tower, 800 Boylston Street, Suite 1150, Boston, MA 02199-8001 (617) 278-1000 contactus@partners.org http://www.partners.org Provider 1.3.6.1.4.1.16517 Ext 3 Complete 1.3.6.1.4.1.16517 2009/04/07 12:00:00 2009/09/15 12:00:00 2009/04/07 12:00:00 UV 2.16.840.1.113883.2.21.21 bPC Brazilian Pharmacy Council Beatriz Leao masked Marivan Santiago Abrahao Beatriz de Faria Leao Av. MAcuco 550 apto 72 Sao Paulo SP Brazil +55-11-81141617 masked HL7 Brazil Rua Afonso Braz 644 sala 14,04511-001, S&#227;o Paulo, SP, Brasil +55-11-3045-3045 chair@hl7brasil.org.br http://www.hl7brazil.org.br HL7 body 2.16.840.1.113883.2.21 Ext 13 Complete 2.16.840.1.113883.2.21.21 2009/04/07 12:00:00 2010/11/19 12:00:00 2010/11/22 07:49:10 UV 2.16.840.1.113883.3.259 scantron Scantron Corporation Charles Heath masked finney_thomas@scantron.com Gerri Odama 1313 Lone Oak Rd, Eagan, MN 55121 651-683-6399 masked Director, Healthcare Software Design Scantron Corporation 1313 Lone Oak Road, Eagan, MN 55121 714-731-4227 charles_heath@scantron.com http://www.scantron.com/healthcare Vendor Int 3 Complete 2009/04/08 12:00:00 2010/11/19 12:00:00 2010/11/22 07:55:15 UV 2.16.840.1.113883.3.260 infomedtrix infomedtrix.com Doru Mihaescu masked doru mihaescu 4234434696 masked Founder / Principal Infomedtrix LLC PO Box 19, Collegedale, TN 37315 4234434696 doru@infomedtrix.com http://www.infomedtrix.com Vendor Int 3 Complete 2009/04/09 12:00:00 2010/11/19 12:00:00 2013/05/29 07:32:28 UV 2.16.840.1.113883.3.261 uBEROPSHIE1 UBEROPSHIE1 Francis de Wet masked Francis de Wet 8502547270 masked Managing Member Uber Operations (UberOps) 8502547270 frans@uberops.com http://www.uberops.com Govt body Int 3 Complete 2009/04/09 12:00:00 2014/12/15 12:00:00 2014/12/15 07:18:26 UV 2.16.840.1.113883.13.38 USAGATE PRADIP TYAGI masked PRADIP 5714239625 masked INT 13 Pending 2009/04/11 12:00:00 2009/04/11 12:00:00 UV 2.16.840.1.113883.3.262 mIRTHCORPNHINC1 MIRTHCORPNHINC1 Gary Teichrow masked Gary Teichrow 18831 Von Karman, Ave 949-255-5053 masked Chief Architect Gary Teichrow 18831 Von Karman Ave Suite 300 Irvine, CA 92612 949-255-5053 garyt@webreachinc.com http://www.webreachinc.com Vendor 2.16.840.1.113883.3.266 Int 3 Complete 2009/04/13 12:00:00 2010/11/19 12:00:00 2010/11/22 08:10:32 UV 2.16.840.1.113883.3.263 aHRQ Agency for Healthcare Research and Quality (AHRQ) root John Moquin masked Amy.Helwig@ahrq.hhs.gov John Moquin 540 Gaither Road, Suite 2000, Rockville, MD 20850 301-427-1107 masked IT Architecture Manager Agency for Healthcare Research and Quality (AHRQ) 540 Gaither Road, Suite 2000, Rockville, MD 20850 866-403-3697 PSO@ahrq.hhs.gov http://www.ahrq.gov/ Govt body 2.16.840.1.113883 Int 3 Complete 2009/04/13 12:00:00 2010/11/19 12:00:00 2010/11/22 08:14:03 UV 2.16.840.1.113883.13.39 REALMEDNHIE1 Matt Crouch masked Matt Crouch 5 Parkwood Crossing Indianapolis IN 46240 317-814-6861 masked Software Developer INT 13 Pending 2009/04/15 12:00:00 2009/04/15 12:00:00 UV 2.16.840.1.113883.13.40 VEDDRA Lise Stevens masked Glenn Peterson 7915 Standish Place 240-453-6876 masked MATHEMATICAL STATISTICIAN European Medicines Agency 7 Westferry Circus Canary Wharf London UK 44 2074188400 eudravigilance@emea.europa.eu http://eudravigilance.emea.europa.eu/veterinary/contactus.html Govt body Int 13 Rejected 2009/04/15 12:00:00 2010/03/09 12:00:00 2010/03/09 01:42:42 UV 2.16.840.1.113883.13.41 VICH Off-Label Use Lise Stevens masked Glenn Peterson 7915 Standish Place Rockville MD 240-453-6876 masked MATHEMATICAL STATISTICIAN Veterinary Conference on Harmonisation International Federation for Animal HealthRue Defacqz, 1 - 1000 Brussels (Belgium) 32-2-5437572 sec@vichsec.org http://www.vichsec.org/en/moreinfos.htm SDO Int 13 Rejected 2009/04/15 12:00:00 2010/03/09 12:00:00 2010/03/09 01:45:27 UV 2.16.840.1.113883.3.264 ololh-BNY Our Lady of Lourdes Hospital - Binghamton NY Thomas Corino masked Thomas Corino 169 Riverside Drive Binghamton, NY 13905 607.768.5056 masked I.T. Manager Our Lady of Lourdes Hospital 169 Riverside Drive Binghamton, NY 13905 tcorino@lourdes.com Provider Int 3 Complete 2009/04/16 12:00:00 2014/12/15 12:00:00 2014/12/15 07:23:32 UV 2.16.840.1.113883.3.265 aoi Accent on Integration, Inc. Jeff McGeath masked Jeff McGeath 120 Love Bird Lane Murphy, TX 75094 972-775-3501 masked VP Accent on Integration 120 Love Bird Lane Murphy, TX 75094 (972) 422-8609 jeff.mcgeath@accentonintegration.com www.AccentOnIntegration.com Vendor Int 3 Complete 2009/04/16 12:00:00 2010/11/19 12:00:00 2010/11/22 08:36:16 UV 2.16.840.1.113883.3.237.4.5 wADOHWAHVE WADOHWAHVE Rita Altamore masked Phill Lowe Rita Altamore PO Box 47811, Olympia, WA 98504 360-236-4360 masked Epidemiologist Washington State Department of Health PO Box 47811, Olympia, WA 98504 360-236-4458 informatics.csc@doh.wa.gov http://doh.wa.gov Govt body 2.16.840.1.113883.3.237 Ext 4 Complete 2.16.840.1.113883.3.237.4.5 2009/04/16 12:00:00 2010/11/19 12:00:00 2010/11/22 08:38:50 UV 2.16.840.1.113883.5.1123 dataOperation DataOperation Russell Hamm masked Tony Weida 917-992-9728 masked HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO Int 5 Complete 2009/04/17 12:00:00 2016/09/22 12:00:00 2016/09/22 01:57:56 UV 2.16.840.1.113883.3.266 mEDfx MEDfx Colin Barry masked MEDfx 150 Lavan St 401-681-2000 masked Gateway Services MEDfx Corporation 150 Lavan St Warwick, Rhode Island 02888-1059 401-681-2000 cbarry@gbahn.com http://www.medfxcorp.com/ Vendor 2.16.840.1.113883.3.34 Int 3 Complete 2009/04/19 12:00:00 2010/11/19 12:00:00 2010/11/22 08:43:24 UV 2.16.840.1.113883.13.42 Staging CONNECT server of carefx Paul Wang masked Paul Wang 703-574-3589 masked http://carefx.com Govt body INT 13 Pending 2009/04/22 12:00:00 2009/04/22 12:00:00 UV 2.16.840.1.113883.4.348 hsanepa-bcnepa-allone Hospital Service Association of Northeastern Pennsylvania Robert Budd masked Robert Budd 19 North Main Street Wilkes-Barre, PA 18711-0302 +1 570 825 5700 masked AllOne Health 70 North Main Street Wilkes-Barre, PA 18711-0302 +1 877-720-7770 robert.budd@bcnepa.com http://www.allonehealth.com/ Vendor Int 3 Complete 2009/04/22 12:00:00 2010/01/29 12:00:00 2010/03/30 02:42:05 UV 2.16.840.1.113883.3.267 oCI Object Computing Inc. Tim Dalton masked Steve Totten 314-579-0066 x210 masked Object Computing Inc. 12140 Woodcrest Exec. Dr. Suite 250 St. Louis, MO 63141 314-579-0066 totten_s@ociweb.com http://www.ociweb.com/ Vendor Int 3 Complete 2009/04/23 12:00:00 2010/11/22 12:00:00 2010/11/22 08:57:49 UV 2.16.840.1.113883.4.349 vaProdNHIN US Department of Veterans Affairs for NHIN Marie Swall masked Elizabeth Franchi 5000 W. National Ave, Bldg 6 Milwaukee, WI 53295 414-389-4191 x44191 masked Data Quality Coordinator Elizabeth Franchi,Elizabeth Franchi 5000 W. National Ave, Bldg 6 Milwaukee, WI 53295 414-389-4191 x44191 Elizabeth.franchi2@va.gov http://www1.va.gov/vha_oi/ Govt body Int 3 Complete 2009/04/24 12:00:00 2009/09/15 12:00:00 2009/09/15 04:32:54 UV 2.16.840.1.113883.13.43 SEECS_NUST Maqbool Hussain masked Maqbool 00923452656208 masked INT 13 Pending 2009/04/27 12:00:00 2009/04/27 12:00:00 UV 2.16.840.1.113883.3.269 patriot-hie-01 Patriot Technologies NHIN-C Demonstration Server Chuck Sylvester masked Chuck Sylvester 12120 Sunset Hills Rd, Reston, VA 20190 703-344-7245 masked Senior Director Chuck Sylvester 12120 Sunset Hills Rd, Reston, VA 20190 703-344-7245 csylvester@patriottechnologies.net http://www.patriottechnologies.net Govt body Int 3 Complete 2009/05/03 12:00:00 2010/11/22 12:00:00 2010/11/22 09:02:35 UV 2.16.840.1.113883.3.270 reMINE ReMINE Adrian Podea masked Cristian Taslitchi +40-21-243-0590 masked ReMINE cristian.taslitchi@infoworld.ro http://www.remine-project.eu/ Vendor Int 3 Complete 2009/05/04 12:00:00 2012/05/31 12:00:00 2012/06/01 01:36:12 UV 2.16.840.1.113883.3.271 rHNHIE01 RelayHealth NHIE Gateway 01 Ronald Cordell masked Chris Ingersoll (510) 637-7743 masked Chris Ingersoll 6475 Christie Avenue, Ste 500 Emeryville, CA. 94608 (510) 637-7743 chris.ingersoll@relayhealth.com http://www.relayhealth.com Govt body Int 3 Complete 2009/05/05 12:00:00 2010/11/22 12:00:00 2010/11/22 09:05:16 UV 2.16.840.1.113883.3.272 nETCHEMERC1 NetChemistry Inc. in Orange County California Thomas Murphy masked Ed Meador Thomas Murphy 949-399-5384 masked Director of Engineering Thomas Murphy 4600 Campus Drive Suite 101 Newport Beach CA, 92660 949-399-5384 tmurphy@netchemistry.com http://www.netchemistry.com Vendor Int 3 Complete 2009/05/05 12:00:00 2010/11/22 12:00:00 2010/11/22 09:08:59 UV 2.16.840.1.113883.3.301 Provincial Health Services Authority, BC, Canada Robert Grant masked Alykhan Virani 604.707.5813 masked Corporate Manager, Enterprise Architecture and Security Provincial Health Services Authority,Provincial Health Services Authority Vancouver, BC. Canada http://www.phsa.ca/default.htm Provider Ext 3 Edited 2.16.840.1.113883.3.301 2009/05/06 12:00:00 2009/07/14 05:37:51 UV 2.16.840.1.113883.3.273 bRMC Bedford Regional Medical Center Healthcare Sheila Owens-Spradlin masked Sheila Owens-Spradlin 2900 W 16th Street Bedford, IN 47421 812-275-1396 masked Informatics Nurse Bedford Regional Medical Center 2900 W 16th Street Bedford, IN 47421 812-275-1200 brking@brmchealthcare.com http://www.brmchealthcare.com Provider Int 3 Complete 2009/05/06 12:00:00 2010/11/22 12:00:00 2010/11/22 09:12:53 UV 2.16.840.1.113883.3.274 mscdev1 MSCDEV1 Andy Pardue masked Ben Mehling (949) 309-5191 masked Director of Ecosystem Operations Medsphere Systems Corporation (949) 309-5191 Ben.Mehling@Medsphere.com http://www.medsphere.com Vendor Int 3 Complete 2009/05/08 12:00:00 2015/06/26 12:00:00 2015/06/27 10:24:05 UV 2.16.840.1.113883.3.275 ahltaNHIE AHLTA NHIN Connect NHIE Gateway Sherry Wang masked Sherry Wang 3975 VA Mallory Chantilly, VA 20151 703-272-5839 masked Software Developer Paul Wilkinson 3975 VA Mallory Chantilly, VA 20151 703-272-5791 Paul.Wilkinson@ahlta.ngc.com http://www.northropgrumman.com Govt body Int 3 Complete 2009/05/08 12:00:00 2009/10/22 12:00:00 2009/10/22 10:53:27 UV 2.16.840.1.113883.3.276 m-DACC M.D. Anderson Cancer Center Jay Patel masked Chuck Suitor Jay Patel 1515 Holcombe Blvd unit 208, Houston,TX 77041 7137922728 masked EMR Software Architect M.D. Anderson Cancer Center jpatel@mdanderson.org Govt body Int 3 Deprecated 2009/05/08 12:00:00 2012/06/30 12:00:00 2012/06/30 10:11:37 UV 2.16.840.1.113883.3.277 Interior Health Authority (IHA), Province of BC, Canada Robert Grant masked Chris Craig Kelowna, British Columbia, Canada 250-491-6772 masked Manager, App. Dev., Integration & Document Svcs Interior Health Authority,Interior Health Authority Kelowna, BC, Canada. V1Y 4N7 http://www.interiorhealth.ca/ Provider INT 3 Edited 2009/05/11 12:00:00 2009/07/14 05:39:00 UV 2.16.840.1.113883.3.278 MEDCEN1 Kim Pham masked Kim Pham 858-926-8680 masked Govt body INT 3 Pending 2009/05/18 12:00:00 2009/05/18 12:00:00 UV 2.16.840.1.113883.3.279 MEDCEN2 Kim Pham masked Kim Pham 858.926.8680 masked Govt body INT 3 Pending 2009/05/18 12:00:00 2009/05/18 12:00:00 UV 2.16.840.1.113883.3.280 greatWestLifeAssuranceCo Great-West Life Assurance Company Ben Miller masked Ben Miller 204-946-7150 masked Systems Analyst The Great-West Life Assurance Company P.O. Box 6000, Winnipeg MB R3C 3A5, Canada 204-946-1190 http://www.greatwestlife.com Payor INT 3 Complete 2009/05/19 12:00:00 2009/05/27 12:00:00 2009/05/21 11:32:59 UV 2.16.840.1.113883.6.280 refSeq Yan Heras masked Ted Klein National Center for Biotechnology Information National Library of MedicineBuilding 38ABethesda, MD 20894 (301) 496-2475 masked National Center for Biotechnology Information,National Center for Biotechnology Information National Center for Biotechnology Information National Library of MedicineBuilding 38ABethesda, MD 20894 (301) 496-2475 info@ncbi.nlm.nih.gov http://www.ncbi.nlm.nih.gov Govt body INT 6 Complete 2009/05/21 12:00:00 2009/05/27 12:00:00 2009/05/22 12:09:15 UV 2.16.840.1.113883.6.281 hgnc HUGO Gene Nomenclature Yan Heras masked Ted Klein Dr. Elspeth Bruford, Coordinator of HGNC Gene Nomenclature Committee (HGNC)EMBL Outstation - HinxtonEuropean Bioinformatics Institute Wellcome Trust Genome CampusHinxton, Cambridge, CB10 1SDUnited Kingdom + 44 (0) 01223492624 masked HUGO Gene Nomenclature Committee,HUGO Gene Nomenclature Committee Gene Nomenclature Committee (HGNC)EMBL Outstation - HinxtonEuropean Bioinformatics Institute Wellcome Trust Genome CampusHinxton, Cambridge, CB10 1SDUnited Kingdom + 44 (0) 01223492624 elspeth@ebi.ac.uk http://www.genenames.org/ Prof Soc INT 6 Complete 2009/05/21 12:00:00 2009/05/27 12:00:00 2009/05/22 12:10:03 UV 2.16.840.1.113883.6.282 hgvs Yan Heras masked Ted Klein Ms. Rania Horaitis, Executive Secretary Gene Nomenclature Committee (HGNC)EMBL Outstation - HinxtonEuropean Bioinformatics Institute Wellcome Trust Genome CampusHinxton, Cambridge, CB10 1SDUnited Kingdom + 61-3-8344-1831 masked HUGO Gene Nomenclature Committee,HUGO Gene Nomenclature Committee Gene Nomenclature Committee (HGNC)EMBL Outstation - HinxtonEuropean Bioinformatics Institute Wellcome Trust Genome CampusHinxton, Cambridge, CB10 1SDUnited Kingdom + 61-3-8344-1831 rania@variome.org http://www.hgvs.org/ Prof Soc INT 6 Complete 2009/05/21 12:00:00 2009/05/27 12:00:00 2009/05/22 12:10:57 UV 2.16.840.1.113883.6.283 lrg Locus Reference Genomic Sequences (LRG) Yan Heras masked Ted Klein Paul Flicek Wellcome Trust Genome Campus, Hinxton, Cambridge, CB10 1SD, UK +44(0)1223492581 masked Team Leader Vetebrate Genomics Wellcome Trust Wellcome Trust Genome Campus, Hinxton, Cambridge, CB10 1SD, UK +44(0)1223 494 444 missingdata@gmail.com http://ebi.ac.uk Academic Int 6 Complete 2009/05/21 12:00:00 2009/09/15 12:00:00 2009/06/05 12:09:59 UV 2.16.840.1.113883.6.284 dbSNP The Short Genetic Variations database Yan Heras masked Ted Klein Clem McDonald, MD Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 +1 301-496-4441 masked National Center for Biotechnology Information,National Center for Biotechnology Information Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-2475 nlmlhclhcques@mail.nih.gov https://lhncbc.nlm.nih.gov/ Govt body Int 6 Complete 2009/05/21 12:00:00 2009/05/27 12:00:00 2009/05/22 12:12:32 dbSNP UV 2.16.840.1.113883.13.44 mirthOps01 Mirth Corporation Operations Server 01 Steve Kehlet masked Steve Kehlet 18831 Von Karman, Suite 300, Irvine, CA, 92612 949-255-5070 masked Senior Systems Administrator Steve Kehlet 18831 Von Karman, Suite 300, Irvine, CA, 92612 949-255-5070 stevek@mirthcorp.com http://www.mirthcorp.com Vendor 2.16.840.1.113883 Int 13 Complete 2009/05/27 12:00:00 2010/11/22 12:00:00 2010/11/22 09:15:37 UV 2.16.840.1.113883.4.350 sTHL STHL Marc Andiel masked Marc Andiel 45 Lewis Street, Binghamton, NY 13901 607-651-9150 masked Southern Tier HealthLink (STHL) 45 Lewis Street Binghamton, NY 13901 607-651-9150 info@sthlny.com Exchange Int 3 Complete 2009/06/04 12:00:00 2014/12/18 12:00:00 2014/12/18 11:12:16 UV 2.16.840.1.113883.4.351 Matthew Savage Matthew Savage masked Matt Savage 1255 32nd Ave San Francisco, CA 94122 1-415-305-6613 masked Software Architect INT 4 Pending 2009/06/14 12:00:00 2009/06/14 12:00:00 UV 2.16.840.1.113883.4.352 pCH Phoenix Children's Hospital Lupita Figueroa masked Rae Ann Harris 1919 East Thomas Road, Phoenix, AZ 85016 (602) 546-1000 masked Phoenix Children's Hospital 1919 East Thomas Road, Phoenix, AZ 85016 (602) 546-1000 rharris@phoenixchildrens.com http://www.phoenixchildrens.com Provider Int 4 Complete 2009/06/15 12:00:00 2010/11/22 12:00:00 2010/11/22 09:21:34 UV 2.16.840.1.113883.13.45 GoodMen1 Aminur Rahman masked Hossain Chowdhury Nuzhat Ahmed 860-841-7059 masked President Nuzhat Ahmed 858 Manchester Rd. 860-841-7059 Govt body INT 13 Pending 2009/06/16 12:00:00 2009/06/16 12:00:00 UV 2.16.840.1.113883.3.290 schio Serving Communities Health Information Organization Bill Beighe masked Ajay Prashar 343 Soquel Ave PMB 327 Santa Cruz, CA 95062-2305 831-610-3800 masked Director of Information Technology Serving Communities HIO Serving Communities HIO 343 Soquel Ave PMB 327 Santa Cruz, CA 95062-2305 831-610-3700 aprashar@schio.org http://www.schio.org Provider 2.16.840.1.113883.3.290 Ext 3 Complete 2.16.840.1.113883.3.290 2009/06/17 12:00:00 2010/11/22 12:00:00 2023/10/23 07:03:37 UV 2.16.840.1.113883.4.353 EHME-PQRI-Registry Talor Sax masked Talor Sax 2124003281 masked INT 4 Pending 2009/06/18 12:00:00 2009/06/18 12:00:00 UV 2.16.840.1.113883.4.354 eHME-CMS-PQRS-Registry eHealth Made Easy PQRS Registry OID Talor Sax masked Steven Bernitz 599 Lexington Avenue, 19th floor, New York, NY 10022 212-400-3281 masked Incentive Programs Director eHealth Made Easy 599 Lexington Avenue, 19th floor, New York, NY 10022 212-400-3281 info@ehealthmadeeasy.com http://www.ehealthmadeeasy.com Vendor Int 4 Complete 2009/06/18 12:00:00 2012/06/30 12:00:00 2012/06/30 10:58:00 UV 2.16.840.1.113883.3.281 AEDASNHIE Blake Preston masked Timothy Heiser Timothy Heiser 6103544032 masked Timothy Heiser 6103544032 timothy.e.heiser@lmco.com http://www.lockheedmartin.com Govt body INT 3 Pending 2009/06/19 12:00:00 2009/06/19 12:00:00 UV 2.16.840.1.113883.3.282 medicMatics-XUMIX MedicMatics XUMIX Praveen Enuganti masked Sreenivas Praveen Enuganti 512-535-3704 masked Development Manager MedicMatics penuganti@medicmatics.com Provider Int 3 Complete 2009/06/19 12:00:00 2012/06/30 12:00:00 2012/06/30 11:10:35 UV 2.16.840.1.113883.3.283 ii4sm-root ii4sm, Ltd. Dale Nelson masked Tim Snyder Tim Snyder Bollwerk-Promenade 5, CH-4051 Basel +41 (0) 61 865 60 60 masked VP Engineering ii4sm, Ltd. Bollwerk-Promenade 5, CH-4051 Basel +41 (0) 61 865 60 60 tim.snyder@ii4sm.com http://www.ii4sm.com Vendor Int 3 Complete 2009/06/19 12:00:00 2010/11/22 12:00:00 2010/11/22 09:32:13 UV 2.16.840.1.113883.4.355 InterSystems Cach&#233; Michael LaRocca masked Michael LaRocca Michael LaRocca 30 East 39th Street, 6th floor, New York NY, 10016 617-710-2615 masked Product Manager InterSystems Corporation One Memorial Drive, Cambridge MA, 02142 617-621-0600 http://www.intersystems.com Vendor 2.16.840.1.113883.3.86 Int 4 Rejected 2009/06/21 12:00:00 2010/09/22 12:00:00 2010/09/22 01:44:18 UV 2.16.840.1.113883.3.284 NHIN registry michael lansinger masked bud michels michael lansinger 6465848834 masked INT 3 Pending 2009/06/22 12:00:00 2009/06/22 12:00:00 UV 2.16.840.1.113883.3.285 dHIMSNHIETEST Defense Health Information Management Systems Ronald Griffin masked Ron Griffin Ron Griffin 4841 W. Braddock Rd. #10, Alexandria, VA 22311 2026571066 masked Systems Engineer Ron Griffin 4841 W. Braddock Rd #10, Alexandria, VA 22311 2026571066 rgriffin@diodestream.com http://www.citpo.ha.osd.mil Govt body Int 3 Complete 2009/06/23 12:00:00 2010/11/22 12:00:00 2010/11/22 09:35:54 UV 2.16.840.1.113883.3.286 jp prashant kumar masked prashant.talkin@gmail.com prashant 00919818809906 masked INT 3 Pending 2009/06/23 12:00:00 2009/06/23 12:00:00 UV 2.16.840.1.113883.3.287 lmAIFIRAD Lockheed Martin Application Integration Framework Independent Research and Development Giang Bui masked Giang Bui Giang Bui 9211 Corporate Blvd. Rockville MD 20850 (301) 640-2904 masked Software Architect Lockheed Martin 9211 Corporate Blvd. Rockville MD 20850 (301) 640-2904 giang.h.bui@lmco.com http://lockheedmartin.com Govt body Int 3 Complete 2009/06/23 12:00:00 2009/10/22 12:00:00 2010/11/22 09:37:35 UV 2.16.840.1.113883.13.46 GHXNHIE1 Dileep Tiku masked Rao Charagondla Dileep Tiku 4086943515 masked INT 13 Pending 2009/06/24 12:00:00 2009/06/24 12:00:00 UV 2.16.840.1.113883.3.288 mirthOps02 Mirth OPS 02 Steve Kehlet masked Steve Kehlet Steve Kehlet 18831 Von Karman, Suite 300, Irvine, CA, 92612 949-255-5070 masked Senior Systems Administrator Steve Kehlet 18831 Von Karman, Suite 300, Irvine, CA, 92612 949-255-5070 stevek@mirthcorp.com http://www.mirthcorp.com Govt body Int 3 Complete 2009/06/25 12:00:00 2010/11/22 12:00:00 2010/11/22 09:41:28 UV 2.16.840.1.113883.3.289 ada American Dental Association Mark Diehl masked Mark Diehl 518-449-1450 masked American Dental Association markdata@aol.com Prof Soc Int 3 Complete 2009/06/26 12:00:00 2015/06/26 12:00:00 2015/06/26 07:08:50 UV 2.16.840.1.113883.3.291 hhs-oid Harris Healthcare Solutions OID Virginia John masked Bridgett Smith Bridgett Smith Smith 703-610-4263 masked Healthcare Solutions Harris Healthcare Solutions 703-610-4263 bsmith01@harris.com Vendor Int 3 Complete 2009/06/28 12:00:00 2014/12/15 12:00:00 2014/12/15 07:55:15 UV 2.16.840.1.113883.3.292 jal142 Julian Laxton masked Julian Laxton Julian Laxton 321 727 6005 masked beta tester Govt body INT 3 Pending 2009/06/29 12:00:00 2009/06/29 12:00:00 UV 2.16.840.1.113883.3.293 HARRISBWR1 Brett Reynolds masked N/A Brett Reynolds 7036104241 masked Intern Brett Reynolds 7036104241 breyno03@harris.com http://www.harris.com Govt body INT 3 Pending 2009/06/29 12:00:00 2009/06/29 12:00:00 UV 2.16.840.1.113883.3.294 nMSI Noteworthy Medical Systems Nathan Arthur masked Sandy Hubbell Nathan Arthur 216-386-5689 masked Noteworthy Medical Systems, Inc. 3300 N. Central Ave., #2100, Phoenix, AZ 85012 888.627.7633 narthur@noteworthymedical.com http://www.noteworthymedical.com Vendor Int 3 Complete 2009/07/02 12:00:00 2010/11/22 12:00:00 2010/11/22 10:10:35 UV 2.16.840.1.113883.4.356 nTMCNHIN1 North Texas Medical Center NHIN Connect Sue Newhouse masked Eddie Sinclair Sue Newhouse 1900 Hospital Blvd, Gainesville, TX 76240 940-612-8827 masked Database Analyst North Texas Medical Center 1900 Hospital Blvd, Gainesville, TX 76240 940-612-8827 webmaster@ntmconline.net http://www.ntmconline.net Provider Int 4 Complete 2009/07/03 12:00:00 2010/11/22 12:00:00 2010/11/22 10:15:21 UV 2.16.840.1.113883.4.357 openEMPI SYSNET International, Inc. OpenEMPI Assigning Authority Odysseas Pentakalos masked SYSNET International, Inc. Odysseas Pentakalos 2930 Oak Shadow Drive 703-855-2029 masked SYSNET International, Inc. odysseas@sysnetint.com Vendor Int 3 Complete 2009/07/05 12:00:00 2022/10/25 12:00:00 2022/10/25 09:31:49 UV 2.16.840.1.113883.13.47 ehrdrnhie1 EHR Doctors MediBridge NHIN Gateway root OID Richard Braman masked Gerard Reeder RIchard Braman 1600 S Federal Hwy Suite 510 Pompano Beach, FL 33062 561-748-4002 masked VP, Technology EHR Doctors Inc 1600 S Federal Hwy Suite 510 Pompano Beach, FL 33062 561-705-2432 info@ehrdoctors.com http://www.ehrdoctors.com Vendor Int 3 Complete 2009/07/06 12:00:00 2010/06/25 12:00:00 2010/06/25 06:07:13 UV 2.16.840.1.113883.3.295 cDCNHINLab1 CDC Development NHIN CONNECT David Cummo masked Lisa Grant David Cummo 2500 Century Center Blvd, Atlanta GA 30345 404-498-6339 masked Lead Architect CDC 2500 Century Center Blvd, Atlanta GA 30345 404-498-6339 dmo7@cdc.gov http://www.cdc.gov Govt body Int 3 Complete 2009/07/07 12:00:00 2010/11/22 12:00:00 2010/11/22 10:19:07 UV 2.16.840.1.113883.3.296 fpsr-JBS Root OID for Federal Portal for Safety Reporting (FPSR) Michael Bottos masked mbottos@pipeline.com Michael Bottos 8245 Boone Blvd., Suite 708 Vienna, VA 22182 703/442-7793 masked Senior Engineer/Analyst JBS International, Stellar Division,JBS International, Stellar Division 8245 Boone Blvd., Suite 708 Vienna, VA 22182 703/442-3234 http://www.jbsinternational.com Int 3 Complete 2009/07/09 12:00:00 2010/07/07 12:00:00 2010/07/07 04:45:18 UV 2.16.840.1.113883.13.48 CSCATSNHIN Guna Jay masked Guna Guna Jay 2482521345 masked INT 13 Pending 2009/07/10 12:00:00 2009/07/10 12:00:00 UV 2.16.840.1.113883.3.297 tHR-NHIN Texas Health Resources - NHIN Connect Don Ebert masked Tony Keller Don Ebert 612 E. Lamar Boulevard Arlington, TX 76011 682-236-7265 masked Manager, eDevelopment Texas Health Resources 612 E. Lamar Boulevard Arlington, TX 76011 682-236-6000 donebert@texashealth.org http://www.texashealth.org Govt body Int 3 Complete 2009/07/11 12:00:00 2010/11/22 12:00:00 2010/11/22 10:26:52 UV 2.16.840.1.113883.3.298 nextGate NextGate LLC Les Marcum masked Edy Yang Les Marcum 3579 E Foothill Blvd #587, Pasadena, Ca 91107 626 340 4630 masked Director, Solutions NextGate LLC 3579 E Foothill Blvd , #587, Pasadena, CA 91107 626 376 4100 les@nextgate.com http://www.nextgate.com Vendor Int 3 Complete 2009/07/13 12:00:00 2010/11/22 12:00:00 2010/11/22 10:30:31 UV 2.16.840.1.113883.3.26.1.6 ctcae4 CTCAE4 Francis Hartel masked Sherri de Coronado Robinette Renner Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5089 masked Program Director for Semantic Infrastructure National Cancer Institute, Center for Biomedical Informatics and Information Technology Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5541 nciappsupport@nih.gov https://datascience.cancer.gov/ Govt body 2.16.840.1.113883.3.26 Ext 4 Complete 2.16.840.1.113883.3.26.1.6 2009/07/16 12:00:00 2009/12/30 12:00:00 2023/07/11 11:06:53 UV 2.16.840.1.113883.3.299 ALBET Maykell Sanchez masked Romero Maykell 230000 masked GEHOS INT 3 Pending 2009/07/20 12:00:00 2009/07/20 12:00:00 UV 2.16.840.1.113883.3.300 iSDHNHINGATEWAY1 Indiana State Department of Health NHIN Gateway Greg Lemon masked John Wolfla Greg Lemon 317-233-7347 masked Sr Analyst Health Data Center Indiana State Department of Health 2 North Meridian Street Indianapolis, IN 46204 317-233-7347 glemon@isdh.IN.gov http://www.in.gov/isdh/ Govt body Int 3 Complete 2009/07/21 12:00:00 2010/11/22 12:00:00 2010/11/22 10:41:29 UV 2.16.840.1.113883.13.49 fAPS Female Animal Physiological Status Lise Stevens masked William Hess Glenn Peterson 7500 Standish Place Rockville, MD 20855 240-453-6876 masked Mathematical Statistician European Medicines Agency 7 Westferry Circus Canary Wharf | London E14 4HB 44 2074188400 vet-phv@emea.europa.eu http://www.emea.europa.eu/htms/aboutus/emeainfopoint.htm#pharmacovigilanceandPDR Govt body Int 13 Complete 2009/07/22 12:00:00 2010/11/22 12:00:00 2010/11/22 10:45:33 UV 2.16.840.1.113883.4.358 veddra Veterinary Dictionary for Drug Regulatory Activities (VEDDRA) Lise Stevens masked William Hess Glenn Peterson 7500 Standish Place Rockville, MD 20855 240-453-6876 masked Mathmatical Statistician European Medicines Agency 7 Westferry Circus Canary Wharf London 44 2074188581 vet-phv@emea.europa.eu http://www.emea.europa.eu/htms/aboutus/emeainfopoint.htm#pharmacovigilanceandPDR Govt body Int 6 Complete 2009/07/22 12:00:00 2010/03/09 12:00:00 2010/03/11 07:01:36 UV 2.16.840.1.113883.13.50 eTIs Exposure Time Intervals Lise Stevens masked William Hess Glenn Peterson 7500 Standish Place 240-453-6876 masked Mathmatical Statistician Veterinary Conference on Harmonisation c/o IFAH, International Federation for Animal Health Rue Defacqz, 1 - 1000 Brussels, Belgium 32-2-5437572 sec@vichsec.org http://www.vichsec.org/en/moreinfos.htm SDO Int 13 Complete 2009/07/22 12:00:00 2010/11/22 12:00:00 2010/11/22 10:50:10 UV 2.16.840.1.113883.13.51 vichOff-LabelUseCodes VICH Off-Label Use Codes Lise Stevens masked William Hess Glenn Peterson 7500 Standish Place 240-453-6876 masked Mathematical Statistician Veterinary Conference on Harrmonisation c/o IFAH, International Federation for Animal HealthRue Defacqz, 1 - 1000 Brussels (Belgium) 32-2-5437572 sec@vichsec.org http://www.vichsec.org/en/moreinfos.htm SDO Int 6 Complete 2009/07/22 12:00:00 2010/03/09 12:00:00 2010/03/09 01:48:15 UV 2.16.840.1.113883.13.52 azamie abcd pqr masked xyz pqr abcd 123-232-2322 masked http://www.azamie.gov/ Int 13 Rejected 2009/07/22 12:00:00 2010/11/22 12:00:00 2010/11/22 10:51:55 UV 2.16.840.1.113883.3.302 cSCNHIN CSCNHIN Papireddy Poreddy masked Praveen Yalavarty Papireddy Poreddy 3132063780 masked CSC pporeddy@csc.com http://www.csc.com/ Vendor Int 3 Complete 2009/07/22 12:00:00 2015/06/26 12:00:00 2015/06/26 07:26:47 UV 2.16.840.1.113883.13.53 aRHIN Avocare Regional Health Information Network Zach Finn masked Ben Fox Zach Finn 3411-B Capital Medical Boulevard Tallahassee, FL 32308 850-702-0091 masked Vice President and HIE Project Director Avocare 3411-B Capital Medical Boulevard Tallahassee, FL 32308 850-702-0099 zfinn@AvocareHealth.com http://AvocareHealth.com Vendor Int 13 Complete 2009/07/27 12:00:00 2011/11/21 12:00:00 2011/11/21 08:17:40 UV 2.16.840.1.113883.3.303 aRHIN Avocare Regional Health Information Network Gateway Zach Finn masked Ben Fox Zach Finn 3411-B Capital Medical Boulevard Tallahassee, FL 32308 850-702-0091 masked Vice President and HIE Project Director Zach Finn 3411-B Capital Medical Boulevard Tallahassee, FL 32308 850-702-0099 zfinn@AvocareHealth.com http://www.avocarehealth.com Vendor Int 3 Complete 2009/07/27 12:00:00 2010/11/22 12:00:00 2010/11/22 12:11:06 UV 2.16.840.1.113883.3.304 bBRHIO BBRHIO Allen Byington masked Dr. Dan Kaelin Zach Finn 850-702-0091 masked Project Director Big Bend Regional Healthcare Information Organization 850-702-0091 zfinn@bbrhio.com http://www.BigBendHealth.com Provider Int 3 Complete 2009/07/27 12:00:00 2012/06/30 12:00:00 2012/06/30 07:46:52 UV 2.16.840.1.113883.13.54 jRSPARTNERS JRS Partners NHIN CONNECT Gateway Jose Mussi masked JRS Partners Jose Mussi 120 Carlton St, Suite 413 Toronto, ON Canada, M5A 4K2 416 802-3949 masked Partner JRS Partners 120 Carlton St, Suite 413 Toronto, ON Canada, M5A 4K2 416 802-3949 jmussi@jrspartners.com http://www.jrspartners.com Govt body Int 13 Complete 2009/07/27 12:00:00 2010/11/22 12:00:00 2010/11/22 12:17:05 UV 2.16.840.1.113883.3.305 fMRH-T Faculty of Medicine Ramathibodi Hospital - Thailand Supachai Parchariyanon masked Kavin Asavanant Supachai Parchariyanon Faculty of Medicine Ramathibodi Hospital, Mahidol University, Rama 6, Ratchathewi, Bangkok, 10400, Thailand +66896676407 masked Project Manager Faculty of Medicine Ramathibodi Hospital Faculty of Medicine Ramathibodi Hospital, Mahidol University, Rama 6, Ratchathewi, Bangkok, 10400, Thailand +66892018327 akavin@gmail.com http://www.ra.mahidol.ac.th Academic Int 3 Complete 2009/07/29 12:00:00 2012/06/30 12:00:00 2012/06/30 07:35:59 UV 2.16.840.1.113883.10.20.16 cdaDischargeSummaryTemplateRoot CDA Discharge Summary Template Root Bob Dolin masked Brett Bob Dolin 949 466 4035 masked SDWG 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA (+1) 734-677-7777 hq@HL7.org www.HL7.org HL7 body Ext 10 Complete 2.16.840.1.113883.10.20.16 2009/08/05 12:00:00 2010/11/29 12:00:00 2010/11/30 01:00:31 UV 2.16.840.1.113883.11.20.4 cdaDischargeSummaryValueSetRoot CDADischargeSummaryValueSetRoot Bob Dolin masked Bob Dolin 949 466 4035 masked SDWG 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA (+1) 734-677-777 hq@HL7.org www. HL7.org HL7 body Ext 13 Complete 2.16.840.1.113883.11.20.4 2009/08/05 12:00:00 2010/11/29 12:00:00 2010/11/30 12:55:04 UV 2.16.840.1.113883.3.306 vCUHS Virginia Commonwealth University Health System (VCUHS) Poly ILOG masked Bill Perko Poly ILOG 701 E Franklin St, Suite 316, Richmond, VA 23219 8048286115 masked Virginia Commonwealth University Health System 701 E Franklin St, Suite 316, Richmond, VA 23219 8048286115 pilog@mcvh-vcu.edu http://www.vcuhealth.org Provider Int 3 Complete 2009/08/06 12:00:00 2010/11/22 12:00:00 2010/11/22 12:25:25 UV 2.16.840.1.113883.3.307 mESNHIE1 Medical EDI Solutions NHIN Connect NHIE Gateway Dallas Webster masked Demetrius Maddox Dallas Webster 40 Mound Street, Dayton, OH 45402 937-331-9448 masked CEO Dallas Webster 40 Mound Street, Dayton, OH 45402 937-331-9448 Dallas.Webster@MedicalEDISolutions.com http://www.medicaledisolutions.com Vendor Int 3 Complete 2009/08/08 12:00:00 2010/11/22 12:00:00 2010/11/22 12:28:53 UV 2.16.840.1.113883.13.55 SUNFEDVNN06 Stephen Repetski masked Pascal Girard Pascal Girard 7032044296 masked Vendor INT 13 Pending 2009/08/10 12:00:00 2009/08/10 12:00:00 UV 2.16.840.1.113883.3.308 pushkar Pushkar Singh masked pushkar@bcbsa.com Pushkar Singh 225 N michigan Avn. 3122244312 masked INT 3 Pending 2009/08/13 12:00:00 2009/08/13 12:00:00 UV 2.16.840.1.113883.3.309 NHINConnect Aleena Dhar masked Aleena Dhar Jason Ray 5155 Parkstone Drive , Chantilly, VA 703.889.3879 masked INT 3 Pending 2009/08/17 12:00:00 2009/08/17 12:00:00 UV 2.16.840.1.113883.3.310 healthBridge2 HealthBridge NHIN2 Steve Kehlet masked Steve Kehlet Mike Wells 615 Elsinore Place Suite 500 Cincinnati, Ohio 45202 5132475280 masked Director, Information Security The Health Collaborative 615 Elsinore Place Suite 500 Cincinnati, Ohio 45202 5136183600 hostmaster@healthbridge.org http://www.healthbridge.org Exchange Int 3 Complete 2009/08/17 12:00:00 2011/12/19 12:00:00 2018/03/02 02:48:30 UV 2.16.840.1.113883.3.311 harrisHeathcare Harris Healthcare Kathy Pham masked Kathy Pham Ben Park 3219846488 masked Tech Lead Healthcare Harris 3219846488 ben.park@harris.com https://www.harris.com/ Govt body Int 3 Complete 2009/08/19 12:00:00 2016/10/21 12:00:00 2016/10/21 06:36:37 UV 2.16.840.1.113883.3.312 vTogether Vision Together OID Seonho Kim masked Seonho Kim Seonho Kim 3146 West Calhoun Blvd. Apt 308, Minneapolis, MN 55416 952-818-1524 masked Vision Together kayseon@gmail.com http://visiontogether.org Prof Soc Int 3 Complete 2009/08/20 12:00:00 2014/12/11 12:00:00 2014/12/11 06:51:57 UV 2.16.840.1.113883.4.359 canAB-AOMDID Alberta, Canada Ambulance Operator Medical Director ID (AOMDID) Wendy Huang masked Fred Agyepong Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked Alberta Health ABHL7@gov.ab.ca http://www.health.alberta.ca/ Govt body Int 4 Complete 2009/08/20 12:00:00 2010/11/22 12:00:00 2017/04/27 10:27:15 UV 2.16.840.1.113883.5.1124 hl7Realm HL7 Realm Ted Klein masked no 2nd submitter Ted Klein 631-924-6922 masked Vocabulary Co-chair Health Level Seven, Inc. 3300 Washtenaw Ave. Ann Arbor, MI 48104 734-677-7777 hq@hl7.org http://www.hl7.org HL7 body 2.16.840.1.113883 Int 5 Complete 2009/08/20 12:00:00 2009/12/30 12:00:00 2009/12/30 03:52:47 UV 2.16.840.1.113883.3.313 softheon Softheon, Inc. OID Eugene Sayan masked Eugene Sayan 1383 Veterans Hwy Suite 8 Hauppauge NY 11788 631 390 1100 #302 masked CEO Softheon, Inc. esayan@softheon.com Int 3 Complete 2009/08/20 12:00:00 2014/12/11 12:00:00 2014/12/11 06:54:48 UV 2.16.840.1.113883.3.314 vEHINHIE1 Vanderbilt Medical Center NHIN Connect NHIE Gateway Mike Rogers masked mrogers@tntech.edu Janet King Vanderbilt Ctr for Better Health, 3401 West End Ave Nashville, TN 37203 615-343-7387 masked Technical Project Mgr. Janet King Vanderbilt Ctr for Better Health, 3401 West End Ave Nashville, TN 37203 615-343-7387 janet.king@vanderbilt.edu http://www.midsoutheha.org Govt body Int 3 Complete 2009/08/21 12:00:00 2010/11/22 12:00:00 2010/11/22 12:44:43 UV 2.16.840.1.113883.3.315 HSNHE1 Suman Papanaboina masked psuman_1983@yahoo.co.in Suman Papanaboina 919963430239 masked Suman http://www.ihs.gov Govt body INT 3 Pending 2009/08/22 12:00:00 2009/08/22 12:00:00 UV 2.16.840.1.113883.3.316 cdcNhinConnectProd1 NHIN Connect Gateway at the CDC (Production server #1) David Cummo masked David Cummo 404-498-6339 masked Lead Architect, CDC NHIN Connect CDC 2500 Century Blvd NE, Atlanta GA 30345 404-498-6339 dmo7@cdc.gov http://www.cdc.gov Govt body Int 3 Complete 2009/08/24 12:00:00 2010/11/22 12:00:00 2010/11/22 12:49:23 UV 2.16.840.1.113883.13.56 prokarma Prokarma Sachin Satija masked Vijay Ijju Vijay Ijju 303-268-2701 masked CTO Prokarma 303-268-2701 vijju@prokarma.com http://www.prokarma.com Vendor Int 13 Complete 2009/08/24 12:00:00 2012/06/30 12:00:00 2012/06/30 07:32:22 UV 2.16.840.1.113883.3.317 aLLINA Allina Health System Christopher Hirsch masked Mary Bear-Dukes Christopher Hirsch PO Box 43, Minneapolis, MN 55440 612-262-4386 masked Manager - Infomation Services Allina Health System 2925 Chicago Avenue, Minneapolis, MN 55407 612-262-4386 chris.hirsch@allina.com http://www.allina.com/ Provider Int 3 Complete 2009/08/26 12:00:00 2010/11/22 12:00:00 2010/11/22 01:02:46 UV 2.16.840.1.113883.13.57 bcbsa Blue Cross Blue Shield Association Pushkar Singh masked Zulzani Noordin Gail Kocher Blue Cross Blue Shield Association 200 E. Randolph St., Suite 1800 Chicago, IL 60601 312-297-6582 masked Senior Business Lead Jena Dangerfield Blue Cross Blue Shield Association 200 E. Randolph St., Suite 1800 Chicago, IL 60601 312.297.6217 Jena.Dangerfield@bcbsa.com http://www.bcbsa.com Payor Int 13 Complete 2009/08/28 12:00:00 2026/01/16 12:00:00 2026/01/16 08:08:28 UV 2.16.840.1.113883.3.318 cmaf Canadian MedicAlert Foundation Wendy Huang masked Michael Shreve Michael Shreve 2006 Sheppard Ave.East, Suite 800 Toronto ON M2J5B4 1-800-668-1507 ext.1102 masked Canadian MedicAlert Foundation 2006 Sheppard Ave.East, Suite 800 Toronto ON M2J5B4 1-800-668-1507 ext.1 mshreve@medicalert.ca http://www.medicalert.ca/ Provider Int 3 Complete 2009/08/28 12:00:00 2009/12/28 12:00:00 2009/12/28 05:09:24 UV 2.16.840.1.113883.3.319 medicAlert Canadian MedicAlert Foundation Wendy Huang masked Michael Shreve Michael Shreve 2006 Sheppard Ave.East, Suite 800, Toronto ON M2J5B4 1-800-668-1507 ext.1102 masked Canadian MedicAlert Foundation 2006 Sheppard Ave.East, Suite 800, Toronto ON M2J5B4 1-800-668-1507 mshreve@medicalert.ca http://www.medicalert.ca/ Provider Int 3 Complete 2009/08/28 12:00:00 2010/11/22 12:00:00 2010/11/22 01:06:20 UV 2.16.840.1.113883.4.360 cmaf-MEHRMN Canadian MedicAlert EHR Member Number Wendy Huang masked Michael Shreve Michael Shreve 2006 Sheppard Ave.East, Suite 800 Toronto ON M2J5B4 1-800-668-1507 ext.1102 masked Canadian MedicAlert Foundation 2006 Sheppard Ave.East, Suite 800 Toronto ON M2J5B4 1-800-668-1507 mshreve@medicalert.ca http://www.medicalert.ca/ Provider Int 4 Complete 2009/08/28 12:00:00 2009/12/28 12:00:00 2010/11/22 01:07:54 UV 2.16.840.1.113883.3.320 NHIN01 Anu Barthakur masked Anu Betty Plano 972 605 7392 masked INT 3 Pending 2009/09/01 12:00:00 2009/09/01 12:00:00 UV 2.16.840.1.113883.3.321 covisint-NHIE Covisint Root OID Joe Carlson masked Joe Carlson Joe Carlson 1 Campus Martius Detroit, Michigan,48226 3132276184 masked Director Joe Carlson 1 Campus Martius Detroit, Michigan,48226 3132276184 jcarlson@covisint.com http://www.covisint.com Govt body Int 3 Complete 2009/09/01 12:00:00 2009/10/09 12:00:00 2009/10/12 06:25:45 UV 2.16.840.1.113883.3.322 nhin1-senhie SouthEast Nebraska Health Information Exchange Steve Kehlet masked Steve Kehlet Daniel A. Engle 120 Park Ave., Hebron, NE 68370 402-768-4687 masked Director of Information Technology Thayer County Health Services 120 Park Ave., Hebron, NE 68370 402-768-4687 info@tchsne.org http://www.thayercountyhealth.com Govt body Int 3 Complete 2009/09/02 12:00:00 2010/11/22 12:00:00 2010/11/22 01:11:38 UV 2.16.840.1.113883.13.59 acs-AlabamaHIE-UATSystem ACS- Alabama HIE - UAT System Lou Lunetta masked ACS Lou Lunetta 9040 Roswell Rd, Atlanta, GA 30350 770 829 1186 masked Affiliated Computer Services 9040 Roswell Rd, Atlanta GA 30350 Lou.Lunetta@acs-inc.com Vendor 2.16.840.1.113883.3.147 Int 13 Complete 2009/09/03 12:00:00 2012/05/31 12:00:00 2012/05/31 10:33:07 UV 2.16.840.1.113883.3.323 IHSNHIE1 John Smith masked Janet William Smith 9999999999 masked Role William Smith 9999999999 wsmith@myemail.com Govt body Int 3 Rejected 2009/09/03 12:00:00 2010/11/22 12:00:00 2010/11/22 01:21:45 UV 2.16.840.1.113883.3.324 IHSNHIE1 Smith Jones masked Janet William Smith 9999999999 masked Contact Person Role William Smith 9999999999 wsmith@myemail.com Govt body INT 3 Pending 2009/09/04 12:00:00 2009/09/04 12:00:00 UV 2.16.840.1.113883.4.361 bcWIN British Columbia, Canada, College of Social Workers Identifier number Wendy Huang masked Doug Gold Doug Gold Corporate Registries Branch British Columbia Vital Statistics Agency Ministry of Health Services, 818 Fort Street, 2nd Fl., Victoria, BC,Canada V8W 1H8 (250)952-2596 masked Registry Administrator, Provider Registry British Columbia College of Social Workers #302 1765 West 8th Ave, Vancouver, BC, V6J 5C6 604-737-4916 info@bccsw.ca http://www.bccollegeofsocialwrorkersofbc.ca Provider Int 4 Complete 2009/09/08 12:00:00 2009/12/28 12:00:00 2009/12/28 04:59:15 UV 2.16.840.1.113883.4.362 bcPIN British Columbia, Canada, College of Psychologists Identifier number Wendy Huang masked Doug Gold Doug Gold Corporate Registries Branch British Columbia Vital Statistics Agency Ministry of Health Services 818 Fort Street, 2nd Fl. Victoria, BC,Canada V8W 1H8 (250)952-2596 masked Registry Administrator, Provider Registry College of Psychologists of British Columbia #404 1755 West Broadway Vancouver, BC, V6J 4S5 604-736-6164 info@collegeofpsychologists.bc.ca http://www.collegeofpsychologists.bc.ca Provider Int 4 Complete 2009/09/08 12:00:00 2009/12/28 12:00:00 2009/12/28 05:00:32 UV 2.16.840.1.113883.4.363 bcCCIN BC, Canada, Association of Clinical Counsellors Identifier number Wendy Huang masked Doug Gold Doug Gold Corporate Registries Branch British Columbia Vital Statistics Agency Ministry of Health Services 818 Fort Street, 2nd Fl. Victoria, BC,Canada V8W 1H8 (250)952-2596 masked Registry Administrator, Provider Registry BC Association of Clinical Counsellors #14 - 2544 Dunlevy St Victoria, BC, V8R 5Z2 1-800-909-6303 hoffice@bc-consellors.org http://www.bc-counsellors.org Provider Int 4 Complete 2009/09/08 12:00:00 2009/12/28 12:00:00 2010/11/22 01:23:36 UV 2.16.840.1.113883.4.364 bcOTIN College of Occupational Therapists of British Columbia, Canada, Identifier number Wendy Huang masked Doug Gold Doug Gold Corporate Registries Branch British Columbia Vital Statistics Agency Ministry of Health Services 818 Fort Street, 2nd Fl. Victoria, BC,Canada V8W 1H8 (250)952-2596 masked Registry Administrator, Provider Registry College of Occupational Therapists.of British Columbia Suite 219, 645 Fort St. Victoria, BC, V8W 1G2 250-386-6822 info@cotbc.org http://www.cotbc.org Provider Int 4 Complete 2009/09/08 12:00:00 2009/09/15 12:00:00 2009/12/18 10:49:17 UV 2.16.840.1.113883.4.365 Inclusive Systems, Inc. Matt Savage masked Inclusive Systems, Inc. Matthew Savage 1255 32nd Avenue San Francisco, CA 94122 1-415-305-6613 masked CTO INT 4 Pending 2009/09/08 12:00:00 2009/09/08 12:00:00 UV 2.16.840.1.113883.4.61.1 alabamaPLN Alabama state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.2 alaskaPLN Alaska state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.4 arizonaPLN Arizona state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.5 arkansasPLN Arkansas state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.6 californiaPLN California state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.8 coloradoPLN Colorado state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.9 connecticutPLN Connecticut state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.11 dcPLN Washington DC Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.10 delawarePLN Delaware state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.12 floridaPLN Florida state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.13 georgiaPLN Georgia state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.15 hawaiiPLN Hawaii state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.16 idahoPLN Idaho state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.17 illinoisPLN Illinois state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.18 indianaPLN Indiana state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.19 iowaPLN Iowa state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.20 kansasPLN Kansas state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.21 kentuckyPLN Kentucky state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.22 louisianaPLN Louisiana state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.23 mainePLN Maine state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.24 marylandPLN Maryland state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.25 massachusettsPLN Massachusetts state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.26 michiganPLN Michigan state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.27 minnesotaPLN Minnesota state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.28 mississippiPLN Mississippi state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.29 missouriPLN Missouri state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.30 montanaPLN Montana state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.31 nebraskaPLN Nebraska state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.32 nevadaPLN Nevada state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.33 newHampshirePLN New Hampshire state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.34 newJerseyPLN New Jersey state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.35 newMexicoPLN New Mexico state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.36 newYorkPLN New York state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.37 northCarolinaPLN North Carolina state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.38 northDakotaPLN North Dakota state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.39 ohioPLN Ohio state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.40 oklahomaPLN Oklahoma state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.41 oregonPLN Oregon state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.42 pennsylvaniaPLN Pennsylvania state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.44 rhodeIslandPLN Rhode Island state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.45 southCarolinaPLN South Carolina state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.46 southDakotaPLN South Dakota state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.47 tennesseePLN Tennessee state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.48 texasPLN Texas state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.49 utahPLN Utah state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.50 vermontPLN Vermont state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.51 virginiaPLN Virginia state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.53 washingtonPLN Washington state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.54 westVirginiaPLN West Virginia state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.55 wisconsinPLN Wisconsin state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.56 wyomingPLN Wyoming state Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.60 asPLN American Samoa territorial Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.64 fmPLN Federated States of Micronesia territorial Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.66 guPLN Guam territorial Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.68 mhPLN Marshall Islands territorial Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.69 mpPLN Northern Mariana Islands territorial Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.70 pwPLN Palau territorial Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.72 prPLN Puerto Rico territorial Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.74 umPLN U.S. Minor Outlying Islands territorial Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.4.61.78 viPLN Virgin Islands territorial Provider License Numbers Mike Cassidy masked Ted Klein Mike Cassidy 610-219-3036 masked ASIG co-chair HL7 Attachments SIG asigfaq@hl7.org http://www.hl7.org HL7 body Pxy 4 Complete 2009/09/09 05:00:00 2009/09/09 02:00:00 UV 2.16.840.1.113883.3.26.4 nciCBIIT-COPPA NCI CBIIT COPPA Frank Hartel masked Steven Friedman Andonyadis, Christo MSC 8506, 2115 E Jefferson St, , Rockville MD (301) 402-6590 masked Acting Chief Operations and Informatics Branch National Cancer Institute missing data missing data missingdata@gmail.com http://www.missingdata.com Govt body Ext 3 Complete 2.16.840.1.113883.3.26.4 2009/09/11 12:00:00 2009/09/15 12:00:00 2009/09/15 06:14:57 UV 2.16.840.1.113883.3.26.1 nci-CBIIT NCI CBIIT Frank Hartel masked George Komatsoulis Robinette Renner Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5089 masked Program Director for Semantic Infrastructure National Cancer Institute, Center for Biomedical Informatics and Information Technology Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5541 nciappsupport@nih.gov https://datascience.cancer.gov/ Govt body 2.16.840.1.113883.3.26 Ext 3 3 Complete 2.16.840.1.113883.3.26.1 2009/09/11 12:00:00 2009/10/15 12:00:00 2023/07/13 12:00:41 UV 2.16.840.1.113883.6.43.1 icd-o-3 International Classification of Diseases for Oncology, version 3. Ted Klein masked masked World Health Organization (WHO) http://www.who.int/en/ SDO Int 6 Complete 1899/12/30 12:00:27 2009/09/11 12:00:00 2009/09/11 05:00:00 UV 2.16.840.1.113883.4.344 fda-FFRN Food and Drug Administration Food Facility Registration Numbers William Hess masked Ted Klein CAPT William A. Hess HF-18, Pkln Bldg Rm 12-81, 5600 Fishers Lane, Rockville, MD 20857 301-827-7865 masked Lexicographer/Center Consultant FDA Data Standards Council HF-18, Pkln Bldg Rm 12-81, 5600 Fishers Lane, Rockville, MD 20857 301-827-7865 William.hess@fda.hhs.gov http://www.fda.gov/ Govt body INT 4 Complete 2009/03/08 12:00:00 2009/03/08 12:00:00 2009/03/08 06:08:00 UV 2.16.840.1.113883.4.366 SEM/HIE Michael M. Talley masked Helen Hill Michael M. Talley 2015 Washtenaw Avenue 734 741 5858 masked Project Manager Southeast Michigan Healthcare Information Exchange 2015 Washtenaw Avenue 734 741 5858 mtalley@university-bank.com http://www.semhie.org Provider INT 4 Pending 2009/09/14 12:00:00 2009/09/14 12:00:00 UV 2.16.840.1.113883.3.26.6 nci-CTEP CTEP Frank Hartel masked Steven Friedman Steven Friedman MSC 7438, 6130 Executive Blvd, Rockville MD 301-435-9183 masked Acting Chief Operations and Informatics Branch National Cancer Institute 2115 E Jefferson Rockville MD 20892 301 435 1520 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Ext 3 Complete 2.16.840.1.113883.3.26.6 2009/09/14 12:00:00 2009/10/15 12:00:00 2009/10/15 06:19:55 UV 2.16.840.1.113883.3.325 tDCNET2WEV01 HealthNet Connect NHIN Connect Gateway Demo Darren Clark masked Darren Clark 6200 Thornton Avenue, Suite 100 515-241-7464 masked Infrastructure Architect Iowa Health System 1200 Pleasant Street Des Moines, IA 50309 515-241-7464 clarkdd@ihs.org http://www.ihs.org Govt body Int 3 Complete 2009/09/14 12:00:00 2010/11/22 12:00:00 2010/11/22 01:29:15 UV 2.16.840.1.113883.3.326 pHILIPS_NHIE PHILIPS El Paso - NHIN Connect NHIE Gateway Eduardo Olmos masked Eduardo Olmos Eduardo Olmos 6006 N. Mesa Ste. 709, El Paso TX 79912 915 313 7400 ext 7429 masked Software Development Engineer Eduardo Olmos eduardo.olmos@philips.com Provider Int 3 Complete 2009/09/14 12:00:00 2012/05/24 12:00:00 2012/05/25 01:35:38 UV 2.16.840.1.113883.3.327 NHINDEV Devikala Dayalan masked Prabu Devi 9790853570 masked Govt body INT 3 Pending 2009/09/15 12:00:00 2009/09/15 12:00:00 UV 2.16.840.1.113883.3.328 testEntryForBugFix Test Entry to verfiy bug is fixed Ted Klein masked Ted Klein 234242 masked Ted address of HL7 data for nonempty field 234523452 tklein7@mail.optonline.net http://www.hl7.org HL7 body Int 3 Rejected 2009/09/16 12:00:00 2009/10/23 12:00:00 2009/10/23 05:50:23 UV 2.16.840.1.113883.3.329 fda1 FDA Test 1 ARUL PALANI masked VIJAY SEKAR ARUL PALANI 3017709610 masked ARUL PALANI 11820 PARKLAWN DR SUITE 300 ROCKVILLE MD 20852 3017709610 amurugan@gnsi.com http://www.fda.gov Govt body Int 3 Pending 2009/09/17 12:00:00 2009/09/17 10:54:18 UV 2.16.840.1.113883.3.330 fda2 FDA Test 2 VIJAYARAMESH SEKAR masked VIJAYARAMESH SEKAR 3017709610 masked VIJAYARAMESH SEKAR 11820 PARKLAWN DR SUITE 300 ROCKVILLE MD 20852 3017709610 vsekar@gnsi.com http://www.fda.gov Govt body Int 3 Pending 2009/09/17 12:00:00 2009/09/17 10:57:55 UV 2.16.840.1.113883.3.331 exeter-area-hie Exeter Area HIE Maryann Serafin masked Mark Nightingale Mark Nightingale Exeter Hospital, 5 Alumni Drive, Exeter, NH 03833 (603) 778-7311 masked Manager, IT Applications Exeter Hospital Exeter Hospital, 5 Alumni Drive, Exeter, NH 03833 (603) 778-7311 mnightingale@ehr.org http://www.exeterhospital.com Provider Int 3 Complete 2009/09/18 12:00:00 2010/11/22 12:00:00 2010/11/22 01:34:55 UV 2.16.840.1.113883.3.332 azaleahealth Azalea Health Innovations John Rodriguez masked John Rodriguez Azalea Health Innovations 6 Concourse Pkwy Suite 2550 Atlanta, Georgia 30328 877-777-7686 masked Inpatient Chief Architect Azalea Health Innovations Azalea Health Innovations 6 Concourse Pkwy Suite 2550 Atlanta, Georgia 30328 877-777-7686 lee.smith@azaleahealth.com http://www.azaleahealth.com/ Vendor Int 3 Complete 2009/09/25 12:00:00 2010/11/22 12:00:00 2025/11/17 02:14:47 UV 2.16.840.1.113883.3.333 exttestgw External Test Gateway Zach Gibson masked Zach Gibson 5155 Parkstone Dr, Chantilly, VA 20151 703-889-3943 masked MIS Scott Borst 5155 Parkstone Dr, Chantilly, VA 20151 703-889-3880 scott.bosrt@agilex.com www.agilex.com Govt body Int 3 Complete 2009/09/29 12:00:00 2010/11/22 12:00:00 2010/11/22 01:41:10 UV 2.16.840.1.113883.3.334 browsersoft Browsersoft Inc. Don Grodecki masked Don Grodecki 913-631-8379 masked Browsersoft Inc. 450 Navajo Shawnee Mission, KS 66217 913-851-2453 info@browsersoft.com http://browsersoft.com Vendor Int 3 Complete 2009/09/29 12:00:00 2010/11/22 12:00:00 2010/11/22 01:44:03 UV 2.16.840.1.113883.3.335 txdshslab Texas Department of State Health Services Laboratory Services Section Joshua Escalante masked Willis Gibson P.O. Box 149347 Austin, TX 78714-9347 (512) 458-7111 ext. 2879 masked System Administrator Texas Department of State Health Services P.O. Box 149347 Austin, TX 78714-9347 (512) 458-7111 labappsupport@dshs.state.tx.us www.dshs.state.tx.us/lab Govt body Int 3 Complete 2009/09/30 12:00:00 2009/09/30 12:00:00 2009/09/30 10:49:00 UV 2.16.840.1.113883.3.336 resilient-NHIN Resilient-NHIN Andrew Gumperz masked Andrew Gumperz 703 Market Street, 20th Floor San Francisco, CA 94103 Phone: 415-284-0400 Fax: 415-284-0400 415-284-0400 masked Director of Engineering Andrew Gumperz 703 Market Street, 20th Floor San Francisco, CA 94103 Phone: 415-284-0400 Fax: 415-284-0400 415-284-0400 andrew.gumperz@resilient-networks.com http://www.resilient-networks.com Vendor Int 3 Complete 2009/10/02 12:00:00 2009/10/22 12:00:00 2010/11/22 01:45:20 UV 2.16.840.1.113883.4.367 mmc Maimonides Medical Center Tim Kwan masked Boris Aibinder 1045 39th Street Brooklyn, NY 11219 718-283-1875 masked Director of Integration Maimonides Medical Center 1045 39th Street Brooklyn, NY 11219 718-283-1800 BAibinder@maimonidesmed.org www.maimonidesmed.org Provider Int 4 Complete 2009/10/02 12:00:00 2010/11/22 12:00:00 2010/11/22 01:48:42 UV 2.16.840.1.113883.3.337 nhin2 nhin2.senhie.org Steve Kehlet masked Daniel A. Engle 120 Park Ave., Hebron, NE 68370 402-768-4687 masked Director of Information Technology Thayer County Health Services 120 Park Ave., Hebron, NE 68370 402-768-4687 info@tchsne.org http://www.thayercountyhealth.com Govt body Int 3 Complete 2009/10/02 12:00:00 2015/06/26 12:00:00 2015/06/26 07:52:27 UV 2.16.840.1.113883.4.290.1 alabamaMCDPI Alabama Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.2 alaskaMCDPI Alaska Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.4 arizonaMCDPI Arizona Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.5 arkansasMCDPI Arkansas Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.6 californiaMCDPI California Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.8 coloradoMCDPI Colorado Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.9 connecticutMCDPI Connecticut Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.11 dcMCDPI District of Columbia Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.10 delawareMCDPI Delaware Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.12 floridaMCDPI Florida Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.13 georgiaMCDPI Georgia Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.15 hawaiiMCDPI Hawaii Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.16 idahoMCDPI Idaho Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.17 illinoisMCDPI Illinois Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.18 indianaMCDPI Indiana Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.19 iowaMCDPI Iowa Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.20 kansasMCDPI Kansas Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.21 kentuckyMCDPI Kentucky Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.22 louisianaMCDPI Louisiana Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.23 maineMCDPI Maine Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.24 marylandMCDPI Maryland Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.25 massachusettsMCDPI Massachusetts Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.26 michiganMCDPI Michigan Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.27 minnesotaMCDPI Minnesota Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.28 mississippiMCDPI Mississippi Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.29 missouriMCDPI Missouri Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.30 montanaMCDPI Montana Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.31 nebraskaMCDPI Nebraska Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.32 nevadaMCDPI Nevada Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.33 newHampshireMCDPI New Hampshire Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.34 newJerseyMCDPI New Jersey Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.35 newMexicoMCDPI New Mexico Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.36 newYorkMCDPI New York Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.37 northCarolinaMCDPI North Carolina Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.38 northDakotaMCDPI North Dakota Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.39 ohioMCDPI Ohio Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.40 oklahomaMCDPI Oklahoma Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.41 oregonMCDPI Oregon Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.42 pennsylvaniaMCDPI Pennsylvania Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.44 rhodeIslandMCDPI Rhode Island Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.45 southCarolinaMCDPI South Carolina Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.46 southDakotaMCDPI South Dakota Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.47 tennesseeMCDPI Tennessee Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.48 texasMCDPCN Texas Medicaid Provider Identifier Ted Klein masked Texas Medicaid Healthcare Partnership Texas Medicaid Healthcare Partnership 12365-A Riata Trace Parkway Austin, TX 78727 512-506-7000 masked Brown-Heatly Bldg. 4900 North Lamar Blvd. Austin, TX 78751 (512) 424-6500 Yvonne.Sanchez@hhsc.state.tx.us http://www.hhsc.state.tx.us/index.shtml Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2010/02/16 12:00:00 UV 2.16.840.1.113883.4.290.49 utahMCDPI Utah Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.50 vermontMCDPI Vermont Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.51 virginiaMCDPI Virginia Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.53 washingtonMCDPI Washington Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.54 westVirginiaMCDPI West Virginia Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.55 wisconsinMCDPI Wisconsin Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.56 wyomingMCDPI Wyoming Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.60 asMCDPI American Samoa (AS) Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.64 fmMCDPI Federated States of Micronesia (FM) Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.66 guMCDPI Guam (GU) Medicaid Provider Identifierrtment Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.68 mhMCDPI Marshall Islands (MH) Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.69 mpMCDPI Northern Mariana Islands (MP) Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.70 pwMCDPI Palau (PW) Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.72 prMCDPI Puerto Rico (PR) Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.74 umMCDPI U.S. Minor Outlying Islands (UM) Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.4.290.78 viMCDPI Virgin Islands of the U.S. (VI) Medicaid Provider Identifier Ted Klein masked masked Govt body Pxy 4 Complete 2009/10/06 12:00:00 2009/10/06 12:00:00 2009/10/06 12:00:00 UV 2.16.840.1.113883.3.338 whonet WHONET Software Suite for Surveillance and Analysis of Microbiology Data Herbert Lison masked Dr. John Stelling Herbert Lison Brigham & Womens Hospital 75 Francis St. Boston, MA 02115 617-281-8302 masked WHONET Program Manager WHONET Collaborating Center Brigham & Womens Hospital Division of Infectious Diseases 75 Francis St. Boston, MA 02115 617-935-9407 jstelling@whonet.org www.whonet.org Vendor Int 3 Complete 2009/10/06 12:00:00 2009/10/22 12:00:00 2009/10/22 10:14:01 UV 2.16.840.1.113883.6.139 icpc2E International Classification of Primary Care, second edition (1998) Harold Solbrig masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 info@who.int http://www.who.int/classifications/icd/adaptations/icpc2/en/ SDO Pxy 14 6 Complete 2005/01/25 12:00:00 2009/10/07 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.142 icpc2-icd10-THSRS ICPC2-ICD10 Thesaurus Harold Solbrig masked Dr. Inge M. Okkes Veemkade 1208 1019 BZ AMSTERDAM The Netherlands masked WHO Collaborating Centre for the FIC in The Netherlands Veemkade 1208 1019 BZ AMSTERDAM The Netherlands http://www.rivm.nl/who-fic/thesauruseng.htm SDO Pxy 14 6 Complete 2005/01/25 12:00:00 2009/10/07 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.140 icpc2E-P ICPC2E 1998 Plus Harold Solbrig masked 8600 Rockville Pike Bethesda, MD 20894 masked National Library of Medicine 8600 Rockville Pike Bethesda, MD 20894 (301) 496-6308 http://www.nlm.nih.gov/research/umls/ SDO Pxy 14 6 Complete 2005/01/25 12:00:00 2009/10/07 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.6.138.14 icpc-ENG International Classification of Primary Care 1993 (English) Harold Solbrig masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 masked World Health Organization (WHO) Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 info@who.int http://www.who.int/classifications/icd/adaptations/icpc2/en/ Pxy 6 Complete 2005/01/25 12:00:00 2009/10/07 12:00:00 2005/01/25 12:00:00 UV 2.16.840.1.113883.3.339 jwerner Jason Werner Jason Werner masked Jason Werner 400 S. Pine - 5th Floor Lansing, MI 48913 517-241-0464 masked Departmental Analyst Jason Werner 400 S. Pine - 5th Floor Lansing, MI 48913 517-241-0464 jwerner@michigan.gov http://michigan.gov Govt body Int 3 Complete 2009/10/07 12:00:00 2012/05/31 12:00:00 2012/05/31 11:06:39 UV 2.16.840.1.113883.3.340 fdanhie1 FDA NHIE1 Zach Gibson masked Phil Perucci, PMP Zach Gibson 5155 Parkstone Dr Chantilly, VA 20151 703-889-3943 masked MIS Phil Perucci, PMP NA 301-827-1375 Philip.Perucci@fda.hhs.gov fda.hhs.gov Govt body Int 3 Complete 2009/10/07 12:00:00 2009/10/22 12:00:00 2009/10/22 10:39:54 UV 2.16.840.1.113883.3.341 nexj NexJ Systems Inc. Ed Shaw masked Ed Shaw 4101 Yonge St. Suite 501 Toronto, ON, Canada M2P 1N6 (416) 222-5611 masked VP Product Management - Framework NexJ Systems Inc. 4101 Yonge St. Suite 501 Toronto, ON, Canada M2P 1N6 (416) 222-56116 edshaw@nexj.com http://www.nexj.com Vendor Int 3 Complete 2009/10/07 12:00:00 2010/11/22 12:00:00 2010/11/22 01:52:00 UV 2.16.840.1.113883.3.342 healthwise Healthwise Inc Fred Willerup masked Bill Beattie Healthwise, Inc 2601 N Bogus Basin Rd Boise, ID 83702 (208) 345-1161 masked Project Manager Healthwise Inc Healthwise Inc 2601 N Bogus Basin Rd Boise, ID 83702 (208) 345-1161 techsupport@healthwise.org http://www.healthwise.org Vendor Int 3 Complete 2009/10/08 12:00:00 2010/11/22 12:00:00 2016/08/16 04:25:55 UV 2.16.840.1.113883.3.343 cfrhio Central Florida RHIO Michael Kovner masked Michael Kovner 407-425-9500 masked Project Director Central Florida RHIO 4401 Vineland Road Suite A-10 Orlando, FL 32811-7361 407-425-9500 mkovner@centralfloridarhio.org www.centralfloridarhio.org Provider Int 3 Complete 2009/10/09 12:00:00 2009/10/22 12:00:00 2009/10/22 10:18:52 UV 2.16.840.1.113883.3.344 mirthmuxdemo mirthmuxdemo.mirthcorp.com Steve Kehlet masked Steve Kehlet 949-255-5070 masked Sr. Systems Administrator Mirth Corporation 18831 Von Karman Ave., Suite 300 Irvine, CA 92612 949-255-5055 sysadm@mirthcorp.com http://www.mirthcorp.com Govt body Int 3 Complete 2009/10/09 12:00:00 2015/06/26 12:00:00 2015/06/26 08:02:10 UV 2.16.840.1.113883.3.345 medplus Root OID for MedPlus, Inc. Mark Stine masked Mark Stine MedPlus, A Quest Diagnostics Company 4690 Parkway Drive Mason, OH 45040 5132041852 masked Principal Systems Architect MedPlus 4690 Parkway Drive Mason, OH 45040 5132295500 mstine@medplus.com http://www.medplus.com/ Vendor Int 3 Complete 2009/10/12 12:00:00 2010/11/22 12:00:00 2010/11/22 02:05:27 UV 2.16.840.1.113883.6.285 hcpcs-Level-II HCPCS Level II Alphanumeric Codes Ted Klein masked Tom Oniki GE Healthcare 410-786-3000 masked Centers for Medicare and Medicaid Services U.S. Centers for Medicare & Medicaid Services 7500 Security Boulevard Baltimore, MD 21244 877-267-2323 hcpcs@cms.hhs.gov https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/index.html Govt body Int 6 Complete 2009/10/13 12:00:00 2010/11/22 12:00:00 2018/02/06 02:09:48 UV 2.16.840.1.113883.13.60 accenture ACCENTURE Arun Panayappan masked Lipika Rout Arun B6 303 LT South City Arekere Mico Layout Bannerghatta Road Bangalore 76 9945687825 masked Architect Accenture IBC Knowledge Park BG Road Bangalore 560076 9945687825 arun.panayappan@accenture.com www.accenture.com Int 13 Pending 2009/10/14 12:00:00 2009/10/14 12:09:13 UV 2.16.840.1.113883.10.20.17 cdaNeonatalCareReportTemplateRoot CDAR2_NCR_R1D1 Neonatal Care Report template root Gay Giannone masked Gay Giannone 949-302-8082 masked Nurse Informaticist SDWG SDWG Health Level Seven, Inc. 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 SDWG gay@alschulerassociates.com http://www.hl7.org/Special/committees/structure/index.cfm HL7 body Ext 14 3 Complete 2.16.840.1.113883.10.20.17 2009/10/14 12:00:00 2009/10/22 12:00:00 2009/10/22 10:12:40 UV 2.16.840.1.113883.11.20.5 cdaNeonatalCareReportValueSetRoot cdaNeonatalCareReportValueSetRoot Gay Giannone masked Gay Giannone 949-302-8082 masked Nurse Informaticist SDWG Health Level Seven, Inc. 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 SDWG gay@alschulerassociates.com www.hl7.org HL7 body Ext 14 13 Complete 2.16.840.1.113883.11.20.5 2009/10/14 12:00:00 2009/10/22 12:00:00 2009/10/22 10:06:37 UV 2.16.840.1.113883.2.23.3.1 gdhtcm Guang Dong Hospital of Traditional Chinese Medicine Yongliang Ren masked Ren Yongliang 86+13683143869 masked Guang Dong Hospital of Traditional Chinese Medicine DaDe Street #111, Guang Dong Province, China 86-020-81887233 gzgohele@public.guangzhou.gd.cn http://www.gdhtcm.com/ Provider Ext 3 Complete 2.16.840.1.113883.2.23.3.1 2009/10/19 12:00:00 2009/12/30 12:00:00 2009/12/30 03:55:24 UV 2.16.840.1.113883.2.35 hl7-Russia OID Root for HL7 Russia Ted Klein masked Tatyana Zarubina MD, PhD 117997, Ostrovitjanova 1, Moscow, Russian Federation, Russian State Medical University, Medical cybernetics&informatics department +74954345582 masked HL7 Russia Chair HL7 Russia Chair 117997, Ostrovitjanova 1, Moscow, Russian Federation, Russian State Medical University, HL7 Russia Affiliate +74954345582 tv.zarubina@gmail.com missing data HL7 body Int 2 Complete 2009/10/19 12:00:00 2009/10/22 12:00:00 2009/10/22 10:03:46 UV 2.16.840.1.113883.13.61 healthix Healthix, Inc. Tim Kwan masked Paul Greenstein Todd Rogow 40 Worth Street 5th Floor New York, NY 10013 646-619-6560 masked CIO Healthix, Inc. 40 Worth Street 5th Floor New York, NY 10013 877-695-4749 x1 support@healthix.org http://www.healthix.org Exchange Int 13 Complete 2009/10/21 12:00:00 2010/11/22 12:00:00 2016/03/01 12:15:16 UV 2.16.840.1.113883.13.62 anzsco Australian and New Zealand Standard Classification of Occupations Sarah Gaunt masked Help Centre Australian Digital Health Agency Level 17, 1 Eagle Street, Brisbane QLD 4000 Australia +61 1300 901 001 masked Australian Bureau of Statistics ABS House 45 Benjamin Way Belconnen ACT 2617 1300 135 070 https://www4.abs.gov.au/web/survey.nsf/inquiryform/ http://www.abs.gov.au/ Govt body Int 13 Complete 2009/10/22 12:00:00 2010/11/22 12:00:00 2018/02/18 09:12:06 UV 2.16.840.1.113883.13.63 as-5017-2006-geographic-area AS 5017-2006 Health Care Client Identifier Geographic Area Sarah Gaunt masked Sarah Gaunt Level 2 10 Browning Street West End QLD Australia +61 410292509 masked Technical Interface Lead NEHTA Level 2 10 Browning Street West End QLD Australia +61 730238400 clinicalinfo@nehta.gov.au www.nehta.gov.au Govt body Int 13 Complete 2009/10/22 12:00:00 2010/11/22 12:00:00 2010/11/22 02:20:45 UV 2.16.840.1.113883.13.64 as-5017-2006-source-of-death-notification AS 5017-2006 Health Care Client Source of Death Notification Sarah Gaunt masked Sarah Gaunt Level 2 10 Browning Street West End QLD Australia +61 410292509 masked Technical Interface Lead NEHTA Level 2 10 Browning Street West End QLD Australia +61 730238400 clinicalinfo@nehta.gov.au www.nehta.gov.au Govt body Int 13 Complete 2009/10/22 12:00:00 2010/11/23 12:00:00 2010/11/23 03:10:28 UV 2.16.840.1.113883.3.346 ochin OCHIN Marcus Malcom masked Paul Matthews Paul Mattews 707 SW Washington St Suite 1200 Portland, Oregon 97205 503-943-2500 masked Chief Technology Officer OCHIN, Inc. 707 SW Washington St Suite 1200 Portland, Oregon 97205 503-943-2500 info@ochin.org http://www.ochin.org Int 3 Complete 2009/10/22 12:00:00 2010/11/23 12:00:00 2010/11/23 03:13:22 UV 2.16.840.1.113883.3.347 sappira Sappira Paul Anderson masked Brendan Levy Brendan Levy Saint Louis University 425-753-2147 masked Application Architect Sappira 425-753-2147 BrendanLevy@gmail.com http://code.google.com/sappira Vendor Int 3 Complete 2009/10/23 12:00:00 2011/12/19 12:00:00 2011/12/19 12:32:23 UV 2.16.840.1.113883.3.348 stormwoods-NHIN1 Stormwoods LLC Registery Jerry Goodnough masked Jerry Goodnough 541 Willamette St. Suite 307E Eugene, OR 97401 541-653-9137 masked Developer Jerry Goodnough 541 Willamette St. Suite 307E Eugene, OR 97401 541-653-9137 ferret@stormwoods.com http://www.stormwoods.com Govt body Int 3 Complete 2009/10/26 12:00:00 2010/11/23 12:00:00 2016/09/26 12:15:42 UV 2.16.840.1.113883.3.349 mirthmuxdev01 mirthmuxdev01.mirthcorp.com Steve Kehlet masked Steve Kehlet Steve Kehlet 949-255-5070 masked Sr. Systems Administrator Mirth Corporation 18831 Von Karman Ave., Suite 300 Irvine, CA 92612 949-255-5055 sysadm@mirthcorp.com http://www.mirthcorp.com Vendor Int 3 Complete 2009/10/27 12:00:00 2010/11/23 12:00:00 2010/11/23 03:18:20 UV 2.16.840.1.113883.13.65 aihw-meteor-270094 Episode of admitted patient care's separation mode Sarah Gaunt masked Sarah Gaunt Level 2 10 Browning Street West End QLD Australia +61 410292509 masked Technical Interface Lead NEHTA Level 2 10 Browning Street West End QLD Australia +61 730238400 clinicalinfo@nehta.gov.au www.nehta.gov.au Govt body Int 13 Complete 2009/10/27 12:00:00 2010/11/23 12:00:00 2010/11/23 03:20:42 UV 2.16.840.1.113883.3.350 mdacc MD Anderson Cancer Center root OID Cecil Lynch masked Mike Riben Michael Riben Univ. of Texas M.D. Anderson Cancer Center 1515 Holcombe Blvd Ste 85 Houston, TX 77030 +1 (832) 18326575015 masked Pathology Informatics, Assistant Professor MD Anderson cancer Center The University of Texas M. D. Anderson Cancer Center 1515 Holcombe Blvd Houston, TX 77030 713-792-2121 mriben@mdanderson.org http://www.mdanderson.org/ Academic Int 3 Complete 2009/10/28 12:00:00 2010/11/23 12:00:00 2010/11/23 03:23:32 UV 2.16.840.1.113883.3.351 spro Sourcepro INC Dillip Senapati masked Dillip Senapati 908-315-5021 masked SourcePro Inc. 51 Cragwood Road Suite 202 South Plainfield, NJ 07080 908-315-5020 jpatel@sourcepro.com http://www.sourcepro.com/ Govt body Int 3 Complete 2009/10/28 12:00:00 2010/11/23 12:00:00 2010/11/23 03:38:51 UV 2.16.840.1.113883.3.352 wfcix Wake Forest Clinical Information Exchange Joe Foster masked Joe Foster Wake Forest University Baptist Medical Center Information Services Medical Center Blvd. Winston-Salem, NC 27157 336-716-3488 masked Associate Wake Forest Medical Center Medical Center Blvd. Winston-Salem, NC 27157 336-716-3488 jfoster@wfubmc.edu Provider Int 3 Complete 2009/10/29 12:00:00 2010/09/03 12:00:00 2010/09/03 01:29:09 UV 2.16.840.1.113883.3.353 cvpi Clinch Valley Physicians Linkous Horn masked Linkous Horn 1 Clinic Drive Richlands, VA 24641 276 964 1698 masked Director Linkous Horn 1 Clinic Drive Richlands, VA 24641 276 964 1698 cvpi10@roadrunner.com www.cvpiclinic.com Provider Int 3 Complete 2009/10/29 12:00:00 2010/11/23 12:00:00 2010/11/23 03:41:06 UV 2.16.840.1.113883.3.354 neodeck NeoDeck Software Ricardo Pineda masked Ricardo Pineda 22 Sol Street Ponce, PR 00730-3820 787-651-6154 masked NeoDeck Software 22 Sol Street Ponce, PR 00730-3820 787-651-6154 ricardo@nd-soft.com http://www.nd-soft.com Vendor Int 3 Complete 2009/10/29 12:00:00 2010/11/23 12:00:00 2010/11/23 03:44:15 UV 2.16.840.1.113883.13.66 sbclinical SBClinicalDocument Venkata Nimmagadda masked venkata nimmagadda 360.350.1723 masked solutions architect allied medical solutions 1820 E DesertInn Rd Las Vegas , NV 89109 Phone: 702.234.7637 (702) 524-1777 pancham95@aol.com http://alliedmedicalsolutions.com/index.html Vendor Int 13 Pending 2009/10/29 12:00:00 2009/10/29 04:18:00 UV 2.16.840.1.113883.13.67 sbclinical SBClinicalDocument Venkata Nimmagadda masked venkata nimmagadda 360.350.1723 masked solutions architect allied medical solutions 1820 E DesertInn Rd Las Vegas , NV 89109 Phone: 702.234.7637 (702) 524-1777 pancham95@aol.com http://alliedmedicalsolutions.com/index.html Vendor Int 13 Pending 2009/10/29 12:00:00 2009/10/29 04:21:58 UV 2.16.840.1.113883.4.368 t-system T-System OID Sheila Field masked Sheila Field CorroHealth 6509 Windcrest Drive Suite 165 Plano, Texas 75024 214-354-3568 masked VP T-System Client Services & Engineering Sheila Field 6509 Windcrest Drive Suite 165 Plano, Texas 75024 214-354-3568 sheila.field@corrohealth.com http://www.corrohealth.com/ Vendor Int 4 Complete 2009/11/02 12:00:00 2010/11/23 12:00:00 2025/10/10 11:10:58 UV 2.16.840.1.113883.4.369 txmedicaid Texas Medicaid Claims Administrator Jason Carpenter masked Texas Medicaid Healthcare Partnership Texas Medicaid Healthcare Partnership 12365-A Riata Trace Parkway Austin, TX 78727 512-506-7000 masked Texas Health and Human Services Commision Brown-Heatly Bldg. 4900 North Lamar Blvd. Austin, TX 78751 (512) 424-6500 Sheila.Cooper@hhsc.state.tx.us http://www.hhsc.state.tx.us/index.shtml Govt body Int 4 Complete 2009/11/04 12:00:00 2010/11/23 12:00:00 2010/11/23 03:47:42 UV 2.16.840.1.113883.3.355 aegis-EAST AEGIS Test Server East Bin Chen masked Bin Chen PO Box 3897 Merrifield, VA 22116 301-296-4485 x1040 masked Bin Chen PO Box 3897 Merrifield, VA 22116 301-296-4485 x1040 bin.chen@aegis.net http://www.aegis.net Vendor Int 3 Complete 2009/11/05 12:00:00 2010/11/23 12:00:00 2010/11/23 03:54:04 UV 2.16.840.1.113883.3.356 aegis-WEST AEGIS Test Server WEST Bin Chen masked Bin Chen PO Box 3897 Merrifield, VA 22116 301-296-4485 x1040 masked Bin Chen PO Box 3897 Merrifield, VA 22116 301-296-4485 x1040 bin.chen@aegis.net http://www.aegis.net Vendor Int 3 Complete 2009/11/05 12:00:00 2010/11/23 12:00:00 2010/11/23 03:55:53 UV 2.16.840.1.113883.3.357 aegis-NORTH AEGIS Test Server NORTH Bin Chen masked Bin Chen PO Box 3897 Merrifield, VA 22116 301-296-4485 x1040 masked Bin Chen PO Box 3897 Merrifield, VA 22116 301-296-4485 x1040 bin.chen@aegis.net http://www.aegis.net Vendor Int 3 Complete 2009/11/05 12:00:00 2010/11/23 12:00:00 2010/11/23 03:58:14 UV 2.16.840.1.113883.3.358 harthosp HARTFORD HOSPITAL John DeStefano masked John DeStefano 80 Seymour Street Hartford CT 06102 860-545-3895 masked Software Engineering Manager Hartford Hospital 80 Seymour Street Hartford CT 06102 860-545-3895 jdestef@harthosp.org www.harthosp.org Provider Int 3 Complete 2009/11/06 12:00:00 2010/11/23 12:00:00 2010/11/23 04:00:49 UV 2.16.840.1.113883.3.359 ehealthCT eHealthConnecticut John DeStefano masked John DeStefano 80 Seymour Street Hartford, CT 06102 860-545-3895 masked Technical Project Manager eHealthConnecticut, Inc 1111 Cromwell Ave, bldg 201 Rocky Hill, CT 06067 860-545-3895 jdestef@harthosp.org www.ehealthconnecticut.org Provider Int 3 Complete 2009/11/06 12:00:00 2010/11/23 12:00:00 2010/11/23 04:04:37 UV 2.16.840.1.113883.4.370 icsr-test-cvlist M2 ICSR Testing Controlled Value Root William Friggle masked William Friggle 9 Great Valley Parkway Malvern, PA 19355 1.610.889.8648 masked asdf Street Town Country Postal Code asd@asd.com SDO Int 4 Retired 2009/11/06 12:00:00 2012/05/24 12:00:00 2012/05/25 01:42:23 UV 2.16.840.1.113883.3.360 eccsys01 ECC Systems NHIN Gateway Edward Cheadle masked Edward Cheadle 1954 Longbranch Drive Draper Ut 84020 801 541-1617 masked Project Manager Edward Cheadle 1954 Longbranch Drive Draper Ut 84020 801 541-1617 edward@gopronetworks.com http://www.gopronetworks.com/ Govt body Int 3 Complete 2009/11/07 12:00:00 2010/11/23 12:00:00 2010/11/23 04:11:34 UV 2.16.840.1.113883.13.68 as-5017-2006-sex AS 5017-2006 Health Care Client Sex Sarah Gaunt masked Sarah Gaunt Level 2 10 Browning Street West End QLD Australia +61 410292509 masked Technical Interface Lead NEHTA Level 2 10 Browning Street West End QLD Australia +61 730238400 clinicalinfo@nehta.gov.au www.nehta.gov.au Govt body Int 13 Complete 2009/11/09 12:00:00 2010/11/23 12:00:00 2010/11/23 04:16:02 UV 2.16.840.1.114222.4.1.181960.1 txdshslabCC Texas Department of State Health Services Laboratory Services Section Clinical Chemistry Joshua Escalante masked Willis Gibson P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 ext 2879 masked System Administrator Texas Deparment of State Health Services P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 labappsupport@dshs.state.tx.us www.dshs.state.tx.us/lab Govt body Ext 14 Complete 2.16.840.1.114222.4.1.181960.1 2009/11/09 12:00:00 2009/12/30 12:00:00 2009/12/30 12:24:05 UV 2.16.840.1.114222.4.1.181960.1.1 txdshslabCCPat Texas Department of State Health Services Laboratory Serivices Section Clinical Chemistry Patient Identification Joshua Escalante masked Willis Gibson P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 ext 2879 masked System Administrator Texas Deparment of State Health Services P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 labappsupport@dshs.state.tx.us www.dshs.state.tx.us/lab Govt body Ext 4 Complete 2.16.840.1.114222.4.1.181960.1.1 2009/11/09 12:00:00 2009/12/30 12:00:00 2009/12/30 12:26:36 UV 2.16.840.1.114222.4.1.181960.1.2 txdshshlabCCSID Texas Department of State Health Services Laboratory Serivices Section Clinical Chemistry Specimen Identification Joshua Escalante masked Willis Gibson P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 ext 2879 masked System Administrator Texas Deparment of State Health Services P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 labappsupport@dshs.state.tx.us www.dshs.state.tx.us/lab Govt body Ext 4 Complete 2.16.840.1.114222.4.1.181960.1.2 2009/11/09 12:00:00 2009/12/30 12:00:00 2009/12/30 12:28:45 UV 2.16.840.1.114222.4.1.181960.1.3 txdshslabCCAut Texas Department of State Health Services Laboratory Serivices Section Clinical Chemistry Author Joshua Escalante masked Willis Gibson P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 ext 2879 masked System Administrator Texas Deparment of State Health Services P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 labappsupport@dshs.state.tx.us www.dshs.state.tx.us/lab Govt body Ext 4 Complete 2.16.840.1.114222.4.1.181960.1.3 2009/11/09 12:00:00 2009/12/30 12:00:00 2009/12/30 12:30:08 UV 2.16.840.1.113883.3.361 scmg Sharp Community Medical Group Jeffrey Evoy masked Jeff Evoy 8695 Spectrum Center Blvd San Diego CA, 92123 (858) 499-3098 masked Director, SCMG Physician Technology Solutions Sharp Community Medical Group 8695 Spectrum Center Blvd San Diego CA, 92123 (858) 499-4000 Jeffrey.Evoy@Sharp.com http://www.scmg.org Provider Int 3 Complete 2009/11/09 12:00:00 2010/11/23 12:00:00 2010/11/23 04:17:58 UV 2.16.840.1.113883.3.362 labcorp Laboratory Corporation of America Warren Eaton masked Steve Carter Labcorp 3060 S Church St Burlington, NC 27215 6152211872 masked IT Director Steve Carter Labcorp 3060 S Church St Burlington, NC 27215 6152211872 carters@labcorp.com http://www.labcorp.com Provider Int 3 Complete 2009/11/10 12:00:00 2010/11/23 12:00:00 2024/08/15 04:12:09 UV 2.16.840.1.113883.3.363 jscnhin Jericho Systems Corporation NHIN Gateway Brian McClung masked Brian McClung 6600 LBJ Freeway Suite 250 Dallas, Tx 75240 972-231-2000 masked Senior Programmer Brian McClung 6600 LBJ Freeway Suite 250 Dallas, Tx 75240 9722312000 brian.mcclung@jerichosystems.com http://www.jerichosystems.com Govt body Int 3 Complete 2009/11/12 12:00:00 2010/11/23 12:00:00 2010/11/23 04:26:46 UV 2.16.840.1.113883.3.364 at-v-ng1 AT-V-NG1 Zach Gibson masked Zach Gibson 5155 Parkstone Dr Chantilly, VA 20151 703-889-3943 masked MIS Zach Gibson 5155 Parkstone Dr Chantilly, VA 20151 703-889-3943 zach.gibson@agilex.com http://www.connectopensource.org Govt body Int 3 Complete 2009/11/13 12:00:00 2011/12/19 12:00:00 2011/12/19 12:24:17 UV 2.16.840.1.113883.3.365 healthCurrentHIE HealthCurrent Regional HIE in Michigan Peter Gilbert masked Peter Gilbert 3520 Green Court, Suite 300 Ann Arbor, MI 48105 734-302-4936 masked Informatics Analyst Peter Gilbert 3520 Green Court, Suite 300 Ann Arbor, MI 48105 734-302-4936 Peter.Gilbert@altarum.org http://www.healthcurrent.org/ Vendor Int 3 Complete 2009/11/13 12:00:00 2010/11/23 12:00:00 2010/11/23 04:29:56 UV 2.16.840.1.113883.3.366 acnoid2 ACNConnectOID2 Dale Olson masked Dale Olson 3609107040 masked Consultant Dale Olson 50 W San Fernando St 1200 San Jose, CA 95102 3609107040 dale.olson@accenture.com Govt body Int 3 Complete 2009/11/16 12:00:00 2010/11/23 12:00:00 2010/11/23 04:32:04 UV 2.16.840.1.113883.3.367 aornspf AORN SYNTEGRITY Standardized Perioperative Framework Fred Perner masked Marilyn Jane Bowman-Hayes Janice Kelly 2170 South Parker Road Suite 300 Denver, Co. 80231-5711 303-368-6223 masked President, AORN Syntegrity Association of periOperative Registered Nurses 2170 South Parker Road Suite 300 Denver, Co. 80231-5711 303-368-6223 syntegrityteam@aorn.org http://www.aorn.org/ Professional Society Int 3 Complete 2009/11/17 12:00:00 2010/11/23 12:00:00 2026/02/05 10:43:51 UV 2.16.840.1.114222.4.1.181960.1.4 txdshslabCCAutOrg Texas Department of State Health Services Laboratory Serivices Section Clinical Chemistry Author Organization Joshua Escalante masked Willis Gibson P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 ext 2879 masked System Administrator Texas Deparment of State Health Services P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 labappsupport@dshs.state.tx.us www.dshs.state.tx.us/lab Govt body Ext 4 Complete 2.16.840.1.114222.4.1.181960.1.4 2009/11/17 12:00:00 2009/12/30 12:00:00 2009/12/30 12:24:32 txdshslabCCAutOrg UV 2.16.840.1.114222.4.1.181960.2 txdshslabNBS Texas Department of State Health Services Laboratory Serivices Section Newborn Screening Receiver Device Agent Joshua Escalante masked Willis Gibson P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 ext 2879 masked System Administrator Texas Deparment of State Health Services P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 labappsupport@dshs.state.tx.us www.dshs.state.tx.us/lab Govt body Ext 4 Complete 2.16.840.1.114222.4.1.181960.2 2009/11/17 12:00:00 2009/12/30 12:00:00 2009/12/30 12:32:05 UV 2.16.840.1.114222.4.1.181960.2.1 txdshslabNBSPat Texas Department of State Health Services Laboratory Serivices Section Newborn Screening Patient Account/Patient Role Joshua Escalante masked Willis Gibson P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 ext 2879 masked System Administrator Texas Deparment of State Health Services P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 labappsupport@dshs.state.tx.us www.dshs.state.tx.us/lab Govt body Ext 4 Complete 2.16.840.1.114222.4.1.181960.2.1 2009/11/17 12:00:00 2009/12/30 12:00:00 2009/12/30 12:34:08 UV 2.16.840.1.114222.4.1.181960.2.2 txdshslabNBSLabNo Texas Department of State Health Services Laboratory Serivices Section Newborn Screening Newborn Lab Number Joshua Escalante masked Willis Gibson P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 ext 2879 masked System Administrator Texas Deparment of State Health Services P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 labappsupport@dshs.state.tx.us www.dshs.state.tx.us/lab Govt body Ext 4 Complete 2.16.840.1.114222.4.1.181960.2.2 2009/11/17 12:00:00 2009/12/30 12:00:00 2009/12/30 12:36:11 UV 2.16.840.1.114222.4.1.181960.2.3 txdshslabNBSLocCod Texas Department of State Health Services Laboratory Serivices Section Newborn Screening Newborn Local Code Joshua Escalante masked Willis Gibson P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 ext 2879 masked System Administrator Texas Deparment of State Health Services P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 labappsupport@dshs.state.tx.us www.dshs.state.tx.us/lab Govt body Ext 6 Complete 2.16.840.1.114222.4.1.181960.2.3 2009/11/17 12:00:00 2009/12/30 12:00:00 2009/12/30 12:38:24 UV 2.16.840.1.114222.4.1.181960.2.4 txdshslabNBSAut Texas Department of State Health Services Laboratory Serivices Section Newborn Screening Author Joshua Escalante masked Willis Gibson P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 ext 2879 masked System Administrator Texas Deparment of State Health Services P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 labappsupport@dshs.state.tx.us www.dshs.state.tx.us/lab Govt body Ext 4 Complete 2.16.840.1.114222.4.1.181960.2.4 2009/11/17 12:00:00 2009/12/30 12:00:00 2009/12/30 12:40:28 UV 2.16.840.1.114222.4.1.181960.2.5 txdshslabNBSAutResInt Texas Department of State Health Services Laboratory Serivices Section Newborn Screening Newborn Interpretation Code Joshua Escalante masked Willis Gibson P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 ext 2879 masked System Administrator Texas Deparment of State Health Services P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 labappsupport@dshs.state.tx.us www.dshs.state.tx.us/lab Govt body Ext 6 Complete 2.16.840.1.114222.4.1.181960.2.5 2009/11/17 12:00:00 2009/12/30 12:00:00 2009/12/30 12:41:59 UV 2.16.840.1.114222.4.1.181960.2.6 txdshslabNBSSID Texas Department of State Health Services Laboratory Serivices Section Newborn Screening Specimen Joshua Escalante masked Willis Gibson P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 ext 2879 masked System Administrator Texas Deparment of State Health Services P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 labappsupport@dshs.state.tx.us www.dshs.state.tx.us/lab Govt body Ext 4 Complete 2.16.840.1.114222.4.1.181960.2.6 2009/11/17 12:00:00 2009/12/30 12:00:00 2009/12/30 12:43:13 UV 2.16.840.1.114222.4.1.181960.3 txdshslabPH Texas Department of State Health Services Laboratory Serivices Section Public Health Receiver Device Agent Joshua Escalante masked Willis Gibson P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 ext 2879 masked System Administrator Texas Deparment of State Health Services P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 labappsupport@dshs.state.tx.us www.dshs.state.tx.us/lab Govt body Ext 14 4 Complete 2.16.840.1.114222.4.1.181960.3 2009/11/17 12:00:00 2009/12/30 12:00:00 2009/12/30 01:46:05 UV 2.16.840.1.114222.4.1.181960.3.1 txdshslabPHPat Texas Department of State Health Services Laboratory Serivices Section Public Health Patient Account/Patient Role Joshua Escalante masked Willis Gibson P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 ext 2879 masked System Administrator Texas Deparment of State Health Services P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 labappsupport@dshs.state.tx.us www.dshs.state.tx.us/lab Govt body Ext 4 Complete 2.16.840.1.114222.4.1.181960.3.1 2009/11/17 12:00:00 2009/12/30 12:00:00 2009/12/30 01:47:31 UV 2.16.840.1.114222.4.1.181960.3.2 txdshslabPHSID Texas Department of State Health Services Laboratory Serivices Section Public Health Specimen Joshua Escalante masked Willis Gibson P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 ext 2879 masked System Administrator Texas Deparment of State Health Services P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 labappsupport@dshs.state.tx.us www.dshs.state.tx.us/lab Govt body Ext 4 Complete 2.16.840.1.114222.4.1.181960.3.2 2009/11/17 12:00:00 2009/12/30 12:00:00 2009/12/30 01:48:56 UV 2.16.840.1.114222.4.1.181960.3.3 txdshslabPHAut Texas Department of State Health Services Laboratory Serivices Section Public Health Author Joshua Escalante masked Willis Gibson P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 ext 2879 masked System Administrator Texas Deparment of State Health Services P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 labappsupport@dshs.state.tx.us www.dshs.state.tx.us/lab Govt body Ext 4 Complete 2.16.840.1.114222.4.1.181960.3.3 2009/11/17 12:00:00 2009/12/30 12:00:00 2009/12/30 01:50:15 UV 2.16.840.1.114222.4.1.181960.3.4 txdshslabPHSpeSou Texas Department of State Health Services Laboratory Serivices Section Public Health Specimen Material Code Joshua Escalante masked Willis Gibson P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 ext 2879 masked System Administrator Texas Deparment of State Health Services P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 labappsupport@dshs.state.tx.us www.dshs.state.tx.us/lab Govt body Ext 4 Complete 2.16.840.1.114222.4.1.181960.3.4 2009/11/17 12:00:00 2009/12/30 12:00:00 2009/12/30 01:51:49 UV 2.16.840.1.113883.3.368 telusHealthSolutions Telus Health Solutions Anne Belford masked Anne Belford 5090 Explorer Drive Mississauga, Ontario L4W 4X6 905-629-5729 masked Sr. Solutions Architect Telus Health Solutions 5090 Explorer Drive Mississauga, Ontario L4W 4X6 905-602-7350 anne.belford@telus.com http://www.telus.com Vendor Int 3 Complete 2009/11/17 12:00:00 2010/11/23 12:00:00 2010/11/23 04:37:25 UV 2.16.840.1.113883.3.369 wWoodTechNHIN1 wWoodTechNHIN1 Dallas Webster masked James C. Howard Dallas Webster 40 Mound Street Dayton, OH 45402 937-331-9448 masked CEO Dallas Webster 40 Mound Street Dayton, OH 45402 937-331-9448 dalwebs@gmail.com Vendor Int 3 Complete 2009/11/19 12:00:00 2010/11/23 12:00:00 2010/11/23 04:40:13 UV 2.16.840.1.113883.3.370 kwb Root OID for Personal Projects Keith Boone masked Keith W. Boone 17 Norroway Ave Randolph, MA 02368 617-640-7007 masked Standards Developer Keith W. Boone 17 Norroway Ave Randolph, MA 02368 617-640-7007 kwboone@gmail.com http://motorcycle_guy.blogspot.com Vendor Int 3 Complete 2009/11/19 12:00:00 2010/11/23 12:00:00 2010/11/23 04:42:14 UV 2.16.840.1.113883.3.371 bxRHIO Bronx RHIO Paul Cummings masked Charlie Scaglione 1776 Eastchester Road Bronx, NY 10461 718 708 6630 masked Executive Director Bronx RHIO Inc. 1776 Eastchester Road Bronx, NY 10461 718 708 6630 information@bronxrhio.org https://www.bronxrhio.org Academic Int 3 Complete 2009/11/19 12:00:00 2009/12/28 12:00:00 2017/06/12 02:25:32 UV 2.16.840.1.113883.3.372 epha EPha.ch Marco Egbring masked Egbring 0041445864435 masked CEO EPha.ch Steinbr&#252;chelstr.6 8053 Z&#252;rich Switzerland 0041445864435 info@epha.ch http://www.epha.ch Provider Int 3 Complete 2009/11/20 12:00:00 2010/11/23 12:00:00 2010/11/23 04:47:24 UV 2.16.840.1.113883.13.69 cFBIO Conselho Federal de Biologia Beatriz de Faria Leao masked Marivan Santiago Abrah&#227;o Beatriz de Faria Leao +55-11-81141617 masked MD, PhD HL7 BRAZIL Rua Afonso Braz 644 sala 14,04511-001, S&#227;o Paulo, SP +55-11-3045-3045 chair@hl7brasil.org.br www.hl7brazil.org.br HL7 body Int 13 Complete 2009/11/20 12:00:00 2010/11/23 12:00:00 2010/11/23 04:51:09 UV 2.16.840.1.113883.5.1125 hl7V3Conformance HL7 Version 3 Conformance William Ted Klein masked Lloyd McKenzie +1-780-993-9501 masked Health Level Seven 3300 Washtenaw Ave. Suite 227 Ann Arbor, MI 48104 734-677-7777 hq@hl7.org http://www.hl7.org SDO Int 5 Complete 2009/11/20 12:00:00 2009/12/30 12:00:00 2009/12/30 03:52:00 UV 2.16.840.1.113883.13.70 cFBiomedicina Brazilian Federal Biomedicine Council Beatriz de Faria Leao masked Marivan Santiago Abrahao Beatriz de Faria Le&#227;o Av. MAcuco 550 apto 72 Sao Paulo SP Brazil +55-11-8114-1617 masked MD, PhD HL7 Brazil Rua Afonso Braz 644 sala 14,04511-001, S&#227;o Paulo, SP, Brasil +55-11-3045-3045 chair@hl7brasil.org.br www.hl7brazil.org.br HL7 body Int 13 Complete 2009/11/20 12:00:00 2010/11/23 12:00:00 2010/11/23 04:53:57 UV 2.16.840.1.113883.13.71 cOFEN Brazilian Federal Nursing Council Beatriz de Faria Leao masked Marivan Santiago Abrahao Beatriz de Faria Leao Av. Macuco 550 apto 72 S&#227;o Paulo SP Brazil 04523-001 +55-11-81141617 masked HL7 Brazil Rua Afonso Braz 644 sala 14,04511-001, S&#227;o Paulo, SP, Brasil +55-11-3045-3045 chair@hl7brasil.org.br www.hl7brazil.org.br HL7 body Int 13 Complete 2009/11/21 12:00:00 2010/11/23 12:00:00 2010/11/23 04:57:31 UV 2.16.840.1.113883.13.72 cFO Brazilian Federal Odontology Council Beatriz de Faria Leao masked Marivan Santiago Abrahao Beatriz de Faria Leao +55-11-81141617 masked MD, PhD HL7 Brazil Rua Afonso Braz 644 sala 14,04511-001, S&#227;o Paulo, SP, Brasil +55-11-3045-3045 chair@hl7brasil.org.br www.hl7brazil.org HL7 body Int 13 Complete 2009/11/21 12:00:00 2010/11/23 12:00:00 2010/11/23 04:59:50 UV 2.16.840.1.113883.3.373 thepavilion Pavilion Foundation Hospital Michael Rainey masked Michael Rainey Pavilion Foundation 809 West Church St Champaign, IL. 61820 217-373-1700 masked CFO Michael Rainey Pavilion Foundation 809 West Church St Champaign, IL. 61820 217-373-1700 michael.rainey@uhsinc.com pavilionhospital.com Provider Int 3 Complete 2009/11/23 12:00:00 2010/11/23 12:00:00 2010/11/23 05:03:23 UV 2.16.840.1.113883.3.374 csamhealth CSAM Health AS Kjetil Sanders masked Kjetil Sanders Lysaker Torg 45, 1366 Lysaker, Norway +47 98251421 masked CTO CSAM Health AS Lysaker Torg 45, 1366 Lysaker, Norway +47 98251421 info@CSAMHealth.com www.csamhealth.no Vendor Int 3 Complete 2009/11/24 12:00:00 2010/11/23 12:00:00 2010/11/23 05:06:52 UV 2.16.840.1.113883.3.375 chca Child Health Corporation of America Robert Dolin MD masked Gay Giannone Gay Giannone 949-302-8082 masked Child Health Corporation of America 6803 West 64th St. Shawnee Mission, KS 66202 913-262-1436 david.bertoch@chca.com http://www.chca.com/index_no_flash.html Prof Soc Int 3 Complete 2009/11/25 12:00:00 2010/11/23 12:00:00 2010/11/23 05:09:28 UV 2.16.840.1.113883.3.376 cciFSU dhcp73052.cci.fsu.edu Josh Crespi masked Josh Crespi 954-554-2482 masked Josh Crespi 226 Columbia Dr. Apt 2 Tallahassee FL, 32304 954-554-2482 jec06c@fsu.edu http://www.fsu.edu/ Academic Int 3 Complete 2009/11/30 12:00:00 2010/11/23 12:00:00 2010/11/23 05:18:50 UV 2.16.840.1.113883.3.377 uhsi United Health Services, Inc. Robert Brearley masked Mark Amendola 10-42 Mitchell Avenue Binghamton, NY 13903 607-762-3190 masked I.S. Manager United Health Services, Inc. 10-42 Mitchell Avenue Binghamton, NY 13903 607-762-3190 mark_amendola@uhs.org http://www.uhs.net/ Provider Int 3 Complete 2009/11/30 12:00:00 2010/11/23 12:00:00 2017/08/30 10:36:19 UV 2.16.840.1.113883.11.20.6 cdaProcedureNoteValueSetRoot cdaProcedureNoteValueSetRoot Robert Dolin MD masked Gay Giannone Gay Giannone 949-302-8082 masked SDWG 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 949-302-8082 gay@alschulerassociates.com www.HL7.org HL7 body Ext 13 Complete 2.16.840.1.113883.11.20.6 2009/11/30 12:00:00 2010/11/23 12:00:00 2010/11/23 05:34:24 UV 2.16.840.1.113883.10.20.18 cdaProcedureNoteTemplateRoot cdaProcedureNote Template Root Robert Dolin MD masked Gay Giannone Gay Giannone 949-302-8082 masked SDWG 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 949-302-8082 gay@alschulerassociates.com www.HL7.org HL7 body Ext 10 Complete 2.16.840.1.113883.10.20.18 2009/11/30 12:00:00 2010/11/23 12:00:00 2010/11/23 05:36:45 UV 2.16.840.1.113883.4.371 hIC3 Deprecated Marguerite Foote masked Marguerite Foote 70 O'Leary Avenue St. John's, NL Canada A1B 2C7 709-752-6107 masked Manager EHR Standards First DataBank Inc. 500 East 96th Street, Suite 500, Indianapolis, IN 46240 650.246.2871 mili_gera@firstdatabank.com http://www.firstdatabank.com/ Vendor Int 4 Deprecated 2009/12/02 12:00:00 2010/11/23 12:00:00 2010/11/23 05:38:29 UV 2.16.840.1.113883.3.378 healthestate HEALTHeSTATE Healthcare Information Portal Laura Swindells masked Laura Swindells 11350 Random Hills Road Ste 400 Fairfax, VA 22030 703-752-5332 masked Development Manager HEALTHeSTATE 11350 Random Hills Road Ste 400 Fairfax, VA 22030 866-270-2545 support@healthestate.us http://www.healthestate.us/ Vendor Int 3 Complete 2009/12/02 12:00:00 2010/11/23 12:00:00 2010/11/23 05:40:32 UV 2.16.840.1.113883.3.379 manitoba-eHealth-canada Manitoba eHealth, Canada Jan Labovich masked Jan Labovich 300-355 Portage Avenue Winnipeg, MB, CA R3B 0J6 204-926-9110 masked Manager, Information Architecture/Standards Manitoba eHealth 300-355 Portage Avenue Winnipeg, MB, CA R3B 0J6 204-926-9110 jlabovich@manitoba-ehealth.ca http://www.manitoba-ehealth.ca/ Govt body Int 3 Complete 2009/12/04 12:00:00 2010/11/23 12:00:00 2010/11/23 05:45:40 UV 2.16.840.1.113883.6.286 fdbHIC3 First DataBank Hierarchical Specific Therapeutic Class Code Lloyd McKenzie masked Thomas R. Bizzaro First DataBank, Inc. 500 East 96th Street, Suite 500 Indianapolis, IN 46240 USA (317) 571-7247 masked Vice President, Health Policy and Industry Relations First DataBanc Inc. First DataBank, Inc. South San Francisco, CA Corporate Headquarters 701 Gateway Blvd., Suite 600 So. San Francisco, CA 94080 317-571-7247 tom_bizzaro@firstdatabank.com http://www.firstdatabank.com/ Vendor Int 6 Complete 2009/12/04 12:00:00 2009/12/30 12:00:00 2010/11/23 05:46:51 UV 2.16.124.10.101.1.60.202 oIAQLN Ordre des infirmi&#232;res et infirmiers auxiliaires du Quebec (Canada) License Number (num&#233;ro de permis) Wendy Huang masked Taha Chaabouni Minist&#232;re de la sant&#233; et des services sociaux, 12e &#233;tage - Bureau 1272, 1075 Chemin Ste-Foy, Qu&#233;bec, QC G1S 2M1 1-418-266-4531 masked Minist&#232;re de la sant&#233; et des services sociaux du Qu&#233;bec (Canada) Minist&#232;re de la sant&#233; et des services sociaux, 1075, chemin Sainte-Foy, 15e &#233;tage, Qu&#233;bec (Qu&#233;bec) G1S 2M1 1-418-644-4545 taha.chaabouni@msss.gouv.qc.ca http://www.msss.gouv.qc.ca/ Govt body Ext 4 Complete 2.16.124.10.101.1.60.202 2009/12/04 12:00:00 2009/12/30 12:00:00 2009/12/30 01:54:03 UV 2.16.124.10.101.1.60.203 oIIQRN N&#176; matricule - Ordre des infirmi&#232;res et infirmiers du Quebec (Canada) - Registration number Wendy Huang masked Taha Chaabouni Minist&#232;re de la sant&#233; et des services sociaux, 12e &#233;tage - Bureau 1272, 1075 Chemin Ste-Foy, Qu&#233;bec, QC G1S 2M1 1-418-266-4531 masked Minist&#232;re de la sant&#233; et des services sociaux du Qu&#233;bec (Canada) Minist&#232;re de la sant&#233; et des services sociaux, 1075, chemin Sainte-Foy, 15e &#233;tage, Qu&#233;bec (Qu&#233;bec) G1S 2M1 1-418-644-4545 taha.chaabouni@msss.gouv.qc.ca http://www.msss.gouv.qc.ca/ Govt body Ext 4 Complete 2.16.124.10.101.1.60.203 2009/12/04 12:00:00 2009/12/30 12:00:00 2009/12/30 02:03:17 UV 2.16.840.1.113883.3.380 providrsoft ProvidrSoft EHR Daniel McDonald masked Daniel McDonald 748 Bates St Suite 202 Indianapolis, IN 46202 3178225005 masked VP Daniel McDonald 748 Bates St Suite 202 Indianapolis, IN 46202 3178225005 demcdonald@ProvidrSoft.com http://www.ProvidrSoft.com Govt body Int 3 Complete 2009/12/04 12:00:00 2010/11/23 12:00:00 2010/11/23 05:50:22 UV 2.16.840.1.113883.3.381 umms University of Massachusetts Medical School HL7 Root OID Christy Zuzelo masked Christy Zuzelo University of Massachusetts Medical School 305 South Street Jamaica Plain, MA 02130-3597 617-938-6246 masked Univeristy of Massachusetts Medical School University of Massachusetts Medical School 305 South Street Jamaica Plain, MA 02130-3597 617-938-6246 christy.zuzelo@umassmed.edu http://www.umassmed.edu/index.aspx Academic Int 3 Complete 2009/12/07 12:00:00 2009/12/30 12:00:00 2009/12/30 02:47:22 UV 2.16.840.1.113883.3.382 cRS1 CRS1 Zach Gibson masked Zach Gibson 5155 Parkstone Dr Chantilly, VA 20151 703 889 3943 masked MIS Zach Gibson 5155 Parkstone Dr Chantilly, VA 20151 703 889 3943 zach.gibson@agilex.com Exchange Int 3 Complete 2009/12/07 12:00:00 2011/12/19 12:00:00 2011/12/19 12:21:25 UV 2.16.840.1.113883.3.381.1 ummsnbs University of Massachusetts Medical School - Newborn Screening Program Christy Zuzelo masked Christy Zuzelo University of Massachusetts Medical School - Newborn Screening Program 305 South Street Jamaica Plain, MA 02130-3597 617-983-6246 masked University of Massachusetts Medical School - Newborn Screening Program University of Massachusetts Medical School - Newborn Screening Program 305 South Street Jamaica Plain, MA 02130-3597 617-983-6246 christy.zuzelo@umassmed.edu http://www.umassmed.edu/uploadedfiles/nbs_eng.pdf Academic Ext 14 3 Complete 2.16.840.1.113883.3.381.1 2009/12/07 12:00:00 2009/12/30 12:00:00 2009/12/30 02:09:20 UV 2.16.840.1.113883.3.381.1.1 ummsnbslims University of Massachusetts - Newborn Screening Program LIMS Christy Zuzelo masked Christy Zuzelo University of Massachusetts Medical School - Newborn Screening Program 305 South Street Jamaica Plain, MA 02130-3597 617-983-6246 masked University of Massachusetts Medical School - Newborn Screening Program University of Massachusetts Medical School - Newborn Screening Program 305 South Street Jamaica Plain, MA 02130-3597 617-983-6246 christy.zuzelo@umassmed.edu Academic Ext 4 Complete 2.16.840.1.113883.3.381.1.1 2009/12/07 12:00:00 2009/12/30 12:00:00 2009/12/30 02:49:53 UV 2.16.840.1.113883.3.383 marshfieldclinic Marshfield Clinic Organization (Clinic, Applied Sciences, Foundation, Marshfield Labs, Security Health Plan, etc.) John Finbraaten masked Melissa Owens Marshfield Clinic 1000 N Oak Ave Marshfield, WI 54449 7152218660 masked VP Implementation Services and Support Marshfield Clinic 1000 N Oak Ave Marshfield, WI 54449 7153875511 webmaster@marshfieldclinic.org https://www.marshfieldclinic.org/patients/ Provider Int 3 Complete 2009/12/10 12:00:00 2010/11/23 12:00:00 2015/01/05 04:34:23 UV 2.16.840.1.113883.3.385 pfoid Patient First Organizational OID Rick Gregory masked Rick Gregory 5000 Cox Road Suite 100 Glen Allen, VA 23060 8048224520 masked Senior Windows Developer Patient First 5000 Cox Road Suite 100 Glen Allen, VA 23060 8048224520 rick.gregory@patientfirst.com http://www.patientfirst.com Provider Int 3 Complete 2009/12/14 12:00:00 2010/11/23 12:00:00 2015/05/20 08:35:29 UV 1.0.21000.6 iso21000-6-2004E-RDD ISO/IEC 21000-6:2004(E) Rights Data Dictionary Russell Hamm masked Russell Hamm 6326 Fairway DR NW Rochester MN, 55901 507-271-0227 masked Informatics Architect ISO/IEC International Organization for Standardization (ISO) 1, ch. de la Voie-Creuse, Case postale 56 CH-1211 Geneva 20, Switzerland 41 22 749 01 11 info@iso21000-6.net http://iso21000-6.net/ SDO Ext 6 Complete 1.0.21000.6 2009/12/15 12:00:00 2009/12/16 12:00:00 2009/12/16 05:30:01 UV 2.16.840.1.113883.4.372 meridianEMR-CCD meridianEMR, Inc. CCD Michael Custode masked Michael Custode (973) 994-3220 masked CEO meridianEMR, Inc. 354 Eisenhower Parkway Livingston, NJ 07039 (973) 994-3220 mcustode@meridianEMR.com www.meridianEMR.com Vendor Int 4 Complete 2009/12/17 12:00:00 2010/11/23 12:00:00 2010/11/23 06:00:27 UV 2.16.840.1.113883.5.1126 responseMode Response Mode William Ted Klein masked HL7 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 734-677-7777 masked HL7 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 734-677-7777 hq@hl7.org http://www.hl7.org SDO Int 5 Complete 2009/12/18 12:00:00 2009/12/20 12:00:00 2009/12/21 11:41:52 RSPMODE UV 2.16.840.1.113883.5.1127 materialForm Material Form William Ted Klein masked HL7 Vocabulary Workgroup none masked Health Level Seven 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA (+1) 734-677-7777 hq@hl7.org http://www.hl7.org SDO Int 5 Complete 2009/12/21 12:00:00 2009/12/21 12:00:00 2009/12/21 04:41:08 UV 2.16.840.1.113883.5.1128 policyHolderRole Policy Holder Role Keith Boone masked Keith Boone 21 North Avenue Burlington, MA 01803 781-229-3677 masked HL7 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA (+1) 734-677-7777 hq@hl7.org http://www.hl7.org SDO Int 5 Complete 2005/03/18 12:00:00 2009/12/21 12:00:00 2009/12/21 04:59:16 UV 2.16.840.1.113883.3.386 ability ABILITY Root Brett Peterson masked Brett Peterson Butler Square 100 6th St. North, Suite 900A Minneapolis, MN 55403 1-612-460-4301 masked Chief Architect Brett Peterson Butler Square 100 6th St. North, Suite 900A Minneapolis, MN 55403 1-612-460-4301 Brett.Peterson@ABILITYnetwork.com http://www.ABILITYnetwork.com/ Vendor Int 3 Complete 2009/12/23 12:00:00 2010/11/24 12:00:00 2011/02/27 06:53:18 UV 1.0.639.3 iso639-3 ISO 639-3 Language Codes Alpha 3 William Ted Klein masked SIL International SIL International ISO 639-3 Registrar 7500 W. Camp Wisdom Rd. Dallas, TX 75236 +1 972 708 7400, ext. 229 masked ISO 639-3 Registrar SIL International SIL International ISO 639-3 Registrar 7500 W. Camp Wisdom Rd. Dallas, TX 75236 +1 972 708 7400, ext iso639-3@sil.org http://www.sil.org/ISO639-3/ Prof Soc Ext 6 Complete 1.0.639.3 2009/12/23 12:00:00 2009/12/23 12:00:00 2009/12/23 02:00:20 UV 1.0.639.1 iso639-1 ISO 639-1: Codes for the representation of names of languages -- Part 1: Alpha-2 code William Ted Klein masked International Organization for Standardization (ISO) ISO Central Secretariat International Organization for Standardization (ISO) 1, ch. de la Voie-Creuse Case postale 56 CH-1211 Geneva 20 Switzerland +41 22 749 01 11 masked ISO Central Secretariat International Organization for Standardization (ISO) ISO Central Secretariat International Organization for Standardization (ISO) 1, ch. de la Voie-Creuse Case postale 56 CH-1211 Geneva 20 Switzerland +41 22 749 01 11 noone@noemail.org http://www.iso.org/iso/home.htm SDO Ext 6 Complete 1.0.639.1 2009/12/23 12:00:00 2009/12/23 12:00:00 2009/12/23 04:12:57 UV 1.0.639.2 iso639-2 ISO 639-2: Codes for the representation of names of languages -- Part 2: Alpha-3 code William Ted Klein masked International Organization for Standardization (ISO) ISO Central Secretariat International Organization for Standardization (ISO) 1, ch. de la Voie-Creuse Case postale 56 CH-1211 Geneva 20 Switzerland +41 22 749 01 11 masked ISO Central Secretariat International Organization for Standardization (ISO) ISO Central Secretariat International Organization for Standardization (ISO) 1, ch. de la Voie-Creuse Case postale 56 CH-1211 Geneva 20 Switzerland +41 22 749 01 11 noone@noemail.org http://www.iso.org/iso/home.htm SDO Ext 6 Complete 1.0.639.2 2009/12/23 12:00:00 2009/12/23 12:00:00 2009/12/23 04:14:32 UV 1.3.88 gln GLN (Global Location Number) Christian Hay masked Ted Klein Christian Hay 3000 Bern, Switzerland +41218253219 masked Delegate Healthcare GS1 Blue Tower, Avenue Louise, 326 BE 1050 Brussels Belgium +3227887823 henri.barthel@gs1.org www.gs1.org SDO Ext 4 Complete 1.3.88 2009/12/24 12:00:00 2009/12/28 12:00:00 2009/12/28 05:45:24 UV 2.16.840.1.113883.3.387 igst i-Grandee Kesavan S masked Kesavan S 0452 2671301 masked i-Grandee 12 Veerapadra pillai compound Villapuram Madurai 0452 2671301 kesavan@igrandee.com Vendor Int 3 Complete 2009/12/26 12:00:00 2012/06/30 12:00:00 2012/06/30 10:40:19 UV 2.16.840.1.113883.3.388 ascension Ascension Health - St Louis MO Tony Byram masked Tony Byram 2800 University Blvd. Suite 232 Birmingham, AL 35233 205-558-3473 masked Sr. Director Ministry Intelligence Center Tony Byram 2800 University Blvd. Suite 232 Birmingham, AL 35233 205-558-3473 tbyram@ascensionhealth.org www.ascensionhealth.org Provider Int 3 Complete 2009/12/28 12:00:00 2010/11/24 12:00:00 2010/11/24 06:39:56 UV 2.16.840.1.113883.3.389 eHealthObjectClassRoot IITKGP E-Health Object Class Root Debkumar Patra masked Debkumar Patra Room No. 202, Block C, Vikram Saravai Residential Complex (VSRC) IIT Kharagpur Kharagpur - 721302 913222281432 masked Telemedicine Laboratory Room No. 318, 2nd Floor, Computer Science and Engineering, IIT Kharagpur Kharagpur - 721302 913222281432 telemedix@gmail.com http://telemedik.iitkgp.ernet.in Academic Int 3 Complete 2009/12/29 12:00:00 2010/11/24 12:00:00 2010/11/24 06:41:49 UV 2.16.840.1.113883.4.373 hl7v3Message Artefact Type: HL7 V3 Message Doug Pratt masked Ted Klein Doug Pratt 610-219-3050 masked InM TC Co-chair InM TC 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1-734-677-7777 hq@hl7.org http://www.hl7.org HL7 body Int 4 Complete 2005/11/18 12:00:00 2009/12/30 12:00:00 2009/12/30 09:35:08 UV 2.16.840.1.113883.4.374 hl7v2Message Artefact Type: HL7 V2 Message Doug Pratt masked Ted Klein Doug Pratt 610-219-3050 masked InM Co-chair InM WorkGroup Health Level Seven, Inc. 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1-734-677-7777 hq@hl7.org http://www.hl7.org HL7 body Int 4 Complete 2005/11/18 12:00:00 2009/12/30 12:00:00 2009/12/30 09:37:34 UV 2.16.840.1.113883.4.375 cdaDocument Artefact Type: CDA Document Doug Pratt masked Ted Klein Doug Pratt 610-219-3050 masked InM Co-chair InM Workgroup Health Level Seven, Inc. 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1-734-677-7777 hq@hl7.org http://www.hl7.org HL7 body Int 4 Complete 2005/11/18 12:00:00 2009/12/30 12:00:00 2009/12/30 11:38:09 UV 2.16.840.1.113883.3.390 luxmed Lux Med Szymon Brzuchalski masked Szymon Brzuchalski + 48 693 885 977 masked Lux Med ul. Postepu 21C Warszawa, 02-676 Poland + 48 693 885 977 szymon.brzuchalski@luxmed.pl www.luxmed.pl Provider Int 3 Complete 2010/01/06 12:00:00 2010/11/24 12:00:00 2010/11/24 06:44:50 UV 2.16.840.1.113883.3.391 saic-phso SAIC Public Health Solutions Operations Austin Kreisler masked Austin Kreisler 2295 PARKLAKE DRIVE SUITE 300 Atlanta, GA 30345 404-542-4475 masked SAIC Technical Fellow SAIC - Public Health Solutions 2295 PARKLAKE DRIVE SUITE 300 ATLANTA, GEORGIA 30345 770-986-3555 austin.j.kreisler@saic.com www.saic.com Vendor Int 3 Complete 2010/01/07 12:00:00 2010/11/24 12:00:00 2010/11/24 06:46:55 UV 2.16.840.1.113883.6.287 rxTerms RxTerms William Ted Klein masked Kin Wah Fung Kin Wah Fung National Library of Medicine 8600 Rockville Pike Bethesda, MD 20894 301-435-3151 masked Staff Scientist National Library of Medicine 8600 Rockville Pike Bethesda, MD 20894 301-435-3151 custserv@nlm.nih.gov http://wwwcf.nlm.nih.gov/umlslicense/rxtermApp/rxTerm.cfm Govt body Int 6 Complete 2010/01/11 12:00:00 2010/01/11 12:00:00 2010/01/11 02:30:17 UV 2.16.840.1.113883.3.392 pattiDoc PattiDoc Root Carlos Melendez masked Zachary Morgan 9648 Olive Boulevard Suite 302 Olivette, MO 63132 314-255-7671 masked President MEPS Corporation 9648 Olive Boulevard Suite 302 Olivette, MO 63132 314-255-7671 zmorgan@pattidoc.com https://www.pattidoc.com Vendor Int 3 Complete 2010/01/12 12:00:00 2010/01/26 12:00:00 2010/01/26 10:18:31 UV 2.16.840.1.113883.3.393 hie-rwmn-org hie.rwmn.org Steve Kehlet masked Will Ross 216 West Perkins Street, Suite 206, Ukiah, California 95482, USA 1.707.462.6369 masked Project Manager Redwood MedNet 216 West Perkins Street, Suite 206, Ukiah, California 95482, USA 1.707.462.6369 wross@redwoodmednet.org http://www.redwoodmednet.org Exchange Int 3 Complete 2010/01/13 12:00:00 2010/11/24 12:00:00 2014/03/04 09:08:14 UV 2.16.840.1.113883.3.394 sqlsrv RMSe-bubble Tamara Hill masked jmullem@risarconline.com Tamara 303 N Glenoaks Blvd Suite 660 Burbank, CA 91502 818.953.3020 masked MIS DIRECTOR Tamara Hill 303 N Glenoaks Blvd Suite 660 Burbank, CA 91502 818.953.3020 thill@risarconline.com Govt body Int 3 Complete 2010/01/15 12:00:00 2010/11/24 12:00:00 2010/11/24 06:52:41 UV 2.16.840.1.113883.3.395 avitia Avitia Systems Hugh Avitia masked Hugh Avitia 708 352 8864 masked Systems Developer Avitia Systems 708 352 8864 havitia@hotmail.com http://www.avitia.com Vendor Int 3 Complete 2010/01/16 12:00:00 2011/05/06 12:00:00 2011/05/06 06:09:44 UV 2.16.840.1.113883.3.396 pkigenetics PerkinElmer Genetics PJ Borandi masked PJ Borandi 412 220 2300 ext 154 masked PerkinElmer Genetics 90 Emerson Lane Bridgeville, PA 15017 412 220 2300 PerkinElmerGenetics.Support@PerkinElmer.com http://www.perkinelmer.com/ Provider Int 3 Complete 2010/01/18 12:00:00 2010/11/15 12:00:00 2010/11/15 02:07:23 UV 2.16.840.1.113883.4.376 vachn Veteran's Affairs Canada Health Number Wendy Huang masked Veteran's Affairs Canada Access to Information and Privacy Office Veterans Affairs Canada PO Box 7700 Charlottetown, PE C1A 8M9 1-866-522-2122 masked Veteran's Affairs Canada Access to Information and Privacy Office Veterans Affairs Canada PO Box 7700 Charlottetown, PE C1A 8M9 1-866-522-2122 information@vac-acc.gc.ca http://www.vac-acc.gc.ca Govt body Int 4 Complete 2010/01/18 12:00:00 2010/01/26 12:00:00 2010/01/26 10:20:40 UV 2.16.840.1.113883.4.377 cschn Correctional Service Canada Health Number Wendy Huang masked Correctional Services Canada Health Services Correctional Service Canada Health Services National Headquarters 340 Laurier Avenue West Ottawa, Ontario K1A 0P9 1-613-992-5891 masked Correctional Services Canada Health Services Correctional Service Canada Health Services National Headquarters 340 Laurier Avenue West Ottawa, Ontario K1A 0P9 1-613-992-5891 gen-nhq-health-servi@csc-scc.gc.ca http://www.csc-scc.gc.ca/ Govt body Int 4 Complete 2010/01/18 12:00:00 2010/11/15 12:00:00 2010/11/15 02:03:30 UV 2.16.840.1.113883.4.378 inachn Non-Insured Health Benefits Number (NIHB) for Indigenous Canadian Wendy Huang masked Department of Indian & Northern Affairs Indian and Northern Affairs Canada Terrasses de la Chaudi&#232;re 10 Wellington Street Gatineau, Quebec K1A 0H4 1-800-567-9604 masked Canada Health Infoway 150 King St. W., Suite 1300 Toronto, ON, M5H 1J9 (416) 979-4606 / Toll Free: 1 (888) 733-6462 standards@infoway-inforoute.ca https://www.infoway-inforoute.ca/en/ SDO Int 4 Complete 2010/01/18 12:00:00 2010/01/26 12:00:00 2021/12/10 04:35:20 UV 2.16.840.1.113883.4.379 rcmphn Royal Canadian Mounted Police Health Number Wendy Huang masked Royal Canadian Mounted Police RCMP Public Affairs and Communications Services Headquarters Building 1200 Vanier Parkway Ottawa ON K1A 0R2 613-993-0797 masked Royal Canadian Mounted Police RCMP Public Affairs and Communications Services Headquarters Building 1200 Vanier Parkway Ottawa ON K1A 0R2 613-993-0797 ddiv_contact@rcmp-grc.gc.ca http://www.rcmp-grc.gc.ca/ Govt body Int 4 Complete 2010/01/18 12:00:00 2010/01/26 12:00:00 2010/01/26 10:20:00 UV 2.16.124.4.101.35.4.1 nbmsln New Brunswick, Canada Medical Society License Number Wendy Huang masked Tim Flewelling HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada (506) 453-2279 masked New Brunswick Department of Health HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada (506) 453-2279 dh-ms@gnb.ca http://www.gnb.ca/ Govt body Int 4 Complete 2010/01/18 12:00:00 2010/01/25 12:00:00 2010/01/25 02:07:42 UV 2.16.840.1.113883.4.381 nbdln New Brunswick, Canada Dentist License Number Wendy Huang masked Tim Flewelling HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada (506) 453-2279 masked Tim Flewelling HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada (506) 453-2279 tim.flewelling@gnb.ca http://www.gnb.ca/ Govt body Int 4 Deprecated 2010/01/18 12:00:00 2010/02/10 12:00:00 2010/02/10 02:27:53 UV 2.16.124.4.101.35.4.2 nbdln New Brunswick, Canada Dentist License Number Wendy Huang masked Tim Flewelling HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada (506) 453-2279 masked New Brunswick Department of Health HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada (506) 453-2279 dh-ms@gnb.ca http://www.gnb.ca/ Govt body Int 4 Complete 2010/01/18 12:00:00 2010/01/25 12:00:00 2010/02/10 01:55:38 UV 2.16.124.4.101.35.4.3 nbnprn New Brunswick, Canada Nurse Practitioner Registration Number Wendy Huang masked Tim Flewelling HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada (506) 453-2279 masked New Brunswick Department of Health HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada (506) 453-2279 dh-ms@gnb.ca Govt body Int 4 Complete 2010/01/18 12:00:00 2010/01/25 12:00:00 2010/01/25 02:05:53 UV 2.16.840.1.113883.4.384 lmccn Licentiate of the Medical Council of Canada Number Wendy Huang masked Tim Flewelling HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada (506) 453-2279 masked Licentiate of the Medical Council of Canada Medical Council of Canada PO Box 8234 Stn T Ottawa ON Canada K1G 3H7 (613) 521-6012 MCC_Admin@mcc.ca http://www.mcc.ca/ Int 4 Complete 2010/01/18 12:00:00 2010/01/25 12:00:00 2010/01/25 02:04:57 UV 2.16.124.4.101.35.4.5 nbpddn New Brunswick, Canada Prescription Drug Program Number Wendy Huang masked Tim Flewelling HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada (506) 453-2279 masked New Brunswick Department of Health HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada (506) 453-2279 dh-ms@gnb.ca www.gnb.ca Govt body Int 4 Complete 2010/01/18 12:00:00 2010/01/25 12:00:00 2010/01/25 01:35:26 UV 2.16.124.4.101.35.5.1 nbdhcfi New Brunswick, Canada Dept of Health Care Facility Identifier Wendy Huang masked Tim Flewelling HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada (506) 453-2279 masked New Brunswick Department of Health HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada (506) 453-2279 dh-ms@gnb.ca www.gnb.ca Govt body Int 4 Complete 2010/01/18 12:00:00 2010/01/25 12:00:00 2010/01/25 01:31:21 UV 2.16.124.4.101.35.5.2 nbdhpi New Brunswick, Canada Dept of Health Pharmacy Identifier Wendy Huang masked Tim Flewelling HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada (506) 453-2279 masked New Brunswick Department of Health HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada (506) 453-2279 dh-ms@gnb.ca www.gnb.ca Int 4 Complete 2010/01/18 12:00:00 2010/01/25 12:00:00 2010/01/25 01:31:02 UV 2.16.124.4.101.35.5.3 nbdhpoi New Brunswick, Canada Dept of Health Physician Office Id Wendy Huang masked Tim Flewelling HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada (506) 453-2279 masked New Brunswick Department of Health New Brunswick Department of Health HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada (506) 453-2279 dh-ms@gnb.ca http://www.gnb.ca/ Govt body Ext 4 Complete 2.16.124.4.101.35.5.3 2010/01/18 12:00:00 2010/01/25 12:00:00 2010/01/25 01:29:59 UV 2.16.124.4.101.35.5.4 nbdhltcfi New Brunswick, Canada Dept of Health Long Term Care Facility Identifier Wendy Huang masked Tim Flewelling HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada (506) 453-2279 masked New Brunswick Department of Health HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada (506) 453-2279 dh-ms@gnb.ca www.gnb.ca Govt body Ext 4 Complete 2.16.124.4.101.35.5.4 2010/01/18 12:00:00 2010/01/25 12:00:00 2010/01/25 01:29:04 UV 2.16.124.4.101.35.5.5 nbdmhcfi New Brunswick, Canada Dept of Health Mental Health Care Facility Identifier Wendy Huang masked Tim Flewelling HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada (506) 453-2279 masked New Brunswick Department of Health HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada (506) 453-2279 dh-ms@gnb.ca www.gnb.ca Govt body Ext 4 Complete 2.16.124.4.101.35.5.5 2010/01/18 12:00:00 2010/01/25 12:00:00 2010/01/25 01:28:22 UV 2.16.124.4.101.35.5.6 nbdhacfi New Brunswick, Canada Dept of Health Addiction Center Facility Identifier Wendy Huang masked Tim Flewelling HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada (506) 453-2279 masked New Brunswick Department of Health HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada (506) 453-2279 dh-ms@gnb.ca www.gnb.ca Govt body Ext 4 Complete 2.16.124.4.101.35.5.6 2010/01/18 12:00:00 2010/01/25 12:00:00 2010/01/25 01:27:36 UV 2.16.124.4.101.35.5.7 nbdhdfi New Brunswick, Canada Dept of Health Dental Facility Identifier Wendy Huang masked Tim Flewelling HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada (506) 453-2279 masked New Brunswick Department of Health HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada (506) 453-2279 dh-ms@gnb.ca www.gnb.ca Govt body Ext 4 Complete 2.16.124.4.101.35.5.7 2010/01/18 12:00:00 2010/01/25 12:00:00 2010/01/25 01:26:10 UV 2.16.124.4.101.35.5.8 nbcpi New Brunswick, Canada Community Pharmacy Identifier Wendy Huang masked Tim Flewelling HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada (506) 453-2279 masked New Brunswick Department of Health HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada (506) 453-2279 dh-ms@gnb.ca www.gnb.ca Govt body Ext 4 Complete 2.16.124.4.101.35.5.8 2010/01/18 12:00:00 2010/01/25 12:00:00 2010/01/25 01:24:14 UV http://www.oid-info.com/get/2.16.840.1.113883.3.20 tbs TBS GROUP Andrea Ceiner masked davide.magni@italtbs.com Andrea Ceiner Area Science Park, Padriciano 99 34149 Trieste (TS) Italy +393351342455 masked software development manager at TBS Group Andrea Ceiner Area Science Park, Padriciano 99 34149 Trieste (TS) Italy +393351342455 andrea.ceiner@italtbs.com www.tbsgroupspa.com Vendor Ext 3 Rejected http://www.oid-info.com/get/2.16.840.1.113883.3.20 2010/01/19 12:00:00 2010/01/26 12:00:00 2010/01/26 10:29:00 UV 2.16.840.1.113883.3.397 wanda wanda.aegis.net Bin Chen masked Bin Chen 703-893-6020 masked AEGIS.net AEGIS.net, Inc PO BOX 3897 Merrifield, VA 22116 703-893-6020 bin.chen@aegis.net http://www.aegis.net/ Vendor Int 3 Complete 2010/01/19 12:00:00 2010/10/01 12:00:00 2010/10/01 03:28:37 UV 2.16.840.1.113883.3.398 claudy claudy.aegis.net Bin Chen masked Bin Chen 703-893-6020 masked AEGIS.net AEGIS.net, Inc PO BOX 3897 Merrifield, VA 22116 703-893-6020 bin.chen@aegis.net www.aegis.net Vendor Int 3 Complete 2010/01/19 12:00:00 2010/11/24 12:00:00 2010/11/24 06:56:52 UV 2.16.840.1.113883.3.399 odette odette.aegis.net Bin Chen masked Bin Chen 703-893-6020 masked AEGIS.net AEGIS.net,INC PO BOX 3897 Merrifield, VA 22116 703-893-6020 bin.chen@aegis.net www.aegis.net Vendor Int 3 Complete 2010/01/19 12:00:00 2010/11/15 12:00:00 2010/11/15 01:59:35 UV 2.16.840.1.113883.4.388 collegePhysiotherapistsON College of Physiotherapists of Ontario Elizabeth Bouchard masked Elizabeth Bouchard 5090 Explorer Dr Suite 1000 Mississauga ON L4W 4X6 905-629-5711 masked College of Physiotherapists of Ontario 375 University Ave, Suite 901 Toronto ON M5G 2J5 416-591-3828 jrobinson@collegept.org http://www.collegept.org/ Govt body Int 4 Complete 2010/01/20 12:00:00 2010/10/01 12:00:00 2010/10/01 03:34:42 UV 2.16.840.1.113883.13.73 emroncell Electronic medical records on mobile devices Tushar Kale masked Tushar Kale 310 Lake Crest Ct Lake Crest Ct. Weston, FL 33326 9542821130 masked President EmrOnCell 310 Lake Crest Ct Lake Crest Ct. Weston, FL 33326 9542821130 tskale@w3apps.com http://w3apps.com/ Vendor Int 13 Complete 2010/01/20 12:00:00 2010/10/01 12:00:00 2010/10/01 03:40:04 UV 2.16.840.1.113883.3.400 popHealth1 popHealth CONNECT Gateway Shauni Deshmukh masked Shauni Deshmukh 781-271-4885 masked Software Systems Engineer Shauni Deshmukh 202 Burlington Rd Bedford MA 01730 781-271-4885 ideshmukh@mitre.org http://www.mitre.org Govt body Int 3 Complete 2010/01/26 12:00:00 2010/10/01 12:00:00 2010/10/01 03:43:14 UV 2.16.840.1.113883.3.401 wfbh Wake Forest University Baptist Medical Center Joe Foster masked Mark Pemberton Wake Forest Baptist Health Information Technology Services Medical Center Blvd. Winston-Salem, NC 17157 336-713-1870 masked Manager, ITS Data Integration Wake Forest Baptist Health Medical Center Blvd. Winston-Salem, NC 17157 336-716-9253 mpembert@wakehealth.edu http://www.wakehealth.edu/ Provider Int 3 Complete 2010/01/27 12:00:00 2010/07/23 12:00:00 2017/02/09 10:36:28 UV 2.16.840.1.113883.3.402 thinc Taconic Health Information Network and Community Sandeep Subramanian masked Sandeep Subramanian 888-206-4237 ext. 227 masked Taconic Health Information Network and Community 300 Westage Business Center Drive, Suite 320, Fishkill, NY 12524 845-896-4726 sandeep.subramanian@gsihealth.com http://www.thincrhio.org Vendor Int 3 Complete 2010/01/29 12:00:00 2010/10/01 12:00:00 2010/10/01 03:49:56 UV 2.16.840.1.113883.3.403 wsupg Wayne State University Physician Group Peter Gilbert masked Peter Gilbert 734 604 0255 masked Interface Analyst Wayne State University Physician Group Wayne State University Physician Group 3800 Woodward Avenue, Suite 600 Detroit, Mich. 48201 734 604 0255 pgilbert@med.wayne.edu http://wsupg.med.wayne.edu/ Provider Int 3 Complete 2010/01/29 12:00:00 2010/10/01 12:00:00 2010/10/01 03:53:34 UV 2.16.840.1.113883.4.389 cafhn Canadian Armed Forces Health Number Wendy Huang masked Department of National Defense Department of National Defence National Defence Headquarters Major-General George R. Pearkes Building 101 Colonel By Drive Ottawa, Ontario, Canada K1A 0K2 1-800-467-9877 masked Department of National Defense Department of National Defence National Defence Headquarters Major-General George R. Pearkes Building 101 Colonel By Drive Ottawa, Ontario, Canada K1A 0K2 1-800-467-9877 noemail@email.com http://www.forces.gc.ca/ Govt body Int 4 Complete 2010/02/01 12:00:00 2010/10/01 12:00:00 2010/10/01 03:56:59 UV 2.16.840.1.114222.4.1.181960.1.5 txdshslabCCPerEnt Texas Department of State Health Services Laboratory Serivices Section Clinical Chemistry Person Entity Joshua Escalante masked Willis Gibson P.O. Box 149347 Austing, TX 78714-9347 512 458 7111 ext 2879 masked System Administrator Texas Deparment of State Health Services P.O. Box 149347 Austing, TX 78714-9347 512 458 7111 labappsupport@dshs.state.tx.us www.dshs.state.tx.us/lab Govt body Ext 4 Complete 2.16.840.1.114222.4.1.181960.1.5 2010/02/01 12:00:00 2010/10/01 12:00:00 2010/10/01 04:03:34 UV 2.16.840.1.114222.4.1.181960.2.7 txdshslabNBSPerEnt Texas Department of State Health Services Laboratory Serivices Section Newborn Screening Person Entity Joshua Escalante masked Willis Gibson P.O. Box 149347 Austing, TX 78714-9347 512 458 7111 ext 2879 masked System Administrator Texas Deparment of State Health Services P.O. Box 149347 Austing, TX 78714-9347 512 458 7111 labappsupport@dshs.state.tx.us www.dshs.state.tx.us/lab Govt body Ext 4 Complete 2.16.840.1.114222.4.1.181960.2.7 2010/02/01 12:00:00 2010/10/01 12:00:00 2010/10/01 04:11:30 UV 2.16.840.1.114222.4.1.181960.3.5 txdshslabPHSPerEnt Texas Department of State Health Services Laboratory Serivices Section Public Health Person Entity Joshua Escalante masked Willis Gibson P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 ext 2879 masked System Administrator Texas Deparment of State Health Services P.O. Box 149347 Austin, TX 78714-9347 512 458 7111 labappsupport@dshs.state.tx.us www.dshs.state.tx.us/lab Govt body Ext 3 Complete 2.16.840.1.114222.4.1.181960.3.5 2010/02/01 12:00:00 2010/10/01 12:00:00 2010/10/01 04:23:20 UV 2.16.840.1.113883.3.404 nhin NHIN Gateway Zachary Kenton masked Zachary Kenton 201 Broadway Cambridge, MA 02139 617-621-6427 masked Systems Administrator Zachary Kenton 201 Broadway Cambridge, MA 02139 617-621-6427 zkenton@outcome.com http://www.outcome.com/ Govt body Int 3 Complete 2010/02/01 12:00:00 2010/10/01 12:00:00 2010/10/01 04:00:56 UV 2.16.840.1.113883.3.405 hmc Harrison Medical Center Patricia Russell masked Donald Rozwick Patricia Russell, RHIA Harrison HealthLink 2601 Cherry Avenue Bremerton, WA 98310 3607441896 masked Application Analyst Harrison Medical Center Harrison Medical Center 2520 Cherry Avenue Bremerton, WA 98310 360-744-3911 prussell@harrisonmedical.org http://www.harrisonmedical.org Provider Int 3 Complete 2010/02/02 12:00:00 2010/10/01 12:00:00 2010/10/01 04:06:09 UV 2.16.840.1.113883.3.406 test test Tanya Oberoi masked test 8675456789 masked test test test 5084753434 tanya@gmail.com Vendor Int 3 Rejected 2010/02/03 12:00:00 2010/10/01 12:00:00 2010/10/01 04:07:48 UV 2.16.840.1.113883.3.407 vanhintrial VA NHIN TRIAL INSTALL Vicente Abril masked Vicente Abril 11208 Blue Heron Blvd, Suite 250 (727) 346-3792 masked System Engeneer vicente.abril@va.gov 11208 Blue Heron Blvd, Suite 250 (727) 346-3792 vicente.abril@va.gov Govt body Int 3 Rejected 2010/02/03 12:00:00 2010/10/01 12:00:00 2010/10/01 04:13:13 UV 2.16.840.1.113883.3.408 lmh Lexington Memorial Hospital kevin buchanan masked Kevin Buchanan 250 Hospital Drive PO Box 1817 Lexington, NC 27292 336-238-4286 masked Chief Information Officer Lexington Memorial Hospital 250 Hospital Drive PO Box 1817 Lexington, NC 27292 336-248-5161 kbuchanan@lmh.cc http://www.lexingtonmemorial.com Provider Int 3 Complete 2010/02/04 12:00:00 2010/09/03 12:00:00 2010/09/03 01:31:45 UV 2.16.840.1.113883.3.409 ekcita East Kern County Integrated Technology Association Jami Young masked Jami Young 213-595-0809 masked VP East Kern County Integrated Technology Association 785 Tucker Road, Suite G PMB 417 Tehachapi, CA 93561 213-595-0809 j.young@believehealth.com www.ekcita.org Govt body Int 3 Complete 2010/02/04 12:00:00 2010/09/03 12:00:00 2010/09/03 01:35:25 UV 2.16.840.1.113883.3.410 test test Test Test masked test 1234567891 masked Test test 1234567891 1testemail1@aol.com Academic Int 3 Rejected 2010/02/04 12:00:00 2010/05/13 12:00:00 2010/05/13 10:46:25 UV 2.16.840.1.113883.3.411 test test First Last masked test 1234567890 masked test test 1234567890 test@test22.com Provider Int 3 Rejected 2010/02/05 12:00:00 2010/05/13 12:00:00 2010/05/13 10:45:41 UV 2.16.840.1.113883.3.412 omrs-nhin The NHIN Gateway for the Open Electronic Medical Record System Triet Lu masked Triet Lu 14018 Eagle Chase Circle Chantilly VA 20151 703 232 1428 masked Present Triet Lu 14018 Eagle Chase Circle Chantilly VA 20151 703 232 1428 triet@bluecloudllc.com http://www.bluecloudllc.com Vendor Int 3 Complete 2010/02/05 12:00:00 2010/09/03 12:00:00 2010/09/03 01:38:24 UV 2.16.840.1.113883.3.413 chsnhin1 Conemaugh Health System NHIN Gateway John Hargreaves masked John Hargreaves 1086 Franklin Street Johnstown, PA 15905 814-269-5277 masked Project Manager John Hargreaves 1086 Franklin Street Johnstown, PA 15905 814-269-5277 jhargrea@conemaugh.org http://www.conemaugh.org Govt body Int 3 Complete 2010/02/09 12:00:00 2010/09/03 12:00:00 2010/09/03 01:41:44 UV 2.16.840.1.113883.3.415 digilugu perearst guljajeva o&#252; svetlana guljajeva masked svetlana guljajeva 88 ">=48 11316 Tallinn %0@LN<00 6996517 masked svetlana guljajeva 88 ">=48 Tallinn 11316 Harjumaa 6996517 perearst.guljajeva@ail.ee Prof Soc Int 3 Rejected 2010/02/11 12:00:00 2010/10/01 12:00:00 2010/10/01 04:17:03 UV 2.16.840.1.113883.3.416 popHealth2 popHealth Federal Partner CONNECT Gateway Shauni Deshmukh masked Shauni Deshmukh 781-271-4885 masked Shauni Deshmukh 202 Burlington Road Bedford, MA 01730 781-271-4885 ideshmukh@mitre.org http://www.mitre.org Govt body Int 3 Complete 2010/02/11 12:00:00 2010/09/03 12:00:00 2010/09/03 01:45:47 UV 2.16.840.1.113883.3.417 nhinwin Windows Based NHIN Computer Justin Rogers masked Justin Rogers 863-514-5189 masked FSU NHINConnect Work Group 625 University Way Diffenbaugh 426 Tallahassee FL, 32306 863-514-5189 jnr02f@fsu.edu http://www.fsu.edu/ Govt body Int 3 Complete 2010/02/11 12:00:00 2010/10/01 12:00:00 2010/10/01 04:28:17 UV 2.16.840.1.113883.3.418 nhinlin Linux Based NHIN Computer Justin Rogers masked Justin Rogers 8635145189 masked FSU NHIN Connect 625 University Way Diffenbaugh 426 Tallahassee, FL 32306 8635145189 jnr02f@fsu.edu http://www.fsu.edu/ Govt body Int 3 Complete 2010/02/11 12:00:00 2010/10/01 12:00:00 2010/10/01 04:31:44 UV 2.16.840.1.113883.13.74 cecilsTestValueSet Cecil O Lynch Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane 916-412-5504 masked Cecil Lynch Cecil Lynch 6500 Countrywoods Lane 916-412-5504 clynch@ontoreason.com Int 13 Rejected 2010/02/16 12:00:00 2010/09/03 12:00:00 2010/09/03 03:15:09 UV 2.16.840.1.113883.3.419 aBCBSMHIE1 BCBSM NHIN connect NHIE Gateway Leon Shao masked Leon Shao 600 E. Lafayette Blvd. Detroit, MI 48226-6990 313 225 8877 masked App Dev, Sr. Leon Shao 600 E. Lafayette Blvd. Detroit, MI 48226-6990 313 225 8877 lshao@bcbsm.com http://www.bcbsm.com Govt body Int 3 Complete 2010/02/17 12:00:00 2010/09/03 12:00:00 2010/09/03 03:18:07 UV 2.16.840.1.113883.3.420 nhin3mirthcorpcom nhin3.mirthcorp.com Steve Kehlet masked Steve Kehlet Steve Kehlet 18831 Von Karman Ave., Suite 300 Irvine, CA 92612 949-255-5070 masked Sr. Systems Administrator Mirth Corporation 18831 Von Karman Ave., Suite 300 Irvine, CA 92612 949-255-5070 sysadm@mirthcorp.com http://www.mirthcorp.com Govt body Int 3 Complete 2010/02/17 12:00:00 2010/09/03 12:00:00 2010/09/03 03:22:07 UV 2.16.840.1.113883.3.421 cphm-ln College of Pharmacists of Manitoba Pharmacist License Number Jan Labovich masked Marc Larrivee Shared Health 900 - 330 Portage Ave. Winnipeg, Manitoba R3C 0C4 204-926-9096 masked Information Architecture and Standards College of Pharmacists of Manitoba 300 - 355 Portage Ave Winnipeg, Manitoba R3B 0J6 204-926-9096 mlarrivee@sharedhealthmb.ca http://www.sharedhealthmb.ca Prof Soc Int 4 Complete 2010/02/18 12:00:00 2010/09/03 12:00:00 2022/01/06 10:21:32 UV 2.16.840.1.113883.3.422 cpsm-ln College of Physicians and Surgeons of Manitoba License Number Jan Labovich masked Marc Larrivee 900-330 Portage Ave. Winnipeg, MB R3C 0C4 204-926-9096 masked Information Architecture and Standards College of Physicians and Surgeons of Manitoba 300 - 355 Portage Ave Winnipeg, Manitoba R3B 0J6 204-926-9096 mlarrivee@sharedhealthmb.ca Prof Soc Int 4 Complete 2010/02/19 12:00:00 2010/09/03 12:00:00 2021/11/17 10:07:06 UV 2.16.840.1.113883.3.423 nuance-health Nuance Healthcare OID Registry Carol Fleury masked Ann Hartunian Carol Fleury 1 Wayside Rd Burlington, MA 01803 781-565-5000 masked Business Analyst Nuance Healthcare Division 1 Wayside Rd Burlington, MA 01803 781-565-5000 carol.fleury@nuance.com http://www.nuance.com/ Vendor Int 3 Complete 2010/02/23 12:00:00 2010/09/03 12:00:00 2010/09/03 03:31:12 UV 2.16.840.1.113883.3.424 nhinri1c23 NHINRI1C23.aegis.net Bin Chen masked Bin Chen 7038936020 masked AEGIS.net AEGIS.net,INC PO BOX 3897 Merrifield, VA 22116 7038936020 bin.chen@aegis.net http://www.aegis.net Vendor Int 3 Complete 2010/02/23 12:00:00 2010/09/03 12:00:00 2010/09/03 03:34:40 UV 2.16.840.1.113883.3.425 nhinri2c23 NHINRI2C23.aegis.net Bin Chen masked Bin Chen 7038936020 masked AEGIS.net AEGIS.net,INC PO BOX 3897 Merrifield, VA 22116 7038936020 bin.chen@aegis.net http://www.aegis.net Vendor Int 3 Complete 2010/02/23 12:00:00 2010/09/03 12:00:00 2010/09/03 03:41:51 UV 2.16.840.1.113883.3.426 nhinri3c23 NHINRI3C23.aegis.net Bin Chen masked Bin Chen 7038936020 masked AEGIS.net AEGIS.net,INC PO BOX 3897 Merrifield, VA 22116 7038936020 bin.chen@aegis.net http://www.aegis.net Vendor Int 3 Complete 2010/02/23 12:00:00 2010/09/03 12:00:00 2010/09/03 03:44:52 UV 2.16.840.1.113883.3.427 jasszz Jasz j Jasz s masked angela.sparkle@ymail.com Jasz - 9989898989 masked abc Jasz - 9900989878 angela.sparkle@ymail.com Academic Int 3 Rejected 2010/02/24 12:00:00 2010/10/01 12:00:00 2010/10/01 04:32:45 UV 2.16.840.1.113883.3.428 heartlandhealth Heartland Health OID Root Don Sherman masked Don Heartland Business Plaza 137 North Belt St. Joseph, MO 64506 816-271-7940 masked Heartland Health 5325 Faraon St. Joseph, MO 64506 816-271-7940 don.sherman@heartland-health.com http://www.heartland-health.com Provider Int 3 Complete 2010/02/24 12:00:00 2010/09/03 12:00:00 2010/09/03 03:49:52 UV 2.16.840.1.113883.3.26.7 nci-CBIIT-ClinicalConnector NCI CBIIT Clinical Connector Object Identifiers Frank Hartel masked mhaber@mail.nih.gov Christo Andonyadis NCI - CBIIT MSC 8506 2115 E. Jefferson St. Rockville, MD 20892. 301-402-6590 masked Assoc. Director Margaret Haber NCI - CBIIT Rm 6039 2115 E. Jefferson St. Rockville, MD 20852 301-402-4277 mhaber@mail.nih.gov http://ncicb.nci.nih.gov Govt body Int 4 4 Complete 2010/03/01 12:00:00 2010/03/10 12:00:00 2010/03/10 03:14:32 UV 1.3.6.1.4.1.5146 eclp Eclipsys Corporation Root OID Clay Haney masked Clay Haney 4048475209 masked Interoperability Architect Eclipsys Corporation Three Ravinia Drive Suite B150 Atlanta, GA 30346-2156 404-847-5000 clay.haney@eclipsys.com www.eclipsys.com Vendor Ext 3 Complete 1.3.6.1.4.1.5146 2010/03/01 12:00:00 2010/09/03 12:00:00 2010/09/03 03:52:48 UV 2.16.840.1.113883.3.429 nhs Northwest Health Services, Inc. Justin Copeland masked Copeland Justin Copeland 2303 Village Drive PO Box 8612 St. Joseph, Missouri 64508-8612 816-676-3734 masked CIO Justin Copeland 2303 Village Drive PO Box 8612 St. Joseph, Missouri 64508-8612 816-676-3734 jcopeland@nwhealth-services.org http://www.nwhealth-services.org Provider Int 3 Complete 2010/03/02 12:00:00 2010/09/03 12:00:00 2010/09/03 03:58:09 UV 2.16.840.1.113883.3.430 vircodev Virco Lab, Inc. Development Brian Wasikowski masked Brian Wasikowski 8908 Scotch Castle Dr Raleigh, NC 27612 9197869153 masked IT Manager Brian Wasikowski 8908 Scotch Castle Dr Raleigh, NC 27612 9197869153 bwasikow@its.jnj.com http://virco.xleo.com Vendor Int 3 Complete 2010/03/03 12:00:00 2010/09/03 12:00:00 2010/09/03 04:01:21 UV 2.16.840.1.113883.3.431 hvhs Heritage Valley Health System Kathleen Riggle masked Jon Zagorski Heritage Valley Health System 1000 Dutch Ridge Road Beaver, PA 15009 724-601-1334 masked Director of Application and Technology Development Heritage Valley Health System Heritage Valley Health System 1000 Dutch Ridge Road Beaver, PA 15009 724-728-7000 jzagorski@hvhs.org www.heritagevalley.org Provider Int 3 Complete 2010/03/03 12:00:00 2010/09/03 12:00:00 2010/09/03 04:06:25 UV 2.16.840.1.113883.3.432 carealign CareAlign Alexander Saip masked Justin Morgan 3322 West End Ave. Suite 115 Nashville, TN 37203 251.345.0000;0398 masked Direct of Technology, Nashville The SSI Group, LLC 4721 Morrison Drive Mobile, AL 36609 251.345.0000 info@ssigroup.com http://thessigroup.com/ Vendor Int 3 Complete 2010/03/04 12:00:00 2010/09/03 12:00:00 2019/04/15 09:24:32 UV 2.16.840.1.113883.3.433 testconnect myconnect sabitha ss masked s 9988777765 masked se sabitha - 9988776655 sabitha.saha@walkingtree.in Govt body Int 3 Rejected 2010/03/05 12:00:00 2010/10/01 12:00:00 2010/10/01 04:34:31 UV 2.16.840.1.113883.3.434 muschealth MUSCHealth - Medical University of South Carolina (MUSC) Mark Daniels masked Mark Daniels Medical University of South Carolina 19 Hagood Ave Suite 201 MSC 801 Charleston, SC 29425 843-792-6001 masked Director, Enterprise IT Architecture Medical University Hospital Authority (Medical University of South Carolina) 171 Ashley Ave Charleston, SC 29425 843 792-6001 danielsm@musc.edu http://www.musc.edu Govt body Int 3 Complete 2010/03/08 12:00:00 2010/10/01 12:00:00 2013/05/23 04:22:31 UV 2.16.840.1.113883.3.435 cess24test CESS 2.4 Validation Test Kathy Pham masked Kathy Pham 3219846259 masked Software Engineer Kathy Pham 150 S. Wickham Melbourne, FL 32904 3219846259 kpham04@harris.com http://www.harris.com/ SDO Int 3 Complete 2010/03/08 12:00:00 2010/10/01 12:00:00 2010/10/01 04:42:51 UV 2.16.840.1.113883.3.436 atc atc med wayne wang masked wayne wang 7036258502 masked wayne wang Fairfax, VA 7036258502 wdxn@hotmail.com Govt body Int 3 Rejected 2010/03/10 12:00:00 2010/10/01 12:00:00 2010/10/01 05:03:56 UV 2.16.840.1.113883.3.437 lacie Lewis And Clark Information Exchange OID Root Jacob Jordan masked Lewis And Clark Information Exchange 12200 NW Ambassador Drive Suite 232 Kansas City, MO 64163 8162717232 masked Lewis And Clark Information Exchange 12200 NW Ambassador Drive Suite 232 Kansas City, MO 64163 8162717232 info@lacie-hie.com http://www.lacie-hie.com Provider Int 3 Complete 2010/03/11 12:00:00 2010/10/01 12:00:00 2013/07/15 02:47:15 UV 2.16.840.1.113883.3.438 healthBridge3 HealthBridge NHIN Gateway (NHIN3) Gary Teichrow masked Steve Kehlet Mike Wells 615 Elsinore Place Suite 500 Cincinnati, Ohio 45202 5132475280 masked Director, Information Security The Health Collaborative 615 Elsinore Place Suite 500 Cincinnati, Ohio 45202 5136183600 hostmaster@healthbridge.org http://www.healthbridge.org Exchange Int 3 Complete 2010/03/11 12:00:00 2010/10/01 12:00:00 2018/03/02 02:50:35 UV 2.16.840.1.113883.13.75 dpmccd TRAKnet DPM CCD Brian Vratisovsky masked sleum@biomedix.com Scott Leum 651-233-5789 masked BioMedix 4215 White Bear Prwy # 200 Saint Paul, MN 55110 651-233-5789 sleum@biomedix.com http://www.biomedix.com/ Vendor Int 13 Complete 2010/03/12 12:00:00 2010/10/01 12:00:00 2010/10/01 04:52:19 UV 2.16.840.1.113883.4.390 collegeOpticianOntario College of Opticians of Ontario Elizabeth Bouchard masked Elizabeth Bouchard 5090 Explorer Dr Mississauga ON Canada L4W 4X6 905-629-5711 masked Provider Services Database Administrator Caroline MacIsaac-Power, RO 85 Richmond St W, Suite 902 Toronto ON Canada M5H 2C9 416-368-3616 cpower@coptont.org http://www.coptont.org/HOME/default.asp Govt body Int 4 Complete 2010/03/12 12:00:00 2010/10/01 12:00:00 2010/10/01 04:57:01 UV 2.16.840.1.113883.3.439 ctaNHINgateway CTA NHIN Connect Gateway John McKim masked John McKim 1817 Sycamore Valley Drive #303 Reston, VA, 20190 703-435-7474 masked Lead Architect CTA Inc. 12530 Parklawn Drive, Suite 470 Rockville, Maryland 20852 (301) 581-3270 jim.scott@cta.com http://www.cta.com/ Govt body Int 3 Complete 2010/03/12 12:00:00 2010/09/03 12:00:00 2010/09/03 04:28:16 UV 2.16.840.1.113883.4.391 eCW eClinicalWorks Ananya Gupta masked Bhawna Batra Ananya Gupta 5084750600 Ext 7227 masked eClinicalWorks LLC Westborough Executive Park, 112 Turnpike Road (Route 9), Westborough, MA 01581 5084750600 Ext 7227 ananya.g@eclinicalworks.com www.eclinicalworks.com Vendor Int 4 Complete 2010/03/12 12:00:00 2010/10/01 12:00:00 2010/10/01 04:59:11 UV 2.16.840.1.113883.3.440 maehc Massachusetts eHealth Collaborative Rachel Kell masked Rachel Kell 860 Winter Street Waltham, MA 02451 781-434-7549 masked Health IT Analyst Massachusetts eHealth Collaborative 860 Winter Street Waltham, MA 02451 781-434-7905 contact@maehc.org http://www.maehc.org Vendor Int 3 Complete 2010/03/16 12:00:00 2010/10/01 12:00:00 2012/03/13 03:16:27 UV 2.16.840.1.113883.4.392 maehc-QDC Massachusetts eHealth Collaborative Quality Data Center Rachel Kell masked Rachel Kell 860 Winter Street Waltham, MA 02451 781-434-7549 masked Health IT Analyst Massachusetts eHealth Collaborative 860 Winter Street Waltham, MA 02451 781-434-7905 contact@maehc.org http://www.maehc.org Vendor Int 4 Complete 2010/03/16 12:00:00 2010/10/01 12:00:00 2012/03/13 03:17:43 UV 2.16.840.1.113883.3.441 greenway Greenway Medical Technologies Rob Newman masked Steve Felt 121 Greenway Blvd Carrollton, GA 30117 678-839-4368 masked Director of PrimeResearch Development Greenway Medical Technologies 121 Greenway Blvd Carrollton, GA 30117 678-839-4368 SteveFelt@GreenwayMedical.com http://www.GreenwayMedical.com Vendor Int 3 Complete 2010/03/16 12:00:00 2010/10/01 12:00:00 2010/10/01 05:08:48 UV 2.16.840.1.113883.5.1129 contextConductionStyle ContextConductionStyle George (Woody) Beeler Jr PhD masked GW Beeler 507-254-4810 masked HL7 Modeling & Methodology Work Group Ann Arbor, MI 734-677-7777 mnm@lists.hl7.org HL7 body Int 5 Complete 2010/03/16 12:00:00 2010/10/01 12:00:00 2010/10/01 05:11:16 UV 2.16.840.1.113883.3.442 sOLITCON Health Information Exchange Josiah Solomon masked Josiah Solomon 5900 37th Ave S Apt. C14 Seattle, WA 98118 2068833594 masked CIO Josiah Solomon 5900 37th Ave S Apt. C14 Seattle, WA 98118 206883-3594 solitcon@gmail.com Vendor Int 3 Complete 2010/03/17 12:00:00 2010/10/01 12:00:00 2010/10/01 05:13:47 UV 2.16.840.1.113883.4.393 microfour MicroFour, Inc. OID W Jay Taylor masked W Jay Taylor MicroFour, Inc. 7118 I-40 West Bldg D Amarillo, TX 79106 806.463.7007 masked V.P. W Jay Taylor MicroFour, Inc. 7118 I-40 West Bldg D Amarillo, TX 79106 806.463.7007 wjtaylor@micro4.com www.micro4.com Vendor Int 3 Complete 2010/03/17 12:00:00 2010/09/03 12:00:00 2010/09/03 12:04:54 UV 2.16.840.1.113883.11.76 knowledgeSubjectObservationValue KnowledgeSubjectObservationValue George (Woody) Beeler Jr PhD masked G Beeler 734-677-7777 masked MnM Co-chair Vocabulary Work Group HL7 International Ann Arbor, MI 734-677-7777 vocab@lists.hl7.org HL7 body Int 11 Complete 2010/03/18 12:00:00 2010/03/19 12:00:00 2010/03/19 02:43:31 UV 2.16.840.1.113883.11.77 knowledgeSubtopicObservationValue KnowledgeSubtopicObservationValue George (Woody) Beeler Jr PhD masked GW Beeler 734-677-7777 masked Vocabulary Work Group HL7 International Ann Arbor, MI 734-677-7777 vocab@lists.hl7.org HL7 body Int 11 Complete 2010/03/18 12:00:00 2010/03/19 12:00:00 2010/03/19 02:45:45 UV 2.16.840.1.113883.11.75 ageGroupObservationValue AgeGroupObservationValue George (Woody) Beeler Jr PhD masked GW Beeler 734-677-7777 masked Vocabulary Work Group HL7 International Ann Arbor, MI 734-677-7777 vocab@lists.hl7.org HL7 body Int 11 Complete 2010/03/19 12:00:00 2010/03/19 12:00:00 2010/03/19 02:46:56 UV 2.16.840.1.113883.11.79 loincObservationActContextAgeDefinitionCode LOINCObservationActContextAgeDefinitionCode George (Woody) Beeler Jr PhD masked GW Beeler 734-677-7777 masked Vocabulary Work Group HL7 International Ann Arbor, MI 734-677-7777 vocab@lists.hl7.org HL7 body Int 11 Complete 2010/03/19 12:00:00 2010/03/19 12:00:00 2010/03/19 02:47:56 UV 2.16.840.1.113883.11.80 observationActContextAgeGroupType ObservationActContextAgeGroupType George (Woody) Beeler Jr PhD masked GW Beeler 734-677-7777 masked Vocabulary Work Group HL7 International Ann Arbor, MI 734-677-7777 vocab@lists.hl7.org HL7 body Int 11 Complete 2010/03/19 12:00:00 2010/03/19 12:00:00 2010/03/19 02:48:54 UV 2.16.840.1.113883.3.443 netHealth Net Health Keith Bucklen masked Keith Bucklen 40 24th Street Pittsburgh, PA 15222 800-411-6281 x28 masked Interface Analyst Keith Bucklen 40 24th Street Pittsburgh, PA 15222 800-411-6281 x28 kbucklen@nhsinc.com http://www.woundexpert.com Govt body Int 3 Complete 2010/03/19 12:00:00 2010/10/01 12:00:00 2010/10/01 05:16:34 UV 2.16.840.1.113883.4.341 vichAnimalType VICH Animal Type Ted Klein masked Yiying (CoCo) Tsai, PharmD, MPH U.S. Food and Drug Administration 5600 Fishers Lane, Rm 12-81 Rockville, MD 20857 +1 301-827-2297 masked LT, U.S. Public Health Service Veterinary International Conference on Harmonisation (VICH) c/o IFAH International Federation for Animal Health Rue Defacqz 1-1000 Brussels, Belgium +32-2-5437572 sec@vichsec.org http://www.vichsec.org/ Govt body Ext 6 Complete 2.16.840.1.113883.4.341 2010/03/19 12:00:00 2010/10/01 12:00:00 2010/10/01 05:19:12 UV 2.16.840.1.113883.3.444 picomux Mirth Corp Pico Mux Gary Teichrow masked stevek@mirthcorp.com Gary Teichrow 18831 Von Karman Ave. Suite 300 Irvine, CA 92612 949-255-5053 masked VP, Chief Architect Mirth Corporation 18831 Von Karman Ave. Suite 300 Irvine, CA 92612 949-255-5053 nhin@mirthcorp.com www.mirthcorp.com Vendor Int 3 Complete 2010/03/20 12:00:00 2010/10/01 12:00:00 2010/10/01 05:21:52 UV 2.16.840.1.113883.3.445 templateRootCDAConsentDirectiveIG Template Root for CDA Consent Directive Implementation Guide Ioana Singureanu masked serafina@eversolve.com Richard Thoreson 1 Choke Cherry Road, 5-1047 Rockville, MD 20857 United States of America (240) 276-2827 masked CBCC Co-chair HL7 Community Based Collaborative Care Work Group Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 734-677-7777 cbhs@lists.hl7.org http://www.hl7.org/Special/committees/homehealth/index.cfm HL7 body Int 3 Complete 2010/03/21 12:00:00 2010/10/01 12:00:00 2010/10/01 05:24:13 UV 2.16.840.1.113883.4.394 collegeChiropractorON College of Chiropractors of Ontario Elizabeth Bouchard masked Elizabeth Bouchard 5070 Explorer Dr Suite 1000 Mississauga, ON L4W 4X6 905-629-5711 masked Provider Services Database Administrator Jo-Ann Willson 130 Bloor St. West, Suite 902 Toronto ON M5S 1N5 416-922-6355 jpwillson@cco.on.ca http://www.cco.on.ca/English/Home-Page/ Govt body Int 4 Complete 2010/03/22 12:00:00 2010/10/01 12:00:00 2010/10/01 05:26:14 UV 2.16.840.1.113883.4.395 collegeOptometristsON College of Optometrists of Ontario Elizabeth Bouchard masked Elizabeth Bouchard 5090 Explorer Dr Suite 1000 Mississauga ON L4W 4X6 905-629-5711 masked Provider Services Database Administrator Dr Murray Turnour 6 Crescent Rd, 2nd Floor Toronto, ON M4W 1T1 416-962-4071 registrar@collegeoptom.on.ca http://www.collegeoptom.on.ca/default.asp Govt body Int 4 Complete 2010/03/22 12:00:00 2010/10/01 12:00:00 2010/10/01 05:27:44 UV 2.16.840.1.113883.11.81 immunizationForecastStatusObservationValue ImmunizationForecastStatusObservationValue Ted Klein masked Ted Klein Ann Arbor, MI +1 734-677-7777 masked Vocab Harmonization PHER Ann Arbor, MI +1 734-677-7777 hq@hl7.org http://www.hl7.org HL7 body Int 11 Complete 2010/03/22 12:00:00 2010/03/22 12:00:00 2010/03/22 01:19:15 UV 2.16.840.1.113883.13.76 ezEMRx ezEMRx Data Exchange Object Identifier Siri Kumar masked Siri Kumar 1875 Big Timber Rd Suite A Elgin, IL 60123 6303077600 masked CTO IT Relations 1875 Big Timber Rd Suite A Elgin, IL 60123 6303077600 it.relations@ezemrx.com http://www.ezemrx.com Vendor Int 3 Complete 2010/03/22 12:00:00 2010/10/01 12:00:00 2023/05/25 12:20:12 UV 2.16.840.1.113883.3.446 sequest Sequest Technologies, Inc. Dan Rizzo masked Dan Rizzo Sequest Technologies, Inc. 801 Warrenville Rd. Suite 350 Lisle, IL 60532 630.577.9003 x2232 masked Director of Product Development Sequest Technologies, Inc. 801 Warrenville Rd. Suite 350 Lisle, IL 60532 630.577.9003 bconnors@sequest.net www.sequest.net Vendor Int 3 Complete 2010/03/23 12:00:00 2010/10/01 12:00:00 2010/10/01 05:32:33 UV 2.16.840.1.113883.3.447 dA DirectAccess Doug DeShazo masked Doug DeShazo 404-642-3954 masked HL7 Integration Architect ACS, Inc. 9040 Roswell Road Atlanta, GA 30350 770-829-1186 douglas-deshazo@acs-inc.com Vendor Int 3 Complete 2010/03/24 12:00:00 2010/10/01 12:00:00 2010/10/01 05:35:02 UV 2.16.840.1.113883.3.448 wellsoft Wellsoft OID Registrar John Santmann masked dkeith@wellsoft.com John Santmann 27 Worlds Fair Drive Somerset NJ 08873 732.507.7200 masked President Wellsoft Corporation 27 Worlds Fair Drive Somerset NJ 08873 732.507.7200 jsantmann@wellsoft.com http://www.wellsoft.com Vendor Int 3 Complete 2010/03/24 12:00:00 2010/07/23 12:00:00 2010/07/23 03:52:35 UV 2.16.840.1.113883.13.77 rinsoftcon Rinsoft Connect Suresh Mohan masked Suresh 23875 Ventura Blvd, Suite 203 Calabasas, CA 91302 818 591 2987 masked Principal IT Consultant Suresh 23875 Ventura Blvd, Suite 203 Calabasas, CA 91302 818 591 2987 suresh@rinsoft.com http://www.rinsoft.com Govt body Int 13 Complete 2010/03/25 12:00:00 2010/10/01 12:00:00 2010/10/01 05:42:55 UV 2.16.840.1.113883.3.449 signaemr SignaEMR HL7 Messages Chris Sparrow masked Chris Sparrow 317-506-5053 masked Joe Wright 1202 Churchman Dr. Beech Grove IN 46107 317-507-7377 jwright@bravurasystems.com http://www.bravurasystems.com/bravura.html Provider Int 3 Complete 2010/03/26 12:00:00 2010/10/01 12:00:00 2010/10/01 10:50:09 UV 2.16.840.1.113883.3.450 jwu009 James Wu project James Wu masked James Wu 585-966-9434 masked James 1 Mildenhall Ridge Fairport, NY 14450 585-966-9434 qwu@attain.com www.attain.com Prof Soc Int 3 Complete 2010/03/26 12:00:00 2010/10/01 12:00:00 2010/10/01 10:54:17 UV 2.16.840.1.113883.3.451 medisyn MEDiSYN Systems, Inc. Wyatt Hendricks masked Wyatt Hendricks Medisyn Systems, Inc. 2003 Apalachee Parkway STE:207 Tallahassee, FL 32301 850 325 2400 X255 masked COO Medisyn Systems, Inc. Medisyn Systems, Inc. 2003 Apalachee Parkway STE:207 Tallahassee, FL 32301 850 701 1922 support@medisyn.com www.medisyn.com Vendor Int 3 Complete 2010/03/30 12:00:00 2010/10/01 12:00:00 2010/10/01 11:05:10 UV 2.16.840.1.113883.3.452 cmich-chp-tech Central Michigan University College of Health Professions Tech Wesley Leonard masked Wesley Leonard 2265K Health Professions Building Mount Pleasant, MI 48859 989-621-0206 masked Senior Application Programmer The Herbert H. and Grace A. Dow College of Health Professions 2265K Health Professions Building Central Michigan University Mount Pleasant, MI 488589 989-774-1850 leona1wa@cmich.edu http://www.chp.cmich.edu Academic Int 3 Complete 2010/03/30 12:00:00 2010/10/01 12:00:00 2010/10/01 11:35:23 UV 2.16.840.1.113883.4.396 mdm MDM^T02 transactioin Doug Deshazo masked Doug DeShazo 9040 Roswell Rd. Atlanta, GA 30350 404-642-3954 masked HL7 Integration Architect ACS 9040 Roswell Rd. Atlanta, GA 30350 770-829-1186 douglas.deshazo@acs-inc.com http://www.acs-inc.com/ Vendor Int 4 Complete 2010/03/31 12:00:00 2010/10/01 12:00:00 2010/10/01 11:37:53 UV 2.16.840.1.113883.3.453 vangentHIE VangentHIE Sastry Dhara masked Sastry Dhara 4250 N Fairfax Drive Suite 1200 Arlington, VA 22203 7032923066 masked Sr Solutions Architect Vangent, Inc 4250 N Fairfax Drive Suite 1200 Arlington, VA 22203 7032923066 sastry.dhara@vangent.com www.vangent.com Int 3 Complete 2010/04/02 12:00:00 2010/10/01 12:00:00 2010/10/01 11:39:47 UV 2.16.840.1.113883.3.454 ihsnhin Indian Health Service NHIN Gateway Glenn Janzen masked Glenn Janzen 522 Minnesota Ave Bemidji, MN 56601 218.444.0553 masked IT Specialist Glenn Janzen 522 Minnesota Ave Bemidji, MN 56601 218.444.0553 glenn.janzen@ihs.gov www.ihs.gov Govt body Int 3 Complete 2010/04/02 12:00:00 2010/10/01 12:00:00 2010/10/01 11:42:00 UV 2.16.840.1.113883.6.288 fdbHICL-SEQNO First DataBank Ingredient List Identifier Mili Gera masked Thomas R. Bizzaro Thomas R. Bizzaro First DataBank, Inc. 500 East 96th Street, Suite 500 Indianapolis, IN 46240 USA +1 317-571-7247 masked Vice President, Health Policy and Industry Relations First DataBank, Inc. First DataBank, Inc. South San Francisco, CA Corporate Headquarters 701 Gateway Blvd., Suite 600 So. San Francisco, CA 94080 USA +1 317-571-7247 tom_bizzaro@firstdatabank.com http://www.firstdatabank.com/ Vendor Int 6 Complete 2010/04/04 12:00:00 2010/04/04 12:00:00 2010/04/04 12:05:05 UV 2.16.840.1.113883.3.455 sk Project Testing Tester masked S 9820509175 masked S M 9820509175 urtesting@gmail.com Academic Int 3 Rejected 2010/04/05 12:00:00 2010/10/01 12:00:00 2010/10/01 11:42:47 UV 2.16.840.1.113883.3.456 musc-muha Medical University Hospital Authority (Medical University of South Carolina - MUSC) Mark Daniels masked Mark Daniels 19 Hagood Avenue Suite 201 - MSC 801 Charleston, SC 29425 843-792-6001 masked Director, Enterprise IT Architecture Medical University Hospital Authority (Medical University of South Carolina) 19 Hagood Avenue Suite 201 - MSC 801 Charleston, SC 29425 843 792-6001 danielsm@musc.edu http://www.musc.edu Govt body Int 3 Complete 2010/04/05 12:00:00 2010/10/01 12:00:00 2010/10/01 11:46:44 UV 2.16.840.1.113883.3.457 citius CitiusTech Abhijeet Limkar masked Abhijeet Limkar +912240806000 masked SSDE Abhijeet Limkar CitiusTech Solutions Teritex Building, 41/2, Saki Vihar Lake Road Mumbai 400 072 912240806000 abhijeet.limkar@citiustech.com http://www.citiustech.com/ Vendor Int 3 Complete 2010/04/07 12:00:00 2010/10/01 12:00:00 2010/10/01 11:49:54 UV 2.16.840.1.113883.3.458 gRRHIO Greater Rochester RHIO LaRon Rowe masked Ted Kremer Jennie Spencer 200 Canal View Blvd. Suite 200 Rochester, NY 14623 585.363.2797 masked CIO/CPSO Greater Rochester RHIO 200 Canal View Blvd. Suite 200 Rochester, NY 14623 585.363.2797 jennie.spencer@grrhio.org http://www.rochesterrhio.org Exchange Int 3 Complete 2010/04/08 12:00:00 2010/10/01 12:00:00 2024/02/25 09:54:31 UV 2.16.840.1.113883.3.459 cbrs CBR Services David Quintanilla masked David Shippen 402 Otterson Drive Chico, CA 95928 530-896-7071 masked CBR Services 402 Otterson Drive Chico, Ca 95928 530-896-7080 cbr.support@hp.com http://www.cbrservices.com Govt body Int 3 Complete 2010/04/08 12:00:00 2010/10/01 12:00:00 2010/10/01 11:53:15 UV 2.16.840.1.113883.3.460 excessmileage Rationale for Excess/Additional Mileage Durwin Day masked Mary Lynn Bushman Durwin Day 300 East Randolph St Chicago, Il 60601 312-653-5948 masked Supervisor Durwin Day 300 East Randolph St Chicago, IL 60601 312-653-5948 dayd@bcbsil.com http://www.bcbsil.com/ HL7 body Int 3 Complete 2010/04/13 12:00:00 2010/10/01 12:00:00 2010/10/01 11:57:02 UV 2.16.840.1.113883.4.397 fdacvm-icsr-processing-system Food and Drug Administration Center for Veterinary Medicine Individual Case Safety Report Processing System William Hess masked Glenn Peterson Glenn Peterson FDA/CVM 7519 Standish Place Rockville, MD 20855 240-453-6876 masked Food and Drug Administration Data Standards Council Bldg 32, Rm 4157 10903 New Hampshire Ave. Silver Spring, MD 20993 240-328-7391 Yiying.tsai@fda.hhs.gov http://www.fda.hhs.gov Govt body Int 4 Complete 2010/04/13 12:00:00 2010/10/01 12:00:00 2010/10/01 11:59:10 UV 2.16.840.1.113883.4.398 vichDosageForm Veterinary International Conference on Harmonisation Dosage Form William Hess masked Glenn Peterson Glenn Peterson FDA/CVM 7519 Standish Place Rockville, MD 20855 240-453-6876 masked Veterinary International Conference on Harmonisation c/o IFAH, International Federation for Animal Health Rue Defacqz 1-1000 Brussels, Belgium +32-2-5437572 sec@vichsec.org http://www.vichsec.org/ Govt body Int 4 Complete 2010/04/13 12:00:00 2010/10/01 12:00:00 2010/10/02 12:01:09 UV 2.16.840.1.113883.4.399 vichDrugRouteOfExposure Veterinary International Conference on Harmonisation Drug Route of Exposure William Hess masked Glenn Peterson Glenn Peterson FDA/CVM 7519 Standish Place Rockville, MD 20855 240-453-6876 masked Veterinary International Conference on Harmonisation c/o IFAH, International Federation for Animal Health Rue Defacqz 1-1000 Brussels, Belgium +32-2-5437572 sec@vichsec.org http://www.vichsec.org/ Govt body Int 4 Complete 2010/04/13 12:00:00 2010/10/01 12:00:00 2010/10/02 12:03:25 UV 2.16.840.1.113883.4.400 vichRegulatoryAgencyContactInformation Veterinary International Conference on Harmonisation Regulatory Agency Contact Information William Hess masked Glenn Peterson Glenn Peterson FDA/CVM 7519 Standish Place Rockville, MD 20855 240-453-6876 masked Veterinary International Conference on Harmonisation c/o IFAH, International Federation for Animal Health Rue Defacqz 1-1000 Brussels, Belgium +32-2-5437572 sec@vichsec.org http://www.vichsec.org/ Govt body Int 4 Complete 2010/04/13 12:00:00 2010/10/01 12:00:00 2010/10/02 12:05:57 UV 2.16.840.1.113883.3.461 i2qmed I2Qmed provider gateway Larry Johnson masked Larry Johnson 1.800.427.0817 x8 masked Principle Architect Larry Johnson 12004 benjamin street Beltsville, MD 20705 1.800.427.0817 x8 ljohnson@i2qmed.com www.i2qmed.com Vendor Int 3 Complete 2010/04/14 12:00:00 2010/10/01 12:00:00 2010/10/02 12:09:45 UV 2.16.840.1.113883.3.462 dongya eastasia dongya dongya masked dongya 84029999 masked dongya dongya,belgium 84029999 eastasia@gmail.com Int 3 Rejected 2010/04/16 12:00:00 2010/10/01 12:00:00 2010/10/02 12:11:34 UV 2.16.840.1.113883.3.463 o-nhin NHIN poornima vasireddy masked saran saran 9715554444 masked saran cnsi 9715554444 saran.jothi@cns-india.com Govt body Int 3 Rejected 2010/04/16 12:00:00 2010/10/01 12:00:00 2010/10/02 12:13:08 UV 2.16.840.1.113883.3.464 hedis Healthcare Effectiveness Data and Information Set Rick Moore masked Susan Milner Rick Moore 1100 13th Street NW Washington, DC 20005 2029555171 masked CIO National Committee for Quality Assurance 1100 13th Street NW Washington, DC 20005 2029555159 hediscomment@ncqa.org http://www.ncqa.org SDO Int 3 Complete 2010/04/19 12:00:00 2010/10/01 12:00:00 2010/10/02 12:15:31 UV 2.16.840.1.113883.3.465 mirthmuxdev02 mirthmuxdev02.mirthcorp.com Steve Kehlet masked Steve Kehlet Steve Kehlet 949-255-5070 masked Sr. Systems Administrator Mirth Corporation 18831 Von Karman Ave., Suite 300 Irvine, CA 92612 949-255-5070 sysadm@mirthcorp.com http://www.mirthcorp.com Govt body Int 3 Complete 2010/04/19 12:00:00 2010/10/01 12:00:00 2010/10/02 12:17:42 UV 2.16.840.1.113883.3.466 techsant-01 Techsant Technologies LLC. Srinivas Koka masked Srinivas Koka 1425 W. Elliot Road, Suite 103, Gilbert, AZ 85233 602-476-1818 masked President Techsant Technologies LLC 1425 W. Elliot Road, Suite 103, Gilbert, AZ 85233 602-476-1818 srinivas.koka@techsant.com http://www.techsant.com Vendor Int 3 Complete 2010/04/19 12:00:00 2010/10/01 12:00:00 2010/11/06 05:53:57 UV 2.16.840.1.113883.3.467 bhitsOID SAMHSA BHITS Tony Calice masked Rodney Conrad Chirag Bhatt 9755 Patuxent Woods Drive, Suite 300 Columbia, Maryland 21046 443-270-5135 masked CTO FEi Systems Inc 9755 Patuxent Woods Drive, Suite 300 Columbia, Maryland 21046 443-270-5135 chirag.bhatt@feisystems.com http://www.feisystems.com Vendor 2.16.840.1.113883.3.468 Int 3 Complete 2010/04/20 12:00:00 2010/10/01 12:00:00 2018/07/13 01:13:36 UV 2.16.840.1.113883.3.468 feiSystems FEi Systems Inc Chirag Bhatt masked Chirag Bhatt 9755 Patuxent Woods Drive, Suite 300 | Columbia, Maryland 21046 443-270-5135 masked CTO FEI Systems, Inc. 9755 Patuxent Woods Drive, Suite 300 | Columbia, Maryland 21046 443-270-5100 chirag.bhatt@feisystems.com http://www.feisystems.com Vendor Int 3 Complete 2010/04/20 12:00:00 2010/10/01 12:00:00 2018/07/13 01:14:53 UV 2.16.840.1.113883.3.469 axway Axway IHE Tim Hogan masked Gregg Prothero Tim Hogan 6024042505 masked Solution Architect Axway 3848 N 3rd ave #3021 Phoenix, AZ 85013 6044052505 thogan@us.axway.com http://www.axway.com/ Vendor Int 3 Complete 2010/04/20 12:00:00 2010/10/01 12:00:00 2010/10/02 12:43:24 UV 2.16.840.1.113883.3.470 test test.securitydotmatrix.com Robert Hudock masked Robert Hudock Epstein Becker and Green, PC 1227 25th Street, Suite 700 Washington, DC 20037 202861893 masked Counsel/Attorney Robert Hudock 1227 25th Street Washington DC 20037 2028611893 rhudock@ebglaw.com www.ebglaw.com Vendor Int 3 Rejected 2010/04/20 12:00:00 2010/05/13 12:00:00 2010/05/13 10:42:58 UV 2.16.840.1.113883.3.471 emr-link EMR-Link Kenneth Willett masked Kenneth Willett 3316 NE Pacific St Portland, OR, 97232 888 806 0309 masked President Ignis Systems Corporation 3316 NE Pacific St Portland, OR, 97232 888 806 0309 ken.willett@gmail.com http://www.emr-link.com Vendor Int 3 Complete 2010/04/20 12:00:00 2010/10/01 12:00:00 2010/10/02 12:45:18 UV 2.16.840.1.113883.3.472 alickfieldexperimentation Alick Field Experimentation Alick Field masked Alick Field 9202659090 masked Interface Developer Alick Field 2732 Four Winds Place Mt. Pleasant SC 29466 9202659090 alickfield@yahoo.com Provider Int 3 Complete 2010/04/21 12:00:00 2010/10/01 12:00:00 2010/10/02 12:49:41 UV 1.3.6.1.4.1.21302 wsu Wright State University David Roberts masked John Meyers 3640 Colonel Glenn Hwy. Library Annex 040 Dayton, OH 45435 937.775.3580 masked John Meyers 3640 Colonel Glenn Hwy. Library Annex 040 Dayton, OH 45435 937.775.3580 john.meyers@wright.edu www.wright.edu Ext 3 Complete 1.3.6.1.4.1.21302 2010/04/21 12:00:00 2010/10/01 12:00:00 2010/10/02 12:51:43 UV 2.16.840.1.113883.3.473 ellumen-nhie1 Ellumen NHIE 1 Dan Wayland masked Dan Wayland 1101 Wilson Blvd Arlington, VA 22209 (703) 253-5555 masked Dan Wayland 1101 Wilson Blvd Arlington, VA 22209 (703) 253-5555 dwayland@ellumen.com http://www.ellumen.com/ Govt body Int 3 Complete 2010/04/22 12:00:00 2010/10/01 12:00:00 2010/10/02 12:53:49 UV 2.16.840.1.114222.4.3.2.2.2.175.1 osdh-cdc Oklahoma State Department of Health IT Allen Badgett masked Peter Lemmon Oklahoma State Department of Health IT 1000 NE 10 th St Oklahoma City, OK 73117 1299 405 271 9444 x 56030 masked OSDH Messaging Coordinator Peter Lemmon Oklahoma State Department of Health IT 1000 NE 10 th St Oklahoma City, OK 73117 1299 405 271 9444 x 56030 Peter.Lemmon@omes.ok.gov Govt body Ext 3 Complete 2.16.840.1.114222.4.3.2.2.2.175.1 2010/04/22 12:00:00 2012/05/24 12:00:00 2016/10/17 12:05:13 UV 2.16.840.1.113883.3.474 ce-hie-nhin-01 CareEntrust HIE NHIN Connect NODE 01 Jim Hansen masked Jim Hansen 1100 Walnut Street Suite 2980 Kansas City, MO 64106 816-309-5270 masked President & CEO CareEntrust 1100 Walnut Street Suite 2980 Kansas City, MO 64106 816-221-7710 JHansen@CareEntrust.org http://www.CareEntrust.org Govt body Int 3 Complete 2010/04/22 12:00:00 2010/10/01 12:00:00 2010/10/02 12:56:10 UV 2.16.840.1.113883.3.475 aegis-skb AEGIS-SKB Sunil Bhaskarla masked Sunil Bhaskarla 301-296-4474 masked Consultant AEGIS - skb 2275 Research Blvd. Suite#500 Rockville, MD, 20850 301-296-4474 sunil.bhaskarla@aegis.net http://www.aegis.net Provider Int 3 Complete 2010/04/26 12:00:00 2010/10/01 12:00:00 2010/10/02 01:00:33 UV 2.16.840.1.113883.3.476 s1199SEIU 1199SEIU Benefit and Pension Funds Tim Kwan masked Nigel Thomas Nigel Thomas 646-473-6187 masked Manager 1199 National Benefit Fund 330 West 42nd St New York, NY 10036 646-473-6187 nigel.thomas@1199funds.org www.1199nbf.org Payor Int 3 Complete 2010/04/26 12:00:00 2010/10/07 12:00:00 2010/10/07 09:57:21 UV 2.16.840.1.113883.3.477 kaizen kaizentek kaizen kaizen 4 front technologies masked Radhakrishnan 08214257414 masked system admin radhakrishnan 30 A.G COMPLEX, ADICHUNCHANAGIRI ROAD, KUVEMPUNAGAR, MYSORE - 23 08214257414 admin@kaizentek.co.in SDO Int 3 Rejected 2010/04/27 12:00:00 2010/10/07 12:00:00 2010/10/07 10:00:46 UV 2.16.840.1.113883.3.478 spectramedi SpectraMedi Transcription Services Joseph Job masked Frank Kunnumpurath 6562 Ridings Road Syracuse, NY 13206, USA. 3153628444 masked President SpectraMedi Transcription Services 6562 Ridings Road Syracuse, NY 13206, USA. 3153628400 joseph@specusa.com www.spectramedi.com Vendor Int 3 Complete 2010/04/27 12:00:00 2010/10/07 12:00:00 2010/10/07 10:03:25 UV 2.16.840.1.113883.3.479 indigo Indigo Consulting OID Rajeev Parekh masked Rajeev Parekh 127 E Main Street Barrington, IL 60010 847-304-7800 masked Indigo Consulting 127 E Main Street Barrington, IL 60010 847-304-7800 rparekh@indigoconsulting.com Govt body Int 3 Complete 2010/04/27 12:00:00 2010/10/07 12:00:00 2010/10/07 10:05:28 UV 2.16.840.1.113883.3.480 sfhmc St Francis Hospital and Medical Center Bernie Gagliardi masked St Francis Care - Hartford CT Bernie Gagliardi 114 Woodland Street Hartford, Connecticut 06105 (860) 714-4957 masked Sys. Integration Bernie Gagliardi 114 Woodland Street Hartford, Connecticut 06105 (860) 714-4957 bgagliar@stfranciscare.org http://www.saintfranciscare.com/ Provider Int 3 Complete 2010/04/28 12:00:00 2010/10/07 12:00:00 2010/10/07 10:07:46 UV 2.16.840.1.113883.3.481 ntsp NORTH TEXAS SPECIALTY PHYSICIANS Asim siddiqui masked Aim Siddiqui 817-810-5224 masked asim 1701 riverrun fortwoth tx-76107 817-810-5224 asiddiqui@ntsp.com http://www.ntsp.com/ SDO Int 3 Complete 2010/04/28 12:00:00 2010/10/07 12:00:00 2010/10/07 10:10:23 UV 2.16.840.1.113883.3.482 uimcc University of Illinois Medical Center Hugh Avitia masked Hugh Avitia 817 S. Marshfield Ave - Suite 1000 Chicago, Il 60612 312-996-0660 masked Web Development manager University of Illinois Medical Center Information Services 1740 West Taylor, suite 1300 Chicago, Il 60612 312-996-0660 havitia@uic.edu www.uillinoismedcenter.org Provider Int 3 Complete 2010/04/28 12:00:00 2010/10/07 12:00:00 2010/10/07 10:13:13 UV 2.16.840.1.113883.3.483 brookdale Brookdale Tim Kwan masked Tim Kwan 415-449-0909 masked Manager, Enterprise Application Interfaces The Brookdale University Hospital and Medical Center One Brookdale Plaza Brooklyn, NY 11212 (718)240-5559 slim@brookdale.edu http://www.brookdale.edu/ Provider Int 3 Complete 2010/04/29 12:00:00 2010/10/07 12:00:00 2010/10/07 10:15:10 UV 2.16.840.1.113883.11.20.7 cdaUnstructuredDocumentValueSetRoot cdaUnstructuredDocumentValueSetRoot Brett Marquard masked Brett Marquard 413-259-6886 masked SDWG Ann Arbor, Michigan SDWG brett@alschulerassociates.com http://www.alschulerassociates.com HL7 body Ext 13 Complete 2.16.840.1.113883.11.20.7 2010/05/04 12:00:00 2010/10/07 12:00:00 2010/10/07 10:18:43 UV 2.16.840.1.113883.10.20.19 cdaUnstructuredDocTemplateRoot cdaUnstructuredDocTemplateRoot Robert Dolin MD masked Brett Marquard Brett Marquard masked SDWG SDWG SDWG brett@alschulerassociates.org http://www.alschulerassociates.com HL7 body Ext 10 Complete 2.16.840.1.113883.10.20.19 2010/05/04 12:00:00 2010/10/07 12:00:00 2010/10/07 10:21:59 UV 2.16.840.1.113883.3.484 corespondHIE CORESPONDHIE William Pearson masked William Pearson 114 Killdeer Ct Southlake, TX 76092 972-827-8322 masked William Pearson 114 Killdeer Ct Southlake, TX 76092 972-827-8322 will.pearson@enhanced-innovations.com http://www.enhanced-innovations.com/ Govt body Int 3 Complete 2010/05/04 12:00:00 2010/10/07 12:00:00 2010/10/07 10:25:54 UV 2.16.840.1.113883.3.485 connect connect testing kaizen technologies masked Madhu 08214266753 masked Madhu R Kaizen 4Front Technologies Pvt Ltd,Mysore,India 08214266753 madhur@kaizentek.co.in http://www.kaizentek.co.in Govt body Int 3 Complete 2010/05/05 12:00:00 2010/10/07 12:00:00 2010/10/07 10:36:13 UV 2.16.840.1.113883.6.289 fdbHIC4 Hierarchical Base Ingredient Code Mili Gera masked Thomas R. Bizzaro Thomas R. Bizzaro First DataBank, Inc. 500 East 96th Street, Suite 500 Indianapolis, IN 46240 USA +1 317-571-7247 masked Vice President, Health Policy and Industry Relations First DataBank, Inc. South San Francisco, CA Corporate Headquarters 701 Gateway Blvd., Suite 600 So. San Francisco, CA 94080 +1 317-571-7247 tom_bizzaro@firstdatabank.com http://www.firstdatabank.com/ Vendor Int 6 Complete 2010/05/05 12:00:00 2010/05/05 12:00:00 2010/05/05 12:30:19 UV 2.16.840.1.113883.13.78 bet BtlEcgTerminology Zdenek Moravek masked Zdenek Moravek Kounicova 42 60200 Brno Czech republic +420 774 684 733 masked hl7 supervisor Btl Medical Technologies CZ Radimova 36 16900 Praha 6 Czech republic +420 233 355 584 adm@medictech.com http://www.medictech.com/ Prof Soc Int 13 Complete 2010/05/06 12:00:00 2010/10/07 12:00:00 2010/10/07 10:39:07 UV 2.16.840.1.113883.3.486 sandlot Sandlot Telly Shackleford masked Telly Shackleford 817-810-5219 masked Telly Shackleford 1701 River Run -Fortworth Texas 76107 817-810-5219 tshackelford@sandlotmd.com https://www.sandlotmd.com/ Vendor Int 3 Complete 2010/05/07 12:00:00 2010/10/08 12:00:00 2010/10/08 01:10:01 UV 2.16.840.1.113883.3.487 dexma The dexma project Tomas Moberg masked Tomas Moberg +46709667195 masked Tomas Moberg Anundsgatan 1 Uppsala Sweden +46709667195 tomas.moberg@dexma.se http://www.dexma.se/ Provider Int 3 Complete 2010/05/10 12:00:00 2010/10/07 12:00:00 2010/10/07 10:54:34 UV 2.16.840.1.113883.3.488 devnchiegatewayorg dev.nchiegateway.org Steve Kehlet masked Steve Kehlet 18831 Von Karman Ave., Ste. 300 Irvine, CA 92612 949-255-5070 masked Sr. Systems Administrator Holt Anderson, NCHICA Executive Director NCHICA (North Carolina Healthcare Information and Communications Alliance, Inc.) P.O. Box 13048 Research Triangle Park, NC 27709-3048 919-558-9258 x27 holt@nchica.org http://www.nchica.org/ Govt body Int 3 Complete 2010/05/12 12:00:00 2010/10/07 12:00:00 2010/10/07 10:56:35 UV 2.16.840.1.113883.3.489 hylandSoftware Hyland Software Inc. Paul Tam masked Paul Tam 28500 Clemens Road Westlake, OH 44145 440.788.5236 masked Senior Software Engineer Hyland Software Inc. 28500 Clemens Road Westlake, OH 44145 1.888.HYLAND.8 ContactUs@OnBase.com http://www.hyland.com Vendor Int 3 Complete 2010/05/12 12:00:00 2010/10/07 12:00:00 2010/10/07 10:59:01 UV 2.16.840.1.113883.3.490 connect connect testing madhu r masked Madhu 08214266753 masked connect Mysore 08214266753 madhur@kaizentek.co.in Govt body Int 3 Rejected 2010/05/13 12:00:00 2010/10/07 12:00:00 2010/10/07 11:00:30 UV 2.16.840.1.113883.3.491 test test test test masked test 555-555-5555 masked test test 555-555-5555 test@test.com Academic Int 3 Rejected 2010/05/13 12:00:00 2010/10/07 12:00:00 2010/10/07 11:02:12 UV 2.16.840.1.113883.3.492 smcpartners SMC Partners Craig Thompson masked Craig Thompson 860-240-5600 masked CTO SMC Partners 10 Columbus Blvd 2nd Floor Hartford, CT 06106 860-240-5600 cthompson@gosmcpartners.com http://www.gosmcpartners.com/ Vendor Int 3 Complete 2010/05/14 12:00:00 2010/10/07 12:00:00 2014/06/13 02:28:31 UV 2.16.840.1.113883.3.493 successehs SuccessEHS, Inc. Ed Donaldson masked Jeff Mitchell 1 Metroplex Drive, Suite 500 Birmingham, AL 35209 (205) 949-1235 masked Sr. Development Manager Jeff Mitchell 1 Metroplex Drive, Suite 500 Birmingham, AL 35209 (205) 949-1235 jmitchell@ehsmed.com http://www.SuccessEHS.com Vendor Int 3 Complete 2010/05/17 12:00:00 2010/10/07 12:00:00 2010/11/10 10:32:31 UV 2.16.840.1.113883.3.494 jdsu JDS Uniphase Judith Walker masked Judith Walker MS G3 900 South Taft Loveland, CO 80537 970.679.2731 masked Sr. Software Engineer JDS Uniphase MS G3 900 South Taft Loveland, CO 80537 970.679.2731 Judith.Walker@jdsu.com http://www.jdsu.com Vendor Int 3 Complete 2010/05/19 12:00:00 2010/10/07 12:00:00 2010/10/07 11:09:50 UV 2.16.840.1.113883.3.495 oidPVSWNHIE1 Pervasive NHIN Connect NHIE Gateway Nena Marin masked marinnena@gmail.com Nena Marin 12365B Riata Trace Parkway Austin, TX 78727 5122316026 masked Chief Scientist Pervasive Software 12365B Riata Trace Parkway Austin TX 78727 5122316026 nmarin@pervasive.com www.pervasivedatarush.com Vendor Int 3 Complete 2010/05/24 12:00:00 2010/10/07 12:00:00 2010/10/07 11:12:34 UV 2.16.840.1.113883.3.496 fauji Fauji Foundation Yasir Mehmood masked Sohail Awan Sohail Awan +92 300 5568079 masked Senior Application Developer Fauji Foundation Head Office IT & MIS Department Fauji Foundation Head Office. Fauji Towers 68-Tipu Road Rawalpindi Pakistan +92-51-595-1821 sohailawan01@hotmail.com http://www.fauji.org.pk/ Govt body Int 3 Complete 2010/05/25 12:00:00 2010/10/07 12:00:00 2010/10/07 11:17:44 UV 2.16.840.1.113883.3.497 umonahealth Umona Health, LLC Feliciano Yu masked Feliciano "Pele" Yu (205) 9486848 masked Principal Umona Health, LLC Birmingham, AL 35243 (205) 9486848 yupele@philonline.com http://www.philonline.com/ Vendor Int 3 Complete 2010/05/26 12:00:00 2010/10/07 12:00:00 2010/10/07 11:21:34 UV 2.16.840.1.113883.3.498 kjmc Kingsbrook Tim Kwan masked Peter Ribolla 71860405501 masked Director of Information Technology Peter Ribolla 585 Schenectady Avenue Brooklyn, NY 11203 71860405501 pribolla@kingsbrook.org http://www.kingsbrook.org/ Provider Int 3 Complete 2010/05/26 12:00:00 2010/10/07 12:00:00 2010/10/07 11:25:27 UV 2.16.840.1.113883.3.499 nhinri4c23 nhinri4c23.aegis.net Bin Chen masked Bin Chen 703-893-6020 masked Mario Hyland PO Box 3897 Merrifield,VA 703-893-6020 mario.hyland@aegis.net http://www.aegis.net Govt body Int 3 Complete 2010/05/27 12:00:00 2010/10/07 12:00:00 2010/10/07 11:29:17 UV 2.16.840.1.113883.3.500 fhmc Flushing Hospital Medical Center Tim Kwan masked Tony Gatto tgatto.flushing@jhmc.org masked Tim Kwan 1045 39th street Brookly, New York 112919 415-449-0909 tkwan@manatt.com http://www.manatt.com/ Provider Int 3 Complete 2010/05/27 12:00:00 2010/10/07 12:00:00 2010/10/07 11:32:56 UV 2.16.840.1.113883.3.501 jhmc Jamaica Hospital Medical Center Tim Kwan masked Theresa Aliperta 718-206-8262 masked Project Director, Medisys HIS Systems BHIX 1045 39th Street Brooklyn, NY 11219 718.283.5650 info@bhix.org www.bhix.org Provider Int 3 Complete 2010/05/27 12:00:00 2010/10/08 12:00:00 2010/10/08 01:05:53 UV 2.16.840.1.113883.3.502 mjgcnh MJGC Geriatric Tim Kwan masked Bill Luecken 718-921-7749 masked Sr. Director, Information Services Brooklyn Health Information Exchange 1045 39th Street Brooklyn, NY 11219 718.283.5650 info@bhix.org http://www.bhix.org Provider Int 3 Complete 2010/05/27 12:00:00 2010/10/08 12:00:00 2010/10/08 01:13:14 UV 2.16.840.1.113883.3.503 sjgcnh MJGC ShoreFront Tim kwan masked Bill Luecken 718-921-7749 masked Sr. Director, Information Services Brooklyn Health Information Exchange 1045 39th Street Brooklyn, NY 11219 718.283.5650 info@bhix.org www.bhix.org Provider Int 3 Complete 2010/05/27 12:00:00 2010/10/08 12:00:00 2010/10/08 01:18:57 UV 2.16.840.1.113883.3.504 ftchc MJHS First To Care Tim Kwan masked Bill Luecken 718-921-7749 masked Sr. Director, Information Services Brooklyn Health Information Exchange 1045 39th Street Brooklyn, NY 11219 1045 39th Street info@bhix.org www.bhix.org Provider Int 3 Complete 2010/05/27 12:00:00 2010/10/08 12:00:00 2010/10/08 01:20:28 UV 2.16.840.1.113883.3.505 mjgchc MJHS HomeCare Tim Kwan masked Bill Luecken 718-921-7749 masked Sr. Director, Information Services Brooklyn Health Information Exchange 1045 39th Street Brooklyn, NY 11219 718.283.5650 info@bhix.org www.bhix.org Provider Int 3 Complete 2010/05/27 12:00:00 2010/10/08 12:00:00 2010/10/08 01:22:34 UV 2.16.840.1.113883.3.506 vnr Visiting Nurse Regional Tim Kwan masked Anthony Leung 718-923-7175 masked Director of Technical Services Brooklyn Health Information Exchange 1045 39th Street Brooklyn, NY 11219 718.283.5650 info@bhix.org www.bhix.org Provider Int 3 Complete 2010/05/27 12:00:00 2010/10/08 12:00:00 2010/10/08 01:25:05 UV 2.16.840.1.113883.3.507 rnh Rutland Nursing Home Tim Kwan masked Peter Ribolla 7186045501 masked Director of Information Technology Brooklyn Health Information Exchange 1045 39th Street Brooklyn, NY 11219 718.283.5650 info@bhix.org www.bhix.org Provider Int 3 Complete 2010/05/27 12:00:00 2010/10/08 12:00:00 2010/10/08 01:27:21 UV 2.16.840.1.113883.3.508 shf Sephardic Home for the Aged Tim Kwan masked Martin Picocchi 718-266-2418 masked Brooklyn Health Information Exchange 1045 39th Street Brooklyn, NY 11219 718.283.5650 info@bhix.org www.bhix.org Provider Int 3 Complete 2010/05/27 12:00:00 2010/10/08 12:00:00 2010/10/08 01:30:24 UV 2.16.840.1.113883.3.509 vnsny Visiting Nurse Service of New York Tim Kwan masked Stu Meyer 1-800-675-0391 masked Brooklyn Health Information exchange 1045 39th Street Brooklyn, NY 11219 718.283.5650 info@bhix.org www.bhix.org Provider Int 3 Complete 2010/05/27 12:00:00 2010/10/08 12:00:00 2010/10/08 01:34:14 UV 2.16.840.1.113883.3.510 healthBridge4 nhin4.healthbridge.org Steve Kehlet masked Mike Wells 615 Elsinore Place Suite 500 Cincinnati, Ohio 45202 5132475280 masked Director, Information Security The Health Collaborative 615 Elsinore Place Suite 500 Cincinnati, Ohio 45202 5136183600 hostmaster@healthbridge.org http://www.healthbridge.org Exchange Int 3 Complete 2010/05/27 12:00:00 2010/10/08 12:00:00 2018/03/02 02:52:15 UV 2.16.840.1.113883.3.511 itiq ITIQ Solutions, Inc Robert Paquette masked Robert Paquette 1-909-947-9901 masked ITIQ Solutions, Inc. 1910 S. Archibald Ave. Ontario, CA 91761 1-909-947-9901 support@itiqsolutions.com www.itiqsolutions.com Vendor Int 3 Complete 2010/05/27 12:00:00 2010/10/08 12:00:00 2010/10/08 01:38:16 UV 2.16.840.1.113883.3.512 enthushib Enthusia Consulting Health Information Business Olusegun Odujebe masked Olusegun Odujebe 264 Ikorodu Road Obanikoro Lagos 10007 Nigeria +23418518132 masked CEO Enthusia Consulting Ltd 264 Ikorodu Road Obanikoro Lagos 10007 Nigeria +23418518132 webmaster@enthusiaconsulting.com http://www.enthusiaconsulting.com/ Vendor Int 3 Complete 2010/05/28 12:00:00 2010/10/08 12:00:00 2010/10/08 01:40:45 UV 2.16.840.1.113883.3.513 miFME Mi_FME Pele Yu masked Pele Yu 205-9486848 masked Umona Health SpA Infodyne, Inc Manila, Philippines 205-9486848 yujb@philonline.com http://www.philonline.com Vendor Int 3 Complete 2010/05/29 12:00:00 2010/10/08 12:00:00 2010/10/08 01:43:03 UV 2.16.840.1.113883.3.514 inclusiveSystems Inclusive Systems Matthew Savage masked Matthew Savage 1-415-305-6613 masked President Inclusive Systems 1255 32nd Avenue San Francisco, CA 94122 1-415-305-6613 matt@inclusivesystems.com http://www.inclusivesystems.com Vendor Int 3 Complete 2010/05/29 12:00:00 2010/10/08 12:00:00 2010/10/08 01:45:48 UV 2.16.840.1.113883.3.515 mountsinai Mount Sinai Medical Center Justin DuPont masked Justin Du Pont One Gustave L. Levy Place, New York 10029 212-659-1410 masked Project Manager Mount Sinai Medical Center One Gustave L. Levy Place, New York 10029 212-241-6500 justin.dupont@mountsinai.org www.mountsinai.org Provider Int 3 Complete 2010/06/02 12:00:00 2010/10/08 12:00:00 2010/10/08 01:47:31 UV 2.16.840.1.113883.3.516 medanchor Medanchor Object ID Olusegun Odujebe masked Olusegun S. Odujebe +23418972440 masked Medanchor Limited Medanchor Suite 264 Ikorodu Road Obanikoro Lagos +23418972440 olusegun.odujebe@medacnhor.com Int 3 Complete 2010/06/03 12:00:00 2010/10/08 12:00:00 2010/10/08 01:48:50 UV 2.16.840.1.113883.13.79 es eastasia eastasia Wu masked eastasia 88888888 masked eastasia CN 88888888 eastasia.wu@gmial.com Academic Int 13 Rejected 2010/06/04 12:00:00 2010/10/08 12:00:00 2010/10/08 01:52:57 UV 2.16.840.1.113883.3.517 slhduluth St. Luke's Hospital Duluth Clark Averill masked Brett Johnson Daniel McKillop 915 East 1st Street Duluth, MN 55805 218-249-6925 masked HL7 Interface Developer St. Luke's Hospital of Duluth 915 East 1st Street Duluth, MN 55805 218-249-5555 eric.lohn@slhduluth.com https://www.slhduluth.com/ Provider Int 3 Complete 2010/06/04 12:00:00 2010/10/08 12:00:00 2024/02/12 02:38:46 UV 2.16.840.1.113883.3.518 aminAMFC AmeriHealth Mercy Family of Companies Connect Service Amin Salahuddin masked Amin Salahuddin 200 Stevens Drive Suite 200 Philadelphia, PA 19113 (215) 863-5882 masked Technical Lead - EDI Amin 200 Stevens Drive Suite 200 Philadelphia, PA 19113 (215) 863-5882 amin.salahuddin@amerihealthmercy.com http://www.amerihealthmercy.com/ Govt body Int 3 Complete 2010/06/07 12:00:00 2010/10/08 12:00:00 2010/10/08 01:57:02 UV 2.16.840.1.113883.3.519 vasuj vasujsr vasu rao masked vasu 04023541269 masked vasucomp Hyderabad 04023541269 vasujsr@rediffmail.com Academic Int 3 Rejected 2010/06/08 12:00:00 2010/10/08 12:00:00 2010/10/08 01:59:59 UV 2.16.840.1.113883.3.520 naaccr North American Association of Central Cancer Registries, Inc. Lori Havener masked Lori Havener 2121 W. White Oaks Dr., Suite B, Springfield, IL, 62704-6495 217-698-0800 masked Program Manager of Standards North American Association of Central Cancer Registries, Inc. 2121 W. White Oaks Dr., Suite B, Springfield, IL, 62704-6495 217-698-0800 lhavener@naaccr.org SDO Int 3 Complete 2010/06/09 12:00:00 2010/07/07 12:00:00 2010/07/07 03:10:42 UV 2.16.840.1.113883.3.521 netPracticeEHRweb NetPracticeEHRweb Gabriel McKean masked Gabriel McKean 509-949-4457 masked Software Developer Noteworthy Medical Systems 3300 N. Central Ave., #2100 Phoenix, AZ 85012 877-891-8777 info@noteworthymedical.com http://www.noteworthyms.com/ Vendor Int 3 Complete 2010/06/11 12:00:00 2010/10/08 12:00:00 2010/10/08 02:01:39 UV 2.16.840.1.113883.3.522 actsi Atlanta Clinical and Translational Sciences Institute Kristi Eckerson masked Kristi Eckerson Research and Health Sciences IT Emory University 1784 North Decatur Road, Suite 520 Atlanta, GA 30322 404-712-5086 masked Research information Architect, Lead Atlanta Clinical and Translational Sciences Institute Robert W. Woodruff Health Sciences Center Emory University 1440 Clifton Rd NE Atlanta, GA 30322 (404) 727-9296 actsi@emory.edu http://www.atlantactsi.org/ Academic Int 3 Complete 2010/06/14 12:00:00 2010/10/08 12:00:00 2010/10/08 02:05:59 UV 2.16.840.1.113883.3.523 nHA Northern Health Authority, British Columbia, Canada Robert Grant masked Bill McCloskey 250 565-2801 masked Director, Application & Information Services, ITS Northern Health Authority, British Columbia, Canada Northern Health - Corporate Office Suite 600, 299 Victoria Street Prince George, British Columbia, Canada V2L 5B8 Phone: (250) 565-2649, Fax: (250) 565-2640 (250) 565-2649 Bill.mccloskey@northernhealth.ca http://www.northernhealth.ca/ Govt body Int 3 Complete 2010/06/14 12:00:00 2010/10/08 12:00:00 2010/10/08 02:09:03 UV 2.16.840.1.113883.3.524 dimagi-carehq Dimagi CareHQ Care Coordination Platform Daniel Myung masked Daniel Myung 617-580-3100 masked Senior Engineer Dimagi Inc. 529 Main Street Suite 606 Charlestown, MA 02129 617-580-3100 dmyung@dimagi.com http://www.dimagi.com Vendor Int 3 Complete 2010/06/14 12:00:00 2010/10/08 12:00:00 2010/10/08 02:11:06 UV 2.16.840.1.113883.4.401 bcCPPT British Columbia, Canada, College of Pharmacists Identifier for Pharmacy Technician Wendy Huang masked Amanda Yen 200 - 1765 W. 8 Avenue , Vancouver, BC, V6J 5C6 1-800-663-1940 masked Business Analyst College of Pharmacists of British Columbia 200 - 1765 W. 8 Avenue , Vancouver, BC, V6J 5C6 1-800-663-1940 info@bcpharmacists.org http://www.bcpharmacists.org/index.php Prof Soc Int 4 Complete 2010/06/15 12:00:00 2010/10/08 12:00:00 2010/10/08 02:13:51 UV 2.16.840.1.113883.3.525 cap Captain Yuming Yuming Captain masked Captain Yuming Shenyang City, Liaoning Province, China +86 15124241664 masked captainyuming Shenyang City, Liaoning Province, China +86 15124241664 captainyuming@Gmail.com Payor Int 3 Complete 2010/06/17 12:00:00 2012/05/24 12:00:00 2012/05/25 01:52:15 UV 2.16.840.1.113883.3.526 ama American Medical Association Delane Heldt masked Delane Heldt American Medical Association 515 N. State Street Chicago, IL 60654 312-464-4879 masked Project Manager II/ eMeasure Development American Medical Association 515 N. State Street Chicago, IL 60654 (800) 621-8335 delane.heldt@ama-assn.org www.ama-assn.org Prof Soc Int 3 Complete 2010/06/22 12:00:00 2010/10/08 12:00:00 2010/10/08 02:30:21 UV 2.16.840.1.113883.3.527 pcs Prime Clinical Systems Global OID Arin Tahmasian masked Arin Tahmasian 6264491705 masked Prime Clinical Systems, Inc. 3675 E. Huntington Drive., Suite A Pasadena, CA 91107 6264491705 support@primeclinical.com www.primeclinical.com Vendor Int 3 Complete 2010/06/22 12:00:00 2010/10/08 12:00:00 2010/10/08 02:35:56 UV 2.16.840.1.113883.3.528 healthFusion healthFusion Seth Flam masked Seth Flam 124 North Rios Solana Beach, CA 92075 (858) 523-2120 masked CEO HealthFusion 124 North Rios Solana Beach, CA 92075 (858) 523-2120 sflam@healthfusion.com www.healthfusion.com Vendor Int 3 Complete 2010/06/23 12:00:00 2010/10/08 12:00:00 2010/10/08 02:49:39 UV 2.16.840.1.113883.3.529 medhost-general-hospital MEDHOST General Hospital, Addison, TX Michael Hawkins masked Michael Hawkins 5055 Keller Springs Rd Suite 400 Addison, Texas 75001 972-560-3100 masked MEDHOST General Hospital 5055 Keller Springs Rd Suite 400 Addison, Texas 75001 972-560-3100 info@MEDHOST.com http://www.medhost.com Vendor Int 3 Complete 2010/06/23 12:00:00 2010/10/08 12:00:00 2010/10/08 02:53:02 UV 2.16.840.1.113883.3.530 medhost MEDHOST CCD/CDA Messaging OID Michael Hawkins masked Michael Hawkins 5055 Keller Springs Rd Suite 400 Addison, Texas 75001 972-560-3100 masked MEDHOST, Inc. 5055 Keller Springs Rd Suite 400 Addison, Texas 75001 972-560-3100 info@MEDHOST.com http://www.medhost.com Vendor Int 3 Complete 2010/06/23 12:00:00 2010/07/23 12:00:00 2010/07/23 08:41:10 UV 2.16.840.1.113883.3.531 blueWave Blue Wave Development Root Hugh Glover masked Hugh Glover 20, West Garth Road Exeter EX4 5AH UK +44 1392 252976 masked Partner Blue Wave Informatics LLP 20, West Garth Road Exeter EX4 5AH UK +44 1392 252976 hugh_glover@bluewaveinformatics.co.uk www.bluewaveinformatics.co.uk Vendor Int 3 Complete 2010/06/24 12:00:00 2010/10/08 12:00:00 2010/10/08 02:56:11 UV 2.16.840.1.113883.3.532 mcrnc MJHS Menorah Center for Rehab and Nursing Care Adam Yoder masked Bill Luecken 718-921-7749 masked Sr. Director, Information Services Brooklyn Health Information Exchange 1045 39th Street Brooklyn, NY 11219 1045 39th Street info@bhix.org www.bhix.org Provider Int 3 Complete 2010/06/24 12:00:00 2010/10/08 12:00:00 2010/10/08 02:57:58 UV 2.16.840.1.113883.3.533 scrnc MJHS Shorefront Center for Rehab and Nursing Care Adam Yoder masked Bill Luecken 718-921-7749 masked Sr. Director, Information Services Brooklyn Health Information Exchange 1045 39th Street Brooklyn, NY 11219 1045 39th Street info@bhix.org www.bhix.org Provider Int 3 Complete 2010/06/24 12:00:00 2010/10/08 12:00:00 2010/10/08 03:02:45 UV 2.16.840.1.113883.3.534 ssi The Schulman and Schachne Institute for Nursing and Rehabilitation Adam Yoder masked Tim Kwan 415-449-0909 masked Manager, Enterprise Application Interfaces Douglas Thompson One Brooklyn Plaza Brooklyn, NY 11212 415-240-5559 dthompson@brookdale.edu http://www.brookdale.edu Provider Int 3 Complete 2010/06/25 12:00:00 2010/10/08 12:00:00 2010/10/08 03:04:49 UV 2.16.840.1.113883.6.290 abcCodabar ABC Codabar Robert Hausam MD masked Dan Pollock Daniel A. Pollock, M.D. Daniel A. Pollock, M.D. Surveillance Branch Chief Division of Healthcare Quality Promotion National Center for Preparedness, Detection, and Control of Infectious Diseases Centers for Disease Control and Prevention Mail Stop A24 Atlanta, GA 30333 (404) 639-4237 masked Surveillance Branch Chief, DHQP AABB AABB 8101 Glenbrook Road Bethesda, MD 20814-2749 (301) 907-6977 aabb@aabb.org http://www.aabb.org Prof Soc Int 6 Complete 2010/06/28 12:00:00 2010/10/08 12:00:00 2010/10/08 03:08:36 UV 2.16.840.1.113883.3.535 cv vbxzcv zz zz masked xx dfg er masked wer dafas 3434343434343 zxcv@yahoo.com Vendor Int 3 Rejected 2010/06/29 12:00:00 2010/10/08 12:00:00 2010/10/08 02:59:11 UV 2.16.840.1.113883.3.536 type1-csc CSC Development Type 1 Helen Galluppi masked Helen Galluppi 113 Linden Court Seven Fields PA 16046 7244968701 masked Sr. Integration Analyst Helen Galluppi 113 Linden Court Seven Fields PA 16046 724498701 hgalluppi@csc.com http://www.csc.com Academic Int 3 Complete 2010/06/29 12:00:00 2010/10/08 12:00:00 2010/10/08 03:11:43 UV 2.16.840.1.113883.4.402 ca-mbOPTLN Manitoba (Canada) Association of Optometrists License Number Wendy Huang masked Anne Belford "TELUS Health Solutions 5090 Explorer Drive Mississauga, Ontario, Canada L4W 4W6" 1-905-629-5729 masked Manitoba Association of Optometrists (Canada) Manitoba Association of Optometrists 200B - 392 Academy Road Winnipeg, Manitoba R3N 0B8 1-204 268-2388 MBoptom@aol.com Prof Soc Int 4 Complete 2010/06/29 12:00:00 2010/07/23 12:00:00 2010/10/08 03:14:09 UV 2.16.840.1.113883.4.403 ca-nbOPTLN The New Brunswick (Canada) Association of Optometrists License Number Wendy Huang masked Anne Belford TELUS Health Solutions 5090 Explorer Drive Mississauga, Ontario, Canada L4W 4W6 1-905-629-5729 masked The New Brunswick Association of Optometrists (Canada) The New Brunswick Association of Optometrists 490 Gibson Street, Unit 1 Fredericton, NB Canada E3A 4E9 506 634-8211 kmcdevit@nbnet.nb.ca Govt body Int 4 Complete 2010/06/29 12:00:00 2010/07/23 12:00:00 2010/07/23 11:31:04 UV 2.16.840.1.113883.4.404 ca-peiOPTLN Prince Edward Island (Canada) Association of Optometrists License Number Wendy Huang masked Anne Belford TELUS Health Solutions 5090 Explorer Drive Mississauga, Ontario, Canada L4W 4W6 1-905-629-5729 masked Prince Edward Island Association of Optometrists (Canada) Prince Edward Island Association of Optometrists P.O. Box 1812 Charlottetown, PE C1A 7N5 902-626-3937 eyes@isn.net www.peioptometrists.ca/ Govt body Int 4 Complete 2010/06/29 12:00:00 2010/07/23 12:00:00 2010/07/23 11:29:16 UV 2.16.840.1.113883.4.405 ca-nsOPTLN NOVA SCOTIA (Canada) ASSOCIATION OF OPTOMETRISTS License Number Wendy Huang masked Anne Belford TELUS Health Solutions 5090 Explorer Drive Mississauga, Ontario, Canada L4W 4W6 1-905-629-5729 masked NOVA SCOTIA ASSOCIATION OF OPTOMETRISTS (Canada) NOVA SCOTIA ASSOCIATION OF OPTOMETRISTS 6009 Quinpool Road, Suite 700 PO Box 9410, Station A Halifax, NS B3K 5S3 902 542-3435 pothier@ns.sympatico.ca www.nsoptometrists.ca/ Govt body Int 4 Complete 2010/06/29 12:00:00 2010/07/23 12:00:00 2010/07/23 11:27:05 UV 2.16.840.1.113883.4.406 ca-bcOPTLN Opticians of British Columbia (Canada) License Number Wendy Huang masked Anne Belford TELUS Health Solutions 5090 Explorer Drive Mississauga, Ontario, Canada L4W 4W6 1-905-629-5729 masked Opticians of British Columbia (Canada) 400 - 1681 Chestnut Street, Vancouver BC, V6J 4M6 Canada (866) 920-5911 info@opticians.bc.ca http://www.opticians.bc.ca/ Govt body Int 4 Complete 2010/06/29 12:00:00 2010/07/23 12:00:00 2010/07/23 11:24:09 UV 2.16.840.1.113883.4.407 ca-saskOPTILN Saskatchewan (Canada) Optician License Number Wendy Huang masked Anne Belford TELUS Health Solutions 5090 Explorer Drive Mississauga, Ontario, Canada L4W 4W6 1-905-629-5729 masked Saskatchewan Ophthalmic Dispensers Association (Canada) 306 1114 22nd Street West, SASKATOON, SK S7M 0S5 Canada (306) 652-0769 sk.opticians@sasktel.net http://www.opticians.sk.ca/ Govt body Int 4 Complete 2010/06/29 12:00:00 2010/08/27 12:00:00 2010/08/27 02:45:09 UV 2.16.840.1.113883.4.408 ca-mbOPTILN Opticians of Manitoba (Canada) License Number Wendy Huang masked Anne Belford TELUS Health Solutions 5090 Explorer Drive Mississauga, Ontario, Canada L4W 4W6 1-905-629-5729 masked Business Analyst Opticians of Manitoba (Canada) Opticians of Manitoba 2706 - 83 Garry Street Winnipeg, Manitoba R3C 4J9 Canada (800) 847-3155 oom@opticians.ca http://www.opticiansofmanitoba.ca/ Govt body Int 4 Complete 2010/06/29 12:00:00 2010/07/23 12:00:00 2010/07/23 08:53:40 UV 2.16.840.1.113883.4.409 ca-qcOPTILN Ordre des opticiens d'ordonnances du Quebec (Canada) License Number Wendy Huang masked Anne Belford TELUS Health Solutions 5090 Explorer Drive Mississauga, Ontario, Canada L4W 4W6 1-905-629-5729 masked Ordre des opticiens d'ordonnances du Quebec (Canada) 630, Rue Sherbrooke Quest, Bureau 601, Montreal QC H3A 1E4 Canada (514) 288-7542 ordre@opticien.qc.ca http://www.oodq.qc.ca Govt body Int 4 Complete 2010/06/29 12:00:00 2010/07/23 12:00:00 2010/07/23 08:51:16 UV 2.16.840.1.113883.4.410 ca-nbOPTILN Opticians Association of New Brunswick (Canada) License Number Wendy Huang masked Anne Belford TELUS Health Solutions 5090 Explorer Drive Mississauga, Ontario, Canada L4W 4W6 1-905-629-5729 masked Opticians Association of New Brunswick (Canada) PO/CP 6743, ST. A, Saint John NB E2L 4S2 Canada (506) 642-2878 nbgdo@nbnet.nb.ca www.opticiansnb.com Govt body Int 4 Complete 2010/06/29 12:00:00 2010/07/23 12:00:00 2010/07/23 08:49:07 UV 2.16.840.1.113883.4.411 ca-nsDOPTLN Nova Scotia (Canada) Society of Dispensing Opticians License Number Wendy Huang masked Anne Belford TELUS Health Solutions 5090 Explorer Drive Mississauga, Ontario, Canada L4W 4W6 1-905-629-5729 masked Nova Scotia Society of Dispensing Opticians (Canada) PO Box 31265, Halifax Nova Scotia B3K 5Y5 Canada (902) 435-2845 pothier@ns.sympatico.ca www.nscdo.ca Govt body Int 4 Complete 2010/06/29 12:00:00 2010/07/23 12:00:00 2010/07/23 08:46:54 UV 2.16.840.1.113883.3.538 zhangsc Zhang SC OID Zhang SC masked Zhang SC 8603162596106 masked Zhang SC HuaXiang Road 108,Lang Fang,China 8603162596106 zhangsc136@hotmail.com SDO Int 3 Complete 2010/06/29 12:00:00 2012/05/24 12:00:00 2012/05/25 01:56:36 UV 2.16.840.1.113883.4.412 ca-peiDOPTILN Dispensing Opticians Board of Prince Edward Island (Canada) License Number Wendy Huang masked Anne Belford TELUS Health Solutions 5090 Explorer Drive Mississauga, Ontario, Canada L4W 4W6 1-905-629-5729 masked Dispensing Opticians Board of Prince Edward Island (Canada) 32-3rd St, Charlottetown, Prince Edward Island, C1E 2B1 Canada no phone number peiregistrar@pei.sympatico.ca Govt body Int 4 Complete 2010/06/29 12:00:00 2010/07/23 12:00:00 2010/07/23 08:43:51 UV 2.16.840.1.113883.4.413 ca-nflDOPTLN Newfoundland (Canada) Guild of Dispensing Opticians License Number Wendy Huang masked Anne Belford TELUS Health Solutions 5090 Explorer Drive Mississauga, Ontario, Canada L4W 4W6 1-905-629-5729 masked Newfoundland Guild of Dispensing Opticians (Canada) PO Box 2527, St. John's NL, A1C 6K1 Canada (709) 579-2605 ngdo@nl.rogers.com Govt body Int 4 Complete 2010/06/29 12:00:00 2010/07/23 12:00:00 2010/07/23 04:51:22 UV 2.16.840.1.113883.4.414 ca-bcPHYLN College of Physical Therapists of British Columbia (Canada) License Number Wendy Huang masked Anne Belford TELUS Health Solutions 5090 Explorer Drive Mississauga, Ontario, Canada L4W 4W6 1-905-629-5729 masked College of Physical Therapists of British Columbia (Canada) 302-1765 West 8th Avenue, Vancouver, BC V6J 5C6 Canada 604-730-9193 brenda_hudson@cptbc.org https://pacific.alinity.com/cptbc/webclient/MemberDirectory.aspx Govt body Int 4 Complete 2010/06/29 12:00:00 2010/07/23 12:00:00 2010/07/23 04:52:44 UV 2.16.840.1.113883.4.416 ca-mbPHYLN College of Physiotherapists of Manitoba (Canada) License Number Wendy Huang masked Anne Belford TELUS Health Solutions 5090 Explorer Drive Mississauga, Ontario, Canada L4W 4W6 1-905-629-5729 masked College of Physiotherapists of Manitoba (Canada) 211 - 675 Pembina Highway, Winnipeg, Manitoba R3M 2L6 Canada 204-287-8502 registrar@manitobaphysio.com http://www.manitobaphysio.com/ Govt body Int 4 Complete 2010/06/29 12:00:00 2010/07/23 12:00:00 2010/07/23 04:55:12 UV 2.16.840.1.113883.4.417 ca-qcPHYLN Ordre professionnel de la physioth&#233;rapie du Qu&#233;bec (Canada) License Number Wendy Huang masked Anne Belford TELUS Health Solutions 5090 Explorer Drive Mississauga, Ontario, Canada L4W 4W6 1-905-629-5729 masked Ordre professionnel de la physioth&#233;rapie du Qu&#233;bec (Canada) 7151, rue Jean-Talon Est, bureau 1000, Anjou, Qu&#233;bec, H1M 3N8 Canada 514-351-2770 hbrosseau@oppq.qc.ca http://www.oppq.qc.ca/Pannuaire.php Govt body Int 4 Complete 2010/06/29 12:00:00 2010/07/23 12:00:00 2010/07/23 04:57:57 UV 2.16.840.1.113883.4.418 ca-nbPHYLN College of Physiotherapists of New Brunswick (Canada) License Number Wendy Huang masked Anne Belford TELUS Health Solutions 5090 Explorer Drive Mississauga, Ontario, Canada L4W 4W6 1-905-629-5729 masked College of Physiotherapists of New Brunswick (Canada) 2C-82 rue Germain St. Saint John, NB E2L 2E7 Canada 506-642-9760 physionb@nb.aibn.com www.cptnb.ca Govt body Int 4 Complete 2010/06/29 12:00:00 2010/07/23 12:00:00 2010/07/23 04:59:46 UV 2.16.840.1.113883.4.419 ca-nsPHYLN Nova Scotia (Canada) College of Physiotherapists License Number Wendy Huang masked Anne Belford TELUS Health Solutions 5090 Explorer Drive Mississauga, Ontario, Canada L4W 4W6 1-905-629-5729 masked Nova Scotia College of Physiotherapists (Canada) 15 Brookdale Cres. Dartmouth, NS B3A 2R3 Canada 902-454-0158 joan@nsphysio.com http://nsphysio.com/ Govt body Int 4 Complete 2010/06/29 12:00:00 2010/07/16 12:00:00 2010/07/16 07:31:11 UV 2.16.840.1.113883.4.420 ca-peiPHYLN Prince Edward Island (Canada) College of Physiotherapists License Number Wendy Huang masked Anne Belford TELUS Health Solutions 5090 Explorer Drive Mississauga, Ontario, Canada L4W 4W6 1-905-629-5729 masked Prince Edward Island College of Physiotherapists (Canada) Riverside Dr, Po Box 3286, Charlottetown, PE C1A 8W5 1-800-595-3417 standards@infoway-inforoute.ca Govt body Int 4 Complete 2010/06/29 12:00:00 2010/07/23 12:00:00 2010/07/23 04:46:50 UV 2.16.840.1.113883.4.421 ca-nflPHYLN Newfoundland & Labrador (Canada) College of Physiotherapists License Number Wendy Huang masked Anne Belford TELUS Health Solutions 5090 Explorer Drive Mississauga, Ontario, Canada L4W 4W6 1-905-629-5729 masked Newfoundland & Labrador College of Physiotherapists (Canada) PO BOX 21351, St John's NL A1A 5G6 Canada 709-753-6527 office@nf.sympatico.ca Govt body Int 4 Complete 2010/06/29 12:00:00 2010/07/16 12:00:00 2010/07/16 07:44:14 UV 2.16.840.1.113883.4.422 ca-bcCHIROLN College of Chiropractors of British Columbia (Canada) License Number Wendy Huang masked Anne Belford TELUS Health Solutions 5090 Explorer Drive Mississauga, Ontario, Canada L4W 4W6 1-905-629-5729 masked College of Chiropractors of British Columbia (Canada) College of Chiropractors of BC #125-3751 Shell Road, Richmond, BC V6X 2W2 Canada 604 270 1332 info@bcchiro.com www.bcchiro.com Govt body Int 4 Complete 2010/06/29 12:00:00 2010/07/16 12:00:00 2010/07/16 07:41:53 UV 2.16.840.1.113883.4.423 ca-mbCHIROLN Manitoba (Canada) Chiropractors Association License Number Wendy Huang masked Anne Belford TELUS Health Solutions 5090 Explorer Drive Mississauga, Ontario, Canada L4W 4W6 1-905-629-5729 masked Manitoba Chiropractors Association (Canada) Suite 610 1445 Portage Avenue Winnipeg MB R3G 3P4 Canada (204) 942-3000 info@mbchiro.org www.mbchiro.org Govt body Int 4 Complete 2010/06/29 12:00:00 2010/07/16 12:00:00 2010/07/16 07:37:47 UV 2.16.840.1.113883.4.424 ca-qcCHIROLN Association des chiropraticiens du Qu&#233;bec (Canada) License Number Wendy Huang masked Anne Belford TELUS Health Solutions 5090 Explorer Drive Mississauga, Ontario, Canada L4W 4W6 1-905-629-5729 masked Association des chiropraticiens du Qu&#233;bec (Canada) 7960, boulevard M&#233;tropolitain Est Montr&#233;al (Qu&#233;bec) H1K 1A1 Canada 1-866 292-4476 acq@chiropratique.com www.chiropratique.com Govt body Int 4 Complete 2010/06/29 12:00:00 2010/07/16 12:00:00 2010/07/16 07:28:45 UV 2.16.840.1.113883.4.425 ca-nbCHIROLN New Brunswick (Canada) Chiropractors' Association License Number Wendy Huang masked Anne Belford TELUS Health Solutions 5090 Explorer Drive Mississauga, Ontario, Canada L4W 4W6 1-905-629-5729 masked New Brunswick Chiropractors' Association (Canada) 125 Whiting Road, Suite 200 Fredericton, NB, E3B 5Y5 Canada 506-455-6800 comments@nbchiropractic.ca www.nbchiropractic.ca Govt body Int 4 Complete 2010/06/29 12:00:00 2010/07/16 07:40:06 UV 2.16.840.1.113883.4.426 ca-nsCHIROLN Nova Scotia (Canada) College of Chiropractors License Number Wendy Huang masked Anne Belford TELUS Health Solutions 5090 Explorer Drive Mississauga, Ontario, Canada L4W 4W6 1-905-629-5729 masked Nova Scotia College of Chiropractors (Canada) PO Box 9410 Station A 6009 Quinpool Rd, Suite 700 Halifax, NS B3K 5S3 Canada (902) 425-2445 inquiries@chiropractors.ns.ca http://www.knowyourback.ca/ Govt body Int 4 Complete 2010/06/29 12:00:00 2010/07/16 12:00:00 2010/07/16 07:20:02 UV 2.16.840.1.113883.4.427 ca-peiCHIROLN Prince Edward Island (Canada) Chiropractic Association License Number Wendy Huang masked Anne Belford TELUS Health Solutions 5090 Explorer Drive Mississauga, Ontario, Canada L4W 4W6 1-905-629-5729 masked Prince Edward Island Chiropractic Association (Canada) 228 Grafton St. Charlottetown, PEI C1A 1L5 Canada (902) 894-4400 chiro.whitty@pei.aibn.com Govt body Int 4 Complete 2010/06/29 12:00:00 2010/07/16 12:00:00 2010/07/16 07:15:34 UV 2.16.840.1.113883.4.428 ca-nflCHIROLN Newfoundland and Labrador (Canada) Chiropractic Association License Number Wendy Huang masked Anne Belford TELUS Health Solutions 5090 Explorer Drive Mississauga, Ontario, Canada L4W 4W6 1-905-629-5729 masked Newfoundland and Labrador Chiropractic Association (Canada) 25 Allandale Road - Upper Level St. John's, NL A1B 2Z6 Canada 709-739-7762 nlca@nf.aibn.com http://www.nlchiropractic.ca Govt body Int 4 Complete 2010/06/29 12:00:00 2010/07/07 12:00:00 2010/07/07 04:30:30 UV 2.16.840.1.113883.4.429 ca-bcOPTLN College of Optometrists of British Columbia (Canada) License Number Wendy Huang masked Anne Belford TELUS Health Solutions 5090 Explorer Drive Mississauga, Ontario, Canada L4W 4W6 1-905-629-5729 masked College of Optometrists of British Columbia (Canada) 1204 - 700 West Pender Street, Vancouver BC V6C 1G8 Canada 604-623-3464 optometry_board@telus.net http://www.optometrybc.com/ Govt body Int 4 Complete 2010/06/29 12:00:00 2010/07/07 12:00:00 2010/07/07 04:01:08 UV 2.16.840.1.113883.3.539 bPHC Boston Public Health Commission jeanne cannata masked jeanne cannata 6175342408 masked Deputy CIO Boston Public Health Commission 1010 Massachusetts Avenue 6th Floor Boston, MA 02118 6175342408 jcannata@bphc.org www.bphc.org Govt body Int 3 Complete 2010/07/02 12:00:00 2010/07/23 12:00:00 2010/07/23 05:03:28 UV 2.16.840.1.113883.3.540 eScribeEMR-RootOID eScribe EMR Solutions, Inc. Root OID Anthony Waters masked Anthony Waters 518.432.7625 masked eScribe EMR Solutions, Inc. 7 Southwoods Boulevard Albany, NY 12211 518.432.7625 jordan.rosen@escribeonline.com www.escribeonline.com Vendor Int 3 Complete 2010/07/02 12:00:00 2010/10/08 12:00:00 2010/10/08 03:17:16 UV 2.16.840.1.113883.3.541 interbororhio Interboro Regional Health Information Organization Alfred Marino masked Alfred Marino Interboro RHIO PO Box 800038 Elmhurst, New York 11380 718-334-2401 masked Executive director Interboro Regional Health Information Organization Interboro RHIO PO Box 800038 Elmhurst, New York 11380 718-334-2401 al.marino@interbororhio.org www.interbororhio.org Prof Soc Int 3 Complete 2010/07/02 12:00:00 2010/10/08 12:00:00 2010/10/08 03:19:16 UV 2.16.840.1.113883.10.20.20 gTR Root template OID for CDA Genetic Testing Report Amnon Shabo masked Amnon Shabo +972-54-4714070 masked HL7 Clinical Genomics Co-chair HL7 Clinical Genomics Work Group Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +972-54-4714070 shabo@il.ibm.com HL7 body Ext 3 Complete 2.16.840.1.113883.10.20.20 2010/07/07 12:00:00 2011/05/05 12:00:00 2011/05/06 05:22:01 UV 2.16.840.1.113883.3.543 worldvista WorldVistA Nancy Anthracite masked Nancy Anthracite 423 Sanders Lane Gaithersburg, MD 20877 240-246-0123 masked President & CMO WorldVistA 423 Sanders Lane Gaithersburg MD 20877 240-246-0123 nancy@worldvista.org http://worldvista.org Vendor 2.16.840.1.113883.3.543 Int 3 Complete 2010/07/07 12:00:00 2010/07/07 12:00:00 2015/02/14 09:34:33 UV 2.16.840.1.113883.3.544 abyrd5 Alan R Byrd Alan Byrd masked Alan R Byrd 3811 Turtle Creek Blvd, 20th Floor, Dallas, Texas 75219 562-243-9352 masked Health Delivery Integration Consultant Alan R Byrd 3811 Turtle Creek Blvd, 20th Floor, Dallas, Texas 75219 562-243-9352 abyrd5@csc.com http://www.csc.com Govt body Int 3 Complete 2010/07/09 12:00:00 2011/12/15 12:00:00 2011/12/16 12:30:15 UV 2.16.840.1.113883.15.1 testtype15 test entry for new type 15 OIDs Ted Klein masked Ted 999-999-9999 masked HL7 Test Group street, city, state, zip 999-999-9999 ted@tklein.com www.hl7.org HL7 body Int 15 Rejected 2.16.840.1.113883 2010/07/12 12:00:00 2010/10/15 12:00:00 2010/10/15 07:46:40 UV 2.16.840.1.113883.3.545 medehr MEDEHR Kevin Bucknum masked Rick Salter 985 893 2550 masked CIO Medtron Software Intelligence 120 Innwood Drive Covington, LA 70433 985 893 2550 programming@medtronsoftware.com http://www.medtronsoftware.com Vendor Int 3 Complete 2010/07/13 12:00:00 2010/08/06 12:00:00 2010/08/06 08:31:02 UV 2.16.840.1.113883.3.546 cecsoft CECSoft Nutan Singh masked Sandeep Yadav Nutan Singh Plot No 170 Phase-1, Udyog Vihar Gurgaon 122016 Haryana, India 9711579493 masked software Engineer CECSoft Plot No 170 Phase-1, Udyog Vihar Gurgaon 122016 Haryana, India 9711579493 nutan@cecsoft.com http://cecsoft.com Vendor Int 3 Complete 2010/07/14 12:00:00 2016/10/14 12:00:00 2016/10/14 08:53:21 UV 2.16.840.1.113883.3.86.2 interSystems-Ensemble InterSystems Ensemble Michael LaRocca masked James Bourette 1 Memorial Dr Cambridge, MA 02142 617-395-1324 masked Developer InterSystems Corporation One Memorial Drive Cambridge, MA 02142 617-621-0600 james.bourette@intersystems.com http://www.intersystems.com Vendor Ext 4 Complete 2.16.840.1.113883.3.86.2 2010/07/14 12:00:00 2010/10/15 12:00:00 2012/05/18 09:52:27 UV 2.16.840.1.113883.3.86.3 interSystems-HealthShare InterSystems HealthShare Michael LaRocca masked James Bourette 1 Memorial Dr Cambridge, MA 02142 617-710-2615 masked Developer InterSystems Corporation One Memorial Drive Cambridge, MA 02142 617-621-0600 james.bourette@intersystems.com http://www.intersystems.com Vendor Ext 4 Complete 2.16.840.1.113883.3.86.3 2010/07/14 12:00:00 2010/10/15 12:00:00 2012/07/26 02:13:36 UV 2.16.840.1.113883.3.86.4 interSystems-TrakCare InterSystems TrakCare Michael LaRocca masked James Bourette 1 Memorial Dr Cambridge, MA 02142 617-395-1324 masked Developer InterSystems Corporation One Memorial Drive Cambridge, MA 02142 617-621-0600 james.bourette@intersystems.com http://www.intersystems.com Vendor Ext 4 Complete 2.16.840.1.113883.3.86.4 2010/07/14 12:00:00 2010/10/15 12:00:00 2012/05/18 09:55:35 UV 2.16.840.1.113883.3.86.5 interSystems-DeepSee InterSystems DeepSee Michael LaRocca masked James Bourette 1 Memorial Dr Cambridge, MA 02142 617-395-1324 masked Developer InterSystems Corporation One Memorial Drive Cambridge, MA 02142 617-621-0600 james.bourette@intersystems.com http://www.intersystems.com Vendor Ext 4 Complete 2.16.840.1.113883.3.86.5 2010/07/14 12:00:00 2010/10/15 12:00:00 2012/05/18 09:58:51 UV 2.16.840.1.113883.3.547 c440546366 Capital Region Medical Center Kevin Lang masked Kevin 1125 Madison St. Jefferson City, MO 65102 573-632-5110 masked Capital Region Medical Center 1125 Madison St. Jefferson City, MO 65102 573-632-5110 klang@mail.crmc.org www.crmc.org Provider Int 3 Complete 2010/07/15 12:00:00 2010/10/15 12:00:00 2010/10/15 09:10:16 UV 2.16.840.1.113883.4.30 ab-coLPN-LN College of Licensed Practical Nurses of Alberta license number (ab-coLPN-LN) Wendy Huang masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 415-1552 masked Business Lead, Provider Registry Projects Health System Performance and Information Management College of Licensed Practical Nurses of Alberta 780.484.8886 info@clpna.com https://www.clpna.com/ Prof Soc Ext 4 Complete 2.16.840.1.113883.4.30 2010/07/16 12:00:00 2010/07/16 12:00:00 2020/08/10 05:23:56 UV 2.16.840.1.113883.3.548 promis Promis Sophie Zhao masked Mirek Piaseczny 305-1200 Burrard Street, Vancouver, BC, Canada 1 (604) 806-8647 masked Director of Health Informatics, Renal Networks Promis 305-1200 Burrard Street, Vancouver, BC, Canada 1 (604) 682-2344 mpiaseczny@bcpra.ubc.ca Govt body Int 3 Complete 2010/07/16 12:00:00 2010/10/15 12:00:00 2010/10/15 09:44:31 UV 2.16.840.1.113883.3.549 ides ides nutan singh masked sandeep nutan Gurgaon ,phase 1,Haryana 9711579493 masked Software Engineer nutan Gurgaon ,phase 1,Haryana 9711579493 nutan@cecsoft.com cecsoft.com SDO Int 3 Rejected 2010/07/19 12:00:00 2010/10/15 12:00:00 2010/10/15 09:48:50 UV 2.16.840.1.113883.3.550 own ownorg nutan singh masked nitu nutan delhi,vasant kunj-70 9711579493 masked software engineer nutan delhi,vasant kunj-70 9711579493 myselfnitu.singh@gmail.com Academic Int 3 Rejected 2010/07/19 12:00:00 2010/10/15 12:00:00 2010/10/15 10:23:57 UV 2.16.840.1.113883.3.551 jetsun JetSun Root OID WU WEI masked Wu Wei (86)20-37633333 masked JetSun Information System Co, Ltd. Zhongshan 2 road 35th, Guangdong, Guangzhou China (86)20-37633333 xtwuwei@sina.com www.jetsun.com.cn Provider Int 3 Complete 2010/07/20 12:00:00 2010/07/23 12:00:00 2010/07/23 04:42:03 UV 2.16.840.1.113883.3.552 upmc University of Pittsburgh Medical Center Root Darlene Sutara masked Adam Gronsky Darlene Sutara 412-605-1944 masked University of Pittsburgh Medical Center 600 Grant Street Pittsburgh, PA 15219 412-605-1944 sutaradf@upmc.edu http://www.upmc.com/ Provider Int 3 Complete 2010/07/20 12:00:00 2010/10/15 12:00:00 2010/10/15 10:29:18 UV 2.16.840.1.113883.3.553 unimaging UnitedImaging Ultrasound Images Rex Chen masked Rex Chen +8610-82894362 masked United Imaging Inc. Room 2101, Bldg1, International Technology Campus, Shangdi 7th St. Haidian District,Beijing,China +8610-82894362 license@unimaging.com http://unimaging.com/ Vendor Int 3 Complete 2010/07/20 12:00:00 2010/10/15 12:00:00 2010/10/15 10:31:52 UV 2.16.840.1.113883.3.554 uresonance United Resonance Images Rex Chen masked Rex Chen +8610-82894362 masked United Resonance Inc. Room 2101, Bldg1, International Technology Campus, Shangdi 7th St. Haidian District,Beijing,China +8610-82894362 license@unimaging.com http://unimaging.com/ Vendor Int 3 Complete 2010/07/20 12:00:00 2010/10/15 12:00:00 2010/10/15 10:35:14 UV 2.16.840.1.113883.3.555 nitu nitu nutan singh masked nitu nutan new delhi-70 9711579493 masked Project Manager nutan new delhi-70 9711579493 myselfnitu.singh@gmail.com http://cecsoft.com Govt body Int 3 Rejected 2010/07/21 12:00:00 2010/10/15 12:00:00 2010/10/15 10:36:37 UV 2.16.840.1.113883.3.556 nhin1dhimslabmil nhin1.dhimslab.mil Steve Kehlet masked Steve Kehlet Scott Foster 703-824-3540 x222 masked Lead Engineer Defense Health Information Management System 5109 Leesburg Pike Falls Church, VA 22041 703-998-6900 Scott@SLogicCorp.com http://dhims.health.mil/ Govt body Int 3 Complete 2010/07/22 12:00:00 2010/10/15 12:00:00 2010/10/15 10:39:08 UV 2.16.840.1.113883.3.557 infraware InfraWare Eric Montgomery masked Eric Montgomery 812-235-7239 masked VP Product Development InfraWare, Inc. 19 South 6th St Suite 900 Terre Haute, IN 47807 812-235-7239 support@infraware.com www.infraware.com Vendor Int 3 Complete 2010/07/25 12:00:00 2010/10/15 12:00:00 2010/10/15 10:41:03 UV 2.16.840.1.113883.3.558 mirth332devconnectdocs mirth332devconnectdocstitle Oscar Gonzalez masked Oscar Gonzalez 18831 Von Karman Ave. Suite 300 Irvine, CA 92612 949-255-5080 masked Systems Administrator Holt Anderson P.O. Box 13048 Research Triangle Park, NC 27709-3048 919-558-9258 x27 holt@nchica.org www.nchica.org Govt body Int 3 Complete 2010/07/26 12:00:00 2010/10/15 12:00:00 2010/10/15 10:46:27 UV 2.16.840.1.113883.4.430 khp-oris King's Health Partners - Oncology Research Information System (ORIS) Lars Engstrom masked Jeff Clare Lars Engstrom Guy's Hospital Great Maze Pond London SE1 9RT 020 7188 7188 masked King's Health Partners King's Health Partners Ground Floor Counting House Guy's Hospital London SE1 9RT 020 7188 8794 kingshealthpartners@kcl.ac.uk http://www.kingshealthpartners.org Academic Int 4 Complete 2010/07/27 12:00:00 2010/10/15 12:00:00 2010/10/15 10:49:28 UV 2.16.840.1.113883.3.559 ascendanhie Ascenda Healthcare Test Gateway DUANE DECOUTEAU masked Duane DeCouteau Ascenda Professional Services, LLC dba AscendaHealthcare 5238 Karen Court Missoula, MT 59803 406-410-0894 masked Senior Software Architect AscendaHealthcare Ascenda Professional Services, LLC dba AscendaHealthcare 5238 Karen Court Missoula, MT 59803 406-410-0894 duane.decouteau@ascendahealthcare.com http://www.ascendahealthcare.com Govt body Int 3 Complete 2010/07/27 12:00:00 2010/10/15 12:00:00 2010/10/15 10:51:09 UV 2.16.840.1.113883.3.560 nqf National Quality Forum Janette Heung masked Elizabeth Carey 202.783.1300 masked National Quality Forum 1030 15th St NW Suite 800 Washington DC 20005 202.783.1300 HealthIT@qualityforum.org http://www.qualityforum.org/ Govt body Int 3 Complete 2010/07/27 12:00:00 2010/10/15 12:00:00 2011/10/20 11:09:34 UV 2.16.840.1.113883.3.561 nhinconnectbuild nhinconnect-build.mirthcorp.com Steve Kehlet masked Steve Kehlet Steve Kehlet 18831 Von Karman Ave., Ste. 300 Irvine, CA 92612 949-255-5070 masked Sr. Systems Administrator Mirth Corporation 18831 Von Karman Ave., Ste. 300 Irvine, CA 92612 949-255-5070 stevek@mirthcorp.com www.mirthcorp.com Govt body Int 3 Complete 2010/07/29 12:00:00 2010/10/15 12:00:00 2010/10/15 10:56:55 UV 2.16.840.1.113883.3.562 jericho Jericho Systems Corporation Mickey Malone masked Imran Chaudhari Mickey Malone 6600 LBJ Freeway Suite 250 Dallas, TX 75240 972-231-2000 masked Senior Systems Engineer Jericho Systems 6600 LBJ Freeway Suite 250 Dallas, TX 75240 972-231-2000 mickey.malone@jerichosystems.com http://nhintest.jerichosystems.com Vendor Int 3 Complete 2010/07/30 12:00:00 2010/08/06 12:00:00 2010/08/06 08:26:25 UV 2.16.840.1.113883.3.563 mededocs MedEDocs Robert Bryan masked Robert Bryan 2409 Brook Crest Mesquite, TX 75150 972-426-8378 masked President MedEDocs 2409 Brook Crest Mesquite, TX 75150 972-426-8378 HL7requests@mededocs.com http://mededocs.com Vendor Int 3 Complete 2010/07/30 12:00:00 2010/08/06 12:00:00 2015/10/26 03:06:44 UV 2.16.840.1.113883.3.564 athenahealth athenahealth OID Joseph Bechtold masked Justin Seger Justin Seger 617-402-1470 masked athenahealth 311 Arsenal st. Watertown, MA 02472 1.800.981.5084 jseger@athenahealth.com http://www.athenahealth.com/ Vendor Int 3 Complete 2010/07/30 12:00:00 2010/08/06 12:00:00 2010/08/06 08:20:18 UV 2.16.840.1.113883.3.565 graybill Graybill Medical Group Shelley Ray masked Shelley Ray 225 e 2nd ave escondido CA 92025 7602916654 masked software analyst Graybill Medical Group 225 e 2nd ave escondido CA 92025 7602916654 sray@graybill.org graybill.org Provider Int 3 Complete 2010/08/03 12:00:00 2010/10/15 12:00:00 2010/10/15 10:59:41 UV 2.16.840.1.113883.3.566 uhcoidint01 University of Missouri Health Care Internal OID Abdolreza Rastkar masked Abdolreza Rastkar QD210 2401 Lemone Industrial Blvd Columbia, MO. 65212 (573) 882-1018 masked Interface Architect, Lead University of Missouri Health Care One Hospital Drive Columbia, MO. 65212 (573) 882-4141 Davishr@health.missouri.edu http://www.muhealth.org/ Provider Int 3 Complete 2010/08/04 12:00:00 2010/08/06 12:00:00 2013/11/06 01:49:35 UV 2.16.840.1.113883.3.520.2.1 social-history Cancer Occupational History Section Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.2.1 2010/08/04 12:00:00 2010/10/15 12:00:00 2010/11/23 10:37:00 UV 2.16.840.1.113883.3.520.2.2 payers Payers section Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.2.2 2010/08/05 12:00:00 2010/10/15 12:00:00 2010/10/15 11:04:38 UV 2.16.840.1.113883.3.520.2.3 diagnosis Diagnosis section Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.2.3 2010/08/05 12:00:00 2010/10/15 12:00:00 2010/10/15 11:07:22 UV 2.16.840.1.113883.3.520.2.4 tnm-stage TNM-Stage section Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Cenmtral Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.2.4 2010/08/05 12:00:00 2010/10/15 12:00:00 2010/10/15 11:11:54 UV 2.16.840.1.113883.3.520.2.5 supporting-documentation Supporting Documentation section Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.2.5 2010/08/05 12:00:00 2010/10/15 12:00:00 2010/10/15 11:13:14 UV 2.16.840.1.113883.3.520.2.6 cancer-course-of-treatment Cancer Course of Treatment section Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Sprinfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Sprinfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.2.6 2010/08/05 12:00:00 2010/10/15 12:00:00 2010/12/05 07:24:59 UV 2.16.840.1.113883.3.520.2.7 patient-status Patient Status section Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.2.7 2010/08/05 12:00:00 2010/10/15 12:00:00 2010/10/15 11:16:15 UV 2.16.840.1.113883.3.520.2.8 cancer-control Cancer Control section Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.2.8 2010/08/05 12:00:00 2010/10/15 12:00:00 2010/10/15 11:17:18 UV 2.16.840.1.113883.3.520.2.9 cancer-treatment-plan Cancer Treatment Plan section Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.2.9 2010/08/05 12:00:00 2010/08/06 12:00:00 2010/12/05 07:26:17 UV 2.16.840.1.113883.3.520.3.1 laterality NAACCR Laterality Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 15 Complete 2.16.840.1.113883.3.520.3.1 2010/08/05 12:00:00 2010/08/06 12:00:00 2010/08/06 08:08:29 UV 2.16.840.1.113883.3.520.3.2 histology NAACCR Histologic Type ICDO3 Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 15 Complete 2.16.840.1.113883.3.520.3.2 2010/08/05 12:00:00 2010/08/06 12:00:00 2010/08/06 08:07:08 UV 2.16.840.1.113883.3.520.3.3 naaccr-diagnostic-confirmation Diagnostic Confirmation Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 15 Complete 2.16.840.1.113883.3.520.3.3 2010/08/05 12:00:00 2010/08/06 12:00:00 2010/08/06 08:03:26 UV 2.16.840.1.113883.3.520.3.4 tnm-clincal-staged-by NAACCR TNM Clin Staged By Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 15 Complete 2.16.840.1.113883.3.520.3.4 2010/08/05 12:00:00 2010/08/06 12:00:00 2010/08/06 08:01:30 UV 2.16.840.1.113883.3.520.3.5 tnm-edition-number NAACCR TNM Edition Number Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 15 Complete 2.16.840.1.113883.3.520.3.5 2010/08/05 12:00:00 2010/08/06 12:00:00 2010/08/06 07:59:25 UV 2.16.840.1.113883.3.520.3.6 tnm-clinical-t NAACCR TNM Clin T Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 15 Complete 2.16.840.1.113883.3.520.3.6 2010/08/05 12:00:00 2010/08/06 12:00:00 2010/08/06 07:56:15 UV 2.16.840.1.113883.3.520.3.7 tnm-clinical-n NAACCR TNM Clin N Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 15 Complete 2.16.840.1.113883.3.520.3.7 2010/08/05 12:00:00 2010/08/06 12:00:00 2010/08/06 07:52:08 UV 2.16.840.1.113883.3.520.3.8 tnm-clinical-m NAACCR TNM Clin M Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 15 Complete 2.16.840.1.113883.3.520.3.8 2010/08/05 12:00:00 2010/08/06 12:00:00 2010/08/06 07:47:50 UV 2.16.840.1.113883.3.520.3.9 tnm-clinical-stage-group NAACCR TNM Clin Stage Group Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 15 Complete 2.16.840.1.113883.3.520.3.9 2010/08/05 12:00:00 2010/08/06 12:00:00 2010/08/06 07:39:33 UV 2.16.840.1.113883.3.520.3.10 tnm-clinical-stage-descriptor NAACCR TNM Clin Descriptor Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 15 Complete 2.16.840.1.113883.3.520.3.10 2010/08/05 12:00:00 2010/08/06 12:00:00 2010/08/06 07:37:08 UV 2.16.840.1.113883.3.520.3.11 cancer-status NAACCR Cancer Status Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 15 Complete 2.16.840.1.113883.3.520.3.11 2010/08/05 12:00:00 2010/08/06 12:00:00 2010/08/06 07:35:00 UV 2.16.840.1.113883.3.520.3.12 quality-of-survival NAAACCR Quality of Survival Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.com SDO Ext 15 Complete 2.16.840.1.113883.3.520.3.12 2010/08/05 12:00:00 2010/08/06 12:00:00 2010/08/06 07:16:07 UV 2.16.840.1.113883.3.520.3.13 screening-result NAACCR Screening Result Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 15 Complete 2.16.840.1.113883.3.520.3.13 2010/08/05 12:00:00 2010/08/06 12:00:00 2010/08/06 07:13:34 UV 2.16.840.1.113883.3.520.3.14 behavior-code NAACCR Behavior Code ICDO3 Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.com SDO Ext 15 Complete 2.16.840.1.113883.3.520.3.14 2010/08/05 12:00:00 2010/08/06 12:00:00 2010/08/06 07:10:45 UV 2.16.840.1.113883.3.520.3.15 grade NAACCR Grade Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.com SDO Ext 15 Complete 2.16.840.1.113883.3.520.3.15 2010/08/05 12:00:00 2010/08/06 12:00:00 2010/08/06 07:07:10 UV 2.16.840.1.113883.3.237.4.2 wadohPHRED Washington State Department of Health Electronic Reporting System (PHRED) Rita Altamore masked Phill Lowe Rita Altamore PO Box 47811, Olympia, WA 98504 360-951-4925 masked Epidemiologist Washington State Department of Health PO Box 47811, Olympia, WA 98504 360-236-4458 Informatics.csc@doh.wa.gov http://www.doh.wa.gov Govt body Ext 4 Complete 2.16.840.1.113883.3.237.4.2 2010/08/05 12:00:00 2010/08/06 12:00:00 2011/03/26 03:39:38 UV 2.16.840.1.113883.3.567 firstDataBank First DataBank, Inc. Mili Gera masked Thomas R. Bizzaro George Robinson Corporate Headquarters 701 Gateway Blvd., Suite 600 South San Francisco, CA 94080 317.571.7390 masked Product Manager First DataBank, Inc. Corporate Headquarters 701 Gateway Blvd., Suite 600 South San Francisco, CA 94080 1-800-633-3453 mili_gera@firstdatabank.com http://www.firstdatabank.com/ Vendor Int 3 Complete 2010/08/06 12:00:00 2010/08/06 12:00:00 2011/11/21 08:23:56 UV 2.16.840.1.113883.5.1130 hl7ApprovalStatus HL7 Approval Status William Ted Klein masked Lloyd McKenzie HL7 F&T Steering Division Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 734-677-7777 masked Modeling and Methodology Workgroup Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 734-677-7777 hq@hl7.org http://www.hl7.org HL7 body Int 5 Complete 2010/08/06 12:00:00 2010/08/06 12:00:00 2010/08/06 07:45:14 UV 2.16.840.1.113883.5.1131 hl7VoteResolution HL7VoteResolution William Ted Klein masked Lloyd McKenzie HL7 F&T Steering Division Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 734-677-7777 masked Modeling and Methodology Workgroup Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 734-677-7777 hq@hl7.org http://www.hl7.org HL7 body Int 5 Complete 2010/08/06 12:00:00 2010/08/06 12:00:00 2010/08/06 08:14:26 UV 2.16.840.1.113883.5.1132 hl7CMETAttribution HL7CMETAttribution William Ted Klein masked Lloyd McKenzie HL7 Foundation and Technology Steering Division Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 734-677-7777 masked Modeling and Methodology Workgroup Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 734-677-7777 hq@hl7.org http://www.hl7.org HL7 body Int 5 Complete 2010/08/06 12:00:00 2010/08/27 12:00:00 2010/08/27 02:32:41 UV 2.16.840.1.113883.5.1133 hl7PublishingSection HL7PublishingSection William Ted Klein masked Lloyd McKenzie HL7 F&T Steering Division Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 734-677-7777 masked Modeling and Methodology Workgroup Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 734-677-7777 hq@hl7.org http://www.hl7.org HL7 body Int 5 Complete 2010/08/07 12:00:00 2010/10/15 12:00:00 2010/10/15 11:20:22 UV 2.16.840.1.113883.5.1134 hl7PublishingSubSection HL7PublishingSubSection William Ted Klein masked Lloyd McKenzie HL7 F&T Steering Division Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 734-677-7777 masked Publishing Workgroup Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 734-677-7777 hq@hl7.org http://www.hl7.org HL7 body Int 5 Complete 2010/08/07 12:00:00 2010/10/15 12:00:00 2010/10/15 11:23:26 UV 2.16.840.1.113883.5.1135 hl7ITSType HL7ITSType William Ted Klein masked Lloyd McKenzie HL7 F&T Steering Division Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 734-677-7777 masked Publishing Workgroup Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 734-677-7777 hq@hl7.org http://www.hl7.org HL7 body Int 5 Complete 2010/08/07 12:00:00 2010/10/15 12:00:00 2010/10/15 11:24:55 UV 2.16.840.1.113883.5.1136 hl7PublishingDomain HL7PublishingDomain William Ted Klein masked Lloyd McKenzie HL7 F&T Steering Division Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 734-677-7777 masked Modeling and Methodology Workgroup Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 734-677-7777 hq@hl7.org http://www.hl7.org HL7 body Int 5 Complete 2010/08/08 12:00:00 2010/10/15 12:00:00 2010/10/15 11:27:10 UV 2.16.840.1.113883.3.568 theSiamCementGroup-Thailand The Siam Cement Group Thailand for Interoperability Sireerat Srisiriratanakul masked Chaiwiwat Tongtaweechaikit Sireerat Srisiriratanakul 1 Siam Cement Road, Bangsue, Bangkok 10800 Thailand +6622012701 masked Senior Programmer Chaiwiwat Tongtaweechaikit 1 Siam Cement Road, Bangsue, Bangkok 10800 Thailand +6622012701 t.chaiwiwat@gmail.com http://www.ra.mahidol.ac.th Academic Int 3 Complete 2010/08/08 12:00:00 2010/11/04 12:00:00 2010/11/04 11:41:58 UV 2.16.840.1.113883.10.20.21 cdaProgressNoteTemplateRoot Progress Note TemplateId Root Brett Marquard masked Brett Marquard Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 413 259 6886 masked SDWG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA SDWG strucdoc@lists.hl7.org HL7 body Ext 10 Complete 2.16.840.1.113883.10.20.21 2010/08/09 12:00:00 2010/08/09 12:00:00 2010/08/11 09:26:53 UV 2.16.840.1.113883.3.569 centra Centra Terri Ripley masked Terri Ripley 1920 Atherholt Road Lynchburg, VA 24501 434 200 4840 masked Director Systems Programming Centra 1920 Atherholt Road Lynchburg, VA 24501 434 200 4899 Ben.Clark@centrahealth.com www.centrahealth.com Provider Int 3 Complete 2010/08/09 12:00:00 2010/11/04 12:00:00 2010/11/04 12:09:34 UV 2.16.840.1.113883.3.570 holyname Holy Name Medical Center OID Root Michael Skvarenina masked Michael Skvarenina 718 Teaneck Road Teaneck, New Jersey 07666 USA 201-833-3345 masked CIO/Chief Software Architect Holy Name Medical Center 718 Teaneck Road Teaneck, New Jersey 07666 USA 201-833-3345 skvarenina@holyname.org www.holyname.org Provider Int 3 Complete 2010/08/09 12:00:00 2010/11/04 12:00:00 2010/11/04 12:16:14 UV 2.16.840.1.113883.3.571 k4t K4 Technologies Sunitha V masked Sunitha.V Kaizen 4FrontTechnology Pvt.Ltd # 30,A.G Complex, Adichunchanagiri Road, Kuvempunagar, Mysore-570023 9972597032 masked System Analyst Sunitha.V Kaizen 4FrontTechnology Pvt.Ltd # 30,A.G Complex, Adichunchanagiri Road, Kuvempunagar, Mysore-570023 0821-4266753,4257414 sunithav@kaizentek.co.in www.kaizentek.com Prof Soc Int 3 Complete 2010/08/10 12:00:00 2010/11/04 12:00:00 2010/11/04 12:19:41 UV 2.16.840.1.113883.11.20.8 cdaProgressNoteValueSetRoot Progress Note Value Set Root Brett Marquard masked Brett Marquard Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 413 259 6886 masked SDWG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA SDWG strucdoc@lists.hl7.org www.HL7.org Ext 13 Complete 2.16.840.1.113883.11.20.8 2010/08/11 12:00:00 2010/11/04 12:00:00 2010/11/04 12:34:50 UV 2.16.840.1.113883.15.2 nbd NASPE/BPEG Defibrillator Code Harry Solomon masked Harry Solomon 1-847-732-0154 masked Co-chair, HL7 Imaging Integration WG Heart Rhythm Society 1400 K St. NW, Suite 500 Washington DC 20005 1-202-464-3400 DCohen@hrsonline.org www.hrsonline.org Prof Soc Int 15 Complete 2010/08/11 12:00:00 2010/11/04 12:00:00 2010/11/04 12:29:35 UV 2.16.840.1.113883.15.3 nbg NASPE/BPEG Generic Pacemaker Code (2000) Harry Solomon masked Harry Solomon 1-847-732-0154 masked Co-chair, HL7 Imaging Integration WG Heart Rhythm Society 1400 K St. NW, Suite 500 Washington DC 20005 1-202-464-3400 DCohen@hrsonline.org www.hrsonline.org Prof Soc Int 15 Complete 2010/08/11 12:00:00 2010/11/04 12:00:00 2010/11/04 12:37:40 UV 2.16.840.1.113883.3.572 healthplus Health Plus Tim Kwan masked Nelson Portillo 718-840-4359 masked Operations Manager- ITS Brooklyn Health Information Exchange 1045 39th Street Brooklyn, NY 11219 718-283-1860 info@bhix.org www.bhix.org Payor Int 3 Complete 2010/08/12 12:00:00 2010/11/04 12:00:00 2010/11/04 12:40:30 UV 2.16.840.1.113883.3.573 cotoPartners Fair Price Systems, Inc. D/B/A/ Coto Partners John Odden masked John Odden 949.891.2151 masked Senior Advisor Fair Price Systems, Inc. D/B/A Coto Partners 31982 Via Coyote Trabuco Canyon, CA 92679 949.713.5500 jodden@fairpricesystems.com http://www.fairpricesystems.com/ Vendor Int 3 Complete 2010/08/12 12:00:00 2010/11/04 12:00:00 2010/11/04 12:53:39 UV 2.16.840.1.113883.3.574 caiNHINrootDev Care Automation NHIN Gateway JF Lancelot masked JF Lancelot 4079 Governor Dr, #202 San Diego, CA, 92122 858 848 5556 masked CEO & CTO JF Lancelot 4079 Governor Dr, #202 San Diego, CA, 92122 858 848 5556 jfl@careAutomation.com http://www.careautomation.com Vendor Int 3 Complete 2010/08/13 12:00:00 2010/11/04 12:00:00 2010/11/04 12:58:54 UV 2.16.840.1.113883.3.575 ePHY PHYAURA Connie Douglas masked Bill Himmelstoss Chris Lucena 5290 Applegate Dr Spring Hill, Florida 34606 727-495-0109 masked CTO Phyaura, LLC clucena@phyaura.com http://www.phyaura.com/ Vendor Int 3 Complete 2010/08/13 12:00:00 2010/11/04 12:00:00 2011/07/08 09:29:42 UV 2.16.840.1.113883.3.576 sagtest123 SAG Sheik Abdul Gafoor masked Sheik Abdul 9985804634 masked Analyst Sheik Abdul Gafoor 9030917321 sbm_gafoor@yahoo.com Academic Int 3 Complete 2010/08/16 12:00:00 2011/12/15 12:00:00 2011/12/16 01:06:02 UV 2.16.840.1.113883.4.431 qdqq qdqdqdqdqdqdq qshah ksdjsdk masked qqeqe qeqeqe masked wqwerwr ereteet wwrwrwrw wrwrwrw wrwrwr 666-222-2222 wsdd@ssd.com Provider Int 4 Rejected 2010/08/16 12:00:00 2010/11/04 12:00:00 2010/11/04 01:05:39 UV 2.16.840.1.113883.3.577 village-nursing-home Village Nursing Home David Finkelstein masked David Finkelstein 154 Christopher Street, 1st Floor New York, NY 10014 212-337-5791 masked CIO Village Nursing Home 607 Hudson Street New York, NY 10014 212-337-9400 davef@villagecare.org www.villagecare.org Provider Int 3 Complete 2010/08/17 12:00:00 2010/11/04 12:00:00 2010/11/04 01:08:41 UV 2.16.840.1.113883.4.432 iowaehr IowaEHR Neelima Velamuri masked Neelima Velamuri 4552 Coachlight Dr. West Des Moines, IA 50265 515-276-4926 masked Director - EHR operations Neelima Velamuri 4552 Coachlight Dr. West Des Moines, IA 50265 515-276-4926 srinivela@yahoo.com Vendor Int 4 Complete 2010/08/17 12:00:00 2010/11/04 12:00:00 2010/11/04 01:12:32 UV 2.16.840.1.113883.3.578 vocantas-IVR Vocantas IVR Denis Solodovnikov masked Anna Kocia 750 Palladium Drive, Suite 200 Ottawa, ON, K2V 1C7, Canada 613-271-8853 x595 masked Director of Finance Vocantas 750 Palladium Drive, Suite 200 Ottawa, ON, K2V 1C7, Canada 613-271-8853 anna.kocia@vocantas.com http://www.vocantas.com Vendor Int 3 Complete 2010/08/18 12:00:00 2010/11/04 12:00:00 2010/11/04 01:20:55 UV 2.16.840.1.113883.3.579 healthcatalyst-interop Health Catalyst Interoperability Root Ryan Barry masked Eric Frederickson 10897 South River Front Parkway Suite #300 South Jordan, Utah 84095 1-855-309-6800 masked Director of Integration Management Health Catalyst 10897 South River Front Parkway Suite #300 South Jordan, Utah 84095 1-855-309-6800 paul.french@healthcatalyst.com http://www.healthcatalyst.com Vendor Int 3 Complete 2010/08/20 12:00:00 2010/11/04 12:00:00 2023/01/17 05:24:49 UV 2.16.840.1.113883.3.580 touchPACS TouchPACS Electronic Medical Record Suite Jim Owen masked Jim Owen TouchPACS Health Systems 3455 University Pkwy Winston-Salem 27106 1-336-413-6967 masked Development Officer TouchPACS Health Systems TouchPACS Health Systems 3455 University Pkwy Winston-Salem 27106 1-336-413-6967 jowen@touchpacs.com www.touchpacs.com Vendor Int 3 Complete 2010/08/23 12:00:00 2010/11/04 12:00:00 2010/11/04 01:29:07 UV 2.16.840.1.113883.4.433 ca-bcMTLN British Columbia, Canada, College of Massage Therapists Identifier for Registered Massage Therapist Wendy Huang masked Doug Gold PO Box 9657 Stn Prov Govt, Victoria, BC Canada V8W 9P3 250-952-9130 masked Senior Registry Analyst College of Massage Therapists of British Columbia, Canada 103 - 1089 West Broadway Vancouver, BC Canada V6H 1E5 604-736-3404 office@cmtbc.bc.ca http://www.cmtbc.bc.ca/ Prof Soc Int 4 Complete 2010/08/24 12:00:00 2010/08/27 12:00:00 2010/08/27 02:39:27 UV 2.16.840.1.113883.3.581 sahokc St Anthony Hospital Oklahoma City Melinda DuVall masked Melinda DuVall St Anthony Hospital Information Systems 1000 N. Lee Oklahoma City, Oklahoma 73101 405-272-6342 masked Sr IS Analyst St Anthony Hospital St Anthony Hospital Information Systems 1000 N. Lee Oklahoma City, Oklahoma 73101 405-272-6342 Melinda_DuVall@ssmhc.com http://saintsok.com Provider Int 3 Complete 2010/08/24 12:00:00 2010/11/04 12:00:00 2010/11/04 01:40:16 UV 2.16.840.1.113883.3.582 nrhsoid Norman Regional Health System OID Root Randy Hart masked Randy Hart 901 N. Porter Box 1308 Norman, OK 73070-1308 405-307-6999 masked Manager of Applications Support - HIT Randy Hart 901 N. Porter Box 1308 Norman, OK 73070-1308 405-307-6999 rhart@nrh-ok.com http://www.normanregional.com Provider Int 3 Complete 2010/08/24 12:00:00 2010/11/04 12:00:00 2010/11/04 01:42:42 UV 2.16.840.1.113883.3.583 eClinicalWorks eClinicalWorks Vivek Bijoriya masked asli.c@eclinicalworks.com Vivek Bijoriya 508-475-0600 masked eClinicalWorks LLC 112 Turnpike Road Westborough, MA 01581 508-475-0600 vivek@eclinicalworks.com http://www.eclinicalworks.com/ Vendor Int 3 Complete 2010/08/25 12:00:00 2010/11/04 12:00:00 2010/11/04 01:46:14 UV 2.16.840.1.113883.3.584 aumplex The Chartwell Sundeep Doshi masked Sundeep Doshi 1042 Ashbey Ave Berkeley California 94710 415-332-5400 masked CEO Sundeep Doshi 1042 Ashbey Ave Berkeley California 947 415-332-5400 chiefgroundskeeper@yahoo.com http://www.thechartwell.com Vendor Int 3 Complete 2010/08/25 12:00:00 2010/11/04 12:00:00 2010/11/04 01:48:44 UV 2.16.840.1.113883.3.585 docsite DocSite Generated Documents Joseph Jenkens masked John Haughton Joseph Jenkens 4917 Waters Edge Drive Suite 125 Raleigh, NC 27606 919-256-9516 masked Sr Implementation Manager DocSite, LLC 4917 Waters Edge Drive Suite 125 Raleigh, NC 27606 919-256-9500 tjenkens@docsite.com www.docsite.com Vendor Int 3 Complete 2010/08/25 12:00:00 2010/11/04 12:00:00 2010/11/04 01:58:02 UV 2.16.840.1.113883.3.586 vico The OID of VICO company and the lab of biomedical informatics Qin Zhu masked Qin Zhu 057187951792 masked VICO Room 510 of Zhouyiqing building, YuQuan Campus, Zhejiang university, Hangzhou, China 310000 057187951792 zhuqin1985@gmail.com Academic Int 3 Complete 2010/08/25 12:00:00 2010/11/04 12:00:00 2010/11/04 02:01:37 UV 2.16.840.1.113883.3.587 mEDAPPZOID MEDAPPZ OID AL JAHNKE masked CHARLES KABUI CHARLES KABUI 3020 N CYPRESS SUITE 200 WICHITA,KS,67226 18776332779 masked EDI ANALYST MEDAPPZ, LLC 3020 N CYPRESS SUITE 200 WICHITA,KS,67226 18776332779 SUPPORT@3MEDAPPZ.COM WWW.MEDAPPZ.COM Vendor Int 3 Complete 2010/08/26 12:00:00 2010/08/27 12:00:00 2010/08/27 02:49:59 UV 2.16.840.1.113883.13.80 mDNID Medi-Span Drug Name Identifier Laura Gibson masked Karen Eckert Laura Gibson Wolters Kluwer Health -- Medi-Span 8425 Woodfield Crossing Blvd. Suite 490 Indianapolis, IN 46240 317-705-7616 masked Product Manager Wolters Kluwer Health -- Medi-Span Wolters Kluwer Health -- Medi-Span 8425 Woodfield Crossing Blvd. Suite 490 Indianapolis, IN 46240 317-705-7616 laura.gibson@wolterskluwer.com http://www.medispan.com Vendor Int 6 Complete 2010/08/26 12:00:00 2010/11/04 12:00:00 2010/11/04 02:05:54 UV 2.16.840.1.113883.13.81 mRDID Medi-Span Routed Drug Identifier Laura Gibson masked Karen Eckert Laura Gibson Wolters Kluwer Health -- Medi-Span 8425 Woodfield Crossing Blvd Suite 490 Indianapolis, IN 46240 317-705-7616 masked Product Manager Wolters Kluwer Health -- Medi-Span Wolters Kluwer Health -- Medi-Span 8425 Woodfield Crossing Blvd Suite 490 Indianapolis, IN 46240 317-705-7616 laura.gibson@wolterskluwer.com http://www.medispan.com Vendor Int 6 Complete 2010/08/26 12:00:00 2010/11/04 12:00:00 2010/11/04 02:09:04 UV 2.16.840.1.113883.3.588 neohealth2010 Northeastern Oklahoma Community Health Centers, Inc. Mike McGavock masked Mike McGavock P.O. Box 751 Hulbert, OK 74441 918-772-3390 x109 masked Director of Information Technology NeoHealth P.O. Box 751 Hulbert, OK 74441 918-772-3390 info@neohealth.org http://www.neohealth.org Provider Int 3 Complete 2010/08/26 12:00:00 2010/11/04 12:00:00 2010/11/04 02:15:30 UV 2.16.840.1.113883.3.589 ahscorp Atlantic Health Michael Klemens masked Vaiju Tungare Jacquelynn Brodt-Suggs 1000 American Road ISS Dept. Morris Plains, NJ 07950 973-490-3305 masked Director Atlantic Health 1000 American Road ISS Dept. Morris Plains, NJ 07950 973-656-6800 jacque.brodt@atlantichealth.org http://www.atlantichealth.org Provider Int 3 Complete 2010/08/27 12:00:00 2010/11/04 12:00:00 2010/11/04 02:18:39 UV 2.16.840.1.113883.3.590 mamc US MEDCOM MAMC John Cornelison masked Kim Pham (on behalf) Kim Pham 858.210.6508 masked US MEDCOM MAMC 858.210.6508 John.Cornelison@us.army.mil Govt body Int 3 Complete 2010/08/29 12:00:00 2015/06/26 12:00:00 2015/06/26 08:10:50 UV 2.16.840.1.113883.3.591 ncDPHROOT State of North Carolina DHHS Division of Public Health Root Walter Kemper masked Larry Forrister Walter Kemper Division of Public Health Information Technology 1931 Mail Service Center Raleigh, NC 27699-1931 919-426-3468 masked Electronic Lab Reporting Coordinator North Carolina DHHS Division of Public Health Division of Public Health Information Technology 1931 Mail Service Center Raleigh, NC 27699-1931 919-707-5160 larry.forrister@dhhs.nc.gov http://www.ncpublichealth.com Govt body Int 3 Complete 2010/08/30 12:00:00 2010/11/04 12:00:00 2010/11/04 02:23:07 UV 2.16.840.1.113883.3.592 hsmhie HealthShare Montana Health Information Exchange Loren Schrag masked Brad Putnam 2475 Village Lane, Suite 302 Billings, MT 59102 406-794-0170 ext. 1001 masked Executive Director HealthShare Montana 2475 Village Lane, Suite 302 Billings, MT 59102 406-794-0170 bputnam@healthsharemontana.org http://hsmexchange.org Vendor Int 3 Complete 2010/08/31 12:00:00 2010/11/04 12:00:00 2013/10/01 11:53:45 UV 2.16.840.1.113883.3.593 shw-sash SHW-St Anthony Shawnee Hospital Faye Barrett masked kjones@uhcenter.com Faye Barrett 1102 W MacArthur Shawnee, OK 74804 405-878-8114 masked HCIS Appl Specialist Manager St Anthony Shawnee Hospital 1102 W MacArthur Shawnee, OK 74804 405-273-2270 faye_barrett@ssmhc.com http://unityhealthcenter.com/ Provider Int 3 Complete 2010/08/31 12:00:00 2010/11/04 12:00:00 2014/06/02 12:22:37 UV 2.16.840.1.113883.3.594 integris INTEGRIS Health Micheal Williams masked Micheal INTEGRIS Health Information Technology 5555 N Grand Blvd Suite 200 Oklahoma City, Oklahoma 73112-5673 Williams masked IT System Analyst INTEGRIS Health INTEGRIS Health Information Technology 5555 N Grand Blvd Suite 200 Oklahoma City, Oklahoma 73112-5673 405-949-3975 Micheal.Williams@integrisok.com http://integrisok.com/ Provider Int 3 Complete 2010/08/31 12:00:00 2010/11/04 12:00:00 2010/11/04 02:40:18 UV 2.16.840.1.113883.3.595 bimc Beth Israel Medical Center Colleen Lyons masked Colleen M. Lyons 555 W. 57th St. 19th Flr., IT Dept. New York, New York 10019 212-636-8126 masked Corporate Director Beth Israel Medical Center Beth Israel Medical Center First Ave. at 16th St. New York, New York 10003 212-420-2000 clyons@chpnet.org www.wehealny.org Provider Int 3 Complete 2010/09/01 12:00:00 2010/11/04 12:00:00 2010/11/04 03:33:34 UV 2.16.840.1.113883.3.596 nhin-conformance-test-gateway-5am-solutions 5AM Solutions NHIN Conformance Test Gateway Jamie Duncan masked 5AM Solutions 11710 Plaza America Drive Ste 2000 Reston, VA 91020 866-526-6042 masked IT Help Desk Team 5AM Solutions 11710 Plaza America Drive Ste 2000 Reston, VA 91020 866-526-6042 helpdesk@5amsolutions.com www.5amsolutions.com Vendor Int 3 Complete 2010/09/01 12:00:00 2010/11/04 12:00:00 2010/11/04 03:37:58 UV 2.16.840.1.113883.3.597 cnpss Comisi&#243;n Nacional de Protecci&#243;n Social en Salud Francisco Javier Olivares Ram&#237;rez masked unicornio77mx@yahoo.com.mx Francisco Javier Olivares Ram&#237;rez Gustavo E. Campa # 54, tercer piso, Col. Guadalupe Inn, C.P. 01020, Distrito Federal, M&#233;xico 015550903600 Ext.57359 masked Subdirector de Proyectos Tecnol&#243;gicos Comisi&#243;n Nacional de Protecci&#243;n Social en Salud Gustavo E. Campa # 54, tercer piso, Col. Guadalupe Inn, C.P. 01020, Distrito Federal, M&#233;xico 015550903600 Ext.573 fco_javier_olivares@hotmail.com http://www.seguro-popular.gob.mx Govt body Int 3 Complete 2010/09/01 12:00:00 2010/11/05 12:00:00 2010/11/05 05:37:10 UV 2.16.840.1.113883.3.598 tricitymed Tri-City Medical Center Mary Eckert masked Mary Eckert Tri-City Medical Center 4002 Vista Way Oceanside, CA 92056 760-724-8411 masked Clinical Application Manager Tri-City Medical Center Tri-City Medical Center 4002 Vista Way Oceanside, CA 92056 760-724-8411 inquiry@tcmc.com www.tricitymed.org Provider Int 3 Complete 2010/09/02 12:00:00 2010/11/05 12:00:00 2010/11/05 05:44:19 UV 2.16.840.1.113883.3.599 cnHTHSRV CHEROKEE NATION HEALTH SERVICES RODNEY SUMNER masked donnie-parish@cherokee.org Rodney Sumner WW Hasting Hospital - Annex 100 South Bliss Tahlequah, OK 74464 9184535569 masked Health Information System Manager Cherokee Nation WW Hasting Hospital 100 South Bliss Tahlequah, OK 74464 9184535569 rodney-sumner@cherokee.org www.cherokee.org Govt body Int 3 Complete 2010/09/03 12:00:00 2010/11/05 12:00:00 2010/11/05 05:48:42 UV 2.16.840.1.113883.3.600 qip Quality Insights of Pennsylvania Sharon Hibay masked Sharon Hibay 877-346-6180 x7814 masked Director, MIDS Quality Insights of Pennsylvania 630 Freedom Business Center, Suite 116, King of Prussia, PA 19406 610-265-2413 shibay@wvmi.org www.wvmi.org Vendor Int 3 Complete 2010/09/07 12:00:00 2010/11/05 12:00:00 2010/11/05 05:55:50 UV 2.16.840.1.113883.3.601 dcipa dcipa Elaine Cheney NP masked Elaine Cheney NP Elaine Cheney NP 541-677-6000 masked Project Manager Douglas County Individual Practice Association (DCIPA) 1813 West Harvard Ave Roseburg, OR 97471 541-464-4300 Elaine.cheney@physicianehs.com http://www.dcipa.com Govt body Int 3 Complete 2010/09/08 12:00:00 2010/11/05 12:00:00 2010/11/05 05:59:23 UV 2.16.840.1.113883.3.602 dexter-soln Dexter Solutions Inc Rakesh Vedavyas masked Rakesh Vedavyas 28369 Davis Parkway, Ste 403 Warrenville IL -60555 6302191919 masked Dexter Solutions Inc 28369 Davis Parkway, Ste 403 Warrenville IL -60555 6302191919 rakeshv@dexter-solutions.com www.dexter-solutions.com Vendor Int 3 Complete 2010/09/08 12:00:00 2010/11/05 12:00:00 2010/11/05 06:01:38 UV 2.16.840.1.113883.3.603 lssdata LSS Data Systems Nate Mettille masked Nate Mettille 6423 City West Parkway Eden Prairie, MN 55344 952-941-1000 masked LSS Data Systems 6423 City West Parkway Eden Prairie, MN 55344 952-941-1000 info@lssdata.com http://www.lssdata.com/ Vendor Int 3 Complete 2010/09/09 12:00:00 2010/11/05 12:00:00 2010/11/05 06:04:51 UV 2.16.840.1.113883.3.604 pulseinc Pulse System's Inc. Donald Hamilton masked Chris Gregg Donald Hamilton 4717 Grand Ave Suite 250 Kansas City, MO 64112 316.636.5900 x1590 masked HL7 Developer Pulse System's Inc. 3017 N Cypress Wichita, KS 67226 316.636.5900 x1590 dhamilton@pulseinc.com www.pulseinc.com Vendor Int 3 Complete 2010/09/09 12:00:00 2010/11/05 12:00:00 2010/11/05 06:11:10 UV 2.16.840.1.113883.3.605 pqri PQRI Data File Shulamit Falik masked Aaron Wachspress 475 Northern Blvd. Great Neck, NY 11021 516-869-4535 masked Universal EMR Solutions 475 Northern Blvd. Great Neck, NY 11021 516-869-4535 aw@uniemr.com http://uniehr.com/ Provider Int 3 Complete 2010/09/14 12:00:00 2010/11/05 12:00:00 2010/11/05 06:13:36 UV 2.16.840.1.113883.4.434 csi-trisano-ce CSI TriSano(R) Community Edition Jimmy Dee masked Jimmy Dee +1-917-749-6152 masked Collaborative Software Foundation 1 SW Columbia St Ste 640 Portland OR 97258 USA +1-503-295-7970 info@csinitiative.com http://www.csinitiative.com/ Vendor Int 4 Complete 2010/09/14 12:00:00 2010/11/05 12:00:00 2010/11/05 06:26:10 UV 2.16.840.1.113883.4.435 csi-trisano-ee CSI TriSano(R) Enterprise Edition Jimmy Dee masked Jimmy Dee +1-917-749-6152 masked Collaborative Software Foundation 1 SW Columbia St Ste 640 Portland OR 97258 USA +1-503-295-7970 info@csinitiative.com http://www.csinitiative.com/ Vendor Int 4 Complete 2010/09/14 12:00:00 2010/11/05 12:00:00 2010/11/05 06:28:38 UV 2.16.840.1.113883.3.606 eHealthCt eHealthConnecticut Craig Thompson masked Craig Thompson 10 Columbus Blvd. 2nd Floor Hartford, CT 06106 860-240-5600 masked Director eHealthConnecticut 1111 Cromwell Ave Suite 201 Rocky Hill, CT 06067 860-240-5617 cthompson@gosmcpartners.com http://www.ehealthconnecticut.org Govt body Int 3 Complete 2010/09/15 12:00:00 2010/11/05 12:00:00 2010/11/05 06:44:59 UV 2.16.840.1.113883.3.607 inhs Inland Northwest Health Services Paul Blake masked Paul Blake 601 W. First Ave Spokane, WA 99201 509-232-8200 masked Project Manager Inland Northwest Health Services 601 W. First Ave Spokane, WA 99201 509-232-8200 blakep@inhs.org www.inhs.org Vendor Int 3 Complete 2010/09/15 12:00:00 2010/11/05 12:00:00 2010/11/05 06:46:17 UV 2.16.840.1.113883.3.608 ministry-Health-Care Ministry Health Care Steven Yetter masked Steven Yetter HIS 611 St. Josephs Ave Marshfield, WI 54449 715.387.7849 masked Interface Architect Ministry Health Care Ministry Health Care - Corporate Office 11925 West Lake Park Drive, Suite 100 Milwaukee, WI 53224 414.359.1060 Steve.Pelton@ministryhealth.org http://www.ministryhealth.org Provider Int 3 Complete 2010/09/16 12:00:00 2010/11/05 12:00:00 2010/11/05 06:50:16 UV 2.16.840.1.113883.3.609 hnri5c24 Health Network RI5 Connect 2.4 Richard Ettema masked Richard Ettema 2275 Research Boulevard, Suite 500 Rockville, MD 20850 703-893-6020 x308 masked Lead Consultant AEGIS.net, Inc. 2275 Research Boulevard, Suite 500 Rockville, MD 20850 703-893-6020 operations@aegis.net http://www.aegis.net Govt body Int 3 Complete 2010/09/16 12:00:00 2010/11/05 12:00:00 2010/11/05 06:54:35 UV 2.16.840.1.113883.3.610 ts-0000007 NHIN Connect NHIE Gateway Srinivas Koka masked Srinivas Koka 1425 W. Elliot Road, Gilbert, AZ 85233 602-476-1818 masked President/ CEO Techsant Technologies LLC 1425 W. Elliot Road, Gilbert, AZ 85233 602-476-1818 info@techsant.com http://www.techsant.com Vendor Int 3 Complete 2010/09/20 12:00:00 2010/11/05 12:00:00 2010/11/05 06:56:20 UV 2.16.840.1.113883.3.611 medflowOID Medflow Organizational OID John O'Hara masked Mike Christman 6739A Fairview Road, Charlotte, NC 28210 704-927-9837 masked Director Software Development Medflow, Inc. 6739A Fairview Road, Charlotte, NC 28210 704-927-9800 mikec@medflow.com www.medflow.com Vendor Int 3 Complete 2010/09/22 12:00:00 2010/11/05 12:00:00 2010/11/05 06:58:59 UV 2.16.840.1.113883.3.612 hln Healthline Provider Location code Amol Khade masked mbmoran@healthlineEHR.com Amol Khade 2600 n. Cental Ave Suite 1700 Phoenix, AZ 85004 602-735-2900 masked CTO Healthline Inc. 2600 N. Central Ave Suite 1700 Phoenix, AZ 85004 602-735-2900 info@healthlineEHR.com www.healthlineEHR.com Vendor Int 3 Complete 2010/09/22 12:00:00 2010/11/05 12:00:00 2010/11/05 07:40:38 UV 2.16.840.1.113883.3.613 von Vermont Oxford Network Joseph Carpenter masked Jeffrey Horbar Joseph H. Carpenter 33 Kilburn Street Burlington, VT 05401 802-865-4814 masked Director, Operations and Statistics Vermont Oxford Network 33 Kilburn Street Burlington, VT 05401 802-865-4814 mail@vtoxford.org www.vtoxford.org SDO Int 3 Complete 2010/09/22 12:00:00 2010/11/05 12:00:00 2010/11/05 07:42:49 UV 2.16.840.1.113883.3.86.1 interSystems-Cache InterSystems Cach&#233; Michael LaRocca masked James Bourette 1 Memorial Dr Cambridge, MA 02142 617-395-1324 masked Developer InterSystems Corporation One Memorial Drive Cambridge, MA 02142 617-621-0600 james.bourette@intersystems.com http://www.intersystems.com Vendor Ext 4 Complete 2.16.840.1.113883.3.86.1 2010/09/22 12:00:00 2010/11/05 12:00:00 2012/05/18 09:50:47 UV 2.16.840.1.113883.3.614 nhin-conformance-test-gateway2-5am-solutions 5AM Solutions NHIN Conformance Test Gateway 2 Jamie Duncan masked lpower@5amsolutions.com 5AM Solutions 11710 Plaza America Drive Ste 2000 Reston, VA 20190 866-526-6042 masked IT Help Desk Team 5AM Solutions 11710 Plaza America Drive Ste 2000 Reston, VA 20190 866-526-6042 helpdesk@5amsolutions.com www.5amsolutions.com Vendor Int 3 Complete 2010/09/22 12:00:00 2010/11/05 12:00:00 2010/11/05 07:59:41 UV 2.16.840.1.113883.3.615 mhhs Memorial Hermann Healthcare System Kellie Hedlund masked Todd Hill Kellie Hedlund 713-448-6354 masked Clinical Lead Analyst Memorial Hermann Healthcare System 9401 SW Freeway Houston, Texas 77074 713-448-6354 kellie.hedlund@memorialhermann.org http://www.memorialhermann.org/ Provider Int 3 Complete 2010/09/22 12:00:00 2010/11/05 12:00:00 2010/11/05 08:02:47 UV 2.16.840.1.113883.3.616 cybax-emr Cybax EMR Alex Chigos masked Cybax Corporation Alex Chigos 938 Clint Moore Road Boca Raton, FL 33487 561-998-8525 masked Director Of Development Cybax Corporation 18999 Biscayne Blvd Aventura, FL 33180 305-945-7433 gfj555@gmail.com www.cybaxcorp.com Vendor Int 3 Complete 2010/09/24 12:00:00 2010/11/05 12:00:00 2010/11/05 08:51:45 UV 2.16.840.1.113883.3.617 wcn Welford Chart Notes Charles Welford masked Charles R. Welford M.D. 815-282-2929 masked President Welford Medical Computing, Inc. 3779 Hermitage Trail Rockford, IL 61114 815-282-2929 cwelford@uic.edu http://www.uic.edu/uic/ Vendor Int 3 Complete 2010/09/25 12:00:00 2010/11/05 12:00:00 2010/11/05 08:55:13 UV 2.16.840.1.113883.3.618 schuyler OID Root For Schuyler House William Shipley masked William 27821 Fremont Ct, Unit 8 Valencia, CA 91355 (800) 706 0266 masked President Schuyler House 27821 Fremont Ct, Unit 8 Valencia, CA 91355 (800) 706 0266 willliam@schuylerhouse.com www.schuylerhouse.com Vendor Int 3 Complete 2010/09/25 12:00:00 2010/11/05 12:00:00 2010/11/05 08:57:32 schuyler UV 2.16.840.1.113883.3.619 ohh Oklahoma Heart Hospital Forrest Westbrook masked Forrest Westbrook 4050 West Memorial Road MIS Oklahoma City, OK 73120 (405) 608-3408 masked Systems Analyst Oklahoma Heart Hospital 4050 West Memorial Road Oklahoma City, Oklahoma 73120 (305) 608-3200 lwestbrook@okheart.com http:www.okheart.com Provider Int 3 Complete 2010/09/27 12:00:00 2010/11/05 12:00:00 2010/11/05 09:00:44 UV 2.16.840.1.113883.3.620 clinician Emdeon Clinician Robin Johnson masked Robin D Johnson 695 Lake Charles Way Roswell GA 30075 404-310-1424 masked Staff Manager Emdeon Inc 695 Lake Charles Way Roswell GA 30075 404-310-1424 rjohnson@emdeon.com http://www.emdeon.com/ Vendor Int 3 Complete 2010/09/27 12:00:00 2010/11/05 12:00:00 2010/11/05 09:22:38 UV 2.16.840.1.113883.3.621 csi Calgary Scientific Glen Lehmann masked glen.lehmann@calgaryscientific.com Glen Lehmann Suite 208 - 1210 20 Ave SE, Calgary, Alberta, Canada, T2G 1M8 403-978-1113 masked VP Research & Development Calgary Scientific Suite 208 - 1210 20 Ave SE, Calgary, Alberta, Canada, T2G 1M8 403-270-7159 glen.lehmann@calgaryscientific.com http://www.calgaryscientific.com/ Vendor Int 3 Complete 2010/09/28 12:00:00 2010/11/05 12:00:00 2010/11/05 09:27:40 UV 2.16.840.1.113883.3.622 msquared M2COMSYS TCAS Binny Griffith masked Binny Griffith 811 Grier Dr. Las Vegas, NV 89119 702 7228781 masked Director M2ComSys 811 Grier Dr. Las Vegas, NV 89119 701 733 78781 binnyj@m2comsys.com www.m2comsys.com Vendor Int 3 Complete 2010/09/29 12:00:00 2010/11/05 12:00:00 2010/11/05 09:29:31 UV 2.16.840.1.113883.3.623 root-OID-USON US Oncology Peter Harrison masked peter.harrison@usoncology.com Peter Harrison 123 Mission St San Francisco CA 94015 650.692.9155 masked Manager, Physician Products McKesson Specialty Health 10101 Woodloch Forest The Woodlands, TX 77380 415.692.9155 peter.harrison@mckesson.com https://www.mckessonspecialtyhealth.com/ Vendor Int 3 Complete 2010/09/29 12:00:00 2010/11/05 12:00:00 2016/01/26 05:47:29 UV 2.16.840.1.113883.13.82 aceInhibitor-RxNorm-NCQAHEDIS NCQA HEDIS Ace Inhibitor Medication Value Set for RxNorm Codes Zakiya Pierre masked Zakiya Pierre National Committee for Quality Assurance 1100 13th Street NW Suite 1000 Washington, DC 20005 202-955-3500 masked Senior Health Care Analyst National Committee for Quality Assurance National Committee for Quality Assurance 1100 13th Street NW Suite 1000 Washington, DC 20005 202-955-3500 customersupport@ncqa.org www.ncqa.org SDO Int 13 Complete 2010/09/29 12:00:00 2010/11/05 12:00:00 2010/11/05 09:36:53 UV 2.16.840.1.113883.3.624 medinfo-7-5 medinfo-7-5 Luis Palacios masked luis@medinformatix.com Luis Palacios 310.348.7367 masked Product Certification Coordinator Medinformatix 5777 West Century Blvd. Los Angeles, Ca 90045 310.348.7367 luis@medinformatix.com http://www.medinformatix.com/ Vendor Int 3 Complete 2010/10/01 12:00:00 2010/11/08 12:00:00 2010/11/08 06:10:47 UV 2.16.840.1.113883.3.625 attachmentControlNumber Attachment Control Number Jim McKinley masked Jim McKinley 205-220-5960 masked Health IT Consultant Claim Attachment WG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA (+1) 734-677-7777 jbmckinley@bcbsal.org www.HL7.org HL7 body Int 3 Complete 2010/10/04 12:00:00 2010/11/08 12:00:00 2010/11/08 06:14:01 UV 2.16.840.1.113883.3.626 gemms-7-5 gemms-7-5 James Clary masked James Clary 201 West 103rd Street Suite 140 Indianapolis, IN 46290 (317) 819-5060 masked Clinical Development GEMMS 201 West 103rd Street Suite 140 Indianapolis, IN 46290 (317) 819-5060 jclary@gemmsnet.com www.gemmsnet.com Vendor Int 3 Complete 2010/10/04 12:00:00 2010/11/08 12:00:00 2010/11/08 06:17:11 UV 1.3.6.1.4.1.19376.1.8.2.1 pathLex PathLex Anatomic Pathology Lexicon William Ted Klein masked Christel Daniel Christel Daniel +33 60 484133 masked Professor Associate IHE Anatomic Pathology 15 Rue de l'ecole du Medicine 75006 Paris France +33 60 484133 christel.daniel@crc.jussieu.fr Academic Ext 6 6 Complete 1.3.6.1.4.1.19376.1.8.2.1 2010/10/04 12:00:00 2010/10/04 12:00:00 2010/10/04 05:16:53 na UV 2.16.840.1.113883.3.464 aceInhibitor-RxNorm-NCQAHEDIS NCQA HEDIS Ace Inhibitor Medication Value Set for RxNorm Codes Zakiya Pierre masked Zakiya Pierre 1100 13th Street, Suite 1000 Washington, DC 20005 202-955-3500 masked National Committee for Quality Assurance 1100 13th Street, Suite 1000 Washington, DC 20005 202-955-3500 customersupport@ncqa.org www.ncqa.org SDO Ext 13 Complete 2.16.840.1.113883.3.464 2010/10/06 12:00:00 2010/11/08 12:00:00 2010/11/08 06:20:41 UV 2.16.840.1.113883.3.627 tch74464 Tahlequah_City_Hospital_ROOT Aaron Pack masked Aaron Pack 1400 E Downing Tahlequah OK 74464 918-453-2286 masked Director of Information Technology Tahlequah City Hospital 1400 E Downing Tahlequah OK 74464 918-456-0641 it@tch-ok.org http://www.tch-ok.org Provider Int 3 Complete 2010/10/06 12:00:00 2010/11/08 12:00:00 2013/06/26 04:18:58 UV 2.16.840.1.113883.3.628 ehn2 MASH iNetwork Global Connect Charles Williams masked Aadli Abdul-Kareem Charles Williams 1708 Drawbridge Ct 843.754.0791 masked President/CEO Electronic Health Network, LLC 1708 Drawbridge Ct Charleston, SC 29414 800.861.1491 cwill@healthstik.com http://www.healthstik.com Vendor Int 3 Complete 2010/10/06 12:00:00 2010/11/08 12:00:00 2010/11/08 06:25:28 UV 2.16.840.1.113883.3.629 pbsi Positive Business Solutions, Inc. Carlos Oliva masked Carlos Oliva 11880 Kemper Springs Drive 513-772-2255 masked IT Team Leader Positive Business Solutions, Inc. 11880 Kemper Springs Drive Cincinnati, OH 45240 USA 513-772-2255 carloso@pbsinet.com https://www.pbsinet.com Vendor Int 3 Complete 2010/10/07 12:00:00 2010/11/08 12:00:00 2012/04/25 01:26:39 UV 2.16.840.1.113883.4.436 unitedhealthcare UnitedHealthcare Sivakumaran Raman masked Sivakumaran Raman 5901 Lincoln Drive, Edina, MN 55436. 952-992-7611 masked Senior Clinical Program Consultant UnitedHealthcare 9900 Bren Rd. E, Minnetonka, MN 55343. 952-992-7777 siv_raman@uhc.com Payor Int 4 Rejected 2010/10/07 12:00:00 2010/10/18 12:00:00 2010/10/18 04:07:24 UV 2.16.840.1.113883.3.630 intelidox Businet Integrated Healthcare Solutions Susan Johannesen masked Jacob Price 4608 S Garnett Road Suite 300 Tulsa, OK. 74146 918.858.4440 masked Director Of Development Businet, LLC 4608 S Garnett Road Suite 300 Tulsa, OK. 74146 918.858.4440 sjohannesen@businet.com www.intelidox.com Vendor Int 3 Complete 2010/10/08 12:00:00 2010/11/08 12:00:00 2010/11/08 06:34:27 UV 2.16.840.1.113883.3.631 apixio Apixio Root OID Nikolai Kalnine masked Anthony LaRocca 1850 Gateway Dr Suite #300 San Mateo, CA 94404 (877) 427-4946 masked Director of Engineering Apixio, Inc. 1850 Gateway Dr Suite #300 San Mateo, CA 94404 alarocca@apixio.com http://www.apixio.com Vendor Int 3 Complete 2010/10/08 12:00:00 2010/11/08 12:00:00 2022/05/27 08:23:05 UV 2.16.840.1.113883.3.632 northwell Northwell Health Patrick Laverty masked Patrick Laverty 3 Huntington Quadrangle Melville NY 5162367581 masked Director, CIS Integration and Analytics Northwell Health 200 Marcus Ave New Hyde Park, NY 11042 516-321-6000 plaverty@northwell.edu http://www.northwell.edu Academic Int 3 Complete 2010/10/10 12:00:00 2010/11/08 12:00:00 2024/03/11 03:46:54 UV 2.16.840.1.113883.4.437 ghca GE HealthCare Centicity Advance Shravan Muppidi masked Shravan Kumar Muppidi 4083296083 masked GE HealthCare Centricity Advance MedPlexus India Pvt Ltd. Plot No. 520, Road No: 27 & 28 jubilee Hills, Hyderabad Andhra Pradesh, 500007 India 4083296083 shravan.muppidi@ge.com http://www.gehealthcare.com/centricityadvance Vendor Int 3 Complete 2010/10/12 12:00:00 2010/01/18 12:00:00 2010/10/18 04:04:21 UV 2.16.840.1.113883.3.633 echoBase echoBase Brent Miller masked Ethan Nicholas 335 S White Street Wake Forest, NC 27587 919.671.4782 masked Chief Technical Officer echoBase, Inc. 335 S White Street Wake Forest, NC 27587 919.671.4782 ethan@echobasesoftware.com http://www.echobasesoftware.com Vendor Int 3 Complete 2010/10/12 12:00:00 2010/11/08 12:00:00 2010/11/08 06:42:18 UV 1.3.6.1.4.1.21302.2.1324 wsuchc Wright State University Center for Healthy Communities David Roberts masked david.a.roberts@wright.edu John Meyers 3640 Colonel Glenn Hwy. Library Annex 040 Dayton, OH 45435 937.775.3580 masked David Roberts 3640 Colonel Glenn Hwy White Hall 248 Dayton, OH 45435 937.765.1279 david.a.roberts@wright.edu www.wright.edu Academic Ext 3 Complete 1.3.6.1.4.1.21302.2.1324 2010/10/13 12:00:00 2010/11/08 12:00:00 2010/11/08 06:44:43 UV 1.3.6.1.4.1.21302.2.1324.101 wsuhiexwsp 1.3.6.1.4.1.21302.2.1324.101 David Roberts masked david.a.roberts@wright.edu John Meyers 3640 Colonel Glenn Hwy. Library Annex 040 Dayton, OH 45 937.775.3580 masked David Roberts 3640 Colonel Glenn Hwy. White Hall 248 Dayton, OH 45 937.765.1279 david.a.roberts@wright.edu www.wright.edu Academic Ext 3 Complete 1.3.6.1.4.1.21302.2.1324.101 2010/10/13 12:00:00 2010/11/08 12:00:00 2010/11/08 06:47:10 UV 2.16.840.1.113883.3.634 awoc American Well Online Care Alfredo Morales masked Alfredo Morales 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x3648 masked Manager, Clinical Analytics American Well 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 info@americanwell.com http://www.americanwell.com Vendor Int 3 Complete 2010/10/14 12:00:00 2010/11/08 12:00:00 2010/11/08 06:50:11 UV 2.16.840.1.113883.3.635 eclipse ECLIPSE Domains Michael Norworth B.S. M.A. masked Michael Norworth 114 Buckhaven Hill Upper Saddle River, NJ 07458 201.818.4335 masked President MPN Software Systems 114 Buckhaven Hill Upper Saddle River, NJ 07458 201.818.4335 mike@mpnsoft.com www.eclipsepracticemanagementsoftware.com Vendor Int 3 Complete 2010/10/14 12:00:00 2010/11/08 12:00:00 2010/11/08 06:52:46 UV 2.16.840.1.113883.3.636 inova Inova Health System Dan Paul masked Dr. Ryan Bosch Dr. Ryan Bosch 8110 Gatehouse Road Falls Church, VA 22042 703.447.6163 masked Chief Medical Information Officer Inova Health System 8110 Gatehouse Road Falls Church, VA 22042 703.447.6163 Ryan.Bosch@inova.org http://inova.org Provider Int 3 Complete 2010/10/15 12:00:00 2010/11/08 12:00:00 2010/11/08 06:56:02 UV 2.16.840.1.113883.4.438 dh Doylestown Hospital Richard Lang masked Richard D. Lang, Ed.D 215-345-2138 masked VP and CIO Richard D. Lang, Ed.D 595 West State Street Doylestown, PA 18901 215-345-2138 rlang@dh.org www.dh.org Provider Int 4 Complete 2010/10/20 12:00:00 2010/11/08 12:00:00 2010/11/08 07:00:42 UV 2.16.840.1.113883.3.637 smrtnet SMRTNET Joanna Walkingstick masked Joanna 918.931.8272 masked Network Coordinator SMRTNET 124 West Shawnee Street, Suite C Tahlequah, OK 74464 888.789.0298 joannawalkingstick@smrtnet.org www.smrtnet.org Vendor Int 3 Complete 2010/10/21 12:00:00 2010/11/08 12:00:00 2010/11/08 07:02:41 UV 2.16.840.1.113883.3.638 aprima Aprima Medical Software Inc. Cornell Hardman masked Neil Simon 3330 Keller Springs Rd Suite 201 Carrollton, TX 75006 214-206-3552 masked COO Aprima Medical Software 3330 Keller Springs Rd Suite 201 Carrollton, TX 75006 214-466-8000 nsimon@aprima.com http://www.aprima.com Vendor Int 3 Complete 2010/10/21 12:00:00 2010/11/08 12:00:00 2010/11/08 07:04:27 UV 2.16.840.1.113883.3.639 mde-VERIZON Verizon Medical Data Exchange Siva Kandaswamy masked Sivashanmugham Kandaswamyarumugham 2032008453 masked Senior Consultant Product Development/Management Verizon Business 22001 Loudoun County Parkway, Ashburn, VA 20147 9727282454 steven.t.archer@verizonbusiness.com http://www.verizonbusiness.com/ Vendor Int 3 Complete 2010/10/22 12:00:00 2010/11/08 12:00:00 2010/11/08 07:09:12 UV 2.16.840.1.113883.3.640 cmtrn Comtron Corporation David DeBlasio masked David DeBlasio 11 Grace Ave Suite 411 Great Neck, NY 11021 516-466-3838 masked Senior Software Developer Comtron Corp 11 Grace Ave Suite 411 Great Neck, NY 11021 516-466-3838 deblasio@comtronusa.com http://comtronusa.com/ Vendor Int 3 Complete 2010/10/22 12:00:00 2010/11/08 12:00:00 2010/11/08 07:12:24 UV 2.16.840.1.113883.3.641 johhan Integration Lars Demant masked johhan@regionsjaelland.dk John Solh&#248;j Hansen Alleen 15 4180 Sor&#248; Denmark +4523462119 masked IT specialist John Solh&#248;j Hansen Alleen 15 4180 Sor&#248; Denmark +45 23462119 johhan@regionsjaelland.dk http://www.regionsjaelland.dk/ Govt body Int 3 Complete 2010/10/25 12:00:00 2010/11/08 12:00:00 2010/11/08 07:17:01 UV 2.16.840.1.113883.3.642 fgh Forrest General Hospital Jeannie Meyer masked Vance Green Jeannie Meyer 6051 US Highway 49 Hattiesburg, MS 39401-7243 601-288-2310 masked Data Base Administrator Forrest General Hospital 6051 US Highway 49 Hattiesburg, MS 39401-7243 601-288-2300 jmeyer@forrestgeneral.com www.forrestgeneral.com Provider Int 3 Complete 2010/10/26 12:00:00 2010/11/08 12:00:00 2010/11/08 07:20:13 UV 2.16.840.1.113883.4.439 ca-bcKIN British Columbia, Canada, Association of Kinesiologists Identifier for Kinesiologist Wendy Huang masked Doug Gold PO Box 9657, Stn Prov Govt, Victoria, BC Canada, V8W 9P3 250-952-9130 masked Senior Registry Analyst, Ministry of Health, Province of BC British Columbia Association of Kinesiologists, Canada 102 - 211 Columbia Street Vancouver BC Canada V6A 2R5 604-601-5100 office@bcak.bc.ca http://www.bcak.bc.ca/ Prof Soc Int 4 Complete 2010/10/26 12:00:00 2010/11/08 12:00:00 2010/11/08 07:22:18 UV 2.16.840.1.113883.3.643 sfhs Saint Francis Health System Dave Paulson masked Dave Paulson 6161 S Yale Ave, Tulsa, OK 74136 918-494-3515 masked Information Services Saint Francis Health System 6161 S Yale Ave, Tulsa, OK 74136 918-494-3515 drpaulson@saintfrancis.com www.saintfrancis.com Provider Int 3 Complete 2010/10/26 12:00:00 2010/11/08 12:00:00 2010/11/08 07:25:17 UV 2.16.840.1.113883.3.644 lmc Lutheran Medical Center Adam Yoder masked Adam Yoder 765-405-1557 masked Consultant Brooklyn Health Information Exchange 1045 39th Street Brooklyn, NY 11219 1045 39th Street info@bhix.org www.bhix.org Provider Int 3 Complete 2010/10/26 12:00:00 2010/11/08 12:00:00 2010/11/08 07:29:22 UV 2.16.840.1.113883.3.645 ehr EHRCCHITV10 Vito Ciavarelli masked Mike Todd Vito Ciavarelli 120 Bluegrass Valley Parkway Alpharetta, GA 30005 770-360-1855 masked VP - Systems Development HealthPort 120 Bluegrass Valley Parkway Alpharetta, GA 30005 770-360-1855 vito.ciavarelli@healthport.com http://www.healthport.com Vendor Int 3 Complete 2010/10/27 12:00:00 2010/11/08 12:00:00 2010/11/08 07:34:51 UV 2.16.840.1.113883.4.440 ecare ecare Ricardo Figueroa masked Gerardo Camargo Boj Gerardo Camargo Boj (512) 363-3212 masked EcareSoft 106 E 6th Street, Suite 900, Austin, TX 78701 (512) 363-3212 rfigueroa@ecaresoft.com www.ecaresoft.com Vendor Int 4 Complete 2010/10/28 12:00:00 2010/11/08 12:00:00 2010/11/08 07:41:16 UV 2.16.840.1.113883.3.646 ecaresoft eCareSoft Jorge Camargo masked Ricardo Figueroa Ricardo Figueroa 106 East 6th St Suite 9000 78701 Austin TX USA (512) 425 0613 masked HL7 Software Developer Ecaresoft Inc. 106 East 6th St Suite 9000 78701 Austin TX USA (512) 363 3212 jlcamargo@ecaresoft.com http://www.ecaresoft.com Vendor Int 3 Complete 2010/10/28 12:00:00 2010/11/08 12:00:00 2010/11/08 07:43:31 UV 2.16.840.1.113883.3.647 axonmed AXON Medical Technologies Corporation Peter Bak masked Peter Bak 18 Tanager Ave Suite 303 Toronto Ontario M4G3R1 416-421-2588 masked President and CEO AXON Medical Technologies Corporation 18 Tanager Ave Suite 303 Toronto Ontario M4G3R1 416-421-2588 peter.bak@axonmed.com Vendor Int 3 Complete 2010/10/29 12:00:00 2010/11/08 12:00:00 2010/11/08 08:41:37 UV 2.16.840.1.113883.3.647.303 axXDSRegistry XDS Document Registry Peter Bak masked Peter Bak 18 Tanager Ave Suite 303 Toronto Ontario M4G3R1 416-421-2588 masked AXON Medical Technologies Corporation 18 Tanager Ave Suite 303 Toronto Ontario M4G3R1 416-421-2588 peter.bak@axonmed.com Vendor Ext 14 Complete 2.16.840.1.113883.3.647.303 2010/10/29 12:00:00 2010/11/08 12:00:00 2010/11/08 08:44:24 UV 2.16.840.1.113883.3.647.304 axXDSRepository XDS Repository Peter Bak masked Peter Bak 18 Tanager Ave Suite 303 Toronto Ontario Canada M4G 3R1 416-421-2588 masked AXON Medical Technologies Corporation 18 Tanager Ave Suite 303 Toronto Ontario Canada M4G 3R1 416-421-2588 peter.bak@axonmed.com Vendor Ext 14 Complete 2.16.840.1.113883.3.647.304 2010/10/29 12:00:00 2010/11/08 12:00:00 2010/11/08 08:45:53 UV 2.16.840.1.113883.3.648 chop Children's Hospital of Philadelphia Michael Padula masked Bobby George Michael A. Padula Children's Hospital of Philadelphia Division of Neonatology, 2nd Floor Main 34th St & Civic Center Blvd. Philadelphia, PA 19104 215-590-1653 masked Medical Director of Informatics, Division of Neonatology Children's Hospital of Philadelphia 34th St & Civic Center Blvd. Philadelphia, PA 19104 215-590-1653 padula@email.chop.edu www.chop.edu Academic Int 3 Complete 2010/10/29 12:00:00 2010/11/08 12:00:00 2010/11/08 08:36:28 UV 2.16.840.1.113883.15.4 hipps Health Insurance Prospective Payment System (HIPPS) rate codes Jason Carmichael masked Jason Carmichael 904-470-4518 masked Technical Architect CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) 7500 Security Blvd Baltimore, MD 21244 none support@cms.hhs.gov http://www.cms.hhs.gov Govt body Int 15 Complete 2010/11/02 12:00:00 2010/11/08 12:00:00 2010/11/08 08:34:17 UV 2.16.840.1.113883.3.649 sntc-labExchange-Test LabExchange Test Stephen Ryan masked Stephen Ryan 2055 Mowry Road Gainesville, FL 32611 888-265-7682 masked Software Engineer Southeastern National Tuberculosis Center 2055 Mowry Road Gainesville, FL 32611 888-265-7682 stephen.ryan@medicine.ufl.edu http://sntc.medicine.ufl.edu Academic Int 3 Complete 2010/11/02 12:00:00 2010/11/08 12:00:00 2010/11/08 08:30:02 UV 2.16.840.1.113883.3.650 tuftsmc Tufts Medical Center J. Phillip Argyris masked J. Phillip Argyris Tufts Medical Center Information Services 800 Washington Street Boston, MA 02111 (617) 636-6498 masked Workflow Lead Tufts Medical Center Tufts Medical Center Information Services 800 Washington Street Boston, MA 02111 (617) 636-6498 pargyris@tuftsmedicalcenter.org http://www.tuftsmedicalcenter.org/ Provider Int 3 Complete 2010/11/03 12:00:00 2010/11/08 12:00:00 2010/11/08 08:27:56 UV 2.16.840.1.113883.3.651 cRISP CRISP - Maryland's state-designated Health Information Exchange Mrinal Bhasker masked scott.afzal@crisphealth.org Mrinal Bhasker 5525 Research Park Drive Catonsville, MD 21228 (410) 402-9211 masked Lead Technical Architect Chesapeake Regional Information System for our Patients (CRISP) 5525 Research Park Drive Catonsville, MD 21228 (410) 402-9211 info@crisphealth.org http://www.crisphealth.org Govt body Int 3 Complete 2010/11/03 12:00:00 2010/11/08 12:00:00 2010/11/08 08:22:06 UV 2.16.840.1.113883.3.652 pmc Pacific Medical Communications Patrick Leung masked winnie@superemr.com Patrick Leung 2275 Huntington Drive, #330 San Marino, CA 91108 626-821-0030 masked president Patrick Leung 2275 Huntington Drive, #330 San Marino, CA 91108 626-821-0030 pat@superemr.com http://www.superemr.com Provider Int 3 Complete 2010/11/03 12:00:00 2010/11/08 12:00:00 2012/03/30 01:59:16 UV 2.16.840.1.113883.3.653 mdsync MDsync Stephen Miyasato masked miyasat@gmail.com Stephen K. Miyasato 99-128 Aiea Heights Dr. Room 105 Aiea, HI 96701 808-487-9922 masked MD MDsync LLC 99-128 Aiea Heights Dr. Room 105 Aiea, HI 96701 808-487-9922 miyasat@flex.com http://www.mdsync.net Vendor Int 3 Complete 2010/11/03 12:00:00 2010/11/08 12:00:00 2010/11/08 08:03:43 UV 2.16.840.1.113883.13.83 clinicalOrganizationRoleType ClinicalOrganizationRoleType valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane 916-412-5504 masked Cecil Lynch NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/03 12:00:00 2010/11/08 12:00:00 2010/11/08 08:00:41 UV 2.16.840.1.113883.3.654 adg Askesis Development Group, Inc. Root Phillip Glick masked Tom Ryan Phillip W. Glick One Chatham Center - Suite 300 112 Washington Place Pittsburgh, PA 1219 412-803-2412 masked Project Manager - EDI Askesis Development Group, Inc. One Chatham Center - Suite 300 112 Washington Place Pittsburgh, PA 1219 412-803-2400 glickpw@askesis.com http://www.askesis.com Vendor Int 3 Complete 2010/11/04 12:00:00 2010/11/08 12:00:00 2010/11/08 07:58:10 UV 2.16.840.1.113883.3.655 tsystemEV T System EV Don Beisert masked Sheila Field CorroHealth 6509 Windcrest Drive Suite 165 Plano, Texas 75024 2143543568 masked VP T-System Client Services & Engineering T System, Inc CorroHealth 6509 Windcrest Drive Suite 165 Plano, Texas 75024 8443924222 sheila.field@corrohealth.com www.corrohealth.com Vendor Int 3 Complete 2010/11/04 12:00:00 2010/11/08 12:00:00 2025/10/10 10:58:52 UV 2.16.840.1.113883.3.656 object-short full nanme dasf asdfasdf masked fasdfs 5416515 masked gasdgsg Hungary 486468 erwrwe@gg.com Academic Int 3 Rejected 2010/11/05 12:00:00 2010/11/08 12:00:00 2010/11/08 07:49:21 UV 2.16.840.1.113883.3.657 rrmc Rutland Regional Medical Center OID Root Barbara Robinson masked John Kijewski Barbara Robinson 160 Allen Street Rutland, VT 05701 8027722607 masked VP Clinical Services Rutland Regional Medical Center 160 Allen Street Rutland, VT 05701 8027757111 brobin@rrmc.org http://rrmc.org Provider Int 3 Complete 2010/11/08 12:00:00 2010/11/08 12:00:00 2010/11/08 07:53:14 UV 2.16.840.1.113883.13.84 actInteractionCode ActInteractionCode valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/08 12:00:00 2010/11/08 12:00:00 2010/11/08 07:51:25 UV 2.16.840.1.113883.3.658 hqphc Putnam Hospital Center Catherine Schuster masked robert diamond Catherine Schuster 21 Fox St Suite 101 Poughkeepsie, NY 12601 845-483-6701 masked AVP - HQIT Health Quest Information Technology Putnam Hospital Center 670 Stoneleigh Ave Carmel, NY 10512 845-483-6701 cschuster@Health-quest.org http://www.health-quest.org/ Provider Int 3 Complete 2010/11/09 12:00:00 2010/11/12 12:00:00 2010/11/19 03:40:25 UV 2.16.840.1.113883.3.647.305 axIMAGEDOCUMENTSOURCE XDS Image Document Source Peter Bak masked Peter Bak 18 Tanager Ave Suite 303 Toronto Ontario M4G3R1 416-421-2588 masked CEO AXON Medical Technologies Corporation 18 Tanager Ave Suite 303 Toronto Ontario M4G3R1 416-421-2588 peter.bak@axonmed.com Vendor Ext 14 Complete 2.16.840.1.113883.3.647.305 2010/11/09 12:00:00 2010/11/12 12:00:00 2010/11/12 09:52:12 UV 2.16.840.1.113883.3.659 transmed TransMed Network Inc. Santhosh Palan masked pquilici@transmed.net Philippe J. Quilici (1) 323-252-5300 masked Chief Executive Officer TransMed Network Inc. 201 South Buena Vista Street, #425 Burbank, CA 91505 (1) 323-252-5300 pquilici@transmed.net www.transmed.net Vendor Int 3 Complete 2010/11/10 12:00:00 2010/11/12 12:00:00 2010/11/12 09:56:18 UV 2.16.840.1.113883.4.441 mHHC Mercy Hospital Dale Borchardt masked Dale Borchardt 710 South Kenwood Ave Moose Lake MN, 55733 218 485 5620 masked IT Manager Mercy Hospital 710 S Kenwood Ave Moose Lake MN 55733 218 485 4481 dborchardt@mercymooselake.org www.mercymooselake.org Provider Int 4 Complete 2010/11/10 12:00:00 2010/11/12 12:00:00 2010/11/12 09:58:11 UV 2.16.840.1.113883.4.442 kanabec Kanabec Hospital Melissa Magnuson masked Melissa Magnuson 320-225-3508 masked Kanabec Hospital 301 South Highway 65 Mora, MN 55051 320-679-1212 mmagnuson@kanabechospital.org www.kanabechospital.org Provider Int 4 Complete 2010/11/10 12:00:00 2010/11/12 12:00:00 2010/11/12 10:02:27 UV 2.16.840.1.113883.3.660 mobilemd-HIE MobileMD Health Information Exchange Timothy Denis masked gbrock@mobilemd.com Jerry Gaudet or John Perkins 4700 Duke Dr Mason, OH 45040 513-459-5019 masked Manager Product Development Cerner Corporation, MMD Solution (formerly MobileMD) 51 Valley Stream Pkwy Malvern, PA 19355 cerner@cerner.com http://www.cerner.com Vendor Int 3 Complete 2010/11/10 12:00:00 2010/11/12 12:00:00 2018/03/07 10:01:27 UV 2.16.840.1.113883.3.661 gmed id root Alex Nolasco masked teom@gmed.com gMed (888) 577-8801 masked Software Developer gmed 2125 North Commerce Parkway Weston, FL 33326 United States (888) 577-8801 salesteam@gmed.com http://www.gmed.com Vendor Int 3 Complete 2010/11/10 12:00:00 2010/11/12 12:00:00 2013/06/26 12:14:51 UV 2.16.840.1.113883.3.662 azzly AZZLY EHR-PM-PHR Coletta Dorado masked jeffi@azzly.com Coletta L Dorado 2770 Indian River Blvd Ste 308 Vero Beach, Fl 32960 772-567-0206 masked Pres & CEO AZZLY 2770 Indian River Blvd Ste 308 Vero Beach, fL 32960 772-567-0206 jeffi@azzly.com www.azzly.com Provider Int 3 Complete 2010/11/10 12:00:00 2010/11/12 12:00:00 2010/11/12 10:11:14 UV 2.16.840.1.113883.13.85 actEncounterCode ActEncounterCode valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/10 12:00:00 2010/11/12 12:00:00 2010/11/12 10:14:32 UV 2.16.840.1.113883.13.86 actFaultValue ActFaultValue valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/10 12:00:00 2010/11/12 12:00:00 2010/11/12 10:16:03 UV 2.16.840.1.113883.3.26.1.6.1 caCISTerminologyCodes caCISTerminologyCodes codeSystem Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Ext 6 Complete 2.16.840.1.113883.3.26.1.6.1 2010/11/10 12:00:00 2010/11/12 12:00:00 2010/11/12 10:17:52 UV 2.16.840.1.113883.13.87 actFaultCode ActFaultCode valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/10 12:00:00 2010/11/12 12:00:00 2010/11/12 10:20:55 UV 2.16.840.1.113883.13.88 actImmunizationReason ActImmunizationReason valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/10 12:00:00 2010/11/12 12:00:00 2010/11/12 10:22:41 UV 2.16.840.1.113883.13.89 actStatusActiveCancelledComplete ActStatusActiveCancelledComplete valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/10 12:00:00 2010/11/12 12:00:00 2010/11/12 10:25:11 UV 2.16.840.1.113883.13.90 basicAddressPartType BasicAddressPartType valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/10 12:00:00 2010/11/12 12:00:00 2010/11/12 10:26:35 UV 2.16.840.1.113883.13.91 basicEmailAddressUse BasicEmailAddressUse valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/10 12:00:00 2010/11/12 12:00:00 2010/11/12 10:28:49 UV 2.16.840.1.113883.13.92 basicPostalAddressUse BasicPostalAddressUse valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/10 12:00:00 2010/11/12 12:00:00 2010/11/12 10:32:39 UV 2.16.840.1.113883.13.93 basicTelecommunicationAddressUse BasicTelecommunicationAddressUse valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/10 12:00:00 2010/11/12 12:00:00 2010/11/12 10:34:06 UV 2.16.840.1.113883.13.94 basicUnitsOfMeasure BasicUnitsOfMeasure valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/10 12:00:00 2010/11/12 12:00:00 2010/11/12 10:38:28 UV 2.16.840.1.113883.13.95 commonClinicalObservationComponentValue CommonClinicalObservationComponentValue valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/11 12:00:00 2010/11/12 12:00:00 2010/11/12 10:40:18 UV 2.16.840.1.113883.13.96 clinicalOrganizationRoleType ClinicalOrganizationRoleType valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/11 12:00:00 2010/11/12 12:00:00 2010/11/12 10:43:38 UV 2.16.840.1.113883.13.97 commonClinicalObservationType CommonClinicalObservationType valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/11 12:00:00 2010/11/12 12:00:00 2010/11/12 10:58:03 UV 2.16.840.1.113883.13.98 commonClinicalObservationValue CommonClinicalObservationValue valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/11 12:00:00 2010/11/12 12:00:00 2010/11/12 10:59:40 UV 2.16.840.1.113883.13.99 distanceObservationUnitsOfMeasure DistanceObservationUnitsOfMeasure valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/11 12:00:00 2010/11/12 12:00:00 2010/11/12 11:01:02 UV 2.16.840.1.113883.13.100 drugUnitsOfMeasure DrugUnitsOfMeasure valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/11 12:00:00 2010/11/12 12:00:00 2010/11/12 11:06:54 UV 2.16.840.1.113883.13.101 exposureAgentEntityType ExposureAgentEntityType valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/11 12:00:00 2010/11/12 12:00:00 2010/11/12 11:08:19 UV 2.16.840.1.113883.13.102 fullAddressPartType FullAddressPartType valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/11 12:00:00 2010/11/12 12:00:00 2010/11/12 11:11:50 UV 2.16.840.1.113883.13.103 heightOrWeightObservationUnitsOfMeasure HeightOrWeightObservationUnitsOfMeasure valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/11 12:00:00 2010/11/12 12:00:00 2010/11/12 11:12:52 UV 2.16.840.1.113883.13.104 humanActSite HumanActSite valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/11 12:00:00 2010/11/12 12:00:00 2010/11/12 11:13:59 UV 2.16.840.1.113883.13.105 humanLabSpecimenEntityType HumanLabSpecimenEntityType valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/11 12:00:00 2010/11/12 12:00:00 2010/11/12 11:16:39 UV 2.16.840.1.113883.13.106 intoleranceValue IntoleranceValue valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/11 12:00:00 2010/11/12 12:00:00 2010/11/12 11:17:56 UV 2.16.840.1.113883.13.107 observationAllergyTestCode ObservationAllergyTestCode valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/11 12:00:00 2010/11/12 12:00:00 2010/11/12 11:21:30 UV 2.16.840.1.113883.13.108 observationGenomicFamilyHistoryType ObservationGenomicFamilyHistoryType valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/11 12:00:00 2010/11/12 12:00:00 2010/11/12 11:23:15 UV 2.16.840.1.113883.13.109 observationIntoleranceTypePrimary ObservationIntoleranceTypePrimary valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/11 12:00:00 2010/11/12 12:00:00 2010/11/12 11:25:41 UV 2.16.840.1.113883.13.110 observationOrderableLabType ObservationOrderableLabType valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/11 12:00:00 2010/11/12 12:00:00 2010/11/12 11:28:41 UV 2.16.840.1.113883.13.111 referralCancelReason ReferralCancelReason valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/11 12:00:00 2010/11/12 12:00:00 2010/11/12 11:30:19 UV 2.16.840.1.113883.13.112 referralReason ReferralReason valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/11 12:00:00 2010/11/24 12:00:00 2010/11/24 07:00:47 UV 2.16.840.1.113883.13.113 referralRejectReason ReferralRejectReason valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/11 12:00:00 2010/11/24 12:00:00 2010/11/24 07:04:15 UV 2.16.840.1.113883.4.443 humc Hackensack University Medical Center Benjamin Bordonaro masked Benjamin Bordonaro 30 Prospect Avenue Hackensack, NJ 07601 201-996-4624 masked Cheif Technology Officer Hackensack University Medical Center 30 Prospect Avenue Hackensack, NJ 07601 201-996-2000 bbordonaro@humed.com http://www.humc.com Provider Int 4 Complete 2010/11/11 12:00:00 2010/11/24 12:00:00 2010/11/24 07:07:16 UV 2.16.840.1.113883.3.663 pdsi Photo Diagnostic Systems, Inc Olof Johnson masked johnson@photodiagnostic.com Olof Johnson 85 Swanson Rd Boxboro, MA 01719 978-266-0420 masked VP Engineering Photo Diagnostic Systems, Inc 85 Swanson Rd Boxboro, MA 01719 9782660420 johnson@photodiagnostic.com www.photodiagnostic.com Vendor Int 3 Complete 2010/11/11 12:00:00 2010/11/24 12:00:00 2010/11/24 07:10:13 UV 2.16.840.1.113883.3.664 aBQHP87108 ABQ Health Partners Bindu Purushothaman masked ABQ Health Partners Bindu Purushothaman 5400 Gibson Boulevard, SE Albuquerque, NM 87108 505-262-0110 masked Applications Team Manager ABQ Health Partners 5400 Gibson Boulevard, SE Albuquerque, NM 87108 505-262-0110 bindu.purushothaman@abqhp.com abqhp.com Provider Int 3 Complete 2010/11/11 12:00:00 2010/11/24 12:00:00 2010/11/24 07:13:44 UV 2.16.840.1.113883.13.114 actCareProvisionRequestType ActCareProvisionRequestType valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/11 12:00:00 2010/11/24 12:00:00 2010/11/24 07:15:39 UV 2.16.840.1.113883.13.115 actProcedureCategoryList ActProcedureCategoryList valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/11 12:00:00 2010/11/24 12:00:00 2010/11/24 07:17:12 UV 2.16.840.1.113883.13.116 diagnosisValuePrimary DiagnosisValuePrimary valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/12 12:00:00 2010/11/24 12:00:00 2010/11/24 07:19:55 UV 2.16.840.1.113883.13.117 humanSubstanceAdministrationSite HumanSubstanceAdministrationSite valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/12 12:00:00 2010/11/24 12:00:00 2010/11/24 07:27:26 UV 2.16.840.1.113883.13.118 patientCharacteristicObservationType PatientCharacteristicObservationType valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/12 12:00:00 2010/11/24 12:00:00 2010/11/24 07:30:54 UV 2.16.840.1.113883.13.119 personalRelationshipRoleType PersonalRelationshipRoleType valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/12 12:00:00 2010/11/24 12:00:00 2010/11/24 07:33:09 UV 2.16.840.1.113883.13.120 routeOfAdministration RouteOfAdministration valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/12 12:00:00 2010/11/24 12:00:00 2010/11/24 07:34:44 UV 2.16.840.1.113883.13.121 specimenIdentifierRoleType SpecimenIdentifierRoleType valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/12 12:00:00 2010/11/24 12:00:00 2010/11/24 07:38:50 UV 2.16.840.1.113883.13.122 surgicalPathologyMethodCode SurgicalPathologyMethodCode valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/11/12 12:00:00 2010/11/24 12:00:00 2010/11/24 07:40:41 UV 2.16.840.1.113883.3.665 medstreaming MedstreamingDocument madhuri challa masked mallik 8514 154th AVE NE Redmond, WA 98052 Phone: 425.629.6388 2149145842 masked solutions architect Medstreaming, LLC 8514 154th AVE NE Redmond, WA 98052 Phone: 425.629.6388 4253511883 ewald.de.vries@medstreaming.com http://www.medstreaming.com/ Vendor Int 3 Complete 2010/11/12 12:00:00 2011/05/05 12:00:00 2012/03/26 12:49:43 UV 2.16.840.1.113883.5.1137 rolelinkstatus RoleLinkStatus Ted Klein masked Russell Hamm Rene Spronk +31 (0)655 363 446 masked Health Level Seven Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 17346777777 hq@HL7.org www.hl7.org HL7 body Int 5 Complete 2010/11/15 12:00:00 2010/11/24 12:00:00 2010/11/24 07:43:20 UV 2.16.840.1.113883.3.666 omfq Oklahoma Foundation for Medical Quality Wanda Johnson masked wjohnson@ofmq.com Wanda Johnson 14000 Quail Springs Parkway Suite 400 Oklahoma City, OK 73134 405-302-3278 masked Measures Team Director Oklahoma Foundation for Medical Quality 14000 Quail Springs Parkway Suite 400 Oklahoma City, OK 73134 405-302-3278 wjohnson@ofmq.com www.ofmq.com SDO Int 3 Complete 2010/11/15 12:00:00 2010/11/24 12:00:00 2010/11/24 07:46:37 UV 2.16.840.1.113883.3.667 ivans Ivans, Inc. Steve Kehlet masked Michael Schramm 4357 Ferguson Dr Suite 230 Cincinnati, Ohio 45245 513 943-8894 masked GVP Product and Innovation, Head of Healthcare Product and Development teams IVANS, Inc. 100 First Stamford Place 3rd Floor Stamford, CT 06902 800.288.4826 ivans.info@ivans.com www.ivans.com Govt body Int 3 Complete 2010/11/15 12:00:00 2010/12/29 12:00:00 2010/12/29 10:55:45 UV 2.16.840.1.113883.3.668 healthport Healthport Steve Kehlet masked Vito Ciavarelli 120 Bluegrass Valley Parkway Alpharetta, GA 30005 770-360-1855 masked VP - Systems Development HealthPort 925 North Point Parkway Suite 350 Alpharetta, GA 30005 800-367-1500 vito.ciavarelli@healthport.com http://www.healthport.com Govt body Int 3 Complete 2010/11/15 12:00:00 2010/12/29 12:00:00 2010/12/29 10:58:21 UV 2.16.840.1.113883.3.669 cureMD CureMD EHR v10 Jason King masked Matt Anderson 55 Broad street New York, NY 10004 718.360.0597 masked Sr. Application Analyst CureMD 55 Broad street New York, NY 10004 718.360.0597 matt.anderson@curemd.com http://www.curemd.com Provider 2.16.840.1.113883.3.669 Int 3 Complete 2010/11/16 12:00:00 2010/11/26 12:00:00 2012/07/02 01:27:24 UV 2.16.840.1.113883.4.444 ePHY-HLA Health Link Associates Connie Douglas masked Bill Himmelstoss Chris Lucena 5290 Applegate Dr Spring Hill, Fl 34606 727-495-0109 masked CTO Phyaura, LLC clucena@phyaura.com http://www.phyaura.com Vendor Int 4 Complete 2010/11/17 12:00:00 2010/11/26 12:00:00 2011/07/08 09:31:42 UV 2.16.840.1.113883.4.445 ePHY-ECS East Cardiovascular Specialists, Phyaura LLC Connie Douglas masked Bill Himmelstoss Chris Lucena 5290 Applegate Dr Spring Hill, Fl 34606 727-495-0109 masked Phyaura, LLC PO Box 3565 Spring Hill, Fl 34611 clucena@phyaura.com http://www.phyaura.com/ Vendor Int 4 Complete 2010/11/17 12:00:00 2010/11/26 12:00:00 2011/07/08 09:32:44 UV 2.16.840.1.113883.3.670 rhs Roberts-Hoffman Software, Inc. Brady Mathis masked bmathis@r-hsoftware.com Brady Mathis 702 Suncrest Dr. Fruita, CO 81521 877.696.6547 Ext. 102 masked Project Manager Roberts-Hoffman Software, Inc. 702 Suncrest Dr. Fruita, CO 81521 877.696.6547 bmathis@r-hsoftware.com www.r-hsoftware.com Vendor Int 3 Complete 2010/11/18 12:00:00 2010/11/26 12:00:00 2010/11/27 10:43:43 UV 2.16.840.1.113883.3.671 pdsmed PDSMED Mark Marseilles masked Les Jacobs Mark Marseilles 10 South Main, Suite A Hutchinson, KS 67501 (800) 283-7543 masked Director of Development PDSMED 10 South Main, Suite A Hutchinson, KS 67501 (800) 283-7543 interfaces@pdsmed.com http://pdsmed.com/ Vendor Int 3 Complete 2010/11/18 12:00:00 2010/11/26 12:00:00 2021/08/17 04:20:50 UV 2.16.840.1.113.883.3.659 northerndutchesshq Northern Dutchess Hospital Catherine Schuster masked rdiamond@health-quest.org Catherine 21 Fox St suite 101 Poughkeepsie, NY 12601 845-483-6701 masked AVP - HQIT Northern Dutchess Hospital 6511 Springbrook Ave P.O. Box 5002 Rhinebeck, NY 12572 845-483-6701 ndhinfo@health-quest.org http://www.health-quest.org/ Provider Ext 3 Complete 2.16.840.1.113.883.3.659 2010/11/19 12:00:00 2010/12/29 12:00:00 2010/12/29 11:02:07 UV 2.16.840.1.114883.3.662 vbmchq Vassar Brothers Medical Center Catherine Schuster masked Rdiamond@health-quest.org Catherine Schuster 21 Fox St suite 101 poughkeepsie, NY 1201 845-483-6701 masked AVP HQIT Vassar Brothers Medical Center 45 Reade Place Poughkeepsie, NY 12601 845-483-6701 vbmcinfo@health-quest.org http://www.health-quest.org Provider Ext 3 Pending 2.16.840.1.114883.3.662 2010/11/19 12:00:00 2010/11/19 03:57:04 UV 1.3.6.1.4.1.3443 unitedhealthcare UnitedHealth Group Greg Fisher masked Linda Michaelsen UnitedHealth Group Center 9900 Bren Road East Minnetonka, MN 55343 USA +1 612-632-6664 masked Software Engineer Consultant UnitedHealth Group UnitedHealth Group Center 9900 Bren Road East Minnetonka, MN 55343 USA +1 952-936-1300 nradov@uhc.com http://www.unitedhealthgroup.com Payor Ext 4 Complete 1.3.6.1.4.1.3443 2010/11/22 12:00:00 2010/12/29 12:00:00 2018/04/19 10:19:25 UV 2.16.840.1.113883.3.672 schchie St Clair Hospital Community Health Information Exchange Luke Karavolis masked Rich.schaeffer@stclair.org Luke Karavolis St Clair Hospital HIS Department: Attn: Luke 1000 Bower Hill Road Pittsburgh, PA 15243 412-942-7333 masked Director Infomation Systems St Clair Hospital St Clair Hospital 1000 Bower Hill Road Pittsburgh, PA 15243 412-344-6600 luke.karavolis@stclair.org www.stclair.org Provider Int 3 Complete 2010/11/22 12:00:00 2010/11/26 12:00:00 2010/11/27 10:50:25 UV 2.16.840.1.113883.3.673 allmeds AllMeds, Inc. Al Johnson masked Al Johnson 151 Lafayette Drive, Suite 401 Oak Ridge, TN 37830 865-482-1999 x3229 masked Director, R&D AllMeds, Inc. 151 Lafayette Drive, Suite 401 Oak Ridge, TN 37830 865-482-1999 afjohnson@allmeds.com http://www.allmeds.com Vendor Int 3 Complete 2010/11/23 12:00:00 2010/11/26 12:00:00 2010/11/27 10:52:26 UV 2.16.840.1.113883.3.674 nhc2010 nhc2010 Lorraine Chapman masked Lorraine Chapman Northeast Hospital Corporation Information Systems Department 85 Herrick Street Beverly, MA 01915 978-922-3000 ext 2590 masked Director of Applications Service Group, Information Systems Northeast Hospital Corporation Northeast Hospital Corporation 85 Herrick Street Beverly, MA 01915 978-922-3000 lchapman@nhs-healthlink.org www.nhs-healthlink.org Provider Int 3 Complete 2010/11/23 12:00:00 2010/11/26 12:00:00 2010/11/27 10:55:09 UV 2.16.840.1.113883.3.675 techtime TechTime EMM Module Kim Hanson masked Kim Hanson 3627 O'Shea Circle Billings, Mt. 59101 406 256-0627 masked President TechTime Inc. 3627 O'Shea Circle Billings, Mt. 59101 406 256-0627 khanson@techtimeinc.com www.techtimeinc.com Vendor Int 3 Complete 2010/11/27 12:00:00 2010/11/29 12:00:00 2010/11/30 12:42:16 UV 2.16.840.1.113883.3.676 xps Organization Root Shamshad Ansari masked Shamshad Ansari 7036786677 masked Asclepios Inc 724 Marlin Ave, Apt 4 Foster City, CA 94404 7036786677 ansarisam@gmail.com http://www.asclepiosinc.com Vendor Int 3 Complete 2010/11/28 12:00:00 2010/11/29 12:00:00 2010/11/30 12:44:31 UV 2.16.840.1.113883.3.677 inovaHIE Inova Health Information Exchange Edmond Magny masked Edmond Magny 443-610-1167 masked Inova Health System 8110 Gatehouse Road, Suite 300 West Tower Falls Church, Virginia 22042 703-289-2468 Ryan.Bosch@inova.org www.inova.org Provider Int 3 Complete 2010/11/29 12:00:00 2010/11/29 12:00:00 2010/11/30 12:47:17 UV 2.16.840.1.113883.3.678 inovahietestsourceoid Inova HIE Test - Source OID Edmond Magny masked Edmond Magny 443 610 1167 masked Inova Health System 8110 Gatehouse Road, Suite 300 West Tower Falls Church, Virginia 22042 703 289 2468 Ryan.Bosch@inova.org Provider 2.16.840.1.113883.3.677 Int 3 Complete 2010/11/29 12:00:00 2018/04/30 12:00:00 2018/04/30 10:16:23 UV 2.16.840.1.113883.3.679 testXDSRegistryUniqueID Inova HIE - Test XDS Registry Unique ID Edmond Magny masked Edmond Magny 443 610 1167 masked Inova Health System 8110 Gatehouse Road, Suite 300 West Tower Falls Church, Virginia 22042 Office 703 289 2468 Ryan.Bosch@inova.org 2.16.840.1.113883.3.677 Int 3 Complete 2010/11/29 12:00:00 2018/04/30 12:00:00 2018/04/30 10:21:24 UV 2.16.840.1.113883.3.680 inovahietestXDSRepositoryUniqueID Inova Hie - Test XDS Repositroy OID Edmond Magny masked Edmond Magny 443 610 1167 masked Ryan Bosch Inova Health System 8110 Gatehouse Road, Suite 300 West Tower Falls Church, Virginia 22042 703 289 2468 Ryan.Bosch@inova.org Provider Int 3 Complete 2010/11/29 12:00:00 2011/03/14 12:00:00 2011/03/14 08:48:22 UV 2.16.840.1.113883.3.681 phr Palmetto Health Richland Sallie Carvalho masked Sallie Carvalho Palmetto Health Info Technology 7909 Parklane Road, Ste 400 Columbia, SC 29223 803/434-1471 masked Systems Architect Palmetto Health Information Technology 7909 Parklane Road, Ste 400 Columbia, SC 29223 803/434-1471 sallie.carvalho@palmettohealth.org www.palmettohealth.org Provider Int 3 Complete 2010/11/30 12:00:00 2010/12/29 12:00:00 2010/12/29 12:25:33 UV 2.16.840.1.113883.3.682 phb Palmetto Health Baptist Sallie Carvalho masked Sallie Carvalho Palmetto Health Info Technology 7909 Parklane Road, Ste 400 Columbia, SC 29223 803/434-1471 masked Systems Architect Palmetto Health Information Technology 7909 Parklane Road, Ste 400 Columbia, SC 29223 803/434-1471 sallie.carvalho@palmettohealth.org www.palmettohealth.org Provider Int 3 Complete 2010/11/30 12:00:00 2010/12/29 12:00:00 2010/12/29 12:29:38 UV 2.16.840.1.113883.3.683 beh Baptist Easley Hospital Sallie Carvalho masked Sallie Carvalho Palmetto Health Information Technology 7909 Parklane Road, Ste. 400 Columbia, SC 29223 803/434-1471 masked Systems Architect Palmetto Health Information Technology 7909 Parklane Road, Ste. 400 Columbia, SC 29223 803/434-1471 sallie.carvalho@palmettohealth.org www.palmettohealth.org Provider Int 3 Complete 2010/11/30 12:00:00 2010/12/29 12:00:00 2010/12/29 08:58:23 UV 2.16.840.1.113883.3.681.1 phr-mrn Palmetto Richland MRN Sallie Carvalho masked Sallie Carvalho Palmetto Health Information Technology 7909 Parklane Road, Ste. 400 Columbia, SC 29223 803/434-1471 masked Systems Architect Palmetto Health Information Technology Palmetto Health Information Technology 7909 Parklane Road, Ste. 400 Columbia, SC 29223 803/434-1471 sallie.carvalho@palmettohealth.org Provider Ext 4 Complete 2.16.840.1.113883.3.681.1 2010/11/30 12:00:00 2010/12/29 12:00:00 2010/12/29 09:01:07 UV 2.16.840.1.113883.3.681.2 phr-fin Palmetto Richland FIN number Sallie Carvalho masked Sallie Carvalho Palmetto Health Information Technology 7909 Parklane Road, Ste. 400 Columbia, SC 29223 803/434-1471 masked Systems Architect Palmetto Health Information Technology Palmetto Health Information Technology 7909 Parklane Road, Ste. 400 Columbia, SC 29223 803/434-1471 sallie.carvalho@palmettohealth.org Provider Ext 4 Complete 2.16.840.1.113883.3.681.2 2010/11/30 12:00:00 2010/12/29 12:00:00 2010/12/29 09:02:46 UV 2.16.840.1.113883.3.682.1 phb-mrn Palmetto Baptist MRN Sallie Carvalho masked Sallie Carvalho Palmetto Health Information Technology 7909 Parklane Road, Ste. 400 Columbia, SC 29223 803/434-1471 masked Systems Architect Sallie Carvalho Palmetto Health Information Technology 7909 Parklane Road, Ste. 400 Columbia, SC 29223 803/434-1471 sallie.carvalho@palmettohealth.org http://www.palmettohealth.org/ Provider Ext 4 Complete 2.16.840.1.113883.3.682.1 2010/11/30 12:00:00 2010/12/29 12:00:00 2010/12/29 09:07:53 UV 2.16.840.1.113883.3.682.2 phb-fin Palmetto Baptist FIN Sallie Carvalho masked Sallie Carvalho Palmetto Health Information Technology 7909 Parklane Road, Ste. 400 Columbia, SC 29223 803/434-1471 masked Systems Architect Palmetto Health Information Technology Palmetto Health Information Technology 7909 Parklane Road, Ste. 400 Columbia, SC 29223 803/434-1471 sallie.carvalho@palmettohealth.org http://www.palmettohealth.org/ Provider Ext 4 Complete 2.16.840.1.113883.3.682.2 2010/11/30 12:00:00 2010/12/29 12:00:00 2010/12/29 09:10:02 UV 2.16.840.1.113883.3.683.1 beh-mrn Baptist Easley MRN Sallie Carvalho masked Sallie Carvalho Palmetto Health Information Technology 7909 Parklane Road, Ste. 400 Columbia, SC 29223 803/434-1471 masked Palmetto Health Information Technology Palmetto Health Information Technology 7909 Parklane Road, Ste. 400 Columbia, SC 29223 803/434-1471 sallie.carvalho@palmettohealth.org http://www.palmettohealth.org/ Provider Ext 4 Complete 2.16.840.1.113883.3.683.1 2010/11/30 12:00:00 2010/12/29 12:00:00 2010/12/29 09:13:02 UV 2.16.840.1.113883.3.683.2 beh-fin Baptist Easley FIN Sallie Carvalho masked Sallie Carvalho Palmetto Health Information Technology 7909 Parklane Road, Ste. 400 Columbia, SC 29223 803/434-1471 masked Palmetto Health Information Technology Palmetto Health Information Technology 7909 Parklane Road, Ste. 400 Columbia, SC 29223 803/434-1471 sallie.carvalho@palmettohealth.org http://www.palmettohealth.org/ Provider Ext 4 Complete 2.16.840.1.113883.3.683.2 2010/11/30 12:00:00 2010/12/29 12:00:00 2010/12/29 09:15:09 UV 2.16.840.1.113883.3.684 inp Instituto Nacional de Pediatr&#237;a JUAN DE DIOS PADILLA BEJAR masked JUAN DE DIOS PADILLA BEJAR AV. INSURGENTES 3700, LETRA C, INSURGENTES CUICUILCO, MEXICO D. F. CP. 04530 52 55 10840900 masked JEFE DEL DEPARTAMENTO DE TECNOLOGIAS DE INFORMACION DEL INP ANGELICA MARTINEZ VIVEROS AV. INSURGENTES 3700, LETRA C, INSURGENTES CUICUILCO, MEXICO D. F. CP. 04530 52 55 10840900 amartinezv@pediatria.gob.mx http://www.pediatria.gob.mx Govt body Int 3 Complete 2010/11/30 12:00:00 2010/12/29 12:00:00 2010/12/29 09:19:07 UV 2.16.840.1.113883.4.446 txMCDmedIDadm Texas Medicaid ID Administrator David Laitala masked Texas Health and Human Services Commission 512-249-3747 masked Texas Health and Human Services Commission Brown-Heatly Bldg. 4900 North Larmar Blvd. Austin, Texas 78751 512-249-3747 david.laitala@hhsc.state.tx.us www.hhsc.state.tx.us Govt body Int 4 Complete 2010/12/01 12:00:00 2010/12/29 12:00:00 2010/12/29 09:23:38 UV 2.16.840.1.113883.3.520.1.1 laterality Laterality entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.com http://www.naaccr.org/ SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.1 2010/12/05 12:00:00 2010/12/19 12:00:00 2011/10/28 10:24:54 UV 2.16.840.1.113883.3.520.1.2 histology Histology entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.com http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.2 2010/12/05 12:00:00 2010/12/19 12:00:00 2011/10/28 10:28:46 UV 2.16.840.1.113883.3.520.1.3 tnm-edition TNM Edition Number entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.com http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.3 2010/12/05 12:00:00 2010/12/19 12:00:00 2011/10/28 10:30:20 UV 2.16.840.1.113883.3.520.1.4 tnm-clinical-staged-by TNM Clin Staged By entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.com http://www.naaccr.com SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.4 2010/12/05 12:00:00 2010/12/19 12:00:00 2011/10/28 10:31:28 UV 2.16.840.1.113883.3.685 doccomply Doccomply Amer Choudhry masked Amer Choudhry 874-A2, Pompton Avenue, Cedar Grove, NJ 07009, USA 973-857 7807 masked CEO Doccomply 874-A2, Pompton Avenue, Cedar Grove, NJ 07009, USA 973 857 7807 info@doccomply.com www.doccomply.com Vendor Int 3 Complete 2010/12/06 12:00:00 2010/12/29 12:00:00 2010/12/29 09:25:55 UV 2.16.840.1.113883.3.520.1.5 tnm-clinical-t TNM Clin T entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.5 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 10:32:24 UV 2.16.840.1.113883.3.520.1.6 tnm-clinical-n TNM Clin N entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.6 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 10:33:19 UV 2.16.840.1.113883.3.520.1.7 tnm-clinical-m TNM Clin M entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.7 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 10:34:31 UV 2.16.840.1.113883.3.520.1.8 tnm-clinical-stage-group TNM Clin Stage Group entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.8 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 10:35:25 UV 2.16.840.1.113883.3.520.1.9 tnm-clinical-stage-descriptor TNM Clin Descriptor entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.9 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 10:36:28 UV 2.16.840.1.113883.3.520.1.10 behavior Behavior Code ICD-O-3 entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.10 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 10:38:40 UV 2.16.840.1.113883.3.520.1.11 grade Grade entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.11 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 10:39:43 UV 2.16.840.1.113883.3.520.1.12 diagnostic-confirmation Diagnostic Confirmation entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.12 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 10:40:53 UV 2.16.840.1.113883.3.520.1.13 cancer-status Cancer Status entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.13 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 10:41:33 UV 2.16.840.1.113883.3.520.1.14 diagnosing-laboratory-name Diagnosing Laboratory Name entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.14 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 10:42:26 UV 2.16.840.1.113883.3.520.1.15 quality-of-survival Quality of Survival entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.15 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 10:43:15 UV 2.16.840.1.113883.3.520.1.16 hospitalization-status Hospitalization Status entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.16 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 10:44:18 UV 2.16.840.1.113883.3.520.1.17 hospital-name Hospital Name entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.17 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 10:45:04 UV 2.16.840.1.113883.3.520.1.18 radiation-therapy-facility Radiation Therapy Facility entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.18 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 10:45:47 UV 2.16.840.1.113883.3.520.1.19 screening-result Screening Result entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.19 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 10:47:52 UV 2.16.840.1.113883.3.520.1.20 diagnosis-observation Diagnosis observation entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.20 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/01/03 04:15:32 UV 2.16.840.1.113883.3.520.1.21 primary-site Primary Site entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.21 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 10:50:59 UV 2.16.840.1.113883.3.520.1.22 occupation Occupation entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.22 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 10:51:49 UV 2.16.840.1.113883.3.520.1.23 industry Industry entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.23 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 10:52:25 UV 1.2.840.1.114350 epicOID Epic customer production deployment identifier Judith Miller masked Vassil Peytchev Judith Miller Epic Systems Corporation 1979 Milky Way Verona, WI 53593 608-271-9000 masked Product Fulfillment/Licensing Judith Miller Epic Systems Corporation 1979 Milky Way Verona, WI 53593 608-271-9000 jmiller@epic.com www.epic.com Vendor Ext 3 Complete 1.2.840.1.114350 2010/12/06 12:00:00 2010/12/29 12:00:00 2010/12/29 09:29:29 UV 2.16.840.1.113883.3.520.1.24 provider-referred-from Institution Referred From entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.24 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 10:53:12 UV 2.16.840.1.113883.3.520.1.25 cause-of-death Cause Of Death entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.25 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 10:53:55 UV 2.16.840.1.113883.3.520.1.26 place-of-death Place of Death entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.26 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 10:54:31 UV 2.16.840.1.113883.3.520.1.27 text-place-of-diagnosis Text Place of Diagnosis entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.27 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 10:55:27 UV 2.16.840.1.113883.3.520.1.28 text-diagnostic-procedure-physical-exam Text-DX Proc-PE entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.28 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 10:56:33 UV 2.16.840.1.113883.3.520.1.29 text-diagnostic-procedure-x-ray-scan Text-DX Proc-X-Ray/Scan entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.29 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 10:57:26 UV 2.16.840.1.113883.3.520.1.30 text-diagnostic-procedure-scopes Text-DX Proc-Scopes entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.30 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 10:58:09 UV 2.16.840.1.113883.3.520.1.31 text-diagnostic-procedure-lab-tests Text-DX Proc-Lab Tests entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.31 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 10:59:04 UV 2.16.840.1.113883.3.520.1.32 text-diagnostic-procedure-operation Text-DX Proc-Op entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.32 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 10:59:59 UV 2.16.840.1.113883.3.520.1.33 text-diagnostic-procedure-pathology Text-DX Proc-Path Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.33 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 11:00:48 UV 2.16.840.1.113883.3.520.1.34 text-diagnostic-procedure-prognostic-factors Text-DX Proc-Prgnostic Factors entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.34 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 11:01:50 UV 2.16.840.1.113883.3.520.1.35 surgery-text Surgery Text entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North merican Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.35 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 11:02:28 UV 2.16.840.1.113883.3.520.1.36 chemotherapy Chemotherapy entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.36 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 11:03:07 UV 2.16.840.1.113883.3.520.1.37 chemotherapy-protocol-regimen-text Chemotherapy Protocol/Regimen Text entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.37 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 11:04:33 UV 2.16.840.1.113883.3.520.1.38 drug-names Drug Name(s) entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.38 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 11:05:11 UV 2.16.840.1.113883.3.520.1.39 hormone-therapy Hormone therapy entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.39 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 11:05:49 UV 2.16.840.1.113883.3.520.1.40 immunotherapy-brm Immunotherapy (BRM) entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.40 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 11:06:35 UV 2.16.840.1.113883.3.520.1.41 other-therapy Other Therapy entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.41 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 11:07:09 UV 2.16.840.1.113883.3.520.1.42 hematological-transplant-or-endrine-procedure-text Hematological Transplant or Endrine Procedure Text entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.42 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 11:08:35 UV 2.16.840.1.113883.3.520.1.43 palliative-care Palliative Care entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.43 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 11:09:18 UV 2.16.840.1.113883.3.520.1.44 recurrent-location Recurrent Location entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.44 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 11:09:53 UV 2.16.840.1.113883.3.520.1.45 cormorbidities Cormorbidities entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.45 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 11:10:37 UV 2.16.840.1.113883.3.520.1.46 payer-history Payer History entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.46 2010/12/06 12:00:00 2010/12/19 12:00:00 2011/10/28 11:11:35 UV 2.16.840.1.113883.3.520.4.1 naaccr-laterality Laterality value set Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 13 Complete 2.16.840.1.113883.3.520.4.1 2010/12/08 12:00:00 2010/12/29 12:00:00 2010/12/29 09:31:03 UV 2.16.840.1.113883.3.520.4.2 naaccr-histology Histologic Type ICD-O-3 value set Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 13 Complete 2.16.840.1.113883.3.520.4.2 2010/12/08 12:00:00 2010/12/29 12:00:00 2010/12/29 09:33:25 UV 2.16.840.1.113883.3.520.4.3 naaccr-diagnostic-confirmation Diagnostic Confirmation value set Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 13 Complete 2.16.840.1.113883.3.520.4.3 2010/12/08 12:00:00 2010/12/29 12:00:00 2010/12/29 09:35:17 UV 2.16.840.1.113883.3.520.4.4 naaccr-tnm-clinical-staged-by TNM Clin Staged By value set Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 13 Complete 2.16.840.1.113883.3.520.4.4 2010/12/08 12:00:00 2010/12/29 12:00:00 2014/08/26 01:54:14 UV 2.16.840.1.113883.3.520.4.5 naaccr-tnm-edition-number TNM Edition Number value set Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 13 Complete 2.16.840.1.113883.3.520.4.5 2010/12/08 12:00:00 2010/12/29 12:00:00 2010/12/29 09:41:13 UV 2.16.840.1.113883.3.520.4.6 tnm-clinical-t TNM Clin T value set Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 13 Complete 2.16.840.1.113883.3.520.4.6 2010/12/08 12:00:00 2010/12/29 12:00:00 2014/08/26 02:17:29 UV 2.16.840.1.113883.3.520.4.7 tnm-clinical-n TNM Clin N value set Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 13 Complete 2.16.840.1.113883.3.520.4.7 2010/12/08 12:00:00 2010/12/29 12:00:00 2014/08/26 02:18:54 UV 2.16.840.1.113883.3.520.4.8 tnm-clinical-m TNM Clin M value set Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 13 Complete 2.16.840.1.113883.3.520.4.8 2010/12/08 12:00:00 2010/12/29 12:00:00 2014/08/26 02:20:17 UV 2.16.840.1.113883.3.520.4.9 tnm-clinical-stage-group TNM Clin Stage Group value set Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 612-298-0800 info@naaccr.org http://www.naaccr.org SDO Ext 13 Complete 2.16.840.1.113883.3.520.4.9 2010/12/08 12:00:00 2010/12/29 12:00:00 2014/08/26 02:22:28 UV 2.16.840.1.113883.3.520.4.10 tnm-clinical-stage-descriptor TNM Clin Descriptor value set Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 13 Complete 2.16.840.1.113883.3.520.4.10 2010/12/08 12:00:00 2010/12/29 12:00:00 2014/08/26 02:23:39 UV 2.16.840.1.113883.3.520.4.11 naaccr-cancer-status Cancer Status value set Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 13 Complete 2.16.840.1.113883.3.520.4.11 2010/12/08 12:00:00 2010/12/29 12:00:00 2010/12/29 09:51:10 UV 2.16.840.1.113883.3.520.4.12 naaccr-quality-of-survival Quality of Survival value set Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 13 Complete 2.16.840.1.113883.3.520.4.12 2010/12/08 12:00:00 2010/12/29 12:00:00 2010/12/29 09:52:16 UV 2.16.840.1.113883.3.520.4.13 naaccr-screening-result Screening Result value set Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 13 Complete 2.16.840.1.113883.3.520.4.13 2010/12/08 12:00:00 2010/12/29 12:00:00 2010/12/29 09:53:21 UV 2.16.840.1.113883.3.520.4.14 naaccr-behavior-code Behavior Code ICD-O-3 value set Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 13 Complete 2.16.840.1.113883.3.520.4.14 2010/12/08 12:00:00 2010/12/29 12:00:00 2010/12/29 09:54:44 UV 2.16.840.1.113883.3.520.4.15 naaccr-grade Grade value set Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 13 Complete 2.16.840.1.113883.3.520.4.15 2010/12/08 12:00:00 2010/12/29 12:00:00 2010/12/29 09:55:29 UV 2.16.840.1.113883.17 otherType Other type of miscellaneous object Ted Klein masked Ted Klein masked HL7 International www.hl7.org SDO Int 17 Complete 2.16.840.1.113883 2010/12/10 12:00:00 2010/12/10 06:00:00 UV 2.16.840.1.113883.17.1 testType17 Test of type 17 Ted Klein masked Ted Klein masked HL7 International www.hl7.org SDO Int 17 Deprecated 2.16.840.1.113883 2010/12/10 12:00:00 2010/12/29 12:00:00 2010/12/29 09:57:45 UV 2.16.840.1.113883.3.686 csc ClinicServiceCorporation Larry Freeman masked Larry Freeman Clinic Service Corporate Office 3464 South Willow St. Denver, CO 80231 303-755-2900 masked Programmer Clinic Service Corporation Clinic Service Corporate Office 3464 South Willow St. Denver, CO 80231 303-755-2900 lfreeman@clinicservice.com www.clinicservice.com Vendor Int 3 Complete 2010/12/10 12:00:00 2010/12/29 12:00:00 2010/12/29 10:01:16 UV 2.16.840.1.113883.3.687 achie Atlantic Coast HIE Registration Stuart Reasons masked Stuart Reasons 9542764109 masked Atlantic Coast HIE 3051 N. Commerce Parkway Miramar, FL 33025 9542764104 Stuart.Reasons@cumberlandcg.com www.cumberlandcg.com Vendor Int 3 Complete 2010/12/13 12:00:00 2010/12/29 12:00:00 2010/12/29 10:03:37 UV 2.16.840.1.113883.3.688 mercymed Mercy Medical Clinic Susan Giovanni masked Susan M Giovanni 10202 W. 13th St. N. Wichita, KS 67212 316-722-8244 masked President Mercy Medical Clinic, PA 10202 W. 13th St. N. Wichita, KS 67212 316-722-8244 drg@mercymedicalclinic.com www.mercymedicalclinic.com Provider Int 3 Complete 2010/12/13 12:00:00 2010/12/29 12:00:00 2010/12/29 10:06:35 UV 2.16.840.1.113883.3.689 vipmed VIP Medicine, LLC Rick Holtmeier masked Rick Holtmeier 12755 58th Street Mayer, MN 55360 952657884 masked President VIP Medicine, LLC 12755 58th Street Mayer, MN 55360 0526572884 rholtmeier@vipmedicine.com www.vipmedicine.com Vendor Int 3 Complete 2010/12/13 12:00:00 2010/12/29 12:00:00 2010/12/29 10:09:01 UV 2.16.840.1.113883.3.690 millmd Millennium Medical Lynn Shulman masked Lynn S Shulman 727-541-2675 masked Practice Administrator Millennium Medical, Inc 5088 66th Street N Saint Petersburg, FL 33709 727-541-2675 lshulman@millmd.com www.millmd.com Provider Int 3 Complete 2010/12/13 12:00:00 2010/12/29 12:00:00 2010/12/29 10:11:47 UV 2.16.840.1.113883.3.691 southpalm South Palm Medical Associates Pamela Blake masked Pamela Blake 10151 Enterprise Center Blvd, Ste 101 Boynton Beach, FL 33437 561-732-2136 masked Practice Administrator South Palm Medical Associates 10151 Enterprise Center Blvd. Ste 101 Boynton Beach, FL 33437 561-732-2136 spmap@aol.com Provider Int 3 Complete 2010/12/13 12:00:00 2010/12/29 12:00:00 2010/12/29 10:14:48 UV 2.16.840.1.113883.3.692 diypractice DEAN I YOUNGBERG MD DEBI GOETZINGER masked DEAN I YOUNGBERG MD 1035 N. EMPORIA SUITE 220 WICHITA, KS 67214 316-268-6075 masked MD DEAN I YOUNGBERG MD 1035 N. EMPORIA, SUITE 220 WICHITA, K 67214 316-268-6075 DDGOETZINGER@COX.NET Provider Int 3 Complete 2010/12/13 12:00:00 2010/12/29 12:00:00 2010/12/29 10:19:21 UV 2.16.840.1.113883.3.693 heyranapractice ARMSTRONG,HEYRANA & ASSOCIATES BRENDA HEYRANA masked OFFICEHEYRANA@YAHOO.COM BRENDA HEYRANA 7906 ANDRUS RD SUITE 8 ALEXANDRIA,VA,22306 7037807086 masked ARMSTRONG,HEYRANA & ASSOCAITES 7906 ANDRUS RD SUITE 8 ALEXANDRIA, VA, 22306 7037807034 OFFICEHEYRANA@YAHOO.COM Provider Int 3 Complete 2010/12/13 12:00:00 2010/12/29 12:00:00 2010/12/29 10:23:19 UV 2.16.840.1.113883.13.123 actSpecimenCollectionProcedureType ActSpecimenCollectionProcedureType Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/13 12:00:00 2010/12/29 12:00:00 2010/12/29 10:26:30 UV 2.16.840.1.113883.3.694 qualitycare Quality Care Pediatric Clinic Belinda Land masked Belinda Land 100 East 20th St., Suite B Hope, AR 71801 870-777-2100 masked Billing Manager Quality Care Pediatric Clinic 100 East 20th St., Suite B Hope, AR 71801 870-777-2100 qcpc@cablelynx.com Provider Int 3 Complete 2010/12/13 12:00:00 2010/12/29 12:00:00 2010/12/29 10:29:08 UV 2.16.840.1.113883.13.124 observationLabReportType ObservationLabReportType valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/13 12:00:00 2010/12/29 12:00:00 2010/12/29 10:30:28 UV 2.16.840.1.113883.13.126 reportableLabBatteryType ReportableLabBatteryType valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/13 12:00:00 2010/12/29 12:00:00 2010/12/29 10:32:33 UV 2.16.840.1.113883.3.695 providencesurgical Providence Surgical Michael Mann masked Michael D. Mann 10502 N 110th E Ave Suite 305 Owasso, OK 74055 918-376-2200 masked Physician Providence Surgical Group 10502 N 110th E Ave Suite 305 Owasso, OK 74055 918-376-2200 providencesurgical@yahoo.com Provider Int 3 Complete 2010/12/14 12:00:00 2010/12/30 12:00:00 2010/12/30 08:09:44 UV 2.16.840.1.113883.3.696 napleshealthmd Tulay Darstek MD PA Tulay Darstek masked Tulay Darstek 11181 Health Park Blvd Suite 2260 Naples, FL 34110 239-514-5006 masked President Tulay Darstek MD PA 11181 Health Park Blvd Suite 2260 Naples, FL 34110 239-514-5006 jdarstek@napleshealthmd.com www.napleshealthmd.com Provider Int 3 Complete 2010/12/14 12:00:00 2010/12/30 12:00:00 2010/12/30 08:22:06 UV 2.16.840.1.113883.3.697 sqlab Sunquest Information Systems, Inc. Laurecia Dailey-Evans masked Laurecia Dailey-Evans 250 S Williams Blvd Tucson, AZ 85711 520-570-2537 masked Senior Requirements Engineer Sunquest Information Systems, Inc. 250 S Williams Blvd Tucson, AZ 85711 520-570-2000 laurecia.dailey-evans@sunquestinfo.com www.sunquestinfo.com Vendor Int 3 Complete 2010/12/14 12:00:00 2010/12/30 12:00:00 2010/12/30 08:26:23 UV 2.16.840.1.113883.3.698 nhsclinic Neighborhood Health Services Inc. Gabriel Otuonye masked Gabriel Otuonye 438 West Brevard Street Tallahasse, fl.32301 850-224-2469 masked Compliance Manager Neighborhood Health Services Inc. 438 West Brevard Street Tallahasse, fl.32301 850-224-2469 gotuonye@nhsclinic.org www.nhsclinic.org Provider Int 3 Complete 2010/12/14 12:00:00 2010/12/30 12:00:00 2010/12/30 08:28:02 UV 2.16.840.1.113883.3.699 drharrypepe Dr. Harry Pepe & Assciates, Inc. William Pepe masked William F. Pepe 4510 Sheridan Street Hollywood, Florida 33021 954-893-8900 masked Administrator Dr. Harry Pepe & Assocites., Inc 4510 Sheridan Street Hollywood, Florida 33021 954-893-8900 drharrypepe123@aol.com Provider Int 3 Complete 2010/12/15 12:00:00 2010/12/30 12:00:00 2010/12/30 08:32:08 UV 2.16.840.1.113883.13.127 reportableLabType ReportableLabType valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/15 12:00:00 2010/12/30 12:00:00 2010/12/30 08:34:45 UV 2.16.840.1.113883.3.700 elainedouglasmd Elaine Douglas, MD Elaine Douglas masked Elaine Douglas 160 Lincoln St Montclair, NJ 07042 973-744-0528 masked Elaine Douglas, MD 160 Lincoln St Montclair, NJ 07042 973-744-0528 elainedouglas@alum.syracuse.edu Provider Int 3 Complete 2010/12/15 12:00:00 2010/12/30 12:00:00 2010/12/30 08:37:53 UV 2.16.840.1.113883.6.291 cLIAInVitroDiagnosticsDatabase Clinical Laboratory Improvement Amendments (CLIA) InVitro Diagnostics Database Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 6 Complete 2010/12/15 12:00:00 2010/12/30 12:00:00 2010/12/30 08:40:51 UV 2.16.840.1.113883.13.128 labTestKitCode LabTestKitCode valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/15 12:00:00 2010/12/30 12:00:00 2010/12/30 08:42:28 UV 2.16.840.1.113883.3.701 ehc Emory Healthcare Michael Duffell masked Michael Duffell 1784 North Decatur Rd Suite 400 Atlanta, GA 30322 404-712-1934 masked Manager, Systems Support Emory Healthcare 1440 Clifton Rd. NE Atlanta, GA 30322 800-753-6679 none@emoryhealthcare.org http://www.emoryhealthcare.org/ Provider Int 3 Complete 2010/12/17 12:00:00 2010/12/30 12:00:00 2010/12/30 08:46:46 UV 2.16.840.1.113883.13.129 actCancerConcern ActCancerConcern valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/20 12:00:00 2010/12/30 12:00:00 2010/12/30 08:48:44 UV 2.16.840.1.113883.13.130 actCancerConcernStagingSystem ActCancerConcernStagingSystem valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/20 12:00:00 2010/12/30 12:00:00 2010/12/30 08:51:55 UV 2.16.840.1.113883.13.131 actTNMCategoryCode ActTNMCategoryCode valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/20 12:00:00 2010/12/30 12:00:00 2010/12/30 08:53:12 UV 2.16.840.1.113883.13.132 actTumorCategoryCode ActTumorCategoryCode valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/20 12:00:00 2010/12/30 12:00:00 2010/12/30 08:56:30 UV 2.16.840.1.113883.13.133 actNodalCategoryCode ActNodalCategoryCode valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/20 12:00:00 2010/12/30 12:00:00 2010/12/30 08:59:10 UV 2.16.840.1.113883.13.134 actMetastasisCategoryCode ActMetastasisCategoryCode valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/20 12:00:00 2010/12/30 12:00:00 2010/12/30 09:00:04 UV 2.16.840.1.113883.13.135 actProstateTNMStage ActProstateTNMStage valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/20 12:00:00 2010/12/30 12:00:00 2010/12/30 09:05:30 UV 2.16.840.1.113883.3.702 trlx trellixEngineering James McCall masked James McCall Trellix Engineering Corp 5760 Legacy Drive, #B3-538 Plano, TX 75024 972-378-0980 masked President Trellix Engineering Corp Trellix Engineering Corp 5760 Legacy Drive, #B3-538 Plano, TX 75024 972-378-0980 dmccall@trlx.com www.medteam.net Vendor Int 3 Complete 2010/12/21 12:00:00 2010/12/30 12:00:00 2010/12/30 09:08:37 UV 2.16.840.1.113883.4.447 ab-coPO-LN College of Podiatric Physicians of Alberta, Canada license number Wendy Huang masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780 427-4734 masked College of Podiatric Physicians of Alberta This is not applicable - No official address. abhl7@gov.ab.ca http://www.albertapodiatry.com/ Prof Soc Int 4 Complete 2010/12/21 12:00:00 2010/12/30 12:00:00 2017/04/27 10:27:30 UV 2.16.840.1.113883.13.136 actBreastCancerConcernSubtype ActBreastCancerConcernSubtype valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/21 12:00:00 2010/12/30 12:00:00 2010/12/30 09:24:32 UV 2.16.840.1.113883.13.137 actProstateCancerConcernSubtype ActProstateCancerConcernSubtype valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/21 12:00:00 2010/12/30 12:00:00 2010/12/30 09:25:49 UV 2.16.840.1.113883.13.138 actLungCancerConcernSubtype ActLungCancerConcernSubtype valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/21 12:00:00 2010/12/30 12:00:00 2010/12/30 09:27:09 UV 2.16.840.1.113883.13.139 actBreastTStage ActBreastTStage valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/21 12:00:00 2010/12/30 12:00:00 2010/12/30 09:29:32 UV 2.16.840.1.113883.13.140 actBreastMStage ActBreastMStage valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/21 12:00:00 2010/12/30 12:00:00 2010/12/30 09:31:06 UV 2.16.840.1.113883.13.141 actBreastClinicalNStage ActBreastClinicalNStage valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/21 12:00:00 2010/12/30 12:00:00 2010/12/30 09:32:44 UV 2.16.840.1.113883.13.142 actBreastPathologicalNStage ActBreastPathologicalNStage valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/22 12:00:00 2010/12/30 12:00:00 2010/12/30 09:36:09 UV 2.16.840.1.113883.3.703 sonosite SonoSite Incorporated Root OID Jon Hendrich masked Jon Hendrich 21919 30th Dr SE Bothell, WA 98021 USA 425-951-1418 masked SonoSite, Inc. 21919 30th Dr SE Bothell, WA 98021 USA 425-951-1200 jon.hendrich@sonosite.com www.sonosite.com Vendor Int 3 Complete 2010/12/22 12:00:00 2010/12/30 12:00:00 2010/12/30 09:20:07 UV 2.16.840.1.113883.3.704 electronicHealthNetwork Electronic Health Network root node Isaac Green masked Isaac Green Electronic Health Network, LLC 3527 Mary Ader Avenue, Suite 201 Charleston, SC 29414 843.735.5044 masked Chief Technology Officer Electronic Health Network, LLC Electronic Health Network, LLC 3527 Mary Ader Avenue, Suite 201 Charleston, SC 29414 843.735.5044 igreen@healthstik.com http;//www.healthstik.com Vendor Int 3 Complete 2010/12/22 12:00:00 2010/12/30 12:00:00 2010/12/30 09:21:25 UV 2.16.840.1.113883.13.143 actCancerStagingDataSource ActCancerStagingDataSource valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/22 12:00:00 2010/12/30 12:00:00 2010/12/30 09:38:33 UV 2.16.840.1.113883.13.144 actCancerConcernStage ActCancerConcernStage valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/22 12:00:00 2010/12/30 12:00:00 2010/12/30 09:40:08 UV 2.16.840.1.113883.13.145 actLungMStage ActLungMStage valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/22 12:00:00 2010/12/30 12:00:00 2010/12/30 09:42:24 UV 2.16.840.1.113883.13.146 actLungNStage ActLungNStage valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/22 12:00:00 2010/12/30 12:00:00 2010/12/30 09:45:03 UV 2.16.840.1.113883.13.147 actLungTStage ActLungTStage valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/22 12:00:00 2010/12/30 12:00:00 2010/12/30 09:46:07 UV 2.16.840.1.113883.13.148 actProstatePathologicalNStage ActProstatePathologicalNStage valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/22 12:00:00 2010/12/30 12:00:00 2010/12/30 09:50:24 UV 2.16.840.1.113883.13.149 actProstateClinicalNStage ActProstateClinicalNStage valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/22 12:00:00 2010/12/30 12:00:00 2010/12/30 09:51:46 UV 2.16.840.1.113883.13.150 actProstateMStage ActProstateMStage valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/22 12:00:00 2010/12/30 12:00:00 2010/12/30 09:53:14 UV 2.16.840.1.113883.13.151 actProstateClinicalTStage ActProstateClinicalTStage valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/22 12:00:00 2010/12/30 12:00:00 2010/12/30 09:56:11 UV 2.16.840.1.113883.13.152 actProstatePathologicalTStage ActProstatePathologicalTStage valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/22 12:00:00 2010/12/30 12:00:00 2010/12/30 09:57:16 UV 2.16.840.1.113883.13.153 actBreastDiagnosticProcedureCode ActBreastDiagnosticProcedureCode valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/23 12:00:00 2010/12/30 12:00:00 2010/12/30 09:59:00 UV 2.16.840.1.113883.13.154 actProstateCancerGradingMethodCode ActProstateCancerGradingMethodCode valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/24 12:00:00 2010/12/30 12:00:00 2010/12/30 10:00:54 UV 2.16.840.1.113883.13.155 actBreastCancerGradingMethodCode ActBreastCancerGradingMethodCode valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/24 12:00:00 2010/12/30 12:00:00 2010/12/30 10:02:42 UV 2.16.840.1.113883.13.156 actLungCancerGradingMethodCode ActLungCancerGradingMethodCode valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/24 12:00:00 2010/12/30 12:00:00 2010/12/30 10:03:43 UV 2.16.840.1.113883.13.157 actProstateDiagnosticProcedureCode ActProstateDiagnosticProcedureCode valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/24 12:00:00 2010/12/30 12:00:00 2010/12/30 10:05:08 UV 2.16.840.1.113883.13.158 actLungDiagnosticProcedureCode ActLungDiagnosticProcedureCode valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/24 12:00:00 2010/12/30 12:00:00 2010/12/30 10:07:07 UV 2.16.840.1.113883.3.705 medens Medens Cloud Orlando Fiallo masked Orlando Fiallo PO Box 380 Dorado, Puerto Rico 00646 787-529-5114 masked Principal Medens Medens Corp. PO Box 380 Dorado, Puerto Rico 00646 787-529-5114 info@medens.net www.medens.net Vendor Int 3 Complete 2010/12/27 12:00:00 2010/12/30 12:00:00 2010/12/30 10:11:21 UV 2.16.840.1.113883.3.706 cca-bd Controller of Certifying Authorities Md. Mahfuzur Rahman masked Hasan-Uj-Jaman Md. Mahfuzur Rahman BCC Bhaban, Agargaon, Shere Bangla Nagar, Dhaka, Bangladesh 0088028144791 masked Controller and Additional Secretary Office of the Controller of Certifying Authorities BCC Bhaban, Agargaon, Shere Bangla Nagar, Dhaka, Bangladesh 0088028144791 info@cca.gov.bd www.cca.gov.bd Govt body Int 3 Complete 2010/12/28 12:00:00 2010/12/30 12:00:00 2010/12/30 10:14:53 UV 2.16.840.1.113883.13.159 actBreastHistoPathologicType ActBreastHistoPathologicType valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/28 12:00:00 2010/12/30 12:00:00 2010/12/30 10:08:40 UV 2.16.840.1.113883.13.160 actBreastHistoPathologicGrade ActBreastHistoPathologicGrade valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/28 12:00:00 2010/12/30 12:00:00 2010/12/30 10:20:23 UV 2.16.840.1.113883.13.161 actLungHistoPathologicGrade ActLungHistoPathologicGrade valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/28 12:00:00 2010/12/30 12:00:00 2010/12/30 10:21:41 UV 2.16.840.1.113883.13.162 actProstateHistoPathologicGrade ActProstateHistoPathologicGrade valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2010/12/28 12:00:00 2010/12/30 12:00:00 2010/12/30 10:22:52 UV 2.16.840.1.113883.3.707 allfocus Allfocus Holding Celestin Bitjonck masked Celestin Celestin Bitjonck Box 1082 Parker, CO 80134 USA 202-670-8863 masked Allfocus Box 1082 Parker, CO 80134 USA 202-670-8863 celestin@allfocusit.com http://www.allfocusit.com Provider Int 3 Complete 2010/12/29 12:00:00 2010/12/30 12:00:00 2010/12/30 10:17:11 UV 2.16.840.1.113883.4.448 grccd OID for Grand Rapids Facility Michael Kelly masked Umesh Chandran Michael Kelly 34605 12 Mile Road Farmington Hills, MI 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI 48331 248-489-6000 kellym@trinity-health.org www.trinity-health.org Provider Int 4 Complete 2010/12/29 12:00:00 2010/12/30 12:00:00 2010/12/30 10:26:06 UV 2.16.840.1.113883.4.449 liccd OID for Livonia facility Michael Kelly masked Umesh Chandran Michael Kelly 34605 12 Mile Road Farmington Hills, MI 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI 48331 248-489-5088 kellym@trinity-health.org www.trinity-health.org Provider Int 4 Complete 2010/12/29 12:00:00 2010/12/30 12:00:00 2010/12/30 10:27:45 UV 2.16.840.1.113883.3.708 ahealth Alternate Health Infomation Systems Prashant Jasoria masked prashantjasoria@gmail.com Prashant Jasoria 3, Manick Mansion, Taj Road, Agra 2226664 masked Systems Analyst Alternate Systems 3, Manick Mansion, Taj Road, Agra 2226664 prashantjasoria@gmail.com Govt body Int 3 Complete 2011/01/01 12:00:00 2011/03/14 12:00:00 2011/03/14 09:01:39 UV 2.16.840.1.113883.3.709 uhin Utah Health Information Network Jason Pryor masked Utah Health Information Network Valli Chidambaram 1226 E 6600 S Murray, UT 84121 (877) 693-3071 masked CHIE Director Utah Health Information Network 1226 E 6600 S Murray, UT 84121 (877) 693-3071 customersupport@uhin.org http://www.uhin.org Exchange Utah Health Information Network Int 3 Complete 2011/01/03 12:00:00 2011/03/14 12:00:00 2026/04/23 08:02:45 UV 2.16.840.1.113883.3.520.1.47 histology-organiser Histology Organiser entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x3 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.47 2011/01/03 12:00:00 2011/01/04 12:00:00 2011/01/04 03:50:50 UV 2.16.840.1.113883.3.710 ert ert yo yo masked y@y.yo srt ert masked ert gdfgdfgdf ert y@y.yo Academic Int 3 Rejected 2011/01/04 12:00:00 2011/03/14 12:00:00 2011/03/14 09:04:16 UV 2.16.840.1.113883.4.450 exactDataOID ExactData Todd Johnsson masked Todd Johnsson ExactData 100 Canal View Blvd. Rochester, NY 14623 Suite 100 Attn: Todd Johnsson 585-239-6059 masked COO ExactData ExactData 100 Canal View Blvd. Rochester, NY 14623 Suite 100 585-239-6059 todd.johnsson@exactdata.net http://www.exactdata.net Vendor Int 3 Complete 2011/01/04 12:00:00 2011/12/19 12:00:00 2011/12/19 12:10:25 UV 2.16.840.1.113883.3.711 mzz OID root for Ministry of Health, Slovenia Smiljana Voncina Slavic masked Anamarija `imec 0038614006845 masked Ministrstvo za Zdravje Ministrstvo za Zdravje `tefanova 5 1000 Ljubljana Slovenija +38614006845 anamarija.simec@gov.si Govt body Int 3 Complete 2011/01/05 12:00:00 2011/03/14 12:00:00 2011/03/14 09:20:49 UV 2.16.840.1.113883.17.2 bcfp Blanco & Cantu Family Practice, P.A. Gina Santillan masked Gina Santillan 10410 Medical Loop Unit 3B Laredo, Texas 78045 956-523-8900 masked Office Manager Blanco & Cantu Family Practice, P.A. 10410 Medical Loop Unit 3B Laredo, Texas 78045 956-523-8900 blancocantufp@hotmail.com Provider Int 17 Complete 2011/01/05 12:00:00 2011/03/14 12:00:00 2011/03/14 09:28:04 UV 2.16.840.1.113883.3.712 brownsville Brownsville Adadm Yoder masked Adam 765-405-1557 masked Brooklyn Health Information Exchange 1045 39th Street Brooklyn, NY 11219 1045 39th Street info@bhix.org http://www.bhix.org Provider Int 3 Complete 2011/01/05 12:00:00 2011/03/14 12:00:00 2011/03/14 09:31:17 UV 2.16.840.1.113883.3.713 wdmheconsult WDMH eConsult Brad Genereaux masked Brad Genereaux 566 Louise St Winchester On K0C2K0 Canada 6137742420 masked Winchester Hospital 566 Louise St Winchester On K0C2K0 Canada 6137742420 sobrien@wdmh.on.ca http://www.wdmh.on.ca/ Provider Int 3 Complete 2011/01/10 12:00:00 2011/03/14 12:00:00 2011/03/14 09:37:03 UV 2.16.840.1.113883.3.714 eLINCx eLINCx Carla Fonte masked Carla Fonte 1761 Beall Avenue Wooster, OH 44691 330-263-8641 masked eLINCx Chairman eLINCx 1761 Beall Avenue Wooster, OH 44691 330-263-8641 cfonte@wchosp.org http://www.elincx.com Provider Int 3 Complete 2011/01/13 12:00:00 2011/03/14 12:00:00 2011/03/14 09:45:22 UV 2.16.840.1.113883.17.3 nemsisTac National EMS Information System Technical Assistance Center Jay Lyle masked Clay Mann P.O. Box 581289 Salt Lake City, UT 84158-1289 (801) 581-8686 masked Director, NEMSIS TAC National EMS Information System Technical Assistance Center (NEMSIS TAC) P.O. Box 581289 Salt Lake City, UT 84158-1289 (801) 581-8686 clay.mann@hsc.utah.edu http://www.nemsis.org Govt body Int 3 Complete 2011/01/13 12:00:00 2011/03/07 12:00:00 2011/03/07 04:13:00 UV 2.16.840.1.113883.13.163 actAssessmentLesionSite ActAssessmentLesionSite valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2011/01/13 12:00:00 2011/03/14 12:00:00 2011/03/14 09:47:20 UV 2.16.840.1.113883.13.164 actLesionAssessmentMethodCode ActLesionAssessmentMethodCode valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2011/01/13 12:00:00 2011/03/14 12:00:00 2011/03/14 09:50:34 UV 1.3.6.1.4.1.34725 vscalrt Vasc-Alert Larry Mills-Gahl masked Larry Mills-Gahl 3000 Kent Ave West Lafayette, IN 47906 765-775-2525 masked Technology Manager Vasc-Alert, LLC 3000 Kent Ave West Lafayette, IN 47906 765-775-2525 info@vasc-alert.com http://www.vasc-alert.com Vendor Ext 4 Complete 1.3.6.1.4.1.34725 2011/01/13 12:00:00 2011/03/14 12:00:00 2011/03/14 09:54:21 UV 2.16.840.1.113883.3.715 inhsnhingateway INHS NHIN Gateway Dave Lenartz masked Paul Blake Dave Lenartz Inland Northwest Health Services 601 West 1st Ave. Spokane, WA 99201 509-570-8902 masked technical advisor Dave Lenartz Inland Northwest Health Services 601 West 1st Ave. Spokane, WA 99201 509-570-8902 lenartd@inhs.org http://www.inhs.org Vendor Int 3 Complete 2011/01/14 12:00:00 2011/03/14 12:00:00 2011/03/14 09:59:50 UV 2.16.840.1.113883.3.716 nhinTestPlatformRI1 NHIN Test Platform Host RI1 Richard Ettema masked Richard Ettema AEGIS.net, Inc. PO BOX 3897 Merrifield, VA 22116 7038936020 masked Richard Ettema AEGIS.net, Inc. PO BOX 3897 Merrifield, VA 22116 7038936020 richard.ettema@aegis.net http://www.aegis.net Govt body Int 3 Complete 2011/01/14 12:00:00 2011/03/15 12:00:00 2011/03/15 01:08:59 UV 2.16.840.1.113883.3.717 nhinTestPlatformRI2 NHIN Test Platform Host RI2 Richard Ettema masked Richard Ettema AEGIS.net, Inc. PO BOX 3897 Merrifield, VA 22116 7038936020 masked Richard Ettema AEGIS.net, Inc. PO BOX 3897 Merrifield, VA 22116 7038936020 richard.ettema@aegis.net http://www.aegis.net Govt body Int 3 Complete 2011/01/14 12:00:00 2011/03/14 12:00:00 2011/03/15 01:10:43 UV 2.16.840.1.113883.3.718 nhinTestPlatformRI3 NHIN Test Platform Host RI3 Richard Ettema masked Richard Ettema AEGIS.net, Inc. PO BOX 3897 Merrifield, VA 22116 7038936020 masked Richard Ettema AEGIS.net, Inc. PO BOX 3897 Merrifield, VA 22116 7038936020 richard.ettema@aegis.net http://www.aegis.net Govt body Int 3 Complete 2011/01/14 12:00:00 2011/03/14 12:00:00 2011/03/15 01:12:27 UV 2.16.840.1.113883.3.719 nhinTestPlatformRI4 NHIN Test Platform Host RI4 Richard Ettema masked Richard Ettema AEGIS.net, Inc. PO BOX 3897 Merrifield, VA 22116 7038936020 masked Richard Ettema AEGIS.net, Inc. PO BOX 3897 Merrifield, VA 22116 7038936020 richard.ettema@aegis.net http://www.aegis.net Govt body Int 3 Complete 2011/01/14 12:00:00 2011/03/14 12:00:00 2011/03/15 01:14:20 UV 2.16.840.1.113883.3.720 nhinTestPlatformIOP NHIN Test Platform Host IOP Richard Ettema masked Richard Ettema AEGIS.net, Inc. PO BOX 3897 Merrifield, VA 22116 7038936020 masked Richard Ettema AEGIS.net, Inc. PO BOX 3897 Merrifield, VA 22116 7038936020 richard.ettema@aegis.net http://www.aegis.net Govt body Int 3 Complete 2011/01/14 12:00:00 2011/03/14 12:00:00 2011/03/15 01:16:21 UV 2.16.840.1.113883.13.165 causeOfDeathCode CauseOfDeathCode valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2011/01/16 12:00:00 2011/03/14 12:00:00 2011/03/15 01:19:05 UV 2.16.840.1.113883.13.166 cAUSE-DEATH CAUSE_DEATH valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2011/01/16 12:00:00 2011/03/14 12:00:00 2011/03/15 01:20:28 UV 2.16.840.1.113883.13.167 chemotherapeuticAgent ChemotherapeuticAgent valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2011/01/16 12:00:00 2011/03/14 12:00:00 2011/03/15 01:22:10 UV 2.16.840.1.113883.3.721 healthITPlus Health IT Plus Kovilvenni Ramaswamy masked Ramaswamy Kovilvenni Ramaswamy 131 Elden Street, Suite 200 Herndon, VA 20170 301-977-7884 masked CTO HEALTH IT PLUS 131 Elden Street, Suite 200 Herndon, VA 20170 301-977-7884 BMC@healthitplus.com http://www.healthitplus.com Vendor Int 3 Complete 2011/01/17 12:00:00 2011/03/15 12:00:00 2011/03/15 11:16:04 UV 2.16.840.1.113883.13.168 actBreastCancerConcernDetail ActBreastCancerConcernDetail valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2011/01/18 12:00:00 2011/03/15 12:00:00 2011/03/15 11:20:01 UV 2.16.840.1.113883.13.169 patientSetting PatientSetting valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2011/01/18 12:00:00 2011/03/15 12:00:00 2011/03/15 11:50:18 UV 2.16.840.1.113883.13.170 treatmentSetting TreatmentSetting valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2011/01/18 12:00:00 2011/03/15 12:00:00 2011/03/15 11:54:45 UV 2.16.840.1.113883.13.171 cancerConcernPrognosticObservationType CancerConcernPrognosticObservationType valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2011/01/18 12:00:00 2011/03/15 12:00:00 2011/03/15 11:59:46 UV 2.16.840.1.113883.13.172 cancerConcernPerformanceStatusSystem CancerConcernPerformanceStatusSystem valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2011/01/18 12:00:00 2011/03/15 12:00:00 2011/03/16 12:01:13 UV 2.16.840.1.113883.13.173 eCOGPerformanceStatusValue ECOGPerformanceStatusValue valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2011/01/18 12:00:00 2011/03/15 12:00:00 2011/03/16 12:02:20 UV 2.16.840.1.113883.13.174 karnofskyPerformanceStatusValue KarnofskyPerformanceStatusValue valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2011/01/18 12:00:00 2011/03/15 12:00:00 2011/03/16 12:05:07 UV 2.16.840.1.113883.13.175 adverseEventSystem AdverseEventSystem valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2011/01/18 12:00:00 2011/03/15 12:00:00 2011/03/16 12:06:40 UV 2.16.840.1.113883.13.176 adverseEventType AdverseEventType valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2011/01/18 12:00:00 2011/03/15 12:00:00 2011/03/16 12:09:16 UV 2.16.840.1.113883.13.177 adverseEventGrade AdverseEventGrade valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2011/01/18 12:00:00 2011/03/15 12:00:00 2011/03/16 12:10:49 UV 2.16.840.1.113883.13.178 diseaseEvaluationInterpretation DiseaseEvaluationInterpretation valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2011/01/18 12:00:00 2011/03/15 12:00:00 2011/03/16 12:12:35 UV 2.16.840.1.113883.13.179 diseaseEvaluationValue DiseaseEvaluationValue valueSet Cecil Lynch masked Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked NCI Chief Semantic Architect NCI 2115 E Jefferson St. Suite 6000 Rockville, MD 20852 301-451-4384 ncicb@pop.nci.nih.gov http://ncicb.nci.nih.gov Govt body Int 13 Complete 2011/01/18 12:00:00 2011/03/15 12:00:00 2011/03/16 12:15:11 UV 2.16.840.1.113883.3.722 wsu Wright State University Srikanth Nadella masked srikanth.nadella@wright.edu Srikanth Nadella 3640 Colonel Glenn Hwy, Dayton Oh 45435 9375621350 masked Research Engineer Wright State University 3640 Colonel Glenn Hwy, Dayton Oh 45435 9375621350 srikanth.nadella@wright.edu Academic Int 3 Complete 2011/01/18 12:00:00 2011/03/15 12:00:00 2011/03/16 12:19:48 UV 2.16.840.1.113883.3.520.1.48 patient-referred-to Patient referred to entry Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x3 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org www.naaccr.org SDO Ext 10 Complete 2.16.840.1.113883.3.520.1.48 2011/01/18 12:00:00 2011/01/23 12:00:00 2011/01/23 11:55:26 UV 2.16.840.1.113883.3.723 dmhhie Decatur Memorial Hospital Health Information Exchange Jim Blackwell masked Jim Blackwell 2300 North Edward St Decatur, IL 62526 217-876-4511 masked Director of Applications Decatur Memorial Hospital 2300 North Edward St Decatur, IL 62526 217-876-4510 JIMDBA@dmhhs.org http://www.dmhcares.org Provider Int 3 Complete 2011/01/19 12:00:00 2011/03/15 12:00:00 2011/03/16 12:23:36 UV 2.16.840.1.113883.3.724 networkhealth Network Health Sheri Pizzi masked Sheri Pizzi 101 Station Landing Medford, MA 02155 7813933545 masked Technical Supervisor, Technical Services Network Health 101 Station Landing 4th FL Medford, MA 02155 888-257-1985 technical.services@network-health.org http://www.network-health.org Provider Int 3 Complete 2011/01/19 12:00:00 2011/03/16 12:00:00 2011/03/16 12:32:34 UV 2.16.840.1.113883.3.725 winhosp winchester hospital Edward Leftin masked Edward Leftin 41 Highland Ave Winchester, MA 01890 978-988-6045 masked IS Senior Application Analyst Winchester Hospital 41 Highland Ave Winchester,MA 01890 781-729-9000 eleftin@winhosp.org www.winchesterhospital.org Provider Int 3 Complete 2011/01/19 12:00:00 2011/01/29 12:00:00 2011/01/29 02:22:42 UV 2.16.840.1.113883.3.520.3.16 history-of-tobacco-use NAACCR History of Tobacco Use Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x3 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 15 Complete 2.16.840.1.113883.3.520.3.16 2011/01/19 12:00:00 2011/03/15 12:00:00 2011/03/16 12:35:44 UV 2.16.840.1.113883.4.451 fhshieoid Franciscan HIE NHIN Gateway Scott Mountjoy masked Danielle Plancich 1149 Market St Tacoma, WA 98402 253-552-4193 masked MGR, HIE Systems Franciscan HIE Systems 1149 Market St Tacoma, WA 98402 253-779-6120 HIE@fhshealth.org http://www.fhshealth.org/ Govt body Int 4 Complete 2011/01/20 12:00:00 2011/03/15 12:00:00 2011/03/16 12:47:18 UV 2.16.840.1.113883.4.452 ca-bcMFTLN British Columbia, Canada, Association for Marriage and Family Therapy Identifier for Marriage and Family Therapist Wendy Huang masked Doug Gold PO Box 9657, Stn Prov Govt, Victoria, BC, Canada V8W 9P3 250-952-9130 masked Senior Registry Analyst British Columbia Association for Marriage and Family Therapy, Canada P.O. Box 8216, 706 Yates Street Victoria, BC Canada V8W 3R8 604-687-6131 info@bcamft.bc.ca http://www.bcamft.bc.ca/ Prof Soc Int 4 Complete 2011/01/24 12:00:00 2011/03/15 12:00:00 2011/03/16 12:49:12 UV 2.16.840.1.113883.3.726 cmc-lch Carolinas Medical Center (CMC/LCH) Sid Duck masked Sid Duck 704-446-2223 masked Carolinas Medical Center (CMC/LCH) 1000 Blythe Blvd., Charlotte, NC 28203 704-446-2223 Sid.Duck@carolinashealthcare.org Provider Int 3 Complete 2011/01/24 12:00:00 2011/03/15 12:00:00 2011/03/16 12:52:54 UV 2.16.840.1.113883.3.727 cmc-rehab Carolinas Rehabilitation-Main Sid Duck masked Sid Duck 704-446-2223 masked Carolinas Rehabilitation-Main 1100 Blythe Blvd., Charlotte, NC 28203 704-446-2223 Sid.Duck@carolinashealthcare.org Provider Int 3 Complete 2011/01/24 12:00:00 2011/03/15 12:00:00 2011/03/16 12:56:19 UV 2.16.840.1.113883.3.728 cmc-pineville Carolinas Medical Center-Pineville Sid Duck masked Sid Duck 704-446-2223 masked Carolinas Medical Center-Pineville 10628 Park Road, Charlotte, NC 28210 704-446-2223 Sid.Duck@carolinashealthcare.org Provider Int 3 Complete 2011/01/24 12:00:00 2011/03/22 12:00:00 2011/03/22 10:50:02 UV 2.16.840.1.113883.3.729 cmc-mercy Carolinas Medical Center-Mercy Sid Duck masked Sid Duck 704-446-2223 masked Carolinas Medical Center-Mercy 2001 Vail Ave., Charlotte, NC 28207 704-446-2223 Sid.Duck@carolinashealthcare.org Provider Int 3 Complete 2011/01/24 12:00:00 2011/03/22 12:00:00 2011/03/22 10:52:25 UV 2.16.840.1.113883.3.730 cmc-university Carolinas Medical Center-University Sid Duck masked Sid Duck 704-446-2223 masked Carolinas Medical Center-University 8800 North Tryon St., Charlotte, NC 28262 704-446-2223 Sid.Duck@carolinashealthcare.org Provider Int 3 Complete 2011/01/24 12:00:00 2011/03/22 12:00:00 2011/03/22 11:04:38 UV 2.16.840.1.113883.3.731 cmc-lincoln Carolinas Medical Center-Lincoln Sid Duck masked Sid Duck 704-446-2223 masked Carolinas Medical Center-Lincoln 433 McAlister Road,&#160;Lincolnton, NC 28092 704-446-2223 Sid.Duck@carolinashealthcare.org Provider Int 3 Complete 2011/01/24 12:00:00 2011/03/22 12:00:00 2011/03/22 11:06:12 UV 2.16.840.1.113883.3.732 cmc-northeast Carolinas Medical Center-NorthEast Sid Duck masked Sid Duck 704-446-2223 masked Carolinas Medical Center-NorthEast 920 Church St. North, Concord, NC 28025 704-446-2223 Sid.Duck@carolinashealthcare.org Provider Int 3 Complete 2011/01/24 12:00:00 2011/03/22 12:00:00 2011/03/22 11:09:22 UV 2.16.840.1.113883.3.733 crmc-oid Cleveland Regional Medical Center Sid Duck masked Sid Duck 704-446-2223 masked Cleveland Regional Medical Center 201 E. Grover St., Shelby, NC 28150 704-446-2223 Sid.Duck@carolinashealthcare.org Provider Int 3 Complete 2011/01/24 12:00:00 2011/03/22 12:00:00 2011/03/22 11:14:02 UV 2.16.840.1.113883.3.734 kmh Kings Mountain Hospital Sid Duck masked Sid Duck 704-446-2223 masked Kings Mountain Hospital 706 W. Kings St., Kings Mountain, NC 28086 704-446-2223 Sid.Duck@carolinashealthcare.org Provider Int 3 Complete 2011/01/24 12:00:00 2011/03/22 12:00:00 2011/03/22 11:18:59 UV 2.16.840.1.113883.3.735 kmh-star Kings Mountain Hospital Sid Duck masked Sid Duck 704-446-2223 masked Kings Mountain Hospital 706 W. Kings St., Kings Mountain, NC 28086 704-446-2223 Sid.Duck@carolinashealthcare.org Provider Int 3 Complete 2011/01/24 12:00:00 2011/03/22 12:00:00 2011/03/22 11:20:38 UV 2.16.840.1.113883.3.736 ghc Grace Hospital Sid Duck masked Sid Duck 704-446-2223 masked Grace Hospital 2201 S. Sterling St., Morganton, NC 28655 704-446-2223 Sid.Duck@carolinashealthcare.org Provider Int 3 Complete 2011/01/24 12:00:00 2011/03/22 12:00:00 2011/03/22 11:25:48 UV 2.16.840.1.113883.3.737 redsa REDSA Felix de Federico Mesa masked Mar&#237;a Jos&#233; Vicente Avda. Manoteras 24, 2&#170; planta 28050 Madrid +34 915777717 masked REDSA Avda. Manoteras 24, 2&#170; planta 28050 Madrid +34 915777717 aoliveira@redsa.com http://www.redsa.com Provider Int 3 Complete 2011/01/25 12:00:00 2011/03/22 12:00:00 2011/10/17 06:00:37 UV 2.16.840.1.113883.3.738 vhc Valdese Hospital Sid Duck masked Sid Duck 704-446-2223 masked Valdese Hospital 720 Malcolm Blvd., Rutherford College, NC 28671 704-446-2223 Sid.Duck@carolinashealthcare.org Provider Int 3 Complete 2011/01/25 12:00:00 2011/03/22 12:00:00 2011/03/22 11:30:36 UV 2.16.840.1.113883.3.739 cmc-union Carolinas Medical Center-Union Sid Duck masked Sid Duck 704-446-2223 masked Carolinas Medical Center-Union 600 Hospital Drive, Monroe, NC 28112 704-446-2223 Sid.Duck@carolinashealthcare.org Provider Int 3 Complete 2011/01/25 12:00:00 2011/03/22 12:00:00 2011/03/22 11:32:23 UV 2.16.840.1.113883.3.740 cmc-rbh Carolinas Medical Center-Randolph Behavioral Health Sid Duck masked Sid Duck 704-446-2223 masked Carolinas Medical Center-Randolph Behavioral Health 501 Billingsley Rd., Charlotte, NC 28211 704-446-2223 Sid.Duck@carolinashealthcare.org Provider Int 3 Complete 2011/01/25 12:00:00 2011/03/22 12:00:00 2011/03/22 11:34:01 UV 2.16.840.1.113883.3.741 cmc-star Carolinas Medical Center (CMC/LCH) Sid Duck masked Sid Duck 704-446-2223 masked Carolinas Medical Center (CMC/LCH) 1000 Blythe Blvd., Charlotte, NC 28203 704-446-2223 Sid.Duck@carolinashealthcare.org Provider Int 3 Complete 2011/01/25 12:00:00 2011/03/22 12:00:00 2011/03/22 11:40:40 UV 2.16.840.1.113883.3.742 cmc-rehab-star Carolinas Rehabilitation-Main Sid Duck masked Sid Duck 704-446-2223 masked Carolinas Rehabilitation-Main 1100 Blythe Blvd., Charlotte, NC 28203 704-446-2223 Sid.Duck@carolinashealthcare.org Provider Int 3 Complete 2011/01/25 12:00:00 2011/03/22 12:00:00 2011/03/22 11:42:33 UV 2.16.840.1.113883.3.743 cmc-pineville-star Carolinas Medical Center-Pineville Sid Duck masked Sid Duck 704-446-2223 masked Carolinas Medical Center-Pineville 10628 Park Road, Charlotte, NC 28210 704-446-2223 Sid.Duck@carolinashealthcare.org Provider Int 3 Complete 2011/01/25 12:00:00 2011/03/22 12:00:00 2011/03/22 11:44:16 UV 2.16.840.1.113883.3.744 cmc-mercy-star Carolinas Medical Center-Mercy Sid Duck masked Sid Duck 704-446-2223 masked Carolinas Medical Center-Mercy 2001 Vail Ave., Charlotte, NC 28207 704-446-2223 Sid.Duck@carolinashealthcare.org Provider Int 3 Complete 2011/01/25 12:00:00 2011/03/22 12:00:00 2011/03/22 11:46:00 UV 2.16.840.1.113883.3.745 cmc-university-star Carolinas Medical Center-University Sid Duck masked Sid Duck 704-446-2223 masked Carolinas Medical Center-University 8800 North Tryon St., Charlotte, NC 28262 704-446-2223 Sid.Duck@carolinashealthcare.org Provider Int 3 Complete 2011/01/25 12:00:00 2011/03/22 12:00:00 2011/03/22 11:47:27 UV 2.16.840.1.113883.3.746 cmc-lincoln-star Carolinas Medical Center-Lincoln Sid Duck masked Sid Duck 704-446-2223 masked Carolinas Medical Center-Lincoln 433 McAlister Road,&#160;Lincolnton, NC 28092 704-446-2223 Sid.Duck@carolinashealthcare.org Provider Int 3 Complete 2011/01/25 12:00:00 2011/03/22 12:00:00 2011/03/22 11:51:12 UV 2.16.840.1.113883.3.747 cmc-northeast-star Carolinas Medical Center-NorthEast Sid Duck masked Sid Duck 704-446-2223 masked Carolinas Medical Center-NorthEast 920 Church St. North, Concord, NC 28025 704-446-2223 Sid.Duck@carolinashealthcare.org Provider Int 3 Complete 2011/01/25 12:00:00 2011/03/22 12:00:00 2011/03/22 11:55:27 UV 2.16.840.1.113883.3.748 hec HealtheConnections, The RHIO of Central New York George Hobbs masked Michael Spurchise George Hobbs 109 South Warren Street Suite 2000, State Tower Bldg. Syracuse, NY 13202 315-671-2241 masked Technical Lead HealtheConnections, The RHIO of CNY 109 South Warren Street Suite 2000, State Tower Bldg. Syracuse, NY 13202 315-671-2241 info@healtheconnections.org http://www.healtheconnections.org Academic Int 3 Complete 2011/01/25 12:00:00 2011/03/22 12:00:00 2011/03/22 11:58:25 UV 2.16.840.1.113883.3.749 crmc-star Cleveland Regional Medical Center Sid Duck masked Sid Duck 704-446-2223 masked Cleveland Regional Medical Center 201 E. Grover St., Shelby, NC 28150 704-446-2223 Sid.Duck@carolinashealthcare.org Provider Int 3 Complete 2011/01/25 12:00:00 2011/03/22 12:00:00 2011/03/22 12:00:02 UV 2.16.840.1.113883.3.750 gh-star Grace Hospital Sid Duck masked Sid Duck 704-446-2223 masked Grace Hospital 2201 S. Sterling St., Morganton, NC 28655 704-446-2223 Sid.Duck@carolinashealthcare.org Provider Int 3 Complete 2011/01/25 12:00:00 2011/03/22 12:00:00 2011/03/22 12:02:22 UV 2.16.840.1.113883.3.751 vh-star Valdese Hospital Sid Duck masked Sid Duck 704-446-2223 masked Valdese Hospital 720 Malcolm Blvd., Rutherford College, NC 28671 704-446-2223 Sid.Duck@carolinashealthcare.org Provider Int 3 Complete 2011/01/25 12:00:00 2011/03/22 12:00:00 2011/03/22 12:04:11 UV 2.16.840.1.113883.3.752 cmc-union-star Carolinas Medical Center-Union Sid Duck masked Sid Duck 704-446-2223 masked Carolinas Medical Center-Union 600 Hospital Drive Monroe, NC 28112 704-446-2223 Sid.Duck@carolinashealthcare.org Provider Int 3 Complete 2011/01/25 12:00:00 2011/03/22 12:00:00 2011/03/22 12:08:37 UV 2.16.840.1.113883.3.753 cmc-rbh-star Carolinas Medical Center-Randolph Behavioral Health Sid Duck masked Sid Duck 704-446-2223 masked Carolinas Medical Center-Randolph Behavioral Health 501 Billingsley Rd. Charlotte, NC 28211 704-446-2223 Sid.Duck@carolinashealthcare.org Provider Int 3 Complete 2011/01/25 12:00:00 2011/03/22 12:00:00 2011/03/22 12:10:08 UV 2.16.840.1.113883.3.754 cmcacc Carolinas Health System Ambulatory Care Clinics Sid Duck masked Sid Duck 704-446-2223 masked Carolinas Health System Ambulatory Care Clinics 1000 Blythe Blvd. Charlotte, NC 28203 704-446-2223 Sid.Duck@carolinashealthcare.org Provider Int 3 Complete 2011/01/25 12:00:00 2011/03/22 12:00:00 2011/03/22 12:13:36 UV 2.16.840.1.113883.3.215.1 ssa-0017-sidss SUBSECRETARIA DE INTEGRACION Y DESARROLLO DEL SECTOR SALUD Jes&#250;s T&#233;llez masked fjgl.correo@gmail.com JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 masked DIRECTOR DE ADMINISTRACION Y PRESTACION DE SERVICIOS DE SALUD ELECTRONICOS JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 jmanuel.castaneda@salud.gob.mx http://www.dgis.salud.gob.mx Govt body 2.16.840.1.113883.3.215 Ext 4 Complete 2.16.840.1.113883.3.215.1 2011/01/26 12:00:00 2011/11/09 12:00:00 2011/11/09 01:20:08 MX 2.16.840.1.113883.3.215.2 ssa-0016-dgplades DIRECCION GENERAL DE PLANEACION Y DESARROLLO EN SALUD Jes&#250;s T&#233;llez masked fjgl.correo@gmail.com JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 masked DIRECTOR DE ADMINISTRACION Y PRESTACION DE SERVICIOS DE SALUD ELECTRONICOS JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 jmanuel.castaneda@salud.gob.mx http://www.dgis.salud.gob.mx Govt body 2.16.840.1.113883.3.215 Ext 4 Complete 2.16.840.1.113883.3.215.2 2011/01/26 12:00:00 2011/11/09 12:00:00 2011/11/09 01:23:53 UV 2.16.840.1.113883.3.215.3 ssa-0015-dgis DIRECCION GENERAL DE INFORMACION EN SALUD Jes&#250;s T&#233;llez masked fjgl.correo@gmail.com JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 masked DIRECTOR DE ADMINISTRACION Y PRESTACION DE SERVICIOS DE SALUD ELECTRONICOS JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 jmanuel.castaneda@salud.gob.mx http://www.dgis.salud.gob.mx Govt body 2.16.840.1.113883.3.215 Ext 4 Complete 2.16.840.1.113883.3.215.3 2011/01/26 12:00:00 2011/11/09 12:00:00 2011/11/09 01:29:58 UV 2.16.840.1.113883.3.215.4 ssa-0014-dged DIRECCION GENERAL DE EVALUACION DEL DESEMPE&#209;O Jes&#250;s T&#233;llez masked fjgl.correo@gmail.com JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 masked DIRECTOR DE ADMINISTRACION Y PRESTACION DE SERVICIOS DE SALUD ELECTRONICOS JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 jmanuel.castaneda@salud.gob.mx http://www.dgis.salud.gob.mx Govt body 2.16.840.1.113883.3.215 Ext 4 Complete 2.16.840.1.113883.3.215.4 2011/01/26 12:00:00 2011/11/09 12:00:00 2011/11/09 01:34:54 UV 2.16.840.1.113883.3.215.5 ssa-0012-dgces DIRECCION GENERAL DE CALIDAD Y EDUCACION EN SALUD Jes&#250;s T&#233;llez masked fjgl.correo@gmail.com JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 masked DIRECTOR DE ADMINISTRACION Y PRESTACION DE SERVICIOS DE SALUD ELECTRONICOS JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 jmanuel.castaneda@salud.gob.mx http://www.dgis.salud.gob.mx Govt body 2.16.840.1.113883.3.215 Ext 4 Complete 2.16.840.1.113883.3.215.5 2011/01/26 12:00:00 2011/11/09 12:00:00 2011/11/09 01:54:39 UV 2.16.840.1.113883.3.215.6 ssa-0011-cenetec CENTRO NACIONAL DE EXCELENCIA TECNOLOGICA EN SALUD Jes&#250;s T&#233;llez masked fjgl.correo@gmail.com JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 masked DIRECTOR DE ADMINISTRACION Y PRESTACION DE SERVICIOS DE SALUD ELECTRONICOS JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 jmanuel.castaneda@salud.gob.mx http://www.dgis.salud.gob.mx Govt body 2.16.840.1.113883.3.215 Ext 4 Complete 2.16.840.1.113883.3.215.6 2011/01/26 12:00:00 2011/11/09 12:00:00 2011/11/09 02:02:03 UV 2.16.840.1.113883.3.215.7 ssa-0010-spps SUBSECRETARIA DE PREVENCION Y PROMOCION DE LA SALUD Jes&#250;s T&#233;llez masked fjgl.correo@gmail.com JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 masked DIRECTOR DE ADMINISTRACION Y PRESTACION DE SERVICIOS DE SALUD ELECTRONICOS JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5514 5964 jmanuel.castaneda@salud.gob.mx http://www.dgis.salud.gob.mx Govt body 2.16.840.1.113883.3.215 Ext 4 Complete 2.16.840.1.113883.3.215.7 2011/01/26 12:00:00 2011/11/09 12:00:00 2011/11/09 02:08:24 UV 2.16.840.1.113883.3.215.8 ssa-0009-dgps DIRECCION GENERAL DE PROMOCION DE LA SALUD Jes&#250;s T&#233;llez masked fjgl.correo@gmail.com JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 masked DIRECTOR DE ADMINISTRACION Y PRESTACION DE SERVICIOS DE SALUD ELECTRONICOS JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 jmanuel.castaneda@salud.gob.mx http://www.dgis.salud.gob.mx Govt body 2.16.840.1.113883.3.215 Ext 4 Complete 2.16.840.1.113883.3.215.8 2011/01/26 12:00:00 2011/11/09 12:00:00 2011/11/09 02:10:31 UV 2.16.840.1.113883.3.215.9 ssa-0008-conadic SECRETARIADO TECNICO DEL CONSEJO NACIONAL CONTRA ADICCIONES Jes&#250;s T&#233;llez masked fjgl.correo@gmail.com JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 masked DIRECTOR DE ADMINISTRACION Y PRESTACION DE SERVICIOS DE SALUD ELECTRONICOS JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 jmanuel.castaneda@salud.gob.mx http://www.dgis.salud.gob.mx Govt body 2.16.840.1.113883.3.215 Ext 4 Complete 2.16.840.1.113883.3.215.9 2011/01/26 12:00:00 2011/11/09 12:00:00 2011/11/09 02:21:07 UV 2.16.840.1.113883.3.215.10 ssa-0007-consame SECRETARIADO TECNICO DEL CONSEJO NACIONAL DE SALUD MENTAL Jes&#250;s T&#233;llez masked fjgl.correo@gmail.com JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 masked DIRECTOR DE ADMINISTRACION Y PRESTACION DE SERVICIOS DE SALUD ELECTRONICOS JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 jmanuel.castaneda@salud.gob.mx http://www.dgis.salud.gob.mx Govt body 2.16.840.1.113883.3.215 Ext 4 Complete 2.16.840.1.113883.3.215.10 2011/01/26 12:00:00 2011/11/09 12:00:00 2011/11/09 02:59:08 UV 2.16.840.1.113883.3.215.11 ssa-0006-conadis SECRETARIADO TECNICO DEL CONSEJO NACIONAL PARA PERSONAS CON DISCAPACIDAD Jes&#250;s T&#233;llez masked fjgl.correo@gmail.com JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 masked DIRECTOR DE ADMINISTRACION Y PRESTACION DE SERVICIOS DE SALUD ELECTRONICOS JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 jmanuel.castaneda@salud.gob.mx http://www.dgis.salud.gob.mx Govt body 2.16.840.1.113883.3.215 Ext 4 Complete 2.16.840.1.113883.3.215.11 2011/01/26 12:00:00 2011/11/09 12:00:00 2011/11/09 03:01:14 UV 2.16.840.1.113883.3.215.12 ssa-0005-conapra SECRETARIADO TECNICO DEL CONSEJO NACIONAL PARA LA PREVENCION DE ACCIDENTES Jes&#250;s T&#233;llez masked fjgl.correo@gmail.com JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 masked DIRECTOR DE ADMINISTRACION Y PRESTACION DE SERVICIOS DE SALUD ELECTRONICOS JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 jmanuel.castaneda@salud.gob.mx http://www.dgis.salud.gob.mx Govt body 2.16.840.1.113883.3.215 Ext 4 Complete 2.16.840.1.113883.3.215.12 2011/01/26 12:00:00 2011/11/09 12:00:00 2011/11/09 03:17:42 UV 2.16.840.1.113883.3.215.13 ssa-0004-cenaprece CENTRO NACIONAL DE PROGRAMAS PREVENTIVOS Y CONTROL DE ENFERMEDADES Jes&#250;s T&#233;llez masked fjgl.correo@gmail.com JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 masked DIRECTOR DE ADMINISTRACION Y PRESTACION DE SERVICIOS DE SALUD ELECTRONICOS JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 jmanuel.castaneda@salud.gob.mx http://www.dgis.salud.gob.mx Govt body 2.16.840.1.113883.3.215 Ext 4 Complete 2.16.840.1.113883.3.215.13 2011/01/26 12:00:00 2011/11/09 12:00:00 2011/11/09 03:19:38 UV 2.16.840.1.113883.3.215.14 ssa-0004-censia CENTRO NACIONAL PARA LA SALUD DE LA INFANCIA Y LA ADOLESCENCIA Jes&#250;s T&#233;llez masked fjgl.correo@gmail.com JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 masked DIRECTOR DE ADMINISTRACION Y PRESTACION DE SERVICIOS DE SALUD ELECTRONICOS JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 jmanuel.castaneda@salud.gob.mx http://www.dgis.salud.gob.mx Govt body 2.16.840.1.113883.3.215 Ext 4 Complete 2.16.840.1.113883.3.215.14 2011/01/26 12:00:00 2011/11/09 12:00:00 2011/11/09 03:24:07 UV 2.16.840.1.113883.3.215.15 ssa-0024-cnegsr CENTRO NACIONAL DE EQUIDAD DE GENERO Y SALUD REPRODUCTIVA Jes&#250;s T&#233;llez masked fjgl.correo@gmail.com JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 masked DIRECTOR DE ADMINISTRACION Y PRESTACION DE SERVICIOS DE SALUD ELECTRONICOS JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 jmanuel.castaneda@salud.gob.mx http://www.dgis.salud.gob.mx Govt body 2.16.840.1.113883.3.215 Ext 4 Complete 2.16.840.1.113883.3.215.15 2011/01/26 12:00:00 2011/11/09 12:00:00 2011/11/09 03:27:24 UV 2.16.840.1.113883.3.215.16 ssa-0023-censida CENTRO NACIONAL PARA LA PREVENCION Y EL CONTROL DEL VIH/SIDA Jes&#250;s T&#233;llez masked fjgl.correo@gmail.com JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 masked DIRECTOR DE ADMINISTRACION Y PRESTACION DE SERVICIOS DE SALUD ELECTRONICOS JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 jmanuel.castaneda@salud.gob.mx http://www.dgis.salud.gob.mx Govt body 2.16.840.1.113883.3.215 Ext 4 Complete 2.16.840.1.113883.3.215.16 2011/01/26 12:00:00 2011/11/09 12:00:00 2011/11/09 03:30:32 UV 2.16.840.1.113883.3.215.17 ssa-0022-saf SUBSECRETARIA DE ADMINISTRACION Y FINANZAS Jes&#250;s T&#233;llez masked fjgl.correo@gmail.com Jes&#250;s T&#233;llez T&#233;llez Av. Paseo de la Reforma No. 450 - 11 Col. Ju&#225;rez Deleg. Cuauht&#233;moc M&#233;xico D.F. C.P. 06600 52 (55) 5514 5964 masked Director de Sistemas de Informaci&#243;n de Servicios de Salud Jes&#250;s T&#233;llez T&#233;llez Av. Paseo de la Reforma No. 450 - 11 Col. Ju&#225;rez Deleg. Cuauht&#233;moc M&#233;xico D.F. C.P. 06600 52 (55) 5514 5964 jesus.tellez@salud.gob.mx http://www.salud.gob.mx Govt body Ext 4 Complete 2.16.840.1.113883.3.215.17 2011/01/26 12:00:00 2011/11/09 12:00:00 2011/11/09 03:34:37 UV 2.16.840.1.113883.3.215.18 ssa-0021-dgpop DIRECCION GENERAL DE PROGRAMACION, ORGANIZACION Y PRESUPUESTO Jes&#250;s T&#233;llez masked fjgl.correo@gmail.com JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 masked DIRECTOR DE ADMINISTRACION Y PRESTACION DE SERVICIOS DE SALUD ELECTRONICOS JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 jmanuel.castaneda@salud.gob.mx http://www.dgis.salud.gob.mx Govt body 2.16.840.1.113883.3.215 Ext 4 Complete 2.16.840.1.113883.3.215.18 2011/01/26 12:00:00 2011/11/09 12:00:00 2011/11/09 03:36:55 UV 2.16.840.1.113883.3.215.19 ssa-0020-dgti DIRECCION GENERAL DE TECNOLOGIAS DE LA INFORMACION Jes&#250;s T&#233;llez masked fjgl.correo@gmail.com JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 masked DIRECTOR DE ADMINISTRACION Y PRESTACION DE SERVICIOS DE SALUD ELECTRONICOS JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 jmanuel.castaneda@salud.gob.mx http://www.dgis.salud.gob.mx Govt body 2.16.840.1.113883.3.215 Ext 4 Complete 2.16.840.1.113883.3.215.19 2011/01/26 12:00:00 2011/11/09 12:00:00 2011/11/09 03:39:21 UV 2.16.840.1.113883.3.215.20 ssa-0019-dgrmsg DIRECCION GENERAL DE RECURSOS MATERIALES Y SERVICIOS GENERALES Jes&#250;s T&#233;llez masked fjgl.correo@gmail.com JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 masked DIRECTOR DE ADMINISTRACION Y PRESTACION DE SERVICIOS DE SALUD ELECTRONICOS JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 jmanuel.castaneda@salud.gob.mx http://www.dgis.salud.gob.mx Govt body 2.16.840.1.113883.3.215 Ext 4 Complete 2.16.840.1.113883.3.215.20 2011/01/26 12:00:00 2011/11/09 12:00:00 2011/11/09 03:42:57 UV 2.16.840.1.113883.3.215.21 ssa-0018-dgrh DIRECCION GENERAL DE RECURSOS HUMANOS Jes&#250;s T&#233;llez masked fjgl.correo@gmail.com JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 0660 52 (55) 5533 7703 masked DIRECTOR DE ADMINISTRACION Y PRESTACION DE SERVICIOS DE SALUD ELECTRONICOS JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 0660 52 (55) 5533 7703 jmanuel.castaneda@salud.gob.mx http://www.dgis.salud.gob.mx Govt body 2.16.840.1.113883.3.215 Ext 4 Complete 2.16.840.1.113883.3.215.21 2011/01/26 12:00:00 2011/11/09 12:00:00 2011/11/09 03:47:56 UV 2.16.840.1.113883.3.215.22 ssa-0013-dgdif DIRECCION GENERAL DE DESARROLLO DE LA INFRAESTRUCTURA FISICA Jes&#250;s T&#233;llez masked fjgl.correo@gmail.com JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 masked DIRECTOR DE ADMINISTRACION Y PRESTACION DE SERVICIOS DE SALUD ELECTRONICOS JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 jmanuel.castaneda@salud.gob.mx http://www.dgis.salud.gob.mx Govt body 2.16.840.1.113883.3.215 Ext 4 Complete 2.16.840.1.113883.3.215.22 2011/01/26 12:00:00 2011/11/09 12:00:00 2011/11/09 03:50:09 UV 2.16.840.1.113883.3.215.23 ssa-0002-apbp ADMINISTRACION DEL PATRIMONIO DE LA BENEFICENCIA PUBLICA Jes&#250;s T&#233;llez masked fjgl.correo@gmail.com JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 masked DIRECTOR DE ADMINISTRACION Y PRESTACION DE SERVICIOS DE SALUD ELECTRONICOS JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 jmanuel.castaneda@salud.gob.mx http://www.dgis.salud.gob.mx Govt body 2.16.840.1.113883.3.215 Ext 4 Complete 2.16.840.1.113883.3.215.23 2011/01/26 12:00:00 2011/11/09 12:00:00 2011/11/09 03:54:53 UV 2.16.840.1.113883.3.215.24 ssa-0001-ccinshae COMISION COORDINADORA DE INSTITUTOS DE SALUD Y HOSPITALES DE ALTA ESPECIALIDAD Jes&#250;s T&#233;llez masked fjgl.correo@gmail.com JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 masked DIRECTOR DE ADMINISTRACION Y PRESTACION DE SERVICIOS DE SALUD ELECTRONICOS JOSE MANUEL CASTA&#209;EDA CASAS AV. PASEO DE LA REFORMA NO. 450 - 11 COL. JUAREZ DELEG. CUAUHTEMOC MEXICO D.F. C.P. 06600 52 (55) 5533 7703 jmanuel.castaneda@salud.gob.mx http://www.dgis.salud.gob.mx Govt body 2.16.840.1.113883.3.215 Ext 4 Complete 2.16.840.1.113883.3.215.24 2011/01/26 12:00:00 2011/11/09 12:00:00 2011/11/09 03:57:38 UV 2.16.840.1.113883.3.755 samaritan Samaritan Hospital Shawn Adkins masked Shawn Adkins 1205 North Missouri Macon, MO 63552 1-660-385-8700 masked IT Director Samaritan Hospital 1205 North Missouri Macon, MO 63552 1-660-385-8700 administration@samaritanhospital.net http://www.smhmo.org Provider Int 3 Complete 2011/01/27 12:00:00 2011/03/22 12:00:00 2011/03/22 12:19:41 UV 2.16.840.1.113883.3.756 nkch North Kansas City Hospital Brian Gardner masked Brian Gardner 2800 Clay Edwards Drive North Kansas City, MO 64116 816-691-2587 masked Interface Analyst NKC Health 2800 Clay Edwards Drive North Kansas City, MO 64116-3281 816-691-2000 interfacegroup@nkch.org Provider Int 3 Complete 2011/01/27 12:00:00 2011/03/22 12:00:00 2025/12/02 12:14:20 UV 2.16.840.1.113883.3.757 ucwPatientChart Urgent Care Works Patient Chart Kyle Taylor masked Carr Scott W. Kyle Taylor 2451 Cumberland Pkwy, Suite 3512 Atlanta, GA 30339-6157 404-261-0401 masked CTO Urgent Care Works 2451 Cumberland Pkwy, Suite 3512 Atlanta, GA 30339-6157 404-261-0401 info@urgentcareworks.com http://www.urgentcareworks.com Vendor Int 3 Complete 2011/01/28 12:00:00 2011/03/22 12:00:00 2011/03/22 12:23:52 UV 2.16.840.1.113883.3.758 wwwvitalzcom www_vitalz_com David Weathers masked Steve Kehlet David Weathers 5012 W. Lemon St Tampa, FL 33609 888-414-5121 masked President Vitalz 5012 W. Lemon St Tampa, FL 33609 888-414-5121 david.weathers@vitalz.com http://www.vitalz.com Govt body Int 3 Complete 2011/01/28 12:00:00 2011/03/24 12:00:00 2011/03/24 08:33:26 UV 2.16.840.1.113883.3.137.1 thphccd OID for Trinity Health Port Huron Facility Michael Kelly masked Umesh Chandran Michael E. Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-5088 masked Director Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider Ext 4 Complete 2.16.840.1.113883.3.137.1 2011/01/31 12:00:00 2011/03/24 12:00:00 2011/03/24 08:36:02 UV 2.16.840.1.113883.3.759 test1 test Atest Btest masked Atest Btest masked Health Level Seven test test DC 20005 1234567890 test@test.org Prof Soc Int 3 Rejected 2011/01/31 12:00:00 2011/03/24 12:00:00 2011/03/24 08:39:37 UV 2.16.840.1.113883.3.709.0 uhin-NWHIN-Exchange Utah Health Information Network NWHIN exchange Jason Pryor masked Valli Chidambaram 1226 E 6600 S Murray, UT 84121 (877) 693-3071 masked CHIE Director Utah Health Information Network 1226 E 6600 S Murray, UT 84121 (877) 693-3071 customersupport@uhin.org http://www.uhin.org Exchange 2.16.840.1.113883.3.709 Ext 3 Complete 2.16.840.1.113883.3.709.0 2011/01/31 12:00:00 2011/03/24 12:00:00 2026/04/23 08:01:09 UV 1.3.6.1.4.1.23403 sharpHC Sharp HealthCare Carolyn Steuermann masked Vonda Brown c/o Sharp HealthCare 8695 Spectrum Center Blvd San Diego, California 92123 USA 858-499-6134 masked Director - ISD Decision Support Services Sharp HealthCare c/o Sharp HealthCare 8695 Spectrum Center Blvd San Diego, California 92123 USA 858-499-6134 vonda.brown@sharp.com http://www.sharp.com Provider 1.3.6.1.4.1.23403 Ext 3 Complete 1.3.6.1.4.1.23403 2011/02/01 12:00:00 2011/03/24 12:00:00 2021/12/09 10:21:15 UV 2.16.840.1.113883.3.760 pattiDocProv PattiDoc Provider Orgs Root Carlos Melendez masked zmorgan@pattidoc.com Zachary Morgan 9648 Olive Boulevard Suite 402 Olivette, MO 63132 314-255-7671 masked President MEPS Corporation 9648 Olive Boulevard Suite 402 Olivette, MO 63132 314-255-7671 zmorgan@pattidoc.com https://www.pattidoc.com Vendor Int 3 Complete 2011/02/02 12:00:00 2011/03/24 12:00:00 2011/03/24 08:48:04 UV 2.16.840.1.113883.3.761 tririvers OID Root for TriRivers Health Partners, LLC Roger Crook masked Roger Crook 1358 Fourth Ave. Rockford, IL 61104 (815) 315-6875 masked Integration Analyst TriRivers Health Partners, LLC 1358 Fourth Ave. Rockford, IL 61104 (815) 315-6800 rcrook@tririvers.org http://www.tririvers.org Vendor Int 3 Complete 2011/02/03 12:00:00 2011/03/24 12:00:00 2011/03/24 08:51:31 UV 2.16.840.1.113883.3.762 underthetree Under The Dreaming Tree Christopher Davidson masked Christopher 135 South 7th Ave Manville, NJ 08835 7325868140 masked Owner Christopher 135 South 7th Ave Manville NJ 08835 7325868140 christopher.davidson@gmail.com Provider Int 3 Complete 2011/02/03 12:00:00 2011/03/24 12:00:00 2011/03/24 08:54:47 UV 2.16.840.1.113883.3.763 chsstar Carolinas HealthCare System STAR Sid Duck masked Sid Duck 704-446-2223 masked Carolinas HealthCare System STAR Charlotte, NC 28203 704-446-2223 Sid.Duck@carolinashealthcare.org Provider Int 3 Complete 2011/02/04 12:00:00 2011/03/24 12:00:00 2011/03/24 08:56:17 UV 2.16.840.1.113883.3.764 chsinitiate Carolinas HealthCare System Initiate Sid Duck masked Sid Duck 704-446-2223 masked Carolinas HealthCare System Initiate Charlotte, NC 704-446-2223 Sid.Duck@carolinashealthcare.org Provider Int 3 Complete 2011/02/04 12:00:00 2011/03/24 12:00:00 2011/03/24 08:57:49 UV 2.16.840.1.113883.4.453 smh Spencer Hospital Ed Meyer masked itcall@spencerhospital.org Ed Meyer 1200 1st Ave E Spencer, IA 51301 712-264-6320 masked Director of Information Technology Spencer Municipal Hospital 1200 1st Ave E Spencer, IA 51301 712-264-8300 itcall@spencerhospital.org http://www.spencerhospital.org Provider 2.16.840.1.113883.3.271 Int 4 Complete 2011/02/04 12:00:00 2011/03/24 12:00:00 2011/03/24 03:40:13 UV 2.16.840.1.113883.3.765 mxsecure MxSecure John De Luna masked Mark McLaughlin Mark McLaughlin 7/F Kings Court 1 Bldg 2129 Chino Roces Ave Makati City NCR 1231 PHILIPPINES +63-2-856-6594 masked Chief Technology Officer MxSecure Philippines Inc 7/F Kings Court 1 Bldg 2129 Chino Roces Ave Makati City NCR 1231 PHILIPPINES +63-2-856-6594 mark.mclaughlin@mxsecure.com http://www.mxsecure.com Vendor Int 3 Complete 2011/02/06 12:00:00 2011/03/24 12:00:00 2011/03/24 09:27:17 UV 2.16.840.1.113883.3.766 atrius-health Atrius Health, Inc. Alan Zeigler masked Alan Zeigler Atrius Health, Inc. 275 Grove Street Suite 3-300 Newton, MA 02466 617-859-5136 masked EDI Manager Atrius Health, Inc. 275 Grove Street Suite 3-300 Newton, MA 02466 617-559-8000 info@atriushealth.org http://www.atriushealth.org Provider Int 3 Complete 2011/02/07 12:00:00 2011/03/24 12:00:00 2011/03/24 09:32:24 UV 2.16.840.1.113883.3.767 aps-oid Ajay Prakash Singh OID Ajay Prakash Singh masked Ajay Prakash Singh C/80, II-Floor, Dayal Baagh Faridabad Haryana 121009 9958887808 masked Developer TMH Sector-63 Noida India 9958887808 Sanjeev.bharti.go@gmail.com Prof Soc Int 3 Complete 2011/02/07 12:00:00 2014/12/11 12:00:00 2014/12/11 07:02:13 UV 2.16.840.1.113883.3.768 emrdoc EPOWERdoc EMR system Edsel Pertile masked Edsel Pertile 7779 Royal Crest Dr. Jacksonville, FL 32256 904-477-2377 masked CIO Edsel Pertile 7779 Royal Crest Dr. Jacksonville, FL 32256 904-477-2377 edselp@epowerdoc.com http://www.epowerdoc.com Vendor Int 3 Complete 2011/02/09 12:00:00 2011/03/24 12:00:00 2011/03/24 09:37:15 UV 2.16.840.1.113883.3.769 holyokemc Holyoke Medical Center Rebecca Sweet masked Carl Cameron Rebecca Sweet 575 Beech Street Holyoke, MA 01040 413.534.2687 masked Holyoke Medical Center 575 Beech Street Holyoke, MA 01040 413.534.2500 Sweet_Becca@holyokehealth.com http://www.holyokehealth.com/ Provider Int 3 Complete 2011/02/09 12:00:00 2011/03/24 12:00:00 2011/03/24 09:38:58 UV 2.16.840.1.113883.4.454 ca-bcCRALN British Columbia, Canada, College of Traditional Chinese Medicine Practitioners and Acupuncturists of British Columbia, Identifi Wendy Huang masked Doug Gold PO Box 9657, Stn Prov Govt, Victoria, BC Canada V8W 9P3 250-952-9130 masked Senior Registry Analyst College of Traditional Chinese Medicine Practitioners and Acupuncturists of British Columbia, Canada 1664-8th Avenue West, Vancouver,BC Canada V6J 1V4 604-738-7100 info@ctcma.bc.ca http://www.ctcma.bc.ca/ Prof Soc Int 4 Complete 2011/02/09 12:00:00 2011/03/24 12:00:00 2011/03/24 09:41:52 UV 2.16.840.1.113883.3.770 mhehx Memorial Hermann - eHX/eCW Ragan Smith masked Cheryl Fimbel Ragan Smith 920 Frostwood Drive Houston, TX 77024 713.338.4550 masked Clinical Support Analyst Memorial Hermann - eHX/eCW 920 Frostwood Drive Houston, TX 77024 713.338.4550 ragan.smith@memorialhermann.org http://www.memorialhermann.org/ Provider Int 3 Complete 2011/02/09 12:00:00 2011/03/24 12:00:00 2011/03/25 07:31:49 UV 2.16.840.1.113883.3.771 mhpasc MH-PASC Hector Saenz masked Currissa Alsobrooks Hector Saenz 920 Frostwood Drive Houston, TX 77024 713.338.5327 masked Applications P/A MH-PASC 920 Frostwood Drive Houston, TX 77024 713.338.5327 hector.saenz@memorialhermann.org http://www.memorialhermann.org/ Provider Int 3 Complete 2011/02/09 12:00:00 2011/03/24 12:00:00 2011/03/25 07:34:11 UV 2.16.840.1.113883.3.772 bch Boulder Community Hospital Daniel Spencer masked Daniel Spencer 3034402423 masked Director of I.T. Boulder Community Hospital 1100 Balsam Avenue Boulder, CO 80304 3034402423 dspencer@bch.org Provider Int 3 Complete 2011/02/09 12:00:00 2011/03/25 12:00:00 2011/03/25 07:35:41 UV 2.16.840.1.113883.3.773 tdh Tennessee Department of Health John Roberts masked John Roberts Tennessee Department of Health Office Information Technology Sevices Cordell Hull Bldg. 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 masked Health Systems Architect Tennessee Department of Health Office Information Technology Sevices Cordell Hull Bldg. 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 john.a.roberts@tn.gov http://health.state.tn.us/ Govt body 2.16.840.1.113883.3 Int 3 Complete 2011/02/10 12:00:00 2011/03/25 12:00:00 2011/03/25 07:43:40 UV 2.16.840.1.113883.3.721.1 healthITPlusesMD Health IT Plus - RAC Plus Kovilvenni Ramaswamy masked Kovilvenni Ramaswamy 131 Elden Street, Suite 200 Herndon, VA 20170 301-977-7884 masked CTO HEALTH IT PLUS 131 Elden Street, Suite 200 Herndon, VA 20170 301-977-7884 BMC@healthitplus.com http://www.healthitplus.com Vendor Ext 4 Complete 2.16.840.1.113883.3.721.1 2011/02/10 12:00:00 2011/03/25 12:00:00 2011/03/25 07:47:02 UV 2.16.840.1.113883.3.774 biloxirmc Biloxi Regional Medical Center George Bickel masked George Bickel 150 Reynoir Street P.O. Box 128 Biloxi, Mississippi 39530-0128 (228) 436-1218 masked Director of Information Systems Biloxi Regional Medical Center 150 Reynoir Street P.O. Box 128 Biloxi, Mississippi 39530-0128 (228) 436-1218 George.Bickel@hma.com http://www.biloxiregional.net Provider Int 3 Complete 2011/02/10 12:00:00 2011/03/25 12:00:00 2011/03/25 05:53:54 UV 2.16.840.1.113883.3.775 cfhc Coastal Family Health Center Chuck Clark masked Angel Greer Chuck Clark 1046 Division St Biloxi, MS 39530 (228) 374-2494 masked Director of Information Systems Coastal Family Health Center 1046 Division St Biloxi, MS 39530 (228) 374-2494 cclark@coastalfamilyhealth.org http://www.coastalfamilyhealth.org Provider Int 3 Complete 2011/02/10 12:00:00 2011/03/25 12:00:00 2011/03/25 05:55:48 UV 2.16.840.1.113883.3.776 piotrambroziak Piotr Ambroziak Piotr Ambroziak masked Piotr Ambroziak +48608509383 masked Piotr Ambroziak ul. Batalionow Chlopskich 9/10 06-413 Ciechanow Poland +48608509383 ambrozy87@gmail.com SDO Int 3 Complete 2011/02/13 12:00:00 2011/03/25 12:00:00 2011/03/25 06:02:19 UV 2.16.840.1.113883.3.777 themcbg OID for The Medical Center Bowling Green Mark Hanson masked Mark Hanson 800 Park Ave Bowling Green, KY. 42102 270-796-2561 masked Sr. Clinical Informatics Specialist The Medical Center Bowling Green 250 Park Ave Bowling Green, KY. 42102 270-745-1000 info@mcbg.org http://www.mcbg.org Provider Int 3 Complete 2011/02/14 12:00:00 2011/03/25 12:00:00 2011/03/25 06:06:11 UV 2.16.840.1.113883.3.778 hancockmc Hancock Medical Center Ezell Butler masked Wes Griffith Ezell Butler 149 Drinkwater Blvd Bay St. Louis, MS 39520 (228) 467-8693 masked Director, Information Systems Hancock Medical Center 149 Drinkwater Blvd Bay St. Louis, MS 39520 (228) 467-8693 ebutler@hancockmedical.net http://www.hmc.org/ Provider Int 3 Complete 2011/02/14 12:00:00 2011/03/25 12:00:00 2011/03/25 06:09:46 UV 2.16.840.1.113883.3.779 mccg Medical Center of Central Georgia Tracy Gray masked Tracy Gray 353 First Street Suite 3 Macon, Georgia 31201 478-633-1837 masked Director Medical Center of Central Georgia 777 Hemlock Macon, Georgia 31201 478-633-1000 gray.tracy@mccg.org http://www.mccg.org Provider Int 3 Complete 2011/02/14 12:00:00 2011/03/25 12:00:00 2011/03/25 06:11:36 UV 2.16.840.1.113883.3.780 mhg Memorial Hospital at Gulfport Laura Hafford masked Beverly Ernst Laura Hafford 4500 Thirteenth Street Gulfport, MS 39501 (228) 867-5329 masked Supervisor, IT Clinical Support Memorial Hospital at Gulfport 4500 Thirteenth Street Gulfport, MS 39501 (228) 867-5329 lhafford@mhg.com http://www.gulfportmemorial.com Provider Int 3 Complete 2011/02/14 12:00:00 2011/03/25 12:00:00 2011/03/25 06:13:46 UV 2.16.840.1.113883.10.20.22 consolidation Root for templates created under IHE/HL7/Health Story Consolidation Project Bob Dolin masked brett.marquard@lantanagroup.com Bob Dolin 949 466 4035 masked HL7 Structured Documents WG 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 949 466 4035 bob.dolin@lantanagroup.com http://www.hl7.org/ HL7 body Ext 10 Complete 2.16.840.1.113883.10.20.22 2011/02/15 12:00:00 2011/03/25 12:00:00 2011/03/25 06:16:30 UV 2.16.840.1.113883.3.781 mcg MCG HEALTH Julian Ammons masked KATHLEEN HERALD JULIAN AMMONS 1120 15th Street FA 105 Augusta, GA 30912-5563 706-721-6365 masked APP SYS ANALYST PROG III MCG HEALTH INC 1120 15th Street Augusta, GA 30912-5563 706-721-0211 JAMMONS@GEORGIAHEALTH.EDU http://www.mcghealth.org Provider Int 3 Complete 2011/02/15 12:00:00 2011/03/25 12:00:00 2011/03/25 06:20:28 UV 2.16.840.1.113883.3.782 smf Sturdy Memorial Foundation Tammy Freeman masked Tim Hulme Tammy Freeman Sturdy Memorial Hospital 211 Park Street Attleboro, MA 02703 508-236-8448 masked Clinical Analyst Sturdy Memorial Hospital 211 Park Street Attleboro, MA 02703 508-222-5200 tfreeman@sturdymemorial.org http://www.sturdymemorial.org Provider Int 3 Complete 2011/02/16 12:00:00 2011/03/25 12:00:00 2011/04/05 03:17:33 UV 2.16.840.1.113883.3.783 b98d8a20-3a15-11e0-8fbb-0002a5d5c51b MelroseWakefield Heathcare (formerly Hallmark Health System) Mark-Harrison Nelson masked Mark-Harrison Nelson MelroseWakfield Heathcare 400 Unicorn Park Woburn, MA 01801 781-338-7633 masked Interface Analyst MelroseWakefield Healthcare MelroseWakefield Healthcare 170 Governors Ave Medford, MA 02155 781-979-3000 mnelson@melrosewakefield.org http://www.melrosewakefield.org/ Provider Int 3 Complete 2011/02/16 12:00:00 2011/03/25 12:00:00 2021/06/10 11:31:53 UV 2.16.840.1.113883.3.784 fraserHealthAuthority Fraser Health Authority, British Columbia, Canada Robert Grant masked Dominic Ko Suite 100-13450 102nd Ave, Surrey, British Columbia Canada V3T 5X3 236.484.1007 x 791007 masked Portfolio Manager, Enterprise Integration Services Fraser Health Authority Fraser Health Corporate Office #300-10334 152A Street Surrey, BC V3R 7P8 FHInformaticsIntegrationServices@fraserhealth.ca http://www.fraserhealth.ca/ Govt body 2.16.840.1.113883.3.784 Int 4 Complete 2011/02/17 12:00:00 2011/03/25 12:00:00 2022/06/22 04:11:42 UV 1.2.840.114350 epic-OID Epic customer identifier Judith Miller masked Judith Miller Epic 1979 Milky Way Verona, WI 53593 608-777-4851 masked Product Fulfillment/Licensing Epic Systems Corporation 1979 Milky Way Verona, WI 53593 608-271-9000 jmiller@epic.com http://www.epic.com Vendor Ext 4 Complete 1.2.840.114350 2011/02/17 12:00:00 2011/03/25 12:00:00 2011/03/25 06:36:56 UV 2.16.840.1.113883.3.785 pamc Parkview Adventist Medical Center Jayne Cloutier masked William McQuaid Jayne Cloutier 329 Maine Street Brunswick, Maine 04011 207-373-2363 masked Clinical Information Manager Parkview Adventist Medical Center 329 Maine Street Brunswick, Maine 04011 207-373-2000 iservices@parkviewamc.org http://www.parkviewamc.org/ Provider Int 3 Complete 2011/02/17 12:00:00 2011/03/25 12:00:00 2011/03/25 06:40:55 UV 2.16.840.1.113883.3.786 alsc Assisted Living and Social Care Leroy Christian masked Leroy Christian 16 rue des vergers 92340 - Bourg-la-Reine +33 686272627 masked President d'IDUTAIP IDUTAIP 16 rue des Vergers 92340-Bourg-la-Reine +33 686272627 APVP@cercle-vermeil.fr https://sites.google.com/site/idutaip/ Provider Int 3 Complete 2011/02/19 12:00:00 2011/03/25 12:00:00 2011/03/25 06:43:58 UV 2.16.840.1.113883.3.787 ahs Adventist Health System Judy Best masked Catherine Cosby Judy Best 1035 Greenwood Blvd Suite 301 Lake Mary, FL. 32746 407-942-1496 masked Vice President of Business Systems Adventist Health System 1035 Greenwood Blvd Suite 301 Lake Mary, FL. 32746 407-942-1500 judy.best@ahss.org http://www.ahss.org Provider Int 3 Complete 2011/02/21 12:00:00 2011/03/31 12:00:00 2011/03/31 07:43:43 UV 2.16.840.1.113883.3.788 lrhs01 Lake Regional Health System Scott Poest masked Scott Poest 54 Hospital Drive Osage Beach, MO 65065 573-348-8000 masked Director HIS/CIO Lake Regional Health System 54 Hospital Drive Osage Beach, MO 65065 573-348-8000 spoest@lakeregional.com http://www.lakeregional.com Provider Int 3 Complete 2011/02/21 12:00:00 2011/03/31 12:00:00 2011/03/31 07:46:43 UV 2.16.840.1.113883.3.789 mhs Mission Health System Greg Plank masked Greg Plank 980 Hendersonville Road Asheville, NC 28803 828-213-0326 masked Integration Specialist Mission Health System 509 Biltmore Avenue Asheville, North Carolina 28801 828-213-1111 gregory.plank@msj.org http://www.missionhospitals.org/ Provider Int 3 Complete 2011/02/21 12:00:00 2011/03/31 12:00:00 2011/03/31 07:49:01 UV 2.16.840.1.113883.3.790 fmh Patrick Whitmore Patrick Whitmore masked Patrick Whitmore 400 West Seventh Street Frederick, MD 21701 240-566-3648 masked Sr. Systems Analyst Frederick Memorial Healthcare System 400 West Seventh Street Frederick, MD 21701 240-566-3300 pwhitmore@fmh.org http://www.fmh.org Provider Int 3 Complete 2011/02/21 12:00:00 2011/03/31 12:00:00 2011/03/31 07:50:35 UV 2.16.840.1.113883.3.791 doeHealth Doe Health OID Root John Doe masked John Doe 123 Main Street New York, NY 10001 312-333-4444 masked CIO Doe Health Clinic 123 Main Street New York, NY 10001 312-333-4444 jdoe@doehealth.com http://www.doehealth.com Provider 2.16.840.1.113883.3 Int 3 Rejected 2011/02/21 12:00:00 2011/03/31 12:00:00 2011/03/31 07:54:47 UV 2.16.840.1.113883.3.792 skmch Shaukat Khanum Memorial Cancer Hospital and Research Centre Maqbool Hussain masked Manzar Abbas Hydari MIS Department, Shaukat Khanum Memorial Cancer Hospital and Research Centre M.A. Johar Town, Lahore, Pakistan +924235905000 masked Manager Software Development Shaukat Khanum Memorial Cancer Hospital and Research Centre MIS Department, Shaukat Khanum Memorial Cancer Hospital and Research Centre M.A. Johar Town, Lahore, Pakistan manzar@skm.org.pk http://www.shaukatkhanum.org.pk/ Provider Int 3 Complete 2011/02/22 12:00:00 2011/03/31 12:00:00 2014/04/08 03:32:56 UV 2.16.840.1.113883.4.455 hmh-oid Harrison Memorial Hospital Steven Justice masked Martha Sullivan Martha Sullivan 1210 KY Highway 36 East Cynthiana KY 41031 859-235-3535 masked CIO Harrison Memorial Hospital 1210 KY Highway 36 East Cynthiana KY 41031 859-234-2300 msulliva@hmhosp.org http://www.harrisonmemhosp.com/home.html Provider Int 3 Complete 2011/02/22 12:00:00 2011/03/31 12:00:00 2015/03/26 03:08:57 UV 2.16.840.1.113883.3.793 bhs Berkshire Health Systems Damian Shepard masked Damian Shepard 725 North Street Pittsfield, MA 01201 413-445-9204 masked Senior Systems Analyst Berkshire Medical Center 725 North Street Pittsfield, MA 01201 413-447-2000 dshepard@bhs1.org http://www.berkshirehealthsystems.org/ Provider Int 3 Complete 2011/02/22 12:00:00 2011/03/31 12:00:00 2011/12/29 02:13:23 UV 2.16.840.1.113883.4.456 bcccd OID for Battle Creek Facility Michael Kelly masked Umesh Chandran Michael Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider Int 4 Complete 2011/02/22 12:00:00 2011/03/31 12:00:00 2011/03/31 08:33:02 UV 2.16.840.1.113883.4.457 msccd OID for Muskegon facility Michael Kelly masked Umesh Chandran Michael Kelly 34605 12 Mile Road Farmington Hills, MI 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider Int 4 Complete 2011/02/22 12:00:00 2011/03/31 12:00:00 2011/03/31 08:36:34 UV 2.16.840.1.113883.4.458 hkccd OID for Muskegon Hackley Facility Michael Kelly masked Umesh Chandran Michael Kelly 34605 12 Mile Road Farmington Hills, MI 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-6000 kelly@trinity-health.org http://www.trinity-health.org Provider Int 4 Complete 2011/02/22 12:00:00 2011/03/31 12:00:00 2011/03/31 08:37:58 UV 2.16.840.1.113883.4.459 lsccd OID for the MHP Lakeshore facility Michael Kelly masked Umesh Chandran Michael Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road 249-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider Int 4 Complete 2011/02/22 12:00:00 2011/03/31 12:00:00 2011/03/31 08:40:17 UV 2.16.840.1.113883.4.460 sjrmcmwccd OID for Mishawaka Facility Michael Kelly masked Umesh Chandran Michael Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider Int 4 Complete 2011/02/22 12:00:00 2011/03/31 12:00:00 2011/03/31 08:42:21 UV 2.16.840.1.113883.4.461 sjrmcplccd OID for Plymouth Facility Michael Kelly masked Umesh Chandran Michael Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider Int 4 Complete 2011/02/22 12:00:00 2011/03/31 12:00:00 2011/03/31 08:43:30 UV 2.16.840.1.113883.3.794 dacoho Davis County Hospital Deborah Barker masked Kate Garmon 509 N Madison St Bloomfield, IA 52537 6416642145 masked Clinical Analyst Davis County Hospital 509 N Madison St Bloomfield, IA 52537 6416642145 it@dchc.org http://www.daviscountyhospital.org Provider Int 3 Complete 2011/02/22 12:00:00 2011/03/31 12:00:00 2023/04/12 02:53:04 UV 2.16.840.1.113883.6.292 whoDDType WHO Drug Dictionary Type Ola Strandberg masked Ola Strandberg Uppsala Monitoring Centre Box 1051 SE-751 40 Uppsala Sweden +46 18 65 60 60 masked Vendor Liaison Officer Uppsala Monitoring Centre Box 1051 SE-751 40 Uppsala Sweden info@umc-products.com http://www.umc-products.com/ SDO Int 6 Complete 2011/02/23 12:00:00 2011/03/31 12:00:00 2011/03/31 08:53:55 UV 2.16.840.1.113883.6.293 whoDDEdition WHO Drug Dictionary Edition Ola Strandberg masked Ola Strandberg Uppsala Monitoring Centre Box 1051 SE-751 40 Uppsala Sweden +46 18 65 60 60 masked Vendor Liaison Officer Uppsala Monitoring Centre Box 1051 SE-751 40 Uppsala Sweden ola.strandberg@umc-products.com http://www.umc-products.com/ SDO Int 6 Complete 2011/02/23 12:00:00 2011/03/31 12:00:00 2011/03/31 08:55:18 UV 2.16.840.1.113883.6.294 whoDDMedProdId WHO Drug Dictionary Medicinal Product ID Ola Strandberg masked Magnus Wallberg Uppsala Monitoring Centre Box 1051 SE-751 40 Uppsala Sweden +46 18 65 60 60 masked Uppsala Monitoring Centre Box 1051 SE-751 40 Uppsala Sweden info@who-umc.org http://www.who-umc.org/ SDO Int 6 Complete 2011/02/23 12:00:00 2011/03/31 12:00:00 2016/12/14 07:23:14 UV 2.16.840.1.113883.6.295 whoDDPharmForm WHO Drug Dictionary Pharmaceutical Form Ola Strandberg masked Ola Strandberg Uppsala Monitoring Centre Box 1051 SE-751 40 Uppsala Sweden +46 18 65 60 60 masked Vendor Liaison Officer Uppsala Monitoring Centre Box 1051 SE-751 40 Uppsala Sweden info@umc-products.com http://www.umc-products.com/ SDO Int 6 Complete 2011/02/23 12:00:00 2011/03/31 12:00:00 2011/03/31 09:01:05 UV 2.16.840.1.113883.6.296 whoDDReference WHO Drug Dictionary Validation Reference Ola Strandberg masked Ola Strandberg Uppsala Monitoring Centre Box 1051 SE-751 40 Uppsala Sweden +46 18 65 60 60 masked Uppsala Monitoring Centre Box 1051 SE-751 40 Uppsala Sweden info@umc-products.com http://www.umc-products.com/ SDO Int 6 Complete 2011/02/23 12:00:00 2011/03/31 12:00:00 2011/03/31 09:03:26 UV 2.16.840.1.113883.6.297 whoDDSDG WHO Drug Dictionary Standard Drug Grouping Ola Strandberg masked Ola Strandberg Uppsala Monitoring Centre Box 1051 SE-751 40 Uppsala Sweden +46 18 65 60 60 masked Uppsala Monitoring Centre Box 1051 SE-751 40 Uppsala Sweden info@umc-products.com http://www.umc-products.com/ SDO Int 6 Complete 2011/02/23 12:00:00 2011/03/31 12:00:00 2011/03/31 09:04:38 UV 2.16.840.1.113883.6.298 whoDDSDGScope WHO Drug Dictionary Standard Drug Grouping Scope Ola Strandberg masked Ola Strandberg Uppsala Monitoring Centre Box 1051 SE-751 40 Uppsala Sweden +46 18 65 60 60 masked Uppsala Monitoring Centre Box 1051 SE-751 40 Uppsala Sweden info@umc-products.com http://www.umc-products.com/ SDO Int 6 Complete 2011/02/23 12:00:00 2011/03/31 12:00:00 2011/03/31 09:05:48 UV 2.16.840.1.113883.6.73.1 whoATCLevel1 WHO Anatomical Therapeutic Chemical Classification Level 1 Code Ola Strandberg masked Ola Strandberg Uppsala Monitoring Centre Box 1051 SE-751 40 Uppsala Sweden +46 18 65 60 60 masked Uppsala Monitoring Centre Box 1051 SE-751 40 Uppsala Sweden info@umc-products.com http://www.umc-products.com/ SDO Ext 6 Complete 2.16.840.1.113883.6.73.1 2011/02/23 12:00:00 2011/03/31 12:00:00 2011/03/31 09:08:55 UV 2.16.840.1.113883.6.73.2 whoATCLevel2 WHO Anatomical Therapeutic Chemical Classification Level 2 Code Ola Strandberg masked Ola Strandberg Uppsala Monitoring Centre Box 1051 SE-751 40 Uppsala Sweden +46 18 65 60 60 masked Uppsala Monitoring Centre Box 1051 SE-751 40 Uppsala Sweden info@umc-products.com http://www.umc-products.com/ SDO Ext 6 Complete 2.16.840.1.113883.6.73.2 2011/02/23 12:00:00 2011/03/31 12:00:00 2011/03/31 09:10:26 UV 2.16.840.1.113883.6.73.3 whoATCLevel3 WHO Anatomical Therapeutic Chemical Classification Level 3 Code Ola Strandberg masked Ola Strandberg Uppsala Monitoring Centre Box 1051 SE-751 40 Uppsala Sweden +46 18 65 60 60 masked Uppsala Monitoring Centre Box 1051 SE-751 40 Uppsala Sweden info@umc-products.com http://www.umc-products.com/ SDO Ext 6 Complete 2.16.840.1.113883.6.73.3 2011/02/23 12:00:00 2011/03/31 12:00:00 2011/03/31 09:11:21 UV 2.16.840.1.113883.6.73.4 whoATCLevel4 WHO Anatomical Therapeutic Chemical Classification Level 4 Code Ola Strandberg masked Ola Strandberg Uppsala Monitoring Centre Box 1051 SE-751 40 Uppsala Sweden +46 18 65 60 60 masked Uppsala Monitoring Centre Box 1051 SE-751 40 Uppsala Sweden info@umc-products.com http://www.umc-products.com/ SDO Ext 6 Complete 2.16.840.1.113883.6.73.4 2011/02/23 12:00:00 2011/03/31 12:00:00 2011/03/31 09:13:42 UV 2.16.840.1.113883.6.73.5 whoATCLevel5 WHO Anatomical Therapeutic Chemical Classification Level 5 Code Ola Strandberg masked Malin Jakobsson Uppsala Monitoring Centre Box 1051 SE-751 40 Uppsala Sweden +46 18 65 60 60 masked Uppsala Monitoring Centre Box 1051 SE-751 40 Uppsala Sweden info@who-umc.org http://www.who-umc.org/ SDO Ext 6 Complete 2.16.840.1.113883.6.73.5 2011/02/23 12:00:00 2011/03/31 12:00:00 2016/05/17 03:33:20 UV 2.16.840.1.113883.3.795 opencds OpenCDS Templates, Namespaces, and Valuesets David Shields masked Kensaku Kawamoto Kensaku Kawamoto 117 Lonebrook Drive Chapel Hill, NC 27516 919-358-9361 masked Project Director OpenCDS ken@opencds.org http://www.opencds.org Vendor Int 3 Complete 2011/02/24 12:00:00 2011/03/31 12:00:00 2011/03/31 09:16:26 UV 2.16.840.1.113883.3.796 codassion codeassion Thuan Nguyen masked Thuan Nguyen 3246 Holly Berry Court Falls Church, VA 22042 703-216-1758 masked Contact Person Role Thuan Nguyen 3246 Holly Berry Court Falls Church, VA 22042 703-216-1758 finecognac@cox.net http://www.codassion.com Vendor Int 3 Complete 2011/02/24 12:00:00 2011/03/31 12:00:00 2011/03/31 09:21:13 UV 2.16.840.1.113883.3.797 abim-OID American Board of Internal Medicine - OID Daniel White masked Jason Aronovitz Dan White 510 Walnut St Philadelphia, PA 19106 856-399-4003 masked Director, Software Development and Support American Board of Internal Medicine 510 Walnut St Philadelphia, PA 19106 215-399-3996 jaronovitz@abim.org http://www.abim.org SDO Int 3 Complete 2011/02/24 12:00:00 2011/03/31 12:00:00 2011/03/31 09:22:38 UV 1.3.6.1.4.1.26580 kp Kaiser Permanente Scott Robertson masked Scott M Robertson 75 N Fair Oaks, 6th Flr Pasadena CA 91103 3100-200-0231 masked Scott M Robertson 75 N Fair Oaks, 6th Flr Pasadena CA 91103 3100-200-0231 scott.m.robertson@kp.org Provider Ext 3 Complete 1.3.6.1.4.1.26580 2011/02/24 12:00:00 2011/03/31 12:00:00 2011/03/31 09:27:43 UV 2.16.840.1.113883.3.798 connectGW1 Connect Test GW1 Karen Caraway masked Karen Caraway MITRE 7515 Colshire Drive McLean, VA 22102 703.300.5034 masked Karen Caraway MITRE 7515 Colshire Drive McLean, VA 22102 kcaraway@mitre.org Govt body Int 3 Complete 2011/02/24 12:00:00 2011/03/31 12:00:00 2011/03/31 09:30:00 UV 2.16.840.1.113883.3.799 knovpwd Perinatal Web Dossier the Netherlands William Goossen masked Koninklijke Nederlandse Organisatie van Verloskundigen William Goossen Results 4 Care B.V. De Stinse 15 3823 VM Amersfoort the Netherlands +31654614458 masked expert to the PWD project Koninklijke Nederlandse Organisatie van Verloskundigen Koninklijke Nederlandse Organisatie van Verloskundigen Postbus 2001, 3500 GA Utrecht the Netherlands 003130 282 31 00 info@knov.nl http://www.knov.nl/contact Prof Soc Int 3 Complete 2011/02/25 12:00:00 2011/03/31 12:00:00 2011/03/31 09:31:26 UV 2.16.840.1.113883.3.800 eHIE Emerson Community Health Information Exchange Renee Fosberg masked Tim Wong Renee Fosberg 133 ORNAC Emerson Hospital IS Concord, MA 01742 978-287-8036 masked Senior Applications Director Emerson Hospital 133 ORNAC Concord, MA 01742 978-369-1400 rfosberg@emersonhosp.org http://www.emersonhospital.org Provider Int 3 Complete 2011/02/25 12:00:00 2011/03/31 12:00:00 2011/03/31 09:33:05 UV 2.16.840.1.113883.3.801 detroit-medical-center Detroit Medical Center Mike Leroy masked Joe Francis Joseph Francis 3663 Woodward Ave Detroit, Michigan 48201-2445 313-578-3488 masked executive director Detroit Medical Center Detroit Medical Center Corporation 3663 Woodward Ave Room 4-525 Detroit, Michigan 48201-2445 313-578-3488 jfrancis@dmc.org http://www.dmc.org Provider Int 3 Complete 2011/02/25 12:00:00 2011/04/08 12:00:00 2011/04/08 12:16:24 UV 2.16.840.1.113883.3.802 xedian EDIX12 RealTime Amin Salahuddin masked Amin Salahuddin 81 Bloomingdale Rd Hicksville, NY 11801 1-650-733-4912 masked EDI Consultant EDIX12,LLC 81 Bloomingdale Rd Hicksville, NY 11801 1-650-733-4912 amin@edix12.com http://www.edix12.com Vendor Int 3 Complete 2011/02/25 12:00:00 2011/04/08 12:00:00 2011/04/08 12:18:01 UV 2.16.840.1.113883.3.803 criterions-OID Criterions LLC Raj Mathur masked Raj Mathur 18 Genevieve Place Great Neck, NY 11021 5164768499 masked CTO Criterions LLC 18 Genevieve Place Great Neck, NY 11021 516-466-1942 rajm@criterions.com http://www.criterions.com Vendor Int 3 Complete 2011/02/28 12:00:00 2011/04/08 12:00:00 2011/04/08 12:21:47 UV 2.16.840.1.113883.3.804 srhsadt Singing River Health System Marshall Hammond masked Marshall Hammond 2809 Denny Avenue Pascagoula, MS 39581 228-809-5647 masked Director of Neurological Services Singing River Health System 2809 Denny Avenue Pascagoula, MS 39581 228-809-5647 Marshall.Hammond@mysrhs.com http://mysrhs.com Provider Int 3 Complete 2011/02/28 12:00:00 2011/04/08 12:00:00 2011/04/08 12:23:48 UV 2.16.840.1.113883.3.805 srh Singing River Hospital Marshall Hammond masked Marshall Hammond 2809 Denny Avenue Pascagoula, MS 39581 (228) 809-5647 masked Director of Neurological Services Singing River Hospital 2809 Denny Avenue Pascagoula, MS 39581 (228) 809-5647 Marshall.Hammond@mysrhs.com http://mysrhs.com/ Provider Int 3 Complete 2011/02/28 12:00:00 2011/04/08 12:00:00 2011/04/08 12:25:52 UV 2.16.840.1.113883.3.806 osh Ocean Springs Hospital Marshall Hammond masked Marshall Hammond 3109 Bienville Boulevard Ocean Springs, MS 39564 (228) 809-5647 masked Director of Neurological Services Ocean Springs Hospital 3109 Bienville Boulevard Ocean Springs, MS 39564 (228) 809-5647 Marshall.Hammond@mysrhs.com http://mysrhs.com Provider Int 3 Complete 2011/02/28 12:00:00 2011/04/08 12:00:00 2011/04/08 12:27:42 UV 2.16.840.1.113883.3.807 cmcvtx Citizens Medical Center Pete Salazar masked Pete Salazar 2701 Hospital Drive Victoria, Texas 77901 361-582-5714 masked Database Coordinator Citizens Medical Center 2701 Hospital Drive Victoria, Texas 77901 361-573-9181 rwitte@cmcvtx.org http://www.citizensmedicalcenter.org/ Provider Int 3 Complete 2011/02/28 12:00:00 2011/04/08 12:00:00 2011/04/08 12:30:09 UV 2.16.840.1.113883.4.462 ths Palmetto Health Lisa Bush masked Katie B. Wise 129 N. Washington Street Sumter, SC 29154 803-774-8907 masked Interface Engineer Prisma Health Tuomey Hospital 129 N. Washington Street Sumter, SC 29154 803-774-9000 Katie.Wise@prismahealth.org http://www.hl7.org/oid/index.cfm Provider 2.16.124.4.101.35.5.8 Int 4 Complete 2011/03/02 12:00:00 2011/11/09 12:00:00 2019/04/01 09:32:14 UV 2.16.840.1.113883.3.808 oidsephira OID Sephira Alexandre Vanni masked Alexandre Vanni 12, rue Vincent Scotto &#8211; CS 51805 &#8211; 72018 Le Mans Cedex 2 +33663247378 masked Responsable D&#233;veloppement Logiciels M&#233;tier Groupe Sephira Alexandre.VANNI@groupe-sephira.fr http://www.groupe-sephira.fr/ Prof Soc Int 3 Complete 2011/03/02 12:00:00 2011/04/08 12:00:00 2011/04/08 01:38:52 UV 2.16.840.1.113883.3.809 smc Somerset Medical Center Peter Ciotto masked Tim Hallbauer Peter Ciotto 92 E. Main Street suite 302 somerville, NJ 08876 908-704-3785 masked Somerset Medical Center 110 Rehill Ave Somerville, NJ 08876 908-685-2200 pciotto@somerset-healthcare.com http://www.somersetmedicalcenter.com/ Provider Int 3 Complete 2011/03/02 12:00:00 2011/04/08 12:00:00 2011/04/08 01:40:29 UV 2.16.840.1.113883.3.810 mrmc Milford Regional Medical Center Pratibha Kavishwar masked Stephanie Colman-Brochu Milford Regional Medical Center 14 Prospect Street Milford, MA 01757 (508) 422-2449 masked Director, Applications & Interoperability Milford Regional Medical Center,Inc. Milford Regional Medical Center, Inc. 14 Prospect Street Milford, MA 01757 (Main) 508-473-1190 508-473-1190 nthyne@milreg.org http://www.milfordregional.org Provider Int 3 Complete 2011/03/02 12:00:00 2011/04/08 12:00:00 2020/01/31 07:29:25 UV 2.16.840.1.113883.3.811 hhar123 HHAR RHIO Project Uday Madasu masked Uday Madasu 5901 Palisade Avenue Riverdale, NY 10471 718-581-1576 masked CIO The Hebrew Home at Riverdale 5901 Palisade Avenue Riverdale, NY 10471 718-581-1576 umadasu@hebrewhome.org http://www.hebrewhome.org/ Provider Int 3 Complete 2011/03/02 12:00:00 2011/04/08 12:00:00 2011/04/08 01:44:08 UV 2.16.840.1.113883.3.812 sjrd St John River District Hospital Susan Schreiber masked Susan Schreiber 586-753-1507 masked HIE Project Manager Susan Schreiber 28000 Dequindre Warren, Michigan 48092-2468 586-753-1507 susan.schreiber@stjohn.org Provider Int 3 Complete 2011/03/02 12:00:00 2011/04/08 12:00:00 2011/04/08 01:46:50 UV 2.16.840.1.113883.3.813 sjhmc St John Hospital and Medical Center Susan Schreiber masked Susan Schreiber 586-753-1507 masked HIE Project Manager Susan Schreiber 28000 Dequindre Warren, Michigan 48092-2468 586-753-1507 susan.schreiber@stjohn.org Provider Int 3 Complete 2011/03/02 12:00:00 2011/04/08 12:00:00 2011/04/08 01:49:12 UV 2.16.840.1.113883.3.814 sjnsh St. John North Shores Hospital Susan Schreiber masked Susan Schreiber 586.753.1507 masked HIE Project Manager Susan Schreiber 28000 Dequindre Warren, Michigan 48092-2468 586.753.1507 susan.schreiber@stjohn.org Provider Int 3 Complete 2011/03/02 12:00:00 2011/04/08 12:00:00 2011/04/08 01:50:45 UV 2.16.840.1.113883.3.815 sjmh St John Macomb Hospital Susan Schreiber masked Susan Schreiber 586-753-1507 masked HIE Project Manager Susan Schreiber 28000 Dequindre Warren, Michigan 48092-2468 586-753-1507 susan.schreiber@stjohn.org Provider Int 3 Complete 2011/03/02 12:00:00 2011/04/08 12:00:00 2011/04/08 01:54:23 UV 2.16.840.1.113883.3.816 phmc Providence Hospital and Medical Center Susan Schreiber masked Susan Schreiber 586-753-1507 masked HIE Project Manager Susan Schreiber 28000 Dequindre Warren, Michigan 48092-2468 586-753-1507 susan.schreiber@stjohn.org Provider Int 3 Complete 2011/03/02 12:00:00 2011/04/08 12:00:00 2011/04/08 01:56:36 UV 2.16.840.1.113883.3.817 mrg Medical Resources Group Susan Schreiber masked Susan Schreiber 586-753-1507 masked HIE Project Manager Susan Schreiber 28000 Dequindre Warren, Michigan 48092-2468 586-753-1507 susan.schreiber@stjohn.org Provider Int 3 Complete 2011/03/02 12:00:00 2011/04/08 12:00:00 2011/04/08 02:00:03 UV 2.16.840.1.113883.3.818 sjoh St John Oakland Hospital Susan Schreiber masked Susan Schreiber 586-753-1507 masked HIE Project Manager Susan Schreiber 28000 Dequindre Warren, Michigan 48092-2468 586-753-1507 susan.schreiber@stjohn.org Provider Int 3 Complete 2011/03/02 12:00:00 2011/04/08 12:00:00 2011/04/08 02:02:44 UV 2.16.840.1.113883.3.819 pph Providence Park Hospital Susan Schreiber masked Susan Schreiber 586-753-1507 masked HIE Project Manger Susan Schreiber 28000 Dequindre Warren, Michigan 48092-2468 586-753-1507 susan.schreiber@stjohn.org Provider Int 3 Complete 2011/03/02 12:00:00 2011/04/08 12:00:00 2011/04/08 02:05:52 UV 2.16.840.1.113883.3.820 cernercmrn St John Providence Health System Susan Schreiber masked Susan Schreiber 586-753-1507 masked HIE Project Manager Susan Schreiber 28000 Dequindre Warren, Michigan 48092-2468 586-753-1507 susan.schreiber@stjohn.org Provider Int 3 Complete 2011/03/02 12:00:00 2011/04/08 12:00:00 2011/04/08 02:08:37 UV 2.16.840.1.113883.3.821 nchiqhealth Naples Community Hospital IQ Health Susan Kruse masked Jerry.Miklosh@cerner.com Susan Kruse 350 7th Street North Naples, FLoirda 34102 816-206-4134 masked Ancillary Applications Manager Naples Community Hospital 350 7th Street North Naples, FLoirda 34102 816-206-4134 skruse@cerner.com http://www.nchmd.org Provider Int 3 Complete 2011/03/03 12:00:00 2011/04/08 12:00:00 2011/04/08 02:12:08 UV 2.16.840.1.113883.3.810.1 mrmc-main Milford Regional Medical Center - Main Pratibha Kavishwar masked Pratibha Kavishwar Milford Regional Medical Center 14 Prospect Street Milford, MA 01757 (508) 422-2007 masked Interfaces/Integration Systems Analyst Milford Regional Medical Center Milford Regional Medical Center 14 Prospect Street Milford, MA 01757 508-473-1190 nheim@milreg.org http://www.milfordregional.org Provider Ext 14 Complete 2.16.840.1.113883.3.810.1 2011/03/03 12:00:00 2011/04/08 12:00:00 2011/04/08 02:15:17 UV 2.16.840.1.113883.3.810.2 mrmc-lab Milford Regional Medical Center - Lab Pratibha Kavishwar masked Pratibha Kavishwar Milford Regional Medical Center 14 Prospect Street Milford, MA 01757 (508) 422-2007 masked Interfaces/Integration Systems Analyst Milford Regional Medical Center Milford Regional Medical Center 14 Prospect Street Milford, MA 01757 (Main) 508-473-1190 508-473-1190 nheim@milreg.org http://www.milfordregional.org Provider Ext 14 Complete 2.16.840.1.113883.3.810.2 2011/03/03 12:00:00 2011/04/08 12:00:00 2011/04/08 02:16:50 UV 2.16.840.1.113883.3.810.3 mrmc-pha Milford Regional Medical Center - Pharmacy Pratibha Kavishwar masked Pratibha Kavishwar Milford Regional Medical Center 14 Prospect Street Milford, MA 01757 (508) 422-2007 masked Interfaces/Integration Systems Analyst Milford Regional Medical Center Milford Regional Medical Center 14 Prospect Street Milford, MA 01757 (Main) 508-473-1190 508-473-1190 nheim@milreg.org http://www.milfordregional.org Provider Ext 14 Complete 2.16.840.1.113883.3.810.3 2011/03/03 12:00:00 2011/04/08 12:00:00 2011/04/08 02:18:35 UV 2.16.840.1.113883.3.810.4 mrmc-pth Milford Regional Medical Center - Pathology Pratibha Kavishwar masked Pratibha Kavishwar Milford Regional Medical Center 14 Prospect Street Milford, MA 01757 (508) 422-2007 masked Interfaces/Integration Systems Analyst Milford Regional Medical Center Milford Regional Medical Center 14 Prospect Street Milford, MA 01757 (Main) 508-473-1190 508-473-1190 nheim@milreg.org http://www.milfordregional.org Provider Ext 14 Complete 2.16.840.1.113883.3.810.4 2011/03/03 12:00:00 2011/04/08 12:00:00 2011/04/08 02:19:51 UV 1.2.36.1.2001.1001.101 nctisDataComponents NCTIS Data Components Sarah Gaunt masked Hoylen Sue NEHTA Sydney Level 25, 56 Pitt St Sydney 2000 Australia +61 07 3023 8409 masked Technical Architect NEHTA clinicalinformation@nehta.gov.au http://nehta.gov.au/ Govt body 1.2.36.1 Ext 13 Complete 1.2.36.1.2001.1001.101 2011/03/03 12:00:00 2011/04/08 12:00:00 2011/04/08 02:22:27 UV 1.3.6.1.4.1.21302.2.1324.102 wsuhiexefm 1.3.6.1.4.1.21302.2.1324.102 David Roberts masked david.a.roberts@wright.edu John Meyers 3640 Colonel Glenn Hwy. Library Annex 040 Dayton, OH 45435 937.775.3580 masked David Roberts 3640 Colonel Glenn Hwy. White Hall 248 Dayton, OH 45435 937.775.5229 abdi.ahmed@wright.edu http://www.wright.edu Academic 1.3.6.1.4.1.21302 Ext 3 Complete 1.3.6.1.4.1.21302.2.1324.102 2011/03/04 12:00:00 2011/12/19 12:00:00 2011/12/19 11:59:39 UV 1.3.6.1.4.1.21302.2 wsuch 1.3.6.1.4.1.21302.2 David Roberts masked david.a.roberts@wright.edu John Meyers 3640 Colonel Glenn Hwy. Library Annex 040 Dayton, OH 45435 937.775.3580 masked David Roberts 248 White Hall 3640 Colonel Glenn Hwy. Dayton, OH 45435 937.775.5229 abdi.ahmed@wright.edu http://www.wright.edu Academic 1.3.6.1.4.1.21302 Ext 4 Complete 1.3.6.1.4.1.21302.2 2011/03/04 12:00:00 2011/12/19 12:00:00 2011/12/19 11:55:18 UV 2.16.840.1.113883.4.463 aaccd OID for Ann Arbor Facility Michael Kelly masked Umesh Chandran Michael Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider Int 4 Complete 2011/03/07 12:00:00 2011/04/08 12:00:00 2011/04/08 02:28:02 UV 2.16.840.1.113883.4.464 hoccd OID for Livinston Facility MIchael Kelly masked Umesh Chandran MIchael Kelly 34605 12 Mile Road Farmington Hills, MI 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills,MI 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider Int 4 Complete 2011/03/07 12:00:00 2011/04/08 12:00:00 2011/04/08 02:30:19 UV 2.16.840.1.113883.4.465 chccd OID for Chelsea Community Hospital Facility Michael Kelly masked Umesh Chandran Michael Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider Int 4 Complete 2011/03/07 12:00:00 2011/04/08 12:00:00 2011/04/08 02:31:26 UV 2.16.840.1.113883.4.466 saccd OID for our St. Joseph Mercy Saline Hospital Michael Kelly masked Umesh Chandran Michael Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider Int 4 Complete 2011/03/07 12:00:00 2011/04/08 12:00:00 2011/04/08 02:32:30 UV 2.16.840.1.113883.4.467 poccd OID for St. Joseph Mercy Oakland Pontiac Facility Michael Kelly masked Umesh Chandran Michael Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider Int 4 Complete 2011/03/07 12:00:00 2011/03/08 12:00:00 2011/04/08 02:35:41 UV 2.16.840.1.113883.4.468 phccd OID for our St. Joseph Mercy Port Huron Facility Michael Kelly masked Umesh Chandran Michael Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider 2.16.840.1.113883.3.137 Int 4 Complete 2011/03/07 12:00:00 2011/04/08 12:00:00 2011/04/08 02:38:33 UV 2.16.840.1.113883.4.469 clccd OID for Mercy Medical Center-Clinton Facility Michael Kelly masked Umesh Chandran Michael Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider 2.16.840.1.113883.3.137 Int 4 Complete 2011/03/07 12:00:00 2011/04/08 12:00:00 2011/04/08 02:40:11 UV 2.16.840.1.113883.4.470 dbccd OID for Mercy Medical Center-Dubuque Facility Michael Kelly masked Umesh Chandran Michael Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider 2.16.840.1.113883.3.137 Int 4 Complete 2011/03/07 12:00:00 2011/04/15 12:00:00 2011/04/15 05:48:21 UV 2.16.840.1.113883.4.471 mcccd OID for Mercy Medical Center-North Iowa Facility Michael Kelly masked Umesh Chandran Michael Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider 2.16.840.1.113883.3.137 Int 4 Complete 2011/03/07 12:00:00 2011/04/15 12:00:00 2011/04/15 05:50:42 UV 2.16.840.1.113883.4.472 scccd OID for Mercy Medical Center - Sioux City Facility Michael Kelly masked Umesh Chandran Michael Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider 2.16.840.1.113883.3.137 Int 4 Complete 2011/03/07 12:00:00 2011/04/15 12:00:00 2011/04/15 05:52:14 UV 2.16.840.1.113883.4.473 mtccd OID for Henry Ford Macomb Facility Michael Kelly masked Umesh Chandran Michael Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider 2.16.840.1.113883.3.137 Int 4 Complete 2011/03/07 12:00:00 2011/04/15 12:00:00 2011/04/15 05:54:39 UV 2.16.840.1.113883.4.474 ssccd OID for Holy Cross Hospital Facility Michael Kelly masked Umesh Chandran Michael Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider 2.16.840.1.113883.3.137 Int 4 Complete 2011/03/07 12:00:00 2011/04/15 12:00:00 2011/04/15 05:56:49 UV 2.16.840.1.113883.4.475 boccd OID for St. Alphonsus Regional Medical Center Facility Michael Kelly masked Umesh Chandran Michael Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider 2.16.840.1.113883.3.137 Int 4 Complete 2011/03/07 12:00:00 2011/04/15 12:00:00 2011/04/15 05:57:58 UV 2.16.840.1.113883.3.822 gritman GRITMAN MEDICAL CENTER Kane Francetich masked Kane Francetich Gritman Medical Center 700 S. Main St. Moscow, ID 83843 208-883-6280 masked CIO Gritman Medical Center 700 S. Main St. Moscow, ID 83843 208-882-4511 oid@gritman.org http://www.gritman.org Provider Int 3 Complete 2011/03/08 12:00:00 2011/04/15 12:00:00 2011/04/15 06:03:48 UV 2.16.840.1.113883.3.823 uimc University of Illinois Medical Center Hugh Avitia masked Hugh Avitia 312 996 5872 masked Systems Developer University of Illinois Medical Center havitia@uic.edu http://www.hospital.uic.edu Academic Int 3 Complete 2011/03/09 12:00:00 2011/04/15 12:00:00 2011/04/15 06:06:31 UV 2.16.840.1.113883.3.824 ahs-QCPR Avita Health System QCPR Alex Reed masked Tim Snyder Alex Reed 419-468-0602 masked IT Director Alex Reed Avita Health System 269 Portland Way South Galion, OH 44833 419-468-0602 areed@avitahs.org http://www.avitahealth.org Provider Int 3 Complete 2011/03/09 12:00:00 2011/04/15 12:00:00 2012/06/09 03:25:08 UV 2.16.840.1.113883.3.825 griffin griffinhealth Peter Gimenez masked Peter Gimenez 130 Division St Derby, CT 06418 (203)732-7295 masked IT Manager Information Services 130 Division St Derby, CT. 06418 (203)732-1200 helpdesk@griffinhealth.org http://www.griffinhealth.org Provider Int 3 Complete 2011/03/10 12:00:00 2011/04/15 12:00:00 2011/04/15 06:15:56 UV 2.16.840.1.113883.3.826 navinet NaviNet Root Laurance Stuntz masked Jit Patel 100 Summer St, Floor 15 Boston, MA 02111 617.715.6280 masked Senior Director of Technical Operations NantHealth 100 Summer St, Floor 15 Boston, MA 02111 617.715.6000 jpatel@nanthealth.com http://www.nanthealth.com Vendor Int 3 Complete 2011/03/10 12:00:00 2011/04/15 12:00:00 2019/05/17 09:26:31 UV 2.16.840.1.113883.3.827 mro MRO Corporation David Borden masked Mike Rodgers Anthony J Murray 1000 Maddison Ave Norristown PA 19403 (610) 994-7500 x1331 masked CIO Anthony Murray 1000 Maddison Ave Norristown PA 19403 6109947500 amurray@mrocorp.com http://www.mrocorp.com Vendor Int 3 Complete 2011/03/10 12:00:00 2011/04/15 12:00:00 2021/11/09 11:32:22 UV 2.16.840.1.113883.3.828 hill-NHIN Hill NHIN Gateway Mridula Chauhan masked Sathyabama Gururajan 2409 Camino Ramon San Ramon CA-94583 United States (925) 327-6491 masked Manager, Software Development Sathyabama Gururajan 2409 Camino Ramon San Ramon CA-94583 United States (925) 327-6491 Sathyabama.Gururajan@hpmg.com http://www.hillphysicians.com Provider Int 3 Complete 2011/03/10 12:00:00 2011/04/15 12:00:00 2011/04/15 06:31:04 UV 2.16.840.1.113883.3.829 nymh New York Methodist Hospital Jordan Martens masked Jordan Martens 718.780.5603 masked Systems Applications Analyst II New York Methodist Hospital 506 Sixth Street Brooklyn, NY 11215 718.780.3000 jlm9008@nyp.org http://www.nym.org Provider Int 3 Complete 2011/03/11 12:00:00 2011/04/15 12:00:00 2011/04/15 06:34:50 UV 2.16.840.1.113883.13.180 cms-pos-vs CMS PlaceOfService Codes-value set Durwin Day masked Durwin Day 312-653-5948 masked HL7 P2PPHR CCD IG co-lead Frances Crystal Frances Crystal, POS Coordinator Centers for Medicare & Medicaid Services Mail Stop S2-01-16 7500 Security Blvd Baltimore, Maryland 21244-1850 Same as Contact Information frances.crystal@cms.hhs.gov http://www.cms.gov/PlaceofServiceCodes/03_POSDatabase.asp#TopOfPage Govt body Int 13 Complete 2011/03/11 12:00:00 2011/04/15 12:00:00 2011/04/15 06:39:02 US 2.16.840.1.113883.15.5 cms-pos-cs CMS PlaceOfService Codes-code set Durwin Day masked Durwin Day 312-653-5948 masked HL7 P2PPHR CCD IG co-lead Frances Crystal Frances Crystal, POS Coordinator Centers for Medicare & Medicaid Services Mail Stop S2-01-16 7500 Security Blvd Baltimore, Maryland 21244-1850 frances.crystal@cms.hhs.gov http://www.cms.gov/PlaceofServiceCodes/03_POSDatabase.asp#TopOfPage Govt body Int 15 Complete 2011/03/11 12:00:00 2011/03/15 12:00:00 2011/04/15 06:42:12 US 2.16.840.1.113883.13.181 naic-Co-Code-vs NAIC Company Code-value set Durwin Day masked Durwin Day 312-653-5948 masked William Todd Sells William Todd Sells National Association of Insurance Commissioners 2301 McGee St., Ste. 800 Kansas City, MO 64108 816-783-8403 tsells@naic.org https://eapps.naic.org/cis/ Govt body Int 13 Complete 2011/03/11 12:00:00 2011/04/15 12:00:00 2011/04/15 06:44:46 US 2.16.840.1.113883.6.299 iscn The International System for Human Cytogenetic Nomenclature Yan Heras masked Yan Heras PO Box 177, 3611 Route 5 East Thetford, VT 05043 801-663-9209 masked International Standing Committee on Human Cytogenetic Nomenclature Current Chair the International Standing Committee on Human Cytogenetic Nomenclature (publisched ISCN 2009) Lisa G. Shaffer Signature Genomic Laboratories Spokane, Washington, USA. info@signaturegenomics.com Prof Soc Int 6 Complete 2011/03/14 12:00:00 2011/04/15 12:00:00 2011/04/15 06:51:51 UV 2.16.840.1.113883.6.300 naic-CoCode-cs NAIC Company Code-code set Durwin Day masked Durwin Day 312-653-5948 masked William Todd Sells William Todd Sells National Association of Insurance Commissioners 2301 McGee St., Ste. 800 Kansas City, MO 64108 816-783-8403 tsells@naic.org https://eapps.naic.org/cis/ Govt body Int 6 Complete 2011/03/14 12:00:00 2011/04/15 12:00:00 2011/04/15 06:54:09 US 2.16.840.1.113883.13.182 nubc-AdmissionSource-vs NUBC Admission Source-value set Lenel James masked Durwin Day, HCSC Lenel James 312-297-5962 masked HL7 P2PPHR CCD IG co-lead George Arges George Arges Chair, National Uniform Billing Committee Senior Director - Health Data Management Group American Hospital Association 155 N. Wacker Drive, Suite 400 Chicago, IL 60606-1725 312-422-3398 garges@aha.org http://www.nubc.org/become.html SDO Int 13 Complete 2011/03/14 12:00:00 2011/04/15 12:00:00 2011/04/15 06:58:06 US 2.16.840.1.113883.13.183 nubc-ServiceLineRevenue-vs NUBC Service Line Revenue Value Set Lenel James masked Durwin Day, HCSC Lenel James 312-297-5962 masked HL7 P2PPHR CCD IG co-lead George Arges George Arges Chair, National Uniform Billing Committee Senior Director - Health Data Management Group American Hospital Association 155 N. Wacker Drive, Suite 400 Chicago, IL 60606-1725 312-422-33987 garges@aha.org http://www.nubc.org/become.html SDO Int 13 Complete 2011/03/14 12:00:00 2011/04/15 12:00:00 2011/04/15 07:00:48 US 2.16.840.1.113883.13.184 nubc-TypeOfBill-vs NUBC Type Of Bill-value set Lenel James masked Durwin Day Lenel James 312-297-5962 masked HL7 P2PPHR CCD IG co-lead George Arges George Arges Chair, National Uniform Billing Committee Senior Director - Health Data Management Group American Hospital Association 155 N. Wacker Drive, Suite 400 Chicago, IL 60606-1725 312-422-3398 garges@aha.org http://www.nubc.org/become.html SDO Int 13 Complete 2011/03/14 12:00:00 2011/04/19 12:00:00 2011/04/19 12:32:29 US 2.16.840.1.113883.13.185 nubc-TypeOfBillFrequency-vs NUBC Type Of Bill Frequency-value set Lenel James masked Durwin Day, HCSC Lenel James 312-297-5962 masked HL7 P2PPHR CCD IG co-lead George Arges George Arges Chair, National Uniform Billing Committee Senior Director - Health Data Management Group American Hospital Association 155 N. Wacker Drive, Suite 400 Chicago, IL 60606-1725 312-422-3398 garges@aha.org http://www.nubc.org/become.html SDO Int 13 Complete 2011/03/15 12:00:00 2011/04/19 12:00:00 2011/04/19 12:34:36 US 2.16.840.1.113883.6.301 nubc-UB-04-Manual-cs nubc-UB-04-Manual-code set Durwin Day masked Lenel James, BCBSA Durwin Day 312-653-5948 masked HL7 P2PPHR CCD IG co-lead George Arges George Arges Chair, National Uniform Billing Committee Senior Director - Health Data Management Group American Hospital Association 155 N. Wacker Drive, Suite 400 Chicago, IL 60606-1725 312-422-3398 garges@aha.org http://www.nubc.org/become.html SDO Int 14 6 Complete 2011/03/15 12:00:00 2011/03/23 12:00:00 2011/03/23 08:57:52 US 2.16.840.1.113883.6.301.1 nubc-TypeOfBill-cs NUBC Type Of Bill-value set-code set Durwin Day masked Lenel James, BCBSA Durwin Day 312-653-5948 masked HL7 P2PPHR CCD IG co-lead George Arges George Arges Chair, National Uniform Billing Committee Senior Director - Health Data Management Group American Hospital Association 155 N. Wacker Drive, Suite 400 Chicago, IL 60606-1725 312-422-3398 garges@aha.org http://www.nubc.org/become.html SDO Ext 6 Complete 2.16.840.1.113883.6.301.1 2011/03/15 12:00:00 2011/04/19 12:00:00 2011/04/19 12:41:46 US 2.16.840.1.113883.6.301.2 nubc-TypeOfBillFrequency-cs NUBC Type Of Bill Frequency-code set Durwin Day masked Lenel James, BCBSA Durwin Day 312-653-5948 masked HL7 P2PPHR CCD IG co-lead George Arges George Arges Chair, National Uniform Billing Committee Senior Director - Health Data Management Group American Hospital Association 155 N. Wacker Drive, Suite 400 Chicago, IL 60606-1725 312-422-3398 garges@aha.org http://www.nubc.org/become.html SDO Ext 6 Complete 2.16.840.1.113883.6.301.2 2011/03/15 12:00:00 2011/04/19 12:00:00 2011/04/19 12:44:53 US 2.16.840.1.113883.6.301.3 nubc-ServiceLineRevenue-cs NUBC Service Line Revenue-cs Durwin Day masked Lenel James, BCBSA Durwin Day 312-653-5948 masked HL7 P2PPHR CCD IG co-lead George Arges George Arges Chair, National Uniform Billing Committee Senior Director - Health Data Management Group American Hospital Association 155 N. Wacker Drive, Suite 400 Chicago, IL 60606-1725 312-422-3398 garges@aha.org http://www.nubc.org/become.html SDO Ext 6 Complete 2.16.840.1.113883.6.301.3 2011/03/15 12:00:00 2011/04/19 12:00:00 2011/04/19 12:47:50 HL70456 US 2.16.840.1.113883.6.301.4 nubc-AdmissionSource-cs NUBC Admission Source-code set Durwin Day masked Lenel James, BCBSA Durwin Day 312-653-5948 masked HL7 P2PPHR CCD IG co-leadOKEN=53 George Arges George Arges Chair, National Uniform Billing Committee Senior Director - Health Data Management Group American Hospital Association 155 N. Wacker Drive, Suite 400 Chicago, IL 60606-1725 312-422-3398 garges@aha.org http://www.nubc.org/become.html SDO Ext 6 Complete 2.16.840.1.113883.6.301.4 2011/03/15 12:00:00 2011/04/19 12:00:00 2011/04/19 12:48:44 US 2.16.840.1.113883.3.830 ahmc Alvarado Hospital Medical Center-CA-USA EMR Interoperability OID Dana D'Arpa masked Dana D'Arpa 6655 Alvarado Rd. San Diego, CA, 92120 619-229-3284 masked Clinical Application Specialist Alvarado Hospital Medical Center 6655 Alvarado Rd. San Diego, CA, 92120 619-287-3270 help@primehealthcare.com http://www.alvaradohospital.com Provider Int 3 Complete 2011/03/15 12:00:00 2011/04/19 12:00:00 2012/05/15 03:17:38 US 2.16.840.1.113883.1.9 hl7-international-v3-release HL7 International V3 Release Lloyd McKenzie masked Modeling & Methodology N/A masked HL7 International Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1-734-677-7777 hq@hl7.org http://www.HL7.org HL7 body Int 1 Complete 2011/03/15 12:00:00 2011/04/19 12:00:00 2011/04/19 12:53:31 UV 2.16.840.1.113883.3.831 ohmcovl OVERLAKE HOSPITAL MEDICAL CENTER -- OVL FACILITY MRN Dhaval Maru masked Dhaval Maru 425-635-6374 masked Systems Analyst Brian O'Keefe Director of Physician Practice Information Systems Overlake Hospital Medical Center 1035 116th Ave NE Bellevue, WA 98004 425-688-5077 Brian.OKeefe@OverlakeHospital.org Provider Int 3 Complete 2011/03/15 12:00:00 2011/04/19 12:00:00 2011/04/19 12:55:51 UV 2.16.840.1.113883.3.832 ohmcomc OVERLAKE HOSPITAL MEDICAL CENTER -- OMC FACILITY EMR Dhaval Maru masked DHAVAL MARU 425-635-6374 masked Systems Analyst Brian O'Keefe Director of Physician Practice Information Systems Overlake Hospital Medical Center 1035 116th Ave NE Bellevue, WA 98004 425-688-5077 Brian.OKeefe@OverlakeHospital.org Provider Int 3 Complete 2011/03/15 12:00:00 2011/04/19 12:00:00 2011/04/19 12:59:40 UV 2.16.840.1.113883.3.833 ohmcemr OVERLAKE HOSPITAL MEDICAL CENTER -- OVL ROOT LEVEL EMR NUMBER ACROSS FACILITIES Dhaval Maru masked Dhaval Maru 425-635-6374 masked Systems Analyst Brian O'Keefe Director of Physician Practice Information Systems Overlake Hospital Medical Center 1035 116th Ave NE Bellevue, WA 98004 425-688-5077 Brian.OKeefe@OverlakeHospital.org Provider Int 3 Complete 2011/03/15 12:00:00 2011/04/19 12:00:00 2011/04/19 01:02:15 UV 2.16.840.1.113883.4.476 shbh SIGNATURE HEALTHCARE BROCKTON HOSPITAL Craig Fletcher masked Craig Fletcher Signature Healthcare Brockton Hospital 680 Centre Street Brockton, MA 02302 508-941-7232 masked Sr Systems Analyst Signature Healthcare Brockton Hospital 680 Centre Street Brockton, MA 02302 508-941-7000 IS.HELP@Signature-Healthcare.org http://www.signature-healthcare.org Provider Int 4 4 Complete 2011/03/16 12:00:00 2011/04/19 12:00:00 2011/04/19 02:16:21 US 2.16.840.1.113883.3.834 kamaniramani Kamini Ramani MD PC Kamini Ramani masked Ramani Shantilal Medical Arts Bldg Suite 102, 99 E State St , Gloversville, NY 12078 518-725-6080 masked Office Manager Kamini Ramani MD PC Medical Arts Bldg Suite 102 99 E State St Gloversville, NY 12078 518-725-6080 sramani5@yahoo.com Provider Int 3 Complete 2011/03/16 12:00:00 2011/04/19 12:00:00 2011/04/19 02:19:06 UV 2.16.840.1.113883.3.835 nlh-org NathanLittauerHospitalOID Martin Brown masked Martin Nathan Littauer Hospital 99 E State St Gloversville, NY 12078 518-773-5585 masked VP Information Services, CIO Nathan Littauer Hospital 99 E State St Gloversville, NY 12078 518-725-8621 mdbrown@nlh.org http://www.nlh.org Provider Int 3 Complete 2011/03/16 12:00:00 2011/04/19 12:00:00 2011/04/19 02:27:28 UV 2.16.840.1.113883.3.836 tcma Tri-County Medical Associates, Inc. Martha Lingard masked Martha Lingard 124 Grove Street Franklin, MA 02038 508-528-5392 masked Director Regulatory Compliance & Special Projects Tri-County Medical Associates, Inc. 124 Grove Street Franklin, MA 02038 508-528-5392 mlingard@milreg.org http://www.tricountymedical.org Provider Int 3 Complete 2011/03/17 12:00:00 2011/04/19 12:00:00 2011/04/19 02:30:12 UV 2.16.840.1.113883.15.6 tnm-Edition7 TNM Edition7 UICC Sylvia Thun masked Sylvia Thun Waisenhausgasse 24 50676 K&#246;ln 0049 2214724344 masked Dr. UICC International Union Against Cancer (UICC) 62 Route de Frontenex 1207 Geneva Switzerland +41 22 809 1811 custserv@wiley.com https://www.uicc.org Prof Soc Int 15 15 Complete 2011/03/17 12:00:00 2011/04/19 12:00:00 2011/04/19 02:33:30 UV 2.16.840.1.113883.15.7 tnm-Edition6 TNM Edition6 UICC Sylvia Thun masked Sylvia Thun Waisenhausgasse 36-38a 50676 K&#246;ln 0049 2214724344 masked Dr. UICC International Union Against Cancer (UICC) 62 Route de Frontenex 1207 Geneva Switzerland +41 22 809 1811 custserv@wiley.com https://www.uicc.org Prof Soc Int 15 15 Complete 2011/03/17 12:00:00 2011/04/19 12:00:00 2011/04/19 02:35:40 UV 2.16.840.1.113883.15.8 tnm-Edition5 TNM Edition5 UICC Sylvia Thun masked Sylvia Thun Waisenhausgasse 36-38a 50676 K&#246;ln 0049 2214724344 masked Dr. UICC International Union Against Cancer (UICC) 62 Route de Frontenex 1207 Geneva Switzerland +41 22 809 1811 custserv@wiley.com https://www.uicc.org Prof Soc Int 15 15 Complete 2011/03/17 12:00:00 2011/04/19 12:00:00 2011/04/19 02:39:23 UV 2.16.840.1.113883.4.477 ca-CCPACID Canadian Counselling and Psychotherapy Association Counsellor Identifier Wendy Huang masked Doug Gold PO Box 9657, Stn Prov Govt, Victoria, BC Canada V8W 9P3 250-952-9130 masked Senior Registry Analyst Canadian Counselling and Psychotherapy Association 114-223 Colonnade Rd S Ottawa, ON K2E 7K3 (613) 237-1099 info@ccpa-accp.ca http://www.ccpa-accp.ca/en/ Prof Soc Int 4 Complete 2011/03/17 12:00:00 2011/04/19 12:00:00 2011/04/19 02:42:41 UV 2.16.840.1.113883.3.837 bhsHIE Butler Health System Health Information Exchange Jonathan Eichner masked Jonathan Eichner One Hospital Way Butler, PA 16001 724-284-4845 masked Systems Manager Butler Health System One Hospital Way Butler, PA 16001 724-283-6666 webmaster@butlerhealthsystem.org http://www.butlerhealthsystem.org Provider Int 2.16.840.1.113883.3.3858 3 Retired 2011/03/17 12:00:00 2011/04/19 12:00:00 2020/02/12 10:57:56 UV 2.16.840.1.113883.3.838 gvmh Golden Valley Memorial Hospital James Begin masked James Begin 1600 N Second St, Clinton MO 64735 660-890-7141 masked Director of Information Systems Golden Valley Memorial Hospital 1600 N Second St, Clinton MO 64735 660-885-5511 jbegin@gvmh.org http://www.gvmh.org Govt body Int 3 Complete 2011/03/17 12:00:00 2011/04/19 12:00:00 2011/04/19 02:49:34 UV 2.16.840.1.113883.3.839 citrusvalley Citrus Valley Health Partners Gary Pierceall masked Gary Pierceall 140 West College Street, Covina, CA 91722 626 858-8595 masked Corporate Director of Information Services Citrus Valley Health Partners 140 West College Street, Covina, CA 91722 626 331-7331 gpierceall@mail.cvhp.org Provider Int 3 Complete 2011/03/21 12:00:00 2011/04/19 12:00:00 2011/08/26 12:42:47 UV 2.16.840.1.113883.3.840 milton-oid Continuity of Care Document Andrea Connors masked jean_fernandez@miltonhospital.org Andrea Connors 92 Academy Ave 8575261290 masked Director of Information Technology Beth Israel Deaconess Hospital - Milton 199 Reedsdale Road Milton,MA 02186 617-313-1000 andrea_connors@bidmilton.org http://www.miltonhospital.org/ Provider Int 3 Complete 2011/03/22 12:00:00 2011/04/19 12:00:00 2020/09/14 11:41:00 UV 2.16.840.1.113883.3.841 gshs Good Samaritan Health System Susan Boedefeld masked Susan Boedefeld PO box 1281 Lebanon, PA 17042 717-270-7716 masked Application Support The Good Samaritan Health System PO Box 1281 Lebanon, PA 17042 717-270-7500 sboedefeld@gshleb.org http://www.gshleb.org Provider Int 3 Complete 2011/03/23 12:00:00 2011/04/19 12:00:00 2011/05/02 02:34:22 UV 2.16.840.1.113883.3.842 ccd-pcrmc CCD for PCRMC Kathryn Wheaton masked Kathryn Wheaton 1000 West 10th Street Rolla, MO 65401 573-458-7084 masked IT Project Manager Phelps County Regional Medical Center 1000 West 10th Street Rolla, MO 65401 573-458-7084 kwheaton@pcrmc.com http://www.pcrmc.com/ Provider Int 3 Complete 2011/03/23 12:00:00 2011/04/19 12:00:00 2011/04/19 03:11:34 UV 2.16.840.1.113883.3.137.4.10 ccdgr OID for Trinity Health Grand Rapids Facility Mike Kelly masked Umesh Chandran Mike Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider 2.16.840.1.113383.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.10 2011/03/25 12:00:00 2011/04/19 12:00:00 2011/04/19 03:12:56 UV 2.16.840.1.113883.3.137.4.200 ccdph OID for Trinity Health Port Huron Facility Mike Kelly masked Umesh Chandran Mike Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.200 2011/03/25 12:00:00 2011/04/19 12:00:00 2011/04/19 03:15:12 UV 2.16.840.1.113883.3.237.4.6 wadohPHEEDS Washington State Department of Health - Public Health Early Event Detection System (PHEEDS) Rita Altamore masked Phill Lowe Rita Altamore PO Box 47811 Olympia, WA 98504 360-236-4360 masked Epidemiologist Washington State Department of Health PO Box 47811 Olympia, WA 98504 360-236-4458 Informatics.csc@doh.wa.gov http://www.doh.wa.gov/ Govt body 2.16.840.1.113883.3.237 Ext 17 Complete 2.16.840.1.113883.3.237.4.6 2011/03/26 12:00:00 2011/03/27 12:00:00 2011/03/27 02:05:42 UV 2.16.840.1.113883.3.843 advocate-CCD-1 Critical Care Document Paulette Ly masked Paulette Ly 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 masked Application Team Leader Paulette Ly paulette.ly@advocatehealth.com HL7 body Int 3 3 Complete 2011/03/28 12:00:00 2011/04/19 12:00:00 2011/04/19 03:19:54 UV 2.16.840.1.113883.4.478 amh Ashe Memorial Hospital, Inc. William Baldwin masked William Baldwin 200 Hospital Ave Jefferson, NC 28640 336-846-0794 masked Ashe Memorial Hospital 200 Hospital Ave. Jefferson, NC 28640 336-846-7101 ismanager@ashememorial.org http://www.ashememorial.org Provider Int 4 Complete 2011/03/28 12:00:00 2011/04/19 12:00:00 2011/04/19 03:22:11 UV 2.16.840.1.113883.3.844 scmc-morris Stevens Community Medical Center Connie Peterson masked Daniel Athey Daniel Athey 320-589-7612 masked Stevens Community Medical Center 400 East First Street Morris, MN 56267 320-589-1313 scmc@scmcmorris.com Provider Int 3 Complete 2011/03/29 12:00:00 2011/04/19 12:00:00 2011/04/19 03:29:33 UV 2.16.840.1.113883.3.845 nehccd OID for Northeast Health Michael Dunay masked Michael Dunay Northeast Health 2212 Burdett Ave Troy, NY 12180 518-271-3546 masked Northeast Health dunaym@nehealth.com http://www.nehealth.com Provider Int 3 Complete 2011/03/29 12:00:00 2011/04/19 12:00:00 2011/04/19 03:32:08 UV 2.16.840.1.113883.3.846 calrhio CALRHIO Ryan Barry masked Ryan Barry 257 East 200 South Suite 1300 Salt Lake City, UT 84111 801-322-4444 masked CALRHIO 257 East 200 South Suite 1300 Salt Lake City, UT 84111 801-322-4444 rbarry@medicity.com Vendor Int 3 Complete 2011/03/30 12:00:00 2011/04/19 12:00:00 2015/07/02 12:25:48 UV 2.16.840.1.113883.3.847 dubo-pa Du Bois Regional Medical Center Kelly Grube masked Tim Hanzely Kelly D Grube Du Bois Regional Medical Center P O Box 447 Du Bois, PA 15801 814-375-3986 masked Director, MIS Du Bois Regional Medical Center Du Bois Regional Medical Center P O Box 447 Du Bois, PA 15801 814-371-2200 kdgrube@drmc.org http://www.drmc.org Provider Int 3 Complete 2011/04/01 12:00:00 2011/04/19 12:00:00 2011/04/19 03:38:01 US 2.16.840.1.113883.3.848 broo-pa Brookville Hospital Kelly Grube masked Tim Hanzely Kelly D Grube Brookville Hospital 100 Hospital Road Brookville, PA 15825 814-375-3986 masked Director, MIS Brookville Hospital 100 Hospital Road Brookville, PA 15825 814-849-2312 kdgrube@drmc.org http://www.brookvillehospital.org Provider Int 3 Complete 2011/04/01 12:00:00 2011/04/19 12:00:00 2011/04/19 03:42:44 US 2.16.840.1.113883.3.849 hoag HOAG ROOT Derek Stukey masked Hendric Minassian Shaila Garikaparthi One Hoag Drive Newport Beach, CA 92658 9497648709 masked Integration Team Lead Hoag Memorial Hospital Presbyterian hie@hoag.org http://www.hoag.org Provider Int 3 Complete 2011/04/01 12:00:00 2011/04/19 12:00:00 2014/02/04 06:17:11 UV 2.16.840.1.113883.3.850 hoag-nic Newport Imaging Center Root Derek Stukey masked Hendric Minassian Shaila Garikaparthi One Hoag Drive Newport Beach, CA 92658 9497648709 masked Integration Team Lead Hoag Memorial Hospital Presbyterian hie@hoag.org http://www.hoag.org Provider Int 3 Complete 2011/04/01 12:00:00 2011/04/19 12:00:00 2014/02/04 06:19:32 UV 2.16.840.1.113883.11.20.9 cdaConsolidationValueSetRoot CDA Consolidation Project Value Set Root Brett Marquard masked Brett Marquard Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 4135496886 masked Sr. Interoperability Consultant SDWG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA SDWG strucdoc@lists.hl7.org http://www.HL7.org HL7 body Ext 13 Complete 2.16.840.1.113883.11.20.9 2011/04/02 12:00:00 2011/04/25 12:00:00 2011/04/25 09:39:26 UV 2.16.840.1.113883.3.851 vancouverIslandHealthAuthority Vancouver Island Health Authority, British Columbia, Canada Robert Grant masked John Forbes 250.370.8922 masked Manager, Platform & Integration Management Vancouver Island Health Authority (VIHA) Vancouver Island Health Authority 1952 Bay Street Victoria, British Columbia V8R 1J8 info@viha.ca http://www.viha.ca/ Provider Int 3 Complete 2011/04/04 12:00:00 2011/04/25 12:00:00 2011/04/25 09:41:23 UV 2.16.840.1.113883.3.137.4.20 ccdmhp OID for Trinity Health Mercy Health Partners - Muskegon Campus Michael Kelly masked Umesh Chandran Michael Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 17 Complete 2.16.840.1.113883.3.137.4.20 2011/04/04 12:00:00 2011/04/25 12:00:00 2011/04/25 09:45:25 UV 2.16.840.1.113883.3.137.4.30 ccdhk OID for the Trinity Health Mercy Health Partners Hackley Campus Facility Michael Kelly masked Umesh Chandran Michael Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-5088 masked DIrector of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 17 Complete 2.16.840.1.113883.3.137.4.30 2011/04/04 12:00:00 2011/04/25 12:00:00 2011/04/25 09:47:24 UV 2.16.840.1.113883.3.137.4.40 ccdls OID for Trinity Health Mercy Health Partners Lakeshore Campus Facility Michael Kelly masked Umesh Chandran Michael Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 17 Complete 2.16.840.1.113883.3.137.4.40 2011/04/04 12:00:00 2011/04/25 12:00:00 2011/04/25 09:48:59 UV 2.16.840.1.113883.3.137.4.50 ccdpl OID for the Trinity Health SJRMC Plymouth Facility Michael Kelly masked Umesh Chandran Michael Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 17 Complete 2.16.840.1.113883.3.137.4.50 2011/04/04 12:00:00 2011/04/25 12:00:00 2011/04/25 09:50:08 UV 2.16.840.1.113883.3.137.4.60 ccdmi OID for Trinity Health SJRMC Mishawaka Facility Michael Kelly masked Umesh Chandran Michael Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 17 Complete 2.16.840.1.113883.3.137.4.60 2011/04/04 12:00:00 2011/04/25 12:00:00 2011/04/25 09:51:51 UV 2.16.840.1.113883.3.137.4.70 ccdbc OID for the Trinity Health Battle Creek facility Michael Kelly masked Umesh Chandran Michael Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-0588 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 17 Complete 2.16.840.1.113883.3.137.4.70 2011/04/04 12:00:00 2011/04/25 12:00:00 2011/04/25 09:53:46 UV 2.16.840.1.113883.3.137.4.240 ccdli OID for Trinity Health Livonia Facility Michael Kelly masked Umesh Chandran Michael Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 17 Complete 2.16.840.1.113883.3.137.4.240 2011/04/04 12:00:00 2011/04/25 12:00:00 2011/04/25 09:55:31 UV 2.16.840.1.113883.3.782.2 smh Sturdy Memorial Hospital Tammy Freeman masked Tim Hulme Tammy Freeman Sturdy Memorial Hospital 211 Park Street Attleboro, MA 02703 508-236-8448 masked Clinical Analyst Sturdy Memorial Hospital 211 Park Street Attleboro, MA 02703 508-222-5200 tfreeman@sturdymemorial.org http://www.sturdymemorial.org Provider 2.16.840.1.113883.3.782 Ext 14 14 Complete 2.16.840.1.113883.3.782.2 2011/04/05 12:00:00 2011/04/25 12:00:00 2011/04/25 09:58:19 UV 2.16.840.1.113883.3.782.3 sma Sturdy Memorial Associates Tammy Freeman masked Tim Hulme Tammy Freeman Sturdy Memorial Hospital 211 Park Street Attleboro, MA 02703 508-236-8448 masked Clinical Analyst Sturdy Memorial Hospital 211 Park Street Attleboro, MA 02703 508-222-5200 tfreeman@sturdymemorial.org http://www.sturdymemorial.org Provider 2.16.840.1.113883.3.782 Ext 14 14 Complete 2.16.840.1.113883.3.782.3 2011/04/05 12:00:00 2011/04/25 12:00:00 2011/04/25 09:59:14 UV 2.16.840.1.113883.3.782.4 mhc Mansfield Health Center Tammy Freeman masked Tim Hulme Tammy Freeman Sturdy Memorial Hospital 211 Park Street Attleboro, MA 02703 508-236-8448 masked Clinical Analyst Sturdy Memorial Hospital 211 Park Street Attleboro, MA 02703 508-222-5200 tfreeman@sturdymemorial.org http://www.sturdymemorial.org Provider 2.16.840.1.113883.3.782 Ext 14 14 Complete 2.16.840.1.113883.3.782.4 2011/04/05 12:00:00 2011/04/25 12:00:00 2011/04/25 11:18:48 UV 2.16.840.1.113883.3.852 chomp Community Hospital of the Monterey Peninsula Katherine Sage masked Charlene Webber-Schuss Katherine Sage 23845 Holman Highway Suite 227 Monterey, CA 93940 831.622.2697 masked Applications Support Supervisor Community Hospital of the Monterey Peninsula 23625 Holman Highway Monterey, Ca 93940 831.624.5311 ksage@chomp.org http://www.chomp.org/ SDO Int 3 Complete 2011/04/05 12:00:00 2011/04/25 12:00:00 2011/04/25 11:22:31 UV 2.16.840.1.113883.3.853 stJamesMercyHospital St James Mercy Hospital Diane Dale masked Bonnie Welch Diane Dale St James Mercy Hospital 411 Canisteo Street Hornell, NY 14843 607-324-8015 masked Application Analyst St James Mercy Hospital St James Mercy Hospital 411 Canisteo Street Hornell, NY 14843 607-324-8015 ddale@sjmh.org Provider Int 3 Complete 2011/04/06 12:00:00 2011/04/25 12:00:00 2011/04/25 11:25:23 UV 2.16.840.1.113883.3.854 mta Mount Auburn Hospital HL7 Interface OID Jonathan Dahmer masked Jeannette Currie Jonathan Dahmer 330 Mount Auburn St Cambridge MA 02138 617-543-0362 masked Software Applications Specialist Mount Auburn Hospital 330 Mount Auburn St Cambridge MA 02138 jcurrie@mah.harvard.edu http://www.mountauburnhospital.org/ HL7 body Int 3 Complete 2011/04/06 12:00:00 2011/04/25 12:00:00 2011/04/25 11:29:35 UV 2.16.840.1.113883.4.479 gRMC-OID-2011 OID for Gila Regional Medical Center David Furnas masked David R. Furnas 1313 E. 32nd Street Silver City, NM 88061 575-538-4121 masked CIO Gila Regional Medical Center 1313 E. 32nd Street Silver City, NM 88061 575-538-4000 dfurnas@grmc.org http://www.grmc.org Provider Int 4 4 Complete 2011/04/06 12:00:00 2011/04/25 12:00:00 2011/04/25 11:31:57 UV 2.16.840.1.113883.3.855 winmn Winona Health Servies Gail Henderson masked Gail Henderson Winona Health Services 855 Mankato Ave Winona, MN 55987 5074574558 masked Solution Architech Gail Henderson Winona Health Services 855 Mankato Ave Winona, MN 55987 5074574558 ghenderson@cerner.com http://www.winonahealth.org Provider Int 3 Complete 2011/04/07 12:00:00 2011/04/25 12:00:00 2011/04/25 11:37:07 UV 2.16.840.1.113883.4.480 blythedale-Children-Hospital Blythedale Children's Hospital Zel Negassa masked Evgin Heath 95 Bradhurst Av Valhalla, NY 10595 914-831-2529 masked IT Director Evgin Heath 95 Bradhurst Av Valhalla, NY 10595 914-831-2529 ITSUPPORT@blythedale.org http://www.blythedale.org Provider Int 4 Complete 2011/04/07 12:00:00 2011/04/25 12:00:00 2017/07/25 12:13:20 UV 2.16.840.1.113883.4.481 lintech LINTECH, LLC Doron Gutkind masked Doron Gutkind LINTECH 201 W Passaic Street Suite 302 Rochelle Park, NJ 07662 2014787848 masked CSA LINTECH 201 W Passaic Street Suite 302 Rochelle Park, NJ 07662 2014787848 dgutkind@lintechsoftware.com http://www.lintechsoftware.com Vendor Int 4 4 Complete 2011/04/07 12:00:00 2011/04/25 12:00:00 2011/04/25 11:54:27 UV 2.16.840.1.113883.3.856 ehealthobjects eHealthObjects, Inc. Sanjay Mittal masked Sanjay Mittal 11405 Greenbrooke Ct. Glen Allen VA 23060 8043018555 masked CEO eHealthObjects 11405 Greenbrooke Ct. Glen Allen VA 23060 8043018555 smittal@ehealthobjects.com http://www.ehealthobjects.com Vendor Int 3 Complete 2011/04/07 12:00:00 2011/04/25 12:00:00 2011/04/25 11:58:49 UV 2.16.840.1.113883.3.857 meddius-nhio1 Meddius NHIO Root OID Anthony Wood masked Meddius Clinical Document Author 434-977-5154 masked Meddius support@meddius.com http://www.meddius.com Vendor Int 3 Complete 2011/04/07 12:00:00 2011/04/25 12:00:00 2011/04/25 12:03:52 UV 2.16.840.1.113883.3.853.1.1 stJamesMercyHospitalFacilty St James Mercy Hospital - Main Facility Diane Dale masked Bonnie Welch Diane Dale St James Mercy Hospital 411 Canisteo Street Hornell,NY 607-324-8015 masked Application Analyst St James Mercy Hospital ddale@sjmh.org Provider Ext 14 14 Complete 2.16.840.1.113883.3.853.1.1 2011/04/11 12:00:00 2011/04/25 12:00:00 2011/04/25 12:07:58 UV 2.16.840.1.113883.3.858 sjdrh St John Detroit Riverview Hospital Susan Schreiber masked Susan Schreiber 28000 Dequindre Warren, Michigan 48092 586-753-1507 masked IT Project Manager Susan Schreiber 28000 Dequindre Warren, Michigan 48092 586-753-1507 susan.schreiber@stjohn.org Provider Int 3 Complete 2011/04/14 12:00:00 2011/04/25 12:00:00 2011/04/25 12:10:11 UV 2.16.840.1.113883.3.137.4.120 ccdbo OID for the Trinity Health Boise Idaho Facility Mike Kelly masked Umesh Chandran Mike Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 17 Complete 2.16.840.1.113883.3.137.4.120 2011/04/14 12:00:00 2011/04/25 12:00:00 2011/04/25 12:12:45 UV 2.16.840.1.113883.3.137.4.190 ccdss OID for the Trinity Health Silver Spring Maryland Facility Mike Kelly masked Umesh Chandran Mike Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 17 Complete 2.16.840.1.113883.3.137.4.190 2011/04/14 12:00:00 2011/04/25 12:00:00 2011/04/25 12:25:13 UV 2.16.840.1.113883.3.137.4.210 ccdaa OID for the Trinity Health Ann Arbor Facility Mike Kelly masked Umesh Chandran Mike Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 17 Complete 2.16.840.1.113883.3.137.4.210 2011/04/14 12:00:00 2011/04/25 12:00:00 2011/04/25 12:30:44 UV 2.16.840.1.113883.3.137.4.220 ccdho OID for the Trinity Health Livington Facility Mike Kelly masked Umesh Chandran Mike Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 17 Complete 2.16.840.1.113883.3.137.4.220 2011/04/14 12:00:00 2011/04/25 12:00:00 2011/04/25 12:34:19 UV 2.16.840.1.113883.3.137.4.230 ccdch OID for the Trinity Health Chelsea Community Hospital Facility Mike Kelly masked Umesh Chandran Mike Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 17 Complete 2.16.840.1.113883.3.137.4.230 2011/04/14 12:00:00 2011/04/25 12:00:00 2011/04/25 12:35:22 UV 2.16.840.1.113883.3.137.4.250 ccdpo OID for the Trinity Helath St. Joseph Mercy Oakland facility Mike Kelly masked Umesh Chandran Mike Kelly 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-5088 masked Director of Interoperability Trinity Health 34605 12 Mile Road Farmington Hills, MI. 48331 248-489-6000 kellym@trinity-health.org http://www.trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 17 Complete 2.16.840.1.113883.3.137.4.250 2011/04/14 12:00:00 2011/04/25 12:00:00 2011/04/25 12:36:22 UV 2.16.840.1.113883.3.859 fortHealthCare Fort HealthCare HL7 OID Root Peter Turner masked James Dahl Peter Turner Fort HealthCare 611 Sherman Ave E Fort Atkinson, WI 53538-1960 9205685137 masked Senior Network Engineer Fort HealthCare 611 Sherman Ave E Fort Atkinson, WI 53538-1960 9205685000 peter.turner@forthc.com http://www.forthealthcare.com Provider Int 3 Complete 2011/04/16 12:00:00 2011/04/25 12:00:00 2011/04/25 12:37:57 UV 2.16.840.1.113883.3.709.1 uhin-ihc UHIN OID for Intermountain Healthcare Jason Pryor masked Valli Chidambaram 1226 E 6600 S Murray, UT 84121 (877) 693-3071 masked HIE Director UHIN 1226 E 6600 S Murray, UT 84121 (877) 693-3071 customersupport@uhin.org http://www.uhin.org Exchange 2.16.840.1.113883.3.709 Ext 14 14 Complete 2.16.840.1.113883.3.709.1 2011/04/18 12:00:00 2011/04/25 12:00:00 2026/05/05 08:09:47 UV 2.16.840.1.113883.3.860 pls tutu yovany Diaz masked yovany 2345667 masked raul Cuba/habana 44667743 ydiazt@ceis.cujae.edu.cu Academic 2 Int 3 3 Rejected 2011/04/18 12:00:00 2011/04/25 12:00:00 2011/04/25 02:31:49 UV 2.16.840.1.113883.3.861 hhsys Huntsville Hospital System Jeff Hoy masked Jeff Hoy 101 Sivley Rd Huntsville, AL 35801 (256) 265-9065 masked Interface Programmer Huntsville Hospital 101 Sivley Rd Huntsville, AL 35801 (256) 265-1000 huntsvillehospital@hhsys.org http://www.huntsvillehospital.org Provider Int 3 Complete 2011/04/19 12:00:00 2011/04/25 12:00:00 2011/04/25 12:45:50 UV 2.16.840.1.113883.3.862 springhillHospitalsRoot Springhill Hospitals Root Pam Shedd masked Pam Shedd 100 Memorial Hospital Drive Suite 2C Mobile, AL 36608 251-340-7809 masked Clinical Applications Manager Springhill Hospitals, Inc 3719 Dauphin Street Mobile, AL 36608 251-344-9630 pam.shedd@springhill.org http://www.springhillmedicalcenter.com Provider Int 3 Complete 2011/04/19 12:00:00 2011/04/25 12:00:00 2011/04/25 12:47:26 US 2.16.840.1.113883.3.863 continuityCareDocument Continuity of Care Document Danielle Withrow masked Danielle Withrow 508-828-7559 masked Systems Analyst Morton Hospital and Medical Center 88 Washington Street Taunton, MA 02780 508-828-7000 dwithrow@mortonhospital.org http://www.mortonhospital.org Provider Int 3 Complete 2011/04/20 12:00:00 2011/04/25 12:00:00 2011/06/14 11:03:34 UV 2.16.840.1.113883.3.864 ohmcpaml OVERLAKE HOSPITAL MEDICAL CENTER -- PAML FACILITY MRN Dhaval Maru masked Dhaval Maru 425-635-6374 masked Systems Analyst Brian O'Keefe Director of Physician Practice Information Systems Overlake Hospital Medical Center 1035 116th Ave NE, Bellevue, WA 98004 425-688-5077 Brian.OKeefe@OverlakeHospital.org http://overlakehospital.org/ Provider Int 3 Complete 2011/04/21 12:00:00 2011/04/25 12:00:00 2011/04/25 12:52:35 UV 2.16.840.1.113883.3.865 eplan Elderplan Stuart Geller masked Hany Abdelaal, MD Bill Luecken 6323 7th Ave Brookltn, NY 11220 718-921-7749 masked Senior Director, Clinical Information Systems Elderplan 6323 7th ave Brooklyn, NY 11220 718-491-7105 sgeller@mjhs.org http://www.elderplan.org Payor Int 3 Complete 2011/04/22 12:00:00 2011/04/25 12:00:00 2011/04/25 12:54:10 UV 2.16.840.1.113883.3.854.1.1 mta-fac Mount Auburn Hospital HL7 Interface MTA Facility OID Jonathan Dahmer masked Jeannette Currie Jonathan Dahmer 330 Mount Auburn St Cambridge MA 02138 617-543-0362 masked Software Applications Specialist Mount Auburn Hospital 330 Mount Auburn St Cambridge MA 02138 jcurrie@mah.harvard.edu http://www.mountauburnhospital.org/ HL7 body 2.16.840.1.113883.3.854 Ext 4 4 Complete 2.16.840.1.113883.3.854.1.1 2011/04/22 12:00:00 2011/04/25 12:00:00 2011/04/25 02:10:14 UV 2.16.840.1.113883.3.866 newMentor newMentor Tygh Walker masked Julie Scherer Julie Scherer 580 California Street Suite 1925 San Francisco, CA 94104 415.362.4007 masked Chief Operations Officer newMentor 580 California Street Suite 1925 San Francisco, CA 94104 415.362.4007 jscherer@newmentor.com http://www.newmentor.com Vendor Int 3 Complete 2011/04/22 12:00:00 2011/04/25 12:00:00 2011/04/25 02:29:46 UV 2.16.840.1.113883.3.867 yalehealthhie YaleHealth HIE Jim Zarro masked Jim Zarro 55 Lock Street PO Box 208237 New Haven, CT 06520 203-432-5068 masked Programmer/Analyst JIm Zarro 55 Lock Street PO Box 208237 New Haven, CT 06520 203 432-5068 Jim.Zarro@yale.edu http://www.yalehealth.yale.edu Academic Int 3 3 Complete 2011/04/26 12:00:00 2011/05/06 12:00:00 2011/05/06 05:30:40 US 2.16.840.1.113883.3.868 nychhc-oid NYCHHC-OID William Lee masked Kevin Brown William Lee 1400 Pelham Parkway South Bldg 4 Suite 1049 Bronx, New York 10461 646-458-3728 masked Assistance Vice President for Infrastructure Services New York City Health and Hospitals Corporation 1400 Pelham Parkway South Bldg 4 Suite 1049 Bronx, New York 10461 718-794-2412 corey.cush@nychhc.org http://nychhc.org Govt body Int 3 Complete 2011/04/26 12:00:00 2011/05/06 12:00:00 2011/05/06 05:32:50 UV 2.16.840.1.113883.3.869 lbb-UMC-HS University Medical Center Health System Chris Stone masked Matthew Shivers 602 Indiana Avenue Clinical Informatics Department Lubbock, TX 79415 806-775-9843 masked Integration Architect University Medical Center 602 Indiana Avenue Lubbock, TX 79415 806-775-8200 matthew.shivers@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2011/04/27 12:00:00 2011/05/06 12:00:00 2022/01/13 04:01:48 UV 2.16.840.1.113883.3.870 sych Santa Ynez Valley Cottage Hospital Sherry Lafler masked Sherry Cottage Health System Pueblo at Bath Street Santa Barbara, CA 93105 805 569-7364 masked Senior Program Manager Santa Ynez Valley Cottage Hospital Santa Ynez Valley Cottage Hospital 2050 Viborg Road Solvang, CA 93463 805 569-7364 slafler@sbch.org http://www.cottagehealthsystem.org/OurHospitals/SantaYnezValleyCottageHospital/tabid/165/Default.aspx Provider Int 3 Complete 2011/04/27 12:00:00 2011/05/06 12:00:00 2011/05/06 05:35:38 UV 2.16.840.1.113883.3.871 sbch Santa Barbara Cottage Hospital Sherry Lafler masked Sherry Lafler Cottage Health System Pueblo at Bath Street Santa Barbara, CA 93105 805 569-7364 masked Senior Program Manager Santa Barbara Cottage Hospital Santa Barbara Cottage Hospital Pueblo at Bath Street Santa Barbara, CA 93105 805 569-7364 slafler@sbch.org http://www.cottagehealthsystem.org/OurHospitals/SantaBarbaraCottageHospital/tabid/142/Default.aspx Provider Int 3 Complete 2011/04/27 12:00:00 2011/05/06 12:00:00 2011/05/06 05:40:09 UV 2.16.840.1.113883.3.872 eclipsys Eclipsys System Community Level EID Sherry Lafler masked Sherry Lafler Cottage Health System Pueblo at Bath Street Santa Barbara, CA 93105 805 569-7364 masked Eclipsys System Community Level EID Cottage Health System Pueblo at Bath Street Santa Barbara, CA 93105 805 569-7364 slafler@sbch.org Provider Int 3 Complete 2011/04/27 12:00:00 2011/05/06 12:00:00 2011/05/06 05:42:09 UV 2.16.840.1.113883.3.873 gvch Goleta Valley Cottage Hospital Sherry Lafler masked Sherry Lafler Cottage Health System Pueblo at Bath Street Santa Barbara, CA 93105 805 569-7364 masked Senior Program Manager Goleta Valley Cottage Hospital Goleta Valley Cottage Hospital 351 South Patterson Avenue Santa Barbara, CA 93111 805 569-7364 slafler@sbch.org http://www.cottagehealthsystem.org/OurHospitals/GoletaValleyCottageHospital/tabid/158/Default.aspx Provider Int 3 Complete 2011/04/27 12:00:00 2011/05/06 12:00:00 2011/05/06 05:43:04 UV 2.16.840.1.113883.3.874 pdl Pacific Diagnostic Laboratories Sherry Lafler masked Sherry Lafler Cottage Health System Pueblo at Bath Street Santa Barbara, CA 93105 805 569-7364 masked Senior Program Manager Pacific Diagnostic Laboratories Cottage Health System Pueblo at Bath Street Santa Barbara, CA 93105 805 569-7364 slafler@sbch.org Provider Int 3 Complete 2011/04/27 12:00:00 2011/05/06 12:00:00 2011/05/06 05:44:47 UV 2.16.840.1.113883.3.875 livf-tek Livf-Tek Jerry Pothen masked Anil Abraham Jerry Pothen 2012108647 masked Livf-tek jerry.pothen@livf-tek.com http://www.livftek.com/ Vendor Int 3 Complete 2011/04/30 12:00:00 2011/05/06 12:00:00 2011/05/06 05:47:03 UV 2.16.840.1.113883.4.482 gshs The Good Samaritan Hospital Susan Boedefeld masked Susan Boedefeld P.O. Box 1281 Lebanon, PA 17042 717-270-7716 masked Clinical Analyst Relay Health sboedefeld@gshleb.org http://www.relayhealth.com Vendor 2.16.840.1.113883.3.271 Int 4 4 Complete 2011/05/02 12:00:00 2011/05/06 12:00:00 2011/05/06 05:49:29 UV 2.16.840.1.113883.3.876 cds Transcend Insights John Reed masked John Reed 910 E Hamilton Ave Ste 500 Campbell, CA 95008 USA 4084263120 masked VP Information Technology Transcend Insights 910 E Hamilton Ave Ste 500 Campbell, CA 95008 USA 4084263150 jreed@transcendinsights.com http://www.transcendinsights.com Vendor Int 3 Complete 2011/05/03 12:00:00 2011/05/06 12:00:00 2015/12/28 12:41:00 UV 2.16.840.1.113883.3.877 sach San Antonio Community Hospital Kevin Yau masked Terry Beams Terry Beams 999 San Bernardino Road Upland, CA 91786 909.985.2811 masked Integration Architect San Antonio Community Hospital 999 San Bernardino Road Upland, CA 91786 909.985.2811 tbeams@sach.org http://www.sach.org Provider Int 3 Complete 2011/05/03 12:00:00 2011/05/30 12:00:00 2011/05/30 04:04:20 UV 2.16.840.1.113883.3.878 ksmedctr kansas medical center Mike Buffington masked Mike Buffington 1124 W. 21st St Andover, KS 67002 316-300-4000 masked System Administrator Kansas Medical Center LLC 1124 W. 21st St Andover, KS 67002 316-300-4000 helpdesk@ksmedcenter.com http://www.ksmedcenter.com Provider Int 4 3 Complete 2011/05/03 12:00:00 2011/05/30 12:00:00 2011/05/30 04:06:32 UV 2.16.840.1.113883.3.879 meteor METeOR Paul Watt masked Sarah Gaunt Paul Watt +6173023 8400 masked NEHTA NEHTA Brisbane Office Level 2, 10 Browning Street West End QLD 4101 Australia +6173023 8400 paul.watt@nehta.gov.au Govt body Int 3 Complete 2011/05/05 12:00:00 2011/05/30 12:00:00 2011/05/30 04:08:55 UV 2.16.840.1.113883.17.4 prov-attachment Provider Attachment William Casper masked William Casper Medical Electronic Attachment 3577 Parkway Lane Norcross, GA 30092 888-329-9988 Ext 1620 masked IT Director Medical Electronic Attachment Medical Electronic Attachment 3577 Parkway Lane Norcross, GA 30092 888-329-9988 william.casper@mea-fast.com http://www.mea-fast.com/ Vendor Int 17 Complete 2011/05/05 12:00:00 2011/05/30 12:00:00 2011/05/30 04:22:16 UV 2.16.840.1.113883.3.880 fmolhs Franciscan Missionaries of Our Lady Health System Nanette Iglinsky masked Nanette Iglinsky 6955 Perkins Road Baton Rouge, LA 70808 225-526-4023 masked IS Programmer Franciscan Missionaries of Our Lady Health System 6955 Perkins Road Baton Rouge, LA 70808 225-526-4023 Nanette.Iglinsky@fmolhs.org http://www.fmolhs.net/ Provider Int 3 Complete 2011/05/05 12:00:00 2011/05/30 12:00:00 2011/05/30 04:25:20 UV 2.16.840.1.113883.3.881 hr4e Health Records for Everyone Philip Strong masked Philip Strong 208 Prince Street Los Gatos, CA 95032 (408) 242-6907 masked Health Records for Everyone 214 Baldwin Drive Aptos, CA 95003 pcstrong@comcast.net http://www.healthrecordsforeveryone.org/ Vendor Int 3 Complete 2011/05/06 12:00:00 2011/05/30 12:00:00 2011/05/30 04:27:05 UV 2.16.840.1.113883.3.882 mardalyoid Mardalyoid Brian Moreau masked Robert Wissenbach Marcus Daly Memorial Hospital 1200 Westwood Drive Hamilton, MT 59840 406.375.4866 masked CIO Marcus Daly Memorial Hospital Marcus Daly Memorial Hospital 1200 Westwood Drive Hamilton, MT 59840 406.375.4598 RobertWissenbach@bitterroothealth.org http://www.mdmh.org Provider Int 3 Complete 2011/05/07 12:00:00 2011/05/30 12:00:00 2024/05/17 05:03:44 UV 2.16.840.1.113883.3.883 ccmH0sp1tal-2009 ccmH0sp1tal-2009 Jeff Tindle masked Leda Beeler Jeff A Tindle 1502 N. Jefferson Street Carrollton, MO 64633 660-542-1695 masked Associate Administrator & CFO Jeff A Tindle 1502 N. Jefferson Street Carrollton, MO 64633 660-542-1695 jefft@ccmhospital.org Provider Int 3 Complete 2011/05/09 12:00:00 2011/05/30 12:00:00 2011/05/30 09:58:46 US 2.16.840.1.113883.3.884 gchoid Gillette Children's Speciality Healthcare OID Mary Schopfer masked jffall@gillettechildrens.com Alan Johnson 200 University Ave East Saint Paul, MN 55101 651-325-2119 masked Senior Interface Developer Gillette Children's Specialty Healthcare 200 University Ave East Saint Paul, MN 55101 mattesauer@gillettechildrens.com http://www.gillettechildrens.org/ Provider Int 3 Complete 2011/05/09 12:00:00 2011/05/30 12:00:00 2018/02/26 08:30:18 US 2.16.840.1.113883.3.885 siframeworkRI S&I Framework Reference Implementation Jeffrey Tunkel masked Charles Ndunda 7152 Windsor Blvd Baltimore, MD 21244 443-348-2794 masked Charles Ndunda 7152 Windsor Blvd Baltimore, MD 21244 443-348-2794 charles.n.ndunda@lmco.com http://sipilotdevelopment.org/ Govt body Int 3 Complete 2011/05/09 12:00:00 2011/05/30 12:00:00 2011/05/30 10:06:01 US 2.16.840.1.113883.3.886 cml Abe Sabbagh Ulrich Simonsmeier M.Sc. masked Abe Sabbagh 7804584989 masked Abe Sabbagh asa@cyberren.com Vendor Int 3 Complete 2011/05/09 12:00:00 2011/12/15 12:00:00 2011/12/16 12:20:03 UV 2.16.840.1.113883.17.5 regh-cis Region Hovedstaden CIS Johan Pramming masked John Wind John Wind +45 45111111 masked Region Hovedstaden Koncern IT Borgerv&#230;nget 7 2100 Kbh &#216; +45 45111111 integration@regionh.dk Govt body Int 17 Complete 2011/05/10 12:00:00 2011/05/30 12:00:00 2011/05/30 10:12:28 DK 2.16.840.1.113883.3.887 phbb Palmetto Health Baptist Behavioral Sallie Carvalho masked Sallie Carvalho 7909 Parklane Road Ste. 400 Columbia, SC 29223 8034341471 masked Sr Application Architect Palmetto Health Taylor at Marion Columbia, SC 29201 8034341471 sallie.carvalho@palmettohealth.org Provider Int 3 Complete 2011/05/10 12:00:00 2011/05/30 12:00:00 2011/05/30 10:14:45 UV 2.16.840.1.113883.3.888 dchs Daughters of Charity Health System Michael Day masked Michael Day 26000 Altamont Rd. Los Altos Hills CA, 94022 6505516553 masked Director of IT Daughters of Charity health System 26000 Altamont Rd. Los Altos Hills CA, 94022 michaelday@dochs.org http://www.dochs.org Provider Int 3 Complete 2011/05/10 12:00:00 2011/05/30 12:00:00 2011/05/30 10:21:09 UV 2.16.840.1.113883.3.889 phrs Palmetto Health Richland Springs Sallie Carvalho masked Sallie Carvalho 7909 Parklane Road Ste 400 Columbia, SC 29223 8034341471 masked Sr Application Architect Palmetto Health PH Richland Springs 11 Med Park Columbia, SC 29201 8034341471 sallie.carvalho@palmettohealth.org Provider Int 3 Complete 2011/05/10 12:00:00 2011/05/30 12:00:00 2011/05/30 10:22:54 UV 2.16.840.1.113883.4.483 ncmc North Canyon Medical Center Paul Castronova masked Paul Castronova 267 North Canyon Drive Gooding, Idaho 83330 208.934.8761 masked Director of IT North Canyon Medical Center 267 North Canyon Drive Gooding, Idaho 83330 208.934.4433 paul.castronova@ncm-c.org http://www.ncm-c.org HL7 body Int 4 Complete 2011/05/10 12:00:00 2011/05/30 12:00:00 2011/05/30 10:28:49 UV 2.16.840.1.113883.3.890 drh DRH Health Roger Neal masked Roger Neal 2621 Whisenant Dr. Duncan, OK 73533 580-251-8555 masked VP-COO-CIO DRH Health 2621 Whisenant Dr. Duncan, OK 73533 580-252-5300 info@drhhealth.org http://www.drhhealth.org Provider Int 3 Complete 2011/05/11 12:00:00 2011/05/30 12:00:00 2024/11/04 09:49:38 UV 2.16.840.1.114222.4.5.305 orgUnit-PHLIP Organization Unit codes PHLIP Riki Merrick masked Sundak Ganesan Riki Merrick P.O. Box 2541 Carmichael CA 95609-2541 916.216.0052 masked PH information specialist - contractor to APHL Association of Public Health Laboratories 8515 Georgia Avenue, Suite 700 Silver Spring MD 20910 240.485.2745 phlip@aphl.org http://www.aphl.org Prof Soc 2.16.840.1.114222.4.1.213475 Ext 6 Complete 2.16.840.1.114222.4.5.305 2011/05/12 12:00:00 2011/05/30 12:00:00 2011/05/30 10:46:33 US 2.16.840.1.114222.4.5.304 role-PHLIP Role codes for PHLIP Riki Merrick masked Sundak Ganesan Riki Merrick P.O. Box 2541 Carmichael CA 95609-2541 916.216.0052 masked PH information specialist - contractor to APHL Association of Public Health Laboratories 8515 Georgia Avenue, Suite 700 Silver Spring MD 20910 240.485.2745 phlip@aphl.org http://aphl.org Prof Soc 2.16.840.1.114222.4.1.213475 Ext 6 Complete 2.16.840.1.114222.4.5.304 2011/05/12 12:00:00 2011/05/30 12:00:00 2011/05/30 10:51:54 US 2.16.840.1.114222.4.5.306 salmSerovar-CDC Salmonella codes for serovar and formula CDC Riki Merrick masked Sundak Ganesan Riki Merrick P.O. Box 2541 Carmichael CA 95609-2541 916.216.0052 masked PH information specialist - contractor to APHL Association of Public Health Laboratories 8515 Georgia Avenue, Suite 700 Silver Spring MD 20910 240.485.2745 phlip@aphl.org http://www.aphl.org Prof Soc 2.16.840.1.114222.4.1.213475 Ext 6 Complete 2.16.840.1.114222.4.5.306 2011/05/12 12:00:00 2011/05/30 12:00:00 2011/05/30 10:54:18 US 2.16.840.1.113883.3.891 mikal-bmc Borgess Medical Center - Kalamazoo MI Michael Diebold masked Michael Diebold 1535 Gull Road Fontbonne Manor #117 Kalamazoo, MI 49048 269-552-2741 masked Senior Integration/Interface Analyst Borgess Medical Center 1521 Gull Road Kalamazoo, MI 49048 269-226-7000 michael.diebold@ascension.org http://www.borgess.com Provider Int 3 Complete 2011/05/12 12:00:00 2011/05/30 12:00:00 2017/04/19 05:14:16 UV 2.16.840.1.113883.3.892 claimShuttle ClaimShuttle Jeff Benjamin masked Jeff Benjamin AXIOM Systems, Inc. 16020 N 35th Ave Ste 1 Phoenix, AZ 85053 602 439-2525 masked Chief Technology Officer AXIOM Systems, Inc. AXIOM Systems, Inc. 16020 N 35th Ave Ste 1 Phoenix, AZ 85053 602 439-2525 jbenjamin@axiom-systems.com http://www.axiom-systems.com Vendor Int 3 Complete 2011/05/12 12:00:00 2011/05/30 12:00:00 2012/02/01 06:15:53 UV 2.16.840.1.113883.3.893 noh NOBLE HOSPITAL Nick Symiakakis masked Nick Symiakakis 115 West Silver Street Westfield, MA. 01085 413-572-5161 masked Network Administrator Nick Symiakakis 115 West Silver Street Westfield, MA. 01085 413-572-5161 nicholas.symiakakis@baystatehealth.org http://www.baystatenoblehospital.org Provider Int 3 Complete 2011/05/12 12:00:00 2011/05/30 12:00:00 2016/02/05 08:48:57 UV 2.16.840.1.113883.3.894 uhcelsoid02 University of Missouri Health Care, Ellis Cancer Center Internal OID Abdolreza Rastkar masked Abdolreza Rastkar DC017.0, One Hospital Drive Columbia, MO. 65212 (573) 882-1018 masked Group Lead, Interface Development University of Missouri Health Care, Ellis Fischel Cancer Center One Hospital Drive Columbia, MO. 65212 (573) 882-4141 Davishr@Health.missouri.edu http://www.missouri.edu Provider Int 3 Complete 2011/05/12 12:00:00 2011/05/30 12:00:00 2013/11/06 01:50:20 UV 2.16.840.1.113883.3.895 testName Testing name FirstName LastName masked Name Phone masked Nonanem email@email.com HL7 body Int 3 Rejected 2011/05/16 12:00:00 2011/05/30 12:00:00 2011/05/30 11:07:17 UV 2.16.840.1.113883.3.896 gecentricityCCD Morton Hospital and Medical Center CCD Danielle Withrow masked Danielle Withrow 508-828-7559 masked Morton Hospital and Medical Center 88 Washington Street Taunton, MA 508-828-7000 dwithrow@mortonhospital.org http://mortonhospital.org/EN/home/ Provider 2.16.840.1.113883.3.863 Int 3 Complete 2011/05/16 12:00:00 2011/06/17 12:00:00 2011/06/17 01:18:48 UV 2.16.840.1.113883.2.4.6.3 burgerservicenummer Dutch National Patient Identifiers (Burgerservicenummer) Alexander Henket masked HL7 Netherlands W. Barentszstraat 1 3902 DE VEENENDAAL +31318-548869 masked SDO SBV-Z +31900-2324342 info@sbv-z.nl http://www.sbv-z.nl/ Govt body Ext 4 Complete 2.16.840.1.113883.2.4.6.3 2011/05/16 12:00:00 2011/05/30 12:00:00 2011/05/30 11:27:47 NL 2.16.840.1.113883.4.484 shc Syringa Hospital and Clinics to Cerner HL7 Darla Anglen-Whitley masked Darla Anglen-Whitley Syringa Hospital and Clinics 607 W Main St Grangeville, ID 83530 208-451-1611 masked EHR Implementation Manager Syringa Hospital and Clinics 607 W Main St Grangeville, ID 83530 208-983-1700 dwhitley@syringahospital.org http://www.syringahospital.org HL7 body Int 4 Complete 2011/05/16 12:00:00 2011/05/30 12:00:00 2011/05/30 11:30:58 UV 2.16.840.1.113883.3.897 proficienthealth David jones Rick Reddel masked David Jones 301 S Elm St. Suite 911 Greensboro, NC 27401 336-389-6600 masked Director of IT David jones 301 S Elm St. Suite 911 Greensboro, NC 27401 336-389-6600 djones@proficienthealth.com http://www.proficienthealth.com Vendor Int 3 Complete 2011/05/17 12:00:00 2011/05/30 12:00:00 2015/01/29 03:44:02 UV 2.16.840.1.113883.3.898 ach All Children's Health System, Inc Blanche Calby masked Blanche Calby 501 6th Avenue South IT Dept 9150 St Petersburg, FL 33701 727-767-8904 masked Director, Clinical and Financial Systems All Children's Hospital 501 6th Avenue South IT Dept 9150 St Petersburg, FL 33701 727-767-8904 blanche.calby@allkids.org http://allkids.org/index.html Provider Int 3 Complete 2011/05/17 12:00:00 2011/05/30 12:00:00 2011/05/30 11:41:04 UV 2.16.840.1.113883.3.899 nanticoke Nanticoke Memorial Hospital Mary West masked Mary West IT Department 801 Middleford Road Seaford, DE 19973 302-629-6611 ext 4528 masked IT Senior Analyst Nanticoke Memorial Hospital 801 Middleford Road Seaford, DE 19973 302-629-6611 godeskys@nanticoke.org http://www.nanticoke.org Provider Int 3 Complete 2011/05/17 12:00:00 2011/05/30 12:00:00 2011/05/30 11:43:18 UV 2.16.840.1.113883.3.900 swp CHRISTUS St. Patrick Hospital Eric Gibson masked Eric Gibson 210-704-2364 masked CHRISTUS St. Patrick Hospital 524 Dr. Michael DeBakey Drive Lake Charles, LA 70601 (337) 436-2511 christusstpatrick@christushealth.org http://www.christusstpatrick.org/ Provider Int 3 Complete 2011/05/17 12:00:00 2011/05/30 12:00:00 2011/05/30 11:44:41 UV 2.16.840.1.113883.3.901 book book io io masked y 4444545 masked yo ydiazt@ceis.cujae.edu.cu Govt body 2.16.192 Int 3 Rejected 2011/05/17 12:00:00 2011/05/30 12:00:00 2011/05/30 11:46:34 UV 2.16.840.1.113883.3.902 swla CHRISTUS Health Southwestern Louisiana Eric Gibson masked Eric Gibson 210-704-2364 masked CHRISTUS Health Southwestern Louisiana 524 Dr. Michael DeBakey Drive Lake Charles, LA 70601 (337) 436-2511 christusstpatrick@christushealth.org http://www.christusstpatrick.org Provider Int 3 Complete 2011/05/17 12:00:00 2011/05/30 12:00:00 2011/05/30 11:48:02 UV 2.16.840.1.113883.3.903 ehshie-521 Erlanger Health System Health Information Exchange Georgia Vaughn masked Georgia Vaughn 423-778-7420 masked Erlanger Health System 975 East 3rd Street Chattanooga, TN 37403 423-778-7000 georgia.vaughn@antheliohealth.com Provider Int 3 Complete 2011/05/18 12:00:00 2011/06/06 12:00:00 2011/06/06 07:06:46 UV 2.16.840.1.113883.3.904 fauquierhospital Fauquier Health Kevin Sexton masked Kevin Sexton Attn: I.S. Dept. 500 Hospital Drive Warrenton, VA 20115 540-316-5522 masked Systems Analyst Fauquier Health 500 Hospital Drive Warrenton, VA 20115 540-316-5522 sextonk@fauquierhealth.org http://www.fauquierhospital.org/ Provider Int 3 Complete 2011/05/18 12:00:00 2011/06/06 12:00:00 2011/06/06 07:11:08 UV 2.16.840.1.113883.3.905 pha Palmetto Heatlh Sallie Carvalho masked Sallie Information Technology 7909 Parklane Road Ste 400 Columbia, SC 29223 803 434 1471 masked Sr Application Architect Palmetto Health Information Technology 7909 Parklane Road Ste 400 Columbia, SC 29223 803 434 1471 sallie.carvalho@palmettohealth.org Provider Int 3 3 Complete 2011/05/18 12:00:00 2011/06/06 12:00:00 2011/06/06 07:15:30 UV 2.16.840.1.113883.3.905.1 phcmrn Palmetto Health Corporate MRN Sallie Carvalho masked Sallie Carvalho Info Technology 7909 Parklane Road Ste 400 Columbia, SC 29223 803 434 1471 masked Sr Application Architect Sallie Carvalho Info Technology 7909 Parklane Road Ste 400 Columbia, SC 29223 803 434 1471 sallie.carvalho@palmettohealth.org Provider Ext 3 3 Complete 2.16.840.1.113883.3.905.1 2011/05/18 12:00:00 2011/06/06 12:00:00 2011/06/06 07:13:46 UV 2.16.840.1.113883.3.906 oBaptistHealthJacksonville Baptist Health of Jacksonville Florida Jeffrey Schwartz masked Jeffrey Schwartz 3451 Beach Blvd Jacksonville, Fl, 32207 904 202 0724 masked Sr Middleware Analyst Baptist Health jeffrey.schwartz@bmcjax.com http://www.e-baptisthealth.com Provider Int 3 Complete 2011/05/19 12:00:00 2011/06/06 12:00:00 2011/06/06 07:21:05 UV 2.16.840.1.113883.3.907 bhCareConnect Baptist Health Care Connect Cheryl Wise masked Seth McCracken Cheryl Wise 3451 Beach Blvd Jacksonville, FL 32207 904.202.0872 masked Manager, Web Technologies Baptist Health 800 Prudential Drive Jacksonville, FL 32207 904.202.2000 webmaster@bmcjax.com http://www.e-baptisthealth.com Provider Int 3 Complete 2011/05/19 12:00:00 2011/06/06 12:00:00 2011/06/06 07:26:26 UV 2.16.840.1.113883.3.908 haysmed Hays Medical Center, Inc OID Scott Rohleder masked Vonda Ackerman 2220 Canterbury Drive Hays, KS 67601 785-623-5463 masked Interface Engineer Hays Medical Center, Inc 2220 Canterbury Drive Hays, KS 67601 785-623-5000 vonda.ackerman@haysmed.com http://www.haysmed.com Provider Int 3 3 Complete 2011/05/20 12:00:00 2011/06/06 12:00:00 2025/08/22 03:20:56 UV 2.16.840.1.113883.4.485 crmc Cortland Regional Medical Center Joseph Spada masked Vickie Walczak 134 Homer Avenue Cortland, N.Y. 13045 607-756-3574 masked Interface Analyst Cortland Regional Medical Center 134 Homer Avenue Cortland, N.Y. 13045 607-756-3574 vwalczak@cortlandregional.org https://www.cortlandregional.org Provider Int 4 Complete 2011/05/20 12:00:00 2011/06/06 12:00:00 2017/01/06 08:50:01 UV 2.16.840.1.113883.3.909 hmh Harrington Hospital Tara Gordon masked Adam Souvigney Tara Gordon IT Department 100 South Street Southbridge, MA 01550 508-765-6457 masked IT Applications Analyst Harrington Hospital 100 South Street Southbridge, MA 01550 508-765-9771 tgordon@harringtonhospital.org http://www.harringtonhosptial.org Provider Int 3 Complete 2011/05/20 12:00:00 2011/06/06 12:00:00 2011/06/06 07:42:25 UV 2.16.840.1.113883.3.910 pvmc Parkview Medical Center, Inc. Paula Oreskovich masked Kim Santistevan Paula Oreskovich Parkview Medical Center, Inc. 400 W. 16th St. Pueblo, CO 81003 719-584-4880 masked Dir. of Information Technology Kim Santistevan Parkview Medical Center, Inc. 400 W. 16th St. Pueblo, CO 81003 729-584-7365 kim_santistevan@parkviewmc.com Provider Int 3 Complete 2011/05/20 12:00:00 2011/06/06 12:00:00 2011/06/06 07:43:57 UV 2.16.840.1.113883.18.1 sex Sex William Ted Klein masked Frank Oemig Ted Klein 734-677-7777 masked Vocabulary WorkGroup Co-Chair HL7 Vocabulary Workgroup 734-677-7777 hq@hl7.org http://www.hl7.org/Special/committees/Vocab/index.cfm SDO 2.16.840.1.113883 Int 2.16.840.1.113883.18.2 18 Obsolete 2011/05/20 12:00:00 2011/05/20 12:00:00 2015/04/13 03:30:52 HL70001 UV 2.16.840.1.113883.18.2 administrativeSex Administrative Sex William Ted Klein masked Frank Oemig Ted Klein 734-677-7777 masked Vocabulary WorkGroup Co-Chair HL7 Vocabulary Workgroup 734-677-7777 hq@hl7.org http://www.hl7.org/Special/committees/Vocab/index.cfm SDO 2.16.840.1.113883 Int 18 Complete 2011/05/20 12:00:00 2011/05/20 12:00:00 2011/05/20 08:56:48 HL70001 UV 2.16.840.1.113883.3.911 yucca729 yucca729 Dmitry Murchenko masked Dmitry +78182270327 masked IT Director Intelligent Products Service P. Usova street, 10, Arkhangelsk, Russia +78182270327 yucca729@gmail.com Govt body Int 3 Complete 2011/05/21 12:00:00 2011/06/06 12:00:00 2011/06/06 07:48:03 UV 2.16.840.1.113883.3.912 cosmic Catalogue Of Somatic Mutations In Cancer Mollie Ullman-Cullere masked Mollie Ullman-Cullere Clinical and Translational Informatics Dana-Farber Cancer Institute 450 Brookline Ave., OS359H Boston, MA 02215-5450 617-582-7249 masked Sr. BioMedical Informaticist Sanger Institute Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton, Cambridge. CB10 1SA UK +44 (0)1223 834244 mrs@sanger.ac.uk http://www.sanger.ac.uk/genetics/CGP/cosmic/ Academic Int 3 Complete 2011/05/22 12:00:00 2011/06/06 12:00:00 2011/06/06 07:51:36 UV 2.16.840.1.113883.3.913 pharmgkb Pharmacogenomics Knowledge Base Mollie Ullman-Cullere masked Mollie Ullman-Cullere Clinical and Translational Informatics Dana-Farber Cancer Institute 450 Brookline Ave., OS359H Boston, MA 02215-5450 617-582-7249 masked Sr. BioMedical Informaticist Stanford University, Department of Genetics Department of Genetics Stanford University 1501 California Avenue Palo Alto, CA 94304 (650) 725-3394 russ.altman@stanford.edu http://www.pharmgkb.org/ Academic Int 3 Complete 2011/05/22 12:00:00 2011/06/06 12:00:00 2011/06/06 07:55:02 UV 2.16.840.1.113883.3.914 iODincorporated IOD Incorporated Lenny Dexter masked Lenny Dexter 100 116th Ave SE Bellevue, WA 98004 425-246-0203 masked VP, Technology Operations IOD Incorporated 1030 Ontario Rd Green Bay, WI 54311 920-406-5000 info@iodincorporated.com https://iodincorporated.com Vendor Int 3 Complete 2011/05/24 12:00:00 2011/06/06 12:00:00 2011/06/06 07:57:16 US 2.16.840.1.113883.17.7 nchin North Coast Health Information Network Greg DeBacker masked Mitch Trachtenberg 2662 Harris Street Eureka, CA 95503 7074434563 masked Programmer North Coast HIE 2662 Harris Street Eureka, CA 95503 7074431311 mtrachtenberg@northcoasthin.org HL7 body Int 17 17 Complete 2011/05/24 12:00:00 2011/06/06 12:00:00 2016/06/02 12:31:59 US 2.16.840.1.113883.3.915 riqi Rhode Island Quality Institute Adam Yoder masked Charlie Dansereau Rhode Island Quality Institute 235 Promenade Street Suite 600 Providence, RI 02908 401-276-9141 masked Director, Information Technology Rhode Island Quality Institute Rhode Island Quality Institute 235 Promenade Street Suite 600 Providence, RI 02908 401-276-9141 cdansereau@riqi.org http://www.riqi.org Govt body Int 3 Complete 2011/05/25 12:00:00 2011/06/06 12:00:00 2011/06/06 08:04:25 UV 2.16.840.1.113883.3.916 themcf Oid for the Medical Center Franklin Mark Hanson masked Mark Hanson Commonwealth Health Corporation 800 Park Ave Bowling Green, KY. 42102 270-796-2561 masked Sr. Clinical Informatics Specialist The Medical Center Franklin The Medical Center 1100 Brookhaven Road Franklin, KY, 42134 270-598-4800 info@chc.net http://www.themedicalcenterfranklin.org/ Provider Int 3 Complete 2011/05/25 12:00:00 2011/06/06 12:00:00 2011/06/06 08:10:27 UV 2.16.840.1.113883.3.917 themcs OID for the Medical Center Scottsville Mark Hanson masked Mark Hanson Commonwealth Health Corporation 800 Park Ave Bowling Green, KY. 42102 270-796-2561 masked Sr. Clinical Informatics Specialist The Medical Center Scottsville The Medical Center Scottsville 456 Burnley Road Scottsville, KY 42164 270-622-2800 infor@chc.net http://www.themedicalcenterscottsville.org/ Provider Int 3 Complete 2011/05/25 12:00:00 2011/06/06 12:00:00 2011/06/06 08:11:56 UV 2.16.840.1.113883.3.918 crsh OID for Commonwealth Regional Specialty Hospital Mark Hanson masked Mark Hanson Commonwealth Health Corporation 800 Park Ave Bowling Green, KY. 42102 270-796-2561 masked Sr. Clinical Informatics Specialist Commonwealth Regional Specialty Hospital Commonwealth Regional Specialty Hospital 250 Park Ave. Bowling Green, KY. 42102 270-796-6200 info@chc.net http://www.commonwealthregionalspecialtyhospital.org/ Provider Int 3 Complete 2011/05/25 12:00:00 2011/06/06 12:00:00 2011/06/06 08:13:41 UV 2.16.840.1.113883.3.919 emptyx Assigning Authority for Patient ID David Joyner masked David Joyner 607-843-8870 masked David Joyner d4ljoyn@yahoo.com Academic Int 3 Complete 2011/05/25 12:00:00 2011/06/06 12:00:00 2011/06/06 08:16:11 UV 2.16.840.1.113883.3.920 asante Asante Health System Christopher Jorge masked Asante Health System Christopher Jorge 541-789-4756 masked Sr. Programmer / Analyst Asante Health System 2650 Siskiyou Blvd. Medford, Oregon 97504 USA 541-789-7000 cjorge@asante.org http://www.asante.org Provider Int 3 Complete 2011/05/25 12:00:00 2011/06/06 12:00:00 2011/06/06 08:18:18 UV 2.16.840.1.113883.3.921 rvmc Rogue Valley Medical Center Christopher Jorge masked Asante Health System Christopher Jorge 541-789-4756 masked Sr. Programmer / Analyst Asante Health System 2650 Siskiyou Blvd. Medford, Oregon 97504 USA 541-789-7000 cjorge@asante.org http://www.asante.org Provider Int 3 Complete 2011/05/25 12:00:00 2011/06/06 12:00:00 2011/06/06 08:19:44 UV 2.16.840.1.113883.3.922 trch Three Rivers Community Hospital Christopher Jorge masked Asante Health System Christopher Jorge 541-789-4756 masked Sr. Programmer / Analyst Asante Health System 2650 Siskiyou Blvd. Medford, Or. 97504 USA 541-789-7000 cjorge@asante.org http://www.asante.org Provider Int 3 Complete 2011/05/25 12:00:00 2011/06/06 12:00:00 2011/06/06 08:20:49 UV 2.16.840.1.113883.3.923 imagex Imagex - Advanced Directives Sherry Lafler masked Sherry Lafler Cottage Health System Pueblo at Bath Street Santa Barbara, CA 93105 805 569-7364 masked Senior Program Manager ImageX Cottage Health System Pueblo at Bath Street Santa Barbara, CA 93105 805 569-7364 slafler@sbch.org Provider Int 3 Complete 2011/05/26 12:00:00 2011/06/06 12:00:00 2011/06/06 08:23:24 UV 2.16.840.1.113883.4.486 vah The Valley Hospital Brian La Forgia masked Eric Carey Daniel Diaz 15 Essex Road Paramus, NJ 07652 201-291-6450 masked Application Developer The Valley Health System 15 Essex Road Paramus, NJ 07652 201-447-8000 Integration@valleyhealth.com http://www.valleyhealth.com Provider Int 4 Complete 2011/05/26 12:00:00 2011/06/06 12:00:00 2016/04/15 10:02:29 UV 2.16.840.1.113883.4.487 atlastiger atlastiger xu yandong masked xuyandong 008618621510077 masked atlastiger xuyd@atlastiger.com.cn Vendor Int 4 Complete 2011/05/27 12:00:00 2011/06/06 12:00:00 2011/06/06 08:29:14 CN 2.16.840.1.113883.3.924 augustahealth Augusta Health Betty Hite masked Betty Hite 540-332-4884 masked Applications Manager Augusta Health 78 Medical Center Drive Fishersville, VA 22939 540-332-4000 info@augustahealth.com http://www.augustahealth.com Provider Int 17 3 Complete 2011/05/27 12:00:00 2011/06/06 12:00:00 2011/06/06 08:34:59 UV 2.16.840.1.113883.3.925 sjrmcoid St. John's Regional Medical Center OID Laura Hall masked Jeff Perry Jeff Perry 1600 North Rose Ave Oxnard, CA 93030 805-981-7400 masked Site IT Director St. John's Regional Medical Center 1600 North Rose Ave Oxnard, CA 93030 jeff.perry@chw.edu Provider Int 3 Complete 2011/05/27 12:00:00 2011/06/06 12:00:00 2011/06/06 08:36:00 US 2.16.840.1.113883.3.926 tu tu yovany erf masked yovany 676756 masked utyutyyt ydiazt@ceis.cujae.edu.cu SDO Int 3 Rejected 2011/05/30 12:00:00 2011/06/06 12:00:00 2011/06/06 08:39:36 3.x UV 2.16.840.1.113883.3.927 bhs-01 baystate health Systems Tracy Baker masked Tracy Baker Federal Building, 5th FL 1550 Main Street Springfield, MA 01199 413-794-0542 masked Programmer Heather Nelson Federal Building, 5th FL 1550 Main Street Springfield, MA 01199 413-794-0770 heather.nelson@bhs.org http://www.baystatehealth.org/Baystate Provider Int 3 3 Complete 2011/05/31 12:00:00 2011/06/06 12:00:00 2011/06/06 08:42:18 US 2.16.840.1.113883.3.928 expert Expert Sistemas Helio Guti&#233;rrez masked Ricardo Figueroa Helio Guti&#233;rrez Blvd. Antonio L. Rodriguez No. 3058 Col. Ma. Luisa, Monterrey, N.L. (52)81 8100 9099 masked TI Manager Expert Sistemas Computacionales, S.A. de C.V. Blvd. Antonio L. Rodriguez No. 3058 Col. Ma. Luisa, Monterrey, N.L. (52)81 8100 9099 hgutierrez@expert.com.mx http://www.expert.com.mx Vendor Int 3 Complete 2011/05/31 12:00:00 2011/06/06 12:00:00 2011/06/06 08:44:19 UV 2.16.840.1.113883.3.929 sticomputer STI Computer Services, Inc. Swithin Chandler masked Swithin Chandler 2700 Van Buren Avenue Eagleville, PA 19403 610-650-9700 masked Director of Software Development STI Computer Services, Inc. 2700 Van Buren Avenue Eagleville, PA 19403 610-650-9700 schandler@sticomputer.com http://www.sticomputer.com Vendor Int 3 Complete 2011/06/01 12:00:00 2011/06/06 12:00:00 2011/06/06 08:45:17 US 2.16.840.1.113883.4.488 titus-OID Titus Regional Medical Center - CCD - OID Jimmy Pitts masked Ron Davis Jimmy Pitts 2001 N Jefferson Mount Pleasant, Texas 75455 903-577-6103 masked Manager Technical Services Titus Regional Medical Center 2001 N Jefferson Mount Pleasant, Texas 75455 903-577-6000 netadmin@titusregional.com https://www.titusregional.com Provider 2.16.840.1.113883.3.271 Int 4 Complete 2011/06/01 12:00:00 2011/06/13 12:00:00 2011/06/13 05:30:41 UV 2.16.840.1.113883.17.8 sdbeacon San Diego Beacon eHealth Community Project Jami Young masked Jami Young 200 W. Arbor Drive 8676 San Diego, CA 92103-8676 619-471-3691 masked Project Manager San Diego Beacon 200 W. Arbor Drive 8676 San Diego, CA 92103-8676 619-471-3691 jamiyoung@ucsd.edu http://sandiegobeacon.org Academic Int 17 Complete 2011/06/01 12:00:00 2011/06/13 12:00:00 2011/06/13 03:46:10 UV 2.16.840.1.113883.17.9 cwi Craneware InSight Jeffrey St.Vrain masked Jeffrey St.Vrain 3392256069 masked Craneware InSight 545 Brandies Circle Murfreesboro, TN 37128 6158694000 j.stvrain@craneware.com http://www.cranewareinsight.com Vendor Int 17 Complete 2011/06/02 12:00:00 2011/06/13 12:00:00 2011/06/13 03:47:30 UV 2.16.840.1.113883.3.899.1 nmh-mrn Nanticoke MRN Mary West masked Mary West IT Department 801 Middleford Road Seaford, DE 19973 302-629-6611 ext 4528 masked IT Senior Analyst Nanticoke Memorial Hospital 801 Middleford Road Seaford, DE 19973 302-629-6611 godeskys@nanticoke.org http://www.nanticoke.org Provider Ext 3 4 Complete 2.16.840.1.113883.3.899.1 2011/06/02 12:00:00 2011/06/13 12:00:00 2011/06/13 04:15:35 UV 2.16.840.1.113883.3.930 slvrmc San Luis Valley Regional Medical Center Bill Hurst masked Bill Hurst 106 Blanca Ave. Alamosa, CO 81101 719-587-6388 masked IT Project Manager San Luis Valley Regional Medical Center 106 Blanca Ave. Alamosa, CO 81101 719-587-6388 william.hurst@slvrmc.org http://www.slvrmc.org Provider Int 3 Complete 2011/06/02 12:00:00 2011/06/13 12:00:00 2011/06/13 04:17:17 UV 2.16.840.1.113883.3.931 chus CHUS QCPR OID Jean-Philippe Bachand masked Jean-Philippe Bachand 3001, 12e avenue Nord, Sherbrooke (qu&#233;bec) Canada J1H5N4 819.346.1110 x18192 masked System manager CHUS jpbachand.chus@ssss.gouv.qc.ca http://chus.qc.ca Govt body Int 3 Complete 2011/06/03 12:00:00 2011/06/13 12:00:00 2011/06/13 04:24:49 UV 2.16.840.1.113883.3.932 luh Longmont United Hospital John Peterson masked John Peterson 1950 Mountain View Ave. Longmont, CO 80501 303-651-5381 masked Vice President, Information Systems Longmont United Hospital 1950 Mountain View Ave. Longmont, CO 80501 303-651-5111 helpdesk@luhcares.org http://www.luhcares.org Provider Int 3 Complete 2011/06/03 12:00:00 2011/06/13 12:00:00 2011/06/13 04:26:22 UV 2.16.840.1.113883.3.934 cchit Certification Commission for Health Information Technology Ben Uphoff masked Ben Uphoff (312) 674-4930 masked Certification Technology Engineer CCHIT 200 S Wacker Drive Suite 3100 Chicago, IL 60606 (312) 674-4930 oid@cchit.org http://cchit.org SDO Int 3 Complete 2011/06/03 12:00:00 2011/06/13 12:00:00 2011/06/13 04:32:41 UV 2.16.840.1.113883.3.935 mid-columbiaMedicalCenter Mid-Columbia Medical Center William Palmer masked Mid-Columbia Medical Center William F Palmer Mid-Columbia Medical Center Information Systems 1700 E 19th ST The Dalles, OR 97058 541-296-7417 masked Financial Systems Analyst Mid-Columbia Medical Center 1700 E 19th ST The Dalles, OR 97058 541-296-1111 erickl@mcmc.net http://www.mcmc.net Provider Int 3 Complete 2011/06/03 12:00:00 2011/06/13 12:00:00 2011/06/13 04:34:42 UV 2.16.840.1.113883.3.936 faisal Qazi Faisal Sami Faisal Sami masked Qazi Faisal Sami +923214152543 masked Software Engineer Qazi Faisal Sami 10-B Model Town Lahore, Pakistan +923214152543 faisalsami78@gmail.com Academic Int 3 Complete 2011/06/05 12:00:00 2011/06/13 12:00:00 2011/06/13 04:36:26 UV 2.16.840.1.113883.3.937 nfh Northfield Hospital & Clinics Cindy Grolla masked Vern Lougheed Vern Lougheed 2000 North Ave Northfield, MN 55057 5076461008 masked Director of Information System Northfield Hospital & Clinics 2000 North Ave Northfield, MN 55057 5076461000 lougheedv@northfieldhospital.org HL7 body Int 3 Complete 2011/06/07 12:00:00 2011/06/13 12:00:00 2023/11/28 09:21:31 UV 2.16.840.1.113883.3.938 bellhosp-OID Continuity of Care Document Daniel Fezatt masked Daniel Fezatt 901 Lakeshore Drive Ishpeming, MI 49849 906-485-2776 masked IT Manager Bell Hospital 901 Lakeshore Drive Ishpeming, MI 49849 906-485-4331 daniel.fezatt@bellmi.org http://www.bellhospital.org Provider Int 3 Complete 2011/06/08 12:00:00 2011/06/13 12:00:00 2011/06/13 04:42:23 UV 2.16.840.1.113883.3.939 bayfrontHealthSystems Bayfront Health Systems Shari Goodwin masked Shari S. Goodwin 701 6th St S. St. Petersburg, Florida 33701 727-553-7820 masked Lead Analyst Bayfront Health Systems 701 6th St S. St. Petersburg, Florida 33701 727-823-1234 shari.goodwin@bayfront.org http://www.bayfront.org/ Provider Int 3 3 Complete 2011/06/08 12:00:00 2011/06/13 12:00:00 2011/06/13 04:45:18 UV 2.16.840.1.113883.3.940 hworks Housing Works Adam Yoder masked Adam Yoder 765-405-1557 masked Brooklyn Health Information Exchange 1045 39th Street Brooklyn, NY 11219 1045 39th Street info@bhix.org Provider Int 3 Complete 2011/06/08 12:00:00 2011/06/13 12:00:00 2011/06/13 04:47:05 UV 2.16.840.1.113883.3.941 tch The Children's Hospital Colorado Michael Schmit masked Mike Schmit 13123 East 16th Avenue Aurora, CO 80045 720.777.8238 720-777-8238 masked Interface Engineer The Children's Hospital Colorado 13123 East 16th Avenue Aurora, CO 80045 720.777.1234 schmit.mike@tchden.org http://www.thechildrenshospital.org/ Provider Int 3 Complete 2011/06/09 12:00:00 2011/06/13 12:00:00 2011/06/13 04:48:29 UV 2.16.840.1.113883.3.942 checorp Catholic Health East Enterprise David Stratton masked David Stratton Catholic Health East 3805 West Chester Pike Suite 100 Newtown Square Pa 19073 610-492-3752 masked CHE Manager of Integration and Programming David Stratton Catholic Health East 3805 West Chester Pike Suite 100 Newtown Square Pa 19073 610-492-3752 dstratton@che.org http://www.che.org Provider Int 3 Complete 2011/06/10 12:00:00 2011/06/13 12:00:00 2011/06/13 04:50:22 UV 2.16.840.1.113883.3.942.1 chenjregion Catholic Health East NJ Region David Stratton masked David Stratton Catholic Health East 3805 West Chester Pike Suite 100 Newtown Square Pa 19073 610-492-3752 masked CHE Manager of Integration and Programming David Stratton Catholic Health East 3805 West Chester Pike Suite 100 Newtown Square Pa 19073 610-492-3752 dstratton@che.org http://www.che.org Provider Ext 14 3 Complete 2.16.840.1.113883.3.942.1 2011/06/10 12:00:00 2011/06/13 12:00:00 2011/06/13 04:53:23 UV 2.16.840.1.113883.17.10 pardee Margaret R Pardee Hospital Lori Owen masked paul.thomas@pardeehospital.org Lori Owen 800 N. Justice Street Hendersonville, NC 28791 828-698-7328 masked Interface Analyst Margaret R. Pardee Hospital 800 N. Justice Street Hendersonville, NC 28791 828-698-7328 lori.owen@pardeehospital.org http://www.pardeehospital.org/ Provider Int 2.16.840.1.113883.3.2629.300 17 Retired 2011/06/10 12:00:00 2014/12/11 12:00:00 2014/12/11 03:45:37 US 2.16.840.1.113883.3.943 dSCH Dominican Hospital Linda Barrie masked Linda Barrie 818 885-3509 masked Dominican Hospital 1555 Soquel Dr Santa Cruz, CA 95065 (831) 462-7700 lbarrie@chw.edu http://www.dominicanhospital.org Provider Int 3 Complete 2011/06/10 12:00:00 2011/06/13 12:00:00 2011/06/13 04:58:52 UV 2.16.840.1.113883.3.944 sMMC St. Mary's Medical Center Linda Barrie masked Linda Barrie (818) 885-3509 masked St. Mary's Medical Center 450 Stanyan St San Francisco, CA 94117 (415) 668-1000 lbarrie@chw.edu http://www.stmarysmedicalcenter.org/ Provider Int 3 Complete 2011/06/10 12:00:00 2011/06/13 12:00:00 2011/06/13 05:07:56 UV 2.16.840.1.113883.3.945 sFMH St. Francis Memorial Hospital Linda Barrie masked Linda Barrie (818) 885-3509 masked St. Francis Memorial Hospital 900 Hyde St San Francisco, CA 94109 (415) 353-6000 lbarrie@chw.edu http://www.saintfrancismemorial.org Provider Int 3 Complete 2011/06/10 12:00:00 2011/06/13 12:00:00 2011/06/13 05:11:27 UV 2.16.840.1.113883.3.946 wHC Woodland Hospital Linda Barrie masked Linda Barrie (818) 885-3509 masked Woodland Hospital 1325 Cottonwood St Woodland, CA 95695 (530) 662-3961 lbarrie@chw.edu http://www.woodlandhealthcare.org Provider Int 3 Complete 2011/06/10 12:00:00 2011/06/13 12:00:00 2011/06/13 05:14:18 UV 2.16.840.1.113883.3.947 mGH Mercy General Hospital Linda Barrie masked Linda Barrie (818) 885-3509 masked Mercy General Hospital 4001 J St Sacramento, CA 95819 (916) 453-4545 lbarrie@chw.edu http://www.mercygeneral.org Provider Int 3 Complete 2011/06/10 12:00:00 2011/06/13 12:00:00 2011/06/13 05:15:25 UV 2.16.840.1.113883.3.948 spasoarian SPA Soarian Enterprise David Stratton masked David Stratton Catholic Health East 3805 West Chester Pike Suite 100 Newtown Square PA 19073 610-492-3752 masked David Stratton Catholic Health East 3805 West Chester Pike Suite 100 Newtown Square PA 19073 610-492-3752 dstratton@che.org http://www.che.org Provider Int 3 Complete 2011/06/10 12:00:00 2011/06/13 12:00:00 2011/06/13 05:17:36 UV 2.16.840.1.113883.3.949 chenjsoar Trinity NJ Soarian Enterprise David Stratton masked David Trinity Health 3805 West Chester Pike Suite 100 Newtown Square PA 19073 610-492-3752 masked Integration Manager David Stratton Trinity Health 3805 West Chester Pike Suite 100 Newtown Square PA 19073 610-492-3752 dstratton@che.org http://www.che.org Provider Int 3 Complete 2011/06/10 12:00:00 2011/06/13 12:00:00 2015/05/20 08:46:13 UV 2.16.840.1.113883.3.950 mmh Morgan Memorial Hospital Patrick Cook masked Patrick PO Box 860 Madison, GA 30650 706-752-2205 masked CIO Morgan Memorial Hospital PO Box 860 Madison, GA 30650 706-342-1667 patrickc@mmh.org http://www.mmh.org Provider Int 3 3 Complete 2011/06/13 12:00:00 2011/06/13 12:00:00 2011/06/13 05:21:28 UV 2.16.840.1.113883.3.951 bmc Bay Medical Center Chris Lombard masked Sandy Oltz Chris Lombard 615 North Bonita Avenue Panama City, FL 32401 850-747-6649 masked System Development Principal Sandy Oltz 615 North Bonita Avenue Panama City, FL 32401 850-747-6277 sandy.oltz@baymedical.org http://www.baymedical.org Provider Int 3 Complete 2011/06/13 12:00:00 2011/06/13 12:00:00 2014/06/25 02:11:10 UV 2.16.840.1.113883.15.9 appProjectofSOA4506 FullPolicyEngine Zhongliang Wang masked Peter 136 Shanliss Ave Santry D9 Dublin 353871402447 masked Health Services Officer Peter 136 Shanliss Ave Santry D9 Dublin 353871402447 zhongliang_1120@hotmail.com http://www.dcu.ie HL7 body Int 15 Complete 2011/06/14 12:00:00 2011/12/19 12:00:00 2011/12/19 11:40:44 UV 2.16.840.1.113883.3.952 tel CHRISTUS Hospital-St. Elizabeth Eric Gibson masked Eric Gibson 210-704-2364 masked CHRISTUS Hospital-St. Elizabeth 2830 Calder Street Beaumont, TX 77702 (409) 892-7171 eric.gibson@christushealth.org http://www.christushospital.org Provider Int 3 Complete 2011/06/14 12:00:00 2011/06/17 12:00:00 2011/06/17 12:12:33 UV 2.16.840.1.113883.3.953 tmr CHRISTUS Hospital-St. Mary Eric Gibson masked Eric Gibson 210-704-2364 masked CHRISTUS Hospital-St. Mary 3600 Gates Boulevard Port Arthur, TX 77642 (409) 985-7431 eric.gibson@christushealth.org http://www.christushospital.org Provider Int 3 Complete 2011/06/14 12:00:00 2011/06/17 12:00:00 2011/06/17 12:13:34 UV 2.16.840.1.113883.3.954 tjp CHRISTUS Jasper Memorial Hospital Eric Gibson masked Eric Gibson 210-704-2364 masked CHRISTUS Jasper Memorial Hospital 1275 Marvin Hancock Dr. Jasper, TX 75951-4985 (409) 384-5461 eric.gibson@christushealth.org http://www.christusjasper.org Provider Int 3 Complete 2011/06/14 12:00:00 2011/06/17 12:00:00 2011/06/17 12:14:20 UV 2.16.840.1.113883.3.955 setx CHRISTUS Health Southeast Texas Eric Gibson masked Eric Gibson 210-704-2364 masked CHRISTUS Health Southeast Texas 2830 Calder Street Beaumont, TX 77702 (409) 892-7171 eric.gibson@christushealth.org http://www.christushospital.org Provider Int 3 Complete 2011/06/14 12:00:00 2011/06/17 12:00:00 2011/06/17 12:15:27 UV 2.16.840.1.113883.3.956 rwh CHRISTUS Santa Rosa Hospital-Westover Hills Eric Gibson masked Eric Gibson 210-704-2364 masked CHRISTUS Santa Rosa Hospital-Westover Hills 11212 State Highway 151 San Antonio, Texas 78251 (210) 703-8000 eric.gibson@christushealth.org http://www.christussantarosa.org Provider Int 3 Complete 2011/06/14 12:00:00 2011/06/17 12:00:00 2011/06/17 12:16:48 UV 2.16.840.1.113883.3.957 rnb CHRISTUS Santa Rosa Hospital-New Braunfels Eric Gibson masked Eric Gibson 210-704-2364 masked CHRISTUS Santa Rosa Hospital-New Braunfels 600 North Union Avenue New Braunfels, Texas 78130 (830) 606-9111 eric.gibson@christushealth.org http://www.christussantarosa.org Provider Int 3 Complete 2011/06/14 12:00:00 2011/06/17 12:00:00 2011/06/17 12:35:46 UV 2.16.840.1.113883.3.958 rcc CHRISTUS Santa Rosa Hospital-City Centre Eric Gibson masked Eric Gibson 210-704-2364 masked CHRISTUS Santa Rosa Hospital-City Centre 333 N. Santa Rosa St. San Antonio, TX 78207 (210) 704-2011 eric.gibson@christushealth.org http://www.christussantarosa.org Provider Int 3 Complete 2011/06/14 12:00:00 2011/06/17 12:00:00 2011/06/17 12:36:48 UV 2.16.840.1.113883.3.959 rmc CHRISTUS Santa Rosa Hospital-Medical Center Eric Gibson masked Eric Gibson 210-704-2364 masked CHRISTUS Santa Rosa Hospital-Medical Center 2827 Babcock Road San Antonio, TX 78229 (210) 705-6300 eric.gibson@christushealth.org http://www.christussantarosa.org Provider Int 3 Complete 2011/06/14 12:00:00 2011/06/17 12:00:00 2011/06/17 12:41:04 UV 2.16.840.1.113883.3.960 rrr CHRISTUS Santa Rosa Rehabilitation Hospital Eric Gibson masked Eric Gibson 210-704-2364 masked CHRISTUS Santa Rosa Rehabilitation Hospital 2827 Babcock Road San Antonio, TX 78229 (210) 705-6100 eric.gibson@christushealth.org http://www.christussantarosa.org Provider Int 3 Complete 2011/06/14 12:00:00 2011/06/17 12:00:00 2011/06/17 12:41:53 UV 2.16.840.1.113883.3.961 rch CHRISTUS Santa Rosa Children's Hospital Eric Gibson masked Eric Gibson 210-704-2364 masked CHRISTUS Santa Rosa Children's Hospital 333 N. Santa Rosa St. San Antonio, TX 78207 (210) 704-2011 eric.gibson@christushealth.org http://www.christussantarosa.org Provider Int 3 Complete 2011/06/14 12:00:00 2011/06/17 12:00:00 2011/06/17 12:42:41 UV 2.16.840.1.113883.3.962 srhc CHRISTUS Santa Rosa Health System Eric Gibson masked Eric Gibson 210-704-2364 masked CHRISTUS Santa Rosa Health System 333 N. Santa Rosa St. San Antonio, TX 78207 (210) 704-2011 eric.gibson@christushealth.org http://www.christussantarosa.org Provider Int 3 Complete 2011/06/14 12:00:00 2011/06/17 12:00:00 2011/06/17 12:47:28 UV 2.16.840.1.113883.3.963 mercyHealthSystem Mercy Health System Laura Taylor masked Laura Taylor 314-364-3233 masked Mercy Health System 3637 S. Geyer Rd St Louis, MO 63127 laura.taylor@mercy.net Provider Int 3 Complete 2011/06/14 12:00:00 2011/06/17 12:00:00 2011/12/08 11:00:50 UV 2.16.840.1.113883.3.964 appNHINCtest01 Application of NHINC test project 01 Zhongliang Wang masked Zhongliang Wang 353871402447 masked Master of Software Engineering Zhongliang Wang 353871402447 zhongliang.wang5@mail.dcu.ie Govt body Int 3 3 Complete 2011/06/15 12:00:00 2011/12/19 12:00:00 2011/12/19 11:36:11 UV 2.16.840.1.113883.3.965 cfc CHRISTUS St. Frances Cabrini Hospital Eric Gibson masked Eric Gibson 210-704-2364 masked CHRISTUS St. Frances Cabrini Hospital 3330 Masonic Drive Alexandria, LA 71301 (318) 487-1122 eric.gibson@christushealth.org http://www.christusstfrancescabrini.org Provider Int 3 Complete 2011/06/15 12:00:00 2011/06/17 12:00:00 2011/06/17 12:51:44 UV 2.16.840.1.113883.3.966 ccs CHRISTUS Coushatta Health Care Center Eric Gibson masked Eric Gibson 210-704-2364 masked CHRISTUS Coushatta Health Care Center 1635 Marvel St. Coushatta, LA 71019 (318) 932-2000 eric.gibson@christushealth.org http://www.christuscoushatta.org Provider Int 3 Complete 2011/06/15 12:00:00 2011/06/17 12:00:00 2011/06/17 12:54:27 UV 2.16.840.1.113883.3.967 cla CHRISTUS Health Central Louisiana Eric Gibson masked Eric Gibson 210-704-2364 masked CHRISTUS Health Central Louisiana 3330 Masonic Dr Alexandria, LA 71301-3841 (318) 487-1122 eric.gibson@christushealth.org http://www.christushealth.org Provider Int 3 Complete 2011/06/15 12:00:00 2011/06/17 12:00:00 2011/06/17 12:56:24 UV 2.16.840.1.113883.3.968 gjh CHRISTUS St. John Hospital Eric Gibson masked Eric Gibson 210-704-2364 masked CHRISTUS St. John Hospital 18300 St. John Dr. Nassau Bay, Texas 77058 (281) 333-5503 eric.gibson@christushealth.org http://www.christusstjohn.org Provider Int 3 Complete 2011/06/15 12:00:00 2011/06/17 12:00:00 2011/06/17 12:59:51 UV 2.16.840.1.113883.3.969 gct CHRISTUS St. Catherine Hospital Eric Gibson masked Eric Gibson 210-704-2364 masked CHRISTUS St. Catherine Hospital 701 S. Fry Road Katy, TX 77450 (281) 599-5700 eric.gibson@christushealth.org http://www.christusstcatherine.org Provider Int 3 Complete 2011/06/15 12:00:00 2011/06/17 12:00:00 2011/06/17 01:00:51 UV 2.16.840.1.113883.3.970 hgc CHRISTUS Health Gulf Coast Eric Gibson masked Eric Gibson 210-704-2364 masked CHRISTUS Health Gulf Coast 2707 North Loop West Houston, TX 77008 (281) 936-3000 eric.gibson@christushealth.org http://www.christushealth.org Provider Int 3 Complete 2011/06/15 12:00:00 2011/06/17 12:00:00 2011/06/17 01:03:49 UV 2.16.840.1.113883.3.971 vHGT Vantage HGT Colin Fletcher masked Jean Nejman <jean@hgt1.com> Jean Nejman 1 Lecom Place Erie, PA 16505 (814) 871-HGT1 (4481) masked Director of HIE Service Coordination Vantage HGT 1 Lecom Place Erie, PA 16505 814-871-4481 info@vhgt1.com http://www.vhcn.com/ Vendor Int 3 Complete 2011/06/15 12:00:00 2011/06/17 12:00:00 2011/06/17 01:05:29 UV 2.16.840.1.113883.3.972 lifeimage Life Image Root Hai Wang masked Hai Wang One Gateway Center 300 Washington Street, Suite 507 Newton, MA 02458 617-244-8411 x221 masked VP of Engineering Life Image, Inc. One Gateway Center 300 Washington Street, Suite 507 Newton, MA 02458 617-244-8411 hwang@lifeimage.com http://www.lifeimage.com Vendor Int 3 Complete 2011/06/15 12:00:00 2011/06/17 12:00:00 2011/06/17 01:07:14 UV 2.16.840.1.113883.3.973 pcmh Pawnee County Memorial Hospital Jim Kubik masked Jim Kubik P. O. box 433 Pawnee City, NE 68420 402-852-2231 masked Administrator Pawnee County Memorial Hospital P. O. box 433 Pawnee City, NE 68420 402-852-2231 jkubik@neb.rr.com Provider Int 3 Complete 2011/06/16 12:00:00 2011/06/17 12:00:00 2011/06/17 01:13:16 US 2.16.840.1.113883.4.489 cf rr yoo yi masked 543 uo 676756 masked rt ydiazt@ceis.cujae.edu.cu Academic Int 4 Rejected 2011/06/16 12:00:00 2011/06/17 12:00:00 2011/06/17 03:06:15 22 UV 2.16.840.1.113883.3.974 atl MD Tech Pro Sheryl Cherico masked Sheryl Cherico 3580 Pierce Dr., Suite 160 Chamblee, GA 30341 8886383242 masked President MD Tech Pro, LLC 3580 Pierce Dr., Suite 160 Chamblee, GA 30341 8886383242 sheryl.cherico@mdtechpro.com http://www.mdtechpro.com Vendor Int 4 3 Complete 2011/06/17 12:00:00 2011/06/17 12:00:00 2011/06/17 03:04:49 UV 2.16.840.1.113883.3.975 gHL7GVH ROOT OID FOR GRAND VIEW HOSPITAL Kathleen Longenecker masked Linda Spier Kathleen Longenecker 700 Lawn Ave. Sellersville, PA 18960 215.453.4223 masked Grand View Hospital 700 Lawn Ave. Sellersville, PA 18960 215.453.400 lspier@gvh.org http://www.gvh.org/ Provider Int 3 Complete 2011/06/17 12:00:00 2011/06/23 12:00:00 2011/06/23 03:50:27 UV 2.16.840.1.113883.3.976 sts STS SoftWare Co, Ltd Brent Lin masked Brent.Lin HuangPu Sports Center ,HuangPU district, GuangZhou City, GuangDong Province, China +8615914389013 masked STS SoftWare Co, Ltd HuangPu Sports Center ,HuangPU district, GuangZhou City, GuangDong Province, China +8615914389013 34513240@qq.com Vendor Int 3 Complete 2011/06/19 12:00:00 2011/06/24 12:00:00 2011/06/24 04:39:00 CN 2.16.840.1.113883.3.977 cdphe Colorado Department of Public Health and Environment David Butcher masked bob.o'doherty@state.co.us Bob O'Doherty 4300 Cherry Creek Dr. South Denver, CO 80246 303-692-2249 masked CIO Colorado Department of Public Health and Environment 4300 Cherry Creek Dr. South Denver, CO 80246 303-692-2249 bob.o'doherty@state.co.us http://www.cpdhe.state.co.us Govt body Int 3 Complete 2011/06/20 12:00:00 2011/06/24 12:00:00 2011/06/24 04:41:10 UV 2.16.840.1.113883.17.11 ehrez EHRez v3.5 Francis Berrios masked Francis Berrios 1551 Calle Alda Ste 201A Urb Caribe San Juan, PR 00926-2709 787-619-8783 masked Director of Product Development E-Health Partners 1551 Calle Alda Ste 201A Urb Caribe San Juan, PR 00926-2709 787-625-0444 fberrios@ehrez.com http://www.ehrez.com Vendor Int 17 Complete 2011/06/20 12:00:00 2011/06/24 12:00:00 2011/06/24 04:43:48 UV 2.16.840.1.113883.3.978 psr HL7 OID Root Terri Hicks masked Alane Madden-Bryan Carlos Smith 312 Grammont St # 101 Monroe, LA 71201-7403 318-998-6140 masked Network Administrator P & S Surgical Hospital 312 Grammont St # 101 Monroe, LA 71201-7403 318-388-4040 carlossmith@pssurgery.com http://www.pssurgery.com Provider Int 3 3 Complete 2011/06/20 12:00:00 2011/06/24 12:00:00 2011/06/24 04:47:24 UV 2.16.840.1.113883.3.980 ololrmc Our Lady of the Lake Regional Medical Center Nanette Iglinsky masked Nanette Iglinsky 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 masked IS Programmer Our Lady of the Lake Regional Medical Center 5000 Hennessy Blvd Baton Rouge, LA 70808 225-765-6565 nanette.iglinsky@fmolhs.org http://ololrmc.com/ Provider Int 3 Complete 2011/06/21 12:00:00 2011/06/24 12:00:00 2011/06/24 04:52:14 UV 2.16.840.1.113883.3.980.1 ololmrn Our Lady of the Lake Regional Medical Center MRN Nanette Iglinsky masked Nanette Iglinsky 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 masked IS Programmer Our Lady of the Lake Regional Medical Center 5000 Hennessy Blvd Baton Rouge, LA 70808 225-765-6565 nanette.iglinsky@fmolhs.org http://ololrmc.com/ Provider 2.16.840.1.113883.3.980 Ext 4 4 Complete 2.16.840.1.113883.3.980.1 2011/06/21 12:00:00 2011/06/24 12:00:00 2011/06/24 05:04:59 UV 2.16.840.1.113883.3.980.2 ololmrnencntr Our Lady of the Lake Regional Medical Center MRN Encntr Nanette Iglinsky masked Nanette Iglinsky 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 masked IS Programmer Our Lady of the Lake Regional Medical Center 5000 Hennessy Blvd Baton Rouge, LA 70808 225-765-6565 nanette.iglinsky@fmolhs.org http://ololrmc.com/ Provider 2.16.840.1.113883.3.980 Ext 4 4 Complete 2.16.840.1.113883.3.980.2 2011/06/21 12:00:00 2011/06/24 12:00:00 2011/06/24 05:04:40 UV 2.16.840.1.113883.3.981 phc1 Patterson Health Center Jim Harbert masked Kyla Quigg 485 N KS hwy 2 Anthony, KS 67003 620-914-1200 masked IT Patterson Health Center 485 N KS hwy 2 Anthony, KS 67003 620-914-1200 jharbert@amcks.org Provider Int 3 Complete 2011/06/21 12:00:00 2011/06/24 12:00:00 2019/07/12 11:42:25 US 2.16.840.1.113883.9.1 hl7ProfileExample HL7 profile example William Ted Klein masked Jennifer Puyenbroek +1 404-338-3324 masked HL7 Conformance SIG jennifer.puyenbroek@mckesson.com http://www.hl7.org/Special/committees/ictc/index.cfm SDO 2.16.840.1.113883 Ext 9 Complete 2.16.840.1.113883.9.1 2011/06/22 12:00:00 2011/06/22 12:00:00 2011/06/22 08:42:47 UV 2.16.840.1.113883.9.2 siis-SIP-VXQ-V01-profile SIIS SIP VXQ V01 William Ted Klein masked Abdul-Malik Shakir +1 909-596-6790 masked California Immunization Registry California Dept. of Public Health, Immunization Branch 850 Marina Bay Parkway Building P, 2nd Fl Richmond, CA 94804-6403 +1 800-578-7889 helpdesk@ca-siis.org http://www.ca-siis.org/ Govt body Int 9 Complete 2011/06/22 12:00:00 2011/07/29 12:00:00 2011/07/29 06:05:34 UV 2.16.840.1.113883.3.982 cne-OID Care New England OID Kristin McCabe masked Kristin McCabe 10 Health Lane, Suite 301 Warwick, RI 02886 401-921-2744 masked Care New England 10 Health Lane Warwick, RI 02886 401-453-7900 cneinfo@wihri.org HL7 body Int 3 Complete 2011/06/22 12:00:00 2011/06/24 12:00:00 2011/06/24 05:14:10 UV 2.16.840.1.113883.3.980.3 ololencntrfin Our Lady of the Lake Regional Medical Center - Encntr FIN Nanette Iglinsky masked Nanette Iglinsky 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 masked IS Programmer Our Lady of the Lake Regional Medical Center 5000 Hennessy Blvd Baton Rouge, LA 70808 225-765-6565 nanette.iglinsky@fmolhs.org http://ololrmc.com/ Provider 2.16.840.1.113883.3.980 Ext 4 4 Complete 2.16.840.1.113883.3.980.3 2011/06/22 12:00:00 2011/06/24 12:00:00 2011/06/24 05:18:20 UV 2.16.840.1.113883.3.980.4 ololencntrvisitnumber Our Lady of the Lake Regional Medical Center - Encntr Visit Number Nanette Iglinsky masked Nanette Iglinsky 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 masked IS Programmer Our Lady of the Lake Regional Medical Center 5000 Hennessy Blvd Baton Rouge, LA 70808 225-765-6565 nanette.iglinsky@fmolhs.org http://ololrmc.com/ Provider 2.16.840.1.113883.3.980 Ext 4 4 Complete 2.16.840.1.113883.3.980.4 2011/06/22 12:00:00 2011/06/24 12:00:00 2011/06/24 05:21:07 UV 2.16.840.1.113883.3.980.5 ololssn Our Lady of the Lake Regional Medical Center - SSN Nanette Iglinsky masked Nanette Iglinsky 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 masked IS Programmer Our Lady of the Lake Regional Medical Center 5000 Hennessy Blvd Baton Rouge, LA 70808 225-765-6565 nanette.iglinsky@fmolhs.org http://ololrmc.com/ Provider 2.16.840.1.113883.3.980 Ext 4 4 Complete 2.16.840.1.113883.3.980.5 2011/06/22 12:00:00 2011/06/24 12:00:00 2011/06/24 05:23:10 UV 2.16.840.1.113883.3.980.6 ololdocnbr Our Lady of the Lake Regional Medical Center - Docnbr Nanette Iglinsky masked Nanette Iglinsky 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 masked IS Programmer Our Lady of the Lake Regional Medical Center 5000 Hennessy Blvd Baton Rouge, LA 70808 225-765-6565 nanette.iglinsky@fmolhs.org http://ololrmc.com/ Provider 2.16.840.1.113883.3.980 Ext 4 4 Complete 2.16.840.1.113883.3.980.6 2011/06/22 12:00:00 2011/06/24 12:00:00 2011/06/24 05:25:10 UV 2.16.840.1.113883.3.983 centrihealth CentriHealth Inc. OID Root Cindy Post masked christine.stanfield@centrihealth.com Cindy Post 9098241385 masked CentriHealth Inc. 102 Woodmont Blvd Ste. 200 Nashville, TN 37205 6153450318 cindy.post@centrihealth.com http://www.centrihealth.com Vendor Int 3 Complete 2011/06/22 12:00:00 2011/06/24 12:00:00 2011/06/24 05:26:27 UV 2.16.840.1.113883.4.490 individualHealthRecord Individual Health Record (IHR) Cindy Post masked Christine Stanfield Cindy Post 9098241385 masked CentriHealth Inc. 102 Woodmont Blvd Ste 200 Nashville, TN, 37205 6153450318 cindy.post@centrihealth.com http://www.centrihealth.com Vendor 2.16.840.1.113883.3.983 Int 4 Complete 2011/06/22 12:00:00 2011/06/24 12:00:00 2011/06/24 05:35:39 UV 2.16.840.1.113883.13.186 userRole User Role Cindy Post masked Christine Stanfield Cindy Post 9098241385 masked CentriHealth Inc. 102 Woodmont Blvd Ste 200 Nashville, TN, 37205 6153450318 cindy.post@centrihealth.com http://www.centrihealth.com Vendor 2.16.840.1.113883.3.983 Int 13 Complete 2011/06/22 12:00:00 2011/06/24 12:00:00 2011/06/24 05:39:34 UV 2.16.840.1.113883.3.984 ololourdes Our Lady of Lourdes Regional Medical Center Nanette Iglinsky masked Nanette Iglinsky 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 masked IS Programmer Our Lady of Lourdes Regional Medical Center 4801 AMBASSADOR CAFFERY PKWY LAFAYETTE LA 70508-6917 337-289-2000 nanette.iglinsky@fmolhs.org http://www.lourdes.net/ Provider Int 3 Complete 2011/06/22 12:00:00 2011/06/24 12:00:00 2011/06/24 05:45:38 UV 2.16.840.1.113883.13.187 auditContext Audit Context Cindy Post masked Christine Stanfield Cindy Post 9098241385 masked CentriHealth Inc. 102 Woodmont Blvd Ste 200 Nashville, TN, 37205 6153450318 cindy.post@centrihealth.com http://www.centrihealth.com Vendor 2.16.840.1.113883.3.983 Int 13 Complete 2011/06/22 12:00:00 2011/06/24 12:00:00 2011/06/24 06:09:48 UV 2.16.840.1.113883.13.188 auditAction Audit Action Cindy Post masked Christine Stanfield Cindy Post 9098241385 masked CentriHealth Inc. 102 Woodmont Blvd Ste 200 6153450318 cindy.post@centrihealth.com http://www.centrihealth.com Vendor 2.16.840.1.113883.3.983 Int 13 Complete 2011/06/22 12:00:00 2011/06/24 12:00:00 2011/06/24 06:11:37 UV 2.16.840.1.113883.3.984.1 ololourdesacctnbr Our Lady of Lourdes Regional Medical Center - Acct Nbr Nanette Iglinsky masked Nanette Iglinsky 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 masked IS Programmer Our Lady of Lourdes Regional Medical Center 4801 AMBASSADOR CAFFERY PKWY LAFAYETTE LA 70508-6917 337-289-2000 nanette.iglinsky@fmolhs.org http://www.lourdes.net/ Provider 2.16.840.1.113883.3.984 Ext 4 4 Complete 2.16.840.1.113883.3.984.1 2011/06/22 12:00:00 2011/06/24 12:00:00 2011/06/24 05:51:28 UV 2.16.840.1.113883.3.984.2 ololourdesunitnbr Our Lady of Lourdes Regional Medical Center - Unit Nbr Nanette Iglinsky masked Nanette Iglinsky 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 masked IS Programmer Our Lady of Lourdes Regional Medical Center 4801 AMBASSADOR CAFFERY PKWY LAFAYETTE LA 70508-6917 337-289-2000 nanette.iglinsky@fmolhs.org http://www.lourdes.net/ Provider 2.16.840.1.113883.3.984 Ext 4 4 Complete 2.16.840.1.113883.3.984.2 2011/06/22 12:00:00 2011/06/24 12:00:00 2011/06/24 05:53:07 UV 2.16.840.1.113883.3.985 sfmc St. Francis Medical Center Nanette Iglinsky masked Nanette Iglinsky 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 masked IS Programmer St. Francis Medical Center 309 Jackson Street Monroe, LA 71201 318-966-4000 nanette.iglinsky@fmolhs.org http://www.stfran.com/index.asp Provider Int 3 Complete 2011/06/22 12:00:00 2011/06/24 12:00:00 2011/06/24 05:59:59 UV 2.16.840.1.113883.3.985.1 sfmcmrn St. Francis Medical Center - MRN Nanette Iglinsky masked Nanette Iglinsky 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 masked IS Programmer St. Francis Medical Center 309 Jackson Street Monroe, LA 71201 318-966-4000 nanette.iglinsky@fmolhs.org http://www.stfran.com/index.asp Provider 2.16.840.1.113883.3.985 Ext 4 4 Complete 2.16.840.1.113883.3.985.1 2011/06/22 12:00:00 2011/06/24 12:00:00 2011/06/24 06:01:31 UV 2.16.840.1.113883.3.985.2 sfmcacctnum St. Francis Medical Center - Acct num Nanette Iglinsky masked Nanette Iglinsky 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 masked IS Programmer St. Francis Medical Center 309 Jackson Street Monroe, LA 71201 318-966-4000 nanette.iglinsky@fmolhs.org http://www.stfran.com/index.asp Provider 2.16.840.1.113883.3.985 Ext 4 4 Complete 2.16.840.1.113883.3.985.2 2011/06/22 12:00:00 2011/06/24 12:00:00 2011/06/24 06:03:22 UV 2.16.840.1.113883.3.986 rhp-oid Rehabilitation Hospital of the Pacific OID David Orme masked David Orme 226 North Kuakini Street Honolulu, HI 96817 808-544-3380 masked CIO Rehabiltation Hospital of the Pacific 226 North Kuakini Street Honolulu, HI 96817 808-531-3511 dorme@rehabhospital.org http://www.rehabhospital.org Provider Int 3 Complete 2011/06/22 12:00:00 2011/06/24 12:00:00 2011/06/24 06:14:14 UV 2.16.840.1.113883.3.987 cecity CECity Andrew Rabin masked Andrew Rabin 285 E. Waterfront Dr. Pittsburgh, PA 15238 412-338-0366 masked CTO CECity 285 E. Waterfront Dr. Pittsburgh, PA 15238 412-338-0366 arabin@cecity.com http://www.cecity.com Vendor Int 3 Complete 2011/06/23 12:00:00 2011/06/24 12:00:00 2011/06/24 06:17:43 UV 2.16.840.1.113883.3.988 tualityhealthcare Tuality Healthcare Jennifer Madson masked Kelly Guthrie Kelly Guthrie Tuality Healthcare 335 SE 8th Avenue Hillsboro, OR 97123 503-681-1968 masked Clinical Systems Analyst Kelly Guthrie 335 SE 8th Avenue Hillsboro, OR 97123 503-681-1968 kelly.guthrie@tuality.org Provider Int 3 Complete 2011/06/24 12:00:00 2011/06/24 12:00:00 2011/06/24 06:21:55 UV 2.16.840.1.113883.9.2.1 hl7-ACK-24-profile HL7 ACK ADT 2.4 Profile William Ted Klein masked Abdul-Malik Shakir +1 909-596-6790 masked HL7 Conformance SIG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 800-578-7889 helpdesk@ca-siis.org http://www.hl7.org SDO Int 9 Complete 2003/02/28 12:00:00 2011/06/30 12:00:00 2011/06/30 08:38:36 UV 2.16.840.1.113883.9.2.2 hl7-ADT-A01-24-profile HL7 ADT A01 2.4 Profile William Ted Klein masked Abdul-Malik Shakir +1 909-596-6790 masked HL7 Conformance SIG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 800-578-7889 helpdesk@ca-siis.org http://www.hl7.org SDO Int 9 Complete 2003/02/28 12:00:00 2011/06/30 12:00:00 2011/06/30 08:41:35 UV 2.16.840.1.113883.9.3 siis-SIP-VXR-V03-25-profile SIIS SIP VXR V03 Profile v2.5 William Ted Klein masked Abdul-Malik Shakir +1 909-596-6790 masked California Immunization Registry California Dept. of Public Health, Immunization Branch 850 Marina Bay Parkway Building P, 2nd Fl Richmond, CA 94804-6403 +1 800-578-7889 helpdesk@ca-siis.org http://www.ca-siis.org/ Govt body Int 9 Complete 2011/06/26 12:00:00 2011/06/30 12:00:00 2011/06/30 08:45:06 UV 2.16.840.1.113883.9.4 siis-SIP-VXX-V02-25-profile SIIS SIP VXX V02 Profile v2.5 William Ted Klein masked Abdul-Malik Shakir +1 909-596-6790 masked California Immunization Registry California Dept. of Public Health, Immunization Branch 850 Marina Bay Parkway Building P, 2nd Fl Richmond, CA 94804-6403 +1 800-578-7889 helpdesk@ca-siis.org http://www.ca-siis.org/ Govt body Int 9 Complete 2011/06/26 12:00:00 2011/06/30 12:00:00 2011/06/30 08:46:34 UV 2.16.840.1.113883.9.5 siis-SIP-QCK-Q02-25-profile SIIS SIP QCK_Q02 Profile v2.5 William Ted Klein masked Abdul-Malik Shakir +1 909-596-6790 masked California Immunization Registry California Dept. of Public Health, Immunization Branch 850 Marina Bay Parkway Building P, 2nd Fl Richmond, CA 94804-6403 +1 800-578-7889 helpdesk@ca-siis.org http://www.ca-siis.org/ Govt body Int 9 Complete 2011/06/26 12:00:00 2011/06/30 12:00:00 2011/06/30 08:47:52 UV 2.16.840.1.113883.9.6 siis-SIP-ACK-25-profile SIIS SIP ACK Profile v2.5 William Ted Klein masked Abdul-Malik Shakir +1 909-596-6790 masked California Immunization Registry California Dept. of Public Health, Immunization Branch 850 Marina Bay Parkway Building P, 2nd Fl Richmond, CA 94804-6403 +1 800-578-7889 helpdesk@ca-siis.org http://www.ca-siis.org/ Govt body Int 9 Complete 2011/06/26 12:00:00 2011/06/30 12:00:00 2011/06/30 08:50:09 UV 2.16.840.1.113883.4.491 atlastigerCDAID Atlastiger EHR CDA Document ID zhu liyan masked zhuliyan 0086-021-62386780 masked Shanghai Atlas Tiger Medical Information Systems.Ltd. zhuly@atlastiger.com.cn http://www.atlas-tiger.com Vendor 2.16.840.1.113883.4.487.11 Int 4 4 Complete 2011/06/26 12:00:00 2011/07/29 12:00:00 2011/07/29 06:15:40 Atlas Tiger CN 2.16.840.1.113883.3.989 ich-estri International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use Raun Kupiec masked Stan Van Belkum John Kiser AbbVie 1 North Waukegan Road Dept PA97, Bldg AP50 North Chicago, IL. USA 60030 +1.847.937.3725 masked EFPIA Topic Lead, ICH M2 ESTRI ICH (Int'l Conf on Harmonisation of Tech Reqs for Registration of Pharmaceuticals for Human Use) ICH Secretariat c/o IFPMA 15, chemin Louis-Dunant P.O. Box 195 1211 Geneva 20 Switzerland +41 (22) 338 32 06 admin@ich.org http://www.ich.org/ SDO Int 3 3 Complete 2011/06/27 12:00:00 2011/06/30 12:00:00 2014/03/19 02:54:10 UV 2.16.840.1.113883.3.990 lmhks Lawrence Memorial Hospital John Henderson masked John Henderson John Henderson Lawrence Memorial Hospital Information Technology 325 Maine St. Lawrence, KS 66044 785-505-3361 masked Lawrence Memorial Hospital Lawrence Memorial Hospital 325 Maine St. Lawrence, KS 66044 785-505-5000 john.henderson@lmh.org http://www.lmh.org Provider Int 3 Complete 2011/06/27 12:00:00 2011/06/30 12:00:00 2011/06/30 08:59:13 UV 2.16.840.1.113883.3.991 hcch Harrison County Community Hospital Will Holt masked Tina Gillespie Jeffrey McChesney Harrison County Community Hospital 2600 Miller St. PO Box 428 Bethany, MO 64424 660-425-0299 masked IT Specialist Harrison County Community Hospital Harrison County Community Hospital 2600 Miller St. PO Box 428 Bethany, MO 64424 660-425-2211 jeffrey.mcchesney@hcchospital.org http://www.hcchospital.org/ Provider Int 3 Complete 2011/06/28 12:00:00 2011/06/30 12:00:00 2022/03/03 12:24:30 UV 2.16.840.1.113883.3.992 mh Memorial Healthcare Sheila Method masked Frank Fear Sheila Method Memorial Healthcare Information Services 826 West King Street Owosso, MI 48867 989-729-4688 masked Senior Clinical Analyst Memorial Healthcare smethod@memorialhealthcare.org http://www.memorialhealthcare.org Provider Int 3 Complete 2011/06/28 12:00:00 2011/06/30 12:00:00 2011/06/30 09:05:27 UV 2.16.840.1.113883.3.993 sbhoid Summa Barberton Hospital OID Richard Cramer masked Richard L. Cramer c/o Summa Barberton Hospital 155 5th St NE Barberton, OH 44203 330-615-3081 masked Programming Manager, IT&S Summa Barberton Hospital 155 5th St NE Barberton, OH 44203 330-615-3000 lcramer@barbhosp.com http://www.barbhosp.com Provider Int 3 Complete 2011/06/28 12:00:00 2011/06/30 12:00:00 2011/06/30 09:07:44 US 2.16.840.1.113883.3.994 wih-oid Women and Infants OID Kristin McCabe masked Kristin McCabe 401-921-2744 masked Women and Infants Hospital 101 Dudley Street Providence, RI 02905 401-274-1100 kmccabe@carene.org HL7 body Int 3 Complete 2011/06/28 12:00:00 2011/06/30 12:00:00 2011/06/30 09:11:53 UV 2.16.840.1.113883.3.995 kent-oid Kent Hospital OID Kristin McCabe masked Kristin McCabe 401-921-2744 masked Kent Hospital 455 Toll Gate Road Warwick, RI 02886 401-737-7000 kmccabe@carene.org HL7 body Int 3 Complete 2011/06/28 12:00:00 2011/06/30 12:00:00 2011/06/30 09:14:02 UV 2.16.840.1.113883.3.996 methodist-healthcare Methodist Healthcare Larry Caton masked Larry Caton Methodist Healthcare Healthcare Information Sciences Division 5775 Summer Trees - Bldg #2 Memphis, TN 38134 U.S.A. 901-516-0063 masked Manager, Clinical Info Systems - CORE Architecture Methodist Healthcare Methodist Healthcare 1211 Union Avenue Memphis, Tennessee 38104 U.S.A. 901-516-7000 larry.caton@mlh.org http://www.methodisthealth.org Provider Int 3 Complete 2011/06/28 12:00:00 2011/06/30 12:00:00 2012/02/15 01:17:45 UV 2.16.840.1.113883.17.12 ccdLHC Lawrence Hospital Center Marco Wiesner masked sprince@stellarishealth.org Sue Prince 914- 273-4012 Ext. 237 masked Stellaris Health Network Client Executive Lawrence Hospital Center 55 Palmer Avenue Bronxville, NY 10708 914-787-1000 contact@lawrencehealth.org http://www.lawrencehealth.org/default.aspx Provider Int 17 Complete 2011/06/28 12:00:00 2011/06/30 12:00:00 2011/06/30 09:19:37 UV 2.16.840.1.113883.3.997 nmhc Northwestern Memorial HealthCare Susan Feeley masked Susan Feeley Susan Feeley 541 North Fairbanks Suiet 2644 Chicago, IL 60611 312-926-6603 masked Northwestern Memorial Hospital Northwestern Memorial Hospital 251 East Huron Chicago, IL 60611 312-926-2000 sfeeley@nmh.org http://www.nmh.org Provider Int 3 Complete 2011/06/29 12:00:00 2011/07/08 12:00:00 2011/07/08 03:58:35 UV 2.16.840.1.113883.4.492 nmh Northwestern Memorial Hospital Susan Feeley masked Susan Feeley 541 North Fairbanks Suite 2644 Chicago, IL 60611 312-926-6603 masked Northwestern Memorial Hospital 251 Easth Huron Chicago, IL 60611 312-926-2000 sfeeley@nmh.org http://www.nmh.org Provider Int 4 Complete 2011/06/29 12:00:00 2011/07/08 12:00:00 2011/07/08 04:02:20 UV 2.16.840.1.113883.3.998 gecdt GE Healthcare Community Desktop James Wildish masked James Wildish 40 IDX Drive Burlington, VT 05403 802-859-6723 masked Project Manager GE Healthcare CDT james.wildish@ge.com Vendor Int 3 Complete 2011/06/29 12:00:00 2011/07/08 12:00:00 2011/07/08 04:05:01 US 2.16.840.1.113883.3.999 mrhs Maury Regional Healthcare System Warren Robinson masked Warren Robinson 1224 Trotwood Ave Information Technology Columbia, TN 38401 931-840-4457 masked IT Applications Manager Maury Regional Healthcare System 1224 Trotwood Ave Columbia, TN 38401 931-381-1111 wrobinson@mauryregional.com http://www.mauryregional.com Provider Int 3 Complete 2011/06/29 12:00:00 2011/07/08 12:00:00 2011/07/08 04:29:27 UV 2.16.840.1.113883.17.13 rghccdtestoid Roane General Hospital CCD TEST OID Tony Keaton masked Tony Keaton 200 Hospital Drive Spencer, WV 25276 3049274444 masked Director of Information Systems Roane General Hospital 200 Hospital Drive Spencer, WV 25276 3049274444 mtkeaton@rghwv.org http://www.roanegeneralhospital.com Provider Int 17 Complete 2011/06/29 12:00:00 2011/07/08 12:00:00 2011/07/08 04:33:59 UV 2.16.840.1.113883.3.1000 oidAplient0001 Aplient OID D Michael Lynch, Jr masked D Michael Lynch Jr (512) 694-6351 masked Principal Architect Aplient mike.lynch@aplient.com http://www.aplient.com Vendor Int 3 Complete 2011/06/29 12:00:00 2011/07/08 12:00:00 2011/07/08 04:37:09 UV 2.16.840.1.113883.3.1001 centura Centura Health Kathy Rem masked Myriah Vandre Kathy Rem 111 Inverness Dr W Englewood, CO 80112 303-643-4264 masked DIR APPL SYSTEMS ANALYST/PROGR Centura Health 188 Inverness Drive West, Suite 500 Englewood, CO 80112 303-290-6500 kathyrem@centura.org http://www.centura.org Provider Int 3 Complete 2011/06/30 12:00:00 2011/07/08 12:00:00 2011/07/08 04:38:09 UV 2.16.840.1.113883.3.1002 pk Parker Adventist Hospital Kathy Rem masked Myriah Vandre Kathy Rem 111 Inverness Dr W Englewood, CO 80112 303-643-4264 masked DIR APPL SYSTEMS ANALYST/PROGR PARKER ADVENTIST HOSPITAL 9395 CROWN CREST BOULEVARD PARKER, CO 80138 (303)269-4521 KathrynRem@Centura.Org http://www.parkerhospital.org Provider Int 3 Complete 2011/06/30 12:00:00 2011/07/08 12:00:00 2014/03/31 04:22:43 UV 2.16.840.1.113883.3.1003 av Avista Adventist Hospital Kathy Rem masked Myriah Vandre Kathy Rem 111 Inverness Dr W Englewood, CO 80112 303-643-4264 masked DIR APPL SYSTEMS ANALYST/PROGR AVISTA ADVENTIST HOSPITAL 100 HEALTH PARK DRIVE LOUISVILLE, CO 80027 (303)673-1000 kathyrem@centura.org http://www.avistahospital.org Provider Int 3 Complete 2011/06/30 12:00:00 2011/07/08 12:00:00 2011/07/08 04:47:45 UV 2.16.840.1.113883.3.1004 sc ST. ANTHONY HOSPITAL Kathy Rem masked Myriah Vandre Kathy Rem 111 Inverness Dr W Englewood, CO 80112 303-643-4264 masked DIR APPL SYSTEMS ANALYST/PROGR ST. ANTHONY HOSPITAL 11600 W. 2nd Place Lakewood, CO 80228 720-321-0000 KathrynRem@Centura.Org http://www.stanthonyhosp.org Provider Int 3 Complete 2011/06/30 12:00:00 2011/07/08 12:00:00 2014/03/31 04:24:19 UV 2.16.840.1.113883.3.1005 gr St. Anthony Granby Med Center Kathy Rem masked Myriah Vandre Kathy Rem 111 Inverness Dr W Englewood, CO 80112 303-643-4264 masked DIR APPL SYSTEMS ANALYST/PROGR ST. ANTHONY GRANBY MED CENTER 480 E. AGATE GRANBY, CO 80446 (970)887-7400 kathyrem@centura.org http://www.granbymedicalcenter.org Provider Int 3 Complete 2011/06/30 12:00:00 2011/07/08 12:00:00 2011/07/08 04:52:53 UV 2.16.840.1.113883.3.1006 sn ST. ANTHONY HOSPITAL NORTH Kathy Rem masked Myriah Vandre Kathy Rem 111 Inverness Dr W Englewood, CO 80112 303-643-4264 masked DIR APPL SYSTEMS ANALYST/PROGR ST. ANTHONY HOSPITAL NORTH 2551 W. 84TH AVENUE WESTMINSTER, CO 80031 (303)426-2070 KathrynRem@Centura.Org http://www.stanthonynorth.org Provider Int 3 Complete 2011/06/30 12:00:00 2011/07/08 12:00:00 2014/03/31 04:25:53 UV 2.16.840.1.113883.3.1007 lh Littleton Adventist Hospital Kathy Rem masked Myriah Vandre Kathy Rem 111 Inverness Dr W Englewood, CO 80112 303-643-4264 masked DIR APPL SYSTEMS ANALYST/PROGR LITTLETON ADVENTIST HOSPITAL 7700 S. BROADWAY LITTLETON, CO 80122 (303)730-5882 kathyrem@centura.org http://www.mylittletonhospital.org Provider Int 3 Complete 2011/06/30 12:00:00 2011/07/08 12:00:00 2011/07/08 04:55:00 UV 2.16.840.1.113883.3.1008 so ORTHO COLORADO Kathy Rem masked Myriah Vandre Kathy Rem 111 Inverness Dr W Englewood, CO 80112 303-643-4264 masked DIR APPL SYSTEMS ANALYST/PROGR ORTHO COLORADO 11650 WEST 2ND PLACE LAKEWOOD, CO 80228 (720)321-5000 KathrynRem@Centura.Org http://www.orthocolorado.org Provider Int 3 Complete 2011/06/30 12:00:00 2011/07/08 12:00:00 2014/03/31 04:28:02 UV 2.16.840.1.113883.3.1009 mc St. Mary-Corwin Hospital Kathy Rem masked Myriah Vandre Kathy Rem 111 Inverness Dr W Englewood, CO 80112 303-643-4264 masked DIR APPL SYSTEMS ANALYST/PROGR ST. MARY-CORWIN HOSPITAL 1008 MINNEQUA PUEBLO, CO 81004 (719)560-5011 KathrynRem@Centura.Org http://www.stmarycorwin.org Provider Int 3 Complete 2011/06/30 12:00:00 2011/07/08 12:00:00 2014/03/31 04:16:01 UV 2.16.840.1.113883.3.1010 pc Porter Adventist Hospital Kathy Rem masked Myriah Vandre Kathy Rem 111 Inverness Dr W Englewood, CO 80112 303-643-4264 masked DIR APPL SYSTEMS ANALYST/PROGR PORTER ADVENTIST HOSPITAL 2525 S. DOWNING STREET DENVER, CO 80210 (303)778-5765 KathrynRem@Centura.Org http://www.porterhosp.org Provider Int 3 Complete 2011/06/30 12:00:00 2011/07/08 12:00:00 2014/03/31 04:19:09 UV 2.16.840.1.113883.3.1011 ph Penrose Hospital Kathy Rem masked Myriah Vandre Kathy Rem 111 Inverness Dr W Englewood, CO 80112 303-643-4264 masked DIR APPL SYSTEMS ANALYST/PROGR PENROSE HOSPITAL 2222 N. NEVADA AVE. COLORADO SPRINGS, CO 80907 (719)776-5101 KathrynRem@Centura.Org http://www.penrosestfrancis.org Provider Int 3 Complete 2011/06/30 12:00:00 2011/07/08 12:00:00 2014/03/31 04:21:11 UV 2.16.840.1.113883.3.1012 st St. Thomas More Hospital Kathy Rem masked Myriah Vandre Kathy Rem 111 Inverness Dr W Englewood, CO 80112 303-643-4264 masked DIR APPL SYSTEMS ANALYST/PROGR ST. THOMAS MORE HOSPITAL 1338 PHAY AVENUE CANON CITY, CO 81212 (719)285-2160 KathrynRem@Centura.Org http://www.stthomasmorehosp.org Provider Int 3 Complete 2011/06/30 12:00:00 2011/07/08 12:00:00 2014/03/31 04:29:25 UV 2.16.840.1.113883.3.1013 su St. Anthony Summit Medical Center Kathy Rem masked Myriah Vandre Kathy Rem 111 Inverness Dr W Englewood, CO 80112 303-643-4264 masked DIR APPL SYSTEMS ANALYST/PROGR ST. ANTHONY SUMMIT MEDICAL CENTER HIGHWAY 9 AT COUNTY COMMONS FRISCO, CO 80443 (970)668-3300 KathrynRem@Centura.Org http://www.summitmedicalcenter.org Provider Int 3 Complete 2011/06/30 12:00:00 2011/07/08 12:00:00 2014/03/31 04:30:54 UV 2.16.840.1.113883.3.1014 osdh Oklahoma State Department of Health Allen Badgett masked Freda Mechian Oklahoma State Department of Health 1000 NE 10 th St Oklahoma City, OK 73117 1299 405 271 9444 x 55697 masked Meaningful Use Coordinator OSDH Oklahoma State Department of Health 1000 NE 10 th St Oklahoma City, OK 73117 1299 405 271 9444 x 55697 fredam@health.ok.gov Govt body Int 3 Complete 2011/06/30 12:00:00 2011/07/08 12:00:00 2016/10/17 12:12:48 UV 2.16.840.1.113883.3.1014.4 osdh-prod Oklahoma State Department of Health Groom production Server Allen Badgett masked Freda Mechian Oklahoma State Department of Health 1000 NE 10 th St Oklahoma City, OK 73117 1299 405 271 9444 x 55697 masked Meaningful Use Coordinator OSDH Oklahoma State Department of Health IT 1000 NE 10 th St Oklahoma City, OK 73117 1299 405 271 9444 x 55697 fredam@health.ok.gov Govt body Ext 4 3 Complete 2.16.840.1.113883.3.1014.4 2011/06/30 12:00:00 2011/07/08 12:00:00 2016/10/17 12:28:25 UV 2.16.840.1.113883.3.1014.6 osdh-groomtest Oklahoma State Department of Health Groomtest development Server Allen Badgett masked Allen Badgett Oklahoma State Department of Health IT 1000 NE 10 th St Oklahoma City, OK 73117 1299 405 271 9444 46184 masked State Messaging Coordinator PHIN DBA OSDH Oklahoma State Department of Health IT 1000 NE 10 th St Oklahoma City, OK 73117 1299 405 271 9444 46184 allenb@health.ok.gov Govt body 2.16.840.1.113883.3.1014 Ext 4 4 Complete 2.16.840.1.113883.3.1014.6 2011/06/30 12:00:00 2011/07/08 12:00:00 2011/07/08 05:17:42 UV 2.16.840.1.113883.3.1015 hmce Hawaii Medical Center East LiAnn Yoshimura masked LiAnn Yoshimura 2230 Liliha St. Honolulu, HI 96817 808.547.6347 masked CIS Project Manager Hawaii Medical Center East 2230 Liliha St. Honolulu, HI 96817 808.547.6011 lyoshimura@hawaiimedcen.com http://www.hawaiimedcent.com/ Provider Int 3 Complete 2011/07/01 12:00:00 2011/07/08 12:00:00 2011/07/08 05:20:28 UV 2.16.840.1.113883.3.1016 hmcw Hawaii Medical Center West LiAnn Yoshimura masked LiAnn Yoshimura 91-2141 Fort Weaver Rd. Ewa Beach, HI 96706 808.547.6347 masked CIS Project Manager Hawaii Medical Center West 91-2141 Fort Weaver Rd. Ewa Beach, HI 96706 808.678.7000 lyoshimura@hawaiimedcen.com http://www.hawaiimedcent.com/ Provider Int 3 Complete 2011/07/01 12:00:00 2011/07/08 12:00:00 2011/07/08 05:21:52 UV 2.16.840.1.113883.3.1017 turecord OID IDENTIFICADOR DE TURECORD Manuel Enrique Silva Huarcaya masked Wisem Chame Manuel Enrique Silva Huarcaya 957-6310 masked Manuel Enrique Silva Huarcaya msilva@lolimsa.com.pe Vendor Int 3 3 Complete 2011/07/01 12:00:00 2011/07/08 12:00:00 2011/09/22 03:29:27 UV 2.16.840.1.113883.3.1018 lhs UR Medicine | Noyes Health Kathleen Hoeffner masked Kathleen Hoeffner 111 Clara Barton Street Dansville, New York 14437 585-335-4387 masked Director - Information Technology Projects UR Medicine | Noyes Health 111 Clara Barton Street Dansville, New York 14437 585-335-6001 khoeffner@noyeshealth.org http://www.noyes-health.org Provider Int 3 Complete 2011/07/04 12:00:00 2011/07/08 12:00:00 2018/08/16 04:04:12 UV 2.16.840.1.113883.3.773.1 tdh-namespaces Tennessee Department of Health namespaces John Roberts masked John Roberts Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 masked Health systems architect Tennessee Department of Health Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 John.A.Roberts@tn.gov http://health.tn.gov Govt body 2.16.840.1.113883.3.773 Ext 4 4 Complete 2.16.840.1.113883.3.773.1 2011/07/05 12:00:00 2011/07/08 12:00:00 2011/07/08 05:45:26 UV 2.16.840.1.113883.3.773.1.1 tdh-statewide-namespaces Tennessee Department of Health statewide namespaces John Roberts masked John Roberts Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 masked Health systems architect Tennessee Department of Health Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 John.A.Roberts@tn.gov http://health.tn.gov Govt body 2.16.840.1.113883.3.773 Ext 4 4 Complete 2.16.840.1.113883.3.773.1.1 2011/07/05 12:00:00 2011/07/08 12:00:00 2011/07/08 05:47:58 UV 2.16.840.1.113883.3.773.1.2 tdh-regional-namespaces Tennessee Department of Health regional namespaces John Roberts masked John Roberts Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 masked Health systems architect Tennessee Department of Health Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 John.A.Roberts@tn.gov http://health.tn.gov Govt body 2.16.840.1.113883.3.773 Ext 4 4 Complete 2.16.840.1.113883.3.773.1.2 2011/07/05 12:00:00 2011/07/08 12:00:00 2011/07/08 05:51:30 UV 2.16.840.1.113883.3.773.1.2.1 tdh-PTBMIS-namespaces Tennessee Department of Health PTBMIS namespaces John Roberts masked John Roberts Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 masked Health systems architect Tennessee Department of Health Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 John.A.Roberts@tn.gov http://health.tn.gov Govt body 2.16.840.1.113883.3.773 Ext 4 4 Complete 2.16.840.1.113883.3.773.1.2.1 2011/07/05 12:00:00 2011/07/08 12:00:00 2011/07/08 05:54:26 UV 2.16.840.1.113883.3.773.1.2.1.1 tdh-PTBMIS-northeast Tennessee Department of Health PTBMIS northeast region John Roberts masked John Roberts Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 masked Health systems architect Tennessee Department of Health Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 John.A.Roberts@tn.gov http://health.tn.gov Govt body 2.16.840.1.113883.3.773 Ext 14 4 Complete 2.16.840.1.113883.3.773.1.2.1.1 2011/07/05 12:00:00 2011/07/08 12:00:00 2011/07/08 10:02:15 UV 2.16.840.1.113883.3.1019 mustimuhw-cemr Mustimuhw cEMR Steve Sagodi masked Steve Sagodi 250-514-0932 masked Solution Architect Cowichan Tribes 5760 Allenby Road Duncan, BC V9L 5J1 Canada 250-514-0932 steve.sagodi@mustimuhw.com http://www.mustimuhw.com Vendor Int 3 Complete 2011/07/05 12:00:00 2011/07/08 12:00:00 2011/07/08 05:57:48 UV 2.16.840.1.113883.3.773.1.1.1 tdh-MPI-mast-pat-idx Tennessee Department of Health master patient index John Roberts masked John Roberts Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 masked Health systems architect Tennessee Department of Health Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 John.A.Roberts@tn.gov http://health.tn.gov Govt body 2.16.840.1.113883.3.773 Ext 4 4 Complete 2.16.840.1.113883.3.773.1.1.1 2011/07/06 12:00:00 2011/07/08 12:00:00 2012/07/09 03:45:47 UV 2.16.840.1.113883.3.773.1.1.2 tdh-SIIS-imm-reg Tennessee Department of Health immunization-registry John Roberts masked John Roberts Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 masked Health systems architect Tennessee Department of Health Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 John.A.Roberts@tn.gov http://health.tn.gov Govt body 2.16.840.1.113883.3.773 Ext 4 4 Complete 2.16.840.1.113883.3.773.1.1.2 2011/07/06 12:00:00 2011/07/08 12:00:00 2012/07/09 03:56:23 UV 2.16.840.1.113883.3.773.1.2.1.2 tdh-PTBMIS-up-cumb Tennessee Department of Health PTBMIS upper cumberland region John Roberts masked John Roberts Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 masked Health systems architect Tennessee Department of Health Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 John.A.Roberts@tn.gov http://health.tn.gov Govt body 2.16.840.1.113883.3.773 Ext 4 4 Complete 2.16.840.1.113883.3.773.1.2.1.2 2011/07/06 12:00:00 2011/07/08 12:00:00 2012/07/09 03:59:12 UV 2.16.840.1.113883.3.773.1.2.1.3 tdh-PTBMIS-mid-cumb Tennessee Department of Health PTBMIS mid cumberland region John Roberts masked John Roberts Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 masked Health systems architect Tennessee Department of Health Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 John.A.Roberts@tn.gov http://health.tn.gov Govt body 2.16.840.1.113883.3.773 Ext 4 4 Complete 2.16.840.1.113883.3.773.1.2.1.3 2011/07/06 12:00:00 2011/07/08 12:00:00 2012/07/09 03:59:53 UV 2.16.840.1.113883.3.773.1.2.1.4 tdh-PTBMIS-west Tennessee Department of Health PTBMIS west region John Roberts masked John Roberts Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 masked Health systems architect Tennessee Department of Health Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 John.A.Roberts@tn.gov http://health.tn.gov Govt body 2.16.840.1.113883.3.773 Ext 4 4 Complete 2.16.840.1.113883.3.773.1.2.1.4 2011/07/06 12:00:00 2011/07/08 12:00:00 2011/07/08 06:07:48 UV 2.16.840.1.113883.3.773.1.2.1.6 tdh-PTBMIS-davidson Tennessee Department of Health PTBMIS davidson region John Roberts masked John Roberts Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 masked Health systems architect Tennessee Department of Health Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 John.A.Roberts@tn.gov http://health.tn.gov Govt body 2.16.840.1.113883.3.773 Ext 4 4 Complete 2.16.840.1.113883.3.773.1.2.1.6 2011/07/06 12:00:00 2011/07/08 12:00:00 2011/07/08 06:09:04 UV 2.16.840.1.113883.3.773.1.2.1.7 tdh-PTBMIS-sullivan Tennessee Department of Health PTBMIS sullivan region John Roberts masked John Roberts Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 masked Health systems architect Tennessee Department of Health Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 John.A.Roberts@tn.gov http://health.tn.gov Govt body 2.16.840.1.113883.3.773 Ext 4 4 Complete 2.16.840.1.113883.3.773.1.2.1.7 2011/07/06 12:00:00 2011/07/08 12:00:00 2011/07/08 06:13:47 UV 2.16.840.1.113883.3.773.1.2.1.8 tdh-PTBMIS-shelby Tennessee Department of Health PTBMIS shelby region John Roberts masked John Roberts Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 masked Health systems architect Tennessee Department of Health Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 John.A.Roberts@tn.gov http://health.tn.gov Govt body 2.16.840.1.113883.3.773 Ext 4 4 Complete 2.16.840.1.113883.3.773.1.2.1.8 2011/07/06 12:00:00 2011/07/08 12:00:00 2011/07/08 06:15:42 UV 2.16.840.1.113883.3.773.1.2.1.9 tdh-PTBMIS-knox Tennessee Department of Health PTBMIS knox region John Roberts masked John Roberts Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 masked Health systems architect Tennessee Department of Health Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 John.A.Roberts@tn.gov http://health.tn.gov Govt body 2.16.840.1.113883.3.773 Ext 4 4 Complete 2.16.840.1.113883.3.773.1.2.1.9 2011/07/06 12:00:00 2011/07/08 12:00:00 2011/07/08 06:16:42 UV 2.16.840.1.113883.3.773.1.2.1.10 tdh-PTBMIS-hamilton Tennessee Department of Health PTBMIS hamilton region John Roberts masked John Roberts Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 masked Health systems architect Tennessee Department of Health Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 John.A.Roberts@tn.gov http://health.tn.gov Govt body 2.16.840.1.113883.3.773 Ext 4 4 Complete 2.16.840.1.113883.3.773.1.2.1.10 2011/07/06 12:00:00 2011/07/08 12:00:00 2011/07/08 06:19:30 UV 2.16.840.1.113883.3.773.1.2.1.11 tdh-PTBMIS-madison Tennessee Department of Health PTBMIS madison region John Roberts masked John Roberts Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 masked Health systems architect Tennessee Department of Health Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 John.A.Roberts@tn.gov http://health.tn.gov Govt body 2.16.840.1.113883.3.773 Ext 4 4 Complete 2.16.840.1.113883.3.773.1.2.1.11 2011/07/06 12:00:00 2011/07/08 12:00:00 2011/07/08 06:20:22 UV 2.16.840.1.113883.3.773.1.2.1.12 tdh-PTBMIS-east Tennessee Department of Health PTBMIS east region John Roberts masked John Roberts Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 masked Health systems architect Tennessee Department of Health Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 John.A.Roberts@tn.gov http://health.tn.gov Govt body 2.16.840.1.113883.3.773 Ext 4 4 Complete 2.16.840.1.113883.3.773.1.2.1.12 2011/07/06 12:00:00 2011/07/08 12:00:00 2011/07/08 06:24:00 UV 2.16.840.1.113883.3.773.1.2.1.13 tdh-PTBMIS-southeast Tennessee Department of Health PTBMIS southeast region John Roberts masked John Roberts Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 masked Health systems architect Tennessee Department of Health Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 John.A.Roberts@tn.gov http://health.tn.gov Govt body 2.16.840.1.113883.3.773 Ext 4 4 Complete 2.16.840.1.113883.3.773.1.2.1.13 2011/07/06 12:00:00 2011/07/08 12:00:00 2011/07/08 06:24:51 UV 2.16.840.1.113883.3.773.1.2.1.14 tdh-PTBMIS-s-central Tennessee Department of Health PTBMIS south central region John Roberts masked John Roberts Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 masked Health systems architect Tennessee Department of Health Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 John.A.Roberts@tn.gov http://health.tn.gov Govt body 2.16.840.1.113883.3.773 Ext 4 4 Complete 2.16.840.1.113883.3.773.1.2.1.14 2011/07/06 12:00:00 2011/07/08 12:00:00 2012/07/09 04:01:10 UV 2.16.840.1.113883.3.1020 mhiec Memorial Hermann Information Exchange Community patrick kendrick masked sanju.patel@memorialhermann.org patrick kendrick 920 Frostwood Dr, Suite 3:222 Houston, TX 77024 713-338-6315 masked lead clinical application analyst memorial hermann information exchange 920 Frostwood Dr Houston, TX 77024 713-338-6315 patrick.kendrick@memorialhermann.org http://memorialhermann.org/mhie/ Provider Int 3 Complete 2011/07/07 12:00:00 2011/07/08 12:00:00 2011/07/08 06:28:29 US 2.16.840.1.113883.3.1021 mhieaa Memorial Hermann Health Information Exchange Assigning Authority patrick kendrick masked sanju.patel@memorialhermann.org patrick kendrick 920 Frostwood Dr. Houston, TX 77024 713-338-6315 masked lead clinical application analyst memorial hermann information exchange 920 Frostwood Dr. Houston, TX 77024 713-338-6315 patrick.kendrick@memorialhermann.org http://memorialhermann.org/mhie/ Provider Int 3 Complete 2011/07/07 12:00:00 2011/07/08 12:00:00 2011/07/08 06:32:45 UV 2.16.840.1.113883.3.1022 mhiexds Memorial Hermann Information Exchange XDS Repository patrick kendrick masked sanju.patel@memorialhermann.org patrick kendrick 920 Frostwood Houston, TX 77024 713-338-6315 masked lead clinical application analyst memorial hermann information exchange 920 Frostwood Houston, TX 77024 713-338-6315 patrick.kendrick@memorialhermann.org http://memorialhermann.org/mhie/ Provider Int 3 Complete 2011/07/07 12:00:00 2011/07/08 12:00:00 2011/07/08 06:34:21 US 2.16.840.1.113883.3.1023 hiptnbus Health Information Partnership for Tennessee - Network of Networks Ashlea Lifsey masked Ashlea Lifsey P.O. Box 158892 Nashville, TN 37215 615-828-2890 masked Coordinator Health Information Partnership for Tennessee 708 E. Watauga Ave. Johnson City, TN 37601 615-828-2890 ashlea.lifsey@hiptn.org http://www.hiptn.org Academic Int 3 Complete 2011/07/07 12:00:00 2011/07/08 12:00:00 2011/07/08 06:36:39 UV 2.16.840.1.113883.3.1024 hiptnqo Health Information Partnership for Tennessee QO Ashlea Lifsey masked Ashlea Lifsey P.O.Box 158892 Nashville, TN 37215 615-828-2890 masked Coordinator Ashlea Lifsey 708 E. Watauga Ave. Johnson City, TN 37601 615-828-2890 ashlea.lifsey@hiptn.org http://www.hiptn.org Academic Int 3 Complete 2011/07/07 12:00:00 2011/07/08 12:00:00 2011/07/08 06:44:03 UV 2.16.840.1.113883.3.1025 pvhs Poudre Valley Health System Cathy Boyd masked Cathy Boyd PVHS Informaton Services 3702 Automation Way, Suite 200 Fort Collins, CO 80525-5737 970-495-7751 masked Integraton Analyst, Information Services Department,PVHS Poudre Valley Health System PVHS Corporate Office 2315 E Harmony Rd Ste 200 Fort Collins, CO 80528 970.237.7000 pvhs@pvhs.org http://pvhs.org Provider Int 3 Complete 2011/07/07 12:00:00 2011/07/08 12:00:00 2011/07/08 06:47:46 UV 2.16.840.1.113883.3.1026 nyeeccdtestoid New York Eye and Ear Infirmary CCD TEST OID Don Ushak masked Don Ushak 314 East 14th Street New York, NY 10003 212-979-4273 masked Director of Information Systems The New York Eye and Ear Infirmary 314 East 14th Street New York, NY 10003 212-979-4273 dushak@nyee.edu http://www.nyee.edu Provider Int 3 Complete 2011/07/07 12:00:00 2011/07/08 12:00:00 2011/07/08 03:46:00 UV 2.16.840.1.113883.17.15 hhmh Hazel Hawkins Memorial Hospital Suzie Mays masked Suzie Mays 911 Sunset Drive Hollister, CA. 95023 831-636-2633 masked Director, Information Technology Hazel Hawkins Memorial Hospital 911 Sunset Drive Hollister, CA. 95023 831-637-5711 smays@hazelhawkins.com http://www.hazelhawkins.com Govt body Int 17 Complete 2011/07/07 12:00:00 2011/07/08 12:00:00 2011/07/08 06:50:24 UV 2.16.840.1.113883.3.1027 mhscos Memorial Health System Pamper Stone masked Gloria M. Smith 1400 E. Boulder St Colorado Springs, CO 80909 719-365-2028 masked Interface Programmer Analyst Memorial Health System 1400 E. Boulder St Colorado Springs, CO 80909 719-365-5000 IS.Programmers@memorialhealthsystem.com http://www.memorialhealthsystem.com Provider Int 3 Complete 2011/07/07 12:00:00 2011/07/08 12:00:00 2011/07/08 06:52:52 UV 2.16.840.1.113883.3.1028 tihieaa Tiger Institute HIE Assigning Authority Don McCarter masked Don McCarter 2800 Rock Creek Parkway Kansas City, MO 64117 816-201-4500 masked Sr Engagement Leader Tiger Institute 2800 Rock Creek Parkway Kansas City, MO 64117 dmccarter@cerner.com Vendor Int 3 Complete 2011/07/08 12:00:00 2011/07/08 12:00:00 2011/07/08 06:58:15 UV 2.16.840.1.113883.3.1029 tihiec Tiger Institute HIE Home Community ID Don McCarter masked Don McCarter 2800 Rock Creek parkway kansas city, mo 64117 816-201-4500 masked Sr Engagement Leader Tiger Institute dmccarter@cerner.com Vendor Int 3 Complete 2011/07/08 12:00:00 2011/07/08 12:00:00 2011/07/08 07:01:40 UV 2.16.840.1.113883.3.1030 tihier Tiger Institute HIE Repository ID Don McCarter masked Don McCarter 2800 rock creek parkway kansas city, mo 64117 816-201-4500 masked Sr Engagement Leader Tiger Institute dmccarter@cerner.com Vendor Int 3 Complete 2011/07/08 12:00:00 2011/07/08 12:00:00 2011/07/08 07:04:00 UV 2.16.840.1.113883.3.1031 amh CHRISTUS St. Michael Hospital Eric Gibson masked Eric Gibson 210-704-2364 masked CHRISTUS St. Michael Hospital 2600 St. Michael Drive Texarkana, TX 75501 (903) 614-1000 eric.gibson@christushealth.org http://www.christusstmichael.org Provider Int 3 Complete 2011/07/11 12:00:00 2011/07/15 12:00:00 2011/07/15 01:13:41 UV 2.16.840.1.113883.3.1032 amr CHRISTUS St. Michael Rehabilitation Hospital Eric Gibson masked Eric Gibson 210-704-2364 masked CHRISTUS St. Michael Rehabilitation Hospital 2600 St. Michael Drive Texarkana, TX 75501 (903) 614-1001 eric.gibson@christushealth.org http://www.christusstmichael.org Provider Int 3 Complete 2011/07/11 12:00:00 2011/07/15 12:00:00 2011/07/15 01:20:05 UV 2.16.840.1.113883.3.1033 arkLaTex CHRISTUS Health Ark-La-Tex Eric Gibson masked Eric Gibson 210-704-2364 masked CHRISTUS Health Ark-La-Tex 2600 St. Michael Drive Texarkana, TX 75501 (903) 614-1000 eric.gibson@christushealth.org http://www.christusstmichael.org Provider Int 3 Complete 2011/07/11 12:00:00 2011/07/15 12:00:00 2011/07/15 01:24:02 UV 2.16.840.1.113883.3.1034 sah CHRISTUS Spohn Hospital Alice Eric Gibson masked Eric Gibson 210-704-2364 masked CHRISTUS Spohn Hospital Alice 2500 E. Main Alice, TX 78332 (361) 661-8000 eric.gibson@christushealth.org http://www.christusspohn.org Provider Int 3 Complete 2011/07/11 12:00:00 2011/07/15 12:00:00 2011/07/15 01:25:09 UV 2.16.840.1.113883.3.1035 sbh CHRISTUS Spohn Hospital Beeville Eric Gibson masked Eric Gibson 210-704-2364 masked CHRISTUS Spohn Hospital Beeville 1500 E. Houston Highway Beeville, TX 78102 (361) 354-2000 eric.gibson@christushealth.org http://www.christusspohn.org Provider Int 3 Complete 2011/07/11 12:00:00 2011/07/15 12:00:00 2011/07/15 01:26:46 UV 2.16.840.1.113883.3.1036 skm CHRISTUS Spohn Hospital Kleberg Eric Gibson masked Eric Gibson 210-704-2364 masked CHRISTUS Spohn Hospital Kleberg 1311 General Cavazos Blvd Kingsville, TX 78363-7130 (361) 595-1661 eric.gibson@christushealth.org http://www.christusspohn.org Provider Int 3 Complete 2011/07/11 12:00:00 2011/07/15 12:00:00 2011/07/15 01:28:54 UV 2.16.840.1.113883.3.1037 smh CHRISTUS Spohn Hospital Corpus Christi-Memorial Eric Gibson masked Eric Gibson 210-704-2364 masked CHRISTUS Spohn Hospital Corpus Christi-Memorial 2606 Hospital Blvd. Corpus Christi, TX 78405 (361) 902-4000 eric.gibson@christushealth.org http://www.christusspohn.org Provider Int 3 Complete 2011/07/11 12:00:00 2011/07/15 12:00:00 2011/07/15 01:29:57 UV 2.16.840.1.113883.3.1038 ssh CHRISTUS Spohn Hospital Corpus Christi-Shoreline Eric Gibson masked Eric Gibson 210-704-2364 masked CHRISTUS Spohn Hospital Corpus Christi-Shoreline 600 Elizabeth St. Corpus Christi, TX 78404 (361) 881-3000 eric.gibson@christushealth.org http://www.christusspohn.org Provider Int 3 Complete 2011/07/11 12:00:00 2011/07/15 12:00:00 2011/07/15 01:31:24 UV 2.16.840.1.113883.3.1039 sst CHRISTUS Spohn Hospital Corpus Christi-South Eric Gibson masked Eric Gibson 210-704-2364 masked CHRISTUS Spohn Hospital Corpus Christi-South 5950 Saratoga Blvd. Corpus Christi, TX 78414 (361) 985-5000 eric.gibson@christushealth.org http://www.christusspohn.org Provider Int 3 Complete 2011/07/11 12:00:00 2011/07/15 12:00:00 2011/07/15 01:33:43 UV 2.16.840.1.113883.3.1040 spn CHRISTUS Spohn Health System Eric Gibson masked Eric Gibson 210-704-2364 masked CHRISTUS Spohn Health System 1702 Santa Fe Corpus Christi, TX 78404 (361) 881-3000 eric.gibson@christushealth.org http://www.christusspohn.org Provider Int 3 Complete 2011/07/11 12:00:00 2011/07/15 12:00:00 2011/07/15 01:34:36 UV 2.16.840.1.113883.3.1041 ahssaa ahss assigning authority id Judy Best masked Catherine Cosby Judy Best 1035 Greenwood Blvd Suite 301 Lake Mary, FL. 32764 407-942-1496 masked Vice President of Business Systems Adventist Health System 1035 Greenwood Blvd Suite 301 Lake Mary, FL. 32764 407-942-1500 judy.best@ahss.org http://www.ahss.org Provider Int 3 Complete 2011/07/11 12:00:00 2011/07/15 12:00:00 2011/07/15 01:40:57 UV 2.16.840.1.113883.3.1042 ahsshcid ahss home community id Judy Best masked Catherine Cosby Judy Best 1035 Greenwood Blvd Suite 301 Lake Mary, FL 32746 407-942-1496 masked Vice President of Business Systems Adventist Health System 1035 Greenwood Blvd Suite 301 Lake Mary, FL 32746 407-942-1500 judy.best@ahss.org http://www.ahss.org Provider Int 3 Complete 2011/07/11 12:00:00 2011/07/15 12:00:00 2011/07/15 01:42:58 UV 2.16.840.1.113883.3.1043 ahssrepid ahss repository id Judy Best masked Catherine Cosby Judy Best 1035 Greenwood Blvd Suite 301 Lake Mary, FL 32746 407-942-1496 masked Vice President of Business Systems Adventist Health System 1035 Greenwood Blvd Suite 301 Lake Mary, FL 32746 407-942-1500 judy.best@ahss.org http://www.ahss.org Provider Int 3 Complete 2011/07/11 12:00:00 2011/07/15 12:00:00 2011/07/15 01:46:05 UV 2.16.840.1.113883.3.1044 cc cc organizational oid Christopher Davenport masked Chris Davenport Centra Care 901 North Lake Destiny Road, Suite 400 Maitland, FL 32751 407-200-2300 masked Application Analyst Centra Care Centra Care 901 North Lake Destiny Road, Suite 400 Maitland, FL 32751 407-200-2300 fhcc.is@flhosp.org https://www.centracare.org Provider Int 3 Complete 2011/07/12 12:00:00 2011/07/15 12:00:00 2011/07/15 04:48:58 UV 2.16.840.1.113883.3.1045 virtuahie Virtua Health Information Exchange Julia Staas masked Julia Staas 301 Lippincott Dr, Suite 300 Marlton, NJ 08053 856-248-6431 masked Program Manager Virtua Health Information Exchange 301 Lippincott Dr, Suite 300 Marlton, NJ 08053 856-248-6431 jjstaas@virtua.org http://www.virtuahie.org Provider Int 3 Complete 2011/07/12 12:00:00 2011/07/15 12:00:00 2011/07/15 04:50:21 UV 2.16.840.1.113883.3.1046 nbhsca NorthbayHealthcare Ron Boris masked Ron Boris 4500 Business Center Drive Fairfield, CA 94519 707-646-3234 masked Systems Integration Engineer Northbay Healthcare 707-646-5000 rboris@northbay.org http://www.northbay.org Provider Int 4 3 Complete 2011/07/12 12:00:00 2011/07/15 12:00:00 2011/07/15 04:59:06 UV 2.16.840.1.113883.3.1047 tactusmd TactusMD, Inc. Leo Chang masked Leo Chang 3113 Roswell Rd Ste 201 Marietta, GA 30062 866-461-8380 masked CTO TactusMD, Inc. 3113 Roswell Rd Ste 201 Marietta, GA 30062 866-461-8380 info@tactusmd.com http://www.tactusmd.com Vendor Int 3 Complete 2011/07/12 12:00:00 2011/07/15 12:00:00 2011/07/15 05:00:59 UV 2.16.840.1.113883.4.493 nlfhGryslk Northwestern Memorial Lake Forest Susan Feeley masked Reggie Nowacki 541 North Fairbanks Suite 435 Chicago, IL 60611 312.925-1185 masked Progam Manager Northwestern Memorial Lake Forest Grayslake 1475 E Belvidere Rd Grayslake, IL 60063 312.925-1185 rnowacki@nm.org http://www.grayslake.nm.org Provider Int 4 Complete 2011/07/13 12:00:00 2011/07/15 12:00:00 2016/03/31 10:49:20 UV 2.16.840.1.113883.3.1048 integrityEMR Integrity EMR Josh Illian masked Josh Illian (877) 905-4680 masked Senior Developr Integrity Digital Solutions, LLC 6420 South General Bruce Drive Temple, TX 76502 (254) 613-4372 jillian@integrityemr.com http://www.integrityemr.com Vendor Int 3 Complete 2011/07/13 12:00:00 2011/07/15 12:00:00 2011/07/15 05:07:10 UV 2.16.840.1.113883.3.1049 facilityRootOID Allscripts Facility root Stan Lassiter masked Megen Murray 919.800.6931 masked Associate Manager Allscripts 8529 Six Forks Rd. Raleigh, N.C. 27615-2963 1-800-877-5678 megen.murray@allscripts.com Vendor Int 3 Complete 2011/07/13 12:00:00 2011/07/15 12:00:00 2014/02/27 10:46:42 UV 2.16.840.1.113883.3.1049.1 myWayAppOID MyWay Application OID Stan Lassiter masked Megen Murray 919.800.6931 masked Associate Manager Allscripts 8529 Six Forks Rd Raleigh, N.C. 27615-2963 1-800-877-5678 megen.murray@allscripts.com Vendor Ext 3 Complete 2.16.840.1.113883.3.1049.1 2011/07/13 12:00:00 2011/07/15 12:00:00 2014/02/27 10:51:53 UV 2.16.840.1.113883.3.1049.2 pROappOID Pro application OID Stan Lassiter masked Megen Murray 919.800.6931 masked Associate Manager Allscripts 8529 Six Forks Rd Raleigh, N.C. 27615-2963 1-800-877-5678 megen.murray@allscripts.com Vendor Ext 3 Complete 2.16.840.1.113883.3.1049.2 2011/07/13 12:00:00 2011/07/15 12:00:00 2014/02/27 10:57:08 UV 2.16.840.1.113883.3.1049.3 enterpriseAppOID Enterprise Application OID Stan Lassiter masked Megen Murray 919.800.6931 masked Associate Manager Allscripts 8529 Six Forks Rd Raleigh, N.C. 27615-2963 1-800-877-5678 megen.murray@allscripts.com Vendor Ext 3 Complete 2.16.840.1.113883.3.1049.3 2011/07/13 12:00:00 2011/07/15 12:00:00 2014/02/27 11:02:17 UV 2.16.840.1.113883.17.16 ufes-oid Universidade Federal do Espirito Santo OID - by: Marcellus Marcellus Selga Batista masked Marcellus Selga Batista +55 2788138763 masked Estudante da Universidade Federal do Espirito Santo Marcellus marcellus.sb@gmail.com Academic Int 17 Complete 2011/07/13 12:00:00 2011/07/15 12:00:00 2011/07/15 05:14:19 UV 2.16.840.1.113883.3.1050 uza Universitair Ziekenhuis Antwerpen Geert Hellebaut masked Geert 038213612 masked UZA Wilrijkstraat 10 2650 Edegem Belgie 038213000 geert.hellebaut@uza.be Prof Soc Int 3 Complete 2011/07/14 12:00:00 2011/07/15 12:00:00 2011/07/15 05:40:12 UV 2.16.840.1.113883.3.1051 econnect eConnect Tait Holbrook masked Linda Chan El Camino Hospital 2500 Grant Road MPHD310 Mountain View, CA 94040 650-962-5769 masked Project Manager El Camino El Camino Hospital 2500 Grant Road MPHD310 Mountain View, CA 94040 650-962-5769 Linda_Chan@elcaminohospital.org Vendor Int 3 Complete 2011/07/14 12:00:00 2011/07/15 12:00:00 2011/07/15 05:43:15 UV 2.16.840.1.113883.3.1052 ncmc North Colorado Medical Center Steve Drozdowski masked Steve Drozdowski 1441 N. 12th St. Phoenix, AZ 85006 602-747-4319 masked IT Software Integr Sr Consult North Colorado Medical Center 1801 16th St. Greeley, CO 80631 970-352-4121 steve.drozdowski@bannerhealth.com http://www.bannerhealth.com Provider Int 3 Complete 2011/07/15 12:00:00 2011/07/15 12:00:00 2011/07/15 05:46:15 UV 2.16.840.1.113883.3.1053 mmc McKee Medical Center Steve Drozdowski masked Steve Drozdowski 1441 N. 12th St. Phoenix, AZ 85006 602-747-4319 masked IT Software Integr Sr Consult McKee Medical Center 2000 Boise Ave. Loveland, CO 80538 970-669-4640 steve.drozdowski@bannerhealth.com http://www.bannerhealth.com Provider Int 3 Complete 2011/07/15 12:00:00 2011/07/15 12:00:00 2011/07/15 05:47:11 UV 2.16.840.1.113883.3.1054 srm Sterling Regional MedCenter Steve Drozdowski masked Steve Drozdowski 1441 N. 12th St. Phoenix, AZ 85006 602-747-4319 masked IT Software Integr Sr Consult Sterling Regional MedCenter 615 Fairhurst St. Sterling, CO 80751 970-522-0122 steve.drozdowski@bannerhealth.com http://www.bannerhealth.com Provider Int 3 Complete 2011/07/15 12:00:00 2011/07/15 12:00:00 2011/07/15 05:48:25 UV 2.16.840.1.113883.3.1055 emch East Morgan County Hospital Steve Drozdowski masked Steve Drozdowski 1441 N. 12th St. Phoenix, AZ 85006 602-747-4319 masked IT Software Integr Sr Consult East Morgan County Hospital 2400 W. Edison Brush, CO 80723 970-842-6200 steve.drozdowski@bannerhealth.com http://www.bannerhealth.com Provider Int 3 Complete 2011/07/15 12:00:00 2011/07/15 12:00:00 2011/07/15 05:49:57 UV 2.16.840.1.113883.3.1056 thc Tenet Healthcare Corp Kale Woods masked David Bordofske Kari Raplee 14201 Dallas Parkway Dallas, TX 75254 765-404-3323 masked Manager, Interoperability Tenet Healthcare Corp. 14201 Dallas Parkway Dallas, TX 75254 765-404-3323 kari.raplee@tenethealth.com http://www.tenethealth.com/pages/home.aspx Provider Int 3 Complete 2011/07/15 12:00:00 2011/07/26 12:00:00 2022/06/24 04:09:08 US 2.16.840.1.113883.3.1057 methodistHealthSystem Methodist Health System Root OID Shyla Punteney masked Roger Hertz Grant Burch 825 S 169th St Omaha, NE 68118 402-354-1661 masked Lead Interface Analyst for Methodist Health System Methodist Health System 825 S 169th St Omaha, NE 68118 402-354-1661 grant.burch@nmhs.org http://www.bestcare.org Provider Int 3 3 Complete 2011/07/18 12:00:00 2011/07/26 12:00:00 2019/03/07 01:47:10 US 2.16.840.1.113883.3.1058 angelecare Erin Fitzsimmons Erin Fitzsimmons masked Fitzsimmons Erin 2261 Crosspark Road #108 Coralville, Iowa 52241 5636638048 masked Principal Erin Fitzsimmons erin@angelecare.com https://www.angelecare.com Vendor Int 3 Complete 2011/07/18 12:00:00 2011/07/26 12:00:00 2011/07/26 01:37:34 UV 2.16.840.1.113883.3.1059 vmg Virtua Medical Group Julia Staas masked Julia Staas Virtua Information Services 301 Lippincott Dr Marlton, NJ 08053 856-248-6431 masked Project Manager Virtua Medical Group Virtua Medical Group 401 Route 73 North-40 Lake Center, Suite201A Marlton, NJ 08053 856-355-0340 jjstaas@virtua.org http://www.virtua.org/locations/medical-group-primary-and-specialty-care/default.aspx Provider Int 3 Complete 2011/07/18 12:00:00 2011/07/26 12:00:00 2011/07/26 01:41:05 UV 2.16.840.1.113883.3.1060 virtua Virtua Health Julia Staas masked Julia Staas Virtua Information Services 301 Lippincott Dr Marlton, NJ 08053 856-248-6431 masked Project Manager Virtua Health Virtua Health 401 Route 73 50 Lake Center Dr, Suite 401 Marlton,NJ 08053 856-248-6431 jjstaas@virtua.org http://www.virtua.org Provider Int 3 Complete 2011/07/18 12:00:00 2011/07/26 12:00:00 2011/07/26 01:46:23 UV 2.16.840.1.113883.3.1061 hscni Health and Social Care Northern Ireland Keith Harper masked Keith Harper Business Services Organisation Centre House 79 Chichester Street Belfast Co Antrim Northern Ireland BT1 4JR 02890556627 masked Head of Integration Business Services Organisation ITS Business Services Organisation Centre House 79 Chichester Street Belfast Co Antrim Northern Ireland BT1 4JR keith.harper@hscni.net Govt body Int 3 Complete 2011/07/19 12:00:00 2011/07/26 12:00:00 2018/07/23 11:19:40 UV 2.16.840.1.113883.4.494 mcmcbr Mecosta County Medical Center Mike Miller masked Mike Miller Mecosta County Medical Center 605 Oak St Big Rapids, MI 49307 231-878-5133 masked Director Of Information Technology Sherry Higley Mecosta County Medical Center 605 Oak St Big Rapids, MI 49307 231-592-4203 shigley@mcmcbr.com http://www.mcmcbr.com Provider Int 4 Complete 2011/07/19 12:00:00 2011/07/26 12:00:00 2011/07/26 01:51:08 UV 2.16.840.1.113883.3.1062 rha Riverview Hospital Association Brian Piesik masked Brian Piesik 410 Dewey St Wisconsin Rapids, WI 54494 715-421-6060 ext 8626 masked Riverview Hospital Association 410 Dewey St Wisconsin Rapids, WI 54494 715-423-6060 rha@rhahealthcare.org http://www.rhahealthcare.org/ Provider Int 3 Complete 2011/07/19 12:00:00 2011/07/26 12:00:00 2014/03/03 03:42:38 UV 2.16.840.1.113883.3.1063 chestfde St Francis Delaware DIHN Dave Stratton masked David Stratton Catholic Health East 3805 West Chester Pike Suite 100 Newtown Square Pa 19073 610-492-3752 masked Integration Manager David Stratton dstratton@che.org http://www.che.org Provider Int 3 Complete 2011/07/20 12:00:00 2011/07/26 12:00:00 2011/07/26 01:58:57 UV 2.16.840.1.113883.17.17 sourceoid Rad Source Betty Hite masked Betty Augusta Health 78 Medical Center Drive Fishersville, VA 22939 540-332-4884 masked Applications Manager Augusta Health Augusta Health 78 Medical Center Drive Fishersville, VA 22939 540-332-4000 info@augustahealth.com http://www.augustahealth.com Provider 2.16.840.1.113883.3.924 Int 17 17 Complete 2011/07/21 12:00:00 2011/07/26 12:00:00 2011/07/26 02:00:33 UV 2.16.840.1.113883.17.18 augustahealthsourceoid Augusta Health Source OID Betty Hite masked Betty Augusta Health 78 Medical Center Drive Fishersville, VA 22939 540-332-4884 masked Applications Manager Augusta Health Augusta Health 78 Medical Center Drive Fishersville, VA 22939 540-332-4000 info@augustahealth.com http://www.augustahealth.com Provider 2.16.840.1.113883.3.924 Int 17 17 Complete 2011/07/21 12:00:00 2011/07/26 12:00:00 2011/07/26 02:45:06 UV 2.16.840.1.113883.17.19 augustahealthradsourceoid Augusta Health Rad Source OID Betty Hite masked Betty Augusta Health 78 Medical Center Drive Fishersville, VA 22939 540-332-4884 masked Applications Manager Augusta Health Augusta Health 78 Medical Center Drive Fishersville, VA 22939 540-332-4000 info@augustahealth.com http://www.augustahealth.com Provider 2.16.840.1.113883.3.924 Int 17 17 Complete 2011/07/21 12:00:00 2011/07/26 12:00:00 2011/07/26 06:41:21 UV 2.16.840.1.113883.3.1064 pvhsemrid PVHS External EMR Identifier Cathy Boyd masked Cathy Boyd 3702 Automation Way, Suite 200 Fort Collins, CO 80525-5737 970-495-7751 masked Integration Analyst Poudre Valley Health System PVHS Corporate Office 2315 E Harmony Rd Ste 200 Fort Collins, CO 80528 970-237-7000 pvhs@pvhs.org http://pvhs.org Provider Int 3 Complete 2011/07/21 12:00:00 2011/07/26 12:00:00 2011/07/26 06:44:30 UV 2.16.840.1.113883.3.1065 ngh-edw-clinipen Clinipen Larry Fetterhoff masked Larry Fetterhoff 3405 S. Lowell Blvd. Unit 1 Denver, CO 80236 303 781-0608 masked VP, Practice Management Nightingale Informatix 3762 Fourteenth Ave., Ste. 100 Markham, ON L3R 0G7 (866) 852-3663 lfetterhoff@nightingale.md http://www.nightingalemd.ca Vendor Int 3 3 Complete 2011/07/21 12:00:00 2011/07/26 12:00:00 2011/07/26 06:46:38 UV 2.16.840.1.113883.3.1066 eSolutionsInc eSolutions, Inc. Bill Creach masked Bill Creach 401 W. Frontier Lane Suite 101 Olathe, KS 66061 913-780-4724 masked President/CEO eSolutions, Inc. 401 W. Frontier Lane Suite 101 Olathe, KS 66061 913-780-4724 clientservices@ecorpnet.com http://www.ecorpnet.com Vendor Int 3 Complete 2011/07/21 12:00:00 2011/07/26 12:00:00 2011/07/26 06:47:51 UV 2.16.840.1.113883.3.1067 crhc Concord Hospital Chris Baker masked Chris Baker 250 Pleasant Street Concord, NH 03301-2598 603-225-2711 masked Concord Hospital 250 Pleasant Street Concord, NH 03301-2598 cbaker@crhc.org Provider Int 3 Complete 2011/07/21 12:00:00 2011/07/26 12:00:00 2015/09/10 03:41:53 UV 2.16.840.1.113883.3.1068 cobius Cobius Healthcare Solutions Feng Wang masked Feng Wang 3149 Dundee Road, Suite 302 Northbrook, IL 60062 847-656-8700 masked Feng Wang 3149 Dundee Road, Suite 302 Northbrook, IL 60062 847-656-8700 fwang@cobius.com http://www.cobius.com Govt body Int 3 Complete 2011/07/21 12:00:00 2011/07/26 12:00:00 2011/07/26 06:52:57 UV 2.16.840.1.113883.3.989.2 msg-stds Technical Message Standards Raun Kupiec masked Stan van Belkum John Kiser AbbVie 1 North Waukegan Road Dept PA97, Bldg AP50 North Chicago, IL. USA 60030 +1.847.937.3725 masked EFPIA Topic Lead, ICH M2 ESTRI ICH (Int'l Conf on Harmonisation of Tech Reqs for Registration of Pharmaceuticals for Human Use) ICH Secretariat c/o IFPMA 15, chemin Louis-Dunant P.O. Box 195 1211 Geneva 20 Switzerland +41 (22) 338 32 06 admin@ich.org http://www.ich.org SDO Ext 14 14 Complete 2.16.840.1.113883.3.989.2 2011/07/22 12:00:00 2011/07/26 12:00:00 2014/03/21 10:07:14 UV 2.16.840.1.113883.3.989.2.1 e2b-icsr Electronic Transmission of Individual Case Safety Reports (ICSRs): Code Lists and Objects Raun Kupiec masked Stan van Belkum John Kiser AbbVie 1 North Waukegan Road Dept PA97, Bldg AP50 North Chicago, IL. USA 60030 +1.847.937.3725 masked EFPIA Topic Lead, ICH M2 ESTRI ICH M2 ESTRI ICH Secretariat c/o IFPMA 15, chemin Louis-Dunant P.O. Box 195 1211 Geneva 20 Switzerland +41 (22) 338 32 06 admin@ich.org http://www.ich.org SDO 2.16.840.1.113883.3.989 Ext 15 14 Complete 2.16.840.1.113883.3.989.2.1 2011/07/22 12:00:00 2011/07/15 12:00:00 2014/03/21 10:08:33 UV 2.16.840.1.113883.3.989.2.2 m8-ectd Electronic Common Technical Document (eCTD) Raun Kupiec masked Stan van Belkum John Kiser AbbVie 1 North Waukegan Road Dept PA97, Bldg AP50 North Chicago, IL. USA 60030 +1.847.937.3725 masked EFPIA Topic Lead, ICH M2 ESTRI ICH M2 ESTRI ICH Secretariat c/o IFPMA 15, chemin Louis-Dunant P.O. Box 195 1211 Geneva 20 Switzerland +41 (22) 338 32 06 admin@ich.org http://www.ich.org SDO 2.16.840.1.113883.3.989 Ext 15 14 Complete 2.16.840.1.113883.3.989.2.2 2011/07/22 12:00:00 2011/07/26 12:00:00 2014/03/21 10:09:53 UV 2.16.840.1.113883.3.1069 jhs Jackson Health System Jermaine Allen masked oscar.perez@jhsmiami.org Martin Hadida 1611 NW 12th Avenue PPW G206C Miami, FL 33136 305-355-1296 masked Integration Architect Jackson Health System 1611 NW 12th Avenue Miami, FL 33136 305-585-1111 info@jhsmiami.org http://www.jacksonhealth.org/ Provider Int 3 3 Complete 2011/07/22 12:00:00 2011/07/26 12:00:00 2014/04/28 12:02:03 UV 2.16.840.1.113883.3.1070 mckesson-fusion McKesson Fusion Barry Smith masked Barry Smith 770-237-4300 masked Barry Smith barry.a.smith@mckesson.com http://www.mckesson.com Vendor Int 3 Complete 2011/07/22 12:00:00 2011/07/26 12:00:00 2011/07/26 07:15:44 UV 2.16.840.1.113883.3.1071 trinityMuscatine Trinity Muscatine Hospital CCD Blake Jones masked Blake Jones Trinity Muscatine 1518 Mulberry Avenue Muscatine, IA 52761 563-264-9348 masked Director of IT Trinity Muscatine Trinity Muscatine 1518 Mulberry Avenue Muscatine, IA 52761 563-264-9100 lmolbur@trinitymuscatine.com http://www.trinityqc.com/Home.aspx Provider Int 3 Complete 2011/07/22 12:00:00 2011/07/26 12:00:00 2011/07/26 07:19:43 UV 2.16.840.1.113883.3.1072 luitpold Luitpold Pharmaceuticals, Inc. Colleen Hershon masked Barbara Goulding Barbara Goulding Luitpold Pharmaceuticals, Inc. Regulatory Affairs Department One Luitpold Drive PO Box 9001 Shirley, NY 11967 USA 631-924-4000 masked Sr. Manager, Regulatory Affairs Luitpold Pharmaceuticals, Inc. One Luitpold Drive PO Box 9001 Shirley, NY 11967 USA 631-924-4000 inquiry@luitpold.com http://www.luitpold.com Payor Int 3 Complete 2011/07/22 12:00:00 2011/07/26 12:00:00 2011/07/26 07:24:38 UV 2.16.840.1.113883.3.1073 root-NewYork-PresbyterianHospital The OID root for NewYork-Presbyterian Hospital Virigina Lorenzi masked Geraldo Da Silva Virginia Lorenzi NewYork-Presbyterian Hospital 333 East 38TH ST. 2ND Fl. New York, NY 10016 516-798-7304 masked Manager HIT Standards and Collaborations NewYork-Presbyterian Hospital NewYork-Presbyterian Hospital 333 East 38TH ST. 2ND Fl. New York, NY 10016 Attn: OCIO (Office of the CIO) 212.585.6422 interfacemanager@nyp.org http://nyp.org Provider Int 3 Complete 2011/07/22 12:00:00 2011/07/26 12:00:00 2011/07/26 07:27:37 UV 2.16.840.1.113883.3.1070.5005 mckesson-fusion-5005 mckesson-fusion-5005 Melanie Aiken masked Melanie Aiken 8775074541 masked Fusion Enrollment enrollrelay@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 17 Complete 2.16.840.1.113883.3.1070.5005 2011/07/22 12:00:00 2011/07/26 12:00:00 2011/07/26 07:35:25 US 2.16.840.1.113883.3.1074 mch Millcreek Community Hospital Cheryl Girardier masked Justin Lopatynski LECOM Medical Center and Behavioral Health Pavilion 5515 Peach St Erie, PA 16509 814-868-3987 masked Director of I.T. LECOM Health 5515 Peach St Erie, PA 16509 814-864-4031 jlopatynski@lecomhealth.org https://lecomhealth.com/ Provider Int 3 Complete 2011/07/22 12:00:00 2011/07/26 12:00:00 2026/08/24 05:40:34 UV 2.16.840.1.113883.3.1075 rei-OID Regional Enterprises, Inc.-OID Todd Reynolds masked Todd Reynolds 1615 Maple Lane Ashland, WI 54806 715-685-5588 masked Director, Information Systems Regional Enterprises, Inc. 1615 Maple Lane Ashland, WI 54806 715-685-5500 treynolds@ashlandmmc.com http://www.ashlandmmc.com Provider Int 3 Complete 2011/07/25 12:00:00 2011/07/26 12:00:00 2011/07/26 07:42:43 UV 2.16.840.1.113883.6.302 un-sp-sc United Nations Standard Products and Services Code Jane Daus masked Jane Daus 1400 S Wolf Road Wheeling, IL 60090 8474951289 masked Business Functional Analyst UNSPSC info@unspsc.org http://www.unspsc.org/Defaults.asp Prof Soc Int 6 6 Complete 2011/07/25 12:00:00 2011/07/26 12:00:00 2011/07/26 07:47:34 UNSPSC UV 2.16.840.1.113883.3.1076 wrhs White River Health System Danny Kelley masked wevans@wrmc.com Danny Kelley 8702621435 masked Director of Information Systems White River Health System IS@wrmc.com http://www.whiteriverhealthsystem.com Provider Int 3 3 Complete 2011/07/25 12:00:00 2011/07/26 12:00:00 2011/07/26 07:49:08 US 2.16.840.1.113883.3.1077 clinicaltrials-gov ClinicalTrials.gov a Clinical Trials Registry and Results Database Maintained by the U.S. National Library of Medicine Mollie Ullman-Cullere masked Nicholas Ide ClinicalTrials.gov, U.S. National Library of Medicine, 8600 Rockville Pike, Bethesda, MD 20894 301-435-3141 masked U.S. National Library of Medicine ClinicalTrials.gov, U.S. National Library of Medicine, 8600 Rockville Pike, Bethesda, MD 20894 301-594-5983 custserv@nlm.nih.gov http://clinicaltrials.gov/ Govt body Int 3 Complete 2011/07/26 12:00:00 2011/07/26 12:00:00 2011/07/26 07:53:50 UV 2.16.840.1.113883.3.1078 karmanos-cancer-center Karmanos Cancer Center Marsha Choley masked Scott McCarter Marsha Choley 4100 John R Detroit, MI 48201 313-576-8646 masked Sr. Project Manager Karmanos Cancer Center 4100 John R. Detroit, MI 48201 1-800-527-6266 info@karmanos.org http://www.karmanos.org Provider Int 3 Complete 2011/07/26 12:00:00 2011/07/26 12:00:00 2011/07/26 07:56:34 UV 2.16.840.1.113883.3.1079 moh-Saudi-Arabia-Root-OID Ministry of Health, Saudi Arabia- Root OID Malcolm Catella masked Ahmed Al Hedaithy Ministry of Health King Abdulaziz Street Ministries Area Riyadh 11176 Saudi Arabia +966505246400 masked Ministry of Health, Saudi Arabia Ministry of Health King Abdulaziz Street Ministries Area Riyadh 11176 Saudi Arabia +966505246400 ahedaithy@moh.gov.sa Govt body Int 3 Complete 2011/07/26 12:00:00 2011/07/26 12:00:00 2011/07/26 08:00:25 UV 2.16.840.1.113883.3.1080 tmmc Torrance Memorial Medical Center Ashwin Rohra masked Ashwin Rohra Clinical Applications Department, 3330 Lomita Blvd, Torrance, CA - 90505 3107848726 masked Technical Architect Torrance Memorial Medical Center 3330 Lomita Blvd, Torrance, CA - 90505 3107848726 bernadette.reid@tmmc.com http://www.torrancememorial.org/ Provider Int 3 3 Complete 2011/07/26 12:00:00 2011/07/29 12:00:00 2011/07/29 05:12:10 UV 2.16.840.1.113883.3.1070.5004 mckesson-fusion-5004 mckesson-fusion-5004 Melanie Aiken masked Melanie Aiken 8775074541 masked Fusion Enrollment enrollrelay@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5004 2011/07/26 12:00:00 2011/07/29 12:00:00 2011/07/29 05:14:34 US 2.16.840.1.113883.4.495 wrmc Wellington Regional Medical Center Justin Fanslau masked mike.meall@uhsinc.com Mike Meall 610-382-4674 masked Universal Health Services of Delaware, Inc. P.O. Box 61558 367 South Gulph Road King of Prussia, PA 19406 info@uhsinc.com http://www.uhsinc.com SDO Int 4 Complete 2011/07/27 12:00:00 2011/07/29 12:00:00 2011/07/29 05:19:21 UV 2.16.840.1.113883.3.1081 bevhosp Beverly Hospital Ronnie O. Cobarrubias masked Ron Meyer Ronnie O. Cobarrubias Beverly Hospital 309 W. Beverly Blvd. Montebello, CA 90640 323 726-1222 ext 4409 masked Manager - IT Applications Beverly Hospital Beverly Hospital 309 W. Beverly Blvd. Montebello, CA 90640 323 726-1222 rcobarrubias@beverly.org http://www.beverly.org Provider Int 3 Complete 2011/07/27 12:00:00 2011/07/29 12:00:00 2011/07/29 05:22:23 UV 2.16.840.1.113883.3.1082 emhs Eastern Maine Healthcare Systems Root OID Glenis Sherwood masked Glenis Sherwood Eastern Maine Healthcare Systems Information Systems 43 Whiting Hill Rd Brewer ME 04412 207 973-7723 masked Director Programmin & Interfaces Eastern Maine Healthcare Systems Eastern Maine Healthcare Systems Information Systems 43 Whiting Hill Rd Brewer ME 04412 207 973-7723 gsherwood@emh.org http://www.emh.org/ Provider Int 3 3 Complete 2011/07/27 12:00:00 2011/07/29 12:00:00 2011/07/29 05:25:32 UV 2.16.840.1.113883.3.1083 anthelio Anthelio Health Ted Viens masked Ted Viens 972.821.8659 masked Anthelio Health TedViens@antheliohealth.com http://www.antheliohealth.com/ Provider Int 3 Complete 2011/07/27 12:00:00 2011/07/29 12:00:00 2011/07/29 05:31:50 UV 2.16.840.1.113883.3.1070.5007 mckesson-fusion-5007 mckesson-fusion-5007 Melanie Aiken masked Melanie Aiken 8775074541 masked Fusion Enrollment enrollrelay@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5007 2011/07/28 12:00:00 2011/07/29 12:00:00 2011/07/29 05:42:17 US 2.16.840.1.113883.3.1085 cCAF Root OID for Colin Fletcher Colin Fletcher masked Colin Fletcher PO BOX 45036 RPO 7 ELEVEN HIGH RIVER ALBERTA CANADA T1V1R7 403-469-1177 masked Colin Fletcher 403-469-1177 colin.fletcher@gmail.com Provider Int 3 Complete 2011/07/28 12:00:00 2011/07/29 12:00:00 2011/07/29 05:44:47 UV 2.16.840.1.113883.3.1086 mhc Methodist Health Connect Sam Ruffing masked Mark Lewellen Sam Ruffing 3400 W. Wheatland Road POB III Suite 360 Dallas, TX 75237 214-884-4764 masked AVP Methodist Health Connect 3400 W. Wheatland Road POB III Suite 360 Dallas, TX 75237 214-884-4700 info@mhs-methodisthealthconnect.com http://www.methodisthealthsystem.org/ Provider Int 3 Complete 2011/07/28 12:00:00 2011/07/29 12:00:00 2011/07/29 05:47:40 UV 2.16.840.1.113883.3.1087 mhd Methodist Health System Pamela McNutt masked Derrel Ferguson Pamela McNutt Methodist Health System 1441 N. Beckley Ave. Dallas, TX 75203 214-947-4530 masked CIO/SR VP Methodist Health System Methodist Health System 1441 N. Beckley Ave. Dallas, TX 75203 CIO@mhd.com http://methodisthealthsystem.org Provider Int 3 Complete 2011/07/28 12:00:00 2011/07/29 12:00:00 2011/07/29 05:52:36 UV 2.16.840.1.113883.3.1070.5006 mckesson-fusion-5006 mckesson-fusion-5006 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment enrollrelay@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5006 2011/07/29 12:00:00 2011/07/29 12:00:00 2011/07/29 06:00:56 US 2.16.840.1.113883.3.619.4 ohh-immu Oklahoma Heart Hospital Immunization Eric Pham masked Eric Pham Oklahoma Heart Hospital South 5200 East I-240 Hwy Oklahoma City, OK 73135 405-628-6508 masked Lead Application Developer Oklahoma Heart Hospital 4050 West Memorial Road Oklahoma City, Oklahoma 73120 (405) 608-3200 epham@okheart.com http://www.okheart.com Provider Ext 4 3 Complete 2.16.840.1.113883.3.619.4 2011/07/29 12:00:00 2011/07/29 12:00:00 2011/07/29 06:03:29 UV 2.16.840.1.113883.3.1088 atlanticare AtlantiCare Hospital James Mellor masked James Mellor 6725 Delilah Road Egg Harbor Township, NJ 08234 6092726349 masked System Interface Specialist Atlanticare Information Technologies 6725 Delilah Road Egg Harbor Township, NJ 08234 6095697070 james.mellor@atlanticare.org http://atlanticare.org Provider Int 3 Complete 2011/07/29 12:00:00 2011/07/29 12:00:00 2011/07/29 06:18:10 UV 2.16.840.1.113883.3.1089 tfhc Total Family Health Care Shawn Adkins masked Shawn Adkins 1205 North Missouri Macon MO 63552 1-660-385-8726 masked IT Director Total Family Health Care 1201 North Rutherford Macon MO 63552 1-660-385-8900 sadkins@samaritanhospital.net http://smhmo.org HL7 body Int 3 Complete 2011/07/31 12:00:00 2011/08/08 12:00:00 2011/08/08 09:57:59 UV 2.16.840.1.113883.4.496 hcsc Health Care Service Corporation Durwin Day masked Lenel James Donna Campbell 312-653-7580 masked Prov Portal/Prov Connectivity Technical Product Owner Health Care Service Corporation 300 E. Randolph St. Chicago, Illinois 60601 (800) 654-7385 donna_campbell@hcsc.com http://hcsc.fyiblue.com/ Payor Int 4 4 Complete 2011/07/31 12:00:00 2011/08/08 12:00:00 2026/07/28 02:31:47 UV 2.16.840.1.113883.3.1090 chs Carolinas HealthCare System Suzanne Gaus masked Suzanne Gaus 801 S McDowell St Charlotte, NC 28204 704-446-7622 masked Integration Architect Carolinas HealthCare System 801 S McDowell St Charlotte, NC 28204 704-446-6161 chssupportcenter@carolinashealthcare.org http://www.carolinashealthcare.org Provider Int 3 Complete 2011/08/01 12:00:00 2011/08/08 12:00:00 2011/08/08 10:01:43 UV 2.16.840.1.113883.3.1091 mdclick MDClick Doug Molineux masked jchaffin@mdclick.com Doug 7350 E 29th Ave Denver, CO 80238 7204481221 masked MDClick 7350 E 29th Ave Denver, CO 80238 7204481221 doug@isidorey.com http://www.mdclick.com Provider Int 3 Complete 2011/08/01 12:00:00 2011/08/08 12:00:00 2011/08/08 10:12:35 UV 2.16.840.1.113883.17.20 mmchs Meadville Medical Center Michael Martz masked Joyce Miller Michael Martz 751 Liberty Street Meadville, PA 16335 814-333-5596 masked Chief Information Officer Meadville Medical Center 751 Liberty Street Meadville, PA 16335 814-333-5000 jmiller@mmchs.org http://www.mmchs.org Provider Int 17 17 Complete 2011/08/01 12:00:00 2011/08/08 12:00:00 2011/08/08 10:15:22 UV 2.16.840.1.113883.3.1092 mhiecprod Memorial Hermann Information Exchange Community PROD Meredith Demeropolis masked Meredith Demeropolis 920 Frostwood Drive Houston, Texas 77024 713-338-5633 masked Application Analyst Memorial Hermann Information Exchange 920 Frostwood Drive Houston, Texas 77024 713-338-5633 meredith.demeropolis@memorialhermann.org http://memorialhermann.org/mhie/ Provider Int 3 Complete 2011/08/01 12:00:00 2011/08/08 12:00:00 2011/08/08 10:19:57 US 2.16.840.1.113883.3.1093 mhieaaprod Memorial Hermann Health Information Exchange Assigning Authority PROD Meredith Demeropolis masked Meredith Demeropolis 920 Frostwood Drive Houston, TX 77024 713-338-5633 masked application analyst Memorial Hermann Information Exchange 920 Frostwood Drive Houston, TX 77024 713-338-5633 meredith.demeropolis@memorialhermann.org http://memorialhermann.org/mhie/ Provider Int 3 Complete 2011/08/01 12:00:00 2011/08/08 12:00:00 2011/08/08 10:24:42 US 2.16.840.1.113883.3.1094 mhiexdsprod Memorial Hermann Information Exchange XDS Repository PROD Meredith Demeropolis masked Meredith Demeropolis 920 Frostwood Dr. Houston, TX 77024 713-338-5633 masked application analyst Memorial Hermann Information Exchange 920 Frostwood Dr. Houston, TX 77024 713-338-5633 meredith.demeropolis@memorialhermann.org http://memorialhermann.org/mhie/ Provider Int 3 Complete 2011/08/01 12:00:00 2011/08/08 12:00:00 2011/08/08 10:26:18 US 2.16.840.1.113883.3.1095 rhealth-accessmd RHealth AccessMD Chris Griffin masked Christopher J. Griffin 870-761-0146 masked RHealth, LLC 5118 Park Avenue Suite 540 Memphis, TN 38117 901-259-2400 hl7oid@rhealth.md http://www.rhealth.md/ Vendor Int 3 Complete 2011/08/02 12:00:00 2011/08/08 12:00:00 2011/08/08 10:28:05 UV 2.16.840.1.113883.3.1096 rvhoid Riverview Hospital OID James Reichert masked James Reichert Riverview Hospital 397 Westfield Rd Noblesville, IN 46060 317-770-2445 masked IS-Pharmacist/Information Systems Riverview Hospital Riverview Hospital 397 Westfield Rd Noblesville, IN 46060 317-776-7129 mmover@riverview.org http://www.riverview.org Provider Int 3 Complete 2011/08/02 12:00:00 2011/08/08 12:00:00 2011/08/08 10:31:07 UV 2.16.840.1.113883.3.1097 bhs-mi Beaumont Health System Srini Yerukola masked Srini Yerukola 248 733 7458 masked Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 srini.yerukola@beaumont.edu http://www.beaumont.edu/ Provider Int 3 Complete 2011/08/02 12:00:00 2011/08/08 12:00:00 2011/08/08 10:34:04 UV 2.16.840.1.113883.3.1098 ah-oid ArnotHealth-OID Darcy Gray masked Gregg Martin Gregg Martin Arnot Health 600 Roe Avenue Elmira, NY 14905 607-737-4511 masked CIO ArnotHealth 600 Roe Avenue Elmira, NY 14905 607-737-4100 misadmin@aomc.org http://www.arnothealth.org Provider Int 3 Complete 2011/08/02 12:00:00 2011/08/08 12:00:00 2011/08/08 10:38:08 UV 2.16.840.1.113883.3.1099 nHCS Nash Health Care Systems Brian Parisher masked Patricia Cunningham Brian Parisher 2460 Curtis Ellis Drive Rocky Mount, NC 27804 (252) 962-8744 masked Interface Programmer Nash Health Care Systems 2460 Curtis Ellis Drive Rocky Mount, NC 27886 (252) 962-8000 bsparisher@nhcs.org http://www.nhcs.org Provider Int 3 Complete 2011/08/02 12:00:00 2011/08/08 12:00:00 2011/08/08 10:40:14 UV 2.16.840.1.113883.3.1100 dellphr Dell PHR Service Russell Rudduck masked Brian Tennyson Russell Rudduck 2300 W. Plano Pkwy Plano, TX 75075 972-577-6931 masked Dell Services/HSD 2300 W. Plano Pkwy Plano, TX 75075 972-577-6931 russ_rudduck@dell.com Vendor Int 3 Complete 2011/08/03 12:00:00 2011/08/08 12:00:00 2011/08/08 10:42:41 UV 2.16.840.1.113883.17.21 ccdWPHC White Plains Hospital Center Marco Wiesner masked Sue Prince 914-273-4012 masked Stellaris Health Network, Client Executive White Plains Hospital Center 41 East Post Road, White Plains, NY 10601 914-681-0600 wphcmail@wphospital.org http://www.wphospital.org/About-Us/Contact-Us.aspx Provider Int 17 Complete 2011/08/03 12:00:00 2011/08/08 12:00:00 2011/08/08 10:44:39 UV 2.16.840.1.113883.3.1101 svhc Saint Vincent Health Center Richard Ong masked Richard Ong Saint Vincent Health System 232 West 25th Street Erie, PA 16544 814-452-5793 masked Chief Information Officer Richard Ong Saint Vincent Health System 232 West 25th Street Erie, PA 16544 824-452-5793 rong@svhs.org http://www.saintvincenthealth.com Provider Int 3 Complete 2011/08/03 12:00:00 2011/08/08 12:00:00 2011/08/08 10:49:35 UV 2.16.840.1.113883.4.497 mrh Marlette Regional Hospital Rod Livingston masked Rod Livingston 2770 Main St Marlette, MI 48453 989-635-4199 masked IT Manager Marlette Regional Hospital 2770 Main St Marlette, MI 48453 989-635-4199 rod@mrhcares.org https://Marletteregionalhospital.org Provider Int 4 Complete 2011/08/03 12:00:00 2011/08/08 12:00:00 2011/08/08 10:52:58 UV 2.16.840.1.113883.3.1102 nla CHRISTUS Health Northern Louisiana Eric Gibson masked Eric Gibson 210-704-2364 masked CHRISTUS Health Northern Louisiana 1 St. Mary Place Shreveport, LA 71101 (318) 681-4500 eric.gibson@christushealth.org http://www.christusschumpert.org Provider Int 3 Complete 2011/08/04 12:00:00 2011/08/08 12:00:00 2011/08/08 10:57:58 UV 2.16.840.1.113883.3.1103 ecmcRootOID Erie County Medical Center Paul Powers masked Paul Powers 7168984179 masked Erie County Medical Center 462 Grider Street Buffalo, NY 14215-3098 7168984179 ppowers@ecmc.edu Provider Int 3 Complete 2011/08/04 12:00:00 2011/08/08 12:00:00 2011/08/08 11:13:31 UV 2.16.840.1.113883.3.1104 lgh Lowell General Hospital Lisa McNamara masked Jennifer Joyce Lisa McNamara 295 Varnum Avenue Lowell, MA 01854 9789376294 masked Application Manager Lwoell General Hospital 295 Varnum Avenue Lowell, MA 01854 9789376000 lmcnamara@lowellgeneral.org http://www.lowellgeneral.org/ Provider Int 3 Complete 2011/08/04 12:00:00 2011/08/08 12:00:00 2011/08/08 11:16:47 UV 2.16.840.1.113883.3.1105 bhmc Bayhealth Medical Center Linda Cronk masked Linda Cronk 530 S. State Street Information Services 3rd Floor Dover, DE 19901 302-744-7031 masked Lead DBA/Supervisor Bayhealth Medical Center 640 S. State Street Dover, DE 19901 302-674-4700 Linda_Cronk@Bayhealth.org http://www.bayhealth.org Provider Int 3 Complete 2011/08/04 12:00:00 2011/08/08 12:00:00 2014/07/24 02:50:05 UV 2.16.840.1.113883.3.1106 byh BayCare Health System Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor: Data Integration Chris Eakes BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@BayCare.org http://www.baycare.org Provider Int 3 Complete 2011/08/04 12:00:00 2011/08/08 12:00:00 2018/12/26 10:27:41 UV 2.16.840.1.113883.3.1107 saaco Southern Arizona Accountable Care Organization HIE Ricardo Guzman masked Ricardo Guzman TMC 5301 E. Grant Rd Alamo Bldg Tucson, AZ 85712 520.324.2349 masked HIE Administrator Southern Arizona Accountable Care Organization TMC 5301 E. Grant Rd Alamo Bldg Tucson, AZ 85712 520.324.2349 ricardo.guzman@tmcaz.com https://www.tmcaz.com/ Academic Int 3 Complete 2011/08/04 12:00:00 2011/08/08 12:00:00 2011/08/08 11:26:18 UV 2.16.840.1.113883.3.1106.1 byh-mphmrn BayCare's MPH MRN sharing group Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4864 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 christopher.eakes@baycare.org http://www.baycare.org Provider Ext 3 Complete 2.16.840.1.113883.3.1106.1 2011/08/04 12:00:00 2011/08/08 12:00:00 2018/12/26 10:26:42 UV 2.16.840.1.113883.3.1106.2 byh-mphfin BayCare's MPH FIN sharing group Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider 2.16.840.1.113883.3.1106.2 Ext 3 Complete 2.16.840.1.113883.3.1106.2 2011/08/04 12:00:00 2011/08/08 12:00:00 2018/12/26 11:04:45 UV 2.16.840.1.113883.3.1108 cynchealth-ne CyncHealth Nebraska Brenda Wessel masked Chris Henkenius Jaime Bland PO Box 27842 Omaha, NE 68127 866-978-1799 masked Chief Executive Officer CyncHealth 866-978-1799 support@cynchealth.org http://www.cynchealth.org Exchange Int 3 Complete 2011/08/04 12:00:00 2011/08/08 12:00:00 2024/04/09 06:06:03 UV 2.16.840.1.113883.3.1106.3 byh-mchmrn Baycare MCH MRN Sharing Group Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider Ext 3 Complete 2.16.840.1.113883.3.1106.3 2011/08/05 12:00:00 2011/08/08 12:00:00 2018/12/26 11:10:18 UV 2.16.840.1.113883.3.1106.4 byh-mchfin Baycare's MCH FIN Sharing Group Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider Ext 3 Complete 2.16.840.1.113883.3.1106.4 2011/08/05 12:00:00 2011/08/08 12:00:00 2018/12/26 11:39:57 UV 2.16.840.1.113883.3.1106.5 byh-mdhmrn Baycare MDH MRN Sharing Group Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider Ext 3 Complete 2.16.840.1.113883.3.1106.5 2011/08/05 12:00:00 2011/08/08 12:00:00 2018/12/26 11:44:30 UV 2.16.840.1.113883.3.1106.6 byh-mdhfin Baycare MDH FIN Sharing Group Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider Ext 3 Complete 2.16.840.1.113883.3.1106.6 2011/08/05 12:00:00 2011/08/08 12:00:00 2018/12/26 11:47:15 UV 2.16.840.1.113883.3.1106.7 byh-mpnbhmrn Baycare MPNBH MRN Sharing Group Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider Ext 3 Complete 2.16.840.1.113883.3.1106.7 2011/08/05 12:00:00 2011/08/08 12:00:00 2018/12/26 11:51:00 UV 2.16.840.1.113883.3.1106.8 byh-mpnbhfin Baycare MPNBH FIN Sharing Group Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider Ext 3 Complete 2.16.840.1.113883.3.1106.8 2011/08/05 12:00:00 2011/08/08 12:00:00 2018/12/26 11:56:13 UV 2.16.840.1.113883.3.1106.9 byh-sahmrn Baycare SAH MRN Sharing Group Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider Ext 3 Complete 2.16.840.1.113883.3.1106.9 2011/08/05 12:00:00 2011/08/08 12:00:00 2018/12/26 11:58:33 UV 2.16.840.1.113883.3.1106.10 byh-sahfin Baycare SAH FIN Sharing Group Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider Ext 3 Complete 2.16.840.1.113883.3.1106.10 2011/08/05 12:00:00 2011/08/08 12:00:00 2018/12/26 10:30:21 UV 2.16.840.1.113883.3.1106.11 byh-sjhmrn Baycare SJH MRN Sharing Group Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider Ext 3 Complete 2.16.840.1.113883.3.1106.11 2011/08/05 12:00:00 2011/08/08 12:00:00 2018/12/26 10:33:42 UV 2.16.840.1.113883.3.1106.12 byh-sjhfin Baycare SJH FIN Sharing Group Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider Ext 3 Complete 2.16.840.1.113883.3.1106.12 2011/08/05 12:00:00 2011/08/08 12:00:00 2018/12/26 10:35:46 UV 2.16.840.1.113883.3.1106.13 byh-sfbhmrn Baycare SFBH MRN Sharing Group Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider Ext 3 Complete 2.16.840.1.113883.3.1106.13 2011/08/05 12:00:00 2011/08/09 12:00:00 2018/12/26 10:37:20 UV 2.16.840.1.113883.3.1106.14 byh-sfbhfin Baycare SFBH FIN Sharing Group Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider Ext 3 Complete 2.16.840.1.113883.3.1106.14 2011/08/05 12:00:00 2011/08/09 12:00:00 2018/12/26 10:38:57 UV 2.16.840.1.113883.3.1106.15 byh-sjwhmrn Baycare SJWH MRN Sharing Group Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health Systems BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider Ext 3 Complete 2.16.840.1.113883.3.1106.15 2011/08/05 12:00:00 2011/08/09 12:00:00 2018/12/26 10:40:43 UV 2.16.840.1.113883.3.1106.16 byh-sjwhfin Baycare SJWH FIN Sharing Group Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider Ext 3 Complete 2.16.840.1.113883.3.1106.16 2011/08/05 12:00:00 2011/08/09 12:00:00 2018/12/26 10:56:07 UV 2.16.840.1.113883.3.1106.17 byh-sjhnmrn Baycare SJHN MRN Sharing Group Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider Ext 3 Complete 2.16.840.1.113883.3.1106.17 2011/08/05 12:00:00 2011/08/09 12:00:00 2018/12/26 10:59:42 UV 2.16.840.1.113883.3.1106.18 byh-sjhnfin Baycare SJHN FIN Sharing Group Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider Ext 3 Complete 2.16.840.1.113883.3.1106.18 2011/08/05 12:00:00 2011/08/09 12:00:00 2018/12/26 11:01:53 UV 2.16.840.1.113883.3.1106.19 byh-sigmrn Baycare SIG MRN Sharing Group Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider Ext 3 Complete 2.16.840.1.113883.3.1106.19 2011/08/05 12:00:00 2011/08/09 12:00:00 2018/12/26 11:03:20 UV 2.16.840.1.113883.3.1106.20 byh-sigfin Baycare SIG FIN Sharing Group Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Prof Soc Ext 3 Complete 2.16.840.1.113883.3.1106.20 2011/08/05 12:00:00 2011/08/09 12:00:00 2018/12/26 11:06:06 UV 2.16.840.1.113883.3.1109 clspamlcentura Colorado Lab Services Dana Fox masked Steve Voorhees Kathy Rem 111 Inverness Dr W Englewood, CO 80112 303-643-4264 masked DIR APPL SYSTEMS ANALYST/PROGR Colorado Lab Services 188 Inverness Dr W, Suite 500 Englewood, CO 80112 303-290-6500 danafox@centura.org Provider Int 3 Complete 2011/08/05 12:00:00 2011/08/09 12:00:00 2014/05/30 04:04:07 UV 2.16.840.1.113883.3.1110 hca HCA Healthcare Paul Currie masked Alan Scott Paul Currie HCA Healthcare 2515 Park Plaza Bldg 2 1W Nashville, TN 37203 (615) 344-8370 masked AVP, Integration Services HCA Healthcare paul.currie@hcahealthcare.com http://www.hcahealthcare.com Provider Int 3 3 Complete 2011/08/08 12:00:00 2011/08/09 12:00:00 2011/08/10 04:21:25 UV 2.16.840.1.113883.3.1111 thm Total Health Management Christopher Davenport masked Christopher Davenport 901 North Lake Destiny Suite 400 Maitland, FL 32751 407-200-2300 masked Software Analyst Total Health Management Total Health Management 901 North Lake Destiny Suite 400 Maitland, FL 32751 407-200-2300 chris.davenport@flhosp.org https://www.centracare.org Provider Int 3 Complete 2011/08/08 12:00:00 2011/08/09 12:00:00 2011/08/09 02:33:48 US 2.16.840.1.113883.3.1112 mhs-hh Magellan Health Services - Health Home Russell Thompson masked Russell Thompson 14100 Magellan Plaza Maryland Heights, MO 63043 314-387-5167 masked Sr. Manager, Analysis and Programming Magellan Health Services 14100 Magellan Plaza Maryland Heights, MO 63043 314-387-4000 rwthompson@magellanhealth.com http://www.magellanhealth.com Payor Int 3 Complete 2011/08/08 12:00:00 2011/08/09 12:00:00 2011/08/09 03:04:50 UV 2.16.840.1.113883.3.1113 mercy-chicago Mercy Hospital and Medical Center Michael Leib masked Michael Leib 2525 S. Michigan Ave. Chicago, IL 60616 312-567-5510 masked Integration Architect Mercy Hospital and Medical Center 2525 S. Michigan Ave. Chicago, IL 60616 312-567-2000 mleib@mercy-chicago.org Provider Int 3 Complete 2011/08/08 12:00:00 2011/08/09 12:00:00 2011/08/09 09:19:03 UV 2.16.840.1.113883.3.1114 surgeryflow SurgeryFlow, Inc. Joshua Walker masked Sam Kinney, Jr. Joshua Walker 909 5th Ave, Unit 203 Seattle, WA 98164 206 650 0362 masked Product Manager SurgeryFlow, Inc. admin@surgeryflow.com http://www.surgeryflow.com Vendor Int 3 Complete 2011/08/08 12:00:00 2011/08/09 12:00:00 2011/08/09 09:21:09 UV 2.16.840.1.113883.3.1115 pmh-oid Pioneers Memorial Hospital OID Kathy McKernan masked Carrie Teague 207 W. Legion Road Brawley, CA 92227 7603514664 masked Director Information Systems Pioneers Memorial Hospital 207 W. Legion Road Brawley, CA 92227 760 351-3333 wecare@iv-hd.org http://pmhd.org Provider Int 3 Complete 2011/08/08 12:00:00 2011/08/09 12:00:00 2025/07/25 12:33:03 UV 2.16.840.1.113883.3.1116 et-Allergies Merge Ortho-Emr Allergies Ben Steadwell masked Ben 385 Jordan Road Troy,Ny 12180 518-283-5418 x2299 masked Software Engineer Etransmedia Technologies 385 Jordan Road Troy,Ny 12180 518-283-5418 ben.steadwell@etransmedia.com http://www.etransmedia.com Vendor Int 3 Complete 2011/08/09 12:00:00 2011/08/09 12:00:00 2011/08/09 09:28:20 US 2.16.840.1.113883.3.1117 bbmc Beebe Healthcare Kelly English masked jijackson@bbmc.org Kelly English 424 Savannah Rd Lewes DE 19958 302 645 3100 x5202 masked Systems Analyst Beebe Healthcare 424 Savannah Rd Lewes DE 19958 302 645 3000 kenglish@beebehealthcare.org http://www.beebehealthcare.org/ Provider Int 3 Complete 2011/08/09 12:00:00 2011/08/09 12:00:00 2015/06/17 11:21:03 V2.x US 2.16.840.1.113883.3.1118 mdmc Methodist Dallas Medical Center Pamela McNutt masked Derrel Ferguson Pamela McNutt Methodist Health System 1441 N. Beckley Ave. Dallas, TX 75203 214-947-1903 masked CIO/SR VP Methodist Health System Methodist Health System 1441 N. Beckley Ave. Dallas, TX 75203 877-637-4297 CIO@mhd.com http://methodisthealthsystem.org Provider Int 3 Complete 2011/08/09 12:00:00 2011/08/09 12:00:00 2011/08/09 09:31:18 UV 2.16.840.1.113883.3.1119 mcmc Methodist Charlton Medical Center Pamela McNutt masked Derrel Ferguson Pamela McNutt Methodist Health System 1441 N. Beckley Ave. Dallas, TX 75203 214-947-1903 masked CIO/SR VP Methodist Health System Methodist Health System 1441 N. Beckley Ave. Dallas, TX 75203 877-637-4297 CIO@mhd.com http://methodisthealthsystem.org Provider Int 3 Complete 2011/08/09 12:00:00 2011/08/09 12:00:00 2011/08/09 09:33:35 UV 2.16.840.1.113883.3.1120 mmmc Methodist Mansfield Medical Center Pamela McNutt masked Derrel Ferguson Pamela McNutt Methodist Health System 1441 N. Beckley Ave. Dallas, TX 75203 214-947-1903 masked CIO/SR VP Methodist Health System Methodist Health System 1441 N. Beckley Ave. Dallas, TX 75203 877-637-4297 CIO@mhd.com http://methodisthealthsystem.org Provider Int 3 Complete 2011/08/09 12:00:00 2011/08/09 12:00:00 2011/08/09 09:34:55 UV 2.16.840.1.113883.3.1121 georgeregionalhealth George Regional Health System Stephanie Carraway masked Rhonda McKissick PO Box 607 Lucedale, MS 39452 601-673-6016 masked IT Applications Analyst George Regional Health System PO Box 607 Lucedale, MS 39452 601-947-3161 rmckissic@georgeregional.com http://www.georgeregional.com Provider Int 3 Complete 2011/08/09 12:00:00 2011/08/09 12:00:00 2014/03/12 03:36:59 UV 2.16.840.1.113883.3.1122 erhs Elk Regional Health System Mary Ann Schwabenbauer masked Mary Ann Schwabenbauer 763 Johnsonburg Road St. Marys, PA 15857 814-788-8530 masked CIO Elk Regional Health System 763 Johnsonburg Road St. Marys, PA 15857 814-788-8000 mis_mas@elkregional.org http://www.elkregional.org Provider Int 3 3 Complete 2011/08/09 12:00:00 2011/08/09 12:00:00 2011/08/09 09:40:56 UV 2.16.840.1.113883.3.1123 bpni Beebe Medical Group Kelly English masked Kelly English Beebe Healthcare Information Systems 424 Savannah Rd Lewes, DE 19958 302-645-3100 x 5202 masked Systems Analyst Beebe Healthcare Beebe Healthcare 424 Savannah Rd Lewes, DE 19958 302-645-3100 x 5202 kenglish@bbmc.org http://www.beebemed.org Provider 2.16.840.1.113883.3.1117 Int 3 3 Complete 2011/08/09 12:00:00 2011/08/09 12:00:00 2015/06/17 11:22:46 UV 2.16.840.1.113883.3.1124 bbhh Beebe Home Care Services Kelly English masked Kelly English Beebe Healthcare 424 Savannah Rd Lewes, DE 19958 302-645-3100 x 5202 masked Systems Analyst Beebe Healthcare Beebe Healthcare 424 Savannah Rd Lewes, DE 19958 302-645-3100 kenglish@bbmc.org http://www.beebehealthcare.org Provider 2.16.840.1.113883.3.1117 Int 3 Complete 2011/08/09 12:00:00 2011/08/09 12:00:00 2015/06/17 11:26:12 UV 2.16.840.1.113883.3.1125 ihde Idaho Health Data Exchange Michael Ide masked Scott Carrell Scott Carrell PO Box 6978 Boise, ID 83707 208-332-7261 masked Iterim Executive Director Idaho Health Data Exchange PO Box 6978 Boise, ID 837073 208-332-7253 scarrell@idahohde.org http://www.idahohde.org Academic Int 3 Complete 2011/08/09 12:00:00 2011/08/09 12:00:00 2011/08/09 09:43:30 UV 2.16.840.1.113883.3.1126 bhwr Banner Health - Western Region Steve Drozdowski masked Steve Drozdowski 1441 N. 12th St. Phoenix, AZ 85006 602-747-4319 masked IT Software Integr Sr Consult Banner Health - Western Region 1801 16th St. Greeley, CO 80631 970-352-4121 steve.drozdowski@bannerhealth.com http://www.bannerhealth.com/ Provider Int 3 Complete 2011/08/09 12:00:00 2011/08/09 12:00:00 2012/08/14 05:30:08 UV 2.16.840.1.113883.3.1127 lhphospitalgroup LHP Hospital Group Joseph Higgins masked Larry Shundler Joseph Higgins 777 Hospital Way c/o IS, Joseph Higgins Pocatello, ID 83201 208-239-1013 masked Informatics Director LHP Hospital Group www.lhphospitalgroup.com 2800 North Dallas Parkway, Suite 200 Plano, TX 75093 866-465-9222 Larry.Schunder@lhphospitalgroup.com http://www.lhphospitalgroup.com/ Provider Int 3 Complete 2011/08/09 12:00:00 2011/08/09 12:00:00 2011/08/09 09:48:47 US 2.16.840.1.113883.3.1128 lhp-pmc Portneuf Medical Center Joseph Higgins masked Joseph Higgins 777 Hospital Way c/o IS, Joseph Higgins Pocatello, ID 83201 208-241-6421 masked Informatics Director LHP Hospital Group LHP Hospital Group, Inc. 2800 North Dallas Parkway, Suite 200 Plano, Texas 75093 Toll Free: 866-465-9222 Fax: 866-464-2421 866-465-9222 Larry.Schunder@lhphospitalgroup.com http://www.lhphospitalgroup.com Provider 2.16.840.1.113883.3.1127 Int 3 Complete 2011/08/09 12:00:00 2011/08/09 12:00:00 2011/08/09 09:50:09 US 2.16.840.1.113883.3.1129 lhp-pwnj Texas Health Presbyterian Hospital-WNJ Joseph Higgins masked Joseph Higgins 777 Hospital Way c/o IS, Joseph Higgins Pocatello, ID 83201 208-241-6421 masked Informatics Director LHP Hospital Group LHP Hospital Group, Inc. 2800 North Dallas Parkway, Suite 200 Plano, Texas 75093 Toll Free: 866-465-9222 Fax: 866-464-2421 866-465-9222 Larry.Schunder@lhphospitalgroup.com http://www.lhphospitalgroup.com Provider 2.16.840.1.113883.3.1127 Int 3 Complete 2011/08/09 12:00:00 2011/08/09 12:00:00 2011/08/09 09:53:53 US 2.16.840.1.113883.3.1130 lhp-smchh Seton Medical Center Harker Heights Joseph Higgins masked Joseph Higgins 777 Hospital Way c/o IS, Joseph Higgins Pocatello, ID 83201 208-241-6421 masked Informatics Director LHP Hospital Group LHP Hospital Group, Inc. 2800 North Dallas Parkway, Suite 200 Plano, Texas 75093 Toll Free: 866-465-9222 Fax: 866-464-2421 866-465-9222 Larry.Schunder@lhphospitalgroup.com http://www.lhphospitalgroup.com Provider 2.16.840.1.113883.3.1127 Int 3 Complete 2011/08/09 12:00:00 2011/08/09 12:00:00 2011/08/09 09:56:55 US 2.16.840.1.113883.3.1131 lhp-stmh Saint Marys Hospital Joseph Higgins masked Joseph Higgins 777 Hospital Way c/o IS, Joseph Higgins Pocatello, ID 83201 208-241-6421 masked Informatics Director LHP Hospital Group LHP Hospital Group, Inc. 2800 North Dallas Parkway, Suite 200 Plano, Texas 75093 Toll Free: 866-465-9222 Fax: 866-464-2421 866-465-9222 Larry.Schunder@lhphospitalgroup.com http://www.lhphospitalgroup.com Provider 2.16.840.1.113883.3.1127 Int 3 Complete 2011/08/09 12:00:00 2011/08/09 12:00:00 2011/08/09 09:59:12 US 2.16.840.1.113883.3.1132 cerner-hub Cerner Hub Amin Wahi masked Amin Wahi 8162013961 masked Cerner Hub 2800 Rockcreek Pkwy Kansas City, MO 64117 cernerhubsupport@cernerhub.com http://www.cerner.com/network Vendor Int 3 Complete 2011/08/10 12:00:00 2011/08/26 12:00:00 2013/05/23 11:55:42 UV 2.16.840.1.113883.3.1133 CMHCAH Root OID for Corry Memorial Hospital Ryan Merrow masked Patricia White 965 Shamrock Lane Corry, PA 16407 814-664-4641 masked Director of Patient Care Services Corry Memorial Hospital 814-664-4641 pwhite@corryhospital.com http://www.corryhospital.com Provider Int 3 Complete 2011/08/10 12:00:00 2011/08/26 12:00:00 2024/09/19 07:40:12 UV 2.16.840.1.113883.4.498 surgeryflow-user SurgeryFlow User ID Joshua Walker masked Sam Kinney, Jr. Joshua Walker 909 5th Ave, Unit 203 Seattle, WA 98164 2066500362 masked Product Manager SurgeryFlow, Inc. admin@surgeryflow.com http://www.surgeryflow.com Vendor 2.16.840.1.113883.3.1114 Int 4 4 Complete 2011/08/10 12:00:00 2011/08/26 12:00:00 2011/08/26 01:30:35 UV 2.16.840.1.113883.3.26.1.7 nci-CBIIT-caCIS NCI-CBIIT caCIS Sherri de Coronado masked Santosh Joshi Robinette Renner Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5089 masked Program Director for Semantic Infrastructure National Cancer Institute, Center for Biomedical Informatics and Information Technology Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5541 nciappsupport@nih.gov https://datascience.cancer.gov/ Govt body 2.16.840.1.113883.3.26 Ext 14 14 Complete 2.16.840.1.113883.3.26.1.7 2011/08/10 12:00:00 2011/08/26 12:00:00 2023/07/11 10:49:51 UV 2.16.840.1.113883.3.1134 emrgence EMRgence/VeinSpec EMR application Ciro Maietta masked Susan Turcotte Ciro Maietta masked Lead Developer Susan Turcotte 12221-A Towne Lake Dr Fort Myers, Fl 33913 239-225-6990 susan.turcotte@emrgence.com Vendor Int 3 Complete 2011/08/12 12:00:00 2011/08/26 12:00:00 2011/08/26 01:39:28 UV 2.16.840.1.113883.17.23 mycahealth Myca Health Ali Dufour masked Ali Dufour 2800 Louis-Lumi&#232;re, Suite 200 Quebec, Qc G1P0A4 Canada 4186837878 masked Director R&D Myca Health adufour@myca.com https://www.myca.com Vendor Int 17 Complete 2011/08/12 12:00:00 2011/08/26 12:00:00 2011/08/26 01:43:16 UV 2.16.840.1.113883.3.1135 nhpboston Neighborhood Health Plan Vincent Chiachio masked Vincent Chiachio 253 Summer St. Boston, MA. 02210-1120 617-772-5736 masked Sr EDI Analyst Neighborhood Health Plan 253 Summer St. Boston, MA. 02210-1120 617-772-5736 vincent_chiachio@nhp.org http://www.nhp.org Payor Int 3 Complete 2011/08/12 12:00:00 2011/08/26 12:00:00 2011/08/26 01:46:11 UV 2.16.840.1.113883.3.1136 tAH Root OID for Titusville Area Hospital Karen Killinger-Humes masked Karen Killinger-Humes 406 West Oak Street Titusville, PA 16354 USA 814-827-1851 masked Systems Administrator Titusville Area Hospital 814-827-1851 info@titusvillehospital.org http://www.titusvillehospital.org Provider Int 3 Complete 2011/08/12 12:00:00 2011/08/26 12:00:00 2011/08/26 01:47:32 UV 2.16.840.1.113883.3.1070.5002 mckesson-fusion-5002 mckesson-fusion-5002 Melanie Aiken masked Fusion Enrollment 8775074541 masked Fusion Enrollment enrollrelay@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5002 2011/08/12 12:00:00 2011/08/26 12:00:00 2011/08/26 01:49:12 US 2.16.840.1.113883.3.1070.5003 mckesson-fusion-5003 mckesson-fusion-5003 Melanie Aiken masked Fusion Enrollment 8775074541 masked Fusion Enrollment enrollrelay@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5003 2011/08/12 12:00:00 2011/08/26 12:00:00 2011/08/26 01:55:55 US 2.16.840.1.113883.3.1137 sandlotNHINC Sandlot NHIN Connect Sam Flax masked Telly Shackelford 817-810-5220 masked Sandlot, LLC Sandlot, LLC 1701 River Run, Ste. 200 Fort Worth TX 76107 817-810-4220 help@sandlotmd.com http://www.sandlotsolutions.com/ Vendor Int 3 Complete 2011/08/12 12:00:00 2011/08/26 12:00:00 2011/08/26 02:00:37 UV 2.16.840.1.113883.3.1138 pbs-ehr-1-00-00-00-0000 PBSEHR, General Root Object Dustin Ruckman masked Robby Graham Dustin Ruckman 1203 Jefferson St. Laurel, MS 39440 601-518-7092 masked Developer Pine Belt Software jtssupport@jeffersonmedical.net http://www.jeffersontechnical.org Vendor Int 3 Complete 2011/08/14 12:00:00 2011/08/26 12:00:00 2011/08/26 02:02:27 US 2.16.840.1.113883.3.1139 slhhn St. Luke's Hospital & Health Network Robert Larrabee masked Kim Huskey 801 Ostrum Street Bethlehem, PA 18015 484.526.3311 masked Director of Application Life Cycle & Interoperability, Information Technology St. Luke's Hospital & Health System 801 Ostrum Street Bethlehem, PA 18015 484.526.3311 kimberly.huskey@sluhn.org http://www.mystlukesonline.org/ Provider Int 3 Complete 2011/08/15 12:00:00 2011/08/26 12:00:00 2019/07/17 09:15:10 UV 2.16.840.1.113883.3.1140 pennStateHershey Penn State Hershey Medical Center OID Root Rudy Reyes masked Candice L. Daily Penn State Hershey Medical Center A310, 600 Centerview Drive Hershey, PA 17033 717-531-1472 masked Manager Clinical Systems - Information Technology Penn State Hershey Medical Center 500 University Drive Hershey, PA 17033 717-531-8521 cdaily@hmc.psu.edu http://www.pennstatehershey.org Academic Int 3 Complete 2011/08/15 12:00:00 2011/08/26 12:00:00 2011/08/26 02:06:30 UV 2.16.840.1.113883.3.1141 lwsi-Essentia LWSI Essentia Anis Siddiqy masked Ryan Lavendar Ryan Lavendar 6001 Valley Ranch Drive, Little Rock, AR 72223 (501) 558-4644 masked Vice President Lavender & Wyatt Systems, Inc. 6001 Valley Ranch Drive, Little Rock, AR 72223 501.664.7039 ryan@lwsi.com http://www.lwsi.com Vendor Int 3 Complete 2011/08/15 12:00:00 2011/08/26 12:00:00 2011/08/26 02:36:07 UV 2.16.840.1.113883.3.1142 tigerprodaa Tiger Institute Health Alliance Production System Donald McCarter masked Donald McCarter 2800 Rockcreek Parkway Kansas City, MO 8162010308 masked EL Tiger Institute Health Alliance 2800 Rockcreek Parkway Kansas City, MO 8162010308 dmccarter@cerner.com http://www.cerner.com Provider Int 3 3 Complete 2011/08/15 12:00:00 2011/08/26 12:00:00 2012/04/03 02:59:56 17 UV 2.16.840.1.113883.3.1143 tigerhc Tiger HC Donald McCarter masked Donald 2800 Rockcreek Parkway Kansas City, MO 8162010308 masked EL Tiger Institute Health Alliance 8162010308 dm5325@cerner.com http://www.cerner.com Provider Int 3 3 Complete 2011/08/15 12:00:00 2011/08/26 12:00:00 2011/08/26 02:40:52 17 UV 2.16.840.1.113883.3.1144 tigerri Tiger RI Donald McCarter masked Donald McCarter 2800 Rockcreek Parkway Kansas City, MO 8162010308 masked EL Tiger Institute Health Alliance 8162010308 dm5325@cerner.com http://www.cerner.com Provider Int 3 3 Complete 2011/08/15 12:00:00 2011/08/26 12:00:00 2011/08/26 02:49:09 17 UV 2.16.840.1.113883.3.1145 wmhos-OID War Memorial Hospital Main Facility Sandra DePlonty masked Sandra Routhier Sandra DePlonty 500 Osborn Boulevard Sault Sainte Marie, MI 49783 906-635-4663 masked Director of IS Applications Chippewa County War Memorial Hospital 500 Osborn Boulevard Sault Sainte Marie, MI 49783 9066354476 sandra.deplonty@mymichigan.org http://www.warmemorialhospital.org Provider Int 3 Complete 2011/08/15 12:00:00 2011/08/26 12:00:00 2023/06/28 01:02:50 UV 2.16.840.1.113883.3.1146 technosoft-Integration-Suite Technosoft Integration Suite Anis Siddiqy masked Anis Siddiqy 87-1A Florence Road Branford CT 06405 203-676-8299 masked CEO Technosoft Solutions Inc. info@techno-soft.com http://www.techno-soft.com Vendor Int 3 Complete 2011/08/15 12:00:00 2011/08/26 12:00:00 2011/08/26 02:52:03 UV 2.16.840.1.113883.3.1147 uabhs University of Alabama at Birmingham Health System Brian Bishop masked Brian Bishop General Services Building 401 619 19th Street South Birmingham, Alabama 35249-6529 205-934-0812 masked Director Operations and Interface - Hospital University of Alabama at Birmingham Health System bebishop@uabmc.edu http://www.uab.edu/home/healthcare Provider Int 3 Complete 2011/08/16 12:00:00 2011/08/26 12:00:00 2021/02/05 10:32:05 UV 2.16.840.1.113883.3.1148 baptistCCPRODAA Baptist Health Care Connect PROD Assigning Authority Cheryl Wise masked Seth McCracken Cheryl Wise 3451 Beach Blvd Jacksonville, FL 32207 904.202.0872 masked Manager, Web Technologies Baptist Health 800 Prudential Drive Jacksonville, FL 32207 904.202.2000 webmaster@bmcjax.com http://www.e-baptisthealth.com Provider Int 3 Complete 2011/08/16 12:00:00 2011/08/26 12:00:00 2011/08/26 02:55:00 UV 2.16.840.1.113883.3.1149 baptistCCPRODHC Baptist Health Care Connect PROD Home Community Cheryl Wise masked Seth McCracken Cheryl Wise 3451 Beach Blvd Jacksonville, FL 32207 904.202.0872 masked Manager, Web Technologies Baptist Health 800 Prudential Drive Jacksonville, FL 32207 904.202.2000 webmaster@bmcjax.com http://www.e-baptisthealth.com Provider Int 3 Complete 2011/08/16 12:00:00 2011/08/26 12:00:00 2011/08/26 03:05:14 UV 2.16.840.1.113883.3.1150 baptistCCPRODRep Baptist Health Care Connect PROD Repository Cheryl Wise masked Seth McCracken Cheryl Wise 3451 Beach Blvd Jacksonville, FL 32207 904.202.0872 masked Manager, Web Technologies Baptist Health 800 Prudential Drive Jacksonville, FL 32207 904.202.2000 webmaster@bmcjax.com http://www.e-baptisthealth.com Provider Int 3 Complete 2011/08/16 12:00:00 2011/08/26 12:00:00 2011/08/26 03:06:56 UV 2.16.840.1.113883.3.1151 schs Saint Clare's Hospital Lilibeth Zafico masked Tero Caamano Lilibeth Zafico 25 Pocono Rd. Denville, NJ 07834 973-983-5548 masked Medical Staff Informatics specialist Saint Clare's Hospital 25 Pocono Rd. Denville, NJ 07834 lilibethzafico@saintclares.org Provider Int 3 3 Complete 2011/08/16 12:00:00 2011/08/26 12:00:00 2011/08/26 03:11:52 UV 2.16.840.1.113883.3.1152 millenniummedical Millennium Medical Services Wade Hamil masked Wade L. Hamil, PhD 3816 Shadowridge Dr Norman, OK 73072-5308 4056270276 masked CEO Millennium Medical Services 3816 Shadowridge Dr Norman, OK 73072-5308 8885737792 wade@okmis.com http://www.ok-mms.com Provider Int 3 Complete 2011/08/16 12:00:00 2011/08/26 12:00:00 2011/08/26 03:13:10 UV 2.16.840.1.113883.3.1153 millenniumcommunity Millennium Community Services Wade Hamil masked Wade L. Hamil, PhD 3816 Shadowridge Dr Norman, OK 73072-5308 4056270276 masked CEO Millennium Community Services 448 36th Ave NW Suite 101 Norman, OK 73072-4743 4057407352 wade@okmis.com http://www.okmcs.com Provider Int 3 Complete 2011/08/16 12:00:00 2011/08/26 12:00:00 2011/08/26 03:15:47 UV 2.16.840.1.113883.3.1154 glhie Great Lakes Health Information Exchange Deb Mosher masked Deb Mosher 2145 University Park Drive Suite 200 Okemos MI 48864 5173473373 masked Senior Project Manager Great Lakes Health Information Exchange 2145 University Park Drive Suite 200 Okemos MI 48864 5173473373 dmosher@glhie.org http://glhie.org Academic Int 3 Complete 2011/08/17 12:00:00 2011/08/26 12:00:00 2011/08/26 03:17:34 UV 2.16.840.1.113883.3.1155 rex-nc Rex Hospital Betty Mustafa masked Betty Mustafa Rex Hospital Information Technology - Enterprise Architecture 4420 Lake Boone Trail Raleigh, NC 27607 919-784-3421 masked Business Architect Rex Healthcare Rex Hospital 4420 Lake Boone Trail Raleigh, NC 27607 919-784-3100 betty.mustafa@rexhealth.com http://www.rexhealth.com/ Provider Int 3 Complete 2011/08/17 12:00:00 2011/08/26 12:00:00 2011/08/26 03:20:35 UV 2.16.840.1.113883.3.1156 whctr Waverly Health Center Jerry Tiedt masked Jerry Tiedt Waverly Health Center 312 Ninth Street SW Waverly, IA 50677 319-352-4120 masked Director, Information Systems Waverly Health Center 312 Ninth Street SW Waverly, IA 50677 319-352-4120 jtiedt@waverlyhealthcenter.org Provider Int 3 Complete 2011/08/17 12:00:00 2011/08/26 12:00:00 2011/08/26 03:31:30 UV 2.16.840.1.113883.3.1157 rwjbarnabas-health RWJBarnabas Health Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 https://www.rwjbh.org/ https://www.rwjbh.org/ Provider Int 3 Complete 2011/08/18 12:00:00 2011/08/26 12:00:00 2024/07/25 11:33:44 UV 2.16.840.1.113883.3.1158 hh-oid Holland Hospital OID James Dolson masked Karen Ruffner Karen Ruffner Holland Hospital Information Systems 602 Michigan Avenue Holland, MI 49423 USA 616-394-3522 masked HIS Application Manager Holland Hospital Holland Hospital Information Systems 602 Michigan Avenue Holland, MI 49423 USA 616-394-3522 karenr@hollandhospital.org http://www.hollandhospital.org Provider Int 3 Complete 2011/08/18 12:00:00 2011/08/26 12:00:00 2011/08/26 03:34:07 UV 2.16.840.1.113883.3.1159 lodi-CA Lodi Memorial Hospital Wendy Burns masked msey@lodihealth.org Mark Sey 975 South Fairmont Ave Lodi, CA 95240 209-339-7439 masked VP/CAO Lodi Memorial Hospital 975 South Fairmont Ave Lodi, CA 95240 209-334-3411 msey@lodihealth.org https://www.lodihealth.org Provider Int 3 Complete 2011/08/18 12:00:00 2011/08/26 12:00:00 2011/08/26 03:36:22 US 2.16.840.1.113883.17.24 miles Miles Memorial Hospital Jeffrey Philbrick masked Jeff Philbrick 10 Alewife Ln Damariscotta, ME 04543 207-563-4180 masked Director, IT Miles Memorial Hospital jeff.philbrick@lchcare.org http://www.mainehealth.org/lch_homepage.cfm?id=5773 Provider Int 17 17 Complete 2011/08/19 12:00:00 2011/08/26 12:00:00 2011/08/31 08:14:45 UV 2.16.840.1.113883.3.1160 lmhs Licking Memorial Health Systems LaNita Garnack masked LaNita Garnack 1320 West Main St. Newark, Ohio 43055 740-348-4030 masked Senior Systems Analyst Licking Memorial Health Systems 1320 West Main St. Newark, Ohio 43055 220-564-2400 sarnett@lmhealth.org http://www.lmhealth.org Provider Int 3 Complete 2011/08/19 12:00:00 2011/08/26 12:00:00 2019/04/22 08:33:04 UV 2.16.840.1.113883.3.1161 mdIntelleSys MDIntelleSys Joseph Sweeney masked Joseph 727-386-4167 x127 masked Software Development and Infrastructure Manager MDIntelleSys, LLC 3001 Eastland Blvd, Suite 2 Clearwater, Fl 33761 727-386-4167 mdisupport@mdintellesys.com Vendor Int 3 Complete 2011/08/19 12:00:00 2011/08/26 12:00:00 2011/08/26 03:45:18 UV 2.16.840.1.113883.3.582.4 nrhsoid-app Norman Regional Health System Meditech Production Server Randy Hart masked Randy Hart 901 N. Porter Box 1308 Norman, OK 73070-1308 405-307-6999 masked Manager of Applications Support - HIT Randy Hart 901 N. Porter Box 1308 Norman, OK 73070-1308 405-307-6999 rhart@nrh-ok.com http://www.normanregional.com Provider Ext 4 3 Complete 2.16.840.1.113883.3.582.4 2011/08/19 12:00:00 2011/08/26 12:00:00 2011/08/26 03:48:54 UV 2.16.840.1.113883.3.1162 ideal-ct Ideal Care Technologies, Inc. Mark Copenhaver masked Mark Copenhaver 4730 Morton Bridge Lane Johns Creek, GA 30022 770-402-6592 masked Principal Consultant Ideal Care Technologies, Inc. 4730 Morton Bridge Lane Johns Creek, GA 30022 7704056592 mark@idealcaretech.com http://www.idealcaretech.com Vendor Int 3 Complete 2011/08/20 12:00:00 2011/08/26 12:00:00 2011/08/26 03:52:28 UV 2.16.840.1.113883.3.1163 clinigence Clinigence Mark Copenhaver masked Mark Copenhaver 75 5th St. NW Suite 214 Atlanta, GA 30316 7704026592 masked Clinigence 75 5th St. NW Suite 214 Atlanta, GA 30316 7704026592 mark@clinigence.com http://www.clinigence.com Vendor Int 3 Complete 2011/08/20 12:00:00 2011/08/26 12:00:00 2011/08/26 03:54:48 UV 2.16.840.1.113883.3.1164 munsonmedicalcenter Munson Medical Center OID Root Aaron Matthews masked John Laubhan Virginia Clark Munson Healthcare 1105 Sixth St. Traverse City, MI 49684 231-935-6047 masked Manager, Information Systems Munson Healthcare Munson Healthcare 1105 Sixth St. Traverse City, MI 49684 231-935-5000 contact@mhc.net http://www.munsonhealthcare.org Provider Int 3 Complete 2011/08/22 12:00:00 2011/08/26 12:00:00 2013/06/25 11:26:23 UV 2.16.840.1.113883.3.1165 qhn Quality Health Network Dennis Reuss masked Dick Thompson Dennis Reuss 744 Horizon Ct. Suite 210 Grand Junction, CO 81506 970-248-0033 masked Director, Technical Operations Quality Health Network 744 Horizon Ct. Suite 210 Grand Junction, CO 81506 970-248-0033 support@qualityhealthnetwork.org http://www.qualityhealthnetwork.org Academic Int 3 Complete 2011/08/23 12:00:00 2011/08/26 12:00:00 2012/05/17 03:21:14 UV 2.16.840.1.113883.3.671.1.1 mdsuitetest MDsuite EMR MedicalDemo Mark Marseilles masked Les Jacobs Les Jacobs 13475 Danielson Street, Suite 210 Poway, CA 92064 (800) 875-0480 masked CEO Data Strategies, Inc. 13475 Danielson Street, Suite 210 Poway, CA 92064 (800) 875-0480 sales@mdsuite.com http://www.MDsuite.com Vendor 2.16.840.1.113883.3.671 Ext 3 Complete 2.16.840.1.113883.3.671.1.1 2011/08/23 12:00:00 2011/08/26 12:00:00 2011/08/26 04:02:15 UV 2.16.840.1.113883.3.671.1.2 mdsuitemvpeds MDsuite EMR MV Peds Mark Marseilles masked Les Jacobs Les Jacobs 13475 Danielson Street, Suite 210 Poway, CA 92064 (800) 875-0480 masked CEO Data Strategies, Inc. 13475 Danielson Street, Suite 210 Poway, CA 92064 (800) 875-0480 sales@mdsuite.com http://www.MDsuite.com Vendor 2.16.840.1.113883.3.671 Ext 3 Complete 2.16.840.1.113883.3.671.1.2 2011/08/23 12:00:00 2011/08/26 12:00:00 2011/08/26 04:03:37 UV 2.16.840.1.113883.3.1166 test-ISR Connect Device ISR test Yuzo Kanomata masked Yuzo Kanomata 9492857464 masked Research programmer UCI ISR ykanomat@gmail.com Academic Int 3 Complete 2011/08/23 12:00:00 2011/08/26 12:00:00 2011/08/26 04:08:06 UV 2.16.840.1.113883.3.1167 amazingcharts Amazing Charts OID Jeffrey Mathes masked Jeffrey Mathes (866) 382-5932 masked AmazingCharts.com, Inc. 650 Ten Rod Rd, Suite 12 North Kingstown, RI 02852 (866) 382-5932 jmathes@amazingcharts.com http://amazingcharts.com Vendor Int 3 Complete 2011/08/24 12:00:00 2011/08/26 12:00:00 2011/08/26 04:09:39 UV 2.16.840.1.113883.17.25 sch-chi-il-60625 Swedish Covenant Hospital Jose Maldonado masked Nick Vigilante 5145 N. California Chicago, IL 60626 7738788200 masked Director of IT Intergrations Swedish Covenant Hospital 5145 N. California Chicago, IL 60626 7738788200 vigilant@schosp.org http://swedishcovenant.org/ Provider Int 3 Complete 2011/08/24 12:00:00 2011/08/26 12:00:00 2011/09/23 12:31:23 UV 2.16.840.1.113883.3.1168 ceco Centene Health Center Britton Jennings masked Britton Jennings 2800 Rockcreek Parkway Kansas City, MO 64117 (816) 201-3162 masked System Architect Centene Health Center (314) 727-2273 bjennings@cerner.com http://www.cerner.com/ Provider Int 3 Complete 2011/08/24 12:00:00 2011/08/26 12:00:00 2011/08/26 04:14:55 UV 2.16.840.1.113883.3.1169 beaufort-area-hie Beaufort Area HIE Melaine Saxon masked Ed Ricks, CIO Ed Ricks Beaufort Memorial Hospital 955 Ribaut Rd Beaufort, SC 29902 843-522-7906 masked CIO Beaufort Memorial Hospital Beaufort Memorial Hospital 955 Ribaut Rd Beaufort, SC 29902 843-522-7906 Ericks@bmhsc.org http://www.bmhsc.org Provider Int 3 Complete 2011/08/24 12:00:00 2011/08/26 12:00:00 2011/08/26 04:22:28 UV 2.16.840.1.113883.3.1170 wchiqhealth Wood County Hospital IQHealth Matt Bradley masked Mark Gerschutz Matt Bradley 950 W. Wooster Bowling Green, OH 43402 816.201.4152 masked Applications Manager Wood County Hospital 950 W. Wooster Bowling Green OH 43402 419-354-8900 GerschutzM@woodcountyhospital.org http://www.woodcountyhospital.org Provider Int 3 Complete 2011/08/24 12:00:00 2011/08/26 12:00:00 2011/08/26 04:27:34 UV 2.16.840.1.113883.3.1171 phdoc Public Health Documentation Deborah Castellanos masked Deborah Castellanos 130 Division St. Waite Park, MN 56387 320-257-1408 masked Technical Mgr/Project Mgr ACS, a Xerox company 130 Division St. Waite Park, MN 56387 1-800-800-0181 deb.castellanos@acs-inc.com http://www.acs-inc.com/ Vendor Int 3 Complete 2011/08/25 12:00:00 2011/08/26 12:00:00 2011/08/26 04:40:05 UV 2.16.840.1.113883.3.1172 mhsc Memorial Hospital of Sweetwater County Rich Tyler masked Vanessa Aimone Rich Tyler 1200 College Drive Rock Springs, WY 82901 307-362-3711 masked Project Manager Rich Tyler 1200 College Drive Rock Springs, WY 82901 307-352-8306 rtyler@minershospital.org http://sweetwatermedicalcenter.com/ Provider Int 3 3 Complete 2011/08/25 12:00:00 2011/08/26 12:00:00 2011/08/26 04:41:51 US 2.16.840.1.113883.4.499 iuh-mrn Indiana Univerity Health MRN David Waymire masked David Waymire 1515 North Senate Avenue Indianapolis, IN 46202 317-962-0835 masked Manager - Information Services Indiana University Health dwaymire@iuhealth.org Provider Int 4 4 Complete 2011/08/26 12:00:00 2011/08/26 12:00:00 2011/08/26 04:46:46 US 2.16.840.1.113883.9.10 phLabResultsELRv251Sender Lab Results to Public Health (ELR) Sender Profile Riki Merrick masked Laura Conn Riki Merrick P.O. Box 2541 Carmichael CA 95609-2541 USA 916.216.0052 masked PH Information Specialist Laura Conn Centers for Disease Control and Prevention 1600 Clifton Rd. Atlanta GA 30333 USA lbk1@cdc.gov http://www.cdc.gov/ Govt body 2.16.840.1.114222 Int 9 9 Complete 2011/08/26 12:00:00 2011/08/26 12:00:00 2011/08/26 04:51:13 ISO US 2.16.840.1.113883.9.11 phLabResultsELRv251Receiver Lab Results to Public Health (ELR) Receiver Profile Riki Merrick masked Laura Conn Riki Merrick P.O. Box 2541 Carmichael CA 95609-2541 USA 916.216.0052 masked PH Information Specialist Laura Conn Centers for Disease Control and Prevention 1600 Clifton Rd Atlanta GA 30333 USA lbk1@cdc.gov http://www.cdc.gov/ Govt body 2.16.840.1.114222 Int 9 9 Complete 2011/08/26 12:00:00 2011/08/26 12:00:00 2011/08/26 04:53:22 ISO US 2.16.840.1.113883.3.1173 unityhealth Unity Health System Rochester New York US Erik Jacob masked Erik Jacob Information Technology Department 89 Genesee Street Rochester, NY 14611 585-368-3195 masked Senior Interface Analyst Unity Health System 89 Genesee Street Rochester, NY 14611 585-723-7000 makeller@unityhealth.org http://www.unityhealth.org Provider Int 3 Complete 2011/08/26 12:00:00 2011/08/26 12:00:00 2011/08/26 04:44:35 UV 2.16.840.1.113883.3.1157.0.1 trmc Trinitas Medical Center- Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 Complete 2.16.840.1.113883.3.1157.0.1 2011/08/29 12:00:00 2011/09/09 12:00:00 2024/08/01 01:46:04 UV 2.16.840.1.113883.3.1157.0.2 CSH Children's Specialized Hospital Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 732-272-6835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 Complete 2.16.840.1.113883.3.1157.0.2 2011/08/29 12:00:00 2011/09/09 12:00:00 2024/08/01 01:50:09 UV 2.16.840.1.113883.3.1157.0.3 UBHC UBHC Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 https://www.rwjbh.org/ https://www.rwjbh.org/ Provider 2.16.840.1.113883.3.1157 Ext 4 Complete 2.16.840.1.113883.3.1157.0.3 2011/08/29 12:00:00 2011/09/09 12:00:00 2024/08/01 02:19:41 UV 2.16.840.1.113883.3.1157.0.4 mmc-mrn Monmouth Medical Center medical record number Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 https://www.rwjbh.org/ https://www.rwjbh.org/ Provider 2.16.840.1.113883.3.1157 Ext 4 Complete 2.16.840.1.113883.3.1157.0.4 2011/08/29 12:00:00 2011/09/09 12:00:00 2024/07/29 09:15:23 UV 2.16.840.1.113883.3.1157.0.5 nbi-mrn Newark Beth Israel Medical Center medical record number Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 https://www.rwjbh.org/ https://www.rwjbh.org/ Provider 2.16.840.1.113883.3.1157 Ext 4 Complete 2.16.840.1.113883.3.1157.0.5 2011/08/29 12:00:00 2011/09/09 12:00:00 2024/07/29 09:51:40 UV 2.16.840.1.113883.3.1157.0.6 sbbh-mrn Saint Barnabas Behavioral Health Medical Center medical record number Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration Barnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 https://www.rwjbh.org/ https://www.rwjbh.org/ Provider 2.16.840.1.113883.3.1157 Ext 4 Complete 2.16.840.1.113883.3.1157.0.6 2011/08/29 12:00:00 2011/09/09 12:00:00 2024/07/30 01:41:47 UV 2.16.840.1.113883.3.1157.0.7 sbmc-mrn Cooperman Barnabas Medical Center medical record number Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 https://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 Complete 2.16.840.1.113883.3.1157.0.7 2011/08/29 12:00:00 2011/09/09 12:00:00 2024/08/02 08:39:26 UV 2.16.840.1.113883.3.1157.7.1 sbmc Cooperman Barnabas Medical Center Facility Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org/ Provider 2.16.840.1.113883.3.1157 Ext 4 Complete 2.16.840.1.113883.3.1157.7.1 2011/08/29 12:00:00 2011/09/09 12:00:00 2024/07/30 01:44:42 UV 2.16.840.1.113883.3.1157.6.1 sbbh Saint Barnabas Behavioral Health Center Facility Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration Barnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org/ Provider 2.16.840.1.113883.3.1157 Ext 4 Complete 2.16.840.1.113883.3.1157.6.1 2011/08/29 12:00:00 2011/09/09 12:00:00 2024/07/30 01:49:12 UV 2.16.840.1.113883.3.1160.1 lmhp Licking Memorial Health Professionals Ian Bolden masked Sallie Arnett 1320 West Main Street, Newark OH 43055 220-564-2400 masked Vice President of Information Systems Licking Memorial Health System 1320 West Main Street, Newark OH 43055 220-564-2400 sarnett@lmhealth.org http://www.lmhealth.org Provider 2.16.840.1.113883.3.1160 Ext 17 Complete 2.16.840.1.113883.3.1160.1 2011/08/29 12:00:00 2011/09/09 12:00:00 2019/04/17 03:55:36 UV 2.16.840.1.113883.3.1157.5.1 nbi Newark Beth Israel Medical Center Facility Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 Complete 2.16.840.1.113883.3.1157.5.1 2011/08/29 12:00:00 2011/09/09 12:00:00 2024/07/31 08:07:46 UV 2.16.840.1.113883.3.1157.4.1 mmc Monmouth Medical Center Facility Missy Kenney masked Missy Kenney 1433 Hooper Ave Suite 219 Toms River, NJ 732-557-7136 masked Corporate Director of System Integration Barnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.sbhcs.com http://www.sbhcs.com Provider 2.16.840.1.113883.3.1157 Ext 4 Complete 2.16.840.1.113883.3.1157.4.1 2011/08/29 12:00:00 2011/09/09 12:00:00 2011/09/09 06:40:37 UV 2.16.840.1.113883.3.1157.3.1 kmc Kimball Medical Center Facility Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 Complete 2.16.840.1.113883.3.1157.3.1 2011/08/29 12:00:00 2011/09/09 12:00:00 2024/07/31 08:13:08 UV 2.16.840.1.113883.3.1157.2.1 cmmc Clara Maas Medical Center Facility Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 Complete 2.16.840.1.113883.3.1157.2.1 2011/08/29 12:00:00 2011/09/09 12:00:00 2024/07/31 08:15:20 UV 2.16.840.1.113883.3.1157.1.1 cmc Community Medical Center Facility Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 Complete 2.16.840.1.113883.3.1157.1.1 2011/08/29 12:00:00 2011/09/09 12:00:00 2024/07/31 08:18:37 UV 2.16.840.1.113883.3.1160.2 lmh Licking Memorial Hospital Ian Bolden masked Sallie Arnett 1320 West Main Street, Newark OH 43055 220-564-2400 masked Vice President of Information Systems Licking Memorial Health System 1320 West Main Street, Newark OH 43055 220-564-2400 sarnett@lmhealth.org http://www.lmhealth.org Provider 2.16.840.1.113883.3.1160 Ext 17 Complete 2.16.840.1.113883.3.1160.2 2011/08/29 12:00:00 2011/09/09 12:00:00 2019/04/17 03:51:17 UV 2.16.840.1.113883.3.1157.0.0 empi Barnabas Health EMPI Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 Complete 2.16.840.1.113883.3.1157.0.0 2011/08/29 12:00:00 2011/09/09 12:00:00 2024/07/31 08:20:43 UV 2.16.840.1.113883.3.1174 dcc Defiance Chiropractic Center Shane Klingler masked Shane Klingler 1770 Jefferson Ave Defiance, Ohio 43512 4197842300 masked Partner Defiance Chiropractic Center 1770 Jefferson Ave Defiance, Ohio 43512 4197842300 dcc@defiancechiropractic.com http://defiancechiropractic.com/ Provider Int 3 Complete 2011/08/29 12:00:00 2011/09/09 12:00:00 2011/09/09 06:57:43 UV 2.16.840.1.113883.3.1175 mhieUT MHiE - UT Keil Albers masked Keil Albers 713-500-6942 masked Sr. Systems Administrator MHiE - UT 6410 Fannin Street Houston, TX 77030 713-500-6942 keil.a.albers@uth.tmc.edu Provider Int 3 Complete 2011/08/30 12:00:00 2011/09/09 12:00:00 2011/09/09 06:59:34 UV 2.16.840.1.113883.3.1176 mhieRBJC MHiE - Richmond Bone & Joint Clinic John Bryant masked John Bryant 832-549-5483 masked Information Technology Director MHiE - Richmond Bone & Joint Clinic 1517 Thompson Road Richmond, TX 77469 832-549-5483 jbryant@rbjc.com Provider Int 3 Complete 2011/08/30 12:00:00 2011/09/09 12:00:00 2011/09/09 07:00:52 UV 2.16.840.1.113883.3.1177 fhshie Franciscan Health Information Exchange Danielle Plancich masked Karen Nelson-Koop Danielle 1149 Market St Tacoma, WA 98402 253-552-4193 masked HIE Manager Franciscan Health Information Exchange 253-779-6120 hie@fhshealth.org http://www.fhshealth.org Academic Int 3 Complete 2011/08/30 12:00:00 2011/09/09 12:00:00 2011/09/09 07:02:04 UV 2.16.840.1.113883.3.1178 pensacola-HIE Strategic Health Intelligence Health Information Exchange Ashley Spikes masked Craig Dalton Ashley Spikes 3 West Garden Street, Suite 419 Pensacola, FL 32502 8503933219 masked Director of Operations Strategic Health Intelligence 8503933219 ashleyspikes@the-hie.com http://www.strategichealthintelligence.com Exchange Int 3 3 Complete 2011/08/31 12:00:00 2011/09/09 12:00:00 2019/06/05 10:36:12 UV 2.16.840.1.113883.3.1179 midhosp Middlesex Hospital Bradley Lockwood masked Bradley Lockwood 28 Cresent St Middletown, CT 06457 860-358-4424 masked Interface Specialist Middlesex Hospital 28 Cresent St Middletown, CT 06457 860-358-6000 brad_lockwood@midhosp.org http://midhosp.org HL7 body Int 3 3 Complete 2011/08/31 12:00:00 2011/09/09 12:00:00 2011/09/09 07:06:21 UV 2.16.840.1.113883.3.1070.5001 mckesson-fusion-5001 mckesson-fusion-5001 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment enrollrelay@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5001 2011/08/31 12:00:00 2011/09/09 12:00:00 2011/09/09 07:08:14 US 2.16.840.1.113883.3.1180 umh Underwood-Memorial Hospital Root OID Bob Mizia masked Bob Mizia 509 N. Broad St, Woodbury, NJ 08096 8568450100 masked CIO Underwood-Memorial Hospital 509 N. Broad St, Woodbury, NJ 08096 8568450100 miziab@umhospital.org http://www.umhospital.org/ Provider Int 3 3 Complete 2011/09/01 12:00:00 2011/09/09 12:00:00 2011/09/09 07:11:35 UV 2.16.840.1.113883.3.1181 ihie Indiana Health Information Exchange Eric Miller masked Adam Fair 846 N. Senate Avenue, Suite 110 Indianapolis, IN 46202 317.644.1750 masked Director, Business Intelligence Indiana Health Information Exchange 846 N. Senate Avenue, Suite 110 Indianapolis, IN 46202 317.644.1750 helpdesk@ihie.org https://www.ihie.org/ Exchange Int 3 Complete 2011/09/01 12:00:00 2011/09/09 12:00:00 2024/05/01 03:26:23 UV 2.16.840.1.113883.3.1182 sdbeacon San Diego Beacon Collaborative Don Portugal masked Don Portugal 7187 Convoy Ct San Diego, CA 92111 619-543-2038 masked Director of Business Applications San Diego Beacon 7187 Convoy Ct San Diego, CA 92111 619-543-2038 dportugal@ucsd.edu http://sandiegobeacon.org Academic Int 3 Complete 2011/09/01 12:00:00 2011/09/09 12:00:00 2011/09/09 07:15:35 UV 2.16.840.1.113883.3.1183 brackeenchiro Brackeen Chiropractic Wellness and Rehab Paul Brackeen masked Dr. Paul Brackeen 320 N. Rock Road Suite 300 Derby, Ks 67037 316-789-8100 masked Dr. Paul Brackeen 320 N. Rock Road Suite 300 Derby, Ks 67037 316-789-8100 drpaul@brackeenchiropractic.com http://www.brackeenchiropractic.com/ Provider Int 3 Complete 2011/09/01 12:00:00 2011/09/09 12:00:00 2011/09/09 07:20:27 UV 2.16.840.1.113883.3.1184 tietoHCE Tieto Healthcare Central Europe Daniel Hellmuth masked Sebastian Schulz Hellmuth Josef-Lammerting-Allee 25 50933 K&#246;ln Germany +49 (0)6196766013028 masked Business System Analyst Tieto Deutschland GmbH, Healthcare Central Europe D&#252;sseldorfer Stra&#223;e 40 65760 Eschborn Germany +49 (0)6196 93 29-0 info.de@tieto.com http://www.tieto.de Vendor Int 3 Complete 2011/09/02 12:00:00 2011/09/09 12:00:00 2011/09/09 07:24:55 UV 2.16.840.1.113883.3.1185 tasi Telecommunications and Social Informatics Health Information Exchange (TASI HIE) Kaina Lingaton masked Kaina Lingaton 2424 Maile Way, #713 Honolulu, HI 96822 (808) 956-8850 masked IT Manager Telecommunications and Social Informatics Research Program (TASI) 2424 Maile Way, #713 Honolulu, HI 96822 (808) 956-8848 info@tipg.net http://www.tipg.net Govt body Int 3 3 Complete 2011/09/02 12:00:00 2011/09/09 12:00:00 2011/09/09 07:26:25 UV 2.16.840.1.113883.3.1186 pacificecdc Pacific eCDC Health Information Exchange (eCDC HIE) Kaina Lingaton masked Ginger Porter 2424 Maile Way, #713 Honolulu, HI 96822 (808) 956-9557 masked Project Manager Pacific eCDC info@tipg.net http://www.tipg.net Govt body Int 3 3 Complete 2011/09/02 12:00:00 2011/09/09 12:00:00 2011/09/09 07:28:18 UV 2.16.840.1.113883.3.1187 cnmihie Commonwealth of the Northern Mariana Islands Health Information Exchange (CNMI HIE) Kaina Lingaton masked Kaina Lingaton 2424 Maile Way, #713 Honolulu, HI 96822 (808) 956-8850 masked IT Manager CNMI HIE info@tipg.net http://www.tipg.net Govt body Int 3 3 Complete 2011/09/02 12:00:00 2011/09/09 12:00:00 2011/09/09 07:30:34 UV 2.16.840.1.113883.3.1188 bgh-oid Brockville General Hospital_OID Sandra Graham masked shumi@bgh-on.ca Sandra Graham 75 Charles Street Brockville, ON K6V 1S8 6133455649 X. 1295 masked Senior Systems Analyst Brockville General Hospital 75 Charles Street Brockville, ON K6V 1S8 6133455649 grasa@bgh-on.ca http://www.bgh-on.ca Govt body Int 3 3 Complete 2011/09/06 12:00:00 2011/09/09 12:00:00 2011/09/09 07:32:41 UV 2.16.840.1.113883.3.1189 innovamd InnovaMD Jesse Dedman masked Fernando Mora-Silva Fernando Mora-Silva MSO of Puerto Rico, Inc. Provider Connectivity PO BOX 71114 San Juan, PR 00936-8014 787-622-3000 ext. 2260 masked Provider Connectivity AVP MSO of Puerto Rico, Inc. PO BOX 71114 San Juan, PR 00936-8014 1-866-676-6060 fernando.mora@mso-pr.com http://www.mso-pr.com Vendor Int 3 Complete 2011/09/06 12:00:00 2011/09/09 12:00:00 2011/09/09 07:36:08 UV 2.16.840.1.113883.3.1189.1 innovamd-hie-hub-mpi InnovaMD HIE Hub MPI Jesse Dedman masked Fernando Mora-Silva Fernando Mora-Silva MSO of Puerto Rico, Inc. Provider Connectivity PO BOX 71114 San Juan, PR 00936-8014 787-622-3000 ext. 2260 masked Provider Connectivity AVP MSO of Puerto Rico, Inc. PO BOX 71114 San Juan, PR 00936-8014 1-866-676-6060 fernando.mora@mso-pr.com http://www.mso-pr.com Vendor Ext 4 Complete 2.16.840.1.113883.3.1189.1 2011/09/06 12:00:00 2011/09/09 12:00:00 2011/09/22 01:07:42 UV 2.16.840.1.113883.3.1190 ovc Oro Valley Chiropractic OID Kelly Pelletier masked Dr. Gerald Parks DC Kelly 10420 N. La Canada Dr. Suite 120 Oro Valley, AZ 85737 5205442445 masked Office Manager Dr. Gerald W. Parks 10420 N. La Canada Dr. Suite 120 Oro Valley, AZ 85737 5205442445 parksovc@aol.com Provider Int 3 3 Complete 2011/09/07 12:00:00 2011/09/09 12:00:00 2011/09/09 07:41:06 UV 2.16.840.1.113883.3.1191 sfcardiosurgclinic SF Cardiovascular Surgery Clinic Nanette Iglinsky masked Bubba Rhymes 309 Jackson Street Monroe, LA 71201 318-966-4570 masked Director Physician Practices SF Cardiovascular Surgery Clinic 312 Grammont Street Suite 410 Monroe, LA 71201 318-966-6300 Raphael.Rhymes@stfran.com Provider Int 3 Complete 2011/09/07 12:00:00 2011/09/09 12:00:00 2011/09/09 07:43:04 UV 2.16.840.1.113883.3.1192 utwnpa Uniontown Hospital Tracey Porterfield masked Tracey Porterfield Attention: Information Technology Dept. 500 West Berkeley Street Uniontown, PA 15401 724.430.5280 masked Clinical Application Manager Uniontown Hospital Attention: Information Technology Dept. 500 West Berkeley Street Uniontown, PA 15401 724.430.5165 herman@utwn.org https://www.uniontownhospital.org Provider Int 3 Complete 2011/09/07 12:00:00 2011/09/09 12:00:00 2011/09/09 07:47:19 UV 2.16.840.1.113883.3.1191.1 sfcardiosurgclinicmrn SF Cardiovascular Surgery Clinic - MRN Nanette Iglinsky masked Bubba Rhymes 309 Jackson Street Monroe, LA 71201 318-966-4570 masked Director Physician Practices SF Cardiovascular Surgery Clinic 312 Grammont Street Suite 410 Monroe, LA 71201 318-966-6300 Raphael.Rhymes@stfran.com Provider 2.16.840.1.113883.3.1191 Ext 4 Complete 2.16.840.1.113883.3.1191.1 2011/09/07 12:00:00 2011/09/09 12:00:00 2011/09/09 07:48:38 UV 2.16.840.1.113883.3.1191.2 sfcardiosurgclinicfin SF Cardiovascular Surgery Clinic - FIN Nanette Iglinsky masked Bubba Rhymes 309 Jackson Street Monroe, LA 71201 318-966-4570 masked Director Physician Practices SF Cardiovascular Surgery Clinic 312 Grammont Street Suite 410 Monroe, LA 71201 318-966-6300 Raphael.Rhymes@stfran.com Provider 2.16.840.1.113883.3.1191 Ext 4 Complete 2.16.840.1.113883.3.1191.2 2011/09/07 12:00:00 2011/09/09 12:00:00 2011/09/09 07:49:34 UV 2.16.840.1.113883.3.1193 nyulmchie NYULMC Health Information Exchange Anthony Antinori masked Anthony Antinori 550 First Ave. NY, NY 10016 212-263-7300 masked Sr. Director NYU Langone Medical Center 550 First Ave. New York, NY 10016 212-263-7300 HIE@nyumc.org http://health-connect.med.nyu.edu/ HL7 body Int 3 Complete 2011/09/07 12:00:00 2011/09/09 12:00:00 2011/09/09 07:51:02 UV 2.16.840.1.113883.3.1191.3 sfcardiosurgclinicprsnlid SF Cardiovascular Surgery Clinic - PRSNLID Nanette Iglinsky masked Bubba Rhymes 309 Jackson Street Monroe, LA 71201 318-966-4570 masked Dir Physician Practices SF Cardiovascular Surgery Clinic 312 Grammont Street Suite 410 Monroe, LA 71201 318-966-6300 Raphael.Rhymes@stfran.com Provider 2.16.840.1.113883.3.1191 Ext 4 Complete 2.16.840.1.113883.3.1191.3 2011/09/07 12:00:00 2011/09/09 12:00:00 2011/09/09 07:53:01 UV 2.16.840.1.113883.3.1194 sfnelasurgspec SF, Northeast La. Surgical Specialist Nanette Iglinsky masked Bubba Rhymes 309 Jackson Street Monroe, LA 71201 318-966-4570 masked Director Physician Practices SF, Northeast La. Surgical Specialist 410 Wood Street Monroe, LA 71201 318-933-6622 Raphael.Rhymes@stfran.com Provider Int 3 Complete 2011/09/07 12:00:00 2011/09/09 12:00:00 2011/09/09 07:58:32 UV 2.16.840.1.113883.3.1194.1 sfnelasurgspecmrn SF, Northeast La. Surgical Specialist - MRN Nanette Iglinsky masked Bubba Rhymes 309 Jackson Street Monroe, LA 71201 318-966-4570 masked Director Physician Practices SF, Northeast La. Surgical Specialist 410 Wood Street Monroe, LA 71201 318-933-6622 Raphael.Rhymes@stfran.com Provider 2.16.840.1.113883.3.1194 Ext 4 Complete 2.16.840.1.113883.3.1194.1 2011/09/07 12:00:00 2011/09/09 12:00:00 2011/09/09 07:59:47 UV 2.16.840.1.113883.3.1194.2 sfnelasurgspecfin SF, Northeast La. Surgical Specialist - FIN Nanette Iglinsky masked Bubba Rhymes 309 Jackson Street Monroe, LA 71201 318-966-4570 masked Director Physician Practices SF, Northeast La. Surgical Specialist 410 Wood Street Monroe, LA 71201 318-933-6622 Raphael.Rhymes@stfran.com Provider 2.16.840.1.113883.3.1194 Ext 4 Complete 2.16.840.1.113883.3.1194.2 2011/09/07 12:00:00 2011/09/09 12:00:00 2011/09/09 08:00:30 UV 2.16.840.1.113883.3.1194.3 sfnelasurgspecprsnlid SF, Northeast La. Surgical Specialist - PRSNLID Nanette Iglinsky masked Bubba Rhymes 309 Jackson Street Monroe, LA 71201 318-966-4570 masked Director Physician Practices SF, Northeast La. Surgical Specialist 410 Wood Street Monroe, LA 71201 318-933-6622 Raphael.Rhymes@stfran.com Provider 2.16.840.1.113883.3.1194 Ext 4 Complete 2.16.840.1.113883.3.1194.3 2011/09/07 12:00:00 2011/09/09 12:00:00 2011/09/09 08:01:10 UV 2.16.840.1.113883.3.1195 oaklawnhospital Oaklawn Hospital OID Root Alan Herman masked Alan Herman 200 North Madison Marshall, MI 49068 269-789-7046 masked Clinical Systems Specialist Oaklawn Hospital 200 North Madison Marshall, MI 49068 269-789-3935 nspivak@oaklawnhospital.com http://www.oaklawnhospital.com/ Provider Int 3 Complete 2011/09/08 12:00:00 2011/09/09 12:00:00 2011/09/09 08:01:59 UV 2.16.840.1.113883.3.1196 baptistCCCERTAA Baptist Health Care Connect CERT Assigning Authority Cheryl Wise masked Seth McCracken Cheryl Wise 3451 Beach Blvd Jacksonville, FL 32207 904.202.0872 masked Manager, Web Technologies Baptist Health 800 Prudential Drive Jacksonville, FL 32207 904.202.2000 webmaster@bmcjax.com http://www.e-baptisthealth.com Provider Int 3 Complete 2011/09/08 12:00:00 2011/09/09 12:00:00 2011/09/09 08:04:27 UV 2.16.840.1.113883.3.1197 baptistCCCERTHC Baptist Health Care Connect CERT Home Community Cheryl Wise masked Seth McCracken Cheryl Wise 3451 Beach Blvd Jacksonville, FL 32207 904.202.0872 masked Manager, Web Technologies Baptist Health 800 Prudential Drive Jacksonville, FL 32207 904.202.2000 webmaster@bmcjax.com http://www.e-baptisthealth.com Provider Int 3 Complete 2011/09/08 12:00:00 2011/09/09 12:00:00 2011/09/09 08:07:15 UV 2.16.840.1.113883.3.1198 baptistCCCERTRep Baptist Health Care Connect CERT Repository Cheryl Wise masked Seth McCracken Cheryl Wise 3452 Beach Blvd Jacksonville, FL 32207 904.202.0872 masked Manager, Web Technologies Baptist Health 800 Prudential Drive Jacksonville, FL 32207 904.202.2000 webmaster@bmcjax.com http://www.e-baptisthealth.com Provider Int 3 Complete 2011/09/08 12:00:00 2011/09/09 12:00:00 2011/09/09 08:08:12 UV 2.16.840.1.113883.3.1199 armc Alpena Regional Medical Center Bryan Dort masked Adam Osbourne Alpena Regional Medical Center ATTN: Bryan Dort 1501 W Chisholm St Alpena, MI USA 49707 989-356-7565 masked NextGen Support Engineer Alpena Regional Medical Center 1501 W Chisholm St Alpena, MI USA 49707 989-356-7565 aosbourn@agh.org http://www.alpenaregionalmedicalcenter.org Provider Int 3 Complete 2011/09/08 12:00:00 2011/09/09 12:00:00 2011/09/09 08:12:39 UV 2.16.840.1.113883.3.1200 immunization immunization Yogendra Aragula masked Sunil Kumar Yogendra Aragula 9733305641 masked Allscripts Sunil.Kumar@allscripts.com Vendor Int 3 Complete 2011/09/09 12:00:00 2011/09/09 12:00:00 2011/09/09 08:15:18 UV 2.16.840.1.113883.3.1201 aACA Asheville Cardiology Associates Diane Oskins masked Diane Oskins Asheville Cardiology Associates 5 Vanderbilt Park Drive Asheville, NC 28803 828-274-6001 ext 397 masked Interim Director IT Asheville Cardiology Associates 5 Vanderbilt Park Drive Asheville, NC 28803 828-274-6000 diane.oskins@msj.org http://www.avlcard.com Provider Int 3 Complete 2011/09/09 12:00:00 2011/09/09 12:00:00 2011/09/09 08:18:56 UV 2.16.840.1.113883.3.1202 ghp Geisinger Health Plan James Cibak masked James Cibak 570-214-5480 masked Program Director James 100 N Academy Ave, Danville, PA 17822 570-214-5480 jecibak@geisinger.edu HL7 body Int 3 Complete 2011/09/09 12:00:00 2011/09/09 12:00:00 2011/09/09 08:22:22 UV 2.16.840.1.113883.9.12 globallyUniqueIdentificationProfileComponentR1 Globally Unique Identification Profile Component Release 1 Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked Standards & Regulations Manager HL7 - Orders & Observations WG 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2011/09/09 12:00:00 2011/09/09 12:00:00 2012/07/12 05:31:16 UV 2.16.840.1.113883.9.13 nonGloballyUniqueIdentificationProfileComponentR1 Non-Globally Unique Identification Profile Component Release 1 Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked Standards & Regulations Manager HL7 - Orders and Observations workgroup 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2011/09/09 12:00:00 2011/09/09 12:00:00 2012/07/12 05:30:49 UV 2.16.840.1.113883.3.1203 winhealth WIN Health Institute Patient Portal Larry Heinrichs masked David Jensen Larry Heinrichs 1403 Oak Way Avenue Glenwood Springs, CO 81601 (970) 947-0136 masked IT Coordinator WIN Health Institute LLC 110 Midland Avenue, Ste 2 Basalt, CO 81621 (970) 279-4099 Info@winhealthinstitute.com http://www.winhealthinstitute.com Provider Int 3 Complete 2011/09/09 12:00:00 2011/09/09 12:00:00 2011/09/09 08:29:53 UV 2.16.840.1.113883.9.14 orderNumberIdentifiesTestProfileComponentR1 Order Number Identifies Test Profile Component Release 1 Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked Standards & Regulations Manager HL7 - Orders & Observations workgroup 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2011/09/09 12:00:00 2011/09/09 12:00:00 2012/07/12 05:30:25 UV 2.16.840.1.113883.9.15 orderNumberUniversalServiceIdentifierIdentifyTestProfileComponentR1 Order Number and Universal Service Identifier Identify Test Profile Component Release 1 Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked Standards & Regulations Manager HL7 - Orders & Observations workgroup 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2011/09/09 12:00:00 2011/09/09 12:00:00 2012/07/12 05:30:09 UV 2.16.840.1.113883.9.16 laboratoryResultsInterfaceV2ProfileComponentR1 Laboratory Results Interface V2 Profile Component - R1 Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked Standards & Regulations Manager HL7 - Orders & Observations workgroup 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2011/09/09 12:00:00 2011/09/09 12:00:00 2011/12/15 04:39:50 UV 2.16.840.1.113883.3.1205 intermountainHealthcare Intermountain Healthcare Jeffrey Ferraro masked Jeffrey Ferraro Homer Warner Informatics Research Center Intermountain Medical Center 5171 South Cottonwood St Suite 220 Murray, UT 84107 (801) 507-9244 masked CTO, Homer Warner Center for Informatics Research Intermountain Healthcare Inc Intermountain Medical Center 5171 South Cottonwood St Suite 220 Murray, UT 84107 (801) 507-9244 Jeffrey.Ferraro@imail.org http://intermountainhealthcare.org Provider Int 3 Complete 2011/09/12 12:00:00 2011/09/13 12:00:00 2011/09/13 12:59:56 UV 2.16.840.1.113883.3.1206 tmcroot Truman Medical Centers Chad Parker masked Chad Parker 816-922-8977 masked IT Manager Truman Medical Centers 2301 Holmes Street Kansas City, MO 816-404-1000 chad.parker@tmcmed.org http://www.trumed.org/truweb/ Provider Int 3 Complete 2011/09/12 12:00:00 2011/09/13 12:00:00 2011/10/04 10:02:33 UV 2.16.840.1.113883.4.500 dch Dearborn County Hospital Albert Mathews masked Albert Mathews 600 Wilson Creek Rd Lawrenceburg, IN 47025 812-537-8303 masked Lead Project Analyst Dearborn County Hospital 600 Wilson Creek Rd Lawrenceburg, IN 47025 812-537-1010 amathews@dch.org http://www.dch.org Provider Int 4 4 Complete 2011/09/12 12:00:00 2011/09/13 12:00:00 2011/09/13 01:08:45 UV 2.16.840.1.113883.3.1200.10 allscripts-message Allscripts Messages yogendra aragula masked sunil kumar yogendra aragula 9733305642 masked Allscripts 9733305641 yogendra.a@allscripts.com Vendor Ext 4 Complete 2.16.840.1.113883.3.1200.10 2011/09/12 12:00:00 2011/12/19 12:00:00 2011/12/19 03:27:33 UV 2.16.840.1.113883.17.26 ccdPMHC Phelps Memorial Hospital Center Marco Wiesner masked Sue Prince Sue Prince 914-273-4012 masked Client Executive Phelps Memorial Hospital Center 701 N. Broadway Sleepy Hollow, NY 10591 914-366-3000 msernatinger@pmhc.us Provider Int 17 Complete 2011/09/12 12:00:00 2011/09/13 12:00:00 2011/09/13 01:42:06 UV 2.16.840.1.113883.3.1208 blmc Banner Lassen Medical Center Steve Drozdowski masked Steve Drozdowski 1441 N. 12th St. Phoenix, AZ 85006 602-747-4319 masked IT Software Integration Sr Consultant Banner Lassen Medical Center 1800 Spring Ridge Dr. Susanville, CA 96130 530-252-2000 steve.drozdowski@bannerhealth.com http://www.bannerhealth.com/ Provider Int 3 Complete 2011/09/12 12:00:00 2011/09/13 12:00:00 2011/09/13 01:48:37 UV 2.16.840.1.113883.3.1209 bcch Banner Churchill Community Hospital Steve Drozdowski masked Steve Drozdowski 1441 N. 12th St. Phoenix, AZ 85006 602-747-4319 masked IT Software Integration Sr Consultant Banner Churchill Community Hospital 801 E. Williams Fallon, NV 89406 775-423-3151 steve.drozdowski@bannerhealth.com http://www.bannerhealth.com/ Provider Int 3 Complete 2011/09/12 12:00:00 2011/09/13 12:00:00 2011/09/13 01:50:00 UV 2.16.840.1.113883.3.1210 bhh Banner Heart Hospital Steve Drozdowski masked Steve Drozdowski 1441 N. 12th St. Phoenix, AZ 85006 602-747-4319 masked IT Software Integration Sr Consultant Banner Heart Hospital 6750 E. Baywood Ave. Mesa, AZ 85206 480-854-5000 steve.drozdowski@bannerhealth.com http://www.bannerhealth.com/ Provider Int 3 Complete 2011/09/12 12:00:00 2011/09/13 12:00:00 2011/09/13 01:51:12 UV 2.16.840.1.113883.3.1211 bbmc2 Banner Baywood Medical Center Steve Drozdowski masked Steve Drozdowski 1441 N. 12th St. Phoenix, AZ 85006 602-747-4319 masked IT Software Integration Sr Consultant Banner Baywood Medical Center 6644 E. Baywood Ave. Mesa, AZ 85206 480-321-2000 steve.drozdowski@bannerhealth.com http://www.bannerhealth.com/ Provider Int 3 Complete 2011/09/12 12:00:00 2011/09/13 12:00:00 2011/09/13 01:52:31 UV 2.16.840.1.113883.3.1212 bgmc Banner Gateway Medical Center Steve Drozdowski masked Steve Drozdowski 1441 N. 12th St. Phoenix, AZ 85006 602-747-4319 masked IT Software Integration Sr Consultant Banner Gateway Medical Center 1900 N. Higley Road Gilbert, Arizona 85234 480-543-2000 steve.drozdowski@bannerhealth.com http://www.bannerhealth.com/ Provider Int 3 Complete 2011/09/12 12:00:00 2011/09/13 12:00:00 2011/09/13 01:59:09 UV 2.16.840.1.113883.3.1213 genesishealth Genesis Health System root Tina Ervin masked Tina Ervin 3390 Utica Ridge Road Bettendorf, Iowa 52722 563-421--4840 masked Integration and Development Manager Genesis Health System 1227 E. Rusholme Street Davenport, IA 52803 563-421-1000 ervint@genesishealth.com http://www.genesishealth.com Provider Int 3 3 Complete 2011/09/12 12:00:00 2011/09/13 12:00:00 2017/03/31 05:19:10 UV 2.16.840.1.113883.17.27 ccdNWH Northern Westchester Hospital Marco Wiesner masked Sue Prince Sue Prince 914-273-4012 masked Client Executive Northern Westchester Hospital 400 East Main Street Mt. Kisco, NY 10549 914-666-1200 sprince@stellarishealth.org Provider Int 17 Complete 2011/09/12 12:00:00 2011/09/13 12:00:00 2011/09/13 01:44:46 UV 2.16.840.1.113883.3.1214 bimc2 Banner Ironwood Medical Center Steve Drozdowski masked Steve Drozdowski 1441 N. 12th St. Phoenix, AZ 85006 602-747-4319 masked IT Software Integration Sr Consultant Banner Ironwood Medical Center 37000 N. Gantzel Road San Tan Valley, AZ 85140 480-394-4000 steve.drozdowski@bannerhealth.com http://www.bannerhealth.com/ Provider Int 3 Complete 2011/09/12 12:00:00 2011/09/13 12:00:00 2011/09/13 02:02:46 UV 2.16.840.1.113883.3.1215 bbwmc Banner Boswell Medical Center Steve Drozdowski masked Steve Drozdowski 1441 N. 12th St. Phoenix, AZ 85006 602-747-4319 masked IT Software Integration Sr Consultant Banner Boswell Medical Center 10401 W. Thunderbird Blvd. Sun City, AZ 85351 623-977-7211 steve.drozdowski@bannerhealth.com http://www.bannerhealth.com/ Provider Int 3 Complete 2011/09/12 12:00:00 2011/09/13 12:00:00 2011/09/13 02:10:46 UV 2.16.840.1.113883.3.1216 bdwmc Banner Del E. Webb Medical Center Steve Drozdowski masked Steve Drozdowski 1441 N. 12th St. Phoenix, AZ 85006 602-747-4319 masked IT Software Integration Sr Consultant Banner Del E. Webb Medical Center 14502 W. Meeker Blvd. Sun City West, AZ 85375 623-214-4000 steve.drozdowski@bannerhealth.com http://www.bannerhealth.com/ Provider Int 3 Complete 2011/09/12 12:00:00 2011/09/13 12:00:00 2011/09/13 02:14:22 UV 2.16.840.1.113883.3.1217 bgsmc Banner Good Samaritan Medical Center Steve Drozdowski masked Steve Drozdowski 1441 N. 12th St. Phoenix, AZ 85006 602-747-4319 masked IT Software Integration Sr Consultant Banner Good Samaritan Medical Center 1111 E. McDowell Road Phoenix, AZ 85006 602-839-2000 steve.drozdowski@bannerhealth.com http://www.bannerhealth.com/ Provider Int 3 Complete 2011/09/12 12:00:00 2011/09/13 12:00:00 2011/09/13 02:19:07 UV 2.16.840.1.113883.3.1218 bdmc Banner Desert Medical Center Steve Drozdowski masked Steve Drozdowski 1441 N. 12th St. Phoenix, AZ 85006 602-747-4319 masked IT Software Integration Sr Consultant Banner Desert Medical Center 1400 S. Dobson Road Mesa, AZ 85202 480-412-3000 steve.drozdowski@bannerhealth.com http://www.bannerhealth.com/ Provider Int 3 Complete 2011/09/12 12:00:00 2011/09/13 12:00:00 2011/09/13 02:21:33 UV 2.16.840.1.113883.3.1213.1 genesishealth-cmrn Genesis Health System - CMRN Tina Ervin masked Tina Ervin 3390 Utica Ridge RoadBettendorf, Iowa 52722 563-421--4840 masked Software Development Supervisor Genesis Health System 1227 E. Rusholme Street Davenport, IA 52803 563-421-1000 ervint@genesishealth.com http://www.genesishealth.com Provider 2.16.840.1.113883.3.1213 Ext 14 14 Complete 2.16.840.1.113883.3.1213.1 2011/09/12 12:00:00 2011/09/13 12:00:00 2011/09/13 02:23:55 UV 2.16.840.1.113883.3.1219 pageH Page Hospital Steve Drozdowski masked Steve Drozdowski 1441 N. 12th St. Phoenix, AZ 85006 602-747-4319 masked IT Software Integration Sr Consultant Page Hospital 501 N. Navajo P.O. Box 1447 Page, AZ 86040 928-645-2424 steve.drozdowski@bannerhealth.com Provider Int 3 Complete 2011/09/12 12:00:00 2011/09/13 12:00:00 2011/09/13 02:27:18 UV 2.16.840.1.113883.3.1220 btmc Banner Thunderbird Medical Center Steve Drozdowski masked Steve Drozdowski 1441 N. 12th St. Phoenix, AZ 85006 602-747-4319 masked IT Software Integration Sr Consultant Banner Thunderbird Medical Center 5555 W. Thunderbird Road Glendale, AZ 85306 602-865-5555 steve.drozdowski@bannerhealth.com http://www.bannerhealth.com/ Provider Int 3 Complete 2011/09/12 12:00:00 2011/09/13 12:00:00 2011/09/13 02:28:42 UV 2.16.840.1.113883.3.1221 bemc Banner Estrella Medical Center Steve Drozdowski masked Steve Drozdowski 1441 N. 12th St. Phoenix, AZ 85006 602-747-4319 masked IT Software Integration Sr Consultant Banner Estrella Medical Center 9201 W. Thomas Road Phoenix, AZ 85037 623-327-4000 steve.drozdowski@bannerhealth.com http://www.bannerhealth.com/ Provider Int 3 Complete 2011/09/12 12:00:00 2011/09/13 12:00:00 2011/09/13 02:31:00 UV 2.16.840.1.113883.3.1222 och Ogallala Community Hospital Steve Drozdowski masked Steve Drozdowski 1441 N. 12th St. Phoenix, AZ 85006 602-747-4319 masked IT Software Integration Sr Consultant Ogallala Community Hospital 2601 N. Spruce St. Ogallala, NE 69153 308-284-4011 steve.drozdowski@bannerhealth.com Provider Int 3 Complete 2011/09/12 12:00:00 2011/09/13 12:00:00 2011/09/13 02:32:03 UV 2.16.840.1.113883.3.1223 tch2 Torrington Community Hospital Steve Drozdowski masked Steve Drozdowski 1441 N. 12th St. Phoenix, AZ 85006 602-747-4319 masked IT Software Integration Sr Consultant Torrington Community Hospital 2000 Campbell Dr. Torrington, WY 82240 307-532-4181 steve.drozdowski@bannerhealth.com Provider Int 3 Complete 2011/09/12 12:00:00 2011/09/13 12:00:00 2011/09/13 02:33:32 UV 2.16.840.1.113883.3.1224 pcmh2 Platte County Memorial Hospital Steve Drozdowski masked Steve Drozdowski 1441 N. 12th St. Phoenix, AZ 85006 602-747-4319 masked IT Software Integration Sr Consultant Platte County Memorial Hospital 201 14th St. Wheatland, WY 82201 307-322-3636 steve.drozdowski@bannerhealth.com Provider Int 3 Complete 2011/09/12 12:00:00 2011/09/13 12:00:00 2011/09/13 02:40:06 UV 2.16.840.1.113883.3.1225 wmc Washakie Medical Center Steve Drozdowski masked Steve Drozdowski 1441 N. 12th St. Phoenix, AZ 85006 602-747-4319 masked IT Software Integration Sr Consultant Washakie Medical Center 400 S. 15th St. Worland, WY 82401 307-347-3221 steve.drozdowski@bannerhealth.com Provider Int 3 Complete 2011/09/12 12:00:00 2011/09/13 12:00:00 2011/09/13 02:40:54 UV 2.16.840.1.113883.3.1226 bsbh Banner Behavioral Health Hospital Steve Drozdowski masked Steve Drozdowski 1441 N. 12th St. Phoenix, AZ 85006 602-747-4319 masked IT Software Integration Sr Consultant Banner Behavioral Health Hospital 7575 E. Earll Drive Scottsdale, AZ 85251 602-254-4357 steve.drozdowski@bannerhealth.com http://www.bannerhealth.com/ Provider Int 3 Complete 2011/09/12 12:00:00 2011/09/13 12:00:00 2011/09/13 02:42:24 UV 2.16.840.1.113883.3.1227 bpc Banner Psychiatric Center Steve Drozdowski masked Steve Drozdowski 1441 N. 12th St. Phoenix, AZ 85006 602-747-4319 masked IT Software Integration Sr Consultant Banner Psychiatric Center 7575 E. Earll Drive Scottsdale, AZ 85251 602-839-2020 steve.drozdowski@bannerhealth.com http://www.bannerhealth.com/ Provider Int 3 Complete 2011/09/12 12:00:00 2011/09/13 12:00:00 2011/09/13 02:45:40 UV 2.16.840.1.113883.3.1228 kmg-connect01 KMGMedscribe Rohit Narang masked Rohit Key Management Group, Inc. 125 Baylis Road, Suite # 260, Melville. NY - 11747 Ph : 631-777-2424 X 229 Fax : 631-777-2626 631-777-2424 masked President & Head of Software Services Key Management Group, Inc. Key Management Group, Inc. 125 Baylis Road, Suite # 260, Melville. NY - 11747 Ph : 631-777-2424 X 229 Fax : 631-777-2626 631-777-2424 Rohit.Narang@kmgus.com http://www.kmgus.com Vendor Int 3 Complete 2011/09/13 12:00:00 2011/09/13 12:00:00 2011/09/13 02:52:05 UV 2.16.840.1.113883.3.1229 sfprimcareclinic SF, Primary Care Clinic Nanette Iglinsky masked Bubba Rhymes 309 Jackson Street Monroe, LA 71201 318-966-4570 masked Directory Physician Practices SF, Primary Care Clinic 3400 Medical Park Drive Suite D Monroe, lA 71203 318-966-8800 Raphael.Rhymes@stfran.com Provider Int 3 Complete 2011/09/13 12:00:00 2011/09/13 12:00:00 2011/09/13 02:54:53 UV 2.16.840.1.113883.3.1229.1 sfprimcareclinicmrn SF, Primary Care Clinic - MRN Nanette Iglinsky masked Bubba Rhymes 309 Jackson Street Monroe, LA 71201 318-966-4570 masked Director Physician Services SF, Primary Care Clinic 3400 Medical Park Drive Suite D Monroe, LA 71203 318-966-8800 Raphael.Rhymes@stfran.com Provider 2.16.840.1.113883.3.1229 Ext 4 Complete 2.16.840.1.113883.3.1229.1 2011/09/13 12:00:00 2011/09/13 12:00:00 2011/09/13 02:56:09 UV 2.16.840.1.113883.3.1229.2 sfprimcareclinicfin SF, Primary Care Clinic - FIN Nanette Iglinsky masked Bubba Rhymes 309 Jackson Street Monroe, LA 71201 318-966-4570 masked Director Physician Practices SF, Primary Care Clinic 3400 Medical Park Drive Suite D Monroe, LA 71203 318-966-8800 Raphael.Rhymes@stfran.com Provider 2.16.840.1.113883.3.1229 Ext 4 Complete 2.16.840.1.113883.3.1229.2 2011/09/13 12:00:00 2011/09/13 12:00:00 2011/09/13 02:57:55 UV 2.16.840.1.113883.3.1229.3 sfprimcareclinicprsnlid SF, Primary Care Clinic - PRSNLID Nanette Iglinsky masked Bubba Rhymes 309 Jackson Street Monroe, La 71201 318-966-4570 masked Director Physician Practices SF, Primary Care Clinic 3400 Medical Park Drive Suite D Monroe, LA 71203 318-966-8800 Raphael.Rhymes@stfran.com Provider 2.16.840.1.113883.3.1229 Ext 4 Complete 2.16.840.1.113883.3.1229.3 2011/09/13 12:00:00 2011/09/13 12:00:00 2011/09/13 02:58:40 UV 2.16.840.1.113883.3.1230 sfpulmclinic SF, Pulmonary Clinic Nanette Iglinsky masked Bubba Rhymes 309 Jackson Street Monroe, LA 71201 318-966-4570 masked Director Physician Practices SF, Pulmonary Clinic 411 Calypso Street Suite 210 Monroe, LA 71201 318-966-6500 Raphael.Rhymes@stfran.com Provider Int 3 Complete 2011/09/13 12:00:00 2011/09/13 12:00:00 2011/09/13 03:01:51 UV 2.16.840.1.113883.3.1230.1 sfpulmclinicmrn SF, Pulmonary Clinic - MRN Nanette Iglinsky masked Bubba Rhymes 309 Jackson Street Monroe, LA 71201 318-966-4570 masked Director Physician Practices SF, Pulmonary Clinic 411 Calypso Street Suite 210 Monroe, LA 71201 318-966-6500 Raphael.Rhymes@stfran.com Provider 2.16.840.1.113883.3.1230 Ext 4 Complete 2.16.840.1.113883.3.1230.1 2011/09/13 12:00:00 2011/09/13 12:00:00 2011/09/13 03:02:44 UV 2.16.840.1.113883.3.1230.2 sfpulmclinicfin SF, Pulmonary Clinic - FIN Nanette Iglinsky masked Bubba Rhymes 309 Jackson Street Monroe, LA 71201 318-966-4570 masked Director Physician Practices SF, Pulmonary Clinic 411 Calypso Street Suite 210 Monroe, LA 71201 318-966-6500 Raphael.Rhymes@stfran.com Provider 2.16.840.1.113883.3.1230 Ext 4 Complete 2.16.840.1.113883.3.1230.2 2011/09/13 12:00:00 2011/09/13 12:00:00 2011/09/13 03:05:35 UV 2.16.840.1.113883.3.1230.3 sfpulmclinicprsnlid SF, Pulmonary Clinic - PRSNLID Nanette Iglinsky masked Bubba Rhymes 309 Jackson Street Monroe, LA 71201 318-966-4570 masked Director Physician Practices SF, Pulmonary Clinic 411 Calypso Street Suite 210 Monroe, LA 71201 318-966-6500 Raphael.Rhymes@stfran.com Provider 2.16.840.1.113883.3.1230 Ext 4 Complete 2.16.840.1.113883.3.1230.3 2011/09/13 12:00:00 2011/09/13 12:00:00 2011/09/13 03:08:01 UV 2.16.840.1.113883.3.1231 sfneuroclinic SF, Neurology Clinic, Thomas Gulick, MD Nanette Iglinsky masked Bubba Rhymes 309 Jackson Street Monroe, LA 71201 318-966-4570 masked Director Physician Practices SF, Neurology Clinic, Thomas Gulick, MD 309 Jackson Street Room 506 Monroe, LA 71201 318-966-6550 Raphael.Rhymes@stfran.com Provider Int 3 Complete 2011/09/13 12:00:00 2011/09/13 12:00:00 2011/09/13 05:06:29 UV 2.16.840.1.113883.3.1231.1 sfneuroclinicmrn SF, Neurology Clinic, Thomas Gulick, MD - MRN Nanette Iglinsky masked Bubba Rhymes 309 Jackson Street Monroe, LA 71201 318-966-4570 masked Director Physician Practices SF, Neurology Clinic, Thomas Gulick, MD 309 Jackson Street Room 506 Monroe, LA 71201 318-966-6550 Raphael.Rhymes@stfran.com Provider 2.16.840.1.113883.3.1231 Ext 4 Complete 2.16.840.1.113883.3.1231.1 2011/09/13 12:00:00 2011/09/13 12:00:00 2011/09/13 05:06:53 UV 2.16.840.1.113883.3.1231.2 sfneuroclinicfin SF, Neurology Clinic, Thomas Gulick, MD - FIN Nanette Iglinsky masked Bubba Rhymes 309 Jackson Street Monroe, LA 71201 318-966-4570 masked Director Physician Practices SF, Neurology Clinic, Thomas Gulick, MD 309 Jackson Street Room 506 Monroe, LA 71201 318-966-6550 Raphael.Rhymes@stfran.com Provider 2.16.840.1.113883.3.1231 Ext 4 Complete 2.16.840.1.113883.3.1231.2 2011/09/13 12:00:00 2011/09/13 12:00:00 2011/09/13 05:07:15 UV 2.16.840.1.113883.3.1231.3 sfneuroclinicprsnlid SF, Neurology Clinic, Thomas Gulick, MD - PRSNLID Nanette Iglinsky masked Bubba Rhymes 309 Jackson Street Monroe, LA 71201 318-966-4570 masked Director Physician Practices SF, Neurology Clinic, Thomas Gulick, MD 309 Jackson Street Room 506 Monroe, LA 71201 318-966-6550 Raphael.Rhymes@stfran.com Provider 2.16.840.1.113883.3.1231 Ext 4 Complete 2.16.840.1.113883.3.1231.3 2011/09/13 12:00:00 2011/09/13 12:00:00 2011/09/13 05:07:43 UV 2.16.840.1.113883.3.1232 mcc Munday Chiropractic Clinic Charles Munday masked Charles Munday 6645 North Socrum Loop Rd Lakeland, FL 33809 863-683-3000 masked Owner/Doctor Charles Munday 6645 North Socrum Loop Rd Lakeland, FL 33809 86.-683-3000 dmunday1@tampabay.rr.com http://www.mundaychiropracticclinic.com Provider Int 3 Complete 2011/09/13 12:00:00 2011/09/13 12:00:00 2011/09/13 03:19:34 UV 2.16.840.1.113883.3.1233 sfvascularclinic SF, Vascular Clinic Nanette Iglinsky masked Bubba Rhymes 309 Jackson Street Monroe, LA 71201 318-966-4570 masked Director Physician Services SF, Vascular Clinic 500 Hart Street Monroe, LA 71201 318-966-1380 Raphael.Rhymes@stfran.com Provider Int 3 Complete 2011/09/13 12:00:00 2011/09/13 12:00:00 2011/09/13 03:25:35 UV 2.16.840.1.113883.3.1233.1 sfvascularclinicmrn SF, Vascular Clinic - MRN Nanette Iglinsky masked Bubba Rhymes 309 Jackson Street Monroe, LA 71201 318-966-4570 masked Dir Physician Practices SF, Vascular Clinic 500 Hart Street Monroe, LA 71201 318-966-1380 Raphael.Rhymes@stfran.com Provider 2.16.840.1.113883.3.1233 Ext 4 Complete 2.16.840.1.113883.3.1233.1 2011/09/13 12:00:00 2011/09/13 12:00:00 2011/09/13 03:27:20 UV 2.16.840.1.113883.3.1233.2 sfvascularclinicfin SF, Vascular Clinic - FIN Nanette Iglinsky masked Bubba Rhymes 309 Jackson Street Monroe, LA 71201 318-966-4570 masked Director Physician Practices SF, Vascular Clinic 500 Hart Street Monroe, LA 71201 318-966-1380 Raphael.Rhymes@stfran.com Provider 2.16.840.1.113883.3.1233 Ext 4 Complete 2.16.840.1.113883.3.1233.2 2011/09/13 12:00:00 2011/09/13 12:00:00 2011/09/13 03:28:14 UV 2.16.840.1.113883.3.1233.3 sfvascularclinicprsnlid SF, Vascular Clinic - PRSNLID Nanette Iglinsky masked Bubba Rhymes 309 Jackson Street Monroe, LA 71201 318-966-4570 masked Director Physician Practices SF, Vascular Clinic 500 Hart Street Monroe, LA 71201 318-966-1380 Raphael.Rhymes@stfran.com Provider 2.16.840.1.113883.3.1233 Ext 4 Complete 2.16.840.1.113883.3.1233.3 2011/09/13 12:00:00 2011/09/13 12:00:00 2011/09/13 03:29:33 UV 2.16.840.1.113883.17.28 sjs HSHS - St. Johns Hospital - Springfield Illinois Dwayne Westerhausen masked Dwayne Westerhausen Hospital Sisters Health System Att: Dwayne Westerhausen 4938 LaVerna Road Springfield, Illinois 62707 217.494.2242 masked Manager of Systems Integration for HSHS St. John's Hospital St. John's Hospital 800 E. Carpenter, Springfield, Illinois 62769 217-544-6464 contact@st.johns.org http://www.st-johns.org Provider Int 17 Complete 2011/09/13 12:00:00 2011/09/13 12:00:00 2011/09/13 03:34:39 UV 2.16.840.1.113883.17.29 sae HSHS - St. Anthony's Memorial Hospital - Effingham Illinois Dwayne Westerhausen masked Dwayne Westerhausen Hospital Sisters Health System Att: Dwayne Westerhausen 4938 LaVerna Road Springfield, Illinois 62707 217-492-2242 masked Manager of Systems Integration at HSHS St. Anthony's Memorial Hospital St. Anthony's Memorial Hospital 503 North Maple Street, Effingham, Illinois 62401 217-342-2121 communications@sae.hshs.org http://www.stanthonyshospital.org Provider Int 17 Complete 2011/09/13 12:00:00 2011/09/13 12:00:00 2011/09/13 08:47:25 UV 2.16.840.1.113883.17.30 seb HSHS - St. Elizabeth's Hospital - Belleville Illinois Dwayne Westerhausen masked Dwayne Westerhausen Hospital Sisters Health System Att: Dwayne Westerhausen 4938 LaVerna Road Springfield, IL 62707 217-492-2242 masked Manager of Systems Integration for HSHS St. Elizabeth's Hospital St. Elizabeth's Hospital 211 S 3rd St Belleville, Illinois 62220 618-234-2120 contact@steliz.org http://www.steliz.org Provider Int 17 Complete 2011/09/13 12:00:00 2011/09/13 12:00:00 2011/09/13 08:48:36 UV 2.16.840.1.113883.17.31 sfl HSHS - St. Francis Hospital - Litchfield Illinois Dwayne Westerhausen masked Dwayne Westerhausen Hospital Sisters Health System Att: Dwayne Westerhausen 4938 LaVerna Road Springfield, Illinois 62707 217-492-2242 masked Manager of Systems Integration for HSHS St. Francis Hospital St. Francis Hospital 1215 Franciscan Drive Litchfield, Illinois 62056 217-324-2191 contact@stfrancis-litchfield.org http://www.stfrancis-litchfield.org Provider Int 17 Complete 2011/09/13 12:00:00 2011/09/13 12:00:00 2011/09/13 08:50:45 UV 2.16.840.1.113883.17.32 sjb HSHS - St. Joseph's Hospital - Breese Illinois Dwayne Westerhausen masked Dwayne Westerhausen Hospital Sisters Health System Att: Dwayne Westerhausen 4938 LaVerna Road Springfield, Illinois 62707 217-492-2242 masked Manager of Systems Integration for HSHS St. Joseph's Hospital St. Joseph's Hospital 9515 Holy Cross Lane Breese, Illinois 62230 618-526-4511 contact@stjoebreese.com http://www.stjoebreese.com Provider Int 17 Complete 2011/09/13 12:00:00 2011/09/13 12:00:00 2011/09/13 08:53:06 UV 2.16.840.1.113883.17.33 sjh HSHS - St. Joseph's Hospital - Highland Illinois Dwayne Westerhausen masked Dwayne Westerhausen Hospital Sisters Health System Att: Dwayne Westerhausen 4938 LaVerna Road Springfield, Illinois 62707 217-492-2242 masked Manager of Systems Integration for HSHS St. Joseph's Hospital St. Joseph's Hospital 1515 Main Street Highland, Illinois 62249 618-651-2600 contact@stjosephshighland.org http://www.stjosephshighland.org Provider Int 17 Complete 2011/09/13 12:00:00 2011/09/13 12:00:00 2011/09/13 09:19:19 UV 2.16.840.1.113883.17.34 smd HSHS - St. Mary's Hospital - Decatur Illinois Dwayne Westerhausen masked Dwayne Westerhausen Hospital Sisters Health System Att: Dwayne Westerhausen 4938 LaVerna Road Springfield, Illinois 62707 217-492-2242 masked Manager of Systems Integration for HSHS St. Mary's Hospital St. Mary's Hospital 1800 E. Lake Shore Drive Decatur, Illinois 62521 217-464-2966 contact@stmarysdecatur.com http://www.stmarysdecatur.com Provider Int 17 Complete 2011/09/13 12:00:00 2011/09/13 12:00:00 2011/09/13 09:24:44 UV 2.16.840.1.113883.17.35 sms HSHS - St. Mary's Hospital - Streator Illinois Dwayne Westerhausen masked Dwayne Westerhausen Hospital Sisters Health System Att: Dwayne Westerhausen 4938 LaVerna Road Springfield, Illinois 62707 217-492-2242 masked Manager of Systems Integration fro HSHS St. Mary's Hospital St. Mary's Hospital 111 Spring Street Streator, Illinois 61364 815-673-2311 contact@stmaryshospital.org http://www.stmaryshospital.org Provider Int 17 Complete 2011/09/13 12:00:00 2011/09/13 12:00:00 2011/09/13 09:28:30 UV 2.16.840.1.113883.3.1234 sfgensurgclinic St. Francis General Surgery Clinic Nanette Iglinsky masked Bubba Rhymes 309 Jackson Street Monroe, LA 71201 318-966-4570 masked Director Physician Practices St. Francis General Surgery Clinic 517 Catalpa Street Monroe, LA 71201 318-966-6500 Raphael.Rhymes@stfran.com Provider Int 3 Complete 2011/09/13 12:00:00 2011/09/13 12:00:00 2011/09/13 09:36:31 UV 2.16.840.1.113883.3.1234.1 sfgensurgclinicmrn St. Francis General Surgery Clinic - MRN Nanette Iglinsky masked Bubba Rhymes 309 Jackson Street Monroe, LA 71201 318-966-4570 masked Director Physician Practices St. Francis General Surgery Clinic 517 Catalpa Street Monroe, LA 71201 318-966-6500 Raphael.Rhymes@stfran.com Provider 2.16.840.1.113883.3.1234 Ext 4 Complete 2.16.840.1.113883.3.1234.1 2011/09/13 12:00:00 2011/09/13 12:00:00 2011/09/13 09:37:12 UV 2.16.840.1.113883.17.36 shec HSHS - Sacred Heart Hospital - Eau Claire Wisconsin Dwayne Westerhausen masked Dwayne Westerhausen Hospital Sisters Health System Att: Dwayne Westerhausen 4938 LaVerna Road Springfield, Illinois 62707 217-492-2242 masked Manager of Systems Integration for HSHS Sacred Heart Hospital Sacred Heart Hospital 900 W. Clairemont Ave Eau Claire, Wisconsin 54701 715-717-4121 contact@sacredhearteauclaire.org http://www.sacredhearteauclaire.org Provider Int 17 Complete 2011/09/13 12:00:00 2011/09/13 12:00:00 2011/09/13 09:40:12 UV 2.16.840.1.113883.3.1234.2 sfgensurgclinicfin St. Francis General Surgery Clinic - FIN Nanette Iglinsky masked Bubba Rhymes 309 Jackson Street Monroe, LA 71201 318-966-4570 masked Director Physician Practices St. Francis General Surgery Clinic 517 Catalpa Street Monroe, LA 71201 318-966-6500 Raphael.Rhymes@stfran.com Provider 2.16.840.1.113883.3.1234 Ext 4 Complete 2.16.840.1.113883.3.1234.2 2011/09/13 12:00:00 2011/09/13 12:00:00 2011/09/13 09:41:36 UV 2.16.840.1.113883.17.37 sjcf HSHS - St. Joseph's Hospital - Chippewa Falls Wisconsin Dwayne Westerhausen masked Dwayne Westerhausen Hospital Sisters Health System Att: Dwayne Westerhausen 4938 LaVerna Road Springfield, Illinois 62707 217-492-2242 masked Manager of Systems Integration for HSHS St. Joseph's Hospital St. Joseph's Hospital 2661 County Highway I Chippewa Falls, Wisconsin 54729 715-726-3200 info@sjcf.hshs.org http://www.stjoeschipfalls.com Provider Int 17 Complete 2011/09/13 12:00:00 2011/09/13 12:00:00 2011/09/13 09:45:11 UV 2.16.840.1.113883.3.1235 scottfamclinic Our Lady of Lourdes RMC DBA Scott Family Clinic Nanette Iglinsky masked Traci Thibodeaux 4801 Ambassador Caffery Pkwy Lafayette, LA 70506 337-470-2109 masked Director of Physician Practice Management Our Lady of Lourdes RMC DBA Scott Family Clinic 5935 Cameron Street Scott, LA 70583 337-264-0326 Traci.Thibodeaux@lourdesrmc.com Provider Int 3 Complete 2011/09/14 12:00:00 2011/09/30 12:00:00 2011/09/30 05:36:57 UV 2.16.840.1.113883.3.1235.1 scottfamclinicmrn Our Lady of Lourdes RMC DBA Scott Family Clinic - MRN Nanette Iglinsky masked Traci Thibodeaux 4801 Ambassador Caffery Pkwy Lafayette, LA 70506 337-470-2109 masked Director of Physician Practice Management Our Lady of Lourdes RMC DBA Scott Family Clinic 5935 Cameron Street Scott, LA 70583 337-266-0326 Traci.Thibodeaux@lourdesrmc.com Provider 2.16.840.1.113883.3.1235 Ext 4 Complete 2.16.840.1.113883.3.1235.1 2011/09/14 12:00:00 2011/09/30 12:00:00 2011/09/30 05:38:05 UV 2.16.840.1.113883.3.1235.2 scottfamclinicfin Our Lady of Lourdes RMC DBA Scott Family Clinic - FIN Nanette Iglinsky masked Traci Thibodeaux 4801 Ambassador Caffery Pkwy Lafayette, LA 70506 337-470-2109 masked Director of Physician Practice Management Our Lady of Lourdes RMC DBA Scott Family Clinic 5935 Cameron Street Scott, LA 70583 337-264-0326 Traci.Thibodeaux@lourdesrmc.com Provider 2.16.840.1.113883.3.1235 Ext 4 Complete 2.16.840.1.113883.3.1235.2 2011/09/14 12:00:00 2011/09/30 12:00:00 2011/09/30 05:39:29 UV 2.16.840.1.113883.3.1235.3 scottfamclinicprsnlid Our Lady of Lourdes RMC DBA Scott Family Clinic - PRSNLID Nanette Iglinsky masked Traci Thibodeaux 4801 Ambassador Caffery Pkwy Lafayette, La 70506 337-470-2109 masked Director of Physician Practice Management Our Lady of Lourdes RMC DBA Scott Family Clinic 5935 Cameron Street Lafayette, LA 70583 337-264-0326 Traci.Thibodeaux@lourdesrmc.com Provider 2.16.840.1.113883.3.1235 Ext 4 Complete 2.16.840.1.113883.3.1235.3 2011/09/14 12:00:00 2011/09/30 12:00:00 2011/09/30 05:40:46 UV 2.16.840.1.113883.17.38 org-billingsclinic Billings Clinic Cynthia Rupe masked Chris Stevens Jeremy Lougee 2800 Tenth Ave North PO Box 37000 Billings, MT 59107 406-657- 4229 masked Meaningful Use Program Manager Billings Clinic 2800 Tenth Ave North PO Box 37000 Billings, MT 59107 406-657-4000 mu@billingsclinic.org http://www.billingsclinic.org Provider 2.16.840.1.113883.3.5237 Int 2.16.840.1.113883.3.5237 17 Deprecated 2011/09/14 12:00:00 2011/09/30 12:00:00 2014/09/03 09:17:01 UV 2.16.840.1.113883.3.1236 porter Porter Medical Center Denis Mailloux masked jnoel@portermedical.org Denis Mailloux 115 Porter Drive Middlebury, VT 05753 802.388.8888 masked IT Director Denis Mailloux 115 Porter Drive Middlebury, VT 05753 802.388.8888 dmailloux@portermedical.org http://www.portermedical.org Provider Int 3 Complete 2011/09/14 12:00:00 2011/09/30 12:00:00 2011/09/30 05:50:54 UV 2.16.840.1.113883.3.1237 bid-needham BID-NEEDHAM CCD Stephen OHalloran masked Stephen O'Halloran Beth Israel Deaconess Hospital 148 Chestnut Street Needham MA 02492 617-754-0552 masked Director - IT Beth Israel Deaconess Hospital-Needham Beth Israel Deaconess Hospital 148 Chestnut Street Needham MA 02492 781-453-3000 stohallo@bidneedham.org http://www.bidneedham.org Provider Int 3 Complete 2011/09/15 12:00:00 2011/09/30 12:00:00 2011/09/30 05:52:36 UV 2.16.840.1.113883.3.1238 stma-md St. Mary's Hospital, Leonardtown, MD Kim Frazier masked Kim Frazier St. Mary's Hospital PO Box 527 Leonardtown, MD 20650 3014756446 masked St. Mary's Hospital St. Mary's Hospital 25500 Point Lookout Rd PO Box 527 Leonardtown, MD 20650 3014758981 kim_frazier@smhwecare.com http://www.stmaryshospitalmd.org/ Provider Int 3 Complete 2011/09/15 12:00:00 2011/09/30 12:00:00 2011/09/30 05:54:41 UV 2.16.840.1.113883.3.1239 healthinfonet HealthInfoNet Exchange Chris Vacca masked Todd Rogow 125 Presumpscot Street, Box 8 Portland, Maine 04103 207-541-9250 masked IT Director HealthInfoNet 125 Presumpscot Street, Box 8 Portland, Maine 04103 207-541-9250 info@hinfonet.org http://www.hinfonet.org Provider Int 3 Complete 2011/09/15 12:00:00 2011/09/30 12:00:00 2012/04/05 12:53:45 UV 2.16.840.1.113883.3.1240 mathematica Mathematica Jeff McCartney masked Jeff McCartney 202 250-3512 masked Principle Program Analyst Mathematica Policy Research P. O. Box 2393 Princeton, NJ 08543-2393 609 799-3535 jmccartney@mathematica-mpr.com http://www.mathematica-mpr.com SDO Int 3 Complete 2011/09/15 12:00:00 2011/09/30 12:00:00 2011/09/30 05:59:30 UV 2.16.840.1.113883.17.39 goodall Henrietta D Goodall Hospital Charles Caruso masked Charles Caruso 25 June Street Sanford, ME 04073 207-490-7481 masked CIO Henrietta D Goodall Hospital 25 June Street Sanford, ME 04073 207-324-4310 ccaruso@goodallhospital.org http://www.goodallhospital.org/ Provider Int 17 17 Complete 2011/09/15 12:00:00 2011/09/30 12:00:00 2011/09/30 06:01:26 UV 2.16.840.1.113883.3.1241 windber Windber Medical Center Renee Adams masked Renee Adams 600 Somerset Ave Windber, PA 15963 814-467-3000 masked Director of MIS Windber Medical Center 600 Somerset Avenue Windber, PA 15963 814-467-3000 radams@windbercare.org Provider Int 3 Complete 2011/09/15 12:00:00 2011/09/30 12:00:00 2011/09/30 06:03:42 UV 2.16.840.1.113883.4.501 boh Brookings Health System Brian Sterud masked Brian Sterud 300 22nd Avenue Brookings SD 57006 605-696-9000 masked Director of Information Management Brookings Health System 300 22nd Avenue Brookings SD 57006 605-696-9000 bsterud@brookingshealth.org http://www.brookingshealth.org Provider Int 4 Complete 2011/09/15 12:00:00 2011/09/30 12:00:00 2011/09/30 06:06:39 UV 2.16.840.1.113883.3.1242 jag Jerome A Galanti OD Jerome Galanti masked Dr Jerome A Galanti 116 Highland Ave Hollidaysburg PA 16648 814-696-3904 masked Doctor of Optometry Jerome A Galanti OD 116 Highland Ave Hollidaysburg PA 16648 814-696-3904 Galanti1@aol.com Provider Int 3 Complete 2011/09/15 12:00:00 2011/09/30 12:00:00 2011/09/30 06:11:12 UV 2.16.840.1.113883.4.502 intehealth InteHealth XLMD Exchange - HIE Joel Mullins masked Joel Mullins 5 Great Valley Pkwy Malvern, PA 19355 6108891110 masked Senior Product Developer Joel Mullins 5 Great Valley Pkwy Malvern, PA 19355 6108891110 support@intehealth.com http://www.intehealth.com Vendor Int 4 4 Complete 2011/09/16 12:00:00 2011/09/30 12:00:00 2011/09/30 06:08:09 UV 2.16.840.1.113883.3.1243 ahs272-45601 Adena Health System Tom Douglas masked Scott Conaway Tom Douglas 272 Hospital Road Chillicothe, Ohio 45601 740-779-7454 masked Manager, Enterprise Applications Adena Health System 272 Hospital Road Chillicothe, Ohio 45601 740-779-7500 tdouglas@adena.org https://mail.adena.org Provider Int 3 Complete 2011/09/16 12:00:00 2011/09/30 12:00:00 2011/09/30 06:13:38 UV 2.16.840.1.113883.3.1244 knapp Root OID for Knapp Medical Center Gary Light masked Gary Light Knapp Medical Center 1401 East 8th Street Weslaco, Texas 78596 956-969-5174 masked VP/CIO Knapp Medical Center Knapp Medical Center 1401 East 8th Street Weslaco, Texas 78596 956-969-5174 gary.light@knappmed.org http://www.knappmed.org Provider Int 3 Complete 2011/09/16 12:00:00 2011/09/30 12:00:00 2011/09/30 06:17:09 UV 2.16.840.1.113883.3.1245 hopewell Lebow Hopewell Joseph Lebow masked Joseph Lebow 221 E. Broadway Hopewell, Va. 23860 804-458-5819 masked President Joseph Lebow 221 E. Broadway Hopewell, Va. 23860 804-458-5819 lebowlebow@yahoo.com http://www.LebowEye.com Provider Int 3 Complete 2011/09/19 12:00:00 2011/09/30 12:00:00 2011/09/30 06:20:52 UV 2.16.840.1.113883.3.1246 wmgccd WESTMED MEDICAL GROUP Nilda Malave masked Michael Anderson 2700 Westchester Avenue Purchase, NY 10577 (914) 607-4787 masked Interface Analyst Westmed Medical Group 2700 Westchester Avenue Purchase, NY 10577 manderson@westmedgroup.com Provider Int 3 3 Complete 2011/09/19 12:00:00 2011/09/30 12:00:00 2013/01/25 12:19:53 US 2.16.840.1.113883.3.629.14 pbsi-clients PBSI Clients Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked IT Team Leader PBSI-Positive Business Solutions, Inc. PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14 2011/09/19 12:00:00 2011/09/30 12:00:00 2011/09/30 06:27:26 UV 2.16.840.1.113883.3.629.14.10 practice-ByramRatliff Byram N Ratliff MD Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-755-6271 masked IT Team Leader Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-774-6271 CarlosO@pbsinet.com http://www.pbsinet.com Vendor Ext 14 14 Complete 2.16.840.1.113883.3.629.14.10 2011/09/19 12:00:00 2011/09/30 12:00:00 2011/09/30 06:30:46 UV 2.16.840.1.113883.3.629.14.11 practice-SusanMcElroy Susan P Mcelroy-Marcus MD Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked IT Team Leader Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.11 2011/09/19 12:00:00 2011/09/30 12:00:00 2011/09/30 10:18:24 UV 2.16.840.1.113883.3.1247 ihs Intelligent Health Systems Terrell Deppe masked Terrell Deppe 2251 San Diego Ave., Suite A-141 San Diego CA 92110 6192438365 masked CTO Intelligent Health Systems 6192438300 brady.klick@healthcareanytime.com http://www.healthcareanytime.com Vendor Int 3 Complete 2011/09/19 12:00:00 2011/09/30 12:00:00 2011/09/30 10:20:52 UV 2.16.840.1.113883.3.1248 richmond Lebow Eye Richmond Joseph Lebow masked Joseph Lebow, O.D. 109 Wadsworth Dr. Richmond, VA. 23236 804-272-2020 masked President Lebow Eye Associates, P.C. 109 Wadsworth Dr. Richmond, VA. 23236 804-272-2020 lebowrichmond@yahoo.com http://www.LebowEye.com Provider Int 3 Complete 2011/09/19 12:00:00 2011/09/30 12:00:00 2011/09/30 10:24:44 UV 2.16.840.1.113883.3.629.14.12 practice-Green-Hodges Green & Hodge, D.O.'s, Inc. Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked IT Team Leader Positive Business Solutions, Inc. PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.12 2011/09/20 12:00:00 2011/09/30 12:00:00 2011/10/01 03:13:06 UV 2.16.840.1.113883.3.629.14.13 practice-Roehll Walter Roehll, M.D. Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.13 2011/09/20 12:00:00 2011/09/30 12:00:00 2011/10/01 03:32:15 UV 2.16.840.1.113883.3.629.14.14 practice-William-Roberts L.. William Roberts, M.D., PSC Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-755-6271 masked IT Team Leader PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-755-6271 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.14 2011/09/20 12:00:00 2011/09/30 12:00:00 2011/10/01 03:34:33 UV 2.16.840.1.113883.3.629.14.15 practice-Paul-Janson Paul Janson, M.D. Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.15 2011/09/20 12:00:00 2011/09/30 12:00:00 2011/10/01 03:37:31 UV 2.16.840.1.113883.3.629.14.16 practice-Assoc-Anderson Associates of Anderson OB/GYN Inc. Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.16 2011/09/20 12:00:00 2011/09/30 12:00:00 2011/10/01 03:40:38 UV 2.16.840.1.113883.3.629.14.17 practice-Hilgeford-Morgan Hilgeford, Morgan & Haney MD Inc Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.17 2011/09/20 12:00:00 2011/09/30 12:00:00 2011/10/01 03:42:42 UV 2.16.840.1.113883.3.629.14.18 practice-HeadAndNeck Head & Neck Surgery Associates Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.18 2011/09/20 12:00:00 2011/09/30 12:00:00 2011/10/01 04:02:36 UV 2.16.840.1.113883.3.629.14.19 practice-Gateway Gateway Internal Medicine & Pediatrics Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.19 2011/09/20 12:00:00 2011/09/30 12:00:00 2011/10/01 04:04:37 UV 2.16.840.1.113883.3.629.14.20 practice-SpineSportsIndustrialRehabilitation Spine Sports & Industrial Rehabilitation Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.20 2011/09/20 12:00:00 2011/09/30 12:00:00 2011/10/01 04:08:03 UV 2.16.840.1.113883.3.629.14.21 practice-BakaliMedicalAssociates Bakali Medical Associates Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.21 2011/09/20 12:00:00 2011/09/30 12:00:00 2011/10/01 04:11:20 UV 2.16.840.1.113883.3.629.14.22 practice-CentralKYMedicalGroupInc Central KY. Medical Group, Inc. Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.22 2011/09/20 12:00:00 2011/09/30 12:00:00 2011/10/01 04:17:32 UV 2.16.840.1.113883.3.629.14.24 practice-Back2BackMinistries Back2Back Ministries Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.24 2011/09/20 12:00:00 2011/09/30 12:00:00 2011/10/01 04:25:11 UV 2.16.840.1.113883.3.629.14.25 practice-ForrestKuhn Forrest Kuhn, M.D. Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.25 2011/09/20 12:00:00 2011/09/30 12:00:00 2011/10/01 04:28:33 UV 2.16.840.1.113883.3.629.14.26 practice-RenalSpecialistsKentucky Renal Specialists of Kentucky Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.26 2011/09/20 12:00:00 2011/10/01 12:00:00 2011/10/01 04:30:43 UV 2.16.840.1.113883.3.629.14.27 practice-EastSideFamilyMedicine East Side Family Medicine, PSC Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsient.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.27 2011/09/20 12:00:00 2011/09/30 12:00:00 2011/10/01 04:32:24 UV 2.16.840.1.113883.3.629.14.28 practice-EyeAssociatesDanville Eye Associates of Danville Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.28 2011/09/20 12:00:00 2011/10/17 12:00:00 2011/10/17 11:05:57 UV 2.16.840.1.113883.3.629.14.29 practice-MeansAdultPrimaryCareClinic Means Adult Primary Care Clinic Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.29 2011/09/20 12:00:00 2011/10/17 12:00:00 2011/10/17 11:06:44 UV 2.16.840.1.113883.3.629.14.30 practice-PulmonaryDiseasesSleepDisorders Pulmonary Diseases & Sleep Disorders Consult of MC Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.30 2011/09/20 12:00:00 2011/10/17 12:00:00 2011/10/17 11:08:18 UV 2.16.840.1.113883.3.629.14.31 practice-DavidMartin David Martin, M.D. Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.31 2011/09/20 12:00:00 2011/10/17 12:00:00 2011/10/17 11:09:15 UV 2.16.840.1.113883.3.629.14.32 practice-KennethGreen Kenneth Green, M.D. Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.32 2011/09/20 12:00:00 2011/10/17 12:00:00 2011/10/17 11:11:07 UV 2.16.840.1.113883.3.629.14.33 practice-CaroPediatricCenter Caro Pediatric Center Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsimet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.33 2011/09/20 12:00:00 2011/10/17 12:00:00 2011/10/17 11:12:54 UV 2.16.840.1.113883.3.629.14.34 practice-AldermanCorley Alderman & Corley, M.D.s Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.34 2011/09/20 12:00:00 2011/10/17 12:00:00 2011/10/17 11:13:50 UV 2.16.840.1.113883.3.629.14.35 practice-HelpingHandsPediatricsAdolescentMedicine Helping Hands Pediatrics & Adolescent Medicine Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsnet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.35 2011/09/20 12:00:00 2011/10/17 12:00:00 2011/10/17 11:15:23 UV 2.16.840.1.113883.3.629.14.36 practice-HometownPediatrics Hometown Pediatrics Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.36 2011/09/20 12:00:00 2011/10/17 12:00:00 2011/10/17 11:17:45 UV 2.16.840.1.113883.3.629.14.37 practice-ClintonMemorialHospital Clinton Memorial Hospital Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.37 2011/09/20 12:00:00 2011/10/17 12:00:00 2011/10/17 11:22:32 UV 2.16.840.1.113883.3.629.14.38 practice-CharlesHanshaw Charles Hanshaw, D.O. Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.38 2011/09/20 12:00:00 2011/10/17 12:00:00 2011/10/17 11:24:45 UV 2.16.840.1.113883.3.629.14.39 practice-EmeraldPediatrics Emerald Pediatrics Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.39 2011/09/20 12:00:00 2011/10/17 12:00:00 2011/10/17 11:27:05 UV 2.16.840.1.113883.3.629.14.40 practice-ReadingFamily Reading Family Practice Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.40 2011/09/20 12:00:00 2011/10/17 12:00:00 2011/10/17 11:28:15 UV 2.16.840.1.113883.3.629.14.41 practice-EnlowShahzadAssociates Enlow & Shahzad Associates in Medicine Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.41 2011/09/20 12:00:00 2011/10/17 12:00:00 2011/10/17 11:33:13 UV 2.16.840.1.113883.3.629.14.42 practice-DavidSmith David Smith, M.D. Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.42 2011/09/20 12:00:00 2011/10/17 12:00:00 2011/10/17 11:34:25 UV 2.16.840.1.113883.3.629.14.43 practice-ChetnaMital Chetna Mital, M.D. LLC Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.43 2011/09/20 12:00:00 2011/10/17 12:00:00 2011/10/17 11:36:53 UV 2.16.840.1.113883.3.629.14.44 practice-RooseveltSurgical Roosevelt Surgical Assoc. Inc. Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.44 2011/09/20 12:00:00 2011/10/17 12:00:00 2011/10/17 11:38:31 UV 2.16.840.1.113883.3.629.14.45 practice-PremierWomenHealthOBGYN Premier Women's Health OBGYN Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.45 2011/09/20 12:00:00 2011/10/17 12:00:00 2011/10/17 11:39:45 UV 2.16.840.1.113883.3.629.14.46 practice-BluegrassEyeLaser Bluegrass Eye & Laser Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.46 2011/09/20 12:00:00 2011/10/17 12:00:00 2011/10/17 11:41:57 UV 2.16.840.1.113883.3.629.14.47 practice-BluegrassGastroenterologyAssoc Bluegrass Gastroenterology Assoc., PSC Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.47 2011/09/20 12:00:00 2011/10/17 12:00:00 2011/10/17 11:45:00 UV 2.16.840.1.113883.3.629.14.48 practice-GodfreyGodfreyEklund Godfrey, Godfrey, & Eklund, PSC Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.48 2011/09/20 12:00:00 2011/10/17 12:00:00 2011/10/17 11:46:54 UV 2.16.840.1.113883.3.629.14.49 practice-SuburbanOBGYN Suburban OB/GYN, Inc. Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.49 2011/09/20 12:00:00 2011/10/17 12:00:00 2011/10/17 11:47:50 UV 2.16.840.1.113883.3.629.14.50 practice-GatewayCommunityTechnicalCollege Gateway Community & Technical College Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.50 2011/09/20 12:00:00 2011/10/17 12:00:00 2011/10/17 11:51:19 UV 2.16.840.1.113883.3.629.14.23 practice-CentralOhioEarNoseThroat Central Ohio Ear, Nose & Throat, Inc. Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.23 2011/09/20 12:00:00 2011/10/17 12:00:00 2011/10/17 11:52:17 UV 2.16.840.1.113883.3.1249 gowrisathiraju Gowri D Sathiraju MD PA OID Root Gowri Sathiraju masked Gowri PO Box 848, 560 Malcolm Blvd Rutherford College, NC 28671 828-413-3450 masked MD/ Physician Gowri D Sathiraju MD PA PO Box 848, 560 Malcolm Blvd Rutherford College, NC 28671 828-413-3450 gowri.sathiraju@gmail.com Provider Int 3 Complete 2011/09/21 12:00:00 2011/10/17 12:00:00 2011/10/17 11:55:00 UV 2.16.840.1.113883.3.1250 llhiemhs Memorial Health System Karen Mitchell masked Karen Mitchell Memorial Health System 701 North First Street Springfield, IL 62781-0001 217-588-2902 masked Manager, Clinical Systems Karen Mitchell Memorial Health System 701 North First Street Springfield, IL 62781-0001 217-588-2902 mitchell.karen@mhsil.com https://www.choosememorial.org/Default.aspx Provider Int 3 Complete 2011/09/21 12:00:00 2011/10/17 12:00:00 2011/10/17 11:59:13 UV 2.16.840.1.113883.13.189 ccd-stmarysmaine St Marys Regional Medical Center Kimberly Laberge masked Kimberly Laberge PO Box 7291 Lewiston, ME 04243 207-777-8410 masked Director, IT St Marys Regional Medical Center PO Box 7291 Lewiston, ME 04243 207-777-8100 klaberge@stmarysmaine.com http://www.stmarysmaine.com/ Provider Int 13 Complete 2011/09/21 12:00:00 2011/10/17 12:00:00 2011/10/17 12:10:40 UV 2.16.840.1.113883.3.1251 summit-Health Summit Health. Ruth Ludwig masked Greg Arnold Ruth Ludwig 112 N Seventh Street Chambersburg, PA 17201 7172677915 masked Systems Application Manager Summit Health 112 N Seventh Street Chambersburg, PA 17201 7172673000 rludwig@summithealth.org http://www.summithealth.org HL7 body Int 3 Complete 2011/09/21 12:00:00 2011/10/17 12:00:00 2011/10/17 12:13:17 UV 2.16.840.1.113883.3.1252 mmajette1 Michael Majette Michael Majette masked Michael S. Majette 3628 Harden Boulevard Lakeland, FL 33803 863-701-2225 masked D.C. Integrated Health Solutions DBA Advanced Spinal Care 3628 Harden Boulevard Lakeland, FL 33803 863-701-2225 amanda@lakelandasc.com http://www.lakelandasc.com Provider Int 3 3 Complete 2011/09/21 12:00:00 2011/10/17 12:00:00 2011/10/17 12:16:45 UV 2.16.840.1.113883.3.1253 hzn Horizon Lab, LLC Steve Drozdowski masked Steve Drozdowski 1441 N. 12th St. Phoenix, AZ 85006 602-747-4319 masked IT Software Integration Sr Consultant Horizon Lab, LLC Service Center, Central Greeley 1630 17th St. Greeley, CO 80631 970-378-4161 steve.drozdowski@bannerhealth.com Provider Int 3 Complete 2011/09/22 12:00:00 2011/10/17 12:00:00 2011/10/17 12:17:55 UV 2.16.840.1.113883.4.503 cmh Columbia Memorial Hospital Andrew Coons masked Bonnie McAllister Andrew Coons Columbia Memorial Hospital 71 Prospect Avenue Hudson, NY 12534 518-828-8080 masked Helpdesk Support Specialist Columbia Memorial Hospital Columbia Memorial Hospital 71 Prospect Avenue Hudson, NY 12534 518-828-8080 acoons@cmh-net.org http://www.columbiamemorial.com Provider Int 3 Complete 2011/09/22 12:00:00 2011/12/19 12:00:00 2011/12/19 01:50:41 UV 2.16.840.1.113883.3.1254 titest Tiger Institute Test Ashley Cole masked Ashley Cole 816-201-6260 masked System Engineer Tiger Institute 2800 Rockcreek Parkway Kansas City, MO 64117 816-201-5000 ashley.cole@cerner.com Vendor Int 3 Complete 2011/09/22 12:00:00 2011/10/17 12:00:00 2011/10/17 12:23:10 UV 2.16.840.1.113883.4.504 southcountyhealth South County Hospital Healthcare System Roderick Stitt masked Michael Wolfe South County Health 100 Kenyon Avenue Wakefield, RI 02879-4216 401.788.8620 masked Analyst, Interoperability South County Health South County Health 100 Kenyon Avenue Wakefield, RI 02879-4216 401.788.1475 anmathieu@southcountyhealth.org https://www.southcountyhealth.org/ Provider Int 3 Complete 2011/09/22 12:00:00 2011/12/19 12:00:00 2026/09/18 12:10:49 UV 2.16.840.1.113883.3.1255 coh City of Hope OID Registration Authority AbdulMalik Shakir masked AbdulMalik Shakir 1500 E. Duarte Road Duarte, CA 91010 626 256 4673 ext. 63160 masked Support Scientist City of Hope 1500 E. Duarte Road Duarte, CA 91010 626 256 4673 AShakir@Coh.org http://www.cityofhope.org Provider Int 3 Complete 2011/09/22 12:00:00 2011/10/17 12:00:00 2011/10/17 12:25:44 UV 2.16.840.1.113883.17.40 scma-chi-il-60625 Swedish Covenant Medical Associates Jose Maldonado masked Nick Vigilante Nick Vigilante 7738788200 masked Director of IT Intergrations Swedish Covenant Medical Associates 5140 N. California Ave #635 Chicago, IL 60625 7738787787 nvigilante@schosp.org Vendor Int 17 Complete 2011/09/23 12:00:00 2011/10/17 12:00:00 2011/10/17 12:28:02 UV 2.16.840.1.113883.3.1256 ethin East Tennessee Health Information Network Leigh Sterling masked Danielle Z Rich etHIN 10427 Cogdill Road Knoxville, TN 37932 865-691-8433 masked Interface Analyst, etHIN East Tennessee Health Information Network etHIN 10427 Cogdill Road Knoxville, TN 37932 info@ethin.org http://www.ethin.org HL7 body Int 3 Complete 2011/09/23 12:00:00 2011/10/17 12:00:00 2021/07/29 02:11:42 UV 2.16.840.1.113883.3.1257 mat MITRE Saul Kravitz masked Saul Kravitz 7515 Colshire Drive McLean, VA 22102 3013550813 masked Principal Health IT Engineer Saul Kravitz 7515 Colshire Drive McLean, VA 22102 3013550813 skravitz@mitre.org http://www.mitre.org Govt body Int 3 Complete 2011/09/23 12:00:00 2011/10/17 12:00:00 2011/10/17 12:37:21 UV 1.3.6.1.4.1.26580.130 kp-hawaii Kaiser Permanente - Hawaii Scott Robertson masked Scott M Robertson 310-200-0231 masked Kaiser Permanente scott.m.robertson@kp.org Provider 1.3.6.1.4.1.26580 Ext 17 3 Complete 1.3.6.1.4.1.26580.130 2011/09/23 12:00:00 2011/10/17 12:00:00 2011/10/17 12:39:37 UV 1.3.6.1.4.1.26580.140 kp-colorado Kaiser Permanente - Colorado Scott Robertson masked Scott M Robertson 310-200-0231 masked Kaiser Permanente scott.m.robertson@kp.org Provider 1.3.6.1.4.1.26580 Ext 17 3 Complete 1.3.6.1.4.1.26580.140 2011/09/23 12:00:00 2011/10/17 12:00:00 2011/10/17 12:41:11 UV 1.3.6.1.4.1.26580.150 kp-scal Kaiser Permanente - Southern California Scott Robertson masked Scott M Robertson 310-200-0231 masked Kaiser Permanente scott.m.robertson@kp.org Provider Ext 17 3 Complete 1.3.6.1.4.1.26580.150 2011/09/23 12:00:00 2011/10/17 12:00:00 2011/10/17 12:45:01 UV 1.3.6.1.4.1.26580.160 kp-ncal Kaiser Permanente (KP) - Northern California Scott Robertson masked Scott M Robertson 310-200-0231 masked Kaiser Permanente scott.m.robertson@kp.org Provider 1.3.6.1.4.1.26580 Ext 17 3 Complete 1.3.6.1.4.1.26580.160 2011/09/23 12:00:00 2011/10/17 12:00:00 2011/10/17 12:45:57 UV 1.3.6.1.4.1.26580.170 kp-mas Kaiser Permanente - Mid-Atlantic Scott Robertson masked Scott M Robertson 310-200-0231 masked Kaiser Permanente scott.m.robertson@kp.org Provider 1.3.6.1.4.1.26580 Ext 17 3 Complete 1.3.6.1.4.1.26580.170 2011/09/23 12:00:00 2011/10/17 12:00:00 2011/10/17 12:47:14 UV 1.3.6.1.4.1.26580.180 kp-ohio Kaiser Permanente - Ohio Scott Robertson masked Scott M Robertson 310-200-0231 masked Kaiser Permanente scott.m.robertson@kp.org Provider 1.3.6.1.4.1.26580 Ext 17 3 Complete 1.3.6.1.4.1.26580.180 2011/09/23 12:00:00 2011/10/17 12:00:00 2011/10/17 12:47:56 UV 1.3.6.1.4.1.26580.190 kp-northwest Kaiser Permanente - Northwest Scott Robertson masked Scott M Robertson 310-200-0231 masked Kaiser Permanente scott.m.robertson@kp.org Provider 1.3.6.1.4.1.26580 Ext 17 3 Complete 1.3.6.1.4.1.26580.190 2011/09/23 12:00:00 2011/10/17 12:00:00 2011/10/17 12:50:24 UV 1.3.6.1.4.1.26580.200 kp-georgia Kaiser Permanente - Georgia Scott Robertson masked Scott M Robertson 310-200-0231 masked Kaiser Permanente scott.m.robertson@kp.org Provider 1.3.6.1.4.1.26580 Ext 17 3 Complete 1.3.6.1.4.1.26580.200 2011/09/23 12:00:00 2011/10/17 12:00:00 2011/10/17 12:51:19 UV 1.3.6.1.4.1.26580.120 kp-national Kaiser Permanente - National Scott Robertson masked Scott M Robertson 310-200-0231 masked Kaiser Permanente scott.m.robertson@kp.org Provider 1.3.6.1.4.1.26580 Ext 17 3 Complete 1.3.6.1.4.1.26580.120 2011/09/23 12:00:00 2011/10/17 12:00:00 2011/10/17 12:52:04 UV 2.16.840.1.113883.3.1258 whpc Winona Health Physician Clinic OId Gail Henderson masked hmarsolek@cerner.com Gail Henderson 855 Mankato Ave Winona, MN 55987 5074574558 masked Solution Architect Winona Health Physician Clinics 855 Mankato Ave Winona, MN 55987 5074543650 ghenderson@cerner.com https://www.winonahealth.org Provider Int 3 3 Complete 2011/09/23 12:00:00 2011/10/17 12:00:00 2011/10/17 12:54:40 UV 2.16.840.1.113883.3.1259 dilaegisnet Developers Integration Lab Hosted by AEGIS.net, Inc. Richard Ettema masked Richard Ettema 2275 Research Boulevard, Suite 500 Rockville, MD 20850 703-893-6020 x308 masked Lead Consultant AEGIS.net, Inc. 2275 Research Boulevard, Suite 500 Rockville, MD 20850 703-893-6020 operations@aegis.net http://www.aegis.net Govt body Int 3 Complete 2011/09/23 12:00:00 2011/10/17 12:00:00 2011/10/17 12:57:09 US 2.16.840.1.113883.3.1260 fmqai FMQAI Medication Measures Special Study Amy Nestler masked Kyle Campbell Patti McKay 5201 W. Kennedy Blvd. Suite 900, Tampa, FL 33609 (813) 865-3168 masked Health Care Analyst FMQAI 5201 W. Kennedy Blvd. Suite 900, Tampa, FL 33609 (813) 865-3100 pmckay@fmqai.com http://www.fmqai.com Govt body Int 3 Complete 2011/09/26 12:00:00 2011/10/17 12:00:00 2011/10/17 12:58:22 UV 2.16.840.1.113883.3.1260.1 codes-fmqai FMQAI-Medication Measures Code Lists Patti McKay masked Patti McKay 5201 W. Kennedy Blvd., Suite 900, Tampa, FL 33609 813-865-3168 masked Healthcare Analyst FMQAI 5201 W. Kennedy Blvd., Suite 900, Tampa, FL 33609 813-865-3100 pmckay@fmqai.com http://www.fmqai.com Govt body 2.16.840.1.113883.3.1260 Ext 13 Complete 2.16.840.1.113883.3.1260.1 2011/09/26 12:00:00 2011/10/17 12:00:00 2011/10/17 01:00:45 UV 2.16.840.1.113883.3.1261 mediConnect MediConnect Global Eric Sharp masked Eric Sharp 10897 South River Front Pkwy Suite 500 South Jordan, Utah 84095 8015453700 masked Director of Software Development MediConnect Global 10897 South River Front Pkwy Suite 500 South Jordan, Utah 84095 8015453700 esharp@mediconnect.net http://www.mediconnect.net Vendor Int 3 Complete 2011/09/26 12:00:00 2011/10/17 12:00:00 2011/10/17 01:04:42 UV 2.16.840.1.113883.3.1262 boi Blodgett Optical Inc. William Blodgett masked William Blodgett 500 Mill Street Danville, PA. 17821 570-275-0901 masked Blodgett Optical Inc. 500 Mill Street Danville, PA. 17821 570-275-0901 BOIeyeguy@mail.com Provider Int 3 Complete 2011/09/26 12:00:00 2011/10/17 12:00:00 2011/10/17 01:06:22 US 2.16.840.1.113883.3.1263 ffc New Life Wellness Center Amanda Copeland masked Mark W. Ford, Jr., DC, PC Amanda Copeland 701 N Price Rd Pampa, TX 79065 806-665-7261 masked Administrative Assistant Mark W. Ford, Jr., DC, PC 701 N Price Rd Pampa, TX 79065 806-665-7261 ffcrwc01@gmail.com Provider Int 3 Complete 2011/09/27 12:00:00 2011/10/17 12:00:00 2011/10/17 01:08:17 UV 2.16.840.1.113883.3.1264 sjmc OID Root for St. John Medical Center in Tulsa, OK Judith Bevard masked Cheryl Griffin Cheryl Griffin St. John Health System 1923 S. Utica Ave. Tulsa, OK 74104 918-744-2182 masked IT Integration St. John Medical Center St. John Medical Center 1923 S. Utica Ave. Tulsa, OK 74104 (918) 744-2345 Cheryl.Griffin@sjmc.org http://www.sjmc.org/ Provider Int 3 3 Complete 2011/09/27 12:00:00 2011/10/17 12:00:00 2011/10/17 01:10:02 UV 2.16.840.1.113883.3.1265 sjo OID root for St. John Owasso in Owasso, OK Judith Bevard masked Cheryl Griffin Cheryl Griffin St. John Health System 1923 S. Utica Ave. Tulsa, OK 74104 918-744-2182 masked IT Integration St. John Owasso St. John Owasso 12451 E. 100th Street North Owasso, Oklahoma 74055 (918) 274-5000 cheryl.griffin@sjmc.org http://www.stjohnowasso.com/ Provider Int 3 3 Complete 2011/09/27 12:00:00 2011/10/17 12:00:00 2011/10/17 01:11:37 UV 2.16.840.1.113883.3.1266 sjsap OID root for St. John Sapulpa in Sapulpa, OK Judith Bevard masked Cheryl Griffin Cheryl Griffin St. John Medical Center 1923 S. Utica Ave. Tulsa, OK 74104 918-744-2182 masked IT Integration St. John Sapulpa St. John Sapulpa 1004 E. Bryan Sapulpa, OK 74066 918-224-4280 cheryl.griffin@sjmc.org http://www.stjohnsapulpa.com/ Provider Int 3 3 Complete 2011/09/27 12:00:00 2011/10/17 12:00:00 2011/10/17 01:21:48 UV 2.16.840.1.113883.17.41 sblhc Sarah Bush Lincoln Health Center Brian Murphy masked Brian Murphy 1000 Health Center Drive Mattoon, IL 61938 217-258-4152 masked Director of Technology Sarah Bush Lincoln Health Center 1000 Health Center Drive Mattoon, IL 61938 217-258-2525 iss@sblhs.org http://www.sarahbush.org Provider Int 17 Complete 2011/09/27 12:00:00 2011/10/17 12:00:00 2011/10/17 01:24:29 UV 2.16.840.1.113883.3.1267 sjba OID root for St. John Broken Arrow in Broken Arrow, OK Judith Bevard masked Cheryl Griffin Cheryl Griffin St. John Medical Center 1923 S. Utica Ave. Tulsa, OK 74104 918-744-2182 masked IT Integration St. John Broken Arrow St. John Broken Arrow 1000 W. Boise Circle Broken Arrow, OK 74012 918-994-8000 cheryl.griffin@sjmc.org http://www.stjohnbrokenarrow.com/ Provider Int 3 3 Complete 2011/09/27 12:00:00 2011/10/17 12:00:00 2011/10/17 01:27:37 UV 2.16.840.1.113883.3.1268 jpmc OID Root for Jane Phillips Medical Center in Bartlesville, OK Judith Bevard masked Cheryl Griffin Cheryl Griffin St. John Medical Center 1923 S. Utica Ave. Tulsa, OK 74104 918-744-2182 masked IT Integration Jane Phillips Medical Center Jane Phillips Medical Center 3500 E. Frank Phillips Blvd Bartlesville, OK 74006 918-333-7200 cheryl.griffin@sjmc.org http://www.jpmc.org/ Provider Int 3 3 Complete 2011/09/27 12:00:00 2011/10/17 12:00:00 2011/10/17 01:29:31 UV 2.16.840.1.113883.3.1269 avmol Ashton Vishnu Molai, DO Ashton Molai masked April Holleman April D. Holleman 200 West Park Circle Ste. B North Wilkesboro, NC 28659 336-838-4181 masked Office Manager Ashton Vishnu Molai 200 West Park Circle Ste. B North Wilkesboro, NC 28659 336-838-4181 avmrld@aol.com Provider Int 3 Complete 2011/09/27 12:00:00 2011/10/17 12:00:00 2011/10/17 01:34:29 UV 2.16.840.1.113883.3.1270 hvec Huntress Visionhealth Eye Center, LLC Debbie Washeck masked Debbie P.O. Box 460 215 4th St Monett, MO 65708 4172352020 masked Practice Manager Huntress Visionhealth Associates, LLC P.O. Box 460 215 4th St Monett, MO 65708 4172352020 huntressvisionhealth@gmail.com https://www.visionhealtheyecenter.com Provider Int 3 Complete 2011/09/27 12:00:00 2011/10/17 12:00:00 2011/10/17 01:36:19 UV 2.16.840.1.113883.3.1271 ccec Collin Creek Eye Clinic Samir Pattni masked Samir Pattni 2821 W Parker Road Suite 1 Plano,TX 75023 972-596-3800 masked Optometrist Collin Creek Eye Clinic 2821 W Parker Road Suite 1 Plano, TX 75023 972-596-3800 eyecare35@gmail.com https://www.collincreekvision.com Provider Int 3 Complete 2011/09/28 12:00:00 2011/10/17 12:00:00 2011/10/17 01:38:38 UV 2.16.840.1.113883.3.1272 communitymedical Community Medical Center Stephanie Carraway masked Rhonda McKissick PO Box 607 Lucedale, MS 39452 601-673-6016 masked IT Applications Analyst Community Medical Center PO BOX 1007 Lucedale, MS 39452 601-947-8181 rmckissic@georgeregional.com http://www.georgeregional.com Provider Int 3 Complete 2011/09/29 12:00:00 2011/10/17 12:00:00 2014/05/29 03:20:19 UV 2.16.840.1.113883.3.1273 wigginsprimary Wiggins Primary Care Stephanie Carraway masked Rhonda McKissick PO BOX 607 Lucedale, MS 39452 601-673-6016 masked IT Applications Analyst Wiggins Primary Care PO Box 419 Wiggins, MS 39577 601-528-9119 rmckissic@georgeregional.com http://www.georgeregional.com Provider Int 3 Complete 2011/09/29 12:00:00 2011/10/17 12:00:00 2014/05/29 03:18:28 UV 2.16.840.1.113883.3.1274 vpoptical VIEWPOINT OPTICAL Joel Sklar masked Joel Sklar 1096 STRATHMORE STREET VALLEY STREAM, N.Y. 11581 516-791-5630 masked O.D. JOEL SKLAR / VIEWPOINT OPTICAL 3826 NOSTRAND AVENUE BROOKLYN, N.Y. 11235 718-743-5005 VPOPTICAL@GMAIL.COM Provider Int 3 Complete 2011/09/29 12:00:00 2011/10/17 12:00:00 2011/10/17 01:48:14 UV 2.16.840.1.113883.3.1275 hhs HHS Root OID Anand Basu masked Doug Fridsma Anand Basu 425 3rd St SW, Suite 610, Washington, DC 20024 202-260-2070 masked Director, Standards Division, Office of Standards and Interoperability US Department of Health and Human Services 425 3rd St SW, Suite 610, Washington, DC Doug.Fridsma@hhs.gov Govt body Int 3 Complete 2011/09/29 12:00:00 2011/10/17 12:00:00 2011/10/17 01:49:42 UV 2.16.840.1.113883.3.1276 brl Bristol Hospital David Rackliffe masked David Rackliffe 8605853352 masked CIO Bristol Hospital 41 Brewster Rd Bristol, CT 06010 8605853000 helpdesk@bristolhospital.org http://www.bristolhospital.org Provider Int 3 Complete 2011/09/29 12:00:00 2011/10/17 12:00:00 2011/10/17 01:54:29 UV 2.16.840.1.113883.3.1157.20.1 mmg-endo Adult Endocrinology Archive02012016/BHMG Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health Suite 219 1433 Hooper Ave Toms River,NJ 08730 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.20.1 2011/09/29 12:00:00 2011/10/17 12:00:00 2024/07/31 08:22:35 UV 2.16.840.1.113883.3.1157.21.1 mmg-mid BHMG Red Bank/BHMG ARCHIVE 7012015 Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health Suite 219 1433 Hooper Ave Toms River,NJ 08730 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.21.1 2011/09/29 12:00:00 2011/10/17 12:00:00 2024/07/31 08:24:54 UV 2.16.840.1.113883.3.1157.22.1 mmg-wlb Monmouth Medical Group West Long Branch Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health Suite 219 1433 Hooper Ave Toms River,NJ 08730 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.22.1 2011/09/29 12:00:00 2011/10/17 12:00:00 2024/08/02 09:20:48 UV 2.16.840.1.113883.3.1157.23.1 nbi-peds NBI Pediatric Health Center Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health Suite 219 1433 Hooper Ave Toms River,NJ 08730 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.23.1 2011/09/29 12:00:00 2011/10/17 12:00:00 2024/07/31 08:27:51 UV 2.16.840.1.113883.3.1278 saun The Saun Corporation Brian Saunders masked Brian E. Saunders, O.D. 4444 Austell Rd. Suite 200 Austell,GA 30106 770 948-7770 masked owner The Saun Corporation 4444 Austell Rd Suite 200 Austell,GA. 30106 770 948-7770 dr613@bellsouth.net Provider Int 3 Complete 2011/09/29 12:00:00 2011/10/17 12:00:00 2011/10/17 02:16:17 UV 2.16.840.1.113883.3.1279 gatewaysvr RMSe-bubble Tamara Hill masked Julia Khodjaian Tamara Hill 303 N Glenoaks Blvd 660 Burbank,CA 91502 8189533020 masked Julia Khodjaian 303 N Glenoaks Blvd 660 Burbank,CA 91502 8189533020 jkhodjaian@risarconline.com Govt body Int 3 Complete 2011/09/29 12:00:00 2011/10/17 12:00:00 2011/10/17 02:18:21 UV 2.16.840.1.113883.3.1280 verismaSystemsInc Verisma Systems, Inc. Alex Krinsky masked Alex Krinsky 510 W 3rd St Pueblo, CO 81003 719-562-3788 masked VP Technical Operations Verisma Systems, Inc. akrinsky@verismasystems.com http://www.verismasystems.com Vendor Int 3 Complete 2011/09/29 12:00:00 2011/10/17 12:00:00 2011/10/17 02:25:41 UV 2.16.840.1.113883.3.1281 hfec Hess Family Eye Care P.C. Katherine Hess masked Dr. Katherine Hess OD 423 East Main Street, Middleburg, PA 17842 570-837-0112 masked Secretary/Teasurer Hess Family Eye Care P.C. 423 East Main Street Middleburg, PA 17842 570-837-0112 katiehessod@gmail.com Provider Int 3 Complete 2011/09/29 12:00:00 2011/10/17 12:00:00 2011/10/17 02:27:09 UV 2.16.840.1.113883.3.1157.24.1 sbmc-mfp IM Faculty Practice/BHMG Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health Suite 219 1433 Hooper Ave Toms River, NJ 08753 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.24.1 2011/09/30 12:00:00 2011/10/17 12:00:00 2024/07/31 08:29:18 UV 2.16.840.1.113883.3.1157.25.1 pwrks-mrn Employed Pwrks MRN OID Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health Suite 219 1433 Hooper Ave Toms River, NJ 08753 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.25.1 2011/09/30 12:00:00 2011/10/17 12:00:00 2024/07/31 08:31:30 UV 2.16.840.1.113883.3.1282 pph-sd Palomar Pomerado Health Michael Fisher masked Michael Fisher 15255 Innovation Drive San Diego, CA 92128 1 858 613 4352 masked HL7 Interface Programmer Palomar Pomerado Health 15255 Innovation Drive San Diego, CA 92128 1 858 675 5227 mkf@pph.org Provider Int 3 Complete 2011/09/30 12:00:00 2011/10/17 12:00:00 2011/10/17 02:35:15 UV 2.16.840.1.113883.3.1283 discoveryhrs Discovery Health Record Solutions David Pedrelli masked Donald Thurman David Pedrelli 1150 Northmeadow Parkway STE 100 Roswell, GA 30076 678-990-5300 masked Assistant Director of IT Discovery Health Record Solutions LLC 1150 Northmeadow Parkway STE 100 Roswell, GA 30076 678-990-5300 dthurman@discoveryhrs.com http://www.discoveryhrs.com Vendor Int 3 Complete 2011/10/03 12:00:00 2011/10/17 12:00:00 2011/10/17 02:45:05 UV 2.16.840.1.113883.3.1284 mghccdtestoid Montgomery General Hospital Denzil Blevins masked Denzil Blevins 401 6th ave Montgomery, WV 25136 3044421258 masked CIO Montgomery General Hospital 401 6th ave Montgomery, WV 25136 3044421258 denzil.blevins@mghwv.org http://mghwv.com Provider Int 3 Complete 2011/10/03 12:00:00 2011/10/17 12:00:00 2011/10/17 02:47:26 UV 2.16.840.1.113883.3.1285 logicare LOGICARE Corporation Kenneth Jibben masked Kenneth Jibben 2620 Stein Blvd. Eau Claire, WI 54701 800-848-0099 masked Software Engineer LOGICARE Corporation 2620 Stein Blvd. Eau Claire, WI 54701 800-848-0099 ProductSupport@logicare.com http://www.logicare.com/ Vendor Int 3 Complete 2011/10/03 12:00:00 2011/10/17 12:00:00 2011/10/17 02:50:03 UV 1.2.36.1.2001.1005.11 mims MIMS Paul Watt masked Paul Watt NEHTA Brisbane, PO Box 5190, West End. QLD 4101 +61 0 7 3023 8553 masked MIMS Level 2, 1 Chandos Street St Leonards NSW 2065 +61 2 9902 7700 James.Coroneos@mims.com.au http://www.mims.com.au/ Vendor Ext 3 3 Complete 1.2.36.1.2001.1005.11 2011/10/03 12:00:00 2011/10/17 12:00:00 2011/10/17 02:53:38 AU 1.2.36.1.2001.1005.12 nataLabAccreditationNumber NATA Lab Accreditation Number Paul Watt masked Paul Watt NEHTA Brisbane, PO Box 5190, West End. QLD 4101 +61 0 7 3023 8553 masked NATA PO Box 7507 Silverwater, NSW, 2128 +61 1800 621 666 andrew.griffin@nata.com.au http://www.nata.com.au/ Vendor Ext 4 4 Complete 1.2.36.1.2001.1005.12 2011/10/03 12:00:00 2011/10/17 12:00:00 2011/10/17 02:57:48 AU 2.16.840.1.113883.3.1286 hsag Health Services Advisory Group Raymond Berens masked Raymond Berens 602-801-6828 masked Informatics Analytic Support Specialist Health Services Advisory Group 3133 East Camelback Road Suite 300 Phoenix, AZ 85016 602-264-6382 info@hsag.com http://www.hsag.com Prof Soc Int 3 Complete 2011/10/03 12:00:00 2011/10/17 12:00:00 2011/10/17 02:51:25 UV 1.2.36.1.2001.1005.13 docle DOCLE Paul Watt masked Paul Watt NEHTA Brisbane, PO Box 5190, West End. QLD 4101 +617 3023 8553 masked Docle 29 Darryl Street Scoresby, Victoria 3179 +61 3 97638935 docle@bigpond.com http://www.docle.com.au/ Vendor Ext 15 15 Complete 1.2.36.1.2001.1005.13 2011/10/03 12:00:00 2011/10/17 12:00:00 2011/10/17 02:59:14 AU 1.2.36.1.2001.1005.14 isaac ISAAC Paul Watt masked Paul Watt NEHTA Brisbane, PO Box 5190, West End. QLD 4101 +617 3023 8553 masked South Australian Department of Health Information Assembly, Information Management, SA Health, PO Box 287 Rundle Mall, ADELAIDE SA 5001 +61 8 8226 7322 Eleanor.royle@health.sa.gov.au http://www.health.sa.gov.au/isaac/ Govt body Ext 3 3 Complete 1.2.36.1.2001.1005.14 2011/10/03 12:00:00 2011/10/17 12:00:00 2011/10/17 03:00:31 AU 2.16.840.1.113883.3.1287 bah Booz Allen Hamilton Mike Sacca masked Mike Sacca 107 Spruce Trail Woolwich Twp, NJ 08085 856-217-7189 masked Project Director Booz Allen Hamilton 1101 Wootton Pkwy 8th Floor Rockville, MD 20852 (240) 314-5500 sacca_mike@bah.com http://www.bah.com Govt body Int 3 Complete 2011/10/03 12:00:00 2011/10/17 12:00:00 2011/10/17 02:52:23 UV 1.2.36.1.2001.1005.11.1 mims-codes MIMS Standard Code set James Coroneos masked James Coroneos 1 Chandos St St Leonards NSW 2065 Australia +61 2 9902 7780 masked Production and Development Manager MIMS 1 Chandos St St Leonards NSW 2065 Australia +61 2 9902 7780 james.coroneos@mims.com.au http://www.mims.com.au Vendor 1.2.36.1.2001.1005.11 Ext 4 3 Complete 1.2.36.1.2001.1005.11.1 2011/10/03 12:00:00 2011/10/17 12:00:00 2013/10/09 01:02:47 AU 2.16.840.1.113883.3.1288 kgh-oid Kingston General Hospital OID Doug Parfett masked Doug Parfet 613-549-6666 x6256 masked Kingston General Hospital 76 Stuart St. Kingston, Ontario K7L 2V7 Canada 613-548-3232 sysadmins@kgh.kari.net Provider Int 3 Complete 2011/10/04 12:00:00 2011/10/17 12:00:00 2011/10/17 03:04:44 UV 2.16.840.1.113883.4.505 tmclakewood Truman Medical Centers Lakewood Facility chad parker masked Chad Parker 2301 Holmes Kansas City, MO 64108 816-922-8977 masked IT Manager Truman Medical Centers 2301 Holmes Kansas City, MO 64108 816-404-1000 chad.parker@tmcmed.org http://www.trumed.org/truweb/ Provider 2.16.840.1.113883.3.1206 Int 4 Complete 2011/10/04 12:00:00 2011/10/17 12:00:00 2011/10/17 03:08:31 UV 2.16.840.1.113883.4.506 tmchh Truman Medical Centers Hospital Hill Facility chad parker masked chad parker 2301 Holmes Kansas City, MO 64108 816-922-8977 masked IT Manager Chad Parker 2301 Holmes Kansas City, MO 64108 816-404-1000 chad.parker@tmcmed.org http://www.trumed.org/truweb/ Provider 2.16.840.1.113883.3.1206 Int 4 Complete 2011/10/04 12:00:00 2011/10/17 12:00:00 2011/10/17 03:11:22 UV 2.16.840.1.113883.3.1289 bve Blossom Valley Eyecare William Hyatt masked Dr. William J. Hyatt, O.D. 590 Blossom Hill Rd. San Jose, CA 95123 408-227-2020 masked President & CEO Blossom Valley Eyecare 590 Blossom Hill Rd. San Jose, CA 95123 408-227-2020 BlossomValleyEyecare@gmail.com http://www.HealthyEyes.com Provider Int 3 Complete 2011/10/05 12:00:00 2011/10/17 12:00:00 2011/10/17 03:12:30 UV 2.16.840.1.113883.3.1290 pdqv3 Patient Demographic Query Murray Richburg masked Kurt Calman Murray Richburg United Memorial Medical Center 127 North Street Information Services Batavia, NY 14020 585-344-8163 masked Database Administrator United Memorial Medical Center United Memorial Medical Center 127 North Street Batavia, NY 14228 585-344-6030 mrichburg@ummc.org http://www.ummc.org HL7 body Int 3 Complete 2011/10/05 12:00:00 2011/10/17 12:00:00 2011/10/17 03:21:09 UV 2.16.840.1.113883.3.1291 ras CHRISTUS Santa Rosa Hospital-Alamo Heights Eric Gibson masked Eric Gibson 210-704-2364 masked CHRISTUS Santa Rosa Hospital-Alamo Heights 403 Treeline Park San Antonio, TX 78209 (210) 294-8000 eric.gibson@christushealth.org http://www.christussantarosa.org Provider Int 3 Complete 2011/10/05 12:00:00 2011/10/17 12:00:00 2011/10/17 03:29:19 UV 2.16.840.1.113883.3.1292 robertehledc Robert Ehle, DC Robert Ehle masked Frances Ehle Robert Ehle, D.C., P.A. 2213 Interstate 40 West Amarillo, TX 79109 8063555800 masked Office Manager Robert Ehle Robert Ehle, D.C., P.A. 2213 Interstate 40 West Amarillo, TX 79109 8063555800 rfehle7@gmail.com Provider Int 3 Complete 2011/10/05 12:00:00 2011/10/17 12:00:00 2011/10/17 03:31:38 UV 2.16.840.1.113883.3.1293 emriupgp EMR&I Program Mario Voltolina masked Mario Voltolina 150 King Street West, Suite 1300 Toronto, ON M5H 1J9 (416) 595-3449 x3006 masked Mario Voltolina mvoltolina@infoway-inforoute.ca Govt body Int 3 Complete 2011/10/06 12:00:00 2011/10/17 12:00:00 2011/10/17 03:35:22 UV 2.16.840.1.113883.3.1294 childrensMercyHospitalAndClinics Childrens Mercy Hospital and Clinics William Jarrell masked Wm John Jarrell, Jr HM G82 2401 Gillham Road Kansas City, MO 64108 8163021019 masked Interface Integration Architect Childrens Mercy Hospital and Clinics 2401 Gillham Road Kansas City, MO 64108 8162343000 jjarrell@cmh.edu http://www.childrensmercy.org/ Provider Int 3 Complete 2011/10/06 12:00:00 2011/10/17 12:00:00 2018/01/11 01:53:55 UV 2.16.840.1.113883.3.1295 djk Dr. John Kleinhoffer PC John Kleinhoffer masked John Kleinhoffer 1312 Mercantile Drive Highland, IL 62249 6186549999 masked Optometrist Dr. John Kleinhoffer PC 1312 Mercantile Drive Highland, IL 62249 6186549999 jwk3121955@yahoo.com https://www.drjohnkleinhoffer.com Provider Int 3 Complete 2011/10/06 12:00:00 2011/10/17 12:00:00 2011/10/17 03:42:53 UV 2.16.840.1.113883.3.1296 rga-root OID Root for Rockford Gastroenterology Associates, LTD Jason Pryor masked Jason Pryor 401 Roxbury Rd. Rockford, IL 61107 815-484-7815 masked Health Information Manager Rockford Gastroenterology Associates 401 Roxbury Rd. Rockford, IL 61107 815-397-7340 jpryor@rockfordgi.com http://www.rockfordgi.com Provider Int 3 Complete 2011/10/07 12:00:00 2011/10/17 12:00:00 2011/10/17 03:45:30 UV 2.16.840.1.113883.3.1297 rga-nihie Sub-OID for Rockford Gastroenterology Associates - NIHIE Jason Pryor masked Jason Pryor 401 Roxbury Rd. Rockford, IL 61107 815-484-7815 masked Health Information Manager Rockford Gastroenterology Associates 401 Roxbury Rd. Rockford, IL 61107 815-397-7340 jpryor@rockfordgi.com http://www.rockfordgi.com Provider 2.16.840.1.113883.3.1296 Int 3 Complete 2011/10/07 12:00:00 2011/10/17 12:00:00 2011/10/17 03:48:16 UV 2.16.840.1.113883.3.1298 bayscribe BayScribe Steven Bonney masked BayScribe, Inc. 11 Dark Star Court Edgewater, MD 21037 888-801-0106 masked CEO BayScribe, Inc. 11 Dark Star Court Edgewater, MD 21037 888-801-0106 bill@bayscribe.com http://www.bayscribe.com Vendor Int 3 Complete 2011/10/07 12:00:00 2011/10/17 12:00:00 2011/10/17 03:49:42 UV 2.16.840.1.113883.3.1299 njdoh New Jersey Department of Health Swami Ojha masked Eric Bauer Swami Ojha 609-633-0106 masked New Jersey Department of Health P. O. Box 360 Trenton, NJ 08625-0360 609-633-0106 swami.ojha@doh.state.nj.us http://www.state.nj.us/health/ Govt body Int 3 Complete 2011/10/07 12:00:00 2011/10/17 12:00:00 2014/03/19 02:12:19 UV 2.16.840.1.113883.3.1300 blackbird Blackbird Solutions, Inc. Tygh Walker masked Tygh Walker 16939 SW Meinecke Rd Sherwood, OR 97140 971.250.1928 masked Blackbird Solutions, Inc. 16939 SW Meinecke Rd Sherwood, OR 97140 888.374.9409 tygh.walker@blackbirdsolutions.com http://www.blackbirdsolutions.com Vendor Int 3 Complete 2011/10/07 12:00:00 2011/10/17 12:00:00 2023/12/12 01:46:58 UV 2.16.840.1.113883.3.1301 clinisync CliniSync - ONC SDE HIE (Ohio) Root Michael Sawczyn masked Adam Rossbach 3455 Mill Run Drive Suite 315 Hilliard, OH 43026 614-664-2603 masked HIE Director Ohio Health Information Partnership 614-664-2603 arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2011/10/10 12:00:00 2011/10/17 12:00:00 2017/04/06 01:00:38 UV 2.16.840.1.113883.3.1302 fEOC Family EyeCare Optometry Center, P.C. Douglas King masked Douglas C. King 2030 Viborg Rd, STE 105 Solvang, CA 93463 8056886612 masked President Family EyeCare Optometry Center, P.C. 2030 Viborg Rd, STE 105 Solvang, CA 93463 8056886612 drking@kingfamilyeyecenter.com http://www.kingfamilyeyecenter.com Provider Int 3 Complete 2011/10/10 12:00:00 2011/10/17 12:00:00 2011/10/17 07:42:01 UV 2.16.840.1.113883.3.1303 nbcc Neck & Back Care Center, Inc. Anthony Oliverio masked Anthony Oliverio 912 NE 5th Street Crystal River, FL 34429 352-563-5055 masked Owner Neck & Back Care Center, Inc. 912 NE 5th Street Crystal River, FL 34429 352-563-5055 aboliver123@yahoo.com https://www.nbccdro.com Provider Int 3 Complete 2011/10/10 12:00:00 2011/10/17 12:00:00 2011/10/17 07:44:51 UV 2.16.840.1.113883.3.1304 mMS-10 MyMedShare Mark Klass masked Mark Klass 24 Lakeview Terrace Sandy Hook CT 06482 203-502-3021 masked CEO Mark Klass 24 Lakeview Terrace Sandy Hook ct 06482 203-502-3021 mklass@mymedshare.com http://mymedshare.com Vendor Int 3 Complete 2011/10/10 12:00:00 2011/10/17 12:00:00 2011/10/17 07:49:37 UV 2.16.840.1.113883.3.1305 mfpmr Milford Family Practice Medical Record Colleen Campo masked Colleen Campo Milford Family Practice 1265 N Milford Road Milford, MI 48381 248-685-3600 masked Practice Administrator Milford Family Practice 1265 N Milford Road Milford, MI 48381 248-685-3600 Milfordfp@aol.com Provider Int 3 Complete 2011/10/10 12:00:00 2011/10/17 12:00:00 2011/10/17 07:53:24 UV 2.16.840.1.113883.3.1306 tAHMO Tufts Associated Maintenance Organization, Inc. Wendy Rovelli masked Wendy Rovelli 705 Mt Auburn St Watertown MA 02472 617-972-9400 x2438 masked Enterprise Information Architect Tufts Health Plan 705 Mt Auburn St Watertown MA 02472 617-972-9400 wendy_rovelli@tufts-health.com http://www.tufts-health.com Payor Int 3 Complete 2011/10/11 12:00:00 2011/10/17 12:00:00 2011/10/17 07:54:54 2.5.1 UV 2.16.840.1.113883.3.1299.5.1 njdoh-organization Office of Information Technology Services Swami Ojha masked Eric Bauer Swami Ojha 25 So. Stockton Street. Trenton, NJ 609-633-0106 masked Swami Ojha 609-633-0106 swami.ojha@doh.state.nj.us http://www.state.nj.us/health/ Govt body 2.16.840.1.113883.3.1299 Ext 14 14 Complete 2.16.840.1.113883.3.1299.5.1 2011/10/11 12:00:00 2011/10/17 12:00:00 2014/03/19 02:11:40 UV 2.16.840.1.113883.3.1299.5.1.6 njdoh-devices NJDOH OITS device's branch Swami Ojha masked Eric Bauer Swami Ojha 300 Riverview Plaza 2nd floor 609-633-0106 masked Swami Ojha 609-633-0106 swami.ojha@doh.state.nj.us http://www.state.nj.us/health/ Govt body 2.16.840.1.113883.3.1299 Ext 17 17 Complete 2.16.840.1.113883.3.1299.5.1.6 2011/10/11 12:00:00 2011/10/17 12:00:00 2014/03/19 02:10:25 UV 2.16.840.1.113883.3.1299.5.1.6.1 elrs Electronic Laboratory Reporting System Swami Ojha masked Eric Bauer Swami Ojha 609-633-0106 masked Swami Ojha 609-633-0106 swami.ojha@doh.state.nj.us http://www.state.nj.us/health/ Govt body 2.16.840.1.113883.3.1299 Ext 17 17 Complete 2.16.840.1.113883.3.1299.5.1.6.1 2011/10/11 12:00:00 2011/10/17 12:00:00 2014/03/19 02:13:01 UV 2.16.840.1.113883.3.1307 micro4 Edward Moffatt's Microfour Edwrad Moffatt masked Edward Moffatt 7118 I 40 West Bld D Amarillo, TX 79106 800-874-5983 masked Microfour 7118 I 40 West Bld D Amarillo, TX 79106 800-874-5983 emoffatt@micro4.com Vendor Int 3 Deprecated 2011/10/12 12:00:00 2011/10/17 12:00:00 2013/04/10 03:45:09 UV 2.16.840.1.113883.3.1308 hmh-system Houston Methodist Hospital System Ehab Shoukry masked Marsha Parks 2550 Holly Hall, HH1-IT Houston, TX 77054 8326675521 masked Integration Manager Houston Methodist Hospital System 6565 Fannin St Houston, TX 77030 7137903311 it-interfacesupportteam@houstonmethodist.org https://methodisthealth.com Provider Int 3 Complete 2011/10/12 12:00:00 2011/10/17 12:00:00 2014/06/05 04:14:35 UV 2.16.840.1.113883.3.1309 hmh-sjmh Houston Methodist Hospital - San Jacinto Ehab Shoukry masked Marsha Parks 2550 Holly Hall, HH1-IT Houston, TX 77054 8326675521 masked IT Director Houston Methodist Hospital - San Jacinto 4401 Garth Road Baytown, Texas 77521 281-420-8600 it-interfacesupportteam@houstonmethodist.org https://methodisthealth.com Provider Int 3 Complete 2011/10/12 12:00:00 2011/10/17 12:00:00 2014/06/05 04:13:09 UV 2.16.840.1.113883.3.1310 gRMC Great River Medical Center Christin Pritchard masked Todd Brissey 1221 S. Gear Ave. West Burlington, IA 52655 319-768-4422 masked Manager, Information Systems Great River Medical Center 1221 S. Gear Ave. West Burlington, IA 52655 319-768-4422 tbrissey@grhs.net Provider Int 3 Complete 2011/10/12 12:00:00 2011/10/17 12:00:00 2019/04/23 03:53:25 UV 2.16.840.1.113883.3.1311 paunwellness Paun Family Chiropractic and Wellness, P.C. Joseph Paun masked Joseph J. Paun 2022 45th St. Highland, IN 46322 219-227-4033 masked President/Doctor of Chiropractic Paun Family Chiropractic and Wellness, P.C 2022 45th St. Highland, IN 46322 219-227-4033 Drjoe@paunwellness.com Provider Int 3 Complete 2011/10/12 12:00:00 2011/10/17 12:00:00 2011/10/17 08:48:04 UV 2.16.840.1.113883.3.1312 connecticutDPHlab Connecticut Department of Public Health Laboratory Melissa James masked Melissa James 395 West Street, Rocky Hill, CT 06067 860-920-6607 masked IT Analyst/LIMSAdmin Connecticut Department of Public Health Laboratory 395 West Street, Rocky Hill, CT 06067 860-920-6607 Melissa.James@ct.gov http://www.ct.gov/dph/site/default.asp HL7 body Int 3 Complete 2011/10/12 12:00:00 2011/10/17 12:00:00 2024/10/18 02:48:43 UV 2.16.840.1.113883.3.1313 directTrust DirectTrust.org Don Jorgenson masked Don Jorgenson 9704721441 masked DirectTrust.org 2625 Redwing Road, Ste 330 Fort Collins, CO 80526 9704721441 djorgenson@inpriva.com SDO Int 3 Complete 2011/10/12 12:00:00 2011/10/17 12:00:00 2011/12/07 03:54:37 UV 2.16.840.1.113883.3.1314 wheeling Wheeling Hospital Judi Kalinski masked Judi One Medical Park Wheeling, WV 26003 United States of America (304) 243-3031 masked Applications Analyst Wheeling Hospital Wheeling Hospital, Inc. One Medical Park Wheeling, WV 26003 (304) 243-3031 jkalinski@wheelinghospital.com Provider Int 3 Complete 2011/10/13 12:00:00 2011/10/17 12:00:00 2011/10/17 08:51:51 UV 2.16.840.1.113883.3.1315 belmont Belmont Community Hospital Judi Kalinski masked Judi Kalinski One Medical Park Wheeling, WV 26003 United States of America (304) 243-3031 masked Applications Analyst Belmont Community Hospital 4697 Harrison St. Bellaire, OH 43906 740-671-1200 jkalinski@wheelinghospital.com Provider Int 3 Complete 2011/10/13 12:00:00 2011/10/17 12:00:00 2011/10/17 08:53:37 UV 2.16.840.1.113883.3.1316 v-Plus VISION PLUS William Butler masked DR. WILLIAM BUTLER 1 JOYCE PLAZA STONY POINT, NY 10980 845-942-3937 masked OPTOMETRIST, OWNER VISION PLUS 1 JOYCE PLAZA STONY POINT, NY 10980 845-942-3937 VISIONPLUSMAIL1@YAHOO.COM http://www.visionplusdoc.com Provider Int 3 Complete 2011/10/13 12:00:00 2011/10/17 12:00:00 2011/10/17 08:56:44 UV 2.16.840.1.113883.3.1317 kima Katy Internal Medicine Associates Roy Spradlin masked william ngo roy spradlin 1331 W. Grand Parkway North Suite 230 Katy, TX 77493 281-394-0260 masked practice manager Katy Internal Medicine Associates 1331 W. Grand Parkway North Suite 230 Katy, TX 77493 281-394-0260 rspradlin@kimatx.com http://www.kimatx.com/ Provider Int 3 Complete 2011/10/13 12:00:00 2011/10/25 12:00:00 2011/10/25 02:00:10 UV 2.16.840.1.113883.3.1318 carecloud-root CareCloud Root OID Michael Gold masked Michael Gold 5200 Blue Lagoon Drive Suite 900 Miami, FL 33126 USA 305-265-4200 masked Director of Product Development CareCloud 5200 Blue Lagoon Drive Suite 900 Miami, FL 33126 USA 305-265-4200 mgold@carecloud.com http://www.carecloud.com Vendor Int 3 Complete 2011/10/13 12:00:00 2011/10/25 12:00:00 2011/10/25 02:02:07 UV 2.16.840.1.113883.3.1319 csssJR-16-OID CSSS JARDINS ROUSSILLON OID Nathalie Dion masked Lise Henrichon Nathalie Dion 200, boulevard Brisebois Ch&#226;teauguay (Quebec) J6K 4W8 450-699-2425-6815 masked CPR Department Manager Carole Martin carole.martin@rrsss16.gouv.qc.ca Govt body Int 3 Complete 2011/10/13 12:00:00 2011/10/25 12:00:00 2011/10/25 02:04:10 UV 2.16.840.1.113883.3.1320 dpspa Doctors Pathology Services Rahul Sukumar masked Rahul Sukumar 1253 College Park Drive Dover, DE 19904 302-677-0000 masked Doctors Pathology Services 1253 College Park Drive Dover, DE 19904 302-677-0000 rahul@dpspa.com Provider Int 3 Complete 2011/10/13 12:00:00 2011/10/25 12:00:00 2011/10/25 02:08:27 UV 2.16.840.1.113883.3.1321 ccde Christiana Care Hospital James Debiase masked James Debiase 4755 Ogletown-Stanton Road Newark DE 19718 3023275745 masked Christiana Care Hospital 4755 Ogletown-Stanton Road Newark DE 19718 3023275745 JDebiase@Christianacare.org Provider Int 3 Complete 2011/10/13 12:00:00 2011/10/25 12:00:00 2014/08/15 10:32:38 UV 2.16.840.1.113883.3.1322 cccde Christiana Care Hospital James Debiase masked James Debiase 4755 Ogletown-Stanton Road Newark, DE 19718 3023275748 masked Christiana Care Hospital 4755 Ogletown-Stanton Road Newark, DE 19718 3023275748 JDebiase@Christianacare.org Provider Int 3 Complete 2011/10/13 12:00:00 2011/10/25 12:00:00 2011/10/25 02:17:16 UV 2.16.840.1.113883.3.1323 arhs-oid Appalachian Regional Healthcare System OID Robbie Parker masked Mike Quinto, ARHS CIO Robbie Parker ARHS Watauga Medical Center 336 Deerfield Rd Boone, NC 28607 828-268-9445 masked Interface Specialist Appalachian Regional Healthcare System ARHS Watauga Medical Center 336 Deerfield Rd Boone, NC 28607 828-262-4100 itservicedesk@apprhs.org http://apprhs.org Provider Int 3 Complete 2011/10/14 12:00:00 2011/10/25 12:00:00 2011/10/25 02:18:46 US 2.16.840.1.113883.13.190 ynhhsccore Yale New Haven Health Services Corporation/Center for Outcomes Research and Evaluation (YNHHSC/CORE) Julia Montague masked Julia Montague 1 Church St., Suite 200 New Haven, CT 06510-3330 (203) 764-5672 masked Research Project Coordinator Yale New Haven Health Services Corporation/Center for Outcomes Research and Evaluation (YNHHSC/CORE) 1 Church St., Suite 200 New Haven, CT 06510-3330 (203) 764-5700 julia.montague@yale.edu http://medicine.yale.edu/core/index.aspx Academic Int 13 Complete 2011/10/14 12:00:00 2011/10/25 12:00:00 2011/10/25 02:23:58 UV 2.16.840.1.113883.3.1324 soi-osi Organizational OID James Brierley masked James Brierley 514-762-2020 ext 236 masked Senior .Net Software Developer Les Services Optometriques jbrierley@opto.com Vendor Int 3 Complete 2011/10/17 12:00:00 2011/10/25 12:00:00 2011/10/25 02:25:42 UV 2.16.840.1.113883.3.1325 ctmfss Christus Mother Frances Hospital - Sulphur Springs Brandon Gauntt masked Thomas Rioux 115 Airport Road Sulphur Springs, TX 75482 (9003) 606-4529 masked Healthcare Developer II Christus Mother Frances Hospital - Sulphur Springs 115 Airport Road Sulphur Springs, TX 75482 (903) 885-7671 thomas.rioux@christushealth.org https://www.tmfhc.org/maps-and-locations/christus-mother-frances-hospital---sulphur-springs/ Provider Int 3 Complete 2011/10/17 12:00:00 2011/10/25 12:00:00 2019/01/10 12:26:17 UV 2.16.840.1.113883.3.1326 mmcccdtestoid Montgomery Medcorp Denzil Blevins masked Montgomery Medcorp 401 6th Ave Montgomery, WV 25136 3044421258 masked CIO Montgomery Medcorp 401 6th Ave Montgomery, WV 25136 3044421258 denzil.blevins@mghwv.org http://mghwv.org Provider Int 3 Complete 2011/10/17 12:00:00 2011/10/25 12:00:00 2011/10/25 02:33:32 UV 2.16.840.1.113883.3.1327 osdmnhie1 One Source Document Management NHIN Connect NHIE Gateway Christopher DeLuca masked Christopher Deluca 5 Aerial Way Suite 400 Syosset, NY 11791 5163776585 masked Project Engineer Christopher Deluca 5 Aerial Way Suite 400 Syosset, NY 11791 5163776585 cdeluca@chipscc.com http://www.onesourcedoc.com/ Govt body Int 3 Complete 2011/10/17 12:00:00 2011/10/25 12:00:00 2011/10/25 02:35:14 UV 2.16.840.1.113883.3.1328 hss Hospital for Special Surgery Francoise Juste masked John Cox 646-797-8293 masked CIO Hospital for Special Surgery 535 East 70th St New York, NY 10021 212-606-1500 justef@hss.edu http://www.hss.edu Provider Int 3 Complete 2011/10/17 12:00:00 2011/10/25 12:00:00 2011/10/25 02:37:11 UV 2.16.840.1.113883.17.42 pqrs-vetting-contractor PQRS Vetting Contractor John Dondapati masked John Dondapati 7000 Security Blvd suite 332, Baltimore MD 21244 4102779781 masked Arch Systems Inc. 4102779781 asipqrsvetting@archsystemsinc.com http://www.archsystemsinc.com Academic Int 17 Complete 2011/10/18 12:00:00 2011/10/25 12:00:00 2011/12/02 11:59:40 UV 2.16.840.1.113883.3.1329 wcdh-co Wray Community District Hospital OID Root Jennifer Kramer masked Jennifer Kramer 1017 W 7th Street Wray, CO 80758 970-332-4811 masked DIrector of Nursing Services Wray Community District Hospital 1017 West 7th Street Wray, CO 80758 970-332-4811 jennifer.kramer@bannerhealth.com Provider Int 3 3 Complete 2011/10/18 12:00:00 2011/10/25 12:00:00 2011/10/25 02:40:18 UV 2.16.840.1.113883.4.508 necch Columbus Community Hospital, Inc. Cheryl Tira masked Cheryl Tira 4600 38 St Columbus, Ne 68601 402-562-3388 masked Director of Information Systems Nebraska Health Information Initiative, Inc. 7914 Dodge Street #356 Omaha, NE 68114 402-346-1505 support@nehii.org http://www.nehii.org Academic 2.16.840.1.113883.3.1108 Int 4 Complete 2011/10/19 12:00:00 2011/11/10 12:00:00 2011/11/10 12:29:48 UV 2.16.840.1.113883.3.1331 wsh Wellspan Health Marcy Lazzelle masked Marcy Lazzelle 1001 South George Street York PA 17404 717-812-3197 masked Intregration Architect Marcy Lazzelle 1001 South George Street York PA 17404 717-812-3197 mlazzelle@wellspan.org http://www.wellspan.org Prof Soc Int 3 3 Complete 2011/10/19 12:00:00 2011/10/25 12:00:00 2011/10/25 03:57:37 US 2.16.840.1.113883.3.1332 ecs EyeCare Specialties, P.C. Lindsay Kruse masked Lindsay Kruse 7930 O Street Lincoln, NE 68510 4024202020 masked Corporate Trianer EyeCare Specialties 7930 O Street Lincoln, NE 68510 4024202020 amackrill@eyecarespecialties.com https://www.eyecarespecialties.com Provider Int 3 Complete 2011/10/19 12:00:00 2011/10/25 12:00:00 2011/10/25 03:58:28 UV 2.16.840.1.113883.3.1333 titest3 Tiger Institute Health Alliance Test Ashley Cole masked Ashley Cole 2800 Rock Creek Pkwy Kansas City, MO 64117 816-201-6260 masked System Engineer Tiger Institute Health Alliance 573-876-8716 ashley.cole@cerner.com Vendor Int 3 Complete 2011/10/20 12:00:00 2011/10/25 12:00:00 2011/10/25 04:00:19 UV 2.16.840.1.113883.3.1334 ths-root Trintiy Health System Steubenville Ohio Root Dean Lucarelli masked Dean M Lucarelli 380 Summit Ave Steubenville, OH 43952 740-283-7716 masked IS Project Mgr Trinity Health Sytem 380 Summit Ave Steubenville, OH 43952 740-283-7716 dmlucarelli@trinityhealth.com http://www.trinityhealth.com Provider Int 3 Complete 2011/10/20 12:00:00 2011/10/25 12:00:00 2011/10/25 04:01:15 UV 2.16.840.1.113883.3.1335 acsMidas ACS Midas+ Patricia Van Egmond masked Jim Kirkendall 4801 East Broadway Blvd Suite 335 Tucson, Arizona 85711 520-750-4253 masked Director Clinical Decision Support Services ACS Midas+ 4801 East Broadway Blvd Suite 335 Tucson, Arizona 85711 520-296-7398 midas.support@acs-inc.com http://www.midasplus.com Vendor Int 3 Complete 2011/10/20 12:00:00 2011/10/25 12:00:00 2011/10/25 04:02:43 UV 2.16.840.1.113883.17.43 echn Eastern Connecticut Health Network Michael Laban masked Carol Bucknavage Michael Laban 71 Haynes Street Manchester, CT 06040 860-533-2911 masked Manager Information Services Michael Laban 71 Haynes Street Manchester, CT 06040 860-533-2911 mlaban@echn.org http://www.echn.org Provider Int 17 17 Complete 2011/10/20 12:00:00 2011/10/25 12:00:00 2011/10/25 04:04:58 UV 2.16.840.1.113883.3.1336 srhcroot Salina Regional Health Center Michael McEldowney masked Michael McEldowney 400 S Santa Fe Salina, KS 67401 785-452-6005 masked Director of Information Technology Salina Regional Health Center 400 S Santa Fe Salina, KS 67401 785-452-7000 mmceldow@srhc.com http://www.srhc.com Provider Int 3 Complete 2011/10/20 12:00:00 2011/10/25 12:00:00 2011/10/25 04:06:13 UV 2.16.840.1.113883.3.1337 dmh Dosher Memorial Hospital Susan Shomaker masked Susan Shomaker 924 N. Howe Street Southport, NC 28461 9104573827 masked Dosher Memorial Hospital 924 N. Howe Street Southport, NC 28461 9104573827 susanshomaker@dosher.org Provider Int 3 Complete 2011/10/20 12:00:00 2011/10/25 12:00:00 2011/10/25 04:10:53 UV 2.16.840.1.113883.3.1338 pposburn Kevin C. Osburn, M.D. Kevin Osburn masked Jessica Bukur Jessica Bukur 2320 Bath St. Suite 317 Santa Barbara, Ca 93105 8056827874 masked Practice Administrator Kevin C. Osburn, M.D. 2320 Bath St. Suite 317 Santa Barbara, CA 93105 8056827874 jessicabukur@md.sbcoxmail.com Provider Int 3 3 Complete 2011/10/20 12:00:00 2011/10/25 12:00:00 2011/10/25 04:15:10 UV 2.16.840.1.113883.3.1339 ochiropractic Orono Chiropractic Stephen Arsenault masked Paul Hodsdon 15 Forest Ave. Orono, Maine 04473 207-866-7000 masked Chiropractic Assistant Orono Chiropractic 15 Forest Ave. Orono, Maine 04473 207-866-7000 ochiropractic@roadrunner.com http://www.oronochiropractic.com Provider Int 3 Complete 2011/10/21 12:00:00 2011/10/25 12:00:00 2011/10/25 04:16:41 UV 2.16.840.1.113883.3.1340 ssigroup The SSI Group David Butt masked David Butt The SSI Group, Inc. 4721 Morrison Drive Mobile, AL 36609 800-880-3032 x1459 masked Manager The SSI Group, Inc The SSI Group, Inc. 4721 Morrison Drive Mobile, AL 36609 800-880-3032 David.Butt@ssigroup.com https://www1.ssigroup.com Vendor Int 3 3 Complete 2011/10/21 12:00:00 2011/10/25 12:00:00 2011/10/25 04:18:11 UV 2.16.840.1.113883.3.1341 hcRT Health Connect Root elvino saldanha masked elvino saldanha 248 982 4837 masked Health Connect 3315 city place, Edgewater, NJ 07020 2489824837 elvino_saldanha@yahoo.com Vendor Int 3 Complete 2011/10/21 12:00:00 2011/10/25 12:00:00 2011/10/25 04:21:48 UV 2.16.840.1.113883.3.1342 nsr-sumc Neurological Surgery John Ratliff masked John Ratliff Department of Neurosurgery Stanford University Medical Center 300 Pasteur Dr. Stanford, CA 94025 650-736-8349 masked Associate Professor of Neurosurgery John Ratliff Department of Neurosurgery Stanford University Medical Center 300 Pasteur Dr. Stanford, CA 94025 650-736-8349 jratliff@stanford.edu Academic Int 3 Complete 2011/10/21 12:00:00 2011/10/25 12:00:00 2011/10/25 04:33:48 UV 2.16.840.1.113883.3.1343 vancouverCoastalHealth Vancouver Coastal Health, British Columbia, Canada Robert Grant masked John Waldron 590 West 8th Ave Vancouver British Columbia, Canada V5Z 1C5 604.675.3939 x61643 masked Vancouver Coastal Health 11th Floor, 601 West Broadway Vancouver British Columbia, Canada V5Z 4C2 604.736.2033 feedback@vch.ca http://www.vch.ca/home/ Provider Int 3 Complete 2011/10/21 12:00:00 2011/10/25 12:00:00 2011/10/25 04:34:37 UV 2.16.840.1.113883.3.1344 healthinsightsbase Health-Insights Ayman AbulEla masked Ayman Mohamed AbulEla 00201222316114 masked HIS Integration Consultant Health-Insights aabulela@health-insights.com Vendor Int 3 Complete 2011/10/22 12:00:00 2011/10/25 12:00:00 2016/11/23 06:45:17 UV 2.16.840.1.113883.3.1345 healthCareITSystem Health Care System ID Phill Jin masked phill Jin 337 Lianzhong Road, Shanghai, 201204 8613816960453 masked Technology Consultant phill Jin jinfei1982@gmail.com Academic Int 3 3 Complete 2011/10/22 12:00:00 2011/10/25 12:00:00 2011/10/25 04:39:11 UV 2.16.840.1.113883.3.1346 cpTSO Corinthian Pointe TSO Maxwell Olumba masked Maxwell Olumba, OD 5505 W. Orem, #400 Houston, TX 77085 713-487-2020 masked President, Owner Corinthian Pointe TSO 5505 W. Orem, #400 Houston, TX 77085 713-487-2020 cpointe@tso.com Provider Int 3 Complete 2011/10/22 12:00:00 2011/10/25 12:00:00 2011/10/25 04:40:00 UV 2.16.840.1.113883.3.1347 gbmc Greater Baltimore Medical Center Jayne Stutz masked Jayne Stutz Greater Baltimore Medical Center 6701 N Charles Street Baltimore, MD 21204 443-849-3441 masked Sr Systems Analyst-Interfaces Greater Baltimore Medical Center Greater Baltimore Medical Center 6701 N Charles Street Baltimore, MD 21204 443-849-3441 jstutz@gbmc.org http://www.gbmc.org Provider Int 3 Complete 2011/10/24 12:00:00 2011/10/25 12:00:00 2011/10/25 04:42:34 UV 2.16.840.1.113883.3.1348 polaris Polaris Medical Management Michael Oakes masked Michael 1150 New London Avenue Suite 20 Cranston, RI 02920 401-580-0652 masked Director, Information Technology Polaris Medical Management Inc. 1150 New London Avenue Suite 20 Cranston, RI 02920 401-654-4000 moakes@polarismedical.com http://www.polarismedical.com Vendor Int 3 Complete 2011/10/24 12:00:00 2011/10/25 12:00:00 2011/10/25 04:43:48 UV 2.16.840.1.113883.3.1349 medisapien MediSapien Object Matt Bouchard masked James Maisel Matt Bouchard 1455 Veterans Hwy Hauppauge, NY 11749 1-800-546-5633 masked ZyDoc 1455 Veterans Hwy Hauppauge, NY 11749 1-800-546-5633 matt_bouchard@zydoc.com http://www.zydoc.com/ Vendor Int 3 Complete 2011/10/24 12:00:00 2011/10/25 12:00:00 2011/10/25 04:54:37 UV 2.16.840.1.113883.3.1350 zydoc ZyDoc Object Matt Bouchard masked James Maisel Matt Bouchard 1455 Veterans Hwy Hauppauge, NY 11749 1-800-546-5633 masked ZyDoc Medical Transcription, LLC 1455 Veterans Hwy Hauppauge, NY 11749 1-800-546-5633 matt_bouchard@zydoc.com http://www.zydoc.com/ Vendor Int 3 Complete 2011/10/24 12:00:00 2011/10/25 12:00:00 2011/10/25 04:56:13 UV 2.16.840.1.113883.3.1348.1.2 familyHealthAndSportsMed Family Health and Sports Medicine Michael Oakes masked Michael 1150 New London Avenue Suite 20 Cranston, RI 02920 401-580-0652 masked Director, Information Technology Family Health and Sports Medicine 725 Reservoir Ave Suite 102 Cranston, RI 02910 401-943-6910 paula@ripcpc.com Provider 2.16.840.1.113883.3.1348 Ext 4 Complete 2.16.840.1.113883.3.1348.1.2 2011/10/24 12:00:00 2011/10/25 12:00:00 2011/10/25 04:58:38 UV 2.16.840.1.113883.3.1178.1 pensacola-HIE-NwHIN Strategic Health Intelligence Health Information Exchange - NwHIN Ashley Spikes masked Craig Dalton Ashley Spikes 117 West Garden Street Pensacola FL, 32502 850 438 4081 masked Government Partnership Manager, Armed Services Strategic Health Intelligence 850 438 4081 aspikes@pensacolachamber.com http://www.strategichealthintelligence.com Govt body 2.16.840.1.113883.3.1178 Ext 3 Complete 2.16.840.1.113883.3.1178.1 2011/10/24 12:00:00 2011/10/25 12:00:00 2011/10/25 05:06:13 UV 2.16.840.1.113883.3.1351 vco Visioncare Optometry, PC Tatyana Galinsky masked Ross Balagula Tatyana Galinsky 1944 Ralph Ave. Brooklyn, NY 11234 718-763-2020 masked Provider Visioncare Optometry, PC 1944 Ralph Ave. Brooklyn, NY 11234 718-763-2020 visioncare_optometry@yahoo.com Provider Int 3 Complete 2011/10/24 12:00:00 2011/10/25 12:00:00 2011/10/25 05:09:45 UV 2.16.840.1.113883.3.1348.1.3 cumberlandPrime Cumberland Primary Care Michael Oakes masked Michael Oakes 1150 New London Avenue Suite 20 Cranston, RI 02920 401-580-0652 masked Director, Information Technology Cumberland Primary Care 2138 Mendon Rd. Suite 101A Cumberland, RI 02864 401-333-8500 cpc_inc09@yahoo.com Provider 2.16.840.1.113883.3.1348 Ext 4 Complete 2.16.840.1.113883.3.1348.1.3 2011/10/24 12:00:00 2011/10/25 12:00:00 2011/10/25 05:02:27 UV 2.16.840.1.113883.3.1178.2 pensacola-HIE-FHIN Strategic Health Intelligence Health Information Exchange - FHIN Ashley Spikes masked Craig Dalton Ashley Spikes 117 West Garden Street Pensacola FL, 32502 850 438 4081 masked Government Partnership Manager, Armed Services Strategic Health Intelligence 850 438 4081 aspikes@pensacolachamber.com http://www.strategichealthintelligence.com Govt body 2.16.840.1.113883.3.1178 Ext 3 Complete 2.16.840.1.113883.3.1178.2 2011/10/24 12:00:00 2011/10/25 12:00:00 2011/10/25 05:08:28 UV 2.16.840.1.113883.3.1352 srmc Sampson Regional Medical Center Katie Merritt masked Katie Merritt 9105928511 masked Sampson Regional Medical Center 607 Beaman Street Clinton, NC 28328 9105928511 kmerritt@sampsonrmc.org Provider Int 3 Complete 2011/10/24 12:00:00 2011/10/25 12:00:00 2011/10/25 05:11:05 UV 2.16.840.1.113883.3.1353 sermc Southeastern Regional Medical Center Albert King masked Albert King 9106715807 masked Southeastern Regional Medical Center 300 West 27th St. Lumberton, NC 28359 9106715807 albert.king@srmc.org Provider Int 3 Complete 2011/10/24 12:00:00 2011/10/25 12:00:00 2011/10/25 05:14:58 UV 2.16.840.1.113883.3.1354 nhrmc New Hanover Regional Medical Center Bessie Collins masked Bessie Collins 9106672697 masked LIS Coordinator New Hanover Regional Medical Center 2131 S. 17th Street Wilmington, NC 28401 9106672697 Bessie.Collins@nhrmc.org Provider Int 3 Complete 2011/10/24 12:00:00 2011/10/25 12:00:00 2015/12/16 10:23:20 UV 2.16.840.1.113883.3.1355 ahwest Adventist Health West OID Root Matthew Stemple masked Matthew Stemple Adventist Health 1101 Creekside Ridge Dr #150 Roseville, CA 95678 916-783-2572 masked Integration Management Adventist Health West Adventist Health 2100 Douglas Boulevard Roseville, CA 95661 916-781-2000 cioinfo@ah.org http://adventisthealth.org Provider Int 3 Complete 2011/10/24 12:00:00 2011/10/25 12:00:00 2011/10/25 05:17:36 UV 2.16.840.1.113883.3.1356 ajeODPA Aaron J. Evans O.D. P.A. Aaron Evans masked aaron 333 plaza real Boca Raton, FL 33432 561-392-8383 masked Owner/Doctor Aaron J. Evans O.D. P.A. 333 Plaza Real Boca Raton, FL 33432 561-392-8383 miznereyes@gmail.com http://www.BocaEyeDoctor.com Provider Int 3 Complete 2011/10/25 12:00:00 2011/10/25 12:00:00 2011/10/25 05:19:11 UV 2.16.840.1.113883.3.1355.10 ahwest-wmmc White Memorial Medical Center (WMMC) Matthew Stemple masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management White Memorial Medical Center (WMMC) White Memorial Medical Center, 1720 Cesar E. Chavez Ave., Los Angeles, CA 90033 323-268-5000 cioinfo@ah.org http://whitememorial.com Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.10 2011/10/25 12:00:00 2011/10/25 12:00:00 2011/10/25 05:22:41 UV 2.16.840.1.113883.3.1357 pmh Pender Memorial Hospital Michael Kummer masked Michael Kummer 9106677000 masked Pender Memorial Hospital 507 East Fremont Street Burgaw, NC 28425 9106677000 michael.kummer@pendermemorial.org https://www.nhrmc.org/locations/pender-memorial-hospital Provider Int 3 Complete 2011/10/25 12:00:00 2011/10/25 12:00:00 2011/10/25 05:25:47 UV 2.16.840.1.113883.3.1355.10.1 ahwest-wmmc-mrn White Memorial Medical Center (WMMC) MRN Matthew Stemple masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management White Memorial Medical Center (WMMC) White Memorial Medical Center, 1720 Cesar E. Chavez Ave., Los Angeles, CA 90033 323-268-5000 cioinfo@ah.org http://whitememorial.com Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.10.1 2011/10/25 12:00:00 2011/10/25 12:00:00 2011/10/25 05:23:47 UV 2.16.840.1.113883.3.1358 gsi-health GSI Health Root Susan Johnston masked Susan Johnston 7715 Crittenden St, #242 Philadelphia, PA 19118 888-206-4237 masked GSI Health 7715 Crittenden St, #242 Philadelphia, PA 19118 888-206-4237 susan.johnston@gsihealth.com http://www.gsihealth.com/ Vendor Int 3 Complete 2011/10/26 12:00:00 2011/11/09 12:00:00 2011/11/09 04:12:16 UV 2.16.840.1.113883.3.1359 erhspcm Pinecrest Manor Mary Ann Schwabenbauer masked Mary Ann Schwabenbauer 763 Johnsonburg Road St. Marys, PA 15857 814-788-8530 masked CIO Pinecrest Manor 763 Johnsonburg Road St. Marys, PA 15857 814-788-8000 mis_mas@elkregional.org http://www.elkregional.org Provider Int 3 3 Complete 2011/10/26 12:00:00 2011/11/09 12:00:00 2011/11/09 04:14:35 UV 2.16.840.1.113883.3.1360 erhsgene Generations Mary Ann Schwabenbauer masked Generations 763 Johnsonburg Road St.Marys PA 15857 814-788-8530 masked CIO Mary Ann 763 Johnsonburg Road St.Marys PA 15857 814-788-8000 mis_mas@elkregional.org http://www.elkregional.org Provider Int 3 3 Complete 2011/10/26 12:00:00 2011/11/09 12:00:00 2011/11/09 04:15:58 UV 2.16.840.1.113883.3.1361 ahshillcrest Ardent Health Services Hillcrest Andrew Dargan masked Andrew Dargan 1120 S Utica Ave Tulsa, OK 74104 9185797857 masked Application Architect Andrew Dargan 1120 S Utica Ave Tulsa, OK 74104 9185797857 andrew.dargan@hillcrest.com Provider Int 3 Complete 2011/10/26 12:00:00 2011/11/09 12:00:00 2011/11/09 04:18:01 UV 2.16.840.1.113883.3.1361.1 ng-imm NextGen Immunization interface Andrew Dargan masked Andrew Dargan 1120 S Utica Ave Tulsa, OK 74104 9185797857 masked Application Architect Andrew Dargan 1120 S Utica Ave Tulsa, OK 74104 9185797857 andrew.dargan@hillcrest.com Provider 2.16.840.1.113883.3.1361 Ext 14 14 Complete 2.16.840.1.113883.3.1361.1 2011/10/26 12:00:00 2011/11/09 12:00:00 2011/11/09 04:20:20 UV 2.16.840.1.113883.3.1362 eHana eHana LLC Marcus Lum masked Marcus Lum 888-443-4262 masked Chief Technical Officer eHana LLC admin@ehana.com http://www.ehana.com Vendor Int 3 Complete 2011/10/26 12:00:00 2011/11/09 12:00:00 2011/11/09 06:08:04 UV 2.16.840.1.113883.3.1336.1 srhcsf Salina Regional Health Center Santa Fe Facility Mike McEldowney masked Mike McEldowney 785-452-6005 masked Director of Information Technology Salina Regional Health Center 400 S Santa Fe Salina, KS 67401 785-452-7000 mmceldow@srhc.com http://www.srhc.com Provider 2.16.840.1.113883.3.1336 Ext 17 Complete 2.16.840.1.113883.3.1336.1 2011/10/26 12:00:00 2011/11/10 12:00:00 2011/11/10 05:52:54 UV 2.16.840.1.113883.3.1363 drmcca Delano Regional Medical Center Rick Hall masked Rick Hall 4801 Garces Highway Delano, CA 93215 661-721-5652 masked Systems Analyst Delano Regional Medical Center 4801 Garces Highway Delano, CA 93215 661-721-5650 brenk@drmc.com http://www.drmc.com/ Provider Int 3 3 Complete 2011/10/26 12:00:00 2011/11/09 12:00:00 2011/11/09 06:12:16 UV 2.16.840.1.113883.17.44 kershawhealth KershawHealth Diane Arrants masked W Chad Arrants Diane Arrants KershawHealth 1315 Roberts St. PO Box 7003 Camden, SC 29021-7003 803-713-6234 masked IT Director KershawHealth KershawHealth 1315 Roberts St. PO Box 7003 Camden, SC 29021-70031315 Ro 803-432-4311 arrants@kershawhealth.org Provider Int 17 Complete 2011/10/27 12:00:00 2011/11/10 12:00:00 2011/11/10 12:34:44 UV 2.16.840.1.113883.3.1364 crtnmi Crittenton Hospital Medical Center Jennifer Miner masked Jennifer Miner 1101 W. University Drive Information Services Rochester, MI 48307 248-652-5659 masked Director, Clinical Applications Crittenton Hospital Medical Center 1101 W. University Dr. Rochester, MI 48307 248-652-5000 jminer@crittenton.com Provider Int 3 3 Complete 2011/10/28 12:00:00 2011/11/10 12:00:00 2011/11/10 12:54:50 UV 2.16.840.1.113883.3.1365 bpthosp Bridgeport Hospital Gary Biasucci masked Gary Biasucci 267 Grant Street Bridgeport, CT 06610 203-384-3367 masked Sr. Information Integration Specialist Bridgeport Hospital 267 Grant Street Bridgeport, CT 06610 203-384-3000 zgbias@bpthosp.org http://www.bridgeporthospital.com Provider Int 3 Complete 2011/10/28 12:00:00 2011/11/10 12:00:00 2011/11/10 12:55:54 UV 2.16.840.1.113883.3.1366 hkoc Dr. Heejung Koh Optometric Corporation Heejung Koh masked Dr. Heejung Koh, OD 18337 E. Colima Road Rowland Heights, CA 91748 626-854-1131 masked President & CEO Dr. Heejung Koh Optometric Corporation 18337 E. Colima Road Rowland Heights, CA 91748 626-854-1131 drkohvision@yahoo.com http://www.drkohvision.com/ Provider Int 3 Complete 2011/10/28 12:00:00 2011/11/10 12:00:00 2011/11/10 12:57:41 UV 2.16.840.1.113883.4.509 fmc Franklin Medical Center Shea Morris masked Sheila Mason 3184125347 masked Clinical Analyst Franklin Medical Center 2106 Loop Road Winnsboro, LA. 71295 3184359411 fmc@fmc-cares.com http://www.fmc-cares.com Provider Int 3 Complete 2011/10/31 12:00:00 2011/12/15 12:00:00 2011/12/15 11:24:20 UV 2.16.840.1.113883.3.1367 olathehealth Olathe Health System Mark Condon masked Mike Schlenk 913-791-4400 masked ITS Software Manager Olathe Health System, Inc. 20333 W 151st Street Olathe, KS 66061 913-791-4200 mike.schlenk@olathehealth.org http://www.olathehealth.org Provider Int 3 Complete 2011/10/31 12:00:00 2011/11/10 12:00:00 2011/11/10 12:58:46 UV 2.16.840.1.113883.3.1368 sayremh Sayre Memorial Hospital Eric Leitner masked Eric Leitner 911 Hospital Dr Sayre, OK 73662 580-928-4444 masked IT Director Sayre Memorial Hospital 911 Hospital Dr Sayre, OK 73662 580-928-5541 it@sayrehospital.org http://www.sayrehospital.org Provider Int 3 Complete 2011/10/31 12:00:00 2011/11/10 12:00:00 2011/11/10 01:00:03 UV 2.16.840.1.113883.3.1368.1 sayremhapplication Sayre Memorial Hospital Application Eric Leitner masked Eric Leitner 911 Hospital Dr Sayre, OK 73662 580-928-4444 masked IT Director Sayre Memorial Hospital 911 Hospital Dr Sayre, OK 73662 580-928-5541 it@sayrehospital.org http://www.sayrehospital.org Provider 2.16.840.1.113883.3.1368 Ext 14 14 Complete 2.16.840.1.113883.3.1368.1 2011/10/31 12:00:00 2011/11/10 12:00:00 2011/11/10 01:09:12 UV 2.16.840.1.113883.4.510 sbmc St. Bernards Medical Center Summer Sanders masked Josh Melton 225 E Washington Jonesboro AR 72401 870-897-7893 masked CTO St. Bernards Medical Center 225 E Washington Jonesboro AR 72401 870-207-4100 jmelton@sbrmc.org https://www.stbernards.info Provider Int 3 Complete 2011/11/01 12:00:00 2011/12/19 12:00:00 2020/08/26 11:37:59 UV 2.16.840.1.113883.17.45 cahOID CharlevoixAreaHospitalOID David Priest masked David Priest 14700 Lake Shore Dr. Charlevoix MI 49720 2315478534 masked Director Information Systems Charlevoix Area Hospital 14700 Lake Shore Dr. Charlevoix MI 49720 2315474024 dpriest@cah.org http://www.cah.org Provider Int 17 Complete 2011/11/01 12:00:00 2011/11/10 12:00:00 2015/02/05 08:29:52 UV 2.16.840.1.113883.4.511 crch CrossRidge Community Hospital Summer Sanders masked Josh Melton 225 E Washington Jonesboro AR 72401 870-897-7893 masked CTO CrossRidge Community Hospital 310 South Falls Boulevard Wynne AR 72396 870-238-3300 jmelton@sbrmc.org https://www.stbernards.info Provider Int 3 Complete 2011/11/01 12:00:00 2011/12/19 12:00:00 2020/08/26 11:38:33 UV 2.16.840.1.113883.3.1369 phlb Pacific Hospital of Long Beach Maritza Salazar masked James DiBernardo Pacific Hospital of Long Beach 2776 Pacific Ave. Long Beach, CA 90806 562-997-2000 masked Applications Manager Pacific Hospital of Long Beach 2776 Pacific Ave. Long Beach, CA 90806 562-997-2170 Maritza.Salazar@phlb.org http://www.phlb.org Provider Int 3 3 Complete 2011/11/01 12:00:00 2011/11/10 12:00:00 2011/11/10 01:12:50 UV 2.16.840.1.113883.3.1370 aTT-HCO ATT Healthcare Community Online HIE Brian Cutick masked nv604b@att.com Brian Cutick 2500 Riva Road Anapolis, MD 21401 (410) 458-5137 masked Lead Product Marketing Manager AT&T bc3271@att.com https://sso.atthco.com Vendor Int 3 Complete 2011/11/01 12:00:00 2011/11/10 12:00:00 2011/11/10 01:22:01 UV 2.16.840.1.113883.3.1371 externalcodesystems Dorado Systems Edward Kennedy masked Dorado Systems LLC 30 Washington Ave. Suite D Haddonfield, NJ 08033 856 354 0048 masked president Dorado Systems LLC 30 Washington Ave. Suite D Haddonfield, NJ 08033 856 354 0048 edward.kennedy@doradosystems.com http://www.doradosystems.com Vendor Int 3 Complete 2011/11/02 12:00:00 2011/11/10 12:00:00 2011/11/10 01:25:35 UV 2.16.840.1.113883.4.512 cha Community Hospital of Anderson Madison County, Inc. Mason McCord masked Mason McCord 1515 N. Madison Ave. Anderson IN 46011 7652985018 masked System Analyst Mason McCord 1515 N. Madison Ave Anderson IN 46011 7652985018 mmccord@ecommunity.com Provider Int 3 Complete 2011/11/02 12:00:00 2011/12/15 12:00:00 2011/12/16 12:48:47 UV 2.16.840.1.113883.3.1372 n3cn North Carolina Community Care Networks John Coughlin masked John Coughlin NC Community Care Networks, Inc. 2300 Rexwoods Dr., Suite 200, Raleigh NC 27607 (919) 926-3894 masked Assistant Director, Analystics and Reporting N3CN jcoughlin@n3cn.org Provider Int 3 Complete 2011/11/02 12:00:00 2011/11/10 12:00:00 2011/11/10 01:33:02 UV 2.16.840.1.113883.3.1373 porterchiro Porter Chiropractic Clinic PA Leland Porter masked Leland L Porter PO Box 743 Moundridge, KS 67107 6203453000 masked Porter Chiropractic Clinic PA Porter Chiropractic Clinic PA PO Box 743 Moundridge, KS 67107 6203453000 backdoc@mtelco.net http://www.mcphersonkschiro.com Provider Int 3 Complete 2011/11/02 12:00:00 2011/11/10 12:00:00 2011/11/10 01:35:02 UV 2.16.840.1.113883.3.1374 covehealth Cove Family Healthcare and Chiropractic Donald Webb masked Donald Webb 1007 W Hwy 190 Suite A Copperas Cove, TX 76522 2545422440 masked owner Cove Family Healthcare and Chiropractic 1007 W Hwy 190 Suite A Copperas Cove, TX 76522 2545422440 drdon@coverehab.com http://www.covehealth.net Provider Int 3 Complete 2011/11/02 12:00:00 2011/11/10 12:00:00 2011/11/10 01:37:38 UV 2.16.840.1.113883.3.1375 smmclb St. Mary Medical Center David Ung masked David Ung (562) 491-9071 masked St. Mary Medical Center 1050 Linden Avenue Long Beach, CA 90813 (562) 491-9071 david.ung@chw.edu http://www.stmarymedicalcenter.org/index.htm Provider Int 3 Complete 2011/11/02 12:00:00 2011/11/10 12:00:00 2011/11/10 01:38:38 UV 2.16.840.1.113883.3.1376 nwv Vegas Vision Center, PA DBA Northwest Vision Brooke Vegas masked Dr. Brooke Vegas, OD 13264 Northwest Fwy Houston, TX 77040 7136902020 masked President and CEO Vegas Vision Center, PA DBA Northwest Vision 13264 Northwest Fwy Houston, TX 77040 7136902020 info@northwestvisionhouston.com http://www.northwestvisionhouston.com Provider Int 3 Complete 2011/11/03 12:00:00 2011/11/10 12:00:00 2011/11/10 01:40:07 UV 2.16.840.1.113883.3.1377 netgen NetGen Software Charles Ye masked Charles Ye 13677 Star Ruby Ave Corona, CA 92880 (877) 893 -3480 masked managing director NetGen Software (877) 893 -3480 charles.ye@netgensoftware.com http://www.netgensoftware.com Vendor Int 3 Complete 2011/11/03 12:00:00 2011/11/10 12:00:00 2011/11/10 01:42:16 UV 2.16.840.1.113883.4.513 oid-dickerson-doc Dickerson Chiropractic Clinic P.C. David Dickerson masked David Dickerson Salida Professional Building Dickerson Chiropractic Clinic P.C. 203 G Street STE B Salida, Co 81201 719-539-4398 masked Dickerson Chiropractic Clinic P.C. Salida Professional Building Dickerson Chiropractic Clinic P.C. 203 G Street STE B Salida, Co 81201 719-539-4398 mail@drdavechiro.com Provider Int 3 Complete 2011/11/03 12:00:00 2011/12/19 12:00:00 2011/12/19 11:18:44 UV 2.16.840.1.113883.3.1378 hienv HealtHIE Nevada Rachel Papka masked HealtHIE Nevada Cody Johansen 505 E. Windmill Lane, Suite 1-C, #121 Las Vegas, Nevada 89123 8015106415 masked Director of Techonlogy HealtHIE Nevada 505 E. Windmill Lane, Suite 1-C, #121 Las Vegas, Nevada 89123 8554843443 hiesupport@healthienevada.org https://healthienevada.org/ Exchange Int 3 Complete 2011/11/03 12:00:00 2011/11/10 12:00:00 2025/07/09 03:36:20 UV 2.16.840.1.113883.3.1379 dchinconnect DCH Health System OID Kelly Wells masked Kelly Wells 809 University Blvd E Tuscaloosa, AL 35401 205-759-7543 masked Assistant Director/Data Security Officer DCH Health System 809 University Blvd E Tuscaloosa, AL 35401 205-759-7111 kwells@dchsystem.com http://www.dchsystem.com Provider Int 3 Complete 2011/11/03 12:00:00 2011/11/10 12:00:00 2011/11/10 02:06:39 UV 2.16.840.1.113883.3.1380 pcc Park County Chiropractic Kathi Dobelbower masked Kathi Dobelbower 1201 US Hwy 10 W Ste A1 Livingston, MT 59047 4062229373 masked Manager Park County Chiropractic 1201 US Hwy 10 W Ste A1 Livingston, MT 59047 4062229373 pcc@bridgeband.com http://parkcountychiropractic.com/ Provider Int 3 Complete 2011/11/03 12:00:00 2011/11/10 12:00:00 2011/11/10 02:08:28 UV 2.16.840.1.113883.4.514 swpartners Software Partners LLC Steve Rose masked Steve Rose 760-944-8436 masked Steve Rose 906 2nd Street Encinitas, CA 92024 760-944-8436 steve@swpartners.com http://www.swpartners.com Vendor Int 3 Complete 2011/11/04 12:00:00 2011/12/19 12:00:00 2011/12/19 11:26:45 UV 2.16.840.1.113883.3.1381 hct Harris CareTracker Mark Rivero masked Vincent Patalano Tessie Austin 1600 Division Road Suite 2000 West Warwick, RI 02893 877-634-2727 ext 63028 masked Data Integration Manager Harris CareTracker 1600 Division Road Suite 2000 West Warwick, RI 02893 877-634-2727 ext 63028 taustin@harriscomputer.com http://www.caretracker.com Vendor Int 2.16.840.1.113883.3.2966 3 Complete 2011/11/07 12:00:00 2019/08/22 12:00:00 2019/08/30 02:44:52 UV 2.16.840.1.113883.3.1382 insop Insight Optical Gail May masked Sandra Bissett Gail J May O.D. 1516 Legacy Circle 102 Naperville, IL 60563 6302452020 masked Optometrist Insight Optical 1516 Legacy Circle 102 Naperville, IL 60563 6302452020 idoc21@sbcglobal.net http://www.insightopt.com Provider Int 3 Complete 2011/11/07 12:00:00 2011/11/10 12:00:00 2011/11/10 02:15:34 UV 2.16.840.1.113883.3.1383 rlg20195 Greenawalt Chiropractic Ronald Greenawalt masked Ronald Greenawalt 7500 W. Sahara Ave Las Vegas, NV 89117-2742 702-363-8989 masked Greenawalt Chiropractic Greenawalt Chiropractic 7500 W. Sahara Ave Las Vegas, NV 89117-2742 702-363-8989 greenawalt.chiropractic@gmail.com http://www.bestlasvegaschiro.com Provider Int 3 Complete 2011/11/08 12:00:00 2011/11/10 12:00:00 2011/11/10 02:17:21 Greenawalt UV 2.16.840.1.113883.3.1384 smmcpa St. Mary Medical Center William Mahaney masked William Mahaney St. Mary Medical Center 1201 Langhorne-Newtown Rd. Medical Office Building 1 Room 311 Langhorne, PA 19047 215-710-7205 masked Application Analyst William Mahaney St. Mary Medical Center 1201 Langhorne-Newtown Rd. Medical Office Building 1 Room 311 Langhorne, PA 19047 215-710-7205 wmahaney@stmaryhealthcare.org http://www.stmaryhealthcare.org/ Provider Int 3 Complete 2011/11/08 12:00:00 2011/11/10 12:00:00 2011/11/10 02:18:47 UV 2.16.840.1.113883.3.1385 chiro Chiropractic Care Vicky Pollock masked Vicky Pollock 709 Holly Dr Sterling, CO 80751 970-522-3500 masked Office Manager Holly Chiropractic Center P.C. 709 Holly Dr Sterling, CO 80751 970-522-3500 hollychiro@gmail.com https://www.hollychiropracticcenter.com Provider Int 3 Complete 2011/11/08 12:00:00 2011/11/10 12:00:00 2011/11/10 02:27:19 UV 2.16.840.1.113883.4.515 trh Taylor Regional Hospital Gary Neat masked Chris Gibbs 1700 Old Lebanon Road Campbellsville, Ky 42718 270-789-5858 masked IT Director Chris Gibbs 1700 Old Lebanon Road Campbellsville, Ky 42718 270-465-3561 cmgibbs@trhosp.org http://www.trhosp.org Provider Int 3 Complete 2011/11/09 12:00:00 2011/11/21 12:00:00 2017/12/01 09:12:35 UV 2.16.840.1.113883.3.1386 readyComputing Ready Computing, Inc. Michael LaRocca masked Michael LaRocca Ready Computing 150 Beekman Street New York, NY 10038 917-310-1285 masked Founder and CEO Ready Computing, Inc. Ready Computing 150 Beekman Street New York, NY 10038 917-310-1285 info@readycomputing.com http://www.readycomputing.com Vendor Int 3 Complete 2011/11/09 12:00:00 2011/11/10 12:00:00 2011/11/10 02:29:02 UV 2.16.840.1.113883.3.1387 dcoid Dermatology Clinic Samantha Mulkerin masked Gayla Gayla Scoughton 940-767-3376 masked Office Manager Dermatology of North Texas 1518 10th Street Wichita Falls, TX 76301 940-767-3376 drgarbaczdermclinic@gmail.com Provider Int 3 Complete 2011/11/09 12:00:00 2011/11/10 12:00:00 2011/11/10 02:32:17 UV 2.16.840.1.113883.10.20.23 cdaStudyDataTemplateRoot Root for templates created under Clinical Trials Study Data Exchange Project Mitra Rocca masked dmead@comcast.net Mitra Rocca Food and Drug Administration Office of Medical Policy Center for Drug Evaluation and Research (CDER) Food and Drug Administration White Oak, Bldg. 51, Rm. 6326 10903 New Hampshire Ave Silver Spring, MD 20993 3017962175 masked Senior Medical Informatician HL7 SDWG 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 3017962175 mitra.rocca@fda.hhs.gov http://www.hl7.org SDO Ext 10 Complete 2.16.840.1.113883.10.20.23 2011/11/09 12:00:00 2011/11/10 12:00:00 2011/11/10 02:34:53 UV 2.16.840.1.113883.3.1388 pwlm Care Document Patrick Whalen masked Patrick L Whalen 210 Main Street Darlington, WI 5350-1424 608-776-4511 masked Owner Patrick L Whalen 210 Main Street Darlington, WI 53530-1424 608-776-4511 whalenp52@yahoo.com Provider Int 3 Complete 2011/11/09 12:00:00 2011/11/10 12:00:00 2011/11/10 02:38:58 UV 2.16.840.1.113883.3.1389 familywellnesschiropracticpc Family Wellness Chiropractic, pc Joseph Aliani DC masked Joseph E. Aliani DC 57 Montauk Hwy Copiague, NY 11726 631-956-3080 masked Doctor of Chiropractic Joseph E. Aliani DC 57 Montauk Hwy Copiague, NY 11726 631-956-3080 2dcs4u@optonline.net Provider Int 3 Complete 2011/11/09 12:00:00 2011/11/10 12:00:00 2011/11/10 02:42:03 UV 2.16.840.1.113883.3.1390 coderm Colorado Dermatology Institute Jeffry Anderson masked Jeffry Anderson 8580 Scarborough Dr Suite 225 Colorado Springs, CO 80920 719 531-5400 masked Practice Manager Colorado Dermatology Institute 8580 Scarborough Dr Suite 225 Colorado Springs CO 80920 719 531-5400 pm@coderm.com https://www.coderm.com Provider Int 3 Complete 2011/11/09 12:00:00 2011/11/10 12:00:00 2011/11/10 02:46:48 UV 2.16.840.1.113883.3.1391 hinext HInext Inc Jonathan Steljes masked Jonathan Steljes 4166990123 masked HInext Inc 67 Mowat Ave., Suite 335 Toronto, Ontario M6K 3E3, Canada 4166990123 jonathan.steljes@hinext.com http://www.hinext.com Vendor Int 3 Complete 2011/11/09 12:00:00 2011/11/10 12:00:00 2011/11/10 02:48:26 UV 2.16.840.1.113883.3.1392 hsX EHR Exchange by Vidant Health James Black masked James Black 2190 Beasley Drive Greenville, NC 27834 252-847-3533 masked Technical Lead EHR Exchange by Vidant Health jblack@vidanthealth.com Exchange Int 3 Complete 2011/11/10 12:00:00 2011/11/10 12:00:00 2012/03/09 11:14:29 UV 2.16.840.1.113883.3.1393 fchc-01 Fulton County Health Center Larry Hefflinger masked Larry Hefflinger 725 S. Shoop Ave Wauseon, OH. 43567 419-330-2625 masked Director Information Systems, Fulton County Health Center Fulton County Health Center lhefflinger@fulhealth.org Provider Int 3 Complete 2011/11/10 12:00:00 2011/11/10 12:00:00 2011/11/10 02:52:00 UV 2.16.840.1.113883.3.1394 ncshp North Carolina State Health Plan for Teachers and State Employees Angie Yow masked patricia.rowe@shpnc.org Angie Yow 4901 Glenwood Avenue Suite 150 Raleigh, NC 27612-3820 (919)571-4716 masked Clinical Risk Management Coordinator North Carolina State Health Plan for Teachers and State Employees 4901 Glenwood Avenue Suite 150 Raleigh, NC 27612-3820 (919)881-2300 angie.yow@shpnc.org Payor Int 3 Complete 2011/11/10 12:00:00 2011/11/10 12:00:00 2011/11/10 04:03:04 UV 1.2.36.1.2001.1005.31 medViewPatientIdentifier MedView patient identifier Paul Watt masked Paul Watt NEHTA Brisbane, PO Box 5190, West End. QLD 4101 +617 3023 8553 masked MedView 20 Trenerry Crescent, Abbotsford VIC 3067 1300721103 jason.bratuskins@fred.com.au http://www.medview.com.au/ Vendor Ext 13 13 Complete 1.2.36.1.2001.1005.31 2011/11/10 12:00:00 2011/11/21 12:00:00 2011/11/21 02:18:34 AU 1.2.36.1.2001.1005.32 medViewIndividualCustomerIdentifier MedView individual customer identifier Paul Watt masked Paul Watt NEHTA Brisbane, PO Box 5190, West End. QLD 4101 +617 3023 8553 masked MedView 20 Trenerry Crescent, Abbotsford VIC 3067 1300721103 jason.bratuskins@fred.com.au http://www.medview.com.au/ Vendor Ext 13 13 Complete 1.2.36.1.2001.1005.32 2011/11/10 12:00:00 2011/11/21 12:00:00 2011/11/21 02:22:43 AU 1.2.36.1.2001.1005.33 medViewIndividualCustomerIdentifierDispense MedView individual customer identifier dispense Paul Watt masked Paul Watt NEHTA Brisbane, PO Box 5190, West End. QLD 4101 +617 3023 8553 masked MedView 20 Trenerry Crescent, Abbotsford VIC 3067 1300721103 jason.bratuskins@fred.com.au http://www.medview.com.au/ Vendor Ext 3 Complete 1.2.36.1.2001.1005.33 2011/11/10 12:00:00 2011/11/21 12:00:00 2011/11/21 02:23:25 AU 1.2.36.1.2001.1005.34 medViewDispensedItemIdentifier MedView dispensed item identifier Paul Watt masked Paul Watt NEHTA Brisbane, PO Box 5190, West End. QLD 4101 +617 3023 8553 masked MedView 20 Trenerry Crescent, Abbotsford VIC 3067 1300721103 jason.bratuskins@fred.com.au http://www.medview.com.au/ Vendor Ext 13 13 Complete 1.2.36.1.2001.1005.34 2011/11/10 12:00:00 2011/11/21 12:00:00 2011/11/21 02:24:56 AU 1.2.36.1.2001.1005.35 medViewTransactionIdentifier MedView transaction identifier Paul Watt masked Paul Watt NEHTA Brisbane, PO Box 5190, West End. QLD 4101 +617 3023 8553 masked MedView 20 Trenerry Crescent, Abbotsford VIC 3067 1300721103 jason.bratuskins@fred.com.au http://www.medview.com.au/ Vendor Ext 13 13 Complete 1.2.36.1.2001.1005.35 2011/11/10 12:00:00 2011/11/21 12:00:00 2011/11/21 02:25:43 AU 1.2.36.1.2001.1005.36 medViewPrescriptionItemIdentifier MedView prescription item identifier Paul Watt masked Paul Watt NEHTA Brisbane, PO Box 5190, West End. QLD 4101 +617 3023 8553 masked MedView 20 Trenerry Crescent, Abbotsford VIC 3067 1300721103 jason.bratuskins@fred.com.au http://www.medview.com.au/ Vendor Ext 13 13 Complete 1.2.36.1.2001.1005.36 2011/11/10 12:00:00 2011/11/21 12:00:00 2011/11/21 02:26:37 AU 1.2.36.1.2001.1005.37 medViewOrganisationCustomerIdentifierPrescribe MedView organisation customer identifier - Prescribe Paul Watt masked Paul Watt NEHTA Brisbane, PO Box 5190, West End. QLD 4101 +617 3023 8553 masked MedView 20 Trenerry Crescent, Abbotsford VIC 3067 1300721103 jason.bratuskins@fred.com.au http://www.medview.com.au/ Vendor Ext 13 13 Complete 1.2.36.1.2001.1005.37 2011/11/10 12:00:00 2011/11/21 12:00:00 2011/11/21 02:27:47 AU 1.2.36.1.2001.1005.38 medViewOrganisationCustomerIdentifierDispense MedView organisation customer identifier - Dispense Paul Watt masked Paul Watt NEHTA Brisbane, PO Box 5190, West End. QLD 4101 +617 3023 8553 masked MedView 20 Trenerry Crescent, Abbotsford VIC 3067 1300721103 jason.bratuskins@fred.com.au http://www.medview.com.au/ Vendor Ext 13 13 Complete 1.2.36.1.2001.1005.38 2011/11/10 12:00:00 2011/11/21 12:00:00 2011/11/21 02:28:43 AU 1.2.36.1.2001.1005.39 medViewMessageIdentifier MedView message identifier Paul Watt masked Paul Watt NEHTA Brisbane, PO Box 5190, West End. QLD 4101 +617 3023 8553 masked MedView 20 Trenerry Crescent, Abbotsford VIC 3067 1300721103 jason.bratuskins@fred.com.au http://www.medview.com.au/ Vendor Ext 13 13 Complete 1.2.36.1.2001.1005.39 2011/11/10 12:00:00 2011/11/21 12:00:00 2011/11/21 02:30:23 AU 2.16.840.1.113883.3.1395 helix Helix OID Root Konrad Kim masked Ray Vuono Konrad Kim 801 Motor Parkway Suite 102, Hauppauge, NY 11788 1-631-403-0062 masked Helix Data Services 801 Motor Parkway Suite 102, Hauppauge, NY 11788 1-631-403-0062 info@helixds.com http://www.helixds.com Vendor Int 3 Complete 2011/11/10 12:00:00 2011/11/21 12:00:00 2011/11/21 02:32:17 UV 2.25.72914256081732810622266284389386536219 famc Fremont Area Medical Center Val Kollath masked Val H. Kollath Fremont Area Medical Center 450 E 23rd St Fremont, NE 68025 402-727-3712 masked Manager, I.S. Applications Fremont Area Medical Center 450 E 23rd St Fremont, NE 68025 402-727-3451 vkollath@famc.org http://www.famc.org Provider 2.25.72914256081732810622266284389386536219 Ext 4 Complete 2.25.72914256081732810622266284389386536219 2011/11/11 12:00:00 2011/11/21 12:00:00 2011/11/21 02:48:07 UV 2.16.840.1.113883.3.1396 shs Stamford Health System Craig Dunn masked Craig Dunn One Hospital Plaza PO Box 9317 Stamford, CT 06904 2032762219 masked Manager, System Integration Stamford Health System One Hospital Plaza PO Box 9317 Stamford, CT 06904 2032761000 info@stamhealth.org http://www.stamfordhospital.org Exchange Int 3 Complete 2011/11/11 12:00:00 2011/11/11 12:00:00 2019/02/13 08:37:12 UV 2.16.840.1.113883.3.1397 famc-oid Fremont Area Medical Center Val Kollath masked Val H. Kollath 450 E 23rd St Fremont, NE 68025 402-727-3712 masked Manager, I.S. Applications Fremont Area Medical Center 450 E 23rd St Fremont, NE 68025 402-727-3451 vkollath@famc.org http://www.famc.org Provider Int 3 Complete 2011/11/11 12:00:00 2011/11/21 12:00:00 2011/11/21 02:53:17 UV 2.16.840.1.113883.3.1398 oghmo Our general hospital John Doe masked John Doe 1234 Main St. Kansas City, MO 12345 (123) 456-1111 masked Our General Hospital 1234 Main St. Kansas City, MO 12345 (123) 456-2222 our.general@yahoo.com Provider Int 3 3 Complete 2011/11/11 12:00:00 2011/11/21 12:00:00 2011/11/21 02:55:39 Leave Blank UV 2.16.840.1.113883.3.1399 angel-medical-center Angel Medical Center Gary Hanold masked Gary Hanold 120 Riverview Street Franklin, NC 28734 828-369-4225 masked Director of Information Systems Angel Medical Center 120 Riverview Street Franklin, NC 28734 828-524-8411 ghanold@angelmed.org http://www.angelmed.org Provider Int 3 Complete 2011/11/11 12:00:00 2011/11/21 12:00:00 2011/11/21 02:58:50 UV 2.16.840.1.113883.3.1400 pedchiro Pedersen Chiropractic Center Jeffrey Pedersen masked Jeffrey Pedersen 2920 W Park Row #100 Pantego, TX 76013 817-277-1111 masked Pedersen Chiropractic Center 2920 W Park Row #100 Pantego, TX 76013 817-277-1111 pedchiro@swbell.net Provider Int 3 Complete 2011/11/11 12:00:00 2011/11/21 12:00:00 2011/11/21 03:03:56 UV 2.16.840.1.113883.3.1401 ehn Einstein Healthcare Network Richard Amelio masked Richard Amelio 1000 W Tabor Rd Philadelphia, PA 19141 215-456-1710 masked Manager, Interfaces and Integration Einstein Healthcare Network 1000 W Tabor Rd Philadelphia PA 19141 215-456-7890 LevitanK@einstein.edu Provider Int 3 3 Complete 2011/11/12 12:00:00 2011/11/21 12:00:00 2011/11/21 03:06:24 UV 1.2.36.1.2001.1005.21 australianDHSModificationsMBSDVAItem Australian Department of Human Services Modifications of MBS Item and DVA Fee Schedule Item Paul Watt masked Help Centre Australian Digital Health Agency Level 17, 1 Eagle Street, Brisbane QLD 4000 Australia +61 1300 901 001 masked Department of Human Services Department of Human Services PO Box 7788 Canberra BC ACT 2610 132011 medicare@humanservices.gov.au https://www.humanservices.gov.au/ Govt body Ext 15 15 Complete 1.2.36.1.2001.1005.21 2011/11/13 12:00:00 2011/11/21 12:00:00 2018/01/21 07:58:47 AU 1.2.36.1.2001.1005.22 australianDHSModifiedPBSScheduleItem Australian Department of Human Services Modified PBS Schedule Item Paul Watt masked Help Centre Australian Digital Health Agency Level 17, 1 Eagle Street, Brisbane QLD 4000 Australia +61 1300 901 001 masked Department of Human Services Department of Human Services PO Box 7788 Canberra BC ACT 2610 132011 medicare@humanservices.gov.au https://www.humanservices.gov.au/ Govt body Ext 15 15 Complete 1.2.36.1.2001.1005.22 2011/11/13 12:00:00 2011/11/21 12:00:00 2018/01/21 07:40:59 AU 1.2.36.1.2001.1005.23 australianPBSManufacturerCode Australian PBS Manufacturer Code Paul Watt masked Paul Watt NEHTA Brisbane, PO Box 5190, West End. QLD 4101 +617 3023 8553 masked Department of Health and Ageing GPO Box 9848 Canberra ACT 2601 +612 6289 1555 david.reddy@health.gov.au http://www.health.gov.au/ Govt body Ext 15 15 Complete 1.2.36.1.2001.1005.23 2011/11/13 12:00:00 2011/11/21 12:00:00 2011/11/21 03:12:23 AU 1.2.36.1.2001.1005.24 australianStreamlinedAuthorityApprovalNumber Australian Streamlined Authority Approval Number Paul Watt masked Paul Watt NEHTA Brisbane, PO Box 5190, West End. QLD 4101 +617 3023 8553 masked Department of Health and Ageing GPO Box 9848 Canberra ACT 2601 +612 6289 1555 david.reddy@health.gov.au http://www.health.gov.au/ Govt body Ext 15 15 Complete 1.2.36.1.2001.1005.24 2011/11/13 12:00:00 2011/11/21 12:00:00 2011/11/21 03:14:31 AU 2.16.840.1.113883.3.1402 cgrmc Casa Grande Regional Medical Center Stacy Pharis masked Stacy Pharis 1800 East Florence Blvd Casa Grande, AZ 85122 520-381-6623 masked System Integration Casa Grande Regional Medical Center 1800 East Florence Blvd Casa Grande, AZ 85122 520-381-6300 networkadministrator@cgrmc.org http://www.casagrandehospital.com Provider Int 3 3 Complete 2011/11/14 12:00:00 2011/11/21 12:00:00 2011/11/21 03:15:58 UV 2.16.840.1.113883.3.1403 cbrownmd Christine D. Brown, M.D., P.A. Sarah Chapman masked Dr. Christine D. Brown 3801 Gaston Avenue, Suite 302 Dallas, TX 75246 214-828-0016 masked Physician Christine D. Brown, M.D., P.A. 3801 Gaston Avenue, Suite 302 Dallas, TX 75246 214-828-0016 scheduling@christinebrownmd.com http://christinebrownmd.com Provider Int 3 Complete 2011/11/14 12:00:00 2011/11/21 12:00:00 2011/11/21 03:17:58 UV 2.16.840.1.113883.4.516 saratogaHospital Saratoga Hospital Mark Pidgeon masked Mark Saratoga Hospital 211 Church Street Saratoga Springs, NY 12866 518-580-2693 masked Clinical Infrastructure Lead Peter Hart Saratoga Hospital 211 Church Street Saratoga Springs, NY 12866 518-580-2866 pmhart@saratogahospital.org http://www.saratogahospital.org/ Provider Int 3 Complete 2011/11/15 12:00:00 2011/11/21 12:00:00 2021/09/03 03:01:07 UV 2.16.840.1.113883.4.517 f-chn Franklin Community Health Network Kathryn Horton masked Ralph Johnson Ralph Johnson 207 779-3154 masked CIO Franklin Community Health Network 111 Franklin Health Commons Farmington, ME 04938 207 779-3154 rjohnson@fchn.org Provider Int 3 Complete 2011/11/15 12:00:00 2011/11/21 12:00:00 2011/11/21 03:28:50 UV 2.16.840.1.113883.3.1404 microfour MicroFour, Inc. OID - Deprecated 1 Erika Myers masked W Jay Taylor MicroFour, Inc. 7118 I-40 West Bldg D Amarillo, TX 79106 806.463.7007 masked V.P. W Jay Taylor MicroFour, Inc. 7118 I-40 West Bldg D Amarillo, TX 79106 806.463.7007 wjtaylor@micro4.com http://www.micro4.com Vendor 2.16.840.1.113883.4.393 Int 3 Deprecated 2011/11/15 12:00:00 2011/11/21 12:00:00 2013/04/10 03:46:26 UV 2.16.840.1.113883.3.1405 kernodle-clinic Kernodle Clinic, Inc. Authority Jeffre Brown masked Jeff Brown 1234 Huffman Mill Road Burlington, NC 27215 336-538-1234 masked Principal Software Architect / Interoperability Specialist Kernodle Clinic, Inc. 1234 Huffman Mill Road Burlington NC, 27215 336-538-1234 jeff.brown@kernodle.com http://www.kernodle.com Provider Int 3 3 Complete 2011/11/16 12:00:00 2011/11/21 12:00:00 2013/12/08 12:49:00 US 2.16.840.1.113883.3.1406 haneschiropractic Hanes Chiropractic Wellness Center Dr. Coby Hanes masked Dr. Coby L. Hanes 446 NW THIRD STREET SUITE 200 PRINEVILLE, OR 97754 541-447-7230 masked Doctor/owner Dr. Coby Hanes 446 NW THIRD STREET SUITE 200 PRINEVILLE, OR 97754 541-447-7230 dochanes@center4wellness.com http://www.center4wellness.com Provider Int 3 Complete 2011/11/16 12:00:00 2011/11/21 12:00:00 2011/11/21 03:38:11 UV 2.16.840.1.113883.3.1407 avera-corp Avera Corporate OID Mike Von Bergen masked Mike Von Bergen 3900 W. Avera Dr. Sioux Falls, SD 57108 605-322-6020 masked Director ITC Avera 3900 W. Avera Dr. Sioux Falls, SD 57108 605-322-8000 mike.vonbergen@avera.org http://www.avera.org Provider Int 3 Complete 2011/11/16 12:00:00 2011/11/21 12:00:00 2011/11/21 03:38:53 UV 2.16.840.1.113883.3.1408 avera-asl Avera St. Lukes Mike Von Bergen masked Mike Von Bergen 3900 W. Avera Drive Sioux Falls, SD 57108 605-322-6020 masked Director ITC Avera St. Lukes - Aberdeen, SD 3900 W. Avera Drive Sioux Falls, SD 57108 605-322-8000 mike.vonbergen@avera.org http://www.avera.org Provider Int 3 Complete 2011/11/16 12:00:00 2011/11/21 12:00:00 2011/11/21 03:40:55 UV 2.16.840.1.113883.3.1409 avera-frc Avera Freeman Community Hospital Mike Von Bergen masked Mike Von Bergen 3900 W. Avera Dr. Sioux Falls, SD 57108 605-322-6020 masked Director ITC Avera Freeman Community Hospital 3900 W. Avera Dr. 605-322-8000 mike.vonbergen@avera.org http://www.avera.org Provider Int 3 Complete 2011/11/16 12:00:00 2011/11/21 12:00:00 2011/11/21 03:41:59 UV 2.16.840.1.113883.3.1410 avera-mck Avera McKennan Mike Von Bergen masked Mike Von Bergen 3900 W. Avera Dr. Sioux Falls, SD 57108 605-322-6020 masked Director ITC Avera McKennan 3900 W. Avera Dr. Sioux Falls, SD 57108 605-322-8000 mike.vonbergen@avera.org http://www.avera.org Provider Int 3 Complete 2011/11/16 12:00:00 2011/11/21 12:00:00 2011/11/21 03:42:53 UV 2.16.840.1.113883.3.1411 avera-mrm Avera Marshall Mike Von Bergen masked Mike Von Bergen 3900 W. Avera Dr. Sioux Falls, SD 57108 605-322-6020 masked Director ITC Avera Marshall 3900 W. Avera Dr. Sioux Falls, SD 57108 605-322-8000 mike.vonbergen@avera.org http://www.avera.org Provider Int 3 Complete 2011/11/16 12:00:00 2011/11/21 12:00:00 2011/11/21 03:44:30 UV 2.16.840.1.113883.3.1412 avera-qop Avera Queen of Peace Mike Von Bergen masked Mike Von Bergen 3900 W. Avera Dr. Sioux Falls, SD 57108 605-322-6020 masked Director ITC Avera Queen of Peace 3900 W Avera Dr. Sioux Falls, SD 57108 605-322-8000 mike.vonbergen@avera.org http://www.avera.org Provider Int 3 Complete 2011/11/16 12:00:00 2011/11/21 12:00:00 2011/11/21 03:45:39 UV 2.16.840.1.113883.3.1413 avera-rcm Avera Redfield Community Memorial Hospital Mike Von Bergen masked Mike Von Bergen 3900 W. Avera Dr. Sioux Falls, SD 57108 605-322-6020 masked Director ITC Avera Redfield Community Memorial Hospital 3900 W. Avera Dr. Sioux Falls, SD 57108 605-322-8000 mike.vonbergen@avera.org http://www.avera.org Provider Int 3 Complete 2011/11/16 12:00:00 2011/11/21 12:00:00 2011/11/21 03:46:39 UV 2.16.840.1.113883.3.1414 avera-shh Avera Sacred Heart Mike Von Bergen masked Mike Von Bergen 3900 W. Avera Dr. Sioux Falls, SD 57108 605-322-6020 masked Director ITC Director ITC 3900 W. Avera Dr. 605-322-8000 mike.vonbergen@avera.org http://www.avera.org Provider Int 3 Complete 2011/11/16 12:00:00 2011/11/21 12:00:00 2011/11/21 03:47:51 UV 2.16.840.1.113883.3.1415 avera-aslltc Avera St. Lukes Long Term Care Mike Von Bergen masked Mike Von Bergen 3900 W. Sterling Dr. Sioux Falls, SD 57108 605-322-6020 masked Director ITC Avera St. Lukes Long Term Care 3900 W. Avera Dr. Sioux Falls, SD 57108 605-322-8000 mike.vonbergen@avera.org http://www.avera.org Provider Int 3 Complete 2011/11/16 12:00:00 2011/11/21 12:00:00 2011/11/21 03:49:06 UV 2.16.840.1.113883.3.1416 avera-mckltc Avera McKennan Prince of Peace Long Term Care Mike Von Bergen masked Mike Von Bergen 3900 W. Avera Dr. Sioux Falls, SD 57108 605-322-6020 masked Director ITC Avera McKennan Prince of Peace Long Term Care 3900. W. Avera Dr. Sioux Falls, SD 57108 605-322-8000 mike.vonbergen@avera.org http://www.avera.org Provider Int 3 Complete 2011/11/16 12:00:00 2011/11/21 12:00:00 2011/11/21 03:50:03 UV 2.16.840.1.113883.17.46 cwtmdpa95 Clifford W Toliver MD PA Clifford Toliver masked Clifford W Toliver MD 310 Central Ave Ste 201 East Orange NJ 07018 973-676-676-6207 masked Clifford W Toliver MD PA 310 Central Ave Ste 201 East Orange NJ 07018 973-676-6207 cwtmdpa95@aol.com Provider Int 17 Complete 2011/11/16 12:00:00 2011/11/21 12:00:00 2011/11/21 03:51:24 UV 2.16.840.1.113883.3.1417 avera-mrmltc Avera Marshall Long Term Care Mike Von Bergen masked Mike Von Bergen 3900 W. Avera Dr. 605-322-6020 masked Director ITC Avera Marshall Long Term Care 3900 W. Avera Dr. Sioux Falls, SD 57108 605-322-8000 mike.vonbergen@avera.org http://www.avera.org Provider Int 3 Complete 2011/11/16 12:00:00 2011/11/21 12:00:00 2011/11/21 03:55:35 UV 2.16.840.1.113883.3.1418 avera-qopltc Avera Queen of Peace Long Term Care Mike Von Bergen masked Mike Von Bergen 3900 W. Avera Dr. Sioux Falls, SD 57108 605-322-6020 masked Director ITC Avera Queen of Peace Long Term Care 3900 W. Avera Dr. Sioux Falls, SD 57108 605-322-8000 mike.vonbergen@avera.org http://www.avera.org Provider Int 3 Complete 2011/11/16 12:00:00 2011/11/21 12:00:00 2011/11/21 03:56:33 UV 2.16.840.1.113883.3.1419 avera-shhltc Avera Sacred Heart Long Term Care Mike Von Bergen masked Mike Von Bergen 3900 W. Avera Dr. Sioux Falls, SD 57108 605-322-6020 masked Director ITC Avera Sacred Heart Long Term Care 3900 W. Avera Dr. Sioux Falls, SD 57108 605-322-8000 mike.vonbergen@avera.org http://www.avera.org Provider Int 3 Complete 2011/11/16 12:00:00 2011/11/21 12:00:00 2011/11/21 03:57:37 UV 2.16.840.1.113883.3.1420 vhw Vitality Health & Wellness, LLC Andrew Levinson MD masked Andrew Levinson 801 Fourth Street Miami Beach FL 33139 305-466-1100 masked Medical Director Vitality Health & Wellness, LLC 801 Fourth Street Miami Beach, FL 33139 305-466-1100 officemgr@vitalitywellness.com http://www.vitalitywellness.com Provider Int 3 Complete 2011/11/17 12:00:00 2011/11/21 12:00:00 2011/11/21 03:59:28 UV 2.16.840.1.113883.3.1421 ahs-hci Adventist Health Systems Home Community ID Judy Best masked Catherine Cosby AHS IS 1035 Greenwood BLvd Suite 301 Lake Mary, FL. 32746 407-942-1496 masked VP Adventist Health System 1035 Greenwood Blvd Suite 301 Lake Mary, FL 32746 407-942-1500 judy.best@ahss.org http://www.ahss.org Provider Int 3 Complete 2011/11/17 12:00:00 2011/11/21 12:00:00 2011/11/21 04:04:16 UV 2.16.840.1.113883.3.1422 ahs-registry Adventist Health System Registry Judy Best masked Catherine Cosby Judy Best 1035 Greenwood Blvd Suite 301 Lake Mary, FL 32746 4079421496 masked VP Adventist Health System 1035 Greenwood Blvd Suite 301 Lake Mary, FL 32746 407-942-1500 judy.best@ahss.org http://www.ahss.org Provider Int 3 Complete 2011/11/17 12:00:00 2011/11/21 12:00:00 2011/11/21 04:05:26 UV 2.16.840.1.113883.3.1423 mmr Massena Memorial Hospital Ty Batten masked Ty Batten 1 Hospital Drive Massena NY 13662 3158423058 masked Applications Coordinator Massena Memorial Hospital 1 Hospital Drive Massena, NY 13662 3157694316 jlawrence@massenahospital.org http://www.massenahospital.org Provider Int 3 Complete 2011/11/17 12:00:00 2011/11/21 12:00:00 2011/11/21 04:06:28 UV 2.16.840.1.113883.4.518 cuyuna Cuyuna Regional Medical Center Nate Marshall masked Lisa HennenTupy Lisa HennenTupy 320 East Main Street Crosby, MN 56441 218-232-6307 masked Clinical IT Specialist Cuyuna Regional Medical Center 320 East Main Street Crosby, MN 56441 218-546-7000 info@crosbymed.org http://www.cuyunamed.org/ Provider Int 3 Complete 2011/11/17 12:00:00 2011/11/21 12:00:00 2011/11/21 04:08:50 UV 2.16.840.1.113883.3.1424 d-CSHOR Center for Semantic Health Ontology Research James Wooten masked James Wooten 4414 Chase Park Ct Annandale VA 22003 (540) 226-0175 masked Research Scientist Center for Semantic Health Ontology Research jwooten@deloitte.com Vendor Int 3 Complete 2011/11/17 12:00:00 2011/11/21 12:00:00 2011/11/21 04:12:45 UV 2.16.840.1.113883.3.1425 elCaminoHosp-SCM El Camino Hospital Sunrise Clinical Manager Maritza Lew masked Maritza Lew El Camino Hospital 2500 Grant Road ECHG50 Mountain View, CA 94040 650-988-7775 masked Project Manager El Camino Hospital El Camino Hospital 2500 Grant Road ECHG50 Mountain View, CA 94040 650-988-7775 Maritza_Lew@elcaminohospital.org Vendor Int 3 Complete 2011/11/17 12:00:00 2011/11/21 12:00:00 2012/03/06 12:52:20 UV 2.16.840.1.113883.3.1426 sunLifeFinancial SunLife Financial John Sekeres masked John Sekeres SunLife Building 1155 Metcalfe street Montreal, QC CANADA H3B 2V6 514-866-6411 ext 4360 masked Application Designer SunLife Financial SunLife Building 1155 Metcalfe street Montreal, QC CANADA H3B 2V6 514-866-6411 john.r.sekeres@sunlife.com Payor Int 3 3 Complete 2011/11/18 12:00:00 2011/11/21 12:00:00 2011/11/21 04:14:57 UV 2.16.840.1.113883.3.1427 nu-FSM-GIM Northwestern University Feinberg School of Medicine Division of General Internal Medicine William Thompson masked William Thompson 312-503-2750 masked Senior Research Associate Northwestern University Feinberg School of Medicine Department of Medicine Northwestern University Feinberg School of Medicine 251 East Huron Street, Galter Suite 3-150, Chicago, IL 60611 312-503-6400 fsm-research@northwestern.edu http://www.medicine.northwestern.edu/divisions/general-internal-medicine Academic Int 3 Complete 2011/11/18 12:00:00 2011/11/21 12:00:00 2011/11/21 04:17:02 UV 2.16.840.1.113883.3.1429 pain INSTITUTE OF PAIN MANAGEMENT P.C. Vivian Nguyen masked Trang, Liem Q D.O. 3328 N CLASSEN BLVD OKLAHOMA CITY, OK73118 405-524-5200 masked D.O. INSTITUTE OF PAIN MANAGEMENT P.C. 3328 N CLASSEN BLVD OKLAHOMA CITY, OK73118 405-524-5200 liemtrangdo@gmail.com https://www.theinstituteofpainmanagement.com Provider Int 3 Complete 2011/11/18 12:00:00 2011/11/21 12:00:00 2011/11/21 04:19:28 UV 2.16.840.1.113883.3.567.12.1 fdbMEDID fdb Medication ID George Robinson masked Mili Gera George Robinson First Databankc, Inc 500 East 96th Street, Suite 500 Indianapolis, IN 46240 317.571.7390 masked Product Manager First Databank, Inc 701 Gateway Boulevard, Suite 400 South San Francisco, CA 94080 800.633.3453 cc@firstdatabank.com http://www.firstdatabank.com/ Vendor 2.16.840.1.113883.3.567 Ext 15 6 Complete 2.16.840.1.113883.3.567.12.1 2011/11/21 12:00:00 2011/11/21 12:00:00 2011/11/22 09:31:40 US 2.16.840.1.113883.3.1430 kaplanchiro Kaplan Chiropractic Amanda MacDonald masked Benjamin S. Kaplan Amanda MacDonald 2 Craftsman Lane Amherst, NH 03031 6038860886 masked Kaplan Chiropractic Benjamin S. Kaplan, D.C. 2 Craftsman Lane Amherst, NH 03031 6038860866 kaplanchiro2@gmail.com http://www.kaplanchiro-nh.com Provider Int 3 Complete 2011/11/21 12:00:00 2011/11/21 12:00:00 2011/11/21 04:26:26 UV 2.16.840.1.113883.3.1432 oidlrmc OID Lane Regional Medical Center Scarlet Collier masked Scarlet Collier Lane Regional Medical Center 6300 Main Street Zachary,LA 70791 225-658-4173 masked I.S. Department Director Lane Regional Medical Center 6300 Main Street Zachary,LA 70791 225-658-4000 scollier@lanermc.org Provider Int 3 Complete 2011/11/21 12:00:00 2011/11/21 12:00:00 2011/11/21 04:29:59 UV 2.16.840.1.113883.3.1433 olmstedmedicalcenter Root OID for Olmsted Medical Center Rochester, MN Kristine Riess masked Sue Schuett Kristine Riess 1650 4th ST SE Rochester, MN 55904 507-529-6944 masked IT Director Olmsted Medical Center 210 9th ST SE Rochester, MN 55904 507-288-3443 kriess@olmmed.org http://olmstedmedicalcenter.org Provider Int 3 Complete 2011/11/21 12:00:00 2011/11/21 12:00:00 2023/02/01 11:28:34 UV 2.16.840.1.113883.3.1434 theCollegeOfAmericanPathologists College of American Pathologists Mary Kennedy masked Mary Kennedy, CT(ASCP), MPH 500 Lake Cook Road Deerfield. Il 60615 800-323-4040 ext. 7261 masked Director, Clinical Informatics Initiatives College of American Pathologists 325 N Waukegan Rd Northfield, Il 60093-2750 847-832-7000 mkenned@cap.org http://www.cap.org Prof Soc Int 3 Complete 2011/11/21 12:00:00 2011/11/21 12:00:00 2012/03/31 09:21:59 UV 2.16.840.1.113883.3.1435 oh-oid Orlando Health Beth Patino masked briana.kelley@orlandohealth.com Beth Patino 1414 Kuhl Avenue Orlando, FL 32806 321 841-6400 masked Chief Applications and Projects officer Beth Patino 1414 Kuhl Avenue Orlando, FL 32806 321 841-6400 beth.patino@orlandohealth.com http://www.orlandohealth.com Provider Int 3 Complete 2011/11/22 12:00:00 2011/11/29 12:00:00 2011/11/29 08:29:52 v 2.3 US 2.16.840.1.113883.3.1436 chphie Continuum Health Partners Health Information Exchange Nonie Pegoraro masked Nonie Pegoraro Continuum Health Partners Inc. 555 West 57th Street Information Services Department 5th Floor Room 111 New York, New York 10019 USA 212-636-8565 masked Sr. Manager Clinical Informatics and Analytics Continuum Health Partners Inc. Continuum Health Partners Inc. 555 West 57th Street Information Services Department New York, New York 10019 USA 212-636-8565 npegoraro@chpnet.org http://www.chpnyc.org/ Exchange Int 3 Complete 2011/11/22 12:00:00 2011/11/29 12:00:00 2011/11/29 08:33:44 UV 2.16.840.1.113883.3.1437 fitzgibbon-hospital John Fitzgibbon Memorial Hospital Thomas Jones masked Sheila Blalock Thomas Jones 2305 S Hwy 65 Marshall, MO 65340 660-831-3214 masked CIO Fitzgibbon Hospital 2305 S Hwy 65 Marshall, MO 65340 660-886-7431 tjones@fitzgibbon.org http://www.fitzgibbon.org Provider Int 3 Complete 2011/11/22 12:00:00 2011/11/29 12:00:00 2017/04/06 03:15:57 UV 2.16.840.1.113883.3.1438 stAgnes Saint Agnes Hospital Jonathan Schoemann masked Jonathan Schoemann 410-368-3110 masked Manager of Integration St. Agnes Hospital 900 Caton Avenue Baltimore MD 21229 410-368-6000 jschoema@stagnes.org http://www.stagnes.org Provider Int 3 Complete 2011/11/22 12:00:00 2011/11/29 12:00:00 2011/11/29 08:38:46 UV 2.16.840.1.113883.4.519 nrchunuru NAGESWARA R CHUNDURU MD NAGESWARA CHUNDURU masked YVONNE KNAPP 528 N UNIVERSITY ST MURFREESBORO, TN 37130 615-867-3780 masked office manager NAGESWARA R CHUNDURU 528 N UNIVERSITY ST MURFREESBORO TN 37130 615-867-3780 knapp_yvonne@yahoo.com Provider Int 3 Complete 2011/11/22 12:00:00 2011/11/29 12:00:00 2011/11/29 08:43:19 UV 2.16.840.1.113883.6.303 fdaProductClassificationSystem FDA Product Classification System William Hess masked William A. Hess Food and Drug Administration 10903 New Hampshire Ave WO32-Room 4152 Silver Spring MD 20993-0002 3017968494 masked Pharmacist Food and Drug Administration Data Standards Council Food and Drug Administration 10903 New Hampshire Ave WO32-Room 4152 Silver Spring MD 20993-0002 3017968494 william.hess@fda.hhs.gov http://www.fda.gov/ForIndustry/DataStandards/default.htm Govt body Int 6 Complete 2011/11/22 12:00:00 2011/11/29 12:00:00 2011/11/29 08:46:01 UV 2.16.840.1.113883.3.1439 slrhc St. Luke's-Roosevelt Hospital Center Colleen Lyons masked Colleen M. Lyons 555 West 57th St. 19th Flr., IT Dept. New York, New York 10019 212-636-8126 masked Corporate Director St. Luke's-Roosevelt Hospital Center St. Luke's Division 1111 Amsterdam Ave. at 114th St. New York, NY 10025 Roosevelt Division 1000 Tenth Ave. at 58th St. New York, NY 10019 212-523-4000 clyons@chpnet.org http://www.wehealny.org Provider Int 3 Complete 2011/11/22 12:00:00 2011/11/29 12:00:00 2011/11/29 08:47:34 UV 2.16.840.1.113883.3.1440 jmc Jackson Madison County General Hospital Mike Garner masked Mike Garner 620 Skyline Drive Jackson, TN 38301 731-541-6418 masked Team Leader Data Integration Mike Garner 620 Skyline Drive Jackson, TN 38301 731-541-6418 mike.garner@wth.org Provider Int 3 Complete 2011/11/23 12:00:00 2011/11/29 12:00:00 2011/11/30 10:11:30 UV 2.16.840.1.113883.3.1436.3 umpa1 University Medical Practice Associates Nonie Pegoraro masked Nonie Pegoraro Continuum Health Partners Inc. 555 West 57th Street Information Services Department New York, New York 10019 USA 212-636-8565 masked Sr. Manager Clinical Informatics and Analytics University Medical Practice Associates University Medical Practice Associates 1090 Amsterdam Ave., 4th Floor, New York, NY 10025 (212) 315-0144 npegoraro@chpnet.org http://www.umpa.com/ Provider 2.16.840.1.113883.3.1436 Ext 4 4 Complete 2.16.840.1.113883.3.1436.3 2011/11/23 12:00:00 2011/11/29 12:00:00 2011/11/29 09:18:57 UV 2.16.840.1.113883.3.1441 pmwkh Provation Medical / Wolters Kluwer Health Jose Espinoza masked Eric Kizewski Jose Ricardo Espinoza QuadraMed 901 Via Piemonte, Suite 300 Ontario, Ca 91764 909-379-0637 masked Senior Systems Engineer Eric Kizewski ProVation Medical/Wolters Kluwer Health 800 Washington Ave Suite 400 Minneapolis, MN 55401 612-217-5240 Eric.Kizewski@provationalmedical.com http://www.provationalmedical.com Vendor Int 3 3 Complete 2011/11/23 12:00:00 2011/11/29 12:00:00 2011/11/29 08:54:37 2 UV 2.16.840.1.113883.3.1070.5009 mckesson-fusion-5009 mckesson-fusion-5009 Bao Lee masked Bao Lee 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5009 2011/11/23 12:00:00 2011/11/29 12:00:00 2011/11/29 09:12:50 US 2.16.840.1.113883.3.1442 may-hettler May and Hettler, OD PC David Hettler masked David 6287 Franconia Rd Alexandria, VA 22310 703-971-7000 masked Owner MAY AND HETTLER, OD, PC 6287 Franconia Rd Alexandria, VA 22310 703-971-7000 INFO@FORSIGHTUSA.COM http://WWW.ForSightUSA.com Provider Int 3 Complete 2011/11/23 12:00:00 2011/11/29 12:00:00 2011/11/29 08:56:26 UV 2.16.840.1.113883.3.1436.4 ryan William F. Ryan Community Health Network Nonie Pegoraro masked Adam Fleming William F Ryan Community Health Network 110 West 97th street New York, NY 10025 USA 646-372-1545 masked Director of Information Technology The Ryan Health Network William F Ryan Community Health Network 110 West 97th street New York, NY 10025 USA 646-372-1545 Adam.Fleming@ryancenter.org http://www.ryancenter.org/ Provider Ext 4 4 Complete 2.16.840.1.113883.3.1436.4 2011/11/23 12:00:00 2011/11/29 12:00:00 2011/11/29 09:19:50 UV 2.16.840.1.113883.3.1436.5 citicare Citicare Incorporated Nonie Pegoraro masked Nonie Pegoraro Continuum Health Partners Inc. 555 West 57th Street Information Services Department New York, New York 10019 USA 212-636-8565 masked Sr. Manager Clinical Informatics and Analytics Citicare Incorporated Citicare Incorporated 154 West 127th street New York, New York 10027 USA 212-636-8565 npegoraro@chpnet.org http://www.citicareinc.com Provider Ext 4 4 Complete 2.16.840.1.113883.3.1436.5 2011/11/23 12:00:00 2011/11/29 12:00:00 2011/11/29 09:22:22 UV 2.16.840.1.113883.3.1436.6 avicenna Avicenna Medical Center Nonie Pegoraro masked Nonie Pegoraro Continuum Health Partners Inc. 555 West 57th Street Information Services Department 5th Floor Room 111 New York, New York 10019 USA 212-636-8565 masked Sr. Manager Clinical Informatics and Analytics Avicenna Medical Center Avicenna Medical Center 3410-3418 Broadway New York, NY 10031 USA 212-636-8565 npegoraro@chpnet.org Provider Ext 4 4 Complete 2.16.840.1.113883.3.1436.6 2011/11/23 12:00:00 2011/11/29 12:00:00 2011/11/29 09:27:33 UV 2.16.840.1.113883.3.1436.7 arthurdove Arthur Dove Nonie Pegoraro masked Nonie Pegoraro Continuum Health Partners Inc. 555 West 57th Street Information Services Department New York, New York 10019 USA 212-636-8565 masked Sr. Manager Clinical Informatics and Analytics Arthur Dove 85 West 118th Street New York, New York 10026 USA 212-636-8565 npegoraro@chpnet.org Provider Ext 4 4 Complete 2.16.840.1.113883.3.1436.7 2011/11/23 12:00:00 2011/11/29 12:00:00 2011/11/29 09:25:10 UV 2.16.840.1.113883.3.1436.8 dominickbioh Dominik Bioh MD Nonie Pegoraro masked Nonie Pegoraro Continuum Health Partners Inc. 555 West 57th Street Information Services Department New York, New York 10019 USA 212-636-8565 masked Sr. Manager Clinical Informatics and Analytics Dominick Bioh 411 West 113th Street New York, New York 10025 USA (212) 866-5461 npegoraro@chpnet.org Provider Ext 4 4 Complete 2.16.840.1.113883.3.1436.8 2011/11/23 12:00:00 2011/11/29 12:00:00 2011/11/29 09:28:54 UV 2.16.840.1.113883.3.1436.9 harrisonmitchell Harrison Mitchell MD PC Nonie Pegoraro masked Nonie Pegoraro Continuum Health Partners Inc. 555 West 57th Street Information Services Department New York, New York 10019 USA 212-636-8565 masked Sr. Manager Clinical Informatics and Analytics Harrison Mitchell MD PC Harrison Mitchell MD PC 2368 Adam Clayton Powell Junior Boulevard, New York, NY 10030-2250 212-636-8565 npegoraro@chpnet.org Provider Ext 4 4 Complete 2.16.840.1.113883.3.1436.9 2011/11/23 12:00:00 2011/11/29 12:00:00 2011/11/29 09:30:13 UV 2.16.840.1.113883.3.1436.10 atadebayo Adegboyega Adebayo MD Nonie Pegoraro masked Nonie Pegoraro Continuum Health Partners Inc. 555 West 57th Street Information Services Department New York, New York 10019 USA 212-636-8565 masked Sr. Manager Clinical Informatics and Analytics Adegboyega Adebayo MD Adegboyega Adebayo MD 40 W 135th St # 1D New York, NY 10037-2530 USA 212-636-8565 npegoraro@chpnet.org Provider Ext 4 4 Complete 2.16.840.1.113883.3.1436.10 2011/11/23 12:00:00 2011/11/29 12:00:00 2011/11/29 09:31:58 UV 1.2.36.1.5001.1.0.7 individual-medicare-card-number Individual Medicare Card Number Grahame Grieve masked John Wong John Wong Health eBusiness Division Department of Human Services - Medicare 186 Reed Street, Greenway ACT 2900 +61261246462 masked National Authentication Services for Health Department of Human Services - Medicare Medicare Australia GPO Box 9822 +61132011 medicare@medicareaustralia.gov.au http://www.medicareaustralia.gov.au/ Govt body Ext 4 4 Complete 1.2.36.1.5001.1.0.7 2011/11/27 12:00:00 2011/11/29 12:00:00 2011/11/29 09:33:36 UV 1.2.36.1.5001.1.0.7.1 medicare-card-number Medicare Card Number Grahame Grieve masked John Wong John Wong Health eBusiness Division Department of Human Services - Medicare 186 Reed Street, Greenway ACT 2900 +61261246462 masked National Authentication Services for Health Department of Human Services - Medicare Medicare Australia GPO Box 9822 Australia +61132011 medicare@medicareaustralia.gov.au http://www.medicareaustralia.gov.au/ Govt body Ext 4 4 Complete 1.2.36.1.5001.1.0.7.1 2011/11/27 12:00:00 2011/11/29 12:00:00 2011/11/29 09:35:16 UV 1.2.36.1.5001.1.0.7.2 medicare-card-issue-number Medicare Card Issue Number Grahame Grieve masked John Wong John Wong Health eBusiness Division Department of Human Services - Medicare 186 Reed Street, Greenway ACT 2900 +61261246462 masked National Authentication Services for Health Department of Human Services - Medicare Medicare Australia GPO Box 9822 +61132011 medicare@medicareaustralia.gov.au http://www.medicareaustralia.gov.au/ Govt body Ext 4 4 Complete 1.2.36.1.5001.1.0.7.2 2011/11/27 12:00:00 2011/11/29 12:00:00 2011/11/29 09:37:14 AU 1.2.36.1.5001.1.0.7.3 medicare-card-individual-reference-number Medicare Card Individual Reference Number Grahame Grieve masked John Wong John Wong Health eBusiness Division Department of Human Services - Medicare 186 Reed Street, Greenway ACT 2900 +61261246462 masked National Authentication Services for Health Department of Human Services - Medicare Medicare Australia GPO Box 9822 +61132011 medicare@medicareaustralia.gov.au http://www.medicareaustralia.gov.au/ Govt body Ext 4 4 Complete 1.2.36.1.5001.1.0.7.3 2011/11/27 12:00:00 2011/11/29 12:00:00 2011/11/29 09:38:35 AU 1.2.36.1.5001.1.1.3.2.2 pbs-authority-prescription-number PBS/RPBS Authority Prescription Number Grahame Grieve masked John Wong John Wong Health eBusiness Division Department of Human Services - Medicare 186 Reed Street, Greenway ACT 2900 +61261246462 masked National Authentication Services for Health Department of Human Services - Medicare Medicare Australia GPO Box 9822 +61132011 medicare@medicareaustralia.gov.au http://www.medicareaustralia.gov.au/ Govt body Ext 4 4 Complete 1.2.36.1.5001.1.1.3.2.2 2011/11/27 12:00:00 2011/11/29 12:00:00 2011/11/29 09:41:12 UV 1.2.36.1.5001.1.1.3.2.3 pbs-authority-approval-number PBS/RPBS Authority Approval Number Grahame Grieve masked John Wong John Wong Health eBusiness Division Department of Human Services - Medicare 186 Reed Street, Greenway ACT 2900 +61261246462 masked National Authentication Services for Health Department of Human Services - Medicare Medicare Australia GPO Box 9822 +61132011 medicare@medicareaustralia.gov.au http://www.medicareaustralia.gov.au/ Govt body Ext 4 4 Complete 1.2.36.1.5001.1.1.3.2.3 2011/11/27 12:00:00 2011/11/29 12:00:00 2011/11/29 09:47:23 AU 1.2.36.174030967.0.2 medicare-provider-number Medicare Provider Number Grahame Grieve masked John Wong John Wong Health eBusiness Division Department of Human Services - Medicare 186 Reed Street, Greenway ACT 2900 +61261246462 masked National Authentication Services for Health Department of Human Services - Medicare Medicare Australia GPO Box 9822 +61132011 medicare@medicareaustralia.gov.au http://www.medicareaustralia.gov.au/ Govt body Ext 4 4 Complete 1.2.36.174030967.0.2 2011/11/27 12:00:00 2011/11/29 12:00:00 2011/11/29 09:49:13 AU 1.2.36.174030967.0.3 prescriber-number Prescriber Number Grahame Grieve masked John Wong John Wong Health eBusiness Division Department of Human Services - Medicare 186 Reed Street, Greenway ACT 2900 +61261246462 masked National Authentication Services for Health Department of Human Services - Medicare Medicare Australia GPO Box 9822 +61132011 medicare@medicareaustralia.gov.au http://www.medicareaustralia.gov.au/ Govt body Ext 4 4 Complete 1.2.36.174030967.0.3 2011/11/27 12:00:00 2011/11/29 12:00:00 2011/11/29 09:49:59 AU 1.2.36.174030967.1.3.2.1 pharmacy-approval-number Pharmacy Approval Number Grahame Grieve masked John Wong John Wong Health eBusiness Division Department of Human Services - Medicare 186 Reed Street, Greenway ACT 2900 +61261246462 masked National Authentication Services for Health Department of Human Services - Medicare Medicare Australia GPO Box 9822 +61132011 medicare@medicareaustralia.gov.au http://www.medicareaustralia.gov.au/ Govt body Ext 4 4 Complete 1.2.36.174030967.1.3.2.1 2011/11/27 12:00:00 2011/11/29 12:00:00 2011/11/29 09:51:54 AU 2.16.840.1.113883.3.1443 hopenetwork Hope Network Joshua Hagedorn masked Michael Brashears PsyD 3075 Orchard Vista Drive SE Grand Rapids, MI 49546 616-726-1915 masked EVP Clinical/Quality Systems Hope Network 3075 Orchard Vista Drive SE Grand Rapids, MI 49546 616-301-8000 hninformatics@hopenetwork.org http://www.hopenetwork.org Provider Int 3 Complete 2011/11/28 12:00:00 2011/11/29 12:00:00 2014/04/18 09:02:03 UV 2.16.840.1.113883.3.1444 asco American Society of Clinical Oncology Thomas Murray masked Thomas Murray American Society of Clinical Oncology 2318 Mill Road, Suite 800 Alexandria, VA 22314 571-483-1641 masked Director, Performance Measurement and Improvement American Society of Clinical Oncology American Society of Clinical Oncology 2318 Mill Road, Suite 800 Alexandria, VA 22314 571-483-1300 Tom.Murray@asco.org http://www.asco.org/portal/site/ascov2 Prof Soc Int 3 Complete 2011/11/28 12:00:00 2011/11/29 12:00:00 2011/11/29 10:03:05 UV 2.16.840.1.113883.3.1436.2 chpproviders Continuum Health Partners Providers Nonie Pegoraro masked Colleen Lyons Nonie Pegoraro Continuum Health Partners Inc. 555 West 57th Street Information Services Department New York, New York 10019 USA 212-636-8565 masked Sr. Manager Clinical Informatics and Analytics Continuum Health Partners Inc. Continuum Health Partners Inc. 555 West 57th Street Information Services Department New York, New York 10019 USA 212-636-8565 npegoraro@chpnet.org http://www.chpnyc.org/ Provider 2.16.840.1.113883.3.1436 Ext 4 4 Complete 2.16.840.1.113883.3.1436.2 2011/11/28 12:00:00 2011/11/29 12:00:00 2011/11/29 10:09:13 UV 2.16.840.1.113883.3.1445 ahmiwi Columbia-St. Mary's OID Christopher Sansone masked Christopher Sansone 4425 N Port Washington Road Glendale, WI 53212 414-326-1793 masked SD Analyst Interfaces Columbia-St. Mary's 4425 N Port Washington Road Glendale, WI 53212 414-326-1793 csansone@columbia-stmarys.org Provider Int 3 3 Complete 2011/11/28 12:00:00 2011/11/29 12:00:00 2011/11/29 10:19:39 UV 2.16.840.1.113883.3.1446 csmo Columbia-St. Mary's Ozaukee Root OID Christopher Sansone masked Christopher Sansone 4425 N Port Washington Road Glendale, WI 53212 414-326-1793 masked SD Analyst Interfaces Columbia-St. Mary's Ozaukee 13111 N Port Washington Rd Mequon, WI 53097 414-326-1793 csansone@columbia-stmarys.org Provider Int 3 3 Complete 2011/11/28 12:00:00 2011/11/29 12:00:00 2011/11/29 10:20:35 UV 2.16.840.1.113883.3.1447 csmm Columbia-St. Mary's Milwaukee Root OID Christopher Sansone masked Christopher Sansone 4425 N Port Washington Rd Glendale, WI 53212 414-326-1793 masked SD Analyst Interfaces Columbia-St. Mary's Milwaukee 2301 N Lake Dr Milwaukee, WI 53211 414-326-1793 csansone@columbia-stmarys.org Provider Int 3 3 Complete 2011/11/28 12:00:00 2011/11/29 12:00:00 2011/11/29 10:21:19 UV 2.16.840.1.113883.3.1448 csmc Columbia-St. Mary's Clinics Root OID Christopher Sansone masked Christopher Sansone 4425 N Port Washington Rd Glendale, WI 53212 414-326-1793 masked SD Analyst Interfaces Columbia-St. Mary's Clinics 4425 N Port Washington Rd Glendale, WI 53212 414-326-1793 csansone@columbia-stmarys.org Provider Int 3 3 Complete 2011/11/28 12:00:00 2011/11/29 12:00:00 2011/11/29 10:22:29 UV 2.16.840.1.113883.3.1449 pqrs-vetting-contractor PQRS Vetting Contractor Vini Ehsan masked Vini 7000 Security Blvd. Suite 332 Baltimore, MD 21244 410-277-9781 masked Arch Systems, Inc. 7000 Security Blvd. Suite 332 Baltimore, MD 21244 410-277-9781 vehsan@archsystemsinc.com http://archsystemsinc.com Vendor Int 3 Complete 2011/11/28 12:00:00 2011/11/29 12:00:00 2011/11/29 10:24:00 UV 2.16.840.1.113883.3.1450 pes Edison Optical Corporation Colleen Sica masked Colleen Sica 940 Amboy Avenue Edison, NJ 08837 732-738-1666 masked Edison Optical Corporation 940 Amboy Avenue Edison, NJ 08837 732-738-1666 c_mceneny@yahoo.com Provider Int 3 Complete 2011/11/28 12:00:00 2011/11/29 12:00:00 2011/11/29 10:33:20 UV 2.16.840.1.113883.3.1451 nbrofl Broward Health Peter Barnick masked Peter Barnick Broward Health Information Services Center 1608 S.E. 3rd Ave. Ft. Lauderdale, FL 33316 954-759-7411 masked Analyst Broward Health Broward Health Corporate Headquarters 303 South East 17th Street Fort Lauderdale, FL 33316 954-355-4400 info@nbhd.org Provider Int 3 3 Complete 2011/11/28 12:00:00 2011/11/29 12:00:00 2011/11/29 10:34:53 UV 2.16.840.1.113883.3.1452 carelogic CareLogic Enterprise Joe Dickason masked Joe Dickason 200 2nd Avenue South Nashville, TN 37201 615-493-5211 masked Product Manager Qualifacts Systems, Inc. 200 2nd Avenue South Nashville, TN 37201 866-386-6755 info@qualifacts.com http://www.qualifacts.com Vendor Int 3 Complete 2011/11/29 12:00:00 2011/11/29 12:00:00 2011/11/29 10:36:15 UV 2.16.840.1.113883.3.1436.11 slmg Saint Luke's Medical Group Nonie Pegoraro masked Nonie Pegoraro Continuum Health Partners Inc. 555 West 57th Street Information Services Department New York, New York 10019 USA 212-636-8565 masked Sr. Manager Clinical Informatics and Analytics Saint Luke's Medical Group Saint Luke's Medical Group 2771 Frederick Douglass Blvd. New York, New York 10039 USA 212-636-8565 npegoraro@chpnet.org http://www.wehealny.org/services/slmg Provider 2.16.840.1.113883.3.1436 Ext 4 4 Complete 2.16.840.1.113883.3.1436.11 2011/11/29 12:00:00 2011/11/29 12:00:00 2011/11/29 10:38:39 UV 2.16.840.1.113883.3.1453 fmcga Floyd Medical Center Robert Branham masked Robert Branham 304 Turner McCall Blvd Rome, GA 30165 (706) 509-5729 masked Business Applications Manager Floyd Medical Center 304 Turner McCall Blvd Rome, GA 30165 (706) 509-5700 help@floyd.org Provider Int 3 3 Complete 2011/11/29 12:00:00 2011/11/29 12:00:00 2011/11/29 10:40:50 UV 2.16.840.1.113883.3.1454 forsyth-chiropractic Forsyth Chiropractic Tina Sellers masked Tina Sellers PO Box 99 Forsyth, MO 65653 417-546-2411 masked Travis J Sellers DC PO Box 99 Forsyth, Mo 65653 417-546-2411 drtravis_788@hotmail.com Provider Int 3 Complete 2011/11/30 12:00:00 2011/12/09 12:00:00 2011/12/09 10:15:25 UV 2.16.840.1.113883.17.47 optimawi Optima Health and Vitality Center Steven Bircher masked Steven Bircher 3321 Golf Road Eau Claire WI 54701 7158321953 masked co-owner Optima Health and Vitality Center 7158321953 optimahvc@sbcglobal.net http://www.optimahvc.com Provider Int 17 Complete 2011/11/30 12:00:00 2011/12/09 12:00:00 2011/12/09 10:18:53 UV 2.16.840.1.113883.3.1455 docaud11 Audie Swinney Audie Swinney, M.D. masked Audie Swinney, M.D. 28870 Dewew Bartlett Hneryetta, OK 74437 918-652-2513 masked Owner Audie Swinney, M.D. 28870 Dewey Bartlett Henryetta, OK 74437 918-652-2513 swinneymd@swinneymd.com Prof Soc Int 3 3 Complete 2011/11/30 12:00:00 2011/12/09 12:00:00 2011/12/09 10:20:21 UV 2.16.840.1.113883.3.1106.21 byh-cpi BayCare's cpi / ead Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider Ext 3 Complete 2.16.840.1.113883.3.1106.21 2011/11/30 12:00:00 2011/12/09 12:00:00 2018/12/26 11:09:01 UV 2.16.840.1.113883.13.191 pubmed PubMed Mollie Ullman-Cullere masked Mollie Ullman-Cullere Clinical and Translational Informatics Dana-Farber Cancer Institute 450 Brookline Ave. Boston, MA 02215-5450 617-817-1496 masked Sr. BioMedical Informaticist, Partners HealthCare Clem McDonald Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike Bethesda, MD 20894 ClemMcDonald@mail.nih.gov http://www.ncbi.nlm.nih.gov/pubmed/ Govt body Int 13 Complete 2011/12/01 12:00:00 2011/12/09 12:00:00 2011/12/09 10:24:26 UV 2.16.840.1.113883.4.520 mercybaltimore Mercy Health Services Inc John Goldbeck masked John Goldbeck 301 St.Paul Place Baltimore, MD 21202 4109511770 masked Sr. Systems Analyst Mercy Health Services Inc 301 St.Paul Place Baltimore, MD 21202 4103329000 kyoungbar@mdmercy.com http://www.mdmercy.com Provider Int 3 Complete 2011/12/01 12:00:00 2011/12/09 12:00:00 2011/12/09 10:30:02 UV 2.16.840.1.113883.3.1456 cvrmc Cobre Valley Regional Medical Center Joshua Freeman masked Joshua Freeman 5880 South Hospital Dr Globe AZ 85501 928-402-1148 masked IT Systems/Network Manager Cobre Valley Regional Medical Center 5880 South Hospital Dr Globe AZ 85501 9284253261 jfreeman@cvrmc.org http://www.cvrmc.org Provider Int 3 Complete 2011/12/01 12:00:00 2011/12/09 12:00:00 2011/12/09 10:33:34 UV 2.16.840.1.113883.17.48 phhl7 Pennock Hospital HL7 Tony Frith masked Tony Frith Spectrum Health Pennock 1009 W. Green St. Hastings, MI 49058 269-945-1212 ext 1358 masked Interface Architect Spectrum Health Pennock 1009 W. Green St. Hastings, MI 49058 269-945-1212 tony.frith@spectrumhealth.org http://www.pennockhealth.com Provider Int 17 Complete 2011/12/01 12:00:00 2011/12/09 12:00:00 2016/02/02 07:07:38 UV 2.16.840.1.113883.3.1457 bigfork Bigfork Valley Hospital Nate Marshall masked Amanda Niemala Amanda Niemala 258 Pine Tree Drive Bigfork, MN 56628 218-743-4149 masked HIS Manager Bigfork Valley Hospital 258 Pine Tree Drive Bigfork, MN 56628 218-743-3177 WeCare@bigforkvalley.org http://www.bigforkvalley.org Provider Int 3 Complete 2011/12/01 12:00:00 2011/12/09 12:00:00 2011/12/09 10:38:51 UV 2.16.840.1.113883.3.1458 ccmh Community Memorial Hospital Nate Marshall masked Bev Pehkonen Bev Pehkonen 512 Skyline Boulevard Cloquet, Minnesota 55720 218-878-7021 masked Director, Informatics Community Memorial Hospital 512 Skyline Boulevard Cloquet, Minnesota 55720 218-879-4641 cderungs@cloquethospital.com http://www.cloquethospital.com Provider Int 3 Complete 2011/12/01 12:00:00 2011/12/09 12:00:00 2011/12/09 10:39:42 UV 2.16.840.1.113883.3.1459 rhhc Riverwood Healthcare Center Nate Marshall masked Meghan Hagedon Meghan Hagedon 200 Bunker Hill Drive Aitkin, MN 56431 218-927-5579 ext 5579 masked Clinical Information Specialist Riverwood Healthcare Center 200 Bunker Hill Drive Aitkin, MN 56431 (800) 630-2200 pr@riverwoodhealthcare.org http://www.riverwoodhealthcare.com Provider Int 3 Complete 2011/12/01 12:00:00 2011/12/09 12:00:00 2011/12/09 10:40:36 UV 2.16.840.1.113883.3.1460 wtbyhosp Waterbury Hospital John Catalina masked John Catalina 64 Robbins Street Waterbury, CT 06708 (203) 573-6053 masked Imaging/I.T Technical Analyst Waterbury Hospital 64 Robbins Street Waterbury, CT 06708 (203) 573-6000 MCemeno@wtbyhosp.org Provider Int 3 3 Complete 2011/12/02 12:00:00 2011/12/09 12:00:00 2011/12/09 10:41:34 UV 2.16.840.1.113883.3.1461 phms Caradigm PHMS May Terry masked May Terry 116 Huntington Ave, Boston, MA 02116 973-945-1578 masked Senior Clinical Informaticist Caradigm May.Terry@caradigm.com Vendor Int 3 Complete 2011/12/02 12:00:00 2011/12/09 12:00:00 2012/07/23 11:25:48 UV 2.16.840.1.113883.4.521 burkeCCD The Winifred Masterson Burke Rehabilitation Hospital, Inc. Cathy Dwyer masked Cathy Dwyer Burke Rehabilitation Hospital 785 Mamaroneck Avenue White Plains, New York 10601 914-597-2215 masked CIO Burke Rehabilitation Hospital 785 Mamaroneck Avenue White Plains, New York 10601 914-597-2215 cdwyer@burke.org https://www.burke.org Provider Int 3 Complete 2011/12/05 12:00:00 2011/12/09 12:00:00 2011/12/09 10:46:25 UV 2.16.840.1.113883.3.1462 acmhHIE Armstrong County Memorial Hospital Health Information Exchange Teresa Zydonik masked Bruce Freehling Teresa Zydonik One Nolte Drive Kittanning, PA 16201 724-543-8594 masked Information Services Director Armstrong County Memorial Hospital One Nolte Drive Kittanning, PA 16201 724-543-8500 zydonikt@acmh.org http://www.acmh.org Provider Int 3 Complete 2011/12/05 12:00:00 2011/12/09 12:00:00 2011/12/09 10:48:56 UV 2.16.840.1.113883.3.1463 acmhppHIE Armstrong County Memorial Hospital Physician Practices Health Information Exchange Bruce Freehling masked Teresa Zydonik Bruce Freehling One Nolte Drive Kittanning, PA 16201 724-543-8519 masked Programmer Analyst\HL7 Interface Specialist Armstrong County Memorial Hospital Physician Practices PO BOX 977 Kittanning, PA 16201 724-543-8624 freehlingb@acmh.org http://www.acmh.org Provider Int 3 Complete 2011/12/05 12:00:00 2011/12/09 12:00:00 2011/12/09 10:52:29 UV 2.16.840.1.113883.5.1138 actUSPrivacyLaw ActUSPrivacyLaw Russell Hamm masked Russell 507-271-0227 masked HL7 CBCC and Security WGs Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 734-677-7777 kathleen_connor@comcast.net HL7 body Int 5 Complete 2011/12/05 12:00:00 2011/12/09 12:00:00 2011/12/09 10:54:07 US 2.16.840.1.113883.3.1464 crmcinc-oid Coffeyville Regional Medical Center Doug Stacy masked alm@crmcinc.org Doug Stacy 620-252-1675 masked CIO Coffeyville Regional Medical Center 1400 West 4th Coffeyville, KS 67337 620-252-1675 dstacy@crmcinc.org http://www.crmcinc.org Provider Int 3 Complete 2011/12/05 12:00:00 2011/12/09 12:00:00 2011/12/09 10:55:23 UV 2.16.840.1.113883.3.1465 lfc Lovell Family Clinic Donna Lovell masked Gary Lovell, DO PO Box 310 1102 W Main Henryetta, OK 74437 9186529614 masked physician Lovell Family Clinic, PC 1102 W Main Henryetta, OK 74437 9186529614 solomon246@earthlink.net Provider Int 3 Complete 2011/12/05 12:00:00 2011/12/09 12:00:00 2011/12/09 10:56:36 UV 2.16.840.1.113883.3.1466 oemr Optimus EMR OID Root Craig Ripley masked Doug Holmes Craig Ripley 800 South Main Street Suite 205B Manfield, MA 02048 800-866-1124 masked Software Engineer Yardi Systems, Inc. craig.ripley@yardi.com http://www.optimusemr.com Vendor Int 3 Complete 2011/12/06 12:00:00 2011/12/09 12:00:00 2017/12/13 10:36:58 UV 2.16.840.1.113883.3.1466.1.210 facility210 OID for Optimus Facility 210 Craig Ripley masked Craig Ripley 800 South Main Street Suite 205B 508-594-1404 masked Software Engineer Optimus EMR, Inc. cripley@optimusemr.com http://www.optimusemr.com Vendor Ext 4 Complete 2.16.840.1.113883.3.1466.1.210 2011/12/06 12:00:00 2011/12/09 12:00:00 2011/12/09 10:59:26 UV 2.16.840.1.113883.3.1467 medaccess Med Access Inc. Dennis Cabel masked Dennis Cabel 7-2250 Leckie Road Kelowna, British Columbia V1X 7K1 CANADA 250.448.7788 x6513 masked Development Manager Med Access Inc. 7-2250 Leckie Road Kelowna, British Columbia V1X 7K1 CANADA 250.448.7788 info@med-access.net http://www2.med-access.net Vendor Int 3 Complete 2011/12/06 12:00:00 2011/12/09 12:00:00 2011/12/09 11:00:46 UV 2.16.840.1.113883.3.1468 coggins-chiro Coggins Chiropractic Clinic Audie Coggins masked Audie Coggins 432-837-5070 masked Coggins Chiropractic 906 E Ave B Alpine, TX 79830 432-837-5070 audiecoggins@hotmail.com Provider Int 3 Complete 2011/12/06 12:00:00 2011/12/09 12:00:00 2011/12/09 11:02:41 UV 2.16.840.1.113883.3.1469 medstarmontgomery Montgomery General Hospital Christiane Brown masked Christiane Brown 18101 Prince Philip Drive Olney, MD 20832 301-774-8626 masked Assistant Vice President Montgomery General Hospital 18101 Prince Philip Drive Olney, MD 20832 301-774-8626 cbrown@montgomerygeneral.com http://www.montgomerygeneral.com Provider Int 3 Complete 2011/12/06 12:00:00 2011/12/09 12:00:00 2011/12/09 11:04:55 UV 2.16.840.1.113883.3.1470 nmdp National Marrow Donor Program Bob Milius masked Martin Maiers Martin Maiers 3001 Broadway Street N. E. Suite 100 Minneapolis, MN 55413-1753 612-627-5892 masked Director, Bioinformatics Research National Marrow Donor Program 3001 Broadway Street N.E. Suite 100 Minneapolis, MN 55413-1753 800-627-7692 media@nmdp.org http://marrow.org Exchange Int 3 Complete 2011/12/06 12:00:00 2011/12/09 12:00:00 2011/12/09 11:07:05 UV 2.16.840.1.113883.3.1471 mnmc Mount Nittany Medical Center Scott Kaufman masked Scott A Kaufman 1800 East Park Avenue, State College, PA. 16803-6797 814-234-6147 masked Controller and Corporate Compliance Officer Mount Nittany Medical Center 1800 East Park Avenue, State College, PA. 16803-6797 814-231-7000 jwalls@mountnittany.org http://www.mountnittany.org Provider Int 3 Complete 2011/12/07 12:00:00 2011/12/09 12:00:00 2011/12/09 11:08:39 UV 2.16.840.1.113883.3.1472 hancockreghosp-IN Hancock Regional Hospital - Greenfield IN Eric Rush masked Eric Rush 801 N. State Street Greenfield, IN. 46140 317-468-4249 masked Data Support Analyst Hancock Regional Hospital 801 N. State Street Greenfield, IN. 46140 317-462-5544 generalinformation@hancockregional.org http://www.hancockregional.org Provider Int 3 Complete 2011/12/07 12:00:00 2011/12/09 12:00:00 2011/12/09 11:10:04 US 2.16.840.1.113883.3.1473 bradychirogroup Brady Chiropractic Group PC Wilma Hansen masked Wilma Hansen 514 28 1/4 Road Suite 1 Grand Junction, CO 81501 970-242-8162 masked Office Manger Brady Chiropractic Group PC 514 28 1/4 Road Suite 1 Grand Junction, CO 81501 970-242-8162 bradycg@bradychirogroup.com Provider Int 3 Complete 2011/12/07 12:00:00 2011/12/09 12:00:00 2011/12/09 11:12:26 UV 2.16.840.1.113883.3.1070.5010 mckesson-5010 mckesson-fusion-5010 Harry Callier masked Fusion Enrollment 4047048689 masked Fusion Enrollment harry.callier@mckesson.com Vendor Ext 4 Complete 2.16.840.1.113883.3.1070.5010 2011/12/07 12:00:00 2011/12/09 12:00:00 2011/12/09 11:14:15 UV 2.16.840.1.113883.3.1474 calvertmem Calvert Memorial Hospital Nancy Trawick masked Nancy Trawick 100 Hospital Road Prince Frederick, MD 20678 410-535-8255 masked Systems Integration Manager, IT Calvert Memorial Hospital 100 Hospital Road Prince Frederick, MD 20678 410-535-4000 webmaster@cmhlink.org http://www.calverthospital.org Provider Int 3 Complete 2011/12/08 12:00:00 2011/12/09 12:00:00 2011/12/09 11:24:02 UV 2.16.840.1.113883.3.1475 everwa Evergreen Hospital Medical Center John Peters masked John Peters 12040 NE 128th St Kirkland, WA 98034 425-899-3682 masked Integration Architect Evergreen Hospital Medical Center 12040 NE 128th St Kirkland, WA 98034 Phone (425) 899-1000 jdpeters@evergreenhealthcare.org Provider Int 3 Complete 2011/12/08 12:00:00 2011/12/09 12:00:00 2011/12/09 11:25:18 UV 2.16.840.1.113883.4.522 kdafc Kevin D Allen Family Chiropractic LLC Kevin Allen masked Kevin Allen 229 N Andover Rd, Suite 200, Andover KS 67002 316-733-0715 masked Owner/Chiropractic Kevin D Allen Family Chiropractic LLC 229 N Andover Rd, Suite 200, Andover KS 67002 3167330715 drkjallen@sbcglobal.net Provider Int 3 Complete 2011/12/08 12:00:00 2011/12/09 12:00:00 2011/12/09 11:19:39 US 2.16.840.1.113883.3.1476 omc Ozarks Medical Center Wesley Mattison masked Wesley Mattison 417-256-1739 masked Ozarks Medical Center PO Box 1100 West Plains, Missouri 65775 417-256-9111 wesley.mattison@ozarksmedicalcenter.com http://www.ozarksmedicalcenter.com Exchange Int 3 Complete 2011/12/09 12:00:00 2011/12/09 12:00:00 2011/12/09 11:26:57 UV 2.16.840.1.113883.3.1477 isabella Isabella Geriatric Center Anthony Capobianco masked Anthony Capobianco 515 Audubon Ave. New York, NY 10040 212-342-9359 masked Project Manager Isabella Geriatric Center 515 Audubon Ave. New York, NY 10040 212-342-9200 webmaster@isabella.org http://www.isabella.org Prof Soc Int 3 3 Complete 2011/12/09 12:00:00 2011/12/09 12:00:00 2011/12/09 11:47:50 UV 2.16.840.1.113883.3.1478 gregoryaatkins Gregory A. Atkins, OD Rebecca Atkins masked Gregory A. Atkins, OD Rebecca J. Atkins 1266 Sand Beach Road Bad Axe, MI 48413-8817 989-269-5393 masked Office Manager Gregory A. Atkins, OD 1266 Sand Beach Road Bad Axe, MI 48413-8817 989-269-5393 imidocwife@comcast.net http://www.atkinsod.com Provider Int 3 Complete 2011/12/09 12:00:00 2011/12/09 12:00:00 2011/12/09 11:49:41 UV 2.16.840.1.113883.3.1479 mmcwm Spectrum Health Ludington Hospital Scott Lijewski masked Scott Lijewski 1 Atkinson Drive Ludington, MI 49431 231-845-3602 masked Applications Developer Scott Lijewski 1 Atkinson Drive Ludington, MI 49431 231-845-3602 scottl@mmcwm.com http://mmcwm.com Provider Int 3 Complete 2011/12/09 12:00:00 2011/12/09 12:00:00 2014/07/01 03:04:12 UV 2.16.840.1.113883.3.1480 ethinehex East Tennessee Health Information Network eHealth Exchange Leigh Sterling masked Danielle Z Rich 10427 Cogdill Road Knoxville, TN 37932 865-691-8433 masked Interface Analyst, etHIN East Tennessee Health Information Network 10427 Cogdill Road Knoxville, TN 37932 865-691-8433 info@ethin.org http://www.ethin.org Exchange Int 3 Complete 2011/12/11 12:00:00 2011/12/15 12:00:00 2021/07/29 03:29:27 UV 2.16.840.1.113883.3.1481 mihin MiHIN SS Object Identifier Jeff Livesay masked Tim Pletcher, Executive Director MiHIN Help Desk Michigan Health Information Network (MiHIN) 120 West Saginaw East Lansing, MI 48823 517-999-0360 masked Help Desk Michigan Health Information Network (MiHIN) Michigan Health Information Network (MiHIN) 120 West Saginaw East Lansing, MI 48823 info@mihin.org http://www.mihin.org Exchange Int 3 Complete 2011/12/12 12:00:00 2011/12/15 12:00:00 2012/11/15 09:47:26 UV 2.16.840.1.113883.3.1482 chiro1027 Kempton Family Wellness Center Douglas Kempton masked Esther Kempton Esther Kempton 1027 The Midway Salina, KS 67401 785-825-4691 masked Douglas Kempton 1027 The Midway Salina, KS 67401 785-825-4691 kemptonfamilywellnesscenter@gmail.com Provider Int 3 Complete 2011/12/12 12:00:00 2011/12/15 12:00:00 2011/12/15 10:26:16 UV 2.16.840.1.113883.3.1483 egs The Eyeglass Shop P.L.L.C. Joyce Lapointe masked Joyce Lapointe The Eyeglass Shop P.L.L.C. 38 Daniel Street/ PO Box 1410 Portsmouth, NH 03801 603-436-4509 masked manager Sheila White The Eyeglass Shop P.L.L.C. 38 Daniel Street PO Box 1410 Portsmouth, NH 038011410 603-436-4509 office@egsportsmouth.com Provider Int 3 Complete 2011/12/12 12:00:00 2011/12/15 12:00:00 2011/12/15 10:27:51 UV 2.16.840.1.113883.3.1348.1.4 warrenFamilyPractice Warren Family Practice Michael Oakes masked Michael 401-580-0652 masked Director, Information Technology Warren Family Practice 851 MAIN ST WARREN, RI 02885 401-247-1942 wfprn@hotmail.com Provider 2.16.840.1.113883.3.1348 Ext 4 Complete 2.16.840.1.113883.3.1348.1.4 2011/12/12 12:00:00 2011/12/15 12:00:00 2011/12/15 10:30:49 UV 2.16.840.1.113883.3.1348.1.5 uMGPont University Medical Group Pontiac Michael Oakes masked Michael 401-580-0652 masked Kim St. Jean 1500 Pontiac Avenue Cranston, RI 02920 401-464-4038 kstjean@umgri.com Provider Ext 4 Complete 2.16.840.1.113883.3.1348.1.5 2011/12/12 12:00:00 2011/12/15 12:00:00 2011/12/15 10:33:20 UV 2.16.840.1.113883.3.1484 delopt Del Opticians, LLC Mark Petrykowski masked Mark Petrykowski 1494 W. Main Street Newark, OH 43055 740-344-4747 masked CEO Del Opticians, LLC 1494 W. Main Street Newark, OH 43055 740-344-4747 delopt-newark@yahoo.com http://www.delopt.com Provider Int 3 Complete 2011/12/12 12:00:00 2011/12/15 12:00:00 2011/12/15 10:35:47 UV 2.16.840.1.113883.3.1485 dhr Doctors Hospital at Renaissance Benito Huerta masked Elizabeth Gomez - Cantu Benito Huerta 5501 S. McColl Edinburg, TX 78539 956-362-3029 masked Systems Integration Coordinator Doctors Hospital at Renaissance 5501 S. McColl Edinburg, TX 78539 956-362-3029 b.huerta@dhr-rgv.com Provider Int 3 3 Complete 2011/12/13 12:00:00 2011/12/15 12:00:00 2011/12/15 10:39:00 UV 2.16.840.1.113883.3.1486 bimc4 Back Into Motion Chiropractic LLC Robin Jacobs-Rodriguez masked Dr. Robin Jacobs-Rodriguez 2514 East Broadway Pearland, Texas 77581 281.485.8723 masked President Back Into Motion Chiropractic LLC 2514 East Broadway Pearland, Texas 77581 281.485.8723 stacyb@backintomotionchiro.com http://backintomotionchiro.com/ Provider Int 3 Complete 2011/12/14 12:00:00 2011/12/15 12:00:00 2011/12/15 10:44:01 UV 2.16.840.1.113883.17.49 recombinant-data-corp Recombinant Data Corp. Matvey Palchuk masked Matvey B Palchuk 255 Washington Street Suite 235 Newton, MA 02458 6172433700 masked Director of Medical Informatics Recombinant Data Corp. 255 Washington Street Suite 235 Newton, MA 02458 6172433700 results@recomdata.com http://www.recomdata.com Vendor Int 17 17 Complete 2011/12/14 12:00:00 2011/12/15 12:00:00 2011/12/15 10:46:14 UV 2.16.840.1.113883.3.1487 centergyn Center for Gynecologic Oncology & Women's Health, Dr. Patrick Anderson Alma McDonald masked Patrick Anderson Alma McDonald 120 Irvington Avenue South Orange NJ 07079 973 762-7270 masked Office Manager Center for Gynecologic Oncology & Women's Health 120 Irvington Avenue South Orange NJ 07079 973 762-7270 gyncenter@optimum.net Provider Int 3 Complete 2011/12/15 12:00:00 2011/12/15 12:00:00 2011/12/15 10:50:04 UV 2.16.840.1.113883.17.50 bfca Bloomfield Cardiology Marc Brodsky masked Tammy Raymond 6900 Orchard Lake Rd #106 West Bloomfield, MI 48322 248-788-4278 masked Practice Manager Marc Brodsky 6900 Orchard Lake Rd #106 West Bloomfield, MI 48322 248-788-4278 Tcraymond@att.net Provider Int 17 Complete 2011/12/15 12:00:00 2011/12/15 12:00:00 2011/12/15 10:53:12 UV 2.16.840.1.113883.3.1488 wamod Wayne A. Mundis, O.D. Wayne Mundis masked Wayne A. Mundis, O.D. 46 Water Street Glen Rock, PA 17327 717-235-1346 masked Optometrist Wayne A. Mundis, O.D. 46 Water Street Glen Rock, PA 17327 717-235-1346 wamod@comcast.net Provider Int 3 Complete 2011/12/15 12:00:00 2011/12/15 12:00:00 2011/12/15 10:56:09 UV 2.16.840.1.113883.3.1489 urogynadvanced Urogynecology & Advanced Gynecology Med. Group Audrey Smith masked Dr. Emad Hashemi Audrey Smith 120 Irvington Avenue South Orange NJ 07079 9732750025 masked Office Manager Urogynecology & Advanced Gynecology Med. Group 120 Irvington Avenue South Orange NJ 07079 973 275 0025 drhashemi@optimum.net Provider Int 3 Complete 2011/12/15 12:00:00 2011/12/15 12:00:00 2011/12/15 10:59:45 UV 2.16.840.1.113883.9.17 lriCommonGuRuProfileR1 LRI Common plus Global Unique plus Order Unique Profile - R1 Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations Workgroup 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org https://www.hl7.org HL7 body Int 9 Complete 2011/12/15 12:00:00 2011/12/15 12:00:00 2011/12/15 11:14:26 UV 2.16.840.1.113883.9.18 lriCommonGuRnProfileR1 LRI Common - Global Unique Identification - Order plus Service Identifier - Profile R1 Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 - Orders & Observations Workgroup 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 +1 734 677 7777 hq@hl7.org https://www.hl7.org HL7 body Int 9 Complete 2011/12/15 12:00:00 2011/12/15 12:00:00 2011/12/15 11:41:29 UV 2.16.840.1.113883.9.19 lriCommonNgRuProfileR1 LRI Common - Non-Globally Unique Identifiers - Order plus Test Identifier - Profile R1 Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 - Orders & Observations Workgroup 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 +1 734 677 7777 hq@hl7.org https://www.hl7.org HL7 body Int 9 Complete 2011/12/15 12:00:00 2011/12/15 12:00:00 2011/12/15 11:42:23 UV 2.16.840.1.113883.9.20 lriCommonNgRnProfileR1 LRI Common - Non-Globally Unique Identifiers - Order plus Test Identifier - Profile R1 Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 +1 610 219 2087 masked HS Standards & Regulations Manager HL7 - Orders & Observations Workgroup 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 +1 734 677 7777 hq@hl7.org https://www.hl7.org HL7 body Int 9 Complete 2011/12/15 12:00:00 2011/12/15 12:00:00 2011/12/15 11:44:06 UV 2.16.840.1.113883.9.21 lriGloballyUniqueAcknowledgementComponentR1 LRI Globally Unique Acknowledgement Component R1 Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 +1 610 219 2087 masked HS Standards & Regulations Manager HL7 - Orders & Observations Workgroup 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 +1 734 677 7777 hans.buitendijk@siemens.com https://www.hl7.org HL7 body Int 9 Complete 2011/12/15 12:00:00 2011/12/15 12:00:00 2012/07/12 05:28:22 UV 1.2.36.1.2001.1005.15.1 aus-state-authority-number-nsw State Authority Number, NSW Grahame Grieve masked Grahame Grieve 108 Loughnan Road Ringwood 3134 +61411867065 masked Principal NEHTA grahame.grieve@nehta.gov.au http://www.nehta.gov.au Govt body Ext 4 Complete 1.2.36.1.2001.1005.15.1 2011/12/15 12:00:00 2011/12/15 12:00:00 2011/12/15 11:50:44 UV 1.2.36.1.2001.1005.15.2 aus-state-authority-number-vic State Authority Number, VIC Grahame Grieve masked Grahame Grieve +61411867065 masked Principal NEHTA grahame.grieve@nehta.gov.au http://www.nehta.gov.au Govt body Ext 4 Complete 1.2.36.1.2001.1005.15.2 2011/12/15 12:00:00 2011/12/15 12:00:00 2011/12/15 11:51:40 AU 1.2.36.1.2001.1005.15.3 aus-state-authority-number-qld State Authority Number, Queensland Grahame Grieve masked Grahame Grieve +61411867065 masked Principal NEHTA grahame.grieve@nehta.gov.au http://www.nehta.gov.au Govt body Ext 4 Complete 1.2.36.1.2001.1005.15.3 2011/12/15 12:00:00 2011/12/15 12:00:00 2011/12/15 11:52:45 AU 1.2.36.1.2001.1005.15.4 aus-state-authority-number-sa State Authority Number, South Australia Grahame Grieve masked Grahame Grieve +61411867065 masked Principal NEHTA grahame.grieve@nehta.gov.au http://www.nehta.gov.au Govt body Ext 4 4 Complete 1.2.36.1.2001.1005.15.4 2011/12/15 12:00:00 2011/12/15 12:00:00 2011/12/15 11:56:29 AU 1.2.36.1.2001.1005.15.5 aus-state-authority-number-wa State Authority Number, WA Grahame Grieve masked Grahame Grieve +61411867065 masked Principal NEHTA grahame.grieve@nehta.gov.au http://www.nehta.gov.au Govt body Ext 4 Complete 1.2.36.1.2001.1005.15.5 2011/12/15 12:00:00 2011/12/15 12:00:00 2011/12/15 11:57:47 AU 1.2.36.1.2001.1005.15.6 aus-state-authority-number-tas State Authority Number, Tas Grahame Grieve masked Grahame Grieve +61411867065 masked Principal NEHTA grahame.grieve@nehta.gov.au http://www.nehta.gov.au Govt body Ext 4 Complete 1.2.36.1.2001.1005.15.6 2011/12/15 12:00:00 2011/12/15 12:00:00 2011/12/15 11:59:36 AU 1.2.36.1.2001.1005.15.7 aus-state-authority-number-nt State Authority Number, NT Grahame Grieve masked Grahame Grieve +61411867065 masked Principal NEHTA grahame.grieve@nehta.gov.au http://www.nehta.gov.au Govt body Ext 4 Complete 1.2.36.1.2001.1005.15.7 2011/12/15 12:00:00 2011/12/15 12:00:00 2011/12/16 12:00:15 AU 2.16.840.1.113883.4.523 aus-state-authority-number-act State Authority Number, ACT Grahame Grieve masked Grahame Grieve +61411867065 masked Principal NEHTA grahame.grieve@nehta.gov.au http://www.nehta.gov.au Govt body Int 4 Complete 2011/12/15 12:00:00 2011/12/15 12:00:00 2011/12/16 12:05:41 AU 2.16.840.1.113883.3.1490 thsa Texas Health Services Authority (THSA) Registration Authority Eric Heflin masked Phil Beckett Texas Health Services Authority 901 S. Mopac Expressway, Building 1, Suite 300, Austin, Texas 78746 832-496-4442 masked CTO Phil Beckett Texas Health Services Authority 901 S. Mopac Expressway, Building 1, Suite 300, Austin, Texas 78746 phil.beckett@thsa.org http://www.thsa.org Government body Int 3 3 Complete 2011/12/16 12:00:00 2011/12/19 12:00:00 2026/08/18 01:55:05 UV 2.16.840.1.113883.3.1491 iCE ICE Technologies Health Information Exchange David Jones masked D. Grant Jones 411 SE 9th St Pella, IA 50219 641-628-0228 masked Application Services Manager ICE Technologies, Inc. 411 SE 9th St Pella, IA 50219 6416280228 gjones@icetechnologies.com Exchange Int 3 Complete 2011/12/19 12:00:00 2011/12/19 12:00:00 2011/12/19 02:56:52 UV 2.16.840.1.113883.3.1492 whmcccdtestoid Wyckoff Heights Medical Center CCD TEST OID Jebashini Jesurasa masked Jebashini Jesurasa 374 Stockholm St. Brooklyn, NY 11237 718-963-6754 masked VP/CIO Wyckoff Heights Medical Center 374 Stockholm St. Brooklyn, NY 11237 718-963-6754 jjesu@wyckoffhospital.org http://www.wyckoffhospital.org Provider Int 3 Complete 2011/12/19 12:00:00 2011/12/19 12:00:00 2011/12/19 02:57:51 UV 2.16.840.1.113883.3.1493 countryviewchiropracticclinic Countryview Chiropractic Clinic, S.C. Kathryn Mead masked Kathryn Mead W5675 Cty Hwy B Shawano, WI 54166 715-526-6158 masked Countryview Chiropractic Clinic, S.C. W5675 Cty Hwy B Shawano, WI 54166 715-526-6158 ccc@granitewave.com Provider Int 3 Complete 2011/12/20 12:00:00 2012/02/20 12:00:00 2012/02/20 12:12:12 UV 2.16.840.1.113883.4.524 ccd-CPH Canton-Potsdam Hospital Lyndon Allen masked Jorge Grillo Lyndon Allen 50 Leroy Street Potsdam, NY 13676 315-261-5216 masked IT Project Manger Jorge Grillo 50 Leroy Street Potsdam, NY 13676 315-261-5200 jgrillo@cphospital.org http://www.cphospital.org Provider Int 3 Complete 2011/12/20 12:00:00 2012/02/20 12:00:00 2012/02/20 12:22:00 UV 2.16.840.1.113883.3.1103.1 ecmcMeditechCCD Erie County Medical Center Meditech CCD Document Paul Powers masked Paul Powers 7168984179 masked Erie County Medical Center 462 Grider Street Buffalo, NY 14215-3098 7168984179 ppowers@ecmc.edu Provider 2.16.840.1.113883.3.1103 Ext 4 Complete 2.16.840.1.113883.3.1103.1 2011/12/20 12:00:00 2012/02/20 12:00:00 2012/02/20 12:24:08 UV 2.16.840.1.113883.3.1494 mfTest MedFORCETest Anjita Shetty masked Anjita Shetty 750 Chestnut Ridge Road, Chestnut Ridge, NY 10977 8454260459 masked Development Manager Anjita Shetty ashetty@medforcetech.com http://www.medforcetech.com Vendor Int 3 Complete 2011/12/21 12:00:00 2012/02/20 12:00:00 2012/02/20 12:29:01 UV 2.16.840.1.113883.3.1495 genniusdatacenter Gennius Data Center Charles Hoban masked Charles Hoban Gennius Inc. 204 Second Ave Waltham, MA 02451 781-290-4744 masked Gennius, Inc. 204 Second Ave Waltham, MA 02451 781-290-4744 bmdowney@gennius.com http://www.gennius.com Vendor Int 3 Complete 2011/12/21 12:00:00 2012/02/20 12:00:00 2012/02/20 12:31:34 UV 2.16.840.1.113883.3.1496 axiUm axiUm Liam Maughan masked Liam Maughan 1963 Lougheed Hwy Coquitlam, BC, Canada V3K 3T8 604-468-6820 masked Systems Analyst Exan Group 1963 Lougheed Hwy Coquitlam, BC, Canada V3K 3T8 604-468-6820 info@exangroup.com http://www.exangroup.com Vendor 2.16.840.1.113883.3 Int 3 Complete 2011/12/21 12:00:00 2012/02/20 12:00:00 2012/02/20 12:34:17 UV 2.16.840.1.113883.3.1497 cho Commonwealth Hematology-Oncology, P.C. Michele Schuckel masked Pat Allia Pat Allia 10 Willard Street Quincy, MA 617-769-1164 masked Assistant Director of Operations Commonwealth Hematology-Oncology, P.C. 10 Willard Street Quincy, MA 617-479-1452 mschuckel@chomed.com Provider Int 3 Complete 2011/12/22 12:00:00 2012/02/20 12:00:00 2012/02/20 12:37:46 UV 2.16.840.1.113883.3.1498 polkmc Polk Medical Center Robert Branham masked Robert Branham Floyd Medical Center 304 Turner McCall Blvd Rome, GA 30165 706-509-5729 masked Polk Medical Center 424 N Main St Cedartown, GA 30125 770-749-8505 help@floyd.org Provider Int 3 3 Complete 2011/12/22 12:00:00 2012/02/20 12:00:00 2012/02/20 12:39:56 UV 2.16.840.1.113883.3.1499 fbh Floyd Behavioral Health Robert Branham masked Robert Branham Floyd Medical Center IT Dept 304 Turner McCall Blvd Rome, GA 30165 706-509-5729 masked Floyd Behavioral Health 306 Shorter Ave NW Rome, GA 30165 706-509-5729 help@floyd.org Provider Int 3 3 Complete 2011/12/22 12:00:00 2012/02/20 12:00:00 2012/02/20 12:42:58 UV 2.16.840.1.113883.3.1500 saintfrancishealthsystem Saint Francis Health System Mary Curtis masked Mary Curtis 6161 South Yale Ave. Xavier Bld, Floor 1 Tulsa, OK 74136 918-502-3658 masked Managment Analyst Mary Curtis 6161 South Yale Ave. Xavier Bld, Floor 1 Tulsa, OK 74136 918-502-3658 mcurtis@saintfrancis.com Provider Int 3 Retired 2011/12/22 12:00:00 2012/02/20 12:00:00 2012/04/17 06:53:29 UV 2.16.840.1.113883.3.1500.1 saintfrancisapplication Saint Francis Application Mary Curtis masked Mary Curtis 918-502-3658 masked Mary Curtgis 6161 South Yale Ave. Xavier Bld., Floor 1 Tulsa, Ok 74136 918-502-3658 mccurtis@saintfrancis.com Provider 2.16.840.1.113883.3.1500 Ext 4 4 Retired 2.16.840.1.113883.3.1500.1 2011/12/22 12:00:00 2012/02/20 12:00:00 2012/04/17 06:51:33 UV 2.16.840.1.113883.3.643.1 saintfrancisapplication Saint Francis Application Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, Ok 74136 918-494-3515 masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, Ok 74136 918-494-3515 mccurtis@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.1 2011/12/22 12:00:00 2012/02/20 12:00:00 2012/02/20 01:49:38 UV 2.16.840.1.113883.3.1501 pmcs Pine Medical Center Nate Marshall masked Mary Beth Kester Mary Beth Kester 109 Court Avenue South Sandstone, MN 55072 320-245-6760 masked Systems Analyst Pine Medical Center 109 Court Avenue South Sandstone, MN 55072 320-245-2212 info@pinemedical.org http://www.pinemedicalcenter.org/ Provider Int 3 Complete 2011/12/22 12:00:00 2012/02/20 12:00:00 2021/03/23 10:58:37 UV 2.16.124.7.101.20 nsdohw Nova Scotia Department of Health and Wellness Josh Huchton masked Josh Huchton Suite 900, 5161 George St. Halifax, NS B3J 1M7 902-220-7866 masked Technical Analyst Nova Scotia Department of Health and Wellness josh.huchton@nshealth.ca Govt body Ext 3 Complete 2.16.124.7.101.20 2011/12/23 12:00:00 2012/02/20 12:00:00 2012/02/20 01:27:45 UV 2.16.840.1.113883.17.51 matCodeSystem Measure Authoring Code System Stan Rankins masked Stan Rankins 1776 West Lakes Parkway West Des Moines, IA 50266 515-453-8014 masked Lead Solutions Analyst Telligen 1776 West Lakes Parkway West Des Moines, IA 50266 SRankins@Telligen.org Exchange Int 17 Complete 2011/12/24 12:00:00 2012/02/20 12:00:00 2012/02/20 01:30:31 UV 2.16.840.1.113883.17.52 matUsage Reserved for use by NQF Measure Authoring Tool Stan Rankins masked Stan Rankins 1776 West Lakes Parkway West Des Moines, IA 50325 515-453-8014 masked Lead Solutions Analyst Telligen SRankins@Telligen.org Vendor Int 17 Complete 2011/12/24 12:00:00 2012/02/20 12:00:00 2012/02/20 01:32:52 UV 2.16.840.1.113883.3.1502 mitre-org mip.mitre.ort Walt Melo masked Walt Melo 7515 Colshire Drive Mclean, VA 22102 8049258743 masked Walt Melo wmelo@mitre.org http://mitre.org Govt body Int 3 3 Complete 2011/12/27 12:00:00 2012/02/20 12:00:00 2012/02/20 01:38:02 UV 2.16.840.1.113883.3.1348.1.6 demirs South Shore Family Practice Michael Oakes masked Michael Oakes 401.654.4000 x112 masked Director, Information Technology Jennifer Demirs P.O. Box 910, 4099 Old Post Rd Charleston, RI 02813 401-364-0771 sdemirs@cox.net Provider 2.16.840.1.113883.3.1348 Ext 4 Complete 2.16.840.1.113883.3.1348.1.6 2011/12/27 12:00:00 2012/02/20 12:00:00 2012/02/20 01:45:33 UV 2.16.840.1.113883.3.1348.1.7 eGFP East Greenwich Family Practice Michael Oakes masked Michael Oakes 1150 New London Avenue Suite 20 Cranston, RI 02920 401.654.4000 x112 masked Director, Information Technology East Greenwich Family Practice 925 Main St. E. Greenwich, RI 02818 401-884-5333 egfpdocs@hotmail.com Provider 2.16.840.1.113883.3.1348 Ext 4 Complete 2.16.840.1.113883.3.1348.1.7 2011/12/27 12:00:00 2012/02/20 12:00:00 2012/02/20 01:48:12 UV 2.16.840.1.113883.6.304 vis-doc-type Vaccine Information Sheet document type Rob Savage masked Rob 10 Calumet Madison, WI 53705 Savage masked CDC/IISSB tbd tbd iisinfo@cdc.gov Govt body Int 6 6 Complete 2011/12/28 12:00:00 2011/12/29 12:00:00 2011/12/28 11:14:40 VIS US 2.16.840.1.113883.3.1503 iClinic MDLand International Inc. Sunay Shah masked Jay T. Sturm 15 East 32nd Street 2nd Floor New York, NY 10016 2123638000 masked VP Operations MDLand International Inc. 15 East 32nd Street 2nd Floor New York, NY 10016 2123638000 info@mdland.net https://www.mdland.com Vendor Int 3 Complete 2011/12/28 12:00:00 2012/02/20 12:00:00 2013/03/20 09:59:37 UV 2.16.840.1.113883.3.1504 srhsoh Samaritan Regional Health System Joanne Beasley masked Joanne Beasley 1025 Center St. Ashland, Ohio 44805 419-207-2553 masked Director, Health Information Management Samaritan Regional Health System 1025 Center St. Ashland, Ohio 44805 419-289-0491 ngangi@samaritanhospital.org http://www.samaritanhospital.org Provider Int 3 3 Complete 2011/12/28 12:00:00 2012/02/20 12:00:00 2012/02/20 01:58:11 UV 2.16.840.1.113883.3.1505 magroh Magruder Hospital Charles Dellick masked Charles Dellick 615 Fulton Street Port Clinton, OH 43452 419.734.3131 Ext. 3146 masked IT Director Magruder Hospital 615 Fulton Street Port Clinton, OH 43452 419.734.3131 cdellick@magruderhospital.com http://www.magruderhospital.com Provider Int 3 3 Complete 2011/12/28 12:00:00 2012/02/20 12:00:00 2012/02/20 02:01:27 UV 2.16.840.1.113883.3.1506 dkhclinicalsummarydocuments DKH Clinical Summary Documents Kathleen Lewis masked Kathleen Lewis 860 928 6541 ext 2567 masked Programmer/Analyst Day Kimball Hospital 320 Pomfret Street Putnam, CT 06260 860 928 6541 IT_HelpDesk@dayKimball.org http://helpdesk.daykimball.org/ Provider Int 3 Complete 2011/12/28 12:00:00 2012/02/20 12:00:00 2012/02/20 02:07:35 UV 2.16.840.1.113883.3.1507 drjackvwaters Jack V. Waters, D.C., P.C. Jack Waters masked Jack V. Waters, D.C., P.C. 1833 W. 21st Street Clovis, New Mexico 88101 575-763-8888 masked C.E.O. Jack V. Waters, D.C., P.C. 1833 W. 21st Street Clovis, New Mexico 88101 575-763-8888 drjvw@plateautel.net http://www.drjackwaters.com Provider Int 3 3 Complete 2011/12/29 12:00:00 2012/02/20 12:00:00 2012/02/20 02:10:31 US 2.16.840.1.113883.3.1508 bhs-fvh Fairview Hospital Damian Shepard masked Damian Shepard 725 North Street Pittsfield, MA 01201 413-445-9204 masked Senior Systems Analyst Fairview Hospital 725 North Street Pittsfield, MA 01201 413-447-2000 dshepard@bhs1.org http://www.berkshirehealthsystems.org/ Provider Int 3 Complete 2011/12/29 12:00:00 2012/02/20 12:00:00 2012/02/20 02:12:26 UV 2.16.840.1.113883.3.1509 lrhs Lakeland Regional Health System Dawn Harrison masked John Cunningham Dawn Harrison Lakeland Regional Health System 1324 Lakeland Hills Blvd. Lakeland, FL 33805 863.687.1100 masked Lead Programmer Lakeland Regional Health System 1324 Lakeland Hills Blvd. Lakeland, FL 33805 863.687.1100 Chip.Cunningham@lrmc.com Provider Int 3 Complete 2011/12/30 12:00:00 2012/02/20 12:00:00 2012/02/20 02:14:22 UV 2.16.840.1.113883.3.1509.1 lrmc-mrn Lakeland Regional Medical Center - MRN Dawn Harrison masked John Cunningham Dawn Harrison Lakeland Regional Health System 1324 lakeland Hills Blvd. Lakeland, FL 33805 863.687.1100 masked Lead Programmer Lakeland Regional Health System 1324 Lakeland Hills Blvd. Lakeland, FL 33805 863.687.1100 Chip.Cunningham@lrmc.com Provider Ext 3 Complete 2.16.840.1.113883.3.1509.1 2011/12/30 12:00:00 2012/02/20 12:00:00 2012/02/20 02:15:41 UV 2.16.840.1.113883.3.1509.2 lrmc-fin Lakeland Regional Medical Center - FIN Dawn Harrison masked John Cunningham Dawn Harrison Lakeland Regional Health System 1324 Lakeland Hills Blvd. Lakeland, FL 33805 863.687.1100 masked Lead Programmer Lakeland Regional Health System 1324 Lakeland Hills Blvd. Lakeland, FL 33805 863.687.1100 Chip.Cunningham@lrmc.com Provider 2.16.840.1.113883.3.1509 Ext 3 Complete 2.16.840.1.113883.3.1509.2 2011/12/30 12:00:00 2012/02/20 12:00:00 2012/02/20 02:19:13 UV 2.16.840.1.113883.3.1510 bradoc Bradoc Data Management, Inc. James Schnack masked James Schnack 11 Fourth Street South, Suite 200 Grand Forks, ND 58201 701-746-7441 masked Software Developer Bradoc Data Management, Inc. 11 Fourth Street South, Suite 200 Grand Forks, ND 58201 701-746-7441 jschnack@bradoc.net Vendor Int 3 Complete 2011/12/30 12:00:00 2012/02/20 12:00:00 2012/02/20 02:23:51 UV 2.16.840.1.113883.3.1511 eemra EEMRA HL7 OID Norman Katz masked Norman Katz 6198401810 masked Vice President of Engineering EEMRA 6198905847 mitch@eemra.com http://www.eemra.com Vendor Int 3 Complete 2012/01/01 12:00:00 2012/02/20 12:00:00 2012/02/20 02:26:39 UV 2.16.840.1.113883.3.1512 mrhc-ms Magnolia Regional Health Center - Corinth, MS Drew Williams masked Drew Williams 611 Alcorn Drive Corinth, MS 38834 662-293-1125 masked Decision Support Analyst Magnolia Regional Health Center 611 Alcorn Drive Corinth, MS 38834 662-293-1000 ithelpdesk@mrhc.org http://www.mrhc.org HL7 body Int 3 Complete 2012/01/03 12:00:00 2012/02/20 12:00:00 2012/02/20 02:28:22 UV 2.16.840.1.113883.3.1513 jcblair J.C. Blair Health Systems, Inc. Joy Merritts masked Joy Merritts 1225 Warm Springs Avenue Huntingdon, PA 16652 814-643-8557 masked Asst. IT Director J.C. Blair Memorial Hospital 1225 Warm Springs Avenue Huntingdon, PA 16652 814-643-2290 administrator@jcblair.org http://www.jcblair.org Provider Int 3 Complete 2012/01/03 12:00:00 2012/02/20 12:00:00 2012/02/20 02:31:32 UV 2.16.840.1.113883.3.1514 wmh Wayne Memorial Hospital Tom Hoffman masked Tom Hoffman 601 Park Street Honesdale, PA 18431 570-251-6504 masked Manager of Information Services Wayne Memorial Hospital 601 Park Street Honesdale, PA 18431 570-253-8100 hoffman@wmh.org http://www.wmh.org Provider Int 3 Complete 2012/01/03 12:00:00 2012/02/20 12:00:00 2012/02/20 02:37:46 UV 2.16.840.1.113883.3.1515 painalternatives Pain Alternatives Judy Denison masked Judy Denison 2510 Commons Blvd. Suite 240 Beavercreek, OH 45431 937-429-8620 masked Practice Manager Judy Denison 2510 Commons Blvd. Suite 240 Beavercreek, OH 45431 937-429-8620 practicemanager@painalternativesinc.com Provider Int 3 Complete 2012/01/03 12:00:00 2012/02/20 12:00:00 2012/02/20 02:49:41 UV 2.16.840.1.113883.3.1516 bhal baptist_health_oid Robert Hunkins masked Robert Hunkins 816-885-5814 masked Systems Architect Robert Hunkins 816-885-5814 rob.hunkins@cerner.com http://www.baptistfirst.org Provider Int 3 Complete 2012/01/04 12:00:00 2012/02/20 12:00:00 2012/02/20 02:53:10 UV 2.16.840.1.113883.3.1517 wcc We Care Chiropractic PC Phillip Nutter masked Phillip E. Nutter 7575 Saltsburg Road Pittsburgh, Pa 15235 412-795-2900 masked President/Owner We Care Chiropractic PC 7575 Saltsburg Road Pittsburgh, Pa 15235 412-795-2900 drpnutter@wcchiropractic.com http://www.wcchiropractic.com Provider Int 3 3 Complete 2012/01/04 12:00:00 2012/02/20 12:00:00 2012/02/20 02:56:15 US 2.16.840.1.113883.3.1518 mCCH Murray-Callloway County Hospital Regina Davison masked Regina Davison 803 Poplar Street Murray, KY 42071-2432 270 762 1273 masked Director Information Technology Regina Davison 803 Poplar Street Murray, Ky 42071-2432 270 762 1273 rdavison@murrayhospital.org http://www.murrayhospital.org Provider Int 3 Complete 2012/01/04 12:00:00 2012/02/20 12:00:00 2012/02/20 03:00:28 UV 2.16.840.1.113883.3.1348.1.8 uFM University Family Medicine Michael Oakes masked Michael Oakes 1150 New London Avenue Suite 20 Cranston, RI 401-654-4000 masked Director, Information Technology University Family Medicine 1351 S. County Trail E Greenwich, RI 02818 401-398-0855 w.young@ufm.necoxmail.com Provider 2.16.840.1.113883.3.1348 Ext 4 Complete 2.16.840.1.113883.3.1348.1.8 2012/01/05 12:00:00 2012/02/20 12:00:00 2012/02/20 04:01:08 UV 2.16.840.1.113883.3.1348.1.9 uMGShah UMG Shah Michael Oakes masked Michael Oakes 1150 New London Avenue Suite 20 Cranston, RI 401-654-4000 masked Director, Information Technology UMG Maude 50 Maude St Providence, RI 02908 401-456-5300 Parulshah@cox.net Provider 2.16.840.1.113883.3.1348 Ext 4 Complete 2.16.840.1.113883.3.1348.1.9 2012/01/05 12:00:00 2012/02/20 12:00:00 2012/02/20 04:03:50 UV 2.16.840.1.113883.3.1348.1.10 cUNNIFF Dr. Kristine Cunniff Scott Gendron masked Scott Gendron 1150 New London Ave. Suite 20 Cranston, RI 02820 4016544000 masked Systems Administrator Dr. Kristine Cunniff 350 Kingstown Road Narragansett, RI 02882 4017820700 kcunniff1@verizon.net Provider 2.16.840.1.113883.3.1348 Ext 4 Complete 2.16.840.1.113883.3.1348.1.10 2012/01/05 12:00:00 2012/02/20 12:00:00 2012/02/20 04:05:37 UV 2.16.840.1.113883.3.1348.1.11 hUSSAIN Northern RI Medical Services, Inc. Scott Gendron masked Scott Gendron 1150 New London Ave. Suite 20 Cranston, RI 02920 4016544000 masked Northern RI Medical Services, Inc 63 Eddie Dowling hwy, STE 4 N. Smithfield, RI 02896 4017620210 SYEDHUSSAIN03@YAHOO.COM Provider 2.16.840.1.113883.3.1348 Ext 4 Complete 2.16.840.1.113883.3.1348.1.11 2012/01/05 12:00:00 2012/02/20 12:00:00 2012/02/20 04:08:02 UV 2.16.840.1.113883.3.1519 mchs-ca MemorialCare Health System Peter Holman masked Ronald Lyse Corporate Offices/Shared Services 17360 Brookhurst Street Fountain Valley, CA 92708 657-241-3104 masked System Architect Specialist MemorialCare Health System Corporate Offices/Shared Services 17360 Brookhurst Street Fountain Valley, CA 92708 657-241-3104 rlyse@memorialcare.org http://www.memorialcare.org Provider Int 3 Complete 2012/01/05 12:00:00 2012/02/20 12:00:00 2014/07/23 11:47:00 UV 2.16.840.1.113883.3.1520 dynamicHealthIT Dynamic Health IT, Inc. Matthew Dugal masked Matthew Dugal 134 S. Clark St. New Orleans, LA 70119 (504) 309-9103 masked Developer Dynamic Health IT, Inc 134 S. Clark St. New Orleans, LA 70119 (504) 309-9103 info@dynamichealthit.com http://dynamichealthit.com Vendor Int 3 Complete 2012/01/05 12:00:00 2012/02/20 12:00:00 2015/11/19 11:19:53 UV 2.16.840.1.113883.17.53 shp Sentinel Health Partners Kim Bray masked Kim Bray PO Box 1259 800 Lafayette Street Camden,SC 29020 803-713-8350 masked Administrator, IT Sentinel Health Partners PO Box 1259 Camden, SC 29021 803-713-8350 kimbray@sentinelhealthpartners.com Provider Int 17 Complete 2012/01/05 12:00:00 2012/02/20 12:00:00 2012/02/20 04:22:31 UV 2.16.840.1.113883.3.1521 cghmc CGH Medical Center Rod Ahlrichs masked Stevie Jamin 100 E. LeFevre Road Sterling, IL 61081 815.564.4114 masked Application Analyst CGH Medical Center 100 E. LeFevre Road Sterling, IL 61081 815.626.0400 info@cghmc.com Provider Int 3 3 Complete 2012/01/05 12:00:00 2012/02/20 12:00:00 2020/06/02 01:03:58 UV 2.16.840.1.113883.3.1522 noelhenry Dr. Noel Henry O.D. Noel Henry masked noel henry 13506 summerport village parkway #254 Windermre,Florida 34786 407-857-0670 masked Optometrist Dr. Noel Henry, O.D.,P.A. 13506 summerport village parkway #254 Windermere, Florida 34786 noelhenryod@yahoo.com Provider Int 3 Complete 2012/01/05 12:00:00 2012/02/20 12:00:00 2012/02/20 04:43:01 UV 2.16.840.1.113883.3.1523 lphi Louisiana Public Health Institute David Schramm masked Gaurav Nagrath 1515 Poydras New Orleans, Louisiana, 70112 504 301 9810 masked Louisiana Public Health Institute 1515 Poydras New Orleans, Louisiana, 70112 504 301 9810 gnagrath@lphi.org http://www.lphi.org Govt body Int 3 Complete 2012/01/05 12:00:00 2012/02/20 12:00:00 2012/02/20 04:44:19 UV 2.16.840.1.113883.3.1524 wam Wayne Memorial Hospital Susan Markley masked Susan Markley 919-731-6425 masked Manager, Information Technology Wayne Memorial Hospital 2700 Wayne Memorial Drive Goldsboro, NC 27534 919-736-1110 susan.markley@waynehealth.org http://www.waynehealth.org/ Provider Int 3 Complete 2012/01/06 12:00:00 2012/02/20 12:00:00 2012/02/20 04:46:14 UV 2.16.840.1.113883.3.1525 kaleidaOIDRoot Kaleida Health OID Root Michael Utz masked Michael 726 Exchange Street, Suite 310 Buffalo, NY 14210 716-859-8127 masked Director, Web Technology & Integrated Systems Kaleida Health 726 Exchange Street, Suite 310 Buffalo, NY 14210 716-859-8127 meutz@kaleidahealth.org Provider Int 3 3 Complete 2012/01/06 12:00:00 2012/02/20 12:00:00 2012/02/20 04:48:30 UV 2.16.840.1.113883.3.1526 chilthealth Chilton Hospital John Lichtenberger masked Karen S. Smith John Lichtenberger 97 West Parkway Pompton Plains, NJ 07444 973-831-5000 x-5870 masked IS Interface Analyst Chilton Hospital 97 West Parkway Pompton Plains, NJ 07444 973-831-5000 jlichtenberger@chiltonhealth.org http://www.chiltonhealth.org Provider Int 3 Complete 2012/01/06 12:00:00 2012/02/20 12:00:00 2012/02/20 04:54:32 UV 2.16.840.1.113883.3.1527 ech Ephrata Community Hospital Erika Russo masked Erika Russo Ephrata Community Hospital 169 Martin Ave Ephrata, PA 17522 717-721-8752 masked Director IT Applications Ephrata Community Hospital Ephrata Community Hospital 169 Martin Ave Ephrata, PA 17522 717-733-0311 erikarusso@ephratahospital.org http://www.ephratahospital.org Provider Int 3 Complete 2012/01/06 12:00:00 2012/02/20 12:00:00 2014/05/09 09:46:06 UV 2.16.840.1.113883.3.1528 truvenHealthAnalytics Truven Health Analytics Jonathan Landsman masked Mark Goodhart Jonathan Landsman 777 East Eisenhower Parkway Ann Arbor, MI 48108 1 734.913.3552 masked Director Health Care Analytics Truven Health Analytics 777 East Eisenhower Parkway Ann Arbor, MI, 48108 1 734.913.3552 Jonathan.Landsman@TruvenHealth.com https://www.truvenhealth.com Vendor Int 3 Complete 2012/01/09 12:00:00 2012/02/20 12:00:00 2012/08/15 01:51:48 UV 2.16.840.1.113883.3.1529 csw-1-0 Chiropractic Sports & Wellness PC Joshua Barousse masked Paul Romeo Cassista, DC 307-635-7727 masked Chiropractic Sports & Wellness PC 1021 East Lincolnway Cheyenne, WY 82001 307-635-7727 chirosportsandwellness@yahoo.com Provider Int 3 Complete 2012/01/09 12:00:00 2012/02/20 12:00:00 2012/02/20 05:04:53 UV 2.16.840.1.113883.3.1530 mhmg MHMG Hector Saenz masked Curissa Alsobrooks Hector Saenz 920 Frostwood Drive Houston, TX 77024 713.338.5327 masked Applications P/A MH Medical Group 920 Frostwood Drive Houston, TX 77024 713.338.5327 hector.saenz@memorialhermann.org http://memorialhermann.org Provider Int 3 Complete 2012/01/09 12:00:00 2012/02/20 12:00:00 2012/02/20 05:06:14 UV 2.16.840.1.113883.3.1531 hepakNhinNode HealthPasskey Luis Figueroa masked Luissette C. Figueroa 5639-2 Lockridge Loop Fort Hood, Texas 76544 7875491751 masked Vice-President Health Innovators Systems, Inc. 5639-2 Lockridge Loop Fort Hood, Texas 76544 7875491751 luissette@hinsys.com http://www.hinsys.com Vendor Int 3 Complete 2012/01/09 12:00:00 2012/02/20 12:00:00 2012/06/05 10:50:28 UV 2.16.840.1.113883.3.1532 norwct Norwalk Hospital David Casceillo masked David Casceillo 24 Stevens Street Norwalk, Ct 06856 203 852-2950 masked Norwalk Hospital 24 Stevens Street Norwalk, Ct 06856 203 852-2000 hr@norwalkhealth.org Provider Int 3 3 Complete 2012/01/09 12:00:00 2012/02/20 12:00:00 2012/02/20 05:10:41 UV 2.16.840.1.113883.3.1533 lwr Lakewood Ranch Medical Center Heather Walmsley masked Heather Walmsley 816-225-0350 masked Cerner Integration Architect Lakewood Ranch Medical Center 8330 Lakewood Ranch Boulevard Lakewood Ranch, FL 34202 941-782-2100 heather.walmsley@cerner.com http://www.lakewoodranchmedicalcenter.com/Home Provider Int 3 3 Complete 2012/01/09 12:00:00 2012/02/20 12:00:00 2012/02/20 05:12:19 UV 2.16.840.1.113883.3.1534 sjrmc-ccd-1 StJosephRegionalMedicalCenter-CCD Jim Johnston masked Jim Johnston St. Joseph Regional Medical Center 415 6th Street Lewiston, ID 83501 208-799-5721 masked Integrations Analyst St. Joseph Regional Medical Center 415 6th Street Lewiston, ID 83501 2087432511 jjohnston@sjrmc.org http://www.sjrmc.org Provider Int 3 Complete 2012/01/10 12:00:00 2012/02/20 12:00:00 2012/02/20 05:17:51 UV 2.16.840.1.113883.3.1535 trimsnetcmsinfo TRIMSNet RAC/CMS Information Exchange Bill Pomerance masked Bill Pomerance 1340 Old Chain Bridge Road Suite 205 McLean, VA 22101 703-356-7965 masked President LOISS, LTD 1340 Old Chain Bridge Road Suite 205 McLean, VA 22101 703-356-7965 billp@loiss.com Vendor Int 3 Complete 2012/01/10 12:00:00 2012/02/20 12:00:00 2012/02/20 05:20:05 UV 2.16.840.1.113883.3.1536 back11 Backstrom Chiropractic Clinic Barbara Brown masked Donald Backstrom Barbara Brown 496 Crescent Blvd. Glen Ellyn, IL 60137 630-790-2440 masked Office Manager Backstrom Chiropractic Clinic 496 Crescent Blvd. Glen Ellyn, IL 60137 630-790-2440 barb@backstromchiropractic.com http://www.backstromwellness.com Provider Int 3 3 Complete 2012/01/10 12:00:00 2012/02/20 12:00:00 2012/02/20 05:22:06 X.660 UV 2.16.840.1.113883.17.54 d-m-c Dallas Multidisciplinary Clinic Bryan Weddle masked Bryan Weddle 9669 N. Central Expressway, Suite 200 Dallas, Texas 214-265-9000 masked DC Bryan Weddle 9669 N. Central Expressway, Suite 200 Dallas, Texas 214-265-9000 BryanWeddle@sbcglobal.net http://bryanweddle.com Provider Int 17 17 Complete 2012/01/10 12:00:00 2012/02/20 12:00:00 2012/02/20 05:27:42 US 2.16.840.1.113883.3.1537 adio Hawkins Chiropractic Brad Hawkins masked Stacy Hawkins 3617292225 masked Dr. BACK IN MOTION LTD 2011 Hwy 35 N Rockport, Tx 78382 3617292225 bookkeeping@dochawkins.com https://www.dochawkins.com Provider Int 3 Complete 2012/01/11 12:00:00 2012/02/20 12:00:00 2012/02/20 05:33:34 UV 2.16.840.1.113883.3.1538 sfhhc St. Francis Hospital and Health Centers Sean Kraft masked Kathleen Clark Sean Kraft St. Francic Hospital and Health Centers 241 North Rd. Poughkeepsie, NY 12601 845.483.5013 masked Interface Analyst St. Francis Hospital and Health Centers skraft@sfhhc.org http://www.sfhospital.org/ Provider Int 3 3 Complete 2012/01/11 12:00:00 2012/02/20 12:00:00 2012/02/20 05:37:42 UV 2.16.840.1.113883.3.1539 bsim Broadway Sports & Internal Medicine PS Gary Schuster masked Gary Schuster, MD 600 Broadway, STE 270 Seattle, WA 98122 206-215-2288 masked owner Broadway Sports & Internal Medicine PS 600 Broadway, STE 270 Seattle, WA 98122 206-215-2288 Pam@broadwayconciergemedicine.com http://www.broadwayconciergemedicine.com Provider Int 3 Complete 2012/01/11 12:00:00 2012/02/20 12:00:00 2012/02/20 05:40:38 US 2.16.840.1.113883.3.1070.5014 mckesson-fusion-5014 mckesson-fusion-5014 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5014 2012/01/11 12:00:00 2012/02/20 12:00:00 2012/02/20 05:43:41 US 2.16.840.1.113883.3.1540 kch Kishwaukee Community Hospital Craig Villacorta masked Craig Villacorta 8157561521 ext 153442 masked Kishwaukee Community Hospital One Kish Hospital Drive DeKalb, IL 60115 8157561521 cvillacorta@kishhospital.org Payor Int 3 Complete 2012/01/11 12:00:00 2012/02/20 12:00:00 2012/02/20 05:45:01 UV 2.16.840.1.113883.3.1541 vwch Valley West Community Hospital Craig Villacorta masked Craig Villacorta 815.756.1521 x153442 masked Valley West Community Hospital 11 East Pleasant Avenue Sandwich, IL 60548 815.756.1521 x153442 cvillacorta@kishhospital.org Provider Int 3 Complete 2012/01/11 12:00:00 2012/02/20 12:00:00 2012/02/20 05:47:32 UV 2.16.840.1.113883.3.1542 geniesolutions Genie Solutions Pty Ltd Paul Carr masked Paul Carr 120 Stuartholme Rd Bardon QLD 4065 Australia 0407735602 masked Genie Solutions Pty Ltd PO Box 65 Indooroopilly QLD 4068 Australia 61 7 3870 4085 info@geniesolutions.com.au http://www.geniesolutions.com.au Vendor Int 3 Complete 2012/01/11 12:00:00 2012/02/20 12:00:00 2012/02/20 05:49:12 UV 1.2.36.1.2001.1005.16 nswHealthDomain NSW Health Domain Paul Watt masked Kendall Hockey Building 20U, Gladesville Hospital Campus, Victoria Rd, Gladesville NSW +617 3023 8553 masked NSW Health Zenith Centre, Tower A, Level 17, 821 Pacific Highway Chatswood NSW 2057 +612 8644 2000 kendall.hockey@health.nsw.gov.au http://www.ehealth.nsw.gov.au Govt body Ext 3 Complete 1.2.36.1.2001.1005.16 2012/01/11 12:00:00 2012/02/20 12:00:00 2012/02/20 05:51:49 AU 2.16.840.1.113883.3.1543 svrhc Sierra Vista Regional Health Center Richard Turner masked Richard Turner SVRHC 300 El Camino Real Sierra Vista, AZ. 85635 520 417-3884 masked Manager Clinical Applications Sierra Vista Regional Health Center 300 El Camino Real Sierra Vista, AZ. 85635 520 417-3884 richard.turner@svrhc.org Provider Int 3 3 Complete 2012/01/12 12:00:00 2012/02/20 12:00:00 2012/02/20 06:52:00 UV 2.16.840.1.113883.4.525 irmc indianarmc Wade Patrick masked Julia Santello Wade Patrick 845 Hospital Rd Indiana, PA 15704 724-357-8240 masked CIO Indiana Regional Medical Center` 845 Hospital Rd Indiana, PA 15701 724-357-7000 info@indianarmc.org http://www.indianarmc.org Exchange Int 4 Pending 2012/01/12 12:00:00 2012/01/12 01:51:40 UV 2.16.840.1.113883.3.1544 aan American Academy of Neurology Rebecca Swain-Eng masked rlarson@aan.com Gina Gjorvad 201 Chicago Ave Minneapolis, MN 55415 (612) 928-6123 masked Manager, Measure Development and Implementation American Academy of Neurology 201 Chicago Ave Minneapolis, MN 55415 (612) 928-6000 memberservices@aan.com http://www.aan.com Prof Soc Int 3 Complete 2012/01/12 12:00:00 2012/02/28 12:00:00 2015/09/23 05:09:17 UV 2.16.840.1.113883.3.1545 outcome Outcome Sciences, Inc. Dan Levy masked Dan Levy 617-715-6804 masked Outcome Sciences, Inc. 201 Broadway Cambridge, MA 02139 617-715-6804 dlevy@outcome.com Vendor Int 3 Complete 2012/01/12 12:00:00 2012/02/28 12:00:00 2012/02/28 10:01:39 UV 2.16.840.1.113883.3.1546 rumc123 Clemente Martinez Clemente Martinez masked Clemente Martinez 718 818 1232 masked Clemente Martinez 355 Bard Avenue Staten Island, NY 10310 347 661 5786 cmartinez@rumcsi.org HL7 body Int 3 Complete 2012/01/12 12:00:00 2012/02/28 12:00:00 2012/02/28 10:03:26 UV 2.16.840.1.113883.3.1547 lourdes Lourdes Health Network, Pasco, WA Diana Whitehead masked Diana Whitehead 520 N 4th Avenue Pasco, WA 99301 509-543-2498 masked Senior Solutions Development Analyst Lourdes Health Network 520 N 4th Avenue Pasco, WA 99301 509-547-7704 dwhitehead@lourdesonline.org http://www.lourdeshealth.net/ Provider Int 3 Complete 2012/01/12 12:00:00 2012/02/28 12:00:00 2012/02/28 10:04:28 UV 2.16.840.1.113883.3.1548 limepepperauth LimePepper Auth Services Tom Hodder masked Tom Hodder 18 Ascension Road Romford Essex RM5 3RS 447979751734 masked Lime Pepper Ltd 18 Ascension Road Romford Essex RM5 3RS 447979751734 tom@limepepper.co.uk Vendor Int 3 Complete 2012/01/13 12:00:00 2012/02/28 12:00:00 2012/02/28 10:05:35 UK 2.16.840.1.113883.4.526 adecs American Data ECS Nathan Simonis masked Nathan Simonis 800-464-9942 masked HL7 Developer American Data P.O.Box 640 Sauk City, WI 53583 800-464-9942 nate@american-data.com http://www.american-data.com Vendor Int 3 Complete 2012/01/13 12:00:00 2022/10/25 12:00:00 2022/10/25 09:44:24 US 2.16.840.1.113883.6.305 fhir-special-values FHIR Special Values Grahame Grieve masked Grahame Grieve 108 Loughnan Road Ringwood 3134 Australia +61411867065 masked Health Intersections Pty/Ltd grahame@healthintersections.com.au http://www.healthintersections.com.au/fhir/introduction.htm Vendor 1.2.36.146595217 Int 6 6 Complete 2012/01/13 12:00:00 2012/02/28 12:00:00 2012/02/28 10:11:03 UV 2.16.840.1.113883.6.306 fhir-resource-types FHIR Resource Types Grahame Grieve masked Grahame Grieve 108 Loughnan Road Ringwood 3134 Australia +61411867065 masked Health Intersections Pty/Ltd grahame@healthintersections.com.au http://www.healthintersections.com.au/fhir/introduction.htm Vendor 1.2.36.146595217 Int 6 Complete 2012/01/13 12:00:00 2012/02/28 12:00:00 2012/02/28 10:19:23 UV 2.16.840.1.113883.6.307 fhir-message-events FHIR Message Events Grahame Grieve masked Grahame Grieve 108 Loughnan Road Ringwood 3134 Australia +61411867065 masked Health Intersections Pty/Ltd grahame@healthintersections.com.au http://www.healthintersections.com.au/fhir/introduction.htm Vendor 1.2.36.146595217 Int 6 Complete 2012/01/13 12:00:00 2012/02/28 12:00:00 2012/02/28 10:20:10 UV 2.16.840.1.113883.6.308 fhir-logical-interactions FHIR Logical Interactions (REST) Grahame Grieve masked Grahame Grieve 108 Loughnan Road Ringwood 3134 Australia +61411867065 masked Health Intersections Pty/Ltd grahame@healthintersections.com.au http://www.healthintersections.com.au/fhir/introduction.htm Vendor 1.2.36.146595217 Int 6 Complete 2012/01/13 12:00:00 2012/02/28 12:00:00 2012/02/28 10:21:08 UV 2.16.840.1.113883.6.309 fhir-data-absent-reason Data Absent Reason Grahame Grieve masked Grahame Grieve 108 Loughnan Road Ringwood 3134 Australia +61411867065 masked Health Intersections Pty/Ltd grahame@healthintersections.com.au http://www.healthintersections.com.au/fhir/introduction.htm Vendor 1.2.36.146595217 Int 6 Complete 2012/01/13 12:00:00 2012/02/28 12:00:00 2012/02/28 10:22:03 UV 2.16.840.1.113883.3.1549 brit-nhin-TestGW1 BRIT Systems NHIN Connect test gateway Scott Sangalli masked Scott Sangalli 1909 Hi Line Dr. Dallas, TX 75207 214-630-0636 masked Integrations Engineer Scott Sangalli 1909 Hi Line Dr. Dallas, TX 75207 214-630-0636 scotts@brit.com http://www.brit.com Vendor Int 3 Complete 2012/01/13 12:00:00 2012/02/28 12:00:00 2012/02/28 10:08:50 UV 2.16.840.1.113883.3.1550 liaison Liaison Technologies Gary Palgon masked Gary Palgon 3157 Royal Drive Suite 200 Alpharetta, GA 30022 USA +1-770-442-4900 masked VP Healthcare Solutions Liaison Technologies 3157 Royal Drive Suite 200 Alpharetta, Georgia 30022 USA +1-770-442-4900 gpalgon@liaison.com http://liaison.com Vendor Int 3 3 Complete 2012/01/13 12:00:00 2012/02/28 12:00:00 2012/02/28 10:25:05 UV 2.16.840.1.113883.3.1070.5013 mckesson-fusion-5013 mckesson-fusion-5013 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070.5013 Ext 17 Complete 2.16.840.1.113883.3.1070.5013 2012/01/13 12:00:00 2012/02/28 12:00:00 2012/02/28 10:26:34 US 2.16.840.1.113883.3.1551 apelon Apelon, Inc. Tony Weida masked Rob McClure Tony Weida Apelon, Inc. 100 Danbury Road Ridgefield, CT 06877 203-31-2530 x 141 masked Apelon, Inc. Apelon, Inc. 100 Danbury Road Ridgefield, CT 06877 203-431-2530 info@apelon.com http://www.apelon.com Vendor Int 3 Complete 2012/01/14 12:00:00 2012/02/28 12:00:00 2012/02/28 10:28:48 UV 2.16.840.1.113883.3.1552 completechiro Complete Chiropractic Dr. Bob Robertson masked Dr. Bob Robertson 636-287-2200 masked Complete Chiropractic 1536 Jeffco Blvd Arnold, MO 63010 636-287-2200 tracermat@hotmail.com Provider Int 3 Complete 2012/01/14 12:00:00 2012/02/28 12:00:00 2012/02/28 10:32:16 UV 2.16.840.1.113883.3.1553 stMarysH Root OID for St. Mary's Healthcare Hospital William Savalis masked James Degroff William Savalis St. Mary's Healthcare | Ascension Health Information Services 427 Guy Park Avenue, Amsterdam, NY 12010 Work: 518.841.7292 masked IT Applications Manager St. Mary's Healthcare St. Mary's Healthcare | Ascension Health Information Services 427 Guy Park Avenue, Amsterdam, NY 12010 518-842-1900 William.Savalis@SMHA.org http://www.smha.org/ Provider Int 3 3 Complete 2012/01/16 12:00:00 2012/02/28 12:00:00 2012/02/28 10:33:25 UV 2.16.840.1.113883.3.1554 toubib toubib-Logipro Luc Aubin masked Luc Aubin 220 ch Normandie Saint-F&#233;lix-de-Valois J0K 2M0 450-889-2153 masked Luc Aubin 220 ch Normandie Saint-F&#233;lix-de-Valois J0K 2M0 450-889-2153 luc.aubin@logipromedic.com Vendor Int 3 Complete 2012/01/16 12:00:00 2012/02/28 12:00:00 2012/02/28 10:38:12 UV 2.16.840.1.113883.4.527 houltonRegional Houlton Regional Hospital Tammy McGary masked Tammy McGary Houlton Regional Hospital 20 Hartford Street Houlton, Maine 04730 207-521-2154 masked MIS Manager Houlton Regional Hospital Houlton Regional Hospital 20 Hartford Street Houlton, Maine 04730 207-521-2154 tammy@houltonregional.org Provider Int 3 Complete 2012/01/16 12:00:00 2012/02/28 12:00:00 2012/02/28 10:40:38 UV 2.16.840.1.113883.4.528 acs-pathology Pathology Reports in CCD Doug DeShazo masked Doug DeShazo 678-900-3787 masked ACS Government Healthcare 9040 Roswell Road Atlanta, GA 30350 678-900-3787 douglas.deshazo@acs-inc.om Vendor 2.16.840.1.113883.3.147 Int 4 Complete 2012/01/16 12:00:00 2012/05/31 12:00:00 2012/05/31 10:21:46 UV 2.16.840.1.113883.17.55 keo Keosys Fran&#231;ois Patron masked Fran&#231;ois Patron 0240922613 masked Keosys fpa@keosys.com Vendor Int 17 Complete 2012/01/17 12:00:00 2016/07/22 12:00:00 2016/07/22 04:14:00 UV 2.16.840.1.113883.3.1555 mrmc-tx Mission Regional Medical Center Sri Yarramsetti masked Sri Yarramsetti 956-323-1351 masked Mission Regional Medical Center 900 S. Bryan Rd. Mission, Texas 78572 956-323-1351 muincentives@missionrmc.org http://www.missionrmc.org Provider Int 3 Complete 2012/01/17 12:00:00 2012/02/28 12:00:00 2012/02/28 11:04:14 UV 2.16.840.1.113883.4.529 acs-radiology Radiology Reports in CCD Doug DeShazo masked Doug DeShazo 678-900-3787 masked Systems Consulting Director ACS Government Healthcare 9040 Roswell Rd. Atlanta, GA 30350 678-900-3787 douglas.deshazo@acs-inc.com Vendor 2.16.840.1.113883.3.147 Int 4 Complete 2012/01/17 12:00:00 2012/05/24 12:00:00 2012/05/25 01:31:03 UV 2.16.840.1.113883.3.1556 waterloomedical-WMC Waterloo Medical Center John Nobbe masked John Nobbe 966 South Library st. Waterloo, IL 62298 618-939-7400 masked Clinic Director John Nobbe 966 South Library st Waterloo, IL 62298 618-939-7400 ccc@htc.net Provider Int 3 Complete 2012/01/17 12:00:00 2012/02/28 12:00:00 2012/02/28 11:07:11 UV 2.16.840.1.113883.3.1557 medical-notes MARY RUTH BUCHNESS,MD,DERMATOLOGIST,PC MEDICAL RECORDS Dawn Carrero masked Mary Ruth Buchness,MD Dawn Carrero 560 Broadway suite 406 New York, NY 10012 212-822-3515 masked Practice Administrator Mary Ruth Buchness,MD,Dermatologist,PC 560 Broadway suite 406 New York, NY 10012 212-822-3515 info@maryruthbuchness.com Provider Int 3 Complete 2012/01/17 12:00:00 2012/02/28 12:00:00 2012/02/28 11:12:26 UV 2.16.840.1.113883.3.1558 net4care Net4Care Project Henrik B Christensen masked Henrik B Christensen1 Aabogade 34 8200 Aarhus N Denmark +45 2165 8252 masked Associate Professor Net4Care Aabogade 34 8200 Aarhus N Denmark +45 2165 8252 hbc@cs.au.dk http://www.net4care.org Academic Int 3 3 Complete 2012/01/18 12:00:00 2012/02/28 12:00:00 2012/05/18 12:47:25 UV 2.16.840.1.113883.3.1559 rinn6501 Rinn Chiropractic Center Timothy Rinn masked Parri Gabriel Timothy Rinn 505 Anglers Drive Suite 102 Steamboat Springs, CO 80487 9708796501 masked DC Rinn Chiropractic Center 505 Anglers Drive Suite 102 Steamboat Springs, CO 80487 9708796501 rinnchiropractic@gmail.com Provider Int 3 3 Complete 2012/01/18 12:00:00 2012/02/28 12:00:00 2012/02/28 11:15:34 UV 2.16.840.1.113883.3.1560 hma Henry Mayo Newhall Memorial Hospital Olga Birov masked Tito Perez Olga Birov 23845 McBean Parkway Valencia, CA 91355 661-200-1224 masked HIM Application Analyst Henry Mayo Newhall Memorial Hospital 23845 McBean Parkway Valencia, CA 91355 661-253-8000 pereztt@henrymayo.com http://henrymayo.com Provider Int 3 Complete 2012/01/18 12:00:00 2012/02/28 12:00:00 2012/02/28 11:18:04 US 2.16.840.1.113883.3.1070.5015 mckesson-fusion-5015 mckesson-fusion-5015 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5015 2012/01/18 12:00:00 2012/02/28 12:00:00 2012/02/28 11:20:05 US 2.16.840.1.113883.3.1561 meritus Meritus Health Robert Karlin masked Robert Karlin 301-790-8856 masked Application Analyst Meritus Health 11116 Medical Campus Road Hagerstown, MD 21742 301-790-8000 robert.karlin@meritushealth.com http://www.meritushealth.com Provider Int 3 Complete 2012/01/19 12:00:00 2012/02/28 12:00:00 2012/02/28 11:22:34 UV 2.16.840.1.113883.3.1561.111 meritus-mmc Meritus Health MMC Robert Karlin masked Robert Karlin 301-790-8856 masked Application Analyst Meritus Health 11116 Medical Campus Road Hagerstown, MD 21742 301-790-8000 robert.karlin@meritushealth.com http://www.meritushealth.com Provider 2.16.840.1.113883.3.1561 Ext 3 Complete 2.16.840.1.113883.3.1561.111 2012/01/19 12:00:00 2012/02/28 12:00:00 2012/02/28 11:25:29 UV 2.16.840.1.113883.3.1561.222 meritus-ahs Meritus Health AHS Facility Robert Karlin masked Robert Karlin 301-790-8856 masked Application Analyst Meritus Health 11116 Medical Campus Road Hagerstown MD 21742 301-790-8000 robert.karlin@meritushealth.com http://www.meritushealth.com/ Provider 2.16.840.1.113883.3.1561 Ext 3 Complete 2.16.840.1.113883.3.1561.222 2012/01/19 12:00:00 2012/02/28 12:00:00 2012/02/28 11:26:41 UV 2.16.840.1.113883.3.1562 advancedfootcare Advanced Footcare Inc. Charles Mutschler masked Karen Monz Karen Monz 2770 Indian River Blvd, Suite 308 Vero Beach, FL 32960 772-567-0206 masked Operations Dept. AZZLY 2770 Indian River Blvd, Suite 308 Vero Beach, FL 32960 772-567-0206 vendorservices@azzly.com http://www.azzly.com Vendor 2.16.840.1.113883.3.662 Int 3 Complete 2012/01/19 12:00:00 2012/02/28 12:00:00 2012/02/28 11:29:41 UV 2.16.840.1.113883.3.1563 cientiveGroup Cientive Group Incorporated Clifford Morton masked Vijay Thukral 317-809-8040 masked Cientive Group Incorporated 8760 Castle Park Drive Indianapolis, IN 46256 317-809-8040 info@cientivegroup.com Vendor Int 3 Complete 2012/01/20 12:00:00 2012/02/28 12:00:00 2012/02/28 11:31:48 UV 2.16.840.1.113883.3.1157.300.1 dp-dpm David Plotkin, DPM Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.300.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/07/31 08:33:13 UV 2.16.840.1.113883.3.1564 acrheum ACRheum Itara Barnes masked Itara Barnes 2200 Lake Blvd NE, Atlanta, GA, 30319 404-633-3777 masked Sr Spc Registries and Health Informatics American College of Rheumatology 2200 Lake Blvd NE, Atlanta, GA, 30319 404-633-3777 ibarnes@rheumatology.org http://www.rheumatology.org Prof Soc Int 3 Complete 2012/01/23 12:00:00 2012/02/28 12:00:00 2012/02/28 11:37:51 UV 2.16.840.1.113883.3.1157.301.1 aha Alpha Health Associates Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.301.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/07/31 08:34:51 UV 2.16.840.1.113883.3.1565 glkelley Gaylord Lee Kelley Jr Gaylord Kelley masked Gaylord Lee Kelley 1238 Pine Street Conway, SC 29526 843-248-5814 masked Gayord Lee Kelley 1238 Pine Street Conway, SC 29526 843-248-5814 Drkelley@conwaychiropracticsc.com Provider Int 3 3 Complete 2012/01/23 12:00:00 2012/02/28 12:00:00 2012/02/28 11:42:41 UV 2.16.840.1.113883.3.1157.302.1 naoc Neurological Associates of Ocean County George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.302.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/07/31 08:36:46 UV 2.16.840.1.113883.3.1157.303.1 sp Sunnyside Pediatrics George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.303.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/07/31 08:39:41 UV 2.16.840.1.113883.3.1157.304.1 vr-md Raab Vicki E MD George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.304.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/07/31 08:40:54 UV 2.16.840.1.113883.3.1566 wgh West Georgia Health Mark Ward masked Jay Lowery Mark Ward 1514 Vernon Road LaGrange GA 30240 706-812-2182 masked Lead Systems Analyst West Georgia Health 1514 Vernon Road LaGrange GA 30240 706-882-1411 mward@wghealth.org http://www.wghealth.org Provider Int 3 Complete 2012/01/23 12:00:00 2012/02/28 12:00:00 2012/02/28 11:51:03 UV 2.16.840.1.113883.3.1157.305.1 kp Kado Podiatry George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.305.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/07/31 08:42:57 UV 2.16.840.1.113883.3.1157.306.1 oceanra Ocean Renal Associates George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.306.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/07/31 08:44:42 UV 2.16.840.1.113883.3.1157.307.1 aio Associates In Otolaryngology of NJ, PA George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.307.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/07/31 08:46:20 UV 2.16.840.1.113883.3.1157.308.1 bm-md Benjamin Mark M.D. George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.308.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/08/02 08:41:45 UV 2.16.840.1.113883.3.1157.309.1 ss-md Sanjiv Sharma M.D. George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.309.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/07/31 08:50:15 UV 2.16.840.1.113883.3.1157.310.1 fr-md Frank Reda M.D. George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.310.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/07/31 08:53:26 UV 2.16.840.1.113883.3.1157.311.1 dg-md Douglas Green M.D. George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.311.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/07/31 09:00:13 UV 2.16.840.1.113883.3.1157.312.1 ee-md Emmanuel Emelle M.D. George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.312.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/07/31 09:25:24 UV 2.16.840.1.113883.3.1157.313.1 spadopc S.P Associates D.O, PC George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.313.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/07/31 03:53:13 UV 2.16.840.1.113883.3.1157.314.1 jdg-md Jon D Green M.D. George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.314.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/08/02 09:25:52 UV 2.16.840.1.113883.3.1157.315.1 ocfasa Ocean County Foot & Ankle Surgical Associates, PC George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.315.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/07/31 03:56:12 UV 2.16.840.1.113883.3.1157.316.1 cm Caring Medical George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.316.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/08/02 09:26:50 UV 2.16.840.1.113883.3.1567 lscc Centex Systems Support Services David Schramm masked Maurice Samuels 8627 N. Mopac Expswy, Suite 350, Austin, TX 78759 (512) 524-9248, ext. 1021 masked Chief Technology Officer Centex Systems Support Services 8627 N. Mopac Expswy, Suite 350, Austin, TX 78759 512-524-9248 info@centexsystems.org http://www.centexsystems.org Govt body Int 3 Complete 2012/01/23 12:00:00 2012/02/28 12:00:00 2012/02/28 11:53:31 UV 2.16.840.1.113883.3.1157.317.1 rs-dpm Richard Saglimbene D.P.M George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.317.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/07/31 03:58:29 UV 2.16.840.1.113883.3.1157.318.1 sci Shore Cardiac Institute George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.318.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/07/31 04:05:39 UV 2.16.840.1.113883.3.1157.319.1 amg Anne-Marie G. Gracia, M.D. George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.barnabashealth.org http://www.barnabashealth.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.319.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/07/31 04:06:36 UV 2.16.840.1.113883.3.1157.320.1 pais Professional Associates in Surgical George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.320.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/07/31 04:09:26 UV 2.16.840.1.113883.3.1157.321.1 ep-llc Essex Pedidocs LLC George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.321.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/08/01 09:38:00 UV 2.16.840.1.113883.3.1568 hinshawclinic Hinshaw Clinic Steven Hinshaw masked Steven Hinshaw 110 W Broadway Waurika, Oklahoma 73573 580-228-3527 masked Physician Steven Hinshaw 110 W Broadway Waurika, Oklahoma 73573 580-228-3527 sdhdo2@sbcglobal.net Provider Int 3 Complete 2012/01/23 12:00:00 2012/02/28 12:00:00 2012/02/28 02:30:59 UV 2.16.840.1.113883.3.1157.322.1 dcma Deer Chase Medical Associates George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.322.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/08/01 09:39:12 UV 2.16.840.1.113883.3.1157.323.1 ag-md-pc Avinash Gupta MD PC George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.323.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/08/02 09:30:57 UV 2.16.840.1.113883.3.1157.324.1 mend-pa M.E.N.D PA George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.324.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/08/02 09:45:06 UV 2.16.840.1.113883.3.1157.325.1 cp Coastal Pulmonary George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.325.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/08/02 09:50:20 UV 2.16.840.1.113883.3.1157.326.1 pz-md Hemed George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.326.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/08/01 10:46:11 UV 2.16.840.1.113883.3.1157.327.1 ak-md-pc Awani Kumar MD PC George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.327.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/08/01 10:47:15 UV 2.16.840.1.113883.3.1157.328.1 racg Raso and Cohen Gastroenterology George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.328.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/08/02 09:48:41 UV 2.16.840.1.113883.3.1157.329.1 dcc Dover Cardiology Center George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.329.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/08/01 10:49:53 UV 2.16.840.1.113883.3.1157.330.1 np-mdpa Patel Nachiket V MD George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.330.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/08/01 10:51:51 UV 2.16.840.1.113883.3.1157.331.1 srm Srinivasa Rao Movva George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.331.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/08/01 10:59:12 UV 2.16.840.1.113883.3.1157.332.1 oh-md-pa Otakar Hubschmann, MD George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.332.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/08/01 11:00:09 UV 2.16.840.1.113883.3.1157.333.1 lsa-dpm Leslie S Aufseeser DPM George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.333.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/08/01 11:01:06 UV 2.16.840.1.113883.3.1157.334.1 pobgyn-dr Professional OB/GYN Doctors George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.334.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/08/01 11:02:09 UV 2.16.840.1.113883.3.1157.335.1 nsg-md Nicholas S Guittari MD George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.335.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/08/01 11:02:54 UV 2.16.840.1.113883.3.1157.336.1 aicar Associates in Colon and Rectal George Torre masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.336.1 2012/01/23 12:00:00 2012/02/28 12:00:00 2024/08/01 11:50:01 UV 2.16.840.1.113883.17.56 hssh Heartland Surgical Specialty Hospital John Tune masked John Tune 10720 Nall Avenue Overland Park, KS 66211 913-754-4624 masked Clinical Analyst Heartland Surgical Specialty Hospital 10720 Nall Avenue Overland Park, KS 66211 913-754-5000 jtune@hssh.org http://www.hssh.org Provider Int 17 Complete 2012/01/24 12:00:00 2012/02/28 12:00:00 2012/02/28 03:07:00 UV 2.16.840.1.113883.3.1569 stmhcs St. Mary's Health Care System, Inc. Kerry Vaughn masked Kerry Vaughn St. Mary's Health Care System 1230 Baxter Street Athens, GA 30606-3791 706-389-3530 masked CIO Kerry Vaughn St. Mary's Health Care System 1230 Baxter Street Athens, GA 30606-3791 706-389-3530 kvaughn@stmarysathens.org http://www.stmarysathens.org/ Provider Int 3 Complete 2012/01/24 12:00:00 2012/02/28 12:00:00 2012/02/28 03:13:48 UV 2.16.840.1.113883.3.1570 gensaCorporation Gensa Corporation Robert Lutolf masked Robert Lutolf Gensa Corporation PO Box 2127 Sonoma, CA 95476 877 835 4556 masked Gensa Corporation Gensa Corporation PO Box 2127 Sonoma, CA 95476 877 835 4556 lutolfr@gensa.com http://www.gensa.com Vendor Int 3 Complete 2012/01/24 12:00:00 2012/02/28 12:00:00 2012/02/28 03:15:20 UV 2.16.840.1.113883.3.1571 thocc The Hospital of Central Connecticut Stacy Leskiw masked Scott Ramey Scott Ramey Hospital of Central CT 100 Grand Street New Britain, CT 06050 860-224-5900 x4463 masked Business Systems Application Manager The Hospital of Central Connecticut 100 Grand Street New Britain, CT 06050 860-224-5011 moreinfo@thocc.org Provider Int 3 3 Complete 2012/01/24 12:00:00 2012/02/28 12:00:00 2012/02/28 03:16:29 UV 2.16.840.1.113883.3.1572 mercyme Mercy Hospital - Maine James Perry masked James Perry Mercy Hospital 144 State St. Information Services Portland, ME 04101 207-879-3328 masked Application Analyst James Perry Mercy Hospital 144 State St. Information Services Portland, ME 04101 207-879-3328 perryj@mercyme.com http://www.mercyhospital.org/ Provider Int 3 Complete 2012/01/24 12:00:00 2012/02/28 12:00:00 2012/02/28 03:20:12 UV 2.16.840.1.113883.3.1573 sbamh SusanBAllenMemHospital Mark Rooker masked Mark Rooker 720 W. Central Ave El Dorado Ks, 67042 316-322-4518 masked Director IT Susan B. Allen Memorial Hospital 720 W. Central Ave El Dorado Ks, 67042 316-321-3300 mrooker@sbamh.org http://www.sbamh.com Provider Int 3 Complete 2012/01/24 12:00:00 2012/02/28 12:00:00 2012/02/28 03:24:20 UV 2.16.840.1.113883.3.1574 tmmcfl Tallahassee Memorial HealthCare Melvyn Beltran masked Devin Ladle 850 431-5986 masked Director, Application Services Tallahassee Memorial HealthCare 1300 Miccosukee Road Tallahassee, FL 32308 (850) 431-1155 pr@tmh.org Provider Int 3 3 Complete 2012/01/25 12:00:00 2012/02/28 12:00:00 2013/02/28 04:17:52 UV 2.16.840.1.113883.3.1575 monumenthealth Monument Health Patrick Tisdale masked Chris Brandner Patrick Tisdale 353 Fairmont Blvd Rapid City, SD 57701 605-716-8340 masked Director Monument Health 353 Fairmont Blvd Rapid City, SD 57701 605-719-8131 cbrandner@monument.health.com http://monument.health Provider Int 3 Complete 2012/01/25 12:00:00 2012/02/28 12:00:00 2021/09/03 03:24:43 UV 2.16.840.1.113883.3.1576 ftmcoh Fisher-Titus Medical Center Scott Steinmetz masked Scott Steinmetz 272 Benedict Ave. Norwalk, OH 44857 419-668-8101 masked Director, IS Fisher-Titus Medical Center 272 Benedict Ave. Norwalk, OH 44857 4196688101 ssteinmetz@ftmc.com http://www.fisher-titus.org Provider Int 3 3 Complete 2012/01/25 12:00:00 2012/02/28 12:00:00 2012/02/28 03:28:16 UV 2.16.840.1.113883.3.1577 mugzi ziyad mugharbil Ziyad Mugharbil masked Ziyad H. Mugharbil 4048 E Us 64 Alt, suite 6 Murphy, NC 28906 828-837-7513 masked Ziyad H. Mugharbil 4048 E US 64 Alt, Suite 6 Murphy, NC 28906 828-837-7513 doctor@drmugharbil.org Provider Int 3 Complete 2012/01/25 12:00:00 2012/02/28 12:00:00 2012/02/28 03:33:13 UV 2.16.840.1.113883.3.1578 mmcma Mercy Medical Center Joan Methe masked Joan Methe Mercy Medical Center 271 Carew Street Springfield, MA 413-748-9256 masked CIO Joan Methe Mercy Medical Center 271 Carew Street Springfield, MA 413-748-9256 joan.methe@sphs.com http://www.mercycares.com/ Provider Int 3 Complete 2012/01/25 12:00:00 2012/02/28 12:00:00 2012/02/28 03:37:36 UV 2.16.840.1.113883.3.1579 hms Healthcare Management Systems, Inc. Joshua Douglas masked Arman Samani Varun Vedantham Medhost Services Inc. 6550 Carothers Parkway, Franklin, TN 37067 615-383-7300 masked Senior Product Owner, Integration and Interoperability Medhost Services Inc. Medhost Services Inc. 6550 Carothers Parkway, Franklin, TN 37067 615-383-7300 Varun.Vedantham@medhost.com http://www.medhost.com Vendor Int 3 3 Complete 2012/01/25 12:00:00 2012/02/28 12:00:00 2014/12/19 02:07:27 UV 2.16.840.1.113883.3.1580 blomerth Blomerth Chriopractic Dr Ellen Blomerth masked Ellen 978-535-6155 masked owner Blomerth Chiropractic 215 Newbury St suite 102 Peabody, Ma 01960 978-535-6155 peabodychiropractic@gmail.com Provider Int 3 Complete 2012/01/25 12:00:00 2012/02/28 12:00:00 2012/02/28 03:42:02 UV 2.16.840.1.113883.3.1581 welcomE-123 SRINIVASARAO EADARA SRINIVASARAO EADARA masked SRINIVASARAO EADARA 10025 Governor Warfield Parkway, Suite 401 Columbia, MD 21044 (301) 977-7884 x 389 masked SRINIVASARAO EADARA 10025 Governor Warfield Parkway, Suite 401 Columbia, MD 21044 (301) 977-7884 x 389 SEADARA@QSSINC.COM Govt body Int 3 Complete 2012/01/25 12:00:00 2012/02/28 12:00:00 2012/02/28 03:44:41 UV 2.16.840.1.113883.3.1582 amarillofamilychiropractic Amarillo Family Chiropractic Damon Cross masked Damon A Cross, D.C. 1005 S. Jefferson St. Amarillo, Texas 79101 806-379-8004 masked owner Amarillo Family Chiropractic 1005 S Jefferson St Amarillo, TX 79101 806-379-8004 dcrossdc@sbcglobal.net Provider Int 3 Complete 2012/01/25 12:00:00 2012/02/28 12:00:00 2012/02/28 03:46:26 UV 1.3.6.1.4.1.39257 mr-connect Medical_Records_llc_Connect Clayton Phillips masked Clayton Phillips 1031 Greystone Park Jackson, TN 38305 7314440142 masked IT Administrator Medical Records, LLC 1031 Greystone Park Jackson, TN 38305 7314231208 dhunt@h-hservices.net http://www.medicalrecordsllc.com Exchange Ext 3 Complete 1.3.6.1.4.1.39257 2012/01/25 12:00:00 2012/02/28 12:00:00 2012/02/28 03:51:31 UV 2.16.840.1.113883.3.1583 rycanesmd Rycan Technologies esMD Nicholas Widboom masked Nicholas Widboom 349 West Main St. Ste 4 Marshall, MN 56258 507-532-3324 masked COO Rycan Technologies, Inc. 349 West Main St. Ste 4 Marshall, MN 56258 507-532-3324 nick.widboom@rycan.com http://www.rycan.com Vendor Int 3 Complete 2012/01/25 12:00:00 2012/02/28 12:00:00 2012/02/28 03:54:13 UV 2.16.840.1.113883.17.57 dNealMastruserio D. Neal Mastruserio, MD, LLC Candy Dillon masked Candy L. Dillon 941 Chatham Lane, Suite.323, Columbus, Ohio 43221-2416 614-442-6647 masked Office Manager D. Neal Mastruserio, MD, LLC 941 Chatham Lane, Suite.323, Columbus, Ohio 43221-2416 614-442-6647 cdillon@midohio.twcbc.com http://www.drmastruserio.com Provider Int 17 Complete 2012/01/26 12:00:00 2012/02/28 12:00:00 2012/02/28 04:01:38 UV 2.16.840.1.113883.10.11 hl7-patient-care-workgroup-template-identifier HL7 Patient Care Workgroup Root OID for Template Identifiers Kevin Coonan masked Kevin Coonan, MD +1 240 682 4882 masked HL7 Patient Care WG kevin.coonan@gmail.com HL7 body Int 10 Complete 2012/01/26 12:00:00 2012/02/29 12:00:00 2012/02/29 01:11:05 UV 2.16.840.1.113883.4.530 ca-bcDIETLN British Columbia, Canada, College of Dietitians Identifier for Registered Dietitian Wendy Huang masked Doug Gold, Ministry of Health, Province of BC PO Box 9657, Stn Prov Govt, Victoria, BC, Canada, V8W 9P3 250-952-9130 masked Senior Registry Analyst College of Dietitians of British Columbia, Canada Suite 409 &#8211; 1367 West Broadway Vancouver, BC V6H 4A7 (604) 736-2016 info@collegeofdietitiansbc.org http://collegeofdietitiansofbc.org/ Prof Soc Int 4 Complete 2012/01/26 12:00:00 2012/02/29 12:00:00 2012/02/29 01:12:56 UV 2.16.840.1.113883.3.1584 maineHHS State of Maine Health and Human Services Jonathan Ives masked Jonathan Ives masked IT Project Manager for Improving Health Outcomes for Children (IHOC) State Of Maine jonathan.a.ives@maine.gov Govt body Int 3 Complete 2012/01/26 12:00:00 2012/02/29 12:00:00 2012/02/29 01:17:02 UV 2.16.840.1.113883.3.1585 rmcinconnect Russell Medical Center OID Tommy Spraggins masked Donna Carter PO Box 939 Alexander City, AL 35011-0939 256-329-7111 masked CIO Russell Medical Center PO Box 939 Alexander City, AL 35011-0939 256-329-7100 dcarter@russellmedcenter.com http://www.russellmedcenter.com Provider Int 3 Complete 2012/01/27 12:00:00 2012/02/29 12:00:00 2021/04/29 03:13:02 UV 2.16.840.1.113883.3.1586 baba Baba Root OID Vincent Wen masked Vincent Wen 86-13660242040 masked Baba 86-13660242040 batistuta3028@163.com Provider Int 3 Complete 2012/01/28 12:00:00 2012/02/29 12:00:00 2012/02/29 01:22:11 CN 2.16.840.1.113883.3.1587 wrmc Weatherford Regional Medical Center Merri Kober masked Chris Mahan Brett Cates Weatherford Regional Medical Center 713 E Anderson Weatherford, TX 76086 682-582-1861 masked Director of Information Technology and Education Weatherford Regional Medical Center 713 E Anderson Weatherford, TX 76086 brett_cates@chs.net http://www.weatherfordregional.com Provider Int 3 Complete 2012/01/29 12:00:00 2012/02/29 12:00:00 2014/12/31 03:04:03 UV 2.16.840.1.113883.3.1588 sunCoastHIH SunCoast HIH Inc. Stephen Weiss masked Lou Galterio 2567 N Toledo Blade Blvd, Ste 1 Toledo Blade Professional Center North Port, FL 34289 941.626.3225 masked CEO SunCoast RHIO, Inc. 2567 N Toledo Blade Blvd, Ste 1 Toledo Blade Professional Center North Port, FL 34289 lgalterio@gmail.com Provider Int 3 3 Complete 2012/01/30 12:00:00 2012/02/29 12:00:00 2012/02/29 01:25:23 US 2.16.840.1.113883.3.1589 mCHD Moore County Hospital District Christopher Killion masked Christopher Killion 224 E 2nd Street Dumas, Texas 79029 806 935 7171 masked Director of IT Moore County Hospital District 224 E 2nd Street Dumas, Texas 79029 806 935 7171 admin@mchd.net http://www.mchd.net Provider Int 3 Complete 2012/01/30 12:00:00 2012/02/29 12:00:00 2012/02/29 01:31:04 UV 2.16.840.1.113883.3.1590 uhspa Manatee Memorial Hospital Heather Walmsley masked Mike Meal (610) 382-4674 masked Project Manager - Information Services Manatee Memorial Hospital 206 Second Street East Bradenton, FL 34208 (941) 746-5111 mike.meall@uhsinc.com http://www.manateememorial.com/Home Provider Int 3 3 Complete 2012/01/30 12:00:00 2012/02/29 12:00:00 2012/02/29 01:32:39 UV 2.16.840.1.113883.3.1591 spinedoc15 Theriault Chiropractic venice florida james Theriault masked Jennelle Gibbs James Theriault 1846 S Tamiami Trail unit 101 Venice Florida 34293 941-497-7005 masked owner James V. Theriault DC 1846 S Tamiami trail unit 101 Venice Florida 34293 941-497-7005 spinedoc15@comcast.net Provider Int 3 Complete 2012/01/30 12:00:00 2012/02/29 12:00:00 2012/02/29 01:36:28 UV 2.16.840.1.113883.3.1592 smhosp Springs Memorial Hospital Gil Arnold masked Chrys Steele Chrys Steele IS Department 800 West Meeting Street Lancaster, SC 29720 803-286-1357 masked IS Director Springs Memorial Hospital 800 West Meeting Street Lancaster, SC 29720 803-286-1357 Chrys_Steele@chs.net http://www.chs.net Provider Int 3 Complete 2012/01/31 12:00:00 2012/02/29 12:00:00 2012/02/29 07:10:03 UV 2.16.840.1.113883.3.1593 ahcsgah Shady Grove Adventist Hospital - Cerner OID Wayne Monroe masked Julie Vick 820 West Diamond Ave Suite 400 Gaithersburg, MD 20878 301-315-3239 masked Manager Shady Grove Adventist Hospital Shady Grove Adventist Hospital 9901 Medical Center Drive Rockville, MD 20850 301-315-3239 jvick@adventisthealthcare.com Provider Int 3 3 Complete 2012/01/31 12:00:00 2012/02/29 12:00:00 2015/08/17 04:42:22 UV 2.16.840.1.113883.3.1594 palmvalleymedicalclinic Palm Valley Medical Clinic Noel Lopez masked Noel Lopez, MD 5140 N. 10th St. McAllen, Texas 78504 956-972-1600 masked Physician Palm Valley Medical Clinic 5140 N. 10th St. McAllen, Texas 78504 956-972-1600 lopeznoel@yahoo.com Provider Int 3 Complete 2012/02/01 12:00:00 2012/02/29 12:00:00 2012/02/29 07:14:31 UV 2.16.840.1.113883.3.1595 dudleyITS Dudley IT Services Kris Dunn masked Kris Dunn St Johns House Union Street Dudley DY28PP +441384 321633 masked IT Security Manager Dudley IT Services admin@dudley.nhs.uk https://www.nhsdudley.nhs.uk Govt body Int 3 3 Complete 2012/02/01 12:00:00 2012/02/29 12:00:00 2012/02/29 07:16:29 UK 2.16.840.1.113883.3.1596 svmc-bpt Saint Vincents Medical Center Bradley Lockwood masked Mark Grogan Bradley Lockwood 2800 Main St Bridgeport, CT 06606 203-581-6598 masked Interface Analyst Saint Vincents Medial Center 2800 Main St Bridgeport, CT 06606 203-576-6000 blockwood@stvincents.org Provider Int 3 3 Complete 2012/02/01 12:00:00 2012/02/29 12:00:00 2012/02/29 07:18:45 UV 2.16.840.1.113883.3.1597 mjv Michael Vaske, OD Michael Vaske masked Michael 11101 S. Parker RD Parker, CO 80134 303-840-4440 masked Optometrist Michael Vaske O.D 11101 S. Parker Rd Parker, CO 80134 303-840-4440 drvaske2010@gmail.com http://premiervisionsource.com Provider Int 3 Complete 2012/02/01 12:00:00 2012/02/29 12:00:00 2012/02/29 07:20:21 UV 2.16.840.1.113883.17.58 connectpoc Sample CONNECT POC Rohan Pradhan masked Rohan Pradhan +919990407884 masked Rohan Pradhan rohan.pradhan@nagarro.com Prof Soc Int 17 Complete 2012/02/02 12:00:00 2012/02/29 12:00:00 2012/02/29 07:29:05 IN 2.16.840.1.113883.3.1598 elch East Liverpool City Hospital Frank Mader masked Frank Mader 425 West Fifth St. East Liverpool, OH 43920 330-386-3186 masked Director of Information Services East Liverpool City Hospital 425 West Fifth St. East Liverpool, OH 43920 330-385-7200 fmader@elch.org http://www.elch.org Provider Int 3 Complete 2012/02/02 12:00:00 2012/02/29 12:00:00 2012/02/29 07:31:36 UV 2.16.840.1.113883.3.1599 masonicare Masonicare Health Center Scott Thelen masked Scott Thelen Masonicare 110 South Turnpike Rd Wallingford, Connecticut 06492 203-679-5900 masked CFO & Vice President of Financial Services Masonicare 22 Masonic Avenue Wallingford, CT 06492 203-679-5900 sthelen@masonicare.org Provider Int 3 3 Complete 2012/02/02 12:00:00 2012/02/29 12:00:00 2012/02/29 07:33:28 UV 2.16.840.1.113883.3.1600 drFergusonVero Karen L. Ferguson MD PA Karen Ferguson masked Karen Monz Karen Monz 2770 Indian River Blvd, Suite 308 Vero Beach, FL 32960 561-697-3140 masked Operations Dept. AZZLY 2770 Indian River Blvd, Suite 308 Vero Beach, FL 32960 772-567-0206 vendorservices@azzly.com http://www.azzly.com Vendor 2.16.840.1.113883.3.662 Int 3 Complete 2012/02/02 12:00:00 2012/02/29 12:00:00 2012/02/29 07:36:29 UV 2.16.840.1.113883.3.1601 ahcwah Washington Adventist Hospital Wayne Monroe masked Julie Vick 820 West Diamond Ave Suite 400 Gaithersburg, MD 20878 301.315.3239 masked Manager Washington Adventist Hospital Washington Adventist Hospital 7600 Carroll Avenue Takoma Park, MD 20912 301.315.3239 jvick@adventisthealthcare.com Provider Int 3 3 Complete 2012/02/02 12:00:00 2012/02/29 12:00:00 2015/08/17 04:44:42 UV 2.16.840.1.113883.3.1602 ahchrmc Hackettstown Regional Medical Center - Cerner OID Wayne Monroe masked Wayne Monroe 1801 Research Blvd. Rockville, MD 20850 301.315.3153 masked Project Manager Hackettstown Regional Medical Center Hackettstown Regional Medical Center 651 Willow Grove Street, Hackettstown, NJ 07840 (908) 852-5100 wayne.monroe@antheliohealth.com Provider Int 3 3 Complete 2012/02/02 12:00:00 2012/02/29 12:00:00 2012/02/29 07:41:43 UV 2.16.840.1.113883.3.1603 halfpennyTechOIDRoot Halfpenny Technologies Inc., OID Root Kyle Roth masked Kyle Roth Halfpenny Technologies, Inc. 725 Skippack Pike Blue Bell, PA 19422 610-277-9100 ext 135 masked Halfpenny Technologies, Inc. 725 Skippack Pike Blue Bell, PA 19422 610-277-9100 support@halfpenny.com http://www.halfpenny.com Vendor Int 3 Complete 2012/02/02 12:00:00 2012/02/29 12:00:00 2012/02/29 07:46:20 UV 2.16.840.1.113883.3.1604 mjm-clinic Micheal J Miller Micheal Miller masked Micheal J Miller 1655 S. Jefferson Ave Lebanon, MO 65536 4175329922 masked Owner Micheal J Miller 1655 S. Jefferson Ave Lebanon, MO 65536 4175329922 micheal224@yahoo.com Provider Int 3 Complete 2012/02/02 12:00:00 2012/02/29 12:00:00 2012/02/29 07:48:33 UV 2.16.840.1.113883.3.1605 mhise Mobius Health Information Exchange Ron Watty masked jchirco@firstgenesis.com Mobius Health Information Exchange 1650 Highway 6, Suite 380 Sugar Land, TX 77478 2812355597 masked Director First Genesis 1650 Highway 6, Suite 380 Sugar Land, TX 77478 2812760500 jchirco@firstgenesis.com http://www.firstgenesis.com/ Exchange Int 3 3 Complete 2012/02/02 12:00:00 2012/02/29 12:00:00 2012/02/29 07:50:52 UV 2.16.840.1.113883.4.531 thh-chi-il-60613 Thorek Hospital and Medical Center Jose Maldonado masked Eric Dodd 850 W. Irving Park Chicago, IL 60613 773.975.1125 masked I.S. Director Eric Dodd 850 W. Irving Park Chicago, IL 60613 (773) 525-6780 edodd@thorek.org http://www.thorek.org Provider Int 3 Complete 2012/02/02 12:00:00 2012/02/29 12:00:00 2012/02/29 07:56:05 UV 2.16.840.1.113883.3.1606 srhs Hospital of Saint Raphael Victor Cimino masked Victor Cimino 1450 Chapel Street New Haven, CT 06511 203-789-3582 masked Manager Hospital Of Saint Raphael 1450 Chapel Street New Haven, CT 06511 203-789-3000 http://www.srhs.org http://www.srhs.org Provider Int 3 Complete 2012/02/03 12:00:00 2012/02/29 12:00:00 2012/02/29 08:59:05 UV 2.16.840.1.113883.3.1607 incentive-12 Johnson Chiropractic Kimberly Johnson masked Kimberly A. Johnson 2210 Omro Road, Suite A Oshkosh, WI 54904 920-426-4200 masked Johnson Chiropractic 2210 Omro Road, Suite A Oshkosh, WI 54904 920-426-4200 Office@JohnsonChiro.com Provider Int 3 Complete 2012/02/06 12:00:00 2012/02/29 12:00:00 2012/02/29 09:00:28 UV 2.16.840.1.113883.3.1608 hchfl Holy Cross Hospital Robert Brown masked Robert Brown Holy Cross Hospital 4725 N.Federal Hwy Fort Lauderdale, Fl. 33308 954-229-8576 masked Systems Analyst Robert Brown Holy Cross Hospital 4725 N.Federal Hwy Fort Lauderdale, Fl. 33308 954-229-8576 robert.brown@holy-cross.com http://www.holy-cross.com Provider Int 3 Complete 2012/02/06 12:00:00 2012/02/29 12:00:00 2012/02/29 09:03:07 UV 2.16.840.1.113883.3.1355.20 ahwest-shnv St. Helena Hospital Napa Valley (SHNV) Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management St. Helena Hospital Napa Valley St. Helena Hospital Napa Valley, 10 Woodland Road, St. Helena, CA 94574 707-963-3611 cioinfo@ah.org http://www.sthelenahospitals.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.20 2012/02/06 12:00:00 2012/02/29 12:00:00 2012/02/29 09:05:27 UV 2.16.840.1.113883.3.1355.20.1 ahwest-shnv-mrn St. Helena Hospital Napa Valley (SHNV) MRN Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management St. Helena Hospital Napa Valley St. Helena Hospital Napa Valley, 10 Woodland Road, St. Helena, CA 94574 707-963-3611 cioinfo@ah.org http://www.sthelenahospitals.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.20.1 2012/02/06 12:00:00 2012/02/29 12:00:00 2012/02/29 09:09:13 UV 2.16.840.1.113883.3.1609 fgaNCG FGA NHIN Connect Gateway Kannan Govindarajan masked Kannan Govindarajan FGA, Inc. 44 Stelton Road, Suite 315 Piscataway, NJ 08854 7327527052 masked FGA, Inc. 44 Stelton Road, Suite 315 Piscataway, NJ 08854 7327527052 JohnM@fgainc.com http://www.fgainc.com Vendor Int 3 Complete 2012/02/06 12:00:00 2012/02/29 12:00:00 2012/02/29 09:11:31 UV 2.16.840.1.113883.3.1355.20.2 ahwest-shnv-acct St. Helena Hospital Napa Valley (SHNV) Account Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management St. Helena Hospital Napa Valley (SHNV) St. Helena Hospital Napa Valley, 10 Woodland Road, St. Helena, CA 94574 707-963-3611 cioinfo@ah.org http://www.sthelenahospitals.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.20.2 2012/02/06 12:00:00 2012/02/29 12:00:00 2012/02/29 09:12:59 UV 2.16.840.1.113883.3.1355.20.3 ahwest-shnv-doctor St. Helena Hospital Napa Valley (SHNV) Doctor Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management St. Helena Hospital Napa Valley (SHNV) St. Helena Hospital Napa Valley, 10 Woodland Road, St. Helena, CA 94574 707-963-3611 cioinfo@ah.org http://www.sthelenahospitals.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.20.3 2012/02/06 12:00:00 2012/02/29 12:00:00 2012/02/29 09:14:31 UV 2.16.840.1.113883.3.1355.20.4 ahwest-shnv-uref St. Helena Hospital Napa Valley (SHNV) Unit Reference Number Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management St. Helena Hospital Napa Valley (SHNV) St. Helena Hospital Napa Valley, 10 Woodland Road, St. Helena, CA 94574 707-963-3611 cioinfo@ah.org http://www.sthelenahospitals.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.20.4 2012/02/06 12:00:00 2012/02/29 12:00:00 2012/02/29 09:17:04 UV 2.16.840.1.113883.3.1610 bwh-faulkner BWH/Faulkner Hospital Patrick Condon masked Patrick V. Condon 1153 Centre Street Boston, MA 02130 617-983-7133 masked BWH/Faulkner Hospital 1153 Centre Street Boston, MA 02130 1-617-983-7000 fhinformation@partners.org http://www.faulknerhospital.org Provider Int 3 Obsolete 2012/02/06 12:00:00 2012/02/29 12:00:00 2012/04/09 12:36:33 UV 2.16.840.1.113883.3.1611 pcgh Parma Community General Hospital Kimberly Dudek masked Kimberly Dudek Information Systems 7007 Powers Boulevard Parma, Ohio 44129 (440) 743-2480 masked Application Analyst Parma Community General Hospital 7007 Powers Boulevard Parma, Ohio 44129 (440) 743-2202 isalert@parmahopital.org https://parmahospital.org Provider Int 3 Complete 2012/02/06 12:00:00 2012/02/29 12:00:00 2012/02/29 09:32:10 UV 2.16.840.1.113883.3.1355.10.2 ahwest-wmmc-acct White Memorial Medical Center (WMMC) Account Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management White Memorial Medical Center (WMMC) White Memorial Medical Center, 1720 Cesar E. Chavez Ave., Los Angeles, CA 90033 323-268-5000 cioinfo@ah.org http://whitememorial.com Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.10.2 2012/02/06 12:00:00 2012/02/29 12:00:00 2012/02/29 09:19:19 UV 2.16.840.1.113883.3.1612 chlaca Childrens Hospital Los Angeles Robert Ellashek masked Robert Ellashek 4650 Sunset Blvd Los Angeles, CA 90027 323-361-7610 masked Clinical Analyst Childrens Hospital Los Angeles 4650 Sunset Blvd Los Angeles, CA 90027 323-660-2450 webteam@chla.usc.edu Provider Int 3 3 Complete 2012/02/06 12:00:00 2012/02/29 12:00:00 2012/02/29 09:41:12 UV 2.16.840.1.113883.3.1613 rioone RioONE HIE Rene Hinojosa masked b.huerta@dhr-rgv.com Ben Huerta 5501 S. McColl Edinburg, TX 78593 956-362-3029 masked Systems Integration Coordinator Rio ONE 956.362.3015 e.gomez@dhr-rgv.com Provider Int 3 3 Complete 2012/02/07 12:00:00 2012/02/29 12:00:00 2012/02/29 09:43:22 UV 2.16.840.1.113883.3.1614 eaom Eye Associates of Miami Wade Walls masked Todd Walls Wade Walls 2222 N Main St Miami, OK 74534 9185401976 masked Doctor/Optometrist Eye Associates of Miami 2222 N Main St Miami, OK 74534 9185401976 wallsw@swbell.net Provider Int 3 Complete 2012/02/07 12:00:00 2012/02/29 12:00:00 2012/02/29 09:46:15 UV 2.16.840.1.113883.13.192 gl42DoseActiveIngredientUnits GL42 Units for Dosing and Active Ingredient Strength Glenn Peterson masked Glenn Peterson 7519 Standish Place Rockville, MD 20855 240-453-6876 masked Business Process Improvement Manager Center for Veterinary Medicine/FDA 7519 Standish Place Rockville, MD 20855 240-453-6876 glenn.peterson@fda.hhs.gov Govt body Int 13 Complete 2012/02/08 12:00:00 2012/02/29 12:00:00 2012/02/29 09:49:44 UV 2.16.840.1.113883.17.59 kdmc King's Daughters Medical Center Joe Farr masked Joe Farr King's Daughters Medical Center P.O. Box 948 Brookhaven, MS 39602-0948 6018359414 masked King's Daughters Medical Center King's Daughters Medical Center P.O. Box 948 Brookhaven, MS 39602-0948 6018336011 csmith@kdmc.org Provider Int 3 Complete 2012/02/08 12:00:00 2012/02/29 12:00:00 2012/02/29 09:53:16 UV 2.16.840.1.113883.3.1615 mmchs Meadville Medical Center Michael Martz masked Michael Martz Meadville Medical Center 751 Liberty Street Meadville, PA 16335 814-333-5596 masked Chief Information Officer Meadville Medical Center 751 Liberty Street Meadville, PA 16335 814-333-5000 helpdesk-mail@mmchs.org http://www.mmchs.org Provider Int 3 Complete 2012/02/08 12:00:00 2012/02/29 12:00:00 2012/02/29 09:55:40 UV 2.16.840.1.113883.3.1616 mmchsMagicLive MMC Meditech Live EMR system Michael Martz masked Michael Martz Meadville Medical Center 751 Liberty Street Meadville, PA 16335 814-333-5596 masked Chief Information Officer Meadville Medical Center 751 Liberty Street Meadville, PA 16335 814-333-5000 helpdesk-mail@mmchs.org http://www.mmchs.org Provider 2.16.840.1.113883.3.1615 Int 3 Complete 2012/02/08 12:00:00 2012/02/29 12:00:00 2012/02/29 09:59:09 UV 2.16.840.1.113883.3.1617 mmchsMagicTest MMC Meditech Test EMR system Michael Martz masked Michael Martz Meadville Medical Center 751 Liberty Street Meadville, PA 16335 814-333-5596 masked Chief Information Officer Meadville Medical Center 751 Liberty Street Meadville, PA 16335 814-333-5000 helpdesk-mail@mmchs.org http://www.mmchs.org Provider 2.16.840.1.113883.3.1616 Int 3 Complete 2012/02/08 12:00:00 2012/03/08 12:00:00 2012/03/08 11:35:11 UV 2.16.840.1.113883.3.1618 mmchsIatricEngine MMC Iatric Integration Engine Michael Martz masked Michael Martz Meadville Medical Center 751 Liberty Street Meadville, PA 16335 814-333-5596 masked Chief Information Officer Meadville Medical Center 751 Liberty Street Meadville, PA 16335 814-333-5000 helpdesk-mail@mmchs.org http://www.mmchs.org Provider 2.16.840.1.113883.3.1615 Int 3 Complete 2012/02/08 12:00:00 2012/03/08 12:00:00 2012/03/08 11:38:07 UV 2.16.840.1.113883.3.1619 foo BAR Keith Boone masked test 6175192076 masked Architect test NA 6175192076 kwboone@gmail.com http://motorcycleguy.blogspot.com Academic Int 3 Deprecated 2012/02/09 12:00:00 2012/05/31 12:00:00 2012/05/31 10:15:57 UV 2.16.840.1.113883.3.1620 oidBHCS Baylor Health Care System Michael Wagliardo masked Michael Wagliardo 2001 Bryan Street, Suite 2400 Dallas, TX 75201 214-820-4201 masked Manager Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider Int 3 Complete 2012/02/09 12:00:00 2012/03/08 12:00:00 2012/03/08 11:39:37 UV 2.16.840.1.113883.3.1621 dDW Dr. Daniel Wendorff & Associates, P.C. Daniel Wendorff masked Dr, Daniel Wendorff 317-887-2732 masked Owner Dr, Daniel Wendorff & Associates 1251 US 31 North Greenwood, IN 46142 317-887-2732 info@wendorffeyecare.com Provider Int 3 Complete 2012/02/09 12:00:00 2012/03/08 12:00:00 2012/03/08 11:41:41 UV 2.16.840.1.113883.3.1622 jchca Jackson County Health Care Authority Brenda McSheehan masked Brenda McSheehan 380 Woods Cove Road P. O. Box 1050 Scottsboro, Al 35768 256-218-3722 masked Chief Information Officer Jackson County Health Care Authority 380 Woods Cove Road P. O. Box 1050 Scottsboro, Al 35768 256-259-444 bmcsheehan@jchca.org http://highlandsmedcenter.com Provider Int 3 Complete 2012/02/10 12:00:00 2012/03/08 12:00:00 2012/03/08 11:43:29 UV 2.16.840.1.113883.3.1623 rmhoidroot Reynolds Memorial Hospital OID Root Warren Kelley masked Warren Kelley Reynolds Memorial Hospital 800 Wheeling Avenue Glen Dale, WV 26038 304-843-3227 masked Chief Information Officer Reynolds Memorial Hospital 800 Wheeling Avenue Glen Dale, WV 26038 304-845-3211 rmh@reymem.com http://reynoldsmemorial.com Provider Int 3 3 Complete 2012/02/10 12:00:00 2012/03/08 12:00:00 2012/03/08 11:45:35 UV 2.16.840.1.113883.3.1624 eAPTCONNECT1 EAPTCONNECT1 vijay tunguturi masked vijay tunguturi 7329810630 masked Application Architect Vijay Tunguturi 7329810630 vtunguturi@eaptsolutions.com http://www.eaptsolutions.com Govt body Int 3 3 Complete 2012/02/11 12:00:00 2012/03/08 12:00:00 2012/03/08 11:48:32 UV 2.16.840.1.113883.4.532 rwmc Roger Williams Medical Center Susan Cerrone masked Susan Cerrone 825 Chalkstone Avenue Providence, RI 02908 401-456-2000 masked VP/CIO Roger Williams Medical Center 825 Chalkstone Avenue Providence RI 02908 401-456-2000 scerrone@chartercare.org http://www.rwmc.org Provider Int 3 Complete 2012/02/13 12:00:00 2012/03/08 12:00:00 2012/03/08 11:53:27 UV 2.16.840.1.113883.4.533 sjhsri St. Joseph Health Services of Rhode Island Susan Cerrone masked Susan Cerrone 825 Chalkstone Avenue Providence, RI 02908 401-456-2000 masked VP/CIO St. Joseph Health Services of Rhode Island 200 High Service Ave North Providence, RI 401-456-30000 scerrone@chartercare.org http://www.fatimahospital.com Provider Int 3 Complete 2012/02/13 12:00:00 2012/03/08 12:00:00 2012/03/08 11:56:17 UV 2.16.840.1.113883.3.1625 rupertchiropracric Rupert Chiropractic Clinic Michael Rupert masked Michael S Rupert 1001 McKean Avenue Charleroi PA 15022 7244834242 masked owner Rupert Chiropractic Clinic LLC 1001 McKean Avenue Charleroi PA 15022 7244224202 rupertchiro@yahoo.com Provider Int 3 Complete 2012/02/13 12:00:00 2012/03/08 12:00:00 2012/03/08 11:57:47 UV 2.16.840.1.113883.3.520.4.16 naaccr-icd-9-cm-cancer-reportability-list NAACCR ICD-9-CM Cancer Reportability List Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 x3 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org https://www.naaccr.org SDO 2.16.840.1.113883.3.520 Ext 13 4 Complete 2.16.840.1.113883.3.520.4.16 2012/02/13 12:00:00 2012/03/08 12:00:00 2012/03/08 11:59:34 UV 2.16.840.1.113883.3.1626 wmrhc Western Maryland Regional Health Center James Simmons masked James 12501 WillowBrook Rd Cumberland, Md. 21502 240-964-8316 masked Interface Analyst Western Maryland Regional Health Center 12500 WillBrook Road Cumberland, MD. 21502 240-964-7000 jsimmons@wmhs.com http://www.wmhs.com Provider Int 3 Complete 2012/02/13 12:00:00 2012/03/08 12:00:00 2012/03/08 12:05:14 US 2.16.840.1.113883.3.1627 procureNJ ProCure Proton Therapy Treatment Center New Jersey Carolyn Peepall masked Gus Lara Carolyn Peepall 420 N Walnut St Bloomington, IN. 47404 812 330-6643 masked Gus Lara 013 Cedar Grove Lane Somerset, NJ 08873 732 357-2619 gus.lara@nj.procure.com Provider Int 3 3 Complete 2012/02/14 12:00:00 2012/03/08 12:00:00 2012/03/08 08:44:29 UV 2.16.840.1.113883.3.1628 procureIL ProCure Proton Therapy Treatment Center Illinois Carolyn Peepall masked Scott Johnson Carolyn Peepall 420 N Walnut St Bloomington IN 47404 812 330-6643 masked Scott Johnson 4455 Weaver Parkway, Warrenville, IL 60555 630 821 6420 scott.johnson@chi.procure.com Provider Int 3 3 Complete 2012/02/14 12:00:00 2012/03/08 12:00:00 2012/03/08 08:47:10 UV 2.16.840.1.113883.3.1629 procureWA ProCure Proton Therapy Treatment Center Washington Carolyn Peepall masked eric.cole@sea.procure.com Carolyn Peepall 420 N Walnut St Bloomington IN 47404 812 330-6643 masked Eric Cole 1570 N. 115th St. Seattle, WA 98133 206 498-0058 eric.cole@sea.procure.com Provider Int 3 3 Complete 2012/02/14 12:00:00 2012/03/08 12:00:00 2012/03/08 08:49:42 UV 2.16.840.1.113883.3.1630 rxsehr rxsolutionsehr Daniel Hamui masked Daniel Hamui 305-240-0788 masked Daniel Hamui 305-240-0788 dhamui@hotmail.com Vendor Int 3 Complete 2012/02/14 12:00:00 2012/03/08 12:00:00 2012/03/08 08:52:17 UV 2.16.840.1.113883.3.1631 footcareexpress Footcare Express Inc Jarett Reinhartz masked Karen Monz Karen Monz 2770 Indian River Blvd, Suite 308 Vero Beach, FL 32960 561.697.3140 masked Operations Manager AZZLY 2770 Indian River Blvd, Suite 308 Vero Beach, FL 32960 772-567-0206 vendorservices@azzly.com http://www.azzly.com Vendor 2.16.840.1.113883.3.662 Int 3 Complete 2012/02/14 12:00:00 2012/03/08 12:00:00 2012/03/08 08:57:50 UV 2.16.840.1.113883.3.1632 tsystem OMC T-Systems Wesley Mattison masked Wesley Mattison 1400 Kentucy Ave West Plains MO, 65775 4172561739 masked Applications Analyst Ozarks Medical Center 1400 Kentucy Ave West Plains MO, 65775 4172569111 helpdesk@ozarksmedicalcenter.com http://www.ozarksmedicalcenter.com HL7 body Int 3 Complete 2012/02/15 12:00:00 2012/03/08 12:00:00 2012/03/08 09:03:32 UV 2.16.840.1.113883.3.1633 vms VAICA MEDICAL SERVER Tomer Gofer masked Tomer Gofer Vaica Medical Ben Yehuda st. 3 Migdalor Building Tel-Aviv 63801, ISRAEL +972-54-4271666 masked VP R&D Vaica Medical Vaica Medical Ben Yehuda st. 3 Migdalor Building Tel-Aviv 63801, ISRAEL +972-77-7005388 tomer.gofer@vaicamedical.com http://www.vaicamedical.com Vendor Int 3 Complete 2012/02/15 12:00:00 2012/03/08 12:00:00 2012/03/08 09:00:00 UV 2.16.840.1.113883.17.60 tcc1805-78550-7310 Tussing Chiropractic Clinic Patrick Tussing masked Patrick G. Tussing, D.C. 1805 E. Harrison Ave. Harlingen, TX 78550-7310 956-423-3364 masked owner/chiropractor Patick G. Tussing Tussing Chiropractic Clinic 1805 E. Harrison Ave. Harlingen, TX 78550-7310 956-423-3364 drpat@tussingchiropractic.com http://www.tussingchiropractic.com Provider Int 17 Complete 2012/02/15 12:00:00 2012/03/08 12:00:00 2012/03/08 09:06:30 US 2.16.840.1.113883.3.1634 creeknation Muscogee (Creek) Nation Division of Health Brandy Cunningham masked Brandy Cunningham 1801 East 4th Street Okmulgee Ok 74447 918-756-4333 masked Muscogee (Creek) Nation Division of Health 1801 East 4th Street Okmulgee Ok 74447 918-756-4333 brandy.cunningham@creekhealth.org Provider Int 3 Complete 2012/02/15 12:00:00 2012/03/08 12:00:00 2012/03/08 09:15:37 UV 2.16.840.1.113883.3.1635 sbeyes SUMNER & BIRKMANN OPTOMETRISTS PC Mark Birkmann masked Mark Birkmann 320 Washington Ave Washington MO 63090 6362392179 masked SUMNER & BIRKMANN OPTOMETRISTS PC 320 Washington Ave Washington MO 63090 6362392179 sbeyes@sbcglobal.net Provider Int 3 Complete 2012/02/15 12:00:00 2012/03/08 12:00:00 2012/03/08 09:17:40 UV 2.16.840.1.113883.3.1636 chldmn Children's Hospitals and Clinics of Minnesota Sarah Giga masked Sarah Giga 2900 Centre Pointe Dr Roseville, MN 55113 651-855-2541 masked Clinical Systems Manager Children's Hospitals and Clinics of Minnesota 2525 Chicago Ave South Minneapolis, MN 55425 612-813-6000 webmaster@childrensmn.org Provider Int 3 3 Complete 2012/02/15 12:00:00 2012/03/08 12:00:00 2012/03/08 09:19:29 UV 2.16.840.1.113883.3.1637 aSmith Dr. Andrea Smith Christy Keddrell masked Christy Keddrell 601-572-2945 masked Dr. Andrea Smith 785 Ohio Ave, Suite 1D Clarksdale, MS 38614 (662) 624-5464 ckeddrell@deltahealthalliance.org Provider Int 3 Complete 2012/02/15 12:00:00 2012/03/08 12:00:00 2012/03/08 09:25:06 UV 2.16.840.1.113883.3.1638 gb Dr. Gus Berryhill Christy Keddrell masked Christy Keddrell 601-572-2945 masked Dr. Gus Berryhill 860 Desoto Avenue, Clarksdale, MS 38614 (662) 627-7438 ckeddrell@deltahealthalliance.org Provider Int 3 Complete 2012/02/15 12:00:00 2012/03/08 12:00:00 2012/03/08 09:26:28 UV 2.16.840.1.113883.3.1639 kk North Delta Medicine Clinic PA Christy Keddrell masked Christy Keddrell 601-572-2945 masked North Delta Medicine Clinic PA 705 North State Street Clarksdale, MS 38614 (662) 621-2192 ckeddrell@deltahealthalliance.org Provider Int 3 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 09:28:02 UV 2.16.840.1.113883.3.1640 swghc Southwest General Health Center Kevin Boey masked Kevin Boey 18697 Bagley Rd Middleburg Heights, Ohio 44130 440-816-8638 masked Senior Systems Analyst Southwest General Health Center 18697 Bagley Rd Middleburg Heights, Ohio 44130 440-816-8000 dsaffron@swgeneral.com http://www.swgeneral.com/ Provider Int 3 3 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 09:31:12 UV 2.16.840.1.113883.3.1641 drmc1 Delta Physician Practice 1 Christy Keddrell masked Christy Keddrell 601-572-2945 masked Delta Physician Practice 1 6627253400 ckeddrell@deltahealthalliance.org Provider Int 3 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 09:34:09 UV 2.16.840.1.113883.3.1642 drmc2 Delta Physician Practice 2 Christy Keddrell masked Christy Keddrell 601-572-2945 masked Delta Physician Practice 2 ckeddrell@deltahealthalliance.org Provider Int 3 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 09:35:01 UV 2.16.840.1.113883.3.1643 drmc3 Delta Physician Practice 3 Christy Keddrell masked Christy Keddrell 601-572-2945 masked Delta Physician Practice 3 6627253400 ckeddrell@deltahealthalliance.org Provider Int 3 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 09:36:08 UV 2.16.840.1.113883.3.1644 drmc4 Delta Physician Practice 4 Christy Keddrell masked Christy Keddrell 601-572-2945 masked Delta Physician Practice 4 6627253400 ckeddrell@deltahealthalliance.org Provider Int 3 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 09:42:32 UV 2.16.840.1.113883.3.1645 drmc5 Delta Physician Practice 5 Christy Keddrell masked Christy Keddrell 601-572-2945 masked Delta Physician Practice 5 ckeddrell@deltahealthalliance.org Provider Int 3 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 09:46:27 UV 2.16.840.1.113883.3.1646 drmc6 Delta Physician Practice 6 Christy Keddrell masked Christy Keddrell 601-572-2945 masked Delta Physician Practice 6 ckeddrell@deltahealthalliance.org Provider Int 3 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 09:47:22 UV 2.16.840.1.113883.3.1647 drmc7 Delta Physician Practice 7 Christy Keddrell masked Christy Keddrell 601-572-2945 masked Delta Physician Practice 7 ckeddrell@deltahealthalliance.org Provider Int 3 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 09:50:00 UV 2.16.840.1.113883.3.1648 mansour Dr. Michael Mansour Christy Keddrell masked Christy Keddrell 601-572-2945 masked Dr. Michael Mansour 1315 East Union Street Greenville, MS 38703 ckeddrell@deltahealthalliance.org Provider Int 3 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 09:51:03 UV 2.16.840.1.113883.3.1649 pkarim Dr. Parvez Karim Christy Keddrell masked Christy Keddrell 601-572-2945 masked Dr. Parvez Karim 1502 S. Colorado St. Greenville, MS 38701 (662) 378-9929 ckeddrell@deltahealthalliance.org Provider Int 3 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 09:54:10 UV 2.16.840.1.113883.3.1650 dtrinca Dr. Dominick Trinca Christy Keddrell masked Christy Keddrell 601-572-2945 masked Dr. Dominick Trinca 1440 Highway 1 South Greenville MS 38701 ckeddrell@deltahealthalliance.org Provider Int 3 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 09:54:58 UV 2.16.840.1.113883.3.1651 gsc Good Samaritan Clinic Christy Keddrell masked Christy Keddrell 601-572-2945 masked Good Samaritan Clinic 1502 S Colorado Greenville MS 38701 ckeddrell@deltahealthalliance.org Provider Int 3 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 09:56:06 UV 2.16.840.1.113883.3.1652 gc Greenville Clinic Christy Keddrell masked Christy Keddrell 601-572-2945 masked Greenville Clinic 313 Arnold Ave. STE B Greenville MS 38701 ckeddrell@deltahealthalliance.org Provider Int 3 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 09:58:06 UV 2.16.840.1.113883.3.1653 gu Greenville Urology Christy Keddrell masked Christy Keddrell 601-572-2945 masked Greenville Urology 344 Arnold Ave Greenville, MS 38701 ckeddrell@deltahealthalliance.org Provider Int 3 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 10:00:35 UV 2.16.840.1.113883.3.1654 ifmg Indianola Family Medical Group Christy Keddrell masked Christy Keddrell 601-572-2945 masked Indianola Family Medical Group 122 East Baker Street Indianola, MS 38751 ckeddrell@deltahealthalliance.org Provider Int 3 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 10:02:15 UV 2.16.840.1.113883.3.1655 ovhd Oak Valley Hospital District Sherri Peral masked Sherri Peral 350 South Oak Avenue Oakdale, CA 95361 209-848-4120 masked IS Manager Oak Valley Hospital 350 South Oak Avenue Oakdale, CA 95361 209-848-4120 is@ovhd.com http://www.oakvalleycares.org Provider Int 3 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 10:07:44 UV 2.16.840.1.113883.3.1656 jhchc Jackson-Hinds Comprehensvie Health Center Christy Keddrell masked Christy Keddrell 601-572-2945 masked Jackson-Hinds Comprehensvie Health Center ckeddrell@deltahealthalliance.org Provider Int 3 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 10:08:42 UV 2.16.840.1.113883.3.1657 aehch Aaron E. Henry Community Health Christy Keddrell masked Christy Keddrell 601-572-2945 masked Aaron E. Henry Community Health 800 Ohio Street Clarksdale, MS 38614 ckeddrell@deltahealthalliance.org Provider Int 3 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 10:10:19 UV 2.16.840.1.113883.13.193 senderReceiverCategory VICH Sender Receiver Category Glenn Peterson masked Glenn Peterson 7519 Standish Place Rockville, MD 20855 240-453-6876 masked Business Process Improvement Manager VICH 7519 Standish Place Rockville, MD 20855 240-453-6876 glenn.peterson@fda.hhs.gov SDO Int 13 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 10:11:51 UV 2.16.840.1.113883.13.194 reporterCategories VICH Reporter Categories Glenn Peterson masked Glenn Peterson 7519 Standish Place Rockville, MD 20855 240-453-6876 masked Business Process Improvement Manager VICH 7519 Standish Place Rockville, MD 20855 240-453-6876 glenn.peterson@fda.hhs.gov SDO Int 13 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 10:21:50 UV 2.16.840.1.113883.13.195 typeOfSubmission VICH Type of Submission Glenn Peterson masked Glenn Peterson 7519 Standish Place Rockville, MD 20855 240-453-6876 masked Business Process Improvement Manager Center for Veterinary Medicine/FDA 7519 Standish Place Rockville, MD 20855 240-453-6876 glenn.peterson@fda.hhs.gov Govt body Int 13 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 10:23:21 UV 2.16.840.1.113883.13.196 typeOfInformationInReport Type of Information in Report Glenn Peterson masked Glenn Peterson 7519 Standish Place Rockville, MD 20855 240-453-6876 masked Business Process Improvement Manager Center for Veterinary Medicine/FDA 7519 Standish Place Rockville, MD 20855 240-453-6876 glenn.peterson@fda.hhs.gov Govt body Int 13 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 10:24:51 UV 2.16.840.1.113883.13.197 attendingVeterinariansHealthStatusAssessment VICH Attending Veterinarian's Health Status Assessment Glenn Peterson masked Glenn Peterson 7519 Standish Place Rockville, MD 20855 240-453-6876 masked Business Process Improvement Manager Center for Veterinary Medicine/FDA 7519 Standish Place Rockville, MD 20855 240-453-6876 glenn.peterson@fda.hhs.gov Govt body Int 13 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 10:26:02 UV 2.16.840.1.113883.13.198 animalGenderCategories Animal Gender Categories Glenn Peterson masked Glenn Peterson 7519 Standish Place Rockville, MD 20855 240-453-6876 masked Business Process Improvement Manager Center for Veterinary Medicine/FDA 7519 Standish Place Rockville, MD 20855 240-453-6876 glenn.peterson@fda.hhs.gov Govt body Int 13 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 10:31:52 UV 2.16.840.1.113883.13.199 reproductiveStatusCategories Reproductive Status Categories Glenn Peterson masked Glenn Peterson 7519 Standish Place Rockville, MD 20855 240-453-6876 masked Business Process Improvement Manager Center for Veterinary Medicine/FDA 7519 Standish Place Rockville, MD 20855 240-453-6876 glenn.peterson@fda.hhs.gov Govt body Int 13 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 10:33:52 UV 2.16.840.1.113883.13.200 weightAgePrecision Weight Age Precision Categories Glenn Peterson masked Glenn Peterson 7519 Standish Place Rockville, MD 20855 240-453-6876 masked Business Process Improvement Manager Center for Veterinary Medicine/FDA 7519 Standish Place Rockville, MD 20855 240-453-6876 glenn.peterson@fda.hhs.gov Govt body Int 13 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 10:36:48 UV 2.16.840.1.113883.13.201 mAHRAAssessment MAH and RA Assessment Glenn Peterson masked Glenn Peterson 7519 Standish Place Rockville, MD 20855 240-453-6876 masked Business Process Improvement Manager Center for Veterinary Medicine/FDA 7519 Standish Place Rockville, MD 20855 240-453-6876 glenn.peterson@fda.hhs.gov Govt body Int 13 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 10:38:23 UV 2.16.840.1.113883.13.202 routesOfExposure VICH Routes of Exposure Glenn Peterson masked Glenn Peterson 7519 Standish Place Rockville, MD 20855 240-453-6876 masked Business Process Improvement Manager Center for Veterinary Medicine/FDA 7519 Standish Place Rockville, MD 20855 240-453-6876 glenn.peterson@fda.hhs.gov Govt body Int 13 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 10:40:21 UV 2.16.840.1.113883.13.203 unitsOfPresentation Units of Presentation Glenn Peterson masked Glenn Peterson 7519 Standish Place Rockville, MD 20855 240-453-6876 masked Business Process Improvement Manager Center for Veterinary Medicine/FDA 7519 Standish Place Rockville, MD 20855 240-453-6876 glenn.peterson@fda.hhs.gov Govt body Int 13 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 10:41:53 UV 2.16.840.1.113883.13.204 doseDenominatorQualifiers Dose Denominator Qualifiers Glenn Peterson masked Glenn Peterson 7519 Standish Place Rockville, MD 20855 240-453-6876 masked Business Process Improvement Manager Center for Veterinary Medicine/FDA 7519 Standish Place Rockville, MD 20855 240-453-6876 glenn.peterson@fda.hhs.gov Govt body Int 13 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 10:43:53 UV 2.16.840.1.113883.3.1620.1 oidBUMC Baylor University Medical Center Michael Wagliardo masked Michael Wagliardo 2001 Bryan Street, Suite 2400 Dallas, TX 75201 214-820-4201 masked Manager Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.1 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 10:44:59 UV 2.16.840.1.113883.13.205 vCHDosageForm VICH Dosage Forms Glenn Peterson masked Glenn Peterson 7519 Standish Place Rockville, MD 20855 240-453-6876 masked Business Process Improvement Manager Center for Veterinary Medicine/FDA 7519 Standish Place Rockville, MD 20855 240-453-6876 glenn.peterson@fda.hhs.gov Govt body Int 13 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 10:47:32 UV 2.16.840.1.113883.13.206 iCSRObservationCodes ICSR Observation Codes Glenn Peterson masked Glenn Peterson 7519 Standish Place Rockville, MD 20855 240-453-6876 masked Business Process Improvement Manager Center for Veterinary Medicine/FDA 7519 Standish Place Rockville, MD 20855 240-453-6876 glenn.peterson@fda.hhs.gov Govt body Int 13 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 10:49:06 UV 2.16.840.1.113883.13.207 fDACVMProfileID FDA CVM Profile ID Glenn Peterson masked Glenn Peterson 7519 Standish Place Rockville, MD 20855 240-453-6876 masked Business Process Improvement Manager Center for Veterinary Medicine/FDA 7519 Standish Place Rockville, MD 20855 240-453-6876 glenn.peterson@fda.hhs.gov Govt body Int 13 Complete 2012/02/16 12:00:00 2012/03/08 12:00:00 2012/03/08 10:51:36 UV 2.16.840.1.113883.3.1620.2 oidBMCG Baylor Medical Center at Garland Michael Wagliardo masked Michael Wagliardo 2001 Bryan Street, Suite 2400 Dallas, TX 75201 214-820-4201 masked Manager Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.2 2012/02/16 12:00:00 2012/03/16 12:00:00 2012/03/16 09:06:49 UV 2.16.840.1.113883.3.1620.3 oidBRMCG Baylor Regional Medical Center at Grapevine Michael Wagliardo masked Michael Wagliardo 2001 Bryan Street, Suite 2400 Dallas, TX 75201 214-820-4201 masked Manager Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.3 2012/02/16 12:00:00 2012/03/16 12:00:00 2012/03/16 09:08:20 UV 2.16.840.1.113883.3.1620.4 oidBMCW Baylor Medical Center at Waxahachie Michael Wagliardo masked Michael Wagliardo 2001 Bryan Street, Suite 2400 Dallas, TX 75201 214-820-4201 masked Manager Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.4 2012/02/16 12:00:00 2012/03/16 12:00:00 2012/03/16 09:10:14 UV 2.16.840.1.113883.3.1620.5 oidBIR Baylor Institute for Rehabilitation Michael Wagliardo masked Michael Wagliardo 2001 Bryan Street, Suite 2400 Dallas, TX 75201 214-820-4201 masked Manager Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.5 2012/02/16 12:00:00 2012/03/16 12:00:00 2012/03/16 09:11:45 UV 2.16.840.1.113883.3.1620.6 oidBMCI Baylor Medical Center at Irving Michael Wagliardo masked Michael Wagliardo 2001 Bryan Street, Suite 2400 Dallas, TX 75201 214-820-4201 masked Manager Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.6 2012/02/16 12:00:00 2012/03/16 12:00:00 2012/03/16 09:15:11 UV 2.16.840.1.113883.3.1620.23 oidBRMCP Baylor Regional Medical Center at Plano Michael Wagliardo masked Michael Wagliardo 2001 Bryan Street, Suite 2400 Dallas, TX 75201 214-820-4201 masked Manager Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.23 2012/02/16 12:00:00 2012/03/16 12:00:00 2012/03/16 09:18:53 UV 2.16.840.1.113883.3.1620.12 oidBASMC Baylor All Saints Medical Center at Fort Worth Michael Wagliardo masked Michael Wagliardo 2001 Bryan Street, Suite 2400 Dallas, TX 75201 214-820-4201 masked Manager Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.12 2012/02/16 12:00:00 2012/03/16 12:00:00 2012/03/16 09:32:40 UV 2.16.840.1.113883.3.1620.10 oidBHVH Baylor Jack and Jane Hamilton Heart and Vascular Hospital Michael Wagliardo masked Michael Wagliardo 2001 Bryan Street, Suite 2400 Dallas, TX 75201 214-820-4201 masked Manager Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.10 2012/02/16 12:00:00 2012/03/16 12:00:00 2012/03/16 09:30:41 UV 2.16.840.1.113883.3.1620.24 oidHTPN HealthTexas Provider Network Michael Wagliardo masked Michael Wagliardo 2001 Bryan Street, Suite 2400 Dallas, TX 75201 214-820-4201 masked Manager Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.24 2012/02/16 12:00:00 2012/03/16 12:00:00 2012/03/16 09:21:21 UV 2.16.840.1.113883.3.1620.25 oidTHHBP The Heart Hospital Baylor Plano Michael Wagliardo masked Michael Wagliardo 2001 Bryan Street, Suite 2400 Dallas, TX 75201 214-820-4201 masked Manager Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.25 2012/02/16 12:00:00 2012/03/16 12:00:00 2012/03/16 09:22:38 UV 2.16.840.1.113883.3.1620.26 oidBMCC Baylor Medical Center at Carrollton Michael Wagliardo masked Michael Wagliardo 2001 Bryan Street, Suite 2400 Dallas, TX 75201 214-820-4201 masked Manager Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.26 2012/02/16 12:00:00 2012/03/16 12:00:00 2012/03/16 09:24:11 UV 2.16.840.1.113883.3.1620.28 oidSBIR Select Baylor Institute for Rehabilitation Michael Wagliardo masked Michael Wagliardo 2001 Bryan Street, Suite 2400 Dallas, TX 75201 214-820-4201 masked Manager Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.28 2012/02/16 12:00:00 2012/03/16 12:00:00 2012/03/16 09:25:12 UV 2.16.840.1.113883.3.1620.9 oidBSH Baylor Specialty Hospital Michael Wagliardo masked Michael Wagliardo 2001 Bryan Street, Suite 2400 Dallas, TX 75201 214-820-4201 masked Manager Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.9 2012/02/16 12:00:00 2012/03/16 12:00:00 2012/03/16 09:28:12 UV 2.16.840.1.113883.3.1658 lb DR. LENA BARGHOUTI-AFRANJI & ASSOCIATES, P.C. LENA BARGHOUTI-AFRANJI masked DR. LENA BARGHOUTI-AFRANJI 8700 NE VANCOUVER MALL DRIVE STE#232 VANCOUVER, WA 98662 360-882-9355 masked OPTOMETRIST DR. LENA BARGHOUTI-AFRANJI 8700 NE VANCOUVER MALL DRIVE STE#232 VANCOUVER, WA 98662 360-882-9355 DRLENAB@ARACNET.COM Provider Int 3 Complete 2012/02/16 12:00:00 2012/03/16 12:00:00 2012/03/16 10:27:58 UV 2.16.840.1.113883.3.1620.27 oidOCH Our Children's House at Baylor Michael Wagliardo masked Michael Wagliardo 2001 Bryan Street, Suite 2400 Dallas, TX 75201 214-820-4201 masked Manager Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.27 2012/02/16 12:00:00 2012/03/16 12:00:00 2012/03/16 10:24:42 UV 2.16.840.1.113883.3.1620.30 oidBMCM Baylor Medical Center at Mckinney Michael Wagliardo masked Michael Wagliardo 2001 Bryan Street, Suite 2400 Dallas, TX 75201 214-820-4201 masked Manager Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.30 2012/02/16 12:00:00 2012/03/16 12:00:00 2012/03/16 10:25:51 UV 2.16.840.1.113883.3.1659 drrh Drumright Regional Hospital Ben Pressman masked Ben Pressman Drumright Regional Hospital 610 W Bypass Drumright, OK 74030 USA 918-382-2334 masked IT manager Drumright Regional Hospital 610 W Bypass Drumright, OK 74030 USA 918-382-2300 info@drumrighthospital.com HL7 body 2.16.840.1.113883 Int 3 Complete 2012/02/16 12:00:00 2012/03/16 12:00:00 2012/03/16 10:40:43 UV 2.16.840.1.113883.3.1660 cCOVA Root OID for ConnectVirginia Masoud Mohammadi masked Colin Flitcher PO BOX 45036 RPO 7 ELEVEN HIGH RIVER ALBERTA CANADA T1V1R7 403-469-1177 masked Community Health Alliance Community Health Alliance 2201 W. Broad Street, Ste 202 Richmond, VA 23220 804-955-1756 smccleaf@cha-va.org http://www.cha-va.org/ Provider Int 3 Complete 2012/02/16 12:00:00 2012/03/16 12:00:00 2012/03/16 10:42:44 UV 2.16.840.1.113883.3.1661 pch Princeton Community Hospital Danny Farley masked Danny Farley P.O. Box 1369 Princeton, WV 24740 304-487-7244 masked Manager Clinical Systems Princeton Community Hospital P.O. Box 1369 Princeton, WV 24740 304-487-7000 dfarley@pchonline.org http://www.pchonline.org Provider Int 3 Complete 2012/02/17 12:00:00 2012/03/16 12:00:00 2012/03/16 10:47:33 UV 2.16.840.1.113883.3.1662 medstarhealth MedStar Health John Bernas masked Robert Horst John Bernas 5565 Sterrett Place Columbia, MD 21044 (301) 680-7789 masked Director of Integration MedStar Health 5565 Sterrett Place Columbia, MD 21044 John.S.Bernas@Medstar.net http://www.medstarhealth.org Provider Int 3 Complete 2012/02/17 12:00:00 2012/03/16 12:00:00 2014/11/03 10:48:16 UV 2.16.840.1.113883.3.1663 practicestudio PracticeStudio Steven Huneycutt masked Steven 4204 N. Garfield Ave. Loveland, CO 80538-2220 970-776-9205 masked Physician/Owner Steven Huneycutt, MD 4204 N. Garfield Ave. Loveland, CO 80538-2220 970-776-9205 steven@huneycuttfamilymedicine.com https://www.huneycuttfamilymedicine.com Provider Int 3 Deprecated 2012/02/17 12:00:00 2012/03/16 12:00:00 2013/04/10 03:47:57 US 2.16.840.1.113883.3.1664 bwwmh Bryan W Whitfield Memorial Hospital David Davidson masked David Davidson 105 Highway 80 east Demopolis, AL 36732 334-287-2808 masked Director of IT Bryan W Whitfield Memorial Hospital 105 Highway 80 East Demopolis, AL 36732 334-289-4000 ddavidson@bwwmh.com http://www.bwwmh.com Provider Int 3 Complete 2012/02/20 12:00:00 2012/03/16 12:00:00 2012/03/16 10:58:02 UV 2.16.840.1.113883.3.1665 cognovant Cognovant root OID William Ketcherside masked William Ketcherside 5708 N Overland Ct Kansas City MO 64151 816-922-9176 masked President & CEO Cognovant, Inc. 5708 N Overland Ct Kansas City MO 64151 816-922-9176 joeketch@me.com http://cognovant.com Vendor Int 3 Complete 2012/02/20 12:00:00 2012/03/16 12:00:00 2012/03/16 10:59:27 UV 2.16.840.1.113883.3.1355.10.3 ahwest-wmmc-docnum White Memorial Medical Center (WMMC) Doctor Number Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management White Memorial Medical Center (WMMC) White Memorial Medical Center, 1720 Cesar E. Chavez Ave., Los Angeles, CA 90033 323-268-5000 cioinfo@ah.org http://whitememorial.com Provider 2.16.840.1.113883.3.1355 Ext 3 Complete 2.16.840.1.113883.3.1355.10.3 2012/02/20 12:00:00 2012/03/16 12:00:00 2012/03/16 11:01:54 UV 2.16.840.1.113883.3.1355.10.4 ahwest-wmmc-uref White Memorial Medical Center (WMMC) Unit Reference Number Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management White Memorial Medical Center (WMMC) White Memorial Medical Center, 1720 Cesar E. Chavez Ave., Los Angeles, CA 90033 323-268-5000 cioinfo@ah.org http://whitememorial.com Provider 2.16.840.1.113883.3.1355 Ext 3 Complete 2.16.840.1.113883.3.1355.10.4 2012/02/20 12:00:00 2012/03/16 12:00:00 2012/03/16 11:03:21 UV 2.16.840.1.113883.3.1665.1 pocketHealthPHR PocketHealth PHR OID William Ketcherside masked William Ketcherside 5708 N Overland Ct Kansas City MO 64151 816-922-9176 masked President & CEO Cognovant, Inc. 5708 N Overland Ct Kansas City MO 64151 816-922-9176 joeketch@me.com https://cognovant.com Vendor 2.16.840.1.113883.3.1665 Ext 17 Complete 2.16.840.1.113883.3.1665.1 2012/02/20 12:00:00 2012/03/16 12:00:00 2012/03/16 09:17:05 UV 2.16.840.1.113883.3.1355.45 ahwest-cmc Castle Medical Center (CMC) Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Castle Medical Center (CMC) Castle Medical Center, 640 Ulukahiki Street, Kailua, Hawaii 96734 808-2635500 cioinfo@ah.org http://castlemed.org/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.45 2012/02/20 12:00:00 2012/03/16 12:00:00 2012/03/16 09:23:36 UV 2.16.840.1.113883.3.1355.45.1 ahwest-cmc-mrn Castle Medical Center (CMC) MRN Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Castle Medical Center (CMC) Castle Medical Center, 640 Ulukahiki Street, Kailua, Hawaii 96734 808-2635500 cioinfo@ah.org http://castlemed.org/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.45.1 2012/02/20 12:00:00 2012/03/16 12:00:00 2012/03/16 09:29:44 UV 2.16.840.1.113883.3.1355.45.2 ahwest-cmc-acct Castle Medical Center (CMC) Account Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Castle Medical Center (CMC) Castle Medical Center, 640 Ulukahiki Street, Kailua, Hawaii 96734 808-2635500 cioinfo@ah.org http://castlemed.org/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.45.2 2012/02/20 12:00:00 2012/03/16 12:00:00 2012/03/16 09:32:49 UV 2.16.840.1.113883.3.1355.45.3 ahwest-cmc-doctor Castle Medical Center (CMC) Doctor Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Castle Medical Center (CMC) Castle Medical Center, 640 Ulukahiki Street, Kailua, Hawaii 96734 808-2635500 cioinfo@ah.org http://castlemed.org/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.45.3 2012/02/20 12:00:00 2012/03/16 12:00:00 2012/03/16 09:33:38 UV 2.16.840.1.113883.3.1355.45.4 ahwest-cmc-uref Castle Medical Center (CMC) Unit Reference Number Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Castle Medical Center (CMC) Castle Medical Center, 640 Ulukahiki Street, Kailua, Hawaii 96734 808-2635500 cioinfo@ah.org http://castlemed.org/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.45.4 2012/02/20 12:00:00 2012/03/16 12:00:00 2012/03/16 09:34:41 UV 2.16.840.1.113883.3.1355.15 ahwest-gamc Glendale Adventist Medical Center(GAMC) Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Glendale Adventist Medical Center(GAMC) Glendale Adventist Medical Center,1509 Wilson Terrace Glendale, CA, 91206 818-409-8000 cioinfo@ah.org http://www.glendaleadventist.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.15 2012/02/20 12:00:00 2012/03/16 12:00:00 2012/03/16 09:42:59 UV 2.16.840.1.113883.3.1355.15.1 ahwest-gamc-mrn Glendale Adventist Medical Center(GAMC) MRN Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Glendale Adventist Medical Center(GAMC) Glendale Adventist Medical Center,1509 Wilson Terrace Glendale, CA, 91206 818-409-8000 cioinfo@ah.org http://www.glendaleadventist.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.15.1 2012/02/20 12:00:00 2012/03/16 12:00:00 2012/03/16 09:44:38 UV 2.16.840.1.113883.3.1355.15.2 ahwest-gamc-account Glendale Adventist Medical Center(GAMC) Account Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Glendale Adventist Medical Center(GAMC) Glendale Adventist Medical Center,1509 Wilson Terrace Glendale, CA, 91206 818-409-8000 cioinfo@ah.org http://www.glendaleadventist.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.15.2 2012/02/20 12:00:00 2012/03/16 12:00:00 2012/03/16 09:46:02 UV 2.16.840.1.113883.3.1355.15.3 ahwest-gamc-doctor Glendale Adventist Medical Center(GAMC) Doctor Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Glendale Adventist Medical Center(GAMC) Glendale Adventist Medical Center,1509 Wilson Terrace Glendale, CA, 91206 818-409-8000 cioinfo@ah.org http://www.glendaleadventist.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.15.3 2012/02/20 12:00:00 2012/03/16 12:00:00 2012/03/16 09:47:57 UV 2.16.840.1.113883.3.1355.15.4 ahwest-gamc-uref Glendale Adventist Medical Center(GAMC) Unit Reference Number Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Glendale Adventist Medical Center(GAMC) Glendale Adventist Medical Center,1509 Wilson Terrace Glendale, CA, 91206 818-409-8000 cioinfo@ah.org http://www.glendaleadventist.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.15.4 2012/02/20 12:00:00 2012/03/16 12:00:00 2012/03/16 09:50:26 UV 2.16.840.1.113883.3.1355.60 ahwest-svh Simi Valley Hospital(SVH) Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Simi Valley Hospital(SVH) Simi Valley Hospital, 2975 North Sycamore Drive Simi Valley, CA 93065 805-955-6000 cioinfo@ah.org http://www.simivalleyhospital.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.60 2012/02/20 12:00:00 2012/03/16 12:00:00 2012/03/16 09:56:03 UV 2.16.840.1.113883.3.1355.60.1 ahwest-svh-mrn Simi Valley Hospital(SVH) MRN Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Simi Valley Hospital(SVH) Simi Valley Hospital, 2975 North Sycamore DriveSimi Valley, CA 93065 805-955-6000 cioinfo@ah.org http://www.simivalleyhospital.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.60.1 2012/02/20 12:00:00 2012/03/16 12:00:00 2012/03/16 10:00:22 UV 2.16.840.1.113883.3.1355.60.2 ahwest-svh-account Simi Valley Hospital(SVH) Account Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Simi Valley Hospital(SVH) Simi Valley Hospital, 2975 North Sycamore DriveSimi Valley, CA 93065 805-955-6000 cioinfo@ah.org http://www.simivalleyhospital.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.60.2 2012/02/20 12:00:00 2012/03/16 12:00:00 2012/03/16 10:01:58 UV 2.16.840.1.113883.3.1355.60.3 ahwest-svh-doctor Simi Valley Hospital(SVH) Doctor Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Simi Valley Hospital(SVH) Simi Valley Hospital, 2975 North Sycamore DriveSimi Valley, CA 93065 805-955-6000 cioinfo@ah.org http://www.simivalleyhospital.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.60.3 2012/02/20 12:00:00 2012/03/16 12:00:00 2012/03/16 10:03:20 UV 2.16.840.1.113883.3.1355.60.4 ahwest-svh-uref Simi Valley Hospital(SVH) Unit Reference Number Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Simi Valley Hospital(SVH) Simi Valley Hospital, 2975 North Sycamore DriveSimi Valley, CA 93065 805-955-6000 cioinfo@ah.org http://www.simivalleyhospital.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.60.4 2012/02/20 12:00:00 2012/03/16 12:00:00 2012/03/16 10:04:56 UV 2.16.840.1.113883.3.1355.75 ahwest-uvmc Ukiah Valley Medical Center(UVMC) Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Ukiah Valley Medical Center(UVMC) Ukiah Valley Medical Center, 275 Hospital Drive, Ukiah, CA 95482 707-462-3111 cioinfo@ah.org http://www.uvmc.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.75 2012/02/20 12:00:00 2012/03/16 12:00:00 2012/03/16 10:06:20 UV 2.16.840.1.113883.3.1355.75.1 ahwest-uvmc-mrn Ukiah Valley Medical Center(UVMC) MRN Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Ukiah Valley Medical Center(UVMC) Ukiah Valley Medical Center, 275 Hospital Drive, Ukiah, CA 95482 707-462-3111 cioinfo@ah.org http://www.uvmc.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.75.1 2012/02/20 12:00:00 2012/03/16 12:00:00 2012/03/16 10:10:47 UV 2.16.840.1.113883.3.1355.75.2 ahwest-uvmc-account Ukiah Valley Medical Center(UVMC) Account Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Ukiah Valley Medical Center(UVMC) Ukiah Valley Medical Center, 275 Hospital Drive, Ukiah, CA 95482 707-462-3111 cioinfo@ah.org http://www.uvmc.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.75.2 2012/02/20 12:00:00 2012/03/16 12:00:00 2012/03/16 10:12:28 UV 2.16.840.1.113883.3.1355.75.3 ahwest-uvmc-doctor Ukiah Valley Medical Center(UVMC) Doctor Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Ukiah Valley Medical Center(UVMC) Ukiah Valley Medical Center, 275 Hospital Drive, Ukiah, CA 95482 707-462-3111 cioinfo@ah.org http://www.uvmc.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.75.3 2012/02/20 12:00:00 2012/03/16 12:00:00 2012/03/16 10:13:48 UV 2.16.840.1.113883.3.1355.75.4 ahwest-uvmc-uref Ukiah Valley Medical Center(UVMC) Unit Reference Number Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Ukiah Valley Medical Center(UVMC) Ukiah Valley Medical Center, 275 Hospital Drive, Ukiah, CA 95482 707-462-3111 cioinfo@ah.org http://www.uvmc.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.75.4 2012/02/20 12:00:00 2012/03/16 12:00:00 2012/03/16 10:14:36 UV 2.16.840.1.113883.3.1355.80 ahwest-hmh Frank R Howard Memorial Hospital(HMH) Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Frank R Howard Memorial Hospital(HMH) Frank R Howard Memorial Hospital, One Madrone Street Willits, CA 95490 707-459-6801 cioinfo@ah.org http://www.howardhospital.com Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.80 2012/02/20 12:00:00 2012/03/16 12:00:00 2012/03/16 10:35:18 UV 2.16.840.1.113883.17.61 m4 medical office Karen Yarbrough masked Karen Yarbrough 7118 I40 West Amarillo, Tx 806-236-2808 masked supervisor MicroFour 7118 I40 West Amarillo, x 79106 806-236-2808 kyarbrough@micro4.com Provider Int 17 17 Complete 2012/02/21 12:00:00 2012/03/16 12:00:00 2012/03/16 10:49:37 US 2.16.840.1.113883.17.62 pickettmedical Pickett Medical Center, PA Jan Pickett masked Ellen Hall 5000 Main Street Ste 318 The Colony, Tx 75056 972-625-5442 masked Coder/Biller Pickett Medical Center, PA 5000 Main Street Ste 318 The Colony, Tx 75056 972-625-5442 pickettmedical@hotmail.com Provider Int 17 17 Complete 2012/02/21 12:00:00 2012/03/16 12:00:00 2012/03/16 10:51:33 US 2.16.840.1.113883.3.1355.80.1 ahwest-hmh-mrn Frank R Howard Memorial Hospital(HMH) MRN Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Frank R Howard Memorial Hospital(HMH) Frank R Howard Memorial Hospital, One Madrone Street Willits, CA 95490 707-459-6801 cioinfo@ah.org http://www.howardhospital.com Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.80.1 2012/02/21 12:00:00 2012/03/16 12:00:00 2012/03/16 10:52:44 UV 2.16.840.1.113883.3.1355.80.2 ahwest-hmh-account Frank R Howard Memorial Hospital(HMH) Account Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Frank R Howard Memorial Hospital(HMH) Frank R Howard Memorial Hospital, One Madrone Street Willits, CA 95490 707-459-6801 cioinfo@ah.org http://www.howardhospital.com Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.80.2 2012/02/21 12:00:00 2012/03/16 12:00:00 2012/03/16 10:54:18 UV 2.16.840.1.113883.3.1355.80.3 ahwest-hmh-doctor Frank R Howard Memorial Hospital(HMH) Doctor Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Frank R Howard Memorial Hospital(HMH) Frank R Howard Memorial Hospital, One Madrone Street Willits, CA 95490 707-459-6801 cioinfo@ah.org http://www.howardhospital.com Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.80.3 2012/02/21 12:00:00 2012/03/16 12:00:00 2012/03/16 10:56:04 UV 2.16.840.1.113883.3.1355.80.4 ahwest-hmh-uref Frank R Howard Memorial Hospital(HMH) Unit Reference Number Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Frank R Howard Memorial Hospital(HMH) Frank R Howard Memorial Hospital, One Madrone Street Willits, CA 95490 707-459-6801 cioinfo@ah.org http://www.howardhospital.com Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.80.4 2012/02/21 12:00:00 2012/03/16 12:00:00 2012/03/16 10:57:32 UV 2.16.840.1.113883.3.1666 aCN Accenture root OID Cecil Lynch masked Cecil Lynch 916-412-5504 masked Sr. Manager, Health and Public Service Accenture, LLP 560 Mission Street, Suite 1200 San Francisco, CA 94105 1 415 537 5000 Email_a_colleague@accenture.com http://www.accenture.com Vendor Int 3 Complete 2012/02/21 12:00:00 2012/03/16 12:00:00 2012/03/16 10:59:03 UV 2.16.840.1.113883.3.1355.5 ahwest-amcp Adventist Medical Center - Portland(AMC-P) Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Adventist Medical Center - Portland(AMC-P) Adventist Medical Center - Portland, 10123 Southeast Market Street, Portland, OR 97216 503-257-2500 cioinfo@ah.org http://www.adventisthealthnw.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.5 2012/02/22 12:00:00 2012/03/16 12:00:00 2012/03/16 11:03:11 UV 2.16.840.1.113883.3.1355.5.1 ahwest-amcp-mrn Adventist Medical Center - Portland(AMC-P) MRN Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Adventist Medical Center - Portland(AMC-P) Adventist Medical Center - Portland, 10123 Southeast Market Street, Portland, OR 97216 503-257-2500 cioinfo@ah.org http://www.adventisthealthnw.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.5.1 2012/02/22 12:00:00 2012/03/16 12:00:00 2012/03/16 11:04:34 UV 2.16.840.1.113883.3.1355.5.2 ahwest-amcp-account Adventist Medical Center - Portland(AMC-P) Account Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Adventist Medical Center - Portland(AMC-P) Adventist Medical Center - Portland, 10123 Southeast Market Street, Portland, OR 97216 503-257-2500 cioinfo@ah.org http://www.adventisthealthnw.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.5.2 2012/02/22 12:00:00 2012/03/16 12:00:00 2012/03/16 11:06:22 UV 2.16.840.1.113883.3.1355.5.3 ahwest-amcp-doctor Adventist Medical Center - Portland(AMC-P) Doctor Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Adventist Medical Center - Portland(AMC-P) Adventist Medical Center - Portland, 10123 Southeast Market Street, Portland, OR 97216 503-257-2500 cioinfo@ah.org http://www.adventisthealthnw.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.5.3 2012/02/22 12:00:00 2012/03/16 12:00:00 2012/03/16 11:08:28 UV 2.16.840.1.113883.3.1355.5.4 ahwest-amcp-uref Adventist Medical Center - Portland(AMC-P) Unit Reference Number Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Adventist Medical Center - Portland(AMC-P) Adventist Medical Center - Portland, 10123 Southeast Market Street, Portland, OR 97216 503-257-2500 cioinfo@ah.org http://www.adventisthealthnw.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.5.4 2012/02/22 12:00:00 2012/03/16 12:00:00 2012/03/16 11:09:41 UV 2.16.840.1.113883.3.1667 mm MERCY REGIONAL MEDICAL CENTER Kathy Rem masked Myriah Vandre Kathy Rem 111 Inverness Dr W Englewood, CO 80112 303-643-4264 masked DIR APPL SYSTEMS ANALYST/PROGR Mercy Regional Medical Center 1010 Three Springs Blvd. Durango, CO 81301 (970) 247-4311 KathrynRem@Centura.Org http://www.mercydurango.org Provider Int 3 Complete 2012/02/22 12:00:00 2012/03/16 12:00:00 2014/03/31 04:32:02 UV 2.16.840.1.113883.3.1355.70 ahwest-tcgh Tillamook County General Hospital(TCGH) Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Tillamook County General Hospital(TCGH) Tillamook County General Hospital 1000 Third Street Tillamook, Oregon 97141 503-842-4444 cioinfo@ah.org http://www.tcgh.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.70 2012/02/22 12:00:00 2012/03/16 12:00:00 2012/03/16 11:16:56 UV 2.16.840.1.113883.3.1355.70.1 ahwest-tcgh-mrn Tillamook County General Hospital(TCGH) MRN Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Tillamook County General Hospital(TCGH) Tillamook County General Hospital 1000 Third StreetTillamook, Oregon 97141 503-842-4444 cioinfo@ah.org http://www.tcgh.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.70.1 2012/02/22 12:00:00 2012/03/16 12:00:00 2012/03/16 11:18:01 UV 2.16.840.1.113883.3.1355.70.2 ahwest-tcgh-account Tillamook County General Hospital(TCGH) Account Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Tillamook County General Hospital(TCGH) Tillamook County General Hospital 1000 Third StreetTillamook, Oregon 97141 503-842-4444 cioinfo@ah.org http://www.tcgh.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.70.2 2012/02/22 12:00:00 2012/03/16 12:00:00 2012/03/16 11:18:59 UV 2.16.840.1.113883.3.1355.70.3 ahwest-tcgh-doctor Tillamook County General Hospital(TCGH) Doctor Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Tillamook County General Hospital(TCGH) Tillamook County General Hospital 1000 Third StreetTillamook, Oregon 97141 503-842-4444 cioinfo@ah.org http://www.tcgh.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.70.3 2012/02/22 12:00:00 2012/03/16 12:00:00 2012/03/16 11:20:58 UV 2.16.840.1.113883.3.1355.70.4 ahwest-tcgh-uref Tillamook County General Hospital(TCGH) Unit Reference Number Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Tillamook County General Hospital(TCGH) Tillamook County General Hospital 1000 Third StreetTillamook, Oregon 97141 503-842-4444 cioinfo@ah.org http://www.tcgh.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.70.4 2012/02/22 12:00:00 2012/03/16 12:00:00 2012/03/16 11:28:39 UV 2.16.840.1.113883.17.63 pbmc Pen Bay Medical Center Laura June masked Laura June Pen Bay Healthcare Six Glen Cove Drive Rockport, ME 04856 207 701-3228 masked Systems Analyst\Programmer Pen Bay Medical Center Six Glen Cove Drive Rockport, Maine 04856 207 596-8000 ljune@penbayhealthcare.org http://www.penbayhealthcare.org Provider Int 17 Complete 2012/02/22 12:00:00 2012/03/16 12:00:00 2012/03/16 11:30:36 UV 2.16.840.1.113883.3.1668 cuc Cuero Community Hospital Arthur Mueller masked Erica Christen Cuero Regional Hospital 2550 N. Esplande Cuero, Texas 77954 361-275-0502 masked IT Director Cuero Regional Hospital 2550 N. Esplande Cuero, Texas 77954 361-275-6191 ericac@cuerohospital.org http://www.cuerohospital.org Provider Int 3 Complete 2012/02/23 12:00:00 2012/03/23 12:00:00 2026/05/11 06:25:07 UV 2.16.840.1.113883.17.64 ppskc Premier Plastic Surgery, PA John Tune masked Cathi Smith Premier Plastic Surgery, PA 20375 W. 151st Street, Ste. 370 Olathe, KS 66061-7207 913-782-0707 masked Practice Manager Cathi Smith Premier Plastic Surgery, PA 20375 W. 151st Street, Ste. 370 Olathe, KS 66061-7207 913-782-0707 csmith@ppskc.com http://www.ppskc.com Provider Int 17 Complete 2012/02/23 12:00:00 2012/03/23 12:00:00 2012/03/23 12:31:11 UV 2.16.840.1.113883.3.1669 app Asante Physician Partners Christopher Jorge masked Asante Health System Christopher Jorge 541-789-4756 masked Sr. Programmer / Analyst Asante Health System 2650 Siskiyou Blvd. Medford, Or. 97504 USA 541-789-7000 cjorge@asante.org http://www.asante.org Provider Int 3 Complete 2012/02/23 12:00:00 2012/03/23 12:00:00 2012/03/23 12:32:05 UV 2.16.840.1.113883.3.1670 accelerator Catalis Accelerator Eddie Orellana masked Eddie Orellana 512-797-8461 masked Project Manager Catalis. Inc jeo@thecatalis.com Vendor Int 3 Complete 2012/02/23 12:00:00 2012/03/23 12:00:00 2012/04/02 12:10:20 UV 2.16.840.1.113883.3.1671 ejgh East Jefferson General Hospital Collette Zeiour masked Debra stark Collette Zeiour 4200 Houma Blvd. Metaire, LA 70006 504-456-8187 masked Direcotr of Health Information Management East Jefferson General Hospital 4200 Houma Blvd. Metaire, LA 70006 504-454-4000 czeiour@ejgh.org http://www.ejgh.org/ Provider Int 3 3 Complete 2012/02/23 12:00:00 2012/03/23 12:00:00 2012/03/23 12:48:56 UV 2.16.840.1.113883.3.1672 woomo Sichuan IC of HIO lin xd masked lin_xd linxiaodong sichuan chengdu jianshe road north,UESTC,china 13981924470 masked IT manager Information Center of Sichuan Health Organization Sichuan Chengdu Jianshe Road North,UESTC,China 02883200725 lin_xd@126.com http://218.200.166.90 Academic Int 3 3 Complete 2012/02/23 12:00:00 2012/03/23 12:00:00 2012/03/23 12:53:14 CN 2.16.840.1.113883.3.1673 biosense2 BioSense 2 Aaron Johnson masked Mike Alletto Mike Alletto Northrop Grumman Building AUC1 17455 E Exposition DR Aurora, CO 80017 (720) 427-4408 masked Program Manager, BioSense 2 Centers for Disease Control and Prevention Centers for Disease Control and Prevention 1600 Clifton Rd. Atlanta, GA 30333, USA (800-232-4636) cdcinfo@cdc.gov http://www.cdc.gov/ Govt body Int 3 Complete 2012/02/24 12:00:00 2012/03/23 12:00:00 2012/03/23 12:54:34 UV 2.16.840.1.113883.3.1674 cchmc Cincinnati Children's Hospital Medical Center Kartik Varadarajan masked Christopher Braat Cincinnati children's Hospital Medical Center MLC 7014, 3333 Burnet Avenue Cincinati, OH 45229 440-752-3193 masked Director, Integration Team Cincinnati Children's Hospital and Medical Center Cincinnati children's Hospital Medical Center 3333 Burnet Avenue Cincinati, OH 45229 440-752-3193 Christopher.Braat@cchmc.org http://www.cincinnatichildrens.org/ Provider Int 3 Complete 2012/02/24 12:00:00 2012/03/23 12:00:00 2022/12/01 01:40:11 UV 2.16.840.1.113883.3.1675 aCDTC ADVANTAGE CARE DIAGNOSTIC AND TREATMENT CENTER MARY ELLEN DIVER masked MARY ELLEN DIVER ADVANTAGE CARE DIAGNOSTIC AND TREATMENT CENTER, 189 WHEATLEY ROAD, BROOKVILLE, NY, 11545 5166261075 masked CLINIC DIRECTOR ADVANTAGE CARE DIAGNOSTIC AND TREATMENT CENTER 189 WHEATLEY ROAD, BROOKVILLE, NY, 11545 5166261075 MDIVER@AHRC.ORG Provider Int 3 Complete 2012/02/27 12:00:00 2012/03/23 12:00:00 2012/03/23 12:57:34 UV 2.16.840.1.113883.3.1676 msi Medsolutions Scott McDaniel masked Scott McDaniel 730 Cool Springs Blvd, Suite 800 Franklin, TN 37067 6154684223 masked Director of Analytics Medsolutions online@medsolutions.com http://www.medsolutions.com Payor Int 3 Complete 2012/02/27 12:00:00 2012/03/23 12:00:00 2012/03/23 12:59:26 UV 2.16.840.1.113883.3.1677 bhn Banner Health Network Chuck Canode masked Chuck Canode 525 W Brown Rd Mesa, AZ 85201 480-684-5219 masked Business Intelligence Architect Banner Health Network P.O. Box 1427 Mesa, AZ 85211-1427 bhn@bannerhealth.com http://www.bannerhealthnetwork.com Provider Int 3 Complete 2012/02/27 12:00:00 2012/03/23 12:00:00 2012/03/23 01:01:36 UV 2.16.840.1.113883.10.20.24 qrdaCatITemplateRootOID-V2 Quality Reporting Document Architecture Category I Version 2 Root OID Gaye Dolin masked Gaye Dolin 7147444152 masked Structured Documents Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA NA gaye.dolin@lantanagroup.com HL7 body Ext 10 10 Complete 2.16.840.1.113883.10.20.24 2012/02/27 12:00:00 2012/03/23 12:00:00 2012/03/23 01:04:40 US 2.16.840.1.113883.3.1678 wellc Wellcentive Andrew Borland masked Andrew Borland 6787103050 masked Wellcentive 100 Mansell Court East Suite 625 Roswell, GA 30076 awborland@wellcentive.com http://www.wellcentive.com Provider Int 3 Complete 2012/02/28 12:00:00 2012/03/14 12:00:00 2012/03/15 12:24:38 UV 2.16.840.1.113883.3.1679 mjh Martha Jefferson Hospital Josh Baumann masked Dale Knauf 500 Martha Jefferson Drive Charlottesville, VA 22911 434 654 7071 masked Interface Analyst Martha Jefferson Hospital 500 Martha Jefferson Drive Charlottesville, VA 22911 434 654 7071 mjhelp@mjh.org Provider Int 3 3 Complete 2012/02/28 12:00:00 2012/03/23 12:00:00 2012/03/23 01:07:54 UV 2.16.840.1.113883.3.1680 sph St. Peter's Hospital Daniel Sullivan masked Daniel Sullivan 2475 Broadway Helena, MT 59601 406495-6515 masked Information Systems Director St. Peter's Hospital 2475 Broadway Helena, MT 59601 406495-6515 dsullivan@stpetes.org https://www.stpetes.org/ Provider Int 3 Complete 2012/02/28 12:00:00 2012/03/23 12:00:00 2012/03/23 02:04:56 UV 2.16.840.1.113883.3.1681 wpahs West Penn Allegheny Health System Kelley Wasicek masked David Chuirazzi Kelley Wasicek WPAHS Program Management Office Two Allegheny Center Suite 550 Pittsburgh, PA 15212 412-330-6163 masked Project Manager WPAHS 30 Isabella St Pittsburgh, PA 15212 412-330-6163 kwasicek@wpahs.org http://www.wpahs.org Provider Int 3 Complete 2012/02/28 12:00:00 2012/03/23 12:00:00 2012/03/23 02:07:03 UV 2.16.840.1.113883.3.1682 actionchiro Action Chiropractic Clinic Philip Ivanov masked Philip Ivanov Action Chiropractic Clinic 6935 Old Canton Rd, Suite A Ridgeland, MS, 39157 6019566050 masked Chiropractor Action Chiropractic Action Chiropractic Clinic 6935 Old Canton Rd suite A Ridgeland, MS, 39157 6019566050 actionchiro@bellsouth.net http://www.actionchiroinc.com Provider Int 3 Complete 2012/02/28 12:00:00 2012/03/23 12:00:00 2012/03/23 02:08:42 UV 2.16.840.1.113883.13.208 vICHAdministratorOfVMP VICH Administrator Of VMP Glenn Peterson masked Glenn Peterson 7519 Standish Place Rockville, MD 20855 240-453-6876 masked Business Process Improvement Manager Center for Veterinary Medicine/FDA 7519 Standish Place Rockville, MD 20855 240-453-6876 glenn.peterson@fda.hhs.gov Govt body Int 13 Complete 2012/02/28 12:00:00 2012/03/23 12:00:00 2012/03/23 02:11:40 UV 2.16.840.1.113883.3.1683 slg SLG Pratyush Kumar masked Pratyush Kumar 2257734597 masked SLG Innovation 4717 Conlin St, Metairie LA 70006 pratkumar@slginnovation.com Vendor Int 3 Complete 2012/02/28 12:00:00 2012/03/23 12:00:00 2012/03/23 02:14:59 UV 2.16.840.1.113883.13.209 vICHAccuracyOfNumberOfAnimals VICH Accuracy of Number of Animals Showing Clincal Signs Glenn Peterson masked Glenn Peterson 7519 Standish Place Rockville, MD 20855 240-453-6876 masked Business Process Improvement Manager Glenn Peterson 7519 Standish Place Rockville, MD 20855 240-453-6876 glenn.peterson@fda.hhs.gov Govt body Int 13 Complete 2012/02/28 12:00:00 2012/03/23 12:00:00 2012/03/23 02:18:03 UV 2.16.840.1.113883.13.210 vICHAttendingVetAssessment VICH Attending Vet Assessment Glenn Peterson masked Glenn Peterson 7519 Standish Place Rockville, MD 20855 240-453-6876 masked Business Process Improvement Manager Glenn Peterson 7519 Standish Place Rockville, MD 20855 240-453-6876 glenn.peterson@fda.hhs.gov Govt body Int 13 Complete 2012/02/28 12:00:00 2012/03/23 12:00:00 2012/03/23 02:20:22 UV 2.16.840.1.113883.13.211 vICHAttachedDocumentTypes VICH Attached Document Types Glenn Peterson masked Glenn Peterson 7519 Standish Place Rockville, MD 20855 240-453-6876 masked Business Process Improvement Manager Glenn Peterson 7519 Standish Place Rockville, MD 20855 240-453-6876 glenn.peterson@fda.hhs.gov Govt body Int 13 Complete 2012/02/28 12:00:00 2012/03/23 12:00:00 2012/03/23 02:21:37 UV 2.16.840.1.113883.13.212 vICHDomesticAndForeignReportCategories VICH Domestic And Foreign Report Categories Glenn Peterson masked Glenn Peterson 7519 Standish Place Rockville, MD 20855 240-453-6876 masked Business Process Improvement Manager Glenn Peterson 7519 Standish Place Rockville, MD 20855 240-453-6876 glenn.peterson@fda.hhs.gov Govt body Int 13 Complete 2012/02/28 12:00:00 2012/03/23 12:00:00 2012/03/23 02:22:45 UV 2.16.840.1.113883.13.213 vICHPackageType VICH Package Types Glenn Peterson masked Glenn Peterson 7519 Standish Place Rockville, MD 20855 240-453-6876 masked Business Process Improvement Manager Glenn Peterson 7519 Standish Place Rockville, MD 20855 240-453-6876 glenn.peterson@fda.hhs.gov Govt body Int 13 Complete 2012/02/28 12:00:00 2012/03/23 12:00:00 2012/03/23 02:24:09 UV 2.16.840.1.113883.3.1684 soarclinProd Virtua Soarian Clinicals Development Vincent Levesque masked Frank Pero Vincent Levesque Virtua Information system 301 Lippincott Drive Suite 300 Marlton, NJ 08053 856-248-6541 masked System Integration Manager Virtua Health Virtua Information system 301 Lippincott Drive Suite 300 Marlton, NJ 08053 856-248-6541 vlevesque@virtua.org http://www.virtua.org Provider Int 3 Retired 2012/02/28 12:00:00 2012/03/23 12:00:00 2014/01/08 06:34:46 UV 2.16.840.1.113883.3.1685 soarclintst Virtua Soarian Clinicals Test system Vincent Levesque masked Frank Pero Vincent Levesque Virtua Information Services 301 Lippincott Drive. Marlton, NJ 08053 856-248-6541 masked System Integration manager Virtua Health Virtua Information Services 301 Lippincott Drive. Marlton, NJ 08053 856-248-6541 vlevesque@virtua.org http://www.virtua.org Provider 2.16.840.1.113883.3.1060 Int 3 Retired 2012/02/28 12:00:00 2012/03/23 12:00:00 2014/01/08 06:35:50 UV 2.16.840.1.113883.3.1686 a-WHIT Woodstock Health & Information Technology David Stumpf masked David A Stumpf 1101 Alpine Lane Woodstock, IL 60098-9726 8474947589 masked President Woodstock Health & Information Technology 1101 Alpine Lane Woodstock, IL 60098-9726 847 494 7589 consulting@stumpf.org Vendor Int 14 3 Complete 2012/02/28 12:00:00 2012/03/23 12:00:00 2012/03/23 02:33:59 US 2.16.840.1.113883.3.1687 unmhsc University of New Mexico Health Sciences Center Holly Willis masked Glen Jornigan Rex Cover UNM Hospitals Information Technology Division 933 Bradbury Drive SE, Suite 3131 Albuquerque, NM 87106 505-272-0914 masked Systems Analyst III UNM Hospitals 2211 Lomas Blvd NE Albuquerque, NM 87106 505-925-4598 DHarrington@salud.unm.edu http://hospitals.unm.edu/ Provider Int 3 3 Complete 2012/02/28 12:00:00 2012/03/23 12:00:00 2018/06/19 02:55:56 UV 2.16.840.1.113883.4.534 nlfh Northwestern Lake Forest Hospital Susan Feeley masked Susan Feeley 541 North Fairbanks Suite 2644 Chicago, IL 60611 312.-926-6603 masked Program Manager Northwestern Lake Forest Hospital 660 North Westmoreland Lake Forest, IL 60045 847-234-5600 sfeeley@nmh.org http://www.lfh.org Provider 2.16.840.1.113883.3.997 Int 4 Complete 2012/02/29 12:00:00 2016/10/31 12:00:00 2016/10/31 11:21:28 UV 2.16.840.1.113883.3.1688 grmctx Guadalupe Regional Medical Center Charles McWhorter masked Charles McWhorter 1215 East Court Seguin, TX 78155 830-401-7447 masked System Analyst Guadalupe Regional Medical Center 1215 East Court Seguin, TX 78155 830-379-2411 dhernandez@grmedcenter.com http://www.grmedcenter.com Provider Int 3 Complete 2012/02/29 12:00:00 2012/03/23 12:00:00 2012/03/23 02:39:48 UV 2.16.840.1.113883.3.1689 tailored-approach The Tailored Approach, LLC Raj Puri masked Raj Puri 627 S. Burlingame Ave. Los Angeles, CA 90049 3103956498 masked President The Tailored Approach, LLC raj.puri@tailoredapproach.com http://www.tailoredapproach.com Vendor Int 3 Complete 2012/03/01 12:00:00 2012/03/23 12:00:00 2012/03/23 02:41:53 UV 2.16.840.1.113883.3.239.13.14 ca-onMTLN College of Massage Therapists of Ontario License Number Wendy Huang masked Iryna Roy 200 Wellington St. W. - Suite 400 Toronto, ON M5V 3C7 Canada 416-591-8069 masked Senior Standards Analyst, Registries College of Massage Therapists of Ontario 810 - 1867 Yonge Street, Toronto, ON M4S 1Y5 Canada 1-800-465-1933 cmto@cmto.com https://www.cmto.com Prof Soc Ext 4 4 Complete 2.16.840.1.113883.3.239.13.14 2012/03/01 12:00:00 2012/03/01 12:00:00 2012/03/01 12:57:06 UV 2.16.840.1.113883.3.239.13.4 ca-onNPDLN Board of Directors of Drugless Therapy - Naturopathy License Number Wendy Huang masked Iryna Roy 200 Wellington St. W. - Suite 400 Toronto ON M5V 3C7 Canada 416-591-8069 masked Senior Standards Analyst, Registries Board of Directors of Drugless Therapy - Naturopathy (BDDT-N) 112 Adelaide St. E., Toronto ON M5C 1K9 Canada 416-866-8383 office@BDDTN.on.ca http://www.boardofnaturopathicmedicine.on.ca/ Prof Soc Ext 4 4 Complete 2.16.840.1.113883.3.239.13.4 2012/03/01 12:00:00 2012/03/01 12:00:00 2012/03/01 12:18:14 UV 2.16.840.1.113883.4.535 ca-qcRACLN Association des Acupuncteurs du Quebec License Number Wendy Huang masked Anne Belford 5090 Explorer Drive Mississauga, Ontario L4W 4X6 Canada 905-629-5729 masked Association des Acupuncteurs du Quebec 6595, rue St-Hubert BP #59015, Montreal QC H2S 3P5 Canada 514-982-6567 info@acupuncture-quebec.com http://www.acupuncture-quebec.com/ Prof Soc Int 4 Complete 2012/03/01 12:00:00 2012/03/23 12:00:00 2012/03/23 02:51:01 UV 2.16.840.1.113883.4.536 ca-nflMTLN College of Massage Therapists of Newfoundland and Labrador License Number Wendy Huang masked Anne Belford 5090 Explorer Drive Mississauga, Ontario L4W 4X6 Canada 905-629-5729 masked College of Massage Therapists of Newfoundland and Labrador PO Box 23204, Churchill Square, St. John's, NL A1B 4J9 Canada 709-739-7181 info@cmtnl.ca http://www.cmtnl.ca Prof Soc Int 4 Complete 2012/03/01 12:00:00 2012/03/23 12:00:00 2012/03/23 02:51:50 UV 2.16.840.1.113883.4.537 ca-qcNPDLN Association des Naturotherapeutes du Quebec License Number Wendy Huang masked Anne Belford 5090 Explorer Drive Mississauga, Ontario L4W 4X6 Canada 905-629-5729 masked Association des Naturotherapeutes du Qu&#233;bec 27 rue B&#233;liveau, Laval, Quebec H7B 1A7 Canada 450-720-0560 anm.anpq@videotron.ca http://www.anpq.qc.ca/ Prof Soc Int 4 4 Complete 2012/03/01 12:00:00 2012/03/23 12:00:00 2012/03/23 02:52:45 UV 2.16.840.1.113883.4.538 ca-bcNPDLN College of Naturopathic Physicians of British Columbia License Number Wendy Huang masked Anne Belford 5090 Explorer Drive Mississauga, Ontario L4W 4X6 Canada 905-629-5729 masked College of Naturopathic Physicians of British Columbia 804 - 605 Robson Street, Vancouver, BC V6B 5J3 Canada 604-688-8236 office@cnpbc.bc.ca http://www.cnpbc.bc.ca/ Prof Soc Int 4 Complete 2012/03/01 12:00:00 2012/03/23 12:00:00 2012/03/23 02:53:35 UV 2.16.840.1.113883.4.539 ca-skNPDLN Saskatchewan Association of Naturopathic Practitioners License Number Wendy Huang masked Anne Belford 5090 Explorer Drive Mississauga, Ontario L4W 4X6 Canada 905-629-5729 masked Saskatchewan Association of Naturopathic Practitioners 2120 College Ave., Saskatoon, SK S4P 1C5 Canada 306-522-0095 info@sanp.ca http://www.sanp.ca/ Prof Soc Int 4 Complete 2012/03/01 12:00:00 2012/03/23 12:00:00 2012/03/23 02:55:23 UV 2.16.840.1.113883.4.540 ca-mbNPDLN Manitoba Naturopathic Association License Number Wendy Huang masked Anne Belford 5090 Explorer Drive Mississauga, Ontario L4W 4X6 Canada 905-629-5729 masked Manitoba Naturopathic Association 971 Corydon Ave., PO Box 434, Winnipeg, MB R3M 0Y0 Canada 204-947-0381 info@mbnd.ca http://www.mbnd.ca/ Prof Soc Int 4 Complete 2012/03/01 12:00:00 2012/03/23 12:00:00 2012/03/23 02:58:14 UV 2.16.840.1.113883.4.541 ca-nsNPDLN Nova Scotia Association of Naturopathic Doctors License Number Wendy Huang masked Anne Belford 5090 Explorer Drive Mississauga, Ontario L4W 4X6 Canada 905-629-5729 masked Nova Scotia Association of Naturopathic Doctors 1100 - 5991 Spring Garden Rd., Halifax NS B3H 1Y6 Canada 902-406-0100 info@nsand.ca http://nsand.ca/ Prof Soc Int 4 4 Complete 2012/03/01 12:00:00 2012/03/23 12:00:00 2012/03/23 03:00:30 UV 2.16.840.1.113883.3.1690 heywood Heywood Hospital Jessica Lanzoni masked Sandi Wiltshire Heywood Hospital 242 Green Street Gardner, MA 01440 978-630-6112 masked Senior Director of IT & Applications Heywood Hospital 242 Green Street Gardner, MA 01440 978-630-6112 sandi.wiltshire@heywood.org http://www.heywood.org Provider Int 3 Complete 2012/03/02 12:00:00 2012/03/23 12:00:00 2024/12/20 10:19:33 UV 2.16.840.1.113883.17.65 jacksonchiropractic Jackson Chiropractic Clinic Charles Jackson masked Charles Jackson DC 2455 E Hill Rd Grand Blanc, Michigan 48439 810 695 4090 masked Charles Jackson DC 2455 E Hill Rd Grand Blanc, Michigan 48439 810 695 4090 DrJackson@JacksonChiro.net http://www.JacksonChiro.net Provider Int 17 Complete 2012/03/02 12:00:00 2012/03/23 12:00:00 2012/03/23 03:06:26 US 2.16.840.1.113883.3.1691 wamc West Anaheim Medical Center Belly Alquino masked Jason Williams Belly Alquino 3033 W Orange Ave. Anaheim, CA 92804 714-741-4801 masked Application Analyst Jason Williams 3033 W Orange Ave. Anaheim, CA 92804 714-741-4803 JWilliams2@primehealthcare.com http://10.150.10.133/wamcIntranet/ Provider Int 4 3 Complete 2012/03/02 12:00:00 2012/03/23 12:00:00 2012/03/23 03:09:55 UV 2.16.840.1.113883.4.542 narh North Adams Regional Hospital Frances Czarnecki masked Damian Shepard North Adams Regional Hospital 71 Hospital Ave North Adams, MA 01247 (413) 664-5153 masked IT Integration Engineer North Adams Regional Hospital 71 Hospital Avenue North Adams, MA 01247 413-664-5000 dshepard@bhs1.org http://www.bhs1.org Provider Int 4 Complete 2012/03/02 12:00:00 2012/03/23 12:00:00 2023/09/14 09:52:08 UV 2.16.840.1.113883.3.1692 healthCareSoftware Health Care Software OID Andrew Gilbert masked Andrew Gilbert 1-800-524-1038 masked Health Care Software, Inc. Monmouth Shores Corporate Park P.O. Box 2430 Farmingdale, NJ 07727 1-800-524-1038 agilbert@hcssupport.com http://www.hcsinteractant.com/ Vendor Int 3 Complete 2012/03/04 12:00:00 2012/03/23 12:00:00 2012/03/23 03:16:19 UV 2.16.840.1.113883.3.1693 cchhs Cook County Health and Hospitals System Bala Hota masked Bala Hota 1900 W Polk St, #1248 Chicago, IL 60612 312-864-4592 masked Chief Medical Information Officer Cook County Health and Hospital System 1969 W. Ogden Ave. Chicago, IL 60612 3128646000 bhota@cookcountyhhs.org Provider Int 3 3 Complete 2012/03/05 12:00:00 2012/03/23 12:00:00 2012/03/23 03:17:54 UV 2.16.840.1.113883.4.543 island Skagit County Public Hospital District #2 Thomas Bluhm masked Thomas Bluhm Island Hospital 1211 24th Street Anacortes, WA 98221 (360) 299-1335 masked I.S. Director Island Hospital 1211 24th Street Anacortes, WA 98221 (360) 299-1335 tbluhm@islandhospital.org http://www.islandhospital.org/ Provider Int 4 Complete 2012/03/05 12:00:00 2012/03/23 12:00:00 2012/03/23 03:19:23 UV 2.16.840.1.113883.17.66 bvchc Blackstone Valley Community Health Care Robert Giroux masked Robert Giroux BlackStone Valley Community Health Care 36 Park Place Pawtucket RI 02860 401-722-0080 masked CIO Blackstone Valley Community Health Care BlackStone Valley Community Health Care 36 Park Place Pawtucket RI 02860 401-722-0080 rgiroux@bvchc.org Provider Int 17 17 Complete 2012/03/05 12:00:00 2012/03/23 12:00:00 2012/03/23 03:27:34 UV 2.16.840.1.113883.13.214 cVMDocumentTrackingSystemSTARS CVM Document Tracking System (STARS) Glenn Peterson masked Glenn Peterson 7519 Standish Place Rockville, MD 20855 240-453-6876 masked Business Process Improvement Manager FDA/CVM 7519 Standish Place Rockville, MD 20855 240-453-6876 Glenn.Peterson@fda.hhs.gov Govt body Int 13 Complete 2012/03/05 12:00:00 2012/03/23 12:00:00 2012/03/23 03:30:49 UV 2.16.840.1.113883.3.1695 crh Culpeper Regioal Hospital Steve Speelman masked brock@culpeperhospital.com Steve Speelman 501 Sunset Lane Culpeper, VA 22701 540-829-4146 masked Imaging Informatic Coordinator Culpeper Regional Hospital 501 Sunset Lane Culpeper, VA 22701 540-829-5746 sspeelman@culpeperhospital.com http://www.culpeperhospital.com/aboutContactUs.html Exchange Int 3 3 Complete 2012/03/06 12:00:00 2012/03/23 12:00:00 2012/03/23 03:33:39 US 2.16.840.1.113883.3.1687.100 unmh University of New Mexico Hospitals Holly Willis masked Glen Jornigan Holly Willis UNM Hospitals Information Technology Division 933 Bradbury Drive SE, Suite 3131 Albuquerque, NM 87106 505-272-0505 masked Systems (Integration) Analyst UNM Hospitals 2211 Lomas Blvd NE Albuquerque, NM 87106 505-272-3288 gjornigan@salud.unm.edu Provider 2.16.840.1.113883.3.1687 Ext 17 3 Complete 2.16.840.1.113883.3.1687.100 2012/03/06 12:00:00 2012/03/23 12:00:00 2012/03/23 03:37:03 UV 2.16.840.1.113883.3.1696 ghsmi Genesys Health System Marie Kuz masked Marie Kuz 8106038927 masked Genesys Health System 5445 Ali Drive Dept. 100 Grand Blanc, MI 48439 8106038927 Marie.kuz@genesys.org Provider Int 3 Complete 2012/03/06 12:00:00 2012/03/23 12:00:00 2012/03/23 03:34:46 UV 2.16.840.1.113883.3.1697 ghspmi Genesys Health System Practices Marie Kuz masked Marie Kuz 8106038927 masked Genesys Health System Practices 8106038927 Marie.kuz@genesys.org Provider Int 3 Complete 2012/03/06 12:00:00 2012/03/23 12:00:00 2012/03/23 03:39:54 UV 2.16.840.1.113883.3.183.1.1 gchb-elysium-gch HealthBridge OID for the Elysium system gch instance Mike Wells masked Mike Wells 11300 Cornell Park Dr. Suite 360 Cincinnati, Ohio 45242 5132475280 masked IT Director Greater Cincinnati HealthBridge 11300 Cornell Park Dr. Suite 360 Cincinnati, Ohio 45242 5134697222 hostmaster@healthbridge.org http://www.healthbridge.org Exchange 2.16.840.1.113883.3.183 Ext 14 14 Complete 2.16.840.1.113883.3.183.1.1 2012/03/06 12:00:00 2012/03/23 12:00:00 2012/03/23 03:41:37 UV 2.16.840.1.113883.3.1698 candlerhospital St Joseph's/Candler - Candler Hospital Richard Brown masked Gloria Broadstreet Richard Brown 5401 Paulsen St Savannah, GA 31405 912-819-6678 masked Sr Application Support Analyst Candler Hospital 5353 Reynolds St Savannah, GA 31405 912-819-6000 broadstreetg@sjchs.org http://www.sjchs.org/ Provider Int 3 Complete 2012/03/07 12:00:00 2012/03/23 12:00:00 2012/03/23 03:44:35 UV 2.16.840.1.113883.3.1699 stjosephshospital St Joseph's/Candler - St. Joseph's Hospital Richard Brown masked Gloria Broadstreet Richard Brown 5401 Paulsen St Savannah, GA 31405 912-819-6678 masked Sr Application Support Analyst St Joseph's Hospital 11705 Mercy Blvd Savannah, Ga 31419 912-819-4100 broadstreetg@sjchs.org http://www.sjchs.org Provider Int 3 Complete 2012/03/07 12:00:00 2012/03/23 12:00:00 2012/03/23 03:48:10 UV 2.16.840.1.113883.3.183.1.2 gchb-elysium-blm HealthBridge OID for the Elysium system BLM instance Mike Wells masked Mike Wells 11300 Cornell Park Dr. Suite 360 Cincinnati, Ohio 45242 5132475280 masked IT Director Mike Wells 11300 Cornell Park Dr. Suite 360 Cincinnati, Ohio 45242 5134697222 hostmaster@healthbridge.org http://www.healthbridge.org Exchange 2.16.840.1.113883.3.183 Ext 14 14 Complete 2.16.840.1.113883.3.183.1.2 2012/03/07 12:00:00 2012/03/23 12:00:00 2012/03/23 03:50:00 UV 2.16.840.1.113883.17.67 hjb1958 Howard J. Brown DC Howard Brown masked Howard J Brown Box 716 915 23rd Ave Sidney, NE 69162 308-254-5331 masked Owner Howard J Brown DC Box 716 915 23rd Ave Sidney, NE 69162 308-254-5331 drbrown@alloisp.com Provider Int 17 Complete 2012/03/07 12:00:00 2012/03/23 12:00:00 2012/03/23 03:52:33 US 2.16.840.1.113883.3.1700 wdmh-oid Winchester District Memorial Hospital Object ID Stefan Gagnon masked Sean Obrien Sean Obrien 566 Louise Street Winchester,Ontario K0C 2K0 613-774-2420 ext 6888 masked Chief Technical Officer Winchester District Memorial Hospital 566 Louise Street Winchester,Ontario K0C 2K0 613-774-2420 sdesk@wdmh.on.ca https://www.wdmh.on.ca Provider Int 3 Complete 2012/03/07 12:00:00 2012/03/23 12:00:00 2012/03/23 03:58:29 UV 2.16.840.1.113883.3.1701 scwst sichuan weishengting Lin Xd masked woohe Lin Xd sc chengdu china 08613981924470 masked ITO Schino lin_xd@126.com http://www.scwst.gov.cn Govt body Int 3 3 Complete 2012/03/07 12:00:00 2012/03/23 12:00:00 2012/03/23 04:01:30 CN 2.16.840.1.113883.17.68 jjminton2005 Dr. Jay Minton Jay Minton masked Dr Jay Minton 11940 w central ste 102 Wichita, KS 67212 316-729-4447 masked owner Dr. Jay Minton 11940 w central ste 102 Wichita, KS 67212 316-729-4447 mintonchiro@earthlink.net http://www.wichitadrx.com Provider Int 17 Complete 2012/03/08 12:00:00 2012/03/23 12:00:00 2012/03/23 03:55:18 US 2.16.840.1.113883.3.1702 capc CAP Connect Robert Lawlis masked Travis Turner Robert Lawlis 401 Dates Drive, Ithaca, NY 607 252 3683 masked Director of Operations CAP CONNECT 401 Dates Drive Ithaca, NY 607 252 3683 rlawlis@cayugamed.org Vendor Int 3 Complete 2012/03/08 12:00:00 2012/03/23 12:00:00 2012/03/23 04:04:30 UV 2.16.840.1.113883.3.1703 aapmeasures AAP Measure: Pediatric Weight in Kilograms in the Emergency Department Junelle Speller masked Junelle Speller 847-434-7650 masked Senior Health Policy Analyst Junelle Speller American Academy of Pediatrics 141 NW Point Blvd Elk Grove Village, IL 60007 jspeller@aap.org http://www.aap.org Prof Soc Int 3 Complete 2012/03/08 12:00:00 2012/03/23 12:00:00 2012/03/23 04:08:15 UV 2.16.840.1.113883.17.69 lcosince1921 Loveland Chiropractic Offices, Inc. Jamie Bailey masked Jamie Bailey 215 Loveland-Madeira Rd., Loveland, OH 45140 513-683-1052 masked System Manager Jeffrey T. Kemmet 215 Loveland-Madeira Rd., Loveland, OH 45140 513-683-1052 lovelandchiro@fuse.net http://www.lovelandchiro.com Provider Int 17 Complete 2012/03/08 12:00:00 2012/03/23 12:00:00 2012/03/23 04:11:53 US 2.16.840.1.113883.17.70 healthkey HealthKey Robert Giroux masked Robert Giroux Blackstone Valley Community Health Care 36 Park Place Pawtucket RI 02860 401-312-9810 masked CIO HealthKey Blackstone Valley Community Health Care 36 Park Place Pawtucket RI 02860 401-312-9810 rgiroux@bvchc.org Provider Int 17 17 Complete 2012/03/08 12:00:00 2012/03/23 12:00:00 2012/03/23 04:16:13 UV 2.16.840.1.113883.17.71 tritown Tri-Town Robert Giroux masked Robert Giroux Blackstone Valley Community Health Care 36 Park Place Pawtucket RI 02860 401-312-9810 masked CIO Tri-Town Blackstone Valley Community Health Care 36 Park Place Pawtucket RI 02860 401-312-9810 rgiroux@bvchc.org Provider Int 17 17 Complete 2012/03/08 12:00:00 2012/03/23 12:00:00 2012/03/23 04:18:21 UV 2.16.840.1.113883.3.1704 drmc Delta Regional Medical Center Angela Parkinson masked Angela Parkinson 1400 E. Union Ave. Greenville, MS 38701 662-334-2432 masked Assistant Director of Quality Delta Regional Medical Center 1400 E. Union Ave. Greenville, MS 38701 662-378-3783 aparkinson@deltaregional.com Provider Int 3 Complete 2012/03/08 12:00:00 2012/03/23 12:00:00 2012/03/23 04:21:50 UV 2.16.840.1.113883.3.1705 vwch-vwohio Van Wert County Hospital Gerald Borton masked Gerald Borton 1250 S. Washington St. Van Wert, Ohio 45891 419-238-8610 masked Director of Information Systems Van Wert County Hospital 1250 S. Washington Street Van Wert, OH 45891 419-238-2390 gborton@vanwerthospital.org http://www.vanwerthospital.org Provider Int 3 Complete 2012/03/09 12:00:00 2012/03/23 12:00:00 2012/03/23 04:23:15 UV 2.16.840.1.113883.3.1706 somc Southern Ohio Medical Center Dennis Ward masked Dennis Ward Southern Ohio Medical Center 1248 Kinneys Lane Portsmouth, OH 45662 740.356.7481 masked Southern Ohio Medical Center 1805 27th Street Portsmouth, OH 45662 740.356.5000 wardd@somc.org http://www.somc.org/ Provider Int 3 Complete 2012/03/09 12:00:00 2012/03/23 12:00:00 2012/03/23 04:24:36 UV 2.16.840.1.113883.3.1707 narmc northArkansasRegionalMedicalCenter William Bogle masked William Bogle 620 N. Main St Harrison, AR 72601 870-414-4011 masked Network Administrator North Arkansas Regional Medical Center 620 N. Main St Harrison, AR 72601 870-414-4000 william.bogle@narmc.com HL7 body Int 17 3 Complete 2012/03/09 12:00:00 2012/03/23 12:00:00 2012/03/23 04:26:16 UV 2.16.840.1.113883.3.1708 uscca Keck Medical Center of USC Gus Lowery masked Gus Lowery Keck Hospital of USC 1500 San Pablo St. Los Angeles, CA 90033 626.457.3425 masked Integration Team Leader, Shared Services keckmedicalcenterofusc Keck Hospital of USC 1500 San Pablo St. Los Angeles, CA 90033 888-700-5700 information@med.usc.edu http://www.keckmedicalcenterofusc.org/ Academic Int 3 Complete 2012/03/09 12:00:00 2012/03/23 12:00:00 2012/03/23 04:29:23 UV 1.3.6.1.4.1.39277 crmc Cape Regional Medical Center Root OID Shaun Deignan masked Kristen Sherick Cape Regional Medical Center 2 Stone Harbor Blvd Cape May Court House, NJ 08210 609-463-3142 masked Interface Analyst Cape Regional Medical Center Cape Regional Medical Center IT Department 2 Stone Harbor Blvd Cape May Court House, NJ 08210 609-463-2000 ksherick@caperegional.com http://www.caperegional.com Provider 1.3.6.1.4.1.39277 Ext 3 Complete 1.3.6.1.4.1.39277 2012/03/12 12:00:00 2012/03/23 12:00:00 2017/12/27 01:05:50 UV 2.16.840.1.113883.3.1709 glhs-oid Grand Lake Health System Steve Fisher masked Steve Fisher 200 St. Clair St. St. Marys, OH 45885 419-394-3387 Ext. 2143 masked Systems Analyst Grand Lake Health System 200 St. Clair St. St. Marys, OH 45885 419-394-3387 sfisher@jtdmh.org http://www.grandlakehealth.org/ Provider Int 3 Complete 2012/03/12 12:00:00 2012/03/23 12:00:00 2012/03/23 04:33:25 UV 2.16.840.1.113883.3.1710 caringforthefamily Caring for the Family Dana O'Connell masked Dana O'Connell 1120 E. Elizabeth St., Bldg G, Ste. #1, Fort Collins, Co. 80524 970-493-2776 masked Office Associate Caring for the Family 1120 E. Elizabeth St., Bldg G, Ste. #1, Fort Collins, Co. 80524 970-493-2776 famdocinfc@aol.com Provider Int 3 Complete 2012/03/12 12:00:00 2012/03/23 12:00:00 2012/03/23 04:38:08 UV 2.16.840.1.113883.3.1711 mksoid Mercy Regional Health Center OID Tonyia Bartholomew masked Tonyia Bartholomew 1823 College Ave Manhattan,KS 66502 785-776-2830 ext 1455 masked IT Manager Mercy Regional Health Center 1823 College Ave Manhattan KS 66502 785-776-3322 Andy_Gagnon@mercyregional.org http://www.via-christi.org/body_mercy.cfm?id=76&fr=true Provider Int 3 Complete 2012/03/12 12:00:00 2012/03/23 12:00:00 2012/03/23 04:46:37 UV 2.16.840.1.113883.3.1712 mgi Via Christi Hospital Pittsburg, Inc. Lisa Whitney masked Reg Givens Via Christi Hospital Pittsburg, Inc. 1 Mt Carmel Way Pittsburg, KS 66762 620-235-7564 masked Director of Information Technology Via Christi Hospital Pittsburg, Inc. 1 Mt Carmel Way Pittsburg, KS 66762 620-235-7564 reg.givens@viachristi.org http://www.viachristi.org Provider Int 3 Complete 2012/03/12 12:00:00 2012/03/23 12:00:00 2012/03/23 04:48:32 UV 2.16.840.1.113883.3.1713 ahcsah St Agnes Hospital Nancy Schmitz masked Nancy Schmitz Agnesian HealthCare 430 E. Division St Fond du Lac WI 54935 920-926-4399 masked Sr Clinical Informatics Consultant St Agnes Hospital 430 E Division St Fond du Lac WI 54935 920-929-2300 schmitzn@agnesian.com Provider Int 3 Complete 2012/03/13 12:00:00 2012/03/23 12:00:00 2012/03/23 04:50:25 UV 2.16.840.1.113883.3.1714 ahcwmh Waupun Memorial Hospital Nancy Schmitz masked Nancy Schmitz Agnesian HealthCare 430 E Division St Fond du Lac, WI 54934 920-926-4399 masked Sr Clinical Informatics Consultant Waupun Memorial Hospital 620 Brown St Waupun, WI 53963 920-324-5581 schmitzn@agnesian.com Provider Int 3 Complete 2012/03/13 12:00:00 2012/03/23 12:00:00 2012/03/23 04:53:33 UV 2.16.840.1.113883.3.1715 ahcrmc Ripon Medical Center Nancy Schmitz masked Nancy Schmitz Agnesian HealthCare 430 E Division St Fond du Lac WI 54935 920-926-4399 masked Sr Clinical Informatics Consultant Ripon Medical Center 933 Newberry St Ripon, WI 54971 920-748-3101 schmitzn@agnesian.com Provider Int 3 3 Complete 2012/03/13 12:00:00 2012/03/23 12:00:00 2012/03/23 04:56:28 UV 2.16.840.1.113883.17.72 j-m-h JONES MEMORIAL HOSPITAL ALICIA JOHNSON masked ALICIA JOHNSON 191 NORTH MAIN ST WELLSVILLE, NY 14895 585-596-4046 masked IT COORDINATOR/SYSTEM ANALYST JONES MEMORIAL HOSPITAL 191 NORTH MAIN ST WELLSVILLE, NY 14895 585-593-1100 johnsona@jmhny.org HL7 body Int 17 Complete 2012/03/13 12:00:00 2012/03/23 12:00:00 2012/03/23 05:02:23 UV 2.16.840.1.113883.3.1716 OH Oswego Hospital Barry Ryle masked Oswego Hospital Barry Ryle 110 W 6th St Oswego, NY 13126 315-349-5593 masked VP of IS & CIO, ISO Oswego Hospital 110 W 6th St Oswego, NY 13126 315-349-5511 bryle@oswegohealth.org http://www.oswegohealth.org/ Provider Int 3 Complete 2012/03/13 12:00:00 2012/03/23 12:00:00 2024/08/01 10:30:32 UV 2.16.840.1.113883.3.1717 nhdsv NetHealth DSV Lauren Patrick masked Debra Reis Lauren Patrick 72 E Swedesford Road Suite 110 Malvern, PA 19355 610.590.2229 masked President NetHealth 72 E Swedesford Road Suite 110 Malvern, PA 19355 610.590.2229 lpatrick@healthmonix.com www.healthmonix.com Vendor Int 3 Complete 2012/03/13 12:00:00 2012/03/23 12:00:00 2025/04/03 05:20:57 UV 2.16.840.1.113883.3.1718 erickson Erickson Health EHR Data Submission Elizabeth LaGow masked Elizabeth LaGow 5575 Research Park Drive Baltimore, Maryland 21228 410-402-2248 masked IT Manager Erickson Health 5575 Research Park Drive Baltimore, Maryland 21228 410-402-2248 elagow@erickson.com http://www.ericksonliving.com Provider Int 3 Complete 2012/03/13 12:00:00 2012/03/23 12:00:00 2012/03/23 05:09:43 UV 2.16.840.1.113883.3.1719 mingle-analytics Mingle Analytics Gay De Hart masked Daniel Mingle Gay De Hart 219 Streaked Mountain Road South Paris, ME 04281 2075398172 masked Business Manager Mingle Analytics 219 Streaked Mountain Road South Paris, ME 04281 2073575517 gay.dehart@mingleanalytics.com http://www.mingleanalytics.com Provider Int 3 Complete 2012/03/13 12:00:00 2012/03/23 12:00:00 2012/03/23 05:11:14 UV 2.16.840.1.113883.3.1720 medigraph MediGraph, Inc. Paul Willcox masked Paul Willcox 1403 Foulk Rd. Ste 104 Wilmington, DE 19803 3024790178 masked MediGraph, Inc. 1403 Foulk Rd. Ste 104 Wilmington, DE 19803 3024780178 pwillcox@medigraphsoftware.com https://www.medigraphsoftware.com Vendor Int 3 Complete 2012/03/13 12:00:00 2012/03/23 12:00:00 2012/03/23 05:12:27 US 2.16.840.1.113883.3.1721 cui CentralUtahInformatics Jonathan Keller masked Jonathan Keller 1055 North 500 West Provo, Utah 84604 801-812-5010 masked Director of Data Analytics Central Utah Informatics 1055 North 500 West Provo, Utah 84604 801-812-5555 jkeller@centralutahinformatics.com http://www.centralutahinformatics.com Provider Int 3 Complete 2012/03/13 12:00:00 2012/03/23 12:00:00 2012/03/23 05:13:57 UV 2.16.840.1.113883.3.1722 mypreventivecare My Preventive Care Steve Mitchell masked Alexander H. Krist, M.D., M.P.H. Alexander H. Krist VCU Family Medicine 1200 East Broad Street 14th Floor, North Wing P.O. Box 980251 Richmond, Virginia 23298-0251 (804) 628-3972 masked My Preventive Care ahkrist@vcu.edu https://secure.mypreventivecare.com/ Provider Int 3 Complete 2012/03/13 12:00:00 2012/03/23 12:00:00 2012/03/23 05:15:24 UV 2.16.840.1.113883.3.1723 pha570 Physicians Health Alliance Patricia Gallacher masked Patricia Gallacher 1401 Electric St Dunmore, PA 18509 570-969-9005 masked CIO Ambulatory Care Physicians Health Alliance 1401 Electric St Dunmore, PA 18509 570-969-9005 pgallacher@mth.org Provider Int 3 Complete 2012/03/13 12:00:00 2012/03/23 12:00:00 2012/03/23 05:16:58 UV 2.16.840.1.113883.3.1724 teampraxis TeamPraxis Stephen Stinton masked Stephen Stinton 808-948-9512 masked Director, Government Solutions TeamPraxis 1585 Kapiolani Blvd., Ste. 1800 Honolulu, HI 96816 808-941-3363 info@teampraxis.com http://www.teampraxis.com Provider Int 3 Complete 2012/03/13 12:00:00 2012/03/23 12:00:00 2012/03/23 05:21:16 UV 2.16.840.1.113883.3.1725 cINA CINA Registry James May masked James L May Jr 8140 Walnut Hill Lane STE 925 Dallas, TX 75231 214-593-6980 masked CEO QED Clinical, Inc. d/b/a CINA 8140 Walnut Hill Lane STE 925 Dallas, TX 75231 214-593-6900 info@cina-us.com http://www.cina-us.com Vendor Int 3 Complete 2012/03/13 12:00:00 2012/03/23 12:00:00 2013/03/12 01:16:02 UV 2.16.840.1.113883.3.1726 lvpgregistry Lehigh Valley Physician Group Registry Pamela Marcks masked Pamela Marcks 2100 Mack Blvd 3rd Floor Allentown, PA 18103 484-884-8517 masked Senior Clinical Informatics Manager Pamela Marcks 2100 Mack Blvd 3rd Floor Allentown, PA 18103 484-884-8517 pamela.marcks@lvhn.org http://www.lvh.org Provider Int 3 Complete 2012/03/13 12:00:00 2012/03/23 12:00:00 2012/03/23 05:25:00 UV 2.16.840.1.113883.3.1727 chronicdiseaseregistry Chronic Disease Registry, Inc. Stephen Fogg masked David Walker Stephen Fogg 2700 Technology Forest Blvd. Suite 250 The Woodlands, Texas 77381 800-603-7896 masked Implementation Specialist Chronic Disease Registry, Inc. 2700 Technology Forest Blvd. Suite 250 The Woodlands, Texas 77381 800-603-7896 helpdesk@intellicure.com Vendor Int 3 Complete 2012/03/13 12:00:00 2012/03/23 12:00:00 2012/03/23 05:27:41 UV 2.16.840.1.113883.3.1728 lmhs1 Lima Memorial Health System Nancy Carman masked Nancy Carman 1001 Bellefontaine Ave Lima, Ohio 45804 419-226-5197 ext 2360 masked System Integration Analyst Lima Memorial Health System 1001 Bellefontaine Ave Lima, Ohio 45804 419-228-3335 ncarman@limamemorial.org http://www.limamemorial.org Provider Int 3 Complete 2012/03/13 12:00:00 2012/05/10 12:00:00 2012/05/10 02:32:24 UV 2.16.840.1.113883.3.1729 dh-AIM Dignity Health - Ambulatory Information Management Thomas Peppard masked Thomas Peppard Dignity Health 3033 N 3rd Ave Phoenix, AZ 85013 1-602 307-2382 masked AIM Solutions Manager Dignity Health Ambulatory Dignity Health Ambulatory Information Management (AIM) 3033 N 3rd Ave. Phoenix, AZ 85013 1-602 307-2100 info@dignityhealth.org http://www.dignityhealth.org Provider Int 3 Complete 2012/03/13 12:00:00 2012/05/10 12:00:00 2012/05/10 02:17:04 UV 2.16.840.1.113883.3.1730 pmg Pacific Medical Group Doris Tong masked Doris Tong 6 Centerpointe Drive, Ste200 Lake Oswego, OR 97035 503-797-2274 masked Pacific Medical Group dtong@pacificmedicalgroup.com Provider Int 3 Complete 2012/03/13 12:00:00 2012/05/10 12:00:00 2012/05/10 02:19:34 UV 2.16.840.1.113883.3.1731 emn EMedicalNotes, LLC Ayman Haidar masked Ayman Haidar 2265 S Linden Rd Suite B Flint, MI 48532 810-720-2900 masked President EMedicalNotes 2265 S Linden Rd Suite B Flint, MI 48532 810-720-2900 haidara@emedicalnotes.com http://www.emedicalnotes.com Vendor Int 3 Complete 2012/03/13 12:00:00 2012/05/10 12:00:00 2012/05/10 02:40:25 UV 2.16.840.1.113883.3.1732 medconpqrs MedConnect PQRS Reporting Identifier Kim Drinkard masked Kim Drinkard 7207 Halcyon Summit Drive Montgomery, AL 36117 334 215 3568 masked Director of Operations MedConnect, Inc. 7207 Halcyon Summit Drive Montgomery, AL 36117 334 215 3568 kim.drinkard@medconnect-inc.com https://www.medconnect-inc.com Vendor Int 3 Complete 2012/03/14 12:00:00 2012/03/28 12:00:00 2012/03/28 11:40:56 UV 2.16.840.1.113883.3.1733 ctmetadata CitiusTech Registry Metadata Vikram Sukthankar masked Bimal Naik Dennis Swarup 5 Independence Way # 300, Princeton, NJ 08540 1-408-775-9784 masked Business Director CitiusTech, Inc. 6151 Lake Osprey Dr, Sarasota, FL 34240 8419 1-877-248-4871 info@citiustech.com http://www.citiustech.com Vendor Int 3 Complete 2012/03/14 12:00:00 2012/04/17 12:00:00 2012/04/17 06:36:45 UV 2.16.840.1.113883.3.1734 sgcmh Ste Genevieve County Memorial Hospital Jeffrey Smith masked Jeffrey D Smith 800 Ste Genevieve Drive Ste Genevieve, MO 63670 573-883-4403 masked Ste Genevieve County Memorial Hospital 800 Ste Genevieve Drive Ste Genevieve, MO 63670 573-883-2751 jsmith@sgcmh.org http://www.stegenevievehospital.org Provider Int 3 Complete 2012/03/14 12:00:00 2012/04/17 12:00:00 2012/04/17 06:48:17 UV 2.16.840.1.113883.3.1735 spmd-focus-analytics FOCUS Actionable Analytics Kenneth Atlee masked Harika Prabhakar Kenneth 66 Witherspoon Street Suite 104 Princeton NJ 08542 Atlee masked Vice President, Product Delivery SpectraMD USA Inc 66 Witherspoon Street Suite 104 Princeton NJ 08542 6093367733 info@spectramd.com https://www.spectramd.com/index/ Vendor Int 3 Complete 2012/03/14 12:00:00 2012/04/17 12:00:00 2012/04/17 06:58:14 UV 2.16.840.1.113883.3.1736 mh001 Mercer Health Kyle Rindler masked Kyle Rindler 800 West Main St. Coldwater, OH 45828 419-678-5158 masked Director of Information Systems Mercer Health 800 West Main St. Coldwater, OH 45828 419-675-2341 krindler@mercer-health.com http://www.mercer-health.com Govt body Int 3 Complete 2012/03/14 12:00:00 2012/04/17 12:00:00 2012/04/17 06:59:40 UV 2.16.840.1.113883.3.1737 hitsg Health IT Services Group David Dalton masked Terry Ketchersid Diana Strubler 1550 W Mc 434-791-0297 masked Policy and Standards Senior Manager Health IT Services Group 750 Old Hickory Blvd. Brentwood Commons One - Suite 175 Brentwood, TN 37027 615-345-4700 geninfo@hitsg.com http://www.acumenehr.com/ Vendor Int 3 Complete 2012/03/14 12:00:00 2012/04/17 12:00:00 2017/07/17 01:53:28 UV 2.16.840.1.113883.3.1738 midmichiganhealthsystem MidMichigan Health System Karen Youmans masked Doug Goka Doug Goka 4000 Wellness Dr Midland MI 48670 (989) 466-7079 masked Supervisor - Interface and Interoperability Services & Support MidMichigan Health System 4000 Wellness Dr Midland MI 48670 (989) 839-3000 doug.goka@midmichigan.org Provider Int 3 3 Complete 2012/03/14 12:00:00 2012/04/17 12:00:00 2012/04/17 07:03:13 UV 2.16.840.1.113883.3.1739 prohealth Prohealth Physicians, Inc. Karin Zadzilko masked Karin Zadzilko 860-284-5257 masked Prohealth Physicians, Inc. 4 Farm Springs Road Farmington, CT 06032 860-284-5200 kzadzilko@prohealthmd.com Provider Int 3 Complete 2012/03/14 12:00:00 2012/04/17 12:00:00 2012/04/17 07:04:49 UV 2.16.840.1.113883.3.1740 meridios-2012-43812 Meridios Wade Rodriguez masked pclark@meridios.com Wade 545 Main Street Coshocton, Ohio 43812 740-622-2400 masked Support and Development Manager Meridios 545 Main Street Coshocton, Ohio 43812 740-622-2400 support@meridios.com http://www.meridios.net Vendor Int 3 Complete 2012/03/14 12:00:00 2012/04/17 12:00:00 2012/04/17 07:05:59 UV 2.16.840.1.113883.3.1741 w-M-c Winneshiek Medical Center Brian Lensch masked Brian Lensch 901 Montgomery St Decorah, IA 52101 563-382-2911 masked Director of Information Technology Winneshiek Medical Center 901 Montgomery St Decorah, IA 52101 563-382-2911 it@winmedical.org http://www.winmedical.org Provider Int 3 Complete 2012/03/14 12:00:00 2012/04/17 12:00:00 2012/04/17 07:07:42 UV 2.16.840.1.113883.3.1742 rmd ReportingMD Mike Deyett masked Mike Deyett PO BOX 1014 Georges Mills, NH 03751 603-236-7442 ext 700 masked President ReportingMD 1294 Route 11, Unit 3 PO BOX 1014 Georges Mills, NH 03751 888-783-5280 info@reportingmd.com https://www.reportingmd.com Vendor Int 3 Complete 2012/03/14 12:00:00 2012/04/17 12:00:00 2015/02/25 05:30:24 UV 2.16.840.1.113883.3.1743 osfPQRS OSF_PQRS Mindy Albrecht masked Virginia.B.Pisano@osfhealthcare.org Ginny Pisano 1420 Pioneer Parkway Peoria, IL 61615 (309) 683-7243 masked Quality Improvement Manager OSF HealthCare System 1420 Pioneer Parkway Peoria, IL 61615 309 683-7243 virginia.b.pisano@osfhealthcare.org http://www.osfhealthcare.org Provider Int 3 Complete 2012/03/14 12:00:00 2012/04/17 12:00:00 2012/04/17 07:10:43 UV 2.16.840.1.113883.3.1744 maineMSO Maine Medical Services Organization Larry Gusto masked Matthew Gusto Larry Gusto 20 Trufant st. Bath, ME 04530 2078378710 masked CEO Maine MSO PO box 893 Bath, ME 04530 2078378710 larry.gusto@mainemso.com http://www.mainemso.com Vendor Int 3 Complete 2012/03/14 12:00:00 2012/04/17 12:00:00 2012/04/17 07:13:13 UV 2.16.840.1.113883.3.1745 physiciancompass Physician Compass Joel Walker masked Joel Walker 229 E. Wisconsin Ave Suite 704 Milwaukee, WI 53202 414-278-6776 masked Physician Compass 5510 Research Park Drive Madison, WI 53711 608-444-9606 info@physiciancompass.org http://www.physiciancompass.org Exchange Int 3 Complete 2012/03/14 12:00:00 2012/04/17 12:00:00 2017/10/13 10:53:19 UV 2.16.840.1.113883.3.1746 falconehr Falcon EHR OID Justin Williams masked Justin Williams 1627 Cole Boulevard Lakewood, CO 80401 303-626-6417 masked Product Manager Falcon, LLC 1627 Cole Boulevard Lakewood, CO 80401 303-626-6417 falcon@davita.com http://www.falconehr.com Provider Int 3 Complete 2012/03/14 12:00:00 2012/04/17 12:00:00 2012/04/17 07:16:59 UV 2.16.840.1.113883.3.1747 iclopssubmit ICLOPS DSV LLC CMS Data Submission Object Stephen Kull masked Thomas Dent George Hernandez 156 N Jefferson St Suite 307 Chicago, IL 60661 312-258-8004 masked Application Developer ICLOPS DSV, LLC 156 N Jefferson St Suite 307 Chicago IL 60661 312-258-8004 george.hernandez@iclops.com http://www.iclops.com Vendor Int 3 Complete 2012/03/14 12:00:00 2012/04/17 12:00:00 2012/08/07 06:11:26 UV 2.16.840.1.113883.3.1748 aoa American Osteopathic Association Angela Beranek masked Angela Beranek 142 E. Ontario Chicago, IL 60611 3122028198 masked Manager of Division of Clinical Quality American Ostopathic Association 142 E. Ontario Chicago, IL 60611 3122028000 info@osteopathic.org http://www.osteopathic.org Prof Soc Int 3 Complete 2012/03/14 12:00:00 2012/04/17 12:00:00 2012/04/17 07:24:39 UV 2.16.840.1.113883.3.1749 oxbow Oxbow EMR Colin Higbie masked Neil Corbett 22519 Armstrong Terrace #323 Ashburn, VA 20148 307-222-0115 masked VP Software Development Oxbow Intellectual Property, LLC (dba Oxbow EMR) Oxbow EMR 527 Tuttle Hill Road Orange, NH 03741 888-692-6936 Support@OxbowEMR.com http://www.oxbowemr.com Vendor Int 3 Complete 2012/03/14 12:00:00 2012/04/17 12:00:00 2012/04/17 07:26:38 UV 2.16.840.1.113883.3.1750 oid-ECM Eliza Coffee Memorial Hospital Jamie Palmer masked Jamie Palmer 2111 Cloyd Blvd Florence, Alabama 35630 256.768.8412 masked IT Applications/Operations Manager Eliza Coffee Memorial Hospital jspalmer@chgroup.org Provider Int 3 Complete 2012/03/14 12:00:00 2012/04/17 12:00:00 2012/04/17 07:27:37 US 2.16.840.1.113883.3.1751 mediTouchEHR HealthFusion MediTouch EHR OID Seth Flam masked Seth Flam 124 North Rios Solana Beach, CA 92075 8585232120 masked CEO HealthFusion 124 North Rios Solana Beach, CA 92075 8585232120 sflam@healthfusion.com http://www.healthfusion.com Vendor Int 3 Complete 2012/03/14 12:00:00 2012/04/17 12:00:00 2012/04/17 07:30:27 UV 2.16.840.1.113883.3.1752 intelligenthealthcare Intelligent Healthcare PAUL KATZ masked fjarow@intelhc.com PAUL KATZ 1930 11th Street Santa Monica, CA 90404 310-458-6966 masked CEO INTELLIGENT HEALTHCARE 1930 11th Street Santa Monica, CA 90404 310-458-6966 info@intelhc.com http://www.intelhc.com/Home2.aspx Vendor Int 3 Complete 2012/03/14 12:00:00 2012/04/17 12:00:00 2012/04/17 07:34:07 US 2.16.840.1.113883.3.1753 niddk-oid1 NIDDK NwHIN Connect Gateway Noble Dzakpasu masked Noble Dzakpasu 6707 Democracy Blvd Room 912 Bethesda, MD 20817 301-594-5203 masked IT Specialist Computer Technology Branch - National Institute of Diabetes and Digestive and Kidney Diseases 6707 Democracy Blvd Suite 901 Bethesda, MD 20817 301-594-5203 dzakpasuns@mail.nih.gov http://www2.niddk.nih.gov/ Govt body Int 3 Complete 2012/03/15 12:00:00 2012/04/17 12:00:00 2012/04/17 07:36:40 UV 2.16.840.1.113883.3.1754 medA-Z Med A-Z software Vasu Iyengar masked James Slazas MedAZ.Net, LLC 37 Station Drive, Suite 1W Princeton Junction, NJ 08550 888 633 2972 Ext 323 masked COO MedAZ.Net, LLC 37 Station Drive, Suite 1W Princeton Junction, NJ 08550 609 716 6991 medazsupport@medaz.net http://www.medaz.com Vendor Int 3 3 Complete 2012/03/15 12:00:00 2012/04/17 12:00:00 2012/04/17 07:39:34 UV 2.16.840.1.113883.3.1755 jhu JHU Clinical Billing LLC Glenn Milles masked Dr. Joseph Finkelstein Glenn Milles 2024 E. Monument St. Ste. 2-734 Baltimore, MD 21205 410-614-4466 masked Software Engineer Johns Hopkins Disease Registry 2024 E. Monument St. Baltimore, MD 21205 410-955-0491 gmilles1@jhmi.edu Academic Int 3 Complete 2012/03/15 12:00:00 2012/04/17 12:00:00 2012/12/27 01:23:34 UV 2.16.840.1.113883.3.1756 ihsaco Iowa Health System ACO/ICO John Hendricks masked John Hendricks 6200 Thornton Ave Des Moines, IA 50321 319-540-9436 masked Executive Director Iowa Health System 1200 Pleasant Street Des Moines, IA 50309 515-241-6494 hendrijj@ihs.org http://www.ihs.org Provider Int 3 Complete 2012/03/15 12:00:00 2012/04/17 12:00:00 2012/04/17 07:42:55 UV 2.16.840.1.113883.3.1757 oid-SHO Shoals Hospital Jamie Palmer masked Jamie Palmer 2111 Cloyd Blvd. Florence, Alabama 35630 256.768.8412 masked IT Applications/Operations Manager Shoals Hospital jspalmer@chgroup.org Provider Int 3 Complete 2012/03/15 12:00:00 2012/04/17 12:00:00 2012/04/17 07:44:07 UV 2.16.840.1.113883.3.1758 i2iTracks i2iTracks Jason Luders masked Kristine Silveroli Jason Luders 3663 N. Laughlin Rd. #200 Santa Rosa, CA 95403 7075757100 masked Senior Architect and Co-founder i2i Systems 3663 N. Laughlin Rd. #200 Santa Rosa, CA 95403 7075757100 jasonl@i2isys.com https://www.i2isys.com Vendor Int 3 Complete 2012/03/15 12:00:00 2012/04/17 12:00:00 2012/04/17 07:46:14 UV 2.16.840.1.113883.3.1759 lcMC1211 Life Care Medical Clinic Maria Vazquez masked Maria Vazquez 1211 N Vermont Ave #207 Los Angeles, CA 90029-1748 323 664 4044 masked Asst Office Admin Life Care Medical Clinic 1211 N Vermont Ave#207 Los Angeles, CA 90029-1748 323 664 4044 lifecarehealthclinic@yahoo.com Provider Int 3 Complete 2012/03/15 12:00:00 2012/04/17 12:00:00 2012/04/17 07:48:20 UV 2.16.840.1.113883.3.1760 carle Carle Jenna Lane masked Hope Brown Hope Brown 602 West University Ave Urbana IL, 61801 217-326-8213 masked Quality Management Services Director Carle 611 W. Park St Urbana, IL 61801 217-326-8213 Hope.Brown@Carle.com http://www.carle.org/ Provider Int 3 Complete 2012/03/15 12:00:00 2012/04/17 12:00:00 2012/04/17 07:50:00 UV 2.16.840.1.113883.3.1761 whin Western Health Information Network David Schramm masked Linda Egan 333 W Broadway, Suite 204 Long Beach, CA 90802 562-436-2923 ext. 224 masked Technical Lead Western Health Information Network 333 W Broadway, Suite 204 Long Beach, CA 90802 562-436-2923 jnichols@whinit.org http://www.whinit.org Govt body Int 3 Complete 2012/03/15 12:00:00 2012/04/17 12:00:00 2012/04/17 07:52:53 UV 2.16.840.1.113883.3.1762 evmshs EVMS Academic Physicians and Surgeons Health Services Foundation Allison Gray masked Richard Bikowski Allison Gray 4111 Monarch Way, Suite 500 Norfolk, VA 23508 757-451-6213 masked Nursing Clinical Quality Coordinator EVMS Academic Physicians and Surgeons Health Services Foundation 4111 Monarch Way, Suite 500 Norfolk, VA 23508 757-451-6200 hswebmaster@hsmail.evms.edu http://evmshealthservices.org Provider Int 3 Complete 2012/03/15 12:00:00 2012/04/17 12:00:00 2012/04/17 07:54:34 UV 2.16.840.1.113883.3.1763 bayview Bayview Physician Services, PC Heather Milteer masked Jeff Elmore Jeff Elmore 3241 Western Branch Blvd Chesapeake, VA 23321 757-686-3508 masked Director of Information Systems Bayview Physician Services, PC 3241 Western Branch Blvd Chesapeake, VA 23321 757-686-3508 elmore@msaphy.com http://www.bayviewphysicians.com Provider Int 3 Complete 2012/03/15 12:00:00 2012/04/17 12:00:00 2012/04/17 07:55:43 UV 2.16.840.1.113883.3.1764 pmod Peyam Mojallal OD & Associates,PC Peyam Mojallal masked Peyam Mojallal ,OD 20600 Gordon Park Sq, suite 150 Ashburn, VA 201473145 703-723-3433 masked Doctor/Owner Peyam Mojallal 20600 Gordon Park Sq, suite 150 Ashburn, VA 201473145 703-723-3433 pmojallal@mojvision.org Provider Int 3 Complete 2012/03/15 12:00:00 2012/04/17 12:00:00 2012/04/17 07:57:45 UV 2.16.840.1.113883.3.1765 ois-ihs-dev Indian Health Service Testing Nathan Bunker masked Nathan Bunker 197 W Sunset Toquerville, UT 84774 435-635-1532 masked Software Developer Open Immunization Software 197 W Sunset Toquerville, UT 84774 435-635-1532 Nathan.Bunker@openimmunizationsoftware.org http://openimmunizationsoftware.org/ Vendor Int 3 Complete 2012/03/15 12:00:00 2012/04/17 12:00:00 2012/04/17 07:59:42 UV 2.16.840.1.113883.3.1766 accpinn American College of Cardiology PINNACLE Registry Nathan Glusenkamp masked Nathan Glusenkamp Heart House 2400 N Street NW Washington, DC 2023756235 masked Associate Director - PINNACLE Registry American College of Cardiology Heart House 2400 N Street NW Washington, DC (202) 375-6000 ncdr@acc.org Provider Int 3 Complete 2012/03/15 12:00:00 2012/04/17 12:00:00 2012/04/17 08:01:44 UV 2.16.840.1.113883.3.1767 ditenity Ditenity Root Object Piyush Jain masked Piyush Jain 4088060232 masked Founder Identicate Inc. 10430 Stokes Ave, Cupertino, CA-95014 4088060232 piyush@identicate.com Vendor Int 3 Complete 2012/03/15 12:00:00 2012/04/17 12:00:00 2012/08/31 12:46:56 UV 2.16.840.1.113883.3.1768 elkhornchiropractic Elkhorn Chiropractic LLC Kurt Kelley DC masked Kurt Kelley DC 20214 Veterans Dr Suite 300 Elkhorn, NE 68022-6900 402-359-1422 masked Doctor/Owner Kurt Kelley DC 20214 Veterans Dr Suite 300 Elkhorn, NE 68022-6900 402-359-1422 elkhornchiropractic@gmail.com https://www.elkhornchiro.com Provider Int 3 Complete 2012/03/15 12:00:00 2012/04/17 12:00:00 2012/04/17 08:05:28 UV 2.16.840.1.113883.3.1769 quickemr QuickEMR OID David Moriarty masked David Glenn Moriarty 305-394-6197 masked President Eazy Application Systems, Inc. PO Box 335 Woodland Park, CO 80866 305-394-6197 david@quickemr.com http://www.quickemr.com Provider Int 3 Complete 2012/03/15 12:00:00 2012/04/17 12:00:00 2012/04/17 08:08:29 UV 2.16.840.1.113883.3.1770 lcoxmo CoxHealth System Jeff Graham masked Jeff Graham 417-269-8957 masked CoxHealth 1423 N. Jefferson Springfield MO 65802 417-269-4636 helpdesk@coxhealth.com Provider Int 3 3 Complete 2012/03/15 12:00:00 2012/04/17 12:00:00 2012/04/17 08:09:30 UV 2.16.840.1.113883.4.544 lcoxmo-cxhfy Cox Health Systems Facility Jeff Graham masked Jeff Graham 417-269-8957 masked CoxHealth 1423 N Jefferson Springfield MO 65802 417-269-4636 helpdesk@coxhealth.com Provider 2.16.840.1.113883.3.1770 Int 4 Complete 2012/03/15 12:00:00 2012/04/17 12:00:00 2012/04/17 08:12:07 UV 2.16.840.1.113883.3.1771 baxtar Baxter Regional Medical Center David Fry masked Steve Sinor 624 Hospital Drive Mountain Home, AR 72653 (870)508-1034 masked Clinical Information System Analyst & Team Lead Baxter Regional Medical Center 624 Hospital Drive Mountain Home, AR 72653 (870)508-1000 dfry@baxterregional.org Provider Int 3 3 Complete 2012/03/16 12:00:00 2012/04/17 12:00:00 2012/04/17 08:15:53 UV 2.16.840.1.113883.3.1772 excelleris Excelleris Technologies Inc. Robert Grant masked Stephan Mueller 1-866-728-4777 masked Lead Architect Excelleris Technologies Inc. #201 - 4445 Lougheed Highway Burnaby, BC Canada V5C 0E4 1-866-728-4777 smueller@excelleris.com http://www.excelleris.com/Home.aspx Vendor Int 3 Complete 2012/03/16 12:00:00 2012/04/17 12:00:00 2012/04/17 08:17:28 UV 2.16.840.1.113883.17.73 mars01 McAlester Anesthesia and Respiratory Services Inc. Michael Boyer masked Michael Boyer 4 E. Clark Bass Blvd. Ste. 205 McAlester, OK 74510-4285 918-421-8897 masked President Michael Boyer 4 E. Clark Bass Blvd. Ste. 205 McAlester, OK 74510-4285 918-421-8897 office@drboyer.com Provider Int 17 Complete 2012/03/16 12:00:00 2012/04/17 12:00:00 2012/04/17 08:20:46 US 2.16.840.1.113883.3.1773 sang-ha National Guard Health Affairs Fahad Alqahtani masked cims1@ngha.med.sa Fahad Alqahtani National Guard Health Affairs King Abdulaziz Medical City- Riyadh P.O. BOX 22490 Riyadh 11426 ISID - CIMS 00966505402434 masked Application Administration Fahad Alqahtani National Guard Health Affairs King Abdulaziz Medical City- Riyadh P.O. BOX 22490 Riyadh 11426 ISID - CIMS 00966505402434 qahtanif2@ngha.med.sa http://www.ngha.med.sa Provider Int 3 Complete 2012/03/18 12:00:00 2012/04/17 12:00:00 2012/04/17 08:23:46 UV 2.16.840.1.113883.3.1774 cqaimh Center for Quality Assessment and Improvement in Mental Health (CQAIMH) Saul Kravitz masked Richard Hermann Richard Hermann (617)230-1284 masked Richard Hermann (617)230-1284 rhermann@cqaimh.org Academic Int 3 Complete 2012/03/19 12:00:00 2012/04/17 12:00:00 2012/04/17 08:25:01 UV 2.16.840.1.113883.3.1775 ahcfdlrc Fond du Lac Regional Clinic Nancy Schmitz masked Nancy Schmitz Agnesian HealthCare 430 E Division St Fond du Lac, WI 54935 920-926-4399 masked Sr Clinical Informatics Consultant Fond du Lac Regional Clinic 420 E Division St Fond du Lac, WI 54935 920-929-2300 schmitzn@agnesian.com Provider Int 3 3 Complete 2012/03/19 12:00:00 2012/04/17 12:00:00 2012/04/17 08:28:21 UV 2.16.840.1.113883.3.1776 eco EYECARE CENTER OF OCALA Ray Overholser,O.D. masked Dr. Ray Overholser Overholser Eyecare Center 5353 SW College Road Ocala, FL 34474 USA 352-237-9451 masked EYECARE CENTER OF OCALA Overholser EyeCare Center 5353 SW College RD Ocala, Florida 34474 USA eyedoc5353@gmail.com http://www.overholsereyecare.com Provider Int 3 Complete 2012/03/19 12:00:00 2012/04/17 12:00:00 2012/04/17 08:30:17 UV 2.16.840.1.113883.3.1777 ehrtype MedSonic Padma Vatsavai masked Padma Vatsavai 8000 GSRI Ave., Bldg 3000, #156 Baton Rouge, LA 70820 225 603 7942 masked Owner Vinformatix 8000 GSRI Ave., Bldg 3000, #156 Baton Rouge, LA 70820 225 578 5725 padma@vinformatix.com http://www.vinformatix.com Provider Int 3 Complete 2012/03/19 12:00:00 2012/04/17 12:00:00 2012/04/17 08:32:10 UV 2.16.840.1.113883.3.1778 tristateopenmri Tristate Imaging Consultants Jason Dobbs masked Mark Koval Jason Dobbs 101 Greenwood Ave, Suite 150 Jenkintown, PA 19046 215-663-5910 ext 215 masked IT Helpdesk Support Specialist Tristate Imaging Consultants 101 Greenwood Ave, Suite 150 Jenkintown, PA 19046 215-663-5910 Jason.dobbs@tristateopenmri.com https://www.tristateopenmri.com Provider Int 3 Complete 2012/03/20 12:00:00 2012/04/17 12:00:00 2012/04/17 08:34:46 UV 2.16.840.1.113883.3.1779 mdinteractive MDinteractive Paulo Andre masked Paulo Andre 800-634-4731 masked CEO MDinteractive 48 Pondview Road Sudbury, MA 01776 800-634-4731 pandre@mdinteractive.com http://www.mdinteractive.com Provider Int 3 Complete 2012/03/20 12:00:00 2012/04/13 12:00:00 2012/04/13 01:17:50 UV 2.16.840.1.113883.4.545 emhc Elmhurst Memorial Healthcare Judith Triano masked MIchele Bronakowski 155 E. Brush Hill Road Elmhurst, IL 60126 331-221-5128 masked IS Clinical Applications Manager Michele Bronakowski 155 E. Brush Hill Road Elmhurst, IL 60126 331-221-5128 mbronak@emhc.org http://www.emhc.org Provider Int 3 Complete 2012/03/20 12:00:00 2012/05/31 12:00:00 2014/02/26 04:48:01 UV 2.16.840.1.113883.3.1780 cIHIOrgRoot CIHI Organization Root OID Finnie Flores masked Finnie Flores 4110 Yonge Street, Suite 300 Toronto, Ontario M2P 2B7 416-549-5201 masked Program Lead - External Standards Canadian Institute for Health Information 4110 Yonge St, Suite 300 Toronto, Ontario M2P 2B7 416-481-2002 communications@cihi.ca http://www.cihi.ca Govt body Int 3 Complete 2012/03/20 12:00:00 2012/04/17 12:00:00 2012/04/17 08:37:05 CA 2.16.840.1.113883.3.1781 tcmhs TOMPKINS COUNTY MENTAL HEALTH SERVICES Karen Gonta masked Karen Gonta 201 East Green St. Ithaca, NY 14850 (607) 274-2300 masked EHR and Medical Home Project Manager Tompkins County Mental Health 201 East Green St. Ithaca, NY 14850 (607) 274-6300 bdoling@tompkins-co.org http://www.tompkins-co.org Govt body Int 3 Complete 2012/03/20 12:00:00 2012/04/17 12:00:00 2012/04/17 08:38:48 UV 2.16.840.1.113883.3.1782 eHRPQRS-VU Vanderbilt University EHR PSRQ Data Submission Eric Boehme masked Eric Boehme 6154296602 masked Informatics Center 3401 West End Suite 700 Nashville, TN 37203 6154296602 eric.boehme@vanderbilt.edu Academic Int 3 Complete 2012/03/20 12:00:00 2012/04/17 12:00:00 2012/04/17 08:40:36 UV 2.16.840.1.113883.3.1783 ascender Ascender Software George Chen masked George Chen 1748 San Diego Ave San Diego, CA 92110 619-955-7847 x103 masked Senior Analyst Ascender Software, Inc. 1748 San Diego Ave San Diego, CA 92110 619-955-7847 support@ascendersoft.com http://www.ascendersoft.com Provider Int 3 Complete 2012/03/21 12:00:00 2012/04/17 12:00:00 2012/04/17 08:41:53 UV 2.16.840.1.113883.4.546 hbs Health Business Systems Thomas Pinkl masked Thomas Pinkl 738 Louis Drive Warminster, Pa 18974 800-444-1427 masked Sr. Systems Architect Health Business Systems 738 Louis Drive Warminster, Pa 18974 800-444-1427 thomas.pinkl@sxc.com http://www.hbsrx.com/ Vendor Int 4 3 Complete 2012/03/21 12:00:00 2012/04/17 12:00:00 2012/04/17 08:45:05 UV 2.16.840.1.113883.3.1355.65 ahwest-srmc Sonora Regional Medical Center(SRMC) Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Sonora Regional Medical Center(SRMC) Sonora Regional Medical Center 1000 Greenley Road Sonora, CA 95370 209-532-5000 cioinfo@ah.org http://www.sonoramedicalcenter.org/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.65 2012/03/21 12:00:00 2012/04/17 12:00:00 2012/04/17 08:46:20 UV 2.16.840.1.113883.3.1355.65.1 ahwest-srmc-mrn Sonora Regional Medical Center(SRMC) MRN Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Sonora Regional Medical Center(SRMC) Sonora Regional Medical Center1000 Greenley RoadSonora, CA 95370 209-532-5000 cioinfo@ah.org http://www.sonoramedicalcenter.org/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.65.1 2012/03/21 12:00:00 2012/04/17 12:00:00 2012/04/17 08:47:40 UV 2.16.840.1.113883.3.1355.65.2 ahwest-srmc-account Sonora Regional Medical Center(SRMC) Account Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Sonora Regional Medical Center(SRMC) Sonora Regional Medical Center1000 Greenley RoadSonora, CA 95370 209-532-5000 cioinfo@ah.org http://www.sonoramedicalcenter.org/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.65.2 2012/03/21 12:00:00 2012/04/17 12:00:00 2012/04/17 08:50:13 UV 2.16.840.1.113883.3.1355.65.3 ahwest-srmc-doctor Sonora Regional Medical Center(SRMC) Doctor Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Sonora Regional Medical Center(SRMC) Sonora Regional Medical Center1000 Greenley RoadSonora, CA 95370 209-532-5000 cioinfo@ah.org http://www.sonoramedicalcenter.org/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.65.3 2012/03/21 12:00:00 2012/04/24 12:00:00 2012/04/24 12:39:24 UV 2.16.840.1.113883.3.1355.65.4 ahwest-srmc-uref Sonora Regional Medical Center(SRMC) Unit Reference Number Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Sonora Regional Medical Center(SRMC) Sonora Regional Medical Center 1000 Greenley Road Sonora, CA 95370 209-532-5000 cioinfo@ah.org http://www.sonoramedicalcenter.org/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.65.4 2012/03/21 12:00:00 2012/04/24 12:00:00 2012/04/24 12:41:24 UV 2.16.840.1.113883.3.1784 ggh Garden Grove Hospital Medical Center Belly Alquino masked Jason Williams Belly Alquino 12601 Gardengrove Blvd Garden Grove, CA 92843 714-741-4801 masked Jason Williams 12601 Gardengrove Blvd Garden Grove, CA 92843 714-741-4803 JWilliams2@primehealthcare.com http://10.150.10.133/wamcIntranet/ Provider Int 3 3 Complete 2012/03/21 12:00:00 2012/04/24 12:00:00 2012/04/24 12:45:22 UV 2.16.840.1.113883.3.1785 hbh Huntington Beach Hospital Belly Alquino masked Jason Williams Belly Alquino 17772 Beach Blvd Huntington Beach, CA 92647 714-741-4801 masked Application Analyst Jason Williams 17772 Beach Blvd Huntington Beach, CA 92647 714-741-4803 JWilliams2@primehealthcare.com http://10.150.10.133/hbhIntranet/ Provider Int 3 3 Complete 2012/03/21 12:00:00 2012/04/24 12:00:00 2012/04/24 12:48:17 UV 2.16.840.1.113883.3.1786 lpih La Palma Intercommunity Hospital Belly Alquino masked Jason Williams Belly Alquino 7901 Walker Ave La Palma, CA 90623 714-741-4801 masked Application Analyst Jason Williams 7901 Walker Ave La Palma, CA 90623 714-741-4803 JWilliams2@primehealthcare.com http://10.150.10.133/wamcIntranet/ Provider Int 3 3 Complete 2012/03/21 12:00:00 2012/04/24 12:00:00 2012/04/24 12:50:04 UV 2.16.840.1.113883.3.1787 nextgen-healthcare nextgen healthcare AMIT Mehta masked DOUG BLYSTONE Amit Mehta NextGen Healthcare Information Systems 795 Horsham Road Horsham, PA 19044 2156577010 ext 1278 masked NextGen Healthcare Information Systems 795 Horsham Road Horsham, PA 19044 2156577010 amehta@nextgen.com http://www.nextgen.com Provider Int 3 Complete 2012/03/22 12:00:00 2012/04/24 12:00:00 2012/04/24 12:54:51 UV 2.16.840.1.113883.3.1788 urmcCCD Upson Regional Medical Center Continuity of Care Document Bryan Henderson masked Bryan Henderson 801 W.Gordon St Thomaston,GA 30286 USA 706-647-8111 ext.1140 masked Clinical Systems Analyst Upson Regional Medical Center 801 W.Gordon St Thomaston,GA 30286 USA 706-647-8111 bhenderson@urmc.org http://www.urmc.org/ Provider Int 3 Complete 2012/03/22 12:00:00 2012/04/24 12:00:00 2012/04/24 12:58:12 UV 2.16.840.1.113883.3.1789 dmsiomni12 Office Medicine QRDA document Susan Sobson masked Susan Sobson 23885 Denton Clinton Township, MI 48036 (941) 544-3863 masked CIO Digital Medical Solutions Inc. 38526 Lakeshore Dr Harrison Township, MI 48045 (888) 712-0091 admin@officemedicine.com http://www.inteletron.com Provider Int 3 Complete 2012/03/22 12:00:00 2012/04/24 12:00:00 2012/04/24 01:00:52 DMSI UV 2.16.840.1.113883.17.74 dermder Dermuss Dermatology Kendall Idle masked Kendall Idle 905 Fox Glen Court Barrington IL 60010 18472771200 masked Front Desk Una Shah 905 Fox Glen Court Barrington IL 60010 18472771200 reception1@dermuss.com http://www.dermuss.com Provider Int 17 Complete 2012/03/22 12:00:00 2012/04/24 12:00:00 2012/04/24 01:03:38 US 2.16.840.1.113883.4.547 ccd-SJRMC San Juan Regional Medical Center Sheri Rawlings masked Sheri Rawlings 801 West Maple Farmington, NM 87401 5056096970 masked CIO San Juan Regional Medical Center 801 West Maple Farmington, NM 87401 5056092000 srawlings@sjrmc.net http://www.sanjuanregional.com Provider Int 3 Complete 2012/03/22 12:00:00 2012/04/24 12:00:00 2012/04/24 01:08:18 UV 2.16.840.1.113883.3.1790 revolutionQ REVOLUTION Q LLC Andrew Rabin masked Andrew Rabin 285 E. Waterfront Dr. Pittsburgh, PA 15120 412-338-0366 masked CTO REVOLUTION Q LLC 285 E. Waterfront Dr. Pittsburgh, PA 15120 412-338-0366 arabin@cecity.com Vendor Int 3 Complete 2012/03/22 12:00:00 2012/04/24 12:00:00 2012/04/24 01:09:47 UV 2.16.840.1.113883.3.1791 eHCS-Inc eHealthCare Systems EMR Sandra Kotes masked Majid Esfandiari Sandra Kotes 3838 W Carson St, Ste 105 Torrance, CA 90503 937-312-1392 masked Implementation & Training Manager eHealthCare Systems, Inc. 3838 W Carson St, Ste 105 Torrance, CA 90503 310-895-7768 paulwoodcock@fea.net http://www.ehealthcaresystems.net Vendor Int 3 Complete 2012/03/22 12:00:00 2012/04/24 12:00:00 2012/04/24 01:14:35 V2.3.1 UV 2.16.840.1.113883.3.1355.35 ahwest-wwgh Walla Walla General Hospital(WWGH) Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Walla Walla General Hospital(WWGH) Walla Walla General Hospital 1025 South Second Avenue Walla Walla, WA 99362 509-525-0480 cioinfo@ah.org http://www.wwgh.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.35 2012/03/23 12:00:00 2012/04/24 12:00:00 2012/04/24 01:12:22 UV 2.16.840.1.113883.3.1355.35.1 ahwest-wwgh-mrn Walla Walla General Hospital(WWGH) MRN Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Walla Walla General Hospital(WWGH) Walla Walla General Hospital1025 South Second AvenueWalla Walla, WA 99362 509-525-0480 cioinfo@ah.org http://www.wwgh.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.35.1 2012/03/23 12:00:00 2012/04/24 12:00:00 2012/04/24 01:13:24 UV 2.16.840.1.113883.3.1355.35.2 ahwest-wwgh-account Walla Walla General Hospital(WWGH) Account Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Walla Walla General Hospital(WWGH) Walla Walla General Hospital1025 South Second AvenueWalla Walla, WA 99362 509-525-0480 cioinfo@ah.org http://www.wwgh.com/ Provider 2.16.840.1.113883.3.1355.35 Ext 4 Complete 2.16.840.1.113883.3.1355.35.2 2012/03/23 12:00:00 2012/04/24 12:00:00 2012/04/24 01:16:19 UV 2.16.840.1.113883.3.1355.35.3 ahwest-wwgh-doctor Walla Walla General Hospital(WWGH) Doctor Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Walla Walla General Hospital(WWGH) Walla Walla General Hospital1025 South Second AvenueWalla Walla, WA 99362 509-525-0480 cioinfo@ah.org http://www.wwgh.com/ Provider 2.16.840.1.113883.3.1355.35 Ext 4 Complete 2.16.840.1.113883.3.1355.35.3 2012/03/23 12:00:00 2012/04/24 12:00:00 2012/04/24 01:17:20 UV 2.16.840.1.113883.3.1355.35.4 ahwest-wwgh-uref Walla Walla General Hospital(WWGH) Unit Reference Number Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Walla Walla General Hospital(WWGH) Walla Walla General Hospital1025 South Second AvenueWalla Walla, WA 99362 509-525-0480 cioinfo@ah.org http://www.wwgh.com/ Provider 2.16.840.1.113883.3.1355.35 Ext 4 Complete 2.16.840.1.113883.3.1355.35.4 2012/03/23 12:00:00 2012/04/24 12:00:00 2012/04/24 01:18:19 UV 2.16.840.1.113883.3.1355.35.90 ahwest-shcl St. Helena Hospital Clear Lake(SHCL) Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management St. Helena Hospital Clear Lake(SHCL) St. Helena Hospital Clear Lake 15630 18th Avenue Clearlake,CA95422 707-994-6486 cioinfo@ah.org http://www.sthelenahospitals.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.35.90 2012/03/23 12:00:00 2012/04/24 12:00:00 2012/04/24 01:19:04 UV 2.16.840.1.113883.3.1355.35.90.1 ahwest-shcl-mrn St. Helena Hospital Clear Lake(SHCL) MRN Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management St. Helena Hospital Clear Lake(SHCL) St. Helena Hospital Clear Lake15630 18th Avenue Clearlake,CA95422 707-994-6486 cioinfo@ah.org http://www.sthelenahospitals.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.35.90.1 2012/03/23 12:00:00 2012/04/24 12:00:00 2012/04/24 01:21:28 UV 2.16.840.1.113883.3.1355.35.90.2 ahwest-shcl-account St. Helena Hospital Clear Lake(SHCL) Account Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management St. Helena Hospital Clear Lake(SHCL) St. Helena Hospital Clear Lake15630 18th Avenue Clearlake,CA95422 707-994-6486 cioinfo@ah.org http://www.sthelenahospitals.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.35.90.2 2012/03/23 12:00:00 2012/04/24 12:00:00 2012/04/24 01:22:24 UV 2.16.840.1.113883.3.1355.35.90.3 ahwest-shcl-doctor St. Helena Hospital Clear Lake(SHCL) Doctor Number Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management St. Helena Hospital Clear Lake(SHCL) St. Helena Hospital Clear Lake15630 18th Avenue Clearlake,CA95422 707-994-6486 cioinfo@ah.org http://www.sthelenahospitals.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.35.90.3 2012/03/23 12:00:00 2012/04/24 12:00:00 2012/04/24 01:23:16 UV 2.16.840.1.113883.3.1355.35.90.4 ahwest-shcl-uref St. Helena Hospital Clear Lake(SHCL) Unit Reference Number Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management St. Helena Hospital Clear Lake(SHCL) St. Helena Hospital Clear Lake15630 18th Avenue Clearlake,CA95422 707-994-6486 cioinfo@ah.org http://www.sthelenahospitals.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.35.90.4 2012/03/23 12:00:00 2012/04/24 12:00:00 2012/04/24 01:34:16 UV 2.16.840.1.113883.3.1792 amos ASP.MD Medical Office System Christopher Kreis masked Christopher Kreis 229 3rd St Cambridge, MA 02142 6178646844 masked President Christopher Kreis 229 3rd St Cambridge, MA 02142 6178646844 ckreis@asp.md http://www.asp.md Vendor Int 3 Complete 2012/03/23 12:00:00 2012/04/24 12:00:00 2012/04/24 01:40:33 UV 2.16.840.1.113883.3.1793 hmg Holston Medical Group Wesley Combs masked Wesley Combs 2323 N. John B Dennis Hwy Kingsport, TN 37660 4238572000 masked CTO Holston Medical Group 2323 N. John B Dennis Hwy Kingsport, TN 37660 4238572000 wesley.combs@holstonmedicalgroup.com http://www.holstonmedicalgroup.com Provider Int 3 Complete 2012/03/24 12:00:00 2012/04/24 12:00:00 2012/04/24 01:43:55 UV 2.16.840.1.113883.3.1794 pcip Primary Care Information Project Michael Buck masked Michael Buck 42-09 28th Street, 12th Floor Queens, New York 11101 917-318-6869 masked Biomedical Informatics R&D Manager Primary Care Information Project mbuck@health.nyc.gov http://www.nyc.gov/html/doh/html/pcip/pcip.shtml Govt body Int 3 Complete 2012/03/25 12:00:00 2012/04/24 12:00:00 2012/04/24 01:45:24 UV 2.16.840.1.113883.3.1795 gch Grace Cottage Hospital Jason Stover masked Jason Stover Grace Cottage Hospital 185 Grafton Rd. Townshend, VT 05353 8023653666 masked Systems Developer Carlos G. Otis Healthcare Center Inc. Grace Cottage Hospital 185 Grafton Rd. Townshend, VT 05353 issupport@gracecottage.org http://www.gracecottage.org Provider Int 3 Complete 2012/03/26 12:00:00 2012/04/24 12:00:00 2012/04/24 01:46:50 US 1.2.840.113619.21.2.1 ge-mqic GE MQIC David Taylor masked Carol Dapogny GE Healthcare 20540 NW Evergreen Parkway Hillsboro, OR 97124 206-607-5001 masked Product Manager, Quality Reporting GE Healthcare GE Healthcare 20540 NW Evergreen Parkway Hillsboro, OR 97124 206-607-5001 carol.dapogny@ge.com Vendor Ext 4 Complete 1.2.840.113619.21.2.1 2012/03/26 12:00:00 2012/04/24 12:00:00 2013/03/14 02:14:50 UV 2.16.840.1.113883.3.1796 sinai-msc Mount Sinai Hospital Fariborz Peyjam masked Fariborz Peyjam 773-257-2151 masked Project Manager Mount Sinai Hospital fariborz.peyjam@sinai.org Provider Int 3 Complete 2012/03/26 12:00:00 2012/04/24 12:00:00 2012/04/24 01:51:36 US 2.16.840.1.113883.3.1797 cern-direct Cerner Direct OID Dave Will masked kevin.schmidt@cerner.com Dave 2800 Rock Creek Parkway North Kansas City, MO 816-201-4523 masked System Architect Dave Will 2800 Rock Creek Parkway North Kansas City, MO 816-201-4523 dave.will@cerner.com http://www.cerner.com Vendor Int 3 Complete 2012/03/26 12:00:00 2012/04/24 12:00:00 2012/04/24 01:52:50 UV 2.16.840.1.113883.4.548 fdaStudyDataExchange FDA Study Data Exchange Mitra Rocca masked armando.oliva@fda.hhs.gov Mitra Rocca 10903 New Hampshire Ave Bldg. 21, Room 4608 Silver Spring, MD 20993 3017962175 masked Senior Medical Informatician Food Drug Administration 10903 New Hampshire Ave Bldg. 21, Room 4635 Silver Spring, MD 20993 armando.oliva@fda.hhs.gov http://www.fda.gov Govt body Int 4 Complete 2012/03/27 12:00:00 2012/04/24 12:00:00 2012/04/24 01:54:22 UV 2.16.840.1.113883.3.1798 lumeris-1-PQRS-ERX PQRS and eRx Reporting Anthony Gil masked Sonia Jaworski Anthony Gil 13900 Riverport Drive Maryland Heights, MO 63043 314-536-8014 masked Director of Product Management Lumeris 13900 Riverport Drive Maryland Heights, MO 63043 314-536-8014 agil@clearpractice.com http://www.lumeris.com/ Vendor Int 3 Complete 2012/03/27 12:00:00 2012/04/24 12:00:00 2012/04/24 01:56:56 UV 2.16.840.1.113883.3.1799 mahhc Mt. Ascutney Hospital and Health Center Computer Services masked Andi Lutter Andi Lutter 289 County Road Windsor, VT 05089 802.674.7403 masked Systems Administrator Mt. Ascutney Hospital and Health Center 289 County Road Windsor, VT 05089 802-674-7411 helpdesk@mahhc.org Provider Int 3 3 Complete 2012/03/27 12:00:00 2012/04/24 12:00:00 2012/04/24 01:58:47 UV 2.16.840.1.113883.3.1800 hometest krishnacharycro Krishna Chary masked Krishna Chary 8108 Postoak Road Potomac MD 20854 US 301-838-3433 masked CRO Krishna chary 8108 Postoak Road Potomac MD 20854 US 301-838-3433 krishna.k.chary@gmail.com Provider Int 3 Complete 2012/03/28 12:00:00 2012/04/24 12:00:00 2012/04/24 02:01:23 UV 2.16.840.1.113883.3.1801 cshealth CornerstoneHealthCare Keith Luther masked Bob Fallon Cornerstone Health Care 1701 Westchester Drive Suite 850 High Point, NC 27262 336-802-2575 masked Infrastructure Manager Cornerstone Health Care Cornerstone Health Care 1701 Westchester Drive Suite 850 High Point, NC 27262 336-802-2002 webadmin@cornerstonehealthcare.com http://www.cornerstonehealth.com Provider Int 3 Complete 2012/03/28 12:00:00 2012/04/24 12:00:00 2015/03/24 09:20:14 UV 2.16.840.1.113883.3.1802 arr Arrowhead Regional Medical Center Keith Jackson masked Obi Nwagwu Obi Nwagwu 400 North Pepper Ave Colton, CA 92324 909-580-2610 masked Business Systems Analyst III Arrowhead Regional Medical Center 400 North Pepper Ave Colton, CA 92374 909-580-1000 nwagwuo@armc.sbcounty.gov https://www.arrowheadmedcenter.org/ Provider Int 3 Complete 2012/03/28 12:00:00 2012/04/24 12:00:00 2012/04/24 02:05:37 UV 1.2.840.114398 medical-informatics-engineering Medical Informatics Engineering Organizational OID. David Juntgen masked Joe Martin David Carlson 6302 Constitution Dr Fort Wayne, IN 46804 260.459.6270 x327 masked Medical Informatics Engineering, Inc. 6302 Constitution Dr Fort Wayne, IN 46804 260.459.6270 info@mieweb.com http://www.mieweb.com Vendor Ext 3 4 Complete 1.2.840.114398 2012/03/29 12:00:00 2012/04/24 12:00:00 2022/03/18 03:13:54 UV 2.16.840.1.113883.3.1803 sva Southlake Vision Associates Peter Zanella masked Peter Zanella, OD 1251 E Southlake Blvd Ste 331 Southlake, TX 76092 817-310-0289 masked President Southlake Vision Associates 1251 E Southlake Blvd Ste 331 Southlake, TX 76092 817-310-0289 drpete@southlakevisionassociates.com http://www.southlakevisionassociates.com Provider Int 3 Complete 2012/03/29 12:00:00 2012/04/24 12:00:00 2012/04/24 02:12:03 UV 2.16.840.1.113883.9.22 timeZoneOffsetRequiredProfileComponentR1 Time Zone Offset Required Profile ComponentR1 Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2012/03/29 12:00:00 2012/04/24 12:00:00 2012/07/12 05:27:43 UV 2.16.840.1.113883.9.23 xoProfileComponentR1 XO Profile Component Release 1 Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2012/03/29 12:00:00 2012/04/24 12:00:00 2012/07/12 05:27:17 UV 2.16.840.1.113883.9.24 newbornProfileComponentR1 Newborn Profile Component Release 1 Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2012/03/29 12:00:00 2012/04/24 12:00:00 2012/07/12 05:26:54 UV 2.16.840.1.113883.9.25 lriNonGloballyUniqueAcknowledgementComponentR1 LRI Non Globally Unique Acknowledgment Component R1 Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2012/03/29 12:00:00 2012/04/24 12:00:00 2012/07/12 05:28:42 UV 2.16.840.1.113883.3.1805 mhin Michiana Health Information Network OID Root David Navarro masked David Navarro 220 West Colfax Avenue Suite 300 South Bend, IN 46601 574 968 3650 masked Michiana Health Information Network 220 West Colfax Avenue Suite 300 South Bend, IN 46601 574 968 1018 info@mhin.com Exchange Int 3 Complete 2012/03/30 12:00:00 2012/04/24 12:00:00 2012/04/24 02:24:26 UV 2.16.840.1.113883.3.1806 nsiAUTOSTORE Notable Solutions, Inc. - AutoStore Software Benjamin Victorica masked Benjamin Victorica 9715 Key West Avenue, Suite 200 Rockville, Maryland 20850 678-492-0174 masked Director of Sales, Certified HL7 CDA Specialist Notable Solutions, Inc. 9715 Key West Avenue, Suite 200 Rockville, Maryland 20850 240-683-8400 support@nsius.com http://www.nsius.com Vendor Int 14 3 Complete 2012/03/31 12:00:00 2012/04/24 12:00:00 2012/04/24 02:26:36 US 2.16.840.1.113883.3.1807 provcc Provident Hospital of Cook County Bala Hota masked Bala Hota 1900 W Polk St, #1248 Chicago, IL 60612 312-864-4592 masked CMIO Provident Hospital of Cook County 500 E. 51st Street Chicago, IL 60615 312-572-2000 bhota@cookcountyhhs.org Provider Int 3 3 Complete 2012/04/02 12:00:00 2012/04/24 12:00:00 2012/04/24 02:27:39 UV 2.16.840.1.113883.3.1808 benTest BenTest Benjamin Winston masked Benjamin Winston 5182574732 masked Application Architect Benjamin Winston 150 Broadway, Suite 450W, Albany, NY 12204 5182574732 bwinston2@csc.com Exchange Int 3 Complete 2012/04/02 12:00:00 2012/04/24 12:00:00 2012/04/24 02:29:26 UV 2.16.840.1.113883.3.1809 npfqii NPF-QII Registry Data Peter Schmidt masked Peter Schmidt 1501 NW 9th Ave Miami, FL 33143 3052438165 masked CIO and Vice President, Programs National Parkinson Foundation 1501 NW 9th Ave Miami, FL 33143 3052438165 contact@parkinson.org http://www.parkinson.org Prof Soc Int 3 Complete 2012/04/02 12:00:00 2012/04/24 12:00:00 2012/04/24 02:30:38 UV 2.16.840.1.113883.3.1810 a-123456789 QID David Shu masked David 2450 Venture oaks Sacarmento, CA 95833 916-9248209 masked PQRS specilist David Shu 2450 Venture oaks Sacarmento, CA 95833 916-9248209 ehlemrdemos@yahoo.com http://ehealthline.com Exchange Int 3 Complete 2012/04/02 12:00:00 2012/04/24 12:00:00 2012/04/24 02:32:28 UV 2.16.840.1.113883.3.1811 a-123456755 E*HealthLine (a-123456755) david Shu masked David Shu 2450 Venture oaks Sacramento, CA 95833 916-9248209 masked PQRS specilist David 2450 Venture oaks Sacramento, CA 95833 916-9248209 ehlemrdemos@yahoo.com http://ehealthline.com Exchange Int 3 Complete 2012/04/02 12:00:00 2012/05/10 12:00:00 2012/05/10 02:25:08 UV 2.16.840.1.113883.3.1812 trmc The Regioanl Medical Center of Orangeburg and Calhoun Counties Michael Chapin masked Marilyn S. Tremblay 3000 St. Matthews Road Orangeburg, SC 29118 (803) 395-2526 masked VP/CIO The Regioanl Medical Center of Orangeburg and Calhoun Counties 3000 St. Matthews Road Orangeburg, SC 29118 (803) 395-2871 mstremblay@regmed.com Provider Int 3 3 Complete 2012/04/02 12:00:00 2012/04/24 12:00:00 2012/04/24 03:09:11 UV 2.16.840.1.113883.3.1813 drexelmed DrexelMed as DSV for PQRS Registry 2012 Edgar Chou masked Edgar Chou 1601 Cherry Street, Suite 11498 Philadelphia, PA 19102 215-255-7392 masked Clinical Informatics Chief Philadelphia Health & Education Corporation d/b/a Drexel University College of Medicine 245 North 15th Street Philadelphia, PA 19102 1-215-762-7000 drexelmedPQRS@drexelmed.edu http://www.drexelmed.edu Provider Int 3 Complete 2012/04/02 12:00:00 2012/04/24 12:00:00 2012/04/24 03:10:29 UV 2.16.840.1.113883.3.1814 ios ioshealthsystems Nedko Panayotov masked Jorge Garcia Nedko Panayotov 7300 N Kendall Dr Suite 700 Miami, FL 33156 305 760 5200 masked Director Project Management Jorge Garcia 7300 N Kendall Dr Suite 700 Miami, FL 33156 305 760 5200 jgarcia@ioshs.com https://www.ioshs.com HL7 body Int 3 Complete 2012/04/02 12:00:00 2012/04/24 12:00:00 2012/04/24 03:12:49 UV 2.16.840.1.113883.3.1815 patientportal Ocala Dermatology patient portal Joyce Sisson masked Joyce Sisson 3233 SW 33 Rd., #101 Ocala, FL 34474 352-237-2322 masked Practice Administrator Ocala Dermatology & Skin Cancer Center, P.A. 3233 SW 33 Rd., #101 Ocala, FL 34474 352-237-2322 jsatocaladerm@ocaladerm.net https://www.patientportal.com Provider Int 3 3 Complete 2012/04/03 12:00:00 2012/04/24 12:00:00 2012/04/24 03:14:40 US 2.16.840.1.113883.4.549 crmc-ga Colquitt Regional Medical Center Garry Adkins masked Garry Adkins P.O. Box 40 Moultrie, GA 31776 2298903565 masked Director of Information Systems Colquitt Regional Medical Center P.O. Box 40 Moultrie, GA 31776 229-985-3420 gadkins@colquittregional.com http://www.colquittregional.com Provider Int 3 Complete 2012/04/03 12:00:00 2012/04/24 12:00:00 2012/04/24 03:16:26 UV 2.16.840.1.113883.3.1816 oSU-CHS OSU-CHS Oklahoma State University Center for Health Sciences masked cody.frieden@okstate.edu Heidi Holmes 918-586-4541 masked Director - Health Information Technology Cody Frieden 1111 W 17th ST Tulsa, OK 74107 918-586-4544 cody.frieden@okstate.edu HL7 body Int 3 Complete 2012/04/03 12:00:00 2012/04/24 12:00:00 2012/04/24 03:19:34 2.5 UV 2.16.840.1.113883.3.1817 continua Continua Health Alliance OID Identifiers Michael Kirwan masked Michael J. Kirwan 14609 Pawnee Leawood, KS 66224 913-207-8226 masked Technical Director Continua Health Alliance Continua Health Alliance 3855 SW 153rd Drive Beaverton, Oregon 97006 USA +1 503.619.0867 techops@continuaalliance.org http://www.continuaalliance.org SDO Int 3 Complete 2012/04/03 12:00:00 2012/04/24 12:00:00 2012/04/24 03:20:37 UV 2.16.840.1.113883.3.1818 bcPITO Physician Information Technology Office (PITO), BC, Canada Marc Koehn masked Carol Rimmer Marc Koehn 250-216-0803 masked Physician Information Technology Office (PITO) 1-604-638-2946 info@pito.bc.ca http://www.pito.bc.ca Prof Soc Int 4 Complete 2012/04/03 12:00:00 2012/04/24 12:00:00 2012/04/24 03:22:24 UV 2.16.840.1.113883.3.1819 pec Streeter Vision,Inc. d/b/a Palm Eye Care Thomas Streeter masked Thomas Streeter 1005-A John Sims Pkwy Niceville, FL 32578 8507585981 masked Optometrist/President Streeter Vision Inc. d/b/a Palm Eye Care 1005-A John Sims Pkwy Niceville, FL 32578 8507585981 opttom@hotmail.com https://www.palmeyecare.com Provider Int 3 Complete 2012/04/03 12:00:00 2012/04/24 12:00:00 2012/04/24 03:23:15 UV 2.16.840.1.113883.3.1670.1 documentId Documents Eddie Orellana masked Eddie Orellana 512-797-8461 masked Project Manager Catalis. Inc jeo@thecatalis.com Vendor 2.16.840.1.113883.3.1670 Ext 14 14 Complete 2.16.840.1.113883.3.1670.1 2012/04/03 12:00:00 2012/04/24 12:00:00 2012/04/24 03:28:28 UV 2.16.840.1.113883.3.1670.2 patientId Patients Eddie Orellana masked Eddie Orellana 512-797-8461 masked Catalis. Inc jeo@thecatalis.com Vendor 2.16.840.1.113883.3.1670 Ext 14 14 Complete 2.16.840.1.113883.3.1670.2 2012/04/03 12:00:00 2012/04/24 12:00:00 2012/04/24 03:29:28 UV 2.16.840.1.113883.3.1820 jlsec JL Eye Associates, PC dba Skippack EyeCare Jane Lim masked Jane Lim, OD 3880 Skippack Pike PO Box 46 Skippack, PA 19474 610-410-5290 masked President JL Eye Associates, PC dba Skippack EyeCare 3880 Skippack Pike PO Box 46 Skippack, PA 19474 610-410-5290 skippackeyecare@gmail.com http://WWW.MYEYECAREFIRST.COM Provider Int 3 Complete 2012/04/03 12:00:00 2012/04/24 12:00:00 2012/04/24 03:30:20 UV 2.16.840.1.113883.3.1821 infotech-Global1 Infotech Global Shobha Sunkisela masked Mike Relli Mike Relli IGI 371 Hoes Lane Piscataway NJ, 08854 7326521518 masked Vice President, Business Development IGI IGI 371 Hoes Lane Piscataway NJ, 08854 7322710600 orbit.support@igiindia.com http://www.igiusa.com/ Vendor Int 3 3 Complete 2012/04/04 12:00:00 2012/04/24 12:00:00 2012/04/24 03:32:38 IGI UV 2.16.840.1.113883.3.1822 nj-hitec-dsv NJ-HITEC Clinical Quality Data Submission Vendor Michael Zegar masked Michael Zegar 211 Warren St Newark, NJ 07103 973-856-9682 masked Regional Director of Central NJ NJ-HITEC NJ-HITEC 211 Warren St Newark, NJ 07103 973-642-4055 mzegar@njhitec.org http://www.njhitec.org Govt body Int 3 Complete 2012/04/04 12:00:00 2012/04/24 12:00:00 2012/04/24 03:41:12 UV 2.16.840.1.113883.3.1823 patientclickOID Patient Click OID Sonal Mehta masked Ash Mehta Sonal Mehta 6540 Lusk Blvd, Suite C116, San Diego, CA 92121 (877) 902- 9990 EXT. 521 masked Implementation Manager Patient Click Inc. 6540 Lusk Blvd, Suite C116, San Diego, CA 92121 (877) 902- 9990 sm@patientclick.com http://patientclick.com Provider Int 3 Complete 2012/04/04 12:00:00 2012/04/24 12:00:00 2012/04/24 03:45:52 UV 2.16.840.1.113883.3.1824 whs Westbrook Health Services Shawn Reaser masked Shawn Reaser 2121 7th Street Parkersburg, WV, 26101 304-485-1721 ext 108 masked Programmer Westbrook Health Services 2121 7th Street Parkersburg, WV, 26101 304-485-1721 sreaser@westbrookhealth.com http://www.westbrookhealth.com Provider Int 3 Complete 2012/04/05 12:00:00 2012/04/24 12:00:00 2012/04/24 03:47:34 UV 2.16.840.1.113883.3.1825 uhcc Union Hospital of Cecil County Bonnie Davis masked Bonnie Davis Union Hospital of Cecil County 106 Bow Street Elkton, MD 21921 410-620-3786 masked Information Services Manager Union Hospital of Cecil County Union Hospital of Cecil County 106 Bow Street Elkton, MD 21921 410-620-3777 helpdesk@uhcc.com http://www.uhcc.com Provider Int 3 Complete 2012/04/05 12:00:00 2012/04/24 12:00:00 2012/04/24 03:49:02 UV 2.16.840.1.113883.3.1826 anthc HL7 Objects associated with the Alaska Native Tribal health system David Barrett masked David Barrett 4000 Ambassador Drive Anchorage, AK 99508 Attn: HIT-Programming 907-729-2604 masked Sr. Programmer Alaska Native Tribal Health Consortium 4000 Ambassador Drive Anchorage, AK 99508 907-729-2626 webmaster@anthc.org http://www.anthc.org Provider Int 3 Complete 2012/04/06 12:00:00 2012/04/24 12:00:00 2012/04/24 03:50:28 UV 2.16.840.1.113883.3.1827 qmat Quantros Measure Authoring Tool Ratnakar Malla masked Ratnakar Malla 690, N. McCarthy Blvd. #200 Milpitas CA 95035 4085144836 masked Director, Platform Engineering Quantros Inc 690, N. McCarthy Blvd. #200 Milpitas CA 95035 (877) 782-6876 rmalla@quantros.com http://www.quantros.com Vendor Int 3 Complete 2012/04/06 12:00:00 2012/04/24 12:00:00 2012/04/24 03:52:28 UV 2.16.840.1.113883.3.1829 hl7-vMR HL7 vMR Templates David Shields masked Kensaku Kawamoto Kensaku Kawamoto 615 Arapeen Drive, Suite 208 University of Utah Department of Biomedical Informatics Salt Lake City, UT 84108 801-587-8076 masked Director of Knowledge Management & Mobilization HL7 CDS Workgroup kensaku.kawamoto@utah.edu HL7 body Int 3 Complete 2012/04/09 12:00:00 2012/04/24 12:00:00 2012/04/24 03:55:30 UV 2.16.840.1.113883.3.1830 wksOID WKS Meaningful Use OID Tonyia Bartholomew masked Wes Janzen Wes Janzen Wamego City Hospital 711 Genn Dr Wamego, KS 66547 785-458-7333 masked Director of Information Technology Wamego City Hospital 711 Genn Dr Wamego, KS 66547 785-458-7333 wes.janzen@wamegocityhospital.com http://www.via-christi.org/wamego-hospital Provider Int 3 Complete 2012/04/09 12:00:00 2012/04/24 12:00:00 2012/04/24 03:56:40 UV 2.16.840.1.113883.4.550 mmh-Rexburg Madison Memorial Hospital Rexburg CCD OID David Kite masked Rhett Jackson 450 E Main, Rexburg, ID 83440 208-359-6428 masked Information Systems Director Madison Memorial Hospital 450 E Main, Rexburg, ID 83440 208-359-6959 ISSupport@mmhnet.org http://www.madisonhospital.org Provider Int 4 3 Complete 2012/04/09 12:00:00 2012/04/24 12:00:00 2017/03/30 06:02:05 UV 2.16.840.1.113883.3.1831 halifaxhealth Halifax Hospital Medical Center Dena Merz masked Dena Merz 303 North Clyde Morris Boulevard Daytona Beach, FL 32114 386-425-4975 masked Manager, Meaningful Use Halifax Health 303 North Clyde Morris Boulevard Daytona Beach, FL 32114 386-254-4000 dena.merz@halifax.org http://www.halifaxhealth.org/ Provider Int 3 Complete 2012/04/09 12:00:00 2012/04/24 12:00:00 2012/04/24 04:03:46 UV 2.16.840.1.113883.3.1832 smc-nj Shore Medical Center John Stafford masked John Stafford 1 E New York Ave Somers Point, NJ 08244 609-653-3403 masked Shore Medical Center 1 E New York Ave Somers Point, NJ 08244 609-653-3500 jstafford@shoremedicalcenter.org Provider Int 3 3 Complete 2012/04/09 12:00:00 2012/04/24 12:00:00 2012/04/24 04:09:26 UV 2.16.840.1.113883.3.1833 osc Orchard Software Corporation Mark Jones masked Mark Jones 701 Congressional Blvd Ste. 360 Carmel, IN 46032 800-856-1948, ext.6589 masked Sr. Interface Specialist/Special Projects Orchard Software Corporation 701 Congressional Blvd Ste 360 Carmel, IN 46032 800-856-1948 hoglesby@orchardsoft.com http://www.orchardsoft.com Vendor Int 3 Complete 2012/04/09 12:00:00 2012/04/24 12:00:00 2012/04/24 04:10:44 UV 2.16.840.1.113883.3.1834 hc HealtheConnections David Schramm masked Rob Hack 109 South Warren Street Suite 500, State Tower Building. Syracuse, NY 13202 315-671-2241x100 masked Executive Director Health Advancement Collaborative of CNY, INC. 109 South Warren Street Suite 500, State Tower Building. Syracuse, NY 13202 315-671-2241 info@healtheconnections.org http://www.healtheconnections.org Govt body Int 3 Complete 2012/04/09 12:00:00 2012/04/24 12:00:00 2014/02/28 01:49:29 UV 1.3.6.1.4.1.16517.2.5 partners-faulkner Faulkner Hospital David Dubois masked David Clinical Informatics R&D, Information Systems Partners HealthCare System 93 Worcester Street, Suite 201, P.O. Box 81905 Wellesley, MA 02481 781-416-9284 masked Partners HealthCare System Prudential Tower 800 Boylston Street, Suite 1150 Boston, MA 02199-8001 +1 617-278-1000 contactus@partners.org http://www.partners.org/ Provider 1.3.6.1.4.1.16517 Ext 3 Complete 1.3.6.1.4.1.16517.2.5 2012/04/09 12:00:00 2012/04/09 12:00:00 2012/04/09 03:08:46 UV 2.16.840.1.113883.3.1835 mvi MVI Kathy Krause masked Kathy Krause 703-441-3079 masked Kathy Krause 703-441-3079 Kathy.Krause@va.gov https://www.va.gov Govt body Int 3 Complete 2012/04/09 12:00:00 2012/04/24 12:00:00 2012/04/24 04:19:09 UV 2.16.840.1.113883.3.1836 bhstx Baptist Health System Connie Reed masked Connie Reed 2102979721 masked Baptist Health System 2102979721 creed@baptisthealthsystem.com Provider Int 3 Complete 2012/04/10 12:00:00 2012/04/24 12:00:00 2012/04/24 04:20:55 UV 2.16.840.1.113883.3.1837 tmctx Texas Med Clinic Connie Reed masked Connie Reed 2102979721 masked Texas Med Clinic 2102979721 creed@baptisthealthsystem.com Provider Int 3 Complete 2012/04/10 12:00:00 2012/04/24 12:00:00 2012/04/24 04:22:17 UV 2.16.840.1.113883.3.1838 bhstxi Baptist Health System Imaging Connie Reed masked Connie Reed 2102979721 masked Baptist Health System Imaging 2102979721 creed@baptisthealthsystem.com Provider Int 3 Complete 2012/04/10 12:00:00 2012/04/24 12:00:00 2012/04/24 04:23:07 UV 2.16.840.1.113883.3.1839 peacehealth PeaceHealth Exchange EREZ GORDIN masked EREZ GORDIN 123 INTERNATIONAL WAY SPRINGFIELD, OREGON 97477 541-335-2564 masked IS DIRECTOR PEACEHEALTH 14432 SE Eastgate Way, Suite 300 Bellevue, WA 98007-6412 425-747-1711 egordin@peacehealth.org http://www.peacehealth.org Provider Int 3 Complete 2012/04/10 12:00:00 2012/04/24 12:00:00 2012/04/24 04:24:23 UV 2.16.840.1.113883.3.51.7 bcMessageVersion British Columbia message specification version identifier Robert Grant masked Robert Grant 250-952-1132 masked British Columbia Ministry of Health 1515 Blanshard Street, Victoria, B.C. Canada V8W 3C8 robert.b.grant@gov.bc.ca http://www.gov.bc.ca/health/index.html Govt body Ext 4 Complete 2.16.840.1.113883.3.51.7 2012/04/10 12:00:00 2012/04/24 12:00:00 2012/04/24 04:27:42 UV 2.16.840.1.113883.3.1840 kpod Kenneth A Peterson, OD Ken Peterson masked Ken Peterson 8054739393 masked Ken Peterson 911 Oak Park Blvd #104 Pismo Beach CA 93449 8054739393 doc@drkenpeterson.com http://www.kenpeterson.com Provider Int 3 Complete 2012/04/10 12:00:00 2012/04/24 12:00:00 2012/04/24 04:34:28 UV 2.16.840.1.113883.3.51.11 bcConformanceProfile British Columbia message conformance profile identifier Robert Grant masked Robert Grant 250-952-1132 masked British Columbia Ministry of Health 1515 Blanshard Street, Victoria, B.C. Canada V8W 3C8 robert.b.grant@gov.bc.ca http://www.gov.bc.ca/health/index.html Govt body 2.16.840.1.113883.3.51 Ext 4 Complete 2.16.840.1.113883.3.51.11 2012/04/10 12:00:00 2012/04/24 12:00:00 2012/04/24 04:29:59 UV 2.16.840.1.113883.3.1841 bhospital Benson Hospital John Roberts masked Denise Hurtado John Roberts P.O. Box 2290 Benson, AZ 85602 (520) 586-2261 masked Director of IT Benson Hospital 450 South Ocotillo Ave. Benson, AZ 85602 (520) 586-2261 rob@bensonhospital.org http://www.bensonhospital.org HL7 body Int 3 Complete 2012/04/10 12:00:00 2012/04/24 12:00:00 2012/04/24 04:36:39 UV 2.16.840.1.113883.3.1842 tcmc-sd Tri-City Healthcare District Mark Facuri masked Mark 4002 Vista Way Oceanside, CA 92056 760-940-7740 masked Director IT Tri-City Medical Center 4002 Vista Way Oceanside, CA 92056 760-724-8411 inquiry@tcmc.com http://www.tricitymed.org Provider Int 3 Complete 2012/04/10 12:00:00 2012/04/24 12:00:00 2012/04/24 04:53:51 UV 2.16.840.1.113883.3.1843 hhsoid HunterdonHelathCareSystemOID Steven Weller masked Steven Weller Hunterdon Medical Center 2100 Wescott Drive Flemington, NJ 08822 908-237-5464 masked PC / Network Technician Hunterdon Medical Center Hunterdon Medical Center 2100 Wescott Drive Flemington, NJ 08822 908-788-6100 weller.steven@hunterdonhealthcare.org Provider Int 3 Complete 2012/04/11 12:00:00 2012/04/24 12:00:00 2012/04/24 04:54:55 UV 2.16.840.1.113883.3.1844 eXPR Exprivia S.p.A. Fabio Barbon masked Fabio Barbon Fabio Barbon Exprivia S.p.A. Via Maccani, 50 38121 Trento (ITALY) +39 0461 431 376 masked eHealth Product Manager Exprivia S.p.A. fabio.barbon@exprivia.it http://www.exprivia.it/ Vendor Int 3 Complete 2012/04/12 12:00:00 2012/04/24 12:00:00 2012/04/24 04:58:07 UV 2.16.840.1.113883.3.1845 lmhospital Laughlin Memorial Hospital Justin Ryans masked Justin Ryans 1420 Tusculum Blvd Greeneville, TN 37745 423-787-5151 masked Applications Manager Laughlin Memorial Hospital 1420 Tusculum Blvd Greeneville, TN 37745 423-787-5151 helpdesk@lmhcare.org http://www.laughlinmemorial.org Provider Int 3 Complete 2012/04/12 12:00:00 2012/04/24 12:00:00 2012/04/24 04:59:32 US 2.16.840.1.113883.3.1846 thr-tha Texas Health Presbyterian Hospital Allen Jeff Newhouse masked Jeff Newhouse 682-236-6357 masked Texas Health Presbyterian Hospital Allen 1105 Central Expressway Allen, TX 75013 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/04/12 12:00:00 2012/04/24 12:00:00 2015/02/24 01:34:02 UV 2.16.840.1.113883.3.1847 thr-thal Texas Health Alliance Jeff Newhouse masked Jeff Newhouse 682-236-6357 masked Texas Health Alliance 10864 Texas Health Trail Fort Worth, TX 76244 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/04/12 12:00:00 2012/04/24 12:00:00 2015/02/24 01:34:38 UV 2.16.840.1.113883.3.1848 thr-tham Texas Health Arlington Memorial Hospital Jeff Newhouse masked Jeff Newhouse 682-236-6357 masked Texas Health Arlington Memorial Hospital 800 West Randol Mill Road Arlington, TX 76012 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/04/12 12:00:00 2012/04/24 12:00:00 2015/02/24 01:35:07 UV 2.16.840.1.113883.3.1849 thr-thaz Texas Health Harris Methodist Hospital Azle Jeff Newhouse masked Jeff Newhouse 682-236-6357 masked Texas Health Harris Methodist Hospital Azle 108 Denver Trail Azle, TX 76020 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/04/12 12:00:00 2012/04/24 12:00:00 2015/02/24 01:35:40 UV 2.16.840.1.113883.3.1850 thr-thc Texas Health Harris Methodist Hospital Cleburne Jeff Newhouse masked Jeff Newhouse 682-236-6357 masked Texas Health Harris Methodist Hospital Cleburne 201 Walls Drive Cleburne, TX 76033 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/04/12 12:00:00 2012/04/24 12:00:00 2015/02/24 01:36:04 UV 2.16.840.1.113883.3.1851 thr-thd Texas Health Presbyterian Hospital Dallas Jeff Newhouse masked Jeff Newhouse 682-236-6357 masked Texas Health Presbyterian Hospital Dallas 8200 Walnut Hill Lane Dallas, TX 75231-4402 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/04/12 12:00:00 2012/04/24 12:00:00 2015/02/24 01:36:32 UV 2.16.840.1.113883.3.1852 thr-thdn Texas Health Presbyterian Hospital Denton Jeff Newhouse masked Jeff Newhouse 682-236-6357 masked Texas Health Presbyterian Hospital Denton 3000 North I-35 Denton, TX 76201 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/04/12 12:00:00 2012/04/24 12:00:00 2015/02/24 01:37:06 UV 2.16.840.1.113883.3.1853 thr-thfw Texas Health Harris Methodist Hospital Fort Worth Jeff Newhouse masked Jeff Newhouse 682-236-6357 masked Texas Health Harris Methodist Hospital Fort Worth 1301 Pennsylvania Avenue Fort Worth, TX 76104 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/04/12 12:00:00 2012/04/24 12:00:00 2015/02/24 01:37:49 UV 2.16.840.1.113883.3.1854 thr-thheb Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Jeff Newhouse masked Jeff Newhouse 682-236-6357 masked Texas Health Harris Methodist Hospital Hurst-Euless-Bedford 1600 Hospital Pkwy. Bedford, TX 76022 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/04/12 12:00:00 2012/04/24 12:00:00 2015/02/24 01:38:17 UV 2.16.840.1.113883.3.1855 thr-thhva Texas Health Heart & Vascular Hospital Arlington Jeff Newhouse masked Jeff Newhouse 682-236-6357 masked Texas Health Heart & Vascular Hospital Arlington 811 Wright Street Arlington, TX 76012 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/04/12 12:00:00 2012/04/24 12:00:00 2015/02/24 01:38:46 UV 2.16.840.1.113883.3.1856 thr-thk Texas Health Presbyterian Hospital Kaufman Jeff Newhouse masked Jeff Newhouse 682-236-6357 masked Texas Health Presbyterian Hospital Kaufman 850 Ed Hall Drive Kaufman, TX 75142 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/04/12 12:00:00 2012/04/24 12:00:00 2015/02/24 01:39:12 UV 2.16.840.1.113883.3.1857 thr-thp Texas Health Presbyterian Hospital Plano Jeff Newhouse masked Jeff Newhouse 682-236-6357 masked Texas Health Presbyterian Hospital Plano 6200 West Parker Road Plano, TX 75093-7914 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/04/12 12:00:00 2012/04/24 12:00:00 2015/02/24 01:39:38 UV 2.16.840.1.113883.3.1858 thr-ths Texas Health Harris Methodist Hospital Stephenville Jeff Newhouse masked Jeff Newhouse 682-236-6357 masked Texas Health Harris Methodist Hospital Stephenville 411 North Belknap Stephenville, TX 76401 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/04/12 12:00:00 2012/04/24 12:00:00 2015/02/24 01:40:08 UV 2.16.840.1.113883.3.1859 thr-thsp Texas Health Specialty Fort Worth Jeff Newhouse masked Jeff Newhouse 682-236-6357 masked Texas Health Specialty Fort Worth 1301 Pennsylvania Ave. Fort Worth, TX 76104 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/04/12 12:00:00 2012/04/24 12:00:00 2015/02/24 01:40:42 UV 2.16.840.1.113883.3.1860 thr-thsw Texas Health Harris Methodist Hospital Southwest Fort Worth Jeff Newhouse masked Jeff Newhouse 682-236-6357 masked Texas Health Harris Methodist Hospital Southwest Fort Worth 6100 Harris Pkwy. Fort Worth, TX 76132 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/04/12 12:00:00 2012/04/24 12:00:00 2015/02/24 01:41:05 UV 2.16.840.1.113883.3.1861 mhinRepository Michiana Health Information Network Repository OID David Navarro masked David Navarro 220 West Colfax Avenue Suite 300 South Bend, IN 46601 574 968 3650 masked Michiana Health Information Network 220 West Colfax Avenue Suite 300 South Bend, IN 46601 574 968 1018 info@mhin.com Exchange Int 3 Complete 2012/04/12 12:00:00 2012/04/24 12:00:00 2012/04/24 05:33:17 UV 2.16.840.1.113883.3.1862 bcbiomed BC BioMedical Laboratories Robert Grant masked Nick Szirth 604 507 5142 masked CIO BC BioMedical Laboratories 7455 - 130th Street Surrey, BC Canada V3W 1H8 nszirth@bcbio.com Provider Int 3 Complete 2012/04/12 12:00:00 2012/04/24 12:00:00 2012/04/24 05:35:07 UV 2.16.840.1.113883.3.1863 bcLifeLabs LifeLabs Medical Laboratory Services robert grant masked Sharon Hogg 604 412 4433 masked Manager IT Applications LifeLabs 3680 Gilmore Way Burnaby, BC Canada V5G 4V8 604-431-5005 contactus@lifelabs.com http://www.lifelabs.com/Lifelabs_BC/ Provider Int 3 Complete 2012/04/12 12:00:00 2012/04/24 12:00:00 2012/04/24 05:41:54 UV 2.16.840.1.113883.13.215 microroganismos-SMSSP-BR List of microorganisms Sao Paulo City Department of Health Beatriz de Faria Leao masked Deborah Pimenta Ferreira de Castilho Deborah Pimenta Ferreira de Castilho IT Department S&#227;o Paulo City Dept of Health Secretaria Municipal de Sa&#250;de &#8211; SMS R. General Jardim, 36 S&#227;o Paulo, SP 01223-011 Brazil +55-11-33972263 masked Coordinator of the Lab Integration Project at S&#227;o Paulo city Detp. of Health S&#227;o Paulo City Department of Health IT Department S&#227;o Paulo City Dept of Health Secretaria Municipal de Sa&#250;de &#8211; SMS R. General Jardim, 36 S&#227;o Paulo, SP 01223-011 Brazil +55-11-33972263 deborahc@PREFEITURA.SP.GOV.BR http://www.prefeitura.sp.gov.br/cidade/secretarias/saude/ Govt body Int 13 13 Complete 2012/04/13 12:00:00 2012/04/24 12:00:00 2012/04/24 05:44:32 BR 2.16.840.1.113883.13.216 antibioticos-smssp-br List of Antimicrobial Agents of Sao Paulo City Department of Health Beatriz de Faria Leao masked Deborah Pimenta Ferreira de Castilho Deborah Pimenta Ferreira de Castilho IT Department Sao Paulo City Dept of Health Secretaria Municipal de Saude de Sao Paulo; SMS R. General Jardim, 36 Sao Paulo, SP 01223-011 Brazil +55-11-33972263 masked Coordinator of the Lab Integration Project at S&#227;o Paulo city Detp. of Health Sao Paulo City Department of Health IT Department Sao Paulo City Dept of Health Secretaria Municipal de Saude de Sao Paulo; SMS R. General Jardim, 36 Sao Paulo, SP 01223-011 Brazil +55-11-33972263 deborahc@PREFEITURA.SP.GOV.BR http://www.prefeitura.sp.gov.br/cidade/secretarias/saude/ Govt body Int 13 13 Complete 2012/04/13 12:00:00 2012/04/24 12:00:00 2012/04/24 05:47:55 BR 2.16.840.1.113883.3.1864 bcValleyMedical Valley Medical Laboratories Robert Grant masked Wendy Foley 250 763 4813 masked LIS Administrator Valley Medical Laboratories 105-537 Leon Ave Kelowna, B.C. Canada V1Y 6J5 (250) 763-4813 computers@vmlabs.ca http://www.valleymedicallaboratories.com/ Provider Int 3 Complete 2012/04/13 12:00:00 2012/04/24 12:00:00 2012/04/24 05:52:11 UV 2.16.840.1.113883.3.1355.90 ahwest-shcl St. Helena Hospital Clear Lake(SHCL) Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management St. Helena Hospital Clear Lake(SHCL) St. Helena Hospital Clear Lake15630 18th Avenue Clearlake,CA95422 707-994-6486 cioinfo@ah.org http://www.sthelenahospitals.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.90 2012/04/13 12:00:00 2012/04/24 12:00:00 2012/04/24 05:59:15 UV 2.16.840.1.113883.3.1355.90.1 ahwest-account St. Helena Hospital Clear Lake(SHCL) Account Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management St. Helena Hospital Clear Lake(SHCL) St. Helena Hospital Clear Lake15630 18th Avenue Clearlake,CA95422 707-994-6486 cioinfo@ah.org http://www.sthelenahospitals.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.90.1 2012/04/13 12:00:00 2012/04/24 12:00:00 2012/04/24 05:54:32 UV 2.16.840.1.113883.3.1865 dTIHealth DTI Health Daniel Berezeanu masked Daniel Berezeanu 4455 Autoroute Laval (440) W. Suite 250 Laval, QC Canada H7P 4W6 418-254-7920 masked Product manager Daniel Berezeanu 4455 Autoroute Laval (440) W. Suite 250 Laval, QC Canada H7P 4W6 daniel.berezeanu@dtihealth.com http://dtihealth.com/ Vendor Int 3 Complete 2012/04/13 12:00:00 2012/04/30 12:00:00 2012/04/30 03:14:40 UV 2.16.840.1.113883.13.217 nao-conformidades-lab-SMSSP-BR Non-Conformity List for Laboratories of Sao Paulo City Health Department Beatriz de Faria Leao masked Deborah Pimenta Ferreira de Castilho Deborah Pimenta Ferreira de Castilho IT Department Sao Paulo City Dept of Health Secretaria Municipal de Saude de Sao Paulo; SMS R. General Jardim, 36 Sao Paulo, SP 01223-011 Brazil +55-11-33972263 masked Coordinator of the Lab Integration Project at S&#227;o Paulo city Detp. of Health Sao Paulo City Department of Health IT Department Sao Paulo City Dept of Health Secretaria Municipal de Saude de Sao Paulo; SMS R. General Jardim, 36 Sao Paulo, SP 01223-011 Brazil * Phone: +55-11-33972263 Deborahc@PREFEITURA.SP.GOV.BR http://www.prefeitura.sp.gov.br/cidade/secretarias/saude/ Govt body Int 13 13 Complete 2012/04/13 12:00:00 2012/04/30 12:00:00 2012/04/30 03:17:25 UV 2.16.840.1.113883.3.1866 cernerExtCare Cerner Extended Care Vinay Murakonda masked Vinay Murakonda 2800 rockcreek pkwy, Kansas City, MO 64117 8162011664 masked Software Engineer Cerner Extended Care 2800 rockcreek pkwy, Kansas City, MO 64117 vinay.murakonda@cerner.com http://www.cerner.com Vendor Int 3 Complete 2012/04/13 12:00:00 2012/04/30 12:00:00 2012/04/30 03:18:50 UV 2.16.840.1.113883.13.218 idSpecimenCollection-SIGA-smssp-br Unique Identification of the Specimen Collection for Sao Paulo City department of health Beatriz d de Faria Leao masked Deborah Pimenta Ferreira de Castilho Deborah Pimenta Ferreira de Castilho IT Department Sao Paulo City Dept of Health Secretaria Municipal de Saude de Sao Paulo; SMS R. General Jardim, 36 Sao Paulo, SP 01223-011 Brazil +55-11-33972263 masked Coordinator of the Lab Integration Project at S&#227;o Paulo city Detp. of Health Sao Paulo City Department of Health IT Department Sao Paulo City Dept of Health Secretaria Municipal de Saude de Sao Paulo; SMS R. General Jardim, 36 Sao Paulo, SP 01223-011 Brazil +55-11-33972263 deborahc@PREFEITURA.SP.GOV.BR Govt body Int 13 13 Complete 2012/04/16 12:00:00 2012/04/30 12:00:00 2012/04/30 03:20:36 BR 2.16.840.1.113883.3.1867 skiff-med Skiff Medical Center Amber Pelzer masked Dianna Machin Amber Pelzer 641-787-3158 masked Senior Information Systems Analyst Skiff Medical Center 204 N 4th Ave E Newton, IA 50208 641-792-1273 apelzer@skiffmed.com http://www.skiffmed.com/ Provider Int 3 Complete 2012/04/16 12:00:00 2012/04/30 12:00:00 2012/04/30 03:23:54 UV 2.16.840.1.113883.3.1868 imh-hl7-oid Ivinson Memorial Hospital HL7 OID Brandon Lewis masked Brandon Lewis 255 North 30th Laramie, WY 82072 307-742-2141 masked Director Information Technology Ivinson Memorial Hospital 255 North 30th Laramie, WY 82072 307-742-2141 Brandonl@ivinsonhospital.org http://www.ivinsonhospital.org Provider Int 3 3 Complete 2012/04/16 12:00:00 2012/04/30 12:00:00 2012/04/30 03:25:15 US 2.16.840.1.113883.3.1106.100 byh-mph BayCare's MPH Facility Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider 2.16.840.1.113883.3.1106 Ext 3 3 Complete 2.16.840.1.113883.3.1106.100 2012/04/17 12:00:00 2012/04/30 12:00:00 2018/12/26 10:34:25 UV 2.16.840.1.113883.3.1106.200 byh-mch BayCare's MCH Facility Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider 2.16.840.1.113883.3.1106 Ext 3 3 Complete 2.16.840.1.113883.3.1106.200 2012/04/17 12:00:00 2012/04/30 12:00:00 2018/12/26 11:07:29 UV 2.16.840.1.113883.3.1106.300 byh-mdh BayCare's MDH Facility Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider 2.16.840.1.113883.3.1106 Ext 3 3 Complete 2.16.840.1.113883.3.1106.300 2012/04/17 12:00:00 2012/04/30 12:00:00 2018/12/26 11:11:31 UV 2.16.840.1.113883.3.1106.400 byh-nbh BayCare's NBH Facility Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider 2.16.840.1.113883.3.1106 Ext 3 3 Complete 2.16.840.1.113883.3.1106.400 2012/04/17 12:00:00 2012/04/30 12:00:00 2018/12/26 11:43:06 UV 2.16.840.1.113883.3.1106.500 byh-sah BayCare's SAH Facility Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider 2.16.840.1.113883.3.1106 Ext 3 3 Complete 2.16.840.1.113883.3.1106.500 2012/04/17 12:00:00 2012/04/30 12:00:00 2018/12/26 11:45:55 UV 2.16.840.1.113883.3.1106.600 byh-sjh BayCare's SJH Facility Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider 2.16.840.1.113883.3.1106 Ext 3 3 Complete 2.16.840.1.113883.3.1106.600 2012/04/17 12:00:00 2012/04/30 12:00:00 2018/12/26 11:48:21 UV 2.16.840.1.113883.3.1106.700 byh-sjn BayCare's SJN Facility Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider 2.16.840.1.113883.3.1106 Ext 3 3 Complete 2.16.840.1.113883.3.1106.700 2012/04/17 12:00:00 2012/04/30 12:00:00 2018/12/26 11:52:04 UV 2.16.840.1.113883.3.1106.800 byh-sfb BayCare's SFB Facility Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider 2.16.840.1.113883.3.1106 Ext 3 3 Complete 2.16.840.1.113883.3.1106.800 2012/04/17 12:00:00 2012/04/30 12:00:00 2018/12/26 11:57:26 UV 2.16.840.1.113883.3.1106.900 byh-smp BayCare Sig MPM Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider 2.16.840.1.113883.3.1106 Ext 3 3 Complete 2.16.840.1.113883.3.1106.900 2012/04/17 12:00:00 2012/04/30 12:00:00 2018/12/26 11:59:37 UV 2.16.840.1.113883.3.1106.925 byh-ssj BayCare Sig SJB Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider Ext 3 3 Complete 2.16.840.1.113883.3.1106.925 2012/04/17 12:00:00 2012/04/30 12:00:00 2018/12/26 12:01:01 UV 2.16.840.1.113883.3.1106.950 byh-ssa BayCare Sig SAHC Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider Ext 3 3 Complete 2.16.840.1.113883.3.1106.950 2012/04/17 12:00:00 2012/04/30 12:00:00 2018/12/26 12:02:18 UV 2.16.840.1.113883.3.1106.951 byh-csj BayCare Cerner SJH Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider 2.16.840.1.113883.3.1106 Ext 3 3 Complete 2.16.840.1.113883.3.1106.951 2012/04/17 12:00:00 2012/04/30 12:00:00 2018/12/26 12:03:29 UV 2.16.840.1.113883.3.1106.952 byh-cmp BayCare Cerner MPH Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider 2.16.840.1.113883.3.1106 Ext 3 3 Complete 2.16.840.1.113883.3.1106.952 2012/04/17 12:00:00 2012/04/30 12:00:00 2018/12/26 12:04:39 UV 2.16.840.1.113883.3.1106.650 byh-sjw BayCare SJWH Tony McArtor masked Gus Borrego Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider 2.16.840.1.113883.3.1106 Ext 3 3 Complete 2.16.840.1.113883.3.1106.650 2012/04/17 12:00:00 2012/04/30 12:00:00 2018/12/26 11:49:41 UV 2.16.840.1.113883.3.1869 echsoftlab echSoftLab Robert Beasley masked On behalf of Mark Nishimoto Lab Director Robert Beasley El Camino Hospital 2500 Grant Road Mountain View, CA 940401 650-940-7198 masked Sr. Clinical Analyst El Camino Hospital 2500 Grant Road Mountain View, CA 94040 650-940-7000 bo_b@elcaminohospital.org https://www.elcaminohospital.org Vendor Int 3 Complete 2012/04/17 12:00:00 2012/04/30 12:00:00 2012/04/30 04:14:10 UV 2.16.840.1.113883.3.1870 johnbrackenlcsw John W. Bracken, L.C.S.W. John Bracken masked Karen Monz Karen Monz 2770 Indian River Blvd, Suite 308 Vero Beach, FL 32960 772-567-0206 masked Operations Dept AZZLY 2770 Indian River Blvd, Suite 308 Vero Beach, FL 32960 772-567-0206 vendorservices@azzly.com http://azzly.com Vendor 2.16.840.1.113883.3.662 Int 3 Complete 2012/04/17 12:00:00 2012/04/30 12:00:00 2012/04/30 04:15:53 UV 2.16.840.1.113883.3.1355.90.2 ahwest-shcl-account St. Helena Hospital Clear Lake(SHCL) Account Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management St. Helena Hospital Clear Lake(SHCL) St. Helena Hospital Clear Lake15630 18th Avenue Clearlake,CA95422 707-994-6486 cioinfo@ah.org http://www.sthelenahospitals.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.90.2 2012/04/17 12:00:00 2012/04/30 12:00:00 2012/04/30 04:20:23 UV 2.16.840.1.113883.3.1355.90.3 ahwest-shcl-doctor St. Helena Hospital Clear Lake(SHCL) Doctor Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management St. Helena Hospital Clear Lake(SHCL) St. Helena Hospital Clear Lake15630 18th Avenue Clearlake,CA95422 707-994-6486 cioinfo@ah.org http://www.sthelenahospitals.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.90.3 2012/04/17 12:00:00 2012/04/30 12:00:00 2012/04/30 04:22:06 UV 2.16.840.1.113883.3.1355.90.4 ahwest-shcl-uref St. Helena Hospital Clear Lake(SHCL) Unit Reference Number Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management St. Helena Hospital Clear Lake(SHCL) St. Helena Hospital Clear Lake15630 18th Avenue Clearlake,CA95422 707-994-6486 cioinfo@ah.org http://www.sthelenahospitals.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.90.4 2012/04/17 12:00:00 2012/04/30 12:00:00 2012/04/30 04:23:28 UV 2.16.840.1.113883.3.1355.50 adwest-amch Adventist Medical Center - Hanford(AMCH) Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Adventist Medical Center - Hanford (AMCH) Adventist Medical Center - Hanford 115 Mall Drive Hanford, CA 93230 559-582-9000 cioinfo@ah.org http://www.adventisthealthcv.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.50 2012/04/17 12:00:00 2012/04/30 12:00:00 2012/04/30 04:25:07 UV 2.16.840.1.113883.3.1871 ssmhc SSM Health Care Kevin Sherrel masked Rodney Rice Rodney Rice 7980 Clayton Rd St Louis, MO 63117 314 951 5631 masked Interface Analyst SSM Health Care 7980 Clayton Rd St Louis, MO 63117 314 768 5000 kevin_sherrel@ssmhc.com http://www.ssmhc.com Provider Int 3 Complete 2012/04/17 12:00:00 2012/04/30 12:00:00 2012/04/30 04:30:36 US 2.16.840.1.113883.3.1872 hyec Optometric Services, LLC DBA Harmony EyeCare Christine Verbeck masked Dr. Christine Verbeck, O.D. 111 S. Red Bank Rd. Suite B Evansville, IN 47712 812-423-4984 masked Optometrist/Owner Harmony EyeCare 111 S. Red Bank Rd. Suite B Evansville, IN 47712 812-423-4984 drverbeck@harmonyeyecare.com http://www.harmonyeyecare.com Provider Int 3 Complete 2012/04/17 12:00:00 2012/04/30 12:00:00 2012/04/30 04:33:52 UV 2.16.840.1.113883.3.1873 mmhc Moundview Memorial Hospital & Clinics James Franckowiak masked Kurtis Miller James Franckowiak 402 W. Lake St. P.O. Box 40 Friendship, WI 53934 608-339-8319 masked IT Director / HIPAA Privacy & Security Officer James Franckowiak 402 W. Lake St. P.O. Box 40 Friendship, WI 53934 608-339-8319 jimf@moundview.org Provider Int 3 Complete 2012/04/18 12:00:00 2012/04/30 12:00:00 2012/04/30 04:35:32 UV 2.16.840.1.113883.3.1874 smnr_ks Sumner Regional Medical Center OID Root Levi Pierce masked Levi Pierce 1323 North A Street Wellington, KS 67152 620-399-1292 masked IS Manager Sumner Regional Medical Center 1323 North A Street Wellington, KS 67152 620-326-7451 levip@srmcks.org Provider Int 3 3 Complete 2012/04/18 12:00:00 2012/04/30 12:00:00 2012/04/30 04:54:40 UV 2.16.840.1.113883.3.1875 thr-epi Texas Health Resources EPI Jeff Newhouse masked Jeff Newhouse 682-236-6357 masked Texas Health Resources EPI JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/04/18 12:00:00 2012/04/30 12:00:00 2015/02/24 01:41:30 UV 2.16.840.1.113883.3.1876 thr-quid Texas Health Resources QUID Jeff Newhouse masked Jeff Newhouse 682-236-6357 masked Texas Health Resources QUID JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/04/18 12:00:00 2012/04/30 12:00:00 2015/02/24 01:41:56 UV 2.16.840.1.113883.3.1877 ccmhoid Charles Cole Memorial Hospital OID Mark Close masked Mark Close 1001 East Second Street Coudersport, PA 16915 814-260-5344 masked Lead PC/Network Analyst Charles Cole Memorial Hospital 1001 East Second Street Coudersport, PA 16915 814-274-9300 mark.close@charlescolehospital.com http://www.charlescolehospital.com Provider Int 3 Complete 2012/04/18 12:00:00 2012/04/30 12:00:00 2012/04/30 05:01:09 UV 2.16.840.1.113883.13.219 explanationForLinkage Explanation for Linkage Glenn Peterson masked Glenn Peterson 7529 Standish Place Rockville, MD 20855 240-453-6876 masked Business Process Manager FDA CVM 7529 Standish Place Rockville, MD 20855 240-453-6876 glenn.peterson@fda.hhs.gov Govt body Int 13 Complete 2012/04/19 12:00:00 2012/04/30 12:00:00 2012/04/30 05:05:02 UV 2.16.840.1.113883.13.220 mahAssessmentCategories MAH Assessment Categories Glenn Peterson masked Glenn Peterson 7529 Standish Place Rockville, MD 20855 240-453-6876 masked Business Process Improvement Manager Glenn Peterson 7529 Standish Place Rockville, MD 20855 240-453-6876 glenn.peterson@fda.hhs.gov Govt body Int 13 Complete 2012/04/19 12:00:00 2012/04/30 12:00:00 2012/04/30 05:08:15 UV 2.16.840.1.113883.3.1878 civistamedcen Charles Regional Medical Center University of Maryland Medical System Paul MacDonald masked Civista Medical Center Paul MacDonald 5 Garrett Avenue LaPlata, MD 20646 301-609-4424 masked Manager, IT Paul MacDonald pmacdonald1@umm.edu https://www.charlesregional.org/ Provider Int 3 3 Complete 2012/04/19 12:00:00 2012/04/30 12:00:00 2017/03/08 11:41:25 US 2.16.840.1.113883.3.1879 chspcmc Ponca City Medical Center Cathy Merrifield masked Gil Arnold Cathy Merrifield Ponca City Medical Center 1900 N. 14th St Ponca City, OK 74601 580-765-3321 masked Ponca City Medical Center Ponca City Medical Center 1900 N. 14th St Ponca City, OK 74601 580-765-3321 Cathy_Thomas@chs.net http://www.PoncaMedCenter.com Provider Int 3 Complete 2012/04/19 12:00:00 2012/04/30 12:00:00 2012/04/30 05:19:21 UV 2.16.840.1.113883.3.1880 lakeviewmedicalcenter Lakeview Medical Center Stacy Czyscon masked heward.peggy@lakeviewmedical.org Stacy Czyscon 1700 West Stout Street Rice Lake, WI 54868 715-236-6457 masked Clinical Analyst Lakeview Medical Center 1700 West Stout Street Rice Lake, WI 54868 715-234-1515 gerrits.brad@lakeviewmedical.org Provider Int 3 Complete 2012/04/19 12:00:00 2012/04/30 12:00:00 2012/04/30 05:24:55 UV 2.16.840.1.113883.3.1620.22 oidCORTH Plano AM Consulting Orthopedics Michael Wagliardo masked Michael Wagliardo 2001 Bryan Street, Suite 2400 Dallas, TX 75201 214-820-4201 masked Manager Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.22 2012/04/19 12:00:00 2012/04/30 12:00:00 2012/04/30 05:36:55 UV 2.16.840.1.113883.3.1881 srssoft SRSsoft EHR OID Ryan Newsome masked Ryan Newsome 201-802-1300 masked SRSsoft 155 Chestnut Ridge Road Montvale, NJ 07645 201-802-1300 rnewsome@srssoft.com http://www.srssoft.com Vendor Int 3 Complete 2012/04/19 12:00:00 2012/04/30 12:00:00 2012/04/30 05:43:47 UV 2.16.840.1.113883.3.1882 jmc1 Janis Cotter, OD Janis Cotter masked Janis Cotter 80 Broadway Revere, MA 02151 781-289-7929 masked Optometrist Janis Cotter, OD 80 Broadway, Revere, MA 02151 781-289-7929 parkwayeyecare@aol.com Provider Int 3 Complete 2012/04/20 12:00:00 2012/04/30 12:00:00 2012/04/30 05:46:37 UV 2.16.840.1.113883.3.1883 dmi Dianna Iandolo, OD Dianna Iandolo masked Dianna Iandolo 80 Broadway, Revere, MA 02151 781-289-7929 masked Optometrist Dianna Iandolo 80 Broadway, Revere, MA 02151 781-289-7929 parkwayeyecare@aol.com Provider Int 3 Complete 2012/04/20 12:00:00 2012/04/30 12:00:00 2012/04/30 05:51:04 UV 2.16.840.1.113883.17.75 nmc Newton Medical Center Regina Phillips masked Regina Phillips 5126 Hospital Drive Covington, GA 30014 770-385-4580 masked Senior System Analyst Newton Medical Center 5126 Hospital Drive Covington, GA 30014 770-786-7053 rphillips@newtonmedical.com http://www.newtonmedical.com Provider Int 17 Complete 2012/04/20 12:00:00 2012/04/30 12:00:00 2012/04/30 06:05:11 UV 2.16.840.1.113883.3.1884 thr-thaloc Texas Health Outpatient Surgical Center Alliance Jeff Newhouse masked Jeff Newhouse 682-236-6357 masked Texas Health Outpatient Surgical Center Alliance 6100 Harris Pkwy. Fort Worth, TX 76132 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/04/20 12:00:00 2012/05/22 12:00:00 2015/02/24 01:42:29 UV 2.16.840.1.113883.3.1885 hbmc Hillcrest Baptist Medical Center Darlene Gorham masked Darlene Gorham 100 Hillcrest Medical Blvd. Waco, TX 76712 254-202-4990 masked IT Applications Manager Hillcrest Baptist Medical Center 100 Hillcrest Medical Blvd. Waco, TX 767612 254-202-2000 rwarren@hillcrest.net Provider Int 3 Complete 2012/04/23 12:00:00 2012/05/22 12:00:00 2012/05/22 09:32:16 UV 2.16.840.1.113883.3.1886 ajh AnnaJaquesHospital James Cardin masked Robert Buchanan James Cardin 25 Highland Ave Newburyport,Mass 01950 978-463-1094 masked Clinical System Anaylst Anna Jaques Hospital 25 Hgihland Ave Newburyport,Mass 01950 978-463-1000 jcardin@ajh.org https://www.ajh.org Provider Int 3 Complete 2012/04/23 12:00:00 2012/05/22 12:00:00 2012/05/22 09:33:16 UV 2.16.840.1.113883.3.1887 phfe Publlic Health Foundation Enterprises David Schramm masked Paul Budilo 949-453-4145 masked Publlic Health Foundation Enterprises 12801 Crossroads Parkway South #200 Industry, CA 91746 800-201-7320 itweb@phfe.org http://www.phfe.org/ Govt body Int 3 Complete 2012/04/23 12:00:00 2012/05/22 12:00:00 2012/05/22 09:35:24 UV 2.16.840.1.113883.3.1888 prhc Pella Regional Health Center Tait Smock masked jbabb@pellahealth.org Tait Smock 641-621-2270 masked Pella Regional Health Center 404 Jefferson Street Pella, IA 50219 641-628-3150 jbauer@pellahealth.org Provider Int 3 Complete 2012/04/23 12:00:00 2012/05/22 12:00:00 2012/05/22 09:37:19 UV 2.16.840.1.113883.3.1889 cina-pqrs CINA OID registration for PQRS QRDA submissions Kevin Howland masked Kevin Howland 8140 Walnut Hill suite 400 Dallas, TX 75231 214-593-6948 masked Programmer Cina 8140 Walnut Hill suite 400 Dallas, TX 75231 214-593-6948 khowland@cina-us.com Vendor Int 3 Complete 2012/04/24 12:00:00 2012/05/22 12:00:00 2012/05/22 09:38:26 UV 2.16.840.1.113883.3.1890 astro-8280 American Society for Radiation Oncology American Society for Radiation Oncology ASTRO masked sidraha@astro.org Anushree 7038397396 masked American Society for Radiation Oncology 8280 Willow Oaks Corporate Drive, Suite 500, Fairfax, VA 22031 7038397396 anushreev@astro.org http://www.astro.org Prof Soc Int 3 Complete 2012/04/24 12:00:00 2012/05/22 12:00:00 2012/05/22 09:51:51 UV 2.16.840.1.113883.3.1891 oraDistrictFieldOffices ORA District Field Offices Glenn Peterson masked Glenn Peterson 7529 Standish Place Rockville MD 20855 240-453-6876 masked Business Process Improvement Manager FDA CVM 7529 Standish Place Rockville MD 20855 240-453-6876 glenn.peterson@fda.hhs.gov Govt body Int 13 3 Complete 2012/04/25 12:00:00 2012/05/22 12:00:00 2012/05/22 09:52:51 UV 2.16.840.1.113883.3.1892 apsOID APS Connect OID Sushil Pramanick masked Sushil Pramanick 14258 Wolfhound St. Corona CA 92880 2624027735 masked Director Enterprise Architecture APS Healthcare spramanick@apshealthcare.com http://www.apshealthcare.com Vendor Int 3 Complete 2012/04/25 12:00:00 2012/05/22 12:00:00 2012/05/22 09:54:30 UV 2.16.840.1.113883.3.1893 ilhie Illinois Health Information Exchange Ivan Handler masked Ivan Handler Illinois Office of Health Information Technology Suite 2-201 100 W. Randolph Chicago, IL 60601 (312) 814-1600 masked Chief Technology Officer Illinois Office of Health Information Technology Suite 2-201 100 W. Randolph Chicago, IL 60601 (312) 814-1600 ivan.handler@illinois.gov http://www2.illinois.gov/gov/HIE/Pages/default.aspx Govt body Int 3 Complete 2012/04/26 12:00:00 2012/05/22 12:00:00 2012/05/22 09:56:09 UV 2.16.840.1.113883.17.76 shawn-HIE Shawn's Health Information Exchange (HIE) Shawn Lipe masked Shawn Lipe 108 Edinburg Dr. Kannapolis, NC 28083 704-668-6089 masked Student Shawn W. Lipe 108 Edinburg Dr. Kannapolis, NC 28083 704-668-6089 slipe@carolina.rr.com Govt body Int 17 17 Complete 2012/04/26 12:00:00 2012/05/22 12:00:00 2012/05/22 09:59:58 US 2.16.840.1.113883.3.1894 hl7pak HL7 Pakistan Muhammad Afzal masked maqbool.hussain@seecs.edu.pk Muhammad Afzal SSRG Lab SEECS NUST H-12 Islamabad Pakistan +925190852087 masked Chair Certification HL7 Pakistan HL7 Pakistan A-108, Faculty Block SEECS NUST H-12 Islamabad Pakistan +925190852155 info@hl7.org.pk https://hl7.org.pk HL7 body 2.16.840.1.113883.2 Int 3 Complete 2012/04/26 12:00:00 2012/05/22 12:00:00 2012/05/22 11:36:50 UV 2.16.840.1.113883.3.1895 hl7pk HL7 Pakistan Muhammad Afzal masked maqbool.hussain@seecs.edu.pk Muhammad Afzal SSRG Lab SEECS NUST H-12 Islamabad Pakistan +925190852087 masked Chair Certification HL7 Pakistan HL7 Pakistan A-108, Faculty Block SEECS NUST H-12 Islamabad Pakistan +925190852155 muhammad.afzal@seecs.edu.pk https://hl7.org.pk HL7 body 2.16.840.1.113883.2 Int 3 Complete 2012/04/26 12:00:00 2012/05/22 12:00:00 2012/05/22 10:12:24 UV 2.16.840.1.113883.10.20.25 questionnaireAssessmentsTempRoot Questionnaire Assessments Template Root Brett Marquard masked Brett Marquard 413 549 6886 masked SDWG 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Ext 10 Complete 2.16.840.1.113883.10.20.25 2012/04/27 12:00:00 2012/05/22 12:00:00 2012/05/22 10:03:53 UV 2.16.840.1.113883.11.20.10 cdaQuestionnaireAssessmentsValueSetRoot Questionnaire Assessments Value Set Root Brett Marquard masked Brett Marquard Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 413 549 6886 masked SDWG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 734 677 7777 hl7@hl7.org http://www.HL7.org HL7 body Ext 13 Complete 2.16.840.1.113883.11.20.10 2012/04/27 12:00:00 2012/05/22 12:00:00 2012/05/22 10:05:24 UV 2.16.840.1.113883.3.1896 dchccd Doctors Community Hospital Diane Goldstein masked Patricia Monteith Doctors Community Hospital IT Department 8118 Good Luck Road Lanham, MD 20706 301-552-8867 masked IT Project Leader Doctors Community Hospital 8118 Good Luck Road Lanham, MD 20706 301-552-8118 pmonteith@dchweb.org http://www.dchweb.org Provider Int 3 Complete 2012/04/27 12:00:00 2012/05/22 12:00:00 2014/09/02 11:44:00 UV 2.16.840.1.113883.3.1897 lgmcla Lafayette General Medical Center Carrie Mason masked Carrie Mason 1214 Coolidge St Lafayette, LA 70503 337-289-8832 masked Lafayette General Medical Center 1214 Coolidge St Lafayette, LA 70503 337-289-7991 webmaster@lgmc.com http://www.lgmc.com Provider Int 3 3 Complete 2012/04/30 12:00:00 2012/05/22 12:00:00 2012/05/22 10:18:05 UV 2.16.840.1.113883.3.1898 bmcs Baptist Medical Center South Barbara Bartley masked Barbara Bartley Baptist Health 301 Brown Springs Road Montgomery, Alabama 36117 334-273-4436 masked Executive Director IT Operations & ISO Baptist Medical Center South 2105 East South Blvd Montgomery, Alabama 36116 334-288-2100 bbartley@baptistfirst.org https://baptistfirst.org Provider Int 3 3 Complete 2012/04/30 12:00:00 2012/05/22 12:00:00 2012/05/22 10:22:07 UV 2.16.840.1.113883.3.1899 bmce Baptist Medical Center East Barbara Bartley masked Barbara Bartley Baptist Health 301 Brown Springs Road Montgomery, Alabama 36117 334-273-4436 masked Executive Director IT Operations & ISO Baptist Medical Center East 400 Taylor Road Montgomery, Alabama 36117 334-244-8500 bbartley@baptistfirst.org https://baptistfirst.org Provider Int 3 3 Complete 2012/04/30 12:00:00 2012/05/22 12:00:00 2012/05/22 10:25:06 UV 2.16.840.1.113883.3.1900 pbh Prattville Baptist Hospital Barbara Bartley masked Barbara Bartley Baptist Health 301 Brown Springs Road Montgomery, Alabama 36117 334-273-4436 masked Executive Director IT Operations & ISO Prattville Baptist Hospital 124 S. Memorial Drive Prattville, Alabama 36067 334-365-0651 bbartley@baptistfirst.org https://baptistfirst.org Provider Int 3 3 Complete 2012/04/30 12:00:00 2012/05/22 12:00:00 2012/05/22 10:30:20 UV 2.16.840.1.113883.3.567.12.2 fdbMedNameID fdb Medication Name ID George Robinson masked Mili Gera George Robinson First Databankc, Inc 500 East 96th Street, Suite 500 Indianapolis, IN 46240 317.571.7390 masked Product Manager First DataBank, Inc 701 Gateway Boulevard, Suite 400 South San Francisco, CA 94080 800.633.3453 cc@fdbhealth.com http://www.firstdatabank.com/ Vendor 2.16.840.1.113883.3.567 Ext 15 6 Complete 2.16.840.1.113883.3.567.12.2 2012/04/30 12:00:00 2012/05/22 12:00:00 2012/05/22 10:32:56 UV 2.16.840.1.113883.3.1901 lgshla Lafayette General Surgical Hospital Carrie Mason masked Carrie Mason 1214 Coolidge St Lafayette, LA 70503 337-289-8832 masked Integration Architect Lafayette General Surgical Hospital 1000 West Pinhook Rd Lafayette, LA 70503 337-289-8095 webmaster@lgmc.com http://www.lgmc.com Provider Int 3 3 Complete 2012/04/30 12:00:00 2012/05/22 12:00:00 2012/05/23 11:18:02 UV 2.16.840.1.113883.3.1902 smhla St. Martin Hospital Carrie Mason masked Carrie Mason 1214 Coolidge St Lafayette, LA 70503 337-289-8832 masked Integration Architect St. Martin Hospital 210 Champagne Blvd Breaux Bridge, LA 70517 337-332-2178 webmaster@lgmc.com http://www.lgmc.com Provider Int 3 3 Complete 2012/04/30 12:00:00 2012/05/22 12:00:00 2012/05/23 11:16:22 UV 2.16.840.1.113883.3.1903 albe Albemarle Health Jean-Pierre Miller masked Jean-Pierre Miller 252-384-4945 masked Albemarle Health jpmiller@albemarlehealth.org Provider Int 3 Complete 2012/04/30 12:00:00 2012/05/22 12:00:00 2012/05/22 10:41:20 UV 2.16.840.1.113883.3.1904 chccmo Community Health Center of Central Missouri Mark Copeland masked Mark Conover PO Box 104780 Jefferson City, MO 65110 573.632.0243 masked Chief Operating Officer Mark Conover PO Box 104780 Jefferson City, MO 65110 573.632.0243 mark.conover@chccmo.org http://www.chccmo.org Provider Int 3 Complete 2012/05/01 12:00:00 2012/05/22 12:00:00 2012/05/22 10:44:15 UV 2.16.840.1.113883.3.1905 fcmc Floyd County Medical Center Craig Haberkorn masked Peggy Mullen 800 11th Street Charles City. Iowa 50616 641-257-4361 masked Floyd County Medical Center 800 11th Street Charles City, Iowa 50616 641-228-6830 pmullen@fcmhosp.com Provider Int 3 Complete 2012/05/01 12:00:00 2012/05/22 12:00:00 2012/05/22 10:47:06 UV 2.16.840.1.113883.3.1906 veriskHealth Verisk Health Jim Despelteau masked Jim Despelteau 201 Jones Road 4th Floor Waltham, MA 02451 781 693 3713 masked Chief Technology Officer Verisk Health 201 Jones Road 4th Floor Waltham, MA 02451 781 693 3700 jdespelteau@veriskhealth.com http://www.veriskhealth.com Vendor Int 3 Complete 2012/05/01 12:00:00 2012/05/22 12:00:00 2012/05/22 10:49:15 UV 2.16.840.1.113883.17.77 dqa Dental Quality Alliance Krishna Aravamudhan masked Krishna Aravamudhan 312 440 2772 masked Dental Quality Alliance 211, East Chicago Avenue, Chicago, IL 60611 USA 312 440 2772 aravamudhank@ada.org http://www.ada.org Prof Soc Int 17 17 Complete 2012/05/01 12:00:00 2012/05/22 12:00:00 2012/05/22 10:55:41 UV 2.16.840.1.113883.3.1907 fairmont-regional-medical-center Fairmont Regional Medical Center Patrick Lykins masked Patrick Lykins 1325 Locust Avenue Fairmont, WV 26554 304-367-7272 masked Senior Programmer Analyst Fairmont Regional Medical Center 1325 Locust Avenue Fairmont, WV 26554 304-367-7100 plykins@frmcwv.com http://www.frmcwv.com Provider Int 3 Complete 2012/05/02 12:00:00 2012/05/22 12:00:00 2015/06/25 10:43:05 UV 2.16.124.7.101.20.7.8 ca-nsCDHNSID College of Dental Hygienists of Nova Scotia Registration Number Joshua Huchton masked Rod Thurber Joshua Huchton HITS-NS (Health Information Technology Services Nova Scotia) 5161 George St., Suite 900 Halifax, NS 902-424-7042 masked Technical Analyst II HITS-NS (Health Information Technology Services Nova Scotia) josh.huchton@nshealth.ca Govt body Ext 4 Complete 2.16.124.7.101.20.7.8 2012/05/02 12:00:00 2012/05/22 12:00:00 2012/05/22 10:59:16 UV 2.16.124.7.101.20.7.7 ca-nsPDBNSID Provincial Dental Board of Nova Scotia (PDBNS) Joshua Huchton masked Rod Thurber Joshua Huchton HITS-NS (Health Information Technology Services Nova Scotia) 5161 George St., Suite 900 Halifax, NS 902-424-7042 masked Technical Analyst II HITS-NS (Health Information Technology Services Nova Scotia) josh.huchton@nshealth.ca Govt body Ext 4 Complete 2.16.124.7.101.20.7.7 2012/05/02 12:00:00 2012/05/22 12:00:00 2012/05/22 11:02:19 UV 2.16.124.7.101.20.7.9 ca-nsMRCNSID Midwifery Regulatory Council of Nova Scotia (MRCNS) Joshua Huchton masked Rod Thurber Joshua Huchton HITS-NS (Health Information Technology Services Nova Scotia) 5161 George St., Suite 900 Halifax, NS 902-424-7042 masked Technical Analyst II Midwifery Regulatory Council of Nova Scotia (MRCNS) josh.huchton@nshealth.ca Prof Soc Ext 4 Complete 2.16.124.7.101.20.7.9 2012/05/02 12:00:00 2012/05/22 12:00:00 2012/05/22 11:03:42 UV 2.16.840.1.113883.3.1908 relayHealthXDSRepository Change Healthcare Org Lebel OID Chad Bonner masked Fred Bret-Mounet Desmonde Mulcahy 2100 Powell St. Ste. 500 Emeryville, CA 94608 510-637-7087 masked Product Manager Change Healthcare 3055 Lebanon Pike Suite 1000 Nashville, TN 37214 510-637-7000 webmaster@relayhealth.com https://www.changehealthcare.com Vendor Int 3 Complete 2012/05/02 12:00:00 2012/05/22 12:00:00 2018/05/31 04:48:54 UV 1.2.36.1.2001.1005.17 aus-vaccine-code Australian Vaccine Code Grahame Grieve masked Department of Health and Ageing Kathy Smalley c/- NEHTA 56 Pitt St Sydney Australia 9289 masked Department of Health and Ageing GPO Box 9848 Canberra ACT 2601 support@nehta.gov.au http://www.health.gov.au Govt body Ext 15 15 Complete 1.2.36.1.2001.1005.17 2012/05/02 12:00:00 2012/05/22 12:00:00 2012/05/22 11:06:04 AU 2.16.840.1.113883.3.1909 hhc Houston Healthcare Stephanie Bledsoe masked Andrew Goodman 1601 Watson Blvd. Warner Robins, GA 31093 478-542-7705 masked Application Programmer/Developer Houston Healthcare 1601 Watson Blvd. Warner Robins, GA 31093 478-922-4281 helpdesk@hhc.org http://www.hhc.org Provider Int 3 Complete 2012/05/03 12:00:00 2012/05/22 12:00:00 2013/08/29 09:42:19 UV 2.16.840.1.113883.3.1910 vmmc Virginia Mason Medical Center Sally Roberts masked Sally Roberts 1100 Olive Way Suite 750 Seattle, WA 98101 206-515-5941 masked Integration Architect Virginia Mason Medical Center 110 Ninth Avenue Seattle, WA 98101 206-625-7373 sally.roberts@vmmc.org https://www.virginiamason.org/ Provider Int 3 3 Complete 2012/05/03 12:00:00 2012/05/22 12:00:00 2012/05/22 11:11:51 UV 2.16.840.1.113883.3.1911 holiCare-123-65 Holistic Vision Care Joseph Ross masked Evelyn Ross 20 Milltown Rd., Brewster, NY 10509 845-279-6179 masked V.P. Holistic Vision Care 20 Milltown Rd., Brewster, NY 10509 845-279-6179 info@drjoeross.com https://www.holisticvisioncare.com Provider Int 3 Complete 2012/05/04 12:00:00 2012/05/22 12:00:00 2012/05/22 11:17:41 UV 2.16.840.1.113883.3.1912 csh Children's Specialized Hospital Omar Ujageer masked Omar Ujageer Children's Specialized Hospital 150 New Providence Road Mountainside, NJ 07092 (908) 301-5913 masked Systems Analyst- I.T. Children's Specialized Hospital Children's Specialized Hospital 150 New Providence Road Mountainside, NJ 07092 1-888-244-5373 DCarr@childrens-specialized.org http://www.childrens-specialized.org Provider Int 3 Complete 2012/05/07 12:00:00 2012/05/22 12:00:00 2012/05/22 11:20:11 UV 2.16.840.1.113883.3.1913 fegs fegs health and human services John Allen masked John Allen 315 Hudson Street New York, NY 10013 (212) 366-8248 masked Senior Project Manager FEGS info@FEGS.org http://www.FEGS.org Provider Int 3 Complete 2012/05/07 12:00:00 2012/05/22 12:00:00 2012/05/22 11:22:07 UV 2.16.840.1.113883.3.1915 efli The Epilepsy Foundation of Long Island Jennifer Colbert masked elubelsky@epil.org Jennifer Colbert 506 Stewart Ave Garden City, NY 11530 516 739-7733 ext 400 masked Director of Clinic Services The Epilepsy Foundation of Long Island 506 Stewart Ave Garen City NY 11530 516 739-7733 jcolbert@epil.org http://www.epil.org Provider Int 3 Complete 2012/05/07 12:00:00 2012/05/22 12:00:00 2012/05/22 11:30:13 UV 2.16.840.1.113883.3.1916 bvhs-01 Blanchard Valley Health System Debra Furbush masked Teddy Greschel 1900 South Main Street Findlay, Ohio 45840 419-421-7687 masked Interface Analyst Blanchard Valley Health System 1900 South Main Street Findlay, Ohio 45840 419-421-7687 tgreschel@bvhealthsystem.org Provider Int 3 Complete 2012/05/07 12:00:00 2012/05/22 12:00:00 2012/05/22 11:31:26 UV 2.16.840.1.113883.3.1917 lewspa Lewistown Hospital Lori Cottrill masked Ron Cowan Lewistown Hospital 400 Highland Avenue Lewistown, PA 17044 717-242-7218 masked VP Information Services/CIO Lewistown Hospital 400 Highland Avenue Lewistown, PA 17044 717-248-5411 rcowan@lewistownhospital.org Provider Int 3 3 Complete 2012/05/07 12:00:00 2012/05/22 12:00:00 2012/05/22 11:32:24 UV 2.16.840.1.113883.3.1918 catholiccharitiesdrvc Catholic Charities of the Diocese of Rockville Centre Robert Manfredi masked Robert Manfredi 90 Cherry Lane Hicksville, NY 11801 516-733-7003 masked Director of IT Catholic Charities 90 Cherry Lane Hicksville, NY 11801 516-733-7003 Manfredi.Robert@CatholicCharities.cc Provider Int 3 Complete 2012/05/07 12:00:00 2012/05/22 12:00:00 2012/05/22 11:34:05 UV 2.16.840.1.113883.4.552 chmc-214 Claxton-Hepburn Medical Center Jim Flood masked Jim Flood Claxton-Hepburn Medical Center 214 King Street Ogdensburg, NY 13669 315-713-5281 masked Director Information Systems Claxton-Hepburn Medical Center 214 King Street Ogdensburg, NY 13669 315-713-5281 jflood@chmed.org http://www.claxtonhepburn.org Provider Int 3 Complete 2012/05/08 12:00:00 2012/05/22 12:00:00 2012/05/22 11:38:54 UV 2.16.840.1.113883.3.1919 cha-hie CHA Health Information Exchange Joe Coyne masked Joe Coyne Continuum Health Alliance 402 Lippincott Dr Marlton, NJ 08053 856-782-3300 x2616 masked Chief Information Officer Continuum Health Alliance 402 Lippincott Dr Marlton, NJ 08053 856-782-3300 jcoyne@challc.net http://www.challc.net Exchange Int 3 Complete 2012/05/08 12:00:00 2012/05/22 12:00:00 2012/05/22 11:40:33 UV 2.16.840.1.113883.3.1920 boz Bozeman Deaconess Health Services Julie Kindred masked Julie Kindred 915 Highland Boulevard Information Systems Bozeman, Mt 59715 406-411-5047 masked Clinical Coordiantor Bozeman Deaconess Health Services 915 Highland Boulevard Information Systems Bozeman,Mt 59715 406-411-5047 jkindred@bdh-boz.com http://www.bozemandeaconess.org/ Provider Int 3 Complete 2012/05/08 12:00:00 2012/05/22 12:00:00 2012/05/22 11:43:05 UV 2.16.840.1.113883.3.1921 sjrh St. John's Riverside Hospital Jose Linares masked Jose Linares 914 964-4599 masked St. John's Riverside Hospital 967 North Broadway Yonkers, NY 10701 914 964-4444 jlinares@riversidehealth.org Provider Int 3 Complete 2012/05/09 12:00:00 2012/05/22 12:00:00 2012/05/22 11:45:33 UV 2.16.840.1.113883.3.1106.150.1 byh-MPICC BayCare's Morton Plan Immediate Care Centers Tony McArtor masked Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider 2.16.840.1.113883.3.1106 Ext 3 3 Complete 2.16.840.1.113883.3.1106.150.1 2012/05/09 12:00:00 2012/05/22 12:00:00 2018/12/26 10:42:59 UV 2.16.840.1.113883.3.1922 vcdbamch Variety Children's Hospital DBA Miami Children's Hospital Angelica Hoyos masked Mallesh Murugesan Jason Shavelson 3100 S.W 62nd Ave, Miami, FL, 33155 305-669-6467 masked Variety Children's Hospital DBA Miami Children's Hospital 3100 S.W 62nd Ave, Miami, FL, 33155 305-666-6511 info@mch.com Provider Int 3 3 Complete 2012/05/09 12:00:00 2012/05/22 12:00:00 2012/05/22 11:48:45 UV 2.16.840.1.113883.17.78 integris-bmc-okc INTEGRIS Baptist Medical Center Micheal Williams masked Micheal Williams INTEGRIS Health Information Technology 5555 N Grand Blvd Suite 100 Oklahoma City, Oklahoma 73112-5673 405-945-5931 masked IT System Analyst INTEGRIS Health INTEGRIS Health Information Technology 5555 N Grand Blvd Suite 100 Oklahoma City, Oklahoma 73112-5673 405-949-3011 Micheal.Williams@IntegrisOK.com http://integrisok.com/ Provider Int 17 Complete 2012/05/09 12:00:00 2012/05/24 12:00:00 2012/05/24 04:29:32 UV 2.16.840.1.113883.17.79 integris-brhc INTEGRIS Baptist Regional Health Center Micheal Williams masked Micheal Williams INTEGRIS Health Information Technology 5555 N Grand Blvd Suite 100 Oklahoma City, Oklahoma 73112-5673 405-945-5931 masked IT System Analyst INTEGRIS Health INTEGRIS Health Information Technology 5555 N Grand Blvd Suite 100 Oklahoma City, Oklahoma 73112-5673 405-949-3011 Micheal.Williams@IntegrisOK.com http://integrisok.com/ Provider Int 17 Complete 2012/05/09 12:00:00 2012/05/24 12:00:00 2012/05/24 04:31:19 UV 2.16.840.1.113883.17.80 integris-bbhc INTEGRIS Bass Baptist Health Center Micheal Williams masked Micheal Williams INTEGRIS Health Information Technology 5555 N Grand Blvd Suite 100 Oklahoma City, Oklahoma 73112-5673 405-945-5931 masked IT System Analyst INTEGRIS Health INTEGRIS Health Information Technology 5555 N Grand Blvd Suite 100 Oklahoma City, Oklahoma 73112-5673 405-949-3011 Micheal.Williams@IntegrisOK.com http://integrisok.com/ Provider Int 17 Complete 2012/05/09 12:00:00 2012/05/24 12:00:00 2012/05/24 04:32:54 UV 2.16.840.1.113883.17.81 integris-cvh INTEGRIS Canadian Valley Hospital Micheal Williams masked Micheal Williams INTEGRIS Health Information Technology 5555 N Grand Blvd Suite 100 Oklahoma City, Oklahoma 73112-5673 405-945-5931 masked IT System Analyst INTEGRIS Health INTEGRIS Health Information Technology 5555 N Grand Blvd Suite 100 Oklahoma City, Oklahoma 73112-5673 405-949-3011 Micheal.Williams@IntegrisOK.com http://integrisok.com/ Provider Int 17 Complete 2012/05/09 12:00:00 2012/05/24 12:00:00 2012/05/24 04:37:12 UV 2.16.840.1.113883.17.82 integris-cio INTEGRIS Cancer Institute of Oklahoma Micheal Williams masked Micheal Williams INTEGRIS Health Information Technology 5555 N Grand Blvd Suite 100 Oklahoma City, Oklahoma 73112-5673 405-945-5931 masked IT System Analyst INTEGRIS Health INTEGRIS Health Information Technology 5555 N Grand Blvd Suite 100 Oklahoma City, Oklahoma 73112-5673 405-949-3011 Micheal.Williams@IntegrisOK.com http://integrisok.com/ Provider Int 17 Complete 2012/05/09 12:00:00 2012/05/24 12:00:00 2012/05/24 04:38:49 UV 2.16.840.1.113883.17.83 integris-grv INTEGRIS Grove Hospital Micheal Williams masked Micheal Williams INTEGRIS Health Information Technology 5555 N Grand Blvd Suite 100 Oklahoma City, Oklahoma 73112-5673 405-945-5931 masked IT System Analyst INTEGRIS Health INTEGRIS Health Information Technology 5555 N Grand Blvd Suite 100 Oklahoma City, Oklahoma 73112-5673 405-949-3011 Micheal.Williams@IntegrisOK.com http://integrisok.com/ Provider Int 17 Complete 2012/05/09 12:00:00 2012/05/24 12:00:00 2012/05/24 04:40:36 UV 2.16.840.1.113883.17.84 integris-edm INTEGRIS Health Edmond Micheal Williams masked Micheal Williams INTEGRIS Health Information Technology 5555 N Grand Blvd Suite 100 Oklahoma City, Oklahoma 73112-5673 405-945-5931 masked IT System Analyst INTEGRIS Health INTEGRIS Health Information Technology 5555 N Grand Blvd Suite 100 Oklahoma City, Oklahoma 73112-5673 405-949-3011 Micheal.Williams@IntegrisOK.com http://integrisok.com/ Provider Int 17 Complete 2012/05/09 12:00:00 2012/05/24 12:00:00 2012/05/24 04:43:37 UV 2.16.840.1.113883.17.85 integris-smc INTEGRIS Southwest Medical Center Micheal Williams masked Micheal Williams INTEGRIS Health Information Technology 5555 N Grand Blvd Suite 100 Oklahoma City, Oklahoma 73112-5673 405-945-5931 masked IT System Analyst INTEGRIS Health INTEGRIS Health Information Technology 5555 N Grand Blvd Suite 100 Oklahoma City, Oklahoma 73112-5673 405-949-3011 Micheal.Williams@IntegrisOK.com http://integrisok.com/ Provider Int 17 Complete 2012/05/09 12:00:00 2012/05/24 12:00:00 2012/05/24 04:45:42 UV 2.16.840.1.113883.17.86 integris-mhs INTEGRIS Mental Health Spencer Micheal Williams masked Micheal Williams INTEGRIS Health Information Technology 5555 N Grand Blvd Suite 100 Oklahoma City, Oklahoma 73112-5673 405-945-5931 masked IT System Analyst INTEGRIS Health INTEGRIS Health Information Technology 5555 N Grand Blvd Suite 100 Oklahoma City, Oklahoma 73112-5673 405-949-3011 Micheal.Williams@IntegrisOK.com http://integrisok.com/ Provider Int 17 Complete 2012/05/09 12:00:00 2012/05/24 12:00:00 2012/05/24 04:48:28 UV 2.16.840.1.113883.17.87 integris-jtr INTEGRIS Jim Thorpe Rehabilitation Micheal Williams masked Micheal Williams INTEGRIS Health Information Technology 5555 N Grand Blvd Suite 100 Oklahoma City, Oklahoma 73112-5673 405-945-5931 masked IT System Analyst INTEGRIS Health INTEGRIS Health Information Technology 5555 N Grand Blvd Suite 100 Oklahoma City, Oklahoma 73112-5673 405-949-3011 Micheal.Williams@IntegrisOK.com http://integrisok.com/ Provider Int 17 Complete 2012/05/09 12:00:00 2012/05/24 12:00:00 2012/05/24 04:51:26 UV 2.16.840.1.113883.17.88 integris-heart INTEGRIS Heart Hospital Micheal Williams masked Micheal Williams INTEGRIS Health Information Technology 5555 N Grand Blvd Suite 100 Oklahoma City, Oklahoma 73112-5673 405-945-5931 masked IT System Analyst INTEGRIS Health INTEGRIS Health Information Technology 5555 N Grand Blvd Suite 100 Oklahoma City, Oklahoma 73112-5673 405-949-3011 Micheal.Williams@IntegrisOK.com http://integrisok.com/ Provider Int 17 Complete 2012/05/09 12:00:00 2012/05/24 12:00:00 2012/05/24 04:53:23 UV 2.16.840.1.113883.3.1923 kfhuoid KING FAHD HOSPITAL OF THE UNIVERSITY OID Shadi AL-Shaar masked Shadi Mahmood AL-Shaar AL-KHALEEJ COMPUTERS & ELECTRONIC INDUSTRIALS AL-FALAK TOWERS - 6TH FLOOR KING ABDULAZIZ ROAD P.O.BOX 2062 AL-KHOBAR 31952 EASTERN PROVINCE KINGDOM OF SAUDI ARABIA +966-59-444-7771 masked System Administrator Shadi Mahmood AL-Shaar MINISTRY OF HIGHER EDUCATION UNIVERSITY OF DAMMAM KING FAHD HOSPITAL OF THE UNIVERSITY AL-KHOBAR P.O.BOX 2208 POSTAL CODE 31952 KINGDOM OF SAUDI ARABIA +966-59-444-7771 sshaar@iau.edu.sa Academic Int 3 3 Complete 2012/05/10 12:00:00 2012/05/22 12:00:00 2025/08/12 06:11:12 UV 2.16.840.1.113883.3.1924 sjmokc St. Joseph Medical Center St. Joseph Medical Center masked Barbara Gerke-Newton AHIS 1010 Carondelet Dr. Kansas City, Mo 64141 816-943-5987 masked Sr. Applications Anaylst Barbara Gerke-Newton AHIS 1010 Carondelet Dr. Kansas City, Mo 64141 816-943-5987 bgerke@carondelet.com http://www.carondelethealth.org Exchange Int 3 Complete 2012/05/10 12:00:00 2012/05/22 12:00:00 2012/05/22 11:59:32 UV 2.16.840.1.113883.3.1925 smmcbs St. Mary's Medical Center St. Mary's Medical Center masked Barbara Gerke-Newton 201 NW RD Mize RD Blue Springs, Mo 64014 816-943-5987 masked Sr. Applications Analyst St. Mary's Medical Center 201 NW RD Mize RD Blue Springs, Mo 64014 816-943-5987 bgerke@carondelet.com http://carondelethealth.com Exchange Int 3 Complete 2012/05/10 12:00:00 2012/05/22 12:00:00 2012/05/23 12:01:06 UV 2.16.840.1.113883.3.1926 ardentHealth ArdentHealthServices Adriana Rodriguez masked Adriana Rodriguez One Burton Hills Suite 250 Nashville, TN 37215 615-296-3162 masked Interface Architect Ardent Health Services One Burton Hills Suite 250 Nashville, TN 37215 615-296-3000 ITS_Cloverleaf_Team@ardenthealth.com http://www.ardenthealth.com/ Provider Int 3 Complete 2012/05/10 12:00:00 2012/05/22 12:00:00 2012/05/23 12:03:22 UV 2.16.840.1.113883.3.1927 hillcrest Hillcrest Medical Center Adriana Rodriguez masked Adriana Rodriguez One Burton Hills Suite 250 Nashville, TN 37215 6152963162 masked Interface Architect Hillcrest Medical Center 1120 South Utica Avenue Tulsa, Ok 74104 918.579.1000 ITS_Cloverleaf_Team@ardenthealth.com http://www.hillcrest.com/ Provider Int 3 Complete 2012/05/10 12:00:00 2012/05/22 12:00:00 2012/05/23 12:07:17 UV 2.16.840.1.113883.3.1928 telerx Telerx Marketing, Inc. Jason Lavigne masked Ted Sak 723 Dresher Rd Horsham, PA 19044 215-347-5700 masked Sr. Director, Technical Solutions Telerx Marketing, Inc. 723 Dresher Rd Horsham, PA 19044 215-347-5700 ted.sak@telerx.com http://www.telerx.com Vendor Int 3 Complete 2012/05/10 12:00:00 2012/05/22 12:00:00 2012/05/23 12:08:04 UV 2.16.840.1.113883.3.1929 shc Shriners Hospitals for Children Michael Hulett masked Michael Hulett 2900 Rocky Point Drive Tampa, FL 33607 813-281-7189 masked Interface Developer III Shriners Hospitals for Children 2900 Rocky Point Drive Tampa, FL 33607 813-281-0300 rnader@shrinenet.org http://www.shrinershospitalsforchildren.org/ Provider Int 3 Complete 2012/05/10 12:00:00 2012/05/22 12:00:00 2012/05/23 12:09:13 UV 2.16.840.1.113883.3.1930 baileyMedical Bailey Medical Center Adriana Rodriguez masked Adriana Rodriguez One Burton Hills Suite 250 Nashville, TN 37215 6152963162 masked Interface Architect Bailey Medical Center 106th & Garnett Owasso, Oklahoma 74055 (918) 376-8000 ITS_Cloverleaf_Team@ardenthealth.com http://www.baileymedicalcenter.com/ Provider Int 3 Complete 2012/05/10 12:00:00 2012/05/22 12:00:00 2012/05/23 12:14:26 UV 2.16.840.1.113883.3.1931 hillcrestCushing Hillcrest Hospital Cushing Adriana Rodriguez masked Adriana Rodriguez One Burton Hills Suite 250 Nashville, TN 37215 6152963162 masked Interface Architect Hillcrest Hospital Cushing 1027 East Cherry Cushing, OK 74023 (918) 225-2915 ITS_Cloverleaf_Team@ardenthealth.com http://www.hillcrestcushing.com/ Provider Int 3 Complete 2012/05/10 12:00:00 2012/05/22 12:00:00 2012/05/23 12:16:32 UV 2.16.840.1.113883.3.1932 hillcrestHenryetta Hillcrest Hospital Henryetta Adriana Rodriguez masked Adriana Rodriguez One Burton Hills Suite 250 Nashville, TN 37215 6152963162 masked Interface Architect Hillcrest Hospital Henryetta 1924 W Main St Henryetta, OK 74437 (918) 650-1100 ITS_Cloverleaf_Team@ardenthealth.com http://www.hillcresthenryetta.com/ Provider Int 3 Complete 2012/05/10 12:00:00 2012/05/24 12:00:00 2012/05/24 04:57:52 UV 2.16.840.1.113883.4.553 cMC Conway Medical Center Mickey Waters masked Mickey Waters Conway Medical Center 300 Singleton Ridge Road Conway, SC 29526 843 347 8012 masked It Director Mickey Waters Conway Medical Center 300 Singleton Ridge Road Conway, SC 29526 843 347 8012 mwaters@cmc-sc.com http://conwaymedicalcenter.com Provider Int 3 Complete 2012/05/10 12:00:00 2012/05/24 12:00:00 2012/05/24 05:12:57 UV 2.16.840.1.113883.3.629.51 obsolete Obsolete Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.51 2012/05/10 12:00:00 2012/05/24 12:00:00 2012/05/24 05:24:16 UV 2.16.840.1.113883.3.629.14.52 practice-HealthyBeginnings Healthy Beginnings Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.52 2012/05/10 12:00:00 2012/05/24 12:00:00 2012/05/24 05:25:06 UV 2.16.840.1.113883.3.629.14.53 practice-KitzmillerSkinCareCenter Kitzmiller Skin Care Center Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.53 2012/05/10 12:00:00 2012/05/24 12:00:00 2012/05/24 05:26:36 UV 2.16.840.1.113883.3.629.14.51 practice-LouisvilleConciergeMedicine Louisville Concierge Medicine, PLLC Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.51 2012/05/10 12:00:00 2012/05/24 12:00:00 2012/05/24 05:29:50 UV 2.16.840.1.113883.3.629.14.54 practice-CharlestownPrimaryCare Charlestown Primary Care Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.54 2012/05/10 12:00:00 2012/05/24 12:00:00 2012/05/24 05:30:52 UV 2.16.840.1.113883.3.629.14.55 practice-ElizabethSebreeMD Elizabeth Sebree, M.D. Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.55 2012/05/10 12:00:00 2012/05/24 12:00:00 2012/05/24 05:31:41 UV 2.16.840.1.113883.3.1934 aao American Academy of Ophthalmology Andy Khuong masked Andy Khuong 655 Beach Street San Francisco, CA 94109 415-561-8546 masked Manager, Database Registry American Academy of Ophthalmology 655 Beach Street San Francisco, CA 94109 415-561-8546 akhuong@aao.org http://www.aao.org/ Prof Soc Int 3 Complete 2012/05/11 12:00:00 2012/05/24 12:00:00 2012/05/24 05:34:55 UV 1.2.156.112604 winningsoft Shanghai Kingstar Winning Software Co., Ltd. Xue Yanbo masked Xue Yanbo Room 258,No.4184 ShangNan Road,Pudong New District&#65292;Shanghai,China Postal Code:200126 +8613816922326 masked Research&Development Manager Shanghai Kingstar Winning Software Co.,Ltd. Room 258,No.4184 ShangNan Road,Pudong New District&#65292;Shanghai,China Postal Code:200126 86-21-56773880 xyb@winning.com.cn http://www.winning.com.cn Provider 1.2.156.112604 Ext 3 3 Complete 1.2.156.112604 2012/05/12 12:00:00 2012/05/24 12:00:00 2012/05/24 05:37:51 UV 2.16.840.1.113883.3.1935 bfe Barrington Family Eyecare, PC Debra Poulin masked Debra Poulin 748 Calef Highway Unit 11 Barrington, NH 03825 603-664-8005 masked Owner/Optometrist Barrington Family Eyecare, PC 748 Calef Highway Unit 11 Barrington, NH 03825 603-664-8005 barringtonfamilyeyecare@yahoo.com http://www.barringtonfamilyeyecare.com Provider Int 3 Complete 2012/05/12 12:00:00 2012/05/24 12:00:00 2012/05/24 05:39:45 UV 2.16.840.1.113883.3.1936 sfe Sanford Family Eyecare, PC Debra Poulin masked Debra Poulin 890 Main Street Suite 204B Sanford, ME 04073 207-324-0400 masked Owner/Optometrist Sanford Family Eyecare, PC 890 Main Street Suite 204B Sanford, ME 04073 207-324-0400 sanfordfamilyeyecare@yahoo.com http://www.sanfordfamilyeyecare.com Provider Int 3 Complete 2012/05/12 12:00:00 2012/05/24 12:00:00 2012/05/24 05:41:16 UV 2.16.840.1.113883.3.1937 art-decor ART-DECOR expert group Kai U. Heitmann masked Kai U. Heitmann +491722660814 masked Manager The ART-DECOR Expert Group kai@art-decor.org http://www.art-decor.org SDO Int 3 Complete 2012/05/12 12:00:00 2012/05/24 12:00:00 2012/05/24 05:42:30 UV 2.16.840.1.113883.2.36 hl7Pk HL7 Pakistan OID Root Ted Klein masked Muhammad Afzal c/o NUST School of Electrical Engineering and Computer Science Room 108-A, Faculty Block, H-12 Islamabad, Pakistan unknown masked Chair Membership and Certification, HL7 Pakistan HL7 Pakistan c/o NUST School of Electrical Engineering and Computer Science Room 108-A, Faculty Block, H-12 Islamabad, Pakistan farooq.ahmad@seecs.edu.pk http://hl7.org.pk HL7 body Int 2 Complete 2012/05/14 12:00:00 2012/05/14 12:00:00 2012/05/23 06:39:10 UV 2.16.840.1.113883.2.37 hl7BA HL7 Bosnia and Herzegovina OID Root Ted Klein masked Edin Dautbegovic Samir Dedovic HL7 Bosnia and Herzegovina 71000 Sarajevo Hamdije Cemerlica 2/14 unknown masked HL7 Bosnia and Herzegovina HL7 Bosnia and Herzegovina 71000 Sarajevo Hamdije Cemerlica 2/14 unknown Samir.Dedovic@medit.ba HL7 body Int 2 Complete 2012/05/14 12:00:00 2012/05/14 12:00:00 2012/05/14 11:29:48 UV 2.16.840.1.113883.2.38 hl7MX HL7 Mexico OID Root Ted Klein masked Pablo Ceballos Dr&#228;ger Medical M&#233;xico, S.A. de C.V. German Centre Av. Santa Fe, 170 5-4-14 Col. Lomas de Santa Fe 01210 M&#233;xico D.F. + 52-55-52 61 40 64 masked HL7 Mexico Dr&#228;ger Medical M&#233;xico, S.A. de C.V. German Centre Av. Santa Fe, 170 5-4-14 Col. Lomas de Santa Fe 01210 M&#233;xico D.F. + 52-55-52 61 40 64 pablo.ceballos@draeger.com HL7 body Int 2 Complete 2012/05/14 12:00:00 2012/05/14 12:00:00 2012/05/14 11:42:24 UV 2.16.840.1.113883.3.1938 cgi-testOID CGI Federal Testing OID Sheila Hannon masked Sheila Hannon 6785967192 masked Sr. Consultant CGI Federal 16 Glendale Court Dallas, GA 30157 sheila.hannon@cgifederal.com http://www.cgi.com Vendor Int 3 Complete 2012/05/14 12:00:00 2012/05/24 12:00:00 2012/05/24 06:22:38 UV 2.16.840.1.113883.2.39 hl7LU HL7 Luxembourg OID Root Ted Klein masked Stefan Benzschawel HL7 Luxembourg a.s.b.l. Stefan Benzschawel 2A, rue Kalchesbruck Luxembourg-Kalchesbruck Luxembourg L-1852 (+352) 42 5991 2889 masked HL7 Luxembourg a.s.b.l. HL7 Luxembourg a.s.b.l. Stefan Benzschawel 2A, rue Kalchesbruck Luxembourg-Kalchesbruck Luxembourg L-1852 (+352) 42 5991 2889 stefan.benzschawel@t-online.de HL7 body Int 2 Complete 2012/05/15 12:00:00 2012/05/15 12:00:00 2012/05/16 07:08:09 UV 2.16.840.1.113883.3.1939 noch North Ottawa Community Health System Travis Vruggink masked Joe Abbott 1309 Sheldon Rd Grand Haven, MI 49417 6168475255 masked Director North Ottawa Community Health System 1309 Sheldon Rd Grand Haven, MI 49417 6168423600 jabbott@noch.org http://www.noch.org Provider Int 3 Complete 2012/05/15 12:00:00 2012/05/24 12:00:00 2013/10/25 07:51:25 UV 2.16.840.1.113883.3.1940 zwangerpesiriradiology Zwanger Pesiri Radiology Matt Dewey masked Anthony Pavone 150 E Sunrise Highway Lindenhurst NY, 11757 631-225-7200 x4649 masked CIO Zwanger Pesiri Radiology 150 E Sunrise Highway Lindenhurst NT, 11757 631-225-7200 x4649 apavone@zprad.com http://www.zwangerpesiri.com Provider Int 3 Complete 2012/05/15 12:00:00 2012/05/24 12:00:00 2013/09/13 02:34:51 UV 2.16.840.1.113883.3.1941 hhh Hammond Henry Hospital Heather Henry masked pegreed@hammondhenry.com Heather Henry 309-944-9142 masked IT Manager Hammond Henry Hospital 600 N College Ave Geneseo, IL 61254 309-944-6431 heatherhenry@hammondhenry.com Provider Int 3 Complete 2012/05/15 12:00:00 2012/05/24 12:00:00 2012/05/24 06:30:02 UV 2.16.840.1.113883.3.1942 provena-health Provena Health Neema Kapadia masked Karla Stark Karla Stark 1000 Remington Blvd, Suite-100 Bolingbrook, IL - 60440 630-914-2894 masked RN, System Manager Meditech Acute Care Applications Provena Health 19065 Hickory Creek Drive, Suite 300 Mokena, IL - 60448 708-478-6359 karla.stark@provena.org http://www.provena.org Provider Int 3 3 Complete 2012/05/16 12:00:00 2012/05/24 12:00:00 2012/05/24 06:31:22 US 2.16.840.1.113883.4.554 provena-PCMC Provena Covenant Medical Center Neema Kapadia masked Karla Stark Karla Stark 1000 Remington Blvd, Suite-100 Bolingbrook, IL - 60440 630-914-2894 masked RN, System Manager Meditech Acute Care Applications Provena Covenant Medical Center 1400 W Park St Urbana, IL 61801 (217) 337-2000 karla.stark@provena.org http://www.provena.org Provider 2.16.840.1.113883.3.1942 Int 4 4 Complete 2012/05/16 12:00:00 2012/05/31 12:00:00 2012/05/31 09:56:04 US 2.16.840.1.113883.4.555 provena-PMMC Provena Mercy Medical Center Neema Kapadia masked Karla Stark Karla Stark 1000 Remington Blvd - Suite 100 Bolingbrook, IL - 60440 630-914-2894 masked RN, System Manager Meditech Acute Care Applications Provena Mercy Medical Center 1325 N Highland Ave Aurora, IL 60506 (630) 859-2222 karla.stark@provena.org http://www.provena.org Provider 2.16.840.1.113883.3.1942 Int 4 4 Complete 2012/05/16 12:00:00 2012/05/31 12:00:00 2012/05/31 09:57:33 US 2.16.840.1.113883.4.556 provena-PSJH Provena Saint Joseph Hospital Neema Kapadia masked Karla Stark Karla Stark 1000 Remington Blvd - Suite 100 Bolingbrook, IL - 60440 630-914-2894 masked RN, System Manager Meditech Acute Care Applications Provena Saint Joseph Hospital 77 N Airlite St Elgin, IL 60123 (847) 695-3200 karla.stark@provena.org http://www.provena.org Provider 2.16.840.1.113883.3.1942 Int 4 4 Complete 2012/05/16 12:00:00 2012/05/31 12:00:00 2012/05/31 09:59:34 US 2.16.840.1.113883.4.557 provena-PSJMC Provena Saint Joseph Medical Center Neema Kapadia masked Karla Stark Karla Stark 1000 Remington Blvd - Suite 100 Bolingbrook, IL - 60440 630-914-2894 masked RN, System Manager Meditech Acute Care Applications Provena Saint Joseph Medical Center 333 Madison St Joliet, IL 60435 815-725-7133 karla.stark@provena.org http://www.provena.org Provider 2.16.840.1.113883.3.1942 Int 4 4 Complete 2012/05/16 12:00:00 2012/05/31 12:00:00 2012/05/31 10:05:42 US 2.16.840.1.113883.4.558 provena-PSMH Provena St. Mary's Hospital Neema Kapadia masked Karla Stark Karla Stark 1000 Remington Blvd, Suite - 100 Bolingbrook, IL - 60440 630-914-2894 masked RN, System Manager Meditech Acute Care Applications Provena St. Mary's Hospital 500 W Court St Kankakee, IL 60901 815-937-2490 karla.stark@provena.org http://www.provena.org Provider 2.16.840.1.113883.3.1942 Int 4 4 Complete 2012/05/16 12:00:00 2012/05/31 12:00:00 2012/05/31 10:07:48 US 2.16.840.1.113883.4.559 provena-PUSMC Provena United Samaritans Medical Center Neema Kapadia masked Karla Stark Karla Stark 1000 Remington Blvd, Suite - 100 Bolingbrook, IL - 60440 630-914-2894 masked RN, System Manager Meditech Acute Care Applications Provena United Samaritans Medical Center 812 N Logan Ave Danville, IL 61832 217-443-5000 karla.stark@provena.org http://www.provena.org Provider 2.16.840.1.113883.3.1942 Int 4 4 Complete 2012/05/16 12:00:00 2012/05/31 12:00:00 2012/05/31 10:09:07 US 2.16.840.1.113883.3.1943 efnw Eye Focus Northwest LLC Mark Fast masked Mark 3816 Center Street NE Salem, OR 97301 503-588-5513 masked Mark 3816 Center Street NE Salem, OR 97301 503-588-5513 drfast@gmail.com http://www.eyefocusnw.com Provider Int 3 Complete 2012/05/16 12:00:00 2012/05/24 12:00:00 2012/05/24 10:56:24 UV 2.16.840.1.113883.3.1944 mhlogan Logansport Memorial Hospital Tom Adams masked Beth Jump Cory Mucker 1101 Michigan Ave. Logansport, IN 46947 574.753.5698 masked Clinical Analyst Logansport Memorial Hospital 1101 Michigan Ave Logansport, IN 46947 5747537541 info@logansportmemorial.org http://www.logansportmemorial.org Provider Int 3 Complete 2012/05/16 12:00:00 2012/05/24 12:00:00 2022/01/18 10:17:44 UV 2.16.840.1.113883.3.1945 cwhwa Central Washington Hospital Kevin DeWitz masked Jim Garrison 1201 South Miller Street Wenatchee, WA 98807-1887 (509) 665-6166 masked Enterprise Applications Manager Central Washington Hospital 1201 South Miller Street Wenatchee, WA 98807-1887 (509) 662-1515 Interfaces@cwhs.com Provider Int 3 3 Complete 2012/05/16 12:00:00 2012/05/24 12:00:00 2016/10/12 01:10:45 UV 2.16.840.1.113883.3.1946 svdh Meditech Continuity of Care Interface Gary McReynolds masked Gary McReynolds 465 W. Putnam Porterville, CA 93257 559-788-6062 masked Programmer/Analyst Sierra View District Hospital 465 W. Putnam Porterville, CA 93257 559-784-1110 gmcreynolds@sierra-view.com http://www.sierra-view.com Provider Int 3 Complete 2012/05/16 12:00:00 2012/05/24 12:00:00 2012/05/24 11:03:35 UV 2.16.840.1.113883.3.1947 gem Georgetown Hospital System Joyce Ferdon masked gpope@gmhsc.com Joyce Ferdon P. O. Box 421718 Georgetown, SC 29442-1718 843-520-8217 masked IS Systems Manager Georgetown Hospital System P. O. Box 421718 Georgetown, SC 29442-1718 843-527-7000 ishelpdesk@gmhsc.com http://www.georgetownhospitalsystem.org Provider Int 3 Complete 2012/05/17 12:00:00 2012/05/24 12:00:00 2012/05/24 11:04:45 UV 2.16.840.1.113883.17.89 clin01 Clinovations CQM Nicole Kemper masked Nicole kemper 1701 Pennsylvania Avenue, NW Suite 450 Washington, DC 20016 202-448-1200 masked Manager Clinovations 1701 Pennsylvania Avenue, NW Suite 450 Washington, DC 20016 202-448-1200 nicole@clinovations.com http://clinovations.com/ Provider Int 17 17 Complete 2012/05/17 12:00:00 2012/05/24 12:00:00 2012/05/24 11:10:11 Clinovations US 2.16.840.1.113883.3.1948 clin00 Clinovations Root OID Nicole Kemper masked Nicole Kemper 1701 Pennsylvania Avenue, NW Suite 450 Washington, DC 20006 202-448-1200 masked Manager Clinovations 1701 Pennsylvania Avenue, NW Suite 450 Washington, DC 20006 202-448-1200 nicole@clinovations.com http://clinovations.com/ Provider Int 3 3 Complete 2012/05/17 12:00:00 2012/05/24 12:00:00 2012/05/24 11:11:38 US 2.16.840.1.113883.3.1949 chp Catholic Health Partners Ryan Baker masked Ryan Baker 2200 Jefferson Ave Toledo, OH 43604 419-251-1522 masked Project Manager Medicity rbrant@medicity.com HL7 body Int 3 Complete 2012/05/17 12:00:00 2012/05/24 12:00:00 2012/05/24 11:12:57 UV 2.16.840.1.113883.3.1950 antibex SENDING_APPLICATION_IDENTIFIER_ROOT Dimitri Nissanov masked snissanov@antibex.com Dimitri Nissanov 3-282 North Rivermede Rd Concord, ON L4K 3N6 416-663-3777 masked President/CEO Antibex Computer Software Inc dnissanov@antibex.com https://antibex.com Vendor Int 3 Complete 2012/05/18 12:00:00 2012/05/24 12:00:00 2018/06/25 06:04:57 UV 2.16.840.1.113883.3.1951 nmff Northwestern Medical Faculty Foundation Reggie Nowacki masked Reggie Nowacki 680 N Lake Shore Dr Suite 912 Chicago Il 60611 1-312-695-1185 masked Northwestern Medical Faculty Foundation 680 N Lake Shore Drive Suite 1118 Chicago IL 60611 312-695-1185 rnowacki@nmff.org http://www.nmff.org Provider Int 3 Complete 2012/05/18 12:00:00 2012/05/24 12:00:00 2012/05/24 11:43:30 UV 2.16.840.1.113883.4.560 nmffmu NMFF MU Reggie Nowacki masked Reggie Nowacki 680 N Lake Shore Dr Suite 912 Chicago IL 60611 312-695-1185 masked Northwestern Medical Faculty Foundation 680 N Lake Shore Drive Suite 1118 Chciago IL 60611 312-695-1185 rnowacki@nmff.org http://www.nmff.org Provider Int 4 4 Complete 2012/05/18 12:00:00 2012/05/31 12:00:00 2012/05/31 06:23:57 UV 2.16.840.1.113883.3.1952 nyecshinny NY State Health Exchange Nicholas VanDuyne masked Samuel Dechario Nicholas VanDuyne 40 Worth St. 5th floor New York, NY 10013 646-619-6400 masked CTO New York eHealth Collaborative 40 worth st. 5th floor New York, NY 10013 646-619-6400 nvanduyne@nyehealth.org http://www.nyehealth.org Exchange Int 3 Complete 2012/05/18 12:00:00 2012/05/24 12:00:00 2012/05/24 11:44:33 UV 2.16.840.1.113883.3.1953 claimmd Claim.MD Nihal Titan masked Nihal Titan PO BOX 1177 Pecos, NM 87552 855-757-6060 masked Claim.MD PO BOX 1177 Pecos, NM 87552 855-757-6060 edi@claim.md http://www.claim.md Exchange Int 3 Complete 2012/05/21 12:00:00 2012/05/24 12:00:00 2025/06/05 02:49:03 UV 2.16.840.1.113883.3.1954 fmh-cdg Fairbanks Memorial Hospital Shawn Zhan masked Shawn X. Zhan 1650 E. Cowles St. Fairbanks, AK 99701 907-458-5312 masked Systems Engineer Fairbanks Memorial Hospital 1650 E. Cowles St. Fairbanks, AK 99701 907-458-8181 shawn.zhan@bannerhealth.com http://bannerhealth.com Provider Int 3 Complete 2012/05/21 12:00:00 2012/05/24 12:00:00 2012/05/24 11:54:54 UV 2.16.840.1.113883.3.1955 fmh-pa Fairbanks Memorial Hospital Person Alias Pool Shawn Zhan masked Shawn X. Zhan 1650 E. Cowles St. Fairbanks, AK 99701 907-458-5312 masked Systems Engineer Fairbanks Memorial Hospital 1650 E. Cowles St. Fairbanks, AK 99701 907-458-5312 shawn.zhan@bannerhealth.com http://bannerhealth.com Provider Int 3 Complete 2012/05/21 12:00:00 2012/05/24 12:00:00 2012/05/24 11:55:45 UV 2.16.840.1.113883.3.1956 fmh-prsnla Fairbanks Memorial Hospital Personnel Alias Pool Shawn Zhan masked Shawn X. Zhan 1650 E. Cowles St. Fairbanks, AK 99701 907-458-5312 masked Systems Engineer Fairbanks Memorial Hospital 1650 E. Cowles St. Fairbanks, AK 99701 907-458-5312 shawn.zhan@bannerhealth.com http://bannerhealth.com Provider Int 3 Complete 2012/05/21 12:00:00 2012/05/24 12:00:00 2012/05/24 11:57:07 UV 2.16.840.1.113883.3.1957 algec Amy Goring Evaluation Category Amy Goring masked Amy Goring 9733013019 masked Connected Health Amy Goring Florham Park GS 300 Campus, NJ USA 9733013019 amy.l.goring@accenture.com Vendor Int 3 Complete 2012/05/21 12:00:00 2012/05/24 12:00:00 2012/05/24 11:59:36 UV 2.16.840.1.113883.3.1958 sw-rmc Southwest Regional Medical Center Chris Zaglama masked Armen Arakelian 271 Waverley Oaks Road Suite 104 Waltham, MA 02452 781-663-0463 masked CIO Southwest Regional Medical Center 350 Bonar Avenue Waynesburg, PA 15370 724-627-3101 chris.zaglama@essenthealthcare.com http://www.sw-rmc.com Provider Int 3 Complete 2012/05/21 12:00:00 2012/05/24 12:00:00 2012/05/25 12:00:30 UV 2.16.840.1.113883.3.1959 sharonH Sharon Hospital Chris Zaglama masked Armen Arakelian 271 Waverley Oaks Road Suite 104 Waltham, MA 02452 781-663-0463 masked CIO Sharon Hospital 50 Hospital Hill Road Sharon, CT 06069 860-364-4000 chris.zaglama@essenthealthcare.com http://www.sharonhospital.com Provider Int 3 Complete 2012/05/22 12:00:00 2012/05/25 12:00:00 2012/05/25 12:01:31 UV 2.16.840.1.113883.3.1960 prmc Paris Regional Medical Center Chris Zaglama masked Armen Arakelian 271 Waverley Oaks Road Suite 104 Waltham, MA 02452 781-663-0463 masked CIO Paris Regional Medical Center 820 Clarksville Street Paris, Texas 75460 903-785-4521 chris.zaglama@essenthealthcare.com http://www.parisrmc.com Provider Int 3 Complete 2012/05/22 12:00:00 2012/05/24 12:00:00 2012/05/25 12:02:59 UV 2.16.840.1.113883.3.1961 ubmcut Uintah Basin Medical Center OID Root Preston Marx masked Preston Marx 250 W 300 N Roosevelt, UT 84066 4357226176 masked VP Information Systems Uintah Basin Medical Center 250 W 300 N Roosevelt, UT 84066 4357224691 pmarx@ubmc.org Provider Int 3 3 Complete 2012/05/23 12:00:00 2012/05/24 12:00:00 2012/05/25 12:04:50 UV 2.16.840.1.113883.3.1962 svmc Mercy St Vincent Medical Center Ryan Baker masked Ryan Baker Mercy St Vincent Medical Center 2213 Cherry St., Toledo, OH 43628 419-251-1522 masked Project Manager Medicity rbrant@medicity.com http://www.medicity.com Exchange Int 3 Complete 2012/05/23 12:00:00 2012/05/24 12:00:00 2012/05/25 12:14:55 UV 2.16.840.1.113883.3.1963 scmh Mercy St Charles Hospital Ryan Baker masked Ryan Baker Mercy St. Charles Hospital 2600 Navarre Ave., Oregon, OH 43616 419-251-1522 masked Project Manager Medicity rbrant@medicity.com http://www.medicity.com Exchange Int 3 Complete 2012/05/23 12:00:00 2012/05/24 12:00:00 2012/05/25 12:17:49 UV 2.16.840.1.113883.3.1964 samh Mercy St Anne Hospital Ryan Baker masked Ryan Baker Mercy St. Anne Hospital 3404 W. Sylvania Ave., Toledo, OH 43623 419-251-1522 masked Project Manager Medicity rbrant@medicity.com http://www.medicity.com Exchange Int 3 Complete 2012/05/23 12:00:00 2012/05/24 12:00:00 2012/05/25 12:19:33 UV 2.16.840.1.113883.3.1965 mhdefiance Mercy Defiance Hospital Ryan Baker masked Ryan Baker Mercy Defiance Hospital 1404 E. Second St., Defiance, OH 43512 419-251-1522 masked Project Manager Medicity rbrant@medicity.com http://www.medicity.com Exchange Int 3 Complete 2012/05/23 12:00:00 2012/05/24 12:00:00 2012/05/25 12:26:18 UV 2.16.840.1.113883.3.1966 mhtiffin Mercy Tiffin Hospital Ryan Baker masked Ryan Baker Mercy Tiffin Hospital 45 St. Lawrence Dr., Tiffin, Ohio 44883 419-251-1522 masked Project Manager Medicity rbrant@medicity.com http://www.medicity.com Exchange Int 3 Complete 2012/05/23 12:00:00 2012/05/24 12:00:00 2012/05/25 12:27:30 UV 2.16.840.1.113883.3.1967 mhwillard Mercy Willard Hospital Ryan Baker masked Ryan Baker Mercy Willard Hospital 1100 Neal Zick Rd., Willard, OH 44890 419-251-1522 masked Project Manager Medicity rbrant@medicity.com http://www.medicity.com Exchange Int 3 Complete 2012/05/23 12:00:00 2012/05/24 12:00:00 2012/05/25 12:28:34 UV 2.16.840.1.113883.3.1968 erpupoDeloitte Erik Pupo Deloitte Erik Pupo masked Erik Pupo 703-346-9534 masked Deloitte erpupo@deloitte.com Vendor Int 3 3 Complete 2012/05/23 12:00:00 2012/05/24 12:00:00 2012/05/25 12:29:48 UV 2.16.840.1.113883.17.90 emc CCD OID For Enloe Medical Center Ronald Hill masked John Hawkins Ronald Scott Hill Enloe Medical Center Information Services 1531 Esplanade Chico CA 95926 530 332 6720 masked Clinical Business Integrator Enloe Medical Center Enloe Medical Center 1531 Esplanade Chico CA 95926 (500) 332-7300 john.hawkins@enloe.org http://enloe.org Provider Int 17 Complete 2012/05/23 12:00:00 2012/05/24 12:00:00 2012/05/25 12:31:16 UV 2.16.840.1.113883.3.1969 jmmdca John Muir Health Anawat Kitthajaroenchai masked Anawat Kitthajaroenchai 1400 Treat Blvd. Walnut Creek, CA 94596 925-817-8754 masked System Analyst John Muir Health 925-941-2222 supportcerner@johnmuirhealth.com Provider Int 3 3 Complete 2012/05/23 12:00:00 2012/05/24 12:00:00 2012/05/25 12:32:14 UV 2.16.840.1.113883.3.1970 healthcurrent Health Current Myriah Vandre masked Myriah Vandre 2901 N. Central Ave., Ste. 1100 Phoenix, AZ 85012 2000 S. Colorado Blvd. Tower 1, Ste. 12000 Denver, CO 80222 844-279-7120 masked VP. Integration Contexture (formerly Health Current) 2901 N. Central Ave., Ste. 1100 Phoenix, AZ 85012 2000 S. Colorado Blvd. Tower 1, Ste. 12000 Denver, CO 80222 844-279-7120 myriah.vandre@contexture.org https://contexture.org/ Exchange Int 3 Complete 2012/05/23 12:00:00 2012/05/24 12:00:00 2024/02/12 01:56:22 UV 2.16.840.1.113883.4.561 nrmc-hl7 Nevada Regional Medical Center Allison Fast masked Allison Fast NRMC 800 S Ash St Nevada MO 64772 417-448-3698 masked IT Analyst NRMC 800 S Ash St Nevada MO 64772 417-667-3355 helpdesk@nrmchealth.com http://www.nrmchealth.com Provider Int 3 Complete 2012/05/23 12:00:00 2012/05/24 12:00:00 2012/05/25 12:36:48 UV 2.16.840.1.113883.17.91 org-NBHH North Big Horn Hospital Tracey Walker masked Rick Schroeder Tracey Walker, RRT 1115 Lane 12 Lovell, Wyoming 82431 307-548-5238 masked Quality Director North Big Horn Hospital 1115 Lane 12 Lovell, Wyoming 82431 307-548-5200 twalker@nbhh.com http://www.nbhh.com Provider Int 17 Complete 2012/05/24 12:00:00 2012/05/24 12:00:00 2012/05/25 02:14:40 UV 2.16.840.1.113883.17.92 org-lhc Livingston HealthCare Marsha Vanderhoff masked Sharon Sweeney Fee Mitch Macrow 320 Alpenglow Lane Livingston, MT 59047 406-222-3541 masked Clinical Informaticist Livingston HealthCare 320 Alpenglow Lane Livingston Mt 59047 406-222-3541 help@livhc.org http://www.livingstonhealthcare.org Provider Int 17 Complete 2012/05/24 12:00:00 2012/05/24 12:00:00 2017/08/16 11:49:39 UV 2.16.840.1.113883.3.1971 sigmacare SigmaCare OID Root Alex Gruber masked Alex Gruber 575 8th Ave 15th Floor New York, NY 10018 212-268-4242 x153 masked Director of Product Delivery eHealth Solutions, Inc 575 8th Ave 15th Floor New York, NY 10018 212-268-4242 agruber@sigmacare.com http://www.SigmaCare.com Vendor Int 3 Complete 2012/05/24 12:00:00 2012/05/24 12:00:00 2012/05/25 02:18:45 UV 2.16.840.1.113883.3.1972 hdc-May-2012 HealthDataConnect KALYAN MARUPUDI masked KALYAN MARUPUDI 3862996381 masked Technical Manager HealthDataConnect marupudi86@healthdataconnect.com Exchange Int 3 3 Complete 2012/05/24 12:00:00 2012/05/31 12:00:00 2012/05/31 06:27:28 US 2.16.840.1.113883.3.1973 altoonaregional Altoona Regional Health System Kelly Cherry masked Kelly Cherry 620 Howard Avenue Building G Altoona, PA 16601 814.889.6443 masked Applications Supervisor Altoona Regional Health System 620 Howard Avenue Building G Altoona, PA 16601 814.889.6882 kmcherry@altoonaregional.org http://www.altoonaregional.org/ Provider Int 3 Complete 2012/05/25 12:00:00 2012/05/31 12:00:00 2012/05/31 06:28:44 UV 2.16.840.1.113883.3.629.14.56 practice-KentuckyFootAnkleSpecialist Kentucky Foot & Ankle Specialist Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.56 2012/05/25 12:00:00 2012/05/31 12:00:00 2012/05/31 06:31:43 UV 2.16.840.1.113883.3.1974 mdpnp-NHIN MD PnP Jeffrey Plourde masked Jeffrey Plourde 65 Landsdowne St. Suite 200 Cambridge, MA 02140 617-768-8771 masked Application Developer MD PnP info@mdpnp.org http://mdpnp.org/ Academic Int 3 Complete 2012/05/25 12:00:00 2012/05/31 12:00:00 2012/05/31 06:33:35 UV 2.16.840.1.113883.3.629.14.57 practice-Andreas Brian Andreas, M.D. Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.57 2012/05/25 12:00:00 2012/05/31 12:00:00 2012/05/31 06:34:30 UV 2.16.840.1.113883.3.629.14.58 practice-Pica Susanne Pica, M.D. Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.58 2012/05/25 12:00:00 2012/05/31 12:00:00 2012/05/31 06:35:26 UV 2.16.840.1.113883.3.629.14.59 practice-PercyThomasMD Thomas Percy M.D., Inc. Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.59 2012/05/25 12:00:00 2012/05/31 12:00:00 2012/05/31 06:36:39 UV 2.16.840.1.113883.3.629.14.60 practice-MadisonPediatrics Madison Pediatric Associates Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.60 2012/05/25 12:00:00 2012/05/31 12:00:00 2012/05/31 06:38:21 UV 2.16.840.1.113883.3.629.14.61 practice-EganClinic Egan Clinic, PSC Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.61 2012/05/25 12:00:00 2012/05/31 12:00:00 2012/05/31 06:39:11 UV 2.16.840.1.113883.3.1975 swbhh Southwest Brooklyn Health Home Michael Carbery masked Michael P. Carbery 929 48th Street Brooklyn, NY 11219 718.283.7567 masked Directory HIE, Care Management, Maimonides Medical Center Maimonides Medical Center 4802 Tenth Avenue Brooklyn, NY 11219 718.283.6000 healthhome@maimonidesmed.org https://www.maimonidesmed.org Provider 2.16.840.1.113883.4.367 Int 3 Complete 2012/05/25 12:00:00 2012/05/31 12:00:00 2012/05/31 06:47:22 UV 2.16.840.1.113883.3.1976 healthprofusion HealthProFusion.com Ram Mohan masked Ram Mohan 204 Oswego Ct Mount Laurel NJ 08054 7138050871 masked Director Inncrewin 204 Oswego Ct Mount Laurel NJ 08054 8567937280 rammohan@inncrewin.com http://www.inncrewin.com Vendor Int 3 Complete 2012/05/26 12:00:00 2012/05/31 12:00:00 2012/05/31 06:50:28 UV 2.16.840.1.113883.3.1977 healthinsights Health Insights Co. Ayman AbulEla masked Ayman Mohamed AbulEla 0020237625637 masked Health Insights eng_aymanabollo@yahoo.com Vendor Int 3 3 Complete 2012/05/29 12:00:00 2012/05/31 12:00:00 2012/05/31 06:52:38 UV 2.16.840.1.113883.3.1978 healthinsightslab Lab Health Insights Ayman AbulEla masked Ayman Mohamed AbulEla 0020237625637 masked Health Insights LabCodes eng_aymanabollo@yahoo.com Vendor 2.16.840.1.113883.3.1977 Int 14 3 Complete 2012/05/29 12:00:00 2012/05/31 12:00:00 2012/05/31 07:05:44 UV 2.16.840.1.113883.3.1979 brmh1 Bluegrass Regional MHMR Board, Inc. Eric Crabtree masked Eric Crabtree 1351 Newtown Pike Lexington, KY 40515 859-253-1686 masked Director of Information Systems Bluegrass Regional MHMR Board, Inc. 1351 Newtown Pike Lexington, KY 40515 859-253-1686 etcrabtree@bluegrass.org http://www.bluegrass.org Vendor Int 3 Complete 2012/05/29 12:00:00 2012/05/31 12:00:00 2012/05/31 07:07:41 UV 2.16.840.1.113883.3.1980 tgi tgi Software Aaron Jones masked Aaron Jones 6150 W. Fairfield Dr. Pensacola, FL 32506 850-456-4139 masked Vice President, tgi Software tgi Software 6150 W. Fairfield Dr. Pensacola, FL 32506 850-456-4139 support@tgisoftware.com http://www.tgisoftware.com Vendor Int 3 Complete 2012/05/29 12:00:00 2012/05/31 12:00:00 2012/05/31 07:10:52 UV 2.16.840.1.113883.3.1982 ghha Greater Hazleton Health Alliance Carl Shoener masked kfogarty@ghha.org William C. Bauer 700 East Broad Street Hazleton PA 18201 570-501-4000 masked Chief Financial Officer Greater Hazleton Health Alliance 700 East Broad Street Hazleton PA 18201 570-501-4000 cshoener@ghha.org http://www.ghha.org/ HL7 body Int 3 Complete 2012/05/29 12:00:00 2012/05/31 12:00:00 2012/05/31 07:13:45 UV 2.16.840.1.113883.3.1983 bcec Brown County Eye Care Center Merle Pickel masked Merle Pickel, O.D. 50 E. Willow St., Ste. A Nashville, IN 47448 812-988-4937 masked O.D. & owner Brown County Eye Care Center 50 E. Willow St., Ste. A Nashville, IN 47448 812-988-4937 info@browncountyeyecare.com http://www.browncountyeyecare.com Provider Int 3 Complete 2012/05/29 12:00:00 2012/05/31 12:00:00 2012/05/31 07:15:22 UV 2.16.840.1.113883.3.1984 abhs Alexian Brothers Health System Vivien Pineda masked Vivien Pineda Alexian Brothers Health System 3040 Salt Creek Lane Arlington Heights, IL 60005 847.394.6433 masked Systems Analyst - Data Integration Alexian Brothers Health System 3040 Salt Creek Lane Arlington Heights, IL 60005 847.385.7100 dicksonv@alexian.net Provider Int 3 Complete 2012/05/29 12:00:00 2012/05/31 12:00:00 2012/08/08 05:31:13 UV 2.16.840.1.113883.4.562 vce Vista Cloud EHR Sid Tarason masked Sid Tarason 10237 New Forest ct Ellicott City, MD 4434207920 masked COO Vista Cloud EHR 120 Woodridge Pl. Laurel, MD 20724 4438641844 seosidney@gmail.com Vendor Int 4 4 Complete 2012/05/30 12:00:00 2012/05/31 12:00:00 2012/05/31 07:20:21 UV 2.16.840.1.113883.3.1985 mrmclorain Mercy Regional Medical Center Ryan Baker masked Ryan Baker Mercy Regional Medical Center 3700 Kolbe Rd. Lorain, OH 44053 (440) 960-4000 419-251-1522 masked Project Manager Medicity rbrant@medicity.com http://www.medicity.com Exchange Int 3 Complete 2012/05/30 12:00:00 2012/05/31 12:00:00 2012/05/31 07:25:00 UV 2.16.840.1.113883.3.1986 mahlorain Mercy Allen Hospital Ryan Baker masked Ryan Baker Mercy Allen Hospital 200 W. Lorain St. Oberlin, Ohio 44074 440-775-1211 419-251-1522 masked Project Manager Medicity rbrant@medicity.com http://www.medicity.com Exchange Int 3 Complete 2012/05/30 12:00:00 2012/05/31 12:00:00 2012/05/31 07:26:18 UV 2.16.840.1.113883.3.1987 stvnks Stevens County Hospital Kansas Linda Stalcup masked Dawn Maas 620-544-6192 masked D.O.N Stevens County Hospital 1006 S. Jackson Hugoton, KS 67951 620-544-8511 lstalcup@svcohosp-pm.org HL7 body Int 3 Complete 2012/05/30 12:00:00 2012/05/31 12:00:00 2012/05/31 07:29:21 UV 2.16.840.1.113883.3.1070.5030 mckesson-fusion-5030 mckesson-fusion-5030 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffany.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5030 2012/05/30 12:00:00 2012/05/31 12:00:00 2012/05/31 07:33:27 US 2.16.840.1.113883.3.1988 gwccalhoun Genesis Women's Center Daniel Hebard masked Debbie Owens 160 Curtis Parkway Calhoun, GA 30701 706-629-7380 masked Office manager Genesis Women's Center 160 Curtis Parkway Calhoun, GA 30701 706-629-7380 dowens@genesiswomenscenter.net http://www.genesiswomenscenter.net Provider Int 3 Complete 2012/05/30 12:00:00 2012/05/31 12:00:00 2012/05/31 07:35:24 UV 2.16.840.1.113883.3.1989 nwgmgcalhoun Northwest Georgia Medical Group Daniel Hebard masked Neil Gavel 400 Timms Rd. Calhoun, GA 30701 706-625-0022 masked Office Manager Northwest Georgia Medical Group 400 Timms Rd. Calhoun, GA 30701 706-625-0022 ngavel@nwgmg.com http://www.nwgmg.com/Locations.html Provider Int 3 Complete 2012/05/30 12:00:00 2012/05/31 12:00:00 2012/05/31 08:12:06 UV 2.16.840.1.113883.3.1990 calhounobgyn Calhoun OB/GYN Associates Daniel Hebard masked Polly Brannon 170 Curtis Parkway, Suite 1 Calhoun, GA 30701 706-625-1275 masked Office Manager Calhoun OB/GYN Associates 170 Curtis Parkway, Suite 1 Calhoun, GA 30701 706-625-1275 pbrannon1@comcast.net http://www.calhounobgyn.com/ Provider Int 3 Complete 2012/05/30 12:00:00 2012/05/31 12:00:00 2012/05/31 08:14:51 UV 2.16.840.1.113883.3.1991 vbmc Vassar Brothers Medical Center Michael Ardieta masked Michael Ardieta 7 Fox Street 4th Floor Poughkeepsie, NY 12601 845-483-6779 masked Manager of Meaningful Use Vassar Brothers Medical Center 45 Reade Place Poughkeepsie, NY 12601 845-454-8500 vbmcinfo@health-quest.org Provider Int 3 Complete 2012/05/31 12:00:00 2012/05/31 12:00:00 2012/05/31 08:19:07 UV 2.16.840.1.113883.3.1992 ndh Northern Dutchess Hospital Michael Ardieta masked Michael Ardieta 7 Fox Street 4th FL Poughkeepsie,NY 12601 845-483-6779 masked Manager of Meaningful Use Nothern Dutchess Hospital 6511 Springbrook Ave Rhinebeck, NY 12572 845-876-3001 ndhinfo@health-quest.org Provider Int 3 Complete 2012/05/31 12:00:00 2012/05/31 12:00:00 2012/05/31 08:20:05 UV 2.16.840.1.113883.3.1993 phc Putnam Hospital Michael Ardieta masked Michael Ardieta 7 Fox Street 4th FL Poughkeepsie, NY 12601 845-483-6779 masked Manager of Meaningful Use Putnam Hospital Center 670 Stoneleigh Ave Carmel, NY 10512 845-279-5711 phcinfo@health-quest.org Provider Int 3 Complete 2012/05/31 12:00:00 2012/05/31 12:00:00 2012/05/31 08:21:21 UV 2.16.840.1.113883.3.1994 oberd Universal Research Solutions, LCC - OBERD Matt Allen masked Matt Allen 573.442.7101 masked Universal Research Solutions, LLC 123 South 8th St. Columbia, MO 65201 573.442.7101 oid@oberd.com http://www.oberd.com Vendor Int 3 Complete 2012/05/31 12:00:00 2012/05/31 12:00:00 2012/05/31 08:22:23 UV 2.16.840.1.113883.3.1070.5027 mckesson-fusion-5027 mckesson-fusion-5027 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5027 2012/05/31 12:00:00 2012/05/31 12:00:00 2012/05/31 08:23:46 US 2.16.840.1.113883.3.1995 inmediata Inmediata Charles Kabui masked Charles Kabui 200 South Tryon Suite 1700 Charlotte NC 28202 7049307312 masked EDI Inmediata Corporation 200 South Tryon Suite 1700 Charlotte NC 28202 888-466-9656 ctorres@secureedi.com http://www.inmediata.com/ Vendor Int 3 Complete 2012/05/31 12:00:00 2012/05/31 12:00:00 2012/05/31 08:24:41 UV 2.16.840.1.113883.3.1996 sh Sutter Health David Schramm masked Maisha Weary 3707 Schriever Avenue Mather, CA 95655 (916) 733-7249 masked Application Team Supervisor Sutter Health 3707 Schriever Avenue Mather, CA 95655 (916) 733-7249 wearym@sutterhealth.org http://www.sutterhealth.org Govt body Int 3 Complete 2012/05/31 12:00:00 2012/05/31 12:00:00 2012/05/31 08:27:40 UV 2.16.840.1.113883.3.1997 mmkoid McPherson Hospital OID Tonyia Bartholomew masked Ryan Bichteman 1000 Hospital Drive McPherson, KS 67460 620-241-2251 x244 masked Systems Administrator McPherson Hospital Inc. 1000 Hospital drive McPherson, KS 67460 620-241-2251 ryanb@mcphersonhospital.org http://www.mcphersonmemorial.org/ Provider Int 3 Complete 2012/06/01 12:00:00 2012/06/20 12:00:00 2012/06/20 02:13:30 UV 2.16.840.1.113883.4.563 mongeneral Monongalia General Hospital Terry Morgan masked Terry Morgan Monongalia General Hospital Terry Morgan, IT Dept 1200 J D Anderson Drive Morgantown, WV 26505 304-598-1963 masked Programming & Development Coordinator Monongalia General Hosptial morgant@monhealthsys.org https://209.145.89.191 Provider Int 3 Complete 2012/06/01 12:00:00 2012/06/20 12:00:00 2012/06/20 02:18:56 UV 2.16.840.1.113883.4.564 acs-statelabs State lab information in the CCD Doug DeShazo masked Doug DeShazo 678-243-9634 masked ACS Government Healthcare 9040 Roswell Road Sandy Springs, GA 30350 678-243-9634 douglas.deshazo@xerox.com Vendor 2.16.840.1.113883.3.147 Int 4 Complete 2012/06/01 12:00:00 2012/06/20 12:00:00 2012/06/20 02:20:04 UV 2.16.840.1.113883.4.565 schuylerhospital Schuyler Hospital, Inc Ronald Havlen masked Ronald Havlen Schuyler Hospital 220 Steuben St Montour Falls, NY 14865 607-535-7121 masked IT Manager Schuyler Hospital 220 Steuben St Montour Falls, NY 14865 607-535-7121 havlenr@schuylerhospital.org http://www.schuylerhospital.org Provider Int 3 Complete 2012/06/01 12:00:00 2012/06/20 12:00:00 2012/06/20 02:28:25 UV 2.16.840.1.113883.3.1998 gpjod-FTE Gregory P. Jellenek, OD & Associates, PC Greg Jellenek masked Greg Jellenek 1490 Quarterpath Rd., 5-A #353 Williamsburg, VA 23185 757-645-3930 masked President Gregory P. Jellenek, OD & Associates, PC 1490 Quarterpath Rd., 5-A #353 Williamsburg, VA 23185 757-645-3930 drjellenek@gmail.com Provider Int 3 Complete 2012/06/01 12:00:00 2012/06/20 12:00:00 2018/04/16 01:43:38 UV 2.16.840.1.113883.3.1070.5026 mcKesson-fusion-5026 mcKesson-fusion-5026 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment Johnny.moore@McKesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5026 2012/06/01 12:00:00 2012/06/20 12:00:00 2012/06/20 02:32:47 US 2.16.840.1.113883.3.1999 mi-vch Via Christi Health Lisa Whitney masked Dave Gestenslager Via Christi Health 3720 E. Bayley Wichita, KS 67218 316-719-3452 masked Application Architecture Manager Via Christi Health Via Christi Health 3720 E. Bayley Wichita, KS 67218 316-719-3452 dave.gestenslager@viachristi.org http://www.viachristi.org Provider Int 3 Complete 2012/06/04 12:00:00 2012/06/20 12:00:00 2012/06/20 02:35:55 UV 2.16.840.1.113883.3.2000 quadax Quadax Sean Esson masked Sean Esson 7500 Old Oak Blvd Middleburg Heights, OH 44130 440-777-6305 x2196 masked EDI Systems Project Manager Quadax, Inc. 7500 Old Oak Blvd Middleburg Heights, OH 44130 440-777-6300 seanesson@quadax.com Vendor Int 3 Complete 2012/06/04 12:00:00 2012/06/20 12:00:00 2012/06/20 02:43:37 UV 2.16.840.1.113883.3.2001 e-doi Eye-do Optical, Inc Jerome Gundersheimer masked Jerome 600 E Taylor St, Ste 210 Sherman, TX 75090 (903) 868-1135 masked Owner Eye-do Optical, Inc 600 E Taylor St, Ste 210 Sherman, TX 75090 (903) 868-1135 jeg@eye-do-texoma.com http://www.eye-do-texoma.com Provider Int 3 Complete 2012/06/05 12:00:00 2012/06/20 12:00:00 2012/06/20 02:44:24 UV 2.16.840.1.113883.3.2002 shs-1 Shore Health System Kimberly Heffner masked Kimberly Heffner 219 South Washington Street Easton, MD 21601 410-490-6490 masked Clinical Application Manager Shore Health System 219 South Washington Street Easton, MD 21601 410-822-1000 kheffner@shorehealth.org http://www.shorehealth.org/ Provider Int 3 Complete 2012/06/06 12:00:00 2012/06/20 12:00:00 2012/06/20 02:46:25 UV 2.16.840.1.113883.3.2003 medforce medforce Prod Anjita Shetty masked Anjita Shetty 750 Chestnut Ridge Rd, Chestnut Ridge, NY 10977 8454260459 masked Development Manager MedFORCE Technologies 750 Chestnut Ridge Rd, Chestnut Ridge, NY 10977 8454260459 ashetty@medforcetech.com http://www.medforcetech.com Govt body Int 3 Complete 2012/06/06 12:00:00 2012/06/20 12:00:00 2012/06/20 02:49:29 UV 2.16.840.1.113883.3.2004 dcmc Door County Medical Center Brian Bushmaker masked Brian Bushmaker 323 S 18th Avenue Sturgeon Bay, WI 54235 920-746-3538 masked Integration Analyst Door County Medical Center 323 S. 18th Avenue Sturgeon Bay, WI 54235 800.522.8919 brian.bushmaker@dcmedical.org http://dcmedical.org Provider Int 3 Complete 2012/06/06 12:00:00 2012/06/20 12:00:00 2017/11/28 01:26:39 UV 2.16.840.1.113883.3.2005 hangen Hanover Hospital Scott Myers masked Josh Fishel Josh Fishel 717-646-6979 masked Interface Coordinator Hanover Hospital 300 Highland Avenue Hanover PA 17331 717-637-3711 myerss@hanoverhospital.org HL7 body Int 3 Complete 2012/06/07 12:00:00 2012/06/20 12:00:00 2012/06/20 02:52:30 UV 2.16.840.1.113883.4.566 shcpcc Syringa Hospital Primary Care Clinics to HL7 Jill Devereaux masked Jill Devereaux 607 W Main Grangeville, ID 83530 208-983-8590 masked HIT Specialist Syringa Hospital & Clinics 607 W.Main Grangeville, ID 208-983-1700 jdevereaux@syringahospital.org http://syringahospital.org Provider 2.16.840.1.113883.4.484 Int 4 Complete 2012/06/07 12:00:00 2012/06/20 12:00:00 2012/06/20 02:59:38 UV 2.16.840.1.113883.3.2006 mms Memorial Hospital Inc. Chris O'Neal masked Chris O'Neal 270-265-2191 masked Network Administrator Memorial Hospital Inc. 91 Hospital Drive Towanda PA 18848 570 265 2191 chris.oneal@memorialhospital.org Provider Int 3 Complete 2012/06/07 12:00:00 2012/06/20 12:00:00 2012/06/20 03:02:18 UV 2.16.840.1.113883.4.567 wmWBackusHosp The William W. Backus Hospital Bradford Miller masked Bradford Miller MIS Department 326 Washington Street Norwich, CT 06360 860 892 2773 masked Interface Analyst The William W. Backus Hospital 326 Washington Street Norwich, CT 06360 860 889 8331 bradford.miller@hhchealth.org http://www.backushospital.org/ Provider Int 3 Complete 2012/06/07 12:00:00 2012/06/20 12:00:00 2014/06/20 12:12:06 UV 2.16.840.1.113883.3.2007 pathlabs Pathology Laboratories, Inc. Joe Etten masked Joe Etten 1946 N. 13th St. Suite 301 Toledo, OH 43604 419-255-4600 masked Network Administrator Pathology Laboratories, Inc. 1946 N. 13th St. Suite 301 Toledo, OH 43604 419-255-4600 jetten@pathlabs.org http://www.pathlabs.org Provider Int 3 Complete 2012/06/08 12:00:00 2012/06/20 12:00:00 2012/06/20 03:09:40 UV 2.16.840.1.113883.3.1070.5031 mckesson-fusion-5031 mckesson-fusion-5031 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5031 2012/06/08 12:00:00 2012/06/20 12:00:00 2012/06/20 03:12:00 US 2.16.840.1.113883.3.1070.5033 mckesson-fusion-5033 mckesson-fusion-5033 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffany.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5033 2012/06/08 12:00:00 2012/06/20 12:00:00 2012/06/20 03:13:47 US 2.16.840.1.113883.3.1070.5029 mckesson-fusion-5029 mckesson-fusion-5029 Melba McNeil masked Fusion Enrollment 8775074541 masked Fusion Enrollment melba.mcneil@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5029 2012/06/08 12:00:00 2012/06/20 12:00:00 2012/06/20 03:15:43 US 2.16.840.1.113883.3.2008 bvhs-02 Bluffton Hospital Debra Furbush masked Debra Furbush 1900 South Main Street Findlay, Ohio 45840 419-423-5529 masked EHR Coordinator Bluffton Hospital 139 Garau Street Bluffton, Ohio 45817 419-358-9010 dfurbush@bvhealthsystem.org Provider Int 3 Complete 2012/06/08 12:00:00 2012/06/20 12:00:00 2012/06/20 03:20:05 UV 2.16.840.1.113883.3.2009 mchsw Mayo Clinic Health System in Waycross Barry Rudd masked Barry Rudd 1900 Tebeau Street Waycross, GA 31501 912-338-6341 masked Director of Information Technology Mayo Clinic Health System in Waycross 1900 Tebeau Street Waycross, GA 31501 912-283-3030 barryr@satilla.org http://mayoclinichealthsystem.org/locations/waycross Provider Int 3 Complete 2012/06/11 12:00:00 2012/06/20 12:00:00 2012/06/20 03:24:03 UV 2.16.840.1.113883.3.2010 healthwyse HealthWyse Type 3 Organizational OID Geoffrey Pascoe masked HealthWyse Geoffrey A. Pascoe 603-866-1067 masked Health IT, Medical Device Interoperability and Security Consultant HealthWyse 60 Concord Street Wilmington, MA 01887 877-777-9973 info@healthwyse.com http://www.healthwyse.com Vendor Int 3 Complete 2012/06/11 12:00:00 2012/06/20 12:00:00 2012/06/20 03:25:15 UV 2.16.840.1.113883.3.2010.1 healthwyse-org-reg-authority Organizational registration authority for HealthWyse Geoffrey Pascoe masked HealthWyse Geoffrey A. Pascoe 603-866-1067 masked Health IT, Medical Device Interoperability, and Security Consultant HealthWyse 60 Concord Street Wilmington, MA 01887 877-777-9973 info@healthwyse.com http://www.healthwyse.com Vendor 2.16.840.1.113883.3.2010 Ext 14 14 Complete 2.16.840.1.113883.3.2010.1 2012/06/11 12:00:00 2012/06/20 12:00:00 2012/06/20 03:35:24 UV 2.16.840.1.113883.3.2010.2 cda-doc-level-templates Root of HealthWyse CDA Document-Level Templates Geoffrey Pascoe masked HealthWyse Geoffrey 603-866-1067 masked Health IT, Medical Device Interoperability, and Security Consultant HealthWyse 60 Concord Street Wilmington, MA 01887 877-777-9973 info@healthwyse.com http://www.healthwyse.com Vendor 2.16.840.1.113883.3.2010.1 Ext 14 14 Complete 2.16.840.1.113883.3.2010.2 2012/06/11 12:00:00 2012/06/20 12:00:00 2012/06/20 03:36:46 UV 2.16.840.1.113883.3.2010.2.1 cda-caresummaryreport-diabetes Document-Level Template for Diabetes Care Summary Report Geoffrey Pascoe masked HealthWyse Geoffrey A. Pascoe 603-866-1067 masked Health IT, Medical Device Interoperability, and Security Consultant HealthWyse 60 Concord Street Wilmington, MA 01887 877-777-9973 info@healthwyse.com http://www.healthwyse.com Vendor 2.16.840.1.113883.3.2010.1 Ext 17 17 Complete 2.16.840.1.113883.3.2010.2.1 2012/06/11 12:00:00 2012/06/20 12:00:00 2012/06/20 03:38:34 UV 2.16.840.1.113883.3.2011 oid-UCHS Upper Chesapeake Health Stephen Prouse masked Stephen Prouse 443-843-5342 masked Upper Chesapeake Health 501 South Union Avenue Have de Grace, Maryland 21078 443-843-5342 sprouse@uchs.org Provider Int 3 Complete 2012/06/11 12:00:00 2012/06/20 12:00:00 2012/06/20 03:41:46 UV 2.16.840.1.113883.3.2012 cmmn-oh Community Memorial Hospital OID Root Sharon Klima masked Sharon Klima 208 N. Columbus Street Hicksville, OH 43526 419-542-5594 masked Information Systems Manager Community Memorial Hospital 208 N. Columbus Street Hicksville, OH 43526 419-542-5594 sklima@cmhosp.com Provider Int 3 3 Complete 2012/06/12 12:00:00 2012/06/20 12:00:00 2012/06/20 03:43:21 UV 2.16.840.1.113883.3.2013 drFirstOID DrFirst, Inc. John Smith masked Eric Rosenfeld 9420 Key West Avenue Suite 230 Rockville, MD 20850 301-231-9510 x2844 masked CIO DrFirst, Inc. 9420 Key West Avenue Suite 230 Rockville, MD 20850 301-231-9510 erosenfeld@drfirst.com https://www.drfirst.com Vendor Int 3 3 Complete 2012/06/12 12:00:00 2012/06/20 12:00:00 2012/06/20 03:45:52 UV 2.16.840.1.113883.10.20.26 vitalStatisticsReporting Vital Statistics Reporting Template Group Mead Walker masked Michelle Williamson Mead Walker 1199 Hopewell Rd. Downingtown PA 19335 USA 610-518-6259 masked HL7 Public Health & Emergency Response WG Health Level 7 3300 Washtenaw Ave. Suite 227 Ann Arbor, MI 48104 USA pher@lists.hl7.org HL7 body Ext 10 Complete 2.16.840.1.113883.10.20.26 2012/06/12 12:00:00 2012/06/20 12:00:00 2012/06/20 03:48:06 UV 2.16.840.1.113883.3.2014 visInterOpProd Visonex Production Connection Scott Lamers masked Dino Capone 916 Willard Dr. Suite 200 Green Bay WI, 54304 920-491-2275 masked Vice President of Quality & Development Visonex, LLC 916 Willard Dr. Suite 200 Green Bay WI, 54304 920-491-2275 dcapone@visonex.com http://www.visonex.com/ Vendor Int 3 Complete 2012/06/12 12:00:00 2012/06/20 12:00:00 2017/05/02 01:11:15 UV 2.16.840.1.113883.3.2015 visInterOpDev Visonex Interoperability Development Scott Lamers masked Dino Capone 916 Willard Dr. Suite 200 Green Bay, WI 54304 920-491-2275 masked Vice President of Quality & Development Visonex, LLC 916 Willard Dr. Suite 200 Green Bay, WI 54304 920-491-2275 dcapone@visonex.com http://www.visonex.com Vendor Int 3 Complete 2012/06/12 12:00:00 2012/06/20 12:00:00 2017/04/06 05:16:58 UV 2.16.840.1.113883.3.2016 visInterOpStage Visonex Interoperability Staging Scott Lamers masked Dino Capone 916 Willard Dr. Suite 200 Green Bay, WI 54304 920-491-2275 masked Vice President of Quality & Development Visonex, LLC 916 Willard Dr. Suite 200 Green Bay, WI 54304 920-491-2275 dcapone@visonex.com http://www.visonex.com Vendor Int 3 Complete 2012/06/12 12:00:00 2012/06/20 12:00:00 2017/04/06 05:15:14 UV 2.16.840.1.113883.3.2017 dod-DMDC OID root for DMDC Gregory Lavoie masked Daniel Vidosic Department of Defense(DoD)Center Monterey Bay 400 Gigling Road Seaside, CA 93955-6671 858-621-3632 masked IT Specialist, iEHR DMDC Identity Management Lead US DoD DMDC Department of Defense (DoD) Center Monterey Bay 400 Gigling Road Seaside, CA 93955-6671 831-583-2400 pankajkumar.patel@osd.pentagon.mil Govt body Int 3 Complete 2012/06/12 12:00:00 2012/06/20 12:00:00 2012/06/20 08:58:35 UV 2.16.840.1.113883.3.2018 wag Walgreens Michael Jennings masked Alan.Berkelhamer@Walgreens.com Mike Jennings Walgreens Corporate Center 1419 Lake Cook Road MS: L497 Deerfield, IL 60015 847-964-7692 masked Director, Data Governance Walgreens Walgreen Co. 200 Wilmot Road Deerfield, IL 60015 877-250-5823 info@Walgreens.com http://www.Walgreens.com Provider Int 3 3 Complete 2012/06/13 12:00:00 2012/06/20 12:00:00 2014/09/25 08:30:06 UV 2.16.840.1.113883.3.2019 bluemark Bluemark LLC Bryan Exner masked Bryan Exner 256 Main Street New Paltz, NY 12561 8452569868 masked CEO Bluemark LLC 256 Main Street New Paltz, NY 12561 8452569868 bryane@bluemark.net http://www.bluemark.net Vendor Int 3 Complete 2012/06/13 12:00:00 2012/06/20 12:00:00 2012/06/20 09:01:29 UV 2.16.840.1.113883.3.2020 brhs CHI St Luke's Health Brazosport Jan Davis masked Todd Edwards Vishnu Kalyankar CHI St Luke's Health Brazosport 100 Medical Drive Lake Jackson, TX 77566 979-285-1249 masked HL7 Analyst CHI St Luke's Health Brazosport CHI St Luke's Health Brazosport 100 Medical Drive Lake Jackson, TX 77566 979-285-1849 todd.edwards@brhstx.org http://www.brazosportregional.org Provider Int 3 Complete 2012/06/13 12:00:00 2012/06/20 12:00:00 2016/06/27 03:56:40 UV 2.16.840.1.113883.3.2021 scdy Deyangshi of Sichuan, China Lin Dy masked Lin Xd 2333232332 masked Manager scdy lin_xd@126.com Govt body Int 3 Complete 2012/06/14 12:00:00 2012/06/20 12:00:00 2012/06/20 09:09:22 CN 2.16.840.1.113883.3.2022 phprac Palmetto Health Physician Practices Sallie Carvalho masked Sallie Carvalho Palmetto Health Information Technology 7909 Parklane Road, Ste 400 Columbia, SC 29223 803.434.1471 masked Sr Applications Architect Palmetto Health Palmetto Health Information Technology 7909 Parklane Road, Ste 400 Columbia, SC 29223 803.434.1471 sallie.carvalho@palmettohealth.org http://www.palmettohealth.org/ Provider Int 3 3 Complete 2012/06/14 12:00:00 2012/06/20 12:00:00 2012/06/20 09:11:34 UV 2.16.840.1.113883.3.2023 phcs-oid Princeton HealthCare System OID Vinay Bharel masked Vinay Bharel 1 Plainsboro Road Plainsboro, NJ 08536 6099365812 masked Princeton HealthCare System 1 Plainsboro Road Plainsboro, NJ 08536 (609) 497-4357 dl-it-clinical-apps@princetonhcs.org http://www.princetonhcs.org Provider Int 3 3 Complete 2012/06/14 12:00:00 2012/06/20 12:00:00 2012/06/20 09:15:29 US 2.16.840.1.113883.3.2024 mrcod Mark R Christensen, O.D., Inc., A Professional Optometric Corporation Mark Christensen masked Mark R Christensen 1710 Pennsylvania Ave., Suite B Fairfield, CA 94533 707-425-2187 masked CEO/President Mark R Christensen, O.D., Inc., A Professional Optometric Corporation 1710 Pennsylvania Ave., Suite B Fairfield, CA 94533 707-425-2187 dreyesight@yahoo.com http://www.dreyesight.net Provider Int 3 Complete 2012/06/14 12:00:00 2012/06/20 12:00:00 2012/06/20 09:17:04 UV 2.16.840.1.113883.17.93 hahInterface1 Hillsboro Area Hospital Interface 1 Alex Nazaria masked Ashley Coleman Hillsboro Area Hospital 1200 E. Tremont St. Hillsboro, IL 62049 217-532-4288 masked Clinical Informatics Nurse Hillsboro Area Hospital 1200 E. Tremont St. Hillsboro, IL 62049 217-532-6111 geofftrost@hillsboroareahospital.org http://www.hillsboroareahospital.org Provider Int 17 Complete 2012/06/15 12:00:00 2012/06/20 12:00:00 2026/07/02 12:53:34 UV 2.16.840.1.113883.3.2025 hvci Health Ventures of Central Iowa Chris Williams masked Chris Williams McFarland Clinic PC PO Box 3014 Ames IA 50010-3014 +1 515-663-8698 masked Interface Architect Health Ventures of Central Iowa McFarland Clinic PC Attn Chris Williams PO Box 3014 Ames IA 50010-3014 USA +1 515-239-4400 cbwilliams@mcfarlandclinic.com http://www.mcfarlandclinic.com Provider Int 3 Complete 2012/06/15 12:00:00 2012/06/20 12:00:00 2012/06/20 09:31:43 UV 2.16.840.1.113883.3.2026 ffcn ffcn Steve Wang masked WANG WEI QI +8618018668188 masked WANG WEI QI +8618018668188 wangweiqi@me.com Academic Int 3 Complete 2012/06/18 12:00:00 2012/06/20 12:00:00 2012/06/20 09:36:12 UV 2.16.840.1.113883.3.2027 slch St. Luke's Cornwall Hospital Eric Nunn masked Aaron Kramer Eric Nunn 70 Dubois Street Newburgh, NY 12550 845-784-3078 masked Systems Analyst III/Interfaces St. Luke's Cornwall Hospital 70 Dubois Street Newburgh, NY 12550 845-561-4400 inquiry@slchospital.org http://www.stlukescornwallhospital.org/ Provider Int 3 Complete 2012/06/18 12:00:00 2012/06/20 12:00:00 2012/06/20 09:37:25 ANS+ UV 2.16.840.1.113883.3.2028 connally-mmc Connally Memorial Medical Center Kim Schultz masked Albert Ruiz Kim Schultz 499 10th Street Floresville, Texas 78114 8303931475 masked Health IT Director Connally Memorial Medical Center 499 10th Street Floresville, Texas 78114 8303931300 aruiz@wirenetsolutions.com http://www.connallymmc.org/ Provider Int 3 Complete 2012/06/18 12:00:00 2012/06/20 12:00:00 2012/06/20 09:43:29 US 2.16.840.1.113883.4.568 rmhHealthcare Sentara RMH Medical Center Travis Fulk masked Don Heishman 2010 Health Campus Drive Harrisonburg, VA 22801 5406897543 masked Systems Integration Group Manager Sentara RMH Medical Center 2010 Health Campus Drive Harrisonburg, VA 22801 5406891000 dfheishm@sentara.com Provider Int 3 Complete 2012/06/19 12:00:00 2012/06/20 12:00:00 2014/07/22 09:45:12 UV 2.16.840.1.113883.3.2029 elseviergoldstandard Elsevier/Gold Standard Chris Steiner masked t.anderson@elsevier.com chris steiner 302 Knights Run Ave, Suite 800, Tampa, FL 33602 813-579-2761 masked Product Manager Elsevier 302 Knights Run Ave, Suite 800, Tampa, FL 33602 c.steiner@elsevier.com Vendor Int 3 Complete 2012/06/19 12:00:00 2012/06/20 12:00:00 2012/06/20 09:51:30 UV 2.16.840.1.113883.3.2030 th-nd TRINITY HEALTH NORTH DAKOTA Nancy Pross masked NANCY PROSS 7018573641 masked MEANINGFUL USE PROJECT MANAGER TRINITY HEALTH 1 BURDICK EXPRESSWAY WEST MINOT, ND 58701 7018575000 NANCY.PROSS@TRINITYHEALTH.ORG http://www.trinityhealth.org Provider Int 3 Complete 2012/06/19 12:00:00 2012/06/20 12:00:00 2012/06/20 09:54:57 UV 2.16.840.1.113883.17.94 uahs Upper Allegheny Health System Michael Wilson masked UAHS Michael Wilson 515 Main Street Olean NY, 14760 716-375-4199 masked Senior Systems Administrator Upper Allegheny Health System 515 Main Street Olean NY, 14760 support@uahs.org http://www.ogh.org/ Provider Int 17 17 Complete 2012/06/20 12:00:00 2012/06/20 12:00:00 2012/06/20 09:59:57 UV 2.16.840.1.113883.3.2031 nlm-odpc NICOL L MAYFIELD OD PC NICOL MAYFIELD masked NICOL 6734 S 163RD ST OMAHA, NE 68135 402-492-9440 masked NICOL L MAYFIELD OD PC 6304 N 99TH ST OMAHA, NE 68134 402-492-9440 MAYFIELDOD@GMAIL.COM Provider Int 3 Complete 2012/06/20 12:00:00 2012/06/20 12:00:00 2012/06/20 10:20:47 UV 2.16.840.1.113883.3.2032 cvmc Chino Valley Medical Center Jeffrey Cox masked Chino Valley Medical Center Jeffrey Cox 5451 Walnut Ave. Chino, CA 91710 909-464-8600 masked I.T. Manager Chino Valley Medical Center 5451 Walnut Ave. Chino, CA 91710 909-464-8600 help@primehealthcare.com http://www.cvmc.com Provider Int 3 3 Complete 2012/06/20 12:00:00 2012/06/20 12:00:00 2012/06/20 10:21:45 UV 2.16.840.1.113883.3.2033 mhmc Montclair Hospital Medical Center Jeffrey Cox masked Montclair Hospital Medical Center Jeffrey Cox 5000 San Bernardino St. Montclair, CA 91763 909-625-5411 masked I.T. Manager Montclair Hospital Medical Center 5000 San Bernardino St. Montclair, CA 91763 909-625-5411 help@primehealthcare.com http://www.montclair-hospital.com Provider Int 3 3 Complete 2012/06/20 12:00:00 2012/06/20 12:00:00 2012/06/20 10:22:45 UV 2.16.840.1.113883.3.2034 sdch San Dimas Community Hospital Jeffrey Cox masked San Dimas Community Hospital Jeffrey Cox 1350 W. Covina Blvd. San Dimas, CA 91773 909-599-6811 masked I.T. Manager San Dimas Community Hospital 1350 W. Covina Blvd. San Dimas, CA 91773 909-599-6811 help@primehealthcare.com http://www.sandimashospital.com Provider Int 3 3 Complete 2012/06/20 12:00:00 2012/06/20 12:00:00 2012/06/20 10:23:36 UV 2.16.840.1.113883.3.2035 pssi OMNI Medical Group Ahisha Peters masked Kary Cummins Ahisha Peters 1923 S Utica Ave Tulsa, OK 74104 918-744-3131 x16737 masked Sr Clinical Analyst Physician Support Services, Inc 1923 S Utica Ave Tulsa, OK 74104 918-744-3131 x16737 azpeters@sjmc.org http://www.omnimedicalgroup.com/ Provider Int 3 3 Complete 2012/06/21 12:00:00 2012/06/28 12:00:00 2012/06/28 08:43:09 UV 2.16.840.1.113883.3.2036 sjp St Johns Physicians, Inc Ahisha Peters masked Kary Cummins Ahisha Peters 1923 S Utica Ave Tulsa, OK 74104 918-744-3131 x16737 masked Sr Clinical Analyst St Johns Physicians, Inc 1923 S Utica Ave Tulsa, OK 74104 918-744-3131 x16737 azpeters@sjmc.org http://www.sjmc.org Provider Int 3 3 Complete 2012/06/21 12:00:00 2012/06/28 12:00:00 2012/06/28 08:46:19 UV 2.16.840.1.113883.17.95 denver-health Denver Health & Hospitals Authority James Lopez masked James Lopez 660 Bannock St MC1932 Denver, CO 80204 303-602-9916 masked Integration Manager Denver Health & Hospitals Authority 777 Bannock St Denver, CO 80204 303-436-6000 james.lopez@dhha.org http://www.denverhealth.org Provider Int 17 17 Complete 2012/06/21 12:00:00 2012/06/28 12:00:00 2012/06/28 08:49:22 US 2.16.840.1.113883.3.2037 ucc St. John Urgent Care Centers Candice Evans masked kary.cummins@sjmc.org Candice Evans 1923 S. Utica Ave. Tulsa, OK 74104 9187443131 x17399 masked Asset Management St. John Urgent Care Centers 1923 S. Utica Ave. Tulsa, OK 74104 9187443131 x16737 candice.evans@sjmc.org http://www.sjmc.org Provider Int 3 3 Complete 2012/06/22 12:00:00 2012/06/28 12:00:00 2012/06/28 09:44:25 UV 2.16.840.1.113883.3.2037.1 uccutica Urgent Care Utica Candice Evans masked kary.cummins@sjmc.org Candice Evans 1923 S. Utica Ave Tulsa, OK 74104 9187443131 x17399 masked Asset Management Urgent Care Utica 1717A S Utica Ave Tulsa, OK 74104 918-748-1300 Candice.Evans@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2037 Ext 3 3 Complete 2.16.840.1.113883.3.2037.1 2012/06/22 12:00:00 2012/06/28 12:00:00 2012/06/28 09:47:12 UV 2.16.840.1.113883.3.2035.1 omniba OMNI Broken Arrow Candice Evans masked kary.cummins@sjmc.org Candice Evans 1923 S. Utica Ave Tulsa, OK 74104 9187443131 x17399 masked Asset Management OMNI Broken Arrow B.A. Medical Office Bldg., Ste. 160 800 W. Boise Circle Broken Arrow, OK 74012 918-994-9160 candice.evans@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2035 Ext 3 3 Complete 2.16.840.1.113883.3.2035.1 2012/06/22 12:00:00 2012/06/28 12:00:00 2012/06/28 01:42:12 UV 2.16.840.1.113883.3.2038 mmx Metametrix Clinical Laboratory Maria Burrell masked Maria Burrell 3425 Corporation Way Duluth, GA 30096 6786382826 masked Sr. Software Developer Metametrix Clinical Laboratory 3425 Corporation Way Duluth, GA 30096 800 2214640 inquiries@metametrix.com http://www.metametrix.com/ Provider Int 3 Complete 2012/06/22 12:00:00 2012/06/28 12:00:00 2012/06/28 01:43:32 UV 2.16.840.1.113883.3.2035.2 omniclaremore OMNI Claremore Candice Evans masked kary.cummins@sjmc.org Candice Evans 1923 S. Utica Ave Tulsa, OK 74104 9187443131 x17399 masked Asset Management OMNI Claremore 3100 Medical Parkway, Ste 100 Claremore, OK 74017 341-1000/Fax 293-3141 9187443131 x17399 candice.evans@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2035 Ext 3 Complete 2.16.840.1.113883.3.2035.2 2012/06/22 12:00:00 2012/06/28 12:00:00 2012/06/28 01:47:48 UV 2.16.840.1.113883.3.2035.3 omnilowerlevel OMNI Lower Level Candice Evans masked kary.cummins@sjmc.org Candice Evans 1923 S. Utica Ave Tulsa, OK 74104 9187443131 x17399 masked Asset Management OMNI Lower Level 1919 S Wheeling Avenue, LL Tulsa, OK 74104 918-748-7890 Candice.Evans@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2035 Ext 3 3 Complete 2.16.840.1.113883.3.2035.3 2012/06/22 12:00:00 2012/06/28 12:00:00 2012/06/28 01:49:02 UV 2.16.840.1.113883.3.2035.4 omnioologah OMNI OOLOGAH Candice Evans masked kary.cummins@sjmc.org Candice Evans 1923 S. Utica Ave Tulsa, OK 74104 9187443131 x17399 masked Asset Management OMNI Oologah 12834 S Old Hwy 169 Oologah, OK 74053 918-443-2401 candice.evans@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2035 Ext 3 3 Complete 2.16.840.1.113883.3.2035.4 2012/06/22 12:00:00 2012/06/28 12:00:00 2012/06/28 01:50:02 UV 2.16.840.1.113883.3.2037.2 urgentcaresandsprings URGENT CARE SAND SPRINGS CANDICE EVANS masked kary.cummins@sjmc.org CANDICE EVANS 1923 S. Utica Ave Tulsa, OK 74104 9187443131 x17399 masked Asset Management URGENT CARE SAND SPRINGS 402 West Morrow Road Sand Springs, OK 74063 918-245-1119 Candice.Evans@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2037 Ext 3 3 Complete 2.16.840.1.113883.3.2037.2 2012/06/22 12:00:00 2012/06/28 12:00:00 2012/06/28 01:53:50 UV 2.16.840.1.113883.3.2037.3 uccsouth Urgent Care South CANDICE EVANS masked kary.cummins@sjmc.org Candice Evans 1923 S. Utica Ave Tulsa, OK 74104 9187443131 x17399 masked Asset Management Urgent Care South 8131 S. Memorial Drive, Ste 102 Tulsa, OK 74133 918-872-6880 candice.evans@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2037 Ext 3 3 Complete 2.16.840.1.113883.3.2037.3 2012/06/22 12:00:00 2012/06/28 12:00:00 2012/06/28 01:54:33 UV 2.16.840.1.113883.3.2035.5 omniowasso OMNI OWASSO Candice Evans masked kary.cummins@sjmc.org Candice Evans 1923 S. Utica Ave Tulsa, OK 74104 9187443131 x17399 masked Asset Management OMNI Owasso 13600 E 86th St N, Ste 100 Owasso, OK 74055 918-272-9313 Candice.Evans@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2035 Ext 3 3 Complete 2.16.840.1.113883.3.2035.5 2012/06/22 12:00:00 2012/06/28 12:00:00 2012/06/28 01:50:56 UV 2.16.840.1.113883.3.2035.6 omniowassomob OMNI Owasso MOB Candice Evans masked kary.cummins@sjmc.org Candice Evans 1923 S. Utica Ave Tulsa, OK 74104 9187443131 x17399 masked Asset Management OMNI Owasso MOB 12455 E 100th St N #120 Owasso, OK 74055 918-274-5510 Candice.Evans@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2035 Ext 3 3 Complete 2.16.840.1.113883.3.2035.6 2012/06/22 12:00:00 2012/06/28 12:00:00 2012/06/28 01:58:37 UV 2.16.840.1.113883.3.2035.7 omnisandsprings OMNI Sand Springs Candice Evans masked kary.cummins@sjmc.org Candice Evans 1923 S. Utica Ave Tulsa, OK 74104 9187443131 x17399 masked Asset Management OMNI Sand Springs 402 W Morrow Road Sand Springs, OK 74063 918-245-1328 candice.evans@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2035 Ext 3 3 Complete 2.16.840.1.113883.3.2035.7 2012/06/22 12:00:00 2012/06/28 12:00:00 2012/06/28 02:01:06 UV 2.16.840.1.113883.3.2035.8 omnisapulpa OMNI Sapulpa Candice Evans masked kary.cummins@sjmc.org Candice Evans 1923 S. Utica Ave Tulsa, OK 74104 9187443131 x17399 masked Asset Management OMNI Sapulpa 1021 E Bryan Sapulpa, OK 74066 918-227-1000 candice.evans@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2035 Ext 3 3 Complete 2.16.840.1.113883.3.2035.8 2012/06/22 12:00:00 2012/06/28 12:00:00 2012/06/28 02:02:14 UV 2.16.840.1.113883.3.2035.9 omniskiatook OMNI Skiatook Candice Evans masked kary.cummins@sjmc.org Candice Evans 1923 S. Utica Ave Tulsa, OK 74104 9187443131 x17399 masked Asset Management OMNI Skiatook 1501 W. Rogers Blvd. Skiatook, OK 74070 918-396-4122 Candice.Evans@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2035 Ext 3 Complete 2.16.840.1.113883.3.2035.9 2012/06/22 12:00:00 2012/06/28 12:00:00 2012/06/28 02:05:33 UV 2.16.840.1.113883.3.2035.10 omnisouthharvard OMNI South Harvard Candice Evans masked kary.cummins@sjmc.org Candice Evans 1923 S. Utica Ave Tulsa, OK 74104 9187443131 x17399 masked Asset Management OMNI South Harvard 4720 S Harvard, Ste 100 Tulsa, OK 74135 918-749-6730 candice.evans@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2035 Ext 3 3 Complete 2.16.840.1.113883.3.2035.10 2012/06/22 12:00:00 2012/06/28 12:00:00 2012/06/28 02:06:37 UV 2.16.840.1.113883.3.2035.11 omnisouth OMNI South Memorial Candice Evans masked kary.cummins@sjmc.org Candice Evans 1923 S. Utica Ave Tulsa, OK 74104 9187443131 x17399 masked Asset Management OMNI South Memorial 8115 S Memorial Tulsa, OK 74133 918-254-6315 Candice.Evans@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2035 Ext 3 3 Complete 2.16.840.1.113883.3.2035.11 2012/06/22 12:00:00 2012/06/28 12:00:00 2012/06/28 02:22:31 UV 2.16.840.1.113883.3.2035.12 omni200 OMNI Suite 200 Candice Evans masked kary.cummins@sjmc.org Candice Evans 1923 S. Utica Ave Tulsa, OK 74104 9187443131 x17399 masked Asset Management OMNI Suite 200 1919 S Wheeling Avenue, Ste 200 Tulsa, OK 74104 918-748-7600 candice.evans@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2035 Ext 3 3 Complete 2.16.840.1.113883.3.2035.12 2012/06/22 12:00:00 2012/06/28 12:00:00 2012/06/28 02:23:23 UV 2.16.840.1.113883.3.2035.13 omni402 OMNI Suite 402 Candice Evans masked kary.cummins@sjmc.org Candice Evans 1923 S. Utica Ave Tulsa, OK 74104 9187443131 x17399 masked Asset Management OMNI Suite 402 1919 S Wheeling Avenue, Ste 402 Tulsa, OK 74104 748-7877/Fax 293-3122 9187443131 x17399 candice.evans@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2035 Ext 3 3 Complete 2.16.840.1.113883.3.2035.13 2012/06/22 12:00:00 2012/06/28 12:00:00 2012/06/28 02:25:27 UV 2.16.840.1.113883.3.2035.14 omni404 OMNI 404 Candice Evans masked kary.cummins@sjmc.org Candice Evans 1923 S. Utica Ave Tulsa, OK 74104 9187443131 x17399 masked Asset Management OMNI Suite 404 1919 S Wheeling Avenue, Ste 404 Tulsa, OK 74104 918-748-7640 Candice.Evans@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2035 Ext 3 Complete 2.16.840.1.113883.3.2035.14 2012/06/22 12:00:00 2012/06/28 12:00:00 2012/06/28 02:26:53 UV 2.16.840.1.113883.3.2035.15 omni700 OMNI 700 Candice Evans masked kary.cummins@sjmc.org Candice Evans 1923 S. Utica Ave Tulsa, OK 74104 9187443131 x17399 masked Asset Management OMNI Suite 700 1919 S Wheeling Avenue, Ste 700 Tulsa, OK 74104 918-748-7630 candice.evans@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2035 Ext 3 3 Complete 2.16.840.1.113883.3.2035.15 2012/06/22 12:00:00 2012/06/28 12:00:00 2012/06/28 02:28:08 UV 2.16.840.1.113883.3.2035.16 mac Medical Access Clinic Candice Evans masked kary.cummins@sjmc.org Candice Evans 1923 S. Utica Ave Tulsa, OK 74104 918-744-3131 x17399 masked Asset Management Rockford Medical Access Care 1421 East 19th Street Tulsa, OK 74120 918-295-2322 Candice.Evans@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2035 Ext 3 3 Complete 2.16.840.1.113883.3.2035.16 2012/06/22 12:00:00 2012/06/28 12:00:00 2012/06/28 02:30:14 UV 2.16.840.1.113883.3.2036.1 sjpcardiosurgery SJP Cardiovascular Surgery Candice Evans masked kary.cummins@sjmc.org Candice Evans 1923 S. Utica Ave Tulsa, OK 74104 918-744-3131 x17399 masked Asset Management SJP Cardiovascular Surgery 1919 South Wheeling, Ste 602 Tulsa, OK 74104 918-712-3366 Candice.Evans@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2036 Ext 3 3 Complete 2.16.840.1.113883.3.2036.1 2012/06/22 12:00:00 2012/06/28 12:00:00 2012/06/28 02:33:47 UV 2.16.840.1.113883.3.2036.2 sjhicc St. John Heart Institute Cardiovascular Consultants Candice Evans masked kary.cummins@sjmc.org Candice Evans 1923 S. Utica Ave Tulsa, OK 74104 9187443131 x17399 masked Asset Management St. John Heart Institute Cardiovascular Consultants 1919 S. Wheeling Ave., Ste 400 Tulsa, OK 74104 744-6966/Fax 293-3146 918-744-6966 Candice.Evans@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2036 Ext 3 Complete 2.16.840.1.113883.3.2036.2 2012/06/22 12:00:00 2012/06/28 12:00:00 2012/06/28 02:34:41 UV 2.16.840.1.113883.3.2039 kmchi Kuakini Medical Center June Dawson masked Theresa Hara 347 N Kuakini St Honolulu, HI 96817 808-547-9636 masked Supervisor, Information Mgmt Operations Kuakini Health System 347 N Kuakini St Honolulu, HI 96817 808-547-9787 helpdesk@kuakini.org Provider Int 3 3 Complete 2012/06/22 12:00:00 2012/06/28 12:00:00 2012/06/28 02:36:52 UV 2.16.840.1.113883.3.2040 showa-OID Skyline Hospital OID Steve OpBroek masked Beth Robison Steve OpBroek 211 Skyline Dr. White Salmon, WA 98672 (509)493-1101 masked IT Director Skyline Hospital 211 Skyline Dr. White Salmon, WA 98672 (509)493-1101 information@skylinehospital.org http://www.skylinehospital.com Govt body Int 3 Complete 2012/06/22 12:00:00 2012/06/28 12:00:00 2012/06/28 02:37:58 UV 2.16.840.1.113883.3.2041 connect-securecaretech Connect-Securecaretech Eugene Fry masked Eugene Fry 9050 N Capital of Texas HWY Suite 250, Bldg III Austin, TX 78759 512-447-3704 masked Eugene Fry 9050 N Capital of Texas HWY Suite 250, Bldg III Austin, TX 78759 512-447-3704 gene@securecaretech.com https://connect.securecaretech.com Vendor Int 3 Complete 2012/06/25 12:00:00 2012/06/28 12:00:00 2012/06/28 02:40:18 UV 2.16.840.1.113883.3.2042 sjh St. Joseph Health Isabella Theo Siagian masked Isabella Theo 1515 E. Orangewood Avenue Anaheim, CA 92805 714-937-7474 masked Manager of Systems Integration St. Joseph Health 1515 E. Orangewood Avenue Anaheim, CA 92805 714-937-7474 theo.siagian@stjoe.org http://www.stjhs.org/ Provider Int 3 3 Complete 2012/06/25 12:00:00 2012/06/28 12:00:00 2012/06/28 03:36:25 UV 2.16.840.1.113883.3.2043 pssiemrapp PSSI EMR Application Ahisha Peters masked Kary Cummins Ahisha Peters 1923 S Utica Ave Tulsa, OK 74104 918-744-3131 x16737 masked Sr Clinical Analyst PSSI EMR Application 1923 S Utica Ave Tulsa, OK 74104 918-744-3131 x16737 azpeters@sjmc.org http://www.omnimedicalgroup.com/ Provider Int 3 3 Complete 2012/06/25 12:00:00 2012/06/28 12:00:00 2012/06/28 03:39:11 UV 2.16.840.1.113883.3.2044 eyepifany 3D Optometry P.C. Thomas Mirabile masked Thomas Mirabile 8439069694 masked OD / owner 3D Optometry P.C. 1031 Hwy 41 Ste 400 Mt.pleasant SC 29466 8439069694 3dmira@gmail.com Provider Int 3 Complete 2012/06/25 12:00:00 2012/06/28 12:00:00 2012/06/28 03:42:26 UV 2.16.840.1.113883.3.2045 uspi12 United Surgical Partners Cynthia Klein masked Cynthia Klein 15305 Dallas Parkway Suite 1600 Addison, TX 75001 9725817829 masked United Surgical Partners 15305 Dallas Parkway Suite 1600 Addison, Tx 75001 2147133500 ciklein@uspi.com Provider Int 3 3 Complete 2012/06/25 12:00:00 2012/06/28 12:00:00 2012/06/28 03:47:17 UV 2.16.840.1.113883.3.2036.3 sjhicc400 St. John Heart Institute Cardiovascular Consultants St. 500 Candice Evans masked kary.cummins@sjmc.org Ahisha Peters 1923 S. Utica Ave Tulsa, OK 74104 9187443131 x16737 masked Clinical Analyst Sr. St. John Heart Institute Cardiovascular Consultants St. 500 1919 S. Wheeling Ave., Ste 500 Tulsa, OK 74104 918-748-7650 ahisha.peters@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2036 Ext 3 3 Complete 2.16.840.1.113883.3.2036.3 2012/06/26 12:00:00 2012/06/28 12:00:00 2012/06/28 03:50:29 UV 2.16.840.1.113883.3.2036.4 sjhiccba St. John Heart Institute Cardiovascular Consultants - BA Ahisha Peters masked Kary.Cummins@sjmc.org St. John Heart Institute Cardiovascular Consultants - BA 1923 S. Utica Ave Tulsa, OK 74104 9187443131 x16737 masked Clinical Analyst Sr. St. John Heart Institute Cardiovascular Consultants - BA St John Broken Arrow, MOB 800 W. Boise Circle, Ste. 120 Broken Arrow, OK 74012 918-994-9280 Ahisha.Peters@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2036 Ext 3 3 Complete 2.16.840.1.113883.3.2036.4 2012/06/26 12:00:00 2012/06/28 12:00:00 2012/06/28 03:51:14 UV 2.16.840.1.113883.3.2036.5 sjhicccv St. John Heart Institute Cardiovascular Consultants - CV Ahisha Peters masked Kary.Cummins@sjmc.org Ahisha Peters 1923 S. Utica Ave Tulsa, OK 74104 9187443131 x16737 masked Clinical Analyst Sr. St. John Heart Institute Cardiovascular Consultants - CV 1400 W. 4th St. Coffeyville, KS 67337 744-6966/Fax 293-3146 Ahisha.Peters@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2036 Ext 3 3 Complete 2.16.840.1.113883.3.2036.5 2012/06/26 12:00:00 2012/06/28 12:00:00 2012/06/28 03:52:18 UV 2.16.840.1.113883.3.2036.6 sjhiccmi St. John Heart Institute Cardiovascular Consultants - MI Ahisha Peters masked Ahisha.Peters@sjmc.org Ahisha Peters 1923 S. Utica Ave Tulsa, OK 74104 9187443131 x16737 masked Clinical Analyst Sr. St. John Heart Institute Cardiovascular Consultants - MI 203 Second Avenue SW Miami, OK 74354 918-542-6353 Ahisha.Peters@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2036 Ext 3 3 Complete 2.16.840.1.113883.3.2036.6 2012/06/26 12:00:00 2012/06/28 12:00:00 2012/06/28 03:53:25 UV 2.16.840.1.113883.13.221 jhc-elr-1 Jackson Hospitsal ELR Doug Cason masked Doug 1725 Pine Street South Building 1st Floor Montgomery, AL 36106 Cason masked IS Team Leader Jackson Hospital & Clinic casond@jackson.org http://www.jackson.org Provider Int 13 Complete 2012/06/26 12:00:00 2012/06/28 12:00:00 2012/06/28 03:55:39 UV 2.16.840.1.113883.4.569 krmc Kalispell Regional Medical Center Candis Bunten masked Jere Schaub Melanie Swenson 310 Sunnyview Lane Kalispell, MT 59901 4067512982 masked Dir. HIT Jere Schaub 310 Sunnyview Lane Kalispell, MT 59901 4067516661 jschaub@krmc.org http://www.nwhc.org Provider 2.16.840.1.113883.3.2077 Int 4 3 Complete 2012/06/26 12:00:00 2012/06/28 12:00:00 2012/07/13 04:46:30 UV 2.16.840.1.113883.3.2036.7 sjhiccow St. John Heart Institute Cardiovascular Consultants - OW Ahisha Peters masked Kary.Cummins@sjmc.org Ahisha Peters 1923 S. Utica Ave Tulsa, OK 74104 9187443131 x16737 masked Clinical Analyst Sr. St. John Heart Institute Cardiovascular Consultants - OW St. John Owasso, MOB 12455 E. 100th St. North, Ste. 260 Owasso, OK 74055 918-744-6966 Ahisha.Peters@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2036 Ext 3 3 Complete 2.16.840.1.113883.3.2036.7 2012/06/26 12:00:00 2012/06/28 12:00:00 2012/06/28 06:50:04 UV 2.16.840.1.113883.3.2036.8 sjhiccpr St. John Heart Institute Cardiovascular Consultants - PR Ahisha Peters masked Kary.Cummins@sjmc.org Ahisha Peters 1923 S. Utica Ave Tulsa, OK 74104 9187443131 x16737 masked Clinical Analyst Sr. St. John Heart Institute Cardiovascular Consultants - PR 109 North Fairland, Ste 105 Pryor, OK 74361 918-825-6600 Ahisha.Peters@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2036 Ext 3 3 Complete 2.16.840.1.113883.3.2036.8 2012/06/26 12:00:00 2012/06/28 12:00:00 2012/06/28 06:51:40 UV 2.16.840.1.113883.3.2036.9 sjhfc St. John Heart Institute - Heart Failure Clinic Ahisha Peters masked kary.cummins@sjmc.org Ahisha Peters 1923 S. Utica Ave Tulsa, OK 74104 9187443131 x16737 masked Clinical Analyst Sr. St. John Heart Institute - Heart Failure Clinic 1919 South Wheeling Ave, Suite 504 Tulsa, OK 74104 918-744-2868 Ahisha.Peters@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2036 Ext 3 3 Complete 2.16.840.1.113883.3.2036.9 2012/06/26 12:00:00 2012/06/28 12:00:00 2012/06/28 06:53:04 UV 2.16.840.1.113883.3.2036.10 sjhrs St. John Heart Institute - Heart Rhythm Services Ahisha Peters masked kary.cummins@sjmc.org Ahisha Peters 1919 South Wheeling Ave, Suite 504 Tulsa, OK 74104 748-7501/Fax 293-3107 9187443131 x16737 masked Clinical Analyst Sr. St. John Heart Institute - Heart Rhythm Services 1919 South Wheeling Ave, Suite 504 Tulsa, OK 74104 918-748-7501 Ahisha.Peters@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2036 Ext 3 3 Complete 2.16.840.1.113883.3.2036.10 2012/06/26 12:00:00 2012/06/28 12:00:00 2012/06/28 06:57:28 UV 2.16.840.1.113883.13.222 multum-drug-id Multum Generic Drug Identifier Terri Meredith masked Terri Meredith 2000 S. Colorado Blvd #11000 Denver, CO 80022 United States of America 303-733-4447 masked Senior Research Project Leader Cerner Multum 2000 S. Colorado Blvd #11000 Denver, CO 80022 United States of America 303-733-4447 info@multum.com http://www.multum.com Vendor 2.16.840.1.113883.6.27 Int 13 13 Retired 2012/06/26 12:00:00 2012/06/28 12:00:00 2012/06/28 07:12:23 UV 2.16.840.1.113883.13.223 multum-allergy-category-id Multum Drug Allergy Category Terri Meredith masked Terri Meredith 2000 S. Colorado Blvd #11000 Denver, CO 80022 USA 303-733-4447 masked Senior Research Project Leader Cerner Multum 2000 S. Colorado Blvd #11000 Denver, CO 80022 USA 303-733-4447 info@multum.com http://www.multum.com Vendor 2.16.840.1.113883.6.27 Int 13 13 Retired 2012/06/26 12:00:00 2012/06/28 12:00:00 2012/06/28 07:13:04 UV 2.16.840.1.113883.13.224 multum-drug-synonym-id Multum Drug Synonym Identifier Terri Meredith masked Terri Meredith 2000 S. Colorado Blvd #11000 Denver, CO 80022 USA 303-733-4447 masked Senior Research Project Leader Cerner Multum 2000 S. Colorado Blvd #11000 Denver, CO 80022 USA 303-733-4447 tmeredith@cerner.com http://www.multum.com Vendor 2.16.840.1.113883.6.27 Int 13 13 Retired 2012/06/26 12:00:00 2012/06/28 12:00:00 2012/06/28 07:13:36 UV 2.16.840.1.113883.13.225 multum-main-drug-code Multum Main Drug Code Terri Meredith masked Terri Meredith 2000 S. Colorado Blvd #11000 Denver, CO 80022 USA 303-733-4447 masked Senior Research Project Leader Cerner Multum 2000 S. Colorado Blvd #11000 Denver, CO 80022 USA 303 tmeredith@cerner.com http://www.multum.com Vendor 2.16.840.1.113883.6.27 Int 13 13 Retired 2012/06/26 12:00:00 2012/06/28 12:00:00 2012/06/28 07:11:34 UV 2.16.840.1.113883.3.2046 snl Beyond Eye Care PLLC Kerri-Ann Hodge masked Beyond Eye Care PLLC Kerri-Ann 6931 FM 1960 Rd East Atascocita, TX 77346 281-630-7994 masked Optometrist/ President Beyond Eye Care PLLC 6931 FM 1960 Rd East Atascocita, TX 77346-2705 281-763-2006 drhodge@beyondeyecare.com http://www.beyondeyecare.com Provider Int 3 Complete 2012/06/27 12:00:00 2012/06/28 12:00:00 2012/06/28 07:22:32 UV 2.16.840.1.113883.3.2047 stlukes-stl St. Luke's Episcopal Presbyterian Hosptial Jason Hoffman masked Stephanie Doss Mohi Khan 314-576-2499 masked Manager, Technology St. Luke's Episcopal Presbyterian Hosptial 232 South Woods Mill Road Chesterfield, MO 63017 314-434-1500 stlukeshospital@stlukes-stl.com http://www.stlukes-stl.com/ Provider Int 3 Complete 2012/06/27 12:00:00 2012/06/28 12:00:00 2014/08/29 04:56:24 US 2.16.840.1.113883.4.570 graham Graham Hospital Association James Schreiner masked James Schreiner Graham Hospital 210 West Walnut St Canton, IL 61520 309-647-5240 masked Information Services Director Graham Hospital Association Graham Hospital 210 West Walnut St Canton, IL 61520 309-647-5240 jschreiner@grahamhospital.org http://www.grahamhealthsystem.org Provider Int 3 Complete 2012/06/27 12:00:00 2012/06/28 12:00:00 2012/06/28 07:39:21 UV 2.16.840.1.113883.3.2048 stpsNextGen Saint_Thomas_Health_Physician_Services Ron Head masked Ron Head 4515 Harding Road Nashville, TN 37205 615-222-3683 masked IT Director for Integration St Thomas Health Physician Services 4220 Harding Rd. Nashville, TN 37205 615-222-3683 ron.head@stthomas.org http://www.stthomas.org Provider Int 3 Complete 2012/06/27 12:00:00 2012/06/28 12:00:00 2012/06/28 07:33:32 UV 2.16.840.1.113883.4.571 icnet ICNet International Ltd. Jon Haynes masked Jon Haynes ICNet International Ltd. Dell Centre Painswick Stroud Gloucestershire GL6 6SQ UK +44(0)1452814090 masked Developer ICNet International Ltd. ICNet International Ltd. Dell Centre Painswick Stroud Gloucestershire GL6 6SQ UK +44(0)1452814090 it@icnetplc.com http://www.icnetplc.com Vendor Int 4 Complete 2012/06/28 12:00:00 2012/06/28 12:00:00 2012/06/28 07:42:47 UK 2.16.840.1.113883.3.2049 bchc-oid Buchanan County Health Center Chris Youngblut masked Chris Youngblut 1600 First St. East Independence, IA 50644 319-332-0890 masked Information Technology Manager Buchanan County Health Center 1600 First St. East Independence, IA 50644 319-332-0999 cyoungblut@bchealth.info http://www.bchealth.info Provider Int 3 Complete 2012/06/28 12:00:00 2012/06/28 12:00:00 2012/06/28 07:45:39 UV 2.16.840.1.113883.3.2050 cigna Cigna Mike Stone masked Mike Stone 860-226-6323 masked Cigna 900 Cottage Grove Rd. Bloomfield, CT 06002 1-800-997-1654 contact@cigna.com http://www.cigna.com/ Payor Int 3 3 Complete 2012/06/28 12:00:00 2012/06/28 12:00:00 2012/06/28 07:47:08 UV 2.16.840.1.113883.3.2051 halpern Halpern Eye Associates, PA Dawn Wolford masked Samuel R. Halpern Dawn Wolford 885 S. Governors Ave., Dover, DE 19904 3023461515 masked VP of IT Halpern Eye Care 885 S. Governors Ave., Dover, DE 19904 3027345861 rhalpern@halperneye.com http://www.halperneye.com Provider Int 3 Complete 2012/06/29 12:00:00 2012/06/30 12:00:00 2012/06/30 06:30:30 UV 2.16.840.1.113883.3.2052 gwu GWU - OID Heather Walmsley masked Mike Meal 610-382-4674 masked Project Manager George Washington University Hospital 900 23rd St., NW Washington, DC 20037 202-715-4000 mike.meall@uhsinc.com http://www.gwhospital.com/Home Academic Int 3 Complete 2012/06/29 12:00:00 2012/06/30 12:00:00 2012/06/30 06:33:58 UV 2.16.840.1.113883.3.2053 spv SPV OID Heather Walmsley masked Mike Meal 610-382-4674 masked Project Manager Spring Valley Medical Center 5400 S. Rainbow Blvd. Las Vegas, NV 89118 702-853-3000 mike.meall@uhsinc.com http://www.springvalleyhospital.com HL7 body Int 3 Complete 2012/06/29 12:00:00 2012/06/30 12:00:00 2012/06/30 06:36:09 UV 2.16.840.1.113883.3.2054 surescripts Surescripts, L.L.C Tim McNeil masked Tim McNeil 920 Second Ave So Minneapolis, MN 55402 651-855-3053 masked Director, Standards Surescripts, L.L.C 920 Second Ave So Minneapolis, MN 55402 866-267-9482 Tim.McNeil@surescripts.com http://www.surescripts.com/ Exchange Int 3 Complete 2012/06/29 12:00:00 2012/06/30 12:00:00 2014/04/10 01:01:00 UV 2.16.840.1.113883.3.2055 rkdl-tx Little River Healthcare OID Root Troy Zinn masked Troy Zinn 1700 Brazos Rockdale, Texas 76567 512-446-4502 masked Chief Informaiton Officer Little River Healthcare 1700 Brazos Rockdale, Texas 76567 512-446-4502 tzinn@lrhealthcare.com Provider Int 3 3 Complete 2012/06/29 12:00:00 2012/06/30 12:00:00 2012/06/30 06:43:58 UV 1.3.6.1.4.1.40157 medicalgorithmics MedicAlgorithmics Tomasz Mularczyk masked Tomasz Mularczyk +1 (347) 416-6144 masked Vice President and Chief Information Officer MedicAlgorithmics contact@medicalgorithmics.com http://medicalgorithmics.com Vendor Ext 3 Complete 1.3.6.1.4.1.40157 2012/07/02 12:00:00 2012/07/12 12:00:00 2012/07/12 04:12:32 UV 2.16.840.1.113883.3.2056 boxeelab Boxeelab LLC Priyanka Ray masked Priyanka Ray 5406301344 masked Boxeelab 6240 Coppersky ct. Columbia 21045 5406301344 boxeelab@boxeelab.com http://www.boxeelab.com Vendor Int 3 Complete 2012/07/02 12:00:00 2012/07/12 12:00:00 2012/07/12 04:16:29 UV 2.16.840.1.113883.3.1355.50.1 ahwest-amch-mrn Adventist Medical Center - Hanford (AMCH) MRN Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Adventist Medical Center - Hanford (AMCH) Adventist Medical Center - Hanford 115 Mall Drive Hanford, CA 93230 559-582-9000 cioinfo@ah.org http://www.adventisthealthcv.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.50.1 2012/07/02 12:00:00 2012/07/12 12:00:00 2012/07/12 04:18:56 UV 2.16.840.1.113883.3.1355.50.2 ahwest-amch-account Adventist Medical Center - Hanford (AMCH) Account Number Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Adventist Medical Center - Hanford (AMCH) Adventist Medical Center - Hanford115 Mall Drive Hanford, CA 93230 559-582-9000 cioinfo@ah.org http://www.adventisthealthcv.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.50.2 2012/07/02 12:00:00 2012/07/12 12:00:00 2012/07/12 04:20:00 UV 2.16.840.1.113883.3.1355.50.3 ahwest-amch-doctor Adventist Medical Center - Hanford (AMCH) Doctor Number Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Adventist Medical Center - Hanford (AMCH) Adventist Medical Center - Hanford115 Mall Drive Hanford, CA 93230 559-582-9000 cioinfo@ah.org http://www.adventisthealthcv.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.50.3 2012/07/02 12:00:00 2012/07/12 12:00:00 2012/07/12 04:23:55 UV 2.16.840.1.113883.3.1355.50.4 ahwest-amch-uref Adventist Medical Center - Hanford (AMCH) Unit Reference Number Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Adventist Medical Center - Hanford (AMCH) Adventist Medical Center - Hanford115 Mall Drive Hanford, CA 93230 559-582-9000 cioinfo@ah.org http://www.adventisthealthcv.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.50.4 2012/07/02 12:00:00 2012/07/12 12:00:00 2012/07/12 04:25:01 UV 2.16.840.1.113883.3.1355.56 ahwest-cvgh Central Valley General Hospital(CVGH) Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Central Valley General Hospital(CVGH) Central Valley General Hospital 1025 N. Douty St. Hanford, CA 93230 559-583-2100 cioinfo@ah.org http://www.adventisthealthcv.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.56 2012/07/02 12:00:00 2012/07/12 12:00:00 2012/07/12 04:27:50 UV 2.16.840.1.113883.3.1355.56.1 ahwest-cvgh-mrn Central Valley General Hospital (CVGH) MRN Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Central Valley General Hospital(CVGH) Central Valley General Hospital 1025 N. Douty St. Hanford, CA 93230 559-583-2100 cioinfo@ah.org http://www.adventisthealthcv.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.56.1 2012/07/02 12:00:00 2012/07/12 12:00:00 2012/07/12 04:33:10 UV 2.16.840.1.113883.3.1355.56.2 ahwest-cvgh-account Central Valley General Hospital (CVGH) Account Number Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Central Valley General Hospital (CVGH) Central Valley General Hospital 1025 N. Douty St. Hanford, CA 93230 559-583-2100 cioinfo@ah.org http://www.adventisthealthcv.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.56.2 2012/07/02 12:00:00 2012/07/12 12:00:00 2012/07/12 04:34:56 UV 2.16.840.1.113883.3.1355.56.3 ahwest-cvgh-doctor Central Valley General Hospital (CVGH) Doctor Number Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Central Valley General Hospital (CVGH) Central Valley General Hospital 1025 N. Douty St. Hanford, CA 93230 559-583-2100 cioinfo@ah.org http://www.adventisthealthcv.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.56.3 2012/07/02 12:00:00 2012/07/12 12:00:00 2012/07/12 04:36:34 UV 2.16.840.1.113883.3.1355.56.4 ahwest-cvgh-uref Central Valley General Hospital (CVGH) Unit Reference Number Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Central Valley General Hospital (CVGH) Central Valley General Hospital 1025 N. Douty St. Hanford, CA 93230 559-583-2100 cioinfo@ah.org http://www.adventisthealthcv.com/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.56.4 2012/07/02 12:00:00 2012/07/12 12:00:00 2012/07/12 04:37:57 UV 1.2.36.129710685.3 hcs HIE Code System Robin Marshall masked Robin Marshall Health Industry Exchange LTD Level 1, 9 Gardner Close Milton. Qld. 4069 0432295553 masked Development Manager Health Industry Exchange LTD Health Industry Exchange LTD Level 1, 9 Gardner Close Milton. Qld. 4069 617 3172 3830 robin.marshall@hie.com.au http://hie.com.au Vendor 1.2.36.129710685 Ext 15 15 Complete 1.2.36.129710685.3 2012/07/05 12:00:00 2012/07/12 12:00:00 2012/07/12 04:53:53 AU 1.2.36.129710685.3.1 hcsbp HIE Code System BP Robin Marshall masked Robin Marshall Health Industry Exchange LTD Level 1, 9 Gardner Close Milton. Qld. 4069 0432295553 masked Development Manager Health Industry Exchange LTD Health Industry Exchange LTD Level 1, 9 Gardner Close Milton. Qld. 4069 617 3172 3830 robin.marshall@hie.com.au http://hie.com.au Vendor 1.2.36.129710685 Ext 15 15 Complete 1.2.36.129710685.3.1 2012/07/05 12:00:00 2012/07/12 12:00:00 2012/07/12 04:55:41 AU 1.2.36.129710685.3.1.1 hcsbps HIE Code System BP Substance Robin Marshall masked Robin Marshall Health Industry Exchange LTD Level 1, 9 Gardner Close Milton. Qld. 4069 0432295553 masked Development Manager Health Industry Exchange LTD Health Industry Exchange LTD Level 1, 9 Gardner Close Milton. Qld. 4069 617 3172 3830 robin.marshall@hie.com.au http://hie.com.au Vendor 1.2.36.129710685 Ext 15 15 Complete 1.2.36.129710685.3.1.1 2012/07/05 12:00:00 2012/07/12 12:00:00 2012/07/12 04:56:53 AU 1.2.36.129710685.3.1.2 hcsbpr HIE Code System BP Reaction Robin Marshall masked Robin Marshall Health Industry Exchange LTD Level 1, 9 Gardner Close Milton. Qld. 4069 0432295553 masked Development Manager Health Industry Exchange LTD Health Industry Exchange LTD Level 1, 9 Gardner Close Milton. Qld. 4069 617 3172 3830 robin.marshall@hie.com.au http://hie.com.au Vendor 1.2.36.129710685 Ext 15 15 Complete 1.2.36.129710685.3.1.2 2012/07/05 12:00:00 2012/07/12 12:00:00 2012/07/12 05:05:19 AU 1.2.36.129710685.3.1.3 hcsbpdn HIE Code System BP Drug Name Robin Marshall masked Robin Marshall Health Industry Exchange LTD Level 1, 9 Gardner Close Milton. Qld. 4069 0432295553 masked Development Manager Health Industry Exchange LTD Health Industry Exchange LTD Level 1, 9 Gardner Close Milton. Qld. 4069 617 3172 3830 robin.marshall@hie.com.au http://hie.com.au Vendor 1.2.36.129710685 Ext 15 15 Complete 1.2.36.129710685.3.1.3 2012/07/05 12:00:00 2012/07/12 12:00:00 2012/07/12 05:06:13 AU 1.2.36.129710685.3.1.4 hcsbpv HIE Code System BP Vaccine Robin Marshall masked Robin Marshall Health Industry Exchange LTD Level 1, 9 Gardner Close Milton. Qld. 4069 0432295553 masked Development Manager Health Industry Exchange LTD Health Industry Exchange LTD Level 1, 9 Gardner Close Milton. Qld. 4069 617 3172 3830 robin.marshall@hie.com.au http://hie.com.au Vendor 1.2.36.129710685 Ext 15 15 Complete 1.2.36.129710685.3.1.4 2012/07/05 12:00:00 2012/07/12 12:00:00 2012/07/12 05:07:38 AU 2.16.840.1.113883.3.2057 cmc Cumberland Medical Center Joseph Lowe masked Joseph O Lowe 421 South Main Street Crossville, TN 38555 931-459-7104 masked Executive Director IT Cumberland Medical Center 421 South Main Street Crossville, TN 38555 931-484-9511 jlowe@cmchealthcare.org http://www.cmchealthcare.org Provider Int 3 Complete 2012/07/05 12:00:00 2012/07/12 12:00:00 2012/07/12 05:09:47 UV 2.16.840.1.113883.13.226 fDACVMInternalPPME FDA CVM Internal Product Problem/Medication Error Terms Glenn Peterson masked Glenn Peterson 7519 Standish Place Rockville, MD 20855 240-453-6876 masked Business Process Improvement Manager FDA Center for Veterinary Medicine 7519 Standish Place Rockville, MD 20855 240-453-6876 glenn.peterson@fda.hhs.gov Govt body Int 13 13 Complete 2012/07/05 12:00:00 2012/07/12 12:00:00 2012/07/12 05:12:30 UV 2.16.840.1.113883.13.227 fDACVMInternalAE FDA CVM Internal Adverse Event Terms Glenn Peterson masked Glenn Peterson 7519 Standish Place Rockville, MD 20855 240-453-6876 masked Business Process Improvement Manager FDA Center for Veterinary Medicine 7519 Standish Place Rockville, MD 20855 240-453-6876 glenn.peterson@fda.hhs.gov Govt body Int 13 13 Complete 2012/07/05 12:00:00 2012/07/12 12:00:00 2012/07/12 05:14:02 UV 2.16.840.1.113883.3.221.5 sopt Source of Payment Typology (SOPT) Sundak Ganesan masked Hetty Khan Jenny Couse CDC/NCHS 3311 Toledo Road Hyattsville, MD 20782 301-458-4049 masked Health Scientist-Informatics Centers for Disease Control and Prevention 1600 Clifton Road Atlanta, GA 30333 800-232-4636 PHINVS@cdc.gov https://phinvads.cdc.gov/ Govt body 2.16.840.1.113883.3.221 Ext 6 6 Complete 2.16.840.1.113883.3.221.5 2012/07/06 12:00:00 2012/07/12 12:00:00 2025/06/30 07:37:41 US 2.16.840.1.113883.3.2058 wlpCCA WellPoint Clinical Care Advance Thomas Gazinski masked Daniel.Smith2@anthem.com Thomas Gazinski 3487 Simpson Trace Maineville, OH 45039 513.490.8884 masked Developer Advisor WellPoint, Inc. thomas.gazinski@anthem.com http://www.wellpoint.com Vendor Int 3 3 Complete 2012/07/06 12:00:00 2012/07/12 12:00:00 2012/07/12 05:27:22 US 2.16.840.1.113883.3.2059 paidvh Desert Valley Hospital Liam Campbell masked Tammy Deras Liam Campbell 16850 Bear Valley Road Victorville, CA 92395 760-241-8000x8983 masked Network Administrator Desert Valley Hospital 16850 Bear Valley Road Victorville, CA 92395 760-241-8000x8725 lcampbell@primehealthcare.com http://www.dvmc.com Provider Int 3 Complete 2012/07/06 12:00:00 2012/07/12 12:00:00 2012/07/12 05:31:08 US 2.16.840.1.113883.3.1070.2 mckesson-fusion-2 mckesson-fusion-2 Bao Lee masked Fusion Enrollment 87750745451 masked Fusion Enrollment bao.lee@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.2 2012/07/06 12:00:00 2012/07/12 12:00:00 2012/07/12 05:32:44 US 2.16.840.1.113883.3.1070.262 mckesson-fusion-262 mckesson-fusion-262 Bao Lee masked Fusion Enrollment 87750745451 masked Fusion Enrollment bao.lee@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.262 2012/07/06 12:00:00 2012/07/12 12:00:00 2012/07/12 05:33:55 US 2.16.840.1.113883.4.572 medicareHIC Medicare Health Insurance Claim Number (HIC) Bob Dolin masked Molly.MacHarris@cms.hhs.gov Bob Dolin 949 466 4035 masked Quality Measurement & Health Assessment Group Quality Measurement & Health Assessment Group Office of Clinical Standards & Quality Centers for Medicare & Medicaid Services 7500 Security Blvd. Baltimore, MD 21244 410-786-4461 Molly.MacHarris@cms.hhs.gov Govt body Int 4 Complete 2012/07/08 12:00:00 2012/07/12 12:00:00 2012/07/12 05:42:04 UV 2.16.840.1.113883.3.2060 chh Centennial Hills Hospital Medical Center OID Heather Walmsley masked Mike Meall 610-382-4674 masked Project Manager Centennial Hills Hospital Medical Center 6900 North Durango Dr Las Vegas, NV 89149 702-835-9700 mike.meall@uhsinc.com Provider Int 3 Complete 2012/07/09 12:00:00 2012/07/12 12:00:00 2012/07/12 05:46:57 UV 2.16.840.1.113883.3.2061 dsh Desert Springs Hospital Medical Center OID Heather Walmsley masked Mike Meall 610-382-4674 masked project manager Desert Springs Hospital Medical Center 2075 E Flamingo Rd Las Vegas, NV 89119 702-733-8800 mike.meall@uhsinc.com Provider Int 3 Complete 2012/07/09 12:00:00 2012/07/12 12:00:00 2012/07/12 05:48:08 UV 2.16.840.1.113883.3.1070.5037 mckesson-fusion-5037 mckesson-fusion-5037 Melba McNeil masked Fusion Enrollment 8775074541 masked Fusion Enrollment melba.mcneil@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5037 2012/07/09 12:00:00 2012/07/12 12:00:00 2012/07/12 05:50:23 US 2.16.840.1.113883.3.2062 sumHMC Summerlin Hospital Medical Center OID Heather Walmsley masked Mike Meall 610-382-4674 masked Summerlin Hospital Medical Center 657 Town Center Drive Las Vegas, NV 89144 702-233-7000 mike.meall@uhsinc.com HL7 body Int 3 Complete 2012/07/09 12:00:00 2012/07/12 12:00:00 2012/07/12 05:54:07 UV 2.16.840.1.113883.3.2063 vhm Valley Hospital Medical Center OID Heather Walmsley masked Mike Meall 610-382-4674 masked Valley Hospital Medical Center 620 Shadow Lane Las Vegas, NV 89106 702-388-4000 mike.meall@uhsinc.com HL7 body Int 3 Complete 2012/07/09 12:00:00 2012/07/12 12:00:00 2012/07/12 05:55:38 UV 1.2.36.1.2001.1005.18 unit-record-number Unit Record Number Vin Sekar masked Queensland Health Ivor Jones Queensland Health, Level 3 100 Wickham St FORTITUDE VALLEY QLD 4000 +61 7 3170 4813 masked Queensland Health support@nehta.gov.au http://www.health.gov.au Govt body Ext 15 15 Complete 1.2.36.1.2001.1005.18 2012/07/10 12:00:00 2012/07/12 12:00:00 2012/07/12 05:58:46 AU 2.16.840.1.113883.9.26 lriAckComponentR1 Laboratory Results Interface Acknowledgement Component Release 1 Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 +1 610 210 2087 masked HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 +1 734 677 7777 hq@hl7.org https://www.hl7.org HL7 body Int 9 Complete 2012/07/10 12:00:00 2012/07/12 12:00:00 2012/07/12 06:00:51 UV 2.16.840.1.113883.3.2064 continuityHealthSol Continuity Health Solutions OID Root Malay Thakershi masked Bryan Poteet Malay Thakershi 105 W. Sherman Way Suite 107 Nixa, MO 65714 866-517-3135 masked Software Developer Continuity Health Solutions 105 W. Sherman Way Suite 107 Nixa, MO 65714 866-517-3135 development@continuityhealth.com http://www.continuityhealth.com Vendor Int 3 3 Complete 2012/07/10 12:00:00 2012/07/12 12:00:00 2012/07/12 06:08:18 UV 2.16.840.1.113883.3.2065 nmh NorthernMontanaHospitalProviders Gerri Sternberg masked Candis Deruchia 30 13th Street Havre, MT 59501 406-262-1149 masked VP Info Systems/Quality Metrics Northern Montana Hospital 30 13th Street Havre, MT 59501 406-265-1149 derucanl@nmhcare.org Provider Int 3 Complete 2012/07/10 12:00:00 2012/07/12 12:00:00 2017/11/06 05:47:50 UV 2.16.840.1.113883.3.567.12.3 fdbRoutedMedID fdb Routed Medication ID George Robinson masked Milli Gera George Robinson First Databankc, Inc 500 East 96th Street, Suite 500 Indianapolis, IN 46240 317.571.7390 masked Product Manager First DataBank, Inc. 701 Gateway Boulevard, Suite 400 South San Francisco, CA 94080 800.633.3453 cc@fdbhealth.com http://www.fdbhealth.com/ Vendor 2.16.840.1.113883.3.567 Ext 15 6 Complete 2.16.840.1.113883.3.567.12.3 2012/07/10 12:00:00 2012/07/12 12:00:00 2012/07/12 06:23:33 UV 1.2.36.1.2001.1005.19 ntDepartmentOfHealth NT Department Of Health Vin Sekar masked NT Department Of Health Timothy Garden Ground Floor Construction House, 1 Briggs Street Darwin, NT 0800 Postal address: PO Box 40596, Casuarina, NT 0811 +61 8 8924 7042 masked NT Department Of Health Timothy.Garden@nt.gov.au http://www.health.nt.gov.au Govt body Ext 3 3 Complete 1.2.36.1.2001.1005.19 2012/07/10 12:00:00 2012/07/12 12:00:00 2012/07/12 06:39:06 AU 1.2.36.1.2001.1005.19.1 hcidNTDepartmentOfHealth Health Connect Identifier for NT Department of Health Vin Sekar masked NT Department Of Health Timothy Garden Ground Floor Construction House, 1 Briggs Street Darwin , NT 0800 Postal address: PO Box 40596, Casuarina, NT 0811 +61 8 8924 7042 masked NT Department Of Health Timothy.Garden@nt.gov.au http://www.health.nt.gov.au Govt body Ext 13 13 Complete 1.2.36.1.2001.1005.19.1 2012/07/10 12:00:00 2012/07/12 12:00:00 2012/07/12 06:41:05 AU 1.2.36.1.2001.1005.19.2 hrnNTDepartmentOfHealth Hospital Record Number for NT Department of Health Vin Sekar masked NT Department Of Health Timothy Garden Ground Floor Construction House, 1 Briggs Street Darwin , NT 0800 Postal address: PO Box 40596, Casuarina, NT 0811 +61 8 8924 7042 masked NT Department Of Health Timothy.Garden@nt.gov.au http://www.health.nt.gov.au Govt body Ext 13 13 Complete 1.2.36.1.2001.1005.19.2 2012/07/10 12:00:00 2012/07/12 12:00:00 2012/07/12 06:42:20 AU 1.2.36.1.2001.1005.20 medicationsAtAdmission Medications at Admission Vin Sekar masked Queensland Health Ivor Jones Queensland Health, Level 3 100 Wickham St FORTITUDE VALLEY QLD 4000 +61 7 3170 4813 masked Queensland Health Ivor_Jones@health.qld.gov.au http://www.health.qld.gov.au Govt body Ext 15 15 Complete 1.2.36.1.2001.1005.20 2012/07/10 12:00:00 2012/07/12 12:00:00 2012/07/12 07:29:13 UV 2.16.840.1.113883.3.2066 kumcri The University of Kansas Medical Center Research Institute, Inc. Nancy Dunton masked Brandon Crosser Brandon Crosser The University of Kansas Medical Center 3901 Rainbow Rd, M/S 3060 Kansas City, KS 66160 913-945-6653 masked Analysis Manager The University of Kansas Medical Center Research Institute, Inc. ndnqi@kumc.edu Academic Int 3 Complete 2012/07/11 12:00:00 2012/07/12 12:00:00 2012/07/12 07:32:28 UV 2.16.840.1.113883.3.2067 chwc Community Hospitals & Wellness Centers Greg Slattery masked Greg Slattery Community Hospitals & Wellness Centers 433 West High Street Bryan, OH 43506 419-636-1131 masked Vice President/CIO Medicity rbrant@medicity.com http://www.medicity.com Exchange Int 3 Complete 2012/07/11 12:00:00 2012/07/12 12:00:00 2012/07/12 07:34:00 UV 2.16.840.1.113883.3.2068 uthsct The University of Texas Health Science Center at Tyler Jim Post masked Jim Post 903-877-7713 masked Software Systems Specialist The University of Texas Health Science Center at Tyler 11937 HWY 271 Tyler, TX 75708 (attention: Information Technology) 903-877-7700 helpdesk@uthct.edu http://www.uthct.edu Provider Int 3 Complete 2012/07/11 12:00:00 2012/07/12 12:00:00 2012/07/12 07:40:24 UV 2.16.840.1.113883.3.1070.5043 mckesson-fusion-5043 mckesson-fusion-5043 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5043 2012/07/11 12:00:00 2012/07/12 12:00:00 2012/07/12 07:41:55 US 2.16.840.1.113883.3.2069 bhc BayCare HomeCare Nicholas Druda masked Nicholas Druda 8452 118th Avenue North Largo, FL 33773 727-394-6625 masked BayCare HomeCare 8452 118th Avenue North Largo, FL 33773 Nick.Druda@baycare.org http://www.baycarehomecare.org Provider Int 3 3 Complete 2012/07/11 12:00:00 2012/07/12 12:00:00 2012/07/12 07:45:33 UV 2.16.840.1.113883.3.2070 lec Annandale Eye Clinic Terrence Tancabel masked Kathy Egge Terrence Tancabel 135 N Sibley Ave Litchfield, MN 55355 3205933100 masked OD Annandale Eye Clinic 500 Elm St. E. Annandale, MN 55302 3202743701 litchfieldeyecenter@gmail.com http://www.litchfieldeyecenter.com Provider Int 3 Complete 2012/07/11 12:00:00 2012/07/12 12:00:00 2012/07/12 07:50:53 UV 2.16.840.1.113883.3.2071 saml123 SAML Priyanka Majumdar masked Priyanka 8792264066 masked Jagadeesh 8792264067 priyanka_28e@yahoo.co.in Exchange Int 3 Complete 2012/07/12 12:00:00 2012/07/12 12:00:00 2012/07/12 07:53:50 UV 2.16.840.1.113883.3.2072 slPMC4600 St Luke's Patients Medical Center Amanda Willand masked Ryan McCarroll Amanda Willand 4600 East Sam Houston Parkway South Pasadena, TX 77505 7139487068 masked Director of IT St Luke's Patients Medical Center 4600 East Sam Houston Parkway South Pasadena, TX 77505 7139487000 amanda.willand@patientsmc.com Provider Int 3 Complete 2012/07/12 12:00:00 2012/07/12 12:00:00 2012/07/12 07:55:30 UV 2.16.840.1.113883.3.1871.3.1 sah SSM St Anthony's Hospital Rodney Rice Jr masked Rodney Rice (314) 951-5631 masked Interface Analyst SSM Health Care 7980 Clayton Road St Louis, MO 63117 (314) 951-5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.1 2012/07/12 12:00:00 2012/07/12 12:00:00 2012/07/12 08:04:32 UV 2.16.840.1.113883.3.2073 ahl Alice Hyde Medical Center Continuity Care Document Bernard Bruyere masked Bernard Bruyere Alice Hyde Medical Center 133 Park Street Malone, New York 12953 518-481-2792 masked IS Project Manager Alice Hyde Medical Center Alice Hyde Medical Center 133 Park Street Malone, New York 12953 518-483-3000 bbruyere@alicehyde.com http://www.alicehyde.com Provider Int 3 3 Complete 2012/07/12 12:00:00 2012/07/12 12:00:00 2012/07/12 08:00:54 US 2.16.840.1.113883.3.1871.3.2 sabh SSM St Anthony Behavioral Health Rodney Rice Jr masked Rodney Rice (314) 951-5631 masked Interface Analyst Rodney Rice 7980 Clayton Road St Louis, MO 63117 (314) 951-5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.2 2012/07/12 12:00:00 2012/07/12 12:00:00 2012/07/12 08:06:52 UV 2.16.840.1.113883.3.1871.3.3 sas SSM St Anthony's Hospital South at Pennsylvania Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst Rodney Rice 7980 Clayton Road St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.3 2012/07/12 12:00:00 2012/07/12 12:00:00 2012/07/12 08:09:02 UV 2.16.840.1.113883.3.1871.3.5 bjh SSM Bone and Joint Hospital Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst Rodney Rice 7980 Clayton Road St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.5 2012/07/12 12:00:00 2012/07/12 12:00:00 2012/07/12 08:11:57 UV 2.16.840.1.113883.3.1871.3.100 sapofmc SAPO Family Medical Center Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst Rodney Rice 7980 Clayton Road St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.100 2012/07/12 12:00:00 2012/07/12 12:00:00 2012/07/12 08:16:57 UV 2.16.840.1.113883.3.1871.3.101 sapoiwh SAPO Center for Women's Health Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst Rodney Rice 7980 Clayton Road St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.101 2012/07/12 12:00:00 2012/07/12 12:00:00 2012/07/12 08:19:46 UV 2.16.840.1.113883.3.1871.3.102 saposap SAPO St Anthony's Pediatrics Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst Rodney Rice 7980 Clayton Road St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.102 2012/07/12 12:00:00 2012/07/12 12:00:00 2012/07/12 08:22:14 UV 2.16.840.1.113883.3.1871.3.104 sapopa SAPO Pediatric Association Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst Rodney Rice 7980 Clayton Road St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.104 2012/07/12 12:00:00 2012/07/12 12:00:00 2012/07/12 08:33:11 UV 2.16.840.1.113883.3.1871.3.105 sapocvs SAPO Cardio Vascular Specialists Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst Rodney Rice 7980 Clayton Road St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.105 2012/07/12 12:00:00 2012/07/12 12:00:00 2012/07/12 08:35:19 UV 2.16.840.1.113883.3.1871.3.106 sapoblan SAPO Blanchard Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst Rodney Rice 7980 Clayton Road St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.106 2012/07/12 12:00:00 2012/07/12 12:00:00 2012/07/12 08:37:30 UV 2.16.840.1.113883.3.1871.3.107 sapopsc SAPO Pulmonary Specialty Clinic Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst Rodney Rice 7980 Clayton Road St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.107 2012/07/12 12:00:00 2012/07/12 12:00:00 2012/07/12 08:39:18 UV 2.16.840.1.113883.3.2074 federalHealthArchitecture Federal Health Architecture Jay Lyle masked Steve Wagner 603-289-0149 masked Standards Program Manager Federal Health Architecture 425 3rd Street, SW Suite 610 Washington, DC 20024 603-624-5942 steven.wagner@hhs.gov Govt body Int 3 Complete 2012/07/12 12:00:00 2012/07/12 12:00:00 2012/07/12 08:41:45 US 2.16.840.1.113883.9.27 lriNonGloballyUniqueAcknowledgementProfileR1 LRI Non Globally Unique Acknowledgement Profile Release 1 Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org https://www.hl7.org HL7 body Int 9 Complete 2012/07/12 12:00:00 2012/07/12 12:00:00 2012/07/12 08:43:50 UV 2.16.840.1.113883.9.28 lriGloballyUniqueAcknowledgementProfileR1 LRI Globally Unique Acknowledgement Profile Release 1 Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 +1 610 219 2087 masked HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org https://www.hl7.org HL7 body Int 9 Complete 2012/07/12 12:00:00 2012/07/12 12:00:00 2012/07/12 08:45:31 UV 2.16.840.1.113883.6.310 uscic US Census Industry Code Sundak Ganesan masked Genny Luensman (CDC NIOSH) Sundak Ganesan Centers for Disease Control and Prevention 2500 Century Parkway Blvd NE Atlanta GA 30329 404-498-6685 masked Health Scientist / Lead CDC Vocabulary Specialist U.S. Census Bureau U.S. Census Bureau Industry and Occupation Statistics Branch 4600 Silver Hill Road Washington, DC 20233 301-763-3239 NAICS@census.gov http://www.census.gov/hhes/www/ioindex/ Govt body Int 6 6 Complete 2012/07/12 12:00:00 2012/07/12 12:00:00 2012/07/12 08:48:07 uscic US 2.16.840.1.113883.3.1070.5035 mckesson-fusion-5035 mckesson-fusion-5035 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment Johnny.Moore@McKesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5035 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 01:23:14 US 2.16.840.1.113883.3.1070.5036 mckesson-fusion-5036 mckesson-fusion-5036 Johnny Moore masked Fusion Enrollment 87775074541 masked Fusion Enrollment Johnny.Moore@McKesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5036 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 01:26:10 US 2.16.840.1.113883.3.1871.3.108 sapoderm SAPO Dermatology Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst Rodney Rice 7980 Clayton Road St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.108 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 04:02:19 UV 2.16.840.1.113883.3.1871.3.109 sapode SAPO Dermatology - Enid Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst Rodney Rice 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.109 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 04:05:07 UV 2.16.840.1.113883.3.1871.3.110 sapochc SAPO Chesapeake Health Center Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst Rodney Rice 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.110 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 04:07:35 UV 2.16.840.1.113883.3.1871.3.116 saposobg SAPO SMG Ob/Gyn Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst Rodney Rice 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.116 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 04:10:03 UV 2.16.840.1.113883.3.1871.3.118 sapofmm SAPO Family Medicine - Midtown Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst Rodney Rice 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.118 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 04:14:14 UV 2.16.840.1.113883.3.1871.3.119 saporh SAPO Rheumatology Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst Rodney Rice 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.119 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 04:16:10 UV 2.16.840.1.113883.3.1871.3.125 sapopn SAPO Physicians North Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst Rodney Rice 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.125 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 04:21:27 UV 2.16.840.1.113883.3.1871.3.126 sapopcp SAPO PCP North Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst Rodney Rice 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.126 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 04:22:40 UV 2.16.840.1.113883.3.1871.3.127 saposma SAPO Saints Medicine Association Rodney Rice Jr masked Rodney Rice Jr 314 951 5631 masked Interface Analyst Rodney Rice Jr 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.127 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 04:24:52 UV 2.16.840.1.113883.3.1871.3.129 sapofmce SAPO Family Medical Center - East Rodney Rice Jr masked Rodney Rice Jr 314 951 5631 masked Interface Analyst Rodney Rice Jr 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.129 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 04:28:27 UV 2.16.840.1.113883.3.1871.3.130 sapons SAPO Neurology Specialists Rodney Rice Jr masked Rodney Rice Jr 314 951 5631 masked Interface Analyst Rodney Rice Jr 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.130 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 04:35:17 UV 2.16.840.1.113883.3.1871.3.131 saponsgy SAPO Neurosurgery Rodney Rice Jr masked Rodney Rice Jr 314 951 5631 masked i Rodney Rice Jr 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.131 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 04:38:02 UV 2.16.840.1.113883.3.1871.3.135 sapomma SAPO Metro Medical Association Rodney Rice Jr masked Rodney Rice Jr 314 951 5631 masked Interface Analyst Rodney Rice Jr 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.135 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 04:42:50 UV 2.16.840.1.113883.3.1871.3.136 sapopnm SAPO PCP North - Midwest City Rodney Rice Jr masked Rodney Rice Jr 314 951 5631 masked Interface Analyst Rodney Rice Jr 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.136 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 04:48:35 UV 2.16.840.1.113883.3.1871.3.138 sapomcc SAPO Mustang Comp Care Rodney Rice Jr masked Rodney Rice Jr 314 951 5631 masked Interface Analyst Rodney Rice Jr 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.138 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 04:50:29 UV 2.16.840.1.113883.3.1871.3.142 sapofh SAPO Family Healthcare Rodney Rice Jr masked Rodney Rice Jr 314 951 5631 masked Interface Analyst Rodney Rice Jr 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.142 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 04:53:19 UV 2.16.840.1.113883.3.1871.3.176 sapohpe SAPO Healthplex East PCP Rodney Rice Jr masked Rodney Rice Jr 314 951 5631 masked Interface Analyst Rodney Rice Jr 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.176 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 04:56:03 UV 2.16.840.1.113883.3.1871.3.177 sapohps SAPO Healthplex South PCP Rodney Rice Jr masked Rodney Rice Jr 314 951 5631 masked Interface Analyst Rodney Rice Jr 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.177 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 04:57:55 UV 2.16.840.1.113883.3.1871.3.179 sapopms SAPO Pain Management - Shawnee Rodney Rice Jr masked Rodney Rice Jr 314 951 5631 masked Interface Analyst Rodney Rice Jr 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.179 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 04:59:46 UV 2.16.840.1.113883.3.1871.3.921 afomrf AF OMRF Rodney Rice Jr masked Rodney Rice Jr 314 951 5631 masked Interface Analyst Rodney Rice Jr 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.921 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 05:04:36 UV 2.16.840.1.113883.3.1871.3.931 aflc AFSFN Laverne Clinic Rodney Rice Jr masked Rodney Rice Jr 314 951 5631 masked Interface Analyst Rodney Rice Jr 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.931 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 05:23:27 UV 2.16.840.1.113883.3.1871.3.932 afbhc AFSFN Buffalo Health Clinic Rodney Rice Jr masked Rodney Rice Jr 314 951 5631 masked Interface Analyst Rodney Rice Jr 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.932 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 05:25:40 UV 2.16.840.1.113883.3.1871.3.941 afpmc AFSFN Purcell Medical Clinic Rodney Rice Jr masked Rodney Rice Jr 314 951 5631 masked Interface Analyst Rodney Rice Jr 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.941 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 05:35:15 UV 2.16.840.1.113883.3.1871.3.942 afmmc AFSFN Maysville Medical Clinic Rodney Rice Jr masked Rodney Rice Jr 314 951 5631 masked Interface Analyst Rodney Rice Jr 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.942 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 05:37:19 UV 2.16.840.1.113883.3.1871.3.981 afrhc AFSFN Ryan Health Clinic Rodney Rice Jr masked Rodney Rice Jr 314 951 5631 masked Interface Analyst Rodney Rice Jr 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.981 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 05:41:04 UV 2.16.840.1.113883.3.1871.3.982 afrfmc AFSFN Ringling Family Medical Clinic Rodney Rice Jr masked Rodney Rice Jr 314 951 5631 masked Interface Analyst Rodney Rice Jr 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.982 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 05:42:54 UV 2.16.840.1.113883.3.1871.3.991 afnc AFSFN Newman Clinic Rodney Rice Jr masked Rodney Rice Jr 314 951 5631 masked Interface Analyst Rodney Rice Jr 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.991 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 05:44:32 UV 2.16.840.1.113883.3.2075 sch StillwaterCommunityHospital Bev Kovanda masked Bev Kovanda 44West 4th Ave North Columbus, Montana 59019 406-322-5316 masked Director of Nursing Stillwater Community Hospital 44West 4th Ave North columbus, Montana 59019 406-322-5316 kovanb@stillwaterhospital.org Provider Int 3 Complete 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 04:47:03 UV 2.16.840.1.113883.3.2076 ohsu Oregon Health and Science University Doug Clauder masked Doug Clauder 3181 S.W. Sam Jackson Park Rd. Portland, Oregon 97239-3098 503 494-8311 masked Sr Application Engineer Oregon Health and Science University 3181 S.W. Sam Jackson Park Rd. Portland, Oregon 97239-3098 503 494-8311 clauderd@ohsu.edu http://www.ohsu.edu Academic Int 3 Complete 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 05:47:16 UV 2.16.840.1.113883.3.2077 krh Kalispell Regional Healthcare Candis Deruchia-Bunten masked Melanie Swenson 310 Sunnyview Lane Kalispell, MT 5901 4067512982 masked Dir. HIT Kalispell Regional Healthcare 310 Sunnyview Lane Kalispell, MT 59901 4067516661 jschaub@krmc.org Provider Int 3 3 Complete 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 05:49:32 UV 2.16.840.1.113883.3.2079 aa-00-bb Mountain View Hospital OID for HL7 Interfacing Danny Keele masked Jason Cowart Danny Keele 2325 Coronado Street Idaho Falls, ID 83404 (208) 557-2700 masked IT Person Mountain View Hospital 2325 Coronado Street Idaho Falls, ID 83404 2085572700 support@mvhospital.net http://mvhospital.net Provider Int 3 Complete 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 06:06:53 MVHospital US 2.16.840.1.113883.6.311 multum-main-drug-code Multum Main Drug Code Hugh Glover masked Terri Meredith Terri Meredith 2000 S. Colorado Blvd #11000 Denver, CO 80022 USA 303-733-4447 masked Senior Research Project Leader Cerner Multum 2000 S. Colorado Blvd #11000 Denver, CO 80022 USA 303-733-4447 tmeredith@cerner.com http://www.multum.com Vendor 2.16.840.1.113883.6.27 Int 6 6 Complete 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 08:42:36 UV 2.16.840.1.113883.6.312 multum-drug-synonym-id Multum Drug Synonym Identifier Hugh Glover masked Terri Meredith Terri Meredith 2000 S. Colorado Blvd #11000 Denver, CO 80022 USA 303-733-4447 masked Senior Research Project Leader Cerner Multum 2000 S. Colorado Blvd #11000 Denver, CO 80022 USA 303-733-4447 tmeredith@cerner.com http://www.multum.com Vendor 2.16.840.1.113883.6.27 Int 6 6 Complete 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 08:43:29 UV 2.16.840.1.113883.6.313 multum-allergy-category-id Multum Drug Allergy Category Hugh Glover masked Terri Meredith Terri Meredith 2000 S. Colorado Blvd #11000 Denver, CO 80022 USA 303-733-4447 masked Senior Research Project Leader Cerner Multum 2000 S. Colorado Blvd #11000 Denver, CO 80022 USA 303-733-4447 tmeredith@cerner.com http://www.multum.com Vendor 2.16.840.1.113883.6.27 Int 6 6 Complete 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 08:44:29 UV 2.16.840.1.113883.6.314 multum-drug-id Multum Generic Drug Identifier Hugh Glover masked Terri Meredith Terri Meredith 2000 S. Colorado Blvd #11000 Denver, CO 80022 United States of America 303-733-4447 masked Senior Research Project Leader Cerner Multum 2000 S. Colorado Blvd #11000 Denver, CO 80022 United States of America 303-733-4447 tmeredith@cerner.com http://www.multum.com Vendor 2.16.840.1.113883.6.27 Int 6 6 Complete 2012/07/13 12:00:00 2012/07/13 12:00:00 2012/07/13 08:45:20 UV 2.16.840.1.113883.17.96 org-pmcmt Pioneer Medical Center Linda Matranga masked Linda Matranga Pioneer Medical Center PO Box 1228 Big Timber, MT. 59011 406-932-2462 masked CIS Project Manager Pioneer Medical Center Pioneer Medical Center PO Box 1228 Big Timber, MT. 59011 406-932-4603 lmatranga@pmcmt.org http://www.pmcmt.org Provider Int 17 Complete 2012/07/16 12:00:00 2012/07/23 12:00:00 2012/07/23 10:00:56 UV 2.16.840.1.113883.4.573 fda FDA Janus Clinical Trials Repository (CTR) Mitra Rocca masked Mitra Rocca Food and Drug Administration Center for Drug Evaluation and Research 10903 New Hampshire Ave Bldg. 21, Office 4608 Silver Spring, MD 20993 3017962175 masked Senior Medical Informatician US Food and Drug Administration 10903 New Hampshire Ave Bldg. 21, Office 4608 Silver Spring, MD 20993 3017962175 mitra.rocca@fda.hhs.gov http://www.fda.gov Govt body Int 4 4 Complete 2012/07/16 12:00:00 2012/07/23 12:00:00 2012/07/23 10:02:57 UV 2.16.840.1.113883.3.1070.5044 mckesson-fusion-5044 mckesson-fusion-5044 Melba McNeil masked Fusion Enrollment 8775074541 masked Fusion Enrollment melba.mcneil@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5044 2012/07/16 12:00:00 2012/07/23 12:00:00 2012/07/23 10:04:10 US 2.16.840.1.113883.3.2080 king12 Kingwood Surgical Cynthia Klein masked Cynthia Klein 15305 Dallas Parkway Suite 1600 Addison, TX 75001 9725817829 masked VP Clinical Systems Memorial Hermann Specialty Hospital Kingwood 300 Kingwood Medical Drive Kingwood, TX 77339 (281) 312-4000 ciklein@uspi.com Provider Int 3 3 Complete 2012/07/16 12:00:00 2012/07/23 12:00:00 2012/07/23 10:05:56 UV 2.16.840.1.113883.3.2081 sugarland12 Sugar Land Surgical Cynthia Klein masked Cynthia Klein 15305 Dallas Parkway Suite 1600 Addison, TX 75001 9725817829 masked VP Clinical systems Surgical Specialty Hospital of Sugar Land 1211 Highway 6 Suite 70 Sugar Land, TX 77478 (281) 243-1000 ciklein@uspi.com Provider Int 3 Complete 2012/07/16 12:00:00 2012/07/23 12:00:00 2012/07/23 10:11:29 UV 2.16.840.1.113883.3.2082 tops12 TOPS Surgical Cynthia Klein masked Cynthia Klein 15305 Dallas Parkway Suite 1600 Addison, TX 75001 9725817829 masked VP Clinical Systems TOPS Surgical Specialty Hospital 17080 Red Oak Drive Houston, TX 77090 (281) 539-2900 ciklein@uspi.com Provider Int 3 Complete 2012/07/16 12:00:00 2012/07/23 12:00:00 2012/07/23 10:12:57 UV 2.16.840.1.113883.3.2083 irvingcoppell12 Irving Coppell Surgical Cynthia Klein masked Cynthia Klein 15305 Dallas Parkway Suite 1600 Addison, TX 75001 9725817829 masked VP Clinical Systems Irving Coppell Surgical Hospital 400 West I-635 Suite 101 Irving, TX 75063 (972) 868-4000 ciklein@uspi.com Provider Int 3 Complete 2012/07/16 12:00:00 2012/07/23 12:00:00 2012/07/23 10:14:16 UV 2.16.840.1.113883.3.2084 css12 The Center for Spinal Surgery Cynthia Klein masked Cynthia Klein 15305 Dallas Parkway Suite 1600 Addison, TX 75001 9725817829 masked VP Clinical Systems The Center for Spinal Surgery 2011 Murphy Avenue Suite 400 Nashville, TX 37203 (615) 341-7500 ciklein@uspi.com Provider Int 3 Complete 2012/07/16 12:00:00 2012/07/23 12:00:00 2012/07/23 10:15:42 UV 2.16.840.1.113883.3.2085 northcentral12 North Central Surgical Center Cynthia Klein masked Cynthia Klein 15305 Dallas Parkway Suite 1600 Addison, TX 75001 9725817829 masked VP Clinical Systems North Central Surgical Center 9301 North Central Expressway Suite 100 Dallas, TX 75231 (214) 265-2810 ciklein@uspi.com Provider Int 3 Complete 2012/07/16 12:00:00 2012/07/23 12:00:00 2012/07/23 10:17:05 UV 2.16.840.1.113883.3.2086 ftw12 Fort Worth Surgical Cynthia Klein masked Cynthia Klein 15305 Dallas Parkway Suite 1600 Addison, TX 75001 9725817829 masked VP Clinical Systems Baylor Surgical Hospital at Fort Worth 750 12th Avenue Fort Worth, TX 76104 (817) 334-5050 ciklein@uspi.com Provider Int 3 Complete 2012/07/16 12:00:00 2012/07/23 12:00:00 2012/07/23 10:18:51 UV 2.16.840.1.113883.3.2087 ocoms12 OCOMS Surgical Cynthia Klein masked Cynthia Klein 15305 Dallas Parkway Suite 1600 Addison, TX 75001 9725817829 masked VP Clinical Systems Oklahoma Center for Orthopaedic & Multi-Specialty Surgery 8100 South Walker Avenue Building C Oklahoma City, OK 73139 (405) 602-6500 ciklein@uspi.com Provider Int 3 Complete 2012/07/16 12:00:00 2012/07/23 12:00:00 2012/07/23 10:21:48 UV 2.16.840.1.113883.3.2088 aosh12 Arizona Orthopedic Surgical Hospital Cynthia Klein masked Cynthia Klein 15305 Dallas Parkway Suite 1600 Addison, TX 75001 9725817829 masked VP Clinical Systems Arizona Orthopedic Surgical Hospital 2905 West Warner Road Chandler, AZ 85224 (480) 603-9000 ciklein@uspi.com Exchange Int 3 Complete 2012/07/16 12:00:00 2012/07/23 12:00:00 2012/07/23 10:23:28 UV 2.16.840.1.113883.3.2089 tc12 Baylor Medical Center at Trophy Club Cynthia Klein masked Cynthia Klein 15305 Dallas Parkway Suite 1600 Addison, TX 75001 9725817829 masked VP Clinical Systems Baylor Medical Center at Trophy Club 2850 East State Highway 114 Trophy Club, TX 76262 (817) 837-4600 ciklein@upsi.com Provider Int 3 Complete 2012/07/16 12:00:00 2012/07/23 12:00:00 2012/07/23 10:24:42 UV 2.16.840.1.113883.3.2090 bosha12 Baylor Orthopedic and Spine Hospital at Arlington Cynthia Klein masked Cynthia Klein 15305 Dallas Parkway Suite 1600 Addison, TX 75001 9725817829 masked VP Clinical Systems Baylor Orthopedic and Spine Hospital at Arlington 707 Highlander Blvd. Arlington, TX 76015 (817) 583-7100 ciklein@uspi.com Provider Int 3 Complete 2012/07/16 12:00:00 2012/07/23 12:00:00 2012/07/23 10:26:23 UV 2.16.840.1.113883.3.2091 uptown12 Baylor Medeical Center at Uptown Cynthia Klein masked Cynthia Klein 15305 Dallas Parkway Suite 1600 Addison, TX 75001 9725817829 masked VP Clinical Systems Baylor Medical Center at Uptown 2727 East Lemmon Avenue Dallas, TX 75204 (214) 443-3000 ciklein@uspi.com Provider Int 3 Complete 2012/07/16 12:00:00 2012/07/23 12:00:00 2012/07/23 10:28:06 UV 2.16.840.1.113883.3.1070.5034 mckesson-fusion-5034 mckesson-fusion-5034 Melba McNeil masked Fusion Enrollment 8775074541 masked Fusion Enrollment melba.mcneil@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5034 2012/07/17 12:00:00 2012/07/23 12:00:00 2012/07/23 10:31:06 US 2.16.840.1.113883.3.2092 ardentMcKessonClinicals Ardent Health Services McKesson Clinicals Adriana Rodriguez masked Adriana Rodriguez 1 Burton Hills Suite 250 Nashville, TN 37215 615-296-3162 masked Interface Architect Ardent Health Services 1 Burton Hills Suite 250 Nashville, TN 37215 615-296-3000 courtney.bush@ardenthealth.com http://www.ardenthealth.com Provider Int 4 3 Complete 2012/07/17 12:00:00 2012/07/23 12:00:00 2012/07/23 10:33:50 UV 2.16.840.1.113883.3.1070.5040 mckesson-fusion-5040 mckesson-fusion-5040 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070.5040 Ext 17 Complete 2.16.840.1.113883.3.1070.5040 2012/07/17 12:00:00 2012/07/23 12:00:00 2012/07/23 02:00:49 US 2.16.840.1.113883.3.1070.5038 mckesson-fusion-5038 mckesson-fusion-5038 Melba McNeil masked Fusion Enrollment 8775074541 masked Fusion Enrollment melba.mcneil@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5038 2012/07/17 12:00:00 2012/07/23 12:00:00 2012/07/23 02:01:50 US 2.16.840.1.113883.3.2077.1 krmc Kalispell Regional Medical Center Candis Deruchia-Bunten masked Melanie Swenson KRH 310 Sunnyview Lane Kalispell, MT 59901 4067512982 masked Dir. HIT Kalispell Regional Healthcare KRH 310 Sunny View Lane Kalispell, Mt 59901 4067516661 jschaub@krmc.org http://www.nwhc.org Provider 2.16.840.1.113883.3.2077 Ext 3 3 Complete 2.16.840.1.113883.3.2077.1 2012/07/17 12:00:00 2012/07/23 12:00:00 2012/07/23 02:11:52 UV 2.16.840.1.113883.3.2077.2 hcnw Health Center Northwest Candis Deruchia-Bunten masked Melanie Swenson KRH 310 Sunnyview Lane Kalispell,MT 59901 4067512982 masked Dir. HIT Kalispell Regional Healthcare KRH 310 Sunnyview Lane Kalispell, MT 59901 4067516661 jschaub@krmc.org http://www.nwhc.org Provider 2.16.840.1.113883.3.2077 Ext 3 3 Complete 2.16.840.1.113883.3.2077.2 2012/07/17 12:00:00 2012/07/23 12:00:00 2012/07/23 02:14:41 UV 2.16.840.1.113883.3.2093 cocwm Methodist Hospital Mike Angelico masked Mike Angelico 210-575-4621 masked Director, IT&S HCA/Methodist Healthcare System HASA Methodist Hospital Mike.Angelico@MHShealth.com Provider Int 3 Complete 2012/07/17 12:00:00 2012/07/23 12:00:00 2012/07/23 08:07:49 UV 2.16.840.1.113883.3.1070.5048 mckesson-fusion-5048 mckesson-fusion-5048 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5048 2012/07/17 12:00:00 2012/07/23 12:00:00 2012/07/23 02:20:51 UV 2.16.840.1.113883.3.2094 cocsn Methodist Specialty and Transplant Hospital Mike Angelico masked Mike Angelicao 210-575-4621 masked Director, IT&S HCA/Methodist Healthcare System HASA Methodist Specialty and Transplant Hospital Mike.Angelico@MHShealth.com Provider Int 3 Complete 2012/07/17 12:00:00 2012/07/23 12:00:00 2012/07/23 08:19:04 UV 2.16.840.1.113883.3.2095 cocmt Metropolitan Methodist Hospital Mike Angelico masked Mike Angelicao 210-575-4621 masked HASA Metropolitan Methodist Hospital Mike.Angelico@MHShealth.com Provider Int 3 Complete 2012/07/17 12:00:00 2012/07/23 12:00:00 2012/07/23 08:24:01 UV 2.16.840.1.113883.3.2096 cocvo Northeast Methodist Hospital Mike Angelico masked Mike Angelicao 210-575-4621 masked HASA Northeast Methodist Hospital Mike.Angelico@MHShealth.com Provider Int 3 Complete 2012/07/17 12:00:00 2012/07/23 12:00:00 2012/07/23 08:27:27 UV 2.16.840.1.113883.3.2097 cocmta Methodist Texsan Hospital Mike Angelico masked Mike Angelicao 210-575-4621 masked HASA Methodist Texsan Hospital Mike.Angelico@MHShealth.com Provider Int 3 Complete 2012/07/17 12:00:00 2012/07/23 12:00:00 2012/07/23 08:29:39 UV 2.16.840.1.113883.3.2098 cocmso Methodist Stone Oak Hospital Mike Angelico masked Mike Angelicao 210-575-4621 masked Director, IT&S HCA/Methodist Healthcare System HASA Methodist Stone Oak Hospital Mike.Angelico@MHShealth.com Provider Int 3 Complete 2012/07/17 12:00:00 2012/07/23 12:00:00 2012/07/23 08:31:13 UV 2.16.840.1.113883.3.1070.5049 mckesson-fusion-5049 mckesson-fusion-5049 Melba McNeil masked Fusion Enrollment 8775074541 masked Fusion Enrollment melba.mcneil@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5049 2012/07/17 12:00:00 2012/07/23 12:00:00 2012/07/23 08:32:56 US 2.16.840.1.113883.3.2099 cocay Methodist Ambulatory Surgery Center Mike Angelico masked Mike Angelicao 210-575-4621 masked Director, IT&S HCA/Methodist Healthcare System HASA Methodist Ambulatory Surgery Center Mike.Angelico@MHShealth.com Provider Int 3 Complete 2012/07/17 12:00:00 2012/07/23 12:00:00 2012/07/23 08:37:56 UV 2.16.840.1.113883.3.2076.2 patient-id Patient Doug Clauder masked Doug Clauder 3181 S.W. Sam Jackson Park Rd. Portland, Oregon 97239-3098 503 494-8311 masked Sr Application Engineer Oregon Health and Science University 3181 S.W. Sam Jackson Park Rd. Portland, Oregon 97239-3098 503 494-8311 clauderd@ohsu.edu http://www.ohsu.edu Academic 2.16.840.1.113883.3.2076 Ext 3 Complete 2.16.840.1.113883.3.2076.2 2012/07/17 12:00:00 2012/07/23 12:00:00 2012/07/23 08:43:39 UV 2.16.840.1.113883.3.2076.2.100 mrn-ohsu Medical Record Number Doug Clauder masked Doug Clauder 3181 S.W. Sam Jackson Park Rd. Portland, Oregon 97239-3098 503 494-8311 masked Sr Application Engineer Oregon Health and Science University 3181 S.W. Sam Jackson Park Rd. Portland, Oregon 97239-3098 503 494-8311 clauderd@ohsu.edu http://www.ohsu.edu Academic 2.16.840.1.113883.3.2076 Ext 3 Complete 2.16.840.1.113883.3.2076.2.100 2012/07/17 12:00:00 2012/07/23 12:00:00 2012/07/23 08:45:34 UV 2.16.840.1.113883.3.2100 yprootoid YRMC Prescott Root OID Donald Gilchrist masked Michael Stevenson Yavapai Regional Medical Center 1003 Willow Creek Road Prescott, AZ 86301 928-771-5472 masked Interface Architect Yavapai Regional Medical Center Yavapai Regional Medical Center 1003 Willow Creek Road Prescott, AZ 86301 928-445-2700 ISManagement@yrmc.org https://www.yrmc.org/ Provider Int 3 3 Complete 2012/07/18 12:00:00 2012/07/23 12:00:00 2017/03/20 06:54:54 UV 2.16.840.1.113883.3.2101 pah Punxsutawney Area Hospital Charles States masked Charles 81 Hillcrest Drive Punxsutawney, PA 15767 814-938-1860 masked Director of Information Systems Punxsutawney Area Hospital 81 Hillcrest Drive Punxsutawney, PA 15767 814-938-1800 cstates@pah.org http://www.pah.org Provider Int 3 Complete 2012/07/18 12:00:00 2012/07/23 12:00:00 2012/07/23 08:53:52 UV 2.16.840.1.113883.3.2102 vmc Village Medical Centers William Ngo masked Brandon Fluitt Brandon Fluitt 8000 Research Forect, Suite 360 The Woodlands, Texas 77382 281-292-1191 masked IT Administrator Village Medical Centers 8000 Research Forect, Suite 360 The Woodlands, Texas 77382 281-292-1191 brandon.fluitt@villagemedicalcenter.com http://www.villagemedicalcenter.com Provider Int 3 Complete 2012/07/18 12:00:00 2012/07/24 12:00:00 2012/07/24 08:45:33 UV 2.16.840.1.113883.3.2103 iuhgh Indiana University Health Goshen Hospital Kerry Replogle masked Kerry Replogle 200 High Park Avenue Goshen, IN 46526 5743642950 masked Interface Analyst Indiana University Health Goshen Hospital 200 High Park Avenue Goshen, IN 46526 5743642636 dvoelker@iuhealth.org Provider Int 3 Complete 2012/07/19 12:00:00 2012/07/24 12:00:00 2012/07/24 08:48:04 UV 2.16.840.1.113883.3.2104 iuhghp Indiana University Health Goshen Hospital Physicians Kerry Replogle masked Kerry Replogle 200 High Park Avenue Goshen, IN 46526 5743642950 masked Interface Analyst Indiana University Health Goshen Hospital Physicians 200 High Park Avenue Goshen, IN 46526 5743642636 dvoelker@iuhealth.org Provider Int 3 Complete 2012/07/19 12:00:00 2012/07/24 12:00:00 2012/07/24 08:49:52 UV 2.16.840.1.113883.3.1070.5041 mckesson-fusion-5041 mckesson-fusion-5041 Harry Callier masked Fusion Enrollment 8775074541 masked Implementation Consultant Fusion Enrollment harry.callier@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5041 2012/07/19 12:00:00 2012/07/23 12:00:00 2012/07/23 10:29:35 US 2.16.840.1.113883.3.1178.1.1 pensacola-HIE-NwHIN-Test Strategic Health Intelligence Health Information Exchange - NwHIN - Test Ashley Spikes masked Craig Dalton Ashley Spikes 117 West Garden Street Pensacola FL, 32502 850 438 4081 masked Government Partnership Manager, Armed Services Strategic Health Intelligence 850 438 4081 aspikes@pensacolachamber.com http://www.strategichealthintelligence.com Govt body 2.16.840.1.113883.3.1178 Ext 3 Complete 2.16.840.1.113883.3.1178.1.1 2012/07/19 12:00:00 2012/07/24 12:00:00 2012/07/24 08:53:50 UV 2.16.840.1.113883.3.1178.2.1 pensacola-HIE-FHIN-Test Strategic Health Intelligence Health Information Exchange - FHIN - Test Ashley Spikes masked craig dalton Ashley Spikes 117 West Garden Street Pensacola FL, 32502 850 438 4081 masked Government Partnership Manager, Armed Services Strategic Health Intelligence 850 438 4081 aspikes@pensacolachamber.com http://www.strategichealthintelligence.com Govt body 2.16.840.1.113883.3.1178 Ext 3 Complete 2.16.840.1.113883.3.1178.2.1 2012/07/19 12:00:00 2012/07/24 12:00:00 2012/07/24 08:55:48 UV 2.16.840.1.113883.3.1070.5042 mckesson-fusion-5042 mckesson-fusion-5042 Harry Callier masked Fusion Enrollment 8775074541 masked Implementation Consultant Fusion Enrollment harry.callier@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5042 2012/07/19 12:00:00 2012/07/24 12:00:00 2012/07/24 08:57:08 US 2.16.840.1.113883.3.2105 logiPharm Services LogiPharm Denis Primeau masked Denis Primeau 1755, rue de la Parent&#233; Terrebonne, Qu&#233;bec J6Y 1A9 514-878-9449 masked Services LogiPharm 1755, rue de la Parent&#233; Terrebonne, Qu&#233;bec J6Y 1A9 514-878-9449 logipharm@rx24h.com http://www.rx24h.com Vendor Int 3 Complete 2012/07/20 12:00:00 2012/07/24 12:00:00 2012/07/24 09:02:02 CA 2.16.840.1.113883.3.2106 lanes Los Angeles Network for Enhanced Service Rudolph Quiroz masked Jim Marsden 500 W. Temple Street Room 713 Los Angeles, CA 90012 310-480-4070 masked Technical PM LANES 500 W. Temple Street Room 713 Los Angeles, CA 90012 213-974-1101 jim@stratavation.com http://www.phfe.org/ Govt body Int 3 Complete 2012/07/20 12:00:00 2012/07/24 12:00:00 2012/07/24 09:05:45 UV 2.16.840.1.113883.3.2107 pumpco PumpCo Ltd Andrew Lawrenson masked Andrew Lawrenson PumpCo Ltd Langley Gate Swindon Road Kington Langley Wiltshire SN15 5SE United Kingdom 00441249 750432 masked PumpCo Ltd andy.lawrenson@pumpco.co.uk http://www.pumpco.co.uk/ Vendor Int 3 Complete 2012/07/23 12:00:00 2012/07/24 12:00:00 2012/07/24 09:07:33 UV 2.16.840.1.113883.3.1070.5039 mckesson-fusion-5039 mckesson-fusion-5039 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5039 2012/07/23 12:00:00 2012/07/24 12:00:00 2012/07/24 09:09:23 US 2.16.840.1.113883.3.1070.5047 mckesson-fusion-5047 mckesson-fusion-5047 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5047 2012/07/23 12:00:00 2012/07/24 12:00:00 2012/07/24 09:10:34 US 2.16.840.1.113883.3.2108 phh Port Huron Hospital Sami Manninen masked Sami Manninen (810) 989-3813 masked MHC Port Huron Hospital smanninen@porthuronhospital.org Provider Int 3 Complete 2012/07/23 12:00:00 2012/07/24 12:00:00 2012/07/24 09:17:36 UV 2.16.840.1.113883.3.2109 bmgaw Banner Medical Group Arizona West John Todd masked zach.palmese@bannerhealth.com John Todd 525 W. Brown Rd. Mesa, AZ 85201 4806847180 masked Systems Engineer BMG Arizona West 1441 N. 12th St. Phoenix, AZ 85006 4806847180 john.todd@bannerhealth.com http://bannerhealth.com Provider Int 3 Complete 2012/07/23 12:00:00 2012/07/24 12:00:00 2012/07/24 09:21:03 UV 2.16.840.1.113883.3.2110 bmgae Banner Medical Group Arizona East John Todd masked John Todd 525 W. Brown Rd Mesa, AZ, 85201 4806847180 masked Systems Engineer BMG Arizona East 1441 N. 12th St. Phoenix, AZ 85006 4806847180 john.todd@bannerhealth.com http://bannerhealth.com Provider Int 3 Complete 2012/07/23 12:00:00 2012/07/24 12:00:00 2012/07/24 09:23:42 UV 2.16.840.1.113883.3.2111 bmgwr Banner Medical Group Western Region John Todd masked John Todd 525 W. Brown Rd Mesa, AZ 85201 4806847180 masked Systems Engineer BMG Western Region 1441 N. 12th St. Phoenix, AZ 85006 4806847180 john.todd@bannerhealth.com http://bannerhealth.com Provider Int 3 Complete 2012/07/23 12:00:00 2012/07/24 12:00:00 2012/07/24 09:25:50 UV 2.16.840.1.113883.3.2112 nmh-mi McLaren Northern Michigan Chuck Beat masked Paul.Anspach@antheliohealth.com Ryan Maginity (810) 424-8137 masked Integration Services McLaren Northern Michigan 416 Connable Ave Petoskey, MI 49770 (231) 487-5578 charles.beat@antheliohealth.com Provider Int 3 3 Complete 2012/07/23 12:00:00 2012/07/24 12:00:00 2014/01/16 12:01:01 UV 2.16.840.1.113883.3.2113 ahs-hh AHSTestHomeHealth Justin Davis masked Justin, Davis Adventist Health System 900 Hope Way Altamonte Springs, FL 32714 4073759132 masked AHSTestHomeHealth Justin.Davis@FLHOSP.ORG http://www.ahss.org/ Provider Int 17 3 Complete 2012/07/23 12:00:00 2012/07/24 12:00:00 2012/07/24 09:33:22 UV 2.16.840.1.113883.3.1871.3.943 affmp AFSFN Family Medicine of Purcell Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst Rodney Rice 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.943 2012/07/23 12:00:00 2012/07/24 12:00:00 2012/07/24 09:36:35 UV 2.16.840.1.113883.3.2114 vsc-oid Vision Specialty Care Jose Allende masked Jose Allende 7949 NW 2 Street Miami, FL 33126 3052639050 masked President Vision Specialty Care 7949 NW 2 Street Miami, FL 33126 3052639050 joseallende@visionspecialty.com https://www.visionspecialty.com Provider Int 3 Complete 2012/07/23 12:00:00 2012/07/24 12:00:00 2012/07/24 09:46:52 UV 2.16.840.1.113883.3.2115 ghpphms Geisinger Health Plan Population Health May Terry masked James Cibak May Terry 570-271-6685 masked Senior Clinical Informaticist Geisinger Health Plan 100 North Academy Academy Ave Danville, PA 17822 570-271-6685 jecibak@geisinger.edu http://www.thehealthplan.com/ Payor Int 3 3 Complete 2012/07/24 12:00:00 2012/07/24 12:00:00 2012/07/24 09:56:17 UV 2.16.840.1.113883.3.2116 nydh New York Downtown Hospital Anthony Lisske masked Anthony Lisske 170 William Street New York, NY 10038 212.312.5133 masked CRO New York Downtown Hospital 170 William Street New York, NY 10038 212.312.5000 anthony.lisske@downtownhospital.org http://www.downtownhospital.org/ Provider Int 3 Complete 2012/07/24 12:00:00 2012/07/24 12:00:00 2012/07/24 02:01:02 UV 2.16.840.1.113883.3.2117 pamc-los-angeles Pacific Alliance Medical Center John Brown masked John D. Brown 213-437-4256 masked CIO Pacific Alliance Medical Center 531 West College Street Los Angeles, CA 90012 213-624-8411 john.brown@pamc.net Provider Int 3 Complete 2012/07/24 12:00:00 2012/07/24 12:00:00 2012/07/24 02:23:13 UV 2.16.840.1.113883.3.2118 clh Clinical Laboratories of Hawaii, LLP Raleigh Awaya masked Raleigh Awaya 33 Lanihuli St Hilo, HI 96720 808-679-4233 masked Clinical Laboratories of Hawaii, LLP 33 Lanihuli St Hilo, HI 96720 808-679-4233 Raleigh.Awaya@hawaiilabs.com Vendor Int 3 Complete 2012/07/24 12:00:00 2012/07/24 12:00:00 2012/07/24 06:45:26 UV 2.16.840.1.113883.17.97 org-DMHA Daniels Memorial Hospital Association Kim Wolfe masked Wendy Dahl Kim Wolfe box 400 Scobey MT 59263 406-487-2296 masked RN, DNS Daniels Memorial Hospital Association 105 5th Avenue East Scobey, MT 59263 406-487-2296 wolfek@dmha.net Provider Int 17 Complete 2012/07/25 12:00:00 2012/07/31 12:00:00 2012/07/31 02:21:36 UV 2.16.840.1.113883.3.2119 mrvcms MRVCMS Steve Tuinstra masked Steve Tuinstra Midwest Medical Records Association, Inc 1701 E. Woodfield Rd Suite 1100 Schaumburg, IL 60173 224-520-8023 masked IT Manager Midwest Medical Records Association, Inc Midwest Medical Records Association, Inc 1701 E. Woodfield Rd Suite 1100 Schaumburg, IL 60173 847-413-9660 stuinstra@mrview.com Vendor Int 3 Complete 2012/07/25 12:00:00 2012/07/31 12:00:00 2012/07/31 02:25:27 UV 2.16.840.1.113883.3.2120 ccmH0sp1tal-2011 ccmH0sp1tal-2011 Jeff Tindle masked Shannon Jordan Jeff Tindle 660-542-1695 masked CEO Jeff Tindle jefft@ccmhospital.org Provider Int 3 Complete 2012/07/25 12:00:00 2012/07/31 12:00:00 2012/07/31 02:28:25 UV 2.16.840.1.113883.3.2121 jeffersonmedical-2011 jeffersonmedical-2011 Jean Steel masked Shannon Jordan Jean Steel 660-542-9998 masked Practice Manager Jefferson Medical jeans@ccmhospital.org Provider Int 3 Complete 2012/07/25 12:00:00 2012/07/31 12:00:00 2012/07/31 02:30:29 UV 2.16.840.1.113883.3.2122 chmc Centinela Hospital Medical Center Obene Manu masked Martin Cordova Obene Manu 555 E. Hardy St Inglewood, CA 90301 310-680-8331 masked Network Engineer Centinela Hospital Medical Center 555 E. Hardy St Inglewood, CA 90301 310-680-1906 mcordova@primehealthcare.com http://www.centinelamed.com Provider Int 3 3 Complete 2012/07/25 12:00:00 2012/07/31 12:00:00 2012/07/31 02:31:56 UV 2.16.840.1.113883.3.2123 kmc Kettering Medical Center Loretta Gaul masked Loretta Gaul Kettering Medical Center 3535 Southern Boulevard Kettering, Ohio 45429 937-298-4331 937-298-4331 masked Project Manager Medicity rbrant@medicity.com http://www.medicity.com Exchange Int 3 Complete 2012/07/25 12:00:00 2012/07/31 12:00:00 2012/07/31 02:35:10 UV 2.16.840.1.113883.3.2124 gmc Grandview Medical Center Loretta Gaul masked Loretta Gaul Grandview Medical Center 405 West Grand Avenue Dayton, Ohio 45405 937-723-3200 masked Project Manager Medicity rbrant@medicity.com http://www.medicity.com Exchange Int 3 Complete 2012/07/25 12:00:00 2012/07/31 12:00:00 2012/07/31 02:37:28 UV 2.16.840.1.113883.3.2125 khnsh Sycamore Hospital Loretta Gaul masked Loretta Gaul Sycamore Hospital 4000 Miamisburg-Centerville Road Miamisburg, Ohio 45342-3696 937-866-0551 masked Project Manager Medicity rbrant@medicity.com http://www.medicity.com Exchange Int 3 Complete 2012/07/25 12:00:00 2012/07/31 12:00:00 2012/07/31 02:38:50 UV 2.16.840.1.113883.3.2126 khnsvh Southview Hospital Loretta Gaul masked Loretta Gaul Southview Hospital 1997 Miamisburg-Centerville Road Centerville, Ohio 45459 937-439-6000 masked Project Manager Medicity rbrant@medicity.com http://www.medicity.com Exchange Int 3 Complete 2012/07/25 12:00:00 2012/07/31 12:00:00 2012/07/31 02:40:12 UV 2.16.840.1.113883.3.2127 gmh Greene Memorial Hospital Loretta Gaul masked Loretta Gaul Greene Memorial Hospital 1141 North Monroe Drive Xenia, Ohio 45385 937-352-2000 masked Project Manager Medicity rbrant@medicity.com http://www.medicity.com Exchange Int 3 Complete 2012/07/25 12:00:00 2012/07/31 12:00:00 2012/07/31 02:42:00 UV 2.16.840.1.113883.3.2128 irsmc Indu & Raj Soin Medical Center Loretta Gaul masked Loretta Gaul Indu & Raj Soin Medical Center 3535 Pentagon Blvd. Beavercreek, OH 45431 937- 702-4000 masked Project Manager Medicity rbrant@medicity.com http://www.medicity.com Exchange Int 3 Complete 2012/07/25 12:00:00 2012/07/31 12:00:00 2012/07/31 02:44:05 UV 2.16.840.1.113883.3.2129 fhh Fort Hamilton Hospital Loretta Gaul masked Loretta Gaul Fort Hamilton Hospital 630 Eaton Avenue Hamilton, Ohio 45013 513-867-2000 masked Project Manager Medicity rbrant@medicity.com http://www.medicity.com Exchange Int 3 Complete 2012/07/25 12:00:00 2012/07/31 12:00:00 2012/07/31 02:53:18 UV 1.2.36.1.2001.1003.0 hi-service Health Identifier Service Grahame Grieve masked Grahame Grieve 56 Pitt Street Sydney 2000 Australia +61411867065 masked Director NEHTA support@nehta.gov.au http://www.nehta.gov.au Govt body Ext 4 4 Complete 1.2.36.1.2001.1003.0 2012/07/26 12:00:00 2012/07/31 12:00:00 2012/07/31 02:56:20 AU 1.2.36.1.2001.1001.100.149 rendering-specification Rendering Specification Grahame Grieve masked Grahame Grieve 56 Pitt Street Sydney 200 Australia +61411867065 masked Director NEHTA support@nehta.gov.au http://www.nehta.gov.au Govt body Ext 4 4 Complete 1.2.36.1.2001.1001.100.149 2012/07/26 12:00:00 2012/07/31 12:00:00 2012/07/31 02:58:19 AU 2.16.840.1.113883.3.2130 scptype Hampton Regional Medical Center Chris Frazier masked Janine Terry Janine Terry 595 W. Carolina Ave Varnville, SC 29944 803-943-1200 masked IT Director Hampton Regional Medical Center 595 W. Carolina Ave Varnville, SC 29944 803-943-2771 IT@hamptonregional.org http://www.hamptonregional.org Vendor Int 3 Complete 2012/07/26 12:00:00 2012/07/31 12:00:00 2024/05/20 06:23:01 UV 655F67B1-2B11-4038-B82F-F6AB2F566F87 mrn-example-au Australian Example MRN Grahame Grieve masked Grahame Grieve 56 Pitt Street Sydney 2000 Australia +61411867065 masked Consultantt NEHTA support@nehta.gov.au http://www.nehta.gov.au Govt body Ext 4 4 Complete 655F67B1-2B11-4038-B82F-F6AB2F566F87 2012/07/26 12:00:00 2012/07/31 12:00:00 2012/07/31 03:02:33 UV 2.16.840.1.113883.3.2131 sihf-Anderson-Hospital Anderson Hospital Scott Bradley masked Michael Ward Michael Ward Anderson Hospital IT Dept 6800 State Rt 162 Maryville, IL 62062 6183915899 masked Chief, Information Technology Anderson Hospital 6800 State Rt 162 Maryville, IL 62062 6182885711 helpdesk@andersonhospital.org http://www.andersonhospital.org Provider Int 3 Complete 2012/07/26 12:00:00 2012/08/09 12:00:00 2020/05/18 05:38:18 US 2.16.840.1.113883.3.2132 officeally-dev Office Ally Development Randy Nishino masked Randy Nishino 18665574120 masked Office Ally support@officeally.com Vendor Int 3 Complete 2012/07/26 12:00:00 2012/08/09 12:00:00 2012/08/09 06:17:01 UV 2.16.840.1.113883.3.2133 enmmc Eastern New Mexico Medical Center Gil Arnold masked Deepak Suri Deepak Suri Eastern New Mexico Medical Center 405 W. Country Club Road Roswell, New Mexico 88201 (575) 622-8170 masked IS Director Eastern New Mexico Medical Center Eastern New Mexico Medical Center 405 W. Country Club Road Roswell, New Mexico 88201 (575) 622-8170 Deepak_Suri@chs.net http://ENMMC.com Provider Int 3 Complete 2012/07/26 12:00:00 2012/08/09 12:00:00 2012/08/09 06:18:07 UV 2.16.840.1.113883.3.86.3.1 healthShareNoCode HealthShare Null Codeset Matthew Spielman masked James Bourette 1 Memorial Dr Cambridge, MA 02142 617-621-0600 masked Developer InterSystems Corporation 1 Memorial Dr Cambridge, MA 02142 617-621-0600 james.bourette@intersystems.com http://www.intersystems.com Vendor Ext 15 15 Complete 2.16.840.1.113883.3.86.3.1 2012/07/26 12:00:00 2012/08/09 12:00:00 2012/08/09 06:19:48 UV 2.16.840.1.113883.17.98 seton-health-troy-ny Seton Health Meaningful Use Data Exchange Object David Hughes masked David E Hughes 1300 Massachusetts Ave Troy, NY 12180 518-268-5330 masked Clinical COORDINATOR - IS Seton Health 1300 Massachusetts Ave Troy, NY 12180 518-268-5000 info@setonhealth.org http://www.setonhealth.org/ Provider Int 17 Complete 2012/07/26 12:00:00 2012/08/09 12:00:00 2012/08/09 06:21:45 UV 2.16.840.1.113883.17.99 org-BBC Beartooth Billings Clinic Beth Nordstrom masked Beth Nordstrom 2525 North Broadway Post office box 590 Red Lodge, MT 59068 406-446-0620 masked Director Of Rehabilitation Services Beartooth Billings Clinic 2525 North Broadway post office box 590 Red Lodge, MT 59068 406-446-2345 info@beartoothbillingsclinic.org https://www.beartoothbillingsclinic.org Provider Int 17 Complete 2012/07/26 12:00:00 2012/08/09 12:00:00 2012/08/09 06:23:52 UV 2.16.840.1.113883.3.1070.5045 mckesson-fusion-5045 mckesson-fusion-5045 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5045 2012/07/27 12:00:00 2012/08/09 12:00:00 2012/08/09 06:26:28 US 2.16.840.1.113883.3.2134 masonicvillage Masonic Villages of PA Janet Keith masked Janet Keith One Masonic Drive Elizabethtown, PA 17022 717-367-1121 ext 33271 masked Dir of System Support & Dev Masonic Villages of PA One Masonic Drive Elizabethtown, PA 17022 717-367-1121 jkeith@masonicvillagespa.org http://www.masonicvillagespa.org/ Provider Int 3 Complete 2012/07/27 12:00:00 2012/08/09 12:00:00 2012/08/09 06:28:09 UV 2.16.840.1.113883.3.2135 enovacom Enovacom Christophe Marcel masked Christophe Marcel + 33 (0) 4 86 670 000 masked Enovacom cmarcel@enovacom.fr http://www.enovacom.fr Vendor Int 3 3 Complete 2012/07/30 12:00:00 2012/08/09 12:00:00 2014/09/22 03:55:03 UV 2.16.840.1.113883.4.574 demirs-oid Polaris-Demirs Michael Oakes masked Michael Oakes masked Polaris Medical Management Inc. 1150 New London Avenue Cranston, RI 02920 401-654-4000 moakes@polarismedical.com Vendor 2.16.840.1.113883.3.1348 Int 2.16.840.1.113883.3.1348.1.6 4 Deprecated 2012/07/30 12:00:00 2016/09/23 06:31:35 UV 2.16.840.1.113883.3.2136 sfrec-hie South Florida Regional Extension Center Health Information Exchange Sandy Phillips masked Ms. Amy Rosa 9064 N.W. 13 Terrace Doral, FL 33172 (305) 599-1015 x18053 masked Assistant Director South Florida Regional Extension Center 9064 N.W. 13 Terrace Doral, FL, 33172 (305) 599-1015 info@southfloridarec.org Exchange Int 3 Complete 2012/07/31 12:00:00 2012/08/09 12:00:00 2012/08/09 06:33:49 UV 2.16.840.1.113883.3.567.12.4 fdbDACN fdb Drug Allergy Code New George Robinson masked George Robinson First Databankc, Inc 500 East 96th Street, Suite 500 Indianapolis, IN 46240 317.571.7390 masked Sr Product Manager First Databank, Inc 701 Gateway Boulevard, Suite 400 South San Francisco, CA 94080 800.633.3453 cc@fdbhealth.com http://www.fdbhealth.com/ Vendor 2.16.840.1.113883.3.567 Ext 15 13 Complete 2.16.840.1.113883.3.567.12.4 2012/07/31 12:00:00 2012/08/09 12:00:00 2012/08/09 06:37:14 UV 2.16.840.1.113883.3.567.12.5 fdbRoutedGenID fdb Routed Generic ID George Robinson masked George Robinson First Databankc, Inc 500 East 96th Street, Suite 500 Indianapolis, IN 46240 317.571-7390 masked Sr Product Manager First DataBank, Inc. 701 Gateway Boulevard, Suite 400 South San Francisco, CA 94080 800.633.3453 cc@fdbhealth.com http://www.fdbhealth.com/ Vendor 2.16.840.1.113883.3.567 Ext 15 13 Complete 2.16.840.1.113883.3.567.12.5 2012/07/31 12:00:00 2012/08/09 12:00:00 2012/08/09 06:37:51 UV 2.16.840.1.113883.3.567.12.6 fdbPIFAlg fdb PIF Primary Allergy Code Number George Robinson masked George Robinson First Databankc, Inc 500 East 96th Street, Suite 500 Indianapolis, IN 46240 317.571.7390 masked Sr Product Manager First Databank, Inc 701 Gateway Boulevard, Suite 400 South San Francisco, CA 94080 800.633.3453 cc@fdbhealth.com http://www.fdbhealth.com/ Vendor 2.16.840.1.113883.3.567 Ext 15 13 Complete 2.16.840.1.113883.3.567.12.6 2012/07/31 12:00:00 2012/08/09 12:00:00 2012/08/09 06:39:16 UV 2.16.840.1.113883.3.2137 stlch St Luke Community Hospital and Nursing Home James Schoenen masked James Schoenen 107 6th Avenue South West Ronan, MT 59864 406-528-5313 masked Director of IT St. Luke Community Hospital and Nursing Home 107 6th Avenue South West Ronan, MT 59864 406-676-4441 cis@stlukehealthcare.org https://stlukehealthcare.org Provider Int 3 Complete 2012/07/31 12:00:00 2012/08/09 12:00:00 2022/11/30 04:47:57 UV 2.16.840.1.113883.3.2138 cookChildrens Cook Children's Health Care System OID Laura Baum masked Laura A. Baum Cook Childrens Health Care System 801 Cherry Street Fort Worth, Texas 76102 682 885 2285 masked Senior Business Analyst Cook Children's Health Care System 801 7th Avenue Fort Worth, TX 76104 682 885 4000 DataIntegNotifications@cookchildrens.org http://www.cookchildrens.org Provider Int 3 Complete 2012/07/31 12:00:00 2012/08/09 12:00:00 2012/08/09 06:49:39 UV 2.16.840.1.113883.3.567.12.7 fdbRoutedDFMedID fdb Routed Dosage Form Medication ID George Robinson masked George Robinson First Databankc, Inc 500 East 96th Street, Suite 500 Indianapolis, IN 46240 317.571.7390 masked Sr Product Manager First Databank, Inc. 701 Gateway Boulevard, Suite 400 South San Francisco, CA 94080 800.633.3453 cc@fdbhealth.com http://www.fdbhealth.com/ Vendor 2.16.840.1.113883.3.567 Ext 15 13 Complete 2.16.840.1.113883.3.567.12.7 2012/07/31 12:00:00 2012/08/09 12:00:00 2012/08/09 06:52:26 UV 2.16.840.1.113883.3.2137.1 stlchcc St. Luke Community Healthcare Clinics James Schoenen masked James Schoenen 107 6th Avenue South West Ronan, MT 59864 406-528-5313 masked Director of IT St. Luke Community Hospital 107 6th Avenue South West Ronan, MT 59864 406-676-4441 cis@stlukehealthcare.org https://stlukehealthcare.org Provider 2.16.840.1.113883.3.2137 Ext 3 Complete 2.16.840.1.113883.3.2137.1 2012/07/31 12:00:00 2012/08/09 12:00:00 2022/11/30 05:03:10 UV 2.16.840.1.113883.3.567.12.8 fdbRoutedDFGenID fdb Routed Dosasge Form Generic ID George Robinson masked George Robinson First Databankc, Inc 500 East 96th Street, Suite 500 Indianapolis, IN 46240 317.571.7390 masked Sr Product Manager First DataBank, Inc. 701 Gateway Boulevard, Suite 400 South San Francisco, CA 94080 800.633.3453 cc@fdbhealth.com http://www.fdbhealth.com/ Vendor 2.16.840.1.113883.3.567 Ext 15 13 Complete 2.16.840.1.113883.3.567.12.8 2012/07/31 12:00:00 2012/08/09 12:00:00 2012/08/09 06:53:47 UV 2.16.840.1.113883.3.567.12.9 fdbIDC fdb International Drug Code George Robinson masked George Robinson First Databankc, Inc 500 East 96th Street, Suite 500 Indianapolis, IN 46240 317.571.7390 masked Sr Product Manager First Databank, Inc 701 Gateway Boulevard, Suite 400 South San Francisco, CA 94080 800.633.3453 cc@fdbhealth.com http://www.fdbhealth.com/ Vendor 2.16.840.1.113883.3.567 Ext 15 13 Complete 2.16.840.1.113883.3.567.12.9 2012/07/31 12:00:00 2012/08/09 12:00:00 2012/08/09 06:55:20 UV 2.16.840.1.113883.3.2139 iuhealthlaporte Indiana University Health La Porte Hospital Jeffrey Anderson masked Brian Cove Jeffrey E. Anderson, MD, MS 1007 Lincolnway La Porte, IN 46350 219-326-1234 ext 7170 masked Medical Staff President / Chief Medical Information and Quality Officer Indiana University Health La Porte Hospital 1007 Lincolnway La Porte, IN 46350 219-326-1234 JAnderson@IUHealth.org http://iuhealth.org/laporte Provider Int 3 Complete 2012/07/31 12:00:00 2012/08/09 12:00:00 2012/08/09 07:03:51 UV 2.16.840.1.113883.3.2140 bhs-mt Benefis Health System Thomas Hering masked Lee Roath Thomas E. Hering 1101 26th St S Great Falls, MT 59405 406-455-5070 masked Manager of Information Systems Benefis Health System 1101 26th St S Great Falls, MT 59405 406-455-5000 is@benefis.org http://www.benefis.org Provider Int 3 Complete 2012/07/31 12:00:00 2012/08/09 12:00:00 2012/08/09 07:05:52 UV 1.2.36.1.2001.1005.26 sa-Health-eHealth-Systems SA Health eHealth Systems Vin Sekar masked SA Health eHealth Systems Simon Biber Level 9, 45 Grenfell Street Adelaide SA 5000 Australia 08 8425 1461 masked eHealth National Reform Analyst SA Health eHealth Systems Health.eHealthNationalReform@health.sa.gov.au http://www.sahealth.sa.gov.au Govt body Ext 3 3 Complete 1.2.36.1.2001.1005.26 2012/08/01 12:00:00 2012/08/09 12:00:00 2013/05/08 03:42:51 UV 2.16.840.1.113883.3.2141 scrmcms South Central Regional Medical Center Dell Buchanan masked Mike Burger Dell Buchanan c/o South Central Regional Medical Center PO Box 607 Laurel, MS 39441 601-426-4045 masked CIO South Central Regional Medical Center South Central Regional Medical Center PO Box 607 Laurel, MS 39441 601-426-4000 dbuchanan@scrmc.com Provider Int 3 3 Complete 2012/08/01 12:00:00 2012/08/09 12:00:00 2012/08/09 07:10:22 UV 2.16.840.1.113883.3.2142 th-hmhs Texas Health Harris Methodist Hospital Southlake Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Texas Health Harris Methodist Hospital Southlake 1545 E. Southlake Boulevard Southlake, TX 76092 817-748-8700 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/08/01 12:00:00 2012/08/09 12:00:00 2012/08/09 07:11:45 UV 2.16.840.1.113883.3.2143 th-phr Texas Health Presbyterian Hospital Rockwall Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Texas Health Presbyterian Hospital Rockwall 3150 Horizon Road Rockwall, TX 75032 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/08/01 12:00:00 2012/08/09 12:00:00 2012/08/09 07:13:40 UV 2.16.840.1.113883.3.2144 th-cdsp Texas Health Center for Diagnostics & Surgery Plano Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Texas Health Center for Diagnostics & Surgery Plano 6020 West Parker Road Plano, TX 75093 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/08/01 12:00:00 2012/08/09 12:00:00 2012/08/09 07:15:11 UV 2.16.840.1.113883.3.2145 th-phfm Texas Health Presbyterian Hospital Flower Mound Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Texas Health Presbyterian Hospital Flower Mound 4400 Long Prairie Road Flower Mound, TX 75028 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/08/01 12:00:00 2012/08/09 12:00:00 2012/08/09 07:16:28 UV 2.16.840.1.113883.3.1070.5052 mckesson-fusion-5052 mckesson-fusion-5052 Melba McNeil masked Fusion Enrollment 8775074541 masked Fusion Enrollment melba.mcneil@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5052 2012/08/02 12:00:00 2012/08/09 12:00:00 2012/08/09 07:18:32 US 1.2.36.1.334.2.1.1 defencepmkeysnumber Defence PMKeyS Number Grahame Grieve masked Grahame Grieve 5 Eileen Close Warrandyte 3113 Australia +61411867065 masked Consultant Department of Defence Australia PO Box 7953 CANBERRA ACT 2600 Australia shannon.peterson1@defence.gov.au Govt body Ext 4 4 Complete 1.2.36.1.334.2.1.1 2012/08/02 12:00:00 2012/08/09 12:00:00 2012/08/09 07:21:06 AU 1.2.36.1.334.2.1.2 jehdipatientid JeHDI Patient ID Grahame Grieve masked Grahame Grieve 5 Eileen Close Warrandyte 3113 Australia +61411867065 masked Consultant Department of Defence Australia shannon.peterson1@defence.gov.au http://www.nehta.gov.au Govt body Ext 4 4 Complete 1.2.36.1.334.2.1.2 2012/08/02 12:00:00 2012/08/09 12:00:00 2012/08/09 07:22:39 AU 2.16.840.1.113883.3.2146 ahrq-ushik United States Health Information Knowledgebase Michael Posch masked Michael Posch 965 E. Jefferson Ave. Detroit, MI 48207 313-963-7771 x8743 masked Manager United States Health Information Knowledgebase 965 E. Jefferson Ave. Detroit, MI 48207 313-963-7771 mposch@dcgroupinc.com http://ushik.ahrq.gov Govt body Int 3 3 Complete 2012/08/03 12:00:00 2012/08/09 12:00:00 2012/08/09 07:30:41 US 2.16.840.1.113883.3.1871.3.184 sapopw SAPO Pulmonary and Wellness Rodney Rice Jr masked Rodney Rice Jr 314 951 5631 masked Interface Analyst Rodney Rice Jr 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871.3 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.184 2012/08/06 12:00:00 2012/08/09 12:00:00 2012/08/09 07:25:42 UV 2.16.840.1.113883.3.2147 lpec Lake Plains Eye Center William Cosman masked Dr. William Cosman MD 500 Erie St Medina NY 14103 585-798-2020 masked Presedint and CEO Lake Plains Eye Center 500 Erie St Medina NY 14103 585-798-2020 jolivas@rochester.rr.com http://lakeplainseyecenter.com/ Provider Int 3 Complete 2012/08/06 12:00:00 2012/08/09 12:00:00 2012/08/09 07:34:31 UV 2.16.840.1.113883.3.2148 medisys Medisys Health Network Michael Walcheski masked Michael Walcheski 8900 Van Wyck Expressway Jamaica, NY 11418 718-206-5972 masked Application Intergration Manager Medisys Health Network 718-206-6000 mwalches@jhmc.org Provider Int 3 Complete 2012/08/07 12:00:00 2012/08/09 12:00:00 2012/08/09 07:35:33 UV 2.16.840.1.113883.3.629.14.62 practice-PhysicalMedicineAssocNWOhio Physical Medicine Assoc. of N.W. Ohio Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.62 2012/08/07 12:00:00 2012/08/09 12:00:00 2012/08/09 07:41:08 UV 2.16.840.1.113883.3.629.14.63 practice-PaulMcLaughlinMD Paul McLaughlin, M.D. Carlos Oliva masked Carlos PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.63 2012/08/07 12:00:00 2012/08/09 12:00:00 2012/08/09 07:43:33 UV 2.16.840.1.113883.3.629.14.64 practice-NeurosurgicalCareInc Neurosurgical Care, Inc Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.64 2012/08/07 12:00:00 2012/08/09 12:00:00 2012/08/09 07:44:56 UV 2.16.840.1.113883.3.629.14.65 practice-BrianAndreasMD Brian Andreas, M.D. Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.65 2012/08/07 12:00:00 2012/08/09 12:00:00 2012/08/09 07:46:31 UV 2.16.840.1.113883.3.629.14.66 practice-SusannePicaMD Susanne Pica, M.D. Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.66 2012/08/07 12:00:00 2012/08/09 12:00:00 2012/08/09 07:47:30 UV 2.16.840.1.113883.3.629.14.67 practice-AssociatedEyePhysiciansSurgeonsInc Associated Eye Physicians & Surgeons, Inc Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.67 2012/08/07 12:00:00 2012/08/09 12:00:00 2012/08/09 07:52:14 UV 2.16.840.1.113883.3.629.14.68 practice-BresslerSchaefferBresslerInc Bressler, Schaeffer, & Bressler, Inc. Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.68 2012/08/07 12:00:00 2012/08/09 12:00:00 2012/08/09 07:53:12 UV 2.16.840.1.113883.3.2149 cdbod Dr David Burton Family Practice of Optometry Charles Burton masked Dr David Burton 245 South 6th Street Gadsden, AL 35901 256-546-8074 masked owner Dr David Burton Family Practice of Optometry 245 South 6th Street Gadsden, AL 35901 256-546-8074 drdavidburton@comcast.net Provider Int 3 Complete 2012/08/07 12:00:00 2012/08/09 12:00:00 2012/08/09 07:55:38 UV 2.16.840.1.113883.3.2150 parkerhc Parker Jewish Institute Steve Duncan masked Ralph Tramontana 271-11 76th Ave New Hyde Park, New York 11040 718-289-2330 masked Systems Manager Parker Jewish Institute 271-11 76th Ave New Hyde Park, NY 11040 718-289-2186 info@parkerinstitute.org http://www.parkerinstitute.org Provider Int 3 Complete 2012/08/07 12:00:00 2012/08/09 12:00:00 2012/08/09 07:58:15 UV 1.2.36.1.2001.1007 pcehr-identifiers PCEHR Identifiers Grahame Grieve masked Kathy Smalley 56 Pitt St Sydney 2000 Australia 9289 masked Department of Health and Ageing GPO Box 9848 Canberra ACT 2601 Australia 02 6289 1555 support@nehta.gov.au http://www.health.gov.au Govt body Ext 17 17 Complete 1.2.36.1.2001.1007 2012/08/08 12:00:00 2012/08/09 12:00:00 2012/08/09 08:38:24 UV 1.2.36.1.2001.1007.1 pai-o PCEHR Assigned Identifier - Organisation Grahame Grieve masked Kathy Smalley 56 Pitt St Sydney 2000 Australia 9289 masked Department of Health and Ageing 02 6289 1555 support@nehta.gov.au http://www.health.gov.au Govt body Ext 4 4 Complete 1.2.36.1.2001.1007.1 2012/08/08 12:00:00 2012/08/09 12:00:00 2012/08/09 08:57:22 AU 1.2.36.1.2001.1007.10 pai-r PCEHR Assigned Identifier - Repository Grahame Grieve masked Kathy Smalley 56 Pitt St Sydney 2000 Australia 9289 masked Department of Health and Ageing support@nehta.gov.au http://www.health.gov.au Govt body Ext 4 4 Complete 1.2.36.1.2001.1007.10 2012/08/08 12:00:00 2012/08/09 12:00:00 2012/08/09 09:00:06 AU 1.2.36.1.2001.1007.20 pai-d PCEHR Assigned Identifier - Device Grahame Grieve masked Kathy Smalley 56 Pitt St Sydney 2000 Australia 9289 masked Department of Health and Ageing support@nehta.gov.au http://www.health.gov.au Govt body Ext 4 4 Complete 1.2.36.1.2001.1007.20 2012/08/08 12:00:00 2012/08/09 12:00:00 2012/08/09 09:02:17 AU 1.2.36.1.2001.1007.11 pai-delegated Delegated Nehta Sub-Arcs for repositories Grahame Grieve masked Kathy Smalley 56 Pitt St Sydney 2000 Australia 9289 masked Department of Health and Ageing support@nehta.gov.au http://www.health.gov.au Govt body Ext 4 4 Complete 1.2.36.1.2001.1007.11 2012/08/08 12:00:00 2012/08/09 12:00:00 2012/08/09 09:03:50 AU 2.16.840.1.113883.3.1070.5062 mckesson-fusion-5062 mckesson-fusion-5062 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5062 2012/08/08 12:00:00 2012/08/09 12:00:00 2012/08/09 10:30:57 US 2.16.840.1.113883.3.2151 nah Northern Arizona Healthcare Cori Wine masked Julie Cain Cori Wine 402-238-9070 masked Business Systems Advisor Steve Lewis 1200 North Beaver Street Flagstaff, AZ 86001 steve.lewis@nahealth.com http://www.nahealth.com Provider Int 3 Complete 2012/08/08 12:00:00 2012/08/09 12:00:00 2015/01/14 02:51:24 UV 2.16.840.1.113883.3.1070.5046 mckesson-fusion-5046 mckesson-fusion-5046 Tiffany Roberts masked Fusion Enrollemt 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5046 2012/08/08 12:00:00 2012/08/09 12:00:00 2012/08/09 10:32:56 US 2.16.840.1.113883.3.1984.1 samc St Alexius Medical Center Vivien Pineda masked Vivien Pineda 3040 Salt Creek Lane Arlington Heights, IL 60005 847.394.6433 masked Systems Analyst - Data Integration St Alexius Medical Center 1555 N Barrington Road Hoffman Estates, IL 60169 847.843.2000 dicksonv@alexian.net Provider 2.16.840.1.113883.3.1984 Ext 3 Complete 2.16.840.1.113883.3.1984.1 2012/08/08 12:00:00 2012/08/09 12:00:00 2012/08/09 10:44:06 UV 2.16.840.1.113883.3.1984.2 abmc Alexian Brothers Medical Center Vivien Pineda masked Vivien Pineda 3040 Salt Creek Lane Arlington Heights, IL 60005 847.394.6433 masked Systems Analyst - Data Integration Alexian Brothers Medical Center 800 Biesterfield Rd Elk Grove Village, IL 60007 847.437.5500 dicksonv@alexian.net Provider 2.16.840.1.113883.3.1984 Ext 3 Complete 2.16.840.1.113883.3.1984.2 2012/08/08 12:00:00 2012/08/09 12:00:00 2012/08/09 10:45:26 UV 1.2.36.1.2001.1005.27 eRx-root-OID eRx root OID Vin Sekar masked Jason Bratuskins 20 Trenerry Crescent Abbotsford Victoria 3067 03 9418 1850 masked MedView jason.bratuskins@fred.com.au http://www.MedView.com.au Vendor Ext 3 4 Complete 1.2.36.1.2001.1005.27 2012/08/08 12:00:00 2012/08/09 12:00:00 2012/08/09 10:50:46 UV 1.2.36.1.2001.1005.28 barwon-root-OID Barwon root OID Vin Sekar masked Jason Bratuskins 20 Trenerry Crescent Abbotsford Victoria 3067 03 9418 1850 masked MedView jason.bratuskins@fred.com.au http://www.MedView.com.au Vendor Ext 3 4 Complete 1.2.36.1.2001.1005.28 2012/08/08 12:00:00 2012/08/09 12:00:00 2012/08/09 10:51:43 AU 1.2.36.104808988 best-practice Best Practice Grahame Grieve masked Frank Pyefinch PO Box 1911, Bundaberg. 4670. Australia 07 4155 8800 masked Best Practice PO Box 1911, Bundaberg. 4670. Australia 07 4155 8800 support@bpsoftware.com.au http://www.bpsoftware.com.au Vendor Ext 17 17 Complete 1.2.36.104808988 2012/08/09 12:00:00 2012/08/09 12:00:00 2012/08/09 10:53:46 AU 1.2.36.104808988.1 best-practice-drug BPDrug Grahame Grieve masked Frank Pyefinch PO Box 1911, Bundaberg. 4670 Australia 07 4155 8800 masked Best Practice PO Box 1911, Bundaberg. 4670 Australia 07 4155 8800 support@bpsoftware.com.au http://www.bpsoftware.com.au Vendor Ext 6 6 Complete 1.2.36.104808988.1 2012/08/09 12:00:00 2012/08/09 12:00:00 2012/08/09 10:56:16 AU 1.2.36.104808988.2 best-practice-term BPTerm Grahame Grieve masked Frank Pyefinch PO Box 1911, Bundaberg. 4670 Australia 07 4155 8800 masked Best Practice PO Box 1911, Bundaberg. 4670 Australia 07 4155 8800 support@bpsoftware.com.au http://www.bpsoftware.com.au Vendor Ext 6 6 Complete 1.2.36.104808988.2 2012/08/09 12:00:00 2012/08/09 12:00:00 2012/08/09 10:57:51 AU 1.2.36.104808988.3 best-practice-immunisation BPImmunisation Grahame Grieve masked Frank Pyefinch PO Box 1911, Bundaberg. 4670 Australia 07 4155 8800 masked Best Practice PO Box 1911, Bundaberg. 4670 Australia 07 4155 8800 support@bpsoftware.com.au http://www.bpsoftware.com.au Vendor Ext 6 6 Complete 1.2.36.104808988.3 2012/08/09 12:00:00 2012/08/09 12:00:00 2012/08/09 11:08:31 AU 1.2.36.104808988.4 best-practice-substance BPSubstance Grahame Grieve masked Frank Pyefinch PO Box 1911, Bundaberg. 4670 Australia 07 4155 8800 masked Best Practice PO Box 1911, Bundaberg. 4670 Australia 07 4155 8800 support@bpsoftware.com.au http://www.bpsoftware.com.au Vendor Ext 6 6 Complete 1.2.36.104808988.4 2012/08/09 12:00:00 2012/08/09 12:00:00 2012/08/09 11:10:59 AU 1.2.36.104808988.5 best-practice-reaction BPReaction Grahame Grieve masked Frank Pyefinch PO Box 1911, Bundaberg. 4670 Australia 07 4155 8800 masked Best Practice PO Box 1911, Bundaberg. 4670 Australia 07 4155 8800 support@bpsoftware.com.au http://www.bpsoftware.com.au Vendor Ext 6 6 Complete 1.2.36.104808988.5 2012/08/09 12:00:00 2012/08/09 12:00:00 2012/08/09 11:12:44 AU 1.2.36.1.2001.1005.29 hpio-based-Organisation-Medical-Record-Identifier HPI-O based Organisation Medical Record Identifier Vin Sekar masked Grahame Grieve NEHTA , Level 25, 56 Pitt Street Sydney 200 +61 411 867 065 masked NEHTA support@nehta.gov.au http://www.nehta.gov.au Govt body Ext 17 17 Complete 1.2.36.1.2001.1005.29 2012/08/09 12:00:00 2012/08/09 12:00:00 2012/08/09 11:17:02 AU 2.16.840.1.113883.3.2152 cass-Count01 Cass County Memorial Hospital Clifford Stark masked Jeff Osegard 1501 E. 10th St Atlantic, IA 50022 712-243-3250 masked CIO Cass County Memorial Hospital 1501 E 10st Street Atlantic, IA, 50022 712-243-3250 osejd@casshealth.org Provider Int 3 Complete 2012/08/09 12:00:00 2012/08/09 12:00:00 2015/11/16 05:40:40 UV 2.16.840.1.113883.3.2153 pami Papastavros Medical Imaging RIS Susan Hollabaugh masked Susan Hollabaugh 571-330-7423 masked RadNet Mgt Inc 1510 Cotner Ave Los Angeles, CA 4102189601 kelly.schindele@radnet.com Provider Int 3 Complete 2012/08/09 12:00:00 2012/08/10 12:00:00 2016/12/07 09:00:29 UV 2.16.840.1.113883.3.2154 vLEC Vista Linda Eye Care, Inc. Linda Murray masked Linda Murray 111 W Prospect Ave Mount Prospect, IL 60056 847-253-2100 masked President & CEO Vista Linda Eye Care, Inc aranjh@sbcglobal.net http://www.vistalindaeyes.com Provider Int 3 Complete 2012/08/09 12:00:00 2012/08/10 12:00:00 2012/08/10 01:32:28 UV 1.2.36.1.2001.1005.27.1 eRx-Identifiers eRx Identifiers Vin Sekar masked Jason Bratuskins 20 Trenerry Crescent Abbotsford Victoria 3067 +61 3 9418 1850 masked MedView jason.bratuskins@fred.com.au http://www.medview.com.au Vendor Ext 17 17 Complete 1.2.36.1.2001.1005.27.1 2012/08/09 12:00:00 2012/08/10 12:00:00 2012/08/10 12:30:24 AU 1.2.36.1.2001.1005.28.1 barwon-Identifiers Barwon Identifiers Vin Sekar masked Jason Bratuskins 20 Trenerry Crescent Abbotsford Victoria 3067 +61 3 9418 1850 masked MedView jason.bratuskins@fred.com.au http://www.medview.com.au Vendor Ext 17 17 Complete 1.2.36.1.2001.1005.28.1 2012/08/09 12:00:00 2012/08/10 12:00:00 2012/08/10 12:32:13 AU 1.2.36.1.2001.1005.27.1.1 erx-Prescription-Item-Identifier eRX Prescription Item Identifier Vin Sekar masked Jason Bratuskins 20 Trenerry Crescent Abbotsford Victoria 3067 +61 3 9418 1850 masked MedView jason.bratuskins@fred.com.au http://www.medview.com.au Vendor Ext 4 4 Complete 1.2.36.1.2001.1005.27.1.1 2012/08/09 12:00:00 2012/08/10 12:00:00 2012/08/10 12:47:04 AU 1.2.36.1.2001.1005.27.1.2 erx-Dispense-Item-Identifier eRx Dispense Item Identifier Vin Sekar masked Jason Bratuskins 20 Trenerry Crescent Abbotsford Victoria 3067 +61 3 9418 1850 masked MedView jason.bratuskins@fred.com.au http://www.medview.com.au Vendor Ext 4 4 Complete 1.2.36.1.2001.1005.27.1.2 2012/08/09 12:00:00 2012/08/10 12:00:00 2012/08/10 12:47:52 AU 1.2.36.1.2001.1005.28.1.1 barwon-Prescription-Item-Identifier Barwon Prescription Item Identifier Vin Sekar masked Jason Bratuskins 20 Trenerry Crescent Abbotsford Victoria 3067 +61 3 9418 1850 masked MedView jason.bratuskins@fred.com.au http://www.medview.com.au Vendor Ext 4 4 Complete 1.2.36.1.2001.1005.28.1.1 2012/08/09 12:00:00 2012/08/10 12:00:00 2012/08/10 12:49:52 AU 1.2.36.1.2001.1005.28.1.2 barwon-Dispense-Item-Identifier Barwon Dispense Item Identifier Vin Sekar masked Jason Bratuskins 20 Trenerry Crescent Abbotsford Victoria 3067 +61 3 9418 1850 masked MedView jason.bratuskins@fred.com.au http://www.medview.com.au Vendor Ext 4 4 Complete 1.2.36.1.2001.1005.28.1.2 2012/08/09 12:00:00 2012/08/10 12:00:00 2012/08/10 12:51:03 AU 1.2.36.1.2001.1005.28.1.3 barwon-Prescribe-Transaction-Identifier Barwon Prescribe Transaction Identifier Vin Sekar masked Jason Bratuskins 20 Trenerry Crescent Abbotsford Victoria 3067 +61 3 9418 1850 masked MedView jason.bratuskins@fred.com.au http://www.medview.com.au Vendor Ext 4 4 Complete 1.2.36.1.2001.1005.28.1.3 2012/08/09 12:00:00 2012/08/10 12:00:00 2012/08/10 12:53:13 AU 1.2.36.1.2001.1005.28.1.4 barwon-Dispense-Transaction-Identifier Barwon Dispense Transaction Identifier Vin Sekar masked Jason Bratuskins 20 Trenerry Crescent Abbotsford Victoria 3067 +61 3 9418 1850 masked MedView jason.bratuskins@fred.com.au http://www.medview.com.au Vendor Ext 4 4 Complete 1.2.36.1.2001.1005.28.1.4 2012/08/09 12:00:00 2012/08/10 12:00:00 2012/08/10 12:56:59 UV 2.16.840.1.113883.3.1070.5064 mckesson-fusion-5064 mckesson-fusion-5064 Jennifer Meares masked Jennifer Meares 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5064 2012/08/10 12:00:00 2012/08/10 12:00:00 2012/08/10 05:34:33 UV 2.16.840.1.113883.10.20.27 qrdaCatIIITemplateRootOID-V2 Quality Reporting Document Architecture Category III Version 2 Root OID Gaye Dolin masked Gaye Dolin 949 302 8082 masked SDWG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA SDWG bob.dolin@lantanagroup.com HL7 body 2.16.840.1.113883 Ext 10 Complete 2.16.840.1.113883.10.20.27 2012/08/10 12:00:00 2012/08/10 12:00:00 2012/08/10 06:32:18 US 2.16.840.1.113883.3.2155 vsop VisionSource, PC Joseph DiGiorgio masked Joseph DiGiorgio, OD 708 460-2010 masked Joseph DiGiorgio, OD 9031 W. 151st St. Orland Park, IL 60462 708 4602010 jsdeye@gmail.com Provider Int 3 Complete 2012/08/11 12:00:00 2012/08/22 12:00:00 2012/08/22 11:28:31 UV 2.16.840.1.113883.3.1070.5050 mckesson-fusion-5050 mckesson-fusion-5050 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5050 2012/08/12 12:00:00 2012/08/22 12:00:00 2012/08/22 11:29:41 UV 2.16.840.1.113883.3.2156 eyeDoc Drs. Gilbert and Farley, OD, PC Gary Farley masked Dr. Gary Farley, OD 3731-a Boulevard Colonial Heights, VA 23834 804-526-3676 masked President, optometrist Drs. Gilbert and Farley, OD, PC 3731-a Boulevard Colonial Heights, VA 23834 804-526-3676 farleyg@erols.com http://www.drsgilbertandfarley.com Provider Int 3 Complete 2012/08/12 12:00:00 2012/08/22 12:00:00 2012/08/22 11:33:03 UV 2.16.840.1.113883.3.1070.5060 mckesson-fusion-5060 mckesson-fusion-5060 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5060 2012/08/13 12:00:00 2012/08/22 12:00:00 2012/08/22 11:35:21 UV 2.16.840.1.113883.3.1070.5051 mckesson-fusion-5051 mckesson-fusion-5051 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5051 2012/08/13 12:00:00 2012/08/22 12:00:00 2012/08/22 11:42:19 UV 2.16.840.1.113883.3.2157 desjardinsFinancialSecurity Desjardins Financial Security Daniel Watts masked Daniel Watts 418-838-7800 masked Technical Architect Desjardins Financial Security 200 des Commandeurs L&#233;vis QC G6V 6R2 1-866-838-7553 daniel.watts@dsf.ca http://www.desjardinslifeinsurance.com Payor Int 3 3 Complete 2012/08/13 12:00:00 2012/08/22 12:00:00 2012/08/22 11:44:51 UV 2.16.840.1.113883.3.1070.5053 mckesson-fusion-5053 mckesson-fusion-5053 Randy Deitsch masked Fusion Enrollment 8775074541 masked Fusion Enrollment randy.deitsch@mckesson.com Vendor 2.16.840.1.113883.3.1070.5053 Ext 17 Complete 2.16.840.1.113883.3.1070.5053 2012/08/13 12:00:00 2012/08/22 12:00:00 2012/08/22 11:46:48 US 2.16.840.1.113883.3.1871.3.951 afbcc AFSFN Beaver Community Clinic Rodney Rice Jr masked Rodney Rice Jr 314 951 5631 masked Interface Analyst Rodney Rice Jr 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.951 2012/08/13 12:00:00 2012/08/22 12:00:00 2012/08/22 11:50:24 UV 2.16.840.1.113883.3.1871.3.952 afcct AFSFN Community Clinic of Turpin Rodney Rice Jr masked Rodney Rice Jr 314 951 5631 masked Interface Analyst Rodney Rice Jr 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.952 2012/08/13 12:00:00 2012/08/22 12:00:00 2012/08/22 11:53:27 UV 2.16.840.1.113883.3.1620.100 oidBHCSHIE Baylor Health Care System Health Information Exchange Michael Wagliardo masked Michael Wagliardo 2001 Bryan Street, Suite 2400 Dallas, TX 75201 214-820-4201 masked Manager Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.100 2012/08/13 12:00:00 2012/08/22 12:00:00 2012/08/22 12:04:06 UV 2.16.840.1.113883.3.1805.1 mhin-mainfacility1 Michiana Health Information Network (MAIN FACILITY1) David Navarro masked David Navarro 220 West Colfax Avenue Suite 300 South Bend, IN 46601 574 968 1018 masked Michiana Health Information Network 220 West Colfax Avenue Suite 300 South Bend, IN 46601 574 968 1018 info@mhin.com Exchange 2.16.840.1.113883.3.1805 Ext 4 Complete 2.16.840.1.113883.3.1805.1 2012/08/13 12:00:00 2012/08/22 12:00:00 2012/08/22 12:06:53 UV 2.16.840.1.113883.3.1070.5018 mckesson-fusion-5018 mckesson-fusion-5018 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5018 2012/08/13 12:00:00 2012/08/22 12:00:00 2012/08/22 12:08:45 US 2.16.840.1.113883.3.2158 jordan-healthsystem Jordan Health System Josh Johnston masked James Albert Josh Johnston 275 Sandwich Street Plymouth, MA 02360 508-732-8312 masked Integration Specialist Jordan Health System 275 Sandwich Street Plymouth, MA 02360 508-746-2000 jalbert@jordanhospital.org http://www.jordanhospital.org Provider Int 3 Complete 2012/08/14 12:00:00 2012/08/22 12:00:00 2012/08/22 12:13:55 UV 2.16.840.1.113883.3.2159 bmh Brooks Memorial Hospital Kathy Kucharski masked Kathy Kucharski 529 Central Avenue Dunkirk, NY 14048 716-363-7300 masked Director of Information Technology Brooks Memorial Hospital 529 Central Avenue Dunkirk, NY 14048 716-366-1111 kkucharski@brookshospital.org http://www.brookshospital.org Provider Int 3 Complete 2012/08/14 12:00:00 2012/08/22 12:00:00 2012/08/22 12:16:37 UV 2.16.840.1.113883.17.100 gsihealth GSIHealth Sandeep Subramanian masked Sandeep Subramanian 888-206-4237 x227 masked GSI Health sandeep@gsihealth.com Vendor Int 17 Complete 2012/08/14 12:00:00 2012/08/22 12:00:00 2012/08/22 12:18:16 UV 2.16.840.1.113883.3.2160 docroc Dr Teresa D Hrach OD Teresa Hrach masked Teresa Hrach 18 Milliston Rd, Millis, MA 02043 508-376-2539 masked Dr Teresa D. Hrach 18 Milliston Rd, Millis, MA 02054 16 Main ST, Franklin, MA 02038 508-376-2539 drhrach@gmail.com Provider Int 3 Complete 2012/08/14 12:00:00 2012/08/22 12:00:00 2012/08/22 12:22:53 UV 2.16.840.1.113883.3.1348.1.17 cUNK Dr. Kristen Cunniff Michael Oakes masked Kristen Cuniff MD Michael Oakes 401-654-4000 masked Kristen Cunniff, MD 350 Kingstown Road Narragansett, RI 02882 401-782-0700 moakes@polarismedical.com Provider 2.16.840.1.113883.3.1348 Ext 4 Complete 2.16.840.1.113883.3.1348.1.17 2012/08/14 12:00:00 2012/08/22 12:00:00 2012/08/22 12:26:09 UV 2.16.840.1.113883.3.1070.5054 mckesson-fusion-5054 mckesson-fusion-5054 Randy Deitsch masked Fusion Enrollment 8775074541 masked Fusion Enrollment randy.deitsch@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5054 2012/08/14 12:00:00 2012/08/22 12:00:00 2012/08/22 12:30:34 US 2.16.840.1.113883.3.2161 bhaz Banner Health - Arizona Region Steve Drozdowski masked Steve Drozdowski 1441 N. 12th St. Phoenix, AZ 85006 602-747-4319 masked IT Software Integr Sr Consult Banner Health - Arizona Region 1441 N. 12th St. Phoenix, AZ 85006 602-747-4000 steve.drozdowski@bannerhealth.com http://www.bannerhealth.com/ Provider Int 3 Complete 2012/08/14 12:00:00 2012/08/22 12:00:00 2012/08/22 12:31:27 UV 2.16.840.1.113883.3.2162 bh Banner Health System Steve Drozdowski masked Steve Drozdowski 1441 N. 12th St. Phoenix, AZ 85006 602-747-4319 masked IT Software Integr Sr Consult Banner Health System 1441 N. 12th St. Phoenix, AZ 85006 602-747-4000 steve.drozdowski@bannerhealth.com http://www.bannerhealth.com/ Provider Int 3 Complete 2012/08/14 12:00:00 2012/08/22 12:00:00 2012/08/22 12:33:32 UV 2.16.840.1.113883.3.2163 thr-thpg Texas Health Physicians Group Jeff Newhouse masked LendallVanHooser@texashealth.org Jeff Newhouse 682-236-6357 masked Texas Health Physicians Group JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/08/14 12:00:00 2012/08/22 12:00:00 2015/02/24 01:43:14 UV 2.16.840.1.113883.3.2164 mammoth-hospital-mammoth-lakes-ca Mammoth Hospital Lyman Dennis masked Mark Lind Mark Lind PO Box 660 85 Sierra Park Road Mammoth Lakes, CA 93546 760-924-4021 masked Director IT Mammoth Hospital PO Box 660 85 Sierra Park Road Mammoth Lakes, CA 93546 760-924-4021 Lind@mammothhospital.com http://www.mammothhospital.com Provider Int 3 3 Complete 2012/08/14 12:00:00 2012/08/22 12:00:00 2012/08/22 12:36:48 US 2.16.840.1.113883.3.1528.3 qualityMeasuresComplexRulesEngine Truven Health Complex Rules Engine for Quality Measures Jonathan Landsman masked Mark Goodhart Mark Goodhart 777 East Eisenhower Parkway Ann Arbor, MI 48108 1-734-813-3930 masked Director Health Care Analytics Truven Health Analytics 777 East Eisenhower Parkway Ann Arbor, MI 48108 1-734-813-3930 Mark.Goodhart@TruvenHealth.com http://www.truvenhealth.com Vendor 2.16.840.1.113883.3.1528 Ext 3 Complete 2.16.840.1.113883.3.1528.3 2012/08/15 12:00:00 2012/08/22 12:00:00 2012/08/22 12:39:03 UV 2.16.840.1.113883.3.1070.5061 mckesson-fusion-5061 mckesson-fusion-5061 Randy Deitsch masked Fusion Enrollment 8775074541 masked Fusion Enrollment randy.deitsch@mckesson.com Vendor 2.16.840.1.113883.3.1070.5061 Ext 17 Complete 2.16.840.1.113883.3.1070.5061 2012/08/15 12:00:00 2012/08/22 12:00:00 2012/08/22 02:02:19 US 2.16.840.1.113883.3.1528.1 clinicalXpert Truven Health Clinical Xpert Jonathan Landsman masked David Bordewyk David Bordewyk 6200 S Syracuse Way Suite 300, Greenwood Village, CO 80111 303-486-6079 masked Sr. Product Manager Truven Health Analytics 777 East Eisenhower Parkway Ann Arbor, MI 48108 734-913-3000 Jonathan.Landsman@truvenhealth.com http://www.truvenhealth.com Vendor 2.16.840.1.113883.3.1528 Ext 13 3 Complete 2.16.840.1.113883.3.1528.1 2012/08/15 12:00:00 2012/08/22 12:00:00 2012/08/22 02:18:00 UV 2.16.840.1.113883.3.1528.1.1 cx-setId Clinical Xpert setId Jonathan Landsman masked David Bordewyk David Bordewyk 6200 S Syracuse Way Suite 300, Greenwood Village, CO 80111 303-486-6079 masked Sr. Product Manager Truven Health Analytics 777 East Eisenhower Parkway Ann Arbor, MI 48108 734-913-3000 Jonathan.Landsman@truvenhealth.com http://www.truvenhealth.com Vendor 2.16.840.1.113883.3.1528 Ext 13 3 Complete 2.16.840.1.113883.3.1528.1.1 2012/08/15 12:00:00 2012/08/22 12:00:00 2012/08/22 02:29:17 UV 2.16.840.1.113883.3.1528.1.2 cx-patientRole-id Clinical Xpert patientRole id Jonathan Landsman masked David Bordewyk David Bordewyk 6200 S Syracuse Way Suite 300, Greenwood Village, CO 80111 303-486-6079 masked Sr. Product Manager Truven Health Analytics 777 East Eisenhower Parkway Ann Arbor, MI 48108 734-913-3000 Jonathan.Landsman@truvenhealth.com http://www.truvenhealth.com Vendor 2.16.840.1.113883.3.1528 Ext 13 3 Complete 2.16.840.1.113883.3.1528.1.2 2012/08/15 12:00:00 2012/08/22 12:00:00 2012/08/22 02:30:18 UV 2.16.840.1.113883.3.1528.1.3 cx-assignedAuthor-id Clinical Xpert assignedAuthor id Jonathan Landsman masked David Bordewyk David Bordewyk 6200 S Syracuse Way Suite 300, Greenwood Village, CO 80111 303-486-6079 masked Sr. Product Manager Truven Health Analytics 777 East Eisenhower Parkway Ann Arbor, MI 48108 734-913-3000 Jonathan.Landsman@truvenhealth.com http://www.truvenhealth.com Vendor 2.16.840.1.113883.3.1528 Ext 13 3 Complete 2.16.840.1.113883.3.1528.1.3 2012/08/15 12:00:00 2012/08/22 12:00:00 2012/08/22 02:31:33 UV 2.16.840.1.113883.3.2165 hmaPineRidge Physicians Regional Medical Group-Pine Ridge Fred Saberian masked Fred Saberian 6101 Pine Ridge Rd. Naples, Florida 34119 321-263-6936 masked HIE Integration Consultant Physicians Regional Medical Group-Pine Ridge 6101 Pine Ridge Rd. Naples, Florida 34119 (239) 348-4400 Fred.Saberian@hma.com http://www.physiciansregionalmedicalgroup.com/default.aspx Provider Int 3 Complete 2012/08/15 12:00:00 2012/08/22 12:00:00 2012/08/22 03:23:27 UV 2.16.840.1.113883.3.2166 hmaCollier Physicians Regional Medical Group-Collier Fred Saberian masked Fred Saberian 8340 Collier Boulevard Naples, Florida 34114 321-263-6936 masked HIE Integration Consultant Physicians Regional Medical Group-Collier 8340 Collier Boulevard Naples, Florida 34114 (239) 348-4400 Fred.Saberian@hma.com http://www.physiciansregionalmedicalgroup.com/default.aspx Provider Int 3 Complete 2012/08/15 12:00:00 2012/08/22 12:00:00 2012/08/22 04:00:16 UV 2.16.840.1.113883.3.2167 ahn Adams Health Network Nathan Boyd masked Nick Nelson 1100 Mercer Avenue Decatur, IN 46733 260-724-2145 masked Director Support Services Adams Health Network 1100 Mercer Avenue Decatur, IN 46733 260-724-2145 nnelson@adamshospital.com http://www.adamshospital.com Provider Int 3 Complete 2012/08/16 12:00:00 2012/08/22 12:00:00 2012/08/22 04:03:02 UV 2.16.840.1.113883.17.101 phLabResultsELRv251ReceiverProfileAck Lab Results to Public Health ELR Receiver Profile Acknowledgement Message Type Eric Haas masked Laura Conn Eric Haas 1125 Third Avenue Napa, CA 94558 USA 707.265.7764 masked Contractor/APHL Centers for Disease Control and Prevention 1600 Clifton Rd Atlanta GA 30333 USA 404.639.3311 lbk1@cdc.gov http://www.cdc.gov/ Govt body 2.16.840.1.114222 Int 17 17 Complete 2012/08/16 12:00:00 2012/08/22 12:00:00 2012/08/22 04:06:57 ISO US 2.16.840.1.113883.3.2168 swvs Southwest Vision Specialists, PA d/b/a Shelley Eye Center Brent Shelley masked Brent E Shelley OD 1680 Calle de Alvarez Suite D Las Cruces, NM 88005 5755265367 masked Owner Doctor Southwest Vision Specialists, PA 1680 Calle de Alvarez Suite D Las Cruces, NM 88005 5755265367 drshelley@shelleyeyecenter.com Provider Int 3 Complete 2012/08/18 12:00:00 2012/08/22 12:00:00 2012/08/22 07:19:37 UV 2.16.840.1.113883.3.2074.1 cert-NUM-ONC ONC Meaningful Use EHR Certification Numbers Gaye Dolin masked Jacob Reider, MD 202-695-3406 masked SDWG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 714 744 4152 gaye.dolin@lantanagroup.com Govt body Ext 4 4 Complete 2.16.840.1.113883.3.2074.1 2012/08/19 12:00:00 2012/08/22 12:00:00 2012/08/22 07:24:30 US 2.16.840.1.113883.3.249.21 cmsSecurityCode CMS Security Code Bob Dolin masked Bob 949 466 4035 masked Deborah Krauss MS RN Deborah.Krauss@cms.hhs.gov Govt body Ext 4 4 Complete 2.16.840.1.113883.3.249.21 2012/08/20 12:00:00 2012/08/22 12:00:00 2012/08/22 07:27:42 UV 2.16.840.1.113883.3.2167.1 amh Adams Memorial Hospital Nathan Boyd masked Nick Nelson 1100 Mercer Avenue Decatur, IN 46733 260-724-2145 masked Director Support Services Adams Memorial Hospital 1100 Mercer Avenue Decatur, IN 46733 260-724-2145 nnelson@adamshospital.com http://www.adamshospital.com Provider 2.16.840.1.113883.3.2167 Ext 4 Complete 2.16.840.1.113883.3.2167.1 2012/08/20 12:00:00 2012/08/22 12:00:00 2012/08/22 07:30:26 UV 2.16.840.1.113883.3.2167.1.1 amh-mrn Adams Memorial Hospital MRN Nathan Boyd masked Nick Nelson 1100 Mercer Avenue Decatur, IN 46733 260-724-2145 masked Director Support Services Adams Memorial Hospital MRN 1100 Mercer Avenue Decatur, IN 46733 260-724-2145 nnelson@adamshospital.com http://www.adamshospital.com Provider 2.16.840.1.113883.3.2167 Ext 4 Complete 2.16.840.1.113883.3.2167.1.1 2012/08/20 12:00:00 2012/08/22 12:00:00 2012/08/22 07:32:38 UV 2.16.840.1.113883.3.2167.1.2 amh-fin-acct-num Adams Memorial Hospital FIN/Acct# Nathan Boyd masked Nick Nelson 1100 Mercer Avenue Decatur, IN 46733 260-724-2145 masked Director Support Services Adams Memorial Hospital FIN/Acct# 1100 Mercer Avenue Decatur, IN 46733 260-724-2145 nnelson@adamshospital.com http://www.adamshospital.com Provider 2.16.840.1.113883.3.2167 Ext 4 Complete 2.16.840.1.113883.3.2167.1.2 2012/08/20 12:00:00 2012/08/22 12:00:00 2012/08/22 07:33:50 UV 2.16.840.1.113883.3.1070.5063 mckesson-fusion-5063 mckesson-fusion-5063 Harry Callier masked Fusion Enrollment 8775094541 masked Fusion Enrollment harry.callier@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5063 2012/08/20 12:00:00 2012/08/22 12:00:00 2012/08/22 07:35:44 UV 2.16.840.1.113883.3.1070.5071 mckesson-fusion-5071 mckesson-fusion-5071 Harry Callier masked Fusion Enrollment 8775094145 masked Fusion Enrollment harry.callier@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5071 2012/08/20 12:00:00 2012/08/22 12:00:00 2012/08/22 07:36:46 UV 2.16.840.1.113883.3.2169 lpnt LifePoint Hospitals, Incorporated Matthew McConnell masked terry.phillips@lpnt.net Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Health, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider Int 3 Complete 2012/08/20 12:00:00 2012/08/22 12:00:00 2018/05/02 08:17:02 UV 2.16.840.1.113883.3.2170 bea Blacksburg Eye Associates John Dovie masked John M Dovie, OD, FAAO 1344 S. Main Street, Suite 2 Blacksburg, VA 24060 540.953.2020 masked President Dovie Eye Care, Inc 1344 S. Main Street, Suite 2 Blacksburg, VA 24060 540.953.2020 drdovie@blacksburgeye.com http://www.blacksburgeye.com Provider Int 3 Complete 2012/08/20 12:00:00 2012/08/22 12:00:00 2012/08/22 07:41:13 UV 2.16.840.1.113883.3.2171 ci-MS2012-ISO-IEC-555 CiCMHC Pat Taylor masked Shaun Passley Pat Taylor 309 W. Washington Blvd Suite 1225- Chicago, IL 60606 312-241-1413 masked EHR - Tech Support Pat Taylor 309 W. Washington Blvd Suite 1225- Chicago, IL 60606 312-241-1413 pat@mshealth.com Vendor Int 3 Complete 2012/08/20 12:00:00 2012/08/22 12:00:00 2012/08/22 07:43:13 UV 2.16.840.1.113883.3.2172 monvalley-hospital Monongahela Valley Hospital Philip Hadsell masked Matthew T. Rashilla Monongahela Valley Hospital Information Systems Department 1163 Country Club Road Monongahela, PA 15063-1095 724-258-1962 masked CIAO Monongahela Valley Hospital Monongahela Valley Hospital Information Systems Department 1163 Country Club Road Monongahela, PA 15063-1095 724-258-1000 administrator@monvalleyhospital.com http://www.monvalleyhospital.com Provider Int 3 Complete 2012/08/20 12:00:00 2012/08/22 12:00:00 2020/07/28 11:46:23 UV 2.16.840.1.113883.3.1070.5065 mckesson-fusion-5065 mckesson-fusion-5065 Johnny Moore masked Fusion Enrollment 8775074541 masked Implementation Rep Fusion Enrollment johnny.moore@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5065 2012/08/20 12:00:00 2012/08/22 12:00:00 2012/08/22 07:49:11 US 2.16.840.1.113883.3.2173 yfd Yazoo Family Doctors Christy Keddrell masked Christy Keddrell 601-572-2945 masked Yazoo Family Doctors 748 E 15th St. Yazoo City, MS 39194 ckeddrell@deltahealthalliance.org Provider Int 3 Complete 2012/08/20 12:00:00 2012/08/22 12:00:00 2012/08/22 07:52:49 UV 2.16.840.1.113883.3.1070.5066 mckesson-fusion-5066 mckesson-fusion-5066 randy deitsch masked Fusion Enrollment 8775074541 masked Fusion Enrollment randy.deitsch@mckesson.com Vendor 2.16.840.1.113883.3.1070.5066 Ext 17 Complete 2.16.840.1.113883.3.1070.5066 2012/08/21 12:00:00 2012/08/22 12:00:00 2012/08/22 07:50:39 US 2.16.840.1.113883.3.2174 dvc Dakota Vision Center, LLC Trisha Sampson masked Trisha Sampson 5012 S Bur Oak Pl Sioux Falls, SD 57108 605-361-1680 masked Administrator Dakota Vision Center, LLC 5012 S Bur Oak Pl Sioux Falls, SD 57108 605-361-1680 trisha@dakotavisioncenter.com http://www.dakotavisioncenter.com Provider Int 3 Complete 2012/08/21 12:00:00 2012/08/22 12:00:00 2012/08/22 07:56:13 UV 2.16.840.1.113883.3.2175 liquidsoftwaredesigns Liquid Software Designs, Inc. Gabie Lambrechtse masked Gabie Lambrechtse 2474 Walnut St. Ste #108 Cary, NC 27518 919-656-4019 masked CEO Liquid Software Designs, Inc. 2474 Walnut St. Ste #108 Cary, NC 27518 1-866-618-1531 info@liquidsoftwaredesigns.com http://www.liquidsoftwaredesigns.com Vendor Int 3 Complete 2012/08/21 12:00:00 2012/08/22 12:00:00 2012/08/22 08:05:35 UV 2.16.840.1.113883.3.2176 audia02 Drs.Audia & Wickline Joseph Audia masked Joseph Audia, OD 345 Floral Drive Harrisville, WV 26362 304-643-2117 masked Owner/Optometrist Dr. Joseph Audia 345 Floral Drive Harrisville, WV 26362 304-643-2117 drjaudia@aol.com Provider Int 3 Complete 2012/08/21 12:00:00 2012/08/22 12:00:00 2012/08/22 08:07:58 UV 2.16.840.1.113883.3.1070.5067 mckesson-fusion-5067 mckesson-fusion-5067 Jennifer Meares masked Fusion Enrollment 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5067 2012/08/21 12:00:00 2012/08/22 12:00:00 2012/08/22 08:12:16 US 2.16.840.1.113883.3.1070.5070 mckesson-fusion-5070 mckesson-fusion-5070 Jennifer Meares masked Fusion Enrollment 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5070 2012/08/21 12:00:00 2012/08/22 12:00:00 2012/08/22 08:15:21 US 2.16.840.1.113883.3.1070.5068 mckesson-fusion-5068 mckesson-fusion-5068 Jennifer Meares masked Fusion Enrollment 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 3 Complete 2.16.840.1.113883.3.1070.5068 2012/08/22 12:00:00 2012/08/22 12:00:00 2012/08/22 08:13:18 US 2.16.840.1.113883.3.2177 tBHC-BHIX TBHC-BHIX Elizabeth Goldenberg masked Elizabeth Goldenberg Rob Cimino, Director of Operations Brooklyn Hospital 121 De Kalb Avenue Brooklyn NY 11201 (718) 250 8668 masked IS Project Manager, Brooklyn Hospital Brooklyn Health Information Exchange (BHIX) Brooklyn Health Information Exchange (BHIX) 6323 Seventh Avenue Brooklyn, New York 11220 Telephone: 718-283-5650 info@bhix.org http://bhix.org/ Exchange Int 3 Complete 2012/08/22 12:00:00 2012/08/22 12:00:00 2012/08/22 08:10:26 US 2.16.840.1.113883.3.2178 aw-oid Annalisa Wilde OID Annalisa Wilde masked Annalisa Wilde 4438802189 masked Annalisa Wilde 347 W 36 St, NY 10001 4438802189 awilde@healthix.org Provider Int 3 Complete 2012/08/23 12:00:00 2014/12/11 12:00:00 2014/12/11 06:41:17 UV 2.16.840.1.113883.3.2179 psch PSCH, Inc. Paul Di Vincenzo masked Melvin Masula 142-02 20th Ave, 3rd Floor Flushing, NY 11351 718-559-0557 masked Assistant Director of Information Technology Melvin Masula melvin.masula@psch.org Provider Int 3 Complete 2012/08/23 12:00:00 2012/08/24 12:00:00 2013/09/30 02:50:38 UV 2.16.840.1.113883.3.2180 pederson-krag Pederson-Krag Center Paul Di Vincenzo masked Melvin Masula 142-02 20th Ave, 3rd Floor 718-559-0557 masked Assistant Director of Information Technology Melvin Masula melvin.masula@psch.org Provider Int 3 Complete 2012/08/23 12:00:00 2012/08/24 12:00:00 2013/09/30 02:51:28 UV 2.16.840.1.113883.3.2181 peninsulacounseling Peninsula Counseling Center Paul Di Vincenzo masked Melvin Masula 142-02 20th Ave, 3rd Floor Flushing, NY 11351 718-559-0557 masked Assistant Director of Information Technology Melvin Masula melvin.masula@psch.org Provider Int 3 Complete 2012/08/23 12:00:00 2012/08/24 12:00:00 2013/09/30 02:52:22 UV 2.16.840.1.113883.3.2182 sbmf South Bend Medical Foundation Root Ray Krass masked Ray Krass 530 North Lafayette Bouldevard South Bend, IN 466012 (574)204-4344 masked Technical Director/Information System Technology South Bend Medical Fondation 530 North Lafayette Bouldevard South Bend, IN 466012 (574)234-4176 fsi@sbmf.org http://www.sbmf.org Provider Int 3 Complete 2012/08/23 12:00:00 2012/08/24 12:00:00 2012/08/24 10:35:39 UV 2.16.840.1.113883.3.2183 bromenn-CCD-1 BroMenn Continuity of Care Document Timothy Koch masked Timothy Koch 1304 Franklin Ave Normal, IL 61761 309-268-2427 masked Application Support Manager Advocate BroMenn Medical Center 1304 Franklin Ave Normal, IL 61761 309-454-1400 timothy.koch@advocatehealth.com http://www.advocatehealth.com/bromenn Provider Int 3 3 Complete 2012/08/24 12:00:00 2012/08/24 12:00:00 2012/08/24 10:39:26 UV 2.16.840.1.113883.3.2184 eur-ccd-01 Eureka Continuity of Care Document Timothy Koch masked Timothy Koch 1304 Franklin Ave Normal, IL 61761 309-268-2427 masked Application Support Manager Advocate Eureka Hospital 101 S. Major Street Eureka, IL 61530 309-467-2371 timothy.koch@advocatehealth.com http://www.advocatehealth.com/eureka Provider Int 3 3 Complete 2012/08/24 12:00:00 2012/08/24 12:00:00 2012/08/24 10:42:26 UV 2.16.840.1.113883.3.2185 avhnh Androscoggin Valley Hospital Howard Chase masked Howard Chase Androscoggin Valley Hospital 59 Page Hill Road Berlin, NH 03588 603-326-5669 masked Androscoggin Valley Hospital 59 Page Hill Road Berlin, NH 03588 603-752-2200 howard.chase@avhnh.org http://avhnh.org Provider Int 3 Complete 2012/08/27 12:00:00 2012/08/30 12:00:00 2012/08/30 02:21:41 UV 2.16.840.1.113883.3.2186 mhmh Munson Healthcare Manistee Hospital Daniel Chapman masked Rebecca Krolczyk 1465 E Parkdale Ave Manistee, MI 49660 2313981125 masked Information Services Senior Analyst Munson Healthcare Manistee Hospital 1465 E Parkdale Ave Manistee, MI 49660 2313981125 rkrolczyk@mhc.net https://www.munsonhealthcare.org/manistee-hospital/manistee-home?utm_source=local-listing&utm_medium=organic&utm_campaign=website-link Govt body Int 3 Complete 2012/08/27 12:00:00 2012/08/30 12:00:00 2021/05/04 03:59:50 UV 2.16.840.1.113883.3.2187 stillmed Stillwater Medical Center James Ranone masked Chris Roark 1323 W 6th Ave Stillwater, OK 74074 405.742.5905 masked Chief Information Officer Stillwater Medical Center 1323 W 6th Ave Stillwater, OK 74074 405.372.1480 croark@stillwater-medical.org http://www.stillwater-medical.org/ Provider Int 3 Complete 2012/08/27 12:00:00 2012/08/30 12:00:00 2013/09/25 11:08:04 UV 2.16.840.1.113883.3.2188 eyetech Eyetech Visioncare Don Staten masked Don D. Staten, O.D. 1261 Baring Blvd Sparks, NV 89434 7753535665 masked President/Optometrist Eyetech Visioncare 1261 Baring Blvd Sparks, NV 89434 7753535665 accounting@eyetechvision.com http://www.eyetechvision.com/ Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 02:27:14 UV 2.16.840.1.113883.3.2189 smmdpllc Surinder Mendiratta, M.D., PLLC Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director Surinder Mendiratta, M.D., PLLC 20905 Greenfield Rd. Suite 502 Southfield, MI 48075 248-395-2888 smendi505@gmail.com Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 02:44:11 UV 2.16.840.1.113883.3.2190 mrnmdpc Mohammad R. Navai, M.D., P.C. Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director Mohammad R. Navai, M.D., P.C. 1935 N. Pontiac Trail Suite A Walled Lake, MI 48390 248-624-6633 mrnavai@yahoo.com Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 02:47:32 UV 2.16.840.1.113883.3.2191 dmcpllc Detroit Medical Services, PLLC Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director Detroit Medical Services, PLLC 4160 John R. Suite 730 Detroit, MI 48201 313-831-7000 ugorrepa@dmc.org Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 02:49:11 UV 2.16.840.1.113883.3.2192 dabdopc Deborah A. Borowski, D.O., P.C. Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director Deborah A. Borowski, D.O., P.C. 44000 West 12 Mile Rd. Suite 115 Novi, MI 48377 248-449-1059 debbieseel@comcast.net Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 02:50:42 UV 2.16.840.1.113883.3.2193 lsmdpc Leonard Sahn, M.D., P.C. Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director Leonard Sahn, M.D., P.C. 29355 Northwestern Hwy. Suite 100 Southfield, MI 48034 (248) 355-1300 lsahn@hotmail.com Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 02:52:37 UV 2.16.840.1.113883.3.2194 mykmd Muhammad Y. Karim, M.D. Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director Muhammad Y. Karim, M.D. 44000 W. 12 Mile Suite 115 Novi, MI 48337 248-449-1059 mkarim@dmc.org Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 02:54:12 UV 2.16.840.1.113883.3.2195 drmpmd Dr. M. Patel, M.D. Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director Dr. M. Patel, M.D. 6001 West Outer Drive Suite 320 Detroit, MI 48235 313-341-0203 mpatel47@hotmail.com Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 03:00:33 UV 2.16.840.1.113883.3.2196 sfmcdrjcmd Superior Family Medicine Clinic Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director Superior Family Medicine Clinic 22250 Providence Dr. Suite 205 Southfield, MI 48075 248-443-6911 supfammedctr@yahoo.com Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 03:01:49 UV 2.16.840.1.113883.3.2197 hpmcpllc Highland Park Medical Center, PLLC Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director Highland Park Medical Center, PLLC 15119 Woodward Ave. Highland Park, MI 48203 313-865-2020 sunipo@yahoo.com Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 03:08:15 UV 2.16.840.1.113883.3.2198 napc Nephron Associates, P.C. Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director Nephron Associates, P.C. 29877 Telegraph Rd. Suite 301 Southfield, MI 48034 248-359-2370 pdavis@cms-email.com Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 03:09:46 UV 2.16.840.1.113883.3.2199 lmcdrwjp Lighthouse Medical Center Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director Lighthouse Medical Center 8251 W. Eight Mile Rd Detroit, MI 48221 313-345-8120 wpettiwa@dmc.org Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 03:11:51 UV 2.16.840.1.113883.3.2200 apmdpc Ashok Prasad, M.D., P.C. Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director Ashok Prasad, M.D., P.C. 44000 W. 12 Mile Rd Suite 115 Novi, MI 48337 248-449-1059 prasadoai@msn.com Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 03:38:58 UV 2.16.840.1.113883.3.2201 fpmpc First Priority Medical, P.C. Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director First Priority Medical, P.C. 19105 W. 7 Mile Rd. Detroit, MI 48219 313-387-2000 berrymd3@aol.com Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 03:40:34 UV 2.16.840.1.113883.3.2202 ufm United Family Medical Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director United Family Medical 8044 W. Vernor Detroit, MI 48209 313-551-2755 jmogaka@int.med.wayne.edu Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 03:42:17 UV 2.16.840.1.113883.3.2203 ufmjmmd United Family Medical Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director United Family Medical 8044 W. Vernor Detroit, MI 48209 313-551-2755 jmogaka@int.med.wayne.edu Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 03:43:50 UV 2.16.840.1.113883.3.2204 nksmd Narinder K. Sherma, M.D. Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director Narinder K. Sherma, M.D. 14151 Greenfield Rd. Detroit, MI 48227 313-836-6660 nksherma@hotmail.com Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 03:45:26 UV 2.16.840.1.113883.3.2205 wpdrmkmd Waterford Pediatrics Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director Waterford Pediatrics 4185 Highland Rd. Waterford, MI 48328 248-648-8930 Safa2777@aol.com Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 03:46:56 UV 2.16.840.1.113883.3.1070.5069 mckesson-fusion-5069 mckesson-fusion-5069 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5069 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 03:49:24 US 2.16.840.1.113883.3.2206 phcpc Personal Health Care, P.C. Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director Personal Health Care, P.C. 1501 N Milford Suite 200 Milford, MI 48381 (248) 676-9060 Nbelgiano@mac.com Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 04:10:07 UV 2.16.840.1.113883.3.2207 achjrmd Albert C Hayes, Jr., M.D. Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director Albert C Hayes, Jr., M.D. 3800 Woodward Suite 822 Detroit, MI 48201 313-831-8800 tdavismgr@sbcglobal.net Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 04:12:40 UV 2.16.840.1.113883.3.2208 rpgc Rosa Parks Geriatric Center Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director Rosa Parks Geriatric Center 4201 St. Antoine Blvd. Suite 5B Detroit, MI 48201-2153 313-745-7415 MLepczyk@dmc.org Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 04:17:00 UV 2.16.840.1.113883.3.2209 hecpc Holloway Eye Care, P.C. Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director Holloway Eye Care, P.C. 20905 Greenfield Suite 301 Southfield, MI 48075 248-569-5577 hollowayeyecare@gmail.com Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 04:18:22 UV 2.16.840.1.113883.3.2210 famdpc Farnaz Abhari, M.D., P.C. Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director Farnaz Abhari, M.D., P.C. 4085 Pontiac Trail Orchard Lake, MI 48323 248-977-4628 abharinaz@gmail.com Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 04:20:34 UV 2.16.840.1.113883.3.2211 hppc Highland Pediatrics, P.C. Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director Highland Pediatrics, P.C. 208 W. Highland Rd. Suite 100 Highland, MI 48357 248-889-9467 anirani2@yahoo.com Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 04:27:32 UV 2.16.840.1.113883.3.2212 smpdopllc Stanley M. Poleck, D.O., PLLC Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director Stanley M. Poleck, D.O., PLLC 19335 Grand River Detroit, MI 48223 313-794-8780 Ampdo99@aol.com Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 06:18:18 UV 2.16.840.1.113883.3.2213 dcmd David Criss, M.D. Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director David Criss, M.D. 23077 Greenfield Rd. Suite 156 Southfield, MI 48075 248-557-3337 lincolnmd@sbcglobal.net Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 06:20:51 UV 2.16.840.1.113883.3.2214 drmt Dr. Michael Taylor Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director Dr. Michael Taylor 15565 Northland Dr. Suite 106E Southfield, MI 48075 248-552-0880 mtaylor5@dmc.org Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 06:22:16 UV 2.16.840.1.113883.3.2215 dpadpm Donald P. Adler, D.P.M. Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director Donald P. Adler, D.P.M. 9321 Joseph Campau Hamtramck, MI 48121 313-871-8228 dadlerdpm@gmail.com Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 06:23:54 UV 2.16.840.1.113883.3.2216 hmfc Highland Milford Family Clinic Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director Highland Milford Family Clinic 147 N. Milford Rd Ste 101 Highland, MI 48357 248-887-3900 raghadkhoury@yahoo.com Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 06:25:46 UV 2.16.840.1.113883.3.2217 glmc Great Lakes Medical Center Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director Great Lakes Medical Center 4420 E. Davison Detroit, MI 48212 313-369-1500 Apaharia@hotmail.com Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 06:27:34 UV 2.16.840.1.113883.3.2218 aimpc American Internal Medicine, P.C. Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director American Internal Medicine, P.C. 5420 Wessex Crt. Suite 108 Dearborn, MI 48126 313-401-3665 hberry@dmc.org Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 06:37:12 UV 2.16.840.1.113883.3.2219 fca Family Care Associates Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director Family Care Associates 9398 Lilley Rd. Plymouth, MI 48170 734-254-0453 jaclynilene@gmail.com Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 06:38:21 UV 2.16.840.1.113883.3.2220 aims Academic Internal Medicine Specialists Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director Academic Internal Medicine Specialists 27207 Lahser Rd. Suite 200B Southfield, MI 48034 (248) 799-4300 msiddiqu@dmc.org Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 06:40:22 UV 2.16.840.1.113883.3.2221 pmcdrapjrmd Pickens Medical Center Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director Pickens Medical Center 15639 West McNichols Detroit, MI 48235 313-272-2400 alexpickensjr@sbcglobal.net Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 06:41:39 UV 2.16.840.1.113883.3.2222 bmcdmc Bloomfield Medical Center Dennis Young masked Dennis Young 248-262-7369 masked EHR Implementation Director Bloomfield Medical Center 23900 Orchard Lake Rd Suite 150 Farmington Hills, MI 48336 248-427-8000 nhaque@aol.com Provider Int 3 Complete 2012/08/28 12:00:00 2012/08/30 12:00:00 2012/08/30 06:43:12 UV 2.16.840.1.113883.3.2069.1 bhc-mrn BayCare HomeCare Medical Record Nicholas Druda masked Nicholas Druda 8452 118th Avenue North Largo, FL 33773 727-394-6625 masked BayCare HomeCare 8452 118th Avenue North Largo, FL 33773 800-940-5151 nick.druda@baycare.org http://www.baycarehomecare.org Provider 2.16.840.1.113883.3.2069 Ext 4 Complete 2.16.840.1.113883.3.2069.1 2012/08/29 12:00:00 2012/08/30 12:00:00 2012/08/30 06:45:11 UV 2.16.840.1.113883.3.2223 ncmh Newberry County Memorial Hospital Gary Graham masked David Wolff David Wolff 2669 Kinard Street PO Box 497 Newberry, SC 29108 8034057510 masked Director of Information Technology Newberry County Memorial Hospital 2669 Kinard Street PO Box 497 Newberry, SC 29108 8034057510 david.wolff@newberryhospital.net http://www.newberryhospital.org Provider Int 3 3 Complete 2012/08/29 12:00:00 2012/08/30 12:00:00 2012/08/30 06:47:31 US 2.16.840.1.113883.3.2224 chi-mmc CHI Mercy Medical Center Brian Kness masked Brian Kness 188 Inverness Dr West Englewood, CO 80112 720-874-1337 masked Data Architect Catholic Health Initiatives 198 Inverness Dr West Englewood, CO 80112 303-298-3100 briankness@catholichealth.net Provider Int 3 3 Complete 2012/08/29 12:00:00 2012/08/30 12:00:00 2012/08/30 06:53:43 UV 2.16.840.1.113883.3.2225 chi-mcv CHI Mercy Centerville Brian Kness masked Brian Kness 188 Inverness Dr West Englewood, CO 80112 720-874-1337 masked Data Architect Catholic Health Initiatives 198 Inverness Dr West Englewood, CO 80112 303-298-9100 briankness@catholichealth.net Provider Int 3 3 Complete 2012/08/29 12:00:00 2012/08/30 12:00:00 2012/08/30 06:55:05 UV 2.16.840.1.113883.3.2226 chi-svi CHI St Vincents Hospital Brian Kness masked Brian Kness 188 Inverness Dr West Englewood, CO 80112 720-874-1337 masked Data Architect Catholic Health Initiatives 198 Inverness Dr West Englewood, CO 80112 303-298-9100 news@catholichealth.net Provider Int 3 3 Complete 2012/08/29 12:00:00 2012/08/30 12:00:00 2012/08/30 06:56:39 UV 2.16.840.1.113883.3.2227 chi-sva CHI St Anthony's Morrilton Brian Kness masked Brian Kness 188 Inverness Dr West Englewood, CO 80112 720-874-1337 masked Data Architect Catholic Health Initiatives 198 Inverness Dr West Englewood, CO 80112 303-298-9100 news@catholichealth.net Provider Int 3 3 Complete 2012/08/29 12:00:00 2012/08/30 12:00:00 2012/08/30 07:11:12 UV 2.16.840.1.113883.3.1070.5079 mckesson-fusion-5079 mckesson-fusion-5079 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5079 2012/08/29 12:00:00 2012/09/19 12:00:00 2012/09/19 08:07:55 US 2.16.840.1.114222.4.5.307 cdcgs1vis CDC GS1 VIS BarCodes Sundak Ganesan masked Rob Savage Sundak Ganesan 2500 Century Center parkway Atlanta, GA 30329 404-498-6685 masked Health Scientist - Lead Vocabulary Specialist CDC Immunization program 2500 Century Center Parkway Atlanta, GA 30329 404-498-6685 dsq3@cdc.gov http://phinvads.cdc.gov Govt body 2.16.840.1.114222 Ext 15 15 Complete 2.16.840.1.114222.4.5.307 2012/08/29 12:00:00 2012/09/19 12:00:00 2012/09/19 08:11:53 cdcgs1vis UV 2.16.840.1.113883.3.2228 maneye Manhattan Eyeworks David Gross masked David Gross Manhattan Eyeworks 241 West 23st NY NY 10011 212 243 5898 masked owner/optometrist Manhattan Eyeworks Manhattan Eyeworks 241 West 23st NY NY 10011 212 243 5898 davegross2020@yahoo.com http://manhattaneyeworks.net Provider Int 3 Complete 2012/08/30 12:00:00 2012/09/19 12:00:00 2012/09/19 08:15:58 UV 2.16.840.1.113883.3.2229 sehc St. Elizabeth Health Center Ryan Baker masked Ryan Baker St. Elizabeth Health Center 1044 Belmont Avenue Youngstown, Ohio 44501 (330) 746-7211 419.251.1522 masked Project Manager Medicity rbrant@medicity.com http://www.medicity.com Exchange Int 3 Complete 2012/08/30 12:00:00 2012/09/19 12:00:00 2012/09/19 08:17:53 UV 2.16.840.1.113883.3.2230 sjhc St. Joseph Health Center Ryan Baker masked Ryan Baker St. Joseph Health Center 667 Eastland Avenue Warren, Ohio 44484 (330) 841-4000 419.251.1522 masked Project Manager Medicity rbrant@medicity.com http://www.medicity.com Exchange Int 3 Complete 2012/08/30 12:00:00 2012/09/19 12:00:00 2012/09/19 08:19:40 UV 2.16.840.1.113883.3.2231 seb St. Elizabeth Boardman Ryan Baker masked Ryan Baker St. Elizabeth Boardman 8401 Market Street Boardman, Ohio 44512 (330) 729-1428 419.251.1522 masked Project Manager Medicity rbrant@medicity.com http://www.medicity.com Exchange Int 3 Complete 2012/08/30 12:00:00 2012/09/19 12:00:00 2012/09/19 08:21:24 UV 2.16.840.1.113883.3.2232 cmcd The Children's Medical Center of Dayton Lori Savage masked Lori Savage One Children's Plaza Dayton, OH 45404 937-641-4075 masked Application Manager Medicity rbrant@medicity.com http://www.medicity.com Exchange Int 3 Complete 2012/08/30 12:00:00 2012/09/19 12:00:00 2012/09/19 08:23:20 UV 2.16.840.1.113883.4.575 goodSamLA Good Samaritan Hospital Los Angeles, CA Gerard Orban masked Craig Bremner IT Good Samaritan Hospital 1225 Wilshire Blvd Los Angeles, CA 90017 213 977-4024 masked Project Leader Revenue Gerard Orban IT Good Samaritan Hospital 1225 Wilshire Blvd Los Angeles, CA 90017 213 977-4105 gorban@goodsam.org http://www.goodsam.org/ Provider Int 3 Complete 2012/08/30 12:00:00 2012/09/19 12:00:00 2012/09/19 08:29:34 UV 2.16.840.1.113883.4.576 ca-nsMTLN Canada Massage Therapists Association of Nova Scotia Wendy Huang masked Anne Belford 5090 Explorer Drive Mississauga, Ontario L4W 4X6 Canada 905-629-5729 masked Massage Therapists Association of Nova Scotia PO Box 9410, Stn "A" Halifax, NS B3K 5S3" Canada 902-429-2190 info@mtans.com http://mtans.com Prof Soc Int 4 Complete 2012/08/30 12:00:00 2012/09/19 12:00:00 2012/09/19 08:31:41 UV 2.16.840.1.113883.4.577 ca-Fedinthlthcert Canada Federal Interim Health Program Certificate Wendy Huang masked Marc L'Arrivee Manitoba eHealth 355 Portage Ave, Winnipeg, Manitoba R3B 0J6 Canada 1-204-926-9096 masked Citizenship and Immigration Canada 200 Catherine St. Suite 101 Ottawa, Ontario K2P 2K9 Canada 1-888-242-2100 question@cic.gc.ca http://www.servicecanada.gc.ca/eng/goc/interim_health.shtml Govt body Int 4 Complete 2012/08/30 12:00:00 2012/09/19 12:00:00 2012/09/19 08:35:31 UV 2.16.840.1.113883.3.2233 drklkb Kelly L. Bruch OD Kelly Bruch masked Kelly KELLY BRUCH 150 MCMAHAN BLVD MARION, OHIO 43302 7403891300 masked owner KELLY BRUCH 150 MCMAHAN BLVD MARION, OHIO 43302 7403891300 drkellybruch@yahoo.com Provider Int 3 Complete 2012/08/30 12:00:00 2012/09/19 12:00:00 2012/09/19 08:48:41 UV 2.16.840.1.113883.3.2234 sASHok-12 St Anthony Shawnee Hospital Oklahoma ccd oid Robert McLaughlin masked Faye Barrett Robert McLaughlin 1102 W. MacArthur Shawnee, OK 74804 405-214-1572 masked Manager of Clinical Applications St Anthony Shawnee Hospital 1102 W. MacArthur Shawnee, OK 74804 405-273-2270 robert_mclaughlin@ssmhc.com http://www.unityhealthcenter.com/ Provider Int 3 Complete 2012/08/31 12:00:00 2012/09/19 12:00:00 2012/09/19 08:54:43 UV 2.16.840.1.113883.3.2235 lpnt-srmc Sumner Regional Medical Center Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/08/31 12:00:00 2012/09/19 12:00:00 2018/05/02 10:14:52 UV 2.16.840.1.113883.3.2236 lpnt-rrmcn Riverview Regional Medical Center Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net/ Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/08/31 12:00:00 2012/09/19 12:00:00 2018/05/02 11:35:27 UV 2.16.840.1.113883.3.2237 lpnt-tmc Trousdale Medical Center Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/08/31 12:00:00 2012/09/19 12:00:00 2018/05/02 11:37:55 UV 2.16.840.1.113883.3.2238 drj Drs. Audia & Wickline Joseph Audia masked Michelle Wickline Joseph Audia Rt. 1 Box 75-4 Salem, WV 26426 304-782-1005 masked OD Drs. Audia & Wickline Rt. 1 Box 75-4 Salem, WV 26426 304-782-1005 drjaudia@aol.com Provider Int 3 Complete 2012/08/31 12:00:00 2012/09/19 12:00:00 2012/09/19 09:06:35 UV 2.16.840.1.113883.3.2239 hls HealthSouth Corporation Henry Lovoy masked Henry Lovoy 3640 Grandview Parkway Birmingham, AL 35243 2059695622 masked Henry Lovoy 3640 Grandview Parkway Birmingham, AL 35243 205-969-5622 henry.lovoy@healthsouth.com http://www.healthsouth.com Provider Int 3 Complete 2012/08/31 12:00:00 2012/09/19 12:00:00 2012/09/19 09:09:44 UV 2.16.840.1.113883.3.2240 arc-name Mauricio Monteiro Mauricio Monteiro masked Mauricio Monteiro 3135174292 masked Mauricio Monteiro 3135174292 mauricio.monteiro@gmail.com SDO Int 3 Complete 2012/08/31 12:00:00 2012/09/19 12:00:00 2012/09/19 09:13:20 BR 2.16.840.1.113883.3.2241 dc DC Internal OID Samuel Jackson masked Marcel Duchamp 999-999-9999 masked Great Wheel, Inc 212 Positively 4th St 999-999-9999 rmutt@fountain.net Vendor Int 3 Rejected 2012/09/01 12:00:00 2012/09/19 12:00:00 2012/09/19 09:20:10 UV 2.16.840.1.113883.3.2242 medkind MEDKIND CORPORATION RUSSELL NOBLETT masked RUSSELL NOBLETT MEDKIND CORPORATION P.O. BOX 20288 ROANOKE, VA 24018 877-367-7575 masked PRESIDENT RUSSELL NOBLETT MEDKIND CORPORATION P.O. BOX 20288 ROANOKE, VA 24018 877-367-7575 noblett@medkind.com http://www.medkind.com Vendor Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 09:22:21 UV 2.16.840.1.113883.3.2243 thr-hie Texas Health Resources Health Information Exchange Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Texas Health Resources HIE 600 E. Lamar Blvd. Arlington, TX 76011 THRHIE@texashealth.org Fax: 682-236-6487 JeffreyNewhouse@texashealth.org https://www.texashealth.org/HIE Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2015/02/26 02:10:13 UV 2.16.840.1.113883.3.2244 thr-adeptus Texas Health Hospital (Adeptus JV) Jeff Newhouse masked Jeff Newhouse 682-236-6357 masked Applications Architect Texas Health Hospital (Adeptus JV) Texas Health Hospital 1401 E Trinity Mills Rd Carrollton, TX 75006 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2016/12/08 02:52:07 UV 2.16.840.1.113883.3.2245 thr-thf Texas Health Frisco Jeff Newhouse masked Jeff Newhouse 682-236-6357 masked Texas Health Frisco 12400 Dallas Pkwy Frisco, TX 75033 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2019/10/01 05:42:13 UV 2.16.840.1.113883.3.2246 thpg-AIMMC AIM for Wellness-MidCities Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked AIM for Wellness-MidCities 1924 Forest Ridge Drive Suite B Bedford, TX 76021 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 09:29:42 UV 2.16.840.1.113883.3.2247 thpg-amc Arlington Medical Clinic Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Arlington Medical Clinic 400 West Arbrook Suite 100 Arlington, TX 76014 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 09:56:26 UV 2.16.840.1.113883.3.2248 thpg-aphc Arlington Premier Health Clinic Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Arlington Premier Health Clinic 501 Rita Lane Suite 109 Arlington, TX 76014 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 10:08:04 UV 2.16.840.1.113883.3.2249 thpg-csfm Cornerstone Family & Sports Medicine Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Cornerstone Family & Sports Medicine 100 Bourland Road Suite 170 Keller, TX 76248 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 10:09:15 UV 2.16.840.1.113883.3.2250 thpg-dam Dallas Adult Medicine Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Dallas Adult Medicine 3920 Wheatland Road Suite 140 Dallas, TX 75237 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 10:10:40 UV 2.16.840.1.113883.3.2251 thpg-eosm Elite Orthopedics & Sports Medicine Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Elite Orthopedics & Sports Medicine 7850 Collin McKinney Parkway Suite 200 McKinney, TX 75070 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 10:25:50 UV 2.16.840.1.113883.3.2252 thpg-fwda Fort Worth Digestive Associates, PA Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Fort Worth Digestive Associates, PA 1650 West Rosedale Street Suite 302 Fort Worth, TX 76104 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 10:27:45 UV 2.16.840.1.113883.3.2253 thpg-hfd HealthFirst-Dermatology Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked HealthFirst-Dermatology 508 South Adams Suite 100 Ft. Worth, TX 76104 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 10:30:40 UV 2.16.840.1.113883.3.2254 thpg-hfe HealthFirst-ENT Clinic Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked HealthFirst-ENT Clinic 4625 Boat Club Road Suite 257 Ft. Worth, TX 76135 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 10:38:01 UV 2.16.840.1.113883.3.2255 thpg-hfim HealthFirst-Internal Medicine Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked HealthFirst-Internal Medicine 909 S E Parkway Suite 105 Azle, TX 76020 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 10:40:10 UV 2.16.840.1.113883.3.2256 thpg-hfimm HealthFirst-Internal Medicine-Morrison Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked HealthFirst-Internal Medicine-Morrison 112 Denver Trail Azle, TX 76020 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 10:42:19 UV 2.16.840.1.113883.3.2257 tpg-hfnwg HealthFirst-Northwest Gastroenterology Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked HealthFirst-Northwest Gastroenterology 4625 Boat Club Road Suite 217 Ft. Worth, TX 76135 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 10:43:55 UV 2.16.840.1.113883.3.2258 thpg-hfob HealthFirst-OB/GYN Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked HealthFirst-OB/GYN 5707 Bryant Irvin Road Suite 103 Ft. Worth, TX 76132 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 10:45:00 UV 2.16.840.1.113883.3.2259 thpg-hmg Highlands Medical Group Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Highlands Medical Group 400 West Arbrook Suite 240 Arlington, TX 76014 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 10:46:49 UV 2.16.840.1.113883.3.2260 thpg-hca HospitalCare Associates Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked HospitalCare Associates 1600 Hospital Parkway Bedford, TX 76022 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 10:48:57 UV 2.16.840.1.113883.3.2261 thpg-jy Judy Yates, MD Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Judy Yates, MD 1614 Scripture Suite 100 Denton, TX 76201 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 10:51:21 UV 2.16.840.1.113883.3.2262 thpg-kh Kyle Hoogendoorn, DPM Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Kyle Hoogendoorn, DPM 1001 12th Avenue Suite 160 Ft. Worth, TX 76104 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 11:02:08 UV 2.16.840.1.113883.3.2263 thpg-mah M. Allison Hendrickson, DO Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked M. Allison Hendrickson, DO 4109 Cagle Drive Suite B North Richland Hills, TX 76180 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 11:03:49 UV 2.16.840.1.113883.3.2264 thpg-mim Mansfield Internal Medicine Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Mansfield Internal Medicine 2800 East Broad Street Suite 512 Mansfield, TX 76063 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 11:05:05 UV 2.16.840.1.113883.3.2265 thpg-mem Margaret E. Mike, MD Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Margaret E. Mike, MD 8700 North Stemmons Freeway Suite 135 Dallas, TX 75247 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 11:07:50 UV 2.16.840.1.113883.3.2266 thpg-mcrs Metroplex Colon & Rectal Specialist Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Metroplex Colon & Rectal Specialist 5509 Pleasant Valley Drive Suite 20 Plano, TX 75023 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 12:24:23 UV 2.16.840.1.113883.3.2267 thpg-mcb Mid Cities-Bedford Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Mid Cities-Bedford 1305 Airport Freeway Suite 424 Bedford, TX 76021 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 12:26:25 UV 2.16.840.1.113883.3.2268 thpg-nhim North Hills Internal Medicine Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked North Hills Internal Medicine 4351 Booth Calloway Road Suite 311 North Richland Hills, TX 76180 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 12:27:59 UV 2.16.840.1.113883.3.2269 thpg-ntoss North Texas Orthopedic and Spine Specialists Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked North Texas Orthopedic and Spine Specialists 4510 Medical Center Drive Suite 312 McKinney, TX 75069 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 12:29:43 UV 2.16.840.1.113883.3.2270 thpg-swea Southwest Endocrinology Arlington Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Southwest Endocrinology Arlington 400 West Arbrook Suite 300 Arlington, TX 76014 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 12:30:59 UV 2.16.840.1.113883.3.2271 thpg-swed Southwest Endocrinology-Desoto Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Southwest Endocrinology-Desoto 1014 East Wheatland Road Duncanville, TX 75116 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 12:43:28 UV 2.16.840.1.113883.3.2272 thpg-smg Sunnyvale Medical Group Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Sunnyvale Medical Group 341 Wheatfield Drive Suite 100 Sunnyvale, TX 75182 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 12:45:02 UV 2.16.840.1.113883.3.2273 thpg-sim Synergy Internal Medicine Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Synergy Internal Medicine 400 West Arbrook Suite 200 Arlington, TX 76014 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 12:50:00 UV 2.16.840.1.113883.3.2274 thpg-tri Texas Rheumatology Institute Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Texas Rheumatology Institute 1201 Arista Drive Suite 105 Rockwall, TX 75032 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 12:51:14 UV 2.16.840.1.113883.3.2275 thpg-tu Texas Urology Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Texas Urology 541 West Main Street Suite 150 Lewisville, TX 75057 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 12:52:26 UV 2.16.840.1.113883.3.2276 thpg-tsp True Surgical Partners Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked True Surgical Partners 7777 Forest Lane Building C Suite 204 Dallas, TX 75230 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 12:54:51 UV 2.16.840.1.113883.3.2277 thpg-admc Advanced Medical Care Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Advanced Medical Care 1650 West Chapman Suite 500 Sanger, TX 76266 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 12:56:04 UV 2.16.840.1.113883.3.2278 thpg-afm Aledo Family Medicine Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Aledo Family Medicine 317 FM 1187 North Aledo, TX 76008 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 12:58:32 UV 2.16.840.1.113883.3.2279 thpg-bfmrw Benchmark Family Medicine-Rockwall Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Benchmark Family Medicine-Rockwall 1005 West Ralph Hall Parkway Suite 101 Rockwall, TX 75032 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 01:01:06 UV 2.16.840.1.113883.3.2280 thpg-bfmr Benchmark Family Medicine-Rowlett Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Benchmark Family Medicine-Rowlett 5501 Gordon-Smith Road Suite 500 Rowlett, TX 75089 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 01:04:36 UV 2.16.840.1.113883.3.2281 thpg-cfwam Central Ft. Worth-Adult Medicine Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Central Ft. Worth-Adult Medicine 1001 12th Avenue Suite 160 Ft. Worth, TX 76104 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 01:05:52 UV 2.16.840.1.113883.3.2282 thpg-car Cheryl A. Richards, DO Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Cheryl A. Richards, DO 1201 Arista Drive Suite 101 Rockwall, TX 75032 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 01:08:27 UV 2.16.840.1.113883.3.2283 thpg-ccp Children's Choice Pediatrics Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Children's Choice Pediatrics 6587 Virginia Parkway McKinney, TX 75071 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 01:10:47 UV 2.16.840.1.113883.3.2284 thpg-dfh Dallas Family Healthcare Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Dallas Family Healthcare 7515 Greenville Avenue Suite 505 Dallas, TX 75231 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 01:17:14 UV 2.16.840.1.113883.3.2285 thpg-dmb David M. Beyer, DO Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked David M. Beyer, DO 4201 Camp Bowie Blvd Ft. Worth, TX 76107 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 03:56:45 UV 2.16.840.1.113883.3.2286 thpg-dfm Duncanville Family Medicine Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Duncanville Family Medicine 545 West Wheatland Road Duncanville, TX 75116 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 03:57:55 UV 2.16.840.1.113883.3.2287 thpg-epoj Esiquiel P. Olivarez, Jr., DO Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Esiquiel P. Olivarez, Jr., DO 6138 Walraven Circle Suite A & B Ft. Worth, TX 76133 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 03:59:01 UV 2.16.840.1.113883.3.2288 thpg-ee Extreme Exam Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Extreme Exam 400 West Arbrook Suite 200 Arlington, TX 76014 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 04:00:54 UV 2.16.840.1.113883.3.2289 thpg-fm Family Medical Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Family Medical Family Medical 763 East US Highway 80Suite 100 Forney, TX 75126 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 04:02:29 UV 2.16.840.1.113883.3.2290 thpg-fmcsw Family Medical Center of Southwest Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Family Medical Center of Southwest 7001 Granbury Road Ft. Worth, TX 76133 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 04:03:45 UV 2.16.840.1.113883.3.2291 thpg-ffc First Family Care Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked First Family Care 891 Keller Parkway Suite 101-A Keller, TX 76248 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 04:07:19 UV 2.16.840.1.113883.3.2292 thpg-fmfcc Flower Mound Family Care Center Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Flower Mound Family Care Center 4951 Long Prairie Road Suite 120 Flower Mound, TX 75028 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 04:12:19 UV 2.16.840.1.113883.3.2293 thpg-fd Frances Dilley, MD Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Frances Dilley, MD 6049 Harris Parkway Suite 100 Ft. Worth, TX 76132 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 04:13:42 UV 2.16.840.1.113883.3.2294 thpg-gfp Grapevine Family Physicians Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Grapevine Family Physicians 1600 West College Street Suite 130 Grapevine, TX 76051 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 04:16:41 UV 2.16.840.1.113883.3.2295 thpg-hmc Handley Medical Clinic Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Handley Medical Clinic 2317 Handley Drive Suite 130 Ft. Worth, TX 76112 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 04:18:06 UV 2.16.840.1.113883.3.2296 thpg-hfa HealthFirst-Azle Family Practice Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked HealthFirst-Azle Family Practice 141 North Industrial Azle, TX 76020 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 04:20:11 UV 2.16.840.1.113883.3.2297 thpg-hffc HealthFirst-Fossil Creek Clinic Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked HealthFirst-Fossil Creek Clinic 7630 North Beach Street Suite 140 Ft. Worth, TX 76137 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 04:22:40 UV 2.16.840.1.113883.3.2298 thpg-hfgo HealthFirst-Green Oaks Clinic Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked HealthFirst-Green Oaks Clinic 2400 Mall Circle Ft. Worth, TX 76116 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 04:26:34 UV 2.16.840.1.113883.3.2299 thpg-hfht HealthFirst-Heritage Trace Clinic Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked HealthFirst-Heritage Trace Clinic 3529 Heritage Trace Parkway Suite 137 Keller, TX 76248 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 04:27:34 UV 2.16.840.1.113883.3.2300 swdic-ent SWDIC Imaging Center Partnership LLC Jeff Newhouse masked Kuykendall, Debi 8230 Walnut Hill Lane, Suite 100 Dallas, TX 75231 214-345-5060 masked Support Systems Manager SWDIC Imaging Center Partnership LLC DebiKuykendall@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2015/03/03 02:16:01 UV 2.16.840.1.113883.3.2301 swdic-mrn SWDIC Imaging Center Partnership LLC Jeff Newhouse masked Kuykendall, Debi 8230 Walnut Hill Lane, Suite 100 Dallas, TX 75231 214-345-5060 masked Support Systems Manager SWDIC Imaging Center Partnership LLC DebiKuykendall@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2015/03/03 02:22:39 UV 2.16.840.1.113883.3.2302 cmi-mrn SWDIC Imaging Center Partnership LLC Jeff Newhouse masked Kuykendall, Debi 8230 Walnut Hill Lane, Suite 100 Dallas, TX 75231 214-345-5060 masked Support Systems Manager SWDIC Imaging Center Partnership LLC DebiKuykendall@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2015/03/03 02:19:58 UV 2.16.840.1.113883.3.2303 thpg-hm Hogan Medical for Your Family Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Hogan Medical for Your Family 1280 South Main Street Grapevine, TX 76051 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 04:37:29 UV 2.16.840.1.113883.3.2304 thpg-ifp Inova Family Physicians Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Inova Family Physicians 2100 Hedgcoxe Drive Suite 120 Plano, TX 75025 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 04:44:54 UV 2.16.840.1.113883.3.2305 thpg-im Inova Mesquite Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Inova Mesquite 1645 Town East Blvd Suite 174 Mesquite, TX 75150 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 04:46:34 UV 2.16.840.1.113883.3.2306 thpg-ir Inova Richardson Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Inova Richardson 970 Coit Road Suite 3040 Richardson, TX 75080 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 04:49:01 UV 2.16.840.1.113883.3.2307 thpg-jba Jose Burbano MD and Associates Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Jose Burbano MD and Associates 3020 East Hebron Parkway Suite A-100 Carrollton, TX 75010 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 04:50:56 UV 2.16.840.1.113883.3.2308 thpg-km Kevin McKinney, MD - Family Practice Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Kevin McKinney, MD - Family Practice 1614 Scripture Street Suite 10 Denton, TX 76201 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 04:52:56 UV 2.16.840.1.113883.3.2309 thpg-lh Lake Highlands Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Lake Highlands 10677 East NW Highway Suite 100 Dallas, TX 75238 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 05:00:40 UV 2.16.840.1.113883.3.2310 thpg-lwfm Lake Worth Family Medicine and Womens Health Center Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Lake Worth Family Medicine and Womens Health Center 6048 Lake Worth Blvd Ft. Worth, TX 76135 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 05:02:53 UV 2.16.840.1.113883.3.2311 thpg-lem Leading Edge Medicine Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Leading Edge Medicine 3801 William D Tate Avenue Suite 840 Grapevine, TX 76051 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 05:04:33 UV 2.16.840.1.113883.3.2312 thpg-lp Levy Pediatrics Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Levy Pediatrics Levy Pediatrics1717 Chadwick CourtSuite B Hurst, TX 76054 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 05:06:45 UV 2.16.840.1.113883.3.2313 thpg-lfm Lifetime Family Medicine Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Lifetime Family Medicine 1001 Cross Timbers Road Suite 1250 Flower Mound, TX 75028 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 05:17:23 UV 2.16.840.1.113883.3.2314 thpg-lmc Livingstone Medical Clinic Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Livingstone Medical Clinic 3620 West Pioneer Drive Suite 107 Irving, TX 75061 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 05:20:18 UV 2.16.840.1.113883.3.2315 thpg-mfc Mansfield Family Clinic Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Mansfield Family Clinic 501 East Broad Street Mansfield, TX 76063 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 05:21:16 UV 2.16.840.1.113883.3.2316 thpg-mfh Mayfield Family Healthcare Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Mayfield Family Healthcare 100 Bourland Road Suite 150 Keller, TX 76248 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 05:22:42 UV 2.16.840.1.113883.3.2317 thpg-mm Metro Medical Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Metro Medical 400 West Arbrook Suite 101 Arlington, TX 76014 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 05:24:40 UV 2.16.840.1.113883.3.2318 thpg-rt Richard Townsend, MD Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Richard Townsend, MD 1001 East Buckingham Road Suite 110 Richardson, TX 75081 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 05:26:14 UV 2.16.840.1.113883.3.2319 thpg-rks Robert Keck Stahlman II DO PA Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Robert Keck Stahlman II DO PA 9208 Elam Road Suite 100 Dallas, TX 75217 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 05:28:24 UV 2.16.840.1.113883.3.2320 thpg-sfm Saginaw Family Medicine Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Saginaw Family Medicine Saginaw Family Medicine608 East Bailey BoswellSuite 140 Saginaw, TX 76131 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 05:35:23 UV 2.16.840.1.113883.3.2321 thpg-th TienaHealth Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked TienaHealth 6500 Sierra Drive Suite 150 Irving, TX 75039 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 05:37:23 UV 2.16.840.1.113883.3.2322 thpg-tm Timothy McGuire, MD Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Timothy McGuire, MD 1614 Scripture Street Suite 8 Denton, TX 76201 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 05:38:37 UV 2.16.840.1.113883.3.2323 thpg-tmmc Trinity Marsh Medical Clinic Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Trinity Marsh Medical Clinic 3355 Trinity Mills Suite 211 Dallas, TX 75287 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 05:40:29 UV 2.16.840.1.113883.3.2324 thpg-wma Wheatland Medical Associates Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Wheatland Medical Associates 3920 Wheatland Road Suite 152 Dallas, TX 75237 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/03 12:00:00 2012/09/19 12:00:00 2012/09/19 05:42:57 UV 2.16.840.1.113883.3.2325 ricil Rehabilitation Institute of Chicago Mark Thomas masked Mark Thomas 345 E. Superior Chicago, IL, 60611 312-238-2840 masked Director, IS Operations Rehabilitation Institute of Chicago 345 E. Superior Chicago, IL, 60611 312-238-1000 webmaster@ric.org Provider Int 3 3 Complete 2012/09/04 12:00:00 2012/09/19 12:00:00 2012/09/19 05:45:17 UV 2.16.840.1.113883.3.2326 thpg-cfm Carrollton Family Medicine & Pediatrics Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Carrollton Family Medicine & Pediatrics 2501 East Hebron Parkway Suite 200 Carrollton, TX 75010 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/04 12:00:00 2012/09/19 12:00:00 2012/09/19 05:48:05 UV 2.16.840.1.113883.3.2327 thpg-fmcs Family Medicine Clinic of Sunnyvale Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Family Medicine Clinic of Sunnyvale 272 South Collins Suite 200 Sunnyvale, TX 75182 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/04 12:00:00 2012/09/19 12:00:00 2012/09/19 05:50:25 UV 2.16.840.1.113883.3.2328 thpg-hfmc Highland Family Medical Center Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Highland Family Medical Center 2012 FM 407 Suite 100 Lewisville, TX 75077 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/04 12:00:00 2012/09/19 12:00:00 2012/09/19 05:52:10 UV 2.16.840.1.113883.3.2329 thpg-kfm Kirven Family Medicine Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Kirven Family Medicine 120 West Main Street Suite 205 Mesquite, TX 75149 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/04 12:00:00 2012/09/19 12:00:00 2012/09/19 05:54:07 UV 2.16.840.1.113883.3.2330 thpg-lcmc Lake Cities Medical Center Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Lake Cities Medical Center 3600 FM 2181 Suite 100 Hickory Creek, TX 75065 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/04 12:00:00 2012/09/19 12:00:00 2012/09/19 05:55:47 UV 2.16.840.1.113883.3.2331 thpg-msfp Main Street Family Physicians Frisco Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Main Street Family Physicians Frisco 5858 Main Street Suite 130 Frisco, TX 75034 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/04 12:00:00 2012/09/19 12:00:00 2012/09/19 05:57:45 UV 2.16.840.1.113883.3.2332 thpg-mawp Medical Associates at Willow Park Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Medical Associates at Willow Park 132 El Chico Trail Willow Park, TX 76087 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/04 12:00:00 2012/09/19 12:00:00 2012/09/19 06:01:10 UV 2.16.840.1.113883.3.1070.5075 mckesson-fusion-5075 mckesson-fusion-5075 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5075 2012/09/04 12:00:00 2012/09/19 12:00:00 2012/09/19 06:06:32 US 2.16.840.1.113883.3.2333 thpg-psnt Plastic & Hand Surgery of North Texas Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Plastic & Hand Surgery of North Texas 1105 Central Expressway North Suite 330 Allen, TX 75013 JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/04 12:00:00 2012/09/19 12:00:00 2012/09/19 06:04:07 UV 2.16.840.1.113883.3.2334 thpg-tfpc Texas Family Primary Care Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Texas Family Primary Care JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/04 12:00:00 2012/09/19 12:00:00 2012/09/19 06:09:56 UV 2.16.840.1.113883.3.2335 thpg-tsam Texas Star Adult Medicine Jeff Newhouse masked Jeff Newhouse 682-236-6548 masked Texas Star Adult Medicine JeffreyNewhouse@texashealth.org Provider Int 3 Complete 2012/09/04 12:00:00 2012/09/19 12:00:00 2012/09/19 06:12:15 UV 2.16.840.1.113883.3.2336 l5pec Little Five Points Eye Care, Inc Michael Stamboly masked Michael Stamboly Eye Etc. 484 Moreland Ave. NE Suite D Atlanta, GA 30307 404-523-3937 masked President/Owner Little Five Points Eye Care, Inc. Eye Etc. 484 Moreland Ave. NE Suite D Atlanta, GA 30307 404-523-3937 eyeetc@bellsouth.net https://www.eyeetcatl.com Provider Int 3 Complete 2012/09/04 12:00:00 2012/09/19 12:00:00 2012/09/19 06:25:54 UV 2.16.840.1.113883.3.2337 tec Total Eye Care, Buffalo Grove Bertram Kraft, M.D. masked Bertram Kraft, M.D. 68 west Dundee Road Buffalo Grove, Il 60089 847-541-3334 masked Total Eye Care, Buffalo Grove 68 west Dundee Road Buffalo Grove, IL 60089 847-541-3334 drbkraft@bkraftmd.com http://www.drbkraft.com Provider Int 3 Complete 2012/09/04 12:00:00 2012/09/19 12:00:00 2012/09/19 06:29:10 UV 2.16.840.1.113883.3.2338 vec Vonnahme Eye Care Hans Vonnahme masked Hans Vonnahme, O.D. 98 Lower Westfield Rd. Holyoke, MA 01040 4135523937 masked Owner Vonnahme Eye Care 98 Lower Westfield Rd. Holyoke, MA 01040 4135523937 hvons@hotmail.com Provider Int 3 Complete 2012/09/04 12:00:00 2012/09/19 12:00:00 2012/09/19 06:32:52 UV 2.16.840.1.113883.3.2339 eyecarectr Dr. Greg McGrew, Optometrist GREG MCGREW masked GREG MCGREW EYECARE CENTER OF LEESBURG 12 FAIRFAX STREET SE LEESBURG, VA 20175 703-777-1299 masked OWNER/OPTOMETRIST DR. GREG MCGREW 12 Fairfax Street SE Leesburg, VA 20175 703-777-1299 rmcgrew@eyecarecenterleesburg.com http://www.eyecarecenterleesburg.com Provider Int 3 Complete 2012/09/04 12:00:00 2012/09/19 12:00:00 2012/09/19 06:36:00 UV 2.16.840.1.113883.3.2340 ons Oncology Nursing Society Kristen Fessele masked Kristen Fessele Oncology Nursing Society Research Department 125 Enterprise Drive Pittsburgh, PA 15275 412-859-6409 masked Research Associate Oncology Nursing Society Oncology Nursing Society 125 Enterprise Drive Pittsburgh, PA 15275 412-859-6100 kfessele@ons.org http://ons.org/ Prof Soc Int 3 Complete 2012/09/04 12:00:00 2012/09/19 12:00:00 2012/09/19 08:50:58 UV 2.16.840.1.113883.3.2341 lpnt-rmc Rockdale Medical Center Matthew McConnell masked Terry Phillips Rockdale Medical Center 1412 Milstead Avenue, NE Conyers, GA 30012 770-918-3000 770-918-3000 masked Director, Clinical Data Integration and Exchange Rockdale Medical Center 1412 Milstead Avenue, NE Conyers, GA 30012 770-918-3000 770-918-3000 RockdaleMedicalCenter@RockdaleMedicalCenter.net http://RockdaleMedicalCenter.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/09/05 12:00:00 2012/09/21 12:00:00 2018/05/02 11:23:30 UV 2.16.840.1.113883.3.2342 lpnt-pmh Person Memorial Hospital Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/09/05 12:00:00 2012/09/21 12:00:00 2018/05/02 11:38:45 UV 2.16.840.1.113883.3.2343 pnpcomputer P&NP Computer Services, Inc. Curt Hamlin masked Curt Hamlin P&NP Computer Services, Inc. 66 N Main St Brockport, NY 14420-1649 USA 585-637-3240 masked VP P&NP Computer Services, Inc. 66 N Main St Brockport, NY 14420-1649 USA 585-637-3240 chamlin@pnpcomputer.com http://www.pnpcomputer.com Vendor Int 3 Complete 2012/09/05 12:00:00 2012/09/21 12:00:00 2012/09/21 05:52:45 UV 2.16.840.1.113883.3.2344 lpnt-shd SOVAH Health - Danville Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hopsitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/09/05 12:00:00 2012/09/21 12:00:00 2018/05/07 11:16:25 UV 2.16.840.1.113883.3.2345 apny ALLIED PEDIATRIC OF NEW YORK Etan Walls masked Etan Walls 516-945-3089` masked Allied Pediatric of New York emrsupport@alliedpeds.com http://www.alliedpeds.com Provider Int 3 Complete 2012/09/05 12:00:00 2012/09/21 12:00:00 2012/09/21 06:01:41 UV 2.16.840.1.113883.3.2346 qvmc Quincy Valley Medical Center William Kelly masked William Kelly Quincy Valley Medical Center 908 10th Ave. SW. Quincy, WA 98848 509 787-5357 masked IT Direcctor William Kelly Quincy Valley Medical Center 908 10th Ave. SW. Quincy, WA 98848 509 787-5357 willy.kelly@quincyhospital.org Vendor Int 3 Complete 2012/09/05 12:00:00 2012/09/21 12:00:00 2012/09/21 06:06:05 UV 2.16.840.1.113883.3.2347 cco Chester County Opticians, Inc. Daniel Johnston masked Daniel Johnston 610-692-8300 masked Owner & Optometrist Chester County Opticians, Inc. 923 Paoli Pike West Chester, PA 19380 610-692-8300 chestercountyopticians@verizon.net http://www.chestercountyopticians.com/ Provider Int 3 Complete 2012/09/05 12:00:00 2012/09/21 12:00:00 2012/09/21 06:08:08 UV 2.16.840.1.113883.3.1070.5072 mckesson-fusion-5072 mckesson-fusion-5072 Jennifer Meares masked Fusion Enrollment 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5072 2012/09/05 12:00:00 2012/09/19 12:00:00 2012/09/19 08:52:29 US 2.16.840.1.113883.3.2348 cmt Collective Medical Technologies Wylie van den Akker masked Collective Medical 4760 S Highland Drive #217 Salt Lake City, UT 84117 801-285-0770 masked IT Collective Medical 4760 S Highland Drive #217 Salt Lake City, UT 84117 801-285-0770 imp@collectivemedicaltech.com http://www.collectivemedicaltech.com Vendor Int 3 Complete 2012/09/05 12:00:00 2012/09/21 12:00:00 2017/11/01 03:49:54 UV 2.16.840.1.113883.3.1070.5080 mckesson-fusion-5080 mckesson-fusion-5080 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment Johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5080 2012/09/05 12:00:00 2012/09/21 12:00:00 2012/09/21 06:15:01 US 2.16.840.1.113883.3.1070.5076 mckesson-fusion-5076 mckesson-fusion-5076 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5076 2012/09/05 12:00:00 2012/09/21 12:00:00 2012/09/21 06:17:56 US 2.16.840.1.113883.3.2349 lpnt-mmclc Memorial Medical Center of Las Cruces Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/09/05 12:00:00 2012/09/21 12:00:00 2018/05/02 01:46:47 UV 2.16.840.1.113883.3.2350 lpnt-cvmc Clinch Valley Medical Center Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/09/05 12:00:00 2012/09/21 12:00:00 2018/05/02 01:47:11 UV 2.16.840.1.113883.3.2351 lpnt-lcrh Lake Cumberland Regional Hospital Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/09/05 12:00:00 2012/09/21 12:00:00 2018/05/02 01:47:42 UV 2.16.840.1.113883.3.2352 lpnt-shm SOVAH Health - Martinsville Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/09/05 12:00:00 2012/09/21 12:00:00 2018/05/07 11:20:36 UV 2.16.840.1.113883.3.2353 lpnt-rgh Raleigh General Hospital Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/09/05 12:00:00 2012/09/21 12:00:00 2018/05/02 01:48:40 UV 2.16.840.1.113883.3.2354 lpnt-stmc Southern Tennessee Medical Center Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/09/05 12:00:00 2012/09/21 12:00:00 2018/05/02 01:49:14 UV 2.16.840.1.113883.3.2355 lpnt-vrmc Vaughan Regional Medical Center Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/09/05 12:00:00 2012/09/21 12:00:00 2018/05/02 01:49:42 UV 2.16.840.1.113883.3.2356 lpnt-jpmc Jackson Purchase Medical Center Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/09/05 12:00:00 2012/09/21 12:00:00 2018/05/02 01:50:06 UV 2.16.840.1.113883.3.2357 wch Wood County Hospital Amanda Giesige masked Amanda Giesige 950 West Wooster Street Bowling Green, OH 43402 419-354-8964 masked IT Project Manager Medicity rbrant@medicity.com http://www.medicity.com Exchange Int 3 Complete 2012/09/05 12:00:00 2012/09/21 12:00:00 2012/09/21 10:56:02 UV 2.16.840.1.113883.3.2358 lpnt-lrmc Logan Regional Medical Center Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/09/05 12:00:00 2012/09/21 12:00:00 2018/05/02 01:50:32 UV 2.16.840.1.113883.3.2359 wilkensmedicalgroup Wilkens Medical Group OID Steve Boone masked Steve Boone P.O. Box 28 131 Hospital Lane Jellico, TN 37762 423-784-7269 masked VP Wilkens Medical Group P.O. Box 28 131 Hospital Lane Jellico, TN 37762 423-784-7269 sboone@wilkensmedicalgroup.com http://wilkensmedicalgroup.com Provider Int 3 Complete 2012/09/05 12:00:00 2012/09/21 12:00:00 2012/09/21 11:01:15 UV 2.16.840.1.113883.3.2360 socsjmc St Johns Medical Center Debbie Bryan masked Debbie Bryan St. John 29000 Center Ridge Road Westlake, OH 44145 330-580-4765 masked Medicity rbrant@medicity.com http://www.medicity.com Exchange Int 3 Complete 2012/09/05 12:00:00 2012/09/21 12:00:00 2012/09/21 11:10:44 UV 2.16.840.1.113883.3.2361 socsvc St Vincent Charity Community Health Center Debbie Bryan masked Peggy Drumm St Vincent Charity Community Health Center 2475 E. 22nd Street Cleveland, OH 44115 216-861-6200 masked IT Int 3 Complete 2012/09/05 12:00:00 2012/09/21 12:00:00 2025/03/06 02:16:43 UV 2.16.840.1.113883.3.2362 socmmc Mercy Medical Center Debbie Bryan masked Debbie Bryan Mercy Medical Center 1320 Mercy Dr NW Canton, OH 44708 330-580-4765 masked IT Medicity rbrant@medicity.com http://www.medicity.com Exchange Int 3 Complete 2012/09/05 12:00:00 2012/09/21 12:00:00 2012/09/21 11:13:35 UV 2.16.840.1.113883.3.2363 lpnt-mrmc Meadowview Regional Medical Center Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/09/05 12:00:00 2012/09/21 12:00:00 2018/05/02 01:51:16 UV 2.16.840.1.113883.3.2364 lpnt-pcmc Putnam Community Medical Center Matthew McConnell masked Terry Phillips Putnam Community Medical Center 611 Zeagler Drive Palatka, FL 32177 386-328-5711 386-328-5711 masked Director, Clinical Data Integration and Exchange Putnam Community Medical Center 611 Zeagler Drive Palatka, FL 32177 386-328-5711 386-328-5711 PutnamCommunityMedicalCenter@Putnam.net http://PutnamCommunityMedicalCenter.com Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/09/05 12:00:00 2012/09/21 12:00:00 2018/05/02 11:21:17 UV 2.16.840.1.113883.3.2365 lpnt-svh Spring View Hospital Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/09/05 12:00:00 2012/09/21 12:00:00 2018/05/02 01:51:43 UV 2.16.840.1.113883.3.2366 lpnt-wpmc Western Plains Medical Complex Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/09/05 12:00:00 2012/09/21 12:00:00 2018/05/02 01:52:10 UV 2.16.840.1.113883.3.2367 harrisonHarrisonIM Harrison and Harrison Internal Medicine Raymond Harrison masked Raymond J. Harrison, MD 2765 FM 3046 Copperas Cove, TX 76522 254-542-1112 masked Owner Harrison and Harrison Internal Medicine 806 East Ave D Suite E Copperas Cove, TX 76522 254-547-0006 rharrison@harrisonclinic.com http://www.harrisonclinic.com Provider Int 3 Complete 2012/09/05 12:00:00 2012/09/21 12:00:00 2012/09/21 11:27:04 UV 2.16.840.1.113883.3.2368 lpnt-wcch Wythe County Community Hospital Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/09/06 12:00:00 2012/09/21 12:00:00 2018/05/02 01:52:45 UV 2.16.840.1.113883.3.2369 shvc South Holland Vision Center Lonnie Williams masked Lonnie Williams 353 E 162nd South Holland, IL 60425 7083313553 masked Owner South Holland Vision Center 353 E 162nd St South Holland, IL 60425 7083313553 lon11@att.net Provider Int 3 Complete 2012/09/06 12:00:00 2012/09/21 12:00:00 2012/09/21 11:34:26 UV 2.16.840.1.113883.3.2370 isp-00 Clinical Code System Uday Bhaskar masked Uday Bhaskar iSpace Global Solutions Pvt Ltd, Navayuga Legala Estates SEZ, 1st floor, Opposite to New MRO Office, Serilingampalli. Hyderabad &#8211; 500019. A.P., INDIA 3104482888 masked EDI Systems Analyst iSpace Global Solutions Pvt Ltd 3104482888 uday.kandula@ispace.com Vendor Int 3 Complete 2012/09/06 12:00:00 2012/09/21 12:00:00 2012/09/21 11:35:49 UV 2.16.840.1.113883.3.2371 evolent-health Evolent Health Maksim Anfilofyev masked Maksim Anfilofyev 10651 Gramercy Place #258 Columbia, MD 21044 5596962967 masked Evolent Health 3101 Wilson Boulevard Suite 500 Arlington, VA 22201 703-229-1011 info@evolenthealth.com Vendor Int 3 Complete 2012/09/06 12:00:00 2012/09/21 12:00:00 2012/09/21 11:38:51 UV 2.16.840.1.113883.3.2372 etmdsc Ellis Talbert MD SC Ellis Talbert masked Ellis 7000 S. Adams, Suite 240 Willowbrook, IL 60527 6309865106 masked MD/Owner Ellis J. Talbert, MD SC 7000 S. Adams, Suite 240 Willowbrook, IL 60527 6309865106 ellistalbert@gmail.com Provider Int 3 Complete 2012/09/06 12:00:00 2012/09/21 12:00:00 2012/09/21 11:41:07 UV 2.16.840.1.113883.17.102 availity Availity Health Information Exchange Jason Carmichael masked Jason Carmichael 10752 Deerwood Park Blvd, Suite 110 Jacksonville, FL 32256 904-470-4518 masked Managaer, Enterprise Architecture Availity LLC 10752 Deerwood Park Blvd, Suite 110 Jacksonville, FL 32256 904-470-4518 jcarmichael@availity.com http://www.availity.com/ Exchange Int 17 17 Complete 2012/09/06 12:00:00 2012/09/21 12:00:00 2012/09/21 11:43:57 ACTCODE UV 2.16.840.1.113883.3.2373 tub Shawn Tubiello OD Shawn Tubiello masked Terence Roberts 834 Main Street Hellertown Pa 18055 610-838-1000 masked Owner/Optician Shawn Tubiello 834 Main Street Hellertown Pa 18055 610-838-1000 dr_tubiello@advancedoptics.biz http://www.advancedoptics.biz Provider Int 3 Complete 2012/09/07 12:00:00 2012/09/21 12:00:00 2012/09/21 11:49:32 UV 2.16.840.1.113883.3.2374 hmh-hie Houston Methodist Hospital Health Information Exchange Mike Smith masked Marsha Parks 2550 Holly Hall St Houston, Texas 77054 8326675521 masked Integration Manager Houston Methodist Hospital System 6565 Fannin Street Houston, Texas 77030 7137903311 it-interfacesupportteam@houstonmethodist.org http://www.methodisthealth.com Provider Int 3 Complete 2012/09/07 12:00:00 2012/09/21 12:00:00 2014/06/04 05:41:20 UV 2.16.840.1.113883.3.1070.5077 mckesson-fusion-5077 mckesson-fusion -5077 Jennifer Meares masked Fusion Enrollment 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5077 2012/09/10 12:00:00 2012/09/21 12:00:00 2012/09/21 11:57:10 US 2.16.840.1.113883.3.2375 shsny Samaritan Health System New York Joan Varsics masked Joan D. Varsics 830 Washington Street Watertown, NY 13601 315-785-5748 masked MIS Applications Manager Samaritan Health System 830 Washington Street Watertown, NY 13601 315-785-4000 ashort@shsny.com http://www.samaritanhealth.com Provider Int 3 Complete 2012/09/10 12:00:00 2012/09/21 12:00:00 2012/09/21 12:13:02 UV 2.16.840.1.113883.10.20.28 hqmfTemplatesRoot Health Quality Measures Format Templates Root Gaye Dolin masked Gaye Dolin 9493028082 masked SDWG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 9493028082 bob.dolin@lantanagroup.com HL7 body Ext 10 Complete 2.16.840.1.113883.10.20.28 2012/09/10 12:00:00 2012/09/21 12:00:00 2012/09/21 12:09:51 UV 2.16.840.1.113883.3.2376 wsfpc Western Springs Family Practice Center, Ltd. Laura Dabisch masked Laura Dabisch 5600 S. Wolf Rd., Ste. 140 Western Springs, IL 60558 708-246-7222 masked Practice Administrator Western Springs Family Practice Center, Ltd. 5600 S. Wolf Rd., Ste. 140 Western Springs, IL 60558 708-246-7222 ldabisch@wsfpc.net Provider Int 3 Complete 2012/09/10 12:00:00 2012/09/21 12:00:00 2012/09/21 12:15:22 UV 2.16.840.1.113883.3.2377 familymedicactr Family Medical Center of La Grange Toni Conwell masked Toni Conwell 5201 Willow Springs Rd Suite 300 La Grange, Il. 60525 708-482-8088 masked Practice Manager Family Medical Center of La Grange,LTD 5201 Willow Springs Rd suite 300 La Grange, Il. 60525 708-482-8088 tconwell@fmclg.com Provider Int 3 Complete 2012/09/10 12:00:00 2012/09/21 12:00:00 2012/09/21 12:17:22 UV 2.16.840.1.113883.3.2036.15 sjpihi Family Practice Residents In His Image (IHI) Ahisha Peters masked candice.evans@sjmc.org Ahisha Peters 1923 S Utica Ave Tulsa, OK 74104 918-744-3131 x16737 masked Sr Clinical Analyst Family Practice Residents In His Image (IHI) 1923 S Utica Ave Tulsa, OK 74104 918-744-3131 x16737 azpeters@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2036 Ext 4 4 Complete 2.16.840.1.113883.3.2036.15 2012/09/10 12:00:00 2013/01/07 12:00:00 2013/01/07 03:20:39 UV 2.16.840.1.113883.3.1070.5082 mckesson-fusion-5082 mckesson-fusion-5082 Jennifer Meares masked Fusion Enrollment 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5082 2012/09/10 12:00:00 2012/09/21 12:00:00 2012/09/21 12:35:01 US 2.16.840.1.113883.3.2378 lmmcd Lisa M McDevitt, OD Lisa McDevitt masked Lisa M McDevitt, OD 201 N Kenhorst Blvd Reading, PA 19607 610-796-1300 masked Lisa M McDevitt, OD 201 N Kenhorst Blvd Reading, PA 19607 610-796-1300 zidoc@comcast.net https://www.drmcdevitteyecare.com Provider Int 3 Complete 2012/09/11 12:00:00 2012/09/21 12:00:00 2012/09/21 12:37:54 UV 2.16.840.1.113883.4.578 mima MIMA Brian Merrell masked Phil Slover Phil Slover (321) 725-4500 x7376 masked IT Operations and Development Manager MIMA 1223 Gateway Dr. Melbourne, FL 32901 (321) 725-4500 MIMA.Tech@mima.com http://www.mima.com Provider Int 3 Complete 2012/09/11 12:00:00 2012/09/21 12:00:00 2012/09/21 12:45:02 UV 2.16.840.1.113883.3.2379 ssch South Sunflower County Hospital Benjamin Rosenthal masked Benjamin Rosenthal 121 East Baker Street Indianola, MS 38751 662-207-6121 masked IT Directory South Sunflower County Hospital 121 East Baker Street Indianola, MS 38751 662-887-5235 benjamin@southsunflower.com Provider Int 3 Complete 2012/09/11 12:00:00 2012/09/21 12:00:00 2012/09/21 12:46:41 UV 2.16.840.1.113883.3.2380 wvma West Volusia Medical Associates, P.A. Cheryl Swann masked Cheryl Swann 1070 North Stone Street, Suite A DeLand, FL 32720 386-943-7100 masked Administrator West Volusia Medical Associates,P.A. 1070 North Stone Street Suite A DeLand, FL 32720 386-943-7100 wvma@cfl.rr.com Provider Int 3 Complete 2012/09/11 12:00:00 2012/09/21 12:00:00 2012/09/21 01:04:52 UV 2.16.840.1.113883.3.2381 gynecologicCareJaniceLyon Gynecologic Care w/ Janice Lyon, MD, SC Janice Lyon, MD masked Janice Lyon, MD 621 Plainfield Rd. Suite 107 Willowbrook, IL, 60527 6309865966 masked MD Gynecologic Care w/ Janice Lyon, MD, SC 621 Plainfield Rd Suite 107 Willowbrook, IL, 60527 6309865966 gynelyon@sbcglobal.net http://www.gynelyon.webs.com Provider Int 3 Complete 2012/09/11 12:00:00 2012/09/21 12:00:00 2012/09/21 01:07:46 UV 2.16.840.1.113883.3.2382 ccd-CHH Charlotte Hungerford Hospital Lois Cugno masked Lois Cugno 540 Litchfield Street Torrington, CT 06790 860-496-6793 masked DBA/Interface Analyst Charlotte Hungerford Hospital 540 Litchfield Street Torrington, CT 06790 860-496-6666 ccarlson@hungerford.org http://www.charlottehungerford.org Provider Int 3 Complete 2012/09/11 12:00:00 2012/09/21 12:00:00 2015/03/26 03:16:46 UV 2.16.840.1.113883.3.2383 kneuro Killeen Neurology, P.A. Shamsuddin Khwaja masked Shamsuddin Khwaja M.D. 2105 S. Clear Creek Rd. Killeen, TX. 76549 254-554-3377 masked Owner Killeen Neurology, P.A. 2105 S. Clear Creek Rd. Killeen, TX. 76549 254-554-3377 khwajasmk@hot.rr.com Provider Int 3 Complete 2012/09/11 12:00:00 2012/09/21 12:00:00 2012/09/21 01:13:47 UV 2.16.840.1.113883.3.2384 hhsc Hawaii Health Systems Corporation Alan Ito masked Alan S. Ito 3675 Kilauea Ave. Honolulu, HI 96816 808 733 4035 masked Chief Information Officer Hawaii Health Systems Corporation 3675 Kilauea Ave. Honolulu, HI 96816 aito@hhsc.org http://www.hhsc.org Provider Int 3 Complete 2012/09/11 12:00:00 2012/09/21 12:00:00 2013/03/15 08:38:25 UV 2.16.840.1.113883.3.2385 f-AN Frederic A. Neistadt O.D. Frederic A Neistadt O.D. masked Frederic A. Neistadt O.D. 2200 Hamilton Street Suite 300 Allentown, PA 18104 610 437-0717 masked Owner Frederic A. Neistadt O.D. 2200 Hamilton Street Suite 300 Allentown, PA 18104 610 437-0717 neistadt@concentric.net Provider Int 3 Complete 2012/09/11 12:00:00 2012/09/21 12:00:00 2012/09/21 01:17:35 UV 2.16.840.1.113883.3.2386 pmhc Phelps Memorial Health Center Andrew VanCampen masked Andrew Van Campen 1215 Tibbals Street Holdrege, NE 68949 308-995-3288 masked IT Director Phelps Memorial Health Center 1215 Tibbals Street Holdrege, NE 68949 308-995-2211 agvancampen@phelpsmemorial.com http://www.phelpsmemorial.com Provider Int 3 Complete 2012/09/12 12:00:00 2012/09/21 12:00:00 2012/09/21 01:26:41 UV 2.16.840.1.113883.3.2387 masek Medical Associates of SE KY Charlie Latta masked Charlie Latta 1035 Greenwood Boulevard Lake Mary, FL 32746 407-942-1637 masked Physician Liaison Medical Associates of Southeast Kentucky 515 Memorial Drive, Suite 3 Manchester, KY 40962 606-599-0864 jnccombs@yahoo.com Provider Int 3 Complete 2012/09/12 12:00:00 2012/09/21 12:00:00 2012/09/21 01:28:48 UV 2.16.840.1.113883.3.2388 dsfhc Dayspring Family Health Center Mark Via masked Mark Via 107 South Main Street Jellico, Tennessee 37762 423-784-8492 masked IT Manager Dayspring Family Health Center 107 South Main Street Jellico, Tennessee 37762 423-784-8492 mvia@dayspringfhc.com http://www.dayspringfhc.com Provider Int 3 Complete 2012/09/12 12:00:00 2012/09/21 12:00:00 2012/09/21 01:30:30 UV 2.16.840.1.113883.3.2389 humboldt-park-health Humboldt Park Health Eva McMiller masked Max Mortensen Henry O'Neal 1044 N. Francisco Chicago, IL 60622 773-292-8897 masked IT Manager Humboldt Park Health (fkaNorwegian American Hospital) 1044 N. Francisco Chicago, IL 60622 773-292-8200 honeal@hph.care https://www.hph.care Provider Int 3 Complete 2012/09/12 12:00:00 2012/09/21 12:00:00 2025/02/27 03:54:25 UV 2.16.840.1.113883.3.2390 falconCDA DaVitaFalconOID Doug Minnix masked Richard Caudle Doug Minnix 5145 Briarwood Drive Macungie, PA 18062 4842399717 masked HL7 Interface Analyst DaVita/Falcon 6107226430 doug.minnix@davita.com http://falcon.davita.com Provider Int 3 Complete 2012/09/12 12:00:00 2012/09/21 12:00:00 2012/09/21 01:40:39 UV 2.16.840.1.113883.4.579 jML Jeffrey M Lewis Jeff Lewis masked Jeff Lewis 1504 Renton Road Pittsburgh, PA 15239 4123159596 masked Jeff Lewis 1504 Renton Road Pittsburgh, PA 15239 4123159596 product@thehumanoul.com Prof Soc Int 3 3 Complete 2012/09/12 12:00:00 2012/09/21 12:00:00 2012/09/21 01:47:10 UV 2.16.840.1.113883.3.2391 uhc University of Utah Health Care Han Le masked Han Le 585 Komas Drive, Salt Lake City, UT 84108 (801) 587-6196 masked University of Utah Health Care 50 North Medical Drive Salt Lake City, Utah 84132 (801) 581-2121 hscwebmaster@hsc.utah.edu Academic Int 3 3 Complete 2012/09/13 12:00:00 2012/09/21 12:00:00 2012/09/21 01:49:10 UV 2.16.840.1.113883.3.2392 eec Eagan Eye Clinic, LLP Benjamin Stout masked Benjamin Stout 3930 Cedar Grove Pkwy Eagan, MN 55122 651-454-5661 masked Owner Eagan Eye Clinic, LLP 3930 Cedar Grove Pkwy Eagan, MN 55122 651-454-5661 kris@eaganeye.com http://www.eaganeye.com Provider Int 3 Complete 2012/09/13 12:00:00 2012/09/21 12:00:00 2012/09/21 01:54:53 UV 2.16.840.1.113883.3.1070.5085 mckesson-fusion-5085 mckesson-fusion-5085 Randy Deitsch masked Randy Deitsch 8775074541 masked Fusion Enrollment randy.deitsch@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5085 2012/09/13 12:00:00 2012/09/21 12:00:00 2012/09/21 01:57:40 US 2.16.840.1.113883.3.2393 agcp AGCP Charlie Latta masked Charlie Latta AHS-IS 1035 Greenwood Blvd, #301 Lake Mary, FL 32746 407-942-1637 masked Physician Liaison All God's Children Pediatrics AGC Pediatrics 204 Professional Court Calhoun, GA 30701 706-625-5900 rhondajordan@bellsouth.net Provider Int 3 Complete 2012/09/14 12:00:00 2012/09/21 12:00:00 2012/09/21 02:02:19 UV 2.16.840.1.113883.3.2394 pfp Preston Family Practice Charlie Latta masked Charlie Latta AHS-IS 1035 Greenwood Blvd., #301 Lake Mary, FL 32746 407-942-1637 masked Physician Liaison Rebecca Preston, MD Preston Family Practice 4479 Central Avenue Western Springs, IL 60558 708-784-9000 prestonfamilypractice@yahoo.com Provider Int 3 Complete 2012/09/14 12:00:00 2012/09/21 12:00:00 2012/09/21 02:21:09 UV 2.16.840.1.113883.3.2395 hh Hinsdale Hematology Charlie Latta masked Charlie Latta AHS-IS 1035 Greenwood Blvd, Suite 301 Lake Mary, FL 32746 407-942-1637 masked Physician Liaison Hinsdale Hematology Hinsdale Hematology 908 North Elm Street, Suite 210 Hinsdale, IL 60521 630-654-1790 jimg@hhoaltd.com Provider Int 3 Complete 2012/09/14 12:00:00 2012/09/21 12:00:00 2012/09/21 02:23:22 UV 2.16.840.1.113883.3.2396 fanda Flach & Associates Charlie Latta masked Charlie Latta AHS-IS 1035 Greenwood Blvd, #301 Lake Mary, FL 32746 407-942-1637 masked Physician Liaison Flach & Associates Flach & Associates 512 Hillgrove Avenue Western Springs, IL 60558 708-246-4376 sheilac111@aol.com Provider Int 3 Complete 2012/09/14 12:00:00 2012/09/21 12:00:00 2012/09/21 02:25:38 UV 2.16.840.1.113883.3.1070.5081 mckesson-fusion-5081 mckesson-fusion-5081 Randy Deitsch masked Randy Deitsch 8775074541 masked Fusion Enrollment randy.deitsch@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5081 2012/09/14 12:00:00 2012/09/21 12:00:00 2012/09/21 02:30:06 US 2.16.840.1.113883.3.2397 nsmc North Sunflower Medical Center Roger Gross masked Roger Goss (662) 756-1601 masked IT Director Roger Goss 840 N. Oak Ave Ruleville, MS38771 (662) 756-1601 roger.goss@northsunflower.com Exchange Int 3 Complete 2012/09/15 12:00:00 2012/09/21 12:00:00 2012/09/21 02:34:07 UV 2.16.840.1.113883.3.2398 bcmed bradleycountymedical Jeremy Vinson masked Jeremy 404 South Bradley Warren, AR 71671 870-226-4354 masked IT System Administrator Bradley County Medical Center 404 South Bradley Warren, AR 71671 870-226-4100 ceo@bcmed.org http://www.bradleycountymedicalcenter.com Provider Int 3 Complete 2012/09/17 12:00:00 2012/09/21 12:00:00 2012/09/21 02:35:52 UV 2.16.840.1.113883.3.2399 mec Mack Eye Care PA Cindy Mack masked Cindy Mack Mack Eye Care PA 88 South Blanding Boulevard Orange Park, Florida 32073 904-272-9433 masked Optometrist Mack Eye Care PA Mack Eye Care PA 88 South Blanding Boulevard Orange Park, Florida 32073 904-272-9433 CIndymackod@yahoo.com Provider Int 3 Complete 2012/09/17 12:00:00 2012/09/21 12:00:00 2012/09/21 02:39:14 UV 2.16.840.1.113883.3.2400 fdoh Florida Department of Health Jaipurn Rao masked Jaipurn Rao 2585 Merchant Row Blvd, Tallahassee, FL 32399 850-245-4444 x *2079 masked Florida Department Of Health 2585 Merchant Row Blvd, Tallahassee, FL 32399 8502454444 jaipurn_rao@doh.state.fl.us Govt body Int 3 Complete 2012/09/17 12:00:00 2012/09/21 12:00:00 2012/09/21 02:41:11 UV 2.16.840.1.113883.3.2401 sc-ADT Sansum Clinic ADT Root for Patient Information Sean Johnson masked Sean A Johnson 89 S Patterson Santa Barbara, CA 93111 805-692-6412 masked EHR Director Sansum Clinic 470 S PATTERSON AVE SANTA BARBARA, CA 93111 8056926142 sjohnson@sansumclinic.org http://sansumclinic.org Provider Int 3 Complete 2012/09/17 12:00:00 2012/09/21 12:00:00 2012/09/21 02:42:30 UV 2.16.840.1.113883.3.2402 physicians-computer-company Physician's Computer Company (PCC) Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor Int 3 Complete 2012/09/17 12:00:00 2012/09/21 12:00:00 2012/09/21 02:48:24 UV 2.16.840.1.113883.3.2403 cHCBC ProMedica Coldwater Regional Hospital Joel Lederman masked Mike Sunderland 274 E. Chicago St. Coldwater,MI 49036 517-279-5345 masked Director of IT ProMedica Coldwater Regional Hospital 274 E. Chicago St Coldwater, MI 49036 517-279-5400 Mike.Sunderland@promedica.org https://www.promedica.org/coldwater-regional-hospital/pages/default.aspx Provider Int 3 Complete 2012/09/17 12:00:00 2012/09/21 12:00:00 2019/04/08 11:50:36 UV 2.16.840.1.113883.3.2404 exitcare ExitCare Tygh Walker masked Jim Rouse Jim Rouse 8519 Eagle Point Blvd. Suite 105 Lake Elmo, MN 55042 651-379-0586 masked Manager, Software Development ExitCare, LLC 8519 Eagle Point Blvd. Suite 105 Lake Elmo, MN 55042 651-379-0586 jimr@exitcare.com http://www.exitcare.com/ Vendor Int 3 Complete 2012/09/17 12:00:00 2012/09/21 12:00:00 2012/09/21 02:53:56 UV 2.16.840.1.113883.3.1070.5083 mckesson-fusion-5083 mckesson-fusion-5083 Randy Deitsch masked Randy Deitsch 8775074541 masked Fusion Enrollment randy.deitsch@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5083 2012/09/18 12:00:00 2012/09/21 12:00:00 2012/09/21 03:00:45 US 2.16.840.1.113883.3.2405 sophie SETHS-Operated Provider Health Information Exchange (SOPHIE) Ginna Yost masked Ginna Yost 47 Cedar Glen Blairsville, GA 30512 706-897-5797 masked Project Manager Southeast Texas Health System (SETHS) 231 S Market Street # 200 Goliad, TX77963 361-645-1762 scalhoun.sths@att.net Exchange Int 3 Complete 2012/09/18 12:00:00 2012/10/10 12:00:00 2012/10/10 11:33:59 UV 2.16.840.1.113883.3.2406 lcgh Lewis County General Hospital Robert Uttendorfsky masked Robert Uttendorfsky 7785 North State St. Lowville, NY 13367 315-376-5784 masked Director of Information Systems Lewis County General Hospital 7785 North State St. 315-376-5200 is@lcgh.net http://www.lcgh.net Provider Int 3 Complete 2012/09/18 12:00:00 2012/10/10 12:00:00 2012/10/10 11:36:35 UV 2.16.840.1.113883.3.2407 myhealth MyHealth Access Network Joe Walker masked ryan.campbell@myhealthaccess.net Joe Walker P.O. Box 56 Tulsa, OK 74101 9182363437 masked SVP Tech Services MyHealth Access Network MyHealth Access Network, Inc. P.O. Box 56 Tulsa, OK 74101 9182363434 myhealth@myhealthaccess.net https://myhealthaccess.net Exchange Int 3 3 Complete 2012/09/18 12:00:00 2012/10/10 12:00:00 2024/11/12 05:41:29 UV 2.16.840.1.113883.3.2408 childrenscenter The Children's Center / Bethany, Oklahoma US Lori Boyd masked Romeo Bryant Melissa Dobbs Bethany Children's Health Center 6800 Northwest 39th Expressway Bethany, OK 73008 (405) 789-6711 (405) 789-6711 masked Clinical Informatics Specialist Bethany Children's Health Center 6800 Northwest 39th Expressway Bethany, OK 73008 (405) 789-6711 cisupport@bethanychildrens.org https://www.bethanychildrens.org/ Provider Int 3 Complete 2012/09/19 12:00:00 2012/10/10 12:00:00 2024/03/07 09:54:49 UV 2.16.840.1.113883.3.1070.5084 mckesson-fusion-5084 mckesson-fusion-5084 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5084 2012/09/19 12:00:00 2012/10/10 12:00:00 2012/10/10 11:47:56 US 2.16.840.1.113883.3.2409 dma Dr Deluca Dr Marciano & Associates PC Anthony Marciano masked Thomas DeLuca Anthony Marciano 67 Waterbury Rd P.O. Box 7015 Prospect, CT 06712 203-758-4447 masked Optometrist Thomas DeLuca 67 Waterbury Rd P.O. Box 7015 Prospect, CT 06712 203-758-4447 drdelucadrmarciano@hotmail.com http://www.eyedoctorct.com Provider Int 3 Complete 2012/09/19 12:00:00 2012/10/10 12:00:00 2012/10/10 11:54:32 UV 2.16.840.1.113883.3.2410 shaw Shaw Eye Care Associates, LLC Steven Shaw masked Steven Shaw 2701 SW College Rd Ste 105 Ocala, FL 34474 352-512-0560 masked Owner / Optometrist Shaw Eye Care Associates, LLC 2701 SW College Rd Ste 105 Ocala, FL 34474 352-512-0560 info@shaweyecare.com http://www.shaweyecare.com Provider Int 3 Complete 2012/09/19 12:00:00 2012/10/10 12:00:00 2012/10/10 12:13:06 UV 2.16.840.1.113883.3.2411 gec Dr. David Gilbert & Associates, OD, PC David Gilbert masked Karen Kriner Dr. David M. Gilbert, O.D. 1547 Laskin Rd Virginia Beach, VA 23451 757-425-0200 masked President Dr. David Gilbert & Associates, OD, PC 1547 Laskin Rd Virginia Beach, VA 23451 757-425-0200 drdavidgilbert@gilberteyecare.com http://gilberteyecare.com/ Provider Int 3 Complete 2012/09/19 12:00:00 2012/10/10 12:00:00 2012/10/10 12:28:01 UV 2.16.840.1.113883.3.2412 hMCS HarrisburgMCSS Andy Bagwell masked Andy Bagwell 100 Dr. Warren Tuttle Drive Harrisburg, IL 62946 6182530285 masked Database Administrator Harrisburg Medical Center 100 Dr. Warren Tuttle Drive Harrisburg, IL 62946 6182537671 rpyle@harrisburgmc.com http://harrisburgmedicalcenter.com/ Provider Int 3 Complete 2012/09/19 12:00:00 2012/10/10 12:00:00 2012/10/10 12:42:32 UV 2.16.840.1.113883.3.2413 brm50314 Broadlawns Medical Center Kyle Hansen masked Kyle Hansen 1801 Hickman Road Des Moines, IA 50314 5152822586 masked Director of Information Technology Broadlawns Medical Center 5152822200 khansen@broadlawns.org http://www.broadlawns.org/ Provider Int 3 Complete 2012/09/19 12:00:00 2012/10/10 12:00:00 2014/02/18 04:40:11 UV 2.16.840.1.113883.3.2414 pjpenalo Pedro J. Penalo, M.D.,P.A. CCD Pedro Joel Penalo masked Letty De La Fuente Pedro J. Penalo 906 S. Bridge Ave. Weslaco, Texas 78596 956-447-8600 masked Physician/owner Pedro J. Penalo, M.D.,P.A. 906 S. Bridge Ave. Weslaco, Texas 78596 956-447-8600 weslacomd@gmail.com Provider Int 3 Complete 2012/09/19 12:00:00 2012/10/10 12:00:00 2012/10/10 02:04:24 UV 2.16.840.1.113883.17.103 mhmghie MHMG Health Information Exchange Connection Rafael Barranco masked Rupam Das Rupam Das 317 East 34th Street. New York, NY,10016. 212-726-7443 masked IT Director Murray Hill Medical Group 317 East 34th Street. New York, NY,10016. 212-726-7443 itssupport@mhmg.net http://www.mhmg.net HL7 body Int 17 Complete 2012/09/19 12:00:00 2012/10/10 12:00:00 2012/10/10 02:09:42 UV 2.16.840.1.113883.3.2415 cppa Cardiology Physicians, PA Charlie Latta masked Jenifer Baker Jenifer Baker Cardiology Physicians, PA 305 Memorial Medical Parkway Suite 301 Daytona Beach, FL 32117 386-677-5351 masked Practice Administrator Cardiology Physicians, PA 305 Memorial Medical Parkway Suite 301 Daytona Beach, FL 32117 386-677-5351 jbaker@volusiaheart.com Provider Int 3 Complete 2012/09/20 12:00:00 2012/10/10 12:00:00 2012/10/10 02:12:22 UV 2.16.840.1.113883.3.2416 vpmd Vinayak Purandare, MD, PL Charlie Latta masked Debbie Colban Debbie Colban Vinayak Purandare, MD, PL 305 Memorial Medical Parkway Suite 507 Daytona Beach, FL 32117 386-672-8595 masked Practice Administrator Debbie Colban Vinayak Purandare, MD, PL 305 Memorial Medical Parkway Suite 507 Daytona Beach, FL 32117 386-672-8595 debcolban@yahoo.com Provider Int 3 Complete 2012/09/20 12:00:00 2012/10/10 12:00:00 2012/10/10 02:13:43 UV 2.16.840.1.113883.3.2417 gwfp Glick & Walker Family Practice Charlie Latta masked Jill Jirsa Jill Jirsa Glick & Walker Family Practice 4475 Lawn Avenue Western Springs, Illinois 60558 708-246-2500 masked Practice Administrator Jill Jirsa Glick & Walker Family Practice 4475 Lawn Avenue Western Springs, Illinois 60558 708-246-2500 gwfamilypractice@sbcglobal.net Provider Int 3 Complete 2012/09/20 12:00:00 2012/10/10 12:00:00 2012/10/10 02:16:28 UV 2.16.840.1.113883.3.2418 ffp Findley Family Practice - Sharon L White-Findley, DO Charlie Latta masked Andrew Findley Andrew Findley Findley Family Practice Sharon L White-Findley, DO 39 East Atwater Avenue Eustis, Florida 32726 352-483-0900 masked Practice Business Manager Andrew Findley Findley Family Practice Sharon L White-Findley, DO 39 East Atwater Avenue Eustis, Florida 32726 352-483-0900 afindleylakelaw@yahoo.com Provider Int 3 Complete 2012/09/20 12:00:00 2012/10/10 12:00:00 2012/10/10 02:17:52 UV 2.16.840.1.113883.3.2419 dmgmd Daniel McGrane, MD Charlie Latta masked Holly Hillen Holly Hillen Daniel McGrane, MD 6725 Cedar Ridge Drive Suite 4 Zephyrhills, Florida 33542 813.788.7662 masked Office Manager Holly Hillen Daniel McGrane, MD 6725 Cedar Ridge Drive Suite 4 Zephyrhills, Florida 33542 813.788.7662 holly.h@verizon.net Provider Int 3 Complete 2012/09/20 12:00:00 2012/10/10 12:00:00 2012/10/10 02:19:16 UV 2.16.840.1.113883.3.2420 pca Primary Care Associates Charlie Latta masked Kathleen Shanahan Kathleen Shanahan Primary Care Associates 6840 Windsor Avenue Berwyn, Illinois 60402 708-484-0042 masked Practice Administrator Kathleen Shanahan Primary Care Associates 6840 Windsor Avenue Berwyn, Illinois 60402 708-484-0042 kshanahan@pricare.org Provider Int 3 Complete 2012/09/20 12:00:00 2012/10/10 12:00:00 2012/10/10 02:20:40 UV 2.16.840.1.113883.3.2421 mwph-ccd MWPH Continued Care Document Heather Dewan masked tbrady@mwph.org Heather Dewan 1708. W. Rogers Ave. Baltimore, MD 21209 410-578-2665 masked Applications Manager Mt. Washington Pediatric Hospital 1708. W. Rogers Ave. Baltimore, MD 21209 410-578-8600 hdewan@mwph.org https://www.mwph.org Provider Int 3 3 Complete 2012/09/20 12:00:00 2012/10/10 12:00:00 2012/10/10 02:35:25 MWPH.CCD UV 2.16.840.1.113883.3.2422 rjdOD1 REGINA J ELKINS OD LLC REGINA ELKINS masked REGINA J ELKINS OD 205 1/2 EAST PUBLIC SQUARE CENTERVILLE, TN 37033 931-729-2190 masked DOCTOR REGINA J ELKINS OD LLC 205 1/2 EAST PUBLIC SQUARE CENTERVILLE, TN 37033 931-729-2190 ELKINSOD@GMAIL.COM Provider Int 3 Complete 2012/09/20 12:00:00 2012/10/10 12:00:00 2012/10/10 02:38:07 UV 2.16.840.1.113883.3.2423 ehp Excellus BlueCross BlueShield Robert Wendler masked Robert Wendler 165 Court St Rochester NY 14647 585.339.7612 masked Director, Client Consulting Excellus BCBS 165 Court St Rochester NY 14647 585.339.7612 robert.wendler@excellus.com https://www.excellusbcbs.com/wps/portal/xl Payor Int 3 Complete 2012/09/21 12:00:00 2012/10/10 12:00:00 2012/10/10 02:40:04 UV 2.16.840.1.113883.3.1871.3.115 sapodt SAPO Internal Medicine Downtown Rodney Rice Jr masked Rodney Rice Jr 314 951 5631 masked Interface Analyst SSMHC 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.115 2012/09/21 12:00:00 2012/10/10 12:00:00 2012/10/10 02:47:17 UV 2.16.840.1.113883.3.1871.3.117 sapoop SAPO Oncology Physicians Rodney Rice Jr masked Rodney Rice Jr 314 951 5631 masked Interface Analyst SSMHC 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.117 2012/09/21 12:00:00 2012/10/10 12:00:00 2012/10/10 02:50:40 UV 2.16.840.1.113883.3.1871.3.133 sapogs SAPO General Surgery Rodney Rice Jr masked Rodney Rice Jr 314 951 5631 masked Interface Analyst SSMHC 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.133 2012/09/21 12:00:00 2012/10/10 12:00:00 2012/10/10 03:48:44 UV 2.16.840.1.113883.3.1871.3.187 sapodn SAPO Dermatology North Rodney Rice Jr masked Rodney Rice Jr 314 951 5631 masked Interface Analyst SSMHC 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.187 2012/09/21 12:00:00 2012/10/10 12:00:00 2012/10/10 03:51:30 UV 2.16.840.1.113883.3.1871.3.191 sapopma SAPO Physical Medicine Association Rodney Rice Jr masked Rodney Rice Jr 314 951 5631 masked Interface Analyst SSMHC 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.191 2012/09/21 12:00:00 2012/10/10 12:00:00 2012/10/10 03:54:17 UV 2.16.840.1.113883.3.1871.3.961 afffc AFSFN Fairview Family Clinic Rodney Rice Jr masked Rodney Rice Jr 314 951 5631 masked Interface Analyst SSMHC 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.961 2012/09/21 12:00:00 2012/10/10 12:00:00 2012/10/10 03:58:21 UV 2.16.840.1.113883.3.1871.3.971 afomc AFSFN Okeene Medical Clinic Rodney Rice Jr masked Rodney Rice Jr 314 951 5631 masked Interface Analyst SSMHC 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.971 2012/09/21 12:00:00 2012/10/10 12:00:00 2012/10/10 04:00:48 UV 2.16.840.1.113883.3.1871.3.972 afcmc AFSFN Canton Medical Clinic Rodney Rice Jr masked Rodney Rice Jr 314 951 5631 masked Interface Analyst SSMHC 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.972 2012/09/21 12:00:00 2012/10/10 12:00:00 2012/10/10 04:02:46 UV 2.16.840.1.113883.3.2036.11 colonrectalsurgery SJP Greater Tulsa Colon/Rectal Surgery Ahisha Peters masked Ahisha.Peters@sjmc.org Ahisha Peters 1923 S. Utica Ave Tulsa, OK 74104 9187443131 x16737 masked Ahisha.Peters@sjmc.org SJP Greater Tulsa Colon/Rectal Surgery 1705 E 19th St, #502 Tulsa, OK 74104 918-748-7800 Ahisha.Peters@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2036 Ext 3 3 Complete 2.16.840.1.113883.3.2036.11 2012/09/21 12:00:00 2012/10/10 12:00:00 2012/10/10 04:35:04 UV 2.16.840.1.113883.3.2036.12 sjpcolonrectalba SJP Greater Tulsa Colon/Rectal Surgery BA Ahisha Peters masked kary.cummins@sjmc.org Ahisha Peters 1923 S. Utica Ave Tulsa, OK 74104 918-744-3131 x16737 masked Ahisha.Peters@sjmc.org SJP Greater Tulsa Colon/Rectal Surgery BA 800 W. Boise Circle, Suite 270 Broken Arrow, OK 74012 918-748-7800 Ahisha.Peters@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2036 Ext 3 3 Complete 2.16.840.1.113883.3.2036.12 2012/09/21 12:00:00 2012/10/10 12:00:00 2012/10/10 04:36:46 UV 2.16.840.1.113883.3.2036.13 sjpendo SJP Endocrinology Ahisha Peters masked kary.cummins@sjmc.org Ahisha Peters 1923 S. Utica Ave Tulsa, OK 74104 918-744-3131 x16737 masked Clinical Analyst SJP Endocrinology 1725 E 19th St, Suite 500 Tulsa, OK 74104 918-748-7560 Ahisha.Peters@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2036 Ext 3 3 Complete 2.16.840.1.113883.3.2036.13 2012/09/21 12:00:00 2012/10/10 12:00:00 2012/10/10 04:38:19 UV 2.16.840.1.113883.3.2036.16 sjpgastro SJP Gastroenterology Ahisha Peters masked kary.cummins@sjmc.org Ahisha Peters 1923 S. Utica Ave Tulsa, OK 74104 918-744-3131 x16737 masked Clinical Analyst SJP Gastroenterology 1725 E 19th St, Ste 600 Tulsa, OK 74104 918-748-1330 Ahisha.Peters@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2036 Ext 3 3 Complete 2.16.840.1.113883.3.2036.16 2012/09/21 12:00:00 2012/10/10 12:00:00 2012/10/10 04:42:22 UV 2.16.840.1.113883.3.2036.17 sjpgastro2 SJP Gastroenterology II Ahisha Peters masked kary.cummins@sjmc.org Ahisha Peters 1923 S. Utica Ave Tulsa, OK 74104 918-744-3131 x16737 masked Clinical Analyst SJP Gastroenterology II 1725 E 19th St, Ste 600 Tulsa, OK 74104 918-748-1330 Ahisha.Peters@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2036 Ext 3 3 Complete 2.16.840.1.113883.3.2036.17 2012/09/21 12:00:00 2012/10/10 12:00:00 2012/10/10 04:49:07 UV 2.16.840.1.113883.3.2424 gshcs Good Shepherd Health Care System Rob Rizk masked Nell Roberts Rob Rizk 610 NW 11th Street Hermiston, OR 97838 541 667-3559 masked Director, Information Technology Good Shepherd Health Care System 610 NW 11th Street Hermiston, OR 97838 541 667-3567 nrober@gshealth.org http://www.gshealth.org Provider Int 3 Complete 2012/09/21 12:00:00 2012/10/10 12:00:00 2012/10/10 04:51:44 UV 2.16.840.1.113883.3.2425 cfahc Center For Adult Health Care, SC Charlie Latta masked Anita Kohli Anita Kohli Center For Adult Health Care, SC 303 East Army Trail Road Suite 131 Bloomingdale, Illinois 60108 630-893-0347 masked Practice Administrator Anita Kohli Center For Adult Health Care, SC 303 East Army Trail Road Suite 131 Bloomingdale, Illinois 60108 630-893-0347 chicagointernist@hotmail.com Provider Int 3 Complete 2012/09/23 12:00:00 2012/10/10 12:00:00 2012/10/10 05:00:01 UV 2.16.840.1.113883.3.2426 mkmd Maninder Kohli, MD Charlie Latta masked Tavleen Kohli Tavleen Kohli Maninder Kohli, MD 950 North York Road Suite 205 Hinsdale, Illinois 60521 630-590-5751 masked Practice Administrator Tavleen Kohli Maninder Kohli, MD 950 North York Road Suite 205 Hinsdale, Illinois 60521 630-590-5751 tavleen.kohli@gmail.com Provider Int 3 Complete 2012/09/23 12:00:00 2012/10/10 12:00:00 2012/10/10 05:01:11 UV 2.16.840.1.113883.3.2427 dim DuPage Internal Medicine, LLC Charlie Latta masked Violet Hernandez Violet Hernandez DuPage Internal Medicine, LLC 534 West Chestnut Street Suite 210 Hinsdale, Illinois 60521 630-320-3880 masked Practice Administrator Violet Hernandez DuPage Internal Medicine, LLC 534 West Chestnut Street Suite 210 Hinsdale, Illinois 60521 630-320-3880 dupagemedicine@sbcglobal.net Provider Int 3 Complete 2012/09/23 12:00:00 2012/10/10 12:00:00 2012/10/10 05:09:27 UV 2.16.840.1.113883.3.2428 wfp Willowbrook Family Practice Charlie Latta masked Carol Schraub Carol Schraub Willowbrook Family Practice 6900 South Madison Street Suite 101 Willowbrook, Illinois 60527 630-986-1177 masked Practice Administrator Willowbrook Family Practice 6900 South Madison Street Suite 101 Willowbrook, Illinois 60527 630-986-1177 drutaparia@sbcglobal.net Provider Int 3 Complete 2012/09/23 12:00:00 2012/10/10 12:00:00 2012/10/10 05:11:41 UV 2.16.840.1.113883.3.2429 hpa Hinsdale Pediatric Associates, SC Charlie Latta masked Lois Molinari Lois Molinari Hinsdale Pediatric Associates, SC 911 North Elm Street Suite 215 Hinsdale, Illinois 60521 630-323-0890 masked Practice Administrator Hinsdale Pediatric Associates, SC 911 North Elm Street Suite 215 Hinsdale, Illinois 60521 630-323-0890 hinsdale115@ameritech.net Provider Int 3 Complete 2012/09/23 12:00:00 2012/10/10 12:00:00 2012/10/10 06:49:33 UV 2.16.840.1.113883.3.2430 lhllc LifeMine Health, LLC Charlie Latta masked Regina DeLorenzo Regina DeLorenzo LifeMine Health, LLC 6847 Kingery Highway Willowbrook, Illinois 60527 630-655-9555 masked Practice Administrator LifeMine Health, LLC 6847 Kingery Highway Willowbrook, Illinois 60527 630-655-9555 delorenzo_fmly@sbcglobal.net Provider Int 3 Complete 2012/09/23 12:00:00 2012/10/10 12:00:00 2012/10/10 06:51:11 UV 2.16.840.1.113883.3.2431 mbmd Miguel Beltre, MD, Sun N Lake Medical Group Charlie Latta masked Carolina Dones Carolina Dones Miguel Beltre, MD Sun N Lake Medical Group 4958 Sun N Lake Boulevard Suite A Sebring, Florida 33872 863-385-8004 masked Practice Administrator Miguel Beltre, MD Sun N Lake Medical Group 4958 Sun N Lake Boulevard Suite A Sebring, Florida 33872 863-385-8004 sunnlakemed2@embarqmail.com Provider Int 3 Complete 2012/09/23 12:00:00 2012/10/10 12:00:00 2012/10/10 06:53:54 UV 2.16.840.1.113883.3.2432 spasa Suburban Pulmonary & Sleep Associates, LTD Charlie Latta masked Stephanie Edrington Stephanie Edrington Suburban Pulmonary & Sleep Associates, LTD 700 East Ogden Avenue Suite 202 Westmont, Illinois 60559 630-789-9785 masked Practice Administrator Suburban Pulmonary & Sleep Associates, LTD 700 East Ogden Avenue Suite 202 Westmont, Illinois 60559 630-789-9785 sedrington@spasamed.com Provider Int 3 Complete 2012/09/23 12:00:00 2012/10/10 12:00:00 2012/10/10 06:57:28 UV 2.16.840.1.113883.3.2433 ho Hinsdale Orthopaedics Charlie Latta masked Anna Kanarek Anna Kanarek Hinsdale Orthopaedics 550 West Ogden Avenue Hinsdale, Illinois 60521 630-323-6116 masked Practice Administrator Hinsdale Orthopaedics 550 West Ogden Avenue Hinsdale, Illinois 60521 630-323-6116 anna.kanarek@hoasc.com Provider Int 3 Complete 2012/09/23 12:00:00 2012/10/10 12:00:00 2012/10/10 06:58:39 UV 2.16.840.1.113883.3.2434 lgp LaGrange Pediatrics Charlie Latta masked David Kaczor, MD David Kaczor, MD LaGrange Pediatrics 4727 Willow Springs Road LaGrange, Illinois 60525 708-588-0088 masked Lead Physician LaGrange Pediatrics 4727 Willow Springs Road LaGrange, Illinois 60525 708-588-0088 dkaczor@lagrangepeds.com Provider Int 3 Complete 2012/09/23 12:00:00 2012/10/10 12:00:00 2012/10/10 07:00:25 UV 2.16.840.1.113883.3.2435 bvc Charles D Register, OD PA Charles Register masked Charles D Register, OD 3038 S Peninsula Dr Daytona Beach, Fl 32118 386-566-9714 masked President Charles D Register, OD PA 1928 State Road 44 New Smyrna Beach, FL 32128 386-423-7788 Beachvision@gmail.com http://www.beachvision.net Provider Int 3 Complete 2012/09/23 12:00:00 2012/10/10 12:00:00 2012/10/10 07:02:29 UV 2.16.840.1.113883.3.2436 eloeyes Eloquent Eyes, LLC Brigid Ogden masked Dr. Brigid Ogden 15495 Tamiami Trail N. Ste 124 Naples, FL 34110 2395964336 masked Managing Member Eloquent Eyes, LLC 15495 Tamiami Trail N. Ste 124 Naples, FL 34110 2395964336 drogden@comcast.net Provider Int 3 Complete 2012/09/23 12:00:00 2012/10/10 12:00:00 2012/10/10 07:03:40 UV 2.16.840.1.113883.3.2437 tcu Tri-County Urology Charlie Latta masked Gus Freiha, MD Gus Freiha, MD Tri-County Urology 2002 Medical Parkway, Suite C San Marcos, Texas 78666 512-396-5177 masked Lead Physician Tri-County Urology 2002 Medical Parkway, Suite C San Marcos, Texas 78666 512-396-5177 gfreiha@gvtc.com Provider Int 3 Complete 2012/09/24 12:00:00 2012/10/10 12:00:00 2012/10/10 07:04:35 UV 2.16.840.1.113883.3.2438 wmsw WellMed At Springtown Way Charlie Latta masked Cookie Baggett Cookie Baggett WellMed At Springtown Way 200 Springtown Way Suite 451 San Marcos, Texas 78666 512-393-3325 masked Practice Administrator WellMed At Springtown Way 200 Springtown Way Suite 451 San Marcos, Texas 78666 512-393-3325 bbaggett@wellmed.net Provider Int 3 Complete 2012/09/24 12:00:00 2012/10/10 12:00:00 2012/10/10 07:06:26 UV 2.16.840.1.113883.3.2439 dda Digestive Disease Associates, LTD Charlie Latta masked Jean Tomazin Jean Tomazin Digestive Disease Associates, LTD 950 North York Road Suite 101 Hinsdale, Illinois 60521 630-325-4255 masked Practice Administrator Digestive Disease Associates, LTD 950 North York Road Suite 101 Hinsdale, Illinois 60521 630-325-4255 jtomazin@sbcglobal.net Provider Int 3 Complete 2012/09/24 12:00:00 2012/10/10 12:00:00 2012/10/10 07:09:46 UV 2.16.840.1.113883.3.2440 iEyecare IRIS EYECARE SERVICES, PLLC IRIS FLORES masked Iris L. Flores, O.D. 3363 Shawnee Drive, Suite 1A,Winchester, VA 22602 540-722-6346 masked Optometrist Iris L. Flores, O.D. 3363 Shawnee Drive, Suite 1A Winchester, VA 22602 540-722-6346 ilfod1982@gmail.com Provider Int 3 Complete 2012/09/24 12:00:00 2012/10/10 12:00:00 2012/10/10 07:15:19 UV 2.16.840.1.113883.3.2441 smfm San Marcos Family Medicine Charlie Latta masked Fancy Green Fancy Green San Marcos Family Medicine 2406 Hunter Road Suite 106 San Marcos, Texas 78666 512-396-7686 masked Practice Administrator San Marcos Family Medicine 2406 Hunter Road Suite 106 San Marcos, Texas 78666 512-396-7686 fancyg@smfm.net Provider Int 3 Complete 2012/09/24 12:00:00 2012/10/10 12:00:00 2012/10/10 07:17:07 UV 2.16.840.1.113883.3.2442 aac Asthma & Allergy Center Charlie Latta masked Shari Sharon Shari Sharon Asthma & Allergy Center 303 East Army Trail Road Suite 403 Bloomingdale, Illinois 60108 630-894-7083 masked Practice Administrator Asthma & Allergy Center 303 East Army Trail Road Suite 403 Bloomingdale, Illinois 60108 630-894-7083 ssharon95@aol.com Provider Int 3 Complete 2012/09/24 12:00:00 2012/10/10 12:00:00 2012/10/10 07:19:10 UV 2.16.840.1.113883.3.2443 pi Premier Internists Charlie Latta masked Cicily Jones, MD Cicily Jones, MD Premier Internists 620 North River Road Suite 102 Naperville, Illinois 60563 630-355-4755 masked Principle Physician Premier Internists 620 North River Road Suite 102 Naperville, Illinois 60563 630-355-4755 premierinternists2009@yahoo.com Provider Int 3 Complete 2012/09/24 12:00:00 2012/10/10 12:00:00 2012/10/10 07:21:32 UV 2.16.840.1.113883.3.2444 nanii Nephrology Associates of Northern Illinois & Indiana Charlie Latta masked James Dobbs James Dobbs Nephrology Associates of Northern Illinois & Indiana 855 Madison Street Oak Park, Illinois 60302 708-386-1000 masked Practice Administrator Nephrology Associates of Northern Illinois & Indiana 855 Madison Street Oak Park, Illinois 60302 708-386-1000 jdobbs@nephdocs.com Provider Int 3 Complete 2012/09/24 12:00:00 2012/10/10 12:00:00 2012/10/10 07:23:37 UV 2.16.840.1.113883.3.2445 wilson Ilya's Optical, Inc David Dewaard masked David DeWaard 1056 W Wilson Ave Chicago, IL 60640 773 271-5774 masked Doctor Ilya's Optical, Inc 1056 W Wilson Ave Chicago, IL 60640 773 271-5774 dorjanski@hotmail.com Provider Int 3 Complete 2012/09/24 12:00:00 2012/10/10 12:00:00 2012/10/10 07:27:38 UV 2.16.840.1.113883.3.2446 dominios Dom&#237;nios registrados Renato Trivelato masked Renato Trivelato Rua Joaquim Monteiro, 64 - Hava&#237; Belo Horizonte - MG - Brasil CEP 30570-240 +55 31 xx 85252661 masked Renato Trivelato 553185252661 renato.trivelato@trivelato.com http://www.trivelato.com Academic Int 3 Complete 2012/09/24 12:00:00 2012/10/10 12:00:00 2012/10/10 07:30:05 BR 2.16.840.1.113883.3.2402.100 physicians-computer-company-products Physician's Computer Company (PCC) Products Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 14 Complete 2.16.840.1.113883.3.2402.100 2012/09/24 12:00:00 2012/10/10 12:00:00 2012/10/10 07:43:09 UV 2.16.840.1.113883.3.2402.200 physicians-computer-company-clients Physician's Computer Company (PCC) Clients Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 14 Complete 2.16.840.1.113883.3.2402.200 2012/09/24 12:00:00 2012/10/10 12:00:00 2012/10/10 07:48:03 UV 2.16.840.1.113883.3.2402.100.1 physicians-computer-company-products-pcc-ehr Physician's Computer Company (PCC) Products PCC EHR Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.100.1 2012/09/24 12:00:00 2012/10/10 12:00:00 2012/10/10 07:49:20 UV 2.16.840.1.113883.3.2402.200.6671 physicians-computer-company-clients-nwpeds Physician's Computer Company (PCC) Clients Northwest Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6671 2012/09/24 12:00:00 2012/10/10 12:00:00 2012/10/10 07:51:41 UV 2.16.840.1.113883.3.2447 lsh Lincoln Surgical Hospital Teresa Jacobs masked Teresa Jacobs 1710 S 70th St Lincoln, NE 68506 402 484 0917 masked EHR Coordinator Lincoln Surgical Hospital 1710 S 70th St Lincoln, NE 68506 402 484 9090 technologycenter@lincolnsurgery.com http://www.lincolnsurgery.com Provider Int 3 Complete 2012/09/24 12:00:00 2012/10/10 12:00:00 2012/10/10 07:55:32 UV 2.16.840.1.114222.4.1.7604 stvin CHRISTUS St. Vincent Regional Medical Center David Purchase masked David Purchase 455 St Michael's Drive Santa Fe, NM 87505 505-913-5475 masked Interface Developer CHRISTUS St. Vincent Regional Medical Center 455 St Michael's Drive Santa Fe, NM 87505 505-913-3361 david.purchase@stvin.org http://www.stvin.org Provider Ext 3 Complete 2.16.840.1.114222.4.1.7604 2012/09/24 12:00:00 2012/10/10 12:00:00 2012/10/10 10:19:46 UV 2.16.840.1.113883.13.228 dhrtidwell Doctors Hospital Tidwell Del Davis masked Vamsi Edara 510 W. Tidwell Rd Houston, TX 77091 2816185100 masked Director, IT Doctors Hospital Tidwell 510 W. Tidwell Rd Houston, TX 77091 2816188500 vedara@ummc.care https://www.ummc.care/ Provider Int 13 13 Complete 2012/09/24 12:00:00 2012/10/10 12:00:00 2022/07/21 12:13:50 US 2.16.840.1.113883.17.104 chicago-VHC-MHN Vanguard Health, Chicago TaJuan Beasley masked TaJuan Beasley 3249 Oak Park Ave. Berwyn IL 60402 MacNeal Hospital 708-783-3606 masked Manager, Application Integration Vanguard Health Chicago 3249 Oak Park Ave. Berwyn IL 60402 708-783-9100 coeintegrationteam@vanguardhealth.com http://www.vanguardhealth.com/Hospitals/Default.aspx?sid=1 Provider Int 17 Complete 2012/09/24 12:00:00 2012/10/10 12:00:00 2012/11/01 01:38:41 US 2.16.840.1.113883.3.2402.200.213 physicians-computer-company-clients-lakeside Physician's Computer Company (PCC) Clients Lakeside Pediatrics, PLLC Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.213 2012/09/25 12:00:00 2012/10/10 12:00:00 2022/06/14 11:21:42 UV 2.16.840.1.113883.3.1070.5087 mckesson-fusion-5087 mckesson-fusion-5087 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5087 2012/09/25 12:00:00 2012/10/10 12:00:00 2012/10/10 10:31:08 US 2.16.840.1.113883.3.2448 ufandshands UF & Shands Cindy Falck masked Cindy Falck 352-273-5027 masked Assistant Director, Software Development UF&Shands kcassel@shands.ufl.edu https://ufandshands.org/ Academic Int 3 Complete 2012/09/25 12:00:00 2012/10/10 12:00:00 2012/10/10 10:33:01 UV 2.16.840.1.113883.17.105 mhhc-morris Morris Hospital & Healthcare Centers Brenda Rittof masked Brenda Rittof 150 W. High Street Morris, IL 60450 815-705-7509 masked Sr. Clinical Application Specialist Morris Hospital & Healthcare Centers 150 W. High Street Morris, IL 60450 815-942-2932 oid@morrishospital.org http://www.morrishospital.org Provider Int 17 Complete 2012/09/25 12:00:00 2012/10/10 12:00:00 2012/10/10 10:35:19 UV 2.16.840.1.113883.3.2449 nvue NuVue Eyecare Claudia Long masked David Gavami Claudia Long 6601 Sugar Valley Drive Suite 108 Nashville, TN 37211 615-941-2020 masked Office Manager NuVue Eyecare 6601 Sugar Valley Drive Suite 108 Nashville, TN 37211 615-941-2020 davidgavami@nuvueeyecare.com https://www.nuvueeyecare.com Provider Int 3 Complete 2012/09/25 12:00:00 2012/10/10 12:00:00 2012/10/10 10:38:05 UV 2.16.840.1.113883.3.2450 woc WALTERS OPTOMETRIC CENTER, P.C. RICK WALTERS masked DR. RICK C. WALTERS O.D. 538 DELAWARE AVE PALMERTON,PA 18071 610-826-2222 masked WALTERS OPTOMETRIC CENTER P.C. 538 DELAWARE AVE PALMERTON, PA 18071 610-826-2222 GWOC@PTD.NET Provider Int 3 Complete 2012/09/25 12:00:00 2012/10/10 12:00:00 2012/10/10 10:39:25 UV 1.2.36.129710685.3.2 hcsmd HIE Code System MD Robin Marshall masked Robin Marshall Health Industry Exchange LTD Level 1, 9 Gardner Close Milton. Qld. 4064 0432295553 masked Operations Manager Health Industry Exchange LTD Health Industry Exchange LTD Level 1, 9 Gardner Close Milton. Qld. 4064 61731723830 robin.marshall@hie.com.au http://hie.com.au Vendor 1.2.36.129710685 Ext 15 15 Complete 1.2.36.129710685.3.2 2012/09/26 12:00:00 2012/10/10 12:00:00 2012/10/10 10:43:00 AU 1.2.36.129710685.3.2.3 hcsmddn HIE Code System MD Drug Name Robin Marshall masked Robin Marshall Health Industry Exchange LTD Level 1, 9 Gardner Close Milton. Qld. 4064 0432295553 masked Operations Manager Health Industry Exchange LTD Health Industry Exchange LTD Level 1, 9 Gardner Close Milton. Qld. 4064 61731723830 robin.marshall@hie.com.au http://hie.com.au Vendor 1.2.36.129710685 Ext 15 15 Complete 1.2.36.129710685.3.2.3 2012/09/26 12:00:00 2012/10/10 12:00:00 2012/11/08 11:47:45 AU 2.16.840.1.113883.13.229 jhbmc Johns Hopkins Bayview Medical Center Richard Kowalewski masked Johns Hopkins Bayview Medical Center 4940 Eastern Ave Suite 5000 MFL Center Tower Baltimore, MD. 21224 410-550-2508 masked Systems Integration Manager Johns Hopkins Bayview Medical Center 4940 Eastern Ave Suite 5000 MFL Center Tower Baltimore, MD. 21224 410-550-2508 rkowale1@jhmi.edu http://www.hopkinsbayview.org/ Academic Int 13 Complete 2012/09/26 12:00:00 2012/10/10 12:00:00 2012/10/10 10:57:08 UV 2.16.840.1.113883.3.2451 gprmc-ok Great Plains Regional Medical Center Elk City OK Terry Davis masked Terry C Davis 1801 W 3rd Street Elk City, Ok 73644 580-821-5599 masked IT Director Great Plains Regional Medical Center 1801 W 3rd Street Elk City, Ok 73644 580-225-2511 tdavis@gprmc-ok.com http://www.gprmc-ok.com Provider Int 3 Complete 2012/09/26 12:00:00 2012/10/10 12:00:00 2012/10/10 11:00:31 UV 2.16.840.1.113883.3.2452 kkc KAY COUNTY CLINIC MINDY CARR masked MINDY CARR 415 FAIRVIEW STE 201 PONCA CITY, OK 74601 580-762-0202 masked PRACTICE ADMINISTRATOR KAY COUNTY CLINIC MINDY_CARR@CHS.NET Provider Int 3 Complete 2012/09/26 12:00:00 2012/10/10 12:00:00 2012/10/10 11:02:15 US 2.16.840.1.113883.3.2453 imc Interfaith Medical Center Mohammed Islam masked Mohammed Islam Interfaith Medical Center 1545 Atlantic Ave 2nd FL East Building Brooklyn, NY-11213 718-613-6503 masked Director of Resource Management Interfaith Medical Center 1545 Atlantic Ave Brooklyn, NY-11213 718-613-4000 mislam@interfaithmedical.org http://www.interfaithmedical.com/ Academic Int 3 Complete 2012/09/26 12:00:00 2012/10/10 12:00:00 2012/10/10 11:04:38 UV 2.16.840.1.113883.3.2454 irisEyecareservices IRIS EYECARE SERVICES, PLLC IRIS FLORES masked IRIS L. FLORES 3363 SHAWNEE DRIVE, SUITE 1A, WINCHESTER, VA 22602 540-722-6346 masked Optometrist IRIS EYECARE SERVICES, PLLC 3363 SHAWNEE DRIVE, SUITE 1A, WINCHESTER, VA 22602 540-722-6346 ilfod1982@gmail.com Provider Int 3 Complete 2012/09/26 12:00:00 2012/10/10 12:00:00 2012/10/10 11:07:23 UV 1.2.36.1.2001.1005.30 act-Government-Health-Directorate-root-OID ACT Government Health Directorate Vin Sekar masked Renee Schofield B6- L2, Clinical Systems Team, Canberra Hospital, Yamba Drive, (Street Address) Garran, ACT, 2605 02 62059069 masked ACT Government Health Directorate Renee.Schofield@act.gov.au http://health.act.gov.au/c/health Govt body Ext 3 4 Complete 1.2.36.1.2001.1005.30 2012/09/27 12:00:00 2012/10/10 12:00:00 2025/03/02 05:27:58 AU 1.2.36.1.2001.1005.30.1 hospital-entity-identifier-OID ACT Government Health Directorate Hospital Entity Identifier Vin Sekar masked Renee Schofield B6- L2, Clinical Systems Team, Canberra Hospital, Yamba Drive, (Street Address) Garran, ACT, 2605 02 62059069 masked ACT Government Health Directorate Renee.Schofield@act.gov.au http://health.act.gov.au/c/health Govt body Ext 17 17 Complete 1.2.36.1.2001.1005.30.1 2012/09/27 12:00:00 2012/10/10 12:00:00 2012/10/10 11:13:43 AU 1.2.36.1.2001.1005.30.2 act-Government-Health-Directorate-MRN ACT Government Health Directorate MRN Vin Sekar masked Renee Schofield B6- L2, Clinical Systems Team, Canberra Hospital, Yamba Drive, (Street Address) Garran, ACT, 2605 02 62059069 masked ACT Government Health Directorate Renee.Schofield@act.gov.au http://health.act.gov.au/c/health Govt body Ext 17 17 Complete 1.2.36.1.2001.1005.30.2 2012/09/27 12:00:00 2012/10/10 12:00:00 2012/10/10 11:15:32 AU 1.2.36.1.2001.1005.30.3 act-Government-Health-Directorate-healthcare-institution ACT Government Health Directorate Healthcare Institution Vin Sekar masked Renee Schofield This OID represents the custodian organisation for the CDA document; in this case the assigned custodian will be the Canberra Hospital 02 62059069 masked ACT Government Health Directorate Renee.Schofield@act.gov.au http://health.act.gov.au/c/health Govt body Ext 17 17 Complete 1.2.36.1.2001.1005.30.3 2012/09/27 12:00:00 2012/10/10 12:00:00 2012/10/10 11:16:41 AU 1.2.36.1.2001.1005.30.4 tch-Drug-Administration-System TCH Drug Administration System Vin Sekar masked Renee Schofield B6- L2, Clinical Systems Team, Canberra Hospital, Yamba Drive, (Street Address) Garran, ACT, 2605 02 62059069 masked ACT Government Health Directorate Renee.Schofield@act.gov.au http://health.act.gov.au/c/health Govt body Ext 15 15 Complete 1.2.36.1.2001.1005.30.4 2012/09/27 12:00:00 2012/10/10 12:00:00 2012/10/10 11:19:28 AU 2.16.840.1.113883.10.20.29 patientAuthoredTemplate Patient Authored Document Template Root Brett Marquard masked Brett Marquard 413-549-6886 masked Principal SDWG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 413-549-6886 brett@riverrockassociates.com HL7 body Ext 10 Complete 2.16.840.1.113883.10.20.29 2012/09/27 12:00:00 2012/10/10 12:00:00 2012/10/10 11:22:38 UV 2.16.840.1.113883.3.2456 iec Iwasa Eye Center, P.A. Daniel Iwasa, O.D. masked Lisa Maeda Dr. Daniel E. Iwasa, O.D. 925 NW 12th Street Fruitland, ID 83619 208-452-2151 masked President Iwasa Eye Center, P.A. 925 NW 12th Street Fruitland, ID 83619 208-452-2151 iwasaeyecenter@fmtc.com Provider Int 3 Complete 2012/09/27 12:00:00 2012/10/10 12:00:00 2012/10/10 11:28:29 UV 2.16.840.1.113883.3.2457 jrmc-HL7 Jefferson Regional Medical Center Toni Fox masked Sean Cunningham Sean Cunningham 412-267-6105 masked Integration Analyst Jefferson Regional Medical Center 565 Coal Valley Road Jefferson Hills PA 15025 412-469-5000 sean.cunningham@jeffersonregional.com http://www.jeffersonregional.com Provider Int 3 Complete 2012/09/27 12:00:00 2012/10/10 12:00:00 2012/10/10 11:30:20 UV 2.16.840.1.113883.3.2458 mec-pllc Metroplex Eye Care PLLC Gloria Hentz masked Dr. Gloria Hentz, O.D. P.O.BOX 8095 FORT WORTH, TX 76124 8178773937 masked physician Metroplex Eye Care PLLC P.O.BOX 8095 FORT WORTH, TX 76124 817 877 3937 metroplexeyecare@gmail.com Provider Int 3 Complete 2012/09/27 12:00:00 2012/10/10 12:00:00 2012/10/10 11:32:57 UV 2.16.840.1.113883.3.1070.5090 mckesson-fusion-5090 mckesson-fusion-5090 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5090 2012/09/28 12:00:00 2012/10/10 12:00:00 2012/10/10 11:35:15 US 2.16.840.1.113883.3.2459 nec Nilsen Eye Care Eric Nilsen masked Dr. Alexandra Nilsen Dr. Eric Nilsen Nilsen Eye Care 601 North Courthouse Rd. Richmond, VA 23236 804-858-2020 masked practice owner/ optometrist Nilsen Eye Care 601 North Courthouse Rd. Richmond, VA 23236 8004-858-2020 drericnilsen@nilseneyecare.com http://www.nilseneyecare.com Provider Int 3 Complete 2012/09/28 12:00:00 2012/10/10 12:00:00 2012/10/10 11:41:57 UV 2.16.840.1.113883.3.2460 smcok Share Medical Center Kris Penco masked Mark Nichols 800 Share Drive Alva, OK 73717 580-430-3318 masked IT Director Share Medical Center 800 Share Drive Alva, OK 73717 580-327-2800 mnichols@smcok.com http://www.smcok.com Provider Int 3 3 Complete 2012/09/28 12:00:00 2012/10/12 12:00:00 2023/01/24 03:42:10 US 2.16.840.1.113883.3.2461 zhsmd Zia H Shah MD Zia Shah masked Zia H Shah Suite M 09 161 Riverside Dr Binghamton, NY 13905 607-797-6363 masked CEO Zia H Shah MD Suite M 09 161 Riverside Dr Binghamton, NY 13905 607-797-6363 ziahshah@hotmail.com Provider Int 3 Complete 2012/10/01 12:00:00 2012/10/12 12:00:00 2012/10/12 11:28:45 UV 2.16.840.1.113883.3.2462 whh Willapa Harbor Hospital Dyle Dant masked Dyle Dant PO Box 438 800 Alder Street South Bend, Washington 98586 360 875 4540 masked IT Supervisor Willapa Harbor Hospital PO Box 438 South Bend, Washington 98586 360 875 5526 info3@willapaharborhospital.com Provider Int 3 Complete 2012/10/01 12:00:00 2012/10/12 12:00:00 2012/10/12 11:29:36 UV 2.16.840.1.113883.3.2463 careConnectivityConsortium Care Connectivity Consortium David Rasmussen masked David N. Rasmussen 5171 South Cottonwood St Suite 220 Murray, UT 84107 801-507-9242 masked Project Manager Care Connectivity Consortium 801-507-9242 david.rasmussen2@imail.org Exchange Int 3 Complete 2012/10/01 12:00:00 2012/10/12 12:00:00 2012/10/12 11:30:56 UV 2.16.840.1.113883.3.2464 chcalliance COMMUNITY HEALTH CENTERS ALLIANCE, INC. Larry Allen masked David Henson Community Health Centers Alliance 140 Fountain Parkway Suite 210 St. Petersburg, FL 33716 727-573-2422 masked Director of IT Services Community Health Centers Alliance 140 Fountain Parkway Suite 210 St. Petersburg, FL 33716 727-573-2422 italert@chcalliance.org http://www.chcalliance.org Exchange Int 3 Complete 2012/10/01 12:00:00 2012/10/12 12:00:00 2012/10/12 11:33:24 UV 2.16.840.1.113883.3.2465 wrmcphys UW Health Partners WRMC Physicians Terri Ziebell masked Jennifer Laughlin Terri Ziebell UW Health Partners Watertown Regional Medical Center 125 Hospital Drive Watertown WI 53098 9202624575 masked System Integrator WRMC Physician Clinics UW Health Partners WRMC Physician Clinics 125 Hospital Drive Watertown WI 53098 9202624575 tziebel@uwhpwatertown.com https://www.uwhpwatertown.com Vendor Int 3 Complete 2012/10/01 12:00:00 2012/10/12 12:00:00 2014/08/12 09:13:15 UV 2.16.840.1.113883.3.2466 wrmcdcc UW Health Partners Directions Counseling Center Terri Ziebell masked Jennifer Laughlin Terri Ziebell UW Health Partners Directions Counseling Center 129 Hospital Drive Watertown WI 53098 9202624575 masked System Integrator Watertown Regional Medical Center UW Health Partners Watertown Regional Medical Center 125 Hospital Drive Watertown WI 53098 9202624575 tziebel@uwhpwatertown.com https://www.uwhpwatertown.com Provider Int 3 Complete 2012/10/01 12:00:00 2012/10/12 12:00:00 2012/10/12 11:54:16 UV 2.16.840.1.113883.3.2467 wttnwfp Watertown Family Practice Terri Ziebell masked Jennifer Laughlin Terri Ziebell Watertown Family Practice 127 Hospital Drive Watertown WI 53098 9202624575 masked System Integrator Watertown Regional Medical Center UW Health Partners Watertown Regional Medical Center 125 Hospital Drive Watertown WI 53098 9202624575 tziebel@uwhpwatertown.com https://www.uwhpwatertown.com Provider Int 3 Complete 2012/10/01 12:00:00 2012/10/12 12:00:00 2012/10/12 11:55:40 UV 2.16.840.1.113883.3.2468 wrmchosp Watertown Regional Medical Center (Hospital) Terri Ziebell masked Jennifer Laughlin Terri Ziebell UW Health Partners Watertown Regional Medical Center 125 Hospital Drive Watertown WI 53098 9202624575 masked System Integrator Watertown Regional Medical Center UW Health Partners Watertown Regional Medical Center 125 Hospital Drive Watertown WI 53098 9202624575 tziebel@uwhpwatertown.com https://www.uwhpwatertown.com Provider Int 3 Complete 2012/10/01 12:00:00 2012/10/12 12:00:00 2012/10/12 11:57:45 UV 2.16.840.1.113883.3.2469 wrmcemr Watertown Regional Medical Center Terri Ziebell masked Jennifer Laughlin Terri Ziebell UW Health Partners Watertown Regional Medical Center 125 Hospital Drive Watertown WI 53098 9202624575 masked System Integrator Watertown Regional Medical Center UW Health Partners Watertown Regional Medical Center 125 Hospital Drive Watertown WI 53098 9202624575 tziebel@uwhpwatertown.com https://www.uwhpwatertown.com Provider Int 3 Complete 2012/10/01 12:00:00 2012/10/12 12:00:00 2012/10/12 12:00:16 UV 2.16.840.1.113883.3.2470 goldcoast-oid Gold Coast Podiatry OID Cory B Haimon masked Ira J. Jacobson, D.P.M. Cory B. Haimon, D.P.M. 7431 W Atlantic Ave., Delray Beach, FL 3446 561-496-6900 masked Provider Gold Coast Podiatry 7431 W. Atlantic Ave., Delray Beach, FL 33446 561-496-9600 podiatryg@yahoo.com http://www.561feet.com Provider Int 3 Complete 2012/10/02 12:00:00 2012/10/12 12:00:00 2012/10/12 12:02:53 UV 2.16.840.1.113883.3.2471 rec-pc Rojas Eye Care, PC Julio Rojas masked Sadie Santana 501 N 17th St. Suite 213 Allentown, PA 18104 484-664-2040 masked Billing Coordinator Rojas Eye Care, PC 501 N 17th St. Suite 213 Allentown, PA 18104 484-664-2040 rojasmd@epix.net Provider Int 3 Complete 2012/10/02 12:00:00 2012/10/12 12:00:00 2012/10/12 12:06:42 UV 2.16.840.1.113883.3.2472 tvc Troy Vision Center Cindy Cirillo masked Stephanie Jaso Cindy Cirillo 42 3rd Street Troy, NY 12180 518-274-8181 masked Manager Troy Optical LTD dba Troy Vision Center 42 3rd Street Troy, NY 12180 518-274-8181 troyvisioncenter@aol.com Provider Int 3 Complete 2012/10/02 12:00:00 2012/10/12 12:00:00 2012/10/12 12:08:08 UV 2.16.840.1.113883.3.1070.5092 mckesson-fusion-5092 mckesson-fusion 5092 Patricia Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment Patricia.Wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5092 2012/10/02 12:00:00 2012/10/12 12:00:00 2012/10/12 12:09:24 US 2.16.840.1.113883.3.2473 mainStreetFPofChinaGrove MAIN STREET FAMILY PRACTICE OF CHINA GROVE PC Kim Purcell-Reid masked Karen Monz Karen Monz 2770 Indian River Blvd, Suite 308 Vero Beach, FL 32960 772.567.0206 masked Operations Dept. AZZLY 2770 Indian River Blvd, Suite 308 Vero Beach, FL 32960 772.567.0206 vendorservices@azzly.com http://azzly.com Vendor 2.16.840.1.113883.3.662 Int 3 Complete 2012/10/02 12:00:00 2012/10/12 12:00:00 2012/10/12 12:13:31 UV 2.16.840.1.113883.3.2474 fec Fidler EyeCare Craig Fidler masked Dr. Craig A. Fidler 2120 South Federal Hwy Fort Lauderdale, FL 33316-3545 954-467-3777 masked Owner/president Craig A. Fidfler, O.D.,P.A. dba Fidler EyeCare 2120 South Federal Hwy Fort Lauderdale, FL 33316-3545 954-467-3777 eye@fidlereyecare.net http://www.FidlerEyeCare.net Provider Int 3 Complete 2012/10/02 12:00:00 2012/10/12 12:00:00 2012/10/12 12:19:10 UV 2.16.840.1.113883.3.2475 cchs Columbia County Health System Shane McGuire masked Shane McGuire 1012 S. 3rd Street Dayton, WA 99328 509.382.2531 x121 masked COO Columbia County Health System 1012 S. 3rd Street Dayton, WA 99328 509.382.2531 billing@cchd-wa.org http://www.cchd-wa.org Provider Int 3 Complete 2012/10/02 12:00:00 2012/10/12 12:00:00 2012/10/12 12:23:25 UV 2.16.840.1.113883.3.2476 dec Ducklo EyeCare, P.C. Tommy Ducklo masked Tommy J. Ducklo, O.D. 2114 Elliston Place Nashville, TN 37203 615-329-0000 masked Optometrist/Owner Ducklo EyeCare, PC 2114 Elliston Place Nashville, TN 37203 615-329-0000 duckloeyecare@comcast.net http://www.duckloeyecare.com Provider Int 3 Complete 2012/10/02 12:00:00 2012/10/12 12:00:00 2012/10/12 12:26:30 UV 2.16.840.1.113883.3.2477 col Dr Marcy Kyser LLC Marcy Kyser masked Marcy Kyser 1322 E McAndrews Rd Ste 103 Medford, OR 97504 5417729990 masked OD Dr Marcy Kyser LLC 1322 E McAndrews Rd Ste 103 Medford, OR 97504 5417729990 columbianeyecare@gmail.com Provider Int 3 Complete 2012/10/02 12:00:00 2012/10/12 12:00:00 2012/10/12 12:28:38 UV 2.16.840.1.113883.3.2478 carilion Carilion Clinic Mahesh Tailor masked Mahesh Tailor Carilion Clinic 451 Kimball Ave Roanoke, VA 24016 540-224-3929 masked Manager, Technical Services Carilion Clinic 451 Kimball Ave Roanoke, VA 24016 direct@carilionclinic.org http://www.carilionclinic.org Provider Int 3 Complete 2012/10/03 12:00:00 2012/10/12 12:00:00 2012/10/12 12:30:17 UV 2.16.840.1.113883.3.1355.30 ahwest-frh Feather River Hospital (FRH) Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Feather River Hospital(FRH) Feather River Hospital 5974 Pentz Road, Paradise, CA 95969 530-877-9361 cioinfo@ah.org http://www.frhosp.org/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.30 2012/10/03 12:00:00 2012/10/12 12:00:00 2012/10/12 12:35:02 UV 2.16.840.1.113883.3.1355.30.1 ahwest-frh-mrn Feather River Hospital (FRH) MRN Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Feather River Hospital(FRH) Feather River Hospital 5974 Pentz Road, Paradise, CA 95969 530-877-9361 cioinfo@ah.org http://www.frhosp.org/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.30.1 2012/10/03 12:00:00 2012/10/12 12:00:00 2012/10/12 12:38:06 UV 2.16.840.1.113883.3.1355.30.2 ahwest-frh-account Feather River Hospital (FRH) Account Number Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Feather River Hospital (FRH) Feather River Hospital 5974 Pentz Road, Paradise, CA 95969 530-877-9361 cioinfo@ah.org http://www.frhosp.org/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.30.2 2012/10/03 12:00:00 2012/10/12 12:00:00 2012/10/12 12:39:43 UV 2.16.840.1.113883.3.1355.30.3 ahwest-frh-doctor Feather River Hospital (FRH) Doctor Number Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Feather River Hospital (FRH) Feather River Hospital 5974 Pentz Road, Paradise, CA 95969 530-877-9361 cioinfo@ah.org http://www.frhosp.org/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.30.3 2012/10/03 12:00:00 2012/10/12 12:00:00 2012/10/12 12:50:09 UV 2.16.840.1.113883.3.1355.30.4 ahwest-frh-uref Feather River Hospital (FRH) Unit Reference Number Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Feather River Hospital (FRH) Feather River Hospital 5974 Pentz Road, Paradise, CA 95969 530-877-9361 cioinfo@ah.org http://www.frhosp.org/ Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.30.4 2012/10/03 12:00:00 2012/10/12 12:00:00 2012/10/12 01:36:32 UV 2.16.840.1.113883.3.1355.85 ahwest-sjch San Joaquin Community Hospital(SJCH) Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management San Joaquin Community Hospital(SJCH) San Joaquin Community Hospital, 2615 Chester Avenue, Bakersfield, CA 93301 661-395-3000 cioinfo@ah.org http://www.sjch.us Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.85 2012/10/03 12:00:00 2012/10/12 12:00:00 2012/10/12 02:50:54 UV 2.16.840.1.113883.3.1355.85.1 ahwest-sjch-mrn San Joaquin Community Hospital(SJCH) MRN Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management San Joaquin Community Hospital(SJCH) San Joaquin Community Hospital, 2615 Chester Avenue, Bakersfield, CA 93301 661-395-3000 cioinfo@ah.org http://www.sjch.us Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.85.1 2012/10/03 12:00:00 2012/10/12 12:00:00 2012/10/12 02:51:43 UV 2.16.840.1.113883.3.1355.85.2 ahwest-sjch-account San Joaquin Community Hospital (SJCH) Account Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management San Joaquin Community Hospital (SJCH) San Joaquin Community Hospital, 2615 Chester Avenue, Bakersfield, CA 93301 661-395-3000 cioinfo@ah.org http://www.sjch.us Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.85.2 2012/10/03 12:00:00 2012/10/12 12:00:00 2012/10/12 03:00:25 UV 2.16.840.1.113883.3.1355.85.3 ahwest-sjch-doctor San Joaquin Community Hospital (SJCH) Doctor Number Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management San Joaquin Community Hospital (SJCH) San Joaquin Community Hospital, 2615 Chester Avenue, Bakersfield, CA 93301 661-395-3000 cioinfo@ah.org http://www.sjch.us Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.85.3 2012/10/03 12:00:00 2012/10/12 12:00:00 2012/10/12 03:01:38 UV 2.16.840.1.113883.3.1355.85.4 ahwest-sjch-uref San Joaquin Community Hospital (SJCH) Unit Reference Number Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management San Joaquin Community Hospital (SJCH) San Joaquin Community Hospital, 2615 Chester Avenue, Bakersfield, CA 93301 661-395-3000 cioinfo@ah.org http://www.sjch.us Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.85.4 2012/10/03 12:00:00 2012/10/12 12:00:00 2012/10/12 03:09:12 UV 2.16.840.1.113883.3.2480 ykhc Yukon-Kuskokwim Health Corp Robert Champagne masked James Sweeney Robert Champagne P O Box 287 Bethel, AK 99559 907 543-6435 masked Financial Systems Analyst Yukon-Kuskokwim Health Corp P O Box 287 Bethel, AK 99559 907 543-6000 public_relations@ykhc.org Provider Int 3 3 Complete 2012/10/03 12:00:00 2012/10/12 12:00:00 2012/10/12 04:50:49 UV 2.16.840.1.113883.3.2481 josefpena Donna Medical Clinic, PA CCD Jose F. Pena masked Roxane Arguelles Jose F. Pena 307 Noth D. Salinas Blvd. Donna, TX 78537 956-464-2402 masked Physician / Owner Donna Medical Clinic, PA CCD 307 North D. Salinas Blvd. Donna, TX 78537 956-464-2402 rarguelles@donnamedicalclinic.com Provider Int 3 Complete 2012/10/03 12:00:00 2012/10/12 12:00:00 2012/10/12 05:00:48 UV 2.16.840.1.113883.3.2482 iEHR-eu iEHR.eu Roman Radomski masked Roman Radomski +48 605 404 363 masked iEHR.eu Sloneczna 25 05-462 Wiazowna Poland rr@iehr.eu http://iehr.eu Vendor Int 3 Complete 2012/10/04 12:00:00 2012/10/12 12:00:00 2012/10/12 05:04:19 UV 2.16.840.1.113883.3.2483 bcec2 Brown County Eye Care Center Jessica Wagers masked Jessica Wagers, OD 50 E. Willow St., Suite A Nashville, IN 47448 812-988-4937 masked OD Brown County Eye Care Center 50 E. Willow St., Suite A Nashville, IN 47448 812-988-4937 jessicawagers.od@live.com http://www.browncountyeyecare.com Provider Int 3 Complete 2012/10/04 12:00:00 2012/10/12 12:00:00 2012/10/12 05:10:13 UV 2.16.840.1.113883.3.2484 khni Kindred Hospital Northern Indiana Suzanne Morgan masked Suzanne Morgan 215 West Fourth Street Mishawaka, IN 46544 574-252-2005 masked Director Quaility Management suzanne.morgan@kindredhealthcare.com 215 West Fourth Street Mishawaka, IN 46544 574-252-2005 suzanne.morgan@kindredhealthcare.com http://kindredhealthcare.com Provider Int 3 Complete 2012/10/05 12:00:00 2012/10/12 12:00:00 2012/10/12 05:15:14 UV 2.16.840.1.113883.3.2485 brhc Bothwell Regional Health Center Thomas Fairfax masked Thomas G. Fairfax 601 E. 14th St Sedalia, MO 65301 660-827-9169 masked Director of IT Bothwell Regional Health Center 601 E. 14th St Sedalia, MO 65301 660-826-8833 tfairfax@brhc.org http://www.brhc.org Provider Int 3 Complete 2012/10/05 12:00:00 2012/10/12 12:00:00 2012/10/12 05:18:20 UV 2.16.840.1.113883.6.139.4 icpc2E-GER ICPC2E, German Translation Tony Schaller masked World Health Organization (WHO) Avenue Appia 20 1202 Geneva Switzerland + 41 22 791 21 11 masked World Health Organization (WHO) Avenue Appia 20 1202 Geneva Switzerland + 41 22 791 21 11 info@who.int http://www.who.int/classifications/icd/adaptations/icpc2/en/ SDO Ext 6 6 Complete 2.16.840.1.113883.6.139.4 2012/10/05 12:00:00 2012/10/06 12:00:00 2012/10/06 03:32:27 UV 2.16.840.1.113883.3.2486 mnhoid MaryNell Holden OID MaryNell Holden masked MaryNell Holden PO Box 132, Union, WA 98592 360-898-4405 masked PT MaryNell Holden marynell@hctc.com http://www.marynellholden.com/index.html Provider Int 3 Complete 2012/10/06 12:00:00 2012/10/26 12:00:00 2012/10/26 09:37:11 UV 2.16.840.1.113883.3.647.305.1 axBIP XDS Image Document Source for BIP Peter Bak masked Peter Bak 18 Tanager Ave Suite 303 Toronto Ontario M4G3R1 416-421-2588 masked AXON Medical Technologies Corporation 18 Tanager Ave Suite 303 Toronto Ontario M4G3R1 416-421-2588 peter.bak@axonmed.com Vendor 2.16.840.1.113883.3.647 Ext 14 Complete 2.16.840.1.113883.3.647.305.1 2012/10/07 12:00:00 2012/10/12 12:00:00 2012/10/12 05:21:46 UV 2.16.840.1.113883.3.647.305.2 axBIPCLINIC2 XDS Image Document Source for BIP Clinic 2 Peter Bak masked Peter Bak 18 Tanager Ave Suite 303 Toronto Ontario M4G3R1 416-421-2588 masked AXON Medical Technologies Corporation 18 Tanager Ave Suite 303 Toronto Ontario M4G3R1 416-421-2588 peter.bak@axonmed.com Vendor 2.16.840.1.113883.3.647 Ext 14 Complete 2.16.840.1.113883.3.647.305.2 2012/10/07 12:00:00 2012/10/12 12:00:00 2013/12/17 10:21:18 UV 2.16.840.1.113883.3.2487 mvc Marquette Vision Center Gary Stephens masked Gary Stephens 9612 willow lane Mokena,illinois 60448 7084796232 masked owner Marquette Vision Center 9612 willow lane Mokena,illinois 60448 7084796232 marquettevision@yahoo.com http://www.marquettevisioncenter.com/ Provider Int 3 Complete 2012/10/07 12:00:00 2012/10/12 12:00:00 2012/10/12 05:50:10 UV 2.16.840.1.113883.3.2488 jangboochi-oid The Office of Dr. Jang Boo Chi - OID Jang Boo Chi masked Katie Rouse 143 North Street, Auburn, NY 12021 3152526890 masked Biller/Coder Jang Boo Chi M.D, P.C. 143 North Street, Auburn, NY 12021 3152526890 jangboochi@hotmail.com Provider Int 3 Complete 2012/10/08 12:00:00 2012/10/12 12:00:00 2012/10/12 05:52:21 UV 2.16.840.1.113883.3.2489 hssc Health Sciences Health Improvement, LLC Ghadi Shayban masked Katrina Fryar PO Box 7785 Columbia, SC 29202 (803) 386-1484 masked Vice President & Chief Operating Officer Health Sciences Health Improvement, LLC PO Box 7785 Columbia, SC 29202 (803) 544-4772 execasst@healthsciencessc.org http://HealthSciencesSC.org/ Exchange Int 3 Complete 2012/10/08 12:00:00 2012/10/12 12:00:00 2025/02/26 02:07:52 UV 2.16.840.1.113883.3.1070.5086 mckesson-fusion-5086 mckesson-fusion-5086 Randy Deitsch masked Fusion Enrollment 8775074541 masked Fusion Enrollment randy.deitsch@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5086 2012/10/08 12:00:00 2012/10/12 12:00:00 2012/10/12 05:59:32 US 2.16.840.1.113883.10.20.30 rootASCOCDA Root OID for ASCO HL7 CDA Templates Gaye Dolin masked Gaye Dolin 714-744-4152 masked SDWG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 714-744-4152 gaye.dolin@lantanagroup.com HL7 body Ext 10 Complete 2.16.840.1.113883.10.20.30 2012/10/08 12:00:00 2012/10/12 12:00:00 2012/10/12 06:05:30 UV 2.16.840.1.113883.3.2490 wjef West Jefferson Medical Center Jo Ann Toval masked al.respess@wjmc.org Jo Ann Toval West Jefferson Medical Center Attn: Information Technology 1101 Medical Center Blvd. Marrero, LA 70072 504-349-2461 masked Director Clinical Informatics West Jefferson Medical Center West Jefferson Medical Center 1101 Medical Center Blvd. Marrero, LA 70072 504-349-2439 itinformatics@wjmc.org Exchange Int 3 Complete 2012/10/09 12:00:00 2012/10/12 12:00:00 2012/10/12 06:20:29 UV 2.16.840.1.113883.3.2491 rcc-ccd Rochelle Community Hospital CCD Exchange Scott Stewart masked Scott Stewart 900 N. 2nd Street Rochelle, Illinois 61068 815-561-3105 masked Manager Information Services Rochelle Community Hospital 900 N. 2nd Street Rochelle, Illinois 61068 815-562-2181 Administrator@rcha.net http://www.rochellehospital.com Provider Int 3 Complete 2012/10/09 12:00:00 2012/10/26 12:00:00 2012/10/26 09:40:48 UV 2.16.840.1.113883.3.2492 drPowelsonOD Dr. Robert W. Powelson, O.D. Dr. Robert Powelson masked Dr. Robert W. Powelson, O.D. 304-592-1500 masked Doctor Dr. Robert W. Powelson, O.D. 401 Pike Street, Shinnston, WV 26431 304-532-1500 SFEvision1500@gmail.com Provider Int 3 Complete 2012/10/09 12:00:00 2012/10/26 12:00:00 2012/10/26 09:42:57 UV 2.16.840.1.113883.3.2493 patientTrac PatientTrac Electronic Medical Records H Wayne Hayes Jr masked H Wayne Hayes Jr 1680 Michigan Avenue Suite 700 Miami Beach, Florida 33140 7863503900 masked President PatientTrac Information Technology Corp 1680 Michigan Avenue Suite 700 Miami Beach, Florida 33140 7863503900 wayne@patienttrac.com http://www.patienttrac.com Vendor Int 3 3 Complete 2012/10/09 12:00:00 2012/10/26 12:00:00 2012/10/26 09:45:04 US 2.16.840.1.113883.3.2494 mdpartners MD Partners, Inc. Robert McClure, MD masked Robert McClure 2052 Apache Ln Lafayette, CO 80026-3425 3039266771 masked President MD Partners, Inc. 2052 Apache Ln Lafayette, CO 80026-3425 303-926-6771 general@mdpartners.com http://www.mdpartners.com Vendor Int 3 Complete 2012/10/09 12:00:00 2012/10/26 12:00:00 2012/10/26 09:52:42 US 2.16.840.1.113883.3.2495 qlimg Queens-Long Island Medical Group, P.C. Arjune Singh masked Arjune Singh 800 Axinn Ave. Garden City, NY 11530 516-941-4013 masked CIO Queens-Long Island Medical Group, P.C. 800 Axinn Ave. Garden City, NY 11530 516-941-4013 asingh@qlimg.com http://www.qlimg.com/ Provider Int 3 Complete 2012/10/10 12:00:00 2012/10/26 12:00:00 2012/10/26 09:55:33 UV 2.16.840.1.113883.3.1070.5091 mckesson-fusion-5091 mckesson-fusion-5091 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5091 2012/10/11 12:00:00 2012/10/26 12:00:00 2012/10/26 10:17:49 US 2.16.840.1.113883.3.2497 pcmc Ponca City Medical Center Robert Dreussi masked Robert Dreussi Ponca City Medical Center 1900 N. 14th St. Ponca City, OK 74601 615-585-8290 masked Consultant Ponca City Medical Center Ponca City Medical Center 1900 N. 14th St. Ponca City, OK 74601 (580) 765-3321 rdreussi@visionconsulting-llc.com http://www.poncamedcenter.com Provider Int 3 Complete 2012/10/11 12:00:00 2012/10/26 12:00:00 2012/10/26 10:32:44 US 2.16.840.1.113883.3.2498 lpnt-amc Acadian Medical Center Matthew McConnell masked Terry Phillips Acadian Medical Center 3501 Highway 190 East Eunice, LA 70535 337-580-7500 337-580-7500 masked Director, Clinical Data Integration and Exchange Acadian Medical Center 3501 Highway 190 East Eunice, LA 70535 337-580-7500 337-580-7500 AcadianMedicalCenter@AcadianMedicalCenter.net http://AcadianMedicalCenter.com Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/02 11:21:42 UV 2.16.840.1.113883.3.2499 lpnt-arh Andalusia Regional Hospital Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/02 01:53:10 UV 2.16.840.1.113883.3.2500 lpnt-armc Ashley Regional Medical Center Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/02 01:53:52 UV 2.16.840.1.113883.3.2501 lpnt-srmca Starr Regional Medical Center - Athens Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/02 01:54:27 UV 2.16.840.1.113883.3.2502 lpnt-bch Bluegrass Community Hospital Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/02 01:54:52 UV 2.16.840.1.113883.3.2503 lpnt-bmc Bolivar Medical Center Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/02 01:55:25 UV 2.16.840.1.113883.3.2504 lpnt-bourbonch Bourbon Community Hospital Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven prings Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/02 01:55:47 UV 2.16.840.1.113883.3.2505 lpnt-ch Castleview Hospital Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/02 01:56:09 UV 2.16.840.1.113883.3.2506 lpnt-crmc Clark Regional Medical Center Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/02 01:56:46 UV 2.16.840.1.113883.3.2507 lpnt-cpmc Colorado Plains Medical Center Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/02 01:57:38 UV 2.16.840.1.113883.3.2508 lpnt-strl Southern Tennessee Regional - Lawrenceburg Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/02 01:58:11 UV 2.16.840.1.113883.3.2509 lpnt-ermc Ennis Regional Medical Center Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/02 01:58:40 UV 2.16.840.1.113883.3.2510 lpnt-gch Georgetown Community Hospital Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/02 01:59:08 UV 2.16.840.1.113883.3.2511 lpnt-hrmc Havasu Regional Medical Center Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/02 01:59:37 UV 2.16.840.1.113883.3.2512 lpnt-strp Southern Tennessee Regional - Pulaski Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/02 02:00:06 UV 2.16.840.1.113883.3.2513 lpnt-lch Lakeland Community Hospital Matthew McConnell masked Terry Phillips Lakeland Community Hospital PO Box 780 42024 Highway 195 East Haleyville, AL 35565 205-486-5213 205-486-5213 masked Director, Clinical Data Integration and Exchange Lakeland Community Hospital PO Box 780 42024 Highway 195 East Haleyville, AL 35565 205-486-5213 205-486-5213 LakelandCommunityHospital@LakelandCommunityHospital.net http://www.LakelandCommunityHospital.com Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/02 11:07:10 UV 2.16.840.1.113883.3.2514 lpnt-shcl SageWest Health Care - Lander Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/07 11:14:54 UV 2.16.840.1.113883.3.2515 lpnt-livingstonrh Livingston Regional Hospital Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/02 02:01:13 UV 2.16.840.1.113883.3.2516 themcr OID for the Medical Center at Russellville Matthew McConnell masked Terry Phillips Sarah Morrison 800 Park St. Bowling Green, KY 42101 270-796-5141 masked Lead Clinical Informatics Specialist The Medical Center at Russellville 1625 Nashville St. Russellville, KY 42276 270-726-4011 morrsb@mchealth.net https://medcenterhealth.org/hospitals/russellville/ Provider Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2025/04/23 08:40:27 UV 2.16.840.1.113883.3.2517 lpnt-lamc Los Alamos Medical Center Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/02 02:02:00 UV 2.16.840.1.113883.3.2518 lpnt-mpmc Maria Parham Medical Center Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/02 11:43:43 UV 2.16.840.1.113883.3.2519 lpnt-mercyrmc Mercy Regional Medical Center Matthew McConnell masked Terry Phillips Mercy Regional Medical Center PO Box 349 800 East Main Street Ville Platte, LA 70586 337-363-9414 337-363-9414 masked Director, Clinical Data Integration and Exchange Mercy Regional Medical Center PO Box 349 800 East Main Street Ville Platte, LA 70586 337-363-9414 337-363-9414 MercyRegionalMedicalCenter@MercyRegionalMedicalCenter.net http://www.MercyRegionalMedicalCenter.com Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/02 11:42:02 UV 2.16.840.1.113883.3.2520 lpnt-mmc Minden Medical Center Matthew McConnell masked Terry Phillips Minden Medical Center 1 Medical Plaza Minden, LA 71055 318-377-2321 318-377-2321 masked Director, Clinical Data Integration and Exchange Minden Medical Center 1 Medical Plaza Minden, LA 71055 318-377-2321 318-377-2321 MindenMedicalCenter@MindenMedicalCenter.net http://MindenMedicalCenter.com Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/02 11:25:36 UV 2.16.840.1.113883.3.2521 lpnt-nnrh Northeastern Nevada Regional Hospital Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/02 11:44:34 UV 2.16.840.1.113883.3.2522 lpnt-nmc Northwest Medical Center Matthew McConnell masked Terry Phillips Northwest Medical Center 1530 US Highway 43 Winfield, AL 35594 205-487-7000 205-487-7000 masked Director, Clinical Data Integration and Exchange Northwest Medical Center 1530 US Highway 43 Winfield, AL 35594 205-487-7000 205-487-7000 NorthwestMedicalCenter@NorthwestMedicalCenter.net http://NorthwestMedicalCenter.com Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/02 11:27:14 UV 2.16.840.1.113883.3.2523 lpnt-prmc Palestine Regional Medical Center Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/02 11:45:16 UV 2.16.840.1.113883.3.2524 lpnt-prh Parkview Regional Hospital Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/02 11:46:12 UV 2.16.840.1.113883.3.2525 lpnt-rph River Parishes Hospital Matthew McConnell masked Terry Phillips River Parishes Hospital 500 Rue de Sante LaPlace, LA 70068 985-652-7000 985-652-7000 masked Director, Clinical Data Integration and Exchange River Parishes Hospital 500 Rue de Sante LaPlace, LA 70068 985-652-7000 985-652-7000 RiverParishesHospital@RiverParishesHospital.net http://RiverParishesHospital.com Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/02 11:28:51 UV 2.16.840.1.113883.3.2526 lpnt-shcr SageWest Health Care - Riverton Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/07 11:28:35 UV 2.16.840.1.113883.3.2527 lpnt-rh Russellville Hospital Matthew McConnell masked Terry Phillips Russellville Hospital 15155 Highway 43 NE PO Box 1089 Russellville, AL 35653 256-332-1611 256-332-1611 masked Director, Clinical Data Integration and Exchange Russellville Hospital 15155 Highway 43 NE PO Box 1089 Russellville, AL 35653 256-332-1611 256-332-1611 RussellvilleHospital@RussellvilleHospital.net http://RussellvilleHospital.com Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/02 11:30:38 UV 2.16.840.1.113883.3.2528 lpnt-trmc Teche Regional Medical Center Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/02 12:06:20 UV 2.16.840.1.113883.3.2529 lpnt-tcrh Twin County Regional Healthcare Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/02 12:06:50 UV 2.16.840.1.113883.3.2530 lpnt-vvmc Valley View Medical Center Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/02 12:07:22 UV 2.16.840.1.113883.3.2531 lpnt-srmce Starr Regional Medical Center - Etowah Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2018/05/07 11:32:02 UV 2.16.840.1.113883.17.107 wilcox Kay County Clinic Aaron Wilcox Mindy Carr masked Gina Hearon Mindy Carr 415 Fairview Ste 201 Ponca city, OK 74601 5807629355 masked Practice Administrator Kay County Clinic mindy_carr@chs.net Provider 2.16.840.1.113883.3.2452 Int 2.16.840.1.113883.3.2452.1 17 Retired 2012/10/12 12:00:00 2016/10/21 06:48:50 UV 2.16.840.1.113883.3.2532 jCMH_RA_ROOT Jefferson Center for Mental Health Registration Authority Root Peter Dunlap masked Peter Dunlap 303-432-5196 masked Jefferson Center for Mental Health 4851 Independence St. #200 Wheat Ridge, CO 80033 303-425-0300 PeterD@jcmh.org Provider Int 3 Complete 2012/10/12 12:00:00 2012/10/26 12:00:00 2012/10/26 12:46:24 UV 2.16.840.1.113883.3.2533 lpnt-uhsm UP Health System - Marquette Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2012/10/15 12:00:00 2012/10/26 12:00:00 2018/05/07 11:45:07 UV 2.16.840.1.113883.3.2534 hmh-mcnextgen Houston Methodist Hospital Connect Nextgen OID Mike Smith masked Marsha Parks 2550 Holly Hall St Houston Texas 77054 8326675521 masked Integration Manager Houston Methodist Hospital System 6565 Fannin Street Houston Texas 77030 7137903311 it-interfacesupportteam@houstonmethodist.org http://www.methodisthealth.com Provider 2.16.840.1.113883.3.2374 Int 3 Complete 2012/10/15 12:00:00 2014/10/03 12:00:00 2014/10/03 02:56:07 UV 2.16.840.1.113883.3.2535 emdat Emdat Object Louis Gordon masked HL7 Group Emdat 6180 Verona Road Suite 200 Fitchburg, WI 53719 6082706400 masked Emdat Emdat 6180 Verona Road Suite 200 Fitchburg, WI 53719 HL7@emdat.com http://www.emdat.com Vendor Int 3 Complete 2012/10/15 12:00:00 2012/10/26 12:00:00 2012/10/26 01:33:31 UV 2.16.840.1.113883.4.583 uri-system URI System Grahame Grieve masked Grahame Grieve 5 Eileen Close Warrandyte Vic 3113 Australia +61411867065 masked W3C grahame@healthintersections.com.au http://w3c.org SDO Int 4 Complete 2012/10/15 12:00:00 2012/10/26 12:00:00 2012/10/26 01:36:27 UV 2.16.840.1.113883.3.2536 mchc Metropolitan Chicago Healthcare Council Jeffrey Ritz masked Kara Donoghue 222 South Riverside Plaza, Suite 1900, Chicago, Illinois 60606 312-906-6162 masked Technical Project Manager Metropolitan Chicago Healthcare Council 222 South Riverside Plaza, Suite 1900, Chicago, Illinois 60606 312.906.6000 webadmin@mchc.com http://www.mchc.com/eweb/ Exchange Int 3 Complete 2012/10/16 12:00:00 2012/10/26 12:00:00 2015/02/25 05:04:48 UV 2.16.840.1.113883.3.2452.1 kccwilcox Kay County Clinic Wilcox office Mindy Carr masked Gina Hearon Mindy Carr 415 Fairview Ste 201 Ponca City, OK 74601 580-762-0202 masked PRACTICE ADMINISTRATOR Kay County Clinic 415 Fairview Ste 201 Ponca City, OK 74601 MINDY_CARR@CHS.NET Provider 2.16.840.1.113883.3.2452 Ext 14 3 Complete 2.16.840.1.113883.3.2452.1 2012/10/16 12:00:00 2012/11/13 12:00:00 2013/06/11 09:18:44 UV 2.16.840.1.113883.3.2452.2 kccliston Kay County Clinic Listons office Mindy Carr masked Ginny Glasgow Mindy Carr 1908 N 14TH STE 204 PONCA CITY OK 74601 580-762-0202 masked PRACTICE ADMINISTRATOR Kay County Clinic 415 Fairview Ste 201 Ponca City, OK 74601 MINDY_CARR@CHS.NET Provider 2.16.840.1.113883.3.2452 Ext 14 3 Complete 2.16.840.1.113883.3.2452.2 2012/10/16 12:00:00 2012/11/13 12:00:00 2013/06/11 09:19:52 UV 2.16.840.1.113883.3.2452.3 kccschwerdtfeger Kay County Clinic Schwerdtfeger Mindy Carr masked Carol Henson Mindy Carr 421 E HARTFORD AVE PONCA CITY OK 74601 580-762-0202 masked PRACTICE ADMINISTRATOR Mindy Carr 415 Fairview Ste 201 Ponca City OK 74601 MINDY_CARR@CHS.NET Provider 2.16.840.1.113883.3.2452 Ext 14 3 Complete 2.16.840.1.113883.3.2452.3 2012/10/16 12:00:00 2012/11/13 12:00:00 2013/06/11 09:20:37 UV 2.16.840.1.113883.3.2452.4 kccdufner Kay County Clinic Dufners office Mindy Carr masked Rebecca Hodges Mindy Carr 415 Fairview Ste 202 Ponca City, OK 74601 580-762-0202 masked PRACTICE ADMINISTRATOR Kay County Clinic 415 Fairview Ste 201 Ponca CIty OK 74601 MINDY_CARR@CHS.NET Provider 2.16.840.1.113883.3.2452 Ext 14 3 Complete 2.16.840.1.113883.3.2452.4 2012/10/16 12:00:00 2012/11/13 12:00:00 2013/06/11 09:21:19 UV 2.16.840.1.113883.3.1070.5093 mckesson-fusion-5093 mckesson-fusion-5093 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5093 2012/10/16 12:00:00 2012/11/13 12:00:00 2012/11/13 12:40:56 US 2.16.840.1.113883.3.1070.5095 mckesson-fusion-5095 mckesson-fusion-5095 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5095 2012/10/17 12:00:00 2012/11/13 12:00:00 2012/11/13 12:43:14 US 2.16.840.1.113883.3.1070.5088 mckesson-fusion-5088 mckesson-fusion-5088 Randy Deitsch masked Fusion Enrollment 8775074541 masked Fusion Enrollment randy.deitsch@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5088 2012/10/17 12:00:00 2012/11/13 12:00:00 2012/11/13 12:44:16 US 2.16.840.1.113883.3.2537 uH2012 Union Hospital Karen Hauser masked Dave Baumgardner Karen Hauser MT(ASCP) Union Hospital / I.S. Dept 659 Boulevard Dover,Ohio 44622 330-343-3311, ext 2455 masked Application Analyst Union Hospital Union Hospital / I.S. Dept 659 Boulevard Dover,Ohio 44622 330-343-3311 khauser@unionhospital.org http://www.unionhospital.org/ Provider Int 3 Complete 2012/10/17 12:00:00 2012/11/13 12:00:00 2012/11/13 12:48:43 UV 2.16.840.1.113883.3.2538 bartshealth Barts Health NHS Trust David Bartlett masked Martin Callingham Martin Callingham Informatics Barts Health NHS Trust Aneurin Bevan House, 3rd Floor 81 Commercial Road London E1 1RD 02070925569 masked Associate Director of IT - Clinical Systems Barts Health NHS Trust Barts Health NHS Trust 5th Floor, Aneurin Bevan House 81 Commercial Road London, E1 1RD 020 3416 5000 communications@bartshealth.nhs.uk http://www.bartshealth.nhs.uk Provider Int 3 Complete 2012/10/18 12:00:00 2012/11/13 12:00:00 2012/11/13 12:57:31 UV 2.16.840.1.113883.3.2539 newhamsite Newham Hospital Site David Bartlett masked Martin Callingham Martin Callingham Informatics Barts Health NHS Trust Aneurin Bevan House, 3rd Floor 81 Commercial Road London E1 1RD 02070925569 masked Associate Director of IT - Clinical Systems Barts Health NHS Trust Trust offices Barts Health NHS Trust Aneurin Bevan House, 5th Floor 81 Commercial Road London E1 1RD 020 3416 5000 communications@bartshealth.nhs.uk http://www.bartshealth.nhs.uk Provider 2.16.840.1.113883.3.2538 Int 3 Complete 2012/10/18 12:00:00 2012/11/13 12:00:00 2012/11/13 01:00:33 UV 2.16.840.1.113883.3.2540 royallondon Royal London Hospital site OID identifier David Bartlett masked Martin Callingham Martin Callingham Informatics Barts Health NHS Trust Aneurin Bevan House, 3rd Floor 81 Commercial Road London E1 1RD 02070925569 masked Associate Director of IT - Clinical Systems Barts Health NHS Trust Trust Offices Barts Health NHS Trust Aneurin Bevan House, 5th Floor 81 Commercial Road London E1 1RD 020 3416 5000 communications@bartshealth.nhs.uk http://www.bartshealth.nhs.uk Provider 2.16.840.1.113883.3.2538 Int 3 Complete 2012/10/18 12:00:00 2012/11/13 12:00:00 2012/11/13 01:01:47 UV 2.16.840.1.113883.3.2541 whippscross Whipps Cross Hospital site OID David Bartlett masked Martin Callingham Martin Callingham Informatics Barts Health NHS Trust Aneurin Bevan House, 3rd Floor 81 Commercial Road London E1 1RD 02070925569 masked Associate Director of IT - Clinical Systems Barts Health NHS Trust Trust Offices Barts Health NHS Trust Aneurin Bevan House, 5th Floor 81 Commercial Road London E1 1RD 020 3416 5000 communications@bartshealth.nhs.uk http://www.bartshealth.nhs.uk Provider 2.16.840.1.113883.3.2538 Int 3 Complete 2012/10/18 12:00:00 2012/11/13 12:00:00 2012/11/13 01:02:45 UV 2.16.840.1.113883.3.2542 drdeck Dr. Lawrence V. Deck III, M.D., P.C. Lawrence Deck masked Lawrence V. Deck III 13321 N. Meridian Ste 212 Oklahoma City, OK 73120 405-607-8945 masked M.D. Lawrence V. Deck III 13321 N. Meridian Ste 212 Oklahoma City, OK 73120 405-607-8945 ldeck607@sbcglobal.net Provider Int 3 Complete 2012/10/18 12:00:00 2012/11/13 12:00:00 2012/11/13 01:05:30 UV 2.16.840.1.113883.3.2543 drcrawford Michael K. Crawford, MD Michael Crawford masked Carolyn Crawford 13321 N. Meridian #210 Oklahoma City, OK 73120 405-748-4343 masked Office Manager Michael K. Crawford, MD 13321 N. Meridian #210 Oklahoma City, OK 73120 405-748-4343 drcrawford@mdvip.com Provider Int 3 Complete 2012/10/18 12:00:00 2012/11/13 12:00:00 2012/11/13 01:08:41 UV 2.16.840.1.113883.3.2544 xti Xchange Technologies Thomas Rutzell masked Thomas Rutzell 1320 Matthews Township Parkway Suite 201 Matthews, NC 28105 888-519-5458 x 404 masked Architect Xchange Technologies 1320 Matthews Township Parkway Suite 201 Matthews, NC 28105 888-519-5458 x 404 tom.rutzell@xchange-tech.com http://www.xchange-tech.com Vendor Int 3 3 Complete 2012/10/18 12:00:00 2012/11/13 12:00:00 2013/09/03 05:14:21 UV 2.16.840.1.113883.3.1070.5097 mckesson-fusion-5097 mckesson-fusion-5097 Randy Deitsch masked Fusion Enrollment 8775074541 masked Fusion Enrollment randy.deitsch@mckesson.com Vendor 2.16.840.1.113883.3.1070.5097 Ext 17 Complete 2.16.840.1.113883.3.1070.5097 2012/10/18 12:00:00 2012/11/13 12:00:00 2012/11/13 01:12:17 US 2.16.840.1.113883.3.2545 anasaziSoftwareRoot Anasazi Software, Inc. Root OID Dan Levene masked Dan Levene 1121 West Warner Road Suite 101 Tempe, AZ 85284 480 598-8833 masked Chief Technology Officer Anasazi Software, Inc. 1121 West Warner Road Suite 101 Tempe, AZ 85284 480 598-8833 support@anasazisoftware.com http://www.anasazisoftware.com Vendor Int 3 Complete 2012/10/18 12:00:00 2012/11/13 12:00:00 2012/11/13 01:16:30 UV 2.16.840.1.113883.3.1070.5094 mckesson-fusion-5094 mckesson-fusion-5094 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5094 2012/10/19 12:00:00 2012/11/13 12:00:00 2012/11/13 01:13:48 US 2.16.840.1.113883.3.2546 eccoc-oid Dr Bonakdar's Eyecare Center OID Alexander Bonakdar masked drbonakdar@yahoo.com Alexander Bonakdar 801 N Tustin Ave Suite 404 Santa Ana Orange CA 714-317-5097 masked Alexander Bonakdar 801 N Tustin Ave Suite 404 Santa Ana Orange CA 714-317-5097 drbonakdar@yahoo.com Provider Int 3 Complete 2012/10/19 12:00:00 2012/11/13 12:00:00 2012/11/13 01:22:40 UV 2.16.840.1.113883.3.2036.18 sjpsapulpagastro SJP Sapulpa Gastroenterology Ahisha Peters masked kary.cummins@sjmc.org Ahisha Peters 1923 S. Utica Ave Tulsa, OK 74104 918-744-3131 x16737 masked Clinical Analyst SJP Sapulpa Gastroenterology 1004 East Bryan St, 2nd Floor Sapulpa, OK 74066 918-403-7060 Ahisha.Peters@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2036 Ext 3 3 Complete 2.16.840.1.113883.3.2036.18 2012/10/23 12:00:00 2012/11/13 12:00:00 2012/11/13 01:28:26 UV 2.16.840.1.113883.3.2036.19 sjphemonc SJP Hematology/Oncology Ahisha Peters masked kary.cummins@sjmc.org Ahisha Peters 1923 S. Utica Ave Tulsa, OK 74104 918-744-3131 x16737 masked Clinical Analyst SJP Hematology/Oncology 1919 South Wheeling, Ste 204 Tulsa, OK 74104 918-748-7889 Ahisha.Peters@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2036 Ext 3 3 Complete 2.16.840.1.113883.3.2036.19 2012/10/23 12:00:00 2012/11/13 12:00:00 2012/11/13 01:30:16 UV 2.16.840.1.113883.3.2548 document-inc DocumENT Incorporated Greg Staffel masked J. Gregory Staffel, MD 558 Sweetbriar Memphis, TN 38120 USA 901 240-5674 masked President DocumENT Inc. 558 Sweetbriar Memphis, TN 38120 USA 901 240-5674 gstaffel@gmail.com Vendor Int 3 3 Complete 2012/10/23 12:00:00 2012/11/13 12:00:00 2012/11/13 01:34:28 UV 1.3.6.1.4.1.40733 sabzfaam-ict Sabzfaam ICT Ahmadreza Khaleghi masked Ahmadreza Khaleghi +982122862826 masked Ahmadreza Khaleghi +982122862826 khaleghi@sabzfaam.com SDO Ext 17 Complete 1.3.6.1.4.1.40733 2012/10/24 12:00:00 2012/11/13 12:00:00 2012/11/13 01:37:13 UV 2.16.840.1.113883.3.2549 seormcoid SEORMC Facility OID Goldie Barnett masked Kevin Ludwigsen Clark Carpenter 1341 Clark Street Cambridge, OHIO 43725 740-439-8138 masked Interface Analyst Group Southeastern Ohio Regional Medical Center 1341 Clark Street Cambridge, OHIO 43725 740-439-8138 interfaces@seormc.org http://www.seormc.org/ HL7 body Int 3 Complete 2012/10/24 12:00:00 2012/11/13 12:00:00 2022/07/15 02:01:31 UV 2.16.840.1.113883.3.2550 centromed CentroMed Donald Macaulay masked Donald J. Macaulay 3750 Commercial Avenue San Antonio, Texas 78232 (210) 334-3705 masked V.P. / C.O.O. CentroMed 3750 Commercial Avenue San Antonio, Texas 78232 (210) 334-3705 dmacaulay.cdb@tachc.org http://centromedsa.com Provider Int 3 Complete 2012/10/24 12:00:00 2012/11/13 12:00:00 2012/11/13 01:43:46 UV 2.16.840.1.113883.3.2551 clinicalvault Clinical Vault Health Information Exchange RICARDO PINEDA masked RICARDO CALLE SOL 22 PONCE PR 00730 7876516154 masked EVP ClinicalVault CALLE SOL 22 PONCE, PR 00730 7876516154 ricardo@nd-soft.com http://www.clinicalvault.com Vendor Int 3 Complete 2012/10/24 12:00:00 2012/11/13 12:00:00 2012/11/13 01:46:39 UV 2.16.840.1.113883.3.2552 dps Deaconess Physician Services, LLC Brandice Walters masked tamora.graham@deaconessokc.com Brandice Walters 5401 N. Portland Suite 200, OKC, OK 73112 (405) 262-8459 masked Clinic Manager Deaconess Physician Services, LLC 5401 N. Portland Suite 200, OKC, OK 73112 brandice.walters@deaconessokc.com Provider Int 3 Complete 2012/10/24 12:00:00 2012/11/13 12:00:00 2012/11/13 01:49:05 UV 2.16.840.1.113883.13.230 mollen-sfoid Mollen Sending Facility OID Brandy Altstadter masked Brandy Altstadter 480-745-8507 masked Mollen Immunization Clinics 8328 E. Hartford Drive Scottsdale, AZ 85255 480-214-2000 info@flushotsusa.com Provider Int 13 Complete 2012/10/25 12:00:00 2012/11/13 12:00:00 2012/11/13 01:51:30 UV 2.16.840.1.113883.13.231 stciweb STC Sending Application OID Brandy Altstadter masked Brandy Altstadter 480-745-8507 masked STC 8444 N. 90th St, Suite 100 Scottsdale, AZ 85258 480-745-8500 info@stchome.com Vendor Int 13 Complete 2012/10/25 12:00:00 2012/11/13 12:00:00 2012/11/13 01:54:26 UV 2.16.840.1.113883.3.1070.5102 mckesson-fusion-5102 mckesson-fusion-5102 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment Johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5102 2012/10/25 12:00:00 2012/11/13 12:00:00 2012/11/13 01:56:11 US 1.2.36.1.2001.1005.30.5 tch-Portal-Identifier TCH Portal Identifier Vin Sekar masked ACT Government Health Directorate Renee Schofield B6- L2, Clinical Systems Team, Canberra Hospital, Yamba Drive, (Street Address) Garran, ACT, 2605 02 62059069 masked ACT Government Health Directorate Renee.Schofield@act.gov.au http://health.act.gov.au/c/health Govt body 1.2.36.1.2001.1005.30 Ext 15 15 Complete 1.2.36.1.2001.1005.30.5 2012/10/25 12:00:00 2012/11/13 12:00:00 2012/11/13 01:59:33 AU 1.2.36.1.2001.1005.40 calvary-Healthcare-ACT-Public-root-OID Calvary Healthcare ACT - Public Root OID Vin Sekar masked Calvary Healthcare ACT - Public Renee Schofield B6- L2, Clinical Systems Team, Canberra Hospital, Yamba Drive, (Street Address) Garran, ACT, 2605 (City / State / Post code) 02 62059069 masked Calvary Healthcare ACT - Public Renee.Schofield@act.gov.au http://www.calvary-act.com.au/ Govt body Ext 3 4 Complete 1.2.36.1.2001.1005.40 2012/10/25 12:00:00 2012/11/13 12:00:00 2012/11/13 02:01:31 AU 1.2.36.1.2001.1005.40.1 calvary-Healthcare-ACT-Public-Custodian-Organisation-ID Calvary Healthcare ACT-Public, Custodian Organisation ID Vin Sekar masked Calvary Healthcare ACT - Public Renee Schofield B6- L2, Clinical Systems Team, Canberra Hospital, Yamba Drive, (Street Address) Garran, ACT, 2605 (City / State / Post code) 02 62059069 masked Calvary Healthcare ACT - Public Renee.Schofield@act.gov.au http://www.calvary-act.com.au/ Govt body 1.2.36.1.2001.1005.40 Ext 17 17 Complete 1.2.36.1.2001.1005.40.1 2012/10/25 12:00:00 2012/11/13 12:00:00 2012/11/13 02:03:16 AU 1.2.36.1.2001.1005.40.2 calvary-Healthcare-ACT-Public-Entity-Identifier Calvary Healthcare ACT- Public- Entity Identifier Vin Sekar masked Calvary Healthcare ACT - Public Renee Schofield B6- L2, Clinical Systems Team, Canberra Hospital, Yamba Drive, (Street Address) Garran, ACT, 2605 (City / State / Post code) 02 62059069 masked Calvary Healthcare ACT - Public Renee.Schofield@act.gov.au http://www.calvary-act.com.au/ Govt body 1.2.36.1.2001.1005.40 Ext 17 17 Complete 1.2.36.1.2001.1005.40.2 2012/10/25 12:00:00 2012/11/13 12:00:00 2012/11/13 02:07:29 AU 1.2.36.1.2001.1005.40.3 calvary-Healthcare-ACT-Public-Drug-Administration-System Calvary Healthcare ACT - Public, Drug Administration System Vin Sekar masked Calvary Healthcare ACT - Public Renee Schofield B6- L2, Clinical Systems Team, Canberra Hospital, Yamba Drive, (Street Address) Garran, ACT, 2605 (City / State / Post code) 02 62059069 masked Calvary Healthcare ACT - Public Renee.Schofield@act.gov.au http://www.calvary-act.com.au/ Govt body 1.2.36.1.2001.1005.40 Ext 15 15 Complete 1.2.36.1.2001.1005.40.3 2012/10/25 12:00:00 2012/11/13 12:00:00 2012/11/13 02:09:56 AU 1.2.36.1.2001.1005.40.4 calvary-Portal-Identifier Calvary Portal Identifier Vin Sekar masked Calvary Healthcare ACT - Public Renee Schofield B6- L2, Clinical Systems Team, Canberra Hospital, Yamba Drive, (Street Address) Garran, ACT, 2605 (City / State / Post code) 02 62059069 masked Calvary Healthcare ACT - Public Renee.Schofield@act.gov.au http://www.calvary-act.com.au/ Govt body 1.2.36.1.2001.1005.40 Ext 17 17 Complete 1.2.36.1.2001.1005.40.4 2012/10/25 12:00:00 2012/11/13 12:00:00 2012/11/13 02:11:26 UV 2.16.840.1.113883.3.2553 convilog Acces DMP Convilog BERNARD CASTANIER masked PIOT YVES PIOT Yves CONVILOG ZA LES PRADEAUX 13850 GREASQUE FRANCE +33 662631811 masked Chef de Projet CONVILOG CONVILOG ZA LES PRADEAUX 13850 GREASQUE FRANCE +33442583734 contact@convilog.com http://www.convilog.com Prof Soc Int 3 Complete 2012/10/26 12:00:00 2012/11/13 12:00:00 2012/11/13 02:14:42 UV 2.16.840.1.113883.3.2554 fhfc Franciscan Hospital for Children Maya Gurung masked Sean Mckeon Maya Gurung Franciscan Hospital for Children 30 Warren St. Brighton, MA 02135 617-254-3800 ex:1226 masked Systems Analyst Franciscan Hospital for Children Franciscan Hospital for Children 30 Warren St. Brighton, MA 02135 617-254-3800 mgurung@fhfc.org http://www.franciscanhospital.org/ Provider Int 3 Complete 2012/10/26 12:00:00 2012/11/13 12:00:00 2012/11/13 02:18:52 UV 2.16.840.1.113883.3.2343.1 lattaroad Latta Road Nursing Home Curt Hamlin masked Curt Hamlin P&NP Computer Services, Inc. 66 N Main St Brockport, NY 14420 5856373240 masked VP Latta Road Nursing Home 2100 Latta Road Rochester, New York 14612-3728 (585) 225-0910 chamlin@pnpcomputer.com http://www.pnpcomputer.com Provider 2.16.840.1.113883.3.2343 Ext 14 Complete 2.16.840.1.113883.3.2343.1 2012/10/26 12:00:00 2012/10/26 12:00:00 2012/10/26 01:20:57 UV 2.16.840.1.113883.3.2343.2 lattaroada Latta Road Nursing Home A Curt Hamlin masked Curt Hamlin P&NP Computer Services, Inc. 66 N Main St Brockport, NY 14420 5856373240 masked VP Latta Road Nursing Home A 2102 Latta Road Rochester, New York 14612-3795 (585) 225-0920 chamlin@pnpcomputer.com http://www.pnpcomputer.com Provider 2.16.840.1.113883.3.2343 Ext 14 Complete 2.16.840.1.113883.3.2343.2 2012/10/26 12:00:00 2012/10/26 12:00:00 2012/10/26 01:21:38 UV 2.16.840.1.113883.3.2555 familyserviceswestchester FAMILY SERVICES OF WESTCHESTER, INC. Peter Matulich masked FAMILY SERVICES OF WESTCHESTER, INC. KRISTER WILLGREN 1 GATEWAY PLAZA PORTCHESTER, NY 10573 (914)305-6883 masked FAMILY SERVICES OF WESTCHESTER, INC. 1 GATEWAY PLAZA PORTCHESTER, NY 10573 kwillgren@fsw.org http://www.fsw.org Provider Int 3 Complete 2012/10/26 12:00:00 2012/11/13 12:00:00 2012/11/13 02:44:19 UV 2.16.840.1.113883.3.2343.3 hamiltonmanor Hamilton Manor Nursing Home Curt Hamlin masked Curt Hamlin P&NP Computer Services, Inc. 66 N Main St Brockport, NY 14420 5856373240 masked VP Hamilton Manor Nursing Home 1172 Long Pond Road Rochester, New York 14626-1195 (585) 225-0450 chamlin@pnpcomputer.com http://www.pnpcomputer.com Provider 2.16.840.1.113883.3.2343 Ext 14 Complete 2.16.840.1.113883.3.2343.3 2012/10/26 12:00:00 2012/10/26 12:00:00 2012/10/26 01:26:36 UV 2.16.840.1.113883.3.1070.5103 mckesson-fusion-5103 mckesson-fusion 5103 Patricia Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment Patricia.Wilson4@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5103 2012/10/26 12:00:00 2012/11/13 12:00:00 2012/11/13 02:29:07 US 2.16.840.1.113883.3.2556 silvermedia Silvermedia Lukasz Wierzbicki masked Lukasz +48604461089 masked CPO Silvermedia Buma Square Business Park Wadowicka 6 30-415 Krak&#243;w 123760250 lukasz.wierzbicki@silvermedia.pl Vendor Int 3 Complete 2012/10/29 12:00:00 2012/11/13 12:00:00 2012/11/13 02:33:38 UV 2.16.840.1.113883.3.2557 phpamc Atrium Medical Center Bob Arndt masked Bob Arndt Atrium Medical Center One Medical Center Drive Middletown, Ohio 45005 Main number (513) 424-2111 (513) 424-2111 masked IT Manager Medicity rbrant@medicity.com http://www.medicity.com Exchange Int 3 Complete 2012/10/29 12:00:00 2012/11/13 12:00:00 2012/11/13 02:38:18 UV 2.16.840.1.113883.3.2558 phpgsh Good Samaritan Hospital Bob Arndt masked Bob Arndt Good Samaritan Hospital 2222 Philadelphia Dr. Dayton, OH 45406-1891 (937) 734-2612 (937) 734-2612 masked IT Manager Medicity rbrant@medicity.com http://www.medicity.com Exchange Int 3 Complete 2012/10/29 12:00:00 2012/11/13 12:00:00 2012/11/13 02:40:36 UV 2.16.840.1.113883.3.2559 phpmvh Miami Valley Hospital Bob Arndt masked Bob Arndt Miami Valley Hospital One Wyoming Street Dayton, OH 45409-2793 (937) 208-8000 (937) 208-8000 masked IT Manager Medicity rbrant@medicity.com http://www.medicity.com Exchange Int 3 Complete 2012/10/29 12:00:00 2012/11/13 12:00:00 2012/11/13 02:42:32 UV 2.16.840.1.113883.3.2560 viteraStat Vitera Stat John Armenia masked Vitera Healthcare John Armenia 4301 W. Boy Scout Blvd., Suite 800, Tampa, FL 33607 813-202-5316 masked SaaS Developer Vitera Healthcare 4301 W. Boy Scout Blvd., Suite 800, Tampa, FL 33607 877-932-6301 john.armenia@viterahealthcare.com http://www.viterahealthcare.com Vendor Int 3 Complete 2012/10/29 12:00:00 2012/11/13 12:00:00 2012/11/13 02:53:00 UV 2.16.840.1.113883.3.2561 phpuvmc Upper Valley Medical Center Bob Arndt masked Bob Arndt Upper Valley Medical Center 3130 N. County Rd. 25-A Troy, OH 45373 (937) 440-4000 (937) 440-4000 masked IT Manager Medicity rbrant@medicity.com http://www.medicity.com Exchange Int 3 Complete 2012/10/29 12:00:00 2012/11/13 12:00:00 2012/11/13 02:59:53 UV 2.16.840.1.113883.3.2562 phppip PIP Bob Arndt masked Bob Arndt 110 N. Main St. Suite 290 Dayton. Ohio 45402 (937) 499-7817 masked IT Manager Medicity rbrant@medicity.com http://www.medicity.com Exchange Int 3 Complete 2012/10/29 12:00:00 2012/11/13 12:00:00 2012/11/13 03:02:35 UV 2.16.840.1.113883.3.5101 mckesson-fusion-5101 mckesson-fusion-5101 Randy Deitsch masked fusion enrollment 8775074541 masked fusion enrollment randy.deitsch@mckesson.com Vendor 2.16.840.1.113883.3.5101 Ext 17 Rejected 2.16.840.1.113883.3.5101 2012/10/29 12:00:00 2012/11/13 12:00:00 2012/11/13 03:20:03 US 2.16.840.1.113883.3.2563 kimmarcilwieleba Kimberlee Marcil-Wieleba, LCSW Kimberlee Marcil-Wieleba masked Karen Monz Karen Monz 2770 Indian River Blvd Suite 308 Vero Beach, FL 32960 772-567-0206 masked Operations Dept. AZZLY 2770 Indian River Blvd Suite 308 Vero Beach, FL 32960 772-567-0206 vendorservices@azzly.com http://www.azzly.com Vendor 2.16.840.1.113883.3.662 Int 3 Complete 2012/10/29 12:00:00 2013/01/11 12:00:00 2013/01/11 08:23:06 UV 2.16.840.1.113883.3.2564 php Premier Health Partners Bob Arndt masked Bob Arndt 110 N. Main St. Suite 290 Dayton. Ohio 45402 (937) 499-7817 masked IT Manager Medicity rbrant@medicity.com http://www.medicity.com Exchange Int 3 Complete 2012/10/29 12:00:00 2012/11/13 12:00:00 2012/11/13 03:15:36 UV 2.16.840.1.113883.3.2565 smhoid Sheridan Memorial Hospital Shawna Laffitte masked bridgetgerleman@sheridanhospital.org Shawna Laffitte 1401 West 5th Street Sheridan, WY 82801 307-672-1072 masked HIM Manager Sheridan Memorial Hospital 1401 West 5th Street Sheridan, WY 82801 307-672-1000 isteam@sheridanhospital.org Provider Int 3 3 Complete 2012/10/29 12:00:00 2012/11/13 12:00:00 2012/11/13 03:22:52 UV 2.16.840.1.113883.3.2566 chi-national Catholic Health Initiatives National Marie Gonzalez masked Marie Gonzalez 188 Inverness Drive West Englewood, CO 80112 720-267-6857 masked Application Analyst Catholic Health Initiatives 198 Inverness Dr West Englewood, CO 80112 303-298-3100 mariegonzalez@catholichealth.net Provider Int 3 Complete 2012/10/30 12:00:00 2012/11/13 12:00:00 2015/02/05 01:45:46 UV 2.16.840.1.113883.3.2567 agmc Akron General Medical Center Barb Dowling masked Barb Dowling Akron General Medical Center 400 Wabash Ave Akron, Ohio 44307 (330) 344-1548 masked Mgr, Interface and Database Admin Medicity rbrant@medicity.com http://www.medicity.com Exchange Int 3 Complete 2012/10/31 12:00:00 2012/11/13 12:00:00 2012/11/13 03:26:08 UV 2.16.840.1.113883.3.2568 mjonesod Jones Vision Polaris Matthew Jones masked Matthew Jones 8967 Antares Avenue Columbus, OH 43240 614 885-5050 masked President Matthew E. Jones, O.D., Inc. 8967 Antares Avenue Columbus, OH 43240 614 885-5050 jonesvisionpolaris@gmail.com http://www.jonesvisionpolaris.com Provider Int 3 Complete 2012/10/31 12:00:00 2012/11/13 12:00:00 2012/11/13 03:28:24 UV 2.16.840.1.113883.3.493.860 mortonhealth Morton Comprehensive Health Services, INC Bard Moss masked Stan Fosburg Stan Fosburg 1334 N Lansing Ave Tulsa, OK 74106 918-587-2171 masked MIS Department Morton Comprehensive Health Services 1334 N Lansing Ave Tulsa, OK 74106 918-587-2171 mis@mortonhealth.org http://www.mortonhealth.org Provider 2.16.840.1.113883.3.493 Ext 3 Complete 2.16.840.1.113883.3.493.860 2012/10/31 12:00:00 2012/11/13 12:00:00 2012/11/13 03:35:49 UV 2.16.840.1.113883.3.2569 mhm Methodist Healthcare Ministries Pete Otholt masked Pete Otholt 4507 Medical Drive San Antonio TX 2533236 masked Technical Services Manager Methodist Healthcare Ministries 4507 Medical Drive San Antonio TX 2533236 potholt@mhm.org Provider Int 3 Complete 2012/11/01 12:00:00 2012/11/13 12:00:00 2012/11/13 03:37:44 UV 2.16.840.1.113883.17.108 chicago-VHC-WMH Vanguard Health Chicago WMH TaJuan Beasley masked TaJuan Beasley 3249 Oak Park Ave. Berwyn IL 60402 Weiss Memorial Hospital 708-783-3606 masked Manager, Application Integration Vanguard Health Chicago 4646 N. Marine Dr. Chicago IL 60640 708-783-9100 coeintegrationteam@vanguardhealth.com http://www.vanguardhealth.com/Hospitals/Default.aspx?sid=1 Provider Int 17 Complete 2012/11/01 12:00:00 2015/06/25 12:00:00 2015/06/25 07:06:21 US 2.16.840.1.113883.17.109 chicago-VHC-WSM Vanguard Health Chicago - WSM TaJuan Bealsey masked TaJuan Beasley West Suburban Hospital 3249 Oak Park Ave. Berwyn IL 60402 708-783-3606 masked Manager, Application Integration Vanguard Health Chicago 3 Erie Court Oak Park, IL 60302 708-783-9100 coeintegrationteam@vanguardhealth.com http://www.vanguardhealth.com/Hospitals/Default.aspx?sid=1 Provider Int 17 Complete 2012/11/01 12:00:00 2015/06/25 12:00:00 2015/06/25 07:09:49 UV 2.16.840.1.113883.3.2570 chicago-VHC-WLH Vanguard Health, Chicago TaJuan Beasley masked TaJuan Beasley 3249 Oak Park Ave. Berwyn IL 60402 West Lake Hospital 708-783-3606 masked Manager, Application Integration Vanguard Health Chicago 1225 W Lake St Melrose Park, IL 60160 708-783-9100 coeintegrationteam@vanguardhealth.com http://www.vanguardhealth.com/Hospitals/Default.aspx?sid=1 Provider Int 3 Complete 2012/11/01 12:00:00 2013/06/30 12:00:00 2013/06/30 06:08:49 US 2.16.840.1.113883.3.2571 thg Tulsa Health Group Steven Wiseman masked Emily Hardesty 9183924900 masked IT Tulsa Health Group stevenwiseman@cox.net Provider Int 3 Complete 2012/11/01 12:00:00 2012/11/13 12:00:00 2012/11/13 03:50:51 UV 2.16.840.1.113883.3.2572 drz OPTOMETRIX MYLES ZAKHEIM masked RALPH GLANCE 11701 WILSHIRE BLVD LOS ANGELES,CA 90025 310.820.7866 masked OPTICIAN OPTOMETRIX 11701 WILSHIRE BLVD LOS ANGELES,CA 90025 310.820.7866 optometrixbw@yahoo.com http://www.optometrix.com Provider Int 3 Complete 2012/11/01 12:00:00 2012/11/13 12:00:00 2012/11/13 03:52:52 UV 2.16.840.1.113883.3.493.860.4.102 mortonmidtown Morton Comprehensive Health Services Midtown Clinic Location Bard Moss masked Stan Fosburg Stan Fosburg 1334 N Lansing Ave Tulsa, OK 74106 918-587-2171 masked MIS Department Morton Comprehensive Health Services 1334 N Lansing Ave Tulsa, OK 74106 918-587-2171 mis@mortonhealth.org http://www.mortonhealth.org Provider 2.16.840.1.113883.3.493 Ext 3 Complete 2.16.840.1.113883.3.493.860.4.102 2012/11/02 12:00:00 2012/11/13 12:00:00 2012/11/13 03:58:24 UV 2.16.840.1.113883.3.493.860.4.103 mortonnowata Morton Comprehensive Health Services Nowata Clinic Location Bard Moss masked Stan Fosburg Stan Fosburg 1334 N Lansing Ave Tulsa, OK 74106 918-587-2171 masked MIS Department Morton Comprehensive Health Services 1334 N Lansing Ave Tulsa, OK 74106 918-587-2171 mis@mortonhealth.org http://www.mortonhealth.org Provider 2.16.840.1.113883.3.493 Ext 3 Complete 2.16.840.1.113883.3.493.860.4.103 2012/11/02 12:00:00 2012/11/13 12:00:00 2012/11/13 04:00:35 UV 2.16.840.1.113883.3.2573 hma834 Midwest Regional Medical Center Fred Saberian masked Fred Saberian 407-654-1234 masked HIE Integration Consultant Midwest Regional Medical Center 2825 Parklawn Drive Midwest City, OK 73110-4221 405-610-4411 Fred.Saberian@hma.com http://www.midwestregional.com/ Provider Int 3 Complete 2012/11/02 12:00:00 2012/11/13 12:00:00 2012/11/13 04:08:15 UV 2.16.840.1.113883.3.2574 hma870 Medical Center of SE Oklahoma Fred Saberian masked Fred Saberian 407-654-1234 masked HIE Integration Consultant Medical Center of SE Oklahoma 1800 University Boulevard PO Box 1207 Durant, OK 74701 580-924-3080 Fred.Saberian@hma.com http://www.mymcso.com/ Provider Int 3 Complete 2012/11/02 12:00:00 2012/11/13 12:00:00 2012/11/13 04:11:42 UV 2.16.840.1.113883.3.2575 stwblk Stillwater Medical - Blackwell Fred Saberian masked James Ranone 1323 W 6th Ave Stillwater OK 74074 4057425833 masked CIO Stillwater Medical Center Stillwater Medical - Blackwell 710 S. 13th Street Blackwell, OK 74631 580-924-3080 croark@Stillwater-Medical.org https://www.blackwellregional.org/ Provider 2.16.840.1.113883.3.2187 Int 3 Complete 2012/11/02 12:00:00 2012/11/13 12:00:00 2020/02/14 10:09:53 UV 2.16.840.1.113883.3.2576 hma732 INTEGRIS Clinton Regional Hospital Fred Saberian masked Fred Saberian 407-654-1234 masked HIE Integration Consultant INTEGRIS Clinton Regional Hospital 100 N. 30th Street Clinton, OK 73601 (580) 323-2363 Fred.Saberian@hma.com http://www.integrisclinton.com/ Provider Int 3 Complete 2012/11/02 12:00:00 2012/11/13 12:00:00 2012/11/13 04:14:08 UV 2.16.840.1.113883.3.2577 hma735 INTEGRIS Marshall County Medical Center Fred Saberian masked Fred Saberian 407-654-1234 masked HIE Integration Consultant INTEGRIS Marshall County Medical Center One Hospital Drive Madill, OK 73446 (580) 795-3384 Fred.Saberian@hma.com http://www.integrismarshallcounty.com/ Provider Int 3 Complete 2012/11/02 12:00:00 2012/11/13 12:00:00 2012/11/13 04:16:42 UV 2.16.840.1.113883.3.493.860.4.104 mortoneast Morton Comprehensive Health Services East Clinic Location Bard Moss masked Stan Fosburg Stan Fosburg 1334 N Lansing Ave Tulsa, OK 74106 918-587-2171 masked MIS Department Morton Comprehensive Health Services 1334 N Lansing Ave Tulsa, OK 74106 918-587-2171 mis@mortonhealth.org http://www.mortonhealth.org Provider 2.16.840.1.113883.3.493 Ext 3 Complete 2.16.840.1.113883.3.493.860.4.104 2012/11/02 12:00:00 2012/11/13 12:00:00 2012/11/13 04:22:11 UV 2.16.840.1.113883.3.493.860.4.156 mortontisdale Morton Comprehensive Health Services Tisdale Clinic Bard Moss masked Stan Fosburg Stan Fosburg 1334 N Lansing Ave Tulsa, OK 74106 918-587-2171 masked MIS Department Morton Comprehensive Health Services 1334 N Lansing Ave Tulsa, OK 74106 918-587-2171 mis@mortonhealth.org http://www.mortonhealth.org Provider 2.16.840.1.113883.3.493 Ext 3 Complete 2.16.840.1.113883.3.493.860.4.156 2012/11/02 12:00:00 2012/11/13 12:00:00 2012/11/13 04:24:22 UV 2.16.840.1.113883.3.493.860.4.2 mortonmain Morton Comprehensive Health Services Main Clinic Bard Moss masked Stan Fosburg Stan Fosburg 1334 N Lansing Ave Tulsa, OK 74106 918-587-2171 masked MIS Department Morton Comprehensive Health Services 1334 N Lansing Ave Tulsa, OK 74106 918-587-2171 mis@mortonhealth.org http://www.mortonhealth.org Provider 2.16.840.1.113883.3.493 Ext 3 Complete 2.16.840.1.113883.3.493.860.4.2 2012/11/02 12:00:00 2012/11/13 12:00:00 2012/11/13 04:27:12 UV 2.16.840.1.113883.3.2578 hma734 INTEGRIS Seminole Medical Center Fred Saberian masked Fred Saberian 407-654-1234 masked HIE Integration Consultant INTEGRIS Seminole Medical Center 2401 Wrangler Blvd. Seminole, OK 74868 (405) 303-4000 Fred.Saberian@hma.com http://www.integrisseminole.com/ Provider Int 3 Complete 2012/11/02 12:00:00 2012/11/13 12:00:00 2012/11/13 04:30:03 UV 2.16.840.1.113883.3.2579 hma733 INTEGRIS Mayes County Medical Center Fred Saberian masked Fred Saberian 407-654-1234 masked HIE Integration Consultant INTEGRIS Mayes County Medical Center 111 N. Bailey Pryor, OK 74361 (918) 825-1600 Fred.Saberian@hma.com http://www.integrismayescounty.com/ Provider Int 3 Complete 2012/11/02 12:00:00 2012/11/13 12:00:00 2012/11/13 04:31:05 UV 2.16.840.1.113883.3.2580 hma862 Santa Rosa Medical Center Fred Saberian masked Fred Saberian 407-654-1234 masked HIE Integration Consultant Santa Rosa Medical Center 6002 Berryhill Road Milton, FL 32570 (918) 825-1600 Fred.Saberian@hma.com http://www.srmcfl.com/ Provider Int 3 Complete 2012/11/02 12:00:00 2012/11/13 12:00:00 2012/11/13 04:34:58 UV 2.16.840.1.113883.3.2581 infian Infian LLC Kevin Banning masked Kevin Banning 2810 N. Parham Rd Suite 220 Richmond, VA 23294 804 934 9370 masked Infian LLC support@infian.com Vendor Int 3 Complete 2012/11/05 12:00:00 2012/11/13 12:00:00 2012/11/13 04:37:48 UV 2.16.840.1.113883.3.1070.5096 mckesson-fusion-5096 mckesson-fusion-5096 Jennifer Meares masked Jennifer Meares 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5096 2012/11/05 12:00:00 2012/11/13 12:00:00 2012/11/13 04:41:14 US 1.3.76.31.99.1 legaldocToken InfoCert LegalDoc Document Token Nhan Ngo Dinh masked Nhan Ngo Dinh Viale della Piramide Cestia 1/B +390690287198 masked Linkverse S.r.l. Viale della Piramide Cestia 1/B +390690287198 info@linkverse.com Vendor 1.3.76.31 Ext 13 14 Complete 1.3.76.31.99.1 2012/11/05 12:00:00 2012/11/13 12:00:00 2012/11/13 04:43:45 LDTK UV 2.16.840.1.113883.3.2582 vac-acc-gc-ca Veterans Affairs Canada Steven Banks masked mitch.freeman@vac-acc.gc.ca Steven Douglas Banks Veterans Affairs Canada P.O. Box 7700 Charlottetown, PE, Canada C1A 8M9 902-566-8079 masked Veterans Affairs Canada Veterans Affairs Canada P.O. Box 7700 Charlottetown, PE, Canada C1A 8M9 902-566-8269 john.macaskill@vac-acc.gc.ca http://www.veterans.gc.ca/ Govt body Int 3 Complete 2012/11/06 12:00:00 2012/11/13 12:00:00 2012/11/13 04:47:54 UV 2.16.840.1.113883.3.2583 ndoc NDoc Homecare EMR software Thomas Peth masked Tom Peth 180 Good Dr Lancaster, PA 17603 717-283-0980 masked Thornberry Ltd 180 Good Dr Lancaster, PA 17603 717-283-0980 tpeth@thornberryltd.com Vendor Int 3 Complete 2012/11/06 12:00:00 2012/11/13 12:00:00 2012/11/13 04:50:46 US 2.16.840.1.113883.3.2584 umed United Medical, LLC John Donnelly masked John Donnelly 131 Continental Dr. Suite 215 Newark, DE 19713 302-379-0959 masked Associate Director United Medical, LLC 131 Continental Dr. Suite 215 Newark, DE 19713 302-379-0959 JDonnelly@UMUSA.Net http://umusa.net Vendor Int 3 Complete 2012/11/06 12:00:00 2012/11/13 12:00:00 2012/11/13 06:19:45 UV 2.16.840.1.113883.3.2585 mdi Mid-Delaware Imaging Vicki Parikh masked Vicki Parikh 710 S. Queen St. Dover, DE 19904 302.734.9888 x128 masked Practice Administrator Mid-Delaware Imaging 710 S. Queen St. Dover, DE 19904 302.734.9888 vicki.parikh@gmail.com http://www.mdicenter.net Provider Int 3 Complete 2012/11/06 12:00:00 2012/11/13 12:00:00 2012/11/13 06:21:00 UV 2.16.840.1.113883.3.2586 avrmc Arkansas Valley Regional Medical Center Rocky Ackelson masked Annette Cook 1100 Carson Ave La Junta, CO 81050 719-383-6274 masked IT Application Support Specialist Arkansas Valley Regional Medical Center 1100 Carson Ave La Junta, CO 81050 719-384-5412 acook@avrmc.org http://www.avrmc.org Provider 2.16.750.1.3845412.3.1 Int 3 Complete 2012/11/06 12:00:00 2012/11/13 12:00:00 2016/02/10 02:15:14 UV 2.16.840.1.113883.3.1070.5099 mckesson-fusion-5099 mckesson-fusion-5099 Jennifer Meares masked Fusion Enrollment 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5099 2012/11/06 12:00:00 2012/11/13 12:00:00 2012/11/13 06:26:56 US 2.16.840.1.113883.3.2586.20 avrmc-acute-care Arkansas Valley Regional Medical Center Acute Care Rocky Ackelson masked Annette Cook 1100 Carson Ave La Junta, CO 81050 719-383-6274 masked IT Application Support Specialist Arkansas Valley Regional Medical Center - Hospital 1100 Carson Ave La Junta, CO 81050 719-384-5412 acook@avrmc.org http://www.avrmc.org Provider 2.16.840.1.113883.3.2586 Ext 14 3 Complete 2.16.840.1.113883.3.2586.20 2012/11/06 12:00:00 2012/11/13 12:00:00 2016/02/10 02:15:10 UV 2.16.840.1.113883.3.2586.30 avrmc-physicians-clinic Arkansas Valley Regional Medical Center Physician's Clinics Rocky Ackelson masked Annette Cook 1100 Carson Ave La Junta, CO 81050 719-383-6274 masked IT Application Support Specialist Arkansas Valley Regional Medical Center 1100 Carson Ave La Junta, CO 81050 719-384-5412 acook@avrmc.org http://www.avrmc.org Provider 2.16.840.1.113883.3.2586 Ext 14 3 Complete 2.16.840.1.113883.3.2586.30 2012/11/06 12:00:00 2012/11/13 12:00:00 2016/02/10 02:15:05 UV 2.16.840.1.113883.3.1070.5100 mckesson-fusion-5100 mckesson-fusion-5100 Jennifer Meares masked Fusion Enrollment 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5100 2012/11/06 12:00:00 2012/11/13 12:00:00 2012/11/13 06:34:06 US 1.2.36.1.2001.1005.41 hpi-based-Local-System-Identifier HPI-O based Local System Identifier Vin Sekar masked NEHTA Philip Wilford Level 2, 10 Browning Street West End, Brisbane, 4101, QLD 07 3023 8450 masked NEHTA philip.wilford@nehta.gov.au http://www.nehta.gov.au Govt body Ext 17 17 Complete 1.2.36.1.2001.1005.41 2012/11/06 12:00:00 2012/11/13 12:00:00 2013/09/09 07:54:40 AU 2.16.840.1.113883.3.2587 palisadeNH Palisade Nursing Home David Finkelstein masked David Finkelstein 5901 Palisade Avenue Riverdale, NY 10471 718-581-1576 masked CIO Palisade Nursing Home 5901 Palisade Avenue Riverdale, NY 10471 718-581-1000 dfinkelstein@hebrewhome.org http://www.hebrewhome.org Provider Int 3 Complete 2012/11/07 12:00:00 2012/11/13 12:00:00 2012/11/13 06:40:30 UV 2.16.840.1.113883.3.2552.1 dfchp Deaconess Family Care Hefner Pointe Brandice Walters masked Tamora Graham Brandice Walters 11101 Hefner Pointe Dr., Suite 105 Oklahoma City, OK 73120 405-262-8459 masked Clinic Manager Deaconess Physician Services, LLC 11101 Hefner Pointe Dr., Suite 105 Oklahoma City, oK 73120 405-751-5555 brandice.walters@deaconessokc.com Provider 2.16.840.1.113883.3.2552 Ext 14 17 Complete 2.16.840.1.113883.3.2552.1 2012/11/07 12:00:00 2012/11/13 12:00:00 2013/06/18 04:04:10 UV 2.16.840.1.113883.3.2552.2 dfcwh Deaconess Family Care West Hefner Brandice Walters masked Tamora Graham Brandice Walters 7221 West Hefner Rd Oklahoma City, OK 73162 405-262-8459 masked Clinic Manager Deaconess Physician Services, LLC 7221 West Hefner Rd Oklahoma City, OK 73162 405-470-6900 brandice.walters@deaconessokc.com Provider 2.16.840.1.113883.3.2552.2 Ext 14 17 Complete 2.16.840.1.113883.3.2552.2 2012/11/07 12:00:00 2012/11/13 12:00:00 2013/06/18 04:04:55 UV 2.16.840.1.113883.3.2552.3 dfcmem Deaconess Family Care West Memorial Brandice Walters masked Tamora Graham Brandice Walters 5720 W. Memorial Rd Oklahoma City, OK 73142 405-262-8459 masked Clinic Manager Deaconess Physician Services, LLC 5720 W. Memorial Rd Oklahoma City, OK 73142 405-470-7100 brandice.walters@deaconessokc.com Provider 2.16.840.1.113883.3.2552 Ext 14 17 Complete 2.16.840.1.113883.3.2552.3 2012/11/07 12:00:00 2012/11/13 12:00:00 2013/06/18 04:13:05 UV 2.16.840.1.113883.3.2552.4 dfcrc Deaconess Family Care Rose Creek Brandice Walters masked Tamora Graham Brandice Walters 16400 N May Avenue Oklahoma City, OK 73013 405-262-8459 masked Clinic Manager Deaconess Physician Services, LLC 16400 N May Avenue Oklahoma City, OK 73013 405-471-6800 brandice.walters@deaconessokc.com Provider 2.16.840.1.113883.3.2552 Ext 14 17 Complete 2.16.840.1.113883.3.2552.4 2012/11/07 12:00:00 2012/11/13 12:00:00 2013/06/18 04:13:52 UV 2.16.840.1.113883.3.2552.5 dfcport Deaconess Family Care North Portland Brandice Walters masked Tamora Graham Brandice Walters 3705 NW 63rd St., Suite 201 Oklahoma City, OK 73116 405-262-8459 masked Clinic Manager Deaconess Physician Services, LLC 3705 NW 63rd St., Suite 201 Oklahoma City, OK 73116 405-946-3373 brandice.walters@deaconessokc.com Provider 2.16.840.1.113883.3.2552 Ext 14 17 Complete 2.16.840.1.113883.3.2552.5 2012/11/07 12:00:00 2012/11/13 12:00:00 2013/06/18 04:15:05 UV 2.16.840.1.113883.3.2552.6 dfcpcpn Deaconess Family Care Primary Care North Brandice Walters masked Tamora Graham Brandice Walters 3330 NW 56th Suite 500 Oklahoma City, OK 73112 405-262-8459 masked Clinic Manager Deaconess Physician Services, LLC 3330 NW 56th Suite 500 Oklahoma City, OK 73112 405-608-7800 brandice.walters@deaconessokc.com Provider 2.16.840.1.113883.3.2552 Ext 14 17 Complete 2.16.840.1.113883.3.2552.6 2012/11/07 12:00:00 2012/11/13 12:00:00 2013/06/18 04:16:39 UV 2.16.840.1.113883.3.2552.7 dfcpcps Deaconess Family Care Primary Care Partners South Brandice Walters masked Tamora Graham Brandice Walters 8125 S Walker Oklahoma City, OK 73139 405-262-8459 masked Clinic Manager Deaconess Physician Services, LLC 8125 S Walker Oklahoma City, OK 73139 405-632-6000 brandice.walters@deaconessokc.com Provider 2.16.840.1.113883.3.2552 Ext 14 17 Complete 2.16.840.1.113883.3.2552.7 2012/11/07 12:00:00 2012/11/13 12:00:00 2013/06/18 04:17:31 UV 2.16.840.1.113883.3.2552.8 dfcbethany Deaconess Family Care Bethany Brandice Walters masked Tamora Graham Brandice Walters 6801 NW 39th Expressway Oklahoma City, OK 73008 405-262-8459 masked Clinic Manager Deaconess Physician Services, LLC brandice.walters@deaconessokc.com Provider 2.16.840.1.113883.3.2552 Ext 14 17 Complete 2.16.840.1.113883.3.2552.8 2012/11/07 12:00:00 2012/11/13 12:00:00 2013/04/15 05:38:07 UV 2.16.840.1.113883.3.2552.9 dfctuttle Deaconess Family Care Tuttle Brandice Walters masked Tamora Graham Brandice Walters 4805 E Hwy 37 Tuttle, OK 73089 405-262-8459 masked Clinic Manager Deaconess Physician Services, LLC 4805 E Hwy 37 Tuttle, OK 73089 405-381-9979 brandice.walters@deaconessokc.com Provider 2.16.840.1.113883.3.2552 Ext 14 17 Complete 2.16.840.1.113883.3.2552.9 2012/11/07 12:00:00 2012/11/13 12:00:00 2013/06/18 04:18:25 UV 2.16.840.1.113883.3.2552.10 dfcpiedmont Deaconess Family Care Piedmont Brandice Walters masked Tamora Graham Brandice Walters 63 Gooder Simpson Blvd Piedmont, OK 73078 405-262-8459 masked Clinic Manager Deaconess Physician Services, LLC 63 Gooder Simpson Blvd Piedmont, OK 73078 405-373-0380 brandice.walters@deaconessokc.com Provider 2.16.840.1.113883.3.2552 Ext 14 17 Complete 2.16.840.1.113883.3.2552.10 2012/11/07 12:00:00 2012/11/13 12:00:00 2013/06/18 04:19:10 UV 2.16.840.1.113883.3.2552.11 dimid Deaconess Internal Medicine and Infectious Disease Brandice Walters masked Tamora Graham Brandice Walters 5701 N. Portland Ave., Suite 126 Oklahoma City, OK 73112 405-262-8459 masked Clinic Manager Deaconess Physician Services, LLC 5701 N. Portland Ave., Suite 126 Oklahoma City, OK 73112 405-604-4300 brandice.walters@deaconessokc.com Provider 2.16.840.1.113883.3.2552 Ext 14 17 Complete 2.16.840.1.113883.3.2552.11 2012/11/07 12:00:00 2012/11/13 12:00:00 2013/06/18 04:20:06 UV 2.16.840.1.113883.3.2552.12 dim Deaconess Internal Medicine Brandice Walters masked Tamora Graham Brandice Walters 5701 N Portland Ave Suite 325 Oklahoma City, OK 73112 405-262-8459 masked Clinic Manager Deaconess Physician Services, LLC 5701 N Portland Ave Suite 325 Oklahoma City, OK 73112 405-604-6303 brandice.walters@deaconessokc.com Provider 2.16.840.1.113883.3.2552 Ext 14 17 Complete 2.16.840.1.113883.3.2552.12 2012/11/07 12:00:00 2012/11/13 12:00:00 2013/06/18 04:20:58 UV 2.16.840.1.113883.3.2552.13 dwh Deaconess Women's Health Brandice Walters masked Tamora Graham Brandice Walters 5401 N Portland Ave Suite 440 Oklahoma City, OK 73112 405-262-8459 masked Clinic Manager Deaconess Physician Services, LLC 5401 N Portland Ave Suite 440 Oklahoma City, OK 73112 405-604-4100 brandice.walters@deaconessokc.com Provider 2.16.840.1.113883.3.2552 Ext 14 17 Complete 2.16.840.1.113883.3.2552.13 2012/11/07 12:00:00 2012/11/13 12:00:00 2013/06/18 04:21:40 UV 2.16.840.1.113883.3.2552.14 dec Deaconess ENT Clinic Brandice Walters masked Tamora Graham Brandice Walters 5401 N Portland Suite 540 Oklahoma City, OK 73112 405-262-8459 masked Clinic Manager Deaconess Physician Services, LLC 5401 N Portland Suite 540 Oklahoma City, OK 73112 405-604-4475 brandice.walters@deaconessokc.com Provider 2.16.840.1.113883.3.2552 Ext 14 17 Complete 2.16.840.1.113883.3.2552.14 2012/11/07 12:00:00 2012/11/13 12:00:00 2013/06/18 04:25:53 UV 2.16.840.1.113883.3.2552.15 dgyn Deaconess Gynecology Brandice Walters masked Tamora Graham Brandice Walters 5300 N Grand, Suite 300 Oklahoma, OK 73112 405-262-8459 masked Clinic Manager Deaconess Physician Services, LLC 5300 N Grand, Suite 300 Oklahoma, OK 73112 405-948-4333 brandice.walters@deaconessokc.com Provider 2.16.840.1.113883.3.2552 Ext 14 17 Complete 2.16.840.1.113883.3.2552.15 2012/11/07 12:00:00 2012/11/13 12:00:00 2013/06/18 04:26:45 UV 2.16.840.1.113883.3.2588 optimOncology Midwest Oncology Group Rumi Manandhar masked Rumi Manandhar 230 N Midwest Blvd, Midwest City OK 73110 405-737-8455 masked IT Analyst Midwest Oncology Group 230 N Midwest Blvd, Midwest City OK 73110 405-737-8455 rmanandhar@optimoncology.com http://www.optimoncology.com/ Provider Int 3 Complete 2012/11/07 12:00:00 2012/11/13 12:00:00 2012/11/13 11:10:54 UV 2.16.840.1.113883.3.2552.16 dpa Deacones Pulmonary Associates Brandice Walters masked Tamora Graham Brandice Walters 5401 N Portland Suite 390 Oklahoma City, OK 73112 405-262-8459 masked Clinic Manager Deaconess Physician Services, LLC 5401 N Portland Suite 390 Oklahoma City, OK 73112 405-604-4578 brandice.walters@deaconessokc.com Provider 2.16.840.1.113883.3.2552 Ext 14 17 Complete 2.16.840.1.113883.3.2552.16 2012/11/07 12:00:00 2012/11/13 12:00:00 2013/06/18 04:27:37 UV 2.16.840.1.113883.3.2552.17 dpc Deaconess Pulmonary Clinic Brandice Walters masked Tamora Graham Brandice Walters 5701 N Portland Suite 220 Oklahoma City, OK 73112 405-262-8459 masked Clinic Manager Deaconess Physician Services, LLC 5701 N Portland Suite 220 Oklahoma City, OK 73112 405-604-4210 brandice.walters@deaconessokc.com Provider 2.16.840.1.113883.3.2552 Ext 14 17 Complete 2.16.840.1.113883.3.2552.17 2012/11/07 12:00:00 2012/11/13 12:00:00 2013/06/18 04:28:18 UV 2.16.840.1.113883.3.2588.1 optimMWC Optim Oncology Midwest City Rumi Manandhar masked Rumi Manandhar 230 N Midwest Blvd, Midwest City OK 73110 405-737-8455 masked IT Analyst Midwest Oncology Group 230 N Midwest Blvd, Midwest City OK 73110 450-737-8455 rmanandhar@optimoncology.com http://www.optimoncology.com/ Provider 2.16.840.1.113883.3.2588 Ext 14 3 Complete 2.16.840.1.113883.3.2588.1 2012/11/07 12:00:00 2012/11/20 12:00:00 2012/11/20 10:23:32 UV 2.16.840.1.113883.3.2588.3 optimMoore Optim Oncology Kliewer Rumi Manandhar masked Rumi Manandhar 230 N Midwest Blvd, Midwest City OK 73110 405-737-8455 masked IT Analyst Midwest Oncology Group 3110 SW 89th St, Suite # 200E Oklahoma City, OK 73159 405-799-5366 rmanandhar@optimoncology.com http://www.optimoncology.com/ Provider 2.16.840.1.113883.3.2588 Ext 14 3 Complete 2.16.840.1.113883.3.2588.3 2012/11/07 12:00:00 2012/11/20 12:00:00 2012/11/20 10:25:34 UV 2.16.840.1.113883.3.2588.2 optimPonca Optim Oncology Ponca City Rumi Manandhar masked Rumi Manandhar 230 N Midwest Blvd, Midwest City OK 73110 405-737-8455 masked IT Analyst St. Joseph Cancer Center of Northern Oklahoma 609 Virginia Ave. Ponca City, OK 74601 580-767-1300 rmanandhar@optimoncology.com http://www.optimoncology.com/ Provider 2.16.840.1.113883.3.2588 Ext 14 3 Complete 2.16.840.1.113883.3.2588.2 2012/11/07 12:00:00 2012/11/20 12:00:00 2012/11/20 10:24:23 UV 2.16.840.1.113883.3.2588.4 optimEdmond Optim Oncology Edmond Rumi Manandhar masked Rumi Manandhar 230 N Midwest Blvd, Midwest City OK 73110 405-737-8455 masked IT Analyst Midwest Oncology Group 1227 E. 9th St. Edmond, OK 73034 405-359-7358 rmanandhar@optimoncology.com http://www.optimoncology.com/ Provider 2.16.840.1.113883.3.2588 Ext 14 3 Complete 2.16.840.1.113883.3.2588.4 2012/11/07 12:00:00 2012/11/20 12:00:00 2012/11/20 10:27:00 UV 2.16.840.1.113883.3.2588.5 optimChickasha Optim Oncology Chickasha Rumi Manandhar masked Rumi Manandhar 230 N Midwest Blvd, Midwest City OK 73110 405-737-8455 masked IT Analyst Midwest Oncology Group 2222 Iowa Ave. Chickasha, OK 73018 405-224-0765 rmanandhar@optimoncology.com http://www.optimoncology.com/ Provider 2.16.840.1.113883.3.2588 Ext 14 3 Complete 2.16.840.1.113883.3.2588.5 2012/11/07 12:00:00 2012/11/20 12:00:00 2012/11/20 10:28:04 UV 2.16.840.1.113883.3.2588.6 artOKC Artesian Cancer Center Oklahoma City Rumi Manandhar masked Rumi Manandhar 230 N Midwest Blvd, Midwest City OK 73110 405-737-8455 masked IT Analyst Artesian Cancer Center OKC 3300 NW 56th Street, Ste LL 100 Oklahoma City, OK 73112 405-488-0700 rmanandhar@optimoncology.com http://www.optimoncology.com/ Provider 2.16.840.1.113883.3.2588 Ext 14 3 Complete 2.16.840.1.113883.3.2588.6 2012/11/07 12:00:00 2012/11/20 12:00:00 2012/11/20 10:30:30 UV 2.16.840.1.113883.3.2588.7 artMoore Artesian Cancer Center Moore Rumi Manandhar masked Rumi Manandhar 230 N Midwest Blvd, Midwest City OK 73110 405-737-8455 masked IT Analyst Artesian Cancer Center Moore 2117 Riverwalk Dr. Moore, OK 73160 405-703-1400 rmanandhar@optimoncology.com http://www.optimoncology.com/ Provider 2.16.840.1.113883.3.2588 Ext 14 3 Complete 2.16.840.1.113883.3.2588.7 2012/11/07 12:00:00 2012/11/20 12:00:00 2012/11/20 10:32:27 UV 2.16.840.1.113883.3.871.120 sbch-lab Santa Barbara Cottage Hospital Lab Sherry Lafler masked Sherry Lafler 805 569-7364 masked Sr System Analyst Gary Gill Santa Barbara Cottage Hospital Lab 400 West Pueblo Street Santa Barbara, CA 93105 805 879-8125 g1gill@sbch.org http://www.cottagehealthsystem.org Provider Ext 14 Complete 2.16.840.1.113883.3.871.120 2012/11/07 12:00:00 2012/11/20 12:00:00 2012/11/20 10:45:14 UV 2.16.840.1.113883.3.873.120 gvch-lab Goleta Valley Cottage Hospital Lab Sherry Lafler masked Sherry Lafler Cottage Health System 400 West Pueblo Street Santa Barbara, CA 93105 805 569-7364 masked Sr System Analyst Goleta Valley Cottage Hospital Goleta Valley Cottage Hospital 351 South Patterson Avenue Santa Barbara, CA 93111 805 967-3411 slafler@sbch.org http://www.cottagehealthsystem.org Provider 2.16.840.1.113883.3.873 Ext 14 Complete 2.16.840.1.113883.3.873.120 2012/11/07 12:00:00 2012/11/20 12:00:00 2012/11/20 10:46:22 UV 2.16.840.1.113883.3.870.120 sych-lab Santa Ynez Valley Cottage Hospital Lab Sherry Lafler masked Sherry Lafler Cottage Health System 400 West Pueblo Street Santa Barbara, CA 93105 805 569-7364 masked Sr System Analyst Santa Ynez Valley Cottage Hospital Santa Ynez Valley Cottage Hospital 2050 Viborg Road Solvang, CA 93463 805 688-6431 slafler@sbch.org http://www.cottagehealthsystem.org Provider 2.16.840.1.113883.3.870 Ext 14 Complete 2.16.840.1.113883.3.870.120 2012/11/07 12:00:00 2012/11/20 12:00:00 2012/11/20 10:48:13 UV 2.16.840.1.113883.3.2589 ucv Universidad Central de Venezuela Alberto Bellorin masked Alberto Bellorin Universidad Central de Venezuela Edif. Rectorado, Planta Baja Caracas, 1040, Venezuela +58(212)6054905 masked Subdirector IT Universidad Central de Venezuela Universidad Central de Venezuela Edif. Rectorado, Planta Baja Caracas, 1040, Venezuela +58(212)6054906 serviciosdtic@ucv.ve http://www.ucv.ve Academic Int 3 Complete 2012/11/07 12:00:00 2012/11/20 12:00:00 2012/11/20 10:52:26 UV 2.16.840.1.113883.3.2590 harris-healthcare-01 Harris Healthcare Solutions Andrew Harrison masked Andrew Harrison 16 Orbit Street Adamsdown Cardiff CF24 0JX Wales UK +447779388816 masked Harris Healthcare Solutions Harris Healthcare Solutions 7500 N Dobson Road Suite 200 Scottsdale, AZ 85256 480-833-5010 aharri10@harris.com Vendor Int 3 Complete 2012/11/08 12:00:00 2012/11/20 12:00:00 2012/11/20 10:55:35 UV 2.16.840.1.113883.3.2591 nyec New York eHealth Collaborative Mukul Govil masked Luke Doles New York eHealth Collaborative (NYeC) 40 Worth Street, 5th Floor New York, NY 10013 6466196690 masked New York eHealth Collaborative New York eHealth Collaborative (NYeC) 40 Worth Street, 5th Floor New York, NY 10013 6466196400 info@nyehealth.org http://nyehealth.org/ Govt body Int 3 Complete 2012/11/08 12:00:00 2012/11/20 12:00:00 2015/02/12 10:58:52 UV 2.16.840.1.113883.3.2592 ouptulsa OU Physicians Tulsa Benny Holloway masked Tammy Beagles Benny Holloway 4502 E. 41st Street Tulsa, OK 74135-2512 918-660-3052 masked Data Analyst OU Physicians Tulsa 4444 E. 41st Street Tulsa, OK 74135-2512 918-619-4400 TulsaEMR@ouhsc.edu http://tulsa.ouhsc.edu Academic 2.16.840.1.113883.3.2592 Int 3 Complete 2012/11/08 12:00:00 2012/11/20 12:00:00 2013/01/14 03:53:42 UV 2.16.840.1.113883.3.493.860.4.162 mortoncornerstone Morton Comprehensive Health Services Cornerstone Clinic Location Bard Moss masked Stan Fosburg Stan Fosburg 1334 N Lansing Ave Tulsa, OK 74106 918-587-2171 masked MIS Department Morton Comprehensive Health Services 1334 N Lansing Ave Tulsa, OK 74106 918-587-2171 mis@mortonhealth.org http://www.mortonhealth.org Provider 2.16.840.1.113883.3.493.860 Ext 3 Complete 2.16.840.1.113883.3.493.860.4.162 2012/11/08 12:00:00 2012/11/20 12:00:00 2012/11/20 11:14:41 UV 2.16.840.1.113883.3.2593 cullmanheart Cullman Heart & Urgent Care OID Root Cindy Henry masked Cindy Henry 1801 Parkview Drive NE Cullman, Alabama 35058 (256)255-1903 masked Office Manager Cullman Heart & Urgent Care, P.C. 1801 Parkview Drive NE Cullman, Alabama 35058 (256)775-6550 cullmancardio208@bellsouth.net http://www.cullmanheart.com/ Provider Int 3 Complete 2012/11/08 12:00:00 2012/11/20 12:00:00 2012/11/20 11:17:47 UV 2.16.840.1.113883.3.2594 clinixMIS ClinixMIS LLC Erik Toft masked ClinixMIS LLC 278 Franklin Road Suite 300. Brentwood, TN 37027 615-309-5953 masked Sr. Software Developer ClinixMIS LLC 278 Franklin Road Suite 300. Brentwood, TN 37027 615-309-5953 erik.toft@clinixmis.com http://www.clinixmis.com/ Vendor Int 3 Complete 2012/11/09 12:00:00 2012/11/20 12:00:00 2012/11/20 11:38:41 UV 2.16.840.1.113883.3.2595 clinixMD ClinixMD LLC Erik Toft masked ClinixMD LLC 278 Franklin Road Suite 300. Brentwood, TN 37027 615-309-5953 masked ClinixMD LLC 278 Franklin Road Suite 300. Brentwood, TN 37027 615-309-5953 erik.toft@clinixmis.com Vendor Int 3 Complete 2012/11/09 12:00:00 2012/11/20 12:00:00 2012/11/20 11:39:51 UV 2.16.840.1.113883.3.1070.5089 mckesson-fusion-5089 mckesson-fusion-5089 Johnny Moore masked Fusion Enrollment 4047048665 masked Fusion Enrollment johnny.moore@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5089 2012/11/09 12:00:00 2012/11/20 12:00:00 2012/11/20 11:40:43 UV 2.16.840.1.113883.3.2036.20 infecdisease SJP Infectious Disease Ahisha Peters masked kary.cummins@sjmc.org Ahisha Peters 1923 S. Utica Ave Tulsa, OK 74104 918-744-3131 x16737 masked Clinical Analyst SJP Infectious Disease 1919 South Wheeling Avenue, Ste 404 918-744-3131 x16737 Ahisha.Peters@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2036 Ext 3 3 Complete 2.16.840.1.113883.3.2036.20 2012/11/09 12:00:00 2012/11/20 12:00:00 2012/11/20 11:49:25 UV 2.16.840.1.113883.3.2036.21 imsg SJP Internal Medicine Specialty Group Ahisha Peters masked kary.cummins@sjmc.org Ahisha Peters 1923 S. Utica Ave Tulsa, OK 74104 918-744-3131 x16737 masked Clinical Analyst SJP Internal Medicine Specialty Group 1725 E 19th St, Ste 501 Tulsa, OK 74104 918-745-6990 Ahisha.Peters@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2036 Ext 3 3 Complete 2.16.840.1.113883.3.2036.21 2012/11/09 12:00:00 2012/11/20 12:00:00 2012/11/20 11:51:22 UV 2.16.840.1.113883.3.2036.22 internalmed SJP Internal Medicine Ahisha Peters masked kary.cummins@sjmc.org Ahisha Peters 1923 S. Utica Ave Tulsa, OK 74104 918-744-3131 x16737 masked Clinical Analyst SJP Internal Medicine 1705 E. 19th St., Ste. 705 Tulsa, OK 74104 918-748-1350 Ahisha.Peters@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2036 Ext 3 3 Complete 2.16.840.1.113883.3.2036.22 2012/11/09 12:00:00 2012/11/20 12:00:00 2012/11/20 11:54:44 UV 2.16.840.1.113883.3.2596 wpml West Pacific Medical Laboratory Ilene Jimenez masked West Pacific Medical Lab Ilene 10200 S. Pioneer Blvd, #500 Santa Fe Springs, CA 90670 562-906-5227 masked EMR Specialist West Pacific Medical Lab 10200 S. Pioneer Blvd, #500 Santa Fe Springs, CA 90670 562-906-5227 ilenej@wpml.co https://www.wpml.co Vendor Int 3 Complete 2012/11/09 12:00:00 2012/11/20 12:00:00 2012/11/20 11:59:21 UV 2.16.840.1.113883.3.2597 phpe Premier Health Partners External Bob Arndt masked Bob Arndt 110 N Main Street Dayton, Ohio 45402 (937) 499-7817 masked Information Exchange Manager Medicity rbrant@medicity.com http://www.medicity.com Exchange Int 3 Complete 2012/11/12 12:00:00 2012/11/20 12:00:00 2012/11/20 12:01:27 UV 2.16.840.1.113883.3.2598 tpc The Providence Center Bill Cadieux masked Cheryl Melo Bill Cadieux 530 North Main Street Providence, RI 02904 401-528-0175 masked Chief Information Officer The Providence Center 530 North Main Street Providence, RI 02904 401-276-4000 bcadieux@provctr.org http://www.provctr.org Provider Int 3 Complete 2012/11/12 12:00:00 2012/11/20 12:00:00 2012/11/20 12:02:40 US 2.16.840.1.113883.3.2599 aruplaboratories ARUP Laboratories, Inc. Larry West masked Larry West ARUP Laboratories, Inc. 500 Chipeta Way Salt Lake City, UT 84108 801-583-2787 x-2118 masked Systems Integrations Director ARUP Laboratories, Inc. 500 Chipeta Way Salt Lake City, UT 84108 801-583-2787 larry.west@aruplab.com http://www.aruplab.com Provider Int 3 Complete 2012/11/12 12:00:00 2012/11/20 12:00:00 2012/11/20 12:05:08 UV 2.16.840.1.113883.2.3.3.11.2.5.1 pcs-md-patientId PenComputerSystem - Patient record id for Medical Director Dennis Nguyen masked Dennis Nguyen Suite 505, Level 5 434 St Kilda Road Melbourne VIC 3004 421105494 masked Software Engineer PEN Computer System dennis.nguyen@pencs.com.au http://www.pencs.com.au Vendor 2.16.840.1.113883.2.3.3.11 Ext 4 Complete 2.16.840.1.113883.2.3.3.11.2.5.1 2012/11/13 12:00:00 2012/11/20 12:00:00 2012/11/20 12:52:36 UV 2.16.840.1.113883.2.3.3.11.2.19.1 pcs-bp-patientId PenComputerSystem - Patient record id for Best Practice Dennis Nguyen masked Dennis Nguyen Suite 505, Level 5 434 St Kilda Road Melbourne VIC 3004 +61 3 9866 8477 masked Software Engineer PEN Computer System dennis.nguyen@pencs.com.au http://www.pencs.com.au Vendor 2.16.840.1.113883.2.3.3.11 Ext 4 Complete 2.16.840.1.113883.2.3.3.11.2.19.1 2012/11/13 12:00:00 2012/11/20 12:00:00 2012/11/20 12:54:14 UV 2.16.840.1.113883.2.3.3.11.2.11.4 pcs-bp-MedicareId PenComputerSystem - Medicare number for Best Practice Dennis Nguyen masked Dennis Nguyen Suite 505, Level 5 434 St Kilda Road Melbourne VIC 3004 +61 3 9866 8477 masked Software Engineer PEN Computer System dennis.nguyen@pencs.com.au http://www.pencs.com.au Vendor 2.16.840.1.113883.2.3.3.11 Ext 4 Complete 2.16.840.1.113883.2.3.3.11.2.11.4 2012/11/13 12:00:00 2012/11/20 12:00:00 2012/11/20 12:55:33 UV 2.16.840.1.113883.2.3.3.11.2.33.3 pcs-hpio PenComputerSystem - HPIO number Dennis Nguyen masked Dennis Nguyen Suite 505, Level 5 434 St Kilda Road Melbourne VIC 3004 +61 3 9866 8477 masked Software Engineer PEN Computer System dennis.nguyen@pencs.com.au http://www.pencs.com.au Vendor 2.16.840.1.113883.2.3.3.11 Ext 3 Complete 2.16.840.1.113883.2.3.3.11.2.33.3 2012/11/13 12:00:00 2012/11/20 12:00:00 2012/11/20 12:57:35 UV 2.16.840.1.113883.3.2600 pchPalosHeightsOID Palos Community Hospital OID for exchange of medical information Fred Kloese masked Peggy Carroll Palos Community Hospital Information Systems 12251 So 80th Avenue Palos Heights, IL 60463 708-923-4547 masked CIO Palos Community Hospital Information Systems Palos Community Hospital Information Systems 12251 So 80th Avenue Palos Heights, IL 60463 708-923-4544 operations@paloscomm.org http://www.paloscommunityhospital.org Provider Int 3 Complete 2012/11/13 12:00:00 2012/11/20 12:00:00 2012/11/20 01:00:44 UV 2.16.840.1.113883.3.1157.337.1 srmovva Srinivasa R Movva MD, PC Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.337.1 2012/11/13 12:00:00 2012/11/20 12:00:00 2024/08/01 11:51:55 UV 2.16.840.1.113883.3.1157.338.1 avaliable Available Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.338.1 2012/11/13 12:00:00 2012/11/20 12:00:00 2024/08/01 11:52:39 UV 2.16.840.1.113883.3.1157.339.1 mend M.E.N.D Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.339.1 2012/11/13 12:00:00 2012/11/20 12:00:00 2024/08/01 12:03:40 UV 2.16.840.1.113883.3.1157.340.1 ekrok Elion Krok Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.340.1 2012/11/13 12:00:00 2012/11/20 12:00:00 2024/08/01 12:04:38 UV 2.16.840.1.113883.3.1157.341.1 avgupta Avinash Gupta Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.341.1 2012/11/13 12:00:00 2012/11/20 12:00:00 2024/08/01 12:05:44 UV 2.16.840.1.113883.3.1157.342.1 fReda Frank Reda George Torre masked Missy Kenney George Torre CIS AWARE BULDING 185 LOWDEN AVE LONG BRANCH NJ, 07740 732-923-5131 masked Interface Analyst Barnabas Health 95 Old Short Hills Rd West Orange NJ, 07052 1-888-724-7123 gtorre@barnabashealth.org http://www.barnabashealth.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.342.1 2012/11/13 12:00:00 2012/11/20 12:00:00 2012/11/20 01:24:18 UV 2.16.840.1.113883.3.1157.343.1 associates-in-gastroenterology Associates in Gastroenterology George Torre masked Missy Kenney George Torre CIS AWARE BULDING 185 LOWDEN AVE LONG BRANCH NJ, 07740 732-923-5131 masked Interface Analyst Baranabas Health 95 Old Short Hills Rd West Orange NJ, 07052 1-888-724-7123 gtorre@barnabashealth.org http://www.barnabashealth.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.343.1 2012/11/13 12:00:00 2012/11/20 12:00:00 2012/11/20 01:26:53 UV 2.16.840.1.113883.3.1157.345.1 npatel Nachiket Patel George Torre masked Missy Kenney George Torre CIS AWARE BULDING 185 LOWDEN AVE LONG BRANCH NJ, 07740 732-923-5131 masked Interface Analyst Barnabas Health 95 Old Short Hills Rd West Orange NJ, 07052 1-888-724-7123 gtorre@barnabashealth.org http://www.barnabashealth.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.345.1 2012/11/13 12:00:00 2012/11/20 12:00:00 2012/11/20 01:29:04 UV 2.16.840.1.113883.3.1157.344.1 wstrazzella Dr. William Strazzella George Torre masked Missy Kenney George Torre CIS AWARE BULDING 185 LOWDEN AVE LONG BRANCH NJ, 07740 732-923-5131 masked Interface Analyst Barnabas Health 95 Old Short Hills Rd West Orange NJ, 07052 1-888-724-7123 gtorre@barnabashealth.org http://www.barnabashealth.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.344.1 2012/11/13 12:00:00 2012/11/20 12:00:00 2016/09/16 03:22:35 UV 2.16.840.1.113883.3.1157.346.1 available Available George Torre masked Missy Kenney George Torre CIS AWARE BULDING 185 LOWDEN AVE LONG BRANCH NJ, 07740 732-923-5131 masked Interface Analyst Barnabas Health 95 Old Short Hills Rd West Orange NJ, 07052 1-888-724-7123 gtorre@barnabashealth.org http://www.barnabashealth.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.346.1 2012/11/13 12:00:00 2012/11/20 12:00:00 2016/09/02 03:02:45 UV 2.16.840.1.113883.3.1157.347.1 jgreen Jon Green George Torre masked Missy Kenney George Torre CIS AWARE BULDING 185 LOWDEN AVE LONG BRANCH NJ, 07740 732-923-5131 masked Interface Analyst Barnabas Health 95 Old Short Hills Rd West Orange NJ, 07052 1-888-724-7123 gtorre@barnabashealth.org http://www.barnabashealth.org Provider 2.16.840.1.113883.3.1157 Ext 4 4 Complete 2.16.840.1.113883.3.1157.347.1 2012/11/13 12:00:00 2012/11/20 12:00:00 2012/11/20 01:38:21 UV 2.16.840.1.113883.3.2591.100 nyecSharedPlatform New York eHealth Collaborative Shared Platform HIE Matthew Simpson masked Mukul Govil Mukul Govil 6466196437 masked New York eHealth Collaborative New York eHealth Collaborative (NYeC) 40 Worth Street, 5th Floor New York, NY 10013 6466196400 info@nyehealth.org http://nyehealth.org/ Govt body 2.16.840.1.113883.3.2591 Ext 14 14 Complete 2.16.840.1.113883.3.2591.100 2012/11/13 12:00:00 2012/11/20 12:00:00 2012/11/20 01:43:11 UV 2.16.840.1.113883.3.2601 poi-2010 Perioperative Outcomes Initiative Margaret McLaughlin masked AkkeNeel Talsma 7347635199 masked Perioperative Outcomes Initative 2800 Plymouth Road NCRC Building 16 100N-15 Ann Arbor, MI 48109-2800 7346571110 POI-Tech@umich.edu Academic Int 3 Complete 2012/11/13 12:00:00 2012/11/20 12:00:00 2012/11/20 01:45:41 UV 2.16.840.1.113883.3.2591.100.1 nyecSharedPlatformDev New York eHealth Collaborative Shared Platform HIE Development Env Matthew Simpson masked Mukul Govil Mukul Govil 6466196437 masked New York eHealth Collaborative New York eHealth Collaborative (NYeC) 40 Worth Street, 5th Floor New York, NY 10013 6466196400 info@nyehealth.org http://nyehealth.org/ Govt body 2.16.840.1.113883.3.2591 Ext 17 17 Complete 2.16.840.1.113883.3.2591.100.1 2012/11/13 12:00:00 2012/11/20 12:00:00 2012/11/20 01:48:40 UV 2.16.840.1.113883.3.2591.100.1.1 shrxcaDev New York eHealth Collaborative Shared Platform HIE Development Env SHRXCA Matthew Simpson masked Mukul Govil Mukul Govil 6466196437 masked New York eHealth Collaborative New York eHealth Collaborative (NYeC) 40 Worth Street, 5th Floor New York, NY 10013 6466196400 info@nyehealth.org http://nyehealth.org/ Govt body 2.16.840.1.113883.3.2591 Ext 17 17 Complete 2.16.840.1.113883.3.2591.100.1.1 2012/11/13 12:00:00 2012/11/20 12:00:00 2012/11/20 01:54:04 UV 2.16.840.1.113883.3.2591.100.1.2 shragintDev New York eHealth Collaborative Shared Platform HIE Development Env SHRAGINT Matthew Simpson masked Mukul Govil Mukul Govil 6466196437 masked New York eHealth Collaborative New York eHealth Collaborative (NYeC) 40 Worth Street, 5th Floor New York, NY 10013 6466196400 info@nyehealth.org http://nyehealth.org/ Govt body 2.16.840.1.113883.3.2591 Ext 17 17 Complete 2.16.840.1.113883.3.2591.100.1.2 2012/11/13 12:00:00 2012/11/20 12:00:00 2012/11/20 02:54:45 UV 2.16.840.1.113883.3.2602 eFH Froedtert Health Sue Ostergaard masked Don Rozwick Froedtert Health Information Technology 400 Woodland Prime N74 W12501 Leatherwood Ct. Menomonee Falls, WI 53051 (414) 777-5912 (414)777-5172 masked Sr. Interface Analyst Froedtert Health Froedtert Health Information Technology 400 Woodland Prime N74 W12501 Leatherwood Ct. Menomonee Falls, WI 53051 (414) 777-5912 414-777-5172 don.rozwick@froedtert.com Provider Int 3 Complete 2012/11/13 12:00:00 2012/11/20 12:00:00 2014/08/18 07:08:16 UV 2.16.840.1.113883.3.2591.100.1.3 shrelmDev New York eHealth Collaborative Shared Platform HIE Development Env SHRELM Matthew Simpson masked Mukul Govil Mukul Govil 6466196437 masked New York eHealth Collaborative New York eHealth Collaborative (NYeC) 40 Worth Street, 5th Floor New York, NY 10013 6466196400 info@nyehealth.org http://nyehealth.org/ Govt body 2.16.840.1.113883.3.2591 Ext 17 17 Complete 2.16.840.1.113883.3.2591.100.1.3 2012/11/13 12:00:00 2012/11/20 12:00:00 2012/11/20 03:03:58 UV 2.16.840.1.113883.3.2591.100.1.4 shrlinDev New York eHealth Collaborative Shared Platform HIE Development Env SHRLIN Matthew Simpson masked Mukul Govil Mukul Govil 6466196437 masked New York eHealth Collaborative New York eHealth Collaborative (NYeC) 40 Worth Street, 5th Floor New York, NY 10013 6466196400 info@nyehealth.org http://nyehealth.org/ Govt body 2.16.840.1.113883.3.2591 Ext 17 17 Complete 2.16.840.1.113883.3.2591.100.1.4 2012/11/13 12:00:00 2012/11/20 12:00:00 2012/11/20 03:07:15 UV 2.16.840.1.113883.3.2603 hFMLH Froedtert Memorial Lutheran Hospital Sue Ostergaard masked Don Rozwick Froedtert Health Information Technology 400 Woodland Prime N74 W12501 Leatherwood Ct. Menomonee Falls, WI 53051 (414) 777-5912 (414)777-5172 masked Sr. Interface Analyst Froedtert Health Froedtert Health Information Technology 400 Woodland Prime N74 W12501 Leatherwood Ct. Menomonee Falls, WI 53051 (414) 777-5912 (414)777-5172 don.rozwick@froedtert.com http://www.froedtert.com Provider Int 3 Complete 2012/11/13 12:00:00 2012/11/20 12:00:00 2014/08/19 10:28:08 UV 2.16.840.1.113883.3.2591.100.1.5 shrqueDev New York eHealth Collaborative Shared Platform HIE Development Env SHRQUE Matthew Simpson masked Mukul Govil Mukul Govil 6466196437 masked n New York eHealth Collaborative (NYeC) 40 Worth Street, 5th Floor New York, NY 10013 6466196400 info@nyehealth.org http://nyehealth.org/ Govt body 2.16.840.1.113883.3.2591 Ext 17 17 Complete 2.16.840.1.113883.3.2591.100.1.5 2012/11/13 12:00:00 2012/11/20 12:00:00 2012/11/20 03:08:43 UV 2.16.840.1.113883.3.2591.100.1.6 shrwoodDev New York eHealth Collaborative Shared Platform HIE Development Env SHRWOOD Matthew Simpson masked Mukul Govil Mukul Govil 6466196437 masked New York eHealth Collaborative New York eHealth Collaborative (NYeC) 40 Worth Street, 5th Floor New York, NY 10013 6466196400 info@nyehealth.org http://nyehealth.org/ Govt body 2.16.840.1.113883.3.2591 Ext 17 17 Complete 2.16.840.1.113883.3.2591.100.1.6 2012/11/13 12:00:00 2012/11/20 12:00:00 2012/11/20 03:11:44 UV 2.16.840.1.113883.3.2604 hCMH Community Memorial Hospital Sue Ostergaard masked Don Rozwick Froedtert Health Information Technology 400 Woodland Prime N74 W12501 Leatherwood Ct. Menomonee Falls, WI 53051 (414)777-5172 masked Sr. Interface Analyst Froedtert Health Froedtert Health Information Technology 400 Woodland Prime N74 W12501 Leatherwood Ct. Menomonee Falls, WI 53051 (414)777-5172 don.rozwick@froedtert.com http://www.froedtert.com Provider Int 3 Complete 2012/11/13 12:00:00 2012/11/20 12:00:00 2014/08/19 10:31:38 UV 2.16.840.1.113883.3.2605 hStJoe St. Joseph's Hospital West Bend Sue Ostergaard masked Don Rozwick Froedtert Health Information Technology 400 Woodland Prime N74 W12501 Leatherwood Ct Menomonee Falls, WI 53051 (414)777-5172 masked Sr. Interface Analyst Froedtert Health Froedtert Health Information Technology 400 Woodland Prime N74 W12501 Leatherwood Ct Menomonee Falls, WI 53051 (414)777-5172 don.rozwick@froedtert.com http://www.froedtert.com Provider Int 3 Complete 2012/11/13 12:00:00 2012/11/20 12:00:00 2014/08/19 10:32:45 UV 2.16.840.1.113883.3.2036.23 sjneuro SJP St. John Neuroscience Institute Ahisha Peters masked kary.cummins@sjmc.org Ahisha Peters 1923 S. Utica Ave Tulsa, OK 74104 918-744-3131 x16737 masked Clinical Analyst SJP St. John Neuroscience Institute 2000 South Wheeling, Ste 200 Tulsa, OK 74104 918-748-7854 Ahisha.Peters@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2036 Ext 3 3 Complete 2.16.840.1.113883.3.2036.23 2012/11/13 12:00:00 2012/11/20 12:00:00 2012/11/20 03:44:43 UV 2.16.840.1.113883.3.2606 cFHMG-WB West Bend Clinic Sue Ostergaard masked Don Rozwick Froedtert Health Information Technology 400 Woodland Prime N74 W12501 Leatherwood Ct. Menomonee Falls, WI 53051 (414)777-5172 masked Sr. Interface Analyst Froedtert Health Froedtert Health Information Technology 400 Woodland Prime N74 W12501 Leatherwood Ct. Menomonee Falls, WI 53051 (414)777-5172 don.rozwick@froedtert.com http://www.froedtert.com Provider Int 3 Complete 2012/11/13 12:00:00 2012/11/20 12:00:00 2014/08/19 10:33:58 UV 2.16.840.1.113883.3.2607 cFHMG-MF Froedtert Health Medical Group-Menomonee Falls Sue Ostergaard masked Don Rozwick Froedtert Health Information Technology 400 Woodland Prime N74 W12501 Leatherwood Ct. Menomonee Falls, WI 53051 (414)777-5172 masked Sr. Interface Analyst Froedtert Health Froedtert Health Information Technology 400 Woodland Prime N74 W12501 Leatherwood Ct. Menomonee Falls, WI 53051 (414)777-5172 don.rozwick@froedtert.com http://www.froedtert.com Provider Int 3 Complete 2012/11/13 12:00:00 2012/11/20 12:00:00 2014/08/19 10:35:00 UV 2.16.840.1.113883.3.2608 cMCW Medical College of Wisconsin Clinics Sue Ostergaard masked Don Rozwick Froedtert Health Information Technology 400 Woodland Prime N74 W12501 Leatherwood Ct Menomonee Falls, WI 53051 (414)777-5172 masked Sr. Interface Analyst Froedtert Health Froedtert Health Information Technology 400 Woodland Prime N74 W12501 Leatherwood Ct Menomonee Falls, WI 53051 (414)777-5172 don.rozwick@froedtert.com http://www.froedtert.com Provider Int 3 Complete 2012/11/13 12:00:00 2012/11/20 12:00:00 2014/08/19 10:36:43 UV 2.16.840.1.113883.2.3.3.11.1.6 pcs-md-immunisation-type PenComputerSystem - Immunisation type for Medical Director Dennis Nguyen masked Dennis Nguyen Suite 505, Level 5 434 St Kilda Road Melbourne VIC 3004 421105494 masked Software Engineer PEN Computer System dennis.nguyen@pencs.com.au http://www.pencs.com.au Vendor 2.16.840.1.113883.2.3.3.11 Ext 4 Complete 2.16.840.1.113883.2.3.3.11.1.6 2012/11/13 12:00:00 2012/11/20 12:00:00 2012/11/20 03:55:22 UV 2.16.840.1.113883.3.2609 fmfi2012 Fairfax Medical Facilities, INC Sharon Hall masked Sharon Hall Linda Grigg 212 N Main Fairfax, OK 74637 5803993552 masked Network admin Fairfax Medical Facilities 212 N Main Fairfax, OK 74637 918-642-3100 lindagrigg380@hotmail.com http://www.fairfaxclinic.com Provider Int 3 3 Complete 2012/11/14 12:00:00 2012/11/27 12:00:00 2012/11/27 02:48:22 UV 2.16.840.1.113883.3.2610 chhi Cabell Huntington Hospital Dale Mullins masked Dale Mullins Information Systems 1340 Hal Greer Blvd. Huntington, WV 25701 304-526-2264 masked Interface Engineer Cabell Huntington Hospital 1340 Hal Greer Blvd. Huntington, WV 25701 304-526-2000 informationsystems@chhi.org http://www.cabellhuntington.org/ Provider Int 3 Complete 2012/11/14 12:00:00 2012/11/27 12:00:00 2012/11/27 02:51:09 UV 2.16.840.1.113883.3.2036.24 orthosurg SJP Orthopedic Surgeon Ahisha Peters masked Kary.Cummins@sjmc.org Ahisha Peters 1923 S. Utica Ave Tulsa, OK 74104 918-744-3131 x16737 masked Clinical Analyst SJP Orthopedic Surgeon SJP Orthopedic Surgeon 918-749-1418 Ahisha.Peters@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2036 Ext 4 4 Complete 2.16.840.1.113883.3.2036.24 2012/11/14 12:00:00 2012/11/27 12:00:00 2012/11/27 03:00:05 UV 2.16.840.1.113883.3.2036.25 sapulpaorthosurg SJP Sapulpa Orthopedic Surgeon Ahisha Peters masked kary.cummins@sjmc.org Ahisha Peters 1923 S. Utica Ave Tulsa, OK 74104 918-744-3131 x16737 masked Clinical Analyst SJP Sapulpa Orthopedic Surgeon 1021 E Bryan Sapulpa, OK 74066 918-403-7060 Ahisha.Peters@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2036 Ext 4 4 Complete 2.16.840.1.113883.3.2036.25 2012/11/14 12:00:00 2012/11/27 12:00:00 2012/11/27 03:01:36 UV 2.16.840.1.113883.3.2036.26 pedsurg SJP Pediatric Surgeon Ahisha Peters masked kary.cummins@sjmc.org Ahisha Peters 1923 S. Utica Ave Tulsa, OK 74104 918-744-3131 x16737 masked Clinical Analyst SJP Pediatric Surgeon 1725 East 19th Street, Ste 701 Tulsa, OK 74104 918-748-7878 Ahisha.Peters@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2036 Ext 4 4 Complete 2.16.840.1.113883.3.2036.26 2012/11/14 12:00:00 2012/11/27 12:00:00 2012/11/27 03:03:06 UV 2.16.840.1.113883.3.2036.27 breastsurg SJP Breast Surgeon Ahisha Peters masked kary.cummins@sjmc.org Ahisha Peters 1923 S. Utica Ave Tulsa, OK 74104 918-744-3131 x16737 masked Clinical Analyst SJP Breast Surgeon 2000 South Wheeling Avenue, Ste 100 Tulsa, OK 74104 918-403-7120 Ahisha.Peters@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2036 Ext 4 4 Complete 2.16.840.1.113883.3.2036.27 2012/11/14 12:00:00 2012/11/27 12:00:00 2012/11/27 03:05:14 UV 2.16.840.1.113883.3.2036.28 plasticsurg SJP Plastic Surgeon Ahisha Peters masked kay.cummins@sjmc.org Ahisha Peters 1923 S. Utica Ave Tulsa, OK 74104 918-744-3131 x16737 masked Clinical Analyst SJP Plastic Surgeon 2000 South Wheeling Avenue, Ste 100 Tulsa, OK 74104 918-403-7070 Ahisha.Peters@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2036 Ext 3 3 Complete 2.16.840.1.113883.3.2036.28 2012/11/14 12:00:00 2012/11/27 12:00:00 2012/11/27 03:07:15 UV 2.16.840.1.113883.3.1070.5105 mckesson-fusion-5105 mckesson-fusion 5105 Patricia Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment Patricia.Wilson4@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5105 2012/11/15 12:00:00 2012/11/27 12:00:00 2012/11/27 03:08:56 US 2.16.840.1.113883.3.2611 ellkay ELLKAY Mini Sankar masked Mini Sankar 2017910606 masked ELLKAY 259 Cedar Lane, Teaneck, NJ 2017910606 minis@ellkay.com Vendor Int 3 Complete 2012/11/15 12:00:00 2012/11/27 12:00:00 2012/11/27 03:16:29 UV 2.16.840.1.113883.3.2609.1 rcfh2012 Robert Clark Family Health Sharon Hall masked Linda Grigg Linda Grigg 212 N Main Fairfax, OK 74637 5803993552 masked Network Admin Robert Clark Family Health 212 N Main Fairfax, OK 74637 918-642-3100 lindagrigg380@hotmail.com http://www.fairfaxclinic.com Provider 2.16.840.1.113883.3.2609 Ext 14 14 Complete 2.16.840.1.113883.3.2609.1 2012/11/15 12:00:00 2012/11/27 12:00:00 2012/11/27 03:12:24 UV 2.16.840.1.113883.3.2612 hma721 Jefferson Memorial Hospital Fred Saberian masked Fred Saberian 407-654-1234 masked HIE Integration Consultant Jefferson Memorial Hospital 110 Hospital Drive Jefferson City, TN 37760 (865) 471-2500 Fred.Saberian@hma.com http://www.tennova.com/locations/jefferson-memorial-hospital Provider Int 3 Complete 2012/11/15 12:00:00 2012/11/27 12:00:00 2012/11/27 03:18:28 UV 2.16.840.1.113883.3.2613 hma717 Turkey Creek Medical Center Fred Saberian masked Fred Saberian 407-654-1234 masked HIE Integration Consultant Turkey Creek Medical Center 10820 Parkside Drive Knoxville, TN 37934 (865) 218-7011 Fred.Saberian@hma.com http://www.tennova.com/locations/turkey-creek-medical-center Provider Int 3 Complete 2012/11/15 12:00:00 2012/11/27 12:00:00 2012/11/27 03:21:31 UV 2.16.840.1.113883.3.2614 hma716 North Knoxville Medical Center Fred Saberian masked Fred Saberian 407-654-1234 masked HIE Integration Consultant North Knoxville Medical Center 7565 Dannaher Drive Powell, TN 37849 (865) 859-8000 Fred.Saberian@hma.com http://www.tennova.com/locations/north-knoxville-medical-center Provider Int 3 Complete 2012/11/15 12:00:00 2012/11/27 12:00:00 2012/11/27 03:22:56 UV 2.16.840.1.113883.3.2615 hma715 Physicians Regional Medical Center Fred Saberian masked Fred Saberian 407-654-1234 masked HIE Integration Consultant Physicians Regional Medical Center 900 E. Oak Hill Avenue Knoxville, TN 37917 (865) 545-8000 Fred.Saberian@hma.com http://www.tennova.com/locations/physicians-regional-medical-center Provider Int 3 Complete 2012/11/15 12:00:00 2012/11/27 12:00:00 2012/11/27 03:24:10 UV 2.16.840.1.113883.3.2609.2 hfhc2012 Hominy Family Health Center Sharon Hall masked Linda Grigg Linda Grigg 212 N main Fairfax, OK 74637 5803993552 masked network admin Hominy Family Health Center 119 W Main Hominy, OK 74035 918-885-4640 lindagrigg380@hotmail.com http://www.fairfaxclinic.com Provider 2.16.840.1.113883.3.2609 Ext 14 14 Complete 2.16.840.1.113883.3.2609.2 2012/11/15 12:00:00 2012/11/27 12:00:00 2012/11/27 03:26:54 UV 2.16.840.1.113883.3.2609.3 nfhc2012 Newkirk Family Health Center Sharon Hall masked Linda Grigg Linda Grigg 212 N Main Fairfax, OK 74637 5803993552 masked network admin Newkirk Family Health Center 601A W South Street Newkirk, OK 74647 580-362-2555 lindagrigg380@hotmail.com http://www.fairfaxclinic.com Provider 2.16.840.1.113883.3.2609 Ext 14 14 Complete 2.16.840.1.113883.3.2609.3 2012/11/15 12:00:00 2012/11/27 12:00:00 2012/11/27 03:28:41 UV 2.16.840.1.113883.3.2616 hma719 LaFollette Medical Center Fred Saberian masked Fred Saberian 407-654-1234 masked HIE Integration Consultant LaFollette Medical Center 923 East Central Avenue LaFollette, TN 37766 (423) 907-1200 Fred.Saberian@hma.com http://www.tennova.com/locations/lafollette-medical-center Provider Int 3 Complete 2012/11/15 12:00:00 2012/11/27 12:00:00 2012/11/27 03:32:44 UV 2.16.840.1.113883.3.2617 hma718 Newport Medical Center Fred Saberian masked Fred Saberian 407-654-1234 masked HIE Integration Consultant Newport Medical Center 435 Second Street Newport, TN 37821 (423) 625-2200 Fred.Saberian@hma.com http://www.tennova.com/locations/newport-medical-center Provider Int 3 Complete 2012/11/15 12:00:00 2012/11/27 12:00:00 2012/11/27 03:35:46 UV 2.16.840.1.113883.3.2618 hma847 Heart of Lancaster Regional Medical Center Fred Saberian masked Fred Saberian 407-654-1234 masked HIE Integration Consultant Heart of Lancaster Regional Medical Center 1500 Highlands Dr. Lititz, PA 17543 (717) 625-5000 Fred.Saberian@hma.com http://www.heartoflancaster.com/locations/heart-of-lancaster-regional-medical-center Provider Int 3 Complete 2012/11/15 12:00:00 2012/11/27 12:00:00 2012/11/27 03:38:02 UV 2.16.840.1.113883.3.2619 hma852 Lancaster Regional Fred Saberian masked Fred Saberian 407-654-1234 masked HIE Integration Consultant Lancaster Regional 250 College Avenue Lancaster, PA 17603 (717) 291-8211 Fred.Saberian@hma.com http://www.lancasterregional.com/about Provider Int 3 Complete 2012/11/15 12:00:00 2012/11/27 12:00:00 2012/11/27 03:39:32 UV 2.16.840.1.113883.3.2620 hma858 Carlisle Regional Medical Center Fred Saberian masked Fred Saberian 407-654-1234 masked HIE Integration Consultant Carlisle Regional Medical Center 361 Alexander Spring Road Carlisle, PA 17015 Fax: (717) 960-3520 (717) 249-1212 Fred.Saberian@hma.com http://www.carlislermc.com/ Provider Int 3 Complete 2012/11/15 12:00:00 2012/11/27 12:00:00 2012/11/27 03:41:40 UV 2.16.840.1.113883.3.2036.29 pulmonology SJP Pulmonology Ahisha Peters masked Kary.Cummins@sjmc.org Ahisha Peters 1923 S. Utica Ave Tulsa, OK 74104 918-744-3131 x16737 masked Clinical Analyst SJP Pulmonology 1725 East 19th Street, Ste 200 Tulsa, OK 74104 918-748-8381 Ahisha.Peters@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2036 Ext 4 4 Complete 2.16.840.1.113883.3.2036.29 2012/11/16 12:00:00 2012/11/27 12:00:00 2012/11/27 03:47:42 UV 2.16.840.1.113883.3.2036.30 radonc SJP Radiation Oncology Ahisha Peters masked Kary.Cummins@sjmc.org Ahisha Peters 1923 S Utica Avenue Tulsa, OK 74104 918-744-3131 x16737 masked Clinical Analyst SJP Radiation Oncology 1923 S Utica Avenue Tulsa, OK 74104 918-744-2071 Ahisha.Peters@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2036 Ext 4 4 Complete 2.16.840.1.113883.3.2036.30 2012/11/16 12:00:00 2012/11/27 12:00:00 2012/11/27 03:51:01 UV 2.16.840.1.113883.3.2036.31 traumasurg SJP Trauma Surgery Ahisha Peters masked Kary.Cummins@sjmc.org Ahisha Peters 1923 S. Utica Ave Tulsa, OK 74104 918-744-3131 x16737 masked Clinical Analyst SJP Trauma Surgery 1725 E. 19th St., Ste 800 Tulsa, OK 74104 918-744-3131 x16737 Ahisha.Peters@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2036 Ext 4 4 Complete 2.16.840.1.113883.3.2036.31 2012/11/16 12:00:00 2012/11/27 12:00:00 2012/11/27 04:07:28 UV 2.16.840.1.113883.3.2036.32 pelvichealthinst SJP Women's Pelvic Health Institute Ahisha Peters masked Kary.Cummins@sjmc.org Ahisha Peters 1923 S. Utica Ave Tulsa, OK 74104 918-744-3131 x16737 masked Clinical Analyst SJP Women's Pelvic Health Institute 1725 East 19th Street, Ste 701 Tulsa, OK 74104 918-748-1311 Ahisha.Peters@sjmc.org http://www.sjmc.org Provider 2.16.840.1.113883.3.2036 Ext 4 4 Complete 2.16.840.1.113883.3.2036.32 2012/11/16 12:00:00 2012/11/27 12:00:00 2012/11/27 04:13:10 UV 2.16.840.1.113883.3.2621 clinivate Clinivate LLC Steve Terui masked Steve Terui 626-683-1231 masked Clinivate LLC 99 S. Lake Ave., #17 Pasadena, CA 91101 626-683-1231 sterui@clinivate.com Vendor Int 3 Complete 2012/11/16 12:00:00 2012/11/27 12:00:00 2012/11/27 04:17:18 UV 2.16.840.1.113883.3.2622 svhcfljac St. Vincent's HealthCare Kenneth Booth masked Ann Carey St. Vincent's HealthCare 1 Shrcliff Way Jacksonville, FL 32204 904.308.6908 masked Vice President / Chief Information Officer St. Vincent's HealthCare St. Vincent's HealthCare 1 Shrcliff Way Jacksonville, FL 32204 904.308.7300 ann.carey@jaxhealth.com Provider Int 3 3 Complete 2012/11/19 12:00:00 2012/11/27 12:00:00 2012/11/27 04:18:54 UV 2.16.840.1.113883.3.2623 mmccso Maimonides Medical Center Central Services Organization Michael Carbery masked Michael P. Carbery 929 48th Street Brooklyn, NY 11219 718.283.7567 masked Director HIE, Care Management, Maimonides Medical Center Maimonides Medical Center 4802 Tenth Avenue Brooklyn, NY 11219 718.283.6000 healthhome@maimonidesmed.org https://www.maimonidesmed.org Provider 2.16.840.1.113883.4.367 Int 3 Complete 2012/11/19 12:00:00 2012/11/27 12:00:00 2017/01/12 03:20:37 UV 2.16.840.1.113883.3.2624 integris-IMG INTEGRIS Medical Group Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS Medical Group 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-633-9240 bryan.baucom@integrisok.com http://integrisok.com Provider Int 3 Complete 2012/11/19 12:00:00 2012/11/27 12:00:00 2015/06/30 03:30:04 UV 2.16.840.1.113883.3.2625 integris-regional INTEGRIS Regional Practice Management Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid, OK 73701 405-618-8415 masked Solutions Architect - Practice Management INTEGRIS Regional Practice Management 902 W. Wabash Enid, OK 73701 580-548-1367 Thomas.Hartman@Integrisok.com http://integrisok.com Provider Int 3 Complete 2012/11/19 12:00:00 2012/11/27 12:00:00 2012/11/27 04:25:25 UV 2.16.840.1.113883.3.2624.1000 integris-IFC-Altus INTEGRIS Physician Services - INTEGRIS Family Care Altus Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS Family Care Altus 201 South Park Lane Altus, OK 73251 580-432-9020 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1000 2012/11/19 12:00:00 2012/11/27 12:00:00 2012/11/27 04:30:48 UV 2.16.840.1.113883.3.2625.1000 miami-IMC Miami practice management - Internal Medicine Clinic Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid OK 73701 405-618-8415 masked Solutions Architect - Regional Internal Medicine Clilnic 310 2nd Ave SW Suite 107 Miami OK 74354 918-540-7820 Thomas.Hartman@Integrisok.com http://Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 14 Complete 2.16.840.1.113883.3.2625.1000 2012/11/19 12:00:00 2012/11/27 12:00:00 2012/11/27 04:32:21 UV 2.16.840.1.113883.3.2626 wilsonssllc Wilson Software Solutions, LLC Ron Wilson masked Ron Wilson 129 Pecan Harbor Rockport, TX 78382 361-460-3283 masked Wilson Software Solutions, LLC 129 Pecan Harbor Rockport, TX 78382 361-460-3283 ron.wilson@wilsonssllc.com http://www.wilsonssllc.com/ Vendor Int 3 Complete 2012/11/19 12:00:00 2012/11/27 12:00:00 2018/08/01 03:05:49 UV 2.16.840.1.113883.3.2625.1001 miami-surgeons Miami Surgeons Clinic Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid OK 73701 405-618-8415 masked Solutions Architect Miami Surgeons Clinic 310 2nd Ave SW Suite 208 Miami OK 74354 918-540-7870 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 14 Complete 2.16.840.1.113883.3.2625.1001 2012/11/19 12:00:00 2012/11/27 12:00:00 2012/11/27 08:59:24 UV 2.16.840.1.113883.3.2624.1001 integris-IFC-Central INTEGRIS Physician Services - INTEGRIS Family Care Central Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS Family Care Central 3400 NW Expressway Suite 500 Oklahoma City, OK 73112 405-945-4589 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1001 2012/11/19 12:00:00 2012/11/27 12:00:00 2012/11/27 09:02:34 UV 2.16.840.1.113883.3.2625.1002 miami-osc Orthopedic Surgery Clinic of Miami Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid OK 73701 405-618-8415 masked Solutions Architect Orthopedic Surgery Clinic of Miami 310 2nd Ave Sw Suite 207 Miami OK 74354 918-540-7782 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 14 Complete 2.16.840.1.113883.3.2625.1002 2012/11/19 12:00:00 2012/11/27 12:00:00 2012/11/27 09:09:09 UV 2.16.840.1.113883.3.2624.1002 integris-IFC-CoffeeCreek INTEGRIS Physicians Services - INTEGRIS Family Care Coffee Creek Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS Family Care Coffee Creek 2916 N. Kelly Avenue Edmond, OK 73003 405-715-5300 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1002 2012/11/19 12:00:00 2012/11/27 12:00:00 2012/11/27 09:11:43 UV 2.16.840.1.113883.3.2625.1003 miami-mpc Miami Physician Clinic Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid OK 73701 580-548-1367 masked Solutions Architect Miami Physicians Clinic 30 B street SW Miami OK 74354 918-542-5551 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 14 Complete 2.16.840.1.113883.3.2625.1003 2012/11/19 12:00:00 2012/11/27 12:00:00 2012/11/27 09:14:33 UV 2.16.840.1.113883.3.2624.1003 integris-IFC-EdmondEast INTEGRIS Physicians Services - INTEGRIS Family Care Edmond East Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS Family Care Edmond East 4833 INTEGRIS Parkway Suite 200 Edmond, OK 73034 405-657-3950 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1003 2012/11/19 12:00:00 2012/11/27 12:00:00 2012/11/27 09:25:37 UV 2.16.840.1.113883.3.2624.1004 integris-IFC-EdmondRenaissance INTEGRIS Physicians Services - INTEGRIS Family Care Edmond Renaissance Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS Family Care Edmond Renaissance 1700 S. Renaissance Edmond, OK 73013 405-844-4300 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1004 2012/11/19 12:00:00 2012/11/27 12:00:00 2012/11/27 09:27:41 UV 2.16.840.1.113883.3.2625.1004 miami-ucofok Urology Clinic of Oklahoma - Miami Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid OK 73701 405-618-8415 masked Solutions Architect Urology Clinic of NE Oklahoma 310 2nd Ave SW Suite 208 Miami OK 74354 918-540-7870 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 14 Complete 2.16.840.1.113883.3.2625.1004 2012/11/19 12:00:00 2012/11/27 12:00:00 2012/11/27 09:29:48 UV 2.16.840.1.113883.3.2624.1005 integris-IFC-MemorialWest INTEGRIS Physicians Services - INTEGRIS Family Care Memorial West Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS Family Care Memorial West 5915 W Memorial #330 Oklahoma City, OK 73142 405-773-6470 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1005 2012/11/19 12:00:00 2012/11/27 12:00:00 2012/11/27 09:32:18 UV 2.16.840.1.113883.3.2625.1005 miami-coc Dr. Clark Osborn Clinic - Miami Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid OK 73701 405-618-8415 masked Solutions Architect Clark Osborn Clinic - Miami 310 2nd SW Suite 105 Miami OK 74354 918-540-7730 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 14 Complete 2.16.840.1.113883.3.2625.1005 2012/11/19 12:00:00 2012/11/27 12:00:00 2012/11/27 09:36:16 UV 2.16.840.1.113883.3.2624.1006 integris-IFC-Moore INTEGRIS Physicians Services - INTEGRIS Family Care Moore Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS Family Care Moore 400 N Eastern Moore, OK 73160 405-793-1188 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1006 2012/11/19 12:00:00 2012/11/27 12:00:00 2012/11/27 09:39:02 UV 2.16.840.1.113883.3.2625.1006 grove-glfm Grand Lake Family Medicine Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid OK 73701 405-618-8415 masked Solutions Architect Grand Lake Family Medicine 1101 E 13th Grove OK 74344 918-786-7878 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 14 Complete 2.16.840.1.113883.3.2625.1006 2012/11/19 12:00:00 2012/11/27 12:00:00 2012/11/27 09:41:45 UV 2.16.840.1.113883.3.2624.1007 integris-IFC-Norman INTEGRIS Physicians Services - INTEGRIS Family Care Norman Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS Family Care Norman 700 24th Avenue NW Norman, OK 73069 405-364-0555 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1007 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 04:59:14 UV 2.16.840.1.113883.3.2625.1007 grove-tbs INTEGRIS Total Body Surgical - Grove Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid OK 73701 405-618-8415 masked Solutions Architect INTEGRIS Total Body Surgical 115 W. 13th Grove OK 74344 918-786-7780 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 14 Complete 2.16.840.1.113883.3.2625.1007 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 05:05:31 UV 2.16.840.1.113883.3.2624.1008 integris-UrgentCare INTEGRIS Physicians Services - INTEGRIS Urgent Care Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS Urgent Care 700 24th NW Norman, OK 73069 405-573-5400 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1008 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 05:14:56 UV 2.16.840.1.113883.3.2625.1008 grove-glo Grand Lake Orthopedics Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid OK 73701 405-618-8415 masked solutions architect Grand Lake Orthopedics 900 E. 13th Suite 104 Grove OK 74344 918-786-3391 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 14 Complete 2.16.840.1.113883.3.2625.1008 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 05:21:19 UV 2.16.840.1.113883.3.2624.1009 integris-IFC-Northwest INTEGRIS Physicians Services - INTEGRIS Family Care Northwest Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS Family Care Northwest 6601 W Hefner Road Oklahoma City,OK 73162 405-728-7692 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1009 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 05:28:31 UV 2.16.840.1.113883.3.2624.1010 integris-IFC-South INTEGRIS Physicians Services - INTEGRIS Family Care South Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS Family Care South 1600 SW 119th OKC, OK 73170 405-425-8100 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1010 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 05:33:12 UV 2.16.840.1.113883.3.2625.1009 grove-glfp Grand Lake Family Practice Thomas Hartman masked Thomas Hatman 902 W. Wabash Enid OK 73701 405-618-8415 masked solutions architect Grand Lake Family Practice 601 E. 13th Suite G Grove OK 74344 918-786-9009 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 14 Complete 2.16.840.1.113883.3.2625.1009 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 05:35:23 UV 2.16.840.1.113883.3.2624.1011 integris-IFC-SouthPenn INTEGRIS Physicians Services - INTEGRIS South Penn Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS South Penn 8600 S Pennsylvania OKC, OKO 73159 405-681-6625 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1011 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 05:37:26 UV 2.16.840.1.113883.3.2624.1012 integris-IFC-Southwest INTEGRIS Physicians Services - INTEGRIS Family Care Southwest Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS Family Care Southwest 4421 S Western Suite 3030 Oklahoma City, OK 73109 405-636-7650 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1012 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 05:41:00 UV 2.16.840.1.113883.3.2624.1013 integris-IFC-Yukon INTEGRIS Physicians Services - INTEGRIS Family Care Yukon Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS Family Care Yukon 1205 Health Center Parkway # 100 Yukon, OK 73099 405-717-5400 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1013 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 06:12:30 UV 2.16.840.1.113883.3.2624.1014 integris-IFC-WomensCare INTEGRIS Physicians Services - INTEGRIS Womens Care Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS Womens Care 3330 NW 56th Suite 300 OKC, OK 73112 405-945-5275 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1014 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 06:14:09 UV 2.16.840.1.113883.3.2624.1015 integris-EndocrinologyNorth INTEGRIS Physicians Services - INTEGRIS Endocrinology North Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS Endocrinology North 3366 NW Expressway Suite 200 OKC, OK 73112 405-945-4700 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1015 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 06:16:16 UV 2.16.840.1.113883.3.2625.1010 ifc-mustang Integris Family Care Mustang Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid OK 73701 405-618-8415 masked solutions architect Integris Family Care Mustang 1468 N. Mustang Rd. Mustang OK 73064 405-376-1800 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 14 Complete 2.16.840.1.113883.3.2625.1010 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 06:18:05 UV 2.16.840.1.113883.3.2625.1011 enid-ent Enid ENT Clinic Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid OK 73701 405-618-8415 masked solutions architect Enid ENT 3201 N Van Buren Suite 500 Enid OK 73703 580-237-7700 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 14 Complete 2.16.840.1.113883.3.2625.1011 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 06:23:06 UV 2.16.840.1.113883.3.2624.1016 integris-PabloPinzonMD INTEGRIS Physicians Services - INTEGRIS-Pablo Pinzon MD Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS-Pablo Pinzon MD 1601 SW 89th Building D, Ste 100 OKC, OK 73159 405-682-4000 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1016 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 06:25:38 UV 2.16.840.1.113883.3.2624.1017 integris-JamesWhiteMD INTEGRIS Physicians Services - INTEGRIS - James White MD Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS - James White MD 3366 NW Expressway Ste 500 OKC, OK 73112 405-945-4800 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1017 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 06:28:11 UV 2.16.840.1.113883.3.2625.1012 integris-cvobgyn Integris Canadian Valley OB/GYN Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid, OK 73701 405-618-8415 masked solutions architect Integris Canadian Valley OB/GYN 1205 Health Center Parkway Suite 250 Yukon, OK 73099 405-717-7820 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 14 Complete 2.16.840.1.113883.3.2625.1012 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 06:31:08 UV 2.16.840.1.113883.3.2625.1013 enid-plains Integris Family Physicians of the Plains Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid OK 73701 405-618-8415 masked solutions architect Integris Family Physicians of the Plains 915 E. Garriott Rd. Suite G Enid OK 73701 580-242-5100 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 14 Complete 2.16.840.1.113883.3.2625.1013 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 06:33:57 UV 2.16.840.1.113883.3.2624.1018 integris-Urogynecology INTEGRIS Physicians Services - INTEGRIS Urogynecology Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS Urogynecology 3366 NW Expressway #250 OKC, OK 73112 405-949-6945 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1018 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 06:39:46 UV 2.16.840.1.113883.3.2625.1014 enid-oge Obstetrics and Gynecology of Enid Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid OK 73701 405-618-8415 masked solutions architect Obstetrics and Gynecology of Enid 601 W. Garriott Enid OK 73701 580-233-1100 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 14 Complete 2.16.840.1.113883.3.2625.1014 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 06:37:04 UV 2.16.840.1.113883.3.2624.1019 integris-EndocrinologySouth INTEGRIS Physicians Services - INTEGRIS Endocrinology South Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS Endocrinology South 4221 S Western Suite 3030 OKC,OK 73109 405-644-6232 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1019 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 06:42:44 UV 2.16.840.1.113883.3.2627 ahc Aurora Health Care Robert Raschke masked Robert 3305 W. Forest Home Ave. Milwaukee, WI 53215 4146476449 masked Director Aurora Health Care rob.raschke@aurora.org http://www.aurorahealthcare.org Provider Int 3 Complete 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 06:44:44 UV 2.16.840.1.113883.3.2625.1015 enid-cardio Integris Heart and Vascular Institute of NW Oklahoma Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid OK 73701 405-618-8415 masked solutions architect Integris Heart and Vascular Institute of NW Oklahoma 707 S. Monroe Enid OK 73701 580-616-7630 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 14 Complete 2.16.840.1.113883.3.2625.1015 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 09:17:09 UV 2.16.840.1.113883.3.2624.1020 integris-ArunDevakondaMD INTEGRIS Physicians Services - INTEGRIS- Arun Devakonda MD Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS- Arun Devakonda MD 1044 SW 44th Suite 410 OKC, OK 73109 405-634-6417 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1020 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 09:23:50 UV 2.16.840.1.113883.3.2625.1016 enid-cfc Caldwell Family Clinic Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid OK 73701 405-618-8415 masked solutions architect Caldwell Family Clinic 415 S. Osage St. Caldwell KS 67022 620-845-2516 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 14 Complete 2.16.840.1.113883.3.2625.1016 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 09:26:59 UV 2.16.840.1.113883.3.2624.1021 integris-AmalMooradMD INTEGRIS Physicians Services - INTEGRIS - Amal Moorad MD Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS - Amal Moorad MD 4219 S. Western OKC, OK 73109 405-644-5428 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1021 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 09:20:36 UV 2.16.840.1.113883.3.2625.1017 enid-oa Orthopedic Associates of Enid Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid OK 73701 405-618-8415 masked solutions architect Orthopedic Associates of Enid 401 S. 3rd. Enid OK 73701 580-242-5700 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 14 Complete 2.16.840.1.113883.3.2625.1017 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 09:30:25 UV 2.16.840.1.113883.3.2624.1022 integris-NephrologySouth INTEGRIS Physicians Services - INTEGRIS Nephrology South Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS Nephrology South 4221 S. Western Suite 5050 OKC, OK 73109 405-644-5428 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1022 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 09:32:25 UV 2.16.840.1.113883.3.2624.1023 integris-NeurologyNorth INTEGRIS Neurology North Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS Neurology North 3433 NW 56th Ste 710 OKC, OK 73112 405-713-9930 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1023 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 09:36:58 UV 2.16.840.1.113883.3.2625.1018 enid-iff Integris Family First Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid OK 73701 405-618-8415 masked solutions architect Integris Family First 915 E. Garriott Suite K Enid OK 73701 580-242-4300 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 14 Complete 2.16.840.1.113883.3.2625.1018 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 09:39:25 UV 2.16.840.1.113883.3.2624.1024 integris-NeurologySouth INTEGRIS Physicians Services - INTEGRIS Neurology South Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS Neurology South 4221 S. Western Suite 5050 OKC, OK 73109 405-644-5428 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1024 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 09:45:56 UV 2.16.840.1.113883.3.2624.1025 integris-OrthopedicCentral INTEGRIS Physicians Services - INTEGRIS Orthopedic Central Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS Orthopedic Central 3433 NW 56th Ste 950 OKC, OK 73112 405-713-9940 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1025 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 09:48:20 UV 2.16.840.1.113883.3.2624.1026 integris-OrthopedicEdmond INTEGRIS Physicians Services - INTEGRIS Orthopedic Edmond Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS Orthopedic Edmond 4833 INTEGRIS Parkway Edmond, OK 73034 405-657-3990 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1026 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 09:52:48 UV 2.16.840.1.113883.3.2624.1027 integris-PainManagementSouth INTEGRIS Physicians Services - INTEGRIS Pain Management South Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS Pain Management South 4221 S Western #3030 OKC, OK 73109 405-636-7248 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1027 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 09:54:28 UV 2.16.840.1.113883.3.2625.1019 enid-inwfmc Integris Northwest Family Medicine Clinic Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid OK 73701 405-618-8415 masked solutions architect Integris Northwest Family Medicine Clinic 620 S. Madison Enid OK 73701 580-548-1544 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 14 Complete 2.16.840.1.113883.3.2625.1019 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 09:42:09 UV 2.16.840.1.113883.3.2624.1028 integris-PediatricNeurology INTEGRIS Physicians Services - INTEGRIS Pediatric Neurology Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS Pediatric Neurology 3330 NW 56th Ste 305 OKC, OK 73112 405-713-7060 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1028 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 09:57:14 UV 2.16.840.1.113883.3.2624.1029 integris-SleepMedicine INTEGRIS Physicians Services - INTEGRIS Sleep Medicine Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS Sleep Medicine 3433 NW 56th Ste 900 OKC, OK 73112 405-951-2141 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1029 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 09:59:19 UV 2.16.840.1.113883.3.2625.1020 enid-bdp Bruce D. Pendleton Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid OK 73701 405-618-8415 masked solutions architect Bruce D. Pendleton 620 S. Madison Suite 202 Enid OK 73701 580-616-7605 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 14 Complete 2.16.840.1.113883.3.2625.1020 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 10:01:15 UV 2.16.840.1.113883.3.2624.1030 integris-MichaelSeikelMD INTEGRIS Physicians Services - INTEGRIS - Michael Seikel MD Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS - Michael Seikel MD 3433 NW 56th Ste 210 OKC, OK 73112 405-945-4701 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1030 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 10:02:38 UV 2.16.840.1.113883.3.2624.1031 integris-SWCardiologyThoracicSurgery INTEGRIS Physicians Services - INTEGRIS Southwest Cardiology Thoracic Surgery Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS Southwest Cardiology Thoracic Surgery 4221 S Western Ste 2010 OKC, OK 73109 405-644-5120 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1031 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 10:06:27 UV 2.16.840.1.113883.3.2625.1021 enid-hmc Hennessey Medical Clinic Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid OK 73701 405-618-8415 masked solutions architect Hennessey Medical Clinic 300 N. Cherokee St. Hennessey, OK 73742 405-853-7171 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 14 Complete 2.16.840.1.113883.3.2625.1021 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 10:09:44 UV 2.16.840.1.113883.3.2624.1032 integris-SpineandNeurologicalSurgery INTEGRIS Physicians Services - INTEGRIS Spine and Neurological Surgery Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS Spine and Neurological Surgery 3075 NW 63rd Ste 212 OKC, OK 73116 405-552-0401 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1032 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 10:11:24 UV 2.16.840.1.113883.3.2625.1022 enid-iams Integris Adult Medicine Specialists Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid OK 73701 405-618-8415 masked solutions architect Integris Adult medicine Specialists 1608 Professional Circle Yukon, OK 73099 405-354-2118 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 14 Complete 2.16.840.1.113883.3.2625.1022 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 10:14:34 UV 2.16.840.1.113883.3.2624.1033 integris-AtulWaliaDO INTEGRIS Physicians Services - INTEGRIS - Atul Walia DO Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS - Atul Walia DO 3433 NW 56th Ste 950 OKC, OK 73112 405-945-4359 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1033 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 10:18:13 UV 2.16.840.1.113883.3.2624.1034 integris-WeightLoss INTEGRIS Physicians Services - INTEGRIS Weight Loss Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS Weight Loss 3366 NW Expressway # 200 OKC, OK 73112 405-951-2131 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1034 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 10:19:55 UV 2.16.840.1.113883.3.2625.1023 enid-chdo Chris Shearer DO Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid OK 73701 405-618-8415 masked solutions architect Chris Shearer DO 915 E. Garriott Suite C Enid OK 73701 580-234-6425 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 14 Complete 2.16.840.1.113883.3.2625.1023 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 10:25:33 UV 2.16.840.1.113883.3.2624.1035 integris-GreatPlainsFamilyPractice INTEGRIS Physicians Services - INTEGRISGreat Plains Family Practice Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS - Great Plains Family Practice 3500 NW 56th Ste 100 OKC, OK 73112 405-951-2855 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 14 Complete 2.16.840.1.113883.3.2624.1035 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 10:23:07 UV 2.16.840.1.113883.3.2625.1024 enid-asdo Aaron S. Sizelove DO Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid OK 73701 405-618-8415 masked solutions architect Aaron S. Sizelove DO 915 E. Garriott Suite B Enid OK 73701 580-213-9745 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 3 Complete 2.16.840.1.113883.3.2625.1024 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 10:31:14 UV 2.16.840.1.113883.3.2625.1025 enid-mfc Medford Family Clinic Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid OK 73701 405-618-8415 masked solutions architect Medford Family Clinic 158-B Sunset Dr. Medford OK 73759 580-395-2319 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 3 Complete 2.16.840.1.113883.3.2625.1025 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 10:33:04 UV 2.16.840.1.113883.3.2625.1026 enid-kt Keelie Tucker MD Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid OK 73701 405-618-8415 masked solutions architech Keelie Tucker MD 620 S. Madison Suite 107 Enid OK 73701 580-213-9760 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 14 Complete 2.16.840.1.113883.3.2625.1026 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 10:36:44 UV 2.16.840.1.113883.3.2625.1027 enid-iwtw Integris Woman to Woman Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid OK 73701 405-618-8415 masked solutions architect Integris Woman to Woman 620 S. Madison Suite 301 Enid OK 73701 580-233-6350 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 14 Complete 2.16.840.1.113883.3.2625.1027 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 10:38:36 UV 2.16.840.1.113883.3.2625.1028 enid-sae Surgical Associates of Enid Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid OK 73701 405-618-8415 masked solutions architect Surgical Associates of Enid 620 S. Madison Suite 108 Enid OK 73701 580-234-2289 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 3 Complete 2.16.840.1.113883.3.2625.1028 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 10:41:35 UV 2.16.840.1.113883.3.2625.1029 enid-nae Neurology Associates of Enid Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid OK 73701 405-618-8415 masked solutions architect Neurology Associates of Enid 620 S. Madison Suite 105 Enid OK 73701 580-213-9730 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 14 Complete 2.16.840.1.113883.3.2625.1029 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 10:43:50 UV 2.16.840.1.113883.3.2625.1030 enid-bw Brian D. Whitson MD Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid OK 73701 405-618-8415 masked solutions architect Brian D. Whitson MD 401 E. Oklahoma Suite A Enid OK 73701 580-213-9741 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 14 Complete 2.16.840.1.113883.3.2625.1030 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 10:46:39 UV 2.16.840.1.113883.3.2625.1031 enid-pae Pulmonology Associates of Enid Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid OK 73701 405-618-8415 masked solutions architect Pulmonology Associates of Enid 401 E. Oklahoma Suite B 580-234-5155 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 14 Complete 2.16.840.1.113883.3.2625.1031 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 10:50:08 UV 2.16.840.1.113883.3.2625.1032 enid-ifc-y Integris Family Care - Yukon Thomas Hartman masked Thomas Hartman 902 W. Wabash Enid OK 73701 405-618-8415 masked solutions architect Integris Family Care - Yukon 436 S. Mustang Rd. Yukon OK 73099 405-324-4000 Thomas.Hartman@Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 14 Complete 2.16.840.1.113883.3.2625.1032 2012/11/19 12:00:00 2012/12/12 12:00:00 2012/12/12 10:52:47 UV 2.16.840.1.113883.3.2628 major-hospital Major Hospital Carol Huesman masked Carol Huesman 150 West Washington Street Shelbyville, IN 46176 317-398-5265 masked Director of Information Systems Major Hospital 150 West Washington Street Shelbyville, IN 46176 317-392-3211 chuesman@majorhospital.org HL7 body Int 3 Complete 2012/11/20 12:00:00 2012/12/12 12:00:00 2012/12/12 10:56:07 UV 2.16.840.1.113883.3.2629 unchcs University of North Carolina Health Care System Bradley Cook masked Bradley Cook 919-843-5004 masked University of North Carolina Health Care System 919-843-5004 bdcook@unch.unc.edu Academic Int 3 Complete 2012/11/20 12:00:00 2012/12/12 12:00:00 2012/12/12 10:57:09 UV 2.16.840.1.113883.3.2452.5 kccdare Kay County Clinic Dare office Mindy Carr masked Jill Reiss Mindy Carr 1908 N 14 Ste 207 Ponca City OK 74601 580-762-0202 masked PRACTICE ADMINISTRATOR Mindy Carr 415 Fairview Ste 201 Ponca CIty OK 74601 MINDY_CARR@CHS.NET Provider 2.16.840.1.113883.3.2452 Ext 14 3 Complete 2.16.840.1.113883.3.2452.5 2012/11/20 12:00:00 2012/12/12 12:00:00 2013/06/11 09:23:46 UV 2.16.840.1.113883.3.2402.300 physicians-computer-company-vendors Physician's Computer Company (PCC) Vendors Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 14 Complete 2.16.840.1.113883.3.2402.300 2012/11/20 12:00:00 2012/12/12 12:00:00 2012/12/12 11:01:41 UV 2.16.840.1.113883.3.2630 weld Weld County Employee Medical Center Britton Jennings masked Britton Jennings 2800 Rockcreek Pkwy Kansas City, MO 64117 (816) 201-1024 masked System Architect Weld County Employee Medical Center bjennings@cerner.com Provider Int 3 3 Complete 2012/11/20 12:00:00 2012/12/12 12:00:00 2012/12/12 11:03:55 UV 2.16.840.1.113883.3.2402.300.1 physicians-computer-company-vendors-pathgroup Physician's Computer Company (PCC) Vendors PathGroup Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.300.1 2012/11/20 12:00:00 2012/12/12 12:00:00 2012/12/12 11:06:22 UV 2.16.840.1.113883.3.2402.300.2 physicians-computer-company-vendors-quest Physician's Computer Company (PCC) Vendors Quest Diagnostics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.300.2 2012/11/20 12:00:00 2012/12/12 12:00:00 2015/12/14 04:43:28 UV 2.16.840.1.113883.3.2402.300.3 physicians-computer-company-vendors-fahc Physician's Computer Company (PCC) Vendors FAHC Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.300.3 2012/11/20 12:00:00 2012/12/12 12:00:00 2012/12/12 11:09:45 UV 2.16.840.1.113883.3.2402.300.4 physicians-computer-company-vendors-labcorp Physician's Computer Company (PCC) Vendors LabCorp Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.300.4 2012/11/20 12:00:00 2012/12/12 12:00:00 2012/12/12 11:10:43 UV 2.16.840.1.113883.3.2631 ahsohip Avita Health System Alex Reed masked Alex Reed 269 Portland Way S, Galion, OH 44833 6146642603 masked IT Manager Medicity rbrant@medicity.com http://medicity.com Exchange Int 3 Complete 2012/11/20 12:00:00 2012/12/12 12:00:00 2012/12/12 11:15:13 UV 2.16.840.1.113883.3.2632 ahsbch Bucyrus Community Hospital Alex Reed masked Alex Reed 629 N Sandusky Ave, Bucyrus, OH 44820 6146642603 masked IT Manager Medicity rbrant@medicity.com http://medicity.com Exchange Int 3 Complete 2012/11/20 12:00:00 2012/12/12 12:00:00 2012/12/12 11:16:32 UV 2.16.840.1.113883.3.2633 luxmed-diagnostyka Lux Med Diagnostyka Tomasz Chudzik masked Tomasz +48224504500 masked IT Systems Departement Director Lux Med Diagnostyka ul. Postepu 21C 02-676 Warszawa Poland +48224504500 tomasz.chudzik@luxmed.pl http://www.luxmed-diagnostyka.pl Provider Int 3 Complete 2012/11/20 12:00:00 2012/12/12 12:00:00 2012/12/12 11:17:43 UV 2.16.840.1.113883.3.2634 mbmcoid Mile Bluff Medical Center Patricia Stubbs masked Patricia Stubbs 1050 Division St. Mauston, WI 53948 608-847-2720 masked Applications Administrator Mile Bluff Medical Center 1050 Division St. Mauston, WI 53948 608-847-6161 pstubbs@milebluff.com http://www.milebluff.com Provider Int 3 Complete 2012/11/23 12:00:00 2012/12/12 12:00:00 2012/12/12 11:20:24 UV 2.16.840.1.113883.3.2635 optodpa Optometrica O.D. P.A. P Michael Pham masked P Michael Pham 6747 Willow Lake Circle Fort Myers, FL 33966 239-415-6001 masked optometrist Optometrica O.D. P.A. 6747 Willow Lake Cir. Fort Myers, FL 33966 drpham@myod.us Provider Int 3 Complete 2012/11/26 12:00:00 2012/12/12 12:00:00 2012/12/12 11:21:46 UV 2.16.840.1.113883.3.2636 hjmc Henrietta Johnson Medical Center Craig Law masked Craig Law 601 New Castle Avenue Wilmington, DE 19801 4107889715 masked CEO Delaware Health Net, Inc. Henrietta Johnson Medical Center 601 New Castle Avenue Wilmington, DE 19801 rcraiglaw1@gmail.com http://www.hjmc.org Provider Int 3 Complete 2012/11/26 12:00:00 2012/12/12 12:00:00 2012/12/12 11:23:20 UV 2.16.840.1.113883.3.2637 lrhc La Red Health Center Craig Law masked Craig Law 601 New Castle Avenue Wilmington, DE 19801 4107889715 masked CEO - Delaware Health Net, Inc. La Red Health Center 21444 Carmean Way Georgetown, DE 19947 4107889715 rcraiglaw1@gmail.com http://laredhealthcenter.org Provider Int 3 Complete 2012/11/26 12:00:00 2012/12/12 12:00:00 2012/12/12 11:24:45 UV 2.16.840.1.113883.3.2638 shc-osborn Scottsdale Healthcare Osborn Michael Gleason masked Mary Beth Hess 480 298 0321 masked System Director Laboratory Scottsdale Healthcare - Osborn 7400 E. Osborn Rd Scottsdale Rd 85251 480 298 0321 mhess@shc.org http://www.shc.org Provider Int 3 Complete 2012/11/26 12:00:00 2012/12/12 12:00:00 2023/05/24 04:30:33 UV 2.16.840.1.113883.3.2639 shc-shea Scottsdale Healthcare Shea Michael Gleason masked Mary Beth Hess 480 298 0321 masked System Director Laboratory Mary Beth Hess 9003 E. Shea Blvd Scottsdale, AZ 85260 480 298 0321 mhess@shc.org http://www.shc.org Provider Int 3 Complete 2012/11/26 12:00:00 2012/12/12 12:00:00 2013/05/24 01:02:06 UV 2.16.840.1.113883.3.2640 shc-tpk Scottsdale Healthcare Thompson Peak Michael Gleason masked Mary Beth Hess 480 298 0321 masked System Director Laboratory Mary Beth Hess 7400 E. Thompson Peak Parkway Scottsdale, AZ 85255 480 298 0321 mhess@shc.org http://www.shc.org Provider Int 3 Complete 2012/11/26 12:00:00 2012/12/12 12:00:00 2013/05/24 12:54:33 UV 2.16.840.1.113883.3.2641 deaconess-hospital-spokane Deaconess Hospital - Spokane WA Luke Anderson masked Pam Vanover 800 W. Fifth Ave. Spokane, WA 99204 509-342-3804 masked Sr. Interface Analyst Deaconess Hospital 800 West Fifth Avenue Spokane, WA 99204 509-456-5800 PetersR@EmpireHealth.org Provider Int 3 Complete 2012/11/26 12:00:00 2012/12/12 12:00:00 2014/12/23 12:51:18 UV 2.16.840.1.113883.3.2642 valley-hospital-spokane Valley Hospital - Spokane WA Luke Anderson masked Pam Vanover 800 W Fifth Ave. Spokane, WA 99204 509-342-3804 masked Sr. Interface Analyst Valley Hospital 12606 E. Mission Ave Spokane Valley, WA 99216 509-924-6650 PetersR@EmpireHealth.org Provider Int 3 Complete 2012/11/26 12:00:00 2012/12/12 12:00:00 2014/12/23 12:52:49 UV 2.16.840.1.113883.3.2643 aetna-eb Aetna Emerging Businesses Joseph Compton masked joseph compton 203-364-4215 masked Aetna 151 farmington ave Hartford, CT 06105 860-273-0123 comptonj@aetna.com Payor Int 3 Complete 2012/11/26 12:00:00 2012/12/12 12:00:00 2012/12/12 11:38:29 UV 2.16.840.1.113883.3.2644 rrk University Hospitals Birmingham NHS Foundation Trust Paul Fletcher masked Paul Fletcher Queen Elizabeth Hospital Birmingham Wolfson Building, First Floor Edgbaston, Birmingham B15 2TH 0121 371 2128 masked Head of Development Services University Hospitals Birmingham NHS Foundation Trust Queen Elizabeth Hospital Birmingham Wolfson Building, First Floor Edgbaston, Birmingham B15 2TH 0121 371 2189 Stephen.Chilton@uhb.nhs.uk http://www.uhb.nhs.uk Govt body Int 3 Complete 2012/11/27 12:00:00 2012/12/12 12:00:00 2013/03/19 06:47:50 UK 2.16.840.1.113883.3.2645 episodealert Episode Alert MedR Wilbert Pariguana masked Sue Scharps 6971 North Federal Hwy Suite 300 Boca Raton, FL 33487, United States 561-208-3736 masked VP of Operations Episode Alert, LLC 6971 North Federal Hwy Suite 300 Boca Raton, FL 33487, United States 561-208-3736 support@ootbs.com http://episodealert.com Vendor Int 3 3 Complete 2012/11/27 12:00:00 2012/12/12 12:00:00 2012/12/12 11:43:30 US 2.16.840.1.113883.3.2646 cchc CommuniCare Health Centers George Suarez masked George Suarez 3066 E.Commerce San Antonio, Texas 78220 210.233.7078 masked Chief Information Officer CommuniCare Health Centers 3066 E.Commerce San Antonio, Texas 78220 2102337078 gsuarez@communicaresa.org http://www.communicaresa.org Provider Int 3 Complete 2012/11/27 12:00:00 2012/12/12 12:00:00 2015/03/26 02:25:09 UV 2.16.840.1.113883.3.2647 toyota-M-TH Toyota Motor Thailand Co.,Ltd. Chaiwiwat Tongtaweechaikit masked Sireerat Srisiriratanakul Chaiwiwat Tongtaweechaikit Faculty of Medicine Ramathibodi Hospital, Mahidol University, Rama 6, Ratchathewi, Bangkok, 10400, Thailand +66868825039 masked Software Developer Faculty of Medicine Ramathibodi Hospital Faculty of Medicine Ramathibodi Hospital, Mahidol University, Rama 6, Ratchathewi, Bangkok, 10400, Thailand +6622012701 j_jaina@hotmail.com http://www.ra.mahidol.ac.th Academic Int 3 Complete 2012/11/27 12:00:00 2012/12/12 12:00:00 2012/12/12 11:46:08 UV 2.16.840.1.113883.3.2648 eHIE-K AAA Healthcare Hospital Assigning Authority ID Naoyuki Kawachi masked Naoyuki Kawachi Naoyuki Kawachi 81-123-456-7890 masked AAA Healthcare Hospital naoyuki.kawachi@ge.com Vendor Int 3 Complete 2012/11/28 12:00:00 2012/12/12 12:00:00 2012/12/12 11:49:07 JP 2.16.840.1.113883.3.1070.5108 mckesson-fusion-5108 mckesson-fusion 5108 Patricia Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment Patricia.Wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5108 2012/11/28 12:00:00 2012/12/12 12:00:00 2012/12/12 11:51:10 US 2.16.840.1.113883.3.2649 careaccord-hie Oregon CareAccord Health Information Exchange Lauren Becktold masked Pete Mallord Sharon Wentz OHA - Office of Health IT 500 Summer Street E-52 Salem, OR 97301 503-983-4226 masked Business Development Coordinator Sharon Wentz 503-983-4226 Sharon.l.wentz@state.or.us Exchange Int 3 Complete 2012/11/28 12:00:00 2012/12/12 12:00:00 2012/12/12 11:54:28 UV 2.16.840.1.113883.3.2650 careaccord-test Oregon CareAccord Health Information Exchange Test Lauren Becktold masked Pete Mallord Sharon Wentz OHA - Office of Health IT 500 Summer Street E-52 Salem, OR 97301 503-983-4226 masked Business Development Coordinator Sharon Wentz 503-983-4226 Sharon.l.wentz@state.or.us Exchange Int 3 3 Complete 2012/11/28 12:00:00 2012/12/12 12:00:00 2012/12/12 11:57:07 UV 2.16.840.1.113883.3.1871.3.970 affpurcell AFF OK PURCELL MUNICIPAL HOSPITAL Rodney Rice masked Rodney Rice 314 951 5631 masked Interface Analyst Rodney Rice 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.970 2012/11/28 12:00:00 2012/12/12 12:00:00 2012/12/13 12:00:04 UV 2.16.840.1.11.3883.3.1070.5114 mckesson-fusion-5114 mckesson-fusion-5114 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.11.3883.3.1070.5114 2012/11/29 12:00:00 2012/12/12 12:00:00 2012/12/12 11:52:24 UV 2.16.840.1.113883.4.584 monumenthealth-cu Monument Health - Custer Patrick Tisdale masked Chris Brandner Patrick Tisdale 353 Fairmont Blvd Rapid City, SD 57701 605-716-8340 masked Director Monument Health 353 Fairmont Blvd Rapid City, SD 57701 605-719-8131 cbrandner@monument.health.com http://monument.health Provider 2.16.840.1.113883.3.1575 Int 3 Complete 2012/11/29 12:00:00 2012/12/19 12:00:00 2021/09/03 03:35:33 UV 2.16.840.1.113883.4.585 monumenthealth-ld Monument Health - Lead-Deadwood Patrick Tisdale masked Chris Brandner Patrick Tisdale 353 Fairmont Blvd Rapid City, SD 57701 605-716-8340 masked Director Monument Health 353 Fairmont Blvd Rapid City, SD 57701 605-719-8131 cbrandner@monument.health.com http://monument.health Provider 2.16.840.1.113883.3.1575 Int 3 Complete 2012/11/29 12:00:00 2012/12/19 12:00:00 2021/09/03 03:36:01 UV 2.16.840.1.113883.4.586 monumenthealth-sp Monument Health - Spearfish Patrick Tisdale masked Chris Brandner Patrick Tisdale 353 Fairmont Blvd Rapid City, SD 57701 605-716-8340 masked Director Monument Health 353 Fairmont Blvd Rapid City, SD 57701 605-719-8131 cbrandner@monument.health.com http://monument.health Provider 2.16.840.1.113883.3.1575 Int 3 Complete 2012/11/29 12:00:00 2012/12/19 12:00:00 2021/09/03 03:36:20 UV 2.16.840.1.113883.4.587 monumenthealth-sr Monument Health Spearfish Surgery Center Patrick Tisdale masked Chris Brandner Patrick Tisdale 353 Fairmont Blvd Rapid City, SD 57701 605-716-8340 masked Director Monument Health 353 Fairmont Blvd Rapid City, SD 57701 605-719-8131 cbrandner@monument.health.com http://monument.health Provider 2.16.840.1.113883.3.1575 Int 3 Complete 2012/11/29 12:00:00 2012/12/19 12:00:00 2021/09/03 03:31:01 UV 2.16.840.1.113883.4.588 monumenthealth-sd Same Day Surgery Center Patrick Tisdale masked Chris Brandner Patrick Tisdale 353 Fairmont Blvd Rapid City, SD 57701 605-716-8340 masked Director Monument Health 353 Fairmont Blvd Rapid City, SD 57701 605-719-8131 cbrandner@monument.health.com http://monument.health Provider 2.16.840.1.113883.3.1575 Int 3 Complete 2012/11/29 12:00:00 2012/12/19 12:00:00 2021/09/03 03:31:50 UV 2.16.840.1.113883.4.589 monumenthealth-st Monument Health - Sturgis Patrick Tisdale masked Chris Brandner Patrick Tisdale 353 Fairmont Blvd Rapid City, SD 57701 605-716-8340 masked Director Monument Health 353 Fairmont Blvd Rapid City, SD 57701 605-719-8131 cbrandner@monument.health.com http://monument.health Provider 2.16.840.1.113883.3.1575 Int 3 Complete 2012/11/29 12:00:00 2012/12/19 12:00:00 2021/09/03 03:33:47 UV 2.16.840.1.113883.4.590 monumenthealth-rc Monument Health - Rapid City Hospital Patrick Tisdale masked Chris Brandner Patrick Tisdale 353 Fairmont Blvd Rapid City, SD 57701 605-716-8340 masked Director Monument Health 353 Fairmont Blvd Rapid City, SD 57701 605-719-8131 cbrandner@monument.health.com http://monument.health Provider 2.16.840.1.113883.3.1575 Int 3 Complete 2012/11/29 12:00:00 2012/12/19 12:00:00 2021/09/03 03:34:52 UV 2.16.840.1.113883.3.2651 r-r-bhs Red Rock BHS Robert Lacy masked Robert Lacy 4400 N. Lincoln Blvd. Oklahoma City, OK 73105 405.425.0418 masked MIS Director Red Rock BHS rlacy@red-rock.com http://www.red-rock.com Provider Int 3 Complete 2012/11/29 12:00:00 2012/12/12 12:00:00 2012/12/13 12:03:06 UV 2.16.840.1.113883.3.2652 wellone WellOne Primary Medical and Dental Care Robert Giroux masked Robert Giroux Blackstone Valley Community Health Care 36 Park Place Pawtucket RI 02860 401-312-9810 masked WellOne Primary Medical and Dental Care Blackstone Valley Community Health Care 36 Park Place Pawtucket RI 02860 401-312-9810 rgiroux@bvchc.org Provider Int 17 3 Complete 2012/11/30 12:00:00 2012/12/12 12:00:00 2012/12/13 12:04:00 UV 2.16.840.1.113883.3.643.2 warrenclinicapplication Warren Clinic Application Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2 2012/11/30 12:00:00 2012/12/19 12:00:00 2012/12/19 07:23:59 UV 2.16.840.1.113883.3.2653 cols-reg-health Columbus Regional Health James Beall masked Alan Kays James Beall 2400 17th Street Columbus, IN 47201 812-376-5018 masked Sr. Programmer/Analyst Columbus Regional Health 2400 17th Street Columbus, IN 47201 812-379-4441 jbeall@crh.org Provider Int 3 Complete 2012/11/30 12:00:00 2012/12/19 12:00:00 2012/12/19 07:30:09 UV 2.16.840.1.113883.3.2653.100 col-reg-hosp Columbus Regional Hospital James Beall masked Alan Kays James Beall 2400 17th St Columbus, IN 47201 812-376-5018 masked Sr. Programmer/Analyst Columbus Regional Hospital 2400 17th St Columbus, IN 47201 812-379-4441 jbeall@crh.org http://www.crh.org Provider 2.16.840.1.113883.3.2653 Ext 14 14 Complete 2.16.840.1.113883.3.2653.100 2012/11/30 12:00:00 2012/12/19 12:00:00 2012/12/19 07:32:14 UV 2.16.840.1.113883.3.643.2.1 wcsbpediatricslocation WCSB Pediatrics Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.1 2012/11/30 12:00:00 2012/12/19 12:00:00 2012/12/19 07:25:17 UV 2.16.840.1.113883.3.2654 evgms EvergreenHealth MS Services John Peters masked John Peters 12040 NE 128th St Kirkland, WA 98034 4258993682 masked EvergreenHealth MS Services 12039 NE 128th Street, Suite 300 Kirkland, WA 98034 P: (425) 899-5350 jdpeters@evergreenhealthcare.org Provider Int 3 3 Complete 2012/11/30 12:00:00 2012/12/19 12:00:00 2012/12/19 07:38:31 UV 2.16.840.1.113883.3.2655 evgpul EvergreenHealth Pulmonary Care John Peters masked john peters masked EvergreenHealth Pulmonary Care 12333 NE 130th Lane, Suite 225 Kirkland, WA 98034 P: (425) 899-6972 jdpeters@evergreenhealthcare.org Provider Int 3 3 Complete 2012/11/30 12:00:00 2012/12/19 12:00:00 2012/12/19 07:41:55 UV 2.16.840.1.113883.3.2656 evgsenior EvergreenHealth Senior Care John Peters masked John Peters 4258993682 masked EvergreenHealth Senior Care 11521 NE 128th St #100 Kirkland, WA 98034-4317 P: (425) 899-6800 jdpeters@evergreenehealthcare.org Provider Int 3 3 Complete 2012/11/30 12:00:00 2012/12/19 12:00:00 2012/12/19 07:43:18 UV 2.16.840.1.113883.3.2657 evgsleep EvergreenHealth Sleep Services John Peters masked John Peters 4258993682 masked EvergreenHealth Sleep Services 11521 NE 128th St #130 Kirkland, WA 98034-4317 (425) 899-4280 jdpeters@evergreenhealthcare.org Provider Int 3 3 Complete 2012/11/30 12:00:00 2012/12/19 12:00:00 2012/12/19 07:50:39 UV 2.16.840.1.113883.3.2658 evgpark EvergreenHealth Parkinsons Services John Peters masked John Peters 4258993682 masked EvergreenHealth Parkinsons Services 12039 NE 128th Street, Suite 300 Kirkland, WA 98034 (425) 899-3123 jdpeters@evergreenhealthcare.org Provider Int 3 3 Complete 2012/11/30 12:00:00 2012/12/19 12:00:00 2012/12/19 07:52:00 UV 2.16.840.1.113883.3.2659 uhs Inland Valley Medical Center Heather Walmsley masked Mike Meall 610-382-4674 masked Project Manager Inland Valley Medical Center 36485 Inland Valley Drive Wildomar, CA 92595 (951) 677-9704 mike.meall@uhsinc.com http://www.uhsinc.com Provider Int 3 Complete 2012/12/02 12:00:00 2012/12/19 12:00:00 2012/12/19 07:53:50 UV 2.16.840.1.113883.3.2660 rsm Rancho Springs Medical Center Heather Walmsley masked Mike Meall 610-382-4674 masked Project Manager Rancho Springs Medical Center 25500 Medical Center Dr. Murrieta, CA 92562 mike.meall@uhsinc.com http://www.uhsinc.com Provider Int 3 Complete 2012/12/02 12:00:00 2012/12/19 12:00:00 2012/12/19 07:55:17 UV 2.16.840.1.113883.3.2661 omi Ocean Medical Imaging Thomas Spencer masked Thomas Spencer 3026845151 masked Lead Tech Ocean Medical Imaging 611 Federal Street Suite 4 Milton, DE 19968 3026845151 tds29704@gmail.com http://www.oceanmedicalimaging.net/ Provider Int 3 3 Complete 2012/12/03 12:00:00 2012/12/19 12:00:00 2014/07/31 12:59:58 UV 2.16.840.1.113883.3.1070.5111 mckesson-fusion-5111 mckesson-fusion-5111 Jennifer Meares masked Fusion Enrollment 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5111 2012/12/03 12:00:00 2012/12/19 12:00:00 2012/12/19 08:05:49 US 2.16.840.1.113883.3.2662 healthit2 HealthIT2 Inc Paul Cahill masked Paul Cahill 6265682883 masked HealthIT2 Inc. 6265682883 info@healthit2.com Vendor Int 3 Complete 2012/12/03 12:00:00 2012/12/19 12:00:00 2012/12/19 07:59:25 UV 2.16.840.1.113883.3.1070.5104 mckesson-fusion-5104 mckesson-fusion-5104 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5104 2012/12/03 12:00:00 2012/12/19 12:00:00 2012/12/19 08:08:30 US 2.16.840.1.113883.3.2663 tangtao Tang Tao Tang Tao masked Tang Tao +8613550017687 masked Tang Tao tangtao_xp@yahoo.com.cn Govt body Int 3 Complete 2012/12/03 12:00:00 2012/12/19 12:00:00 2013/04/20 09:39:44 CN 2.16.840.1.113883.3.1070.5110 mckesson-fusion-5110 mckesson-fusion-5110 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5110 2012/12/04 12:00:00 2012/12/19 12:00:00 2012/12/19 08:13:09 US 2.16.840.1.113883.3.1070.5109 mckesson-fusion-5109 mckesson-fusion-5109 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5109 2012/12/04 12:00:00 2012/12/19 12:00:00 2012/12/19 08:15:14 US 2.16.840.1.113883.3.1070.5118 mckesson-fusion-5118 mckesson-fusion 5118 Patricia Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment Patricia.Wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5118 2012/12/04 12:00:00 2012/12/19 12:00:00 2012/12/19 08:16:35 US 2.16.840.1.113883.3.2664 rootCAvc Viennacloud David Schwinger masked David Schwinger +43 676 8642 8476 masked Viennacloud office@viennacloud.at Provider Int 3 Complete 2012/12/05 12:00:00 2012/12/19 12:00:00 2012/12/19 08:23:07 AT 2.16.840.1.113883.3.2665 shri Sacred Heart Rehabilitation Institute Root OID Christopher Sansone masked Christopher Sansone 4425 N Port Washington Road Glendale, WI 53212 414-326-1793 masked SD Senior Analyst Interfaces Sacred Heart Rehabilitation Institute 2301 N. Lake Dr. Milwaukee, WI 53211 (414) 298-6700 csansone@columbia-stmarys.org Provider Int 3 3 Complete 2012/12/05 12:00:00 2012/12/19 12:00:00 2012/12/19 08:24:19 UV 2.16.840.1.113883.3.2666 ohow Orthopaedic Hospital of Wisconsin Root OID Christopher Sansone masked Todd Heikkinen 4425 N Port Washington Road Glendale, WI 53212 414-961-6751 masked Coodinator Quality and Clinical Data Orthopaedic Hospital of Wisconsin 475 West River Woods Pkwy. Glendale, WI53212 414-961-6800 csansone@columbia-stmarys.org http://www.ohow.com Provider Int 3 3 Complete 2012/12/05 12:00:00 2012/12/19 12:00:00 2022/06/27 06:47:10 UV 2.16.840.1.113883.3.2667 cch Columbia Center Root OID Christopher Sansone masked Christopher Sansone 4425 N Port Washington Road Glendale, WI 53212 414-326-1793 masked SD Senior Analyst Interfaces Columbia Center 13125 North Port Washington Road Mequon, Wisconsin 53097 262.243.7408 csansone@columbia-stmarys.org Provider Int 3 3 Complete 2012/12/05 12:00:00 2012/12/19 12:00:00 2012/12/19 08:28:29 UV 2.16.840.1.113883.3.2668 crhs Columbus Regional Healthcare Stephanie Todd masked Stephanie G. Todd 500 Jefferson Street Whiteville, NC 28472 9106421794 masked IS Clinical Analyst Columbus Regional Healthcare 500 Jefferson Street Whiteville, NC 28472 9106421794 stodd@crhealthcare.org http://crhealthcare.org Provider Int 3 Complete 2012/12/06 12:00:00 2012/12/19 12:00:00 2012/12/19 08:31:29 UV 2.16.840.1.113883.3.2669 beth-method Bethany Methodist Hospital MU CCD Shanza Farooq masked Shanza Farooq 5025 N. Paulina St Chicago, IL 60640 773-989-1407 masked Corporate IT Director Bethany Methodist Hospital 5025 N. Paulina St Chicago, IL 60640 773-989-1407 sfarooq@bethanymethodist.org http://www.bethanymethodist.org/hospital.html Provider Int 3 Complete 2012/12/06 12:00:00 2012/12/19 12:00:00 2012/12/19 08:47:13 UV 2.16.840.1.113883.3.2670 hgh Holdenville General Hospital Michael Combs masked Michael Combs 100 McDougal Drive Holdenville, Oklahoma 74848 4053794200 masked IT Manager Holdenville General Hospital 100 McDougal Drive Holdenville, Oklahoma 74848 4053794200 mcombs@hghospital.com http://www.holdenvillegeneral.org Provider Int 3 Complete 2012/12/06 12:00:00 2012/12/19 12:00:00 2012/12/19 08:48:23 UV 2.16.840.1.113883.11.20.11 clinicalOncologyValueSets Clinical Oncology Value Sets Bob Dolin masked Bob Dolin 949 466 4035 masked Structured Documents WG 949 466 4035 strucdoc@lists.hl7.org HL7 body Ext 11 Complete 2.16.840.1.113883.11.20.11 2012/12/06 12:00:00 2012/12/19 12:00:00 2012/12/19 08:51:47 UV 2.16.840.1.113883.3.2671 abriza Abriza Marco Seabra masked Seabra Marco Seabra 9900 85th St Raytown, MO 64138 8168081525 masked Partner Abriza LLC 9900 85th St Raytown, MO 64138 8168081525 mseabra@hotpromo.com http://abriza.net Vendor Int 3 Complete 2012/12/07 12:00:00 2012/12/19 12:00:00 2012/12/19 08:55:27 UV 2.16.840.1.113883.3.2672 srs FDA Substance Registration System William Hess masked William Albert Hess U.S. Food and Drug Administration Office of the Commissioner/Office of Information Management Office of the Chief Information Officer/Medical Informatics Staff 10903 New Hampshire Ave WO32-Room 4152 Silver Spring MD 20993-0002 3017968494 masked Pharmacist U.S. Food and Drug Administration 10903 New Hampshire Ave Silver Spring MD 20993-0002 8884636332 william.hess@fda.hhs.gov http://www.fda.gov Govt body 2.16.840.1.113883.3.24 Int 3 Complete 2012/12/07 12:00:00 2012/12/19 12:00:00 2012/12/19 08:57:43 UV 2.16.840.1.113883.3.2673 mosaiq MOSAIQ Rumi Manandhar masked Rumi Manandhar 230 N Midwest Blvd Midwest City, OK 73110 405-737-8455 masked IT Analyst Elekta / IMPAC Medical Systems, Inc. 100 Mathilda Place, 5th Floor 94086 Sunnyvale, CA 408 830 8000 info.america@elekta.com http://www.elekta.com Vendor Int 3 Complete 2012/12/07 12:00:00 2012/12/19 12:00:00 2012/12/19 09:14:56 UV 2.16.840.1.113883.3.2674 hopemedicalcare-oid Hope Medical Care-OID Joseph Job masked PATRICIA HART Hope Medical Care, PLLC P.O Box 217 Manlius, NY 13104, USA 315-729-8936 masked Hope Medical Care, PLLC P.O Box 217 Manlius, NY 13104, USA 315-729-8936 patriciahart28@yahoo.com Provider Int 3 Complete 2012/12/08 12:00:00 2012/12/19 12:00:00 2012/12/19 09:17:15 UV 2.16.840.1.113883.3.1070.5112 mckesson-fusion-5112 mckesson-fusion-5112 Patricia Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment Patricia.Wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5112 2012/12/10 12:00:00 2012/12/19 12:00:00 2012/12/19 09:19:45 US 2.16.840.1.113883.3.2675 nnmc Northern Nevada Medical Center Mike Meall masked Georgia Stedronsky (775) 356-4038 masked IS Director Northern Nevada Medical Center 2375 East Prater Way Sparks, NV 89434 (775) 331-7000 Georgia.Stedronsky@uhsinc.com Provider Int 3 Complete 2012/12/11 12:00:00 2012/12/19 12:00:00 2012/12/19 09:21:45 UV 2.16.840.1.113883.4.591 pmgca PMG CA Stefan Zima masked Stefan Zima +4367686424715 masked PMG Holding GmbH stefan.zima@t-systems.at Vendor Int 3 Complete 2012/12/11 12:00:00 2012/12/19 12:00:00 2012/12/19 09:26:44 UV 2.16.840.1.113883.3.2676 integris-ICP INTEGRIS Cardiovascular Physicians Galen Manning masked INTEGRIS Cardiovascular Physicians 3433 N.W. 56th St. Suite 700 Oklahoma City, OK 73112 405-951-8305 masked Informatics Specialists INTEGRIS Cardiovascular Physians 3433 N.W. 56th St. Oklahoma City, OK 73112 405-948-4040 Galen.Manning@IntegrisOK.com Provider Int 3 3 Complete 2012/12/11 12:00:00 2012/12/19 12:00:00 2012/12/19 09:32:33 UV 2.16.840.1.113883.3.2678 scpc Society of Cardiovascular Patient Care Jill Raudabaugh masked Jill Raudabaugh Adivo Health Informatics 6161 Riverside Drive, Suite 101 Dublin, Ohio 43017 614-766-6870 masked Health IT Consultant Society of Cardiovascular Patient Care 6161 Riverside Drive, Suite 200 Dublin, Ohio 43017 6142562097 JSpaulding@scpcp.org http://www.scpcp.org/index.aspx Prof Soc Int 3 3 Complete 2012/12/11 12:00:00 2012/12/19 12:00:00 2012/12/19 09:36:43 UV 2.16.840.1.113883.3.2679 lusd LHSEBT Health & Wellness Center Britton Jennings masked Britton Jennings 2800 Rockcrek Pkwy Kansas City, MO 64117 (816) 201-1024 masked System Architect LHSEBT Health & Wellness Center 89 Civic Center Lane Lake Havasu City, AZ 86403 (928) 854-6120 bjennings@cerner.com Provider Int 3 3 Complete 2012/12/12 12:00:00 2012/12/19 12:00:00 2012/12/19 09:51:17 UV 2.16.840.1.113883.3.2680 defn Deffenbaugh Health Center Britton Jennings masked Britton Jennings 2800 Rockcreek Pkwy Kansas City, MO 64117 (816) 201-1024 masked System Architect Deffenbaugh Health Center 2601 Midwest Drive Kansas City, KS 66111 bjennings@cerner.com Provider Int 3 3 Complete 2012/12/12 12:00:00 2012/12/19 12:00:00 2012/12/19 09:53:35 UV 2.16.840.1.113883.3.1106.1000 byh-hmg HealthPoint Medical Group HMG Tony McArtor masked Tony McArtor BayCare Information Services 17757 US Hwy 19 North, Suite 300 Clearwater, FL 33764 727 467 4680 masked Sr. Integration Analyst BayCare Health System BayCare Information Services 17757 US Hwy 19 North, Suite 500 Clearwater, FL 33764 727 467-4674 gus.borrego@baycare.org http://www.baycare.org Provider 2.16.840.1.113883.3.1106 Ext 3 3 Complete 2.16.840.1.113883.3.1106.1000 2012/12/12 12:00:00 2012/12/19 12:00:00 2012/12/19 09:57:03 UV 2.16.840.1.113883.3.1106.2000 byh-cc1 HealthPoint Medical Group CC1 Tony McArtor masked Tony McArtor BayCare Information Services 17757 US Hwy 19 North, Suite 300 Clearwater, FL 33764 727 467 4680 masked Sr. Integration Analyst BayCare Health System BayCare Information Services 17757 US Hwy 19 North, Suite 500 Clearwater, FL 33764 727 467-4674 gus.borrego@baycare.org http://www.baycare.org Provider 2.16.840.1.113883.3.1106 Ext 3 3 Complete 2.16.840.1.113883.3.1106.2000 2012/12/12 12:00:00 2012/12/19 12:00:00 2012/12/19 09:58:23 UV 2.16.840.1.113883.3.1070.5116 mckesson-fusion-5116 mckesson-fusion-5116 Patricia Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment Patricia.Wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5116 2012/12/12 12:00:00 2012/12/19 12:00:00 2012/12/19 10:00:43 US 2.16.840.1.113883.3.2054.2.1 ss-routing Surescripts Routing Tim McNeil masked Tim McNeil 920 Second Ave So Minneapolis, MN 55402 651-855-3053 masked Director, Standards Surescripts, LLC 920 Second Ave So Minneapolis, MN 55402 651-855-3053 Tim.McNeil@surescripts.com http://www.surescripts.com Exchange 2.16.840.1.113883.3.2054 Ext 14 14 Complete 2.16.840.1.113883.3.2054.2.1 2012/12/12 12:00:00 2012/12/19 12:00:00 2012/12/19 10:06:13 UV 2.16.840.1.113883.3.2681 emrdirect EMR Direct Luis Maas masked Luis Maas +1-858-367-0771 masked EMR Direct PO Box 676011 Rancho Santa Fe, CA 92067 +1-858-367-0771 lcmaas@emrdirect.com http://www.emrdirect.com Vendor Int 3 Complete 2012/12/12 12:00:00 2012/12/19 12:00:00 2012/12/19 10:09:36 UV 2.16.840.1.113883.3.643.2.2 wc10505e91ste110location WC 10505 E 91st ST Ste 110 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.2 2012/12/13 12:00:00 2012/12/19 12:00:00 2012/12/19 10:35:39 UV 2.16.840.1.113883.3.643.2.3 wc10505e91ste130location WC 10505 E 91st ST Ste 130 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.3 2012/12/13 12:00:00 2012/12/19 12:00:00 2012/12/19 10:37:04 UV 2.16.840.1.113883.3.643.2.4 wc10505e91ste201location WC 10505 E 91st ST Ste 201 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.4 2012/12/13 12:00:00 2012/12/19 12:00:00 2012/12/19 10:38:28 UV 2.16.840.1.113883.3.2682 pphs-psmc Phoebe Sumter Medical Center Ross Youngdale masked Ross Morgan Youngdale 126 Hwy 280 West Americus, GA 31719 229.931.1247 masked IS Director Phoebe Sumter Medical Center Information Systems 126 Hwy 280 West Americus, GA 31719 229.924.6011 ryoungda@phoebesumter.org http://www.phoebesumter.org Provider Int 3 Complete 2012/12/13 12:00:00 2012/12/19 12:00:00 2012/12/19 10:12:06 UV 2.16.840.1.113883.3.643.2.5 wc10505e91ste203location WC 10505 E 91st ST Ste 203 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.5 2012/12/13 12:00:00 2012/12/19 12:00:00 2012/12/19 10:56:53 UV 2.16.840.1.113883.3.2683 emanuelmed-CA Emanuel Medical Center Nathan Bentley masked Information Technology Department 825 Delbon Ave Turlock CA 95382 209-664-56 masked Information Technology Department. Emanuel Medical Center 825 Delbon Ave Turlock, CA 95382 209-667-4200 it.helpdesk@emanuelmed.org http://www.emanuelmedicalcenter.org Provider Int 3 Complete 2012/12/13 12:00:00 2012/12/19 12:00:00 2012/12/19 10:59:12 US 2.16.840.1.113883.3.643.2.6 wc10505e91ste205location WC 10505 E 91st ST Ste 205 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.6 2012/12/13 12:00:00 2012/12/19 12:00:00 2012/12/19 11:01:00 UV 2.16.840.1.113883.3.643.2.7 wc10505e91ste208Blocation WC 10505 E 91st ST Ste 208B Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.7 2012/12/13 12:00:00 2012/12/19 12:00:00 2012/12/19 11:03:57 UV 2.16.840.1.113883.3.643.2.8 wc10507e91ste220location WC 10507 E 91st ST Ste 220 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.8 2012/12/13 12:00:00 2012/12/19 12:00:00 2012/12/19 11:05:07 UV 2.16.840.1.113883.3.643.2.9 wc10507e91ste250location WC 10507 E 91st ST Ste 250 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.9 2012/12/13 12:00:00 2012/12/19 12:00:00 2012/12/19 11:07:07 UV 2.16.840.1.113883.3.643.2.10 wc10507e91ste310location WC 10507 E 91st ST Ste 310 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.10 2012/12/13 12:00:00 2012/12/19 12:00:00 2012/12/19 11:16:10 UV 2.16.840.1.113883.3.643.2.11 wc10507e91ste420location WC 10507 E 91st ST Ste 420 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.11 2012/12/13 12:00:00 2012/12/19 12:00:00 2012/12/19 11:17:39 UV 2.16.840.1.113883.3.2684 drtmw Thomas M Williams, OD INC Thomas Williams masked Thomas Williams Wal-Mart Vision Center 500 East Alice Street Bainbridge, GA 39819 229-246-9525 masked Doctor of Optometry Thomas Williams Wal - Mart Vision Center 500 East Alice Street Bainbridge, GA 39819 229-246-9525 dr.tmw1@gmail.com Provider Int 3 Complete 2012/12/13 12:00:00 2012/12/19 12:00:00 2012/12/19 11:33:13 UV 2.16.840.1.113883.3.2686 pdmc Phoebe Dorminy Medical Center Mike James masked Mike James Phoebe Dorminy Medical Center 200 Perry House Rd Fitzgerald,GA 31750 229-424-7156 masked IT Director Phoebe Dorminy Medical Center Phoebe Dorminy Medical Center 200 Perry House Rd Fitzgerald,GA 31750 229-424-7156 mjames@phoebedorminy.org Provider Int 3 Complete 2012/12/13 12:00:00 2012/12/19 12:00:00 2012/12/19 11:38:33 UV 2.16.840.1.113883.3.2687 pphs-pwmc Phoebe Worth Medical Center Ross Youngdale masked Ross Morgan Youngdale 807 S. Isabella St. Sylvester, GA 31791 229.776.6961 masked IS Director Phoebe Worth Medical Center Phoebe Worth Medical Center 807 S. Isabella St. Sylvester, GA 31791 229.776.6961 ryoungda@phoebesumter.org http://phoebeputney.com/PhoebeContentPage.aspx?nd=1483 Provider Int 3 Complete 2012/12/13 12:00:00 2012/12/19 12:00:00 2012/12/19 11:40:18 UV 2.16.840.1.113883.3.2688 pphs-sgrmc Southwest Georgia Regional Medical Center Ross Youngdale masked Ross Morgan Youngdale 361 Randolph St. Cuthbert, GA 39840 229.931.1247 masked IS Director Southwest Georgia Regional Medical Center Southwest Georgia Regional Medical Center Information Systems 361 Randolph St. Cuthbert, GA 39840 229.732.2181 ryoungda@phoebesumter.org http://phoebeputney.com/PhoebeContentPage.aspx?nd=1503 Provider Int 3 Complete 2012/12/13 12:00:00 2012/12/19 12:00:00 2012/12/19 11:44:12 UV 2.16.840.1.113883.3.643.2.12 wc10507e91ste450location WC 10507 E 91st ST Ste 450 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.12 2012/12/13 12:00:00 2012/12/19 12:00:00 2012/12/19 11:19:30 UV 2.16.840.1.113883.3.643.2.13 wc10507e91ste550location WC 10507 E 91st ST Ste 550 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.13 2012/12/13 12:00:00 2012/12/19 12:00:00 2012/12/19 12:19:31 UV 2.16.840.1.113883.3.643.2.14 wc3902e51stlocation WC 3902 E 51st ST GP4 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.14 2012/12/13 12:00:00 2012/12/19 12:00:00 2012/12/19 12:21:44 UV 2.16.840.1.113883.3.643.2.15 wc3910e51stlocation WC 3910 E 51st ST GP4 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.15 2012/12/13 12:00:00 2012/12/19 12:00:00 2012/12/19 12:23:42 UV 2.16.840.1.113883.3.643.2.16 wc6964s69theavelocation WC 6964 S 69th East Ave GP4 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.16 2012/12/13 12:00:00 2012/12/19 12:00:00 2012/12/19 01:47:42 UV 2.16.840.1.113883.3.1070.5113 mckesson-fusion-5113 mckesson-fusion-5113 Randy Deitsch masked Randy Deitsch 8775074541 masked Fusion Enrollment randy.deitsch@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5113 2012/12/13 12:00:00 2012/12/19 12:00:00 2012/12/19 01:50:10 UV 2.16.840.1.113883.3.643.2.17 wcbamedste160location WC BA Med Bld Ste 160 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.17 2012/12/13 12:00:00 2012/12/19 12:00:00 2012/12/19 01:51:44 UV 2.16.840.1.113883.3.643.2.18 wcbamedste260location WC BA Med Bld Ste 260 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.18 2012/12/13 12:00:00 2012/12/19 12:00:00 2012/12/19 01:55:34 UV 2.16.840.1.113883.3.643.2.19 wcbamedste152location WC BA Med Bldg Ste 152 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.19 2012/12/13 12:00:00 2012/12/19 12:00:00 2012/12/19 02:03:36 UV 2.16.840.1.113883.3.643.2.20 wcbamedste256location WC BA Med Bldg Ste 256 GP4 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.20 2012/12/13 12:00:00 2012/12/19 12:00:00 2012/12/19 02:10:03 UV 2.16.840.1.113883.3.643.2.21 wcbamedste260Blocation WC BA Med Bldg Ste 260B Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.21 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 02:11:23 UV 2.16.840.1.113883.3.643.2.22 wcbamedste430location WC BA Med Bldg Ste 430 GP4 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.22 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 02:14:10 UV 2.16.840.1.113883.3.643.2.23 wcbixby11911memlocation WC Bixby 11911 S Memorial GP4 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.23 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 02:16:05 UV 2.16.840.1.113883.3.643.2.24 wccowetalocation WC Coweta Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.24 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 02:17:55 UV 2.16.840.1.113883.3.643.2.25 wcheartctrste1301location WC Heart Ctr Ste 1301 GP4 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.25 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 02:27:32 UV 2.16.840.1.113883.3.643.2.26 wcheartctrste1303location WC Heart Ctr Ste 1303 GP4 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.26 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 02:29:12 UV 2.16.840.1.113883.3.643.2.27 wcheartctrste1304location WC Heart Ctr Ste 1304 GP4 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.27 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 02:33:42 UV 2.16.840.1.113883.3.643.2.28 wcheartctrste1307location WC Heart Ctr Ste 1307 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.28 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 02:35:43 UV 2.16.840.1.113883.3.643.2.29 wcipfamilypracticelocation WC IP Family Practice Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.29 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 02:37:58 UV 2.16.840.1.113883.3.643.2.30 wcipfamilypractste200location WC IP Family Practice Ste 200 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.30 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 02:47:41 UV 2.16.840.1.113883.3.643.2.31 wcippediatricslocation WC IP Pediatrics Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.31 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 02:49:42 UV 2.16.840.1.113883.3.643.2.32 wcjenks2605wmainlocation WC Jenks 2605 W Main ST Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.32 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 02:57:20 UV 2.16.840.1.113883.3.643.2.33 wckellyste312location WC Kelly Ste 312 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.33 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 04:17:37 UV 2.16.840.1.113883.3.643.2.34 wckellyste601location WC Kelly Ste 601 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.34 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 04:18:48 UV 2.16.840.1.113883.3.643.2.35 wckellyste704location WC Kelly Ste 704 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.35 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 04:19:57 UV 2.16.840.1.113883.3.643.2.36 wckellyste902location WC Kelly Ste 902 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.36 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 04:25:50 UV 2.16.840.1.113883.3.643.2.37 wcmemsouth101stlocation WC Mem South 8414 E 101st ST Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.37 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 04:27:53 UV 2.16.840.1.113883.3.643.2.38 wcnatalieste202location WC Natalie Medical Ste 202 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.38 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 04:30:28 UV 2.16.840.1.113883.3.643.2.39 wcnatalieste406location WC Natalie Medical Ste 406 GP4 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.39 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 04:33:35 UV 2.16.840.1.113883.3.643.2.40 wcosteonatalieste410location WC Osteo Nat Bldg Ste 410 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.40 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 04:34:46 UV 2.16.840.1.113883.3.643.2.41 wcowassolocation WC Owasso 86th ST North Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.41 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 04:38:20 UV 2.16.840.1.113883.3.643.2.42 wcsandspringslocation WC Sand Sprngs Charles Page BL Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.42 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 04:41:02 UV 2.16.840.1.113883.3.643.2.43 wcstillwatercliniclocation WC Stillwater Clinic Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.43 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 04:42:57 UV 2.16.840.1.113883.3.643.2.44 wcstillwaterclinicEAClocation WC Stillwater Clinic EAC Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.44 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 04:46:34 UV 2.16.840.1.113883.3.643.2.45 wcvinitalocation WC Vinita Foreman Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.45 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 04:49:12 UV 2.16.840.1.113883.3.643.2.46 wcwarrenste1015location WC Warren Ste 1015 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.46 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 04:52:27 UV 2.16.840.1.113883.3.643.2.47 wcwarrenste420location WC Warren Ste 420 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.47 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 04:53:47 UV 2.16.840.1.113883.3.643.2.48 wcwarrenste515location WC Warren Ste 515 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.48 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 04:56:36 UV 2.16.840.1.113883.3.643.2.49 wcwarrenste615location WC Warren Ste 615 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.49 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 04:58:08 UV 2.16.840.1.113883.3.643.2.50 wcwarrenste704location WC Warren Ste 704 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.50 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 05:00:15 UV 2.16.840.1.113883.3.643.2.51 wcwarrenste811location WC Warren Ste 811 Cosmetic Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.51 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 05:02:31 UV 2.16.840.1.113883.3.643.2.52 wcwarrenste815location WC Warren Ste 815 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.52 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 05:03:25 UV 2.16.840.1.113883.3.643.2.53 wconcologylocation WC Oncology Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.53 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 05:04:47 UV 2.16.840.1.113883.3.643.2.54 wcbaurgentcarelocation WCBA Urgent Care Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.54 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 05:06:57 UV 2.16.840.1.113883.3.643.2.55 wcsballergylocation WCSB Allergy GP4 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.55 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 05:08:15 UV 2.16.840.1.113883.3.643.2.56 wcsbdermatologylocation WCSB Dermatology GP4 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.56 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 05:09:35 UV 2.16.840.1.113883.3.643.2.57 wcsbdiabetesedlocation WCSB Diabetes Educators Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.57 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 05:10:41 UV 2.16.840.1.113883.3.643.2.58 wcsbearnosethroatlocation WCSB Ear Nose and Throat GP4 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.58 2012/12/14 12:00:00 2012/12/19 12:00:00 2012/12/19 05:12:13 UV 2.16.840.1.113883.3.643.2.59 wcsbendocrinologywestlocation WCSB Endocrinology West Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.59 2012/12/14 12:00:00 2012/09/19 12:00:00 2012/12/19 05:16:44 UV 2.16.840.1.113883.3.643.2.60 wcsbgastrolocation WCSB Gastro GP4 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.60 2012/12/14 12:00:00 2013/01/07 12:00:00 2013/01/07 08:55:33 UV 2.16.840.1.113883.3.643.2.61 wcsbgeriatricslocation WCSB Geriatrics Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.61 2012/12/14 12:00:00 2013/01/07 12:00:00 2013/01/07 08:58:44 UV 2.16.840.1.113883.3.643.2.62 wcsbinternalmedlocation WCSB Internal Medicine Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.62 2012/12/14 12:00:00 2013/01/07 12:00:00 2013/01/07 09:00:17 UV 2.16.840.1.113883.3.643.2.63 wcsbpodiatrylocation WCSB Podiatry GP4 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.63 2012/12/14 12:00:00 2013/01/07 12:00:00 2013/01/07 09:02:25 UV 2.16.840.1.113883.3.2689 stri Toyota Health Center Britton Jennings masked Britton Jennings 2800 Rockcreek Pkwy Kansas City, MO 64117 (816) 201-1024 masked System Architect Toyota Health Center 5555 Inwood Drive Columbus, IN 47201 bjennings@cerner.com Provider Int 3 3 Complete 2012/12/14 12:00:00 2013/01/07 12:00:00 2013/01/07 09:05:02 UV 2.16.840.1.113883.3.643.2.64 wcsbrheumatologylocation WCSB Rheumatology GP4 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.64 2012/12/14 12:00:00 2013/01/07 12:00:00 2013/01/07 09:06:54 UV 2.16.840.1.113883.3.643.2.65 wcsburgentcarelocation WCSB Urgent Care GP4 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.65 2012/12/14 12:00:00 2013/01/07 12:00:00 2013/01/07 09:10:45 UV 2.16.840.1.113883.3.643.2.66 wcsburologylocation WCSB Urology GP4 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.66 2012/12/14 12:00:00 2013/01/07 12:00:00 2013/01/07 09:13:07 UV 2.16.840.1.113883.3.643.2.67 wcwctste600location WC WCT Ste 600 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.67 2012/12/14 12:00:00 2013/01/07 12:00:00 2013/01/07 09:14:06 UV 2.16.840.1.113883.3.643.2.68 wcwctste650location WC WCT Ste 650 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.68 2012/12/14 12:00:00 2013/01/07 12:00:00 2013/01/07 09:16:08 UV 2.16.840.1.113883.3.643.2.69 wcwctste800location WC WCT Ste 800 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.69 2012/12/14 12:00:00 2013/01/07 12:00:00 2013/01/07 09:17:41 UV 2.16.840.1.113883.3.643.2.70 wcwctste850location WC WCT Ste 850 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.70 2012/12/14 12:00:00 2013/01/07 12:00:00 2013/01/07 09:19:02 UV 2.16.840.1.113883.3.643.2.71 wcwctste900location WC WCT Ste 900 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.71 2012/12/14 12:00:00 2013/01/07 12:00:00 2013/01/07 09:20:39 UV 2.16.840.1.113883.3.643.2.72 wcwctste950location WC WCT Ste 950 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.72 2012/12/14 12:00:00 2013/01/07 12:00:00 2013/01/07 09:21:48 UV 2.16.840.1.113883.3.643.2.73 wcwctste975location WC WCT Ste 975 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.73 2012/12/14 12:00:00 2013/01/07 12:00:00 2013/01/07 09:23:29 UV 2.16.840.1.113883.3.643.2.74 wcwilliamste1150location WC William Ste 1150 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.74 2012/12/14 12:00:00 2013/01/07 12:00:00 2013/01/07 09:25:16 UV 2.16.840.1.113883.3.643.2.75 wcwilliamste710location WC William Ste 710 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.75 2012/12/14 12:00:00 2013/01/07 12:00:00 2013/01/07 09:27:12 UV 2.16.840.1.113883.3.643.2.76 wcwilliamste720location WC William Ste 720 Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3 Ext 4 4 Complete 2.16.840.1.113883.3.643.2.76 2012/12/14 12:00:00 2013/01/07 12:00:00 2013/01/07 09:29:03 UV 2.16.840.1.113883.3.2690 chdi Community Health Development Inc. Sebastian Hernandez masked Sebastian Hernandez 3066 E Commerce, San Antonio, Texas 78220 210-233-7083 masked Network Administrator Community Health Development Inc. 200 South Evans Uvalde, Texas 78801 830-278-5604 fcontreras.chdi@tachc.org Provider Int 3 Complete 2012/12/14 12:00:00 2013/01/07 12:00:00 2013/01/07 09:37:18 UV 2.16.840.1.113883.3.2691 ahci Atascosa Health Centers Inc. Sebastian Hernandez masked Sebastian Hernandez 3066 E. Commerce San Antonio, Texas 78220 210-233-7083 masked Network Administrator Atascosa Health Centers Inc. 310 W. Oaklawn St Pleasanton, Texas 78064 830-569-8940 agarza.achc@tachc.org Provider Int 3 Complete 2012/12/14 12:00:00 2013/01/07 12:00:00 2013/01/07 09:39:00 UV 2.16.840.1.113883.3.2692 chsa Community Health Service Agency Sebastian Hernandez masked Sebastian Hernandez 3066 E. Commerce San Antonio, Texas 78220 210-233-7083 masked Network Administrator Community Health Service Agency 4500 Wesley St Greenville, Texas 75401 903-455-5986 trosson.chsa@tachc.org Provider Int 3 Complete 2012/12/14 12:00:00 2013/01/07 12:00:00 2013/01/07 09:41:12 UV 2.16.840.1.113883.3.2693 fhn Frontera Health Network Sebastian Hernandez masked Sebastian Hernandez 3066 E. Commerce San Antonio, Texas 78220 210-233-7083 masked Network Administrator Frontera Health Network 119 S. Ellis Menard, Texas 76859 325-396-4612 kristig@fronterahn.org Provider Int 3 Complete 2012/12/14 12:00:00 2013/01/07 12:00:00 2013/01/07 09:46:31 UV 2.16.840.1.113883.3.2694 sahc-org Saint Anthonys Health Center Justin Patterson masked Justin Patterson 1 St. Anthony's Way Alton, IL 62002 618-463-5320 masked IT Director Saint Anthony's Health Center 1 St. Anthony's Way Alton, IL 62002 618-465-2571 jpatterson@sahc.org http://www.sahc.org Provider Int 3 Complete 2012/12/14 12:00:00 2013/01/07 12:00:00 2013/01/07 09:50:30 UV 2.16.840.1.113883.3.2695 kmscomputing KMS Computing Ken Schwartz masked Ken Schwartz 508-514-1414 masked KMS Computing 481 Worcester Rd, #521 Natick, MA 01760 508-514-1414 ken@kmscomputing.com Vendor Int 3 Complete 2012/12/16 12:00:00 2013/01/07 12:00:00 2013/01/07 09:52:18 UV 2.16.840.1.113883.4.592 tsinghua Tsinghua University, Health informatics Lijun Wang masked Wang Lijun Tsinghua University, FIT3-209, Beijing, China 86-10-62603017 masked Tsinghua University Tsinghua University, Beijing, China 86-10-62603017 wanglijun@cernet.edu.cn http://www.tsinghua.edu.cn Academic Int 3 3 Complete 2012/12/16 12:00:00 2013/01/07 12:00:00 2013/01/07 09:58:20 TU CN 2.16.840.1.113883.3.2696 fmc-na FMC-NA Ken Schwartz masked Ken Schwartz 781-676-5270 masked FMC-NA 32 Hartwell Ave Lexington, MA 02421 781-676-5270 kenneth.schwartz@fmc-na.com Vendor Int 3 Complete 2012/12/16 12:00:00 2013/01/07 12:00:00 2013/01/07 10:00:47 UV 2.16.840.1.113883.3.1070.5117 mckesson-fusion-5117 mckesson-fusion-5117 Patricia Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment Patricia.Wilson4@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5117 2012/12/17 12:00:00 2013/01/07 12:00:00 2013/01/07 10:03:02 US 1.3.6.1.4.1.22812.4.1055053049057056.12.0 hFAzle HEALTHFIRST AZLE FAMILY PRACTICE John Smith masked John Smith 817-555-1234 masked John Smith JSmith@me.com Provider Ext 3 Complete 1.3.6.1.4.1.22812.4.1055053049057056.12.0 2012/12/17 12:00:00 2013/01/07 12:00:00 2013/01/07 10:06:23 UV 2.16.840.1.113883.3.1070.5124 mckesson-fusion-5124 mckesson-fusion-5124 Patricia Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment Patricia.Wilson4@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5124 2012/12/17 12:00:00 2013/01/07 12:00:00 2013/01/07 10:13:26 UV 2.16.840.1.113883.3.2697 mhcnetwork Missouri Health Connection Network Ragan Sappington masked Mary Kasal Jaki Porter 2000 E. Broadway #270 Columbia, MO 65201 573-777-4550 masked Chief Financial Officer Missouri Health Connection 2000 E. Broadway #270 Columbia, MO 65201 573-777-4550 jporter@mhc-hie.org http://www.mhc-hie.org Exchange Int 3 Complete 2012/12/17 12:00:00 2013/01/07 12:00:00 2020/09/18 02:57:38 UV 2.16.840.1.113883.3.2698 mindray Mindray Root OID Scott Eaton masked Scott Eaton 201.995.8101 masked Mindray DS USA, Inc. 800 MacArthur Blvd Mahwah, NJ 07430 1-800-288-2121 customerservice@mindray.com http://www.midray.com Vendor Int 3 Complete 2012/12/18 12:00:00 2013/01/07 12:00:00 2013/01/07 10:17:59 UV 2.16.840.1.113883.3.2699 smh-061 Scotland Health Care System Allen Applewhite masked Allen Applewhite 500 Lauchwood Drive Laurinburg, NC 28357 910-291-7529 masked Interface specialist Scotland Health Care System 500 Lauchwood Drive Laurinburg, NC 28357 910-291-7000 Allen.Applewhite@scotlandhealth.org http://www.scotlandhealth.org Provider Int 3 Complete 2012/12/18 12:00:00 2013/01/07 12:00:00 2013/01/07 10:19:55 UV 2.16.840.1.113883.3.2700 mhs-01 Memorial Health System Kevin Dulaney masked Kevin Dulaney 401 Matthew Street Marietta, OH 45750 740-376-5042 masked Interface Analyst Memorial Health System 401 Matthew Street Marietta, OH 45750 (740) 374-1400 (740) 374-1400 kdulaney@mhsystem.org Provider Int 3 Complete 2012/12/18 12:00:00 2013/01/07 12:00:00 2013/01/07 10:21:36 UV 2.16.840.1.113883.3.2676.1 integris-ICP-Immunization-Facility INTEGRIS ICP Immunization Facility OID for State of Oklahoma Galen Manning masked Galen Manning 3433 N.W. 56th St. Suite 700 Oklahoma City, OK 73112 405-951-8305 masked Informatics Specialists INTEGRIS Cardiovascular Physians 3433 N.W. 56th St. Suite 700 Oklahoma City, OK 73112 405-948-4040 Galen.Manning@IntegrisOK.com Provider 2.16.840.1.113883.3.2676 Ext 13 13 Complete 2.16.840.1.113883.3.2676.1 2012/12/19 12:00:00 2012/12/19 12:00:00 2012/12/19 12:04:23 UV 2.16.840.1.113883.3.2676.2 integris-ICP-Immunization-Application INTEGRIS ICP Immunization Application Galen Manning masked Galen Manning 3433 N.W. 56th St. Suite 700 Oklahoma City, OK 73112 405-951-8305 masked Informatics Specialists INTEGRIS Cardiovascular Physians 3433 N.W. 56th St. Suite 700 Oklahoma City, OK 73112 405-948-4040 Galen.Manning@IntegrisOK.com Provider 2.16.840.1.113883.3.2676 Ext 13 13 Complete 2.16.840.1.113883.3.2676.2 2012/12/19 12:00:00 2012/12/19 12:00:00 2012/12/19 12:07:23 UV 2.16.840.1.113883.3.2701 drjhubnersimmunizationhl7oid drjhubnersimmunizationhl7oid John Hubner, M.D masked John E. Hubner, M.D. 2000 S. Wheeling Ave. Ste. 1100 Tulsa, OK 74104 9187425533 masked phys John E. Hubner, M.D. 2000 S. Wheeling Ave. Ste. 1100 Tulsa, OK 74104 9187425533 acctsjeh@hotmail.com Provider Int 3 3 Complete 2012/12/19 12:00:00 2013/01/07 12:00:00 2013/01/07 10:30:53 UV 2.16.840.1.113883.17.110 mshin MSHIN OID Jennifer Parker masked Daniel Thomas Jennifer Parker Delta Regional Medical Center 1400 East Union Street Greenville, MS 38701 662-725-2815 masked Financial Systems Analyst Jennifer Parker Delta Regional Medical Center 1400 East Union Street Greenville, MS 38701 662-378-3783 jparker@deltaregional.com Provider Int 17 Complete 2012/12/19 12:00:00 2013/01/07 12:00:00 2013/01/07 10:33:43 UV 2.16.840.1.113883.3.1871.3.973 afringwood AFSFN RINGWOOD MEDICAL CLINIC Rodney Rice masked Rodney Rice 314 951 5631 masked Interface Analyst SSMHC 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.973 2012/12/19 12:00:00 2013/01/07 12:00:00 2013/01/07 10:38:20 UV 2.16.840.1.113883.3.2702 muicllc Meaningful Use Implementation Consultants, LLC Charles Stewart masked Charles Stewart 9727 Blackhawk Blvd. Houston, TX 77075 832439-8810 masked CEO/Director MUIC, LLC 9727 Blackhawk Blvd. Houston, TX 77075 832-439-8810 healthinfoex@yahoo.com Exchange Int 3 3 Complete 2012/12/19 12:00:00 2013/01/07 12:00:00 2013/01/07 10:45:21 UV 2.16.840.1.113883.3.2703 bmhd Blue Mountain Hospital District Eric Robertson masked Chris Wall 170 Ford Road John Day, Oregon 97845 541-575-1311 masked Director Blue Mountain Hospital District 170 Ford Road John Day, Oregon 97845 541-575-1311 support@bluemountainhospital.org https://www.bluemountainhospital.org Provider Int 3 Complete 2012/12/19 12:00:00 2013/01/07 12:00:00 2023/05/12 06:22:33 UV 2.16.840.1.113883.3.1070.5127 mckesson-fusion-5127 mckesson-fusion-5127 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5127 2012/12/20 12:00:00 2013/01/07 12:00:00 2013/01/07 10:53:56 US 2.16.840.1.113883.3.2704 pal Pediatric Alliance, P.C. Gary Janchenko masked Gary Janchenko 1100 Washington Ave. Suite 215 Carnegie, PA 15106 412-278-3315 masked CIO Pediatric Alliance, P.C. 1100 Washington Ave. Suite 215 Carnegie, PA 15106 412-278-5100 janchenkog@pediatricalliance.com http://www.pediatricalliance.com Provider Int 3 Complete 2012/12/20 12:00:00 2013/01/07 12:00:00 2013/01/07 10:48:44 UV 2.16.840.1.113883.3.1070.5128 mckesson-fusion-5128 mckesson-fusion-5128 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5128 2012/12/20 12:00:00 2013/01/07 12:00:00 2013/01/07 10:56:04 US 2.16.840.1.113883.3.1070.5133 mckesson-fusion-5133 mckesson-fusion-5133 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5133 2012/12/20 12:00:00 2013/01/07 12:00:00 2013/01/07 10:58:47 US 2.16.840.1.113883.3.1070.5119 mckesson-fusion-5119 mckesson-fusion-5119 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5119 2012/12/21 12:00:00 2013/01/07 12:00:00 2013/01/07 11:02:59 US 2.16.840.1.113883.3.1070.5115 mckesson-fusion-5115 mckesson-fusion-5115 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5115 2012/12/21 12:00:00 2013/01/07 12:00:00 2013/01/07 11:07:15 US 2.16.840.1.113883.3.2705 srshash Hash for FDA Substance Registration System William Hess masked William Hess Office of the Commissioner/Office of Information Management Office of the Chief Information Officer/Medical Informatics Staff 10903 New Hampshire Ave WO32-Room 4152 Silver Spring MD 20993-0002 3017968494 masked Pharmacist Food and Drug Administration 10903 New Hampshire Ave Silver Spring MD 20993-0002 3017968494 william.hess@fda.hhs.gov http://www.fda.gov Govt body 2.16.840.1.113883.3.24 Int 3 Complete 2012/12/21 12:00:00 2013/01/07 12:00:00 2013/01/07 11:11:40 UV 2.16.840.1.113883.3.2706 drbb Dr. Brent Brown and Associates, INC James Brown masked Brown Dr. James Brent Brown, OD 803 New Franklin Road Lagrange, GA 30240 7068850610 masked owner Dr. Brent Brown and Associates, INC 803 New Franklin Road Lagrange, GA 30240 7068850610 drbrentbrown@gmail.com http://www.drbrentbrown.com Provider Int 3 Complete 2012/12/26 12:00:00 2013/01/07 12:00:00 2013/01/07 11:14:08 UV 2.16.840.1.113883.3.2187.5.2 smcpc SMC Primary Care James Ranone masked Nicole Couch Ted Threadgill 405-533-6096 masked Stillwater Medical Center - Meditech HCIS 610 S Walnut Street Stillwater, OK 74074 405-533-3545 tthreadgill@stillwater-medical.org Provider 2.16.840.1.113883.3.2187.5 Ext 14 14 Complete 2.16.840.1.113883.3.2187.5.2 2012/12/26 12:00:00 2013/01/07 12:00:00 2014/07/29 10:08:54 UV 2.16.840.1.113883.3.2187.5.3 smccp Stillwater Medical Center Clinic of Pawnee James Ranone masked Nicole Couch Nicole Couch 1323 W 6th Street Stillwater, OK 74074 405-533-6096 masked Analyst Stillwater Medical Center - NextGen EHR 300 Boulder Street Pawnee, OK 74058 918-762-2522 ncouch@stillwater-medical.org Provider 2.16.840.1.113883.3.2187.5 Ext 14 14 Complete 2.16.840.1.113883.3.2187.5.3 2012/12/26 12:00:00 2013/01/07 12:00:00 2013/09/25 04:45:47 UV 2.16.840.1.113883.3.2707 sfc-osr Stillwater Family Care Crystal Richison masked Crystal Richison 918-591-3056 masked Stillwater Family Care 1921 W. 6th Street Suite A Stillwater, OK 74074-4204 918-728-8401 crichison@tmcpms.com Provider Int 3 Complete 2012/12/27 12:00:00 2013/01/07 12:00:00 2013/01/07 11:33:24 UV 2.16.840.1.113883.3.2708 sfc-cps Stillwater Family Care Centricity Practice Solution Crystal Richison masked Crystal Richison 918-591-3056 masked Stillwater Family Care 1921 W. 6th Street Suite A Stillwater, OK 74074-4204 918-728-8401 crichison@tmcpms.com Provider Int 4 3 Complete 2012/12/27 12:00:00 2013/01/07 12:00:00 2013/01/07 11:34:54 UV 2.16.840.1.113883.3.2709 spc Optical Fashion Group of Englewood LLC dba Spectacles Steven Weisfeld masked Dr. Steven Weisfeld, OD 17 Grand Avenue Englewood, NJ 07631 2018941400 masked President & CEO Optical Fashion Group of Englewood LLC dba Spectacles 17 Grand Avenue Englewood, NJ 07631 2018941499 sara@spectaclesnj.com http://www.spectaclesnj.com Provider Int 3 Complete 2012/12/27 12:00:00 2013/01/07 12:00:00 2013/01/07 11:36:50 UV 2.16.840.1.113883.3.1070.5120 mckesson-fusion-5120 mckesson-fusion-5120 Randy Deitsch masked Fusion Enrollment 8775074541 masked Fusion Enrollment randy.deitsch@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5120 2012/12/27 12:00:00 2013/01/07 12:00:00 2013/01/07 11:08:45 US 2.16.840.1.113883.4.593 armc Anaheim Regional Medical Center Joseph Reick masked Joseph Reick 714-999-6062 masked Sr. Clinical Project Manager AHMC Anaheim Regional Medical Center 1111 W La Palma Ave Anaheim, CA 92801 714-774-1450 joseph.reick@ahmchealth.com Provider Int 3 Complete 2012/12/27 12:00:00 2013/01/07 12:00:00 2013/01/07 11:46:41 UV 2.16.840.1.113883.10.20.31 rsrHIVTemplatesRoot Ryan White HIV/AIDS Program Services Report (RSR) CDA Implementation Guide template root Gaye Dolin masked Gaye Dolin 9493028082 masked SDWG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 (+1) 734-677-7777 hq@HL7.org SDO Ext 10 Complete 2.16.840.1.113883.10.20.31 2012/12/27 12:00:00 2013/01/07 12:00:00 2013/01/07 11:49:29 US 2.16.840.1.113883.3.2710 roji Roji Health Intelligence LLC George Hernandez masked Sys Admin 1512 N Fremont St Ste 104 Chicago, IL 60642-2567 U.S.A. (312) 258-8004 masked Roji Health Intelligence LLC 1512 N Fremont St Ste 104 Chicago, IL 60642-2567 U.S.A. (312) 258-8004 info@rojihealthintel.com http://rojihealthintel.com Vendor Int 3 Complete 2012/12/28 12:00:00 2013/01/07 12:00:00 2022/04/18 04:23:04 UV 2.16.840.1.113883.3.2711 mHoagOID Mitochon Systems, Inc Patricia Warble masked avovan@mitochonsystems.com Patricia Warble 23272 Mill Creek Road, Suite 140 Laguna Hills, CA 92653 949 481 2500 masked VP Client Services & Operations Mitochon Systems, Inc 23272 Mill Creek Road, Suite 140 Laguna Hills, CA 92653 949 481 2500 pwarble@mitochonsystems.com http://mitochon.com/ Provider Int 3 Complete 2012/12/31 12:00:00 2013/01/07 12:00:00 2013/01/07 11:56:10 UV 2.16.840.1.113883.3.1070.5123 mckesson-fusion-5123 mckesson-fusion-5123 Randy Deitsch masked Fusion Enrollment 8775074541 masked Fusion Enrollment randy.deitsch@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5123 2013/01/02 12:00:00 2013/01/07 12:00:00 2013/01/07 11:58:52 US 2.16.840.1.113883.3.2712 ezderm EZ DERM, LLC Srdjan Prodanovich masked Dr. Srdjan Prodanovich 90 Cypress Way East Suite 50 Naples, Florida 34110 USA 87744393376 masked CEO EZ DERM, LLC 90 Cypress Way East Suite 50 Naples, Florida 34110 USA 87744393376 srdjan@ezderm.com http://www.ezderm.com Vendor Int 3 Complete 2013/01/02 12:00:00 2013/01/07 12:00:00 2013/01/07 12:01:39 UV 2.16.840.1.113883.3.1070.5121 mckesson-fusion-5121 mckesson-fusion-5121 Randy Deitsch masked Fusion Enrollment 8775074541 masked Fusion Enrollment randy.deitsch@mckesson.com Vendor 2.16.840.1.113883.3.1070.5121 Ext 17 Complete 2.16.840.1.113883.3.1070.5121 2013/01/03 12:00:00 2013/01/07 12:00:00 2013/01/07 01:36:58 US 2.16.840.1.113883.3.2713 hma-ng HMA NG OID Daniel Cholvin masked Daniel Cholvin 1318 greenwood ave lehigh acres fl 33972 239-247-2518 masked Systems Admin Health Management Associates 5811 Pelican Bay Blvd., Suite 500 Naples, Florida 34108 239-598-3131 byung.kang@hma.com http://www.hma.com/ Provider Int 3 Complete 2013/01/03 12:00:00 2013/01/07 12:00:00 2013/01/07 01:45:28 UV 2.16.840.1.113883.3.1070.5141 mckesson-fusion-5141 mckesson-fusion-5141 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5141 2013/01/03 12:00:00 2013/01/07 12:00:00 2013/01/07 01:39:36 US 2.16.840.1.113883.3.1070.5140 mckesson-fusion-5140 mckesson-fusion-5140 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5140 2013/01/03 12:00:00 2013/01/07 12:00:00 2013/01/07 01:41:22 US 2.16.840.1.113883.3.2714 ast-Hs1 Absentee Shawnee Tribal Health Systems - Little Axe Ursula Hill masked James Wilbanks 15951 Little Axe Drive Norman, OK 73026 405-701-7962 masked Meaningful Use Coordinator Absentee Shawnee Tribal Health Systems - Little Axe 15951 Little Axe Drive Norman, OK 73026 405-447-0300 jwilbanks@astribe.com http://asthealth.org/ Govt body Int 3 Complete 2013/01/03 12:00:00 2013/01/07 12:00:00 2017/02/21 03:13:36 UV 2.16.840.1.113883.3.2715 ast-Hs2 Absentee Shawnee Tribal Health Systems - Shawnee Ursula Hill masked James Wilbanks 15951 Little Axe Drive Norman, OK 73026 405-701-7962 masked Meaningful Use Coordinator Absentee Shawnee Tribal Health Systems - Shawnee 2029 South Gordon Cooper Drive Shawnee, OK 74801 405-878-4702 jwilbanks@astribe.com http://asthealth.org/ Govt body Int 3 Complete 2013/01/03 12:00:00 2013/01/07 12:00:00 2017/02/21 03:18:35 UV 2.16.840.1.113883.3.1070.5122 mckesson-fusion-5122 mckesson-fusion-5122 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5122 2013/01/03 12:00:00 2013/01/07 12:00:00 2013/01/07 01:52:57 US 2.16.840.1.113883.3.2716 sdex South Devon HealthShare Information Exchange David Bone masked David Bone South Devon Health Informatics Service 2nd Floor Regent House Torquay TQ2 7AN +441803653466 masked Informatics Manager South Devon Healthcare NHS Foundation Trust Torbay Hospital Lowes Bridge Torquay TQ2 7AA david.bone@nhs.net http://www.sdhct.nhs.uk Provider Int 3 Complete 2013/01/04 12:00:00 2013/01/07 12:00:00 2013/01/07 01:57:13 UK 2.16.840.1.113883.3.2717 eye2eye eye2eye Optometry Corner, PC Dora Adamopoulos masked Dora Adamopoulos, OD 1502 Mt. Vernon Avenue Alexandria, VA 22301 703-548-0122 masked Optometrist eye2eye Optometry Corner, PC 1502 Mt. Vernon Avenue Alexandria, VA 22301 info@myeye2eye.com https://www.myeye2eye.com Provider Int 3 Complete 2013/01/04 12:00:00 2013/01/07 12:00:00 2013/01/07 01:59:46 UV 2.16.840.1.113883.3.1070.5126 mckesson-fusion-5126 mckesson-fusion-5126 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5126 2013/01/04 12:00:00 2013/01/07 12:00:00 2013/01/07 02:05:17 UV 2.16.840.1.113883.3.1070.5136 mckesson-fusion-5136 mckesson-fusion-5136 Randy Deitsch masked Fusion Enrollment 8775074541 masked Fusion Enrollment randy.deitsch@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5136 2013/01/04 12:00:00 2013/01/07 12:00:00 2013/01/07 02:07:12 US 2.16.840.1.113883.3.2718 mackeyecare Mack Eye Care PA Cindy Mack masked Cindy Mack, O.D. 88 South Blanding Blvd Orange Park, FL 32073 904-272-9433 masked President Mack Eye Care PA 88 South Blanding Blvd Orange Park, FL 32073 904-272-9433 Cindymackod@yahoo.com https://mackeyecare.net Provider Int 3 Complete 2013/01/04 12:00:00 2013/01/07 12:00:00 2013/01/07 02:13:15 UV 2.16.840.1.113883.3.1070.5135 mckesson-fusion-5135 mckesson-fusion-5135 Jennifer Meares masked Jennifer Meares 8775075451 masked IC Fusion Enrollment jennifer.meares@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5135 2013/01/04 12:00:00 2013/01/07 12:00:00 2013/01/07 02:08:34 US 2.16.840.1.113883.3.2719 cmmf Central Maine Medical Family Alison Durgin masked Alison Durgin 20 Lowell St Suite 200 Lewiston, ME 04240 207-755-3823 masked Programmer/Analyst Central Maine Medical Family 300 Main St Lewiston, ME 04240 207795-0111 cmmc@cmmc.org Provider Int 3 3 Complete 2013/01/05 12:00:00 2013/01/07 12:00:00 2013/01/07 02:14:46 UV 2.16.840.1.113883.3.2720 hma-ng20 HMA NG 20 OID Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/07 12:00:00 2013/01/07 12:00:00 2013/01/07 02:19:56 UV 2.16.840.1.113883.3.2721 hma-ng21 HMA NG 21 OID Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/07 12:00:00 2013/01/07 12:00:00 2013/01/07 02:21:48 UV 2.16.840.1.113883.3.2722 psi01 Planned System International (PSI) System Integration Testing Alexander Mezhibovsky masked Alexander Mezhibovsky 12450 Roosevelt Boulevard, Suite 200 St. Petersburg, FL 33716 727-803-2007 masked software integration testing Planned System International Planned Systems International, Inc. 10632 Little Patuxent Parkway, Suite 200 Columbia, MD 21044 410.964.8000 amezhibovsky@plan-sys.com http://www.plan-sys.com/ Vendor Int 3 Complete 2013/01/07 12:00:00 2013/01/07 12:00:00 2013/01/07 03:26:05 UV 2.16.840.1.113883.3.2723 winningsoft Shanghai Kingstar Winning Software Co., Ltd. Tao Yu masked Tao Yu Room 258,No.4184 ShangNan Road,Pudong New District&#65292;Shanghai,China Postal Code:200126 +8613310190508 masked R&D Development Director Shanghai Kingstar Winning Software Co.,Ltd Room 258,No.4184 ShangNan Road,Pudong New District&#65292;Shanghai,China Postal Code:200126 86-21-56773880 springsource@qq.com http://www.winning.com.cn Provider Int 3 3 Complete 2013/01/08 12:00:00 2013/01/11 12:00:00 2013/01/11 10:59:07 CN 2.16.840.1.113883.3.2724 hpn Healthy Panacea Network Qamar Islam masked Qamar Islam 2005 Prince Ave. Athens, GA 30606 706-208-9700 masked Healthy Panacea Network 2005 Prince Ave. Athens, GA 30606 info@hpnmed.com Vendor Int 3 3 Complete 2013/01/08 12:00:00 2013/01/11 12:00:00 2013/01/11 11:02:21 UV 2.16.840.1.113883.3.1070.5125 mckesson-fusion-5125 mckesson-fusion-5125 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5125 2013/01/08 12:00:00 2013/01/11 12:00:00 2013/01/11 11:04:00 UV 2.16.840.1.113883.3.2725 mhhl7 MethodistHendersonKYhl7 Jamie Reid masked Steve Edmondson Jamie Reid 1305 N Elm Henderson KY 42420 270-827-7117 masked Director Information Systems Methodist Hospital 1305 N Elm Henderson KY 42420 270-827-7700 jreid@methodisthospital.net http://www.methodisthospital.net Provider Int 3 Complete 2013/01/08 12:00:00 2013/01/11 12:00:00 2013/01/11 11:06:24 UV 2.16.840.1.113883.3.2726 glenallyndialysis Glen Allyn Dialysis Josh Smith masked Lois Clark 1683 Mountain Lane Glen Allyn, VA 22222 804 555 8763 masked IT Director Glen Allyn Dialysis Inc itsupport@glenallyndialysis.com Provider Int 3 Complete 2013/01/08 12:00:00 2013/01/11 12:00:00 2013/01/11 11:07:47 UV 2.16.840.1.113883.3.1070.5129 mckesson-fusion-5129 mckesson-fusion-5129 Jennifer Meares masked Jennifer Meares 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5129 2013/01/08 12:00:00 2013/01/11 12:00:00 2013/01/11 11:12:24 US 2.16.840.1.113883.13.232 dh-mmd-mf-ccd Dignity Health Ambulatory Med Foundation Mobile MD Outbound CCD Michael Jacobson masked Michael Jacobson 3033 N. 3rd Ave Phoenix, AZ 85013 602-307-2708 masked Program Manager - Physician Connectivity Dignity Health 3033 N. 3rd Ave Phoenix, AZ 85013 Michael.Jacobson@DignityHealth.org http://www.dignityhealth.org/index.htm Provider Int 13 13 Complete 2013/01/08 12:00:00 2013/01/11 12:00:00 2013/01/11 11:21:18 US 2.16.840.1.113883.3.2727 ccd-Exchange Advocate Health Care Paulette Duong masked Paulette Duong 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 masked Technical Project Manager Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 paulette.duong@advocatehealth.com HL7 body Int 3 Complete 2013/01/08 12:00:00 2013/01/11 12:00:00 2013/01/11 12:33:08 UV 2.16.840.1.113883.3.2727.100 ahc-CMC Advocate Health Care-CMC Paulette Duong masked Paulette Duong 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 masked Technical Project Manager Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 paulette.duong@advocatehealth.com HL7 body 2.16.840.1.113883.3.2727 Ext 14 Complete 2.16.840.1.113883.3.2727.100 2013/01/08 12:00:00 2013/01/11 12:00:00 2013/01/11 12:35:58 UV 2.16.840.1.113883.3.2727.200 ahc-CND Advocate Health Care-CND Paulette Duong masked Paulette Duong 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 masked Technical Project Manager Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 paulette.duong@advocatehealth.com Provider 2.16.840.1.113883.3.2727 Ext 3 Complete 2.16.840.1.113883.3.2727.200 2013/01/09 12:00:00 2013/01/11 12:00:00 2013/01/11 12:38:55 UV 2.16.840.1.113883.3.2727.300 ahc-GSA Advocate Health Care-GSA Paulette Duong masked Paulette Duong 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 masked Technical Project Manager Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 paulette.duong@advocatehealth.com Provider 2.16.840.1.113883.3.2727 Ext 3 Complete 2.16.840.1.113883.3.2727.300 2013/01/09 12:00:00 2013/01/11 12:00:00 2013/01/11 12:41:36 UV 2.16.840.1.113883.3.2727.400 ahc-GSH Advocate Health Care-GSH Paulette Duong masked Paulette Duong 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 masked Technical Project Manager Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 paulette.duong@advocatehealth.com Provider 2.16.840.1.113883.3.2727 Ext 3 Complete 2.16.840.1.113883.3.2727.400 2013/01/09 12:00:00 2013/01/11 12:00:00 2013/01/11 12:46:20 UV 2.16.840.1.113883.3.2727.500 ahc-IMC Advocate Health Care-IMC Paulette Duong masked Paulette Duong 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 masked Technical Project Manager Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 paulette.duong@advocatehealth.com Provider 2.16.840.1.113883.3.2727 Ext 3 Complete 2.16.840.1.113883.3.2727.500 2013/01/09 12:00:00 2013/01/11 12:00:00 2013/01/11 12:48:39 UV 2.16.840.1.113883.3.2727.600 ahc-LGH Advocate Health Care-LGH Paulette Duong masked Paulette Duong 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 masked Technical Project Manager Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 paulette.duong@advocatehealth.com Provider 2.16.840.1.113883.3.2727 Ext 3 Complete 2.16.840.1.113883.3.2727.600 2013/01/09 12:00:00 2013/01/11 12:00:00 2013/01/11 12:52:16 UV 2.16.840.1.113883.3.2727.700 ahc-SSH Advocate Health Care-SSH Paulette Duong masked Paulette Duong 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 masked Technical Project Manager Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 paulette.duong@advocatehealth.com Provider 2.16.840.1.113883.3.2727 Ext 3 Complete 2.16.840.1.113883.3.2727.700 2013/01/09 12:00:00 2013/01/11 12:00:00 2013/01/11 12:54:32 UV 2.16.840.1.113883.3.2727.800 ahc-TRI Advocate Health Care-TRI Paulette Duong masked Paulette Duong 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 masked Technical Project Manager Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 paulette.duong@advocatehealth.com Provider 2.16.840.1.113883.3.2727 Ext 3 Complete 2.16.840.1.113883.3.2727.800 2013/01/09 12:00:00 2013/01/11 12:00:00 2013/01/11 12:56:45 UV 2.16.840.1.113883.3.2728 premierrc1 Premier Eyecare, PC Jared Pearson masked Theresa Brady Theresa Brady 808 Mt Rushmore Rd Rapid City, SD 57701 605-719-9489 masked Office Manager Premier Eyecare, PC 808 Mt Rushmore Rd Rapid City, SD 57701 605-719-9489 premierrc1@gmail.com http://www.premiereyecarerapidcity.com Provider Int 3 Complete 2013/01/09 12:00:00 2013/01/11 12:00:00 2013/01/11 12:59:38 UV 2.16.840.1.113883.1070.5131 mckesson-fusion-5131R mckesson-fusion-5131 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.1070 Ext 17 Retired 2.16.840.1.113883.1070.5131 2013/01/09 12:00:00 2013/01/11 12:00:00 2014/09/12 05:06:03 UV 2.16.840.1.113883.3.2729 diaXray Diagnostic Imaging Associates Enterprise LLC Douglas Dersch masked Victoria Peacock Douglas Dersch Diagnostic Imaging Associates Enterprise LLC 1601 Milltown Road Suite 13 Wilmington, DE 19808 856-478-2277 masked Consultant Diagnostic Imaging Associates Enterprises, LLC Diagnostic Imaging Associates Chris Ciconte 1601 Milltown Road Suite 13 Wilmington, DE 19808 302-993-2330 x215 cciconte@diaxray.com https://diaxrayris.com/webris/ Exchange Int 3 Complete 2013/01/09 12:00:00 2013/01/11 12:00:00 2013/01/11 01:01:32 US 2.16.840.1.113883.3.1070.5137 mckesson-fusion-5137 mckesson-fusion-5137 Randy Deitsch masked Randy Deitsch 8775074541 masked Fusion Enrollment randy.deitsch@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5137 2013/01/09 12:00:00 2013/01/11 12:00:00 2013/01/11 01:11:31 US 2.16.840.1.113883.3.2730 catvalmc Catawba Valley Medical Center Kim Drum masked Kim Drum 810 Fairgrove Church Road SE Hickory, NC 28602 828-326-2107 masked Interface Analyst Catawba Valley Medical Center 810 Fairgrove Church Road SE Hickory, NC 28602 828-326-3000 helpdesk@catawbavalleymc.org http://www.catawbavalleymedical.org Provider Int 3 Complete 2013/01/09 12:00:00 2013/01/11 12:00:00 2013/01/11 01:14:06 UV 2.16.840.1.113883.4.594 ca-qcDLN Quebec, Canada (Soci&#233;t&#233; de l'assurance automobile du Quebec, Canada) Driver's Licence Wendy Huang masked Anne Belford 5090 Explorer Drive Mississauga, Ontario L4W 4X6 Canada 905-629-5729 masked Soci&#233;t&#233; de l'assurance automobile du Qu&#233;bec Soci&#233;t&#233; de l'assurance automobile du Qu&#233;bec 333, boulevard Jean-Lesage Qu&#233;bec (Qu&#233;bec) G1K 8J6 Canada 514-873-7620 email@notavailable.com http://www.saaq.gouv.qc.ca/en/ Govt body Int 4 Complete 2013/01/09 12:00:00 2013/01/11 12:00:00 2013/01/11 01:20:46 UV 2.16.840.1.113883.4.595 ca-onDLN Ontario, Canada MTO (Ministry of Transportation of Ontario, Canada) Driver's License Wendy Huang masked Anne Belford 5090 Explorer Drive Mississauga, Ontario L4W 4X6 Canada 905-629-5729 masked Ministry of Transportation of Ontario 77 Wellesley Street West Ferguson Block, 3rd Floor Toronto, ON M7A 1Z8 Canada 416-235-2999 email@na.com http://www.mto.gov.on.ca/ Govt body Int 4 Complete 2013/01/09 12:00:00 2013/01/11 12:00:00 2013/01/11 01:25:35 UV 2.16.840.1.113883.4.596 ca-nlDLN Newfoundland and Labrador, Canada Driver's Licence Wendy Huang masked Anne Belford 5090 Explorer Drive Mississauga, Ontario L4W 4X6 Canada 905-629-5729 masked Service NL Motor Registration Division P.O. Box 8710 St. John's, NL A1B 4J5 Canada 1-877-636-6867 mrd_info@gov.nl.ca http://www.servicenl.gov.nl.ca/ Govt body Int 4 Complete 2013/01/09 12:00:00 2013/01/11 12:00:00 2013/01/11 02:37:25 UV 2.16.840.1.113883.4.597 ca-bcDLN British Columbia, Canada ICBC (Insurance Corporation of British Columbia, Canada) Driver's Licence Wendy Huang masked Anne Belford 5090 Explorer Drive Mississauga, Ontario L4W 4X6 Canada 905-629-5729 masked ICBC 151 West Esplanade North Vancouver, B.C. V7M 3H9 Canada 1-800-663-3051 email@na.com http://www.icbc.com Govt body Int 4 Complete 2013/01/09 12:00:00 2013/01/11 12:00:00 2013/01/11 02:38:53 UV 2.16.840.1.113883.4.598 ca-skDLN Saskatchewan, Canada Driver's Licence Wendy Huang masked Anne Belford 5090 Explorer Drive Mississauga, Ontario L4W 4X6 Canada 905-629-5729 masked Saskatchewan Government Insurance (SGI) 2260 - 11th Avenue Regina, SK S4P 0J9 Canada 1-800-667-9868 email@na.com http://www.sgi.sk.ca Govt body Int 4 Complete 2013/01/09 12:00:00 2013/01/11 12:00:00 2013/01/11 02:40:14 UV 2.16.840.1.113883.4.599 ca-mbDLN Manitoba, Canada Driver's Licence Wendy Huang masked Anne Belford 5090 Explorer Drive Mississauga, Ontario L4W 4X6 Canada 905-629-5729 masked Manitoba Public Insurance Manitoba Public Insurance Box 6300 Winnipeg, MB R3C 4A4 Canada 1-800-665-2410 http://www.mpi.mb.ca Govt body Int 4 Complete 2013/01/09 12:00:00 2013/01/11 12:00:00 2013/01/11 02:44:36 UV 2.16.840.1.113883.4.600 ca-abDLN Alberta, Canada (Ministry of Transportation of Alberta, Canada) Driver's Licence Wendy Huang masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 1-780-415-1552 masked Service Alberta Government of Alberta PO Box 1333 Edmonton, Alberta T5J 2N2 Canada 780-427-2711 mv@gov.ab.ca http://www.servicealberta.gov.ab.ca Govt body Int 4 Complete 2013/01/09 12:00:00 2013/01/11 12:00:00 2021/11/05 09:42:10 UV 2.16.840.1.113883.4.601 ca-nbDLN New Brunswick, Canada Driver's Licence Wendy Huang masked Anne Belford 5090 Explorer Drive Mississauga, Ontario L4W 4X6 Canada 905-629-5731 masked Government of New Brunswick (GNB) 364 Argyle Street Fredericton, E3B 1T8 Canada DPS-MSP.Information@gnb.ca http://www2.gnb.ca Govt body Int 4 Complete 2013/01/09 12:00:00 2013/01/11 12:00:00 2013/01/11 04:31:41 UV 2.16.840.1.113883.4.602 ca-ntDLN Northwest Territories, Canada (Ministry of Transportation Northwest Territories, Canada) Driver's Licence Wendy Huang masked Anne Belford 5090 Explorer Drive Mississauga, Ontario L4W 4X6 Canada 905-629-5732 masked Ministry of Transportation of Northwest Territories, Canada Highways Building, 1st Floor 4510 50 Avenue P.O. Box 1320 Yellowknife, NT X1A 2L9 Canada 1-888-803-8773 DVLicensing@gov.nt.ca http://www.dot.gov.nt.ca/ Govt body Int 4 Complete 2013/01/09 12:00:00 2013/01/11 12:00:00 2013/01/11 04:35:14 UV 2.16.840.1.113883.4.603 ca-nuDLN Nunavut, Canada Driver's Licence Wendy Huang masked Anne Belford 5090 Explorer Drive Mississauga, Ontario L4W 4X6 Canada 905-629-5733 masked Department of Economic Development & Transportation Building 1104 A Inuksugait Plaza PO Box 1000, Station 1500 Iqaluit, NU X0A 0H0 Canada 1-888-975-5999 edt@gov.nu.ca http://www.edt.gov.nu.ca Govt body Int 4 Complete 2013/01/09 12:00:00 2013/01/11 12:00:00 2013/01/11 04:37:06 UV 2.16.840.1.113883.4.604 ca-peDLN Prince Edward Island, Canada Driver's Licence Wendy Huang masked Anne Belford 5090 Explorer Drive Mississauga, Ontario L4W 4X6 Canada 905-629-5734 masked Department of Transportation and Infrastructure Renewal Third Floor, Jones Building 11 Kent Street, P.O. Box 2000, Charlottetown, PEI C1A 7N8 Canada 902-368-5100 mamoszynski@gov.pe.ca http://www.gov.pe.ca Govt body Int 4 Complete 2013/01/09 12:00:00 2013/01/11 12:00:00 2013/01/11 04:39:18 UV 2.16.840.1.113883.4.605 ca-ytDLN Yukon, Canada Driver's Licence Wendy Huang masked Anne Belford 5090 Explorer Drive Mississauga, Ontario L4W 4X6 Canada 905-629-5735 masked Government of Yukon - Highways and Public Works 9010 Quartz Road Yukon, Canada 867-393-7193 hpw-info@gov.yk.ca http://www.hpw.gov.yk.ca Govt body Int 4 Complete 2013/01/09 12:00:00 2013/01/11 12:00:00 2013/01/11 04:44:48 UV 2.16.840.1.113883.4.606 ca-nsDLN Nova Scotia, Canada (Registry of Motor Vehicles Nova Scotia, Canada) Driver's Licence Wendy Huang masked Anne Belford 5090 Explorer Drive Mississauga, Ontario L4W 4X6 Canada 905-629-5736 masked Transportation and Infrastructure Renewal P.O. Box 186 Halifax, Nova Scotia B3J 2N2 Canada 1-888-432-3233 tpwpaff@gov.ns.ca http://www.dot.gov.nt.ca Govt body Int 4 Complete 2013/01/09 12:00:00 2013/01/11 12:00:00 2013/01/11 04:48:28 UV 2.16.840.1.113883.3.2731 hma-ng-ent HMA NG ENT OID Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/10 12:00:00 2013/01/11 12:00:00 2013/01/11 04:57:13 UV 2.16.840.1.113883.3.2732 s-i SI Mark Hand masked Mark Hand 114 B West Main St. Gallatin, TN 37066 6152073866 masked Mark Hand 114 B West Main St. Gallatin, TN 37066 6154060396 mark@sumnerinformatics.com http://hietn.com Govt body Int 3 3 Complete 2013/01/10 12:00:00 2013/01/11 12:00:00 2013/01/11 05:01:26 UV 2.16.840.1.113883.3.1070.5139 mckesson-fusion-5139 mckesson-fusion-5139 Randy Deitsch masked Fusion Enrollment 8775074541 masked Fusion Enrollment randy.deitsch@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5139 2013/01/11 12:00:00 2013/01/11 12:00:00 2013/01/11 05:03:35 US 2.16.840.1.113883.4.607 ca-bc-license-pharmacy College of Pharmacists of British Columbia, Canada Wendy Huang masked Mukesh Kashyap 1483 Douglas St., Victoria, BC, Canada 778.974.2701 masked Senior Business Analyst BC Ministry of Health 1483 Douglas St., Victoria, BC, Canada 778.974.2701 HISSupport@gov.bc.ca https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/health-information-standards Govt body Int 4 Complete 2013/01/11 12:00:00 2013/01/11 12:00:00 2024/03/11 04:27:30 UV 2.16.840.1.113883.3.2733 eLL Yen's Optometry Inc. Lucy Yen masked Lucy Yen, OD 4266 Jan Way San Jose, Ca. 95124 812-327-1426 masked President/CEO Yen's Optometry Inc. 1335 Lincoln Ave. San Jose, Ca. 95125 408-294-9900 drlucy@eyeluvlucy.com http://www.eyeluvlucy.com Provider Int 3 Complete 2013/01/11 12:00:00 2013/01/11 12:00:00 2013/01/11 05:08:43 UV 2.16.840.1.113883.3.2734 vc4l Runyon Optometry, P.A. DBA Vision Care 4Life Wendy Foster masked Wendy Foster, O.D. Vision Care 4Life 2020 North Woodlawn STE 390 Wichita, KS 67208 3166829891 masked Optometrist/Owner Vision Care 4Life Vision Care 4Life 2020 North Woodlawn STE 390 Wichita, KS 67208 3166829891 visionc4@gmail.com https://visioncare4life.com Provider Int 3 Complete 2013/01/11 12:00:00 2013/01/11 12:00:00 2013/01/11 05:10:04 UV 2.16.840.1.113883.3.2735 cbwchc-268 Charles B. Wang Community Health Center, Inc. Lynn Sherman masked kyeung@cbwchc.org Kai Yeung 268 Canal Street New York, NY 10013 212-379-6988 masked Director of Information Techology CBWCHC 268 Canal Street New York, NY 10013 212-379-6988 adchan@cbwchc.org http://www.cbwchc.org Provider Int 3 Complete 2013/01/11 12:00:00 2013/01/11 12:00:00 2013/01/11 05:13:09 UV 1.3.6.1.4.1.19642 eastal East Alabama Medical Center OID Jeremy Goslin masked Bill Smyly 2000 Pepperell pkwy Opelika, AL 36801 3345287431 masked Interface Engineer East Alabama Medical Center 2000 Pepperell pkwy Opelika, AL 36801 3347493411 Interfaces@eamc.org http://www.eamc.org Provider 1.3.6.1.4.1.19642 Ext 4 4 Complete 1.3.6.1.4.1.19642 2013/01/11 12:00:00 2013/01/23 12:00:00 2020/12/01 09:54:03 UV 2.16.840.1.113883.3.2736 hma-838 HMA 838 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 09:44:13 UV 2.16.840.1.113883.3.2737 hma-843 HMA 843 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 09:45:05 UV 2.16.840.1.113883.3.2738 hma-804 HMA 804 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 09:46:53 UV 2.16.840.1.113883.3.2739 hma-816 HMA 816 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 09:49:48 UV 2.16.840.1.113883.3.2740 hma-890 HMA 890 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 09:53:32 UV 2.16.840.1.113883.3.2741 hma-848 HMA 848 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 09:55:49 UV 2.16.840.1.113883.3.2742 hma-833 HMA 833 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 09:57:57 UV 2.16.840.1.113883.3.2743 hma-813 HMA 813 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 09:59:48 UV 2.16.840.1.113883.3.2744 hma-827 HMA 827 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 10:02:16 UV 2.16.840.1.113883.3.2745 hma-858 HMA 858 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 10:04:20 UV 2.16.840.1.113883.3.2746 hma-837 HMA 837 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 10:05:51 UV 2.16.840.1.113883.3.2747 hma-856 HMA 856 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 10:07:53 UV 2.16.840.1.113883.3.2748 hma-868 HMA 868 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 10:09:53 UV 2.16.840.1.113883.3.2749 hma-832 HMA 832 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 10:12:00 UV 2.16.840.1.113883.3.2750 hma-855 HMA 855 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 10:17:31 UV 2.16.840.1.113883.3.2751 hma-840 HMA 840 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 10:18:54 UV 2.16.840.1.113883.3.2752 hma-894 HMA 894 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 10:22:26 UV 2.16.840.1.113883.3.2753 hma-854 HMA 854 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 10:24:46 UV 2.16.840.1.113883.3.2754 hma-821 HMA 821 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 10:26:04 UV 2.16.840.1.113883.3.2755 hma-847 HMA 847 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 10:30:07 UV 2.16.840.1.113883.3.2756 hma-899 HMA 899 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 10:34:59 UV 2.16.840.1.113883.3.2757 hma-835 HMA 835 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 10:38:53 UV 2.16.840.1.113883.3.2758 hma-889 HMA 889 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 10:40:01 UV 2.16.840.1.113883.3.2759 hma-828 HMA 828 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 10:47:53 UV 2.16.840.1.113883.3.2760 hma-899J HMA 899J Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 10:49:38 UV 2.16.840.1.113883.3.2761 hma-846 HMA 846 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 10:52:28 UV 2.16.840.1.113883.3.2762 hma-805 HMA 805 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 10:54:00 UV 2.16.840.1.113883.3.2763 hma-864 HMA 864 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 10:55:50 UV 2.16.840.1.113883.3.2764 hma-852 HMA 852 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 11:00:29 UV 2.16.840.1.113883.3.2765 hma-866 HMA 866 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 11:01:52 UV 2.16.840.1.113883.3.2766 hma-867 HMA 867 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 11:03:31 UV 2.16.840.1.113883.3.2767 hma-716 HMA 716 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/24 09:50:49 UV 2.16.840.1.113883.3.2768 hma-874 HMA 874 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 11:07:15 UV 2.16.840.1.113883.3.2769 hma-885 HMA 885 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 11:08:38 UV 2.16.840.1.113883.3.2770 hma-818 HMA 818 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 11:10:52 UV 2.16.840.1.113883.3.2771 hma-822 HMA 822 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 11:31:39 UV 2.16.840.1.113883.3.2772 hma-718 HMA 718 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 11:32:57 UV 2.16.840.1.113883.3.2773 hma-829 HMA 829 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 11:34:19 UV 2.16.840.1.113883.3.2774 hma-810 HMA 810 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 11:36:18 UV 2.16.840.1.113883.3.2775 hma-886 HMA 886 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 11:38:52 UV 2.16.840.1.113883.3.2776 hma-851 HMA 851 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 11:41:54 UV 2.16.840.1.113883.3.2777 hma-715 HMA 715 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 11:43:14 UV 2.16.840.1.113883.3.2778 hma-803 HMA 803 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 11:49:44 UV 2.16.840.1.113883.3.2779 hma-812 HMA 812 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 11:51:40 UV 2.16.840.1.113883.3.2780 hma-841 HMA 841 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 11:54:51 UV 2.16.840.1.113883.3.2781 hma-806 HMA 806 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 12:11:17 UV 2.16.840.1.113883.3.2782 hma-820 HMA 820 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 12:12:51 UV 2.16.840.1.113883.3.2783 hma-871 HMA 871 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 12:15:57 UV 2.16.840.1.113883.3.2784 hma-826 HMA 826 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 12:18:35 UV 2.16.840.1.113883.3.2785 hma-861 HMA 861 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 12:31:43 UV 2.16.840.1.113883.3.2786 hma-844 HMA 844 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 12:33:38 UV 2.16.840.1.113883.3.2787 hma-875 HMA 875 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 12:35:15 UV 2.16.840.1.113883.3.2788 hma-857 HMA 857 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/24 09:56:36 UV 2.16.840.1.113883.3.2789 hma-817 HMA 817 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 12:38:54 UV 2.16.840.1.113883.3.2790 hma-825 HMA 825 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/13 12:00:00 2013/01/23 12:00:00 2013/01/23 12:40:16 UV 2.16.840.1.113883.3.2791 hma-824 HMA 824 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/14 12:00:00 2013/01/23 12:00:00 2013/01/23 12:47:11 UV 2.16.840.1.113883.3.2792 hma-721 HMA 721 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/14 12:00:00 2013/01/23 12:00:00 2013/01/24 09:52:45 UV 2.16.840.1.113883.3.2793 hma-823 HMA 823 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/14 12:00:00 2013/01/23 12:00:00 2013/01/23 12:51:52 UV 2.16.840.1.113883.3.2794 hma-831 HMA 831 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/14 12:00:00 2013/01/23 12:00:00 2013/01/23 12:53:00 UV 2.16.840.1.113883.3.2795 hma-836 HMA 836 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/14 12:00:00 2013/01/23 12:00:00 2013/01/23 12:54:47 UV 2.16.840.1.113883.3.2796 hma-880 HMA 880 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/14 12:00:00 2013/01/23 12:00:00 2013/01/23 12:56:23 UV 2.16.840.1.113883.3.2797 hma-883 HMA 883 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/14 12:00:00 2013/01/23 12:00:00 2013/01/23 12:58:31 UV 2.16.840.1.113883.3.2798 hma-853 HMA 853 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/14 12:00:00 2013/01/23 12:00:00 2013/01/24 09:55:41 UV 2.16.840.1.113883.3.2799 hma-878 HMA 878 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/14 12:00:00 2013/01/23 12:00:00 2013/01/23 01:05:26 UV 2.16.840.1.113883.3.2800 hma-717 HMA 717 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/14 12:00:00 2013/01/23 12:00:00 2013/01/23 01:06:38 UV 2.16.840.1.113883.3.2801 hma-711 HMA 711 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/14 12:00:00 2013/01/23 12:00:00 2013/01/23 01:20:11 UV 2.16.840.1.113883.3.2802 hma-888 HMA 888 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/14 12:00:00 2013/01/23 12:00:00 2013/01/23 01:21:38 UV 2.16.840.1.113883.3.2803 hma-860 HMA 860 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/14 12:00:00 2013/01/23 12:00:00 2013/01/23 01:22:58 UV 2.16.840.1.113883.3.2804 hma-884 HMA 884 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/14 12:00:00 2013/01/23 12:00:00 2013/01/23 01:24:27 UV 2.16.840.1.113883.3.2805 hma-808 HMA 808 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/14 12:00:00 2013/01/23 12:00:00 2013/01/23 01:26:11 UV 2.16.840.1.113883.3.2806 hma-842 HMA 842 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/14 12:00:00 2013/01/23 12:00:00 2013/01/23 01:31:01 UV 2.16.840.1.113883.3.2807 hma-872 HMA 872 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/14 12:00:00 2013/01/23 12:00:00 2013/01/23 01:35:35 UV 2.16.840.1.113883.3.2808 hauokc Health Alliance for the Uninsured Joseph Denney masked Joseph Denney 5929 N. May Avenue Suite 511 Oklahoma City, OK 73112 405-286-3343 masked Director of Informatics Health Alliance for the Uninsured 5929 N. May Avenue Suite 511 Oklahoma City, OK 73112 405-286-3343 pam.cross@hauonline.org http://www.hauonline.org Provider Int 3 Complete 2013/01/14 12:00:00 2013/01/23 12:00:00 2013/01/23 01:39:06 UV 2.16.840.1.113883.3.2809 hma-869 HMA 869 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/14 12:00:00 2013/01/23 12:00:00 2013/01/23 01:44:03 UV 2.16.840.1.113883.3.2810 hma-850 HMA 850 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/14 12:00:00 2013/01/23 12:00:00 2013/01/23 01:46:32 UV 2.16.840.1.113883.3.2811 hma-863 HMA 863 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/14 12:00:00 2013/01/23 12:00:00 2013/01/23 01:53:34 UV 2.16.840.1.113883.3.2812 hma-879 HMA 879 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/14 12:00:00 2013/01/23 12:00:00 2013/01/23 02:04:25 UV 2.16.840.1.113883.3.2813 hma-719 HMA 719 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/14 12:00:00 2013/01/23 12:00:00 2013/01/24 09:51:58 UV 2.16.840.1.113883.3.2814 hma-876 HMA 876 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/14 12:00:00 2013/01/23 12:00:00 2013/01/23 02:18:00 UV 2.16.840.1.113883.3.2815 hma-899B HMA 899B Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/14 12:00:00 2013/01/23 12:00:00 2013/01/23 02:23:21 UV 2.16.840.1.113883.3.1070.5154 mckesson-fusion-5154 mckesson-fusion-5154 Trish Wilson masked Fusion Enrollment 4046849625 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5154 2013/01/14 12:00:00 2013/01/23 12:00:00 2013/01/23 02:25:12 US 2.16.840.1.113883.3.1070.5155 mckesson-fusion-5155 mckesson-fusion-5155 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5155 2013/01/14 12:00:00 2013/01/23 12:00:00 2013/01/23 02:26:36 US 2.16.840.1.113883.3.2592.1 ouptulsa-emr OU Physicians Tulsa EMR Benny Holloway masked Tammy Beagles Benny Holloway 4502 E. 41st Street Tulsa, OK 74135-2512 918-660-3052 masked Data Analyst OU Physicians Tulsa 4444 E. 41st Street Tulsa, OK 74135-2512 918-619-4400 TulsaEMR@ouhsc.edu http://tulsa.ouhsc.edu Academic 2.16.840.1.113883.3.2592 Ext 14 Complete 2.16.840.1.113883.3.2592.1 2013/01/14 12:00:00 2013/01/23 12:00:00 2013/01/23 05:48:20 UV 2.16.840.1.113883.3.2816 emh EMH Healthcare Charles Danchik masked Charles Danchik 360 East River St Elyria Oh 44035 440-326-5466 masked Project Manager Comprehensive Healthcare of Ohio 360 East River St Elyria Oh 44035 440-329-7500 cdanchik@emhrhs.org http://www.emh-healthcare.org/ Provider Int 3 Complete 2013/01/14 12:00:00 2013/01/23 12:00:00 2013/01/23 05:55:26 UV 2.16.840.1.113883.3.629.14.69 practice-DamonGatewood Damon Gatewood, MD Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.69 2013/01/15 12:00:00 2013/01/23 12:00:00 2013/01/23 05:59:38 UV 2.16.840.1.113883.3.1070.5130 mckesson-fusion-5130 mckesson-fusion-5130 Jennifer Meares masked Fusion Enrollment 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5130 2013/01/15 12:00:00 2013/01/23 12:00:00 2013/01/23 06:01:50 US 2.16.840.1.113883.3.2817 ptlinknhie1 PatientLink Connect NHIE Gateway Debi Willis masked Bryan Smith Bryan Smith 10316 Greenbriar Parkway Oklahoma City, OK 73159 405-735-5144 ext.103 masked Senior Software Architect PatientLink 10316 Greenbriar Parkway Oklahoma City, OK 73159 405-735-5144 ext. debi@mypatientlink.com http://www.mypatientlink.com/about.htm Vendor Int 3 Complete 2013/01/15 12:00:00 2013/01/23 12:00:00 2013/01/23 06:04:17 UV 2.16.840.1.113883.3.2818 cemc CarolinaEast Medical Center HOWARD F MADISON III masked HOWARD F MADISON III (Chip) 2000 NEUSE BLVD Medical Arts SUITE 6 NEW BERN, NC 28560 (252) 633-8680 masked Interface Analyst CarolinaEast Medical Center 2000 Neuse Blvd New Bern, NC 28562 (252) 633-8680 hmadison@carolinaeasthealth.com Provider Int 3 3 Complete 2013/01/15 12:00:00 2013/01/23 12:00:00 2013/01/23 06:12:01 UV 2.16.840.1.113883.3.1070.5132 mckesson-fusion-5132 mckesson-fusion-5132 Jennifer Meares masked Fusion Enrollment 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor 2.16.840.1.113883.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5132 2013/01/15 12:00:00 2013/01/23 12:00:00 2013/01/23 06:14:08 US 2.16.840.1.113883.11.20.12 patGeneratedDocumentVSRoot Patient Generated Document Value Set Root Brett Marquard masked Brett Marquard 413 549 6886 masked Principal/SDWG Co-Chair SDWG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA SDWG strucdoc@lists.hl7.org http://www.HL7.org HL7 body Ext 13 Complete 2.16.840.1.113883.11.20.12 2013/01/15 12:00:00 2013/01/23 12:00:00 2013/01/23 06:17:02 UV 2.16.840.1.113883.3.2819 axesson Axesson, LLC. Bill Beighe masked Bill Beighe 5200 Soquel Avenue Suite 203 Santa Cruz, CA 95062 831.600.3750 masked General Manager Axesson 5200 Soquel Avenue Suite 203 Santa Cruz, CA 95062 831.600.3750 bbeighe@axesson.com http://axesson.com Vendor Int 3 Complete 2013/01/15 12:00:00 2013/01/23 12:00:00 2013/01/23 06:19:22 UV 2.16.840.1.113883.4.609 hPN Healthy Panacea Network Qamar Islam masked Qamar Islam 2005 Prince Ave Athens, GA 30606 1-888-314-4888 masked Healthy Panacea Network LLC 2005 Prince Ave Athens, GA 30606 1-888-314-4888 qislam@hpnmed.com Vendor Int 3 Complete 2013/01/16 12:00:00 2013/01/23 12:00:00 2013/01/23 06:24:42 UV 2.16.840.1.113883.3.2820 emrlogic EMRlogic Systems Inc Glenn Brand masked Dennis Ball 4299 Canada Way, Suite #100 Burnaby, BC V5G 1H3 Canada 866-367-2899 masked CTO Canada EMRlogic Systems Inc 4299 Canada Way, Suite #100 Burnaby, BC V5G 1H3 Canada 866-367-2899 dennis.ball@ocuco.com http://www.emrlogic.com Vendor Int 3 Complete 2013/01/16 12:00:00 2013/01/23 12:00:00 2020/08/21 02:32:23 UV 2.16.840.1.113883.3.2821 cmhs Citrus Memorial Health System George Mavros masked twhetstine@citrusmh.org George S Mavros Citrus Memorial Health System Director of Professional Services 502 W. Highland Blvd Inverness, FL 34452 352 344-6547 masked Director of Professional Services Citrus Memorial Health System Citrus Memorial Health System 502 W. Highland Blvd Inverness, FL 34452 352 726-1551 gmavros@citrusmh.org http://www.citrusmh.com/ Provider Int 3 Complete 2013/01/17 12:00:00 2013/02/13 12:00:00 2013/02/13 10:05:35 UV 2.16.840.1.113883.3.2822 hmi Houston Medical Imaging Zeljko Lazarevic masked Zeljko Lazarevic 3310 Richmond Ave Houston, TX 77098 281-914-0438 masked IT Houston Medical Imaging 3310 Richmond Ave Houston, TX 77098 713-589-5215 zeljkol@houstonimaging.com http://www.hmixray.com Provider Int 13 3 Complete 2013/01/17 12:00:00 2013/02/13 12:00:00 2013/02/13 10:11:18 UV 2.16.840.1.113883.3.2823 adilAcademy Adil Academy Qamar Islam masked Qamar Islam 706-988-0805 masked Adil Academy 150 Westpark Dr Athens, GA 30606 706-988-0805 qislam@outlook.com http://www.adilacademy.org Academic Int 3 Complete 2013/01/17 12:00:00 2013/02/13 12:00:00 2013/02/13 10:12:44 UV 2.16.840.1.113883.3.1070.5157 mckesson-fusion-5157 mckesson-fusion-5157 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5157 2013/01/18 12:00:00 2013/02/13 12:00:00 2013/02/13 10:14:35 US 2.16.840.1.113883.3.1871.3.186 sapocardhp SAPO Cardiovascular HealthPlex Rodney Rice masked Rodney Rice 314 951 5631 masked Interface Analyst SSMHC 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.186 2013/01/18 12:00:00 2013/02/13 12:00:00 2013/02/13 10:20:23 UV 2.16.840.1.113883.3.2824 healtheintent hiedirectconnect.org Charlie Kim masked Charlie Kim 2800 Rockcreek Parkway Kansas City, MO 64117 816-201-7045 masked System Architect hiedirectconnect.org charlie.kim@cerner.com http://healtheintentsync.hiedirectconnect.org Exchange Int 3 Complete 2013/01/19 12:00:00 2013/02/13 12:00:00 2013/02/13 10:28:33 UV 2.16.840.1.113883.3.2825 bridgegate BridgeGate International Billy Waldrop masked Billy Waldrop 904-739-0300 masked BridgeGate International 7751 Belfort Parkway Suite 160 Jacksonville, FL 32256 904-739-0300 bwaldrop@bridgegateintl.com Vendor Int 3 Complete 2013/01/21 12:00:00 2013/02/13 12:00:00 2013/02/13 10:31:02 UV 2.16.840.1.113883.3.2826 bridgton Bridgton Hospital Alison Durgin masked Alison Durgin 29 Lowell St Suite 200 Lewiston, ME 04240 207-755-3823 masked IS Programmer/Analyst Bridgton Hospital 10 Hospital Dr Bridgton, ME 04009 207 647-6000 cmmc@cmmc.org Provider Int 3 3 Complete 2013/01/21 12:00:00 2013/02/13 12:00:00 2013/02/13 10:32:19 UV 2.16.840.1.113883.3.2827 rumford Rumford Hospital Alison Durgin masked Alison Durgin 29 Lowell St Suite 200 Lewiston, ME 04240 207 755-3823 masked Rumford Hospital 430 Franklin St Rumford, ME 04276 207 369-1000 cmmc@cmmc.org Provider Int 3 3 Complete 2013/01/21 12:00:00 2013/02/13 12:00:00 2013/02/13 10:34:43 UV 2.16.840.1.113883.3.2828 dh-mmd-mf-ccd Dignity Health Ambulatory Med Foundation Mobile MD Outbound CCD Ryan Stewart masked Ryan Stewart 3033 N. 3rd Ave Phoenix, AZ 85013 602-307-2839 masked Director of Health Information Exchange Dignity Health 3033 N. 3rd Ave Phoenix, AZ 85013 602-307-2839 ryan.stewart@dignityhealth.org http://www.dignityhealth.org/index.htm Provider Int 3 3 Complete 2013/01/22 12:00:00 2013/02/13 12:00:00 2013/02/13 10:39:16 US 2.16.840.1.113883.3.2829 tao Third Avenue Optometry Nicholas Chan masked Nicholas T. Chan 228 E. 3rd Avenue San Mateo, CA 94401 415-713-0674 masked Optometrist Third Avenue Optometry 228 E. 3rd Avenue San Mateo, CA 94401 650-343-0549 third.avenue.optometry@gmail.com Provider Int 3 Complete 2013/01/22 12:00:00 2013/02/13 12:00:00 2013/02/13 10:41:05 UV 2.16.840.1.113883.3.2830 hsps-HenrySchein-USA HL7-Patient-identifier-AssigningAuthority Muyi Cui masked Muyi Cui 801-847-4342 masked Software Architect Henry Schein Practice Solutions 727 Utah Valley Dr American Fork, UT 84003 USA 801-763-9300 Suggest@dentrixenterprise.com Vendor Int 3 3 Complete 2013/01/23 12:00:00 2013/02/13 12:00:00 2013/02/13 10:43:18 2.5.1 UV 1.2.36.1.5001.1.1.3.2.4 hospital-provider-number Hospital Provider Number John Wong masked John Wong Health eBusiness Division Department of Human Services 186 Reed Street, Greenway ACT 2900 +61261246462 masked Director, National Authentication Services for Health Department of Human Services Department of Human Services GPO Box 9822 ACT 2601 +61132011 medicare@humanservices.gov.au http://www.humanservices.gov.au Govt body Ext 4 4 Complete 1.2.36.1.5001.1.1.3.2.4 2013/01/24 12:00:00 2013/02/13 12:00:00 2013/02/13 10:45:32 UV 1.2.36.1.5001.1.1.3.2.5 patient-category Patient Category John Wong masked John Wong Health eBusiness Division Department of Human Services 186 Reed Street, Greenway ACT 2900 +61261246462 masked Director, National Authentication Services for Health Department of Human Services Department of Human Services GPO Box 9822 ACT 2601 +61132011 medicare@humanservices.gov.au http://www.humanservices.gov.au Govt body Ext 4 4 Complete 1.2.36.1.5001.1.1.3.2.5 2013/01/24 12:00:00 2013/02/13 12:00:00 2013/02/13 10:47:44 UV 1.2.36.1.5001.1.1.3.2.6 prescription-type-values Prescription Type Values John Wong masked John Wong Health eBusiness Division Department of Human Services 186 Reed Street, Greenway ACT 2900 +61261246462 masked Director, National Authentication Services for Health Department of Human Services Department of Human Services GPO Box 9822 ACT 2601 +61132011 medicare@humanservices.gov.au http://www.humanservices.gov.au Govt body Ext 4 4 Complete 1.2.36.1.5001.1.1.3.2.6 2013/01/24 12:00:00 2013/02/13 12:00:00 2013/02/13 10:49:28 UV 2.16.840.1.113883.3.2831 tyronehospital Tyrone Hospital Joe Adams masked Tyrone Hospital Joe Adams 814-684-6313 masked Director of Revenue Cycle / IT Tyrone Hospital 187 Hospital Drive Tyrone PA 16686 814-684-1255 sgildea@tyronehospital.org http://www.tyronehospital.org Provider Int 3 Complete 2013/01/24 12:00:00 2013/02/13 12:00:00 2013/02/13 10:53:19 UV 2.16.840.1.113883.3.2832 hma-741 HMA 741 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/24 12:00:00 2013/02/13 12:00:00 2013/02/13 12:55:32 UV 2.16.840.1.113883.3.2833 hma-742 HMA 742 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/24 12:00:00 2013/02/13 12:00:00 2013/02/13 12:56:27 UV 2.16.840.1.113883.3.2834 hma-743 HMA 743 Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/01/24 12:00:00 2013/02/13 12:00:00 2013/02/13 12:58:44 UV 2.16.840.1.113883.3.2835 wrwodlc William R. Waldron, OD LC William Waldron masked William Waldron, OD 1215 V George Washington Mem Hwy Yorktown, VA 23693 757-596-5666 masked Owner William R. Waldron, OD, LC 1215 V George Washington Mem Hwy Yorktown, VA 23693 757-596-5666 wwaldron@erols.com Provider Int 3 Complete 2013/01/24 12:00:00 2013/02/13 12:00:00 2013/02/13 01:03:49 UV 2.16.840.1.113883.3.1070.5131 mckesson-fusion-5131 mckesson-fusion-5131 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5131 2013/01/24 12:00:00 2013/02/13 12:00:00 2013/02/13 01:07:21 UV 2.16.840.1.113883.3.1070.5147 mckesson-fusion-5147 mckesson-fusion-5147 Tiffany Roberts masked Fusion Enrollment 877-507-4541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5147 2013/01/25 12:00:00 2013/02/13 12:00:00 2013/02/13 01:10:54 US 2.16.840.1.113883.3.1070.5153 mckesson-fusion-5153 mckesson-fusion-5153 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5153 2013/01/27 12:00:00 2013/02/13 12:00:00 2013/02/13 01:12:40 US 2.16.840.1.113883.3.1070.5159 mckesson-fusion-5159 mckesson-fusion-5159 Tiffany Roberts masked Fusion Enrollment 877-507-4541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5159 2013/01/27 12:00:00 2013/02/13 12:00:00 2013/02/13 01:14:15 US 2.16.840.1.113883.3.2836 gfhny Glens Falls Hospital Matthew Johnston masked Matthew Johnston 100 Park Street Glens Falls, New York 12801 5189265214 masked Senior Application Analyst Glens Falls Hospital 100 Park Street Glens Falls, New York 12801 5189261000 servicedeskdl@glensfallshosp.org Provider Int 3 3 Complete 2013/01/28 12:00:00 2013/02/13 12:00:00 2013/02/13 01:18:17 UV 2.16.840.1.113883.3.2837 c-r-h-s Conway Regional Health System Rick Hensley masked Rick Hensley 501-730-1749 masked IS Manager Conway Regional Medical Center 2302 College Avenue Conway, AR 72034 501-329-3831 rhensley@conwayregional.org http://www.conwayregional.org Provider Int 3 Complete 2013/01/28 12:00:00 2013/02/13 12:00:00 2013/02/13 01:19:48 UV 2.16.840.1.113883.3.1070.5152 mckesson-fusion-5152 mckesson-fusion-5152 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5152 2013/01/28 12:00:00 2013/02/13 12:00:00 2013/02/13 01:16:05 US 2.16.840.1.113883.3.2838 rankenjordan The Ranken-Jordan Home for Convalescent Crippled Children Amy Ball masked Katherine Esary 11365 Dorsett Road Maryland Heights, MO 63043 314-872-6499 masked The Ranken-Jordan Home for Convalescent Crippled Children 11365 Dorsett Road Maryland Heights, MO 63043 314-872-6400 katherine.esarey@rankenjordan.org Provider Int 3 3 Complete 2013/01/28 12:00:00 2013/02/13 12:00:00 2013/02/13 01:21:19 UV 2.16.840.1.113883.3.2839 xerox-HIE Xerox HIE Doug DeShazo masked Doug DeShazo 678-243-9634 masked Xerox Heritage, LLC 9040 Roswell Road Atlanta, GA 30350 678-243-9634 douglas.deshazo@xerox.com http://www.xerox.com/govhealthcare Vendor Int 3 Complete 2013/01/29 12:00:00 2013/02/13 12:00:00 2013/02/13 01:22:26 UV 2.16.840.1.113883.11.20.13 hivRSRVSRoot Ryan White HIV/AIDS Program Services Report (RSR) CDA Implementation Guide value set root Gay Dolin masked Gaye Dolin 9493028082 masked HL7 SDWG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 (+1) 734-677-7777 bob.dolin@lantanagroup.com HL7 body Ext 13 13 Complete 2.16.840.1.113883.11.20.13 2013/01/29 12:00:00 2013/02/13 12:00:00 2013/02/13 01:24:15 US 2.16.840.1.113883.3.2840 tepo The Eye Place Optometry, PC Brian Spittle masked Brian Spittle 1601 Huguenot Rd Midlothian, VA 23113 8047943937 masked The Eye Place Optometry, PC eyeman@gmail.com Provider Int 3 Complete 2013/01/30 12:00:00 2013/02/14 12:00:00 2013/02/14 01:04:59 UV 2.16.840.1.113883.3.2402.200.170 physicians-computer-company-clients-dvpa Physician's Computer Company (PCC) Clients Delaware Valley Pediatric Associates Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.170 2013/01/30 12:00:00 2013/02/14 12:00:00 2013/02/14 01:10:30 UV 2.16.840.1.113883.3.2402.200.4832 physicians-computer-company-clients-tccn Physician's Computer Company (PCC) Clients The Children's Clinic of Nashville Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.4832 2013/01/30 12:00:00 2013/02/14 12:00:00 2013/02/14 01:13:18 UV 2.16.840.1.113883.3.2402.200.6807 physicians-computer-company-clients-tpg Physician's Computer Company (PCC) Clients The Pediatric Group, PLLC Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6807 2013/01/30 12:00:00 2013/02/14 12:00:00 2013/02/14 01:15:36 UV 2.16.840.1.113883.3.1070.5143 mckesson-fusion-5143 mckesson-fusion-5143 Randy Deitsch masked Randy Deitsch 8775074541 masked Fusion Enrollment randy.deitsch@mckesson.com Vendor 2.16.840.1.113883.3.1070.5143 Ext 17 Complete 2.16.840.1.113883.3.1070.5143 2013/01/30 12:00:00 2013/02/14 12:00:00 2013/02/14 01:17:24 US 2.16.840.1.113883.3.239.7 onProfileId eHealth Ontario Conformance Profile Dennis Cheung masked eHealth Ontario Standards eHealth Ontario/ Cybersant&#233; Ontario| 200 Wellington Street West, Suite 400 Toronto ON M5V 3C7 416-591-8074 masked eHealth Ontario eHealth Ontario/ Cybersant&#233; Ontario| 200 Wellington Street West, Suite 400 Toronto ON M5V 3C7 416-591-8074 ehealthstandards@ehealthontario.on.ca https://www.ehealthontario.on.ca Govt body 2.16.840.1.113883.3.239 Ext 4 4 Complete 2.16.840.1.113883.3.239.7 2013/01/30 12:00:00 2013/02/14 12:00:00 2013/02/14 01:21:16 CA 2.16.840.1.113883.13.233 fbhssfWA Frontier Behavioral Health Syndromic Surveillance HL7 File Thad Dickson masked Thad Dickson 2536517482 masked CEO Xpio Health 2536517482 thad@xpiohealth.com http://xpiohealth.com Vendor Int 13 13 Complete 2013/01/30 12:00:00 2013/02/14 12:00:00 2013/02/14 01:28:27 UV 2.16.840.1.113883.3.1070.5163 mckesson-fusion-5163 mckesson-fusion-5163 Harry Callier masked Fusion Enrollment 877-5074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5163 2013/01/30 12:00:00 2013/02/14 12:00:00 2013/02/14 01:29:59 UV 2.16.840.1.113883.3.2841 bhs-wi Beloit Health System Adam Guetschow masked Adam Guetschow 1969 West Hart Road Beloit, WI 53511 608-363-7334 masked Interface Analyst Beloit Health System 1969 West Hart Road Beloit, WI 53511 6083645011 aguetschow@beloithealthsystem.org Provider Int 3 3 Complete 2013/01/31 12:00:00 2013/02/14 12:00:00 2013/02/14 01:35:51 UV 2.16.840.1.113883.3.1070.5134 mckesson-fusion-5134 mckesson-fusion-5134 Jennifer Meares masked Fusion Enrollment 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5134 2013/01/31 12:00:00 2013/02/14 12:00:00 2013/02/14 01:32:39 US 2.16.840.1.113883.3.2842 chw Children's Hospital of Wisconsin Janice Van Male masked Janice Van Male 9000 W. Wisconsin Avenue Wauwatosa, WI 53226 414-266-6893 masked Senior Systems Analyst Children's Hospital of Wisconsin 9000 W. Wisconsin Avenue Wauwatosa, WI 53226 (414) 266-2000 jvanmale@chw.org http://www.chw.org Provider Int 3 Complete 2013/01/31 12:00:00 2013/02/14 12:00:00 2013/02/14 01:38:19 UV 2.16.840.1.113883.3.2843 chrh Community Howard Regional Health Carol Higley masked Carol Higley 3500 S. LaFountain St. Kokomo, IN 46904 765-453-8140 masked Integration Architect Community Howard Regional Health 3500 S. LaFountain St. Kokomo, IN 46904 765-453-0702 kpurvis@communityhoward.org Provider Int 3 3 Complete 2013/01/31 12:00:00 2013/02/14 12:00:00 2013/02/14 01:39:38 UV 2.16.840.1.113883.3.2844 progressivehealthservices Progressive Health Services Kimberly Smoley masked Kimberly Smoley 440-395-2660 masked Operations Manager Progressive Health Services 6300 Wilson Mills Rd Box W31 Mayfield Village, OH 44143 Kim_Smoley@Progressive.com Provider Int 3 Complete 2013/01/31 12:00:00 2013/02/14 12:00:00 2013/02/14 01:41:17 UV 2.16.840.1.113883.3.1070.5170 mckesson-fusion-5170 mckesson-fusion-5170 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5170 2013/02/01 12:00:00 2013/02/14 12:00:00 2013/02/14 01:43:50 US 2.16.840.1.113883.3.2845 johnsonInc Johnson Inc Robert Tilley masked Robert Tilley 10 Factory Lane P.O Box 12049 St. John's, NL A1B 1R7 709 737-1566 masked Business Analyst Johnson Inc. 10 Factory Lane P. O Box 12049 St. John's, NL A1B 1R7 709 737-1566 rtilley@johnson.ca Payor Int 3 Complete 2013/02/01 12:00:00 2013/02/14 12:00:00 2013/02/14 02:00:14 UV 2.16.840.1.113883.17.111 level-x Level-X Inc. Alexander Danel masked Alexander Danel 4915 N Kilpatrick Ave Chicago, IL 60630-1711 773-230-5647 masked Treasurer Level-X Inc. 4915 N Kilpatrick Ave Chicago, IL 60630-1711 773-230-5647 alexander.danel@gmail.com http://level-x.biz Vendor Int 17 Complete 2013/02/01 12:00:00 2013/02/14 12:00:00 2013/02/14 02:05:32 UV 2.16.840.1.113883.3.2846 sinogram-cn-dicom Sinogram.cn Jealtw Jealtw masked Jealtw Jealtw 13652365326 masked Sinogram.cn 13652365326 jealtw@hotmail.com http://www.sinogram.cn Vendor Int 3 Complete 2013/02/03 12:00:00 2013/02/14 12:00:00 2013/02/14 02:15:36 CN 2.16.840.1.113883.3.1070.5161 mckesson-fusion-5161 mckesson-fusion-5161 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5161 2013/02/04 12:00:00 2013/02/14 12:00:00 2013/02/14 02:17:10 UV 2.16.840.1.113883.3.2847 aoc-CCD Alliance of Chicago - Continuity of Care document Elizabeth McKnight masked Ahamilton@alliancechicago.org Elizabeth 312-267-2031 masked Alliance of Chicago 215 W. Ohio Chicago.il 60660 312-274-0068 info@alliancechicago.org http://www.alliancechicago.org/front Provider Int 3 Complete 2013/02/04 12:00:00 2013/02/14 12:00:00 2013/02/14 02:23:12 UV 2.16.840.1.113883.3.2848 wLTSoftware WLT Software Enterprises, Inc. William Younker masked William G. Younker 727-442-9296 masked WLT Software Enterprises, Inc. 26133 US Hwy 19 N, 4th Floor Clearwater, FL 33763 727-442-9296 info@wltsoftware.com http://www.wltsoftware.com Vendor Int 3 Complete 2013/02/04 12:00:00 2013/02/14 12:00:00 2013/02/14 02:25:07 UV 2.16.840.1.113883.3.2849 hma-000 HMA 000 - Test Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/02/04 12:00:00 2013/02/14 12:00:00 2013/02/14 02:26:21 UV 2.16.840.1.113883.3.2850 medfar MEDFAR Clinical Solutions Patrick Issid masked Patrick Issid 655 Promenade du Centropolis, suite 230 Laval, Quebec Canada H7T 0A3 1.514.667.1547 masked Chief of Operations MEDFAR International Inc 655 Promenade du Centropolis, suite 230 Laval, Quebec Canada H7T 0A3 info@medfarsolutions.com http://www.medfarsolutions.com Vendor Int 3 3 Complete 2013/02/04 12:00:00 2013/02/14 12:00:00 2013/02/14 02:27:42 UV 2.16.840.1.113883.10.12 hl7-templates-prototypes HL7 Templates Prototypes Kai Heitmann masked Kai Heitmann An der Schanz 1 50375 Cologne Germany +491722660814 masked Manager Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734-677-7777 hl7@kheitmann.de http://www.hl7.org HL7 body 2.16.840.1.113883 Int 10 Complete 2013/02/05 12:00:00 2013/02/14 12:00:00 2013/02/14 02:35:52 UV 2.16.840.1.113883.3.1106.3000 byh-mpc Morton Plant & Mease Primary Care Tony McArtor masked Cheri Krampert Tony McArtor BayCare Information Services 17757 US Hwy 19 North, Suite 300 Clearwater, FL 33764 727 467 4680 masked Integration Analyst BayCare Health System BayCare Information Services 17757 US Hwy 19 North, Suite 500 Clearwater, FL 33764 727 467-4674 gus.borrego@baycare.org http://www.baycare.org Provider 2.16.840.1.113883.3.1106 Ext 14 14 Complete 2.16.840.1.113883.3.1106.3000 2013/02/05 12:00:00 2013/02/14 12:00:00 2013/02/14 02:40:15 UV 2.16.840.1.113883.3.1106.4000 byh-mps Morton Plant & Mease Specialists Tony McArtor masked Cheri Krampert Tony McArtor BayCare Information Services 17757 US Hwy 19 North, Suite 300 Clearwater, FL 33764 727 467 4680 masked Integration Analyst BayCare Health System BayCare Information Services 17757 US Hwy 19 North, Suite 500 Clearwater, FL 33764 727 467-4674 gus.borrego@baycare.org http://www.baycare.org Provider 2.16.840.1.113883.3.1106 Ext 14 14 Complete 2.16.840.1.113883.3.1106.4000 2013/02/05 12:00:00 2013/02/14 12:00:00 2013/02/14 02:43:33 UV 2.16.840.1.113883.3.1070.5171 mckesson-fusion-5171 mckesson-fusion-5171 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5171 2013/02/05 12:00:00 2013/02/14 12:00:00 2013/02/14 02:45:18 US 2.16.840.1.113883.3.2851 nnhsc Near North Health Service Corporation Elizabeth McKnight masked Elizabeth McKnight 312-267-2031 masked Alliance of Chicago 215 W. Ohio Chicago, Il 60654 312-274-0068 emcknight@alliancechicago.org Provider 2.16.840.1.113883.3.2847 Int 3 Complete 2013/02/05 12:00:00 2013/02/14 12:00:00 2013/02/14 02:50:36 UV 2.16.840.1.113883.4.610 hek Colbert County Northwest Alabama Healthcare Authority DBA as Helen Keller Hospital Stephen Ezell masked Stephen Ezell 1300 S. Montgomery Ave Sheffield AL 35660 256-386-4045 masked Information Systems Director Helen Keller Hospital 1300 S. Montgomery Avenue Sheffield AL 35660 256-386-4196 sezell@helenkeller.com Provider Int 3 Complete 2013/02/05 12:00:00 2013/02/14 12:00:00 2013/02/14 03:00:56 UV 2.16.840.1.113883.4.611 rbh Colbert County Northwest Alabama Healthcare Authority DBA as Red Bay Hospital Stephen Ezell masked Stephen Ezell 1300 S. Montgomery Ave Sheffield, AL 35660 256-386-4045 masked Information Systems Director Red Bay Hospital 211 Hospital Rd Red Bay, AL 35582-3858 256-356-9532 sezell@helenkeller.com Provider Int 3 Complete 2013/02/05 12:00:00 2013/02/14 12:00:00 2013/02/14 03:02:35 UV 2.16.840.1.113883.4.612 phs-nm-presmain Presbyterian Healthcare Services (PHS) NM - Pres Main Steve Figge masked Steve Figge 1501 Buena Vista SE Albuquerque, NM 87125 505-923-6462 masked Director Presbyterian Hospital 1100 Central Ave SE Albuquerque, NM 87106 sfigge@phs.org http://www.phs.org Provider Int 3 Complete 2013/02/05 12:00:00 2013/02/14 12:00:00 2013/02/14 03:09:15 UV 2.16.840.1.113883.3.1070.5164 mckesson-fusion-5164 mckesson-fusion-5164 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5164 2013/02/06 12:00:00 2013/02/14 12:00:00 2013/02/14 03:31:55 US 2.16.840.1.113883.3.2852 behavioralHealthTemplateRoot Behavioral Health Templates Root Serafina Versaggi masked Ioana Singureanu Serafina Versaggi 9 Carolyn Court Mill Valley, California 94941 USA 415-606-4401 masked Clinical Systems Integration Analyst Substance Abuse & Mental Health Services Administration 1 Choke Cherry Road Rockville, MD 20857 USA 1-877-SAMHSA-7 kenneth.salyards@samhsa.hhs.gov http://www.samhsa.gov/ Govt body Int 3 Complete 2013/02/06 12:00:00 2013/02/14 12:00:00 2013/02/14 03:36:38 UV 2.16.840.1.113883.3.2853 i3LHIE1 Interoperability & Integration Innovation Lab Myung Choi masked Myung Cheon Choi 75 5th St. NW Atlanta, GA 30308 404-407-7016 masked Research Engineer Interoperability & Integration Innovation Lab (I3L) 75 5th St. NW Atlanta, GA 30308 404-407-7016 myung.choi@gtri.gatech.edu http://i3l.gatech.edu Govt body Int 3 Complete 2013/02/06 12:00:00 2013/02/14 12:00:00 2014/12/15 07:36:31 UV 2.16.840.1.113883.3.2854 wolke-IT-Root-CA Wolke IT-Consulting Root CA Rainer Wolke masked Rainer Wolke Am Norfbach 19 41542 Dormagen Germany +49 2133 299833 masked IT-Architect Wolke IT-Consulting Am Norfbach 19 41542 Dormagen Germany +49 2133 299833 info@wolke-it.de Provider Int 3 Complete 2013/02/06 12:00:00 2013/02/14 12:00:00 2013/02/14 03:44:08 DE 2.16.840.1.113883.13.234 valuesetsDCM HL7 Patient Care WG Detailed Clinical Models (DCM) value sets Kevin Coonan masked Kevin Coonan, MD (612) 758-0997 masked HL7 Patient Care WG kevin.coonan@gmail.com HL7 body Int 13 Complete 2013/02/06 12:00:00 2013/02/14 12:00:00 2013/02/14 03:47:09 UV 2.16.840.1.113883.3.1070.1135 mckesson-fusion-1135 mckesson-fusion-1135 Jill Mauro masked Fusion Enrollment 7702371335 masked Fusion Enrollment jill.mauro@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.1135 2013/02/07 12:00:00 2013/02/14 12:00:00 2013/02/14 03:49:39 US 2.16.840.1.113883.3.1070.1136 mckesson-fusion-1136 mckesson-fusion-1136 Jill Mauro masked Fusion Enrollment 7702371335 masked Fusion Enrollment jill.mauro@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.1136 2013/02/07 12:00:00 2013/02/14 12:00:00 2013/02/14 03:50:56 US 2.16.840.1.113883.3.1255.4.1 cohHIE City of Hope Health Information Exchange AbdulMalik Shakir masked Patricia Cardenas Patricia Cardenas City of Hope 1500 East Duarte Road Duarte, CA 91010-3000 626 256-4673 x64627 masked Manager Foundation Systems AbdulMalik Shakir City of Hope 1500 East Duarte Road Duarte, CA 91010-3000 626 256-4673 x63160 AShakir@coh.org http://www.cityofhope.org Provider 2.16.840.1.113883.3.1255 Ext 4 4 Complete 2.16.840.1.113883.3.1255.4.1 2013/02/07 12:00:00 2013/02/14 12:00:00 2013/02/14 03:54:18 UV 2.16.840.1.113883.3.2855 qvera Qvera Sam Shapiro masked Sam Shapiro 265 N Main, Suite D140 Kaysville, UT 84037 801.335.5101 masked CEO Qvera 265 N Main, Suite D140 Kaysville, UT 84037 801.335.5101 sshapiro@qvera.com http://www.qvera.com Vendor Int 2.16.840.1.113883.3.3702 3 Retired 2013/02/08 12:00:00 2013/02/14 12:00:00 2013/12/10 06:26:34 UV 2.16.840.1.113883.3.2856 weh DR. WILLIAM E HICKS, OPTOMETRIST William Hicks masked WILLIAM HICKS PO Box 766 Pell City, AL 35125 2053387411 masked WILLIAM HICKS PO Box 766 Pell City, AL 35125 2053387411 ehicks@centurytel.net Provider Int 3 Complete 2013/02/08 12:00:00 2013/02/14 12:00:00 2013/02/14 04:01:03 UV 2.16.840.1.113883.3.2857 cFMCCP Froedtert Health Medical College Community Physicians Sue Ostergaard masked Don Rozwick Froedtert Helath Information Technology 400 Woodland Prime N74 W12501 Leatherwood Ct. Menomonee Falls, WI 53051 (414) 777-5912 (414) 777-5172 masked Sr. Interface Analyst Froedtert Health Froedtert Helath Information Technology 400 Woodland Prime N74 W12501 Leatherwood Ct. Menomonee Falls, WI 53051 (414) 777-5912 (414)777-5172 don.rozwick@froedtert.com http://www.froedtert.com Provider Int 3 Complete 2013/02/08 12:00:00 2013/02/14 12:00:00 2014/08/19 10:37:57 UV 2.16.840.1.113883.3.2858 nomad-health Nomad Health, LLC Evan Sapp masked Evan Sapp 678-429-6189 masked CEO Nomad Health, LLC evanksapp@gmail.com http://www.nomadhealth.com Vendor Int 3 3 Complete 2013/02/11 12:00:00 2013/02/14 12:00:00 2013/02/14 04:04:55 UV 2.16.840.1.113883.3.773.1.1.3 tdh-ELR Tennessee Department of Health Electronic Laboratory Receiver John Roberts masked erin.holt@tn.gov John Roberts Cordell Hull Bldg 6th Floor 425 5th Avenue North Nashville, TN 37243 615-741-3702 masked Architect Tennessee Department of Health Cordell Hull Bldg 6th Floor 425 5th Avenue North Nashville, TN 37243 615-741-3702 john.a.roberts@tn.gov Govt body 2.16.840.1.113883.3.773 Ext 4 4 Complete 2.16.840.1.113883.3.773.1.1.3 2013/02/11 12:00:00 2013/02/14 12:00:00 2013/02/14 04:08:43 UV 2.16.840.1.113883.3.773.1.1.4 tdh-syndromic-surv Tennessee Department of Health Syndromic Surveillance John Roberts masked Erin.Holt@tn.gov John A. Roberts Cordell Hull Bldg, 6th Floor 425 5th Avenue North Nashville, TN 37243 615-741-3702 masked Architect Tennessee Department of Health Cordell Hull Bldg, 6th Floor 425 5th Avenue North Nashville, TN 37243 615-741-3702 John.A.Roberts@tn.gov Govt body 2.16.840.1.113883.3.773 Ext 4 4 Complete 2.16.840.1.113883.3.773.1.1.4 2013/02/11 12:00:00 2013/02/14 12:00:00 2013/02/14 04:10:55 UV 2.16.840.1.113883.4.613 uMGL University Medical Group Lincoln Michael Oakes masked Michael Oakes 401-654-4000 masked University Medical Group Lincoln 6 Blackstone Valley Parkway bld5 suite 502 Lincoln, RI 401-334-6250 ssantos@umgri.com Provider Int 3 Complete 2013/02/11 12:00:00 2013/02/14 12:00:00 2013/02/14 04:22:48 UV 2.16.840.1.113883.4.614 cOP Coppola Medical Associates Michael Oakes masked Michael Oakes 401-654-4000 masked Coppola Medical Associates 174 ARMISTICE BLVD PAWTUCKET, RI 02860 401-725-3520 joybarlynn@yahoo.com Provider Int 3 Complete 2013/02/11 12:00:00 2013/02/14 12:00:00 2013/02/14 04:26:01 UV 2.16.840.1.113883.4.615 sOUZA Dr. Michael Souza Michael Oakes masked Michael Oakes 401-654-4000 masked Dr. Michael Souza 2761 Pawtucket Ave East Providence, RI 02914 401-334-3350 msouza2761@gmail.com Provider Int 3 Complete 2013/02/11 12:00:00 2013/02/14 12:00:00 2013/02/14 04:27:37 UV 2.16.840.1.113883.3.1070.5178 mckesson-fusion-5178 mckesson-fusion-5178 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5178 2013/02/12 12:00:00 2013/02/14 12:00:00 2013/02/14 04:29:38 US 2.16.840.1.113883.3.2859 lchs Legacy Community Health services Elizabeth McKnight masked Elizabeth McKnight 215 W. Ohio Chicago, IL 60654 312-267-2031 masked Alliance of Chicago 215 W. Ohio Chicago, IL 60654 312-274-0068 emcknight@alliancechicago.org Provider 2.16.840.1.113883.3.2847 Int 3 Complete 2013/02/12 12:00:00 2013/02/14 12:00:00 2013/02/14 04:40:05 UV 2.16.840.1.113883.3.2860 cea Central Eye Associates, P.A. George Zaibaq masked George Zaibaq, O.D. 238 Meyerland Plaza Houston, TX 77096 713-771-2020 masked President & CEO Central Eye Associates, P.A. 238 Meyerland Plaza Houston, TX 77096 713-771-2020 drzaibaq@swbell.net http://www.drzaibaq.com Provider Int 3 Complete 2013/02/12 12:00:00 2013/02/14 12:00:00 2013/02/14 04:44:59 UV 2.16.840.1.113883.3.2861 lrmc Lane Regional Medical Center (LRMC) Joanne Saale masked Joanne Saale 6300 Main Street Zachary, La 70791 225-658-4410 masked Clinical Informatics Coordinator Lane Regional Medical Center 6300 Main Street Zachary, La 70791 225-658-4000 jsaale@lanermc.org Exchange Int 3 Complete 2013/02/13 12:00:00 2013/02/14 12:00:00 2013/02/14 04:49:07 UV 2.16.840.1.113883.3.2402.400 physicians-computer-company-internal-environment Physician's Computer Company (PCC) Internal Environment Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski,VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 14 Complete 2.16.840.1.113883.3.2402.400 2013/02/13 12:00:00 2013/02/14 12:00:00 2013/02/14 04:52:02 UV 2.16.840.1.113883.3.2402.400.100 physicians-computer-company-internal-environment-systems Physician's Computer Company (PCC) Internal Environment Systems Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 14 Complete 2.16.840.1.113883.3.2402.400.100 2013/02/13 12:00:00 2013/02/14 12:00:00 2013/02/14 04:54:43 UV 2.16.840.1.113883.3.2402.400.100.1 physicians-computer-company-internal-environment-systems-bopeep Physician's Computer Company (PCC) Internal Environment Systems bopeep Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski,VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.400.100.1 2013/02/13 12:00:00 2013/02/14 12:00:00 2013/02/14 04:57:21 UV 2.16.840.1.113883.3.2402.400.200 physicians-computer-company-internal-environment-applications Physician's Computer Company (PCC) Internal Environment Applications Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 14 Complete 2.16.840.1.113883.3.2402.400.200 2013/02/13 12:00:00 2013/02/14 12:00:00 2013/02/14 04:59:17 UV 2.16.840.1.113883.3.2402.400.200.1 physicians-computer-company-internal-environment-applications-cust Physician's Computer Company (PCC) Internal Environment Applications cust Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski,VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.400.200.1 2013/02/13 12:00:00 2013/02/14 12:00:00 2013/02/14 05:01:15 UV 2.16.840.1.113883.3.2402.400.100.2 physicians-computer-company-internal-environment-systems-ehrdesign Physician's Computer Company (PCC) Internal Environment Systems ehrdesign Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.400.100.2 2013/02/13 12:00:00 2013/02/14 12:00:00 2013/02/14 05:08:08 UV 2.16.840.1.113883.3.2402.400.100.3 physicians-computer-company-internal-environment-systems-ehrdoc Physician's Computer Company (PCC) Internal Environment Systems ehrdoc Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.400.100.3 2013/02/13 12:00:00 2013/02/14 12:00:00 2013/02/14 05:09:34 UV 2.16.840.1.113883.3.2402.400.100.4 physicians-computer-company-internal-environment-systems-ehrtrain Physician's Computer Company (PCC) Internal Environment Systems ehrtrain Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.400.100.4 2013/02/13 12:00:00 2013/02/14 12:00:00 2013/02/14 05:11:42 UV 2.16.840.1.113883.3.2402.400.100.5 physicians-computer-company-internal-environment-systems-demo Physician's Computer Company (PCC) Internal Environment Systems demo Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.400.100.5 2013/02/13 12:00:00 2013/02/14 12:00:00 2013/02/14 05:16:07 UV 2.16.840.1.113883.3.2402.400.100.6 physicians-computer-company-internal-environment-systems-ehrsupport Physician's Computer Company (PCC) Internal Environment Systems ehrsupport Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.400.100.6 2013/02/13 12:00:00 2013/02/14 12:00:00 2013/02/14 05:19:13 UV 2.16.840.1.113883.3.2402.400.100.7 physicians-computer-company-internal-environment-systems-ehrvintage Physician's Computer Company (PCC) Internal Environment Systems ehrvintage Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.400.100.7 2013/02/13 12:00:00 2013/02/14 12:00:00 2013/02/14 05:21:57 UV 2.16.840.1.113883.3.2862 network180 Network180 Mark Madrilejo masked Ramaswamy Srinivasan Mark Madrilejo 790 Fuller Ave NE Grand Rapids, MI 49503 616.855.5161 masked IS Director Network180 790 Fuller Ave NE Grand Rapids, MI 49503 616.336.3909 Mark.Madrilejo@network180.org https://www.network180.org Govt body Int 3 Complete 2013/02/13 12:00:00 2013/02/14 12:00:00 2022/02/02 11:17:02 UV 2.16.840.1.113883.3.2863 landmark-medical-center Landmark Medical Center Dolores Cohen masked Dolores Cohen Landmark Medical Center MIS Department 115 Cass Avenue Woonsocket, RI 02895 401-769-4100 masked Applications Manager Landmark Medical Center Landmark Medical Center 115 Cass Avenue Woonsocket, RI 02895 401-769-4100 helpdesk@landmarkmedical.org http://landmarkmedical.org Provider Int 3 Complete 2013/02/13 12:00:00 2013/02/14 12:00:00 2013/02/14 05:33:18 UV 2.16.840.1.113883.4.616 phs-nm-kaseman Presbyterian Healthcare Services (PHS) NM - Presbyterian Kaseman Steven Figge masked Steven Figge 2501 Buena Vista Dr SE Albuquerque, NM 87106 505-923-6462 masked Director Presbyterian Kaseman Hospital 8300 Constitution NE Albuquerque, NM 87110 info@phs.org http://www.phs.org Provider Int 3 Complete 2013/02/13 12:00:00 2013/02/27 12:00:00 2013/02/27 07:33:28 UV 2.16.840.1.113883.4.617 phs-nm-rust Presbyterian Healthcare Services (PHS) NM - Presbyterian Rust Medical Center Steven Figge masked Steven Figge 2501 Buena Vista Dr. SE Albuquerque, NM 87106 505-923-6462 masked Director Presbyterian Rust Medical Center 2400 Unser Blvd SE Rio Rancho, NM 87124 sfigge@phs.org http://www.phs.org Provider Int 3 Complete 2013/02/13 12:00:00 2013/02/27 12:00:00 2013/02/27 07:45:46 UV 2.16.840.1.113883.4.618 phs-nm-clovis Presbyterian Healthcare Services (PHS) NM - Plains Regional Medical Center Clovis Steven Figge masked Steven Figge 2501 Buena Vista Dr SE Albuquerque, NM 87106 505-923-6462 masked Director Plains Regional Medical Center Clovis 2100 N. Martin Luther King Jr. Blvd. Clovis, NM 88101 sfigge@phs.org http://www.phs.org Provider Int 3 Complete 2013/02/13 12:00:00 2013/02/27 12:00:00 2013/02/27 07:47:36 UV 2.16.840.1.113883.4.619 phs-nm-trigg Presbyterian Healthcare Services (PHS) NM - Dr. Dan C. Trigg Memorial Hospital Steven Figge masked Steven Figge 2501 Buena Vista Dr SE Albuquerque, NM 87106 505-923-6462 masked Director Dr. Dan C. Trigg Memorial Hospital 301 E Miel de Luna Tucumcari, NM 88401 sfigge@phs.org http://www.phs.org Provider Int 3 Complete 2013/02/13 12:00:00 2013/02/27 12:00:00 2013/02/27 07:49:00 UV 2.16.840.1.113883.4.620 phs-nm-espanola Presbyterian Healthcare Services (PHS) NM - Presbyterian Espanola Hospital Steven Figge masked Steven Figge 2501 Buena Vista Dr SE Albuquerque, NM 87106 505-923-6462 masked Director Presbyterian Espanola Hospital 1010 Spruce St Espanola, NM 87532 sfigge@phs.org http://www.phs.org Provider Int 3 Complete 2013/02/13 12:00:00 2013/02/27 12:00:00 2013/02/27 07:57:51 UV 2.16.840.1.113883.4.621 phs-nm-lincoln Presbyterian Healthcare Services (PHS) NM - Lincoln County Medical Center Steven Figge masked Steven Figge 2501 Buena Vista Dr SE Albuquerque, NM 87106 505-923-6462 masked Director Lincoln County Medical Center 211 Sudderth Ruidoso, NM 88345 info@phs.org http://www.phs.org Provider Int 3 Complete 2013/02/13 12:00:00 2013/02/27 12:00:00 2013/02/27 07:59:57 UV 2.16.840.1.113883.4.622 phs-nm-socorro Presbyterian Healthcare Services (PHS) NM - Socorro General Hospital Steven Figge masked Steven Figge 2501 Buena Vista Drive SE Albuquerque, NM 87106 505-923-6462 masked Director Socorro General Hospital 1202 Hwy 60 West Socorro, NM 87801 info@phs.org http://www.phs.org Provider Int 3 Complete 2013/02/13 12:00:00 2013/02/27 12:00:00 2013/02/27 08:01:24 UV 2.16.840.1.113883.4.623 aPPLEvALLEY Apple Valley Treatment Center Michael Oakes masked Michael Oakes 401-654-4000 masked Apple Valley Treatment Center 466 Putnam Pike Greenville, RI 02828 401-949-2010 cmconsult@comcast.net Provider Int 3 Complete 2013/02/13 12:00:00 2013/02/27 12:00:00 2013/02/27 08:04:05 UV 2.16.840.1.113883.4.624 phs-nm-phs Presbyterian Healthcare Services (PHS) NM - Presbyterian Healthcare Services Steven Figge masked Steven Figge 2501 Buena Vista Dr SE Albuquerque, NM 87106 505-923-6462 masked Director Presbyterian Healthcare Services 2501 Buena Vista Dr SE Albuquerque, NM 87106 info@phs.org http://www.phs.org Provider Int 3 Complete 2013/02/13 12:00:00 2013/02/27 12:00:00 2013/02/27 08:03:12 UV 2.16.840.1.11883.3.13.300 cern-clin Cerner Clinic CERN_CLIN Charlie Kim masked Marissa Gencarelli Charlie Kim 2800 Rockcreek Pkwy Kansas City, MO 64117 (816) 201-2273 masked Clinical Network - System Architect Cerner Clinic 2800 Rockcreek Pkwy Kansas City, MO 64117 8168859173 charlie.kim@cerner.com https://cernerclinic.com/ Exchange 2.16.840.1.113883.3.13 Ext 13 13 Complete 2.16.840.1.11883.3.13.300 2013/02/13 12:00:00 2013/02/27 12:00:00 2013/02/27 08:11:18 UV 2.16.840.1.113883.3.1070.5177 mckesson-fusion-5177 mckesson-fusion-5177 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5177 2013/02/13 12:00:00 2013/02/27 12:00:00 2013/02/27 08:14:08 US 2.16.840.1.113883.3.1070.5173 mckesson-fusion-5173 mckesson-fusion-5173 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5173 2013/02/14 12:00:00 2013/02/27 12:00:00 2013/02/27 08:14:59 US 2.16.840.1.113883.3.2864 eldermark Eldermark Software Denise Weber masked Denise Weber Eldermark Software P.O. Box 1261 Jamestown, ND 58402-1261 952-426-7922 masked Director of Development Eldermark Software Eldermark Software 5610 Rowland Rd #130 Minnetonka, MN 55343 866-833-2270 it@eldermark.com http://www.eldermark.com Vendor Int 3 Complete 2013/02/14 12:00:00 2013/02/27 12:00:00 2013/02/27 08:22:04 UV 2.16.840.1.113883.3.1070.5179 mckesson-fusion-5179 mckesson-fusion-5179 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 3 Complete 2.16.840.1.113883.3.1070.5179 2013/02/15 12:00:00 2013/02/27 12:00:00 2013/02/27 08:16:10 UV 2.16.840.1.113883.3.2865 humana Humana HIE John Reed masked Leslie Smart, MD Humana, Inc. 10188 Telesis Ct., Ste 300 San Diego, CA 92121 (858) 401-8539 masked Lead Physician Informaticist Humana, Inc. Humana, Inc. 500 West Main Street Louisville, KY 40202 (800) 486-2620 hmunguia@humana.com http://www.humana.com Payor Int 3 Complete 2013/02/15 12:00:00 2013/02/27 12:00:00 2019/06/11 07:31:44 UV 2.16.840.1.113883.3.2866 hillcrestSouth Hillcrest Hospital South Adriana Rodriguez masked Adriana Rodriguez One Burton Hills Suite 250 Nashville, TN 37215 6152963162 masked Interface Architect Hillcrest Hospital South 8801 S 101st E Ave Tulsa, OK 74133 9182944000 ITS_Cloverleaf_Team@ardenthealth.com http://www.hillcrestsouth.com/ Provider Int 3 Complete 2013/02/15 12:00:00 2013/02/27 12:00:00 2013/02/27 08:26:36 UV 2.16.840.1.113883.3.2867 hillcrestClaremore Hillcrest Hospital Claremore Adriana Rodriguez masked Adriana Rodriguez One Burton Hills Suite 250 Nashville, TN 37209 6152963162 masked Interface Architect Hillcrest Hospital Claremore 1202 N. Muskogee Place Claremore, OK 74017 9183412556 ITS_Cloverleaf_Team@ardenthealth.com http://www.hillcrestclaremore.com/ Provider Int 3 Complete 2013/02/15 12:00:00 2013/02/27 12:00:00 2013/02/27 08:30:33 UV 2.16.840.1.113883.3.2868 rk Castle Rock Adventist Hospital Kathy Rem masked Myriah Vandre Kathy Rem 111 Inverness Dr W Englewood, CO 80112 303-643-4264 masked DIR APPL SYSTEMS ANALYST/PROGR Castle Rock Adventist Hospital 2350 Meadows Blvd. Castle Rock, CO 80109 (720) 455-2500 KathrynRem@Centura.Org http://www.mylittletonhospital.org/castlerock Provider Int 3 Complete 2013/02/15 12:00:00 2013/02/27 12:00:00 2014/03/31 04:33:02 UV 2.16.840.1.113883.3.2869 chkd Children's Hospital of The King's Daughters Martin Staiger masked Virginia Everett Martin Staiger 601 Children's Ln Norfolk, VA 23507 757 668 8913 masked Manager, Systems & Development Children's Hospital of The King's Daughters 601 Children's Ln Norfolk, VA 23507 757 668 7000 martin.staiger@chkd.org Provider Int 3 3 Complete 2013/02/18 12:00:00 2013/02/27 12:00:00 2013/02/27 08:33:59 UV 2.16.840.1.113883.3.1355.1024 ahwest-ahpn-urologyhiddenvalley AHPN SH Urology - Hidden Valley Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management AHPN SH Urology - Hidden Valley Adventist Health, 2100 Douglas Blvd Roseville, CA 95661 916-781-2000 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 14 Complete 2.16.840.1.113883.3.1355.1024 2013/02/18 12:00:00 2013/02/27 12:00:00 2013/02/27 08:39:13 UV 2.16.840.1.113883.3.1355.1022 ahwest-ahpn-plasticsurgerywoodland AHPN SH Plastic Surgery - Woodland Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management AHPN SH Plastic Surgery - Woodland Adventist Health, 2100 Douglas Blvd Roseville, CA 95661 916-781-2000 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 14 Complete 2.16.840.1.113883.3.1355.1022 2013/02/18 12:00:00 2013/02/27 12:00:00 2013/02/27 08:43:48 UV 2.16.840.1.113883.3.1355.1006 ahwest-ahpn-shenthiddenvalley AHPN SH ENT - Hidden Valley Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management AHPN SH ENT - Hidden Valley Adventist Health, 2100 Douglas Blvd Roseville, CA 95661 916-781-2000 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 14 Complete 2.16.840.1.113883.3.1355.1006 2013/02/18 12:00:00 2013/02/27 12:00:00 2013/02/27 08:54:26 UV 2.16.840.1.113883.3.2870 sschc Sixteenth Street Community Health Center Bently Turner masked Bently Turner Sixteenth Street Community Health Center 1337 S Cesar E Chavez Drive Milwaukee, WI 53204 414-385-3579 masked Vice President - Information Systems Sixteenth Street Community Health Center 1032 S Cesar E Chavez Drive Milwaukee, WI 53204 414-385-3579 bently.turner@sschc.org http://www.sschc.org Provider Int 3 Complete 2013/02/18 12:00:00 2013/02/27 12:00:00 2013/02/27 08:58:38 UV 2.16.840.1.113883.3.1355.1023 ahwest-ahpn-shpsychiatry-vermeilhouse AHPN SH Psychiatry - Vermeil House Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management AHPN SH Psychiatry - Vermeil House Adventist Health, 2100 Douglas Blvd Roseville, CA 95661 916-781-2000 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 14 Complete 2.16.840.1.113883.3.1355.1023 2013/02/18 12:00:00 2013/02/27 12:00:00 2013/02/27 09:08:41 UV 2.16.840.1.113883.3.2871 smh-ccd St. Margaret's Health CCD Interface John Sabotta masked John Sabotta 600 East First Street Spring Valley Ill 61362 815-252-9259 masked MIS Director St. Margarets Health 600 East First Street Spring Valley, IL 61362 815-252-9259 john.sabotta@aboutsmh.org http://www.aboutsmh.org Provider 2.16.840.1.113883.3.2871 Int 3 Complete 2013/02/18 12:00:00 2013/02/27 12:00:00 2022/07/15 08:38:12 UV 2.16.840.1.113883.3.1355.1017 ahwest-ahpn-nephr-hiddenvalley AHPN SH Nephrology - Hidden Valley Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management AHPN SH Nephrology - Hidden Valley Adventist Health, 2100 Douglas Blvd Roseville, CA 95661 916-781-2000 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 14 Complete 2.16.840.1.113883.3.1355.1017 2013/02/18 12:00:00 2013/02/27 12:00:00 2013/02/27 11:07:58 UV 2.16.840.1.113883.3.1355.1012 ahwest-gensurgery-hilltop AHPN SH General Surgery - Hilltop Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management AHPN SH General Surgery - Hilltop Adventist Health, 2100 Douglas Blvd Roseville, CA 95661 916-781-2000 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1012 2013/02/18 12:00:00 2013/02/27 12:00:00 2013/02/27 11:09:04 UV 2.16.840.1.113883.3.1355.1015 ahwest-ahpn-intmed-Napa AHPN SH Int Med - Napa Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management AHPN SH Int Med - Napa Adventist Health, 2100 Douglas Blvd Roseville, CA 95661 916-781-2000 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1015 2013/02/18 12:00:00 2013/02/27 12:00:00 2013/02/27 11:10:23 UV 2.16.840.1.113883.3.1355.1025 ahwest-ahpn-shwomenscenter-hiddenvalley AHPN SH Womens Center - Hidden Valley Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management AHPN SH Womens Center - Hidden Valley Adventist Health, 2100 Douglas Blvd Roseville, CA 95661 916-781-2000 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1025 2013/02/18 12:00:00 2013/02/27 12:00:00 2013/02/27 11:14:12 UV 2.16.840.1.113883.3.1355.1007 ahwest-ahpn-shent-napa AHPN SH ENT - Napa Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management AHPN SH ENT - Napa Adventist Health, 2100 Douglas Blvd Roseville, CA 95661 916-781-2000 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1007 2013/02/18 12:00:00 2013/02/27 12:00:00 2013/02/27 11:12:08 UV 2.16.840.1.113883.3.2872 ghcs Genesis HealthCare System Kathy Brock masked Kathy Brock Genesis HealthCare System 2951 Maple Avenue Zanesville, OH 43701 740-4544269 masked Project Manager Genesis HealthCare System arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2013/02/19 12:00:00 2013/02/27 12:00:00 2013/02/27 11:17:58 UV 2.16.840.1.113883.3.2873 eyemdemrhcsystems EyeMD EMR Healthcare Systems Organization Root Abdiel Marin masked Abdiel Marin 27300 Riverview Center Blvd Suite 100 Bonita Springs, FL 34134 239-829-5959 masked President EyeMD EMR Healthcare Systems, Inc. 27300 Riverview Center Blvd Suite 100 Bonita Springs, FL 34134 239-829-5959 cs@eyemdemr.com http://www.eyemdemr.com Vendor Int 3 Complete 2013/02/19 12:00:00 2013/02/27 12:00:00 2013/02/27 11:20:04 UV 2.16.840.1.113883.3.2874 bertfishmedicalcenter Bert Fish Medical Center Cheryl O'Heron masked Cheryl O'Heron 401 South Dixie Highway New Smyrna Beach, FL 32168 386-424-6495 masked Applications Analyst Bert Fish Medical Center 401 Palmetto St New Smyrna Beach, FL 32168 386-424-5000 cheryl.oheron@bertfish.com http://bertfish.com/ Provider Int 3 Complete 2013/02/19 12:00:00 2013/02/27 12:00:00 2013/02/27 11:22:14 UV 2.16.840.1.113883.3.2875 srhsepicadt Singing River Health System Marshall Hammond masked Marshall Hammond 228.809.6294 masked Singing River Health System 2809 Denny Avenue Pascagoula, MS 39581 228.809.6294 marshall.hammond@mysrhs.com http://mysrhs.com Provider Int 3 Complete 2013/02/19 12:00:00 2013/02/27 12:00:00 2013/02/27 11:24:00 UV 2.16.840.1.113883.10.20.32 fromDefinitionroot Root for templates created in the form definition standard Brett Marquard masked muhammad.asim@philips.com Muhammad Asmi Care Management Solutions, Philips Research Europe High Tech Campus 34 - 5.035, 5656 AE, Eindhoven, The Netherlands 31 612869132 masked HL7 Structured Documents Working Group 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 413 549 6886 brett@riverrockassociates.com http://www.hl7.org HL7 body Ext 10 Complete 2.16.840.1.113883.10.20.32 2013/02/20 12:00:00 2013/02/27 12:00:00 2013/02/27 11:29:23 UV 2.16.840.1.113883.10.20.33 questionnaireResponse Root for templates created in the questionnaire response standard Brett Marquard masked muhammad.asim@philips.com Muhammad Asmi Care Management Solutions, Philips Research Europe High Tech Campus 34 - 5.035, 5656 AE, Eindhoven, The Netherlands 31 612869132 masked HL7 Structured Documents Working Group 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 413 549 6886 brett@riverrockassociates.com http://www.hl7.org HL7 body Ext 10 Complete 2.16.840.1.113883.10.20.33 2013/02/20 12:00:00 2013/02/27 12:00:00 2013/02/27 11:31:11 UV 2.16.840.1.113883.3.1070.5176 mckesson-fusion-5176 mckesson-fusion-5176 Jennifer Meares masked Fusion Enrollment 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5176 2013/02/20 12:00:00 2013/02/27 12:00:00 2013/02/27 11:33:09 UV 2.16.840.1.113883.17.112 ghc Global Health Cloud Jai Gangavarapu masked Jai P Gangavarapu 12814 Flat Creek Dr, Pearland, TX 77584 713 775 7755 masked Founder Global Health Cloud Technologies Research 713 775 7755 ghctresearch@gmail.com https://sites.google.com/site/ghctresearch/ Exchange Int 17 Complete 2013/02/20 12:00:00 2013/02/27 12:00:00 2013/02/27 11:39:57 UV 2.16.840.1.113883.3.2402.200.6827 physicians-computer-company-clients-edmond Physician's Computer Company (PCC) Clients Edmond Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6827 2013/02/20 12:00:00 2013/02/27 12:00:00 2013/02/27 11:42:49 UV 2.16.840.1.113883.3.2876 wfhc-allsaints Wheaton Franciscan Healthcare All Saints Carol Blanchette masked Carol Blanchette 400 W. River Woods Parkway Glendale, WI 53212 414-465-4094 masked Integration Analyst Wheaton Franciscan Healthcare All Saints 3801 Spring Street Racine, WI 53405 414-465-4094 carol.blanchette@wfhc.org Provider Int 3 Complete 2013/02/20 12:00:00 2013/02/27 12:00:00 2013/02/27 01:03:22 UV 2.16.840.1.113883.3.2877 wfhc-emh Wheaton Franciscan Healthcare Elmbrook Carol Blanchette masked Carol Blanchette 400 W. River Woods Parkway Glendale, WI 53212 414-465-4094 masked Integration Analyst Wheaton Franciscan Healthcare Elmbrook 19333 W. North Avenue Brookfield, WI 53045 262-785-2000 carol.blanchette@wfhc.org Provider Int 3 Complete 2013/02/20 12:00:00 2013/02/27 12:00:00 2013/02/27 01:05:30 UV 2.16.840.1.113883.3.2878 wfhc-frk Wheaton Franciscan Healthcare Franklin Carol Blanchette masked Carol Blanchette 400 W. River Woods Parkway Glendale, WI 53212 414-465-4094 masked Integration Analyst Wheaton Franciscan Healthcare Franklin 10101 S. 27th Street Franklin, WI 53132 414-325-4700 carol.blanchette@wfhc.org Provider Int 3 Complete 2013/02/20 12:00:00 2013/02/27 12:00:00 2013/02/27 01:23:29 UV 2.16.840.1.113883.3.2879 wfhc-sfh Wheaton Franciscan Healthcare St.Francis Carol Blanchette masked Carol Blanchette 400 W. River Woods Parkway Glendale, WI 53212 414-465-4094 masked Integration Analyst Wheaton Franciscan Healthcare St.Francis 3237 S. 16th Street Milwaukee, WI 53215 414-647-5000 carol.blanchette@wfhc.org Provider Int 3 Complete 2013/02/20 12:00:00 2013/02/27 12:00:00 2013/02/27 01:25:17 UV 2.16.840.1.113883.3.2880 wfhc-sjh Wheaton Franciscan Healthcare St.Joseph Carol Blanchette masked Carol Blanchette 400 W. River Woods Parkway Glendale, WI 53212 414-465-4094 masked Integration Analyst Wheaton Franciscan Healthcare St.Joseph 5000 W. Chambers Street Milwaukee, WI 53210 414-447-2000 carol.blanchette@wfhc.org Vendor Int 3 Complete 2013/02/20 12:00:00 2013/02/27 12:00:00 2013/02/27 01:26:35 UV 2.16.840.1.113883.3.2881 wfhc-mos Midwest Orthopedic Speciality Hospital Carol Blanchette masked Carol Blanchette 400 W. River Woods Parkway Glendale, WI 53212 414-465-4094 masked Integration Analyst Midwest Orthopedic Speciality Hospital 10101 S. 27th Street Franklin, WI 53132 414-817-5800 carol.blanchette@wfhc.org Vendor Int 3 Complete 2013/02/20 12:00:00 2013/02/27 12:00:00 2013/02/27 01:29:52 UV 2.16.840.1.113883.3.2882 wfhc-whh Wheaton Franciscan Healthcare The Wisconsin Heart Hospital Carol Blanchette masked Carol Blanchette 400 W. River Woods parkway Glendale, WI 53212 414-465-4094 masked Integration Analyst Wheaton Franciscan Healthcare The Wisconsin Heart Hospital 10000 W. Bluemound Road Wauwatosa, WI 53226 414-778-7800 carol.blanchette@wfhc.org Vendor Int 3 Complete 2013/02/20 12:00:00 2013/02/27 12:00:00 2013/02/27 01:32:09 UV 2.16.840.1.113883.3.2883 wfhc-hneid Wheaton Franciscan Healthcare Carol Blanchette masked Carol Blanchette 400 W. River Woods Parkway Glendale, WI 53212 414-465-4094 masked Integration Analyst Wheaton Franciscan Healthcare 400 W. River Woods Parkway Glendale, WI 53212 414-465-4094 carol.blanchette@wfhc.org Vendor Int 3 Complete 2013/02/20 12:00:00 2013/02/27 12:00:00 2013/02/27 01:35:06 UV 2.16.840.1.113883.3.1070.5156 mckesson-fusion-5156 mckesson-fusion-5156 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5156 2013/02/20 12:00:00 2013/02/27 12:00:00 2013/02/27 01:38:00 US 2.16.840.1.113883.3.2884 products-and-services Edifecs Products And Services Radha Ramaiah masked Radha Ramaiah 2600 116th Ave NE, Ste 200 Bellevue, WA 98004 425-435-2514 masked Director - Architecture Edifecs 2600 116th Ave NE, Ste 200 Bellevue, WA 98004 425-452-0630 radha.ramaiah@edifecs.com http://www.edifecs.com Vendor Int 3 3 Complete 2013/02/20 12:00:00 2013/02/27 12:00:00 2014/07/03 06:11:24 UV 2.16.840.1.113883.3.2885 ih-6223 Iowa Health Systems Sharon Anderson masked Sharon Lynn Anderson 6100 Tornton Ave Suite 250 Des Moines, Iowa 50321 515-241-7402 masked Application Analyst IT Unity Point 6100 Thornton Ave Des Moines, Iowa 50321 515-241-7402 sharon.anderson@unitypoint.org http://www.unitypoint Provider Int 3 Complete 2013/02/21 12:00:00 2013/02/27 12:00:00 2013/11/20 01:37:03 UV 2.16.840.1.113883.3.2886 egh Elkhart General Hospital Crystal Darnell masked Crystal Darnell 600 East Blvd Elkhart, IN 46514 574-523-7995 masked System Application Analyst Elkhart General Hospital 600 East Blvd Elkhart, IN 46514 574-294-2621 main@egh.org Provider Int 3 3 Complete 2013/02/21 12:00:00 2013/02/27 12:00:00 2013/02/27 01:47:08 UV 2.16.840.1.113883.3.2887 preventiceMain Preventice Jeffrey Ingalls masked Mike Smith Jeffrey Ingalls 2765 Commerce Dr NW Rochester, MN 55901 507-287-0655 masked IT Director Preventice 2765 Commerce Dr NW Rochester, MN 55901 msmith@preventice.com http://www.preventice.com Vendor Int 3 3 Complete 2013/02/21 12:00:00 2013/02/27 12:00:00 2013/02/27 01:52:33 UV 2.16.840.1.113883.3.2888 mhsbin Memorial Hospital South Bend Erek Sherwood masked Erek Sherwood 574-647-6813 masked Systems Analyst II Memorial Hospital South Bend 615 N. Michigan St South Bend, IN 46601 574-647-1000 memorial@memorialsb.org Provider Int 3 3 Complete 2013/02/21 12:00:00 2013/02/27 12:00:00 2013/02/27 01:57:24 UV 2.16.840.1.113883.3.2889 uch University of Colorado Health Claudia Lichty masked Myriah Vandre Claudia Lichty Information Services, Mail Stop F-406 Building 500 13001 East 17th Place, E5300 P.O. Box 6505 Aurora, Colorado 80045 (303) 724-5118 masked Manager University of Colorado Health 12401 E. 17th Ave. Aurora, CO 80045 (720) 848-0000 Claudia.Lichty@uch.edu http://www.uch.edu/ Provider Int 3 Complete 2013/02/21 12:00:00 2013/02/27 12:00:00 2013/02/27 02:03:57 UV 2.16.840.1.113883.3.2890 uchemrid University of Colorado Health External EMR Identifier Claudia Lichty masked Myriah Vandre Claudia Lichty Information Services, Mail Stop F-406 Building 500 13001 East 17th Place, E5300 P.O. Box 6505 Aurora, Colorado 80045 (303) 724-5118 masked Manager University of Colorado Health 12401 E. 17th Ave. Aurora, CO 80045 (720) 848-0000 Claudia.Lichty@uch.edu http://www.uch.edu/ Provider Int 3 Complete 2013/02/21 12:00:00 2013/02/27 12:00:00 2013/02/27 02:13:43 UV 2.16.840.1.113883.3.2885.11 sxc-11 St Luke's Health system Sharon Anderson masked Sharon Lynn Anderson 6100 Thornton suite 250 Des Moines,Iowa 50321 515-241-7402 masked application analyst IT Unity Point 6100 Thornton suite 250 Des Moines, IA 50321 515-241-7402 sharon.anderson@unitypoint.org http://www.unitypoint.org Provider 2.16.840.1.113883.3.2885 Ext 14 Complete 2.16.840.1.113883.3.2885.11 2013/02/22 12:00:00 2013/02/27 12:00:00 2013/11/20 01:38:11 UV 2.16.840.1.113883.3.2885.4 trh-4 Trinity Regional Medical Center Sharon Anderson masked Sharon Lynn Anderson 6100 Thornton Ave Suite 250 Des Moines, Iowa 50321 515-241-7402 masked Application Analyst IT Unity Point Health 6100 Thornton Ave Suite 250 Des Moines, Iowa 50321 515-241-7402 sharon.anderson@unitypoint.org http://www.unitypoint.org Provider 2.16.840.1.113883.3.2885 Ext 14 Complete 2.16.840.1.113883.3.2885.4 2013/02/22 12:00:00 2013/02/27 12:00:00 2013/11/20 01:32:37 UV 2.16.840.1.113883.3.2885.13 wdm-13 Methodist West Hospital Sharon Anderson masked Sharon Lynn Anderson 6100 Thornton Suite 250 Des Moines,Iowa 50321 515-241-74-02 masked Application Analyst IT Unity Point 6100 Thornton Suite 250 Des Moines,Iowa 50321 515-241-7402 sharon.anderson@unitypoint.org http://www.unitypoint.org Provider 2.16.840.1.113883.3.2885 Ext 3 Complete 2.16.840.1.113883.3.2885.13 2013/02/22 12:00:00 2013/02/27 12:00:00 2013/11/20 01:31:43 UV 2.16.840.1.113883.3.2885.6 imc-6 Iowa Methodist Medical Center Sharon Anderson masked Sharon Lynn Anderson 6100 Thornton Suite 250 Des Moines,Iowa 50321 515-241-7402 masked application analyst IT Unity Point Health 6100 Thornton Suite 250 Des Moines,Iowa 50321 515-241-7402 sharon.anderson@unitypoint.org http://www.unitypoint.org/ Provider 2.16.840.1.113883.3.2885 Ext 14 Complete 2.16.840.1.113883.3.2885.6 2013/02/22 12:00:00 2013/02/27 12:00:00 2013/11/19 03:34:05 UV 2.16.840.1.113883.3.2885.3 ilh-3 Iowa Lutheran Hospital Sharon Anderson masked Sharon Lynn Anderson 6100 Thornton Suite 250 Des Moines,Iowa 50321 515-241-7402 masked Applicaton Analyst IT Unity Point Health 6100 Thornton Suite 250 Des Moines,Iowa 50321 515-241-7402 sharon.anderson@unitypoint.org http://www.unitypoint.org HL7 body 2.16.840.1.113883.3.2885 Ext 3 Complete 2.16.840.1.113883.3.2885.3 2013/02/22 12:00:00 2013/02/27 12:00:00 2013/11/20 01:30:20 UV 2.16.840.1.113883.3.2885.1 sl-1 St Lukes Hospital Sharon Anderson masked Sharon Lynn Anderson 6100 Thornton Suite 250 Des Moines,Iowa 50321 515-241-7402 masked Application Analyst Unity Point Health 6100 Thornton Suite 250 Des Moines,Iowa 50321 515-241-7402 sharon.anderson@unitypoint.org http://www.unitypoint.org Provider Ext 3 Complete 2.16.840.1.113883.3.2885.1 2013/02/22 12:00:00 2013/02/27 12:00:00 2013/11/20 01:29:28 UV 2.16.840.1.113883.3.2885.8 amh-8 Allen Memorial Hospital Sharon Anderson masked Sharon Lynn Anderson 6100 Thornton Suite 250 Des Moines,Iowa 50321 515-241-7402 masked application analyst IT Unity Point Health 6100 Thornton Suite 250 Des Moines,Iowa 50321 515-241-7402 sharon.anderson@unitypoint.org http://www.unitypoint.org Provider 2.16.840.1.113883.3.2885 Ext 3 Complete 2.16.840.1.113883.3.2885.8 2013/02/22 12:00:00 2013/02/27 12:00:00 2013/11/20 01:27:15 UV 2.16.840.1.113883.3.2885.2 ml-2 Med Labs of Eastern Iowa Sharon Anderson masked Sharon Lynn Anderson 6100 Thornton Suite 250 Des Moines,Iowa 50321 515-241-7402 masked application analyst IT Unity Point Health 6100 Thornton Suite 250 Des Moines,Iowa 50321 515-241-7402 anderssl@ihs.org http://www.unitypoint.org Provider 2.16.840.1.113883.3.2885 Ext 3 Complete 2.16.840.1.113883.3.2885.2 2013/02/22 12:00:00 2013/02/27 12:00:00 2014/03/24 08:45:19 UV 2.16.840.1.113883.17.113 ilhfs Illinois Department of Healthcare and Family Services HFS Alexander Danel masked Stephen.DePooter@illinois.gov Ivan Handler Illinois Office of Health Information Technology Suite 2-201 100 W. Randolph Chicago, IL 60601 312-814-1600 masked Chief Technology Officer Illinois Office of Health Information Technology Suite 2-201 100 W. Randolph Chicago, IL 60601 312-814-1600 Laura.Zaremba@Illinois.gov http://hie.illinois.gov Govt body 2.16.840.1.113883.3.1893 Int 17 Complete 2013/02/22 12:00:00 2013/02/27 12:00:00 2013/02/27 06:43:48 UV 2.16.840.1.113883.3.2891 medicalCareOnePartnerHIEOpenEMPIDatabase Medical Care One Partner HIE Open EMPI Database Marty Smith masked Don Hembree Marty Smith 716 West Center Street Kingsport, TN 37660 4238572000 masked Software Developer II Medical Care PLLC 401 E. Main St. Johnson City, TN 37601 4239292854 stevehopland@medicalcarellc.com http://www.medicalcarellc.com Provider Int 3 Complete 2013/02/22 12:00:00 2013/02/27 12:00:00 2013/02/27 06:47:26 UV 2.16.840.1.113883.3.2892 oidCPH Corepoint Health Rob Brull masked Rob Brull 3010 Gaylord Parkway Suite 320 Frisco, TX 75034 214-618-7000 masked Product Manager Corepoint Health 3010 Gaylord Parkway Suite 320 Frisco, TX 75034 2146187000 rob.brull@corepointhealth.com http://www.corepointhealth.com Vendor Int 3 Complete 2013/02/22 12:00:00 2013/02/27 12:00:00 2013/02/27 06:49:55 UV 2.16.840.1.113883.3.2893 oidCIE Corepoint Integration Engine Rob Brull masked Rob Brull 3010 Gaylord Parkway Suite 320 Frisco, TX 75034 214-618-7000 masked Product Manager Corepoint Health 3010 Gaylord Parkway Suite 320 Frisco, TX 75034 2146187000 rob.brull@corepointhealth.com http://www.corepointhealth.com Vendor Int 3 Complete 2013/02/25 12:00:00 2013/02/27 12:00:00 2013/02/27 06:51:14 UV 2.16.840.1.113883.3.2591.100.1.1.20 vnsny New York eHealth Collaborative Shared Platform HIE Development Env VNSNY Facility Matthew Simpson masked Mukul Govil 6466196437 masked New York eHealth Collaborative New York eHealth Collaborative (NYeC) 40 Worth Street, 5th Floor New York, NY 10013 6466196400 info@nyehealth.org http://nyehealth.org/ Govt body 2.16.840.1.113883.3.2591 Ext 17 17 Complete 2.16.840.1.113883.3.2591.100.1.1.20 2013/02/25 12:00:00 2013/02/27 12:00:00 2013/02/27 06:57:18 UV 2.16.840.1.113883.3.2591.100.1.1.22 doshi New York eHealth Collaborative Shared Platform HIE Development DOSHI Matthew Simpson masked Mukul Govil 6466196437 masked New York eHealth Collaborative New York eHealth Collaborative (NYeC) 40 Worth Street, 5th Floor New York, NY 10013 6466196400 info@nyehealth.org http://nyehealth.org/ Govt body 2.16.840.1.113883.3.2591 Ext 17 17 Complete 2.16.840.1.113883.3.2591.100.1.1.22 2013/02/25 12:00:00 2013/02/27 12:00:00 2013/02/27 06:58:55 UV 2.16.840.1.113883.3.1070.5162 mckesson-fusion-5162 mckesson-fusion-5162 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5162 2013/02/25 12:00:00 2013/02/27 12:00:00 2013/02/27 07:10:01 US 2.16.840.1.113883.3.2894 emedpractice emedpractice Nandaiah Dhanekula masked Nandaiah Dhanekula 561-921-0979 masked eMedPractice LLC 2150 Lake Ida Rd, suite 5 Delray Beach, FL 33445 561-921-0979 info@emedpractice.com http://www.emedpractice.com Vendor Int 13 3 Complete 2013/02/25 12:00:00 2013/02/27 12:00:00 2013/02/27 07:16:18 UV 2.16.840.1.113883.3.2895 minuteClinic MinuteClinic Registration Authority Justin Rocco masked Robert O'Malley Jim Durell 100 Scenic View Dr. Cumberland, RI 02864 401-770-9680 masked Sr. Advisor HS Connectivity CVS Health One Cvs Drive Woonsocket, RI 02895 (866)389-2727 James.Durell@CVSCaremark.com Provider Int 3 3 Complete 2013/02/25 12:00:00 2013/02/27 12:00:00 2015/12/04 01:13:26 UV 2.16.840.1.113883.3.2896 lift linkitfast.fr Walid Dib masked Walid Dib 66 rue des fillettes 93300 Aubervilliers +33661262293 masked CIO Linkitfast.fr walid.dib@linkitfast.fr http://www.link-it-fast.fr Prof Soc Int 3 3 Complete 2013/02/26 12:00:00 2013/02/27 12:00:00 2013/02/27 07:31:55 lift FR 2.16.840.1.113883.3.2897 jvp Jones Vision Polaris Matthew Jones masked Matthew Jones, O.D. 8967 Antares Avenue Columbus, OH 43240 (614) 885-5050 masked Matthew E. Jones, O.D., Inc. 8967 Antares Avenue Columbus, OH 43240 (614) 885-5050 jonesvisionpolaris@gmail.com http://jonesvisionpolaris.com Provider Int 3 Complete 2013/02/26 12:00:00 2013/02/27 12:00:00 2013/02/27 07:33:04 UV 2.16.840.1.113883.3.1620.200 oidBQA Baylor Quality Alliance Michael Wagliardo masked Michael Wagliardo 2001 Bryan Street, Suite 2400 Dallas, TX 75201 214-820-4201 masked Manager Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.200 2013/02/26 12:00:00 2013/02/27 12:00:00 2013/02/27 07:35:35 UV 2.16.840.1.113883.3.2591.100.1.1.3 elmhurst New York eHealth Collaborative Shared Platform HIE Development Env ELMHURST Matt Simpson masked Mukul Govil 6466196437 masked New York eHealth Collaborative New York eHealth Collaborative (NYeC) 40 Worth Street, 5th Floor New York, NY 10013 6466196400 info@nyehealth.org http://nyehealth.org/ Govt body 2.16.840.1.113883.3.2591 Ext 17 17 Complete 2.16.840.1.113883.3.2591.100.1.1.3 2013/02/26 12:00:00 2013/02/27 12:00:00 2013/02/27 07:37:54 UV 2.16.840.1.113883.3.2591.100.1.1.5 queens New York eHealth Collaborative Shared Platform HIE Development Env QUEENS Matt Simpson masked Mukul Govil 6466196437 masked New York eHealth Collaborative New York eHealth Collaborative (NYeC) 40 Worth Street, 5th Floor New York, NY 10013 6466196400 info@nyehealth.org http://nyehealth.org/ Govt body 2.16.840.1.113883.3.2591 Ext 17 17 Complete 2.16.840.1.113883.3.2591.100.1.1.5 2013/02/26 12:00:00 2013/02/27 12:00:00 2013/02/27 07:39:37 UV 2.16.840.1.113883.3.2898 aCS-NTDB American College of Surgeons National Trauma Data Bank Jay Lyle masked Chrystal Caden-Price American College of Surgeons 633 N. St. Clair Street Chicago, IL 60611 312-202-5467 masked Data Analyst, NTDB/TQIP American College of Surgeons National Trauma Data Bank American College of Surgeons 633 N. St. Clair Street Chicago, IL 60611 312-202-5467 cprice@facs.org http://www.ntdb.org Prof Soc Int 3 Complete 2013/02/26 12:00:00 2013/02/27 12:00:00 2013/02/27 07:43:18 UV 2.16.840.1.113883.3.1070.5166 mckesson-fusion-5166 mckesson-fusion-5166 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5166 2013/02/27 12:00:00 2013/02/27 12:00:00 2013/02/27 07:45:08 US 2.16.840.1.113883.3.2899 dro Dr. Dale Ogata & Associates, PC Dale Ogata masked jennifer havens Dale Ogata 9730 sw washington square rd. Tigard, OR 97223 5036240666 masked President Dr. Dale Ogata & Associates, PC 9730 sw washington square rd. Tigard, OR 97223 5036240666 drdaleoffice@aol.com http://drdaleogata.com Provider Int 3 Complete 2013/02/27 12:00:00 2013/02/27 12:00:00 2013/02/27 07:50:03 UV 2.16.840.1.113883.3.2900 vitalhealthsw VitalHealthSoftware Amir Hosinipur masked Amir Hosinipur 3218 Black Oak Dr., Eagan, MN 55121 651-245-2696 masked Sr. Solution Architect VitalHealthSoftware 651-245-2696 ahosinipur@vitalhealthsoftware.com Provider Int 3 Complete 2013/02/28 12:00:00 2013/02/28 12:00:00 2013/02/28 09:42:01 UV 2.16.840.1.113883.3.1070.5175 mckesson-fusion-5175 mckesson-fusion-5175 Randy Deitsch masked Randy Deitsch 8775074541 masked Fusion Enrollment randy.deitsch@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5175 2013/02/28 12:00:00 2013/02/28 12:00:00 2013/02/28 09:44:03 US 2.16.840.1.113883.3.2901 connect-hub CONNECT Hub Matthew Weaver masked Matthew Weaver 7032275678 masked connectopensource.org 7032275678 matthew.weaver@cgifederal.com http://www.connectopensource.org Vendor Int 3 Complete 2013/02/28 12:00:00 2013/02/28 12:00:00 2013/02/28 09:48:19 UV 2.16.840.1.113883.3.1070.5172 mckesson-fusion-5172 mckesson-fusion-5172 Bao Lee masked Bao Lee 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5172 2013/02/28 12:00:00 2013/02/28 12:00:00 2013/02/28 09:46:40 US 2.16.840.1.113883.3.2902 vpr Dr Sam Hsu & Associates, PS Mandy Coligan masked Sam Hsu Sam H Hsu 8070 160th AVE NE Redmond, WA 98052 4258839300 masked Owner Vision Plus Redmond 8070 160th AVE NE Redmond, WA 98052 4258839300 info@redmondvision.com Provider Int 3 Complete 2013/02/28 12:00:00 2013/02/28 12:00:00 2013/02/28 09:51:06 UV 2.16.840.1.113883.3.2903 agn-hc Agnesian HealthCare Steve Holzbuaer masked Steve Holzbauer Agnesian Healthcare 430 E. Division St. Fond du Lac, WI 54935 920-929-2300 masked data architect and Supervisor, data analytics team Agnesian HealthCare Agnesian Healthcare 430 E. Division St. Fond du Lac, WI 54935 holzbauers@agnesian.com Provider Int 3 Complete 2013/03/01 12:00:00 2013/03/07 12:00:00 2013/03/07 03:02:12 UV 2.16.840.1.113883.3.2904 mmsc Marshalltown Medical & Surgical Center Paul Sliva masked Paul Sliva 3 South 4th Avenue Marshalltown, IA 50158 641-844-2968 masked Cheif Information Officer Marshalltown Medical & Surgical Center 3 South 4th Avenue Marshalltown, IA 50158 641-754-5151 psliva@marshmed.com Provider Int 3 3 Complete 2013/03/01 12:00:00 2013/03/07 12:00:00 2013/03/07 03:04:19 UV 2.16.840.1.113883.3.1871.3.911 afstuartfm AFF Stuart Family Med Rodney Rice masked Rodney Rice 314 951 5631 masked Interface Analyst Rodney Rice 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 14 14 Complete 2.16.840.1.113883.3.1871.3.911 2013/03/01 12:00:00 2013/03/07 12:00:00 2013/03/07 03:08:10 UV 2.16.840.1.113883.3.2905 exscribe Exscribe EHR Data Submission Vendor Richard McCormick masked josh@exscribe.com Richard McCormick 462 Main Street Suite 200 Bethlehem, PA 18018 610-419-2050 masked COO Exscribe, Inc. 462 Main Street Suite 200 Bethlehem, PA 18018 610-419-2050 rmccormick@exscribe.com http://www.exscribe.com Vendor Int 3 Complete 2013/03/01 12:00:00 2013/03/07 12:00:00 2013/03/07 03:05:40 UV 2.16.840.1.113883.3.1070.5184 mckesson-fusion-5184 mckesson-fusion-5184 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5184 2013/03/01 12:00:00 2013/03/07 12:00:00 2013/03/07 03:09:27 US 2.16.840.1.113883.3.2906 tAdvantage Vree Health Transition Advantage Mark Aggrey masked Mark Aggrey Vree Health, LLC, a subsidiary of Merck & Co., Inc. 1BC-55R One Merck Drive P.O. Box 100 Whitehouse Station, NJ 08889-0100 908-423-7264 masked Program Manager / Enablement Lead Vree Health, LLC Vree Health, LLC, a subsidiary of Merck & Co., Inc. 1BC-51M One Merck Drive P.O. Box 100 Whitehouse Station, NJ 08889-0100 1 908 423 0479 contactus@vreehealth.com http://www.vreehealth.com Vendor Int 3 Complete 2013/03/01 12:00:00 2013/03/07 12:00:00 2013/03/07 03:13:09 UV 2.16.840.1.113883.3.2907 vpob Doris Wong OD, PS Mandy Coligan masked Doris Wong Chi Wai Wong 17629 108th AVE SE Renton, WA 98055 4252770500 masked Owner Vision Plus on Benson 17629 108th AVE SE Renton, WA 98055 4252770500 pochimari@yahoo.com http://www.visionpluswa.com Provider Int 3 Complete 2013/03/01 12:00:00 2013/03/07 12:00:00 2013/03/07 03:15:44 UV 2.16.840.1.113883.3.2908 pQRSOmniMD Physician Quality Reporting System by OmniMD Prem Pusuloori masked Prem Pusuloori 303 South Broadway, Suite 101 Tarrytown, NY - 10591 9143325590 masked CTO Integrated Systems Management, Inc 303 South Broadway, Suite 101 Tarrytown, NY - 10591 9143325590 ex-109 ppusuloori@ismnet.com http://www.omnimd.com Provider Int 3 Complete 2013/03/03 12:00:00 2013/03/07 12:00:00 2013/03/07 03:17:43 UV 2.16.840.1.113883.3.2909 sofhaOnePartnerHIEOpenEMPIDatabase SoFHA One Partner HIE Open EMPI Database Marty Smith masked Steven Cox Marty Smith 423-857-2000 masked Software Dev II SoFHA, PLLC steven.cox@sofha.com http://www.sofha.net Provider Int 3 Complete 2013/03/04 12:00:00 2013/03/07 12:00:00 2013/03/07 03:22:40 UV 2.16.840.1.113883.3.2910 mrfmOnePartnerHIEOpenEMPIDatabase mrfm One Partner HIE Open EMPI Database Marty Smith masked Michael Mingle Marty Smith 423-857-2000 masked Software Dev II Mountain Region Family Medicine mmingle@bcti.com http://www.mrfm.net/ Provider Int 3 Complete 2013/03/04 12:00:00 2013/03/07 12:00:00 2013/03/07 03:24:11 UV 2.16.840.1.113883.3.8.5.1 mlab McKesson Lab Diego Lopez masked Diego Lopez 5995 Windward Parkway, Alpharetta, GA, 30005 (541) 556-8903 masked McKesson Corp. 5995 Windward Parkway, Alpharetta, GA, 30005 http://www.mckesson.com http://www.mckesson.com Vendor 2.16.840.1.113883.3.8 Ext 14 14 Complete 2.16.840.1.113883.3.8.5.1 2013/03/04 12:00:00 2013/03/07 12:00:00 2013/03/07 03:27:31 UV 2.16.840.1.113883.3.1070.5181 mckesson-fusion-5181 mckesson-fusion-5181 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5181 2013/03/05 12:00:00 2013/03/07 12:00:00 2013/03/07 03:29:38 US 2.16.840.1.113883.3.2911 accuref Accu Reference Medical Laboratory Hugh Brown masked Hugh Brown 11 grace Ave Suite 211 Great Neck, NY 11021 5164663838 masked Accu Reference Medical Laboratory 1901 E. LINDEN AVE. SUITE 4 LINDEN, NJ 070361195 (908)474-1004 konstantin_bas@hotmail.com http://www.accureference.com/ Provider Int 3 Complete 2013/03/05 12:00:00 2013/03/07 12:00:00 2013/03/07 03:33:22 UV 1.3.6.1.4.1.37608 care-evolution CareEvolution, Inc Nicholas Stanley masked Nicholas Stanley 320 Miller Ave, Ste 195 Ann Arbor, MI 48103 616.466.4255 masked Senior Software Engineer CareEvolution, Inc 320 Miller Ave, Ste 195 Ann Arbor, MI 48103 616.466.4255 nick.stanley@careevolution.com Vendor Ext 3 Complete 1.3.6.1.4.1.37608 2013/03/05 12:00:00 2013/03/07 12:00:00 2013/03/07 03:40:58 UV 2.16.840.1.113883.3.1070.5174 mckesson-fusion-5174 mckesson-fusion-5174 Randy Deitsch masked Fusion Enrollment 8775074541 masked Fusion Enrollment randy.deitsch@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5174 2013/03/06 12:00:00 2013/03/07 12:00:00 2013/03/07 03:42:30 US 2.16.840.1.113883.3.1070.5185 mckesson-fusion-5185 mckesson-fusion-5185 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5185 2013/03/06 12:00:00 2013/03/07 12:00:00 2013/03/07 03:44:54 US 2.16.840.1.113883.3.2912 tomahMemorial Tomah Memorial Hospital Kevin Glass masked Kevin Glass 880 Independence Lane Sauk City, WI 53583 608-644-3253 masked System Administrator Tomah Memorial Hospital 321 Butts Avenue Tomah, WI 54660 608-372-2181 kglass@rwhc.com http://www.tomahhospital.org Provider Int 3 Complete 2013/03/06 12:00:00 2013/03/07 12:00:00 2013/03/07 03:35:32 UV 2.16.840.1.113883.3.2913 memorialLafayette Memorial Hospital of Lafayette County Kevin Glass masked Kevin Glass 880 Independence Lane Sauk City, WI 53583 608-644-3253 masked System Administrator Memorial Hospital of Lafayette County 800 Clay St Darlington, WI 53530 608-776-4466 kglass@rwhc.com http://www.memorialhospitaloflafayettecounty.org Provider Int 3 Complete 2013/03/06 12:00:00 2013/03/07 12:00:00 2013/03/07 03:49:23 UV 2.16.840.1.113883.3.2914 uplandHillsHealth Upland Hills Health Kevin Glass masked Kevin Glass 880 Independence Lane Sauk City, WI 53583 608-644-3253 masked System Administrator Upland Hills Health 800 Compassion Way Dodgeville, WI 53533 608-930-8000 kglass@rwhc.com http://www.uplandhillshealth.org Provider Int 3 Complete 2013/03/06 12:00:00 2013/03/07 12:00:00 2013/03/07 03:51:51 UV 2.16.840.1.113883.3.2915 housecallsexpress Housecalls Express Inc. Raymond Jeffrey Hulley masked Debbie Hotlgard Debbie Holtgard 2770 Indian River Blvd Suite 308 Vero Beach, FL 32960 772-567-0206 masked EDI Specialist AZZLY 2770 Indian River Blvd Suite 308 Vero Beach, FL 32960 772-567-0206 vendorservices@azzly.com http://www.azzly.com/ Vendor 2.16.840.1.113883.3.662 Int 3 Complete 2013/03/06 12:00:00 2013/03/07 12:00:00 2013/03/07 04:47:23 UV 2.16.840.1.113883.3.2916 eduardobarroso Eduardo G Barroso MD PA Eduardo Barroso masked Debbie Hotlgard Debbie Holtgard 2770 Indian River Blvd Suite 308 Vero Beach, FL 32960 772-567-0206 masked Operations AZZLY 2770 Indian River Blvd Suite 308 Vero Beach, FL 32960 772-567-0206 vendorservices@azzly.com http://www.azzly.com/ Vendor 2.16.840.1.113883.3.662 Int 3 Complete 2013/03/06 12:00:00 2013/03/07 12:00:00 2013/03/07 04:48:47 UV 2.16.840.1.113883.3.2917 jardogs FollowMyHealth Neil Osborn masked Jardogs (877) 888-8773 masked Jardogs, LLC support@jardogs.com https://www.followmyhealth.com Vendor Int 17 3 Complete 2013/03/06 12:00:00 2013/03/07 12:00:00 2013/03/07 04:50:57 UV 2.16.840.1.113883.3.2918 cardinaldiagnostic Cardinal Diagnostic and Rehab Center Daniel Assion masked Debbie Hotlgard Debbie Holtgard 2770 Indian River Blvd Suite 308 Vero Beach, FL 32960 772-567-0206 masked Operations AZZLY 2770 Indian River Blvd Suite 308 Vero Beach, FL 32960 772-567-0206 vendorservices@azzly.com http://www.azzly.com/ Vendor 2.16.840.1.113883.3.662 Int 3 Complete 2013/03/06 12:00:00 2013/03/07 12:00:00 2013/03/07 04:52:45 UV 2.16.840.1.113883.3.2919 dandbnhs Doncaster & Bassetlaw NHS Trust Ewen Silvester masked Scott Gill Scott Gill Doncaster & Bassetlaw NHS Foundation Trust Radiology Department Armthorpe Road Doncaster DN2 5LT 07827083802 masked PACS Manager Doncaster & Bassetlaw NHS Foundation Trust Doncaster & Bassetlaw NHS Foundation Trust Armthorpe Road Doncaster DN2 5LT 01302 366666 Scott.Gill@dbh.nhs.uk http://www.dbh.nhs.uk/ Govt body Int 3 Complete 2013/03/06 12:00:00 2013/03/07 12:00:00 2013/03/07 04:54:08 UV 2.16.840.1.113883.3.2920 hmh-pha Huntington Memorial Hospital Jay Lee masked Henry Jenkins Jay Lee 100 W. California Blvd Room: Valentine 1700 Pasadena, CA 91105 626-397-5200 masked HIE Specialist Huntington Memorial Hospital 100 W. California Blvd Pasadena, CA 91105 626-397-5000 DL-ITServiceDesk@huntingtonhospital.com http://www.huntingtonhospital.com/ Provider Int 3 Complete 2013/03/06 12:00:00 2013/03/07 12:00:00 2013/03/07 04:55:28 UV 1.2.36.1.2001.1005.42 pcehr-cdid-root-oid PCEHR Child Development Information Data Root OID Philip Wilford masked NEHTA Philip Wilford Level 2, 10 Browning Street West End, Brisbane, 4101, QLD 07 3023 8450 masked NEHTA philip.wilford@nehta.gov.au http://www.nehta.gov.au Govt body Ext 3 4 Complete 1.2.36.1.2001.1005.42 2013/03/06 12:00:00 2013/03/07 12:00:00 2013/03/07 07:41:03 AU 1.2.36.1.2001.1005.42.1 pcehr-cdid-act PCEHR Child Development Information Data - Jurisdiction - ACT Philip Wilford masked NEHTA Philip Wilford Level 2, 10 Browning Street West End, Brisbane, 4101, QLD 07 3023 8450 masked NEHTA philip.wilford@nehta.gov.au http://www.nehta.gov.au Govt body Ext 17 17 Complete 1.2.36.1.2001.1005.42.1 2013/03/06 12:00:00 2013/03/07 12:00:00 2013/03/07 07:43:27 AU 1.2.36.1.2001.1005.42.2 pcehr-cdid-nsw PCEHR Child Development Information Data - Jurisdiction - NSW Philip Wilford masked NEHTA Philip Wilford Level 2, 10 Browning Street West End, Brisbane, 4101, QLD 07 3023 8450 masked NEHTA philip.wilford@nehta.gov.au http://www.nehta.gov.au Govt body Ext 17 17 Complete 1.2.36.1.2001.1005.42.2 2013/03/06 12:00:00 2013/03/07 12:00:00 2013/03/07 07:45:04 AU 1.2.36.1.2001.1005.42.3 pcehr-cdid-vic PCEHR Child Development Information Data - Jurisdiction - VIC Philip Wilford masked NEHTA Philip Wilford Level 2, 10 Browning Street West End, Brisbane, 4101, QLD NEHTA 07 3023 8450 masked NEHTA philip.wilford@nehta.gov.au http://www.nehta.gov.au Govt body Ext 17 17 Complete 1.2.36.1.2001.1005.42.3 2013/03/06 12:00:00 2013/03/07 12:00:00 2013/03/07 07:47:15 AU 1.2.36.1.2001.1005.42.4 pcehr-cdid-qld PCEHR Child Development Information Data - Jurisdiction - QLD Philip Wilford masked NEHTA Philip Wilford Level 2, 10 Browning Street West End, Brisbane, 4101, QLD 07 3023 8450 masked NEHTA philip.wilford@nehta.gov.au http://www.nehta.gov.au Govt body Ext 17 17 Complete 1.2.36.1.2001.1005.42.4 2013/03/06 12:00:00 2013/03/07 12:00:00 2013/03/07 07:48:57 AU 1.2.36.1.2001.1005.42.5 pcehr-cdid-sa PCEHR Child Development Information Data - Jurisdiction - SA Philip Wilford masked NEHTA Philip Wilford Level 2, 10 Browning Street West End, Brisbane, 4101, QLD 07 3023 8450 masked NEHTA philip.wilford@nehta.gov.au http://www.nehta.gov.au Govt body Ext 17 Complete 1.2.36.1.2001.1005.42.5 2013/03/06 12:00:00 2013/03/07 12:00:00 2013/03/07 08:05:16 AU 1.2.36.1.2001.1005.42.6 pcehr-cdid-wa PCEHR Child Development Information Data - Jurisdiction - WA Philip Wilford masked NEHTA Philip Wilford Level 2, 10 Browning Street West End, Brisbane, 4101, QLD 07 3023 8450 masked NEHTA philip.wilford@nehta.gov.au http://www.nehta.gov.au Govt body Ext 17 17 Complete 1.2.36.1.2001.1005.42.6 2013/03/06 12:00:00 2013/03/07 12:00:00 2013/03/07 08:06:13 AU 1.2.36.1.2001.1005.42.7 pcehr-cdid-tas PCEHR Child Development Information Data - Jurisdiction - TAS Philip Wilford masked NEHTA Philip Wilford Level 2, 10 Browning Street West End, Brisbane, 4101, QLD 07 3023 8450 masked NEHTA philip.wilford@nehta.gov.au http://www.nehta.gov.au Govt body Ext 17 17 Complete 1.2.36.1.2001.1005.42.7 2013/03/06 12:00:00 2013/03/07 12:00:00 2013/03/07 08:07:20 AU 1.2.36.1.2001.1005.42.8 pcehr-cdid-nt PCEHR Child Development Information Data - Jurisdiction - NT Philip Wilford masked NEHTA Philip Wilford Level 2, 10 Browning Street West End, Brisbane, 4101, QLD 07 3023 8450 masked NEHTA philip.wilford@nehta.gov.au http://www.nehta.gov.au Govt body Ext 17 17 Complete 1.2.36.1.2001.1005.42.8 2013/03/06 12:00:00 2013/03/07 12:00:00 2013/03/07 08:08:12 AU 2.16.840.1.113883.3.2921 scphdtp Sisters of Charity Providence Hospitals - Downtown Anthony Arrigo masked Anthony Arrigo 110 Gateway Corporate Blvd Columbia, SC 29203 803-865-4873 masked HL7 Integrator Sisters of Charity Providence Hospitals - Downtown 110 Gateway Corporate Blvd Columbia, SC 29203 803-865-4873 anthony.arrigo@provsc.com Provider Int 4 3 Complete 2013/03/07 12:00:00 2013/03/07 12:00:00 2013/03/07 08:12:12 US 2.16.840.1.113883.3.2922 scphnep Sisters of Charity Providence Hospitals - Northeast Anthony Arrigo masked Anthony Arrigo 110 Gateway Corporate Blvd Columbia, SC 29203 803-865-4873 masked HL7 Integrator Sisters of Charity Providence Hospitals - Northeast 110 Gateway Corporate Blvd Columbia, SC 803-865-4873 anthony.arrigo@provsc.com Provider Int 3 3 Complete 2013/03/07 12:00:00 2013/03/07 12:00:00 2013/03/07 08:14:30 US 2.16.840.1.113883.3.2923 ima Internal Medicine Associates of Lee County David Banta masked David Banta 239-931-3440 masked IT Manager Internal Medicine Associates of Lee County 1400 Colonial Blvd. Suite 1 Fort Myers, FL 33907 239-931-3440 dbanta@imadoctors.com Provider Int 3 Complete 2013/03/07 12:00:00 2013/03/07 12:00:00 2013/03/07 08:18:51 UV 2.16.840.1.113883.3.1070.5188 mckesson-fusion-5188 mckesson-fusion-5188 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5188 2013/03/07 12:00:00 2013/03/07 12:00:00 2013/03/07 08:21:28 US 2.16.840.1.113883.3.1070.5189 mckesson-fusion-5189 mckesson-fusion-5189 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5189 2013/03/07 12:00:00 2013/03/07 12:00:00 2013/03/07 08:22:24 US 2.16.840.1.113883.3.1070.5165 mckesson-fusion-5165 mckesson-fusion-5165 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5165 2013/03/07 12:00:00 2013/03/07 12:00:00 2013/03/07 08:24:10 US 2.16.840.1.113883.3.2924 yeaman Yeaman and Associates, LLC Rodolfo Alvarez del Castillo masked Rodolfo Alvarez del Castillo 111 North Peters. Suite 100. Normam. Oklahoma, USA 73069 405-708-3978 masked Director LTC Yeaman and Assoiates, LLC 111 North Peters. Suite 100. Normam. Oklahoma, USA 73069 405-701-3515 radcastillo@yeamanandassociates.com http://www.yeamanandassociates.com Vendor Int 3 Complete 2013/03/08 12:00:00 2013/03/22 12:00:00 2013/03/22 03:25:45 UV 2.16.840.1.113883.3.1070.5191 mckesson-fusion-5191 mckesson-fusion-5191 Trish Wilson masked Fusion Enrollment 877-684-9625 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5191 2013/03/08 12:00:00 2013/03/22 12:00:00 2013/03/22 03:27:09 US 2.16.840.1.113883.3.2925 pqrs Allscripts Healthcare Terri Kennedy masked Georgette Johnson Terri Kennedy 8529 Six Forks Road Raleigh, NC 27615 919-274-5380 masked Product Management Allscripts Healthcare, Inc. 222 Merchandise Mart Plaza Suite 2024 Chicago, IL 60654 800-654-0889 terri.kennedy@allscripts.com Vendor Int 3 Complete 2013/03/08 12:00:00 2013/03/22 12:00:00 2013/03/22 03:32:49 UV 2.16.840.1.113883.3.2926 techLaunchServices TechLaunch Services Daniel Russler masked Daniel Russler 3215 Saybrook Dr Atlanta, GA 30319 4045670152 masked Technology Manager TechLaunch Services, LLC 3215 Saybrook Dr Atlanta, GA 30319 4042663642 jo.russler@techlaunchservices.com http://www.techlaunchservices.com Vendor Int 3 3 Complete 2013/03/10 12:00:00 2013/03/22 12:00:00 2013/03/22 03:37:35 UV 2.16.840.1.113883.3.2927 vecpa Vision & Eye Care, P.A. Paul Mendoza masked Paul Mendoza 1801 Marketplace Drive Garland, Texas 75041 972-279-0445 masked President & CEO Vision & Eye Care, P.A. 1801 Marketplace Drive Garland, Texas 75041 972-279-0445 office@visioneyecarepa.com Provider Int 3 Complete 2013/03/10 12:00:00 2013/03/22 12:00:00 2013/03/22 03:39:11 UV 2.16.840.1.113883.3.2928 pvix Pioneer Valley Health Exchange Joshua Wherry masked Joshua Wherry Baystate Health Information Services 5th floor 1550 Main Street Springfield, MA 01103 413-794-0680 masked Manager of EMR Engineering and Integration Joshua Wherry Baystate Health Information Services 5th floor 1550 Main Street Springfield, MA 01103 413-794-0680 joshua.wherry@baystatehealth.org http://pvix.org Exchange Int 3 3 Complete 2013/03/11 12:00:00 2013/03/22 12:00:00 2013/03/22 03:40:31 UV 2.16.840.1.113883.3.1070.5180 mckesson-fusion-5180 mckesson-fusion-5180 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5180 2013/03/11 12:00:00 2013/03/22 12:00:00 2013/03/22 03:52:15 UV 2.16.840.1.113883.3.2929 hwr Height and Weight Report Profile Yan Heras masked Jennifer Foltz, MD, MPH Division of Nutrition, Physical Activity, and Obesity Centers for Disease Control and Prevention 4770 Buford Hwy., NE (MS K03) Atlanta, GA 30341 770-488-6084 masked Centers for Disease Control and Prevention Division of Nutrition, Physical Activity, and Obesity Centers for Disease Control and Prevention 4770 Buford Hwy., NE (MS K03) Atlanta, GA 30341 770-488-6084 igc2@cdc.gov Govt body Int 3 Complete 2013/03/11 12:00:00 2013/03/22 12:00:00 2013/06/12 06:46:14 US 2.16.840.1.113883.11.19751 immunizationForecastDate ImmunizationForecastDate Ted Klein masked Alexander Henket Ted Klein 734-766-7777 masked Harmonization colead PHER 734-766-7777 hq@hl7.org http://www.hl7.org HL7 body Int 11 Complete 2013/03/11 12:00:00 2013/03/22 12:00:00 2013/03/22 03:57:02 UV 2.16.840.1.113883.3.2930 cMC-Waxhaw Carolinas Medical Center - Waxhaw Clifton Barnett masked Clifton Barnett 919-843-2360 masked UNC Chapel Hill 100 Main St. Chapel Hill, NC 27517 919-843-2360 cbarnett@email.unc.edu Academic Int 3 3 Complete 2013/03/11 12:00:00 2013/03/22 12:00:00 2013/03/22 04:03:38 UV 2.16.840.1.113883.3.2931 cMC-Steele Creek Carolinas Medical Center - Steele Creek Clifton Barnett masked Clifton Barnett 919-843-2360 masked UNC Chapel Hill 100 Main St. Chapel Hill NC 27517 919-843-2360 cbarnett@email.unc.edu Academic Int 3 3 Complete 2013/03/11 12:00:00 2013/03/22 12:00:00 2013/03/22 04:06:26 UV 2.16.840.1.113883.3.2932 cMC-Kannapolis Carolinas Medical Center - Kannapolis Clifton Barnett masked Clifton Barnett 919-843-2360 masked UNC Chapel Hill 100 Main St. Chapel Hill NC 27517 919-843-2360 cbarnett@email.unc.edu Academic Int 3 3 Complete 2013/03/11 12:00:00 2013/03/22 12:00:00 2013/03/22 04:08:13 UV 2.16.840.1.113883.3.2933 cMC- Huntersville Carolinas Medical Center - Huntersville Clifton Barnett masked Clifton Barnett 919-843-2360 masked UNC Chapel Hill 100 Main St. Chapel Hill NC 27517 919-843-2360 cbarnett@email.unc.edu Academic Int 3 3 Complete 2013/03/11 12:00:00 2013/03/22 12:00:00 2013/03/22 04:10:02 UV 2.16.840.1.113883.3.2934 g-p-m Geriatric Practice Management Tiffany Strong masked Michael Healey Michael Healey 90 Southside Ave Suite 300 Asheville, NC 288801 8283482866 masked CTO Geriatric Practice Management 90 Southside Ave Suite 300 Asheville, NC 28801 8283482888 tstrong@ecpmd.com Provider Int 3 Complete 2013/03/11 12:00:00 2013/03/22 12:00:00 2013/03/22 04:12:58 UV 2.16.840.1.113883.3.2402.200.397 physicians-computer-company-clients-tpc Physician's Computer Company (PCC) Clients The Pediatric Center Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.397 2013/03/11 12:00:00 2013/03/22 12:00:00 2013/03/22 04:15:15 UV 2.16.840.1.113883.3.2935 smx Systemedx Clinical Navigator EHR Kevin Bonner masked Kevin Bonner 18741 US Hwy 31 N Suite 103 Cullman, AL 35058 2567391398 masked President Systemedx Inc 18741 US Hwy 31 N Suite 103 Cullman, AL 35058 256-739-1398 support@systemedx.com http://www.systemedx.com Vendor Int 3 Complete 2013/03/11 12:00:00 2013/03/22 12:00:00 2013/03/22 04:17:31 UV 2.16.840.1.113883.3.2936 sbuh Stony Brook University Hospital Beverley O'Connor masked Beverley O'Connor Stony Brook Medicine 7 Flowerfield Suite 44 St. James, NY 11780-6060 (631) 444-4003 masked Director of Integration Stony Brook Medicine Stony Brook Medicine 101 Nicolls Road Stony Brook, NY 11794 (631) 444-4000 http://www.stonybrookmedicine.edu Provider Int 3 3 Complete 2013/03/11 12:00:00 2013/03/22 12:00:00 2013/03/22 04:18:49 UV 2.16.840.1.113883.3.1070.5194 mckesson-fusion-5194 mckesson-fusion-5194 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5194 2013/03/12 12:00:00 2013/03/22 12:00:00 2013/03/22 04:22:55 US 2.16.840.1.113883.3.2937 wghpa Warren General Hospital Richard Setili masked Danielle Hallas Kelly Haist 2 Crescent Park West Warren, PA 16365 814-723-3300 x1863 masked IT Applications Manager Warren General Hospital 2 Crescent Park West Warren, PA 16365 814-723-3300 khaist@wgh.org http://www.wgh.org Provider Int 3 Complete 2013/03/12 12:00:00 2013/03/22 12:00:00 2025/12/24 09:54:09 UV 2.16.840.1.113883.3.2938 figmd FIGMD, INC. Sanket Baralay masked Sanket Baralay 7737898241 masked President FIGMD, INC. 2225 Greenbay Drive Hanover Park, IL 60133 7737898241 sanketb@figmd.com http://www.figmd.com Vendor Int 3 Complete 2013/03/12 12:00:00 2013/03/22 12:00:00 2013/03/22 04:36:23 UV 2.16.840.1.113883.3.2939 famc Faulkton Area Medical Center Richelle Hyatt masked Richelle Hyatt 1300 Oak St PO Box 100 Faulkton, SD 57473 605-598-6262 masked RN Faulkton Area Medical Center 1300 Oak St PO Box 100 Faulkton, SD 57473 605-598-6262 richelle.hyatt@faulktonmedical.org Provider Int 3 Complete 2013/03/13 12:00:00 2013/03/22 12:00:00 2013/03/22 04:39:38 UV 2.16.840.1.113883.3.2940 pchc Progressive Community Health Center Mike Matull masked Allison Kos Mike Matull (503) 943-2597 masked Manager: Integration and Interoperability Progressive Community Health Center 4738 W. Lisbon Avenue Milwaukee, WI 53208 (414) 935-8000 Allison.kos@progressivechc.org Provider Int 3 Complete 2013/03/13 12:00:00 2013/03/22 12:00:00 2013/03/22 04:42:06 UV 2.16.840.1.113883.3.2941 pch-scm Sunrise Clinical Manager at Phoenix Children's Hospital Jesse Perlmutter masked Jesse Perlmutter 1919 E. Thomas Rd. Phoenix, AZ 85016 602-933-2754 masked Phoenix Children's Hospital 1919 E. Thomas Rd Phoenix, AZ 85016 602-933-2754 jperlmutter@phoenixchildrens.com Provider 2.16.840.1.113883.4.352 Int 3 Complete 2013/03/13 12:00:00 2013/03/22 12:00:00 2013/03/22 05:06:13 UV 2.16.840.1.113883.3.2942 arcw AIDS RESEARCH CENTER OF WISCONSIN Mike Matull masked John Fangman Mike Matull (503) 943-2597 masked Manager: integration and interoperability AIDS RESEARCH CENTER OF WISCONSIN 820 North Plankinton Avenue Milwaukee, Wisconsin 53203 (414) 273-1991 jfangman@mcw.edu Provider Int 3 Complete 2013/03/13 12:00:00 2013/03/22 12:00:00 2013/03/22 05:08:38 UV 2.16.840.1.113883.3.2943 ochc Outreach Community Health Centers, Inc. Mike Matull masked Michael Bauer Mike Matull (503) 943-2597 masked Manager: Integration and Interoperability Outreach Community Health Centers, Inc. 210 W Capitol Drive Milwaukee, WI 53212 414-727-6320 michaelb@hchm.com Provider Int 3 Complete 2013/03/13 12:00:00 2013/03/22 12:00:00 2013/03/22 05:10:55 UV 2.16.840.1.113883.9.29 hwrProfile Height and Weight Report Profile Yan Heras masked Jennifer Foltz, MD, MPH Division of Nutrition, Physical Activity, and Obesity Centers for Disease Control and Prevention 4770 Buford Hwy., NE (MS K03) Atlanta, GA 30341 +1 770 488 6084 masked HL7 Public Health and Emergency Response Work group 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org https://www.hl7.org HL7 body Int 9 Complete 2013/03/14 12:00:00 2013/03/22 12:00:00 2013/06/28 12:18:46 UV 2.16.840.1.113883.3.105.101 bhnsm Bureau of HealthCOM Network Systems Management, New York State Department of Health Kathryn Schmit masked Linh H. Le New York State Department of Health Empire State Plaza, Rm 148 Albany, NY 12237 518-473-1809 masked Director, Bureau of HealthCOM Network Systems Management New York State Department of Health Empire State Plaza, Rm 148 Albany, NY 12237 518-473-1809 lhl02@health.state.ny.us Govt body Ext 17 17 Complete 2.16.840.1.113883.3.105.101 2013/03/14 12:00:00 2013/03/22 12:00:00 2013/03/22 05:20:15 UV 2.16.840.1.113883.3.1070.5196 mckesson-fusion-5196 mckesson-fusion-5196 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5196 2013/03/14 12:00:00 2013/03/22 12:00:00 2013/03/22 05:23:09 US 2.16.840.1.113883.3.2944 qualuableOnePartnerHIEOpenEMPIDatabase qualuable One Partner HIE Open EMPI Database Marty Smith masked Marty Smith 716 E. Center Street Kingsport, TN 37616 423-857-2000 masked Software Dev II Qualuable marty@lucentglow.com http://www.qualuable.com Govt body Int 3 Complete 2013/03/14 12:00:00 2013/03/22 12:00:00 2013/03/22 05:26:22 UV 2.16.840.1.113883.3.2945 nf narco-freedom Adam Yoder masked Ismael Rodriquez Narco Freedom 368 East 148th Street, Bronx NY, 10455 718-402-2614 masked Director of Quality Assurance Narco Freedom 368 East 148th Street Bronx NY, 10455 718-402-2614 Ismael.rodriguez@narcofreedom.com http://www.narcofreedom.com Provider Int 3 Complete 2013/03/14 12:00:00 2013/03/22 12:00:00 2013/03/22 05:31:49 UV 2.16.840.1.113883.3.2946 wesleyeastridgeOnePartnerHIEOpenEMPIDatabase wesley eastridge One Partner HIE Open EMPI Database Marty Smith masked Marty Smith 423-587-2000 masked Software Dev II Wesley Eastridge, M.D. (MRFM) wesley@eastridges.com http://www.eastridges.com/ Provider Int 3 Complete 2013/03/15 12:00:00 2013/03/22 12:00:00 2013/03/22 05:28:41 UV 2.16.840.1.113883.3.1070.5201 mckesson-fusion-5201 mckesson-fusion-5201 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5201 2013/03/15 12:00:00 2013/03/22 12:00:00 2013/03/22 05:36:04 US 2.16.840.1.113883.3.1070.5160 mckesson-fusion-5160 mckesson-fusion-5160 Tiffany Roberts masked Fusion Enrollemt 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5160 2013/03/15 12:00:00 2013/03/22 12:00:00 2013/03/22 05:38:06 US 2.16.840.1.113883.3.2947 shmrn Spectrum Health Butterworth and Blodgett Hospitals Tawnya McKinzie masked Michael Dobb (616) 486-4000 masked Spectrum Health Butterworth and Blodgett Hospitals 100 Michigan Ave, N.E. (Mail Code 843) Grand Rapids, MI 49503 (616) 486-4000 michael.dobb@spectrumhealth.org Provider Int 3 Complete 2013/03/15 12:00:00 2013/03/22 12:00:00 2014/03/13 11:27:33 UV 2.16.840.1.113883.3.2948 rcmrn Spectrum Health Reed City Hospital Tawnya McKinzie masked Michael Dobb 100 Michigan Ave, N.E. (Mail Code 843) Grand Rapids, MI 49503 (616) 486-4000 masked Spectrum Health Reed City Hospital 100 Michigan Ave, N.E. (Mail Code 843) Grand Rapids, MI 49503 (616) 486-4000 michael.dobb@spectrumhealth.org Provider Int 3 Complete 2013/03/15 12:00:00 2013/03/22 12:00:00 2014/03/13 11:28:18 UV 2.16.840.1.113883.3.2949 uumrn Spectrum Health United Hospital Tawnya McKinzie masked Michael Dobb 100 Michigan Ave, N.E. (Mail Code 843) Grand Rapids, MI 49503 (616) 486-4000 masked Spectrum Health United Hospital 100 Michigan Ave, N.E. (Mail Code 843) Grand Rapids, MI 49503 (616) 486-4000 michael.dobb@spectrumhealth.org Provider Int 3 Complete 2013/03/15 12:00:00 2013/03/22 12:00:00 2014/03/13 11:30:04 UV 2.16.840.1.113883.3.2950 ggmrn Spectrum Health Gerber Memorial Hospital Tawnya McKinzie masked Michael Dobb 100 Michigan Ave, N.E. (Mail Code 843) Grand Rapids, MI 49503 (616) 486-4000 masked Spectrum Health Gerber Memorial Hospital 100 Michigan Ave, N.E. (Mail Code 843) Grand Rapids, MI 49503 (616) 486-4000 michael.dobb@spectrumhealth.org Provider Int 3 Complete 2013/03/15 12:00:00 2013/03/22 12:00:00 2014/03/13 11:30:26 UV 2.16.840.1.113883.3.2951 zzmrn Spectrum Health Zeeland Community Hospital Tawnya McKinzie masked Michael Dobb 100 Michigan Ave, N.E. (Mail Code 843) Grand Rapids, MI 49503 (616) 486-4000 masked Spectrum Health Zeeland Community Hospital 100 Michigan Ave, N.E. (Mail Code 843) Grand Rapids, MI 49503 (616) 486-4000 michael.dobb@spectrumhealth.org Provider Int 3 Complete 2013/03/15 12:00:00 2013/03/22 12:00:00 2014/03/13 11:30:52 UV 2.16.840.1.113883.3.2952 kkmrn Spectrum Health Kelsey Hospital Tawnya McKinzie masked Michael Dobb 100 Michigan Ave, N.E. (Mail Code 843) Grand Rapids, MI 49503 (616) 486-4000 masked Spectrum Health Kelsey Hospital 100 Michigan Ave, N.E. (Mail Code 843) Grand Rapids, MI 49503 (616) 486-4000 michael.dobb@spectrumhealth.org Provider Int 3 Complete 2013/03/15 12:00:00 2013/03/22 12:00:00 2014/03/13 11:31:10 UV 2.16.840.1.113883.3.2953 kcmrn Spectrum Health Special Care and Kent Community Hospitals Tawnya McKinzie masked Michael Dobb 100 Michigan Ave, N.E. (Mail Code 843) Grand Rapids, MI 49503 (616) 486-4000 masked IS, Architect, Sr. Spectrum Health Special Care and Kent Community Hospitals 100 Michigan Ave, N.E. (Mail Code 843) Grand Rapids, MI 49503 (616) 486-4000 michael.dobb@spectrumhealth.org Provider Int 3 Complete 2013/03/15 12:00:00 2013/03/22 12:00:00 2014/03/13 11:31:32 UV 2.16.840.1.113883.3.1070.5195 mckesson-fusion-5195 mckesson-fusion-5195 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5195 2013/03/18 12:00:00 2013/03/22 12:00:00 2013/03/22 05:54:21 UV 2.16.840.1.113883.3.1070.5198 mckesson-fusion-5198 mckesson-fusion-5198 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5198 2013/03/18 12:00:00 2013/03/22 12:00:00 2013/03/22 05:56:24 UV 2.16.840.1.113883.4.625 amc Adena Medical Center Tom Douglas masked Maria Crabtree Tom Douglas 272 Hospital Road, Chillicothe OH 45601 740-779-7454 masked Manager, Enterprise Applications Adena Health System 272 Hospital Road, Chillicothe OH 45601 740-779-7500 tdouglas@adena.org https://mail.adena.org Provider 2.16.840.1.113883.3.1243 Int 4 Complete 2013/03/19 12:00:00 2015/06/25 12:00:00 2015/06/25 06:37:08 UV 2.16.840.1.113883.13.235 xerox-CM Xerox Clinical Message Doug DeShazo masked Doug DeShazo 678-243-9634 masked Xerox State Healthcare, LLC 9040 Roswell Road Atlanta, GA 30350 678-243-9634 douglas.deshazo@xerox.com Vendor 2.16.840.1.113883.3.2839 Int 13 Complete 2013/03/19 12:00:00 2013/03/22 12:00:00 2013/03/22 10:40:58 UV 2.16.840.1.113883.15.10 inchikey International Chemical Identifier - Key Gunther Schadow masked Yulia Borodia, Randy Levin (FDA) Gunther Schadow 317 660 5432 masked InChI Trust Dr. Stephen Heller Project Director c/o FIZ CHEMIE Franklinstrasse 11 10587 Berlin Germany Steve@InChI-Trust.org http://www.inchi-trust.org/ SDO Int 15 15 Complete 2013/03/19 12:00:00 2013/03/22 12:00:00 2013/03/22 10:37:06 UV 2.16.840.1.113883.3.1070.5192 mckesson-fusion-5192 mckesson-fusion-5192 Johnny Moore masked Johnny Moore 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5192 2013/03/19 12:00:00 2013/03/22 12:00:00 2013/03/22 06:09:35 US 2.16.840.1.113883.4.626 jmhHL7 Johnson Memorial Hospital Eric Brown masked Eric Brown 1125 West Jefferson Street Franklin, IN 46131 317-346-3919 masked Clinical Analyst Johnson Memorial Hospital 1125 West Jefferson Street Franklin, IN 46131 317-736-3300 skrodel@johnsonmemorial.org http://www.johnsonmemorial.org Provider Int 3 Complete 2013/03/19 12:00:00 2013/03/22 12:00:00 2013/03/22 10:44:58 UV 2.16.840.1.113883.3.2954 healthchoice Health Choice, LLC Jay Luttrell masked Jay Luttrell 9018216766 masked Senior Systems Analyst Health Choice, LLC 1661 International Place Dr Suite 150 Memphis, TN 38120 9018216700 Luttrellj@myhealthchoice.com http://www.myhealthchoice.com Provider Int 3 Complete 2013/03/19 12:00:00 2013/03/22 12:00:00 2013/03/22 10:47:43 UV 2.16.840.1.113883.3.2384.4 hhsc-ehr HHSC East Hawaii Region Alan Ito masked matwal@hhsc.org Money Atwal 1190 Waianuenue Avenue Hilo, HI 96720 808-932-3109 masked CFO/CIO Hawaii Health Systems Corporation 3675 Kilauea Avenue Honolulu, HI 96816 808-733-4035 aito@hhsc.org http://www.hhsc.org Provider 2.16.840.1.113883.3.2384 Ext 17 17 Complete 2.16.840.1.113883.3.2384.4 2013/03/20 12:00:00 2013/03/22 12:00:00 2013/03/22 10:51:24 UV 2.16.840.1.113883.3.2384.4.1 hmc HHSC Hilo Medical Center Alan Ito masked Money Atwal Money Atwal 1190 Waianuenue Avenue Hilo, HI 96720 808-932-3109 masked CFO/CIO Hawaii Health Systems Corporation 3675 Kilauea Avenue Honolulu, HI 96816 808-733-4035 aito@hhsc.org http://www.hhsc.org Provider 2.16.840.1.113883.3.2384 Ext 17 17 Complete 2.16.840.1.113883.3.2384.4.1 2013/03/20 12:00:00 2013/03/22 12:00:00 2013/03/22 10:53:08 UV 2.16.840.1.113883.3.2384.4.2 kau HHSC Kau Hospital Alan Ito masked Money Atwal Money Atwal 1190 Waianuenue Avenue Hilo, HI 96720 808-932-3109 masked CFO/CIO Hawaii Health Systems Corporation 3675 Kilauea Avenue Honolulu, HI 96816 808-733-4035 aito@hhsc.org http://www.hhsc.org Provider 2.16.840.1.113883.3.2384 Ext 17 17 Complete 2.16.840.1.113883.3.2384.4.2 2013/03/20 12:00:00 2013/03/22 12:00:00 2013/03/22 10:55:13 UV 2.16.840.1.113883.3.2384.4.3 hhh Hale Ho'ola Hamakua Alan Ito masked Money Atwal Money Atwal 1190 Waianuenue Avenue Hilo, HI 96720 808-932-3109 masked CFO/CIO Hawaii Health Systems Corporation 3675 Kilauea Avenue Honolulu, HI 96816 808-733-4035 aito@hhsc.org http://www.hhsc.org Provider 2.16.840.1.113883.3.2384 Ext 17 17 Complete 2.16.840.1.113883.3.2384.4.3 2013/03/20 12:00:00 2013/03/22 12:00:00 2013/03/22 10:56:44 UV 2.16.840.1.113883.3.2955 ghnhsft Gloucestershire Hospitals NHS Foundation Trust Martin O'Murphy masked Dr. Frank Jewell Frank Jewell Diagnostic Imaging Department The Gloucestershire Royal Hospital Great Western Road Gloucester GL1 3NN 0300 422 5093 masked Chief of Service, Diagnostic and Specialties Division Gloucestershire Hospitals NHS Foundation Trust Gloucestershire Hospitals NHS Foundation Trust, Trust Headquarters, 1 College lawn, Cheltenham, Gloucestershire, GL53 7AG 0300 422 2222 RadiologyIT@glos.nhs.uk http://www.gloshospitals.nhs.uk/ Provider Int 3 Complete 2013/03/20 12:00:00 2013/03/22 12:00:00 2013/03/22 10:59:50 UV 2.16.840.1.113883.3.1070.5186 mckesson-fusion-5186 mckesson-fusion-5186 Johnny Moore masked Johnny Moore 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5186 2013/03/20 12:00:00 2013/03/22 12:00:00 2013/03/22 11:05:44 US 2.16.840.1.113883.3.2956 dvc1 DAVISON VISION CENTER ANDREA KODAT masked ANDREA KODAT 1097 S. STATE RD STE 1 DAVISON MI 48423 8106534800 masked OFFICE MANAGER DAVISON VISION CENTER 1097 S STATE RD STE 1 DAVISON MI 48423 8106534800 DAVISONVISIONCENTER@GMAIL.COM http://www.DAVISONVISION.NET Provider Int 3 Complete 2013/03/20 12:00:00 2013/03/22 12:00:00 2013/03/22 11:03:21 UV 2.16.840.1.113883.3.1070.5205 mckesson-fusion-5205 mckesson-fusion-5205 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5205 2013/03/20 12:00:00 2013/03/22 12:00:00 2013/03/22 11:07:30 US 2.16.840.1.113883.3.2402.200.401 physicians-computer-company-clients-tri Physician's Computer Company (PCC) Clients TRI-County Pediatric Associates, P.C. Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.401 2013/03/20 12:00:00 2013/03/22 12:00:00 2013/03/22 11:10:07 UV 2.16.840.1.113883.3.2957 hma-flhie-ExpressLite-CERT HMA-FLHIE-ExpressLite-CERT Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/03/21 12:00:00 2013/03/22 12:00:00 2013/03/22 11:13:44 UV 2.16.840.1.113883.3.2958 hma-flhie-ExpressLite-PROD HMA-FLHIE-ExpressLite-ROD Daniel Cholvin masked Daniel Cholvin 239-247-2518 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/03/21 12:00:00 2013/03/22 12:00:00 2013/03/22 11:15:02 UV 2.16.840.1.113883.3.2959 aat CHRISTUS St. Michael Hospital - Atlanta Thomas Rioux masked Thomas Rioux 919 Hidden Ridge Irving, TX 75038 469-282-0251 masked Interface Developer II CHRISTUS St. Michaels Hospital - Atlanta 1007 South William Street Atlanta, TX 75551 (903) 799-3000 thomas.rioux@christushealth.org http://www.christusstmichael.org/atlanta Provider Int 3 Complete 2013/03/21 12:00:00 2013/03/22 12:00:00 2013/03/22 11:17:43 UV 2.16.840.1.113883.3.2960 rce CHRISTUS Santa Rosa Creekside Thomas Rioux masked Thomas Rioux (469) 282-0251 masked CHRISTUS Santa Rosa Creekside 244 Creekside Crossing New Braunfels, TX 78130 (830) 606-9111 thomas.rioux@christushealth.org http://www.christussantarosa.org Provider Int 3 Complete 2013/03/21 12:00:00 2013/03/22 12:00:00 2013/03/22 11:19:00 UV 2.16.840.1.113883.3.2961 hin HealthInfoNet Todd Rogow masked Todd Rogow 125 Presumpscot Street, Box 8 Portland, ME 04103 207-541-9250 masked Director of IT HealthInfonet 125 Presumpscot Street, Box 8 Portland, ME 04103 207-541-9250 info@hinfonet.org http://www.hinfonet.org/ Exchange Int 3 Complete 2013/03/21 12:00:00 2013/03/22 12:00:00 2013/03/22 11:20:59 UV 2.16.840.1.113883.3.2962 rae CHRISTUS Santa Rosa ALON Thomas Rioux masked Thomas Rioux 469-282-0251 masked CHRISTUS Santa Rosa ALON 11503 Northwest Military Highway Suite 122 San Antonio, TX 78231 (210) 704-2011 thomas.rioux@christushealth.org http://www.christussantarosa.org Provider Int 3 Complete 2013/03/21 12:00:00 2013/03/22 12:00:00 2013/03/22 11:22:09 UV 2.16.840.1.113883.3.2963 fmhosp Fairfield Memorial Hospital Donnie Doherty masked Donnie Doherty 102 US Hwy 321 By-Pass North Winnsboro, SC 29180 803-635-0221 masked IT Director Fairfield Memorial Hospital 102 US Hwy 321 By-Pass North Winnsboro, SC 29180 803-635-0200 donnied@fairfieldmemorial.com Provider Int 3 Complete 2013/03/21 12:00:00 2013/03/22 12:00:00 2013/03/22 11:24:23 UV 2.16.840.1.113883.4.627 agmc Adena Greenfield Medical Center Tom Douglas masked Maria Crabtree Tom Douglas 550 Mirabeau Street, Greeenfield OH 45123 740-779-7454 masked Manager, Enterprise Applications Adena Health System 272v Hospital Road, Chillicothe OH 45601 740-779-7500 tdouglas@adena.org https://mail.adena.org Provider 2.16.840.1.113883.3.1243 Int 4 Complete 2013/03/21 12:00:00 2015/06/25 12:00:00 2015/06/25 06:42:13 UV 2.16.840.1.113883.4.628 apmc Adena Pike Medical Center Tom Douglas masked Maria Crabtree Tom Douglas 272 Hospital Road, Chillicothe OH 45601 740-779-7454 masked Manager, Enterprise Applications Adena Health System 272 Hospital Road, Chillicothe OH 45601 740-779-7500 tdouglas@adena.org https://mail.adena.org Provider 2.16.840.1.113883.3.1243 Int 4 Complete 2013/03/21 12:00:00 2015/06/25 12:00:00 2015/06/25 06:44:26 UV 2.16.840.1.113883.3.1070.5190 mckesson-fusion-5190 mckesson-fusion-5190 Johnny Moore masked Johnny Moore 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5190 2013/03/21 12:00:00 2013/03/23 12:00:00 2013/03/23 12:00:08 US 2.16.840.1.113883.3.2964 therapeutic-equivalence-codes Therapeutic Equivalence Codes William Hess masked William Hess Food and Drug Administration 10903 New Hampshire Ave WO32-Room 4152 Silver Spring MD 20993-0002 3017968494 masked Pharmacist Food and Drug Administration Food and Drug Administration 10903 New Hampshire Ave Silver Spring MD 20993-0002 3017968494 william.hess@fda.hhs.gov http://www.fda.gov Govt body 2.16.840.1.113883.3.24 Int 3 3 Complete 2013/03/22 12:00:00 2013/03/22 12:00:00 2013/03/23 12:02:16 UV 2.16.840.1.113883.3.2965 drug-concept-codes Drug Concept Codes William Hess masked William Hess Food and Drug Administration 10903 New Hampshire Ave WO32-Room 4152 Silver Spring MD 20993-0002 3017968494 masked Pharmacist Food and Drug Administration Food and Drug Administration 10903 New Hampshire Ave Silver Spring MD 20993-0002 3017968494 william.hess@fda.hhs.gov http://www.fda.gov Govt body 2.16.840.1.113883.3.24 Int 3 3 Complete 2013/03/22 12:00:00 2013/03/22 12:00:00 2013/03/23 12:03:11 UV 2.16.840.1.113883.3.2966 optum Optum Steven Porteus masked Jennifer Dalton 1301 Atwood Avenue Suite 311N Johnston, Rhode Island 02919 401-248-2769 masked Director, Optum Data Exchange (ODX) Optum Enterprise Product Management jenn.dalton@optum.com http://www.optum.com/ Vendor Int 3 Complete 2013/03/22 12:00:00 2013/03/22 12:00:00 2020/03/23 01:10:42 UV 2.16.840.1.113883.3.2967 oH-ACSHB Akron Children's Hospital - Beeghly Campus Jesse Kister masked Bill Storm Jesse Kister 415.848.1391 masked BioSense Analyst Ohio Department of Health Ohio Department of Health 246 N. High St, 6th Fl, 35 Bldg. Columbus, OH 43215 614-728-3343 William.Storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/22 12:00:00 2013/03/22 12:00:00 2013/03/23 12:06:48 UV 2.16.840.1.113883.3.2968 srs-literature-reference-identifier SRS Literature Reference Identifier William Hess masked William Hess Food and Drug Administration 10903 New Hampshire Ave WO32-Room 4152 Silver Spring MD 20993-0002 3017968494 masked Pharmacist Food and Drug Administration Food and Drug Administration 10903 New Hampshire Ave Silver Spring MD 20993-0002 3017968494 william.hess@fda.hhs.gov http://www.fda.gov Govt body 2.16.840.1.113883.3.24 Int 3 3 Complete 2013/03/22 12:00:00 2013/03/22 12:00:00 2013/03/23 12:08:09 UV 2.16.840.1.113883.3.1070.5210 mckesson-fusion-5210 mckesson-fusion-5210 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5210 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 09:28:53 US 2.16.840.1.113883.3.1070.5209 mckesson-fusion-5209 mckesson-fusion-5209 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5209 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 09:33:55 US 2.16.840.1.113883.3.2969 oH-ACSHH Akron Children's Hospital - Hudson Campus Jesse Kister masked Bill Storm Jesse Kister 415.848.1391 masked Ohio Department of Health Ohio Department of Health 246 N. High St, 6th Fl, 35 Bldg. Columbus, OH 43215 614-728-3343 William.Storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 09:40:20 UV 2.16.840.1.113883.3.2970 oH-ACSH Akron Children's Hospital - Main Campus Jesse Kister masked Bill Storm Jesse Kister 415.848.1391 masked BioSense Analyst Ohio Department of Health Ohio Department of Health 246 N. High St, 6th Fl, 35 Bldg. Columbus, OH 43215 614-728-3343 William.Storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 10:05:15 UV 2.16.840.1.113883.3.2971 oH-AGMCN Akron General Health & Wellness Center - North Jesse Kister masked Bill Storm Jesse Kister 415.848.1391 masked BioSense Analyst Ohio Department of Health Ohio Department of Health 246 N. High St, 6th Fl, 35 Bldg. Columbus, OH 43215 614-728-3343 William.Storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 10:06:20 UV 2.16.840.1.113883.3.2972 oH-AGMCS Akron General Health & Wellness Center - South Jesse Kister masked Bill Storm Jesse Kister 415.848.1391 masked BioSense Analyst Ohio Department of Health Ohio Department of Health 246 N. High St, 6th Fl, 35 Bldg. Columbus, OH 43215 614-728-3343 William.Storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 10:10:13 UV 2.16.840.1.113883.3.2973 oH-AGMCW Akron General Health & Wellness Center - West Jesse Kister masked Bill Storm Jesse Kister 415.848.1391 masked BioSense Analyst Ohio Department of Health Ohio Department of Health 246 N. High St, 6th Fl, 35 Bldg. Columbus, OH 43215 614-728-3343 William.Storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 10:11:58 UV 2.16.840.1.113883.3.2974 oH-AHC Aultman Carrollton Jesse Kister masked Bill Storm Jesse Kister 415.848.1391 masked BioSense Analyst Ohio Department of Health Ohio Department of Health 246 N. High St, 6th Fl, 35 Bldg. Columbus, OH 43215 614-728-3343 William.Storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 10:20:57 UV 2.16.840.1.113883.3.2975 oH-AHN Aultman North Jesse Kister masked Bill Storm Jesse Kister 415.848.1391 masked BioSense Analyst Ohio Department of Health Ohio Department of Health 246 N. High St, 6th Fl, 35 Bldg. Columbus, OH 43215 614-728-3343 William.Storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 10:22:06 UV 2.16.840.1.113883.3.2976 oH-AHW Aultman West Jesse Kister masked Bill Storm Jesse Kister 415.848.1391 masked BioSense Analyst Ohio Department of Health Ohio Department of Health 246 N. High St, 6th Fl, 35 Bldg. Columbus, OH 43215 614-728-3343 William.Storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 10:23:31 UV 2.16.840.1.113883.3.2977 oH-BICCH Brunswick Immediate Care Center Jesse Kister masked Bill Storm Jesse Kister 415.848.1391 masked BioSense Analyst Ohio Department of Health Ohio Department of Health 246 N. High St, 6th Fl, 35 Bldg. Columbus, OH 43215 614-728-3343 William.Storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 10:24:38 UV 2.16.840.1.113883.3.2978 oH-DACC Delphos Ambulatory Care Center Jesse Kister masked Bill Storm Jesse Kister 415.848.1391 masked BioSense Analyst Ohio Department of Health Ohio Department of Health 246 N. High St, 6th Fl, 35 Bldg. Columbus, OH 43215 614-728-3343 William.Storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 10:33:29 UV 2.16.840.1.113883.3.2979 oH-FHH Fort Hamilton Hospital Jesse Kister masked Bill Storm Jesse Kister 415.848.1391 masked BioSense Analyst Ohio Department of Health Ohio Department of Health 246 N. High St, 6th Fl, 35 Bldg. Columbus, OH 43215 614-728-3343 William.Storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 10:35:15 UV 2.16.840.1.113883.3.2980 oH-GMHS Greene Memorial Hosp Inc Jesse Kister masked Bill Storm Jesse Kister 415.848.1391 masked BioSense Analyst Ohio Department of Health Ohio Department of Health 246 N. High St, 6th Fl, 35 Bldg. Columbus, OH 43215 614-728-3343 William.Storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 10:46:42 UV 2.16.840.1.113883.3.2981 oH-KMHHH Huber Heights Urgent Care Jesse Kister masked Bill Storm Jesse Kister 415.848.1391 masked BioSense Analyst Ohio Department of Health Ohio Department of Health 246 N. High St, 6th Fl, 35 Bldg. Columbus, OH 43215 614-728-3343 William.Storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 10:57:27 UV 2.16.840.1.113883.3.2982 oH-HBMHJ Jewish Hospital Jesse Kister masked Bill Storm Jesse Kister 415.848.1391 masked BioSense Analyst Ohio Department of Health Ohio Department of Health 246 N. High St, 6th Fl, 35 Bldg. Columbus, OH 43215 614-728-3343 William.Storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 11:03:53 UV 2.16.840.1.113883.3.2983 oH-JTDMH Joint Township District Memorial Hospital Jesse Kister masked Bill Storm Jesse Kister 415.848.1391 masked BioSense Analyst Ohio Department of Health Ohio Department of Health 246 N. High St, 6th Fl, 35 Bldg. Columbus, OH 43215 614-728-3343 William.Storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 11:07:02 UV 2.16.840.1.113883.3.2984 oH-MLHS Lake Health Madison Campus Jesse Kister masked Bill Storm Jesse Kister 415.848.1391 masked BioSense Analyst Ohio Department of Health Ohio Department of Health 246 N. High St, 6th Fl, 35 Bldg. Columbus, OH 43215 614-728-3343 William.Storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 11:24:27 UV 2.16.840.1.113883.3.2985 oH-LIMH Lima Memorial Hospital Rita Sembajwe masked Bill Storm Rita Sembajwe 770-407-4910 masked Ohio Department of Health Ohio Department of Health 246 North High Street, 6th Floor, 5th Building Columbus, OH. 43215 614-728-3343 william.storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 11:31:12 UV 2.16.840.1.113883.3.2986 oH-MEDIH Medina General Hospital Rita Sembajwe masked Bill Storm Rita Sembajwe 770-407-4910 masked Ohio Department of Health Ohio Department of Health 246 North High Street, 6th Floor, 5th Building Columbus, OH. 43215 614-728-3343 rsembajwe@rti.org Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 12:12:53 UV 2.16.840.1.113883.3.2987 oH-MCCH Mercer County Community Hospital Rita Sembajwe masked Bill Storm Rita Sembajwe 770-407-4910 masked Ohio Department of Health Ohio Department of Health 246 North High Street, 6th Floor, 5th Building Columbus, OH. 43215 614-728-3343 william.storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 12:17:15 UV 2.16.840.1.113883.3.2988 oH-MHCCC Mercy Health Center - Carroll County Rita Sembajwe masked Bill Storm Rita Sembajwe 770-407-4910 masked Ohio Department of Health Ohio Department of Health 246 North High Street, 6th Floor, 5th Building Columbus, OH. 43215 614-728-3343 William.storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 12:18:54 UV 2.16.840.1.113883.3.2989 oH-MHCJ Mercy Health Center - Jackson Rita Sembajwe masked Bill Storm Rita Sembajwe 770-407-4910 masked Ohio Department of Health Ohio Department of Health 246 North High Street, 6th Floor, 5th Building Columbus, OH. 43215 614-728-3343 William.storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 12:22:13 UV 2.16.840.1.113883.3.2990 oH-MHCNC Mercy Health Center - North Canton Rita Sembajwe masked Bill Storm Rita Sembajwe 770-407-4910 masked Ohio Department of Health Ohio Department of Health 246 North High Street, 6th Floor, 5th Building Columbus, OH. 43215 614-728-3343 William.storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 12:26:45 UV 2.16.840.1.113883.3.2991 oH-MHCP Mercy Health Center - Plain Rita Sembajwe masked Bill Storm Rita Sembajwe 770-407-4910 masked Ohio Department of Health Ohio Department of Health 246 North High Street, 6th Floor, 5th Building Columbus, OH. 43215 614-728-3343 William.storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 12:33:15 UV 2.16.840.1.113883.3.2992 oH-MHCTC Mercy Health Center - Tuscarawas County Rita Sembajwe masked Bill Storm Rita Sembajwe 770-407-4910 masked Ohio Department of Health Ohio Department of Health 246 North High Street, 6th Floor, 5th Building Columbus, OH. 43215 614-728-3343 William.storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 12:35:21 UV 2.16.840.1.113883.3.2993 oH-PCAC Putnam County Ambulatory Care Center Rita Sembajwe masked Bill Storm Rita Sembajwe 770-407-4910 masked Ohio Department of Health Ohio Department of Health 246 North High Street, 6th Floor, 5th Building Columbus, OH 43215 614-728-3343 William.storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 12:37:40 UV 2.16.840.1.113883.3.2994 oH-RJHC Richard E. Jacobs Health Center Rita Sembajwe masked Bill Storm Rita Sembajwe 770-407-4910 masked Ohio Department of Health Ohio Department of Health 246 North High Street, 6th Floor, 5th Building Columbus, OH 43215 614-728-3343 William.storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 12:39:07 UV 2.16.840.1.113883.3.2995 oH-SOMCPUC SOMC Portsmouth Urgent Care Center Rita Sembajwe masked Bill Storm Rita Sembajwe 770-407-4910 masked Ohio Department of Health Ohio Department of Health 246 North High Street, 6th Floor, 5th Building Columbus, OH. 43215 614-728-3343 William.storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 12:42:00 UV 2.16.840.1.113883.3.2996 oH-SOMCW SOMC Waverly Urgent Care Center Rita Sembajwe masked Bill Storm Rita Sembajwe 770-407-4910 masked Ohio Department of Health Ohio Department of Health 246 North High Street, 6th Floor, 5th Building Columbus, OH. 43215 614-728-3343 William.storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 12:43:00 UV 2.16.840.1.113883.3.2997 oH-SOMCWUC SOMC Wheelersburgh Urgent Care Center Rita Sembajwe masked Bill Storm Rita Sembajwe 770-407-4910 masked Ohio Department of Health Ohio Department of Health 246 North High Street, 6th Floor, 5th Building Columbus, OH. 43215 614-728-3343 William.storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 12:45:28 UV 2.16.840.1.113883.3.2998 oH-TFH Twinsburg Family Health and Surgery Center Rita Sembajwe masked Bill Storm Rita Sembajwe 770-407-4910 masked Ohio Department of Health Ohio Department of Health 246 North High Street, 6th Floor, 5th Building Columbus, OH. 43215 614-728-3343 William.storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 12:47:14 UV 2.16.840.1.113883.3.2999 oH-WUC Wapakoneta Urgent Care Rita Sembajwe masked Bill Storm Rita Sembajwe 770-407-4910 masked Ohio Department of Health Ohio Department of Health 246 North High Street, 6th Floor, 5th Building Columbus, OH. 43215 614-728-3343 William.storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 12:48:55 UV 2.16.840.1.113883.3.3000 oH-WCH Wooster Community Hospital Rita Sembajwe masked Bill Storm Rita Sembajwe 770-407-4910 masked Ohio Department of Health Ohio Department of Health 246 North High Street, 6th Floor, 5th Building Columbus, OH. 43215 614-728-3343 William.storm@odh.ohio.gov Exchange Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 12:51:45 UV 2.16.840.1.113883.3.3001 agwOnePartnerHIEOpenEMPIDatabase Advanced Gynecology & Wellness One Partner HIE Open EMPI Database Marty Smith masked Marty Smith 423-587-2000 masked Software Dev II Advanced Gynecology & Wellness marty@lucentglow.com http://www.askembrace.com/ Provider Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 12:52:54 UV 2.16.840.1.113883.3.3002 bch-ia Boone County Hospital Matt Sabus masked BCH IT 1015 Union Street Boone, IA 50036 515-433-8888 masked IT Administrator Boone County Hospital 1015 Union Street Boone, IA 50036 515-432-3140 itadmin@bchmail.org http://www.boonehospital.com/ Provider Int 3 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2023/06/26 02:30:14 UV 2.16.840.1.113883.3.3003 pvc008086 Pearle Vision of Alton, P.C. William Wright masked William Kevin Wright 2865 Homer Adams Parkway Alton, IL 62002 6184651654 masked Optometrist WKW Enterprises, PC 2865 Homer Adams Parkway Alton, IL 62002 6184651654 wkevinw76@gmail.com http://www.pearlevision.com Provider Int 3 Complete 2013/03/25 12:00:00 2013/03/27 12:00:00 2013/03/27 01:02:16 UV 2.16.840.1.113883.3.3004 rvo Rainier Valley Optometric, Inc Wilbur Susilasate masked Wilbur Susilasate, OD 7101 Martin Luther King Jr Way S Ste 209 Seattle, WA 98118 206-722-2218 masked Rainier Valley Optometric, Inc 7101 Martin Luther King Jr Way S Ste 209 Seattle, WA 98118 206-722-2218 eyes@rainiervalleyoptometric.com Provider Int 3 Complete 2013/03/26 12:00:00 2013/03/27 12:00:00 2013/03/27 01:03:46 UV 2.16.840.1.113883.3.3005 webSolutions Web Solutions Bruce Willis masked Bruce Willis (323) 924-1079 masked Software Developer WebSolutions 1077 E Colorado Blvd., Suite 600 Pasadena, CA 91106-2327 (323) 924-1079 testingaim@hotmail.com https://www.yahoo.com Vendor Int 3 3 Complete 2013/03/26 12:00:00 2013/03/27 12:00:00 2013/03/27 01:07:26 US 2.16.840.1.113883.3.3006 webesolutions Webesolutions Roberto Benigni masked Roberto 1088 E Colorado Blvd., Suite 880 Pasadena, CA 91106-2311 (323) 924-1079 masked Software Architect Webe Solutions 67545 E Colorado Blvd., Suite 880 Pasadena, CA 91106-2311 (323) 924-1079 testingaim@hotmail.com https://www.yahoo.com Vendor Int 3 Complete 2013/03/26 12:00:00 2013/03/27 12:00:00 2013/03/27 01:12:59 UV 2.16.840.1.113883.3.3007 bmsioid Bogardus Medical Systems, Inc. OID Sean Baker masked Mr. Jamie Stiegelmeyer 3555 NW 58th St. Suite 500 Oklahoma City, OK 73112 405-917-0500 masked Director of Technical Operations Bogardus Medical Systems, Inc. 3555 NW 58th St. Suite 500 Oklahoma City, OK 73112 405-917-0500 rep@oncochart.com http://www.oncochart.com/ Provider Int 3 Complete 2013/03/26 12:00:00 2013/03/27 12:00:00 2013/03/27 01:14:11 UV 2.16.840.1.113883.3.1070.5217 mckesson-fusion-5217 mckesson-fusion-5217 Patricia Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5217 2013/03/26 12:00:00 2013/03/27 12:00:00 2013/03/27 01:17:09 US 2.16.840.1.113883.3.1070.5199 mckesson-fusion-5199 mckesson-fusion-5199 Randy Deitsch masked Fusion Enrollment 8775074541 masked Fusion Enrollment randy.deitsch@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5199 2013/03/26 12:00:00 2013/03/27 12:00:00 2013/03/27 09:31:03 US 2.16.840.1.113883.3.3008 jhu-cbllc JohnsHopkinsUniversityClinicalBillingLLC Eunme Cha masked Zhaozhou Zhang Eunme Cha 2024 E. Monument St. Suite B-901 Baltimore, MD 21205 410-550-6721 masked Security Officer Zhaozhou Zhang 2024 E. Monument St. Suite 2-723 Baltimore, MD 21205 410-502-4594 zzhang55@jhmi.edu Academic Int 3 Complete 2013/03/26 12:00:00 2013/02/27 12:00:00 2013/03/27 01:19:56 UV 2.16.840.1.113883.4.629 curp Clave &#218;nica de Registro de Poblaci&#243;n Efrain Cruz Jim&#233;nez masked Adrian Pacheco L&#243;pez Efrain Cruz Jim&#233;nez Av. paseo de la Reforma No. 450 piso 11, Col. Ju&#225;rez, Delegaci&#243;n Cuauht&#233;moc, C.P. 06600. 2000 3400 Ext. 52575 masked Subdirector de Procesos Electr&#243;nicos en Salud Direcci&#243;n General de Informaci&#243;n en Salud Av. paseo de la Reforma No. 450 piso 11, Col. Ju&#225;rez, Delegaci&#243;n Cuauht&#233;moc, C.P. 06600. 55145238 dgis@salud.gob.mx http://www.dgis.salud.gob.mx Govt body 2.16.840.1.113883.3.215 Int 4 Complete 2013/03/27 12:00:00 2013/03/28 12:00:00 2013/03/28 12:32:30 UV 2.16.840.1.113883.4.630 rfc Registro Federal de Contribuyentes. Efrain Cruz Jim&#233;nez masked Adrian Pacheco L&#243;pez Efrain Cruz Jim&#233;nez Av. Paseo de la Reforma No. 450 piso 11 Colonia Ju&#225;rez Delegaci&#243;n Cuauht&#233;moc, M&#233;xico D.F. C.P. 06600. 2000 3400 Ext. 52575 masked Subdirector de Procesos Electr&#243;nicos en Salud Direcci&#243;n General de Informaci&#243;n en Salud Av. Paseo de la Reforma No. 450 piso 11 Colonia Ju&#225;rez Delegaci&#243;n Cuauht&#233;moc, M&#233;xico D.F. C.P. 06600. 55145238 dgis@salud.gob.mx http://www.dgis.salud.gob.mx Govt body 2.16.840.1.113883.3.215 Int 4 Complete 2013/03/27 12:00:00 2013/03/28 12:00:00 2013/03/28 12:43:25 UV 2.16.840.1.113883.3.3009 deborah-root Deborah Heart and Lung Center Root Gerard Williams masked Richard Temple 200 Trenton Road Browns Mills, NJ 08015 609.893.1200 x5702 masked CIO Deborah Heart and Lung Center 200 Trenton Road Browns Mills, NJ 08015 609-893-1200 x5702 templer@deborah.org https://demanddeborah.org/ Provider Int 15 3 Complete 2013/03/27 12:00:00 2013/03/27 12:00:00 2019/08/22 03:33:29 UV 2.16.840.1.113883.4.631 clues Clave &#218;nica de Establecimientos de Salud Efrain Cruz Jim&#233;nez masked Adrian Pacheco L&#243;pez Efrain Cruz Jim&#233;nez Av. Paseo de la Reforma No. 450 piso 11 Colonia Ju&#225;rez Delegaci&#243;n Cuauht&#233;moc, M&#233;xico D.F. C.P. 06600. 2000 3400 Ext. 52575 masked Subdirector de Procesos Electr&#243;nicos en Salud Direcci&#243;n General de Informaci&#243;n en Salud Av. Paseo de la Reforma No. 450 piso 11 Colonia Ju&#225;rez Delegaci&#243;n Cuauht&#233;moc, M&#233;xico D.F. C.P. 06600. dgis@salud.gob.mx http://www.dgis.salud.gob.mx Govt body 2.16.840.1.113883.3.215 Int 4 Complete 2013/03/27 12:00:00 2013/03/28 12:00:00 2013/03/28 12:45:37 UV 2.16.840.1.113883.3.215.3.1 giis Gu&#237;as de Intercambio de Informaci&#243;n en Salud Efrain Cruz Jim&#233;nez masked Adrian Pacheco L&#243;pez Efrain Cruz Jim&#233;nez Av. Paseo de la Reforma No. 450 piso 11 Colonia Ju&#225;rez Delegaci&#243;n Cuauht&#233;moc, M&#233;xico D.F. C.P. 06600. 2000 3400 Ext. 52575 masked Subdirector de Procesos Electr&#243;nicos en Salud Direcci&#243;n General de Informaci&#243;n en Salud Av. Paseo de la Reforma No. 450 piso 11 Colonia Ju&#225;rez Delegaci&#243;n Cuauht&#233;moc, M&#233;xico D.F. C.P. 06600. 55145238 dgis@salud.gob.mx http://www.dgis.salud.gob.mx Govt body 2.16.840.1.113883.3.215 Ext 14 Complete 2.16.840.1.113883.3.215.3.1 2013/03/27 12:00:00 2013/03/28 12:00:00 2013/03/28 12:51:41 UV 2.16.840.1.113883.3.3011 ohca Oklahoma Health Care Authority Melanie Lawrence masked Adolph Maren Melanie Lawrence Oklahoma Health Care Authority 2401 NW 23rd St Suite 1A Oklahoma City, OK 73107 405-522-7283 masked HIT I.S. Manager Oklahoma Health Care Authority Oklahoma Health Care Authority 2401 NW 23rd St Suite 1A Oklahoma City, OK 73107 405-522-7300 ElectronicHealthOperations@okhca.org http://www.okhca.org Govt body Int 3 Complete 2013/03/28 12:00:00 2013/03/28 12:00:00 2013/03/28 12:54:40 UV 2.16.840.1.113883.2.40 hl7CzechRepublic HL7 Czech Republic OID Root Ted Klein masked Libor Seidl Libor Seidl HL7 Czech Republic Terezinska 702/7 Prague 9 190 00 Europe +420.605740492 masked Affiliate Chair Libor Seidl HL7 Czech Republic Terezinska 702/7 Prague 9 190 00 Europe +420.605740492 seidl@hl7cr.eu http://www.hl7cr.eu HL7 body 2.16.840.1.113883 Int 2 Complete 2013/03/28 12:00:00 2013/03/28 12:00:00 2013/03/28 09:55:54 UV 2.16.840.1.113883.2.41 hl7HK HL7 Hong Kong OID root Ted Klein masked Chung Ping Ho Chung Ping Ho 3488-3762 masked Affiliate Chair HL7 Hong Kong Secretariat 27th Fl, 9 Wing Hong St Cheung Sha Wan, Kowloon Hong Kong 3488-3762 chair@HL7.org.hk HL7 body 2.16.840.1.113883 Int 2 Complete 2013/03/28 12:00:00 2013/03/28 12:00:00 2013/03/28 11:45:00 HK 2.16.840.1.113883.2.42 hl7Norway HL7 Norway OID Root Ted Klein masked Terje Halvorsen Terje Halvorsen 97008186 masked HL7 Norway Postboks 2356, Solli Oslo 201 Norway 97008186 th@vali.no HL7 body 2.16.840.1.113883 Int 2 Complete 2013/03/28 12:00:00 2013/03/28 12:00:00 2013/03/28 11:42:53 NO 2.16.840.1.113883.2.43 hl7PR HL7 Puerto Rico OID Root Ted Klein masked Julio Cajigas Julio Cajigas none masked Affiliate Chair HL7 Puerto Rico 159 Chardon Ave. New San Juan Building Hato Rey, PR 919 Puerto Rico julio@medirecpr.com HL7 body 2.16.840.1.113883 Int 2 Complete 2013/03/28 12:00:00 2013/03/28 12:00:00 2013/03/28 11:49:06 PR 2.16.840.1.113883.3.1070.5145 mckesson-fusion-5145 mckesson-fusion-5145 Johnny Moore masked Johnny Moore 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5145 2013/03/28 12:00:00 2013/03/28 12:00:00 2013/03/28 08:17:34 UV 2.16.840.1.113883.3.1871.3.198 sapopulm SAPO Pulmonology Rodney Rice masked Rodney Rice 314 951 5631 masked Interface Analyst Rodney Rice 7980 Clayton Rd 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 14 14 Complete 2.16.840.1.113883.3.1871.3.198 2013/03/28 12:00:00 2013/03/28 12:00:00 2013/03/28 08:21:32 UV 2.16.840.1.113883.3.3012 uh University Hospitals Julia Simms masked Julia Simms 3605 Warrensville Center Rd Shaker Heights, OH 44122-5203 2167678066 masked Project Manager University Hospitals arossbach@ohiponline.org http://clinisync.org Exchange Int 3 Complete 2013/03/29 12:00:00 2013/03/31 12:00:00 2013/03/31 11:21:22 UV 2.16.840.1.113883.3.1070.5202 mckesson-fusion-5202 mckesson-fusion-5202 Johnny Moore masked Johnny moore 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5202 2013/03/29 12:00:00 2013/03/31 12:00:00 2013/03/31 11:29:00 US 2.16.840.1.113883.3.1070.5203 mckesson-fusion-5203 mckesson-fusion-5203 Johnny Moore masked Johnny Moore 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5203 2013/03/29 12:00:00 2013/03/31 12:00:00 2013/03/31 11:30:18 UV 2.16.840.1.113883.3.3013 scc SCC Soft Computer Root OID Gilbert Hakim masked Gilbert Hakim 5400 Tech Data Drive Clearwater, FL 33760 727-789-0100 masked CEO SCC Soft Computer 5400 Tech Data Drive Clearwater, FL 33760 727-789-0100 sales@softcomputer.com http://www.softcomputer.com Vendor Int 3 Complete 2013/03/29 12:00:00 2013/03/31 12:00:00 2013/03/31 11:33:00 UV 2.16.840.1.113883.3.3014 applinghealthcare Appling Healthcare - Appling Hospital Gary Gower masked Appling Healthcare System 163 E Tollison Street Baxley, GA 31513 912-366-6010 masked Director, IT Appling Healthcare System 163 E Tollison Street Baxley, GA 31513 912-367-9841 gowerg@appling-hospital.org http://www.appling-hospital.org Provider Int 3 Complete 2013/03/29 12:00:00 2013/03/31 12:00:00 2013/03/31 11:34:16 UV 2.16.840.1.113883.4.632 sTokoe Usha Stokoe MD Michael Oakes masked Michael Oakes 401-654-4000 masked Usha Stokoe 200 TollGate Rd Suite 204 Warwick, RI 02886 401-732-8081 steven-callahan@hotmail.com Provider Int 3 3 Complete 2013/03/29 12:00:00 2013/03/31 12:00:00 2013/03/31 11:56:28 UV 2.16.840.1.113883.3.3015 ebcap East Bay Community Action Program Fil Rego masked Fil Rego 19 Broadway Newport RI 02840 401.324.6644 masked CIO East Bay Community Action Program 19 Broadway Newport RI 02840 401.324.6644 frego@ebcap.org http://ebcap.org Provider Int 3 3 Complete 2013/03/29 12:00:00 2013/03/31 12:00:00 2013/03/31 11:45:28 US 2.16.840.1.113883.3.3016 sRDHS St. Rose Dominican Hospital - Siena Campus Linda Barrie masked Linda Barrie (818) 885-3509 masked St. Rose Dominican Hospital - Siena Campus 3001 Saint Rose Parkway Henderson, NV 89052 (702) 616-5000 lbarrie@chw.edu https://www.strosehospitals.org Provider Int 3 Complete 2013/03/29 12:00:00 2013/03/31 12:00:00 2013/03/31 11:47:55 UV 2.16.840.1.113883.3.3017 sEQ Sequoia Hospital Linda Barrie masked Linda Barrie (818) 885-3509 masked Sequoia Hospital 170 Alameda de las Pulgas Redwood City, CA 94062 (650) 369-5811 linda.barrie@dignityhealth.org http://www.sequoiahospital.org Provider Int 3 Complete 2013/03/29 12:00:00 2013/03/31 12:00:00 2013/03/31 11:49:05 UV 2.16.840.1.113883.3.1070.5213 mckesson-fusion-5213 mckesson-fusion-5213 Randy Deitsch masked Fusion Enrollment 8775074541 masked Fusion Enrollment randy.deitsch@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5213 2013/04/01 12:00:00 2013/04/08 12:00:00 2013/04/08 10:00:03 US 2.16.840.1.113883.3.1070.5214 mckesson-fusion-5214 mckesson-fusion-5214 Randy Deitsch masked Fusion Enrollment 8775074541 masked Fusion Enrollment randy.deitsch@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5214 2013/04/01 12:00:00 2013/04/08 12:00:00 2013/04/08 10:02:15 US 2.16.840.1.113883.3.3018 medseekccdmid MEDSEEK OID Root Terry Grammer masked Terry Grammer 3000 Riverchase Galleria #1500 Hoover, AL 35244 205-989-5490 masked Technical Solutions Analyst MEDSEEK 3000 Riverchase Galleria #1500 Hoover, AL 35244 205-982-5800 terry.grammer@medseek.com http://www.medseek.com Vendor Int 3 Complete 2013/04/01 12:00:00 2013/04/08 12:00:00 2013/04/08 10:05:39 UV 2.16.840.1.113883.3.3019 umh-b United Methodist Homes Paul Almy masked Paul M. Almy Lackawanna train station 45 lewis street binghamton, ny 13901 (607) 651-9150 masked Deputy Director United Methodist Homes United Methodist Homes Corporate Office 10 Acre Place, Binghamton, NY 13904 (607) 775-6400 hmorgan@umhwc.org http://www.unitedmethodisthomes.org/ Provider Int 3 Complete 2013/04/01 12:00:00 2013/04/08 12:00:00 2013/04/08 10:08:00 UV 2.16.840.1.113883.3.3020 sti Park Avenue Associates in Radiology, PC Paul Almy masked Paul M. Almy Lackawanna train station 45 lewis street binghamton, ny 13901 (607)651-9150 masked Deputy Director Park Avenue Associates in Radiology, PC 32-26 Harrison Street Johnson City, NY 13790 (607) 729-1999 edwinjlis@aol.com http://www.stmri.com Provider Int 3 Complete 2013/04/01 12:00:00 2013/04/08 12:00:00 2013/04/08 10:16:56 UV 2.16.840.1.113883.3.3021 pinecreek PINE CREEK MEDICAL CENTER RAY LAKHANI masked RAY LAKHANI 9032 HARRY HINES BLVD. DALLAS, TX 75235 214-572-7129 masked IS MANAGER PINE CREEK MEDICAL CENTER 9032 HARRY HINES BLVD. DALLAS, TX 75235 214-231-2273 rlakhani@pinecreekmedicalcenter.com http://www.pinecreekmedicalcenter.com Provider Int 3 Complete 2013/04/02 12:00:00 2013/04/08 12:00:00 2013/04/08 10:18:55 UV 2.16.840.1.113883.3.1070.5211 mckesson-fusion-5211 mckesson-fusion-5211 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5211 2013/04/02 12:00:00 2013/04/08 12:00:00 2013/04/08 10:21:46 US 1.2.36.1.2001.1005.43 pbs-closing-the-gap-benefit PBS Closing the Gap Benefit Philip Wilford masked Department of Health and Ageing Philip Wilford Level 2, 10 Browning Street West End, Brisbane, 4101, QLD 07 3023 8450 masked Department of Health and Ageing GPO Box 9848 Canberra ACT 2601 support@nehta.gov.au http://www.nehta.gov.au Govt body Ext 17 17 Complete 1.2.36.1.2001.1005.43 2013/04/02 12:00:00 2013/04/08 12:00:00 2013/04/08 10:25:24 AU 1.2.36.1.2001.1005.44 racf-id RACF Id Philip Wilford masked Department of Health and Ageing Philip Wilford Level 2, 10 Browning Street West End, Brisbane, 4101, QLD 07 3023 8450 masked Department of Health and Ageing GPO Box 9848 Canberra ACT 2601 support@nehta.gov.au http://www.nehta.gov.au Govt body Ext 17 17 Complete 1.2.36.1.2001.1005.44 2013/04/02 12:00:00 2013/04/08 12:00:00 2013/04/08 10:45:36 AU 2.16.840.1.113883.3.1070.5167 mckesson-fusion-5167 mckesson-fusion-5167 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5167 2013/04/03 12:00:00 2013/04/08 12:00:00 2013/04/08 10:22:55 US 2.16.840.1.113883.13.236 brazilianHealthCardMaster-CNS CNS - Brazilian Health Card - Federal Site Gabriela Alves masked Ricardo Puttini Ricardo Puttini Universidade de Bras&#237;lia, Bras&#237;lia, DF, Brazil +55(61)81433907 masked Professor Minist&#233;rio da Sa&#250;de Minist&#233;rio da Sa&#250;de, Bras&#237;lia, DF, Brazil +55(61)33153320 julioc.araujo@saude.gov.br http://www.saude.gov.br Govt body Int 4 13 Complete 2013/04/03 12:00:00 2013/04/08 12:00:00 2014/07/16 08:45:41 BR 2.16.840.1.113883.13.237 brazilianTaxpayerID-CPF CPF - Taxpayer ID Number of Brazilian citizens Gabriela Alves masked Ricardo Puttini Ricardo Puttini Universidade de Bras&#237;lia, Bras&#237;lia, DF, Brazil +55(61)81433907 masked Professor Receita Federal Bras&#237;lia, DF, Brazil puttini@unb.br http://www.receita.fazenda.gov.br/ Govt body Int 4 13 Complete 2013/04/03 12:00:00 2013/04/08 12:00:00 2013/04/08 11:06:32 BR 2.16.840.1.113883.13.238 brazilianDriverLicense-CNH CNH - Brasilian Driver License Gabriela Alves masked Ricardo Puttini Ricardo Puttini Universidade de Bras&#237;lia, Bras&#237;lia, DF, Brazil +55(61)81433907 masked Professor DETRAN Brazil puttini@unb.br Govt body Int 4 13 Complete 2013/04/03 12:00:00 2013/04/08 12:00:00 2014/07/16 12:56:15 BR 2.16.840.1.113883.3.3022 rootAtlanticGeneralHospital Atlantic General Hospital - Root Registration Authority William Smith masked Barbara Riddell William C. Smith 9733 Healthway Drive Berlin, MD 21811 410-629-0913 masked Interface Analyst Atlantic General Hospital 9733 Healthway Drive Berlin, MD 21811 410-641-1100 mrecor@atlanticgeneral.org http://www.atlanticgeneral.org Provider Int 3 Complete 2013/04/03 12:00:00 2013/04/08 12:00:00 2014/07/23 02:19:39 UV 2.16.840.1.113883.13.239 brazilianVoterID-TituloDeEleitor Titulo de Eleitor - Voter ID Number of Brazilian Citizens Gabriela Alves masked Ricardo Puttini Ricardo Puttini Universidade de Bras&#237;lia, Bras&#237;lia, DF, Brazil +55(61)81433907 masked Professor Tribunal Superior Eleitoral Bras&#237;lia, DF, Brazil puttini@unb.br http://www.tse.jus.br/ Govt body Int 4 13 Complete 2013/04/03 12:00:00 2013/04/08 12:00:00 2014/07/16 12:50:07 BR 2.16.840.1.113883.13.240 brazilianSocialSecurityNumber-PIS-PASEP Pis/Pasep - Brazilian Social Security Number Gabriela Alves masked Ricardo Puttini Ricardo Puttini Universidade de Bras&#237;lia, Bras&#237;lia, DF, Brazil +55(61)81433907 masked Professor Caixa Econ&#244;mica Federal Bras&#237;lia, DF, Brazil puttini@unb.br http://www.caixa.gov.br/ Govt body Int 4 13 Complete 2013/04/03 12:00:00 2013/04/08 12:00:00 2013/04/08 11:43:39 BR 2.16.840.1.113883.13.241 brazilianCertificateType Brazilian Type of Certificate ( Birth, Death, Marriage, Divorce, Indigenous) Gabriela Alves masked Ricardo Puttini Ricardo Puttini Universidade de Bras&#237;lia, Bras&#237;lia, DF, Brazil +55(61)81433907 masked Professor Cart&#243;rio de Registro Civil Brazil puttini@unb.br Govt body Int 4 13 Complete 2013/04/03 12:00:00 2013/04/08 12:00:00 2014/07/17 09:14:13 BR 2.16.840.1.113883.3.3023 martinhs Martin Health System David Weiner masked David Weiner 200 SE Hospital Ave Stuart, FL 34994 772-223-5600 masked Martin Health System 200 SE Hospital Ave Stuart, FL 34994 772-223-5600 david.weiner@martinhealth.org http://www.mmhs.com/ Exchange Int 3 Complete 2013/04/03 12:00:00 2013/04/08 12:00:00 2013/04/08 11:34:57 UV 2.16.840.1.113883.13.242 brazilianLivebornDeclaration-DN DN - Brazilian Liveborn Declaration Gabriela Alves masked Ricardo Puttini Ricardo Puttini Universidade de Bras&#237;lia, Bras&#237;lia, DF, Brazil +55(61)81433907 masked Professor Hospital Brazil puttini@unb.br Prof Soc Int 4 13 Complete 2013/04/03 12:00:00 2013/04/08 12:00:00 2013/04/08 11:51:44 BR 2.16.840.1.113883.13.243 brazilianIDNumber-RG RG - Brazilian Regional ID Number Gabriela Alves masked Ricardo Puttini Ricardo Puttini Universidade de Bras&#237;lia, Bras&#237;lia, DF, Brazil +55(61)81433907 masked Secretaria de Seguran&#231;a P&#250;blica puttini@unb.br Govt body Int 4 13 Complete 2013/04/03 12:00:00 2013/04/08 12:00:00 2014/07/16 12:58:53 BR 2.16.840.1.113883.13.244 brazilianWorkerID-CTPS CTPS - Brazilian Worker ID Number Gabriela Alves masked Ricardo Puttini Ricardo Puttini Universidade de Bras&#237;lia, Bras&#237;lia, DF, Brazil +55(61)81433907 masked Professor Minist&#233;rio do Trabalho e Emprego Minist&#233;rio do Trabalho e Emprego, Bras&#237;lia, DF, Brazil puttini@unb.br http://www.mte.gov.br/ Govt body Int 4 13 Complete 2013/04/03 12:00:00 2013/04/08 12:00:00 2014/07/16 12:54:54 BR 2.16.840.1.113883.3.3024 ehrRunner ehrRunner Digital Health Platform Gabriela Alves masked Ricardo Puttini Ricardo Puttini +55(61)981433907 masked Professor Core Consulting ricardo.puttini@coreconsulting.com.br http://coreconsulting.com.br Vendor Int 3 Complete 2013/04/03 12:00:00 2013/04/08 12:00:00 2019/08/09 05:07:45 UV 2.16.840.1.113883.13.245 brazilianIDNamingAuthorities-OrgaosEmissoresRG Orgaos Emissores de RG - Brazilian ID Naming authorities Gabriela Alves masked Ricardo Puttini Ricardo Puttini Universidade de Bras&#237;lia, Bras&#237;lia, DF, Brazil +55(61)81433907 masked Professor Professional Oraganizations and Government Brazil puttini@unb.br Govt body Int 4 13 Complete 2013/04/03 12:00:00 2013/04/08 12:00:00 2013/04/08 12:03:50 BR 2.16.840.1.113883.3.1070.5193 mckesson-fusion-5193 mckesson-fusion-5193 Harry Callier masked Fusion Enrollment 877-507-4541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5193 2013/04/03 12:00:00 2013/04/08 12:00:00 2013/04/08 12:17:45 US 2.16.840.1.113883.3.3025 isi FGH sample OID Pratyush Raj masked Pratyush Raj 9886521094 masked Lead FGH #84 24th Main 6th Cross Bangalore, India 918042006101 pratyush2109@gmail.com Academic Int 3 Complete 2013/04/04 12:00:00 2013/04/08 12:00:00 2013/04/08 12:25:44 UV 2.16.840.1.113883.3.3026 beaumont-bhset-net Baptist Hospitals of Southeast Texas Beaumont Thomas Henderson masked William Toon 3080 College Street Beaumont, TX 77701 409-212-7624 masked CIO Baptist Hospitals of Southeast Texas Baptist Hospitals of Southeast Texas 3080 College Street Beaumont, TX 77701 409-212-5000 William.Toon@bhset.net http://www.bhset.net Provider Int 3 Complete 2013/04/04 12:00:00 2013/04/08 12:00:00 2013/04/08 12:36:52 UV 2.16.840.1.113883.3.3027 orange-bhset-net Baptist Hospitals of Southeast Texas Orange Thomas Henderson masked William Toon 3080 College Street Beaumont, Texas 77701 409-212-7624 masked CIO, Baptist Hospitals of Southeast Texas Baptist Hospitals of Southeast Texas 3080 College Street Beaumont, Texas 77701 409-212-5000 William.Toon@bhset.net http://www.bhset.net Provider Int 3 Complete 2013/04/04 12:00:00 2013/04/08 12:00:00 2013/04/08 12:38:35 UV 2.16.840.1.113883.3.3028 spectrum Spectrum Health Tawnya McKinzie masked Michael Dobb (616) 486-4000 masked Spectrum Health 100 Michigan Ave, N.E. (Mail Code 843) Grand Rapids, MI 49503 (616) 486-4000 michael.dobb@spectrumhealth.org Provider Int 3 Complete 2013/04/04 12:00:00 2013/04/08 12:00:00 2014/03/13 11:26:38 UV 2.16.840.1.113883.4.633 clinicalPathologyLab CLINICAL PATHOLOGY LABORATORY Frank Arienzo masked Frank Arienzo 512-498-2122 masked EMR Interface Manager SW Division Clinical Pathology Laboratory 9200 Wall Street Austin, TX 78754 800-595-1275 ITSUPPORT@CPLLABS.COM http://www.cpllabs.com/ Provider Int 3 Complete 2013/04/04 12:00:00 2013/04/08 12:00:00 2013/04/08 12:51:17 UV 2.16.840.1.113883.17.114 documentsourceoid HHP Greenway Document Source OID Janice Crawford masked Janice Crawford Hunterdon Healthcare 2100 Wescott Drive - 3rd floor Flemington NJ 08822 (908) 788-6502 masked Project Manager Hunterdon Healthcare Partners crawford.janice@hunterdonhealthcare.org http://www.hunterdonhealthcare.org Provider Int 17 Complete 2013/04/04 12:00:00 2013/04/08 12:00:00 2013/04/08 01:57:52 UV 2.16.840.1.113883.17.115 identitysourceoid HHP Greenway Identity Source OID Janice Crawford masked Janice Crawford Hunterdon Healthcare Partners 2100 Wescott Drive - 3rd floor Flemington NJ 08822 (908) 788-6502 masked Project Manager Hunterdon Healthcare Partners crawford.janice@hunterdonhealthcare.org http://www.hunterdonhealthcare.org Provider Int 17 Complete 2013/04/04 12:00:00 2013/04/08 12:00:00 2013/04/08 02:00:19 UV 2.16.840.1.113883.3.3029 hmh-pong Houston Methodist Hosptial Physician Organization NextGen Mike Smith masked Marsha Parks 2550 Holly Hall Street Houston, Texas 77054 8326675521 masked Integration Manager Houston Methodist Hospital System 6565 Fannin St Houston, TX 77030 7137903311 it-interfacesupportteam@houstonmethodist.org http://www.methodisthealth.com Provider Int 3 Complete 2013/04/04 12:00:00 2013/04/08 12:00:00 2014/06/04 05:39:06 UV 2.16.840.1.113883.3.3030 sse Seashore Eyecare Catherine Turlington masked Catherine Turlington PO Box 561 Exmore, VA 23350 757 442-5079 masked Catherine Turlington, OD PO Box 561 Exmore, VA 23350 7574425079 dr_c_love@hotmail.com Provider Int 3 Complete 2013/04/04 12:00:00 2013/04/08 12:00:00 2013/04/08 02:08:55 UV 2.16.840.1.113883.3.3031 drRhh Rene Hinojosa, MDPA Rene Hinojosa masked Rene Hinojosa 5501 S. McColl Rd. Edinburg, Texas 78539 9563623087 masked Project Manager RioONE r.hinojosa@dhr-rgv.com http://www.dhr-rgv.com/ Provider Int 3 3 Complete 2013/04/05 12:00:00 2013/04/08 12:00:00 2013/04/08 02:22:01 UV 2.16.840.1.113883.3.3032 theLazycompany theLazycompany Christopher Millet masked Chris Millet 3478788623 masked theLazycompany cmillet@thelazycompany.com http://thelazycompany.com/ Vendor Int 3 3 Complete 2013/04/05 12:00:00 2013/04/08 12:00:00 2013/04/08 02:31:24 UV 2.16.840.1.113883.3.3033 ce CareEverywhere PoJen Huang masked PoJen Huang 5089077791 masked Database Administrator CareEverywhere 9 Tech Circle Natick, MA 01760 5089077791 pojen.huang@careeverywhere.com http://www.careeverywhere.com/ Vendor Int 3 Complete 2013/04/07 12:00:00 2013/04/08 12:00:00 2013/04/08 02:33:45 UV 2.16.840.1.113883.3.3034 rootCAKRAGES KRAGES David Schwinger masked David Schwinger +43 676 8642 8476 masked Krages david.schwinger@t-systems.at Provider Int 3 Complete 2013/04/08 12:00:00 2013/04/08 12:00:00 2013/04/08 02:35:06 AT 2.16.840.1.113883.3.2629.175 chatham Chatham Hospital Bradley Cook masked Bradley Cook 919-843-5004 masked University of North Carolina Health Care System 101 Manning Drive Chapel Hill, NC 27514 bdcook@unch.unc.edu Academic 2.16.840.1.113883.3.2629 Ext 3 Complete 2.16.840.1.113883.3.2629.175 2013/04/08 12:00:00 2013/04/08 12:00:00 2013/04/08 03:09:46 UV 2.16.840.1.113883.3.1070.5212 mckesson-fusion-5212 mckesson-fusion-5212 Randy Deitsch masked Fusion Enrollment 8775074541 masked Fusion Enrollment randy.deitsch@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5212 2013/04/08 12:00:00 2013/04/08 12:00:00 2013/04/08 02:54:38 US 2.16.840.1.113883.3.2629.125 unch University of North Carolina Hospital Bradley Cook masked Bradley Cook 919-843-5004 masked University of North Carolina Health Care System 101 Manning Drive Chapel Hill, NC 27514 bdcook@unch.unc.edu Academic 2.16.840.1.113883.3.2629 Ext 3 Complete 2.16.840.1.113883.3.2629.125 2013/04/08 12:00:00 2013/04/08 12:00:00 2013/04/08 03:11:26 UV 2.16.840.1.113883.3.2629.150 rex Rex Hospital Bradley Cook masked Bradley Cook 919-843-5004 masked University of North Carolina Health Care System 101 Manning Drive Chapel Hill, NC 27514 bdcook@unch.unc.edu Academic 2.16.840.1.113883.3.2629 Ext 14 Complete 2.16.840.1.113883.3.2629.150 2013/04/08 12:00:00 2013/04/08 12:00:00 2013/04/08 03:06:04 UV 2.16.840.1.113883.3.3035 lancs-teach-hosp-FT Lancashire Teaching Hospitals NHS Foundation Trust Chris Lane masked Peter Aspinall Chris Lane Lancashire Teaching Hospitals NHS Foundation Trust Royal Preston Hospital Sharoe Green Lane Fulwood Preston Lancashire PR2 9HT UK +44 (0) 1772 524152 masked Project Manager Lancashire Teaching Hospitals NHS Foundation Trust Chorley and South Ribble Hospital Preston Road Chorley PR7 1PP Paul.Havey@LTHTR.nhs.uk http://www.lancsteachinghospitals.nhs.uk/ Provider Int 3 3 Complete 2013/04/08 12:00:00 2013/04/08 12:00:00 2013/04/08 02:43:48 UV 2.16.840.1.113883.3.3036 dpa Dr. Amanda Paull and Associates PLLC Amanda Paull masked Amanda Paull 4541 Village Park Dr E Williamsburg, VA 23185-2407 (804) 263-7845 masked Doctor Dr. Amanda Paull and Associates PLLC 4541 Village Park Dr E Williamsburg, VA 23185-2407 (804) 263-7845 amandacpaull@gmail.com http://www.EyeCareInHome.com Provider Int 3 Complete 2013/04/08 12:00:00 2013/04/08 12:00:00 2013/04/08 03:14:43 UV 2.16.840.1.113883.3.3037 avalonparkmed Avalon Park Family Medicine George Hudson masked AZZLY Debbie Holtgard 2770 Indian River Blvd Suite 308 Vero Beach, FL 32960 772-567-0206 masked EDI Specialist AZZLY 2770 Indian River Blvd, Suite 308 Vero Beach, FL 32960 772-567-0206 vendorservices@azzly.com http://www.azzly.com Vendor 2.16.840.1.113883.3.662 Int 3 Complete 2013/04/08 12:00:00 2013/04/08 12:00:00 2013/04/08 03:17:11 UV 2.16.840.1.113883.3.3038 jrmc Johnson Regional Medical Center Debbie Bjorgum masked Scott Cook Scott Cook 1100 Poplar Street Clarksville, AR 72830 479-754-5454 masked IT Director Johnson Regional Medical Center 1100 Poplar Street Clarksville, AR 72830 479-754-5454 it@jrmc.com http://www.jrmc.com Provider Int 3 Complete 2013/04/08 12:00:00 2013/04/08 12:00:00 2013/04/08 03:20:11 UV 2.16.840.1.113883.3.3039 em-ent Emery Enterprises Andrew Emery masked Andrew Emery 9198896923 masked Emery Enterprises 9198896923 andrew.emery@gmail.com Vendor Int 3 3 Complete 2013/04/08 12:00:00 2013/04/10 12:00:00 2013/04/10 01:42:17 UV 2.16.840.1.113883.3.3040 bhsil Blessing Health System Morris Rang masked Morris Rang 11th & Broadway Quincy, IL 62301 217-223-8400 x6770 masked Blessing Health System 11th & Broadway Quincy, IL 62301 217-223-8400 Morris.Rang@blessinghealthsystem.org Provider Int 3 Complete 2013/04/08 12:00:00 2013/04/10 12:00:00 2013/04/10 01:44:47 UV 2.16.840.1.113883.6.301.5 nubc-patDiscStatus-cs NUBC Patient Discharge Status-value set-code set Brett Marquard masked Brett Marquard 413-549-6886 masked HL7 SDWG Co-Chair George Arges Chair, National Uniform Billing Committee Senior Director - Health Data Management Group American Hospital Association 155 N. Wacker Drive, Suite 400 Chicago, IL 60606-1725 312-422-3398 garges@aha.org http://www.nubc.org/become.html SDO Ext 6 Complete 2.16.840.1.113883.6.301.5 2013/04/09 12:00:00 2013/04/10 12:00:00 2013/04/10 01:49:44 US 2.16.840.1.113883.3.3041 hmh-pong1 Houston Methodist Hospital Physician Organization NextGen 1 Joel Stevenson masked Marsha Parks 2550 Holly Hall Houston, TX 77054 8326675521 masked Integration Manager Houston Methodist Hospital System 6565 Fannin St Houston, TX 77030 7137903311 it-interfacesupportteam@houstonmethodist.org https://methodisthealth.com Provider Int 3 3 Complete 2013/04/09 12:00:00 2013/04/10 12:00:00 2014/06/04 05:33:11 UV 2.16.840.1.113883.3.3042 hmh-pong2 Houston Methodist Hospital Physician Organization NextGen 2 Joel Stevenson masked Marsha Parks 2550 Holly Hall Houston, TX 77054 8326675521 masked Integration Manager Houston Methodist Hospital System 6565 Fannin St Houston, TX 77030 7137903311 it-interfacesupportteam@houstonmethodist.org http://www.methodisthealth.com/ Provider Int 3 Complete 2013/04/09 12:00:00 2013/04/10 12:00:00 2014/06/04 05:32:53 UV 2.16.840.1.113883.3.3043 hmh-pong23 Houston Methodist Hospital Physician Organization NG 23 Mike Smith masked Marsha Parks 2550 Holly Hall Street Houston, Texas 77054 8326675521 masked Integration Manager Houston Methodist Hospital System 6565 Fannin St Houston, TX 77030 7137903311 it-interfacesupportteam@houstonmethodist.org http://www.methodisthealth.com Provider 2.16.840.1.113883.3.3029 Int 3 Complete 2013/04/09 12:00:00 2013/04/10 12:00:00 2014/06/04 05:38:50 UV 2.16.840.1.113883.3.3044 hmh-pong3 Houston Methodist Hospital Physician Organization NextGen 3 Joel Stevenson masked Marsha Parks 2550 Holly Hall Houston, TX 77054 8326675521 masked Integration Manager Houston Methodist Hospital System 6565 Fannin St Houston, TX 77030 7137903311 it-interfacesupportteam@houstonmethodist.org http://www.methodisthealth.com/ Provider Int 3 Complete 2013/04/09 12:00:00 2013/04/10 12:00:00 2014/06/04 05:32:37 UV 2.16.840.1.113883.3.3045 hmh-pong22 Houston Methodist Hospital Physician Organziation NG 22 Mike Smith masked Marsha Parks 2550 Holly Hall Street Houston, Texas 77054 8326675521 masked Integration Manager Houston Methodist Hospital System 6565 Fannin Street Houston, Texas 77030 7137903311 it-interfacesupportteam@houstonmethodist.org http://www.methodisthealth.com Provider Int 3 3 Complete 2013/04/09 12:00:00 2013/04/10 12:00:00 2014/06/04 05:49:07 UV 2.16.840.1.113883.3.3046 hmh-pong21 Houston Methodist Hospital Physician Organization NG 21 Mike Smith masked Marsha Parks 2550 Holly Hall Street Houston, Texas 77054 8326675521 masked Integration Manager Houston Methodist Hospital System 6565 Fannin Street Houston, Texas 77030 7137903311 it-interfacesupportteam@houstonmethodist.org http://www.methodisthealth.com Provider 2.16.840.1.113883 Int 3 3 Complete 2013/04/09 12:00:00 2013/04/10 12:00:00 2014/06/04 05:48:58 UV 2.16.840.1.113883.3.3047 hmh-pong19 Houston Methodist Hospital Physician Organization NG 19 Mike Smith masked Marsha Parks 2550 Holly Hall Street Houston, Texas 77054 8326675521 masked Integration Manager Houston Methodist Hospital System 6565 Fannin Street Houston, Texas 77030 7137903311 it-interfacesupportteam@houstonmethodist.org http://www.methodisthealth.com Provider Int 3 Complete 2013/04/09 12:00:00 2013/04/10 12:00:00 2014/06/04 05:50:06 UV 2.16.840.1.113883.3.3048 hmh-pong18 Houston Methodist Hospital Physician Organization NG18 Mike Smith masked Marsha Parks 2550 Holly Hall Street Houston, Texas 77054 8326675521 masked Integration Manager Houston Methodist Hospital System 6565 Fannin Street Houston, Texas 77030 7137903311 it-interfacesupportteam@houstonmethodist.org http://www.methodisthealth.com Provider Int 3 3 Complete 2013/04/09 12:00:00 2013/04/10 12:00:00 2014/06/04 05:49:56 UV 2.16.840.1.113883.3.3049 hmh-pong17 Houston Methodist Hospital Physician Organization NG17 Mike Smith masked Marsha Parks 2550 Holly Hall Street Houston, Texas 77054 8326675521 masked Integration Manager Houston Methodist Hospital System 6565 Fannin Street Houston, Texas 77030 7137903311 it-interfacesupportteam@houstonmethodist.org http://www.methodisthealth.com Provider Int 3 3 Complete 2013/04/09 12:00:00 2013/04/10 12:00:00 2014/06/04 05:49:46 UV 2.16.840.1.113883.3.3050 hmh-pong4 Houston Methodist Hospital Physician Organization NextGen 4 Joel Stevenson masked Marsha Parks 2550 Holly Hall Houston, TX 77054 8326675521 masked Integration Manager Houston Methodist Hospital System 6565 Fannin St Houston, TX 77030 7137903311 it-interfacesupportteam@houstonmethodist.org http://www.methodisthealth.com/default.cfm?id=1 Provider Int 3 Complete 2013/04/09 12:00:00 2013/04/10 12:00:00 2014/06/04 05:32:23 UV 2.16.840.1.113883.3.3051 hmh-pong5 Houston Methodist Hospital Physician Organization NextGen 5 Joel Stevenson masked Marsha Parks 2550 Holly Hall Houston, TX 77054 8326675521 masked Integration Manager Houston Methodist Hospital System 6565 Fannin St Houston, TX 77030 7137903311 it-interfacesupportteam@houstonmethodist.org http://www.methodisthealth.com/ Provider Int 3 Complete 2013/04/09 12:00:00 2013/04/10 12:00:00 2014/06/04 05:32:03 UV 2.16.840.1.113883.3.3052 hmh-pong6 Houston Methodist Hospital Physician Organization NextGen 6 Joel Stevenson masked Marsha Parks 2550 Holly Hall Houston, TX 77054 8326675521 masked Integration Manager Houston Methodist Hospital System 6565 Fannin St Houston, TX 77030 7137903311 it-interfacesupportteam@houstonmethodist.org http://www.methodisthealth.com/ Provider Int 3 Complete 2013/04/09 12:00:00 2013/04/10 12:00:00 2014/06/04 05:31:48 UV 2.16.840.1.113883.3.3053 hmh-pong16 Houston Methodist Hospital Physician Organization NG16 Mike Smith masked Marsha Parks 2550 Holly Hall Street Houston, Texas 77054 8326675521 masked Integration Manager Houston Methodist Hospital System 6565 Fannin Street Houston, Texas 77030 7137903311 it-interfacesupportteam@houstonmethodist.org http://www.methodisthealth.com Provider Int 3 3 Complete 2013/04/09 12:00:00 2013/04/10 12:00:00 2014/06/04 05:49:36 UV 2.16.840.1.113883.3.3054 hmh-pong7 Houston Methodist Hospital Physician Organization NextGen 7 Joel Stevenson masked Marsha Parks 2550 Holly Hall Houston, TX 77054 8326675521 masked Integration Manager Houston Methodist Hospital System 6565 Fannin St Houston, TX 77030 7137903311 it-interfacesupportteam@houstonmethodist.org http://www.methodisthealth.com/ Provider Int 3 Complete 2013/04/09 12:00:00 2013/04/10 12:00:00 2014/06/04 05:31:29 UV 2.16.840.1.113883.3.3055 hmh-pong8 Houston Methodist Hospital Physician Organization NextGen 8 Joel Stevenson masked Marsha Parks 2550 Holly Hall Houston, TX 77054 8326675521 masked Integration Manager Houston Methodist Hospital System 6565 Fannin St Houston, TX 77030 7137903311 it-interfacesupportteam@houstonmethodist.org http://www.methodisthealth.com/ Provider Int 3 Complete 2013/04/09 12:00:00 2013/04/10 12:00:00 2014/06/04 05:35:30 UV 2.16.840.1.113883.3.3056 hmh-pong9 Houston Methodist Hospital Physician Organization NextGen 9 Joel Stevenson masked Marsha Parks 2550 Holly Hall Houston, TX 77054 8326675521 masked Integration Manager Houston Methodist Hospital System 6565 Fannin St Houston, TX 77030 7137903311 it-interfacesupportteam@houstonmethodist.org http://www.methodisthealth.com/ Provider Int 3 Complete 2013/04/09 12:00:00 2013/04/10 12:00:00 2014/06/04 05:35:50 UV 2.16.840.1.113883.3.3057 hmh-pong10 Houston Methodist Hospital Physician Organization NextGen 10 Joel Stevenson masked Marsha Parks 2550 Holly Hall Houston, TX 77054 8326675521 masked Integration Manager Houston Methodist Hospital System 6565 Fannin St Houston, TX 77030 7137903311 it-interfacesupportteam@houstonmethodist.org http://www.methodisthealth.com/ Provider Int 3 Complete 2013/04/09 12:00:00 2013/04/10 12:00:00 2014/06/04 05:36:08 UV 2.16.840.1.113883.3.3058 hmh-pong15 Houston Methodist Hospital Physician Organization NG15 Mike Smith masked Marsha Parks 2550 Holly Hall Street Houston, Texas 77346 8326675521 masked Integration Manager Houston Methodist Hospital System 6565 Fannin Street Houston, Texas 77030 7137903311 it-interfacesupportteam@houstonmethodist.org http://www.methodisthealth.com Provider Int 3 Complete 2013/04/09 12:00:00 2013/04/10 12:00:00 2014/06/04 05:51:21 UV 2.16.840.1.113883.3.3059 hmh-pong14 Houston Methodist Hospital Physician Organization NG14 Mike Smith masked Marsha Parks 2550 Holly Hall Street Houston, Texas 77346 8326675521 masked Integration Manager Houston Methodist Hospital System 6565 Fannin Street Houston, Texas 77030 7137903311 it-interfacesupportteam@houstonmethodist.org http://www.methodisthealth.com Provider 2.16.840.1.113883 Int 3 Complete 2013/04/09 12:00:00 2013/04/10 12:00:00 2014/06/04 05:51:06 UV 2.16.840.1.113883.3.3060 hmh-pong13 Houston Methodist Hospital Physician Organization NG13 Mike Smith masked Marsha Parks 2550 Holly Hall Street Houston, Texas 77054 8326675521 masked Integration Manager Houston Methodist Hospital System 6565 Fannin Street Houston, Texas 77030 7137903311 it-interfacesupportteam@houstonmethodist.org http://www.methodisthealth.com Provider Int 3 3 Complete 2013/04/09 12:00:00 2013/04/10 12:00:00 2014/06/04 05:50:53 UV 2.16.840.1.113883.3.3061 hmh-pong12 Houston Methodist Hospital Physician Organization NG12 Mike Smith masked Marsha Parks 2550 Holly Hall Street Houston, Texas 77346 8326675521 masked Integration Manager Houston Methodist Hospital System 6565 Fannin Street Houston, Texas 77030 7137903311 it-interfacesupportteam@houstonmethodist.org http://www.methodisthealth.com Provider Int 3 3 Complete 2013/04/09 12:00:00 2013/04/10 12:00:00 2014/06/04 05:50:40 UV 2.16.840.1.113883.3.3062 hmh-pong11 Houston Methodist Hospital Physician Organization NextGen 11 Joel Stevenson masked Marsha Parks 2550 Holly Hall Houston, TX 77054 8326675521 masked Integration Manager Houston Methodist Hospital System 6565 Fannin St Houston, TX 77030 7137903311 it-interfacesupportteam@houstonmethodist.org http://www.methodisthealth.com/ Provider Int 3 Complete 2013/04/09 12:00:00 2013/04/10 12:00:00 2014/06/04 05:36:27 UV 2.16.840.1.113883.3.3063 lahie Louisiana Health Information Exchange Brian Richmond masked Brian Richmond 8550 United Plaza Blvd, Ste 301 Baton Rouge, LA 70809 225-334-9299 masked Chief Technology Officer Louisiana Health Care Quality Forum 8550 United Plaza Blvd, Ste 301 Baton Rouge, LA 70809 225-334-9299 brichmond@lhcqf.org http://www.lhcqf.org Exchange Int 3 Complete 2013/04/09 12:00:00 2013/04/10 12:00:00 2025/08/26 03:09:44 UV 2.16.840.1.113883.3.3064 mwendconnect Medical West Hospital Jan Cook masked Jan Cook 205-481-7775 masked Information Systems Analyst Medical West Hospital 995 9TH Ave SW Bessemer, AL 35022-4527 205-481-7775 jcook@uabmw.org http://www.medicalwesthospital.org Provider Int 3 Complete 2013/04/09 12:00:00 2013/04/10 12:00:00 2013/04/10 03:37:51 UV 2.16.840.1.113883.3.3065 rmchospital Riverside Medical Center Herman Ingram masked Patty Mizell 1900 South Main Street Franklinton, LA 70438 985-839-4431 masked CEO Riverside Medical Center 1900 South Main Street Franklinton, LA 70438 985-839-4431 hingram@rmchospital.com http://www.rmchospital.com Provider Int 3 Complete 2013/04/09 12:00:00 2013/04/10 12:00:00 2013/04/10 03:39:57 UV 2.16.840.1.113883.3.3066 los Lady of the Sea Hospital, Cut Off, Louisiana Perry Gisclair masked Perry Gisclair 200 West 134th Place Cut Off, LA 70345 (985)632-8240 masked I. T. Manager Lady of the Sea Hospital 200 West 134th Place Cut Off, LA 70345 (985)632-6401 perry@losgh.org http://www.losgh.org Provider Int 3 Complete 2013/04/09 12:00:00 2013/04/10 12:00:00 2013/04/10 03:48:16 UV 2.16.840.1.113883.3.3067 c-p-s-h Cypress Pointe Surgical Hospital Andy Pertuis masked Michelle Holland Information Technology Systems Director Cypress Pointe Surgical Hospital 42570 S. Airport Road Hammond, LA 70403 985-510-6134 masked Director of IT Cypress Pointe Surgical Hospital Cypress Pointe Surgical Hospital 42570 S. Airport Road Hammond, LA 70403 985-510-6200 mholland@cpsh.org https://cypresspointesurgical.com Provider Int 3 Complete 2013/04/09 12:00:00 2013/04/10 12:00:00 2023/11/27 10:12:03 UV 1.2.36.1.2001.1005.45 pcehr-custom-data-component PCEHR Custom Data Component Philip Wilford masked Accenture Philip Wilford Level 2, 10 Browning Street West End, Brisbane, QLD 4101 07 3023 8450 masked Accenture 48 Pirrama Rd Pyrmont NSW 2009, Australia PCEHR.SVT.SUPPORT@accenture.com http://www.accenture.com/ Vendor Ext 15 15 Complete 1.2.36.1.2001.1005.45 2013/04/09 12:00:00 2013/04/10 12:00:00 2013/04/10 03:53:32 AU 2.16.840.1.113883.17.116 dh-crmc Dignity Health Chandler Regional Medical Center Kelly Popelka masked Kelly Popelka Chandler Regional Medical Center 1955 W Frye Rd Chandler, AZ 85244 480-728-3000 480-728-3335 masked Manager, Business Informatics Chandler Regional Medical Center Chandler Regional Medical Center 1955 W Frye Rd Chandler, AZ 85244 480-728-3000 480-728-3000 kelly.popelka@dignityhealth.org http://www.chandlerregional.org/index.htm Provider Int 17 Complete 2013/04/10 12:00:00 2013/04/10 12:00:00 2013/04/10 03:58:36 UV 2.16.840.1.113883.3.3068 gpi Gordon Point Informatics Ltd. Marc Koehn masked Michael van Campen Marc Koehn Box 1051 STN CSC Victoria BC, V8W 2S6 Canada 250-800-0941 masked COO Gordon Point Informatics Ltd. 250-800-0940 Marc.Koehn@gpinformatics.com http://www.gpinformatics.com Vendor Int 3 3 Complete 2013/04/10 12:00:00 2013/04/10 12:00:00 2013/04/10 04:01:44 UV 2.16.840.1.113883.3.3069 oidJALH Jennings American Legion Hospital Gary Courrege masked Gary Courrege 1634 Elton Rd Jennings LA 70546 337-616-7140 masked Chief Information Officer Jennings American Legion Hospital 1634 Elton Rd Jennings LA 70546 337-616-7000 garyc@jalh.com http://www.jalh.com Provider Int 3 Complete 2013/04/10 12:00:00 2013/04/10 12:00:00 2013/04/10 04:03:54 UV 2.16.840.1.113883.3.3070 dhdc Doctors Hospital at Deer Creek Kim Smith masked Kim Smith PO Box 1391 Leesville, LA 71496 337-392-5088 masked Business Office Director Doctors Hospital at Deer Creek PO Box 1391 Leesville, LA 71496 337-392-5088 ksmith@dhdc.md http://www.dhdc.md Provider Int 3 Complete 2013/04/10 12:00:00 2013/04/10 12:00:00 2013/04/10 04:10:49 UV 2.16.840.1.113883.3.3071 ucdenver University of Colorado Denver and Anschutz Medical Campus Frank Whispell masked Frank Whispell 13001 E 17th Place, F408 AMCA Bldg 500, Room W4144 Aurora, CO 80045 (303) 724-0300 masked Director, IT Services University of Colorado Denver 13001 E 17th Place, F408 AMCA Bldg 500, Room W4144 Aurora, CO 80045 (303) 724-0300 Frank.Whispell@ucdenver.edu http://www.ucdenver.edu Academic Int 3 Complete 2013/04/10 12:00:00 2013/04/10 12:00:00 2013/04/10 04:15:39 UV 2.16.840.1.113883.3.3072 sjph St James Parish Hospital - Lutcher, LA Jeremy Martin masked Derin Donaldson Jeremy Martin 1645 Lutcher Ave Lutcher, LA 70071 2257462907 masked Director of Support Services St James Parish Hospital 1645 Lutcher Ave Lutcher, LA 70071 2258695512 info@sjph.org http://www.sjph.org Provider Int 3 Complete 2013/04/10 12:00:00 2013/04/10 12:00:00 2013/04/10 04:17:42 UV 2.16.840.1.113883.3.3073 pennyroyal Pennyroyal Mental Health John Pyle masked John Pyle P.O. Box 614 Hopkinsville, KY 42240 270-886-2205 masked IT Director Pennyroyal Center P.O. Box 614 Hopkinsville, KY 42240 270-886-2205 jpyle@pennyroyalcenter.org http://www.pennyroyalcenter.org Provider Int 3 Complete 2013/04/10 12:00:00 2013/04/10 12:00:00 2013/04/10 04:19:32 UV 2.16.840.1.113883.3.3074 ffh Franklin Foundation Hospital John Spradlin masked John Spradlin Franklin Foundation Hospital 1097 Northwest Boulevard Franklin, LA 70538 337-355-1358 masked Information Systems Director Franklin Foundation Hospital 1097 Northwest Boulevard Franklin, LA 70538 337-355-1358 jspradlin@franklinfoundation.org http://www.franklinfoundation.org Provider Int 3 Complete 2013/04/10 12:00:00 2013/04/10 12:00:00 2013/04/10 04:22:17 UV 2.16.840.1.113883.3.2402.200.6810 physicians-computer-company-clients-kids1st Physician's Computer Company (PCC) Clients Kid's 1st Pediatric After Hours Clinic, LLC Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6810 2013/04/10 12:00:00 2013/04/10 12:00:00 2013/04/10 07:15:03 UV 2.16.840.1.113883.3.2402.200.369 physicians-computer-company-clients-pacss Physician's Computer Company (PCC) Clients Pediatric & Adolescent Care Of Silver Spring Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.369 2013/04/10 12:00:00 2013/04/10 12:00:00 2013/04/10 07:17:36 UV 2.16.840.1.113883.3.3075 iberiamedcenter Iberia Medical Center Vance Robinson masked Terry Stewart 2315 East Main Street New Iberia, LA 70560 1-337-374-7666 masked IT Manager Iberia Medical Center 2315 East Main Street New Iberia, LA 70560 1-337-364-0441 tstewart@iberiamedicalcenter.com http://www.iberiamedicalcenter.com Provider Int 3 Complete 2013/04/10 12:00:00 2013/04/10 12:00:00 2023/11/16 09:24:06 UV 2.16.840.1.113883.3.1070.5207 mckesson-fusion-5207 mckesson-fusion-5207 Randy Deitsch masked Fusion Enrollment 8775074541 masked Fusion Enrollment randy.deitsch@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5207 2013/04/11 12:00:00 2013/04/22 12:00:00 2013/04/22 10:00:07 US 2.16.840.1.113883.3.1070.5234 mckesson-fusion-5234 mckesson-fusion-5234 Randy Deitsch masked Fusion Enrollment 8775074541 masked Fusion Enrollment randy.deitsch@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5234 2013/04/11 12:00:00 2013/04/22 12:00:00 2013/04/22 10:01:50 US 2.16.840.1.113883.3.3076 poirier Poirier Pharmacy, Inc. Wesley Dunn masked Wesley Dunn 102 S 5th St. Savannah, MO 64485 816-324-5955 masked Head Pharmacist Poirier Pharmacy, Inc. 102 S 5th St. Savannah, MO 64485 816-324-5955 wes@dunnfamilies.com Provider Int 3 Complete 2013/04/12 12:00:00 2013/04/22 12:00:00 2013/04/22 10:06:47 UV 2.16.840.1.113883.3.3077 oH-AH Aultman Hospital's Continuity of Care Document (CCD) Joe Miller masked Rob Bergmeyer Joe Miller 2600 6th Street S.W Canton, Ohio 44710 330-363-9072 masked Director of IT Clinical Ohio Department of Health Ohio Department of Health 246 N. High St. 6th Fl 35 Bldg Columbus, Ohio 43215 614-728-3343 William.Storm@odh.ohio.gov Exchange Int 3 Complete 2013/04/12 12:00:00 2013/04/22 12:00:00 2013/04/22 10:10:12 UV 2.16.840.1.113883.3.3078 shmc SPRINGHILL MEDICAL CENTER BRIAN GRIFFIN masked BRIAN GRIFFIN 2001 DOCTORS DRIVE PO BOX 920 SPRINGHILL, LA 71075 3185391094 masked IT MANAGER SPRINGHILL MEDICAL CENTER 2001 DOCTORS DRIVE PO BOX 920 SPRINGHILL, LA 71075 3185391000 informationsystems@emailsmc.com http://www.smccare.com Provider Int 3 Complete 2013/04/12 12:00:00 2013/04/22 12:00:00 2013/04/22 10:12:36 UV 2.16.840.1.113883.3.1070.5222 mckesson-fusion-5222 mckesson-fusion-5222 Randy Deitsch masked Fusion Enrollment 8775074541 masked Fusion Enrollment randy.deitsch@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5222 2013/04/15 12:00:00 2013/04/22 12:00:00 2013/04/22 10:16:45 US 2.16.840.1.113883.4.634 dElsesto Dr. Richard Delsesto Michael Oakes masked moakes@polarismedical.com 1150 New London Avenue Cranston, RI 02920 401-654-4000 masked Director, IT Dr. Richard Delsesto 3461 South County Trail, STE 303 East Greenwich, RI 02818 (401) 471-6510 dmleonard@cox.net Provider 2.16.840.1.113883.3.1348 Int 3 Complete 2013/04/15 12:00:00 2013/04/22 12:00:00 2013/04/22 10:22:46 UV 2.16.840.1.113883.3.1070.5204 mckesson-fusion-5204 mckesson-fusion-5204 Johnny Moore masked Johnny Moore 4047048665 masked Fusion Enrollment Johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5204 2013/04/15 12:00:00 2013/04/22 12:00:00 2013/04/22 10:24:07 US 2.16.840.1.113883.3.3079 haad Health Authority Abu Dhabi Khaled Al Jaberi masked Kamal Attyani Khaled Al Jaberi Health Authority-Abu Dhabi Main Building Abu Dhabi, Airport Road Abu Dhabi, United Arab Emirates P.O. Box 5674 Tel: +971 2 449 3333 Fax: +971 2 444 9822 +97124193393 masked Manager, Non Communicable Diseases Department Health Authority Abu Dhabi Main Building Abu Dhabi, Airport Road Abu Dhabi, United Arab Emirates P.O. Box 5674 Tel: +971 2 449 3333 Fax: +971 2 444 9822 +971 2 4193393 kaljaberi@haad.ae http://www.haad.ae Govt body Int 3 Complete 2013/04/16 12:00:00 2013/04/22 12:00:00 2013/04/22 10:28:46 UV 2.16.840.1.113883.3.3080 vernonMemorialHealthcare Vernon Memorial Healthcare Kevin Glass masked Kevin Glass 880 Independence Lane Sauk City, WI 53583 608-644-3253 masked System Administrator Vernon Memorial Healthcare 507 South Main Street Viroqua, WI 54665 608-637-2101 kglass@rwhc.com http://www.vmh.org Provider Int 3 Complete 2013/04/16 12:00:00 2013/04/22 12:00:00 2013/04/22 10:30:55 UV 2.16.840.1.113883.3.1871.3.194 sapodermcoe SAPO Derm COE Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst SSMHC 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 14 14 Complete 2.16.840.1.113883.3.1871.3.194 2013/04/16 12:00:00 2013/04/22 12:00:00 2013/04/22 10:35:04 UV 2.16.840.1.113883.3.3081 ainq Audacious Inquiry Sandeep Antony masked Chris Brandt Sandeep Antony 5523 Research Park Dr, Suite 370, Catonsville, MD 21228 301-560-6999 masked Solutions Architect Audacious Inquiry 5523 Research Park Dr, Suite 370, Catonsville, MD 21228 301-560-6999 info@ainq.com http://www.ainq.com Vendor Int 3 3 Complete 2013/04/17 12:00:00 2013/04/22 12:00:00 2013/04/22 10:38:35 UV 2.16.840.1.113883.3.3082 hoodhosp Hood Memorial Hospital David Teague masked Joyce Price Joyce Price 301 Walnut St Amite, La. 70422 985-748-9485 ext313 masked Medical Records Director Hood Memorial Hospital 301 Walnut St Amite, LA 70422 985-748-9485 joyce.price@hoodmemorial.com http://www.hoodmemorial.com/ Provider Int 3 Complete 2013/04/17 12:00:00 2013/04/22 12:00:00 2013/04/22 10:40:24 UV 2.16.840.1.113883.3.1070.5206 mckesson-fusion-5206 mckesson-fusion-5206 Harry Callier masked Fusion Enrollment 877-507-*4541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5206 2013/04/17 12:00:00 2013/04/22 12:00:00 2013/04/22 10:44:13 US 2.16.840.1.113883.3.3083 alf Flowers Hospital Dothan Stephen Weber masked Stephen Weber 615-465-7000 ext 6151 masked Flowers Hospital Dothan 4370 W Main St Dothan, AL 36305 (334) 793-5000 steve_weber@chs.net Provider Int 3 3 Complete 2013/04/17 12:00:00 2013/04/22 12:00:00 2013/04/22 10:42:42 UV 2.16.840.1.113883.4.635 ca-govIndianRegistryStatusNumber Government of Canada - Indian Registry Status Number Steve Sagodi masked Steve Sagodi 2505140932 masked Solution Architect Aboriginal Affairs and Northern Development Canada Aboriginal Affairs and Northern Development Canada Terrasses de la Chaudi&#232;re Ottawa, Ontario K1A 0H4 1-800-567-9604 InfoPubs@aadnc-aandc.gc.ca http://www.aadnc-aandc.gc.ca/ Govt body Int 4 Complete 2013/04/17 12:00:00 2013/04/22 12:00:00 2013/04/22 10:47:22 UV 2.16.840.1.113883.3.3084 trmc-oid Tomball Regional Medical Center Jason Pandya masked Jason Pandya 281-401-7207 masked Interface Analyst Tomball Regional Medical Center 4000 Meridian Blvd, Franklin, TN 37067 281-401-7207 jason_pandya@chs.net SDO Int 3 3 Complete 2013/04/17 12:00:00 2013/04/22 12:00:00 2013/04/22 10:50:34 UV 2.16.840.1.113883.1.11 harmonizationValueSets Root for HL7 V3 Harmonization Value Sets Ted Klein masked Ted Klein 631-924-6922 masked Health Level Seven International Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 724-677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Ext 14 11 Complete 2.16.840.1.113883.1.11 2013/04/17 12:00:00 2013/04/17 12:00:00 2013/04/17 05:26:10 UV 2.16.840.1.113883.3.1070.5238 mckesson-fusion-5238 mckesson-fusion-5238 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5238 2013/04/18 12:00:00 2013/04/22 12:00:00 2013/04/22 10:52:15 US 2.16.840.1.113883.3.13.2.2.1 healthSentry Cerner HealthSentry Travis Cool masked Travis Cool 2800 Rockcreek Pkwy Kansas City, MO 64117 9136386533 masked Cerner HealthSentry 2800 Rockcreek Pkwy Kansas City, MO 64117 healthfacts@cerner.com Vendor 2.16.840.1.113883.3.13 Ext 17 Complete 2.16.840.1.113883.3.13.2.2.1 2013/04/18 12:00:00 2013/04/22 12:00:00 2013/05/07 05:15:24 UV 2.16.840.1.113883.3.3085 cndh Chickasaw Nation Health System Desiree Traylor masked Jesse Anderson Desiree Traylor 1921 Stonecipher Blvd Ada, OK 74820 580-272-5233 masked Database Administrator Manager Chickasaw Nation Health System 1921 Stonecipher Blvd Ada, OK 74820 (800) 851-9136 Desiree.Traylor@Chickasaw.net Provider Int 3 Complete 2013/04/18 12:00:00 2013/04/22 12:00:00 2013/04/22 11:01:24 UV 2.16.124.113419 emerald-ink Emerald Ink Etarip Dlareme masked Etarip Dlareme Emerald Ink TDB K0A 2T0 Ottawa, Ontario Canada 16133667615 masked Emerald Ink Names & Numbers Authority Emerald Ink TDB K0A 2T0 Ottawa, Ontario Canada 16133667615 admin@emeraldink.net http://www.emeraldink.net Provider Ext 3 Complete 2.16.124.113419 2013/04/18 12:00:00 2013/04/22 12:00:00 2013/04/22 11:23:56 UV 2.16.124.113419.1 emerald-ink-disc-centers Emerald Ink Disc Centers Etarip Dlareme masked Etarip Dlareme 16133667615 masked Emerald Ink Names & Numbers Authority Emerald Ink TDB K0A 2T0 Ottawa, Ontario Canada 16133667615 disccenters@emeraldink.net http://www.emeraldink.net Provider 2.16.124.113419 Ext 3 Complete 2.16.124.113419.1 2013/04/18 12:00:00 2013/04/22 12:00:00 2013/04/22 11:29:25 UV 2.16.124.113419.6 emerald-ink-nna Emerald Ink Names & Numbers Authority Etarip Dlareme masked Etarip Dlareme 16133667615 masked Emerald Ink Names & Numbers Authority Emerald Ink TDB K0A 2T0 Ottawa, Ontario Canada 16133667615 nna@emeraldink.net http://www.emeraldink.net Provider 2.16.124.113419.6 Ext 3 Complete 2.16.124.113419.6 2013/04/18 12:00:00 2013/04/22 12:00:00 2013/04/22 11:46:15 UV 2.16.124.113419.2 emerald-ink-vgd Emerald Ink Video Game Development Etarip Dlareme masked Etarip Nedlog 16133667615 masked Emerald Ink Names & Numbers Authority Emerald Ink TDB K0A 2T0 Ottawa, Ontario Canada 16133667615 nna@emeraldink.net Provider 2.16.124.113419 Ext 4 Complete 2.16.124.113419.2 2013/04/18 12:00:00 2013/04/22 12:00:00 2013/04/22 11:34:09 UV 2.16.124.113419.3 emerald-ink-ws Emerald Ink Web Services Etarip Dlareme masked Etarip Dlareme 16133667615 masked Emerald Ink Names & Numbers Authority Emerald Ink TDB K0A 2T0 Ottawa, Ontario Canada 16133667615 nna@emeraldink.net http://www.emeraldink.net Provider 2.16.124.113419.6 Ext 4 Complete 2.16.124.113419.3 2013/04/18 12:00:00 2013/04/22 12:00:00 2013/04/22 11:36:12 UV 2.16.124.113419.4 emerald-ink-mrkt Emerald Ink Marketing Etarip Dlareme masked Etarip Dlareme 16133667615 masked Emerald Ink Names & Numbers Authority Emerald Ink TDB K0A 2T0 Ottawa, Ontario Canada 16133667615 nna@emeraldink.net http://www.emeraldink.net Provider 2.16.124.113419 Ext 4 Complete 2.16.124.113419.4 2013/04/18 12:00:00 2013/04/22 12:00:00 2013/04/22 11:41:20 UV 2.16.124.113419.5 emerald-ink-networking Emerald Ink Networking Etarip Dlareme masked Etarip Dlareme 16133667615 masked Emerald Ink Names & Numbers Authority Emerald Ink Names & Numbers Authority Emerald Ink TDB K0A 2T0 Ottawa, Ontario Canada 16133667615 nna@emeraldink.net http://www.emeraldink.net Provider 2.16.124.113419 Ext 4 Complete 2.16.124.113419.5 2013/04/18 12:00:00 2013/04/22 12:00:00 2013/04/22 11:43:00 UV 2.16.124.113419.4.1 locksmith Lock Smith Root Certification Authority Etarip Dlareme masked Etarip Dlareme 16133667615 masked Emerald Ink Names & Numbers Authority Emerald Ink TDB K0A 2T0 Ottawa, Ontario Canada 16133667615 nna@emeraldink.net http://www.emeraldink.net Provider 2.16.124.113419.6 Ext 14 Complete 2.16.124.113419.4.1 2013/04/18 12:00:00 2013/04/22 12:00:00 2013/04/22 11:47:45 UV 2.16.840.1.113883.3.3086 shhosp Saint Helena Parish Hospital Tony Pakula masked Tony Pakula 16874 Hwy 43 N. Greensburg, LA 70441 (225)222-6111(Ext 283) masked IT Manager St. Helena Parish Hospital 16874 Hwy 43 N. Greensburg, LA 70441 (225)222-6111 itmanager@shhosp.org http://www.shhosp.org Provider Int 3 Complete 2013/04/19 12:00:00 2013/04/22 12:00:00 2013/04/22 11:54:23 UV 2.16.840.1.113883.3.3087 wecc Whylie Eye Care Centers Vincent Copple masked Vincent Copple 3725 Ingersoll Ave Des Moines, IA 50312 515-279-2020 masked President CVK Corporation dba Whylie Eye Care Centers 3725 Ingersoll Ave Des Moines, IA 50312 515-279-2020 vcopple@cvkcorp.com http://whylies.com Provider Int 3 Complete 2013/04/19 12:00:00 2013/04/22 12:00:00 2013/04/22 11:56:17 UV 2.16.840.1.113883.3.3088 pmhccd Prevost Memorial Hospital Edward Prejean masked Lizabeth Simoneaux Lizabeth Simoneaux 301 Memorial Drive Donaldsonville, LA 70346 225-474-2161 masked Medical Records Supervisor Prevost Memorial Hospital 301 Memorial Drive Donaldsonville, LA 70346 225-473-7931 lizabeths@prevosthospital.net https://www.prevosthospital.net Provider Int 3 Complete 2013/04/19 12:00:00 2013/04/22 12:00:00 2013/04/22 11:59:20 UV 2.16.840.1.113883.3.1070.5219 mckesson-fusion-5219 mckesson-fusion-5219 Randy Deitsch masked Fusion Enrollment 8775074541 masked Fusion Enrollment randy.deitsch@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5219 2013/04/22 12:00:00 2013/04/29 12:00:00 2013/04/29 09:05:17 US 2.16.840.1.113883.3.3089 ghhtestdata Greater Houston Healthconnect Test PHILIP BECKETT masked PHILIP BECKETT 1213 HERMANN DRIVE, SUITE 135 HOUSTON, TEXAS 77004 832.564.2599 masked CTO GREATER HOUSTON HEALTHCONNECT TEST 1213 HERMANN DRIVE, SUITE 135 HOUSTON, TEXAS 77004 832.564.2599 PHIL.BECKETT@GHHCONNECT.ORG http://GHHCONNECT.ORG Provider Int 3 Complete 2013/04/22 12:00:00 2013/04/29 12:00:00 2013/04/29 09:19:31 UV 2.16.840.1.113883.3.890.1.1 drh-main-fac Duncan Regional Main Facility Roger Neal masked scott.toler@duncanregional.com Roger Neal 2621 Whisenant Dr. Duncan, OK 73533 580-251-8555 masked VP-COO/CIO Duncan Regional Hospital 2621 Whisenant Dr. Duncan, OK 73533 580-252-5300 roger.neal@drhhealth.org http://www.duncanregional.com Provider 2.16.840.1.113883.3.890 Ext 13 13 Complete 2.16.840.1.113883.3.890.1.1 2013/04/22 12:00:00 2013/04/29 12:00:00 2024/11/07 12:21:28 UV 2.16.840.1.113883.3.3090 bsvc April Ihne OD April Ihne masked Matt Madaris Matt Madaris 10 Bridge Street PO Box 501 Milford, NJ 08848 908-200-5802 masked Manager April Ihne OD 10 Bridge Street PO Box 501 Milford, NJ 08848 908-995-9555 email@bridgestreetvisioncare.com http://www.bridgestreetvisioncare.com Provider Int 3 Complete 2013/04/23 12:00:00 2013/04/29 12:00:00 2013/04/29 09:32:26 UV 2.16.840.1.113883.3.3091 cgmpolska CompuGroup Medical Polska Marcin Fatyga masked Marcin Fatyga +48 81 444 20 15 masked CompuGroup Medical Polska Sp. z o.o. ul. Do Dysa 9 20-149 Lublin Poland +48 81 444 20 15 cgm@cgmpolska.pl http://www.cgmpolska.pl Vendor Int 3 Complete 2013/04/24 12:00:00 2013/04/29 12:00:00 2013/04/29 09:33:21 UV 2.16.840.1.113883.3.3092 mMTS Mercy Medical Center Mt. Shasta Linda Barrie masked Linda Barrie (818) 885-3509 masked Mercy Medical Center Mt. Shasta 914 Pine St Mt. Shasta, CA 96067 (530) 926-6111 linda.barrie@dignityhealth.org http://www.mercymtshasta.org Provider Int 3 Complete 2013/04/25 12:00:00 2013/04/29 12:00:00 2013/04/29 09:34:49 UV 2.16.840.1.113883.3.3093 mMCR Mercy Medical Center Redding Linda Barrie masked Linda Barrie (818) 885-3509 masked Mercy Medical Center Redding 2175 Rosaline Ave Redding, CA 96001 (530) 225-6000 linda.barrie@dignityhealth.org http://redding.mercy.org Provider Int 3 Complete 2013/04/25 12:00:00 2013/04/29 12:00:00 2013/04/29 09:35:47 UV 2.16.840.1.113883.3.3094 sECH St. Elizabeth Community Hospital Linda Barrie masked Linda Barrie (818) 885-3509 masked St. Elizabeth Community Hospital 2550 Sister Mary Columba Drive Red Bluff, CA 96080 (530) 529-8000 linda.barrie@dignityhealth.org http://redbluff.mercy.org Provider Int 3 Complete 2013/04/25 12:00:00 2013/04/29 12:00:00 2013/04/29 09:37:02 UV 2.16.840.1.113883.3.3095 oha Affinity Medical Center Michelle Heim masked Michelle Heim 4000 Meridian Blvd Franklin, TN 37067 615-465-3417 masked Integration Analyst Affinity Medical Center 875 8th St NE Massillon, OH 44648 330-832-8761 Debbie.Colangelo@affinitymedicalcenter.com Provider Int 3 3 Complete 2013/04/25 12:00:00 2013/04/29 12:00:00 2013/04/29 09:38:06 UV 2.16.840.1.113883.3.3096 nwhsar Northwest Health System Darius Brown masked Darius Brown 251-802-1158 masked Northwest Health System 609 W Maple Springdale, AR 72764 4797578024 BBaber@NW-Health.com Provider Int 3 3 Complete 2013/04/25 12:00:00 2013/04/29 12:00:00 2013/04/29 09:39:35 UV 2.16.840.1.113883.3.3097 mercydiag Mercy Diagnostics Inc Corey Stilton masked Corey L Stilton 3362 Six Forks Road Raleigh NC 27609 (856)437-5254 masked IT Director Mercy Diagnostics Inc 2040 Briggs Road Mt. Laurel NJ 08054 877.514.5504 stiltoncl@mercydiagnostics.com http://www.mercydiagnostics.com Vendor Int 3 3 Complete 2013/04/25 12:00:00 2013/04/29 12:00:00 2013/04/29 09:41:42 US 2.16.840.1.113883.3.3098 drbadaniels DR. BRUCE A. DANIELS MEDICAL OFFICE Gregory Julian masked Dr. Bruce A. Daniels 4221 S Western Ave - 4045 Oklahoma City, OK 73109-3447 405-636-1166 masked Office Manager Dr. Bruce A. Daniels 4221 S Western Ave - 4045 Oklahoma City, OK 73109-3447 405-636-1166 lesa@danielsmdpc.com Provider Int 3 Complete 2013/04/25 12:00:00 2013/04/29 12:00:00 2013/05/02 01:43:55 UV 2.16.840.1.113883.3.3099 rj7 St. George's Healthcare NHS Trust Kerman Jasavala masked Kerman Jasavala 020 8725 1651 masked St. George's Healthcare NHS Trust St. George's Hospital Blackshaw Road London SW17 0QT communications@stgeorges.nhs.uk Provider Int 3 Complete 2013/04/26 12:00:00 2013/04/29 12:00:00 2013/04/29 09:50:38 UV 2.16.840.1.113883.3.3100 wpmc Winn Parish Medical Center Brent Blankenship masked Jason Spangler Winn Parish Medical Center PO Box 152 301 W. Boundary Street Winnfield, LA 71483 318-648-3000 masked IT Network Administrator Brent Blankenship Winn Parish Medical Center PO Box 152 301 W. Boundary Street Winnfield, LA 71483 318-491-3216 brent.blankenship@progressiveacute.com https://www.winnparishmedical.com Provider Int 3 Complete 2013/04/26 12:00:00 2013/04/29 12:00:00 2013/04/29 09:52:33 UV 2.16.840.1.113883.3.3101 mhconv Momentum Healthware Convergence Michael Gifford masked Michael R. Gifford 308-131 Provencher Blvd Winnipeg, Manitoba Canada R2H 0G2 204.235.2360 masked CTO Momentum Healthware 308-131 Provencher Blvd Winnipeg, Manitoba Canada R2H 0G2 204.231.3836 support@momentumhealthware.com http://www.momentumhealthware.com/ Vendor Int 3 Complete 2013/04/26 12:00:00 2013/04/29 12:00:00 2013/04/29 09:53:45 UV 2.16.840.1.113883.3.1070.5200 mckesson-fusion-5200 mckesson-fusion-5200 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5200 2013/04/26 12:00:00 2013/04/29 12:00:00 2013/04/29 09:59:14 US 2.16.840.1.113883.3.1070.5244 mckesson-fusion-5244 mckesson-fusion-5244 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5244 2013/04/26 12:00:00 2013/04/29 12:00:00 2013/04/29 10:01:37 US 2.16.840.1.113883.3.3102 winchesterClinicSystem Winchester Clinic System Antony Liao masked Antony Liao 408.236.7497 masked Antony Liao 560 S. Winchester Blvd., San Jose, CA 95128 408.236.7497 aliao@certifydatasystems.com Exchange Int 3 Complete 2013/04/26 12:00:00 2013/04/29 12:00:00 2013/04/29 09:55:50 UV 2.16.840.1.113883.3.1070.5232 mckesson-fusion-5232 mckesson-fusion-5232 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5232 2013/04/26 12:00:00 2013/04/29 12:00:00 2013/04/29 10:05:40 US 2.16.840.1.113883.3.3103 share Arkansas Office of Health Information Technology Shirley Tyson masked Shirley Tyson 1501 N. University Prospect Building, Suite 420 Little Rock, Arkansas 72207 501-410-1999 masked Chief Ops and Technical Officer Arkansas Office of Health Information Technology 1501 N. University Prospect Building, Suite 420 Little Rock, Arkansas 72207 501-410-1999 shirley.a.tyson@hit.arkansas.gov http://www.sharearkansas.com Exchange Int 3 Complete 2013/04/26 12:00:00 2013/04/29 12:00:00 2017/06/13 03:24:53 UV 2.16.840.1.113883.3.3104 svs Wakan Vision, Inc, DBA Senior Vision Services Mark Cooley masked Mark Cooley 9239 W. Center Rd Suite 103 Omaha, NE 68124 402-898-3232- x 0147 masked CEO/President Wakan Vision, Inc, DBS Senior Vision Services 9239 W. Center Rd Suite 103 Omaha, NE 68124 402-898-3232- x 0147 mcooley@seniorvisionservices.com http://www.seniorvisionservices.com Provider Int 3 Complete 2013/04/29 12:00:00 2013/04/29 12:00:00 2013/04/29 10:09:38 UV 2.16.840.1.113883.3.3105 amshead AMC Hl7 OID Root Clarence Billingsley masked Allied Medical Centers 6814 NW 23rd St. Bethany, OK 73008 405-495-5154 masked I.T. Manager Allied Medical Centers 6814 NW 23rd St. Bethany, OK 73008 405-495-5154 it@alliedmedicalcenter.com Provider Int 3 Complete 2013/04/29 12:00:00 2013/04/29 12:00:00 2013/04/29 10:10:50 UV 2.16.840.1.113883.3.1070.5248 mckesson-fusion-5248 mckesson-fusion-5248 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5248 2013/04/29 12:00:00 2013/04/29 12:00:00 2013/04/29 11:39:41 US 2.16.840.1.113883.3.3106 mlt-HCITDevelopment HCIT development OID May Terry masked May Terry PO Box 442 Sparta, NJ 07871 973-945-1578 masked Clinical Informaticist May Terry mlterry88@yahoo.com Academic Int 3 Complete 2013/04/29 12:00:00 2013/05/10 12:00:00 2013/05/10 02:52:11 UV 2.16.840.1.113883.3.3107 floridablue Florida Blue (Blue Cross and Blue Shield) OID Soumya Jonnalagadda masked Paul Gajda Manoj Kumar 904-905-4257 masked IT Enterprise Architect Florida Blue 4800 DEERWOOD CAMPUS PARKWAY, JACKSONVILLE, FLORIDA 32246 904-905-0000 manoj.kumar2@bcbsfl.com http://www.bcbsfl.com Payor Int 3 Complete 2013/04/29 12:00:00 2013/05/10 12:00:00 2026/08/21 11:22:25 UV 2.16.840.1.113883.3.1070.5236 mckesson-fusion-5236 mckesson-fusion-5236 Harry Callier masked Fusion Enrollment 8775074541 masked Harry Callier harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5236 2013/04/29 12:00:00 2013/05/10 12:00:00 2013/05/10 02:57:33 US 2.16.840.1.113883.3.3108 aH Avoyelles Hospital Brent Blankenship masked Jason Spangler 318-648-3000 masked Progressive Acute Care Network Administrator Avoyelles Hospital Avoyelles Hospital PO Box 249 Marksville, LA 71351 318-253-8611 dustin.novo@progressiveacute.com https://www.avoyelleshospital.com Provider Int 3 Complete 2013/04/30 12:00:00 2013/05/10 12:00:00 2013/05/10 03:00:43 UV 2.16.840.1.113883.3.3109 cMCME Cary Medical Center David Silsbee masked Timothy Conroy Cary Medical Center 163 Van Buren Rd Suite 1 Caribou, Maine 04736 207 498-1223 masked Chief Information Officer Cary Medical Center 163 Van Buren Rd Suite 1 Caribou, Maine 04736 207 498-3111 tconroy@carymed.org http://www.carymedicalcenter.org Provider Int 3 3 Complete 2013/04/30 12:00:00 2013/05/10 12:00:00 2024/07/10 01:10:04 UV 2.16.840.1.113883.3.3110 oakdale Oakdale Community Hospital Brent Blankenship masked Jason Spangler 318-648-3000 masked Network IT Administrator Oakdale Community Hospital Oakdale Community Hospital PO Box 629 Oakdale, Louisiana 71463 318-335-3700 belinda.lowe@progressiveacute.com https://www.oakdalecommunityhospital.com Provider Int 3 Complete 2013/04/30 12:00:00 2013/05/10 12:00:00 2013/05/10 03:12:29 UV 2.16.840.1.113883.3.3111 vistaeast Vista Medical Center East Cathy Adler-Marks masked Cathy Adler-Marks 1324 N Sheridan Road Waukegan, IL 60085 847-360*4256 masked Director Information Systems Vista Medical Center East 1324 N Sheridan Road Waukegan, IL 60085 847-360-3000 cathy_adler-marks@chs.net SDO Int 3 3 Complete 2013/04/30 12:00:00 2013/05/10 12:00:00 2013/05/10 03:19:15 UV 2.16.840.1.113883.3.3112 vistawest Vista Medical Center West Cathy Adler-Marks masked Cathy Adler-Marks 1324 N Sheridan Road Waukegan, IL 60085 847-360-4256 masked Director Information Systems Cathy Adler-Marks 2615 Washington Road Waukegan, IL 60086 847-249-3900 cathy_adler-marks@chs.net Provider Int 3 3 Complete 2013/04/30 12:00:00 2013/05/10 12:00:00 2013/05/10 03:20:57 UV 2.16.840.1.113883.3.3113 stm St. Mary's Regional Medical Center Mike Meall masked Tracy Andersen 305 South 5th Street Enid, OK 73701 580-249-3881 masked Director - Information Services St. Mary's Regional Medical Center 305 South 5th Street Enid, OK 73701 (580) 233-6100 tracy.andersen@uhsinc.com Provider Int 3 Complete 2013/04/30 12:00:00 2013/05/10 12:00:00 2013/05/10 03:24:30 UV 2.16.840.1.113883.3.3114 dch Driscoll Children's Hospital Christine LaBaume masked Christine LaBaume Driscoll Children's Hospital IS Department 3533 S. Alameda Corpus Christi, TX 78411 361-694-6675 masked IS Systems Analyst II/Physician Support Liaison Driscoll Children's Hospital Driscoll Children's Hospital IS Department 3533 S. Alameda Corpus Christi, TX 78411 361-694-5000 chris.labaume@dchstx.org Provider Int 3 Complete 2013/04/30 12:00:00 2013/05/10 12:00:00 2013/05/10 03:27:11 UV 2.16.840.1.113883.3.3115 nsc Next Step Citizen Aksel Schmidt masked Lisbeth Valther Aksel Schmidt Trifork A/S Margrethepladsen 4 DK-8000 Aarhus C. Denmark +45 87 32 87 87 masked Developer Next Step Citizen Ravnevej 12 DK-6705 Esbjerg &#216; Denmark mail@nextstepcitizen.com http://www.nextstepcitizen.dk/ Provider Int 3 Complete 2013/05/01 12:00:00 2013/05/10 12:00:00 2013/05/10 03:30:46 UV 2.16.840.1.113883.3.1070.5240 mckesson-fusion-5240 mckesson-fusion-5240 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5240 2013/05/01 12:00:00 2013/05/10 12:00:00 2013/05/10 03:37:07 US 2.16.840.1.113883.3.1070.5241 mckesson-fusion-5241 mckesson-fusion-5241 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5241 2013/05/01 12:00:00 2013/05/10 12:00:00 2013/05/10 03:38:03 US 2.16.840.1.113883.3.3116 pointec Pointe Coupee General Hospital Anthony Sauro masked Danny Lozovvy Anthony Sauro 2202 False River Dr. New Roads, Louisiana 70760 (225) 618-4520 masked Pointe Coupee General Hospital 2202 False River Dr. New Roads, Louisiana 70760 (225) 638-6331 it@pcgh.org Provider Int 3 Complete 2013/05/01 12:00:00 2013/05/10 12:00:00 2013/05/10 03:32:27 UV 2.16.840.1.113883.4.636 xerox-Xds-ccd CCD Xerox HIE Doug DeShazo masked Doug DeShazo 678-243-9634 masked Xerox State Healthcare, LLC 9040 Roswell Road Atlanta, GA 30350 678-243-9634 douglas.deshazo@xerox.com Vendor 2.16.840.1.113883.3.2839 Int 4 Complete 2013/05/01 12:00:00 2013/05/10 12:00:00 2013/05/10 03:40:57 UV 2.16.840.1.113883.3.3117 nwhsarbv Northwest Medical Center - Bentonville Darius Brown masked Darius Brown 251-802-1158 masked Northwest Medical Center - Bentonville 3000 Medical Center Parkway Bentonville, AR 72712 479-553-1000 4797578024 BBaber@NW-Health.com Provider Int 3 3 Complete 2013/05/01 12:00:00 2013/05/10 12:00:00 2013/05/10 03:43:47 UV 2.16.840.1.113883.3.3118 nwhsarwc Willow Creek Women's Hospital Darius Brown masked Darius Brown 251-802-1158 masked Willow Creek Women's Hospital 4301 Greathouse Springs Road Johnson, AR 72741 479-684-3000 BBaber@NW-Health.com Provider Int 3 3 Complete 2013/05/01 12:00:00 2013/05/10 12:00:00 2013/05/10 03:45:08 UV 2.16.840.1.113883.3.3119 nmcyo Northside Medical Center Bert Burch masked Barry_Fitts@vchs.net Barry Fitts (330) 884-1000 masked Northside Medical Center 500 Gypsy Lane Youngstown, OH 44501 (330) 884-1000 Barry_Fitts@vchs.net Provider Int 3 3 Complete 2013/05/01 12:00:00 2013/05/10 12:00:00 2013/05/10 03:46:47 UV 2.16.840.1.113883.3.3120 tmhyo Trumbull Memorial Hospital Bert Burch masked Barry_Fitts@vchs.net Barry Fitts 1350 East Market Street Warren, OH 44482 (330) 841-9011 masked Trumbull Memorial Hospital 1350 East Market Street Warren, OH 44482 (330) 841-9011 Barry_Fitts@vchs.net Provider Int 3 3 Complete 2013/05/01 12:00:00 2013/05/10 12:00:00 2013/05/10 03:51:10 UV 2.16.840.1.113883.3.3121 hrhwo Hillside Rehabilitation Hospital Bert Burch masked Barry_Fitts@vchs.net Barry Fitts 8747 Squires Lane NE Warren, OH 4448 (330) 841-9011 masked Hillside Rehabilitation Hospital 8747 Squires Lane NE Warren, OH 4448 (330) 841-9011 Barry_Fitts@vchs.net Provider Int 3 3 Complete 2013/05/01 12:00:00 2013/05/10 12:00:00 2013/05/10 03:52:24 UV 2.16.840.1.113883.3.1070.5252 mckesson-fusion-5252 mckesson-fusion-5252 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5252 2013/05/02 12:00:00 2013/05/10 12:00:00 2013/05/10 03:54:55 US 2.16.840.1.113883.3.3122 nrhsvm River Region Health System Bert Burch masked JB White JB White 2100 Highway 61 North Vicksburg, MS 39183 601-883-5000 masked River Region Health System 2100 Highway 61 North Vicksburg, MS 39183 601-883-5000 jb_white@chs.net Provider Int 3 3 Complete 2013/05/02 12:00:00 2013/05/10 12:00:00 2013/05/10 03:56:50 UV 2.16.840.1.113883.3.3123 fleyecare Florida Eyecare Lawrence Sider masked Lawrence Sider 2200 Glades Rd Suite 105 Boca Raton, FL 33431 561-226-4920 masked ODPA Florida Eyecare 2200 Glades Rd Suite 105 Boca Raton, FL 33431 561-226-4920 siderdoc@gmail.com http://www.drsider.com Provider Int 3 Complete 2013/05/02 12:00:00 2013/05/10 12:00:00 2013/05/10 03:59:36 UV 2.16.840.1.113883.3.3124 smh-root Adair County Health Center Root OID ALAN ADAMS masked JAMES CAUSON JAMES CAUSON 15 W 6TH ST STE 2310 TULSA, OK 74119 918-382-7000 masked CPA ADAIR COUNTY HEALTH CENTER, INC. 1401 W LOCUST P.O. BOX 272 STILWELL, OK 74960 918-696-3101 jim@cwcpas.com Provider Int 3 3 Complete 2013/05/02 12:00:00 2013/05/10 12:00:00 2013/05/10 04:02:35 UV 2.16.840.1.113883.3.3125 shc-OID SURVEYOR Health Corporation Shawn Kessler masked Shawn Kessler 1715 46th Ave San Francisco, CA 94122 408 656-4988 masked Distinguished Engineer SURVEYOR Health Corporation 648 Greenwich Lane Foster City, CA 94404 877.797.8783 info@sureyorhealth.com http://www.surveyorhealth.com Vendor Int 3 Complete 2013/05/02 12:00:00 2013/05/10 12:00:00 2013/05/10 04:16:25 UV 2.16.840.1.113883.3.3126 kno2base Kno2 Base OID Samir Jain masked Therasa Bell Therasa Bell 404 S. 8th Street Ste. 250 Boise, ID 83702 208-473-2198 masked President & CTO Kno2 LLC 404 S. 8th Street Ste. 250 Boise, ID 83702 208-473-2198 tbell@kno2.com http://www.kno2.com Vendor Int 3 Complete 2013/05/03 12:00:00 2013/05/10 12:00:00 2019/12/19 08:54:21 UV 2.16.840.1.113883.3.3127 ehrez EHRez Francis Berrios masked Francis Berrios 5 Calle Detroit Urb Caribe San Juan, PR 00926 7876250440 masked Director E-Health Partners, Inc. development@ehrez.com Vendor Int 3 Complete 2013/05/03 12:00:00 2013/05/10 12:00:00 2022/02/08 02:25:57 UV 2.16.840.1.113883.3.3128 p-c-h-c Pueblo Community Health Center Julie Martinez masked Julie A. Martinez 110 E. Routt Ave Pueblo, CO 81004 719-543-8718 x145 masked Laboratory Manager / Infection Control Practitioner Pueblo Community Health Center 110 E. Routt Ave. Pueblo, CO 81004 719-543-8718 x145 jmartinez@pueblochc.org http://www.pueblochc.org Provider Int 3 Complete 2013/05/03 12:00:00 2013/05/10 12:00:00 2013/05/10 04:23:33 UV 2.16.840.1.113883.3.3098.1 medisoftclinical Medisoft Clinical by McKesson Gregory Julian masked Gregory Julian 4741 Central Street - 266 Kansas City, MO 64112 3142833003 masked VAR Dr. Bruce Daniels 4221 S Western Ave - 405 Oklahoma City, OK 73109-3447 (405) 636-1166 lesa@danielsmdpc.com Provider 2.16.840.1.113883.3.3098 Ext 14 14 Complete 2.16.840.1.113883.3.3098.1 2013/05/06 12:00:00 2013/05/10 12:00:00 2013/05/10 04:27:45 UV 2.16.840.1.113883.3.1070.5243 mckesson-fusion-5243 mckesson-fusion-5243 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5243 2013/05/06 12:00:00 2013/05/10 12:00:00 2013/05/10 04:33:45 US 2.16.840.1.113883.3.3129 altamed AltaMed Health Services Corporation Rudolph Quiroz masked Paul Daly 2040 Camfield Avenue Los Angeles, CA 90040 3237258751 masked AVP of Information Technology AltaMed Health Services Corporation 2040 Camfield Avenue Los Angeles, CA 90040 (323) 725-8751 pdaly@la.altamed.org http://www.altamed.org/ Govt body Int 3 Complete 2013/05/06 12:00:00 2013/05/10 12:00:00 2013/05/10 04:37:05 UV 2.16.840.1.113883.4.638 rlu Birmingham Women's Hospital NHS Trust Paul Fletcher masked Paul Fletcher Queen Elizabeth Hospital Birmingham Wolfson Building, First Floor Mindelsohn Way, Edgbaston Birmingham West Midlands B15 2TH 0121 371 2128 masked Head of Development Services Birmingham Women's Hospital NHS Foundation Trust Birmingham Womens Hospital Mindelson Way Edgbaston, Birmingham, West Midlands B15 2TG 0121 472 1377 Daimon.Harris@bwhct.nhs.uk http://www.bwhct.nhs.uk HL7 body Int 4 Complete 2013/05/06 12:00:00 2013/05/10 12:00:00 2013/05/10 04:40:58 UK 2.16.840.1.113883.4.639 rrj The Royal Orthopaedic Hospital NHS Foundation Trust Paul Fletcher masked Paul Fletcher Queen Elizabeth Hospital Birmingham Wolfson Building, First Floor Edgbaston Birmingham B15 2TH 0121 371 2128 masked Head of Development Services The Royal Orthopaedic Hospital NHS Foundation Trust The Royal Orthopaedic Hospital Bristol Road South Northfield Birmingham B31 2AP 0121 685 4000 David.Wheeley@nhs.net http://www.roh.nhs.uk HL7 body Int 4 Complete 2013/05/06 12:00:00 2013/05/10 12:00:00 2013/05/10 04:44:05 UK 2.51.1.7 gsrn Global Service Relation Number Christian Hay masked Ted Klein Christian Hay Grand Rue 34 1180 Rolle Switzerland 0041218253219 masked Sr consultant Healthcare GS1 Avenue Louise 326 b 10 B 1050 Brussels Belgium +32 2 788 7800 henri.barthel@gs1.org http://www.gs1.org SDO 2.51 Ext 4 4 Complete 2.51.1.7 2013/05/06 12:00:00 2013/05/06 12:00:00 2013/05/06 03:40:22 UV 2.16.840.1.113883.3.3130 ccmc Comanche County Medical Center Ismelda Garza masked Ismelda Garza 10201 Highway 16 North Comanche, TX 76442 254-879-4904 masked IT Director Comanche County Medical Center 10201 Highway 16 North Comanche, TX 76442 254-879-4900 igarza@comanchecmc.com http://www.comanchecmc.com Provider Int 3 Complete 2013/05/06 12:00:00 2013/05/10 12:00:00 2013/05/10 04:47:56 UV 2.16.840.1.113883.3.3131 io-insideout10 InsideOut10 David Riccitelli masked David Riccitelli +390662279191 masked InsideOut10 info@insideout.io Vendor Int 3 Complete 2013/05/07 12:00:00 2013/05/10 12:00:00 2013/05/10 04:49:25 UV 2.16.840.1.113883.3.3132 woodwardregional Woodward Regional Hospital Brian Chaffin masked Erika Ford 900 17th Street Woodward, OK 73801 405-226-9705 masked Woodward Regional Hospital EFord@WoodwardHospital.com Provider Int 3 Complete 2013/05/07 12:00:00 2013/05/10 12:00:00 2013/05/10 04:51:23 UV 2.16.840.1.113883.3.1070.5251 mckesson-fusion-5251 mckesson-fusion-5251 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5251 2013/05/07 12:00:00 2013/05/10 12:00:00 2013/05/10 04:56:29 US 2.16.840.1.113883.3.3133 northwestmedicalcenter Northwest Medical Center Association OID Root James Crouch masked James Crouch 705 N College St. Albany, MO 64402 660 726 3941 masked V.P. Technical Services/CIO Northwest Medical Center Association 705 N College St. Albany, MO 64402 660 726 3941 james.crouch@northwestmedicalcenter.net http://www.northwestmedicalcenter.org/ Provider Int 3 3 Complete 2013/05/07 12:00:00 2013/05/10 12:00:00 2013/05/10 04:54:18 US 2.16.840.1.113883.3.1070.5249 mckesson-fusion-5249 mckesson-fusion-5249 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5249 2013/05/07 12:00:00 2013/05/10 12:00:00 2013/05/10 04:58:42 US 2.16.840.1.113883.18.3 problem-goalAction HL7 Table 0287 - Problem/goal action code Ted Klein masked Tammara Jean Paul Patient Care Workgroup 734-677-6777 masked Patient Care Workgroup Health Level Seven International 3300 Washtenaw Ave. Suite 227 Ann Arbor, MI 48104 734-677-7777 hq@hl7.org http://www.hl7.org HL7 body 2.16.840.1.113883 Int 18 Complete 2013/05/07 12:00:00 2013/05/10 12:00:00 2013/05/10 05:03:15 HL70287 UV 2.16.840.1.113883.3.1070.5242 mckesson-fusion-5242 mckesson-fusion-5242 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5242 2013/05/07 12:00:00 2013/05/10 12:00:00 2013/05/10 05:06:29 US 2.16.840.1.113883.3.1070.5247 mckesson-fusion-5247 mckesson-fusion-5247 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5247 2013/05/07 12:00:00 2013/05/10 12:00:00 2013/05/10 05:07:44 US 1.2.36.1.2001.1005.26.1 sa-health-ehs-doc-id SA Health Clinical Document ID Simon Biber masked SA Health eHealth Systems Simon Biber Level 9, 45 Grenfell Street Adelaide SA 5000 Australia 08 8425 1461 masked eHealth National Reform Analyst SA Health eHealth Systems Health.eHealthNationalReform@health.sa.gov.au http://www.sahealth.sa.gov.au Govt body 1.2.36.1.2001.1005.26 Ext 14 14 Complete 1.2.36.1.2001.1005.26.1 2013/05/07 12:00:00 2013/05/10 12:00:00 2013/05/10 05:09:39 UV 1.2.36.1.2001.1005.26.1.1 sa-health-ehs-doc-id-oacis SA Health Oacis Document ID Simon Biber masked SA Health eHealth Systems Simon Biber Level 9, 45 Grenfell Street Adelaide SA 5000 Australia 08 8425 1461 masked eHealth National Reform Analyst SA Health eHealth Systems Health.eHealthNationalReform@health.sa.gov.au http://www.sahealth.sa.gov.au Govt body 1.2.36.1.2001.1005.26 Ext 4 Complete 1.2.36.1.2001.1005.26.1.1 2013/05/07 12:00:00 2013/05/10 12:00:00 2013/05/10 05:14:41 UV 1.2.36.1.2001.1005.26.1.2 sa-health-ehs-doc-id-puma SA Health PUMA Document ID Simon Biber masked SA Health eHealth Systems Simon Biber Level 9, 45 Grenfell Street Adelaide SA 5000 Australia 08 8425 1461 masked eHealth National Reform Analyst SA Health eHealth Systems Health.eHealthNationalReform@health.sa.gov.au http://www.sahealth.sa.gov.au Govt body 1.2.36.1.2001.1005.26 Ext 4 Complete 1.2.36.1.2001.1005.26.1.2 2013/05/07 12:00:00 2013/05/10 12:00:00 2013/05/10 05:15:45 UV 1.2.36.1.2001.1005.26.1.3 sa-health-ehs-doc-id-epas SA Health EPAS Document ID Simon Biber masked SA Health eHealth Systems Simon Biber Level 9, 45 Grenfell Street Adelaide SA 5000 Australia 08 8425 1461 masked eHealth National Reform Analyst SA Health eHealth Systems Health.eHealthNationalReform@health.sa.gov.au http://www.sahealth.sa.gov.au Govt body 1.2.36.1.2001.1005.26 Ext 4 Complete 1.2.36.1.2001.1005.26.1.3 2013/05/08 12:00:00 2013/05/10 12:00:00 2013/05/10 05:16:37 UV 1.2.36.1.2001.1005.26.2 sa-health-ehs-set-id SA Health Clinical Document Set ID Simon Biber masked SA Health eHealth Systems Simon Biber Level 9, 45 Grenfell Street Adelaide SA 5000 Australia 08 8425 1461 masked eHealth National Reform Analyst SA Health eHealth Systems Health.eHealthNationalReform@health.sa.gov.au http://www.sahealth.sa.gov.au Govt body 1.2.36.1.2001.1005.26 Ext 4 14 Complete 1.2.36.1.2001.1005.26.2 2013/05/08 12:00:00 2013/05/10 12:00:00 2013/05/10 05:21:40 UV 1.2.36.1.2001.1005.26.2.1 sa-health-ehs-set-id-oacis SA Health Oacis Document Set ID Simon Biber masked SA Health eHealth Systems Simon Biber Level 9, 45 Grenfell Street Adelaide SA 5000 Australia 08 8425 1461 masked eHealth National Reform Analyst SA Health eHealth Systems Health.eHealthNationalReform@health.sa.gov.au http://www.sahealth.sa.gov.au Govt body 1.2.36.1.2001.1005.26 Ext 4 Complete 1.2.36.1.2001.1005.26.2.1 2013/05/08 12:00:00 2013/05/10 12:00:00 2013/05/10 05:23:03 UV 1.2.36.1.2001.1005.26.2.2 sa-health-ehs-set-id-puma SA Health PUMA Document Set ID Simon Biber masked SA Health eHealth Systems Simon Biber Level 9, 45 Grenfell Street Adelaide SA 5000 Australia 08 8425 1461 masked eHealth National Reform Analyst SA Health eHealth Systems Health.eHealthNationalReform@health.sa.gov.au http://www.sahealth.sa.gov.au Govt body 1.2.36.1.2001.1005.26 Ext 4 Complete 1.2.36.1.2001.1005.26.2.2 2013/05/08 12:00:00 2013/05/10 12:00:00 2013/05/10 05:24:19 UV 1.2.36.1.2001.1005.26.2.3 sa-health-ehs-set-id-epas SA Health EPAS Document Set ID Simon Biber masked SA Health eHealth Systems Simon Biber Level 9, 45 Grenfell Street Adelaide SA 5000 Australia 08 8425 1461 masked eHealth National Reform Analyst SA Health eHealth Systems Health.eHealthNationalReform@health.sa.gov.au http://www.sahealth.sa.gov.au Govt body 1.2.36.1.2001.1005.26 Ext 4 Complete 1.2.36.1.2001.1005.26.2.3 2013/05/08 12:00:00 2013/05/10 12:00:00 2013/05/10 05:25:24 UV 1.2.36.1.2001.1005.26.3 sa-health-ehs-clinical-doc-code-sets SA Health Clinical Document Code Sets Simon Biber masked SA Health eHealth Systems Simon Biber Level 9, 45 Grenfell Street Adelaide SA 5000 Australia 08 8425 1461 masked eHealth National Reform Analyst SA Health eHealth Systems Health.eHealthNationalReform@health.sa.gov.au http://www.sahealth.sa.gov.au Govt body 1.2.36.1.2001.1005.26 Ext 15 14 Complete 1.2.36.1.2001.1005.26.3 2013/05/08 12:00:00 2013/05/10 12:00:00 2013/05/10 05:28:27 UV 1.2.36.1.2001.1005.26.3.1 sa-health-ehs-clinical-doc-section SA Health Clinical Document Section Simon Biber masked SA Health eHealth Systems Simon Biber Level 9, 45 Grenfell Street Adelaide SA 5000 Australia 08 8425 1461 masked eHealth National Reform Analyst SA Health eHealth Systems Health.eHealthNationalReform@health.sa.gov.au http://www.sahealth.sa.gov.au Govt body 1.2.36.1.2001.1005.26 Ext 15 Complete 1.2.36.1.2001.1005.26.3.1 2013/05/08 12:00:00 2013/05/10 12:00:00 2013/05/10 05:37:20 UV 1.2.36.1.2001.1005.26.3.2 sa-health-ehs-medication-status SA Health Separation Summary Medication Status Simon Biber masked SA Health eHealth Systems Simon Biber Level 9, 45 Grenfell Street Adelaide SA 5000 Australia 08 8425 1461 masked eHealth National Reform Analyst SA Health eHealth Systems Health.eHealthNationalReform@health.sa.gov.au http://www.sahealth.sa.gov.au Govt body 1.2.36.1.2001.1005.26 Ext 15 Complete 1.2.36.1.2001.1005.26.3.2 2013/05/08 12:00:00 2013/05/10 12:00:00 2013/05/10 05:39:16 UV 1.2.36.1.2001.1005.26.5 sa-health-ehs-recipient-org SA Health Recipient Organisation Simon Biber masked SA Health eHealth Systems Simon Biber Level 9, 45 Grenfell Street Adelaide SA 5000 Australia 08 8425 1461 masked eHealth National Reform Analyst SA Health eHealth Systems Health.eHealthNationalReform@health.sa.gov.au http://www.sahealth.sa.gov.au Govt body 1.2.36.1.2001.1005.26 Ext 4 14 Complete 1.2.36.1.2001.1005.26.5 2013/05/08 12:00:00 2013/05/10 12:00:00 2013/05/10 05:42:25 UV 1.2.36.1.2001.1005.26.5.1 sa-health-ehs-recipient-org-oacis SA Health Oacis Practice Location Simon Biber masked SA Health eHealth Systems Simon Biber Level 9, 45 Grenfell Street Adelaide SA 5000 Australia 08 8425 1461 masked eHealth National Reform Analyst SA Health eHealth Systems Health.eHealthNationalReform@health.sa.gov.au http://www.sahealth.sa.gov.au Govt body 1.2.36.1.2001.1005.26 Ext 4 Complete 1.2.36.1.2001.1005.26.5.1 2013/05/08 12:00:00 2013/05/10 12:00:00 2013/05/10 05:43:54 UV 1.2.36.1.2001.1005.26.6 sa-health-ehs-recipient-ind SA Health Recipient Individual Simon Biber masked SA Health eHealth Systems Simon Biber Level 9, 45 Grenfell Street Adelaide SA 5000 Australia 08 8425 1461 masked eHealth National Reform Analyst SA Health eHealth Systems Health.eHealthNationalReform@health.sa.gov.au http://www.sahealth.sa.gov.au Govt body 1.2.36.1.2001.1005.26 Ext 4 14 Complete 1.2.36.1.2001.1005.26.6 2013/05/08 12:00:00 2013/05/10 12:00:00 2013/05/10 05:47:41 UV 1.2.36.1.2001.1005.26.6.1 sa-health-ehs-recipient-ind-oacis SA Health Oacis Provider Number Simon Biber masked SA Health eHealth Systems Simon Biber Level 9, 45 Grenfell Street Adelaide SA 5000 Australia 08 8425 1461 masked eHealth National Reform Analyst SA Health eHealth Systems Health.eHealthNationalReform@health.sa.gov.au http://www.sahealth.sa.gov.au Govt body 1.2.36.1.2001.1005.26 Ext 4 Complete 1.2.36.1.2001.1005.26.6.1 2013/05/08 12:00:00 2013/05/10 12:00:00 2013/05/10 05:48:36 UV 1.2.36.1.2001.1005.26.7 sa-health-ehs-user SA Health Local System User Simon Biber masked SA Health eHealth Systems Simon Biber Level 9, 45 Grenfell Street Adelaide SA 5000 Australia 08 8425 1461 masked eHealth National Reform Analyst SA Health eHealth Systems Health.eHealthNationalReform@health.sa.gov.au http://www.sahealth.sa.gov.au Govt body 1.2.36.1.2001.1005.26 Ext 4 14 Complete 1.2.36.1.2001.1005.26.7 2013/05/08 12:00:00 2013/05/10 12:00:00 2013/05/10 05:49:42 UV 1.2.36.1.2001.1005.26.7.1 sa-health-ehs-user-had SA Health Active Directory Account Simon Biber masked SA Health eHealth Systems Simon Biber Level 9, 45 Grenfell Street Adelaide SA 5000 Australia 08 8425 1461 masked eHealth National Reform Analyst SA Health eHealth Systems Health.eHealthNationalReform@health.sa.gov.au http://www.sahealth.sa.gov.au Govt body 1.2.36.1.2001.1005.26 Ext 4 Complete 1.2.36.1.2001.1005.26.7.1 2013/05/08 12:00:00 2013/05/10 12:00:00 2013/05/10 05:51:27 UV 1.2.36.1.2001.1005.26.7.2 sa-health-ehs-user-oacis SA Health Oacis User ID Simon Biber masked SA Health eHealth Systems Simon Biber Level 9, 45 Grenfell Street Adelaide SA 5000 Australia 08 8425 1461 masked eHealth National Reform Analyst SA Health eHealth Systems Health.eHealthNationalReform@health.sa.gov.au http://www.sahealth.sa.gov.au Govt body 1.2.36.1.2001.1005.26 Ext 4 Complete 1.2.36.1.2001.1005.26.7.2 2013/05/08 12:00:00 2013/05/10 12:00:00 2013/05/10 05:52:38 UV 2.16.840.1.113883.15.11 kasper King's Auxilliary System for Privisional Encoding of Records Richard Bache masked Richard Bache Department of Primary care and Public Health Sciences&#8232; King's College London&#8232; 42 Weston Street, London, SE1 3QD, UK 07766 418151 masked Research Fellow King's College London King's College London, Strand, London WC2R 2LS England United Kingdom +44 (0)20 7836 5454 richard.bache@kcl.ac.uk http://www.kcl.ac.uk Academic Int 15 Complete 2013/05/08 12:00:00 2013/05/10 12:00:00 2013/05/10 05:58:19 UV 2.16.840.1.113883.3.3134 industriellealliance Industrielle Alliance, Assurance et services financiers inc. Julie Ng masked Julie Ng 522 University Avenue 6th Floor Toronto, Ontario M5G 1Y7 416-598-2122 ext 2313 masked Business Analyst Industrial Alliance Insurance and Financial Services Inc. 522 University Avenue 6th Floor Toronto, Ontario M5G 1Y7 1-866-971-3737 olga.makoyeva@inalco.com Payor Int 3 3 Complete 2013/05/08 12:00:00 2013/05/10 12:00:00 2013/05/10 06:03:01 UV 2.16.840.1.113883.3.3135 shc-SrHomeCare Senior Home Care Joe Kurtz masked Joe Kurtz 311 Park Place Blvd., Suite 500 Clearwater, FL 33759 (813) 708-2608 masked Vice President Information Technology and Strategic Planning Senior Home Care 311 Park Place Blvd., Suite 500 Clearwater, FL 33759 (813) 708-2608 Joe.Kurtz@seniorhomecare.net http://www.seniorhomecare.net/ Exchange Int 3 Complete 2013/05/08 12:00:00 2013/05/10 12:00:00 2013/05/10 06:05:28 UV 2.16.840.1.113883.3.3136 kmmic Kent and Medway Medical Imaging Consortium Michael Tatlow masked Monique Corbett Michael Peter Tatlow East Kent Hospitals University NHS Foundation Trust Imaging Department Kent and Canterbury Hospital Ethelbert Road Canterbury Kent, CT1 3NG +44 1622 225757 masked PACS & RIS Services Manager East Kent Hospitals University NHS Foundation Trust Imaging Department Kent and Canterbury Hospital Ethelbert Road Canterbury Kent, CT1 3NG +44 (1227) 868738 monique.corbet@nhs.net http://www.ekhuft.nhs.uk Provider Int 3 3 Complete 2013/05/08 12:00:00 2013/05/10 12:00:00 2013/05/10 06:07:24 UK 2.16.840.1.113883.3.3137 evergreenhs EvergreenHS Kevin Bidtah masked Kevin Bidtah 206 S. Elmwood Ave Buffalo, NY 14201 7168470328 masked Director of Information Technology Evergreen Health Services, Inc. 206 S. Elmwood Ave Buffalo, NY 14201 7168470328 tech@evergreenhs.org http://www.evergreenhs.org Provider Int 3 Complete 2013/05/08 12:00:00 2013/05/10 12:00:00 2013/05/10 06:08:40 UV 2.16.840.1.113883.3.3138 bmsi Bogardus Medical Systems Inc. Charles Whipple masked jstiegelmeyer@oncochart.com Jamie Stiegelmeyer 3555 NW 58th St., Suite 500 Oklahoma City, OK 73112 405-917-0500 masked Director of Technical Operations Bogardus Medical Systems Inc. 3555 NW 58th St., Suite 500 Oklahoma City, OK 73112 405-917-0500 support@oncochart.com http://www.oncochart.com Vendor Int 3 Complete 2013/05/08 12:00:00 2013/05/10 12:00:00 2013/05/10 06:12:58 US 2.16.840.1.113883.3.3139 shswny Spectrum Human Services Christopher Hartnett masked Christopher Hartnett Spectrum Human Services 1280 Main St. PO Box 256 Buffalo, NY 14209 716 539-1794 masked Director of Program Development Spectrum Human Services Spectrum Human Services 227 Thorn Ave. PO Box 631 Orchard Park, NY 14127 716-662-2040 spectrum@shswny.org https://shswny.org Provider Int 3 Complete 2013/05/08 12:00:00 2013/05/10 12:00:00 2013/05/10 06:14:51 UV 2.16.840.1.113883.3.3140 lodofdepaul Living Opportunities of DePaul, Inc. Joseph Auria masked Kate Rider Kate Rider 2240 Old Union Road Cheektowaga, NY 14227 716-608-1000 masked Senior Accountant Living Opportunities of DePaul, Inc. 2240 Old Union Road Cheektowaga, NY 14227 716-608-1000 krider@depaul.org http://depaul.org Provider Int 3 Complete 2013/05/08 12:00:00 2013/05/10 12:00:00 2013/05/10 06:24:45 UV 2.16.840.1.113883.3.3141 fugao Shanghai Fugao Computer Technology Co.,Ltd Yang Gao masked Yang Gao No.28 Jiang Chang Road,Pudong New District&#65292;Shanghai,China Postal Code:200126 +8618616203696 masked R&D Development Director Shanghai Fugao Computer Technology Co.,Ltd No.28 Jiang Chang Road,Pudong New District&#65292;Shanghai,China Postal Code:200126 021-36369093 gaoyang4011@126.com http://www.fugle.cn/ Provider Int 3 3 Complete 2013/05/09 12:00:00 2013/05/10 12:00:00 2013/06/04 03:50:14 CN 2.16.840.1.113883.3.3142 parrish North Brevard County Hospital District dba Parrish Medical Center Jonie Ruch masked Shawn Newberry LeeAnn Cottrell 951 North Washington Avenue Titusville, FL 32796 321 268 6111 masked AVP/CNIO North Brevard County Hospital District dba Parrish Medical Center 951 North Washington Avenue Titusville, FL 32796 321 268 6111 LeeAnn.Cottrell@parrishmed.com https://www.parrishhealthcare.com/ Provider Int 3 Complete 2013/05/09 12:00:00 2013/05/10 12:00:00 2026/10/08 10:21:16 UV 2.16.840.1.113883.3.3143 tsi Transitional Services, Inc. Mark Kraus masked Rosemary Duran Mark Kraus Transitioanal Services, Inc. 389 Elmwood Ave Buffalo, NY 14222 716-874-8182 - ext 1341 masked Director Of Quality Improvement Transitional Services, Inc Transitioanal Services, Inc. 389 Elmwood Ave Buffalo, NY 14222 716-874-8182 mkraus@tsiwny.org Provider Int 3 Complete 2013/05/09 12:00:00 2013/05/10 12:00:00 2013/05/10 06:31:29 UV 2.16.840.1.113883.3.1070.5257 mckesson-fusion-5257 mckesson-fusion-5257 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5257 2013/05/09 12:00:00 2013/05/10 12:00:00 2013/05/10 06:33:04 US 2.16.840.1.113883.3.3144 mncm Minnesota Community Measurement Hannah Masuga masked Collette Pitzen Hannah Masuga 6124544810 masked Minnesota Community Measurement info@mncm.org SDO Int 3 Complete 2013/05/09 12:00:00 2013/05/10 12:00:00 2013/05/10 06:36:58 UV 2.16.840.1.113883.3.3145 akmh Abrom Kaplan Memorial Hospital Bryce Quebodeaux masked Bryce Quebodeaux Abrom Kaplan Memorial Hospital 1310 W 7th Street Kaplan, LA 70548 337-643-8300 masked Assistant Administrator Abrom Kaplan Memorial Hospital Abrom Kaplan Memorial Hospital 1310 W 7th Street Kaplan, LA 70548 337-643-8300 b_queb@kaplantel.net Provider Int 3 Complete 2013/05/09 12:00:00 2013/05/10 12:00:00 2013/05/10 06:38:04 UV 2.16.840.1.113883.3.3146 t-houston t.houston Terrell Houston masked Terrell Houston 16007 Victory Blvd #A Van Nuys, CA 91406 818-994-7448 masked Terrell Houston houston@visionstarter.com Vendor Int 3 Complete 2013/05/10 12:00:00 2013/05/10 12:00:00 2013/05/10 06:41:52 UV 2.16.840.1.113883.3.3147 tootalldocs Too Tall Docs PA Joan Koop masked Paul Jones Joan Koop 599 Ninth St N #307 Naples , Florida 34102 2395952653 masked Manager Too Tall Docs PA 599 Ninth St. N #307 Naples, Florida 34102 2393254804 drjones@tootalldocs.com https://pwx.cernerworks.com/Prod/auth/login.aspx Provider Int 3 Complete 2013/05/10 12:00:00 2013/05/10 12:00:00 2013/05/10 06:44:46 UV 2.16.840.1.113883.3.3148 bgfmc Banner Goldfield Medical Center Steve Drozdowski masked Steve Drozdowski 1441 N. 12th St. Phoenix, AZ 85006 602-747-4319 masked IT Software Integration Sr Consultant Banner Goldfield Medical Center 2050 W. Southern Ave. Apache Junction, AZ 85120 480-237-3200 steve.drozdowski@bannerhealth.com http://www.bannerhealth.com Provider Int 3 Complete 2013/05/10 12:00:00 2013/05/10 12:00:00 2013/05/10 06:46:08 UV 2.16.840.1.113883.3.3149 balticstreet Baltic Street AEH Adam Yoder masked Sara Goodman 882 Third Avenue Brooklyn, NY 11232 718-788-6100 masked Director - OPTUM Bridger Project Baltic Street AEH 882 Third Avenue Brooklyn, NY 11232 718-788-6100 sgoodman@balticstreet.org http://www.balticstreet.org Provider Int 3 Complete 2013/05/10 12:00:00 2013/05/10 12:00:00 2013/05/10 06:48:01 UV 2.16.840.1.113883.4.640 yEAR Blackston Valley Center for Internal Medicine Michael Oakes masked Michael Oakes 401-654-4000 masked Blackstone Valley Center for Internal Medicine 191 Social St #840 Woonsocket, RI 02895 (401) 762-2535 pestrata@yahoo.com Provider 2.16.840.1.113883.3.1348 Int 3 Complete 2013/05/10 12:00:00 2013/05/10 12:00:00 2013/05/10 06:57:46 UV 2.16.840.1.113883.3.3150 ada-snodent Systematized Nomenclature of Dentistry Jean Narcisi masked David Preble Jean Narcisi American Dental Association 211 East Chicago Chicago, IL 60654 Att. Department of Dental Informatics 312-440-2750 masked Dental Informatics Director American Dental Association American Dental Association 211 East Chicago Chicago, IL 60654 Att. Department of Dental Informatics 312-440-2500 SNODENT@ada.org http://www.ada.org/snodent.aspx Prof Soc 2.16.840.1.113883.6.13 Int 6 Complete 2013/05/10 12:00:00 2013/05/10 12:00:00 2013/05/10 06:49:57 UV 2.16.840.1.113883.3.3151 premier Premier HealthCare Marianne Kosits masked Cecilia Carter 460 West 34th Street, 11th Floor New York, NY 10001 212-273-6667 masked Project Manager Premier HealthCare 460 West 34th Street, 9th Floor New York, NY 10001 cecilia.carter@yai.org http://www.yai.org/agencies/phc/ Provider Int 3 Complete 2013/05/10 12:00:00 2013/05/10 12:00:00 2013/05/10 06:52:41 UV 2.16.840.1.113883.3.1336.2 srhclch Salina Regional Health Center Lindsborg Community Hospital Facility Mike McEldowney masked Mike McEldowney 785-452-6005 masked Director of Information Technology Salina Regional Health Center 400 S Santa Fe Salina, KS 67401 785-452-7000 mmceldow@srhc.com http://www.srhc.com Provider 2.16.840.1.113883.3.1336 Ext 17 Complete 2.16.840.1.113883.3.1336.2 2013/05/13 12:00:00 2013/05/28 12:00:00 2013/05/28 02:33:03 UV 2.16.840.1.113883.3.2727.900.1 ahc-BMC Advocate Health Care-BMC Paulette Duong masked Paulette Duong 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 masked Technical Project Manager Paulette Duong 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 paulette.duong@advocatehealth.com Provider 2.16.840.1.113883.3.2727 Ext 17 Complete 2.16.840.1.113883.3.2727.900.1 2013/05/13 12:00:00 2013/05/28 12:00:00 2013/05/28 02:38:25 UV 2.16.840.1.113883.3.1871.3.913 afnewimm AFSFN Newman Immunization Clinic Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst Rodney Rice 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 4 4 Complete 2.16.840.1.113883.3.1871.3.913 2013/05/13 12:00:00 2013/05/28 12:00:00 2013/05/28 02:56:35 UV 2.16.840.1.113883.3.3152 ahc-EUR1 Advocate Health Care-EUR Paulette Duong masked Paulette Duong 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 masked Paulette Duong 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 paulette.duong@advocatehealth.com Provider 2.16.840.1.113883.3.2727.1000.1 Int 2.16.840.1.113883.3.2727.1000.1 3 Deprecated 2013/05/13 12:00:00 2015/11/24 04:18:06 UV 2.16.840.1.113883.3.2727.1000.1 ahc-EUR Advocate Health Care-EUR Paulette Duong masked Paulette Duong 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 masked Technical Project Manager Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 paulette.duong@advocatehealth.com Provider 2.16.840.1.113883.3.2727.1000.1 Ext 3 Complete 2.16.840.1.113883.3.2727.1000.1 2013/05/13 12:00:00 2013/05/28 12:00:00 2013/05/28 03:07:00 UV 2.16.840.1.113883.4.391.55 ahc-HH-INTCHG Advocate Health Care-HH-INTCHG Paulette Duong masked Paulette Duong 630-575-3285 masked Advocate Health Care 1400 Kensington Road Oak Park, IL 60523 630-575-3285 paulette.duong@advocatehealth.com Provider 2.16.840.1.113883.4.391 Ext 14 Complete 2.16.840.1.113883.4.391.55 2013/05/13 12:00:00 2016/07/11 12:00:00 2016/07/11 04:25:15 UV 2.16.840.1.113883.4.391.56 ahc-HH-INTNML Advocate Health Care-HH-INTNML Paulette Duong masked Paulette Duong 630-575-3285 masked Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 paulette.duong@advocatehealth.com Provider 2.16.840.1.113883.4.391 Ext 14 Complete 2.16.840.1.113883.4.391.56 2013/05/13 12:00:00 2016/07/11 12:00:00 2016/07/11 04:27:45 UV 2.16.840.1.113883.4.391.57 ahc-HH-HPCCHG Advocate Health Care-HH-HPCCHG Paulette Duong masked Paulette Duong 630-575-3285 masked Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 paulette.duong@advocatehealth.com Provider 2.16.840.1.113883.4.391 Ext 14 Complete 2.16.840.1.113883.4.391.57 2013/05/13 12:00:00 2016/07/11 12:00:00 2016/07/11 04:47:32 UV 2.16.840.1.113883.4.391.58 ahc-HH-HPCNML Advocate Health Care-HH-HPCNML Paulette Duong masked Paulette Duong 630-575-3285 masked Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 paulette.duong@advocatehealth.com Provider 2.16.840.1.113883.4.391 Ext 14 Complete 2.16.840.1.113883.4.391.58 2013/05/13 12:00:00 2016/07/11 12:00:00 2016/07/11 04:51:31 UV 2.16.840.1.113883.3.3153 stanlyRMC Stanly Regional Medical Center Jason Skeen masked Brian Freeman PO Box 1489 Albemarle, NC 28002 704-984-4223 masked VP of Operations Brian Freeman PO Box 1489 Albemarle, NC 28002 704-984-4223 brian.freeman@stanly.org http://www.stanly.org Provider Int 3 Complete 2013/05/13 12:00:00 2013/05/28 12:00:00 2013/05/28 03:15:16 UV 2.16.840.1.113883.4.391.59 ahc-HH-SKILLD Advocate Health Care-HH-SKILLD Paulette Duong masked Paulette Duong 630-575-3285 masked Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 paulette.duong@advocatehealth.com Provider 2.16.840.1.113883.4.391 Ext 14 Complete 2.16.840.1.113883.4.391.59 2013/05/13 12:00:00 2016/07/11 12:00:00 2016/07/11 04:54:09 UV 2.16.840.1.113883.3.3154 stanlyMS Stanly Medical Services Jason Skeen masked Brad Marino 320 Yadkin St. Suite B Albemarle, NC 28001 704-984-8220 masked VP Physician Network/Surgery Stanly Medical Services 320 Yadkin St. Suite B Albemarle, NC 28001 704-984-8220 brad.marino@stanly.org http://www.stanlymedicalservices.org Provider Int 3 Complete 2013/05/13 12:00:00 2013/05/28 12:00:00 2013/05/28 03:17:09 UV 2.16.840.1.113883.4.391.60 ahc-HH-PALITV Advocate Health Care-HH-PALITV Paulette Duong masked Paulette Duong 630-575-3285 masked Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 paulette.duong@advocatehealth.com Provider 2.16.840.1.113883.4.391 Ext 14 Complete 2.16.840.1.113883.4.391.60 2013/05/13 12:00:00 2016/07/11 12:00:00 2016/07/11 04:56:45 UV 2.16.840.1.113883.4.391.61 ahc-HH-TRANSL Advocate Health Care-HH-TRANSL Paulette Duong masked Paulette Duong 630-575-3285 masked Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 paulette.duong@advocatehealth.com Provider 2.16.840.1.113883.4.391 Ext 14 Complete 2.16.840.1.113883.4.391.61 2013/05/13 12:00:00 2016/07/11 12:00:00 2016/07/11 04:59:20 UV 2.16.840.1.113883.3.2402.200.153 physicians-computer-company-clients-cpam Physician's Computer Company (PCC) Clients Center For Pediatrics And Adolescent Medicine Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.153 2013/05/13 12:00:00 2013/05/28 12:00:00 2013/05/28 03:19:51 UV 2.16.840.1.113883.3.2402.200.180 physicians-computer-company-clients-ep Physician's Computer Company (PCC) Clients Essex Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.180 2013/05/13 12:00:00 2013/05/28 12:00:00 2013/05/28 03:21:49 UV 2.16.840.1.113883.3.2402.200.229 physicians-computer-company-clients-hpc Physician's Computer Company (PCC) Clients Hershey Pediatric Center Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.229 2013/05/13 12:00:00 2013/05/28 12:00:00 2013/05/28 03:27:37 UV 2.16.840.1.113883.3.2402.200.6804 physicians-computer-company-clients-tlc Physician's Computer Company (PCC) Clients TLC Pediatrics of Frisco Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6804 2013/05/13 12:00:00 2013/05/28 12:00:00 2013/05/28 03:30:13 UV 2.16.840.1.113883.3.3155 ttho Through the Hayes Optometry, Inc Therese Langille masked Angela Tam Therese Langille, OD 529 Hayes Street San Francisco, CA 94102 415-553-6166 masked Owner/President of TTHO, Inc Through the Hayes Optometry, Inc 529 Hayes Street San Francisco, CA 94102 415-553-6166 tthtanda@gmail.com http://www.throughthehayes.com Provider Int 3 Complete 2013/05/13 12:00:00 2013/05/28 12:00:00 2013/05/28 03:31:16 UV 2.16.840.1.113883.3.3156 sshla Southern Surgical Hospital Slidell LA Buddy Graves masked John Mitchell Director IT Lake Surgical Hospital Slidell LLC / dba Our Lady of the Lake Surgical Hospital 1700 Lindberg Drive Slidell, LA 70458 985-661-2107 masked Director IT Lake Surgical Hospital Slidell LLC / dba Our Lady of the Lake Surgical Hospital Lake Surgical Hospital Slidell LLC / dba Our Lady of the Lake Surgical Hospital 1700 Lindberg Drive Slidell, LA 70458 985-641-0600 jmitchell@ololsh.com https://ololsh.com Provider Int 3 Complete 2013/05/13 12:00:00 2013/05/28 12:00:00 2025/12/29 09:53:43 UV 2.16.840.1.113883.17.117 aghsAtlanticGeneralHospital Atlantic General Health System (AGHS) William Smith masked Michael Franklin William C. Smith 9733 Healthway Drive Berlin, MD 21811 410-629-0913 masked Application Developer / Interface Architect Atlantic General Health System (AGHS) 9733 Healthway Drive Berlin, MD 21811 410-641-9600 mfranklin@atlanticgeneral.org Provider 2.16.840.1.113883.3.3022 Int 17 Complete 2013/05/14 12:00:00 2013/05/28 12:00:00 2013/05/28 03:40:55 UV 2.16.840.1.113883.17.118 aicAtlanticGeneralHospital Atlantic ImmediaCare (AIC) William Smith masked Michael Franklin William C. Smith 9733 Healthway Drive Berlin, MD 21811 410-629-0913 masked Application Developer / Interface Architect Atlantic ImmediaCare (AIC) 9733 Healthway Drive Berlin, MD 21811 410-641-9600 mfranklin@atlanticgeneral.org http://www.atlanticgeneral.org Provider 2.16.840.1.113883.3.3022 Int 17 Complete 2013/05/14 12:00:00 2013/05/28 12:00:00 2013/05/28 03:44:09 UV 2.16.840.1.113883.3.3157 lewin The Lewin Group Colleen McKiernan masked Colleen M. McKiernan 3130 Fairview Park Drive Suite 500 Falls Church, VA 22042 703-269-5595 masked Consultant The Lewin Group 3130 Fairview Park Drive Suite 500 Falls Church, VA 22042 703-269-5500 colleen.mckiernan@lewin.com http://www.lewin.com SDO Int 3 Complete 2013/05/14 12:00:00 2013/05/28 12:00:00 2015/06/05 10:03:31 UV 2.16.840.1.113883.3.3158 gwfcms George W. Ferguson MD George Ferguson masked Grace Ferguson Grace Ferguson 787 4th Ave South Naples FL 34103 239-352-5600 masked Practice Administrator George W. Ferguson MD grace@geofergusonmd.com Provider Int 3 Complete 2013/05/14 12:00:00 2013/05/28 12:00:00 2013/05/28 03:50:13 UV 2.16.840.1.113883.3.3159 dphemrprod DPH EMR Prod Kendall Patterson masked Patti Burke Kendall Patterson 417 Federal St Dover, DE. 19901 302-744-4738 masked Information Systems Support Spec Delaware Public Health EMR 417 Federal St Dover, DE. 19901 302-744-4738 kendall.patterson@state.de.us Govt body Int 3 Complete 2013/05/15 12:00:00 2013/05/28 12:00:00 2015/06/30 02:58:15 UV 2.16.840.1.113883.3.3160 kcrsh Kent County Reproductive and Sexual Health Kendall Patterson masked Patti Burke Kendall Patterson 417 federal St Dover, DE. 19901 302-744-4738 masked Information Systems Support Spec Delaware Division of Public Health 417 federal St. Dover, DE. 19901 302-744-4700 kendall.patterson@state.de.us http://www.dhss.delaware.gov/dph/index.html Govt body Int 3 Complete 2013/05/15 12:00:00 2013/05/28 12:00:00 2013/05/28 03:56:29 UV 2.16.840.1.113883.3.3161 pssc Porter State Service Center Kendall Patterson masked Kendall Patterson 417 Federal St Dover, DE. 19901 302-744-4738 masked Information Systems Support Spec Delaware Division of Public Health 417 Federal St Dover, DE. 19901 302-744-4700 kendall.patterson@state.de.us http://www.dhss.delaware.gov/dph/index.html Govt body Int 3 Complete 2013/05/15 12:00:00 2013/05/28 12:00:00 2013/05/28 04:00:24 UV 2.16.840.1.113883.3.3162 scrsh Sussex County Reproductive and Sexual Health Kendall Patterson masked Kendall Patterson 417 federal St Dover, DE 19901 302-744-4738 masked Information Systems Support Spec Delaware Division of Public Health 417 Federal St dover, DE 19901 302-744-4700 kendall.patterson@state.de.us http://www.dhss.delaware.gov/dph/index.html Govt body Int 3 Complete 2013/05/15 12:00:00 2013/05/28 12:00:00 2013/05/28 04:02:55 UV 2.16.840.1.113883.3.3163 mthu Middletown Health Unit Kendall Patterson masked Kendall Patterson 417 Federal St Dover, DE 19901 302-744-4738 masked Information Systems Support Spec Delaware Division of Public Health 417 federal St Dover, DE 19901 302-744-4700 kendall.patterson@state.de.us http://www.dhss.delaware.gov/dph/index.html Govt body Int 3 Complete 2013/05/15 12:00:00 2013/05/28 12:00:00 2013/05/28 04:06:32 UV 2.16.840.1.113883.3.3164 mphssc Milford Public Health State Service Center Kendall Patterson masked Kendall Patterson 417 Federal St Dover, DE 19901 302-744-4738 masked Information Systems Support Spec Delaware Division of Public Health 417 Federal St Dover, DE 19901 302-744-4700 kendall.patterson@state.de.us http://www.dhss.delaware.gov/dph/index.html Govt body Int 3 Complete 2013/05/15 12:00:00 2013/05/28 12:00:00 2013/05/28 04:16:51 UV 2.16.840.1.113883.3.3165 nessc Northeast State Service Center Kendall Patterson masked Kendall Patterson 417 Federal St Dover, DE 19901 302-744-4738 masked Infromation SystemSupport Spec Delaware Division of Publich Health 417 Federal St Dover, DE 19901 302-744-4700 kendall.patterson@state.de.us http://www.dhss.delaware.gov/dph/index.html Govt body Int 3 Complete 2013/05/15 12:00:00 2013/05/28 12:00:00 2013/05/28 04:19:54 UV 2.16.840.1.113883.3.3166 pylessc Pyle State Service Center Kendall Patterson masked Kendall Patterson 417 Federal St Dover, DE 19901 302-744-4738 masked Information Systems Support Spec Delaware Divsiion of Public Health 417 Federal St Dover, DE 19901 302-744-4700 kendall.patterson@state.de.us http://www.dhss.delaware.gov/dph/index.html Govt body Int 3 Complete 2013/05/15 12:00:00 2013/05/28 12:00:00 2013/05/28 04:22:15 UV 2.16.840.1.113883.3.3167 sssc Shipley State Service Center Kendall Patterson masked Kendall Patterson 417 federal St. Dover, DE 19901 302-744-4738 masked Information Systems Support Spec Delaware Division of Public Health 417 Federal St. Dover, DE 19901 302-744-4700 kendall.patterson@state.de.us http://www.dhss.delaware.gov/dph/index.html Govt body Int 3 Complete 2013/05/15 12:00:00 2013/05/28 12:00:00 2013/05/28 04:25:32 UV 2.16.840.1.113883.3.3168 hssctb Hudson State Service Center - TB Clinic Kendall Patterson masked Kendall Patterson 417 Federal St Dover, DE 19901 302-744-4738 masked Information Systems Support Spec Delaware Division of Public Health 417 Federal St Dover, DE 19901 302-744-4700 kendall.patterson@state.de.us http://www.dhss.delaware.gov/dph/index.html Govt body Int 3 Complete 2013/05/15 12:00:00 2013/05/28 12:00:00 2013/05/28 04:28:15 UV 2.16.840.1.113883.3.3169 kctb-chc Kent County TB Clinic and Child Health Clinic Kendall Patterson masked Kendall Patterson 417 federal St Dover, DE 19901 302-744-4738 masked Information Systems Support Spec Delaware Division of Public Health 417 Federal St Dover, DE 19901 302-744-4700 kendall.patterson@state.de.us http://www.dhss.delaware.gov/dph/index.html Govt body Int 3 Complete 2013/05/15 12:00:00 2013/05/28 12:00:00 2013/05/28 04:37:48 UV 2.16.840.1.113883.3.3170 sctb Sussex County TB Clinic Kendall Patterson masked Kendall Patterson 417 Federal St Dover, DE 19901 302-744-4738 masked Information System Support Spec Delaware Division of Public Health 417 Federal St Dover, DE 19901 302-744-4700 kendall.patterson@state.de.us http://www.dhss.delaware.gov/dph/index.html Govt body Int 3 Complete 2013/05/15 12:00:00 2013/05/28 12:00:00 2013/05/28 04:39:42 UV 2.16.840.1.113883.4.641 hackensack-ACO Hackensack Alliance ACO Kenrick Cato masked Jay Goldstein Kenrick Cato Team of Care, LLC 121 Pleasant Street Haworth, NJ 07641 2158200167 masked Chief Medical Informatics Officer Hackensack Alliance ACO Hackensack University Medical Center Hackensack Alliance ACO 3 St. John, Room 3846 30 Prospect Ave, Hackensack, NJ 07601 (201) 996-3032 JGoldstein@HackensackUMC.org http://www.hackensackumc.org/our-services/medical-services/aco/about-us/ Provider Int 3 Complete 2013/05/15 12:00:00 2013/05/28 12:00:00 2013/05/28 04:45:27 UV 2.16.840.1.113883.3.3171 schuch Sussex County Health Unit Child Health Kendall Patterson masked Kendall Patterson 417 federal st Dover, DE 19901 302-744-4738 masked Information Systems Support Spec Delaware Division of Public Health 417 Federal St Dover, DE 19901 302-744-4700 kendall.patterson@state.de.us http://www.dhss.delaware.gov/dph/index.html Govt body Int 3 Complete 2013/05/15 12:00:00 2013/05/28 12:00:00 2013/05/28 04:50:02 UV 2.16.840.1.113883.3.3172 swcc Seaford Well Child Clinic - Shipley SSC Kendall Patterson masked Kendall Patterson 417 Federal St Dover, DE 19901 302-744-4738 masked Information Systems Support Spec Delaware Division of Public Health 417 Federal St Dover, DE 19901 302-744-4700 kendall.patterson@state.de.us http://www.dhss.delaware.gov/dph/index.html Govt body Int 3 Complete 2013/05/15 12:00:00 2013/05/28 12:00:00 2013/05/28 04:51:57 UV 2.16.840.1.113883.3.3173 bissell Emily Bissell Hospital Kendall Patterson masked Kendall Patterson 417 federal st Dover, DE 19901 302-744-4738 masked Information Systems Support Spec Delaware Division of Public Health 417 Federal St Dover, DE 19901 302-744-4700 kendall.patterson@state.de.us http://www.dhss.delaware.gov/dph/index.html Govt body Int 3 Complete 2013/05/15 12:00:00 2013/05/28 12:00:00 2013/05/28 04:53:51 UV 2.16.840.1.113883.3.3174 dhci Delaware Home for the Chronically Ill Kendall Patterson masked Kendall Patterson 417 federal St Dover, DE 19901 302-744-4738 masked Infiormation Systems Support Spec Delaware Division of Public Health 417 Federal St Dover, DE 19901 302-744-4700 kendall.patters@state.de.us http://www.dhss.delaware.gov/dph/index.html Govt body Int 3 Complete 2013/05/15 12:00:00 2013/05/28 12:00:00 2013/05/28 04:56:08 UV 2.16.840.1.113883.3.3175 stockley Stockley Center Kendall Patterson masked Kendall Patterson 417 Federal ST. Dover, DE 19901 302-744-4738 masked Information Systems Support Spec Delaware Division of Public Health 417 Federal St. Dover, DE 19901 302-744-4700 kendall.patterson@state.de.us http://www.dhss.delaware.gov/dph/index.html Govt body Int 3 Complete 2013/05/15 12:00:00 2013/05/28 12:00:00 2013/05/28 04:58:07 UV 2.16.840.1.113883.3.3176 silvercross Silver Cross Hospital Maureen O'Mara masked Maureen O'Mara 1900 Silvercross Blvd New Lenox, IL 60451 815 300 1073 masked Director Clinical Informatics Silver Cross Hospital 1900 Silvercross BLVD New Lenox, IL 60451 815 300 1000 momara@silvercross.org Provider Int 3 3 Complete 2013/05/15 12:00:00 2013/05/28 12:00:00 2013/05/28 05:01:21 UV 2.16.840.1.113883.3.2402.300.5 physicians-computer-company-vendors-nch Physician's Computer Company (PCC) Vendors North Country Hospital Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.300.5 2013/05/15 12:00:00 2013/05/28 12:00:00 2013/05/28 05:03:29 UV 2.16.840.1.113883.4.642 fhir FHIR Root OID Grahame Grieve masked FHIR Project Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA (+1) 734-677-7777 masked FHIR Project HL7, International fhir@lists.hl7.org http://hl7.org/fhir HL7 body Int 4 Complete 2013/05/15 12:00:00 2013/05/28 12:00:00 2024/03/12 04:49:51 UV 2.16.840.1.113883.3.906.7.1 oBaptistNeurologyGroupJacksonville Baptist Neurology Group of Jacksonville FL Darren Koontz masked Darren Koontz 904-202-0788 masked Systems Analyst Baptist Neurology Group 3451 Beach Blvd Jacksonville, FL 32277 904-202-0788 darren.koontz@bmcjax.com http://www.baptistjax.com/doctors/baptist-neurology Provider 2.16.840.1.113883.3.906 Ext 14 Complete 2.16.840.1.113883.3.906.7.1 2013/05/16 12:00:00 2013/05/30 12:00:00 2013/05/30 01:30:22 UV 2.16.840.1.113883.3.3177 pHARMCLIXRx McKesson Pharmacy Systems Technology Robin Paradis masked Jeff Grant Robin Paradis 131 McNabb Street Markham ON L3R 5V7 506-859-8205 masked Manager, Pharmacy Systems McKesson Canada 131 McNabb Street Markham ON L3R 5V7 289-789-1725 or 800-387-6093 jeff.grant@mckesso.ca http://www.mckesson.ca/en/our-expertise/pharmacy-technology-solutions Provider Int 3 Complete 2013/05/16 12:00:00 2013/05/30 12:00:00 2013/05/30 01:33:31 UV 2.16.840.1.113883.3.3178 sghsbrunswickcampus Southeast Georgia Health System Carol Boone masked Carol Boone 2415 Parkwood Drive Brunswick, GA 31520 912-466-3396 masked Manager Information Systems Southeast Georgia Health System - Brunswick Campus 2415 Parkwood Drive Brunswick, GA 31520 912-466-7000 is@sghs.org Provider Int 3 3 Complete 2013/05/16 12:00:00 2013/05/30 12:00:00 2013/05/30 01:34:42 UV 2.16.840.1.113883.3.3179 sghscamdencampus Southeast Georgia Health System - Camden Campus Carol Boone masked Carol Boone 2415 Parkwood Drive Brunswick, GA 31520 912-466-3396 masked Manager Information Systems Southeast Georgia Health System - Camden Campus 2415 Parkwood Drive Brunswick, GA 31520 912-466-7000 is@sghs.org Provider Int 3 3 Complete 2013/05/16 12:00:00 2013/05/30 12:00:00 2013/05/30 01:36:23 UV 2.16.840.1.113883.3.3180 chsi Cooperative Healthcare Services, Inc. Carol Boone masked Carol Boone 2415 Parkwood Drive Brunswick, GA 31520 912-466-3396 masked Manager Information Systems Cooperative Healthcare Services, Inc. 2415 Parkwood Drive Brunswick, GA 31520 912-466-7000 is@sghs.org Provider Int 3 3 Complete 2013/05/16 12:00:00 2013/05/30 12:00:00 2013/05/30 01:38:10 UV 2.16.840.1.113883.4.643 cedulaprofesional C&#233;dula Profesional Efrain Cruz Jim&#233;nez masked Adri&#225;n Pacheco L&#243;pez Efrain Cruz Jim&#233;nez Av. Paseo de la Reforma No. 450 piso 11 Colonia Ju&#225;rez Delegaci&#243;n Cuauht&#233;moc, M&#233;xico D.F. C.P. 06600. 2000 3400 Ext. 52575 masked SUBDIRECTOR DE PROCESOS ELECTR&#211;NICOS EN SALUD Secretar&#237;a de Salud, Direcci&#243;n General de Informaci&#243;n en Salud Av. Paseo de la Reforma No. 450 piso 11 Colonia Ju&#225;rez Delegaci&#243;n Cuauht&#233;moc, M&#233;xico D.F. C.P. 06600. (+52) (55) 5514 5989 Ext. 1520 dgis@salud.gob.mx http://www.dgis.salud.gob.mx/ Govt body 2.16.840.1.113883.3.215 Int 4 Complete 2013/05/16 12:00:00 2013/05/30 12:00:00 2013/05/30 01:43:49 UV 2.16.840.1.113883.3.3181 cgi-Sovera9 SoveraHIMOID Deepthi Channegowda masked Deepthi Channegowda CGI E-city,Tower-2, No 95/1 & 95/2, Electronicity Phase-1(West), Bangalore - 560100 9740166177 masked CGI CGI E-city, Tower-2, No 95/1 & 95/2, Electronicity Phase-1(West), Bangalore - 560100 9740166177 deepthi.channegowda@cgi.com https://www.cgi.com Provider Int 3 3 Complete 2013/05/20 12:00:00 2013/05/30 12:00:00 2013/05/30 01:48:56 UV 2.16.840.1.113883.3.3182 eOMC Eastern Oklahoma Medical Center Michael Huggins masked Michael Huggins 105 Wall St Poteau, OK 74953 9186353227 masked IT Director Eastern Oklahoma Medical Center 105 Wall St Poteau, OK 74953 9186353227 mikehuggins@eomchospital.com http://www.eomchospital.com Provider Int 3 3 Complete 2013/05/20 12:00:00 2013/05/30 12:00:00 2013/05/30 01:50:30 UV 2.16.840.1.113883.3.3183 stfrancisdel St Francis Delaware David Stratton masked David Stratton Catholic Health East 3805 West Chester Pike Suite 100 Newtown Square, PA 19073 610-492-3752 masked Manager of Integration Catholic Health East 3805 West Chester Pike Suite 100 Newtown Square, PA 19073 610-492-3752 dstratton@che.org http://www.che.org Provider Int 3 3 Complete 2013/05/20 12:00:00 2013/05/30 12:00:00 2013/05/30 01:53:24 UV 2.16.840.1.113883.3.3184 cscpqrststr Testing Body for PQRS System Bill Schwartz masked Bill Schwartz 7621 Columbia Gateway Drive Columbia, MD 21046 4108727537 masked Solutions Architect, PQRS Bill Schwartz 7621 Columbia Gateway Drive Columbia, MD 21046 4108727537 wschwartz@decc.sdps.org http://www.csc.com Vendor Int 3 Complete 2013/05/21 12:00:00 2013/05/30 12:00:00 2013/05/30 02:18:18 UV 2.16.840.1.113883.3.3185 cqch Copper Queen Community Hospital David Chmura masked dmoore@cqch.org David Chmura 101 Cole Avenue Bisbee, AZ 85603 520-432-6482 masked CIO Copper Queen Community Hospital 101 Cole Avenue Bisbee, AZ 85603 520-432-5383 dmoore@cqch.org http://www.cqch.org Provider Int 3 Complete 2013/05/21 12:00:00 2013/05/30 12:00:00 2013/05/30 02:20:31 UV 2.16.840.1.113883.9.30 vpdMsgMapELRv251Receiver Vaccine Preventable Disease Business Rules Applied to HL7 Version 2.5.1 Electronic Laboratory Reporting to Public Health R1 Riki Merrick masked Michelle Meigs Michelle Meigs 8515 Georgia Ave, Suite 700 Silver Spring, MD 20910 508.494.5958 masked Informatics Program Manager Association of Public Health Laboratories 8515 Georgia Ave, Suite 700 Silver Spring, MD 20910 240.485.2745 info@aphl.org http://www.aphl.org/Pages/default.aspx Prof Soc Int 9 Complete 2013/05/21 12:00:00 2013/05/21 12:00:00 2013/05/21 05:00:54 ISO US 2.16.840.1.113883.3.3186 chcn Cook Hospital Nate Marshall masked Chris Novak Chris Novak 10 5th Street SE Cook, MN 55723 218-666-6203 masked IT Manager Cook Hospital 10 5th Street SE Cook, MN 55723 218-666-5945 cookhospital@cook.sisunet.org http://www.cookhospital.org Provider Int 3 Complete 2013/05/22 12:00:00 2013/05/30 12:00:00 2013/05/30 02:21:58 UV 2.16.840.1.113883.3.3187 est Electronic Services Technologies Joseph Williams masked Joe Williams 10140 W. McNichols Rd Detroit MI 48221 3133411821 masked Electronic Services Technologies 10140 W. McNichols Rd Detroit MI 48221 3133411821 jwilliams@electronicservicestech.com https://www.healthdatagateway.com Vendor Int 3 Complete 2013/05/22 12:00:00 2013/05/30 12:00:00 2013/05/30 02:24:27 UV 2.16.840.1.113883.9.31 azelrig Arizona Electronic Laboratory Reporting Implementation Guide Ji-Won Moon masked Ji-Won Moon Arizona Department of Health Services 150 N 18th Ave Suite 150 Phoenix, AZ 85015 602-542-6003 masked Public Health Informatician Arizona Department of Health Services Arizona Department of Health Services 150 N 18th Ave Suite 150 Phoenix, AZ 85007 602-542-1001 meaningfuluse@azdhs.gov http://www.azdhs.gov/meaningful-use/electronic-lab-reporting/index.htm Govt body 2.16.840.1.114222.4.1.142 Int 9 Complete 2013/05/22 12:00:00 2013/05/30 12:00:00 2013/05/30 02:26:59 UV 2.16.840.1.113883.3.1070.5267 mckesson-fusion-5267 mckesson-fusion-5267 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5267 2013/05/22 12:00:00 2013/05/30 12:00:00 2013/05/30 02:28:58 US 2.16.840.1.113883.3.3188 fH Foothold Technology Shulamis Turin masked Shulamis Turin 36 East 12th Street 5th Floor New York, NY 10003 2127801450 x8019 masked Director of Application Development Foothold Technology, Inc. 36 East 12th Street 5th Floor New York, NY 10003 2127801450 sturin@footholdtechnology.com http://www.footholdtechnology.com Vendor Int 3 Complete 2013/05/22 12:00:00 2013/05/28 12:00:00 2013/05/28 05:17:30 2.5 UV 2.16.840.1.113883.3.3189 utmck The University of Tennessee Medical Center Kaye Harper masked dbrown@utmck.edu Travis netherton University Health Systems 9000 Executive Park Drive Bldg D, Suite 100 37923-4685 865-251-5891 masked Interface Analyst The University of Tennessee Medical Center 1924 Alcoa Highway, Knoxville, Tennessee 37920 865-305-9000 bfain@utmck.edu http://www.utmedicalcenter.org/ Provider Int 3 Complete 2013/05/22 12:00:00 2013/05/30 12:00:00 2019/11/20 08:19:11 UV 2.16.840.1.113883.3.1070.5250 mckesson-fusion-5250 mckesson-fusion-5250 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5250 2013/05/23 12:00:00 2013/05/30 12:00:00 2013/05/30 02:40:41 US 2.16.840.1.113883.3.2402.400.100.8 physicians-computer-company-internal-environment-systems-ducky Physician's Computer Company (PCC) Internal Environment Systems ducky Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.400.100.8 2013/05/23 12:00:00 2013/05/30 12:00:00 2013/05/30 03:02:57 UV 2.16.840.1.113883.3.3190 bhinazhieemrtype BHINAZ HIE John Todd masked John Todd 4747 N 7th St Phoenix, AZ 85014 214.289 masked Behavioral Health Information network of Arizona (BHINAZ) 4747 N 7th St Phoenix, AZ 85014 214.289.7040 john.todd@bhinaz.com Exchange Int 3 Complete 2013/05/23 12:00:00 2013/05/30 12:00:00 2013/08/02 04:12:21 UV 2.16.840.1.113883.3.3191 bhinazhieqcntype BHINAZ QCN EMR John Todd masked John Todd 4747 N 7th St Phoenix, AZ 85014 214.289.7040 masked Behavioral Health Information network of Arizona (BHINAZ) 4747 N 7th St Phoenix, AZ 85014 214.289.7040 john.todd@bhinaz.com Exchange Int 3 Complete 2013/05/23 12:00:00 2013/05/30 12:00:00 2013/05/30 03:36:10 UV 2.16.840.1.113883.3.3192 satva Software and Technology Vendors' Association Joshua Robinson masked David Jaffe David Jaffe 646-233-0167 masked SATVA 555 Eighth Avenue, Suite 1902 New York, NY 10019 646-233-0167 info@satva.org http://www.satva.org Vendor Int 3 Complete 2013/05/23 12:00:00 2013/05/30 12:00:00 2013/05/30 03:39:07 UV 2.16.840.1.113883.3.3193 afeomaha Advanced Family Eyecare Lani Meadows masked Lani 14450 Eagle Run Drive Suite 140 Omaha, Ne 68116 402-884-0776 masked Office Manager Advanced Family Eyecare 14450 Eagle Run Drive Suite 140 Omaha Ne 68116 402-884-0776 drtoellestaff@afe.omhcoxmail.com Provider Int 3 Complete 2013/05/23 12:00:00 2013/05/30 12:00:00 2013/05/30 03:45:33 UV 2.16.840.1.113883.3.3194 hPI Healthcare Partners Investments Rachelle Enright masked tsmith@hpillc.org Rachelle Enright 14024 Quail Pointe Drive Oklahoma City, OK 73134 405-419-7758 masked Applications Analyst Rachelle Enright 14024 Quail Pointe Drive Oklahoma City, OK 73134 405-419-7758 renright@hpillc.org https://www.hpillc.org Provider Int 3 Complete 2013/05/23 12:00:00 2013/05/30 12:00:00 2013/05/30 06:22:21 UV 2.16.840.1.113883.3.3194.1 drking Dr. Edwin Kim King Rachelle Enright masked tsmith@hpillc.org Rachelle Enright 14024 Quail Pointe Drive Oklahoma City, OK 73134 405-419-7758 masked Applications Analyst Healthcare Partners Investments 14024 Quail Pointe Drive Oklahoma City, OK 73134 405-419-7758 renright@hpillc.org https://www.hpillc.org Provider 2.16.840.1.113883.3.3194 Ext 14 14 Complete 2.16.840.1.113883.3.3194.1 2013/05/23 12:00:00 2013/05/30 12:00:00 2013/05/30 06:24:40 UV 2.16.840.1.113883.3.3195 scbh Swift County - Benson Hospital Nate Marshall masked Tammy Thompson Tammy Thompson 1815 Wisconsin Avenue Benson, MN 56215 320-843-4232 masked NA-NAF Swift County - Benson Hospital 1815 Wisconsin Avenue Benson, MN 56215 (320) 843-4232 TThompson@scbh.org http://www.scbh.org Provider Int 3 Complete 2013/05/23 12:00:00 2013/05/30 12:00:00 2013/05/30 06:28:57 UV 2.16.840.1.113883.3.3194.2 drmoore Dr. Timothy L. Moore Rachelle Enright masked tsmith@hpillc.org Rachelle Enright 14024 Quail Pointe Drive Oklahoma City, OK 73134 405-419-7758 masked Applications Analyst Healthcare Partners Investments 14024 Quail Pointe Drive Oklahoma City, OK 73134 405-419-7758 renright@hpillc.org https://www.hpillc.org Provider 2.16.840.1.113883.3.3194 Ext 14 14 Complete 2.16.840.1.113883.3.3194.2 2013/05/23 12:00:00 2013/05/30 12:00:00 2013/05/30 06:27:42 UV 2.16.840.1.113883.3.1070.5246 mckesson-fusion-5246 mckesson-fusion-5246 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5246 2013/05/23 12:00:00 2013/05/30 12:00:00 2013/05/30 06:31:25 UV 2.16.840.1.113883.3.3196 pinc Pathology Inc. Ryan Palmer masked Carla Mezquita Ryan Palmer 19951 Mariner Avenue, Suite 150 Torrance, CA 90503 8588699048 masked VP IT Pathology Inc. 19951 Mariner Avenue, Suite 150 Torrance, CA 90503 310-769-0561 rpalmer@pathologyinc.com http://www.pathologyinc.com Vendor Int 3 Complete 2013/05/24 12:00:00 2013/05/30 12:00:00 2013/05/30 06:36:33 UV 2.16.840.1.113883.3.1070.5245 mckesson-fusion-5245 mckesson-fusion-5245 Tiffany Roberts masked Fusion Enrollment 877-507-4541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5245 2013/05/28 12:00:00 2013/05/30 12:00:00 2013/05/30 06:33:20 US 2.16.840.1.113883.3.3197 ccso Cancer Centers of Southwest Oklahoma, LLC Roger Neal masked Roger Neal 2110 Duncan Regional Loop Rd Duncan, OK 73533 580-251-8654 masked VP-CIO Cancer Centers of Southwest Oklahoma, LLC 104 NW 31st Street Lawton, OK 73506 877-231-4440 roger.neal@ccswok.org http://www.cancercentersswok.com Provider Int 3 3 Complete 2013/05/28 12:00:00 2013/05/30 12:00:00 2013/05/30 06:42:51 UV 2.16.840.1.113883.3.3197.1.1 ccso-altus Cancer Centers of Southwest Oklahoma, LLC-Altus Roger Neal masked Roger Neal 2110 Duncan Regional Loop Rd Duncan, OK 73533 580-251-8654 masked VP-CIO Cancer Centers of Southwest Oklahoma, LLC-Altus 1200 E. Broadway St. Altus, OK 73521 580-480-4400 roger.neal@ccswok.org http://www.cancercentersswok.com Provider 2.16.840.1.113883.3.3197 Ext 13 13 Complete 2.16.840.1.113883.3.3197.1.1 2013/05/28 12:00:00 2013/05/30 12:00:00 2013/05/30 06:47:46 UV 2.16.840.1.113883.3.3197.1.2 ccso-duncan Cancer Centers of Southwest Oklahoma, LLC-Duncan Roger Neal masked Roger Neal 2110 Duncan Regional Loop Rd Duncan, OK 73533 580-251-8654 masked VP-CIO Cancer Centers of Southwest Oklahoma, LLC-Duncan 2110 Duncan Regional Loop Rd Duncan, OK 73533 580-251-6600 roger.neal@ccswok.org http://www.cancercentersswok.com Provider 2.16.840.1.113883.3.3197 Ext 13 13 Complete 2.16.840.1.113883.3.3197.1.2 2013/05/28 12:00:00 2013/05/30 12:00:00 2013/05/30 06:51:12 UV 2.16.840.1.113883.3.3197.1.3 ccso-lawton Cancer Centers of Southwest Oklahoma, LLC-Lawton Roger Neal masked Roger Neal 2110 Duncan Regional Loop Rd Duncan, OK 73533 580-251-8654 masked VP-CIO Cancer Centers of Southwest Oklahoma, LLC-Lawton 104 NW 31st St Lawton, OK 73506 877-231-4440 roger.neal@ccswok.org http://www.cancercentersswok.com Provider 2.16.840.1.113883.3.3197 Ext 13 13 Complete 2.16.840.1.113883.3.3197.1.3 2013/05/28 12:00:00 2013/05/30 12:00:00 2013/05/30 06:53:56 UV 2.16.840.1.113883.3.3198 tannermedical Tanner Medical Center Laura Wilson masked wsellers@tanner.org Laura Wilson 705 Dixie Street Carrollton, GA 30117 770-836-9791 masked Tanner Medical Center, Inc. 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org http://www.tanner.org Provider Int 3 Complete 2013/05/28 12:00:00 2013/05/30 12:00:00 2013/05/30 06:56:22 UV 2.16.840.1.113883.3.2402.200.277 physicians-computer-company-clients-newpd Physician's Computer Company (PCC) Clients Newport Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.277 2013/05/28 12:00:00 2013/05/30 12:00:00 2013/05/30 07:02:02 UV 2.16.840.1.113883.3.3199 fallrivierhealthservices Fall River Health Services Lois Schmoll masked Lois Schmoll 1201 Highway 71 South Hot Springs, SD 57747 (605)745-8910 Ext. 2319 masked HCIS Coordinator Fall River Health Services 1201 Highway 71 South Hot Springs SD 57747 (605) 745-5491 lschmoll@frhssd.org Provider Int 3 Complete 2013/05/29 12:00:00 2013/05/30 12:00:00 2013/05/30 06:57:35 UV 2.16.840.1.113883.3.1070.5264 mckesson-fusion-5264 mckesson-fusion-5264 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5264 2013/05/29 12:00:00 2013/05/30 12:00:00 2013/05/30 07:03:30 US 2.16.840.1.113883.3.3200 jamesfreeman James M. Freeman M.D. James Freeman masked James Freeman 413-318-0011 masked James Freeman, M.D. 265 Benton Drive, Ste 106 East Longmeadow, MA 01028 413-318-0011 James.Freeman@bhs.org Provider Int 3 Complete 2013/05/29 12:00:00 2013/05/30 12:00:00 2013/05/30 06:59:50 UV 2.16.840.1.113883.4.644 cc-telehealth Cardiocom LLC - Leaders In Telehealth Todd Young masked Todd Young 7980 Century Blvd Chanhassen, MN 55317 888-243-8881 masked Senior Architect Cardiocom LLC 7980 Century Blvd Chanhassen, MN 55317 888-243-8881 tyoung@cardiocom.com http://www.cardiocom.com Provider Int 3 Complete 2013/05/29 12:00:00 2014/12/15 12:00:00 2014/12/15 11:20:00 UV 2.16.840.1.113883.4.645 adc-phr Activ Doctors Online - Personal Health Record Eric Medaisko masked Eric Medaisko 250 Catalonia Ave, Suite 804, Coral Gables, FL 33134 786-518-2241 masked IT Manager Activ Doctors Consult LLC 250 Catalonia Ave, Suite 804, Coral Gables, FL 33134 786-518-2241 support@activdoctors.com http://www.activdoctorsonline.com Vendor Int 3 Complete 2013/05/30 12:00:00 2013/06/30 12:00:00 2013/06/30 06:00:08 UV 2.16.840.1.113883.4.646 hpid Health Plan Identifier Riki Merrick masked S&I LOI working group Riki Merrick C/O Association of Public Health Laboratories 8515 Georgia Avenue, Suite 700 Silver Spring, MD 20910 9162160052 masked Public Health Information Specialist HL7 Orders and Observation WG N/A Announcemetn published by: DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 CMS Media Relations Group 202) 690-6145 N/A http://www.cms.gov http://www.cms.gov Govt body Int 4 Complete 2013/05/30 12:00:00 2014/12/15 12:00:00 2014/12/15 11:23:49 ISO UV 2.16.840.1.113883.3.3201 vvc Vermillion Vision Clinic P.C. Amy DeJong masked Dr. Amy DeJong, OD 120 W Main St Vermillion, SD 57069 605-624-4291 masked Vermillion Vision Clinic P.C. 120 W Main St Vermillion, SD 57069 605-624-4291 dejongamyod@hotmail.com Provider Int 3 Complete 2013/05/30 12:00:00 2013/05/30 12:00:00 2013/05/30 07:08:49 UV 2.16.840.1.113883.3.1070.5255 mckesson-fusion-5255 mckesson-fusion-5255 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment Johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5255 2013/05/31 12:00:00 2013/06/12 12:00:00 2013/06/12 03:56:12 US 2.16.840.1.113883.3.1871.3.901 nmh Newman Memorial Hospital Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst SSMHC 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 14 14 Complete 2.16.840.1.113883.3.1871.3.901 2013/06/01 12:00:00 2013/06/12 12:00:00 2013/06/12 04:02:17 UV 2.16.840.1.113883.3.1070.5254 mckesson-fusion-5254 mckesson-fusion-5254 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5254 2013/06/03 12:00:00 2013/06/12 12:00:00 2013/06/12 03:58:52 UV 2.16.840.1.113883.3.3202 pushhospital Pushmataha Hospital and Home Health Chad Henderson masked Jaquetta Trotter 510 E Main St, Antlers, OK 74523 580-298-3341 masked Pushmataha Hospital and Home Health 510 E Main St, Antlers, OK 74523 5802983341 nick.rowland@pushhospital.com http://www.pushhospital.com Provider Int 3 Complete 2013/06/03 12:00:00 2013/06/12 12:00:00 2013/06/12 04:11:52 UV 2.16.840.1.113883.3.3202.1 pushmatahahospvaccinations Pushmataha Hospital and Home Health Immunization facility Chad Henderson masked jauquetta trotter 510 E Main St, Antlers, OK 74523 5802983341 masked RN Pushmataha Hospital and Home Health 510 E Main St, Antlers, OK 74523 5802983341 nick.rowland@pushhospital.com http://www.pushhospital.com Provider 2.16.840.1.113883.3.3202 Ext 14 14 Complete 2.16.840.1.113883.3.3202.1 2013/06/03 12:00:00 2013/06/12 12:00:00 2013/06/12 04:13:36 UV 2.16.840.1.113883.3.3203 orionNet-Sys OrionNet Systems, LLC. Clyde Wafford masked Ryan Witherspoon 510 East Memorial Road, OKC, OK. 73114 4052861674 masked QA/Support Manager OrionNet Systems, LLC. 510 East Memorial Road, OKC, OK. 73114 4052861674 onssupport@coxinet.net http://www.iorion.com Vendor Int 3 Complete 2013/06/03 12:00:00 2013/06/12 12:00:00 2013/06/12 04:17:12 UV 2.16.840.1.113883.3.1833.1 orchsft Orchard Software Corp. Mark Jones masked Mark D Jones 701 Congressional Blvd Suite 360 Carmel, IN 46032 317-573-6589 masked Sr. Interface Specialist/R&D Orchard Software Corporation 701 Congressional Blvd Suite 360 Carmel, IN 46032 800-856-1948 support@orchardsoft.com http://www.orchardsoft.com Vendor 2.16.840.1.113883.3.1833 Ext 14 3 Complete 2.16.840.1.113883.3.1833.1 2013/06/03 12:00:00 2013/06/12 12:00:00 2013/06/12 04:20:17 UV 2.16.840.1.113883.3.3204 stanlyWSI West Stanly Imaging Jason Skeen masked Brian Freeman PO Box 1489 Albemarle, NC 28002 704-984-4223 masked VP of Operations West Stanly Imaging PO Box 1489 Albemarle, NC 28002 704-984-4223 brian.freeman@stanly.org http://www.stanly.org Provider Int 3 Complete 2013/06/04 12:00:00 2013/06/12 12:00:00 2013/06/12 04:25:29 UV 2.16.840.1.113883.3.3205 ummcepicadt University of Mississippi Medical Center Kim Grimes masked Kim Grimes 601.984.1164 masked University of Mississippi Medical Center 2500 North State Street Jackson, MS 39216 601.984.1164 kgrimes@umc.edu Provider Int 3 Complete 2013/06/04 12:00:00 2013/06/12 12:00:00 2013/06/12 04:28:17 UV 2.16.840.1.113883.3.13.3 cernerrsnc Cerner Resonance OID Root Jeff Sum masked Jeff Sum 2800 Rockcreek Parkway Kansas City, Mo 64117 8162011281 masked Cerner Resonance 2800 Rockcreek Parkway Kansas City, MO 64117 CernerResonanceSupport@cerner.com https://www.cerner.com Exchange 2.16.840.1.113883.3.13 Ext 3 3 Complete 2.16.840.1.113883.3.13.3 2013/06/04 12:00:00 2013/06/12 12:00:00 2013/06/12 04:41:59 UV 2.16.840.1.113883.3.3206 familymedctr Family Medical Center Dr. Mark Cotton Kenard Smith masked Sherry McKay Sherry McKay 5610 SW Lee Lawton, OK 73501 580-536-6600 masked Office Manager Family Medical Center Dr. Mark Cotton 5610 SW Lee Lawton, OK 73505 580-536-6600 sherrymfmc@aol.com Provider Int 3 Complete 2013/06/04 12:00:00 2013/06/12 12:00:00 2013/06/12 04:37:04 UV 2.16.840.1.113883.9.32 gMed gMed Alex Nolasco masked gMed 1 888 5777 8801 masked gMed Inc. postmaster@gmed.com http://gmed.com Vendor Int 3 Complete 2013/06/04 12:00:00 2013/06/12 12:00:00 2013/06/12 04:46:24 US 2.16.840.1.113883.3.3207 deaconess Deaconess Hospital Rudy Vazquez masked Brian Sacket 5501 N. Portland Oklahoma City, OK 73112 405-604-4051 masked MU Nurse Analyst Deaconess Hospital 5501 N. Portland Oklahoma City, OK 73112 4056044051 brian.sacket@deaconessokc.com http://www.deaconessokc.com Provider Int 3 Complete 2013/06/05 12:00:00 2013/06/12 12:00:00 2013/06/12 04:49:19 3.1 UV 2.16.840.1.113883.3.989.5 regional-specialised Regional & Specialised Branches Raun Kupiec masked Stan van Belkum John Kiser AbbVie 1 North Waukegan Road Dept PA97, Bldg AP50 North Chicago, IL. USA 60030 +1.847.937.3725 masked EFPIA Topic Lead, ICH M2 ESTRI ICH (Int'l Conf on Harmonisation of Tech Reqs for Registration of Pharmaceuticals for Human Use) ICH Secretariat c/o IFPMA 15, chemin Louis-Dunant P.O. Box 195 1211 Geneva 20 Switzerland +41 (22) 338 32 06 admin@ich.org http://www.ich.org/ SDO Ext 14 14 Complete 2.16.840.1.113883.3.989.5 2013/06/05 12:00:00 2013/06/12 12:00:00 2014/03/21 10:11:07 UV 2.16.840.1.113883.17.119 hcpa4msdh hcpa_facility_id_for_msdh Kevin Kinnell masked Interface Group Hattiesburg Clinic 415 South 28th Ave. Hattiesburg, MS 39402 601-261-3594 masked Hattiesburg Clinic Hattiesburg Clinic 415 South 28th Ave. Hattiesburg, MS 39402 601-264-6000 interface.group@hattiesburgclinic.com http://www.hattiesburgclinic.com Provider Int 17 Complete 2013/06/05 12:00:00 2013/06/12 12:00:00 2013/06/12 04:58:31 UV 2.16.840.1.113883.3.2076.1 ohsu-document-id OHSU Document Doug Clauder masked Doug Clauder 3181 S.W. Sam Jackson Park Rd. Portland, Oregon 97239-3098 503 494-8311 masked Sr Application Engineer Oregon Health and Science University 3181 S.W. Sam Jackson Park Rd. Portland, Oregon 97239-3098 503 494-8311 clauderd@ohsu.edu http://www.ohsu.edu Academic 2.16.840.1.113883.3.2076 Ext 14 Complete 2.16.840.1.113883.3.2076.1 2013/06/05 12:00:00 2013/06/12 12:00:00 2013/06/12 05:02:35 UV 2.16.840.1.113883.3.1070.5239 mckesson-fusion-5239 mckesson-fusion-5239 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5239 2013/06/05 12:00:00 2013/06/12 12:00:00 2013/06/12 05:05:01 US 2.16.840.1.113883.3.3208 cdapro CDA PRO Brian Weiss masked Brian Weiss +972-52-689-1699 masked CDA PRO brian.weiss@cdapro.com http://cdapro.com Vendor Int 3 Complete 2013/06/06 12:00:00 2013/06/12 12:00:00 2013/06/12 05:07:34 UV 2.16.840.1.113883.9.33 scrmc South Central Regional Medical Center Mike Burger masked Mike Burger 1220 Jefferson St Laurel, MS 39440 601-426-4415 masked Director of Information Technology South Central Regional Medical Center 1220 Jefferson St Laurel, MS 39440 601-426-4000 mburger@scrmc.com http://www.scrmc.com Provider Int 3 3 Complete 2013/06/06 12:00:00 2013/06/12 12:00:00 2013/06/12 05:11:12 US 2.16.840.1.113883.3.1070.5269 mckesson-fusion-5269 mckesson-fusion-5269 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5269 2013/06/06 12:00:00 2013/06/12 12:00:00 2013/06/12 05:14:43 US 2.16.840.1.113883.3.1070.5272 mckesson-fusion-5272 mckesson-fusion-5272 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5272 2013/06/06 12:00:00 2013/06/12 12:00:00 2013/06/12 05:16:58 US 2.16.840.1.113883.3.3209 pcnhealth People of Color Network, Inc. Jason Rentscheler masked Penny Visser Jason Rentscheler 4520 N Central Ave Suite 580 Phoenix, AZ 85012 602-253-3084 masked EMR Manager People of Color Network 4520 N Central Ave Suite 580 Phoenix, AZ 85012 602-253-3084 penny@pocn.com http://www.pcnhealth.com/ Provider Int 3 Complete 2013/06/06 12:00:00 2013/06/12 12:00:00 2013/06/12 05:19:54 UV 2.16.840.1.113883.3.3210 r4c Results 4 Care Root OID William Goossen masked William Goossen Results 4 Care B.V. De Stinse 15 3823 VM Amersfoort the Netherlands +31654614458 masked Results 4 Care B.V Results 4 Care B.V. De Stinse 15 3823 VM Amersfoort the Netherlands +31654614458 info@results4care.nl http://www.results4care.nl Vendor Int 3 3 Complete 2013/06/07 12:00:00 2013/06/12 12:00:00 2013/06/12 05:22:37 UV 2.16.840.1.113883.3.3211 nac Native American Connections Mary Maytubby masked m.hoffmann@nativeconnections.org Mary Maytubby 4520 N. Central Ave. Ste 600 Phoenix, AZ 85018 602-254-3247 masked EHR Manager/Billing Manager Native American Connections 4520 N. Central Ave. Ste 600 Phoenix, AZ 85018 602-254-3247 s.shabestari@nativeconnections.org http://www.nativeconnections.org Provider Int 3 Complete 2013/06/07 12:00:00 2013/06/12 12:00:00 2013/06/12 05:25:19 UV 2.16.840.1.113883.3.3212 sec IRENE CHEN OD CORP Irene Chen masked Irene Chen, OD 18021 15th Ave NE Ste. 100 Shoreline, WA 98155 (206) 367-8883 masked IRENE CHEN OD CORP 18021 15th Ave NE Ste. 100 Shoreline, WA 98155 (206) 367-8883 drirene@shorelineeyecare.com http://www.shorelineeyecare.com Provider Int 3 Complete 2013/06/07 12:00:00 2013/06/12 12:00:00 2013/06/12 05:27:14 UV 2.16.840.1.113883.3.1620.33 oidBTDI Baylor Diagnostic Imaging Centers Michael Wagliardo masked Michael Wagliardo 2001 Bryan Street, Suite 2400 Dallas, TX 75201 214-820-4201 masked Manager Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.33 2013/06/07 12:00:00 2013/06/12 12:00:00 2013/06/12 05:30:21 UV 2.16.840.1.113883.3.1070.5279 mckesson-fusion-5279 mckesson-fusion-5279 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5279 2013/06/07 12:00:00 2013/06/12 12:00:00 2013/06/12 05:31:31 US 2.16.840.1.113883.3.3213 b2i B2i Healthcare Brandon Ulrich masked Brandon Ulrich +36 70 334-4491 masked Managing Director B2i Healthcare Pte Ltd 16 Raffles Quay #33-03 Hong Leong Building Singapore 048581 info@b2international.com http://www.b2international.com Vendor Int 3 3 Complete 2013/06/10 12:00:00 2013/06/12 12:00:00 2013/06/12 05:33:50 UV 2.16.840.1.113883.3.1070.5259 mckesson-fusion-5259 mckesson-fusion-5259 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5259 2013/06/10 12:00:00 2013/06/13 12:00:00 2013/06/13 03:31:24 US 2.16.840.1.113883.3.3214 twhc Total Women's Health Care Colleen Hedges masked Colleen Hedges 46 Daggett Drive, Suite 3B West Springfield,MA 01089 413-747-4547 ext27 masked Office Manager Total Women's Health Care 46 Daggett Drive, Suite 3B West Springfield,MA 01089 413-747-4544 crh@twhcare.com Provider Int 3 Complete 2013/06/10 12:00:00 2013/06/13 12:00:00 2013/06/13 03:34:18 UV 2.16.840.1.113883.4.647 pvweightloss Pioneer Valley Weight Loss Centers Michelle Sorcinelli masked Michelle Sorcinelli 2 Medical Center Drive Suite 202 Springfield, MA 01107 (413) 205-1200 masked Practice Administrator Pioneer Valley Weight Loss Centers 2 Medical Center Drive Suite 202 Springfield, MA 01107 (413) 205-1200 msorcinelli@pvweightloss.com http://www.pvweightloss.com/ Provider Int 3 Complete 2013/06/10 12:00:00 2013/06/13 12:00:00 2013/06/13 03:40:52 US 2.16.840.1.113883.3.3215 nvic North Vernon Family Wellness Center Britton Jennings masked Britton Jennings 2800 Rockcreek Pkwy Kansas City, MO 64117 Jennings masked System Architect North Vernon Family Wellness Center 3830 N County Road 75 W North Vernon, IN 47265 (812) 346-8772 bjennings@cerner.com Provider Int 3 Complete 2013/06/10 12:00:00 2013/06/13 12:00:00 2013/06/13 03:56:11 UV 2.16.840.1.113883.3.3216 mdlc Maryland Live! Employee Health Center Britton Jennings masked Britton Jennings 2800 Rockcreek Parkway Kansas City, MO 64117 (816) 201-3162 masked System Architect Maryland Live! Employee Health Center 7002&#160; Arundel Mills Circle Suite 7777 Hanover, MD 21076 (443) 445-2498 bjennings@cerner.com Provider Int 3 Complete 2013/06/10 12:00:00 2013/06/13 12:00:00 2013/06/13 03:58:24 UV 2.16.840.1.113883.3.3217 alac ATI Allvac Wellness Center Britton Jennings masked Britton Jennings 2800 Rockcreek Pkwy Kansas City, MO 64089 (816) 201-3162 masked System Architect ATI Allvac Wellness Center 2020 Ashcraft Avenue Building 26 Monroe, NC 28110-3720 (704) 289-4511 x 3001 bjennings@cerner.com Provider Int 3 Complete 2013/06/10 12:00:00 2013/06/13 12:00:00 2013/06/13 03:59:45 UV 2.16.840.1.113883.3.1070.5225 mckesson-fusion-5225 mckesson-fusion-5225 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5225 2013/06/10 12:00:00 2013/06/13 12:00:00 2013/06/13 04:01:33 US 2.16.840.1.113883.3.1070.5261 mckesson-fusion-5261 mckesson-fusion-5261 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5261 2013/06/11 12:00:00 2013/06/13 12:00:00 2013/06/13 04:03:47 US 2.16.840.1.113883.3.3218 lvac ATI Allvac Employee Health Center Britton Jennings masked Britton Jennings 2800 Rockcreek Pkwy Kansas City, MO 64089 *816) 201-1024 masked System Architect ATI Allvac Employee Health Center 4374 Lancaster Highway Richburg, SC 29729-9060 bjennings@cerner.com Provider Int 3 Complete 2013/06/11 12:00:00 2013/06/13 12:00:00 2013/06/13 04:05:36 UV 2.16.840.1.113883.3.3219 dpsg Dr Pepper Snapple Health Center Britton Jennings masked Britton Jennings (816) 201-1024 masked System Architect Dr Pepper Snapple Health Center 2304 Century Center Blvd Irving, TX 75062-4906 bjennings@cerner.com Provider Int 3 Complete 2013/06/11 12:00:00 2013/06/13 12:00:00 2013/06/13 04:07:21 UV 2.16.840.1.113883.3.3220 enc-hlth-res Encore Health Resources Root OID Dina Mills masked Dina Mills 330-242-2104 masked Consultant Encore Health Resources P.O. Box 3109, #24350 Houston, Texas 77253-3109 1-877-787-1010 dmills@encorehealthresources.com http://encorehealthresources.com/ Vendor Int 3 Complete 2013/06/11 12:00:00 2013/06/13 12:00:00 2013/06/13 04:18:43 UV 2.16.840.1.113883.4.648 iOVANEL Dr. Mikela Iovanel MD Michael Oakes masked Dr. Mihaela Iovanel, MD 401-658-0511 masked Polaris 1150 New London avenue, Cranston, RI 02920 401-654-4000 moakes@polarismedical.com Provider 2.16.840.1.113883.3.1348 Int 3 Complete 2013/06/11 12:00:00 2013/06/13 12:00:00 2013/06/13 04:23:27 UV 2.16.840.1.113883.3.3221 bgh Bunkie General Hospital Johnny Bergeron masked Johnny Bergeron 427 Evergreen St. PO Box 380 Bunkie, LA 71322 318-346-6681 masked CIO Bunkie General Hospital 427 Evergreen St. PO Box 380 Bunkie, LA 71322 318-346-6681 johnnyb@bunkiegeneral.com Provider Int 3 Complete 2013/06/11 12:00:00 2013/06/13 12:00:00 2013/06/13 04:24:49 UV 2.16.840.1.113883.3.1070.5296 mckesson-fusion-5296 mckesson-fusion-5296 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5296 2013/06/11 12:00:00 2013/06/13 12:00:00 2013/06/13 04:26:38 US 2.16.840.1.113883.3.1070.5287 mckesson-fusion-5287 mckesson-fusion-5287 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5287 2013/06/11 12:00:00 2013/06/13 12:00:00 2013/06/13 04:29:34 US 2.16.840.1.113883.3.1070.5266 mckesson-fusion-5266 mckesson-fusion-5266 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5266 2013/06/11 12:00:00 2013/06/13 12:00:00 2013/06/13 04:31:01 US 2.16.840.1.113883.3.1070.5265 mckesson-fusion-5265 mckesson-fusion-5265 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5265 2013/06/11 12:00:00 2013/06/13 12:00:00 2013/06/13 04:33:03 US 2.16.840.1.113883.3.3222 mmhok McCurtain Memorial Hospital Dana Stowell masked Brandon Talley Dana A Stowell 1301 East Lincoln Rd Idabel, OK 74745 580-208-3328 masked Chief Information Officer McCurtain Memorial Hospital 1301 East Lincoln Rd Idabel, OK 74745 580-286-7623 cio@mmhok.com http://www.mmhok.com Provider Int 3 Complete 2013/06/12 12:00:00 2013/06/13 12:00:00 2013/06/13 04:42:26 UV 2.16.840.1.113883.9.34 multicare Multicare Allan Fisher masked Allan Fisher 2067494313 masked Multicare 311 S L St., Tacoma WA 98405 2067494313 allan_fisher@uhc.com Provider Int 3 3 Complete 2013/06/12 12:00:00 2013/06/13 12:00:00 2013/06/13 04:47:22 UV 2.16.840.1.113883.9.35 npn Northwest Physicians Network Allan Fisher masked Allan Fisher 2067494313 masked Northwest Physicians Network 708 Broadway Suite 400, Tacoma WA 98402 2067494313 allan_fisher@uhc.com Provider Int 3 3 Complete 2013/06/12 12:00:00 2013/06/13 12:00:00 2013/06/13 04:48:56 UV 2.16.840.1.113883.3.3223 vsin The Wellness Center Britton Jennings masked Britton Jennings 2800 Rockcreek Pkwy Kansas City, MO 64117 (816) 201-1024 masked System Architect The Wellness Center 6155 El Camino Real Carlsbad, CA 92009 bjennings@cerner.com Provider Int 3 Complete 2013/06/12 12:00:00 2013/06/13 12:00:00 2013/06/13 04:53:33 UV 2.16.840.1.114222.4.1.6766 cHSB Community Hospital of San Bernardino Cindy Bodnar-Anderson masked David Ung 1805 Medical Center Dr San Bernardino CA 92411 909-806-1776 masked IT Site Director Community Hospital of San Bernardino 1805 Medical Center Dr San Bernardino CA 92411 (909) 887-6333 David.Ung@DignityHealth.org Provider Ext 3 3 Complete 2.16.840.1.114222.4.1.6766 2013/06/12 12:00:00 2013/06/13 12:00:00 2013/06/13 04:51:30 UV 2.16.840.1.113883.3.3224 hims Health Information Management Systems, LLC Khalid Al-Maskari masked Khalid Al-Maskari 5208342524 masked CEO Health Information Management Systems, LLC 82 S. Stone Ave Tucson, AZ 85701 5207923293 stener@hmsfirst.com http://www.hmsfirst.com Vendor Int 3 Complete 2013/06/12 12:00:00 2013/06/13 12:00:00 2013/06/13 04:54:50 UV 2.16.840.1.113883.3.3225 memltx Memorial Texas Cert Domain Vinay Murakonda masked Vinay Murakonda 8163995135 masked Memorial Texas Cert Domain vinay.murakonda@cerner.com Provider Int 3 Complete 2013/06/12 12:00:00 2013/06/13 12:00:00 2013/06/13 04:57:33 UV 2.16.840.1.113883.9.36 seamar SeaMar Community Health Center Allan Fisher masked Allan Fisher 2067494313 masked SeaMar Community Health Center 1516 S 11th ST, Tacoma WA 98405 2067494313 allan_fisher@uhc.com Provider Int 3 3 Complete 2013/06/12 12:00:00 2013/06/13 12:00:00 2013/06/13 05:02:50 UV 2.16.840.1.113883.9.37 cowlitz Cowlitz County Family Health Center Allan Fisher masked Allan Fisher 2067494313 masked Cowlitz County Family Health Center 1057 12th Ave, Longview WA 98632 2067494313 allan_fisher@uhc.com HL7 body Int 3 Complete 2013/06/12 12:00:00 2013/06/13 12:00:00 2013/06/13 05:04:58 UV 2.16.840.1.113883.9.38 ynh Yakima Neighborhood Health Allan Fisher masked Allan Fisher 2067494313 masked Yakima Neighborhood Health 12 S 8th St, Yakima WA 98901 2067494313 allan_fisher@uhc.com Provider Int 3 Complete 2013/06/12 12:00:00 2013/06/13 12:00:00 2013/06/13 05:09:14 UV 2.16.840.1.113883.9.39 tricities Tri-Cities Community Health Allan Fisher masked Allan Fisher 2067494313 masked Tri-Cities Community Health 515 W Court St, Pasco WA 99301 2067494313 allan_fisher@uhc.com Provider Int 3 Complete 2013/06/12 12:00:00 2013/06/13 12:00:00 2013/06/13 05:11:09 UV 2.16.840.1.113883.9.40 sewaaaa Southeast Washington Aging and Long term Care Allan Fisher masked Allan Fisher 2067494313 masked Southeast WA Aging and Long Term Care 7200 W Nob Hill Blvd STE 12, Yakima WA 98908 2067494313 allan_fisher@uhc.com Provider Int 3 Complete 2013/06/12 12:00:00 2013/06/13 12:00:00 2013/06/13 05:12:49 UV 2.16.840.1.113883.3.1070.5295 mckesson-fusion-5295 mckesson-fusion-5295 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5295 2013/06/13 12:00:00 2013/06/13 12:00:00 2013/06/13 05:14:28 US 2.16.840.1.114222.4.1.6766.5 cHSB-LAB CHSB Meditech Lab Cindy Bodnar-Anderson masked David Ung 1805 Medical Center Dr San Bernardino CA 92411 909-806-1776 masked IT Site Director Community Hospital of San Bernardino 1805 Medical Center Dr San Bernardino CA 92411 909-806-1776 David.Ung@DignityHealth.org Provider 2.16.840.1.114222.4.1.6766 Ext 14 Complete 2.16.840.1.114222.4.1.6766.5 2013/06/13 12:00:00 2013/06/18 12:00:00 2013/06/18 02:50:36 UV 2.16.840.1.114222.4.1.6141 mTSJH Mark Twain St. Joseph's Hospital Cindy Bodnar-Anderson masked Randy Gamino 768 Mountain Ranch Rd San Andreas CA 95249 (209) 467-6415 masked IT Site Director Mark Twain St. Joseph's Hospital 768 Mountain Ranch Rd San Andreas CA 95249 (209) 754-3521 Randy.Gamino@DignityHealth.org Provider Ext 3 Complete 2.16.840.1.114222.4.1.6141 2013/06/13 12:00:00 2013/06/18 12:00:00 2013/06/18 02:53:09 UV 2.16.840.1.114222.4.1.6765 sJMC St. Joseph's Medical Center Cindy Bodnar-Anderson masked Randall Gamino 1800 North California St Stockton CA 95204 (209) 467-6415 masked IT Site Director St. Joseph's Medical Center 1800 North California St Stockton CA 95204 (209) 943-2000 Randall.Gamino@DignityHealth.org Provider Ext 3 Complete 2.16.840.1.114222.4.1.6765 2013/06/13 12:00:00 2013/06/18 12:00:00 2013/06/18 02:57:50 UV 2.16.840.1.114222.4.1.6170 mMCM Mercy Medical Center Merced Cindy Bodnar-Anderson masked Daniel Andresen 333 Mercy Ave. MercedCA 95340 (209) 564-5000 masked IT Site Director Mercy Medical Center Merced 333 Mercy Ave. MercedCA 95340 (209) 564-5000 Daniel.Andresen@DignityHealth.org Provider Ext 3 Complete 2.16.840.1.114222.4.1.6170 2013/06/13 12:00:00 2013/06/18 12:00:00 2013/06/18 03:02:16 UV 2.16.840.1.114222.4.1.6054 sNMH Sierra Nevada Memorial Hospital Cindy Bodnar-Anderson masked Mark Freitas 155 Glasson Way Grass Valley CA 95945 (530) 274-6023 masked Director, Business and IT Services Sierra Nevada Memorial Hospital 155 Glasson Way Grass Valley CA 95945 (530) 274-6000 Mark.Freitas@snmh.dignityhealth.org Provider Ext 3 Complete 2.16.840.1.114222.4.1.6054 2013/06/13 12:00:00 2013/06/18 12:00:00 2013/06/18 03:05:42 UV 2.16.840.1.113883.3.3226 cheq California Health eQuality, IPHI, UC Davis Health System Robert Cothren masked Robert Cothren 4800 Second Avenue, Suite 2600 Sacramento, California 95817 916-731-1375 masked Technical Director, CHeQ Institute for Population Health Improvement, UC Davis Health System 4800 Second Avenue, Suite 2600 Sacramento, California 95817 916-731-1370 cheq@ucdmc.ucdavis.edu http://www.ucdmc.ucdavis.edu/iphi/Programs/cheq/ Exchange Int 3 Complete 2013/06/13 12:00:00 2013/06/18 12:00:00 2013/06/18 03:08:07 UV 2.16.840.1.113883.3.3227 eogh East Orange General Hospital Jeanne Cole masked Dave@Raj.name Jeanne Cole 300 Central Avenue East Orange, NJ 07018 215 343 1188 masked Application Analyst East Orange General Hospital 300 Central Avenue East Orange, NJ 07018 973-672-8400 Dave@Raj.name Provider Int 3 Complete 2013/06/14 12:00:00 2013/06/18 12:00:00 2013/06/18 03:10:11 UV 2.16.840.1.113883.3.3228 lnm Lenoir Memorial Hospital Kimberly Moore masked Kimberly Moore 100 Airport Rd Kinston, NC 28501 252-522-7880 masked Integration Analyst Lenoir Memorial Hospital 100 Airport Rd Kinston, NC 28501 252-522-7000 kmoore@lenoir.org Provider Int 3 Complete 2013/06/14 12:00:00 2013/06/18 12:00:00 2013/06/18 03:12:41 UV 2.16.840.1.113883.13.246 eclips Extensible Concept Layer for Independent and Precise Semantics (ECLIPS) Kevin Coonan masked Jon Farmer Kevin Coonan MD 2022133891 masked Terminologist Susan Richards 401 Buster Rd, Toppenish, WA 98948 (509) 865-2102 Susan.Richards@ihs.gov Govt body Int 13 Complete 2013/06/14 12:00:00 2013/06/18 12:00:00 2013/06/18 03:15:45 US 2.16.840.1.113883.3.3229 cmcm Community Medical Center of Missoula Rachael Clagett masked Rachael Clagett 2827 Fort Missoula Road Missoula, MT 59804 406-327-4442/406-369-9745 masked RN Clinical Informatics Analyst Community Medical Center of Missoula 2827 Fort Missoula Road Missoula, MT 59804 (406)728-4100 RClagett@communitymed.org Provider Int 3 3 Complete 2013/06/14 12:00:00 2013/06/18 12:00:00 2013/06/18 03:18:35 UV 2.16.840.1.113883.3.3230 amherstFamilyPractice Amherst Family Practice OID Root Robert Weaver masked Robert Weaver 29C Cottage Street Amherst, MA 01002 413-549-8888 masked IT Consultant Anne Weaver, M.D. 29C Cottage Street Amherst, MA 01002 413-549-8888 aweaver@AmherstFamilyPractice.com http://www.AmherstFamilyPractice.com Provider Int 4 3 Complete 2013/06/14 12:00:00 2013/06/18 12:00:00 2013/06/18 03:21:43 UV 2.16.840.1.113883.3.1070.5233 mckesson-fusion-5233 mckesson-fusion-5233 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5233 2013/06/17 12:00:00 2013/06/18 12:00:00 2013/06/18 03:24:58 US 2.16.840.1.113883.3.3231 hhpwny Health Home Partners of Western New York Erin Kalafski masked Lori Evans-Bernstein Christopher Hartnett Evergreen Health Services 206 S. Elmwood Avenue Buffalo, NY 14201 716-847-2441 masked Director Health Home Partners of Western New York 716-847-2441 hartnettc@shswny.org http://evergreenhs.org/ Provider Int 3 Complete 2013/06/17 12:00:00 2013/06/18 12:00:00 2013/06/18 03:27:10 UV 2.16.840.1.113883.3.1070.5271 mckesson-fusion-5271 mckesson-fusion-5271 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5271 2013/06/17 12:00:00 2013/06/18 12:00:00 2013/06/18 03:30:22 US 2.16.840.1.113883.3.3232 mchohip Morrow County Hospital Michael Patterson masked Michael Patterson Morrow County Hospital 651 W Marion Rd Mt Gilead, OH 43338 419-949-3004 419-949-3004 masked Manager of Information Systems CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2013/06/17 12:00:00 2013/06/18 12:00:00 2013/06/18 03:28:59 UV 2.16.840.1.113883.9.41 uhcwa UnitedHealthcare Community Plan of WA Allan Fisher masked Allan Fisher 2067494313 masked UnitedHealthcare Community Plan of WA 901 5th Ave, Suite 1500 Seattle, WA 98164 2067494313 allan_fisher@uhc.com Provider Int 3 Complete 2013/06/17 12:00:00 2013/06/18 12:00:00 2013/06/18 03:32:45 UV 2.16.840.1.113883.3.3233 healthclinic HealthLogix Mary Paquette masked Mary Paquette 1215 Wilbraham Road Springfield, MA 01119 413-782-1211 masked Assoc. Director of Health Services Western New England University Health Services 1215 Wilbraham Road Springfield, MA 01119 413-782-1211 mary.paquette@wne.edu http://www1.wne.edu/healthservices Provider Int 3 Complete 2013/06/17 12:00:00 2013/06/18 12:00:00 2013/06/18 03:35:27 UV 2.16.840.1.113883.3.3234 bogg Baystate Ob/Gyn Group Inc Aaron Curto masked Aaron Curto Baystate Ob/Gyn Group, Inc. 246 Park Street Suite 202 West Springfield, MA. 01089 413-794-2234 masked Network Administrator Baystate Ob/Gyn Group Inc. 2 Medical Center Drive Suite 206 Springfield, MA. 01107 413-794-8484 contact@bogg.com http://www.bogg.com Provider Int 3 Complete 2013/06/18 12:00:00 2013/06/18 12:00:00 2013/06/18 03:40:53 UV 2.16.840.1.113883.3.3198.1.1 tmc-c Tanner Medical Center/Carrollton Laura Wilson masked wsellers@tanner.org Laura Wilson 705 Dixie Street Carrollton, GA 30117 770-836-9791 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 17 14 Complete 2.16.840.1.113883.3.3198.1.1 2013/06/18 12:00:00 2013/06/18 12:00:00 2013/06/18 03:46:03 UV 2.16.840.1.113883.3.3198.1.2 tmc-v Tanner Medical Center/Villa Rica Laura Wilson masked wsellers@tanner.org Laura Wilson 705 Dixie Street Carrollton, GA 30117 770-836-9791 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.1.2 2013/06/18 12:00:00 2013/06/18 12:00:00 2013/06/18 03:47:25 UV 2.16.840.1.113883.3.3198.1.3 tmc-h Higgins General Hospital Laura Wilson masked wsellers@tanner.org Laura Wilson 705 Dixie Street Carrollton, GA 30117 770-836-9791 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.1.3 2013/06/18 12:00:00 2013/06/18 12:00:00 2013/06/18 03:50:14 UV 2.16.840.1.113883.3.3198.1.4 tmc-w Willowbrooke Laura Wilson masked wsellers@tanner.org Laura Wilson 770-836-9791 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.1.4 2013/06/18 12:00:00 2013/06/18 12:00:00 2013/06/18 03:51:57 UV 2.16.840.1.113883.3.3235 redwoodpedi Redwood Pediatric and Adolescent Medicine Keith Ruppel masked Keith Ruppel 15 Vreeland Avenue East Longmeadow, MA 01028 413-787-2555 masked owner Redwood Pediatric and Adolescent Medicine 15 Vreeland Avenue East Longmeadow, MA 01028 413-787-2555 kruppel67@charter.net http://www.redwoodpediatric.org Provider Int 3 Complete 2013/06/18 12:00:00 2013/06/18 12:00:00 2013/06/18 03:59:28 UV 2.16.840.1.113883.3.3236 npc Naples Premier Concierge Ronald Garry masked Cynthia Garry Ronald Garry 1112 Goodlette Road Suite 202 Naples, Florida 34102 239 692 8495 masked Manager Naples Premier Concierge 239 692 8495 Ron@rgarry.com Provider Int 3 Complete 2013/06/18 12:00:00 2013/06/18 12:00:00 2013/06/18 04:02:08 UV 2.16.840.1.113883.3.3198.2.110 bucfamhc Buchanan Family Health Care Laura Wilson masked wsellers@tanner.org Laura Wilson 770-836-9791 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.110 2013/06/18 12:00:00 2013/06/18 12:00:00 2013/06/18 04:04:19 UV 2.16.840.1.113883.3.3237 capella Capella Healthcare Meredith Yzerman masked Meredith Yzerman 501 Corporate Centre Dr Suite 200 Franklin, TN 37067 615-764-7036 masked Capella Healthcare 501 Corporate Centre Dr Suite 200 Franklin, TN 37067 615-764-3000 Meredith.Yzerman@Capellahealthcare.com Provider Int 3 Complete 2013/06/18 12:00:00 2013/06/18 12:00:00 2013/06/18 06:18:55 UV 2.16.840.1.113883.3.3237.1 eastar Eastar Health System Meredith Yzerman masked Meredith Yzerman 501 Corporate Centre Dr Suite 200 Franklin, TN 37067 615-764-3076 masked Manager, Ancillary Systems Eastar Health System 300 Rockefeller Drive Muskogee, OK 74401 918-682-5501 Meredith.Yzerman@Capellahealthcare.com Provider 2.16.840.1.113883.3.3237 Ext 14 14 Complete 2.16.840.1.113883.3.3237.1 2013/06/18 12:00:00 2013/06/18 12:00:00 2013/06/18 06:21:30 UV 2.16.840.1.113883.3.3237.2 willamette Willamette Valley Medical Center Meredith Yzerman masked Meredith Yzerman 2700 SE Stratus Avenue McMinville, OR 97128 615-764-3076 masked Manager Ancillary Systems Willamette Valley Medical Center 2700 SE Stratus Avenue McMinville, OR 97128 503-472-6131 Meredith.Yzerman@Capellahealthcare.com Provider 2.16.840.1.113883.3.3237 Ext 14 14 Complete 2.16.840.1.113883.3.3237.2 2013/06/18 12:00:00 2013/06/18 12:00:00 2013/06/18 06:22:10 UV 2.16.840.1.113883.3.3237.3 grandview Grandview Medical Center Meredith Yzerman masked Meredith Yzerman 501 Corporate Centre Drive Suite 200 Franklin, TN 37067 615-764-3076 masked Manager, Ancillary Systems Grandview Medical Center 1000 Highway 28 Jasper, TN 37347 423-837-9500 Meredith.Yzerman@Capellahealthcare.com Provider 2.16.840.1.113883.3.3237 Ext 14 14 Complete 2.16.840.1.113883.3.3237.3 2013/06/18 12:00:00 2013/06/18 12:00:00 2013/06/18 06:25:24 UV 2.16.840.1.113883.3.3237.4 capital Capital Medical Center Meredith Yzerman masked Meredith Yzerman 501 Corporate Centre Drive Suite 200 Franklin, TN 37067 615-764-3076 masked Manager Ancillary Systems Capital Medical Center 3900 Capitol Mall Drive SW Olympia, WA 98502 360-754-5858 Meredith.Yzerman@Capellahealthcare.com Provider 2.16.840.1.113883.3.3237 Ext 14 14 Complete 2.16.840.1.113883.3.3237.4 2013/06/18 12:00:00 2013/06/18 12:00:00 2013/06/18 06:26:13 UV 2.16.840.1.113883.3.3237.5 stmarys St. Mary's Regional Medical Center Meredith Yzerman masked Meredith Yzerman 501 Corporate Centre Drive Suite 200 Franklin, TN 37067 615-764-3076 masked Manager Ancillary Systems Saint Mary's Regional Medical Center 1808 W Main St Russellville, AR 72801 479-968-2841 Meredith.Yzerman@capellahealthcare.com Provider 2.16.840.1.113883.3.3237 Ext 14 14 Complete 2.16.840.1.113883.3.3237.5 2013/06/18 12:00:00 2013/06/18 12:00:00 2013/06/18 06:27:19 UV 2.16.840.1.113883.3.3237.6 riverpark River Park Hospital Meredith Yzerman masked Meredith Yzerman 501 Corporate Centre Drive Suite 200 Franklin, TN 37067 615-764-3076 masked Manager Ancillary Systems River Park Hospital 1559 Sparta Street McMinville, TN 37110 931-815-4000 Meredith.Yzerman@Capellahealthcare.com Provider 2.16.840.1.113883.3.3237 Ext 14 14 Complete 2.16.840.1.113883.3.3237.6 2013/06/18 12:00:00 2013/06/18 12:00:00 2013/06/18 06:28:29 UV 2.16.840.1.113883.3.3237.7 southwestern Southwestern Medical Center Meredith Yzerman masked Meredith Yzerman 501 Corporate Centre Drive Suite 200 Franklin, TN 37067 615-764-3076 masked Manager Ancillary Systems Southwestern Medical Center 5602 SW Lee Blvd Lawton, OK 73505 580-531-4700 Meredith.Yzerman@Capellahealthcare.com Provider 2.16.840.1.113883.3.3237 Ext 14 14 Complete 2.16.840.1.113883.3.3237.7 2013/06/18 12:00:00 2013/06/18 12:00:00 2013/06/18 06:30:41 UV 2.16.840.1.113883.3.3237.8 dekalb Dekalb Community Hospital Meredith Yzerman masked Meredith Yzerman 501 Corporate Centre Drive Suite 200 Franklin, TN 37067 615-764-3076 masked Manager Ancillary Systems Dekalb Community Hospital 520 W Main Street Smithville, TN 37166 615-215-5000 Meredith.Yzerman@CapellaHealthcare.com Provider 2.16.840.1.113883.3.3237 Ext 14 14 Complete 2.16.840.1.113883.3.3237.8 2013/06/19 12:00:00 2013/06/20 12:00:00 2013/06/20 02:12:24 UV 2.16.840.1.113883.3.3237.9 stonesriver Stones River Hospital Meredith Yzerman masked Meredith Yzerman 501 Corporate Centre Drive Suite 200 Franklin, TN 37067 615-764-3076 masked Manager Ancillary Systems Stones River Hospital 324 Doolittle Road Woodbury, TN 37190 615-563-4001 Meredith.Yzerman@Capellahealthcare.com Provider 2.16.840.1.113883.3.3237 Ext 14 14 Complete 2.16.840.1.113883.3.3237.9 2013/06/19 12:00:00 2013/06/20 12:00:00 2013/06/20 02:13:50 UV 2.16.840.1.113883.3.3237.10 highlands Highlands Medical Center Meredith Yzerman masked Meredith Yzerman 501 Corporate Centre Drive Suite 200 Franklin, TN 37067 615-764-3076 masked Manager Ancillary Systems Meredith Yzerman 401 Sewell Drive Sparta, TN 38583 931-738-9211 Meredith.Yzerman@Capellahealthcare.com Provider 2.16.840.1.113883.3.3237 Ext 14 14 Complete 2.16.840.1.113883.3.3237.10 2013/06/19 12:00:00 2013/06/20 12:00:00 2013/06/20 02:15:32 UV 2.16.840.1.113883.3.3237.11 mineralarea Mineral Area Regional Medical Center Meredith Yzerman masked Meredith Yzerman 501 Corporate Centre Drive Suite 200 Franklin, TN 37067 615-764-3076 masked Manager Ancillary Systems Mineral Area Regional Medical Center 1212 Weber Road Farmington, MO 63640 573-756-4581 Meredith.Yzerman@CapellaHealthcare.com Provider 2.16.840.1.113883.3.3237 Ext 14 14 Complete 2.16.840.1.113883.3.3237.11 2013/06/19 12:00:00 2013/06/20 12:00:00 2013/06/20 02:51:15 UV 2.16.840.1.113883.3.3237.12 nationalpark National Park Medical Center Meredith Yzerman masked Meredith Yzerman 501 Corporate Centre Drive Suite 200 Franklin, TN 37067 615-764-3076 masked Manager Ancillary Systems National Park Medical Center 1910 Malvern Avenue Hot Springs, AR 71901 501-321-1000 Meredith.Yzerman@Capellahealthcare.com Provider 2.16.840.1.113883.3.3237 Ext 14 14 Complete 2.16.840.1.113883.3.3237.12 2013/06/19 12:00:00 2013/06/20 12:00:00 2013/06/20 02:56:20 UV 2.16.840.1.113883.3.3238 glhc Great Lakes Health Connect Chris Eslinger masked Chris Eslinger 695 Kenmoor SE, Suite B Grand Rapids, MI 49546 (616) 323-2962 masked Great Lakes Health Connect 695 Kenmoor SE, Suite B Grand Rapids, MI 49546 (616) 323-2962 support@gl-hc.org http://gl-hc.org Provider Int 3 Complete 2013/06/19 12:00:00 2013/06/20 12:00:00 2016/01/14 03:56:09 UV 2.16.840.1.113883.3.3239 mcpn Metro Community Provider Network Doug Bach masked Eric Pettit Metro Community Provider Network 3701 S. Broadway Englewood, CO 80113-3611 303-789-7126 masked Director IT Metro Community Provider Network Metro Community Provider Network 3701 S. Broadway Englewood, CO 80113-3611 303.360.6276 info@mcpn.org http://www.mcpn.org Provider Int 3 Complete 2013/06/19 12:00:00 2013/06/20 12:00:00 2013/06/20 03:02:12 UV 2.16.840.1.113883.3.3240 wmcrc Wilson Medical Center Julie Quanstrom masked Kevin Myers 2600 Ottawa Road Neodesha, KS 66757 6203258384 masked Information Technology Director Wilson Medical Center 2600 Ottawa Road Neodesha, KS 66757 620-325-2611 ithelpdesk@wmcrc.org https://www.wilsonmedical.org Provider Int 3 Complete 2013/06/19 12:00:00 2013/06/20 12:00:00 2020/02/17 04:49:37 UV 2.16.840.1.113883.3.3241 familiprixDSQ Familiprix - Dossier de sante Quebec Julie Marois masked Julie Marois 6000, rue Armand Viau, Qu&#233;bec, QC G2C 2C5 418-847-5300 #2428 masked Project Manager Familiprix inc. 6000, rue Armand Viau, Qu&#233;bec, QC G2C 2C5 418-847-5300 jmarois@familiprix.com Provider Int 3 3 Complete 2013/06/19 12:00:00 2013/06/20 12:00:00 2013/06/20 03:10:56 UV 2.16.840.1.113883.3.2402.400.100.9 physicians-computer-company-internal-environment-systems-cake Physician's Computer Company (PCC) Internal Environment Systems cake Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.400.100.9 2013/06/20 12:00:00 2013/06/20 12:00:00 2013/06/20 03:12:25 UV 2.16.840.1.113883.3.2402.400.100.10 physicians-computer-company-internal-environment-systems-cookie Physician's Computer Company (PCC) Internal Environment Systems cookie Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.400.100.10 2013/06/20 12:00:00 2013/06/20 12:00:00 2013/06/20 03:14:13 UV 2.16.840.1.113883.3.2402.400.100.11 physicians-computer-company-internal-environment-systems-donut Physician's Computer Company (PCC) Internal Environment Systems donut Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.400.100.11 2013/06/20 12:00:00 2013/06/20 12:00:00 2013/06/20 03:15:12 UV 2.16.840.1.113883.3.3242 flhie Florida Health Information Exchange Lisa Stotz masked Evan Carter 5523 Research Park Drive, Suite 370 Baltimore, MD 21228 (301) 560-6999 masked Florida HIE Program Director Florida HIE - Audacious Inquiry, LLC 5523 Research Park Drive, Suite 370 Baltimore, MD 21228 (301) 560-6999 flhie_helpdesk@ainq.com https://www.florida-hie.net/ Exchange Int 3 Complete 2013/06/20 12:00:00 2013/06/20 12:00:00 2017/05/26 01:54:47 UV 2.16.840.1.113883.3.1070.5297 mckesson-fusion-5297 mckesson-fusion-5297 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5297 2013/06/21 12:00:00 2013/06/26 12:00:00 2013/06/26 03:55:32 US 2.16.840.1.113883.3.3243 larry Larry F Pratt Larry Pratt masked Jessica Pratt PO BOX 676 Aurora MO 65605 417-678-2161 masked office manager Pratt Eye Care LLC PO BOX 676 Aurora MO 65605 417-678-2161 pratt2020@gmail.com Provider Int 3 Complete 2013/06/21 12:00:00 2013/06/26 12:00:00 2013/06/26 04:07:44 UV 2.16.840.1.113883.3.3244 hesrvcs healtheservices Nathan Botts masked Nathan Botts 11 South Angell Street, #155 Providence, RI 02906 760-845-8356 masked Nathan Botts Health e-Services, Inc 91-1018 Waikapoo St Ewa Beach, HI 96706 760-845-8356 nathan@healtheservices.com http://www.healtheservice.com Vendor Int 3 Complete 2013/06/21 12:00:00 2013/06/26 12:00:00 2026/05/01 03:17:04 UV 2.16.840.1.113883.3.1070.5311 mckesson-fusion-5311 mckesson-fusion-5311 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5311 2013/06/21 12:00:00 2013/06/26 12:00:00 2013/06/26 04:12:22 US 2.16.840.1.113883.17.120 valleygeneralhospital-monroe Public Hospital District No. 1 of Snohomish County Lisa Norton masked Lisa Norton 14701 179th S.E. P.O. Box 646 Monroe, WA 98272-0646 360-794-1442 masked Chief Information Officer Publich Hospital District No.1 of Snohomish County 14701 179th S.E. P.O. Box 646 Monroe, WA 98272-0646 360-794-7497 lnorton@valleygeneral.org http://www.valleygeneral.com Provider Int 17 Complete 2013/06/21 12:00:00 2013/06/26 12:00:00 2013/06/26 04:29:56 UV 2.16.840.1.113883.3.3245 wfph WestFelicianaParishHospital Denise Paul masked Denise D. Paul P.O. Box 368 5266 Commerce Street St. Francisville, LA 70775 225-635-3811 Ext. 106 masked Network Administrator West Feliciana Parish Hospital P.O. Box 368 5266 Commerce Street St. Francisville, LA 70775 225-635-3811 itdept@wfph.org http://www.wfph.org Provider Int 3 Complete 2013/06/22 12:00:00 2013/06/26 12:00:00 2013/06/26 04:54:14 UV 2.16.840.1.113883.3.3246 ents Ear, Nose & Throat Surgeons of Western New England, LLC Abdiel Matos masked Maureen Gallo Abdiel Matos ENT Surgeons of Western New England 100 Wason Avenue Suite 100 Springfield, MA 01107 413-268-2027 masked IT Consultant Ear, Nose & Throat Surgeons of Western New England 100 Wason Avenue Suite 100 Springfield, MA 01107 413-732-7426 mgallo@entsurgeons.us http://www.entsurgeons.us Provider Int 3 Complete 2013/06/24 12:00:00 2013/06/26 12:00:00 2013/06/26 04:56:55 UV 2.16.840.1.113883.3.3247 hFHWBSC Froedtert Health West Bend Surgery Center Sue Ostergaard masked Don Rozwick Froedtert Health Information Technology 400 Woodland Prime N74 W12501 Leatherwood Ct. Menomonee Falls, WI 53051 (414) 777-5912 (414)777-5172 masked Sr. Interface Analyst Froedtert Health Froedtert Health Information Technology 400 Woodland Prime N74 W12501 Leatherwood Ct. Menomonee Falls, WI 53051 (414) 777-5912 (414)777-5172 don.rozwick@froedtert.com http://www.froedtert.com Provider Int 3 Complete 2013/06/24 12:00:00 2013/06/26 12:00:00 2014/08/19 10:39:06 UV 2.16.840.1.113883.3.3248 hFHSSC Froedtert Health Sargeant Surgery Center Sue Ostergaard masked Don Rozwick Froedtert Health Information Technology 400 Woodland Prime N74 W12501 Leatherwood Court Menomonee Falls, WI 53051 (414)777-5172 masked Sr. Interface Analyst Froedtert Health Froedtert Health Information Technology 400 Woodland Prime N74 W12501 Leatherwood Court Menomonee Falls, WI 53051 (414)777-5172 don.rozwick@froedtert.com http://www.froedtert.com Provider Int 3 Complete 2013/06/24 12:00:00 2013/06/26 12:00:00 2014/08/19 10:40:10 UV 2.16.840.1.113883.3.3249 nn Nightingale Notes Nicole Sowers masked Nicole Sowers 313 N. 2nd St Mankato, MN 56001 507-388-4141 masked Chief Operations Officer Champ Software, Inc. 313 N. 2nd St Mankato, MN 56001 507-388-4141 nicole.sowers@champsoftware.com http://www.champsoftware.com Vendor Int 3 3 Complete 2013/06/24 12:00:00 2013/06/26 12:00:00 2013/06/26 05:07:06 UV 2.16.840.1.113883.3.3250 lim LIM Edward Lim masked LIM 821033357292 masked LIM 821033357292 ed.lim@outlook.com Vendor Int 3 Complete 2013/06/25 12:00:00 2013/06/26 12:00:00 2013/06/26 05:12:09 UV 2.16.840.1.113883.3.3251 ds4p HL7 Data Segmentation for Privacy (DS4P) Implementation Guide Ioana Singureanu masked Ioana Singureanu 6035485640 masked Modeling Facilitator HL7 Security Work Group security@lists.hl7.org http://www.hl7.org/Special/committees/secure/index.cfm HL7 body Int 3 Complete 2013/06/25 12:00:00 2013/06/26 12:00:00 2013/06/26 05:16:29 UV 2.16.840.1.113883.3.1833.2 harvest Orchard Harvest LIS Mark Jones masked Mark Jones 701 Congressional Blvd Suite 360 Carmel, IN 46032 317-573-6589 masked Sr. Interface Specialist/R&D Orchard Software Corporation 701 Congressional Blvd Suite 360 Carmel, IN 46032 800-856-1948 support@orchardsoft.com http://www.orchardsoft.com Vendor 2.16.840.1.113883.3.1833 Ext 14 14 Complete 2.16.840.1.113883.3.1833.2 2013/06/25 12:00:00 2013/06/26 12:00:00 2013/06/26 05:19:36 UV 2.16.840.1.113883.3.1833.3 copia Orchard Copia Mark Jones masked Mark Jones 701 Congressional Blvd Suite 360 Carmel, IN 46032 317-573-6589 masked Sr. Interface Specialist Orchard Software Corporation 701 Congressional Blvd Suite 360 Carmel, IN 46032 800-856-1948 support@orchardsoft.com http://www.orchardsoft.com Vendor 2.16.840.1.113883.3.1833 Ext 14 14 Complete 2.16.840.1.113883.3.1833.3 2013/06/25 12:00:00 2013/06/26 12:00:00 2013/06/26 05:22:01 UV 2.16.840.1.113883.3.1833.4 trellis Orchard Trellis Mark Jones masked Mark Jones 701 Congressional Blvd Suite 360 Carmel, IN 46032 317-573-6589 masked Sr. Interface Specialist/R&D Orchard Software Corporation 701 Congressional Blvd Suite 360 Carmel, IN 46032 800-856-1948 support@orchardsoft.com http://www.orchardsoft.com Vendor 2.16.840.1.113883.3.1833 Ext 14 14 Complete 2.16.840.1.113883.3.1833.4 2013/06/25 12:00:00 2013/06/26 12:00:00 2013/06/26 05:25:13 UV 2.16.840.1.113883.3.3252 mercycadillac Mercy Cadillac Hospital OID Root Virginia Clark masked Virginia Clark Munson Healthcare 1105 Sixth Street Traverse City, MI 49684 231-935-6047 masked Manager, Clinical Applications Munson Healthcare Munson Healthcare 1105 Sixth Street Traverse City, MI 49684 231-935-5000 contact@mhc.net http://www.munsonhealthcare.org Provider Int 3 Complete 2013/06/25 12:00:00 2013/06/26 12:00:00 2013/06/26 05:32:39 UV 2.16.840.1.113883.3.1833.5 sequoia Orchard Sequoia Mark Jones masked Mark Jones 701 Congressional Blvd Suite 360 Carmel, IN 46032 317-573-6589 masked Sr. Interface Specialist/R&D Orchard Software Corporation 701 Congressional Blvd Suite 360 Carmel, IN 46032 800-856-1948 support@orchardsoft.com http://www.orchardsoft.com Vendor 2.16.840.1.113883.3.1833 Ext 14 14 Complete 2.16.840.1.113883.3.1833.5 2013/06/25 12:00:00 2013/06/26 12:00:00 2013/06/26 05:29:43 UV 2.16.840.1.113883.3.3253 mercygrayling Mercy Grayling Hospital OID Root Virginia Clark masked Virginia Clark Munson Healthcare 1105 Sixth Street Traverse City, MI 49684 231-935-6047 masked Manager, Clinical Applications Munson Healthcare Munson Healthcare 1105 Sixth Street Traverse City, MI 49684 231-935-5000 contact@mhc.net http://www.munsonhealthcare.org Provider Int 3 Complete 2013/06/25 12:00:00 2013/06/26 12:00:00 2013/06/26 05:35:39 UV 2.16.840.1.113883.3.3254 paulolivermemorialhospital Paul Oliver Memorial Hospital OID Root Virginia Clark masked Virginia Clark Munson Healthcare 1105 Sixth Street Traverse City, MI 49684 231-935-6047 masked Manager, Clinical Applications Munson Healthcare Munson Healthcare 1105 Sixth Street Traverse City, MI 49684 231-935-5000 contact@mhc.net http://www.munsonhealthcare.org Provider Int 3 Complete 2013/06/25 12:00:00 2013/06/26 12:00:00 2013/06/26 05:40:14 UV 2.16.840.1.113883.3.3255 kalkaskamemorialhealthcenter Kalkaska Memorial Health Center OID Root Virginia Clark masked Virginia Clark Munson Healthcare 1105 Sixth Street Traverse City, MI 49684 231-935-6047 masked Manager, Clinical Applications Munson Healthcare Munson Healthcare 1105 Sixth Street Traverse City, MI 49684 231-935-5000 contact@mhc.net http://www.munsonhealthcare.org Provider Int 3 Complete 2013/06/25 12:00:00 2013/06/26 12:00:00 2013/06/26 05:41:12 UV 2.16.840.1.113883.9.42 pcc PCC Community Wellness Center Elizabeth McKnight masked Elizabeth McKnight 312-267-2031 masked Alliance of Chicago 215 W. Ohio St. Chicago, Il. 60654 312-274-0068 info@alliancechicago.org Provider 2.16.840.1.113883.3.2847 Int 3 Complete 2013/06/25 12:00:00 2013/07/02 12:00:00 2013/07/02 03:28:47 UV 2.16.840.1.113883.4.649 efhsc Erie Family Health Service Corporation Elizabeth McKnight masked Elizabeth McKnight 215 W. Ohio St. Chicago, IL 60654 312-267-2031 masked Alliance of Chicago 215 W. Ohio Chicago, IL 60654 312-267-0068 info@alliancechicago.org Provider 2.16.840.1.113883.3.2847 Int 3 Complete 2013/06/25 12:00:00 2013/07/02 12:00:00 2013/07/02 03:32:09 UV 2.16.840.1.113883.3.3256 hho Heartland Health Outreach Elizabeth McKnight masked Elizabeth McKnight 312-267-2031 masked Alliance of Chicago 215 W. Ohio St. Chicago, Il. 60654 312-267-0068 info@alliancechicago.org Provider 2.16.840.1.113883.3.2847 Int 3 Complete 2013/06/25 12:00:00 2013/07/02 12:00:00 2013/07/02 03:33:56 UV 2.16.840.1.113883.3.3257 hbhc Howard Brown Health Center Elizabeth McKnight masked Elizabeth McKnight 312-267-2031 masked Alliance of Chicago 215 W. Ohio St. Chicago, IL. 60654 312-267-0068 info@alliancechicago.org Provider 2.16.840.1.113883.3.2847 Int 3 Complete 2013/06/25 12:00:00 2013/07/02 12:00:00 2013/07/02 03:37:22 UV 2.16.840.1.113883.3.3258 stlcit St Luke Community Healthcare IT James Schoenen masked James Schoenen 107 6th Avenue South West Ronan, MT 59864 406-528-5313 masked Director of IT St Luke Community IT Department 107 6th Avenue South West Ronan, MT 59864 406-676-4441 cis@stlukehealthnet.org http://www.stlukehealthnet.org Provider 2.16.840.1.113883.3.2137 Int 3 Complete 2013/06/25 12:00:00 2013/06/27 12:00:00 2013/06/27 03:50:14 UV 2.16.840.1.113883.3.2137.2 slcrhc St. Luke Community Healthcare Clinics James Schoenen masked James Schoenen 107 6th Avenue South West Ronan, MT 59864 406-528-5313 masked St. Luke Community Hospital and Nursing Home 107 6th Avenue South West Ronan, MT 59864 406-676-4441 cis@stlukehealthcare.org https://stlukehealthcare.org Provider 2.16.840.1.113883.3.2137 Ext 3 Complete 2.16.840.1.113883.3.2137.2 2013/06/25 12:00:00 2013/06/27 12:00:00 2022/11/30 05:07:30 UV 2.16.840.1.113883.3.3260 elr-svmh Salinas Valley Memorial Hospital Organization Object Identifier Christine Burnett masked aparks@svmh.com Christine Burnett 405 E. Romie Lane Salinas, CA 93901 831-759-1973 masked IT Client Services Manager Salinas Valley Memorial Hospital cburnett@svmh.com http://www.svmh.com/ Provider Int 3 Complete 2013/06/26 12:00:00 2013/06/27 12:00:00 2013/06/27 04:05:48 UV 2.16.840.1.113883.3.1070.5307 mckesson-fusion-5307 mckesson-fusion-5307 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 3 Complete 2.16.840.1.113883.3.1070.5307 2013/06/26 12:00:00 2013/06/27 12:00:00 2013/06/27 04:08:21 US 2.16.840.1.113883.3.627.1 tch74464sub1 Tahlequah_City_Hospital_SUB1 Aaron Pack masked Aaron Pack 1400 E Downing Tahlequah, OK 74464 918-453-2288 masked Director IT Tahlequah City Hospital 1400 E Downing Tahlequah, OK 74464 918-456-0641 apack@tch-ok.org http://www.tch-ok.org Provider 2.16.840.1.113883.3.627 Ext 14 14 Complete 2.16.840.1.113883.3.627.1 2013/06/26 12:00:00 2013/06/27 12:00:00 2013/06/27 04:11:23 UV 2.16.840.1.113883.3.3261 mobgyn MEMORIAL OBSTETRICIANS AND GYNECOLOGISTS,P.A. Patrick Kendrick masked fred knieper Patrick Kendrick 920 Frostwood, Houston, TX 77024 713-338-6315 masked systems analyst Memorial Hermann Health Information Exchange 920 Frostwood, Houston, TX 77024 713-456-6443 patrick.kendrick@memorialhermann.org http://www.memorialhermann.org/patients-caregivers/mhie/ Provider Int 3 3 Complete 2013/06/26 12:00:00 2013/06/27 12:00:00 2013/06/27 04:20:10 UV 2.16.840.1.113883.3.3262 shani Tara H Shani, M.D. P.A. Patrick Kendrick masked fred knieper Patrick Kendrick 920 Frostwood, Houston, TX 77024 713-338-6315 masked Memorial Hermann Health Information Exchange 920 Frostwood, Houston, TX 77024 713-456-6443 patrick.kendrick@memorialhermann.org Provider Int 3 Complete 2013/06/26 12:00:00 2013/06/27 12:00:00 2013/06/27 04:17:52 UV 2.16.840.1.113883.17.121 zyyy The First Affiliated Hospital, College of Medicine, Zhejiang University Peter Xu masked Peter Xu 13758111217 masked Zhejiang University 13758111217 blood217@163.com Provider Int 17 Complete 2013/06/27 12:00:00 2014/12/15 12:00:00 2014/12/15 11:27:23 CN 2.16.840.1.113883.3.1070.5300 mckesson-fusion-5300 mckesson-fusion-5300 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5300 2013/06/27 12:00:00 2013/06/27 12:00:00 2013/06/27 04:36:47 US 2.16.840.1.113883.3.1070.5283 mckesson-fusion-5283 mckesson-fusion-5283 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5283 2013/06/27 12:00:00 2013/06/27 12:00:00 2013/06/27 04:39:12 US 2.16.840.1.113883.3.3263 kevin-dorseytyler Kevin Dorsey-Tyler MD PhD Kevin Dorsey-Tyler masked Kevin Dorsey-Tyler Enloe Medical Center 1531 Esplanade Chico, CA 95926 5303327994 masked Medical Director, Clinical Analytics Kevin Dorsey-Tyler Enloe Medical Center 1531 Esplanade Chico, CA 95926 5303327994 kevin.dorseytyler@enloe.org Provider Int 3 Complete 2013/06/27 12:00:00 2013/06/27 12:00:00 2013/06/27 04:46:28 UV 2.16.840.1.113883.3.3264 enloe-regional-cancer-center Enloe Regional Cancer Center Kevin Dorsey-Tyler masked Kevin Dorsey-Tyler Enloe Medical Center 1531 Esplanade Chico CA 95926 5303327994 masked Medical Director, Clinical Analytics Enloe Regional Cancer Center 256 Cohasset Road Chico CA 95926 5303323808 kevin.dorseytyler@enloe.org Provider Int 3 Complete 2013/06/27 12:00:00 2013/06/27 12:00:00 2013/06/27 04:45:25 UV 2.16.840.1.113883.3.1070.5294 mckesson-fusion-5294 mckesson-fusion-5294 Harry Callier masked Fusion Enrollement 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5294 2013/06/27 12:00:00 2013/06/27 12:00:00 2013/06/27 04:41:38 US 2.16.840.1.113883.3.3265 nmc Natividad Medical Center David Hathaway masked Antonio Medina David Hathaway Natividad Medical Center 1441 Constitution Blvd. Salinas, CA 93906 General Information: (831) 755-4111 8317832799 masked Senior HL7 Analyst Natividad Medical Center Natividad Medical Center 1441 Constitution Blvd. Salinas, CA 93906 General Information: (831) 755-4111 8317832799 hathawayd@natividad.com http://www.natividad.com/about-us/contact-us Prof Soc Int 3 3 Complete 2013/06/27 12:00:00 2013/06/30 12:00:00 2013/06/30 05:49:38 V2.5 UV 2.16.840.1.113883.3.1070.5231 mckesson-fusion-5231 mckesson-fusion-5231 Harry Calier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5231 2013/06/28 12:00:00 2013/06/30 12:00:00 2013/06/30 05:51:33 US 2.16.840.1.113883.3.3266 pvn Pioneer Valley Nephrology Crystal Gillis masked Crystal Gillis 300 Stafford Street Suite 161 Springfield, MA 01104 413-787-1738 masked Billing/IT Manager Pioneer Valley Nephrology 300 Stafford Street Suite 161 Springfield, MA 01104 413-787-0090 pvnom@kidneymd.us http://www.pioneervalleynephrology.com/ Provider Int 3 Complete 2013/07/01 12:00:00 2013/07/02 12:00:00 2013/07/02 03:40:34 UV 2.16.840.1.113883.3.3267 MHSWOK Comanche County Memorial Hospital Wade Harrell masked Adam Switzer Adam Switzer c/o Memorial Health System of Southwest Oklahoma 3401 W. Gore Blvd. Lawton, OK 73502 (580) 355-8699 x6518 masked Lab Informaticist Memorial Health System of Southwest Oklahoma Memorial Health System of Southwest Oklahoma 3401 W. Gore Blvd. Lawton, OK 73502 (580) 355-8620 itinformatics@memorialhealthswok.com https://www.memorialhealthswok.com Provider Int 3 3 Complete 2013/07/01 12:00:00 2013/07/02 12:00:00 2026/05/12 10:19:24 2.4 US 2.16.840.1.113883.3.3268 rbmd EHR Interface Charlie Latta masked rhbertenshaw@comcast.net Robert Becker, MD 5201 Willow Springs Road LaGrange, Illinois 60525 708-354-5631 masked Physician Charlie Latta 902 Inspiration Way Altamonte Springs, Florida 407-357-3178 charlie.latta@ahss.org Vendor Int 3 Complete 2013/07/01 12:00:00 2013/07/02 12:00:00 2013/07/02 03:42:54 UV 2.16.840.1.113883.9.43 vergeOID Verge Solutions HL7 OID Mark Monterastelli masked Rick Razzano P.O. Box 394 Mt. Pleasant, SC 29465 8432776988 masked CTO Verge Solutions, LLC 710 Johnnie Dodds Blvd Suite 202 Mount Pleasant, SC 29465 8436284168 Rick@verge-solutions.com http://www.verge-solutions.com Vendor Int 3 Complete 2013/07/01 12:00:00 2013/07/02 12:00:00 2014/07/29 02:45:27 UV 2.16.840.1.113883.3.3269 neuromedicalcenter The Neuromedical Center Surgical Hospital Jeremy DePrato masked Jeremy DePrato 10105 Park Rowe Cirle Baton Rouge, LA 70810 225-768-2760 masked IT Director The Neuromedical Center Surgical Hospital jeremy.deprato@nmchbr.com http://www.theneuromedicalcenter.com/ Provider Int 3 Complete 2013/07/01 12:00:00 2013/07/02 12:00:00 2013/07/02 03:48:51 UV 2.16.840.1.113883.3.3270 Clemmons Novant Health Clemmons Medical Center Clifton Barnett masked Clifton Barnett 919-843-2360 masked Novant Health Clemmons Medical Center 6915 Village Medical Circle Clemmons, North Carolina 27012 336-893-1000 cbarnett@email.unc.edu Academic Int 3 Complete 2013/07/01 12:00:00 2013/07/02 12:00:00 2013/07/02 03:52:37 UV 2.16.840.1.113883.3.3271 sanford-fac-oid Sanford Health Valarie Baumberger masked Mike Willeson 900 54th Street N Sioux Falls, SD 57104 605-328-7160 masked Application Support Manager Sanford Health 900 54th Street N Sioux Falls, SD 57104 605-328-7160 mike.willeson@sanfordhealth.org Vendor Int 3 Complete 2013/07/01 12:00:00 2013/07/02 12:00:00 2022/10/07 09:18:23 UV 2.16.840.1.113883.3.3272 hhp-afp Hunterdon Healthcare Partners Annandale Family Practice Daniel Tannenbaum masked tahaney.jason@hunterdonhealthcare.org Daniel Tannenbaum Hunterdon Healthcare System 2100 Wescott Drive Flemington, NJ 08822 908 237-5541 masked HIE Project Manager Hunterdon Healthcare Partners 6 Sand Hill Rd Flemington, NJ 08822 908 806-8222 Weinstein.Jeffrey@hunterdonhealthcare.org http://www.hunterdonhealthcarepartners.org/home.asp Provider 2.16.840.1.113883.3.1843.2.1003080169 Int 3 Complete 2013/07/01 12:00:00 2013/07/02 12:00:00 2013/07/02 03:58:15 UV 2.16.840.1.113883.3.1070.5285 mckesson-fusion-5285 mckesson-fusion-5285 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5285 2013/07/02 12:00:00 2013/07/02 12:00:00 2013/07/02 03:59:30 US 2.16.840.1.113883.3.3273 rumc Richmond University Medical Center David Eiseneberg masked Linda Loennecker David Eisenberg Richmond University Medical Center 355 Bard Avenue Staten Island New York 10310 718 818 4794 masked Clinical / Interface Analyst Richmond University Medical Center Richmond University Medical Center 355 Bard Avenue Staten Island New York 10310 718 818 1234 deisenberg@rumcsi.org https://rumcsi.org Provider Int 3 Complete 2013/07/02 12:00:00 2013/07/02 12:00:00 2013/07/02 04:02:49 UV 2.16.840.1.113883.3.3274 rPH-Delhi Richland Parish Hospital Rusty Walker masked bhutchinson@delhihospital.com Alex Jackson 407 Cincinnati St Delhi, LA 71232 3183033048 masked CIO Richland Parish Hospital 407 Cincinnati St Delhi, LA 71232 3188785171 ajackson@delhihospital.com https://www.delhihospital.com Provider Int 3 Complete 2013/07/02 12:00:00 2013/07/02 12:00:00 2026/05/28 11:35:42 UV 2.16.840.1.113883.3.3275 mshaOnePartnerHIEOpenEMPIDatabase msha One Partner HIE Open EMPI Database Marty Smith masked Marty Smith 423-857-2000 masked Software Dev II Mountain States Health Alliance marty@lucentglow.com http://www.msha.com Provider Int 3 Complete 2013/07/02 12:00:00 2013/07/02 12:00:00 2013/07/02 04:08:36 UV 2.16.840.1.113883.17.122 drs-ehr Keiser Computers DRS EHR Jeffrey Keiser masked Jeffrey Keiser 6350 N. Andrews Ave Fort Lauderdale, FL 33309 954-771-3511 masked President Keiser Computers 6350 N. Andrews Ave Fort Lauderdale, FL 33309 954-771-3511 jkeiser@keisercomputers.com http://www.drsdoc.com Vendor Int 17 Complete 2013/07/02 12:00:00 2013/07/02 12:00:00 2013/07/02 04:10:53 US 2.16.840.1.113883.3.3276 app-mssp Advocate Physician Partners - MSSP Dennis Gilge masked Dennis Gilge 1701 West Golf Road Suite 2-1100 Rolling Meadows, Il 60008 847-635-5920 masked Advocate Physician Partners 1701 West Golf Road Suite 2-1100 Rolling Meadows, Il 60008 847-635-5920 Dennis.Gilge@advocatehealth.com Provider Int 3 Complete 2013/07/02 12:00:00 2013/07/02 12:00:00 2013/07/02 05:31:28 UV 2.16.840.1.113883.3.3277 app-bcbs Advocate Physician Partners - BCBS Dennis Gilge masked Dennis Gilge 1701 West Golf Road Suite 2-1100 Rolling Meadows, IL 60008 847-635-5920 masked Advocate Physician Partners 1701 West Golf Road Suite 2-1100 Rolling Meadows, IL 60008 847-635-5920 Dennis.Gilge@advocatehealth.com Provider Int 3 Complete 2013/07/02 12:00:00 2013/07/02 12:00:00 2013/07/02 05:32:57 UV 2.16.840.1.113883.3.3278 app-huepo Advocate Physician Partners - huepo Dennis Gilge masked Dennis Gilge 1701 West Golf Road Suite 2-1100 Rolling Meadows, Il 60008 847-635-5920 masked Advocate Physician Partners 1701 West Golf Road Suite 2-1100 Rolling Meadows, Il 60008 847-635-5920 Dennis.Gilge@advocatehealth.com Provider Int 3 Complete 2013/07/02 12:00:00 2013/07/02 12:00:00 2013/07/02 05:33:51 UV 2.16.840.1.113883.3.3279 app-phoge Advocate Physician Partners - PHO GE IDX Dennis Gilge masked Dennis Gilge 1701 West Golf Road Suite 2-1100 Rolling Meadows, IL 60008 847-635-5920 masked Advocate Physician Partners 1701 West Golf Road Suite 2-1100 Rolling Meadows, IL 60008 847-635-5920 Dennis.Gilge@advocatehealth.com Provider Int 3 Complete 2013/07/02 12:00:00 2013/07/02 12:00:00 2013/07/02 05:36:32 UV 2.16.840.1.113883.3.1070.5313 mckesson-fusion-5313 mckesson-fusion-5313 Rebecca Paul masked Fusion enrollment 877-507-4541 masked Fusion enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5313 2013/07/02 12:00:00 2013/07/05 12:00:00 2013/07/05 04:17:47 US 2.16.840.1.113883.3.1070.5282 mckesson-fusion-5282 mckesson-fusion-5282 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5282 2013/07/03 12:00:00 2013/07/05 12:00:00 2013/07/05 04:18:43 US 2.16.840.1.113883.3.3280 jrmchie Jefferson Regional Medical Center Health Information Exchange Andy Jenkins masked Andy Jenkins 1600 West 40th Ave Pine Bluff, AR 71635 870-541-2136 masked Administrative Director IT Jefferson Regional Medical Center 1600 West 40th Ave Pine Bluff, AR 71635 870-541-7100 jenkinsa@jrmc.org http://www.jrmc.org Exchange Int 3 Complete 2013/07/03 12:00:00 2013/07/05 12:00:00 2013/07/05 04:21:06 UV 2.16.840.1.113883.3.3281 sandlotconnect Sandlot Connect HIE Telly Shackelford masked Telly Shackelford 1701 River Run, Ste. 902 Fort Worth, TX 76107 8173197784 masked CTO Sandlot Solutions, Inc 1701 River Run, Ste. 902 Fort Worth, TX 76107 817-810-5220 help@sandlotsolutions.com http://www.sandlotsolutions.com Vendor Int 3 Complete 2013/07/03 12:00:00 2013/07/05 12:00:00 2013/07/05 04:22:45 UV 2.16.840.1.113883.3.3282 nchie-participants NC HealthConnex Participating Organizations JC Wright masked Adam Dolde 714 Moncure School Rd Moncure NC 27559 919-444-9785 masked Sr. Technical Consultant SAS Institute Adam Dolde C-4255 100 SAS Campus Dr Cary NC 27513 919-531-4050 adam.dolde@sas.com https://hiea.nc.gov/ Exchange Int 3 3 Complete 2013/07/03 12:00:00 2013/07/05 12:00:00 2018/09/04 10:12:26 UV 2.16.840.1.113883.3.3283 cmha-cei Community Mental Health Association of Clinton, Eaton and Ingham Counties Steven Grulke masked Steven Grulke 812 East Jolly Road Suite G 13 Lansing, MI 48910 517-346-8256 masked Systems Analyst CMHA-CEI 812 East Jolly Road Lansing, MI 48910 517-346-8200 helpdesk@ceicmh.org http://www.ceicmh.org Provider Int 3 Complete 2013/07/03 12:00:00 2013/07/05 12:00:00 2013/07/05 04:26:45 US 2.16.840.1.113883.3.3284 eecpc Eyecare Eyewear Center, P.C. Walter Guss masked Walter Guss, O.D. 1093 N. Union St. Middletown, Pa 17057 7175765701 masked CEO Eyecare Eyewear Center, P.C. 1093 N. Union St. Middletown, Pa 17057 7179444031 eyecareeyewearcenter@gmail.com Provider Int 3 Complete 2013/07/04 12:00:00 2013/07/05 12:00:00 2013/07/05 04:29:56 UV 2.16.840.1.113883.3.1780.1.12.1.3 ca-CPDC Canada Post Street Direction Code System Wendy Huang masked Finnie Flores 4110 Yonge St., Suite 300 Toronto, ON M2P 2B7 Canada 416-529-5201 masked Canada Post Corporation Canada Post Attn: Customer Service 35 Hughes St. Fredericton NB E3A 2W2 Canada 1-866-607-6301 noemail@email.com http://www.canadapost.ca/cpo/mc/default.jsf Vendor Ext 6 6 Complete 2.16.840.1.113883.3.1780.1.12.1.3 2013/07/04 12:00:00 2013/07/05 12:00:00 2013/07/05 04:31:55 UV 2.16.840.1.113883.3.1780.1.12.1.4 ca-CPST Canada Post Street Type Wendy Huang masked Finnie Flores 4110 Yonge St., Suite 300 Toronto, ON M2P 2B7 Canada 416-529-5201 masked Canada Post Corporation Canada Post Attn: Customer Service 35 Hughes St. Fredericton NB E3A 2W2 Canada 1-866-607-6301 noemail@email.com http://www.canadapost.ca/cpo/mc/default.jsf Vendor Ext 6 6 Complete 2.16.840.1.113883.3.1780.1.12.1.4 2013/07/04 12:00:00 2013/07/05 12:00:00 2013/07/05 04:32:49 UV 2.16.840.1.113883.3.3285 harmon Harmon Memorial Hospital Melinda Young masked Dena Daniel PO Box 793 400 East Chestnut Hollis, OK 73550 5806883363 masked CAO Jackson County Memorial Hospital Authority dba Harmon Memorial Hospital PO Box 793 400 East Chestnut Hollis, OK 73550 5806883363 billing@harmonmemorial.com http://harmonmemorial.com Provider Int 3 Complete 2013/07/05 12:00:00 2013/07/11 12:00:00 2020/11/15 09:26:05 UV 2.16.840.1.113883.3.3286 synevoPL Synevo Poland MichaB Banat masked Michal Banat ul. Milionowa 21 bud. c, 93-105 &#321;&#243;d&#378;, Poland +48422991239 masked IT Manager Synevo Polska sp. z o.o. ul. Dzika 4, 00-194 Warszawa, Poland +48226363786 michal.banat@synevo.pl http://www.synevo.pl Provider Int 3 Complete 2013/07/08 12:00:00 2013/07/11 12:00:00 2013/07/11 02:20:53 UV 2.16.840.1.113883.3.1070.5351 mckesson-fusion-5351 mckesson-fusion-5351 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5351 2013/07/08 12:00:00 2013/07/11 12:00:00 2013/07/11 02:22:31 US 2.16.840.1.113883.3.1070.5275 mckesson-fusion-5275 mckesson-fusion-5275 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5275 2013/07/08 12:00:00 2013/07/11 12:00:00 2013/07/11 02:29:16 US 2.16.840.1.113883.3.1070.5292 mckesson-fusion-5292 mckesson-fusion-5292 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5292 2013/07/08 12:00:00 2013/07/11 12:00:00 2013/07/11 02:30:50 US 2.16.840.1.113883.3.1070.5293 mckesson-fusion-5293 mckesson-fusion-5293 Tiffany Roberts masked Fusion Enrollment 87750774541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5293 2013/07/08 12:00:00 2013/07/11 12:00:00 2013/07/11 02:32:39 US 2.16.840.1.113883.3.1070.5280 mckesson-fusion-5280 mckesson-fusion-5280 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 3 Complete 2.16.840.1.113883.3.1070.5280 2013/07/08 12:00:00 2013/07/11 12:00:00 2013/07/11 02:34:17 US 1.3.6.1.4.1.19376.1.3.5 ihelaw IHE Laboratory Analytical Workflow (LAW) Analyzer result types Riki Merrick masked Mary Kennedy Mary Kennedy College of American Pathologists 325 Waukegan Road Northfield, IL 60093-2750 +001 847-832-7000 masked IHE Lab Technical Committee Secretary IHE International Laboratory Committee lab@ihe.net http://wiki.ihe.net/index.php?title=Laboratory_Analytical_Workflow_Profile SDO Ext 6 Complete 1.3.6.1.4.1.19376.1.3.5 2013/07/08 12:00:00 2013/07/11 12:00:00 2013/07/11 02:36:46 IHELAW UV 2.16.840.1.113883.3.3287 app-mwh Advocate Physician Partners - Midwest Heart Demographic Dennis Gilge masked Dennis Gilge 1701 West Golf Road Suite 2-1100 Rolling Meadows, Il 60008 847-635-5920 masked Advocate Physician Partners 1701 West Golf Road Suite 2-1100 Rolling Meadows, Il 60008 847-635-5920 Dennis.Gilge@advocatehealth.com Provider Int 3 Complete 2013/07/08 12:00:00 2013/07/11 12:00:00 2013/07/11 02:40:38 UV 2.16.840.1.113883.3.3288 hrmc Highlands Regional Medical Center Michael Roberts masked Michael Roberts 5000 Ky Route 321 Prestonsburg, KY 41653 606-886-7754 masked Director Network Services Highlands Regional Medical Center 5000 Ky Route 321 Prestonsburg, KY 41653 606-886-8511 mroberts@hrmc.org http://www.hrmc.org Provider Int 3 3 Complete 2013/07/08 12:00:00 2013/07/11 12:00:00 2013/07/11 02:43:23 UV 2.16.840.1.113883.3.3289 hfm Holy Family Memorial Susan Denor masked Susan M. Denor 2300 Western Ave Manitowoc, WI 54220 920-320-2241 masked Application Manager Holy Family Memorial 2300 Western Ave PO Box 1450 Manitowoc, WI 54220 920-320-2011 sdenor@hfmhealth.org http://www.hfmhealth.org Provider Int 3 Complete 2013/07/08 12:00:00 2013/07/11 12:00:00 2013/07/11 02:42:27 UV 2.16.840.1.113883.3.3290 vvrhimm VVRH ATTESTATION IMM MESSAGE Virginia Lewis masked Gini Lewis 430 N. Monte Vista Ada, OK 74820 5804211424 masked Director, IT Valley View Reigonal Hospital glewis@vvrh.com Provider Int 3 Complete 2013/07/08 12:00:00 2013/07/11 12:00:00 2013/07/11 02:52:36 UV 2.16.840.1.113883.3.3291 ncdr NCDR, LLC Damon Dunsmore masked Damon Dunsmore 770-916-7211 masked Manager of EDI and Integrations NCDR, LLC 1090 Northchase PKWY Marietta, GA 30060 770-916-7211 ddunsmore@ncdrllc.com http://www.ncdrllc.com/ Provider Int 3 Complete 2013/07/09 12:00:00 2013/07/11 12:00:00 2013/07/11 02:55:22 UV 2.16.840.1.113883.3.3292 scrobjects St. Claire Regional Medical Center Objects Jerry McCleese masked jerry.tilsley@st-claire.org Jerry Randle "Randy" McCleese 222 Medical Circle Morehead, KY 40351 606-783-6560 masked VP-IS&CIO St. Claire Regional Medical Center 222 Medical Circle Morehead, KY 40351 606-783-6500 randy.mccleese@st-claire.org http://www.st-claire.org Provider Int 3 3 Complete 2013/07/09 12:00:00 2013/07/11 12:00:00 2013/07/11 02:56:52 UV 2.16.840.1.113883.3.3293 oidCAV-98223 Cascade Valley Hospital and Clinics Matt Donoghue masked Scott Meyers Matt Donoghue 360-618-7869 masked Network Administrator Cascade Valley Hospital and Clinics 330 S Stillaguamish Ave Arlington, WA 98223 360-435-2133 support@cascadevalley.org http://cascadevalley.org Provider Int 3 3 Complete 2013/07/10 12:00:00 2013/07/11 12:00:00 2013/07/11 02:58:43 UV 2.16.840.1.113883.3.3290.1 vvrhimmuz VVRH IMMUZ subOID Virginia Lewis masked Virginia Lewis 430 N. Monte Vista Ada, OK 74820 5804211424 masked Director, IT Valley View Regional Hospital virginia.lewis@mercy.net Provider 2.16.840.1.113883.3.3290 Ext 14 Complete 2.16.840.1.113883.3.3290.1 2013/07/10 12:00:00 2013/07/11 12:00:00 2013/07/11 03:40:53 UV 2.16.840.1.113883.3.3294 northcare North Oklahoma County MHC James Riediger masked James Riediger 4436 NW 50th St Oklahoma City, OK 73112 405-858-2780 masked Director of Information Technology North Oklahoma County MHC 4436 NW 50th St Oklahoma City, OK 73112 405-858-2700 jamesr@northcare.com http://www.northcare.com Provider Int 3 Complete 2013/07/10 12:00:00 2013/07/11 12:00:00 2013/07/11 03:42:42 UV 2.16.840.1.113883.3.3295 aMCH1 Madison Community Hospital Beth Graff masked Beth Graff 917 North Washington Ave Madison, SD 57042 1-605-256-8744 masked Madison Community Hospital 917 North Washington Ave Madison, SD 57042 1-605-256-6551 tammy.miller@madisonhospital.com Provider Int 3 Complete 2013/07/10 12:00:00 2013/07/11 12:00:00 2013/07/11 03:44:08 UV 2.16.840.1.113883.3.1070.5308 mckesson-fusion-5308 mckesson-fusion-5308 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5308 2013/07/10 12:00:00 2013/07/11 12:00:00 2013/07/11 03:46:21 US 2.16.840.1.113883.3.1070.5278 mckesson-fusion-5278 mckesson-fusion-5278 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5278 2013/07/10 12:00:00 2013/07/11 12:00:00 2013/07/11 03:47:27 US 2.16.840.1.113883.3.3296 lvmc Lompoc Valley Medical Center Eric Lykens masked Eric Lykens Lompoc Valley Medical Center 1515 East Ocean Avenue Lompoc, CA 93436 805-737-5729 masked Senior Systems Analyst Lompoc Valley Medical Center Lompoc Valley Medical Center 1515 East Ocean Avenue Lompoc, CA 93436 805-737-5760 helpdesk@lompocvmc.com http://www.lompocvmc.com Provider Int 3 Complete 2013/07/10 12:00:00 2013/07/11 12:00:00 2013/07/11 03:50:07 UV 2.16.840.1.113883.3.3297 kinsights Kinsights OID Root M. Jackson Wilkinson masked M. Jackson Wilkinson 119 Grattan St San Francisco, CA 94117 8887735303 masked Founder Kinsights corp@kinsights.com https://kinsights.com Vendor Int 3 Complete 2013/07/10 12:00:00 2013/07/11 12:00:00 2013/07/11 03:51:10 UV 2.16.840.1.113883.3.3298 gehcit-j GE Healthcare Japan HCIT Naoyuki Kawachi masked Naoyuki Kawachi 3-1-30, Asahigaoka, Hino-shi, Tokyo 81 90 9155 4779 masked Solution Architect GE Healthcare Japan HCIT 3-1-30, Asahigaoka, Hino-shi, Tokyo 81 90 9155 4779 naoyuki.kawachi@ge.com http://www3.gehealthcare.co.jp/ Prof Soc Int 3 Complete 2013/07/10 12:00:00 2013/07/11 12:00:00 2013/07/11 04:08:54 JP 2.16.840.1.113883.3.3299 ncvc National Cerebral and Cardiovascular Center Shigeki Kuwata masked Shigeki Kuwata Department of Medical Informatics, National Cerebral and Cardiovascular Center 5-7-1 Fujishirodai, Suita, Osaka, 565-8565, Japan +81-6-6833-5012 masked Director National Cerebral and Cardiovascular Center 5-7-1 Fujishirodai, Suita, Osaka, 565-8565, Japan +81-6-6833-5012 shig@ncvc.go.jp Provider Int 3 Complete 2013/07/11 12:00:00 2013/07/11 12:00:00 2013/07/11 04:10:59 JP 2.16.840.1.113883.3.3300 eCW-SynAPPs APP-SynAPPs/eCW Andy Cudzik masked Andy Cudzik 1701 Golf Road Rolling Meadows, Il 60008 847-390-3659 masked APP MGR Implementations Advocate Health Care andrew.cudzik@advocatehealth.com Exchange Int 3 Complete 2013/07/11 12:00:00 2013/07/11 12:00:00 2013/07/11 04:20:03 UV 2.16.840.1.113883.9.44 fairfaxcommunityhospital Fairfax Community Hospital Tina Steele masked Kathy Brock Tina Steele Fairfax Community Hosptial 40 Hospital Rd Fairfax, OK 74637 918-642-3291 masked CEO Fairfax Community Hospital Fairfax Community Hosptial 40 Hospital Rd Fairfax, OK 74637 918-642-3291 tsteele@hmccah.com Provider Int 3 Complete 2013/07/11 12:00:00 2013/07/11 12:00:00 2013/07/11 04:22:45 UV 2.16.840.1.113883.3.3301 fsl Family Service League Renee Adamowicz masked Renee Adamowicz 631-427-3700 (275) masked IT Manager Family Service League 790 Park Avenue Huntington, NY 11743 631-427-3700 radamowicz@fsl-li.org http://fsl-li.org Provider Int 3 Complete 2013/07/11 12:00:00 2013/07/11 12:00:00 2013/07/11 04:25:20 UV 2.16.840.1.113883.3.3302 mmc-information-services Maine Medical Center HL7 For Measure Standards Reporting Joshua Roberts masked Joshua Roberts 420 Cumberland Ave Portland, ME 04101 207-662-6528 masked Data Architect Maine Medical Center jroberts@mmc.org Provider Int 3 Complete 2013/07/12 12:00:00 2013/07/18 12:00:00 2013/07/18 02:26:27 UV 2.16.840.1.113883.3.3303 holstonDiagnosticImagingOnePartnerHIEOpenEMPIDatabase Holston Diagnostic Imaging One Partner HIE Open EMPI Database Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner LLC marty@lucentglow.com Provider Int 3 Complete 2013/07/12 12:00:00 2013/07/18 12:00:00 2021/08/18 01:26:51 UV 2.16.840.1.113883.3.3304 onePartnerHIE One Partner HIE Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2013/07/12 12:00:00 2013/07/18 12:00:00 2013/07/18 02:29:06 UV 2.16.840.1.113883.3.3305 oupokc OU Physicians Oklahoma City Russell Cleary masked Russell Cleary 1122 N.E. 13th Street, ORI 276 Oklahoma City, OK 73117 405-271-3131 masked EMR Technical Manager OU Physicians Oklahoma City 1122 N.E. 13th Street, Oklahoma City, OK 73117 405-271-3131 oupsys@ouhsc.edu http://oumedicine.com Academic Int 3 Complete 2013/07/12 12:00:00 2013/07/18 12:00:00 2013/07/18 02:31:26 UV 2.16.840.1.113883.3.3305.1 oupokc-emr OU Physicians Oklahoma City EMR Russell Cleary masked Russell Cleary 1122 N.E. 13th Street Oklahoma City, OK 73117 405-271-3131 masked EMR Technical Manager OU Physicians Oklahoma City 1122 N.E. 13th Street Oklahoma City, OK 73117 405-271-3131 oupsys@ouhsc.edu http://oumedicine.com Academic 2.16.840.1.113883.3.3305 Ext 14 Complete 2.16.840.1.113883.3.3305.1 2013/07/15 12:00:00 2013/07/18 12:00:00 2013/07/18 02:32:21 UV 2.16.840.1.113883.3.3306 vpec Village Point Eye Care Christie Person masked Dr. Christie M Person 400 Barrett Pkwy Suite Kennesaw, GA 30144 770-423-1536 masked Owner Village Point Eye Care 400 Barrett Pkwy Suite 151 Kennesaw, GA 30144 770-423-1536 christie.person@villagepointeyecare.com http://www.villagepointeyecare.com Provider Int 3 Complete 2013/07/15 12:00:00 2013/07/18 12:00:00 2013/07/18 02:33:33 UV 2.16.840.1.113883.17.123 dig Doshi Diagnostic Imaging Services Ramandeep Malhi masked Ramandeep Kaure Malhi 516 491 7670 masked System Administrator Doshi Diagnostic Imaging Services 560 south Broadway Hicksville, NY 11801 5169332800 it_ny@ddis.org Provider Int 17 Complete 2013/07/15 12:00:00 2013/07/18 12:00:00 2013/07/18 02:37:22 UV 2.16.840.1.113883.3.3307 hwl-01-FL Heartwell and FL Blue Denysse Novas masked Dave Larter Dacier Iglesias 7990 SW 117th Ave, Suite 202 Miami, FL 33183 305-200-0399 ext 202 masked Systems Analyst Heartwell LLP 6500 Creedmoor Road, Suite 112, Raleigh, NC 27613 919-845-5263 ext 107 dave.larter@iasisnetworks.com Provider Int 3 Complete 2013/07/15 12:00:00 2013/07/18 12:00:00 2016/02/16 03:49:11 UV 2.16.840.1.113883.3.3308 aik Aiken Regional Medical Center Mike Meall masked Kevin Kingery (803) 641-5648 masked Aiken Regional Medical Center 302 University Parkway Aiken, SC 29801 (803) 641-5000 kevin.kingery@uhsinc.com Provider Int 3 Complete 2013/07/15 12:00:00 2013/07/18 12:00:00 2013/07/18 02:46:48 UV 2.16.840.1.113883.3.3309 crm Corona Regional Medical Center Mike Meall masked Irvin Hoff (951) 736-6333 masked Corona Regional Medical Center 800 South Main Street Corona, CA 93401 (951) 737-4343 Irvin.Hoff@uhsinc.com Provider Int 3 Complete 2013/07/15 12:00:00 2013/07/18 12:00:00 2013/07/18 02:47:47 UV 2.16.840.1.113883.3.3310 dhl Doctor's Hospital of Laredo Mike Meall masked Maribel Mata (956) 523-2595 masked Doctor's Hospital of Laredo 10700 McPherson Rd Laredo, TX 78045 (956) 523-2000 Maribel.Mata@uhsinc.com Provider Int 3 Complete 2013/07/15 12:00:00 2013/07/18 12:00:00 2013/07/18 02:49:15 UV 2.16.840.1.113883.3.3311 uhs-ech Edinburg Children's Hospital Mike Meall masked Juan Juarez (956) 388-2248 masked Edinburg Children's Hospital 1102 W Trenton Rd Edinburg, TX 78539 (956) 388-6800 Juan.Juarez@uhsrgv.com Provider Int 3 Complete 2013/07/15 12:00:00 2013/07/18 12:00:00 2013/07/18 02:52:35 UV 2.16.840.1.113883.3.3312 uhs-erm Edinburg Regional Medical Center Mike Meall masked Juan Juarez (956) 388-2248 masked Edinburg Regional Medical Center 1102 W Trenton Rd Edinburg, TX 78539 (956) 388-6000 Juan.Juarez@uhsrgv.com Provider Int 3 Complete 2013/07/15 12:00:00 2013/07/18 12:00:00 2013/07/18 02:56:48 UV 2.16.840.1.113883.3.3313 uhs-mmc McAllen Medical Center Mike Meall masked Juan Juarez (956) 388-2248 masked McAllen Medical Center 301 W Expy 83 McAllen, TX 78503 (956) 632-4000 Juan.Juarez@uhsrgv.com Provider Int 3 Complete 2013/07/15 12:00:00 2013/07/18 12:00:00 2013/07/18 03:01:59 UV 2.16.840.1.113883.3.3314 uhs-mhh McAllen Heart Hospital Mike Meall masked Juan Juarez (956) 388-2248 masked McAllen Heart Hospital 1900 S D St McAllen, TX 78503 (956) 994-2000 Juan.Juarez@uhsrgv.com Provider Int 3 Complete 2013/07/15 12:00:00 2013/07/18 12:00:00 2013/07/18 03:28:19 UV 2.16.840.1.113883.3.3315 nwt Northwest Texas Healthcare System Mike Meall masked Bach Nguyen (806) 354-1791 masked Northwest Texas Healthcare System 1501 S. Coulter Avenue Amarillo, TX 79106 (806) 354-1000 bach.nguyen@nwths.com Provider Int 3 Complete 2013/07/15 12:00:00 2013/07/18 12:00:00 2013/07/18 03:29:43 UV 2.16.840.1.113883.3.3316 prm Palmdale Regional Medical Center Mike Meall masked Roy Singleton (661) 382-6100 masked Palmdale Regional Medical Center 38600 Medical Center Dr Palmdale, CA 93551 (661) 382-5000 Roy.Singleton@uhsinc.com Prof Soc Int 3 Complete 2013/07/15 12:00:00 2013/07/18 12:00:00 2013/07/18 03:30:46 UV 2.16.840.1.113883.3.3317 uhs-stm St. Mary's Regional Medical Center Mike Meall masked Tracy Andersen (580) 249-3881 masked St. Mary's Regional Medical Center 305 S 5th St Enid, OK 73701 (580) 233-6100 tracy.andersen@uhsinc.com Provider Int 3 Complete 2013/07/15 12:00:00 2013/07/18 12:00:00 2013/07/18 03:32:17 UV 2.16.840.1.113883.3.3318 tmc Texoma Medical Center Mike Meall masked Lisa Engle (903) 416-5472 masked Texoma Medical Center 5016 U.S. 75 Denison, TX 75020 (903) 416-4000 LENGLE@thcs.org Provider Int 3 Complete 2013/07/15 12:00:00 2013/07/18 12:00:00 2013/07/18 03:33:22 UV 2.16.840.1.113883.3.3319 ftd Fort Duncan Regional Medical Center Mike Meall masked Tony Hernandez (830) 872-2630 masked Fort Duncan Regional Medical Center 3333 N. Foster Maldonado Blvd. Eagle Pass, TX 78852 (830) 773-5321 Tony.Hernandez@uhsinc.com Provider Int 3 Complete 2013/07/15 12:00:00 2013/07/18 12:00:00 2013/07/18 03:34:28 UV 2.16.840.1.113883.3.1070.5299 mckesson-fusion-5299 mckesson-fusion-5299 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5299 2013/07/16 12:00:00 2013/07/18 12:00:00 2013/07/18 03:36:35 US 2.16.840.1.113883.3.3320 latimercgh Latimer County General Hospital Laura Lance masked Laura Lance 918 465-2391 masked ICP/UR Latimer County General Hospital 806 Hwy 2 North Wilburton, Ok. 74578 918 465-2391 llance@lcghok.com Provider Int 3 Complete 2013/07/16 12:00:00 2013/07/18 12:00:00 2013/07/18 03:39:22 UV 2.16.840.1.113883.3.3321 umcep umc el paso Mark Watts masked UMC IT Department University Medical Center El Paso 4815 Alameda Avenue El Paso, TX 79905 915 521 7940 masked Interface Team University Medical Center El Paso 4815 Alameda Avenue El Paso, TX 79905 915 521 7940 mwatts@umcelpaso.org Provider Int 3 Complete 2013/07/16 12:00:00 2013/07/18 12:00:00 2015/06/30 05:01:00 UV 2.16.840.1.113883.3.3322 flatironhealth Flatiron Health Oncology Data Platform May Terry masked May Terry 200 5th Ave, 8th Floor New York, NY 10010 888-662-6367 masked Medical Informatics Lead Flatiron Health Oncology Data Platform 200 5th Ave, 8th Floor New York, NY 10010 may@flatiron.com http://www.flatiron.com/ Vendor Int 3 Complete 2013/07/16 12:00:00 2013/07/18 12:00:00 2018/03/09 06:34:07 UV 2.16.840.1.113883.3.3320.1 latimercghvaccinations Latimer County General Hospital Immunization Facility Laura Lance masked Laura Lance 918 465-2391 masked ICP/UR Latimer County General Hospital 806 Hwy 2 North Wilburton, Ok 74578 918 465-2391 llance@lcghok.com Provider 2.16.840.1.113883.3.3320 Ext 14 Complete 2.16.840.1.113883.3.3320.1 2013/07/16 12:00:00 2013/07/18 12:00:00 2013/07/18 03:46:11 UV 2.16.840.1.113883.3.3222.1 mmhokCPSI McCurtain Memorial Hospital CPSI Application Dana Stowell masked itns@mmhok.com Dana A Stowell 1301 E Licoln Road Idabel, OK 74745 580-208-3328 masked Chief Information Officer McCurtain Memorial Hospital 1301 E Licoln Road Idabel, OK 74745 580-286-7623 cio@mmhok.com http://www.mmhok.com Provider 2.16.840.1.113883.3.3222 Ext 14 14 Complete 2.16.840.1.113883.3.3222.1 2013/07/16 12:00:00 2013/07/18 12:00:00 2013/07/18 03:48:48 UV 2.16.840.1.113883.3.3323 cehc Coastal eHealth Connection Jennifer Shmorhun masked Jennifer Shmorhun 400 W Pueblo Santa Barbara, CA 93105 805.569.7237 masked Senior Analyst Coastal eHealth Connection CeHC@sbch.org Exchange Int 3 Complete 2013/07/16 12:00:00 2013/07/18 12:00:00 2013/07/18 03:50:24 UV 2.16.840.1.113883.13.247 kki Kennedy Krieger Institute Scott Kim masked Scott Kim 443-923-4247 masked IT Manager Kennedy Krieger Institute 707 North Broadway Baltimore, MD 21205 kimsc@kennedykrieger.org Academic Int 13 Complete 2013/07/17 12:00:00 2013/07/18 12:00:00 2013/07/18 03:52:24 UV 2.16.840.1.113883.3.1070.5360 mckesson-fusion-5360 mckesson-fusion-5360 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5360 2013/07/17 12:00:00 2013/07/18 12:00:00 2013/07/18 03:56:43 US 2.16.840.1.113883.3.3282.100090 mtolive-0 Mt. Olive Family Medicine Center, Inc. JC Wright masked JC Wright 2300 Rexwoods Dr. Ste. 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Ste. 390 Raleigh, NC 27607 1-(919)-926-1042 info@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 14 Complete 2.16.840.1.113883.3.3282.100090 2013/07/17 12:00:00 2013/07/18 12:00:00 2013/07/18 03:59:06 UV 2.16.840.1.113883.3.3324 manulifeFinancial Manulife Financial Michael Cooper masked Michael Cooper Manulife Financial 25 Water Street South Kitchener, ON Canada N2G 4Z4 519-747-7000 ext. 234046 masked Application Developer Manulife Financial Manulife Financial Corporation 200 Bloor Street East Toronto, ON Canada M4W 1E5 416-926-3000 Michael_Cooper@manulife.com http://www.manulife.com/ Payor Int 3 3 Complete 2013/07/17 12:00:00 2013/07/18 12:00:00 2013/07/18 03:53:29 UV 2.16.840.1.113883.3.1070.5374 mckesson-fusion-5374 mckesson-fusion-5374 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5374 2013/07/17 12:00:00 2013/07/18 12:00:00 2013/07/18 04:00:11 US 2.16.840.1.113883.3.3325 wwcc Woodward Clinic Company, LLC Riley Fanning masked Lisa Owens Riley 900 17th Street Woodward, OK 73801 5805718053 masked Admin Woodward Clinic Company, LLC 900 17th Street Woodward, OK 73801 5805718053 rfanning@woodwardhospital.com https://www.woodwardclinics.com Provider Int 3 3 Complete 2013/07/17 12:00:00 2013/07/18 12:00:00 2013/07/18 04:03:15 UV 2.16.840.1.113883.3.3325.1 wwccsutton Woodward Clinic Company Sutton Riley Fanning masked Lisa Owens Riley Fanning 900 17th Street Woodward, OK 73801 5805718053 masked Admin Woodward Clinic Company, LLC 900 17th Street Woodward, OK 73801 5805718053 rfanning@woodwardhospital.com https://www.woodwardclinics.com Provider Ext 14 14 Complete 2.16.840.1.113883.3.3325.1 2013/07/17 12:00:00 2013/07/18 12:00:00 2013/07/18 04:10:40 UV 2.16.840.1.113883.3.3325.2 wcc1818Kansas Woodward Clinic Company 1818 Kansas Riley Fanning masked Lisa Owens Riley Fanning 900 17th Street Woodward, OK 73801 5805718053 masked Admin Woodward Clinic Company, LLC 1818 Kansas Avenue Woodward, OK 73801 5805718053 rfanning@woodwardhospital.com https://www.woodwardclinics.com Provider 2.16.840.1.113883.3.3325 Ext 14 14 Complete 2.16.840.1.113883.3.3325.2 2013/07/17 12:00:00 2013/07/18 12:00:00 2013/10/18 11:08:47 UV 2.16.840.1.113883.3.3325.3 wCC1810Kansas Woodward Clinic Company 1810 Kansas Riley Fanning masked Lisa Owens Riley Fanning 900 17th Street Woodward, OK 73801 5805718053 masked Admin Woodward Clinic Company, LLC 1810 Kansas Avenue Woodward, OK 73801 5805718053 rfanning@woodwardhospital.com https://www.woodwardclinics.com Provider 2.16.840.1.113883.3.3325 Ext 14 3 Complete 2.16.840.1.113883.3.3325.3 2013/07/17 12:00:00 2013/07/18 12:00:00 2013/10/18 11:07:04 UV 2.16.840.1.113883.3.3325.4 wcc1101HillcrestDrive Woodward Clinic Company 1101 Hillcrest Drive Riley Fanning masked Lisa Owens Riley Fanning 900 17th Street Woodward, OK 73801 5805718053 masked Admin Woodward Clinic Company, LLC 1101 Hillcrest Drive Woodward, OK 73801 5805718053 rfanning@woodwardhospital.com https://www.woodwardclinics.com Provider 2.16.840.1.113883.3.3325 Ext 14 14 Complete 2.16.840.1.113883.3.3325.4 2013/07/17 12:00:00 2013/07/18 12:00:00 2013/10/18 11:10:03 UV 2.16.840.1.113883.3.3325.5 wcc90819thStreet Woodward Clinic Company 908 19th Street Riley Fanning masked Lisa Owens Riley Fanning 900 17th Street Woodward, OK 73801 5805718053 masked Admin Woodward Clinic Company, LLC 908 19th Street Woodward, OK 73801 5805718053 rfanning@woodwardhospital.com https://www.woodwardclinics.com Provider 2.16.840.1.113883.3.3325 Ext 14 3 Complete 2.16.840.1.113883.3.3325.5 2013/07/17 12:00:00 2013/07/18 12:00:00 2013/10/18 11:11:12 UV 2.16.840.1.113883.3.3325.6 wcc91619thSt Woodward Clinic Company 916 19th Street Riley Fanning masked Lisa Owens Riley Fanning 900 17th Street Woodward, OK 73801 5805718053 masked Admin Woodward Clinic Company, LLC 916 19th Street Woodward, OK 73801 5805718053 rfanning@woodwardhospital.com https://www.woodwardclinics.com Provider 2.16.840.1.113883.3.3325 Ext 14 14 Complete 2.16.840.1.113883.3.3325.6 2013/07/17 12:00:00 2013/07/18 12:00:00 2013/10/18 11:13:52 UV 2.16.840.1.113883.3.3326 swn-PNO Southwest Network Anora Carriveau masked IT Management 2700 N. Central Avenue Suite 1050 Phoenix, AZ 85004 602-266-8402 masked Chief Information Officer Southwest Network 2700 N. Central Avenue Suite 1050 Phoenix, AZ 85004 602-266-8402 itmanagement@southwestnetwork.org http://www.southwestnetwork.org Provider Int 3 Complete 2013/07/17 12:00:00 2013/07/18 12:00:00 2023/09/11 01:39:45 UV 2.16.840.1.113883.3.3327 kdph Kentucky Department for Public Health Brennan O'Banion masked Brennan O'Banion 275 East Main Street Frankfort, KY 40621 502-564-0105 ext. 2510 masked Kentucky Department for Public Health 275 East Main Street Frankfort, KY 40621 502-564-0105 brennan.obanion@ky.gov http://chfs.ky.gov/dph/ Govt body Int 3 Complete 2013/07/18 12:00:00 2013/07/18 12:00:00 2013/07/18 04:22:35 UV 2.16.840.1.113883.4.650 miMW Mihealth Global Systems, Inc. Wendy Graham masked Ed Yu 2300 Yonge Street, Suite 1709, Toronto, Ontario, Canada M4P 1E4 4162034875 x 203 masked Project Manager Mihealth Global Systems, Inc. 2300 Yonge Street, Suite 1709, Toronto, Ontario, Canada M4P 1E4 4162034875 info@mihealth.com https://www.mihealth.com Provider Int 3 3 Complete 2013/07/18 12:00:00 2013/07/18 12:00:00 2013/07/18 04:46:21 UV 2.16.840.1.113883.3.1070.5224 mckesson-fusion-5224 mckesson-fusion-5224 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5224 2013/07/18 12:00:00 2013/07/18 12:00:00 2013/07/18 04:44:17 US 2.16.840.1.113883.3.1070.5312 mckesson-fusion-5312 mckesson-fusion-5312 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffnayt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5312 2013/07/19 12:00:00 2013/07/31 12:00:00 2013/07/31 01:36:28 US 2.16.840.1.113883.3.1070.5381 mckesson-fusion-5381 mckesson-fusion-5381 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5381 2013/07/19 12:00:00 2013/07/31 12:00:00 2013/07/31 01:37:46 US 2.16.840.1.113883.3.3328 drhs DeSoto Regional Health System John Smathers masked John Smarthers 207 Jefferson Street Mansfield, LA 71052 318-871-3136 masked Director of Information Technology DeSoto Regional Health System 207 Jefferson Street Mansfield, LA 71052 318-872-4610 johnsmathers@desotoregional.com http://www.desotoregional.com Provider Int 3 Complete 2013/07/19 12:00:00 2013/07/31 12:00:00 2013/07/31 01:40:11 UV 2.16.840.1.113883.3.1620.100.1 oidBHCSHIESandlot Baylor Health Care System Health Information Exchange Sandlot Integration Michael Wagliardo masked Michael Wagliardo 2001 Bryan Street, Suite 2400 Dallas, TX 75201 214-820-4201 masked Manager Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.100.1 2013/07/19 12:00:00 2013/07/31 12:00:00 2013/07/31 01:41:15 UV 2.16.840.1.113883.3.1620.100.1.1 oidBHCSHIESandlotFacility Baylor Health Care System Health Information Exchange Sandlot Integration Facilities Michael Wagliardo masked Michael Wagliardo 2001 Bryan Street, Suite 2400 Dallas, TX 75201 214-820-4201 masked Manager Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.100.1.1 2013/07/19 12:00:00 2013/07/31 12:00:00 2013/07/31 01:44:04 UV 2.16.840.1.113883.3.1620.100.1.2 oidBHCSHIESandlotSource Baylor Health Care System Health Information Exchange Sandlot Integration Source Systems Michael Wagliardo masked Michael Wagliardo 2001 Bryan Street, Suite 2400 Dallas, TX 75201 214-820-4201 masked Manager Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.100.1.2 2013/07/19 12:00:00 2013/07/31 12:00:00 2013/07/31 01:45:50 UV 2.16.840.1.113883.3.1620.100.1.3 oidBHCSHIESandlotPatient Baylor Health Care System Health Information Exchange Sandlot Integration Patient Namespace Michael Wagliardo masked Michael Wagliardo 2001 Bryan Street, Suite 2400 Dallas, TX 75201 214-820-4201 masked Manager Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.100.1.3 2013/07/19 12:00:00 2013/07/31 12:00:00 2013/07/31 01:46:47 UV 2.16.840.1.113883.3.1620.100.1.4 oidBHCSHIESandlotMessage Baylor Health Care System Health Information Exchange Sandlot Integration Message Namespace Michael Wagliardo masked Michael Wagliardo 2001 Bryan Street, Suite 2400 Dallas, TX 75201 214-820-4201 masked Manager Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.100.1.4 2013/07/19 12:00:00 2013/07/31 12:00:00 2013/07/31 01:47:43 UV 2.16.840.1.113883.3.1620.100.1.5 oidBHCSHIESandlotDocument Baylor Health Care System Health Information Exchange Sandlot Integration Document Sources Michael Wagliardo masked Michael Wagliardo 2001 Bryan Street, Suite 2400 Dallas, TX 75201 214-820-4201 masked Manager Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.100.1.5 2013/07/19 12:00:00 2013/07/31 12:00:00 2013/07/31 01:48:55 UV 2.16.840.1.113883.3.1620.100.1.6 oidBHCSHIESandlotLabSys Baylor Health Care System Health Information Exchange Sandlot Integration Lab Systems Michael Wagliardo masked Michael Wagliardo 2001 Bryan Street, Suite 2400 Dallas, TX 75201 214-820-4201 masked Manager Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.100.1.6 2013/07/19 12:00:00 2013/07/31 12:00:00 2013/07/31 01:50:14 UV 2.16.840.1.113883.3.1070.5386 mckesson-fusion-5386 mckesson-fusion-5386 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5386 2013/07/22 12:00:00 2013/07/31 12:00:00 2013/07/31 01:52:05 US 2.16.840.1.113883.4.651 iBrahm Dr. Farhat brahim Michael Oakes masked Farhat Ibrahim 470 TOLL GATE ROAD WARWICK, RI 02886 (401)739-4350 masked Ocean State Primary Care 470 TOLL GATE ROAD WARWICK, RI 02886 401-654-4000 moakes@polarismedical.com Provider Int 3 Complete 2013/07/22 12:00:00 2013/07/31 12:00:00 2013/07/31 01:54:51 UV 2.16.840.1.113883.3.3282.100092 chsc Carolinas Medical Center JC Wright masked Teresa Headen JC Wright 2300 Rexwoods Dr Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100092 2013/07/22 12:00:00 2013/07/31 12:00:00 2013/07/31 02:00:25 UV 2.16.840.1.113883.9.45 cache-valley-surgical-hospital Cache Valley Surgical Hospital Michael Gardner masked Michae Gardner 2380 North 400 East North Logan, UT 84341 888.706.0310 x 827 masked Consultant Cache Valley Surgical Hospital 2380 North 400 East North Logan, UT 84341 435.713.9700 http://cachevalleyhospital.com/contact-us/ http://cachevalleyhospital.com Provider Int 9 9 Complete 2013/07/22 12:00:00 2013/07/31 12:00:00 2013/07/31 02:02:47 US 2.16.840.1.113883.3.3282.100093 chsf Carolinas Medical Center - Lincoln JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100093 2013/07/22 12:00:00 2013/07/31 12:00:00 2013/07/31 02:06:18 UV 2.16.840.1.113883.3.3282.100094 chsm Carolinas Medical Center - Mercy JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100094 2013/07/22 12:00:00 2013/07/31 12:00:00 2013/07/31 02:08:00 UV 2.16.840.1.113883.3.3282.100096 chse Carolinas Medical Center - NorthEast JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100096 2013/07/22 12:00:00 2013/07/31 12:00:00 2013/07/31 02:14:55 UV 2.16.840.1.113883.3.3282.100101 chsg Grace Hospital JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100101 2013/07/22 12:00:00 2013/07/31 12:00:00 2013/07/31 02:25:18 UV 2.16.840.1.113883.3.3282.100095 chsidx Carolinas Medical Center NE IDX JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100095 2013/07/22 12:00:00 2013/07/31 12:00:00 2013/07/31 02:13:49 UV 2.16.840.1.113883.3.3282.100102 chsk Kings Mountain Hospital JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100102 2013/07/22 12:00:00 2013/07/31 12:00:00 2013/07/31 02:26:38 UV 2.16.840.1.113883.3.3282.100091 chsl Cleveland Regional Medical Center JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100091 2013/07/22 12:00:00 2013/07/31 12:00:00 2013/07/31 02:04:59 UV 2.16.840.1.113883.3.3282.100099 chsn Carolinas Medical Center - Union JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100099 2013/07/22 12:00:00 2013/07/31 12:00:00 2013/07/31 02:20:19 UV 2.16.840.1.113883.3.3282.100098 chsr Carolinas Rehabilitation - Main JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100098 2013/07/22 12:00:00 2013/07/31 12:00:00 2013/07/31 02:18:47 UV 2.16.840.1.113883.3.3282.100097 chss Carolinas Medical Center - Pineville JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 3 Complete 2.16.840.1.113883.3.3282.100097 2013/07/22 12:00:00 2013/07/31 12:00:00 2013/07/31 02:17:02 UV 2.16.840.1.113883.3.3282.100100 chsu Carolinas Medical Center - University JC Wright masked JC Wright 2300 Rexwoods Dr Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100100 2013/07/22 12:00:00 2013/07/31 12:00:00 2013/07/31 02:22:59 UV 2.16.840.1.113883.3.3282.100103 chsv Valdese Hospital JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100103 2013/07/22 12:00:00 2013/07/31 12:00:00 2013/07/31 02:42:57 UV 2.16.840.1.113883.3.1070.5391 mckesson-fusion-5391 mckesson-fusion-5391 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5391 2013/07/22 12:00:00 2013/07/31 12:00:00 2013/07/31 02:44:26 US 2.16.840.1.113883.3.3282.100105 what-819 Ashley Wellness Center JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100105 2013/07/22 12:00:00 2013/07/31 12:00:00 2013/07/31 02:48:25 UV 2.16.840.1.113883.3.3282.100107 what-624 New Hanover Wellness Center JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 3 Complete 2.16.840.1.113883.3.3282.100107 2013/07/22 12:00:00 2013/07/31 12:00:00 2013/07/31 02:51:54 UV 2.16.840.1.113883.3.3282.100104 what-20 Wilmington Health Access for Teens JC Wright masked JC Wright 2300 Rexwoods Dr Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100104 2013/07/22 12:00:00 2013/07/31 12:00:00 2013/07/31 02:45:57 UV 2.16.840.1.113883.3.3282.100106 what-1173 Laney Wellness Center JC Wright masked JC Wright 2300 Rexwoods Dr Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100106 2013/07/22 12:00:00 2013/07/31 12:00:00 2013/07/31 02:50:13 UV 2.16.840.1.113883.3.3329 tvh Temecula Valley Hospital Mike Meall masked Jimmy Tran (951) 736-6333 masked Temecula Valley Hospital 31700 Temecula Pkwy Temecula, California 92592 (951) 303-6539 Jimmy.Tran@uhsinc.com Provider Int 3 Complete 2013/07/22 12:00:00 2013/07/31 12:00:00 2013/07/31 02:58:11 UV 2.16.840.1.113883.3.3330 commonwell CommonWell Health Alliance Chad Bonner masked Fred Bret-Mounet Chad Bonner RelayHealth 6475 Christie Avenue, Suite 500 Emeryville, CA 94608 510-637-7087 masked Sr. Product Manager RelayHealth RelayHealth 6475 Christie Avenue, Suite 500 Emeryville, CA 94608 510-637-7700 webmaster@relayhealth.com http://www.relayhealth.com Exchange Int 3 Complete 2013/07/23 12:00:00 2013/07/31 12:00:00 2013/07/31 03:00:46 UV 2.16.840.1.113883.3.3282.100108 gmc-22 Goshen Medical Center - Beulaville JC Wright masked JC Wright 2300 Rexwoods Dr Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr Suite 390 Raleigh NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100108 2013/07/23 12:00:00 2013/07/31 12:00:00 2013/07/31 02:53:53 UV 2.16.840.1.113883.3.1070.5383 mckesson-fusion-5383 mckesson-fusion-5383 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5383 2013/07/23 12:00:00 2013/07/31 12:00:00 2013/07/31 03:04:27 US 2.16.840.1.113883.3.1070.5376 mckesson-fusion-5376 mckesson-fusion-5376 Rebecca Paul masked Fusion Enrollment 2487054670 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5376 2013/07/23 12:00:00 2013/07/31 12:00:00 2013/07/31 03:08:45 UV 2.16.840.1.113883.3.3331 osler Osler Systems Management Inc. Mark Sudul masked Mark Sudul (250) 656-8181 masked Osler Systems Management Inc. 9544 Aurora Place Sidney, BC V8L 5V5 (250) 656 - 8181 mark.sudul@oslersystems.com Vendor Int 3 Complete 2013/07/23 12:00:00 2013/07/31 12:00:00 2013/07/31 03:02:33 UV 2.16.840.1.113883.3.1070.5362 mckesson-fusion-5362 mckesson-fusion-5362 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5362 2013/07/23 12:00:00 2013/07/31 12:00:00 2013/07/31 03:10:16 US 2.16.840.1.113883.3.3282.100109 gmc-166 Faison JC Wright masked JC Wright 2300 Rexwoods Dr Suite 390 Raleigh NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100109 2013/07/23 12:00:00 2013/07/31 12:00:00 2013/07/31 02:55:34 UV 2.16.840.1.113883.3.3282.100110 gmc-167 Goshen Medical Center-Goldsboro JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100110 2013/07/23 12:00:00 2013/07/31 12:00:00 2013/07/31 03:23:05 UV 2.16.840.1.113883.3.3282.100111 gmc-168 Goshen Medical Center-Bolton JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100111 2013/07/23 12:00:00 2013/07/31 12:00:00 2013/07/31 03:24:17 UV 2.16.840.1.113883.3.3282.100112 gmc-169 Goshen Medical Center-Clinton JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100112 2013/07/23 12:00:00 2013/07/31 12:00:00 2013/07/31 03:25:58 UV 2.16.840.1.113883.3.3282.100113 gmc-170 Goshen Medical Center-Community Health Services JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100113 2013/07/23 12:00:00 2013/07/31 12:00:00 2013/07/31 03:27:19 UV 2.16.840.1.113883.3.3282.100114 gmc-171 Goshen Medical Center-Eastpointe JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100114 2013/07/23 12:00:00 2013/07/31 12:00:00 2013/07/31 03:28:43 UV 2.16.840.1.113883.3.3282.100115 gmc-172 Goshen Medical Center-Fremont JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100115 2013/07/23 12:00:00 2013/07/31 12:00:00 2013/07/31 03:30:02 UV 2.16.840.1.113883.3.3282.100116 gmc-173 Goshen Medical Center-Garland JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100116 2013/07/23 12:00:00 2013/07/31 12:00:00 2013/07/31 03:31:00 UV 2.16.840.1.113883.3.3282.100117 gmc-176 Goshen Medical Center-Lambert JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100117 2013/07/23 12:00:00 2013/07/31 12:00:00 2013/07/31 03:33:33 UV 2.16.840.1.113883.3.3282.100118 gmc-177 Goshen Medical Center-Plainview JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100118 2013/07/23 12:00:00 2013/07/31 12:00:00 2013/07/31 03:36:06 UV 2.16.840.1.113883.3.3282.100119 gmc-178 Goshen Medical Center-Warsaw Wellness JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100119 2013/07/23 12:00:00 2013/07/31 12:00:00 2013/07/31 03:37:19 UV 2.16.840.1.113883.3.3267.1.8 MHSWOK-immunizations Comanche County Memorial Hospital - Immunizations Wade Harrell masked Deborah Helgeson Adam Switzer Adam Switzer c/o Memorial Health System of Southwest Oklahoma 3401 W. Gore Blvd. Lawton, OK 73502 (580) 355-8699 x6518 masked Lab Informaticist Memorial Health System of Southwest Oklahoma Memorial Health System of Southwest Oklahoma 3401 W. Gore Blvd. Lawton, OK 73502 (580) 355-8620 itinformatics@memorialhealthswok.com https://www.memorialhealthswok.com Provider 2.16.840.1.113883.3.3267 Ext 13 13 Complete 2.16.840.1.113883.3.3267.1.8 2013/07/23 12:00:00 2013/07/31 12:00:00 2026/05/12 10:27:13 UV 2.16.840.1.113883.3.3282.100120 gmc-179 Goshen Medical Center-Sampson JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100120 2013/07/23 12:00:00 2013/07/31 12:00:00 2013/07/31 03:42:29 UV 2.16.840.1.113883.3.3282.100121 gmc-180 Goshen Medical Center-Trenton JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100121 2013/07/23 12:00:00 2013/07/31 12:00:00 2013/07/31 03:48:53 UV 2.16.840.1.113883.3.3282.100122 gmc-181 Goshen Medical Center-Wallace JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100122 2013/07/23 12:00:00 2013/07/31 12:00:00 2013/07/31 03:50:00 UV 2.16.840.1.113883.3.3282.100123 gmc-182 Goshen Medical Center-Warsaw Draughn JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100123 2013/07/23 12:00:00 2013/07/31 12:00:00 2013/07/31 04:00:26 UV 2.16.840.1.113883.3.3282.100124 gmc-184 Goshen Medical Center-Womens Health JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100124 2013/07/23 12:00:00 2013/07/31 12:00:00 2013/07/31 04:01:18 UV 2.16.840.1.113883.3.3282.100125 gmc-185 Goshen Medical Center-New River JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100125 2013/07/23 12:00:00 2013/07/31 12:00:00 2013/07/31 04:03:13 UV 2.16.840.1.113883.3.3282.100126 gmc-186 Goshen Medical Center-Whiteville JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100126 2013/07/23 12:00:00 2013/07/31 12:00:00 2013/07/31 04:16:45 UV 2.16.840.1.113883.9.46 swwaaaa Sourthwest Washington Agency on Aging & Disabilities Allan Fisher masked Allan Fisher 2067494313 masked Southwest Washington Agency on Aging & Disabilities 201 NE 73rd ST. Suite 201 Vancouver, WA 98665 2067494313 allan_fisher@uhc.com Provider Int 3 Complete 2013/07/23 12:00:00 2013/07/31 12:00:00 2013/07/31 04:18:42 UV 2.16.840.1.113883.3.3332 rvfe River View Family Eyecare Kelly Batey masked Kelly Batey 609 Hickory St. NW Suite 160 Albany, OR 97321 541-967-3097 masked Co-Owner River View Family Eyecare LLC. 609 Hickory St. NW Suite 160 Albany, OR 97321 541-967-3097 info@rivervieweye.com http://www.rivervieweye.com Provider Int 3 Complete 2013/07/24 12:00:00 2013/07/31 12:00:00 2013/07/31 04:20:44 UV 2.16.840.1.113883.3.1070.5368 mckesson-fusion-5368 mckesson-fusion-5368 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5368 2013/07/24 12:00:00 2013/07/31 12:00:00 2013/07/31 04:23:14 US 2.16.840.1.113883.3.3333 jmha Johnston Memorial Hospital Authority Teresa Chappell masked Teresa Chappell PO Box 1376 509 North Bright Leaf Blvd Smithfield, NC 27577 919-938-7753 masked CIO Johnston Memorial Hospital Authority PO Box 1376 509 North Bright Leaf Blvd Smithfield, NC 27577 919-934-8171 tchappell@johnstonhealth.org http://www.johnstonhealth.org Provider Int 3 Complete 2013/07/24 12:00:00 2013/07/31 12:00:00 2013/07/31 04:26:58 UV 2.16.840.1.113883.3.3334 ceres Ceres Medical Practice Management Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Meaningful Use Coordinator Ceres Medical Practice Management 226 SE DeBell Bldg A Bartlesville OK 74006 918-331-1090 gburden@jpmc.org http://geminimedicalgroup.com/ HL7 body Int 3 Complete 2013/07/25 12:00:00 2013/07/31 12:00:00 2013/07/31 04:28:50 US 2.16.840.1.113883.3.3335 wrms Washington Regional Medical System Stephanie Schrum masked Becky Magee 3215 N North Hills Blvd Fayetteville, Ar 72703 (479) 463-7999 masked CIO Washington Regional Medical System 3215 N North Hills Blvd Fayetteville, Ar 72703 (479) 463-1000 rnance@wregional.com Provider Int 3 3 Complete 2013/07/25 12:00:00 2013/07/31 12:00:00 2013/07/31 04:32:56 UV 2.16.840.1.113883.3.3334.1 ceres-tsa Ted S. Auschwitz MD Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 SE DeBell Bldg A Bartlesville Ok 74006 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 17 Complete 2.16.840.1.113883.3.3334.1 2013/07/25 12:00:00 2013/07/31 12:00:00 2013/07/31 04:30:36 UV 2.16.840.1.113883.3.1070.5392 mckesson-fusion-5392 mckesson-fusion-5392 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5392 2013/07/25 12:00:00 2013/07/31 12:00:00 2013/07/31 04:35:55 US 2.16.840.1.113883.9.47 elpasospecialtyhospital El Paso Specialty Hospital Michael Gardner masked Michael Gardner 1755 Curie Drive El Paso TX 79902 888-706-0310 masked Consultant El Paso Specialty Hospital 1755 Curie Drive El Paso TX 79902 915-544-3636 jwilcox@nshinc.com http://www.elpasospecialtyhospital.com/ Provider Int 3 Complete 2013/07/25 12:00:00 2013/07/31 12:00:00 2013/07/31 04:38:33 UV 2.16.840.1.113883.9.48 mountainviewregionalhospital Mountain View Regional Hospital Michael Gardner masked Michael Gardner 6550 E Second Street Casper WY 82609 888-706-0310 masked Consultant Mountain View Regional Hospital 6550 E Second Street Casper WY 82609 866-543-2828 BStangl@nshinc.com http://mountainviewregionalhospital.com/contact/ Provider Int 3 Complete 2013/07/25 12:00:00 2013/07/31 12:00:00 2013/07/31 04:44:08 UV 2.16.840.1.113883.3.3334.2 ceres-sdb S Denise Blaylock MD Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 SE DeBell Bldg A 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 17 Complete 2.16.840.1.113883.3.3334.2 2013/07/25 12:00:00 2013/07/31 12:00:00 2013/07/31 04:51:10 UV 2.16.840.1.113883.9.49 northcarolinaspecialtyhospital North Carolina Specialty Hospital Michael Gardner masked Michael Gardner 3916 Ben Franklin Blvd. Durham NC 27704 888-706-0310 masked Consultant North Carolina Specialty Hospital 3916 Ben Franklin Blvd. Durham NC 27704 919-956-9300 RShults@nshinc.com http://www.ncspecialty.com/ Provider Int 3 Complete 2013/07/25 12:00:00 2013/07/31 12:00:00 2013/07/31 04:45:41 UV 2.16.840.1.113883.9.50 southtexassurgicalhospital South Texas Surgical Hospital Michael Gardner masked Michael Gardner 6130 Parkway Drive Corpus Christi, Texas 78414 361-993-2000 masked Consultant South Texas Surgical Hospital 6130 Parkway Drive Corpus Christi, Texas 78414 361-993-2000 JMurphy@nshinc.com http://www.nshinc.com/OurLocations/SouthTexasSurgicalHospital.aspx Provider Int 3 Complete 2013/07/25 12:00:00 2013/07/31 12:00:00 2013/07/31 04:47:31 UV 2.16.840.1.113883.3.3334.3 ceres-jlb Jay L Bryngelson MD Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 SE DeBell Bldg A Bartlesville OK 74006 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 3 Complete 2.16.840.1.113883.3.3334.3 2013/07/25 12:00:00 2013/07/31 12:00:00 2013/07/31 04:54:15 UV 2.16.840.1.113883.3.3334.4 ceres-hmb Helen M Burmpus MD Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 SE DeBell Bldg A Bartlesville Ok 74006 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 3 Complete 2.16.840.1.113883.3.3334.4 2013/07/25 12:00:00 2013/07/31 12:00:00 2013/07/31 04:56:00 UV 2.16.840.1.113883.3.3334.5 ceres-cmc Courtney M Carter DO Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 SE DeBell Bldg A Bartlesville OK 74006 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 3 Complete 2.16.840.1.113883.3.3334.5 2013/07/25 12:00:00 2013/07/31 12:00:00 2013/07/31 04:58:53 UV 2.16.840.1.113883.1.11.159331 actStatus-incorrect Erroneous ActStatus OID Ted Klein masked Ted Klein 631-924-6922 masked Health Level Seven 734-677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Ext 11 Deprecated 2.16.840.1.1138831.11.159331 2013/07/25 12:00:00 2013/07/25 12:00:00 2013/07/25 11:54:47 UV 2.16.840.1.113883.3.3334.6 ceres-mrc Michael R Collins MD Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 SE DeBell Bldg A Bartlesville Ok 74006 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 17 Complete 2.16.840.1.113883.3.3334.6 2013/07/25 12:00:00 2013/07/31 12:00:00 2013/07/31 05:01:28 UV 2.16.840.1.113883.3.3334.7 ceres-jmc James M Carver MD Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 SE DeBell Bldg A Bartlesville OK 74006 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 17 Complete 2.16.840.1.113883.3.3334.7 2013/07/25 12:00:00 2013/07/31 12:00:00 2013/07/31 05:04:45 UV 2.16.840.1.113883.3.3334.8 ceres-kdc Kyle D Craig MD Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 Se DeBell Bldg A Bartlesville Ok 74006 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 17 Complete 2.16.840.1.113883.3.3334.8 2013/07/25 12:00:00 2013/08/08 12:00:00 2013/08/08 02:13:02 UV 2.16.840.1.113883.3.3334.9 ceres-wlf William L Fesler MD Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 SE DeBell Bldg A Bartlesville OK 74006 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 17 Complete 2.16.840.1.113883.3.3334.9 2013/07/25 12:00:00 2013/08/08 12:00:00 2013/08/08 02:14:27 UV 2.16.840.1.113883.3.3334.10 ceres-lrg Leanne R Gronemeyer CNS Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medcal Practice Management 226 SE DeBell Bldg A Bartlesville Ok 74006 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 17 Complete 2.16.840.1.113883.3.3334.10 2013/07/25 12:00:00 2013/08/08 12:00:00 2013/08/08 02:17:08 UV 2.16.840.1.113883.3.3334.11 ceres-jbj J Brad Jarrell MD Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 SE DeBell Bldg A Bartlesville OK 74006 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 17 Complete 2.16.840.1.113883.3.3334.11 2013/07/25 12:00:00 2013/08/08 12:00:00 2013/08/08 02:18:55 UV 2.16.840.1.113883.3.3334.12 ceres-dok David O King DO Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 SE DeBell Bldg A Bartlesville OK 74006 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 17 Complete 2.16.840.1.113883.3.3334.12 2013/07/25 12:00:00 2013/08/08 12:00:00 2013/08/08 02:20:18 UV 2.16.840.1.113883.3.3334.13 ceres-wln Walter Lajara-Nanson MD Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 SE DeBell Bldg A Bartlesville Ok 74006 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 17 Complete 2.16.840.1.113883.3.3334.13 2013/07/25 12:00:00 2013/08/08 12:00:00 2013/08/08 02:22:19 UV 2.16.840.1.113883.3.3334.15 ceres-tal Tony A Little DO Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 SE DeBell Bldg A Bartlesville OK 74006 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 17 Complete 2.16.840.1.113883.3.3334.15 2013/07/25 12:00:00 2013/08/08 12:00:00 2013/08/08 02:24:26 UV 2.16.840.1.113883.3.3334.14 ceres-cfp Carl F Painter MD Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 SE DeBell Bldg A Bartlesville OK 74006 918-331+1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 17 Complete 2.16.840.1.113883.3.3334.14 2013/07/25 12:00:00 2013/08/08 12:00:00 2013/08/08 02:29:11 UV 2.16.840.1.113883.3.3334.16 ceres-klm Kristie L Minor APRN Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 SE DeBell Bdg A Bartlesville Ok 74006 918-331+1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 17 Complete 2.16.840.1.113883.3.3334.16 2013/07/25 12:00:00 2013/08/08 12:00:00 2013/08/08 02:30:43 UV 2.16.840.1.113883.3.3334.17 ceres-tam Theresa A Murch DO Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 SE DeBell Bldg A Bartlesville OK 74006 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 17 Complete 2.16.840.1.113883.3.3334.17 2013/07/25 12:00:00 2013/08/08 12:00:00 2013/08/08 02:32:49 UV 2.16.840.1.113883.3.3334.18 ceres-mam Mark A Myers MD Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 Se DeBell Bldg A Bartlesville Ok 74006 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 17 Complete 2.16.840.1.113883.3.3334.18 2013/07/25 12:00:00 2013/08/08 12:00:00 2013/08/08 02:34:46 UV 2.16.840.1.113883.3.3334.19 ceres-gfp Gerald F Pribil MD Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 SE DeBell Bldg A Bartlesville Ok 74006 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 17 Complete 2.16.840.1.113883.3.3334.19 2013/07/25 12:00:00 2013/08/08 12:00:00 2013/08/08 02:36:20 UV 2.16.840.1.113883.3.3334.20 ceres-drr David R. Rumph MD Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 SE Debell Bldg A Bartlesville OK 74006 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 17 Complete 2.16.840.1.113883.3.3334.20 2013/07/25 12:00:00 2013/08/08 12:00:00 2013/08/08 02:38:58 UV 2.16.840.1.113883.3.3334.21 ceres-ss Saima Salim MD Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 SE DeBell Bldg A Bartlesville OK 74006 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 17 Complete 2.16.840.1.113883.3.3334.21 2013/07/25 12:00:00 2013/08/08 12:00:00 2013/08/08 02:42:32 UV 2.16.840.1.113883.3.3334.22 ceres-mds Marcus D Sizemore PA-C Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 SE DeBell Bldg A Bartlesville OK 74006 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 17 Complete 2.16.840.1.113883.3.3334.22 2013/07/25 12:00:00 2013/08/08 12:00:00 2013/08/08 02:45:26 UV 2.16.840.1.113883.3.3334.23 ceres-wds William D Smith MD Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 SE DeBell Bldg A Bartlesville OK 74006 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 17 Complete 2.16.840.1.113883.3.3334.23 2013/07/25 12:00:00 2013/08/08 12:00:00 2013/08/08 02:47:03 UV 2.16.840.1.113883.3.3334.24 ceres-bes Brent S Steward MD Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 SE DeBell Bldg A Bartlesville OK 74006 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 17 Complete 2.16.840.1.113883.3.3334.24 2013/07/25 12:00:00 2013/08/08 12:00:00 2013/08/08 02:49:34 UV 2.16.840.1.113883.3.3334.25 ceres-mlw Matthew L West MD Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226- SE DeBell Bldg A Bartlesville Ok 74006 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 17 Complete 2.16.840.1.113883.3.3334.25 2013/07/25 12:00:00 2013/08/08 12:00:00 2013/08/08 02:50:57 UV 2.16.840.1.113883.3.3334.26 ceres-jlw Jana L Wilkins DO Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 SE DeBell Bldg A Bartlesville OK 74006 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 17 Complete 2.16.840.1.113883.3.3334.26 2013/07/25 12:00:00 2013/08/08 12:00:00 2013/08/08 02:53:13 UV 2.16.840.1.113883.3.3334.27 ceres-sew Scott E Williams DO Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 Se DeBell Bldg A Bartlesville OK 74006 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 17 Complete 2.16.840.1.113883.3.3334.27 2013/07/25 12:00:00 2013/08/08 12:00:00 2013/08/08 02:54:45 UV 2.16.840.1.113883.3.3334.28 ceres-jwy James W Young MD Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 SE DeBell Bldg A Bartlesville OK 74006 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 17 Complete 2.16.840.1.113883.3.3334.28 2013/07/25 12:00:00 2013/08/08 12:00:00 2013/08/08 02:56:37 UV 2.16.840.1.113883.3.3334.29 ceres-slr Sheri L Reinhard MD Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 SE DeBell Bldg A Bartlesville Ok 74006 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 17 Complete 2.16.840.1.113883.3.3334.29 2013/07/25 12:00:00 2013/08/08 12:00:00 2013/08/08 02:57:50 UV 2.16.840.1.113883.3.3336 hIP Health Information Professionals, Inc. Connect Portal Dion Ifill masked Dion Ifill 600 1/2 Silverton St. Orlando, FL 32808 4075236511 masked Vice-President Health Information Professionals, Inc. 600 1/2 Silverton St. Orlando, FL 32808 4075236511 dion.ifill@roidoneright.com http://roidoneright.com Govt body Int 3 Complete 2013/07/25 12:00:00 2013/08/08 12:00:00 2013/08/08 03:00:11 UV 2.16.840.1.113883.3.3337 stanford Stanford Hospital and Clinics Suzanne Spradley masked Suzanne Spradley Stanford Hospital Clinical Laboratory 3375 Hillview Avenue MC : 5563 Palo Alto, CA 94304 6503918798 masked Director, Laboratory Informatics Stanford Hospital and Clinics 300 Pasteur Drive Palo Alto, CA 94304 650.723.3333 sspradley@stanfordmed.org http://www.stanfordlab.com/ Academic Int 3 Complete 2013/07/25 12:00:00 2013/08/08 12:00:00 2013/08/08 03:01:38 UV 2.16.840.1.113883.3.3338 atlheart Atlanta Heart Group Sharon Priestley masked Sharon Priestley 2665 North Decatur Rd. Suite 260 Decatur, GA 30033 404-297-9077 masked Practice Manager Atlanta Heart Group 2665 North Decatur Rd. Suite 260 Decatur, GA 30033 404-297-9077 spriestley@atlheart.com http://www.atlheart.com Provider Int 3 Complete 2013/07/26 12:00:00 2013/08/08 12:00:00 2013/08/08 03:02:50 UV 2.16.840.1.113883.3.3339 tw20 Twenty 20 Eyecare and Aesthetic Oculoplastic Medicine PLLC Melissa Neal masked Melissa Neal M.D. 410 Elmwood Ave Buffalo NY 14222 716-462-5437 masked owner Twenty 20 Eyecare and Aesthetic Oculoplastic Medicine PLLC 410 Elmwood Ave Buffalo NY 14222 7164625437 ruby@twenty20eye.com Provider Int 3 Complete 2013/07/27 12:00:00 2013/08/08 12:00:00 2013/08/08 03:05:30 UV 2.16.840.1.113883.3.989.5.1 sub-reg ICH Sub-Registrars Raun Kupiec masked Stan van Belkum John Kiser AbbVie 1 North Waukegan Road Dept PA97, Bldg AP50 North Chicago, IL. USA 60030 +1.847.937.3725 masked EFPIA Topic Lead, ICH M2 ESTRI ICH (Int'l Conf on Harmonisation of Tech Reqs for Registration of Pharmaceuticals for Human Use) ICH Secretariat c/o IFPMA 15, chemin Louis-Dunant P.O. Box 195 1211 Geneva 20 Switzerland +41 (22) 338 32 06 admin@ich.org http://www.ich.org/ SDO Ext 14 14 Complete 2.16.840.1.113883.3.989.5.1 2013/07/29 12:00:00 2013/08/08 12:00:00 2014/03/21 10:12:17 UV 2.16.840.1.113883.3.3340 jsh Jersey Shore Hospital Christine Haas masked Christine Haas 1020 Thompson Street; Jersey Shore, PA 17740 570-398-5125 masked CIO Jersey Shore Hospital 1020 Thompson Street; Jersey Shore PA 17740 570-398-3100 chaas@jsh.org http://www.jsh.org Provider Int 3 3 Complete 2013/07/29 12:00:00 2013/08/08 12:00:00 2013/08/08 03:24:38 UV 2.16.840.1.113883.3.3341 fcmcpa Fulton County Medical Center Christine Haas masked Christine Haas 1020 Thompson Street; Jersey Shore, PA 17740 570-398-5125 masked CIO Fulton County Medical Center 214 Peach Orchard Road McConnellsburg, PA 17233 (717) 485-3155 chadb@fcmcpa.org http://www.fcmcpa.org Provider Int 3 3 Complete 2013/07/29 12:00:00 2013/08/08 12:00:00 2013/08/08 03:26:06 UV 2.16.840.1.113883.4.652 mediportal MediPortal LLC Anand Prabhu masked Anand Prabhu 1033 Fenwood Drive #1 Valley Stream, NY 11580 917-567-5767 masked CEO MediPortal LLC 917-567-5767 anand@mediportal.com https://www.mediportal.com Vendor Int 3 Complete 2013/07/29 12:00:00 2013/08/08 12:00:00 2016/03/10 04:05:25 UV 2.16.840.1.113883.3.1070.5393 mckesson-fusion-5393 mckesson-fusion-5393 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5393 2013/07/29 12:00:00 2013/08/08 12:00:00 2013/08/08 03:30:56 US 2.16.840.1.113883.3.1070.5262 mckesson-fusion-5262 mckesson-fusion-5262 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enollment harry.callier@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5262 2013/07/29 12:00:00 2013/08/08 12:00:00 2013/08/08 03:32:03 US 2.16.840.1.113883.3.3342 oid-NRMC-Natchez-MS NRMC OID Adam Conerly masked lesley.mukoro@natchezregional.com Adam Conerly Natchez Regional Medical Center Address 54 Seargent Prentiss Drive Natchez, MS 39120 601-443-2579 masked EHR Director Natchez Regional Medical Center Natchez Regional Medical Center Address 54 Seargent Prentiss Drive Natchez, MS 39120 601-443-2100 cmock@natchezregional.com http://www.natchezregional.com Provider Int 3 3 Complete 2013/07/30 12:00:00 2013/08/08 12:00:00 2013/08/08 03:34:24 US 2.16.840.1.113883.3.3343 cbc Coordinated Behavioral Care, Inc. David Bergman masked Danika Mills, Coordinated Behavioral Care Danika Mills 304 Park Avenue South, 11th Fl. New York, New York 10010 212.590.2407 masked Director Coordinated Behavioral Care, Inc. 304 Park Avenue South, 11th Fl. New York, New York 10010 212.590.2407 dmills@cbcare.org Provider Int 3 Complete 2013/07/30 12:00:00 2013/08/08 12:00:00 2013/08/08 03:36:04 UV 2.16.840.1.113883.3.1070.5378 mckesson-fusion-5378 mckesson-fusion-5378 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5378 2013/07/30 12:00:00 2013/08/08 12:00:00 2013/08/08 03:38:11 US 2.16.840.1.113883.3.3344 hwl-02-FL Miami Cardiology and FL Blue Denysse Novas masked Dave Larter Denysse Novas 7990 SW 117th Ave, Suite 202 Miami, FL 33183 305-200-0399 ext 208 masked Director of IT Miami Cardiology Group 6500 Creedmoor Road, Suite 112, Raleigh NC 27613 919-845-5263 ext 107 dave.larter@iasisnetworks.com Provider Int 3 Complete 2013/07/30 12:00:00 2013/08/08 12:00:00 2013/08/08 03:40:37 UV 2.16.840.1.113883.3.3345 hwl-03-FL Heart Wise and FL Blue Denysse Novas masked Dave Larter Denysse Novas 7990 SW 117th Ave, Suite 202 Miami, FL 33183 305-200-0399 ext 208 masked Director of IT Heart Wise 6500 Creedmor Road, Suite 112 Raleigh, NC 27613 919-845-5263 ext 107 dave.larter@iasisnetworks.com Provider Int 3 Complete 2013/07/30 12:00:00 2013/08/08 12:00:00 2013/08/08 03:41:31 UV 2.16.840.1.113883.3.3346 hwl-04-FL Mayorga Cardiology and FL Blue Denysse Novas masked Dave Larter Denysse Novas 7990 SW 117th Ave, Suite 202 Miami, FL 33183 305-200-0399 ext 208 masked Director of IT Mayorga Cardiology 6500 Creedmor Road, Suite 112 Raleigh, NC 27613 919-845-5263 ext 107 dave.larter@iasisnetworks.com Provider Int 3 Complete 2013/07/30 12:00:00 2013/08/08 12:00:00 2013/08/08 03:44:23 UV 2.16.840.1.113883.3.3347 hwl-05-FL Yeh, Quesada and St. John and FL Blue Denysse Novas masked Dave Larter Denysse Novas 7990 SW 117th Ave, suite 202 Miami, FL 33183 305-200-0399 ext 208 masked Director of IT Yeh, Quesada and St. John 6500 Creedmoor Road, Suite 112 Raleigh, NC 27613 919-845-5263 ext 107 dave.larter@iasisnetworks.com Provider Int 3 Complete 2013/07/30 12:00:00 2013/08/08 12:00:00 2013/08/08 03:45:17 UV 2.16.840.1.113883.3.2402.200.310 physicians-computer-company-clients-paris Physician's Computer Company (PCC) Clients Paris Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.310 2013/07/30 12:00:00 2013/08/08 12:00:00 2013/08/08 03:46:52 UV 2.16.840.1.113883.3.1070.5347 mckesson-fusion-5347 mckesson-fusion-5347 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5347 2013/07/30 12:00:00 2013/08/08 12:00:00 2013/08/08 03:49:05 US 2.16.840.1.113883.13.248 wmshssfile WMSH Syndromic Surveillance File Thad Dickson masked thad dickson 2536517482 masked Whitfield Medical Surgical Hospital - MSH P.O. Box 157-A Whitfield, MS 39193 (601) 351-8167 thad@xpiohealth.com Govt body Int 13 13 Complete 2013/07/30 12:00:00 2013/08/08 12:00:00 2013/08/08 03:53:38 UV 2.16.840.1.113883.3.3348 pcghie Pima County Government Health Information Exchange Daniel Hunt masked Daniel Hunt 3434 East 22nd Street Suite E Tucson, AZ 85713 520-724-2300 masked Security and Compliance Architect Pima County Government - Information Technology Mailstop code: DT-BAB17-425 33 North Stone, 17th Floor Tucson, AZ 85701 520-724-7586 HL7@pima.gov http://www.pima.gov Govt body Int 3 Complete 2013/07/30 12:00:00 2013/08/08 12:00:00 2013/08/08 03:50:50 UV 2.16.840.1.113883.3.989.5.1.5 smc Swissmedic -- Swiss Agency for Therapeutic Products Raun Kupiec masked Stephan Jaermann Stephan Jaermann Hallerstrasse 7, PO Box, CH-3000 Berne 9 +41 (0)31 322 01 06 masked Senior Project Manager / ICH M2 Member Swissmedic - Swiss Agency for Therapeutic Products Hallerstrasse 7, PO Box, CH-3000 Berne 9 Stephan.Jaermann@swissmedic.ch http://www.swissmedic.ch/org/00062/index.html?lang=en Govt body Ext 3 3 Complete 2.16.840.1.113883.3.989.5.1.5 2013/07/31 12:00:00 2013/08/08 12:00:00 2013/08/08 03:56:56 UV 2.16.840.1.113883.3.3349 telkomhie TELKOM HIE Herry Hamidjaja masked Herry Sartono Hamidjaja EBI5 eHealth Divisi Solution Convergence Menara Multimedia 6th floor Jl Kebon Sirih no.15 Japarta Pusat 10110 Indonesia +628112207330 masked Manager Service Integration of Telkom HIE PT. Telekomunikasi Indonesia, Tbk. Grha Citra Caraka 5th Fl Jl. Gatot Subroto Kav. 52 Jakarta 12710 Indonesia +62 (21) 5215 109 investor@telkom.co.id http://www.telkom.co.id Exchange Int 3 Complete 2013/07/31 12:00:00 2013/08/08 12:00:00 2013/08/08 04:01:15 UV 2.16.840.1.113883.3.3350 johnstonGroup Johnston Group Jeff Reimer masked Jeff Reimer Johnston Group 582 King Edward St. Winnipeg, MB R3H 0P1 (204) 774-6677 masked Lead Web Developer Jeff Reimer Johnston Group 582 King Edward St. Winnipeg, MB R3H 0P1 (204) 774-6677 jeff.reimer@johnstongroup.ca Payor Int 3 3 Complete 2013/07/31 12:00:00 2013/08/08 12:00:00 2013/08/08 04:03:55 UV 2.16.840.1.113883.3.3351 ncccn-entity NCCCN Connected Entities Adam Dolde masked Adam Dolde 2300 Rexwoods Dr. Suite 100 Raleigh, NC 27607 919-926-3950 masked Healthcare Data Integration Architect North Carolina Community Care Networks (NCCCN) 2300 Rexwoods Dr. Suite 100 Raleigh, NC 27607 919-745-2350 adolde@n3cn.org https://www.communitycarenc.org Exchange Int 3 Complete 2013/07/31 12:00:00 2013/08/08 12:00:00 2013/08/08 04:05:56 UV 2.16.840.1.113883.3.3352 pediatricoffice Sumner Pediatrics,PC JoEllen Sarage masked Stacey Bingham 1515 Allen Street Suite B Springfield, MA 413 782-7646 masked Nursing Manager Sumner Pediatrics, PC 1515 Allen Street Suite B Springfield, MA 413 782-7646 joellensarage@sumnerpc.org http://sumnerpediatrics.com Provider Int 3 Complete 2013/07/31 12:00:00 2013/08/08 12:00:00 2013/08/08 04:07:55 UV 2.16.840.1.113883.3.3353 ohipbhs Berger Health System Tim Geiger masked Tim Geiger 600 N. Pickaway Street, Circleville, OH 43113 (740) 420-8236 masked Project Manager CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2013/07/31 12:00:00 2013/08/08 12:00:00 2013/08/08 04:09:46 UV 2.16.840.1.113883.17.124 iFH Institute for Family Health Daniel Calman masked Wes Willett Daniel Calman 22 W 19th St 8th Fl New York, NY 10011 2126330815 masked Analyst Institute for Family Health 22 W 19th St 8th Fl New York, NY 10011 2126330815 dcalman@institute2000.org http://www.institute2000.org/ Provider Int 17 Complete 2013/07/31 12:00:00 2013/08/08 12:00:00 2013/08/08 04:14:03 UV 2.16.840.1.113883.3.3354 o-S-1 Orthopaedic Specialty Institute Jesus Escobar masked Michael Danto MD. Jesus Escobar 280 S. Main St. Suite 200 Orange, CA 92868 17149374826 masked Communications Specialist Orthopaedic Specialty Institute 280 S. Main St. Suite 200 Orange, CA 92868 17146344567 cwalker@osiortho.com http://www.orangeorthopedics.com Provider Int 3 Complete 2013/07/31 12:00:00 2013/08/08 12:00:00 2013/08/08 04:12:01 UV 2.16.840.1.113883.4.653 tEi tEIXERIA Michael Oakes masked Michael Oakes 401-654-4000 masked IT Director Gilbert Teixeira, MD 1018 Waterman Avenue East Providence, RI 02914 (401) 434-2704 vaznelson@aol.com Provider Int 3 Complete 2013/08/01 12:00:00 2013/08/08 12:00:00 2013/08/08 04:16:22 UV 2.16.840.1.113883.3.3355 hchbOID Homecare Homebase HL7 Root OID David Gann masked Theresa Ren&#233; Culver David Gann New York eHealth Collaborative (NYeC) 40 Worth Street, 5th Floor New York, NY 10013-2988 646-619-6569 masked Project Manager Homecare Homebase 13400 US Highway 42, Suite 298, Prospect, KY 40059 214.516.6431 tculver@hchb.com http://www.hchb.com/ Vendor Int 3 3 Complete 2013/08/01 12:00:00 2013/08/08 12:00:00 2013/08/08 04:18:00 UV 2.16.840.1.113883.3.3356 srea Snake River Eye Associates Bradley Rhinehart masked Bradley Lynn Rhinehart, O.D. 700 E 17th St Idaho Falls ID 83404 208-522-2839 masked Optometrist Bradley Lynn Rhinehart, O.D. 700 E 17th St Idaho Falls ID 83404 208-403-5441 ocdocs@gmail.com https://snakerivereye.com/ Provider Int 3 Complete 2013/08/01 12:00:00 2013/08/08 12:00:00 2013/08/08 04:18:59 UV 2.16.840.1.113883.3.3357 health-ctr-outpt-behavioral-health-data-to-healthix Health Center Netsmart to Healthix MARY ELLEN SHORTELL masked MARY ELLEN SHORTELL South Brookhaven Health Center EAST 550 Montauk Highway Shirley, NY 11967 631.447.3653 masked APPLICATIONS MGR MARY ELLEN SHORTELL 631.447.3653 MESHORTELL@BMHMC.ORG Provider Int 3 Complete 2013/08/01 12:00:00 2013/08/08 12:00:00 2013/08/08 04:22:52 UV 2.16.840.1.113883.3.3358 bhinazhiepocntype Bhinaz POCN EMR entity John Todd masked John Todd 2142897040 masked solutions manager John Todd 4747 North 7th Street Suite 414 Phoenix, AZ 85014 2142897040 john.todd@bhinaz.com Exchange Int 3 Complete 2013/08/01 12:00:00 2013/08/08 12:00:00 2013/08/08 04:24:15 UV 2.16.840.1.113883.3.1070.5367 mckesson-fusion-5367 mckesson-fusion-5367 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5367 2013/08/01 12:00:00 2013/08/08 12:00:00 2013/08/08 04:26:00 US 2.16.840.1.113883.3.1070.5169 mckesson-fusion-5169 mckesson-fusion-5169 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5169 2013/08/01 12:00:00 2013/08/08 12:00:00 2013/08/08 04:27:34 US 2.16.840.1.113883.3.1070.5220 mckesson-fusion-5220 mckesson-fusion-5220 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5220 2013/08/02 12:00:00 2013/08/08 12:00:00 2013/08/08 04:29:39 US 2.16.840.1.113883.3.3359 bhinazbrqcnnode BHINAZ QCN Node John Todd masked John Todd 2142897040 masked John Todd 4747 North 7th Street Suite 414 Phoenix, AZ 85014 2142897040 john.todd@bhinaz.com Exchange Int 14 3 Pending 2013/08/02 12:00:00 2013/08/02 02:33:57 UV 2.16.840.1.113883.3.3360 bhinazhie BHINAZ HIE John Todd masked John Todd 2142897040 masked Behavioral Health Information Network of Arizona (BHINAZ) 4747 North 7th Street Suite 414 Phoenix, AZ 85014 2142897040 john.todd@bhinaz.com Exchange Int 3 Complete 2013/08/02 12:00:00 2015/06/25 12:00:00 2015/06/25 07:23:07 UV 2.16.840.1.113883.3.3361 odyssey Odyssey House Gary Harmon masked Gary Harmon 120 Wall Street 17th Floor New York, NY 10005 212-361-1659 masked VP, Director of Research and Grants Odyssey House 120 Wall Street 17th Floor New York, NY 10005 212-361-1600 info@odysseyhouseinc.org http://www.odysseyhouseinc.org Provider Int 3 3 Complete 2013/08/05 12:00:00 2013/08/08 12:00:00 2013/08/08 04:32:41 UV 2.16.840.1.113883.3.3282.100127 lltc0001 Southwood Nursing Center JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100127 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 02:07:10 UV 2.16.840.1.113883.3.3282.100128 lltc0002 LCNRC of Almanance Co - ALF JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100128 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 02:08:19 UV 2.16.840.1.113883.3.3282.100129 lltc0003 LCNRC of Columbus Co JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100129 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 02:09:51 UV 2.16.840.1.113883.3.3282.100130 lltc0004 LCNRC of Columbus Co - ALF JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100130 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 02:12:41 UV 2.16.840.1.113883.3.3282.100131 lltc0005 Bermuda Commons Nursing & Rehab JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100131 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 02:13:47 UV 2.16.840.1.113883.3.3282.100132 lltc0006 Golden Years Nursing Home JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100132 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 02:14:46 UV 2.16.840.1.113883.3.3282.100133 lltc0007 LCNRC of Halifax JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100133 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 02:18:45 UV 2.16.840.1.113883.3.3282.100134 lltc0008 LCNRC of Halifax - ALF JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100134 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 02:16:10 UV 2.16.840.1.113883.3.3282.100135 lltc0009 Cross Creek Health Care JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100135 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 02:17:27 UV 2.16.840.1.113883.3.3282.100136 lltc0010 LCNRC of Johnston County JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100136 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 02:20:00 UV 2.16.840.1.113883.3.3282.100137 lltc0011 LCNRC of Johnston County - ALF JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100137 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 02:21:26 UV 2.16.840.1.113883.3.3282.100138 lltc0012 LCNRC of Lee County JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100138 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 02:23:08 UV 2.16.840.1.113883.3.3282.100139 lltc0013 Liberty Commons Nursing Center JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100139 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 02:26:55 UV 2.16.840.1.113883.3.3282.100140 lltc0014 Liberty Commons Nursing Center- ALF JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100140 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 02:30:49 UV 2.16.840.1.113883.3.3282.100141 lltc0015 Lee County Nursing and Rehab JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100141 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 02:32:09 UV 2.16.840.1.113883.3.3282.100142 lltc0016 Liberty Nursing & RC of Mecklenburg JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100142 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 02:33:28 UV 2.16.840.1.113883.3.3282.100143 lltc0017 Mary Gran Nursing Center JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100143 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 02:34:50 UV 2.16.840.1.113883.3.3282.100144 lltc0018 Mary Gran Nursing Center - ALF JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100144 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 02:36:14 UV 2.16.840.1.113883.3.3282.100145 lltc0019 The Oaks Nursing Center JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100145 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 02:37:20 UV 2.16.840.1.113883.3.3282.100146 lltc0020 LCNRC of Rowan County JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100146 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 02:39:01 UV 2.16.840.1.113883.3.3282.100147 lltc0021 Shoreland Health Care & Ret Center JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100147 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 02:40:22 UV 2.16.840.1.113883.3.3282.100148 lltc0022 Springwood Nursing Center - SNF JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100148 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 02:46:21 UV 2.16.840.1.113883.3.3282.100149 lltc0023 LCNRC of Alamance County JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100149 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 02:47:49 UV 2.16.840.1.113883.3.3282.100150 lltc0024 Three Rivers Health & Rehab Center JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100150 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 02:50:36 UV 2.16.840.1.113883.3.3282.100151 lltc0025 Three Rivers Health & Rehab Center - ALF JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100151 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 02:51:46 UV 2.16.840.1.113883.3.3282.100152 lltc0026 Capital Nursing - SNF JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100152 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 02:53:13 UV 2.16.840.1.113883.3.3282.100153 lltc0027 Brightmore JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100153 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 02:55:23 UV 2.16.840.1.113883.3.3282.100154 lltc0028 The Kempton At Brightmore - ALF JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100154 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 02:56:48 UV 2.16.840.1.113883.3.3282.100155 lltc0029 The Commons at Brighmore - ALF JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100155 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 02:57:52 UV 2.16.840.1.113883.3.3282.100156 lltc0030 Liberty Commons AL Onslow - ALF JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100156 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 03:00:30 UV 2.16.840.1.113883.3.3282.100157 lltc0031 Shoreland Health Care & Ret Center - ALF JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 (919)-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 1-(919)-926-1042 jc.wright@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Ext 17 Complete 2.16.840.1.113883.3.3282.100157 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 02:59:18 UV 2.16.840.1.113883.3.3362 wiitts Wisconsin Integrated Information Technology and Telemedicine Systems (WIITTS) Dominic Saroni masked Annette.Fox@deancare.com Dominic Saroni 1802 W Beltline Hwy Madison, WI 53713 312.925.4525 masked Project Manager Meaningful Use Stage 2 WIITTS WIITTS 1802 W Beltline Hwy Madison, WI 53713 608.294.6411 WIITTSMeaningfulUseS@deancare.com http://www.deancare.com/ Provider Int 4 3 Complete 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 03:02:43 UV 1.2.36.1.2001.1005.19.3 sehrfcNTDepartmentOfHealth SEHR Facility Codes for NT Department of Health Philip Wilford masked NT Department Of Health Timothy Garden Ground Floor Construction House, 1 Briggs Street Darwin , NT 0800 Postal address: PO Box 40596, Casuarina, NT 0811 +61 8 8924 7042 masked NT Department Of Health Timothy.Garden@nt.gov.au http://www.health.nt.gov.au Govt body Ext 13 13 Complete 1.2.36.1.2001.1005.19.3 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 03:07:45 AU 1.2.36.1.2001.1005.19.4 csidNTDepartmentOfHealth Clinical System IDs for NT Department of Health Philip Wilford masked NT Department Of Health Timothy Garden Ground Floor Construction House, 1 Briggs Street Darwin , NT 0800 Postal address: PO Box 40596, Casuarina, NT 0811 +61 8 8924 7042 masked NT Department Of Health Timothy.Garden@nt.gov.au http://www.health.nt.gov.au Govt body Ext 13 13 Complete 1.2.36.1.2001.1005.19.4 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 03:09:08 AU 1.2.36.1.2001.1005.19.5 sehruidNTDepartmentOfHealth SEHR User IDs for NT Department of Health Philip Wilford masked NT Department Of Health Timothy Garden Ground Floor Construction House, 1 Briggs Street Darwin , NT 0800 Postal address: PO Box 40596, Casuarina, NT 0811 +61 8 8924 7042 masked NT Department Of Health Timothy.Garden@nt.gov.au http://www.health.nt.gov.au Govt body Ext 13 13 Complete 1.2.36.1.2001.1005.19.5 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 03:10:31 AU 2.16.840.1.113883.3.1070.5385 mckesson-fusion-5385 mckesson-fusion-5385 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5385 2013/08/05 12:00:00 2013/08/27 12:00:00 2013/08/27 04:33:41 US 2.16.840.1.113883.3.1070.5397 mckesson-fusion-5397 mckesson-fusion-5397 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5397 2013/08/06 12:00:00 2013/08/27 12:00:00 2013/08/27 04:35:34 US 2.16.840.1.113883.3.3364 ghsOxfordNC Granville Health System Karon Casey masked Geoffery Tanthorey Lynelle Boyd PO Box 947 1010 College Street Oxford NC 27565 9196903000 masked Granville Health System PO Box 947 1010 College Street Oxford NC 27565 9196903000 lboyd@granvillemedical.com Provider Int 3 Complete 2013/08/06 12:00:00 2013/08/27 12:00:00 2016/04/26 08:50:45 UV 2.16.840.1.113883.3.3365 jhl Jewish Home Lifecare Teri Kole masked Nancy Stoddard 120 West 106th Street New York, NY 10025 212-870-4655 masked Vice President, Information Technology Jewish Home Lifecare 120 West 106th Street New York, NY 10025 212-870-5000 TGilmartin@jewishhome.org http://www.jewishhome.org/ Provider Int 3 Complete 2013/08/06 12:00:00 2013/08/27 12:00:00 2013/08/27 06:13:37 UV 2.16.840.1.113883.3.3366 lifqhc-ccd Long Island Federally Qualified Health Center CCD to Healthix Adam Lipton masked Art Cusack Adam Lipton 1037 Main Street Peekskill, NY 10566 914-734-8713 masked VP Long Island Federally Qualified Health Center CCD to Healthix 646-432-3681 awilde@healthix.org Exchange Int 3 3 Complete 2013/08/06 12:00:00 2013/08/27 12:00:00 2014/07/10 03:21:15 UV 2.16.840.1.113883.3.3367 eso-hde ESO Health Data Exchange Richard Hale masked Richard Hale 9020 N. Capital of Texas Hwy Austin, Texas 78759 512-565-5323 masked Director of Development ESO Solutions Richard.Hale@esosolutions.com http://www.esosolutions.com Vendor Int 3 3 Complete 2013/08/06 12:00:00 2013/08/27 12:00:00 2013/08/27 07:05:24 UV 2.16.840.1.113883.13.249 ems-GAAA Galveston Area Ambulance Authority Richard Hale masked Richard Hale 9020 North Capital of Texas Hwy Austin, Texas 78759 512-565-5323 masked Director of Development ESO Solutions Richard.Hale@esosolutions.com http://www.esosolutions.com Vendor 2.16.840.1.113883.3.3367 Int 13 13 Complete 2013/08/06 12:00:00 2013/08/27 12:00:00 2013/08/27 07:18:07 UV 2.16.840.1.113883.3.3368 nhih National Health Insurance House, Romania Alexandru Dobre masked Dragos Nuta +40-743055920 masked National Health Insurance House, Romania dragos.nuta@uti.eu.com Govt body Int 3 Complete 2013/08/07 12:00:00 2013/08/27 12:00:00 2013/08/27 07:23:23 UV 2.16.840.1.113883.3.3369 hmpong Houston Methodist Physician Organization NextGen Joel Stevenson masked Joel Stevenson 2550 Holly Hall Houston, TX 77054 8326675530 masked Applications Analyst Houston Methodist 2550 Holly Hall Houston, TX 77054 8326675530 jjstevenson@houstonmethodist.org http://www.methodisthealth.com/ Provider Int 3 Complete 2013/08/07 12:00:00 2013/08/27 12:00:00 2013/08/27 07:26:25 UV 2.16.840.1.113883.3.1070.5413 mckesson-fusion-5413 mckesson-fusion-5413 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5413 2013/08/07 12:00:00 2013/08/28 12:00:00 2013/08/28 02:13:35 US 2.16.840.1.113883.3.3370 ochca County of Orange, Health Care Agency Kindra Dimitriadis masked Kindra Dimitriadis 200 W. Santa Ana Blvd Santa Ana, Ca. 92701 714-834-3391 masked Project Manager County of Orange, Health Care Agency 405 W. Santa Ana Blvd Santa Ana, Ca. 92701 714-834-3391 kdimitriadis@ochca.com Provider Int 3 Complete 2013/08/07 12:00:00 2013/08/28 12:00:00 2013/08/28 02:17:47 UV 2.16.840.1.113883.3.1070.5403 mckesson-fusion-5403 mckesson-fusion-5403 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 3 Complete 2.16.840.1.113883.3.1070.5403 2013/08/07 12:00:00 2013/08/28 12:00:00 2013/08/28 02:14:57 US 2.16.840.1.113883.3.3371 datamotion-ca DataMotion Direct Robert Janacek masked Robert Janacek DataMotion, Inc. 35 Airport Road Morristown, NJ 07960 973-455-1245 masked CTO DataMotion 35 Airport Road Morristown, NJ 07960 973-455-1245 support@datamotion.com http://www.datamotion.com Vendor Int 3 3 Complete 2013/08/07 12:00:00 2013/08/28 12:00:00 2013/08/28 02:20:46 UV 2.16.840.1.113883.3.1070.5382 mckesson-fusion-5382 mckesson-fusion-5382 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5382 2013/08/07 12:00:00 2013/08/28 12:00:00 2013/08/28 02:24:27 US 2.16.840.1.113883.3.1070.5369 mckesson-fusion-5369 mckesson-fusion-5369 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5369 2013/08/07 12:00:00 2013/08/28 12:00:00 2013/08/28 02:26:31 US 2.16.840.1.113883.3.1070.5361 mckesson-fusion-5361 mckesson-fusion-5361 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5361 2013/08/08 12:00:00 2013/08/28 12:00:00 2013/08/28 02:28:07 US 2.16.840.1.113883.3.3372 metro-HH Metro Health Hospital Matt VanPortfleet masked Matt VanPortfleet 5900 Byron Center Ave Wyoming MI 49519 (616) 252-6704 masked Programmer Analyst III Metro Health Hospital 5900 Byron Center Ave Wyoming MI 49519 (616) 252-7378 helpdesk@metrogr.org http://metrohealth.net/ Provider Int 3 Complete 2013/08/08 12:00:00 2013/08/28 12:00:00 2015/05/01 11:48:42 UV 2.16.840.1.113883.3.1070.5414 mckesson-fusion-5414 mckesson-fusion-5414 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5414 2013/08/09 12:00:00 2013/08/28 12:00:00 2013/08/28 02:28:52 US 1.3.6.1.4.1.32898.1.4 spectrumhealth Spectrum Health System Michael Dobb masked Michael S. Dobb Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 486-4000 masked IS, Architect, Sr. Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 michael.dobb@spectrumhealth.org http://www.spectrumhealth.org Provider Ext 3 Complete 1.3.6.1.4.1.32898.1.4 2013/08/09 12:00:00 2013/08/28 12:00:00 2013/10/11 10:10:32 UV 2.16.840.1.113883.3.3373 rws Root ID for Stroud Regional Medical Center in Stroud Oklahoma Johnny Compean masked Reid Howle 14201 Wireless Way Oklahoma City OK 74134 4054383777 masked IT/Interfaces Rural Wellness Stroud 2308 Highway 66 West P O Box 530 Stroud, OK 74079 9189683571 rhowle@avemhealth.com https://stoudhospital.com Provider Int 3 Complete 2013/08/09 12:00:00 2013/08/28 12:00:00 2022/01/21 12:21:46 UV 2.16.840.1.113883.3.3374 rwa Root ID for The Physicians Hospital in Anadarko Oklahoma Johnny Compean masked Reid Howle 14201 Wireless Way Oklahoma City, OK 74134 405-438-3777 masked IT / Interfaces Rural Wellness Anadarko 1002 East Central Boulevard Anadarko, OK 73005 405-247-2551 rhowle@avemhealth.com http://anadarkohospital.com Provider Int 3 Complete 2013/08/09 12:00:00 2013/08/28 12:00:00 2022/01/21 12:23:30 UV 2.16.840.1.113883.3.3375 theAdvisoryBoard The Advisory Board Company Mitch Goldman masked Mitch Goldman The Advisory Board Company 12357-C Riata Trace Parkway Building 7, Suite 100 Austin, TX 78727 5126812266 masked Clinical Analyst The Advisory Board Company The Advisory Board Company 12357-C Riata Trace Parkway Building 7, Suite 100 Austin, TX 78727 goldmanm@advisory.com http://www.advisory.com Vendor Int 3 Complete 2013/08/09 12:00:00 2013/08/28 12:00:00 2013/08/28 02:36:58 UV 2.16.840.1.113883.3.176.456 healthix-docs Healthix document repository for EPICLI Carianne Ragozzino masked Annalisa Wilde 40 Worth St., 5th Fl. New York, NY, 10013 646-432-3681 masked Application Software Engineer Healthix 40 Worth St., 5th Fl. New York, NY 10013 646-619-6400 awilde@healthix.org Exchange 2.16.840.1.113883.3.176 Ext 17 Complete 2.16.840.1.113883.3.176.456 2013/08/09 12:00:00 2013/08/28 12:00:00 2014/12/09 10:19:18 UV 2.16.840.1.113883.3.1070.5410 mckesson-fusion-5410 mckesson-fusion-5410 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment Johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5410 2013/08/12 12:00:00 2013/08/28 12:00:00 2013/08/28 02:41:38 US 2.16.840.1.113883.17.125 org-wchs WESTON COUNTY HEALTH SERVICES PIPER ORSBORN masked PIPER ORSBORN 1124 WASHINGTON BLVD NEWCASTLE, WY 82701 3077463712 masked DIRECTOR OF PATIENT SERVICES WESTON COUNTY HEALTH SERVICES 1124 WASHINGTON BLVD NEWCASTLE, WY 82701 3077464491 porsborn@wchs-wy.org Provider Int 17 Complete 2013/08/12 12:00:00 2013/08/28 12:00:00 2013/08/28 02:44:16 UV 2.16.840.1.113883.3.3376 charu Bombay Hospital Charusheela Thoravde masked Charusheela Thoravde 9664543753 masked Sample Charusheela Thoravde 9664543753 charusheela_89@hotmail.com Academic Int 3 Complete 2013/08/13 12:00:00 2013/08/28 12:00:00 2013/08/28 02:48:55 UV 2.16.840.1.113883.3.3377 univmd University of Maryland Medical Center Cheryl Swift masked Karen Wilding Karen Wilding 22 S Greene St Baltimore, MD 21201-1595 (410) 328-8253 masked Project Manager University of Maryland Medical Center 22 S Greene St Baltimore, MD 21201-1595 (410) 328-866 http://intra.umm.edu/ummc/ Provider Int 3 3 Complete 2013/08/13 12:00:00 2013/08/28 12:00:00 2013/08/28 02:50:06 UV 2.16.840.1.113883.3.3378 mhmraharris MHMRA of Harris County Richard Hurst masked Richard Hurst 713-970-7670 masked IT Infrastructurer Manager MHMRA of Harris County 713-970-7670 rick.hurst@mhmraharris.org http://www.mhmraharris.org Provider Int 3 Complete 2013/08/13 12:00:00 2013/08/27 12:00:00 2013/08/28 02:52:09 UV 2.16.840.1.113883.3.3379 o-S-1-Prod Orthopaedic Specialty Institute (Prod) Jesus Escobar masked Michael Danto, MD Jesus Escobar 280 S. Main St. Suite 200 Orange, CA. 92868 17149374826 masked Communications Specialist Orthopaedic Specialty Institute (Prod) 280 S. Main St. Suite 200 Orange, CA. 92868 17146344567 cwalker@osiortho.com http://www.orangeorthopedics.com Provider Int 3 Complete 2013/08/13 12:00:00 2013/08/28 12:00:00 2013/08/28 02:56:07 UV 2.16.840.1.113883.3.3380 altarum Altarum Institute John Christensen masked John Christensen 3520 Green Court, Suite 300 Ann Arbor, Michigan 48105 734-302-4622 masked Senior Technical Writer Altarum Institute 3520 Green Court, Suite 300 Ann Arbor, Michigan 48105 734-302-4622 john.christensen@altarum.org http://altarum.org/ SDO Int 3 Complete 2013/08/13 12:00:00 2013/08/28 12:00:00 2013/08/28 03:00:08 UV 2.16.840.1.113883.3.1070.5395 mckesson-fusion-5395 mckesson-fusion-5395 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5395 2013/08/13 12:00:00 2013/08/28 12:00:00 2013/08/28 03:02:23 US 2.16.840.1.113883.3.1070.5417 mckesson-fusion-5417 mckesson-fusion-5417 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5417 2013/08/14 12:00:00 2013/08/28 12:00:00 2013/08/28 03:04:03 US 2.16.840.1.113883.3.3381 org-smh Sheridan Memorial Hospital Gerald Claxton masked Troy McClymont Gerald Claxton 440 West Laurel Avenue Plentywood, Montana, 59254-2028 1-406-765-3795 masked Information Systems Technician Sheridan Memorial Hospital 440 West Laurel Avenue Plentywood, Montana, 59254-2028 1-406-765-3700 smh@sheridanmemorial.net http://www.sheridanmemorial.net Provider Int 3 Complete 2013/08/14 12:00:00 2013/08/28 12:00:00 2013/08/28 03:13:23 UV 2.16.840.1.113883.3.3382 bobbykang Enid Regional Family Practice Tiffany Sturgeon masked Bobby C. Kang Tiffany Sturgeon 2426 W. Owen K. Garriott Rd Enid OK 73703 580-233-7600 masked Manager Enid Regional Family Practice 2426 W. Owen K. Garriott Rd Enid OK 73703 580-233-7600 enidregionalfamilypractice@yahoo.com Provider Int 3 Complete 2013/08/14 12:00:00 2013/08/28 12:00:00 2013/08/28 03:15:31 UV 2.16.840.1.113883.3.3383 laJoya-Neighborhood-DoctorPA1 LaJoya Neighborhood Doctor PA Charles Stewart masked b.huerta@dhr-rgv.com Cavazos-Salas, Norma, DO 2121 E. Griffin Pkwy., #6 Mission, TX 78572 956-583-2300 masked Provider LaJoya Neighborhood Doctor PA 2121 E. Griffin Pkwy., #6 Mission, TX 78572 956-583-2300 drcavaxos@rgv.rr.com Provider Int 9 3 Complete 2013/08/14 12:00:00 2013/08/28 12:00:00 2013/08/28 03:18:01 UV 2.16.840.1.113883.17.126 agv Aspirus Grand View Ronald Eyer masked Ronald Eyer Aspirus Grand View Hospital N10561 Grand View Lane Ironwood, MI 49938 906 932 7001 masked Information Systems Manager Aspirus Grand View Hospital N10561 Grand View Lane Ironwood, MI 49938 906 932 2525 ron.eyer@aspirusgrandview.org http://www.aspirusgrandview.org Provider 2.16.840.1.113883.17.126 Int 17 Complete 2013/08/14 12:00:00 2013/08/28 12:00:00 2014/04/25 12:48:20 UV 2.16.840.1.113883.3.3384 oidBEMC Baylor Emergency Medical Center Trang Dawson masked Trang Dawson 10077 Grogan's Mill, Suite 100 The Woodlands, TX 77380 281-292-2450 masked Chief Information Officer Baylor Emergency Medical Center 26791 Highway 380 Aubrey, TX 76227 972-347-2525 it@emerus.com http://www.bemcataubrey.com Provider Int 3 Complete 2013/08/14 12:00:00 2013/08/28 12:00:00 2013/08/28 03:24:06 UV 2.16.840.1.113883.3.176.334 catholiccharitiesrepos Repository for Healthix - Catholic Charities Carianne Ragozzino masked Carianne Ragozzino 40 Worth St., 5th Fl. New York, NY 10013 646-619-6742 masked Client Services Manager Healthix 40 Worth St., 5th Fl. New York, NY 10013 646-619-6400 awilde@healthix.org Exchange 2.16.840.1.113883.3.176 Ext 17 Complete 2.16.840.1.113883.3.176.334 2013/08/14 12:00:00 2013/08/28 12:00:00 2013/08/28 03:27:15 UV 2.16.840.1.113883.3.176.335 rumcRepos Repository for RUMC Behavioral Health in Healthix environment Wayne Huang masked Carianne Ragozzino 40 Worth St, 5th Fl, New York, NY 10013 619-646-6742 masked Client Service Manager Healthix 40 Worth St, 5th Fl, New York, NY 10013 6190646-6400 awilde@healthix.org Exchange 2.16.840.1.113883.3.176 Ext 17 Complete 2.16.840.1.113883.3.176.335 2013/08/14 12:00:00 2013/08/28 12:00:00 2013/08/28 03:28:48 UV 2.16.840.1.113883.3.176.336 brmhRepos Repository for Brookhaven Mental Health in Healthix environment Wayne Huang masked Carianne Ragozzino 40 Worth St, 5th Fl, New York, NY 10013 619-646-6742 masked Client Service Manager Healthix 40 Worth St, 5th Fl, New York, NY 10013 6190646-6400 awilde@healthix.org Exchange 2.16.840.1.113883.3.176 Ext 17 Complete 2.16.840.1.113883.3.176.336 2013/08/14 12:00:00 2013/08/28 12:00:00 2013/08/28 03:30:12 UV 2.16.840.1.113883.3.176.337 fslRepos Repository for Family Services League in Healthix environment Wayne Huang masked Carianne Ragozzino 40 Worth St, 5th Fl, New York, NY 10013 619-646-6742 masked Client Service Manager Healthix 40 Worth St, 5th Fl, New York, NY 10013 6190646-6400 awilde@healthix.org Exchange 2.16.840.1.113883.3.176 Ext 17 Complete 2.16.840.1.113883.3.176.337 2013/08/14 12:00:00 2013/08/28 12:00:00 2013/08/28 03:31:34 UV 2.16.840.1.113883.3.176.338 ohRepos Repository for Odyssey House in Healthix environment Wayne Huang masked Carianne Ragozzino 40 Worth St., 5th Fl, New York, NY 10013 619-646-6742 masked Client Service Manager Healthix 40 Worth St., 5th Fl, New York, NY 10013 6190646-6400 awilde@healthix.org Exchange 2.16.840.1.113883.3.176 Ext 17 Complete 2.16.840.1.113883.3.176.338 2013/08/14 12:00:00 2013/08/28 12:00:00 2013/08/28 03:33:20 UV 2.16.840.1.113883.3.176.339 ohelRepos Repository for OHEL in Healthix environment Wayne Huang masked Carianne Ragozzino 40 Worth St., 5th Fl, New York, NY 10013 619-646-6742 masked Client Service Manager Healthix 40 Worth St., 5th Fl, New York, NY 10013 6190646-6400 awilde@healthix.org Exchange 2.16.840.1.113883.3.176 Ext 17 Complete 2.16.840.1.113883.3.176.339 2013/08/14 12:00:00 2013/08/28 12:00:00 2013/08/28 03:34:51 UV 2.16.840.1.113883.17.127 nemhs Northeast Montana Health Services, Inc. Margaret Norgaard masked Deb Wagner Margaret Norgaard PO Box 38 211 H. St. East Poplar, Montana 59255 406-768-6133 masked CEO Northeast Montana Health Services, Inc. PO Box 38 211 H. St. East Poplar, Montana 59255 406-768-6100 pnorgaard@nemhs.net http://nemhs.net Provider Int 17 Complete 2013/08/14 12:00:00 2013/08/28 12:00:00 2013/08/28 03:50:12 UV 2.16.840.1.113883.17.128 trinity Trinity-Northeast Montana Health Services, inc. Margaret Norgaard masked Deb Wagner Margaret Norgaard 315 Knapp Street Wolf Point, Montana 59201 406-653-6512 masked CEO Northeast Montana Health Services, Inc. 315 Knapp St Wolf Point, Montana 59201 406-653-6500 pnorgaard@nemhs.net http://nemhs.net Provider Int 17 Complete 2013/08/14 12:00:00 2013/08/28 12:00:00 2013/08/28 03:53:23 UV 2.16.840.1.113883.3.3385 rtop2-chcs1 RTOP2 CHCS1 Clinic Roman Sova masked Roman Sova 540-111-2111 masked Roman Sova rsova@4qbase.com Academic Int 3 Complete 2013/08/14 12:00:00 2013/08/28 12:00:00 2013/12/18 04:22:35 UV 2.16.840.1.113883.17.129 org-HotSpringsCountyMemorialHospital Hot Springs County Memorial Hospital Shelly Larson masked Robin Roling Shelly Larson 150 E. Arapahoe Thermopolis, WY 82443 307 864-5019 masked CFO Hot Springs County Memorial Hospital 150 E. Arapahoe Thermopolis, WY 82443 307 864-3121 webmaster@mail.hscmh.org http://www.hscmh.org Provider Int 17 Complete 2013/08/14 12:00:00 2013/08/28 12:00:00 2013/08/28 03:56:54 UV 2.16.840.1.113883.3.3386 vnsrochny Visiting Nurse Service of Rochester, NY Michael Sweeney masked Michael Sweeney 2180 Empire Blvd Webster, NY 14580 585-787-2233 x8155 masked Software Engineer Visiting Nurse Service of Rochester, NY 2180 Empire Blvd Webster, NY 14580 585-787-2233 ithelpdesk@vnsnet.com http://www.vnsnet.com/ Provider Int 3 Complete 2013/08/15 12:00:00 2013/08/28 12:00:00 2013/08/28 03:59:58 UV 2.16.840.1.113883.3.3387 cobbdouglascsb Cobb/Douglas County Community Services Board Bryan Hoffman masked Bryan Hoffman 3830 South Cobb Drive, Suite 300 Smyrna, GA 30080 770-429-5015 masked System Administrator Cobb/Douglas County Community Services Board 3830 South Cobb Drive, Suite 300 Smyrna, GA 30080 770-429-5000 bhoffman@cobbcsb.com http://www.cobbcsb.com Provider Int 3 Complete 2013/08/15 12:00:00 2013/08/28 12:00:00 2013/08/28 04:01:20 UV 2.16.840.1.113883.3.3388 practiceFusion Practice Fusion EHR Chris Sindoni masked Chris Sindoni Practice Fusion 650 Townsend St San Francisco, CA 94103 (415) 350-3156 masked Data Architect Practice Fusion Practice Fusion 650 Townsend St San Francisco, CA 94103 (415) 346-7700 csindoni@practicefusion.com http://www.practicefusion.com Vendor Int 3 Complete 2013/08/15 12:00:00 2013/08/28 12:00:00 2014/08/14 07:35:39 UV 2.16.840.1.113883.3.3389 pccshash Hash for the FDA Product Concept Code System William Hess masked William Hess Office of the Commissioner/Office of Information Management Office of the Chief Information Officer/Medical Informatics Staff 10903 New Hampshire Ave WO32-Room 4152 Silver Spring MD 20993-0002 3017968494 masked Pharmacist Food and Drug Administration 10903 New Hampshire Ave Silver Spring MD 20993-0002 3017968494 william.hess@fda.hhs.gov http://www.fda.gov Govt body 2.16.840.1.113883.3.24 Int 3 3 Complete 2013/08/15 12:00:00 2013/08/28 12:00:00 2013/08/28 04:04:14 UV 2.16.840.1.113883.3.3390 hydromedicalclinic Hydro Medical Clinic OID Root Jered Burright masked Susan Slagell Jered Burright 135 North Muskogee Tahlequah, Oklahoma 74464 918-931-2838 masked Database Adminisrtrator Hydro Medical Clinic 579 North Broadway Ave. Hydro, Oklahoma 73048 405-663-2291 susan@hydromedicalclinic.com Provider Int 3 Complete 2013/08/15 12:00:00 2013/08/28 12:00:00 2013/08/28 04:07:04 UV 2.16.840.1.113883.3.3391 mmic-rbha Mercy Maricopa Integrated Care Jennifer Sica masked John Monte Jennifer Sica 1095 N. Manzanita Way Flagstaff, AZ 86001 928-856-7070 masked Implementation Project Manager Mercy Maricopa Integrated Care 4350 E. Cotton Center Blvd., Bldg. D Phoenix, AZ 85040 6022633000 sicaj@aetna.com http://www.mercymaricopa.org/ Payor Int 3 Complete 2013/08/15 12:00:00 2013/08/28 12:00:00 2013/08/28 04:10:12 UV 2.16.840.1.113883.3.3392 mgh-HL7 MageeGeneralHospital Kirby Craft masked Magee General Hospital Kirby Craft Magee General Hospital 300 Third Ave SE Magee, MS 39111 601-849-7223 masked CIO Magee General Hospital 601-849-5070 kcraft@mghosp.org Provider Int 3 Complete 2013/08/16 12:00:00 2013/08/28 12:00:00 2013/08/28 04:12:52 US 2.16.840.1.113883.3.3393 charlescartermd Charles C. Carter, MD OID Root Jered Burright masked Anna Miranda Jered Burright 125 North Muskogee Tahlequah, Oklahoma 74464 918-931-2838 masked Charles C. Carter, MD.DPH, PLLC 1015 E Broadway St Suite 102, Altus, OK 73521 580-480-1600 amiranda@cableone.net Provider Int 3 Complete 2013/08/16 12:00:00 2013/08/28 12:00:00 2013/08/29 02:06:35 UV 2.16.840.1.113883.3.3394 setma SETMA Calder OID Richmond Holly masked Richmond Holly 2929 Calder Suite 100 Beaumont, Texas 77702 4099518001 masked CIO Southeast Texas Medical Associates, LLP 2929 Calder Suite 100 Beaumont, Texas 77702 4098339797 rholly@setma.com http://www.setma.com Provider Int 3 Complete 2013/08/16 12:00:00 2013/08/29 12:00:00 2013/08/29 02:08:18 UV 2.16.840.1.113883.3.3395 thrasys Thrasys Will Pizzano masked Randy Belknap Will Pizzano 250 Executive Park Blvd Suite 2000 San Francisco, CA 94134 (650) 449-1000 masked Thrasys 250 Executive Park Blvd Suite 2000 San Francisco, CA 94134 (650) 449-1000 will.pizzano@thrasys.com http://www.thrasys.com/ Vendor Int 3 Complete 2013/08/16 12:00:00 2013/08/29 12:00:00 2013/08/29 02:09:24 UV 2.16.840.1.113883.3.3396 seminolevisioncenter Seminole Vision Center Root OID Jered Burright masked Sarah Jered Burright 135 North Muskogee Tahlequah, Oklahoma 75564 918-931-2838 masked Database Adminisrtrator Seminole Vision Center 1909 North Milt Phillips Avenue Seminole, OK 74868 405-382-2020 seminolevisioncenter@gmail.com http://www.visionsource-seminolevisioncenter.com/ Provider Int 3 Complete 2013/08/16 12:00:00 2013/08/29 12:00:00 2013/08/29 02:12:35 UV 2.16.840.1.113883.3.3397 hi3 Healthcare Information Integration Infrastructure Solutions AbdulMalik Shakir masked AbdulMalik Shakir 1407 Foothill Blvd. Suite 145 6266444491 masked Director, Solutions Architecture HI3 Solutions 1407 Foothill Blvd. Suite 145 6266444491 abdulmalik@shakirconsulting.com http://hi3solutions.com Vendor Int 3 Complete 2013/08/16 12:00:00 2013/08/29 12:00:00 2013/08/29 02:14:30 UV 2.16.840.1.113883.3.2727.1001.1 ahc-DMC Advocate Health Care-DMC Paulette Duong masked Paulette Duong 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 masked Advocate Health Care 630-575-3285 paulette.duong@advocatehealth.com Provider 2.16.840.1.113883.3.2727 Ext 17 Complete 2.16.840.1.113883.3.2727.1001.1 2013/08/18 12:00:00 2013/08/29 12:00:00 2013/08/29 02:17:44 UV 2.16.840.1.113883.3.3400 homertonhospital Homerton University Hospital NHS Foundation Trust OID Root Steven Ouko masked Steven Ouko IT/EPR Office, Homerton University Hosptial NHS Foundation Trust, Homerton Row, London, E9 6SR. 02085105262 masked Systems Integration Manager Homerton University Hospital NHS Foundation Trust Homerton University Hosptial NHS Foundation Trust, Homerton Row, London, E9 6SR. 02085105555 enquiries@homerton.nhs.uk http://www.homerton.nhs.uk/ Provider Int 3 Complete 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/30 04:25:23 UV 2.16.840.1.113883.3.3401 eyedocnelson Nelson, Nelson, & Nelson O.D. Inc. Root OID Jered Burright masked Jerri Dawn Jered Burright 135 N. Muskogee Tahlequah, Oklahoma 74464 918-931-2838 masked Database Adminisrtrator Jerri Dawn 203 N Noble Avenue, PO Box 590 Watonga, OK 73772 866-623-5073 jerridawn@eyedocnelson.com http://eyedocnelson.com/ Provider Int 3 Complete 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 02:29:22 UV 2.16.840.1.113883.3.1070.5425 mckesson-fusion-5425 mckesson-fusion-5425 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5425 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 02:33:55 US 2.16.840.1.113883.3.3402 snch South Nassau Communities Hospital Charles Gallina masked John Mertz Charles Gallina South Nassau Commnunities Hospital One Healthy Way Oceanside, NY 11572 561-632-3175 masked Manager Technical Implementation South Nassau Communities Hospital South Nassau Communities Hospital One Healthy Way Oceanside, NY 11572 516-632-2000 jmertz@snch.org http://www.southnassau.org/ Provider Int 3 Complete 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 02:31:33 UV 2.16.840.1.113883.3.3198.2.120 carped Carousel Pediatrics Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.120 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 02:38:21 UV 2.16.840.1.113883.3.3198.2.130 carfamhc Carrollton Family Healthcare Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.130 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 02:40:56 UV 2.16.840.1.113883.3.3198.2.140 carsurgbrem Carrollton Surgical Group - Bremen Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc. 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.140 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 02:43:40 UV 2.16.840.1.113883.3.3198.2.141 carsurgcarr Carrollton Surgical Group - Carrollton Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc. 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.141 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 02:46:13 UV 2.16.840.1.113883.3.3198.2.142 carsurgvrica Carrollton Surgical Group - Villa Rica Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.142 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 02:48:59 UV 2.16.840.1.113883.3.3198.2.150 chcwgcbrem Childrens Healthcare of West GA - Bremen Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.150 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 02:51:48 UV 2.16.840.1.113883.3.3198.2.151 chcwgcarr Childrens Healthcare of WG - Carrollton Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.151 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 02:54:54 UV 2.16.840.1.113883.3.3198.2.152 chcwgvrica Childrens Healthcare of WG - Villa Rica Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.152 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 02:56:31 UV 2.16.840.1.113883.3.3198.2.160 compbreast Comprehensive Breast Care Center Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc 75 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.160 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 03:07:24 UV 2.16.840.1.113883.3.3198.2.170 gastrassbrem Gastroenterology Associates - Bremen Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.170 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 03:08:26 UV 2.16.840.1.113883.3.3198.2.171 gastrasscarr Gastroenterology Associaties - Carrollton Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.171 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 03:09:48 UV 2.16.840.1.113883.3.3198.2.172 gastrassvrica Gastroenterology Associates - Villa Rica Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.172 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 03:10:55 UV 2.16.840.1.113883.3.3198.2.180 infdiscarr Infectious Diseases - Carollton Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc. 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.180 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 03:13:09 UV 2.16.840.1.113883.3.3198.2.181 infdisvrica Infectious Diseases - Villa Rica Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc. 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.181 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 03:16:53 UV 2.16.840.1.113883.3.3198.2.190 intmedcarr Internal Medicine - Carrollton Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.190 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 03:18:19 UV 2.16.840.1.113883.3.3198.2.200 intmedmirrlake Tanner Primary Care of Mirror Lake Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc. 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.200 2013/08/19 12:00:00 2013/08/29 12:00:00 2014/10/20 05:04:38 UV 2.16.840.1.113883.3.3198.2.210 newgafamhc New GA Family Healthcare Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc. 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.210 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 03:34:14 UV 2.16.840.1.113883.3.3198.2.220 primcarebrem Primary Care of Bremen Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.220 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 03:35:45 UV 2.16.840.1.113883.3.3198.2.230 tallfamhc Tallapoosa Family Healthcare Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc. 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.230 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 03:39:01 UV 2.16.840.1.113883.3.3198.2.240 famhcfrank Tanner Family Healthcare of Franklin Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.240 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 03:40:03 UV 2.16.840.1.113883.3.3198.2.250 heartvascbrem Tanner Heart & Vascular Specialists - Bremen Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.250 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 03:41:23 UV 2.16.840.1.113883.3.3198.2.251 heartvasccarr Tanner Heart & Vascular Specialists - Carrollton Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.251 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 03:45:34 UV 2.16.840.1.113883.3.3198.2.252 heartvascvrica Tanner Heart & Vascular Specialists - Villa Rica Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc. 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.252 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 03:46:31 UV 2.16.840.1.113883.3.3198.2.260 immedcarebrem Immediate Care - Bremen Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.260 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 03:47:53 UV 2.16.840.1.113883.3.3198.2.261 immedcarecarr Immediate Care - Carrollton Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.261 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 03:49:18 UV 2.16.840.1.113883.3.3198.2.262 immedcarevrica Immediate Care - Villa Rica Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc. 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.262 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 03:51:52 UV 2.16.840.1.113883.3.3198.2.270 lungsleep Tanner Lung & Sleep Specialists Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc. 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.270 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 03:54:11 UV 2.16.840.1.113883.3.3198.2.280 neurology Tanner Neurology Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc. 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.280 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 03:55:36 UV 2.16.840.1.113883.3.3198.2.290 primcarecarr Tanner Primary Care of Carrollton Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc. 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.290 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 03:56:52 UV 2.16.840.1.113883.3.3198.2.300 primcarewedow Tanner Primary Care of Wedowee Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc. 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.300 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 03:58:27 UV 2.16.840.1.113883.3.3198.2.310 primcarewpaul Tanner Primary Care of West Paulding Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc. 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.310 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 04:01:31 UV 2.16.840.1.113883.3.3198.2.320 radonc Tanner Radiation Oncology Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 70-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.320 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 04:02:31 UV 2.16.840.1.113883.3.3198.2.330 vascsurgcarr Tanner Vascular Surgery - Carrollton Laura Wilson masked wsellers@tanner.org Laura Wilson 770-0812-9791 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.330 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 04:04:11 UV 2.16.840.1.113883.3.3198.2.331 vascsurgvrica Tanner Vascular Surgery - Villa Rica Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.331 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 04:06:05 UV 2.16.840.1.113883.3.3198.2.340 vrfammedold Villa Rica Family Medicine OLD Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.340 2013/08/19 12:00:00 2013/08/29 12:00:00 2017/09/13 10:34:25 UV 2.16.840.1.113883.3.3198.2.350 vrobgyn Villa Rica Obstetrics & Gynecology Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.350 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 04:07:56 UV 2.16.840.1.113883.3.3198.2.360 wcarrfamhc West Carroll Family Healthcare Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.360 2013/08/19 12:00:00 2013/08/27 12:00:00 2013/08/29 04:10:48 UV 2.16.840.1.113883.3.3198.2.370 wgfammed West Georgia Family Medicine Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.370 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 04:12:07 UV 2.16.840.1.113883.3.3198.2.380 wghcwomen West Georgia Healthcare for Women Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.380 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 04:13:39 UV 2.16.840.1.113883.3.3198.2.390 woodlandfamhc Woodland Family Healthcare Laura Wilson masked wsellers@tanner.org Laura Wilson 770-812-9791 masked Tanner Medical Center, Inc. 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.2.390 2013/08/19 12:00:00 2013/08/29 12:00:00 2013/08/29 04:15:03 UV 2.16.840.1.113883.3.541.678 interboroecw EGECW Repository for Interboro Carianne Ragozzino masked Carianne Ragozzino 40 Worth St., 5th Fl. New York, NY 10013 646-619-6742 masked Client Services Manager New York eHealth Collaborative 40 Worth St., 5th Fl. New York, NY 10013 646-619-6400 cragozzino@nyehealth.org Exchange 2.16.840.1.113883.3.541 Ext 17 Complete 2.16.840.1.113883.3.541.678 2013/08/19 12:00:00 2013/09/05 12:00:00 2013/09/05 01:43:51 UV 2.16.840.1.113883.10.20.34 cdaNAMCS NATIONAL MEDICAL CARE SURVEY CDA Gaye Dolin masked Gaye Dolin Dolin masked SDWG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 SDWG gaye.dolin@lantanagroup.com HL7 body Ext 10 10 Complete 2.16.840.1.113883.10.20.34 2013/08/20 12:00:00 2013/09/05 12:00:00 2013/09/05 01:45:58 UV 2.16.840.1.113883.3.3404 okmulgeehospital Okmulgee Memorial Hospital Sharon Riker masked Sharon Riker 1401 Morris Drive Okmulgee, OK 74447 9187583135 masked Assistant Admin, Information Services Okmulgee Memorial Hospital 1401 Morris Drive Okmulgee, OK 74447 918-756-4233 sriker@okmulgeehospital.com http://www.okmulgeehospital.com Provider Int 3 Complete 2013/08/20 12:00:00 2013/09/05 12:00:00 2013/09/05 01:50:03 UV 2.16.840.1.113883.3.3404.1 okmulgeehospcpsi Okmulgee Hospital-CPSI Sharon Riker masked Sharon Riker 1401 Morris Dr Okmulgee, OK 74447 9187583135 masked Assitant Admin, Info. Services Okmulgee Memorial Hospital 1401 Morris Dr. Okmulgee, OK 74447 9187564233 sriker@okmulgeehospital.com http://www.okmulgeehospital.com Provider 2.16.840.1.113883.3.3404 Ext 14 Complete 2.16.840.1.113883.3.3404.1 2013/08/20 12:00:00 2013/09/05 12:00:00 2013/09/05 01:51:06 UV 2.16.840.1.113883.3.3405 sytrue Sytrue, Inc. Constantin Mitocaru masked Kyle Silvestro 3760 Morrow Lane Suite E Chico, CA 95928 530.897.0220 masked CEO Sytrue, Inc. 3760 Morrow Lane Suite E Chico, CA 95928 530.897.0220 constantin@sytrue.com http://www.sytrue.com Vendor Int 3 Complete 2013/08/20 12:00:00 2013/09/05 12:00:00 2013/09/05 01:53:32 UV 2.16.840.1.113883.3.3380.1 afacility Facility A John Christensen masked John Christensen 3520 Green Court, Suite 300 Ann Arbor, Michigan 48105 734-302-4622 masked Senior Technical Writer Altarum Institute 3520 Green Court, Suite 300 Ann Arbor, Michigan 48105 734-302-4622 john.christensen@altarum.org http://altarum.org SDO 2.16.840.1.113883.3.3380 Ext 17 17 Complete 2.16.840.1.113883.3.3380.1 2013/08/20 12:00:00 2013/09/05 12:00:00 2013/09/05 01:55:57 UV 2.16.840.1.113883.3.3406 oidBEMCAUBREY Baylor Emergency Medical Center at Aubrey TRANG DAWSON masked TRANG DAWSON 10077 Grogan's Mill Suite 100 The Woodlands, TX 77380 281-292-2450 masked CHIEF INFORMATION OFFICER Baylor Emergency Medical Center at Aubrey 26791 U.S. 380 Aubrey, TX 76227 (972) 347-2525 it@emerus.com http://www.bemcataubrey.com Provider Int 3 Complete 2013/08/20 12:00:00 2013/09/05 12:00:00 2013/09/05 01:59:32 UV 2.16.840.1.113883.3.3407 dls Diagnostic Laboratory Services, Inc. Clarine Hirouji masked Raymond Yeung Clarine Hirouji 99-859 Iwaiwa Street Aiea, Hawaii 96701 808-589-5225 masked Field Application Analyst Diagnostic Laboratory Services, Inc. 99-859 Iwaiwa Street Aiea, Hawaii 96701 808-589-5100 isadmin@dlslab.com http://www.dlslab.com Provider Int 3 Complete 2013/08/20 12:00:00 2013/09/05 12:00:00 2013/09/05 02:16:42 UV 2.16.840.1.113883.3.1070.5402 mckesson-fusion-5402 mckesson-fusion-5402 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5402 2013/08/20 12:00:00 2013/09/05 12:00:00 2013/09/05 02:22:20 US 2.16.840.1.113883.3.1070.5430 mckesson-fusion-5430 mckesson-fusion-5430 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment patricia.wilson4@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5430 2013/08/21 12:00:00 2013/09/05 12:00:00 2013/09/05 02:26:02 US 2.16.840.1.113883.3.2402.200.6820 physicians-computer-company-clients-chp Physician's Computer Company (PCC) Clients Children's Health Partners Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6820 2013/08/21 12:00:00 2013/09/05 12:00:00 2013/09/05 02:27:52 UV 2.16.840.1.113883.3.2402.200.6830 physicians-computer-company-clients-cpatx Physician's Computer Company (PCC) Clients Clinical Pediatric Associates Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6830 2013/08/21 12:00:00 2013/09/05 12:00:00 2013/09/05 02:28:48 UV 2.16.840.1.113883.3.2402.200.184 physicians-computer-company-clients-eppa Physician's Computer Company (PCC) Clients El Paso Pediatric Associates PA Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.184 2013/08/21 12:00:00 2013/09/05 12:00:00 2013/09/05 02:32:17 UV 2.16.840.1.113883.3.2402.200.6798 physicians-computer-company-clients-pwg Physician's Computer Company (PCC) Clients Pediatric Wellness Group Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6798 2013/08/21 12:00:00 2013/09/05 12:00:00 2013/09/05 02:34:26 UV 2.16.840.1.113883.3.2402.200.398 physicians-computer-company-clients-tpcg Physician's Computer Company (PCC) Clients The Pediatric Clinic LLP Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.398 2013/08/21 12:00:00 2013/09/05 12:00:00 2013/09/05 02:35:58 UV 2.16.840.1.113883.3.2402.200.6808 physicians-computer-company-clients-watchung Physician's Computer Company (PCC) Clients Watchung Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6808 2013/08/21 12:00:00 2013/09/05 12:00:00 2013/09/05 02:37:21 UV 2.16.840.1.113883.3.3409 sPITW Spectus Joseph Peters masked Dr. Nick Brattis 400 E. 1st Street Suite 314 Casper, WY 826701 307-266-2020 masked Optometrist Spectus 400 E. 1st Street Suite 314 Casper, WY 826701 307-266-2020 spectus.inthewind@gmail.com Provider Int 3 Complete 2013/08/21 12:00:00 2013/09/05 12:00:00 2013/09/05 02:39:25 UV 2.16.840.1.113883.3.3410 seven7D 7Delta Ravi Gadapa masked ravi_gadapa@yahoo.com Ravi Gadapa 800 Vermont Ave, Washington DC 20001 7031112222 masked Dev 7Delta 800 Vermont Ave, Washington DC 20001 7031112222 sumev@yahoo.com http://www.7delta.com Govt body Int 3 Complete 2013/08/21 12:00:00 2013/09/05 12:00:00 2013/09/05 02:46:52 UV 2.16.840.1.114222.4.1.214010 sepa-mph Mercy Philadelphia Hospital Patrick Mazzotta masked Patrick Mazzotta One West Elm Street Conshohocken, PA 19428 610-567-5276 masked Sr Project Analyst Mercy Philadelphia Hospital 501 South 54th Street Philadelphia, PA 19143 2157489000 pmazzotta@mercyhealth.org http://www.mercyhealth.org Provider Ext 3 3 Complete 2.16.840.1.114222.4.1.214010 2013/08/22 12:00:00 2013/09/05 12:00:00 2013/09/05 02:54:45 UV 2.16.840.1.114222.4.1.6934 sepa-mfh Mercy Fitzgerald Hospital Patrick Mazzotta masked Patrick Mazzotta 610-567-5276 masked Sr. Project Analyst Mercy Fitzgerald Hospital 1500 Lansdowne Avenue Darby, PA 19023 6102374000 pmazzotta@mercyhealth.org http://www.mercyhealth.org Provider Ext 3 3 Complete 2.16.840.1.114222.4.1.6934 2013/08/22 12:00:00 2013/09/05 12:00:00 2013/09/05 02:57:27 UV 2.16.840.1.114222.4.1.6910 sepa-msh Mercy Suburban Hospital Patrick Mazzotta masked Patrick Mazzotta One West Elm Street Conshohocken PA, 19428 610-567-5276 masked Sr Project Analyst Mercy Suburban Hospital 2701 DeKalb Pike East Norriton, PA 19401 6102782000 pmazzotta@mercyhealth.org https://www.mercyhealth.org Provider Ext 3 Complete 2.16.840.1.114222.4.1.6910 2013/08/22 12:00:00 2013/09/05 12:00:00 2013/09/05 02:58:42 UV 2.16.840.1.114222.4.1.6960 sepa-naz Nazareth Hospital Patrick Mazzotta masked Patrick Mazzotta One West Elm Street Conshohocken, PA 19428 610-567-5276 masked Sr Project Analyst Nazareth Hospital 2601 Holme Avenue Philadelphia, PA 19152 2153356000 pmazzotta@mercyhealth.org https://www.mercyhealth.org Provider Ext 3 3 Complete 2.16.840.1.114222.4.1.6960 2013/08/22 12:00:00 2013/09/05 12:00:00 2013/09/05 03:00:33 UV 2.16.840.1.113883.3.3412 kchoh Knox Community Hospital Jennifer Dilgard masked Jennifer Dilgard 1330 Coshocton Rd Mount Vernon, Ohio 43050 740-393-9184 masked Interface Administrator Knox Community Hospital 1330 Coshocton Rd Mount Vernon, Ohio 43050 740-393-9000 InformationSystems@KnoxCommHosp.org http://www.knoxcommhosp.org/ Provider Int 3 3 Complete 2013/08/22 12:00:00 2013/09/05 12:00:00 2013/09/05 04:43:54 UV 2.16.840.1.113883.3.3413 hurleymc Hurley Medical Center Joseph Grathoff masked Joseph Grathoff 1 Hurley Plaza Flint, MI 48503 810-262-6792 masked Senior Technical Consultant Hurley Medical Center 1 Hurley Plaza Flint, MI 48503 810-262-9000 jgratho1@hurleymc.com http://www.hurleymc.com Provider Int 3 Complete 2013/08/22 12:00:00 2013/09/05 12:00:00 2013/09/05 04:53:21 UV 1.3.6.1.4.1.21164 legacy-health Legacy Health Jeffrey Mills masked Jeffrey Mills 1919 NW Lovejoy Portland OR 97211 1 503 415 5806 masked Legacy Health 1919 NW Lovejoy Portland, OR 97211 1 503 415 5600 sausten@lhs.org Provider Ext 3 Complete 1.3.6.1.4.1.21164 2013/08/22 12:00:00 2013/09/05 12:00:00 2013/09/05 05:11:05 UV 2.16.840.1.113883.3.1070.5354 mckesson-fusion-5354 mckesson-fusion-5354 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 3 Complete 2.16.840.1.113883.3.1070.5354 2013/08/23 12:00:00 2013/09/05 12:00:00 2013/09/05 05:13:21 US 2.16.840.1.113883.3.3414 icpcty Isanti County Public Health Nightingale Notes Kathy Minkler masked Kathy Minkler 555 18th Ave SW Cambridge, MN 55008 763-689-8267 masked Isanti County Public Health 555 18th Ave SW Cambridge, MN 55008 763-689-8267 kathy.minkler@co.isanti.mn.us Provider Int 3 3 Complete 2013/08/23 12:00:00 2013/09/05 12:00:00 2013/09/05 05:18:20 UV 2.16.840.1.113883.3.3415 bcpcty Brown County Public Health Nightingale Notes Karen Moritz masked Karen Moritz 1117 Center St. PO Box 543 New Ulm, MN 56073 507-233-6820 masked Brown County Public Health 1117 Center St. PO Box 543 New Ulm, MN 56073 507-233-6820 karen.moritz@co.brown.mn.us Provider Int 3 3 Complete 2013/08/23 12:00:00 2013/09/05 12:00:00 2013/09/05 05:19:49 UV 2.16.840.1.113883.3.3416 cjccty Cottonwood-Jackson Community Health Service Nightingale Notes Pat Stewart masked Pat Stewart 402 White St&#160; STE 201 Jackson MN 56143 (507) 847-2366 masked Cottonwood-Jackson Community Health Service 402 White St&#160; STE 201 Jackson MN 56143 (507) 847-2366 Pat.stewart@co.jackson.mn.us Provider Int 3 3 Complete 2013/08/23 12:00:00 2013/09/05 12:00:00 2013/09/05 05:20:57 UV 2.16.840.1.113883.3.3417 pcpcty Pope County Public Health Nightingale Notes Donna Martin masked Donna Martin 130 E Minnesota Ave Glenwood, MN 56334 320.634.5747 masked Pope County Public Health 130 E Minnesota Ave Glenwood, MN 56334 320.634.5747 Donna.martin@co.pope.mn.us Provider Int 3 3 Complete 2013/08/23 12:00:00 2013/09/05 12:00:00 2013/09/05 05:22:42 UV 2.16.840.1.113883.3.3418 icncty Inter-County Nursing Service Nightingale Notes Cyndi Onkka masked Cyndi Onkka 318 Knight Ave N Thief River Falls MN&#160; 56701 218-681-0876 masked Inter-County Nursing Service 318 Knight Ave N Thief River Falls MN&#160; 56701 218-681-0876 cjonkka@co.pennington.mn.us Provider Int 3 3 Complete 2013/08/23 12:00:00 2013/09/05 12:00:00 2013/09/05 05:25:00 UV 2.16.840.1.113883.3.3419 kmhltc Kittson Memorial Home Healthcare Cindy Urbaniak masked Cindy Urbaniak 1010 S Birch Ave., PO Box 430 Hallock, MN 56728 218-843-3662 masked Kittson Memorial Home Healthcare 1010 S Birch Ave., PO Box 430 Hallock, MN 56728 218-843-3662 cindy.urbaniak@kmhc.net Provider Int 3 3 Complete 2013/08/23 12:00:00 2013/09/05 12:00:00 2013/09/05 05:26:45 UV 2.16.840.1.113883.3.3420 fmhcty Human Services of Faribault & Martin Counties Nightingale Notes Corey Survis masked Corey Survis 115 West 1st Street Fairmont, MN 56031 507-238-4757 masked Human Services of Faribault & Martin Counties 115 West 1st Street Fairmont, MN 56031 507-238-4757 corey.survis@fmchs.com Provider Int 3 3 Complete 2013/08/23 12:00:00 2013/09/05 12:00:00 2013/09/05 05:33:20 UV 2.16.840.1.113883.3.3421 ncpphl Nobles County Community Services Nightingale Notes Angelo Torres masked Angelo Torres 315-10th Street Worthington, MN&#160; 56187 507 295 5349 masked Nobles County Community Services 315-10th Street Worthington, MN&#160; 56187 507 295 5349 atorres@co.nobles.mn.us Provider Int 3 3 Complete 2013/08/23 12:00:00 2013/09/05 12:00:00 2013/09/05 05:35:58 UV 2.16.840.1.113883.3.3422 dcpcty Douglas County Public Health Nightingale Notes Greta Siegel masked Greta Siegel 725 Elm Street Suite 1200 Alexandria MN 56308 320-762-3046 masked Douglas County Public Health 725 Elm Street Suite 1200 Alexandria MN 56308 320-762-3046 gretas@co.douglas.mn.us Provider Int 3 3 Complete 2013/08/23 12:00:00 2013/09/05 12:00:00 2013/09/05 05:37:16 UV 2.16.840.1.113883.3.3423 stgcty Stevens Traverse Grant Public Health Nightingale Notes Greta Siegel masked Greta Siegel 10 East Highway 28 Morris MN 56267 320-208-6684 masked Stevens Traverse Grant Public Health 10 East Highway 28 Morris MN 56267 320-208-6684 gretasiegel@co.stevens.mn.us Provider Int 3 3 Complete 2013/08/23 12:00:00 2013/09/05 12:00:00 2013/09/05 05:43:18 UV 2.16.840.1.113883.3.3424 lspcty Le Sueur County Public Health Nightingale Notes Scott Gerr masked Scott Gerr 88 South Park Ave. Le Center, MN 56057 507-357-8286 masked Le Sueur County Public Health 88 South Park Ave. Le Center, MN 56057 507-357-8286 mis@co.le-sueur.mn.us Provider Int 3 3 Complete 2013/08/23 12:00:00 2013/09/05 12:00:00 2013/09/05 05:39:30 UV 2.16.840.1.113883.3.3425 jcmhaltusok Jackson County Memorial Hospital Dena Daniel masked Mike Redden Dena Daniel P.O. Box 8190, 1200 E Pecan Altus, OK 73522-8190 580-379-5515 masked VP of Business Intelligence and Strategic Analytics Jackson County Memorial Hospital Authority P.O. Box 8190 Altus, OK 73522-8190 580-379-5000 denadaniel@jcmh.com http://www.jcmh.com Provider Int 3 Complete 2013/08/23 12:00:00 2013/09/05 12:00:00 2019/04/29 09:11:01 UV 2.16.840.1.113883.3.3426 bmhmc-homecare Brookhaven Memorial Hospital - Home Care HL7 Root OID David Gann masked Laura LaRosa Laura LaRosa Brookhaven Memorial Hospital - Home Care 101 Hospital Road Patchogue, NY 11772 (631) 654-7298 masked Applications Analyst Brookhaven Memorial Hospital - Home Care Brookhaven Memorial Hospital - Home Care 101 Hospital Road Patchogue, NY 11772 631-654-7100 LLaRosa@bmhmc.org http://www.bmhmc.org Provider 2.16.840.1.113883.3.3357 Int 3 Complete 2013/08/26 12:00:00 2013/09/05 12:00:00 2013/09/05 05:49:54 UV 2.16.840.1.113883.3.3427 methodistuc Methodist Hospital Union County Kirk Lancaster masked Steve Edmondson Kirk Lancaster 4604 Hwy 60 West Morganfield, KY 42437 270-389-5000 masked I.T. Methodist Hospital Union Co 4604 Hwy 60 West Morganfield, KY 42437 270-389-5000 pdonohue@methodisthospital.net https://www.methdisthospitaluc.net Provider Int 3 Complete 2013/08/26 12:00:00 2013/09/05 12:00:00 2013/09/05 05:52:11 UV 2.16.840.1.113883.3.3428 rvpcty Renville County Public Health Nightingale Notes Kyle Schlomann masked Kyle Schlomann 105 South 5th Street, Suite 325 Olivia, MN 56277 320-523-3805 masked Renville County Public Health 105 South 5th Street, Suite 325 Olivia, MN 56277 320-523-3805 kyle_s@co.renville.mn.us Provider Int 3 3 Complete 2013/08/26 12:00:00 2013/09/05 12:00:00 2013/09/05 05:54:11 UV 2.16.840.1.113883.3.3429 kcpcty Kanabec County Public Health Nightingale Notes Kathy Burski masked Kathy Burski 905 East Forest Avenue, Suite 127 Mora, MN 55051 320-679-6438 masked Kanabec County Public Health 905 East Forest Avenue, Suite 127 Mora, MN 55051 320-679-6438 kathryn.burski@co.kanabec.mn.us Provider Int 3 3 Complete 2013/08/26 12:00:00 2013/09/05 12:00:00 2013/09/05 05:56:11 UV 2.16.840.1.113883.3.3430 mlccty Mille Lacs County Public Health Nightingale Notes Janelle Schroeder masked Janelle Schroeder 525 2nd Street SE Milaca, MN&#160; 56353 320-983-8319 masked Mille Lacs County Public Health 525 2nd Street SE Milaca, MN&#160; 56353 320-983-8319 janelle.schroeder@co.mille-lacs.mn.us Provider Int 3 3 Complete 2013/08/26 12:00:00 2013/09/05 12:00:00 2013/09/05 05:57:40 UV 2.16.840.1.113883.3.3431 nmph Norman-Mahnomen Public Health Nightingale Notes Karen Mulari masked Jamie Hennen 15&#160;2nd Ave. East Ada, MN&#160; 56510 218-784-5425 masked Director/Administrator Norman-Mahnomen Public Health 15&#160;2nd Ave. East Ada, MN&#160; 56510 218-784-5425 jamie.hennen@co.norman.mn.us Provider Int 3 3 Complete 2013/08/26 12:00:00 2013/09/05 12:00:00 2013/09/05 05:59:33 UV 2.16.840.1.113883.3.1070.5372 mckesson-fusion-5372 mckesson-fusion-5372 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5372 2013/08/26 12:00:00 2013/09/05 12:00:00 2013/09/05 06:02:31 US 2.16.840.1.113883.3.3432 dchd DeSoto-County-Hospital-District Daniel Hogan masked Mary Ellen Brown 900 N Robert Ave Arcadia, FL 34266 863 494-3535 masked Director MIS DeSoto County Hospital District 900 N Robert Ave Arcadia, FL 34266 863 494-8414 mbrown@dmh.org https://www.dmh.org Govt body Int 3 Complete 2013/08/26 12:00:00 2013/09/05 12:00:00 2014/09/03 02:05:00 UV 2.16.840.1.113883.3.3433 stALLERGY Allergy and Asthma Consultants PC Paul Almy masked Paul M. Almy 45 Lewis St Binghamton, NY 13901 6076519150 masked Deputy Director Allergy and Asthma Consultants PC 4104 Old Vestal Road Suite 108 Vestal, NY 13850 607.729.0726 dvargafisher@gmail.com http://www.broomeallergy.com/ Provider Int 3 Complete 2013/08/27 12:00:00 2013/09/05 12:00:00 2013/09/05 06:06:57 UV 2.16.840.1.113883.3.1070.5420 mckesson-fusion-5420 mckesson-fusion-5420 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor Ext 3 Complete 2.16.840.1.113883.3.1070.5420 2013/08/27 12:00:00 2013/09/10 12:00:00 2013/09/10 05:40:55 UV 2.16.840.1.113883.3.3434 boscobelAreaHealthCare Boscobel Area Health Care Kevin Glass masked Kevin Glass 880 Independence Lane Sauk City, WI 53583 608-644-3253 masked System Administrator Boscobel Area Health Care 205 Parker Street Boscobel, WI 53805 608-375-4112 kglass@rwhc.com http://www.boscobelhealth.com Provider Int 3 Complete 2013/08/27 12:00:00 2013/09/10 12:00:00 2013/09/10 05:42:52 UV 2.16.840.1.113883.3.3435 citizensmemorial CITIZENS MEMORIAL HOSPITAL ROOT DENNI MCCOLM masked KIM.TILLEY@CITIZENSMEMORIAL.COM DENNI MCCOLM CITIZENS MEMORIAL HOSPITAL 1500 N OAKLAND BOLIVAR MO 65613 4173286407 masked CIO CITIZENS MEMORIAL HOSPITAL CITIZENS MEMORIAL HOSPITAL 1500 N OAKLAND BOLIVAR MO 65613 4173286615 ISHELPDESK@CITIZENSMEMORIAL.COM http://www.citizensmemorial.com Provider Int 3 Complete 2013/08/27 12:00:00 2013/09/25 12:00:00 2013/09/25 01:42:30 UV 2.16.840.1.113883.3.3436 stGUPTA Asha Gupta MD Paul Almy masked Paul M. Almy 45 Lewis St Binghamton, NY 13901 607-651-9150 masked Deputy Director Asha Gupta MD 260 Riverside Drive Johnson City, NY 13790 607-798-7811 palmy@sthlny.com http://www.ashaguptamd.com/ Provider Int 3 Complete 2013/08/27 12:00:00 2013/09/25 12:00:00 2013/09/25 01:45:35 UV 2.16.840.1.113883.3.3437 stSANZONE Anthony J Sanzone DPM Paul Almy masked Paul M. Almy 45 Lewis St Binghamton, NY 13901 607-651-9150 masked Deputy Director Anthony J Sanzone DPM 609 E Main St Suite 10 Endicott, NY 13760 607-785-3388 palmy@sthlny.com Provider Int 3 Complete 2013/08/27 12:00:00 2013/09/25 12:00:00 2013/09/25 01:55:24 UV 2.16.840.1.113883.3.3438 stSAEED Azmat Saeed MD Paul Almy masked Paul M. Almy 45 Lewis St Binghamton, NY 13901 607-651-9150 masked Deputy Director Azmat Saeed MD Medical Arts Building 609 E Main St Ste 7 Endicott, NY 13760 607-748-7355 asaeedmd@stny.rr.com http://www.saeedpediatrics.com/ Provider Int 3 Complete 2013/08/27 12:00:00 2013/09/25 12:00:00 2013/09/25 01:57:19 UV 2.16.840.1.113883.3.3439 stBROOMEHD Broome County Health Department Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Broome County Health Department 225 Front Street Binghamton, NY 13905 607-778-3944 palmy@sthlny.com http://www.gobroomecounty.com/hd Govt body Int 3 Complete 2013/08/27 12:00:00 2013/09/25 12:00:00 2013/09/25 03:03:45 UV 2.16.840.1.113883.3.3440 stBROOMEURO Broome Urological Associates LLP Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Broome Urological Associates LLP 169 Riverside Drive DePaul Pavilion Binghamton, NY 13905 607-729-7666 info@broomeurology.com http://broomeurology.com/ Provider Int 3 Complete 2013/08/27 12:00:00 2013/09/25 12:00:00 2013/09/25 03:04:35 UV 2.16.840.1.113883.3.3441 stCATHOLIC Catholic Charities of Broome County Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Catholic Charities of Broome County 232 Main Street Binghamton, NY 13905 607-729-9166 palmy@sthlny.com http://www.catholiccharitiesbc.org/ Provider Int 3 Complete 2013/08/27 12:00:00 2013/09/25 12:00:00 2013/09/25 03:07:30 UV 2.16.840.1.113883.3.3442 stCHASE Chase Memorial Nursing and Rehabilitation Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Chase Memorial Nursing and Rehabilitation 1 Terrace Heights PO Box 250 New Berlin, NY 13411 607-847-7000 palmy@sthlny.com http://www.chasenursinghome.com/index.html Provider Int 3 Complete 2013/08/27 12:00:00 2013/09/25 12:00:00 2013/09/25 03:10:16 UV 2.16.840.1.113883.3.3443 stHUSMANN Donna Husmann MD Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Donna Husmann MD 700 Pickwick Drive Vestal, NY 13850 607-341-1486 palmy@sthlny.com Provider Int 3 Complete 2013/08/27 12:00:00 2013/09/25 12:00:00 2013/09/25 03:11:05 UV 2.16.840.1.113883.3.3444 stFOOT Foot Care Center LLP Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Foot Care Center LLP 134 Riverside Drive Binghamton, NY 13905 607-723-9018 palmy@sthlny.com Vendor Int 3 Complete 2013/08/27 12:00:00 2013/09/25 12:00:00 2013/09/25 03:12:27 UV 2.16.840.1.113883.3.3445 stKENNEDY Francis Keith Kennedy MD Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Francis K Kennedy MD PC 21 Mitchell Avenue Binghamton, NY 13903 607.723.9426 palmy@sthlny.com Provider Int 3 Complete 2013/08/27 12:00:00 2013/09/25 12:00:00 2013/09/25 03:14:14 UV 2.16.840.1.113883.3.3446 stGBHC Greater Binghamton Health Center Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Greater Binghamton Health Center 425 Robinson St Binghamton, NY 13904 607-724-1391 amy.slavik@omh.ny.gov http://www.omh.ny.gov/omhweb/facilities/bipc/facility.htm Govt body Int 3 Complete 2013/08/27 12:00:00 2013/09/25 12:00:00 2013/09/25 03:15:21 UV 2.16.840.1.113883.3.3447 hrsa Health Resources and Services Administration George Koromia, MD masked Tracy Matthews 301-443-1993 masked Health Resources and Services Administration (HRSA) 5600 Fishers Lane, Room 7-59, Rockville, MD 20857 301-443-1993 tmatthews@hrsa.gov http://hab.hrsa.gov/ Govt body Int 3 Complete 2013/08/27 12:00:00 2013/09/25 12:00:00 2013/09/25 03:16:53 UV 2.16.840.1.113883.3.3448 stGBOBGYN Greater Binghamton Obstetrics and Gynecology Paul Almy masked Paul M.Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Greater Binghamton Obstetrics and Gynecology 365 Harry L Drive Suite 110 Johnson City, NY 13790 607.729.5805 monica@greaterbingobgyn.com Provider Int 3 Complete 2013/08/27 12:00:00 2013/09/25 12:00:00 2013/09/25 03:20:39 UV 2.16.840.1.113883.3.3449 stWIXSOM Greg V Wixsom DPM Paul Almy masked Paul M.Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Greg V Wixsom DPM 38 Front Street SB2 Binghamton, NY 13905 607-724-1263 bingpod@verizon.net Provider Int 3 Complete 2013/08/27 12:00:00 2013/09/25 12:00:00 2013/09/25 03:23:26 UV 2.16.840.1.113883.3.3450 stLENTINI James P Lentini DPM Paul Almy masked Paul M.Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director James P Lentini DPM 24 Conkey Ave Norwich State NY ZIP Code 13815 607-336-9098 jplentini@aol.com Provider Int 3 Complete 2013/08/27 12:00:00 2013/09/25 12:00:00 2013/09/25 03:24:27 UV 2.16.840.1.113883.3.3451 stWASYLYSHYN Marina L Wasylyshyn MD Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Marina L Wasylyshyn MD 30 Harrison St Suite 260 Johnson City, NY 13790 607-770-4071 marinawasylyshyn@gmail.com Provider Int 3 Complete 2013/08/27 12:00:00 2013/09/25 12:00:00 2013/09/25 03:28:27 UV 2.16.840.1.113883.3.3452 stBRAZINSKI Martin D Brazinski DC Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Martin D Brazinski DC 3003 Watson Blvd Endwell, NY 13760 607.754.4844 lrfstl@aol.com http://www.endwellchiro.com/ Provider Int 3 Complete 2013/08/27 12:00:00 2013/09/25 12:00:00 2013/09/25 03:30:42 UV 2.16.840.1.113883.3.3453 stENDCHIRO North Endicott Chiropractic PC Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director North Endicott Chiropractic PC 817 Pine St Endicott, NY 13760 607-754-7669 holly@northendicottchiropractic.com http://www.northendicottchiropractic.com/ Provider Int 3 Complete 2013/08/27 12:00:00 2013/09/25 12:00:00 2013/09/25 03:31:40 UV 2.16.840.1.113883.17.130 dlsantrim DLS Antrim LIS Clarine Hirouji masked ryeung@dlslab.com Clarine Hirouji 99-859 Iwaiwa Street Aiea, Hawaii 96701 808-589-5225 masked Field Application Analyst Diagnostic Laboratory Services, Inc. 99-859 Iwaiwa St. Aiea, Hawaii 96701 808-589-5100 isadmin@dlslab.com http://www.dlslab.com Provider 2.16.840.1.113883.3.3407 Int 17 Complete 2013/08/27 12:00:00 2013/09/25 12:00:00 2013/09/25 03:41:58 UV 2.16.840.1.113883.3.3454 midwestgeriatricmgt Midwest Geriatric Management Root OID Jered Burright masked Greg Guymon Jered Burright 135 North Muskogee Tahlequah, Oklahoma 74464 918-931-2838 masked Midwest Geriatric Management Root OID 405-312-8050 gguymon@midwestgeriatricmgt.com http://www.midwestgeriatricmgt.com/nursing-home-home Provider Int 3 Complete 2013/08/27 12:00:00 2013/09/25 12:00:00 2013/09/25 03:52:06 UV 2.16.840.1.113883.3.3455 aENT Acadian Ear, Nose, Throat & Facial Plastic Surgery Bradley Chastant masked Stefanie Ardoin 1000 W Pinhook Road Suite 201 Lafayette, LA 70503 3372370650 masked Practice Administrator Acadian Ear, Nose, Throat & Facial Plastic Surgery 1000 W Pinhook Road Suite 201 Lafayette, LA 70503 3372370650 sardoin@acadianent.com http://www.acadianent.com Provider Int 3 Complete 2013/08/28 12:00:00 2013/09/25 12:00:00 2013/09/25 03:56:29 UV 2.16.840.1.113883.3.3456 stNORREHAB Norwich Rehabilitation and Nursing Center Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Norwich Rehabilitation and Nursing Center 88 Calvary Dr Norwich, NY 13815 607-336-3915 clopreste@norwichrehab.com http://www.norwichrehab.com/ Provider Int 3 Complete 2013/08/28 12:00:00 2013/09/25 12:00:00 2013/09/25 04:04:49 UV 2.16.840.1.113883.3.3457 stORTHOASSOC Orthopedic Associates PC Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Orthopedic Associates PC 65 Pennsylvania Ave Binghamton, NY 13903 607-723-5393 schustc@bonecare.net http://www.bonecare.net/ Provider Int 3 Complete 2013/08/28 12:00:00 2013/09/25 12:00:00 2013/09/25 04:06:00 UV 2.16.840.1.113883.3.3458 stPROGDENTAL Progressive Dental PLLC Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Progressive Dental PLLC 1113 NYS Route 11 Kirkwood, NY 13795 607-722-5464 shelly@progressivedentalny.com http://www.progressivedentalny.com/ Provider Int 3 Complete 2013/08/28 12:00:00 2013/09/25 12:00:00 2013/09/25 04:08:55 UV 2.16.840.1.113883.3.3459 stRHEUM Regional Rheumatology Associates LLP Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Regional Rheumatology Associates LLP 161 Riverside Dr Ste 302 Binghamton, NY 13905 607-798-1842 karen@regrheum.com http://regrheum.com/index.html Provider Int 3 Complete 2013/08/28 12:00:00 2013/09/25 12:00:00 2013/09/25 04:10:41 UV 2.16.840.1.113883.3.3460 stRURALHLTH Rural Health Network of South Central New York Inc Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Rural Health Network of South Central New York Inc 2663 Main Street PO Box 416 Whitney Point, NY 13862 607-692-7669 jsalo@rhnscny.org http://www.rhnscny.org/ Govt body Int 3 Complete 2013/08/28 12:00:00 2013/09/25 12:00:00 2013/09/25 04:12:04 UV 2.16.840.1.113883.3.3461 stSANTE Sante Comprehensive Women's Healthcare Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Sante Comprehensive Women's Healthcare 355 Main Street Johnson City, NY 13790 607-798-1602 santehealthcare@aol.com http://www.doctorag.com/index.html Provider Int 3 Complete 2013/08/28 12:00:00 2013/09/25 12:00:00 2013/09/25 04:15:04 UV 2.16.840.1.113883.3.3462 stSNYNEURO Southern New York Neurosurgical Group Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Southern New York Neurosurgical Group 46 Harrison St Johnson City, NY 13790 607-729-4942 maryb@stny.rr.com http://www.neurosurgicalcenter.com/ Provider Int 3 Complete 2013/08/28 12:00:00 2013/09/25 12:00:00 2013/09/25 04:18:18 UV 2.16.840.1.113883.3.3463 stSTAP Southern Tier Care Coordination Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Southern Tier Care Coordination 122 Baldwin Street Johnson City, NY 13790 607-798-1706 jbarry@stapinc.org http://www.stapinc.org/ Provider Int 3 Complete 2013/08/28 12:00:00 2013/09/25 12:00:00 2013/09/25 04:20:26 UV 2.16.840.1.113883.3.3464 stTIOGAHD Tioga County Public Health Dept Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Tioga County Public Health Dept 1062 State Route 38 Owego, NY 13827 607.687.8600 HooseS@co.tioga.ny.us http://www.tiogacountyny.com/departments/health-department.html Govt body Int 3 Complete 2013/08/28 12:00:00 2013/09/25 12:00:00 2013/09/25 04:21:48 UV 2.16.840.1.113883.3.3465 stVESTALEYE Vestal Eye Care Associates Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Vestal Eye Care Associates 157 Front St Vestal, NY 13790 607-754-4426 staff@vestaleye.com http://www.vestaleyecare.com/index.html Provider Int 3 Complete 2013/08/28 12:00:00 2013/09/25 12:00:00 2013/09/25 04:23:11 UV 2.16.840.1.113883.3.3466 stWILLOW Willow Point Nursing Home Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Willow Point Nursing Home 3700 Old Vestal Road Vestal, NY 13850 607-763-4400 SReagan@co.broome.ny.us http://www.gobroomecounty.com/wpnf/ Govt body Int 3 Complete 2013/08/28 12:00:00 2013/09/25 12:00:00 2013/09/25 04:24:18 UV 2.16.840.1.113883.3.3467 hchc Heart City Health Center Elizabeth McKnight masked Elizabeth McKnight 215 W. Ohio Chicago, IL 60654 312-267-2031 masked Health Informatics Specialist Alliance of Chicago emcknight@alliancechicago.org Vendor 2.16.840.1.113883.3.2847 Int 3 Complete 2013/08/28 12:00:00 2013/09/25 12:00:00 2013/09/25 04:28:02 UV 2.16.840.1.113883.3.3468 nch Nationwide Childrens Hospital Mohemed Wadiwala masked Adam Rossbach Mohemed Wadiwala 700 Children's Drive, Columbus Ohio 43205 614-355-3804 masked Interface Systems Analyst Adam Rossbach arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2013/08/28 12:00:00 2013/09/25 12:00:00 2013/09/25 04:29:25 UV 2.16.840.1.113883.3.3469 ohel OHEL Children's Home and Family Services, Inc Reuven Bell masked Reuven Bell 410 16th Avenue Brooklyn, NY 11204 7186863237 masked Director of Information Technology Ohel Children's Home and Family Services, Inc 4510 16th Avenue Brooklyn, NY 11204 7188516300 ohel@ohelfamily.org http://www.ohelfamily.org/ Provider Int 3 3 Complete 2013/08/28 12:00:00 2013/09/25 12:00:00 2013/09/25 04:31:28 UV 2.16.840.1.113883.3.3470 nasp Neurological Associates of St. Paul, P.A. Nadeem Iqbal masked Nadeem Iqbal 1650 Beam Avenue Suite 200 Maplewood, MN 55109 USA 651-221-9051 masked Neurological Associates of St. Paul, P.A. 1650 Beam Avenue Suite 200 Maplewood, MN 55109 USA 651-221-9051 nasp1@comcast.net http://www.neurostpaul.com Provider Int 3 Complete 2013/08/28 12:00:00 2013/09/25 12:00:00 2013/09/25 04:32:47 UV 2.16.840.1.113883.3.2402.200.6832 physicians-computer-company-clients-ppbh Physician's Computer Company (PCC) Clients Premier Pediatrics Beverly Hills Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6832 2013/08/29 12:00:00 2013/09/25 12:00:00 2013/09/25 04:36:03 UV 2.16.840.1.113883.3.3471 nfmmc Niagara Falls Memorial Medical Center Diane Martin-Pratt masked peggy grandinetti Diane Martin-Pratt 621 Tenth St, Niagara Falls, NY 14302 716-278-4872 masked IT applications manager Niagara Falls Memorial Medical Center 621 Tenth St, Niagara Falls, NY 14302 716-278-4872 peggy.grandinetti@nfmmc.org Provider Int 3 Complete 2013/08/29 12:00:00 2013/09/25 12:00:00 2013/09/25 04:45:44 UV 2.16.840.1.113883.3.3472 pchchch5 Prairie Community Health, Inc. Lacey Finkbeiner masked Lacey Finkbeiner PO Box 97 118 N Main St. Isabel, SD 57633 6054662120 masked Prairie Community Health, Inc. PO Box 97 118 N Main St. Isabel, SD 57633 6054662120 lfinkbeiner@pchchc.net http://www.prairiecommunityhealth.com Provider Int 3 Complete 2013/08/29 12:00:00 2013/09/25 12:00:00 2013/09/25 04:47:44 UV 2.16.840.1.113883.3.3473 cva Cardiovascular Associates Laurie Ramsey masked LRamsey@cardiacmgmt.com Laurie Ramsey 900 S Frontage Road Suite 325 Woodridge, IL 60517 6309726226 masked Director of Clinical Informatix Cardiovascular Associates 800 Biesterfield Road Suite G01 Elk Grove Village, IL 60007 8479813680 LRamsey@cardiacmgmt.com http://www.alexianbrothershealth.org/cardiovascular-associates Provider Int 3 Complete 2013/08/29 12:00:00 2013/09/25 12:00:00 2013/09/25 04:49:51 UV 2.16.840.1.113883.3.3474 bcccty Becker County Community Health Nightingale Notes Pam Stevenson masked Pam Stevenson 712 Minnesota Ave Detroit Lakes, MN 56501 218-847-5628 masked Becker County Community Health 712 Minnesota Ave Detroit Lakes, MN 56501 218-847-5628 pksteve@co.becker.mn.us Provider Int 3 3 Complete 2013/08/29 12:00:00 2013/09/25 12:00:00 2013/09/25 04:51:25 UV 2.16.840.1.113883.3.3475 wcpcty Watonwan County Public Health Nightingale Notes Rich Collins masked Rich Collins 715 2nd Avenue South St. James, MN 56081 507-375-3294 masked Watonwan County Public Health 715 2nd Avenue South St. James, MN 56081 507-375-3294 rich.collins@co.watonwan.mn.us Provider Int 3 3 Complete 2013/08/29 12:00:00 2013/09/25 12:00:00 2013/09/25 04:56:32 UV 2.16.840.1.113883.3.3476 lwpcty LakeWood Public Health Nightingale Notes Michelle Brown masked Michelle Brown 600 Main Ave S Baudette, MN 56623 218-634-1795 masked LakeWood Public Health 600 Main Ave S Baudette, MN 56623 218-634-1795 michellebrown@catholichealth.net Provider Int 3 3 Complete 2013/08/29 12:00:00 2013/09/25 12:00:00 2013/09/25 04:57:45 UV 2.16.840.1.113883.3.3477 nvpphl North Valley Public Health Nightingale Notes Gail Larson masked Gail Larson 109 South Minnesota St. Warren, MN 56762 218.745.5154 masked North Valley Public Health 109 South Minnesota St. Warren, MN 56762 218.745.5154 glarson@nvhc.net Provider Int 3 3 Complete 2013/08/29 12:00:00 2013/09/25 12:00:00 2013/09/25 04:58:57 UV 2.16.840.1.113883.3.3478 acc-ncdr The American College of Cardiology-National Cardiovascular Data Registry AbdulMalik Shakir masked Ganesan Srinivasan Ganesan Srinivasan 2400 N St NW Washington, DC 20037 (202) 375-6000 masked Director Registry & BI Products, IT The American College of Cardiology-National Cardiovascular Data Registry 2400 N St NW Washington, DC 20037 (202) 375-6000 gsriniva@acc.org https://www.ncdr.com/webncdr/ Prof Soc Int 3 Complete 2013/08/29 12:00:00 2013/09/25 12:00:00 2013/09/25 05:02:55 UV 2.16.840.1.113883.3.3479 cascadiawc Cascadia Women's Clinic John Stanley masked John Stanley 14508 NE 20th Ave Ste 300 Vancouver, WA 98686 3604330022 masked Practice Administrator Cascadia Women's Clinic 14508 NE 20th Ave Ste 300 Vancouver, WA 98686 3604330022 jstanley@cascadiawc.com http://www.cascadiawc.com Provider Int 3 Complete 2013/08/29 12:00:00 2013/09/25 12:00:00 2013/09/25 05:05:24 UV 2.16.840.1.113883.3.3480 xerox-genMRN Xerox MRN root OID Doug DeShazo masked Doug DeShazo 678-243-9634 masked Systems Consulting Director Xerox State Healthcare, LLC 9040 Roswell Rd. Atlanta, GA 30350 678-243-9634 douglas.deshazo@xerox.com Vendor Int 3 Complete 2013/08/29 12:00:00 2013/09/25 12:00:00 2013/09/25 05:07:08 UV 2.16.840.1.113883.9.51 homertoncernermillennium Homerton University Hospital NHS Foundation Trust Cerner Millennium OID Steven Ouko masked Steven Ouko IT/EPR Office, Homerton University Hosptial NHS Foundation Trust, Homerton Row, London, E9 6SR 02085105040 masked Systems Integration Manager Homerton University Hospital NHS Foundation Trust Homerton University Hosptial NHS Foundation Trust, Homerton Row, London, E9 6SR 02085105555 enquiries@homerton.nhs.uk http://www.homerton.nhs.uk Provider 2.16.840.1.113883.3.3400 Int 3 Complete 2013/08/30 12:00:00 2013/09/10 12:00:00 2013/09/10 05:45:32 UV 2.16.840.1.113883.3.3481 homertonbtrio Homerton University Hospital NHS Foundation Trust BT RIO OID Steven Ouko masked Steven Ouko IT/EPR Office, Homerton University Hosptial NHS Foundation Trust, Homerton Row, London, E9 6SR 02085105040 masked Systems Integration Manager Homerton University Hospital NHS Foundation Trust Homerton University Hosptial NHS Foundation Trust, Homerton Row, London, E9 6SR 02085105555 enquiries@homerton.nhs.uk http://www.homerton.nhs.uk Provider 2.16.840.1.113883.3.3400 Int 3 Complete 2013/08/30 12:00:00 2013/09/26 12:00:00 2013/09/26 12:54:48 UV 2.16.840.1.113883.17.131 wCH Washington County Hospital District Kim Larkin masked Kim Larkin 705 South Grand Avenue Nashville, IL 62263 618-327-8236 masked CIO Washington County Hospital 705 South Grand Avenue Nashville, IL 62263 618-327-8236 klarkin@washingtoncountyhospital.org http://www.washingtoncountyhospital.org Provider Int 17 Complete 2013/08/30 12:00:00 2013/09/26 12:00:00 2013/09/26 12:59:59 UV 2.16.840.1.113883.3.3482 kphcty Koochiching County Public Health Nightingale Notes Pamm Spry masked Pamm Spry 1000 5th Street International Falls, MN 56649 218-283-7070 masked Koochiching County Public Health 1000 5th Street International Falls, MN 56649 218-283-7070 Pamm-ella.Spry@co.koochiching.mn.us Provider Int 3 3 Complete 2013/08/30 12:00:00 2013/09/26 12:00:00 2013/09/26 01:01:57 UV 2.16.840.1.113883.3.3483 drrdimskiimmunizationhl7oid drrdimskiimmunizationhl7oid Robert Dimski masked Robert C. Dimski, M.D. 9070 Harmony Dr. Suite B Midwest City OK 73130-6257 (405) 736-6811 masked Physician Robert C. Dimski, M.D. 9070 Harmony Dr. Suite B Midwest City OK 73130-6257 (405) 736-6811 drdimski@mdvip.com Provider Int 3 3 Complete 2013/08/30 12:00:00 2013/09/26 12:00:00 2013/09/26 01:04:12 UV 2.16.840.1.113883.3.3484 wch-az Wickenburg Community Hospital Michael McKay masked Michael McKay 520 Rose Ln Wickenburg, Az 85390 928-684-4367 masked CIO Wickenburg Community Hospital 520 Rose Ln Wickenburg, Az 85390 928-684-5421 michael.mckay@wickhosp.com HL7 body Int 3 Complete 2013/08/30 12:00:00 2013/09/26 12:00:00 2013/09/26 01:05:20 UV 2.16.840.1.113883.3.3485 hma-WE3046 HMA WoundExpert Naples 3046 Daniel Cholvin masked Daniel Cholvin 5100 Tammiammi Trail Naples, FL 34102 2395523545 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/08/30 12:00:00 2013/09/26 12:00:00 2013/09/26 01:08:15 UV 2.16.840.1.113883.3.3486 hma-WE2496 HMA WoundExpert Charlotte Regional 2496 Daniel Cholvin masked Daniel Cholvin 5100 Tammiammi Trail Naples, FL 34102 2395523545 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/08/30 12:00:00 2013/09/26 12:00:00 2013/09/26 01:09:24 UV 2.16.840.1.113883.3.3487 hma-we2374 HMA WoundExpert Santa Rosa 2374 Daniel Cholvin masked Daniel Cholvin 5100 Tammiammi Trail Naples, FL 34102 2395523545 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/08/30 12:00:00 2013/09/26 12:00:00 2013/09/26 01:10:33 UV 2.16.840.1.113883.3.3488 hma-we2816 HMA WoundExpert Spring Hill 2816 Daniel Cholvin masked Daniel Cholvin 5100 Tammiammi Trail Naples, FL 34102 2395523545 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/08/30 12:00:00 2013/09/26 12:00:00 2013/09/26 01:11:47 UV 2.16.840.1.113883.3.3489 ncpcty Nicollet County Public Health Nightingale Notes Mary Hildebrandt masked Mary Hildebrandt 501 South Minnesota Avenue St. Peter, MN 56082 507-934-0459 masked Nicollet County Public Health 501 South Minnesota Avenue St. Peter, MN 56082 507-934-0459 mhildebrandt@co.nicollet.mn.us Provider Int 3 3 Complete 2013/08/30 12:00:00 2013/09/26 12:00:00 2013/09/26 01:13:20 UV 2.16.840.1.113883.3.3490 hchb-OID HCHB Master OID ID Theresa Culver masked Theresa R Culver 13400 US Highway 42, Suite 298, Prospect, KY 40059 2145166431 masked Homecare Homebase 13400 US Highway 42, Suite 298, Prospect, KY 40059 2145166431 tculver@hchb.com Vendor Int 3 Complete 2013/08/30 12:00:00 2013/09/26 12:00:00 2013/09/26 01:19:14 UV 2.16.840.1.113883.3.1070.5432 mckesson-fusion-5432 mckesson-fusion-5432 Tiffany Roberts masked Fusion Enrollment 8775074551 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5432 2013/09/01 12:00:00 2013/09/26 12:00:00 2013/09/26 01:20:48 US 2.16.840.1.113883.3.1070.5438 mckesson-fusion-5438 mckesson-fusion-5438 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment trish.wilson@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5438 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/09/26 01:23:06 US 2.16.840.1.113883.3.3491 cerner-NKC-PartnerOID Cerner NKC PartnerOID Garrett Carver masked Garrett Carver Cerner 2800 Rock Creek Pkwy Kansas City MO 64117 816-201-8518 masked System Architect Cerner 816-221-1024 garrett.carver@cerner.com Vendor Int 3 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2018/02/23 04:53:38 US 2.16.840.1.113883.3.3492 euro-optica Euro-optica Eyewear, Inc Natalya Malakova masked Natalya Malakova, OD 718-830-0201 masked president Euro-optica Eyewear, Inc 64-05 Yellowstone Blvd. CF 103 Forest Hills, NY. 11375 718-830-0201 euroopticaeyewear@gmail.com Provider Int 3 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/09/26 01:28:34 UV 2.16.840.1.113883.3.3493 mcrhealthdock701 HealthDock Michele Winiarz masked Michele Winiarz 847-827-3008 masked EMR Project manager Medical Care Management 701 Lee Street, suite 480 DesPlaines, IL 60016 847-827-3008 kcurelo@medcaregroup.com Provider Int 3 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/09/26 01:31:16 UV 2.16.840.1.113883.3.3494 jph Jackson Parish Hospital Mike Watson masked Mike Watson 165 Beech Springs Rd. Jonesboro, LA 71251 318-259-5642 masked IT Team Leader Jackson Parish Hospital 165 Beech Springs Rd. Jonesboro, LA 71251 318-259-4435 m.watson@jphmd.com http://www.jphmd.com Provider Int 3 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/09/26 03:33:17 UV 2.16.840.1.113883.3.3495 metro-optica Metro-Optica Eyewear, Inc Natalya Malakova masked Natalya Malakova, OD 718-850-0050 masked President Metro-Optica Eyewear, Inc 118-27 Metropolitan Avenue Kew Gardens, NY 11415 718-850-0050 metrooptica@gmail.com Provider Int 3 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/09/26 03:35:43 UV 2.16.840.1.113883.4.656 ca-NHPC Natural Health Practitioners of Canada Major Yee masked Major Yee 5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889428 masked Business Analyst Natural Health Practitioners of Canada 6th Floor 10339 124 ST Edmonton, AB T5N 3W1 780-484-2010 emorin@nhpcanada.org https://www.nhpcanada.org/ Vendor Int 4 4 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/09/26 04:07:40 UV 2.16.840.1.113883.4.657 ca-abMTAA Massage Therapy Association of Alberta Major Yee masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 1-780-415-1552 masked Massage Therapy Association of Alberta #2, 7429 - 49 Ave. Red Deer, AB T4P 1N2 (403) 340-1913 info@mtaalberta.com http://www.mtaalberta.com/index.php Vendor Int 4 4 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2021/12/09 10:51:00 CA 2.16.840.1.113883.3.3496 inspira Inspira Health Network Edwin Rodriguez masked Edwin Rodriguez Inspira Health Network 333 Irving Ave Bridgeton, NJ 08302 856-575-4461 masked Director, Ambulatory IT Inspira Health Network Inspira Health Network 333 Irving Ave Bridgeton NJ 08302 856-575-4461 rodrigueze@ihn.org https://www.inspirahealthnetwork.org Provider Int 3 3 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/10/31 08:14:07 UV 2.16.840.1.113883.3.3497 ranchomed RANCHO MED OID ROOT GEORGINA GUIZAR masked rnicklas@ranchomed.com GEORGINA GUIZAR 28780 SINGLE OAK DR STE 160 TEMECULA, 92590-3625 9516764193 EXT 2883 masked MED BILLER RANCHO FAMILY MEDICAL GROUP 28780 SINGLE OAK DR STE 160 TEMECULA, 92590-3625 9516764193 RNICKLAS@RANCHOMED.COM http://www.ranchofamilymed.com/ Provider Int 3 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/09/26 03:41:55 UV 2.16.840.1.113883.4.658 ca-ABNHPC Natural Health Practitioners of Canada Major Yee masked Major Yee 647-7889428 masked Business Analyst Natural Health Practitioners of Canada 780-484-2010 emorin@nhpcanada.org https://www.nhpcanada.org/ Vendor Int 4 Complete 2013/09/03 12:00:00 2014/12/11 12:00:00 2014/12/11 06:33:11 UV 2.16.840.1.113883.3.3498 tkilleen Timothy Killeen OID Root Eileen Killeen masked Eileen Killeen 29645 Rancho California Rd. Ste. 226 Temecula, CA 92591 (951)694-4304 masked Office Manager Timothy J. Killeen, M.D., Inc. 29645 Rancho California Rd. Ste. 226 Temecula, CA 92591 (951)694-4304 killeen.timothy@yahoo.com Provider Int 3 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/09/26 03:44:34 UV 2.16.840.1.113883.3.3499 ccncty Clearwater County Nursing Service Nightingale Notes Marissa Hetland masked Marissa Hetland 212 Main Ave. N. Bagley, MN 56621 218-694-6581 masked Clearwater County Nursing Service 212 Main Ave. N. Bagley, MN 56621 218-694-6581 marissa.hetland@co.clearwater.mn.us Provider Int 3 3 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/09/26 03:46:55 UV 2.16.840.1.113883.4.659 ca-MBMTAM Massage Therapy Association of Manitoba Major Yee masked Major Yee 5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889428 masked Business Analyst Massage Therapy Association of Manitoba 304-428 Portage Avenue,Winnipeg, Manitoba, Canada R3C 0E2 204-927-7979 info@mtam.mb.ca http://www.mtam.mb.ca/ Vendor Int 4 4 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/09/26 04:16:35 UV 2.16.840.1.113883.4.660 ca-NBNBMA New Brunswick Massotherapy Association Major Yee masked Major Yee 5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889428 masked Business Analyst New Brunswick Massotherapy Association P.O. Box 353, Station "A", Fredericton, NB E3B 4Z9 1-855-642-2662 info@nbma-amnb.ca http://www.nbma-amnb.ca/ Vendor Int 4 4 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/09/26 04:18:32 UV 2.16.840.1.113883.4.661 ca-NBANBT Association of New Brunswick Massage Therapists Major Yee masked Major Yee 5090 Explorer Drive Mississauga, Ontario L4W 4X6 647-7889428 masked Business Analyst Association of New Brunswick Massage Therapists P.O. Box 323 Stn A Fredericton, NB E3B 4Y9 (506) 452-6972 anbmt@anbmt.ca http://www.anbmt.ca/anbmt/ Vendor Int 4 4 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/09/26 04:20:52 UV 2.16.840.1.113883.4.662 ca-nfNFLCHP Newfoundland and Labrador Council of Health Professionals Major Yee masked Major Yee 5090 Explorer Drive Mississauga, Ontario L4W 4X6 647-7889428 masked Business Analyst Newfoundland and Labrador Council of Health Professionals Suite 121 510 Topsail Road St. John's, NL, A1E 2C2 (709)745-7304 contact@nlchp.ca http://www.nlchp.ca Vendor Int 4 4 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/09/26 04:23:01 UV 2.16.840.1.113883.4.663 ca-nsNSAA Nova Scotia Association of Acupuncturists Major Yee masked Major Yee 5090 Explorer Drive Mississauga, Ontario L4W 4X6 647-7889428 masked Business Analyst Nova Scotia Association of Acupuncturists 300-5663 Cornwallis St. Halifax, NS B3K 1B6 902-240-9959 ns.associationofacupuncturists@gmail.com http://www.nsacupuncture.ca/ Vendor Int 4 4 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/09/26 04:28:11 UV 2.16.840.1.113883.4.664 ca-nsATCMANS Acupuncture and Traditional Chinese Medicine Association of Nova Scotia Major Yee masked Major Yee 5090 Explorer Drive Mississauga, Ontario L4W 4X6 647-7889428 masked Business Analyst Acupuncture and Traditional Chinese Medicine Association of Nova Scotia 6066 Quinpool Road, Halifax, NS B3L 1A1 (902) 492-8839 atcmans@gmail.com http://atcmans.ca/ Vendor Int 4 4 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/09/26 04:32:46 UV 2.16.840.1.113883.4.665 ca-naMTWPAM Massage Therapists' and Wholistic Practitioners' Association of the Maritimes Major Yee masked Major Yee 5090 Explorer Drive Mississauga, Ontario L4W 4X6 647-7889428 masked Business Analyst Massage Therapists' and Wholistic Practitioners' Association of the Maritimes 1701 Hollis Street, Suite 800 Halifax, NS B3J 3M8 (902) 482 9690 info@mtwpam.com http://www.mtwpam.com/ Vendor Int 4 4 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/09/26 04:42:17 UV 2.16.840.1.113883.4.666 ca-nwNTMTA Northwest Territories Massage Therapists Association Major Yee masked Major Yee 5090 Explorer Drive Mississauga, Ontario L4W 4X6 647-7889428 masked Business Analyst Northwest Territories Massage Therapists Association PO Box 2517 Yellowknife, Northwest Territories X1A 2P9 (867) 873-4003 info@nwtmta.org http://www.nwtmta.org/ Vendor Int 4 4 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/09/26 04:44:56 UV 2.16.840.1.113883.4.667 ca-nwtDOHS NWT Department of Health and Social Services Major Yee masked Major Yee 5090 Explorer Drive Mississauga, Ontario L4W 4X6 647-7889428 masked Business Analyst NWT Department of Health and Social Services P.O. Box 1320 Yellowknife NT X1A 2L9 (867) 920-8927 hsscommunications@gov.nt.ca http://www.hss.gov.nt.ca/ Vendor Int 4 4 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/09/26 04:54:50 UV 2.16.840.1.113883.4.668 ca-ONCOTCMPAO College of Traditional Chinese Medicine Practitioners and Acupuncturists of Ontario Major Yee masked Major Yee 5090 Explorer Drive Mississauga, Ontario L4W 4X6 647-7889428 masked Business Analyst College of Traditional Chinese Medicine Practitioners and Acupuncturists of Ontario 163 Queen Street East, 4th Floor Toronto, ON M5A 1S1 (416) 862-4790 info@ctcmpao.on.ca http://www.ctcmpao.on.ca/ Vendor Int 4 4 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/09/26 04:59:12 UV 2.16.840.1.113883.4.669 ca-onCMAAC Chinese Medicine and Acupuncture Association of Canada Major Yee masked Major Yee 5090 Explorer Drive Mississauga, Ontario L4W 4X6 647-7889428 masked Business Analyst Chinese Medicine and Acupuncture Association of Canada 154 Wellington St., London, Ontario, N6B 2K8 (519) 642-1970 cmaac@execulink.com http://www.cmaac.ca/ Vendor Int 4 4 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/09/26 05:02:08 UV 2.16.840.1.113883.4.670 ca-ONCAND Canadian Association of Naturopathic Doctors Major Yee masked Major Yee 5090 Explorer Drive Mississauga, Ontario L4W 4X6 647-7889428 masked Business Analyst Canadian Association of Naturopathic Doctors 20 Holly St., Ste. 200 Toronto, Ontario, Canada M4S 3B1 416-496-8633 info@cand.ca http://www.cand.ca Vendor Int 4 4 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/09/26 05:03:26 UV 2.16.840.1.113883.4.671 ca-YKYKNA Yukon Naturopathic Association Major Yee masked Major Yee 5090 Explorer Drive Mississauga, Ontario L4W 4X6 647-7889428 masked Business Analyst Yukon Naturopathic Association Box 2703 Whitehorse, Yukon Canada Y1A 2C6 (867) 667-5811 inquiry@gov.yk.ca http://www.gov.yk.ca/ Vendor Int 4 4 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/09/26 05:09:25 UV 2.16.840.1.113883.4.672 ca-YKDOCS Yukon Department of Community Services Major Yee masked Major Yee 5090 Explorer Drive Mississauga, Ontario L4W 4X6 647-7889428 masked Business Analyst Yukon Department of Community Services Box 2703 Whitehorse, Yukon Canada Y1A 2C6 (867) 667-5811 inquiry@gov.yk.ca http://www.gov.yk.ca/ Vendor Int 4 4 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/09/26 05:10:48 UV 2.16.840.1.113883.4.673 ca-peiPEIMTA Prince Edward Island Massage Therapy Association Major Yee masked Major Yee 5090 Explorer Drive Mississauga, Ontario L4W 4X6 647-7889428 masked Business Analyst Prince Edward Island Massage Therapy Association PO Box 1882, Charlottetown, Prince Edward Island, Canada C1A 7N5 (866) 566-1955 president@peimta.com http://www.peimta.com/ Vendor Int 4 4 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/09/26 05:12:55 UV 2.16.840.1.113883.4.674 ca-skMTASK Massage Therapy Association of Saskatchewan Major Yee masked Major Yee 5090 Explorer Drive Mississauga, Ontario L4W 4X6 647-7889428 masked Business Analyst Massage Therapy Association of Saskatchewan 16-1724 Quebec Avenue Saskatoon, SK. S7K 1V9 (306) 384-7077 mtas@sasktel.net http://www.saskmassagetherapy.com/ Vendor Int 4 4 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/09/26 05:15:09 UV 2.16.840.1.113883.3.3500 cori Clinical Outcomes Research Initiative Peter Kearns masked Judy Logan Judy Logan Clinical Outcomes Research Initiative 3303 SW Bond Ave, Suite 15C Portland, OR 97239 503-494-0567 masked rofessor, SM.Medical Informatics & Clinical Epidemiology CORI Clinical Outcomes Research Initiative 3303 SW Bond Ave, Suite 15C Portland, OR 97239 503-494-0567 cori@ohsu.edu http://www.cori.org Vendor Int 3 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/09/26 05:19:43 UV 2.16.840.1.113883.3.3501 ghch Grays Harbor Community Hospital Sunni Borghi masked Helen Jose Holly 915 Anderson Drive, Aberdeen WA, 98520 3605376010 masked Senior Clinical Analyst Grays Harbor Community Hospital dba Harbor Regional Health 915 Anderson Drive, Aberdeen WA, 98520 360-532-8330 bwallace@ghcares.org http://www.ghcares.org Provider Int 3 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2024/12/18 03:18:01 UV 2.16.840.1.113883.3.3502 horizon Horizon Health Services Jacob Haacker masked Jacob Haacker 3020 Bailey Ave 2nd Floor Buffalo, NY 14215 716-831-1800 masked Director of IT Jacob Haacker 3020 Bailey Ave 2nd Floor Buffalo, NY 14215 716-831-1800 jhaacker@horizon-health.org http://www.horizon-health.org Provider Int 3 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/09/26 05:27:28 US 2.16.840.1.113883.3.3503 zhcs ZH Consultancy Services Vinish K masked Vinish K 7033408065 masked Software Engineer ZH Consultancy Services 7033408065 vinish@zhservices.com Vendor Int 3 3 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/09/26 05:34:32 UV 2.16.840.1.113883.17.133 facsnf Family and Children's Service of Niagara Kevin Ford masked Kevin Ford 1522 Main St Niagara Falls, NY 14305 716-285-6984 masked Director I.T. Family and Children's Service of Niagara, Inc. 1522 Main St Niagara Falls, NY 14305 716-285-6984 kford@niagarafamily.org http://www.niagarafamily.org Provider Int 17 17 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/09/26 05:36:41 US 2.16.840.1.113883.3.3504 sicherfoot Sicher Foot OID Root Melinda Garonzik masked Melinda Garonzik 19 Care Circle Amarillo, TX 79124 806-353-3366 masked office manager Sicher Foot Center 19 Care Circle Amarillo, TX 79124 806-353-3366 sicherfootcenter@yahoo.com Provider Int 3 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/09/26 05:38:52 UV 2.16.840.1.113883.3.3505 pvh Paradise Valley Hospital Vishnu Duvuuru masked Vishnu Duvuuru 2400 East Fourth Street National City, CA 91950 619-472-4606 masked Information Systems Director Paradise Valley Hospital 2400 East Fourth Street National City, CA 91950 619-470-4321 VDuvuuru@primehealthcare.com http://www.paradisevalleyhospital.net/ Provider Int 3 Complete 2013/09/03 12:00:00 2013/09/26 12:00:00 2013/09/26 05:40:56 UV 2.16.840.1.113883.3.3506 gradymemorialhospital Grady Memorial Hospital Sylvia Ho masked Jennifer Troub Sylvia Ho 405-779-2330 masked Director of Information Services Grady Memorial Hospital 2220 W. Iowa Avenue, Chickasha, OK 73018 405-224-2300 sylviaho@gradymem.org http://www.gradymem.org Provider Int 3 Complete 2013/09/03 12:00:00 2013/10/03 12:00:00 2014/05/28 09:17:04 UV 2.16.840.1.113883.3.1620.34 oidTHHBD The Heart Hospital Baylor Denton Michael Wagliardo masked Michael Wagliardo 2001 Bryan Street, Suite 2400 Dallas, TX 75201 214-820-4201 masked Manager Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.34 2013/09/04 12:00:00 2013/10/03 12:00:00 2013/10/03 01:15:58 UV 2.16.840.1.113883.3.3507 and-llc Atlanta Neuromuscular Diagnostics, LLC Dominique Sheffield masked Jacqueline Washington Dominique Sheffield 404-586-0442 masked Atlanta Neuromuscular Diagnostics, LLC 550 Peachtree St. NE, Ste 1575 Atlanta, GA 30308 404-586-0442 jwashin@andiagnostics.com http://www.andiagnostics.com Provider Int 3 Complete 2013/09/04 12:00:00 2013/10/03 12:00:00 2013/10/03 01:17:57 UV 2.1.840.1.113883.3.1070.5431 mckesson-fusion-5431 mckesson-fusion-5431 Rebecca Paul masked Fusion Enrollment 2487054670 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.1.840.1.113883.3.1070.5431 2013/09/04 12:00:00 2013/10/03 12:00:00 2013/10/03 01:19:53 US 2.16.840.1.113883.3.3508 swhcty Southwest Health & Human Services Nightingale Notes Michelle Salfer masked Michelle Salfer 266 E Bridge St Redwood Falls, MN 56283 507-637-1555 masked Southwest Health & Human Services 266 E Bridge St Redwood Falls, MN 56283 507-637-1555 michelle.salfer@swmhhs.com Provider Int 3 3 Complete 2013/09/04 12:00:00 2013/10/03 12:00:00 2013/10/03 01:23:22 UV 2.1.840.1.113883.3.1070.5423 mckesson-fusion-5423 mckesson-fusion-5423 Rebecca Paul masked Fusion Enrollment 2487054670 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.1.840.1.113883.3.1070.5423 2013/09/04 12:00:00 2013/10/03 12:00:00 2013/10/03 01:21:17 US 2.16.840.1.113883.3.3509 eTH eThority Zachary Woodmansee masked Zachary Woodmansee 1583 Savannah Highway Charleston, SC 29407 843 573 4125 masked Developer eThority, LLC 1583 Savannah Highway Charleston, SC 29407 843 556 5565 support@equifax.com http://www.ethority.com Vendor Int 3 3 Complete 2013/09/04 12:00:00 2013/10/03 12:00:00 2013/10/03 01:26:01 UV 2.16.840.1.113883.3.3510 mrhcok McAlester Regional Health Center Paul Olson masked Paul Olson McAlester Regional Health Center 1 Clark Bass Blvd. McAlester, OK 74501 9184216948 masked Director MIS McAlester Regional Health Center 1 Clark Bass Blvd. McAlester, OK 74501 9184261800 MISDept2@mrhcok.com http://www.mrhcok.com Provider Int 3 3 Complete 2013/09/04 12:00:00 2013/10/03 12:00:00 2013/10/03 01:36:25 UV 2.16.840.1.113883.3.3511 WakeMed Garner WakeMed Garner Healthplex Clifton Barnett masked Clifton Barnett (919) 843-2360 masked Data Quality Manager Carolina Center for Health Informatics 100 Main St Chapel Hill NC 27516 (919) 843-2361 ncdetect@listserv.med.unc.edu Academic Int 3 Complete 2013/09/05 12:00:00 2013/10/03 12:00:00 2013/10/03 01:38:58 UV 2.16.840.1.113883.3.3512 ppcatl Personalized Primary Care Angela Bohles masked Juliet Mavromatis Angela Bohles 57 Executive Park South Suite 390 Atlanta, GA 30329 404-997-6790 masked Nurse Personalized Primary Care 57 Executive Park South Suite 390 Atlanta, GA 30329 404-997-6790 abohles@ppcatl.com http://www.ppcatl.com Provider Int 3 Complete 2013/09/05 12:00:00 2013/10/03 12:00:00 2013/10/03 01:43:25 UV 2.16.840.1.113883.3.3513 cHOARC CHOICES Network - Arcadia Clinic Annette Kuhn-Wine masked Annette Kuhn-Wine Arcadia Clinic 3311 N. 44th Street Suite 100 Phoenix, AZ 85018 602-685-6134 masked Project Manager Arcadia Clinic 3311 N. 44th Street Suite 100 Phoenix, AZ 85018 602-685-6134 annette.kuhn-wine@choicesnetwork.org http://www.choicesnetwork.org/ Provider Int 3 3 Complete 2013/09/05 12:00:00 2013/10/03 12:00:00 2013/10/03 01:45:21 UV 2.16.840.1.113883.3.3514 cHOENC CHOICES - Enclave Clinic Annette Kuhn-Wine masked Annette Kuhn-Wine Enclave Clinic 1642 S. Priest Drive Building 6-Suite 101 Tempe, AZ 85281 602-685-6134 masked Project Manager Enclave Clinic 1642 S. Priest Drive Building 6-Suite 101 Tempe, AZ 85281 602-685-6134 annette.kuhn-wine@choicesnetwork.org http://www.choicesnetwork.org Provider Int 3 3 Complete 2013/09/05 12:00:00 2013/10/03 12:00:00 2013/10/03 01:47:32 UV 2.16.840.1.113883.3.3515 cHOMID CHOICES Network - Midtown Clinic Annette Kuhn-Wine masked Annette Kuhn-Wine Midtown Clinic 3333 North 7th Ave Phoenix, AZ 85013 602-685-6134 masked Project Manager Midtown Clinic 3333 North 7th Ave Phoenix, AZ 85013 602-685-6134 annette.kuhn-wine@choicesnetwork.org http://www.choicesnetwork.org Provider Int 3 3 Complete 2013/09/05 12:00:00 2013/10/03 12:00:00 2013/10/03 01:50:23 UV 2.16.840.1.113883.3.3516 cHOTOW CHOICES Network - Townley Clinic Annette Kuhn-Wine masked Annette Kuhn-Wine Townley Clinic 8836 N. 23rd Avenue Suite B-1 Phoenix, AZ 85021 602-685-6134 masked Townley Clinic 8836 N. 23rd Avenue Suite B-1 Phoenix, AZ 85021 602-685-6134 annette.kuhn-wine@choicesnetwork.org http://www.choicesnetwork.org Provider Int 3 3 Complete 2013/09/05 12:00:00 2013/10/03 12:00:00 2013/10/03 01:52:35 UV 2.16.840.1.113883.3.3517 cHOMCD CHOICES Network - West McDowell Clinic Annette Kuhn-Wine masked Annette Kuhn-Wine West McDowell Clinic 5030 W. McDowell Rd Suite 16 Phoenix, AZ 85035 602-685-6134 masked West McDowell Clinic 5030 W. McDowell Rd Suite 16 Phoenix, AZ 85035 602-685-6134 annette.kuhn-wine@choicesnetwork.org http://www.choicesnetwork.org Provider Int 3 3 Complete 2013/09/05 12:00:00 2013/10/03 12:00:00 2013/10/03 01:56:14 UV 2.16.840.1.113883.3.3518 cHOCEN CHOICES Network - South Central Clinic Annette Kuhn-Wine masked Annette Kuhn-Wine South Central Clinic 1616 E. Roeser Rd Phoenix, AZ 85040 602-685-6134 masked South Central Clinic South Central Clinic 1616 E. Roeser Rd Phoenix, AZ 85040 602-685-6134 annette.kuhn-wine@choicesnetwork.org http://www.choicesnetwork.org Provider Int 3 3 Complete 2013/09/05 12:00:00 2013/10/03 12:00:00 2013/10/03 01:58:13 UV 2.16.840.1.113883.3.3519 clmtrk ClaimTrak Systems, Inc. Ron Wilson masked Ron Wilson 1535 W Harvard, Suite 102 Gilbert, AZ 85233 520-840-1017 masked Vice President of Software Engineering ClaimTrak Systems, Inc. 1535 W Harvard, Suite 102 Gilbert, AZ 85233 520-840-1017 rwilson@Claimtrak.com http://www.claimtrak.com Vendor Int 3 Complete 2013/09/05 12:00:00 2013/10/03 12:00:00 2013/10/03 01:59:51 UV 2.16.840.1.113883.17.134 claimtrakv905 ClaimTrak Electronic Health Record v 9.05 Ron Wilson masked Ron Wilson 520-840-1017 masked Vice President of Software Engineering ClaimTrak Systems, Inc. 1535 W Harvard, Suite 102 Gilbert AZ, 85233 520-840-1017 rwilson@Claimtrak.com http://www.claimtrak.com Vendor 2.16.840.1.113883.3.3519 Int 17 Complete 2013/09/05 12:00:00 2013/10/03 12:00:00 2013/10/03 03:17:06 UV 2.16.840.1.113883.3.3520 pco P.C.O., P.C. DBA Lambaria Eye & Optical Andres Lambaria masked Andres Lambaria 1509 S. State Rd. Suite E Davison, MI 48423 810-730-9790 masked President P.C.O., P.C. DBA Lambaria Eye & Optical 1509 S. State Rd. Suite E Davison, MI 48423 810-730-9790 drlambaria@yahoo.com http://www.lambariaeye.com Provider Int 3 Complete 2013/09/05 12:00:00 2013/10/03 12:00:00 2013/10/03 03:54:08 UV 2.16.840.1.113883.3.3521 sea-od Suzanne E. Anderson, O.D. Suzanne Anderson masked Suzanne E. Anderson 6301 NW Loop 410- SEARS San Antonio, TX 78238-3824 210-682-3773 masked O.D. Suzanne E. Anderson 210-682-3773 nwvisioncare@sbcglobal.net Provider Int 3 Complete 2013/09/05 12:00:00 2013/10/03 12:00:00 2013/10/03 03:57:22 UV 2.16.840.1.113883.3.3522 h3o HealthTrio Constance Lagneaux masked Connie A. Lagneaux HealthTrio, LLC 603 N. Wilmot Road Tucson, AZ 85711 520 748 6176 masked VP Customer & Operations Support, HealthTrio LLC HealthTrio, LLC HealthTrio, LLC 603 N. Wilmot Road Tucson, AZ 85711 520 571 1988 connect_support@healthtrio.com http://www.healthtrio.com Vendor Int 3 Complete 2013/09/05 12:00:00 2013/10/03 12:00:00 2013/10/03 03:58:39 US 2.16.840.1.113883.3.3523 rhs-org Rush Health Systems Deborah Ford masked Deborah Ford 1314 19th Ave. Meridian,Ms 39301 601-703-9530 masked Systems Analyst Rush Health Systems 1314 19th Ave. Meridian, MS 39301 601-483-0011 angela.sherrill@rushhealth.com Provider Int 3 Complete 2013/09/06 12:00:00 2013/10/03 12:00:00 2013/10/03 04:01:52 UV 2.16.840.1.113883.3.1070.5421 mckesson-fusion-5421 mckesson-fusion-5421 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment Johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5421 2013/09/06 12:00:00 2013/10/03 12:00:00 2013/10/03 04:05:21 US 2.16.840.1.113883.3.1070.5433 mckesson-fusion-5433 mckesson-fusion-5433 Rebecca Paul masked Fusion Enrollment 2487054670 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 3 Complete 2.16.840.1.113883.3.1070.5433 2013/09/06 12:00:00 2013/10/03 12:00:00 2013/10/03 04:07:22 US 2.16.840.1.113883.3.3524 pps Physician Pain Specialists, P.C Sharina Davis masked Sharina Davis 5671 Peachtree Dunwoody Road Suite #660 Atlanta, GA 30342. 404-256-5405 masked Business Office Manager Physician Pain Specialists, P.C 5671 Peachtree Dunwoody Road Suite #660 Atlanta, GA 30342. 404-256-5405 ppssdavis@gmail.com Exchange Int 3 Complete 2013/09/06 12:00:00 2013/10/03 12:00:00 2013/10/03 04:09:02 UV 2.16.840.1.113883.3.3525 centerstoneTN Centerstone Tennessee Steven Finch masked Wayne Easterwood 44 Vantage Way Suite 280 Nashville TN 37221 615-463-6640 masked Chief Information Officer Centerstone Tennessee wayne.easterwood@centerstone.org http://www.centerstone.org/tennessee-facilities Provider Int 3 Complete 2013/09/06 12:00:00 2013/10/03 12:00:00 2013/10/03 04:10:27 UV 2.16.840.1.113883.3.3526 psca Pain Specialty Center of Atlanta, P.C Sharina Davis masked Sharina Davis 5671 Peachtree Dunwoody Road Suite #660 404-256-5405 masked Business Office Manager Pain Specialty Center of Atlanta, P,C 5671 Peachtree Dunwoody Road Suite #660 Atlanta, GA 30342 404-256-5405 ppssdavis@gmail.com Exchange Int 3 Complete 2013/09/06 12:00:00 2013/10/03 12:00:00 2013/10/03 04:12:54 UV 2.16.840.1.113883.3.3527 lightbeam Lightbeam Health Solutions Jibu George masked bnary@lightbeamhealth.com Jibu George 5215 N. O'Connor Road Suite 2650C Irving TX, 75039 267-266-3429 masked VP of Software Design Lightbeam Health Solutions 5215 N. O'Connor Road Suite 2650C Irving TX, 75039 972-831-7270 jgeorge@lightbeamhealth.com http://www.lightbeamhealth.com/index.html Vendor Int 3 Complete 2013/09/07 12:00:00 2013/10/03 12:00:00 2013/10/03 04:14:34 UV 2.16.840.1.113883.3.3528 nachbar James M. Nachbar, MD James Nachbar masked James Nachbar, MD 8896 E Becker Lane #102 Scottsdale, AZ 85260 480-289-5300 masked James Nachbar, MD 8896 E Becker Lane #102 Scottsdale, AZ 85260 480-289-5300 dr@nach.bar https://www.plastic.org Provider Int 3 Complete 2013/09/08 12:00:00 2013/10/03 12:00:00 2018/09/20 07:34:56 UV 2.16.840.1.113883.3.1070.5394 mckesson-fusion-5394 mckesson-fusion-5394 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment trish.wilson@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5394 2013/09/09 12:00:00 2013/10/03 12:00:00 2013/10/03 04:18:36 US 2.16.840.1.113883.3.3529 jns Jeanes Hospital Suzannne McClintock masked Andy Gavin Suzanne McClintock 7600 Central Avenue Philadelphia, PA 19111 215-728-3730 masked Clinical IS Coordinator Jeanes Hospital 7600 Central Avenue Philadelphia, PA 19111 215-728-2000 andy.gavin@tuhs.temple.edu Provider Int 3 Complete 2013/09/09 12:00:00 2013/10/03 12:00:00 2013/10/03 04:22:14 UV 1.3.6.1.4.1.22779.200 cf-HIE-HL7 CareFirst BlueCross BlueShield - Health Information Exchange - HL7 Grant Kissel masked Grant Kissel 10455 Mill Run Circle Owings Mills, MD 21117-5559 410-998-7255 masked CareFirst BlueCross BlueShield 10455 Mill Run Circle Owings Mills, MD 21117-5559 grant.kissel@carefirst.com Payor Ext 3 Complete 1.3.6.1.4.1.22779.200 2013/09/09 12:00:00 2013/10/03 12:00:00 2013/10/03 04:25:58 UV 2.16.840.1.113883.3.3530 vvmc Vail Valley Medical Center Cody Barnett masked Mark LaCross Cody Barnett 181 W. Meadow Dr Vail, CO 81657 970 477-5218 masked Clinical IT Coordinator Vail Valley Medical Center 181 W. Meadow Dr Vail, CO 81657 970-476-2451 Mark.LaCross@vvmc.com Provider Int 3 3 Complete 2013/09/09 12:00:00 2013/10/03 12:00:00 2013/10/03 04:30:43 UV 2.16.840.1.113883.3.1070.5373 mckesson-fusion-5373 mckesson-fusion-5373 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5373 2013/09/09 12:00:00 2013/10/03 12:00:00 2013/10/03 04:28:23 US 2.16.840.1.113883.3.3531 hma-Osler HMA Osler Daniel Cholvin masked Daniel Cholvin 4500 tamami trl naples fl 34102 2395523545 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/09/09 12:00:00 2013/10/03 12:00:00 2013/10/03 04:32:43 UV 2.16.840.1.113883.3.3532 northpointe Northpointe Council, Inc. Gina Pfohl masked Gina Pfohl 800 Main Street Suite 2A Niagara Falls,NY 14301 7162821228 masked Vice President of Treatment Services Northpointe Council, Inc. 800 Main Street Suite 2A Niagara Falls, NY 14301 7162821228 gpfohl@northpointecouncil.org https://northpointecouncil.org Provider Int 3 3 Complete 2013/09/10 12:00:00 2013/10/03 12:00:00 2013/10/03 04:35:07 UV 2.16.840.1.113883.3.3533 ppcg Pediatric Pulmonology of Central Georgia James Logan masked Victoria Spinks 1062 Forsyth St. Suite 2C Macon, GA 31201 478-755-0036 masked Nurse practitioner Pediatric Pulmonology of Central Georgia 1062 Forsyth Rd. Suite 2C Macon, GA 31201 478-755-0036 victoria96@cox.net Provider Int 3 Complete 2013/09/10 12:00:00 2013/10/03 12:00:00 2013/10/03 04:36:30 UV 2.16.840.1.113883.3.3510.100 mrhcok-mt MRHC Meditech Paul Olson masked Paul Olson McAlester Regional Health Center 1 Clark Bass Blvd. McAlester, OK 74501 9184216948 masked Director MIS McAlester Regional Health Center 1 Clark Bass Blvd. McAlester, OK 74501 9184261800 MISDept2@mrhcok.com http://www.mrhcok.com Provider 2.16.840.1.113883.3.3510 Ext 14 14 Complete 2.16.840.1.113883.3.3510.100 2013/09/10 12:00:00 2013/10/03 12:00:00 2013/10/03 04:38:25 UV 2.16.840.1.113883.3.3534 stjphl St. Joseph's Community Health Nightingale Notes Raeann Mayer masked Raeann Mayer 600 Pleasant Avenue Park Rapids, MN 56470 218-732-5474 masked St. Joseph's Community Health 600 Pleasant Avenue Park Rapids, MN 56470 218-732-5474 raeannmayer@catholichealth.net Provider Int 3 3 Complete 2013/09/10 12:00:00 2013/10/03 12:00:00 2013/10/03 04:39:52 UV 2.16.840.1.113883.3.1070.5447 mckesson-fusion-5447 mckesson-fusion-5447 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5447 2013/09/10 12:00:00 2013/10/03 12:00:00 2013/10/03 04:42:41 US 2.16.840.1.113883.3.541.143 intfootholdrepos Foothold Document Repository for Interboro Site The Bridge Carianne Ragozzino masked Carianne Ragozzino 40 Worth St., 5th Fl. New York, NY 10013 646-619-6742 masked Client Services Manager New York eHealth Collaborative 40 Worth St., 5th Fl. New York, NY 10013 646-619-6400 cragozzino@nyehealth.org Exchange 2.16.840.1.113883.3.541 Ext 17 Complete 2.16.840.1.113883.3.541.143 2013/09/10 12:00:00 2013/10/03 12:00:00 2013/10/03 04:48:11 UV 2.16.840.1.113883.3.1070.5445 mckessson-fusion-5445 mckessson-fusion-5445 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5445 2013/09/10 12:00:00 2013/10/03 12:00:00 2013/10/03 04:44:00 US 2.16.840.1.113883.3.2460.1 sharelab Share Medical Center Lab Chase Stevison masked Mark Nichols 800 Share Drive Alva, OK 73717 5804303318 masked IT Director Share Medical Center 800 Share Drive Alva, OK 73717 5803272800 mnichols@smcok.com http://www.smcok.com Provider 2.16.840.1.113883.3.2460 Ext 14 14 Complete 2.16.840.1.113883.3.2460.1 2013/09/10 12:00:00 2013/10/03 12:00:00 2023/01/24 03:44:03 UV 2.16.840.1.113883.3.3535 tshimm TSSH Immunization Trent Gastineau masked Trent Gastineau 6901 S. Olympia Ave. Tulsa, OK 74132 918.388.2319 masked Project Manager Tulsa Spine & Specialty Hospital 6901 S. Olympia Ave. Tulsa, OK 74132 918.388.5701 info@tshmail.com http://www.tulsaspinehospital.com/ Provider Int 3 3 Complete 2013/09/11 12:00:00 2013/10/03 12:00:00 2013/10/03 04:54:04 UV 2.16.840.1.113883.3.3536 ohiohealth OhioHealth Brandon Yoxtheimer masked Brandon Yoxtheimer 755 Thomas Ln Columbus, OH 43214 614-566-5153 masked Systems Analyst OhioHealth 180 East Broad Street #30 orbalerts@ohiohealth.com http://www.ohiohealth.com Provider Int 3 3 Complete 2013/09/11 12:00:00 2013/10/03 12:00:00 2013/10/03 04:56:47 US 2.16.840.1.113883.15.12 int-commonwell-hcid CommonWell homeCommunityId for Integration Environment (ISO OID) Andrew Wright masked chad.bonner@relayhealth.com Andrew Wright RelayHealth 6475 Christie Avenue, Suite 500 Emeryville, CA 94608 7203333525 masked product manager CommonWell Health Alliance RelayHealth 6475 Christie Avenue, Suite 500 Emeryville, CA 94608 720-333-3525 webmaster@relayhealth.com http://www.relayhealth.com Exchange 2.16.840.1.113883.3.3330 Int 15 15 Complete 2013/09/11 12:00:00 2013/10/03 12:00:00 2013/10/03 05:02:52 UV 2.16.840.1.113883.3.3537 int-xca-broker-root CommonWell XCA Broker for Integration Environment Andrew Wright masked chad.bonner@relayhealth.com Andrew Wright RelayHealth 6475 Christie Avenue, Suite 500 Emeryville, CA 94608 720-333-3525 masked product manager RelayHealth RelayHealth 6475 Christie Avenue, Suite 500 Emeryville, CA 94608 720-333-3525 webmaster@relayhealth.com http://www.relayhealth.com Exchange Int 3 3 Complete 2013/09/11 12:00:00 2013/10/03 12:00:00 2013/10/03 05:00:55 UV 2.16.840.1.113883.3.3538 srmc-ga Southern Regional Medical Center Ernest Bedsaul masked Ernest Bedsaul Southern Regional Medical Center Attn: Ernest Bedsaul 11 Upper Riverdale Road SW Riverdale, GA 30274 770-991-8105 masked HIPAA Security Officer / Manager, Technical Services Southern Regional Medical Center Southern Regional Medical Center 11 Upper Riverdale Road SW Riverdale, GA 30274 770-991-8000 http://www.southernregional.org http://www.southernregional.org Provider Int 3 Complete 2013/09/12 12:00:00 2013/10/03 12:00:00 2013/10/03 05:05:22 UV 2.1.840.1.113883.3.1070.5437 mckesson-fusion-5437 mckesson-fusion-5437 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.1.840.1.113883.3.1070.5437 2013/09/12 12:00:00 2013/10/03 12:00:00 2013/10/03 05:06:46 US 2.1.840.1.113883.3.1070.5472 mckesson-fusion-5472 mckesson-fusion-5472 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.1.840.1.113883.3.1070.5472 2013/09/12 12:00:00 2013/10/03 12:00:00 2013/10/03 05:11:56 US 2.1.840.1.113883.3.1070.5450 mckesson-fusion-5450 mckesson-fusion-5450 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.1.840.1.113883.3.1070.5450 2013/09/12 12:00:00 2013/10/03 12:00:00 2013/10/03 05:13:46 US 2.16.840.1.113883.3.3539 oklastate-u-medctr Oklahoma State University Medical Center Bruce Lamont masked Carol Gross 744 W 9th St Tulsa, OK 74127 918-599-5370 masked Interface Programmer Oklahoma State University Medical Center 744 W 9th St Tulsa, OK 74127 918-599-4600 Bruce.Lamont@osumc.net http://www.osumc.net Provider Int 3 Complete 2013/09/12 12:00:00 2013/10/03 12:00:00 2013/10/03 05:15:38 UV 2.16.840.1.113883.3.3540 vchca Ventura County Health Care Agency Shaun Lynch masked Shaun Lynch 3291 Loma Vista Road Ventura, CA 93003 805-701-0787 masked Ventura County Health Care Agency 3291 Loma Vista Road Ventura, CA 93003 805-701-0787 shaun.lynch@ventura.org http://www.vchca.org Provider Int 3 3 Complete 2013/09/12 12:00:00 2013/10/03 12:00:00 2013/10/03 05:26:01 US 2.16.840.1.113883.4.305.1.10 mahhcvt Mt Ascutney Hospital and Health Center Lauri Scharf masked Brenna Heighes 289 County Road Windsor, VT 05089 8028391951 masked CIO Vermont Information Technology Leaders, Inc. 144 Main St Montpelier, VT 05602 8022234100 IT@vitl.net http://www.vitl.net Exchange 2.16.840.1.113883.4.305 Ext 17 Complete 2.16.840.1.113883.4.305.1.10 2013/09/12 12:00:00 2013/10/03 12:00:00 2013/10/03 05:29:00 UV 2.16.840.1.113883.3.3541 hhltd Hampton Health OID Root Elaine Hausman masked Elaine Hausman 1700 California Street Suite #470 San Francisco, CA 94109 415-450-1175 masked Executive Vice President of Marketing & Practice Liaison Hampton Health Ltd 1700 California Street Suite #470 San Francisco, CA 94109 415-202-9990 elainehausman@hamptonhealthltd.com http://hamptonhealthltd.com Provider Int 3 Complete 2013/09/12 12:00:00 2013/10/03 12:00:00 2013/10/03 05:30:47 UV 2.16.840.1.113883.3.3542 stdominics-root St. Dominics-Jackson Memorial William Amadio masked William Amadio 969 Lakeland Drive Jackson, MS 39216 601-200-4006 masked Senior Interface Analyst St. Dominics-Jackson Memorial 969 Lakeland Drive Jackson, MS 39216 601-200-4000 sscoles@stdom.com http://www.stdom.com/ Provider Int 3 3 Complete 2013/09/12 12:00:00 2013/10/03 12:00:00 2013/10/03 05:32:23 v2.2 UV 2.16.840.1.113883.15.13 int-person-assigning-authority CommonWell Community Person Identifier Assigning Authority Andrew Wright masked chad.bonner@relayhealth.com Andrew Wright RelayHealth 6475 Christie Avenue, Suite 500 Emeryville, CA 94608 720-333-3525 masked product manager RelayHealth RelayHealth 6475 Christie Avenue, Suite 500 Emeryville, CA 94608 720-333-3525 webmaster@relayhealth.com http://www.relayhealth.com Exchange Int 15 15 Complete 2013/09/12 12:00:00 2013/10/03 12:00:00 2013/10/03 05:36:35 UV 2.16.840.1.113883.3.3543 jenksfp Jenks Family Physicians Julie Cochran masked Dr. Brian Lewis Julie Cochran 615 E Main St Jenks, Ok 74037 918-299-8080 masked CPC Project Manager Jenks Family Physicians 615 E. Main St. Jenks, OK 74037 918-299-8080 info@jenksfp.com http://jenksfamilyphysicians.com Provider Int 3 Complete 2013/09/13 12:00:00 2013/10/03 12:00:00 2013/10/03 05:34:38 UV 2.16.840.1.113883.3.1871.3.9111 jch JEFFERSON COUNTY HOSPITAL Rodney Rice Jr masked Roger Neal 2621 Whisenant Dr. Duncan, OK 73533 580 251 8555 masked VP-COO-CIO Jefferson County Hospital 9170 US Hwy 70 Waurika, OK 73573 580 251 8654 roger.neal@drhhealth.org https://www.duncanregional.com/locations/jefferson-county-hospital/ Provider 2.16.840.1.113883.3.890 Ext 14 2.16.840.1.113883.3.7322 14 Complete 2.16.840.1.113883.3.1871.3.9111 2013/09/13 12:00:00 2013/10/03 12:00:00 2024/11/07 12:38:08 UV 2.16.840.1.113883.3.3543.10 jenksfpemds Jenks Family Physicians - eMDs Julie Cochran masked Dr. Brian Lewis Julie Cochran 615 E. Main St. Jenks, OK 74037 918-299-8080 masked CPC Project Manager Jenks Family Physicians 615 E Main St Jenks, OK 74037 918-299-8080 info@jenksfp.com http://jenksfamilyphysicians.com Provider 2.16.840.1.113883.3.3543 Ext 14 17 Complete 2.16.840.1.113883.3.3543.10 2013/09/13 12:00:00 2013/10/10 12:00:00 2013/10/10 01:50:45 UV 2.16.840.1.113883.3.3544 lcheung Lawrence Cheung OID Root Tanisha Brandy masked Tanisha Brandy 2645 Ocean Ave. Suite 103 San Francisco CA 94132 4153330348 masked Office Manager Lawrence Cheung MD 2645 Ocean Ave Suite 103 San Francisco CA 94132 415330348 tanishabrandy415@gmail.com Provider Int 3 Complete 2013/09/13 12:00:00 2013/10/10 12:00:00 2013/10/10 01:52:19 UV 2.16.840.1.113883.3.3435.100 citizensmemorial-hospital CITIZENS MEMORIAL HOSPITAL - HOSPITAL Denni McColm masked KIM.TILLEY@CITIZENSMEMORIAL.COM DENNI MCCOLM CITIZENS MEMORIAL HOSPITAL 1500 N OAKLAND BOLIVAR MO 65613 4173286407 masked CIO CITIZENS MEMORIAL HOSPITAL CITIZENS MEMORIAL HOSPITAL 1500 N OAKLAND BOLIVAR MO 65613 4173286615 ISHELPDESK@CITIZENSMEMORIAL.COM http://www.citizensmemorial.com Provider 2.16.840.1.113883.3.3435 Ext 17 Complete 2.16.840.1.113883.3.3435.100 2013/09/13 12:00:00 2013/10/10 12:00:00 2013/10/10 01:55:55 UV 2.16.840.1.113883.3.3435.200 citizensmemorial-clinics CITIZENS MEMORIAL HOSPITAL - CLINICS DENNI MCCOLM masked KIM.TILLEY@CITIZENSMEMORIAL.COM DENNI MCCOLM CITIZENS MEMORIAL HOSPITAL 1500 N OAKLAND BOLIVAR MO 65613 4173286407 masked CIO CITIZENS MEMORIAL HOSPITAL CITIZENS MEMORIAL HOSPITAL 1500 N OAKLAND BOLIVAR MO 65613 4173286615 ISHELPDESK@CITIZENSMEMORIAL.COM http://www.citizensmemorial.com Provider 2.16.840.1.113883.3.3435 Ext 17 Complete 2.16.840.1.113883.3.3435.200 2013/09/13 12:00:00 2013/10/10 12:00:00 2013/10/10 01:56:43 UV 2.16.840.1.113883.3.3435.300 citizensmemorial-ellett CITIZENS MEMORIAL HOSPITAL - ELLETT MEMORIAL HOSPITAL DENNI MCCOLM masked KIM.TILLEY@CITIZENSMEMORIAL.COM DENNI MCCOLM CITIZENS MEMORIAL HOSPITAL 1500 N OAKLAND BOLIVAR MO 65613 4173286407 masked CIO CITIZENS MEMORIAL HOSPITAL CITIZENS MEMORIAL HOSPITAL 1500 N OAKLAND BOLIVAR MO 65613 4173286615 ISHELPDESK@CITIZENSMEMORIAL.COM http://www.citizensmemorial.com Provider 2.16.840.1.113883.3.3435 Ext 17 Complete 2.16.840.1.113883.3.3435.300 2013/09/13 12:00:00 2013/10/10 12:00:00 2013/10/10 01:57:29 UV 2.16.840.1.113883.3.3435.400 citizensmemorial-ochc CITIZENS MEMORIAL HOSPITAL - OZARKS COMMUNITY HEALTH CENTER DENNI MCCOLM masked KIM.TILLEY@CITIZENSMEMORIAL.COM DENNI MCCOLM CITIZENS MEMORIAL HOSPITAL 1500 N OAKLAND BOLIVAR MO 65613 41 masked CIO CITIZENS MEMORIAL HOSPITAL CITIZENS MEMORIAL HOSPITAL 1500 N OAKLAND BOLIVAR MO 65613 4173286615 ISHELPDESK@CITIZENSMEMORIAL.COM http://www.citizensmemorial.com Provider 2.16.840.1.113883.3.3435 Ext 17 Complete 2.16.840.1.113883.3.3435.400 2013/09/13 12:00:00 2013/10/10 12:00:00 2013/10/10 01:58:25 UV 2.16.840.1.113883.3.3545 app-acl-aml Advocate Physician Partners - ACL-AML Dennis Gilge masked Dennis Gilge 1701 West Golf Road Suite 2-1100 Rolling Meadows, IL 60008 847-635-5920 masked Advocate Health Care 1701 West Golf Road Suite 2-1100 Rolling Meadows, IL 60008 847-635-5920 Dennis.Gilge@advocatehealth.com Provider Int 3 Complete 2013/09/13 12:00:00 2013/10/10 12:00:00 2013/10/10 02:10:49 UV 2.16.840.1.113883.3.3546 app-acl-comlab Advocate Physician Partners - ACL ComLab Dennis Gilge masked Dennis Gilge 1701 West Golf Road Suite 2-1100 Rolling Meadows, Il 60008 847-635-5920 masked Advocate Health Care 1701 West Golf Road Suite 2-1100 Rolling Meadows, Il 60008 847-635-5920 Dennis.Gilge@advocatehealth.com Provider Int 3 Complete 2013/09/13 12:00:00 2013/10/10 12:00:00 2013/10/10 02:11:50 UV 2.16.840.1.113883.3.3547 drmkyser Columbian Eyecare Marcy Kyser masked Marcy Kyser 1322 E McAndrews Rd Ste 103 Medford, OR 97504 5417729990 masked OD Columbian Eyecare 1322 E McAndrews Rd Ste 103 Medford, OR 97504 5417729990 columbianeyecare@gmail.com http://www.columbianeyecare.com Provider Int 3 Complete 2013/09/16 12:00:00 2013/10/10 12:00:00 2013/10/10 02:15:40 UV 2.16.840.1.113883.3.3548 eastsideclinic Eastside Clinic Kelly Seratt masked leslie.ma.esc@gmail.com Kelly Seratt P O Box 59 Tahlequah, OK 74465 918-456-6250 masked Patient care coordinator/office manager Eastside Clinic P O Box 59 Tahlequah, OK 74465 918-456-6250 kelly.pcc.esc@gmail.com Provider Int 3 Complete 2013/09/16 12:00:00 2013/10/10 12:00:00 2013/10/10 02:17:13 UV 2.16.840.1.113883.3.3548.10 eastsideclinicemds Eastside Clinic emds Kelly Seratt masked leslie.ma.esc@gmail.com Kelly Seratt P O Box 59 Tahlequah OK 74465 918-459-6250 masked Patient care coordinator/ office manager Eastside Clinic P O Box 59 Tahlequah OK 74465 918-456-6250 kelly.pcc.esc@gmail.com Provider 2.16.840.1.113883.3.3548 Ext 14 14 Complete 2.16.840.1.113883.3.3548.10 2013/09/16 12:00:00 2013/10/10 12:00:00 2013/10/10 02:20:17 UV 2.16.840.1.113883.3.3549 hlmcc Moffitt Cancer Center Dan Vanacore masked diane.krouse@moffitt.org Dan Vanacore Moffitt Cancer Center Attn: Dan Vanacore 12902 Magnolia Dr. Tampa, FL 33612 813-7453578 masked Manager, Ancillary Support Moffitt Cancer Center Moffitt Cancer Center 12902 Magnolia Dr. Tampa, FL 33612 dan.vanacore@moffitt.org Provider Int 3 3 Complete 2013/09/17 12:00:00 2013/10/10 12:00:00 2013/10/10 02:22:17 UV 2.16.840.1.113883.3.3550 harrisSSP Harris SSP Gateway Cynthia Atherton masked Cynthia Atherton 321-914-1406 masked Harris Corporation 1450 S. Babcock Street Melbourne, FL 32901 321-914-1406 catherto@harris.com Vendor Int 3 Complete 2013/09/17 12:00:00 2013/10/10 12:00:00 2013/10/10 02:23:27 UV 2.16.840.1.113883.9.52 rcmc Rush-Copley Medical Center Dennis BenFord masked Copley Memorial Hospital Dennis BenFord 2000 Ogendy Avenue Aurora, IL 60504 630-236-4314 masked IS Team Leader - Revenue Cycle Copley Memorial Hospital 2000 Ogden Avenue Aurora, IL 60504 630-978-6200 dennis.benford@rushcopley.com http://www.rushcopley.com Provider Int 3 3 Complete 2013/09/17 12:00:00 2013/10/10 12:00:00 2013/10/10 02:37:10 US 2.16.840.1.113883.9.53 fec Rush-Copley Emergency Center Dennis BenFord masked Copley Memorial Hospital Dennis BenFord 2000 Ogden Avenue Aurora, IL 60504 630-236-4314 masked IS Team Leader - Revenue Cycle Copley Memorial Hospital 2000 Ogden Avenue Aurora, IL 60504 630-978-2000 dennis.benford@rushcopley.com http://www.rushcopley.com Provider 2.16.840.1.113883.9.52 Int 3 3 Complete 2013/09/17 12:00:00 2013/10/10 12:00:00 2013/10/10 02:36:08 US 2.16.840.1.113883.3.3551 hdoh HDOH receiver OID Keith Nagaishi masked Keith Nagaishi 1250 Punchbowl Street Honolulu, HI 96813 8085876584 masked Notifiable Disease Surveillance Informatics Coord. Hawaii Department of Health 1250 Punchbowl Street Honolulu, HI 96813 8085876584 keith.nagaishi@doh.hawaii.gov HL7 body Int 3 3 Complete 2013/09/17 12:00:00 2013/10/10 12:00:00 2013/10/10 02:40:32 UV 2.16.840.1.113883.9.54 aaccwa Aging and Adult Care of Central WA Allan Fisher masked Allan Fisher 2067494313 masked Aging and Adult Care of Central WA 50 Simon St SE East Wenatchee, WA 98802 2067494313 allan_fisher@uhc.com Provider Int 3 Complete 2013/09/17 12:00:00 2013/10/10 12:00:00 2013/10/10 02:42:46 UV 2.16.840.1.113883.9.55 altcewa Aging and Long Term Care of Eastern WA Allan Fisher masked Aging and Long Term Care of Eastern WA 1222 North Post Spokane, WA 99201 2067494313 masked Aging and Long Term Care of Eastern WA 1222 North Post Spokane, WA 99201 2067494313 allan_fisher@uhc.com Provider Int 3 Complete 2013/09/17 12:00:00 2013/10/10 12:00:00 2013/10/10 02:44:04 UV 2.16.840.1.113883.3.3552 eMC1 Epic Medical Center Tony Volpe masked Vicki Schaff Vicki Schaff Epic Medical Center One Hospital Drive Eufaula, OK. 74432 918-689-2535 masked Chief Operating Officer Epic Medical Center Epic Medical Center One Hospital Drive Eufaula, OK. 74432 918-689-2535 vicki.schaff@gmail.com http://www.healthgrades.com/hospital-directory/oklahoma-ok/epic-medical-center-hgst1e990596370169 Provider Int 3 3 Complete 2013/09/17 12:00:00 2013/10/10 12:00:00 2013/10/10 02:46:01 2.5.1 US 2.16.840.1.113883.3.3553 khs Kuakini Health System Swee Jim masked Terri Hara Swee Jim 374 N. Kuakini St. Honolulu, HI 96817 808-547-9633 masked Application Specialist II Kuakini Health System 374 N. Kuakini St. Honolulu, HI 96817 808-536-2236 s.jim@kuakini.org http://www.kuakini.org Provider Int 3 Complete 2013/09/17 12:00:00 2013/10/10 12:00:00 2013/10/10 02:52:39 UV 2.16.840.1.113883.3.3554 mhuc Memorial Hospital of Union County Brandon Grudt masked Carl Zani Brandon Grudt ATTN Brandon Grudt Memorial Hospital of Union County 500 London Ave Marysville, OH 43040 9375784020 masked Interface Analyst Memorial Hospital of Union County Memorial Hospital of Union County 500 London Ave Marysville, OH 43040 9376446115 carl.zani@memorialhosp.org http://www.memorialhosp.org Provider Int 3 3 Complete 2013/09/18 12:00:00 2013/10/10 12:00:00 2013/10/10 02:54:21 UV 2.16.840.1.113883.3.1070.5480 mckesson-fusion-5480 mckesson-fusion-5480 Gianna Goodman masked Fusion Enrollment 8775074541 masked Fusion Enrollment gianna_goodman@med3000.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5480 2013/09/18 12:00:00 2013/10/10 12:00:00 2013/10/10 02:55:38 US 2.16.840.1.113883.17.135 fmh Fairfield Memorial Hospital Association Bryan Mitchell masked Bryan Mitchell 303 NW 11th Street Fairfield, IL 62837 618 842 2611 masked Information Systems Director Fairfield Memorial Hospital Association 303 NW 11th Street Fairfield, IL 62837 618 842 2611 bmitchell@fairfieldmemorial.org http://www.fairfieldmemorial.org Provider Int 17 Complete 2013/09/18 12:00:00 2013/10/10 12:00:00 2013/10/10 02:57:55 UV 2.16.840.1.113883.3.1070.5366 mckesson-fusion-5366 mckesson-fusion-5366 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5366 2013/09/18 12:00:00 2013/10/10 12:00:00 2013/10/10 02:59:18 US 2.16.840.1.113883.3.3555 commhosp-al Community Hospital-Tallassee Cindy Taylor masked Cindy Taylor 805 Friendship Road Tallassee, Al. 36078 334-283-3733 masked I.T. Manager Community Hospital 805 Friendship Road Tallassee, Al. 36078 334-283-6541 ctaylor@chal.org http://www.chal.org Provider Int 3 Complete 2013/09/18 12:00:00 2013/10/10 12:00:00 2013/10/10 03:01:04 UV 2.16.840.1.113883.3.1070.5459 mckesson-fusion-5459 mckesson-fusion-5459 Gianna Goodman masked Fusion Enrollment 8775074541 masked Fusion Enrollment gianna_goodman@med3000.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5459 2013/09/19 12:00:00 2013/10/10 12:00:00 2013/10/10 03:06:56 US 2.16.840.1.113883.3.1070.5442 mckesson-fusion-5442 mckesson-fusion-5442 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5442 2013/09/19 12:00:00 2013/10/10 12:00:00 2013/10/10 03:08:26 US 2.16.840.1.113883.3.1070.5454 mckesson-fusion-5454 mckesson-fusion-5454 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5454 2013/09/19 12:00:00 2013/10/10 12:00:00 2013/10/10 03:10:17 US 2.16.840.1.113883.3.1070.5444 mckesson-fusion-5444 mckesson-fusion-5444 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5444 2013/09/19 12:00:00 2013/10/10 12:00:00 2013/10/10 03:11:58 US 2.16.840.1.113883.3.1070.5464 mckesson-fusion-5464 mckesson-fusion-5464 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5464 2013/09/19 12:00:00 2013/10/10 12:00:00 2013/10/10 03:12:50 US 2.16.840.1.113883.3.1070.5460 mckesson-fusion-5460 mckesson-fusion-5460 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5460 2013/09/19 12:00:00 2013/10/10 12:00:00 2013/10/10 03:14:52 US 2.16.840.1.113883.3.1070.5463 mckesson-fusion-5463 mckesson-fusion-5463 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5463 2013/09/19 12:00:00 2013/10/10 12:00:00 2013/10/10 03:16:47 US 2.16.840.1.113883.3.906.8.1 oBaptistHeartSpecialistsJacksonville Baptist Heart Specialists of Jacksonville Darren Koontz masked Darren Koontz 904-202-0788 masked Systems Analyst Baptist Heart Specialists 3451 Beach Blvd Jacksonville, FL 32207 904-202-0788 darren.koontz@bmcjax.com http://www.baptistjax.com/doctors/baptist-heart-specialists Provider 2.16.840.1.113883.3.906 Ext 14 Complete 2.16.840.1.113883.3.906.8.1 2013/09/19 12:00:00 2013/10/10 12:00:00 2013/10/10 03:19:14 UV 2.16.840.1.113883.3.3556 vdh Virginia Department of Health Sara Gowda masked Sara Gowda 109 Governor St, Richmond, VA 8048647110 masked HL7 Messaging Specialist Virginia Department of Health 80478647110 draj.Katangur@vdh.virginia.gov Govt body Int 3 Complete 2013/09/19 12:00:00 2013/10/10 12:00:00 2013/10/10 03:04:26 UV 2.16.840.1.113883.3.176.340 chpcpRepo Repository for CHP CarePlan in Healthix environment Wayne Huang masked Carianne Ragozzino 40 Worth St., 5th Fl. New York, NY 10013 619-646-6742 masked Client Service Manager Abhishek Khowala 40 Worth St., 5th Fl. New York, NY 10013 646-619-6512 akhowala@nyehealth.org Exchange 2.16.840.1.113883.3.176 Ext 17 Complete 2.16.840.1.113883.3.176.340 2013/09/19 12:00:00 2013/10/10 12:00:00 2013/10/10 04:19:00 UV 2.16.840.1.113883.13.250 gec-country GEC Country Codes Tammara Jean Paul masked Tammara Jean Paul 3311 Toledo Rd Hyattsville, MD 20782 301.458.4671 masked Health Informatics Scientist National Center for Health Statistics 301.458.4671 wro9@cdc.gov Govt body Int 13 13 Complete 2013/09/19 12:00:00 2013/10/10 12:00:00 2013/10/10 04:21:33 UV 2.16.840.1.113883.3.3557 sihie-test Southern Illinois Health Information Exchange (Test) Dana Crain masked Southern Illinois Hospital Services Michael Short 1239 E Main Carbondale, IL. 62901 618-351-1900 masked IT Clinical Analyst Southern Illinois Health Information Exchange 1239 E Main Carbondale, IL. 62901 618-351-1900 michael.short@sih.net Provider Int 3 Complete 2013/09/20 12:00:00 2013/10/10 12:00:00 2013/11/25 04:28:38 UV 2.16.840.1.113883.3.3558 sihie-prod Southern Illinois Health Information Exchange (SIHIE) Dana Crain masked Southern Illinois Hospital Services Michael Short 1239 E Main Carbondale Il. 62901 618-351-1900 masked IT Clinical Analyst Southern Illinois Health Information Exchange 1239 E Main Carbondale IL 62901 618-351-1900 michael.short@sih.net Provider Int 3 Complete 2013/09/20 12:00:00 2013/10/10 12:00:00 2013/11/25 04:29:53 UV 2.16.840.1.113883.3.3559 neurology-llp Neurology LLP OID Root Karen Breen masked Karen Breen 402-354-8640 masked office manager Neurology LLP 8901 W Dodge Road, Suite 210 Omaha, NE 68114 402-354-2000 kbreen@Omahaneurology.com Provider Int 3 Complete 2013/09/20 12:00:00 2013/10/10 12:00:00 2013/10/10 04:26:39 UV 2.16.840.1.113883.3.3560 mSH-5 |OSDHMessaging^2.16.840.1.113883.3.1014.4^ISO| Lara Adedokun masked Lara Adedokun 918-710-4409 masked Community Health Connection Community Health Connection 2321 East Third Street Tulsa, OK 74104 918-710-4409 918-622-0641 lara.adedokun@tchc.us Provider Int 3 3 Complete 2013/09/20 12:00:00 2013/10/10 12:00:00 2013/10/10 04:28:42 UV 2.16.840.1.113883.9.56 lmtaaa Lewis Mason Thurston Area Agency on Aging Allan Fisher masked Allan Fisher 2067494313 masked Lewis Mason Thurston Area agency on Aging 4419 Harrison Avenue NW Olympia, WA 98502 2067494313 allan_fisher@uhc.com Provider Int 3 Complete 2013/09/20 12:00:00 2013/10/10 12:00:00 2013/10/10 04:31:18 UV 2.16.840.1.113883.3.3539.99.1 osumc-meditech Oklahoma State University Medical Center Meditech Hospital Information System OID Bruce Lamont masked Carol Gross 744 W 9th St Tulsa, OK 74127 918-599-5370 masked Interface Programmer Oklahoma State University Medical Center 744 W 9th St Tulsa, OK 74127 918-599-5370 cgross@osumc.net http://www.osumc.net Provider 2.16.840.1.113883.3.3539 Ext 14 Complete 2.16.840.1.113883.3.3539.99.1 2013/09/20 12:00:00 2013/10/10 12:00:00 2013/10/10 04:33:09 UV 2.16.840.1.113883.3.3561 oMCLAB Olmsted Medical Center Laboratories Jan West masked Shawn Schran Olmsted Medical Center Attn Jennifer De Clercq 1650 4th Street SE Rochester, MN 55904 507 529 6668 masked LIS Analyst OLMSTED MEDICAL CENTER Olmsted Medical Center Attn Jennifer De Clercq 1650 4th Street SE Rochester, MN 55904 507-529-6695 sschran@olmmed.org http://www.olmmed.org Provider Int 3 3 Complete 2013/09/20 12:00:00 2013/10/10 12:00:00 2023/02/27 03:02:16 2.5.1 US 2.16.840.1.113883.3.3562 asncImageGuide The American Society of Nuclear Cardiology coding system Cindy Kluchar masked Beth Denton 4340 East-West Highway Suite 1120 Bethesda, MD 20832 301-215-7575 masked Assoc. Director of Quality American Society of Nurclear Cardiology 4340 East-West Highway Suite 1120 Bethesda, MD 20832 301-215-7575 edenton@asnc.org http://asnc.org Prof Soc Int 3 Complete 2013/09/22 12:00:00 2013/10/10 12:00:00 2013/10/10 04:45:39 UV 2.16.840.1.113883.3.3563 hsl Hebrew SeniorLife Michelle Martin masked Eric Rogers Michelle Martin 617-971-5734 masked Clinical Analyst Hebrew SeniorLife 1200 Centre Street Roslindale, MA 02131 617-363-8200 http://www.hebrewseniorlife.org/ Provider Int 3 Complete 2013/09/23 12:00:00 2013/10/10 12:00:00 2013/10/10 04:48:16 UV 2.16.840.1.113883.3.105.102 nysdoh-divepi New York State Department of Health Division of Epidemiology Hwa-Gan Chang masked Hwa-Gan Chang 736 Corning Tower Empire State Plaza Albany, NY 12237 518-474-0548 masked Director, Division of Epidemiology Statistical Unit New York State Department of Health Corning Tower Empire State Plaza Albany, NY 12238 http://health.ny.gov http://health.ny.gov Govt body 2.16.840.1.113883.3.105 Ext 14 Complete 2.16.840.1.113883.3.105.102 2013/09/23 12:00:00 2013/10/10 12:00:00 2013/10/10 04:52:47 UV 2.16.840.1.113883.3.3564 frFmsfSynapseRis Syst&#232;me d'information radiologique - Synapse RIS Kamel Bechar masked Kamel Bechar 2 rue louis armand 92600 Asnieres France 0147155515 masked R&D Manager FUJIFILM MEDICAL SYSTEMS FRANCE 0147155515 Kamel_bechar@fujifilm.eu http://www.fujifilm.eu/fr/produits/systemes-medicaux/ Vendor Int 3 Complete 2013/09/23 12:00:00 2013/10/10 12:00:00 2013/10/10 04:50:09 UV 2.16.840.1.113883.9.57 elcentro El Centro Family Health Michael Han masked Michael Han 1001 Medical Arts Ave, NE Albuquerque, NM 87102 505-272-3772 masked Database Administrator El Centro Family Health 1235 8th Street, Las Vegas, NM 87701 505-425-6788 mhan@salud.unm.edu http://www.ecfh.org Provider Int 3 3 Complete 2013/09/23 12:00:00 2013/10/10 12:00:00 2013/10/10 05:15:40 UV 2.16.840.1.113883.9.58 sehtscenter NM SE Heights Center for Family and Community Health Lester Gresham masked Lester Gresham 1001 Medical Arts Ave NE, Albuquerque,, NM 87102 505-277-6574 masked Unit Info Svcs Support Analyst UNM SE Heights Center for Family and Community Health 8200 Central, SE, Albuquerque, NM 87108 505-272-5885 legresham@salud.unm.edu http://hospitals.unm.edu/outpt/family/fh_seh.shtml Provider Int 3 3 Complete 2013/09/23 12:00:00 2013/10/10 12:00:00 2013/10/10 05:17:29 UV 2.16.840.1.113883.9.59 swmesacntr UNM SW Mesa Center for Family and Community Health Tom Burke masked Tom Burke 1001 Medical Arts Ave NE, Albuquerque,, NM 87102 (505) 925-7267 masked Analyst/Programmer III UNM SW Mesa Center for Family and Community Health 301 Unser Blvd, NW, Albuquerque, NM 87121 505-925-4126 tburke@salud.unm.edu http://hospitals.unm.edu/outpt/family/fh_sw.shtml Provider Int 3 3 Complete 2013/09/23 12:00:00 2013/10/10 12:00:00 2013/10/10 05:19:33 UV 2.16.840.1.113883.3.3565 canadianBloodServices Canadian Blood Services Robert Grant masked MHu3@phsa.ca Marc St.Louis 2540 Lancaster Rd. Ottawa, ON K1B 4S5 613-260-6970 masked Manager, IT Security & Risk Management Canadian Blood Services Marc.StLouis@blood.ca http://www.blood.ca/ Provider Int 3 Complete 2013/09/23 12:00:00 2013/10/10 12:00:00 2013/10/10 05:21:26 UV 2.16.840.1.113883.3.3566 acc-tfpm American College of Cardiology--ACCF/AHA Task Force on Performance Measures Melanie Shahriary masked Melanie Shahriary 202-375-6662 masked Director, Performance Measures & Data Standards American College of Cardiology Heart House 2400 N Street, NW Washington, DC 20037 202-375-6000 resource@acc.org http://www.cardiosource.org Prof Soc Int 3 Complete 2013/09/23 12:00:00 2013/10/10 12:00:00 2013/10/10 05:26:28 UV 2.16.840.1.113883.17.136 claycounty Clay County Hospital Ian Kuhlman masked Phil Bute 911 Stacy Burk Drive Flora, IL 62839 618-662-1491 masked IS Manager Clay County Hospital 618-662-2131 phil.bute@claycountyhospital.org Provider Int 17 Complete 2013/09/23 12:00:00 2013/10/10 12:00:00 2014/05/14 11:49:24 UV 2.16.840.1.113883.3.1871.3.111 sapocardvasc SAPO OK Cardiovascular Institute Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst SSMHC 7980 Clayton Rd St Louis, MO 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 17 Complete 2.16.840.1.113883.3.1871.3.111 2013/09/23 12:00:00 2013/10/10 12:00:00 2013/10/10 05:31:28 UV 2.16.840.1.113883.3.3567 ahtltc American HealthTech Bryan O'Neill masked Michael Planchart Bryan O'Neill 601-572-3075 masked American Health Tech 574 Highland Colony Parkway, Suite 200 Ridgeland, MS 39157 (800) 489-2648 mplanchart@healthtech.net Vendor Int 3 Complete 2013/09/23 12:00:00 2013/10/10 12:00:00 2014/07/03 12:03:41 US 2.16.840.1.113883.3.1070.5499 mckesson-fusion-5499 mckesson-fusion-5499 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5499 2013/09/23 12:00:00 2013/10/10 12:00:00 2013/10/10 05:38:25 US 2.16.840.1.113883.17.137 ohiphynum OhioHealth Internal Physician Number Brandon Yoxtheimer masked Brandon Yoxtheimer 755 Thomas Lane Columbus, OH 43214 614-566-5153 masked Systems Analyst OhioHealth 180 East Broad Street #30 Columbus, OH 43215 614-544-4455 orbalerts@ohiohealth.com Provider Int 17 17 Complete 2013/09/23 12:00:00 2013/10/10 12:00:00 2013/10/10 05:40:40 US 2.16.840.1.113883.3.1070.5475 mckesson-fusion-5475 mckesson-fusion-5475 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5475 2013/09/24 12:00:00 2013/10/10 12:00:00 2013/10/10 05:43:30 US 2.16.840.1.113883.3.3568 southcoasthealthsystem Southcoast Health System Moises Frois masked Moises Frois 200 Mill Road Suite 130 Fairhaven, MA 02719 5089733817 masked team Leader- Interfaces Southcoast Health System 101 Page Street New Bedford, MA 02740 800-497-1727 froism@southcoast.org http://www.southcoast.org/ Provider Int 3 Complete 2013/09/24 12:00:00 2013/10/10 12:00:00 2013/10/10 05:35:35 UV 2.16.840.1.113883.3.3569 netsmart Netsmart Matthew Arnheiter masked Matthew Arnheiter 4950 College Blvd Overland Park, KS 66211 913-696-2815 masked VP, Innovations Netsmart marnheiter@ntst.com http://www.ntst.com Vendor Int 3 Complete 2013/09/24 12:00:00 2013/10/10 12:00:00 2013/10/10 05:37:02 UV 2.16.840.1.113883.3.1070.5461 mckesson-fusion-5461 mckesson-fusion-5461 Trish Wilson masked Fusion Enrollment 4047048663 masked Fusion Enrollment trish.wilson@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5461 2013/09/24 12:00:00 2013/10/10 12:00:00 2013/10/10 05:44:57 US 2.16.840.1.113883.3.3570 hchiee27 hchiee27 Hazel Madolid masked Hazel Madolid 321-914-1339 masked Hazel Madolid 1025 West NASA Boulevard Melbourne, Florida 32919-0001 321-914-1339 hmadolid@harris.com Govt body Int 3 3 Complete 2013/09/24 12:00:00 2013/10/17 12:00:00 2013/10/17 01:33:46 UV 2.16.840.1.113883.17.138 shs-charlton Charlton Memorial hospital Moises Frois masked Moises Frois 200 Mill Rd Suite 130 Fairhaven, MA 02719 508-973-3817 masked Team Leader0- Interfaces Southcoast Health System 101 Page Street New Bedford, MA 02740 800-497-1727 froism@southcoast.org http://www.southcoast.org Provider 2.16.840.1.113883.3.3568 Int 17 Complete 2013/09/24 12:00:00 2013/10/17 12:00:00 2013/10/17 01:36:00 UV 2.16.840.1.113883.17.139 shs-tobey Tobey Hospital Moises Frois masked Moises Frois 200 Mill St Suite 130 fairhaven, MA 02719 5089733817 masked Team Leader- Interfaces Southcoast Health System 101 Page St New Bedford, MA 02740 800-497-1727 froism@southcoast.org http://www.southcoast.org Provider 2.16.840.1.113883.3.3568 Int 17 Complete 2013/09/24 12:00:00 2013/10/17 12:00:00 2013/10/17 01:38:01 UV 2.16.840.1.113883.17.140 shs-stlukes St. Luke's Hospital Moises Frois masked Moises Frois 200 Mill St Suite 130 Fairhaven, MA 02719 5089733817 masked Team Leader- Interfaces Southcoast Health System 101 Page St New Bedford, MA 02740 800-497-1727 froism@southcoast.org http://www.southcoast.org Provider 2.16.840.1.113883.3.3568 Int 17 Complete 2013/09/24 12:00:00 2013/10/17 12:00:00 2013/10/17 01:39:35 UV 2.16.840.1.113883.3.3571 sturghosp Sturgis Hospital Rita Denison masked Rita Denison 916 Myrtle Avenue Sturgis, MI 49091 269-659-4454 masked HIS / MM Director Sturgis Hospital 916 Myrtle Avenue Sturgis, MI 49091 269-651-7824 rdenison@sturgishospital.com http://www.sturgishospital.com Provider Int 3 Complete 2013/09/24 12:00:00 2013/10/17 12:00:00 2013/10/17 01:54:24 UV 2.16.840.1.113883.3.3572 rogersvilleVisionClinicOnePartnerHIEOpenEMPIDatabase Rogersville Vision Clinic One Partner HIE Open EMPI Database Marty Smith masked Marty Smith 4238572000 masked Software Dev II Rogersville Vision Clinic marty@lucentglow.com Provider Int 3 Complete 2013/09/24 12:00:00 2013/10/17 12:00:00 2013/10/17 01:57:05 UV 2.16.840.1.113883.3.906.9.1 oBaptistBehavioralHealthJacksonville Baptist Behavioral Health of Jacksonville Darren Koontz masked Darren Koontz 904-202-0788 masked Systems Analyst Baptist Behavioral Health 3451 Beach Blvd Jacksonville, FL 32207 904-202-0788 darren.koontz@bmcjax.com http://www.baptistjax.com/doctors/baptist-behavioral-health Provider 2.16.840.1.113883.3.906 Ext 17 Complete 2.16.840.1.113883.3.906.9.1 2013/09/24 12:00:00 2013/10/17 12:00:00 2013/10/17 02:11:27 UV 2.16.840.1.113883.3.3573 hpa-150 Holyoke Pediatric Associates, LLP Michele Giarusso masked Michele Giarusso 150 Lower Westfield Road Holyoke, Ma. 01040 413-313-0234 masked Practice Administrator Holyoke Pediatric Associates, LLP 150 Lower Westfield Road Holyoke, MA 01040 413-313-0251 beauprea@holypeds.com Provider Int 3 Complete 2013/09/24 12:00:00 2013/10/17 12:00:00 2013/10/17 02:14:31 UV 2.16.840.1.113883.3.3574 iSmart WCH Service Bureau, Inc Olga Khabinskay masked Olga Khabinskay 718-934-6714 masked COO WCH Service Bureau, Inc 3047 Ave U, Brooklyn, NY 718-934-6714 wch@wchsb.com http://www.wchsb.com Vendor Int 3 3 Complete 2013/09/24 12:00:00 2013/10/17 12:00:00 2013/10/17 02:16:22 UV 2.16.840.1.113883.17.141 franklinHosp201 Franklin Hospital District David Williams masked David Williams 201 Bailey Lane Benton, IL 62812 618 439-3161 x344 masked Director of Information Technology Franklin Hospital District 201 Bailey Lane Benton, IL 62812 618 439-3161 david.williams@franklinhospital.net http://www.franklinhospital.net Provider Int 17 Complete 2013/09/24 12:00:00 2013/10/17 12:00:00 2013/10/17 02:19:11 UV 2.16.840.1.113883.17.142 pchfmcparisIL Paris Community Hospital Family Medical Center Edgar Weeks masked Edgar Weeks 721 East Court Street Paris, IL 61944 217-465-4141 masked Information Services Manager Paris Community Hospital 721 East Court Street Paris, IL 61944 217-465-4141 eweeks@pchfmc.com Provider Int 17 Complete 2013/09/24 12:00:00 2013/10/17 12:00:00 2013/10/17 02:21:22 UV 2.16.840.1.113883.3.1070.5474 mckesson-fusion-5474 mckesson-fusion-5474 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5474 2013/09/25 12:00:00 2013/10/17 12:00:00 2013/10/17 02:23:23 US 2.16.840.1.113883.3.3575 snc Southeast Neuroscience Center Jeff Sardella masked Jeff Sardella 8120 Main St. Suite 400 Houma, LA 70360 985-917-3007 masked CTO/IT Manager Southeast Neuroscience Center jsardella@seneuro.org http://www.seneuro.org Provider Int 3 Complete 2013/09/25 12:00:00 2013/10/17 12:00:00 2013/10/17 02:26:16 UV 2.16.840.1.113883.3.2187.5 smcng NextGen Electronic Health Record System James Ranone masked Ted Threadgill NextGen EHR Physician Practice Management 1323 W. 6th Ave Stillwater, OK 74074 405-372-1480 masked PPM Analyst Stillwater Medical Center 1323 W. 6th Ave Stillwater, OK 74074 405-372-1480 jranone@stillwater-medical.org http://www.stillwater-medical.org Provider 2.16.840.1.113883.3.2187 Ext 14 14 Complete 2.16.840.1.113883.3.2187.5 2013/09/25 12:00:00 2013/10/17 12:00:00 2013/10/17 02:40:48 UV 2.16.840.1.113883.3.2187.4 smcmt Meditech Health Care Information System James Ranone masked Chris Roark James Ranone Meditech Health Care Information System 1323 W 6th Ave Stillwater, OK 74074 405.742.5833 masked Integration Engineer Stillwater Medical Center 1323 W. 6th Ave Stillwater, OK 74074 4057425833 croark@stillwater-medical.org Provider 2.16.840.1.113883.3.2187 Ext 14 14 Complete 2.16.840.1.113883.3.2187.4 2013/09/25 12:00:00 2013/10/17 12:00:00 2019/08/15 07:46:53 UV 2.16.840.1.113883.3.2187.5.1 smcncoim North Central Oklahoma Internal Medicine James Ranone masked Chris Roark Ted Threadgill Physician Practice Management 1323 W. 6th Ave Stillwater, OK 74074 405-372-1480 masked Support Analyst Stillwater Medical Center - NextGen EHR 608 S. Hester Stillwater, OK 74074 405-377-8000 tthreadgill@stillwater-medical.org Provider 2.16.840.1.113883.3.2187.5 Ext 14 14 Complete 2.16.840.1.113883.3.2187.5.1 2013/09/25 12:00:00 2013/09/25 12:00:00 2013/09/25 04:49:15 UV 2.16.840.1.113883.3.3576 weatherfordhospauth Weatherford Hospital Authority Kristen Heffel masked Kristen Heffel Weatherord Regional Hospital 3701 East Main Street Weatherford Oklahoma 73096 580-774-4706 masked HIM Director Weatherord Regional Hospital 3701 East Main Street Weatherford Oklahoma 73096 580-774-4706 kheffel@weatherfordhospital.com Provider Int 3 Complete 2013/09/25 12:00:00 2013/10/17 12:00:00 2013/10/17 02:53:44 UV 2.16.840.1.113883.3.3576.1 whaconvcare Weatherford Hospital Authority Convient Care Kristen Heffel masked Kristen Heffel Weatherford Regional Hospital 3701 East Main Street Weatherford, OK 73096 580-774-4706 masked HIM Director Weatherford Hospital Authority 215 N. Kansas Weatherford, OK 73096 580-774-4706 kheffel@weatherfordhospital.com Provider 2.16.840.1.113883.3.3576 Ext 14 14 Complete 2.16.840.1.113883.3.3576.1 2013/09/25 12:00:00 2013/10/17 12:00:00 2013/10/17 02:58:03 UV 2.16.840.1.113883.3.3576.2 whaonsite Weatherford Hospital Authority Onsite Kristen Heffel masked Kristen Heffel Weatherford Regional Hospital 3701 East Main Street Weatherford, OK 73096 580-774-4706 masked HIM Director Weatherford Regional Hospital 3701 East Main Street Weatherford, OK 73096 580-774-4706 kheffel@weatherfordhospital.com Provider 2.16.840.1.113883.3.3576 Ext 14 14 Complete 2.16.840.1.113883.3.3576.2 2013/09/25 12:00:00 2013/10/17 12:00:00 2013/10/17 03:01:55 UV 2.16.840.1.113883.3.3577 ohiplmh Licking Memorial Hospital LaNita Garnack masked Adam Rossbach LaNita Garnack 1320 W Main St Newark, OH 43055 (740) 348-4000 740-348-4038 masked Sr. Systems Analyst OHIP arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2013/09/25 12:00:00 2013/10/21 12:00:00 2013/10/21 02:05:12 UV 2.16.840.1.113883.3.2187.4.2 smclab Stillwater Medical Center Meditech Laboratory Information System James Ranone masked Chris Roark Scott Hubbard 1323 W. 6th Ave Stillwater, OK 74074 405-742-5957 masked MT/Lab Analyst Stillwater Medical Center - Meditech HCIS 1323 W. 6th Ave Stillwater, OK 74074 405-372-1480 shubbard@stillwater-medical.org Provider 2.16.840.1.113883.3.2187 Ext 14 14 Complete 2.16.840.1.113883.3.2187.4.2 2013/09/25 12:00:00 2013/10/21 12:00:00 2013/10/21 02:10:50 UV 2.16.840.1.113883.3.2187.4.1 smcimm Stillwater Medical Center - Vaccinations James Ranone masked Chris Roark Kathy Hawkins 1323 W. 6th Ave Stillwater, OK 74074 405-742-5633 masked NUR Clinical Analyst Stillwater Medical Center - Meditech HCIS 1323 W. 6th Ave Stillwater, OK 74074 405-372-1480 khawkins@stillwater-medical.org Provider 2.16.840.1.113883.3.2187 Ext 14 14 Complete 2.16.840.1.113883.3.2187.4.1 2013/09/25 12:00:00 2013/10/21 12:00:00 2013/10/21 02:09:32 US 2.16.840.1.113883.3.2187.4.3 smcss Stillwater Medical Center - Meditech HCIS - Syndromic Surveillance James Ranone masked Chris Roark Necia Kimber 1323 W. 6th Ave Stillwater, OK 74074 405-742-5804 masked Infection Control RN Stillwater Medical Center - Meditech HCIS 1323 W. 6th Ave Stillwater, OK 74074 405-372-1480 jranone@stillwater-medical.org Provider 2.16.840.1.113883.3.2187 Ext 14 14 Complete 2.16.840.1.113883.3.2187.4.3 2013/09/25 12:00:00 2013/10/21 12:00:00 2013/10/21 02:12:34 UV 2.16.840.1.113883.3.2187.5.1.1 smcncoimimm North Central Oklahoma Internal Medicine - Immunizations James Ranone masked Chris Roark Ted Threadgill 405-533-6069 masked PPM Analyst North Central Oklahoma Internal Medicine 608 S Hester Stillwater, OK 74074 405-377-8000 tthreadgill@stillwater-medical.org Provider 2.16.840.1.113883.3.2187 Ext 14 14 Complete 2.16.840.1.113883.3.2187.5.1.1 2013/09/25 12:00:00 2013/10/21 12:00:00 2013/10/21 02:15:38 UV 2.16.840.1.113883.3.2187.5.3.1 smccpimm Stillwater Medical Center - NextGen - Clinic of Pawnee - Immunizations James Ranone masked Chris Roark Ted Threadgill 405-533-6096 masked PPM Analyst Stillwater Medical Cener - NextGen - Clinic of Pawnee 1323 W. 6th Ave Stillwater, OK 74074 405-372-1480 tthreadgill@stillwater-medical.org Provider 2.16.840.1.113883.3.2187 Ext 14 14 Complete 2.16.840.1.113883.3.2187.5.3.1 2013/09/25 12:00:00 2013/10/21 12:00:00 2013/10/21 02:16:31 UV 2.16.840.1.113883.3.2187.5.2.1 smcpcimm Daniel Brown DO Family Practice - Immunizations James Ranone masked Chris Roark Ted Threadgill 405-533-6096 masked PPM Analyst SMC Primary Care 1323 W 6th Ave Stillwater, OK 74074 405-533-3545 tthreadgill@stillwater-medical.org Provider 2.16.840.1.113883.3.2187 Ext 14 14 Complete 2.16.840.1.113883.3.2187.5.2.1 2013/09/25 12:00:00 2013/10/21 12:00:00 2014/07/29 10:08:33 UV 2.16.840.1.113883.17.143 digestive-dc Digestive Disease Consultants/Oakland Digestive Diseaes Kimberly Metheny masked Kimberly Metheny 44555 Woodward Ave Ste 304 Pontiac, MI 48341 2488583851 masked Office Manager Digestive Disease Consultants/Oakland Digestive Diseases 44555 Woodward Ave Ste 304 Pontiac, MI 48341 248 858-3878 digestivediseaseconsultants@ddcpontiac.com http://www.ddcpontiac.com/ Provider Int 17 Complete 2013/09/25 12:00:00 2013/10/21 12:00:00 2013/10/21 02:20:16 UV 2.16.840.1.113883.3.1070.5478 mckesson-fusion-5478 mckesson-fusion-5478 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5478 2013/09/26 12:00:00 2013/10/21 12:00:00 2013/10/21 02:25:01 UV 2.16.840.1.113883.3.1070.5436 mckesson-fusion-5436 mckesson-fusion-5436 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5436 2013/09/26 12:00:00 2013/10/21 12:00:00 2013/10/21 02:26:37 UV 2.16.840.1.113883.3.1070.5491 mckesson-fusion-5491 mckesson-fusion-5491 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5491 2013/09/26 12:00:00 2013/10/21 12:00:00 2013/10/21 02:28:37 US 2.16.840.1.113883.3.1070.5473 mckesson-fusion-5473 mckesson-fusion 5473 Tiffany Roberts masked Fusion Companion 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5473 2013/09/26 12:00:00 2013/10/21 12:00:00 2013/10/21 02:29:57 US 2.16.840.1.113883.3.2402.200.6796 physicians-computer-company-clients-bcd Physician's Computer Company (PCC) Clients BCD Health Partners, LLC Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6796 2013/09/26 12:00:00 2013/10/21 12:00:00 2013/10/21 02:31:54 UV 2.16.840.1.113883.3.3578 ccnh Cook County North Shore Hospital Nate Marshall masked Pam Faye Pam Faye W 5th St Grand Marais, MN 55604 218-387-3269 masked RN Cook County North Shore Hospital W 5th St Grand Marais, MN 55604 (218) 387-3040 nshorehospital@nshorehospital.com http://www.nshorehospital.com/ Provider Int 3 Complete 2013/09/26 12:00:00 2013/10/21 12:00:00 2013/10/21 02:33:27 UV 2.16.840.1.113883.3.1070.5485 mckesson-fusion-5485 mckesson-fusion-5485 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5485 2013/09/27 12:00:00 2013/10/21 12:00:00 2013/10/21 02:35:00 US 2.16.840.1.113883.3.1070.5412 mckesson-fusion-5412 mckesson-fusion-5412 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5412 2013/09/27 12:00:00 2013/10/21 12:00:00 2013/10/21 02:38:23 US 2.16.840.1.113883.3.3579 bec2211 Bellaire Eye Care Jacqui Pettit masked Jacqui Pettit P.O. Box 891 Cypress, Texas 77410 713-907-4689 masked Billing coordinator Bellaire Eye Care 2501 Holcombe Suite G Houston, Texas 77030 713-942-2187 rtang@neuroeye.com https://www.bellaireeyecare.com Provider Int 3 Complete 2013/09/27 12:00:00 2013/10/21 12:00:00 2013/10/21 02:40:06 UV 2.16.840.1.113883.3.3580 stiglerhwc Stigler Health & Wellness Center, Inc. Stephen Wotring masked Brooke Lattimore Stephen Wotring PO 179 Stigler, OK 74462 918-967-3368 masked IT Director Stigler Health & Wellness Center, Inc. 1505 E Main Stigler, OK 74462 918-967-3368 swotring@thwcinc.com http://www.thwcinc.com Provider Int 3 Complete 2013/09/27 12:00:00 2013/10/21 12:00:00 2013/10/21 02:42:04 UV 2.16.840.1.113883.3.3580.10 stiglerhwc-ehr Stigler Health & Wellness Center, Inc. EHR Stephen Wotring masked Brooke Lattimore Stephen Wotring PO 179 Stigler, OK 74462 918-967-3368 masked IT Director Stigler Health & Wellness Center, Inc. 1505 E Main Stigler, OK 74462 918-967-3368 swotring@thwcinc.com http://www.thwcinc.com Provider 2.16.840.1.113883.3.3580 Ext 14 14 Complete 2.16.840.1.113883.3.3580.10 2013/09/27 12:00:00 2013/10/21 12:00:00 2013/10/21 02:45:26 UV 2.16.840.1.113883.3.1070.5455 mckesson-fusion-5455 mckesson-fusion-5455 JOHNNY MOORE masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5455 2013/09/27 12:00:00 2013/10/21 12:00:00 2013/10/21 02:47:17 US 2.16.840.1.113883.3.3581 millers Miller's Health Systems, Inc Christy Crawford masked Christy Crawford 1690 South County Farm Rd PO Box 4377 Warsaw, IN 46581 574-267-7211 masked Healthcare Development Miller's Health Systems, Inc 1690 South County Farm Rd PO Box 4377 Warsaw, IN 46581 574-267-7211 ccrawford@millersmerrymanor.com Provider Int 3 Complete 2013/09/27 12:00:00 2013/10/21 12:00:00 2013/10/21 02:50:49 UV 2.16.840.1.113883.3.3581.1 mmm-nc Miller's Merry Manor New Carlisle Christy Crawford masked Christy Crawford 1690 South County Farm Rd Po Box 4377 Warsaw, IN 46581 5742677211 masked Healthcare Development Miller's Health Systems, Inc 1690 South County Farm Rd PO Box 4377 Warsaw, IN 46581 574-267-7211 ccrawford@millersmerrymanor.com Provider 2.16.840.1.113883.3.3581 Ext 14 Complete 2.16.840.1.113883.3.3581.1 2013/09/27 12:00:00 2013/10/21 12:00:00 2013/10/21 02:58:35 UV 2.16.840.1.113883.3.3581.2 mmm-wal Miller's Merry Manor Walkerton Megan Eakle masked Christy Crawford 1690 South County Farm Rd Po Box 4377 Warsaw, IN 46581 5742677211 masked Healthcare Development Miller's Health Systems, Inc 1690 South County Farm Rd Po Box 4377 Warsaw, IN 46581 574-267-7211 ccrawford@millersmerrymanor.com Provider 2.16.840.1.113883.3.3581 Ext 14 Complete 2.16.840.1.113883.3.3581.2 2013/09/27 12:00:00 2013/10/21 12:00:00 2013/10/21 03:00:39 UV 2.16.840.1.113883.3.3581.3 mmm-wak Miller's Merry Manor Wakarusa Megan Eakle masked Christy Crawford 1690 South County Farm Rd Po Box 4377 Warsaw, IN 46581 5742677211 masked Healthcare Development Miller's Health Systems, Inc 1690 South County Farm Rd Po Box 4377 Warsaw, IN 46581 5742677211 ccrawford@millersmerrymanor.com Provider 2.16.840.1.113883.3.3581 Ext 14 Complete 2.16.840.1.113883.3.3581.3 2013/09/27 12:00:00 2013/10/21 12:00:00 2013/10/21 03:02:40 UV 2.16.840.1.113883.3.1871.3.193 sapopurtime SAPO Purcell Timeshare Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst SSMHC 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.193 2013/09/28 12:00:00 2013/10/21 12:00:00 2013/10/21 03:13:11 UV 2.16.840.1.113883.3.1871.3.945 afpurcsplty AFSFN Purcell Specialty Clinic Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst SSMHC 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.945 2013/09/28 12:00:00 2013/10/21 12:00:00 2013/10/21 03:16:07 UV 2.16.840.1.113883.3.3582 epd4all Electronic Patient Diary for multiple diseases Falko Benthin masked Falko Benthin Am Springbruch 8 14478 Potsdam Germany +49 331 201 29 78 masked Falko Benthin Am Springbruch 8 14478 Potsdam Germany +49 331 201 29 78 falko@benthinonline.de Academic Int 3 3 Complete 2013/09/28 12:00:00 2013/10/21 12:00:00 2013/10/21 03:18:39 DE 2.16.840.1.113883.3.3583 pacificwestchiro Pacific West Chiropractic LLC Katherine Sill masked Karen Monz Karen Monz 2770 Indian River Blvd, Suite 308 Vero Beach, FL 32960 772-567-0206 masked AZZLY Operations Dept AZZLY 2770 Indian River Blvd, Suite 308 Vero Beach, FL 32960 772-567-0206 vendorservices@azzly.com http://azzly.com Vendor 2.16.840.1.113883.3.662 Int 3 Complete 2013/09/28 12:00:00 2013/10/24 12:00:00 2013/10/24 02:18:00 UV 2.16.840.1.113883.3.3584 drprieto Jordan & Prieto PA Octavio Prieto masked Karen Monz Karen Monz 2770 Indian River Blvd, Suite 308 Vero Beach, FL 32960 772-567-0206 masked AZZLY Operations Dept AZZLY 2770 Indian River Blvd, Suite 308 Vero Beach, FL 32960 772-567-0206 vendorservices@azzly.com http://azzly.com Vendor 2.16.840.1.113883.3.662 Int 3 Complete 2013/09/28 12:00:00 2013/10/24 12:00:00 2013/10/24 02:19:36 UV 2.16.840.1.113883.3.3585 bocafamily Boca Family Practice Mirna Waidele masked Karen Monz Karen Monz 2770 Indian River Blvd, Suite 308, Vero Beach, FL 32960 7725670206 masked AZZLY Operations Dept AZZLY 2770 Indian River Blvd, Suite 308, Vero Beach, FL 32960 7725670206 vendorservices@azzly.com http://azzly.com Vendor 2.16.840.1.113883.3.662 Int 3 Complete 2013/09/28 12:00:00 2013/10/24 12:00:00 2013/10/24 02:21:10 UV 2.16.840.1.113883.3.3586 varkiccc Varki Cancercare Center PA Jolly Varki masked Karen Monz Karen Monz 2770 Indian River Blvd, Suite 308, Vero Beach, FL 32960 772-567-0206 masked AZZLY Operations Dept AZZLY 2770 Indian River Blvd, Suite 308, Vero Beach, FL 32960 772-567-0206 vendorservices@azzly.com http://azzly.com Vendor 2.16.840.1.113883.3.662 Int 3 Complete 2013/09/28 12:00:00 2013/10/24 12:00:00 2013/10/24 02:22:29 UV 2.16.840.1.113883.3.3587 ecc Episcopal Counseling Center of Central Florida, Inc Rita Senecal masked Karen Monz Karen Monz 2770 Indian River Blvd, Suite 308, Vero Beach, FL 32960 772-567-0206 masked AZZLY 2770 Indian River Blvd, Suite 308, Vero Beach, FL 32960 772-567-0206 vendorservices@azzly.com http://azzly.com Vendor 2.16.840.1.113883.3.662 Int 3 Complete 2013/09/28 12:00:00 2013/10/24 12:00:00 2013/10/24 02:23:43 UV 2.16.840.1.113883.3.3588 stuartdx Stuart Diagnostics Center LLC Carol Williams masked Karen Monz Karen Monz 2770 Indian River Blvd, Suite 308, Vero Beach, FL 32960 772-567-0206 masked AZZLY Operations Dept AZZLY 2770 Indian River Blvd, Suite 308, Vero Beach, FL 32960 772-567-0206 vendorservices@azzly.com http://azzly.com Vendor 2.16.840.1.113883.3.662 Int 3 Complete 2013/09/28 12:00:00 2013/10/24 12:00:00 2013/10/24 02:25:03 UV 2.16.840.1.113883.17.144 epd4all-doc Electronic patient diary for multiple diseases document Falko Benthin masked Falko Benthin Am Springbruch 8 14478 Potsdam +49 0031 201 29 78 masked Falko Benthin Am Springbruch 8 14478 Potsdam +49 0031 201 29 78 falko@benthinonline.de Provider Int 17 Complete 2013/09/28 12:00:00 2013/10/24 12:00:00 2013/10/24 02:27:16 UV 2.16.840.1.113883.3.3589 dianeSanders-Cepeda Geriatric and Palliative Care Center of South Florida PA Diane Sanders-Cepeda masked Karen Monz Karen Monz 2770 Indian River Blvd, Suite 308, Vero Beach, FL 32960 772-567-0206 masked AZZLY Operations Dept AZZLY 2770 Indian River Blvd, Suite 308, Vero Beach, FL 32960 772-567-0206 vendorservices@azzly.com http://azzly.com Vendor 2.16.840.1.113883.3.662 Int 3 Complete 2013/09/28 12:00:00 2013/10/24 12:00:00 2013/10/24 02:29:18 UV 2.16.840.1.113883.3.963.5 mercyHealthSystemEpicSTL mercyHealthSystemEpicSTL Brett DiNovi masked Brett DiNovi 3146043263 masked Mercy Health System 3637 Geyer Rd Kirkwood, MO 63122 3143642581 Brett.DiNovi@mercy.net Provider 2.16.840.1.113883.3.963 Ext 3 Complete 2.16.840.1.113883.3.963.5 2013/09/29 12:00:00 2013/10/24 12:00:00 2013/10/24 02:34:06 UV 2.16.840.1.113883.3.963.6 mercyHealthSystemEpicSGF mercyHealthSystemEpicSGF Brett DiNovi masked Brett DiNovi 3146043263 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 3143642581 Brett.DiNovi@mercy.net Provider 2.16.840.1.113883.3.963 Ext 3 Complete 2.16.840.1.113883.3.963.6 2013/09/29 12:00:00 2013/10/24 12:00:00 2013/10/24 02:48:24 UV 2.16.840.1.113883.3.963.4 mercyHealthSystemEpicAOK mercyHealthSystemEpicAOK Brett DiNovi masked Brett DiNovi 3146043263 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 3143642581 Brett.DiNovi@mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.4 2013/09/29 12:00:00 2013/10/24 12:00:00 2013/10/24 02:52:33 UV 2.16.840.1.113883.3.963.5.1 mercyGeneralFacilitySTL mercyGeneralFacilitySTL Brett DiNovi masked Brett DiNovi 3146043263 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 3143642581 Brett.DiNovi@mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.5.1 2013/09/29 12:00:00 2013/10/24 12:00:00 2013/10/24 02:54:29 UV 2.16.840.1.113883.3.963.5.2 mercyGeneralLabSTL mercyGeneralLabSTL Brett DiNovi masked Brett DiNovi 3146043263 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63122 3143642581 Brett.DiNovi@mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.5.2 2013/09/29 12:00:00 2013/10/24 12:00:00 2013/10/24 02:56:04 UV 2.16.840.1.113883.3.963.5.3 mercyGeneralClinicSTL mercyGeneralClinicSTL Brett DiNovi masked Brett DiNovi 3146043263 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 3143642581 Brett.DiNovi@mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.5.3 2013/09/29 12:00:00 2013/10/24 12:00:00 2013/10/24 02:57:35 UV 2.16.840.1.113883.3.963.4.1 mercyGeneralFacilityAOK mercyGeneralFacilityAOK Brett DiNovi masked Brett DiNovi 3146043263 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 3143642581 Brett.DiNovi@mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.4.1 2013/09/29 12:00:00 2013/10/24 12:00:00 2013/10/24 04:39:07 UV 2.16.840.1.113883.3.963.4.2 mercyGeneralLabAOK mercyGeneralLabAOK Brett DiNovi masked Brett DiNovi 3146043263 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 3143642581 Brett.DiNovi@mercy.net Provider 2.16.840.1.113883.3.963 Ext 3 Complete 2.16.840.1.113883.3.963.4.2 2013/09/29 12:00:00 2013/10/24 12:00:00 2013/10/24 04:40:47 UV 2.16.840.1.113883.3.963.4.3 mercyGeneralClinicAOK mercyGeneralClinicAOK Brett DiNovi masked Brett DiNovi 3146043263 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, Mo 63127 3143642581 Brett.DiNovi@mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.4.3 2013/09/29 12:00:00 2013/10/24 12:00:00 2013/10/24 04:42:28 UV 2.16.840.1.113883.3.963.4.5 mercyHealthSystemTibco mercyHealthSystemTibco Brett DiNovi masked Brett DiNovi 3146043263 masked Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63122 3143642581 Brett.DiNovi@mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.4.5 2013/09/29 12:00:00 2013/10/24 12:00:00 2013/10/24 04:44:01 UV 2.16.840.1.113883.3.963.6.1 mercyGeneralFacilitySGF mercyGeneralFacilitySGF Brett DiNovi masked Brett DiNovi 3146043263 masked Mercy Health System 3143642581 Brett.DiNovi@mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.6.1 2013/09/29 12:00:00 2013/10/24 12:00:00 2013/10/24 04:46:38 UV 2.16.840.1.113883.3.963.6.2 mercyGeneralLabSGF mercyGeneralLabSGF Brett DiNovi masked Brett DiNovi 3146043263 masked Application Developer Mercy Health System 3143642581 Brett.DiNovi@mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.6.2 2013/09/29 12:00:00 2013/10/24 12:00:00 2013/10/24 04:49:17 UV 2.16.840.1.113883.3.963.6.3 mercyGeneralClinicSGF mercyGeneralClinicSGF Brett DiNovi masked Brett DiNovi 3146043263 masked Application Developer Mercy Technology Services 3637 Geyer Rd Sunset Hills, MO 63122 MISDEpicInterfaces@mercy.net Provider Ext 17 Complete 2.16.840.1.113883.3.963.6.3 2013/09/29 12:00:00 2013/10/24 12:00:00 2013/10/24 04:50:40 UV 2.16.840.1.113883.3.3590 eCW eClinicalWorks Hemal Shah masked Hemal Shah 2 Technology Drive Westborough, MA 01581 5084750450 ext - 16229 masked IPM eClinicalWorks 2 Technology Drive Westborough, MA 01581 5084750450 hemal.s@eclinicalworks.com http://www.eclinicalworks.com Vendor Int 3 Complete 2013/09/30 12:00:00 2013/10/24 12:00:00 2013/10/24 04:54:34 UV 2.16.840.1.113883.3.963.6.4 mercyGeneralIdentifierSGF mercyGeneralIdentifierSGF Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Technology Services 3637 Geyer Rd Sunset Hills, MO 63122 MISDEpicInterfaces@mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.6.4 2013/09/30 12:00:00 2013/10/24 12:00:00 2013/10/24 04:56:01 UV 2.16.840.1.113883.3.963.6.2.1 mercyLabSGFBeaker mercyLabSGFBeaker Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Technology Services 3637 Geyer Rd Sunset Hills, MO 63122 MISDEpicInterfaces@mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.6.2.1 2013/09/30 12:00:00 2013/10/24 12:00:00 2013/10/24 04:58:20 UV 2.16.840.1.113883.3.3591 ofge-spectacles Optical Fashion Group of Englewood Steven Weisfeld masked Dr. Steven Weisfeld, O.D. 17 Grand Avenue Englewood, NJ 07631 2018941400 masked Optometrist Optical Fashion Group of Englewood 17 Grand Avenue Englewood, NJ 07631 2018941400 spectaclesforu@aol.com http://www.spectaclesnj.com/home/ Provider Int 3 Complete 2013/09/30 12:00:00 2013/10/24 12:00:00 2013/10/24 05:00:26 UV 2.16.840.1.113883.3.963.6.2.2 mercyLabSGFMayo mercyLabSGFMayo Brett DiNovi masked Brett DiNovi 3143642581 masked Mercy Technology Services 3637 Geyer Rd Sunset Hills, MO 63122 MISDEpicInterfaces@mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.6.2.2 2013/09/30 12:00:00 2013/10/24 12:00:00 2013/10/24 05:08:01 UV 2.16.840.1.113883.3.963.6.2.3 mercyLabSGFCerner mercyLabSGFCerner Brett DiNovi masked Brett DiNovi 3143642581 masked Mercy Technology Services 3637 Geyer Rd Sunset Hills, MO 63122 MISDEpicInterfaces@mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.6.2.3 2013/09/30 12:00:00 2013/10/24 12:00:00 2013/10/24 05:10:06 UV 2.16.840.1.113883.3.963.5.2.1 mercyLabSTLBeaker mercyLabSTLBeaker Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Technology Services 3637 Geyer Rd Sunset Hills, MO 63122 MISDEpicInterfaces@mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.5.2.1 2013/09/30 12:00:00 2013/10/24 12:00:00 2013/10/24 05:12:22 UV 2.16.840.1.113883.3.963.5.2.2 mercyLabSTLMayo mercyLabSTLMayo Brett DiNovi masked Brett DiNovi 3143642581 masked Mercy Technology Services 3637 Geyer Rd Sunset Hills, MO 63122 MISDEpicInterfaces@mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.5.2.2 2013/09/30 12:00:00 2013/10/24 12:00:00 2013/10/24 05:14:41 UV 2.16.840.1.113883.3.963.5.2.3 mercyLabSTLCerner mercyLabSTLCerner Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Technology Services 3637 Geyer Rd Sunset Hills, MO 63122 MISDEpicInterfaces@mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.5.2.3 2013/09/30 12:00:00 2013/10/24 12:00:00 2013/10/24 05:16:12 UV 2.16.840.1.1113883.3.3334.30 ceres-sdf DeFehr, Stanley, MD Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 SE DeBell Bldg A Bartlesville OK 74006 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.1113883.3.3334 Ext 17 Complete 2.16.840.1.1113883.3.3334.30 2013/09/30 12:00:00 2013/11/07 12:00:00 2013/11/07 02:25:46 UV 2.16.840.1.113883.3.963.5.2.4 mercyLabSTLQuest mercyLabSTLQuest Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Technology Services 3637 Geyer Rd Sunset Hills, MO 63122 MISDEpicInterfaces@mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.5.2.4 2013/09/30 12:00:00 2013/10/24 12:00:00 2013/10/24 05:21:28 UV 2.16.840.1.113883.3.963.4.2.1 mercyLabAOKBeaker mercyLabAOKBeaker Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Technology Services 3637 Geyer Rd Sunset Hills, MO 63122 MISDEpicInterfaces@mercy.net Provider Ext 17 Complete 2.16.840.1.113883.3.963.4.2.1 2013/09/30 12:00:00 2013/10/24 12:00:00 2013/10/24 05:24:21 UV 2.16.840.1.113883.3.963.4.2.2 mercyLabAOKMayo mercyLabAOKMayo Brett DiNovi masked Brett DiNovi 3143642581 masked Mercy Technology Services 3637 Geyer Rd Sunset Hills, MO 63122 MISDEpicInterfaces@mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.4.2.2 2013/09/30 12:00:00 2013/10/24 12:00:00 2013/10/24 05:25:32 UV 2.16.840.1.113883.3.963.4.2.3 mercyLabAOKCerner mercyLabAOKCerner Brett DiNovi masked Brett DiNovi 3143642581 masked Mercy Technology Services 3637 Geyer Rd Sunset Hills, MO 63122 MISDEpicInterfaces@mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.4.2.3 2013/09/30 12:00:00 2013/10/24 12:00:00 2013/10/24 05:26:55 UV 2.16.840.1.113883.3.3334.31 ceres-gd Dykstra, Gary, DO Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 SE DeBell Bldg A Bartlesville OK 74006 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 17 Complete 2.16.840.1.113883.3.3334.31 2013/09/30 12:00:00 2013/11/07 12:00:00 2013/11/07 02:23:13 UV 2.16.840.1.113883.3.963.4.2.4 mercyLabAOKMeditech mercyLabAOKMeditech Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Technology Services 3637 Geyer Rd Sunset Hills, MO 63122 MISDEpicInterfaces@mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.4.2.4 2013/09/30 12:00:00 2013/10/24 12:00:00 2013/10/24 05:28:34 UV 2.16.840.1.113883.3.3334.32 ceres-ma Mehrle, Anderson MD Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 SE DeBell Bldg A Bartlesville OK 74006 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 17 Complete 2.16.840.1.113883.3.3334.32 2013/09/30 12:00:00 2013/11/07 12:00:00 2013/11/07 02:30:47 UV 2.16.840.1.113883.3.3334.33 ceres-wt Tinker, William MD Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 SE DeBell Bldg A Bartlesville OK 74006 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 17 Complete 2.16.840.1.113883.3.3334.33 2013/09/30 12:00:00 2013/11/07 12:00:00 2013/11/07 02:33:08 UV 2.16.840.1.113883.3.963.4.4 mercyGeneralIdentifierAOK mercyGeneralIdentifierAOK Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Technology Services 3637 Geyer Rd Sunset Hills, MO 63122 MISDEpicInterfaces@mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.4.4 2013/09/30 12:00:00 2013/10/24 12:00:00 2013/10/24 05:32:34 UV 2.16.840.1.113883.3.963.5.4 mercyGeneralIdentifierSGF mercyGeneralIdentifierSGF Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Technology Services MISDEpicInterfaces@mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.5.4 2013/09/30 12:00:00 2013/11/07 12:00:00 2013/11/07 02:18:08 UV 2.16.840.1.113883.3.3334.34 ceres-jjh James J Hutchins MD Reenie Daniel masked Gayle Burden Reenie Daniel 918-331-1830 masked Ceres Medical Practice Management 226 SE DeBell Bldg A Bartlesville OK 74006 918-331-1090 gburden@jpmc.org Provider 2.16.840.1.113883.3.3334 Ext 17 Complete 2.16.840.1.113883.3.3334.34 2013/09/30 12:00:00 2013/11/07 12:00:00 2013/11/07 02:35:54 UV 2.16.840.1.113883.3.963.4.4.1 mercyEMPIAOK mercyEMPIAOK Brett DiNovi masked Brett DiNovi 3143642581 masked Mercy Technology Services 3637 Geyer Rd Sunset Hills, MO 63122 MISDEpicInterfaces@mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.4.4.1 2013/09/30 12:00:00 2013/11/07 12:00:00 2013/11/07 02:41:23 UV 2.16.840.1.113883.3.1070.5449 mckesson-fusion-5449 mckesson-fusion-5449 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5449 2013/09/30 12:00:00 2013/11/07 12:00:00 2013/11/07 02:42:52 US 2.16.840.1.113883.3.963.4.4.2 mercyAccessionAOK mercyAccessionAOK Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Technology Services 3637 Geyer Rd Sunset Hills, MO 63122 MISDEpicInterfaces@mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.4.4.2 2013/09/30 12:00:00 2013/11/07 12:00:00 2013/11/07 02:45:21 UV 2.16.840.1.113883.3.963.5.4.1 mercyEMPISGF mercyEMPISGF Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Technology Services 3637 Geyer Rd Sunset Hills, MO 63122 MISDEpicInterfaces@mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.5.4.1 2013/09/30 12:00:00 2013/11/07 12:00:00 2013/11/07 02:48:42 UV 2.16.840.1.113883.3.963.5.4.2 mercyAccessionSGF mercyAccessionSGF Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Technology Services 3637 Geyer Rd Sunset Hills, MO 63122 MISDEpicInterfaces@mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.5.4.2 2013/09/30 12:00:00 2013/11/07 12:00:00 2013/11/07 02:49:48 UV 2.16.840.1.113883.3.963.6.4.1 mercyEMPISTL mercyEMPISTL Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Technology Services 3637 Geyer Rd Sunset Hills, MO 63122 MISDEpicInterfaces@mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.6.4.1 2013/09/30 12:00:00 2013/11/07 12:00:00 2013/11/07 02:51:19 UV 2.16.840.1.113883.3.963.6.4.2 mercyAccessionSTL mercyAccessionSTL Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Technology Services 3637 Geyer Rd Sunset Hills, MO 63122 MISDEpicInterfaces@mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.6.4.2 2013/09/30 12:00:00 2013/11/07 12:00:00 2013/11/07 02:53:20 UV 2.16.840.1.113883.3.1076.1 wrmc White River Medical Center Danny Kelley masked wevans@wrmc.com Danny Kelley 8702621435 masked Director of Information Systems White River Health System IS@wrmc.com http://www.whiteriverhealthsystem.com Provider 2.16.840.1.113883.3.1076 Ext 14 14 Complete 2.16.840.1.113883.3.1076.1 2013/09/30 12:00:00 2013/11/07 12:00:00 2013/11/07 03:44:20 UV 2.16.840.1.113883.3.1076.2 scmc Stone County Medical Center Danny Kelley masked wevans@wrmc.com Danny Kelley 870-262-1435 masked Director of Information Systems White River Health System IS@wrmc.com http://www.whiteriverhealthsystem.com Provider 2.16.840.1.113883.3.1076 Ext 14 14 Complete 2.16.840.1.113883.3.1076.2 2013/09/30 12:00:00 2013/11/07 12:00:00 2013/11/07 03:45:21 UV 2.16.840.1.113883.3.629.14.70 practice-ColumbusEast Columbus East Internal Medicine Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.70 2013/10/01 12:00:00 2013/11/07 12:00:00 2013/11/07 03:47:41 UV 2.16.840.1.113883.3.629.14.71 practice-PortmanOBGYNAssociates Portman OB/GYN Associates Inc. Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.71 2013/10/01 12:00:00 2013/11/07 12:00:00 2013/11/07 03:49:15 UV 2.16.840.1.113883.3.3592 oklahomaspinehospital Oklahoma Spine Hospital Gary McCool masked Ceil Yowell 4057492794 masked COO NextGen Healthcare 12301 B Riata Trace Parkway Suite 200 Austin,TX 78727 8668372341 InPatientSupport@NextGen.com Provider Int 3 Complete 2013/10/01 12:00:00 2013/11/07 12:00:00 2013/11/07 03:52:01 UV 2.16.840.1.113883.3.3593 pcnhealth-children People of Color Network, Inc.- Children's Services Jason Rentscheler masked Penny Visser Jason Rentscheler 4520 N Central Avenue Suite 580 Phoenix, AZ 85012 480-516-4632 masked EHR Manager People of Color Network- Children's Services 4520 North Central Avenue Suite 565 Phoenix, AZ 85012 602-253-3084 penny@pocn.com http://www.pcnhealth.com/ Provider 2.16.840.1.113883.3.3209 Int 3 Complete 2013/10/01 12:00:00 2013/11/07 12:00:00 2013/11/07 03:59:51 UV 2.16.840.1.113883.3.3594 pcnhealth-capitol People of Color Network, Inc. - Capitol Center Jason Rentscheler masked Penny Visser Jason Rentscheler 4520 North Central Avenue Suite 580 480-516-4632 masked EHR Manager People of Color Network- Capitol Center 1540 West Van Buren Street Phoenix, AZ 85007 602-252-7330 penny@pocn.com http://www.pcnhealth.com Provider 2.16.840.1.113883.3.3209 Int 3 Complete 2013/10/01 12:00:00 2013/11/07 12:00:00 2013/11/07 04:01:32 UV 2.16.840.1.113883.3.3595 pcnhealth-comunidad People of Color Network, Inc. - Comunidad Clinic Jason Rentscheler masked Penny Visser Jason Rentscheler 4520 North Central Avenue Suite 580 Phoenix, AZ 85012 480-516-4632 masked EHR Manager People of Color Network- Comunidad Clinic 1035 East Jefferson Street Phoenix, AZ 85034 602-251-0650 penny@pocn.com http://www.pcnhealth.com Provider 2.16.840.1.113883.3.3209 Int 3 Complete 2013/10/01 12:00:00 2013/11/07 12:00:00 2013/11/07 04:03:08 UV 2.16.840.1.113883.3.3596 pcnhealth-centroesperanza People of Color Network, Inc.- Centro Esperanza Clinic Jason Rentscheler masked Penny Visser Jason Rentscheler 4520 North Central Avenue Suite 580 Phoenix, AZ 85012 480-516-4632 masked EHR Manager People of Color Network- Centro Esperanza Clinic 310 South Extension Road Phoenix, AZ 85210 480-615-3800 penny@pocn.com http://www.pcnhealth.com Provider 2.16.840.1.113883.3.3209 Int 3 Complete 2013/10/01 12:00:00 2013/11/07 12:00:00 2013/11/07 04:04:37 UV 2.16.840.1.113883.3.3597 north-kansas-city-hosptial NorthKansasCityHospital Garrett Carver masked Garrett Carver 2800 Rock Creek PKWY North Kansas City, MO 64117 816-885-8518 masked System Architect North Kansas City Hospital garrett.carver@cerner.com Provider Int 3 Complete 2013/10/01 12:00:00 2013/11/07 12:00:00 2013/11/07 04:06:44 UV 2.16.840.1.113883.3.3598 bjw Brad J. Waronicki, O.D., P.A. Brad Waronicki masked Brad Jeffrey Waronicki 2626 SE Willoughby Blvd. Stuart, FL 34994 772-286-4878 masked Brad J. Waronicki, O.D., P.A. 2626 SE Willoughby Blvd Stuart, FL 34994 772-286-4878 DrWaronicki@tcev.comcastbiz.net http://www.drwaronicki.com Provider Int 3 Complete 2013/10/01 12:00:00 2013/11/07 12:00:00 2013/11/07 04:07:51 UV 2.16.840.1.113883.17.145 pulm Pulmonary Associates Mark McMurtry masked Mark McMurtry Pulmonary Associates, P.C. G-3252 Beecher Rd. Flint, MI 48532 8102306800 masked Office Manager Pulmonary Associates, P.C. Pulmonary Associates, P.C. G-3252 Beecher Rd. Flint, MI 48532 8102306800 markm60@hotmail.com https://www.pulm.org Provider Int 17 Complete 2013/10/01 12:00:00 2013/11/07 12:00:00 2013/11/07 04:10:51 UV 2.16.840.1.113883.3.3599 rgvheartspecialists Rio Grande Heart Specialists OID Root Jeanette Garcia masked Jeanette Garcia 100 E. Ridge Road Ste A Mcallen, Texas 78503 9956) 682-1888 masked Practice Manager Rio Grande Heart specialists 100 E. Ridge Road Ste A Mcallen, Texas 78503 (956) 682-1888 jeanette.garcia@rgvheartspecialists.com Provider Int 3 Complete 2013/10/01 12:00:00 2013/11/07 12:00:00 2013/11/07 04:11:47 UV 2.16.840.1.113883.3.3600 edco EDCO Cheney Hu masked Cheney Hu 4510 N. Lewis Ave. Sioux Falls, SD 57104 605-357-8212 masked VP, Technology EDCO Group Inc 4510 N. Lewis Ave. Sioux Falls, SD 57104 605-357-8212 chu@edcogroupinc.com http://edcohealthinfosolutions.com/ Vendor Int 3 Complete 2013/10/01 12:00:00 2013/11/07 12:00:00 2013/11/07 04:13:07 UV 2.16.840.1.113883.3.963.4.2.5 mercyLabOKC mercyLabOKC Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Technology Services 3637 Geyer Rd Sunset Hills, MO 63122 MISDEpicInterfaces@mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.4.2.5 2013/10/01 12:00:00 2013/11/07 12:00:00 2013/11/07 04:14:39 UV 2.16.840.1.113883.3.3601 oConfluenceHealth Confluence Health Marc Salvatori masked Dan Gaab Jim Garrison 1201 South Miller Street Wenatchee, WA 98807-1887 509-662-1511 masked Enterprise Applications Manager Confluence Health 1201 South Miller Street Wenatchee, WA 98807-1887 509-662-1511 Interfaces@cwhs.com http://confluencehealth.org/ Provider Int 3 Complete 2013/10/01 12:00:00 2013/11/07 12:00:00 2016/10/11 01:57:28 UV 2.16.840.1.113883.3.3602 tottori-u tottori university hospital japan Kei Teramoto masked Kei Teramoto 81-859-38-6892 masked Tottori University Hospital Division of Medical Informatics Tottori University Hospital 81-859-38-6892 kei-tera@umin.net Academic Int 3 Complete 2013/10/02 12:00:00 2013/11/07 12:00:00 2013/11/07 04:21:59 UV 2.16.840.1.113883.3.3603 nog Northwest Optometry Group PA Jeffrey Clauss masked Jeffrey Clauss 117 Sparta Ave Sparta, NJ 07871 973-726-0669 masked CEO Northwest Optometry Group PA 117 Sparta Ave Sparta, NJ 07871 973-726-0669 admin@eyesnj.com Provider Int 3 Complete 2013/10/02 12:00:00 2013/11/07 12:00:00 2013/11/07 04:22:58 UV 2.16.840.1.113883.3.2402.200.372 physicians-computer-company-clients-slpp Physician's Computer Company (PCC) Clients St. Louis Pediatric Practitioners, Inc. Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.372 2013/10/02 12:00:00 2013/11/07 12:00:00 2013/11/07 04:25:51 UV 2.16.840.1.113883.3.3604 mhcsf Memorial Health Care System Fremont Cathy Werner masked Adam Rossbach Cathy Werner 715 South Taft Avenue Fremont, Ohio 43420 419-333-6429 masked Systems Manager CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2013/10/02 12:00:00 2013/11/07 12:00:00 2013/11/07 04:27:46 UV 2.16.840.1.113883.3.3605 northwesteyecaregroup Northwest Eyecare Group Diana Penuela-Oneill masked Diana Penuela-Oneill 8476580120 masked O.D. Northwest Eyecare Group 245 Stonegate Rd Algonquin,IL 60102 8476580120 dianaop13@yahoo.com Provider Int 3 Complete 2013/10/02 12:00:00 2013/11/07 12:00:00 2013/11/07 04:32:14 UV 2.16.840.1.113883.3.3606 coastalneph coastalneph OID Root Ebony Echols masked Ebony Echols 123 Pompano place suite 300 Jacksonville NC, 28540 910-238-2181 masked Medical Assisant Coastal Nephrology 123 Pompano place suite 300 Jacksonville, NC 28540 910-238-2181 mpcailing@aol.com Provider Int 3 Complete 2013/10/02 12:00:00 2013/11/07 12:00:00 2013/11/07 04:33:37 UV 2.16.840.1.113883.3.3607 hma-pulse HMA Pulse OID Daniel Cholvin masked Daniel Cholvin 4300 tamiami trail Naples, FL 34109 2395523545 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/10/02 12:00:00 2013/11/07 12:00:00 2013/11/07 04:35:48 UV 2.16.840.1.113883.3.3608 completecare completecare OID ROOT Brandi Gibson masked Brandi Gibson 2000 Esters Road # 120 Irving, Texas 75061 972-986-7469 masked Practice Admin Complete Care 2000 Esters Road # 120 IRving, Texas 75061 972-986-7469 bgibsonmmc@yahoo.com Provider Int 3 Complete 2013/10/02 12:00:00 2013/11/07 12:00:00 2013/11/07 04:39:28 UV 2.16.840.1.113883.3.3609 lhea Lake Howell Eye Associates Thu Pham masked Dr. Thu Pham, O.D. 2008 Lake Howell Ln. Maitland, FL 32751-5202 407-647-3937 masked Optometrist Lake Howell Eye Associates, LLC 2008 Lake Howell Ln. Maitland, FL 32751-5202 407-647-3937 info@lakehowelleye.com http://www.lakehowelleye.com Provider Int 3 Complete 2013/10/02 12:00:00 2013/11/07 12:00:00 2013/11/07 04:40:46 UV 2.16.840.1.113883.3.3610 saa Surgical Associates of Atlanta, PC Audrey Chitwood masked Audrey Chitwood Audrey Chitwood 550 Peachtree Street NE Suite 1215 Atlanta, GA 30308 (404) 688-1934 masked Office Manager Surgical Associates of Atlanta, PC 550 Peachtree Street NE Suite 1215 Atlanta, GA 30308 (404)688-1934 audrey@georgialapsurgery.com Provider Int 3 Complete 2013/10/02 12:00:00 2013/11/07 12:00:00 2013/11/07 04:43:46 UV 2.16.840.1.113883.3.3611 greenbriarderm Greenbriar OID Root Angelika Salcedo masked Angelika Salcedo 2211 Norfolk St. Suite 405 Houston, TX 77098 713-522-7411 masked Office Manager Greenbriar Dermatology, P.A. 2211 Norfolk St. Suite 405 Houston, TX 77098 713-522-7411 greenbriarderm@gmail.com Provider Int 3 Complete 2013/10/02 12:00:00 2013/11/07 12:00:00 2013/11/07 04:46:38 UV 2.16.840.1.113883.3.1871.3.903 afokhch AFF OK Harper County Hospital Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst SSMHC 7980 Clayton Rd St Louis, MO 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.903 2013/10/03 12:00:00 2013/11/07 12:00:00 2013/11/07 04:49:38 UV 2.16.840.1.113883.3.1070.5446 mckesson-fusion-5446 mckesson-fusion-5446 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5446 2013/10/03 12:00:00 2013/11/07 12:00:00 2013/11/07 04:50:59 US 2.16.840.1.113883.17.146 updda U.P. Digestive Disease Assoc., P.C. Cheryl Liubakka masked Cheri Liubakka 1414 W. Fair Ave., Ste. 247 Marquette, Michigan 49855 906-225-3880 masked Practice Administrator U.P. Digestive Disease Assoc., P.C. 1414 W. Fair Ave., Ste. 247 Marquette, Michigan 49855 906-225-3880 caliubakka@penmed.com Provider Int 17 Complete 2013/10/03 12:00:00 2013/11/07 12:00:00 2013/11/07 04:54:16 UV 2.16.840.1.113883.3.3612 icl Institute for Community Living Edgar Perez masked Edgar Perez 212 385-3030 masked Programmer Institute for Community Living 40 Rector Street, 8th Floor New York, NY 10006 212 385-3030 eperez@iclinc.net http://www.iclinc.net Provider Int 3 Complete 2013/10/03 12:00:00 2013/11/07 12:00:00 2013/11/07 04:56:15 UV 2.16.840.1.113883.3.3613 rscima RS Cardiology and Internal Medicine Mary Briggs masked Mary Briggs 299 Carew Street Ste 410 Springfield, MA 01104 (413) 734-1883 masked Practice Manager RS Cardilology and Internal Medicine 299 Carew Street Ste 410 Springfield, MA 01104 (413) 734-9660 rscim@mapinternet.com Provider Int 3 Complete 2013/10/03 12:00:00 2013/11/07 12:00:00 2013/11/07 04:58:03 UV 2.16.840.1.113883.3.3614 lucid411OID Lucid411OID Mark Ferrel masked Mark Ferrel 301.257.6142 masked CIO Lucid411 301.257.6142 mark.ferrel@lucid411.com http://www.lucid411.com Govt body Int 3 Complete 2013/10/03 12:00:00 2013/11/07 12:00:00 2013/11/07 04:59:50 UV 2.16.840.1.113883.3.3615 rumcbh RUMC Behavioral Health Anton Vilinskiy masked Nancy Taranto 355 Bard Ave. Villa Building Admin. Staten Island, NY 10310 United States 718-818-2313 masked IT Director Richmond University Medical Center 355 Bard Ave. Staten Island, NY 10310 United States 718-818-1234 analysts@rumcsi.org http://www.rumcsi.org Provider Int 3 Complete 2013/10/03 12:00:00 2013/11/07 12:00:00 2013/11/07 05:01:50 UV 2.16.840.1.113883.9.60 facs FACSHL7 Ganesh Ramachandran masked Ganesh Ramachandran 483, N Semoran Blvd, Suite 204 Winterpark, Fl 32792 407-960-5590 masked Project Manager Florida Accountable Care Services 483, N Semoran Blvd, Suite 204 Winterpark, Fl 32792 4079605590 ganesh@floridaaco.com http://floridaaco.com Prof Soc Int 3 Complete 2013/10/03 12:00:00 2014/12/15 12:00:00 2014/12/15 11:35:56 UV 2.16.840.1.113883.3.3616 ca-terms Clinical Architecture Shaun Shakib masked Shaun Shakib 11611 North Meridian Street Suite 500 Carmel, IN 46032 USA +1 (317) 660-6392 masked Chief Informatics Officer Clinical Architecture 11611 North Meridian Street Suite 500 Carmel, IN 46032 USA +1 (317) 580-8400 support@clinicalarchitecture.com http://www.clinicalarchitecture.com Vendor Int 3 Complete 2013/10/03 12:00:00 2013/11/07 12:00:00 2019/06/24 12:35:41 UV 2.16.840.1.113883.3.3617 gsih-UHCServiceBureau GSI Health CareCoordinator Platform Service Bureau - UHC Amy Koizim masked Lori Evans-Bernstein Amy Koizim 8327 Germantown Avenue, Philadelphia, PA 19118 2152754776 masked Manager, Client Solutions GSI Health 8327 Germantown Avenue, Philadelphia, PA 19118 888-206-4237 amy.koizim@gsihealth.com http://www.gsihealth.com Vendor Int 3 Complete 2013/10/04 12:00:00 2013/11/07 12:00:00 2013/11/07 05:06:42 UV 2.16.840.1.113883.9.61 rboi Robert Boissoneault Oncology Institute Drew Anderson masked Drew Anderson 3523698201 masked CIO Robert Boissoneault Oncology Institute 2020 SE 17th Street Ocala, FL 34471 3527320277 danderson@rboi.com http://rboi.com Provider Int 3 Complete 2013/10/04 12:00:00 2013/11/07 12:00:00 2013/11/07 05:08:55 UV 2.16.840.1.113883.3.3618 tecgpv Thomas Eyecare Group Paradise Valley David Thomas masked Clairee Hurley 4324 E. Cactus Road Phoenix, AZ 85032 6029969906 masked Manager Clairee Hurley 4324 E. Cactus Road Phoenix, AZ 85032 6029969906 churleyeyecare@gmail.com Provider Int 3 Complete 2013/10/04 12:00:00 2013/11/07 12:00:00 2013/11/07 05:11:42 UV 2.16.840.1.113883.3.3619 amrita Amrita Ventures OID Root Narinder Anand masked Narinder Anand 10200 Crow Canyon Road Castro Valley, CA 94552 5105120161 masked Amrita Ventures, LLC 10200 Crow Canyon Road Castro Valley, CA 94552 n.anand@amritamedical.com http://www.amritamedical.com Vendor Int 3 Complete 2013/10/07 12:00:00 2013/11/07 12:00:00 2013/11/07 05:13:36 UV 2.16.840.1.113883.3.3620 dphl Delaware Public Health Lab Jerry Hendrickson masked Jerry Hendrickson 417 Federal Street Dover, DE 19901 302-744-4957 masked Information Systems Support Specialist Delaware Public Health Lab 417 Federal Street Dover, DE 19901 302-744-4957 jerry.hendrickson@state.de.us http://www.dhss.delaware.gov/dph/index.html Govt body Int 3 Complete 2013/10/07 12:00:00 2013/11/07 12:00:00 2013/11/07 05:17:24 UV 2.16.840.1.113883.3.3621 jVC JAX VISION CARE, LLC Jeffrey Brown masked Dr Jeffrey Brown 100 West Bay Street Suite 1 Jacksonville, FL 32202 904-356-9431 masked Physician & Owner Jax Vision Care, LLC 100 West Bay Street Suite# 1 Jacksonville,FL 32202 904-356-9431 jvcbilling@gmail.com Provider Int 3 Complete 2013/10/07 12:00:00 2013/11/07 12:00:00 2013/11/07 05:19:07 UV 2.16.840.1.113883.3.3622 jAXVC JAX VISION CARE, LLC Colleen King masked Colleen King 100 West Bay Street Suite# 1 Jacksonville, FL 32202 904-356-9431 masked Physician & Owner Colleen King 100 West Bay Street Suite# 1 Jacksonville, FL 32202 904-356-9431 jvcbilling@gmail.com Provider Int 3 Retired 2013/10/07 12:00:00 2013/11/07 12:00:00 2013/11/07 05:51:42 UV 2.16.840.1.113883.3.3623 organisation-lcg Organisation - LCG Medical Inc. Andrew Sisnett masked Andrew Sisnett 111 rue Duke, Suite 3900 Montreal, Quebec 514-242-7610 masked LCG Medical Inc. 111 rue Duke, Suite 3900 Montreal, Quebec 514-242-7610 asisnett@medesync.com Provider Int 3 3 Complete 2013/10/07 12:00:00 2013/11/07 12:00:00 2013/11/07 05:36:11 UV 2.16.840.1.113883.3.3624 donnachildrensclinic donna childrens clinic OID Root Melissa Gonzalez masked Melissa Gonzalez 307 B. North Daniel Salinas Ave Donna, TX 78537 956-461--2150 masked Office Manager Donna Children's Clinic 307 B. North Daniel Salinas Ave. Donna, TX 78537 956-461-2150 melissagnz@yahoo.com Provider Int 3 Complete 2013/10/07 12:00:00 2013/11/07 12:00:00 2013/11/07 05:38:27 UV 1.2.36.1.2001.1005.46 tasDepartmentOfHealthandHumanServices TAS Department of Health and Human Services Philip Wilford masked TAS Department Of Health and Human Services Steven Levis Level 5/99 Bathurst Street Hobart 03 6166 3983 masked TAS Department of Health and Human Services steven.levis@dhhs.tas.gov.au http://www.dhhs.tas.gov.au Govt body Ext 3 3 Complete 1.2.36.1.2001.1005.46 2013/10/07 12:00:00 2013/11/07 12:00:00 2013/11/07 05:41:52 AU 2.16.840.1.113883.17.147 muconsultanting Meaningful Use Consultant Information Anthony Keith masked Anthony Keith 1368 Custer Avenue SE Unit 221 Atlanta, GA 30316 4049572252 masked Software Consultant VS ANALYTICS LLC 4049572252 anthony.keith@vsanalytics.com Vendor Int 17 Complete 2013/10/08 12:00:00 2013/11/07 12:00:00 2013/11/07 05:44:17 UV 2.16.840.1.113883.3.3625 efc Edwin Fair Community Mental Health Center Jason Smith masked Jason Smith 1500 N 6th Ponca City, OK 74601 5807627561 masked IT Support Edwin Fair Community Mental Health Center 1500 N 6th St. Ponca City, OK 74601 5807627561 efc.tech.support@efcmhc.com http://www.edwinfair.com Provider Int 3 Complete 2013/10/08 12:00:00 2013/11/07 12:00:00 2013/11/07 05:46:35 UV 2.16.840.1.113883.3.3626 friendshipCMHC Friendship Community Mental Health Center Jason Rentscheler masked Michael Smith Jason Rentscheler 4520 North Central Avenue Suite 580 Phoenix, AZ 85012 4805164632 masked Friendship Community Mental Health Center 730 East Highland Avenue Phoenix, AZ 85014 602-241-6656 penny@pocn.com http://friendshipcmhc.org/ Provider 2.16.840.1.113883.3.3209 Int 3 Complete 2013/10/08 12:00:00 2013/11/07 12:00:00 2013/11/07 05:49:39 UV 2.16.840.1.113883.3.3627 iMOD DR IVOR MEYERSON OPTOMETRIST IVOR MEYERSON masked IVOR MEYERSON 1815 HAWTHORNE BLVD SUITE 360 REDONDO BEACH CA 90278 310-542-2251 masked OWNER IVOR MEYERSON OD 1815 HAWTHORNE BLVD SUITE 360 REDONDO BEACH CA 90278 310-542-2251 ivor.meyerson@gmail.com http://www.EyeMeyerson.com Provider Int 3 Complete 2013/10/08 12:00:00 2013/11/15 12:00:00 2013/11/15 03:25:09 UV 2.1.840.1.113883.3.1070.5470 mckesson-fusion-5470 mckesson-fusion-5470 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.1.840.1.113883.3.1070.5470 2013/10/08 12:00:00 2013/11/15 12:00:00 2013/11/15 03:28:41 US 2.16.840.1.113883.3.3628 jasonweinstein Jason Weinstein Jason Weinstein masked Jason Weinstein 1018 N Campbell Ave #2 Chicago, IL 60622 3233608985 masked Jason Weinstein 3233608985 jasonweinstein@hotmail.com Academic Int 3 Complete 2013/10/08 12:00:00 2013/11/15 12:00:00 2013/11/15 03:27:21 UV 2.16.840.1.113883.17.148 rainLiveOak RAIN Live Oak Technology Ayami Tyndall masked Ayammi Tyndall 805-350-0931 masked RAIN Live Oak Technology rsvp@rain.org http://direct.liveoaktech.net Vendor Int 17 Complete 2013/10/08 12:00:00 2013/11/15 12:00:00 2013/11/15 03:30:52 US 1.2.36.1.2001.1005.46.2 tasHealthPatientIDBranch TAS Department of Health and Human Services Patient ID Branch Philip Wilford masked TAS Department Of Health and Human Services Steven Levis Level 5/99 Bathurst Street Hobart 03 6166 3983 masked TAS Department of Health and Human Services steven.levis@dhhs.tas.gov.au http://www.dhhs.tas.gov.au Govt body Ext 14 14 Complete 1.2.36.1.2001.1005.46.2 2013/10/08 12:00:00 2013/11/15 12:00:00 2013/11/15 03:32:48 AU 1.2.36.1.2001.1005.46.2.1 tasHealthClientIdentifier TAS Department of Health and Human Services Client Identifier (THCI) Philip Wilford masked TAS Department Of Health and Human Services Steven Levis Level 5/99 Bathurst Street Hobart 03 6166 3983 masked TAS Department of Health and Human Services steven.levis@dhhs.tas.gov.au http://www.dhhs.tas.gov.au Govt body Ext 13 13 Complete 1.2.36.1.2001.1005.46.2.1 2013/10/08 12:00:00 2013/11/15 12:00:00 2013/11/15 03:34:24 AU 1.3.6.1.4.1.32898.1.4.2.10 shgrh Spectrum Health Grand Rapids Hospitals Michael Dobb masked Michael S. Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 486-4000 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 486-4000 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org Provider 1.3.6.1.4.1.32898.1.4 Ext 4 4 Complete 1.3.6.1.4.1.32898.1.4.2.10 2013/10/09 12:00:00 2013/11/15 12:00:00 2013/11/15 03:38:35 UV 1.3.6.1.4.1.32898.1.4.2.11 shbwh Butterworth Hospital Michael Dobb masked Michael S. Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 486-4000 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 486-4000 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org Provider 1.3.6.1.4.1.32898.1.4 Ext 4 4 Complete 1.3.6.1.4.1.32898.1.4.2.11 2013/10/09 12:00:00 2013/11/15 12:00:00 2013/11/15 03:39:59 UV 1.3.6.1.4.1.32898.1.4.2.12 shblh Blodgett Hospital Michael Dobb masked Michael S. Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 486-4000 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 486-4000 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.12 2013/10/09 12:00:00 2013/11/15 12:00:00 2013/11/15 03:42:08 UV 1.3.6.1.4.1.32898.1.4.2.13 shhdvch Helen DeVos Children's Hospital Michael Dobb masked Michael S. Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 486-4000 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 486-4000 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.13 2013/10/09 12:00:00 2013/11/15 12:00:00 2013/11/15 03:43:34 UV 1.3.6.1.4.1.32898.1.4.2.14 shmhc Meijer Heart Center Michael Dobb masked Michael S. Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 486-4000 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 486-4000 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.14 2013/10/09 12:00:00 2013/11/15 12:00:00 2013/11/15 03:45:10 UV 2.16.840.1.113883.3.3629 mdolinsync MD On-Line InSync Software System Richard Goldstein masked Richard Goldstein 6 Century Drive Parsippany, NJ 07054 973-796-1506 masked Sr Dir Clinical Product Development MD On-Line, Inc 6 Century Drive Parsippany, NJ 07054 973-734-9900 rich@mdol.com http://www.mdol.com Vendor Int 3 Complete 2013/10/09 12:00:00 2013/11/15 12:00:00 2013/11/15 03:52:29 UV 2.16.840.1.113883.3.3630 thedaleassocation The Dale Assocation Maureen Wendt masked Maureen Wendt 315 Bewley Building Lockport, NY 14094 716-433-2414 masked Director The Dale Assocation 315 Bewley Building Lockport, NY 14094 716-433-2414 maureen.wendt@daleassociation.com Provider Int 3 Complete 2013/10/09 12:00:00 2013/11/15 12:00:00 2013/11/15 03:55:43 UV 1.3.6.1.4.1.32898.1.4.2.20 shsch Special Care Hospital Michael Dobb masked Michael S. Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 486-4000 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 486-4000 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.20 2013/10/09 12:00:00 2013/11/15 12:00:00 2013/11/15 03:47:23 UV 2.16.840.1.113883.3.1070.5517 mckesson-fusion-5517 mckesson-fusion-5517 Jennifer Meares masked Jennifer Meares 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5517 2013/10/09 12:00:00 2013/11/15 12:00:00 2013/11/15 03:58:08 US 2.16.840.1.113883.3.3631 bayclinic bayclinic OID Root Debbie Wright masked Debbie Wright 1750 Thompson Road Coos Bay, Or 97420 541-266-4416 masked System Administrator Bay Clinic 1750 Thompson Road Coos Bay, Or 97420 541-269-0333 dwright@bayclinic.net Provider Int 3 Complete 2013/10/09 12:00:00 2013/11/15 12:00:00 2013/11/15 04:21:53 UV 2.16.840.1.113883.3.1070.5494 mckesson-fusion-5494 mckesson-fusion-5494 Harry Callier masked Fusion Enollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5494 2013/10/09 12:00:00 2013/11/15 12:00:00 2013/11/15 04:01:13 US 2.16.840.1.113883.3.3632 arizona-spine-and-joint-hospital Arizona Spine and Joint Hospital Michael Gardner masked Michael Gardner Arizona Spine and Joint Hospital 4620 E. Baseline Road Mesa, Arizona 85206 (888) 706-0310 masked Consultant Arizona Spine and Joint Hospital Arizona Spine and Joint Hospital 4620 E. Baseline Road Mesa, Arizona 85206 (888) 706-0310 mgardner@cornerstone-advisors.com http://www.azspineandjoint.com/contact_us.html Provider Int 3 3 Complete 2013/10/09 12:00:00 2013/11/15 12:00:00 2013/11/15 04:25:14 UV 2.16.840.1.113883.3.3633 lafayette-surgical-specialty-hospital Lafayette Surgical Specialty Hospital Michael Gardner masked Michael Gardner Lafayette Surgical Specialty Hospital 1101 Kaliste Saloom Road Lafayette, LA 70508 (888) 706-0310 masked Consultant Lafayette Surgical Specialty Hospital Lafayette Surgical Specialty Hospital 1101 Kaliste Saloom Road Lafayette, LA 70508 (888) 706-0310 mgardner@cornerstone-advisors.com http://www.lafayettesurgical.com/contact Provider Int 13 3 Complete 2013/10/09 12:00:00 2013/11/15 12:00:00 2013/11/15 04:26:42 UV 2.16.840.1.113883.3.3634 michigan-surgical-hospital Michigan Surgical Hospital Michael Gardner masked Michael Gardner Michigan Surgical Hospital 21230 Dequindre Road Warren, MI 48091 (888) 706-0310 masked Michigan Surgical Hospital Michigan Surgical Hospital 21230 Dequindre Road Warren, MI 48091 (888) 706-0310 mgardner@cornerstone-advisors.com http://michigansurgicalhospital.com/ Provider Int 3 3 Complete 2013/10/09 12:00:00 2013/11/15 12:00:00 2013/11/15 04:29:15 UV 2.16.840.1.113883.3.3635 shahlamed Shahla Medical Associates PA Mary Bell masked Mary Bell Mary Bell 1141 Beach Blvd Jacksonville Beach, Fl 32250 9042493820 masked Office Manager Shahla Medical Associates PA 1141 Beach Blvd Jacksonville Beach, Fl 32250 9042493820 mbell@drshahla.com Provider Int 3 Complete 2013/10/09 12:00:00 2013/11/15 12:00:00 2013/11/15 04:32:28 UV 2.16.840.1.113883.3.3636 northwest-specialty-hospital Northwest Specialty Hospital Michael Gardner masked Michael Gardner Northwest Specialty Hospital 1593 East Polston Avenue Post Falls, ID 83854 (888) 766-0310 masked Northwest Specialty Hospital 1593 East Polston Avenue Post Falls, ID 83854 (888) 766-0310 mgardner@cornerstone-advisors.com http://www.northwestspecialtyhospital.com/ Provider Int 3 Complete 2013/10/09 12:00:00 2013/11/15 12:00:00 2013/11/15 04:34:36 UV 2.16.840.1.113883.3.3637 gcpod GREGORY G. COOK, D.P.M. GREGORY COOK masked GREGORY COOK 1543 LAKELAND HILLS BOULEVARD, SUITE B LAKELAND, FLORIDA 33805-3246 863-682-3395 masked Owner GREGORY G. COOK, D.P.M. 1543 LAKELAND HILLS BOULEVARD SUITE B LAKELAND, FLORIDA 33805-3246 863-682-3395 gcookdpm@gmail.com Provider Int 3 Complete 2013/10/09 12:00:00 2013/11/15 12:00:00 2013/11/15 04:39:59 UV 2.16.840.1.113883.3.3638 oakleaf-surgical-hospital Oakleaf Surgical Hospital Michael Gardner masked Michael Gardner Oakleaf Surgical Hospital 3802 W Oakwood Mall Drive Eau Claire, WI 54701 (888) 706-0310 masked Oakleaf Surgical Hospital 3802 W Oakwood Mall Drive Eau Claire, WI 54701 (888) 706-0310 mgardner@cornerstone-advisors.com http://www.oakleafsurgical.com/ Provider Int 3 Complete 2013/10/09 12:00:00 2013/11/15 12:00:00 2013/11/15 04:42:25 UV 2.16.840.1.113883.3.3639 wmha The Mental Health Association of Westchester Fabianni Builes masked Jim Adasak Jim Adasak 580 White Plains Rd, Suite 510, Tarrytown, NY 10591 914-345-5900 x7503 masked Sr VP of IT The Mental Health Association of Westchester 914-345-5900 AdasekJ@MhaWestchester.org Provider Int 3 3 Complete 2013/10/09 12:00:00 2013/11/15 12:00:00 2013/11/15 04:44:55 UV 2.16.840.1.113883.3.3640 sutter-surgical-hospital-yuba-city Sutter Surgical Hospital - Yuba City Michael Gardner masked Michael Gardner Sutter Surgical Hospital - North Valley455 Plumas Boulevard Yuba City , CA 95991 (888) 706-0310 masked Sutter Surgical Hospital - North Sutter Surgical Hospital - North Valley455 Plumas Boulevard Yuba City, CA 95991 (888) 706-0310 mgardner@cornerstone-advisors.com http://www.suttersurgicalhospitalnorthvalley.org/ Provider Int 3 Complete 2013/10/09 12:00:00 2013/11/15 12:00:00 2013/11/15 06:15:45 UV 2.16.840.1.113883.3.3641 south-texas-spine-and-surgical-hospital South Texas Spine & Surgical Hospital Michael Gardner masked Michael Gardner South Texas Spine & Surgical Hospital 18600 N. Hardy Oak Blvd. San Antonio, Texas 78258 (888) 706-0310 masked South Texas Spine & Surgical Hospital 18600 N. Hardy Oak Blvd. San Antonio, Texas 78258 (888) 706-0310 mgardner@cornerstone-advisors.com http://southtexassurgical.com/ Provider Int 3 Complete 2013/10/09 12:00:00 2013/11/15 12:00:00 2013/11/15 06:17:42 UV 2.16.840.1.113883.3.3642 meverpeds Michael J. Everoski, MD, PC Michael Everoski, MD masked Dale Smith 990 Westbury Road, Ste. 100 Westbury, NY 11590 5163334920 masked Office Manager Michael Everoski, MD 990 Westbury Road, Stje. 100 Westbury, NY 11590 5163334100 daleccc2@gmail.com Provider Int 3 Complete 2013/10/09 12:00:00 2013/11/15 12:00:00 2013/11/15 06:23:19 UV 2.16.840.1.113883.3.1070.5443 mckesson-fusion-5443 mckesson-fusion-5443 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5443 2013/10/09 12:00:00 2013/11/15 12:00:00 2013/11/15 06:25:01 US 2.16.840.1.113883.3.3643 hialeahftctr-123 DR LUIS EIBER LUIS EIBER masked Holly Eiber HOLLY EIBER 4410 WEST 16TH AVENUE SUITE 53 HIALEAH, FLORIDA 33012 3055587437 masked office manager HIALEAH FOOT CENTER 4410 WEST 16TH AVENUE SUITE 53 HIALEAH, FLORIDA 33012 3055587437 queenfoot@aol.com Provider Int 3 Complete 2013/10/09 12:00:00 2013/11/15 12:00:00 2013/11/15 06:29:29 UV 2.16.840.1.113883.3.1070.5535 mckesson-fusion-5535 mckesson-fusion-5535 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5535 2013/10/09 12:00:00 2013/11/15 12:00:00 2013/11/15 06:31:07 US 1.3.6.1.4.1.32898.1.4.2.30 shrch Reed City Hospital Michael Dobb masked Michael S. Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 486-4000 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 486-4000 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.30 2013/10/10 12:00:00 2013/11/15 12:00:00 2013/11/15 06:34:20 UV 1.3.6.1.4.1.32898.1.4.2.40 shgmh Gerber Memorial Hospital Michael Dobb masked Michael S. Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 486-4000 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 486-4000 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.40 2013/10/10 12:00:00 2013/11/15 12:00:00 2013/11/15 06:36:37 UV 1.3.6.1.4.1.32898.1.4.2.50 shuh United Hospital Michael Dobb masked Michael S. Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 486-4000 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 486-4000 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.50 2013/10/10 12:00:00 2013/11/18 12:00:00 2013/11/18 01:30:28 UV 1.3.6.1.4.1.32898.1.4.2.60 shkh Kelsey Hospital Michael Dobb masked Michael S. Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 486-4000 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 486-4000 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.60 2013/10/10 12:00:00 2013/11/18 12:00:00 2013/11/18 01:32:03 UV 1.3.6.1.4.1.32898.1.4.2.70 shzh Zeeland Hospital Michael Dobb masked Michael S. Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 486-4000 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 486-4000 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.70 2013/10/10 12:00:00 2013/11/18 12:00:00 2013/11/18 01:32:48 UV 1.3.6.1.4.1.32898.1.4.2.80 shbrh Big Rapids Hospital Michael Dobb masked Michael S. Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 486-4000 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 486-4000 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.80 2013/10/10 12:00:00 2013/11/18 12:00:00 2013/11/18 01:33:43 UV 1.3.6.1.4.1.32898.1.4.2.90 shlh Ludington Hospital Michael Dobb masked Michael S. Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 486-4000 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 486-4000 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.90 2013/10/10 12:00:00 2013/11/18 12:00:00 2013/11/18 01:34:33 UV 2.1.840.1.113883.3.1070.5501 mckesson-fusion-5501 mckesson-fusion-5501 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.1.840.1.113883.3.1070.5501 2013/10/10 12:00:00 2013/11/18 12:00:00 2013/11/18 01:35:58 US 2.16.840.1.113883.17.149 staunton62088 Community Hospital of Staunton Cheryl Horner masked Michael Ward 6800 State Route 162 Maryville, IL 62062 618-391-5899 masked CIO Community Hospital of Staunton 400 N Caldwell Staunton, Illinois 62088 618-635-2200 wardm@andersonhospital.org http://www.stauntonhospital.org/ Provider Int 17 Complete 2013/10/10 12:00:00 2013/11/18 12:00:00 2020/05/19 12:03:46 UV 2.16.840.1.113883.3.1070.5503 mckesson-fusion-5503 mckesson-fusion-5503 Jennifer Meares masked Jennifer Meares 8775074541 masked mckesson-fusion jennifer.meares@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5503 2013/10/10 12:00:00 2013/11/18 12:00:00 2013/11/18 01:36:58 UV 2.16.840.1.113883.3.1070.5468 mckesson-fusion-5468 mckesson-fusion-5468 Tiffany Roberts masked Fusion Enrollment 877-507-4541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5468 2013/10/10 12:00:00 2013/11/18 12:00:00 2013/11/18 01:38:27 UV 2.16.840.1.113883.3.3644 drkendennis drkendennis OID ROOT Kenrick Dennis masked Dr. Ken Dennis 11900 FM 1960 West Houston, TX 77065 281-469-2676 masked owner Dr. Ken Dennis 11900 FM 1960 West Houston, TX 77065 281-469-2676 drkendennis@hotmail.com http://drkendennis.com Provider Int 3 Complete 2013/10/10 12:00:00 2013/11/18 12:00:00 2013/11/18 01:44:20 UV 2.16.840.1.113883.3.3645 fellowshiphouseinc Fellowship House, Inc. Donald Schultz masked Donald C. Schultz 625 Buffalo Avenue Niagara Falls, NY 14302 716-282-8510, x201 masked Executive Director Fellowship House, Inc. 625 Buffalo Ave. Niagara Falls, NY 14302 716-282-8510 fhouseinc2@aol.com Provider Int 3 Complete 2013/10/10 12:00:00 2013/11/18 12:00:00 2013/11/18 01:47:43 UV 2.16.840.1.113883.3.3646 steward-healthcare Steward Health Care System Mathew Osmanski masked Mathew Osmanski Steward Health Care System 30 Perwal St. Westwood, MA 02090 781-375-3657 masked Senior Application Analyst Steward Health Care System 500 Boylston Street Boston, MA 02116 617-419-4700 CCR.Webmaster@steward.org http://steward.org/ Provider Int 3 Complete 2013/10/10 12:00:00 2013/11/18 12:00:00 2013/11/18 01:50:03 US 2.16.840.1.113883.3.3647 tsiwny Transitional Services Inc Amy Koizim masked TSIWNY Head Amy Koizim 8327 Germantown Avenue, Philadelphia, PA 19118 888-206-4237 masked Director Transitional Services Inc 8327 Germantown Avenue, Philadelphia, PA 19118 888-206-4237 erin.kalafski@gsihealth.com Provider Int 3 Complete 2013/10/10 12:00:00 2013/11/18 12:00:00 2013/11/18 01:52:34 UV 2.16.840.1.113883.3.1070.5527 mckesson-fusion-5527 mckesson-fusion-5527 Tiffany Roberts masked Fusion Enrollment 877-507-4541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5527 2013/10/11 12:00:00 2013/11/18 12:00:00 2013/11/18 02:57:35 US 2.16.840.1.113883.3.1070.5528 mckesson-fusion-5528 mckesson-fusion-5528 Tiffany Roberts masked Fusion Enrollment 877-507-4541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5528 2013/10/11 12:00:00 2013/11/18 12:00:00 2013/11/18 02:59:19 US 2.16.840.1.113883.3.3648 sigmund Sigmund Software John Muller masked John Muller Sigmund Software Lee Farm Corporate Park 83 Wooster Heights Road, Suite 350 United States (the) 845-406-8416 masked John Muller Sigmund Software Sigmund Software Lee Farm Corporate Park 83 Wooster Heights Road, Suite 350 United States (the) 800-448-6975 jmuller@sigmundsoftware.com http://sigmundsoftware.com Vendor Int 3 Complete 2013/10/11 12:00:00 2013/11/18 12:00:00 2023/12/18 01:05:01 UV 2.16.840.1.113883.3.3649 gharris Gregg Harris, DPM Gregg Harris masked Gregg Harris, DPM 9980 Central Park Blvd. North Suite 106 Boca Raton, Florida 33428 561-488-3338 masked podiatrist - president PA. Gregg Harris, DPM 9980 Central Park Blvd. North Suite 106 Boca Raton, FL 33428 561-488-3338 doctoes@gmail.com Provider Int 3 Complete 2013/10/11 12:00:00 2013/11/18 12:00:00 2013/11/18 03:05:06 UV 2.16.840.1.113883.3.3650 b-Bravo1 BELKYS BRAVO MD BELKYS BRAVO masked NORA BARANDIARAN 1920 CORAL WAY MIAMI, FL 33145 3052509910 masked ADMINISTRATOR BELKYS BRAVO MD 1920 CORAL WAY MIAMI, FL 33145 3052509910 BELKYSB@AOL.COM https://belkysbravomd.com Provider Int 3 Complete 2013/10/11 12:00:00 2013/11/18 12:00:00 2013/11/18 03:06:54 UV 2.16.840.1.113883.3.3651 srickmiller srickmiller OID Root Sandy Harper masked Sandy Harper 2150 Josey Ln #202 Carrollton, TX 75006 972-242-0660 masked Office manager/nurse S. Rick Miller, D.P.M., Profession Corporation 2150 Josey Lane #202 Carrollton, TX 75006 972-242-0660 sharper@advancedfootandankledocs.com http://www.advancedfootandankledocs.com Provider Int 3 Complete 2013/10/11 12:00:00 2013/11/18 12:00:00 2013/11/18 03:09:53 UV 2.16.840.1.113883.3.1070.5479 mckesson-fusion-5479 mckesson-fusion-5479 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5479 2013/10/11 12:00:00 2013/11/18 12:00:00 2013/11/18 03:11:13 US 2.16.840.1.113883.3.3652 hwin Healthwin Teresa Smucker masked Melynda Traversa Teresa Smucker 20531 Darden Road South Bend, IN 46637 574-272-0100 masked Administrator Healthwin 20531 Darden Road South Bend, IN 46637 574-272-0100 tsmucker@healthwin.org Provider Int 3 Complete 2013/10/11 12:00:00 2013/11/18 12:00:00 2013/11/18 03:13:46 UV 2.16.840.1.113883.3.3653 astor-services Astor Services for Children & Families Fabianni Builes masked Yvette Bairan Yvette Bairan 6339 Mill Street Rhinebeck,NY 12572 PO Box 5005 8458711097 masked Chief Compliance Officer Astor Services for Children & Families 6339 Mill Street Rhinebeck,NY 12572 PO Box 5005 845-871-1097 ybairan@astorservices.org http://www.astorservices.or Provider Int 3 Complete 2013/10/11 12:00:00 2013/11/18 12:00:00 2013/11/18 03:21:11 UV 2.16.840.1.113883.3.3654 center-for-discovery The Center for Discovery, Inc. Fabianni Builes masked Charlotte Ostman Charlotte Ostman Benmosche Road PO Box 840, Harris NY 12742 845-707-8619 masked Sr. Director Clinical Services The Center for Discovery, Inc. Benmosche Road PO Box 840, Harris NY 12742 845-707-8619 costman@tcfd.org http://tcfd.org Provider Int 3 Complete 2013/10/11 12:00:00 2013/11/18 12:00:00 2013/11/18 03:22:00 UV 2.16.840.1.113883.3.3655 hrhcare Hudson River HealthCare, Inc Fabianni Builes masked David Erickson David Erickson 1037 Main St, Peekskill NY 10566 914-734-8963 masked Project Manager Hudson River Health Care 1037 Main St, Peekskill NY 10566 914-734-8963 derickson@hrhcare.org http://www.hrhcare.org Provider Int 3 Complete 2013/10/11 12:00:00 2013/11/18 12:00:00 2013/11/18 03:22:56 UV 2.16.840.1.113883.3.3656 hudson-valley-community-service Hudson Valley Community Services Fabianni Builes masked Andrea C Straus Andrea C Straus 40 Saw Mill River Road, Hawthorne NY 10532 914-785-8265 masked Exec. Director Hudson Valley Community Services 40 Saw Mill River Road, Hawthorne NY 10532 914-785-8265 AStraus@hudsonvalleycs.org http://www.hudsonvalleycs.org/ Provider Int 3 Complete 2013/10/11 12:00:00 2013/11/18 12:00:00 2016/07/08 11:12:03 UV 2.16.840.1.113883.3.3657 jawonio Jawonio Fabianni Builes masked Marilyn Astarita Marilyn Astarita 260 North Little Tor Road New City, NY 10956 845.708.2042 masked COO Jawonio 260 North Little Tor Road New City, NY 10956 marilyn.astarita@jawonio.org http://www.jawonio.org Provider Int 3 Complete 2013/10/11 12:00:00 2013/11/18 12:00:00 2013/11/18 03:25:20 UV 2.16.840.1.113883.3.3658 mental-health-association-in-orange Mental Health Association of Orange County Fabianni Builes masked Kathleen Morgan Kathleen Morgan 73 James P Kelly Way Middletown, NY 10940 845-342-2400 ext. 227 masked Dir of Finance/HR Mental Health Association of Orange County 73 James P Kelly Way Middletown, NY 10940 kmorgan@mhaorangeny.com http://www.mhaorangeny.com Provider Int 3 Complete 2013/10/11 12:00:00 2013/11/18 12:00:00 2013/11/18 03:27:35 UV 2.16.840.1.113883.3.3659 open-door Open Door Family Medical Centers Fabianni Builes masked Andrea Beltran-Ruggiero Andrea Beltran-Ruggiero 165 Main Street, Ossining NY 10562 914 502-1479 masked Director of Special Programs Open Door Family Medical Centers 165 Main Street, Ossining NY 10562 abeltran@odfmc.org http://www.odfmc.org Provider Int 3 Complete 2013/10/11 12:00:00 2013/11/18 12:00:00 2013/11/18 03:29:13 UV 2.16.840.1.113883.3.3660 the-guidance-center-of-westchester The Guidance Center of Westchester Fabianni Builes masked Amy Gelles Amy Gelles 256 Washington Street Mt. Vernon, NY 10553 9146130670 masked LCSW-R The Guidance Center of Westchester 256 Washington Street Mt. Vernon, NY 10553 agelles@theguidancecenter.org http://www.theguidancecenter.org Provider Int 3 Complete 2013/10/11 12:00:00 2013/11/18 12:00:00 2013/11/18 03:31:14 UV 2.16.840.1.113883.3.3661 ugarc Ulster-Greene ARC Fabianni Builes masked Laurie Kelley John McHugh 471 Albany Avenue Kingston, NY 12401 845-331-4300 masked Executive Director Ulster-Greene ARC 471 Albany Avenue Kingston, NY 12401 johnmc@ugarc.org http://www.ugarc.org Provider Int 3 Complete 2013/10/11 12:00:00 2013/11/18 12:00:00 2013/11/18 03:33:01 UV 2.16.840.1.113883.3.3662 wcjs Westchester Jewish Community Service Fabianni Builes masked Bill Grossman Bill Grossman 845 N Broadway #2 White Plains, NY 10603 (914) 761-0600 x309 masked CTO Westchester Jewish Community Service 845 N Broadway #2 White Plains, NY 10603 BGrossman@wjcs.com http://www.wjcs.com Provider Int 3 Complete 2013/10/11 12:00:00 2013/11/18 12:00:00 2013/11/18 03:35:57 UV 2.16.840.1.113883.3.3663 prs Pain Recovery Solutions Carl Christensen MD masked Carl Christensen MD Carl Christensen MD Pain Recovery Solutions 4870 West Clark #201 Ypsilanti MI 48197 7342185317 masked Physician, Pain Recovery Solutions Pain Recovery Solutions Pain Recovery Solutions 4870 West Clark #201 Ypsilanti MI 48197 7344346600 sherrie@painrecoverysolutions.com http://painrecoverysolutions.com Provider Int 3 Complete 2013/10/12 12:00:00 2013/11/18 12:00:00 2013/11/18 03:38:58 UV 2.16.840.1.113883.3.3664 pFAC Pensacola Foot and Ankle Center JANEL PATTERSON masked Mark A Lambert Janel Patterson 4850 N 9th Ave Pensacola, Fl 32503 8504779015 masked Office Manager Pensacola Foot and Ankle Center 4850 N 9th Ave Pensacola, FL 32503 8504779015 penfootank@gmail.com Provider Int 3 Complete 2013/10/14 12:00:00 2013/11/18 12:00:00 2013/11/18 03:41:17 UV 2.16.840.1.113883.3.3665 sVileMD Stephen A. Vile, MD Deborah Perkins masked Dr. Stephen Vile Deborah Perkins 2101 South Arlington Heights Road Suite 100 Arlington Heights, IL 60005 847-228-6955 masked Practice Manager Stephen A. Vile, MD 2101 South Arlington Heights Road Suite 100 Arlington Heights, IL 60005 847-228-6955 info@myidoctor.com Provider Int 3 Complete 2013/10/14 12:00:00 2013/11/18 12:00:00 2013/11/18 03:42:53 UV 2.16.840.1.113883.3.1070.5511 mckesson-fusion-5511 mckesson-fusion-5511 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5511 2013/10/14 12:00:00 2013/11/18 12:00:00 2013/11/18 03:44:35 US 2.16.840.1.113883.3.3666 cah Cleveland Area Hospital Nicholas Bagley masked Mark Conrath Nicholas Bagley 1401 W. Pawnee Ave. Cleveland, OK 74020 918-706-4779 masked Systems Admin Cleveland Area Hospital 1401 W. Pawnee Ave. Cleveland, OK 74020 918-358-2501 nbagley@clevelandareahsopital.com https://www.clevelandareahospital.com Provider Int 3 Complete 2013/10/14 12:00:00 2013/11/18 12:00:00 2013/11/18 03:53:20 UV 2.16.840.1.113883.3.3666.1 cah-cpsi cleveland area hospital - cpsi Nicholas Bagley masked Mark Conrath Nicholas Bagley 1401 W. Pawnee Ave. Cleveland, OK 74020 918-706-4779 masked Systems Admin Cleveland Area Hospital 1401 W. Pawnee Ave. Cleveland, OK 74020 918-358-2501 nbagley@clevelandareahsopital.com https://www.clevelandareahospital.com Provider 2.16.840.1.113883.3.3666 Ext 14 Complete 2.16.840.1.113883.3.3666.1 2013/10/14 12:00:00 2013/11/18 12:00:00 2013/11/18 03:57:03 UV 1.2.36.1.2001.1005.47 anzsic ANZSIC Philip Wilford masked Grahame Grieve Grahame Grieve 5 Eileen Close, North Warrandyte, VIC 3113 0411867065 masked Australian Bureau of Statisics 45 Benjamin Way Belconnen ACT 2617 1300 135 070 grahame@healthintersections.com.au http://www.abs.gov.au/ausstats/abs@.nsf/mf/1292.0 Govt body Ext 3 Complete 1.2.36.1.2001.1005.47 2013/10/14 12:00:00 2013/11/18 12:00:00 2018/02/18 08:08:30 AU 2.16.840.1.113883.3.3667 salpod Salcedo Podiatry Salcedo Podiatry masked William Salcedo Janice Salcedo 1331 SE Port St. Lucie Blvd., 101 Port St. Lucie, FL 34952 772-337-0014 masked Office Manager Salcedo Podiatry 1331 S E Port St. Lucie Blvd., Suite 101 Port St. Lucie, FL 34952 772-337-0014 salcedopodiatry@gmail.com http://www.salcedopodiatry.com Provider Int 3 Complete 2013/10/15 12:00:00 2013/11/18 12:00:00 2013/11/18 04:01:18 UV 2.16.840.1.113883.3.3668 msmh Mount St Mary's Hospital and Health Center Tak Nobumoto masked Sean Hannam Tak Nobumoto 5300 Military Road Lewiston, NY 14092 716-298-2635 masked Project Manager Mount St Mary's Hospital and Health System 5300 Military Road Lewiston, NY 14092 716-297-4800 tak.nobumoto@msmh.org Provider Int 3 Complete 2013/10/15 12:00:00 2013/11/18 12:00:00 2013/11/18 04:02:51 UV 2.16.840.1.113883.3.3669 bierig Kirt Bierig DO Dave Cochran masked Cynthia Bierig Cynthia Bierig 410 4th St Alva, OK 73717 (580) 327-4533 masked Kirt Bierig DO 410 4th St Alva, OK 73717 (580) 327-4533 dkbierig@cneconnect.com Provider Int 3 Complete 2013/10/15 12:00:00 2013/11/18 12:00:00 2013/11/18 04:04:15 UV 2.16.840.1.113883.3.3670 evolveExchange Evolve Exchange, Inc. Richard Allen masked Andrew Gill 5130 Linton Blvd suite e-3 Delray Beach Fl 33484 855 771 0773 ext109 masked V.P. of IT Technology Evolve Exchange, Inc. 5130 Linton Blvd suite e-3 Delray Beach Fl 33484 855 771 0773/561 637 0651 evolveinfo@evolvecloudexchange.com http://www.evolvecloudexchange.com Vendor Int 3 Complete 2013/10/15 12:00:00 2013/11/18 12:00:00 2013/11/18 04:09:04 ISO UV 2.16.840.1.113883.3.3671 drr Brandon Urology Center Gary Ronay masked Dr. Gary Ronay 503 Eichenfeld Dr. Suite 104 Brandon, FL 33511 813 684-7707 masked MD Brandon Urology Center 503 Eichenfeld Dr. Suite 104 Brandon, FL 33511 813 684 7707 gronay04@gmail.com Provider Int 3 Complete 2013/10/15 12:00:00 2013/11/18 12:00:00 2013/11/18 04:10:58 UV 2.16.840.1.113883.3.3672 tjg Thomas J. Goldstein, OD, P.A. Thomas Goldstein masked Jennifer Goldstein 6301 NW Loop 410, Ste. N-1 San Antonio, TX 78238 2105206353 masked Office Manager Thomas J. Goldstein, OD, P.A. 6301 NW Loop 410, Ste. N-1 San Antonio, TX 78238 2105206353 pv8636@gmail.com Provider Int 3 Complete 2013/10/15 12:00:00 2013/11/18 12:00:00 2013/11/18 04:12:40 UV 2.16.840.1.113883.3.2552.18 dcp Deaconess Cardiovascular Physicians Brandice Walters masked Tamora Graham Brandice Walters 5401 N. Portland Ave, Suite 410 Oklahoma City, OK 73112 405-262-8459 masked Clinic Manager Deaconess Physician Services, LLC 5401 N. Portland Ave, Suite 410 Oklahoma City, OK 73112 405-604-4202 brandice.walters@deaconessokc.com Provider 2.16.840.1.113883.3.2552 Ext 14 Complete 2.16.840.1.113883.3.2552.18 2013/10/15 12:00:00 2013/11/18 12:00:00 2013/11/18 04:14:29 UV 2.16.840.1.113883.17.150 spartahospIL Sparta Community Hospital District Susan Gutjahr masked Susan Gutjahr 818 E Broadway PO Box 297 Sparta, IL 62286 618-443-1431 masked HIT Director Sparta Community Hospital District 818 E Broadway PO Box 297 Sparta, IL 62286 618-443-2177 susang@spartahospital.com http://www.spartahospital.com Provider Int 17 Complete 2013/10/15 12:00:00 2013/11/18 12:00:00 2013/11/18 04:21:27 UV 2.16.840.1.113883.3.3673 guildcare GuildCare Denise DiPaolo masked Denise DiPaolo GuildCare 4520 Military Road Niagara Falls, NY 14305 716-285-3499 masked Community Outreach Worker GuildCare GuildCare 4520 Military Road Niagara Falls, NY 14305 716.285.3499 dipaolod@guildhealth.org Provider Int 3 Complete 2013/10/15 12:00:00 2013/11/18 12:00:00 2013/11/18 04:24:37 UV 2.16.840.1.113883.3.3674 ghvfhc The Greater Hudson Valley Family Health Center Fabianni Builes masked Charlie Ngo Charlie Ngo 147 Lake Street Newburgh, NY 12550 845-926-3611 masked Senior Data Analyst The Greater Hudson Valley Family Health Center 147 Lake Street Newburgh, NY 12550 helpdesk@ghvfhc.org http://www.ghvfhc.org Provider Int 3 3 Complete 2013/10/15 12:00:00 2013/11/18 12:00:00 2013/11/18 04:25:22 UV 2.16.840.1.113883.3.3675 br Breckenridge Medical Clinic Kathy Rem masked Myriah Vandre Kathy Rem 111 Inverness Dr W Englewood, CO 80112 303-643-4264 masked DIR APPL SYSTEMS ANALYST/PROGR Breckenridge Medical Clinic 555 South Park Ave. Breckenridge, CO 80424 970-453-1010 KathrynRem@Centura.Org http://www.centura.org/mountainclinics Provider Int 3 Complete 2013/10/15 12:00:00 2013/11/18 12:00:00 2014/03/31 04:34:46 UV 2.16.840.1.113883.3.3676 cp St. Anthony Copper Mountain Clinic Kathy Rem masked Myriah Vandre Kathy Rem 111 Inverness Dr W Englewood, CO 80112 303-643-4264 masked DIR APPL SYSTEMS ANALYST/PROGR St. Anthony Copper Mountain Clinic 860 Copper Rd. Copper Mountain, CO 80443 970-968-2330 KathrynRem@Centura.Org http://www.centura.org/mountainclinics Provider Int 3 Complete 2013/10/15 12:00:00 2013/11/18 12:00:00 2014/03/31 04:35:54 UV 2.16.840.1.113883.3.3677 ks St. Anthony Keystone Medical Clinic Kathy Rem masked Myriah Vandre Kathy Rem 111 Inverness Dr W Englewood, CO 80112 303-643-4264 masked DIR APPL SYSTEMS ANALYST/PROGR St. Anthony Keystone Medical Clinic 1252 Keystone Rd. Keystone, CO 80435 970-468-6677 KathrynRem@Centura.Org http://www.centura.org/mountainclinics Provider Int 3 Complete 2013/10/15 12:00:00 2013/11/18 12:00:00 2014/03/31 04:36:57 UV 2.16.840.1.113883.3.3678 pwx Cerner Ambulatory ASP Powerworks Dave Cochran masked Mike Warner Mike Warner Cerner Corporation World Headquarters 2800 Rockcreek Parkway Kansas City, MO 64117 816-201-2390 masked Sr Manager Cerner Ambulatory ASP Cerner Corporation World Headquarters 2800 Rockcreek Parkway Kansas City, MO 64117 mwarner@cerner.com http://www.cerner.com Vendor 2.16.840.1.113883.3.13 Int 3 Complete 2013/10/15 12:00:00 2013/11/18 12:00:00 2013/11/18 04:35:22 UV 2.16.840.1.113883.3.3679 mhssoRootOID MentalHealthServicesofSouthernOklahomaRootOID Jered Burright masked Deana Tharp Jered Burright 135 North Muskogee Tahlequah, Oklahoma 74464 918-931-2838 masked Deana Tharp P.O. Box 189 Ardmore, OK 73402 580-223-5070 dtharp@mhsso.org http://www.mhsso.org/ Provider Int 3 Complete 2013/10/15 12:00:00 2013/11/18 12:00:00 2013/11/18 04:36:39 UV 2.16.840.1.113883.3.3680 iSalus-healthcare iSalus healthcare Michael Hall masked Michael Hall 212 W. 10th St Suite B120 Indianapolis, IN 46202 317-275-3951 masked President & CEO iSalus healthcare 212 W. 10th St Suite B120 Indianapolis, IN 46202 317-275-3951 support@isalushealthcare.com http://www.isalushealthcare.com Vendor Int 3 Complete 2013/10/16 12:00:00 2013/11/18 12:00:00 2013/11/18 04:39:00 UV 2.16.840.1.113883.3.3681 ocv One Care Vermont Anthony Esposito masked Lauri Scharf 8028391947 masked Director of IT One Care Vermont 356 Mountain View Drive, Suite 301 Colchester, VT, 05446 8028470033 charles.miceli@onecarevt.org Provider Int 3 Complete 2013/10/16 12:00:00 2013/11/18 12:00:00 2013/11/18 04:41:50 UV 2.16.840.1.113883.3.1070.5469 mckesson-fusion-5469 mckesson-fusion-5469 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5469 2013/10/16 12:00:00 2013/11/18 12:00:00 2013/11/18 04:43:42 UV 2.16.840.1.113883.3.3682 shawneevisionOID Shawnee Vision Source Root OID Jered Burright masked Dr. Marshall Gleckler Jered Burright 135 N. Muskogee Tahlequah, Oklahoma 74464 918-931-2838 masked Dr. Marshall Gleckler 100 E 45th Street Shawnee, OK 74804 405-275-7676 jeredburright@smrtnet.org http://visionsource-drgleckler.com Provider Int 3 Complete 2013/10/16 12:00:00 2013/11/18 12:00:00 2013/11/18 04:45:42 UV 2.16.840.1.113883.3.3683 northwesteyeassociatesRootOID Northwest Eye Associates Root OID Jered Burright masked Jenny Scott Jered Burright 135 N. Muskogee Tahlequah, Oklahoma \74464 918-931-2838 masked Database Adminisrtrator Northwest Eye Associates 400 South Main Shattuck, OK, 73858 580-938-5210 jenny@nweye.net http://www.nweye.net Provider Int 3 Complete 2013/10/16 12:00:00 2013/11/18 12:00:00 2013/11/18 04:47:41 UV 2.16.840.1.113883.3.3684 jwalter M. Jane Walter M. Jane Walter masked M. Jane Walter 386 445-4734 masked M. Jane Walter 11 Florida park drive Palm Coast, Fl 32137 386 445-4734 jwalter19@aol.com Provider Int 3 Complete 2013/10/16 12:00:00 2013/11/18 12:00:00 2013/11/18 04:49:29 UV 2.16.840.1.113883.3.3685 creeksidecancer Creekside Cancer Center Matt O'Rourke masked Matt O'Rourke 303-926-9800 masked Creekside Cancer Center matt.orourke@coloradocyberknife.com Provider Int 3 Complete 2013/10/16 12:00:00 2013/11/18 12:00:00 2013/11/18 04:51:28 UV 2.16.840.1.113883.3.3687 dearborn Western Wayne Family Physicians, PLC Melissa Holt masked Melissa Holt 23870 Michigan Ave. Dearborn MI 48124 313-565-1052 masked Office Manager Western Wayne Physicians 23870 Michigan Ave. Dearborn MI 48124 313-565-1052 wwpdearborn@gmail.com Provider Int 3 Complete 2013/10/16 12:00:00 2013/11/18 12:00:00 2013/11/18 04:58:03 UV 2.16.840.1.113883.3.3687.1 livonia Livonia Office Nicole Pasechnik masked Nicole Pasechnik 37650 Professional Center Dr. Suite 1000 Livonia MI 48154 734-462-0090 masked Office Manager Western Wayne Family Physicians, PLC 37650 Professional Center Dr. Suite 1000 Livonia MI 48154 734-462-0090 npasechn@hotmail.com Provider 2.16.840.1.113883.3.3687 Ext 17 Complete 2.16.840.1.113883.3.3687.1 2013/10/16 12:00:00 2013/11/18 12:00:00 2013/11/18 04:59:49 UV 2.16.840.1.113883.3.1070.5545 mckesson-fusion-5545 mckesson-fusion-5545 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5545 2013/10/16 12:00:00 2013/11/18 12:00:00 2013/11/18 05:01:32 US 2.16.840.1.113883.3.3688 pvp-123 Pioneer Valley Pediatrics Anne Marie Ouimette masked Alex Samol Anne Marie Ouimette 123 Dwight Road, Longmeadow, MA 01106 413-567-1031 masked Practice Administrator Pioneer Valley Pediatrics 123 Dwight Road, Longmeadow, MA 01106 413-567-1031 aouimette@pvpyourmd.com http://www.pvp-peds.com/ Provider Int 3 Complete 2013/10/16 12:00:00 2013/11/18 12:00:00 2013/11/18 05:04:20 UV 2.16.840.1.113883.4.675 aYvaz Dr. Herman Ayvazyan Michael Oakes masked Michael Oakes 401-654-4000 masked Director, IT Dr. Herman Ayvazyan 450 Veterans Memorial Parkway BLDG #12 East Providence, RI 02914 401-434-6464 ginadisanto1@aol.com Provider Int 3 Complete 2013/10/17 12:00:00 2013/11/18 12:00:00 2013/11/18 05:06:33 UV 2.16.840.1.113883.3.3689 apl Affiliated Podiatrists, Ltd. Liliana Cortez masked Affiliated Podiatrists, Ltd Liliana Cortez 4211 N. Cicero Ave. Ste 301 Chicago, IL 60641 (773) 202-8800 masked Office Manager Affiliated Podiatrists, Ltd. 4211 N. Cicero Ave. Ste 301 Chicago, IL 60641 (773) 202-8800 contact@aplfeet.com Provider Int 3 Complete 2013/10/17 12:00:00 2013/11/18 12:00:00 2013/11/18 05:07:56 UV 2.16.840.1.113883.3.3690 rfp Ridge Family Practice Angela Lund masked Ridge Family Practice, P.C. Angela Lund 201 Ridge Street, Suite 201 Council Bluffs, IA 51503 712-322-5899 masked Office Manager Ridge Family Practice 201 Ridge Street, Suite 201 Council Bluffs, IA 51503 7123225899 lund_62@hotmail.com http://ridgefamilypractice.com Provider Int 3 Complete 2013/10/17 12:00:00 2013/11/18 12:00:00 2013/11/18 05:12:10 UV 2.16.840.1.113883.3.3691 mrho Mobridge Regional Hospital & Clinics Angelia Svihovec masked Angelia Svihovec Angelia Svihovec 1401 10th Avenue West Mobridge, SD 57601 605-845-8105 masked CEO Mobridge Regional Hospital & Clinics Mobridge Regional Hospital 1401 10th Avenue West Mobridge, SD 57601 605-845-3692 asvihovec@primecare.org Provider Int 3 3 Complete 2013/10/17 12:00:00 2013/11/18 12:00:00 2013/11/18 05:13:27 UV 2.16.840.1.113883.3.1070.5497 mckesson-fusion-5497 mckesson-fusion-5497 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5497 2013/10/17 12:00:00 2013/11/18 12:00:00 2013/11/18 05:15:22 US 2.16.840.1.113883.3.3692 drcorson RICHARD CORSON MD LLC RICHARD CORSON masked DR RICHARD CORSON 313 COURTYARD DR HILLSBOROUGH, NJ 08844 908-722-9962 masked PHYSICIAN / OWNER RICHARD CORSON MD LLC 313 COURTYARD DR HILLSBOROUGH, NJ 08844 908-722-9962 DRCORSON@EARTHLINK.NET Provider Int 3 Complete 2013/10/17 12:00:00 2013/11/18 12:00:00 2013/11/18 05:17:54 UV 2.16.840.1.113883.3.3693 cava Cardiology And Vascular Associates Nichole Busch masked Annemaire VanHevel Annemarie VanHevel 42557 Woodward Ave Bloomfield Hills Michigan, 48304 248-322-0083 x405 masked IT Manager Cardiology And Vascular Associates 42557 Woodward Ave Bloomfield Hills Michigan, 48304 248-322-0083 avanhevel@cava.cc Provider Int 3 Complete 2013/10/17 12:00:00 2013/11/18 12:00:00 2013/11/18 05:19:09 UV 2.16.840.1.113883.3.1871.3.203 sapofammednrth SAPO Family Medicine North Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst SSMHC 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.203 2013/10/17 12:00:00 2013/11/18 12:00:00 2013/11/18 05:21:46 UV 2.16.840.1.113883.3.1871.3.204 sapointmedfam SAPO Internal Medicine and Family Practice Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst SSMHC 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.204 2013/10/17 12:00:00 2013/11/18 12:00:00 2013/11/18 05:24:27 UV 2.16.840.1.113883.3.1070.5550 mckesson-fusion-5550 mckesson-fusion-5550 Fusion Enrollment masked Jennifer Meares 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5550 2013/10/17 12:00:00 2013/11/18 12:00:00 2013/11/18 05:25:52 US 2.16.840.1.113883.3.541.220 pschrepos Repository for PSCH in Interboro environment Wayne Huang masked Carianne Ragozzino 40 Worth St., 5th Fl New York, NY 10013 6466196742 masked Client Service Manager Carianne Ragozzino 40 Worth St., 5th Fl New York, NY 10013 6466196742 cragozzino@nyehealth.org Exchange 2.16.840.1.113883.3.541 Ext 17 Complete 2.16.840.1.113883.3.541.220 2013/10/17 12:00:00 2013/11/25 12:00:00 2013/11/25 02:32:30 UV 2.16.840.1.113883.3.3693.1 berk CAVA Berkley Nichole Busch masked Annemarie VanHevel Annemarie VanHevel 42557 Woodward Ave Bloomfield Hills Michigan 48304 248-322-0083 x405 masked IT Manager Cardiology And Vascular Associates 42557 Woodward Ave Bloomfield Hills Michigan 48304 248-322-0083 avanhevel@cava.cc Provider 2.16.840.1.113883.3.3693 Ext 17 17 Complete 2.16.840.1.113883.3.3693.1 2013/10/17 12:00:00 2013/11/25 12:00:00 2013/11/25 02:42:43 UV 2.16.840.1.113883.3.3693.2 waterford CAVA Waterford Nichole Busch masked Annemarie VanHevel Annemarie VanHevel 42557 Woodward Ave Bloomfiled Hills Michigan, 48304 248-322-0083 x405 masked IT Manager Cardiology And Vascular Associates 42557 Woodward Ave Bloomfiled Hills Michigan, 48304 248-322-0083 avanhevel@cava.cc Provider 2.16.840.1.113883.3.3693 Ext 17 Complete 2.16.840.1.113883.3.3693.2 2013/10/17 12:00:00 2013/11/25 12:00:00 2013/11/25 02:51:44 UV 2.16.840.1.113883.3.3693.3 hv Commerce-Huron Valley Nichole Busch masked Annemarie VanHevel Annemarie VanHevel 42557 Woodward Ave Bloomfield Hills Michigan 48304 248-322-0083 x405 masked IT Manager Cardiology And Vascular Associates 42557 Woodward Ave Bloomfield Hills Michigan 48304 248-322-0083 avanhevel@cava.cc Provider 2.16.840.1.113883.3.3693 Ext 17 Complete 2.16.840.1.113883.3.3693.3 2013/10/17 12:00:00 2013/11/25 12:00:00 2013/11/25 02:53:39 UV 2.16.840.1.113883.3.3693.4 clark CAVA Clarkston Nichole Busch masked Annemarie VanHevel Annemarie VanHevel 42557 Woodward Ave Bloomfield Hills Michigan 48304 248-322-0083 x405 masked IT Manager Cardiology And Vascular Associates 42557 Woodward Ave Bloomfield Hills Michigan 48304 248-322-0083 avanhevel@cava.cc Provider 2.16.840.1.113883.3.3693 Ext 17 Complete 2.16.840.1.113883.3.3693.4 2013/10/17 12:00:00 2013/11/25 12:00:00 2013/11/25 02:56:10 UV 2.16.840.1.113883.17.151 keith-Michl Keith Michl, MD Craig Hill masked Kim Pitts Craig Hill 144 Main Street, Suite 1 Montpelier, Vermont 05602 802.223.4100 8028391966 masked Project Manager Keith Michl, MD 7252 Main Street Manchester Ctr, VT 05255 (802) 362-9031 drmichlstaff@mdvip.com Provider Int 17 Complete 2013/10/17 12:00:00 2013/11/25 12:00:00 2013/11/25 02:59:55 US 2.16.840.1.113883.3.3694 beaconCenter BUFFALO BEACON CORPORATION d/b/a BEACON CENTER ADAM COLE masked JNICASTRO@BEACONCENTER.NET ADAM COLE 3131 SHERIDAN DRIVE STE 106 AMHERST, NY 14226 7163321139 masked IT DIRECTOR NYS OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES LEGAL@OASAS.NY.GOV http://www.oasas.ny.gov Govt body Int 3 Complete 2013/10/17 12:00:00 2013/11/25 12:00:00 2013/11/25 03:03:31 UV 2.16.840.1.113883.9.62 a-PC Adult Primary Care Sun Tien Lin masked Sun Tien Lin 125 Liberty Street Suite 204 Springfield, MA 4137884321 masked MD Adult Primary Care 125 Liberty Street Suite 204 Springfield, MA 4137884321 chushanzing@yahoo.com Provider Int 3 Complete 2013/10/17 12:00:00 2013/11/25 12:00:00 2013/11/25 03:06:54 US 2.16.840.1.113883.3.3693.5 bloom CAVA Bloomfield Nichole Busch masked Annemarie VanHevel Annemarie VanHevel 42557 Woodward Ave Bloomfield Hills Michigan 48304 248-322-0083 x405 masked IT Manager Cardiology And Vascular Associates 42557 Woodward Ave Bloomfield Hills Michigan 48304 248-322-0083 avanhevel@cava.cc Provider 2.16.840.1.113883.3.3693 Ext 17 Complete 2.16.840.1.113883.3.3693.5 2013/10/18 12:00:00 2013/11/25 12:00:00 2013/11/25 03:13:45 UV 2.16.840.1.113883.3.1070.5227 mckesson-fusion-5227 mckesson-fusion-5227 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5227 2013/10/18 12:00:00 2013/11/25 12:00:00 2013/11/25 03:15:13 US 2.16.840.1.113883.3.3194.3 drkirsch Dr. Lee A Kirsch Rachelle Enright masked tsmith@hpillc.org Rachelle Enright 14024 Quail Pointe Drive Oklahoma City, OK 73134 405-419-7758 masked Applications Analyst Healthcare Partners Investments 14024 Quail Pointe Drive Oklahoma City, OK 73134 405-419-7758 renright@hpillc.org https://www.hpillc.org Provider 2.16.840.1.113883.3.3194 Ext 14 Complete 2.16.840.1.113883.3.3194.3 2013/10/18 12:00:00 2013/11/25 12:00:00 2013/11/25 03:17:19 UV 2.16.840.1.113883.3.3194.4 drlimbaugh Dr. M Carl Limbaugh Rachelle Enright masked tsmith@hpillc.org Rachelle Enright 14024 Quail Pointe Drive Oklahoma City, OK 73134 405-419-7758 masked Applications Analyst Healthcare Partners Investments 14024 Quail Pointe Drive Oklahoma City, OK 73134 405-419-7758 renright@hpillc.org https://www.hpillc.org Provider 2.16.840.1.113883.3.3194 Ext 14 Complete 2.16.840.1.113883.3.3194.4 2013/10/18 12:00:00 2013/11/25 12:00:00 2013/11/25 03:18:25 UV 2.16.840.1.113883.3.541.221 susrepos Repository for SUS in Interboro environment Wayne Huang masked Carianne Ragozzino 40 Worth St., 5th Fl New York, NY 10013 6466196742 masked Client Service Manager Carianne Ragozzino 40 Worth St., 5th Fl New York, NY 10013 6466196742 cragozzino@nyehealth.org Exchange 2.16.840.1.113883.3.541 Ext 17 Complete 2.16.840.1.113883.3.541.221 2013/10/18 12:00:00 2013/11/25 12:00:00 2013/11/25 03:22:04 UV 2.16.840.1.113883.3.1070.5542 mckesson-fusion-5542 mckesson-fusion-5542 Jennifer Meares masked Jennifer Meares 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5542 2013/10/18 12:00:00 2013/11/25 12:00:00 2013/11/25 03:25:14 US 2.16.840.1.113883.3.3696 nchc Northern Counties Health Care, Inc. Stephen West-Fisher masked Stephen West-Fisher 165 Sherman Dr. St. Johnsbury, VT 05819 8027489405 masked Director of Information Systems Northern Counties Health Care, Inc. 165 Sherman Dr. St. Johnsbury, VT 05819 8027484550 stephenw@nchcvt.org http://www.nchcvt.org Provider Int 3 Complete 2013/10/18 12:00:00 2013/11/25 12:00:00 2013/11/25 03:27:59 UV 2.16.840.1.113883.3.3697 ahis-AZTUC AHIS -- AZTUC Ministry Root Steven McCabe masked Steven McCabe Carondelet Health Network IS Department 1802 W. St. Mary's Rd. Tucson, AZ 85745 520-770-6496 masked Solutions Development Specialist Ascension Health Information Services Carondelet Health Network IS Department Tucson, AZ 520-770-6496 steve.mccabe@carondelet.org http://www.carondelet.org Provider 2.16.840.1.113883.3.388 Int 3 Complete 2013/10/18 12:00:00 2013/11/25 12:00:00 2013/11/25 03:30:22 UV 2.16.840.1.113883.13.251 merlinID eMerlin Objekto Juan Carlos Parra Bernal masked Juan Carlos Parra Bernal Calle 87 No. - 7 52 Apto. 202 Bogot&#225;, Colombia 2565879 masked Creator - Administrator eMerlin normo@e-merlin.com https://e-merlin.com Vendor Int 3 13 Complete 2013/10/18 12:00:00 2013/11/25 12:00:00 2013/11/25 03:40:33 CO 2.16.840.1.113883.3.3698 pallab2801 Physician's Automated Laboratory, Inc Donald Robinson masked Donald Robinson 2801 H Street Bakersfield, CA 93301 661-325-0744 masked Physician's Automated Laboratory, Inc. 2801 H Street Bakersfield, CA 93301 661-325-0744 drobinson@pallab.onmicrosoft.com Provider Int 3 Complete 2013/10/18 12:00:00 2013/11/25 12:00:00 2013/11/25 03:43:13 US 2.16.840.1.113883.3.1070.5530 mckesson-fusion-5530 mckesson-fusion-5530 Gianna Goodman masked Fusion Enrollment 8775074541 masked Fusion Enrollment gianna_goodman@med3000.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5530 2013/10/21 12:00:00 2013/11/25 12:00:00 2013/11/25 03:45:00 UV 2.16.840.1.113883.3.3699 bhc-24 Brookhaven Clinic Michele Murray masked Kim Floyd Michele Murray 2400 Palmer Circle Norman, OK 73069 4053102484 masked Insurance Clerk Brookhaven Clinic 2400 Palmer Circle Norman, OK 73069 4053102484 chele1323@yahoo.com Provider Int 3 Complete 2013/10/21 12:00:00 2013/11/25 12:00:00 2013/11/25 03:47:06 UV 2.16.840.1.113883.3.3700 consensus-cloud-solutions Consensus Cloud Solutions Inc. Derek Bush masked Matt Baker 700 South Flower Street Suite 1500 Los Angeles, California 90017 (844) 804-1234 masked Associate Director, Product Management Consensus Cloud Solutions 700 South Flower Street Suite 1500 Los Angeles, California 90017 (844) 804-1234 product.health@consensus.com http://www.consensus.com Vendor Int 3 Complete 2013/10/21 12:00:00 2013/11/25 12:00:00 2023/05/24 11:02:18 UV 2.16.840.1.113883.3.3701 hcv Holy Cross Village at Notre Dame Jack Mueller masked Jack Mueller 5742513251 masked Director of Campus Operations Holy Cross Village at Notre Dame 54515 State Road 933 North Notre Dame, IN 46556 5742871838 jmueller@holycrossvillage.com Provider Int 3 Complete 2013/10/21 12:00:00 2013/11/25 12:00:00 2013/11/25 03:57:51 UV 2.16.840.1.113883.3.3702 qie Qvera Interface Engine Gary Meyer masked Sam Shapiro Gary Meyer Qvera 265 N Main, Suite D140 Kaysville, UT 84037 (801) 335-5101 masked Director of Customer Support Qvera Qvera 265 N Main, Suite D140 Kaysville, UT 84037 (801) 335-5101 info@qvera.com http://www.qvera.com Vendor Int 3 Complete 2013/10/21 12:00:00 2013/11/25 12:00:00 2013/11/25 03:59:31 UV 2.16.840.1.113883.3.3703 ccoOK Coordinated Care Oklahoma Jennifer Pardee masked Jennifer Pardee 111 N. Peters Ave Suite 100 Norman, OK 73069 918-207-6060 masked VP of Sales & Marketing Coordinated Care Oklahoma 405-701-3515 info@coordinatedcare-ok.com http://www.coordinatedcare-ok.com/ Exchange Int 3 Complete 2013/10/21 12:00:00 2013/11/25 12:00:00 2013/11/25 04:00:59 UV 2.16.840.1.113883.3.3704 docutap docutap Eric Merrill masked Kyle Mertens DocuTAP 101 S. Phillips Avenue, Suite 300 Sioux Falls, SD 57104 877-697-4696 masked Interface Lead DocuTAP DocuTAP 101 S. Phillips Avenue, Suite 300 Sioux Falls, SD 57104 877-697-4696 kmertens@docutap.com http://docutap.com/ Vendor Int 3 Complete 2013/10/21 12:00:00 2013/11/25 12:00:00 2015/04/01 03:24:49 UV 2.16.840.1.113883.3.3705 mhsOIDTraining Millennium Health System Gary Meyer masked Gary Meyer 265 N Main, Suite D140 Kaysville, UT 84037 (682) 234-3621 masked Millennium Health System 123 Riverside Dr. Dream Town, USA 87433 (801) 123-4567 training@mhs.com http://www.oidTraining@msh.com Provider Int 3 Complete 2013/10/21 12:00:00 2013/11/25 12:00:00 2013/11/25 04:06:37 UV 2.16.840.1.113883.4.676 ec-OIDTraining Eastside Clinic Gary Meyer masked Gary Meyer 265 N Main, Suite D140 (682) 234-3621 masked Eastside Clinic 234 Mountain Dr. Dream Town, USA 87433 (801) 234-5678 training@ec.org http://www.oidTraining@ec.org Provider 2.16.840.1.113883.3.3705 Int 2.16.840.1.113883.3.3705.2 17 Retired 2013/10/21 12:00:00 2013/12/09 12:00:00 2013/12/09 02:33:00 UV 2.16.840.1.113883.3.3706 sc-OIDTraining Southside Clinic Gary Meyer masked Gary Meyer 265 N Main, Suite D140 (682) 234-3621 masked Southside Clinic 345 Ocean Dr. Dream Town, USA 87433 (801) 345-6789 training@sc.com http://www.oidTraining@sc.org Provider 2.16.840.1.113883.3.3705 Int 2.16.840.1.113883.3.3705.1 3 Retired 2013/10/21 12:00:00 2013/12/09 12:00:00 2013/12/09 02:38:41 UV 2.16.840.1.113883.4.677 ssc-OIDTraining Southside Cardiology Gary Meyer masked Gary Meyer 265 N Main, Suite D140 Kaysville, UT 84037 (682) 234-3621 masked Southside Cardiology 456 Green Pastures Dr. Dream Town, USA 84733 (801) 456-7890 training@ssc.com http://www.oidTraining@ssc.org Provider 2.16.840.1.113883.3.3706 Int 2.16.840.1.113883.3.3705.1.100 17 Retired 2013/10/21 12:00:00 2013/12/09 12:00:00 2013/12/09 02:41:19 UV 2.16.840.1.113883.17.152 gldha Great Lakes Digestive Health Associates, P.C. Hannah Howard masked Pamela Stoner Carl Schneider 616 Petoskey Street Suite 300 Petoskey, MI 49770 877 534-4311 x 105 masked Network Consultant Great Lakes Digestive Health Associates, P.C. 560 West Mitchell Street Suite M40 Petoskey, MI 49770 231 487-2391 hhoward@gldha.com http://www.gldha.com Provider Int 17 Complete 2013/10/22 12:00:00 2013/11/25 12:00:00 2013/11/25 04:14:43 UV 2.16.840.1.113883.3.3707 robertarose Roberta S Rose, DO Roberta Rose masked Karen Monz Karen Monz 2770 Indian River Blvd, Suite 308 Vero Beach, FL 32960 772-567-0206 masked Operations Dept AZZLY 2770 Indian River Blvd, Suite 308 Vero Beach, FL 32960 772-567-0206 VendorServices@azzly.com http://www.azzly.com/ Vendor 2.16.840.1.113883.3.662 Int 3 Complete 2013/10/22 12:00:00 2013/11/25 12:00:00 2013/11/25 04:17:52 UV 2.16.840.1.113883.3.3708 pedroespat Pedro A Expat, DO Pedro Espat masked Karen Monz Karen Monz 2770 Indian River Blvd, Suite 308 Vero Beach, FL 32960 772-567-0206 masked Operations Dept AZZL 2770 Indian River Blvd, Suite 308 Vero Beach, FL 32960 772-567-0206 vendorservices@azzly.com http://www.azzly.com Vendor 2.16.840.1.113883.3.662 Int 3 Complete 2013/10/22 12:00:00 2013/11/25 12:00:00 2013/11/25 04:19:02 UV 2.16.840.1.113883.3.3709 apexroi Apex ROI Laura Alvarez masked Chris Pitchford Laura Alvarez Po Box 720186 Mcallen, TX 78504 9566687327 masked President Apex ROI P. O. Box 720186 McAllen, Texas 78504 9566687327 lauraalvarezapex@yahoo.com https://www.apexdocument.com Vendor Int 3 Complete 2013/10/22 12:00:00 2013/11/25 12:00:00 2014/02/25 05:04:29 UV 2.16.840.1.113883.3.3710 ema EMA George Holler masked Carrie Fuller 3600 FAU Blvd., Suite # 202, Boca Raton, FL 33431 561-880-2998 masked Director of Medical Compliance Modernizing Medicine, Inc. 3600 FAU Blvd., Suite # 202, Boca Raton, FL 33431 561-880-2998 info@modmed.com http://www.modmed.com Vendor Int 3 Complete 2013/10/22 12:00:00 2013/11/25 12:00:00 2013/11/25 04:23:15 UV 2.16.840.1.113883.3.3712 correctcare Correct Care Solutions Chris Kohler masked Chris Kohler 1283 Murfreesboro Rd. Suite 500 Nashville, TN 37217 800-592-2974 masked Correct Care Solutions 1283 Murfreesboro Rd. Suite 500 Nashville, TN 37217 800-592-2974 ckohler@correctcaresolutions.com http://www.correctcaresolutions.com Provider Int 3 Complete 2013/10/22 12:00:00 2013/11/25 12:00:00 2013/11/25 04:31:49 UV 2.16.840.1.113883.17.153 medsleuth-inc-community-id MedSleuth Inc Community Id Robert Ficcaglia masked James Kalamas Robert Ficcaglia 1080 Chestnut Suite 11A San Francisco, CA 94107 6506448278 masked CIO MedSleuth Inc. 1080 Chestnut Suite 11A San Francisco, CA 94107 4152501222 info@medsleuth.com http://www.medsleuth.com Vendor Int 17 Complete 2013/10/22 12:00:00 2013/11/25 12:00:00 2013/11/25 04:33:54 US 2.16.840.1.113883.3.2591.600 nYeCIWG NYeC Interoperability WorkGroup Mukul Govil masked Mukul Govil 6466196437 masked New York eHealth Collaborative 40 Worth St New York NY 6466196437 mgovil@nyehealth.org Govt body 2.16.840.1.113883.3.2591 Ext 17 Complete 2.16.840.1.113883.3.2591.600 2013/10/22 12:00:00 2013/11/25 12:00:00 2013/11/25 04:36:41 UV 2.16.840.1.113883.3.3713 petoskeysurgeons Petoskey Surgeons PC Janet Bango masked Janet Bango 521 Monroe Street Petoskey, MI 49770 231-348-1514 masked Practice Manager Petoskey Surgeons PC 521 Monroe Street Petoskey, MI 49770 231-487-1900 jeb@petoskeysurgeons.com http://www.petoskeysurgeons.com Provider Int 3 Complete 2013/10/22 12:00:00 2013/11/25 12:00:00 2013/11/25 04:42:06 UV 2.16.840.1.113883.3.2591.600.1 nYeCIWGTestTool NYeC Interoperability WorkGroup Testing Tool MUKUL GOVIL masked Mukul Govil 6466196437 masked New York eHealth Collaborative 40 Worth St New York, NY 6466196437 mgovil@nyehealth.org Govt body 2.16.840.1.113883.3.2591 Ext 17 Complete 2.16.840.1.113883.3.2591.600.1 2013/10/22 12:00:00 2013/11/25 12:00:00 2013/11/25 04:39:43 UV 2.16.840.1.113883.3.3714 sitekit Sitekit Chris Eckl masked Chris Eckl Sitekit Ltd Sitekit House Portree IV51 9HL +441478614920 masked Sitekit Ltd support@sitekit.net Provider Int 3 3 Complete 2013/10/23 12:00:00 2013/11/25 12:00:00 2013/11/25 04:44:20 UV 2.16.840.1.113883.13.252 hig HLA Informatics Group - Allele Nomenclature James Robinson masked Prof. Steven Marsh James Robinson Anthony Nolan Research Institute, The Royal Free Hospital , Pond Street, London NW3 2QG +44 2082848307 masked Senior Bioinformatics Scientist HLA Informatics Group Anthony Nolan Research Institute, The Royal Free Hospital, Pond Street, London NW3 2QG +442072848307 hla@alleles.org http://hla.alleles.org/ Academic Int 13 13 Complete 2013/10/23 12:00:00 2013/11/25 12:00:00 2016/02/14 12:15:49 UK 2.16.840.1.113883.3.1070.5531 mckesson-fusion-5531 mckesson-fusion-5531 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5531 2013/10/23 12:00:00 2013/11/25 12:00:00 2013/11/25 04:50:34 US 2.16.840.1.113883.3.1070.5539 mckesson-fusion-5539 mckesson-fusion-5539 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5539 2013/10/23 12:00:00 2013/11/25 12:00:00 2013/11/25 04:52:34 US 2.16.840.1.113883.3.1070.5504 mckesson-fusion-5504 mckesson-fusion-5504 johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 3 Complete 2.16.840.1.113883.3.1070.5504 2013/10/23 12:00:00 2013/11/25 12:00:00 2013/11/25 04:54:08 UV 2.16.840.1.113883.3.1070.5482 mckesson-fusion-5482 mckesson-fusion-5482 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 3 Complete 2.16.840.1.113883.3.1070.5482 2013/10/23 12:00:00 2013/11/25 12:00:00 2013/11/25 04:55:55 UV 2.16.840.1.113883.3.1070.5466 mckesson-fusion-5466 mckesson-fusion-5466 Johnny Mpore masked Fusion enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5466 2013/10/23 12:00:00 2013/11/25 12:00:00 2013/11/25 04:57:12 US 2.16.840.1.113883.3.3715 drnemrow drnemrow OID ROOT Gail Mirabella masked Gail Mirabella 1223 D Grant Ave. Novato, CA 94947 415-897-7187 masked Office Manager Barry Nemrow, D.P.M. 1223 D Grant Ave. Novato, CA 94945 4`5-897-7187 barrynemrow@verizon.net http://novatofootdoctor.com Provider Int 3 Complete 2013/10/23 12:00:00 2013/11/25 12:00:00 2013/11/25 04:46:54 UV 2.16.840.1.113883.3.1070.5541 mckesson-fusion-5541 mckesson-fusion-5541 Jennifer Meares masked Jennifer Meares 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5541 2013/10/23 12:00:00 2013/11/25 12:00:00 2013/11/25 04:58:52 US 2.16.840.1.113883.3.3716 hansenoffice Raymond D Hansen P.A Raymond Hansen masked Raymond D Hansen III Sheilah Combs 1972 Bayshore Blvd Dunedin Fl 34698 7277362513 masked Office Manager Raymond D Hansen P.A. 1972 Bayshore Blvd Dunedin ,FL 34698 7277362513 hansen3md@gmail.com Provider Int 3 Complete 2013/10/23 12:00:00 2013/11/25 12:00:00 2014/09/28 06:29:54 UV 2.16.840.1.113883.3.3717 sm2 Schryver Medical, Inc. Charles Smith masked Russ Smith 7206631104 masked Interface Engineer Schryver Medical, Inc. 12075 East 45th Avenue, Suite 600, Denver, CO 80239 303.371.0073 russ.smith@schryvermedical.com Provider Int 3 Complete 2013/10/23 12:00:00 2013/11/25 12:00:00 2013/11/25 05:03:32 UV 2.16.840.1.113883.3.629.14.72 practice-KuddythambySinnathamby Kuddythamby Sinnathamby Carlos Oliva masked Carlos Oliva PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 masked PBSI-Positive Business Solutions, Inc. 11880 Kemper Springs Dr. Cincinnati, OH 45240 513-772-2255 CarlosO@pbsinet.com http://www.pbsinet.com Vendor 2.16.840.1.113883.3.629 Ext 14 14 Complete 2.16.840.1.113883.3.629.14.72 2013/10/23 12:00:00 2013/11/25 12:00:00 2013/11/25 05:05:30 UV 2.16.840.1.113883.3.493.860.4 morton Morton Comprehensive Health Services Bard Moss masked Stan Fosburg Stan Fosburg 1334 N Lansing Ave Tulsa, OK 74106 918-587-2171 masked MIS Department Morton Comprehensive Health Services 1334 N Lansing Ave Tulsa, OK 74106 918-587-2171 mis@mortonhealth.org http://www.mortonhealth.org Provider 2.16.840.1.113883.3.493.860 Ext 3 Complete 2.16.840.1.113883.3.493.860.4 2013/10/23 12:00:00 2013/11/25 12:00:00 2013/11/25 05:08:29 UV 2.16.840.1.113883.3.493.860.4.157 mortonbartlesville Morton Comprehensive Health Services Bartlesville Clinic Bard Moss masked Stan Fosburg Stan Forsburg 1334 N Lansing Ave Tulsa, OK 74106 918-587-2171 masked MIS Department Morton Comprehensive Health Services 1334 N Lansing Ave Tulsa, OK 74106 918-587-2171 mis@mortonhealth.org http://www.mortonhealth.org Provider 2.16.840.1.113883.3.493 Ext 3 Complete 2.16.840.1.113883.3.493.860.4.157 2013/10/23 12:00:00 2013/11/25 12:00:00 2013/11/25 05:11:07 UV 2.16.840.1.113883.3.3718 coa Colorado Access Cindy Dalton masked Cindy Dalton 10065 E. Harvard Ave Suite 600 Denver, CO 80231 7207445198 masked Sr. Business Analyst Colorado Access 10065 E. Harvard Ave Suite 600 Denver, CO 80231 18005115010 cindy.dalton@coaccess.com Payor Int 3 Complete 2013/10/23 12:00:00 2013/11/25 12:00:00 2013/11/25 05:14:32 UV 2.16.840.1.113883.3.3719 udi FDA Unique Device Identifier (UDI) William Hess masked William Albert Hess U.S. Food and Drug Administration Office of the Commissioner/Office of Information Management Office of the Chief Information Officer/Medical Informatics Staff 10903 New Hampshire Ave WO32-Room 4152 Silver Spring MD 20993-0002 3017968494 masked Pharmacist U.S. Food and Drug Administration 10903 New Hampshire Ave Silver Spring MD 20993-0002 8884636332 william.hess@fda.hhs.gov http://www.fda.gov Govt body 2.16.840.1.113883.3.24 Int 3 Complete 2013/10/23 12:00:00 2013/11/25 12:00:00 2013/11/25 05:16:03 UV 2.16.840.1.113883.3.493.860.4.148 mortonfcs Morton at Family and Children's Services Integrated Health Center Bard Moss masked Stan Fosburg Stan Fosburg 1334 N Lansing Ave Tulsa, OK 74106 918-587-2171 masked MIS Department Morton Comprehensive Health Services 1334 N Lansing Ave Tulsa, OK 74106 918-587-2171 mis@mortonhealth.org http://www.mortonhealth.org Provider 2.16.840.1.113883.3.493 Ext 14 Complete 2.16.840.1.113883.3.493.860.4.148 2013/10/24 12:00:00 2013/11/25 12:00:00 2013/11/25 05:12:39 UV 2.16.840.1.113883.3.3720 hma-ereq-lancaster HMA EREQ Lancaster OID Daniel Cholvin masked Daniel Cholvin Tamiami Trail Naples FL 34109 2395523545 masked Systems Admin Health Management Associates 239-598-3131 byung.kang@hma.com http://www.hma.com Provider Int 3 Complete 2013/10/24 12:00:00 2013/11/25 12:00:00 2013/11/25 05:20:13 UV 2.16.840.1.113883.3.3721 hahv The HealthAlliance of the Hudson Valley Fabianni Builes masked Leanne Friss Leanne Friss 9175973317 masked Applications & Interfaces Supervisor The HealthAlliance of the Hudson Valley llLeanne.friss@hahv.org http://www.hahv.org/about Provider Int 3 3 Complete 2013/10/24 12:00:00 2013/11/25 12:00:00 2013/11/25 05:21:15 UV 2.16.840.1.113883.3.3721.1 tkh The Kingston Hospital Fabianni Builes masked Leanne Friss Leanne Friss 396 Broadway Kingston, NY 12401 845-334-3193 masked Applications & Interfaces Supervisor The Kingston Hospital 396 Broadway Kingston, NY 12401 Leanne.friss@hahv.org http://www.hahv.org/broadway-campus/ Provider 2.16.840.1.113883.3.3721 Ext 14 Complete 2.16.840.1.113883.3.3721.1 2013/10/24 12:00:00 2013/11/25 12:00:00 2013/11/25 05:23:13 UV 2.16.840.1.113883.3.3721.2 hahvbh Benedictine Hospital Fabianni Builes masked Leanne Friss Leanne Friss 845-334-3193 masked Applications & Interfaces Supervisor Benedictine Hospital 105 Mary's Avenue Kingston NY 12401 Leanne.friss@hahv.org http://www.hahv.org/about Provider 2.16.840.1.113883.3.3721 Ext 14 Complete 2.16.840.1.113883.3.3721.2 2013/10/24 12:00:00 2013/11/25 12:00:00 2013/11/25 05:25:30 UV 2.16.840.1.113883.3.3721.3 hahvmh Margaretville Hospital Fabianni Builes masked Leanne Friss Leanne Friss 845-334-3193 masked Applications & Interfaces Supervisor Margaretville Hospital Route 28 Margaretville NY 12455 Leanne.friss@hahv.org http://www.hahv.org/about Provider 2.16.840.1.113883.3.3721 Ext 14 Complete 2.16.840.1.113883.3.3721.3 2013/10/24 12:00:00 2013/11/25 12:00:00 2013/11/25 05:27:35 UV 2.16.840.1.113883.3.3722 phps Physician Health Partners Kevin Larsen masked Kevin Larsen 1125 17th Street, Suite 1000, Denver, CO 80202 7206126854 masked Software Developer Physician Health Partners 1125 17th Street, Suite 1000, Denver, CO 80202 7206126600 kevin.larsen@phpmcs.com http://www.phpmcs.com Exchange Int 3 Complete 2013/10/24 12:00:00 2013/11/25 12:00:00 2013/11/25 05:32:33 UV 2.16.840.1.113883.3.3723 sfp Suburban Foot Physicians, Inc. Krista Goszkowicz masked Jay Hengel Krista Goszkowicz 10442 W Cermak Rd Westchester, Il. 60154 708-562-1123 masked President Suburban Foot Physicians, Inc. 10442 W Cermak Rd Westchester, IL 60154 708-562-1123 sfpinc@sbcglobal.net Provider Int 3 Complete 2013/10/24 12:00:00 2013/11/25 12:00:00 2013/11/25 05:35:32 UV 2.16.840.1.113883.3.3724 jschmidt Jonna L Schmidt MD PC Angela Monahan masked Angela Monahan 458 Cross Street Hudson MI 49247 517-448-8918 masked Office Manager Jonna L. Schmidt, M.D., P.C. 458 Cross Street Hudson MI 49247 517-448-8918 monahan@tc3net.com http://www.jonnaschmidtmd.com Provider Int 3 Complete 2013/10/24 12:00:00 2013/11/25 12:00:00 2013/11/25 05:38:10 UV 2.16.840.1.113883.3.3724.1 jschmidt-oid Jonna L Schmidt MD PC Angie Monahan masked Angie Monahan 458 Cross Street Hudson MI 49247 517-448-8918 masked Office Manager Jonna L Schmidt MD PC 458 Cross Street Hudson MI 49247 517-448-8918 monahan@tc3net.com http://www.jonnaschmidtmd.com Provider 2.16.840.1.113883.3.3724 Ext 2.16.840.1.113883.3.3724 17 Retired 2.16.840.1.113883.3.3724.1 2013/10/24 12:00:00 2014/12/15 11:50:57 UV 2.16.840.1.113883.3.3725 fritcheyecare fritcheyecare OID Root Amada Martinez masked Amada Martinez 8501 Brimhall Road Suite 402 Bakersfield, CA 93312 661-665-2020 masked COA Fritch Eye Care Medical Center 8501 Brimhall Road Bakersfield, CA 93312 661-665-2020 marketing@fritcheyecare.com Provider Int 3 Complete 2013/10/24 12:00:00 2013/11/25 12:00:00 2013/11/25 05:41:23 UV 2.16.840.1.113883.3.3726 borderclinic borderclinic OID Root Roberta Martinez masked Roberta Martinez 702 E. Calton Rd, Ste 102 Laredo, Texas 78041 956-7273047 masked Ofiice Manager Border Clinic PLC 702 E Calton Rd, Ste 102 Laredo, Texas 78041 956-727-3047 borderclinic@gmail.com Provider Int 3 Complete 2013/10/24 12:00:00 2013/11/25 12:00:00 2013/11/25 05:46:14 UV 2.16.840.1.113883.3.3727 dekkinga Jack A Dekkinga MD PC Toni Van Wesep masked Eva Simpson Toni Van Wesep 4175 Parkway Place SW, Grandville, MI 49418 616-257-3344 masked Practice Administrator Jack A Dekkinga MD PC 4285 Parkway Place SW Grandville, MI 49418 616-257-3344 toni.v@westmichiganderm.com Provider Int 3 Complete 2013/10/25 12:00:00 2013/11/25 12:00:00 2018/11/07 11:58:56 UV 2.16.840.1.113883.3.3727.2 dekkingaholland Jack A Dekkinga MD PC - Holland Office Toni Van Wesep masked Eva Simpson Toni Van Wesep 4175 Parkway Place SW Grandville, MI 49418 616-257-3344 masked Practice Administrator Jack A Dekkinga MD PC 3124 N Wellness Dr Suite 50 Holland, MI 49424 616-395-9379 toni.v@westmichiganderm.com Provider 2.16.840.1.113.883.3.3727 Ext 17 Complete 2.16.840.1.113883.3.3727.2 2013/10/25 12:00:00 2013/11/25 12:00:00 2018/11/07 11:58:00 UV 2.16.840.1.113883.3.1871.3.202 sapofamnorm SAPO Family Medicine Norman Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst SSMHC 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.202 2013/10/25 12:00:00 2013/11/25 12:00:00 2013/11/25 05:54:12 UV 2.16.840.1.113883.3.3705.2 escOidTraining Eastside Clinic Gary Meyer masked Gary Meyer 265 N Main, Suite D140 Kaysville, UT 84037 (682) 234-3621 masked Eastside Clinic 234 Mountain Dr. Dream Town, UT 87433 (801) 234-5678 training@esc.org http://www.oidTraining@esc.org Provider 2.16.840.1.113883.3.3705 Ext 14 Complete 2.16.840.1.113883.3.3705.2 2013/10/25 12:00:00 2013/11/25 12:00:00 2013/11/25 05:57:12 UV 2.16.840.1.113883.3.3705.1 sscOIDTraining Southside Clinic Gary Meyer masked Gary Meyer 265 N Main, Suite D140 Kaysville, UT 84037 (682) 234-3621 masked Southside Clinic 345 Ocean Dr. Dream Town, UT 84733 (801) 345-6789 training@ssc.com http://www.oidTraining@ssc.com Provider 2.16.840.1.113883.3.3705 Ext 14 Complete 2.16.840.1.113883.3.3705.1 2013/10/25 12:00:00 2013/11/25 12:00:00 2013/11/25 06:01:16 UV 2.16.840.1.113883.3.3705.1.100 sscardiologyOIDTraining Southside Cardiology Gary Meyer masked Gary Meyer 265 N Main, Suite D140 Kaysville, UT 84037 (682) 234-3621 masked Southside Cardiology 456 Green Pastures Dr. Dream Town, UT 84733 (801) 456-7890 training@sscardiology.com http://www.oidTraining@sscardiology.com Provider 2.16.840.1.113883.3.3705 Ext 14 Complete 2.16.840.1.113883.3.3705.1.100 2013/10/25 12:00:00 2013/11/25 12:00:00 2013/11/25 06:04:57 UV 2.16.840.1.113883.3.3705.1.200 sspOIDTraining Southside Pediatrics Gary Meyer masked Gary Meyer 265 N Main, Suite D140 Kaysville, UT 84037 (682) 234-3621 masked Southside Pediatrics 543 Sunnyside Dr. Dream Town, UT 84733 (801) 876-5654 training@ssp.com http://www.oidTraining@ssp.com Provider 2.16.840.1.113883.3.3705 Ext 14 Complete 2.16.840.1.113883.3.3705.1.200 2013/10/25 12:00:00 2013/11/25 12:00:00 2013/11/25 06:07:29 UV 2.16.840.1.113883.3.3728 valleyskidsteens valleyskidsteens OID Root Martha Hernandez masked Martha Hernandez 1110 S. Stewart Rd. Ste.F San Juan, TX 78589 9562232600 masked front desk receptionist Valley's Kids and Teens Clinic, P.A. 1110 S. Stewart Rd. Ste.F San Juan, TX 78589 9562232600 valleyskidsandteensclinic@hotmail.com Provider Int 3 Complete 2013/10/25 12:00:00 2013/11/25 12:00:00 2013/11/25 06:12:22 UV 2.16.840.1.113883.3.3729 vitality Vitality Health Services Constancio Orial masked Constancio Orial 19189 W. 10 Mile Rd Suite 101 Southfield, MI 48075 3133889740 masked Bookkeeper Vitality Health Services 19189 W. 10 Mile Rd Suite 101 Southfield, MI 48075 3133889740 bongorial@gmail.com Provider Int 3 Complete 2013/10/25 12:00:00 2013/11/25 12:00:00 2013/11/25 06:21:14 UV 2.16.840.1.113883.3.3730 peribirth PeriBirth Natan Blanks masked Natan Blanks HaNegev 4 POB 176 Airport City 70100 ISRAEL 877-200-4727 x 919 masked SVP Research & Development PeriGen info@perigen.com http://www.perigen.com Vendor Int 3 Complete 2013/10/27 12:00:00 2013/11/25 12:00:00 2013/11/25 06:24:14 UV 2.16.840.1.113883.3.3731 ksanhic Saudi Arabia National Health Information Center Registration Authority Tariq Hakeem masked Keith W. Boone Tariq Hakeem National Health Information Center Olaya street &#8211; North Intersection of Takhassusi Road Building number (6293) Postal Code (13315) additional Number (3161) Unit number (1) Al Riyadh &#8211; Kingdom of Saudi Arabia +966-504-45-4649 masked Standards Manager National Health Information Center National Health Information Center Olaya street &#8211; North Intersection of Takhassusi Road Building number (6293) Postal Code (13315) additional Number (3161) Unit number (1) Al Riyadh &#8211; Kingdom of Saudi Arabia +966-504-45-4649 licenses@nhic.gov.sa http://www.nhic.gov.sa/en/Pages/Home.aspx Govt body Int 3 Complete 2013/10/28 12:00:00 2013/12/09 12:00:00 2017/07/27 07:38:10 UV 2.16.840.1.113883.3.454.90480.15214 byimocahas OID for Haskell Indian Health Clinic RPMS BYIM Charles Cross masked Charles Cross Oklahoma City Area Office (OIT&T) Indian Health Service 701 Market Drive Oklahoma City, OK 73114 405 951 3806 masked IT Specialist Indian Health Service Indian Health Service (DIRM) 711 Stewarts Ferry Pike Nashville, TN 37214 (615) 467-1526 Floyd.Dennis@ihs.gov http://www.ihs.gov Govt body 2.16.840.1.113883.3.454 Ext 17 17 Complete 2.16.840.1.113883.3.454.90480.15214 2013/10/28 12:00:00 2013/12/09 12:00:00 2013/12/09 02:22:53 UV 2.16.840.1.113883.3.3732 prinsdpm prinsdpm OID ROOT Joan Prins masked Joan Prins 3011 NE West Devils Lake Road Lincoln City, OR 97367 541-994-2222 masked Office Manager Darrell D. Prins, DPM 3011 NE West Devils Lake Road Lincoln City, OR 97367 541-994-2222 dprins@charter.net Provider Int 3 Complete 2013/10/28 12:00:00 2013/12/09 12:00:00 2013/12/09 04:04:55 UV 2.16.840.1.113883.3.3733 advancedMDRootOID AdvancedMD Root OID Travis DeAngelis masked Troy Young 10876 S. Riverfront Pkwy. Ste. 400 South Jordan, Utah 84095 8019849500 masked Chief Architect AdvancedMD info@advancedmd.com http://www.advancedmd.com Vendor Int 3 Complete 2013/10/28 12:00:00 2013/12/09 12:00:00 2017/05/11 07:22:03 UV 2.16.840.1.113883.3.1070.5526 mckesson-fusion-5526 mckesson-fusion-5526 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5526 2013/10/28 12:00:00 2013/12/09 12:00:00 2013/12/09 03:54:52 US 1.3.6.1.4.1.12009.10.2.5 loinc-ImagingDocumentCodes LOINC Imaging Document Codes Daniel Vreeman masked Daniel Vreeman 410 West 10th Street Suite 2000 Indianapolis, IN 46202 317-274-9229 masked Associate Director for Terminology Services Regenstrief Institute, Inc. 410 West 10th Street Suite 2000 Indianapolis, IN 46202 317-423-5500 loinc@regenstrief.org http://www.regenstrief.org Academic 1.3.6.1.4.1.12009 Ext 13 13 Complete 1.3.6.1.4.1.12009.10.2.5 2013/10/28 12:00:00 2013/12/09 12:00:00 2013/12/09 04:09:00 UV 2.16.840.1.113883.3.3734 embrace-HHP Embrace Home Health Physicians Constancio Orial masked Constancio Orial 19189 W. 10 Mile Rd Ste. 200 Southfield, MI 48075 2489487985 masked Bookkeeper Embrace Home Health Physicians 19189 W. 10 Mile Rd Ste. 200 Southfield, MI 48075 2489487985 bongorial@gmail.com Provider Int 3 Complete 2013/10/28 12:00:00 2013/12/09 12:00:00 2013/12/09 04:20:55 UV 2.16.840.1.113883.3.454.90480 byim OID for RPMS BYIM Charles Cross masked Charles Cross Oklahoma City Area Office (OIT&T) Indian Health Service 701 Market Drive Oklahoma City, OK 73114 405 951 3806 masked IT Specialist Indian Health Service Indian Health Service (DIRM) 711 Stewarts Ferry Pike Nashville, TN 37214 615 467 1526 floyd.dennis@ihs.gov http://www.ihs.gov Govt body 2.16.840.1.113883.3.454 Ext 17 17 Complete 2.16.840.1.113883.3.454.90480 2013/10/28 12:00:00 2013/12/09 12:00:00 2013/12/09 04:22:54 UV 2.16.840.1.113883.3.454.50.16593 ocawew OID for Wewoka Indian Health Clinic Charles Cross masked Charles Cross Oklahoma City Area Office (OIT&T) Indian Health Service 701 Market Drive Oklahoma City, OK 73114 405 951 3806 masked IT Specialist Indian Health Service Indian Health Service (DIRM) 711 Stewarts Ferry Pike Nashville, TN 37214 615 467 1526 floyd.dennis@ihs.gov http://www.ihs.gov Govt body 2.16.840.1.113883.3.454 Ext 17 17 Complete 2.16.840.1.113883.3.454.50.16593 2013/10/28 12:00:00 2013/12/09 12:00:00 2013/12/09 04:25:35 UV 2.16.840.1.113883.3.454.50.15214 ocahas OID for Haskell Indian Health Clinic Charles Cross masked Charles Cross Oklahoma City Area Office (OIT&T) Indian Health Service 701 Market Drive Oklahoma City, OK 73114 405 951 3806 masked IT Specialist Indian Health Service Indian Health Service (DIRM) 711 Stewarts Ferry Pike Nashville, TN 37214 615 467 1526 floyd.dennis@ihs.gov http://www.ihs.gov Govt body 2.16.840.1.113883.3.454 Ext 17 17 Complete 2.16.840.1.113883.3.454.50.15214 2013/10/28 12:00:00 2013/12/09 12:00:00 2014/09/07 05:41:51 UV 2.16.840.1.113883.3.3735 mmc-WISHIN Memorial Medical Center WISHIN Todd Reynolds masked Todd Reynolds 1615 Maple Lane 715-685-5588 masked Director, Information Systems Regional Enterprises, Inc. 1615 Maple Lane Ashland, WI 54806 715-685-5500 treynolds@ashlandmmc.com http://ww.ashlandmmc.com Provider Int 3 Complete 2013/10/29 12:00:00 2013/12/09 12:00:00 2013/12/09 04:32:58 UV 2.16.840.1.113883.3.3736 hamh-WISHIN Hayward Area Memorial Hospital WISHIN Todd Reynolds masked Todd Reynolds 1615 Maple Lane Ashland, WI 54806 715-685-5588 masked Director, Information Systems Regional Enterprises, Inc. 1615 Maple Lane Ashland, WI 54806 715-685-5500 treynolds@ashlandmmc.com http://ww.ashlandmmc.com Provider Int 3 Complete 2013/10/29 12:00:00 2013/12/09 12:00:00 2013/12/09 04:35:33 UV 2.16.840.1.113883.3.3737 sfhart sfhart OID Root Maria Olmedo masked Maria Olmedo 112 W. PASADENA BLVD DEER PARK, TX 77536 2814795311 masked office manager S.F. HARTLEY, DPM, PC 112 W. PASADENA BLVD DEER PARK, TX 77536 2814795311 HARTLEYFEET@SBCGLOBAL.NET http://hartleyfootcare.com Provider Int 3 Complete 2013/10/29 12:00:00 2013/12/09 12:00:00 2013/12/09 07:20:52 UV 2.16.840.1.113883.3.3738 procompsoftware Procompsoftware Meaningful Use OID Brian Nolte masked Brian Nolte Procomp Software consultants 555 Cincinnati Batavia Pike Cincinnati, OH 45244 513-685-5245 masked Development Support Procomp Software Consultants Procomp Software consultants 555 Cincinnati Batavia Pike Cincinnati, OH 45244 5136855245 dave@procompsoftware.com Vendor Int 3 Complete 2013/10/29 12:00:00 2013/12/09 12:00:00 2013/12/09 07:31:41 UV 2.16.840.1.113883.3.3739 pharr pharr OID Root Sonia Villarreal masked Sonia Villarreal 105 E Polk Ave Pharr, TX 78577 9567816591 masked Billing Supervisor Pharr Pediatric Clinic, P.A. 105 E Polk Ave Pharr, TX 78577 9567816591 ppcpakidsclerks@msn.com Provider Int 3 Complete 2013/10/29 12:00:00 2013/12/09 12:00:00 2013/12/09 07:33:55 UV 2.16.840.1.113883.3.3740 ecphosplpla East Carroll Parish Hospital Scott Griffith masked mstutts@ecphosp.com Scott Griffith 849 Pine St Jena, LA 71342 318 992 0626 masked IT Group East Carroll Parish Hospital 336 N Hood St Lake Providence, LA 71254 318 5594023 scott@geauxtech.com Provider Int 3 Complete 2013/10/29 12:00:00 2013/12/09 12:00:00 2013/12/09 07:36:39 UV 1.2.36.1.2001.1004.100 amt-v2 Australian Medicines Terminology (AMT) v2 Grahame Grieve masked Grahame Grieve +61411867065 masked NEHTA Level 25, 56 Pitt Street Sydney NSW 2000 Australia 61411867065 enquiries@nehta.gov.au http://www.nehta.gov.au/ Govt body Ext 6 6 Complete 1.2.36.1.2001.1004.100 2013/10/29 12:00:00 2013/12/09 12:00:00 2013/12/09 07:39:20 AU 2.16.840.1.113883.3.3741 eznotes EZNotes, inc Russell Manktelow masked Russell Manktelow 1820E Ray Rd #A202 Chandler, AZ 85225 480-535-6903 masked EZNotes, Inc 141 W. Jackson Blvd #A20 Chicago, IL 60604 866-821-6837 info@eznotesinc.com http://www.eznotesinc.com/ Vendor Int 3 3 Complete 2013/10/30 12:00:00 2013/12/09 12:00:00 2013/12/09 07:47:30 10 UV 2.16.840.1.113883.3.3742 nixhc Nix Healthcare System Stephanie Kenney masked Adrian Dickreiter Stephanie Kenney 414 Navarro Ste 602 San Antonio, TX 78205 210-845-7604 masked RIS/PACS Admin Nix Hospitals Sys, LLC 414 Navarro Ste 600 San Antonio TX 78205 210-579-3000 skenney@nixhealth.com Provider Int 3 Complete 2013/10/30 12:00:00 2013/12/09 12:00:00 2014/04/02 02:39:39 UV 2.16.840.1.113883.3.1070.5555 mckesson-fusion-5555 mckesson-fusion-5555 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5555 2013/10/30 12:00:00 2013/12/09 12:00:00 2013/12/09 07:42:01 US 2.16.840.1.113883.3.3743 rmh Ransom Memorial Hospital Sharon Balla masked Sharon Balla 1301 S. Main ATTN: IT DEPARTMENT Ottawa, KS 66067 785-229-9229 masked IT Director Ransom Memorial Hospital 1301 S. Main Ottawa, KS 66067 785-229-8200 ithelp@ransom.org http://www.ransom.org/ Provider Int 3 Complete 2013/10/30 12:00:00 2013/12/09 12:00:00 2013/12/09 07:51:22 UV 2.16.840.1.113883.3.3744 chiderm Chicago Cosmetic Surgery and Dermatology Judy Foley masked Carmen Murillo Judy Foley Chicago Cosmetic Survery and Dermatology 20 West Kinzie, Suite 1130 Chicago, IL 60654 3122459965 masked Patient Entry Coordinator Chicago Cosmetic Surgery and Dermatology 20 West Kinzie, Suite 1130 Chicago, IL 60654 3122459965 admin@chicagodermatology.com Provider Int 3 Complete 2013/10/30 12:00:00 2013/12/09 12:00:00 2013/12/09 07:55:20 UV 2.16.840.1.113883.4.678 inspirahomehealth Inspira Home Health and Hospice Edwin Rodriguez masked Edwin Rodriguez 333 Irving Ave Bridgeton, NJ 08302 856-575-4461 masked Director, Ambulatory IT Inspira Health Network 333 Irving Ave Bridgeton, NJ 08302 856-575-4461 rodrigueze@ihgn.org https://www.inspirahealthnetwork.org Provider 2.16.840.1.113883.3.3496 Int 14 4 Complete 2013/10/31 12:00:00 2016/05/31 12:00:00 2016/05/31 09:50:03 UV 2.16.840.1.113883.3.3745 care-1 CareOne Neelima Baswa masked Neelima Baswa Mail Route: CT039-008B 185 Asylum Street Hartford, CT 06103 860-702-6960 masked Sr. IT Systems Analyst United Health Group IT 185 Asylum Street Hartford, CT 06103 860-702-6960 neelima_baswa@uhc.com SDO Int 3 Complete 2013/10/31 12:00:00 2013/12/09 12:00:00 2013/12/09 08:16:46 UV 2.16.840.1.113883.3.3746 rchsd Rady Children's Hospital and Health Center Sheldon Gilmer masked Sean Mitchell Rady Children's Hospital - San Diego 3020 Children's Way MC 5083 San Diego, CA 92123 858-966-8513 masked Enterprise Architect Rady Children's Hospital and Health Center Rady Children's Hospital - San Diego 3020 Children's Way MC 5083 San Diego, CA 92123 858-966-1700 smitchell@rchsd.org http://www.rchsd.org Provider Int 3 Complete 2013/10/31 12:00:00 2013/12/09 12:00:00 2013/12/09 08:19:34 UV 2.16.840.1.113883.3.3747 westview Westview Pediatric Care Eric Woodard masked Eric Woodard 3606 Martin Luther King Jr Blvd Tulsa, OK 74106 (918) 428-5373 masked Office Manager Westview Pediatric Care 3606 Martin Luther King Jr Blvd Tulsa, OK 74106 (918) 428-5373 wv1385@aol.com Provider Int 3 Complete 2013/10/31 12:00:00 2013/12/09 12:00:00 2013/12/09 08:25:24 UV 2.16.840.1.113883.3.3748 emhealth Ephraim McDowell Regional Medical Center Angela Allen masked Angela Allen 217 South Third Street Danville, KY 40422 859-239-3442 masked Director, Information Services Ephraim McDowell Regional Medical Center Incorporated 217 South Third Street Danville, KY 40422 859-239-1000 aallen@emrmc.org http://www.emhealth.org Provider Int 3 Complete 2013/10/31 12:00:00 2013/12/09 12:00:00 2013/12/09 08:31:56 UV 2.16.840.1.113883.3.541.222 bellrepos Repository for Bellevue in Interboro environment Wayne Huang masked Carianne Ragozzino 40 Worth St., 5th FL New York, NY 10013 6466196742 masked Carianne Ragozzino 40 Worth St., 5th FL New York, NY 10013 6466196742 cragozzino@nyehealth.org Exchange 2.16.840.1.113883.3.541 Ext 17 Complete 2.16.840.1.113883.3.541.222 2013/11/01 12:00:00 2013/12/09 12:00:00 2013/12/09 08:38:38 UV 2.16.840.1.113883.3.541.223 tsnyrepos Repository for Transitional Services for New York Inc in Interboro environment Wayne Huang masked Carianne Ragozzino 40 Worth St., 5th FL New York, NY 10013 6466196742 masked Client Service Manager Carianne Ragozzino 40 Worth St., 5th FL New York, NY 10013 6466196742 cragozzino@nyehealth.org Exchange 2.16.840.1.113883.3.541 Ext 17 Complete 2.16.840.1.113883.3.541.223 2013/11/01 12:00:00 2013/12/09 12:00:00 2013/12/09 08:41:57 UV 2.16.840.1.113883.3.1070.5538 mckesson-fusion-5538 mckesson-fusion-5538 Rebecca Paul masked Fusion enrollment 877-507-4541 masked Fusion enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5538 2013/11/01 12:00:00 2013/12/09 12:00:00 2013/12/09 08:50:22 US 2.16.840.1.113883.3.3749 iha-neurology IHA Neurology Keow Goh masked gwendolyn_bland@ihacares.com Gwendolyn Bland 24 Frank Lloyd Wright Dr. Lobby J2000 Ann Arbor, MI 48106 734-623-2851 masked IT Manager IHA gwendolyn_bland@ihacares.com https://ihacares.com HL7 body Int 3 Complete 2013/11/01 12:00:00 2013/12/09 12:00:00 2013/12/11 06:29:40 UV 2.16.840.1.113883.3.3750 ouremr ouremr Tushar Kale masked Tushar Kale 9543894379 masked Ouremr 310 Lake Crest Ct., Weston FL 33326 9543894379 ouremr@yahoo.com http://www.ouremr.org Vendor Int 3 Complete 2013/11/01 12:00:00 2013/12/09 12:00:00 2013/12/09 09:01:02 UV 2.16.840.1.113883.3.3751 iha IHA Gwendolyn Bland masked Nick George 24 Frank Lloyd Wright Dr Lobby J2000 Ann Arbor, MI 48106 734-327-1167 masked Director, Information Technology IHA 24 Frank Lloyd Wright Dr Lobby J2000 Ann Arbor, MI 48106 734-327-1167 nick_george@ihacares.com https://ihacares.com SDO Int 3 Complete 2013/11/01 12:00:00 2013/12/09 12:00:00 2021/01/29 10:28:27 UV 2.16.840.1.113883.3.3751.1 iha-urology IHA Urology Gwendolyn Bland masked Gwendolyn Bland 24 Frnak Lloyd Wright Dr Lobby J2000 Ann Arbor, MI 48106 734-623-2851 masked IT Manager IHA Urology gwendolyn_bland@ihacares.com https://ihacares.com SDO 2.16.840.1.113883.3.3751 Ext 17 17 Complete 2.16.840.1.113883.3.3751.1 2013/11/01 12:00:00 2013/12/09 12:00:00 2013/12/11 07:45:24 UV 2.16.840.1.113883.17.154 bellecaremedical Bellecare Medical Andrea Connors masked Andrea Connors 25 Owen Belleville, MI 48111 586-243-5936 masked OWNER Andrea Connors 25 Owen, Belleville, MI 48111 586-243-5936 aconnors0821@gmail.com Provider Int 17 Complete 2013/11/04 12:00:00 2013/12/09 12:00:00 2013/12/09 10:09:22 UV 2.16.840.1.113883.3.541.224 realcrepos Repository for Realization Center in Interboro environment Wayne Huang masked Carianne Ragozzino 40 Worth St., 5th FL New York, NY 10013 6466196742 masked Client Service Manager Carianne Ragozzino 40 Worth St., 5th FL New York, NY 10013 6466196742 cragozzino@nyehealth.org Exchange 2.16.840.1.113883.3.541 Ext 17 Complete 2.16.840.1.113883.3.541.224 2013/11/04 12:00:00 2013/12/09 12:00:00 2013/12/09 10:20:17 UV 2.16.840.1.113883.3.3752 cmipa Root OID for Corinthian Medical IPA, Inc. David Gann masked David Gann 40 Worth Street 5th Floor New York, NY 10013-2988 646-619-6569 masked Project Manager Corinthian Medical IPA, Inc. Corinthian Medical IPA, Inc. 5030 Broadway Ste 821 New York, NY 10034 (212) 740-8294 cmipa1@hotmail.com http://www.corinthianmedicalipa.com Provider Int 3 Complete 2013/11/04 12:00:00 2013/12/10 12:00:00 2013/12/10 06:40:45 UV 2.16.840.1.113883.3.3753 scfhc Root OID for St. Clare's Family Health Center David Gann masked David Gann 40 Worth Street 5th Floor New York, NY 10013-2988 646-619-6569 masked Project Manager St. Clare's Family Health Center 571 Academy St, Ofc D, New York, NY 10034-5101 (212) 567-0550 cmipa1@hotmail.com Provider Int 3 Complete 2013/11/04 12:00:00 2013/12/10 12:00:00 2013/12/10 06:43:38 UV 2.16.840.1.113883.3.3198.100.30 varian Varian EMR Laura Wilson masked wsellers@tanner.org Laura Wilson 705 Dixie Street Carrollton, GA 30117 770-836-9791 masked Enterprise Data Architect Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 14 Complete 2.16.840.1.113883.3.3198.100.30 2013/11/04 12:00:00 2013/12/10 12:00:00 2013/12/10 06:48:24 UV 2.16.840.1.113883.3.3754 ban Bay Area Neurology Associates oid root Belinda Wharton masked Belinda Wharton 2908 W. Waters Ave Ste. 102 Tampa , Fl 33614 813-931-9294 masked practice manager Bay Area Neurology Associates 2908 W. Waters Ave. Ste. 102 Tampa, Fl 33614 813-931-9294 belinda2908@tampabay.rr.com Provider Int 3 Complete 2013/11/04 12:00:00 2013/12/10 12:00:00 2013/12/10 06:45:57 UV 2.16.840.1.113883.3.3755 mispacientes Mispacientes Jose Norberto Martinez masked development Jose Norberto Martinez 4772801381 masked Mispacientes klanx.martinez@gmail.com http://mispacientes.proximamente.info Academic Int 3 Complete 2013/11/04 12:00:00 2014/12/15 12:00:00 2014/12/15 11:41:58 MX 2.16.840.1.113883.3.1070.5502 mckesson-fusion-5502 mckesson-fusion-5502 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5502 2013/11/05 12:00:00 2013/12/10 12:00:00 2013/12/10 06:50:13 US 2.16.840.1.113883.3.3756 familycarepartners familycarepartnersrootoid Daniel Choquette masked Daniel Choquette 6520 Fort Caroline Road, Jacksonville FL 904-722-4265 masked IT Director Family Care Partners Of Northeast Florida dchoquette@cptechjax.com http://familycarepartners.com Provider Int 3 Complete 2013/11/05 12:00:00 2013/12/10 12:00:00 2013/12/10 07:13:05 UV 2.16.840.1.113883.3.3757 footcenters footcenters OID Root Aileen Cruz masked Aileen Cruz 16605 SW Freeway Suite 350 Sugar Land, Texas 77479 281-240-3338 masked Practice Administrator Foot Centers of Texas 16605 SW Freeway Suite 350 Sugar Land, Texas 77479 281-240-3338 aileen@footcentersoftexas.com Provider Int 3 Complete 2013/11/05 12:00:00 2013/12/10 12:00:00 2013/12/10 07:24:42 UV 2.16.840.1.113883.3.3758 arungupta Dr Arun Gupta MD Arun Gupta masked Sarah Cicero 1094 N Monroe St Monroe, MI 48162 7342417162 masked Arun Gupta MD 1094 N Monroe St Monroe, MI 48162 7342417162 sarahc@arunguptamd.com Provider Int 3 Complete 2013/11/05 12:00:00 2013/12/10 12:00:00 2013/12/10 07:28:29 UV 2.16.840.1.113883.3.3759 j2interactive J2 Interactive LLC Mickey Yalon masked Mickey Yalon 2 13th st, Charlestown, MA 02129 6172417266 masked CTO J2 Interactive LLC 2 13th st, Charlestown, MA 02129 6172417266 mickey@j2interactive.com http://j2interactive.com Vendor Int 3 Complete 2013/11/05 12:00:00 2013/12/10 12:00:00 2013/12/10 07:31:53 UV 2.16.840.1.113883.3.3760 cochise cochise OID Root Maria Ayala masked Maria Ayala 75 Colonia de Salud Suite 100C Sierra Vista, AZ 85635 520-452-0144 masked Office Manager Cochise Surgical Care, PLLC 75 Colonia de Salud, Suite 100C Sierra Vista, AZ 85635 520-452-0144 maria_ayala@qwestoffic.net Provider Int 3 Complete 2013/11/05 12:00:00 2013/12/10 12:00:00 2013/12/10 07:35:32 UV 2.16.840.1.113883.3.3761 hieset Health Information Exchange South East Texas Terry Peterson masked Terry Peterson 7100 Commerce Way Suite 60 Brentwood, TN 37027 Terry Peterson masked Engineer IASIS Healthcare 7100 Commerce Way Suite 60 Brentwood, TN 37027 Terry Peterson tlpeterson@iasishealthcare.com Exchange Int 3 Complete 2013/11/05 12:00:00 2013/12/10 12:00:00 2013/12/10 07:39:10 UV 2.16.840.1.113883.3.3762 vascular-oid vascular OID Root April Livingston masked April Livingston 2631 Centennial Blvd, Ste 100 Tallahassee, FL 32308 8508778539 masked IT Support Vascular Surgery Associates, P.A. 2631 Centennial Blvd, Ste 100 Tallahassee, FL 32308 8508778539 alivingston@vsafl.com Provider Int 3 Complete 2013/11/05 12:00:00 2013/12/10 12:00:00 2013/12/10 07:40:38 UV 2.16.840.1.113883.3.3291.1 ncdr-mrn NCDR Medical Record Number Damon Dunsmore masked Damon Dunsmore 1090 Northchase PKWY SE Suite 150 Marietta, GA 30067 770-916-7211 masked Manager of EDI and Integrations Damon Dunsmore 1090 Northchase PKWY SE Suite 150 Marietta, GA 30067 770-916-7211 ddunsmore@ncdrllc.com http://www.ncdrllc.com/ Provider 2.16.840.1.113883.3.3291 Ext 14 Complete 2.16.840.1.113883.3.3291.1 2013/11/05 12:00:00 2013/12/10 12:00:00 2013/12/10 07:45:45 UV 2.16.840.1.113883.3.3763 mcallen McAllen OID Root Priscilla DeLaCruz masked Priscilla DeLaCruz 1801 S. 5th Street, Suite 120 McAllen, TX 78503 (956)687-7151 masked Office Manager McAllen Surgeons L.L.P. 1801 S. 5th Street, Suite 120 McAllen, TX 78503 (956)687-7151 mcallen_surgeons@hotmail.com Provider Int 3 Complete 2013/11/06 12:00:00 2013/12/10 12:00:00 2013/12/10 07:42:49 UV 2.16.840.1.113883.3.1070.5570 mckesson-fusion-5570 mckesson-fusion-5570 Jennifer Meares masked Jennifer Meares 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5570 2013/11/06 12:00:00 2013/12/10 12:00:00 2013/12/10 07:47:48 UV 2.16.840.1.113883.3.3764 ronaldkalbright ronaldkalbright OID ROOT MARIA MONTES masked MARIA MONTES 150 CARNATION DR STE 1 FREEDOM, CA. 95019 831 722 8125 masked OFFICE MANAGER RONALD K ALBRIGHT, MD 150 CARNATION DR STE 1 FREEDOM, CA. 95019 831 722 8125 mariamontes4013@sbcglobal.net Provider Int 3 Complete 2013/11/06 12:00:00 2013/12/23 12:00:00 2013/12/23 01:01:54 UV 2.16.840.1.113883.3.3765 sevocity Sevocity Larry Gay masked Larry Gay 9830 Colonnade Blvd. Suite 377 San Antonio, TX 78230 (210)737-0777 masked Product Developer Conceptual MindWorks, Inc. 9830 Colonnade Blvd. Suite 377 San Antonio, TX 78230 (210)737-0777 larry@teamcmi.com http://www.sevocity.com Vendor Int 3 Complete 2013/11/06 12:00:00 2013/12/23 12:00:00 2013/12/23 01:08:35 UV 2.16.840.1.113883.3.3766 arango Arango OID Root Leticia Longoria masked Leticia Longoria 5407 S McColl Rd, Ste B Edinburg, Texas 78539 (956) 994-1912 masked Office Manager Arango Family & Industrial Clinic 5407 S McColl Rd, Ste B Edinburg, Texas 78539 (956) 994-1912 afamilyclinic@rgv.rr.com Provider Int 3 Complete 2013/11/06 12:00:00 2013/12/23 12:00:00 2013/12/23 01:11:16 UV 2.16.840.1.113883.3.3767 eviti eviti, Inc. Ivan Perez masked Ivan R. Perez 1800 JFK Blvd. 9th Floor Philadelphia, PA 19103 215-569-0656 x155 masked Software Architect eviti, Inc. 1800 JFK Blvd. 9th Floor Philadelphia, PA 19103 215-569-0656 hl7@eviti.com http://www.eviti.com Vendor Int 3 Complete 2013/11/06 12:00:00 2013/12/23 12:00:00 2013/12/23 01:13:36 UV 2.16.840.1.113883.3.3768 slchospital St Luke's Cornwall Campus Fabianni Builes masked Aaron Kramer Aaron Kramer (845) 534-7711 masked Director, Information Tech. St Luke's Cornwall Campus akramer@slchospital.org https://www.slchospital.org Provider Int 3 3 Complete 2013/11/06 12:00:00 2013/12/23 12:00:00 2013/12/23 01:17:44 UV 2.16.840.1.113883.3.3769 cmcfc CMCFC Brian Evans masked Joe Buckminster Joseph Buckminster 3307 Barada St. Falls City, NE 68355 4022456684 masked IT Director Community Medical Center 3307 Barada St. Falls City, NE 68355 4022456684 jbuckminster@cmcfc.org http://www.cmcfc.org Provider Int 3 Complete 2013/11/06 12:00:00 2013/12/23 12:00:00 2017/06/09 09:54:20 UV 2.16.840.1.113883.3.3770 slh St Luke's Newburgh Campus Fabianni Builes masked Aaron Kramer Aaron Kramer (845) 561-4400 masked Director, Information Tech. St Luke's Newburgh Campus 70 Dubois Street, Newburgh, NY 12550 (845) 561-4400 akramer@slchospital.org http://www.slchospital.org Prof Soc Int 3 3 Complete 2013/11/06 12:00:00 2013/12/23 12:00:00 2013/12/23 01:25:26 UV 2.16.840.1.113883.3.3771 cambrian Cambrian OID Gabriela Matthews masked Gabriela B. Matthews 2095 W. Vista Way, Suite # 107 Vista, CA 92083 760-941-4005 masked Office Manger Cambrian Cardiology Medical Group 2095 W. Vista Way, Suite 107 Vista, Ca 92083 760-941-4005 cambriancardiology@hotmail.com Provider Int 3 Complete 2013/11/06 12:00:00 2013/12/23 12:00:00 2013/12/23 01:29:41 UV 2.16.840.1.113883.3.3772 yaicfst OID for YAI - Center for Specialty Therapy David Gann masked David Gann NYeC 40 Worth Street 5th Floor New York, NY 10013-2988 646-619-6569 masked Project Manager Dr. David M. Kaufman, M.D YAI Network Center for Specialty Therapy 460 West 34th St. NY, NY 10001-2382 212-273-6100 http://www.yai.org http://www.yai.org Provider Int 3 Complete 2013/11/07 12:00:00 2013/12/23 12:00:00 2013/12/23 01:31:59 UV 2.16.840.1.113883.3.3773 nyodn OID for New York Organ Donor Network David Gann masked David Gann NYeC 40 Worth Street 5th Floor New York, NY 10013-2988 646-619-6569 masked Project Manager Mr. Delli Carpini New York Organ Donor Network 460 West 34th St 15th Floor New York, NY 10001 646-291-4444 http://www.donatelifeny.org/ http://www.donatelifeny.org/ Provider Int 3 Complete 2013/11/07 12:00:00 2013/12/23 12:00:00 2013/12/23 01:36:22 UV 2.16.840.1.113883.3.3774 kathryn-oid kathryn OID Root Nancy Tyson masked Nancy Tyson 811 Ainsworth Drive Suite 106 Prescott AZ 86301 928-771-5252 masked Kathryn T. Ballard MD 811 Ainsworth Drive Suite 106 Prescott AZ 86301 928-771-5252 ntyson2003@yahoo.com Provider Int 3 Complete 2013/11/07 12:00:00 2013/12/23 12:00:00 2013/12/23 01:40:27 UV 2.16.840.1.113883.3.3775 cfp Case Family Practice and Sports Medicine Root OID Susan Case masked Susan Case 272 Carter Drive Suite 200 Middletown, De 19709 302-449-1710 masked Manager Case Family Practice and Sports Medicine 272 Carter Drive Suite 200 Middletown, DE 19709 302-449-1710 casefp@comcast.net Provider Int 3 Complete 2013/11/07 12:00:00 2013/12/23 12:00:00 2013/12/23 01:42:44 UV 2.16.840.1.113883.3.3776 synergy-oid synergy OID Root Heather Hedgpeth masked Heather Hedgpeth 1600 w chandler blvd #160 Chandler, AZ 85224 480-907-6337 masked office manager Synergy Infectious Disease Physicians PLLc 1600 w Chandler Blvd #160 Chandler, AZ 85224 480-907-6337 synergyidphysicians@gmail.com Provider Int 3 Complete 2013/11/07 12:00:00 2013/12/23 12:00:00 2013/12/23 01:46:39 UV 2.16.840.1.113883.3.3777 datamotion-direct DataMotion Direct OID Clayton Greer masked Clayton Greer 35 Airport Way, Ste 120 Morristown, NJ 07960 973.455.1245 x710 masked VP of Product Development DataMotion, Inc. 35 Airport Way, Ste 120 Morristown, NJ 07960 973.455.1245 pdxops@datamotion.com http://www.datamotion.com Vendor Int 3 Complete 2013/11/07 12:00:00 2013/12/23 12:00:00 2013/12/23 01:52:47 UV 2.16.840.1.113883.3.3778 lwnw LifeWorks NW Nate McAlmond masked Nate McAlmond 503-645-3581 masked IT Director LifeWorks NW 14600 NW Cornell Rd Portland, Oregon 97229 503-645-3581 natem@lifeworksnw.org http://www.lifeworksnw.org Provider Int 3 Complete 2013/11/08 12:00:00 2013/12/23 12:00:00 2013/12/23 01:55:19 UV 2.16.840.1.113883.3.3779 omsclinic Onslow Medical Specialties Clinic OID root Mai Erwing masked Mai Erwing 9104559398 masked Onslow Medical Specialties Clinic 123 Pompano Place Suite 100 Jacksonville, NC 28546 9104559398 drecdesuyo@aol.com http://www.omsclinic.net/ Provider Int 3 Complete 2013/11/08 12:00:00 2013/12/23 12:00:00 2013/12/23 01:56:31 UV 2.16.840.1.113883.3.3780 donna-oid Donna OID Root Roxane Arguelles masked Roxane Arguelles 956-464-2402 masked Office Manager Donna Medical Clinic, PA 307 North D. Salinas Blvd. Donna, TX 78537 956-464-2402 rarguelles@donnamedicalclinic.com Provider Int 3 Complete 2013/11/08 12:00:00 2013/12/23 12:00:00 2013/12/23 01:59:07 UV 2.16.840.1.113883.3.3781 nfpmg nfpmg OID Root Susan Anderson masked Susan Anderson 18406 Roscoe Blvd Northridge, CA 91325 818-885-8500 x. 3148 masked Director, Business Operations Northridge Family Practice Medical Group, Inc 18406 Roscoe Blvd Northridge, CA 91325 818-885-5480 susan.anderson2@dignityhealth.org Provider Int 3 Complete 2013/11/08 12:00:00 2013/12/23 12:00:00 2013/12/23 02:02:36 UV 2.16.840.1.113883.3.1070.5567 mckesson-fusion-5567 mckesson-fusion-5567 Gianna Goodman masked Fusion Enrollment 8775074541 masked Fusion Enrollment gianna_goodman@med3000.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5567 2013/11/08 12:00:00 2013/12/23 12:00:00 2013/12/23 02:05:02 US 2.16.840.1.113883.3.3782 drjandl Drs. Jackson and Layne Kathleen Lewis masked Kathleen Lewis 4224 Houma Blvd, Suite 380 Metairie, LA 70006 504-454-5213 masked Office Manager Drs. Jackson and Layne 4224 Houma Blvd, Suite 380 Metairie, LA 70006 504-454-5213 drjandl4224@yahoo.com Provider Int 3 Complete 2013/11/08 12:00:00 2013/12/23 12:00:00 2013/12/23 02:07:40 UV 2.16.840.1.113883.3.3783 prescott prescott OID Root Paige Curry masked Paige Curry 811 Ainsworth Drive Suite 103 Prescott, AZ 86301 928-771-5548 masked Office Coordinator YRMC PhysicianCare 811 Ainsworth Drive Suite 103 Prescott, AZ 86301 928-771-5548 pcurry@yrmc.org Provider Int 3 Complete 2013/11/11 12:00:00 2013/12/23 12:00:00 2013/12/23 02:13:17 UV 2.16.840.1.113883.3.3784 southernim Southern Internal Medicine LLC OID root Parul Patel masked Parul Patel 106 Rowe Street Dublin, GA 31021 478-272-0353 masked Office administrator Southern Internal Medicine LLC 106 Rowe Street Dublin, GA 31021 478-272-0353 southernimstaff@yahoo.com Provider Int 3 Complete 2013/11/11 12:00:00 2013/12/23 12:00:00 2013/12/23 02:15:30 UV 2.16.840.1.113883.3.1070.5582 mckesson-fusion-5582 mckesson-fusion-5582 Gianna Goodman masked Fusion Enrollment 8775074541 masked Fusion Enrollment gianna_goodman@med3000.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5582 2013/11/11 12:00:00 2013/12/23 12:00:00 2013/12/23 02:18:02 US 2.16.840.1.113883.3.3785 podiatrycenter PodiatryCenter OID root David Metzendorf masked David Metzendorf 135 First Street South Winter Haven, FL 33880 8632931968 masked President Podiatry Center PA 135 First Street South Winter Haven, Fl 33880 8632931968 dametz@aol.com Provider Int 3 Complete 2013/11/11 12:00:00 2013/12/23 12:00:00 2013/12/23 02:33:37 UV 2.16.840.1.113883.3.3786 htchc Hilltown Community Health Centers Jeffrey Hagen masked Jeffrey Hagen 58 Old North Rd Worthington, MA 01098 413-238-4138 masked Chief Operating Officer Hilltown Community Health Centers, Inc. 58 Old North Rd. Worthington, MA 01098 413-238-5511 jhagen@hchcweb.org http://www.hchcweb.org/ Provider Int 3 Complete 2013/11/11 12:00:00 2013/12/23 12:00:00 2013/12/23 02:35:29 UV 2.16.840.1.113883.3.3787 smcpok Stillwater Medical - Perry Sandy Ellis masked James P Ranone 501 14th Street Perry, OK 73077 4057425833 masked Integration Engineer Stillwater Medical Center 1323 W. 6th Ave Stillwater, OK 74074 4057425905 croark@stillwater-medical.org http://stillwater-medical.org Provider 2.16.840.1.113883.3.2187 Int 3 Complete 2013/11/11 12:00:00 2013/12/23 12:00:00 2019/08/15 07:42:25 UV 2.16.840.1.113883.3.3788 valley-oid Valley OID Root FRANK MUNIZ masked FRANK MUNIZ 1200 E SAVANNAH STE 7 MCALLEN, TX 78503 956-618-2999 masked BILLING SUPERVISOR VALLEY HEART CONSULTANTS 1200 E SAVANNAH STE 7 MCALLEN, TX 78503 956-618-2999 DALIACOBOS@ROCKETMAIL.COM Provider Int 3 Complete 2013/11/11 12:00:00 2013/12/23 12:00:00 2013/12/23 02:43:06 UV 2.16.840.1.113883.3.3787.1 pmhok-cpsi CPSI Sandy Ellis masked Sandy Ellis 501 14th Street Perry, OK 73077 580-336-2176 ext: 3299 masked Systems Coordinator Perry Memorial Hospital 501 14th Street Perry, OK 73077 580-336-3541 sellis@pmh-ok.org http://pmh-ok.org Vendor 2.16.840.1.113883.3.3787 Ext 14 Complete 2.16.840.1.113883.3.3787.1 2013/11/11 12:00:00 2014/12/15 12:00:00 2014/12/15 11:45:46 UV 2.16.840.1.113883.3.1070.5564 mckesson-fusion-5564 mckesson-fusion-5564 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5564 2013/11/11 12:00:00 2013/12/23 12:00:00 2013/12/23 02:48:52 US 2.16.840.1.113883.17.155 hourani Michael R. Hourani, MD, PC Leedona Miller masked Leedona Miller 405 W Greenlawn Suite 230 Lansing, MI 48910 517-485-8217, ext 7 masked Office Manager Michael R. Hourani, MD, PC 405 W Greenlawn Suite 230 Lansing, MI 48910 517-485-8217, ext 7 hlmiller53@comcast.net Provider Int 17 Complete 2013/11/12 12:00:00 2013/12/23 12:00:00 2013/12/23 03:12:18 UV 2.16.840.1.113883.3.3789 wbc-pc West Broadway Clinic, P.C. Jan Patterson masked Jan Patterson West Broadway Clinic, P.C. 1701 W. Broadway Council Bluffs, IA 51501 712-256-5600 masked Practice Administrator West Broadway Clinic, P.C. 1701 W. Broadway Council Bluffs, IA 51501 712-256-5600 jpatterson@westbroadwayclinic.com https://wbc.cernerdirect.com Provider Int 3 Complete 2013/11/12 12:00:00 2013/12/23 12:00:00 2013/12/23 03:15:49 UV 2.16.840.1.113883.17.156 sterling Sterling Family Medicine, P.C Oleh Bolukh masked Oleh Bolukh 2539 East 12 Mile Rd Warren MI 48092 5865585075 masked Physician/Owner Sterling Family Medicine, P.C 2539 East 12 Mile Rd Warren MI 48092 5865585075 obolukh@hotmail.com Provider Int 17 Complete 2013/11/12 12:00:00 2013/12/23 12:00:00 2013/12/23 03:17:23 UV 2.16.840.1.113883.3.3790 crsal-corporation Colon and Rectal Surgery Associates Ltd Corporation Susan Wilkus masked Jon Karels Susan M Wilkus 1055 Westgate Drive Suite 190 St Paul, MN 55114 651-312-1540 masked Director Colon and Rectal Surgery Associates 1055 Westgate Drive Suite 190 St Paul, MN 55114 651-312-1500 swilkus@crsal.org http://www.crsal.org Provider Int 3 Complete 2013/11/12 12:00:00 2013/12/23 12:00:00 2013/12/23 03:19:58 UV 2.16.840.1.113883.4.679 crsal-enterprise Colon and Rectal Surgery Associates Ltd Enterprise Susan Wilkus masked Jon Karels Susan M Wilkus 1055 Westgate Drive Suite 190 St Paul, MN 55114 651-312-1540 masked Director Colon and Rectal Surgery Associatesq 1055 Westgate Drive Suite 190 St Paul, MN 55114 651-312-1540 swilkus@crsal.org http://www.crsal.org Provider 2.16.840.1.113883.3.3790 Int 4 Complete 2013/11/12 12:00:00 2015/06/25 12:00:00 2015/06/25 07:40:46 UV 2.16.840.1.113883.4.680 crsal-practice Colon and Rectal Surgery Associates Susan Wilkus masked Jon Karels Susan M Wilkus 1055 Westgate Drive Suite 190 St Paul, MN 55114 651-312-1540 masked Director Colon and Rectal Surgery Associates 1055 Westgate Drive Suite 190 St Paul, MN 55114 612-132-1500 swilkus@crsal.org http://www.crsal.org Provider 2.16.840.1.113883.3.3790 Int 4 Complete 2013/11/12 12:00:00 2015/06/25 12:00:00 2015/06/25 07:43:47 UV 2.16.840.1.113883.4.681 pfc-practice Pelvic Floor Center Susan Wilkus masked Jon Karels Susan M Wilkus 1055 Westgate Drive Suite 190 St Paul, MN 55114 651-312-1540 masked Director Colon and Rectal Surgery Associates 1055 Westgate Drive Suite 190 St Paul, MN 55114 651-312-1500 swilkus@crsal.org http://www.crsal.org Provider 2.16.840.1.113883.3.3790 Int 4 Complete 2013/11/12 12:00:00 2015/06/25 12:00:00 2015/06/25 07:47:05 UV 2.16.840.1.113883.3.3791 ufc Mutigen, LLC oid root Kim Burch masked Kim Burch 5833 AEDC Road Estill Springs, TN 37330 931-392-4169 masked Admin Mutigen, LLC 711 N Atlantic St Tullahoma, TN 37388 931-455-2273 universalfamcare@gmail.com Provider Int 3 Complete 2013/11/12 12:00:00 2013/12/23 12:00:00 2013/12/23 08:55:14 UV 2.16.840.1.113883.3.3792 kidney-oid kidney OID Root Martin Jimenez masked Martin Jimenez 1300 S. Bryan Rd. Ste 106 Mission, Texas 78572 9565199332 masked Office Manager Kidney Doctors of South Texas P.A. 1300 S. Bryan Rd. Ste 106 Mission, Texas 78572 9565199332 kidneydoctorsofsouthtexas@yahoo.com Provider Int 3 Complete 2013/11/12 12:00:00 2013/12/23 12:00:00 2013/12/23 08:58:09 UV 2.16.840.1.113883.3.3793 pfh Premier Family Healthcare, LLC oid root Kim Burch masked Kim Burch 5833 AEDC Road Estill Springs, TN 37330 931-392-4169 masked Admin Premier Family Healthcare, LLC 501 N Jackson St Tullahoma, TN 37388 931-841-3821 anderagorepfh@yahoo.com Provider Int 3 Complete 2013/11/12 12:00:00 2013/12/23 12:00:00 2013/12/23 08:59:35 UV 2.16.840.1.113883.3.3794 wpc Winchester Primary Care, LLC oid root Kim Burch masked Kim Burch 5833 AEDC Road Estill Springs, TN 37330 931-392-4169 masked Admin Winchester Primary Care LLC 1764 Decherd Blvd Decherd, TN 37324 931-361-0100 winprimarycare@gmail.com Provider Int 3 Complete 2013/11/12 12:00:00 2013/12/23 12:00:00 2013/12/23 09:01:11 UV 2.16.840.1.113883.3.3795 kenneth-oid kenneth oid Root Denise Lesser masked Denise Lesser 1106 Pacific St San Luis Obispo, CA 93401 805-546-9500 masked Kenneth P Tway, MD, F.A.C.C. 1106 Pacific St San Luis Obispo, CA 93401 805-546-9500 dlesser@drtway.com Provider Int 3 Complete 2013/11/12 12:00:00 2013/12/23 12:00:00 2013/12/23 09:04:16 UV 2.16.840.1.113883.13.253 hshs-ewd-svgb HSHS - St. Vincent Hospital Shane Miller masked Shane Miller 9204313118 masked CIO St. Vincent Hospital 835 S. Van Buren Street Green Bay, WI 54301 920-431-3118 Shane.Miller@hshs.org Provider Int 3 Complete 2013/11/12 12:00:00 2014/12/15 12:00:00 2014/12/15 12:00:44 UV 2.16.840.1.113883.13.254 hshs-ewd-smgb HSHS - St. Mary's Hospital Medical Center Shane Miller masked Shane Miller 1726 Shawano Ave Green Bay, Wisconsin 54303 9204313118 masked CIO St. Mary's Hospital Medical Center 1726 Shawano Ave Green Bay, Wisconsin 54303 920-431-3118 Shane.Miller@hshs.org Provider Int 3 Complete 2013/11/12 12:00:00 2014/12/15 12:00:00 2014/12/15 12:03:36 UV 2.16.840.1.113883.13.255 hshs-ewd-sns HSHS - St. Nicholas Hospital Shane Miller masked Shane Miller 3100 Superior Ave Sheboygan, WI 53081 9204313118 masked CIO St. Nicholas Hospital 3100 Superior Ave Sheboygan, WI 53081 920-431-3118 Shane.Miller@hshs.org Provider Int 3 Complete 2013/11/12 12:00:00 2014/12/15 12:00:00 2014/12/15 12:06:35 UV 2.16.840.1.113883.4.682 dr-BNolte Dr Brian Nolte Brian Nolte masked DR, Brian Nolte Brian Nolte Procomp Software Consultants 555 Cincinnati Batavia Pike Cincinnati Ohio 45244 513-685-5245 masked Outpatient Care Director Procomp Software Consutants Dr. Brian Nolte Procomp Software Consultants 555 Cincinnati Batavia Pike Cincinnati Ohio 45244 bnolte@procompsoftware.com http://procompsoftware.com Vendor 2.16.840.1.113883.3.3738 Int 4 4 Pending 2013/11/12 12:00:00 2013/11/12 12:40:45 UV 2.16.840.1.113883.13.256 hshs-ewd-prv Prevea Health Shane Miller masked Shane Miller 2710 Executive Dr. Ashwaubenon, WI 54304 9204313118 masked CIO Prevea Health 2710 Executive Dr. Ashwaubenon, WI 54304 920-431-3118 Shane.Miller@hshs.org Provider Int 3 Complete 2013/11/12 12:00:00 2014/12/15 12:00:00 2014/12/15 12:09:40 UV 2.16.840.1.113883.3.3796 plexia Plexia Electronic Medical Systems Inc. Babak Movahed masked Babak Movahed 110 - 8678 Greenall Ave Burnaby, BC V5J 3M6 604-269-3733 masked Chief Technology Officer Plexia Electronic Medical Systems Inc. 110 - 8678 Greenall Ave Burnaby, BC V5J 3M6 604-269-3733 info@plexia.ca http://www.plexia.ca Vendor Int 3 Complete 2013/11/12 12:00:00 2013/12/23 12:00:00 2019/02/20 06:17:35 UV 2.16.840.1.113883.3.3738.1 dshuller Dave Shuller Dave Shuller masked Brian Nolte Brian Nolte procomp software consultants 555 Cincinnati Batavia pike Cincinnati, Ohio 45244 5136855245 masked Development Support Procomp Software Consultants bnolte@procompsoftware.com http://procompsoftware.com Vendor 2.16.840.1.113883.3.3738 Ext 14 Complete 2.16.840.1.113883.3.3738.1 2013/11/12 12:00:00 2013/12/23 12:00:00 2013/12/23 09:14:32 UV 2.16.840.1.113883.3.3797 bob-oid Bob OID Root Nancy Oksenholt masked Nancy Oksenholt 3489 NW Highway 101 Lincoln City, OR 97367 541-614-1515 masked Nurse Manager DR BOB Health Centre 3489 NW Highway 101 Lincoln City, OR 97367 541-614-1515 hipto5@comcast.net Provider Int 3 Complete 2013/11/12 12:00:00 2013/12/23 12:00:00 2013/12/23 09:16:50 UV 2.16.840.1.113883.3.3798 rivhs Riverside Health System Suzette Halfhide masked Jim Foss James R. Foss Riverside Health System | 11832 Rock Landing Dr.| 4th Floor | Newport News | Virginia | 23606 757.534.9442 (O) | 757.534.9494 (Dept) | 757.806.6955 (Fax) 757.534.9442 masked Director of IS Physician Services Riverside Health System 500 J. Clyde Morris Boulevard Newport News, VA 23601 (757) 594-2911 7575349494 isphysicianservices@rivhs.com http://www.riversideonline.com Provider Int 3 Complete 2013/11/12 12:00:00 2013/12/23 12:00:00 2013/12/23 09:19:21 UV 2.16.840.1.113883.3.3799 sjmc-res Saint Josephs Medical Center - Residential Services Thomas Good masked mhotchkiss@svwsjmc.org Thomas Altfather Good 1216 Bay Street, Staten Island, New York 10305 718.982.4752 masked Senior Database Administrator St. Joseph's Med Center - Residential Services 1216 Bay Street, Staten Island, New York 10305 718.982.4740 tgood@svwsjmc.org http://www.saintjosephs.org Provider Int 3 3 Complete 2013/11/12 12:00:00 2013/12/23 12:00:00 2013/12/23 09:20:57 MCD UV 2.16.840.1.113883.3.2402.300.6 physicians-computer-company-vendors-orchard Physician's Computer Company (PCC) Vendors Orchard Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.300.6 2013/11/12 12:00:00 2013/12/23 12:00:00 2013/12/23 09:22:45 UV 2.16.840.1.113883.3.2402.300.7 physicians-computer-company-vendors-wakemed Physician's Computer Company (PCC) Vendors WakeMed Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.300.7 2013/11/12 12:00:00 2013/12/23 12:00:00 2013/12/23 09:24:52 UV 2.16.840.1.113883.3.3798.100 testrivhs TestRIVHS Suzette Halfhide masked Jim Foss Jim Foss 757.534.9442 masked Director of IS Physician Services TestRIVHS 500 J. Clyde Morris Boulevard Newport News, VA 23601 (757) 594-2911 7575349494 isphysicianservices@rivhs.com http://www.riversideonline.com Provider 2.16.840.1.113883.3.3798 Ext 14 Complete 2.16.840.1.113883.3.3798.100 2013/11/12 12:00:00 2013/12/23 12:00:00 2013/12/23 09:34:15 UV 2.16.840.1.113883.3.3800 trrpodiatry Thomas R. Rich, DPM OID root Jill Stringer masked Jill Stringer 215 Monmouth Road Oakhurst, NJ 07755 732-531-0320 masked Office Manager Thomas R. Rich, DPM 215 Monmouth Road Oakhurst, NJ 07755 732-531-0320 trrpodiatry@yahoo.com Provider Int 3 Complete 2013/11/12 12:00:00 2013/12/23 12:00:00 2013/12/23 09:37:12 UV 2.16.840.1.113883.3.3801 melinda-oid melinda OID Root Brenda Rogers masked Brenda Rogers 907 Ainsworth Drive Prescott, AZ 86305 (928) 777-0070 masked Office Manager Melinda M. Martin, M.D., P.L.L.C. 907 Ainsworth Drive Prescott, AZ 86305 (928) 777-0070 manager@drmelindamartin.com Provider Int 3 Complete 2013/11/12 12:00:00 2013/12/23 12:00:00 2013/12/23 09:38:54 UV 2.16.840.1.113883.3.3802 echo-group The Echo Group, Inc F. Allan Normandin masked F. Allan Normandin The Echo Group 15 Washington Street, Box 2150 Conway, NH 03818 6034478600 masked Chief Technology Officer The Echo Group 15 Washington Street, Box 2150 Conway, NH 03818 6034478600 allan.normandin@echoman.com http://www.echoman.com Vendor Int 3 Complete 2013/11/12 12:00:00 2013/12/23 12:00:00 2014/01/17 09:32:38 UV 2.16.840.1.113883.3.3803 emellemd Emmanuel Emelle, md.pc.OID ROOT Emmanuel Emelle masked Emmanuel Emelle 973-374-3544 masked Md EMMANUEL EMELLE MD.PC. 40 union avenue suite 306 Irvington nj 07111 973-374-3544 emellemdpc@yahoo.com Provider Int 3 Complete 2013/11/12 12:00:00 2013/12/23 12:00:00 2013/12/23 09:44:31 UV 1.3.6.1.4.1.38737 meddex Meddex Dave Franken masked Dave Franken Amersfoortseweg 1 3951 LA Maarn +31651240348 masked Information Specialist Meddex Amersfoortseweg 1 3951 LA Maarn +31343444524 info@meddex.nl http://www.meddex.nl Exchange 1.3.6.1.4.1.38737 Ext 4 Complete 1.3.6.1.4.1.38737 2013/11/13 12:00:00 2013/12/23 12:00:00 2014/04/16 06:09:04 NL 2.16.840.1.113883.3.3806 acrd Associates in Colon & Rectal Diseases, PA OID root John Kocsis masked John Kocsis 231 Millburn Avenue Millburn, NJ 07041 973-467-2277 masked AR Manager Associates in Colon & Rectal Diseases, PA 231 Millburn Avenue Millburn, NJ 07041 973-467-2277 acrd@verizon.net Provider Int 3 Complete 2013/11/13 12:00:00 2013/12/23 12:00:00 2013/12/23 09:56:43 UV 2.16.840.1.113883.3.3807 app-acl Advocate Physician Partners - ACL Dennis Gilge masked Dennis Gilge 1701 West Golf Road Rolling Meadows, IL 60008 847-635-5920 masked Advocate Physician Partners - ACL 1701 West Golf Road Rolling Meadows, IL 60008 847-635-5920 Dennis.Gilge@advocatehealth.com Provider Int 3 3 Complete 2013/11/13 12:00:00 2013/12/23 12:00:00 2013/12/23 09:59:21 UV 2.16.840.1.113883.3.3808 stxvein stxvein OID Root Sonia Solano masked Sonia Solano 2707 W. Trenton Rd. Edinburg, TX 78539 (956)627-3215 masked Office Manager South Texas Vein Institute 2707 W. Trenton Rd. Edinburg, TX 78539 (956)631-8346 soniasolano@stxvein.com Provider Int 3 Complete 2013/11/13 12:00:00 2013/12/23 12:00:00 2013/12/23 10:01:23 UV 2.16.840.1.113883.3.3809 dbirch Donald M. Birch M.D. FRCP P.C. OID root Donald Birch masked Tamara Kayne Donald M. Birch 330 W Tienken Suite C Rochester Hills, MI 48306 248-651-2640 masked Physician Donald M Birch M.D. 330 W Tienken Suite C Rochester Hills, MI 48306 248-651-2640 tkayne@sbcglobal.net Provider Int 3 Complete 2013/11/13 12:00:00 2013/12/23 12:00:00 2013/12/23 10:03:08 UV 2.16.840.1.113883.17.157 pr-upi Puerto Rico Unique Patient Identifier Antonio Sisco masked Yosu&#233; Rodr&#237;guez Antonio Sisco 7877652929 ext 2412 masked State HIT Coordinator Puerto Rico Health Information Network Edificio E Altos, Detr&#225;s del Hospital Psiqui&#225;trico &#193;rea Centro M&#233;dico San Juan, 00926 Puerto Rico 7877652929 hl7@prhin.net https://www.prhin.net Govt body Int 17 Complete 2013/11/13 12:00:00 2013/12/23 12:00:00 2013/12/23 10:05:12 UV 2.16.840.1.113883.3.1070.5578 mckesson-fusion-5578 mckesson-fusion-5578 Jennifer Meares masked Fusion Enrollment 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5578 2013/11/13 12:00:00 2013/12/23 12:00:00 2013/12/23 10:07:26 US 2.16.840.1.113883.3.3810 kcderm kcderm OID Root Karen Eggers masked Karen Eggers 10600 Quivira Road Suite 430 Overland Park, Kansas 66220 913-541-3230 masked Administrator Kansas City Dermatology, P.A. 10600 Quivira Road Suite 430 Overland Park, Kansas 662155 913-541-3230 keggers@kcderm.com Provider Int 3 Complete 2013/11/13 12:00:00 2013/12/23 12:00:00 2013/12/23 10:11:05 UV 2.16.840.1.113883.3.1070.5566 mckesson-fusion-5566 mckesson-fusion- Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5566 2013/11/13 12:00:00 2013/12/23 12:00:00 2013/12/23 10:09:26 US 2.16.840.1.113883.3.3811 hMPNMPG Midwest Physicians Group Family Practice- HMPN Andrew Lewis masked Andrew Lewis 405-582-7982 masked Area Practice Admin. Midwest Physicians Group 1001 S. Douglas Blvd Midwest City, Ok 73130 405) 737-2875 andrew.e.lewis@hma.com Provider Int 3 Complete 2013/11/13 12:00:00 2013/12/30 12:00:00 2013/12/30 08:56:55 UV 2.16.840.1.113883.3.3812 hMPNMPG2 Midwest Physicians Group Family Practice 2- HMPN Andrew Lewis masked Andrew Lewis 405-582-7982 masked Area Practice Admin. Midwest Physicians Group Family Practice 2 2801 Parklawn Dr MIDWEST CITY, OK 73110-4224 (405) 737-6691 andrew.e.lewis@hma.com Provider Int 3 Complete 2013/11/13 12:00:00 2013/12/30 12:00:00 2013/12/30 08:59:35 UV 2.16.840.1.113883.3.3813 hMPNMPGHarrah Family Care Center of Harrah- HMPN Andrew Lewis masked Andrew Lewis 405-582-7982 masked Area Practice Admin. Family Care Center of Harrah 20826 W Main St Harrah,OK 73045-9756 405-454-2404 andrew.e.lewis@hma.com Provider Int 3 Complete 2013/11/13 12:00:00 2013/12/30 12:00:00 2013/12/30 09:01:58 UV 2.16.840.1.113883.3.3814 hMPNFMS Family Medicine Specialists- HMPN Andrew Lewis masked Andrew Lewis 405-582-7982 masked Area Practice Admin. Family Medicine Specialists 3700 N Kickapoo Shawnee, OK 74804-0007 (405) 273-6383 andrew.e.lewis@hma.com Provider Int 3 Complete 2013/11/13 12:00:00 2013/12/30 12:00:00 2013/12/30 09:05:42 UV 2.16.840.1.113883.3.3815 hMPNMPGRennaisance Renaissance Physicians Group Andrew Lewis masked Andrew Lewis 405-582-7982 masked Area Practice Admin. Renaissance Physicians Group 1800 S Douglas Blvd Midwest City OK73130-6224 (405) 733-4985 andrew.e.lewis@hma.com Provider Int 3 Complete 2013/11/13 12:00:00 2013/12/30 12:00:00 2013/12/30 09:07:56 UV 2.16.840.1.113883.3.3816 amg Augusta Medical Group Betty Hite masked Betty Hite Augusta Medical Group 78 Medical Center Drive Fishersville, VA 22939 540-332-4884 masked Applications Manager, IT Augusta Medical Group Augusta Medical Group 78 Medical Center Drive Fishersville, VA 22939 540-332-4000 amcmail@augustamed.com https://www.augustahealth.com Provider 2.16.840.1.113883.3.924 Int 3 Complete 2013/11/13 12:00:00 2013/12/30 12:00:00 2013/12/30 09:10:08 UV 2.16.840.1.113883.3.3817 acp Augusta Care Partners Betty Hite masked Betty Hite Augusta Care Partners 78 Medical Center Drive Fishersville, VA 22939 540-332-4884 masked Applications Manager, IT Augusta Care Partners Augusta Care Partners 78 Medical Center Drive Fishersville, VA 22939 540-332-4000 amcmail@augustamed.com https://www.augustahealth.com Provider 2.16.840.1.113883.3.924 Int 3 Complete 2013/11/13 12:00:00 2013/12/30 12:00:00 2013/12/30 09:14:22 UV 2.16.840.1.113883.3.1070.5580 mckesson-fusion-5580 mckesson-fusion-5580 Jennifer Meares masked Fusion Enrollment 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5580 2013/11/14 12:00:00 2013/12/30 12:00:00 2013/12/30 09:17:35 US 2.16.840.1.113883.3.3818 jbfcs JBFCS Uday Madasu masked Uday Madasu 135 W 50th St, 6th Floor New York, NY 10020 212-63204691 masked CIO Jewish Board of Family & Children's Services umadasu@jbfcs.org http://www.jbfcs.org/ Provider Int 3 Complete 2013/11/14 12:00:00 2013/12/30 12:00:00 2013/12/30 09:21:23 2.3 UV 2.16.840.1.113883.3.3819 tbhh the bridge health home Anthony Tozza masked Anthony Tozza 248 west 108 street New York, NY 212-663-3000 masked Sr Vp IT The Bridge Health Home 248 west 108 street New York, NY 10025 212-663-3000 atozza@thebridgeny.org http://thebridge.org Provider Int 3 Complete 2013/11/14 12:00:00 2013/12/30 12:00:00 2013/12/30 09:24:35 UV 2.16.840.1.113883.3.3820 cullmansurgical Cullman Surgical Associates OID root Penny Nance masked Penny Nance 1948 AL Hwy 157 Suite 250 Cullman, AL 35058-0611 256-739-6050 masked CPC, Billing Cullman Surgical Associates, P.C. 1948 AL Hwy 157 Suite 250 Cullman, AL 35058-0611 256-739-6050 pennynance@cullmansurgical.com Provider Int 3 Complete 2013/11/14 12:00:00 2013/12/30 12:00:00 2013/12/30 09:27:50 UV 2.16.840.1.113883.3.3821 hillsboro hillsboro OID Root Lindsay Harlow masked Lindsay Harlow 232 SE 7th Ave Hillsboro, OR 97123 5036401614 masked Front Office Supervisor Hillsborogi@hotmail.com 232 SE 7th Ave Hillsboro, OR 97123 5036401614 hillsborogi@hotmail.com Provider Int 3 Complete 2013/11/14 12:00:00 2013/12/30 12:00:00 2013/12/30 09:30:06 UV 2.16.840.1.113883.3.3822 bfm Biltmore Family Medicine, PLLC OID Jennifer Rudisill masked Jennifer Rudisill 1 ST. Dunstans Rd Suite 100 Asheville, NC 28803 828-252-4020 masked practice manager Biltmore Family Medicine, PLLC 1 ST. Dunstans Rd Suite 100 Asheville, NC 28803 828-252-4020 jennifer.rudisill@rdmgpa.com http://www.biltmorefamilymedicine.net/ Provider Int 3 Complete 2013/11/14 12:00:00 2013/12/30 12:00:00 2013/12/30 09:32:06 UV 2.16.840.1.113883.3.3823 hfhs Henry Ford Health System James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Director, IT Clinical&Integration Henry Ford Heatlh System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-612 jscherph@hfhs.org http://www.henryford.com/ Provider Int 3 Complete 2013/11/14 12:00:00 2013/12/30 12:00:00 2013/12/30 09:36:35 UV 2.16.840.1.113883.3.3824 emc-ca Eisenhower Medical Center Chad Flodman masked Chad Flodman 39000 Bob Hope Dr Rancho Mirage, CA 992270 (760) 340-3911:5994 masked Sr. Interface Analsyt Eisenhower Medical Center 39000 Bob Hope Dr Rancho Mirage, CA 992270 (760) 340-3911 dperez@emc.org http://www.emc.org Provider Int 3 Complete 2013/11/14 12:00:00 2013/12/30 12:00:00 2013/12/30 09:39:53 UV 2.16.840.1.113883.3.3823.1 hfmg Henry Ford Medical Group James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Director, IT Clinical&Integration Henry Ford Heatlh System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-612 jscherph@hfhs.org http://www.henryford.com/ Provider 2.16.840.1.113883.3.3823 Ext 17 17 Complete 2.16.840.1.113883.3.3823.1 2013/11/14 12:00:00 2013/12/30 12:00:00 2013/12/30 09:42:50 UV 2.16.840.1.113883.3.3825 wchwoo Wooster Community Hospital Carla Fonte masked Eric Gasser Carla Fonte Wooster Community Hospital 1761 Beall Avenue Wooster, Ohio 44691 330-263-8641 masked Director, Information Systems Wooster Community Hospital Wooster Community Hospital 1761 Beall Avenue Wooster, Ohio 44691 330-263-8100 cfonte@wchosp.org https://woosterhospital.org Provider Int 3 Complete 2013/11/14 12:00:00 2013/12/30 12:00:00 2013/12/30 09:46:52 UV 2.16.840.1.113883.3.1070.5208 mckesson-fusion-5208 mckesson-fusion-5208 Jennifer Meares masked Fusion Enrollment 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5208 2013/11/14 12:00:00 2013/12/30 12:00:00 2013/12/30 09:50:10 US 2.16.840.1.113883.3.3826 aoc Arthritis & Osteoporosis Center (Rheumatology Consulting PC) Tanya Stratford masked Michael L. Mawby, MD Tanya Stratford 1115 S. Union Street Traverse City, MI 49684 231-935-0332 masked Practice Manager Arthritis & Osteoporosis Center (Rheumatology Consulting PC) 1115 S. Union Street Traverse City, MI 49684 231-935-0550 tstratford@aoctc.com Provider Int 3 Complete 2013/11/14 12:00:00 2013/12/30 12:00:00 2013/12/30 09:56:05 UV 2.16.840.1.113883.3.3827 familypodiatry FAMILY PODIATRY GROUP OF TAMPA OID ROOT SOPHIA DESCHAND masked Sophia Deschand 7926 W HILLSBOROUGH AVE STE G TAMPA FL 33615 813-886-9180 masked office manager FAMILY PODIATRY GROUP OF TAMPA 7926 W HILLSBOROUGH AVE STE G TAMPA FL 33615 813-886-9180 DRPAULRICHTER@TAMPABAY.RR.COM http://familypodiatrygroupoftampa.com.edit.officite.com/ Provider Int 3 Complete 2013/11/14 12:00:00 2013/12/30 12:00:00 2013/12/30 09:57:42 UV 2.16.840.1.113883.3.1070.5525 mckesson-fusion-5525 mckesson-fusion-5225 Jennifer Meares masked Fusion Enrollment 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5525 2013/11/14 12:00:00 2013/12/30 12:00:00 2013/12/30 10:04:01 UV 2.16.840.1.113883.3.3828 fva francis v. adams,md OID root Mary Kane masked Mary E. Kane 650 First Avenue, 4th Floor New York, NY 10016 212-686-6885 masked Bus. Mgr Francis V. Adame, MD 650 First Avenue, 4th Floor New York, NY 10016 212-447-0088 Francisv@msn.com https://www.healthbanks.com Provider Int 3 Complete 2013/11/14 12:00:00 2013/12/30 12:00:00 2013/12/30 09:59:38 UV 2.16.840.1.113883.4.683 ajh Anna Jaques Hospital Nancy Spaulding masked Nancy Spaulding Anna Jaques Hospital 25 Highland Avenue Newburyport, MA 01950 9784631085 masked Programmer/Analyst Anna Jaques Hospital 25 Highland Avenue Newburyport, MA 01950 9784631000 rbuchanan@ajh.org http://www.ajh.org Provider Int 3 Complete 2013/11/14 12:00:00 2013/12/30 12:00:00 2013/12/30 10:10:06 UV 2.16.840.1.113883.3.1070.5561 mckesson-fusion-5561 mckesson-fusion-5561 Jennifer Meares masked Fusion Enrollment 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5561 2013/11/14 12:00:00 2013/12/30 12:00:00 2013/12/30 10:12:44 US 2.16.840.1.113883.3.3823.101 hfh Henry Ford Hospital James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101 2013/11/14 12:00:00 2013/12/30 12:00:00 2013/12/30 10:18:25 UV 2.16.840.1.113883.3.3823.103 hfkw Henry Ford Kingswood Hospital James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 17 Complete 2.16.840.1.113883.3.3823.103 2013/11/14 12:00:00 2013/12/30 12:00:00 2013/12/30 10:19:51 UV 2.16.840.1.113883.3.3823.104 hfwbl Henry Ford West Bloomfield Hospital James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, Mi 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, Mi 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 17 Complete 2.16.840.1.113883.3.3823.104 2013/11/14 12:00:00 2013/12/30 12:00:00 2013/12/30 10:21:12 UV 2.16.840.1.113883.3.3823.105 hfwy Henry Ford Wyandotte Hospital James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.105 2013/11/14 12:00:00 2013/12/30 12:00:00 2013/12/30 10:23:47 UV 2.16.840.1.113883.3.3823.106 hfmh Henry Ford Macomb Hospital James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, Mi 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, Mi 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106 2013/11/14 12:00:00 2013/12/30 12:00:00 2013/12/30 10:26:48 UV 2.16.840.1.113883.3.3829 sclhs Sisters of Charity of Leavenworth Health System Martin McCullough masked Julie Einhellig 12600 W. Colfax Ave., Suite A-500 Lakewood, CO 80215 (303) 403-7740 masked Manager, Integration Services - CO/MT Sisters of Charity of Leavenworth Health System 2420 West 26th Ave., Suite 100D Denver, CO 80211 303-813-5190 info@sclhs.net http://www.sclhealthsystem.org/ Provider Int 3 Complete 2013/11/15 12:00:00 2013/12/30 12:00:00 2013/12/30 10:30:38 UV 2.16.840.1.113883.3.3830 gsmc Exempla Good Samaritan Medical Center Martin McCullough masked Julie Einhellig 12600 W. Colfax Ave., Suite A-500 Lakewood, CO 80215 (303) 403-7740 masked Manager, Integration Services - CO/MT Exempla Good Samaritan Medical Center 200 Exempla Circle Layfayette, CO 80026 303-689-4000 info@sclhs.net http://www.exemplagoodsamaritan.org Provider Int 3 Complete 2013/11/15 12:00:00 2013/12/30 12:00:00 2013/12/30 10:35:10 UV 2.16.840.1.113883.3.3831 lmcscl Lutheran Medical Center Martin McCullough masked Julie Einhellig 12600 W. Colfax Ave., Suite A-500 Lakewood, CO 80215 (303) 403-7740 masked Manager, Integration Services - CO/MT Lutheran Medical Center 8300 W. 38th Ave. Wheatridge, CO 80033 303-425-4500 info@sclhs.net http://www.sclhealthsystem.org/ Provider Int 3 Complete 2013/11/15 12:00:00 2013/12/30 12:00:00 2013/12/30 10:37:02 UV 2.16.840.1.113883.3.3832 sjhscl Exempla Saint Joseph Hospital Martin McCullough masked Julie Einhellig 12600 W. Colfax Ave., Suite A-500 Lakewood, CO 80215 (303) 403-7740 masked Manager, Integration Services - CO/MT Exempla Saint Joseph Hospital 1835 Franklin Street Denver, CO 80218-1191 303-837-7111 info@sclhs.net http://www.sclhealthsystem.org/ Provider Int 3 Complete 2013/11/15 12:00:00 2013/12/30 12:00:00 2013/12/30 10:38:19 UV 2.16.840.1.113883.3.3833 cpc Columbus Pain Center, PC (OID root) Kathy Slane masked Tina Murphy Kathy Slane P O Box 9456 Columbus, Ga. 31908 706 322 7246 masked Office manager Columbus Pain Center, PC P O BOX 9456 COLUMBUS, GA 31908 706 322 7246 Kathy@columbuspaincenter.com http://columbuspaincenter.com Provider Int 3 Complete 2013/11/15 12:00:00 2013/12/30 12:00:00 2013/12/30 10:40:21 UV 2.16.840.1.113883.3.1070.5583 mckesson-fusion-5583 mckesson-fusion-5583 Jennifer Meares masked Fusion Enrollment 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5583 2013/11/15 12:00:00 2013/12/30 12:00:00 2013/12/30 10:44:51 US 2.16.840.1.113883.3.3834 familypodiatryofdekalb Family Podiatry OID Root Marcia Nelson masked Marcia Nelson 1675 Bethany Rd Ste B Sycamore, IL 60178 Nelson masked Office Manager Family Podiatry 1675 Bethany Rd Ste B Sycamore, IL 60178 815-756-8595 mash1955@aol.com Provider Int 3 Complete 2013/11/15 12:00:00 2013/12/30 12:00:00 2013/12/30 10:42:35 UV 2.16.840.1.113883.3.1070.5556 mckesson-fusion-5556 mckesson-fusion-5556 Rebecca Paul masked Fusion Enrollment 877-507-4541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5556 2013/11/15 12:00:00 2013/12/30 12:00:00 2013/12/30 10:47:45 US 2.16.840.1.113883.3.3835 enidYFS Youth and Family Services of North Central Oklahoma Laurence Buckley masked trandolph@yfsenid.org Laurence Buckley 605 W. Oxford Enid, OK 73701 580-233-7220 masked Executive Director Youth and Services of North Central Oklahoma 605 W. Oxford Enid, OK 73701 580-233-7220 dbuckley@yfsenid.org Provider Int 3 Complete 2013/11/15 12:00:00 2013/12/30 12:00:00 2013/12/30 10:50:24 UV 2.16.840.1.113883.3.3836 fpac Family Practice Associates of Cattaraugus OID Root Mary Jo Mowery masked Mary Jo Mowery 449 Broad Street Salamanca, NY 14779 716-945-4770 masked Office Manager Family Practice Associates of Cattaraugus 449 Broad Street Salamanca, NY 14779 716-945-4770 mjmowery@gmail.com Provider Int 3 Complete 2013/11/15 12:00:00 2013/12/30 12:00:00 2013/12/30 10:52:38 UV 2.16.840.1.113883.3.3837 badm Broken Arrow Diagnostic Medicine Jacob Callison masked Trung Pham Jacob Callison 123 N Main St Broken Arrow, OK 74012 9189945140 masked PA-C / Member Manager Broken Arrow Diagnostic Medicine 123 N Main St Broken Arrow, OK 74012 9189945140 info@bamedicine.com http://www.bamedicine.com Provider Int 3 Complete 2013/11/15 12:00:00 2013/12/30 12:00:00 2013/12/30 10:55:42 UV 2.16.840.1.113883.3.3838 hhe Hubbard Hill Retirement Community Michael Kunkle masked Megan Eakle Michael Kunkle 28070 CR 24 Elkhart, IN 46517 5742956260 masked IT Manger Hubbard Hill Retirement Community 28070 CR 24 Elkhart, IN 46517 5742956260 mkunkle@hubbarhill.org http://www.hubbardhill.org Provider Int 3 Complete 2013/11/18 12:00:00 2013/12/30 12:00:00 2013/12/30 11:02:23 UV 2.16.840.1.113883.3.3839 unity-health Unity Health Kevin Hoofman masked Kevin Hoofman 3214 East Race AVE Searcy, AR 72143 5013804525 masked IT Security Analyst Unity Health 3214 East Race AVE Searcy, AR 72143 5012686121 kevin.hoofman@unity-health.org http://www.unity-health.org Provider Int 3 Complete 2013/11/18 12:00:00 2013/12/30 12:00:00 2020/08/13 11:26:07 UV 2.16.840.1.113883.9.63 laboratoryResultsInterfacePHProfileComponentR1 Lab Results Interface to Public Health Receiver Profile Component -R1 Eric Haas masked Eric Haas 7072272608 masked HL7-Public Health and Emergency Response Workgroup 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2013/11/18 12:00:00 2013/12/30 12:00:00 2013/12/30 11:09:31 US 2.16.840.1.113883.3.3751.2 iha-michiganheartbldg IHA Michigan Heart Bldg Gwendolyn Bland masked Gwendolyn Bland 24 Frank Lloyd Wright Dr. Lobby J2000 Ann Arbor, MI 48106 734-623-2851 masked IT Manager IHA 24 Frank Lloyd Wright Dr. Lobby J2000 Ann Arbor, MI 48106 734-623-2851 gwendolyn_bland@ihacares.com http://ihacares.com Provider 2.16.840.1.113883.3.3751 Ext 17 Complete 2.16.840.1.113883.3.3751.2 2013/11/18 12:00:00 2013/12/30 12:00:00 2013/12/30 11:13:03 UV 2.16.840.1.113883.17.158 george-evans Dr George Evans Joe Williams masked George Evans Joe Williams 10140 W. McNichols Rd Detroit, Michigan 48221 313.341.1821 masked EMR Vendor Joe Williams 10140 W. McNichols Rd Detroit, Michigan 48221 313.341.1821 jwilliams@electronicservicestech.com https://healthdatagateway.com Vendor 2.16.840.1.113883.3.3187 Int 17 Complete 2013/11/18 12:00:00 2013/12/30 12:00:00 2013/12/30 11:18:44 UV 2.16.840.1.113883.3.3840 chm Community Health Mission Elizabeth McKnight masked Andrew Hamilton Elizabeth McKnight 215 W. Ohio Chicago, IL 60660 312-267-2031 masked HIT Specilist Alliance of Chicago 215 W. Ohio Chicago, IL 60660 312-274-0068 info@alliancechicago.org http://www.alliancechicago.org Provider 2.16.840.1.113883.3.2847 Int 3 Complete 2013/11/18 12:00:00 2013/12/30 12:00:00 2013/12/30 11:22:26 UV 2.16.840.1.113883.3.3841 ffhc Friend Family Health Center Elizabeth McKnight masked Andrew Hamilton Elizabeth McKnight 215 w. Ohio Chicago, IL 60660 3122672031 masked HIT Specialist Alliance of Chicago 215 w. Ohio Chicago, IL 60660 312-274-0068 info@alliancechicago.org http://www.alliancechicago.org Vendor 2.16.840.1.113883.3.2847 Int 3 Complete 2013/11/18 12:00:00 2013/12/30 12:00:00 2013/12/30 11:24:10 UV 2.16.840.1.113883.3.3842 hhcc Heartland Health Centers_ Chicago Elizabeth McKnight masked Andrew Hamilton Elizabeth McKnight 215 W. Ohio Chicago, IL 60654 3122672031 masked HIT Specialist Alliance of Chicago 215 W. Ohio Chicago, IL 60654 312-274-0068 info@alliancechicago.org http://www.alliancechicago.org Vendor 2.16.840.1.113883.3.2847 Int 3 Complete 2013/11/18 12:00:00 2013/12/30 12:00:00 2013/12/30 11:26:39 UV 2.16.840.1.113883.3.3843 maim maim OID Root Arporn Siriwangchai masked Arporn Siriwangchai 1325-C South Noland Road Independence, MO 64055 8162526647 masked Manager Mid-America Intenal Medicine 1325-C South Noland Road Independence, MO 64055 5162526647 arporn@comcast.net Provider Int 3 Complete 2013/11/18 12:00:00 2013/12/30 12:00:00 2013/12/30 11:28:57 UV 2.16.840.1.113883.9.64 fdc20045 Ferrara Dermatology Clinic Cheryl Budimir masked Richard J Ferrara Jr MD Cheryl Budimir 20045 Mack Ave Grosse Point Woods, MI 48236 313-884-5100 ext 211 masked Manager Richard J Ferrara Jr MD 20045 Mack Ave. Grosse Pointe Woods, MI 48236 313-884-5100 manager@ferraraderm.com Provider Int 3 Complete 2013/11/18 12:00:00 2013/12/30 12:00:00 2013/12/30 11:33:37 UV 2.16.840.1.113883.4.684 omc Oconee Medical Center Hunter Kome masked Jay Hansen Hunter Kome 298 Memorial Drive Seneca, SC 29672 864-885-7170 masked COO Oconee Medical Center 298 Memorial Drive Seneca, SC 29672 864-482-3100 Hunter.Kome@oconeemed.org http://www.oconeemed.org Provider Int 3 Complete 2013/11/18 12:00:00 2013/12/30 12:00:00 2013/12/30 11:36:12 UV 2.16.840.1.113883.3.1070.5600 mckesson-fusion-5600 mckesson-fusion-5600 Jennifer Meares masked Jennifer Meares 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5600 2013/11/18 12:00:00 2013/12/30 12:00:00 2013/12/30 11:39:59 US 2.16.840.1.113883.3.3844 epmc Estes Park Medical Center OID Gary Hall masked Gary Hall 555 Prospect Avenue Estes Park, CO 80517 970-577-4443 masked VP/Information Systems -- CIO Estes Park Medical Center 555 Prospect Avenue Estes Park, CO 80517 970-586-2317 ghall@epmedcenter.com http://www.epmedcenter.com Provider Int 3 Complete 2013/11/18 12:00:00 2013/12/30 12:00:00 2013/12/30 11:43:13 UV 2.16.840.1.113883.3.3845 orchardmedical Orchard Medical Associates Maria StMarie masked Maria StMarie 413-439-0862 masked Office Manager Orchard Medical Associates, LLC 835 Worcester St Indian Orchard, MA 01151 413-439-0609 rms42791@aol.com Provider Int 3 Complete 2013/11/19 12:00:00 2013/12/30 12:00:00 2013/12/30 11:48:46 UV 2.16.840.1.113883.3.3846 lakeland Lakeland HealthCare Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland HealthCare 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider Int 3 Complete 2013/11/19 12:00:00 2013/12/30 12:00:00 2013/12/30 11:50:45 UV 2.16.840.1.113883.3.3847 mattinc Matt Inc. Matt Grady masked Matt Grady 9529131941 masked Mat Inc. 9528587854 mattinc@mattinc.com Provider Int 3 Complete 2013/11/19 12:00:00 2013/12/30 12:00:00 2013/12/30 11:56:08 UV 2.16.840.1.113883.17.159 watervliet Lakeland Community Hospital Watervliet ED Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland HealthCare 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth,org Provider 2.16.840.1.113883.3.3846 Int 17 Complete 2013/11/19 12:00:00 2014/01/19 12:00:00 2014/03/10 02:56:06 UV 2.16.840.1.113883.17.160 stjoe Lakeland Regional Medical Center ED Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland HealthCare 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth,org Provider 2.16.840.1.113883.3.3846 Int 17 Complete 2013/11/19 12:00:00 2014/01/19 12:00:00 2014/02/18 01:48:10 UV 2.16.840.1.113883.17.161 berrien Lakeland Specialty Hospital Berrien Center Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland HealthCare 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth,org Provider 2.16.840.1.113883.3.3846 Int 17 Complete 2013/11/19 12:00:00 2014/01/19 12:00:00 2014/01/19 01:43:54 UV 2.16.840.1.113883.17.162 niles Lakeland Community Hospital Niles ED Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland HealthCare 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth,org Provider 2.16.840.1.113883.3.3846 Int 17 Complete 2013/11/19 12:00:00 2014/01/19 12:00:00 2014/02/18 01:46:59 UV 2.16.840.1.113883.3.3848 lmp Lakeland Medical Practices Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland HealthCare 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3846 Int 3 Complete 2013/11/19 12:00:00 2014/01/19 12:00:00 2014/03/06 02:50:12 UV 2.16.840.1.113883.3.3849 goosecreek goosecreek OID Root Danielle Laumann masked Danielle Laumann 307-672-7700 masked Office Manager Goose Creek Pediactrics 1707 W. 5th St Suite A Sheridan, WY 82801 307-672-7700 goosecreek2@qwestoffice.net Provider Int 3 Complete 2013/11/19 12:00:00 2013/12/30 12:00:00 2013/12/30 11:59:17 UV 2.16.840.1.113883.17.163 woundcare Center for Wound Care and Hyperbaric Medicine Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2013/11/19 12:00:00 2014/01/19 12:00:00 2014/01/19 01:50:35 UV 2.16.840.1.113883.17.164 cmc Coloma Medical Center Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2013/11/19 12:00:00 2014/01/19 12:00:00 2014/01/19 01:51:50 UV 2.16.840.1.113883.17.165 cbj Community Bone & Joint Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2013/11/19 12:00:00 2014/01/19 12:00:00 2014/02/19 09:12:56 UV 2.16.840.1.113883.17.166 communitymc Community Medical Center Family Practice Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2013/11/19 12:00:00 2014/01/19 12:00:00 2014/02/19 09:11:55 UV 2.16.840.1.113883.17.167 lcssj LMP - Lakeland Cancer Specialists St. Joseph Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2013/11/19 12:00:00 2014/01/19 12:00:00 2014/03/06 02:38:50 UV 2.16.840.1.113883.17.168 lcwlc LMP - Lakeland Comprehensive Weight Loss Center Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2013/11/19 12:00:00 2014/01/19 12:00:00 2014/02/19 09:23:49 UV 2.16.840.1.113883.3.3850 eamgic East Alabama Medical &GI Clinic LLC OID Root Premee Kamath masked Premee Kamath 2112 Executive Park Dr Opelika,Al 36801 3347492007 masked Office Manager East Alabama Medical &GI Clinic LLC 2112 Executive Park Dr Opelika,Al 36801 3347492007 premee9@yahoo.com Provider Int 3 Complete 2013/11/19 12:00:00 2013/12/30 12:00:00 2013/12/31 12:01:25 UV 2.16.840.1.113883.17.169 lentniles LMP - Lakeland Ear, Nose and Throat Niles Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2013/11/19 12:00:00 2014/01/19 12:00:00 2014/03/10 03:51:27 UV 2.16.840.1.113883.17.170 lec Lakeland Endocrinology Center Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2013/11/19 12:00:00 2014/01/19 12:00:00 2014/01/19 01:59:24 UV 2.16.840.1.113883.3.3851 whitesands whitesands OID Root Sarah Heredia masked Sarah Heredia 2010 Pecan Drive Alamogordo, NM 88310 575-434-9737 masked Practice Administrator White Sands Family Practice Clinic, Inc. 2010 Pecan Drive Alamogordo, NM 88310 575-434-9737 sheredia@wsfpc.com Provider Int 3 Complete 2013/11/19 12:00:00 2013/12/30 12:00:00 2013/12/31 12:08:08 UV 2.16.840.1.113883.3.3852 jamato jamato OID Root Jeremy Amato masked Jeremy Amato 522 N. New Ballas Rd. Ste. 203 St. Louis, MO 63141 (314) 569-3323 masked Business Manager Jason B. Amato, MD Dermatology 522 N. New Ballas Rd. Ste. 203 St. Louis, MO 63141 (314) 569-3323 info@jamatoderm.com Provider Int 3 Complete 2013/11/19 12:00:00 2013/12/30 12:00:00 2013/12/31 12:10:13 UV 2.16.840.1.113883.3.2885.15 gmh-15 Grundy Memorial Hospital Sharon Anderson masked Sharon Anderson 6100 Thornton suite 250 Des Moines,Ia 50321 515-241-7402 masked Unity Point Health 6100 Thornton suite 250 Des Moines,Ia 50321 515-241-7402 sharon.anderson@unitypoint.org http://www.unitypoint.org/ Provider 2.16.840.1.113883.3.2885 Ext 14 Complete 2.16.840.1.113883.3.2885.15 2013/11/19 12:00:00 2014/01/19 12:00:00 2014/01/19 02:07:12 UV 2.16.840.1.113883.3.2885.14 cms-14 Community Memorial Hospital Sharon Anderson masked Sharon Anderson 6100 Thornton Ave Suite 250 Des Moines, Iowa 50321 515-241-7402 masked Unity Point Health 6100 Thornton Ave Suite 250 Des Moines, Iowa 50321 515-241-7402 sharon.anderson@unitypoint.org http://www.unitypoint.org Provider 2.16.840.1.113883.3.2885 Ext 14 Complete 2.16.840.1.113883.3.2885.14 2013/11/19 12:00:00 2014/01/19 12:00:00 2014/01/19 02:09:05 UV 2.16.840.1.113883.3.3853 imasys IMA Systems Denis Quinn masked Denis Quinn Information Management Associates (IMA) 1595 Lincoln Highway Edison, NJ 08817 +1732-572-2253 masked Programmer Information Management Associates, Inc 1595 Lincoln Highway Edison NJ 08817 732-572-2253 zevi@imasys.com http://www.imasys.com Vendor Int 3 Complete 2013/11/19 12:00:00 2014/01/19 12:00:00 2015/01/06 05:54:22 UV 2.16.840.1.113883.3.3854 saar SAAR OID ROOT Norma Maltos masked Norma Maltos 5513 Doctors Drive Edinburg, TX 78539 96569941025 masked Office Manager Surgical Associates @ Renaissance 5513 Doctors Drive Edinburg, TX 78539 9569941025 nmaltos@rgsa-tx.com Provider Int 3 Complete 2013/11/19 12:00:00 2014/01/19 12:00:00 2014/01/19 02:14:27 UV 2.16.840.1.113883.3.3855 app-bcbsnew Advocate Physician Partners - BCBS New Structure Dennis Gilge masked Dennis Gilge 1701 West Golf Road Rolling Meadows, Illinois 60008 847-635-5920 masked Advocate Physician Partners - BCBS New Structure 1701 West Golf Road Rolling Meadows, Illinois 60008 847-635-5920 Dennis.Gilge@advocatehealth.com Provider Int 3 Complete 2013/11/19 12:00:00 2014/01/19 12:00:00 2014/01/19 02:19:12 UV 2.16.840.1.113883.3.3856 aspmd ASP.MD Incorporated Christopher Kreis masked Chris Kreis 229 3rd St Cambridge, MA 02142 6178646844 masked President ASP.MD Inc 229 3rd St Cambridge, MA 02142 6178646844 ckreis@asp.md http://www.asp.md Vendor Int 3 Complete 2013/11/19 12:00:00 2014/01/19 12:00:00 2014/01/19 02:21:17 UV 2.16.840.1.113883.3.3857 beaumontfamilyeyecare Beaumont Family Eye Care Peter Cass masked Peter J. Cass, O.D. 6725 Delaware Beaumont, TX 77706 409-832-9151 masked Practice Owner Peter J. Cass, O.D. 6725 Delaware Beaumont, TX 77706 409-832-9151 pcassod@gmail.com http://visionsource-beaumontfamilyeyecare.com/ Provider Int 3 Complete 2013/11/20 12:00:00 2014/01/19 12:00:00 2014/01/19 02:23:22 UV 2.16.840.1.113883.3.1070.5581 mckesson-fusion-5581 mckesson-fusion-5581 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5581 2013/11/20 12:00:00 2014/01/19 12:00:00 2014/01/19 02:24:53 US 2.16.840.1.113883.3.2885.16 pch-16 Pocahontas Comunity Hospital Sharon Anderson masked Sharon Anderson 6100 Thornton Avenue, Suite 250 Des Moines, IA 50321 515-241-7402 masked Unity Point Health 6100 Thornton Avenue, Suite 250 Des Moines, IA 50321 515-241-7402 sharon.anderson@unitypoint.org http://www.unitypoint.org Provider 2.16.840.1.113883.3.2885 Ext 14 Complete 2.16.840.1.113883.3.2885.16 2013/11/20 12:00:00 2014/01/19 12:00:00 2014/01/19 02:26:44 UV 2.16.840.1.113883.3.3858 butlerHealthSystem Butler Health System Adam Smeal masked wendy.simmons@butlerhealthsystem.org Adam Smeal 7242845613 masked Butler Health System 1 Hospital Way Butler, PA 16001 7242846666 adam.smeal@butlerhealthsystem.org http://www.butlerhealthsystem.org Provider Int 3 Complete 2013/11/20 12:00:00 2014/01/19 12:00:00 2014/01/19 02:27:47 UV 2.16.840.1.113883.3.3859 mpcc Macarthur primary care center OID ROOT Anna Allen masked Anna Allen 3712 MacArthur blvd 202 New Orleans, LA 70114 504-368-4066 masked office manager Macarthur Primary Care Center 3712 MacArthur blvd 202 New Orleans, LA 70114 504-368-4066 aallen69@bellsouth.net Provider Int 3 Complete 2013/11/20 12:00:00 2014/01/19 12:00:00 2014/01/19 02:31:12 UV 2.16.840.1.113883.3.2885.17 gtt-17 Guttenberg Hospital Sharon Anderson masked Sharon Anderson 6100 Thornton Ave. Suite 250 Des Moines, IA 50321 515-241-7402 masked Unity Point Health 6100 Thornton Ave. Suite 250 Des Moines, IA 50321 515-241-7402 sharon.anderson@unitypoint.org http://www.unitypoint.org Provider 2.16.840.1.113883.3.2885 Ext 14 Complete 2.16.840.1.113883.3.2885.17 2013/11/20 12:00:00 2014/01/19 12:00:00 2014/01/19 03:08:58 UV 2.16.840.1.113883.3.2885.18 hch-18 Humboldt County Memorial Hospital Sharon Anderson masked Sharon Anderson 6100 Thornton Ave Suite 250 Des Moines, IA 50321 515-241-7402 masked application analyst Unity Point Health 6100 Thornton Ave Suite 250 Des Moines, IA 50321 515-241-7402 sharon.anderson@unitypoint.org http://www.unitypoint.org Provider 2.16.840.1.113883.3.2885 Ext 14 Complete 2.16.840.1.113883.3.2885.18 2013/11/20 12:00:00 2014/01/19 12:00:00 2014/01/19 03:10:59 UV 2.16.840.1.113883.3.2885.19 qmu-19 Trinty Hospital Muscatine Sharon Anderson masked Sharon Anderson 6100 Thornton ave Suite 250 Des Moines, IA 50321 515-241-7402 masked application analyst Unity Point Health 6100 Thornton ave Suite 250 Des Moines, IA 50321 515-241-7402 sharon.anderson@unitypoint.org http://www.unitypoint.org Provider 2.16.840.1.113883.3.2885 Ext 14 Complete 2.16.840.1.113883.3.2885.19 2013/11/20 12:00:00 2014/01/19 12:00:00 2014/01/19 03:12:28 UV 2.16.840.1.113883.3.2885.26 bvm-26 Buena Vista Regional Medical Center Sharon Anderson masked Sharon Anderson 6000 Thornton Ave. Suite 250 Des Moines, IA 50321 515-241-7402 masked Application Analyst Unity Point Health 6000 Thornton Ave. Suite 250 Des Moines, IA 50321 515-241-7402 sharon.anderson@unitypoint.org http://www.unitypoint.org Provider 2.16.840.1.113883.3.2885 Ext 14 Complete 2.16.840.1.113883.3.2885.26 2013/11/20 12:00:00 2014/01/19 12:00:00 2014/01/19 03:22:01 UV 2.16.840.1.113883.3.2885.20 cco-20 Clarke County Hospital Sharon Anderson masked Sharon Anderson 6100 Thornton Ave. Suite 250 Des Moines, IA 50321 515-241-7402 masked Application Analyst Unity Point Health 6100 Thornton Ave. Suite 250 Des Moines, IA 50321 515-241-7402 sharon.anderson@unitypoint.org http://www.unitypoint.org Provider 2.16.840.1.113883.3.2885 Ext 14 Complete 2.16.840.1.113883.3.2885.20 2013/11/20 12:00:00 2014/01/19 12:00:00 2014/01/19 03:15:09 UV 2.16.840.1.113883.3.2885.22 gcj-22 Greene County Medical Center Sharon Anderson masked Sharon Anderson 6100 Thornton Ave. Suite 250 Des Moines, Ia 50321 515-241-7402 masked Application Analyst Unity Point Health 6100 Thornton Ave. Suite 250 Des Moines, IA 50321 515-241-7402 sharon.anderson@unitypoint.org http://www.unitypoint.org Provider 2.16.840.1.113883.3.2885 Ext 14 Complete 2.16.840.1.113883.3.2885.22 2013/11/20 12:00:00 2014/01/19 12:00:00 2014/01/19 03:18:40 UV 2.16.840.1.113883.3.2885.21 crh-21 Cherokee Regional Medical Center Sharon Anderson masked Sharon Anderson 6100 Thornton Ave. Suite 250 Des Moines, IA 50321 515-241-7402 masked Application Analyst Unity Point Health 6100 Thornton Ave. Suite 250 Des Moines, IA 50321 515-241-7402 sharon.anderson@unitypoint.org http://www.unitypoint.org Provider 2.16.840.1.113883.3.2885 Ext 14 Complete 2.16.840.1.113883.3.2885.21 2013/11/20 12:00:00 2014/01/19 12:00:00 2014/01/19 03:16:58 UV 2.16.840.1.113883.3.2885.23 lsc-23 Loring Hospital Sharon Anderson masked Sharon Anderson 6100 Thornton Ave. Suite 250 Des Moines, IA 50321 515-241-7402 masked Applications Analyst Unity Point Health 6100 Thornton Ave. Suite 250 Des Moines, IA 50321 515-241-7402 sharon.anderson@unitypoint.org http://www.unitypoint.org Provider 2.16.840.1.113883.3.2885 Ext 14 Complete 2.16.840.1.113883.3.2885.23 2013/11/20 12:00:00 2014/01/19 12:00:00 2014/01/19 03:23:49 UV 2.16.840.1.113883.4.685 bhsButlerMemoralHospital Butler Memorial Hospital (BMH) Adam Smeal masked Adam Smeal 7242845613 masked Butler Memorial Hospital 1 Hospital Way Butler, PA 16001 7242846666 adam.smeal@butlerhealthsystem.org Provider 2.16.840.1.113883.3.3858 Int 4 Complete 2013/11/20 12:00:00 2017/10/31 12:00:00 2017/10/31 08:39:28 UV 2.16.840.1.113883.3.2885.25 smh-25 Stewart Memorial Hospital Sharon Anderson masked Sharon Anderson 6100 Thornton Ave. Suite 250 Des Moines, IA 50321 515-241-7402 masked Application Analyst Unity Point Health 6100 Thornton Ave. Suite 250 Des Moines, IA 50321 515-241-7402 sharon.anderson@unitypoint.org http://www.unitypoint.org Provider 2.16.840.1.113883.3.2885 Ext 14 Complete 2.16.840.1.113883.3.2885.25 2013/11/20 12:00:00 2014/01/19 12:00:00 2014/01/19 03:20:23 UV 2.16.840.1.113883.4.686 hrmc Halifax Regional Medical Center JC Wright masked JC Wright 2300 Rexwoods Dr. Suite 390 Raleigh, NC 27607 919-882-0326 masked Support Engineer North Carolina Health Information Exchange 2300 Rexwoods Dr Suite 390 Raleigh, NC 27607 919-926-1042 helpdesk@nchie.org http://www.nchie.org Exchange 2.16.840.1.113883.3.3282 Int 4 4 Complete 2013/11/20 12:00:00 2014/01/19 12:00:00 2014/01/19 03:26:56 UV 2.16.840.1.113883.3.3860 lexingtoncardiology Lexington Cardiology Associates OID Root Lori Carlson masked Lori Carlson 1 Liberty Square New Briatin, CT 06051 860-229-6811 masked R.N. Lexington Cardiology 1 Liberty Square New Briatin, CT 06051 860-229-6811 loricarlson2013@yahoo.com Provider Int 3 Complete 2013/11/20 12:00:00 2014/01/19 12:00:00 2014/01/19 03:30:11 UV 2.16.840.1.113883.3.3861 x1152B11-13 Risewell Community Services Root OID Cynthia Lacey masked Michael Serrano 1 Farmingdale Rd. West Babylon, NY 11704 631-669-5535 masked Director, IT Risewell Community Services 1 Farmingdale Rd. West Babylon, NY 11704 631-669-5535 mserrano@risewell.org https://risewell.org Provider Int 3 Complete 2013/11/20 12:00:00 2014/01/19 12:00:00 2025/01/24 10:36:29 UV 2.16.840.1.113883.3.3862 dsi-cdoid Datatel Solutions, Inc Clinical Document OID Alex Garcia masked jfurst@momsat.com Alex Garcia 3463 Magic Dr #220 San Antonio, TX 78229 210-558-3733 masked Senior Programmer Datatel Solutions, Inc 3463 Magic Dr #220 San Antonio, TX 78229 210-558-3733 jfurst@momsat.com http://www.momsat.com Vendor Int 3 Complete 2013/11/20 12:00:00 2014/01/19 12:00:00 2014/01/19 03:35:49 UV 2.16.840.1.113883.3.3863 hbh4740 Henderson Behavioral Health Llyan Narinejit masked Llyan Narinejit 4740 N State Road 7 Suite 201 Lauderdale Lakes, Fl 33319 954-777-1651 masked Project Manager Llyan Narinejit 4740 N State Road 7 Suite 201 Lauderdale Lakes, Fl 33319 954-777-1651 lnarinejit@hendersonbehavioralhealth.org http://www.hendersonbehavioralhealth.org Provider Int 3 Complete 2013/11/20 12:00:00 2014/01/19 12:00:00 2014/01/19 03:37:16 UV 2.16.840.1.113883.3.3864 vibra-healthcare Vibra Healthcare root. David Kennedy masked Sandra Sanders William Myers 717.610.1092 masked Director, Health Information Exchange Vibra Healthcare Vibra HealthCare LLC 4600 Lena Drive Mechanicsburg, PA 17055 717.591.5700 info@vibrahealth.com http://www.vibrahealthcare.com Provider Int 3 3 Complete 2013/11/20 12:00:00 2014/01/19 12:00:00 2019/05/17 09:05:16 UV 2.16.840.1.113883.3.3865 hcfs HCFS, Inc John Smith masked John Smith 1234 Healthcare Ave. Kansas City, MO 23425 9136387678 masked CEO HCFS, Inc. 1234 Healthcare Ave. Kansas City, MO 23425 9136387678 john.smith@health.org https://www.healthcarefacility.org Provider Int 3 Complete 2013/11/20 12:00:00 2014/01/19 12:00:00 2014/01/19 03:50:58 UV 2.16.840.1.113883.3.3866 jmmmd James M. McCullough, MD OID Root Kristyne McCullough masked Kristyne McCullough 4228 Houma Blvd, Ste 140 Metairie, LA 70006-3019 (504) 455-233 masked James M. McCullough, MD 4228 Houma Blvd, Ste 140 Metairie, LA 70006-3019 (504) 455-2333 kmccull215@aol.com Provider Int 3 Complete 2013/11/20 12:00:00 2014/01/19 12:00:00 2014/01/19 03:52:17 UV 2.16.840.1.113883.3.3867 x660 Yuma Regional Medical Center Gene Shaw masked Claudia Ulloa Claudia Ulloa 2400 S. Avenue A Yuma, AZ 85364 928-336-3074 masked Telemedicine/Training Supervisor Yuma Regional Medical Center 2400 S. Avenue A Yuma, AZ 85364 928-344-2000 gshaw@yumaregional.org Provider Int 3 Complete 2013/11/20 12:00:00 2014/01/19 12:00:00 2014/01/19 03:54:23 UV 2.16.840.1.113883.3.3868 vcmf ValleyCare Medical Foundation Continuity of Care Document Tania Hrynewycz masked Tania Hrynewycz ValleyCare Health Systems 1015 E. Stanley Blvd, Suite A Livermore, CA 94566 925 373 4054 masked ValleyCare Application Manager ValleyCare Medical Foundation 5725 West Las Positas Pleasanton, CA 94588 tania.hrynewycz@siemens.com http://www.valleycare.com/index.aspx Provider Int 3 3 Complete 2013/11/20 12:00:00 2014/01/19 12:00:00 2014/01/19 03:57:51 UV 2.16.840.1.113883.17.171 lgs LMP - Lakeland General Surgery Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 02:55:04 UV 2.16.840.1.113883.17.172 lhc Lakeland Hand Clinic Health Park Medical Suites Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 02:55:33 UV 2.16.840.1.113883.17.173 lneurosurgery LMP - Lakeland Neurosurgery Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 02:56:04 UV 2.16.840.1.113883.17.174 lor LMP - Lakeland Orthopedics Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 02:56:37 UV 2.16.840.1.113883.17.175 rheumatology LMP - Lakeland Rheumatology Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 02:57:05 UV 2.16.840.1.113883.17.176 urologyniles LMP - Lakeside Urology Niles Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 02:57:36 UV 2.16.840.1.113883.17.177 urologystjoe LMP - Lakeside Urology St. Joseph Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 02:59:25 UV 2.16.840.1.113883.17.178 sleepmedniles LMP - Sleep Medicine of Lakeland of Niles Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 02:59:57 UV 2.16.840.1.113883.17.179 mercyinfdisease Mercy Specialty Clinic Infectious Disease Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/12 02:00:00 UV 2.16.840.1.113883.17.180 sleepmedsj LMP - Sleep Medicine of Lakeland St. Joseph Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 03:01:06 UV 2.16.840.1.113883.17.181 stagg Hartford Medical Clinic Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 03:01:37 UV 2.16.840.1.113883.17.182 swmcbridgman LMP - SWMC - Bridgman Family Medicine Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 03:02:05 UV 2.16.840.1.113883.17.183 swnilwomenshealth LMP - SWMC - Center for Women's Health Niles Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/12 02:01:10 UV 2.16.840.1.113883.17.184 swmcnilesfamilymed LMP - SWMC - Niles Family Medicine Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 03:03:28 UV 2.16.840.1.113883.3.1070.5559 mckesson-fusion-5559 mckesson-fusion-5559 Jennifer Meares masked Jennifer Meares 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5559 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/01/19 04:24:58 US 2.16.840.1.113883.17.185 swmcsurgspecialties LMP - SWMC - Surgical Specialties Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/12 02:02:20 UV 2.16.840.1.113883.17.186 swmcstevensville LMP - SWMC - Stevensville Family Medicine Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 03:04:38 UV 2.16.840.1.113883.17.187 cgs Center for General Surgery Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 02:50:54 UV 2.16.840.1.113883.17.188 lfmniles Lakeland Family Medicine of Niles Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 02:54:35 UV 2.16.840.1.113883.3.1070.5579 mckesson-fusion-5579 mckesson-fusion-5579 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5579 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/01/19 04:26:14 US 2.16.840.1.113883.3.3869 ps360 PS360 Field Section Harsha Gurujala masked Harsha Gurujala 781-565-5000 masked Senior Software Engineer Nuance Diagnostics Division 1 Wayside Rd Burlington, MA 01803 781-565-5000 harsha.gurujala@nuance.com http://www.nuance.com/ Vendor Int 3 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/01/19 04:35:00 UV 2.16.840.1.113883.3.3870 prfi1 Puerto Rican Family Institute Suzanne John masked Suzanne John 212-229-6977 masked Puerto Rican Family Institute 145 West 15th Street NY, NY 10011 212-229-6976 sdyer@prfi.org Provider Int 3 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/01/19 04:37:38 UV 2.16.840.1.113883.3.3871 ycc-yukon YourCARE Yukon Philicia Groves masked Jane Nickolls Jane Nickolls 2400 S. Cornwell Drive, Yukon, OK 73099 4053504300 masked Front Office Manager YourCARE Yukon 2400 S. Cornwell Drive, Yukon, OK 73099 4053504300 philiciaapn@sbcglobal.net http://www.yourcareyukon.com Provider Int 3 3 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/01/19 04:42:07 UV 2.16.840.1.113883.3.3872 bethesda-health Bethesda Health, Inc. Craig Harrison masked Lina Piyavsky 2815 S. Seacrest Blvd. Boynton Beach, Fl. 33435 561-737-7733 masked Bethesda Health, Inc. 2815 S. Seacrest Blvd. Boynton Beach, Fl. 33435 561-737-7733 lpiyavsky@bhinc.org http://www.bethesdaweb.com Provider Int 3 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/01/19 04:43:14 US 2.16.840.1.113883.3.1070.5594 mckesson-fusion-5594 mckesson-fusion-5594 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5594 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/01/19 04:44:46 US 1.3.6.1.4.1.37933.1.1.44548.2.2 wk0 Westchester Medical Center Fabianni Builes masked Franklin Dismuke Franklin Dismuke 95 Grasslands Road Valhalla, New York 10595 (914) 493-7000 masked IT Manager Westchester Medical Center 95 Grasslands Road Valhalla, New York 10595 DismukeF@WCMC.com http://www.westchestermedicalcenter.com/ Provider 1.3.6.1.4.1.37933.1.1.44548.2.2 Ext 13 3 Complete 1.3.6.1.4.1.37933.1.1.44548.2.2 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/01/19 04:47:53 UV 2.16.840.1.113883.3.3873 gladsit gladsit OID ROOT Teena Gabbard masked Teena Gabbard 1900 W. Kem Road Marion, IN 46952 7656640107 masked Office Manager Gary L. Adsit, DPM 1900 W. Kem Road Marion, IN 46952 7656640107 kmfetoes@sbcglobal.net Provider Int 3 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/01/19 04:49:41 UV 2.16.840.1.113883.3.3874 communityconnect Lakeland Community Connect Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland HealthCare 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider Int 3 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/01/19 04:51:52 UV 2.16.840.1.113883.17.189 stafford J M Stafford MD & Assc Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 04:05:23 UV 2.16.840.1.113883.17.190 mesionabrucal A C Mesiona-Brucal MD Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 04:05:50 UV 2.16.840.1.113883.17.191 ravi S R Ravi MD Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 04:06:18 UV 2.16.840.1.113883.17.192 brooks Don Brooks MD Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 04:06:46 UV 2.16.840.1.113883.17.193 cassfm Cass Family Medicine Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 04:03:01 UV 2.16.840.1.113883.17.194 cassobgyn Cass OB/GYN Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 04:04:24 UV 2.16.840.1.113883.17.195 nephrology LM Nephrology PLC SJ Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 04:07:19 UV 2.16.840.1.113883.17.196 lhs Lakeside Healthcare Specialties (Andries) Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 04:07:51 UV 2.16.840.1.113883.17.197 stjoepediatrics St Joseph Pediatrics Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 04:08:20 UV 2.16.840.1.113883.17.198 lmsinusandsleep Lake Michigan Sinus and Sleep Apnea Center Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/12 02:03:28 UV 2.16.840.1.113883.17.199 braneurologysj Berrien Regional Associates in Neurology, SJ Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 04:09:06 UV 2.16.840.1.113883.17.200 ums UMS Med Specialties Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 04:09:27 UV 2.16.840.1.113883.17.201 lcvssj Lakeshore Cardiothoracic and Vascular Surgery, SJ Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 04:09:49 UV 2.16.840.1.113883.17.202 stonegateplastics Stonegate Plastic Surg Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/12 02:04:08 UV 2.16.840.1.113883.17.203 detrisac Paul V. Detrisac, M.D. Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 04:10:37 UV 2.16.840.1.113883.17.204 cdofniles Cardiovascular Diseases of Niles Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 04:11:03 UV 2.16.840.1.113883.17.205 surgicalspecialties Surgical Spec St Joe Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 04:11:30 UV 2.16.840.1.113883.17.206 oak Orthopaedic Associates of Kalamazoo (OAK) Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 04:11:53 UV 2.16.840.1.113883.17.207 rappha Rappha Medical Center Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/03/06 04:01:35 UV 2.16.840.1.113883.3.3875 lchc Lincoln Community Health Center Irma Mangum masked Irma B. Mangum 1301 Fayetteville Street Durham, NC 27707 919-956-4014 masked Supervisor MIS/IT Lincoln Community Health Center, Inc. 1301 Fayetteville Street Durham, NC 27707 919-956-4000 irma.mangum@duke.edu http://lincolnchc.org Exchange Int 3 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/01/19 05:28:16 UV 2.16.840.1.113883.17.208 cardofmich Cardiology Associates of Michigan, P.C. Carol Brennan masked Carol Brennan 50505 Schoenherr Rd., Ste. 320 Shelby Township, MI 48315 586-580-3062 masked Practice Administrator Cardiology Associates of Michigan, P.C. 50505 Schoenherr Rd., Ste. 320 Shelby Township, MI 48315 586-580-3062 cbrennan@cardofmich.com http://www.cardofmich.com Provider Int 17 Complete 2013/11/21 12:00:00 2014/01/19 12:00:00 2014/01/19 05:25:56 UV 2.16.840.1.113883.3.3877 c-f-p2013 Cadillac Family Physicians Julie Keller masked Julie Keller 8950 Professional Drive Cadillac, MI 49601 231-876-1126 masked LPN, Project Manager Cadillac Family Physicians 8950 Professional Drive Cadillac, MI 49601 231-775-2493 julie.k@cadillacfamilyphysicians.com http://www.cadillacfamilyphysicians.com Provider Int 3 Complete 2013/11/22 12:00:00 2014/01/19 12:00:00 2014/01/19 05:31:44 UV 2.16.840.1.113883.9.65 hh-cc Health Home Care Coordination Hannah Loeffert masked Carlos Miller 355 Lexington Avenue, New York, NY 10017 347-992-3897 masked I.T. Director NADAP, Inc. 355 Lexington Avenue, New York, NY 10017 212-986-1170 hloeffert@nadap.org http://www.nadap.org Provider Int 3 Complete 2013/11/22 12:00:00 2014/09/14 12:00:00 2014/09/14 09:53:04 UV 2.16.840.1.114060.6.3.1.4.1 wcmc Westchester Medical Center Facility Root ID Fabianni Builes masked Franklin Dismuke Franklin Dismuke 914493-7000 masked IT Manager Westchester Medical Center DismukeF@WCMC.com http://www.westchestermedicalcenter.com/ Provider 1.3.6.1.4.1.37933.1.1.44548.2.2 Ext 13 3 Complete 2.16.840.1.114060.6.3.1.4.1 2013/11/22 12:00:00 2014/01/19 12:00:00 2014/01/19 05:35:17 UV 2.16.840.1.113883.3.3878 lifebridge-SHB Sinai Hospital of Baltimore Al Broomfield masked Al Broomfield LifeBridge Health 2401 W. Belvedere Ave. Baltimore, MD 21215 410-601-6091 masked Manager, Clinical Information Systems Lifebridge Health 2401 W. Belvedere Ave Baltimore, MD 21215 410-601-9000 Abroomfi@lifebridgehealth.org http://www.lifebridgehealth.org Provider Int 3 3 Complete 2013/11/22 12:00:00 2014/01/19 12:00:00 2015/10/26 02:42:39 UV 2.16.840.1.113883.3.3879 lifebridge-NWH Northwest Hospital Al Broomfield masked Al Broomfield LifeBridge Health 2401 W. Belvedere Ave. Baltimore, MD 21215 410-601-6089 masked System Analyst LifeBridge Health 2401 W. Belvedere Ave. Baltimore, MD 21215 410-601-9000 Abroomfi@lifebridgehealth.org http://www.lifebridgehealth.org Provider Int 3 3 Complete 2013/11/22 12:00:00 2014/01/19 12:00:00 2014/01/19 05:39:43 UV 2.16.840.1.113883.3.3880 lifebridge-LBHcorp Lifebridge Health of Baltimore Al Broomfield masked Al Broomfield LifeBridge Health 2401 W. Belvedere Ave. Baltimore, MD 21215 410-601-6089 masked System Analyst LifeBridge Health 2401 W. Belvedere Ave. Baltimore, MD 21215 410-601-9000 Abroomfi@lifebridgehealth.org http://www.lifebridgehealth.org Provider Int 3 3 Complete 2013/11/22 12:00:00 2014/01/19 12:00:00 2014/01/19 05:42:04 UV 2.16.840.1.113883.3.3881 stbhOID Root OID for St. Bernard Hospital Anwar Botros masked Anwar Botros 326 W 64th St, Chicago, IL 60621 (773) 962-3900 masked IT Director St Bernard Hospital 326 W 64th St, Chicago, IL 60621 abotros@stbh.org http://www.stbh.org Provider Int 3 Complete 2013/11/22 12:00:00 2014/01/19 12:00:00 2014/01/19 05:43:34 UV 2.16.840.1.113883.9.66 loiCommonComponent LOI Common Component Hans Buitendijk masked Hans J. Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2013/11/22 12:00:00 2014/01/19 12:00:00 2014/01/19 05:45:55 UV 2.16.840.1.113883.9.67 edosCommonComponent eDOS Common Component Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org https://www.hl7.org HL7 body Int 9 Complete 2013/11/22 12:00:00 2014/01/19 12:00:00 2014/01/19 05:47:07 UV 2.16.840.1.113883.9.68 edosGuComponent eDOS GU Component Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2013/11/22 12:00:00 2014/01/19 12:00:00 2014/01/19 05:48:12 UV 2.16.840.1.113883.9.69 edosNgComponent eDOS NG Component Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2013/11/22 12:00:00 2014/01/19 12:00:00 2014/01/19 05:49:54 UV 2.16.840.1.113883.9.70 edosGuProfile eDOS GU Profile Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2013/11/22 12:00:00 2014/01/19 12:00:00 2014/01/19 05:52:42 UV 2.16.840.1.113883.9.71 edosNgProfile eDOS NG Profile Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2013/11/22 12:00:00 2014/01/19 12:00:00 2014/01/19 05:54:46 UV 2.16.840.1.113883.9.72 edosAckComponent eDOS Acknowledgement Component Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2013/11/22 12:00:00 2014/01/19 12:00:00 2014/01/19 05:57:35 UV 2.16.840.1.113883.9.73 edosGuAckComponent eDOS GU Acknowledgement Components Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 610 219 2087 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2013/11/22 12:00:00 2014/01/19 12:00:00 2014/01/19 05:59:06 UV 2.16.840.1.113883.9.74 edosNgAckComponent eDOS NG Acknowledgement Component Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager Hans Buitendijk 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2013/11/22 12:00:00 2014/01/19 12:00:00 2014/01/19 06:00:35 UV 2.16.840.1.113883.9.75 edosGuResponseProfile eDOS GU Response Profile Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2013/11/22 12:00:00 2014/01/19 12:00:00 2014/01/19 06:02:55 UV 2.16.840.1.113883.9.76 edosNgResponseProfile eDOS NG Response Profile Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2013/11/22 12:00:00 2014/01/19 12:00:00 2014/01/19 06:04:15 UV 2.16.840.1.113883.9.77 edosInfoComponent eDOS Info Component Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2013/11/22 12:00:00 2014/01/19 12:00:00 2014/01/19 06:05:16 UV 2.16.840.1.113883.3.1070.5495 mckesson-fusion-5495 mckesson-fusion-5495 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 3 Complete 2.16.840.1.113883.3.1070.5495 2013/11/22 12:00:00 2014/01/19 12:00:00 2014/01/19 06:07:13 US 2.16.840.1.113883.9.78 loiGuComponent LOI GU Component Hans Buitendijk masked Hans Buitendijk 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2013/11/22 12:00:00 2014/01/19 12:00:00 2014/01/19 06:14:05 UV 2.16.840.1.113883.9.79 loiNgComponent LOI NG Component Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2013/11/22 12:00:00 2014/01/19 12:00:00 2014/01/19 06:16:03 UV 2.16.840.1.113883.9.80 loiFiComponent LOI FI Component Hans Buitendijk masked Hans Buitendijk 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hans.buitendijk@siemens.com http://www.hl7.org HL7 body Int 9 Complete 2013/11/22 12:00:00 2014/01/19 12:00:00 2014/01/19 06:22:26 UV 2.16.840.1.113883.9.81 labPrnComponent LAB PRN Component Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 734 677 7777 masked HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hans.buitendijk@siemens.com http://www.hl7.org HL7 body Int 9 Complete 2013/11/22 12:00:00 2014/01/19 12:00:00 2014/01/19 06:23:23 UV 2.16.840.1.113883.9.82 labPruComponent LAB PRU Component Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager Hans Buitendijk 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2013/11/22 12:00:00 2014/01/19 12:00:00 2014/01/19 06:24:58 UV 2.16.840.1.113883.9.83 labFruComponent LAB FRU Component Hans Buitendijk masked Hans Buitendijk 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2013/11/22 12:00:00 2014/01/19 12:00:00 2014/01/19 06:26:02 UV 2.16.840.1.113883.9.84 labFrnComponent LAB FRN Component Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2013/11/22 12:00:00 2014/01/19 12:00:00 2014/01/19 06:27:10 UV 2.16.840.1.113883.9.85 loiGuPruProfile LOI GU PRU Profile Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2013/11/22 12:00:00 2014/01/19 12:00:00 2014/01/19 06:30:12 UV 2.16.840.1.113883.9.86 loiGuPrnProfile LOI GU PRN Profile Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2013/11/22 12:00:00 2014/01/27 12:00:00 2014/01/27 01:57:44 UV 2.16.840.1.113883.9.87 loiNgPruProfile LOI NG PRU Profile Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2013/11/22 12:00:00 2014/01/27 12:00:00 2014/01/27 01:58:56 UV 2.16.840.1.113883.9.88 loiNgPrnProfile LOI NG PRN Profile Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2013/11/22 12:00:00 2014/01/27 12:00:00 2014/01/27 02:01:26 UV 2.16.840.1.113883.3.3882 vcmf2idsr ValleyCare Medical Foundation identify source OID Tania Hrynewycz masked Tania Hrynewycz ValleyCare Health Systems 1015 E. Stanley Blvd, Suite A Livermore, CA 94550 925 373 4054 masked IS Application Director ValleyCare Medical Foundation 5725 W Las Positas Blvd Pleasanton, CA 94558 925.416.6736 tania.hrynewycz@siemens.com http://www.myvcmf.com/ Provider Int 3 3 Complete 2013/11/22 12:00:00 2014/01/27 12:00:00 2014/01/27 02:06:41 UV 2.16.840.1.113883.3.3883 vcmf3docsrc ValleyCare Medical Foundation Document Source Tania Hrynewycz masked Tania Hrynewycz 1015 E Stanley Blvd, Suite A Livermore, CA 94550 382 373 4054 masked IS Application Manager ValleyCare Medical Foundation 5725 W Las Positas Pleasanton, CA 94588 925 416 6736 tania.hrynewycz@siemens.com http://www.myvcmf.com/ Provider Int 13 3 Complete 2013/11/22 12:00:00 2014/01/27 12:00:00 2014/01/27 02:08:39 UV 2.16.840.1.113883.9.89 loiAckComponent LOI Acknowledgement Component Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2013/11/22 12:00:00 2014/01/27 12:00:00 2014/01/27 02:03:44 UV 2.16.840.1.113883.9.90 loiGuAckComponent LOI GU Acknowledgement Component Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 20878 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2013/11/22 12:00:00 2014/01/27 12:00:00 2014/01/27 02:14:08 UV 2.16.840.1.113883.9.91 loiNgAckComponent LOI NG Acknowledgement Component Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2013/11/22 12:00:00 2014/01/27 12:00:00 2014/01/27 02:15:39 UV 2.16.840.1.113883.9.92 loiGuResponseProfile LOI GU Response Profile Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2013/11/22 12:00:00 2014/01/27 12:00:00 2014/01/27 02:16:53 UV 2.16.840.1.113883.9.93 loiNgResponseProfile LOI NG Response Profile Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2013/11/22 12:00:00 2014/01/27 12:00:00 2014/01/27 02:18:04 UV 2.16.840.1.113883.9.94 loiPhComponent LOI PH Component Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2013/11/22 12:00:00 2014/01/27 12:00:00 2014/01/27 02:19:16 UV 2.16.840.1.113883.9.95 loiPrComponent LOI PR Component Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2013/11/22 12:00:00 2014/01/27 12:00:00 2014/01/27 02:20:25 UV 2.16.840.1.113883.9.96 loiRcComponent LOI RC Component Hans Buitendijk masked Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA +1 610 219 2087 masked HS Standards & Regulations Manager HL7 Orders & Observations 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body Int 9 Complete 2013/11/22 12:00:00 2014/01/27 12:00:00 2014/01/27 02:21:34 UV 2.16.840.1.113883.3.3884 blorenz Brigitte Lorenz, M.D., PLLC Kathryn Weddle masked Brigitte Lorenz MD Kathryn Weddle 30800 Telegraph Rd #2800 Bingham Farms, MI 48025 2485930264 masked Meaningful Use coordinator Brigitte Lorenz, MD PLLC 441 South Livernois #175 Rochester Hills, MI 48307 248-601-2688 Brigittelorenz@mac.com Provider Int 3 Complete 2013/11/25 12:00:00 2014/01/27 12:00:00 2014/01/27 03:20:44 UV 2.16.840.1.113883.4.305.1.156 frankLandry Frank Landry, MD Craig Hill masked Frank Landry Frank Landry, MD 1205 North Avenue Burlington, VT 05408 (802) 860-3940 masked Physician Craig Hill 1 Mill Street, Suite 249 Burlington, Vermont 05401 8028391966 chill@vitl.net http://www.vitl.net Exchange 2.16.840.1.113883.4.305 Ext 17 Complete 2.16.840.1.113883.4.305.1.156 2013/11/25 12:00:00 2014/12/19 12:00:00 2016/01/07 09:18:15 US 2.16.840.1.113883.3.3885 yamhillcounty yamhillcounty OID Root Shelly Schmidt masked Shelly Schmidt 1133 SW Baker St McMinnville OR 97128 503-472-3341 masked Yamhill County Foot Health Center 1133 SW Baker St McMinnville, OR 97128 503-472-3341 Macfoot@integra.net Provider Int 3 Complete 2013/11/25 12:00:00 2014/01/27 12:00:00 2014/01/27 03:23:42 UV 2.16.840.1.113883.17.209 entsa ENT Surgical Associates, Divison of Michigan Healthcare Professionals, P.C. Ilene Miles masked Ilene Miles 27483 Dequindre suite 201 Madison Heights, Michigan 48071 248-541-0100 masked Practice Administrater ENT Surgical Associates, Division of Michigan Healthcare Professionals, P.C. 27483 Dequindre suite 201 Madison Heigthts Michigan 48071 248-541-0100 entsurgmain@advdata.net https://www.entallergy.com Provider Int 17 Complete 2013/11/25 12:00:00 2014/01/27 12:00:00 2014/01/27 03:25:46 UV 2.16.840.1.113883.3.3886 oakwoodeps Oakwood Eligible Professionals Jennifer Crocker masked adam.lee@oakwood.org Jennifer Crocker 401-575-9793 masked MU Project Manager Oakwood Physician Group 15500 Lundy Parkway Dearborn, MI 48126 401-575-9793 jennifer_crocker@dell.com http://www.oakwood.org/ Provider Int 3 Complete 2013/11/25 12:00:00 2014/01/27 12:00:00 2014/01/27 03:29:45 UV 2.16.840.1.113883.9.97 oaaa Olympic Area Agency on Aging Allan Fisher masked Olympic Area Agency on Aging 2067494313 masked Olympic Area Agency on Aging 11700 Rhody Drive Port Hadlock, WA 98339 2067494313 allan_fisher@uhc.com Provider Int 3 Complete 2013/11/25 12:00:00 2014/01/27 12:00:00 2014/01/27 03:35:04 UV 2.16.840.1.113883.3.3886.1 oakwoodeps1 Oakwood Healthcare Center - Mercury Drive Jennifer Crocker masked adam.lee@oakwood.org Jennifer Crocker 15500 Lundy Parkway Dearborn, MI 48126 401-575-9793 masked MU Project Manager Oakwood Physician Group 15500 Lundy Parkway Dearborn, MI 48126 jennifer_crocker@dell.com http://www.oakwood.org/ Provider 2.16.840.1.113883.3.3886 Ext 17 17 Complete 2.16.840.1.113883.3.3886.1 2013/11/25 12:00:00 2014/01/27 12:00:00 2014/01/27 03:31:13 UV 2.16.840.1.113883.3.3887 terros-corporate TERROS Corporate Debbie Tinsley masked Israel Medellin 3003 N. Central Ave. Suite 200 Phoenix, Arizona 85012 602-302-7977 masked Health Informatics Administrator TERROS, Inc. 3003 N. Central Ave., Suite 200 Phoenix, Arizona 85012 602-685-6000 healthinformatics@Terros.org http://www.terros.org/ Provider Int 3 Complete 2013/11/25 12:00:00 2014/01/27 12:00:00 2025/04/29 03:13:35 UV 2.16.840.1.113883.3.3888 terros-crisis TERROS - Crisis Debbie Tinsley masked Debbie Tinsley 3003 N. Central Ave. Suite 200 Phoenix, Arizona 85012 602-512-2970 masked Director of Operations/Contracts/Risk Management TERROS - Crisis 3003 N. Central Ave. Suite 200 Phoenix, Arizona 85012 602-685-6000 Debbie.Tinsley@Terros.org http://www.terros.org/ Provider Int 3 Complete 2013/11/25 12:00:00 2014/01/27 12:00:00 2014/01/27 03:48:04 UV 2.16.840.1.113883.3.3889 app-ihcman Advocate Physician Partners - IHC manually Entered Data Dennis Gilge masked Dennis Gilge 1701 West Golf Road Rolling Meadows, Il 60008 847-635-5920 masked Dennis Gilge 1701 West Golf Road Rolling Meadows, Il 60008 847-635-5920 Dennis.Gilge@advocatehealth.com Provider Int 3 Complete 2013/11/25 12:00:00 2014/01/27 12:00:00 2014/01/27 03:52:17 UV 2.16.840.1.113883.3.3890 terros-glendaleoutpatient TERROS - Glendale Outpatient Debbie Tinsley masked Debbie Tinsley 3003 N. Central Ave. Suite 200 Phoenix, Arizona 85012 602-512-2970 masked Director of Operations/Contracts/Risk Management TERROS - Glendale Outpatient 3003 N. Central Ave. Suite 200 Phoenix, Arizona 85012 602-685-6000 Debbie.Tinsley@Terros.org http://www.terros.org/ HL7 body Int 3 Complete 2013/11/25 12:00:00 2014/01/27 12:00:00 2014/01/27 03:55:32 UV 2.16.840.1.113883.3.3891 terros-mcdowell-outpatient TERROS-McDowell-Outpatient Debbie Tinsley masked Debbie Tinsley 3003 N. Central Ave., Suite 200 Phoenix, Arizona 85012 602-512-2970 masked Director of Operations/Contracts/Risk Management TERROS, Inc. 3003 N. Central Ave., Suite 200 Phoenix, Arizona 85012 602-685-6000 Debbie.Tinsley@Terros.org http://www.terros.org/ HL7 body Int 3 Complete 2013/11/25 12:00:00 2014/01/27 12:00:00 2014/01/27 03:58:39 UV 2.16.840.1.113883.3.3892 Terros-Stapley Terros Health - Stapley Health Center Debbie Tinsley masked Israel Medellin 3003 N. Central Ave., Suite 400 Phoenix, Arizona 85012 602-685-6000 masked Health Information Administrator Terros Health 3003 N. Central Ave., Suite 400 Phoenix, Arizona 85012 602-685-6000 informatics@terroshealth.org www.terroshealth.org Provider Int 3 Complete 2013/11/25 12:00:00 2014/01/27 12:00:00 2025/06/12 05:01:56 UV 2.16.840.1.113883.3.3893 Terros-27th-Ave Terros Health - 27th Avenue Health Center Debbie Tinsley masked Israel Medellin 3003 N. Central Ave., Suite 400 Phoenix, Arizona 85012 602-685-6000 masked Health Information Administrator Terros Health 3003 N. Central Ave., Suite 400 Phoenix, Arizona 85012 602-685-6000 informatics@terroshealth.org www.terroshealth.org Provider Int 3 Complete 2013/11/25 12:00:00 2014/01/27 12:00:00 2025/06/12 05:25:12 UV 2.16.840.1.113883.3.3894 Terros-Priest Terros Health - Priest Health Center Debbie Tinsley masked Israel Medellin 3003 N. Central Ave., Suite 400 Phoenix, Arizona 85012 602-685-6000 masked Health Information Administrator Terros Health 3003 N. Central Ave., Suite 400 Phoenix, Arizona 85012 602-685-6000 informatics@terroshealth.org www.terroshealth.org Provider Int 3 Complete 2013/11/25 12:00:00 2014/01/27 12:00:00 2025/06/12 04:57:46 UV 2.16.840.1.113883.3.3895 bhr Baptist Health Richmond LATOSHA ROSE masked Baptist Health Richmond 801 Eastern Bypass Richmond, KY 40475 859-625-3784 masked Application Analyst Baptist Health Richmond 801 Eastern Bypass Richmond, KY 40475 859-625-3784 tosha.rose@bhsi.com https://www.baptisthealthrichmond.com Provider Int 3 Complete 2013/11/25 12:00:00 2014/01/27 12:00:00 2014/01/27 04:07:48 UV 2.16.840.1.113883.3.3896 Terros-51st-Ave Terros Health - 51st Avenue Health Center Debbie Tinsley masked Israel Medellin 3003 N. Central Ave., Suite 400 Phoenix, Arizona 85012 602-685-6000 masked Health Informatics Administrator Terros Health 3003 N. Central Ave., Suite 400 Phoenix, Arizona 85012 602-685-6000 informatics@terroshealth.org https://www.terroshealth.org/ Provider Int 3 Complete 2013/11/25 12:00:00 2014/01/27 12:00:00 2025/06/12 04:53:55 UV 2.16.840.1.113883.9.98 nwaaa Northwest Regional Council Allan Fisher masked Allan Fisher 2067494313 masked Norhtwest Regional Council 600 Lakeway Drive, Suite 100 Bellingham, WA 98225 2067494313 allan_fisher@uhc.com Provider Int 3 Complete 2013/11/25 12:00:00 2014/01/27 12:00:00 2014/01/27 03:40:26 UV 2.16.840.1.113883.3.3897 uw-medicine-ccd UW Medicine Patient Health Information HL7 transmission Carol Cabe masked Carol cabe P O Box 359968 Seattle WA 98195 206-616-4042 masked IT Project Manager University of Washington Medicine 1959 N.E. Pacific St. Seattle, WA 98195 206.598.3300 mcsos@uw.edu https://www.uwmedicine.org Academic Int 3 Complete 2013/11/25 12:00:00 2014/01/27 12:00:00 2014/01/27 04:13:22 UV 2.16.840.1.113883.3.3898 gemrsa GEMRSendingApplication zeng yj masked yunjiezeng 15950513151 masked yuzhou 15950513151 yunjie.zeng@qq.com Vendor Int 3 Complete 2013/11/25 12:00:00 2014/01/27 12:00:00 2014/01/27 04:16:24 UV 2.16.840.1.113883.3.3899 gemrsf GEMRSendingFacility zeng yj masked zengyunjie 15950513151 masked Yuzhou 15950513151 yunjie.zeng@qq.com Vendor Int 3 Complete 2013/11/25 12:00:00 2014/01/27 12:00:00 2014/01/27 04:18:08 UV 2.16.840.1.113883.3.3900 ltd LabTestDoctor zeng yj masked zengyunjie 15950513151 masked Yuzhou 15950513151 yunjie.zeng@qq.com Provider Int 3 Complete 2013/11/25 12:00:00 2014/01/27 12:00:00 2014/01/27 04:19:39 UV 2.16.840.1.113883.3.3886.2 oakwoodeps2 Adult Medical Care Jennifer Crocker masked adam.lee@oakwood.org Jennifer Crocker 15500 Lundy Parkway Dearborn, MI 48126 401-575-9793 masked MU Project Manager Oakwood Physician Group jennifer_crocker@dell.com http://www.oakwood.org/ Provider 2.16.840.1.113883.3.3886 Ext 17 17 Complete 2.16.840.1.113883.3.3886.2 2013/11/26 12:00:00 2014/01/27 12:00:00 2014/01/27 04:26:14 UV 2.16.840.1.113883.3.3886.3 oakwoodeps3 Adult Medical Care Jennifer Crocker masked adam.lee@oakwood.org Jennifer Crocker 15500 Lundy Parkway Dearborn, MI 48126 401-575-9793 masked MU Project Manager Oakwood Physician Group jennifer_crocker@dell.com http://www.oakwood.org/ Provider 2.16.840.1.113883.3.3886 Ext 17 17 Complete 2.16.840.1.113883.3.3886.3 2013/11/26 12:00:00 2014/01/27 12:00:00 2014/01/27 04:28:17 UV 2.16.840.1.113883.3.3886.4 oakwoodeps4 Athens Office Jennifer Crocker masked adam.lee@oakwood.org Jennifer Crocker 15500 Lundy Parkway Dearborn, MI 48126 401-575-9793 masked MU Project Manager Oakwood Physician Group jennifer_crocker@dell.com http://www.oakwood.org/ Provider 2.16.840.1.113883.3.3886 Ext 17 17 Complete 2.16.840.1.113883.3.3886.4 2013/11/26 12:00:00 2014/01/27 12:00:00 2014/01/27 04:29:49 UV 2.16.840.1.113883.3.3886.5 oakwoodeps5 Blanzy Clinic Jennifer Crocker masked adam.lee@oakwood.org Jennifer Crocker 15500 Lundy Parkway Dearborn, MI 48126 401-575-9793 masked MU Project Manager Oakwood Physician Group jennifer_crocker@dell.com http://www.oakwood.org/ Provider 2.16.840.1.113883.3.3886 Ext 17 17 Complete 2.16.840.1.113883.3.3886.5 2013/11/26 12:00:00 2014/01/27 12:00:00 2014/01/27 04:31:57 UV 2.16.840.1.113883.3.3886.6 oakwoodeps6 Cherry Hill Internal Medicine (Canton) Jennifer Crocker masked adam.lee@oakwood.org Jennifer Crocker 15500 Lundy Parkway Dearborn, MI 48126 401-575-9793 masked MU Project Manager Oakwood Physician Group jennifer_crocker@dell.com http://www.oakwood.org/ Provider 2.16.840.1.113883.3.3886 Ext 17 Complete 2.16.840.1.113883.3.3886.6 2013/11/26 12:00:00 2014/01/27 12:00:00 2014/01/27 04:33:57 UV 2.16.840.1.113883.3.3901 qm QualityMetric Roberto Lopez masked Elise Plumb Roberto Lopez 24 Albion Road Lincoln, RI 02865 (401) 642 9254 masked Senior Software Engineer OptumInsight - QualityMetric 24 Albion Road Lincoln, RI 02865 (800) 572 9394 rlopez@qualitymetric.com SDO Int 2.16.840.1.113883.3.2966 3 Deprecated 2013/11/26 12:00:00 2014/01/27 12:00:00 2018/03/02 10:26:44 UV 2.16.840.1.113883.3.3886.7 oakwoodeps7 Henry Ford Village Medical Center Jennifer Crocker masked adam.lee@oakwood.org Jennifer Crocker 15500 Lundy Parkway Dearborn, MI 48126 401-575-9793 masked MU Project Manager Oakwood Physician Group jennifer_crocker@dell.com http://www.oakwood.org/ Provider 2.16.840.1.113883.3.3886 Ext 17 Complete 2.16.840.1.113883.3.3886.7 2013/11/26 12:00:00 2014/01/27 12:00:00 2014/01/27 04:36:00 UV 2.16.840.1.113883.3.3886.8 oakwoodeps8 Medical Office Building - Canton Jennifer Crocker masked adam.lee@oakwood.org Jennifer Crocker 15500 Lundy parkway Dearborn, MI 48126 401-575-9793 masked MU Project Manager Oakwood Physician Group jennifer_crocker@dell.com http://www.oakwood.org/ Provider 2.16.840.1.113883.3.3886 Ext 17 Complete 2.16.840.1.113883.3.3886.8 2013/11/26 12:00:00 2014/01/27 12:00:00 2014/01/27 04:37:46 UV 2.16.840.1.113883.3.3886.9 oakwoodeps9 Medical Office Building - Dearborn Jennifer Crocker masked adam.lee@oakwood.org Jennifer Crocker 15500 Lundy Parkway Dearborn, MI 48126 401-575-9793 masked MU Project Manager Oakwood Physician Group jennifer_crocker@dell.com http://www.oakwood.org/ Provider 2.16.840.1.113883.3.3886 Ext 17 Complete 2.16.840.1.113883.3.3886.9 2013/11/26 12:00:00 2014/01/27 12:00:00 2014/01/27 04:40:11 UV 2.16.840.1.113883.3.3886.10 oakwoodeps10 Medical Office Building - Dearborn Pediatrics Jennifer Crocker masked adam.lee@oakwood.org Jennifer Crocker 15500 Lundy Parkway Dearborn, MI 48126 401-575-9793 masked MU Project Manager Oakwood Physician Group jennifer_crocker@dell.com http://www.oakwood.org/ Provider 2.16.840.1.113883.3.3886 Ext 17 Complete 2.16.840.1.113883.3.3886.10 2013/11/26 12:00:00 2016/09/23 12:00:00 2016/09/23 07:04:29 UV 2.16.840.1.113883.3.3886.11 oakwoodeps11 Oakwood Healthcare Newport Jennifer Crocker masked adam.lee@oakwood.org Jennifer Crocker 15500 Lundy Parkway Dearborn, MI 48126 401-575-9793 masked MU Project Manager Oakwood Physician Group jennifer_crocker@dell.com http://www.oakwood.org/ Provider 2.16.840.1.113883.3.3886 Ext 17 Complete 2.16.840.1.113883.3.3886.11 2013/11/26 12:00:00 2014/01/27 12:00:00 2014/01/27 04:49:02 UV 2.16.840.1.113883.3.3886.12 oakwoodeps12 Oakman Medical Group (Dearborn) Jennifer Crocker masked adam.lee@oakwood.org Jennifer Crocker 15500 Lundy Parkway Dearborn, MI 48126 401-575-9793 masked MU Project Manager Oakwood Physician Group jennifer_crocker@dell.com http://www.oakwood.org/ Provider 2.16.840.1.113883.3.3886 Ext 17 Complete 2.16.840.1.113883.3.3886.12 2013/11/26 12:00:00 2014/01/27 12:00:00 2014/01/27 04:50:44 UV 2.16.840.1.113883.3.3886.13 oakwoodeps13 Oakwood Breast Care Center - Dearborn Jennifer Crocker masked adam.lee@oakwood.org Jennifer Crocker 15500 Lundy Parkway Dearborn, MI 48126 401-575-9793 masked MU Project Manager Oakwood Physician Group jennifer_crocker@dell.com http://www.oakwood.org/ Provider 2.16.840.1.113883.3.3886 Ext 17 Complete 2.16.840.1.113883.3.3886.13 2013/11/26 12:00:00 2014/01/27 12:00:00 2014/01/27 04:54:19 UV 2.16.840.1.113883.3.3886.14 oakwoodeps14 Oakwood Center for Hematology & Oncology - Downriver Jennifer Crocker masked adam.lee@oakwood.org Jennifer Crocker 15500 Lundy Parkway Dearborn, MI 48126 401-575-9793 masked MU Project Manager Oakwood Physician Group jennifer_crocker@dell.com http://www.oakwood.org/ Provider 2.16.840.1.113883.3.3886 Ext 17 Complete 2.16.840.1.113883.3.3886.14 2013/11/26 12:00:00 2014/01/27 12:00:00 2014/01/27 04:56:38 UV 2.16.840.1.113883.3.3886.15 oakwoodeps15 Oakwood Healthcare Center - Belleville Jennifer Crocker masked adam.lee@oakwood.org Jennifer Crocker 15500 Lundy Parkway Dearborn, MI 48126 401-575-9793 masked MU Project Manager Oakwood Physician Group jennifer_crocker@dell.com http://www.oakwood.org/ Provider 2.16.840.1.113883.3.3886 Ext 17 Complete 2.16.840.1.113883.3.3886.15 2013/11/26 12:00:00 2014/01/27 12:00:00 2014/01/27 04:58:16 UV 2.16.840.1.113883.3.3886.16 oakwoodeps16 Oakwood Healthcare Center - Canton Specialties Jennifer Crocker masked adam.lee@oakwood.org Jennifer Crocker 15500 Lundy Parkway Dearborn, MI 48126 401-575-9793 masked MU Project Manager Oakwood Physician Group jennifer_crocker@dell.com http://www.oakwood.org/ Provider 2.16.840.1.113883.3.3886 Ext 17 Complete 2.16.840.1.113883.3.3886.16 2013/11/26 12:00:00 2014/01/27 12:00:00 2014/01/27 04:59:36 UV 2.16.840.1.113883.3.3886.17 oakwoodeps17 Oakwood Healthcare Center - Garden City Specialties Jennifer Crocker masked adam.lee@oakwood.org Jennifer Crocker 15500 Lundy Parkway Dearborn, MI 48126 401-575-9793 masked MU Project Manager Oakwood Physician Group jennifer_crocker@dell.com http://www.oakwood.org/ Provider 2.16.840.1.113883.3.3886 Ext 17 Complete 2.16.840.1.113883.3.3886.17 2013/11/26 12:00:00 2014/01/27 12:00:00 2014/01/27 05:01:21 UV 2.16.840.1.113883.3.3886.18 oakwoodeps18 Oakwood Healthcare Center - Hubbard Drive Jennifer Crocker masked adam.lee@oakwood.org Jennifer Crocker 15500 Lundy Parkway Dearborn, MI 48126 401-575-9793 masked MU Project Manager Oakwood Physician Group jennifer_crocker@dell.com http://www.oakwood.org/ Provider 2.16.840.1.113883.3.3886 Ext 17 Complete 2.16.840.1.113883.3.3886.18 2013/11/26 12:00:00 2014/01/27 12:00:00 2014/01/27 05:02:42 UV 2.16.840.1.113883.3.3886.19 oakwoodeps19 Oakwood Healthcare Center - Southgate Specialties Jennifer Crocker masked adam.lee@oakwood.org Jennifer Crocker 15500 Lundy Parkway Dearborn, MI 48126 401-575-9793 masked MU Project Manager Oakwood Physician Group jennifer_crocker@dell.com http://www.oakwood.org/ Provider 2.16.840.1.113883.3.3886 Ext 17 Complete 2.16.840.1.113883.3.3886.19 2013/11/26 12:00:00 2014/01/27 12:00:00 2014/01/27 05:04:30 UV 2.16.840.1.113883.3.3886.20 oakwoodeps20 Oakwood Healthcare Center - Westland Jennifer Crocker masked adam.lee@oakwood.org Jennifer Crocker 15500 Lundy Parkway Dearborn, MI 48126 401-575-9793 masked MU Project Manager Oakwood Physician Group jennifer_crocker@dell.com http://www.oakwood.org/ Provider 2.16.840.1.113883.3.3886 Ext 17 Complete 2.16.840.1.113883.3.3886.20 2013/11/26 12:00:00 2014/01/27 12:00:00 2014/01/27 05:06:53 UV 2.16.840.1.113883.3.3886.21 oakwoodeps21 OB GYN Associates - West Jennifer Crocker masked adam.lee@oakwood.org Jennifer Crocker 15500 Lundy Parkway Dearborn, MI 48126 401-575-9793 masked MU Project Manager Oakwood Physician Group jennifer_crocker@dell.com http://www.oakwood.org/ Provider 2.16.840.1.113883.3.3886 Ext 17 Complete 2.16.840.1.113883.3.3886.21 2013/11/26 12:00:00 2014/01/27 12:00:00 2014/01/27 05:08:46 UV 2.16.840.1.113883.3.3902 ssg dataSiegeleSoftware Ruth Steinhauer masked Ruth Steinhauer Wehrgasse 28/3+4 1050 Wien Austria 0043 1 890467612 masked Application manager SIEGELE Software GmbH Wehrgasse 28/3+4 1050 Wien Austria 0043 1 890467611 ruth.steinhauer@siegele-software.com Vendor Int 3 Complete 2013/11/26 12:00:00 2014/01/27 12:00:00 2023/11/01 08:25:37 UV 2.16.840.1.113883.3.3886.22 oakwoodeps22 OHI Women's Healthcare Jennifer Crocker masked adam.lee@oakwood.org Jennifer Crocker 15500 Lundy Parkway Dearborn, MI 48126 401-575-9793 masked MU Project Manager Oakwood Physician Group jennifer_crocker@dell.com http://www.oakwood.org/ Provider 2.16.840.1.113883.3.3886 Ext 17 Complete 2.16.840.1.113883.3.3886.22 2013/11/26 12:00:00 2014/01/27 12:00:00 2014/01/27 05:13:31 UV 2.16.840.1.113883.3.3886.23 oakwoodeps23 Raper (Physician Network) Jennifer Crocker masked adam.lee@oakwood.org Jennifer Crocker 15500 Lundy Parkway Dearborn, MI 48126 401-575-9793 masked MU Project Manager Oakwood Physician Group jennifer_crocker@dell.com http://www.oakwood.org/ Payor 2.16.840.1.113883.3.3886 Ext 17 Complete 2.16.840.1.113883.3.3886.23 2013/11/26 12:00:00 2014/01/27 12:00:00 2014/01/27 05:15:48 UV 2.16.840.1.113883.3.3903 lh-oid Labette Health Chris Jones masked Chris Jones 1902 S. Highway 59 Parsons, KS 67357 620-820-5423 masked Network Engineer Labette Health 1902 S. Highway 59 Parsons, KS 67357 620-421-4881 cio@labettehealth.com Provider Int 3 Complete 2013/11/26 12:00:00 2014/01/27 12:00:00 2014/01/27 05:18:12 UV 2.16.840.1.113883.10.20.35 ccdaAAT Additional Administrative Templates Robert Dieterle masked Robert Dieterle 816-853-7164 masked CEO SDWG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 SDWG rdieterle@enablecare.us HL7 body Ext 9 9 Complete 2.16.840.1.113883.10.20.35 2013/11/26 12:00:00 2014/02/25 12:00:00 2014/02/25 02:23:38 UV 2.16.840.1.113883.3.3905 tannerhealth Tanner Health Interoperability Platform Garrett Carver masked Garrett Carver 816-201-8518 masked System Architect Garrett Carver garrett.carver@cerner.com Exchange Int 3 3 Complete 2013/11/26 12:00:00 2014/01/27 12:00:00 2014/01/27 05:21:23 US 2.16.840.1.113883.3.3906 hh-ccdtest Herrin Hospital - Test Nickie Fuhrhop masked Southern Illinois Hospital Services Nickie Fuhrhop 1239 E Main Carbondale Il 62901 618-351-1900 masked IT Analyst Herrin Hospital 201 South 14th Street Herrin Il 62948 618.942.2171 nickie.fuhrhop@sih.net Provider Int 3 Complete 2013/11/26 12:00:00 2014/01/27 12:00:00 2014/01/27 05:22:52 UV 2.16.840.1.113883.3.3907 petrous Contemporary Medical Solutions Lisa Chaston masked Lisa Chaston 20224 Farmington Road Livonia, MI 48152 248 442-0005 masked Office Manager Contemporary Medical Solutions 20224 Farmington Road Livonia MI, 48152 248 442-0005 petrousm@yahoo.com Provider Int 3 Complete 2013/11/26 12:00:00 2014/01/29 12:00:00 2014/01/29 01:55:59 UV 2.16.840.1.113883.3.3908 ims Intelligent Medical Software Saurabh Desai masked Saurabh Desai 510-201-0130 ext 23031 masked Meditab Software inc 333 Hegenberger Road, Suite 800, Oakland, CA 94621 Phone: 510.632.8021 or 866.994.6367, Fax: 510.632.8021 510-201-0130 interface@meditab.com Vendor Int 3 Complete 2013/11/26 12:00:00 2014/01/29 12:00:00 2015/08/04 09:43:26 UV 2.16.840.1.113883.4.687 tOllgate Tollgate OBGYN Midwifery Michael Oakes masked Susan Erinakes 401-737-2280 masked Office Manager Polaris Medical Management 1150 New London Ave. Cranston RI, 02920 401-654-4000 moakes@polarismedical.com Vendor 2.16.840.1.113883.3.1348 Int 3 Complete 2013/11/26 12:00:00 2014/01/29 12:00:00 2014/01/29 02:15:22 UV 2.16.840.1.113883.4.688 oLga Olga Tverskaya MD Michael Oakes masked Olga Tverskaya 712 Oaklawn Avenue STE 4 Cranston, RI 02920 401-943-9011 masked Polaris Medical Management 1150 New London Ave. Cranston RI, 02920 401-654-4000 moakes@polarismedical.com Vendor 2.16.840.1.113883.3.1348 Int 3 Complete 2013/11/26 12:00:00 2014/01/29 12:00:00 2014/01/29 02:16:49 UV 2.16.840.1.113883.3.3198.2.400 wgabehhltcton West Georgia Behavioral Health - Carrollton Laura Wilson masked Wayne Sellers Laura Wilson 705 Dixie Street Carrollton, GA 30117 770-812-9791 masked Tanner Medical Center, Inc. 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 Complete 2.16.840.1.113883.3.3198.2.400 2013/11/26 12:00:00 2014/01/29 12:00:00 2014/01/29 02:19:53 UV 2.16.840.1.113883.3.176.341 nycdohrep Repository for New York City Department of Health in Healthix environment Wayne Huang masked Wayne Huang 40 Worth St, 5th Fl New York, NY 10013 646-619-6433 masked Project Coordinator Tyson Markley 40 Worth St, 5th Fl New York, NY 10013 646-619-6711 tmarkley@nyehealth.org Exchange 2.16.840.1.113883.3.176 Ext 17 Complete 2.16.840.1.113883.3.176.341 2013/11/26 12:00:00 2014/01/29 12:00:00 2014/01/29 03:30:00 UV 2.16.840.1.113883.3.176.342 nysdohrep Repository for New York State Department of Health in Healthix environment Wayne Huang masked Wayne Huang 40 Worth St., 5th Fl New York, NY 10013 646-619-6433 masked Project Coordinator Tyson Markley 40 Worth St., 5th Fl New York, NY 10013 646-619-6711 tmarkley@nyehealth.org Exchange 2.16.840.1.113883.3.176 Ext 17 Complete 2.16.840.1.113883.3.176.342 2013/11/26 12:00:00 2014/01/29 12:00:00 2014/01/29 03:32:02 UV 2.16.840.1.113883.3.130.1.2.21.1.1 benningtonFamilyPractice Bennington Family Practice Craig Hill masked Elizabeth Ellingsen Craig Hill 1 Mill St. Suite 249 Burlington, VT 05401 8028391966 masked Project Manager Bennington Family Practice 140 Hospital Drive Bennington, VT 05201 (802) 447-1191 elle@phin.org Provider Ext 17 17 Complete 2.16.840.1.113883.3.130.1.2.21.1.1 2013/11/27 12:00:00 2014/01/29 12:00:00 2014/01/29 03:37:39 US 2.16.840.1.113883.13.257 traCSEnterpriseDefaultsID TraCSEnterpriseDefaultsID Peter Gnas masked pgnas@milwaukee.gov Peter Gnas 2333 N 49 ST Milwaukee, WI 53210 414-935-7410 masked Network Manager Milwaukee Police Department 749 W State Street Milwaukee, WI 53235 414-935-7575 pgnas@milwaukee.gov http://milwaukeepolicenews.com Govt body Int 13 13 Complete 2013/11/27 12:00:00 2020/02/08 12:00:00 2020/02/08 01:44:08 tDefID1 US 2.16.840.1.113883.3.3909 traCSLocationDefaultsID traCSLocationDefaultsID Peter Gnas masked Milwauke Police Department Peter 2333 N 49 st Milwaukee, WI 53210 414-935-7410 masked Network Manager Milwuake Police Department 749 W State Street Milwaukee, WI 53233 414-935-7575 pgnas@milwuakee.gov http://milwaukeepolicenews.com Govt body Int 3 Complete 2013/11/27 12:00:00 2015/02/28 12:00:00 2015/02/28 04:27:05 tracsLocDefID US 2.16.840.1.113883.3.3910 traCSLocationID traCSLocationID Peter Gnas masked Milwaukee Police Department Peter 2333 N $9 St Milwaukee, WI 53210 414-935-7410 masked Network Manager Milwaukee Police Department 749 W State Street Milwaukee, WI 53233 414-935-757 pgnas@milwaukee.gov http://milwaukeepolicenews.com Govt body Int 3 Complete 2013/11/27 12:00:00 2015/02/28 12:00:00 2015/02/28 04:30:52 traCSLocID US 2.16.840.1.113883.3.3911 traCSNameSuffix traCSNameSuffix Peter Gnas masked milwaukee police department Peter Gnas 2333 N 49 ST Milwaukee, WI 53210 414-935-7410 masked Network Manager Milwauke Police Department 749 S State Street Milwaukee, WI 53233 414-935-7575 pgnas@milwuakee.gov http://milwaukeepolicenews.com Govt body Int 3 Complete 2013/11/27 12:00:00 2015/02/28 12:00:00 2015/02/28 04:34:15 traCSNameSuffix US 2.16.840.1.113883.3.3912 traCSSecondaryUserID traCSSecondaryUserID peter Gnas masked Milwauke Police Deparrtment Peter Gnas 2333 N 49 St Milwaukee, WI 53233 414-935-7410 masked Network Manager Milwuakee Police Department 749 W State Street Milwaukee, WI 53210 414-935-7410 pgnas@milwaukee.gov http://milwaukeepolicenews.com Govt body Int 3 Complete 2013/11/27 12:00:00 2015/02/28 12:00:00 2015/02/28 04:44:12 traCSSecUserID US 2.16.840.1.113883.3.3913 traCSUserDefaultsID traCSUserDefaultsID Peter Gnas masked milwaukee police department Peter Gnas 2333 N 49 St Milwuakee, WI 53210 414-935-7410 masked Network Manager Milwaukee Police Departmrnt 749 W STate Street Milwaukee, WI 53233 414-935-7575 pgnas@milwuakee.gov http://milwaukeepolicenewsc.om Govt body Int 3 Complete 2013/11/27 12:00:00 2015/02/28 12:00:00 2015/02/28 04:46:49 traCSUserDef US 2.16.840.1.113883.3.3914 traCSEncryptionKeyLabel traCSEncryptionKeyLabel Peter Gnas masked milwaukee police department Peter Gnas 2333 N 49 ST Milwaukee, WI 53233 414-935-7410 masked Network Manager Milwaukee Police Department 749 W State St Milwaukee, WI 53233 414-935-7575 pgnas@milwaukee.gov http://milwaukeepolicenews.com Govt body Int 3 Complete 2013/11/27 12:00:00 2015/02/28 12:00:00 2015/02/28 04:49:42 traCSEncyptKeyLabel US 2.16.840.1.113883.3.3915 uccbronx UCC David Zeng masked David Zeng 1020 Grand Concourse, suite 26 Bronx, NY 10451 718-293-8400 masked Tech David Zeng 1020 Grand Concourse, suite 26 Bronx, NY 10451 718-293-8400 davez@aol.com Provider Int 3 Complete 2013/11/27 12:00:00 2014/01/29 12:00:00 2014/01/29 03:48:22 UV 2.16.840.1.113883.3.3916 achohip Akron Childrens Hospital Bill Cooper masked Adam Rossbach Bill Cooper 1 Perkins Square, Akron, OH 44308 330-543-4416 masked Project Manager Adam Rossbach arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2013/12/02 12:00:00 2014/01/29 12:00:00 2014/01/29 03:51:29 UV 2.16.840.1.113883.3.3917 speare-smh Speare Memorial Hospital Pamela Culver masked Pamela Culver Speare Memorial Hospital 16 Hospital Road Plymouth, NH 03264 603-238-6435 masked Application Analyst Speare Memorial Hospital 16 Hospital Road Plymouth, NH 03264 603-536-1120 pculver@spearehospital.com http://www.spearehospital.com Provider Int 3 Complete 2013/12/02 12:00:00 2014/01/29 12:00:00 2014/01/29 03:53:53 UV 2.16.840.1.113883.3.3571.1 sturghospmain Sturgis Hospital Facility Rita Denison masked Rita Denison 916 Myrtle Avenue Sturgis, MI 49091 269-659-4454 masked HIS/MM Director Sturgis Hospital 916 Myrtle Avenue Sturgis, MI 49091 269-659-4404 dmiller@sturgishospital.com Provider 2.16.840.1.113883.3.3571 Ext 4 Complete 2.16.840.1.113883.3.3571.1 2013/12/02 12:00:00 2014/01/29 12:00:00 2014/01/29 03:56:50 UV 2.16.840.1.113883.3.3918 footclinic Richard J Loesch DPM OID root Sharon McKinley masked Sharon McKinley 418 1/2 North Main St Princeton IN 47670 812-386-6750 masked Office Manager Richard J Loesch D.P.M. 418 1/2 North Main St Princeton, IN 47670 812-386-6750 sharon_mckinley@frontier.com Provider Int 3 Complete 2013/12/02 12:00:00 2014/01/29 12:00:00 2014/01/29 03:59:54 UV 2.16.840.1.113883.3.3919 annistoncenter Anniston Neurology and Headache OID root Mattie Embry masked Mattie Embry 1130 Leighton Avenue Anniston, Al 36207 256-231-0022 masked Anniston Neurology and Headache 1130 Leighton Avenue Anniston, Al 36207 256-231-0022 annistoncenter@bellsouth.net Provider Int 3 Complete 2013/12/02 12:00:00 2014/01/29 12:00:00 2014/01/29 04:02:28 UV 2.16.840.1.113883.3.1070.5586 mckesson-fusion-5586 mckesson-fusion-5586 Jennifer Meares masked Jennifer Meares 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5586 2013/12/02 12:00:00 2014/01/29 12:00:00 2014/01/29 04:03:49 US 2.16.840.1.113883.3.3920 elekta Elekta EMR Randy Norton masked Randy Norton 100 Mathilda Place, 5th Floor Sunnyvale, CA 94086 780 428-9656 masked Product Manager Elekta 100 Mathilda Place, 5th Floor Sunnyvale, CA 94086 408 830 8000 randy.norton@elekta.com http://www.elekta.com Vendor Int 3 Complete 2013/12/02 12:00:00 2014/01/29 12:00:00 2014/01/29 04:08:14 UV 2.16.840.1.113883.3.3921 forestacres Forest Acres OID Root Rusty Lacy masked Rusty Lacy 4500 FOREST DR COLUMBIA, SC 29206-3105 (803) 758-2577 masked CIO Forest Acres 4500 FOREST DR COLUMBIA, SC 29206-3105 (803) 738-9522 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/02 12:00:00 2014/01/29 12:00:00 2014/01/29 04:09:50 UV 2.16.840.1.113883.3.3922 jamesIsland James Island OID Root Rusty Lacy masked Rusty Lacy 743 FOLLY RD CHARLESTON, SC 29412-3432 (803) 758-2577 masked CIO James Island 743 FOLLY RD CHARLESTON, SC 29412-3432 (843) 762-2360 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/02 12:00:00 2014/01/29 12:00:00 2014/01/29 04:11:23 UV 2.16.840.1.113883.3.3923 charlestonWest Charleston West OID Root Rusty Lacy masked Rusty Lacy 3424 SHELBY RAY CT CHARLESTON, SC 29414-5838 (803) 758-2577 masked CIO Charleston West 3424 SHELBY RAY CT CHARLESTON, SC 29414-5838 (843) 402-6834 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/02 12:00:00 2014/01/29 12:00:00 2014/01/29 04:12:26 UV 2.16.840.1.113883.3.3924 westAshley West Ashley OID Root Rusty Lacy masked Rusty Lacy 1851 SAM RITTENBURG BLVD CHARLESTON, SC 29407-4870 (803) 758-2577 masked CIO West Ashley 1851 SAM RITTENBURG BLVD CHARLESTON, SC 29407-4870 (843) 556-5585 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/02 12:00:00 2014/01/29 12:00:00 2014/01/29 04:14:15 UV 2.16.840.1.113883.3.3925 summerville Summerville OID Root Rusty Lacy masked Rusty Lacy 410 N MAIN ST SUMMERVILLE, SC 29483-6420 (803) 758-2577 masked CIO Summerville 410 N MAIN ST SUMMERVILLE, SC 29483-6420 (843) 871-3277 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/02 12:00:00 2014/01/29 12:00:00 2014/01/29 04:15:27 UV 2.16.840.1.113883.3.3926 dorchesterRoad Dorchester Road OID Root Rusty Lacy masked Rusty Lacy 10160 DORCHESTER RD SUMMERVILLE, SC 29485-8527 (803) 758-2577 masked CIO Dorchester Road 10160 DORCHESTER RD SUMMERVILLE, SC 29485-8527 (843) 871-7900 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/02 12:00:00 2014/01/29 12:00:00 2014/01/29 04:17:33 UV 2.16.840.1.113883.3.3927 mcallenlung McAllen Lung Clinic OID Root Numan Arafat, MD masked Numan Arafat, MD 500 E. Ridge Road McAllen, TX 78503-1506 (956) 686-5410 masked McAllen Lung Clinic 500 E. Ridge Road McAllen, TX 78503-1506 (956) 686-5410 mlcreceptionist@rgv.rr.com Provider Int 3 Complete 2013/12/02 12:00:00 2014/01/29 12:00:00 2014/01/29 04:19:13 UV 2.16.840.1.113883.3.3928 northwoods Northwoods OID Root Rusty Lacy masked Rusty Lacy 8091 RIVERS AVE NORTH CHARLESTON, SC 29406-9236 (803)-758-2577 masked CIO Northwoods 8091 RIVERS AVE NORTH CHARLESTON, SC 29406-9236 (843) 572-7000 rlacy@ucimedinc.com Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 04:21:17 UV 2.16.840.1.113883.3.3929 mountPleasant Mount Pleasant OID Root Rusty Lacy masked Rusty Lacy 631 JOHNNIE DODDS BLVD MT PLEASANT, SC 29464-3030 (803) 758-2577 masked CIO Mount Pleasant 631 JOHNNIE DODDS BLVD MT PLEASANT, SC 29464-3030 (843) 881-0815 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 04:23:48 UV 2.16.840.1.113883.3.3930 parkWest Park West OID Root Rusty Lacy masked Rusty Lacy 3074 HIGHWAY 17 NORTH MT PLEASANT, SC 29466-9315 (803) 758-2577 masked CIO Park West 3074 HIGHWAY 17 NORTH MT PLEASANT, SC 29466-9315 (843) 884-6424 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 04:25:13 UV 2.16.840.1.113883.3.3931 moncksCorner Moncks Corner OID Root Rusty Lacy masked Rusty Lacy 459 HIGHWAY 52 NORTH MONCKS CORNER, SC 29461-3924 (803) 758-2577 masked CIO Moncks Corner 459 HIGHWAY 52 NORTH MONCKS CORNER, SC 29461-3924 (843) 899-3870 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 04:29:00 UV 2.16.840.1.113883.3.3932 aiken Aiken OID Root Rusty Lacy masked Rusty Lacy 850 AIKEN MALL DR AIKEN, SC 29803-7689 (803) 758-2577 masked CIO Aiken 850 AIKEN MALL DR AIKEN, SC 29803-7689 (803) 648-1464 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 04:30:17 UV 2.16.840.1.113883.3.3933 northAiken North Aiken OID Root Rusty Lacy masked Rusty Lacy 1029 YORK ST NORTHEAST AIKEN, SC 29801-4025 (803) 758-2577 masked CIO North Aiken 1029 YORK ST NORTHEAST AIKEN, SC 29801-4025 (803) 648-8879 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 04:33:13 UV 2.16.840.1.113883.3.3934 northAugusta North Augusta OID Root Rusty Lacy masked Rusty Lacy 1520 KNOX AVENUE NORTH AUGUSTA, SC 29841-4010 (803) 758-2577 masked CIO North Augusta 1520 KNOX AVENUE NORTH AUGUSTA, SC 29841-4010 (803) 279-4120 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 04:36:09 UV 2.16.840.1.113883.3.3935 cityofColumbia City of Columbia OID Root Rusty Lacy masked Rusty Lacy 2012 HARDEN STREET SUITE 112 COLUMBIA, SC 29204-0915 (803) 758-2577 masked CIO City of Columbia 2012 HARDEN STREET SUITE 112 COLUMBIA, SC 29204-0915 (803) 231-3122 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 04:38:09 UV 2.16.840.1.113883.3.3936 redBank Red Bank OID Root Rusty Lacy masked Rusty Lacy 1847 SOUTH LAKE DRIVE RED BANK, SC 29073-7759 (803) 758-2577 masked CIO Red Bank 1847 SOUTH LAKE DRIVE RED BANK, SC 29073-7759 803-356-8998 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 04:39:37 UV 2.16.840.1.113883.3.3937 augustaRoad Augusta Road OID Root Rusty Lacy masked Rusty Lacy 2836 AUGUSTA ROAD WEST COLUMBIA, SC 29170-3323 (803) 758-2577 masked CIO Augusta Road 2836 AUGUSTA ROAD WEST COLUMBIA, SC 29170-3323 (803) 939-0545 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 04:41:31 UV 2.16.840.1.113883.3.3938 cayce Cayce OID Root Rusty Lacy masked Rusty Lacy 977 KNOX ABBOTT DR CAYCE, SC 29033-3319 (803) 758-2577 masked CIO Cayce 977 KNOX ABBOTT DR CAYCE, SC 29033-3319 (803) 794-0476 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 04:43:31 UV 2.16.840.1.113883.3.3939 newberryMidlands Newberry Midlands OID Root Rusty Lacy masked Rusty Lacy 1411 Wilson Road Newberry, SC 29108-0000 (803) 758-2577 masked CIO Newberry Midlands 1411 Wilson Road Newberry, SC 29108-0000 (864) 276-2187 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 04:44:51 UV 2.16.840.1.113883.3.3940 sevenOaks Seven Oaks OID Root Rusty Lacy masked Rusty Lacy 100 JIMMY LOVE LN COLUMBIA, SC 29212-3159 (803) 758-2577 masked CIO Seven Oaks 100 JIMMY LOVE LN COLUMBIA, SC 29212-3159 (803) 772-5030 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 04:47:05 UV 2.16.840.1.113883.3.3941 lexington Lexington OID Root Rusty Lacy masked Rusty Lacy 247 COLUMBIA AVE Lexington, SC 29072-2611 (803) 758-2577 masked CIO Lexington 247 COLUMBIA AVE Lexington, SC 29072-2611 (803) 359-5533 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 04:51:34 UV 2.16.840.1.113883.3.3942 westColumbiaFamMed West Columbia (Fam Med) OID Root Rusty Lacy masked Rusty Lacy 3240 SUNSET BLVD WEST COLUMBIA, SC 29169-3428 (803) 758-2577 masked CIO West Columbia (Fam Med) 3240 SUNSET BLVD WEST COLUMBIA, SC 29169-3428 (803) 796-4251 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 04:52:48 UV 2.16.840.1.113883.3.2169.10 lpnt-mrn LifePoint Health MRN Pool Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Health, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net/ Provider 2.16.840.1.113883.3.2169 Ext 14 Complete 2.16.840.1.113883.3.2169.10 2013/12/03 12:00:00 2014/01/29 12:00:00 2018/05/02 10:12:20 UV 2.16.840.1.113883.3.3943 beltline Beltline OID Root Rusty Lacy masked Rusty Lacy 511 BELTLINE BLVD COLUMBIA, SC 29205-3627 (803) 758-2577 masked CIO Beltline 511 BELTLINE BLVD COLUMBIA, SC 29205-3627 (803) 782-4051 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 04:56:54 UV 2.16.840.1.113883.3.3944 columbiaEast Columbia East OID Root Rusty Lacy masked Rusty Lacy 7653 GARNERS FERRY RD COLUMBIA, SC 29209-0000 (803) 758-2577 masked CIO Columbia East 7653 GARNERS FERRY RD COLUMBIA, SC 29209-0000 (803) 783-2661 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 04:58:19 UV 2.16.840.1.113883.3.3945 orangeburg Orangeburg OID Root Rusty Lacy masked Rusty Lacy 1748 ST MATTHEWS ROAD ORANGEBURG, SC 29118-2441 (803) 758-2577 masked CIO Orangeburg 1748 ST MATTHEWS ROAD ORANGEBURG, SC 29118-2441 (803) 536-0613 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 05:00:31 UV 2.16.840.1.113883.3.3946 sumter Sumter OID Root Rusty Lacy masked Rusty Lacy 220 BROAD ST SUMTER, SC 29150-4102 (803) 758-2577 masked CIO Sumter 220 BROAD ST SUMTER, SC 29150-4102 (803) 778-6555 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 05:02:16 UV 2.16.840.1.113883.3.3947 northeast Northeast OID Root Rusty Lacy masked Rusty Lacy 10040 TWO NOTCH RD COLUMBIA, SC 29223-4396 (803) 758-2577 masked CIO Northeast 10040 TWO NOTCH RD COLUMBIA, SC 29223-4396 (803) 788-1153 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 05:04:16 UV 2.16.840.1.113883.3.3948 ridgeview Ridgeview OID Root Rusty Lacy masked Rusty Lacy 4214 HARDSCRABBLE RD COLUMBIA, SC 29226-0001 (803) 758-2577 masked CIO Ridgeview 4214 HARDSCRABBLE RD COLUMBIA, SC 29226-0001 (803) 736-8955 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 05:05:51 UV 2.16.840.1.113883.3.3949 wateree Wateree OID Root Rusty Lacy masked Rusty Lacy 1060 HIGHWAY 1 SOUTH LUGOFF, SC 29078-9630 (803) 758-2577 masked CIO Wateree 1060 HIGHWAY 1 SOUTH LUGOFF, SC 29078-9630 (803) 438-9759 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 05:07:15 UV 2.16.840.1.113883.3.3950 rockHillFlorence Rock Hill Florence OID Root Rusty Lacy masked Rusty Lacy 2177 Cherry Road Rock Hill, SC 29732-0000 (803) 758-2577 masked CIO Rock Hill Florence 2177 Cherry Road Rock Hill, SC 29732-0000 (803) 325-8283 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 05:09:49 UV 2.16.840.1.113883.3.3951 hoffmeyerRoad Hoffmeyer Road OID Root Rusty Lacy masked Rusty Lacy 2410 HOFFMEYER RD Florence, SC 29501-7311 (803) 758-2577 masked CIO Hoffmeyer Road 2410 HOFFMEYER RD Florence, SC 29501-7311 (843) 662-8182 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 05:12:50 UV 2.16.840.1.113883.3.3952 southIrby South Irby OID Root Rusty Lacy masked Rusty Lacy 2200 SOUTH IRBY STREET Florence, SC 29505-3423 (803) 758-2577 masked CIO South Irby 2200 SOUTH IRBY STREET Florence, SC 29505-3423 (843) 662-9945 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 05:14:07 UV 2.16.840.1.113883.3.3953 greer Greer OID Root Rusty Lacy masked Rusty Lacy 230 WADE HAMPTON BLVD GREER, SC 29650-1655 (803) 758-2577 masked CIO Greer 230 WADE HAMPTON BLVD GREER, SC 29650-1655 (864) 968-9244 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 05:15:21 UV 2.16.840.1.113883.3.3954 greenville Greenville OID Root Rusty Lacy masked Rusty Lacy 4200 E NORTH ST Greenville, SC 29615-2437 (803) 758-2577 masked CIO Greenville 4200 E NORTH ST Greenville, SC 29615-2437 (864) 292-2266 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 05:17:50 UV 2.16.840.1.113883.3.3955 congaree Congaree OID Root Rusty Lacy masked Rusty Lacy 701 CONGAREE RD Greenville, SC 29607-3519 (803) 758-2577 masked CIO Congaree 701 CONGAREE RD Greenville, SC 29607-3519 (864) 458-7289 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 05:19:41 UV 2.16.840.1.113883.3.3956 simpsonville Simpsonville OID Root Rusty Lacy masked Rusty Lacy 35 RAY E TALLEY CT Simpsonville, SC 29680-6772 (803) 758-2577 masked CIO Simpsonville 35 RAY E TALLEY CT Simpsonville, SC 29680-6772 (864) 967-7028 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 05:21:21 UV 2.16.840.1.113883.13.258 traknetpm TRAKnet Practice Management Software Jeffrey Frederick masked Zein Moussa Zein Moussa 419.807.8158 masked CDO TRAKnet PM, LLC 419.214.3333 support@traknetpm.com http://traknetpm.com Vendor Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 05:26:16 UV 2.16.840.1.113883.3.3957 easley Easley OID Root Rusty Lacy masked Rusty Lacy 832 POWDERSVILLE ROAD Easley, SC 29642-3706 (803) 758-2577 masked CIO Easley 832 POWDERSVILLE ROAD Easley, SC 29642-3706 (864) 859-3899 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 05:27:27 UV 2.16.840.1.113883.3.3958 berea Berea OID Root Rusty Lacy masked Rusty Lacy 6704 WHITE HORSE RD Greenville, SC 29611-2504 (803) 758-2577 masked CIO Berea 6704 WHITE HORSE RD Greenville, SC 29611-2504 (864) 294-1392 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 05:30:13 UV 2.16.840.1.113883.3.2498.10 lpnt-amcmrn Acadian Medical Center MRN Matthew McConnell masked Terry Phillips Terry Phillips 103 Powell Court Brentwood, TN 37067 615-565-8782 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals 103 Powell Court Brentwood, TN 37067 615-372-8500 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2498 Ext 14 Complete 2.16.840.1.113883.3.2498.10 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 05:32:35 UV 2.16.840.1.113883.3.3959 hillcrest1 Hillcrest OID Root Rusty Lacy masked Rusty Lacy 1762 EAST MAIN STREET SPARTANBURG, SC 29307-2231 (803) 758-2577 masked CIO Hillcrest 1762 EAST MAIN STREET SPARTANBURG, SC 29307-2231 (864) 591-2261 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 05:33:56 UV 2.16.840.1.113883.3.3960 eastBlackstock East Blackstock OID Root Rusty Lacy masked Rusty Lacy 218 E BLACKSTOCK RD Spartanburg, SC 29301-2607 (803) 758-2577 masked CIO East Blackstock 218 E BLACKSTOCK RD Spartanburg, SC 29301-2607 (864) 576-8646 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/01/29 12:00:00 2014/01/29 05:35:43 UV 2.16.840.1.113883.3.2499.10 lpnt-arhmrn Andalusia Regional Hospital MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Andalusia Regional Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2499 Ext 14 Complete 2.16.840.1.113883.3.2499.10 2013/12/03 12:00:00 2014/02/06 12:00:00 2018/05/02 03:37:10 UV 2.16.840.1.113883.3.3961 anderson-oid Anderson OID Root Rusty Lacy masked Rusty Lacy 2126 NORTH HWY 81 Anderson, SC 29621-1532 (803) 758-2577 masked CIO Anderson 2126 NORTH HWY 81 Anderson, SC 29621-1532 (864) 226-2660 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/02/06 12:00:00 2014/02/06 02:18:45 UV 2.16.840.1.113883.3.3962 greenwood Greenwood OID Root Rusty Lacy masked Rusty Lacy 516 MONTAGUE AVENUE Greenwood, SC 29649-1942 (803) 758-2577 masked CIO Greenwood 516 MONTAGUE AVENUE Greenwood, SC 29649-1942 (864) 223-1468 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/02/06 12:00:00 2014/02/06 02:22:03 UV 2.16.840.1.113883.3.2500.10 lpnt-armcmrn Ashley Regional Medical Center MRN Matt McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Ashley Regional Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2500 Ext 14 Complete 2.16.840.1.113883.3.2500.10 2013/12/03 12:00:00 2014/02/06 12:00:00 2018/05/02 03:40:36 UV 2.16.840.1.113883.3.2501.10 lpnt-srmcamrn Starr Regional Medical Center - Athens MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Athens Regional Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2501 Ext 3 Complete 2.16.840.1.113883.3.2501.10 2013/12/03 12:00:00 2014/02/06 12:00:00 2018/05/07 10:55:02 UV 2.16.840.1.113883.3.2502.10 lpnt-bchmrn Bluegrass Community Hospital MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Bluegrass Community Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2502 Ext 3 Complete 2.16.840.1.113883.3.2502.10 2013/12/03 12:00:00 2014/02/06 12:00:00 2018/05/02 03:41:29 UV 2.16.840.1.113883.3.2503.10 lpnt-bmcmrn Bolivar Medical Center MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Bolivar Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2503 Ext 3 Complete 2.16.840.1.113883.3.2503.10 2013/12/03 12:00:00 2014/02/06 12:00:00 2018/05/02 03:42:42 UV 2.16.840.1.113883.3.3963 surfside Surfside OID Root Rusty Lacy masked Rusty Lacy 1600 HIGHWAY 17 NORTH Surfside, SC 29575-6015 (803) 758-2577 masked CIO Surfside 1600 HIGHWAY 17 NORTH Surfside, SC 29575-6015 (843) 238-1461 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/02/06 12:00:00 2014/02/06 02:24:07 UV 2.16.840.1.113883.3.2504.10 lpnt-bourbonchmrn Bourbon Community Hospital MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Bourbon Community Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2504 Ext 14 Complete 2.16.840.1.113883.3.2504.10 2013/12/03 12:00:00 2014/02/06 12:00:00 2018/05/02 03:43:41 UV 2.16.840.1.113883.3.3964 strandMedicalBeach Strand Medical Beach OID Root Rusty Lacy masked Rusty Lacy 1220 21st Ave North Myrtle Beach, SC 29577-7401 (803) 758-2577 masked CIO Strand Medical Beach 1220 21st Ave North Myrtle Beach, SC 29577-7401 (843) 626-9379 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/02/06 12:00:00 2014/02/06 02:25:19 UV 2.16.840.1.113883.3.2505.10 lpnt-chmrn Castleview Hospital MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Castleview Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2505 Ext 14 Complete 2.16.840.1.113883.3.2505.10 2013/12/03 12:00:00 2014/02/06 12:00:00 2018/05/02 03:46:23 UV 2.16.840.1.113883.3.3965 nMyrtleBeach N Myrtle Beach OID Root Rusty Lacy masked Rusty Lacy 1714 HIGHWAY 17 SOUTH North Myrtle Beach, SC 29582-4041 (803) 758-2577 masked CIO N Myrtle Beach 1714 HIGHWAY 17 SOUTH North Myrtle Beach, SC 29582-4041 (843) 361-0705 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/02/06 12:00:00 2014/02/06 02:26:25 UV 2.16.840.1.113883.3.2506.10 lpnt-crmcmrn Clark Regional Medical Center MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Clark Regional Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2506 Ext 14 Complete 2.16.840.1.113883.3.2506.10 2013/12/03 12:00:00 2014/02/06 12:00:00 2018/05/02 03:46:51 UV 2.16.840.1.113883.3.3966 littleRiver Little River OID Root Rusty Lacy masked Rusty Lacy 2246 HIGHWAY 17 Little River, SC 29566-9235 (803) 758-2577 masked CIO Little River 2246 HIGHWAY 17 Little River, SC 29566-9235 (843) 663-2220 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/02/06 12:00:00 2014/02/06 02:44:38 UV 2.16.840.1.113883.3.3967 conway Conway OID Root Rusty Lacy masked Rusty Lacy 1400 MAIN ST Conway, SC 29526-3567 (803) 758-2577 masked CIO Conway 1400 MAIN ST Conway, SC 29526-3567 (843) 248-6269 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/02/06 12:00:00 2014/02/06 02:45:22 UV 2.16.840.1.113883.3.2350.10 lpnt-cvmcmrn Clinch Valley Medical Center MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Clinch Valley Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2350 Ext 14 Complete 2.16.840.1.113883.3.2350.10 2013/12/03 12:00:00 2014/02/06 12:00:00 2018/05/02 03:47:19 UV 2.16.840.1.113883.3.3968 conway501 Conway 501 OID Root Rusty Lacy masked Rusty Lacy 1133 CHURCH STREET Conway, SC 29526-0000 (803) 758-2577 masked CIO Conway 501 1133 CHURCH STREET Conway, SC 29526-0000 (843) 248-6269 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/02/06 12:00:00 2014/02/06 02:47:01 UV 2.16.840.1.113883.3.3969 carolinaForest Carolina Forest OID Root Rusty Lacy masked Rusty Lacy 200 MIDDLEBURG DRIVE Myrtle Beach, SC 29579-3408 (803) 758-2577 masked CIO Carolina Forest 200 MIDDLEBURG DRIVE Myrtle Beach, SC 29579-3408 (843) 903-6650 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/02/06 12:00:00 2014/02/06 02:48:18 UV 2.16.840.1.113883.3.3970 georgetown Georgetown OID Root Rusty Lacy masked Rusty Lacy 1068 NORTH FRASER ST Georgetown, SC 29440-2849 (803) 758-2577 masked CIO Georgetown 1068 NORTH FRASER ST Georgetown, SC 29440-2849 (843) 545-7200 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/02/06 12:00:00 2014/02/06 02:50:27 UV 2.16.840.1.113883.3.3971 beaufort Beaufort OID Root Rusty Lacy masked Rusty Lacy 1510 S RIBAUT RD Port Royal, SC 29935-1403 (803) 758-2577 masked CIO Beaufort 1510 S RIBAUT RD Port Royal, SC 29935-1403 (843) 770-0676 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/02/06 12:00:00 2014/02/06 02:51:24 UV 2.16.840.1.113883.3.3972 bluffton Bluffton OID Root Rusty Lacy masked Rusty Lacy 64 BLUFFTON RD Bluffton, SC 29910-7621 (803) 758-2577 masked CIO Bluffton 64 BLUFFTON RD Bluffton, SC 29910-7621 (843) 757-0676 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/02/06 12:00:00 2014/02/06 02:52:20 UV 2.16.840.1.113883.3.3973 hiltonHeadCharleston Hilton Head Charleston OID Root Rusty Lacy masked Rusty Lacy 847 William Hilton Parkway Hilton Head, SC 29930-0000 (803) 758-2577 masked CIO Hilton Head Charleston 847 William Hilton Parkway Hilton Head, SC 29930-0000 (843) 341-2418 rlacy@ucimedinc.com http://www.doctorscare.com/ Provider Int 3 Complete 2013/12/03 12:00:00 2014/02/06 12:00:00 2014/02/06 02:55:02 UV 2.16.840.1.113883.3.3974 expressHealth Express Scripts Canada Health Solutions Robert Bull masked Robert Bull 5770 Hurontario Street Mississauga, ON L5R 3G5 905-712-8615 masked Sr. Systems Analyst Express Scripts Canada 5770 Hurontario Street Mississauga, ON L5R 3G5 905-712-8615 ESICanadaNIHBAdjudication@express-scripts.com http://www.express-scripts.ca Vendor Int 3 Complete 2013/12/03 12:00:00 2014/02/06 12:00:00 2014/02/06 02:56:08 CA 2.16.840.1.113883.3.3975 westcountyphysicians West County Physicians Stephanie Williams masked Stephanie Williams 413-625-9717 masked West County Physicians 25 Heath Stage Terrace Shelburne Falls, MA 01370 413-625-9717 westcountymd@verizon.net http://www.westcountyphysicians.com Exchange Int 3 Complete 2013/12/03 12:00:00 2014/02/06 12:00:00 2014/02/06 02:58:18 UV 2.16.840.1.113883.3.1097.105 bhs-RO BHS Royal Oak Hospital Stephen Bean masked Stephen Bean 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-733-7448 masked IT Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 sbean@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.105 2013/12/03 12:00:00 2014/02/06 12:00:00 2014/02/06 03:00:16 UV 2.16.840.1.113883.3.1097.205 bhs-TR BHS Troy Hospital Stephen Bean masked Stephen Bean 44201 Dequindre Road Troy, MI 48085 248-733-7448 masked IT Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 sbean@beaumone.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.205 2013/12/03 12:00:00 2014/02/06 12:00:00 2014/02/06 03:01:57 UV 2.16.840.1.113883.3.1097.405 bhs-GP BHS Grosse Pointe Hospital Stephen Bean masked Stephen Bean 468 Cadieux Road Grosse Pointe, MI 48230 248-733-7448 masked IT Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 sbean@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.405 2013/12/03 12:00:00 2014/02/06 12:00:00 2014/02/06 03:02:58 UV 2.16.840.1.113883.17.3886 ima-ludington Internal Medicine Associates of Ludington, PC Kevin Perdue masked Dr. Ralph Avedisian, D.O. Dr. Ralph Avedisian, D.O. 231-843-3487 masked Dr. Ralph Avedisian, D.O. Internal Medicine Associates of Ludington, PC 7 Atkinson Drive, Suite 111 Ludington, MI 49431 231-843-3487 ralphavedisian@imalud.com Provider Int 17 Complete 2013/12/03 12:00:00 2014/02/06 12:00:00 2014/02/06 03:05:01 UV 2.16.840.1.113883.3.3886.24 oakwoodeps24 Schaefer IM Jennifer Crocker masked adam.lee@oakwood.org Jennifer Crocker 15500 Lundy Parkway Dearborn, MI 48126 401-575-9793 masked MU Project Manager Oakwood Physician Group jennifer_crocker@dell.com http://www.oakwood.org/ Provider 2.16.840.1.113883.3.3886 Ext 17 Complete 2.16.840.1.113883.3.3886.24 2013/12/04 12:00:00 2014/02/06 12:00:00 2014/02/06 03:53:52 UV 2.16.840.1.113883.3.3886.25 oakwoodeps25 Signori Internal Medicine Jennifer Crocker masked adam.lee@oakwood.org Jennifer Crocker 15500 Lundy Parkway Dearborn, MI 48126 401-575-9793 masked MU Project Manager Oakwood Physician Group jennifer_crocker@dell.com http://www.oakwood.org/ Provider 2.16.840.1.113883.3.3886 Ext 17 Complete 2.16.840.1.113883.3.3886.25 2013/12/04 12:00:00 2014/02/06 12:00:00 2014/02/06 03:56:46 UV 2.16.840.1.113883.3.3886.26 oakwoodeps26 Taylor Clinic Jennifer Crocker masked adam.lee@oakwood.org Jennifer Crocker 15500 Lundy Parkway Dearborn, Mi 48126 401-575-9793 masked MU Project Manager Oakwood Physician Group jennifer_crocker@dell.com http://www.oakwood.org/ Provider 2.16.840.1.113883.3.3886 Ext 17 Complete 2.16.840.1.113883.3.3886.26 2013/12/04 12:00:00 2014/02/06 12:00:00 2014/02/06 03:59:05 UV 2.16.840.1.113883.3.3886.27 oakwoodeps27 Oakwood Healthcare Wyandotte IM Jennifer Crocker masked adam.lee@oakwood.org Jennifer Crocker 15500 Lundy Parkway Dearborn, MI 48126 401-575-9793 masked MU Project Manager Oakwood Physician Group jennifer_crocker@dell.com http://www.oakwood.org/ Provider 2.16.840.1.113883.3.3886 Ext 17 Complete 2.16.840.1.113883.3.3886.27 2013/12/04 12:00:00 2014/02/06 12:00:00 2014/02/06 04:01:01 UV 2.16.840.1.113883.3.3976 fernando fernando OID Root Ada Gonzalez masked Ada Gonzalez 7100 West 20th Ave Suite 402 Hialeah , Fl 33016 305-557-9552 masked Fernando L. Martinez-Catinchi,MD 7100 West 20th Ave Suite 402 Hialeah, Fl 33012 305-557-9552 Flmcmd@yahoo.com Provider Int 3 Complete 2013/12/04 12:00:00 2014/02/06 12:00:00 2014/02/06 04:04:36 UV 2.16.840.1.113883.3.176.343 utmpcrepo Repository for Union Turnpike Medical PC in Interboro environment Wayne Huang masked Carianne Ragozzino 40 Worth St., 5th Fl New York, NY 10013 6466196742 masked Client Service Manager Carianne Ragozzino 40 Worth St., 5th Fl New York, NY 10013 6466196742 cragozzino@nyehealth.org Exchange 2.16.840.1.113883.3.176 Ext 17 Complete 2.16.840.1.113883.3.176.343 2013/12/04 12:00:00 2014/02/06 12:00:00 2014/02/06 04:11:48 UV 2.16.840.1.113883.3.176.344 hsrepos Repository for Henry Sadar in Interboro environment Wayne Huang masked Carianne Ragozzino 40 Worth St., 5th Fl New York, NY 10013 6466196742 masked Client Service Manager Carianne Ragozzino 40 Worth St., 5th Fl New York, NY 10013 6466196742 cragozzino@nyehealth.org Exchange 2.16.840.1.113883.3.176 Ext 17 Complete 2.16.840.1.113883.3.176.344 2013/12/04 12:00:00 2014/02/06 12:00:00 2014/02/06 04:13:11 UV 2.16.840.1.113883.3.3977 hopecsi HOPE Community Services Inc Shelly Oliver masked Shelly Oliver 6100 S Walker OKC, OK 73139 405-634-4400 masked QA Director HOPE Community Services, Inc 6100 S Walker OKC, OK 73139 405-634-4400 hope@hopecsi.org http://www.hopecsi.org Provider Int 3 Complete 2013/12/04 12:00:00 2014/02/06 12:00:00 2014/02/06 04:06:32 UV 2.16.840.1.113883.3.3978 surgicalassociatesatrenaissance Clinic Name Root OID: Surgical Associates at Renaissance OID Root Norma Maltos masked Charles Stewart Norma Maltos 5513 Doctors Dr. Edinburg, TX 78539 9569941025 masked Office Manager Surgical Associates at Renaissance 5513 Doctors Dr. Edinburg, TX 78539 9569941025 nmaltos@rgsa-tx.com Provider Int 3 Complete 2013/12/04 12:00:00 2014/02/06 12:00:00 2014/02/06 04:08:27 UV 2.16.840.1.113883.3.541.225 utmpcrepo Repository for Union Turnpike Medical PC in Interboro environment Wayne Huang masked Carianne Ragozzino 40 Worth St., 5th Fl New York, NY 10013 6466196742 masked Client Service Manager Carianne Ragozzino 40 Worth St., 5th Fl New York, NY 10013 6466196742 cragozzino@nyehealth.org Exchange 2.16.840.1.113883.3.541 Ext 17 Complete 2.16.840.1.113883.3.541.225 2013/12/04 12:00:00 2014/02/06 12:00:00 2014/02/06 04:20:59 UV 2.16.840.1.113883.3.541.226 hsrepos Repository for Henry Sadar in Interboro environment Wayne Huang masked Carianne Ragozzino 40 Worth St., 5th Fl New York, NY 10013 6466196742 masked Client Service Manager Carianne Ragozzino 40 Worth St., 5th Fl New York, NY 10013 6466196742 cragozzino@nyehealth.org Exchange 2.16.840.1.113883.3.541 Ext 17 Complete 2.16.840.1.113883.3.541.226 2013/12/04 12:00:00 2014/02/06 12:00:00 2014/02/06 04:22:49 UV 2.16.840.1.113883.3.3979 lopc Lansing Ophthalmology Kevin Denney masked Kevin Denney 2001 Coolidge Rd. East Lansing, MI 48823-1378 517-337-4429 masked IT Director Lansing Ophthalmology 2001 Coolidge Rd. East Lansing, MI 48823-1378 517-337-1668 kdenney@loeye.com http://www.loeye.com Provider Int 3 Complete 2013/12/04 12:00:00 2014/02/06 12:00:00 2014/02/06 04:24:27 UV 2.16.840.1.113883.3.3980 mzaitoon M. MUNIR ZAITOON, MD OID ROOT ROBIN PHILLIPS masked ROBIN PHILLIPS 1027 WEST MAIN STREET, MT. PLEASANT, PA 15666 724/547/4122 masked OFFICE MANAGER M. MUNIR ZAITOON, MD 1027 WEST MAIN STREET, MT. PLEASANT, PA 15666 724/547/4122 mpurology@yahoo.com Provider Int 3 Complete 2013/12/04 12:00:00 2014/02/06 12:00:00 2014/02/06 04:26:23 UV 2.16.840.1.113883.3.3979.1 lopc-ll Lansing Ophthalmology Lake Lansing Kevin Denney masked Kevin Denney 2001 Coolidge Rd. East Lansing, MI 48823-1378 517-337-4429 masked IT Director Lansing Ophthalmology 2001 Coolidge Rd. East Lansing, MI 48823-1378 517-337-1668 kdenney@loeye.com http://loeye.com Provider 2.16.840.1.113883.3.3979 Ext 17 Complete 2.16.840.1.113883.3.3979.1 2013/12/04 12:00:00 2014/02/06 12:00:00 2014/02/06 04:28:45 UV 2.16.840.1.113883.3.3981 stc Scientific Technologies Corporation (STC) David Rose masked David Rose 4400 E Broadway Blvd Tucson, AZ 85711 480.745.8563 masked CTO Scientific Technologies Corporation (STC) 4400 E Broadway Blvd Tucson, AZ 85711 480.745.8500 info@stchome.com http://stchome.com Vendor Int 3 Complete 2013/12/04 12:00:00 2014/02/06 12:00:00 2014/02/06 04:31:38 UV 2.16.840.1.113883.3.3982 gropc Grand Rapids Ophthalmology Kevin Denney masked Kevin Denney 750 E. Beltline NE Grand Rapids, MI 49525 616-949-2600 masked IT Director Grand Rapids Ophthalmology 750 E. Beltline NE Grand Rapids, MI 49525 616-949-2600 kdenney@seeitclear.com http://www.seeitclear.com Provider Int 3 Complete 2013/12/04 12:00:00 2014/02/06 12:00:00 2014/02/06 04:32:39 UV 2.16.840.1.113883.3.3983 pahc Pediatric Associates of Hampden County Deborah Hoffman masked Robert M. Peskin, M.D. Deborah L Hoffman 477 Southwick Road Westfield, MA 01085 4135622813 masked Administrator Robert M. Peskin, MD Pediatric Associates of Hampden County 477 Southwick Road Westfield, MA 01085 4135622813 rpeskin@hotmail.com http://www.pahcpediatrics.com Provider Int 3 Complete 2013/12/04 12:00:00 2014/02/06 12:00:00 2014/02/06 04:34:26 UV 2.16.840.1.113883.3.3981.5.1 myir MyIR David Rose masked David Rose 4400 E Broadway Blvd Tucson AZ 85711 480.745.8500 masked CTO STC 4400 E Broadway Blvd Tucson AZ 85711 480.745.8500 info@stchome.com http://stchome.com Vendor 2.16.840.1.113883.3.3981 Ext 17 Complete 2.16.840.1.113883.3.3981.5.1 2013/12/04 12:00:00 2014/02/06 12:00:00 2014/02/06 04:36:40 UV 2.16.840.1.113883.3.2507.10 lpnt-cpmcmrn Colorado Plains Medical Center MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Colorado Plains Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2507 Ext 3 Complete 2.16.840.1.113883.3.2507.10 2013/12/04 12:00:00 2014/02/06 12:00:00 2018/05/02 03:47:57 UV 2.16.840.1.113883.3.2508.10 lpnt-strlmrn Southern Tennessee Regional - Lawrenceburg MRN Matthew McConnell masked Terry Phillips Terry Phillips 103 Powell Court Brentwood, TN 37067 615-565-8782 masked Director, Clinical Data Integration and Exchange Southern Tennessee Regional - Lawrenceburg 103 Powell Court Brentwood, TN 37067 615-372-8500 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2508 Ext 3 Complete 2.16.840.1.113883.3.2508.10 2013/12/04 12:00:00 2014/02/06 12:00:00 2018/05/07 10:49:34 UV 2.16.840.1.113883.3.2344.10 lpnt-shdmrn SOVAH Health - Danville MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange SOVAH Health - Danville 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2344 Ext 14 Complete 2.16.840.1.113883.3.2344.10 2013/12/04 12:00:00 2014/02/06 12:00:00 2018/05/07 11:18:44 UV 2.16.840.1.113883.3.1070.5598 mckesson-fusion-5598 mckesson-fusion-5598 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5598 2013/12/04 12:00:00 2014/02/06 12:00:00 2014/02/06 04:43:15 US 2.16.840.1.113883.3.2509.10 lpnt-ermcmrn Ennis Regional Medical Center MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Ennis Regional Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2509 Ext 14 Complete 2.16.840.1.113883.3.2509.10 2013/12/04 12:00:00 2014/02/06 12:00:00 2018/05/02 03:49:55 UV 2.16.840.1.113883.3.2510.10 lpnt-gchmrn Georgetown Community Hospital MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Georgetown Community Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2510 Ext 14 Complete 2.16.840.1.113883.3.2510.10 2013/12/04 12:00:00 2014/02/06 12:00:00 2018/05/02 03:51:12 UV 2.16.840.1.113883.3.3979.2 lopc-gl Lansing Ophthalmology Grand Ledge Kevin Denney masked Kevin Denney 2001 Coolidge Rd. East Lansing, MI 48823 517-337-4429 masked IT Director Lansing Ophthalmology 2001 Coolidge Rd. East Lansing, MI 48823 517-337-1668 kdenney@loeye.com http://www.loeye.com Provider 2.16.840.1.113883.3.3979 Ext 17 Complete 2.16.840.1.113883.3.3979.2 2013/12/04 12:00:00 2014/02/06 12:00:00 2014/02/06 04:52:12 UV 2.16.840.1.113883.3.3979.3 lopc-sp Lansing Ophthalmology Sparrow Kevin Denney masked Kevin Denney 2001 Coolidge Rd. East Lansing, MI 48823 517-337-4429 masked IT Director Lansing Ophthalmology 2001 Coolidge Rd. East Lansing, MI 48823 517-337-1668 kdenney@loeye.com http://www.loeye.com Provider 2.16.840.1.113883.3.3979 Ext 17 Complete 2.16.840.1.113883.3.3979.3 2013/12/04 12:00:00 2014/02/06 12:00:00 2014/02/06 04:53:19 UV 2.16.840.1.113883.3.3979.4 lopc-wi Lansing Ophthalmology Williamston Kevin Denney masked Kevin Denney 2001 Coolidge Rd. East Lansing, MI 48823 517-337-4429 masked IT Director Lansing Ophthalmology 2001 Coolidge Rd. East Lansing, MI 48823 517-337-1668 kdenney@loeye.com http://loeye.com Provider 2.16.840.1.113883.3.3979 Ext 17 Complete 2.16.840.1.113883.3.3979.4 2013/12/04 12:00:00 2014/02/06 12:00:00 2014/02/06 04:54:45 UV 2.16.840.1.113883.3.3979.5 lopc-mtp Lansing Ophthalmology Mt. Pleasant Kevin Denney masked Kevin Denney 2001 Coolidge Rd. East Lansing, MI 48823 517-337-4429 masked IT Director Lansing Ophthalmology 2001 Coolidge Rd. East Lansing, MI 48823 517-337-1668 kdenney@loeye.com http://www.loeye.com Provider 2.16.840.1.113883.3.3979 Ext 17 Complete 2.16.840.1.113883.3.3979.5 2013/12/04 12:00:00 2014/02/06 12:00:00 2014/02/06 04:56:25 UV 2.16.840.1.113883.3.3979.6 lopc-lo Lansing Ophthalmology Lake Odessa Kevin Denney masked Kevin Denney 2001 Coolidge Rd. East Lansing, MI 48823 517-337-4429 masked IT Director Lansing Ophthalmology 2001 Coolidge Rd. East Lansing, MI 48823 517-337-1668 kdenney@loeye.com http://www.loeye.com Provider 2.16.840.1.113883.3.3979 Ext 17 Complete 2.16.840.1.113883.3.3979.6 2013/12/04 12:00:00 2014/02/06 12:00:00 2014/02/06 04:58:14 UV 2.16.840.1.113883.3.3979.7 lopc-ho Lansing Ophthalmology Howell Kevin Denney masked Kevin Denney 2001 Coolidge Rd. East Lansing, MI 48823-1378 517-337-4429 masked IT Director Lansing Ophthalmology 2001 Coolidge Rd. East Lansing, MI 48823-1378 517-337-1668 kdenney@loeye.com http://www.loeye.com Provider 2.16.840.1.113883.3.3979 Ext 17 Complete 2.16.840.1.113883.3.3979.7 2013/12/04 12:00:00 2014/02/06 12:00:00 2014/02/06 05:01:19 UV 2.16.840.1.113883.3.3979.8 lopc-fo Lansing Ophthalmology Fowlerville Kevin Denney masked Kevin Denney 2001 Coolidge Rd. East Lansing, MI 48823-1378 517-337-4429 masked IT Director Lansing Ophthalmology 2001 Coolidge Rd. East Lansing, MI 48823-1378 517-337-1668 kdenney@loeye.com http://www.loeye.com Provider 2.16.840.1.113883.3.3979 Ext 17 Complete 2.16.840.1.113883.3.3979.8 2013/12/04 12:00:00 2014/02/06 12:00:00 2014/02/06 05:03:44 UV 2.16.840.1.113883.3.3979.9 lopc-ch Lansing Ophthalmology Charlotte Kevin Denney masked Kevin Denney 2001 Coolidge Rd. East Lansing, MI 48823-1378 517-337-4429 masked IT Director Lansing Ophthalmology 2001 Coolidge Rd. East Lansing, MI 48823-1378 517-337-1668 kdenney@loeye.com http://www.loeye.com Provider 2.16.840.1.113883.3.3979 Ext 17 Complete 2.16.840.1.113883.3.3979.9 2013/12/04 12:00:00 2014/02/06 12:00:00 2014/02/06 05:11:41 UV 2.16.840.1.113883.3.3984 hh-ccdprod Herrin Hospital - Prod Nickie Fuhrhop masked Nickie Fuhrhop 1239 E. Main Carbondale, IL 62901 618-351-1900 masked IT Analyst Herrin Hospital 201 S. 14th Street Herrin, IL 62948 618-942-2171 nickie.fuhrhop@sih.net Provider Int 3 Complete 2013/12/04 12:00:00 2014/02/13 12:00:00 2014/02/13 02:07:31 UV 2.16.840.1.113883.3.2511.10 lpnt-hrmcmrn Havasu Regional Medical Center MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Havasu Regional Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2511 Ext 14 Complete 2.16.840.1.113883.3.2511.10 2013/12/04 12:00:00 2014/02/13 12:00:00 2018/05/02 03:51:38 UV 2.16.840.1.113883.3.3982.1 gropc-gra Grand Rapids Ophthalmology Grandville Kevin Denney masked Kevin Denney 750 E. Beltline NE Grand Rapids, MI 49525 616-949-2600 masked IT Director Grand Rapids Ophthalmology 750 E. Beltline NE Grand Rapids, MI 49525 616-949-2600 kdenney@seeitclear.com http://www.seeitclear.com Provider 2.16.840.1.113883.3.3982 Ext 17 17 Complete 2.16.840.1.113883.3.3982.1 2013/12/04 12:00:00 2014/02/13 12:00:00 2014/02/13 02:11:37 UV 2.16.840.1.113883.3.3982.2 gropc-gre Grand Rapids Ophthalmology Greenville Kevin Denney masked Kevin Denney 750 E. Beltline NE Grand Rapids, MI 49525 616-949-2600 masked IT Director Grand Rapids Ophthalmology 750 E. Beltline NE Grand Rapids, MI 49525 616-949-2600 kdenney@seeitclear.com http://www.seeitclear.com Provider 2.16.840.1.113883.3.3982 Ext 17 Complete 2.16.840.1.113883.3.3982.2 2013/12/04 12:00:00 2014/02/13 12:00:00 2014/02/13 02:14:45 UV 2.16.840.1.113883.3.3985 sjmh-ccdtest St. Jospeh Memorial Hospital - Test Nickie Fuhrhop masked Nickie Fuhrhop 1239 E. Main Carbondale, IL 62901 618-351-1900 masked St. Joseph Memorial Hospital 2 South Hospital Drive Murphysboro, IL 62966 618.684.3156 nickie.fuhrhop@sih.net Provider Int 3 Complete 2013/12/04 12:00:00 2014/02/13 12:00:00 2014/02/13 02:25:36 UV 2.16.840.1.113883.3.3986 sjmh-ccdprod St. Joseph Memorial Hospital - Prod Nickie Fuhrhop masked Nickie Fuhrhop 1239 E. Main Carbondale, IL 62901 618-351-1900 masked IT Analyst St. Joseph Memorial Hospital 2 South Hospital Drive Murphysboro, IL 62966 618.684.3156 nickie.fuhrhop@sih.net Provider Int 3 Complete 2013/12/04 12:00:00 2014/12/15 12:00:00 2014/12/15 07:32:32 UV 2.16.840.1.113883.3.3982.3 gropc-68 Grand Rapids Ophthalmology 80 68th Street Kevin Denney masked Kevin Denney 750 E. Beltline NE Grand Rapids, MI 49525 616-949-2600 masked IT Director Grand Rapids Ophthalmology 750 E. Beltline NE Grand Rapids, MI 49525 616-949-2600 kdenney@seeitclear.com http://www.seeitclear.com Provider 2.16.840.1.113883.3.3982 Ext 17 Complete 2.16.840.1.113883.3.3982.3 2013/12/04 12:00:00 2014/02/13 12:00:00 2014/02/13 02:16:07 UV 2.16.840.1.113883.3.3987 mhc-ccdtest Memorial Hospital of Carbondale - Test Nickie Fuhrhop masked Nickie Fuhrhop 1239 E. Main Carbondale, IL 62901 618-351-1900 masked IT Analyst Memorial Hospital of Carbondale 405 West Jackson Street P.O. Box 10,000 Carbondale, IL 62902-9000 618.549.0721 nickie.fuhrhop@sih.net Provider Int 3 Complete 2013/12/04 12:00:00 2014/02/13 12:00:00 2014/02/13 02:39:25 UV 2.16.840.1.113883.3.3982.4 gropc-wal Grand Rapids Ophthalmology Walker Kevin Denney masked Kevin Denney 750 E. Beltline NE Grand Rapids, MI 49525 616-949-2600 masked IT Director Grand Rapids Ophthalmology 750 E. Beltline NE Grand Rapids, MI 49525 616-949-2600 kdenney@seeitclear.com http://www.seeitclear.com Provider 2.16.840.1.113883.3.3982 Ext 17 Complete 2.16.840.1.113883.3.3982.4 2013/12/04 12:00:00 2014/02/13 12:00:00 2014/02/13 02:17:24 UV 2.16.840.1.113883.3.3988 gsff Greater Salem Family Footcare Assoc PC OID Root Betty Martin masked Betty Martin 198 Main St, Salem, NH 03079 603-898-5864 masked medical secretary Greater Salem Family Footcare Assoc PC 198 Main St, Salem, NH 03079 603-898-5864 insurance@greatersalemfamilyfootcare.com Provider Int 3 Complete 2013/12/04 12:00:00 2014/02/13 12:00:00 2014/02/13 02:42:17 UV 2.16.840.1.113883.3.3989 mhc-ccdprod Memorial Hospital of Carbondale - Prod Nickie Fuhrhop masked Nickie Fuhrhop 1239 E. Main Carbondale, IL 62901 618-351-1900 masked IT Analyst Memorial Hospital of Carbondale 405 West Jackson Street P.O. Box 10,000 Carbondale, IL 62902-9000 618.549.0721 nickie.fuhrhop@sih.net Provider Int 3 Complete 2013/12/04 12:00:00 2014/02/13 12:00:00 2014/02/13 02:44:16 UV 2.16.840.1.113883.3.3982.5 gropc-io Grand Rapids Ophthalmology Ionia Kevin Denney masked Kevin Denney 750 E. Beltline NE Grand Rapids, MI 49525 616-949-2600 masked IT Director Grand Rapids Ophthalmology 750 E. Beltline NE Grand Rapids, MI 49525 616-949-2600 kdenney@seeitclear.com http://www.seeitclear.com Provider 2.16.840.1.113883.3.3982 Ext 17 Complete 2.16.840.1.113883.3.3982.5 2013/12/04 12:00:00 2014/02/13 12:00:00 2014/02/13 02:47:11 UV 2.16.840.1.113883.3.3982.6 gropc-ho Grand Rapids Ophthalmology Holland Kevin Denney masked Kevin Denney 750 E. Beltline NE Grand Rapids, MI 49525 616-447-2600 masked IT Director Grand Rapids Ophthalmology 750 E. Beltline NE Grand Rapids, MI 49525 616-447-2600 kdenney@seeitclear.com http://www.seeitclear.com Provider 2.16.840.1.113883.3.3982 Ext 17 Complete 2.16.840.1.113883.3.3982.6 2013/12/04 12:00:00 2014/02/13 12:00:00 2014/02/13 02:48:35 UV 2.16.840.1.113883.3.3990 msmith Michael D. Smith MD, PC Michael Smith masked Meghan Grady 30800 Telegraph Ste #2800 Bingham Farms, MI 48025 2485930145 masked United Physicians Michael D. Smith DO, PC 145 S. Rochdale Ste C Rochester Hills, MI 48309 2486560544 mgrady@updoctors.com Provider Int 3 Complete 2013/12/04 12:00:00 2014/02/13 12:00:00 2014/02/13 02:50:40 UV 2.16.840.1.113883.3.3991 sparrowhealthsystem Sparrow Health System Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48909 517.332.9658 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider Int 3 Complete 2013/12/04 12:00:00 2014/02/13 12:00:00 2014/03/25 08:50:25 UV 2.16.840.1.113883.3.2512.10 lpnt-strpmrn Southern Tennessee Regional - Pulaski MRN Matthew McConnell masked Terry Phillips Terry Phillips 103 Powell Court Brentwood, TN 37067 615-920-7170 masked Director, Clinical Data Integration and Exchange Southern Tennessee Regional - Pulaski 103 Powell Court Brentwood, TN 37067 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2512 Ext 14 Complete 2.16.840.1.113883.3.2512.10 2013/12/04 12:00:00 2014/02/13 12:00:00 2018/05/07 10:53:14 UV 2.16.840.1.113883.3.2356.10 lpnt-jpmcmrn Jackson Purchase Medical Center MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Jackson Purchase Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2356 Ext 14 Complete 2.16.840.1.113883.3.2356.10 2013/12/04 12:00:00 2014/02/13 12:00:00 2018/05/02 03:52:45 UV 2.16.840.1.113883.3.2351.10 lpnt-lcrhmrn Lake Cumberland Regional Hospital MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Lake Cumberland Regional Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2351 Ext 14 Complete 2.16.840.1.113883.3.2351.10 2013/12/04 12:00:00 2014/02/13 12:00:00 2018/05/02 03:53:12 UV 2.16.840.1.113883.3.3992 chasi2013 Community Health Action of SI John Shevlin masked John Shevlin 56 Bay Street-4th floor Staten Island, NY 10301 718-808-1416 masked Community Health Action of Staten Island, Inc 56 Bay Street-4th floor Staten Island, NY 10301 718-808-1416 john.shevlin@chasiny.org https://chasiny.org Provider Int 3 3 Complete 2013/12/04 12:00:00 2014/02/13 12:00:00 2014/02/13 03:03:00 0396 UV 2.16.840.1.113883.3.3993 ukiahpc Ukiah Valley Primary Care Medical Sarah Pierce masked Alicia Rodriguez Sara Pierce 260 Hospital Dr Ukiah, CA 95482 707 463-7603 masked Manager Ukiah Valley Primary Care Medical 260 Hospital Dr Ukiah, CA 95482 707 463-7603 sara.pierce@ah.org Provider Int 3 Complete 2013/12/04 12:00:00 2014/02/13 12:00:00 2014/02/13 03:04:08 UV 2.16.840.1.113883.3.3994 hudsonphysician Hudson Physicians, S.C. OID Root Steve Kronmiller masked Steve Kronmiller 403 Stageline Road Hudson, WI 54016-7848 (715) 531-6964 masked Hudson Physicians, S.C. 403 Stageline Road Hudson, WI 54016-7848 (715) 531-6800 skronmiller@hudsonphysicians.com Provider Int 3 Complete 2013/12/04 12:00:00 2014/02/13 12:00:00 2014/02/13 03:05:11 UV 2.16.840.1.113883.3.3995 josephharrison Joseph Harrison OID Root Joesph Harrison, MD masked Joseph Harrison, MD 6 PARK PL NEW BRITAIN, CT 06052-1403 (860) 223-1124 masked Joseph A. Harrison, MD 6 PARK PL NEW BRITAIN, CT 06052-1403 (860) 223-1124 joeharri@msn.com Provider Int 3 Complete 2013/12/04 12:00:00 2014/02/13 12:00:00 2014/02/13 03:06:31 UV 2.16.840.1.113883.3.3681.101 ocv101 One Care Vermont for patient ID Kristina Choquette masked Lauri Scharf 8028391947 masked Director of IT One Care Vermont 356 Mountain View Drive, Suite 301 Colchester, VT 05446 8028470033 charles.miceli@onecarevt.org Provider 2.16.840.1.113883.3.3681 Ext 17 Complete 2.16.840.1.113883.3.3681.101 2013/12/05 12:00:00 2014/02/13 12:00:00 2014/02/13 03:09:14 UV 2.16.840.1.113883.13.259 cdn Clarian Doctor Number David Waymire masked David Waymire PO Box 7174 Indianapolis, IN 46038 317-962-0835 masked Manager - Clinical Applications Indiana University Health 317-962-2000 dwaymire@iuhealth.org Provider 2.16.840.1.113883.4.499 Int 17 13 Complete 2013/12/05 12:00:00 2020/02/08 12:00:00 2020/02/08 01:54:06 UV 2.16.840.1.113883.3.3996 hilltop hilltop OID Root Donna Duncan masked Donna Duncan P O Box 70 110 Hilltop Street Rutherford College, NC 28671 828-874-4600 masked Hilltop Family Practice, PA P O Box 70 110 Hilltop Street Rutherford College, NC 28671 828-874-4600 hilltopfamily@centurylink.net Provider Int 3 Complete 2013/12/05 12:00:00 2014/02/13 12:00:00 2014/02/13 03:13:16 UV 2.16.840.1.113883.3.3997 uscFamilyPreventiveMedicine USC Family & Preventative Medicine, Behavioral Medicine OID Root Lindsie Cone masked Lindsie Cone 3209 Colonial Drive Columbia, SC 29203 (803) 434-6592 masked CIO USC Family & Preventive Medicine, Behavioral Medicine 3209 Colonial Drive Columbia, SC 29203 (803) 4343-6113 lindsie.cone@uscmed.sc.edu Provider Int 3 Complete 2013/12/05 12:00:00 2014/02/13 12:00:00 2014/02/13 03:14:14 UV 2.16.840.1.113883.3.3998 uscInfectiousDisease USC Infectious Disease OID Root Lindsie Cone masked Lindsie Cone One Medical Park Suite 420 Columbia, SC 29203 (803) 434-6592 masked CIO USC Infectious Disease One Medical Park Suite 420 Columbia, SC 29203 (803) 545-5350 lindsie.cone@uscmed.sc.edu Provider Int 3 Complete 2013/12/05 12:00:00 2014/02/13 12:00:00 2014/02/13 03:35:03 UV 2.16.840.1.113883.3.3999 uscInternalMedicine USC Internal Medicine OID Root Lindsie Cone masked Lindsie Cone One Medical Park Suite 420 Columbia, SC 29203 (803) 434-6592 masked CIO USC Internal Medicine One Medical Park Suite 420 Columbia, SC 29203 (803)540-1000 lindsie.cone@uscmed.sc.edu Provider Int 3 Complete 2013/12/05 12:00:00 2014/02/13 12:00:00 2014/02/13 03:36:05 UV 2.16.840.1.113883.3.4000 uscNeurology USC Neurology OID Root Lindsie Cone masked Lindsie Cone 8 Medical Park Drive Columbia, SC 29203 (803) 434-6592 masked CIO USC Neurology 8 Medical Park Drive Columbia, SC 29203 (803) 545-6050 lindsie.cone@uscmed.sc.edu Provider Int 3 Complete 2013/12/05 12:00:00 2014/02/13 12:00:00 2014/02/13 03:38:01 UV 2.16.840.1.113883.3.4001 uscNeuropsychBehavioralScience USC Neuropsych & Behavioral Science OID Root Lindsie Cone masked Lindsie Cone 3555 Harden Street EXT Columbia, SC 29203 (803) 434-6592 masked CIO USC Neuropsych & Behavioral Science 3555 Harden Street EXT Columbia, SC 29203 (803) 434-4300 lindsie.cone@uscmed.sc.edu Provider Int 3 Complete 2013/12/05 12:00:00 2014/02/13 12:00:00 2014/02/13 03:39:38 UV 2.16.840.1.113883.3.4002 uscNeurosurgery USC Neurosurgery OID Root Lindsie Cone masked Lindsie Cone 3 RICHLAND MEDICAL PARK SUITE 310 Colubmia, SC 29203 (803) 434-6592 masked CIO USC Neurosurgery 3 RICHLAND MEDICAL PARK SUITE 310 Colubmia, SC 29203 (803) 434-8323 lindsie.cone@uscmed.sc.edu Provider Int 3 Complete 2013/12/05 12:00:00 2014/02/13 12:00:00 2014/02/13 03:41:00 UV 2.16.840.1.113883.3.4003 uscObstetricsGynecology USC Obstetrics/Gynecology OID Root Lindsie Cone masked Lindsie Cone Two Medical Park, 208 Columbia, SC 29203 (803) 434-6592 masked CIO USC Obstetrics/Gynecology Two Medical Park, 208 Columbia, SC 29203 803-545-5700 lindsie.cone@uscmed.sc.edu Provider Int 3 Complete 2013/12/05 12:00:00 2014/02/13 12:00:00 2014/02/13 03:43:13 UV 2.16.840.1.113883.3.4004 uscSurgery USC Surgery OID Root Lindsie Cone masked Lindsie Cone Two Medical Park Rd., Suite 306 Columbia, SC 29203 (803) 434-6592 masked CIO USC Surgery Two Medical Park Rd., Suite 306 Columbia, SC 29203 (803) 545-5800 lindsie.cone@uscmed.sc.edu Provider Int 3 Complete 2013/12/05 12:00:00 2014/02/13 12:00:00 2014/02/13 03:44:15 UV 2.16.840.1.113883.3.4005 universityPediatrics Univserity Pediatrics OID Root Lindsie Cone masked Lindsie Cone 9 Medical Park Dr Suite 200A Columbia, SC 29203 (803) 434-6592 masked CIO Univserity Pediatrics 9 Medical Park Dr Suite 200A Columbia, SC 29203 (803) 434-7950 lindsie.cone@uscmed.sc.edu Provider Int 3 Complete 2013/12/05 12:00:00 2014/02/13 12:00:00 2014/02/13 03:45:26 UV 2.16.840.1.113883.17.3887 aim-pc Associates in Medicine PC Stig Aronsson masked Leann Pontello Leann Pontello 1695 West Twelve Mile Road, Suite 200 Berkley, Michigan 48072 248-548-9090 Ext 1210 masked Practice Administrator Associates In Medcine, P.C. 1695 West Twelve Mile Road, Suite 200 Berkley, Michigan 48072 248-548-9090 Ext 1210 lpontello@associatesinmedicine.com Provider Int 17 Complete 2013/12/05 12:00:00 2014/02/13 12:00:00 2014/02/13 03:48:17 UV 2.16.840.1.113883.3.4006 uscOrthopedics USC Orthopedics OID Root Lindsie Cone masked Lindsie Cone 2 Medical Park,Ste.LL09 Columbia, SC 29203 (803) 434-6592 masked CIO USC Orthopedics 2 Medical Park,Ste.LL09 Columbia, SC 29203 (803) 434-6805 lindsie.cone@uscmed.sc.edu Provider Int 3 Complete 2013/12/05 12:00:00 2014/02/13 12:00:00 2014/02/13 03:51:55 UV 2.16.840.1.113883.17.3888 chc709 CHILDREN'S HEALTH CARE RUMANA BARODAWALLA masked HOZEFA BARODAWALLA HOZEFA 709 S ADAMS, MT PLEASANT, MI 48858 9897727774 masked Financial Manager CHILDREN'S HEALTH CARE, PLLC 709 S ADAMS, MT PLEASANT, MI 48858 9897727774 hbaroda@gmail.com Provider Int 17 Complete 2013/12/05 12:00:00 2014/02/13 12:00:00 2014/02/13 03:50:58 UV 2.16.840.1.113883.3.4007 kadopodiatry Karl Kado Podiatry OID Root LaToya Thomas masked LaToya Thomas 655 Shrewsbury Avenue Suite 207 Shrewsbury NJ 07702 732-219-7005 masked Clinical Coordinator Karl Kado Podiatry 655 Shrewsbury Avenue Suite 207 Shrewsbury NJ 07702 732-219-7005 kkpodiatry@gmail.com http://www.karlkadopodiatry.com/ Provider Int 3 Complete 2013/12/05 12:00:00 2014/02/13 12:00:00 2014/02/13 03:53:31 UV 2.16.840.1.113883.3.4008 healthekidsscreenings Healthe Kids Screenings OID Root Lawrence Burger masked Lawrence Burger 2800 Rockcreek Parkway Kansas City, MO 64153 816-982-7084 masked Technology Architect Healthe Kids Screenings 2800 Rockcreek Parkway Kansas City, MO 64153 816-201-5437 HealtheKids-Cerner@cerner.com https://applications.cerner.com/HealtheKids/default.aspx Provider Int 3 Complete 2013/12/05 12:00:00 2014/02/13 12:00:00 2014/02/13 03:55:22 UV 2.16.840.1.113883.4.305.1.8 nvrh Northeastern Vermont Regional Hospital Kenan Nurkanovic masked Gary Guion 1315 Hospital Drive St. Johnsbury, Vermont 05819 (802) 748-7318 masked Telecom Specialist Northeastern Vermont Regional Hospital 1315 Hospital Drive St. Johnsbury, Vermont 05819 802-748-7318 G.Guion@nvrh.org http://www.nvrh.org Provider Ext 3 Complete 2.16.840.1.113883.4.305.1.8 2013/12/05 12:00:00 2014/12/19 12:00:00 2014/12/19 04:43:18 UV 2.16.840.1.113883.3.4009 dublin dublin OID Root Susan Browning masked Susan Browning 2400 Bellevue Road Erin Office Park # 26 Dublin, Georgia 31021 478-275-1304 masked Dublin Womens Center 2400 Bellevue Road Erin Office Park # 26 Dublin, Georgia 31021 478-275-1304 sbrowning@dublinwomenscenter.com Provider Int 3 Complete 2013/12/05 12:00:00 2014/02/13 12:00:00 2014/02/13 03:58:14 UV 2.16.840.1.113883.3.4010 FirstHealth - Hoke FirstHealth Moore Regional Hospital-Hoke Campus Clifton Barnett masked Clifton Barnett 919-843-2360 masked UNC-Chapel Hill 100 Main St Chapel Hill NC 27516 99-843-2360 cbarnett@email.unc.edu Govt body Int 3 Complete 2013/12/05 12:00:00 2014/02/25 12:00:00 2014/02/25 03:07:51 UV 2.16.840.1.113883.3.924.200 ahpatnmsp Augusta Health Patient Namespace Betty Hite masked Betty Hite 78 Medical Center Drive Fishersville, VA 22939 540-332-4884 masked IT Applications Manager Augusta Health 78 Medical Center Drive Fishersville, VA 22939 540-332-4000 amcmail@augustamed.com https://www.augustahealth.com Provider 2.16.840.1.113883.3.924 Int 14 Complete 2.16.840.1.113883.3.924.200 2013/12/05 12:00:00 2016/10/21 12:00:00 2016/10/21 06:18:44 UV 2.16.840.1.113883.3.4011 adh Arkansas Department of Health Leah Huang masked Leah Huang 501-671-1535 masked Arkansas Department of Health 4815 W Markham St, Little Rock, AR 72205 501-661-2000 leah.huang@arkansas.gov Govt body Int 3 Complete 2013/12/05 12:00:00 2014/02/25 12:00:00 2014/02/25 03:11:54 UV 2.16.840.1.113883.924.900 ahleaf Augusta Health Customer Betty Hite masked Augusta Health 78 Medical Center Drive Fishersville, VA 22939 540-332-4884 masked IT Applications Manager Augusta Health 78 Medical Center Drive Fishersville, VA 22939 540-332-4000 amcmail@augustamed.com https://www.augustahealth.com HL7 body 2.16.840.1.113883.924 Ext 14 14 Rejected 2.16.840.1.113883.924.900 2013/12/05 12:00:00 2014/09/10 12:00:00 2014/09/10 09:49:57 UV 2.16.840.1.113883.3.924.900 ahcustomer Augusta Health Customer OID Betty Hite masked Betty Hite 78 Medical Center Drive Fishersville, VA 22939 540-332-4884 masked IT Applications Manager Augusta Health 78 Medical Center Drive Fishersville, VA 22939 540-332-4000 amcmail@augustamed.com https://www.augustahealth.com Provider 2.16.840.1.113883.3.924 Ext 14 Complete 2.16.840.1.113883.3.924.900 2013/12/05 12:00:00 2014/02/25 12:00:00 2014/02/25 03:21:28 UV 2.16.840.1.113883.3.2513.10 lpnt-lchmrn Lakeland Community Hospital MRN Matthew McConnell masked Terry Phillips Terry Phillips 103 Powell Court Brentwood, TN 37067 615-565-8782 masked Director, Clinical Data Integration and Exchange Lakeland Community Hospital 103 Powell Court Brentwood, TN 37067 615-372-8500 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2513 Ext 14 Complete 2.16.840.1.113883.3.2513.10 2013/12/06 12:00:00 2014/02/25 12:00:00 2014/02/25 03:25:22 UV 2.16.840.1.113883.3.2514.10 lpnt-shclmrn SageWest Health Care - Lander MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange SageWest Health Care - Lander 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2514 Ext 14 Complete 2.16.840.1.113883.3.2514.10 2013/12/06 12:00:00 2014/02/25 12:00:00 2018/05/07 11:27:03 UV 2.16.840.1.113883.3.2515.10 lpnt-livingstonrymrn Livingston Regional Hospital MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Livingston Regional Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2515 Ext 14 Complete 2.16.840.1.113883.3.2515.10 2013/12/06 12:00:00 2014/02/25 12:00:00 2018/05/02 03:53:50 UV 2.16.840.1.113883.3.2516.10 lpnt-lmhmrn Logan Memorial Hospital MRN Matt McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Logan Memorial Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2516 Ext 14 Complete 2.16.840.1.113883.3.2516.10 2013/12/06 12:00:00 2014/02/25 12:00:00 2018/05/02 03:54:11 UV 2.16.840.1.113883.3.2358.10 lpnt-lrmcmrn Logan Regional Medical Center MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Logan Regional Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2358 Ext 14 Complete 2.16.840.1.113883.3.2358.10 2013/12/06 12:00:00 2014/02/25 12:00:00 2018/05/02 03:55:01 UV 2.16.840.1.113883.3.2517.10 lpnt-lamcmrn Los Alamos Medical Center MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Los Alamos Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2517 Ext 14 Complete 2.16.840.1.113883.3.2517.10 2013/12/06 12:00:00 2014/02/25 12:00:00 2018/05/02 03:55:22 UV 2.16.840.1.113883.3.2518.10 lpnt-mpmcmrn Maria Parham Medical Center MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Maria Parham Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2518 Ext 14 Complete 2.16.840.1.113883.3.2518.10 2013/12/06 12:00:00 2014/02/25 12:00:00 2018/05/02 03:56:05 UV 2.16.840.1.113883.3.2533.10 lpnt-uhsmmrn UP Health System - Marquette MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange UP Health System - Marquette 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2533 Ext 14 Complete 2.16.840.1.113883.3.2533.10 2013/12/06 12:00:00 2014/02/25 12:00:00 2018/05/07 11:46:15 UV 2.16.840.1.113883.3.2363.10 lpnt-mrmcmrn Meadowview Regional Medical Center MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Meadowview Regional Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2363 Ext 14 Complete 2.16.840.1.113883.3.2363.10 2013/12/06 12:00:00 2014/02/25 12:00:00 2018/05/02 03:57:33 UV 2.16.840.1.113883.3.2352.10 lpnt-shmmrn SOVAH Health - Martinsville MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange SOVAH Health - Martinsville 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net HL7 body 2.16.840.1.113883.3.2352 Ext 14 Complete 2.16.840.1.113883.3.2352.10 2013/12/06 12:00:00 2014/02/25 12:00:00 2018/05/07 11:21:37 UV 2.16.840.1.113883.3.1070.5569 mckesson-fusion-5569 mckesson-fusion-5569 Jennifer Meares masked Fusion Enrollment 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5569 2013/12/06 12:00:00 2014/02/25 12:00:00 2014/02/25 03:59:29 US 2.16.840.1.113883.3.2349.10 lpnt-mmclcmrn Memorial Medical Center of Las Cruces MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Memorial Medical Center of Las Cruces 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2349 Ext 14 Complete 2.16.840.1.113883.3.2349.10 2013/12/06 12:00:00 2014/02/25 12:00:00 2018/05/02 03:58:55 UV 2.16.840.1.113883.3.2519.10 lpnt-mercyrmcmrn Mercy Regional Medical Center MRN Matthew McConnell masked Terry Phillips Terry Phillips 103 Powell Court Brentwood, TN 37067 615-565-8782 masked Director, Clinical Data Integration and Exchange Mercy Regional Medical Center 103 Powell Court Brentwood, TN 37067 615-372-8500 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2519 Ext 14 Complete 2.16.840.1.113883.3.2519.10 2013/12/06 12:00:00 2014/02/25 12:00:00 2014/02/25 04:03:08 UV 2.16.840.1.113883.3.1097.1.2730504 gvspob Bierema & Browning General & Venous Surgery Associates POB Stephen Bean masked Michele Christensen 44199 Dequindre Rd, Suite 315, Troy, MI 48085-1128 248-267-5015 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2730504 2013/12/06 12:00:00 2014/02/25 12:00:00 2014/03/04 10:00:40 UV 2.16.840.1.113883.3.1097.1.2730503 bbpclo Bierema & Browning, M.D., P.C. Stephen Bean masked Michele Christensen 1455 S Lapeer Rd Suite 103, Lake Orion, MI 48360-1468 248-267-5015 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2730503 2013/12/06 12:00:00 2014/02/25 12:00:00 2014/03/04 10:02:04 UV 2.16.840.1.113883.3.2520.10 lpnt-mmcmrn Minden Medical Center MRN Matthew McConnell masked Terry Phillips Terry Phillips 103 Powell Court Brentwood, TN 37064 615-565-8782 masked Director, Clinical Data Integration and Exchange Minden Medical Center 103 Powell Court Brentwood, TN 37067 615-372-8500 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2520 Ext 14 Complete 2.16.840.1.113883.3.2520.10 2013/12/06 12:00:00 2014/02/25 12:00:00 2014/02/25 04:10:20 UV 2.16.840.1.113883.3.1097.1.2730502 bbpctr Bierema & Browning, M.D., P.C. Stephen Bean masked Michele Christensen 4550 Investment Dr Suite 270, Troy, MI 48098-6362 248-267-5015 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2730502 2013/12/06 12:00:00 2014/02/25 12:00:00 2014/03/04 10:03:01 UV 2.16.840.1.113883.3.2521.10 lpnt-nnrhmrn Northeastern Nevada Regional Hospital MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Northeastern Nevada Regional Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2521 Ext 14 Complete 2.16.840.1.113883.3.2521.10 2013/12/06 12:00:00 2014/02/25 12:00:00 2018/05/02 03:59:34 UV 2.16.840.1.113883.3.1097.9.91050101 vea Vascular and Endovascular Associates Stephen Bean masked Nancy Soave 525 E Big Beaver Rd Suite 125 Troy, MI 48083 248-688-9686 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91050101 2013/12/06 12:00:00 2014/02/25 12:00:00 2014/03/04 09:35:59 UV 2.16.840.1.113883.3.4012 cucs Center for Urban Community Services Lou Alleluia masked Lou Alleluia Center for Urban Community Services The Times Square Hotel 255 West 43rd Street New York, New York 10036 212-822-3660 masked IT Director Center for Urban Community Services cucs-hx@cucs.org http://www.cucs.org Provider Int 3 Complete 2013/12/06 12:00:00 2014/02/25 12:00:00 2014/02/25 04:17:37 UV 2.16.840.1.113883.3.2522.10 lpnt-nmcmrn Northwest Medical Center MRN Matthew McConnell masked Terry Phillips Terry Phillips 103 Powell Court Brentwood, TN 37067 615-565-8782 masked Director, Clinical Data Integration and Exchange Northwest Medical Center 103 Powell Court Brentwood, TN 37067 615-372-8500 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2522 Ext 14 Complete 2.16.840.1.113883.3.2522.10 2013/12/06 12:00:00 2014/02/25 12:00:00 2014/02/25 04:19:28 UV 2.16.840.1.113883.3.4013 kgh-dhc Kalamazoo Gastroenterology Hepatology Shelly Burton-Knapp masked Shelly Burton-Knapp 1535 Gull Rd, Ste 105 Kalamazoo, MI 49048 269-385-9900 masked EHR Specialist Kalamazoo Gastroenterology Hepatology 1535 Gull Rd, Ste 105 Kalamazoo, MI 49048 269-385-9900 mburtonknapp@kgh-dhc.com http://www.kgh-dhc.com Provider Int 3 Complete 2013/12/06 12:00:00 2014/02/25 12:00:00 2014/02/25 04:21:58 UV 2.16.840.1.113883.3.4014 weisfelkins weisfelkins OID Root Tracie Morris masked Tracie Morris 1901 Medi Park Dr Ste 1054 Amarillo, TX 79106 806-584-3631 masked Weis Podiatry 1901 Medi Park Dr Ste 1054 Amarillo, TX 79106 806-322-3338 tracielmorris@gmail.com Provider Int 3 Complete 2013/12/06 12:00:00 2014/02/25 12:00:00 2014/02/25 04:23:32 UV 2.16.840.1.113883.3.2523.10 lpnt-prmcmrn Palestine Regional Medical Center MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Palestine Regional Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2523 Ext 14 Complete 2.16.840.1.113883.3.2523.10 2013/12/06 12:00:00 2014/02/25 12:00:00 2018/05/02 04:00:02 UV 2.16.840.1.113883.3.2524.10 lpnt-prhmrn Parkview Regional Hospital MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Parkview Regional Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2524 Ext 14 Complete 2.16.840.1.113883.3.2524.10 2013/12/06 12:00:00 2014/02/25 12:00:00 2018/05/02 04:00:25 UV 2.16.840.1.113883.3.2342.10 lpnt-pmhmrn Person Memorial Hospital MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Person Memorial Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2342 Ext 14 Complete 2.16.840.1.113883.3.2342.10 2013/12/06 12:00:00 2014/02/25 12:00:00 2018/05/02 04:00:53 UV 2.16.840.1.113883.3.2364.10 lpnt-pcmcmrn Putnam Community Medical Center MRN Matthew McConnell masked Terry Phillips Terry Phillips 103 Powell Court Brentwood, TN 37067 615-565-8782 masked Director, Clinical Data Integration and Exchange Putnam Community Medical Center 103 Powell Court Brentwood, TN 37067 615-372-8500 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2364 Ext 14 Complete 2.16.840.1.113883.3.2364.10 2013/12/06 12:00:00 2014/02/25 12:00:00 2014/02/25 04:34:17 UV 2.16.840.1.113883.3.2353.10 lpnt-rghmrn Raleigh General Hospital MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Raleigh General Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2353 Ext 14 Complete 2.16.840.1.113883.3.2353.10 2013/12/06 12:00:00 2014/02/25 12:00:00 2018/05/02 04:01:48 UV 2.16.840.1.113883.3.1157.348.1 ashoshilos Anna Shoshilos Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.348.1 2013/12/06 12:00:00 2014/02/25 12:00:00 2024/08/01 12:06:30 UV 2.16.840.1.113883.3.2525.10 lpnt-rphmrn River Parishes Hospital MRN Matthew McConnell masked Terry Phillips Terry Phillips 103 Powell Court Brentwood, TN 37067 615-565-8782 masked Director, Clinical Data Integration and Exchange River Parishes Hospital 103 Powell Court Brentwood, TN 37067 615-372-8500 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2525 Ext 14 Complete 2.16.840.1.113883.3.2525.10 2013/12/06 12:00:00 2014/02/25 12:00:00 2014/02/25 04:36:42 UV 2.16.840.1.113883.3.1157.349.1 available Available Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.349.1 2013/12/06 12:00:00 2014/02/25 12:00:00 2024/08/01 12:07:13 UV 2.16.840.1.113883.3.1157.350.1 barnegatmed Barnegat Medical Associates Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.350.1 2013/12/06 12:00:00 2014/02/25 12:00:00 2024/08/01 12:07:55 UV 2.16.840.1.113883.3.1157.351.1 centerforpain Center for Pain Medicine Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.351.1 2013/12/06 12:00:00 2014/02/25 12:00:00 2024/08/01 12:08:41 UV 2.16.840.1.113883.3.1157.352.1 cjsm Central Jersey Sports Medicine and Orthopedic Center Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.352.1 2013/12/06 12:00:00 2014/02/25 12:00:00 2024/08/01 12:09:29 UV 2.16.840.1.113883.3.1157.353.1 dsmith Donna Smith MD PA Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.353.1 2013/12/06 12:00:00 2014/02/25 12:00:00 2024/08/01 12:10:28 UV 2.16.840.1.113883.3.2526.10 lpnt-shcrmrn SageWest Health Care - Riverton MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange SageWest Health Care - Riverton 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2526 Ext 14 Complete 2.16.840.1.113883.3.2526.10 2013/12/06 12:00:00 2014/02/25 12:00:00 2018/05/07 11:30:10 UV 2.16.840.1.113883.3.2236.10 lpnt-rrmcmrn Riverview Regional Hospital MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Riverview Regional Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2236 Ext 14 Complete 2.16.840.1.113883.3.2236.10 2013/12/06 12:00:00 2014/02/25 12:00:00 2018/05/02 11:36:33 UV 2.16.840.1.113883.3.2341.10 lpnt-rmcmrn Rockdale Medical Center MRN Matthew McConnell masked Terry Phillips Terry Phillips 103 Powell Court Brentwood, TN 37067 615-565-8782 masked Director, Clinical Data Integration and Exchange Rockdale Medical Center 103 Powell Court Brentwood, TN 37067 615-372-8500 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2341 Ext 14 Complete 2.16.840.1.113883.3.2341.10 2013/12/06 12:00:00 2014/02/25 12:00:00 2014/02/25 04:59:44 UV 2.16.840.1.113883.3.4015 iopracticeware IO Practiceware Jeff Nevins masked IO Practiceware 291 Broadway Suite 1802 New York, NY 10007 212-844-0105 masked IO Practiceware hl7@iopracticeware.com http://www.iopracticeware.com/ Vendor Int 3 Complete 2013/12/06 12:00:00 2014/02/25 12:00:00 2014/02/25 05:04:25 UV 2.16.840.1.113883.3.1939.1 noch-hospital NOCHS - Hospital Joe Abbott masked Joe Abbott 1309 Sheldon Road Grand Haven, MI, 49417 6168475255 masked Director, IT North Ottawa Community Health System NOCHS 1309 Sheldon Road Grand Haven, MI, 49417 6168475255 jabbott@noch.org http://www.noch.org Provider 2.16.840.1.113883.3.1939 Ext 17 Complete 2.16.840.1.113883.3.1939.1 2013/12/06 12:00:00 2014/02/25 12:00:00 2014/02/25 05:01:44 UV 2.16.840.1.113883.3.4016 iglesiasmc Iglesias Medical Clinic Mary Mercado masked Mary Mercado 712 S Cage Blvd Pharr TX 78577 (956) 783-1900 masked Office Manager Iglesias Medical Clinic 712 S Cage Blvd Pharr TX 78577 (956) 783-1900 iglesiasmc@sbcglobal.net Provider Int 3 Complete 2013/12/07 12:00:00 2014/02/25 12:00:00 2014/02/25 05:05:37 UV 2.16.840.1.113883.3.4017 cbsurgical Council Blufs Surgical Associates Heidi Neal masked Heidi Neal 201 Ridge St Ste 214 Council Bluffs IA 51503 (712) 396-4320 masked Office Manager Council Bluffs Surgical Associates 201 Ridge St Ste 214 Council Bluffs IA 51503 (712) 396-4320 hneal@cbsurgical.com Provider Int 3 Complete 2013/12/07 12:00:00 2014/02/25 12:00:00 2014/02/25 05:07:02 UV 2.16.840.1.113883.3.4018 nebraskacc Nebraska Cardiac Care Kris Ernsberger masked Kris Ernsberger 339 N 78th St Omaha NE 68114 (402) 315-3788 masked Office Manager Nebraska Cardiac Care 339 N 78th St Omaha NE 68114 (402) 315-3788 krisernsberger@cox.net Provider Int 3 Complete 2013/12/07 12:00:00 2014/02/25 12:00:00 2014/02/25 05:08:33 UV 2.16.840.1.113883.3.4019 sadrpc The Farid Sadr Clinic PC Mindy Vanwihe masked Mindy Vanwihe 18073 Bent Tree Ridge Council Bluffs IA 51503 (712) 308-1563 masked Office Manager The Farid Sadr Clinic PC 18073 Bent Tree Ridge Council Bluffs IA 51503 (712) 308-1563 mindy@sadrmd.com Provider Int 3 Complete 2013/12/07 12:00:00 2014/02/25 12:00:00 2014/02/25 05:09:51 UV 2.16.840.1.113883.3.4020 infectiousdisassoc Infectious Disease Associates, PC Karen Pfeiffer masked Karen Pfeiffer 8111 Dodge St Ste 363 Omaha, NE 68114 (402) 354-8105 masked Office Manager Infectious Disease Associates, PC 8111 Dodge St Ste 363 Omaha, NE 68114 (402) 354-8105 karenpfeiffer@midwest.com Provider Int 3 Complete 2013/12/07 12:00:00 2014/02/25 12:00:00 2014/02/25 05:13:22 UV 2.16.840.1.113883.3.4021 ghurst Dr. Glen E. Hurst Trisha Boughton masked Trisha Boughton 401 Broadway Street Minden IA 51553 (712) 407-2086 masked Office Manager Dr. Glen E. Hurst 401 Broadway Street Minden IA 51553 (712) 407-2086 trishaboughton@gmail.com Provider Int 3 Complete 2013/12/07 12:00:00 2014/02/25 12:00:00 2014/02/25 05:14:36 UV 2.16.840.1.113883.3.4022 ebg East Bank Gastroenterology Mary Daleo masked Mary Daleo 3800 Houma Blvd Ste 220 Metairie, LA 70006 (504) 454-4200 masked Office Manager East Bank Gastroenterology 3800 Houma Blvd Ste 220 Metairie, LA 70006 (504) 454-4200 mdcat@webdsi.com Provider Int 3 Complete 2013/12/07 12:00:00 2014/02/25 12:00:00 2014/02/25 05:15:42 UV 2.16.840.1.113883.3.4023 lowellsurgassoc Lowell Surgical Associates Susanne Anthony masked Susanne Anthony 20 Research Place Ste 100 North Chelmsford, MA 01863 978-452-5050 masked Office Manager Lowell Surgical Associates 20 Research Place Ste 100 North Chelmsford, MA 01863 978-452-5050 SAnthony@lowellsurgical.com Provider Int 3 Complete 2013/12/07 12:00:00 2014/02/25 12:00:00 2014/02/25 05:17:43 UV 2.16.840.1.113883.3.4024 nefoot New England Foot and Ankle Elaine Trembley masked Elaine Trembley 4 Courthouse Ln Chelmsfod, MA 01824 978-441-9241 masked Office Manager New England Foot and Ankle 4 Courthouse Ln Chelmsfod, MA 01824 978-441-9241 eltremblay@nefootankle.com Provider Int 3 Complete 2013/12/07 12:00:00 2014/02/25 12:00:00 2014/02/25 05:19:09 UV 2.16.840.1.113883.3.4025 drconnolly Dr. Connolly Sandradee Leigh masked Sandradee Leigh 23 Village Square Chelmsford MA 01824 (978) 788-7308 masked Office Manager Dr. Connolly 23 Village Square Chelmsford MA 01824 (978) 788-7308 sandradee.leigh@lowellgeneral.org Provider Int 3 Complete 2013/12/07 12:00:00 2014/02/25 12:00:00 2014/02/25 05:20:37 UV 2.16.840.1.113883.3.4026 blacwellfammed Blackwell Family Medicine Brenda Letts masked Brenda Letts 506 Groton Rd Westford MA 01886 (978) 692-1222 masked Office Manager Blackwell Family Medicine 506 Groton Rd Westford MA 01886 (978) 692-1222 ringletts1@gmail.com Provider Int 3 Complete 2013/12/07 12:00:00 2014/02/25 12:00:00 2014/02/25 05:22:03 UV 2.16.840.1.113883.3.4027 chelmspeds Chelmsford Pediatrics Denise Tabor masked Denise Tabor 7 Village Square Chelmsford MA 01824 978-256-5240 masked Office Manager Chelmsford Pediatrics 7 Village Square Chelmsford MA 01824 978-256-4363 chelmsfordpediatrics@yahoo.com Provider Int 3 Complete 2013/12/07 12:00:00 2014/02/25 12:00:00 2014/02/25 05:23:46 UV 2.16.840.1.113883.3.4028 mundkar Lata Mundkur MD Pravin Mundkur masked Pravin Mundkur 817 Merrimack St Lowell MA 01854 (978) 452-0672 masked Office Manager Lata Mundkur MD 817 Merrimack St Lowell MA 01854 (978) 452-0672 pravin.mundkur@gmail.com Provider Int 3 Complete 2013/12/07 12:00:00 2014/02/25 12:00:00 2014/02/25 05:24:52 UV 2.16.840.1.113883.3.4029 pulmedassoc Pulmonary Medicine Associates Sharon Cantrelle masked Sharon Cantrelle 1111 Medical Center Boulevard Ste N504 Marrero LA 70072 504-349-6716 masked Office Manager Pulmonary Medicine Associates 1111 Medical Center Boulevard Ste N504 Marrero LA 70072 504-349-6716 scantrelle@bellsouth.net Provider Int 3 Complete 2013/12/07 12:00:00 2014/02/25 12:00:00 2014/02/25 05:46:49 UV 2.16.840.1.113883.3.4030 drhutchinson Dr. David Hutchinson Sharon Hutchinson masked Sharon Hutchinson 1111 Medical Center Blvd Ste 705N Marrero LA 70072 843-471-2482 masked Office Manager Dr. David Hutchinson 1111 Medical Center Blvd Ste 705N Marrero LA 70072 504-344-3491 Sharon.ERATIDES@gmail.com Provider Int 3 Complete 2013/12/07 12:00:00 2014/02/25 12:00:00 2014/02/25 05:48:01 UV 2.16.840.1.113883.3.4031 pramelag Dr. Pramela Ganji Melissa Borne masked Melissa Borne 4700 Wichers Ave Ste 200 Marrero LA 70072 (504) 347-8253 masked Office Manager Dr. Pramela Ganji 4700 Wichers Ave Ste 200 Marrero LA 70072 (504) 347-8253 mbbutterfly08@gmail.com Provider Int 3 Complete 2013/12/07 12:00:00 2014/02/25 12:00:00 2014/02/25 05:51:38 UV 2.16.840.1.113883.3.4032 tmallik Dr. Tilak Mallik Heather Gatewood masked Heather Gatewood 1111 Medical Center Blvd Ste S-113 Marrero LA 70072 (504) 349-6521 masked Office Manager Dr. Tilak Mallik 1111 Medical Center Blvd Ste S-113 Marrero LA 70072 (504) 349-6521 tmallik21@yahoo.com Provider Int 3 Complete 2013/12/07 12:00:00 2014/02/25 12:00:00 2014/02/25 05:52:51 UV 2.16.840.1.113883.3.4033 cschlosser Dr. Charles Schlosswer Traci Schlosser masked Traci Schlosser 4520 Wichers Dr Ste 202 Marrero LA 70072 504 324-4337 masked Office Manager Dr. Charles Schlosser 4520 Wichers Dr Ste 202 Marrero LA 70072 504 324-4337 tracipullen@cox.net Provider Int 3 Complete 2013/12/07 12:00:00 2014/02/25 12:00:00 2014/02/25 05:53:59 UV 2.16.840.1.113883.3.4034 jeffpul Jefferson Pulmonary Associates Melissa Pohlmann masked Melissa Pohlmann 4200 Houma Blvd Metairie LA 70006 504-454-5205 masked Office Manager Jefferson Pulmonary Associates 4200 Houma Blvd Metairie LA 70006 504-454-5205 mpohlmann@ejgh.org Provider Int 3 Complete 2013/12/07 12:00:00 2014/02/25 12:00:00 2014/02/25 05:55:16 UV 2.16.840.1.113883.3.4035 ejeffneuro East Jefferson Neurological Associates Robyn Pusey masked Robyn Pusey 3800 Houma Blvd Ste 205 Metairie LA 70006 (504) 885-7337 masked Office Manager East Jefferson Neurological Associates 3800 Houma Blvd Ste 205 Metairie LA 70006 (504) 885-7337 ROBYNLA920@MSN.COM Provider Int 3 Complete 2013/12/07 12:00:00 2014/02/25 12:00:00 2014/02/25 05:56:30 UV 2.16.840.1.113883.3.4036 alanyagermd Alan Yager MD Arleen Flato masked Arleen Flato 4224 Houma Blvd Ste 410 Metairie LA 70006 (504) 888-8310 masked Office Manager Alan Yager MD 4224 Houma Blvd Ste 410 Metairie LA 70006 (504) 888-8310 arleenflato@aol.com Provider Int 3 Complete 2013/12/07 12:00:00 2014/02/25 12:00:00 2014/02/25 05:57:45 UV 2.16.840.1.113883.3.4037 pretusmd Henry A. Pretus MD Sandra Sonnier masked Sandra Sonnier 4300 Houma Blvd Ste 303 Metairie LA 70006 (504) 207-2222 masked Henry A. Pretus MD 4300 Houma Blvd Ste 303 Metairie LA 70006 (504) 207-2222 ssonnier1@mindspring.com Provider Int 3 Complete 2013/12/07 12:00:00 2014/02/25 12:00:00 2014/02/25 05:59:18 UV 2.16.840.1.113883.3.4038 drleblac Dr. Bryce J Leblanc Jr. Charlene Foster masked Charlene Foster 4228 Houma Blvd Ste 340 Metairie LA 70006 504-454-1080 masked Office Manager Dr. Bryce J Leblanc Jr. 4228 Houma Blvd Ste 340 Metairie LA 70006 504-454-1080 sadiemocha2002@gmail.com Provider Int 3 Complete 2013/12/07 12:00:00 2014/02/25 12:00:00 2014/02/25 06:00:29 UV 2.16.840.1.113883.3.4039 colonrectalassoc Colon & Rectal Surgery Associates Toni Marques masked Toni Marques 4224 Houma Blvd Ste 540 Metairie LA 70006 504-456-5108 masked Office Manager Colon & Rectal Surgery Associates 4224 Houma Blvd Ste 540 Metairie LA 70006 504-456-5108 tmarques@colorectal-la.com Provider Int 3 Complete 2013/12/07 12:00:00 2014/02/25 12:00:00 2014/02/25 06:01:45 UV 2.16.840.1.113883.3.4040 rdjacob Dr. R. Daniel Jacob Suzanne Jacob masked Suzanne Jacob 4228 Houma Blvd Ste Metairie LA 70006 504-456-9068 masked Office Manager Dr. R. Daniel Jacob 4228 Houma Blvd Ste Metairie LA 70006 504-454-3611 suzanneleb@cox.net Provider Int 3 Complete 2013/12/07 12:00:00 2014/02/25 12:00:00 2014/02/25 06:03:08 UV 2.16.840.1.113883.3.2527.10 lpnt-rh Russellville Hospital MRN Matthew McConnell masked Terry Phillips Terry Phillips 103 Powell Court Brentwood, TN 37067 615-565-8782 masked Director, Clinical Data Integration and Exchange Russellville Hospital 103 Powell Court Brentwood, TN 37067 615-372-8500 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2527 Ext 14 Complete 2.16.840.1.113883.3.2527.10 2013/12/09 12:00:00 2014/02/25 12:00:00 2014/02/25 06:04:49 UV 2.16.840.1.113883.3.2354.10 lpnt-stmcmrn Southern Tennessee Medical Center MRN Matthew McConnell masked Terry Phillips Terry Phillips 103 Powell Court Brentwood,TN 37067 615-565-8782 masked Director, Clinical Data Integration and Exchange Southern Tennessee Medical Center 103 Powell Court Brentwood, TN 37067 615-372-8500 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2354 Ext 14 Complete 2.16.840.1.113883.3.2354.10 2013/12/09 12:00:00 2014/02/25 12:00:00 2018/05/07 10:48:57 UV 2.16.840.1.113883.3.2365.10 lpnt-svhmrn Spring View Hospital MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Spring View Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2365 Ext 14 Complete 2.16.840.1.113883.3.2365.10 2013/12/09 12:00:00 2014/02/25 12:00:00 2018/05/07 10:54:31 UV 2.16.840.1.113883.3.2235.10 lpnt-srmcmrn Sumner Regional Medical Center MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Sumner Regional Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2235 Ext 14 Complete 2.16.840.1.113883.3.2235.10 2013/12/09 12:00:00 2014/02/28 12:00:00 2018/05/02 10:15:41 UV 2.16.840.1.113883.3.2528.10 lpnt-trmcmrn Teche Regional Medical Center MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Teche Regional Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2528 Ext 14 Complete 2.16.840.1.113883.3.2528.10 2013/12/09 12:00:00 2014/02/28 12:00:00 2018/05/07 10:55:26 UV 2.16.840.1.113883.3.2237.10 lpnt-tmcmrn Trousdale Medical Center MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Trousdale Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2237 Ext 14 Complete 2.16.840.1.113883.3.2237.10 2013/12/09 12:00:00 2014/02/28 12:00:00 2018/05/07 10:55:59 UV 2.16.840.1.113883.3.2529.10 lpnt-tcrhmrn Twin County Regional Healthcare MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Twin County Regional Health Care 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2529 Ext 14 Complete 2.16.840.1.113883.3.2529.10 2013/12/09 12:00:00 2014/02/28 12:00:00 2018/05/07 10:56:39 UV 2.16.840.1.113883.3.2530.10 lpnt-vvmcmrn Valley View Medical Center MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Valley View Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2530 Ext 14 Complete 2.16.840.1.113883.3.2530.10 2013/12/09 12:00:00 2014/02/28 12:00:00 2018/05/07 10:57:02 UV 2.16.840.1.113883.3.2355.10 lpnt-vrmcmrn Vaughan Regional Medical Center MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Vaughan Regional Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2355 Ext 14 Complete 2.16.840.1.113883.3.2355.10 2013/12/09 12:00:00 2014/02/28 12:00:00 2018/05/07 10:57:39 UV 2.16.840.1.113883.3.2366.10 lpnt-wpmc Western Plains Medical Complex MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Western Plains Medical Complex 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2366 Ext 14 Complete 2.16.840.1.113883.3.2366.10 2013/12/09 12:00:00 2014/02/28 12:00:00 2018/05/07 10:58:06 UV 2.16.840.1.113883.3.2531.10 lpnt-srmcemrn Starr Regional Medical Center - Etowah MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Starr Regional Medical Center - Etowah 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2531 Ext 14 Complete 2.16.840.1.113883.3.2531.10 2013/12/09 12:00:00 2014/02/28 12:00:00 2018/05/07 11:33:23 UV 2.16.840.1.113883.3.2368.10 lpnt-wcch Wythe County Community Hospital MRN Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Wythe County Community Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2368 Ext 14 Complete 2.16.840.1.113883.3.2368.10 2013/12/09 12:00:00 2014/02/28 12:00:00 2018/05/07 10:58:33 UV 2.16.840.1.113883.3.2624.1036 integris-IFC-Baptist INTEGRIS Medical Group - INTEGRIS Family Care Baptist Bryan Baucom masked Bryan Baucom 5300 N Independence Ste 260 Oklahoma City, OK 73112 405-951-2981 masked Informatics Specialist INTEGRIS Family Care Baptist 3330 NW 56th, Suite 220 Oklahoma City, OK 73112 405-713-7442 bryan.baucom@integrisok.com Provider 2.16.840.1.113883.3.2624 Ext 14 Complete 2.16.840.1.113883.3.2624.1036 2013/12/09 12:00:00 2014/02/28 12:00:00 2014/02/28 06:42:48 UV 2.16.840.1.113883.3.4041 todsreed Tod S Reed, DPM, PC OID root Dawn Chapman masked Dawn Chapman 3400 W Purdue Ave Muncie, In 47304 765-287-8279 masked Practice Manager Tod S Reed, DPM, PC 3400 W Purdue Ave Muncie, IN 47304 765-287-8279 todreed@comcast.net Provider Int 3 Complete 2013/12/09 12:00:00 2014/02/28 12:00:00 2014/02/28 06:45:25 UV 2.16.840.1.113883.3.2625.1033 afs-integris Ankle & Foot Surgery of Enid Thomas Hartman masked Thomas Hartman 405-618-8415 masked Solutions Architect Ankle & Foot Surgery of Enid 915 E. Garriott Rd. Suite I Enid, OK 73701 (580) 213-9755 Thomas.Hartman@Integrisok.com http://Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 Complete 2.16.840.1.113883.3.2625.1033 2013/12/09 12:00:00 2014/02/28 12:00:00 2014/02/28 06:50:48 UV 2.16.840.1.113883.3.2625.1034 integris-womens-health-miami Integris Women's Health Miami Oklahoma Thomas Hartman masked Thomas Hartman 5300 N. Independence Suite 260 OKC, OK, 73112 405-618-8415 masked Solutions Architect Integris Women's Health - MIami 310 2nd Ave SW Suite 104 Miami, OK, 74354 (918) 540-7867 Thomas.Hartman@Integrisok.com http://Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 Complete 2.16.840.1.113883.3.2625.1034 2013/12/09 12:00:00 2014/02/28 12:00:00 2014/02/28 06:55:25 UV 2.16.840.1.113883.3.2625.1035 grandlakeurology Grand Lake Urology Clinic Grove Thomas Hartman masked Thomas Hartman 5300 N. Independence Suite 260 OKC, OK, 73112 405-618-8415 masked Solutions Architect Grand Lake Urology 900 E. 13th Suite 204 Grove, OK, 74344 (918) 786-9049 Thomas.Hartman@Integrisok.com http://Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 Complete 2.16.840.1.113883.3.2625.1035 2013/12/09 12:00:00 2014/02/28 12:00:00 2014/02/28 07:02:44 UV 2.16.840.1.113883.3.643.3 sfhsepicapplication SFHS Epic Application Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 14 Complete 2.16.840.1.113883.3.643.3 2013/12/09 12:00:00 2014/02/28 12:00:00 2014/02/28 07:11:00 UV 2.16.840.1.113883.3.643.3.1 sfhtulsalocation SFH Tulsa Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 14 Complete 2.16.840.1.113883.3.643.3.1 2013/12/09 12:00:00 2014/02/28 12:00:00 2014/02/28 07:14:50 UV 2.16.840.1.113883.3.643.3.2 sfhsouthlocation SFH South Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 14 Complete 2.16.840.1.113883.3.643.3.2 2013/12/09 12:00:00 2014/02/28 12:00:00 2014/02/28 07:17:44 UV 2.16.840.1.113883.3.643.3.3 laureatelocation Laureate Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 14 Complete 2.16.840.1.113883.3.643.3.3 2013/12/09 12:00:00 2014/02/28 12:00:00 2014/02/28 07:20:47 UV 2.16.840.1.113883.3.643.3.4 warrencliniclocation Warren Clinic Location Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 14 Complete 2.16.840.1.113883.3.643.3.4 2013/12/09 12:00:00 2014/02/28 12:00:00 2014/02/28 07:22:37 UV 2.16.840.1.113883.3.643.3.5 saintfrancislab Saint Francis Lab Dave Paulson masked Dave Paulson 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 masked Saint Francis Health System 6161 South Yale Avenue Xavier Bld, Floor 1 Tulsa, OK 74136 918-494-3515 knmorse@saintfrancis.com Provider 2.16.840.1.113883.3.643 Ext 14 Complete 2.16.840.1.113883.3.643.3.5 2013/12/09 12:00:00 2014/02/28 12:00:00 2014/02/28 07:24:41 UV 2.16.840.1.113883.3.2625.1036 cvwc-integris Canadian Valley Women's Clinic Thomas Hartman masked Thomas Hartman 5300 N. Independence Suite 260 OKC, OK, 73112 405-618-8415 masked Solutions Architect Canadian Valley Women's Clinic 1205 Health Center Parkway Suite 240 Yukon, OK 73099 (405) 717-5496 Thomas.Hartman@Integrisok.com http://Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 Complete 2.16.840.1.113883.3.2625.1036 2013/12/09 12:00:00 2014/02/28 12:00:00 2014/02/28 07:07:34 UV 2.16.840.1.113883.3.4042 lpnt-uhsb UP Health System - Bell Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2013/12/09 12:00:00 2014/02/28 12:00:00 2018/05/07 11:54:11 UV 2.16.840.1.113883.3.4043 lpnt-uhsp UP Health System - Portage Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2013/12/09 12:00:00 2014/02/28 12:00:00 2018/05/07 12:03:27 UV 2.16.840.1.113883.3.4044 apa1701magnoliawy APA 1701 Magnolia Wy OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director APA 1701 Magnolia Wy 1701 Magnolia Way Suite 201 Augusta, GA 30909-9483 (706) 922-7777 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/02/28 12:00:00 2014/02/28 07:32:38 UV 2.16.840.1.113883.3.4045 lpnt-fh Fauquier Health Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2013/12/09 12:00:00 2014/02/28 12:00:00 2018/05/02 12:10:21 UV 2.16.840.1.113883.3.4046 apa302university APA 302 University OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director APA 302 University 302 University Blvd Floor 2 Aiken, SC 29801-6302 (803) 641-5651 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/02/28 12:00:00 2014/02/28 07:35:03 UV 2.16.840.1.113883.3.4047 apa48physiciandr APA 48 Physician Dr OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director APA 48 Physician Dr 48 Physician Drive Aiken, SC 29801-6388 (803) 226-0073 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/02/28 12:00:00 2014/02/28 07:36:22 UV 2.16.840.1.113883.3.4048 lpnt-smh Scott Memorial Hospital Matthew McConnell masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2013/12/09 12:00:00 2014/02/28 12:00:00 2018/05/02 12:10:51 UV 2.16.840.1.113883.3.4049 apaaurora300 APA Aurora 300 OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director APA Aurora 300 100 Aurora Place Suite 300 Aiken, SC 29801-6302 803-226-0310 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/02/28 12:00:00 2014/02/28 07:39:10 UV 2.16.840.1.113883.3.4050 apasocietyhill100 APA Society Hill 100 OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director APA Society Hill 100 420 Society Hill Drive Suite 100 Aiken, SC 29803-1731 803-648-7774 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/02/28 12:00:00 2014/02/28 07:40:55 UV 2.16.840.1.113883.3.4051 tcurgentcare TC Urgent Care OID Root Edju Ewasko masked Edju Ewasko 610.382.4716 masked TC Urgent Care 3126 W FM 120. Denison, TX 75020-1249 9034167544 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 12:57:41 UV 2.16.840.1.113883.17.3889 aos Advanced Orthopedic Specialists Christie Gondek masked Sharron Hoorn Christie Gondek 2305 Genoa Business Pk Dr Ste 170 Brighton, MI 48114 810-494-6201 masked Clinic Manager Advanced Orthopedic Specialists 2305 Genoa Business Pk Dr Ste 170 Brighton, MI 48114 810-299-8550 sharron@advancedortho.net Provider Int 17 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:01:53 UV 2.16.840.1.113883.3.4052 tcvanalstyne TC Van Alstyne OID Root Edju Ewasko masked Edju Ewasko 610.382.4716 masked TC Van Alstyne 954 W Van Alstyne Pkwy. Van Alstyne, TX 75495-0000 9034163790 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:03:06 UV 2.16.840.1.113883.3.4053 tcwhitesboro TC Whitesboro OID Root Edju Ewasko masked Edju Ewasko 610.382.4716 masked TC Whitesboro 308 Charlie Street. Whitesboro, TX 76273-1103 9035649090 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:04:39 UV 2.16.840.1.113883.3.4054 tcwomenshealth TC Women's Health OID Root Edju Ewasko masked Edju Ewasko 610.382.4716 masked TC Women's Health 2907 Overland Trail. Suite 200. Sherman, TX 75092-4498 9038921005 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:05:43 UV 2.16.840.1.113883.3.4055 tcsbhc TCS BHC OID Root Edju Ewasko masked Edju Ewasko 610.382.4716 masked TCS BHC 2601 Cornerstone Drive. Sherman, TX 75090-2551 9034163000 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:07:15 UV 2.16.840.1.113883.3.4056 tcscardio TCS Cardio OID Root Edju Ewasko masked Edju Ewasko 610.382.4716 masked TCS Cardio 5012 S US Hwy 75. Suite 100. Denison, TX 75020-4587 9034166362 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:08:36 UV 2.16.840.1.113883.3.4057 tcsortho TCS Ortho OID Root Edju Ewasko masked Edju Ewasko 610.382.4716 masked TCS Ortho 5012 S US Hwy 75. Suite 290. Denison, TX 75020-4587 9034166310 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:10:30 UV 2.16.840.1.113883.3.4058 tcspod TCS Pod OID Root Edju Ewasko masked Edju Ewasko 610.382.4716 masked TCS Pod 5012 S US Hwy 75. Suite 275. Denison, TX 75020-4587 9034166285 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:11:28 UV 2.16.840.1.113883.3.4059 apasocietyhill200 APA Society Hill 200 OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director APA Society Hill 200 420 Society Hill Drive Suite 200 Aiken, SC 29803-1731 803 649-7266 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:12:50 UV 2.16.840.1.113883.3.4060 vcc4302sugar206 VCC 4302 Sugar 206 OID Root Edju Ewasko masked Edju Ewasko 610.382.4716 masked VCC 4302 Sugar 206 4302 S. Sugar Rd. Suite 206. Edinburg, TX 78539-9140 9563801140 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:16:10 UV 2.16.840.1.113883.3.4061 nw-coulter NW - Coulter OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director NW - Coulter 1501 S Coulter Street Amarillo, TX 79106-1770 806 351-4152 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:17:24 UV 2.16.840.1.113883.3.4062 gwcapitalcardiovas GW Capital Cardiovas OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director GW Capital Cardiovas 2175 K St NW Suite 300 Washington, DC 20037-1831 202 775-8600 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:19:33 UV 2.16.840.1.113883.3.4063 lpg6801mcpherson LPG 6801 McPherson OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director LPG 6801 McPherson 6801 McPherson Rd Suite 101 Laredo, TX 78041-6403 956 721-0200 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:20:29 UV 2.16.840.1.113883.3.4064 dspmeadowslane DSP Meadows Lane OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director DSP Meadows Lane 3802 Meadows Lane Las Vegas, NV 89107-3112 702 313-8446 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:21:39 UV 2.16.840.1.113883.3.4065 mpafirstcaresouth MPA First Care South OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director MPA First Care South 2401 University Parkway Sarasota, FL 34243-2894 941 893-5952 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:23:02 UV 2.16.840.1.113883.3.4066 vccalton VCC Alton OID Root Edju Ewasko masked Edju Ewasko 610.382.4716 masked VCC Alton 306 E. Main Ave. Suite 5 & 6. Alton, TX 78574-6955 9564247655 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:24:04 UV 2.16.840.1.113883.3.2625.1037 fjavierbarakas F. Javier Barajas Internal Medicine Thomas Hartman masked Thomas Hartman 5300 N. Independance Suite 160 OKC, OK, 73112 405-618-8415 masked Solutions Architect F. Javier Barajas Internal Medicine 918 E. Garriott Suite E Enid, OK, 73112 (580) 213-9785 Thomas.Hartman@integrisok.com http://Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 14 Complete 2.16.840.1.113883.3.2625.1037 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:29:23 UV 2.16.840.1.113883.3.4067 vccedinburgent VCC Edinburg ENT OID Root Edju Ewasko masked VCC Edinburg ENT 610.382.4716 masked VCC Edinburg ENT 4302 S. Sugar Rd. Suite 106. Edinburg, TX 78539-9140 9563816856 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:33:55 UV 2.16.840.1.113883.3.4068 vccedinburgobgyn VCC Edinburg OBGYN OID Root Edju Ewasko masked Edju Ewasko 610.382.4716 masked VCC Edinburg OBGYN 508 S. Closner Blvd. Edinburg, TX 78539-4660 9563815190 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:36:09 UV 2.16.840.1.113883.3.4069 vccendo VCC Endo OID Root Edju Ewasko masked Edju Ewasko 610.382.4716 masked VCC Endo 1801 S. 5th St.Suite 214. McAllen, TX 78503-2932 9566183726 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:37:27 UV 2.16.840.1.113883.3.4070 vccgastro VCC Gastro OID Root Edju Ewasko masked Edju Ewasko 610.382.4716 masked VCC Gastro 1800 S 5th Street. McAllen, TX 78503-2909 9569920730 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:41:06 UV 2.16.840.1.113883.3.4071 vccinfectdisease VCC Infect Disease OID Root Edju Ewasko masked Edju Ewasko 610.382.4716 masked VCC Infect Disease 222 E Ridge Rd. Unit 117. McAllen, TX 78503-1251 9566310928 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:42:22 UV 2.16.840.1.113883.3.4072 mpafirstcarewest MPA First Care West OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director MPA First Care West 4319 20th Street West Suite 101 Bradenton, FL 34205-5006 941 753-7585 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:43:40 UV 2.16.840.1.113883.3.2625.1038 obgynspecialists OB-GYN Specialists Thomas Hartman masked Thomas Hartman 5300 N. Independance Suite 260 OKC, OK, 73112 405-618-8415 masked Solutions Architect OB-GYN Specialists 3433 NW 56 Suite 210-B OKC, OK, 73112 405-945-4712 Thomas.Hartman@integrisok.com http://Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 Complete 2.16.840.1.113883.3.2625.1038 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:32:00 UV 2.16.840.1.113883.3.4073 mpalakewoodcardio MPA Lakewood Cardio OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director MPA Lakewood Cardio 8340 Lakewood Ranch Blvd Suite 380 Bradenton, FL 34202-5183 941 556-8930 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:45:36 UV 2.16.840.1.113883.3.4074 vccmcallen VCC McAllen OID Root Edju Ewasko masked Edju Ewasko 610.382.4716 masked VCC McAllen 1800 S 5th St. McAllen, TX 78503-2909 9569940730 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:47:05 UV 2.16.840.1.113883.3.4075 mpalakewoodranch MPA Lakewood Ranch OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director MPA Lakewood Ranch 8340 Lakewood Ranch Blvd Suite 350 Bradenton, FL 34202-5183 941 907-0588 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:48:53 UV 2.16.840.1.113883.3.4076 vccmcallensurgery VCC McAllen Surgery OID Root Edju Ewasko masked Edju Ewasko 610.382.4716 masked VCC McAllen Surgery 416 Lindberg Ave. Suite A. McAllen, TX 78501-2922 9566304161 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:50:18 UV 2.16.840.1.113883.3.4077 mpanorthriver MPA North River OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director MPA North River 606 4th Ave West Palmetto, FL 34221-5226 941 722-7785 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:52:01 UV 2.16.840.1.113883.3.4078 vccmission VCC Mission OID Root Edju Ewasko masked Edju Ewasko 610.382.4716 masked VCC Mission 2515A E. Griffin Parkway. Mission, TX 78572-3320 9565856622 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:53:35 UV 2.16.840.1.113883.3.4079 mpaprimarycare MPA Primary Care OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director MPA Primary Care 5225 Manatee Ave West Bradenton, FL 34209-3742 941 708-8081 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:55:28 UV 2.16.840.1.113883.3.4080 mpasurgical MPA Surgical OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director MPA Surgical 5317 4th Ave Circle East Bradenton, FL 34208-5623 941 254-4957 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:56:59 UV 2.16.840.1.113883.3.2625.1039 jonmillsclinic Jon Mills DO Clinic Thomas Hartman masked Thomas Hartman 5300 N. Independance Suite 160 OKC, OK, 73112 405-618-8415 masked Solutions Architect Jon Mills DO Clinic 620 S. Madison Suite 105 Enid, OK, 73701 580-213-9790 Thomas.Hartman@Integrisok.com http://Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 Complete 2.16.840.1.113883.3.2625.1039 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 01:59:35 UV 2.16.840.1.113883.3.4081 stmneurological STM Neurological OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director STM Neurological 102 S Van Buren St Suite 2 Enid, OK 73701-5866 580-249-3929 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 02:03:42 UV 2.16.840.1.113883.3.4082 stmpodiatry STM Podiatry OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director STM Podiatry 330 S 5th Street Suite 104 Enid, OK 73701-5860 580-249-3929 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 02:04:47 UV 2.16.840.1.113883.3.4083 stmspringsinternal STM Springs Internal OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director STM Springs Internal 615 E. Oklahoma Suite 208 Enid, OK 73701 580-242-3090 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 02:06:38 UV 2.16.840.1.113883.3.4084 stmsurgery STM Surgery OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director STM Surgery 330 S 5th Street Suite 401 Enid, OK 73701-5863 580-249-3998 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 02:07:47 UV 2.16.840.1.113883.3.4085 stmwomen STM Women OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director STM Women 615 E Oklahoma Ave Suite 203 Enid, OK 73701-5952 580-242-3870 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 02:09:39 UV 2.16.840.1.113883.3.4086 stmcompletefamily STM Complete Family OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director STM Complete Family 500 N. Main Hennessey, OK 73742 405-853-6100 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 02:11:50 UV 2.16.840.1.113883.3.4087 stmnorthwestfamily STM Northwest Family OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director STM Northwest Family 3201 N Van Buren Street Suite 400 Enid, OK 73703-1800 580-237-1877 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 02:16:08 UV 2.16.840.1.113883.3.4088 smlparkviewlab SML Parkview Lab OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director SML Parkview Lab 330 S. 5th Suite 103 Enid, OK 73701 580-249-3098 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 02:17:37 UV 2.16.840.1.113883.3.4089 smlstmaryslab SML St Marys Lab OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director SML St Marys Lab 3517 W Owen K Garriott Rd Suite 5 Enid, OK 73703-4953 580-237-6800 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 02:19:04 UV 2.16.840.1.113883.3.4090 smlspringslab SML Springs Lab OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director SML Springs Lab smlspringslab Suite 208 Enid, OK 73701 580-249-3762 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 02:20:42 UV 2.16.840.1.113883.3.4091 tcbonham TC Bonham OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director TC Bonham 2201 N Hwy 121 Bonham, TX 75418-2345 903-583-3111 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 02:23:25 UV 2.16.840.1.113883.3.4092 tcfamilymed TC Family Med OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director TC Family Med 5012 S US Hwy 75, Ste 300 Denison, TX 75020-4587 903-416-6025 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 02:25:05 UV 2.16.840.1.113883.3.4093 tcgi TC GI OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director TC GI 5012 S US Hwy 75, Ste 300 Denison, TX 75020-4587 903-416-6255 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 02:29:01 UV 2.16.840.1.113883.3.4094 tchosp TC Hosp OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director TC Hosp 5016 S US Hwy 75 Attn: Hospitalist Program Denison, TX 75020-4584 903-416-4378 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 02:30:08 UV 2.16.840.1.113883.3.4095 tcinternalmed TC Internal Med OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director TC Internal Med 5012 S US Hwy 75, Ste 300 Denison, TX 75020-4587 903-416-6010 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 02:31:52 UV 2.16.840.1.113883.3.4096 tcmadill TC Madill OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director TC Madill 500 Brookside Drive Madill, OK 73446-0847 580-795-5506 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 02:33:43 UV 2.16.840.1.113883.3.4097 tcob TC OB OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director TC OB 5012 S US Hwy 75, Ste 240 Denison, TX 75020-4588 903-416-6260 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 02:34:57 UV 2.16.840.1.113883.3.4098 tcpeds TC Peds OID Root Edju Ewasko masked Edju Ewasko 367 S Gulph Rd King of Prussia, PA 19406-3121 (610) 382-4716 masked Regional Director TC Peds 5012 S US Hwy 75, Ste 300 Denison, TX 75020-4587 903-416-6025 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 02:36:12 UV 2.16.840.1.113883.3.2625.1040 ima-grove Internal Medicine Associates - Grove Thomas Hartman masked Thomas Hartman 5300 N. Independance Suite 260 OKC, OK, 73112 405-618-8415 masked Solutions Architect Internal Medicine Associates 900 E. 13th Suite 101 Grove OK 74344 (918) 786-9900 Thomas.Hartman@Integrisok.com http://Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 Complete 2.16.840.1.113883.3.2625.1040 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 02:41:23 UV 2.16.840.1.113883.3.4099 nadeemullah Nadeem Ullah MD LLC Nadeem Ullah masked Nadeem Ullah 5177681225 masked Sole Proprieter Nadeem Ullah MD LLC 720 W Franklin Street Suite #2 Jackson MI 49201 5177681225 nadeemullah@sbcglobal.net SDO Int 3 Complete 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 02:38:30 UV 2.16.840.1.113883.3.2625.1041 igec-grove Integris Grove Express Care - Grove Thomas Hartman masked Thomas Hartman 5300 N. Independance Suite 260 OKC, OK, 73112 405-618-8415 masked Solutions Architect Integris Grove Express Care 10 East 13th Grove, OK, 74344 918-786-1909 Thomas.Hartman@Integrisok.com http://Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 Complete 2.16.840.1.113883.3.2625.1041 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 02:43:03 UV 2.16.840.1.113883.3.2625.1042 ssc-miami Sunshine Clinic Miami Thomas Hartman masked Thomas Hartman 5300 N. Independence Suite 260 OKC, OK, 73112 405-618-8415 masked Solutions Architect Sunshine Clinc 310 2nd Ave SW Suite 105-B Miami, OK, 74354 (918) 540-7634 Thomas.Hartman@Integrisok.com http://Integrisok.com Provider 2.16.840.1.113883.3.2625 Ext 14 Complete 2.16.840.1.113883.3.2625.1042 2013/12/09 12:00:00 2014/03/16 12:00:00 2014/03/16 02:45:07 UV 2.16.840.1.113883.3.4100 mcabradentoncardio MCA Bradenton Cardio OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked MCA Bradenton Cardio 316 Manatee Ave West Bradenton, FL 34205-8805 9417482277 Edju.Ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 02:48:48 UV 2.16.840.1.113883.3.4101 nnmgfallon200 NNMG Fallon 200 OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked NNMG Fallon 200 1020 New River Pkwy Ste 200 Fallon, NV 89406 7754282633 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 02:50:35 UV 2.16.840.1.113883.3.4102 nnmgfallon301 NNMG Fallon 301 OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked NNMG Fallon 301 1020 New River Pkwy Ste 301 Fallon, NV 89406-7811 7754282150 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 02:55:52 UV 2.16.840.1.113883.3.4103 vccobgynnolana VCC OBGYN Nolana oid root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked VCC OBGYN Nolana 1309 E Nolana Ave Suite C McAllen,TX 78504-6190 9566826146 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 02:57:43 UV 2.16.840.1.113883.3.4104 nnmgiondrive NNMG Ion Drive OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked NNMG Ion Drive 5070 Ion Drive Ste 200 Sparks, NV 89436-1654 7753525335 Edju.Ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 02:59:43 UV 2.16.840.1.113883.3.4105 nnmglasvegas NNMG Las Vegas OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked NNMG Las Vegas 3802 Meadows Lane Las Vegas, NV 89107-3112 7023138446 Edju.Ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 03:00:45 UV 2.16.840.1.113883.3.4106 vccriogrande VCC Rio Grande OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked VCC Rio Grande 201N FM 3167 Suite 106 Rio Grande City,TX 78582-6725 9566304161 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 03:03:47 UV 2.16.840.1.113883.3.4107 nnmglosaltos NNMG Los Altos OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked NNMG Los Altos 5975 Los Altos Pkwy Ste 100 Sparks, NV 89436-7699 7753523080 Edju.Ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 03:04:59 UV 2.16.840.1.113883.3.4108 nnmgprater100 NNMG Prater 100 OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked NNMG Prater 100 2345 E Prater Way Ste 100 Sparks, NV 89434-9664 7753525353 Edju.Ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 03:06:56 UV 2.16.840.1.113883.3.4109 nnmgprater205 NNMG Prater 205 OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked NNMG Prater 205 2385 E Prater Way Ste 205 Sparks, NV 89434-9688 7753564888 Edju.Ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 03:08:27 UV 2.16.840.1.113883.3.4110 vcctrauma VCC Trauma OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked VCC Trauma 1801 S. 5th St.Suite 207 McAllen,TX 78503-2932 9566310393 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 03:13:54 UV 2.16.840.1.113883.3.4111 vccweslaco VCC Weslaco OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked VCC Weslaco 2017 W. Expressway 83 Unit 1 & 2 WeslacoTX 785964304 9569695995 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 03:15:48 UV 2.16.840.1.113883.3.4112 vccwlsc VCC WLSC OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked VCC WLSC 416 Lindberg Ave. Suite B McAllen,TX 78501-2922 9566641616 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 03:17:29 UV 2.16.840.1.113883.3.4113 vcc413lindberg VCC 413 Lindberg OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked VCC 413 Lindberg 413 Lindberg Avenue McAllen,TX 78501-2921 9566687770 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 03:18:57 UV 2.16.840.1.113883.3.4114 vcceridgerdste5 VCC E Ridge Rd Ste 5 OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked VCC E Ridge Rd Ste 5 1200 E Ridge RdSuite 5 McAllen,TX 78503-1528 9566619300 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 03:20:11 UV 2.16.840.1.113883.3.4115 vccfaculty VCC Faculty OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked VCC Faculty 205 E. Toronto Ave McAllen, TX 78503-1209 9566876155 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 03:21:59 UV 2.16.840.1.113883.3.4116 nnmgprater207 NNMG Prater 207 OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked NNMG Prater 207 2345 E Prater Way Ste 207 Sparks, NV 89434-9634 7753564547 Edju.Ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 03:23:42 UV 2.16.840.1.113883.3.4117 vccfalfurrias VCC Falfurrias OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked Edju Ewasko 500 East Ridge Road Suite 300 McAllen, TX 78503-1508 9566305522 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 03:26:05 UV 2.16.840.1.113883.3.4118 nnmgprater302 NNMG Prater 302 OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked NNMG Prater 302 2385 E Prater Way Ste 302 Sparks, NV 89434-9638 7753564514 Edju.Ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 03:27:23 UV 2.16.840.1.113883.3.4119 mhcdyke215 MHC Dyke 215 OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked MHC Dyke 215 1801 S. 5th Street Suite 215 McAllen, TX 78503-2932 9566871581 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 03:28:48 UV 2.16.840.1.113883.3.4120 nnmgreno NNMG Reno OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked NNMG Reno 5575 Kietzke Lane Reno, NV 89511-2290 7758511505 Edju.Ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 03:30:55 UV 2.16.840.1.113883.3.4121 nnc-bishop NNC - Bishop OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked NNC - Bishop 644 West Line Street Bishop, CA 93514-3315 7753564514 Edju.Ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 03:35:34 UV 2.16.840.1.113883.3.4122 nnc-susanville NNC - Susanville OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked NNC - Susanville 1680 Bunyan Road Susanville, CA 96130-3133 7753564514 Edju.Ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 03:36:41 UV 2.16.840.1.113883.3.4123 stmfairviewclinic STM Fairview Clinic OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked STM Fairview Clinic 519 E State Road Fairview, OK 73737-1458 5802272585 Edju.Ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 03:37:46 UV 2.16.840.1.113883.3.4124 stmfamilymed STM Family Med OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked STM Family Med 314 E Owen K Garriott Rd Enid, OK 73701-5712 5802493795 Edju.Ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 03:40:22 UV 2.16.840.1.113883.3.4125 mhcheartclinic MHC Heart Clinic OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked MHC Heart Clinic 500 East Ridge Road Suite 300 McAllen, TX 78503-1508 9566305522 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 03:41:38 UV 2.16.840.1.113883.3.4126 stmfamilyphysician STM Family Physician OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked STM Family Physician 3517 W Owen K Garriott Suite 4 Enid, OK 73703 5802335553 Edju.Ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 03:43:22 UV 2.16.840.1.113883.3.4127 mhcmission2121 MHC Mission 2121 OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked MHC Mission 2121 2121 East Griffin ParkwaySuite 13 Mission, TX 78572-3072 9564243888 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 03:45:16 UV 2.16.840.1.113883.3.4128 stminternal STM Internal OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked STM Internal 330 E Cherokee Ave Enid, OK 73701-5714 5802493904 Edju.Ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 03:46:45 UV 2.16.840.1.113883.3.4129 mhcrgc201 MHC RGC 201 OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked MHC RGC 201 201 N. FM 3167 Suite 106 Rio Grande City, TX 78582-6725 9562631785 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 03:48:18 UV 2.16.840.1.113883.3.4130 stmkingfisherfam STM Kingfisher Fam OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked STM Kingfisher Fam 1100 Hospital Circle Kingfisher, OK 73750 4053752350 Edju.Ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 03:50:06 UV 2.16.840.1.113883.3.4131 mhcrgc2768 MHC RGC 2768 OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked MHC RGC 2768 2768 Pharmacy Road Rio Grande City, TX 78582-6201 9564875621 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 03:51:32 UV 2.16.840.1.113883.3.4132 mhcrgc5324 MHC RGC 5324 OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked MHC RGC 5324 5324 E. US Highway 83 Suite 3, Bldg BRio Grande City, TX 78582-9408 9564875175 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 03:53:44 UV 2.16.840.1.113883.3.4133 monroegastro Monroe Gastroenterology Clinic Dawn Bondy masked Dawn Bondy 1042 N. Monroe St. Monroe, MI 48162 734.240.4870 masked Office Manager Monroe Gastroenterology Clinic 1042 N. Monroe St. Monroe, MI 48162 734.240.4870 dawn.bondy@monroegastro.com https://www.monroegastro.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 03:56:04 UV 2.16.840.1.113883.3.4134 mhcweslaco902 MHC Weslaco 902 OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked MHC Weslaco 902 902 South Airport DriveSuite 5 Weslaco, TX 78596-6649 9569691222 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 04:14:50 UV 2.16.840.1.113883.3.4135 wpamedicalparkste100 WPA Medical Park Ste 100 OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked WPA Medical Park Ste 100 1397 Medical Park BlvdSuite 100 Wellington, FL 33414-3187 5617981515 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 04:16:51 UV 2.16.840.1.113883.3.4136 vccobgyn5thst VCC OBGYN 5th St OID Root Edju Ewasko masked Edju Ewasko (610) 382-4716 masked VCC OBGYN 5th St 1801 S. 5th St.Suite 209 McAllen, TX 78503-2932 9566310223 edju.ewasko@uhsinc.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 04:18:16 UV 2.16.840.1.113883.3.4137 bgt The Greater Hudson Valley Family Health Center at Blooming Grove Turnpike Fabianni Builes masked Brandon Brock Brandon Brock 91 Blooming Grove Turnpike New Windsor, NY 12553 (845) 220-2074 masked Senior Data Analyst The Greater Hudson Valley Family Health Center at Blooming Grove Turnpike 91 Blooming Grove Turnpike New Windsor, NY 12553 helpdesk@ghvfhc.org http://www.ghvfhc.org Provider 2.16.840.1.113883.3.3674 Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 04:20:21 UV 2.16.840.1.113883.3.4138 hlf The Greater Hudson Valley Family Health Center at Highland Falls Fabianni Builes masked Brandon Brock Brandon Brock 91 Blooming Grove Turnpike New Windsor, NY 12553 (845) 220-2074 masked Senior Data Analyst The Greater Hudson Valley Family Health Center at Highland Falls helpdesk@ghvfhc.org http://www.ghvfhc.org Provider 2.16.840.1.113883.3.3674 Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 04:21:35 UV 2.16.840.1.113883.3.4139 hhi The Greater Hudson Valley Family Health Center Harper Health for Individuals & Families in Transition Fabianni Builes masked Brandon Brock Brandon Brock 290 Broadway Suites 2 & 3 Newburgh, NY 12550 (845) 561-3759 masked Senior Data Analyst The Greater Hudson Valley Family Health Center Harper Health for Individuals & Families in Transitio helpdesk@ghvfhc.org http://www.ghvfhc.org Provider 2.16.840.1.113883.3.3674 Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 04:23:41 UV 2.16.840.1.113883.3.4140 cfr The Greater Hudson Valley Family Health Center Center for Recovery Fabianni Builes masked Brandon Brock Brandon Brock 3 Commercial Place Newburgh, NY 12550 (845) 220-2146 masked Senior Data Analyst The Greater Hudson Valley Family Health Center Center for Recovery 100 Broadway Newburgh, NY 12550 helpdesk@ghvfhc.org http://www.ghvfhc.org Provider 2.16.840.1.113883.3.3674 Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 04:25:47 UV 2.16.840.1.113883.3.4141 den The Greater Hudson Valley Family Health Center Lipman Family Dental Center Fabianni Builes masked Brandon Brock Brandon Brock 100 Broadway Newburgh, NY 12550 (845) 569-8412 masked Senior Data Analyst The Greater Hudson Valley Family Health Center Lipman Family Dental Center helpdesk@ghvfhc.org http://www.ghvfhc.org Provider 2.16.840.1.113883.3.3674 Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 04:27:33 UV 2.16.840.1.113883.3.4142 adv-amgclinicare Advocate Healthcare AMG CliniCare Application Reneisha Jenkins masked Reneisha Jenkins 630-575-3346 masked Advocate Health Care - AMG 1400 Kensington Oak Brook, IL 630-575-3346 reneisha.jenkins@advocatehealth.com Prof Soc Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 04:28:58 UV 2.16.840.1.113883.3.2727.1002.1 ahc-ASH Advocate Health Care-ASH Paulette Duong masked Paulette Duong 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 masked Technical Project Manager Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3285 paulette.duong@advocatehealth.com HL7 body 2.16.840.1.113883.3.2727 Ext 17 Complete 2.16.840.1.113883.3.2727.1002.1 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 04:32:54 UV 2.16.840.1.113883.3.4143 nephrologycenter Paragon Health, PC aba Nephrology Center, PC Ruth Broadhurst masked Ruth Broadhurst 521 E. Michigan Ave. Ste 201 2692262656 masked Manager Paragon Health, PC dba Nephrology Center, PC 521 E. Michigan Ave, Ste 201 Kalamazoo, MI 49007 2692262656 rbroadhurst@nephrologycenter.com Provider Int 3 Complete 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 04:30:48 UV 2.16.840.1.113883.3.3991.1 sparrowmain Sparrow Main Hospital Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/25 08:50:43 UV 2.16.840.1.113883.3.1070.5596 mckesson-fusion-5596 mckesson-fusion-5596 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5596 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 04:36:56 US 2.16.840.1.113883.3.1070.5404 mckesson-fusion-5404 mckesson-fusion-5404 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5404 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 04:38:51 US 2.16.840.1.113883.3.1070.5604 mckesson-fusion-5604 mckesson-fusion-5604 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5604 2013/12/10 12:00:00 2014/03/16 12:00:00 2014/03/16 04:39:58 US 2.16.840.1.113883.3.4144 oSolanticCorp Solantic Corporation Michael Lakeman masked Michael Lakeman 115 East Park Drive, Suite 300 Brentwood, TN 37027 615-600-4140 masked CIO Solantic Corporation 115 East Park Drive, Suite 300 Brentwood, TN 37027 615-600-4100 mike.lakeman@carespot.com https://www.carespot.com Provider Int 3 Complete 2013/12/11 12:00:00 2014/03/16 12:00:00 2014/03/16 04:42:21 UV 2.16.840.1.113883.3.4145 edwardrobles Edward C. Robles MD PLLC Denise Robles masked Denise Robles 517-529-2073 masked Edward C. Robles MD PLLC 1418 E Michigan Ave Jackson, MI 49202 517-782-6055 swimbikerunhoop@gmail.com Provider Int 3 Complete 2013/12/11 12:00:00 2014/03/16 12:00:00 2014/03/16 05:12:33 UV 2.16.840.1.113883.3.4144.1.1 oSolanticJacksonville Solantic Corporation Jacksonville Michael Lakeman masked Michael Lakeman 115 East Park Drive, Suite 300 Brentwood, TN 37027 615-600-4140 masked CIO Solantic Corporation 115 East Park Drive, Suite 300 Brentwood, TN 37027 615-600-4140 mike.lakeman@carespot.com https://www.carespot.com Provider 2.16.840.1.113883.3.4144 Ext 17 Complete 2.16.840.1.113883.3.4144.1.1 2013/12/11 12:00:00 2014/03/16 12:00:00 2014/03/16 05:14:50 UV 2.16.840.1.113883.3.3991.1000 smg-potterville Sparrow Medical Group Potterville Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1000 2013/12/11 12:00:00 2014/03/16 12:00:00 2014/03/25 08:51:15 UV 2.16.840.1.113883.3.4146 specktech Speck Technologies Micheal Speck masked Micheal 17523 Narragansett Avenue Lakewood, OH 44107 2165705409 masked Owner Speck Technologies 17523 Narragansett Avenue Lakewood, OH 44107 2165705409 mike@speck-technologies.com http://www.speck-technologies.com Vendor Int 3 3 Complete 2013/12/11 12:00:00 2014/03/16 12:00:00 2014/03/16 05:20:32 UV 2.16.840.1.113883.3.4147 williamljordan Dr. William L. Jordan M.D. LaTerra Twyman masked LaTerra L Twyman 12900 w 9 mile road Oak Park, MI 48237 248-547-9292 masked Office Manager William L. Jordan M.D. 12900 w 9 mile road Oak Park, MI 48237 248-547-9292 laterratwyman@yahoo.com Provider Int 3 Complete 2013/12/11 12:00:00 2014/03/16 12:00:00 2014/03/16 05:23:04 UV 2.16.840.1.113883.3.3991.1001 marinas Erminda M Marinas MD Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1001 2013/12/11 12:00:00 2014/03/16 12:00:00 2014/03/25 08:51:31 UV 2.16.840.1.113883.3.3991.1002 isc-acacia-yoon ISC Acacia Yoon Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1002 2013/12/11 12:00:00 2014/03/16 12:00:00 2014/03/25 08:51:47 UV 2.16.840.1.113883.17.3890 eastside Eastside Cardiovascular Medicine Nancy Thomas masked dcsdetroit@sbcglobal.net Nancy Thomas 25195 Kelly Road Roseville, MI 48066 586-775-4594 masked Administrator Eastside Cardiovascular Medicine, P.C. 25195 Kelly Road Roseville, MI 48066 586-775-4594 nancythomas926@sbcglobal.net http://www.eastsidecardiovascular.com Provider Int 17 Complete 2013/12/11 12:00:00 2014/03/16 12:00:00 2014/03/16 05:40:11 UV 2.16.840.1.113883.3.1070.5623 mckesson-fusion-5623 mckesson-fusion-5623 Michelle Banks masked Fusion Enrollment 8775074541 masked Fusion Enrollment michelle.banks@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5623 2013/12/11 12:00:00 2014/03/16 12:00:00 2014/03/16 05:42:18 US 2.16.840.1.113883.3.1070.5612 mckesson-fusion-5612 mckesson-fusion-5612 Michelle Banks masked Fusion Enrollment 8775074541 masked Fusion Enrollment michelle.banks@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5612 2013/12/11 12:00:00 2014/03/16 12:00:00 2014/03/16 05:46:33 US 2.16.840.1.113883.3.4148 niagaraCountyMentalHealth Niagara County Department of Mental Health Timothy Deeks masked Timothy Deeks 5467 Upper Mountain Rd. Ste. 200 Lockport, NY 14094 716-439-7410 masked Supervisor of Clinical Services Niagara County Department of Mental Health 5467 Upper Mountain Rd. Ste. 200 Lockport, NY 14094 716-439-7410 NCDMH@NiagaraCounty.com http://www.niagaracounty.com/Departments/MentalHealthServices.aspx Govt body Int 3 Complete 2013/12/11 12:00:00 2014/03/16 12:00:00 2014/03/16 05:51:43 UV 2.16.840.1.113883.3.3991.1003 smg-north Sparrow Medical Group North Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1003 2013/12/11 12:00:00 2014/03/16 12:00:00 2014/03/25 08:44:52 UV 2.16.840.1.113883.3.3991.1004 sparrow-diabetes-services Sparrow Diabetes Services Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1004 2013/12/11 12:00:00 2014/03/16 12:00:00 2014/03/25 08:46:13 UV 2.16.840.1.113883.3.3991.1005 sjpa-surgery St. John's Professional Associates Surgery Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1005 2013/12/11 12:00:00 2014/03/16 12:00:00 2014/03/25 08:46:34 UV 2.16.840.1.113883.3.3991.1006 sjpa St. John's Professional Associates Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1006 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 03:08:49 UV 2.16.840.1.113883.3.3991.1007 sparrow-perinatal-ctr Sparrow Perinatal Center Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1007 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 03:09:58 UV 2.16.840.1.113883.9.99 acmhnyc ACMH, Inc. Dritan Bungo masked Patrick O'Quinn Patrick O'Quinn ACMH, Inc. (formerly The Association for Rehabilitative Case Management and Housing, Inc.) 254 W. 31st Street, 9th Floor New York, NY 10001 212 274 8558 x 230 masked Senior Director for Care Management and Program Development ACMH, Inc. ACMH, Inc. (formerly The Association for Rehabilitative Case Management and Housing, Inc.) 254 W. 31st Street, 9th Floor New York, NY 10001 212 274 8558 registrations@acmhnyc.org http://www.acmhnyc.org Provider Int 3 Complete 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 03:14:52 UV 2.16.840.1.113883.3.3991.1008 smg-west Sparrow Medical Group West Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1008 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 03:16:26 UV 2.16.840.1.113883.3.3991.1009 sparrow-weight-mgmt Sparrow Weight Management Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1009 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 03:18:16 UV 2.16.840.1.113883.3.4149 kostecke kostecke OID Root Rekha Kostecke masked Rekha Kostecke, M.D 1550 N. Milford Rd Suite 307 Milford, MI 48381 2486760991 masked Rekha Kostecke, M.D PC 1550 N. Milford Rd Suite 307 Milford, MI 48381 2486760991 drkostecke1550@comcast.net Provider Int 3 Complete 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 03:20:57 UV 2.16.840.1.113883.3.3991.1010 smg-lansing Sparrow Medical Group Lansing Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1010 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 03:22:20 UV 2.16.840.1.113883.3.4150 mody mody OID Root Nilam Mody masked Nilam Mody 10832 Laurel St, Ste 101 Rancho Cucamonga, CA 91730 909-477-3015 masked Office Manager Vatsal Haren Mody M.D., Inc. 10832 Laurel St, Ste 101 Rancho Cucamonga, CA 91730 909-477-3015 nilammody@yahoo.com Provider Int 3 Complete 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 03:24:46 UV 2.16.840.1.113883.3.4151 hsofl Health Specialists of Lenawee, P.C. Doris Goodlock masked Doris Goodlock 6869 Occidental Hwy Tecumseh, MI 49286 517-423-4777 masked CEO Health Specialists of Lenawee, P.C. 6869 Occidental Hwy Tecumseh, MI 49286 517-423-4777 dgoodlock@hsofl.com Provider Int 3 Complete 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 03:27:17 UV 2.16.840.1.113883.3.4152 capecodpodiatry Michael K. Gavigan, D.P.M oid root Cynthia Lawrence masked Cynthia Lawrence 4 Barlows Landing Road Pocasset, Ma 02559 508-563-7133 masked Medical Biller Michael K. Gavigan D.P.M 4 Barlows Landing Road Pocasset, Ma. 02559 508-563-7133 capecodpodiatry@comcast.net Provider Int 3 Complete 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 03:28:40 UV 2.16.840.1.113883.3.3991.1011 smg-dewitt Sparrow Medical Group Dewitt Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1011 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 03:36:49 UV 2.16.840.1.113883.3.3991.1012 sparrow-wound-clinic Sparrow Wound & Hyperbaric Clinic Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1012 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 03:37:59 UV 2.16.840.1.113883.3.3991.1013 smg-lansing-int-med Sparrow Medical Group Lansing Internal Medicine Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1013 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 03:39:25 UV 2.16.840.1.113883.3.4153 ctriver Connecticut River Internists, LLP Lori Walsh masked Lori Walsh 8 Burnham Street Turners Falls, MA 01376 413-774-5554 masked Practice Manager Connecticut River Internists, LLP 8 Burnham Street Turners Falls, MA 01376 413-774-5554 loriw@ctriverinternists.com http://www.ctriverinternists.com Provider Int 3 Complete 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 03:32:16 UV 2.16.840.1.113883.3.3991.1014 smg-bariatric-surgery Sparrow Medical Group Bariatric Surgery Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1014 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 03:43:33 UV 2.16.840.1.113883.3.4154 medsouth Med-South Associates PC OID Root Elizabeth Childs masked Elizabeth Childs 6572 River Park Dr., Suite 102 Riverdale, GA 30274 (770) 996-9400 ext 307 masked Billing Manager Med-South Associates PC 6572 River Park Dr., Suite 102 Riverdale, GA 30274 (770) 996-9400 medsouthassociates@yahoo.com Provider Int 3 Complete 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 03:33:43 UV 2.16.840.1.113883.3.3991.1015 sfhc-central Sparrow Family Health Center - Central Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1015 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 03:49:54 UV 2.16.840.1.113883.3.3991.1016 sfhc-mason Sparrow Family Health Center - Mason Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave. Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1016 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 03:51:16 UV 2.16.840.1.113883.3.3991.1017 sfhc-portland Sparrow Family Health Center - Portland Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd. East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave. Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1017 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 03:52:57 UV 2.16.840.1.113883.3.3991.1018 tbc-family Tony Balice Family Practice Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd. East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave. Lansing, MI 48912 517.862.0361 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1018 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 03:54:58 UV 2.16.840.1.113883.3.3991.1019 tbc-ortho Tony Balice Ortho Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd. East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1019 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 03:56:40 UV 2.16.840.1.113883.3.3991.1020 tbc-surgery Tony Balice Surgery Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd. East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1020 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 03:59:51 UV 2.16.840.1.113883.3.3991.1021 tbc-walk-in-clinic Tony Balice Walk In Clinic Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd. East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave. Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1021 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 04:01:05 UV 2.16.840.1.113883.3.3991.1022 tbc-neurology Tony Balice Neurology Ionia Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1022 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 04:02:16 UV 2.16.840.1.113883.3.3991.1023 sparrow-midwest-obgyn Sparrow Midwest OB/GYN Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd. East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave. Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991.1023 Ext 17 Complete 2.16.840.1.113883.3.3991.1023 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 04:04:27 UV 2.16.840.1.113883.3.3991.1024 sparrow-obgyn-womens-ctr Sparrow OB/GYN Women's Center Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd. East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave. Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1024 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 04:05:34 UV 2.16.840.1.113883.3.3991.1025 smg-eastside Sparrow Medical Group Eastside Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd. East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave. Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1025 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 04:07:12 UV 2.16.840.1.113883.3.3991.1026 smg-okemos Sparrow Medical Group Okemos Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1026 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 04:08:22 UV 2.16.840.1.113883.3.3991.1027 ped-subsp-clinic Pediatric Sub Specialty Clinics Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1027 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 04:09:59 UV 2.16.840.1.113883.3.3991.1028 smg-specialists Sparrow Medical Group Specialists Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd. East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave. Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1028 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 04:11:27 UV 2.16.840.1.113883.3.3991.1029 ooooo Outpatient Behavioral Health Clinic Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd. East Lansing, 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1029 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/06/27 10:36:35 UV 2.16.840.1.113883.3.3991.1030 lansing-obgyn-lansing Lansing OB/GYN Associates Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd. East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave. Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1030 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 04:15:49 UV 2.16.840.1.113883.3.3991.1031 lansing-obgyn-okemos Lansing OB/GYN Associates Okemos Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd. Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave. Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1031 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 04:17:03 UV 2.16.840.1.113883.3.3991.1032 smg-mason Sparrow Medical Group Mason Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd. East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.5210 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1032 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 04:19:07 UV 2.16.840.1.113883.3.3991.100 mason-urgent-care Mason Urgent Care Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.100 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 04:21:21 UV 2.16.840.1.113883.3.3991.101 el-urgent-care East Lansing Urgent Care Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd. East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave. Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.101 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 04:22:28 UV 2.16.840.1.113883.3.3751.3 iha-neurology IHA Neurology Gwendolyn Bland masked Gwen Bland 24 Frank Lloyd Wright Lobby J2000 Ann Arbor, MI 48106 734-623-2851 masked IT Manager IHA Neurology gwendolyn_bland@ihacares.com https://ihacares.com SDO 2.16.840.1.113883.3.3751 Ext 17 Complete 2.16.840.1.113883.3.3751.3 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 04:24:53 UV 2.16.840.1.113883.3.3751.4 iha-surgery IHA Surgery Gwendolyn Bland masked Gwendolyn Bland 24 Frank Lloyd Wright Dr. Lobby J2000 Ann Arbor, MI 48106 734-623-2851 masked IT Manager IHA Surgery gwendolyn_bland@ihacares.com https://ihacares.com SDO 2.16.840.1.113883.3.3751 Ext 17 Complete 2.16.840.1.113883.3.3751.4 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 04:26:19 UV 2.16.840.1.113883.3.3751.5 iha-surgerychelsea IHA Surgery Chelsea Gwendolyn Bland masked Gwendolyn Bland 24 Frank Lloyd Wright Dr. Lobby J2000 Ann Arbor, MI 48106 734-623-2851 masked IT Manager IHA Surgery Chelsea gwendolyn_bland@ihacares.com https://ihacares.com SDO 2.16.840.1.113883.3.3751 Ext 17 Complete 2.16.840.1.113883.3.3751.5 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 04:27:47 UV 2.16.840.1.113883.3.3751.6 iha-surgerybrighton IHA Surgery Brighton Gwendolyn Bland masked Gwendolyn Bland 24 Frank Lloyd Wright Dr. Lobby J2000 Ann Arbor, MI 48106 734-623-2851 masked IT Manager IHA Surgery Brighton gwendolyn_bland@ihacares.com https://ihacares.com SDO 2.16.840.1.113883.3.3751 Ext 17 Complete 2.16.840.1.113883.3.3751.6 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 04:29:55 UV 2.16.840.1.113883.3.3751.7 iha-hemonc IHA HemOnc Gwendolyn Bland masked Gwendolyn Bland 24 Frank Lloyd Wright Dr. Lobby J2000 Ann Arbor, MI 48106 734-623-2851 masked IT Manager IHA HemOnc gwendolyn_bland@ihacares.com https://ihacares.com SDO 2.16.840.1.113883.3.3751 Ext 17 Complete 2.16.840.1.113883.3.3751.7 2013/12/11 12:00:00 2014/03/29 12:00:00 2014/03/29 04:31:35 UV 2.16.840.1.113883.9.100 mealtracker MealTrackerDietarySoftware Darcy Beckstrom masked Darcy Beckstrom 9 Church Street Suite 202 Hornell, NY 14843 607-484-0909 masked President MealTracker Dietary Software 9 Church Street Suite 202 Hornell, NY 14843 6073242599 darcy@mealtracker.com http://www.mealtracker.com Vendor Int 3 Complete 2013/12/12 12:00:00 2014/03/29 12:00:00 2014/03/29 04:35:45 US 2.16.840.1.113883.3.4155 healthecommunities Healthe Communities OID Root Lawrence Burger masked Lawrence Burger 2800 Rockcreek Parkway Kansas City, MO 64153 816-982-7084 masked Technology Architect Healthe Communities 2800 Rockcreek Parkway Kansas City, MO 64153 816-982-7084 lburger@cerner.com Provider Int 3 Complete 2013/12/12 12:00:00 2014/03/29 12:00:00 2014/03/29 04:37:13 UV 2.16.840.1.113883.3.3991.9000 sCVTS-SPB Sparrow Cardiovascular Thoracic Surgery Christina Bresnahan masked Rudie Noble Rudie Noble 517.483.7590 masked STCI's Director of IT Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.9000 2013/12/12 12:00:00 2014/03/29 12:00:00 2014/03/29 04:41:08 UV 2.16.840.1.113883.3.3991.9001 sTCI-Greenlawn Sparrow Thoracic Cardiovascular Institute-Greenlawn Christina Bresnahan masked Rudie Noble Rudie Noble 517.483.7590 masked STCI's Director of IT Sparrow Health System 1215 E. Michigan Ave. Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.9001 2013/12/12 12:00:00 2014/03/29 12:00:00 2014/03/29 04:43:01 UV 2.16.840.1.113883.3.3991.9002 sTCI-SPB Sparrow Thoracic Cardiovascular Institute-SPB Christina Bresnahan masked Rudie Noble Rudie Noble 517.483.7590 masked STCI's Director of IT Sparrow Health System 1215 E. Michigan Ave. Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.9002 2013/12/12 12:00:00 2014/03/29 12:00:00 2014/03/29 04:44:23 UV 2.16.840.1.113883.3.3991.9003 sTCI-Owosso Sparrow Thoracic Cardiovascular Institute-Owosso Christina Bresnahan masked Rudie Noble Rudie Noble 517.483.7590 masked STCI's Director of IT Sparrow Health System 1215 E. Michigan Ave. Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.9003 2013/12/12 12:00:00 2014/03/29 12:00:00 2014/03/29 04:45:44 UV 2.16.840.1.113883.3.3991.9004 sTCI-StJohns Sparrow Thoracic Cardiovascular Institute-St. Johns Christina Bresnahan masked Rudie Noble Rudie Noble 517.483.7590 masked STCI's Director of IT Sparrow Health System 1215 E. Michigan Ave. Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.9004 2013/12/12 12:00:00 2014/03/29 12:00:00 2014/03/29 04:46:58 UV 2.16.840.1.113883.3.3991.9005 sTCI-Ionia Sparrow Thoracic Cardiovascular Institute-Ionia Christina Bresnahan masked Rudie Noble Rudie Noble 517.483.7590 masked STCI's Director of IT Sparrow Health System 1215 E. Michigan Ave. Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.9005 2013/12/12 12:00:00 2014/03/29 12:00:00 2014/03/29 04:48:58 UV 2.16.840.1.113883.3.3991.9006 sTCI-Charlotte Sparrow Thoracic Cardiovascular Institute-Charlotte Christina Bresnahan masked Rudie Noble Rudie Noble 517.483.7590 masked STCI's Director of IT Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.9006 2013/12/12 12:00:00 2014/03/29 12:00:00 2014/03/29 04:50:20 UV 2.16.840.1.113883.3.3991.9007 sTCI-CarsonCity Sparrow Thoracic Cardiovascular Institute-Carson City Christina Bresnahan masked Rudie Noble Rudie Noble 517.483.8427 masked STCI's Director of IT Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.9007 2013/12/12 12:00:00 2014/03/29 12:00:00 2014/03/29 04:51:53 UV 2.16.840.1.113883.3.3991.9008 sTCI-MtPleasant Sparrow Thoracic Cardiovascular Institute-Mt. Pleasant Christina Bresnahan masked Rudie Noble Rudie Noble 517.483.7590 masked STCI's Director of IT Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.9008 2013/12/12 12:00:00 2014/03/29 12:00:00 2014/03/29 04:53:31 UV 2.16.840.1.113883.3.3991.9009 sTCI-EatonRapids Sparrow Thoracic Cardiovascular Institute-Eaton Rapids Christina Bresnahan masked Rudie Noble Rudie Noble 517.483.7590 masked STCI's Director of IT Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.9009 2013/12/12 12:00:00 2014/03/29 12:00:00 2014/03/29 04:54:35 UV 2.16.840.1.113883.3.3991.9010 sTCI-Williamston Sparrow Thoracic Cardiovascular Institute-Williamston Christina Bresnahan masked Rudie Noble Rudie Noble 517.483.7590 masked STCI's Director of IT Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.9010 2013/12/12 12:00:00 2014/03/29 12:00:00 2014/03/29 04:56:02 UV 2.16.840.1.113883.3.4156 mh150C Michelle Hall Michelle Hall masked Paul Lin Michelle Hall 150C Richmond Terr. Staten Island, NY 10302 718-420-1475 masked Michelle Hall 150C Richmond Terr. Staten Island, NY 10302 718-420-1475 Michelle_Hall@projecthospitality.org Provider Int 3 Complete 2013/12/12 12:00:00 2014/03/29 12:00:00 2014/03/29 04:59:05 UV 2.16.840.1.113883.3.4157 dcs DCS OID Christine Simmons masked sdunston@diasporacs.org Christine Simmons Diaspora Community services 182 4th Avenue, Brooklyn, NY 11217 718.399.0200 masked Diaspora Community Services Diaspora Community services 182 4th Avenue, Brooklyn, NY 11217 718.399.0200 csimmons@diasporacs.org http://www.diasporacs.org Provider Int 3 Complete 2013/12/12 12:00:00 2014/03/29 12:00:00 2014/03/29 05:01:34 UV 2.16.840.1.113883.3.4158 obsc Oakwood Brain & Spine Center Rhonda Dorton masked brittany.pullum@oakwood.org Rhonda Dorton 18181 Oakwood Blvd. Suite 403 Dearborn, MI 48124 313.996.7322 masked Practice Administrator Oakwood Brain & Spine Center 18181 Oakwood Blvd. Suite 403 Dearborn, MI 48124 313.982.5290 rhonda.dorton@oakwood.org Provider Int 3 Complete 2013/12/12 12:00:00 2014/03/29 12:00:00 2014/03/29 05:05:18 UV 2.16.840.1.113883.3.4159 pho-ngu PHONG NGUYEN PHONG NGUYEN masked phong nguyen PHONG NGUYEN OD 2402S AZUSA AVE WEST COVINA, CA 91792 6268104535 masked president PHONG NGUYEN phongnguyen70@hotmail.com Provider Int 3 Complete 2013/12/12 12:00:00 2014/03/29 12:00:00 2014/03/29 05:08:01 UV 2.16.840.1.113883.3.4160 banssia The organization of www.banssia.com Jayition Tony masked Jayition Tony (+86)15380754553 masked Jayition Tony 1101room TianZhu Buding, JingShengRoad ,Jiangning, Nanjing ,JiangSu, China (+86)15380754553 jayition@mail.com http://www.banssia.com SDO Int 3 Complete 2013/12/12 12:00:00 2014/03/29 12:00:00 2014/03/29 05:11:00 CN 2.16.840.1.113883.3.4161 bac-2013 Bridging Access to Care, Inc. Nurten Skoro masked Debra Milton Debra Milton 502 Bergen Street Brooklyn, NY 11217 3475055123 masked CQI Manager Bridging Access to Care, Inc. 502 Bergen street Brooklyn, NY 11217 3475055000 mwarner@bac-ny.org https://www.bac-ny.org Provider Int 3 Complete 2013/12/13 12:00:00 2014/03/29 12:00:00 2014/03/29 05:13:39 US 2.16.840.1.113883.3.4162 segagastro Southeast Georgia Gastroenterology OID Root Jennifer Rowell masked Jennifer Rowell P O Box 791 Waycross, GA 31501 912-284-1210 masked Practice Manager Southeast Georgia Gastroenterology P O Box 791 Waycross, GA 31501 912-284-1210 jenniferr@mediastreamus.net Provider Int 3 Complete 2013/12/13 12:00:00 2014/03/29 12:00:00 2014/03/29 05:16:30 UV 2.16.840.1.113883.3.4163 khs7866 Kidney and Hypertension Specialists PLLC Sherry Sprang masked Sherry Sprang 900 E Michigan Ave #104, Jackson, MI 49201 517-788-7866 masked office manager Kidney and Hypertension Specialists PLLC 900 E Michigan Ave #104, Jackson, MI 49201 5177887866 rvnageshmd@hotmail.com https://go.acumenehr.com Provider Int 3 Complete 2013/12/13 12:00:00 2014/03/29 12:00:00 2014/03/29 05:21:15 hl7 2.5.1 UV 2.16.840.1.113883.9.101 camba-hh CAMBA OID Kevin Muir masked Kevin Muir 19 Winthrop Street Brooklyn, NY 11238 718-462-8654 masked Vice President CAMBA 718-287-2600 zaidac@camba.org http://www.camba.org Provider Int 3 Complete 2013/12/13 12:00:00 2014/03/29 12:00:00 2014/03/29 05:24:21 US 2.16.840.1.113883.9.102 montrose Montrose Counseling Center Ann Robison masked Montrose Counseling Center Ann J Robison 401 Branard, 2nd Floor Houston, TX 77006 7138000900 masked Executive Director Montrose Counseling Center 401 Branard, 2nd Floor Houston, TX 77006 7135290037 info@montrosecenter.org http://www.montrosecenter.org Provider Int 3 Complete 2013/12/13 12:00:00 2014/03/29 12:00:00 2014/03/29 05:34:18 UV 2.16.840.1.113883.3.4164 whaowm Women's Health Associates of Western Mass, Inc. Lynne Goldberg masked Lynne Goldberg Women's Health Assoc.of Western MA, Inc 65 Springfield Rd. Westfield, MA 01085 413-562-8306 masked Bus. Mgr. Women's Health Assoc. of Western Ma, Inc. 65 Springfield Rd. Westfield, MA 01085 413-562-8306 lgoldberg@whaob-gyn.com https://www.whaob-gyn.com Provider Int 3 Complete 2013/12/13 12:00:00 2014/03/29 12:00:00 2014/03/29 05:36:11 UV 2.16.840.1.113883.3.4165 gec1404 Garrett Eye Center John Garrett masked Teri Mulka Dr. John M Garrett 9067741404 masked MD, FACS Garrett Eye Center 1301 Carpenter Ave Iron Mountain, MI 49801 9067741404 mulka.gec@outlook.com Provider Int 3 Complete 2013/12/13 12:00:00 2014/03/29 12:00:00 2014/03/29 05:38:18 UV 2.16.840.1.113883.3.3991.3991 sparrow-senior-health Sparrow Senior Health Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.3991 2013/12/13 12:00:00 2014/03/29 12:00:00 2014/03/29 05:41:16 UV 2.16.840.1.113883.3.3991.1034 smg-holt Sparrow Medical Group-Holt Christina Bresnahan masked Christina Bresnahan 1301 N. Hagadorn Rd East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1034 2013/12/13 12:00:00 2014/03/29 12:00:00 2014/03/29 05:42:25 UV 2.16.840.1.113883.3.4166 thefootcaregroup The Foot Care Group OID Root Steven Sharlin masked Dr. Steven Sharlin 1800 Hollister Drive, Suite 109 Libertyville, Illinois 60048 847-362-8848 masked DPM The Foot Care Group 1800 Hollister Drive, Suite 109 Libertyville, Illinois 60048 847-362-8848 thefootcaregroup@comcast.net Provider Int 3 Complete 2013/12/13 12:00:00 2014/03/29 12:00:00 2014/03/29 05:43:27 UV 2.16.840.1.113883.3.1070.5611 mckesson-fusion-5611 mckesson-fusion-5611 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5611 2013/12/13 12:00:00 2014/03/29 12:00:00 2014/03/29 05:46:33 US 2.16.840.1.113883.17.3891 shhAllentown Sacred Heart Healthcare System Cheryl Sullivan masked Dave Stoltz 421 Chew Street Allentown, PA 18102 610-776-4784 masked Interface Analyst Sacred Heart Hospital 421 Chew Steet Allentown, PA 18102 610-776-4500 dstoltz@shh.org http://www.shh.org Provider Int 17 Complete 2013/12/13 12:00:00 2014/03/29 12:00:00 2014/03/29 05:49:13 UV 2.16.840.1.113883.3.4167 wopmc Western Oh Podiatric Medical Center OID Root Paula Knecht masked Paula Knecht 415 West Russ Rd Greenville, OH 45331 9375481244 masked office manager Western Oh Podiatric Medical Center 415 West Russ Rd Greenville, OH 45331 9375481244 wopmcbiller@hotmail.com Provider Int 3 Complete 2013/12/13 12:00:00 2014/03/29 12:00:00 2014/03/29 05:50:31 UV 2.16.840.1.113883.3.3751.8 iha-neurology-domino IHA Neurology Domino Gwendolyn Bland masked Gwendolyn Bland 24 Frank Lloyd Wright Dr. Lobby J2000 Ann Arbor, MI 48106 734-623-2851 masked IT Manager IHA Neurology Domino gwendolyn_bland@ihacares.com https://ihacares.com SDO 2.16.840.1.113883.3.3751 Ext 17 Complete 2.16.840.1.113883.3.3751.8 2013/12/13 12:00:00 2014/03/29 12:00:00 2014/03/29 05:55:11 UV 2.16.840.1.113883.3.3751.11 iha-cardiovascularthoracic IHA Cardiovascular Thoracic Gwendolyn Bland masked Gwendolyn Bland 24 Frank Lloyd Wright Dr. Lobby J2000 Ann Arbor, MI 48106 734-623-2851 masked IT Manager IHA Cardiovascular Thoracic gwendolyn_bland@ihacares.com https://ihacares.com SDO 2.16.840.1.113883.3.3751 Ext 17 Complete 2.16.840.1.113883.3.3751.11 2013/12/13 12:00:00 2014/03/29 12:00:00 2014/03/29 05:59:21 UV 2.16.840.1.113883.3.3751.12 iha-dsa IHA DSA Gwendolyn Bland masked Gwendolyn Bland 24 Frank Lloyd Wright Dr. Lobby J2000 Ann Arbor, MI 48106 7-623-2851 masked IT Manager IHA DSA gwendolyn_bland@ihacares.com https://ihacares.com SDO 2.16.840.1.113883.3.3751 Ext 17 Complete 2.16.840.1.113883.3.3751.12 2013/12/13 12:00:00 2014/03/29 12:00:00 2014/03/29 06:00:49 UV 2.16.840.1.113883.3.3751.13 iha-dermatology IHA Dermatology Gwendolyn Bland masked IHA Dermatology 24 Frank Lloyd Wright Dr. Lobby J2000 Ann Arbor, MI 48106 734-623-2851 masked IT Manager IHA Dermatology gwendolyn_bland@ihacares.com https://ihacares.com SDO 2.16.840.1.113883.3.3751 Ext 17 Complete 2.16.840.1.113883.3.3751.13 2013/12/13 12:00:00 2014/03/29 12:00:00 2014/03/29 06:02:04 UV 2.16.840.1.113883.3.4168 calvin-college Calvin College Health Services Kelly Moore masked Barb Mustert Kelly Moore 3195 Knight Way SE Grand Rapids, MI 49546 616-526-6660 masked Office Manager Calvin College Health Services 3195 Knight Way SE Grand Rapids, MI 49546 616-526-6187 health@calvin.edu http://www.calvin.edu/health/ Academic Int 3 Complete 2013/12/16 12:00:00 2014/03/29 12:00:00 2014/03/29 06:04:38 UV 2.16.840.1.113883.3.4169 veno Venocure PLLC Laura Maldonado masked Laura Maldonado 313-562-3232 masked George Nahhas 2881 Monroe St, Dearborn, MI 48124 313-562-3232 gtnahhas@yahoo.com Provider Int 3 Complete 2013/12/16 12:00:00 2014/03/29 12:00:00 2014/03/29 06:06:23 UV 2.16.840.1.113883.9.103 copa Marc Community Resources HL7 Todd Gadomski masked Todd Gadomski 924 N Country Club Drive Mesa, AZ 85201 480-318-3957 masked IT Director Copa Health 924 N Country Club Drive Mesa, AZ 85201 480-318-3957 todd.gadomski@copahealth.org https://copahealth.org Provider Int 3 Complete 2013/12/16 12:00:00 2014/03/29 12:00:00 2023/03/30 12:36:16 US 2.16.840.1.113883.3.4170 spclinic Shepherd's Place Clinic, LLC Christine Thomas masked Christine Thomas 2316 NW 23rd Street Oklahoma City, OK 73107 4056053395 masked Office Manager Shepherd's Place Clinic 2316 NW 23rd Street Oklahoma City, OK 73107 4056053395 shepherdsplaceclinic@gmail.com Provider Int 3 Complete 2013/12/16 12:00:00 2014/03/29 12:00:00 2014/03/29 06:12:15 UV 2.16.840.1.113883.9.104 pir Partners In Recovery HL7 Todd Gadomski masked Todd Gadomski 924 N Country Club Drive Mesa, AZ 85201 4809693800 masked Director of IT Partners In Recovery 924 N Country Club Drive Mesa, AZ 85201 4809693800 todd.gadomski@azpir.org https://copahealth.org Provider Int 3 Complete 2013/12/16 12:00:00 2014/03/29 12:00:00 2025/04/14 07:12:05 US 2.16.840.1.113883.3.4171 gupta-oid gupta OID Root Pat Vitti masked Pat Vitti 11900 E. 12 Mile Rd. Suite #111 Warren, MI 48093 (586) 573-5300 masked Manager Bal K Gupta MD PC 11900 E. 12 Mile Rd. Suite #111 Warren, MI 48093 (586) 573-5300 bal.k.gupta@gmail.com Provider Int 3 Complete 2013/12/16 12:00:00 2014/03/29 12:00:00 2014/03/29 06:13:59 UV 2.16.840.1.113883.3.4172 dnpc Downriver Neurology PC Lisa Whitty masked Lisa Whitty 17515 Fort Street Riverview, MI 48193 7342257770 masked Office Manager Downriver Neurology PC 17515 Fort Street Riverview, MI 48193 734-225-7770 lwhitty@downriverneurology.com Provider Int 3 Complete 2013/12/16 12:00:00 2014/03/29 12:00:00 2014/03/29 06:16:02 UV 2.16.840.1.113883.3.904.2 s2-16-840-1-113883-3-904-2 Meditech at Fauquier Health kevin sexton masked kevin sexton 500 hospital dr. warrenton,va 20186 540-316-5522 masked hl7 developer kevin sexton 500 hospital dr. warrenton,va 20186 540-316-5522 sextonk@fauquierhealth.org http://fauquierhealth.org Provider 2.16.840.1.113883.3.904 Ext 14 Complete 2.16.840.1.113883.3.904.2 2013/12/16 12:00:00 2014/03/29 12:00:00 2014/03/29 06:21:31 UV 2.16.840.1.113883.17.3892 wmrpc West Michigan Rehab, PLLC Heidi Rahimi masked Heidi Rahimi 4955 East Beltline Ave NE Suite A Grand Rapids, MI 49525 616-447-4090 masked Practice Manager West Michigan Rehab, PLLC 4955 East Beltline Ave NE Suite A Grand Rapids MI 49525 616-447-4090 Heidi@rehabpaincenter.com http://www.rehabpaincenter.com Provider Int 17 Complete 2013/12/16 12:00:00 2014/03/29 12:00:00 2014/03/29 06:24:09 UV 2.16.840.1.113883.9.105 marc-opccentral Marc Community Resources OPC Central HL7 Todd Gadmski masked Norm Duve 924 N Country Club Drive Mesa, AZ 85201 4802223233 masked Executive Vice President, Information Systems Marc Community Resources, INC. 609 N 2nd Ave Phoenix, AZ 85003 4809693800 todd.gadomski@marccr.com http://marccr.com Provider Int 3 Complete 2013/12/16 12:00:00 2014/03/29 12:00:00 2014/03/29 06:53:17 US 2.16.840.1.113883.9.106 marc-opceast Marc Community Resources OPC East HL7 Todd Gadmski masked Norm Duve 924 N Country Club Drive Mesa, AZ 85201 4802223233 masked Executive Vice President, Information Systems Marc Community Resources, INC. 4250 E Florian Mesa, AZ 85206 4809693800 todd.gadomski@marccr.com http://marccr.com Provider Int 3 Complete 2013/12/16 12:00:00 2014/03/29 12:00:00 2014/03/29 06:54:11 US 2.16.840.1.113883.9.107 pir-arrowhead Partners In Recovery Arrowhead HL7 Todd Gadmski masked Norm Duve 924 N Country Club Drive Mesa, AZ 85201 4802223233 masked Chief Information Officer Partners In Recovery 5625 W Bell Road Phoenix, AZ 85254 4809693800 todd.gadomski@azpir.org http://www.partnersinrecovery.us.com/ Provider Int 3 Complete 2013/12/16 12:00:00 2014/03/29 12:00:00 2014/03/29 06:56:44 US 2.16.840.1.113883.9.108 pir-east Partners In Recovery East Valley HL7 Todd Gadmski masked Norm Duve 924 N Country Club Drive Mesa, AZ 85201 4802223233 masked Chief Information Officer Partners In Recovery 4330 E University Drive Mesa, AZ 85205 4809693800 todd.gadomski@azpir.org http://www.partnersinrecovery.us.com/ Provider Int 3 Complete 2013/12/16 12:00:00 2014/03/29 12:00:00 2014/03/29 07:00:29 US 2.16.840.1.113883.9.109 pir-metro Partners In Recovery Metro Center HL7 Todd Gadmski masked Norm Duve 924 N Country Club Drive Mesa, AZ 85201 4802223233 masked Chief Information Officer Partners In Recovery 10240 N 31st Ave Suite #200 Phoenix, AZ 85051 4809693800 todd.gadomski@azpir.org http://www.partnersinrecovery.us.com/ Provider Int 3 Complete 2013/12/16 12:00:00 2014/03/29 12:00:00 2014/03/29 07:01:34 US 2.16.840.1.113883.9.110 pir-west Partners In Recovery West Valley HL7 Todd Gadomski masked Norm Duve 924 N Country Club Drive Mesa, AZ 85201 4802223233 masked Chief Information Officer Partners In Recovery 1136 N 99th Ave Suite #601 Peoria, AZ 85345 4809693800 todd.gadomski@azpir.org http://www.partnersinrecovery.us.com/ Provider Int 3 Complete 2013/12/16 12:00:00 2014/03/29 12:00:00 2014/03/29 07:03:50 US 2.16.840.1.113883.9.111 pir-wickenburg Partners In Recovery Wickenburg HL7 Todd Gadomski masked Norm Duve 924 N Country Club Drive Mesa, AZ 85201 4802223233 masked Chief Information Officer Partners In Recovery 811 N Tegner Wickenburg, AZ 85390 4809693800 todd.gadomski@azpir.org http://www.partnersinrecovery.us.com/ Provider Int 3 Complete 2013/12/16 12:00:00 2014/03/29 12:00:00 2014/03/29 07:04:42 US 2.16.840.1.113883.17.3893 drmakris Nicholaos Makris MD PC Kathryn Weddle masked nicholaosgmakris@aol.com Kathryn Weddle 2485930264 masked Meaningful Use coordinator Nicholaos G Makris MD PC 15590 W. 13 mile Rd #13 Beverly Hills, MI 48025 2485930264 nicholaosgmakris@aol.com Provider Int 17 Complete 2013/12/16 12:00:00 2014/03/29 12:00:00 2014/03/29 07:08:26 UV 2.16.840.1.113883.17.3894 updoxCPS Updox Certification Practices Statement Connie Patterson masked Connie Patterson 94 N. High Street Suite 100 Dublin, OH 43017 614-547-9635 masked Director, Project Management Updox 94 N. High Street Suite 100 Dublin, OH 43017 614-547-9635 cpatterson@updox.com http://www.updox.com Exchange Int 17 Complete 2013/12/16 12:00:00 2014/03/29 12:00:00 2014/03/29 07:09:58 UV 2.16.840.1.113883.3.4173 choc-1 CHOC marcos oliva masked David Bobrow marcos oliva 1201 W La Veta Ave Orange CA 92868 714 509 4737 masked CHOC Children's Hospital of Orange County 1201 W La Veta Ave Orange, CA 92868 714 997 3000 moliva@choc.org Provider Int 3 Complete 2013/12/16 12:00:00 2014/03/29 12:00:00 2014/03/29 07:13:01 UV 2.16.840.1.113883.3.4174 mhvi Michigan Heart and Vascular Institute Nick George masked Nick George 5325 Elliott Drive Suite 203 Ypsilanti, MI 48197 734-712-8141 masked Manager, Clinical Informatics Michigan Heart 5325 Elliott Drive Suite 203 Ypsilanti, MI 48197 734-712-8000 helpdesk@michiganheart.com http://www.michiganheart.com Provider Int 3 Complete 2013/12/16 12:00:00 2014/03/29 12:00:00 2014/03/29 07:14:46 UV 2.16.840.1.113883.3.4175 afac Advanced Foot & Ankle Clinic, LLP OID root MARY KRUGER masked Mary Kruger 803 East School Street Owatonna, MN 55060 507-451-5950 masked Advanced Foot & Ankle Clinic. LLP 803 East School Street Owatonna, MN 55060 507-451-5950 mkruger@smsig.net Provider Int 3 Complete 2013/12/16 12:00:00 2014/03/29 12:00:00 2014/03/29 07:16:15 UV 2.16.840.1.113883.3.1070.5613 mckesson-fusion-5613 mckesson-fusion-5613 Jennifer Meares masked Jennifer Meares 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5613 2013/12/16 12:00:00 2014/03/29 12:00:00 2014/03/29 07:17:47 US 2.16.840.1.113883.4.690 scptype Sistema Provincial de Salud Sergio Edgardo Epstein masked Sergio Edgardo Epstein Mu&#241;ecas 64 1er entrepiso San Miguel de Tucum&#225;n Tucum&#225;n C.P. 4000 Argentina 0054 381 4526086 masked Subsecretario de Sistema de Informacion Sistema Provincial de Salud Rivadavia 196 San Miguel de Tucum&#225;n Tucum&#225;n C.P. 4000 Argentina 00543814526111 sepstein@msptucuman.gov.ar http://msptucuman.gov.ar/ Govt body Int 4 Complete 2013/12/16 12:00:00 2014/03/29 12:00:00 2014/03/29 07:23:11 AR 2.16.840.1.113883.3.4176 anmed AnMed Health Tommy Sluder masked Marty Stewart Marty Stewart AnMed Health Information Services 800 North Fant Street Anderson, SC 29621 864-512-1136 masked CIO AnMed Health AnMed Health Information Services 800 North Fant Street Anderson, SC 29621 864-512-1136 Marty.Stewart@AnMedHealth.Org http://www.AnMedHealth.Org Provider Int 3 Complete 2013/12/17 12:00:00 2014/03/29 12:00:00 2014/03/29 07:28:23 UV 2.16.840.1.113883.3.4177 bernal Humberto Bernal MD, PC Humberto Bernal masked Humberto Bernal 313 336 7400 masked Humberto Bernal MD, PC 18100 Oakwood Blvd, Suite 203 Dearborn, Michigan 48124 313 336 7400 hbernal49@yahoo.com Provider Int 3 Complete 2013/12/17 12:00:00 2014/03/29 12:00:00 2014/03/29 07:31:30 UV 2.16.840.1.113883.3.4178 masri Michigan Specialty Clinic Aya Reslan masked Aya Reslan 13530 Michigan Ave Dearborn, MI, 48126 313-945-9800 masked MA Michigan Specialty Clinic 13530 Michigan Ave Dearborn, MI 48126 313-945-9800 info@masriclinic.com Provider Int 3 Complete 2013/12/17 12:00:00 2014/03/29 12:00:00 2014/03/29 07:33:30 UV 2.16.840.1.113883.3.4179 wilPSC The WIllows of Presbyterian SeniorCare Marcy Grafton masked Marcy Grafton Presbyterian SeniorCare 1215 Hulton Road Oakmont, PA 15139 412-826-6111 masked Mgr, Business Line Apps The Willows of Presbyterian SeniorCare The Willows of Presbyterian SeniorCare 1215 Hulton Road Oakmont, PA 15139 412-828-5600 Mcole@srcare.org http://www.srcare.org/ Provider Int 3 Complete 2013/12/17 12:00:00 2014/03/29 12:00:00 2018/04/05 04:01:22 UV 2.16.840.1.113883.3.4180 jcmr Jackson Community Medical Record Julie Lowry masked Julie Lowry One Jackson Square, Ste. 301 Jackson, MI 49201 517-817-7692 masked Development Supervisor Jackson Community Medical Record One Jackson Square, Ste. 301 Jackson, MI 49201 517-817-7692 support@jcmr.org http://www.itu.int Vendor Int 3 Complete 2013/12/17 12:00:00 2014/03/29 12:00:00 2014/03/29 07:38:22 UV 2.16.840.1.113883.3.4181 smtPSC Southmont of Presbyterian SeniorCare Marcy Grafton masked Marcy Grafton Presbyterian SeniorCare 1215 Hulton Road Oakmont, PA 15139 412-826-6111 masked Mgr, Business Line Apps Southmont of Presbyterian SeniorCare Southmont of Presbyterian SeniorCare 835 S. Main Street Washington, PA 15301 724.222.4300 Mcole@srcare.org http://www.srcare.org/ Provider Int 3 Complete 2013/12/17 12:00:00 2014/03/29 12:00:00 2018/04/05 04:02:24 UV 2.16.840.1.113883.3.4182 bhrc Beloit Health Rehab Center Adam Guetschow masked Adam Guetschow (608) 364-7334 masked Interface Analyst Beloit Health Rehab Center 1905 E West Hard Rd Beloit, WI 53511 608-365-2554 beloit@extendicare.com Provider Int 3 Complete 2013/12/17 12:00:00 2014/03/29 12:00:00 2014/03/29 07:42:02 UV 2.16.840.1.113883.3.4183 bc-bhs Beloit Clinic - BHS Adam Guetschow masked Adam Guetschow (608) 364-7334 masked Interface Analyst Beloit Clinic - BHS 1905 E Huebbe Pkwy Beloit, WI 53511 (608) 364-2200 aguetschow@beloithealthsystem.org Provider Int 3 Complete 2013/12/17 12:00:00 2014/03/29 12:00:00 2014/03/29 07:43:51 UV 2.16.840.1.113883.3.4184 hhccPSC Hanna HealthCare Center Marcy Grafton masked Marcy Grafton Presbyterian SeniorCare 1215 Hulton Road Oakmont, PA 15139 412-826-6111 masked Mgr, Business Line Apps Hanna HealthCare Center Hanna HealthCare Center Longwood at Oakmont An Affiliate of Presbyterian SeniorCare 500 Route 909 Verona, PA 15147 412-826-5900 Mcole@srcare.org http://www.srcare.org/longwood-at-oakmont Provider Int 3 Complete 2013/12/17 12:00:00 2014/03/29 12:00:00 2018/04/05 04:02:14 UV 2.16.840.1.113883.3.4176.1 anmedfm AnMed Health Family Medicine Tommy Sluder masked Marty Stewart Marty Stewart AnMed Health Information Services 800 North Fant Street Anderson, SC 29621 864-512-1136 masked CIO AnMed Health AnMed Health Information Services 800 North Fant Street Anderson, SC 29621 864-512-1136 Marty.Stewart@AnMedHealth.Org http://www.anmedhealth.org Provider 2.16.840.1.113883.3.4176 Ext 14 Complete 2.16.840.1.113883.3.4176.1 2013/12/17 12:00:00 2014/03/29 12:00:00 2014/03/29 07:49:47 UV 2.16.840.1.113883.3.4176.2 anmedchc AnMed Health Children's Health Center Tommy Sluder masked Marty Stewart Marty Stewart AnMed Health Information Services 800 North Fant Street Anderson, SC 29621 864-512-1136 masked CIO AnMed Health AnMed Health Information Services 800 North Fant Street Anderson, SC 29621 864-512-1136 Marty.Stewart@AnMedHealth.Org http://www.anmedhealth.org Provider 2.16.840.1.113883.3.4176 Ext 14 Complete 2.16.840.1.113883.3.4176.2 2013/12/17 12:00:00 2014/03/29 12:00:00 2014/03/29 07:51:29 UV 2.16.840.1.113883.3.4185 nph NorthPointe Health Adam Guetschow masked Adam Guetschow (608) 363-7334 masked Interface Analyst NorthPointe Health 5605 E Rockton Rd Roscoe, IL 61073-7601 (815) 525-4000 aguetschow@beloithealthsystem.org Provider Int 3 3 Complete 2013/12/17 12:00:00 2014/03/29 12:00:00 2014/03/29 07:58:46 UV 2.16.840.1.113883.3.4186 hfbharps Healthfirst Brooklyn Harp Simulation Gary Burnett masked Ian Shaffer Gary Burnett 100 Church Street New York, NY 10007 212-801-1506 masked Project Manager HealthFirst 100 Church Street New York, NY 10007 212-801-6000 gburnett@healthfirst.org http://www.healthfirstny.org Payor Int 3 Complete 2013/12/17 12:00:00 2014/03/29 12:00:00 2014/03/29 08:01:52 UV 2.16.840.1.113883.3.4187 medcon Medical Conslutants, PC OID Root Beth Bilbrey masked Beth Bilbrey 800 S Tillotson Ave, Muncie IN 47304 765-281-2078 masked EMR Manager Medical Consultants, PC 800 S Tillotson Ave, Muncie, IN 47304 765-281-2078 babilbrey@medicalconsultantspc.com http://www.medicalconsultantspc.com/ Provider Int 3 Complete 2013/12/17 12:00:00 2014/03/29 12:00:00 2014/03/29 08:03:22 UV 2.16.840.1.113883.3.1871.3.908 afbch AF OK BEAVER COUNTY HOSPITAL Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst SSMHC 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 14 Complete 2.16.840.1.113883.3.1871.3.908 2013/12/17 12:00:00 2014/03/29 12:00:00 2014/03/29 08:09:51 UV 2.16.840.1.113883.17.3895 engler-kartha Engler and Kartha, M.D., P.L.L.C Grace Engler masked Gail Hibsky 15265 Northline Road Southgate, MI 48195 734.281.7040 masked Office Manager/Biller Engler and Kartha, M.D., PLLC 15265 Northline Road Southgate, MI 48195 734-281-7040 englerandkarthagail@gamil.com Provider Int 17 Complete 2013/12/17 12:00:00 2014/03/29 12:00:00 2014/03/29 08:13:59 UV 2.16.840.1.113883.3.4188 hcpa Hampden County Physician Associates, LLC Cindy Denno masked Michael Houff Hampden County Physician Associates 354 Birnie Avenue Springfield, MA 01107 413-314-6201 masked Chief Operating Officer Hampden County Physician Associates 354 Birnie Avenue Springfield, MA 01107 413-733-3470 helpdesk@cpsmdit.com http://www.hampdencountyphysicians.com/ Provider Int 3 Complete 2013/12/17 12:00:00 2014/03/29 12:00:00 2014/03/29 08:16:49 UV 2.16.840.1.113883.3.4189 bellin Bellin Health System Kerry Calba masked Kerry Calba 744 S. Webster Ave. Green Bay, WI 54301 920-436-8600 ext 2662 masked Interface Analyst at Bellin Health Bellin Health System interface@bellin.org http://www.bellin.org Provider Int 3 Complete 2013/12/17 12:00:00 2014/03/29 12:00:00 2014/03/29 08:18:10 UV 2.16.840.1.113883.3.4190 spinedocs Specialists in Spine Surgery OID root Christy Carlo masked Christy Carlo 2300 Haggerty Rd Ste 2100. West Bloomfield, MI 48323 248-926-1960 masked Practice Manager Specialists in Spine Surgery 2300 Haggerty Rd Ste 2100. West Bloomfield, MI 48323 248-926-1960 christy@spinedocs.info http://michspine.doctorsoffice.net/templates/home.cfm?id=home Provider Int 3 Complete 2013/12/17 12:00:00 2014/03/29 12:00:00 2015/01/21 02:14:00 UV 2.16.840.1.113883.3.4191 schohip Salem Community Hospital Mark L'Italien masked Adam Rossbach Mark L'Italien Salem Community Hospital Salem, Ohio (330) 332-7391 masked Director of Information Services Salem Community Hospital arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2013/12/17 12:00:00 2014/03/29 12:00:00 2014/03/29 08:22:08 UV 2.16.840.1.113883.3.4192 encompassmedicalgroup Encompass Medical Group Dayna Hodgden masked mfink@encompassmed.com Dayna Hodgden Encompass Medical Group 8550 Marshall Drive, Suite 220 Lenexa, KS 66214 913-495-2046 masked CEO Encompass Medical Group, P.A. Encompass Medical Group 8550 Marshall Drive, Suite 220 Lenexa, KS 66214 913-495-2000 dlhodgden@encompassmed.com http://www.encompassmed.com Provider Int 3 Complete 2013/12/17 12:00:00 2014/03/29 12:00:00 2014/03/29 08:25:23 UV 2.16.840.1.113883.4.691 entra-Health Entra Helath Systems Larry Mahar masked Larry Mahar 3111 Camino del Rio North Suite 101 San Diego, CA 92108 949-302-6828 masked CTO Entra Health Systems 3111 Camino del Rio North Suite 101 San Diego, CA 92108 877-458-2646 lmahar@entrahealthsystems.com http://www.entrahealthsystems.com Vendor Int 3 Complete 2013/12/17 12:00:00 2014/04/13 12:00:00 2014/04/13 11:37:00 UV 2.16.840.1.113883.3.4193 steinway2215 Steinway Child & Family Services (SCFS) JOSE RAMOS masked AMALLORY@STEINWAY.ORG JOSE RAMOS 22-15 43RD AV. 2ND FL LONG ISLAND CITY NY 11101 718-389-5100 masked DIRECTOR OF MIS Steinway Child & Family Services (SCFS) 22-15 43RD AV. 2ND FL LONG ISLAND CITY NY 11101 718-389-5100 JRAMOS@STEINWAY.ORG http://www.steinway.org Provider Int 3 Complete 2013/12/17 12:00:00 2014/04/13 12:00:00 2014/04/13 11:19:25 UV 2.16.840.1.113883.3.4194 rtop2-chcs2 RTOP2 CHCS2 Clinic Roman Sova masked Roman Sova 540-111-2111 masked Eleu Pacific Partners rsova@4qbase.com Academic Int 3 Complete 2013/12/17 12:00:00 2014/04/13 12:00:00 2014/04/13 11:23:44 UV 2.16.840.1.113883.3.647.304.2 axRepLATTICE XDS Document Repository for LATTICE Peter Bak masked Peter Bak 18 Tanager Ave Suite 303 Toronto, Ontario Canada M4G 3R1 416-421-2588 masked AXON Medical Technologies Corporation 18 Tanager Ave Suite 303 Toronto, Ontario Canada M4G 3R1 416-421-2588 peter.bak@axonmed.com Vendor 2.16.840.1.113883.3.647 Ext 14 14 Complete 2.16.840.1.113883.3.647.304.2 2013/12/17 12:00:00 2014/04/13 12:00:00 2014/04/13 11:26:36 UV 2.16.840.1.113883.3.647.303.2 axRegLATTICE XDS Document Registry for LATTICE Peter Bak masked Peter Bak 18 Tanager Ave Suite 303 Toronto Ontario Canada M4G 3R1 416-421-2588 masked AXON Medical Technologies Corporation 18 Tanager Ave Suite 303 Toronto Ontario Canada M4G 3R1 416-421-2588 peter.bak@axonmed.com Vendor 2.16.840.1.113883.3.647 Ext 14 Complete 2.16.840.1.113883.3.647.303.2 2013/12/17 12:00:00 2014/04/13 12:00:00 2014/04/13 11:30:51 UV 2.16.840.1.113883.3.4195 grant-oid Robert Grant, D.O. Robert Grant masked Robert Grant 6255 Inkster Rd Ste 307 Garden City, MI 48135 734-525-0319 masked Dr Grant Robert Grant, D.O. 6255 Inkster Rd Ste 307 Garden City, MI 48135 734-525-0319 golfrob@comcast.net Provider Int 3 Complete 2013/12/18 12:00:00 2014/04/13 12:00:00 2014/04/13 11:29:28 UV 2.16.840.1.113883.3.4196 engler-oid Engler and Kartha MD, PLLC Gail Hibsky masked Gail Hibsky 734-281-7040 masked Manager/biller Engler and Kartha MD, PLLC 15265 Northline Road Southgate, MI 48195 734-281-7040 englerandkarthagail@gmail.com SDO Int 3 Complete 2013/12/18 12:00:00 2014/04/13 12:00:00 2014/04/13 11:33:50 UV 2.16.840.1.113883.3.4198 mtpim Mount Pleasant Internal Medicine OID root Mary Nell Waldrup Hamilton masked Mary Nell Waldrup Hamilton 897 Von Kolnitz Rd. Ste. 101 Mt. Pleasant, SC 29464 843-881-1671 masked Practice Administrator Mt. Pleasant Internal Medicine, PA 897 Von Kolnitz Rd. Ste. 101 Mt. Pleasant, SC 29464 843-881-1671 marynell@mtpim.com http://www.mountpleasantinternalmedicine.com/ Provider Int 3 Complete 2013/12/18 12:00:00 2014/04/13 12:00:00 2014/04/13 11:38:31 UV 2.16.840.1.113883.3.4199 cafc Center for Ankle and Foot Care OID Root Michele McGowan masked Michele McGowan 3522422502 masked President Center for Ankle and Foot Care 3150 Citrus Tower Blvd Suite B Clermont, FL 34711 3522422502 anklefootcare@gmail.com http://centeranklefootcare.com/ Provider Int 3 Complete 2013/12/18 12:00:00 2014/04/13 12:00:00 2014/04/13 11:39:34 UV 2.16.840.1.113883.9.112 mcGovernBajaj McGovern & Bajaj Allergy Associates Mahesh Bajaj masked Mahesh Bajaj 413-781-1383 masked MD McGovern & Bajaj Allergy Associates 125 Liberty St. Suite 307, Springfield,MA 01103 413-781-1383 bajajmr@yahoo.com Provider Int 3 Complete 2013/12/18 12:00:00 2014/04/13 12:00:00 2014/04/13 11:45:32 UV 2.16.840.1.113883.3.4200 rahman-oid Nusrat Rahman MD Nusrat Rahman masked Sheri Szaddach 3781 Fort St. Lincoln Park, MI 48146 734-728-8200 masked Office Manager S.M. Rahman MD 3781 Fort St. Lincoln Park, MI 48146 734-728-8200 drrahman945@yahoo.com Provider Int 3 Complete 2013/12/18 12:00:00 2014/04/13 12:00:00 2014/04/13 11:49:05 UV 2.16.840.1.113883.3.4201 wrmc-hie Wilkes Regional Medical Center HIE Donna Greene masked William S. Hofmann Donna Greene P.O. Box 609 North Wilkesboro, NC 28659 3366513600 masked Clinical Systems Analyst Wilkes Regional Medical Center P.O. Box 609 North Wilkesboro, NC 28659 3366518100 whofmann@wilkesregional.com Exchange Int 3 Complete 2013/12/18 12:00:00 2014/04/13 12:00:00 2014/04/13 11:50:26 UV 2.16.840.1.113883.3.4202 sibehavioralnetwork S.I. Behavioral Network, Inc. Stanley Reissman masked Stanley Reissman S.I. Behavioral Network, Inc. 777 Seaview Avenue, Bldg 2 Staten Island, NY , 10305 646-265-8136 masked Director of Quality Assurance S.I. Behavioral Network, Inc. S.I. Behavioral Network, Inc. 777 Seaview Avenue, Bldg 2 Staten Island, NY , 10305 7183515530 ss3@si-bn.org http://www.sibehavioralnetwork.org/ Provider Int 3 Complete 2013/12/18 12:00:00 2014/04/13 12:00:00 2014/04/13 11:52:45 UV 2.16.840.1.113883.3.4203 siebertpodiatry Siebert and Sipes Podiatry OID Root Kelly Siebert masked Kelly Siebert 102 South Grand Avenue, West Springfield, IL 62704 2175234539 masked Office Manager Siebert and Sipes Podiatry 102 South Grand Avenue West Springfield, IL 62704 2175234539 kelly@siebertandsipes.com http://www.siebertpodiatry.com/ Provider Int 3 Complete 2013/12/18 12:00:00 2014/04/13 12:00:00 2014/04/13 11:53:57 UV 2.16.840.1.113883.3.4204 rtop2-research RTOP2 RESEARCH Roman Sova masked Roman Sova 540-111-2111 masked RTOP2 RESEARCH rsova@4qbase.com Academic Int 3 Complete 2013/12/18 12:00:00 2014/04/13 12:00:00 2014/04/13 11:57:10 UV 2.16.840.1.113883.3.4205 westernneuro Westernneuro OID Root Mary-Anne Lorenz masked Mary-Anne 6567 E Carondelet Dr., Suite 305 Tucson, AZ 85710 520-881-8400 masked Office Manager Western Neurosurgery, Ltd. 6567 E Carondelet Dr., Suite 305 Tucson, AZ 85710 520-881-8400 maryanne@wnsaz.com http://www.wnsaz.com Provider Int 3 Complete 2013/12/18 12:00:00 2014/04/13 12:00:00 2014/04/13 12:01:00 UV 2.16.840.1.113883.3.4206 nwhca Northwest Health Care Associates Shannon Joyce masked Shannon Joyce 1555 Barrington Road Suite 2300A/B Hoffman Estates, IL 60169 (847)843-7030 masked Office Manager Northwest Health Care Associates 1555 Barrington Road Suite 2300A/B Hoffman Estates, IL 60169 (847)843-7030 sjoyce@nwhcassociates.com http://www.nwhcassoc.com Provider Int 3 Complete 2013/12/18 12:00:00 2014/04/13 12:00:00 2014/04/13 12:03:09 UV 2.16.840.1.113883.3.4207 gh Greenwich House Janet Walpole masked Janet Walpole Greenwich House 224 West 30th Street, Suite 302 New York, NY 10001 212-991-0003 masked Compliance Officer Greenwich House Greenwich House 224 West 30th Street, Suite 302 New York, NY 10001 212-991-0003 jwalpole@greenwichhouse.org http://www.greenwichhouse.org Provider Int 3 Complete 2013/12/18 12:00:00 2014/04/13 12:00:00 2014/04/13 12:05:31 UV 2.16.840.1.113883.3.4208 medcom Root OID for OIDs used in the Danish Healthcare sector Michael Due Madsen masked Michael Due Madsen Forskerparken 10 DK-5230 Odense M Denmark +45 23465356 masked Consultant MedCom Forskerparken 10 DK-5230 Odense M Denmark +45 65432030 medcom@medcom.dk http://www.medcom.dk SDO Int 3 Retired 2013/12/19 12:00:00 2014/04/13 12:00:00 2015/03/26 12:57:30 UV 2.16.840.1.113883.3.4209 loh Lourdes Hospital Keith Owens masked Rhonda Harper Keith Owens Lourdes Hospital 1530 Lone Oak Road Paducah, KY 42003 270-444-2747 masked Computer Analyst Lourdes Hospital Lourdes Hospital 1530 Lone Oak Road Paducah Ky 42003 270 444 2444 kowens@health-partners.org http://elourdes.com/ HL7 body Int 3 Complete 2013/12/19 12:00:00 2014/04/13 12:00:00 2014/04/13 12:09:39 UV 2.16.840.1.113883.3.4210 vwhg Valley Women's Health Group Ericka Mulvenna masked Karen Koziara Ericka Mulvenna 3550 main street ste 302 Springfield, MA 01107 413-781-8290 masked Greenway Specialist Valley Women's Health Group 3550 main street ste 302 Springfield, MA 01107 413-781-8290 koziara@vwhg.com Provider Int 3 Complete 2013/12/19 12:00:00 2014/04/13 12:00:00 2014/04/13 12:13:08 UV 2.16.840.1.113883.3.4211 apc Allen Park Cardiology, P.C. Karen Leonhart masked Karen Leonhart 6742 Park Avenue Allen Park, MI 48101 313 -928-2333 masked Business Manager Allen Park Cardiology, P.C. 6742 Park Avenue Allen Park, MI 48101 313 928-2333 apc783@yahoo.com SDO Int 3 Complete 2013/12/19 12:00:00 2014/04/13 12:00:00 2014/04/13 12:17:07 UV 2.16.840.1.113883.3.4212 nan Neurology Associates of Norwalk, P.C. OID Root Barbara Peake masked Barbara Peake 637 West Ave Suite 200 Norwalk, CT 06850 203-853-2238 masked Office Manger Neurology Associates of Norwalk, P.C. 637 West Ave Suite 200 Norwalk, CT 06850 203-853-2238 adnin@norwalkneurology.com http://www.norwalkneurology.com/ Provider Int 3 Complete 2013/12/19 12:00:00 2014/04/13 12:00:00 2014/04/13 12:18:54 UV 2.16.840.1.113883.17.3896 redicare Redicare Partners, PLLC Kelli Adams masked Kelli Adams 4185 East Grand River Howell, MI 48843 517-546-9200 masked X-Ray Tech Redicare Partners, PLLC 517-546-9200 redicarebilling@gmail.com Provider Int 17 Complete 2013/12/19 12:00:00 2014/04/13 12:00:00 2014/04/13 12:22:19 UV 2.16.840.1.113883.3.4213 derm-at-mid Dermatology at MidTowne, PC Christina Jones masked Christina Marie Jones 6162488864 masked Dermatology at MidTowne, PC christinaj@midtownederm.com SDO Int 3 Complete 2013/12/19 12:00:00 2014/04/13 12:00:00 2014/04/13 12:23:48 UV 2.16.840.1.113883.3.4214 derm-at-mid-555 Dermatology at MidTowne, PC Christina Jones masked Christina Marie Jones 6162488864 masked Dermatology at MidTowne, PC christinaj@midtownederm.com Provider Int 3 Complete 2013/12/19 12:00:00 2014/12/15 12:00:00 2014/12/15 07:40:47 UV 2.16.840.1.113883.3.4215 csos Central States Orthopedics Jon Tabor masked Manan Cheema Manan Cheema 918-481-2767 masked Central States Orthopedics 6585 S Yale Ave Suite 200 Tulsa, OK 74136 918-481-2767 mcheema@csosortho.com Provider Int 3 Complete 2013/12/19 12:00:00 2014/04/13 12:00:00 2014/04/13 12:29:05 UV 2.16.840.1.113883.3.4216 centegrahospitals Centegra Health System Scott Frazier masked Ed Taala Michael McCormack 213 S. Front St McHenry, IL 60050 815-759-8201 masked Director IT Centegra Health System 4201 Medical Center Drive McHenry, IL 60050 815-759-8201 mmccormack@centegra.com Provider Int 3 Complete 2013/12/19 12:00:00 2014/04/13 12:00:00 2017/05/22 02:59:05 US 2.16.840.1.113883.3.4217 mwm Marcum and Wallace Keith Owens masked Rhonda Harper Keith Owens Marcum and Wallace Hospital 60 Mercy Court Irvine, KY 40336 606-723-2115 masked Computer Analyst Marcum and Wallace Hospital Marcum and Wallace Hospital 60 Mercy Court Irvine, KY 40336 606-723-2115 kowens@health-partners.org http://www.marcumandwallace.org/ HL7 body Int 3 Complete 2013/12/19 12:00:00 2014/04/13 12:00:00 2014/04/13 12:32:17 UV 2.16.840.1.113883.3.4218 thedacare Thedacare Facilities William Flanders masked William Alec Flanders Alec Flanders 222 W College Ave Suite 7 Appleton, WI 54911 9207507057 masked Interface Analyst Thedacare Sue Peterson 222 W College Ave Suite 7 Appleton, WI 54911 920-716-0977 sue.peterson@thedacare.org Provider Int 3 Complete 2013/12/19 12:00:00 2014/04/13 12:00:00 2014/04/13 12:34:06 2.3 UV 2.16.840.1.113883.3.4219 bshsi Bon Secours Health System, Inc. Russ Swan masked Russ Swan 804-289-7402 masked Director, Application Integration Bon Secours Health System, Inc. edcintegrationteam@bshsi.org Provider Int 3 Complete 2013/12/19 12:00:00 2014/04/13 12:00:00 2014/04/13 12:35:39 UV 2.16.840.1.113883.17.3897 optimum Optimum Health Clinic Kevin Perdue masked Dr. Walid Nader, MD Walid Nader, MD 500 Linn Street, Suite 2 Allegan, MI 49010 269-673-5700 masked Owner/Physician Optimum Health Clinic 500 Linn Street, Suite 2 Allegan, MI 49010 269-673-5700 lbourdo@hotmail.com Provider Int 17 Complete 2013/12/19 12:00:00 2014/04/13 12:00:00 2014/04/13 01:18:40 UV 2.16.840.1.113883.3.1070.1036 mckesson-fusion-1036 mckesson-fusion-1036 Fusion Enrollment masked Fusion Enrollment 8775074541 masked Fusion Enrollment jill.mauro@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.1036 2013/12/19 12:00:00 2014/04/13 12:00:00 2014/04/13 01:21:13 US 2.16.840.1.113883.3.4220 umhs University of Michigan Health System Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic Int 3 Complete 2013/12/19 12:00:00 2014/04/13 12:00:00 2014/04/13 01:23:44 UV 2.16.840.1.113883.3.4221 bgcSR-OID Bradford G Carper SR DO PC OID Root Rita Ballenger masked Rita Ballenger 511 Burkarth Road Warrensburg MO 64093 6607478154 masked manager Bradford G Carper SR DO PC 511 Burkarth Road Warrensburg MO 64093 6607478154 intermed01@embarqmail.com Provider Int 3 Complete 2013/12/19 12:00:00 2014/04/13 12:00:00 2014/04/13 01:28:37 UV 2.16.840.1.113883.17.3898 michigan-vascular-center Vascular Surgery Associates, P.C. DBA Michiagn Vascular Center Joan Brown masked Joan M. Brown G 5020 W. Bristol Road Flint, MI 48507 810-600-2024 masked Meaningful Use Officer Vascular Surgery Associates, P.C. G 5020 W Bristol Road Flint, MI 48507 810-732-1620 joanb@michiganvascular.com http://www.michiganvascular.com Provider Int 17 Complete 2013/12/19 12:00:00 2014/04/13 12:00:00 2014/04/13 01:30:08 UV 2.16.840.1.113883.3.4222 weston Weston United OID Andrea Dogostiano masked Andrea Dogostiano 290 Lenox Avenue New York, NY 10027 212.866.6040 masked Weston United 290 Lenox Avenue New York, NY 10027 212.866.6040 adogostiano@westonunited.org Provider Int 3 Complete 2013/12/19 12:00:00 2014/04/13 12:00:00 2014/04/13 01:32:26 UV 2.16.840.1.113883.3.4223 womenslifecyle Women's Lifecyle Leena Kudalkar masked Leena Kudalkar 42287 Cherry Hill Rd. Suite D Canton, MI 48188-1976 734-981-2800 masked Office Manager Women's Lifecycle 42287 Cherry Hill Rd. Suite D Canton, MI 48188-1976 734-981-2800 leenak24@gmail.com Provider Int 3 Complete 2013/12/20 12:00:00 2014/04/13 12:00:00 2014/04/13 01:34:35 UV 2.16.840.1.113883.3.4224 khc2013 Knoxville Hospital & Clinics Elly Shaw masked Elly Shaw 1002 S Lincoln Knoxville, IA 50138 6418421421 masked Quality Analyst Knoxville Hospital & Clinics eshaw@knoxvillehospital.org http://www.knoxvillehospital.org/index.php?option=com_frontpage&Itemid=1 Provider Int 3 Complete 2013/12/20 12:00:00 2014/04/13 12:00:00 2014/04/13 01:35:45 UV 2.16.840.1.113883.3.4225 swumdpa swumdpa OID Root Beverly Unger masked Beverly Unger c/o Stephen Wise Unger MD PA 4302 Alton Road Suite 720 Miami Beach, FL 33140-2877 305-532-4835 masked Stephen Wise Unger MD PA 4302 Alton Road Suite 720 Miami Beach, FL 33140-2877 305-532-4835 stephenungermd@bellsouth.net Provider Int 3 Complete 2013/12/20 12:00:00 2014/04/13 12:00:00 2014/04/13 01:37:51 UV 2.16.840.1.113883.3.4226 ccmhohip Coshocton Community Memorial Hospital Ronald Kiger masked Adam Rossbach Ronald Kiger Coshocton County Memorial Hospital 1460 Oranges St. Coshocton, OH 43812 740-622-6411 masked Project Lead Coshocton Community Memorial Hospital arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2013/12/20 12:00:00 2014/04/13 12:00:00 2014/04/13 01:39:42 UV 2.16.840.1.113883.3.4227 maps Miami Associates in Pediatric Surgery OID Root Ivy Rocha masked Ivy Rocha 3200 Southwest 60th Court Suite 201 Miami, FL 33155 305-662-8320 masked Miami Associates in Pediatric Surgery 3200 Southwest 60th Court Suite 201 Miami, FL 33155 305-662-8320 ivy.rocha@mch.com Provider Int 3 Complete 2013/12/20 12:00:00 2014/04/13 12:00:00 2014/04/13 01:41:15 UV 2.16.840.1.113883.3.4228 stonybrookcommunitymedpc Stony Brook Community Medical, PC Ernest Natke masked Ernest Natke SB Adminstrative Services, LLC 45 Research Way, Suite 204 East Setauket, NY 11733 631 615 8280 masked Director, MSO Operations Stony Brook Community Medical, PC Stony Brook Community Medical, PC 45 Research Way, Suite 204 East Setauket, NY 11733 631 615 8275 info@sbbusinessventures.org http://www.sbcommunitymedical.org Provider Int 3 Complete 2013/12/20 12:00:00 2014/04/13 12:00:00 2014/04/13 01:42:36 UV 2.16.840.1.113883.3.4229 occ Access: Supports for Living Inc. Fabianni Builes masked Cliff Potts Cliff Potts 8454216400 masked Client Technical Lead Access: Supports for Living Inc. cpotts@asfl.org http://www.accesssupports.org Provider Int 3 Complete 2013/12/20 12:00:00 2014/04/13 12:00:00 2016/03/15 03:19:05 UV 2.16.840.1.113883.3.1199.9 armc-ent Ear Nose and Throat Adam Osbourne masked Adam Osbourne 1501 W Chisholm St Alpena, MI 49707 9893568057 masked Support Engineer Alpena Regional Medical Center 1501 W Chisholm St Alpena, MI 49707 9893568057 aosbourn@agh.org http://www.alpenaregionalmedicalcenter.org/Main/Home.aspx Govt body 2.16.840.1.113883.3.1199 Ext 17 Complete 2.16.840.1.113883.3.1199.9 2013/12/20 12:00:00 2014/04/13 12:00:00 2014/04/13 01:46:11 UV 2.16.840.1.113883.3.4230 kassab Elias H Kassab MD PLLC Cristina Garza masked Cristina Garza 313-724-9000 masked Elias H. Kassab MD PLLC 1360 Porter St Ste 100 Dearborn, MI 48124 313-724-9000 cgarza@dearborncardiology.com Provider Int 3 Complete 2013/12/20 12:00:00 2014/04/13 12:00:00 2014/04/13 01:49:01 UV 2.16.840.1.113883.3.1199.7 armc-prs Plastic and Reconstructive Surgery Adam Osbourne masked Adam Osbourne 1501 W Chisholm St Alpena, MI 49707 9893568057 masked Support Engineer Alpena Regional Medical Center 1501 W Chisholm St Alpena, MI 49707 9893568057 aosbourn@agh.org http://www.alpenaregionalmedicalcenter.org/Main/Home.aspx Provider 2.16.840.1.113883.3.1199 Ext 17 Complete 2.16.840.1.113883.3.1199.7 2013/12/20 12:00:00 2014/04/13 12:00:00 2014/04/13 01:47:19 UV 2.16.840.1.113883.3.1070.5560 mckesson-fusion-5560 mckesson-fusion-5560 Jennifer Meares masked Jennifer Meares 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5560 2013/12/20 12:00:00 2014/04/13 12:00:00 2014/04/13 01:51:46 UV 2.16.840.1.113883.3.4231 cpg Community Physicians Group Neal Holt masked CPG Dept of IT Neal Holt PO Box 1374 1675 W Jefferson St., Suite D Siloam Spring, AR 72761 4793736601 masked Director of IT Community Physicians Group PO Box 1374 1101-2 N Progress Siloam Springs, AR 72761 4795243141 infotech@cpgclinics.com http://www.cpgclinics.com Provider Int 3 Complete 2013/12/20 12:00:00 2014/04/13 12:00:00 2014/04/13 01:54:46 UV 2.16.840.1.113883.3.4231.1 cpg-ng Community Physicians Group-NextGen Neal Holt masked CPG Dept of IT Neal Holt PO Box 1374 1675 W Jefferson St., Suite D Siloam Springs, AR 72761 4793736601 masked Director of IT Community Physicians Group PO Box 1374 1101-2 N Progress Siloam Springs, AR 72761 4795243141 infotech@cpgclinics.com http://www.cpgclinics.com Provider 2.16.840.1.113883.3.4231 Ext 14 Complete 2.16.840.1.113883.3.4231.1 2013/12/20 12:00:00 2014/04/13 12:00:00 2014/04/13 01:56:11 UV 2.16.840.1.113883.3.4232 qSRSOrganizationOID Quality and Safety Review System (QSRS) organization OID George Koromia, MD masked George Koromia, MD (646) 241-6915 masked Agency for Healthcare Research and Quality Agency for Healthcare Research and Quality 540 Gaither Road Rockville, Maryland 20850 (301) 427-1104 info@ahrq.hhs.gov Govt body Int 3 Complete 2013/12/20 12:00:00 2014/04/13 12:00:00 2014/04/13 01:58:25 US 2.16.840.1.113883.3.4233 allee-oid Dr Brian Allee OID Charity Allee masked drnotes@sbcglobe.net Charity Allee P. O. Box 1205 Pauls Valley, OK 73075 4054440330 masked facility Manager Brian A. Allee D.O. 105 N. Indian Meridian Pauls Valley, OK 73075 4052079800 drnotes@sbcglobal.net Provider Int 3 Complete 2013/12/20 12:00:00 2014/04/13 12:00:00 2014/04/13 02:02:35 UV 2.16.840.1.113883.9.113 pri-oid Project Renewal Vic Pullen masked Vic Pullen Project Renewal 200 Varick Street 9th floor New York, NY 10014 212-620-0340 masked Business Applications Specialist Project Renewal Project Renewal 200 Varick Street 9th floor New York, NY 10014 212-620-0340 it@projectrenewal.org Provider Int 3 Complete 2013/12/20 12:00:00 2014/04/13 12:00:00 2014/04/13 02:08:02 UV 2.16.840.1.113883.3.4234 nchie-infrastructure NC HealthConnex Infrastructure Adam Dolde masked chris.scarboro@nchie.org Adam Dolde 714 Moncure School Rd Moncure NC 27559 919-444-9785 masked Sr. Technical Consultant SAS Institute Adam Dolde C-4255 100 SAS Campus Dr Cary NC 27513 919-531-4050 adam.dolde@sas.com https://hiea.nc.gov/ Exchange Int 3 Complete 2013/12/21 12:00:00 2014/04/13 12:00:00 2018/09/04 10:12:41 UV 2.16.840.1.113883.3.1199.6 armc-pul Pulmonary & Sleep Medicine of NE MI Adam Osbourne masked Adam Osbourne 1501 W Chisholm St Alpena, MI 49707 9893568057 masked Support Engineer Alpena Regional Medical Center 1501 W Chisholm St Alpena, MI 49707 9893568057 aosbourn@agh.org http://www.alpenaregionalmedicalcenter.org/Main/Home.aspx Provider 2.16.840.1.113883.3.1199 Ext 17 Complete 2.16.840.1.113883.3.1199.6 2013/12/23 12:00:00 2014/04/13 12:00:00 2014/04/13 02:11:19 UV 2.16.840.1.113883.3.1199.4 armc-aoa Orthopaedic Associates Adam Osbourne masked Adam Osbourne 1501 W Chisholm St Alpena, MI 49707 9893568057 masked Support Engineer Alpena Regional Medical Center 1501 W Chisholm St Alpena, MI 49707 9893568057 aosbourn@agh.org http://www.alpenaregionalmedicalcenter.org/Main/Home.aspx Provider 2.16.840.1.113883.3.1199 Ext 17 Complete 2.16.840.1.113883.3.1199.4 2013/12/23 12:00:00 2014/04/13 12:00:00 2014/04/13 02:12:22 UV 2.16.840.1.113883.17.3899 dhvs-2013 Downriver Heart & Vascular Specialists Jennifer Doederlein masked Jennifer Doederlein 15150 Fort St, Southgate, MI 48195 7342824800 masked Office Manager Downriver Heart & Vascular Specialists, PC 15150 Fort St Southgate, Mi 48195 7342824800 jenndhvs@gmail.com Provider Int 17 Complete 2013/12/23 12:00:00 2014/04/13 12:00:00 2014/04/13 02:18:14 UV 2.16.840.1.113883.3.2112.1 mnm-AllscriptsProEHR McLaren Northern Michigan (Physician Practices-AllscriptsProEHR) Patricia Walton masked Patricia Walton 416 Connable Ave Petoskey, MI 49770 231-340-0428 masked Application Analyst- System Admin Allscripts ProEHR McLaren Northern Michigan 416 Connable Ave Petoskey, MI 49770 (800) 248-6777 patricia.walton@antheliohealth.com http://www.mclaren.org/northernmichigan/northernmichigan.aspx Provider 2.16.840.1.113883.3.2112 Ext 17 Complete 2.16.840.1.113883.3.2112.1 2013/12/23 12:00:00 2014/04/13 12:00:00 2014/04/13 02:21:37 UV 2.16.840.1.113883.3.4235 roCHesterinternists Rochester Internists, PLLC Monika Eichmann masked Monika Eichmann 2708 S Rochester Road Rochester Hills, MI 48307 248-844-1500 masked Office Manager Rochester Internists, PLLC 2708 S Rochester Road Rochester Hills, MI 48307 248-844-1500 monika@rochesterinternists.com http://rochsterinteinternists.com/ Provider Int 3 Complete 2013/12/23 12:00:00 2014/04/13 12:00:00 2014/04/13 02:15:00 US 2.16.840.1.113883.3.4236 zacharyhlewis Zachary H Lewis, DO Merri Lewis masked Merri Lewis 3231 West Road Trenton, MI 48183 734-675-6885 masked Office Manager Zachary H Lewis, D.O. 3231 West Road Trenton, MI 48183 734-675-6885 zlewis@comcast.net Provider Int 3 Complete 2013/12/23 12:00:00 2014/04/13 12:00:00 2014/04/13 02:24:06 UV 2.16.840.1.113883.17.3900 northwoodschiro Northwoods Family Chiropractic Kimberly Scarlassara masked Kimberly Scarlassara 202 W. Adams St Iron River, MI 49935 906-265-9000 masked Chiropractic Physician Northwoods Family Chiropractic 202 W Adams St. Iron River, MI 49935 906-265-9000 northwoodschiro@att.net http://www.northwoodsfamilychiropractic.com Provider Int 17 Complete 2013/12/23 12:00:00 2014/04/13 12:00:00 2014/04/13 02:34:12 UV 2.16.840.1.113883.3.1070.5629 mckesson-fusion-5629 mckesson-fusion-5629 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5629 2013/12/23 12:00:00 2014/04/13 12:00:00 2014/04/13 02:36:10 US 2.16.840.1.113883.3.4237 valleypulmonarymedical VALLEY PULMONARY & MEDICAL ASSOCIATES, PC SHARON RIVET masked SHARON RIVET 222 CAREW STREET 2ND FLOOR SPRINGFIELD, MA 01104 4137395661 EXT 126 masked OFFICE MANAGER VALLEY PULMONARY & MEDICAL ASSOCIATES, PC 222 CAREW ST 2ND FL SPRINGFIELD, MA 01104 4137395661 VALLEYP1@AOL.COM http://VALLEYPMA.COM Provider Int 3 Complete 2013/12/24 12:00:00 2014/04/13 12:00:00 2014/04/13 02:38:37 UV 2.16.840.1.113883.3.4238 sna Springfield Neurology Associates Taryn Hearn masked Taryn Hearn 300 Carew Street Suite 2 Springfield MA 01104 413-781-5045 masked IT Manager Springfield Neurology Associates, LLC. 300 Carew Street Suite 2 Springfield, MA 01104 413-781-5050 taryn.hearn@springfieldneuro.com http://springfieldneuro.com/ Provider Int 3 Complete 2013/12/24 12:00:00 2014/04/13 12:00:00 2014/04/13 02:40:51 UV 2.16.840.1.113883.3.839.2 eh-ich Emanate Health Inter-Community Hospital Gary Pierceall masked Tito Perez 1041 W. Badillo Street, Covina, CA 91722 6612071096 masked Corporate Director Enterprise Applications Emanate Health tperez@emanatehealth.org https://emanatehealth.org Provider 2.16.840.1.113883.3.839 Ext 17 Complete 2.16.840.1.113883.3.839.2 2013/12/24 12:00:00 2014/04/13 12:00:00 2023/08/23 02:55:49 UV 2.16.840.1.113883.3.4239 compassionatemedicalcenter Compassionate Medical Center Inc. Nicholas Coppola masked Debbie Holtgard Debbie Holtgard 2770 Indian River Blvd, Suite 308 Vero Beach, FL 32960 772-567-0206 masked EDI Support AZZLY 2770 Indian River Blvd, Suite 308 Vero Beach, FL 32960 772-567-0206 vendorservices@azzly.com http://www.azzly.com Vendor 2.16.840.1.113883.3.662 Int 3 Complete 2013/12/24 12:00:00 2014/04/13 12:00:00 2014/04/13 02:42:44 UV 2.16.840.1.113883.3.839.3 eh-fph Emanate Health - Foothill Presbyterian Hospital Gary Pierceall masked Tito Perez 1041 W. Badillo Street, Covina, CA 91722 6264324156 masked Corporate Director Enterprise Applications Emanate Health tperez@emanatehealth.org https://emanatehealth.org Provider 2.16.840.1.113883.3.839 Ext 17 Complete 2.16.840.1.113883.3.839.3 2013/12/24 12:00:00 2014/04/13 12:00:00 2023/08/23 03:02:49 UV 2.16.840.1.113883.3.839.1 eh-qvh Emanate Health - Queen of the Valley Campus Gary Pierceall masked Tito Perez 1041 W. Badillo St. Covina, CA 91722 6267324156 masked Corporate Director Enterprise Applications Emanate Health tperez@emanatehealth.org https://emanatehealth.org Provider 2.16.840.1.113883.3.839 Ext 17 Complete 2.16.840.1.113883.3.839.1 2013/12/24 12:00:00 2014/04/13 12:00:00 2023/08/23 03:04:48 UV 2.16.840.1.113883.3.1070.5641 mckesson-fusion-5641 mckesson-fusion-5641 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5641 2013/12/26 12:00:00 2014/04/13 12:00:00 2014/04/13 02:57:02 US 2.16.840.1.113883.3.4240 veindraw VeinDraw Holger Brandt masked Holger Brandt VeinDraw, LLC. 2001 Butterfield Rd. Suite 225 Downers Grove, IL 60515 630-786-5236 masked VeinDraw, LLC VeinDraw, LLC. 2001 Butterfield Rd. Suite 225 Downers Grove, IL 60515 630-786-5236 holger@veindraw.com Vendor Int 3 Complete 2013/12/26 12:00:00 2014/04/13 12:00:00 2014/04/13 02:59:41 UV 2.16.840.1.113883.3.4241 laurel-oid laurel OID Root Sue Whisnant masked Sue Whisnant 41 Oakland Road, Suite 200 Asheville, NC 28801 8282535381 masked Business Manager Laurel Ob Gyn PA 41 Oakland Road, Suite 200 Asheville, NC 28801 8282535381 suzy.laurel@gmail.com Provider Int 3 Complete 2013/12/26 12:00:00 2014/04/13 12:00:00 2014/04/13 03:01:57 UV 2.16.840.1.113883.3.4013.2 kghws Westside Shelly Burton-Knapp masked Shelly Burton-Knapp 1535 Gull Rd Ste 105 Kalamazoo, MI 49048 269-385-9900 masked EHR/IT Specialist Kalamazoo Gastroenterology Hepatology 1535 Gull Road Ste 105 Kalamazoo, MI 49048 269-385-9900 mburtonknapp@kgh-dhc.com http://www.kgh-dhc.com Provider 2.16.840.1.113883.3.4013 Ext 17 Complete 2.16.840.1.113883.3.4013.2 2013/12/26 12:00:00 2014/04/13 12:00:00 2014/04/13 03:04:24 UV 2.16.840.1.113883.3.4013.7 kghbc Battle Creek Office Shelly Burton-Knapp masked Shelly Burton-Knapp 1535 Gull Rd Ste 105 Kalamazoo, MI 49048 269-385-9900 masked EHR/IT Specialist Kalamazoo Gastroenterology Hepatology 1535 Gull Rd Ste 105 kalamazoo, MI 49048 269-385-9900 mburtonknapp@kgh-dhc.com https://www.kgh-dhc.com Provider 2.16.840.1.113883.3.4013 Ext 17 Complete 2.16.840.1.113883.3.4013.7 2013/12/26 12:00:00 2014/04/13 12:00:00 2014/04/13 03:06:03 UV 2.16.840.1.113883.3.4013.12 kgh3r Three Rivers Office Shelly Burton-Knapp masked Shelly Burton-Knapp 1535 Gull Rd, Ste 105 Kalamazoo, MI 49048 269-385-9900 masked EHR/IT Specialist Kalamazoo Gastroenterology Hepatology 1535 Gull Rd Ste 105 Kalamazoo, MI 49048 269-385-9900 mburtonknapp@kgh-dhc.com http://www.kgh-dhc.com Provider 2.16.840.1.113883.3.4013 Ext 17 Complete 2.16.840.1.113883.3.4013.12 2013/12/26 12:00:00 2014/04/13 12:00:00 2014/04/13 03:07:37 UV 2.16.840.1.113883.3.4013.10 kghwb Woodbridge Office Shelly Burton-Knapp masked Shelly Burton-Knapp 1535 Gull Rd Ste 105 Kalamazoo, MI 49048 269-385-9900 masked EHR/IT Specialist Kalamazoo Gastroenterology Hepatology 1535 Gull Rd Ste 105 kalamazoo, MI 48048 269-385-9900 mburtonknapp@kgh-dhc.com http://www.kgh-dhc.com Provider 2.16.840.1.113883.3.4013 Ext 17 Complete 2.16.840.1.113883.3.4013.10 2013/12/26 12:00:00 2014/04/13 12:00:00 2014/04/13 03:08:45 UV 2.16.840.1.113883.3.4013.3 kghpp Paw Paw Office Shelly Burton-Knapp masked Shelly Burton-Knapp 1535 Gull Rd Ste 105 Kalamazoo, MI 49048 269-385-9900 masked EHR/IT Specialist Kalamazoo Gastroenterology Hepatology 1535 Gull Rd Ste 105 Kalamazoo, MI 49048 269-385-9900 mburtonknapp@kgh-dhc.com http://www.kgh-dhc.com Provider 2.16.840.1.113883.3.4013 Ext 17 Complete 2.16.840.1.113883.3.4013.3 2013/12/26 12:00:00 2014/04/13 12:00:00 2014/04/13 03:09:45 UV 2.16.840.1.113883.3.4242 nhc NEPHROLOGY HYPERTENSION CLINIC, PC MICHELE RICHARDS masked MICHELE RICHARDS 18100 OAKWOOD BLVD STE 207 DEARBORN, MI 48124 313-271-3000 masked DIRECTOR OF ACCOUNTS RECEIVABLE NEPHROLOGY HYPERTENSION CLINIC PC 18100 OAKWOOD BLVD STE 207 DEARBORN, MI 48124 313-271-3000 MICHELER@NEPHROLOGYHYPERTENSIONCLINIC.COM http://www.nephrologyhypertensionclinic.com/ Provider Int 3 Complete 2013/12/26 12:00:00 2014/04/13 12:00:00 2014/04/13 03:13:11 UV 2.16.840.1.113883.4.692 heartflow HeartFlow FFRct Results PDF Richard Bennett masked Nathalie d'Amours Richard Bennett HeartFlow, Inc. 1400 Seaport Blvd., Bldg. B Redwood City, CA 94063 650 241 0201 masked HeartFlow, Inc. HeartFlow, Inc. 1400 Seaport Blvd., Bldg. B Redwood City, CA 94063 650 241 1221 info@heartflow.com http://heartflow.com Vendor Int 3 Complete 2013/12/26 12:00:00 2014/04/13 12:00:00 2014/04/13 03:27:40 US 2.16.840.1.113883.4.693 heartflowintl HeartFlow FFRct Results PDF Richard Bennett masked Nathalie d'Amours Richard Bennett HeartFlow, Inc. 1400 Seaport Blvd., Bldg. B Redwood City, CA 94063 650 241 0201 masked HeartFlow, Inc. HeartFlow, Inc. 1400 Seaport Blvd., Bldg. B Redwood City, CA 94063 650 241 1221 info@heartflow.com http://heartflow.com Vendor Int 2.16.840.1.113883.4.692 4 Retired 2013/12/26 12:00:00 2022/10/31 12:17:49 UV 2.16.840.1.113883.3.4243 ccnde Christiana Care Health System Neuron James DeBiase masked James DeBiase 1 Reads Way, Suite 200 New Castle, DE 19720 3023275745 masked Christiana Care Health System 4755 Ogletown-Stanton Road Newark DE 19718 3027331000 jdebiase@christianacare.org http://www.christianacare.org/ Provider Int 3 Complete 2013/12/30 12:00:00 2014/04/13 12:00:00 2014/04/13 03:29:30 UV 2.16.840.1.113883.3.4244 stBRNEURO Broome Neurosciences, PC Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Broome Neurosciences, PC 38 Front Street Binghamton, NY 13905 607-772-9556 palmy@sthlny.com Provider Int 3 Complete 2013/12/30 12:00:00 2014/04/13 12:00:00 2014/04/13 03:31:44 UV 2.16.840.1.113883.3.4245 stCCCS Chenango County Community Services Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Chenango County Community Services 5 Court St Ste 42 Norwich, NY 13815 607.337.1600 lgregg@co.chenango.ny.us http://www.co.chenango.ny.us/mental-hygiene-services Provider Int 3 Complete 2013/12/30 12:00:00 2014/04/13 12:00:00 2014/04/13 03:33:34 UV 2.16.840.1.113883.3.4246 stDCCS Delaware County Community Services Paul Almy masked Paul M.Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Delaware County Community Services 1 Hospital Road Walton, NY 13856 607-865-6522 Virginia.Velardi@co.delaware.ny.us http://www.co.delaware.ny.us/departments/mhc/mhc.htm Provider Int 3 Complete 2013/12/30 12:00:00 2014/04/13 12:00:00 2014/04/13 03:35:08 UV 2.16.840.1.113883.3.4247 wispodiatry wispodiatry OID Root Linda Vanbeek masked Linda Vanbeek 1771 Allouez Avenue, Green Bay, WI 54311 920-469-5522 masked Edward Vanbeek, DPM 1771 Allouez Avenue, Green Bay, WI 54311 920-469-5522 wispodiatry@gmail.com Provider Int 3 Complete 2013/12/30 12:00:00 2014/04/13 12:00:00 2014/04/13 03:38:39 UV 2.16.840.1.113883.3.4248 stSACCO Sacco Eye Group Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Sacco Eye Group 400 Plaza Dr Ste B Vestal, NY 13850 607-798-1987 officemanager@saccoeyegroup.com http://saccoeyegroup.com/index.html Provider Int 3 Complete 2013/12/30 12:00:00 2014/04/13 12:00:00 2014/04/13 03:41:31 UV 2.16.840.1.113883.3.1070.5633 mckesson-fusion-5633 mckesson-fusion-5633 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5633 2013/12/30 12:00:00 2014/04/13 12:00:00 2014/04/13 03:43:14 US 2.16.840.1.113883.3.4249 stSNRC Susquehanna Nursing & Rehabilitation Center LLC Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Susquehanna Nursing & Rehabilitation Center LLC 282 Riverside Dr. Johnson City, NY 13790 607.729.9206 shannon@susnursing.com http://www.susnursing.com/ Provider Int 3 Complete 2013/12/30 12:00:00 2014/04/13 12:00:00 2014/04/13 03:44:54 UV 2.16.840.1.113883.3.4250 stTTNEURO Twin Tier Neurology PC Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Twin Tier Neurology PC 4100 Old Vestal Road Suite 104 Vestal, NY 13850 607.584.4675 lbloodgood@stny.rr.com Provider Int 3 Complete 2013/12/30 12:00:00 2014/04/13 12:00:00 2014/04/13 03:54:05 UV 2.16.840.1.113883.3.4251 stWELLNESS Wellness Sport & Spine Chiropractic PLLC Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Wellness Sport & Spine Chiropractic PLLC 130 Front St Vestal, NY 13850 607.786.3601 palmy@sthlny.com http://wellnesssportandspine.biz/ Provider Int 3 Complete 2013/12/30 12:00:00 2014/04/13 12:00:00 2014/04/13 03:55:58 UV 2.16.840.1.113883.3.4252 mcHcMC Commonwealth Health Corporation Mark Hanson masked Mark Hanson 800 Park Ave. Bowling Green, KY. 42012 270-796-2561 masked Sr. Clinical Informatics Specialist Commonwealth Health Corporation 800 Park Ave. Bowling Green, KY. 42012 270-745-1500 hansmh@chc.net Provider Int 3 Complete 2013/12/30 12:00:00 2014/04/13 12:00:00 2017/03/27 03:42:02 UV 2.16.840.1.113883.3.4253 stROBERTS Roberts Eyecare Associates Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Roberts Eyecare Associates Vestal Commons 3455 Vestal Parkway East Vestal, NY 13850-2134 607.722.2020 palmy@sthlny.com http://www.robertseyecare.net/content/view/32/42/ Provider Int 3 Complete 2013/12/30 12:00:00 2014/04/13 12:00:00 2014/04/13 04:04:45 UV 2.16.840.1.113883.3.4254 stKAPUR Rani Kapur-Pado DO Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Rani Kapur-Pado DO 43 Pearl Street W Fl 2 PO Box 38 Sidney, NY 13838 607.563.3333 rpado@stny.rr.com Provider Int 3 Complete 2013/12/30 12:00:00 2014/04/13 12:00:00 2014/04/13 04:48:17 UV 2.16.840.1.113883.3.4255 stTTORTHO Twin Tier Orthopedic & Hand Surgery PC Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Twin Tier Orthopedic & Hand Surgery PC 4500 Old Vestal Rd Vestal, NY 13850 607.729.6226 palmy@sthlny.com Provider Int 3 Complete 2013/12/30 12:00:00 2014/04/13 12:00:00 2014/04/13 04:49:25 UV 2.16.840.1.113883.3.4256 hargettmd Lewis Hargett,MD PSC OID root Brandy Alvey masked Brandy Alvey 1900 Bluegrass Ave Ste 100 Louisville, KY 40215 502-366-8021 masked Billing Manager Lewis Hargett, MD PSC 1900 Bluegrass Ave Ste 100 Louisville, KY 40215 502-366-8021 brandyalvey310@yahoo.com Provider Int 3 Complete 2013/12/30 12:00:00 2014/04/13 12:00:00 2014/04/13 04:52:27 UV 2.16.840.1.113883.3.2591.100.3.3.7 nyecthincghvfhc NYeC THINC GHVFHC Repository OID Fabianni Builes masked Tyson Markley Tyson Markley 6466610278 masked Integration Engineer NYeC THINC GHVFHC Repository OID tmarkley@nyehealth.org http://www.nyehealth.org Exchange 2.16.840.1.113883.3.2591.100.3.3 Ext 17 Complete 2.16.840.1.113883.3.2591.100.3.3.7 2013/12/30 12:00:00 2014/04/13 12:00:00 2014/04/13 04:56:21 UV 2.16.840.1.113883.3.4258 hlab Iasis Healthcare Horizion Lab Terry Peterson masked Terry Peterson 7100 Commerce Way Suite 60 Brentwood TN 37027 615-467-3709 masked Interface Engineer Iasis Healthcare 7100 Commerce Way Suite 60 Brentwood TN 37027 615-467-3709 tlpeterson@iasishealthcare.com http://www.iasishealthcare.com/ Provider Int 3 Complete 2013/12/30 12:00:00 2014/04/13 12:00:00 2014/04/13 05:03:19 UV 2.16.840.1.113883.3.1164.1 mmcthv Munson Medical Center - Traverse Heart and Vascular Randi Terry masked Thomas Northway Randi Terry Munson Healthcare 1105 Sixth St. Traverse City, MI 49684 231-935-5199 masked Director, IS Randi Terry Munson Healthcare 1105 Sixth St. Traverse City, MI 49684 231-935-5199 rterry@mhc.net http://www.munsonhealthcare.org Provider 2.16.840.1.113883.3.1164 Ext 17 Complete 2.16.840.1.113883.3.1164.1 2013/12/30 12:00:00 2014/04/13 12:00:00 2014/04/13 05:05:20 UV 2.16.840.1.113883.3.1164.2 mmcmfp Munson Medical Center - Munson Family Practice Randi Terry masked Thomas Northway Randi Terry Munson Healthcare 1105 Sixth St. Traverse City, MI 49684 231-935-5199 masked Director, IS Randi Terry Munson Healthcare 1105 Sixth St. Traverse City, MI 49684 231-935-5199 rterry@mhc.net http://www.munsonhealthcare.org Provider 2.16.840.1.113883.3.1164 Ext 17 Complete 2.16.840.1.113883.3.1164.2 2013/12/30 12:00:00 2014/04/13 12:00:00 2014/04/13 05:07:52 UV 2.16.840.1.113883.3.1164.3 mmcendo Munson Medical Center - Endocrinology Consultants Randi Terry masked Thomas Northway Randi Terry Munson Healthcare 1105 Sixth St. Traverse City, MI 49684 231-935-5199 masked Director, IS Munson Healthcare Munson Healthcare 1105 Sixth St. Traverse City, MI 49684 231-935-5199 rterry@mhc.net http://www.munsonhealthcare.org Provider 2.16.840.1.113883.3.1164 Ext 17 Complete 2.16.840.1.113883.3.1164.3 2013/12/30 12:00:00 2014/04/13 12:00:00 2014/04/13 05:10:18 UV 2.16.840.1.113883.3.1164.4 mmcid Munson Medical Center - Infectious Disease Consultants Randi Terry masked Thomas Northway Randi Terry Munson Healthcare 1105 Sixth St. Traverse City, MI 49684 231-935-5199 masked Director, IS Munson Healthcare Munson Healthcare 1105 Sixth St. Traverse City, MI 49684 231-935-5199 rterry@mhc.net http://www.munsonhealthcare.org Provider 2.16.840.1.113883.3.1164 Ext 17 Complete 2.16.840.1.113883.3.1164.4 2013/12/30 12:00:00 2014/04/13 12:00:00 2014/04/13 05:12:05 UV 2.16.840.1.113883.3.1164.5 mmcneuro Munson Medical Center - Neurosurgery Randi Terry masked Thomas Northway Randi Terry Munson Healthcare 1105 Sixth St. Traverse City, MI 49684 231-935-5199 masked Director, IS Munson Healthcare Munson Healthcare 1105 Sixth St. Traverse City, MI 49684 231-935-5199 rterry@mhc.net http://www.munsonhealthcare.org Provider 2.16.840.1.113883.3.1164 Ext 17 Complete 2.16.840.1.113883.3.1164.5 2013/12/30 12:00:00 2014/04/13 12:00:00 2014/04/13 05:14:31 UV 2.16.840.1.113883.3.3255.1 kmhkmoc Kalkaska Memorial Hospital - Kalkaska Memorial Outpatient Clinic Randi Terry masked Thomas Northway Randi Terry Munson Healthcare 1105 Sixth Street Traverse City, MI 49684 231-935-5199 masked Director, IS Munson Healthcare Munson Healthcare 1105 Sixth Street Traverse City, MI 49684 231-935-5199 rterry@mhc.net http://www.munsonhealthcare.org Provider 2.16.840.1.113883.3.3255 Ext 17 Complete 2.16.840.1.113883.3.3255.1 2013/12/30 12:00:00 2014/04/13 12:00:00 2014/04/13 05:18:05 UV 2.16.840.1.113883.3.3252.1 mchmhpp Mercy Cadillac Hospital - Mercy Health Physician Partners Randi Terry masked Thomas Northway Randi Terry Munson Healthcare 1105 Sixth Street Traverse City, MI 49684 231-935-5199 masked Director, IS Munson Healthcare Munson Healthcare 1105 Sixth Street Traverse City, MI 49684 231-935-5199 rterry@mhc.net http://www.munsonhealthcare.org Provider 2.16.840.1.113883.3.3252 Ext 17 Complete 2.16.840.1.113883.3.3252.1 2013/12/30 12:00:00 2014/04/13 12:00:00 2014/04/13 05:23:15 UV 2.16.840.1.113883.3.3252.2 mchmsc Mercy Cadillac Hospital - Mercy Surgical Care Randi Terry masked Thomas Northway Randi Terry Munson Healthcare 1105 Sixth Street Traverse City, MI 49684 231-935-5199 masked Director, IS Munson Healthcare Munson Healthcare 1105 Sixth Street Traverse City, MI 49684 231-935-5199 rterry@mhc.net http://www.munsonhealthcare.org Provider 2.16.840.1.113883.3.3252 Ext 17 Complete 2.16.840.1.113883.3.3252.2 2013/12/30 12:00:00 2014/04/13 12:00:00 2014/04/13 05:25:18 UV 2.16.840.1.113883.3.3253.1 mghmfm Mercy Grayling Hospital - MHSN Mercy Family Medicine Randi Terry masked Thomas Northway Randi Terry Munson Healthcare 1105 Sixth Street Traverse City, MI 49684 231-935-5199 masked Director, IS Munson Healthcare Munson Healthcare 1105 Sixth Street Traverse City, MI 49684 231-935-5199 rterry@mhc.net http://www.munsonhealthcare.org Provider 2.16.840.1.113883.3.3253 Ext 17 Complete 2.16.840.1.113883.3.3253.1 2013/12/30 12:00:00 2014/04/13 12:00:00 2014/04/13 05:29:33 UV 2.16.840.1.113883.3.3253.2 mghpcs Mercy Grayling Hospital - MHSN Primary Care Services (Prudenville) Randi Terry masked Thomas Northway Randi Terry Munson Healthcare 1105 Sixth Street Traverse City, MI 49684 231-935-5199 masked Director, IS Munson Healthcare Munson Healthcare 1105 Sixth Street Traverse City, MI 49684 231-935-5199 rterry@mhc.net http://www.munsonhealthcare.org Provider 2.16.840.1.113883.3.3253 Ext 17 Complete 2.16.840.1.113883.3.3253.2 2013/12/30 12:00:00 2014/04/13 12:00:00 2014/04/13 05:31:12 UV 2.16.840.1.113883.3.3253.3 mghrosc Mercy Grayling Hospital - MHSN Roscommon, MPCA Randi Terry masked Thomas Northway Randi Terry Munson Healthcare 1105 Sixth Street Traverse City, MI 49684 231-935-5199 masked Director, IS Munson Healthcare Munson Healthcare 1105 Sixth Street Traverse City, MI 49684 231-935-5199 rterry@mhc.net http://www.munsonhealthcare.org Provider 2.16.840.1.113883.3.3253 Ext 17 Complete 2.16.840.1.113883.3.3253.3 2013/12/30 12:00:00 2014/04/13 12:00:00 2014/04/13 05:32:28 UV 2.16.840.1.113883.3.4259 panw Pediatric Associates Northwest Gary Hoyer masked Chelsea Rolstad Gary Hoyer 503-612-1666 masked Pediatric Associates Northwest Clinic 2701 NW Vaugh Street, Suite 360 Portland, OR 97210 (503) 419-4935 crolstad@panwpc.com Provider Int 3 Complete 2013/12/30 12:00:00 2014/04/13 12:00:00 2014/04/13 05:36:00 UV 2.16.840.1.113883.3.4260 obstetricgc obstetricgc OID ROOT Maria Ubaldo masked Maria Ubaldo 1000 SW Blue Pkwy, Lees Summit, MO 64063 816-525-0061 masked Healthcare Exclusively For Women 1000 SW Blue Pkwy, Lees Summit, Mo 64063 816-525-0061 hefwinc2013@yahoo.com Provider Int 3 Complete 2013/12/31 12:00:00 2014/04/13 12:00:00 2014/04/13 05:40:20 UV 2.16.840.1.113883.3.4261 rhp River Hills Pediatrics OID root Rosemarie Anderson masked Rosemarie Anderson 602 South Fort Thomas Ave. Fort Thomas, KY 41075 859-781-1310 masked Manager River Hills Pediatrics 602 South Fort Thomas Ave. Fort Thomas, KY 41075 859-781-1310 riverhillspediatrics@fuse.net Provider Int 3 Complete 2013/12/31 12:00:00 2014/04/13 12:00:00 2014/04/13 05:45:09 UV 2.16.840.1.113883.3.4262 danielgreenberg danielgreenberg OID Root Nancy Wagner masked Nancy Wagner 800 Austin st suite 256e Evanston, IL 60202 847-492-8434 masked Daniel R. Greenberg, MD 800 Austin st suite 256e Evanston, IL 60202 847-492-8434 dg256e@yahoo.com Provider Int 3 Complete 2013/12/31 12:00:00 2014/04/13 12:00:00 2014/04/13 05:48:52 UV 2.16.840.1.113883.3.4263 krweavermd Kenneth R Weaver M.D. OID root Jennifer Simpson masked Jennifer Simpson 1725 Harrodsburg Road Suite 110 Lexington, KY 40204 8593135000 masked Office Manager Kenneth R Weaver, M.D. 1725 Harrodsburg Road Suite 110 Lexington, KY 40204 8593135000 weavereyes@aol.com Provider Int 3 Complete 2013/12/31 12:00:00 2014/04/13 12:00:00 2014/04/13 05:50:31 UV 2.16.840.1.113883.3.4264 parknicolletOID Park Nicollet OID/HCID for DIL testing Carlos Villavicencio masked Carlos Villavicencio 952-993-9885 masked Park Nicollet Health Services 7777 Golden Triangle Drive Eden Prairie, MN 55344 952-993-9885 villac@parknicollet.com Exchange Int 3 Complete 2013/12/31 12:00:00 2014/04/13 12:00:00 2014/04/13 05:53:17 UV 2.16.840.1.113883.3.4265 aFP-17 Atkinson Family Practice Thomas Ptaszkiewicz masked Thomas Ptaszkiewicz 17 Research Dr. Amherst, MA 01002 413-549-8400 masked Office Manager Atkinson Family Practice 17 Research Dr. Amherst, MA 01002 413-549-8400 tptasz@doctorkate.net Provider Int 3 Complete 2014/01/02 12:00:00 2014/04/13 12:00:00 2014/04/13 06:01:23 UV 2.16.840.1.113883.3.4266 stipek Robert S. Stipek, DPM OID Root Anna Maria Alberghini masked Anna Maria Alberghini 265 Winn St Suite 104 Burlington, MA 01803 7812725484 masked Practice Manager Robert S. Stipek, DPM 265 Winn St Suite 104 Burlington, MA 01803 7812725484 amalberghini1@verizon.net Provider Int 3 Complete 2014/01/02 12:00:00 2014/04/13 12:00:00 2014/04/13 06:03:52 UV 2.16.840.1.113883.3.4267 colorectal colorectal OID Root Gwen OQuin masked Gwen OQuin 4224 Houma Blvd Suite 540 Metairie, LA 70006 504-456-5108 masked Colon & Rectal Surgery Associates 4224 Houma Blvd Suite 540 Metairie, LA 70006 504-456-5108 goquin@colorectal-la.com Provider Int 3 Complete 2014/01/02 12:00:00 2014/04/13 12:00:00 2014/04/13 06:06:33 UV 2.16.840.1.113883.3.4268 inMD Kanick And Company OID Joanne Berent masked Joel Kanick Joanne Berent 501 John James Audubon Parkway Suite 201 Amherst, NY 14228 7166510111 masked Office Manager Kanick And Company 501 John James Audubon Parkway Suite 201 Amherst, NY 14228 716-651-0111 jkanick@kanick.com http://www.kanick.com Vendor Int 3 Complete 2014/01/02 12:00:00 2014/04/13 12:00:00 2014/04/13 06:14:31 UV 2.16.840.1.113883.3.4269 vtc Advanced Cardiac Surgical Associates Joanne Berent masked Joel Kanick Joanne Berent 501 John James Audubon Parkway Suite 201 Amherst, NY 14227 7166510111 masked Office Manager Kanick And Company 501 John James Audubon Parkway Suite 201 Amherst, NY 14227 7166510111 jkanick@kanick.com http://www.kanick.com Provider Int 3 Complete 2014/01/02 12:00:00 2014/04/13 12:00:00 2014/04/13 06:20:09 UV 2.16.840.1.113883.3.4270 joaquingomez Dr. Joaquin Gomez OID Root Iana Gomez masked Iana Gomez 2760 SW 97th Ave # 105 Miami, FL 33165 (305) 228-7120 masked office manager Dr. Joaquin Gomez 2760 SW 97th Ave # 105 Miami, FL 33165 (305) 228-7120 gjanmic@bellsouth.net Provider Int 3 Complete 2014/01/02 12:00:00 2014/04/13 12:00:00 2014/04/13 06:23:29 UV 2.16.840.1.113883.3.2885.24 mmh-24 Marengo Memorial Hospital Sharon Anderson masked Sharon Anderson 6100 Thornton suite 250 Des Moines, Ia 50321 515-241-7402 masked Application Analyst Unity Point Health 6100 Thornton Ave suite 250 Des Moines, Ia 50321 515-241-7402 sharon.anderson@unitypoint.org http://www.unitypoint.org Provider 2.16.840.1.113883.3.2885 Ext 14 Complete 2.16.840.1.113883.3.2885.24 2014/01/02 12:00:00 2014/04/13 12:00:00 2014/04/13 06:30:46 UV 2.16.840.1.113883.3.1070.5607 mckesson-fusion-5607 mckesson-fusion-5607 Anna Durbin masked Fusion Enrollment 8775074541 masked Fusion Enrollment anna.durbin@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5607 2014/01/02 12:00:00 2014/04/17 12:00:00 2014/04/17 03:26:16 US 2.16.840.1.113883.3.4271 marielaurbina MARIELA URBINA MD PA OID ROOT MARIELA URBINA masked MARIELA URBINA 2760 SW 97 AVEW SUITE 105 MIAMI FLORIDA 33165 3052283714 masked PRESIDENT MARIELA URBINA 2760 SW 97 AVE SUITE 105 MIAMI FLORIDA 33165 3052283714 mupmd2@bellsouth.net Provider Int 3 Complete 2014/01/02 12:00:00 2014/04/17 12:00:00 2014/04/17 03:29:17 UV 2.16.840.1.113883.3.4272 healthlandroot Healthland Root Angela Virnig masked Angela Virnig 320-634-5331 masked Healthland 625 S Lakeshore Dr, Glenwood, MN 56334 320-634-5331 healthland@healthland.com Vendor Int 3 Complete 2014/01/02 12:00:00 2014/04/17 12:00:00 2014/04/17 03:30:29 UV 2.16.840.1.113883.3.4272.1 healthlanddocuments Healthland Documents Angela Virnig masked Angela Virnig 320-634-5331 masked Healthland 625 S Lakeshore Dr, Glenwood, MN 56334 320-634-5331 healthland@healthland.com Vendor 2.16.840.1.113883.3.4272 Ext 14 Complete 2.16.840.1.113883.3.4272.1 2014/01/02 12:00:00 2014/04/17 12:00:00 2014/04/17 03:32:57 UV 2.16.840.1.113883.3.4272.2 healthlandpatients Healthland Patients Angela Virnig masked Angela Virnig 320-634-5331 masked Healthland 625 S Lakeshore Dr, Glenwood, MN 56334 320-634-5331 healthland@healthland.com Vendor Ext 14 Complete 2.16.840.1.113883.3.4272.2 2014/01/02 12:00:00 2014/04/17 12:00:00 2014/04/17 03:35:00 UV 2.16.840.1.113883.3.4272.4 healthlandlocations Healthland Locations Angela Virnig masked Angela Virnig 320-634-5331 masked Healthland 625 S Lakeshore Dr, Glenwood, MN 56334 320-634-5331 healthland@healthland.com Vendor Ext 14 Complete 2.16.840.1.113883.3.4272.4 2014/01/02 12:00:00 2014/04/17 12:00:00 2014/04/17 03:40:08 UV 2.16.840.1.113883.3.4273 wmfmailymedicine wmfamilymedicine OID Root Ruthann Ford masked Ruthann Ford 1550 3 Mile Road NW Suite A Walker, MI 49544 616-785-3883 masked West Michigan Family Medicine, PC 1550 3 Mile Road NW Suite A Walker, MI 49544 616-785-3883 ruthannford@hotmail.com Provider Int 3 Complete 2014/01/02 12:00:00 2014/04/17 12:00:00 2014/04/17 03:41:44 UV 2.16.840.1.113883.3.4272.4.1 healthlandfacility Healthland Facility Angela Virnig masked Angela Virnig 320-634-5331 masked Healthland 625 S Lakeshore Dr, Glenwood, MN 56334 320-634-5331 healthland@healthland.com Vendor 2.16.840.1.113883.3.4272 Ext 14 Complete 2.16.840.1.113883.3.4272.4.1 2014/01/02 12:00:00 2014/04/17 12:00:00 2014/04/17 03:43:39 UV 2.16.840.1.113883.3.4272.14 healthlandapplication Healthland Application Angela Virnig masked Angela Virnig 320-634-5331 masked Healthland 625 S Lakeshore Dr, Glenwood, MN 56334 320-634-5331 healthland@healthland.com Vendor 2.16.840.1.113883.3.4272 Ext 14 Complete 2.16.840.1.113883.3.4272.14 2014/01/02 12:00:00 2014/04/17 12:00:00 2014/04/17 03:46:17 UV 2.16.840.1.113883.3.4272.14.1 centriq Centriq Angela Virnig masked Angela Virnig 320-634-5331 masked Healthland 625 S Lakeshore Dr, Glenwood, MN 56334 320-634-5331 healthland@healthland.com Vendor Ext 14 Complete 2.16.840.1.113883.3.4272.14.1 2014/01/02 12:00:00 2014/04/17 12:00:00 2014/04/17 03:48:16 UV 2.16.840.1.113883.3.4272.8 healthlandorders Healthland Orders Angela Virnig masked Angela Virnig 320-634-5331 masked Healthland 625 S Lakeshore Dr, Glenwood, MN 56334 320-634-5331 healthland@healthland.com Vendor 2.16.840.1.113883.3.4272 Ext 14 Complete 2.16.840.1.113883.3.4272.8 2014/01/02 12:00:00 2014/04/17 12:00:00 2014/04/17 03:50:28 UV 2.16.840.1.113883.3.4272.8.1 placer-order Placer Order Angela Virnig masked Angela Virnig 320-634-5331 masked Healthland 625 S Lakeshore Dr, Glenwood, MN 56334 320-634-5331 healthland@healthland.com Vendor 2.16.840.1.113883.3.4272 Ext 14 Complete 2.16.840.1.113883.3.4272.8.1 2014/01/02 12:00:00 2014/04/17 12:00:00 2014/04/17 03:52:47 UV 2.16.840.1.113883.3.4272.8.2 filler Filler Angela Virnig masked Angela Virnig 320-634-5331 masked Healthland 625 S Lakeshore Dr, Glenwood, MN 56334 320-634-5331 healthland@healthland.com Vendor 2.16.840.1.113883.3.4272 Ext 14 Complete 2.16.840.1.113883.3.4272.8.2 2014/01/02 12:00:00 2014/04/17 12:00:00 2014/04/17 03:55:10 UV 2.16.840.1.113883.3.4274 tallahasseepulmonary Tallahassee Pulmonary Clinic OID root Tina Calhoun masked Tina Calhoun 1401 Centerville Rd G-02 Tallahassee, Fl. 32308 18508788714 masked IT Project Manager Tallahassee Pulmonary Clinic 1401 Centerville Rd G-02 Tallahassee, Fl. 32308 18508788714 tina@tallahasseepulmonary.com https://tpcmed.com Provider Int 3 Complete 2014/01/02 12:00:00 2014/04/17 12:00:00 2014/04/17 03:59:20 UV 2.16.840.1.113883.3.4275 genecovplasticsurgery genecovplasticsurgery OID Root Juli Smiddy masked Juli Smiddy 11970 N Central Expwy, Ste 270 Dallas, TX 75243 9723317711 masked Genecov Plastic Surgery Group 11970 N Central Expwy, Ste 270 Dallas, TX 75243 9723311900 juli@craniofacial.net Provider Int 3 Complete 2014/01/03 12:00:00 2014/04/17 12:00:00 2014/04/17 04:01:11 UV 2.16.840.1.113883.3.4276 pdfp Piscataway Dunellen Family Practice OID Root Jennifer Smith masked Jennifer Smith 24 Stelton Road Suite A Piscataway, NJ 08854 732-424-0440 masked Nurse Practitioner Piscataway Dunellen Family Practice 24 Stelton Road Suite A Piscataway, NJ 08854 732-424-0440 genif4@yahoo.com Provider Int 3 Complete 2014/01/03 12:00:00 2014/04/24 12:00:00 2014/04/24 02:40:24 UV 2.16.840.1.113883.3.4277 oncologyassociatespc oncologyassociatespc OID Root Janice Elrod masked Janice Elrod 8303 Dodge Street, Suite 225 Omaha, NE 68114 402-354-5860 masked Oncology Associates, PC 8303 Dodge Street, Suite 225 Omaha, NE 68114 402-354-5860 janice@oa-pc.com Provider Int 3 Complete 2014/01/03 12:00:00 2014/04/24 12:00:00 2014/04/24 02:41:57 UV 2.16.840.1.113883.3.4272.8.3 specimenid Specimen ID Angela Virnig masked Angela Virnig 320-634-5331 masked Healthland 625 S Lakeshore Dr, Glenwood, MN 56334 320-634-5331 healthland@healthland.com Vendor 2.16.840.1.113883.3.4272 Ext 14 Complete 2.16.840.1.113883.3.4272.8.3 2014/01/03 12:00:00 2014/04/24 12:00:00 2014/04/24 02:44:20 UV 2.16.840.1.113883.3.4272.2.2 healthlandmpi Healthland MPI Angela Virnig masked Angela Virnig 320-634-5331 masked Healthland 625 S Lakeshore Dr, Glenwood, MN 56334 320-634-5331 healthland@healthland.com Vendor 2.16.840.1.113883.3.4272 Ext 14 Complete 2.16.840.1.113883.3.4272.2.2 2014/01/03 12:00:00 2014/04/24 12:00:00 2014/04/24 02:47:01 UV 2.16.840.1.113883.3.4272.2.2.1 healthland-mpi Healthland Patient MPI Angela Virnig masked Angela Virnig 320-634-5331 masked Healthland 625 S Lakeshore Dr, Glenwood, MN 56334 320-634-5331 healthland@healthland.com Vendor Ext 14 Complete 2.16.840.1.113883.3.4272.2.2.1 2014/01/03 12:00:00 2014/04/24 12:00:00 2014/04/24 02:48:35 UV 2.16.840.1.113883.3.4278 meriter Meriter Health Services, Inc - OID Root Pauline Harrop masked Kim Knorr Systems Integration Team Meriter Health Services, Inc. 202 S. Park St. Madison, WI 53715 608-417-7777 masked Programmer/Analysts Meriter Health Services, Inc. Meriter Health Services, Inc. 202 S. Park St. Madison, WI 53715 608-417-6000 pharrop@meriter.com http://www.meriter.com Provider Int 3 Complete 2014/01/03 12:00:00 2014/04/24 12:00:00 2014/05/02 11:48:00 UV 2.16.840.1.113883.3.4279 snsc Suburban Neurologists, S.C. Rachelle Del Boccio masked Rachelle Del Boccio 800 Biesterfield Road, Suite 2009 Elk Grove, IL. 60007 (847)952-0329 masked Practice Administrator Suburban Neurologists, S.C. 800 Biesterfield Road, Suite 2009 Elk Grove, IL. 60007 (847)952-0329 r.del.boccio@hotmail.com http://www.suburbanneurologists,.com Provider Int 3 Complete 2014/01/03 12:00:00 2014/04/24 12:00:00 2014/04/24 02:53:00 UV 2.16.840.1.113883.3.1871.3.197 sapoheritage SAPO Heritage Family Medicine Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst SSMHC 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871.3 Ext 14 Complete 2.16.840.1.113883.3.1871.3.197 2014/01/03 12:00:00 2014/04/24 12:00:00 2014/04/24 02:55:53 UV 2.16.840.1.113883.3.4280 panwLO Qvera Location OID Gary Hoyer masked Chelsea Rolstad 2701 NW Vaugh Street, Suite 360 Portland OR 97210 (503) 419-4935 masked Qvera 2701 NW Vaugh Street, Suite 360 Portland, OR 97210 (503) 419-4935 crolstad@panwpc.com Provider Int 3 Complete 2014/01/03 12:00:00 2014/04/24 12:00:00 2014/04/24 02:58:31 UV 2.16.840.1.113883.3.4281 panwPDX Qvera Location OID Gary Hoyer masked Chelsea Rolstad 2701 NW Vaugh Street, Suite 360 Portland, OR 97210 (503) 419-4935 masked Qvera Immunization Software 2701 NW Vaugh Street, Suite 360 Portland, OR 97210 (503) 419-4935 crolstad@panwpc.com Provider Int 3 Complete 2014/01/03 12:00:00 2015/02/28 12:00:00 2015/02/28 04:06:26 UV 2.16.840.1.113883.3.1070.5618 mckesson-fusion-5618 mckesson-fusion-5618 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5618 2014/01/06 12:00:00 2014/04/24 12:00:00 2014/04/24 03:51:53 US 2.16.840.1.113883.3.1070.5630 mckesson-fusion-5630 mckesson-fusion-5630 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5630 2014/01/06 12:00:00 2014/04/24 12:00:00 2014/04/24 03:54:00 US 2.16.840.1.113883.3.4282 hmg-etsu Holston Medical Group ETSU Scott Rose masked Scott Rose 716 W. Center St. Kingsport, Tn 37660 4233434109 masked Holston Medical Group 716 W. Center St. Kingsport, TN 37660 4233434109 scott.rose@holstonmedicalgroup.com Vendor Int 3 3 Complete 2014/01/06 12:00:00 2014/04/24 12:00:00 2014/04/24 04:00:02 UV 2.16.840.1.113883.3.4283 jfernandez Jose Fernandez, MD OID root Yessenia Cuevas masked Yessenia Cuevas 10700 Caribbean Blvd Ste 108 Miami, FL 33189 305-251-8016 masked Jose Fernandez, MD 10700 Caribbean Blvd Ste 108 Miami, FL 33189 305-251-8016 josefernandezmd@bellsouth.net Provider Int 3 Complete 2014/01/06 12:00:00 2014/04/24 12:00:00 2014/04/24 04:01:52 UV 2.16.840.1.113883.3.4284 manistee Manistee OID Root Jane Burton masked Jane Burton 10300 W Nine Mile Rd Oak Park,Mi 48237 249-544-8326 masked Office Manager Manistee Clinic 10300 W Nine Mile Rd Oak Park, MI 48237 248-544-8236 drgregc@sbcglobal.net Provider Int 3 Complete 2014/01/06 12:00:00 2014/04/24 12:00:00 2014/04/24 04:07:56 UV 2.16.840.1.113883.3.1070.5627 mckesson-fusion-5627 mckesson-fusion-5627 Johnny Moore masked Fusion Enrollment 877 507 4541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5627 2014/01/06 12:00:00 2014/04/24 12:00:00 2014/04/24 04:11:15 US 2.16.840.1.113883.3.2402.200.6831 physicans-computer-company-clients-cypress Physician's Computer Company (PCC) Clients Cypress Pediatrics LLC Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6831 2014/01/06 12:00:00 2014/04/24 12:00:00 2015/12/14 04:11:30 UV 2.16.840.1.113883.3.2402.200.6598 physicans-computer-company-clients-bca Physician's Computer Company (PCC) Clients BCA Medical Associates Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6598 2014/01/06 12:00:00 2014/04/24 12:00:00 2014/04/24 04:15:19 UV 2.16.840.1.113883.3.4285 mccinc MENDOCINO COAST CLINICS, INC. JOSEPH FRITSCH masked JOSEPH A FRITSCH 205 SOUTH STREET FORT BRAGG CA 95437 707-961-3440 masked IT DIRECTOR MENDOCINO COAST CLINICS, INC. 205 SOUTH STREET FORT BRAGG, CA 95437 707-964-1251 jfritsch@mccinc.org http://www.mendocinocoastclinics.org/ Provider Int 3 Complete 2014/01/06 12:00:00 2014/04/24 12:00:00 2014/04/24 04:16:26 UV 2.16.840.1.113883.3.4286 bmarkmd Benjamin Mark MD Felicia Budra masked Benjamin Mark MD Felicia Budra 279 Third Ave., Suite 301 Long Branch, NJ 07740 7322293737 masked Office Manager Benjamin Mark MD 279 Third Ave., Suite 301 Long Branch, NJ 07740 7322293737 fbudra2@verizon.net Provider Int 3 Complete 2014/01/07 12:00:00 2014/04/24 12:00:00 2014/04/24 04:19:44 UV 2.16.840.1.113883.3.1070.5690 mckesson-fusion-5690 mckesson-fusion-5690 Michelle Banks masked Fusion Enrollment 8775074541 masked Fusion Enrollment michelle.banks@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5690 2014/01/07 12:00:00 2014/04/24 12:00:00 2014/04/24 04:21:19 US 2.16.840.1.113883.4.305.1.112 porterMedicalCenterPractices Porter Medical Center Practices Craig Hill masked Anthony Panella Craig Hill 144 Main Street, Suite 1, Montpelier, Vermont 05602 8028391966 masked Project Manager Porter Medical Center Practices 115 Porter Drive Middlebury, VT 05753 (802) 388-4726 apanella@portermedical.org Provider Ext 17 Complete 2.16.840.1.113883.4.305.1.112 2014/01/07 12:00:00 2014/12/19 12:00:00 2014/12/19 04:48:07 US 2.16.840.1.113883.3.4287 slse Swedish Laboratory Services Edmonds Ruth Mason masked Ruth Mason Swedish Laboratory Services Edmonds 21601 76th Avenue West Edmonds, WA 98026 425-640-4123 masked LIS Program manager Swedish Laboratory Services Edmonds Swedish Laboratory Services Edmonds 21601 76th Avenue West Edmonds, WA 98026 425-640-4179 Ruth.Mason@Swedish.org http://www.swedish.org/services/swedish-laboratory-services/edmonds-lab Provider Int 3 Complete 2014/01/07 12:00:00 2014/04/24 12:00:00 2014/04/24 04:24:08 UV 2.16.840.1.113883.3.4288 mariasmc Marias Medical Center Tressa Keller masked Tressa Keller 640 Park Avenue Shelby, MT 59474 4064347020 masked HIT Applications Coordinator Marias Medical Center 640 Park Avenue Shelby, MT 59474 4064343200 jyarn@mmcmt.org http://www.mmcmt.org Provider Int 3 Complete 2014/01/07 12:00:00 2014/04/24 12:00:00 2014/04/24 04:26:45 UV 2.16.840.1.113883.3.4289 mrhohip Mary Rutan Hospital Robert Reynolds masked Adam Rossbach Robert Reynolds Mary Rutan Hospital 205 Palmer Rd Bellefontaine, OH 43311 937-599-7008 masked Project Manager Mary Rutan Hospital arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/01/07 12:00:00 2014/04/24 12:00:00 2014/04/24 04:29:02 UV 2.16.840.1.113883.3.4290 chadsmoker Chad Smoker MD PC OID root Lynda Wiseman masked Lynda Wiseman BSN RN 88 Hospital Drive Spruce Pine, NC 28777 8287656101 masked Chad Smoker MD PC 88 Hospital Drive Spruce Pine, NC 28777 8287656101 ohlynda2002@yahoo.com Provider Int 3 Complete 2014/01/07 12:00:00 2014/04/24 12:00:00 2014/04/24 04:32:20 UV 2.16.840.1.113883.3.4291 bneff Bryan L Neff DPM OID root Kathy Neff masked Kathy Neff 9 E Maple St Coudersport, PA 16915 814-274-7870 masked office manager Bryan L Neff DPM 9 E Maple St Coudersport, PA 16915 814-274-7870 kathyneff@zitomedia.net Provider Int 3 Complete 2014/01/07 12:00:00 2014/04/24 12:00:00 2014/04/24 04:33:45 UV 2.16.840.1.113883.3.4292 amh-exchange Arbuckle Memorial Hospital Exchange Nakeshala Williams masked Sarah Freehill Terra Sanford 5806228231 masked CIO Arbuckle Memorial Hospital 2011 W. Broadway Sulphur, OK 73086 5806222161 tsanford@arbucklehospital.com http://www.arbucklehospital.com Provider Int 3 Complete 2014/01/07 12:00:00 2014/04/24 12:00:00 2023/12/12 01:21:44 UV 2.16.840.1.113883.3.4293 hunt-oid Hunt Regional Healthcare Yujie Goodman masked Yujie Goodman 4215 Joe Ramsey Blvd Post Office Drawer 1059 Greenville, TX 75403-1059 903-408-1808 masked Database Administrator Hunt Regional Healthcare 4215 Joe Ramsey Blvd Post Office Drawer 1059 Greenville, TX 75403-1059 903-408-5000 ywang@huntregional.org http://huntregional.org Provider Int 3 Complete 2014/01/07 12:00:00 2014/04/24 12:00:00 2014/04/24 04:38:29 UV 2.16.840.1.113883.3.4294 presence-health Presence Health Network Steven Richardson masked Steven Richardson Holy Family Medical Center 150 Medical Building Des Plaines, IL 60016 847-954-5584 masked Senior Project Manager Presence Health Holy Family Medical Center 150 Medical Building Des Plaines, IL 60016 847-954-5584 srichardson@presencehealth.org https://www.presencehealth.org Provider Int 3 Complete 2014/01/08 12:00:00 2014/04/24 12:00:00 2014/04/24 04:40:07 UV 2.16.840.1.113883.3.4295 oncOID ONC HL7 OID Mark Monterastelli masked Mark Monterastelli 7738959062 masked Entrepreneur Office of National Coordinator of Health IT 200 Independence Ave SW Washington, DC 20002 7738959062 mark.monterastell@hhs.gov http://www.healthit.gov Govt body Int 3 Complete 2014/01/08 12:00:00 2014/04/24 12:00:00 2014/04/24 04:42:22 UV 2.16.840.1.113883.3.1070.5619 mckesson-fusion-5619 mckesson-fusion-5619 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 3 Complete 2.16.840.1.113883.3.1070.5619 2014/01/08 12:00:00 2014/04/24 12:00:00 2014/04/24 04:45:15 US 2.16.840.1.113883.3.1070.5648 mckesson-fusion-5648 mckesson-fusion-5648 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5648 2014/01/08 12:00:00 2014/04/24 12:00:00 2014/04/24 04:55:42 US 2.16.840.1.113883.3.4296 chsitnpab Brandywine Hospital Lynn Manfredi masked Kerry_Moore@chs.net Lynn Manfredi 201 Reeceville Rd. Coatesville, PA 19320 (816) 266-0600 masked Project Manager Tamara L Manfredi 201 Reeceville Rd. Coatesville, PA 19320 8162660600 lynn.manfredi@cerner.com Provider Int 3 Complete 2014/01/08 12:00:00 2014/04/24 12:00:00 2014/04/24 04:57:48 UV 2.16.840.1.113883.3.1070.5422 mckesson-fusion-5422 mckesson-fusion-5422 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5422 2014/01/08 12:00:00 2014/04/24 12:00:00 2014/04/24 05:00:13 US 1.3.6.1.4.1.848259 vitalz Vitalz Technologies LLC Britto Saroja masked Britto Saroja 6173010646 masked HIE Consultant Vitalz Technologies LLC 6173010646 britto.saroja@vitalz.com https://vitalz.com SDO 1.3.6.1.4.1.848259 Ext 4 Complete 1.3.6.1.4.1.848259 2014/01/09 12:00:00 2014/04/24 12:00:00 2014/04/24 05:04:20 UV 2.16.840.1.113883.3.4297 goldsboropodiatry Goldsboro Podiatry OID Root Debra Smith masked Debra Smith 407 N Herman Street Goldsboro, NC 27530 919-583-9788 masked insurance manager Goldsboro Podiatry 407 N Herman Street Goldsboro, NC 27530 919-583-9788 debsmith@goldsboropodiatry.com Provider Int 3 Complete 2014/01/09 12:00:00 2014/04/24 12:00:00 2014/04/24 05:11:07 UV 2.16.840.1.113883.3.4298 sehealth Southeast Health Facility OID Randel Fuller masked Randel Fuller 623 Silver Springs Rd. Ste. 100 Cape Girardeau, MO 63701 573-331-6516 masked Interface/Integration Engineer Southeast Health 1701 Lacey Street Cape Girardeau, MO 63701 573-334-4822 rfuller@sehealth.org http://www.sehealth.org Provider Int 3 Complete 2014/01/09 12:00:00 2014/04/24 12:00:00 2014/04/24 05:13:16 UV 2.16.840.1.113883.3.4299 stTFCS The Family & Children's Society, Inc. Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked The Family & Children's Society, Inc. 355 Riverside Dr. Johnson City, NY 13790 607-772-9776 aquezada@familycs.org http://www.familycs.org/ Provider Int 3 Complete 2014/01/09 12:00:00 2014/04/24 12:00:00 2014/04/24 05:14:30 UV 2.16.840.1.113883.3.4300 excelaHealth Excela Health Organization Execla Health masked David Gawaluck 724-689-1657 masked CIO Excela Health Corporate Services Center 134 Industrial Park Road Greensburg, PA 15601 724-689-1654 724-689-1654 ehiod@excelahealth.org http://www.excelahealth.org/ Provider Int 3 Complete 2014/01/09 12:00:00 2014/04/24 12:00:00 2014/04/24 05:17:49 UV 2.16.840.1.113883.3.4301 stMONROE Monroe Plan for Medical Care Inc Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Monroe Plan for Medical Care Inc Monroe Plan for Medical Care Inc 1120 Pittsford-Victor Road Pittsford, NY 14534 607-771-7007 palmy@sthlny.com http://www.monroeplan.com/ Provider Int 3 Complete 2014/01/09 12:00:00 2014/04/24 12:00:00 2014/04/24 05:19:07 UV 2.16.840.1.113883.3.1070.5617 mckesson-fusion-5617 mckesson-fusion-5617 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5617 2014/01/09 12:00:00 2014/04/24 12:00:00 2014/04/24 05:22:41 US 2.16.840.1.113883.3.4302 mfp middlebrook family physicians OID Root Holly Whipert masked Holly Whipert 101 E Union Ave. Bound Brook, NJ 08805 732-560-0490 masked MA/Billing Middlebrook Family Physicians 101 E Union Ave. Bound Brook, NJ 08805 732-560-0490 mfpcare@gmail.com http://middlebrookfamilyphysicians.com/ Provider Int 3 Complete 2014/01/09 12:00:00 2014/04/24 12:00:00 2014/04/24 05:41:12 UV 2.16.840.1.113883.3.4303 prenatalMEDSRepository HFS Prenatal MEDS Repository Brad Schuster masked HFS Prenatal MEDS Brad Schuster 6085762959 masked HFS Prenatal MEDS bschuster@j2interactive.com Govt body Int 3 Complete 2014/01/10 12:00:00 2014/04/24 12:00:00 2014/04/24 05:42:26 UV 2.16.840.1.113883.3.4304 phfmc Peace Health Family Medical Center OID Karen Scott masked Karen Scott 653 Roberts Dr Ste A Riverdale,GA 30274 (770) 907-8722 masked Peace Health Family Medical Center 653 Roberts Dr Ste A Riverdale, GA 30274 (770) 907-8722 peacehealth02@yahoo.com Provider Int 3 Complete 2014/01/10 12:00:00 2014/04/24 12:00:00 2014/04/24 05:44:51 UV 2.16.840.1.113883.3.4305 kathtballard Kathryn T Ballard MD OID Nancy Tyson masked Nancy Tyson Kathryn T. Ballard MD 811 Ainsworth Drive Suite 106 Prescott, AZ 86301 (928) 771-5252 masked Kathryn T. Ballard MD 811 Ainsworth Drive Suite 106 Prescott, AZ 86301 (928) 771-5252 rlpusey@ejgh.org Provider Int 3 Complete 2014/01/10 12:00:00 2014/04/24 12:00:00 2014/04/24 05:47:35 UV 2.16.840.1.113883.3.4306 sjl St John's Lutheran Hospital Jon Reny masked Bryce Thompson 350 Louisiana Ave Libby, MT 59923 406-283-2459 masked IS Manager St John's Lutheran Hospital 350 Louisiana Ave Libby, MT 59923 406-283-7000 bryce.thompson@sjlh.com Provider Int 3 Complete 2014/01/10 12:00:00 2014/04/24 12:00:00 2014/04/24 05:49:13 UV 2.16.840.1.113883.3.4307 mshasoftlaboratorysystem Mountain States Health Alliance Soft Laboratory System Steven Lahr masked Kevin Bowes 602 Med Tech Pkwy Johnson City, TN 37604 423-302-6370 masked MSHA Corporate Laboratory Manager Mountain States Health Alliance 400 N. State of Franklin Road Johnson City, TN. 37604 423-302-6370 boweskj@msha.com http://www.msha.com Provider Int 3 Complete 2014/01/10 12:00:00 2014/04/24 12:00:00 2014/05/02 09:57:32 UV 2.16.840.1.113883.3.4308 mshasiemanssoarianclincialsystem Mountain States Health Alliance Siemans Soarian Clinical System Steven Lahr masked Kevin Bowes 602 Med Tech Pkwy Johnson City, TN 37604 423-302-6370 masked Mountain States Health Alliance 400 N. State of Franklin Road Johnson City, Tn. 37604 423-302-6370 boweskj@msha.com http://www.msha.com Provider Int 3 Complete 2014/01/10 12:00:00 2014/04/24 12:00:00 2014/05/02 09:53:54 UV 2.16.840.1.113883.3.4309 mshasmsinvision Mountain States Health Alliance SMS Invision Steven Lahr masked Kevin Bowes 602 Med Tech Pkwy Johnson City, TN 37604 423-302-6370 masked Mountain States Health Alliance 400 N. State of Franklin Road Johnson City, Tn 37604 423-302-6370 boweskj@msha.com http://www.msha.com Provider Int 3 Complete 2014/01/10 12:00:00 2014/04/24 12:00:00 2014/05/02 09:52:23 UV 2.16.840.1.113883.3.4310 solano solano OID Root Donna Coleman masked Donna Coleman 1360 Burton Drive Suite 160 Vacaville, CA 95687 707-446-4379 masked Office Manager Solano Kidney Care 1360 Burton Drive Suite 160 Vacaville, CA 95687 707-446-4379 dcoleman@solanokidneycare.com Provider Int 3 Complete 2014/01/10 12:00:00 2014/04/24 12:00:00 2014/04/24 06:06:47 UV 2.16.840.1.113883.3.4311 advantachart AdvantaChart OID Joyce Crawley masked Joyce Crawley 502-292-2891 masked AdvantaChart 5948 Timber Ridge Road Suite 202 Prospect, KY 40059 502-292-2891 support@advantachart.com https://www.advantachart.com Vendor Int 3 Complete 2014/01/10 12:00:00 2014/04/24 12:00:00 2014/04/24 06:08:19 UV 2.16.840.1.113883.3.4287.0.0.1 pac Swedish Laboratory Services Edmonds Outreach Ruth Mason masked Ruth Mason Swedish Laboratory Services Edmonds 21601 76th Avenue West Edmonds, WA 98026 425-640-4123 masked LIS Program Manager Swedish aboratory Services Edmonds Swedish Laboratory Services Edmonds 21601 76th Avenue West Edmonds, WA 98026 425-640-4179 ruth.Mason@swedish.org http://www.swedish.org/services/swedish-laboratory-services/edmonds-lab Provider Ext 14 Complete 2.16.840.1.113883.3.4287.0.0.1 2014/01/10 12:00:00 2014/04/24 12:00:00 2014/04/24 06:12:43 UV 2.16.840.1.113883.3.4312 jeffersonneuroassoc Jefferson Neurological Associates OID Robyn Pusey masked Robyn Pusey Jefferson Neurological Associates 3800 Houma Blvd., Ste. 205 Metairie, LA 70006 (504) 455-8860 masked Jefferson Neurological Associates 3800 Houma Blvd., Ste. 205 Metairie, LA 70006 (504) 455-8860 rlpusey@ejgh.org Provider Int 3 Complete 2014/01/10 12:00:00 2014/04/24 12:00:00 2014/04/24 06:14:37 UV 2.16.840.1.113883.3.4313 wmc-nc Wilson Medical Center Myla Hopkins masked Brian Dietrick Brian Dietrick 1705 Tarboro Street SW Wilson, NC 27893-3428 252-399-8709 masked Director of Information Services Wilson Medical Center 1705 Tarboro Street SW Wilson, NC 27893-3428 252-399-8040 brian.dietrick@wilmed.org http://www.wilmed.org/ Provider Int 3 Complete 2014/01/10 12:00:00 2014/04/24 12:00:00 2014/04/24 06:16:10 UV 2.16.840.1.113883.3.1070.5605 mckesson-fusion-5605 mckesson-fusion-5605 Tiffany Roberts masked Fusion Enrollment 8775074541 masked Fusion Enrollment tiffanyt.roberts@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5605 2014/01/10 12:00:00 2014/04/24 12:00:00 2014/04/24 06:18:22 US 2.16.840.1.113883.3.4314 amh-lynn Arbuckle Family Clinic Kesha Williams masked Sarah Freehill Terra Sanford 2011 W. Broadway Sulphur, OK 73086 5806228231 masked CIO Arbuckle Memorial Hospital 2011 W. Broadway Sulphur, OK 73086 5806222161 administrator@arbucklehospital.com http://www.arbucklehospital.com Provider 2.16.840.1.113883.3.4292 Int 3 Complete 2014/01/10 12:00:00 2014/04/24 12:00:00 2023/12/12 01:22:22 UV 2.16.840.1.113883.3.4315 amh-oden Arbuckle Clinic Kesha Williams masked Sarah Freehill Terra Sanford 2011 w. broadway sulphur, OK 73086 5806228231 masked CIO Arbuckle Memorial Hospital 2011 w. Broadway Sulphur, OK 73086 5806222161 adminstrator@arbucklehospital.com http://www.arbucklehospital.com Provider 2.16.840.1.113883.3.4292 Int 3 Complete 2014/01/10 12:00:00 2014/04/28 12:00:00 2023/12/12 01:22:59 UV 2.16.840.1.113883.3.4316 amh-hospital Arbuckle memorial hosptal Kesha Williams masked Sarah Freehill Terra Sanford 2011 w. Broadway Sulphur, OK 73086 5806228231 masked cio Arbuckle Memorial Hospital 2011 w. Broadway Sulphur, OK 73086 5806222161 administrator@arbucklehospital.com http://www.arbucklehospital.com Provider 2.16.840.1.113883.3.4292 Int 3 Complete 2014/01/10 12:00:00 2014/04/28 12:00:00 2023/12/12 01:24:24 UV 2.16.840.1.113883.3.1070.5688 mckesson-fusion-5688 mckesson-fusion-5688 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5688 2014/01/10 12:00:00 2014/04/28 12:00:00 2014/04/28 04:01:46 US 2.16.840.1.113883.4.694 jkmSoftware JKM Software Sean Muir masked Sean Muir 7034473604 masked JKM Software sean.w.muir@gmail.com Vendor Int 3 Complete 2014/01/11 12:00:00 2014/04/28 12:00:00 2014/04/28 04:13:09 UV 2.16.840.1.113883.9.114 bhh-oid Box Hill Hospital Ian Martin masked Ian Martin 03 88048526 masked Eastern Health ian.martin@easternhealth.org.au http://www.easternhealth.org.au/ Provider Int 3 Complete 2014/01/13 12:00:00 2014/04/28 12:00:00 2014/04/28 04:36:13 AU 2.16.840.1.113883.9.115 maroondah-H Maroondah Hospital Ian Martin masked Ian Martin 03 88048526 masked Eastern Health ian.martin@easternhealth.org.au http://www.easternhealth.org.au/ Provider Int 3 Complete 2014/01/13 12:00:00 2014/04/28 12:00:00 2014/04/28 04:38:57 AU 2.16.840.1.113883.9.116 angliss-H Angliss Hospital Ian Martin masked Ian Martin 03 88048526 masked Eastern Health ian.martin@easternhealth.org.au http://www.easternhealth.org.au/ Provider Int 3 Complete 2014/01/13 12:00:00 2014/04/28 12:00:00 2014/04/28 04:42:34 AU 2.16.840.1.113883.9.117 pjc Peter James Centre (Burwood) Ian Martin masked Ian Martin 03 88048526 masked Eastern Health ian.martin@easternhealth.org.au http://www.easternhealth.org.au/ Provider Int 3 Complete 2014/01/13 12:00:00 2014/04/28 12:00:00 2014/04/28 04:44:45 AU 2.16.840.1.113883.9.118 healesvilleD-H Healesville & District Hospital Ian Martin masked Ian Martin 03 88048526 masked Eastern Health ian.martin@easternhealth.org.au http://www.easternhealth.org.au Provider Int 3 Complete 2014/01/13 12:00:00 2014/04/28 12:00:00 2014/04/28 04:49:05 AU 2.16.840.1.113883.9.119 wantrina-H Wantirna Health Ian Martin masked Ian Martin 03 88048526 masked Eastern Health ian.martin@easternhealth.org.au http://www.easternhealth.org.au Provider Int 3 Complete 2014/01/13 12:00:00 2014/04/28 12:00:00 2014/04/28 04:50:40 AU 2.16.840.1.113883.3.4317 hvch Hocking Valley Community Hospital John Burgess masked Adam Rossbach John Burgess Hocking Valley Community Hospital 601 State Route 664 N. Logan, Ohio 43138 (740)380-8349 masked Director of Information Services Adam Rossbach arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/01/13 12:00:00 2014/04/28 12:00:00 2014/04/28 04:52:01 UV 2.16.840.1.113883.3.4318 bbdpm Billie A. Bondar DPM OID root Jenny Meehan masked Jenny Meehan 60 Rochester HIll Rd. Ste 3 Rochester NH 03867 603-332-1026 masked Medical Assistant Billie A. Bondar 60 Rochester HIll Rd. Ste 3 Rochester NH 03867 603-332-1026 jenny.meehan.bbdpm@myfairpoint.net http://www.billiebondardpm.com/ Provider Int 3 Complete 2014/01/13 12:00:00 2014/04/28 12:00:00 2014/04/28 04:54:13 UV 2.16.840.1.113883.3.4319 davidwells davidwells OID Root Sissy Wells masked Sissy Wells 4101 Tully Rd., #102 Modesto, CA 95356 209-529-0560 masked Business Manager David I Wells, DPM 4101 Tully Rd., #102 Modesto, CA 95356 209-529-0560 wellspodiatry@att.net Provider Int 3 Complete 2014/01/13 12:00:00 2014/04/28 12:00:00 2014/04/28 04:55:37 UV 2.16.840.1.113883.3.1070.5682 mckesson-fusion-5682 mckesson-fusion-5682 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5682 2014/01/13 12:00:00 2014/04/28 12:00:00 2014/04/28 04:59:39 US 2.16.840.1.113883.3.4321 companiondx CompanionDx Tyler Tait masked daniel.au@companiondxlab.com Tyler Tait CompanionDX 7000 Fannin Suite 1880a Houston TX 77030 832-538-1600 masked IT Director CompanionDX CompanionDX 7000 Fannin Suite 1880a Houston, TX 77030 8325381600 tyler.tait@companiondxlab.com http://companiondxlab.com Provider Int 3 Complete 2014/01/13 12:00:00 2014/04/28 12:00:00 2014/04/28 05:02:52 UV 2.16.840.1.113883.3.1070.5685 mckesson-fusion-5685 mckesson-fusion-5685 Michelle Banks masked Fusion Enrollment 8775074541 masked Fusion Enrollment michelle.banks@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5685 2014/01/13 12:00:00 2014/04/24 12:00:00 2014/04/28 05:04:49 US 2.16.840.1.113883.3.1070.5606 mckesson-fusion-5606 mckesson-fusion-5606 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5606 2014/01/13 12:00:00 2014/04/28 12:00:00 2014/04/28 05:06:24 US 2.16.840.1.113883.3.2402.200.5871 physicians-computer-company-clients-cary Physician's Computer Company (PCC) Clients Cary Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.5871 2014/01/13 12:00:00 2014/04/28 12:00:00 2014/04/28 05:08:19 UV 2.16.840.1.113883.3.4322 teleflex Teleflex, Inc. Vanessa Li masked Vanessa 155 Jefferson Dr Menlo Park, CA 94025 (650) 388-5600 masked Teleflex, Inc. PO Box 12600 Research Triangle Park, NC 27709 (650) 388-5600 info@teleflex.com http://www.teleflex.com/ Vendor Int 3 Complete 2014/01/13 12:00:00 2014/04/28 12:00:00 2014/04/28 05:09:59 UV 2.16.840.1.113883.3.4323 nebraskacardicareoid Nebraska Cardiac Care OID Kris Ernsberger masked Kris Ernsberger Nebraska Cardiac Care 339 N 78th St Omaha, NE 68114-3640 402-315-3788 masked Nebraska Cardiac Care Nebraska Cardiac Care 339 N 78th St Omaha, NE 68114-3640 402-315-3788 krisernsberger@cox.net Provider Int 3 Complete 2014/01/14 12:00:00 2014/04/28 12:00:00 2014/04/28 05:12:52 UV 2.16.840.1.113883.3.4324 dltams dltams OID Root Debbie Harrell masked Debbie Harrell 1400 East Union Street Greenville, MS 38703 662-725-2818 masked EHR Clinical Informatics Analyst Delta Medical Group 1400 East Union Street Greenville, MS 38703 662-378-3783 dharrell@deltaregional.com Provider Int 3 Complete 2014/01/14 12:00:00 2014/04/24 12:00:00 2014/04/28 05:14:54 UV 2.16.840.1.113883.3.4325 faridsadrOID Dr. Farid Sadr OID Kristi Hopkins masked Kristi Hopkins Dr. Farid Sadr 18073 Bent Tree Ridge Council Bluffs, IA 51503-7831 712-308-1563 masked Dr. Farid Sadr 18073 Bent Tree Ridge Council Bluffs, IA 51503-7831 712-308-1563 hopkins441@hotmail.com Provider Int 3 Complete 2014/01/14 12:00:00 2014/04/28 12:00:00 2014/04/28 05:16:33 UV 2.16.840.1.113883.3.4326 drcampos Jaime E. Campos, M.D., P.A. Jaime Campos masked Sarah Pasion 7100 West 20th Avenue Suite 303 Hialeah, FL 33016 3055561544 masked Office Manager Jaime E. Campos, M.D., P.A. 7100 West 20th Avenue Suite 303 Hialeah, FL 33016 3055561544 drcampos@bellsouth.net Provider Int 3 Complete 2014/01/14 12:00:00 2014/04/28 12:00:00 2014/04/28 05:18:01 UV 2.16.840.1.113883.3.4327 carbon-state Carbon State David Helkowski masked David Helkowski 443-570-6243 masked Carbon State 8302 Oakleigh Rd Parkville, MD 21234 USA hl7carbon@codechild.com http://www.carbonstate.com SDO Int 3 Complete 2014/01/14 12:00:00 2014/04/28 12:00:00 2014/04/28 05:20:08 UV 2.16.840.1.113883.3.4328 centralcalMed Central California Medical Group OID Root Sandra Bakich masked Sandra Bakich 1401 Garces Hwy Delano, CA 93215 6617215375 masked Director Central California Medical Group 432 Lexington Street, Unit A Delano, CA 93215 6613755878 mwiggins@centralcalifmedgroup.com http://www.centralcalifmedgroup.com Provider Int 3 Complete 2014/01/14 12:00:00 2014/04/28 12:00:00 2014/12/04 03:12:48 UV 2.16.840.1.113883.3.4329 giallc GI Associates, LLC John Langeberg masked John Langeberg GI Associates, LLC 2801 W. Kinickkinnic River Parkway Suite 1030 Milwaukee, WI 53215 414-908-6556 masked IT Manager GI Associates, LLC 2801 W. Kinnickinnic River Parkway Suite 1030 Milwaukee, WI 53215 414-908-6500 johnl@wigia.com Provider Int 3 Complete 2014/01/14 12:00:00 2014/04/28 12:00:00 2014/04/28 05:23:00 UV 2.16.840.1.113883.3.4330 lakesidepain Lakeside Pain Center OID ROOT Dwayne Clay masked Dwayne Clay 478-475-9220 masked Doctor Dwayne Clay 478-475-9220 Lakesidepain@cox.net Provider Int 3 Complete 2014/01/15 12:00:00 2014/04/28 12:00:00 2014/04/28 05:25:21 UV 2.16.840.1.113883.3.3669.12700161.1.999322.6504294 bierig1 Kirt Bierig DO extended Dave Cochran masked Cynthia Bierig 410 4th St Alva, OK 73717 (580) 327-4533 masked Kirt Bierig DO 410 4th St Alva, OK 73717 (580) 327-4533 dkbierig@cneconnect.com Provider Ext 14 Complete 2.16.840.1.113883.3.3669.12700161.1.999322.6504294 2014/01/15 12:00:00 2014/04/28 12:00:00 2014/04/28 05:29:11 UV 2.16.840.1.113883.3.4331 pennankle Penn Ankle and Foot Care OID root Cynthia Finfrock masked Cynthia Finfrock 1719 Penn Avenue Wyomissing, PA 19609 610-376-4880 masked Penn Ankle and Foot Care 1719 Penn Avenue Wyomissing, PA 19609 610-376-4880 pennankle@comcast.net Provider Int 3 Complete 2014/01/15 12:00:00 2014/04/28 12:00:00 2014/04/28 05:31:00 UV 2.16.840.1.113883.3.4332 drg-1 Leann Goslak and Associates, LLC Leann Goslak masked Leann 265 Boardman-Canfield Rd Youngstown, OH 44512 3307266302 masked optometrist/owner Leann Goslak drgoslak@sbcglobal.net Provider Int 3 Complete 2014/01/15 12:00:00 2014/04/28 12:00:00 2014/04/28 05:32:33 UV 2.16.840.1.113883.3.1070.5621 mckesson-fusion-5621 mckesson-fusion-5621 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5621 2014/01/15 12:00:00 2014/04/28 12:00:00 2014/04/28 05:34:13 US 2.16.840.1.113883.3.1070.5680 mckesson-fusion-5680 mckesson-fusion-5680 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5680 2014/01/15 12:00:00 2014/04/28 12:00:00 2014/04/28 05:35:49 US 2.16.840.1.113883.3.1070.5687 mckesson-fusion-5687 mckesson-fusion-5687 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5687 2014/01/15 12:00:00 2014/04/28 12:00:00 2014/04/28 05:37:30 US 2.16.840.1.113883.3.4333 uhsiwi United Hospital System, Inc. Amy Petersen masked Roberta Schaubel Amy Petersen 6308 8th Avenue Kenosha, WI 53143 262-656-3262 masked Application/Project Manager United Hospital System, Inc. 6308 8th Avenue Kenosha, WI 53143 262-656-3262 amy.petersen@uhsi.org Provider Int 3 Complete 2014/01/15 12:00:00 2014/04/28 12:00:00 2014/04/28 05:39:41 UV 2.16.840.1.113883.3.4334 valence Valence Health Dan Blake masked Dan Blake 600 W. Jackson Blvd. Suite 800 Chicago,IL 60661 312-277-6362 masked SVP, Software Product Development Valence Health 600 W. Jackson Blvd. Suite 800 Chicago,IL 60661 312-277-4801 dblake@valencehealth.com http://www.valencehealth.com Payor Int 3 Complete 2014/01/15 12:00:00 2014/04/28 12:00:00 2014/04/28 05:40:59 UV 2.16.840.1.113883.3.4335 fernandezmdpc fernandezmdpc OID Root Alicia Fernandez masked Alicia Fernandez 2750 Clay Edwards Dr Ste 320 North Kansas City MO 64116 816 421 0188 816 421 0188 masked Fernando Fernandez, M. D. P.C. 2750 Clay Edwards Dr Ste 320 North Kansas City MO 64116 816 421 0188 816 421 0188 fferali@aol.com Provider Int 3 Complete 2014/01/15 12:00:00 2014/04/28 12:00:00 2014/04/28 05:42:55 UV 2.16.840.1.113883.3.4336 bcmh Baraga County Memorial Hospital Taylor Makela masked Taylor Makela 18341 U.S. Highway 41 L'Anse, MI 49946 9065243207 masked IT Manager Baraga County Memorial Hospital 18341 U.S. Highway 41 L'Anse, MI 49946 906-524-3300 tmakela@bcmh.org http://www.bcmh.org Provider Int 3 Complete 2014/01/15 12:00:00 2014/04/28 12:00:00 2014/04/28 05:44:51 UV 2.16.840.1.113883.3.4337 opendental Open Dental Software Nathan Sparks masked Jordan Sparks Nathan Sparks Open Dental Software Suite 110 3995 Fairview Industrial DR SE Salem, OR 97302-1288 503 363 5432 masked COO Open Dental Software Suite 110 3995 Fairview Industrial DR SE Salem, OR 97302-1288 503 363 5432 service@opendental.com http://www.opendental.com Vendor Int 3 Complete 2014/01/15 12:00:00 2014/04/28 12:00:00 2014/04/28 05:47:32 UV 2.16.840.1.113883.9.120 yrhs Yarra Ranges Health Services (Lilydale) Ian Martin masked Ian Martin 03 88048526 masked Eastern Health ian.martin@easternhealth.org.au http://www.easternhealth.org.au/ Provider Int 3 Complete 2014/01/15 12:00:00 2014/04/28 12:00:00 2014/04/28 05:50:07 AU 2.16.840.1.113883.3.3669.12700161.1.999762 bierig2 Kirt Bierig DO extended.2 Dave Cochran masked Cynthia Bierig 410 4th St Alva, OK 73717 (580) 327-4533 masked Kirt Bierig DO 410 4th St Alva, OK 73717 (580) 327-4533 dkbierig@cneconnect.com Provider Ext 14 Complete 2.16.840.1.113883.3.3669.12700161.1.999762 2014/01/16 12:00:00 2014/04/28 12:00:00 2014/04/28 05:51:43 UV 2.16.840.1.113883.3.4338 podiatristsllp podiatristsllp OID Root Angel Righter masked Angel Righter 6510 Grand Teton Plaza, Suite 406 Madison, WI 53719 608-829-2535 masked Associated Podiatrists, LLP 6510 Grand Teton Plaza, Suite 406 Madison, WI 53719 608-829-2535 footdr@madisonpodiatrists.com Provider Int 3 Complete 2014/01/16 12:00:00 2014/04/28 12:00:00 2014/04/28 05:54:02 UV 2.16.840.1.113883.3.4339 shaikh MidMichigan Neurology Center, PLLC Stacy Wohlscheid masked Stacy 4595 Jennifer Lane Mt. Pleasant, MI 48858 9897720453 masked Manager MidMichigan Neurology Center, PLLC 4595 Jennifer Lane Mt. Pleasant, MI 48858 9897720453 wohlscheidstacy@yahoo.com Provider Int 3 Complete 2014/01/16 12:00:00 2014/04/28 12:00:00 2014/04/28 05:56:09 UV 2.16.840.1.113883.3.4340 sonnypark sonnypark OID Root Nadine Mead masked Nadine Mead 2120 Exchange Street Suite 200 Astoria, OR 97103-3364 503-325-5360 masked Billing Manger Columbia Pacific Medical Services 2120 Exchange Street Suite 200 Astoria, OR 97103-3364 503-325-5360 parkbilling@yahoo.com Provider Int 3 Complete 2014/01/16 12:00:00 2014/04/28 12:00:00 2014/04/28 05:59:03 UV 2.16.840.1.113883.3.4341 phsphysnet PHS Physician Network Jill Dorie masked Wanda Bateman Jill Dorie 409 S. Second St., 2nd Fl Information Services Harrisburg, PA 17104 7172318152 masked Systems Analyst Pinnacle Health System 409 S. Second St, 2nd Fl Harrisburg, PA 17104 (717)231-8900 jdorie@pinnaclehealth.org http://www.pinnaclehealth.org Provider Int 3 Complete 2014/01/16 12:00:00 2014/04/28 12:00:00 2014/04/28 06:00:59 UV 2.16.840.1.113883.3.4342 phsphysnet58 PHS Physician Network 5.8 Jill Dorie masked Wanda Bateman Jill Dorie 409 S. Second St., 2nd Fl Information Services Harrisburg, PA 17104 7172318152 masked Systems Analyst Pinnacle Health System 409 S. Second St., 2nd Fl Harrisburg, PA 17104 7177828700 jdorie@pinnaclehealth.org http://www.pinnaclehealth.org Provider Int 3 3 Complete 2014/01/16 12:00:00 2014/04/28 12:00:00 2014/04/28 06:02:37 UV 2.16.840.1.113883.3.4343 bbhdnd Bismarck-Burleigh Health Deparment Renae Moch masked Renae Moch 500 East Front Bismarck, ND 58501 (701) 355-1541 masked Director Bismarck-Burleigh Health Department 500 East Front Bismarck, ND 58501 (701) 355-1541 rmoch@nd.gov Provider Int 3 Complete 2014/01/16 12:00:00 2014/04/28 12:00:00 2014/04/28 06:04:32 UV 2.16.840.1.113883.3.4344 cchdnd Cavalier County Health District Nightingale Notes Terri Gustafson masked Terri Gustafson 901 3rd St. Langdon, ND 58249 (701) 256-2402 masked Administrator/RN Cavalier County Health District 901 3rd St. Langdon, ND 58249 (701) 256-2402 tgustafs@nd.gov Provider Int 3 Complete 2014/01/16 12:00:00 2014/04/28 12:00:00 2014/04/28 06:06:02 UV 2.16.840.1.113883.3.105.102.101 eclrs New York State Department of Health Epidemiology Facility Kathryn Schmit masked Hwa-Gan Chang Room 736 Corning Tower Empire State Plaza Albany, NY 12237 518-474-2011 masked Director of Statistical Unit NYSDOH Division of Epidemiology New York State Department of Health Room 736 Corning Tower Empire State Plaza Albany, NY 12237 hgc04@health.ny.gov http://www.health.ny.gov/ Govt body 2.16.840.1.113883.3.105.102 Ext 14 Complete 2.16.840.1.113883.3.105.102.101 2014/01/16 12:00:00 2014/05/13 12:00:00 2014/05/13 04:40:36 UV 2.16.840.1.113883.3.4345 slh-columbus St Lukes Hospital-Columbus David Pearson masked David Pearson 101 Hospital Drive Columbus, NC 28722 828-894-3311 masked IT Director St. Luke's Hospital 101 Hospital Drive Columbus, NC 28722 828-894-3311 infoservices@saintlukeshospital.com http://www.saintlukeshospital.com/ Provider Int 3 Complete 2014/01/16 12:00:00 2014/05/13 12:00:00 2014/05/13 04:41:57 UV 2.16.840.1.113883.3.4346 belenclark belenclark OID Root Belen Clark masked Belen Clark 3609 Vista Way Suite B Oceanside, CA 92056 7605299700 masked MD Optimas Family Medicine 3609 Vista Way Suite B Oceanside, CA 92056 7605299700 info@optimasmd.com Provider Int 3 Complete 2014/01/16 12:00:00 2014/05/13 12:00:00 2014/05/13 04:43:35 UV 2.16.840.1.113883.4.695 slh-rbj SLH - Rosenberg Bone and Joint David Pearson masked David Pearson 101 Hospital Drive Columbus, NC 28722 828-894-3311 masked IT Director Rosenberg Bone and Joint 89 West Mills Street Columbus, NC 28722 828-894-3718 infoservices@saintlukeshopital.com Provider 2.16.840.1.113883.3.4345 Int 4 Complete 2014/01/16 12:00:00 2014/12/19 12:00:00 2014/12/19 04:28:20 UV 2.16.840.1.113883.4.696 slh-fma SLH - Foothills Medical Associates David Pearson masked David Pearson 101 Hospital Drive Columbus, NC 28722 828-894-3311 masked IT Director Foothills Medical Associates 801 West Mills Street Columbus, NC 28722 828-894-5627 infoservices@saintlukeshospital.com Provider 2.16.840.1.113883.3.4345 Int 4 Complete 2014/01/16 12:00:00 2014/12/19 12:00:00 2014/12/19 04:29:51 UV 2.16.840.1.113883.3.4347 hunterjoerns hunterjoerns OID Root Morningstar Sinclair masked Morningstar Sinclair 2205 Jordan Ave Juneau, AK, 99801 907-790-3224 masked Office Manager Dr. Susan Hunter-Joerns MD 2205 Jordan Ave Juneau, AK, 99801 907-790-3224 musinclair@gmail.com Provider Int 3 Complete 2014/01/16 12:00:00 2014/05/13 12:00:00 2014/05/13 04:46:51 UV 2.16.840.1.113883.4.697 slh-slsa St Lukes Surgical Associates David Pearson masked David Pearson 101 Hospital Drive Columbus, NC 28722 828-894-3311 masked IT Director St. Luke's Surgical Associates 44 Hospital Drive Suite 1-A Columbus, NC 28722 828-894-3300 infoservices@saintlukeshospital.com Provider 2.16.840.1.113883.3.4345 Int 4 Complete 2014/01/16 12:00:00 2014/12/19 12:00:00 2014/12/19 04:31:02 UV 2.16.840.1.113883.3.4348 cgfphnd City of Grand Forks Public Health Nightingale Notes Allen Anderson masked Allen Anderson 151 South 4th St. Grand Forks, ND58201 (701) 787-8127 masked Family Health Team Leader City of Grand Forks Public Health 151 South 4th St. Grand Forks, ND58201 (701) 787-8127 aanderson@grandforksgov.com Provider Int 3 Complete 2014/01/16 12:00:00 2014/05/13 12:00:00 2014/05/13 04:49:47 UV 2.16.840.1.113883.3.4349 lrdhnd Lake Region District Health Nightingale Notes Allen McKay masked Allen McKay 524 4th Avenue NE, Unit 9 Devils Lake, ND58301 (701) 662-7035 masked Administrator Lake Region District Health 524 4th Avenue NE, Unit 9 Devils Lake, ND58301 (701) 662-7035 amckay@nd.gov Provider Int 3 3 Complete 2014/01/16 12:00:00 2014/05/13 12:00:00 2014/05/13 04:51:27 UV 2.16.840.1.113883.3.4350 ngdhund Nelson-Griggs District Health Unit Nightingale Notes Julie Ferry masked Julie Ferry 116 Main Street McVille,ND 58254 (701) 322-5624 masked Administrator Nelson-Griggs District Health Unit 116 Main Street McVille,ND 58254 (701) 322-5624 jferry@nd.gov Provider Int 3 3 Complete 2014/01/16 12:00:00 2014/05/13 12:00:00 2014/05/13 04:52:40 UV 2.16.840.1.113883.3.4351 nRMC-2251 Northern Rockies Medical Center Rebecca Atkinson masked Rebecca Atkinson 802 2nd Street SE Cut Bank, MT 59427 406-873-3691 masked Clinical IT Northern Rockies Medical Center 802 2nd Street SE Cut Bank, MT 59427 406-873-2251 nrmc_ceo@nrmcinc.org Provider Int 3 Complete 2014/01/16 12:00:00 2014/05/13 12:00:00 2014/05/13 04:58:05 UV 2.16.840.1.113883.17.3902 onShift OnShift Stephen Fuhry masked John Regal 1621 Euclid Avenue #1500 Cleveland, OH 44115 216.333.1353 masked OnShift, Inc. dev@onshift.com http://onshift.com Vendor Int 17 Complete 2014/01/17 12:00:00 2014/05/13 12:00:00 2014/05/13 05:00:40 UV 2.16.840.1.113883.3.4352 rcphnd Ransom County Public Health Nightingale Notes Julie Barker masked Julie Barker 404 Forest Street Lisbon, ND 59054 (701) 683-6151 masked Administrator Ransom County Public Health 404 Forest Street Lisbon, ND 59054 (701) 683-6151 julie.barker@co.ransom.nd.us Provider Int 3 3 Complete 2014/01/17 12:00:00 2014/05/13 12:00:00 2014/05/13 05:02:25 UV 2.16.840.1.113883.3.4353 rcphwnd Richland County Public Health Nightingale Notes Deb Flack masked Deb Flack 413 3rd Avenue North Wahpeton, ND 58075 (701) 642-7739 masked Administrator Richland County Public Health 413 3rd Avenue North Wahpeton, ND 58075 (701) 642-7739 dflack@co.richland.nd.us Provider Int 3 Complete 2014/01/17 12:00:00 2014/05/13 12:00:00 2014/05/13 05:04:48 UV 2.16.840.1.113883.3.4354 footnankle footnankle OID Root Vicki Mack masked Vicki Mack PO Box 392 Menomonie, WI 54751 715-235-4274 masked Manager Foot and Ankle Clinic LLP PO Box 392 Menomonie WI 54751 715-235-4274 footnankle@wwt.net Provider Int 3 Complete 2014/01/17 12:00:00 2014/05/13 12:00:00 2014/05/13 05:06:08 UV 2.16.840.1.113883.3.4355 rcphdnd Rolette County Public Health District Nightingale Notes Barb Frydenlund masked Barb Frydenlund PO Box 726 Rolla, ND 58367 (701) 477-5646 masked Administrator Rolette County Public Health District PO Box 726 Rolla, ND 58367 (701) 477-5646 bfrydenlund@nd.gov Provider Int 3 Complete 2014/01/17 12:00:00 2014/05/13 12:00:00 2014/05/13 05:07:55 UV 2.16.840.1.113883.3.4356 scphnd Sargent County Public Health Nightingale Notes Colleen Sundquist masked ColleenSundquist 316 Main Street Forman, ND 58032 (701) 724-3725 masked Administrator Sargent County Public Health 316 Main Street Forman, ND 58032 (701) 724-3725 colleen.sundquist@co.sargent.nd.us Provider Int 3 Complete 2014/01/17 12:00:00 2014/05/13 12:00:00 2014/05/13 05:09:32 UV 2.16.840.1.113883.3.4293.1 hud Hunt Regional Medical Center Yujie Goodman masked Yujie Goodman 4215 Joe Ramsey Blvd PO Drawer 1059 Greenville, TX 75403 903-408-1808 masked Database Administrator Hunt Regional Healthcare 4215 Joe Ramsey Blvd PO Drawer 1059 Greenville, TX 75403 903-408-5000 ywang@huntregional.org http://www.huntregional.org Provider 2.16.840.1.113883.3.4293 Ext 14 Complete 2.16.840.1.113883.3.4293.1 2014/01/17 12:00:00 2014/05/13 12:00:00 2014/05/13 05:11:37 UV 2.16.840.1.113883.3.4357 sdhund Southwestern District Health Unit Nightingale Notes Nancy Lantz masked Nancy Lantz 2869 3rd Avenue West Dickinson, ND 58601 (701) 483-0171 masked Insurance Department Southwestern District Health Unit 2869 3rd Avenue West Dickinson, ND 58601 (701) 483-0171 nlantz@nd.gov Provider Int 3 Complete 2014/01/17 12:00:00 2014/05/13 12:00:00 2014/05/13 05:13:33 UV 2.16.840.1.113883.3.4358 scphdnd Steele County Public Health Dept Nightingale Notes Brittany Ness masked BrittanyNess 100 Washington Avenue Finley, ND 58230 (701) 524-2060 masked Administrator Steele County Public Health Dept 100 Washington Avenue Finley, ND 58230 (701) 524-2060 blness@nd.gov Provider Int 3 Complete 2014/01/17 12:00:00 2014/05/13 12:00:00 2014/05/13 05:15:12 UV 2.16.840.1.113883.3.4359 tcphdnd Towner County Public Health District Nightingale Notes Sherry Walters masked Sherry Walters 404 5th Ave., Suite #3 Cando, ND 58324 (701) 968-4353 masked Executive Director Towner County Public Health District 404 5th Ave., Suite #3 Cando, ND 58324 (701) 968-4353 slwalters@nd.gov Provider Int 3 Complete 2014/01/17 12:00:00 2014/05/13 12:00:00 2014/05/13 05:16:37 UV 2.16.840.1.113883.3.4360 tdhund Traill District Health Unit Nightingale Notes Brenda Stallman masked Brenda Stallman PO Box 429 Hillsboro, ND 58045 (701) 636-4434 masked Administrator Traill District Health Unit PO Box 429 Hillsboro, ND 58045 (701) 636-4434 brenda.stallman@co.traill.nd.us Provider Int 3 Complete 2014/01/17 12:00:00 2014/05/13 12:00:00 2014/05/13 05:18:22 UV 2.16.840.1.113883.4.698 rkgupta R.K.GUPTA,M.D. RADHAKRISHAN GUPTA masked RADHAKRISHAN GUPTA R.K.GUPTA.M.D. 478 BURNETT ROAD CHICOPEE, MA 01020 413 593 5200 masked Physician R.K.GUPTA M.D. R.K.GUPTA.M.D. 478 BURNETT ROAD CHICOPEE, MA 01020 4135935200 rkguptamd@gmail.com Provider Int 3 Complete 2014/01/17 12:00:00 2014/05/13 12:00:00 2014/05/13 05:21:45 UV 2.16.840.1.113883.3.4293.2 phc Hunt Regional Comunity Hospital Yujie Goodman masked Yujie Goodman 4215 Joe Ramsey Blvd PO Drawer 1059 Greenville, TX 75403 903-408-1808 masked Database Administrator Hunt Regional Healthcare 4215 Joe Ramsey Blvd PO Drawer 1059 Greenville, TX 75403 903-408-5000 ywang@huntregional.org http://www.huntregional.org Provider 2.16.840.1.113883.3.4293 Ext 14 Complete 2.16.840.1.113883.3.4293.2 2014/01/17 12:00:00 2014/05/13 12:00:00 2014/05/13 05:23:28 UV 2.16.840.1.113883.3.4361 nnc Noran Neurological Clinic Sara Valentine masked Sara Valentine 2828 Chicago Avenue South Suite 310 Minneapolis, MN 55407 6128791557 masked HIS Director Noran Neurological Clinic 2828 Chicago Avenue South Suite 310 Minneapolis, MN 55407 6128791000 svalentine@noranclinic.com Provider Int 3 Complete 2014/01/17 12:00:00 2014/05/13 12:00:00 2014/05/13 05:31:54 UV 2.16.840.1.113883.3.4362 che-trinity CHE Trinity Inc Taimur Aslam masked Taimur Aslam 610-355-2000 masked CHE Trinity Inc taslam@che.org Provider Int 3 Complete 2014/01/17 12:00:00 2014/05/13 12:00:00 2014/05/13 05:33:12 UV 2.16.840.1.113883.4.699 cphma CarePoint Health Management Associates, LLC Antoinette Edge masked Dave Tunc 10 Exchange Place, 15th floor Jersey City, NJ 07302 201 821 8722 masked Interface Manager CarePoint Health Management Associates, LLC 10 Exchange Place, 15th floor Jersey City, NJ 07302 antoinette.edge@carepointhealth.org http://Mycarepointhealth.org Provider Int 3 Complete 2014/01/20 12:00:00 2014/05/13 12:00:00 2018/09/10 12:54:51 UV 2.16.840.1.113883.3.4363 fmc-llc Fairway Medical Center LLC Denise Businelle masked Jeannie Smith Denise Businelle 67252 Industry Lane Covington, LA 70433 985-801-6222 masked Chief Financial Officer Fairway Medical Center LLC 67252 Industry Lane Covington, LA 70433 985-801-6298 jsmith@fairwaymedical.com http://www.fairwaymedical.com Provider Int 3 Complete 2014/01/20 12:00:00 2014/05/13 12:00:00 2014/05/13 05:35:29 UV 2.16.840.1.113883.3.4364 surgicalspecialistspc surgicalspecialistspc OID Root Susan Gilbert masked Susan Gilbert 844 S. Main Lapeer, MI 48446 810-664-4100 masked Surgical Specialists, P.C. 844 S. Main Lapeer, MI 48446 810-664-4100 surgicalspec@surgicalspecialistspc.net Provider Int 3 Complete 2014/01/20 12:00:00 2014/05/13 12:00:00 2014/05/13 05:37:21 UV 2.16.840.1.113883.3.4365 narh North Adams Regional Hospital Frances Czarnecki masked Damian Shepard 71 Hospital Ave North Adams, MA 01247 (413) 664-5153 masked IT Integration Engineer North Adams Regional Hospital 71 Hospital Ave North Adams, MA 01247 413-664-5000 dshepard@bhs1.org http://www.bhs1.org/ Provider Int 3 Complete 2014/01/20 12:00:00 2014/05/13 12:00:00 2023/09/14 09:49:33 UV 2.16.840.1.113883.3.4366 wim Warren Internal Medicine OID root Douglas Ashinsky masked Douglas Ashinsky 31-J Mountain Boulevard Warren, NJ 07059 9086852505 masked MD Warren Internal Medicine 31-J Mountain Boulevard Warren, NJ 07059 9086852505 drdashinsky@gmail.com Provider Int 3 Complete 2014/01/20 12:00:00 2014/05/13 12:00:00 2014/05/13 05:40:36 UV 2.16.840.1.113883.3.4367 monroeclinic Monroe Clinic-Monroe Wisconsin Richard Batterton masked Richard Batterton Monroe Clinic 515 22nd Av Monroe, WI 53566 608-324-1433 masked Monroe Clinic Monroe Clinic 515 22nd Av Monroe, WI 53566 608-324-2000 richard.batterton@monroeclinic.org Provider Int 3 Complete 2014/01/20 12:00:00 2014/05/13 12:00:00 2014/05/13 05:42:11 UV 2.16.840.1.113883.3.4368 ahw Advantage Healthcare For Women OID root Katrina Caserta masked Katrina Caserta 104 MEADOW POINTE BARBOURSVILLE, WV 25504 3045255405 masked OFFICE ADMINISTRATOR ADVANTAGE HEALTHCARE FOR WOMEN PLLC 104 MEADOW POINTE BARBOURSVILLE, WV 25504 3045255405 kcaserta@yahoo.com http://www.advantagehealthcarewomen.com/ Provider Int 3 Complete 2014/01/20 12:00:00 2014/05/13 12:00:00 2017/05/09 07:36:42 UV 2.16.840.1.113883.3.4369 am-medrec ActualMeds Solution for Team-based Medication Management Anne Biernacki masked Anne Biernacki 222 Pitkin St Suite 107 East Hartford, CT 06108 617-285-3561 masked Chief Technology Officer, Co-Founder ActualMeds Corp. 222 Pitkin St Suite 107 East Hartford, CT 06108 888-838-9053 info@actualmeds.com http://www.actualmeds.com Vendor Int 3 Complete 2014/01/20 12:00:00 2014/05/13 12:00:00 2014/05/13 05:50:22 UV 2.16.840.1.113883.3.4370 orhs Oconee Regional Health Systems Alan Whitehouse masked Tad Williamson Bruce Alan Whitehouse 821 North Cobb Street Milledgevile, GA 31061 478.457.2039 masked Chief Information Officer/Director Oconee Regional Health Systems 821 North Cobb Street Milledgevile, GA 31061 478.457.2134 isgroup@ormcinc.org http://www.oconeeregional.com Provider Int 3 Complete 2014/01/21 12:00:00 2014/05/13 12:00:00 2014/05/13 05:53:07 UV 2.16.840.1.113883.3.4371 scheurer Scheurer Hospital Michael Romosier masked Michael Romosier 1197 N Jones Rd Essexville, MI 48732 989-453-5245 masked Systems Analyst Scheurer Hospital 170 N Caseville Road Pigeon, MI 48755 989-453-3223 romosier@scheurer.org http://www.scheurer.org Provider Int 3 Complete 2014/01/21 12:00:00 2014/05/13 12:00:00 2014/05/13 05:55:26 UV 2.16.840.1.113883.3.4372 lbb-PNS-CB UMC Physician Network Service - Craig Barker Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock TX 79407 806-761-0322 masked Director EMR Integration UMC Physician Network Services 7202 Slide Road Suite 100 Lubbock TX 79424 806-749-2263 yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Provider Int 3 Complete 2014/01/21 12:00:00 2014/05/13 12:00:00 2014/05/13 05:57:15 UV 2.16.840.1.113883.3.4373 dos1 Doctors On Sight Mark Lebar masked Mark Lebar 2955 Crain Highway, Suite A P.O. Box 1800 Waldorf, MD 20601 301-843-1000 masked Doctors On Sight 2955 Crain Highway, Suite A P.O. Box 1800 Waldorf, MD 20601 301-843-1000 bailey@drsonsight.com http://www.doctorsonsight.com Provider Int 3 Complete 2014/01/21 12:00:00 2014/05/13 12:00:00 2014/05/13 06:09:53 UV 2.16.840.1.113883.3.4374 lbb-PNS-LHS UMC Physician Network Services - Lubbock Heart Surgery Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock TX 79407 806-761-0322 masked Director EMR Integration Lubbock Heart Surgery 4408 6th Street Lubbock TX 79416 806-792-8185 yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Provider Int 3 Complete 2014/01/21 12:00:00 2014/05/13 12:00:00 2014/05/13 06:11:19 UV 2.16.840.1.113883.3.4375 newm Kevin Newman Test OID Kevin Newman masked Kevin Newman 6302053924 masked Kevin Newman kevinjnewman@gmail.com Vendor Int 3 Complete 2014/01/21 12:00:00 2014/05/13 12:00:00 2014/05/13 06:13:28 UV 2.16.840.1.113883.3.4375.1.1 newm2 Kevin Newman Sub-OID Kevin Newman masked Kevin Newman 6302053924 masked Kevin Newman kevinjnewman@gmail.com Vendor 2.16.840.1.113883.3.4375 Ext 14 Complete 2.16.840.1.113883.3.4375.1.1 2014/01/21 12:00:00 2014/05/13 12:00:00 2014/05/13 06:16:08 UV 2.16.840.1.113883.3.4375.2.1 newm3 Kevin's 2nd Test Sub-OID Kevin Newman masked Kevin Newman 6302053924 masked Kevin Newman kevinjnewman@gmail.com Vendor 2.16.840.1.113883.3.4375 Ext 14 Complete 2.16.840.1.113883.3.4375.2.1 2014/01/21 12:00:00 2014/05/13 12:00:00 2014/05/13 06:18:03 UV 2.16.840.1.113883.3.1070.5651 mckesson-fusion-5651 mckesson-fusion-5651 Gianna Goodman masked Fusion Enrollment 8775074541 masked Fusion Enrollment gianna_goodman@med3000.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5651 2014/01/21 12:00:00 2014/05/13 12:00:00 2014/05/13 06:19:41 UV 2.16.840.1.113883.3.4370.100.1.2 ormc Oconee Regional Medical Center, Inc. Alan Whitehouse masked Tad Williamson Bruce Alan Whitehouse 821 North Cobb Street Milledgeville, GA 31061 478.457.2039 masked Chief Information Officer/Director Oconee Regional Medical Center, Inc. 821 North Cobb Street Milledgeville, GA 31061 478.457.2134 isgroup@ormcinc.org http://www.oconeeregional.com Provider 2.16.840.1.113883.3.4370 Ext 14 Complete 2.16.840.1.113883.3.4370.100.1.2 2014/01/21 12:00:00 2014/05/13 12:00:00 2014/05/13 06:22:33 UV 2.16.840.1.113883.17.3903 chs-LHN-HIE-Interchange Lutheran Health Network HIE Interchange Jeff DeJournett masked Jeff DeJournett 7950 West Jefferson Blvd. Suite 301 Fort Wayne, IN 46804 303-552-6846 masked Interface Analyst Lutheran Health Network HIE Interchange 7950 West Jefferson Blvd. Suite 301 Fort Wayne, IN 46804 303-552-6846 jdejournett@lhn.net Provider Int 17 Complete 2014/01/21 12:00:00 2014/05/13 12:00:00 2014/05/13 06:24:58 UV 2.16.840.1.113883.4.700 aca Accountable Care Associates Michael Laban masked Renee Broadbent Renee Broadbent One Monarch Place Suite 1000 Springfield, MA 01144 413-439-2504 masked VP, CIO, ISO Accountable Care Associates One Monarch Place Suite 1000 Springfield, MA 01144 413-439-2500 helpdesk@acafirst.com http://www.acafirst.com Vendor Int 3 Complete 2014/01/21 12:00:00 2014/05/13 12:00:00 2014/05/13 06:28:07 US 2.16.840.1.113883.3.4376 mclaren-healthcare McLaren Healthcare Corporation Ryan Maginity masked Ryan Maginity G-3235 Beecher Rd Suite A Flint, MI 48532 810-424-8137 masked Senior Integration Specialist McLaren Healthcare Corporation G-3235 Beecher Rd Suite A Flint, MI 48532 ryan.maginity@antheliohealth.com http://www.mclaren.org Provider Int 3 Complete 2014/01/21 12:00:00 2014/05/13 12:00:00 2014/05/13 06:29:56 UV 2.16.840.1.113883.9.121 azssig Arizona Syndromic Surveillance Implementation Guide Manoj Shaw masked Sara Imholte Manoj Shaw Arizona Department of Health Services 150 N 18th Ave Suite 150 Phoenix,AZ 85007 602-542-6003 masked HL7 Analyst Arizona Department of Health Services Arizona Department of Health Services 150 N 18th Ave Suite 150 Phoenix,AZ 85007 602-542-1001 syndromicsurveillance@azdhs.gov http://www.azdhs.gov/meaningful-use/syndromic-surveillance/index.htm Govt body 2.16.840.1.114222.4.1.142 Int 9 9 Pending 2014/01/21 12:00:00 2014/01/21 05:23:52 2.5.1 UV 2.16.840.1.113883.3.1070.5712 mckesson-fusion-5712 mckesson-fusion-5712 Jennifer Meares masked Jennifer Meares 8775074541 masked Implementation Fusion Enrollment jennifer.meares@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5712 2014/01/21 12:00:00 2014/05/13 12:00:00 2014/05/13 06:33:14 US 2.16.840.1.113883.3.1070.5673 mckesson-fusion-5673 mckesson-fusion-5673 Jennifer Meares masked Jennifer Meares 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5673 2014/01/21 12:00:00 2014/05/13 12:00:00 2014/05/13 06:36:29 US 2.16.840.1.113883.3.1070.5698 mckesson-fusion-5698 mckesson-fusion-5698 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5698 2014/01/22 12:00:00 2014/05/13 12:00:00 2014/05/13 06:38:08 US 2.16.840.1.113883.3.4378 mipa Michigan Interventional Pain Associates OID Root Nicole Schneider masked Nicole schneider 2300 Haggerty Road #2100 West Bloomfield, MI 48323 248 624-7246 masked RN-Officer Manager Michigan Interventional Pain Associates 2300 Haggerty Road #2100 West Bloomfield, MI 48323 248 624-7246 nic@lakespm.com https://www.lakespm.com Provider Int 3 Complete 2014/01/22 12:00:00 2014/05/13 12:00:00 2014/05/13 06:41:01 UV 2.16.840.1.113883.9.122 fsnny Family Service Network of New York Benjamin Igwe masked Benjamin Igwe 1420 Bushwick Avenue Brooklyn, NY 11207 718-455-6010 Ext 101 masked Web Family Service Network of New York 1420 Bushwick Avenue Brooklyn, NY 11207 718-455-6010 bigwe@fsnny.org http://www.webaddress.org Provider Int 3 Complete 2014/01/22 12:00:00 2014/05/13 12:00:00 2014/05/13 06:47:30 UV 2.16.840.1.113883.3.4379 tilakmallikmd tilakmallikmd OID Root Baishali Mallik masked Baishali Mallik 1111 Medical Center Blvd Suite S 113 Marrero, LA 70072 504-349-6520 ext 7083 masked Tilak K Mallik MD FACE LLC 1111 Medical Center Blvd Suite S 113 Marrero, LA 70072 504-349-6520 tmallik@cox.net Provider Int 3 Complete 2014/01/22 12:00:00 2014/05/13 12:00:00 2014/05/13 06:48:53 UV 2.16.840.1.113883.3.4380 epch El Paso Children's Hospital Daniel Sanchez masked Daniel Sanchez 4815 Alameda Ste. 407 El Paso, TX 79905 915-521-7921 masked Systems Manager El Paso Children's Hospital 4845 Alberta Avenue El Paso, TX 79905 915-242-8576 dsanchez@umcelpaso.org Provider Int 3 Complete 2014/01/22 12:00:00 2014/05/13 12:00:00 2014/05/13 06:50:08 UV 2.16.840.1.113883.3.4220.4.10001 uuh UNIVERSITY HOSPITAL Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10001 2014/01/22 12:00:00 2014/05/13 12:00:00 2014/05/13 06:52:57 UV 2.16.840.1.113883.3.4220.4.10002 utc TAUBMAN CENTER Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10002 2014/01/22 12:00:00 2014/05/13 12:00:00 2014/05/13 06:58:32 UV 2.16.840.1.113883.3.4220.4.10003 uvh VONVOIGTLANDER WOMEN'S HOSPITAL Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10003 2014/01/22 12:00:00 2014/05/13 12:00:00 2014/05/13 07:01:24 UV 2.16.840.1.113883.3.4220.4.10004 umpb MEDICAL PROFESSIONAL BUILDING Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10004 2014/01/22 12:00:00 2014/05/13 12:00:00 2014/05/13 07:03:00 UV 2.16.840.1.113883.3.4220.4.10005 umh MOTT CHILDREN'S HOSPITAL Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10005 2014/01/22 12:00:00 2014/05/13 12:00:00 2014/05/13 07:04:25 UV 2.16.840.1.113883.3.4220.4.10006 umi MED INN BUILDING Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10006 2014/01/22 12:00:00 2014/05/13 12:00:00 2014/05/13 07:05:52 UV 2.16.840.1.113883.3.4220.4.10007 ucvc CARDIOVASCULAR CENTER Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10007 2014/01/22 12:00:00 2014/05/14 12:00:00 2014/05/14 03:35:46 UV 2.16.840.1.113883.3.4220.4.10008 ucc CANCER CENTER Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10008 2014/01/22 12:00:00 2014/05/14 12:00:00 2014/05/14 03:37:11 UV 2.16.840.1.113883.3.4220.4.10009 nsh NEUROSCIENCE HOSPITAL Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10009 2014/01/22 12:00:00 2014/05/14 12:00:00 2014/05/14 03:39:41 UV 2.16.840.1.113883.3.4220.4.10101 ubw01 BRIARWOOD 01 Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10101 2014/01/22 12:00:00 2014/05/14 12:00:00 2014/05/14 03:41:45 UV 2.16.840.1.113883.3.4220.4.10102 ubw02 BRIARWOOD 02 Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10102 2014/01/22 12:00:00 2014/05/14 12:00:00 2014/05/14 03:42:43 UV 2.16.840.1.113883.3.4220.4.10103 ubw03 BRIARWOOD 03 Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10103 2014/01/22 12:00:00 2014/05/14 12:00:00 2014/05/14 03:43:49 UV 2.16.840.1.113883.3.4381 iowafootcarecenter iowafootcarecenter OID Root Kim Moore masked Kim Moore 217 Duff Ave Ste 2 Ames, IA 50010 515-233-0943 masked Iowa Foot Care Center 217 Duff Ave Ames, IA 50010 515-233-0943 contact@iowafootcare.com Provider Int 3 Complete 2014/01/22 12:00:00 2014/05/14 12:00:00 2014/05/14 03:47:20 UV 2.16.840.1.113883.3.4382 officepracticum Connexin Software John Ryder masked John Ryder 5 Walnut Grove Drive Suite 240 Horsham, PA 19044 267-960-2796 masked Director of Technology Connexin Software 5 Walnut Grove Drive Suite 240 Horsham, PA 19044 267-960-2796 jryder@connexinsoftware.com http://www.officepracticum.com Vendor Int 3 Complete 2014/01/22 12:00:00 2014/05/14 12:00:00 2014/05/14 03:54:18 UV 2.16.840.1.113883.3.4383 fRMC French Hospital Medical Center Linda Barrie masked Linda Barrie (818) 885-3509 masked French Hospital Medical Center 1911 Johnson Ave. San Luis Obispo, CA 93401 (805) 543-5353 linda.barrie@dignityhealth.org http://www.frenchmedicalcenter.org Provider Int 3 Complete 2014/01/22 12:00:00 2014/05/14 12:00:00 2014/05/14 03:55:50 UV 2.16.840.1.113883.3.4384 mARMC Marian Regional Medical Center Linda Barrie masked Linda Barrie (818) 885-3509 masked Marian Regional Medical Center 1400 E Church St Santa Maria, CA 93454 (805) 739-3000 linda.barrie@dignityhealth.org http://www.marianmedicalcenter.org Provider Int 3 Complete 2014/01/22 12:00:00 2014/05/14 12:00:00 2014/05/14 03:57:03 UV 2.16.840.1.113883.3.4385 sJRMC St. John's Regional Medical Center Linda Barrie masked Linda Barrie (818) 885-3509 masked St. John's Regional Medical Center 1600 N Rose Ave Oxnard, CA 93030 (805) 988-2500 linda.barrie@dignityhealth.org http://www.stjohnshealth.org Provider Int 3 Complete 2014/01/22 12:00:00 2014/05/14 12:00:00 2014/05/14 03:58:15 UV 2.16.840.1.113883.3.4386 sJPVH St. John's Pleasant Valley Hospital Linda Barrie masked Linda Barrie (818) 885-3509 masked St. John's Pleasant Valley Hospital 2309 Antonio Ave Camarillo, CA 93010 (805) 389-5800 linda.barrie@dignityhealth.org http://www.stjohnshealth.org Provider Int 3 Complete 2014/01/22 12:00:00 2014/05/14 12:00:00 2014/05/14 04:00:04 UV 2.16.840.1.113883.3.4387 nHMC Northridge Hospital Medical Center Linda Barrie masked Linda Barrie (818) 885-3509 masked Northridge Hospital Medical Center 18300 Roscoe Blvd Northridge, CA 91328 (818) 885-8500 linda.barrie@dignityhealth.org http://www.northridgehospital.org Provider Int 3 Complete 2014/01/22 12:00:00 2014/05/14 12:00:00 2014/05/14 04:01:21 UV 2.16.840.1.113883.3.4388 sWG St. Joseph Westgate Medical Center Linda Barrie masked Linda Barrie (818) 885-3509 masked St. Joseph Westgate Medical Center 7300 N. 99th Avenue Glendale, AZ 85305 (602) 406-3000 linda.barrie@dignityhealth.org http://stjosephswestgate.org Provider Int 3 Complete 2014/01/22 12:00:00 2014/05/14 12:00:00 2014/05/14 04:04:01 UV 2.16.840.1.113883.3.4389 aGCH Arroyo Grande Community Hospital Linda Barrie masked Linda Barrie (818) 885-3509 masked Arroyo Grande Community Hospital 345 South Halcyon Road Arroyo Grande, CA 93420 (805) 489-4261 linda.barrie@dignityhealth.org http://www.arroyograndehospital.org Provider Int 3 Complete 2014/01/22 12:00:00 2014/05/14 12:00:00 2014/05/14 04:05:23 UV 2.16.840.1.113883.3.4220.4.10104 ubw04 BRIARWOOD 04 Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10104 2014/01/23 12:00:00 2014/05/14 12:00:00 2014/05/14 04:07:19 UV 2.16.840.1.113883.3.4220.4.10105 ubw05 BRIARWOOD 05 Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10105 2014/01/23 12:00:00 2014/05/14 12:00:00 2014/05/14 04:08:27 UV 2.16.840.1.113883.3.4220.4.10109 ubw09 BRIARWOOD 09 Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10109 2014/01/23 12:00:00 2014/05/14 12:00:00 2014/05/14 04:10:06 UV 2.16.840.1.113883.3.4220.4.10110 ubw10 BRIARWOOD 10 Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10110 2014/01/23 12:00:00 2014/05/14 12:00:00 2014/05/14 04:11:55 UV 2.16.840.1.113883.3.4220.4.10201 uyhc YPSILANTI HEALTH CENTER Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10201 2014/01/23 12:00:00 2014/05/14 12:00:00 2014/05/14 04:14:35 UV 2.16.840.1.113883.3.4220.4.10202 ukms KMS Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10202 2014/01/23 12:00:00 2014/05/14 12:00:00 2014/05/14 04:15:44 UV 2.16.840.1.113883.3.4220.4.10203 uempc EAST ANN ARBOR SURGERY & MPC Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10203 2014/01/23 12:00:00 2014/05/14 12:00:00 2014/05/14 04:17:02 UV 2.16.840.1.113883.3.4220.4.10204 ubhc BRIGHTON HEALTH CENTER Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10204 2014/01/23 12:00:00 2014/05/14 12:00:00 2014/05/14 04:18:20 UV 2.16.840.1.113883.3.4220.4.10205 ubrl BURLINGTON Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10205 2014/01/23 12:00:00 2014/05/14 12:00:00 2014/05/14 04:19:27 UV 2.16.840.1.113883.3.4220.4.10206 uchc CANTON HEALTH CENTER Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10206 2014/01/23 12:00:00 2014/05/14 12:00:00 2014/05/14 04:20:59 UV 2.16.840.1.113883.3.4220.4.10207 ulcsc LIVONIA CTR FOR SPECIALTY CARE Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10207 2014/01/23 12:00:00 2014/05/14 12:00:00 2014/05/14 04:22:19 UV 2.16.840.1.113883.3.4220.4.10208 uche CHELSEA HEALTH CENTER Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10208 2014/01/23 12:00:00 2014/05/14 12:00:00 2014/05/14 04:23:20 UV 2.16.840.1.113883.3.4390 pac Chestnut Hill Hospital Michelle Heim masked Michelle Heim 4000 Meridian Blvd Franklin, TN 37067 615-925-4554 masked Interface Analyst Chestnut Hill Hospital 8835 Germantown Ave, Philadelphia, PA 19118 (215) 248-8200 Beth_Crossley@chs.net Provider Int 3 Complete 2014/01/23 12:00:00 2014/05/14 12:00:00 2014/05/14 04:24:44 UV 2.16.840.1.113883.3.1070.5720 mckesson-fusion-5720 mckesson-fusion-5720 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment Johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 3 Complete 2.16.840.1.113883.3.1070.5720 2014/01/23 12:00:00 2014/05/14 12:00:00 2014/05/14 04:28:48 US 2.16.840.1.113883.3.4391 cancercenterofsoutheasttexas Cancer Center of Southeast Texas Lily Nguyen masked Lily Nguyen 4097298088 masked Financial Manager Cancer Center of Southeast Texas 8333 9th Ave Ste G Port Arthur, TX 77642 4097298088 lnguyen@setexonc.com http://setexonc.com/ Provider Int 3 Complete 2014/01/23 12:00:00 2014/05/14 12:00:00 2014/05/14 04:30:35 UV 2.16.840.1.113883.3.4392 phcinc Primary Health Care Kyle Haindfield masked Kelly Huntsman 9943 Hickman Rd, Suite 105 Urbandale, IA 50322 5152481441 masked Executive Director Primary Health Care 9943 Hickman Rd, Suite 105 Urbandale, IA 50322 5152481441 khuntsman@phcinc.net http://www.phcinc.net/ Provider Int 3 Complete 2014/01/23 12:00:00 2014/05/14 12:00:00 2014/05/14 04:32:03 UV 2.16.840.1.113883.3.1070.5634 mckesson-fusion-5634 mckesson-fusion-5634 Bao Lee masked Fusion Enrollment 87775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5634 2014/01/23 12:00:00 2014/05/14 12:00:00 2014/05/14 04:35:46 US 2.16.840.1.113883.3.1070.5563 mckesson-fusion-5563 mckesson-fusion-5563 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5563 2014/01/23 12:00:00 2014/05/14 12:00:00 2014/05/14 04:38:00 US 2.16.840.1.113883.3.4220.4.10209 udhc DEXTER HEALTH CENTER Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10209 2014/01/24 12:00:00 2014/05/14 12:00:00 2014/05/14 04:39:49 UV 2.16.840.1.113883.3.4220.4.10210 udf DOMINO'S FARMS Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10210 2014/01/24 12:00:00 2014/05/14 12:00:00 2014/05/14 04:46:34 UV 2.16.840.1.113883.3.4220.4.10211 ueaa E ANN ARBOR HEALTH & GERIATRIC Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10211 2014/01/24 12:00:00 2014/05/14 12:00:00 2014/05/14 04:47:58 UV 2.16.840.1.113883.3.4220.4.10212 uhwp HOWELL PEDIATRICS Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10212 2014/01/24 12:00:00 2014/05/14 12:00:00 2014/05/14 04:49:43 UV 2.16.840.1.113883.3.4220.4.10213 ukem KELLOGG EYE CENTER - MILFORD Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10213 2014/01/24 12:00:00 2014/05/14 12:00:00 2014/05/14 04:51:40 UV 2.16.840.1.113883.3.4220.4.10214 ukeb KELLOGG EYE CENTER - BRIGHTON Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10214 2014/01/24 12:00:00 2014/05/14 12:00:00 2014/05/14 04:52:56 UV 2.16.840.1.113883.3.4220.4.10215 ulhc LIVONIA HEALTH CENTER Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10215 2014/01/24 12:00:00 2014/05/14 12:00:00 2014/05/14 04:54:05 UV 2.16.840.1.113883.3.4220.4.10216 ums2 MED SCIENCE RESEARCH BLDG II Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10216 2014/01/24 12:00:00 2014/05/14 12:00:00 2014/05/14 04:55:13 UV 2.16.840.1.113883.3.4220.4.10217 uncac NORTH CAMPUS ADMIN COMMON-NCAC Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10217 2014/01/24 12:00:00 2014/05/14 12:00:00 2014/05/14 04:56:20 UV 2.16.840.1.113883.3.4220.4.10218 urub RACHEL UPJOHN BUILDING Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10218 2014/01/24 12:00:00 2014/05/14 12:00:00 2014/05/14 04:57:25 UV 2.16.840.1.113883.3.4220.4.10219 ushc SALINE HEALTH CENTER Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10219 2014/01/24 12:00:00 2014/05/14 12:00:00 2014/05/14 04:58:58 UV 2.16.840.1.113883.3.4220.4.10220 ukec KELLOGG EYE CENTER - ANN ARBOR Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10220 2014/01/24 12:00:00 2014/05/14 12:00:00 2014/05/14 05:00:24 UV 2.16.840.1.113883.3.4394 schc Siouxland Community Health Center SCHC Kyle Haindfield masked Brent Culbertson 1021 Nebraska Street Sioux City, IA 51105 7122021194 masked IT Manager Siouxland Community Health Center 1021 Nebraska Street Sioux City, IA 51105 7122021194 brculbertson@slandchc.com https://www.slandchc.org/ Provider Int 3 Complete 2014/01/24 12:00:00 2014/05/14 12:00:00 2014/05/14 04:42:28 UV 2.16.840.1.113883.3.4220.4.10221 uwhc WEST ANN ARBOR HEALTH CTR Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10221 2014/01/24 12:00:00 2014/05/14 12:00:00 2014/05/14 05:02:22 UV 2.16.840.1.113883.3.4220.4.10222 uncrc NORTH CAMPUS RESEARCH COMPLEX Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10222 2014/01/24 12:00:00 2014/05/14 12:00:00 2014/05/14 05:03:37 UV 2.16.840.1.113883.3.4220.4.10223 ukmss KMS SOUTH Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10223 2014/01/24 12:00:00 2014/05/14 12:00:00 2014/05/14 05:05:01 UV 2.16.840.1.113883.3.4278.1 meriter-id Meriter Organizational Identity - Meriter Health Services, Inc. Kim Knorr masked pharrop@meriter.com Systems Integration Team 202 S. Park St Madison, WI 53715 608-417-7777 masked Programmer/Analysts Meriter Health Services, Inc 202 S. Park St Madison, WI 53715 608-417-6000 pharrop@meriter.com http://www.meriter.com Provider 2.16.840.1.113883.3.4278 Ext 4 Complete 2.16.840.1.113883.3.4278.1 2014/01/24 12:00:00 2014/05/14 12:00:00 2014/05/14 05:08:42 UV 2.16.840.1.113883.3.4220.4.10224 uncf NORTH CAMPUS FAMILY HEALTH SERVICE Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10224 2014/01/24 12:00:00 2014/05/14 12:00:00 2014/05/14 05:11:23 UV 2.16.840.1.113883.3.4220.4.10225 utbp TRAVERWOOD BUSINESS PARK Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10225 2014/01/24 12:00:00 2014/05/14 12:00:00 2014/05/14 05:12:44 UV 2.16.840.1.113883.3.4395 cherokeehealthsystems Cherokee health systems Joanna Walkingstick masked Joanna Walkingstick 123 Anywhere st Tahlequah, OK 74464 918.931.8272 masked HIO Onboarder Cherokee Health Systems 918.931.8272 jwalkingstick@yeamanandassociates.com http://www.yeamanandassociates.com/ Academic Int 3 Complete 2014/01/24 12:00:00 2014/05/14 12:00:00 2014/05/14 05:18:00 UV 2.16.840.1.113883.3.4220.4.10226 uker KELLOGG EYE CENTER - YPSILANTI Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10226 2014/01/24 12:00:00 2014/05/14 12:00:00 2014/05/14 05:19:57 UV 2.16.840.1.113883.3.4220.4.10227 utbp1 TRAVERWOOD BUSINESS PARK 1 Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10227 2014/01/24 12:00:00 2014/05/14 12:00:00 2014/05/14 05:21:00 UV 2.16.840.1.113883.3.4220.4.10228 unhc NORTHVILLE HEALTH CENTER Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10228 2014/01/24 12:00:00 2014/05/14 12:00:00 2014/05/14 05:22:29 UV 2.16.840.1.113883.3.4220.4.10901 uzgl OUTREACH-GAYLORD (NW MI COMM) Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10901 2014/01/24 12:00:00 2014/05/14 12:00:00 2014/05/14 05:24:13 UV 2.16.840.1.113883.3.4220.4.10902 uzkz OUTREACH-KALAMAZOO (NEPH) Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10902 2014/01/24 12:00:00 2014/05/14 12:00:00 2014/05/14 05:25:29 UV 2.16.840.1.113883.3.4220.4.10903 uztc2 OUTREACH-TC (MUNSON SPECIALTY) Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10903 2014/01/24 12:00:00 2014/05/14 12:00:00 2014/05/14 05:27:10 UV 2.16.840.1.113883.3.4220.4.10904 uzmq OUTREACH-MARQUETTE (GEN HLTH) Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10904 2014/01/24 12:00:00 2014/05/18 12:00:00 2014/05/18 09:31:49 UV 2.16.840.1.113883.3.4220.4.10905 uztc1 OUTREACH-TC (MUNSON MEDICAL) Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10905 2014/01/24 12:00:00 2014/05/18 12:00:00 2014/05/18 09:33:30 UV 2.16.840.1.113883.3.4396 jazayeri jazayeri OID Root Mahmood Jazayeri masked Janice Lawson Janice Lawson 2690 Pacific Avenue Suite 380 Long Beach, CA 90806 562-595-6426 masked Office Manager Mahmood Jay Jazayeri 2690 Pacific Avenue Suite 380 Long Beach, CA 90806 562-595-6426 surgery@mjayjazayerimd.com https://www.jazayeri@cernerdirect.com Provider Int 3 Complete 2014/01/24 12:00:00 2014/05/18 12:00:00 2014/05/18 09:40:24 UV 2.16.840.1.113883.3.4397 udoh Utah Department of Health Jeff Duncan masked Jeff Duncan 288 N 1460 W PO Box 141019 Salt Lake City, UT 84114-1019 801-538-7023 masked Health Informatics Manager Utah Department of Health (UDOH) 288 N 1460 W PO Box 141019 Salt Lake City, UT 84114-1019 8015387023 jduncan@utah.gov http://health.utah.gov Govt body Int 3 Complete 2014/01/24 12:00:00 2014/05/18 12:00:00 2014/05/18 09:42:31 US 2.16.840.1.113883.3.4220.4.10906 uzwc WASHTENAW COUNTY HUMAN SVC Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10906 2014/01/24 12:00:00 2014/05/18 12:00:00 2014/05/18 09:43:44 UV 2.16.840.1.113883.3.4220.4.10907 uzym YMCA ANN ARBOR Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10907 2014/01/24 12:00:00 2014/05/18 12:00:00 2014/05/18 09:44:59 UV 2.16.840.1.113883.3.4220.4.10908 uyms YPSILANTI MIDDLE SCHOOL Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10908 2014/01/24 12:00:00 2014/05/18 12:00:00 2014/05/18 09:46:38 UV 2.16.840.1.113883.3.4220.4.10909 uycs YPSILANTI COMMUNITY MIDDLE SCHOOL Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10909 2014/01/24 12:00:00 2014/05/18 12:00:00 2014/05/18 09:48:05 UV 2.16.840.1.113883.3.4220.4.10910 ukew KELLOGG EYE CTR-W BLOOMFIELD Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10910 2014/01/24 12:00:00 2014/05/18 12:00:00 2014/05/18 09:53:29 UV 2.16.840.1.113883.3.4220.4.10911 uhvp HURON VALLEY PROFESSIONAL CTR Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10911 2014/01/24 12:00:00 2014/05/18 12:00:00 2014/05/18 09:56:25 UV 2.16.840.1.113883.3.4220.4.10913 usms SCARLETT MIDDLE SCHOOL Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10913 2014/01/24 12:00:00 2014/05/18 12:00:00 2014/05/18 09:58:56 UV 2.16.840.1.113883.3.4220.4.10914 uecp1 EISENHOWER CORPORATE PARK 1 Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10914 2014/01/24 12:00:00 2014/05/18 12:00:00 2014/05/18 10:01:04 UV 2.16.840.1.113883.3.4220.4.10915 uecp2 EISENHOWER CORPORATE PARK 2 Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10915 2014/01/24 12:00:00 2014/05/18 12:00:00 2014/05/18 10:02:19 UV 2.16.840.1.113883.3.4220.4.10916 uths ANN ARBOR TECH HIGH SCHOOL Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10916 2014/01/24 12:00:00 2014/05/18 12:00:00 2014/05/18 10:04:15 UV 2.16.840.1.113883.3.4220.4.10917 urh REICHERT BUILDING Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10917 2014/01/24 12:00:00 2014/05/18 12:00:00 2014/05/18 10:05:23 UV 2.16.840.1.113883.3.4220.4.10918 upp PLYMOUTH PARK OFFICE CENTER Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10918 2014/01/24 12:00:00 2014/05/18 12:00:00 2014/05/18 10:06:45 UV 2.16.840.1.113883.3.4398 whitespediatrics Whites Pediatrics Eric Harwood masked Jeffeory H White MD, PC Eric Harwood 1575 Chattanooga Ave. Suite 1 Dalton, GA 30720 7068762172 masked IT Jeffeory H. White MD, PC 1575 Chattanooga Ave. Suite 1 Dalton, GA 30720 706-876-2130 ericharwood@optilink.us https://www.whitespediatrics.com Provider Int 3 Complete 2014/01/24 12:00:00 2014/05/18 12:00:00 2014/05/18 10:12:03 UV 2.16.840.1.113883.3.4399 thomaslunsfordmd thomaslunsfordmd OID Root Thomas lUNSFORD masked Thomas M. Lunsford, MD 215 Oak Drive South, Suite F Lake Jackson, TX77566 979-299-1520 masked Dr.Thomas M. Lunsford, MD, FACS,PC 215 Oak Drive South Suite F Lake Jackson, TX 77566 979-299-1520 drcoltml@lunsfordmd.comcastbiz.net Provider Int 3 Complete 2014/01/24 12:00:00 2014/05/18 12:00:00 2014/05/18 10:13:52 UV 2.16.840.1.113883.3.4400 putnamgeneralhospital Putnam General Hospital Steven Cason masked Walter Mancill 101 Lake Oconee Pkwy Eatonton, GA 31024 706.485.2711 masked IT Director Putnam General Hospital 101 Lake Oconee Pkwy Eatonton, GA 31024 706.485.2711 amc@putnamgeneral.com http://www.putnamgeneral.com Provider Int 3 Complete 2014/01/24 12:00:00 2014/05/18 12:00:00 2023/11/06 12:09:46 UV 2.16.840.1.113883.3.4401 hhsohip Holzer Health System Jodie McCalla masked Adam Rossbach Jodie McCalla Holzer Health System 100 Jackson Pike Gallipolis, OH 45631 740-446-5170 masked Project Manager CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/01/27 12:00:00 2014/05/18 12:00:00 2014/05/18 10:19:16 UV 2.16.840.1.113883.3.4220.4.10919 unh NEW HOPE CLINIC Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10919 2014/01/27 12:00:00 2014/05/18 12:00:00 2014/05/18 10:22:09 UV 2.16.840.1.113883.3.4220.4.10920 uice ANN ARBOR ICE CUBE Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10920 2014/01/27 12:00:00 2014/05/18 12:00:00 2014/05/18 10:23:28 UV 2.16.840.1.113883.3.4220.4.10923 ucpb CHELSEA PROFESSIONAL BUILDING Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10923 2014/01/27 12:00:00 2014/05/18 12:00:00 2014/05/18 10:26:27 UV 2.16.840.1.113883.3.4220.4.10925 ugrl MERCY HOSPITAL Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10925 2014/01/27 12:00:00 2014/05/18 12:00:00 2014/05/18 10:28:35 UV 2.16.840.1.113883.3.4220.4.10926 uahh MICHIGAN MEDICINE AT AH RAD ONC Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10926 2014/01/27 12:00:00 2014/05/18 12:00:00 2017/11/16 10:35:58 UV 2.16.840.1.113883.3.4220.4.10927 usjm ST. JOSEPH MERCY ANN ARBOR Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10927 2014/01/27 12:00:00 2014/05/18 12:00:00 2014/05/18 10:30:53 UV 2.16.840.1.113883.3.4220.4.10928 uagh ALPENA GENERAL HOSPITAL Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10928 2014/01/27 12:00:00 2014/05/18 12:00:00 2014/05/18 10:32:00 UV 2.16.840.1.113883.3.4402 cocentrix CoCENTRIX CCP and ProFiler Edward Ip masked Bryan Griffiths CoCENTRIX 540 North Tamiami Trail Sarasota, Florida 34236 9413064951 masked CoCENTRIX 540 North Tamiami Trail Sarasota, Florida 34236 9413064951 info@cocentrix.com http://www.cocentrix.com Vendor Int 3 Complete 2014/01/27 12:00:00 2014/05/18 12:00:00 2014/05/18 10:21:00 UV 2.16.840.1.113883.3.4220.4.10929 usmh MICHIGAN MEDICINE AT SMH PEDIATRIC Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10929 2014/01/27 12:00:00 2014/05/18 12:00:00 2017/11/16 10:41:45 UV 2.16.840.1.113883.3.1070.5658 mckesson-fusion-5658 mckesson-fusion-5658 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5658 2014/01/27 12:00:00 2014/05/18 12:00:00 2014/05/18 10:36:16 US 2.16.840.1.113883.3.4220.4.10930 utmc TOLEDO MEDICAL CENTER NE OHIO Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10930 2014/01/27 12:00:00 2014/05/18 12:00:00 2014/05/18 10:37:49 UV 2.16.840.1.113883.3.3435.500 citizensmemorial-achc CITIZENS MEMORIAL HOSPITAL - APPLETON CITY HEALTH CLINIC DENNI MCCOLM masked KIM.TILLEY@CITIZENSMEMORIAL.COM DENNI MCCOLM CITIZENS MEMORIAL HOSPITAL 1500 N OAKLAND BOLIVAR MO,65613 4173286407 masked CIO CITIZENS MEMORIAL HOSPITAL CITIZENS MEMORIAL HOSPITAL 1500 N OAKLAND BOLIVAR MO, 65613 4173286615 ISHELPDESK@CITIZENSMEMORIAL.COM http://www.citizensmemorial.com Provider 2.16.840.1.113883.3.3435 Ext 17 Complete 2.16.840.1.113883.3.3435.500 2014/01/27 12:00:00 2014/05/18 12:00:00 2014/05/18 10:40:05 UV 2.16.840.1.113883.3.4403 familymedicineofmargate Family Medicine of Margate, P.A. Mohammed Gajraj masked Debbie Holtgard Debbie Holtgard 2770 Indian River Blvd Vero Beach, FL 32960 719-694-1062 masked EDI Support AZZLY 2770 Indian River Blvd Vero Beach, FL 32960 772-567-0206 vendorservices@azzly.com http://www.azzly.com Vendor 2.16.840.1.113883.3.662 Int 3 Complete 2014/01/27 12:00:00 2014/05/18 12:00:00 2014/05/18 10:42:14 UV 2.16.840.1.113883.3.1070.5691 mckesson-fusion-5691 mckesson-fusion-5691 Michelle Banks masked Fusion Enrollment 8775074541 masked Fusion Enrollment michelle.banks@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5691 2014/01/27 12:00:00 2014/05/18 12:00:00 2014/05/18 10:48:11 US 2.16.840.1.113883.3.4404 asante-ashlandch Asante Ashland Community Hospital Criss Garcia masked Criss Garcia 2600 Siskiyou Blvd Suite 200 Medford, OR 97504 541-789-5386 masked Sr. Application Analyst Asante Ashland Community Hospital 2650 Siskiyou Blvd. Medford, OR 97504 541-789-4100 cgarcia@asante.org http://www.asante.org/ Provider Int 3 Complete 2014/01/27 12:00:00 2014/05/18 12:00:00 2014/05/18 10:53:32 UV 2.16.840.1.113883.3.4405 oscar Oscar Insurance Corporation Fredrik Nylander masked Fredrik Nylander 295 Lafayette St, 6th Floor New York, NY 10012 646-403-3677 masked CTO Oscar Insurance Corporation help@hioscar.com https://www.hioscar.com/ Payor Int 3 Complete 2014/01/27 12:00:00 2014/05/18 12:00:00 2014/05/18 10:54:52 UV 2.16.840.1.113883.3.4406 pisehr PISOFTEK EHR Sourabh Singh masked Sourabh Singh 091-120-4316473 masked PISOFTEK C-56 A/28, Sector - 62 NOIDA, U.P., India 091-120-4316473 info@pisoftek.com Vendor Int 3 Complete 2014/01/28 12:00:00 2014/05/18 12:00:00 2014/05/18 10:56:54 UV 2.16.840.1.113883.3.4407 ptd-51 Peter Demos MD Peter Demos masked Peter Demos 125 Liberty Street Suite 202 Springfield, MA 01103 413-733-1059 masked Peter Demos MD 125 Liberty Street Suite 202 Springfield, MA 01103 413-733-1059 ptd51@aol.com Prof Soc Int 3 Complete 2014/01/28 12:00:00 2014/05/18 12:00:00 2014/05/18 10:58:19 UV 2.16.840.1.113883.3.4220.4.10931 uspb SPARROW PROFESSIONAL BUILDING Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10931 2014/01/28 12:00:00 2014/05/18 12:00:00 2014/05/18 11:02:37 UV 2.16.840.1.113883.3.4220.4.10932 ucch CHELSEA COMMUNITY CLINICS Ellizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10932 2014/01/28 12:00:00 2014/05/18 12:00:00 2017/05/19 09:58:34 UV 2.16.840.1.113883.3.4220.4.10933 uwnh WHITEHALL NURSING HOME Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10933 2014/01/28 12:00:00 2014/05/18 12:00:00 2014/05/18 11:06:57 UV 2.16.840.1.113883.3.4220.4.10934 uahs-umhs AMERICAN HOUSE SENIOR LIVING Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10934 2014/01/28 12:00:00 2014/05/18 12:00:00 2014/05/18 11:09:33 UV 2.16.840.1.113883.3.4220.4.10935 ucrc CHELSEA RETIREMENT CENTER Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10935 2014/01/28 12:00:00 2014/05/18 12:00:00 2014/05/18 11:17:29 UV 2.16.840.1.113883.3.4220.4.10936 ughs GLACIER HILLS SENIOR LIVING Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10936 2014/01/28 12:00:00 2014/05/18 12:00:00 2014/05/18 11:18:29 UV 2.16.840.1.113883.3.4220.4.10937 uhha MICHIGAN MEDICINE AT HHA SKILLED Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10937 2014/01/28 12:00:00 2014/05/18 12:00:00 2017/11/16 10:54:57 UV 2.16.840.1.113883.3.4220.4.10938 uhhc HEARTLAND HEALTH CARE CANTON Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10938 2014/01/28 12:00:00 2014/05/18 12:00:00 2014/05/18 11:20:51 UV 2.16.840.1.113883.3.4220.4.10939 uswn SUPERIOR WOODS NURSING CENTER Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10939 2014/01/28 12:00:00 2014/05/18 12:00:00 2014/05/18 11:23:46 UV 2.16.840.1.113883.3.4220.4.10940 uyhs YPSILANTI HIGH SCHOOL Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10940 2014/01/28 12:00:00 2014/05/18 12:00:00 2014/05/18 11:26:13 UV 2.16.840.1.113883.3.4220.4.10941 ucp CARPENTER PLACE SENIOR LIVING Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10941 2014/01/28 12:00:00 2014/05/18 12:00:00 2014/05/18 11:28:59 UV 2.16.840.1.113883.3.4220.4.10942 uzmh MICHIGAN HEART - SJMH SYSTEM Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10942 2014/01/28 12:00:00 2014/05/18 12:00:00 2014/05/18 11:30:15 UV 2.16.840.1.113883.3.4220.4.10943 usmr MICHIGAN MEDICINE AT SMR SENIOR LIVING Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10943 2014/01/28 12:00:00 2014/05/18 12:00:00 2017/11/16 10:58:53 UV 2.16.840.1.113883.3.4220.4.10944 urbp REGENCY AT BLUFFS PARK Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10944 2014/01/28 12:00:00 2014/05/18 12:00:00 2014/05/18 11:34:34 UV 2.16.840.1.113883.3.4220.4.10945 ulhs LINCOLN HIGH SCHOOL Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10945 2014/01/28 12:00:00 2014/05/18 12:00:00 2014/05/18 11:35:46 UV 2.16.840.1.113883.3.4220.4.10946 umd RENAL ASSOCIATES OF MIDMICHIGAN Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10946 2014/01/28 12:00:00 2014/05/18 12:00:00 2014/05/18 11:36:46 UV 2.16.840.1.113883.3.4220.4.10947 uztp OUTREACH-INDIANA COMM HEALTH Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10947 2014/01/28 12:00:00 2014/05/18 12:00:00 2014/05/18 11:38:30 UV 2.16.840.1.113883.3.4220.4.10948 ulg MID MICHIGAN KIDNEY SPECIALISTS Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10948 2014/01/28 12:00:00 2014/05/18 12:00:00 2014/05/18 11:39:49 UV 2.16.840.1.113883.3.4220.4.10949 ulms LINCOLN MIDDLE SCHOOL Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10949 2014/01/28 12:00:00 2014/05/18 12:00:00 2014/05/18 11:42:29 UV 2.16.840.1.113883.3.4220.4.10950 ugrd WOMEN'S HEALTH CENTER Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10950 2014/01/28 12:00:00 2014/05/18 12:00:00 2014/05/18 11:43:29 UV 2.16.840.1.113883.3.4408 bpfc09 Barry Pointe Family Care, LLC Patty Evarts masked Patty Evarts 9151 NE 81ST TER, Ste 105 Kansas City, MO 64158 816-994-8752 masked Administrator Barry Pointe Family Care 9151 NE 81ST TER, Ste 105 Kansas City, MO 64158 816-994-8787 office@barrypointefamilycare.com http://www.barrypointefamilycare.com Provider Int 3 Complete 2014/01/28 12:00:00 2014/05/18 12:00:00 2014/05/18 12:47:31 UV 2.16.840.1.113883.3.4220.4.10951 upp1 PLYMOUTH PARK OFFICE CENTER 1 Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10951 2014/01/28 12:00:00 2014/05/18 12:00:00 2014/05/18 12:48:35 UV 2.16.840.1.113883.3.4220.4.10952 uap ARBOR PARK IHA MFM Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10952 2014/01/28 12:00:00 2014/05/18 12:00:00 2014/05/18 12:49:31 UV 2.16.840.1.113883.3.4220.4.50501 suhs UNIVERSITY HEALTH SERVICE Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.50501 2014/01/28 12:00:00 2014/05/18 12:00:00 2014/05/18 12:51:08 UV 2.16.840.1.113883.3.4409 bhohip Barnesville Hospital Tiffany Gramby masked Adam Rossbach Tiffany Gramby Barnesville Hospital (740) 425-5189 masked Sr. Director of Information Management CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/01/28 12:00:00 2014/05/18 12:00:00 2014/05/18 12:53:38 UV 2.16.840.1.113883.3.4410 bnc Bert Nash Community Mental Health Center Paul Williams masked Paul Williams Bert Nash Community Mental Health Center 200 Maine Street Suite A Lawrence, KS 66044 785-843-9192 masked I.T. Manager Bert Nash Community Mental Health Center 200 Maine Street Suite A Lawrence, KS 66044 785-843-9192 pwilliams@bertnash.org http://www.bertnash.org Provider Int 3 Complete 2014/01/28 12:00:00 2014/05/18 12:00:00 2014/05/18 12:55:18 UV 2.16.840.1.113883.3.1097.1.1840001 ahvf Academic Heart & Vascular Stephen Bean masked Christina Miller 5100 Gateway Center Dr Flint, MI 48507-3927 248-898-5794 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1840001 2014/01/28 12:00:00 2014/05/18 12:00:00 2014/05/18 12:57:08 UV 2.16.840.1.113883.3.1070.5644 mckesson-fusion-5644 mckesson-fusion-5644 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5644 2014/01/28 12:00:00 2014/05/18 12:00:00 2014/05/18 12:59:07 US 2.16.840.1.113883.3.1070.5643 mckesson-fusion-5643 mckesson-fusion-5643 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5643 2014/01/28 12:00:00 2014/05/18 12:00:00 2014/05/18 01:00:24 US 2.16.840.1.113883.4.305.1.89 marbleValleyHealthWorks Marble Valley Health Works Craig Hill masked Andrea Martin Marble Valley Health Works 12 Commons Street Suite 1 Rutland, VT 05701 (802) 770-1805 masked Practice Manager Craig Hill 144 Main St. Suite 1 Montpelier, VT 05602 8028391966 IT@vitl.net http://www.vitl.net Exchange 2.16.840.1.113883.4.305 Ext 17 Complete 2.16.840.1.113883.4.305.1.89 2014/01/29 12:00:00 2014/12/19 12:00:00 2016/01/07 09:19:07 US 2.16.840.1.113883.3.4411 benton benton OID Root Gala C Tallent masked Gala C. Tallent 112 North Main Benton, AR 72015 5017785740 masked Internal Medicine Associates of Benton, P.A. 112 North Main Benton, AR 72015 5017785740 gtallent@ymail.com Provider Int 3 Complete 2014/01/29 12:00:00 2014/05/18 12:00:00 2014/05/18 01:05:38 UV 2.16.840.1.113883.3.4412 defeoandlilly DeFeo and Lilly, PC, OID Root Jeannie Phillips masked Jeannie Phillips 3131 College Heights Blvd. Suite 1500 Allentown, PA l8l04 610-821-0444 masked Office Manager DeFeo and Lilly, PC 3131 College Heights Blvd. Suite 1500 Allentown, PA l8l04 610-821-0444 drdefeodpm@yahoo.com Provider Int 3 Complete 2014/01/29 12:00:00 2014/05/18 12:00:00 2014/05/18 01:07:13 UV 2.16.840.1.113883.3.4413 chcfc Community Health Center of Franklin County Wes Hamilton masked Wes Hamilton 489 Bernardston Road, Suite 108 Greenfield, MA 01301 (413) 325-8500 masked CIO Community Health Center of Franklin County 489 Bernardston Road, Suite 108 Greenfield, MA 01301 (413) 325-8500 wes.hamilton@chcfc.org http://www.chcfc.org Provider Int 3 Complete 2014/01/29 12:00:00 2014/05/18 12:00:00 2014/05/18 01:08:56 UV 2.16.840.1.113883.3.4414 bolgh Bolivar General Hospital Mike Garner masked Mike Garner 650 Nuckolls Road Bolivar, TN 38008 731-541-6418 masked Bolivar General Hospital 650 Nuckolls Road Bolivar, TN 38008 731-658-3100 mike.garner@wth.org Provider Int 3 Complete 2014/01/29 12:00:00 2014/05/18 12:00:00 2014/05/18 01:11:28 UV 2.16.840.1.113883.3.4415 camgh Camden General Hospital Mike Garner masked Mike Garner 175 Hospital Drive Camden, TN 38320 731-541-6418 masked Camden General Hospital 175 Hospital Drive Camden, TN 38320 731-584-6135 mike.garner@wth.org Provider Int 3 Complete 2014/01/29 12:00:00 2014/05/18 12:00:00 2014/05/18 01:13:04 UV 2.16.840.1.113883.3.4416 milgh Milan General Hospital Mike Garner masked Mike Garner 4039 Highland Street Milan, TN 38358 731-541-6418 masked Milan General Hospital 4039 Highland Street Milan, TN 38358 731-686-1591 mike.garner@wth.org Provider Int 3 Complete 2014/01/29 12:00:00 2014/05/18 12:00:00 2014/05/18 01:14:27 UV 2.16.840.1.113883.3.4417 premierpllc premierpllc OID Root Karen Fitzsimmons masked Karen Fitzsimmons 5050 Crenshaw Road Suite 100 Pasadena, Texas 77505 8323994141 masked Premier Health Care Group, PLLC 5050 Crenshaw Road Suite 100 Pasadena,Texas 77505 8323994141 kfitz_premier@yahoo.com Provider Int 3 Complete 2014/01/29 12:00:00 2014/05/18 12:00:00 2014/05/18 01:16:02 UV 2.16.840.1.113883.3.4418 peoriapodiatrist Peoriapodiatrist OID Root TIERNEY WALKER masked TIERNEY WALKER 13660 N 94TH DR #F-1 PEORIA, AZ 85381 623-974-0522 masked OFFICE MANAGER DAN BANGART 13660 N 94TH DR #F-1 PEORIA, AZ 85381 623-974-0522 staff@peoriapodiatrist.com Provider Int 3 Complete 2014/01/29 12:00:00 2014/05/18 12:00:00 2014/05/18 01:18:07 UV 2.16.840.1.113883.3.4419 wFHC-MU Wheaton Franciscan Healthcare MU Sherry McGrane masked Sherry L McGrane 3421 West Ninth Waterloo,Iowa 50702 319-272-5672 masked Sunquest/Copath Analyst Wheaton Franciscan Healthcare Lynda.Voll@wfhc.org Provider Int 3 Complete 2014/01/29 12:00:00 2014/05/18 12:00:00 2014/05/18 01:21:08 UV 2.16.840.1.113883.3.4420 allegiance Allegiance Health Justina Breton masked Justina Breton 1 Jackson Square Jackson, MI 49201 5177409712 masked Programmer Allegiance Health 205 N East Ave Jackson, MI 49201 5177409712 jbreton@jcmr.org http://www.allegiancehealth.org SDO Int 3 Complete 2014/01/29 12:00:00 2014/05/18 12:00:00 2014/05/18 01:24:24 UV 2.16.840.1.113883.3.4421 stmarys St. Mary's of Michigan, Sagaw Michelle Krogstad masked Lori Knight Michelle Krogstad 800 S. Washington Avenue Saginaw, MI 48601 9899077587 masked Director of Clinical Informatics/Education Resources St. Mary's of Michigan, Saginaw 800 S. Washington Avenue Saginaw, MI 48601 9899078000 stmarysofmichiganwebmaster@stmarysofmichigan.org http://www.stmarysofmichigan.org/ Provider Int 3 Complete 2014/01/29 12:00:00 2014/05/18 12:00:00 2014/05/18 01:28:30 UV 2.16.840.1.113883.3.4422 btm Bow Tie Medical Paul Sems masked Paul Sems P.O. Box 509 Bath, Ohio 44210 8887359410 masked COO Bow Tie Medical, LLC P.O. Box 509 Bath, Ohio 44210 8887359410 Paul@BowTieMedical.com http://bowtiemedical.com Provider Int 3 Complete 2014/01/29 12:00:00 2014/05/18 12:00:00 2014/05/18 01:33:38 UV 2.16.840.1.113883.3.4423 crmc-1 Cullman Regional Medical Center David Quick masked Johnny Tidmore, CCRN, BSN, JD 1912 Alabama Hwy 157 Cullman, AL 35058 2567372219 masked Clinical Informatics Coordinator Cullman Regional Medical Center 1912 Alabama Hwy 157 Cullman, Al 35058 2567372000 crmc.it@cullmanregional.com https://cullmanregional.com/ Provider Int 3 Complete 2014/01/29 12:00:00 2014/05/18 12:00:00 2023/10/04 11:51:20 UV 2.16.840.1.113883.3.1355.1 ahwest-mrn Adventist Health MRN Cannon Dobbs masked Matthew Stemple Adventist Health, 1101 Creekside Ridge Dr #150, Roseville, CA 95678 916-783-2572 masked Integration Management Adventist Health West Adventist Health 2100 Douglas Boulevard Roseville, CA 95678 916-781-2000 cio@ah.org http://adventisthealth.org Provider 2.16.840.1.113883.3.1355 Ext 14 Complete 2.16.840.1.113883.3.1355.1 2014/01/29 12:00:00 2014/05/18 12:00:00 2014/05/18 01:39:09 UV 2.16.840.1.113883.3.4424 csiozPoland National Centre for Health Information Systems (CSIOZ) Marta BuraczyDska masked Marta BuraczyDska Stanislawa Dubois 5A, 00-184 Warsaw, Poland +48 22 597 09 27 masked Senior Specialist at Research, Analysis and International Cooperation Department National Centre for Health Information Systems Stanislawa Dubois 5A, 00-184 Warsaw, Poland +48 22 597 09 27 biuro@csioz.gov.pl http://www.csioz.gov.pl Govt body Int 3 Complete 2014/01/30 12:00:00 2014/05/18 12:00:00 2014/05/18 01:43:45 UV 2.16.840.1.113883.3.963.4.1.1 mercyHospitalOklahomaCity mercyHospitalOklahomaCity Brett DiNovi masked Brett DiNovi 3146043263 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 3143642581 Brett.DiNovi@Mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.4.1.1 2014/01/30 12:00:00 2014/05/18 12:00:00 2014/05/18 01:45:38 UV 2.16.840.1.113883.3.963.4.1.2 mercyHospitalArdmore mercyHospitalArdmore Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 Brett.DiNovi@Mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.4.1.2 2014/01/30 12:00:00 2014/05/18 12:00:00 2014/05/18 01:47:31 UV 2.16.840.1.113883.3.4425 stJamesHospitals Franciscan St James Hospitals Chicago Heights, IL Richard Parker masked Pamela Hausser Pamela Hausser Franciscan St James Hospitals 1423 Chicago Road Chicago Heights, IL 60411 708-756-1000 x56711 masked MIS Director St James Hospitals 1423 Chicago Road Chicago Heights, IL 60411 708-756-1000 pam.hausser@franciscanalliance.org http://www.franciscanalliance.org/hospitals/chicagoheights/Pages/default.aspx HL7 body Int 3 Complete 2014/01/30 12:00:00 2014/05/18 12:00:00 2014/05/18 01:52:10 UV 2.16.840.1.113883.17.3904 mshs Mackinac Straits Health System Jim Tufts masked Jim Tufts 411 SE 9th St. Pella, IA 50219 641-628-0226 masked Consultant / IT Security Officer Mackinac Straits Health System 1140 N State St. St. Ignace, MI 49781 906-643-8585 lwhitson@mshosp.org http://www.mackinacstraitshealth.org Provider Int 17 Complete 2014/01/30 12:00:00 2014/05/18 12:00:00 2014/05/18 01:53:56 UV 2.16.840.1.113883.3.2187.5.4 smcsmpc Stillwater Medical Physicians Clinic James Ranone masked Ted Threadgill Ted Threadgill 405-533-6096 masked PPM Analyst Stillwater Medial Physicians Clinic 1815 W. 6th Avenue Stillwater, OK 74074-4202 405-743-7300 tthreadgill@stillwater-medical.org Provider 2.16.840.1.113883.3.2187 Ext 14 Complete 2.16.840.1.113883.3.2187.5.4 2014/01/30 12:00:00 2014/05/18 12:00:00 2014/05/18 01:58:11 UV 2.16.840.1.113883.3.4426 schint Seattle Children's Hospital Charlie Kim masked Charlie Kim 6901 Sand Point Way, Seattle, WA 98115 206-987-8686 masked Development Manager Seattle Children's Hospital 6901 Sand Point Way, Seattle, WA 98115 206-987-8686 charlie.kim@seattlechildrens.org http://www.seattlechildrens.org/ Provider Int 3 Complete 2014/01/30 12:00:00 2014/05/18 12:00:00 2021/08/27 02:24:00 UV 2.16.840.1.113883.3.2187.5.4.1 smcsmpcimm Stillwater Medical Physicians Clinic - Immunizations James Ranone masked Ted Threadgill Ted Threadgill 405-533-6096 masked PPM Systems Application Analyst Stillwater Medical Physicians Clinic 1816 W. 6th Avenue Stillwater, OK 74074-4202 405-743-7300 tthreadgill@stillwater-medical.org Provider 2.16.840.1.113883.3.2187 Ext 14 Complete 2.16.840.1.113883.3.2187.5.4.1 2014/01/30 12:00:00 2014/05/18 12:00:00 2014/05/18 02:01:29 UV 2.16.840.1.113883.3.4427 solstaslabpartners Solstas Lab Partners Root OID Moses Perry masked Moses Perry 4388 Federal Drive. Greensboro, NC 27410 336 574-6605 masked Director of Information Services Solstas Lab Partners 4380 Federal Drive Suite 100 Greensboro, NC 27410 (336) 664-6100 moses.perry@solstas.com http://www.solstas.com Provider Int 3 Complete 2014/01/30 12:00:00 2014/05/18 12:00:00 2014/05/18 02:07:59 UV 2.16.840.1.113883.3.4428 svaa svaa OID Root Anjuli Mehrotra masked Anjuli Mehrotra 2500 Hospital Drive, Bldg 14B Mountain View, CA 94040 6507017362 masked MD Silicon Valley Allergy and Asthma Inc. 2500 Hospital Drive Bldg 14B Mountain View, CA 94040 6507017362 doctor@siliconvalleyallergy.com Provider Int 3 Complete 2014/01/30 12:00:00 2014/05/18 12:00:00 2014/05/18 02:10:32 UV 2.16.840.1.113883.3.4429 regional-one-health Regional One Health James Cornett masked James Cornett 877 Jefferson Ave. 901-545-7100 masked Sr Web/Application Developer Regional One Health 877 Jefferson Ave. 901-545-7100 itdev1@regionalonehealth.org http://www.regionalonehealth.org Provider Int 3 Complete 2014/01/30 12:00:00 2014/05/18 12:00:00 2015/06/11 02:40:47 UV 2.16.840.1.113883.3.1070.5686 mckesson-fusion-5686 mckesson-fusion-5686 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5686 2014/01/31 12:00:00 2014/05/18 12:00:00 2014/05/18 02:15:06 US 2.16.840.1.113883.3.4430 cshc Clifton Springs Hospital Patient Record Alex Anderson masked Alex Anderson 2 Coulter Road Clifton Springs, NY 14432 315-462-0604 masked Project Manager Clifton Springs Hospital & Clinic 2 Coulter Road Clifton Springs, NY 14432 315-462-9561 alex.anderson@cshosp.com http://www.cshosp.com Provider Int 3 Complete 2014/01/31 12:00:00 2014/05/18 12:00:00 2014/05/18 02:45:50 UV 2.16.840.1.113883.3.4431 drumhillpediatrics DrumHill Pediatrics OID Root David Newman masked David Newman 20 Research Place, Suite 200 N. Chelmsford, MA 01863 978-256-2828 masked Physician DrumHill Pediatrics 20 Research Place, Suite 200 N. Chelmsford, MA 01863 978-256-2828 DrumHillPediatrics@hotmail.com http://www.drumhillpediatrics.com Provider Int 3 Complete 2014/01/31 12:00:00 2014/05/18 12:00:00 2014/05/18 02:48:17 UV 2.16.840.1.113883.3.4432 badday badday OID Root Rashell Gravel masked Rashell Gravel 1060 E. Foothill blvd. #201 Upland, CA 91786 909-982-8044 masked medical assistant Jalal Badday 1060 E. Foothill blvd. #201 Upland, CA 91786 909-982-8044 rashelllynn@aol.com Provider Int 3 Complete 2014/01/31 12:00:00 2014/05/18 12:00:00 2014/05/18 02:50:06 UV 2.16.840.1.113883.3.4433 abdelkarim abdelkarim OID Root Lisa Park masked Lisa Park 1310 San Bernardino Rd Suite 103 Upland, CA 91786 909-920-0444 masked Practice Manager Basim Z. Abdelakrim, MD, Inc 1310 San Bernardino Rd Suite 103 Upland, CA 91786 909-920-0444 gastroasst@yahoo.com Provider Int 3 Complete 2014/01/31 12:00:00 2014/05/18 12:00:00 2014/05/18 02:52:06 UV 2.16.840.1.113883.3.963.4.1.3 mercyHospitalElReno mercyHospitalElReno Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 Brett.DiNovi@Mercy.net Provider 2.16.840.1.113883.3.963 Ext 3 Complete 2.16.840.1.113883.3.963.4.1.3 2014/01/31 12:00:00 2014/05/18 12:00:00 2014/05/18 02:55:06 UV 2.16.840.1.113883.3.963.4.1.4 mercyHospitalHealdton mercyHospitalHealdton Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 Brett.DiNovi@mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.4.1.4 2014/01/31 12:00:00 2014/05/18 12:00:00 2014/05/18 03:04:56 UV 2.16.840.1.113883.3.963.4.1.5 mercyHospitalTishomingo mercyHospitalTishomingo Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 Brett.DiNovi@Mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.4.1.5 2014/01/31 12:00:00 2014/05/18 12:00:00 2014/05/18 03:03:48 UV 2.16.840.1.113883.3.963.4.1.6 mercyHospitalLoganCounty mercyHospitalLoganCounty Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 Brett.DiNovi@Mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.4.1.6 2014/01/31 12:00:00 2014/05/18 12:00:00 2014/05/18 03:07:09 UV 2.16.840.1.113883.3.963.4.1.13 mercyHospitalWatonga mercyHospitalWatonga Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 Brett.DiNovi@Mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.4.1.13 2014/01/31 12:00:00 2014/05/18 12:00:00 2014/05/18 03:11:45 UV 2.16.840.1.113883.3.963.4.1.15 mercyHospitalFortScott mercyHospitalFortScott Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 Brett.DiNovi@Mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.4.1.15 2014/01/31 12:00:00 2014/05/18 12:00:00 2014/05/18 03:13:17 UV 2.16.840.1.113883.3.963.4.1.16 mercyHospitalIndependence mercyHospitalIndependence Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 MISDEpicInterface@Mercy.Net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.4.1.16 2014/01/31 12:00:00 2014/05/18 12:00:00 2014/05/18 03:15:27 UV 2.16.840.1.113883.3.963.4.1.17 mercyHospitalMaudeNorton-Columbus mercyHospitalMaudeNorton-Columbus Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 MISDEpicInterface@Mercy.Net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.4.1.17 2014/01/31 12:00:00 2014/05/18 12:00:00 2014/05/18 03:16:31 UV 2.16.840.1.113883.3.963.5.1.1 mercyHospitalSaintLouis mercyHospitalSaintLouis Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 MISDEpicInterface@Mercy.Net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.5.1.1 2014/01/31 12:00:00 2014/05/18 12:00:00 2014/05/18 03:19:41 UV 2.16.840.1.113883.3.963.5.1.2 mercyHospitalWashington mercyHospitalWashington Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 MISDEpicInterface@Mercy.Net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.5.1.2 2014/01/31 12:00:00 2014/05/18 12:00:00 2014/05/18 03:20:52 UV 2.16.840.1.113883.3.963.5.1.3 mercyHospitalJefferson mercyHospitalJefferson Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 MISDEpicInterface@Mercy.Net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.5.1.3 2014/01/31 12:00:00 2014/05/18 12:00:00 2014/05/18 03:27:29 UV 2.16.840.1.113883.3.963.6.1.1 mercyHospitalSpringfield mercyHospitalSpringfield Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 MISDEpicInterface@Mercy.Net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.6.1.1 2014/01/31 12:00:00 2014/05/18 12:00:00 2014/05/18 03:32:04 UV 2.16.840.1.113883.3.963.6.1.2 mercyHospitalJoplin mercyHospitalJoplin Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 MISDEpicInterface@Mercy.Net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.6.1.2 2014/01/31 12:00:00 2014/05/18 12:00:00 2014/05/18 03:33:38 UV 2.16.840.1.113883.3.963.6.1.3 mercyHospitalColumbus mercyHospitalColumbus Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 MISDEpicInterface@Mercy.Net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.6.1.3 2014/01/31 12:00:00 2014/05/18 12:00:00 2014/05/18 03:35:51 UV 2.16.840.1.113883.3.4434 sonic-clh Clinical Laboratories of Hawaii Raleigh Awaya masked Fran Poma Raleigh Awaya 91-2135 Fort Weaver Road Suite 300 Ewa Beach, Hawaii 96706 808-679-4233 masked CIO Clinical Laboratories of Hawaii, LLP 33 Lanihuli Street Hilo, Hawaii 96720 808-677-7998 clh.it@hawaiilabs.com http://www.clinicallabs.com Provider Int 3 Complete 2014/01/31 12:00:00 2014/05/18 12:00:00 2014/05/18 03:37:45 UV 2.16.840.1.113883.3.4435 drwmedgerton Dr William C Edgerton DPM OID Root William Proposki masked William Proposki 9B Dr Osman Babson Road Gloucester, MA 01930-1812 978-546-3960 masked Office Manager Dr William C Edgerton, DPM 9B Dr Osman Babson Road Gloucester, MA 01930-1812 978-281-2550 william.edgerton2@comcast.net Provider Int 3 Complete 2014/02/01 12:00:00 2014/05/18 12:00:00 2014/05/18 03:40:53 UV 2.16.840.1.113883.3.4436 viwo Dr.B Optometric Advance Eye Care-The Vision World Mihai Busuioc masked Mihai Busuioc 343 Broadway Monticello, NY 12701 8457963937 masked OD Dr. B Optometric Advance Eye Care-The Vision World 343 Broadway Monticello, NY 12701 8457963937 mb714@columbia.edu http://www.visionworldny.com/ Provider Int 3 Complete 2014/02/01 12:00:00 2014/05/18 12:00:00 2014/05/18 03:43:04 UV 1.2.36.1.2001.1005.48 dipLspn Diagnostic Imaging Provider location specific practice number Philip Wilford masked Philip Wilford NEHTA Brisbane, PO Box 5190, West End. QLD 4101 +61 0 7 3023 8450 masked NEHTA david.mckillop@nehta.gov.au http://www.nehta.gov.au Govt body Ext 4 Complete 1.2.36.1.2001.1005.48 2014/02/03 12:00:00 2014/05/18 12:00:00 2014/05/18 03:45:41 AU 2.16.840.1.113883.3.2591.203 nyecPport NYeC Patient Portal Wayne Huang masked Wayne Huang 40 Worth St., 5th Floor New York, NY 10013 6466196433 masked Project Coordinator Tyson Markley 40 Worth St., 5th Floor New York, NY 10013 6466196711 tmarkley@nyehealth.org Exchange 2.16.840.1.113883.3.2591 Ext 17 Complete 2.16.840.1.113883.3.2591.203 2014/02/03 12:00:00 2014/05/18 12:00:00 2014/05/18 03:48:08 UV 2.16.840.1.113883.3.1070.5692 mckesson-fusion-5692 mckesson-fusion-5692 Michelle Banks masked Fusion Enrollment 8775074541 masked Fusion Enrollment michelle.banks@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5692 2014/02/03 12:00:00 2014/05/18 12:00:00 2014/05/18 03:50:37 US 2.16.840.1.113883.3.1871.3.208 sapofamher SAPO Family Medicine Heritage Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst Rodney Rice 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 14 Complete 2.16.840.1.113883.3.1871.3.208 2014/02/03 12:00:00 2014/05/18 12:00:00 2014/05/18 03:53:58 UV 2.16.840.1.113883.3.963.6.1.4 mercyHospitalMountainView mercyHospitalMountainView Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 MISDEpicInterface@Mercy.Net Provider 2.16.840.1.113883.3.963 Ext 3 Complete 2.16.840.1.113883.3.963.6.1.4 2014/02/03 12:00:00 2014/05/18 12:00:00 2014/05/18 03:56:09 UV 2.16.840.1.113883.3.963.6.1.5 mercyHospitalLebanon mercyHospitalLebanon Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 MISDEpicInterface@Mercy.Net Provider 2.16.840.1.113883.3.963 Ext 3 Complete 2.16.840.1.113883.3.963.6.1.5 2014/02/03 12:00:00 2014/05/18 12:00:00 2014/05/18 03:58:32 UV 2.16.840.1.113883.3.963.6.1.6 mercyHospitalCarthage mercyHospitalCarthage Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 MISDEpicInterface@Mercy.Net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.6.1.6 2014/02/03 12:00:00 2014/06/30 12:00:00 2014/07/08 03:44:36 UV 2.16.840.1.113883.3.963.6.1.7 mercyHospitalCassville mercyHospitalCassville Brett DiNovi masked Brett DiNovi 3143642581 masked Application developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 MISDEpicInterface@Mercy.Net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.6.1.7 2014/02/03 12:00:00 2014/06/30 12:00:00 2014/07/08 03:50:21 UV 2.16.840.1.113883.3.963.6.1.8 mercyHospitalAurora mercyHospitalAurora Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 MISDEpicInterface@Mercy.Net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.6.1.8 2014/02/03 12:00:00 2014/06/30 12:00:00 2014/07/08 03:51:55 UV 2.16.840.1.113883.3.963.6.1.9 mercyHospitalWaldron mercyHospitalWaldron Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 MISDEpicInterface@Mercy.Net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.6.1.9 2014/02/03 12:00:00 2014/06/30 12:00:00 2014/07/08 03:54:20 UV 2.16.840.1.113883.3.963.6.1.10 mercyHospitalParis mercyHospitalParis Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 MISDEpicInterface@Mercy.Net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.6.1.10 2014/02/03 12:00:00 2014/06/30 12:00:00 2014/07/08 03:56:12 UV 2.16.840.1.113883.3.4437 lbb-PNS-FMC UMC Physician Network Services- Family Medical Care Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock TX 79407 806-761-0322 masked Director, EMR Integration Family Medical Care 1208 N I-27 Plainview TX 79072 806-296-2444 yvette.hinojosa@umchealthsystem.com http://umchealthsystem.com Govt body Int 3 Complete 2014/02/03 12:00:00 2014/06/30 12:00:00 2014/07/08 06:30:39 UV 2.16.840.1.113883.3.4438 lbb-PNS-MEC UMC Physician Network Services- Minor Emergency Center Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock TX 79407 806-761-0322 masked Director EMR Integration Minor Emergency Center 5015 University Lubbock TX 79413 806-797-4357 yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2014/02/03 12:00:00 2014/06/30 12:00:00 2014/07/08 06:34:04 UV 2.16.840.1.113883.3.4439 lbb-PNS-PDC UMC Physician Network Services - PALs Development Center Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock TX 79407 806-761-0322 masked Director EMR Integration PALs Development Center 5502 Auburn Lubbock TX 79416 806-771-7257 yvette.hinojosa@umchealthsystem.com http://umchealthsystem.com Govt body Int 3 Complete 2014/02/03 12:00:00 2014/06/30 12:00:00 2014/07/08 06:37:12 UV 2.16.840.1.113883.3.4440 lbb-PNS-FRE UMC Physician Network Services - Freedom Clinic Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock TX 79407 806-761-0322 masked Director EMR Integration Freedom Clinic 5022 Ave Q Lubbock TX 79412 806-762-3597 yvette.hinojosa@umchealthsystem.com http://umchealthsystem.com Govt body Int 3 Complete 2014/02/03 12:00:00 2014/06/30 12:00:00 2014/07/08 06:42:24 UV 2.16.840.1.113883.3.4441 lbb-PNS-POS UMC Physician Network Services - Garza County Health Clinic Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock TX 79407 806-761-0322 masked Director EMR Integration Garza County Health Clinic 1104 N Ave S Post TX 79412 806-495-2853 yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2014/02/03 12:00:00 2014/06/30 12:00:00 2014/07/08 06:43:52 UV 2.16.840.1.113883.3.4442 lbb-PNS-IDA UMC Physician Network Services - Idalou Clinic Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock TX 79407 806-761-0322 masked Director, EMR Integration Idalou Clinic 113 Walnut Street Idalou TX 79329 806-892-2537 yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2014/02/03 12:00:00 2014/06/30 12:00:00 2014/07/08 06:46:53 UV 2.16.840.1.113883.3.4443 lbb-PNS-OLT UMC Physician Network Services - Olton Clinic Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock TX 79407 806-761-0322 masked Director EMR Integration Olton Clinic 524 E 8th Street Olton TX 79064 806-285-2633 yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2014/02/03 12:00:00 2014/06/30 12:00:00 2014/07/08 06:48:16 UV 2.16.840.1.113883.3.4444 lbb-PNS-SHA UCM Physician Network Services - Shallowater Clinic Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock TX 79407 806-761-0322 masked Director EMR Integration Shallowater Clinic 1502 12th Street Suite A Shallowater TX 79363 806-832-4566 Yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2014/02/03 12:00:00 2014/06/30 12:00:00 2014/07/08 06:50:48 UV 2.16.840.1.113883.3.4445 lbb-PNS-SLA UMC Physician Network Services - Slaton Primary Medical Clinic Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock TX 79407 806-761-0322 masked Director EMR Integration Slaton Primary Medical Clinic 130 N 7th Street Slaton TX 79364 806-828-5822 Yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2014/02/03 12:00:00 2014/06/30 12:00:00 2014/07/08 06:52:41 UV 2.16.840.1.113883.3.4446 lbb-PNS-WOL UMC Physician Network Services - Wolfforth Clinic Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock TX 79407 806-761-0322 masked Director EMR Integration Wolfforth Clinic 502 E Highway 62/82 PO Box 1257 Wolfforth TX 793821 806-866-0158 Yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2014/02/03 12:00:00 2014/06/30 12:00:00 2014/07/08 06:54:13 UV 2.16.840.1.113883.3.4447 vanwagnen Aaron M. Vanwagnen MD PLLC Justina Breton masked Justina Breton One Jackson Square Jackson,MI 49201 5177409712 masked Programmer Justina Breton One Jackson Square Jackson,MI 49201 5177409712 jbreton@jcmr.org Provider Int 3 Complete 2014/02/03 12:00:00 2014/06/30 12:00:00 2014/07/08 06:56:38 UV 2.16.840.1.113883.3.4448 lbb-PNS-KNG UMC Physician Network Services - KingsPark Family Health Center Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock TX 79407 806-761-0322 masked Director EMR Integration KingsPark Family Health Center 7501 Quaker Ave Lubbock TX 79424 806-792-8843 Yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2014/02/03 12:00:00 2014/06/30 12:00:00 2014/07/08 06:57:59 UV 2.16.840.1.113883.3.4449 lbb-PNS-URG UMC Physician Network Services - Urgent Care Center at KingsPark Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock TX 79407 806-761-0322 masked Director EMR Integration Urgent Care Center at KingsPark 7501 Quaker Ave Lubbock TX 79424 806-788-3306 Yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2014/02/03 12:00:00 2014/06/30 12:00:00 2014/07/08 06:59:34 UV 2.16.840.1.113883.3.4450 lbb-PNS-PAL UMC Physician Network Services - Pediatric Associates of Lubbock Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock TX 79407 806-761-0322 masked Director EMR Integration Pediatric Associates of Lubbock 7501 Quaker Ave Lubbock TX 79424 806-793-7257 Yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2014/02/03 12:00:00 2014/06/30 12:00:00 2014/07/08 07:09:22 UV 2.16.840.1.113883.3.4451 lbb-PNS-LPC UMC Physician Network Services - LakeRidge Primary Health Center Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock TX 79407 806-761-0322 masked Director EMR Integration LakeRidge Primary Health Center 5130 82nd Street Lubbock TX 79424 806-794-9378 Yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2014/02/03 12:00:00 2014/06/30 12:00:00 2014/07/08 07:12:51 UV 2.16.840.1.113883.3.4452 lbb-PNS-HPO UMC Physician Network Services - HealthPoint One - Bisbee & Soriano Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock TX 79407 806-761-0322 masked Director EMR Integration HealthPoint One - Bisbee & Soriano 4004 82nd Street Lubbock TX 79423 806-722-7400 Yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2014/02/03 12:00:00 2014/06/30 12:00:00 2014/07/08 07:15:25 UV 2.16.840.1.113883.3.4453 lbb-PNS-HPT UMC Physician Network Services - HealtPoint Two Hood & Dalton Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock TX 79407 806-761-0322 masked Director EMR Integration Healthpoint Two - Hood & Dalton 4004 82nd Street Lubbock TX 79423 806-722-3180 Yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2014/02/03 12:00:00 2014/06/30 12:00:00 2014/07/08 07:17:19 UV 2.16.840.1.113883.3.4454 lbb-PNS-WWH UMC Physician Network Services - West Wind Health Center Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock TX 79407 806-761-0322 masked Director EMR Integration West Wind Primary Health Center 5520 4th Street Lubbock TX 79416 806-761-0475 Yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2014/02/03 12:00:00 2014/06/30 12:00:00 2014/07/08 07:20:24 UV 2.16.840.1.113883.3.4455 lbb-PNS-FHA UMC Physician Network Services - Family Healthcare Associates Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock TX 79407 806-761-0322 masked Director EMR Integration Family HealthCare Associates 3502 9th Street Suite 430 Lubbock TX 79415 806-744-1171 Yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2014/02/03 12:00:00 2014/06/30 12:00:00 2014/07/08 07:23:49 UV 2.16.840.1.113883.3.4456 safeIXRoot Root OID for the SafeIX Application Platform Gordon Raup masked Gordon Raup Datuit, LLC 1115 Sextant Ave W Roseville, MN 55113 651-894-2813 masked CTO Datuit, LLC 1115 Sextant Ave W Roseville, MN 55113 651-894-2813 graup@datuit.com http://www.datuit.com Vendor Int 3 Complete 2014/02/03 12:00:00 2014/06/30 12:00:00 2014/07/08 07:27:26 UV 2.16.840.1.113883.3.1070.5638 mckesson-fusion-5638 mckesson-fusion-5638 Michelle Banks masked Fusion Enrollment 8775074541 masked Fusion Enrollment michelle.banks@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5638 2014/02/03 12:00:00 2014/06/30 12:00:00 2014/07/08 07:29:57 US 2.16.840.1.113883.3.1097.1.1050224 eahvro Academic Heart & Vascular Stephen Bean masked Christina Miller 3601 W 13 Mile Rd, Royal Oak, MI, 48073 248-898-5794 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1050224 2014/02/04 12:00:00 2014/06/30 12:00:00 2014/07/08 07:33:50 UV 2.16.840.1.113883.3.1097.1.1050223 ahvro Academic Heart & Vascular Stephen Bean masked Christina Miller 3601 W 13 Mile Road, Royal Oak, Michigan 48073 248-898-5794 masked Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1050223 2014/02/04 12:00:00 2014/06/30 12:00:00 2014/07/08 07:35:35 UV 2.16.840.1.113883.3.4457 setmaprod SETMA GHH HIE Production OID Richmond Holly masked Richmond Holly 2929 Calder Suite 212 Beaumont, Texas 77702 4098339797 masked CIO Southeast Texas Medical Associates 2929 Calder Suite 100 Beaumont, Texas 77702 4098339797 rholly@setma.com http://www.setma.com Provider Int 3 Complete 2014/02/04 12:00:00 2014/06/30 12:00:00 2014/07/08 07:37:40 UV 2.16.840.1.113883.3.4458 brmcclinics BRMC Clinic OID Root Jennifer Gray masked Jennifer Gray 444 Hospital Drive Mountain Home, AR 72653 8704216023 masked Physician Network Manager Baxter Regional Medical Center 624 Hospital Drive Mountain Home, AR 72653 8705081000 jegray@baxterregional.org https://www.baxterregional.org/ Provider Int 3 Complete 2014/02/04 12:00:00 2014/06/30 12:00:00 2014/07/08 07:40:41 UV 2.16.840.1.113883.3.4459 lbb-TTP-FAM Texas Tech Physicians of Lubbock, Department of Family Medicine Craig Bradley masked Thomas Wise 3106 4th Street STOP 8352 Lubbock, TX 79416 806-743-4357 masked DIrector, Electronic Health Records Texas Tech Physicians of Lubbock 3106 4th Street STOP 8352 Lubbock, TX 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/04 12:00:00 2014/06/30 12:00:00 2014/07/08 07:42:16 UV 2.16.840.1.113883.3.4460 lbb-PNS-GAS UMC Physician Network Services - Dr. Joseph Hancock & Dr. Hamed Al-Tamimi Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock TX 79407 806-761-0322 masked Director EMR Integration Dr. Joseph Hancock & Dr. Hamed Al-Tamimi 3502 9th Street Suite 360 Lubbock, TX 79415 806-761-0747 Yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2014/02/04 12:00:00 2014/06/30 12:00:00 2014/07/08 07:44:27 UV 2.16.840.1.113883.3.4461 lbb-PNS-IMA UMC Physician Network Services - Internal Medicine Associates of Lubbock Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock TX 79407 806-761-0322 masked Director EMR Integration Internal Medicine Associates of Lubbock 3502 9th Street Suite 110 Lubbock TX 79415 806-762-8461 Yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2014/02/04 12:00:00 2014/06/30 12:00:00 2014/07/08 07:46:34 UV 2.16.840.1.113883.3.4462 lbb-PNS-FER UMC Physician Network Services - Dr. Emily Fernandez Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock TX 79407 806-761-0322 masked Director, EMR Integration Dr. Emily Fernandez 3502 9th Street Suite 240 Lubbock, TX 79415 806-761-0707 Yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2014/02/04 12:00:00 2014/06/30 12:00:00 2014/07/08 07:49:52 UV 2.16.840.1.113883.3.1097.1.2730001 acctry Acupuncture & Integrative Medicine Dennis Wigman masked Melissa Villa 44250 Dequindre Rd, 2nd Floor, Sterling Heights, MI, 48314 248-964-0568 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2730001 2014/02/04 12:00:00 2014/06/30 12:00:00 2014/07/08 07:52:35 UV 2.16.840.1.113883.3.4463 lbb-PNS-RIC UMC Physician Network Services - Dr. Mike Rice Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock TX 79407 806-761-0322 masked Director EMR Integration Dr. Mike Rice 3502 9th Street Suite 170 Lubbock TX 79415 806-761-0566 Yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2014/02/04 12:00:00 2014/06/30 12:00:00 2014/07/10 03:48:22 UV 2.16.840.1.113883.3.1097.1.2730004 ahwc Acupuncture & Integrative Medicine Dennis Wigman masked Gail Ellliott Patrico 1555 E South Blvd , Rochester Hills, MI, 48306 248-551-7837 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2730004 2014/02/04 12:00:00 2014/06/30 12:00:00 2014/07/10 03:50:32 UV 2.16.840.1.113883.3.4464 lbb-PNS-L82 UMC Physician Network Services - Living Well Express Care 82B Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock TX 79407 806-761-0322 masked Director EMR Integration Living Well Express Care 82B 2703 82nd Street Lubbock TX 79423 806-761-0428 Yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2014/02/04 12:00:00 2014/06/30 12:00:00 2014/07/10 03:51:55 UV 2.16.840.1.113883.3.1097.1.2730003 imhwc Acupuncture & Integrative Medicine Dennis Wigman masked Gail Ellliott Patrico 1555 E South Blvd , Rochester Hills, MI, 48306 248-551-7837 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2730003 2014/02/04 12:00:00 2014/06/30 12:00:00 2014/07/10 03:53:16 UV 2.16.840.1.113883.3.4465 lbb-PNS-50Q UMC Physician Network Services - Living Well Express Care 50Q Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock TX 79407 806-761-0322 masked Director EMR Integration Living Well Express Care 50Q 1701 50th Street Lubbock TX 79412 806-761-0429 Yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2014/02/04 12:00:00 2014/06/30 12:00:00 2014/07/10 03:54:35 UV 2.16.840.1.113883.3.4466 lbb-PNS-SPM UMC Physician Network Services - Express Care Clinic at South Plains Mall Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock TX 79407 806-761-0322 masked Director EMR Integration Express Care Clinic at South Plains Mall 6002 Slide Road #P12 Lubbock TX 79414 806-761-0450 Yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2014/02/04 12:00:00 2014/06/30 12:00:00 2014/07/10 03:56:05 UV 2.16.840.1.113883.3.2402.200.6823 physicians-computer-company-clients-whidbey Physician's Computer Company (PCC) Clients Pediatric Associates of Whidbey Island Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6823 2014/02/04 12:00:00 2014/06/30 12:00:00 2014/07/10 03:58:07 UV 2.16.840.1.113883.3.4467 lbb-PNS-I27 UMC Physician Network Services - I-27 Medical Center yvette hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock Tx 79407 806-761-0322 masked Director, EMR Integration I 27 Medical Center 4105 I-27 Lubbock TX 79404 806-762-2633 yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2014/02/04 12:00:00 2014/06/30 12:00:00 2014/07/10 04:01:02 UV 2.16.840.1.113883.3.4468 a-0-MLHC Main Line HealthCare Kim Martino masked Kim Martino Southpoint Two, Suite 300 1180 West Swedesford Road Berwyn PA, 19312 484-565-1644 masked Main Line HealthCare Main Line HealthCare 2 Industrial Blvd. Suite 400 Paoli PA, 19312 484-565-1644 martinok@mlhs.org http://www.mainlinehealth.org/mlhc Provider Int 3 Complete 2014/02/04 12:00:00 2014/06/30 12:00:00 2014/07/10 04:05:18 UV 2.16.840.1.113883.3.963.6.1.11 mercyHospitalOzark mercyHospitalOzark Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 MISDEpicInterface@Mercy.Net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.6.1.11 2014/02/04 12:00:00 2014/06/30 12:00:00 2014/07/10 04:07:30 UV 2.16.840.1.113883.3.963.6.1.12 mercyHospitalFortSmith mercyHospitalFortSmith Brett DiNovi masked Brett DiNovi 3143642581 masked Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 MISDEpicInterface@Mercy.Net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.6.1.12 2014/02/04 12:00:00 2014/06/30 12:00:00 2014/07/10 04:09:06 UV 2.16.840.1.113883.3.963.6.1.13 mercyHospitalBerryville mercyHospitalBerryville Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 MISDEpicInterface@Mercy.Net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.6.1.13 2014/02/04 12:00:00 2014/06/30 12:00:00 2014/07/10 04:10:24 UV 2.16.840.1.113883.3.4469 dmhclinic David M. Headley, MDPA OID root Suzanne Greer masked Suzanne Greer 405 Market St. Port Gibson, MS 39150 601-437-3113 masked Office Manager David M. Headley, MDPA 405 Market St. Port Gibson, MS 39150 601-437-3113 sgreer@dmhclinic.com Provider Int 3 Complete 2014/02/04 12:00:00 2014/06/30 12:00:00 2014/07/10 04:11:53 UV 2.16.840.1.113883.3.4470 integrativehealthchiropracticcenter Integrative Health Chiropractic Center Victoria Woody masked Integrative Health Chiropractic Center 1075 Ann Arbor,Plymouth,MI 48170 734-454-5600 masked Manager Integrative Health Chiropractic Center 1075 Ann Arbor, Plymouth, MI 48170 734-454-5600 vickiew.hsop@gmail.com http://www.ihchiro.com Provider Int 3 Complete 2014/02/04 12:00:00 2014/06/30 12:00:00 2014/07/10 04:15:59 UV 2.16.840.1.113883.3.1871.3.909 affairview AFF OK FAIRVIEW REGIONAL MEDICAL CENTER Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst Rodney Rice 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 14 Complete 2.16.840.1.113883.3.1871.3.909 2014/02/04 12:00:00 2014/06/30 12:00:00 2014/07/10 04:22:28 UV 2.16.840.1.113883.3.4471 drjgellen Dr. Joel L. Gellen OID root Joel Gellen masked Dr. Joel L. Gellen 2044 Ocean Avenue, Suite B-1 Brooklyn, NY 11230 718=336-6333 masked DPM Dr. Joel L. Gellen 2044 Ocean Avenue, Suite B-1 Brooklyn, NY 11230 718-336-6333 DrJGellen@mindspring.com Provider Int 3 Complete 2014/02/04 12:00:00 2014/06/30 12:00:00 2014/07/10 04:18:46 UV 2.16.840.1.113883.3.1070.5636 mckesson-fusion-5636 mckesson-fusion-5636 Michelle Banks masked Fusion Enrollment 8775074541 masked Fusion Enrollment michelle.banks@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5636 2014/02/04 12:00:00 2014/06/30 12:00:00 2014/07/10 04:24:10 US 2.16.840.1.113883.3.1070.5684 mckesson-fusion-5684 mckesson-fusion-5684 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5684 2014/02/05 12:00:00 2014/06/30 12:00:00 2014/07/10 04:26:20 US 2.16.840.1.113883.9.123 charttalk Chart Talk Matthew Richard masked Matthew 9523745550 masked Vice President Mighty Oak Technology, Inc. info@mightyoakinc.com http://www.mightyoakinc.com Vendor Int 3 Complete 2014/02/05 12:00:00 2014/06/30 12:00:00 2014/07/10 04:30:35 UV 2.16.840.1.113883.3.1070.5693 mckesson-fusion-5693 mckesson-fusion-5693 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5693 2014/02/05 12:00:00 2014/06/30 12:00:00 2014/07/10 04:32:11 US 2.16.840.1.113883.17.3905 advantagevision Advantage Vision Ivy Sun masked Ivy Sun 16 New Hyde Park Road Franklin Square, NY 11010 5166165888 masked OD Advantage Vision 16 New Hyde Park Road Franklin Square, NY 11010 5166165888 advantagevision@gmail.com Provider Int 17 Complete 2014/02/05 12:00:00 2014/06/30 12:00:00 2014/07/10 04:40:24 US 2.16.840.1.113883.3.4472 hillsdale Hillsdale Community Health Center Sheila Puffenberger masked Sheila Puffenberger 168 S. Howell St. Hillsdale, MI 49242 517-437-1714 masked Director of Information Technology Hillsdale Community Health Center 168 S. Howell St. Hillsdale, MI 49242 517-437-1714 spuff@hchc.com http://www.hchc.com HL7 body Int 3 Complete 2014/02/05 12:00:00 2014/06/30 12:00:00 2014/07/10 04:45:43 UV 2.16.840.1.113883.3.1070.5706 mckesson-fusion-5706 mckesson-fusion-5706 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5706 2014/02/05 12:00:00 2014/06/30 12:00:00 2014/07/10 04:48:41 US 2.16.840.1.113883.17.3906 hendricks-regional-health Hendricks Regional Health Shivaun Mitchell masked Shivaun Mitchell 1000 E Main St Danville, IN 46122 317-718-4752 masked Integration Developer Hendricks Regional Health 1000 E Main St Danville, IN 46122 kkkiefe@hendricks.org http://www.hendricks.org Provider Int 17 Complete 2014/02/05 12:00:00 2014/06/30 12:00:00 2014/07/10 04:54:36 UV 2.16.840.1.113883.3.4427.1 slb-system Computer Systems Moses Perry masked Moses Perry 4388 Federal Drive Greensboro, NC 27410 336 574 6605 masked Director of Data Services Solstas Lab Partners 4380 Federal Dr. Suite 100 (336) 664-6100 moses.perry@solstas.com http://www.solstas.com Provider 2.16.840.1.113883.3.4427 Ext 14 Complete 2.16.840.1.113883.3.4427.1 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 01:49:08 UV 2.16.840.1.113883.3.4473 ttp-Derm Texas Tech Physicians of Lubbock Department of Dermatology Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street stop 8352 Lubbock,Tx 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4th street stop 8352 Lubbock,Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 01:54:54 UV 2.16.840.1.113883.3.4474 ttp-dermpath Texas Tech Physicians of Lubbock Department of Dermatopathology Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4TH Street stop 8352 Lubbock, Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 01:56:12 UV 2.16.840.1.113883.3.4475 ttp-FamMed Texas Tech Physicians of Lubbock Department of Family Medicine Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4th street stop 8352 Lubbock,Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 01:57:18 UV 2.16.840.1.113883.3.4476 ttp-famgrand Texas Tech Physicians of Lubbock Department of Family Medicine Grand Expectations Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4th street stop 8352 Lubbock,Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 01:58:25 UV 2.16.840.1.113883.3.4477 ttp-FamPhys Texas Tech Physicians of Lubbock Department of Family Physicians Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street stop 8352 Lubbock,Tx 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 02:01:20 UV 2.16.840.1.113883.3.4478 ttp-IntMed Texas Tech Physicians of Lubbock Department of Internal Medicine Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4TH STREET STOP 8352 Lubbock, Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 02:04:48 UV 2.16.840.1.113883.3.4479 ttp-FamMental Texas Tech Physicians of Lubbock Department of Family Medicine Mental Health Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4TH STREET STOP 8352 Lubbock, Tx 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4th street stop 8352 Lubbock,Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 02:05:41 UV 2.16.840.1.113883.3.4480 ttp-Pain Texas Tech Physicians of Lubbock Department of Anesthesiology Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street stop 8352 Lubbock, Tx. 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 02:06:53 UV 2.16.840.1.113883.3.4481 ttp-OBGYN Texas Tech Physicians of Lubbock Department of OBGYN Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4TH STREET STOP 8352 Lubbock, Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 02:19:27 UV 2.16.840.1.113883.3.4482 ttp-Ortho Texas Tech Physicians of Lubbock Department of Orthopaedics Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4th street STOP 8352 Lubbock, Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 02:20:41 UV 2.16.840.1.113883.3.4483 ttp-PediPav Texas Tech Physicians of Lubbock Department of Pediatrics Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4th street STOP 8352 Lubbock Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 02:27:44 UV 2.16.840.1.113883.3.4484 ttp-MedRec Texas Tech Physicians of Lubbock Department of Medical Records Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street stop 8352 Lubbock, tX 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4TH STREET stop 8352 Lubbock, Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 02:29:16 UV 2.16.840.1.113883.3.4485 ttp-Neuro Texas Tech Physicians of Lubbock Department of Neurology Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4th Street stop 8352 Lubbock, Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 02:32:17 UV 2.16.840.1.113883.3.4486 ttp-Neurophylab Texas Tech Physicians of Lubbock Department of Neurophysiology Lab Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 02:33:50 UV 2.16.840.1.113883.3.3872.1 bethesda-health-1 Bethesda Health, Inc. - Bethesda Hospital East Craig Harrison masked Lina Piyavsky 2815 S. Seacrest Blvd. Boynton Beach, Fl. 33435 561-737-7733 masked Bethesda Health, Inc. 2815 S. Seacrest Blvd. Boynton Beach, Fl. 33435 561-737-7733 lpiyavsky@bhinc.org http://www.bethesdaweb.com Provider 2.16.840.1.113883.3.3872 Ext 17 Complete 2.16.840.1.113883.3.3872.1 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 02:37:57 UV 2.16.840.1.113883.3.4487 ttp-OBGRAND Texas Tech Physicians of Lubbock Department of OBGYN Grand Expectations Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4TH STREET STOP 8352 Lubbock,Tx 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 02:41:38 UV 2.16.840.1.113883.3.4488 ttp-Perinatal Texas Tech Physicians of Lubbock Department of OBGYN Perinatal Medicine Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4TH STREET STOP 8352 Lubbock , Tx 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 02:42:52 UV 2.16.840.1.113883.3.3872.2 bethesda-health-2 Bethesda Health, Inc. - Bethesda Hospital West Craig Harrison masked Lina Piyavsky 2815 S. Seacrest Blvd. Boynton Beach, Fl. 33435 561-737-7733 masked Bethesda Health, Inc. 2815 S. Seacrest Blvd. Boynton Beach, Fl. 33435 561-737-7733 lpiyavsky@bhinc.org http://www.bethesdaweb.com Provider 2.16.840.1.113883.3.3872 Ext 17 Complete 2.16.840.1.113883.3.3872.2 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 02:39:22 UV 2.16.840.1.113883.3.4489 ttp-REI Texas Tech Physicians of Lubbock Department of OBGYN REI Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th Street stop 8352 Lubbock, Tx 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 02:44:44 UV 2.16.840.1.113883.3.4490 g4hsc1 G4 Health Systems CONNECT Tyler Davis masked Tyler Davis G4 HEALTH SYSTEMS 7380 S OLYMPIA AVE # 359 TULSA OK 74132-1849 888-486-7455 masked CTO G4 Health Systems admin@g4hs.com Vendor Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 02:46:40 UV 2.16.840.1.113883.3.4491 ttp-pedineurosurg Texas Tech Physicians of Lubbock Department of Pediatric NeuroSurgery Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4TH STREET stop 8352 Lubbock, Tx 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 02:52:35 UV 2.16.840.1.113883.3.4492 ttp-PediHP Texas Tech Physicians of Lubbock Department of Pediatrics Health Point Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 02:59:16 UV 2.16.840.1.113883.3.4493 ttp-Pedimop Texas Tech Physicians of Lubbock Department of Pediatric MOP Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4TH STREET stop 8352 Lubbock, Tx 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4th Street stop 8352 Lubbock, Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 05:26:51 UV 2.16.840.1.113883.3.4494 ttp-PediRaider Texas Tech Physicians of Lubbock Department of Pediatrics Raider Clinic Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 05:30:25 UV 2.16.840.1.113883.3.4495 ttp-Psych Texas Tech Physicians of Lubbock Department of Psychiatry Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4TH STREET stop 8352 Lubbock, Tx 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 05:33:26 UV 2.16.840.1.113883.3.4496 ttp-SWOBGYN Texas Tech Physicians of Lubbock Department of Southwest OBGYN Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 05:35:10 UV 2.16.840.1.113883.3.4497 ttp-SHMH Texas Tech Physicians of Lubbock Department of Student Health Mental Health Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 05:38:06 UV 2.16.840.1.113883.3.4498 ttp-SHS Texas Tech Physicians of Lubbock Department of Student Health Mental Services Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 05:42:07 UV 2.16.840.1.113883.3.4499 ttp-SHRAP Texas Tech Physicians of Lubbock Department of Student Health RAP Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-4357 masked u Texas Tech Physicians of Lubbock 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 05:43:39 UV 2.16.840.1.113883.3.4500 ttp-SurgBurn Texas Tech Physicians of Lubbock Department of Surgery Burn and Wound Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4TH STREET stop 8352 Lubbock, Tx 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 06:01:22 UV 2.16.840.1.113883.3.4501 ttp-Surgery Texas Tech Physicians of Lubbock Department of Surgery Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4th street stop 8352 Lubbock,Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 06:08:32 UV 2.16.840.1.113883.3.4502 ttp-SurgVasLab Texas Tech Physicians of Lubbock Department of Surgery Vascular Lab Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 06:10:02 UV 2.16.840.1.113883.3.4503 ttp-Urology Texas Tech Physicians of Lubbock Department of Urology Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 06:12:19 UV 2.16.840.1.113883.3.4504 ttp-UroTransLab Texas Tech Physicians of Lubbock Department of Urology Transplant Lab Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 06:17:02 UV 2.16.840.1.113883.3.4505 romeomedical Romeo Medical PLLC Linda Manetta masked Linda Manetta 241 North Main Street Romeo, Michigan 48065 586-752-9694 masked RMA Romeo Medical PLLC 241 North Main Street Romeo, Michigan 48065 586-752-9694 favoriteoffour@gmail.com http://romeomedical.com/ Provider Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 06:23:53 UV 2.16.840.1.113883.3.4506 ttp-OBGYNLAB Texas Tech Physicians of Lubbock Department of OBGYN Clinical Lab Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 06:25:54 UV 2.16.840.1.113883.3.4507 ttp-GraceIMCardio Texas Tech Physicians of Lubbock Department of Internal Medicine Grace Cardiology Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 06:27:04 UV 2.16.840.1.113883.3.4508 ttp-CCVH Texas Tech Physicians of Lubbock Department of Center of Cardiovascular Health Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-4357 masked Unit Manager Texas Tech Physicians of Lubbock 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-2669 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 06:28:32 UV 2.16.840.1.113883.3.4509 ttp-Combest Texas Tech Nursing of Lubbock Department Combest Wellness Center Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-4357 masked Unit Manager Texas Tech Nursing of Lubbock 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-4357 emrhelpdesklubbock@ttuhsc.edu http://www.ttuhsc.edu/son/combest/ Academic Int 3 Complete 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 06:32:11 UV 2.16.840.1.113883.3.4427.1.1 sf-system Sunquest Flexilab System - Roanoke, VA Moses Perry masked Moses Perry 4388 Federal Dr. Greensboro, NC 27410 336 574 6605 masked Director of Data Services Solstas Lab Partners 4380 Federal Dr. Suite 100 Greensboro, NC 27410 336 664-6100 moses.perry@solstas.com http://www.solstas.com Provider 2.16.840.1.113883.3.4427 Ext 14 Complete 2.16.840.1.113883.3.4427.1.1 2014/02/05 12:00:00 2014/07/18 12:00:00 2014/07/18 06:37:15 UV 2.16.840.1.113883.9.124 eusht EU-US Harmonized template for Patient Summary Mark Roche masked Mark Roche 1305 N Kirkwood Rd, Arlington, VA 22201 (773) 294-6999 masked MD, Interoperability SME Mark Roche mrochemd@gmail.com Prof Soc Int 9 Pending 2014/02/06 12:00:00 2014/02/07 12:08:29 UV 2.16.840.1.113883.3.4510 stFAIRVIEW Fairview Recovery Service Inc Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Fairview Recovery Service Inc 5 Merrick St Binghamton, NY 13904 607-722-8987 mnapalitano@frsinc.org http://frsinc.co/ Provider Int 3 Complete 2014/02/06 12:00:00 2014/07/18 12:00:00 2014/07/18 06:40:32 UV 2.16.840.1.113883.3.4511 laurens-area-hie Laurens Area HIE Gena Driggers masked Gena Driggers 22725 Hwy 76 E Clinton, SC 29325 864-833-9149 masked IT Manager Laurens County Memorial Hospital 22725 Hwy 76 E Clinton, SC 29325 864-833-9149 gdriggers@ghs.org http://www.ghs.org/laurens Provider Int 3 Complete 2014/02/06 12:00:00 2014/07/18 12:00:00 2014/07/18 06:44:03 UV 2.16.840.1.113883.3.4512 stMHAST Mental Health Association of the Southern Tier Inc Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Mental Health Association of the Southern Tier Inc The Mental Health Association of the Southern Tier 153 Court Street Binghamton NY 13901 607-771-8888 Keith.Leahey@yourmha.com http://yourmha.com/ Provider Int 3 Complete 2014/02/06 12:00:00 2014/07/18 12:00:00 2014/07/18 06:45:53 UV 2.16.840.1.113883.3.4513 osuwmc Ohio State University Wexner Medical Center Cheryl Link masked Charles Kozak Cheryl Link 640 Ackerman Columbus, OH 43218-3111 614-293-2547 masked Manager, Integration The Ohio State Univ Wexner Medical Center 640 Ackerman Columbus, OH 43218-3111 614-293-2547 cheryl.link@osumc.edu http://medicalcenter.osu.edu Provider Int 3 Complete 2014/02/06 12:00:00 2014/07/18 12:00:00 2014/07/18 06:48:25 v2.51 UV 2.16.840.1.113883.3.4514 podiatricphysiciansurgeonpc podiatricphysiciansurgeonpc OID Root Jeffrey Betman masked Jeffrey J. Betman 6039 W. Belmont Ave. Chicago, IL 60634 773-745-1919 masked Dr. Jeffrey J. Betman and Associates 6039 W. Belmont Ave. Chicago, IL 60634 773-745-1919 mddpm2@aol.com Provider Int 3 Complete 2014/02/06 12:00:00 2014/07/18 12:00:00 2014/07/18 06:54:40 UV 2.16.840.1.113883.3.4515 hhh-416 Heritage Health and Housing Fred Humphrey masked Fred Humphrey 416 West 126th Stree New York, NY 10027 2128662600 masked Heritage Health and Housing, Inc. 416 West 126th Street New York, NY 10027 2128662600 Fhumphrey@Heritagenyc.org http://www.hetritagenyc.org Provider Int 3 Complete 2014/02/06 12:00:00 2014/07/18 12:00:00 2014/07/18 06:58:13 UV 2.16.840.1.113883.3.4516 ttp-SeniorHouse Texas Tech Nursing Department of Senior House Calls Rae Ann Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street stop 8352 Lubbock,Tx 79416 806-743-4357 masked Unit Manager Texas Tech Nursing of Lubbock 3601 4th street stop 8352 Lubbock, Tx 79416 806-743-4357 emrhelpdesklubbock@ttuhsc.edu http://www.ttuhsc.edu/son/combest/ Academic Int 3 Complete 2014/02/07 12:00:00 2014/07/18 12:00:00 2014/07/18 06:59:42 UV 2.16.840.1.113883.3.4517 hpfc High Point Foot Center OID root Sandra Bremer masked Sandra Bremer 6425 Old Plank Rd Suite 109 High Point, NC 27265 336-882-2070 masked Office Manager High Point Foot Center 6425 Old Plank Rd Suite 109 High Point, NC 27265 336-882-2070 highpointfootcenter@triadbiz.rr.com http://www.highpointfootcenter.com/ Provider Int 3 Complete 2014/02/07 12:00:00 2014/07/18 12:00:00 2014/07/18 07:03:20 UV 2.16.840.1.113883.3.4518 milenio Base OID for all codesystems required by MILENIO project Pablo Le&#243;n masked Pablo Le&#243;n Berna, 4 28232 - Las Rozas Madrid - SPAIN 917103256 masked Director HORUS Berna, 4 28232 - Las Rozas Madrid - SPAIN 917103256 pablo.leon@horus.es http://www.horus.es Vendor Int 3 Complete 2014/02/09 12:00:00 2014/07/18 12:00:00 2014/07/18 07:06:48 UV 2.16.840.1.113883.3.1070.5717 mckesson-fusion-5717 mckesson-fusion-5717 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5717 2014/02/10 12:00:00 2014/07/18 12:00:00 2014/07/18 07:08:26 US 2.16.840.1.113883.3.4427.4 slp-location Branch for Locations Moses Perry masked Moses Perry 4388 Federal Dr. Greensboro, NC 27410 336 574-6605 masked Director of Data Services Solstas Lab Partners 4380 Federal Dr. Suite 100 Greensboro, NC 27410 (336) 664-6100 moses.perry@solstas.com http://www.solstas.com Provider 2.16.840.1.113883.3.4427 Ext 14 Complete 2.16.840.1.113883.3.4427.4 2014/02/10 12:00:00 2014/07/18 12:00:00 2014/07/18 07:10:48 UV 2.16.840.1.113883.3.4427.4.1 rv-location Location code for Roanoke Lab Moses Perry masked Moses Perry 4388 Federal Dr. Greensboro, NC 27410 336 574-6605 masked Director of Data Services Solstas Lab Partners 4380 Federal Dr. Suite 100 Greensboro, NC 27410 (336) 664-6100 moses.perry@solstas.com http://www.solstas.com Provider 2.16.840.1.113883.3.4427 Ext 14 Complete 2.16.840.1.113883.3.4427.4.1 2014/02/10 12:00:00 2014/07/18 12:00:00 2014/07/18 07:13:33 UV 2.16.840.1.113883.3.4427.1.2 system-other System - Other Moses Perry masked Moses Perry 4388 Federal Dr. Greensboro, NC 27410 336 574-6605 masked Director of Data Services Solstas Lab Partners 4380 Federal Dr. Suite 100 Greensboro, NC 27410 336 664-6100 moses.perry@solstas.com http://www.solstas.com Provider 2.16.840.1.113883.3.4427 Ext 14 Complete 2.16.840.1.113883.3.4427.1.2 2014/02/10 12:00:00 2014/07/18 12:00:00 2014/07/18 07:17:07 UV 2.16.840.1.113883.3.1070.1034 mckesson-fusion-1034 mckesson-fusion-1034 Fusion Enrollment masked Fusion Enrollment 8775074541 masked Fusion Enrollment jill.mauro@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.1034 2014/02/10 12:00:00 2014/07/18 12:00:00 2014/07/18 07:21:11 US 2.16.840.1.113883.17.3907 uhskmcclab UHS KMCC Main Lab Amy Petersen masked Roberta Schaubel Amy Petersen 6308 8th Avenue Kenosha, WI 53143 262-656-3262 masked Application/Project Manager Amy Petersen 6308 8th Avenue Kenosha, WI 53143 262-656-3262 amy.petersen@uhsi.org Provider Int 17 Complete 2014/02/10 12:00:00 2014/07/18 12:00:00 2014/07/18 07:30:13 UV 2.16.840.1.113883.17.3908 uhsscmcclab UHS SCMCC Main Lab Amy Petersen masked Roberta Schaubel Amy Petersen 6308 8th Avenue Kenosha, WI 53143 262-656-3262 masked Application/Project Manager Amy Petersen 6308 8th Avenue Kenosha, WI 53143 262-656-3262 amy.petersen@uhsi.org Provider Int 17 Complete 2014/02/10 12:00:00 2014/07/18 12:00:00 2014/07/18 07:28:01 UV 2.16.840.1.113883.3.4519 jgl Jay G. Levine, DPM OID Root Carol Libretti masked Carol Libretti 55 Old Nyack Turnpike Suite 407 Nanuet, NY 10954 845-623-5933 masked office manager Jay G. Levine, DPM 55 Old Nyack Turnpike Suite 407 Nanuet, NY 10954 845-623-5933 jglstaff@gmail.com https://www.jayglevinedpm.com Provider Int 3 Complete 2014/02/10 12:00:00 2014/07/18 12:00:00 2014/07/18 07:22:52 UV 2.16.840.1.113883.3.4376.100 mclaren-flint McLaren Flint Ryan Maginity masked Ryan Maginity G-3235 Beecher Rd. Suite A Flint, MI 48532 810-424-8137 masked Senior Integration Specialist McLaren Healthcare Corporation G-3235 Beecher Rd. Suite A Flint, MI 48532 ryan.maginity@antheliohealth.com http://www.mclaren.org Provider 2.16.840.1.113883.3.4376 Ext 17 17 Complete 2.16.840.1.113883.3.4376.100 2014/02/10 12:00:00 2014/07/18 12:00:00 2014/07/18 07:32:38 UV 2.16.840.1.113883.3.4376.200 mclaren-lapeer McLaren Lapeer Region Ryan Maginity masked Ryan Maginity G-3235 Beecher Rd. Suite A Flint, MI 48532 810-424-8137 masked Senior Integration Specialist McLaren Healthcare Corporation G-3235 Beecher Rd. Suite A Flint, MI 48532 ryan.maginity@antheliohealth.com http://www.mclaren.org Provider 2.16.840.1.113883.3.4376 Ext 17 Complete 2.16.840.1.113883.3.4376.200 2014/02/10 12:00:00 2014/07/18 12:00:00 2014/07/18 07:35:32 UV 2.16.840.1.113883.3.4376.300 mclaren-greater-lansing McLaren Greater Lansing Ryan Maginity masked Ryan Maginity G-3235 Beecher Rd. Suite A Flint, MI 48532 810-424-8137 masked Senior Integration Specialist McLaren Healthcare Corporation G-3235 Beecher Rd. Suite A Flint, MI 48532 ryan.maginity@antheliohealth.com http://www.mclaren.org Provider Ext 17 Complete 2.16.840.1.113883.3.4376.300 2014/02/10 12:00:00 2014/07/20 12:00:00 2014/07/20 12:02:21 UV 2.16.840.1.113883.3.4376.400 mclaren-bay-region McLaren Bay Region Ryan Maginity masked Ryan Maginity G-3235 Beecher Rd. Suite A Flint, MI 48532 810-424-8137 masked Senior Integration Specialist McLaren Healthcare Corporation G-3235 Beecher Rd. Suite A Flint, MI 48532 ryan.maginity@antheliohealth.com http://www.mclaren.org Provider 2.16.840.1.113883.3.4376 Ext 17 Complete 2.16.840.1.113883.3.4376.400 2014/02/10 12:00:00 2014/07/20 12:00:00 2014/07/20 12:05:02 UV 2.16.840.1.113883.3.4376.500 mclaren-oakland McLaren Oakland Ryan Maginity masked Ryan Maginity G-3235 Beecher Rd. Suite A Flint, MI 48532 810-424-8137 masked Senior Integration Specialist McLaren Healthcare Corporation G-3235 Beecher Rd. Suite A Flint, MI 48532 ryan.maginity@antheliohealth.com http://www.mclaren.org Provider 2.16.840.1.113883.3.4376 Ext 17 Complete 2.16.840.1.113883.3.4376.500 2014/02/10 12:00:00 2014/07/20 12:00:00 2014/07/20 12:10:23 UV 2.16.840.1.113883.3.4376.600 mclaren-macomb McLaren Macomb Ryan Maginity masked Ryan Maginity G-3235 Beecher Rd. Suite A Flint, MI 48532 810-424-8137 masked Senior Integration Specialist McLaren Healthcare Corporation G-3235 Beecher Rd. Suite A Flint, MI 48532 ryan.maginity@antheliohealth.com http://www.mclaren.org Provider 2.16.840.1.113883.3.4376 Ext 17 Complete 2.16.840.1.113883.3.4376.600 2014/02/10 12:00:00 2014/07/20 12:00:00 2014/07/20 12:11:49 UV 2.16.840.1.113883.3.4376.700 mclaren-central-michigan McLaren Central Michigan Ryan Maginity masked Ryan Maginity G-3235 Beecher Rd. Suite A Flint, MI 48532 810-424-8137 masked Senior Integration Specialist McLaren Healthcare Corporation G-3235 Beecher Rd. Suite A Flint, MI 48532 ryan.maginity@antheliohealth.com http://www.mclaren.org Provider 2.16.840.1.113883.3.4376 Ext 17 Complete 2.16.840.1.113883.3.4376.700 2014/02/10 12:00:00 2014/07/20 12:00:00 2014/07/20 12:15:49 UV 2.16.840.1.113883.3.4376.800 mclaren-northern-michigan McLaren Northern Michigan Ryan Maginity masked Ryan Maginity G-3235 Beecher Rd. Suite A Flint, MI 48532 810-424-8137 masked Senior Integration Specialist McLaren Healthcare Corporation G-3235 Beecher Rd. Suite A Flint, MI 48532 ryan.maginity@antheliohealth.com http://www.mclaren.org Provider 2.16.840.1.113883.3.4376 Ext 17 Complete 2.16.840.1.113883.3.4376.800 2014/02/10 12:00:00 2014/07/20 12:00:00 2014/07/20 12:19:45 UV 2.16.840.1.113883.3.4376.900 mclaren-karmanos McLaren Karmanos Ryan Maginity masked Ryan Maginity G-3235 Beecher Rd. Suite A Flint, MI 48532 810-424-8137 masked Senior Integration Specialist McLaren Healthcare Corporation G-3235 Beecher Rd. Suite A Flint, MI 48532 ryan.maginity@antheliohealth.com http://www.mclaren.org Provider 2.16.840.1.113883.3.4376 Ext 17 Complete 2.16.840.1.113883.3.4376.900 2014/02/10 12:00:00 2014/07/20 12:00:00 2014/07/20 12:23:27 UV 2.16.840.1.113883.3.4520 georgialapsurgery Surgical Associates of Atlanta, P.C.OID Root Audrey Chitwood masked Audrey Chitwood 550 Peachtree Street NE Suite 1215 Atlanta, GA 30308 4046881934 masked Office Manager Surgical Associates of Atlanta, P.C. 550 Peachtree Street NE Suite 1215 Atlanta, GA 30308 4046881934 audrey@georgialapsurgery.com http://www.georgialapsurgery.com/ Provider Int 3 Complete 2014/02/11 12:00:00 2014/07/20 12:00:00 2014/07/20 12:33:48 UV 2.16.840.1.113883.3.4521 valleyHealth Valley Health System Terri Ripley masked Terri Ripley 220 Campus Blvd Winchester, VA 22601 (540) 536 3720 masked Meaningful Use Project Manager Valley Health System P.O. Box 3340, Winchester, VA 22604 (540) 536-8000 lmcdanie@valleyhealthlink.com Provider Int 3 Complete 2014/02/11 12:00:00 2014/07/20 12:00:00 2014/07/20 12:41:26 UV 2.16.840.1.113883.3.4522 ahcbh St. Agnes Hospital Behavoral Health Nancy Schmitz masked Nancy Schmitz Agnesian HealthCare 430 E Division St. Fond du lac, WI 54935 920-926-4399 masked Sr. Clinical Informatics Consultant St. Agnes Hospital Behavioral Health St. Agnes Hospital Behavioral Health 430 E Division St. Fond du lac, WI 54935 920-929-2300 schmitzn@agnesian.com Provider Int 3 3 Complete 2014/02/11 12:00:00 2014/07/20 12:00:00 2014/07/20 12:47:23 UV 2.16.840.1.113883.3.4523 nmdermcenter nmdermcenter OID Root Kellie Schroeder masked Kellie Schroeder 6200 Uptown Blvd NE, Albuquerque, NM 87110 505-243-7546 masked Dermatology & Skin Cancer Center of New Mexico 6200 Uptown Blvd NE, Albuquerque, NM 87110 5052437546 kellie.schroeder@nmdermcenter.com Provider Int 3 Complete 2014/02/11 12:00:00 2014/07/20 12:00:00 2014/07/20 01:07:20 UV 2.16.840.1.113883.4.702 tchoid Temple Community Hospital C-CDA Michael Yu masked Michael Yu 235 N. Hoover St., Los Angeles, CA 90004 213-382-7252 Ext. 3354 masked Clinical Application Ananlyst Temple Community Hospital 235 N. Hoover St., Los Angeles, CA 90004 213-382-7252 Temple@tchosp.com http://www.templecommunityhospital.com Provider Int 3 Complete 2014/02/11 12:00:00 2014/07/20 12:00:00 2014/07/20 01:34:31 UV 2.16.840.1.113883.3.4524 jonesallergycenter Jones Allergy Center OID Root Theresa Welsh masked Theresa Welsh 232 NE Tudor Rd, Lees Summit, MO 64086 816-246-2131 masked Jones Allergy Center 232 NE Tudor Rd, Lees Summit, MO 64086 816-246-2131 jonesoffice@jonesallergycenter.com Provider Int 3 Complete 2014/02/11 12:00:00 2014/07/20 12:00:00 2014/07/20 01:37:17 UV 2.16.840.1.113883.3.1070.5709 mckesson-fusion-5709 mckesson-fusion-5709 Gianna Goodman masked Fusion Enrollment 8775074541 masked Fusion Enrollment gianna_goodman@med3000.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5709 2014/02/12 12:00:00 2014/07/20 12:00:00 2014/07/20 01:39:26 US 2.16.840.1.113883.3.4525 womenshealth Women's Health Specialists, PC Tina Tidey masked William Long Tina Tidey 7800 US 131 S, Ste C Cadillac, MI 49601 231-779-1167 masked office manager Women's Health Specialists, PC 7800 US 131 S, Ste C Cadillac, MI 49601 231-779-1167 ttidey@cadwomenshealth.com http://www.cadwomenshealth.net Provider Int 3 Complete 2014/02/12 12:00:00 2014/07/20 12:00:00 2014/07/20 01:44:59 UV 2.16.840.1.113883.3.4526 ifw Imaging For Women, LLC Phyllis Fulk masked Phyllis Fulk 630 NW Englewood Road Kansas City, MO 64118 816-268-3309 masked Administrator Imaging For Women, LLC 630 NW Englewood road Kansas City, MO 64118 816-453-2700 kjones@imaging4women.com http://imaging4women.com Provider Int 3 Complete 2014/02/12 12:00:00 2014/07/20 12:00:00 2014/07/20 01:49:41 UV 2.16.840.1.113883.3.1070.5597 mckesson-fusion-5597 mckesson-fusion-5597 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5597 2014/02/12 12:00:00 2014/07/20 12:00:00 2014/07/20 01:52:27 US 2.16.840.1.113883.3.4527 drdavidcrowder David L. Crowder, M.D. David Crowder masked Brandi Herron Elrod 1985 Alabama Hwy 157 Ste. B Cullman, AL 35058 2567361405 masked Administrative Assistant David L. Crowder, M.D. 1985 Alabama Hwy 157 STe. B Cullman, AL 35058 2567361405 drdavidcrowder@gmail.com Provider Int 3 Complete 2014/02/12 12:00:00 2014/07/20 12:00:00 2014/07/20 01:55:30 UV 2.16.840.1.113883.3.4528 advancedeyecare Advanced Eye Care Charles Gurley masked Charles Gurley 1433 Arlington Ada, OK 74820 580-332-5606 masked Owner Advanced Eye Care 1433 Arlington Ada, OK 74820 580-332-5606 cwgurley@yahoo.com Provider Int 3 Complete 2014/02/12 12:00:00 2014/07/20 12:00:00 2014/07/20 02:02:14 UV 2.16.840.1.113883.3.1070.5677 mckesson-fusion-5677 mckesson-fusion-5677 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5677 2014/02/12 12:00:00 2014/07/20 12:00:00 2014/07/20 02:07:33 US 2.16.840.1.113883.3.1070.5614 mckesson-fusion-5614 mckesson-fusion-5614 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5614 2014/02/12 12:00:00 2014/07/20 12:00:00 2014/07/20 02:09:57 mckesson-fusion US 2.16.840.1.113883.3.4529 ebgastroenterology East Bank Gastroenterology OID Root Mary Daleo masked Mary Daleo East Bank Gastroenterology 3800 Houma Blvd., Suite 220 Metairie, LA 70006 504-456-7484 masked East Bank Gastroenterology 3800 Houma Blvd., Suite 220 Metairie, LA 70006 504-456-7484 mdcat@webdsi.com Provider Int 3 Complete 2014/02/12 12:00:00 2014/07/20 12:00:00 2014/07/20 02:05:12 UV 2.16.840.1.113883.3.1070.5728 mckesson-fusion-5728 mckesson-fusion-5728 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5728 2014/02/12 12:00:00 2014/07/20 12:00:00 2014/07/20 02:11:25 US 2.16.840.1.113883.3.4530 jt-amen Jeffrey T.Amen D.P.M. Root OID Cathy Silva masked Cathy Silva 1615 Hill Road Suite E Novato, Calif. 94947 415-898-4828 masked Office Manager Jeffrey T.Amen D.P.M. 1615 Hill Road Suite E Novato, Calif. 94947 415-898-4828 cathy.amendpm@verizon.net Provider Int 3 Complete 2014/02/12 12:00:00 2014/07/20 12:00:00 2014/07/20 02:18:41 UV 2.16.840.1.113883.3.4531 fhs Freeman Health System Gary Kuykendall masked Sue Annesser Gary Kuykendall 1102 West 32nd Street Joplin, MO 64804 417-347-4500 masked Freeman Health System contactus@freemanhealth.com http://www.freemanhealth.com Provider Int 3 Complete 2014/02/12 12:00:00 2014/07/20 12:00:00 2014/07/20 02:21:37 US 2.16.840.1.113883.3.4532 uhcoh-ccp UnitedHealthcare Community Plan of Ohio Community Care Platform Cory Melvin masked Cory Melvin 19460 Knowlton Parkway #301 Strongsville, OH 44149 (952) 202-1821 masked Accountable Care Consultant/Analyst UnitedHealthcare Community Plan of OH cory_melvin@uhc.com Provider Int 3 Complete 2014/02/13 12:00:00 2014/07/20 12:00:00 2014/07/20 02:23:18 UV 2.16.840.1.113883.3.4533 medctrpod Medical Center Podiatry, PC OID root Denise Sizemore masked Denise Sizemore PO Box 8407 Mobile, AL 36689 2513435971 masked Practice Manager Medical Center Podiatry, PC P.O. Box 8407 Mobile,AL 36689 2513435971 dr102@bellsouth.net Provider Int 3 Complete 2014/02/13 12:00:00 2014/07/20 12:00:00 2014/07/20 02:24:38 UV 2.16.840.1.113883.3.4534 spncr R. Dale Spencer O.D. Kristy Dill masked Dale Spencer 704 N. State St. Ukiah, CA 95482 7074622602 masked Dale Spencer 704 N. State St Ukiah, CA 95482 7074622602 rdspencerod@yahoo.com Provider Int 3 Complete 2014/02/13 12:00:00 2014/07/20 12:00:00 2014/07/20 02:26:38 UV 2.16.840.1.113883.3.1070.5736 mckesson-fusion-5736 mckesson-fusion-5736 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5736 2014/02/14 12:00:00 2014/07/20 12:00:00 2014/07/20 02:28:20 US 2.16.840.1.113883.3.4535 waoid Welch Allyn Root OID Philip Traynor masked Philip Traynor Welch Allyn Navan Business Park Navan Co. Meath Republic of Ireland +353 87 9201381 masked Engineer Welch Allyn Welch Allyn Inc Corporate Headquarters 4341 State Street Road Skaneateles Falls, NY 13153-0220 USA 1-800-535-6663 chris.keegan@welchallyn.com Vendor Int 3 Complete 2014/02/14 12:00:00 2014/07/20 12:00:00 2014/07/20 02:36:18 UV 2.16.840.1.113883.3.4536 accesshealth accesshealth Raymond Pina masked Raymond Pina 400 Austin St, Richmond, Texas 77469 281-633-3185 masked Accesshealth 400 Austin St, Richmond, Texas 77469 281-342-4530 admin@myaccesshealth.org Provider Int 3 Complete 2014/02/14 12:00:00 2014/07/20 12:00:00 2014/07/20 02:39:05 UV 2.16.840.1.113883.3.4537 dmc-huh Detroit Medical Center - Harper-Hutzel Hospital Joe Francis masked William Isaacs Dan Messing Detroit Medical Center Corporation 3663 Woodward Ave Room 5-926 Detroit, Michigan 48201-2445 313 578-2132 masked Manager, Clinical Systems Detroit Medical Center Corporation 3663 Woodward Ave Room 5-926 Detroit, Michigan 48201-2445 313 578-2132 dmessing@dmc.org HL7 body 2.16.840.1.113883.3.801 Int 3 Complete 2014/02/14 12:00:00 2014/07/20 12:00:00 2014/07/20 02:42:53 UV 2.16.840.1.113883.3.1070.5734 mckesson-fusion-5734 mckesson-fusion-5734 Michelle Banks masked Fusion Enrollment 8775074541 masked Fusion Enrollment michelle.banks@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5734 2014/02/14 12:00:00 2014/07/20 12:00:00 2014/07/20 03:15:42 US 2.16.840.1.113883.3.4538 mmh-eden-nc Morehead Memorial Hospital Tim Carpenter masked Tim Carpenter 117 E. Kings Hwy Eden, NC 27288 336-623-9711 ext.2847 masked Clinical Systems Analyst Morehead Memorial Hospital 117 E. Kings Hwy Eden, NC 27288 1(336)623-9711 ext.2847 tcarpenter@morehead.org https://www.morehead.org/Portal/Main.aspx Provider Int 3 Complete 2014/02/14 12:00:00 2014/07/20 12:00:00 2014/07/20 03:17:58 UV 2.16.840.1.113883.3.4539 enloe-medical-center Enloe Medical Center Kevin Dorsey-Tyler masked Kevin Dorsey-Tyler 1531 Esplanade Chico, CA 95926 (530) 332-7994 masked Medical Director, Clinical Analytics Enloe Medical Center 1531 Esplanade Chico, CA 95926 (530) 332-7994 kevin.dorseytyler@enloe.org http://www.enloe.org Provider Int 3 Complete 2014/02/14 12:00:00 2014/07/20 12:00:00 2014/07/20 03:22:31 UV 2.16.840.1.113883.3.4539.1.1 enloe-main-lab Enloe Medical Center - Main Laboratory Kevin Dorsey-Tyler masked Kevin Dorsey-Tyler 1531 Esplanade Chico, CA 95926 5303327994 masked Medical Director, Clinical Analytics Enloe Medical Center 1531 Esplanade Chico, CA 95926 5303327994 kevin.dorseytyler@enloe.org http://www.enloe.org Provider 2.16.840.1.113883.3.4539 Ext 14 Complete 2.16.840.1.113883.3.4539.1.1 2014/02/14 12:00:00 2014/07/20 12:00:00 2014/07/20 03:27:09 UV 2.16.840.1.113883.3.4539.2.1 enloe-ehr Enloe Medical Center Electronic Health Record System Kevin Dorsey-Tyler masked Kevin Dorsey-Tyler 1531 Esplanade Chico CA 95926 5303327994 masked Medical Director, Clinical Analytics Enloe Medical Center 1531 Esplanade Chico, CA 95973 5203327994 kevin.dorseytyler@enloe.org http://www.enloe.org Provider 2.16.840.1.113883.3.4539 Ext 14 Complete 2.16.840.1.113883.3.4539.2.1 2014/02/14 12:00:00 2014/07/20 12:00:00 2014/07/20 03:29:32 UV 2.16.840.1.113883.3.4540 kennethhelstrom Kenneth L. Helstrom Kenneth Helstrom masked Kenneth L. Helstrom 2031 Flint Road Emporia, KS 66801-6030 620-341-9271 masked Kenneth L. Helstrom 620-341-9271 khelstrom@sigmasoftinc.com Vendor Int 3 Complete 2014/02/15 12:00:00 2014/07/20 12:00:00 2014/07/20 03:33:41 UV 2.16.840.1.113883.3.1707.1 narmc-fac NARMC Facility OID Molly Harris masked William Bogle Molly Harris 870-414-5139 masked Systems Analyst North Arkansas Regional Medical Center 610 N Main St Harrison, AR 72601 870-414-5139 molly.harris@narmc.com Provider 2.16.840.1.113883.3.1707 Ext 14 Complete 2.16.840.1.113883.3.1707.1 2014/02/17 12:00:00 2014/07/20 12:00:00 2014/07/20 03:38:10 UV 2.16.840.1.113883.17.3909 rochesterurology Rochester Urology PC Kathryn Weddle masked Shannon Kleczka Kathryn Weddle 1202 Walton Blvd #211 Rochester Hills, MI 48307 248-978-5265 masked HIT Consultant Rochester Urology, PC 1202 Walton Blvd #211 Rochester Hills, MI 48307 248-650-4699 tracyb@rochesterurologypc.com Provider Int 3 Complete 2014/02/17 12:00:00 2014/07/20 12:00:00 2014/07/20 03:45:38 UV 2.16.840.1.113883.3.1707.1.1 narmc-meditech NARMC Meditech C/S OID Molly Harris masked William Bogle Molly Harris 870-414-5139 masked Systems Analyst North Arkansas Regional Medical Center 610 N Main St Harrison, AR 72601 870-414-5139 molly.harris@narmc.com Provider 2.16.840.1.113883.3.1707 Ext 14 Complete 2.16.840.1.113883.3.1707.1.1 2014/02/17 12:00:00 2014/07/20 12:00:00 2014/07/20 03:39:38 UV 2.16.840.1.113883.3.1070.5711 mckesson-fusion-5711 mckesson-fusion-5711 Anna Durbin masked Fusion Enrollment 8775074541 masked Fusion Enrollment anna.durbin@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5711 2014/02/17 12:00:00 2014/07/20 12:00:00 2014/07/20 03:49:15 UV 2.16.840.1.113883.3.1070.5730 mckesson-fusion-5730 mckesson-fusion-5730 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5730 2014/02/17 12:00:00 2014/07/20 12:00:00 2014/07/20 03:51:37 UV 2.16.840.1.113883.3.4542 fdbcda FDB Organization for exchange of summary of care records Dewey Howell masked Dewey Howell 701 Gateway Blvd., Suite 600 South San Francisco, CA 94080 6508276796 masked VP, Clinical Applications FDB (First Databank, Inc) dhowell@fdbhealth.com http://www.fdbheath.com Vendor Int 3 Complete 2014/02/17 12:00:00 2014/07/20 12:00:00 2014/07/20 04:00:23 UV 2.16.840.1.113883.3.4543 jvfoot Juniata Valley Foot & Ankle Associates OID Root Cathleen Schreffler masked Cathleen Schreffler 215 N. Beech Street Burnham, PA 17009 717-248-0821 masked manager Juniata Valley Foot & Ankle Associates 215 N. Beech Street Burnham, PA 17009 717-248-0821 juniatavalleyfoot@gmail.com Provider Int 3 Complete 2014/02/17 12:00:00 2014/07/20 12:00:00 2014/07/20 04:01:43 UV 2.16.840.1.113883.3.1070.5729 mckesson-fusion-5729 mckesson-fusion-5729 Michelle Banks masked Fusion Enrollment 8775074541 masked Fusion Enrollment michelle.banks@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5729 2014/02/17 12:00:00 2014/07/20 12:00:00 2014/07/20 04:23:24 US 2.16.840.1.113883.3.4544 dmc-drh Detroit Medical Center - Detroit Receiving Hospital and University Health Center Joe Francis masked William Isaacs Dan Messing Detroit Medical Center Corporation 3663 Woodward Ave Room 5-926 Detroit, Michigan 48201-2445 313 578-2132 masked Manager, Clinical Systems Detroit Medical Center Corporation 3663 Woodward Ave Room 5-926 Detroit, Michigan 48201-2445 313 578-2132 dmessing@dmc.org Provider 2.16.840.1.113883.3.801 Int 3 Complete 2014/02/18 12:00:00 2014/07/20 12:00:00 2014/07/20 04:27:32 UV 2.16.840.1.113883.3.4545 dmc-sgh Detroit Medical Center - Sinai-Grace Hospital Joe Francis masked William Isaacs Dan Messing Detroit Medical Center Corporation 3663 Woodward Ave Room 5-926 Detroit, Michigan 48201-2445 313 578-2132 masked Manager, Clinical Systems Detroit Medical Center Corporation 3663 Woodward Ave Room 5-926 Detroit, Michigan 48201-2445 313 578-2132 dmessing@dmc.org Provider 2.16.840.1.113883.3.801 Int 3 Complete 2014/02/18 12:00:00 2014/07/20 12:00:00 2014/07/20 04:29:29 UV 2.16.840.1.113883.3.4546 dmc-hvsh Detroit Medical Center - Huron Valley-Sinai Hospital Joe Francis masked William Isaacs Dan Messing Detroit Medical Center Corporation 3663 Woodward Ave Room 5-926 Detroit, Michigan 48201-2445 313 578-2132 masked Manager, Clinical Systems Detroit Medical Center Corporation Detroit Medical Center Corporation 3663 Woodward Ave Room 5-926 Detroit, Michigan 48201-2445 313 578-2132 dmessing@dmc.org Provider 2.16.840.1.113883.3.801 Int 3 Complete 2014/02/18 12:00:00 2014/07/20 12:00:00 2014/07/20 04:31:31 UV 2.16.840.1.113883.3.4547 dmc-chm Detroit Medical Center - Children's Hospital of Michigan Joe Francis masked William Isaacs Dan Messing Detroit Medical Center Corporation 3663 Woodward Ave Room 5-926 Detroit, Michigan 48201-2445 313 578-2132 masked Manager, Clinical Systems Detroit Medical Center Corporation 3663 Woodward Ave Room 5-926 Detroit, Michigan 48201-2445 313 578-2132 dmessing@dmc.org Provider 2.16.840.1.113883.3.801 Int 3 Complete 2014/02/18 12:00:00 2014/07/20 12:00:00 2014/07/20 04:33:52 UV 2.16.840.1.113883.3.4548 dmc-rim Detroit Medical Center - Rehabilitation Institute of Michigan Joe Francis masked William Isaacs Dan Messing Detroit Medical Center Corporation 3663 Woodward Ave Room 5-926 Detroit, Michigan 48201-2445 313 578-2132 masked Manager, Clinical Systems Detroit Medical Center Corporation 3663 Woodward Ave Room 5-926 Detroit, Michigan 48201-2445 313 578-2132 dmessing@dmc.org Provider 2.16.840.1.113883.3.801 Int 3 Complete 2014/02/18 12:00:00 2014/07/20 12:00:00 2014/07/20 04:38:41 UV 2.16.840.1.113883.3.4549 dmc-dsh Detroit Medical Center - DMC Surgery Hospital Joe Francis masked William Isaacs Dan Messing Detroit Medical Center Corporation 3663 Woodward Ave Room 5-926 Detroit, Michigan 48201-2445 313 578-2132 masked Manager, Clinical Systems Detroit Medical Center Corporation 3663 Woodward Ave Room 5-926 Detroit, Michigan 48201-2445 313 578-2132 dmessing@dmc.org Provider 2.16.840.1.113883.3.801 Int 3 Complete 2014/02/18 12:00:00 2014/07/20 12:00:00 2014/07/20 04:40:53 UV 2.16.840.1.113883.3.4550 lab Laboratory Reportable Results Steve Speelman masked Steve Speelman 501 Sunset Lane Culpeper, VA 22701 540-829-4146 masked Culpeper Regioal Hospital 501 Sunset Lane Culpeper, VA 227001 540-829-4146 sspeelman@culpeperhospital.com http://www.culpeperhealth.org/ Provider 2.16.840.1.113883.3.1695 Int 2.16.840.1.113883.3.1695 3 Retired 2014/02/18 12:00:00 2019/02/28 08:24:08 UV 2.16.840.1.113883.3.4551 pulmonarymedasso pulmonarymedasso OID Root Sharon Cantrelle masked Sharon Cantrelle 1111 Medical Center Boulevard Suite N504 Marrero, LA 70072 504-349-6705 masked Pulmonary Medicine Associates, LLP 1111 Medical Center Boulevard Suite N504 Marrero, LA 70072 504-349-6705 lungs504@bellsouth.net Provider Int 3 Complete 2014/02/18 12:00:00 2014/07/20 12:00:00 2014/07/20 04:45:45 UV 2.16.840.1.113883.3.4553 klamathorthopedicclinc Klamath Orthopedic Clinic OID Root Melinda Burtenhouse masked Jeannette Gansberg 2200 Bryant Williams Dr Klamath Falls, OR 97601 41-274-2902 masked Executive Director Klamath Orothopedic Clinic 2200 Bryant Williams Dr Klamath Falls, OR 97601 541-884-3677 jgansberg@skylakes.org Provider Int 3 Complete 2014/02/18 12:00:00 2014/07/20 12:00:00 2014/07/20 04:52:13 UV 2.16.840.1.113883.3.4554 pinepharmacyofniagarafalls Pine Pharmacy of Niagara Falls, LLC William Tompkins masked William C Tompkins 1806-Pine Ave Niagara Falls NY 14301 716-282-1112 masked Pharmacist/owner PinePharmacy of Niagara Falls, LLC 1806-Pine Ave Niagara Falls NY 14301 716-282-1112 tzelinsky@pinepharmacy.com Provider Int 3 Complete 2014/02/18 12:00:00 2014/07/20 12:00:00 2014/07/20 04:55:40 UV 2.16.840.1.113883.3.1871.3.910 afomh AF OK OKEENE MUNICIPAL HOSPITAL Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst SSMHC 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 14 Complete 2.16.840.1.113883.3.1871.3.910 2014/02/18 12:00:00 2014/07/20 12:00:00 2014/07/20 04:59:16 UV 2.16.840.1.113883.13.260 aCHS021814 Premise Health OID Chris Barry masked Chris Barry 8810 Astronaut Blvd Cape Canaveral, FL 32920 321-613-9908 masked Manager, Data Integration Premise Health 8810 Astronaut Blvd Cape Canaveral, FL 32920 chris.barry@premisehealth.com Vendor Int 3 Complete 2014/02/18 12:00:00 2014/07/22 12:00:00 2024/08/14 09:48:29 UV 2.16.840.1.113883.3.4555 fmgne Family Medical Group NE PC Tyler Lamberts masked Dr. Michael Booker Tyler Lamberts 2647 NE 33rd Avenue, Portland, OR 97212 503-288-0083 masked Marketing Coordinator & IT Specialist Family Medical Group Northeast 2647 NE 33rd Avenue, Portland, OR 97212 503-288-0083 tlamberts@fmgne.com http://www.fmgne.com Provider Int 3 Complete 2014/02/18 12:00:00 2014/07/20 12:00:00 2014/07/20 05:02:06 UV 2.16.840.1.113883.3.1070.5670 mckesson-fusion-5670 mckesson-fusion-5670 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5670 2014/02/18 12:00:00 2014/07/20 12:00:00 2014/07/20 05:04:12 US 2.16.840.1.113883.3.1070.5719 mckesson-fusion-5719 mckesson-fusion-5719 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment Johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5719 2014/02/18 12:00:00 2014/07/20 12:00:00 2014/07/20 05:06:53 US 2.16.840.1.113883.3.801.4.1 dmc-huh Detroit Medical Center - Harper-Hutzel Hospital Joe Francis masked William Isaacs Dan Messing Detroit Medical Center Corporation 3663 Woodward Ave Room 5-926 Detroit, Michigan 48201-2445 313 578-2132 masked Manager, Clinical Systems Detroit Medical Center Corporation Detroit Medical Center Corporation 3663 Woodward Ave Room 5-926 Detroit, Michigan 48201-2445 313 578-2132 dmessing@dmc.org HL7 body 2.16.840.1.113883.3.801 Ext 17 Complete 2.16.840.1.113883.3.801.4.1 2014/02/19 12:00:00 2014/07/22 12:00:00 2014/07/22 03:51:13 UV 2.16.840.1.113883.17.3910 kcmhsas Kalamazoo Comm unty Mental Health & Substance Abuse Services Melanie Droghetti masked Heidi Oberlin 418 W Kalamazoo Ave Kalamazoo, MI 49007 269-553-7019 masked Director of Integrative Health Services Kalamazoo Community Mental Health & Substance Abuse Services 418 W Kalamzoo Ave Kalamazoo, MI 49007 269-553-7032 mdroghetti@kazoocmh.org Provider Int 17 Complete 2014/02/19 12:00:00 2014/07/22 12:00:00 2014/07/22 03:53:46 US 2.16.840.1.113883.3.4556 rah Redwood Area Hospital Thomas Ulrich masked Thomas Ulrich 100 Fallwood Road Redwood Falls MN 56073 507.637.4540 masked IS Analyst Redwood Area Hospital 100 Fallwood Road Redwood Falls MN 56073 507.637.4500 thomas.ulrich@redwoodareahospital.org http://www.redwoodareahospital.org Provider Int 3 Complete 2014/02/19 12:00:00 2014/07/22 12:00:00 2014/07/22 04:02:14 UV 2.16.840.1.113883.3.1070.5724 mckesson-fusion-5724 mckesson-fusion-5724 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5724 2014/02/19 12:00:00 2014/07/22 12:00:00 2014/07/22 04:07:37 US 2.16.840.1.113883.3.4557 clfm Cros-Lex Family Medicine Thomas Mullally MD masked Thomas S Mullally MD 810-327-2549 masked Cros-Lex Family Medicine 5525 E Peck Rd Croswell, MI. 48422 810-679-2950 tommullallymd@wmconnect.com Provider Int 3 Complete 2014/02/19 12:00:00 2014/07/22 12:00:00 2014/07/22 04:13:15 UV 2.16.840.1.113883.3.4558 medeanalytics MedeAnalytics, Inc. Richard Yellenberg masked Richard Yellenberg 5858 Horton Street, Suite 475 Emeryville, CA 94608 510-379-3352 masked MedeAnalytics, Inc. 5858 Horton Street, Suite 475 Emeryville, CA 94608 510-379-3300 richard.yellenberg@medeanalytics.com http://medeanalytics.com/ Vendor Int 3 Complete 2014/02/19 12:00:00 2014/07/22 12:00:00 2014/07/22 04:16:26 UV 2.16.840.1.113883.3.4559 nssof North Shore Physicians Group Saugus Gregory Luzitano masked Gregory Luzitano 781-231-6320 masked Practice Manager North Shore Physicians Group Saugus North Shore Physicians Group Saugus 1069 Broadway, Rt 1S Saugus, MA 01906 781-233-1450 gluzitano@partners.org Provider Int 3 Complete 2014/02/19 12:00:00 2014/07/22 12:00:00 2014/07/22 04:19:53 UV 2.16.840.1.113883.3.4560 lec5400 LAKES Eye Clinic Mary Jo Femrite masked Mary Jo Femrite 308 5th Ave South Suite 110 Cold Spring, MN 56320 320-685-5400 masked owner/president LAKES eye clinic 308 5th Ave South Suite 110 Cold Spring, MN 56320 320-685-5400 drfemrite@lakeseyeclinic.com http://www.lakeseyeclinic.com Provider Int 3 Complete 2014/02/19 12:00:00 2014/07/22 12:00:00 2014/07/22 04:24:37 UV 2.16.840.1.113883.3.4561 stewartderm John A Stewart MD PC OID root John Stewart masked Tracy Ray 122 North 20th Street Bldg #25 Opelika, AL 36801 334-749-5604 masked Office Manager John A Stewart MD PC 122 North 20th Street Bldg #25 Opelika, AL 36801 334-749-5604 stewartdermatology@bellsouth.net http://stewartdermatology.net/ Provider Int 3 Complete 2014/02/19 12:00:00 2014/07/22 12:00:00 2014/07/22 04:26:45 UV 2.16.840.1.113883.3.619.0.1 ohhmrn Oklahoma Heart Hospital Medical Record Number Pool Forrest Westbrook masked Forrest Westbrook (405) 608-3408 masked Lead Application Analyst Oklahoma Heart Hospital 4050 West Memorial Road Oklahoma City, OK 73120 (405) 608-3200 lwestbrook@okheart.com http://www.okheart.com Provider 2.16.840.1.113883.3.619 Ext 14 Complete 2.16.840.1.113883.3.619.0.1 2014/02/19 12:00:00 2014/07/22 12:00:00 2014/07/22 04:29:40 UV 2.16.840.1.113883.3.2402.200.1547 physicians-computer-company-clients-pacl Physician's Computer Company (PCC) Clients Pediatric and Adolescent Center Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.1547 2014/02/19 12:00:00 2014/07/22 12:00:00 2014/07/22 04:39:51 UV 2.16.840.1.113883.3.619.0.2 ohhfin Oklahoma Heart Hospital Encounter Number Forrest Westbrook masked Forrest Westbrook (405) 608-3200 masked Lead Application Analyst Oklahoma Heart Hospital 4050 West Memorial Road Oklahoma City, OK 73120 (405) 608-3200 lwestbrook@okheart.com http://www.okheart.com Provider 2.16.840.1.113883.3.619 Ext 14 Complete 2.16.840.1.113883.3.619.0.2 2014/02/19 12:00:00 2014/07/22 12:00:00 2014/07/22 04:32:50 UV 2.16.840.1.113883.6.315 lexiglobalid Lexicomp Global Identifer Howard Strasberg masked Howard Strasberg Lexi-Comp, Inc. 1100 Terex Road Hudson, Ohio, USA 44236 858-481-4249 masked VP Medical Informatics Lexi-Comp, Inc. Lexi-Comp, Inc. 1100 Terex Road Hudson, Ohio, USA 44236 330-650-6506 howard.strasberg@wolterskluwer.com http://www.lexi.com Vendor Int 6 Complete 2014/02/19 12:00:00 2014/12/15 12:00:00 2014/12/15 12:22:02 UV 2.16.840.1.113883.3.4562 caldwell-OID Caldwell UNC Health Care Beverly Canipe masked Beverly Canipe 321 Mulberry Street Lenoir, NC 28645 828-757-5529 masked Systems Analyst Caldwell UNC Health Care 321 Mulberry Street Lenoir, NC 28645 828-757-5100 bcanipe@caldwell-mem.org http://caldwellmemorial.org Provider Int 2.16.840.1.113883.3.2629.225 3 Complete 2014/02/20 12:00:00 2014/07/22 12:00:00 2014/08/14 02:20:40 UV 2.16.840.1.113883.4.704 ca-NLWHSCC Newfoundland and Labrador, Canada, Workplace Health, Safety and Compensation Commission Client Identifier Wendy Huang masked Marguerite Foote Newfoundland and Labrador Centre for Health Information 70 O'Leary Ave St. John's, NL A1B 2C7 Canada 709-752-6107 masked Workplace Health, Safety and Compensation Commission Newfoundland and Labrador, Canada 146 - 148 Forest Rd. P.O. Box 9000 St. John's, NL A1A 3B8 Canada 709-778-1000, 1-800-563-9000 general.inquiries@whscc.nl.ca http://www.whscc.nf.ca/ Govt body Int 4 Complete 2014/02/20 12:00:00 2014/07/22 12:00:00 2014/07/22 04:44:48 UV 2.16.840.1.113883.3.4563 mocvc Ohio Health Cardiovascular Root OID Shawn Lloyd masked Shawn Lloyd 3705 Olentangy River Rd Columbus, OH 43221 8503226429 masked Development Consultant Shawn Lloyd 3705 Olentangy River Rd Columbus, OH 43221 8503226429 shawn.lloyd@tempdev.com Vendor Int 3 Complete 2014/02/20 12:00:00 2014/07/22 12:00:00 2014/07/22 04:52:47 UV 2.16.840.1.113883.3.4564 communitymissions CommunityMissions of Niagara Frontier, Ic. Robyn Krueger masked Robyn Krueger 1570 Buffalo Avenue Niagara Falls, NY 14303 716-285-3403, ext. 2238 masked Executive Director Community Missions of Niagara Frontier, Inc. 1570 Buffalo Avenue Niagara Falls, NY 14303 716-285-3403 RKrueger@communitymissions.org Provider Int 3 Complete 2014/02/20 12:00:00 2014/07/22 12:00:00 2014/07/22 04:54:22 UV 2.16.840.1.113883.3.1070.5757 mckesson-fusion-5757 mckesson-fusion-5757 Jaime Cummins masked Fusion Enrollment 8775074541 masked Implementation Consultant Fusion Enrollment jaime_cummins@med3000.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5757 2014/02/20 12:00:00 2014/07/22 12:00:00 2014/07/22 05:00:07 UV 2.16.840.1.113883.3.1070.5758 mckesson-fusion-5758 mckesson-fusion-5758 Jaime Cummins masked Fusion Enrollment 8775074541 masked Implementation Consultant Fusion Enrollment jaime_cummins@med3000.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5758 2014/02/20 12:00:00 2014/07/22 12:00:00 2014/07/22 05:02:13 US 2.16.840.1.113883.3.4565 mrmc-bc Matagorda Regional Medical Center Beverly Trombatore masked Beverly Trombatore 104 7th Street Bay City, Texas 77414 979-241-5580 masked Clinical Systems Director Matagorda Regional Medical Center 104 7th Street Bay City, Texas 77414 979-245-6383 btrombatore@matagordaregional.org http://www.matagordaregional.org/ Provider Int 3 Complete 2014/02/20 12:00:00 2014/07/22 12:00:00 2014/07/22 04:56:51 UV 2.16.840.1.113883.3.4566 sem-qi Select Medical Quality Improvement Amanda Dawson masked Matthew Martin Select Medical, 4718 Gettysburg Rd., Mechanicsburg PA 17055 717-975-4754 masked Director of Corporate Applications, Information Systems Select Medical Research and Quality Improvement Select Medical, 4714 Gettysburg Rd., Mechanicsburg, PA 17055 717-972-3804 qualityrequests@selectmedical.com http://www.selectmedical.com Provider Int 3 Complete 2014/02/21 12:00:00 2014/07/22 12:00:00 2014/07/22 05:05:16 US 2.16.840.1.113883.9.125 mlab Renown Health Main Laboratory Lori Kazmer masked Lori Kazmer 1285 Financial Blvd Reno, NV 89502 775-982-2695 masked Senior Interface Engineer Renown Health 1155 Mill St Reno, NV 89502 775-982-5000 lkazmer@renown.org https://renown.org Provider Int 3 Complete 2014/02/21 12:00:00 2014/07/22 12:00:00 2014/07/22 05:19:52 UV 2.16.840.1.113883.9.126 vlab Renown South Meadows Laboratory Lori Kazmer masked Lori Kazmer 1285 Financial Blvd. Reno, NV 89502 775-982-2695 masked Senior Interface Engineer Renown Health 1155 Mill St. Reno, NV 89502 775-982-5000 lkazmer@renown.org https://renown.org Provider Int 3 Complete 2014/02/21 12:00:00 2014/07/22 12:00:00 2014/07/22 05:21:45 UV 2.16.840.1.113883.9.127 clab Carson Valley Medical Center Laboratory Lori Kazmer masked Lori Kazmer 1285 Financial Blvd. Reno, NV 89502 775-982-2695 masked Senior Interface Engineer Renown Health 1155 Mill St. Reno, NV 89502 775-982-5000 lkazmer@renown.org https://renown.org Provider Int 3 Complete 2014/02/21 12:00:00 2014/07/22 12:00:00 2014/07/22 05:29:12 UV 2.16.840.1.113883.9.128 blab Barton Memorial Hospital Laboratory Lori Kazmer masked Lori Kazmer 1285 Financial Blvd. Reno, NV 89502 775-982-2695 masked Senior Interface Engineer Renown Health 1185 Mill St. Reno, NV 89502 775-982-5000 lkazmer@renown.org https://renown.org Provider Int 3 Complete 2014/02/21 12:00:00 2014/07/22 12:00:00 2014/07/22 05:32:31 UV 2.16.840.1.113883.9.129 questlab Quest Laboratory Lori Kazmer masked Lori Kazmer 1285 Financial Blvd. Reno, NV 89502 775-982-2695 masked Senior Interface Engineer Renown Health 1185 Mill St Reno, NV 89502 775-982-5000 lkazmer@renown.org https://renown.org Provider Int 3 Complete 2014/02/21 12:00:00 2014/07/22 12:00:00 2014/07/22 05:45:23 UV 2.16.840.1.113883.9.130 labcorp-oid Labcorp Laboratories Lori Kazmer masked Lori Kazmer 1285 Financial Blvd. Reno, NV 89502 775-982-2695 masked Senior Interface Engineer Renown Health 1185 Mill St Reno, NV 89502 775-982-5000 lkazmer@renown.org https://renown.org Payor Int 3 Complete 2014/02/21 12:00:00 2014/07/22 12:00:00 2014/07/22 05:48:05 UV 2.16.840.1.113883.9.131 arup ARUP Laboratories Lori Kazmer masked Lori Kazmer 1285 Financial Blvd. Reno, NV 89502 775-982-2695 masked Senior Interface Engineer Renown Health 1185 Mill St. Reno, NV 89502 775-982-5000 lkazmer@renown.org https://renown.org Provider Int 3 Complete 2014/02/21 12:00:00 2014/07/22 12:00:00 2014/07/22 05:49:14 UV 2.16.840.1.113883.3.4567 igetype InteGreat EHR Tom Reinecke masked Dave Johns Tom Reinecke 301 Data Court Dubuque, IA 52003 5635570020 masked Product Manager Tom Reinecke 301 Data Court Dubuque, IA 52003 5635570020 tom.reinecke@mckesson.com http://www.mckesson.com Vendor 2.16.840.1.113883.3.8 Int 3 Complete 2014/02/21 12:00:00 2014/07/22 12:00:00 2014/07/22 05:59:02 UV 2.16.840.1.113883.3.4568 scmp2155 Emma L. Bowen Comunity Service Center Maximo Calderon masked Maximo Calderon 215-17 West 135th Street New York, NY 10030 212-694-3500 masked Program Supervisor Emma L. Bowen Comunity Service Center 215-17 West 135th Street New York, NY 10030 212-694-3500 mcalderon@bowencsc.org https://ummhinc.org Provider Int 3 Complete 2014/02/21 12:00:00 2014/07/22 12:00:00 2014/07/22 06:12:42 0396 UV 2.16.840.1.113883.3.1049.4 hubOID Allscipts Sending Application Hub OID stan Lassiter masked Megen Murray 919.800.6931 masked Associate Manager Allscripts megen.murray@allscripts.com Vendor 2.16.840.1.113883.3.1049 Ext 14 Complete 2.16.840.1.113883.3.1049.4 2014/02/21 12:00:00 2014/07/22 12:00:00 2014/07/22 06:16:36 UV 2.16.840.1.113883.3.4569 smrmc Saint Mary's Regional Medical Center Matthew Borremans masked Matthew Borremans 235 W 6th St. Reno, NV 89503 775-770-3450 masked Business Analyst Saint Mary's Regional Medical Center 235 W Sixth St. Reno, NV 89502 775-770-3450 mborremans@primehealthcare.com Provider Int 3 Complete 2014/02/21 12:00:00 2014/07/22 12:00:00 2014/07/22 06:19:39 UV 2.16.840.1.113883.3.4570 pglSWRPCR Southwest Regional PCR LLC Lars Koenig masked Lars Koenig 8067711134 masked Southwest Regional PCR LLC 4321 Marsha Sharp Freeway Door 2 Lubbock, TX 79407 8067711134 info@pathogenius.com http://www.pathogenius.com Provider Int 3 Complete 2014/02/21 12:00:00 2014/07/23 12:00:00 2014/07/23 01:38:21 UV 2.16.840.1.113883.3.4571 paiprm Pampa Regional Medical Center Daniel Thomas masked Daniel Thomas One Medical Plaza Pampa TX 79065 8066635551 masked Applications Analyst Pampa Regional Medical Center One Medical Plaza Pampa TX 79065 8066635500 jpatton@primehealthcare.com Provider Int 3 Complete 2014/02/21 12:00:00 2014/07/23 12:00:00 2014/07/23 01:39:27 UV 2.16.840.1.113883.3.4572 exponents Exponents, Inc. Donald Powell masked Donald R. Powell Exponents 2 Washington Street, Fourth Floor New York, NY 10004 212.243.3434, ext. 145 masked Exponents, Inc. 2 Washington Street, Fourth Floor New York, NY 10004 212.243.3434 info@exponents.org https://www.exponents.org Provider Int 3 Complete 2014/02/21 12:00:00 2014/07/23 12:00:00 2014/07/23 01:40:57 UV 2.16.840.1.113883.3.801.4.2 dmc-drh DMC Detroit Receiving Hospital and University Health Center Joe Francis masked William Isaacs Dan Messing Detroit Medical Center Corporation 3663 Woodward Ave Room 5-926 Detroit, Michigan 48201-2445 313 578-2132 masked Manager, Clinical Systems Detroit Medical Center Corporation 3663 Woodward Ave Room 5-926 Detroit, Michigan 48201-2445 313 578-2132 dmessing@dmc.org HL7 body 2.16.840.1.113883.3.801 Ext 17 Complete 2.16.840.1.113883.3.801.4.2 2014/02/21 12:00:00 2014/07/23 12:00:00 2014/07/23 01:43:23 UV 2.16.840.1.113883.3.801.4.3 dmc-sgh DMC Sinai-Grace Hospital Joe Francis masked William Isaacs Dan Messing Detroit Medical Center Corporation 3663 Woodward Ave Room 5-926 Detroit, Michigan 48201-2445 313 578-2132 masked Manager, Clinical Systems Detroit Medical Center Corporation 3663 Woodward Ave Room 5-926 Detroit, Michigan 48201-2445 313 578-2132 dmessing@dmc.org Provider 2.16.840.1.113883.3.801 Ext 17 Complete 2.16.840.1.113883.3.801.4.3 2014/02/21 12:00:00 2014/07/23 12:00:00 2014/07/23 01:44:44 UV 2.16.840.1.113883.3.801.4.4 dmc-hvsh DMC Huron Valley-Sinai Hospital Joe Francis masked William Isaacs Dan Messing Detroit Medical Center Corporation 3663 Woodward Ave Room 5-926 Detroit, Michigan 48201-2445 313 578-2132 masked Manager, Clinical Systems Detroit Medical Center Corporation 3663 Woodward Ave Room 5-926 Detroit, Michigan 48201-2445 313 578-2132 dmessing@dmc.org Provider 2.16.840.1.113883.3.801 Ext 17 Complete 2.16.840.1.113883.3.801.4.4 2014/02/21 12:00:00 2014/07/23 12:00:00 2014/07/23 01:48:02 UV 2.16.840.1.113883.3.801.4.5 dmc-chm DMC Children's Hospital of Michigan Joe Francis masked William Isaacs Dan Messing Detroit Medical Center Corporation 3663 Woodward Ave Room 5-926 Detroit, Michigan 48201-2445 313 578-2132 masked Manager, Clinical Systems Detroit Medical Center Corporation 3663 Woodward Ave Room 5-926 Detroit, Michigan 48201-2445 313 578-2132 dmessing@dmc.org Provider 2.16.840.1.113883.3.801 Ext 17 Complete 2.16.840.1.113883.3.801.4.5 2014/02/21 12:00:00 2014/07/23 12:00:00 2014/07/23 01:49:23 UV 2.16.840.1.113883.3.801.4.6 dmc-rim DMC Rehabilitation Institute of Michigan Joe Francis masked William Isaacs Dan Messing Detroit Medical Center Corporation 3663 Woodward Ave Room 5-926 Detroit, Michigan 48201-2445 313 578-2132 masked Manager, Clinical Systems Detroit Medical Center Corporation 3663 Woodward Ave Room 5-926 Detroit, Michigan 48201-2445 313 578-2132 dmessing@dmc.org Provider 2.16.840.1.113883.3.801 Ext 17 Complete 2.16.840.1.113883.3.801.4.6 2014/02/21 12:00:00 2014/07/23 12:00:00 2014/07/23 04:01:52 UV 2.16.840.1.113883.3.801.4.7 dmc-dsh DMC Surgery Hospital Joe Francis masked William Isaacs Dan Messing Detroit Medical Center Corporation 3663 Woodward Ave Room 5-926 Detroit, Michigan 48201-2445 313 578-2132 masked Manager, Clinical Systems Detroit Medical Center Corporation 3663 Woodward Ave Room 5-926 Detroit, Michigan 48201-2445 313 578-2132 dmessing@dmc.org Provider 2.16.840.1.113883.3.801 Ext 17 Complete 2.16.840.1.113883.3.801.4.7 2014/02/21 12:00:00 2014/07/23 12:00:00 2014/07/23 06:32:43 UV 2.16.840.1.113883.3.4573 pafm Perry Avenue Family Medical Center (PAFM) Ruby Brito masked Alejandro Espada Ruby 3071 perry avenue Bronx new York 10467 7182316700 ext 120 masked administartive assistant Perry Avenue Family Medical Center (PAFM) 3071 perry avenue Bronx new York 10467 7182316700 rbrito@perrymed.com http://perrymed.com/ Provider Int 3 Complete 2014/02/21 12:00:00 2014/07/23 12:00:00 2014/07/23 06:51:35 UV 2.16.840.1.113883.4.705 h2uccs ccs-H2U Timothy Wade masked Timothy Wade H2U 3322 West End Avenue, Suite 400 Nashville, TN 37203 615-344-4472 masked Senior Architect H2U 3322 West End Avenue, Suite 400 Nashville, TN 37203 1-800-771-0428 h2u@h2u.com http://www.h2u.com Provider 2.16.840.1.113883 Int 3 Complete 2014/02/21 12:00:00 2014/07/23 12:00:00 2015/10/13 12:05:01 UV 2.16.840.1.113883.3.1070.5715 mckesson-fusion-5715 mckesson-fusion-5715 Gianna Goodman masked Fusion Enrollment 8775074541 masked Fusion Enrollment gianna_goodman@med3000.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5715 2014/02/22 12:00:00 2014/07/23 12:00:00 2014/07/23 06:59:54 US 2.16.840.1.113883.3.1070.5705 mckesson-fusion-5705 mckesson-fusion-5705 Gianna Goodman masked Fusion Enrollment 8775074541 masked Fusion Enrollment gianna_goodman@med3000.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5705 2014/02/22 12:00:00 2014/07/23 12:00:00 2014/07/23 07:02:52 US 2.16.840.1.113883.15.14 interpretedSummaryDiagnosticInvestigations Interpreted Summary of Diagnostic Investigations Jeffrey Sinclair masked Jeff.Ewen@health.wa.gov.au Jeffrey Sinclair PO Box 1888 Osborne Park 6917 08 6213 5477 masked Health Department Western Australia PO Box 8172 Perth Business Centre Perth WA 6849 Australia +61 8 9222 4222 Jeff.Ewen@health.wa.gov.au Govt body 1.2.36.1.2001.1005.29.8003624166690203 Int 15 Complete 2014/02/24 12:00:00 2014/12/15 12:00:00 2014/12/15 12:18:04 UV 2.16.840.1.113883.17.3911 aERMC-RHC Eaton Rapids Medical Center - Rural Health Clinics Constance Ebare masked Constance M Ebare 1500 S. Main St Eaton Rapids, MI 48827 5176639569 masked IS Director Eaton Rapids Medical Center 1500 S. Main St. Eaton Rapids, MI 48827 517-663-2671 cebare@ermchealth.org http://www.eatonrapidsmedicalcenter.org/ Provider Int 17 Complete 2014/02/24 12:00:00 2014/07/23 12:00:00 2024/10/04 01:51:54 UV 2.16.840.1.113883.3.1097.1.2117001 impob Acupuncture & Integrative Medicine Dennis Wigman masked Gail Ellliott Patrico 44199 Dequindre Rd, Troy, MI, 48085 248-964-9200 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2117001 2014/02/24 12:00:00 2014/07/23 12:00:00 2014/07/23 07:08:51 UV 2.16.840.1.113883.3.1097.1.1730011 immrcc Acupuncture & Integrative Medicine - Main location Dennis Wigman masked Gail Ellliott Patrico 3535 W 13 Mile Rd, Ste 208, Royal Oak, MI, 48073 248-551-0456 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730011 2014/02/24 12:00:00 2014/07/23 12:00:00 2014/07/23 07:10:30 UV 2.16.840.1.113883.3.1097.1.2350018 vwcmac Wound Treatment Center MAC Dennis Wigman masked Carol Benton 15979 Hall Rd, Macomb Township, MI, 48044 586-416-6216 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2350018 2014/02/24 12:00:00 2014/07/23 12:00:00 2014/07/23 07:12:00 UV 2.16.840.1.113883.3.1097.1.1267001 imcc Acupuncture & Integrative Medicine - Main location Dennis Wigman masked Gail Ellliott Patrico 3615 W 13 Mile Rd, Ste 304, Royal Oak, MI, 48073 248-551-9990 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1267001 2014/02/24 12:00:00 2014/07/23 12:00:00 2014/07/23 07:16:01 UV 2.16.840.1.113883.3.1097.9.90630101 fgpc Adult Diabetes and Endocrine Center Dennis Wigman masked Simonette Podwoiski 37650 Professional Center Dr, Ste 100A, Livonia, MI, 48154 734-462-1940 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90630101 2014/02/24 12:00:00 2014/07/23 12:00:00 2014/07/23 07:20:14 UV 2.16.840.1.113883.3.1097.9.91270101 alsro Advanced Laparoscopic Surgery - Main Department Dennis Wigman masked Bonnie Dufault 3535 W 13 Mile Rd, Ste 209, Royal Oak, MI, 48073 248-291-6516 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91270101 2014/02/24 12:00:00 2014/07/23 12:00:00 2014/07/23 07:26:15 UV 2.16.840.1.113883.3.1097.9.90680101 aapr Allergy & Asthma Physicians of Rocher Hills Dennis Wigman masked Bhavin Patel 950 W Avon Rd, Ste A-5, Rochester Hills, MI, 48307 248-651-1133 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90680101 2014/02/24 12:00:00 2014/07/23 12:00:00 2014/07/23 07:28:32 UV 2.16.840.1.113883.3.1097.1.4050203 wcgp Wound Treatment Center GP Dennis Wigman masked Michelle Childs 468 Cadieux, Grosse Pointe, MI, 48230 313-473-1968 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.4050203 2014/02/24 12:00:00 2014/07/23 12:00:00 2014/07/23 07:29:58 UV 2.16.840.1.113883.3.1097.9.90580101 aatp Allergy & Asthma Treatment Center, PLC Dennis Wigman masked Jihad Younes 292 S Broadway St, Ste 1, Lake Orion, MI, 48362 248-693-4444 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90580101 2014/02/24 12:00:00 2014/07/23 12:00:00 2014/07/23 07:31:27 UV 2.16.840.1.113883.3.1097.9.90770104 psmc-oid Lung and Sleep Medicine Center Dennis Wigman masked Jennifer Million 27901 Woodward Ave, Ste 220, Berkley, MI, 48072 248-556-5582 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90770104 2014/02/24 12:00:00 2014/07/23 12:00:00 2014/07/23 07:33:43 UV 2.16.840.1.113883.3.1097.1.1150003 wcvsc Wound Treatment Center Berkley - Main Department Dennis Wigman masked Carol Benton 28905 Woodward, Berkley 48072 248-551-7500 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1150003 2014/02/24 12:00:00 2014/07/23 12:00:00 2014/07/23 07:35:32 UV 2.16.840.1.113883.3.1097.9.90220101 ain American Institute of Neurological Disorders Dennis Wigman masked Neil Gilbert 18535 W 12 Mile Rd, Ste A, Lathrup Village, MI, 48076 248-552-3734 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90220101 2014/02/24 12:00:00 2014/07/23 12:00:00 2014/07/23 07:37:17 UV 2.16.840.1.113883.3.1097.9.90940101 aimphw Arthritis and Internal Medicine, PC Dennis Wigman masked Quelita Paul 26711 Woodward Ave, Ste 101, Huntington Woods, MI, 48070 248-586-1100 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90940101 2014/02/24 12:00:00 2014/07/23 12:00:00 2014/07/23 07:38:59 UV 2.16.840.1.113883.3.1097.1.1050216 wucro Womens Urology Center Dennis Wigman masked Krista Briggs 3601 W 13 Mile Rd, Ste 2 Flr CT, Royal Oak, MI, 48073 248-898-0898 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1050216 2014/02/24 12:00:00 2014/07/23 12:00:00 2014/07/23 07:40:48 UV 2.16.840.1.113883.3.1097.9.90940102 aimpsh Arthritis and Internal Medicine, PC Dennis Wigman masked Quelita Paul 37300 Dequindre Rd, Ste 138, Sterling Heights, MI, 48310 586-275-0461 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90940102 2014/02/24 12:00:00 2014/07/23 12:00:00 2014/07/23 07:42:39 UV 2.16.840.1.113883.3.1097.9.91020101 whmd William D. Hanna, M.D. Diseases of the Lung Dennis Wigman masked Marianne Hanselman 25869 Kelly Rd,, Roseville, MI, 48066 586-774-3780 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91020101 2014/02/24 12:00:00 2014/07/23 12:00:00 2014/07/23 07:44:11 UV 2.16.840.1.113883.3.1097.9.90080101 tower-apl Arthritis Physicians, LLC Dennis Wigman masked Rita Brady 1701 E South Blvd, Ste 140, Rochester Hills, MI, 48307 248-853-0803 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90080101 2014/02/24 12:00:00 2014/07/23 12:00:00 2014/07/23 07:46:39 UV 2.16.840.1.113883.3.4574 root-RRHS Rutherford Regional Health System - Root Registration Authority Gary Palmeri masked Gary Palmeri 288 South Ridgecrest Avenue Rutherfordton, NC 28139 828-286-5378 masked Server Analyst CCD coordinator Rutherford Regional Health System 288 South Ridgecrest Avenue Rutherfordton, NC 28139 828-286-5000 oid@rutherfordregional.com http://www.myrutherfordregional.com/ Provider Int 3 Complete 2014/02/24 12:00:00 2014/07/23 12:00:00 2014/07/23 07:49:28 UV 2.16.840.1.113883.3.1097.1.2220005 wcchwc Weight Control Center aka Rochester Hills Weight Contorl Center Dennis Wigman masked Michelle Forsyth 1555 E South Blvd, Ste 360, Rochester Hills, MI, 48307 248-267-5750 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2220005 2014/02/24 12:00:00 2014/07/23 12:00:00 2014/07/23 07:51:15 UV 2.16.840.1.113883.3.1097.1.1557001 wtctr Weight Control Center - Main Department Dennis Wigman masked Faith Gorncy 4949 Coolidge Hwy, Royal Oak, MI, 48073 248-655-5900 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1557001 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 06:45:03 UV 2.16.840.1.113883.3.1097.9.90130101 wrmlr Weiermiller and Bering Dennis Wigman masked Janet Zvonek 2311 15 Mile Rd, Ste A, Sterling Heights, MI, 48310 586-795-1390 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90130101 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 06:47:34 UV 2.16.840.1.113883.3.1097.9.90130102 brng Weiermiller and Bering Dennis Wigman masked Janet Zvonek 2311 15 Mile Rd, Ste A, Sterling Heights, MI, 48310 586-795-1390 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90130102 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 06:48:33 UV 2.16.840.1.113883.3.4575 irishouse Iris House:A Center For Women Living With HIV, Inc. Lawrence Carter masked Ingrid Floyd Lawrence Carter 2348 Adam Clayton Powell Jr. Blvd New York, New York 10030-2301 646-548-0100 masked Comptroller Iris House:A Center For Women Living With HIV, Inc. 2348 Adam Clayton Powell Jr. Blvd New York, New York 10030-2301 646-548-0100 IFloyd@irishouse.org http://www.irishouse.org Provider Int 3 Complete 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 06:52:57 UV 2.16.840.1.113883.3.1097.9.90350105 aepc Associated Endocrinologists, PC Dennis Wigman masked Nichole Prekup 5701 Bow Pointe Dr, Ste 220, Clarkston, MI, 48346 248-855-5620 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90350105 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 06:56:05 UV 2.16.840.1.113883.3.1097.9.90350103 aepct Associated Endocrinologists, PC Dennis Wigman masked Nichole Prekup 44199 Dequindre Rd, Ste C304, Troy, MI, 48085 248-855-5620 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90350103 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 06:57:56 UV 2.16.840.1.113883.3.1097.9.90350101 aepcwb Associated Endocrinologists, PC- Main Department Dennis Wigman masked Nichole Prekup 6900 Orchard Lake Rd, Ste 204, West Bloomfield, MI, 48322 248-855-5620 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90350101 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 07:00:18 UV 2.16.840.1.113883.3.1097.1.4350001 afcp Associated FamilyCare Physicians Dennis Wigman masked Cathy Hunter 27070 Hoover Rd, Warren, MI, 48093 586-427-7300 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.4350001 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 07:03:01 UV 2.16.840.1.113883.3.1097.9.90840101 vsmd Vinita Sharma, MD, F.A.C.O.G., P.L.L.C. Dennis Wigman masked Vernika Foggie 31450 7 Mile Rd, Ste 110, Livonia, MI, 48152 248-615-1234 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90840101 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 07:04:47 UV 2.16.840.1.113883.3.1097.1.2730006 bhs-aim Associates of Internal Medicine Dennis Wigman masked Brenda Bradford 38865 Dequindre Rd, Ste 106, Troy, MI, 48083 248-720-2626 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2730006 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 07:09:10 UV 2.16.840.1.113883.13.261 bwmc University of Maryland Baltimore Washington Medical Center Tara Newman-Bell masked U of MD Baltimore Washington Medical Center Tara L. Newman-Bell 301 Hospital Drive Glen Burnie, MD 21061 410-328-9955 masked Director, IS&T University of Maryland Baltimore Washington Medical Center tnewmanbell@umm.edu http://www.mybwmc.org/ Provider Int 3 Complete 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 07:13:50 US 2.16.840.1.113883.3.1097.1.4220002 vcgp "Vein Center -GP (Charles Shanley)" Dennis Wigman masked Nancy Knesbeck 87 Kercheval Ave, Grosse Pointe Farms, MI, 48236 313-473-1084 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.4220002 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 07:16:09 UV 2.16.840.1.113883.3.4576 icmedcenter Iron County Medical Center Mark Natale masked Mark Natale Iron County Medical Center 301 N State Highway 21 PO Box 548 Pilot Knob MO 63663 5735468035 masked IT Manager Iron County Medical Center Iron County Medical Center 301 N State Highway 21 PO Box 548 Pilot Knob MO 63663 573468035 mnatale@icmedcenter.org http://icmedcenter.org Provider Int 3 Complete 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 07:21:20 UV 2.16.840.1.113883.3.1097.1.1730002 ucmob Urology Center Dennis Wigman masked Krista Briggs 3535 W 13 Mile Rd, Ste 401, Royal Oak, MI, 48073 248-551-3535 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730002 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 07:23:50 UV 2.16.840.1.113883.3.1097.1.2160020 afcoscsh Atrial Fibrillation Center Dennis Wigman masked Pam Gray 44250 Dequindre Rd, Sterling Heights, MI, 48314 248-964-6101 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2160020 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 07:25:27 UV 2.16.840.1.113883.3.1097.1.1730027 uamob Urology Associates MOB Dennis Wigman masked Krista Briggs 3535 W 13 Mile Rd, Ste 404, Royal Oak, MI, 48073 248-551-3519 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730027 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 07:28:52 UV 2.16.840.1.113883.3.1097.9.91490101 bmc Basmit Medical Center Dennis Wigman masked Mike Razoky 34764 Dequindre Rd, Sterling Heights, MI, 48310 586-883-6787 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91490101 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 07:32:21 UV 2.16.840.1.113883.3.1097.1.2730002 bcstr Beaumont Cardiovascular Surgery Dennis Wigman masked Pam Gray 44250 Dequindre Rd, Sterling Heights, MI, 48314 248-964-6101 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2730002 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 07:34:58 UV 2.16.840.1.113883.3.1097.9.91480101 uog Urbana OB/GYN Dennis Wigman masked Deborah Roszczewski 2950 Crooks Rd, Rochester Hills, MI, 48309 248-853-5093 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91480101 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 07:37:15 UV 2.16.840.1.113883.3.1097.1.1730048 bcsro Beaumont Cardiovascular Surgery - Main location Dennis Wigman masked Pam Gray 44250 Dequindre Rd, Sterling Heights, MI, 48314 248-964-6101 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730048 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 07:40:26 UV 2.16.840.1.113883.3.1097.1.4320001 scsfmc Beaumont Family Medicine Center Dennis Wigman masked Cynthia Cavanaugh 21400 E 11 Mile Rd, St Clair Shores, MI, 48081 586-498-4400 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.4320001 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 07:41:54 UV 2.16.840.1.113883.3.1097.1.1730049 tkmob Ty Kwaiser, MD Dennis Wigman masked Carrie Decker 3535 W 13 Mile Rd, Ste 329, Royal Oak, MI, 48073 248-551-0831 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730049 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 07:44:34 UV 2.16.840.1.113883.3.1097.9.91230101 tpcc Troy Primary Care Center, P.C. Dennis Wigman masked Tony Kado 1380 Coolidge Hwy, Ste 100, Troy, MI, 48084 248-288-4300 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91230101 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 07:47:20 UV 2.16.840.1.113883.3.1097.9.91080101 tpplc Troy Pediatrics, PLC Dennis Wigman masked Sam Younes 1380 Coolidge Hwy, Ste 240, Troy, MI, 48084 248-435-9310 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91080101 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 07:49:45 UV 2.16.840.1.113883.3.4577 apcs Academic Primary Care Specialists Tabitha Gray masked Tabitha Gray 28411 Northwestern Hwy, Suite 1050 Southfield,MI 48034 2483544709 masked Regional Director Academic Primary Care Specialists 27209 Lahser Rd Suite 120 Southfield, MI 48034 2487994300 tgray@aims.us.com Provider 2.16.840.1.113883.3.4577 Int 3 Complete 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 07:53:21 UV 2.16.840.1.113883.3.1097.9.91540101 vks Tri County Neurology Dennis Wigman masked Jeanette 18161 E. 8 Mile, Eastpointe, MI, 48021 586-772-7200 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91540101 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 07:55:05 UV 2.16.840.1.113883.3.1097.1.1730004 tvmob Theodore Vlachos, MD Dennis Wigman masked Carrie Decker 3535 W 13 Mile Rd, Ste 329, Royal Oak, MI, 48073 248-551-1399 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730004 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 07:56:38 UV 2.16.840.1.113883.3.4578 athenaBreastHealthNetwork Athena Breast Health Network Daniel Dumitru masked Mark Shafarman Daniel Dumitru 3240 Saint Ives Ct. Shingle Springs, CA, 95682 9167249013 masked Athena Breast Health Network Allison Stover-Fiscalini The Athena Program Management Office, 3450 California Street, 2nd floor San Francisco, CA 94118 (415) 476-0267 Allison.Fiscalini@ucsfmedctr.org http://athenacarenetwork.org/ Academic Int 3 Complete 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 07:58:42 UV 2.16.840.1.113883.3.1097.1.1550034 thebridge The BRIDGE Partial Hospital & Intensive Outpatient Dennis Wigman masked Michael Seeds 4949 Coolidge Hwy, Royal Oak, MI, 48073 248-655-5608 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1550034 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 08:01:10 UV 2.16.840.1.113883.3.4579 zshaikh MidMichigan Neurology Stacy Wohlscheid masked Stacy Wohlscheid 315 East Warwick Drive, Ste F-1 Alma, MI 48801 9897720453 masked Manager MidMichigan Neurology 315 East Warwick Drive, Ste F-1 Alma, MI 48801 9894630457 wohlscheidstacy@yahoo.com Provider Int 3 Complete 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 08:07:57 UV 2.16.840.1.113883.3.1097.9.90520101 kkim T.N. Kakish, MD, PC Dennis Wigman masked Precious Ross 32121 Woodward Ave, Ste 204, Royal Oak, MI, 48073 248-399-5492 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90520101 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 08:04:40 UV 2.16.840.1.113883.3.1097.1.1730055 bneuro Sunitha Santhakumar, MD Dennis Wigman masked Chasity Bellon 3535 W 13 Mile Rd, Ste 240, Royal Oak, MI, 48073 248-551-2650 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730055 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 08:10:23 UV 2.16.840.1.113883.3.1097.9.90870101 snmd Cathleen Vanfleteren Dennis Wigman masked Cathleen Vanfleteren 18285 E 10 Mile Rd, Ste 120, Roseville, MI, 48066 586-771-4830 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90870101 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 08:13:03 UV 2.16.840.1.113883.3.1097.9.90260101 shs Steven H. Schechter, MD Dennis Wigman masked Katherine Turner 6900 Orchard Lake Rd, West Bloomfield, MI, 48322 248-855-7495 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90260101 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 08:17:11 UV 2.16.840.1.113883.3.1097.1.4330002 bscsi St Clair Shores Internists (Billing Only) Dennis Wigman masked Dana Jimenez 29751 Little Mack Ave, Ste A, Roseville, MI, 48066 586-447-4000 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.4330002 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 08:18:46 UV 2.16.840.1.113883.3.1097.1.4330001 scsi St Clair Shores Internists Dennis Wigman masked Dana Jimenez 29751 Little Mack Ave, Ste A, Roseville, MI, 48066 586-447-4000 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.4330001 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 08:19:40 UV 2.16.840.1.113883.3.1097.9.91300101 swpd Southwest Pediatrics Dennis Wigman masked Kim Tamburro 37672 Professional Center Dr, Ste 120, Livonia, MI, 48154 734-591-0220 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91300101 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 08:22:04 UV 2.16.840.1.113883.3.1097.1.4520018 smvc Southeast Michigan Vascular Consultants Dennis Wigman masked Sarah Gasiewski 25631 Little Mack Ave, Ste 205, St Clair Shores, MI, 48081 586-443-2930 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.4520018 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 08:23:49 UV 2.16.840.1.113883.3.1097.9.90880101 smmc Kelly Muns Dennis Wigman masked Kelly Muns 21420 Harper Ave, Ste 2, St Clair Shores, MI, 48080 586-775-7400 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90880101 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 08:25:28 UV 2.16.840.1.113883.3.1097.9.90810101 slfd South Lyon Family Docs Dennis Wigman masked Michele Wilkinson 26006 Pontiac Trail, South Lyon, MI, 48178 248-437-5613 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90810101 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 08:26:43 UV 2.16.840.1.113883.3.1097.9.90270101 samg South Allen Medical Group Dennis Wigman masked Jill Boyd 21090 Allen Rd, Woodhaven, MI, 48183 734-676-9800 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90270101 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 08:27:57 UV 2.16.840.1.113883.3.1097.9.90910101 sgf Sonia G. Fernando, MD Dennis Wigman masked Mary Kerfoot 14555 Levan Rd, Ste 312, Livonia, MI, 48154 734-542-7190 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90910101 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 08:29:28 UV 2.16.840.1.113883.3.1097.9.91580101 sucr Somerset Urgent Care Dennis Wigman masked Cathy Naddaf 1500 W. Big Beaver Rd, Ste 105, Troy, MI, 48084 248-649-4444 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91580101 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 08:44:30 UV 2.16.840.1.113883.3.1097.9.91090101 simpc Skywalk Internal Medicine, P.C. Dennis Wigman masked Nadheer Issa 44344 Dequindre Rd, Ste 540, Sterling Heights, MI, 48314 248-933-0522 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91090101 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 08:45:36 UV 2.16.840.1.113883.3.1097.9.90140101 srpc Shores Rheumatology, PC Dennis Wigman masked Judith Zoia 29200 Harper Ave, St Clair Shores, MI, 48081 586-777-7577 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90140101 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 08:47:16 UV 2.16.840.1.113883.3.1097.1.4340001 sfp Shores Family Physicians Dennis Wigman masked Rhonda Ripley 25631 Little Mack Ave, Ste 103, St Clair Shores, MI, 48081 586-443-2333 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.4340001 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 08:48:48 UV 2.16.840.1.113883.3.4580 pcisgold PCISGOLD Kyle Crandall masked Kyle Crandall 1525 W 820 N Provo, UT 84601 801-429-2110 masked VP Software Development PCIS GOLD 1525 W 820 N Provo, UT 84601 801-373-8518 info@pcisgold.com http://www.pcisgold.com Vendor Int 3 Complete 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 08:50:34 UV 2.16.840.1.113883.3.3823.200001 hfcc-00001 HFHS Community Connect Ghassan Atto Practice James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Director, IT Clinical Applications Henry Ford Heatlh System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org http://www.henryford.com/ Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.200001 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 08:51:59 UV 2.16.840.1.113883.3.3823.203001 hfcc-03001 HFHS Community Connect Dean Clinic Practice - Sterling Heights James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Director, IT Clinical Applications Henry Ford Heatlh System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org http://www.henryford.com/ Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.203001 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 08:53:39 UV 2.16.840.1.113883.3.3823.203002 hfcc-03002 HFHS Community Connect Dean Clinic Practice - Detroit James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Director, IT Clinical Applications Henry Ford Heatlh System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org http://www.henryford.com/ Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.203002 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 08:54:54 UV 1.3.6.1.4.1.26580.190.120150003 kpnw-van-mob Vancouver Medical Office Kelly Mohammad masked Kelly Mohammad 5032714726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.120150003 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 08:56:37 UV 2.16.840.1.113883.3.3823.204001 hfcc-04001 HFHS Community Connect R.R. Yalamanchi Practice James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Director, IT Clinical Applications Henry Ford Heatlh System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org http://www.henryford.com/ Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.204001 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 08:58:28 UV 2.16.840.1.113883.3.3823.202001 hfcc-02001 HFHS Community Connect Eastpointe Internists Practice James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Director, IT Clinical Applications Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org http://www.henryford.com/ Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.202001 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 08:59:49 UV 1.3.6.1.4.1.26580.190.120150004 kpnw-sal-mob SALMON CREEK MEDICAL OFFICE Kelly Mohammad masked Kelly Mohammad 5032714726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.120150004 2014/02/24 12:00:00 2014/07/24 12:00:00 2014/07/24 09:01:23 UV 2.16.840.1.113883.3.3823.207001 hfcc-07001 HFHS Community Connect MohammadReza Kahnamouei, MD,PC Practice James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Director, IT Clinical Applications Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org http://www.henryford.com/ Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.207001 2014/02/24 12:00:00 2014/08/03 12:00:00 2014/08/03 09:15:04 UV 1.3.6.1.4.1.26580.190.120150006 kpnw-div-mob DIVISION MEDICAL OFFICE Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider Ext 17 Complete 1.3.6.1.4.1.26580.190.120150006 2014/02/24 12:00:00 2014/08/03 12:00:00 2014/08/03 09:16:40 UV 1.3.6.1.4.1.26580.190.120150009 kpnw-int-mob INTERSTATE MEDICAL OFFICE EAST Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 5038132000 kelly.sato.mohammad@kp.org Provider Ext 17 Complete 1.3.6.1.4.1.26580.190.120150009 2014/02/24 12:00:00 2014/08/03 12:00:00 2014/08/03 09:23:16 UV 2.16.840.1.113883.3.3823.209001 hfcc-09001 HFHS Community Connect Neurology Michigan PC Practice James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Director, IT Clinical Applications Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org http://www.henryford.com/ Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.209001 2014/02/24 12:00:00 2014/08/03 12:00:00 2014/08/03 09:28:41 UV 1.3.6.1.4.1.26580.190.120150010 kpnw-wint-mob WEST INTERSTATE MEDICAL OFFICE Kelly Mohammad masked Kelly Mohammad 5032714726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.120150010 2014/02/24 12:00:00 2014/08/03 12:00:00 2014/08/03 09:52:02 UV 1.3.6.1.4.1.26580.190.120150013 kpnw-rkw-mob ROCKWOOD MEDICAL OFFICE Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.120150013 2014/02/24 12:00:00 2014/08/03 12:00:00 2014/08/03 09:55:37 UV 1.3.6.1.4.1.26580.190.120150014 kpnw-cint-mob INTERSTATE MEDICAL OFFICE CENTRAL Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.120150014 2014/02/24 12:00:00 2014/08/03 12:00:00 2014/08/03 09:58:45 UV 1.3.6.1.4.1.26580.190.120150016 kpnw-cpk-mob CASCADE PARK MEDICAL OFFICE Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.120150016 2014/02/24 12:00:00 2014/08/03 12:00:00 2014/08/03 10:02:09 UV 1.3.6.1.4.1.26580.190.120150019 kpnw-lvk-mob LONGVIEW KELSO MEDICAL OFFICE Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.120150019 2014/02/24 12:00:00 2014/08/03 12:00:00 2014/08/03 10:04:03 UV 1.3.6.1.4.1.26580.190.120150021 kpnw-nint-mob NORTH INTERSTATE BUILDING Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.120150021 2014/02/24 12:00:00 2014/08/03 12:00:00 2014/08/03 10:06:15 UV 1.3.6.1.4.1.26580.190.120150023 kpnw-sst-mob SUNSET MEDICAL OFFICE Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.120150023 2014/02/24 12:00:00 2014/08/03 12:00:00 2014/08/03 10:07:24 UV 1.3.6.1.4.1.26580.190.120150025 kpnw-smo-mob SUNNYSIDE MEDICAL OFFICE Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.120150025 2014/02/24 12:00:00 2014/08/03 12:00:00 2014/08/03 10:09:38 UV 2.16.840.1.113883.3.3823.210001 hfcc-10001 HFHS Community Connect Arun Singal, MD PC Practice James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org http://www.henryford.com/ Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.210001 2014/02/24 12:00:00 2014/08/03 12:00:00 2014/08/03 01:40:57 UV 2.16.840.1.113883.3.3823.211001 hfcc-11001 HFHS Community Connect Thwainey Family Medicine Practice James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Director, IT Clinical Applications Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org http://www.henryford.com/ Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.211001 2014/02/24 12:00:00 2014/08/03 12:00:00 2014/08/03 01:44:15 UV 2.16.840.1.113883.3.3823.212001 hfcc-12001 HFHS Community Connect Advanced Cardiothoracic Surgeons Practice James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Director, IT Clinical Applications Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org http://www.henryford.com/ Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.212001 2014/02/24 12:00:00 2014/08/03 12:00:00 2014/08/03 01:45:40 UV 2.16.840.1.113883.3.3823.213001 hfcc-13001 HFHS Community Connect Cardiovascular Institute of Michigan Practice - Roseville James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Director, IT Clinical Applications Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org http://www.henryford.com/ Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.213001 2014/02/24 12:00:00 2014/08/03 12:00:00 2014/08/03 01:47:43 UV 2.16.840.1.113883.3.3823.213002 hfcc-13002 HFHS Community Connect Cardiovascular Institute of Michigan Practice - Clinton Twp. James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Director, IT Clinical Applications Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org http://www.henryford.com/ Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.213002 2014/02/24 12:00:00 2014/08/03 12:00:00 2014/08/03 01:49:08 UV 2.16.840.1.113883.3.3823.214001 hfcc-14001 HFHS Community Connect Vijaya Challa, MD Practice James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Director, IT Clinical Applications Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org http://www.henryford.com/ Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.214001 2014/02/24 12:00:00 2014/08/03 12:00:00 2014/08/03 01:50:55 UV 2.16.840.1.113883.3.1097.1.4380001 spt Shorepointe Family Physicians Dennis Wigman masked Tierney Moore 22646 E 9 Mile Rd, Ste A, St Clair Shores, MI, 48080 586-498-4800 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.4380001 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 01:52:19 UV 2.16.840.1.113883.3.1097.9.91630101 abs Shahbandar Dennis Wigman masked Heather Cowart 1349 Rocher Rd, Ste 105, Rochester Hills, MI, 48307 248-652-6336 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91630101 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 01:54:41 UV 2.16.840.1.113883.3.1097.9.91570101 sgp SG Pediatrics Dennis Wigman masked Janet Porter 1455 S Lapeer Rd, Ste 134, Lake Orion, MI, 48306 248-683-3385 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91570101 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 01:55:54 UV 2.16.840.1.113883.3.1097.1.1730054 skmob Sangeeta Kaur, MD Dennis Wigman masked Carrie Decker 3535 W 13 Mile Rd, Ste 329, Royal Oak, MI, 48073 248-551-1399 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730054 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 01:57:28 UV 2.16.840.1.113883.3.1097.9.90380101 abpc Ashok Kumar Bansal, MD, PC Dennis Wigman masked Karen Whitsett 18451 W 12 Mile Rd, Ste 200, Lathrup Village, MI, 48076 248-827-7612 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90380101 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 01:58:49 UV 2.16.840.1.113883.3.1097.9.90230101 nmnw Saad Naaman, MD, PC Dennis Wigman masked Dunia Naaman 28567 Ryan Rd, Warren, MI, 48092 586-558-7700 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90230101 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 02:00:16 UV 2.16.840.1.113883.3.1097.9.91330101 rldp Rudyard Dimson Dennis Wigman masked Lourdes Dimson 43351 Commons Dr, Clinton Twsp, MI 48066 586-228-8606 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91330101 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 02:04:38 UV 2.16.840.1.113883.3.1097.9.90180101 rosrg Royal Oak Surgical Associates, Inc. Dennis Wigman masked Julie Bobowski 3535 W 13 Mile Rd, Ste 205, Royal Oak, MI, 48073 248-551-8180 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90180101 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 02:07:36 UV 2.16.840.1.113883.3.1097.9.90370101 rmpc Robin Moherek, MD, PC Dennis Wigman masked Julie Bobowski 3535 W 13 Mile Rd, Ste 205, Royal Oak, MI, 48073 248-551-8180 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90370101 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 02:11:52 UV 2.16.840.1.113883.3.1097.9.90410101 rmmd Robert L. Marchese, MD, Diseases of the Lung, PLLC Dennis Wigman masked Laurie Marchese 25810 Kelly Rd, Ste 3, Roseville, MI, 48066 586-777-9724 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90410101 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 02:13:37 UV 2.16.840.1.113883.3.1097.1.1710037 psmtor Robert E. Poley, MD Dennis Wigman masked Allison Strobl 4550 Investment Dr, Ste 240, Troy, MI, 48098 248-792-9881 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1710037 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 02:15:55 UV 2.16.840.1.113883.3.1097.1.1710008 psmorc Robert E. Poley, MD Dennis Wigman masked Allison Strobl 15959 Hall Rd, Ste 405, Macomb, MI, 48044 586-416-6260 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1710008 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 02:17:31 UV 2.16.840.1.113883.3.1097.1.4730004 rjmd RENEE JIDDOU MD Dennis Wigman masked Cathy Hunter 27070 Hoover Rd, Warren, MI 48093 586-427-7310 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.4730004 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 02:19:33 UV 2.16.840.1.113883.3.1097.9.90600101 rcpc Renal Consultant, PC Dennis Wigman masked Olivia David 2221 Livernois Rd, Ste 100, Troy, MI, 48083 248-250-9474 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90600101 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 02:21:48 UV 2.16.840.1.113883.3.1097.1.2730005 rctr Reflux Center Dennis Wigman masked Marlene Golabek 44199 Dequindre Rd,, Ste 315, Troy, MI, 48314 888-997-3358 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2730005 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 02:23:42 UV 2.16.840.1.113883.3.1097.9.90990101 rdmdgp Ray S. Dixon, MD - Main Department Dennis Wigman masked Linda Fisher 18120 Mack Ave, Grosse Pointe, MI, 48230 313-417-0774 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90990101 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 02:29:31 UV 2.16.840.1.113883.3.1097.9.90990102 rdmdsf Ray S. Dixon, MD Dennis Wigman masked Linda Fisher 23077 Greenfield Rd, Ste 144, Southfield, MI, 48075 248-569-6120 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90990102 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 02:30:17 UV 2.16.840.1.113883.3.1097.9.90820101 remdro Raina M. Ernstoff, MD, F.A.A.N., F.A.C.P. - Main Department Dennis Wigman masked Sandra Howes 3535 W 13 Mile Rd , Ste 747, Royal Oak, MI, 48073 248-435-5700 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90820101 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 02:31:56 UV 2.16.840.1.113883.3.1097.9.90820102 remdtr Raina M. Ernstoff, MD, F.A.A.N., F.A.C.P. Dennis Wigman masked Sandra Howes 44199 Dequindre Rd, Ste 518, Troy, MI, 48085 248-964-9140 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90820102 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 02:33:20 UV 2.16.840.1.113883.3.1097.1.2120007 rdoncsh Radiation Oncology CCSH Dennis Wigman masked Thomas Lani 44344 Dequindre Rd, Sterling Heights, MI, 48314 248-694-3070 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2120007 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 02:36:25 UV 2.16.840.1.113883.3.1097.1.2050054 rdonctr Radiation Oncology Dennis Wigman masked Thomas Lanni Sterling Heights POB, Ste 350, Sterling Heights, MI 48314 248-694-3070 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2050054 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 02:37:55 UV 2.16.840.1.113883.3.1097.1.2157001 fmc Beaumont Family Medicine Center Dennis Wigman masked Annette Cox 44250 Dequindre Rd, Sterling Heights, MI, 48314 248-964-0400 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2157001 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 02:40:16 UV 2.16.840.1.113883.3.1097.1.1730019 gasmob Beaumont Internal Medicine & Gastroenterology Dennis Wigman masked Brenda Lusk 3535 W 13 Mile Rd, Ste 302, Royal Oak, MI 48073 248-551-0615 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730019 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 02:43:41 UV 2.16.840.1.113883.3.1097.1.1050048 rdoncro Radiation Oncology Dennis Wigman masked Thomas Lanni 115-IC Radiation Onc, Royal Oak, MI, 48073 248-551-7020 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1050048 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 02:46:24 UV 2.16.840.1.113883.3.1097.1.1730020 immob Beaumont Internal Medicine & Gastroenterology - Main Location Dennis Wigman masked Ellane Richardson 1949 W 12 Mile Rd, Royal Oak, MI 48073 248-551-0615 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730020 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 02:48:21 UV 2.16.840.1.113883.3.1097.1.1730071 bnccc Beaumont Neurology Clinic (Cancer Center) Dennis Wigman masked Jenna Hope 3577 W 13 Mile Rd, Ste 202, Royal Oak, MI, 48073 248-551-2380 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730071 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 02:50:21 UV 2.16.840.1.113883.3.1097.1.1730063 rbrtsn R. Stewart Robertson, MD Dennis Wigman masked Diana Leshinsky 755 W Big Beaver Rd, Ste 231B, Troy, MI, 48084 248-404-9545 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730063 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 02:52:12 UV 2.16.840.1.113883.3.1097.1.1730052 bposm Beaumont Premier Orthopedics & Sports Medicine Dennis Wigman masked Dawn Corbett 25631 Little Mack Ave, Ste 102, St Clair Shores, MI, 48081 586-774-5336 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730052 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 02:53:58 UV 2.16.840.1.113883.3.1097.9.91510101 zpmdha Purzycki - aka MI Primary Care - Main Department Dennis Wigman masked Dr Purzycki 2627 Holbrook, Hamtramck, MI 48212 313-974-6053 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91510101 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 02:55:53 UV 2.16.840.1.113883.3.1097.1.1720002 bhim Beverly Hills Internal Medicine Dennis Wigman masked Marie Zager 17392 W 13 Mile Rd, Beverly Hills, MI, 48025 248-646-8166 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1720002 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 02:57:47 UV 2.16.840.1.113883.17.3912 uphs-portage UP Health System - Portage Heather Gagnon masked Sheryl Givens 500 Campus Dr. Hancock, MI 49930 906 483 1966 masked IT Manager UP Health System - Portage 500 Campus Dr. Hancock, MI 49930 906 483 1000 sgivens@portagehealth.org Provider Int 17 Complete 2014/02/25 12:00:00 2014/08/03 12:00:00 2019/06/21 09:43:49 UV 2.16.840.1.113883.3.1097.9.91510102 zpmdtr Purzycki - aka MI Primary Care Dennis Wigman masked Dr Purzycki 38815 Dequindre Rd, Ste 103, Troy, MI, 48083 248-909-9830 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91510102 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 03:02:30 UV 2.16.840.1.113883.3.1097.1.1950112 pslnhc Pulmonary Sleep Lab NHC Dennis Wigman masked Dina Gargano or Jennifer Million 1949 W 12 Mile Rd, Berkley, MI, 48072 248-547-4276 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1950112 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 03:04:24 UV 2.16.840.1.113883.3.1097.1.1730026 pulmob Pulmonary Services MOB Dennis Wigman masked Dina Gargano 3535 W 13 Mile Rd, Ste 507, Royal Oak, MI 48073 248-551-0497 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730026 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 03:08:51 UV 2.16.840.1.113883.3.1097.9.91220101 pma Pulmonary Medicine Associates, P.C. Dennis Wigman masked Nancy Simms 30117 Schoenherr Rd, Ste 100, Warren, MI, 48088 586-751-8844 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91220101 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 03:11:41 UV 2.16.840.1.113883.3.1097.9.90390101 psdc Pulmonary and Sleep Disorders Center Dennis Wigman masked Kathy Grigg 909 W Maple Rd, Ste 105, Clawson, MI, 48017 248-280-1867 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90390101 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 03:13:59 UV 2.16.840.1.113883.3.1070.5743 mckesson-fusion-5743 mckesson-fusion-5743 Gianna Goodman masked Fusion Enrollment 8775074541 masked Fusion Enrollment gianna_goodman@med3000.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5743 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 03:15:47 US 1.3.6.1.4.1.26580.190.120150028 kpnw-mts-mob MT SCOTT MEDICAL OFFICE Kelly Mohammad masked Kelly Mohammad 5032714726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.120150028 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 03:18:01 UV 1.3.6.1.4.1.26580.190.120150031 kpnw-bvt-mob BEAVERTON MEDICAL OFFICE Kelly Mohammad masked Kelly Mohammad 5032714726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.120150031 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 03:20:34 UV 1.3.6.1.4.1.26580.190.120150033 kpnw-mtt-mob MT TALBERT MEDICAL OFFICE Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.120150033 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 03:23:16 UV 1.3.6.1.4.1.26580.190.120150035 kpnw-nlr-mob NORTH LANCASTER MEDICAL OFFICE Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.120150035 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 03:24:39 UV 1.3.6.1.4.1.26580.190.120150037 kpnw-sky-mob SKYLINE MEDICAL OFFICE Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.120150037 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 03:25:39 UV 1.3.6.1.4.1.26580.190.120150045 kpnw-cpk-dob CASCADE PARK DENTAL OFFICE Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.120150045 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 03:26:50 UV 2.16.840.1.113883.3.1070.5732 mckesson-fusion-5732 mckesson-fusion-5732 Michelle Banks masked Fusion Enrollment 8775074541 masked Fusion Enrollment michelle.banks@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5732 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 03:31:44 US 1.3.6.1.4.1.26580.190.120150046 kpnw-tua-mob TUALATIN MEDICAL OFFICE Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.120150046 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 03:30:14 UV 1.3.6.1.4.1.26580.190.120150051 kpnw-mlp-mob MILL PLAIN ONE MEDICAL OFFICE Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.120150051 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 03:34:18 UV 1.3.6.1.4.1.26580.190.120150052 kpnw-fsl-mob FISHER'S LANDING MEDICAL OFFICE Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.120150052 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 03:35:27 UV 1.3.6.1.4.1.26580.190.120150053 kpnw-mjp-mob MOTHER JOSEPH PLAZA Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.120150053 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 03:36:51 UV 1.3.6.1.4.1.26580.190.120150058 kpnw-sint-mob INTERSTATE MEDICAL OFFICE SOUTH Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.120150058 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 03:38:24 UV 2.16.840.1.113883.3.1097.9.90070101 pcapc Primary Care Assoc PC Dennis Wigman masked Kathy Serra 25599 Kelly Rd, Ste B, Roseville, MI, 48066 586-445-2330 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90070101 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 03:41:02 UV 2.16.840.1.113883.3.1097.1.1730512 prsmob Plastic and Reconstructive Surgery Dennis Wigman masked Chasity Bellon 3535 W 13 Mile Rd, Ste 240, Royal Oak, MI, 48073 248-551-1550 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730512 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 03:44:16 UV 2.16.840.1.113883.3.1097.9.90560101 pppc Pediatrics Plus P.L.C. Dennis Wigman masked Abdur Rasheed 37300 Dequindre Rd, Sterling Heights, MI, 48314 586-939-6899 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90560101 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 03:45:59 UV 1.3.6.1.4.1.26580.190.120150061 kpnw-ksmc-ih KAISER SUNNYSIDE MEDICAL CENTER Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.120150061 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 03:48:13 UV 2.16.840.1.113883.3.4581 madera-community-hospital Madera Community Hospital Gerald Kovalski masked Mark Foote Gerald Kovalski 1250 E. Almond Ave. Madera, CA 93637 559-675-5555 masked EMR Analyst Madera Community Hospital 1250 E. Almond Ave. Madera, CA 93637 559-675-5555 mfoote@maderahospital.org http://www.maderahospital.org Provider Int 3 Complete 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 03:51:17 UV 2.16.840.1.113883.3.1097.1.1730024 psmob Pediatric Surgical Group Dennis Wigman masked Linda Walker 3535 W 13 Mile Rd, Ste 748, Royal Oak, MI, 48073 248-551-2400 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730024 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 03:52:45 UV 1.3.6.1.4.1.26580.190.120150064 kpnw-smc-ih SUNNYSIDE MEDICAL CENTER Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.120150064 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 03:54:33 UV 1.3.6.1.4.1.26580.190.120150066 kpnw-sky-asc SKYLINE SURGERY CENTER Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.120150066 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 03:55:41 UV 2.16.840.1.113883.3.1097.1.1730023 pssmob Pediatric Sub-speciality MOB Dennis Wigman masked Kimberly West 3535 W 13 Mile Rd, Ste 707, Royal Oak, MI, 48073 248-551-0487 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730023 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 03:57:59 UV 1.3.6.1.4.1.26580.190.121150100 kpnw-sint-asc INTERSTATE SOUTH SURGERY CENTER Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.121150100 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 04:05:33 UV 1.3.6.1.4.1.26580.190.12119170 kpnw-bsc-asmc BROOKSIDE CENTER AT SUNNYSIDE Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.12119170 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 04:08:28 UV 1.3.6.1.4.1.26580.190.12119171 kpnw-bscr-rf BROOKSIDE CENTER RESIDENTIAL SA Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.12119171 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 04:14:11 UV 2.16.840.1.113883.3.1097.1.2730012 psstr "Pediatric Subspecialities GI Troy" Dennis Wigman masked Laura Polce 44201 Dequindre Rd, Ste 615, Troy, MI, 48085 248-964-9660 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2730012 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 04:17:12 UV 1.3.6.1.4.1.26580.190.12119172 kpnw-bscop-mob BROOKSIDE CENTER OP OFFICE Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.12119172 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 04:19:12 UV 1.3.6.1.4.1.26580.190.12119173 kpnw-bscnr-mob BROOKSIDE CENTER NON RESIDENTIAL SA Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.12119173 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 04:22:42 UV 1.3.6.1.4.1.26580.190.12133047 kpnw-mho-mob MURRAYHILL NEIGHBORHOOD OFFICE Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.12133047 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 04:25:33 UV 1.3.6.1.4.1.26580.190.12433674 kpnw-hbn-mob HILLSBORO NEIGHBORHOOD OFFICE Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.12433674 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 04:32:05 UV 1.3.6.1.4.1.26580.190.121150203 kpnw-soh-mob SUNNYSIDE OUTPATIENT HOSPITAL Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.121150203 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 04:34:37 UV 2.16.840.1.113883.3.1097.1.1730057 pedpul Pediatric Pulmonology Dennis Wigman masked Amanda Roberts 33200 W 14 Mile Rd, Ste 230, West Bloomfield, MI, 48322 248-862-6100 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730057 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 04:37:45 UV 2.16.840.1.113883.3.1097.1.1730014 poltcc Pediatric Oncology (Long Term) Dennis Wigman masked Beverly Dub 3577 W 13 Mile Rd, Ste 101, Royal Oak, MI 48073 248-551-0360 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730014 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 04:39:49 UV 1.3.6.1.4.1.26580.190.121150204 kpnw-seh-ih SUNNYSIDE EMERGENCY HOSPITAL Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.121150204 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 04:41:35 UV 2.16.840.1.113883.3.1097.9.90620101 rgmd Pediatric Institute For Epilepsy And Neuro Disorders Dennis Wigman masked Kim Baynes 29592 Northwern Hwy, Southfield, MI, 48034 248-354-0967 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90620101 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 04:43:58 UV 2.16.840.1.113883.3.1097.1.1730012 porcc Pediatric Hematology/Oncology Dennis Wigman masked Beverly Dub 3577 W 13 Mile Rd, Ste 101, Royal Oak, MI, 48073 248-551-0360 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730012 2014/02/25 12:00:00 2014/08/03 12:00:00 2014/08/03 04:46:25 UV 1.3.6.1.4.1.26580.190.121150205 kpnw-iroc-mob INTERSTATE RADIATION ONCOLOGY Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.121150205 2014/02/25 12:00:00 2014/08/04 12:00:00 2014/08/04 06:02:57 UV 2.16.840.1.113883.3.1097.9.90100101 pedhc Pediatric HealthCare PLLC Dennis Wigman masked Ann Muldoon 42141 Mound Rd, Ste B, Sterling Heights, MI, 48314 586-254-7593 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90100101 2014/02/25 12:00:00 2014/08/04 12:00:00 2014/08/04 06:04:30 UV 1.3.6.1.4.1.26580.190.121150206 kpnw-orc-mob ORCHARDS MEDICAL OFFICE Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.121150206 2014/02/25 12:00:00 2014/08/04 12:00:00 2014/08/04 06:06:26 UV 2.16.840.1.113883.3.1097.1.1730053 pneuro Pediatric Epilepsy (Originally Pediatric Neurology changed department name 10/25/13) Dennis Wigman masked Kimberly West 3535 W 13 Mile Rd, Ste 302, Royal Oak, MI 48073 248-551-3302 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730053 2014/02/25 12:00:00 2014/08/04 12:00:00 2014/08/04 06:08:56 UV 2.16.840.1.113883.3.1097.1.1730062 pcmob Pediatric Cardiology Group Dennis Wigman masked Amanda Roberts 3535 W 13 Mile Rd, Ste 108, Royal Oak, MI, 48073 248-551-2900 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730062 2014/02/25 12:00:00 2014/08/04 12:00:00 2014/08/04 06:12:34 UV 2.16.840.1.113883.3.4582 sladesamson Dr. Lawrence Slade, M.D. OID Root Susan Murphy masked Susan Murphy 3635 S Clyde Morris Blvd, Port Orange, FL 32129 (386) 756-9400 masked Office Manager Dr. Lawrence Slade, M.D. 3635 S Clyde Morris Blvd, Port Orange, FL 32129 (386) 756-9400 ohnaymine@live.com http://www.sladesamson.com/ Provider Int 3 Complete 2014/02/25 12:00:00 2014/08/04 12:00:00 2014/08/04 06:14:41 UV 2.16.840.1.113883.3.1097.9.90450101 pcim Patrick Charles, MD Dennis Wigman masked Denrita Leonard 18601 Mack Ave, Detroit, MI, 48236 313-640-1250 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90450101 2014/02/25 12:00:00 2014/08/04 12:00:00 2014/08/04 06:17:33 UV 2.16.840.1.113883.3.1097.1.1730005 pfmob Patricia Franz, MD Dennis Wigman masked Carrie Decker 3535 W 13 Mile Rd, Ste 329, Royal Oak, MI, 48073 248-551-1399 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730005 2014/02/25 12:00:00 2014/08/04 12:00:00 2014/08/04 06:19:39 UV 1.3.6.1.4.1.26580.190.121150207 kpnw-syb-mob SUNNYBROOK MEDICAL OFFICE Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.121150207 2014/02/25 12:00:00 2014/08/04 12:00:00 2014/08/04 06:33:46 UV 2.16.840.1.113883.3.1097.1.1710021 crsly Parkside Medial Associates aka (Nancy Crossley, MD) Dennis Wigman masked Marjorie Frack 25 S Washington St, Ste A, Oxford, MI, 48371 248-236-8549 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1710021 2014/02/25 12:00:00 2014/08/31 12:00:00 2014/08/31 09:03:04 UV 2.16.840.1.113883.3.1097.9.90650101 pdmd Pamila Diwan. M.D. Dennis Wigman masked Mohinder Diwan 30555 Southfield Rd, Ste 180, Southfield, MI, 48076 248-644-8220 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90650101 2014/02/25 12:00:00 2014/08/31 12:00:00 2014/08/31 09:04:59 UV 2.16.840.1.113883.3.1097.9.91470101 pbmd Pamela Benitez, MD PC Dennis Wigman masked Pamela Benitez 3577 W 13 Mile Rd, Ste 201, Royal Oak, MI, 48073 248-551-8890 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91470101 2014/02/25 12:00:00 2014/08/31 12:00:00 2014/08/31 09:07:21 UV 1.3.6.1.4.1.26580.190.121150208 kpnw-wsm-mob WEST SALEM NEIGHBORHOOD OFFICE Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.121150208 2014/02/25 12:00:00 2014/08/31 12:00:00 2014/08/31 09:10:02 UV 1.3.6.1.4.1.26580.190.121150209 kpnw-syb-asc SUNNYBROOK SURGERY CENTER Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.121150209 2014/02/25 12:00:00 2014/08/31 12:00:00 2014/08/31 09:11:37 UV 2.16.840.1.113883.3.1097.9.91060101 pmssm Pain Management Specialists of Southeast Michigan - Main Department Dennis Wigman masked Karen Kujat 1555 E South Blvd, Ste 310, Rochester Hills, MI, 48307 248-215-8080 x215 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91060101 2014/02/25 12:00:00 2014/08/31 12:00:00 2014/08/31 09:13:21 UV 1.3.6.1.4.1.26580.190.1214232 kpnw-smc-other SUNNYSIDE MEDICAL CENTER (OTHER) Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.1214232 2014/02/25 12:00:00 2014/08/31 12:00:00 2014/08/31 09:15:19 UV 1.3.6.1.4.1.26580.190.12450567 kpnw-gtw-mob GATEWAY MEDICAL OFFICE BUILDING Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.12450567 2014/02/25 12:00:00 2014/08/31 12:00:00 2014/08/31 09:18:07 UV 1.3.6.1.4.1.26580.190.12133707 kpnw-smc-asc SUNNYSIDE POS 24 Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.12133707 2014/02/25 12:00:00 2014/08/31 12:00:00 2014/08/31 09:19:46 UV 1.3.6.1.4.1.26580.190.12133713 kpnw-smco-o SUNNYSIDE POS 11 Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.12133713 2014/02/25 12:00:00 2014/08/31 12:00:00 2014/08/31 09:22:47 UV 2.16.840.1.113883.3.1097.9.91060102 pmssms Pain Management Specialists of Southeast Michigan Dennis Wigman masked Karen Kujat 26025 Lahser Rd, Ste Flr 3, Southfield, MI, 48033 248-663-1923 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91060102 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 09:25:56 UV 2.16.840.1.113883.3.1097.1.1308016 oprhe Outpatient Clinic Dennis Wigman masked Jackie Cunningham 3535 W 13 Mile Rd, Ste LL, Royal Oak, MI, 48073 248-551-3000 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1308016 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 09:27:54 UV 2.16.840.1.113883.3.1097.1.1307011 psyac Outpatient Clinic Dennis Wigman masked Jackie Cunningham 3535 W 13 Mile Rd, Royal Oak, MI, 48073 248-551-3000 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1307011 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 09:31:05 UV 2.16.840.1.113883.3.1097.1.1300016 pedmob Outpatient Clinic Dennis Wigman masked Jackie Cunningham 3535 W 13 Mile Rd, Ste LL, Royal Oak, MI, 48073 248-551-3000 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1300016 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 09:32:58 UV 2.16.840.1.113883.3.1097.1.1308010 opped Outpatient Clinic Dennis Wigman masked Jackie Cunningham 3535 W 13 Mile Rd, Ste LL, Royal Oak, MI, 48073 248-551-3000 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1308010 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 09:34:52 UV 2.16.840.1.113883.3.1097.1.1308014 opobgn Outpatient Clinic Dennis Wigman masked Jackie Cunningham 3535 W 13 Mile Rd, Ste LL, Royal Oak, MI, 48073 248-551-3000 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1308014 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 09:37:31 UV 2.16.840.1.113883.3.4583 neos New England Orthopedic Surgeons Jose Feliciano masked chris.dugger@neortho.com Jose Feliciano New England Orthopedic Surgeons 300 Birnie Avenue Suite 201 Springfield, MA 01107 413-785-4666 masked IT Specialist New England Orthopedic Surgeons 300 Birnie Avenue Suite 201 Springfield, MA 01107 413-785-4666 jfeliciano@neortho.com http://www.neortho.com Provider Int 3 Complete 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 09:40:26 UV 2.16.840.1.113883.3.1097.1.1308015 opnuro Outpatient Clinic Dennis Wigman masked Jackie Cunningham 3535 W 13 Mile Rd, Ste LL, Royal Oak, MI, 48073 248-551-3000 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1308015 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 09:42:14 UV 2.16.840.1.113883.3.1097.1.1308020 medped Outpatient Clinic Dennis Wigman masked Jackie Cunningham 3535 W 13 Mile Rd, Ste LL, Royal Oak, MI, 48073 248-551-3000 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1308020 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 09:44:45 UV 2.16.840.1.113883.3.1097.1.1308003 medaft Outpatient Clinic - MEDICAL AFTER HRS MOB Dennis Wigman masked Jackie Cunningham 3535 W 13 Mile Rd, Ste LL, Royal Oak, MI 48073 248-551-3000 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1308003 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 09:47:38 UV 2.16.840.1.113883.3.1097.1.1308002 intmed Outpatient Clinic - INTERNAL MED MOB Dennis Wigman masked Jackie Cunningham 3535 W 13 Mile Rd, Ste LL, Royal Oak, MI, 48073 248-551-3000 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1308002 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 09:48:50 UV 2.16.840.1.113883.3.1097.1.1308017 opinf Outpatient Clinic - INFECTIOUS DISEASE MOB Dennis Wigman masked Jackie Cunningham 3535 W 13 Mile Rd, Ste LL, Royal Oak, MI 48073 248-551-3000 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1308017 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 09:52:40 UV 2.16.840.1.113883.3.1097.1.1308013 opgsrg Outpatient Clinic - GENERAL SURGERY MOB Dennis Wigman masked Jackie Cunningham 3535 W 13 Mile Rd, Ste LL, Royal Oak, MI 48073 248-551-3000 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1308013 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 09:54:29 UV 2.16.840.1.113883.3.1097.1.1308001 gastro Outpatient Clinic - GASTROENTEROLOGY MOB Dennis Wigman masked Jackie Cunningham 3535 W 13 Mile Rd, Ste LL, Royal Oak, MI, 48073 248-551-3000 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1308001 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 09:50:25 UV 2.16.840.1.113883.4.706 brazilianCertificateData Brazilian Certificate Data Ricardo Puttini masked Gabriela Alves Ricardo Puttini Universidade de Bras&#237;lia, Bras&#237;lia, DF, Brazil +55(61)81433907 masked Professor DATASUS/ Brazilian Ministry of Health Minist&#233;rio da Sa&#250;de, Bras&#237;lia, DF, Brazil +55(61)33153320 julioc.araujo@saude.gov.br http://www.saude.gov.br Govt body Int 3 Complete 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 09:59:34 UV 2.16.840.1.113883.3.1097.1.1308008 ent Outpatient Clinic - ENT MOB Dennis Wigman masked Jackie Cunningham 3535 W 13 Mile Rd, Ste LL, Royal Oak, MI, 48073 248-551-3000 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1308008 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 10:01:05 UV 2.16.840.1.113883.3.1097.1.1308007 endocr Outpatient Clinic - ENDOCRINE MOB Dennis Wigman masked Jackie Cunningham 3535 W 13 Mile Rd, Ste LL, Royal Oak, MI 48073 248-551-3000 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1308007 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 10:02:50 UV 2.16.840.1.113883.3.1097.1.1307024 derm Outpatient Clinic - DERMATALOGY MOB Dennis Wigman masked Jackie Cunningham 3535 W 13 Mile Rd, Ste LL, Royal Oak, MI, 48073 248-551-3000 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1307024 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 10:04:44 UV 2.16.840.1.113883.3.1097.1.1300020 opcacp Outpatient Clinic - ACUTE CARE PEDS MOB Dennis Wigman masked Jackie Cunningham 3535 W 13 Mile Rd, Ste LL, Royal Oak, MI 48073 248-551-3000 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1300020 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 10:07:03 UV 2.16.840.1.113883.3.1097.1.1300019 opcacm Outpatient Clinic - ACUTE CARE MED MOB Dennis Wigman masked Jackie Cunningham 3535 W 13 Mile Rd, Ste LL, Royal Oak, MI 48073 248-551-3000 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1300019 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 10:09:56 UV 2.16.840.1.113883.3.1097.9.91000101 ohst Orthopaedic and Hand Surgeons of Troy Dennis Wigman masked Shannon Williams 44199 Dequindre Rd, Ste 250, Troy, MI, 48085 248-879-8441 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91000101 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 10:18:46 UV 2.16.840.1.113883.3.1097.1.1730008 oorcc Ortho Oncology Dennis Wigman masked Kathy Hait 3577 W 13 Mile Rd, Ste 402, Royal Oak, MI, 48073 248-551-9910 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730008 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 10:20:59 UV 2.16.840.1.113883.3.1097.9.91500101 oouc Orion Oxford Urgent Care Dennis Wigman masked Danelle Farnsworth 1455 S Lapeer Rd, Ste 102, Lake Orion, MI, 48306 248-232-0100 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91500101 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 10:22:47 UV 2.16.840.1.113883.3.1097.9.90160102 odwghw O'Neill, Greenberger, Wu, Dunn & Fields - Main Department Dennis Wigman masked Rebeccca Baker 26657 Woodward Ave, Ste 100, Huntington Woods, MI, 48070 248-548-2114 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90160102 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 10:24:59 UV 2.16.840.1.113883.3.1097.9.90160103 odwgtr O'Neill, Greenberger, Wu, Dunn & Fields Dennis Wigman masked Rebeccca Baker 4600 Investment Dr, Ste 25, Troy, MI, 48098 248-267-9370 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90160103 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 10:26:09 UV 2.16.840.1.113883.3.1097.9.90160101 odwgscs O'Neill, Greenberger, Wu, Dunn & Fields Dennis Wigman masked Rebeccca Baker 25631 Little Mack Ave, Ste 205, St Clair Shores, MI, 48081 586-774-3090 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90160101 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 10:28:02 UV 2.16.840.1.113883.3.1097.1.2120001 oguccsh Oncology Multidisciplinary Cancer Clinics Dennis Wigman masked Thomas Lanni 44344 Dequindre Rd , Ste 350B, Sterling Heights, MI, 48314 248-964-3430 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2120001 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 10:30:29 UV 2.16.840.1.113883.3.1097.1.2120002 ogicsh Oncology Multidisciplinary Cancer Clinics Dennis Wigman masked Thomas Lanni 44344 Dequindre Rd , Ste 350B, Sterling Heights, MI, 48314 248-964-3430 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2120002 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 10:31:53 UV 2.16.840.1.113883.3.1097.1.2120008 obcccsh Oncology Multidisciplinary Cancer Clinics Dennis Wigman masked Thomas Lanni 44344 Dequindre Rd , Ste 350B, Sterling Heights, MI, 48314 248-964-3430 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2120008 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 10:33:23 UV 2.16.840.1.113883.3.1097.1.1730503 nomdcc Oncology Multidisciplinary Cancer Clinics Dennis Wigman masked Alicia DeCaria 3577 W 13 Mile Rd , Royal Oak, MI, 48073 248-551-1183 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730503 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 10:35:25 UV 2.16.840.1.113883.3.1097.1.1730045 melano Melanoma Multidisciplinary Cancer Clinics Dennis Wigman masked Alicia DeCaria 3577 W 13 Mile Rd, Ste 202, Royal Oak, MI, 48073 248-551-0268 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730045 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 10:37:54 UV 2.16.840.1.113883.3.1097.1.1730033 hnrcc Head Neck Multidisciplinary Cancer Clinics Dennis Wigman masked Alicia DeCaria 3601 W 13 Mile Rd, Ste 202, Royal Oak, MI, 48073 248-964-3436 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730033 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 10:41:35 UV 2.16.840.1.113883.3.1097.1.1730037 crecmob Colo/Rectal Multidisciplinary Cancer Clinics Dennis Wigman masked Alicia DeCaria 3601 W 13 Mile Rd, Ste 202, Royal Oak, MI, 48073 248-964-3436 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730037 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 10:43:04 UV 2.16.840.1.113883.3.1097.1.1730046 prosgu Oncology Cancer Center Royal Oak Dennis Wigman masked Alicia DeCaria 3601 W 13 Mile Rd, Ste 202, Royal Oak, MI, 48073 248-551-0268 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730046 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 10:39:20 UV 1.3.6.1.4.1.26580.190.12433737 kpnw-hhccs-mob NW CONTINUING CARE SERVICES HOME HEALTH Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.12433737 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 10:45:06 UV 1.3.6.1.4.1.26580.190.12445980 kpnw-wms-mob WESTSIDE MEDICAL OFFICE Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.12445980 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 10:48:27 UV 1.3.6.1.4.1.26580.190.12450296 kpnw-weh-ih WESTSIDE EMERGENCY HOSPITAL Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.12450296 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 10:51:04 UV 1.3.6.1.4.1.26580.190.12445981 kpnw-wmc-ih WESTSIDE MEDICAL CENTER Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.12445981 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 10:54:01 UV 1.3.6.1.4.1.26580.190.1213000000 kpnw-smcor-or SMC MAIN OR Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider Ext 17 Complete 1.3.6.1.4.1.26580.190.1213000000 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 10:56:31 UV 1.3.6.1.4.1.26580.190.1213000001 kpnw-intasc-or INT ASC OR Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.1213000001 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 10:59:07 UV 1.3.6.1.4.1.26580.190.1213000002 kpnw-skyasc-or SKY ASC OR Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.1213000002 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 11:01:29 UV 1.3.6.1.4.1.26580.190.1213000003 kpnw-smcob-or SMC OB OR Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.1213000003 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 11:03:14 UV 1.3.6.1.4.1.26580.190.12119234 kpnw-sybasc-or SYB ASC OR Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.12119234 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 11:06:16 UV 1.3.6.1.4.1.26580.190.19082 kpnw-smccv-or SMC CV OR Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.19082 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 11:09:47 UV 1.3.6.1.4.1.26580.190.12133913 kpnw-smcmpu-mob SMC MPU Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.12133913 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 11:12:39 UV 1.3.6.1.4.1.26580.190.12133914 kpnw-smccvl-mob SMC CVL Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.12133914 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 11:14:47 UV 2.16.840.1.113883.4.707 brazilianIBGEMunicipalitiesStateCodes Brazilian Municipalities and State Codes. Ricardo Puttini masked Gabriela Alves Ricardo Puttini Universidade de Bras&#237;lia, Bras&#237;lia, DF, Brazil +55(61)81433907 masked professor Brazilian Ministry of Health Minist&#233;rio da Sa&#250;de, Bras&#237;lia, DF, Brazil +55(61)33153320 julioc.araujo@saude.gov.br http://www.saude.gov.br Govt body Int 4 Complete 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 11:17:14 UV 1.3.6.1.4.1.26580.190.12446142 kpnw-wmcob-or WMC OB OR Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.12446142 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 11:19:49 UV 1.3.6.1.4.1.26580.190.12447157 kpnw-wmcor-or WMC MAIN OR Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.12447157 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 11:22:05 UV 1.3.6.1.4.1.26580.190.12447158 kpnw-wmcmpu-mob WMC MPU Kelly Mohammad masked Kelly Mohammad 5037214726 masked Kaiser Permanente - Northwest One Kaiser Plaza Oakland, CA 94612 503-813-2000 kelly.sato.mohammad@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.12447158 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 11:25:18 UV 2.16.840.1.113883.3.1097.1.1730013 lncrcc LUNG NODULE CLINIC Dennis Wigman masked Alicia DeCaria 3577 W 13 Mile Rd, Ste 202, Royal Oak, MI, 48073 877-805-8647 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730013 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 11:28:52 UV 2.16.840.1.113883.3.1097.1.1730032 lprcc LIVER PANCREAS TUMOR CC Dennis Wigman masked Alicia DeCaria 3577 W 13 Mile Rd, Ste 202, Royal Oak, MI, 48073 248-551-0357 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730032 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 11:31:31 UV 2.16.840.1.113883.3.1097.1.2120009 olcccsh ONCOLOGY LUNG CLINIC CCSH Dennis Wigman masked Thomas Lanni 44344 Dequindre Rd, Ste 350, Sterling Heights, MI, 48314 248-964-3430 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2120009 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 11:34:14 UV 2.16.840.1.113883.3.1097.1.2120010 ogcccsh ONCOLOGY GASTRO CLINIC CCSH Dennis Wigman masked Thomas Lanni 44344 Dequindre Rd , Ste 350B, Sterling Heights, MI, 48314 248-964-3430 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2120010 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 11:36:03 UV 2.16.840.1.113883.3.1097.1.1550030 ohchc Oakland Hills Cardiology Dennis Wigman masked Jacqueline Paladino 4949 Coolidge Hwy, Ste Area C, Royal Oak, MI, 48073 248-655-3220 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1550030 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 11:38:10 UV 2.16.840.1.113883.3.1097.9.90950102 ogapro Oakland Gastroenterology Associates, PC- Main Department Dennis Wigman masked Kelly Williams 3535 W 13 Mile Rd, Ste 202, Royal Oak, MI, 48073 248-551-0900 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90950102 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 11:41:33 UV 2.16.840.1.113883.3.1097.9.90950103 ogapwb Oakland Gastroenterology Associates, PC Dennis Wigman masked Kelly Williams 2300 Haggerty Rd, Ste 2010, West Bloomfield, MI, 48322 248-926-9660 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90950103 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 11:42:50 UV 2.16.840.1.113883.3.1097.9.90950101 ogapsf Oakland Gastroenterology Associates, PC Dennis Wigman masked Kelly Williams 27209 Lahser Hwy, Ste 128, Southfield, MI, 48034 248-353-3026 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90950101 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 11:43:53 UV 2.16.840.1.113883.3.4584 mchi Memorial Community Health, Inc Diane Keller masked Diane Keller 1423 7th St Aurora, NE 68818-1197 402-694-8202 masked CEO Memorial Community Health, Inc 1423 7th St Aurora, NE 68818-1197 402-694-3171 info@mchiaurora.org http://www.memorialcommunityhealth.org Provider Int 3 Complete 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 11:45:39 UV 2.16.840.1.113883.3.1097.1.1730066 oakcou Oakland County Internists Dennis Wigman masked Denise Hartung 29355 Northwern Hwy, Ste 302, Southfield, MI, 48034 248-356-7726 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730066 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 11:47:14 UV 2.16.840.1.113883.3.1097.9.91610101 ocra Oakland Colon & Rectal Associates Dennis Wigman masked Lynda Hassan 1121 Crooks Rd, Royal Oak, MI, 48067 248-541-8554 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91610101 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 11:49:24 UV 2.16.840.1.113883.3.1097.1.1870001 owb O. W. Brown, MD Dennis Wigman masked Colleen Hamlin 31700 Telegraph Rd, Ste 140, Bingham Farms, MI, 48025 248-433-0881 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1870001 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 11:51:33 UV 2.16.840.1.113883.3.1097.9.90850101 nnpc Novi Neurology, PC Dennis Wigman masked Jennifer DelMorone 44000 W 12 Mile Rd, Ste 213, Novi, MI, 48374 248-347-8293 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90850101 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 11:53:08 UV 2.16.840.1.113883.3.2402.300.8 physicians-computer-company-vendors-beebe Physician's Computer Company (PCC) Vendors Beebe Healthcare Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.300.8 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 11:55:09 UV 2.16.840.1.113883.3.1097.9.90020101 nkhs Norton, Klein, Hug, & Sabin Dennis Wigman masked Denise Evans 3290 W Big Beaver Rd, Ste 420, Troy, MI, 48084 248-649-9700 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90020101 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 11:57:11 UV 2.16.840.1.113883.3.1097.1.1830001 nwcg Northwest Cardiology Dennis Wigman masked Jodie Roth 26400 W 12 Mile Rd, Ste 120, Southfield, MI, 48034 248-304-3200 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1830001 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 12:12:46 UV 2.16.840.1.113883.3.1097.1.1820001 nphcm Northpointe Heart Center - Main Department Dennis Wigman masked Tara Glaspie 27901 Woodward Ave, Ste 300, Berkley, MI, 48072 248-545-0070 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1820001 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 12:14:47 UV 2.16.840.1.113883.3.1097.1.1820008 nphcwo Northpointe Heart Center Dennis Wigman masked Tara Glaspie 33200 W 14 Mile Rd, Ste 230, West Bloomfield, MI, 48322 248-545-0070 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1820008 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 12:15:51 UV 2.16.840.1.113883.4.708 wkmc Willis-Knighton Medical Center, Inc. Rebecca Mabini masked Rebecca deLaura Mabini IT Department 2600 Greenwood Road Shreveport, LA 71103 318-212-4994 masked IT Supervisor Willis-Knighton Medical Center, Inc 2600 Greenwood Road Shreveport, LA 71103 318-212-4000 rmabini@wkhs.com https://www.wkhs.com Provider Int 3 Complete 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 12:23:23 UV 2.16.840.1.113883.4.709 wks Willis-Knighton South Hospital Rebecca Mabini masked Rebecca deLaura Mabini IT Department 2600 Greenwood Road Shreveport, LA 71103 318-212-4994 masked IT Supervisor Willis-Knighton South Hospital 2510 Bert Kouns Industrial Loop 318-212-5000 rmabini@wkhs.com https://www.wkhs.com Provider Int 3 Complete 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 12:25:55 UV 2.16.840.1.113883.4.710 wkp Willis-Knighton Pierremont Health Center Rebecca Mabini masked Rebecca deLaura Mabini IT Department 2600 Greenwood Road Shreveport, LA 71103 318-212-4994 masked IT Supervisor Willis-Knighton Pierremont Health Center 8001 Youree Drive Shreveport, LA 71115 318-212-3000 rmabini@wkhs.com https://www.wkhs.com Provider Int 3 Complete 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 12:28:38 UV 2.16.840.1.113883.4.711 wkb WK Bossier Health Center Rebecca Mabini masked Rebecca deLaura Mabini IT Department 2600 Greenwood Road Shreveport, LA 71103 318-212-4994 masked IT Supervisor WK Bossier Health Center 2400 Hospital Drive Bossier City, LA 71111 318-212-7000 rmabini@wkhs.com https://www.wkhs.com Provider Int 3 Complete 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 12:31:34 UV 2.16.840.1.113883.9.132 arapahoeHouse Arapahoe House, Inc. Bob Weber masked Bob Weber 8801 Lipan Street Thornton, CO 80260 303.412.3672 masked Database Administrator Arapahoe House, Inc. 8801 Lipan Street Thornton, CO 80260 303.657.3700 bweber@ahinc.org http://www.arapahoehouse.org Provider Int 3 Complete 2014/02/26 12:00:00 2014/08/31 12:00:00 2014/08/31 12:35:26 UV 2.16.840.1.113883.3.1097.1.1820005 nphct Northpointe Heart Center Troy Dennis Wigman masked Tara Glaspie 44344 Dequindre Rd, Ste 560, Sterling Heights, MI, 48314 586-731-6777 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1820005 2014/02/27 12:00:00 2014/08/31 12:00:00 2014/08/31 12:37:27 UV 2.16.840.1.113883.3.1097.1.1820004 nphcs Northpointe Heart Center SFLD Dennis Wigman masked Tara Glaspie 16800 12 Mile Rd, Ste 102, Southfield, MI, 48076 248-569-9797 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1820004 2014/02/27 12:00:00 2014/08/31 12:00:00 2014/08/31 12:39:06 UV 2.16.840.1.113883.3.1097.1.1820003 nphc12 Northpointe Heart Center 12 MILE Dennis Wigman masked Tara Glaspie 1949 W 12 Mile Rd, Ste 200, Berkley, MI, 48072 248-545-0070 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1820003 2014/02/27 12:00:00 2014/08/31 12:00:00 2014/08/31 12:40:19 UV 2.16.840.1.113883.3.1097.9.90480101 nosp Neuro-Ophthalmic Services, PC Dennis Wigman masked Emily Caplan 3535 W 13 Mile Rd, Ste 506, Royal Oak, MI, 48073 248-551-8282 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90480101 2014/02/27 12:00:00 2014/08/31 12:00:00 2014/08/31 12:47:25 UV 2.16.840.1.113883.3.1097.9.90400101 ncpc Nephrology Consultants, PC Dennis Wigman masked Nancy Speck 27901 Woodward Ave, Ste 210, Berkley, MI, 48072 248-414-5377 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90400101 2014/02/27 12:00:00 2014/08/31 12:00:00 2014/08/31 12:49:05 UV 2.16.840.1.113883.3.1097.1.1710001 neifam Neighborhood Family Medicine Dennis Wigman masked Erarner Overall 29245 Ryan Rd, Ste 300, Warren, MI, 48092 586-578-0222 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1710001 2014/02/27 12:00:00 2014/08/31 12:00:00 2014/08/31 12:51:11 UV 2.16.840.1.113883.3.1097.9.91170101 namp Neal Alpiner, MD, PLLC Dennis Wigman masked Karen Alpiner 4949 Coolidge Hwy, Ste A, Royal Oak, MI, 48073 877-433-7767 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91170101 2014/02/27 12:00:00 2014/08/31 12:00:00 2014/08/31 12:53:08 UV 2.16.840.1.113883.3.1097.9.90420101 ncmd Nancy J. Cao, MD, Ph D. Dennis Wigman masked Gail McDermott 25865 W 12 Mile Rd, Southfield, MI, 48034 248-223-5990 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90420101 2014/02/27 12:00:00 2014/09/14 12:00:00 2014/09/14 07:01:34 UV 2.16.840.1.113883.3.1097.9.91370101 nkmd Nabeel Khan Dennis Wigman masked Margaret Randall 201 W. Big Beaver, Ste 1130, Troy, MI, 48084 248-524-0620 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91370101 2014/02/27 12:00:00 2014/09/14 12:00:00 2014/09/14 07:03:09 UV 2.16.840.1.113883.3.1097.1.1740001 lxplt Multiorgan and Transplant Clinic - Main Department Dennis Wigman masked Becky Harris-Burns 3535 W 13 Mile Rd, Ste 644, Royal Oak, MI, 48073 248-551-1010 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1740001 2014/02/27 12:00:00 2014/09/14 12:00:00 2014/09/14 07:05:23 UV 2.16.840.1.113883.3.1097.1.1740003 xpltg Multiorgan and Transplant Clinic Dennis Wigman masked Becky Harris-Burns 3535 W 13 Mile Rd, Ste 644, Royal Oak, MI, 48073 248-551-1010 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1740003 2014/02/27 12:00:00 2014/09/14 12:00:00 2014/09/14 07:07:08 UV 2.16.840.1.113883.3.1097.1.1740004 neph Multiorgan and Transplant Clinic Dennis Wigman masked Becky Harris-Burns 3535 W 13 Mile Rd, Ste 644, Royal Oak, MI, 48073 248-551-1010 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1740004 2014/02/27 12:00:00 2014/09/14 12:00:00 2014/09/14 07:08:37 UV 2.16.840.1.113883.3.1097.1.1740002 kxpltc Multiorgan and Transplant Clinic Dennis Wigman masked Becky Harris-Burns 3535 W 13 Mile Rd, Ste 644, Royal Oak, MI, 48073 248-551-1010 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1740002 2014/02/27 12:00:00 2014/09/14 12:00:00 2014/09/14 07:09:48 UV 2.16.840.1.113883.3.1097.1.2730009 ppmd Multi D Clinic - Troy Acute Care Surgery Dennis Wigman masked Teresa McFarland 44199 Dequindre Rd, Ste 315, Troy, MI, 48085 248-964-1170 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2730009 2014/02/27 12:00:00 2014/09/14 12:00:00 2014/09/14 07:11:42 UV 2.16.840.1.113883.3.1097.1.2730010 kkdo Multi D Clinic - Troy Dennis Wigman masked Kerry Kole 44199 Dequindre Rd, Ste 315, Troy, MI, 48085 248-96-41160 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2730010 2014/02/27 12:00:00 2014/09/14 12:00:00 2014/09/14 07:14:04 UV 2.16.840.1.113883.3.1097.1.1050055 whc Ministrelli Women's Heart Center Dennis Wigman masked Joann Ministrelli 3601 W 13 Mile Rd, 1 Flr CT, Royal Oak, MI, 48073 248-898-8794 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1050055 2014/02/27 12:00:00 2014/09/14 12:00:00 2014/09/14 07:16:45 UV 2.16.840.1.113883.3.1097.9.91590101 mpi Michigan Premier Internists Dennis Wigman masked Cheri 29877 Telegraph Rd, Ste 401, Southfield, MI, 48034 248-354-0730 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91590101 2014/02/27 12:00:00 2014/09/14 12:00:00 2014/09/14 07:22:43 UV 2.16.840.1.113883.3.1097.9.90980101 moss Michigan Orthopaedic Spine Surgeons-Main Department Dennis Wigman masked Debra Teeter 1555 E South Blvd, Ste 310, Rochester Hills, MI, 48307 248-215-8080 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90980101 2014/02/27 12:00:00 2014/09/14 12:00:00 2014/09/14 07:24:36 UV 2.16.840.1.113883.3.1097.9.90980102 mossba Michigan Orthopaedic Spine Surgeons Dennis Wigman masked Debra Teeter 1011 S Van Dyke Rd, Ste A, Bad Axe, MI, 48413 248-215-8080 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90980102 2014/02/27 12:00:00 2014/09/14 12:00:00 2014/09/14 07:27:33 UV 2.16.840.1.113883.3.1097.1.1860001 mhgm Michigan Heart Group Dennis Wigman masked Darlene Nichols 4600 Investment Drive, Ste 200, Troy, MI, 48098 248-267-5050 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1860001 2014/02/27 12:00:00 2014/09/14 12:00:00 2014/09/14 07:30:50 UV 2.16.840.1.113883.3.1097.9.91290101 mjsm Michael J. Schenden Dennis Wigman masked Margaret Randall 201 W. Big Beaver , Ste 1130, Troy, MI, 48084 248-524-0620 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91290101 2014/02/27 12:00:00 2014/09/14 12:00:00 2014/09/14 07:33:17 UV 2.16.840.1.113883.3.1097.1.4730003 mpmc Metropolitan Medical Center Dennis Wigman masked Kenyata 9230 Joseph Campau St, Hamtramck, MI, 48212 313-875-9270 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.4730003 2014/02/27 12:00:00 2014/09/14 12:00:00 2014/09/14 07:34:22 UV 2.16.840.1.113883.3.1097.1.1710003 metrofm Metro Family Medicine Dennis Wigman masked Tina Bates 26015 Greenfield, Southfield, MI, 48076 248-552-7230 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1710003 2014/02/27 12:00:00 2014/09/14 12:00:00 2014/09/14 07:37:45 UV 2.16.840.1.113883.3.1097.9.90890101 mp Merrillwood Pediatrics, PC Dennis Wigman masked LeAnne Young 27332 Woodward Ave, Ste 100, Royal Oak, MI, 48067 248-543-1545 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90890101 2014/02/27 12:00:00 2014/09/14 12:00:00 2014/09/14 07:40:11 UV 2.16.840.1.113883.3.1097.1.1257002 medonc Medical Hematology Oncology Dennis Wigman masked Theresa Marcus 3577 W 13 Mile Rd, Ste 202, Royal Oak, MI, 48073 248-551-4975 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1257002 2014/02/27 12:00:00 2014/09/14 12:00:00 2014/09/14 07:42:29 UV 2.16.840.1.113883.3.1097.9.90320101 mmc Mathews Medical Center, PLLC Dennis Wigman masked Olivia David Beverly Hills MI 48025, Ste 100, Troy, MI, 48083 248-250-9474 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90320101 2014/02/27 12:00:00 2014/09/14 12:00:00 2014/09/14 07:44:34 UV 2.16.840.1.113883.3.1097.1.1730007 mfmmob Maternal Fetal Medicine- Main Department Dennis Wigman masked Carrie Decker 17400 W 13 Mile Rd, Beverly Hills, MI, 48025 248-551-1470 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730007 2014/02/27 12:00:00 2014/09/14 12:00:00 2014/09/14 07:46:29 UV 2.16.840.1.113883.3.1097.1.1300013 rgmob Maternal Fetal Medicine aka Reproductive Genetis Programs Dennis Wigman masked Kelly Beaudry-Rodgers 3601 W 13 Mile Rd, Fetal Imaging, Royal Oak, MI, 48073 248-551-0395 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1300013 2014/02/27 12:00:00 2014/09/14 12:00:00 2014/09/14 07:49:10 UV 2.16.840.1.113883.4.712 sjstanek SHEILA J. STANEK OID Shreyas Shah masked Healthfusion 100 North Rios Solana Beach, CA 92075 8585232120 masked Software Engineer SHEILA J. STANEK, D.O., PC 1009 W. 9TH AVENUE, STILLWATER,OK - 74074 4053778367 stanek@oaklahomaoncall.com Provider Int 3 Complete 2014/02/27 12:00:00 2014/09/14 12:00:00 2014/09/14 07:54:14 UV 2.16.840.1.113883.3.1097.1.1730038 mfmty Maternal Fetal Medicine Dennis Wigman masked Carrie Decker 44199 Dequindre Rd, Ste 415, Troy, MI, 48085 248-964-5129 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730038 2014/02/27 12:00:00 2014/09/14 12:00:00 2014/09/14 07:56:23 UV 2.16.840.1.113883.3.1097.1.1730064 scpn Mark J. Scapini MD FACP Dennis Wigman masked Diane Leshinsky 755 W Big Beaver Rd, Ste 231A, Troy, MI, 48084 248-362-2073 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730064 2014/02/27 12:00:00 2014/09/14 12:00:00 2014/09/14 07:58:13 UV 2.16.840.1.113883.3.1097.9.91180101 mfmp Mark Friedland, MD Dennis Wigman masked Denise Brown 44199 Dequindre Rd, Ste 623, Troy, MI, 48083 248-828-5707 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91180101 2014/02/27 12:00:00 2014/09/20 12:00:00 2014/09/20 08:40:23 UV 2.16.840.1.113883.3.1097.9.90050101 eckl Margaret Eckel, DO Dennis Wigman masked Tierney Moore 22646 E 9 Mile Rd, St Clair Shores, MI, 48080 586-498-4800 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90050101 2014/02/27 12:00:00 2014/09/20 12:00:00 2014/09/20 08:42:08 UV 2.16.840.1.113883.3.1097.9.90040101 mmmc Mansour Mercy Medical Center Dennis Wigman masked Patricia Messina 19011 E 10 Mile Rd, Roseville, MI, 48066 586-443-5580 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90040101 2014/02/27 12:00:00 2014/09/20 12:00:00 2014/09/20 08:44:29 UV 2.16.840.1.113883.3.1097.9.91130101 mmac Madison Medical Arts Complex Dennis Wigman masked Gina Novak 28200 John R Rd, Madison Heights, MI, 48071 248-547-1400 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91130101 2014/02/27 12:00:00 2014/09/20 12:00:00 2014/09/20 08:47:10 UV 2.16.840.1.113883.3.1097.9.90760101 mcpc Madison Cardiology, PC Ashok K. Gupta, MD Dennis Wigman masked Diane Laughery 610 E 12 Mile Rd, Madison Heights, MI, 48071 248-541-9111 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90760101 2014/02/27 12:00:00 2014/09/20 12:00:00 2014/09/20 08:49:45 UV 2.16.840.1.113883.3.1097.9.90280101 mpcpc Macomb Primary Care PC Dennis Wigman masked Brittany Cynowa 43393 Schoenherr Rd, Sterling Heights, MI, 48314 586-323-0301 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90280101 2014/02/27 12:00:00 2014/09/20 12:00:00 2014/09/20 08:51:52 UV 2.16.840.1.113883.3.1097.1.4050077 lncgp Lung Nodule Clinic GP Dennis Wigman masked Brad Lukas 468 Cadieux, Grosse Pointe, MI, 48230 313-473-1855 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.4050077 2014/02/27 12:00:00 2014/09/20 12:00:00 2014/09/20 10:44:58 UV 2.16.840.1.113883.3.1097.1.1730504 lmdcc Lung Cancer Multi D Dennis Wigman masked Tammy Rzeszut 3577 W 13 Mile Rd , Royal Oak, MI, 48073 " 248-551-1657" masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730504 2014/02/27 12:00:00 2014/09/20 12:00:00 2014/09/20 10:46:20 UV 2.16.840.1.113883.3.1097.1.1730036 psmc Lori Mausi, MD Dennis Wigman masked Carrie Decker 3535 W 13 Mile Rd, Ste 329, Royal Oak, MI, 48073 248-551-1399 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730036 2014/02/27 12:00:00 2014/09/20 12:00:00 2014/09/20 10:48:43 UV 2.16.840.1.113883.3.1070.5739 mckesson-fusion-5739 mckesson-fusion-5739 Anna Durbin masked Fusion Enrollment 8775074541 masked Fusion Enrollment anna.durbin@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5739 2014/02/27 12:00:00 2014/09/20 12:00:00 2014/09/20 10:50:13 US 2.16.840.1.113883.3.1097.1.1730001 lstosc Lifestages OB/GYN Dennis Wigman masked Cathy Hunter 27070 Hoover Rd, Warren, MI, 48093 586-427-7370 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730001 2014/02/27 12:00:00 2014/09/20 12:00:00 2014/09/20 10:54:23 UV 2.16.840.1.113883.3.1097.9.91530101 loss Level 1 Surgical Associates Dennis Wigman masked Ayesha Gaggino 3535 W 13 Mile Rd, Ste 204, Royal Oak, MI, 48073 248-551-9090 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91530101 2014/02/27 12:00:00 2014/09/20 12:00:00 2014/09/20 10:58:55 UV 2.16.840.1.113883.3.1097.9.90290101 lpc Lathrup Primary Care Dennis Wigman masked Kimberley Glumm 26631 Southfield Rd, Lathrup Village, MI, 48076 248-552-8195 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90290101 2014/02/27 12:00:00 2014/09/20 12:00:00 2014/09/20 11:01:13 UV 2.16.840.1.113883.3.1097.9.91520101 faim Lakeview Podiatry Associates P.C. Dennis Wigman masked Karen Pupp 6900 Orchard Lake Rd, Ste 315, West Bloomfield, MI, 48322 248-737-0780 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91520101 2014/02/27 12:00:00 2014/09/20 12:00:00 2014/09/20 11:02:52 UV 2.16.840.1.113883.3.4585 slmc Sky Lakes Medical Center Laura Limb masked Denise Sebastain Denise Sebastain 2865 Daggett Ave Klamath Falls, OR 97601 541-274-5429 masked Application Designer Integration Sky Lakes Medical Center 2865 Daggett Ave Klamath Falls, OR 97601 541-882-6311 dsebastain@skylakes.org http://www.skylakes.org Provider Int 3 Complete 2014/02/27 12:00:00 2014/09/20 12:00:00 2014/09/20 11:09:06 US 2.16.840.1.113883.4.713 brazilianNaturalizationAct Brazilian Naturalization Act Ricardo Puttini masked Gabriela Alves Ricardo Puttini Universidade de Bras&#237;lia, Bras&#237;lia, DF, Brazil +55(61)81433907 masked Professor Brazilian Ministry of Health Minist&#233;rio da Sa&#250;de, Bras&#237;lia, DF, Brazil +55(61)33153320 julioc.araujo@saude.gov.br http://www.saude.gov.br Govt body Int 4 Complete 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 11:13:42 UV 2.16.840.1.113883.3.1097.1.1730509 lfm Lakeside Family Medicine Dennis Wigman masked Rebecca Vaughan 25250 Kelly Rd, Ste 100, Roseville, MI, 48066 586-777-4668 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730509 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 11:16:58 UV 2.16.840.1.113883.3.1097.9.91140101 lsg Lakeshore Gastroenterology Dennis Wigman masked Mradula Pandy 28300 Harper Ave, St Clair Shores, MI, 48084 586-778-6090 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91140101 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 11:20:06 UV 2.16.840.1.113883.3.1097.9.90750101 bpc Bloomfield Pediatric Care Dennis Wigman masked Jeanne Graves 43205 Woodward Ave, Bloomfield Hills, MI, 48302 248-451-0600 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90750101 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 11:22:59 UV 2.16.840.1.113883.3.1097.1.4070001 bccgp BREAST CARE CENTER Dennis Wigman masked Brad Lukas 468 Cadieux Rd, Grosse Pointe, MI, 48230 313-473-6900 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.4070001 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 11:25:50 UV 2.16.840.1.113883.3.1097.1.2117002 bccpob Breast Care Center POB Dennis Wigman masked Angela DelAere 44199 Dequindre Rd, Troy, MI, 48085 248-964-5170 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2117002 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 11:27:51 UV 2.16.840.1.113883.3.1097.1.1417001 bstcc Breast Care Center - Main Department Dennis Wigman masked Angela DelAere 3659 W 13 Mile Rd, Royal Oak, MI, 48073 248-551-3300 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1417001 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 11:29:13 UV 2.16.840.1.113883.3.1097.1.1530001 bccwb Breast Care Center West Bloomfield Dennis Wigman masked Angela DelAere 6900 Orchard Lake Rd, Ste 103, West Bloomfield, MI, 48322 248-855-7640 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1530001 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 11:31:16 UV 2.16.840.1.113883.3.1097.9.90720101 lvma Lake Victoria Medical Associates Dennis Wigman masked Amanda Allen 21409 Kelly Rd, Eastpointe, MI, 48021 586-777-0630 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90720101 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 11:34:04 UV 2.16.840.1.113883.3.1097.9.90470102 csucs Campbell & Shelby Urgent Care Dennis Wigman masked Nader Shaya 51850 Dequindre Rd, Ste 1, Shelby Township, MI, 48316 586-799-4082 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90470102 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 11:35:54 UV 2.16.840.1.113883.3.1097.9.90470101 csuc Campbell & Shelby Urgent Care- Main Department Dennis Wigman masked Amanda Quick 1010 N Campbell Rd, Ste 3, Royal Oak, MI, 48067 248-850-8395 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90470101 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 11:37:26 UV 2.16.840.1.113883.3.1097.9.90930102 ctcplo Cancer & Transplant Consultants, PLC Dennis Wigman masked Abraham Joseph 1455 S Lapeer Rd, Ste 111, Lake Orion, MI, 48360 248-630-1250 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90930102 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 11:39:17 UV 2.16.840.1.113883.3.1097.9.90900101 lfmd Laina Feinin, MD, PC, F.A.B.A. Dennis Wigman masked Leon Feinin 29829 Telegraph Rd, Ste 107, Southfield, MI, 48034 248-304-0786 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90900101 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 11:43:01 UV 2.16.840.1.113883.3.1097.9.90930101 ctcpap Cancer & Transplant Consultants, PLC - Main Department Dennis Wigman masked Abraham Joseph 7105 Allen Rd, Allen Park, MI, 48101 313-388-6299 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90930101 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 11:46:07 UV 2.16.840.1.113883.3.1097.9.90490101 cacpbham Cardiology & Arrhythmia Consultants PC Dennis Wigman masked Susan Frawley 1915 E 14 Mile Rd, Birimingham, MI, 48009 248-723-4777 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90490101 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 11:47:55 UV 2.16.840.1.113883.3.1097.1.1810001 cvs Cardiovascular Specialists Dennis Wigman masked Linda Baker 29645 14 Mile Rd, Ste 200, Farmington Hills, MI, 48334 248-932-3700 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1810001 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 11:55:17 UV 2.16.840.1.113883.3.1097.9.90740101 cgmb Carolyn E. Guidot MD, PC Dennis Wigman masked Sheryl McHugh 18161 W 13 Mile Rd, Ste E1, Southfield, MI, 48076 248-642-8989 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90740101 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 12:03:32 UV 2.16.840.1.113883.3.1097.9.90970101 ksom Kidney Specialists of Michigan Dennis Wigman masked Pat Krause 29829 Telegraph Rd, Ste 202, Southfield, MI, 48034 248-354-3236 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90970101 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 12:05:59 UV 2.16.840.1.113883.3.1097.1.1730025 ugmob Center for Minimally Invasive Gynecologic Surgery aka Beaumont Urogynecology Associates Dennis Wigman masked Melba Wright 3535 W 13 Mile Rd, Ste 605, Royal Oak, MI, 48073 248-551-3550 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730025 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 12:08:45 UV 2.16.840.1.113883.3.1097.9.90300101 cpm Center for Preventive Medicine Dennis Wigman masked Julie Schultz 22631 Mack Ave, Ste 100, St Clair Shores, MI, 48080 586-771-0100 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90300101 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 12:10:31 UV 2.16.840.1.113883.3.1097.9.90960101 ckmd Changhee Kim, MD, Ph.D., PLC Dennis Wigman masked Connie Lozier 38815 Dequindre Rd, Ste 103, Troy, MI, 48083 248-740-7771 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90960101 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 12:12:38 UV 2.16.840.1.113883.3.1097.9.91120101 kc Kidney Care Specialists of Michigan Dennis Wigman masked Erin Boekema 29001 Harper Ave, St Clair Shores, MI, 48081 586-778-0664 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91120101 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 12:14:48 UV 2.16.840.1.113883.3.1097.9.90110101 kulik Kenneth J. Kulik, MD Dennis Wigman masked Lisa Krajci 44199 Dequindre Rd, Ste 503, Troy, MI, 48085 248-879-2322 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90110101 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 12:16:17 UV 2.16.840.1.113883.3.1097.9.90690101 fkpc Karoub & Karoub (aka Frederick M Karoub) Dennis Wigman masked Amanda Skewes 4045 W 13 Mile Rd, Ste A, Royal Oak, MI, 48073 248-288-2160 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90690101 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 12:17:39 UV 2.16.840.1.113883.3.1097.9.90790101 kipc Karma Internists, PC Dennis Wigman masked Olivia David 2221 Livernois Rd, Troy, MI, 48083 248-250-9482 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90790101 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 12:19:35 UV 2.16.840.1.113883.3.1097.9.90210101 henry Julie L. Henry, MD, PC Dennis Wigman masked Julie Henry 27427 Schoenherr Rd, Ste 200, Warren, MI, 48088 586-754-4417 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90210101 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 12:21:22 UV 2.16.840.1.113883.3.1097.9.91420101 jsaha Joyanta Saha Dennis Wigman masked Kim Scholl 43361 Commons Rd, Clinton Twp, MI, 48083 586-263-7190 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91420101 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 12:22:21 UV 2.16.840.1.113883.3.1097.9.91200101 chdo Charles E. Heth, D.O., P.C. Dennis Wigman masked Diana Kirschner 42855 Garfield Rd, Ste 105, Clinton Twp, MI, 48083 586-226-1387 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91200101 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 12:24:47 UV 2.16.840.1.113883.3.1097.1.4320002 gpcgf Cheryl Gibson Fountain, MD Dennis Wigman masked Cindy Cavanaugh 21400 E 11 Mile Rd, St Clair Shores, MI, 48081 586-498-4400 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.4320002 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 12:26:06 UV 2.16.840.1.113883.3.1097.9.90800101 jimd Josephine Iskander, MD, PLLC Dennis Wigman masked Josephine Iskander 43200 Dequindre Rd, Ste 104 Sterling Heights, MI, 48314 586-799-4350 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90800101 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 12:31:30 UV 2.16.840.1.113883.3.1097.9.91030101 cspc Chest Specialist, PC Dennis Wigman masked Julie Goldin 7399 Middlebelt Rd, Ste 3, West Bloomfield, MI, 48322 248-737-8261 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91030101 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 12:33:21 UV 2.16.840.1.113883.3.1070.5738 mckesson-fusion-5738 mckesson-fusion-5738 Anna Durbin masked Fusion Enrollment 8775074541 masked Fusion Enrollment anna.durbin@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5738 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 12:36:09 US 2.16.840.1.113883.3.1097.9.90090102 strdtr Christopher Stroud, MD, PC Dennis Wigman masked Jeannine Phillips 4550 Investment Dr, Ste 240, Troy, MI, 48098 248-792-9881 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90090102 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 12:37:46 UV 2.16.840.1.113883.3.1097.9.90090101 stroud Christopher Stroud, MD, PC - Main Department Dennis Wigman masked Jeannine Phillips 15959 Hall Rd, Ste 405, Macomb, MI, 48044 586-416-6260 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90090101 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 12:39:36 UV 2.16.840.1.113883.3.1097.1.1740007 cdmcne Chronic Disease Management Clinic Dennis Wigman masked Chasity Bellon 3535 W 13 Mile Rd, Ste 248, Royal Oak, MI, 48073 248-551-1515 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1740007 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 12:41:18 UV 2.16.840.1.113883.3.1097.1.1740006 cdmcxp Chronic Disease Management Clinic Dennis Wigman masked Chasity Bellon 3535 W 13 Mile Rd, Ste 248, Royal Oak, MI, 48073 248-551-1515 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1740006 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 12:42:52 UV 2.16.840.1.113883.3.1097.9.90120101 cipc Clawson Internists, PC Dennis Wigman masked Georgia Bruce 21 South Main St, Clawson, MI, 48017 248-588-4777 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90120101 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 12:44:52 UV 2.16.840.1.113883.3.1097.1.1710014 fmorc Jennifer Foley, MD (aka Warren Obgyn Associates) Dennis Wigman masked Tericka Lipscomb 30117 Schoenherr Rd, Ste 100, Warren, MI, 48093 586-578-0086 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1710014 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 12:46:53 UV 2.16.840.1.113883.3.1097.9.90570101 jfmd Jefrey R.A. Fishman, MD Dennis Wigman masked Karen Matyniak 1777 Axtell Dr, Ste 200, Troy, MI, 48084 248-643-7374 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90570101 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 12:49:58 UV 2.16.840.1.113883.3.4586 klamathorthoclinic klamathorthoclinic OID Root JEANNETTE GANSBERG masked JEANNETTE GANSBERG 2200 BYRANT WILLIAMS DRIVE, SUITE 1 KLAMATH FALLS, OR 97601 541-884-7746 masked KLAMATH ORTHOPEDIC CLINIC 2200 BRYANT WILLIAMS DRIVE, SUITE 1 KLAMATH FALLS, OR 97601 541-884-7746 JGANSBERG@SKYLAKES.ORG Provider Int 3 Complete 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 12:53:44 UV 2.16.840.1.113883.3.1097.9.90570102 jfmdn Jefrey R.A. Fishman, MD Dennis Wigman masked Karen Matyniak 26820 Providence Pkwy, Ste 250, Novi, MI, 48374 248-643-7374 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90570102 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 12:55:56 UV 2.16.840.1.113883.3.1097.9.90730102 jhmp James A Heinsimer MD PC -Main Department Dennis Wigman masked James Heinsimer 5220 Highland Rd, Ste 210, Waterford, MI, 48327 248-551-0066 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90730102 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 04:46:54 UV 2.16.840.1.113883.3.4587 parkview Parkview Health System Root OID Jerry Schlund masked Jerry Schlund 10501 Corporate Dr Fort Wayne, IN 46845 260-373-8252 masked Conversion Manager Parkview Health System, Inc. 10501 Corporate Dr Fort Wayne, IN 46845 260-373-7092 jerry.schlund@parkview.com http://www.parkview.com Provider Int 3 Complete 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 04:48:29 UV 2.16.840.1.113883.3.4588 crmcrootOID Coffee Regional Medical Center Jamie Carver masked Jamie Carver 1101 Ocilla Rd Douglas, Ga 31533 912-383-6922 masked IT Director Coffee Regional Medical Center 1101 Ocilla Rd Douglas, Ga 31533 912-384-1900 jamie.carver@coffeeregional.org http://www.coffeeregional.org Provider Int 3 Complete 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 04:50:49 UV 2.16.840.1.113883.3.1097.9.90730101 jhmpro James A Heinsimer MD PC Dennis Wigman masked James Heinsimer 3535 W 13 Mile Rd, Ste 504, Royal Oak, MI, 48073 248-551-0066 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90730101 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 04:52:59 UV 2.16.840.1.113883.3.1097.1.1500012 ipswb Interventional Pain Services Dennis Wigman masked Karen Alpiner 6900 Orchard Lake Rd, West Bloomfield, MI, 48322 248-655-9600 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1500012 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 04:54:56 UV 2.16.840.1.113883.3.1097.1.2050044 ipstr Interventional Pain Services Dennis Wigman masked Karen Alpiner 44201 Dequindre Rd, Troy, MI, 48085 248-964-4880 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2050044 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 04:57:03 UV 2.16.840.1.113883.3.1097.1.1550011 pchc Interventional Pain Services Dennis Wigman masked Karen Alpiner 4949 Coolidge Hwy, Royal Oak, MI, 48072 248-655-9600 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1550011 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 05:02:07 UV 2.16.840.1.113883.3.1097.1.1720004 ifhs Internists of Farmington Hills Dennis Wigman masked Denise Hartung 29355 Northwern Hwy, Ste 210, Southfield, MI, 48034 248-223-9650 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1720004 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 05:04:15 UV 2.16.840.1.113883.3.1097.1.1720003 imdwbh Internal Medicine of Grosse Pointe Farms Dennis Wigman masked Jean Guiles 131 Kercheval Ave, Ste 330, Grosse Pointe Farms, MI, 48236 313-885-5700 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1720003 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 05:05:30 UV 2.16.840.1.113883.3.1097.1.1710015 jrorc Internal Medicine & Pediatrics of Royal Oak aka Rochlen Dennis Wigman masked Kasey Wheeler 1026 W 11 Mile Rd, Ste B, Royal Oak, MI, 48073 248-543-8111 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1710015 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 05:08:50 UV 2.16.840.1.113883.3.1097.1.1710029 gmzscs Integrative Cardiology aka Ginette Gomez, DO, F.A.C.C. Dennis Wigman masked Sarah Gasiewski 25631 Little Mack Ave, Ste 205, St Clair Shores, MI, 48081 586-443-2930 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1710029 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 05:11:26 UV 2.16.840.1.113883.3.4589 gsv Gresham Station Vision, LLC Joseph An masked Joseph An 503-618-1119 masked Principal Gresham Station Vision, LLC 697 NW Division St. Gresham, OR 97030 503-618-1119 joe_an@hotmail.com Provider Int 3 Complete 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 05:13:55 UV 2.16.840.1.113883.3.4590 cPHE Cypress Pointe Hospital East Karen Bonura masked Karen Bonura 989 Robert Blvd Slidell LA 70458 985-690-8205 masked Controller Cypress Pointe Hospital East 989 Robert Blvd Slidell LA 70458 985-640-7734 abarletto@1uptek.com Provider Int 3 Complete 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 05:17:48 UV 2.16.840.1.113883.3.4591 inwoodcommunity Inwood Community Servivices Fred Humphrey masked Fred Humphrey 416 West 127th St New York NY 10024 2128662600 masked Inwood Community Servivices 416 West 127th Street New York NY 10024 2128662600 Fhumphrey@Heritagenyc.org http://www.inwoodcommunityservices.org/ Provider Int 3 Complete 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 05:30:02 UV 2.16.840.1.113883.3.4592 perryave Perry Avenue Family Medical Practice Fred Humphrey masked Fred Humphrey 416 West 127th St New York NY 10027 2128662600 masked Health Home Perry Avenue Family Medical Practice 416 West 127th St New York NY 10027 2128662600 Fhumphrey@Heritagenyc.org http://www.perrymed.com Provider Int 3 Complete 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 05:33:49 UV 2.16.840.1.113883.3.1070.5735 mckesson-fusion-5735 mckesson-fusion-5735 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5735 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 05:35:51 US 2.16.840.1.113883.3.4593 tractuscorp Tractus Corporation Ing-Long Kuo masked Mark Mayerchak Mark Mayerchak 2010 Crow Canyon Place #100 San Ramon, CA 94583 (425)998-7479 masked Program Manager Tractus Corporation 2010 Crow Canyon Place #100 San Ramon, CA 94583 (425)998-7479 sphuntley@tractuscorp.com http://www.tractuscorp.com/ Vendor Int 3 Complete 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 05:39:16 UV 2.16.840.1.113883.3.619.1.1 ohh Oklahoma Heart Hospital North Campus Forrest Westbrook masked Clinical Systems Support 4050 West Memorial Road MIS Oklahoma City, OK 73120 (405) 608-3410 masked Oklahoma Heart Hospital 4050 West Memorial Road Oklahoma City, Oklahoma 73120 (405) 608-3200 clinicalsystems@okheart.com http://www.okheart.com Provider 2.16.840.1.113883.3.619 Ext 14 Complete 2.16.840.1.113883.3.619.1.1 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 05:45:03 UV 2.16.840.1.113883.3.1070.5741 mckesson-fusion-5741 mckesson-fusion-5741 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5741 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 05:41:47 US 2.16.840.1.113883.3.619.1.2 ohhs Oklahoma Heart Hospital South Campus Forrest Westbrook masked Clinical Systems Support 4050 West Memorial Road MIS Oklahoma City, OK 73120 (405) 608-3410 masked Oklahoma Heart Hospital 4050 West Memorial Road Oklahoma City, Oklahoma 73120 (405) 608-3200 clinicalsystems@okheart.com http://www.okheart.com Provider 2.16.840.1.113883.3.619 Ext 14 Complete 2.16.840.1.113883.3.619.1.2 2014/02/28 12:00:00 2014/09/20 12:00:00 2014/09/20 05:46:30 UV 2.16.840.1.113883.4.714 brazilianHealthInfSys-SIGASAUDE SIGA SAUDE - Health Information System of Sao Paulo city Department of Health Ricardo Puttini masked Gabriela Alves Ricardo Puttini Universidade de Bras&#237;lia, Bras&#237;lia, DF, Brazil +55(61)33153320 masked professor MInistry of Health Brazil Minist&#233;rio da Sa&#250;de, Bras&#237;lia, DF, Brazil +55(61)33153320 julioc.araujo@saude.gov.br http://www.saude.gov.br Govt body Int 4 Complete 2014/03/02 12:00:00 2014/09/20 12:00:00 2014/09/20 05:53:02 UV 2.16.840.1.113883.3.4594 brazilianHealthInfSys-RES-Brasil Federal CNS System Ricardo Puttini masked Gabriela Alves Ricardo Puttini Minist&#233;rio da Sa&#250;de, Bras&#237;lia, DF, Brazil +55(61)81433907 masked Professor MInistry of Health Brazil Minist&#233;rio da Sa&#250;de, Bras&#237;lia, DF, Brazil +55(61)33153320 julioc.araujo@saude.gov.br http://www.saude.gov.br Govt body Int 3 Complete 2014/03/02 12:00:00 2014/09/20 12:00:00 2014/09/20 05:56:04 UV 2.16.840.1.113883.3.1097.1.1730022 ihmob Infectious Disease & Interhealth Dennis Wigman masked Lynn O'Meara 3535 W 13 Mile Rd, Ste 305, Royal Oak, MI, 48073 248-551-0495 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730022 2014/03/03 12:00:00 2014/09/20 12:00:00 2014/09/20 06:01:39 UV 2.16.840.1.113883.3.1097.1.1730021 idmob INFECTIOUS DISEASE MOB Dennis Wigman masked Lynn O'Meara 3535 W 13 Mile Rd, Ste 305, Royal Oak, MI, 48073 248-551-0495 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730021 2014/03/03 12:00:00 2014/09/20 12:00:00 2014/09/20 06:02:46 UV 2.16.840.1.113883.3.1097.1.1550016 hyphc Hyperbaric Medicine Center Dennis Wigman masked Andrew Melnyczenko 4949 Coolidge Hwy, Royal Oak, MI, 48073 248-655-3147 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1550016 2014/03/03 12:00:00 2014/09/20 12:00:00 2014/09/20 06:04:55 UV 2.16.840.1.113883.3.1097.9.91350101 hmc-oid Hyperbaric Medical Center Dennis Wigman masked Iris Daniel 42490 Garfield Rd, Ste 207, Clinton Twsp, MI, 48038 586-263-7900 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91350101 2014/03/03 12:00:00 2014/09/20 12:00:00 2014/09/20 06:07:52 UV 2.16.840.1.113883.3.1097.1.1730016 hfcmam Hough Fam Ctr for Adol Eat Disorders Dennis Wigman masked Michael Seeds 31815 Southfield Rd, Ste 22, Beverly Hills, MI, 48025 248-594-3142 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730016 2014/03/03 12:00:00 2014/09/20 12:00:00 2014/09/20 06:10:10 UV 2.16.840.1.113883.3.1097.9.90170101 hfacgrf Hosey Foot & Ankle Centers - Main Department Dennis Wigman masked Brenda Everest 42550 Garfield Rd, Ste 103, Clinton Twp, MI, 48038 586-263-4411 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90170101 2014/03/03 12:00:00 2014/09/20 12:00:00 2014/09/20 06:12:22 UV 2.16.840.1.113883.3.4595 centroalta Heritage Health Home Richard Espinal masked Richard Espinal 2125682115 masked Centro Altagracia de Fe y Justicia 511 W164th Street New York, NY 10032 2125682115 info@centroaltagracia.org Provider Int 3 Complete 2014/03/03 12:00:00 2014/09/20 12:00:00 2014/09/20 06:15:01 UV 2.16.840.1.113883.3.1097.9.90170103 hfactr Hosey Foot & Ankle Centers Dennis Wigman masked Brenda Everest 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 586-275-3000 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90170103 2014/03/03 12:00:00 2014/09/20 12:00:00 2014/09/20 06:18:26 UV 2.16.840.1.113883.3.1097.9.90170104 hfacrtl Hosey Foot & Ankle Centers Dennis Wigman masked Brenda Everest 42550 Garfield Rd, Ste 103, Clinton Twp, MI, 48038 586-263-4411 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90170104 2014/03/03 12:00:00 2014/09/20 12:00:00 2014/09/20 06:19:56 UV 2.16.840.1.113883.3.1097.9.90170105 hfacpharm Hosey Foot & Ankle Centers Dennis Wigman masked Brenda Everest 42550 Garfield Rd, Ste 103, Clinton Twp, MI, 48038 586-263-4411 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90170105 2014/03/03 12:00:00 2014/09/20 12:00:00 2014/09/20 06:21:28 UV 2.16.840.1.113883.3.1097.9.90170102 hfacgrt Hosey Foot & Ankle Centers Dennis Wigman masked Brenda Everest 253 South Gratiot, Mt Clemens, MI, 48043 586-468-5445 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90170102 2014/03/03 12:00:00 2014/09/20 12:00:00 2014/09/20 06:22:58 UV 2.16.840.1.113883.3.1097.1.1300022 hccmob Hepatitis C Clinic Dennis Wigman masked Chasity Bellon 3535 W 13 Mile Rd, Ste 248, Royal Oak, MI, 48073 248-551-1515 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1300022 2014/03/03 12:00:00 2014/09/20 12:00:00 2014/09/20 06:25:24 UV 2.16.840.1.113883.3.1097.9.91240101 hrcs Heart Rhythm Clinics, PC Dennis Wigman masked Sham Juratil 18181 Oakwood Blvd, Ste 207, Dearbon, MI, 48124 313-551-3745 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91240101 2014/03/03 12:00:00 2014/09/20 12:00:00 2014/09/20 06:29:31 UV 2.16.840.1.113883.3.1097.1.2160017 vccoscsh Heart & Vascular Center - OSCSH Dennis Wigman masked Pam Gray 44250 Dequindre Rd, Sterling Heights, MI, 48314 248-964-9885 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2160017 2014/03/03 12:00:00 2014/09/20 12:00:00 2014/09/20 06:31:45 UV 2.16.840.1.113883.3.1097.1.2160018 phcoscsh Heart & Vascular Center - OSCSH Dennis Wigman masked Pam Gray 44250 Dequindre Rd, Sterling Heights, MI, 48314 248-964-2693 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2160018 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 02:19:20 UV 2.16.840.1.113883.3.1097.1.2160016 hfcoscsh Heart & Vascular Center - OSCSH Dennis Wigman masked Pam Gray 44250 Dequindre Rd, Sterling Heights, MI, 48314 248-964-6101 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2160016 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 02:20:41 UV 2.16.840.1.113883.3.1097.9.90640101 hwp Healthy Women, PLLC Dennis Wigman masked Maggie Szabo 1109 W Long Lake Rd, Bloomfield Hills, MI, 48302 248-594-0002 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90640101 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 02:23:10 UV 2.16.840.1.113883.3.1097.1.1730041 obgynt GYN Oncology Dennis Wigman masked Carrie Decker 3577 W 13 Mile Rd , Ste 302, Royal Oak, MI, 48073 248-964-0088 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730041 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 02:26:30 UV 2.16.840.1.113883.3.1097.1.1730010 gorcc GYN Oncology Dennis Wigman masked Carrie Decker 3577 W 13 Mile Rd, Ste 302, Royal Oak, MI, 48073 248-551-1330 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730010 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 02:28:15 UV 2.16.840.1.113883.3.1097.1.4370001 gppimc Grosse Pointe Park Internal Medicine Dennis Wigman masked Keisha Heard 15200 Kercheval Ave, Grosse Pointe Park, MI, 48230 313-417-6100 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.4370001 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 02:32:04 UV 2.16.840.1.113883.3.1097.1.4360001 gpfffp Grosse Pointe Farms Family Physicians Dennis Wigman masked Jean Guiles 131 Kercheval Ave, Ste 99, Grosse Pointe Farms, MI, 48236 313-640-2424 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.4360001 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 02:34:10 UV 2.16.840.1.113883.3.1097.9.91280101 glm Great Lakes Medical Specialists Dennis Wigman masked Theresa Oney-Marlow 22631 Mack Ave, Ste 100, St Clair Shores, MI, 48080 586-771-0100 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91280101 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 02:37:57 UV 2.16.840.1.113883.3.1097.9.91100101 gmt Grace Medical of Troy Dennis Wigman masked Rebekah Baird 3940 John R Rd, Troy, MI, 48083 248-688-9500 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91100101 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 02:41:00 UV 2.16.840.1.113883.3.1097.1.1730009 gamob Geriatric Assessment Center (aka Beaumont Internal Medicine - Berkley) Dennis Wigman masked Ellaine Richardson 1949 W 12 Mile Rd, Ste 100, Berkley, MI, 48072 248-551-8305 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730009 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 02:45:58 UV 2.16.840.1.113883.3.1097.9.90860101 gsam George S. Afram, MD Dennis Wigman masked Shawna Krider 29275 Harper Ave, St Clair Shores, MI, 48081 586-779-6630 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90860101 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 02:49:09 UV 2.16.840.1.113883.3.1097.9.90150101 moser George B Moser MD, PC Dennis Wigman masked Schulz, Leanne 511 Pierce St, Birimingham, MI, 48009 248-645-0840 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90150101 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 02:53:31 UV 2.16.840.1.113883.3.1097.9.91380101 mfmd General Surgeons Dennis Wigman masked Rose Bachan 3535 W 13 Mile Rd, Ste 501, Royal Oak, MI, 48073 248-288-1130 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91380101 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 02:56:25 UV 2.16.840.1.113883.3.1097.9.91380104 mvmd General Surgeons Dennis Wigman masked Rose Bachan 3535 W 13 Mile Rd, Ste 501, Royal Oak, MI, 48073 248-288-1130 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91380104 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 02:57:29 UV 2.16.840.1.113883.3.1097.9.91380103 jrmd General Surgeons Dennis Wigman masked Rose Bachan 3535 W 13 Mile Rd, Ste 501, Royal Oak, MI, 48073 248-288-1130 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91380103 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 02:58:38 UV 2.16.840.1.113883.3.1097.9.91380102 fimd General Surgeons Dennis Wigman masked Rose Bachan 3535 W 13 Mile Rd, Ste 501, Royal Oak, MI, 48073 248-288-1130 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91380102 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 03:00:16 UV 2.16.840.1.113883.3.1097.9.90540101 grpc Gary A. Renard, MD, PC Dennis Wigman masked Gary Renard 555 Barclay Cir, Ste 150, Rochester Hills, MI, 48307 248-299-5777 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90540101 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 03:01:24 UV 2.16.840.1.113883.3.1097.9.91190101 dshmkhwayne Ganesh R, Deshmukh, MD - Main Department Dennis Wigman masked Kimberly DeMoor 3106 S Wayne Rd, Wayne, MI, 48184 734-722-6300 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91190101 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 03:07:18 UV 2.16.840.1.113883.3.1097.9.91190102 dshmkhsthgt Ganesh R, Deshmukh, MD Dennis Wigman masked Kimberly DeMoor 15750 Northline Rd, Southgate, MI, 48195 734-722-6300 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91190102 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 03:08:25 UV 2.16.840.1.113883.3.1097.9.91190103 dshmkhbrkly Ganesh R, Deshmukh, MD Dennis Wigman masked Kimberly DeMoor 1695 12 Mile Rd, Ste 200, Berkley, MI, 48072 734-722-6300 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91190103 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 03:09:53 UV 2.16.840.1.113883.3.1097.1.1400006 gkic Gamma Knife - IC Dennis Wigman masked Anita Zuzga 115-IC Radiation Onc, Royal Oak, MI, 48073 248-551-1190 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1400006 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 03:13:06 UV 2.16.840.1.113883.3.1097.9.91150101 fjrmp Francisco J. Rodriguez, M.D., P.C. Dennis Wigman masked Lenore Wearmouth 25710 Kelly Rd, Ste 2, Roseville, MI, 48066 586-445-8030 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91150101 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 03:15:13 UV 2.16.840.1.113883.3.1097.9.91520102 faimbl Foot and Ankle Institute of Michigan Dennis Wigman masked Karen Pupp 6900 Orchard Lake Rd, West Bloomfield, MI, 48322 313-563-1580 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91520102 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 03:18:02 UV 2.16.840.1.113883.3.1097.1.1720005 fimsc Fonseka Internal Medicine Dennis Wigman masked Rhonda Ripley 21327 Harper Ave, Ste D, St Clair Shores, MI, 48080 586-772-2300 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1720005 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 03:20:07 UV 2.16.840.1.113883.3.1097.1.1730502 obgyngph Faleh Husseini, MD Dennis Wigman masked Lesley Buerkle 25650 Kelly Rd, Ste 10, Roseville, MI, 48066 586-777-2005 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730502 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 03:24:11 UV 2.16.840.1.113883.3.1097.1.1050136 eccro Ernst Beaumont Cardiovascular Group Dennis Wigman masked Pam Gray 3601 W 13 Mile Rd, 1 Flr CT, Royal Oak, MI, 48073 888-663-7678 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1050136 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 03:27:10 UV 2.16.840.1.113883.3.1097.1.2160019 cvccoscsh Ernst Beaumont Cardiovascular Group Dennis Wigman masked Pam Gray 44250 Dequindre Rd, Sterling Heights, MI, 48314 888-663-7678 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2160019 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 03:29:54 UV 2.16.840.1.113883.3.1097.1.1300021 ecmob Epilepsy Clinic MOB Dennis Wigman masked Andrea Motley 3535 W 13 Mile Rd, Ste 447, Royal Oak, MI, 48073 248-551-1967 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1300021 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 03:31:55 UV 2.16.840.1.113883.3.1097.9.91320101 edcrh Endocrine & Diabetes Consultants Dennis Wigman masked Abdul Al-Kassab 970 Crooks Rd, Rochester Hills, MI, 48309 248-844-0200 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91320101 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 03:34:12 UV 2.16.840.1.113883.3.1097.9.91010101 esmd Elizabeth C. Smith, MD Dennis Wigman masked Deena Luck 5777 W Maple Rd, Ste 170, West Bloomfield, MI, 48322 248-855-0077 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91010101 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 03:36:50 UV 2.16.840.1.113883.3.1097.1.4310001 ept Eastpointe Physicians Dennis Wigman masked Michelle Fromm 25509 Kelly Rd, Ste A, Roseville, MI, 48066 586-443-7600 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.4310001 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 03:41:30 UV 2.16.840.1.113883.3.1097.9.90530101 elcsc Eastlake Cardiovascular Associates, PC-Main Department Dennis Wigman masked Rose-Marie Prasatek 24211 Little Mack Ave, St Clair Shores, MI, 48080 586-498-0440 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90530101 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 03:45:14 UV 2.16.840.1.113883.4.715 cvh Clearwater Valley Hospital and Clinics Drew Johnson masked Drew Johnson 301 Cedar Orofino, ID 83544 2084768006 masked Senior System Anaylst Clearwater Valley Hospital and Clinics 301 Cedar Orofino, ID 83544 2084764555 drew.johnson@smh-cvhc.org http://www.smh-cvhc.org Provider Int 3 Complete 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 03:53:16 UV 2.16.840.1.113883.4.716 smhid St. Mary's Hospital and Clinics Drew Johnson masked Drew Johnson 701 Lewiston St Cottonwood, ID 83522 2084768006 masked Senior System Anaylst St. Mary's Hospital and Clinics 701 Lewiston St Cottonwood, ID 83522 2089623251 drew.johnson@smh-cvhc.org http://www.smh-cvhc.org Provider Int 3 Complete 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 03:54:34 UV 2.16.840.1.113883.3.1097.9.90530104 elct Eastlake Cardiovascular Associates, PC Dennis Wigman masked Rose-Marie Prasatek 44199 Dequindre Rd, Ste 518, Troy, MI, 48085 248-964-2380 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90530104 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 03:58:28 UV 2.16.840.1.113883.3.1097.9.90530102 elcr Eastlake Cardiovascular Associates, PC Dennis Wigman masked Rose-Marie Prasatek 25990 Kelly Rd, Ste 2, Roseville, MI, 48066 586-773-3649 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90530102 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 04:25:13 UV 2.16.840.1.113883.3.1097.9.90500101 drmp Durdana Rehman MDPC Dennis Wigman masked Nusrat Farooqui 35450 Dequindre Rd, Ste 105, Sterling Heights, MI, 48314 586-977-9090 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90500101 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 04:38:03 UV 2.16.840.1.113883.3.1097.9.91400101 apmd Dr. Asha Patel Dennis Wigman masked Asha Patel 3535 W 13 Mile Rd, Ste 236, Royal Oak, MI, 48073 248 551-7977 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91400101 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 04:39:18 UV 2.16.840.1.113883.3.1097.9.91460101 pdsm Dr Pauleena Singh Dennis Wigman masked Pauleena Singh 6405 Telegraph, Ste A-1, Bloomfield Hills, 48302 248-792-3690 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91460101 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 04:40:34 UV 2.16.840.1.113883.3.1097.9.91390101 nymd Dr Nashwan Yousif Dennis Wigman masked Tammy Alvarado 1261 S. Lapeer Rd, Ste 101, Lake Orion, MI, 48306 248-693-8634 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91390101 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 04:41:48 UV 2.16.840.1.113883.3.1097.9.91620101 nppc Dr David Pawlowski Dennis Wigman masked Carol 30301 Woodward Ave, Ste 110, Royal Oak, MI, 48073 248-544-2293 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91620101 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 04:44:05 UV 2.16.840.1.113883.3.1097.9.90430101 dhmd Douglas G. Hames, MD Dennis Wigman masked Linda Jenkins 22850 Kelly Rd, Eastpointe, MI, 48021 586-774-2900 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90430101 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 04:49:19 UV 2.16.840.1.113883.3.1097.9.91310101 narla D. Narla M.D.P.C. Dennis Wigman masked Nancy Murphy 44850 Mound Rd, Sterling Heights, MI, 48314 586-731-7000 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91310101 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 04:52:05 UV 2.16.840.1.113883.3.4596 rharfc Riverview Hospital Association - Riverview Family clinic Brian Piesik masked Brian Piesik 410 Dewey St Wisconsin Rapids, WI 54494 715-423-6060 ext 8626 masked Riverview Hospital Association 410 Dewey St Wisconsin Rapids, WI 54494 715-423-6060 rha@rhahealthcare.org http://www.riverviewhospital.net Provider Int 3 Complete 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 05:00:13 UV 2.16.840.1.113883.3.1097.1.1730506 ccpcc Craniofacial & Cleft Palate CC Dennis Wigman masked Gretchen Hofmann 3577 W 13 Mile Rd, Ste 206, Royal Oak, MI, 48073 248-898-0181 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730506 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 05:07:14 UV 2.16.840.1.113883.3.4597 rwhhc Riverview Wound Healing & Hyperbaric Center Brian PIesik masked Brian Piesik 410 Dewey St Wisconsin Rapids, WI 54494 715-423-6060 ext 8626 masked Riverview Wound Healing & Hyperbaric Center 410 Dewey St Wisconsin Rapids, WI 54494 715-422-7755 piebri@rhahealthcare.org Provider Int 3 Complete 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 05:02:31 UV 2.16.840.1.113883.3.1097.9.90310101 cwro Covenant Community Care-Main Department Dennis Wigman masked Victoria Johnson 27776 Woodward Ave, Royal Oak, MI, 48067 248-556-4900 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90310101 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 05:10:09 UV 2.16.840.1.113883.3.1097.1.1730507 cobgyn Covenant Community Care Dennis Wigman masked Victoria Johnson 27776 Woodward Ave, Royal Oak, MI, 48067 248-556-4900 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730507 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 05:12:42 UV 2.16.840.1.113883.3.1097.9.90310102 ccwdetro Covenant Community Care Dennis Wigman masked Claudine Mamo 1700 Waterman St, Detroit, MI, 48209 313-841-1699 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90310102 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 05:16:53 UV 2.16.840.1.113883.3.1097.9.90310105 cwdetr Covenant Community Care Dennis Wigman masked Janciette Smith 16411 Curtis, Detroit, MI, 48235 313-838-6822 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90310105 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 05:18:11 UV 2.16.840.1.113883.3.4598 pvu Pioneer Valley Urology, P.C. Christopher White masked Christopher White 100 Wason Ave. Suite 120 Springfield, MA 01107 413-241-2100 masked Administrator Pioneer Valley Urology 100 Wason Ave. Suite 120 Springfield, MA 01107 413-241-2100 cjwhite@pvurology.org http://www.pvurology.org Provider Int 3 Complete 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/21 05:20:16 UV 2.16.840.1.113883.3.4599 oISCHTR Integrated Surveillance and Clinical Health Tracking Registry Robert Kohn masked Robert Kohn 1360 Mission Street, Suite 401 San Francisco, CA 94103 USA 415-355-2022 masked Epidemiologist San Francisco Division of STD Control 1360 Mission Street, Suite 401 San Francisco, CA 94103 USA robert.kohn@sfdph.org Govt body Int 3 Complete 2014/03/03 12:00:00 2014/09/21 12:00:00 2014/09/22 12:52:57 US 2.16.840.1.113883.3.1097.9.90310106 cwdet Covenant Community Care Dennis Wigman masked Sharon Gray 20901 Moross Rd, Detroit, MI, 48236 313-626-2600 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90310106 2014/03/04 12:00:00 2014/09/21 12:00:00 2014/09/21 05:27:09 UV 2.16.840.1.113883.3.1097.9.90310103 cwde Covenant Community Care Dennis Wigman masked Sara Hunt 5716 Michigan Ave, Detroit, MI, 48210 313-554-1095 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90310103 2014/03/04 12:00:00 2014/09/21 12:00:00 2014/09/21 05:29:00 UV 2.16.840.1.113883.3.1097.9.90310104 cwd Covenant Community Care Dennis Wigman masked Erika Kolodziejski 1700 Waterman St, Detroit, MI, 48209 313-228-0293 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90310104 2014/03/04 12:00:00 2014/09/21 12:00:00 2014/09/21 05:32:45 UV 2.16.840.1.113883.3.1097.1.1730056 cmigs CMIGS Dennis Wigman masked Melba Wright 3535 W 13 Mile Rd, Ste 605, Royal Oak, MI, 48073 248-551-3575 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730056 2014/03/04 12:00:00 2014/09/21 12:00:00 2014/09/21 05:34:56 UV 2.16.840.1.113883.3.1097.1.2730007 cfp Clearwater Family Medicine Dennis Wigman masked Julia Lunsford 64321 VanDyke Rd, Washington Twp, MI, 48095 586-281-6000 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2730007 2014/03/04 12:00:00 2014/09/21 12:00:00 2014/09/21 05:38:53 UV 2.16.840.1.113883.3.1097.9.91160101 cmcp Clawson Medical Center - Main Department Dennis Wigman masked Laurie Marchese 25429 Van Dyke Ave, Centerline, MI, 48089 586-759-1100 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91160101 2014/03/04 12:00:00 2014/09/21 12:00:00 2014/09/21 05:41:27 UV 2.16.840.1.113883.3.1097.9.91160102 cmcpcl Clawson Medical Center Dennis Wigman masked Laurie Marchese 1224 W. 14 Mile Rd, Clawson, MI, 48017 248-543-6400 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91160102 2014/03/04 12:00:00 2014/09/21 12:00:00 2014/09/21 05:43:36 UV 2.16.840.1.113883.3.4601 capecodhc Cape Cod Healthcare, Inc. Brian Allen masked Brian Allen 25 Communications Way Hyannis, MA 02601 508-957-8488 masked Sr. Manager of Applications Cape Cod Healthcare, Inc. 27 Park Street Hyannis, MA 02601 508.771-1800 jmfallon@capecodhealth.org http://www.capecodhealthcare.org/ Provider Int 3 Complete 2014/03/04 12:00:00 2014/09/21 12:00:00 2014/09/21 05:45:22 UV 2.16.840.1.113883.4.717 ccma Central Carolina Medical Associates Meleah Oliver masked Philip Veatch 704-983-3855 masked MD/Owner Central Carolina Medical Associates 1908 Hilo St., Ste B Albemarle, NC 28001 704-983-3855 ccma@ctc.net Provider Int 3 Complete 2014/03/04 12:00:00 2014/09/27 12:00:00 2014/09/27 04:33:23 UV 2.16.840.1.113883.3.4603 dcmh Delta County Memorial Hospital Mark Davignon masked Mitch Van Scoyk 1501 E. 3rd. St. Delta, Co. 81416 970-874-6025 masked IT Director Delta County Memorial Hospital Delta County Memorial Hospital 1501 E. 3rd St. Delta, Co. 81416 970-874-7681 mvanscoyk@deltahospital.org http://www.deltahospital.org Provider Int 3 Complete 2014/03/04 12:00:00 2014/09/27 12:00:00 2014/09/27 04:37:32 UV 2.16.840.1.113883.3.4604 smoker-oid Office of Chad Smoker, MD Chad Smoker masked Lynda Wiseman 88 Hospital Drive Spruce Pine, NC 28777 8287656101 masked Practice Manager Chad Smoker, MD 88 Hospital Drive Spruce Pine, NC 28777 8287656101 smoker.office@gmail.com Provider Int 3 Complete 2014/03/04 12:00:00 2014/09/27 12:00:00 2014/09/27 04:41:00 UV 2.16.840.1.113883.3.4605 antinori Office of Joseph Antinori, MD Joseph Antinori masked Joseph Antinori 14 Academy Street 8286827333 masked Practice Manager Joseph Antinori, MD 8286827333 ohlynda2002@gmail.com Provider Int 3 Complete 2014/03/04 12:00:00 2014/09/27 12:00:00 2014/09/27 04:44:04 UV 2.16.840.1.113883.3.4606 d-r-y DeLacey, Rozak & Young Deborah Rozak masked Julie Knudtson 319 Southbridge Street Auburn, MA 01501 7162201210 masked IT Consultant DeLacey, Rozak & Young 319 Southbridge Street Auburn, MA 01501 508-832-9646 rozakdl@yahoo.com http://www.auburnim.com Provider Int 3 Complete 2014/03/04 12:00:00 2014/09/27 12:00:00 2014/09/28 07:38:20 UV 2.16.840.1.113883.3.4607 soptical Sterling Optical Paul Delakis masked Paul Delakis 4054 Commonwealth Ave, Eau Claire, WI 54701 7158331220 masked Owner Paul Delakis OD 4054 Commonwealth Ave, Eau Claire, WI 54701 7158331220 contactguy@charter.net http://www.google.com Provider Int 3 Complete 2014/03/04 12:00:00 2014/09/27 12:00:00 2014/09/27 04:48:02 UV 2.16.840.1.113883.3.4608 fchc Fenway Health Vaughan MacKenzie masked Vaughan MacKenzie 1340 Boylston St Boston MA 02215 617-927-6482 masked Fenway Health 1340 Boylston St Bostom MA 02215 617-927-0900 myfenway@fenwayhealth.org http://www.fenwayhealth.org Provider Int 3 Complete 2014/03/04 12:00:00 2014/09/27 12:00:00 2014/09/27 04:49:34 UV 2.16.840.1.113883.13.262 umroi University of Maryland Rehabilitation and Orthopaedic Institute Tara Newman-Bell masked U of MD Rehabilitation and Orthopaedic Institute Tara L. Newman-Bell 2200 Kernan Drive Baltimore, MD 21207 410-328-9955 masked IT Director, Integration University of Maryland Rehabilitation and Orthopaedic Institute tnewmanbell@umm.edu Provider Int 3 Complete 2014/03/04 12:00:00 2014/09/27 12:00:00 2014/09/27 05:01:12 UV 2.16.840.1.113883.13.263 ummc University of Maryland Medical Center Tara Newman-Bell masked U of MD Medical Center Tara L. Newman-Bell 737 W Lombard St #116 Baltimore, MD 21201 410-328-9955 masked IT Director, Integration University of Maryland Medical Center tnewmanbell@umm.edu Provider Int 3 Complete 2014/03/04 12:00:00 2014/09/27 12:00:00 2014/09/27 05:04:09 UV 2.16.840.1.113883.3.4609 ghaco Good Help Accountable Care Organization Daniel Salzberg masked Russ Swan 8565 Magellan Parkway, Suite 100 Richmond, VA 23227 (804) 289-7402 masked Director of Integration Good Help Accountable Care Organization 8565 Magellan Parkway, Suite 100 Richmond, VA 23227 (804) 289-7402 russ_swan@bshsi.org Provider Int 3 Complete 2014/03/04 12:00:00 2014/09/27 12:00:00 2014/09/27 04:55:09 UV 2.16.840.1.113883.3.1097.9.90340101 spmd Sase Persaud, MD, PC Dennis Wigman masked Kendra 314 N Main St, Clawson, MI, 48017 248-577-0600 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90340101 2014/03/05 12:00:00 2014/09/27 12:00:00 2014/09/27 05:07:10 UV 2.16.840.1.113883.3.1097.1.1950113 sesbc Sleep Evaluation Services Berkley Clinic NHC Dennis Wigman masked Mary Ellen Welling 1949 W 12 Mile Rd, Ste 100, Berkley, MI, 48072 248-547-4276 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1950113 2014/03/05 12:00:00 2014/09/27 12:00:00 2014/09/27 05:10:10 UV 2.16.840.1.113883.3.1097.1.2350024 sestc Sleep Evaluation Services Clinic Troy Dennis Wigman masked Mary Ellen Welling 15959 Hall Rd, Ste 100, Macomb, MI, 48044 586-416-5940 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2350024 2014/03/05 12:00:00 2014/09/27 12:00:00 2014/09/27 05:12:53 UV 2.16.840.1.113883.3.1097.1.4520022 sespc Sleep Evaluation Services Phys Clinic SCS Dennis Wigman masked Mary Ellen Welling 25631 Little Mack Ave, Ste 203, St Clair Shores, MI, 48081 586-443-2360 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.4520022 2014/03/05 12:00:00 2014/09/27 12:00:00 2014/09/27 05:15:18 UV 2.16.840.1.113883.3.1097.1.4520021 sesscs Sleep Evaluation Services SCS Clinic NP Dennis Wigman masked Mary Ellen Welling 25631 Little Mack Ave, Ste 203, St Clair Shores, MI, 48081 586-443-2360 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.4520021 2014/03/05 12:00:00 2014/09/27 12:00:00 2014/09/27 05:17:27 UV 2.16.840.1.114519 aehn Alaska eHealth Network Rebecca Madison masked Rebecca Madison 907-770-2626 masked Executive Director Alaska eHealth Network 2440 E Tudor Rd PMB 1143 Anchorage, AK 99507 907-770-2626 rebecca@ak-ehealth.org http://ak-ehealth.org/ Exchange Ext 4 Complete 2.16.840.1.114519 2014/03/05 12:00:00 2014/09/27 12:00:00 2014/09/27 05:19:55 UV 2.16.840.1.113883.3.4610 mwoKS Midwest Orthopaedics, PA Barbara Sack masked Barbara Sack 8800 W 75 St Suite 350 Shawnee Mission, KS 66204 913-362-8317 masked Executive Director Midwest Orthopaedics, PA 8800 W 75 St Suite 350 Shawnee Mission, KS 66204 913-362-8317 bsack@midwest-orthopaedics.com http://www.midwest-orthopaedics.com Provider Int 3 Complete 2014/03/05 12:00:00 2014/09/27 12:00:00 2014/09/27 05:22:30 UV 2.16.840.1.113883.3.1070.1429 mckesson-fusion-1429 mckesson-fusion-1429 Jill Mauro masked Fusion Enrollment 8775074541 masked Fusion Enrollment jill.mauro@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.1429 2014/03/05 12:00:00 2014/09/23 12:00:00 2014/09/23 10:09:07 US 2.16.840.1.113883.3.1070.1035 mckesson-fusion-1035 mckesson-fusion-1035 Jill Mauro masked Fusion Enrollment 8775074541 masked Fusion Enrollment jill.mauro@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.1035 2014/03/05 12:00:00 2014/09/23 12:00:00 2014/09/23 10:10:05 US 2.16.840.1.113883.3.4611 pedropllanezamdpa Pedro P. LLaneza, M.D.,PA Esperanza Llaneza masked Jessica Fuentes Esperanza Llaneza 9195 SW 72 ST #120 Miami, FL 33173 3055989090 masked Administrator Pedro P. LLaneza, M.D.,PA 9195 SW 72 ST #120 Miami, FL 33173 3055989090 pedro@drllaneza.com http://www.drllaneza.com Provider Int 3 Complete 2014/03/05 12:00:00 2014/09/27 12:00:00 2014/09/27 05:24:08 UV 2.16.840.1.113883.3.1097.1.1730075 agyncmob Adolescent Gynecology Clinic Dennis Wigman masked Michael Seeds 3615 W 13 Mile Rd, Royal Oak, MI, 48073 248-551-1399 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730075 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 05:28:18 UV 2.16.840.1.113883.3.1097.9.91660101 fdpllc F.D Farah MI PLCC Dennis Wigman masked Rebecca Jackman 44645 Mound Rd., Sterling Heights, MI, 48314 586-580-0280 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91660101 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 05:33:47 UV 2.16.840.1.113883.3.1097.1.4730007 imgp Integrative Medicine Dennis Wigman masked Stacey Turak 87 Kercheval Ave, Grosse Pointe Farms, MI, 48236 313-473-2801 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.4730007 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 05:36:08 UV 2.16.840.1.113883.3.1097.1.1730076 pesc Pediatric Endocrinology Saturday Clinic Dennis Wigman masked Shelley Harless 3535 W 13 Mile Rd, Ste 707, Royal Oak, MI, 48073 248-551-0487 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730076 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 05:30:28 UV 2.16.840.1.113883.3.1097.1.1730077 pgisc Pediatric Gastroenterology Dennis Wigman masked Shelley Harless 3535 W 13 Mile , Ste 707, Royal Oak, MI, 48073 248-551-0487 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730077 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 05:31:51 UV 2.16.840.1.113883.3.1097.1.2730013 pstr Pediatric Surgery - Troy Dennis Wigman masked Laura Polce 44199 Dequindre Rd , Ste 615, Troy, MI, 48085 248-964-9660 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2730013 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 05:37:51 UV 2.16.840.1.113883.3.2402.200.6838 physicians-computer-company-clients-thp Physician's Computer Company (PCC) Clients Tree House Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6838 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 05:39:10 UV 2.16.840.1.113883.17.3913 swmcwomenshealth LMP - SWMC - Women's Health Center (Bellanova) Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2014/03/06 12:00:00 2014/09/27 12:00:00 2015/08/03 10:50:04 UV 2.16.840.1.113883.17.3914 swmcinfdisease LMP - SWMC Infectious Disease Clinic Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 05:44:36 UV 2.16.840.1.113883.17.3915 swstepeds LMP - SWMC - Stevensville Pediatrics Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 05:48:11 UV 2.16.840.1.113883.17.3916 swstewalkin LMP - SWMC - Stevensville Walk In Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 05:51:09 UV 2.16.840.1.113883.17.3917 lakelandentberrien LMP - Lakeland Ear, Nose and Throat Berrien Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 05:53:53 UV 2.16.840.1.113883.3.4612 hDSC Health Dialog Services Corporation Andrew Seale masked Andrew Seale 6 Bedford Farms Bedford NH 03110 603-665-5844 masked Manager of Compliance and Quality Health Dialog 6 Bedford Farms Bedford NH 03110 603-665-5844 aseale@healthdialog.com http://www.healthdialog.com/Main/default Vendor Int 3 Complete 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 05:56:45 UV 2.16.840.1.113883.17.3918 cmcwalkin Community Medical Center Walk In Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 05:57:47 UV 2.16.840.1.113883.17.3919 cmcintmed Community Medical Center Internal Medicine Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 05:58:43 UV 2.16.840.1.113883.17.3920 cmcbehavioralhealth Community Medical Center Behavioral Health Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 06:02:49 UV 2.16.840.1.113883.17.3921 mscgastro Mercy Specialty Clinic Gastroenterology Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 06:04:10 UV 2.16.840.1.113883.17.3922 lcsnl LMP - Lakeland Cancer Specialists Niles Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 06:06:00 UV 2.16.840.1.113883.17.3923 swnilpeds LMP - SWMC - Niles Pediatrics Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 06:07:39 UV 2.16.840.1.113883.17.3924 swnilwalkin LMP - SWMC - Niles Walk In Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 06:09:53 UV 2.16.840.1.113883.17.3925 lmnephcoloma LM Nephrology PLC Coloma Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 06:11:13 UV 2.16.840.1.113883.17.3926 lmnephniles LM Nephrology PLC Niles Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 06:13:02 UV 2.16.840.1.113883.17.3927 brainnl Berrien Regional Associates in Neurology, NL Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 06:14:43 UV 2.16.840.1.113883.17.3928 lscvnl Lakeshore Cardiothoracic and Vascular Surgery, NL Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 06:17:04 UV 2.16.840.1.113883.17.3929 lscvwv Lakeshore Cardiothoracic and Vascular Surgery, WV Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 06:18:15 UV 2.16.840.1.113883.17.3930 cassoblab Cass OB/GYN Lab Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 06:20:03 UV 2.16.840.1.113883.17.3931 cassmihp Cass MIHP Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 06:22:58 UV 2.16.840.1.113883.17.3932 braincoloma Berrien Regional Associates in Neurology, Coloma Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 06:26:43 UV 2.16.840.1.113883.17.3933 lhsim Lakeside Healthcare Specialties Internal Medicine Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 06:27:41 UV 2.16.840.1.113883.17.3934 lhspeds Lakeside Healthcare Specialties Pediatrics Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 06:29:51 UV 2.16.840.1.113883.17.3935 greaternilescard Greater Niles Cardiology Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 06:32:39 UV 2.16.840.1.113883.17.3936 cassnlcommhealth Cass Niles Community Health Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 06:33:55 UV 2.16.840.1.113883.3.4613 decA Davis EyeCare Associates Robert Davis masked Robert L. Davis 4663 W. 95th Street Oak Lawn, Il. 60453 708-636-0600 masked Optometrist Davis EyeCare Associates 708-636-0600 eyemanage@aol.com http://www.daviseyecare.com/ Provider Int 3 Complete 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 06:37:52 UV 2.16.840.1.113883.3.4614 soarclinNWHMC NWHMC Soarian Clinical System Robin Peterson masked DeJuan Skelton Northwest Hospital and Medical Center 1550 N 115th St. MS NG503 Seattle, WA. 98133 206-368-1858 masked Project Manager Northwest Hospital and Medical Center Northwest Hospital and Medical Center 1550 N 115th St. Seattle, WA. 98133 206-364-0500 dejuan.skelton@nwhsea.org http://www.nwhospital.org/ Provider 1.3.6.1.4.39539 Int 3 Complete 2014/03/06 12:00:00 2014/09/27 12:00:00 2016/06/29 06:24:00 UV 2.16.840.1.113883.3.4615 mckessNWHMC McKesson STAR HIS system for NWHMC Robin Peterson masked Robin Peterson Northwest Hospital and Medical Center 1550 N 115th St, MS NG503 Seattle, WA. 98133 206-368-2027 masked Systems Analyst Northwest Hospital and Medical Center Northwest Hospital and Medical Center 1550 N 115th St Seattle, WA. 98133 206-364-0500 Robin.Peterson@nwhsea.org http://nwhospital.org/ Provider 1.3.6.1.4.39539 Int 3 Complete 2014/03/06 12:00:00 2014/09/27 12:00:00 2014/09/27 06:42:26 UV 2.16.840.1.113883.3.4616 optumone Optum One Glen Eiden masked Glen Eiden 11030 OPTUM CIRCLE EDEN PRAIRIE, MN 55344 9528338366 masked Optum One 11030 OPTUM CIRCLE EDEN PRAIRIE, MN 55344 (952) 833-7100 info@optum.com Vendor Int 2.16.840.1.113883.3.2966 3 Deprecated 2014/03/06 12:00:00 2014/09/27 12:00:00 2018/03/05 09:45:07 UV 2.16.840.1.113883.3.1070.5714 mckesson-fusion-5714 mckesson-fusion-5714 Anna Durbin masked Fusion Enrollment 8775074541 masked Fusion Enrollment anna.durbin@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5714 2014/03/07 12:00:00 2014/09/23 12:00:00 2014/09/23 10:10:49 US 2.16.840.1.113883.3.2591.600.2 manaportal Mana Patient Portal Assigning Authority Mukul Govil masked Matt Simpson Mukul Govil 6466196437 masked New York eHealth Collaborative 40 Worth St New York, NY 6466196437 mgovil@nyehealth.org Govt body 2.16.840.1.113883.3.2591 Ext 17 Complete 2.16.840.1.113883.3.2591.600.2 2014/03/07 12:00:00 2014/09/27 12:00:00 2014/09/27 06:48:55 UV 2.16.840.1.113883.3.4617 nrhccd Newman Regional Health CCD Tami Lamond masked Newman Regional Health Tami Lamond Newman Regional Health 1201 W. 12th Ave Emporia, KS 66801 620-343-6800 masked Systems Analyst Newman Regional Health Newman Regional Health 1201 W. 12th Ave Emporia, KS 66801 620-343-6800 servicedesk@newmanrh.org http://www.newmanrh.org Provider Int 3 Complete 2014/03/07 12:00:00 2014/09/27 12:00:00 2014/09/27 06:47:03 UV 2.16.840.1.113883.3.1097.1.1730072 pentmob Pediatric ENT Dennis Wigman masked Shelley Harless 1026 W 11 Mile Rd, Ste B, Royal Oak, MI, 48073 248-551-2400 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730072 2014/03/07 12:00:00 2014/09/27 12:00:00 2014/09/27 06:51:28 UV 2.16.840.1.113883.3.1097.1.1730078 ppmrro (Dabrowski) Physical Medicine RO Dennis Wigman masked Megan Hutton 3600 W 13 Mile Rd, Royal Oak, MI, 48073 248-898-5411 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730078 2014/03/07 12:00:00 2014/09/27 12:00:00 2014/09/27 06:53:46 UV 2.16.840.1.113883.3.1097.1.4450006 pmgpnc (Dabrowski) Physical Medicine GP Dennis Wigman masked Megan Hutton 17149 Waterloo St, Grosse Pointe, MI, 48230 248-898-5411 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.4450006 2014/03/07 12:00:00 2014/09/27 12:00:00 2014/09/27 06:56:09 UV 2.16.840.1.113883.3.1097.9.90530105 ecm Eastlake Cardiovascular - Macomb Dennis Wigman masked Rose-Marie Prasatek 46591 Romeo Plank Rd, Ste 133, Macomb, MI, 48044 586-498-0440 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90530105 2014/03/07 12:00:00 2014/09/28 12:00:00 2014/09/28 09:19:39 UV 2.16.840.1.113883.3.1097.1.2730014 ugtr Beaumont Urogynecology Associates Bradley Garfield masked Stacey Weinstein 44201 Dequindre Rd Ste 415 Troy, MI 48085-1117 248-712-4120 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2730014 2014/03/07 12:00:00 2014/09/28 12:00:00 2014/09/28 09:24:49 UV 2.16.840.1.113883.3.1097.9.91510103 emcmpc Eastpoint Med Ctr (Michigan Primary Care) Dennis Wigman masked Dr Purzycki 1700 E 10 Mile Rd, Eastpointe, MI, 48021 586-563-5555 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91510103 2014/03/07 12:00:00 2014/09/28 12:00:00 2014/09/28 09:28:56 UV 2.16.840.1.113883.3.1097.9.91670101 zyapc (Ali) Zulekha Ali MD PC Dennis Wigman masked Lisa Hardy 75 Barclay Circle, Ste 105, Rochester Hills, MI, 48307 248-856-7100 masked Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91670101 2014/03/07 12:00:00 2014/09/28 12:00:00 2014/09/28 09:31:46 UV 2.16.840.1.113883.3.1097.9.91680101 maobgyn (Abbou) Mushtak Abbou MD OB/GYN Associates (see below for Warren OB/GYN Assoc) Dennis Wigman masked Sharon 3535 W 13 Mile Rd, Ste 301, Royal Oak, MI, 48073 248-288-2230 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91680101 2014/03/07 12:00:00 2014/09/28 12:00:00 2014/09/28 09:34:14 UV 2.16.840.1.113883.3.1097.9.91690101 mcrs Michigan Colon and Rectal Surgeon Dennis Wigman masked Ginger 18161 W 13 Mile Rd, Ste B1, Southfield, MI, 48076 248-644-3711 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91690101 2014/03/07 12:00:00 2014/09/28 12:00:00 2014/09/28 09:36:12 UV 2.16.840.1.113883.3.1097.9.91700101 ppllc Palakurthi Dennis Wigman masked Emily Scholz 1777 Axtell, Ste 109, Troy, MI, 48084 248-649-2626 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91700101 2014/03/07 12:00:00 2014/09/28 12:00:00 2014/09/28 09:39:12 UV 2.16.840.1.113883.3.4618 fvc Family Vision Clinic, P.C. Stefanie Hurst masked Stefanie Hurst 4200 County Road 42 West Savage, MN 55378 9528955434 masked Family Vision Clinic, P.C. 4200 County Road 42 West Savage, MN 55378 9528955434 info@fvc2020.com http://www.fvc2020.com Provider Int 3 Complete 2014/03/07 12:00:00 2014/09/28 12:00:00 2014/09/28 09:42:55 UV 2.16.840.1.113883.3.1097.9.91720101 lngpw Lakeside Neurology Dennis Wigman masked Tracey Martin 20867 Mack Ave, Ste 6, Grosse Pointe Woods, MI, 48236 313-882-2922 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91720101 2014/03/07 12:00:00 2014/09/28 12:00:00 2014/09/28 09:40:48 UV 2.16.840.1.113883.3.4619 mrh Maury Regional Medical Center Warren Robinson masked Warren Robinson 1224 Trotwood Ave Columbia, TN 38401 931-840-4457 masked IT Applications Manager Maury Regional Healthcare System 1224 Trotwood Ave Columbia, TN 38401 931-381-1111 wrobinson@mauryregional.com http://www.mauryregional.com Provider 2.16.840.1.113883.3.999 Int 3 Complete 2014/03/07 12:00:00 2014/09/28 12:00:00 2014/09/28 09:44:08 UV 2.16.840.1.113883.3.4620 premiermd PremierMD ACO, LLC Kim Becka masked David Fater David Fater 3465 Galt Ocean Dr, Ste 201 Fort Lauderdale, FL 33308 954-561-5135 masked Chief Operating Officer PremierMD ACO, LLC 3465 Galt Ocean Dr, Ste 201 Fort Lauderdale, FL 33308 954-561-5135 dfater@premiermd.net http://www.premiermd.net/ Provider Int 3 Complete 2014/03/07 12:00:00 2014/09/28 12:00:00 2014/09/28 09:47:10 UV 2.16.840.1.113883.3.4621 mmc-oid Marshall Medical Center Warren Robinson masked Warren Robinson 1224 Trotwood Ave Columbia, TN 38401 931-840-4457 masked IT Applications Manager Maury Regional Healthcare System 1224 Trotwood Ave Columbia, TN 38401 931-381-1111 wrobinson@mauryregional.com http://www.mauryregional.com/MMC.htm Provider 2.16.840.1.113883.3.999 Int 3 Complete 2014/03/07 12:00:00 2014/09/28 12:00:00 2014/09/28 09:51:57 UV 2.16.840.1.113883.3.4622 wmc-oid Wayne Medical Center Warren Robinson masked Warren Robinson 1224 Trotwood Ave Columbia, TN 38401 931-840-4457 masked IT Applications Manager Maury Regional Healthcare System 1224 Trotwood Ave Columbia, TN 38401 931-381-1111 wrobinson@mauryregional.com http://www.mauryregional.com/WMC.htm Provider 2.16.840.1.113883.3.999 Int 3 Complete 2014/03/07 12:00:00 2014/09/28 12:00:00 2014/09/28 09:54:06 UV 2.16.840.1.113883.3.619.1.3 ohhp Oklahoma Heart Hospital Physicians Forrest Westbrook masked Clinical systems Support 4050 West Memorial Road MIS Oklahoma City, OK 73120 (405) 608-3410 masked Oklahoma Heart Hospital 4050 West Memorial Road Oklahoma City, Oklahoma 73120 (405) 608-3200 clinicalsystems@okheart.com http://www.okheart.com Provider 2.16.840.1.113883.3.619 Ext 14 Complete 2.16.840.1.113883.3.619.1.3 2014/03/07 12:00:00 2014/09/28 12:00:00 2014/09/28 09:50:18 UV 2.16.840.1.113883.3.4623 prevvy prevvy Jose Olmo masked Jose Olmo 8240 sw 62nd ave, Miami, FL 33143, USA (573)-539-1560 masked Chairman HealthCentrix, LLC (573)-539-1560 jmolmo@healthcentrix.com http://www.healthcentrix.com Vendor Int 3 Complete 2014/03/08 12:00:00 2014/09/28 12:00:00 2014/09/28 11:25:38 UV 2.16.840.1.113883.3.1070.5751 mckesson-fusion-5751 mckesson-fusion-5751 Johnny moore masked Fusion Enrollment 8775074541 masked Fusion enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 3 Complete 2.16.840.1.113883.3.1070.5751 2014/03/10 12:00:00 2014/09/23 12:00:00 2014/09/23 10:12:16 UV 2.16.840.1.113883.3.1097.1.1550035 cpchc Cardiovascular Performance Clinic Dennis Wigman masked Jenna Brinks 4949 Coolidge Hwy, Royal Oak, MI, 48073 248-655-5750 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1550035 2014/03/10 12:00:00 2014/09/28 12:00:00 2014/09/28 11:30:34 UV 2.16.840.1.113883.3.1097.1.1730074 lwpccl Living Well Primary Care (Citron and Lerner) Dennis Wigman masked Beth Weeks 29645 14 Mile Rd, Ste 100, Farmington Hills, MI, 48334 248-254-6000 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730074 2014/03/10 12:00:00 2014/09/28 12:00:00 2014/09/28 11:33:18 UV 2.16.840.1.113883.3.1097.1.2730506 mtt Midwest Thoracic - Troy Dennis Wigman masked Veronica Adkins 44199 Dequindre, Ste 315, Troy, MI, 48085 248-851-1603 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2730506 2014/03/10 12:00:00 2014/09/28 12:00:00 2014/09/28 11:37:00 UV 2.16.840.1.113883.3.1097.9.91660102 frh Brennan Beaumont Endocrine Center Dennis Wigman masked Rebecca Jackmann 1701 South Blvd, Ste 190, Rochester Hills, MI, 48307 586-580-0760 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91660102 2014/03/10 12:00:00 2014/09/28 12:00:00 2014/09/28 11:40:52 UV 2.16.840.1.113883.3.4624 mparker Hidden Meadows Family Medicine Sheila Puffenberger masked Sheila Puffenberger 168 S. Howell St. Hillsdale, MI 49242 517-437-1714 masked Director of Information Technology Hidden Meadows Family Medicine 451 Hidden Meadows Dr. Suite 290 Hillsdale, MI 49242 517-437-1714 spuff@hchc.com http://www.hchc.com Provider Int 3 Complete 2014/03/10 12:00:00 2014/09/28 12:00:00 2014/09/28 11:43:09 UV 2.16.840.1.113883.3.4472.1 h-parker Hidden Meadows Family Medicine Sheila Puffenberger masked Sheila Puffenberger 168 S. Howell St. Hillsdale, MI 49242 517-437-1714 masked Director of Information Technology Hillsdale Community Health Center 168 S. Howell St. Hillsdale, MI 49242 517-437-1714 spuff@hchc.com https://www.hchc.com Provider 2.16.840.1.113883.3.4472 Ext 17 Complete 2.16.840.1.113883.3.4472.1 2014/03/10 12:00:00 2014/09/28 12:00:00 2014/09/28 12:48:01 UV 2.16.840.1.113883.3.4472.2 ortho Hillsdale Orthopedics Sheila Puffenberger masked Sheila Puffenberger 168 S. Howell St. Hillsdale, MI 49242 517-437-1714 masked Director of Information Technology Hillsdale Community Health Center 168 S. Howell St. Hillsdale, MI 49242 517-437-1714 spuff@hchc.com http://www.hchc.com Provider 2.16.840.1.113883.3.4472 Ext 17 Complete 2.16.840.1.113883.3.4472.2 2014/03/10 12:00:00 2014/09/28 12:00:00 2015/07/20 05:30:20 UV 2.16.840.1.113883.3.4472.3 janusz Dr. Alex Janusz, D.O. Sheila Puffenberger masked Sheila Puffenberger 168 S. Howell St. Hillsdale, MI 49242 517-437-1714 masked Director of Information Technology Hillsdale Community Health Center 168 S. Howell St. Hillsdale, MI 49242 517-437-1714 spuff@hchc.com http://www.hchc.com Provider 2.16.840.1.113883.3.4472 Ext 17 Complete 2.16.840.1.113883.3.4472.3 2014/03/10 12:00:00 2014/09/28 12:00:00 2014/09/28 01:12:47 UV 2.16.840.1.113883.3.4472.4 surgicalgrp Hillsdale Surgical Group Sheila Puffenberger masked Sheila Puffenberger 168 S. Howell St. Hillsdale, MI 49242 517-437-1714 masked Director of Information Technology Hillsdale Community Health Center 168 S. Howell St. Hillsdale, MI 49242 517-437-1714 spuff@hchc.com http://www.hchc.com Provider 2.16.840.1.113883.3.4472 Ext 17 Complete 2.16.840.1.113883.3.4472.4 2014/03/10 12:00:00 2014/09/28 12:00:00 2014/09/28 01:17:22 UV 2.16.840.1.113883.3.4625 phcga Piedmont Healthcare Steven Campbell masked Calvin Palmer 2727 Paces Ferry Road Suite 1-1050 Atlanta, GA 30339 678-503-1875 masked Interface Team Lead Piedmont Healthcare 2727 Paces Ferry Road Suite 1-1050 Atlanta, GA 30339 404-605-5000 interfaces@piedmont.org http://www.piedmont.org Provider Int 3 Complete 2014/03/10 12:00:00 2014/09/28 12:00:00 2014/09/28 01:20:12 UV 2.16.840.1.113883.3.4626 iasis-Mu Iasis Corporate Meaningful Use Terry Peterson masked Chis Carter Terry Peterson Cool Springs Commons 7100 Commerce Way, Suite 60 Brentwood, TN 37027 615-467-3709 masked Interface Engineer Iasis Healthcare Iasis 117 Seaboard Lane, Building E Franklin, TN 37067 615-467-3709 tlpeterson@iasishealthcare.com http://www.iasishealthcare.com/ Vendor Int 3 Complete 2014/03/10 12:00:00 2014/09/28 12:00:00 2014/09/28 01:21:33 US 2.16.840.1.113883.3.1070.5761 mckesson-fusion-5761 mckesson-fusion-5761 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5761 2014/03/11 12:00:00 2014/09/23 12:00:00 2014/09/23 10:14:44 UV 2.16.840.1.113883.3.1097.1.2730015 ghw Garfield Health and Wellness Taylor McMahon masked Andrea Connolly 43600 Garfield Rd Clinton Township, MI 48038 586-228-0400 masked Practice Administrator Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2730015 2014/03/11 12:00:00 2014/09/28 12:00:00 2014/09/28 01:23:29 UV 2.16840.1.113883.3.1070.5696 mckesson-fusion-5696 mckesson-fusion-5696 Jennifer Meares masked Fusion Enrollment 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16840.1.113883.3.1070.5696 2014/03/11 12:00:00 2014/09/28 12:00:00 2014/09/28 01:25:20 US 2.16.840.1.113883.3.4627 kirby Kirby Medical Center OID Dedi Wright masked Dedi Wright 1000 Medical Center Drive Monticello, IL 61856 217-762-1603 masked Director of Clinical Informatics Kirby Medical Center 1000 Medical Center Drive Monticello, Illinois 61856 217-762-2115 dwright@kirbyhealth.org http://www.kirbyhealth.org Provider Int 3 Complete 2014/03/11 12:00:00 2014/09/28 12:00:00 2014/09/28 01:43:49 UV 2.16.840.1.113883.4.718 phcga-pah Piedmont Atlanta Hospital Steven Campbell masked Calvin Palmer 2727 Paces Ferry Road Suite 1-1050 Atlanta, GA 30339 678-503-1875 masked Interface Team Lead Piedmont Healthcare 2727 Paces Ferry Road Suite 1-1050 Atlanta, GA 30339 404-605-3000 interfaces@piedmont.org http://www.piedmont.org Provider 2.16.840.1.113883.3.4625 Int 4 Complete 2014/03/11 12:00:00 2014/09/28 12:00:00 2014/09/28 01:32:19 UV 2.16.840.1.113883.3.4628 kirbym Kirby Medical Group Monticello OID Root Dedi Wright masked Dedi Wright 1000 Medical Center Drive Monticello, Illinois 61856 217-762-1603 masked Director of Clinical Informatics Kirby Medical Group Monticello 1000 Medical Center Drive Monticello, Illinois 61856 217-762-6241 dwright@kirbyhealth.org http://www.kirbyhealth.org Provider Int 3 Complete 2014/03/11 12:00:00 2014/09/28 12:00:00 2014/09/28 01:41:15 UV 2.16.840.1.113883.3.4629 kirbya Kirby Medical Group Atwood OID Root Dedi Wright masked Dedi Wright 1000 Medical Center Drive Monticello, Illinois 61856 217-762-1603 masked Director of Clinical Informatics Kirby Medical Group Atwood 108 Main Street Atwood, Illinois 61913 217-578-3814 dwright@kirbyhealth.org http://www.kirbyhealth.org Provider Int 3 Complete 2014/03/11 12:00:00 2014/09/28 12:00:00 2014/09/28 01:47:27 UV 2.16.840.1.113883.3.4630 dhmc-00 Dartmouth Hitchcock Medical Center Prentis Pratt masked Prentis P. Pratt 1 Medical Center Drive Lebanon, NH 03756 603-653-1017 masked Manager Dartmouth Hitchcock Medical Center 1 Medical Center Drive Lebanon, NH 03756 Prentis.P.Pratt@hitchcock.org http://dartmouth-hitchcock.org Academic Int 3 Complete 2014/03/11 12:00:00 2014/09/28 12:00:00 2014/09/28 01:54:41 UV 2.16.840.1.113883.3.4631 parknicollet Park Nicollet Health Services Jeffrey Blade masked Jeffrey Blade 7777 Golden Triangle Drive Suite 190 Eden Prairie, MN 55344 6122090823 masked Sr. IT Manager Park Nicollet Health Services 7777 Golden Triangle Drive Suite 190 Eden Prairie, MN 55344 952-993-5885 jeffrey.blade@parknicollet.com http://www.parknicollet.com Provider Int 3 Complete 2014/03/11 12:00:00 2014/09/28 12:00:00 2014/09/28 01:58:22 UV 2.16.840.1.113883.3.4632 zoll ZOLL Data Management OID Root Danielle Cote masked Danielle Cote 11802 Ridge Parkway Ste 400 Broomfield, CO 80021 303-801-1478 masked Project Manager ZOLL Data Management 11802 Ridge Parkway Ste 400 Broomfield, CO 80021 303-801-0000 dcote@zoll.com http://www.zoll.com Vendor Int 3 Complete 2014/03/11 12:00:00 2014/09/28 12:00:00 2014/09/28 02:01:46 UV 2.16.840.1.113883.3.4633 accuvision AccuVision Optometry - Livermore Richard Michelsen masked Richard John Michelsen 2580 Old 1st St Livermore CA 925-449-8188 masked Dr ACCUVISION OPTOMETRY 2580 Old 1st St Livermore CA 925-449-8188 accuvision.optometry@gmail.com Provider Int 3 Complete 2014/03/11 12:00:00 2014/09/28 12:00:00 2014/09/28 02:03:36 UV 2.16.840.1.113883.3.1070.5774 mckesson-fusion-5774 mckesson-fusion-5774 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5774 2014/03/12 12:00:00 2014/09/23 12:00:00 2014/09/23 10:15:23 US 2.16.840.1.113883.3.4634 broookingshealth Brookings Health System Grant McAdaragh masked Nathan Anderson Grant McAdaragh Brookings Health System 300 22nd Ave Brookings, SD 57006 605-696-9000 masked Community Health Information Network Director Brookings Health System 300 22nd Ave Brookings, SD 57006 605-696-9000 im@brookingshealth.org https://www.brookingshealth.org Provider Int 2.16.840.1.113883.4.501 3 Complete 2014/03/12 12:00:00 2014/09/28 12:00:00 2014/12/31 10:40:29 UV 2.16.840.1.113883.3.4635 surhc Samuel U. Rodgers Health Center Kurt Johnson masked rcaro@rodgershealth.org rcaro@rodgershealth.org 825 Euclid Ave. Kansas City, MO 64124 816-889-4620 masked COO Samuel U. Rodgers Health Center 825 Euclid Avenue Kansas City, MO 64124 816-474-4920 itteam@rodgershealth.org http://www.rodgershealth.org Provider Int 3 Complete 2014/03/12 12:00:00 2014/09/28 12:00:00 2014/09/28 02:08:13 UV 2.16.840.1.113883.3.4636 elo EYELAND OPTICAL INC LISA PAUSINGER masked LISA 4119-C MAUCH CHUNK RD COPLAY, PA 18037 610-799-2020 masked Insurance Specialist EYELAND OPTICAL INC 4119-C MAUCH CHUNK RD COPLAY, PA 18037 610-799-2020 lpausinger@eyelandoptical.com https://www.eyelandoptical.com Provider Int 3 Complete 2014/03/12 12:00:00 2014/09/28 12:00:00 2014/09/28 02:09:47 UV 2.16.840.1.113883.3.1070.5804 mckesson-fusion-5804 mckesson-fusion-5804 Jaime Cummins masked Fusion Enrollment 8775074541 masked Fusion Enrollment jaime.cummins@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5804 2014/03/12 12:00:00 2014/09/23 12:00:00 2014/09/23 10:17:09 US 2.16.840.1.113883.3.4637 ccgh-oid Carteret Count General Hospital Keith McCoy masked Keith McCoy 3500 Arendell Street Morehead City, NC 28557 2528086714 masked IT Operations Manager Carteret Count General Hospital 3500 Arendell Street Morehead City, NC 28557 2528086714 kmccoy@ccgh.org Provider Int 3 Complete 2014/03/13 12:00:00 2014/09/28 12:00:00 2014/09/28 02:15:31 UV 2.16.840.1.113883.3.4638 ccs-aco Care Coordination Services LLC Connie Rader masked Elaine Rader Connie Heard 9 North Loudoun Street Suite 103 Winchester, VA 22601 540 722-1111 masked Executive Director Care Coordinations services LLC 9 North Loudoun Street Suite 103 Winchester, VA 22601 540 722-1111 cheard@shenandoahipa.com Provider Int 3 Complete 2014/03/13 12:00:00 2014/09/28 12:00:00 2014/09/28 02:19:10 UV 2.16.840.1.113883.3.4639 com-eastridges EastRidges Medical Software Wesley Eastridge masked Wesley Eastridge 1233 Radcliffe Avenue Kingsport, TN 37664 276 386 3411 masked developer EastRidges Medical Software, LLC 1233 Radcliffe Avenue Kingsport, TN 37664 276 386 3411 wesley@eastridges.com http://eastridges.com Vendor Int 3 Complete 2014/03/13 12:00:00 2014/09/28 12:00:00 2014/09/28 02:22:44 UV 2.16.840.1.113883.3.1070.5785 mckesson-fusion-5785 mckesson-fusion-5785 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 3 Complete 2.16.840.1.113883.3.1070.5785 2014/03/13 12:00:00 2014/09/23 12:00:00 2014/09/23 10:17:50 UV 2.16.840.1.113883.3.2356.200 lpnt-jpmcedis Jackson Purchase Medical Center EDIS Trevor Dickerson masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Jackson Purchase Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-372-8500 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2356 Ext 14 Complete 2.16.840.1.113883.3.2356.200 2014/03/13 12:00:00 2014/09/28 12:00:00 2018/05/02 03:52:13 UV 2.16.840.1.113883.3.2358.200 lpnt-lrmcedis Logan Regional Medical Center EDIS Tevor Dickerson masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Logan Regional Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-372-8500 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2358 Ext 14 Complete 2.16.840.1.113883.3.2358.200 2014/03/13 12:00:00 2014/09/28 12:00:00 2018/05/02 03:54:41 UV 2.16.840.1.113883.3.2364.200 lpnt-pcmcedis Putnam Community Medical Center EDIS Trevor Dickerson masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Putnam Community Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-372-8500 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2364 Ext 14 Complete 2.16.840.1.113883.3.2364.200 2014/03/13 12:00:00 2014/09/28 12:00:00 2014/09/28 02:31:17 UV 2.16.840.1.113883.3.2366.200 lpnt-wpmcedis Western Plains Medical Complex EDIS Trevor Dickerson masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Western Plains Medical Complex 330 Seven Springs Way Brentwood, TN 37027 615-372-8500 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2366 Ext 14 Complete 2.16.840.1.113883.3.2366.200 2014/03/13 12:00:00 2014/09/28 12:00:00 2014/09/28 02:32:57 UV 2.16.840.1.113883.3.2368.200 lpnt-wcchedis Wythe County Community Hospital EDIS Trevor Dickerson masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Wythe County Community Hospital 330 Seven Springs Way Brentwood, TN 37027 615-372-8500 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2368 Ext 14 Complete 2.16.840.1.113883.3.2368.200 2014/03/13 12:00:00 2014/09/28 12:00:00 2014/09/28 02:34:18 UV 2.16.840.1.113883.3.2363.200 lpnt-mrmcedis Meadowview Regional Medical Center EDIS Trevor Dickerson masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Meadowview Regional Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-372-8500 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2363 Ext 14 Complete 2.16.840.1.113883.3.2363.200 2014/03/13 12:00:00 2014/09/28 12:00:00 2014/09/28 06:12:34 UV 2.16.840.1.113883.3.2365.200 lpnt-svhedis Spring View Hospital EDIS Trevor Dickerson masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Spring View Hospital 330 Seven Springs Way Brentwood, TN 37027 615-372-8500 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2365 Ext 14 Complete 2.16.840.1.113883.3.2365.200 2014/03/13 12:00:00 2014/09/28 12:00:00 2014/09/28 06:14:48 UV 2.16.840.1.113883.3.4640 pto Juan Garcia's Personal Testing OID Juan Garcia masked Juan Garcia 2198107328 masked Juan Garcia 2198107328 jm.garcia1989@gmail.com Academic Int 3 Complete 2014/03/13 12:00:00 2014/09/28 12:00:00 2014/09/28 06:19:03 UV 2.16.840.1.113883.3.4641 cph Central Peninsula Hospital Carrie Meyer masked Bob Wattam 250 Hospital Place Soldotna, AK 99669 907-714-4715 masked IS Director/Security Officer Central Peninsula Hospital 250 Hospital Place Soldotna, AK 99669 bwattam@cpgh.org http://www.cpgh.org Provider Int 3 Complete 2014/03/13 12:00:00 2014/09/28 12:00:00 2014/09/28 06:22:20 UV 2.16.840.1.113883.3.4642 renaissancegastro RenaissanceGastro Institute OID Root Lee Munoz masked Charles Stewart Lee Munoz 5423 S. McColl Rd Edinburg, TX 78539 956-682-4800 masked Office Director South Texas Gastroenterology Associates 5423 S. McColl Rd Edinburg, TX 78539 956-682-4800 l.munoz@dhr-rgv.com Provider Int 3 Complete 2014/03/13 12:00:00 2014/09/28 12:00:00 2014/09/28 06:26:36 UV 2.16.840.1.113883.3.4643 madisoncohosp Madison County Hospital Cheryl Link masked Cheryl Link 640 Ackerman Rd Columbus, OH 43218-3111 614-293-2547 masked Manager, Integration Madison County Hospital 210 N Main St London, OH 43140 866-357-4677 cheryl.link@osumc.edu https://www.madisoncountyhospital.org/ Provider Int 3 Complete 2014/03/13 12:00:00 2014/09/28 12:00:00 2014/09/28 06:28:35 v2.51 UV 2.16.840.1.113883.3.4644 fcmh Franklin County Memorial Hospital Health Exchange Susan Tyson masked grady.swann@fcmh.net Susan Tyson P.O. Box 636 Meadville, MS 39653 601-384-8207 masked EHR/Educator Manager Franklin County Memorial Hospital P.O. Box 636 Meadville, MS 39653 601-384-5801 susant@fcmh.net http://www.fcmh.net Provider Int 3 Complete 2014/03/13 12:00:00 2014/09/28 12:00:00 2014/09/28 06:30:36 UV 2.16.840.1.113883.3.4645 cma01107 Chestnut Medical Kathy Philpott masked Renee Day Kathy Philpott 300 Birnie Ave Suite 102 springfield, MA 01107 413-734-4206 masked Clinical Supervisor Chestnut Medical Assoc. Inc 300 Birnie ave. Suite 102 Springfield, MA 01107 413-734-4206 kathy@chestnutmed.comcastbiz.net HL7 body Int 3 Complete 2014/03/13 12:00:00 2014/09/28 12:00:00 2014/09/28 06:34:45 0396 US 2.16.840.1.113883.3.4646 doclv Desert Orthopaedic Center Brien Vokits masked Brien Vokits 2800 East Desert Inn Road Las Vegas, Nevada 89121 702-731-1616 masked Director, Health Information Desert Orthopaedic Center 2800 East Desert Inn Road Las Vegas, Nevada 89121 702-731-1616 bvokits@doclv.com http://doclv.com Provider Int 3 Complete 2014/03/13 12:00:00 2014/09/28 12:00:00 2014/09/28 06:36:36 UV 2.16.840.1.113883.3.4647 padma Padma Gupta MD PA Padma Gupta masked Padma Gupta 13500 SW 88th Street, STE 181 Miami, FL 33186 305-752-2600 masked Physician Padma Gupta MD PA 13500 SW 88th Street, STE 181 Miami, FL 33186 305-752-2600 pg272001@yahoo.com Provider Int 3 Complete 2014/03/13 12:00:00 2014/09/28 12:00:00 2014/09/28 06:39:35 UV 2.16.840.1.113883.3.4648 cmmn-aco Central Missouri Medical Network Rick Royer masked Meyrs@aetna.com Rick Royer 3610 Buttonwood Drive Columbia, MO 65201 573-881-6500 masked Executive Director Central Missouri Medical Network 3610 Buttonwood Drive Columbia, MO 65201 573.424.2678 jjennings@momednet.org http://midmonet.org/ Provider Int 3 Complete 2014/03/14 12:00:00 2014/09/28 12:00:00 2014/09/28 06:42:11 UV 2.16.840.1.113883.9.133 crmc-id CRMC - Chesapeake Regional Medical Center Eddie J Smith masked Eddie J Smith 736 N Battlefield Blvd, Chesapeake, VA 23320 719-783-2451 masked Interface Specialist Chesapeake Regional Medical Center 736 N Battlefield Blvd, Chesapeake, VA 23320 757-312-8121 IT_ALL@chesapeakeregional.com http://www.chesapeakeregional.com/ Provider Int 3 Complete 2014/03/14 12:00:00 2014/09/28 12:00:00 2014/09/28 08:56:36 2.4 UV 2.16.840.1.113883.3.4649 whbr Woman's Hospital (WHBR) Denise Melancon masked rhett.roy@womans.org Denise Melancon 100 Woman's Way Baton Rouge, LA 70817 225-924-8235 masked IT Manager,Applications Support Woman's Hospital 100 Woman's Way Baton Rouge, LA 70817 225-927-1300 rhett.roy@womans.org http://www.womans.org Provider Int 3 Complete 2014/03/14 12:00:00 2014/09/28 12:00:00 2014/09/28 06:43:48 UV 2.16.840.1.113883.3.1097.9.91730101 wgapbr Woodward Gastroenterology Berkley Bradley Garfield masked Emily Caplan 1695 12 Mile Rd STE 220 Berkley, MI 48072-2182 248-545-6100 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91730101 2014/03/14 12:00:00 2014/09/29 12:00:00 2014/09/29 04:26:30 UV 2.16.840.1.113883.3.1097.9.91730102 wgapro Woodward Gastroenterology Royal Oak Bradley Garfield masked Emily Caplan 3535 W 13 Mile Rd Ste 301 Royal Oak, MI 48073 248-551-7773 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91730102 2014/03/14 12:00:00 2014/09/29 12:00:00 2014/09/29 04:32:41 UV 2.16.840.1.113883.3.4650 khku Kahuku Medical Center Dana Ramos masked Dana Ramos 56-117 Pualalea Street Kahuku, HI 96731 808-293-9221 masked Clinical Applications Coordinator, RN Kahuku Medical Center 56-117 Pualalea Street Kahuku, HI 96731 808-293-9221 dramos@kmc-hi.org Provider Int 3 Complete 2014/03/15 12:00:00 2014/09/29 12:00:00 2014/09/29 04:53:03 UV 2.16.840.1.113883.3.205.1 providenceHealth-and-Services-StarPhysicainCode Star Physician Code John Delius masked John Delius Providence Health & Services 4400 NE Halsey Street Portland, Oregon 97213 503-8973-7176 masked Application Analyst Providence Health & Services 4400 NE Halsey Street Portland, Oregon 97213 503-893-7176 john.delius@providence.org Provider 2.16.840.1.113883.3.205 Ext 14 Complete 2.16.840.1.113883.3.205.1 2014/03/16 12:00:00 2016/10/14 12:00:00 2016/10/14 07:39:25 UV 2.16.840.1.113883.3.205.2 providenceHealth-and-Services-LIS Lab Information Sysytem John Delius masked John Delius Providence Health & Services 4400 NE Halsey Street Portland, Oregon 97213 503-8973-7176 masked Application Analyst Providence Health & Services 4400 NE Halsey Street Portland, Oregon 97213 503-893-7176 john.delius@providence.org Provider 2.16.840.1.113883.3.205 Ext 14 Complete 2.16.840.1.113883.3.205.2 2014/03/16 12:00:00 2016/10/14 12:00:00 2016/10/14 07:57:38 UV 2.16.840.1.113883.3.205.3 providenceHealth-and-Services-LIS-Filler Lab Information System Filler Order number John Delius masked John Delius Providence Health & Services 4400 NE Halsey Street Portland, Oregon 97213 503-8973-7176 masked Application Analyst Providence Health & Services 4400 NE Halsey Street Portland, Oregon 97213 503-893-7176 john.delius@providence.org Provider 2.16.840.1.113883.3.205 Ext 14 Complete 2.16.840.1.113883.3.205.3 2014/03/16 12:00:00 2016/10/14 12:00:00 2016/10/14 08:04:57 UV 2.16.840.1.113883.3.4651 ngmpc Northgate Medical PC Jessica Ortiz masked Jessica Ortiz 125 Liberty Street Suite 403 Springfield, Ma 01103 413-733-9955 masked Practice Manager Northgate Medical PC 125 Liberty Street Suite 403 Springfield, MA 01103 413-733-9955 jortiz@northgatemedicalpc.com http://www.northgatemedicalpc.com Provider Int 3 Complete 2014/03/17 12:00:00 2014/09/29 12:00:00 2014/09/29 04:53:39 UV 2.16.840.1.113883.3.4652 fnh Freeman Neosho Hospital Reble Ball masked Gary Kuykendall Reble LeeAnn Ball 1102 W 32nd Street Joplin, MO 64804 417-347-4976 masked IT Clinical Coordinator II Freeman Neosho Hospital 113 W. Hickory Street Neosho, MO 64850 417-347-4500 contactus@freemanhealth.com http://www.freemanhealth.com Provider Int 3 Complete 2014/03/17 12:00:00 2014/09/29 12:00:00 2014/09/29 04:57:05 UV 2.16.840.1.113883.17.3937 pamc-me Parkview Adventist Medical Center Kelly Marshall masked Information Services 329 Maine Street Brunswick ME 04011 207-373-4500 masked Parkview Adventist Medical Center 329 Maine St Brunswick ME 04011 207-373-4500 iservices@parkviewamc.org http://www.parkviewamc.org/ Provider Int 17 Complete 2014/03/17 12:00:00 2014/09/29 12:00:00 2014/09/29 04:59:17 UV 2.16.840.1.113883.3.4653 mchhsroot MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS Nathan Richards masked Nathan Richards 400 W 8TH Street Beloit, KS 67420 7857389588 masked IT Director Mitchell County Hospital Health Systems 400 W 8th Street Beloit, KS 67420 7857382266 nrichards@mchks.com http://www.mchks.com Provider Int 3 Complete 2014/03/17 12:00:00 2014/09/29 12:00:00 2014/09/29 05:05:26 UV 2.16.840.1.113883.3.4653.1 mchhs Mitchell County Hospital Health Systems - Main Nathan Richards masked Nathan Richards 400 W 8th Street Beloit, KS 67420 7857389588 masked IT Director Mitchell County Hospital Health Systems 400 W 8Th Street Beloit, KS 67420 7857382266 nrichards@mchks.com http://www.mchks.com Provider 2.16.840.1.113883.3.4653 Ext 17 Complete 2.16.840.1.113883.3.4653.1 2014/03/17 12:00:00 2014/09/29 12:00:00 2014/09/29 05:07:13 UV 2.16.840.1.113883.3.1070.5760 mckesson-fusion-5760 mckesson-fusion-5760 Michelle Banks masked Fusion Enrollment 8775074541 masked Fusion Enrollment michelle.banks@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5760 2014/03/17 12:00:00 2014/09/23 12:00:00 2014/09/23 10:18:32 US 2.16.840.1.113883.3.4655 sheridan-hospital Sheridan Community Hospital Ted Spencer masked Ted Spencer 9892916353 masked Sheridan Community Hospital 301 N. Main St. Sheridan, MI 48884 9892913269 swhite@sheridanhospital.com Provider Int 3 Complete 2014/03/17 12:00:00 2014/09/29 12:00:00 2014/09/29 05:12:11 UV 2.16.840.1.113883.3.4656 dchs-root Dickinson County Healthcare System Bruce Recla masked Bruce Recla Dickinson County Hospital Attn: Bruce Recla, Info Systems 1721 S. Stephenson Ave. Iron Mountain, MI 49801 906-776-5654 masked Clinical Apps Analyst Dickinson County Healthcare System 1721 S. Stephenson Ave. Iron Mountain, MI 49801 906-774-1313 bruce.recla@dchs.org http://www.dchs.org/ Provider Int 3 Complete 2014/03/17 12:00:00 2014/09/29 12:00:00 2014/09/29 05:21:41 UV 2.16.840.1.113883.3.4656.1 dchs-dcmh Dickinson County Memorial Hospital Bruce Recla masked Bruce Recla Dickinson County Hospital Attn: Bruce Recla, Info Systems 1721 S. Stephenson Ave. Iron Mountain, MI 49801 906-776-5654 masked Clinical Apps Analyst Dickinson County Healthcare System 1721 S. Stephenson Ave. Iron Mountain, MI 49801 906-774-1313 bruce.recla@dchs.org http://www.dchs.org/ Provider 2.16.840.1.113883.3.4656 Ext 17 Complete 2.16.840.1.113883.3.4656.1 2014/03/17 12:00:00 2014/09/29 12:00:00 2014/09/29 05:22:50 UV 2.16.840.1.113883.3.1070.5759 mckesson-fusion-5759 mckesson-fusion-5759 Gianna Goodman masked Fusion Enrollment 8775074541 masked Fusion Enrollment gianna_goodman@med3000.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5759 2014/03/17 12:00:00 2014/09/23 12:00:00 2014/09/23 10:19:14 US 2.16.840.1.113883.3.4657 bmi-ASU Department of Biomedical Informatics, Arizona State University Lara Johnstun masked Lara Johnstun 926 N. Cholla St., Chandler, AZ 85224 480 415-4375 masked Student Researcher Arizona State University, Department of Biomedical Informatics Samuel C. Johnson Research Bldg 13212 East Shea Boulevard, Scottsdale, AZ 85259 480-884-0220 bmi@asu.edu http://bmi.asu.edu/ Academic Int 3 Complete 2014/03/17 12:00:00 2014/09/29 12:00:00 2014/09/29 05:26:26 UV 2.16.840.1.113883.3.4658 wmmc Western Missouri Medical Center Teresa Tilly masked Teresa Tilly 403 Burkarth Road Warrensburg, MO 64093 (660)262-7443 masked Information Systems Analyst Supervisor Western Missouri Medical Center 403 Burkarth Road Warrensburg, MO 64093 (660)747-2500 ttilly@wmmc.com Provider Int 3 Complete 2014/03/18 12:00:00 2014/09/29 12:00:00 2014/09/29 05:28:05 UV 2.16.840.1.113883.3.1157.1.11 cmcfin Community Medical Center FIN Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, NJ 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.1.11 2014/03/18 12:00:00 2014/09/29 12:00:00 2024/08/01 12:11:15 UV 2.16.840.1.113883.3.1157.2.12 cmmcfin Clara Maas Medical Center FIN Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, NJ 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.2.12 2014/03/18 12:00:00 2014/09/29 12:00:00 2024/08/01 12:11:58 UV 2.16.840.1.113883.3.1157.3.13 kmcfin Kimball Medical Center FIN Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, NJ 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.3.13 2014/03/18 12:00:00 2014/09/29 12:00:00 2024/08/01 12:12:59 UV 2.16.840.1.113883.3.1157.4.14 mmcfin Monmouth Medical Center FIN Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, NJ 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.4.14 2014/03/18 12:00:00 2014/09/29 12:00:00 2024/08/01 12:13:53 UV 2.16.840.1.113883.3.1157.5.15 nbifin Newark Beth Israel Medical Center FIN Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, NJ 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.5.15 2014/03/18 12:00:00 2014/09/29 12:00:00 2024/08/01 11:27:32 UV 2.16.840.1.113883.3.1157.6.16 sbbhifin Barnabas Health Behavioral Center FIN Missy Kenney masked Missy Kenney BSystem Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, NJ 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.6.16 2014/03/18 12:00:00 2014/09/29 12:00:00 2024/08/02 10:22:12 UV 2.16.840.1.113883.3.1157.7.17 sbmcifin Saint Barnabas Medical Center FIN Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, NJ 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.7.17 2014/03/18 12:00:00 2014/09/29 12:00:00 2024/08/01 11:29:49 UV 2.16.840.1.113883.3.1070.5816 mckesson-fusion-5816 mckesson-fusion-5816 Jaime Cummins masked Fusion Enrollment 8775074541 masked Fusion Enrollment jaime.cummins@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5816 2014/03/18 12:00:00 2014/09/23 12:00:00 2014/09/23 10:19:50 US 2.16.840.1.113883.3.4659 huronmed Huron Medical Center Carrie Franzel masked dcoe@heidenconsulting.com Carrie Franzel 1100 S. Van Dyke Avenue Bad Axe, MI 48413 989-269-1511 masked Director of QA, RM, Compliance, Credentialing, UR, CPSI Huron Medical Center 1100 S. Van Dyke Avenue Bad Axe, MI 48413 989-269-9521 huronmed@huronmedical.org http://huron-medical-center.org Provider Int 3 Complete 2014/03/18 12:00:00 2014/09/29 12:00:00 2014/09/29 05:33:04 UV 2.16.840.1.113883.3.4660 ccch Chase County Community Hospital Dustin Harris masked Dustin Harris 600 West 12th St Imperial, NE 69033 3088827384 masked IT Manager Chase County Community Hospital 600 West 12th St Imperial, NE 69033 3088827111 dharris@chasecountyhospital.com Provider Int 3 Complete 2014/03/18 12:00:00 2014/09/29 12:00:00 2014/09/29 05:50:33 UV 2.16.840.1.113883.3.4661 ccmhmc Chippewa County Montevideo Hospital Joe De Vita masked Joe De Vita Chippewa County Montevideo Hospital 824 N. 11th Street Montevideo, MN 56265 320-321-8500 masked Chief Technical Officer Chippewa County Montevideo Hospital 824 N. 11th Street Montevideo, MN 56265 320-269-8877 notify@montevideomedical.com http://www.montevideomedical.com Provider Int 3 Complete 2014/03/18 12:00:00 2014/09/29 12:00:00 2014/09/29 05:52:18 UV 2.16.840.1.113883.3.4662 fhwco Family Health West Patrick Yount masked Derek Biddle PO Box 130 Fruita, CO 81521 9708582229 masked Director of Information Technology Family Health West 300 W. Ottley Fruita, CO 81521 9708581905 dbiddle@fhw.org https://fhw.org Provider Int 3 Complete 2014/03/18 12:00:00 2014/09/29 12:00:00 2024/12/12 05:03:27 UV 2.16.840.1.113883.3.1157.354.1 namikhul Nami Khulusi MD LLC Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Rd West Orange, NJ 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.354.1 2014/03/18 12:00:00 2014/09/29 12:00:00 2024/08/01 11:30:36 UV 2.16.840.1.113883.3.1157.355.1 nayak Community Pulmonary Associates Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Rd West Orange, NJ 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.355.1 2014/03/18 12:00:00 2014/09/29 12:00:00 2024/08/01 11:31:27 UV 2.16.840.1.113883.3.4663 lmhar Lawrence Memorial Hospital Teresa Mead masked Josh Melton 225 East Washington Jonesboro AR 72401 870-897-7893 masked CTO Lawrence Memorial Hospital P.O. Box 839 Walnut Ridge, Arkansas 72476 Physical Address: 1309 West Main Walnut Ridge, Arkansas 72476 870-886-1200 jmelton@sbrmc.org http://lawrencehealth.net/ Provider Int 3 Complete 2014/03/18 12:00:00 2014/09/29 12:00:00 2020/08/26 11:39:01 UV 2.16.840.1.113883.3.1157.356.1 westscharfcontebastianelli Dr. West, Scharf, Conte, & Bastianelli Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.356.1 2014/03/18 12:00:00 2014/09/29 12:00:00 2024/08/01 11:32:15 UV 2.16.840.1.113883.3.1157.357.1 eliteortho Elite Orthopedics Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.357.1 2014/03/18 12:00:00 2014/09/29 12:00:00 2024/08/01 11:33:01 UV 2.16.840.1.113883.3.1157.358.1 gardenstberiatrics Garden State Beriatrics Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.358.1 2014/03/18 12:00:00 2014/09/29 12:00:00 2024/08/01 11:33:53 UV 2.16.840.1.113883.3.1157.359.1 available Available Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 0 Complete 2.16.840.1.113883.3.1157.359.1 2014/03/18 12:00:00 2014/10/03 12:00:00 2024/08/01 11:34:50 UV 2.16.840.1.113883.3.1157.360.1 jfranklin James Franklin D MD Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.360.1 2014/03/18 12:00:00 2014/10/03 12:00:00 2024/08/01 11:35:39 UV 2.16.840.1.113883.3.1157.361.1 jrommer Dr. James Rommer MD Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.361.1 2014/03/18 12:00:00 2014/10/03 12:00:00 2024/08/01 11:36:37 UV 2.16.840.1.113883.3.1157.362.1 jrehab Jersey Rehab, P.A. Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.362.1 2014/03/18 12:00:00 2014/10/03 12:00:00 2024/08/01 11:28:15 UV 2.16.840.1.113883.3.1157.363.1 jlorber Julie Lorber Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.363.1 2014/03/18 12:00:00 2014/10/03 12:00:00 2024/08/01 11:37:22 UV 2.16.840.1.113883.3.1157.364.1 ktreadwell Kenneth Treadwell Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.364.1 2014/03/18 12:00:00 2014/10/03 12:00:00 2024/08/01 11:38:04 UV 2.16.840.1.113883.3.1157.365.1 mwomenshealth Martinsville Women's Health Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.365.1 2014/03/18 12:00:00 2014/10/03 12:00:00 2024/08/01 11:39:01 UV 2.16.840.1.113883.3.1157.366.1 mjmaranojr Marano Eye Care Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.366.1 2014/03/18 12:00:00 2014/10/03 12:00:00 2024/08/01 11:40:22 UV 2.16.840.1.113883.3.1157.367.1 mmaniar Mihir Maniar Missy Kenney masked Missy Kenney System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.367.1 2014/03/18 12:00:00 2014/10/03 12:00:00 2024/08/01 11:43:04 UV 2.16.840.1.113883.3.1157.368.1 nama North Atlantic Medical Associates, P.C. Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.368.1 2014/03/18 12:00:00 2014/10/03 12:00:00 2024/07/25 01:35:38 UV 2.16.840.1.113883.3.1157.369.1 nema North Essex Medical Associates Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.369.1 2014/03/18 12:00:00 2014/10/03 12:00:00 2024/07/25 01:34:30 UV 2.16.840.1.113883.3.1157.370.1 npediatrics Nutley Pediatric Associates Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.370.1 2014/03/18 12:00:00 2014/10/03 12:00:00 2024/07/25 01:33:18 UV 2.16.840.1.113883.3.1157.371.1 ounlimited Orthopedics Unlimited Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.371.1 2014/03/18 12:00:00 2014/10/03 12:00:00 2024/07/25 12:43:47 UV 2.16.840.1.113883.3.1157.372.1 rsolomon Richard Solomon Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.372.1 2014/03/18 12:00:00 2014/10/03 12:00:00 2024/07/25 12:48:10 UV 2.16.840.1.113883.3.4664 ps P&S Surgical Hospital Christy Childers masked Christy Childers 312 Grammont Street, Suite 101 Monroe, Louisiana 71201 318-998-7318 masked Director of Information Technology P&S Surgical Hospital 312 Grammont Street, Suite 101 Monroe, Louisiana 7201 318-998-7300 christychilders@pssurgery.com http://pssurgery.com/ Provider Int 3 Complete 2014/03/18 12:00:00 2014/10/03 12:00:00 2014/10/03 03:33:56 UV 2.16.840.1.113883.3.1157.373.1 shusain Saleem Husain Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.373.1 2014/03/18 12:00:00 2014/10/03 12:00:00 2024/07/25 12:49:40 UV 2.16.840.1.113883.3.1157.374.1 sortho Specialty Orthopedics Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.374.1 2014/03/18 12:00:00 2014/10/03 12:00:00 2024/07/25 12:52:03 UV 2.16.840.1.113883.3.1157.375.1 sprpediatrics Springfield Pediatrics Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.375.1 2014/03/18 12:00:00 2014/10/03 12:00:00 2024/07/25 12:53:55 UV 2.16.840.1.113883.3.1157.376.1 thypeclinic The Hypertension Clinic Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.376.1 2014/03/18 12:00:00 2014/10/03 12:00:00 2024/07/25 01:10:41 UV 2.16.840.1.113883.3.4665 donnamedicalclinic Donna Medical Clinic OID Root Fuensanta Campos masked Charles C. Stewart Sal Green 307 N. Salinas Blvd Suite D Donna, TX 78537 956-464-2402 masked Office Manager Donna Medical clinic 307 N. Salinas Blvd Suite D Donna, TX 78537 956-464-2402 sgreen@donnamedicalclinic.com Provider Int 3 Complete 2014/03/18 12:00:00 2014/10/03 12:00:00 2015/05/28 04:35:25 UV 2.16.840.1.113883.3.1157.377.1 wpmedicallc West Park Medical LLC Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.377.1 2014/03/18 12:00:00 2014/10/03 12:00:00 2024/07/25 01:10:06 UV 2.16.840.1.113883.3.1157.378.1 wmedical Whiting Medical Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.378.1 2014/03/18 12:00:00 2014/10/03 12:00:00 2024/07/25 01:13:32 UV 2.16.840.1.113883.3.1157.379.1 wobgynwcenter Wombkeepers OB/GYN Maternity Wellness Center Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.379.1 2014/03/18 12:00:00 2014/10/03 12:00:00 2024/07/25 01:37:01 UV 2.16.840.1.113883.3.4666 eyedocvanodom R. Van Odom OD Tom Lewis masked Dr. R. Van Odom Tom Lewis 38 Discovery, Ste 250 Irvine CA 92618 (949)390-8326 masked Project Manager Dr. R. Van Odom 742 N YORK ST MUSKOGEE, OK 74403 US (918)-682-7752 vanodom@suddenlink.net http://www.drsodomcoburnandrichardson.com/ Provider Int 3 Complete 2014/03/18 12:00:00 2014/10/03 12:00:00 2014/10/03 03:53:38 UV 2.16.840.1.113883.3.4667 eyedocsoutheastok Southeast Oklahoma Eye Clinic - Durant Root OID Tom Lewis masked Barbara O'Steen Tom Lewis 38 Discovery, Ste 250 Irvine, CA 92618 949-390-8326 masked Project Manager Southeast Oklahoma Eye Clinic - Durant 1901 W UNIVERSITY BLVD DURANT, OK 74701 US 580-920-2020 bosteen@yahoo.com Provider Int 3 Complete 2014/03/18 12:00:00 2014/10/03 12:00:00 2014/10/03 03:55:19 UV 2.16.840.1.113883.3.4668 eyedocmcquigg Eye Assoc of Miami Root OID Tom Lewis masked Clark McQuigg Tom Lewis 38 Discovery, Ste 250 Irvine, CA 92618 949-390-8326 masked Project Manager Eye Assoc of Miami 2222 NORTH MAIN MIAMI, OK 74354 US (918) 540-1929 eyeassoc@swbell.net Provider Int 3 Complete 2014/03/18 12:00:00 2014/10/03 12:00:00 2014/10/03 03:57:43 UV 2.16.840.1.113883.3.4669 eyedocherrel Harrel Eyecare (OK Vision Dev) Root ID Tom Lewis masked Monte Harrel Tom Lewis 38 Discovery, Ste 250 Irvine, CA 92618 949-390-8326 masked Project Manager Monte Harrel 4520 S HARVARD AVE STE 135 TULSA, OK 74135 US 918-745-9662 drharrel@sbcglobal.net Provider Int 3 Complete 2014/03/18 12:00:00 2014/10/03 12:00:00 2014/10/03 04:14:12 UV 2.16.840.1.113883.3.4670 eyedochart Len D. Hart, PC Root OID Tom Lewis masked Len D. Hart Tom Lewis 38 Discovery, Ste 250 Irvine, CA 92618 949-390-8326 masked Project Manager Lee D. Hart, PC 1103 W CENTER ST COLLINSVILLE, OK 74021 US 918-371-3339 lhart@sbcglobal.net Provider Int 3 Complete 2014/03/18 12:00:00 2014/10/03 12:00:00 2014/10/03 04:17:59 UV 2.16.840.1.113883.3.4671 eyedocboeckman Mike Boeckman, OD PC Root OID Tom Lewis masked Mike Boeckman Tom Lewis 38 Discovery, Ste 250 Irvine, CA 92618 949-390-8326 masked Project Manager Mike Boeckman 301 S MAIN ST LINDSAY, OK 73052 US 405-756-4414 mbidoc@yahoo.com Provider Int 3 Complete 2014/03/18 12:00:00 2014/10/03 12:00:00 2014/10/03 04:20:15 UV 2.16.840.1.113883.3.4672 eyedocday Clinton Vision Source M Patrick Day OD Root OID Tom Lewis masked M Patrick Day Tom Lewis 38 Discovery, Ste 250 Irvine, CA 92618 949-390-8326 masked Project Manager Clinton Vision Source M Patrick Day OD 517 S 30TH ST CLINTON, OK 73601 US 580-323-5421 drday@sbcglobal.net Provider Int 3 Complete 2014/03/18 12:00:00 2014/10/03 12:00:00 2014/10/03 04:19:12 UV 2.16.840.1.113883.3.4673 eyedoccreed Richard Creed, OD PC Root OID Tom Lewis masked Richard Creed Tom Lewis 38 Discovery, Ste 250 Irvine, CA 92618 949-390-8326 masked Project Manager Richard Creed, OD PC 3705 West Broadway Muskogee, OK 74401 US 918 687-7539 drrcreed@swbell.net Provider Int 3 Complete 2014/03/18 12:00:00 2014/10/03 12:00:00 2014/10/03 04:21:23 UV 2.16.840.1.113883.3.4674 eyedocnorman Norman Vision Clinic, Root OID Tom Lewis masked Merliee Oliver Tom Lewis 38 Discovery, Ste 250 Irvine, CA 92618 929-390-8326 masked Project Manager Norman Vision Clinic 2501 BOARDWALK NORMAN, OK 73069 US (405)-321-2155 normanvisionsource@yahoo.com Provider Int 3 Complete 2014/03/18 12:00:00 2014/10/03 12:00:00 2014/10/03 04:22:35 UV 2.16.840.1.113883.3.4675 eyedochinklecash HINKLE & CASH OPT INC, Root OID Tom Lewis masked Shelley Moody Tom Lewis 38 Discovery, Ste 250 Irvine, CA 92618 949-390-8326 masked Project Manager HINKLE & CASH OPT INC 12720 E 86TH ST N OWASSO, OK 74055 US 918-272-5311 shelley@primaryeyecareowasso.com http://www.primaryeyecareowasso.com Provider Int 3 Complete 2014/03/18 12:00:00 2014/10/03 12:00:00 2014/10/03 04:24:10 UV 2.16.840.1.113883.3.4676 psmcoid Pagosa Springs Medical Center Susan Schmidt masked Susan Schmidt Pagosa Springs Medical Center 95 South Pagosa Blvd Pagosa Springs, CO 81147 970-585-1427 masked Informatics Manager Pagosa Springs Medical Center 95 South Pagosa Blvd Pagosa Springs, CO 81147 970-731-3700 susan.schmidt@psmedicalcenter.org Provider Int 3 Complete 2014/03/18 12:00:00 2014/10/03 12:00:00 2014/10/03 04:26:26 UV 2.16.840.1.113883.3.4677 yec YUKON EYE CARE VALERIE HATLEY masked VALERIE HATLEY 621 W MAIN YUKON, OK 73099 4053542788 masked owner/optometrist YUKON EYE CARE 621 W MAIN YUKON, OK 73099 4053542788 yukoneyecare@gmail.com Provider Int 3 Complete 2014/03/19 12:00:00 2014/10/03 12:00:00 2014/10/03 04:28:09 UV 2.16.840.1.113883.3.4678 acmh-ia Adair County Health System Andrew Christie masked Andrew Christie 609 S.E. Kent Greenfield, IA 50849 641-743-7269 masked Adair County Health System 609 S.E. Kent Greenfield, IA 50849 641-743-2123 it_dept@adaircountyhealthsystem.org Provider Int 3 Complete 2014/03/19 12:00:00 2014/10/03 12:00:00 2014/10/03 04:29:18 UV 2.16.840.1.113883.3.4679 hchd Hemphill County Hospital District Brian Goza masked kwolf@cerner.com Patrick Murfee 1020 South 4th Street Canadian, TX 79014 806-323-1100 masked COO Hemphill County Hospital 1020 South 4th Street Canadian, TX 79014 8063236422 it@hchdst.org Provider Int 3 Complete 2014/03/19 12:00:00 2014/10/03 12:00:00 2014/10/03 04:30:46 UV 2.16.840.1.113883.3.4680 fvapearlevision Fargo Vision Associates, P.C. Michael Koeppe masked Michael Koeppe, O.D. 3232 13th Ave S Fargo, ND 58103 701-280-3000 masked Optometrist Fargo Vision Associates, P.C. 3232 13th Ave S Fargo, ND 58103 701-280-3000 drkoeppe@gmail.com Provider Int 3 Complete 2014/03/19 12:00:00 2014/10/03 12:00:00 2014/10/03 04:32:13 UV 2.16.840.1.113883.3.1157.26.1 nbiadulthealthcenter NBI Adult Health Center Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.26.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/07/25 01:38:05 UV 2.16.840.1.113883.3.1157.27.1 sbmcgeriatrichealthcenter Geriatric Health Center/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.27.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/07/25 01:39:34 UV 2.16.840.1.113883.3.1157.28.1 SJH Saint James Health Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7325577136 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ https://www.rwjbh.org/ Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.28.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/07/25 01:40:13 UV 2.16.840.1.113883.3.1157.29.1 atgsottr Gurdeep S. Matharoo, MD/BHMG ARCHIVE08012017 Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.29.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/07/25 01:41:11 UV 2.16.840.1.113883.3.1157.30.1 acrd ACRD/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.30.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/07/25 01:42:53 UV 2.16.840.1.113883.3.1157.31.1 aintmed Assoc in Internal Med/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.31.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/07/25 01:44:50 UV 2.16.840.1.113883.3.1157.32.1 ahmbulanansschwall Kristen Schwall, MD/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.32.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/07/26 04:01:50 UV 2.16.840.1.113883.3.1157.33.1 nbibpc NBI Beth Prime Care Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.33.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/07/26 04:03:08 UV 2.16.840.1.113883.3.1157.34.1 sbmcccardiologypa Consultants in Cardiology/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.34.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/07/26 04:04:10 UV 2.16.840.1.113883.3.1157.35.1 cbhdm Center for Breast Health/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.35.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/07/26 04:05:49 UV 2.16.840.1.113883.3.1157.36.1 RWJBH-TRGYN OBGYN RWJ Toms River OBGYN Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.36.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/07/31 09:46:06 UV 2.16.840.1.113883.3.1157.37.1 cmmcfhcmontclair CMMC Family Health Center of Montclair ARCHIVE 7012015 Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.37.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/07/26 04:08:46 UV 2.16.840.1.113883.3.1157.38.1 nbiftcenter NBI Family Treatment Center Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.38.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 09:09:42 UV 2.16.840.1.113883.3.1157.39.1 mmgpc42gtrimmmd George Trim, MD/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.39.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 09:11:16 UV 2.16.840.1.113883.3.1157.40.1 mmcghcmmc MMC Geriatric Health Center at Monmout Medical Center Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.40.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 09:24:27 UV 2.16.840.1.113883.3.1157.41.1 nbiir Interventional Radiology at NBIMC Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.41.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 09:26:20 UV 2.16.840.1.113883.3.1157.42.1 OGOAL OBGYN RWJ Ocean Gynecological and Obstetrical Associates Lakewood OBGYN Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.42.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 09:28:11 UV 2.16.840.1.113883.3.1157.43.1 mmgpc32jmerlino John Merlino, DO, III/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.43.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 09:30:04 UV 2.16.840.1.113883.3.1157.44.1 jpelligramdp15 John Pelligra, MD/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.44.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 09:31:23 UV 2.16.840.1.113883.3.1157.45.1 sbmckadessa Kenneth Adessa, MD/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.45.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 09:33:40 UV 2.16.840.1.113883.3.1157.46.1 lakewoodsurggrouppc43 Lakewood Surgical Group/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.46.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 09:36:30 UV 2.16.840.1.113883.3.1157.47.1 RHD OBGYN&#160;&#160; RWJ&#160; Rutgers Health OB/GYNRWJ Toms River OBGYN &#160; Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org/ http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.47.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 09:37:02 UV 2.16.840.1.113883.3.1157.48.1 PEDS CARDIO LIVINGSTON Metro Pediatric Cardiology Associates Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.48.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 09:38:05 UV 2.16.840.1.113883.3.1157.49.1 sbmchealthmedgrp BHMG Millburn/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.49.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 10:15:48 UV 2.16.840.1.113883.3.1157.50.1 mmcfpps MMC Monmouth Faculty Practice Pediatric Surgery Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.50.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 10:16:47 UV 2.16.840.1.113883.3.1157.51.1 mmedicalgroup Morristown Medical Group/BHMGARCHIVE07312015 Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.51.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 10:18:14 UV 2.16.840.1.113883.3.1157.52.1 njca NJ Cardiology Assoc/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.52.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 10:19:35 UV 2.16.840.1.113883.3.1157.53.1 ogoa OGOA/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.brwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.53.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 10:20:53 UV 2.16.840.1.113883.3.1157.54.1 owhg Ocean Women's HC Grp/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.54.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 10:21:58 UV 2.16.840.1.113883.3.1157.55.1 drdellauila Paul Dell Aquila, MD/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.55.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 10:23:05 UV 2.16.840.1.113883.3.1157.56.1 mmgpediendopc30 Peds Endo South/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.56.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 10:14:40 UV 2.16.840.1.113883.3.1157.57.1 pedgastroenterology Peds Gastro/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.57.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 10:13:34 UV 2.16.840.1.113883.3.4681 eyedocmartin Dr. Don Martin Root OID Tom Lewis masked Dr. Don Martin Tom Lewis 38 Discovery, Ste 250 Irvine CA 92618 949-390-8326 masked Project Manager Dr. Don Martin 130 D. Street Northwest Armore OK 73041-6219 580-223-6780 martinod@swbell.net Provider Int 3 Complete 2014/03/19 12:00:00 2014/10/03 12:00:00 2014/10/03 05:42:52 UV 2.16.840.1.113883.3.1157.58.1 mmgpc22pndb Pediatric Neurology/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.58.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 10:12:31 UV 2.16.840.1.113883.3.1157.59.1 pedspecialtygroup Pediatric Specialty Ctr/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.59.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 10:27:25 UV 2.16.840.1.113883.3.1157.60.1 drlenchur Peter Lenchur, MD/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.60.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 10:31:34 UV 2.16.840.1.113883.3.1157.61.1 ppc Premier Primary Care/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.61.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 10:30:31 UV 2.16.840.1.113883.3.1157.62.1 pmc Primary Medical Care/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.62.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 10:29:32 UV 2.16.840.1.113883.3.4682 midwestmedical Midwest Medical Center Cindy Hefel masked Cindy Hefel One Medical Center Drive Galena, IL 60136 815-777-6398 masked IT Director Midwest Medical Center One Medical Center Drive Galena, IL 60136 815-777-1340 IT@midwestmedicalcenter.org Provider Int 3 Complete 2014/03/19 12:00:00 2014/10/03 12:00:00 2014/10/03 06:02:04 UV 2.16.840.1.113883.3.1157.63.1 cmmcpcma Primecare Medical Assoc/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.63.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 10:28:28 UV 2.16.840.1.113883.3.1157.64.1 WPPM PEDIATRICS West Park Pediatrics Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.64.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 10:33:44 UV 2.16.840.1.113883.3.1157.65.1 casianhealthwellness Center for Asian Health/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.65.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 10:34:43 UV 2.16.840.1.113883.3.1157.66.1 nbivalariefund NBI Valarie Fund Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.66.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 10:37:59 UV 2.16.840.1.113883.3.1157.67.1 sbmcvalariefund NJ Children's Hospital Medical Group - The Valerie Fund SBMC Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.67.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 10:39:25 UV 2.16.840.1.113883.3.1157.68.1 EBC Eric B Chandler Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.68.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/09/24 12:03:46 UV 2.16.840.1.113883.3.1157.69.1 wwob-gyn Women to Women/BHMG ARCHIVE 7012015 Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.69.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 10:45:05 UV 2.16.840.1.113883.3.1157.70.1 sbmcckidneycenter SBMC Children's Kidney Center Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.70.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 10:47:01 UV 2.16.840.1.113883.3.1157.71.1 mmgpciml Internal Medicine WLB/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.brwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.71.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 10:48:03 UV 2.16.840.1.113883.3.1157.72.1 mmgpcobgyn Toms River Internal Med/BHMG ARCHIVE08152016 Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.72.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 10:48:58 UV 2.16.840.1.113883.3.1157.73.1 nbil4 NBI L4 Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.73.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 10:50:21 UV 2.16.840.1.113883.3.1157.74.1 nbigeriatrics NBI Geriatrics Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.74.1 2014/03/19 12:00:00 2014/10/03 12:00:00 2024/08/02 10:52:08 UV 2.16.840.1.113883.3.1157.75.1 mmgpc45npaonessado Monmouth Medical Group, PC 45 - Nina Paonessa, DO ARCHIVE 7012015 Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.75.1 2014/03/19 12:00:00 2014/10/04 12:00:00 2024/08/02 10:46:07 UV 2.16.840.1.113883.3.1157.76.1 mmgpc35 Granet and Mandadi IM/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.76.1 2014/03/19 12:00:00 2014/10/04 12:00:00 2024/08/02 10:42:30 UV 2.16.840.1.113883.3.1157.77.1 mmggynoncology GYN Oncology/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.77.1 2014/03/19 12:00:00 2014/10/04 12:00:00 2024/08/02 10:44:06 UV 2.16.840.1.113883.3.1157.78.1 mspracticewesterfield Comprehensive Health Center/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.78.1 2014/03/19 12:00:00 2014/10/04 12:00:00 2024/08/02 10:40:56 UV 2.16.840.1.113883.3.1157.79.1 paininstitute The Pain Institute/BHMG archive12202015 Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.79.1 2014/03/19 12:00:00 2014/10/04 12:00:00 2024/08/02 10:24:51 UV 2.16.840.1.113883.3.1157.80.1 msccarecenter Multiple Sclerosis Center/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.80.1 2014/03/19 12:00:00 2014/10/04 12:00:00 2024/08/02 10:26:10 UV 2.16.840.1.113883.3.1157.81.1 spmedrehab Orthopedic and Sports Medicine/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.81.1 2014/03/19 12:00:00 2014/10/04 12:00:00 2024/08/02 09:32:28 UV 2.16.840.1.113883.3.1157.82.1 scintergativemed Integrative Med/BHMG ARCHIVE 12212016 Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.82.1 2014/03/19 12:00:00 2014/10/04 12:00:00 2024/08/02 09:22:45 UV 2.16.840.1.113883.3.1157.83.1 cancersurgservsbmc Cancer Surgery Services of Saint Barnabas Medical Cntr Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.83.1 2014/03/19 12:00:00 2014/10/04 12:00:00 2024/08/02 09:20:06 UV 2.16.840.1.113883.3.1157.84.1 bhmgkaurfampractice Primary Care West Long Branch/BHMG Missy Kenney masked Missy Kenney Bayview Corporate Center Suite 219 1433 Hooper Ave Toms River, NJ 08753 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.84.1 2014/03/19 12:00:00 2014/10/04 12:00:00 2024/08/02 09:18:33 UV 2.16.840.1.113883.3.1157.85.1 nbil5chnj NBI L5 Childrens Hospital of NJ Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.85.1 2014/03/19 12:00:00 2014/10/04 12:00:00 2024/08/02 09:15:39 UV 2.16.840.1.113883.3.1157.86.1 dsssoins Department of Surgical Specialty services and Orthopedic Ins Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.86.1 2014/03/19 12:00:00 2014/10/04 12:00:00 2024/08/02 09:14:32 UV 2.16.840.1.113883.3.1157.87.1 ppcf Peds Pulm-Cystic Fibrosis/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.brwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.87.1 2014/03/19 12:00:00 2014/10/04 12:00:00 2024/08/02 09:13:21 UV 2.16.840.1.113883.3.1157.88.1 trpsmmg36 Ped Subspecialty Ctr/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.88.1 2014/03/19 12:00:00 2014/10/04 12:00:00 2024/07/26 04:10:24 UV 2.16.840.1.113883.3.1157.89.1 mmcbhmgsouth MMC Barnabas Health Medical Group South ARCHIVE 7012015 Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 missy.kenney@rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.89.1 2014/03/19 12:00:00 2014/09/23 12:00:00 2024/07/26 04:11:41 UV 2.16.840.1.113883.3.1157.90.1 chnjbayonne NBI Medical Specialty Services at Bayonne Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.90.1 2014/03/19 12:00:00 2014/10/04 12:00:00 2024/07/26 04:13:26 UV 2.16.840.1.113883.3.1157.91.1 kmcemehtado Eva Mehta, DO/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.91.1 2014/03/19 12:00:00 2014/10/04 12:00:00 2024/07/26 04:14:24 UV 2.16.840.1.113883.3.1157.92.1 bhmglngbrch3 BARNABAS HLTH MED GRP-LNGBRCH3ARCHIVE07012015 Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.92.1 2014/03/19 12:00:00 2014/10/04 12:00:00 2024/07/26 04:15:38 UV 2.16.840.1.113883.3.1157.93.1 mmcbhmedgrpocean Ocean Internal Medicine/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.93.1 2014/03/19 12:00:00 2014/10/04 12:00:00 2024/07/26 04:16:39 UV 2.16.840.1.113883.3.1157.94.1 bhlthmedgrplngbrch2 BARNABAS HLTH MED GRP-LNGBRCH2 Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.94.1 2014/03/19 12:00:00 2014/10/04 12:00:00 2024/07/26 04:17:57 UV 2.16.840.1.113883.3.1157.95.1 wtc Barnabas Health Med Grp Asbury Tower Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.95.1 2014/03/19 12:00:00 2014/10/04 12:00:00 2024/07/26 04:19:08 UV 2.16.840.1.113883.3.1157.96.1 mmcgdesai Primary Care West Long Branch/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.96.1 2014/03/19 12:00:00 2014/10/04 12:00:00 2024/07/26 04:20:09 UV 2.16.840.1.113883.3.1157.97.1 wlc Barnabas Weight Mgmt Svs/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.97.1 2014/03/19 12:00:00 2014/10/04 12:00:00 2024/07/25 04:38:06 UV 2.16.840.1.113883.3.1157.98.1 bhlthmedgrplngbrch Medical Health Center Tinton Falls/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.98.1 2014/03/19 12:00:00 2014/10/04 12:00:00 2024/07/25 04:36:09 UV 2.16.840.1.113883.3.1157.99.1 mfpsurgery Surg Spec North Jersey ARCHIVE07292016/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.99.1 2014/03/19 12:00:00 2014/10/04 12:00:00 2024/07/25 04:34:55 UV 2.16.840.1.113883.3.1157.100.1 msnephrologyottr RWJ SBMC Transplant Nephro Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.100.1 2014/03/19 12:00:00 2014/10/04 12:00:00 2024/07/25 04:33:58 UV 2.16.840.1.113883.3.1157.101.1 haskinsmehta The Stroke Center at RWJ Saint Barnabas Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.101.1 2014/03/19 12:00:00 2014/10/04 12:00:00 2024/07/25 04:32:36 UV 2.16.840.1.113883.3.1157.102.1 waxman Mark Waxman, MD/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.102.1 2014/03/19 12:00:00 2014/10/04 12:00:00 2024/07/25 01:47:19 UV 2.16.840.1.113883.3.4683 cockrelleyecare Cockrell Eyecare Center Root OID Tom Lewis masked Stacy Gann Tom Lewis 38 Discovery, Ste 250 Irvine, CA 92618 949-390-8326 masked Project Manager Cockrell Eyecare Center 1711 W. 6th Stillwater, OK 74074-4200 US (405)372-1715 sgann@cockrelleyecare.com Provider Int 3 Complete 2014/03/19 12:00:00 2014/10/04 12:00:00 2014/10/04 03:44:45 UV 2.16.840.1.113883.3.4655.201 sch-stanton SCH Stanton First Care Ted Spencer masked Ted Spencer 9892916353 masked Sheridan Communtiy Hospital 301 N. Main St. Sheridan, MI 48884 9892916267 swhite@sheridanhospital.com Provider 2.16.840.1.113883.3.4655 Ext 17 Complete 2.16.840.1.113883.3.4655.201 2014/03/19 12:00:00 2014/10/04 12:00:00 2014/10/04 03:50:01 UV 2.16.840.1.113883.3.4655.301 sch-edmore SCH Edmore First Care Ted Spencer masked Ted Spencer 9892916353 masked Sheridan Community Hospital 301 N. Main St. Sheridan, MI 4884 9892913269 swhite@sheridanhospital.com Provider 2.16.840.1.113883.3.4655 Ext 17 Complete 2.16.840.1.113883.3.4655.301 2014/03/19 12:00:00 2014/10/04 12:00:00 2014/10/04 03:51:59 UV 2.16.840.1.113883.3.4655.101 sch-sheridan SCH Sheridan Care Ted Spencer masked Ted Spencer 9892916353 masked Sheridan Community Hospital 301 N. Main St. Sheridan, MI 48884 9892913269 swhite@sheridanhospital.com Provider 2.16.840.1.113883.3.4655 Ext 17 Complete 2.16.840.1.113883.3.4655.101 2014/03/19 12:00:00 2014/10/04 12:00:00 2014/10/04 03:54:09 UV 2.16.840.1.113883.3.4655.100 sheridan-hospital-site Sheridan Community Hospital Site Ted Spencer masked Ted Spencer 9892916353 masked Sheridan Community Hospital 301 N. Main St. Sheridan, MI 48884 9892913269 swhite@sheridanhospital.com Provider 2.16.840.1.113883.3.4655 Ext 17 Complete 2.16.840.1.113883.3.4655.100 2014/03/19 12:00:00 2014/10/04 12:00:00 2014/10/04 03:55:50 UV 2.16.840.1.113883.3.4684 stillwatervisionclinic Stillwater Vision Clinic Root OID Tom Lewis masked David Reynolds Tom Lewis 38 Discovery, Ste 250 Irvine CA 92618 949-390-8326 masked Project Manager Stillwater Vision Clinic Inc 2123 W 6TH AVE STILLWATER, OK 74074 US (405)372-3274 svc@brightok.net Provider Int 3 Complete 2014/03/19 12:00:00 2014/10/04 12:00:00 2014/10/04 03:59:09 UV 2.16.840.1.113883.3.4685 uhc-US-IL UHC Raj Iyer masked Raj Iyer 312-775-4210 masked UHC 155 N. Wacker Drive Chicago, IL 60606 312-775-4100 riyer@uhc.edu https://www.uhc.edu/ Vendor Int 3 Complete 2014/03/19 12:00:00 2014/10/04 12:00:00 2014/10/04 04:00:49 UV 2.16.840.1.113883.3.4686 guthirevisionsource Guthrie Vision Source Root OID Tom Lewis masked Jennifer Knox Tom Lewis 38 Discovery, Ste 250 Irvine CA 92618 949-390-8326 masked Project Manager Guthrie Vision Source 110 E HARRISON GUTHRIE, OK 73044 US (405)282-4396 jenniferaknox@gmail.com Provider Int 3 Complete 2014/03/20 12:00:00 2014/10/04 12:00:00 2014/10/04 04:02:35 UV 2.16.840.1.113883.3.4687 pmc-cpsi Pondera Medical Center Adam Kanning masked Adam Kanning 805 Sunset Blvd Conrad, MT 59425 406-271-7323 masked Director of Clinical Software Systems Pondera Medical Center 805 Sunset Blvd Conrad, MT 59425 406-271-3211 adamrk@ponderamedical.com http://www.ponderamedical.com Provider Int 3 Complete 2014/03/20 12:00:00 2014/10/04 12:00:00 2014/10/04 04:04:10 UV 2.16.840.1.113883.3.1106.725 byh-shs St. Josephs Hospital South Tony McArtor masked Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider 2.16.840.1.113883.3.1106 Ext 14 Complete 2.16.840.1.113883.3.1106.725 2014/03/20 12:00:00 2014/10/04 12:00:00 2018/12/26 11:53:31 UV 2.16.840.1.113883.3.4688 spassociates SP Associates OID Root Melissa Christiano masked Melissa Christiano 10 James Street, Ste 140 Florham Park, NJ 07932 973-822-0770 masked office manager SP Associates 10 James Street, Ste 140 Florham Park, NJ 07932 973-822-0770 mjchristiano@aol.com Provider Int 3 Complete 2014/03/20 12:00:00 2014/10/04 12:00:00 2014/10/04 04:07:03 UV 2.16.840.1.113883.3.1070.5798 mckesson-fusion-5798 mckesson-fusion-5798 Anna Durbin masked Fusion Enrollment 8775074541 masked Fusion Enrollment anna.durbin@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5798 2014/03/20 12:00:00 2014/09/23 12:00:00 2014/09/23 10:20:28 US 2.16.840.1.113883.3.1070.5779 mckesson-fusion-5779 mckesson-fusion-5779 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5779 2014/03/20 12:00:00 2014/09/23 12:00:00 2014/09/23 10:21:08 US 2.16.840.1.113883.3.4689 smhs Swisher Memorial Healthcare System Brad Roberts masked Stephen B. Roberts 539 SE 2nd Street Tulia, TX 79088 8069958262 masked IT Director Swisher Memorial Healthcare System 539 SE 2nd Street Tulia, TX 79088 8069953581 broberts@swisherhospital.com Provider Int 3 Complete 2014/03/20 12:00:00 2014/10/04 12:00:00 2014/10/04 04:11:04 UV 2.16.840.1.113883.3.1106.750 byh-whh Winter Haven Hospital Tony McArtor masked Tony McArtor BayCare Information Services 17757 US Hwy 19 North, Suite 600 Clearwater, FL 33764 727 467 4680 masked Integration Analyst BayCare Health System BayCare Information Services 17757 US Hwy 19 North, Suite 500 Clearwater, FL 33764 gus.borrego@baycare.org http://www.baycare.org Provider 2.16.840.1.113883.3.1106 Ext 14 Complete 2.16.840.1.113883.3.1106.750 2014/03/20 12:00:00 2014/10/04 12:00:00 2014/10/04 04:13:56 UV 2.16.840.1.113883.3.1070.5781 mckesson-fusion-5781 mckesson-fusion-5781 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5781 2014/03/20 12:00:00 2014/10/04 12:00:00 2014/10/04 04:18:37 US 2.16.840.1.113883.3.1070.5745 mckesson-fusion-5745 mckesson-fusion-5745 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5745 2014/03/20 12:00:00 2014/10/04 12:00:00 2014/10/04 04:21:38 US 2.16.840.1.113883.3.4690 cvmc1 Central Valley Medical Center Michael Taylor masked Michael Taylor 48 W 1500 N Nephi, Utah 84648 435-623-3120 masked Central Valley Medical Center 48 W 1500 N Nephi, Utah 84648 435-623-3000 miket@cvmed.net Provider Int 3 Complete 2014/03/20 12:00:00 2014/10/04 12:00:00 2014/10/04 04:26:53 UV 2.16.840.1.113883.3.4691 riversideMedicalOID RiversideMedicalOID Eric Galardi masked Eric Galardi Riverside Medical Group 275 Varnum Ave. Suite 201 Lowell, MA 01854 (978) 459-0531 masked Riverside Medical Group 275 Varnum Ave. Suite 201 Lowell, MA 01854 (978) 459-0531 egalardi@riversidemed.com Provider Int 3 Complete 2014/03/20 12:00:00 2014/10/04 12:00:00 2014/10/04 04:29:28 UV 2.16.840.1.113883.3.4692 fw-moh Fort Wayne Medical Oncology and Hematology INC Daniel Konow masked Daniel Konow 11143 Parkview Plaza Drive Suite 100 Fort Wayne, IN 46845 260-484-8830 masked CEO Fort Wayne Medical Oncology and Hematology LLC 11143 Parkview Plaza Drive Suite 100 Fort Wayne, IN 46845 260-484-8830 helpdesk@fwmoh.com http://www.fwmoh.com Provider Int 3 Complete 2014/03/20 12:00:00 2014/10/04 12:00:00 2014/10/04 04:32:06 UV 2.16.840.1.113883.3.4693 sarh St. Anthony Regional Hospital & Nursing Home Randy Eischeid masked Chad Lawson 311 South Clark Street Carroll, Iowa 51401 7127945210 masked Director of Information Technology St. Anthony Regional Hospital & Nursing Home 311 South Clark Street Carroll, Iowa 51401 712-792-3581 clawson@stanthonyhospital.org http://www.stanthonyhospital.org Provider Int 3 Complete 2014/03/20 12:00:00 2014/10/04 12:00:00 2021/01/29 03:40:08 UV 2.16.840.1.113883.3.4694 SIS Surgical Information Systems Jonathan Brasher masked Lindsay Hanrahan 8000 Avalon Boulevard Suite 350 Alpharetta, GA 30009 203-284-7624 masked VP, Product Management Surgical Information Systems, LLC 800-930-0895 info@sisfirst.com https://www.sisfirst.com Vendor Int 3 Complete 2014/03/20 12:00:00 2014/10/04 12:00:00 2026/01/09 03:42:28 UV 2.16.840.1.113883.3.1070.5817 mckesson-fusion-5817 mckesson-fusion-5817 Anna Durbin masked Fusion Enrollment 8775074541 masked Fusion Enrollment anna.durbin@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5817 2014/03/20 12:00:00 2014/10/04 12:00:00 2014/10/04 04:23:32 US 2.16.840.1.113883.3.4695 irdlnc Iredell Health System Scott Philemon masked Scott Philemon 557 Brookdale Drive Statesville, NC 28677 704-878-7197 masked Interface Analyst Iredell Health System 557 Brookdale Drive Statesville, NC 28677 704-873-5661 helpdesk@iredellmemorial.org http://www.iredellhealth.org Provider Int 3 Complete 2014/03/20 12:00:00 2014/10/04 12:00:00 2016/01/08 11:03:02 UV 2.16.840.1.113883.3.4696 firstchoicepeds First Choice Pediatrics Jeanne Schaefer masked LeCresha Harris LeCresha Harris 523 S. Santa Fe Ave Suite B Edmond, OK 73003 405-509-6777 masked manager Jeanne M Schaefer PLLC 523 S. Santa Fe Ave Suite B Edmond, OK 73003 405-509-6777 lecreshah@firstchoicepeds.com https://www.firstchoicepeds.com Provider Int 3 Complete 2014/03/20 12:00:00 2014/10/04 12:00:00 2014/10/04 05:06:32 UV 2.16.840.1.113883.3.4697 geigereyecare Geiger Eye Care Root OID Tom Lewis masked Joni Davis Tom Lewis 38 Discovery, Ste 250 Irvine, CA 92618 949-390-8326 masked Project Manager Geiger Eye Care 809 E. Tamarack Rd Altus, OK 73521 580-482-1756 joni_l_davis@yahoo.com Provider Int 3 Complete 2014/03/20 12:00:00 2014/10/04 12:00:00 2014/10/04 05:07:20 UV 2.16.840.1.113883.3.4698 visionsourcesouthokc VISION SOURCE SOUTH OKC Root OID Tom Lewis masked Lori Allen Tom Lewis 38 Discovery, Ste 250 Irvine, CA 92618 949-390-8326 masked Project Manager VISION SOURCE SOUTH OKC 10101 S PENN AVE STE A OKLAHOMA CITY, OK 73159 US (405)391-3319 lka2649@yahoo.com Provider Int 3 Complete 2014/03/20 12:00:00 2014/10/04 12:00:00 2014/10/04 05:08:38 UV 2.16.840.1.113883.3.4699 mcalestervision McAlester Vision Root OID Tom Lewis masked Laura Duff Tom Lewis 38 Discover, Ste 250 Irvine, CA 92618 949-390-8326 masked Project Manager Laura Duff 211 N 5TH MCALESTER, OK 74501 US (918)423-6606 llduff80@yahoo.com Provider Int 3 Complete 2014/03/20 12:00:00 2014/10/04 12:00:00 2014/10/04 05:10:09 UV 2.16.840.1.113883.3.4700 connectHealthcareHIOoid ConnectHealthcare-organization-facility-department-provider Lyman Dennis masked Lyman Dennis 21 Willotta Drive Fairfield, CA 94534 707-863-0130 masked ConnectHealthcare, Executive Director ConnectHealthcare 21 Willotta Drive Fairfield, CA 94534 707-863-0130 Ldennis@connecthealthcare.org http://www.connecthealthcare.org Exchange Int 3 Complete 2014/03/21 12:00:00 2014/10/04 12:00:00 2014/10/04 05:13:31 UV 2.16.840.1.113883.4.719 fexcoOrg Fexco Organization Joey Enfield masked Joey Enfield +353669798322 masked Devoloper FEXCO Financial Services Centre Iveragh Road, Killorglin, Kerry, Ireland info@fexco.com http://www.fexco.com Prof Soc Int 3 Complete 2014/03/21 12:00:00 2014/10/04 12:00:00 2014/10/04 05:20:48 IE 2.16.840.1.113883.3.4701 kmg Karle Medical Group Syndromic Surveillance Data Patrick Karle masked Patrick L. Karle 455 Barclay Circle Suite D Rochester Hills, MI 48307 2488529596 masked Administrator Karle Medical Group 455 Barclay Circle Suite D Rochester Hills, MI 48307 2488529596 patrick@karlemedical.com http://www.karlemedical.com Provider Int 3 Complete 2014/03/21 12:00:00 2014/10/04 12:00:00 2014/10/04 05:28:04 UV 2.16.840.1.113883.9.137 aahs-lab ANNE ARUNDEL HEALTH SYSTEMS PUBLIC HEALTH LAB RESULT INTERFACE Ramona Skinner masked Chuck Daniel Ramona Skinner Anne Arundel Medical Center Attention: Information Systems Department Belcher Pavillion 2001 Medical Parkway Annapolis, MD 21401 443-481-5226 masked Sr. Interface Analyst Anne Arundel Medical Center Attention: Information Systems Department Belcher Pavillion 2001 Medical Parkway Annapolis, MD 21401 443-481-1000 rskinner@aahs.org http://www.aahs.org Provider Int 3 Complete 2014/03/21 12:00:00 2014/10/04 12:00:00 2014/10/04 05:34:17 US 2.16.840.1.113883.3.1070.5676 mckesson-fusion-5676 mckesson-fusion-5676 Johnny Moore masked Fusion Enrollment 8775074541 masked Fusion Enrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5676 2014/03/21 12:00:00 2014/10/04 12:00:00 2014/10/04 05:36:49 US 2.16.840.1.113883.3.1076.3 ndmc Newport Diagnostic Med Clinic Danny Kelley masked wevans@wrmc.com Danny Kelley 8702621435 masked Director of Information Systems White River Health System IS@wrmc.com http://www.whiteriverhealthsystem.com Provider 2.16.840.1.113883.3.1076 Ext 14 Complete 2.16.840.1.113883.3.1076.3 2014/03/21 12:00:00 2014/10/04 12:00:00 2014/10/04 05:40:15 UV 2.16.840.1.113883.3.4702 cvhcerner Cv Hospital HL7 for Cerner Colleen Todd masked Randy Anderson 940 E. Fifth St. Coquille OR 97423 541 396-2277 masked Coquille Valley Hospital 940 E. Fifth St. Coquille, OR 97423 541 396-3101 randya@cvhospital.org http://www.cvhospital.org Provider Int 3 Complete 2014/03/21 12:00:00 2014/10/04 12:00:00 2014/10/04 05:51:20 UV 2.16.840.1.113883.3.1076.4 ncc North Complex Clinic Danny Kelley masked wevans@wrmc.com Danny Kelley 8702621435 masked Director of Information Systems White River Health System IS@wrmc.com http://www.whiteriverhealthsystem.com Provider 2.16.840.1.113883.3.1076 Ext 14 Complete 2.16.840.1.113883.3.1076.4 2014/03/21 12:00:00 2014/10/04 12:00:00 2014/10/04 05:52:57 UV 2.16.840.1.113883.3.1076.5 wrl White River Laboratories, Inc. Danny Kelley masked wevans@wrmc.com Danny Kelley 8702621435 masked Director of Information Systems White River Health System IS@wrmc.com http://www.whiteriverhealthsystem.com Provider 2.16.840.1.113883.3.1076 Ext 14 Complete 2.16.840.1.113883.3.1076.5 2014/03/21 12:00:00 2014/10/04 12:00:00 2014/10/04 05:54:39 UV 2.16.840.1.113883.3.1070.5780 mckesson-fusion-5780 mckesson-fusion-5780 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5780 2014/03/22 12:00:00 2014/10/04 12:00:00 2014/10/04 05:58:14 US 2.16.840.1.113883.3.1070.5782 mckesson-fusion-5782 mckesson-fusion-5782 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5782 2014/03/24 12:00:00 2014/10/04 12:00:00 2014/10/04 05:59:19 US 2.16.840.1.113883.3.4703 ibi-pubhub Iron Bridge Pub Hub OID Brian Brandebura masked Brian Brandebura 201 Penn Center Blvd. Suite 400 Pittsburgh, PA 15235 4124802926 masked Chief Operating Officer Iron Bridge Integration, Inc. 201 Penn Center Blvd. Suite 400 Pittsburgh, PA 15235 1-888-963-9793 contact@ironbridgeintegration.com http://www.ironbridgeintegration.com Vendor Int 3 Complete 2014/03/24 12:00:00 2014/10/04 12:00:00 2014/10/04 06:05:46 UV 2.16.840.1.113883.3.4704 jamesmnelson JamesMNelsonVisionSourceMuskogee Jered Burright masked James Nelson Jered Burright 7803 South 68th East Ave. 9189312838 masked IT James Nelson Vision Source 817 Callahan Muskogee, Oklahoma 74403 918-683-1021 drnelson817@gmail.com Provider Int 3 Complete 2014/03/24 12:00:00 2014/10/04 12:00:00 2014/10/04 06:10:09 UV 2.16.840.1.113883.3.4705 apnm Accountable Physicians of North Mississippi, Inc. Katie Hawkins masked Katie Hawkins 428 North Lamar Blvd. Suite 103 Oxford, MS 38655 662-234-7472 masked Executive Director Accountable Physicians of North Mississippi, Inc. katiehawkins@accountablecarems.com https://www.accountablecarems.com Provider Int 3 Complete 2014/03/24 12:00:00 2014/10/04 12:00:00 2014/10/04 06:11:54 UV 2.16.840.1.113883.3.4706 lynnmiller Lynn Miller Lynn Miller masked Lynn Miller 30335 W 13 MILE RD S 103 FARMINGTON HILLS, MI 48334-2262 248-419-3400 masked Physician Miller Goldman Cardiology 30335 W 13 MILE RD S 103 FARMINGTON HILLS, MI 48334-2262 248-419-3400 lynn.miller@officemedicine.com https://www.officemedicine.com Provider Int 3 Complete 2014/03/24 12:00:00 2014/10/04 12:00:00 2014/10/04 06:13:56 UV 2.16.840.1.113883.3.1070.5790 mckesson-fusion-5790 mckesson-fusion-5790 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5790 2014/03/24 12:00:00 2014/10/04 12:00:00 2014/10/04 06:00:35 US 2.16.840.1.113883.3.4707 gwha Goodall-Witcher Hospital Authority Connie Hodges masked Mike Grady Connie Hodges P.O. Box 549 Clifton, TX 76634 254-675-8322 masked Goodall-Witcher Hospital Authority P.O. Box 549 Clifton, TX 76634 254-675-8322 cmhodges@gwhf.org Provider Int 3 Complete 2014/03/24 12:00:00 2014/10/04 12:00:00 2014/10/04 06:16:41 UV 2.16.840.1.113883.3.4708 larygoldman larygoldman Lary Goldman masked Lary Goldman 30335 W 13 MILE RD Ste 103 FARMINGTON HILLS, MI 48334-2262 248-419-3400 masked Physician Lary Goldman 30335 W 13 MILE RD Ste 103 FARMINGTON HILLS, MI 48334-2262 248-419-3400 lary.goldman@officemedicine.com https://www.officemedicine.com Provider Int 3 Complete 2014/03/24 12:00:00 2014/10/04 12:00:00 2014/10/04 06:21:22 UV 2.16.840.1.113883.3.4709 premierdermatology Premier Dermatology Farid Nasser masked Farid Nasser 2026 N. Beech Daly Rd. Dearborn Heights, MI 48127 (313) 359-7900 masked Premier Dermatology 2026 N. Beech Daly Rd. Dearborn Heights, MI 48127 (313) 359-7900 Farid.nasser@officemedicine.com http://www.premierdermatologycare.com/ Provider Int 3 Complete 2014/03/24 12:00:00 2014/10/04 12:00:00 2014/10/04 06:25:53 UV 2.16.840.1.113883.3.4710 sikorskiderm Sikorski Dermatology and Vein Clinic Lynn Sikorski masked Lynn M. Sikorski 1900 South Telegraph Road, Suite 100 Bloomfield Hills, MI 48302 248 338-6400 masked Lynn M. Sikorski 1900 South Telegraph Road, Suite 100 Bloomfield Hills, MI 48302 248 338-6400 lynn.sikorski@officemedicine.com http://www.sikorskiderm.com/ Provider Int 3 Complete 2014/03/24 12:00:00 2014/10/04 12:00:00 2014/10/04 06:31:07 UV 2.16.840.1.113883.3.4220.4.10001.1 univmich Emergency Department Elizabeth Lind masked Elizabeth Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10001.1 2014/03/25 12:00:00 2014/10/04 12:00:00 2014/10/04 06:28:30 UV 2.16.840.1.113883.3.4711 nfckc Northland Family Care LLC Sharon Cartwright masked Norman Rasmussen Cathy Hill 9151 NE 81st Terrace Suite 100 Kansas City, MO 64158 816-781-4740 masked Practice Manager Northland Family Care, LLC 9151 NE 81st Terrace Suite 100 Kansas City, MO 64158 816-781-4740 sharonc@northlandfamilycare.com http://www.northlandfamilycare.com Provider Int 3 Complete 2014/03/25 12:00:00 2014/10/04 12:00:00 2014/10/04 06:41:50 UV 2.16.840.1.113883.3.4712 frasereye Fraser Eye Care Center Norbert Czajkowski masked Norbert P. Czajkowski 33080 Utica Road, Suite B Fraser, MI 48026 586.296.7250 masked Fraser Eye Care Center 33080 Utica Road, Suite B Fraser, MI 48026 586.296.7250 Norbert.Czajkowski@officemedicine.com http://www.frasereye.com/ Provider Int 3 Complete 2014/03/25 12:00:00 2014/10/04 12:00:00 2014/10/04 06:45:40 UV 2.16.840.1.113883.3.4713 sCARPENTER SALLY CARPENTER SALLY CARPENTER masked MARIE WILSON MARIE WILSON 11 BERKSHIRE RD. SMITHFIELD,NC 27577 919-934-0564 masked OFFICE MANAGER SALLY CARPENTER 11 BERKSHIRE RD. SMITHFIELD,NC 27577 919-934-0564 JCPEDIATRICS@YAHOO.COM Provider Int 3 Complete 2014/03/25 12:00:00 2014/10/04 12:00:00 2014/10/04 06:48:43 UV 2.16.840.1.113883.3.3991.2 stlawrence Sparrow St. Lawrence Hospital Christina Bresnahan masked Jim Andrews Christina Bresnahan 1301 N. Hagadorn East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.2 2014/03/25 12:00:00 2014/10/04 12:00:00 2014/10/04 06:57:19 UV 2.16.840.1.113883.3.4714 frasereyeschartenberg Fraser Eye Care Center of Port Huron Judith Schartenberg masked Judith B. Schartenberg 33080 Utica Road, Suite B Fraser, MI 48026 586.296.7250 masked Judith B. Schartenberg 33080 Utica Road, Suite B Fraser, MI 48026 586.296.7250 Judith.Schartenberg@officemedicine.com http://www.frasereye.com/ Provider Int 3 Complete 2014/03/25 12:00:00 2014/10/04 12:00:00 2014/10/04 06:53:20 UV 2.16.840.1.113883.3.3991.3 clinton Sparrow Clinton Hospital Christina Bresnahan masked Jim Andrews Christina Bresnahan 1301 N. Hagadorn Rd. East Lansing, MI 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.3 2014/03/25 12:00:00 2014/10/04 12:00:00 2014/10/04 06:59:27 UV 2.16.840.1.113883.3.3991.4 ionia Sparrow Ionia Hospital Christina Bresnahan masked Jim Andrews Christina Bresnahan 1301 N. Hagadorn Rd. East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.4 2014/03/25 12:00:00 2014/10/04 12:00:00 2014/10/04 07:02:36 UV 2.16.840.1.113883.3.3991.5 sparrowspecialtyhospital Sparrow Specialty Hospital Christina Bresnahan masked Jim Andrews Christina Bresnahan 1301 N. Hagadorn Rd. East Lansing, MI 48823 517.332.9658 masked Interface Analyst Sparrow Health System 1215 E. Michigan Ave. Lansing, MI 48912 517.364.1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.5 2014/03/25 12:00:00 2014/10/04 12:00:00 2014/10/04 07:04:48 UV 2.16.840.1.113883.3.4715 oLISFacilityName LIS ordering facility name John Delius masked John Delius Providence Health & Services 4400 NE Halsey Street, Building 2 Portland, Oregon 97213 503-893-7176 masked Application Analyst Providence Health and Services Providence Health & Services 4400 NE Halsey Street, Building 2 Portland, Oregon 97213 503-893-7176 john.delius@providence.org Provider 2.16.840.1.113883.3.205 Int 3 Complete 2014/03/25 12:00:00 2014/10/04 12:00:00 2014/10/04 07:17:18 UV 2.16.840.1.113883.3.4716 hannahville Hannahville Health Center Kristin Brace masked Kristin Brace N15019 Hannahville B-1 Road Wilson, MI 49896 906-723-2524 masked Health Information Management Hannahville Health Center N15019 Hannahville B-1 Road Wilson, MI 49896 906-723-2524 kristin.brace@hichealth.org Govt body Int 3 Complete 2014/03/25 12:00:00 2014/10/04 12:00:00 2014/10/04 07:18:44 UV 2.16.840.1.113883.3.4717 dectrmatfetmedapp Delaware Center for Maternal and Fetal Medicine of Christiana Care, Inc. Mirth Stephanie Corsetti masked Stephanie Corsetti One Centurian Drive, Suite 312 Newark, DE 19713 302-733-1993 masked Delaware Center for Maternal and Fetal Medicine of Christiana Care, Inc. One Centurian Drive, Suite 312 Newark, DE 19713 302-319-5680 scorsetti@dcmfm.com Provider Int 3 Complete 2014/03/25 12:00:00 2014/10/04 12:00:00 2014/10/04 07:21:42 UV 2.16.840.1.113883.3.4718 nCmC-21214 North Cypress Medical Center Reggie Holiday masked Reggie Holiday 21214 Northwest Freeway Cypress, TX 77429 832-912-3556 masked Interface Enginer North Cypress Medical Center 21214 Northwest Freeway Cypress, TX 77429 832-912-3500 reggie.holiday@ncmc-hospital.com http://www.ncmc-hospital.com Provider Int 3 Complete 2014/03/25 12:00:00 2014/10/04 12:00:00 2014/10/04 07:24:44 UV 2.16.840.1.113883.9.138 uhc-wa UHC Washington Amy Koizim masked Amy Koizim 888-206-4237 masked GSI Health 8882064237 amy.koizim@gsihealth.com Provider Int 3 Complete 2014/03/25 12:00:00 2014/10/05 12:00:00 2014/10/05 10:57:38 UV 2.16.840.1.113883.9.139 uhc-tn UHC Tennessee Amy Koizim masked UHC Tennessee 888-206-4237 masked UHC Tennesse 18882064237245 amy.koizim@gsihealth.com Provider Int 3 Complete 2014/03/25 12:00:00 2014/10/05 12:00:00 2014/10/05 11:03:30 UV 2.16.840.1.113883.3.4720 millereyeclinic MillerEyeClinic Jered Burright masked Kate Miller Jered Burright 9189312838 masked IT Kate Miller 918-456-2250 millereyeclinic@yahoo.com Provider Int 3 Complete 2014/03/26 12:00:00 2014/10/04 12:00:00 2014/10/04 07:33:15 UV 2.16.840.1.113883.3.4721 visionsourceokcsouth VisionSource OKC South Jered Burright masked Travis Yadon Jered Burright 16 East 16th Street Tulsa, OK 918-931-2838 masked Integrations Analyst Travis Yadon 10101 S Pennsylvania OKC, OK 405-691-3319 tyadon@aol.com Provider Int 3 Complete 2014/03/26 12:00:00 2014/10/04 12:00:00 2014/10/04 07:36:28 UV 2.16.840.1.113883.3.4722 mcalestercisionsource McAlester Vision Source Jered Burright masked Jeffrey Duff Jered Burright 16 East 16th Street Tulsa, OK 918-931-2838 masked Integrations Analyst McAlester Vision Source 211 N 5th McAlester, OK 918-423-6606 jd_eyedoc@yahoo.com Provider Int 3 Complete 2014/03/26 12:00:00 2014/10/05 12:00:00 2014/10/05 11:08:52 UV 2.16.840.1.113883.3.4723 aec M. TRINH OPTOMETRY INC Mann Trinh masked Mann Trinh 277 HAMPSHIRE ROAD WESTLAKE VILLAGE, CA 91361 8054954625 masked PRESIDENT M Trinh Optometry Inc 277 Hampshire Road Westlake Village, CA 91361 805-495-4625 AECOptometry@gmail.com http://www.aecoptometry.com Provider Int 3 Complete 2014/03/26 12:00:00 2014/10/05 12:00:00 2014/10/05 11:11:43 UV 2.16.840.1.113883.3.1070.5770 mckesson-fusion-5770 mckesson-fusion-5770 Johnny Moore masked Fusion Enrollment 8775074541 masked fusionenrollment johnny.moore@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5770 2014/03/26 12:00:00 2014/10/05 12:00:00 2014/10/05 11:15:52 US 2.16.840.1.113883.3.4724 dmc Dale Medical Center Charles Honecyutt masked Chuck Honeycutt Dale Medical Center 126 Hospital Ave Ozark, AL 36360 334-774-2601-ext 1060 masked ITRN Dale Medical Center 126 Hospital Ave Ozark, AL 36360 334-774-2601 choneycutt@dalemedical.org http://www.dalemedical.org Provider Int 3 Complete 2014/03/26 12:00:00 2014/10/05 12:00:00 2014/10/05 11:13:25 UV 1.2.36.1.2001.1005.49 hips HIPS (Healthcare Identifier and PCEHR System) Philip Wilford masked Chamonix Philip Wilford NEHTA Brisbane, PO Box 5190, West End. QLD 4101 07 3023 8400 masked Chamonix Level 9, 108 King William Street, Adelaide, 5000, SA 0401 950 881 Philip.Stalley-Gordon@chamonix.com.au http://chamonix.com.au/ Vendor Ext 3 Complete 1.2.36.1.2001.1005.49 2014/03/26 12:00:00 2014/09/14 12:00:00 2014/09/14 06:45:49 AU 2.16.840.1.113883.3.4725 css CSS Health Technologies, LLC Clara Olander masked Clara Olander 5200 Maryland Way Suite, 310 Brentwood, TN 37207 615-467-6529 masked Sr. Business Analyst CSS Health Technologies 5200 Maryland Way Suite, 310 Brentwood, TN 37207 615-350-8111 info@csshealthtech.com http://www.csshealthtech.com Vendor Int 3 Complete 2014/03/27 12:00:00 2014/10/05 12:00:00 2014/10/05 11:17:09 UV 2.16.840.1.113883.3.1070.5765 mckesson-fusion-5765 mckesson-fusion-5765 Gianna Goodman masked Fusion Enrollment 8775074541 masked Fusion Enrollment gianna_goodman@med3000.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5765 2014/03/27 12:00:00 2014/10/05 12:00:00 2014/10/05 11:19:18 US 2.16.840.1.113883.9.140 iDDL Fairview Health Services Cindy Martin masked ckeefe1@fairview.org Brad Lehmeier 2101 Kennedy St. NE Minneapolis, MN 55413 6126725652 masked Director Data Integration Fairview Health Services Fairview Health Services Corporate Building 2450 Riverside Avenue Minneapolis, MN 55454 612-672-7272 Blehmei1@fairview.org http://www.fairview.org/about/Contactus/index.htm Academic Int 3 Complete 2014/03/27 12:00:00 2014/10/05 12:00:00 2018/04/02 10:51:47 UV 2.16.840.1.113883.3.4726 twic The Walk In Clinic Nate Jackson masked Kathy McGreaham Nate Jackson 3074 N US 31 S. Traverse City, MI 49684 231-929-1234 masked CMA The Walk In Clinic 3074 N US 31 S. Traverse City, MI 49684 231-929-1234 twicstaff@gmail.com http://www.thewalkinclinic.biz/ Provider Int 3 Complete 2014/03/27 12:00:00 2014/10/05 12:00:00 2014/10/05 11:26:02 UV 2.16.840.1.113883.3.4727 pihtc Partners In Health of Traverse City Nate Jackson masked Kathy McGreaham Nate Jackson 3074 N US 31 S. Traverse City, MI 49684 231-929-1234 masked CMA Partners In Health of Traverse City, PLLC 3074 N US 31 S. Traverese City, MI 49684 231-935-0535 partnersinhealthoftraversecity@gmail.com http://partnersinhealthtc.biz/ Provider Int 3 Complete 2014/03/27 12:00:00 2014/10/05 12:00:00 2014/10/05 11:29:50 UV 2.16.840.1.113883.3.4728 essentiaHealth Essentia Health Wide Root ID Keavin Bostrom masked Scott Pufall Keavin Bostrom 400 E. 3rd St. Duluth, MN 55805 218-786-8366 masked Infrastructure Applications Manager Essentia Health 400 E. 3rd St. Duluth, MN 55805 218-786-4000 ishelpdesk@essentiahealth.org http://www.essentiahealth.org Provider Int 3 Complete 2014/03/28 12:00:00 2014/10/05 12:00:00 2014/10/05 11:31:27 UV 2.16.840.1.113883.3.4729 iuh-org Indiana University Health Brian Adams masked Brian C. Adams 317-962-5478 masked Application Support Analyst (HL7 interfaces) Indiana University Health badams9@iuhealth.org Provider Int 3 Complete 2014/03/28 12:00:00 2014/10/05 12:00:00 2014/10/05 11:34:10 UV 2.16.840.1.113883.4.720 iuh-mh Indiana Univeristy Health Methodist Hospital Brian Adams masked Brian C. Adams 317-962-5478 masked Application Support Analyst (HL7 interfaces) Indiana University Health badams9@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2014/03/28 12:00:00 2014/12/18 12:00:00 2014/12/18 09:45:08 UV 2.16.840.1.113883.4.721 iuh-uh Indiana University Health University Hospital Brian Adams masked Brian C. Adams 317-962-5478 masked Application Support Analyst Indiana University Health badams9@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2014/03/28 12:00:00 2014/12/18 12:00:00 2014/12/18 09:46:46 UV 2.16.840.1.113883.4.722 iuh-ri Indiana University Health Riley Hospital Brian Adams masked Brian C. Adams 317-962-5478 masked Application Support Analyst Indiana University Health badams9@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2014/03/28 12:00:00 2014/12/18 12:00:00 2014/12/18 09:47:40 UV 2.16.840.1.113883.4.723 iuh-xh Indiana University Health Saxony Hospital Brian Adams masked Brian C. Adams 317-962-5478 masked Application Support Analyst Indiana Univeristy Health badams9@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2014/03/28 12:00:00 2014/12/18 12:00:00 2014/12/18 09:48:37 UV 2.16.840.1.113883.4.724 iuh-ac Indiana University Health Arnett Hospital Brian Adams masked Brian C. Adams 317-962-5478 masked Application Support Analyst Indiana University Health badams9@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2014/03/28 12:00:00 2014/12/18 12:00:00 2014/12/18 09:49:28 UV 2.16.840.1.113883.4.725 iuh-lb Indiana Univeristy Health Ball Memorial Hospital Brian Adams masked Brian C. Adams 317-962-5478 masked Application Support Analyst Indiana University Health badams9@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2014/03/28 12:00:00 2014/12/18 12:00:00 2014/12/18 09:50:40 UV 2.16.840.1.113883.4.726 iuh-hb Indiana University Health Blackford Hospital Brian Adams masked Brian C. Adams 317-962-5478 masked Application Support Analyst Indiana University Health badams9@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2014/03/28 12:00:00 2014/12/18 12:00:00 2014/12/18 09:53:37 UV 2.16.840.1.113883.4.727 iuh-nc Indiana University Health North Hospital Brian Adams masked Brian C. Adams 317-962-5478 masked Application Support Analyst Indiana University Health badams9@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2014/03/28 12:00:00 2014/12/18 12:00:00 2014/12/18 09:54:20 UV 2.16.840.1.113883.4.728 iuh-wc Indiana University Health West Hospital Brian Adams masked Brian C. Adams 317-962-5478 masked Application Support Analyst Indiana University Health badams9@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2014/03/28 12:00:00 2014/12/18 12:00:00 2014/12/18 09:55:54 UV 2.16.840.1.113883.4.729 iuh-ft Indiana University Health Tipton Hospital Brian Adams masked Brian C. Adams 317-962-5478 masked Application Support Analyst Indiana Univeristy Health badams9@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2014/03/28 12:00:00 2014/12/18 12:00:00 2014/12/18 09:57:00 UV 2.16.840.1.113883.4.730 iuh-dw Indiana University Health White Memorial Hospital Brian Adams masked Brian C. Adams 317-962-5478 masked Application Support Analyst Indiana University Health badams9@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2014/03/28 12:00:00 2014/12/18 12:00:00 2014/12/18 09:57:49 UV 2.16.840.1.113883.3.4730 botsford Botsford Hospital Eric Eberwein masked Jean Martin Eric Eberwein 28050 Grand River Ave Laboratory 2-East Farmington Hills, MI 48336 2486157170 masked LIS Coordinator Botsford Hospital 28050 Grand River Ave Farmington Hills, MI 48336 2486157170 eeberwein@botsford.org http://botsford.org Provider Int 3 Complete 2014/03/28 12:00:00 2014/10/05 12:00:00 2014/10/05 11:41:58 UV 2.16.840.1.113883.3.4731 pCA-2014 Primary Care Associates, PLLC Suzette Blankenship masked Cheryl Elvington Suzette Blankenship 4150 S.E. Adams Road Bartlesville, OK 74006 918-331-9979 masked Operations Manager Primary Care Associates, PLLC 4150 S.E. Adams Road Bartlesville, OK 74006 918-331-9979 suzettepca@cableone.net Provider Int 3 Complete 2014/03/28 12:00:00 2014/10/05 12:00:00 2014/10/05 11:43:46 UV 2.16.840.1.113883.9.141 eh-facility Essentia Health Facility related to the object Keavin Bostrom masked Keavin Bostrom 400 E. 3rd St. Duluth, MN. 55805 218-786-8366 masked Infrastructure Applications Manager Essentia Health 400 E. 3rd St. Duluth, MN. 55805 218-786-4000 ishelpdesk@essentiahealth.org http://www.essentialhealth.org Provider 2.16.840.1.113883.3.4728 Int 17 Complete 2014/03/28 12:00:00 2014/10/05 12:00:00 2014/10/05 11:39:17 UV 2.16.840.1.113883.3.4732 gregor Greg Putalik MD PC Greg Putalik masked Greg Putalik MD PC 643 E Lake, #4 Harbor Springs, MI 49740 12312424734 masked Holistic Physician Greg Putalik 5586 Fisher Rd Harbor Springs, MI 49740 2315265041 egann2377@gmail.com Provider Int 3 Complete 2014/03/28 12:00:00 2014/10/05 12:00:00 2014/10/05 11:46:01 UV 2.16.840.1.113883.3.4733 upsaaco UPSA ACO, LLC Kim Becka masked Richard Turner Richard Turner 8207 Callaghan Rd, Ste 320 San Antonio, TX 78230 210-340-7941 masked Executive Director UPSA ACO, LLC 8207 Callaghan Rd, Ste 320 San Antonio, TX 78230 210-340-7941 richard@clay-consulting.com http://www.upsaaco.com Provider Int 3 Complete 2014/03/28 12:00:00 2014/10/05 12:00:00 2014/10/05 12:34:16 UV 2.16.840.1.113883.3.4734 meridianhealth Meridian Health Susan Chechko masked Susan Chechko 2020 6th Ave Neptune, NJ 07753 732-212-6403 masked LIS Analyst Meridian Health Meridian Health 1945 State Rt 33 Neptune, NJ 07754 732-776-4335 schechko@meridianhealth.com Provider Int 3 Complete 2014/03/28 12:00:00 2014/10/05 12:00:00 2014/10/05 12:35:24 UV 2.16.840.1.113883.3.2402.300.9 physicians-computer-company-vendors-cchmc Physician's Computer Company (PCC) Vendors Cincinnati Children's Hospital Medical Center Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 3 Complete 2.16.840.1.113883.3.2402.300.9 2014/03/28 12:00:00 2014/10/05 12:00:00 2014/10/05 12:36:50 UV 2.16.840.1.113883.3.4735 edims EDIMS, LLC Christian Mueller masked Christian Mueller 3 Century Drive Parsippany, NJ 07054 973-251-1177 masked Director of Data Operations EDIMS, LLC 3 Century Drive Parsippany, NJ 07054 800-626-4583 info@edims.net http://www.edims.net Vendor Int 3 Complete 2014/03/31 12:00:00 2014/10/05 12:00:00 2014/10/05 12:38:25 UV 2.16.840.1.113883.3.1070.5740 mckesson-fusion-5740 mckesson-fusion-5740 Jenn Meares masked Fusion Enrollment 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5740 2014/03/31 12:00:00 2014/10/05 12:00:00 2014/10/05 12:39:59 US 2.16.840.1.113883.3.1939.2 noch-ucc NOCHS - Urgent Care Center Joe Abbott masked Joe Abbott 1309 Sheldon Road Grand Haven, MI 49417 6168475255 masked Director, IT North Ottawa Community Health System 1309 Sheldon Road Grand Haven, MI 49417 6168475255 jabbott@noch.org http://www.noch.org Provider 2.16.840.1.113883.3.1939 Ext 17 Complete 2.16.840.1.113883.3.1939.2 2014/03/31 12:00:00 2014/10/05 12:00:00 2014/10/05 12:47:18 UV 2.16.840.1.113883.3.4736 bw-obgyn Blue Water OB/GYN Tammy Davis masked Stacy Dresser Tammy Davis 1313 Stone Street, Port Huron MI 48060 810 984-3181 masked Billing Office Blue Water OB/GYN 1313 Stone Street, Port Huron MI 48060 810 984-3181 bluewaterobgyn@yahoo.com Provider Int 3 Complete 2014/03/31 12:00:00 2014/10/05 12:00:00 2014/10/05 12:51:28 UV 2.16.840.1.113883.3.1788.100 ufthCCD Upson Family Physicians Thomaston Continuity of Care Document Keith Driskell masked Keith Driskell 801 W. Gordon St Thomaston, GA 30286 706-647-8111 masked Clinical Systems Analyst Upson Family Physicians Thomaston 612 W. Gordon St Suite C Thomaston, GA 30286 706-647-8111 keith.driskell@urmc.org http://www.urmc.org Provider 2.16.840.1.113883.3.1788 Ext 14 Complete 2.16.840.1.113883.3.1788.100 2014/03/31 12:00:00 2014/10/05 12:00:00 2014/10/05 12:59:04 UV 2.16.840.1.113883.3.4737 jcccco Jackson Care Connect Jennifer Lind masked Jennifer Lind, MPH 503.416.3683 masked Jackson Care Connect lindj@careoregon.org Provider Int 3 Complete 2014/03/31 12:00:00 2014/10/05 12:00:00 2014/10/05 01:02:19 UV 2.16.840.1.113883.3.4738 ahpccco AllCare Health Plan Justin Zesiger masked Justin Zesiger 541-471-4106 masked I.T. Director AllCare Health Plan Mid Rogue Independent Physicians Association 740 S.E. 7th Street Grants Pass, OR 97526 jzesiger@mripa.org Provider Int 3 Complete 2014/03/31 12:00:00 2014/10/05 12:00:00 2014/10/05 01:04:35 UV 2.16.840.1.113883.3.4739 chpg-ocf Centura Health Physician Group - OCF Kathy Rem masked Myriah Vandre Kathy Rem 111 Inverness Dr W Englewood, CO 80112 303-643-4264 masked DIR APPL SYSTEMS ANALYST/PROGR Centura Health Physician Group 188 Inverness Drive West, Suite 500 Englewood, CO 80112 303-290-6500 KathrynRem@Centura.Org http://www.centura.org Provider Int 3 Complete 2014/03/31 12:00:00 2014/10/05 12:00:00 2014/10/05 01:06:09 UV 2.16.840.1.113883.3.4740 cmhregional RCHP Wilmington dba Clinton Memorial Hospital Gary Gamble masked Gary Gamble Gary Gamble 610 West Main Street Wilmington, OH 45177 (937) 283-9745 masked Director, Information Technology RCHP Wilmington dba Clinton Memorial Hospital 610 West Main Street Wilmington, OH 45177 (937) 382-6611 gary.gamble@cmhregional.com https://intranet.cmhregional.com Provider Int 3 Complete 2014/03/31 12:00:00 2014/10/05 12:00:00 2014/10/05 01:14:44 UV 2.16.840.1.113883.3.4742 hway-corp Healthways Aaron Smith masked Aaron Smith Health Systems Healthways World Headquarters 701 Cool Springs Blvd, Franklin, TN 37067-2697 2142272722 masked VP Applications and Opperations HealthwayS Health Systems Healthways World Headquarters 701 Cool Springs Blvd, Franklin, TN 37067-2697 2142272722 aaron.smith@healthways.com Vendor Int 3 Complete 2014/04/01 12:00:00 2014/10/05 12:00:00 2014/10/05 01:21:54 UV 2.16.840.1.113883.3.4743 iwt Innovative Workflow Technologies Heather Galanos masked Randy Lewis 1023 Amiet Rd. Henderson Ky 270-854-3030 masked COO Innovative Workflow Technologies 1023 Amiet Rd. Henderson, KY 42420 270-854-3030 rlewis@iwtsolutions.com http://www.iwtsolutions.com/ Vendor Int 3 Complete 2014/04/01 12:00:00 2014/10/05 12:00:00 2014/10/05 01:25:36 UV 2.16.840.1.113883.3.4744 rmhIN Rush Memorial Hospital Jim Boyer masked Jim Boyer 1300 North Main Street Rushville, Indiana. 46173 765-932-7422 masked CIO Rush Memorial Hospital 1300 North Main Street Rushville, IN. 46173 765-932-4111 jim.boyer@rushmemorial.com http://www.rushmemorial.com Provider Int 3 Complete 2014/04/01 12:00:00 2014/10/05 12:00:00 2014/10/05 01:28:14 UV 2.16.840.1.113883.3.2402.200.6836 physicians-computer-company-clients-mtcarmel Physician's Computer Company (PCC) Clients Pediatric Associates of Mt. Carmel, Inc. Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6836 2014/04/01 12:00:00 2014/10/05 12:00:00 2014/10/05 01:31:07 UV 2.16.840.1.113883.3.4745 wbfp Westbrookfield Family Practice Rebecca Sweet masked Rebecca Sweet 575 Beech Street Holyoke, MA 01040 413.534.2687 masked Westbrookfield Family Practice 46 N Main St West Brookfield, MA 01585 sweet_becca@holyokehealth.com Provider Int 3 Complete 2014/04/01 12:00:00 2014/10/05 12:00:00 2014/10/05 01:41:33 UV 2.16.840.1.113883.3.4746 hsmd Hakim & Safi MDs Rebecca Sweet masked Rebecca Sweet 575 Beech Street Holyoke, MA 01040 413.534.2687 masked Hakim & Safi MDs 83 South St Suite 2 Ware, MA 01082 sweet_becca@holyokehealth.com Provider Int 3 Complete 2014/04/01 12:00:00 2014/10/05 12:00:00 2014/10/05 01:43:16 UV 2.16.840.1.113883.3.4747 sang Dr. Harshad V. Sanghvi, MD Rebecca Sweet masked Rebecca Sweet 575 Beech Street Holyoke, MA 01040 413.534.2687 masked Dr. Harshad V. Sanghvi, MD 85 South St Ware, MA 01082 sweet_becca@holyokehealth.com Provider Int 3 Complete 2014/04/01 12:00:00 2014/10/05 12:00:00 2014/10/05 01:45:14 UV 2.16.840.1.113883.3.4748 hamc Hospital Authority of Miller County Keith Lovering masked Keith Lovering 2297584286 masked CIO Hospital Authority of Miller County 209 N Cuthbert Street Colquitt, GA 39837 2297584200 klovering@millercountyhospital.com Provider Int 3 Complete 2014/04/01 12:00:00 2014/10/05 12:00:00 2014/10/05 01:47:31 UV 2.16.840.1.113883.3.4749 westped Westfield Pediatrics Rebecca Sweet masked Rebecca Sweet 575 Beech Street Holyoke, MA 01040 413.534.2687 masked Westfield Pediatrics 65 Springfield Rd Suite 3 Westfield, MA 01085 sweet_becca@holyokehealth.com Provider Int 3 Complete 2014/04/01 12:00:00 2014/10/05 12:00:00 2014/10/05 01:49:32 UV 2.16.840.1.113883.3.1070.5815 mckesson-fusion-5815 mckesson-fusion-5815 Anna Durbin masked Fusion Enrollment 8775074541 masked Fusion Enrollment anna.durbin@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5815 2014/04/02 12:00:00 2014/10/05 12:00:00 2014/10/05 02:01:11 US 2.16.840.1.113883.3.4753 gfpc Grayling Family Practice Clinic Cynthia Potts masked Cynthia Potts 1010 W. North Down River Road Grayling MI 49738 989 348 7671 masked Clinic Coordinator Grayling Family Practice Clinic, P.C. 1010 W. North Down River Rd Grayling, MI 49738 989-348-7671 cindy_gfpc@yahoo.com https://www.graylingfamilypractice.com Provider Int 3 Complete 2014/04/02 12:00:00 2014/10/05 12:00:00 2014/10/05 02:04:38 UV 2.16.840.1.113883.3.4754 oidBEMCKELLER Baylor Emergency Medical Center at Keller TRANG DAWSON masked TRANG DAWSON 10077 Grogan's Mill Suite 100 The Woodlands, TX 77380 281-292-2450 masked CHIEF INFORMATION OFFICER Baylor Emergency Medical Center at Keller 620 S. Main, Suite 100 Keller, Texas 76248 (214) 294-6100 it@emerus.com http://www.bemcataubrey.com Provider Int 3 Complete 2014/04/02 12:00:00 2014/10/05 12:00:00 2014/10/05 02:08:28 UV 2.16.840.1.113883.3.4755 oidBEMCMURPHY Baylor Emergency Medical Center at Murphy TRANG DAWSON masked TRANG DAWSON 10077 Grogan's Mill Suite 100 The Woodlands, TX 77380 281-292-2450 masked CHIEF INFORMATION OFFICER Baylor Emergency Medical Center at Murphy 511 FM 544, Suite 100 Murphy, Texas 75094 214-294-6150 it@emerus.com http://www.bemcataubrey.com Provider Int 3 Complete 2014/04/02 12:00:00 2014/10/05 12:00:00 2014/10/05 02:09:57 UV 2.16.840.1.113883.3.4756 oid-root-shasta OID root for Shasta Networks Jacek Zagorski masked Jacek Zagorski PO Box 3441 Ashland, Oregon 97520 541-488-6820 masked President Shasta Networks PO Box 3441 Ashland, Oregon 97520 541-488-6820 support@shastanetworks.com http://shastanetworks.com Vendor Int 3 Complete 2014/04/02 12:00:00 2014/10/05 12:00:00 2014/10/05 02:12:53 UV 2.16.840.1.113883.3.4757 oidBEMCROCKWALL Baylor Emergency Medical Center at Rockwall TRANG DAWSON masked TRANG DAWSON 10077 Grogan's Mill Suite 100 The Woodlands, TX 77380 281-292-2450 masked CHIEF INFORMATION OFFICER Baylor Emergency Medical Center at Rockwall 1975 Alpha, Suite 100 Rockwall, Texas 75087 214-294-6200 it@emerus.com http://www.bemcataubrey.com Provider Int 3 Complete 2014/04/02 12:00:00 2014/10/05 12:00:00 2014/10/05 02:15:19 UV 2.16.840.1.113883.3.4758 cmhs-ven Community Memorial Health System Keith MCWilliams masked Keith MCWilliams 805-652-5383 masked Community Memorial Health System kmcwilliams@cmhshealth.org Provider Int 3 Complete 2014/04/02 12:00:00 2014/10/05 12:00:00 2014/10/05 02:19:24 UV 2.16.840.1.113883.3.4759 terros-MaverickHouse TERROS - Maverick House Debbie Tinsley masked Debbie Tinsley 3003 N. Central Ave. Suite 200 Phoenix, Arizona 85012 602-512-2970 masked Director of Operations/Contracts/Risk Management TERROS,Inc. 3003 N. Central Ave. Suite 200 Phoenix, Arizona 85012 602-685-6000 Debbie.Tinsley@Terros.org http://www.terros.org Provider Int 3 Complete 2014/04/02 12:00:00 2014/10/05 12:00:00 2014/10/05 02:28:36 UV 2.16.840.1.113883.3.4760 Terros-23rd-Ave Terros Health - 23rd Avenue Health Center Debbie Tinsley masked Israel Medellin 3003 N. Central Ave. Suite 400 Phoenix, Arizona 85012 602-685-6000 masked Health Informatics Administrator Terros Health 3003 N. Central Ave., Suite 400 Phoenix, Arizona 85012 602-685-6000 informatics@terroshealth.org http://www.terros.org HL7 body Int 3 Complete 2014/04/02 12:00:00 2014/10/05 12:00:00 2025/06/12 04:48:43 UV 2.16.840.1.113883.3.4758.100 cmhs-vencmh Community Memorial Health System - Community Memorial Hospital Keith MCWilliams masked Keith MCWilliams 805-652-5383 masked Community Memorial Health System kmcwilliams@cmhshealth.org Provider 2.16.840.1.113883.3.4758 Ext 17 Complete 2.16.840.1.113883.3.4758.100 2014/04/02 12:00:00 2014/10/05 12:00:00 2014/10/05 02:35:51 UV 2.16.840.1.113883.3.4758.200 cmhs-venovch Community Memorial Health System - Ojai Valley Community Hospital Keith MCWilliams masked Keith MCWilliams 805-652-5383 masked Community Memorial Health System kmcwilliams@cmhshealth.org Provider 2.16.840.1.113883.3.4758 Ext 17 Complete 2.16.840.1.113883.3.4758.200 2014/04/02 12:00:00 2014/10/05 12:00:00 2014/10/05 02:38:25 UV 2.16.840.1.113883.3.4758.300 cmhs-vengic Community Memorial Health System - Grossman Imaging Center Keith MCWilliams masked Keith MCWilliams 805-652-5383 masked Community Memorial Health System kmcwilliams@cmhshealth.org Provider 2.16.840.1.113883.3.4758 Ext 17 Complete 2.16.840.1.113883.3.4758.300 2014/04/02 12:00:00 2014/10/05 12:00:00 2014/10/05 02:39:41 UV 2.16.840.1.113883.3.4761 mmch Margaret Mary Health Trisha Prickel masked Trisha Prickel 321 Mitchell Ave Batesville, IN 47006 812-933-5455 masked Director, Information Systems Margaret Mary Health 321 Mitchell Ave. Batesville, IN 47006 812-934-6624 mmch@mmch.org http://www.mmch.org/ Provider Int 3 Complete 2014/04/03 12:00:00 2014/10/05 12:00:00 2014/10/05 02:56:32 UV 2.16.840.1.113883.3.4762 oneidahosp Oneida Healthcare Data Exchange Daniel Nash masked Daniel Nash 321 Genesee St Oneida, NY 13421 315-361-2334 masked IT Applications Manager Oneida Healthcare 321 Genesee St Oneida, NY 13421 315-363-6000 dnash@oneidahealthcare.org http://www.oneidahealthcare.org Provider Int 3 Complete 2014/04/03 12:00:00 2014/10/05 12:00:00 2014/10/05 02:58:05 UV 2.16.840.1.113883.3.4763 rcskids Rebekah Children's Services Scott Olson masked Scott Olson 290 I O O F Avenue Gilroy, CA 95020 4088462100 masked Director of IT Rebekah Children's Services 290 I O O F Avenue Gilroy, CA 95020 4088462100 info@rcskids.org http://www.rcskids.org Provider Int 3 Complete 2014/04/03 12:00:00 2014/10/05 12:00:00 2014/10/05 02:59:57 UV 2.16.840.1.113883.3.1070.5762 mckesson-fusion-5762 mckesson-fusion-5762 Anna Durbin masked Fusion Enrollment 8775074541 masked Fusion Enrollment anna.durbin@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5762 2014/04/03 12:00:00 2014/10/05 12:00:00 2014/10/05 03:01:39 US 2.16.840.1.113883.17.3938 casamba Casamba Jane Moffett masked Jane Moffett 5210 Lewis Rd Suite 10 Agoura, CA 91301 818 991 9111 masked VP Casamba 5210 Lewis Rd Suite 10 Agoura, CA 91301 818 991 9111 jane.moffett@casamba.net http://www.Casamba.net Provider Int 17 Complete 2014/04/03 12:00:00 2014/10/05 12:00:00 2014/10/05 03:04:39 UV 2.16.840.1.113883.3.4764 stOPTF Oakdale Physical Therapy and Fitness Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Oakdale Physical Therapy and Fitness 216 Reynolds Road Johnson City, NY 13790 607-217-0827 Holly.Germaine@oakdaleptf.com http://www.oakdaleptf.com/index.htm Provider Int 3 Complete 2014/04/04 12:00:00 2014/10/05 12:00:00 2014/10/05 03:15:15 UV 2.16.840.1.113883.3.4765 gtidocs Grand Traverse Internists, P.C. Michelle Anderson masked Michelle Anderson Grand Traverse Internists 5015 North Royal Drive Traverse City, MI 49684 231-935-0850 ext. 35 masked Project Administrator Grand Traverse Internists, P.C. 5015 North Royal Drive Traverse City, MI 49684 231-935-0850 manager@gtinternists.com https://www.gtinternists.com Provider Int 3 Complete 2014/04/04 12:00:00 2014/10/05 12:00:00 2014/10/05 03:24:54 UV 2.16.840.1.113883.3.3267.1.9 MHSWOK-reportablelabs Comanche County Memorial Hospital - Reportable Labs Adam Switzer masked Kathy Carter Adam Switzer Adam Switzer c/o Memorial Health System of Southwest Oklahoma 3401 W. Gore Blvd. Lawton, OK 73502 (580) 355-8699 x6518 masked Lab Informaticist Memorial Health System of Southwest Oklahoma Memorial Health System of Southwest Oklahoma 3401 W. Gore Blvd. Lawton, OK 73502 (580) 355-8620 itinformatics@memorialhealthswok.com http://www.ccmhhealth.com Provider 2.16.840.1.113883.3.3267 Ext 17 Complete 2.16.840.1.113883.3.3267.1.9 2014/04/04 12:00:00 2014/10/05 12:00:00 2026/05/12 10:24:24 UV 2.16.840.1.113883.3.4766 chaMA The Cambridge Health Alliance Michelle Lacerda masked Michelle G. Lacerda 230 Highland Avenue, 6th Floor, Somerville, MA 02143-1491 617-591-4890 masked Integration Analyst IV The Cambridge Health Alliance 1493 Cambridge Street Cambridge, MA 02139 mglacerda@challiance.org http://challiance.org/Main/Home.aspx Provider Int 3 Complete 2014/04/04 12:00:00 2014/10/05 12:00:00 2014/10/05 03:29:09 UV 2.16.840.1.113883.3.4013.1 kghgr Gull Road Office Shelly Burton-Knapp masked Shelly Burton-Knapp 1535 Gull Road Ste 105 Kalamazoo, MI 49048 2693859900 masked EHR specialist Kalamazoo Gastroenterology Hepatology 1535 Gull Road Ste 105 Kalamazoo, MI 49048 2693859900 mburtonknapp@kgh-dhc.com https://www.kgh-dhc.com Provider 2.16.840.1.113883.3.4013 Ext 17 Complete 2.16.840.1.113883.3.4013.1 2014/04/04 12:00:00 2014/10/05 12:00:00 2014/10/05 03:21:33 UV 2.16.840.1.113883.3.4767 shrhs Sentara Halifax Regional Health System Alan James masked Alan Paul James 2204 Wilborn Avenue South Boston, Virginia 24592 434-517-3568 masked Sr. Application Developer Sentara Halifax Regional Health System 2204 Wilborn Avenue South Boston, VA 24592 434-517-3568 apjames@sentara.com https://wavenet.sentara.com/lob/hospitals/hrhs/Pages/default.aspx Provider Int 3 Complete 2014/04/04 12:00:00 2014/10/05 12:00:00 2018/05/01 08:38:17 US 2.16.840.1.113883.3.4768 wat Dr. Ronald Watanabe and Associates, LLC Ronald Watanabe masked Ronald Watanabe 15 Central Street Andover, MA 01810 978-475-5252 masked Owner Dr. Ronald Watanabe and Associates, LLC 15 Central Street Andover, MA 01810 978-475-5252 dr.watanabe@comcast.net Provider Int 3 Complete 2014/04/04 12:00:00 2014/10/05 12:00:00 2014/10/05 03:32:06 UV 2.16.840.1.113883.3.4769 rahnEYE Rahn Eyecare Center Jeffrey Rahn masked Jeffrey A. Rahn, OD 5854 Cinema Drive Suite A Milford, OH 45150 513-248-1212 masked owner Rahn Eyecare Center 5854 Cinema Drive Suite A Milford, OH 45150 513-248-1212 JRSpex@AOL.com http://www.rahneyecare.com Provider Int 3 Complete 2014/04/06 12:00:00 2014/10/05 12:00:00 2014/10/05 03:33:41 UV 2.16.840.1.113883.3.4770 app-dreyIDX Advocate Physician Partners - Dreyer IDX Dennis Gilge masked Dennis Gilge 847-635-5920 masked Advocate Physician Partners 1702 West Golf Road, Suite 2-1100 Rolling Meadows, IL 60008 847-635-5920 Dennis.Gilge@advocatehealth.com Provider Int 3 Complete 2014/04/07 12:00:00 2014/10/05 12:00:00 2014/10/05 03:43:08 UV 2.16.840.1.113883.3.4771 bronsonhealthcare Bronson Healthcare Group OID Root Paul Vitantonio masked Ken Buechele 601 John St. Kalamazoo, MI 49007 269-341-8688 masked Director, IT EMR Projects Bronson Healthcare Grp, Inc. Bronson Healthcare Group 601 John St. Kalamazoo, MI 49007 (269) 341-7654 buechelk@bronsonhg.org http://www.bronsonhealth.com Provider Int 3 Complete 2014/04/07 12:00:00 2014/10/05 12:00:00 2014/10/05 03:44:49 UV 2.16.840.1.113883.3.4772 gtoc Grand Traverse Ophthalmology Clinic PC Nicole Charbonneau masked Nicole Charbonneau 929 Business Park Drive Traverse City, MI 49686 231-946-4324 masked Coordinator Grand Traverse Ophthalmology Clinic PC 929 Business Park Drive Traverse City, MI 49686 231-947-6246 ncharbonneau@gtoc.net https://www.gtoc.net/ Provider Int 3 Complete 2014/04/07 12:00:00 2014/10/05 12:00:00 2014/10/05 03:52:31 UV 2.16.840.1.113883.3.4773 openhealthdata Open Health Data Steven Waldren masked Steven Waldren 8162378656 masked Open Health Data info@openhealthdata.com Vendor Int 3 Complete 2014/04/07 12:00:00 2014/10/05 12:00:00 2014/10/05 03:57:50 UV 2.16.840.1.113883.3.4772.1 gtocssm Grand Traverse Ophthalmology Clinic PC - Sault Ste. Marie Nicole Charbonneau masked Nicole Charbonneau 929 Business Park Drive Traverse City, MI 49686 231-943-4324 masked Coordinator Grand Traverse Ophthalmology Clinic PC 511 Ashmun Street Sault Ste. Marie, MI 49783 906-635-9802 ncharbonneau@gtoc.net https://www.gtoc.net/ Provider 2.16.840.1.113883.3.4772 Ext 17 Complete 2.16.840.1.113883.3.4772.1 2014/04/07 12:00:00 2014/10/05 12:00:00 2014/10/05 04:10:02 UV 2.16.840.1.113883.3.4772.2 gtocpetoskey Grand Traverse Ophthalmology Clinic PC - Petoskey Nicole Charbonneau masked Nicole Charbonneau 929 Business Park Drive Traverse City, MI 49686 231-943-4324 masked Coordinator Grand Traverse Ophthalmology Clinic PC 2061 M 119 Petoskey, MI 49770 231-487-2020 ncharbonneau@gtoc.net https://www.gtoc.net/ Provider 2.16.840.1.113883.3.4772 Ext 17 Complete 2.16.840.1.113883.3.4772.2 2014/04/07 12:00:00 2014/10/05 12:00:00 2014/10/05 04:12:48 UV 2.16.840.1.113883.3.4774 phihealth Primary Health Innovations, LLC Jim May masked James L May Jr 10000 North Central Expressway Suite 400 Dallas, TX 75231 972-638-9048 masked Principle Primary Health Innovations, LLC 10000 North Central Expressway Suite 400 Dallas, TX 75231 972-638-9048 jmay@phihealth.net http://www.phihealth.net Vendor Int 3 Complete 2014/04/07 12:00:00 2014/10/05 12:00:00 2014/10/05 04:01:07 UV 2.16.840.1.113883.3.1620.101 oidEMPI Enterprise Master Patient Identification Matthew Albright masked Matthew Albright 2001 Bryan St, Ste 2400 Dallas, Tx 75201 214-820-3185 masked Management Consultant Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.101 2014/04/07 12:00:00 2014/10/05 12:00:00 2014/10/05 04:05:12 UV 2.16.840.1.113883.3.1097.9.91740101 hvs Heart & Vascular Specialists Melissa Mele masked Ayad Jazrawi 1380 Coolidge Hwy Ste 250 Troy, MI 48084 248-288-1117 masked Physician Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91740101 2014/04/07 12:00:00 2014/10/05 12:00:00 2014/10/05 04:15:34 UV 2.16.840.1.113883.3.1620.102 oidMEDHOST MEDHOST Matthew Albright masked Matthew Albright 2001 Bryan St, Ste 2400 Dallas, TX 75201 214-820-3185 masked Management Consultant Baylor Health Care System 3500 Gaston Avenue Dallas, Tx 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.102 2014/04/07 12:00:00 2014/10/05 12:00:00 2014/10/05 04:18:40 UV 2.16.840.1.113883.3.1620.102.1 oidBUMCMEDHOSTMRN BUMC MEDHOST MRN Matthew Albright masked Matthew Albright 2001 Bryan St, Ste 2400 Dallas, TX 75201 214-820-3185 masked Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620.102 Ext 17 Complete 2.16.840.1.113883.3.1620.102.1 2014/04/07 12:00:00 2014/10/05 12:00:00 2014/10/05 04:21:03 UV 2.16.840.1.113883.3.1097.9.91220102 pmac Macomb Physicians Group PLLC Taylor McMahon masked Nancy Simms 25529 Van Dyke Centerline, MI 48015-1848 586-806-5977 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91220102 2014/04/07 12:00:00 2014/10/05 12:00:00 2014/10/05 04:22:55 UV 2.16.840.1.113883.3.1620.102.2 oidAllSaintsMEDHOSTMRN All Saints MEDHOST MRN Matthew Albright masked Matthew Albright 2001 Bryan St, Ste 2400 Dallas, TX 75201 214-820-3185 masked Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620.102 Ext 17 Complete 2.16.840.1.113883.3.1620.102.2 2014/04/07 12:00:00 2014/10/05 12:00:00 2014/10/05 04:26:17 UV 2.16.840.1.113883.3.1620.102.3 oidCarrolltonMEDHOSTMRN Carrollton MEDHOST MRN Matthew Albright masked Matthew Albright 2001 Bryan St, Ste 2400 Dallas, TX 75201 214-820-3185 masked Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620.102 Ext 17 Complete 2.16.840.1.113883.3.1620.102.3 2014/04/07 12:00:00 2014/10/05 12:00:00 2014/10/05 04:29:00 UV 2.16.840.1.113883.3.1620.102.4 oidGarlandMEDHOSTMRN Garland MEDHOST MRN Matthew Albright masked Matthew Albright 2001 Bryan St, Ste 2400 Dallas, TX 75201 214-820-3185 masked Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620.102 Ext 17 Complete 2.16.840.1.113883.3.1620.102.4 2014/04/07 12:00:00 2014/10/05 12:00:00 2014/10/05 04:30:17 UV 2.16.840.1.113883.3.1620.102.5 oidGrapevineMEDHOSTMRN Grapevine MEDHOST MRN Matthew Albright masked Matthew Albright 2001 Bryan St, Ste 2400 Dallas, TX 75201 214-820-3185 masked Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620.102 Ext 17 Complete 2.16.840.1.113883.3.1620.102.5 2014/04/07 12:00:00 2014/10/05 12:00:00 2014/10/05 04:31:27 UV 2.16.840.1.113883.3.4775 nathan-oid Nathan Noga OD Nathan Noga masked Nathan Noga 9702425412 masked optometrist Nathan Noga OD PC 2424 Hwy 6 and 50, Mesa Mall #402, Grand Junction, CO 81505 970-242-5412 njnoga@bresnan.net Provider Int 3 Complete 2014/04/07 12:00:00 2014/10/05 12:00:00 2014/10/05 04:52:54 UV 2.16.840.1.113883.9.142 providenceHealth-and-Services-LIS-MRN Providence Health & Services->Lab Information System MRN John Delius masked John Delius Providence Health & Services 4400 NE Halsey Street Portland, Oregon 97213 503-893-7176 masked Application Analyst Providence Health & Services 4400 NE Halsey Street Portland, Oregon 97213 503-893-7176 john.delius@providence.org Provider 2.16.840.1.113883.3.205 Int 17 Complete 2014/04/07 12:00:00 2014/10/05 12:00:00 2014/10/05 04:35:15 UV 2.16.840.1.113883.3.4776 bcmc-elr Electronic Reportable Laboratory Results Amber Runion masked Amber Runion 404 S. Bradley Warren, AR 71671 870-226-4358 masked EMR Coordinator Bradley County Medical Center 404 S. Bradley Warren, AR 71671 870-226-4358 arunion@bcmed.org http://www.bradleycountymedicalcenter.com Provider Int 3 Complete 2014/04/07 12:00:00 2014/10/05 12:00:00 2014/10/05 04:54:30 UV 2.16.840.1.113883.3.4777 bcH-01 Bath Community Hospital Tracy Bartley masked Tara Craft Tracy Bartley Bath Community Hospital 106 Park Lane Hot Springs, VA 24445 540-968-3394 masked IT Manager Bath Community Hospital 106 Park Lane Hot Springs, VA 24445 540-839-7000 tracy.bartley@bcchospital.org http://www.bathhospital.org Provider Int 3 Complete 2014/04/07 12:00:00 2014/10/05 12:00:00 2014/10/05 04:55:50 UV 2.16.840.1.113883.3.1070.5827 mckesson-fusion-5827 mckesson-fusion-5827 Gianna Goodman masked Gianna Goodman 8775074541 masked Fusion Enrollment gianna_goodman@med3000.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5827 2014/04/07 12:00:00 2014/10/05 12:00:00 2014/10/05 04:57:21 US 2.16.840.1.113883.3.1620.102.6 oidIrvingMEDHOSTMRN Irving MEDHOST MRN Matthew Albright masked Matthew Albright 2001 Bryan St, Ste 2400 Dallas, Tx 75201 214-820-3185 masked Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620.102 Ext 17 Complete 2.16.840.1.113883.3.1620.102.6 2014/04/07 12:00:00 2014/10/05 12:00:00 2014/10/05 04:59:07 UV 2.16.840.1.113883.3.1620.102.7 oidMcKinneyMEDHOSTMRN McKinney MEDHOST MRN Matthew Albright masked Matthew Albright 3500 Gaston Avenue Dallas, TX 75246-2017 214-820-3185 masked Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620.102 Ext 17 Complete 2.16.840.1.113883.3.1620.102.7 2014/04/07 12:00:00 2014/10/05 12:00:00 2014/10/05 05:01:53 UV 2.16.840.1.113883.3.1620.102.8 oidPlanoMEDHOSTMRN Plano MEDHOST MRN Matthew Albright masked Matthew Albright 2001 Bryan St, Ste 2400 Dallas, TX 75201 214-820-3185 masked Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620.102 Ext 17 Complete 2.16.840.1.113883.3.1620.102.8 2014/04/07 12:00:00 2014/10/10 12:00:00 2014/10/10 04:02:20 UV 2.16.840.1.113883.3.1620.102.9 oidTHHBDMEDHOSTMRN THHBD MEDHOST MRN Matthew Albright masked Matthew Albright 2001 Bryan St, Ste 2400 Dallas, TX 75201 214-820-3185 masked Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620.102 Ext 17 Complete 2.16.840.1.113883.3.1620.102.9 2014/04/07 12:00:00 2014/10/10 12:00:00 2014/10/10 04:04:24 UV 2.16.840.1.113883.3.1620.102.10 oidTHHBPMEDHOSTMRN THHBP MEDHOST MRN Matthew Albright masked Matthew Albright 2001 Bryan St, Ste 2400 Dallas, TX 75201 214-820-3185 masked Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620.102 Ext 17 Complete 2.16.840.1.113883.3.1620.102.10 2014/04/07 12:00:00 2014/10/10 12:00:00 2014/10/10 04:05:53 UV 2.16.840.1.113883.3.1620.102.11 oidWaxahachieMEDHOSTMRN Waxahachie MEDHOST MRN Matthew Albright masked Matthew Albright 2001 Bryan St, Ste 2400 Dallas, TX 75201 214-820-3185 masked Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620.102 Ext 17 Complete 2.16.840.1.113883.3.1620.102.11 2014/04/07 12:00:00 2014/10/10 12:00:00 2014/10/10 04:08:41 UV 2.16.840.1.113883.3.1070.5825 mckesson-fusion-5825 mckesson-fusion-5825 Jenn Meares masked Fusion Enrollment 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5825 2014/04/08 12:00:00 2014/10/10 12:00:00 2014/10/10 04:11:38 US 2.16.840.1.113883.3.1871.3.912 afcmh Cordell Memorial Hospital Rodney Rice Jr masked Rodney Rice 314 951 5631 masked Interface Analyst Rodney Rice 7980 Clayton Rd St Louis, MO 63117 314 951 5631 rodney_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871.3 Ext 14 Complete 2.16.840.1.113883.3.1871.3.912 2014/04/08 12:00:00 2014/10/10 12:00:00 2014/10/10 04:17:10 UV 2.16.840.1.113883.3.3413.1 mhs Michigan Health Specialists Joseph Grathoff masked Joseph Grathoff 1 Hurley Plaza Flint, MI 48503 810-262-6792 masked Senior Technical Consultant Hurley Medical Center 1 Hurley Plaza Flint, MI 48503 810-262-9000 jgratho1@hurleymc.com http://www.hurleymc.com Provider 2.16.840.1.113883.3.3413 Ext 17 Complete 2.16.840.1.113883.3.3413.1 2014/04/08 12:00:00 2014/08/07 12:00:00 2014/08/07 05:34:41 UV 2.16.840.1.113883.3.3413.2 hhs Hurley Health Services Joseph Grathoff masked Joseph Grathoff 1 Hurley Plaza Flint, MI 48503 810-262-6792 masked Senior Technical Consultant Hurley Medical Center 1 Hurley Plaza Flint, MI 48503 810-262-9000 jgratho1@hurleymc.com http://www.hurleymc.com Provider 2.16.840.1.113883.3.3413 Ext 17 Complete 2.16.840.1.113883.3.3413.2 2014/04/08 12:00:00 2014/10/10 12:00:00 2014/10/10 04:20:39 UV 2.16.840.1.113883.3.4778 cmhc Central Maine Healthcare Jon Tabor masked Elise Christie Elise Christie 29 Lowell St Suite 200 Lewiston, Maine 04240 207-755-3831 masked IS Project Manager Central Maine Healthcare 29 Lowell St Suite 200 Lewiston, Maine 04240 207-755-3831 christel@cmhc.org Provider Int 3 Complete 2014/04/08 12:00:00 2014/10/10 12:00:00 2014/10/10 04:25:08 UV 2.16.840.1.113883.3.4779 soh South Oaks Hospital Carolyn Grassick masked Carolyn Grassick 631-608-5577 masked South Oaks Hospital 400 Sunrise Highway Amityville, NY 11701 631-264-4000 cgrassick@longislandhome.org Provider Int 3 Complete 2014/04/08 12:00:00 2014/10/10 12:00:00 2014/10/10 04:27:40 UV 2.16.840.1.113883.3.4780 esac ESAC-HL7-Root-OID Mike Flanigan masked ESAC, Inc. Mike Flanigan 155 Gibbs St., Ste. 420 Rockville, MD 20850 8553712462 masked Vice President ESAC, Inc. 155 Gibbs St., Ste. 420 Rockville, MD 20850 8553722462 mike.flanigan@esacinc.com http://www.esacinc.com Vendor Int 3 Complete 2014/04/08 12:00:00 2014/10/10 12:00:00 2014/10/10 04:31:26 UV 2.16.840.1.113883.3.3413.3 esaeed Elmahdi Saeed Practice Joseph Grathoff masked Joseph Grathoff 1 Hurley Plaza Flint, MI 48503 810-262-6792 masked Senior Technical Consultant Hurley Medical Center 1 Hurley Plaza Flint, MI 48503 810-262-9000 jgratho1@hurleymc.com http://www.hurleymc.com Provider 2.16.840.1.113883.3.3413 Ext 17 Complete 2.16.840.1.113883.3.3413.3 2014/04/08 12:00:00 2014/10/10 12:00:00 2014/10/10 04:23:00 UV 2.16.840.1.113883.3.4781 chpapps Mercy Health Robert Schmid masked Robert Schmid 250 E Federal Plaza Youngstown, Ohio 44503 3308846647 masked Integration Team Lead Mercy Health 615 Elsinore Place Cincinnati, Ohio 45202 513-639-2800 bob_schmid@health-partners.org Provider Int 3 Complete 2014/04/08 12:00:00 2014/10/10 12:00:00 2016/02/11 01:21:49 UV 2.16.840.1.113883.9.143 pds Prodigy Data Systems Tim Fitchett masked Tim Fitchett #7, 4948 126 Avenue SE Calgary, AB T2Z 0A9 Canada 4032572749 masked Software Enigneer Prodigy Data Systems 14032572749112 tim.fitchett@prodigydatasystems.com http://www.prodigydatasystems.com Vendor Int 3 Complete 2014/04/08 12:00:00 2014/10/10 12:00:00 2014/10/10 04:42:24 UV 2.16.840.1.113883.3.4782 webmdhs WebMD Health Services Lynne Chartier masked Lynne Chartier 503-419-4010 masked Product Manager WebMD Health Services 2701 NW Vaughn Suite 700 Portland, OR 97210 503-279-9010 lchartier@webmd.net https://www.webmdhealthservices.com/ Vendor Int 3 Complete 2014/04/08 12:00:00 2014/10/10 12:00:00 2014/10/10 04:36:29 US 2.16.840.1.113883.3.1788.150 ufbvCCD Upson Family Physicians Barnesville Continuity of Care Document Keith Driskell masked Keith Driskell 801 W. Gordon St Thomaston, GA 30286 706-647-8111 masked Clinical Systems Analyst Upson Family Physicians Barnesville 100 Highway 18 West Barnesville, GA 30204 706-647-8111 keith.driskell@urmc.org http://www.urmc.org Provider 2.16.840.1.113883.3.1788 Ext 14 Complete 2.16.840.1.113883.3.1788.150 2014/04/09 12:00:00 2014/10/10 12:00:00 2014/10/10 04:50:13 UV 2.16.840.1.113883.3.1788.500 bwilCCD Benjamin Williams M.D. LSS Continuity of Care Document Keith Driskell masked Keith Driskell 801 W Gordon St Thomaston, GA 30286 Driskell masked Clinical Systems Analyst Benjamin Williams M.D. LSS 202 Cherokee Rd Thomaston, GA 30286 706-647-3200 keith.driskell@urmc.org http://www.urmc.org Provider 2.16.840.1.113883.3.1788 Ext 14 Complete 2.16.840.1.113883.3.1788.500 2014/04/09 12:00:00 2014/10/10 12:00:00 2014/10/10 04:57:13 UV 2.16.840.1.113883.3.1788.505 dbriCCD Daniel Bridges M.D. LSS Continuity of Care Document Keith Driskell masked Keith Driskell 801 W Gordon St Thomaston, GA 30286 706-647-8111 masked Clinical Systems Analyst Daniel Bridges M.D. LSS 206 Cherokee Rd Thomaston, GA 30286 706-647-9412 keith.driskell@urmc.org http://www.urmc.org Provider 2.16.840.1.113883.3.1788 Ext 14 Complete 2.16.840.1.113883.3.1788.505 2014/04/09 12:00:00 2014/10/10 12:00:00 2014/10/10 05:00:48 UV 2.16.840.1.113883.3.4421.100 saginaw St. Mary's Saginaw Facility Michelle Krogstad masked Lori Knight Michelle Krogstad 800 S. Washington Saginaw, MI 48601 9899077587 masked Director of Clinical Informatics/Education Resources St. Mary's Saginaw Facility 800 S. Washington Saginaw, MI 48601 9899078000 michelle.krogstad@stmarysofmichigan.org http://www.stmarysofmichigan.org/ Provider 2.16.840.1.113883.3.4421 Ext 14 Complete 2.16.840.1.113883.3.4421.100 2014/04/09 12:00:00 2014/10/10 12:00:00 2014/10/10 05:06:03 UV 2.16.840.1.113883.3.4421.100.1 townecentre Saginaw Town Centre Facility Michelle Krogstad masked Lori Knight Michelle Krogstad 800 S. Washington Saginaw, MI 48601 9899077587 masked Director of Clinical Informatics/Education Resources Saginaw Town Centre Facility 4599 Towne Centre Road Saginaw, MI 48604 9894973000 michelle.krogstad@stmarysofmichigan.org http://www.stmarysofmichigan.org/find_a_location/index.php?i=86 Provider 2.16.840.1.113883.3.4421 Ext 14 Complete 2.16.840.1.113883.3.4421.100.1 2014/04/09 12:00:00 2014/10/10 12:00:00 2014/10/10 05:15:51 UV 2.16.840.1.113883.3.4421.200 standish St. Mary's Standish Michelle Krogstad masked Lori Knight Michelle Krogstad 800 S. Washington Saginaw, MI 48601 9899077587 masked Director of Clinical Informatics/Education Resources St. Mary's Standish 805 W. Cedar Standish, MI 48658 9898464521 michelle.krogstad@stmarysofmichigan.org http://www.stmarysmichigan.org/standish/ Provider 2.16.840.1.113883.3.4421 Ext 14 Complete 2.16.840.1.113883.3.4421.200 2014/04/09 12:00:00 2014/10/10 12:00:00 2014/10/10 05:21:02 UV 2.16.840.1.113883.3.4421.300 tawas St. Joseph Health System Michelle Krogstad masked Lori Knight Michelle Krogstad 800 S. Washington Saginaw, MI 48601 9899077587 masked Director of Clinical Informatics/Education Resources St. Joseph Health System 200 Hemlock PO Box 659 Tawas, MI 48764 8003629404 michelle.krogstad@stmarysofmichigan.org http://www.sjhsys.org/ Provider 2.16.840.1.113883.3.4421 Ext 14 Complete 2.16.840.1.113883.3.4421.300 2014/04/09 12:00:00 2014/10/10 12:00:00 2014/10/10 05:24:42 UV 2.16.840.1.113883.3.1788.400 uwsCCD Upson Women's Services Thomaston Continuity of Care Document Keith Driskell masked Keith Driskell 801 W. Gordon St Thomaston, GA 30286 706-647-8111 masked Clinical Systems Analyst Upson Women's Services Thomaston 214 Cherokee Rd Thomaston, GA 30286 706-647-9627 keith.driskell@urmc.org Provider 2.16.840.1.113883.3.1788 Ext 14 Complete 2.16.840.1.113883.3.1788.400 2014/04/09 12:00:00 2014/10/10 12:00:00 2014/10/10 05:29:23 UV 2.16.840.1.113883.3.4784 mainehealth Maine Health OID Registration Authority Joshua Roberts masked Joshua Roberts 420 Cumberland Ave Portland, ME 04101 207-662-6528 masked Data Architect MaineHealth 110 Free Street Portland, ME 04101 jroberts@mmc.org http://www.mainehealth.org/ Provider Int 3 Complete 2014/04/09 12:00:00 2014/10/10 12:00:00 2014/10/10 05:34:52 UV 2.16.840.1.113883.3.1788.200 usthCCD Upson Surgical Associates Thomaston Continuity of Care Document Keith Driskell masked Keith Driskell 801 W. Gordon St Thomaston, GA 30286 706-647-8111 masked Clinical Systems Analyst Upson Surgical Associates Thomaston 612 W Gordon St. Suite B Thomaston, GA 30286 706-647-8111 keith.driskell@urmc.org Provider 2.16.840.1.113883.3.1788 Ext 14 Complete 2.16.840.1.113883.3.1788.200 2014/04/09 12:00:00 2014/10/10 12:00:00 2014/10/10 05:33:09 UV 2.16.840.1.113883.3.1788.300 uothCCD Orthopedics Sports Medicine and Surgery Thomaston Continuity of Care Document Keith Driskell masked Keith Driskell 801 W Gordon St Thomaston, GA 30286 706-647-8111 masked Clinical Systems Analyst Orthapedics Sports Medicine and Surgery Thomaston 612 W Gordon St Suite E Thomaston, GA 30286 706-647-3030 keith.driskell@urmc.org Provider 2.16.840.1.113883.3.1788 Ext 14 Complete 2.16.840.1.113883.3.1788.300 2014/04/09 12:00:00 2014/10/10 12:00:00 2014/10/10 05:40:41 UV 2.16.840.1.113883.3.963.4.1.18 mercyHospitalNorthwestArkansas mercyHospitalNorthwestArkansas Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Health System MISDEpicInterfaces@mercy.net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.4.1.18 2014/04/09 12:00:00 2014/10/10 12:00:00 2014/10/10 05:45:22 UV 2.16.840.1.113883.9.144 stephenRMcIntyreMD Stephen R. McIntyre, MD - Mountainview Family Practice Holly Bartlett masked Mark Adkins Holly Bartlett 4651 Charlotte Park Drive Suite 420 Charlotte, NC 28217 7042866909 masked Implementation Specialist Stephen R. McIntyre, MD 1940 Briarwood Drive Hickory, NC 28602 (828) 294-3116 mvfp@mvfp.biz http://mcintyremd.com Provider Int 3 Complete 2014/04/09 12:00:00 2014/10/10 12:00:00 2014/10/10 05:49:12 US 2.16.840.1.113883.3.1070.5814 mckesson-fusion-5814 mckesson-fusion-5814 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5814 2014/04/09 12:00:00 2014/10/10 12:00:00 2014/10/10 05:54:36 US 2.16.840.1.113883.3.1145.1 cccfacility War Memorial Hospital CCC facility Sandra DePlonty masked Kathryn Wood Sandra DePlonty 500 Osborn Boulevard Sault Sainte Marie, MI 49783 9066354663 masked Senior Director of Clinical Services Chippewa County War Memorial Hospital 500 Osborn Boulevard Sault Sainte Marie, MI 49783 9066354476 sandra.deplonty@mymichigan.org http://www.warmemorialhospital.org/ Provider 2.16.840.1.113883.3.1145 Ext 17 Complete 2.16.840.1.113883.3.1145.1 2014/04/10 12:00:00 2014/10/11 12:00:00 2023/06/28 01:05:39 UV 2.16.840.1.113883.3.4786 imaisp IMA S.C. Adrian Gruntkowski masked Adrian Gruntkowski +48583016917 masked IMA S.C. adrian@ima.pl Provider Int 3 Complete 2014/04/10 12:00:00 2014/10/11 12:00:00 2014/10/11 02:37:41 UV 2.16.840.1.113883.3.1070.5821 mckesson-fusion-5821 mckesson-fusion-5821 Anna Durbin masked Fusion Enrollment 8775074541 masked Fusion Enrollment anna.durbin@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5821 2014/04/10 12:00:00 2014/10/11 12:00:00 2014/10/11 02:39:58 US 2.16.840.1.113883.9.145 hup Hospital of the University of Pennsylvania Patricia Abbott masked Deborah Mincarelli Deborah Mincarelli Hospital of the University of Pennsylvania Pathology and Laboratory Medicine 7 Founders 3400 Spruce Street Philadelphia, PA 19104 215-662-7879 masked Administrative Director, Laboratory Medicine Hospital of the University of Pennsylvania 3400 Spruce Street Philadelphia, PA 19104 215-662-7879 Deborah.Mincarelli@uphs.upenn.edu http://www.pennmedicine.org/hospital--pennsylvania/ Provider Int 3 Complete 2014/04/10 12:00:00 2014/10/11 12:00:00 2014/10/11 02:44:26 US 2.16.840.1.113883.3.4787 scp St. Clair Pulmonary & Critical Care PC OID Root Alicia Huisman masked Alicia Huisman 1210 10th Ave Port Huron, MI 48060-3406 810-984-8470 masked Office Manager St. Clair Pulmonary & Critical Care PC 1210 10th Ave Port Huron, MI 48060-3406 810-984-8470 aliciahuisman@yahoo.com Provider Int 3 Complete 2014/04/10 12:00:00 2014/10/11 12:00:00 2014/10/11 02:41:01 UV 2.16.840.1.113883.9.146 ph-oid Pennsylvania Hospital Tracy Healy masked william hunt Tracy Healy pennsylvania hospital 800 spruce sts philadelphia pa 19107 2158293554 masked microbiology supervisor Pennsylvania Hospital 800 Spruce Sts Philadelphia, PA 19107 2158293554 trheal@pahosp.com http://www.pennmedicine.org/hospital-pennsylvania Provider Int 3 Complete 2014/04/10 12:00:00 2014/12/15 12:00:00 2014/12/15 12:30:16 US 2.16.840.1.113883.3.1070.5773 mckesson-fusion-5773 mckesson-fusion-5773 Jenn Meares masked Fusion Enrollment 8775074541 masked Fusion Enrollment jennifer.meares@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5773 2014/04/10 12:00:00 2014/10/11 12:00:00 2014/10/11 02:48:03 US 2.16.840.1.113883.3.1070.5766 mckesson-fusion-5766 mckesson-fusion-5766 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5766 2014/04/10 12:00:00 2014/10/11 12:00:00 2014/10/11 02:58:09 US 2.16.840.1.113883.3.4788 ccd1-MSH Continuity OF Care Document for Monroe Surgical Hospital David Bryan masked David Brayn Monroe Surgical Hospital 2408 Broadmoor Blvd Monroe LA 71201 318-410-0002 masked IT director Monroe Surgical Hospital 2408 Broadmoor Monroe LA 71201 318-410-0002 davidbryan@monroesurgical.com http://monroesurgical.com/ Provider Int 3 Complete 2014/04/10 12:00:00 2014/10/11 12:00:00 2014/10/11 03:00:52 UV 2.16.840.1.113883.3.4789 mo-HIN State of Missouri Health Information Network Darin Hackmann masked Darin Hackmann 573-751-7996 masked State of Missouri, MO HealthNet Division 615 Howerton Court Jefferson City, MO 65109 573-751-7996 Darin.M.Hackmann@dss.mo.gov Govt body Int 3 Complete 2014/04/11 12:00:00 2014/10/11 12:00:00 2014/10/11 03:03:49 UV 2.16.840.1.113883.9.147 ppmc Penn Presbeterian Michael Atweh masked Michael Atweh 51 N 39th st Ste W542 Phliadepiha,pa 19104 215-662-8328 masked Director of operation Penn Presbyterian Medical Center (PPMC) 51 N 39th st Ste W542 Phliadepiha,pa 19104 215-662-8328 mahmoud.atweh@uphs.upenn.edu https://www.pennmedicine.org/hospital-pennsylvania Provider Int 3 Complete 2014/04/11 12:00:00 2015/02/28 12:00:00 2015/02/28 03:56:25 US 2.16.840.1.113883.3.1070.5857 mckesson-fusion-5857 mckesson-fusion-5857 Nina Louviere masked Fusion Enrollment 8775074541 masked Fusion Enrollment nina.louviere@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5857 2014/04/11 12:00:00 2014/10/11 12:00:00 2014/10/11 03:06:31 US 2.16.840.1.113883.3.2076.5.100 pth-ohsu Laboratory, Department of Pathology Robin Heath masked clauderd@ohsu.edu Robin Heath 3181 S.W. Sam Jackson Park Rd. Portland, Oregon 97239-3098 503-494-3570 masked Interface Engineer Oregon Health and Science University 3181 S.W. Sam Jackson Park Rd. Portland, Oregon 97239-3098 503 494-8311 heathr@ohsu.edu http://www.ohsu.edu Academic 2.16.840.1.113883.3.2076 Ext 3 Complete 2.16.840.1.113883.3.2076.5.100 2014/04/11 12:00:00 2014/10/11 12:00:00 2014/10/11 03:09:13 UV 2.16.840.1.113883.17.3939 integris-transplant INTEGRIS Nazih Zuhdi Transplant Micheal Williams masked Rachel Allen 3300 NW Expressway Oklahoma City, OK 73112 405-949-3629 masked EMR Manager Regulatory and Workflow INTEGRIS Nazih Zuhdi Transplant 3300 NW Expressway Oklahoma City, OK 73112 405-949-3349 Rachel.Allen@Integrisok.com http://integrisok.com/nazih-zuhdi-transplant-institute-oklahoma-city-ok Provider Int 17 Complete 2014/04/11 12:00:00 2014/10/11 12:00:00 2014/10/11 03:12:36 UV 2.16.840.1.113883.3.2076.5.101 core-ohsu Laboratory, Core Robin Heath masked Robin Heath 3181 S.W. Sam Jackson Park Rd. Portland, Oregon 97239-3098 503-494-3570 masked Interface Engineer Oregon Health and Science University 3181 S.W. Sam Jackson Park Rd. Portland, Oregon 97239-3098 503 494-8311 heathr@ohsu.edu http://www.ohsu.edu Academic 2.16.840.1.113883.3.2076 Ext 17 Complete 2.16.840.1.113883.3.2076.5.101 2014/04/11 12:00:00 2014/10/11 12:00:00 2014/10/11 03:14:58 UV 2.16.840.1.113883.3.4791 drtrupo Dr. Joseph Trupo Joseph Trupo masked Joseph Trupo 1506 Harrison Ave. Elkins, Wv 26241 304-636-2020 masked Optometrist Dr. Joseph Trupo 1506 Harrison Ave. Elkins, WV 26241 304-636-2020 drtrupo@yahoo.com Provider Int 3 Complete 2014/04/11 12:00:00 2014/10/11 12:00:00 2014/10/11 03:18:55 UV 2.16.840.1.113883.3.4792 practicetrackerdev Practice Tracker Development DEEPA VENKATRAO masked DEEPA 352, SEVENTH AVENUE, SUITE 604 NY, NY 10001 212-494-0383 masked TRANQUILMONEY 352, SEVENTH AVENUE, SUITE 604 NY, NY 10001 212-494-0383 DEEPA.VENKATRAO@TRANQUILMONEY.COM Vendor Int 3 Complete 2014/04/12 12:00:00 2014/10/11 12:00:00 2014/10/11 03:20:18 UV 2.16.840.1.113883.3.4793 mre Meadows Regional Medical Center Bryan Gerbis masked Bryan Gerbis c/o Meadows Regional Medical Center One Meadows Parkway Vidalia, GA 30474 912-538-5887 masked Interface Analyst Meadows Regional Medical Center Meadows Regional Medical Center One Meadows Parkway Vidalia, GA 30474 912-535-5555 ssmesny@meadowsregional.org http://www.meadowsregional.org Provider Int 3 Complete 2014/04/14 12:00:00 2014/10/11 12:00:00 2014/10/11 03:22:14 UV 2.16.840.1.113883.3.4794 seton-brk-austin-tx Seton Brackenridge Meaningful Use Data Exchange Object Daryn Echart masked Daryn Echart 7715 Chevy Chase Dr. Austin, TX 78752 (512) 324-1000 x11888 masked Solutions Development Analyst Seton Family of Hospitals 7715 Chevy Chase Dr. Austin, TX 78752 (512) 324-1000 daechart@seton.org http://www.seton.net Provider Int 3 Complete 2014/04/14 12:00:00 2014/10/11 12:00:00 2014/10/11 03:23:41 UV 2.16.840.1.113883.3.4795 mvoa Merrimack Valley Orthopaedic Associates, LLC Kerrie Mercado masked kmercado@mvortho.org Kerrie Mercado Merrimack Valley Orthopedic Associates 10 Research Place Suite 203 North Chelmsford, MA 01863 978-275-9650 x127 masked front office supervisor/ computer contact Merrimack Valley Orthopedic Associates 10 Research Place, Suite 203 North Chelmsford, MA 01863 978-275-9650 kmercado@mvortho.org https://www.mvoa.us Provider Int 3 Complete 2014/04/14 12:00:00 2014/10/11 12:00:00 2014/10/11 03:30:14 UV 2.16.840.1.113883.3.4796 seton-smc-austin-tx Seton Medical Center meaningful Use Data Exchange Object Daryn Echart masked Daryn Echart 7715 Chevy Chase Dr. Austin, TX 78752 (512) 324-1000 x11888 masked Solutions Development Analyst Seton Family of Hospitals 7715 Chevy Chase Dr. Austin, TX 78752 (512) 324-1000 daechart@seton.org http://www.seton.net Provider Int 3 Complete 2014/04/14 12:00:00 2014/10/11 12:00:00 2014/10/11 03:33:06 UV 2.16.840.1.113883.3.4797 seton-snw-austin-tx Seton Northwest Meaningful Use Data Exchange Object Daryn Echart masked Daryn Echart 7715 Chevy Chase Dr. Austin, TX 78752 (512) 324-1000 x11888 masked Solutions Development Analyst Seton Family of Hospitals 7715 Chevy Chase Dr. Austin, TX 78752 (512) 324-1000 daechart@seton.org http://www.seton.net Provider Int 3 Complete 2014/04/14 12:00:00 2014/10/11 12:00:00 2014/10/11 03:39:52 UV 2.16.840.1.113883.3.4798 seton-ssw-austin-tx Seton Southwest Meaningful Use Data Exchange Object Daryn Echart masked Daryn Echart 7715 Chevy Chase Dr. Austin, TX 78752 (512) 324-1000 x11888 masked Solutions Development Analyst Seton Family of Hospitals 7715 Chevy Chase Dr. Austin, TX 78752 (512) 324-1000 daechart@seton.org http://www.seton.net Provider Int 3 Complete 2014/04/14 12:00:00 2014/10/11 12:00:00 2014/10/11 03:42:47 UV 2.16.840.1.113883.3.4799 seton-dcmc-austin-tx Seton Dell Children Medical Center Meaningful Use Data Exchange Object Daryn Echart masked Daryn Echart 7715 Chevy Chase Dr. Austin, TX 78752 (512) 324-1000 x11888 masked Solutions Development Analyst Seton Family of Hospitals 7715 Chevy Chase Dr. Austin, TX 78752 (512) 324-1000 daechart@seton.org http://www.seton.net Provider Int 3 Complete 2014/04/14 12:00:00 2014/10/11 12:00:00 2014/10/11 03:44:25 UV 2.16.840.1.113883.3.4800 seton-shc-austin-tx Seton Hays County Meaningful Use Data Exchange Object Daryn Echart masked Daryn Echart 7715 Chevy Chase Dr. Austin, TX 78752 (512) 324-1000 x11888 masked Solutions Development Analyst Seton Family of Hospitals 7715 Chevy Chase Dr. Austin, TX 78752 (512) 324-1000 daechart@seton.org http://www.seton.net Provider Int 3 Complete 2014/04/14 12:00:00 2014/10/11 12:00:00 2014/10/11 03:47:17 UV 2.16.840.1.113883.3.4801 seton-swc-austin-tx Seton Williamson County Meaningful Use Data Exchange Object Daryn Echart masked Daryn Echart 7715 Chevy Chase Dr. Austin, TX 78752 (512) 324-1000 x11888 masked Solutions Development Analyst Seton Family of Hospitals 7715 Chevy Chase Dr. Austin, TX 78752 (512) 324-1000 daechart@seton.org http://www.seton.net Provider Int 3 Complete 2014/04/14 12:00:00 2014/10/11 12:00:00 2014/10/11 03:51:55 UV 2.16.840.1.113883.3.4802 seton-shl-austin-tx Seton Highland Lakes Meaningful Use Data Exchange Object Daryn Echart masked Daryn Echart 7715 Chevy Chase Dr. Austin, TX 78752 (512) 324-1000 x11888 masked Solutions Development Analyst Seton Family of Hospitals 7715 Chevy Chase Dr. Austin, TX 78752 (512) 324-1000 daechart@seton.org http://www.seton.net Provider Int 3 Complete 2014/04/14 12:00:00 2014/10/11 12:00:00 2014/10/11 03:53:23 UV 2.16.840.1.113883.3.4803 seton-sebd-austin-tx Seton Edgar B Davis Meaningful Use Data Exchange Object Daryn Echart masked Daryn Echart 7715 Chevy Chase Dr. Austin, TX 78752 (512) 324-1000 x11888 masked Solutions Development Analyst Seton Family of Hospitals 7715 Chevy Chase Dr. Austin, TX 78752 (512) 324-1000 daechart@seton.org http://www.seton.net Provider Int 3 Complete 2014/04/14 12:00:00 2014/10/11 12:00:00 2014/10/11 03:54:49 UV 2.16.840.1.113883.3.4804 ach2014 Alliance Community Hospital Root OID Nicole Eash masked Kerrie Ham Nicole Eash 200 East State Street Alliance, OH 44601 330-596-6606 masked HIS Manager Alliance Community Hospital IT Department 200 East State Street Alliance, OH 44601 330-596-6000 neash@achosp.org http://www.achosp.org Provider Int 3 Complete 2014/04/14 12:00:00 2014/10/11 12:00:00 2014/10/11 03:56:13 UV 2.16.840.1.113883.3.1097.9.91760101 ntmd Nizaamuddeen Toofanny, M.D., PLLC. Bradley Garfield masked Nizaamuddeen Toofanny, M.D. 1380 Coolidge Hwy Ste 100 Troy, MI 48084 248-288-3001 masked Physician Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91760101 2014/04/14 12:00:00 2014/10/11 12:00:00 2014/10/11 03:58:04 UV 2.16.840.1.113883.9.148 azkrmc Kingman Regional Medical Center Michael Oursler masked Leslie Juzek Kingman Regional Medical Center 3269 Stockton Hill Road Kingman, AZ 86409 9282633858 masked Director of Quality Management Kingman Regional Medical Center Kingman Regional Medical Center 3269 Stockton Hill Road Kingman, AZ 86409 9287572101 ljuzek@azkrmc.com https://www.azkrmc.com/ Provider Int 3 Complete 2014/04/14 12:00:00 2014/10/11 12:00:00 2023/08/23 10:59:38 UV 2.16.840.1.113883.3.205.4 providenceHealth-and-Services-FacilityCode Facility Code in LIS John Delius masked John Delius Providence Health & Services 4400 NE Halsey Street Portland, Oregon 97213 503-8973-7176 masked Application Analyst Providence Health & Services 4400 NE Halsey Street Portland, Oregon 97213 503-8973-7176 john.delius@providence.org Provider 2.16.840.1.113883.3.205 Ext 14 Complete 2.16.840.1.113883.3.205.4 2014/04/14 12:00:00 2016/10/14 12:00:00 2016/10/14 08:12:25 UV 2.16.840.1.113883.3.4805 pomhos Pomerene Hospital Mark Jacobs masked Stephanie Yoder 981 Wooster Road Millersburg, OH 44654 330.674.1584 x1296 masked Informatics Nurse Specialist Pomerene Hospital 981 Wooster Road Millersburg, OH 44654 330.674.1015 stephaniey@pomerenehospital.org http://www.pomerenehospital.org/ Provider Int 3 Complete 2014/04/15 12:00:00 2014/10/11 12:00:00 2024/07/29 02:10:58 UV 2.16.840.1.113883.3.4806 mckenziehealth McKenzie Health System Cherish Frank masked Cherish Frank 120 Delaware St Sandusky, MI 48471 810-648-6186 masked Clinical Information Specialist McKenzie Health System 120 Delaware St Sandusky, MI 48471 810-648-3770 lab@mckenziehealth.org http://mckenziehealth.org/ Provider Int 3 Complete 2014/04/15 12:00:00 2014/10/11 12:00:00 2014/10/11 04:08:37 UV 2.16.840.1.113883.3.4807 sCHD Southern Coos Hospital & Health Center Pat Fitzenberger masked Pat Fitzenberger 900 11th ST SE Bandon, OR 97411 541-347-2426 masked Systems Admin Southern Coos Hospital & Health Center 900 11th ST SE Bandon, OR 97411 541-347-2426 informationsystems@southerncoos.org http://www.southerncoos.org Provider Int 3 Complete 2014/04/15 12:00:00 2014/10/11 12:00:00 2014/10/11 04:09:39 UV 2.16.840.1.113883.3.4808 dciinc Dialysis Clinic, Inc. Pramen Applasamy masked Pramen Applasamy 3127562985 masked IT Manager Dialysis Clinic, Inc. 1633 Church Street, Suite 500 Nashville, TN 37203 6153273061 pramen.applasamy@dciinc.org http://www.dciinc.org/ Provider Int 3 Complete 2014/04/15 12:00:00 2014/10/11 12:00:00 2014/10/11 04:11:37 UV 2.16.840.1.113883.3.4809 mason Mason General Hospital Tom Hornburg masked Tom Hornburg 901 Mountain View Dr Shelton, WA 98584 360-830-4106 masked CIO Mason General Hospital 901 Mountain View Dr Shelton, WA 98584 360-427-3423 helpdesk@masongeneral.com http://www.masongeneral.com Provider Int 3 Complete 2014/04/16 12:00:00 2014/10/11 12:00:00 2014/10/11 04:13:52 UV 2.16.840.1.113883.3.4810 teamraso Louis J Raso MD PA Louis Raso masked Debbie Holtgard Debbie Holtgard 2770 Indian River Blvd, Suite 308 Vero Beach, FL 32960 719-694-1062 masked EDI Support AZZLY 2770 Indian River Blvd, Suite 308 Vero Beach, FL 32960 772-567-0206 vendorservices@azzly.com http://www.azzly.com Vendor 2.16.840.1.113883.3.662 Int 3 Complete 2014/04/16 12:00:00 2014/10/12 12:00:00 2014/10/12 08:50:00 UV 2.16.840.1.113883.3.1070.5846 mckesson-fusion-5846 mckesson-fusion-5846 Anna Durbin masked Fusion Enrollment 8775074541 masked Fusion Enrollment anna.durbin@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5846 2014/04/16 12:00:00 2014/10/12 12:00:00 2014/10/12 08:56:53 US 2.16.840.1.113883.3.1097.9.91770101 rkmd Richard D. Keidan, M.D., F.A.C.S. Bradley Garfield masked Nancy Rogers 3577 W. 13 Mile Rd Ste 401 Royal Oak, MI 48073 248-435-4566 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91770101 2014/04/16 12:00:00 2014/10/12 12:00:00 2014/10/12 08:58:13 UV 2.16.840.1.113883.3.4806.1 mckenziememorial McKenzie Memorial Hospital dba McKenzie Health System Cherish Frank masked Dina Hayden 120 Delaware St Sandusky, MI 48471 810-648-0586 masked Clinical information Specialist McKenzie Memorial Hospital dba McKenzie Health System 120 Delware St. Sandusky, MI 48471 810-648-3770 mckenzie@mckenziehealth.org http://www.mckenziehealth.org/ Provider 2.16.840.1.113883.3.4806 Ext 17 Complete 2.16.840.1.113883.3.4806.1 2014/04/16 12:00:00 2014/10/12 12:00:00 2024/08/09 12:54:19 UV 2.16.840.1.113883.3.4806.2 austinstreet Austin Street Clinic Cherish Frank masked Cherish Frank 120 Delaware St. Sandusky, MI 48471 810-648-6186 masked Clinical Information Specialist Austin Street Clinic 51 Austin Street Sandusky, MI 48471 810-648-5244 austinstclinic@mckenziehealth.org Provider 2.16.840.1.113883.3.4806 Ext 17 Complete 2.16.840.1.113883.3.4806.2 2014/04/16 12:00:00 2014/10/12 12:00:00 2014/10/12 09:09:16 UV 2.16.840.1.113883.3.4806.3 mckenziefamily McKenzie Family Healthcare Cherish Frank masked Cherish Frank 120 Delaware St. Sandusky, MI 48471 810-648-6186 masked Clinical Information Specialist McKenzie Family Healthcare 109 Delaware Street Sandusky, MI 48471 810-648-9677 mfh@mckenziehealth.org Provider 2.16.840.1.113883.3.4806 Ext 17 Complete 2.16.840.1.113883.3.4806.3 2014/04/16 12:00:00 2014/10/12 12:00:00 2014/10/12 09:10:33 UV 2.16.840.1.113883.3.4811 ndDHS North Dakota Department of Human Services Joseph Belcourt masked Kelly Kowalski Joseph Belcourt 141 S. 4th Street Grand Forks, ND 58201 701-795-3076 masked Applications Administrator North Dakota Department of Human Services 520 3rd St NW Jamestown, ND 58401 701-253-6385 panderson@nd.gov https://www.nd.gov/dhs/ Govt body Int 3 Complete 2014/04/16 12:00:00 2014/10/12 12:00:00 2014/10/12 09:13:21 US 2.16.840.1.113883.3.4806.4 croswellclinic McKenzie Croswell Clinic Cherish Frank masked Cherish Frank 120 Delaware St. Sandusky, MI 48471 810-648-6186 masked Clinical Information Specialist McKenzie Croswell Clinic 8 North Howard Avenue Croswell, MI 48422 810-679-0012 mhscc@mckenziehealth.org Provider 2.16.840.1.113883.3.4806 Ext 17 Complete 2.16.840.1.113883.3.4806.4 2014/04/16 12:00:00 2014/10/12 12:00:00 2014/10/12 09:14:51 UV 2.16.840.1.113883.3.4812 stFPSCNY Family Planning of South Central New York Inc Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Family Planning of South Central New York Inc 37 Dietz Street Oneonta New York 13820 607-432-2250 debra.marcus@fpscny.org http://fpscny.org/ Provider Int 3 Complete 2014/04/16 12:00:00 2014/10/12 12:00:00 2014/10/12 09:16:07 UV 2.16.840.1.113883.3.4806.5 mckhealthwell McKenzie Health and Wellness Cherish Frank masked Cherish Frank 120 Delaware St. Sandusky, MI 48471 810-648-6186 masked Clincal Information Specialist McKenzie Health and Wellness 170 West Argyle Street Sandusky, MI 48471 810-648-3229 MHWC@mckenziehealth.org Provider 2.16.840.1.113883.3.4806 Ext 17 Complete 2.16.840.1.113883.3.4806.5 2014/04/16 12:00:00 2014/10/12 12:00:00 2014/10/12 09:18:18 UV 2.16.840.1.113883.3.4813 vvh Valley View Hospital Lanea Orgill masked Lanea Orgill 1906 Blake Avenue Glenwood Springs, CO 81601 970-384-6645 masked Meaningful Use Project Manager Valley View Hospital 1906 Blake Avenue Glenwood Springs, CO 81601 970-945-6535 AppAnalysts@vvh.org http://www.vvh.org/ Provider Int 3 Complete 2014/04/16 12:00:00 2014/10/12 12:00:00 2014/10/12 09:19:55 UV 2.16.840.1.113883.3.4806.6 limclinic Lakeshore Internal Medicine Cherish Frank masked Cherish Frank 120 Delaware St. Sandusky, MI 48471 810-648-6186 masked Clinical Information Specialist Lakeshore Internal Medicine 7307 Cherry Street Port Sanilac, MI 48469 810-622-9248 limclinic@mckenziehealth.org Provider 2.16.840.1.113883.3.4806 Ext 17 Complete 2.16.840.1.113883.3.4806.6 2014/04/16 12:00:00 2014/10/12 12:00:00 2014/10/12 09:21:42 UV 2.16.840.1.113883.3.4806.7 mainstreetclinic Mainstreet Health Center Cherish Frank masked Cherish Frank 120 Delaware St. Sandusky, MI 48471 810-648-6186 masked Clinical Information Specialist Mainstreet Health Clinic 74 South Elk Street Sandusky, MI 48471 810-648-4229 mainstreet@mckenziehealth.org Provider 2.16.840.1.113883.3.4806 Ext 17 Complete 2.16.840.1.113883.3.4806.7 2014/04/16 12:00:00 2014/10/12 12:00:00 2014/10/12 09:23:25 UV 2.16.840.1.113883.3.1097.9.91790101 klmd K. Lahiri, M.D. Bradley Garfield masked K. Lahiri, M.D. 18500 W 12 Mile Rd Southfield, MI 48076-2674 248-557-5650 masked Physician Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91790101 2014/04/16 12:00:00 2014/10/12 12:00:00 2014/10/12 09:27:25 UV 2.16.840.1.113883.3.1097.9.91800101 mnmd Manhal Naoumi, MD, PC Bradley Garfield masked Suzan Naoumi 34580 Dequindre Rd Sterling Heights, MI 48310 586-939-9500 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91800101 2014/04/16 12:00:00 2014/10/12 12:00:00 2014/10/12 09:28:32 UV 2.16.840.1.113883.3.1097.9.91810101 ahad Duraid Ahad, M.D. Bradley Garfield masked Duraid Ahad, M.D. 1380 Coolidge Hwy Troy, MI 48084 248-288-4300 masked Physician Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91810101 2014/04/16 12:00:00 2014/10/12 12:00:00 2014/10/12 09:29:24 UV 2.16.840.1.113883.3.4814 bobmgajraj Mohamed H Gajraj MD PA Mohamed Gajraj masked Debbie Holtgard Debbie Holtgard 2770 Indian River Blvd, Suite 308 Vero Beach, FL 32960 719-694-1062 masked EDI Support AZZLY 2770 Indian River Blvd, Suite 308 Vero Beach, FL 32960 772-567-0206 vendorservices@azzly.com http://www.azzly.com Vendor 2.16.840.1.113883.3.662 Int 3 Complete 2014/04/16 12:00:00 2014/10/12 12:00:00 2014/10/12 09:25:21 UV 2.16.840.1.113883.3.4815 orhc Ottumwa Regional Health Center Chris Zaglama masked Chris Zaglama 271 Waverley Oaks Road Suite 104 Waltham, MA 02452 724-503-7335 masked Integration Manager Ottumwa Regional Health Center 1001 Pennsylvania Avenue Ottumwa, Iowa 52501 641-684-2300 chris.zaglama@regionalcare.net http://www.ottumwaregionalhealth.com/ Provider Int 3 Complete 2014/04/17 12:00:00 2014/10/12 12:00:00 2014/10/12 09:26:05 UV 2.16.840.1.113883.3.1070.5899 mckesson-fusion-5899 mckesson-fusion-5899 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5899 2014/04/17 12:00:00 2014/10/12 12:00:00 2014/10/12 09:31:27 US 2.16.840.1.113883.3.4816 stHOCC Hospice of Chenango County Inc Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Hospice of Chenango County Inc 21 Hayes St. Norwich NY 13815 607-334-3556 pouthouse@hospicechenango.org http://www.hospicechenango.org/index.php Provider Int 3 Complete 2014/04/17 12:00:00 2014/10/12 12:00:00 2014/10/12 09:33:09 UV 2.16.840.1.113883.3.1070.5795 mckesson-fusion-5795 mckesson-fusion-5795 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5795 2014/04/17 12:00:00 2014/10/12 12:00:00 2014/10/12 09:34:41 US 2.16.840.1.113883.3.4817 cases Center for Alternative Sentencing and Employment Services Quinn Cushing masked Quinn Cushing CASES 346 Broadway, 3rd Floor New York, NY 10013 212.553.6608 masked Director, Information Services Center for Alternative Sentencing and Employment Services 346 Broadway, 3rd Floor New York, NY 10013 212.732.0076 qcushing@cases.org http://www.cases.org Provider Int 3 Complete 2014/04/17 12:00:00 2014/10/12 12:00:00 2014/10/12 09:36:16 UV 2.16.840.1.113883.3.1097.9.91780101 tsc Troy Sleep Center Melissa Mele masked Michel Alkhalil 1500 W. Big Beaver Rd Ste. 107 Troy, Mi 48084 248-689-1000 masked Physician Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91780101 2014/04/17 12:00:00 2014/10/12 12:00:00 2014/10/12 09:40:11 UV 2.16.840.1.113883.3.4818 lkvtwoharbors Lake View Memorial Hospital Daniel McKillop masked Daniel McKillop 915 East 1st Street Duluth, MN 55805 218-249-6925 masked HL7 Interface Developer Lake View Memorial Hospital 325 11th Avenue Two Harbors, MN 55616 218-834-7300 jahoag@slhduluth.com https://www.slhduluth.com/locations/lake-view-hospital/ Provider Int 3 Complete 2014/04/17 12:00:00 2014/10/12 12:00:00 2024/02/12 02:43:24 UV 2.16.840.1.113883.3.1097.9.91820101 bkmc Berkley Medical Center Melissa Mele masked Vian Misho 3345 Coolidge Hwy. Berkley, MI 48072 248-544-7110 masked Physician Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91820101 2014/04/17 12:00:00 2014/10/12 12:00:00 2014/10/12 09:43:31 UV 2.16.840.1.113883.3.1070.5756 mckesson-fusion-5756 mckesson-fusion-5756 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5756 2014/04/17 12:00:00 2014/10/12 12:00:00 2014/10/12 09:46:33 US 2.16.840.1.113883.3.1070.5811 mckesson-fusion-5811 mckesson-fusion-5811 Harry Callier masked Fusion Enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5811 2014/04/17 12:00:00 2014/10/12 12:00:00 2014/10/12 09:48:50 US 2.16.840.1.113883.3.4819 waLNIROOT Washington State Department of Labor & Industries Root Vishal Singh masked Washington State Department of Labor & Industries P.O. Box 44000 Olympia, WA 98504-4000 (360)902-5753 masked Washington State Department of Labor & Industries P.O. Box 44000 Olympia, WA 98504-4000 360-902-5800 sinw235@lni.wa.gov http://lni.wa.gov Govt body Int 3 Complete 2014/04/17 12:00:00 2014/10/12 12:00:00 2014/10/12 09:51:22 UV 2.16.840.1.113883.17.3940 smartcloudsmartserverv32014 smartcloudsmartserverversion3.0futurehealthsoftware Future Health masked Steven Kraus 513 N. Main St. Future Health, 2nd Floor Carroll, Iowa 51401 7127947060 masked CEO/President Future Health 513 N. Main St. Carroll, Iowa 51401 7127923344 skraus@futurehealthsoftware.com https://www.futurehealthsoftware.com Vendor Int 17 Complete 2014/04/17 12:00:00 2014/10/12 12:00:00 2014/10/12 09:53:43 UV 2.16.840.1.113883.3.1070.5900 mckesson-fusion-5900 mckesson-fusion-5900 Anna Durbin masked Fusion Enrollment 8775074541 masked Fusion Enrollment anna.durbin@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5900 2014/04/18 12:00:00 2014/10/12 12:00:00 2014/10/12 10:00:35 US 2.16.840.1.113883.3.4820 ughs Union General Hospital Inc. Matthew Hunter masked Chris Loyd 35 Hospital Road Blairsville GA 30512 7067452111 ext 6099 masked CIO Union General Heath System 35 Hospital Road Blairsville GA 30512 7067452111 helpdesk@uniongeneral.org https://uniongeneralhealthsystem.com/ Government body Int 3 Complete 2014/04/18 12:00:00 2014/10/12 12:00:00 2025/09/25 09:42:32 UV 2.16.840.1.113883.3.4789.1 mo-HIN-mhd State of Missouri Health Information Network - MO HealthNet Division Darin Hackmann masked Darin Hackmann 573-751-7996 masked State of Missouri, MO HealthNet Division 615 Howerton Court Jefferson City, MO 65109 573-751-7996 Darin.M.Hackmann@dss.mo.gov Govt body 2.16.840.1.113883.3.4789 Ext 14 Complete 2.16.840.1.113883.3.4789.1 2014/04/18 12:00:00 2014/10/12 12:00:00 2014/10/12 10:03:01 UV 2.16.840.1.113883.3.4821 vaBGH Buchanan General Hospital Brad McGlothlin masked Brad McGlothlin 1535 Slate Creek Road Grundy, VA 24614 276-935-1346 masked Laboratory Director Buchanan General Hospital 1535 Slate Creek Road Grundy, VA 24614 276-935-1346 brad.mcglothlin@bgh.org http://www.bgh.org Provider Int 3 Complete 2014/04/21 12:00:00 2014/10/12 12:00:00 2014/10/12 10:25:39 UV 2.16.840.1.113883.3.4822 brp-AM Blue Ridge Pediatric & Adolescent Medicine, Inc Laura Himler masked Laura Himler 579 Greenway Rd, Suite 200 Boone, NC 28607 828-262-0100 masked Office Manager Blue Ridge Pediatric & Adolescent Medicine, Inc 579 Greenway Rd, Suite 200 Boone, NC 28607 828-262-0100 lhimler@blueridgepeds.com http://www.blueridgepeds.com Provider Int 3 Complete 2014/04/21 12:00:00 2014/10/12 12:00:00 2014/10/12 10:29:28 UV 2.16.840.1.113883.3.4823 atc Arthritis Treatment Center Sandra Parker masked Teresa Bachorz Teresa Bachorz 3377 Main Street Spfld Mass 01107 413-734-5661 masked Lab IT person Arthritis Treatment Center 3377 Main Street Spfld Mass 01107 413-734-5661 atclab@msn.cim Provider Int 3 Complete 2014/04/21 12:00:00 2014/10/12 12:00:00 2014/10/12 10:34:11 UV 2.16.840.1.113883.3.4824 mercyhealthsystemjvl Mercy Health System Laurie Hallmark masked Laurie Hallmark 1000 Mineral Point Avenue Janesville, WI 53545 608-728-1372 masked IT Clinical Application Manager Mercy Health System 1000 Mineral Point Avenue Janesville, WI 53545 608-756-6000 lhallmark@mhsjvl.org http://www.mercyhealthsystem.org Provider Int 3 Complete 2014/04/21 12:00:00 2014/10/12 12:00:00 2014/10/12 10:44:03 2.5.1 UV 2.16.840.1.113883.3.1070.5886 mckesson-fusion-5886 mckesson-fusion-5886 Harry Callier masked Fusion enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5886 2014/04/21 12:00:00 2014/10/12 12:00:00 2014/10/12 10:46:14 US 2.16.840.1.113883.3.4825 sjph-OID St. John Providence Health System OID Lori Grudzien masked Lori Grudzien 28000 Dequindre Warren, MI 48092 5867531757 masked Application Manager St. John Providence Health System 28000 Dequindre Warren, MI 48092 5867531757 lori.grudzien@stjohn.org Provider Int 3 Complete 2014/04/21 12:00:00 2014/10/12 12:00:00 2014/10/12 10:49:37 UV 2.16.840.1.113883.3.4826 drG Dr. Richard Garratt O.D., Inc. Richard Garratt masked Richard Garratt 120 W. Bonita Ave. Suite A. San Dimas, CA 91773 909-599-1100 masked owner Dr. Richard Garratt O.D., Inc. 120 W. Bonita Ave. Suite A. San Dimas, CA 91773 909-599-1100 rgarratt20@yahoo.com http://www.sandimaseyes.com Provider Int 3 Complete 2014/04/21 12:00:00 2014/10/12 12:00:00 2014/10/12 10:57:22 UV 2.16.840.1.113883.3.1070.5787 mckesson-fusion-5787 mckesson-fusion-5787 Harry Callier masked Fusion enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5787 2014/04/22 12:00:00 2014/10/12 12:00:00 2014/10/12 10:59:44 US 2.16.840.1.113883.17.3941 milliken Milliken Medical PLLC Kelly Stewart masked Kelly Stewart 224 Circle Drive Traverse City, MI 49684 231-932-4912 masked Administrator Milliken Medical PLLC 224 Circle Drive Traverse City, MI 49684 231-932-4912 kstewart@millikenmedical.net Provider Int 17 Complete 2014/04/22 12:00:00 2014/10/12 12:00:00 2014/10/12 11:04:56 UV 2.16.840.1.113883.17.3942 brookside Brookside Family Medicine Nancy Packer masked Laura Hill, MD Nancy Packer 872 Munson Ave, Suite D Traverse City, MI 49686 231-922-9930 masked Office Manager Brookside Family Medicine 872 Munson Avenue, Suite D Traverse City, MI 49686 231-922-0400 brooksidefamilymed@me.com http://www.brooksidefamilymed.com Provider Int 17 Complete 2014/04/22 12:00:00 2014/10/12 12:00:00 2014/10/12 11:10:41 UV 2.16.840.1.113883.17.3943 sjph-sjhmc-sub-OID St. John Providence Health System - St. John Hospital & Medical Center sub OID Lori Grudzien masked Lori Grudzien 28000 Dequindre Warren MI 48092 5867531757 masked Application Manager St. John Providence Health System 28000 Dequindre Warren MI 48092 5867531757 lori.grudzien@stjohn.org Provider Int 17 Complete 2014/04/22 12:00:00 2014/10/12 12:00:00 2014/10/12 11:12:39 UV 2.16.840.1.113883.3.4827 jmhc Journey Mental Health Center James Crawford masked Gerry Brew 625 W Washington Avenue Madison, WI 53703-2637 608-280-2661 masked Chief Financial Officer Journey Mental Health Center 625 W Washington Avenue Madison, WI 53703-2637 608-280-2700 Gerry.Brew@journeymhc.org http://www.journeymhc.org Provider Int 3 Complete 2014/04/22 12:00:00 2014/10/12 12:00:00 2014/10/12 11:14:42 UV 2.16.840.1.113883.17.3944 thirlby Thirlby Clinic PLC Laurie Houseman masked Laurie 3537 W Front Street Ste I Traverse City, MI 49684 231-935-8959 masked Biller Thirlby Clinic PLC 3537 W Front Street Ste I Traverse City, MI 49684 231-935-8950 lhouseman@mhc.net Provider Int 17 Pending 2014/04/22 12:00:00 2014/04/22 12:48:27 UV 2.16.840.1.113883.17.3945 sjph-sjmh-sub-OID St. John Providence Health System - St. John Macomb Hospital sub OID Lori Grudzien masked Lori Grudzien 28000 Dequindre Warren MI 48092 5867531757 masked Application Manager St. John Macomb Hospital 28000 Dequindre Warren MI 48092 5867531757 lori.grudzien@stjohn.org Provider Int 17 Complete 2014/04/22 12:00:00 2014/10/12 12:00:00 2014/10/12 11:43:42 UV 2.16.840.1.113883.17.3946 sleepspecialist Margaret Moen MD PLLC Pete Robinson masked Pete Robinson 457 Munson Ave. Traverse City, MI 49686 231-935-8889 masked Practice Administrator Margaret Moen MD PLLC 457 Munson Ave. Traverse City, MI 49686 231-935-8889 prmoenmd@yahoo.com Provider Int 17 Complete 2014/04/22 12:00:00 2014/10/12 12:00:00 2014/10/12 11:53:45 UV 2.16.840.1.113883.3.4828 savmc Savoy Medical Center James Manuel masked James Manuel 801 Poinciana Ave. Mamou, LA 70554 337-468-0441 masked Information Systems Analyst Savoy Medeical Center 801 Poinciana Ave. Mamou, LA 70554 337-468-5261 james.manuel@hcahealthcare.com http://www.savoymedical.com Provider Int 3 Complete 2014/04/22 12:00:00 2014/10/12 12:00:00 2014/10/12 11:40:34 UV 2.16.840.1.113883.17.3947 gtcc Grand Traverse Children's Clinic, PC Kimberly Webster masked Leeann Sprunk Linda Slater Marschner 3537 West Front Street, Suite G Traverse City, MI 49684 231-935-8822 masked Assistant Office Manager Grand Traverse Children's Clinic, PC 3537 West Front Street, Suite G Traverse City, MI 49684 231-935-8822 lsmarschner@gtchildrens.com Provider Int 17 Complete 2014/04/22 12:00:00 2014/10/12 12:00:00 2016/11/07 09:56:38 UV 2.16.840.1.113883.17.3948 sjph-sjoh-sub-OID St. John Providence Health System - St. John Oakland Hospital sub OID Lori Grudzien masked Lori Grudzien 28000 Dequindre Warren MI 48092 5867531757 masked Application Manager St. John Oakland Hospital 28000 Dequindre Warren MI 48092 5867531757 lori.grudzien@stjohn.org Provider Int 17 Complete 2014/04/22 12:00:00 2014/10/12 12:00:00 2014/10/12 11:59:50 UV 2.16.840.1.113883.17.3949 sjph-sjrdh-sub-OID St. John Providence Health System - St. John River District Hospital sub OID Lori Grudzien masked Lori Grudzien 28000 Dequindre Warren MI 48092 5867531757 masked Application Manager St. John River District Hospital 28000 Dequindre Warren MI 48092 5867531757 lori.grudzien@stjohn.org Provider Int 17 Complete 2014/04/22 12:00:00 2014/10/12 12:00:00 2014/10/12 12:05:59 UV 2.16.840.1.113883.17.3950 sjph-sjph-sub-OID St. John Providence Health System - St. John Providence Hospital sub OID Lori Grudzien masked Lori Grudzien 28000 Dequindre Warren MI 48092 5867531757 masked Application Manager St. John Providence Hospital 28000 Dequindre Warren MI 48092 5867531757 lori.grudzien@stjohn.org Provider Int 17 Complete 2014/04/22 12:00:00 2014/10/12 12:00:00 2014/10/12 12:18:43 UV 2.16.840.1.113883.17.3951 sjph-sjpph-sub-OID St. John Providence Health System - St. John Providence Park Hospital sub OID Lori Grudzien masked Lori Grudzien 28000 Dequindre Warren MI 48092 5867531757 masked Application Manager St. John Providence Park Hospital 28000 Dequindre Warren MI 48092 5867531757 lori.grudzien@stjohn.org Provider Int 17 Complete 2014/04/22 12:00:00 2014/10/12 12:00:00 2014/10/12 12:32:13 UV 2.16.840.1.113883.17.3952 bruining Kersti Bruining MD PLLC Jamie Schichtel masked Jamie Schichtel 3537 West Front Street, Ste A Traverse City, MI 49684 231-935-9703 masked Manager Kersti Bruining MD PLLC 3537 West Front Street, Ste A Traverse City, MI 49684 231-935-9700 jschichtel@mhc.net Provider Int 17 Complete 2014/04/22 12:00:00 2014/10/12 12:00:00 2014/10/12 12:30:05 UV 2.16.840.1.113883.17.3953 robens Cornelius Robens MD PLLC Jamie Schichtel masked Jamie Schichtel 3537 West Front Street, Ste A Traverse City, MI 49684 231-935-9703 masked Manager Cornelius Robens MD PLLC 3537 West Front Street, Ste A Traverse City, MI 49684 2319359700 jschichtel@mhc.net Provider Int 17 Complete 2014/04/22 12:00:00 2014/10/12 12:00:00 2014/10/12 12:34:06 UV 2.16.840.1.113883.17.3954 lee Heather Lee DO PLLC Jamie Schichtel masked Jamie Schichtel 3537 West Front Street, Ste A Traverse City, MI 49684 2319359703 masked Manager Heather Lee DO PLLC 3537 West Front Street, Ste A Traverse City, MI 49684 2319359700 jschichtel@mhc.net Provider Int 17 Complete 2014/04/22 12:00:00 2014/10/12 12:00:00 2014/10/12 12:35:49 UV 2.16.840.1.113883.17.3955 kuesel Craig Kuesel DO PLLC Jamie Schichtel masked Jamie Schichtel 3537 West Front Street, Ste A Traverse City, MI 49684 2319359703 masked Manager Craig Kuesel DO PLLC 3537 West Front Street, Ste A Traverse City, MI 49684 2319359700 jschichtel@mhc.net Provider Int 17 Complete 2014/04/22 12:00:00 2014/10/12 12:00:00 2014/10/12 05:54:56 UV 2.16.840.1.113883.17.3956 therapute Therapute Messaging Freddie Walter masked Freddie Walter Therapute LLC 6501 Peake Road Ste 300 Macon, GA 31210 478-621-2225 masked VP of Development Therapute LLC 6501 Peake Road Ste 300 Macon, GA 31210 478-621-2225 fwalter@therapute.com http://therapute.com Vendor 2.16.300.31210.3.0.0.31210 Int 17 Complete 2014/04/22 12:00:00 2014/10/12 12:00:00 2014/10/12 05:57:44 UV 2.16.840.1.113883.3.4829 uwhc UW Hospital and Clinics Authority Patricia Wagner masked Dave Jaworski Patricia Wagner 7974 UW HEALTH CT MIDDLETON, WI 53562 608-821-1680 masked University of Wisconsin Hospitals and Clinics 600 HIGHLAND AVE MADISON, WI 53792 PWagner@uwhealth.org http://www.uwhealth.org/ Provider Int 3 Complete 2014/04/22 12:00:00 2014/10/12 12:00:00 2014/10/12 06:01:20 UV 2.16.840.1.113883.3.4830 childrens-hospital-central-california Children's Hospital Central California Andrew Gross masked Roger Deforest Andrew Gross 9300 Valley Children's Place Madera, California 93636-8762 559-353-7302 masked Senior Systems Engineer Children's Hospital Central CA 9300 Valley Children's Place Madera, California 93636-8762 559-353-7300 agross@childrenscentralcal.org http://www.childrenscentralcal.org Provider Int 3 Complete 2014/04/22 12:00:00 2014/10/12 12:00:00 2014/10/12 06:03:47 UV 2.16.840.1.113883.3.4831 jmcpetoskey John M Cilluffo MD PLC Amanda Schmalzried masked Joi Schwartzfisher Amanda Schmalzried PO BOX 2070 Petoskey MI 49770 2313482811 masked co admin John M Cilluffo MD PLC PO BOX 2070 Petoskey MI 49770 2313482811 aschmalzried@drcilluffo.com Provider Int 3 Complete 2014/04/22 12:00:00 2014/10/12 12:00:00 2014/10/12 06:06:22 UV 2.16.840.1.113883.3.4832 uhd United Hospital District Mary Hynes masked Mary Hynes United Hospital District 515 S Moore St PO Box 160 Blue Earth, MN 56013 507-526-7969 masked IS Manager United Hospital District 515 S Moore St PO Box 160 Blue Earth, MN 56013 507-526-3273 mhynes@uhd.org http://www.uhd.org/ Provider Int 3 Complete 2014/04/22 12:00:00 2014/10/12 12:00:00 2014/10/12 06:09:10 UV 2.16.840.1.113883.3.4831.2 jmctc John M Cilluffo MD PLC Amanda Schmalzried masked Joi Schwartzfisher Amanda Schmalzried PO BOX 2070 Petoskey MI 49770 2313482811 masked co admin John M Cilluffo MD PLC PO BOX 2070 Petoskey MI 49770 2313482811 aschmalzried@drcilluffo.com Provider 2.16.840.1.113883.3.4831 Ext 17 Rejected 2.16.840.1.113883.3.4831.2 2014/04/22 12:00:00 2014/10/12 06:12:01 UV 2.16.840.1.113883.3.4831.3 jmcalpena John M Cilluffo MD PLC Amanda Schmalzried masked Joi Schwartzfisher Amanda Schmalzried PO BOX 2070 Petoskey MI 49770 2313482811 masked co admin John M Cilluffo MD PLC PO BOX 2070 Petoskey MI 49770 2313482811 aschmalzried@drcilluffo.com Provider 2.16.840.1.113883.3.4831 Ext 17 Rejected 2.16.840.1.113883.3.4831.3 2014/04/22 12:00:00 2014/10/12 06:12:59 UV 2.16.840.1.113883.3.4833 aSCO-CancerLinq ASCO CancrLinq Cecil Lynch masked Josh Mann Cecil Lynch 6500 Countrywoods Lane Granite Bay, CA 95746 916-412-5504 masked Sr. Manager Accenture Health and Public Service ASCO Institute for Quality 2318 Mill Road, Suite 800 Alexandria, VA 22314 571-483-1660 CancerLinQ@asco.org http://www.asco.org/ Prof Soc Int 3 Complete 2014/04/22 12:00:00 2014/10/12 12:00:00 2014/10/12 06:16:58 UV 2.16.840.1.113883.3.4834 cRNPHX1 Crisis Response Network Shanna Palumbo masked Arnold Jee Shanna Palumbo 1275 W. Washington Suite 201 Tempe, AZ 85281 602427.4610 masked COO Crisis Response Network 1275 W. Washington Suite 201 Tempe, AZ 85281 602.427.4610 shannap@crisisnetwork.org http://www.crisisnetwork.org/ Provider Int 3 Complete 2014/04/23 12:00:00 2014/10/12 12:00:00 2014/10/12 06:19:03 UV 2.16.840.1.113883.3.4835 amcsoarianfinancials AMC Soarian Financials Leonard Howard masked Leonard Howard Archbold Medical Center Information Services Administrative Services Building 900 Cairo Road Thomasville, Georgia 31792 229.227.5154 masked Service Delivery Manager Archbold Medical Center Information Services Administrative Services Building 900 Cairo Road Thomasville, Georgia 31792 229.227.5154 wlhoward@archbold.org http://www.archbold.org Provider Int 3 Complete 2014/04/23 12:00:00 2014/10/12 12:00:00 2014/10/12 06:21:18 UV 2.16.840.1.113883.3.4836 amcsoarianclinicals AMC Soarian Clinicals Leonard Howard masked Leonard Howard Archbold Medical Center Information Services Administrative Services Building 900 Cairo Road Thomasville, Georgia 31792 229.227.5154 masked Service Delivery Manager Archbold Medical Center Information Services Administrative Services Building 900 Cairo Road Thomasville, Georgia 31792 229.227.5154 wlhoward@archbold.org http://www.archbold.org Provider Int 3 Complete 2014/04/23 12:00:00 2014/10/12 12:00:00 2014/10/12 06:23:26 UV 2.16.840.1.113883.3.4376.1000 mclaren-medical-group McLaren Medical Group Ryan Maginity masked Ryan Maginity Anthelio Healthcare Services G-3235 Beecher Rd. Suite A Flint, MI 48532 810-424-8137 masked Senior Integration Specialist McLaren Healthcare Corporation Anthelio Healthcare Services G-3235 Beecher Rd. Suite A Flint, MI 48532 ryan.maginity@antheliohealth.com http://www.mclaren.org Provider 2.16.840.1.113883.3.4376 Ext 17 Complete 2.16.840.1.113883.3.4376.1000 2014/04/23 12:00:00 2014/10/12 12:00:00 2014/10/12 06:26:33 UV 2.16.840.1.113883.3.4837 geamba Georgia Emergency Associates OID root Lisa Horton masked Lisa Horton 1096 Bermuda Run Road Statesboro, GA 30458 912-871-5150 masked District Manager Georgia Emergency Associates 5 Executive Circle Savannah, GA 30461 912-355-2400 lhorton@geamba.com Provider Int 3 Complete 2014/04/23 12:00:00 2014/10/12 12:00:00 2014/10/12 06:29:08 UV 2.16.840.1.113883.3.4838 cmlfml Carolina Medical Lab Semir Ajsic masked Semir Ajsic 1815 Back Creek Dr. Charlotte, NC 28213 704-749-6608 masked Interface Specialist - Project Manager Carolina Medical Lab 1815 Back Creek Dr. Charlotte, NC 28213 8009633522 semir@cmedlab.com http://www.cmedlab.com Provider Int 3 Complete 2014/04/23 12:00:00 2014/10/12 12:00:00 2014/10/12 06:31:12 2.5 UV 2.16.840.1.113883.4.305.1.131 whiteRiverFamilyPractice White River Family Practice Jennifer Starling masked Joanne Arey Joanne Arey 331 Olcott Dr, Ste U3 White River Junction, VT 05001 USA (802) 295-6132 masked Office Manager White River Family Practice jarey@wrfpvt.com Provider 2.16.840.1.113883.4.305 Ext 17 Complete 2.16.840.1.113883.4.305.1.131 2014/04/23 12:00:00 2014/12/19 12:00:00 2014/12/19 05:02:34 US 2.16.840.1.113883.3.4839 agadhrp American Gastroenterological Association Digestive Health Recognition Program David Godzina masked Tom Murray David Godzina 4930 Del Ray Avenue Bethesda, MD 20814 301-272-1600 masked Manager, Measure Development American Gastroenterological Association 4930 Del Ray Avenue Bethesda, MD 20814 301-272-1600 dgodzina@gastro.org http://www.gastro.org Prof Soc Int 3 Complete 2014/04/23 12:00:00 2014/10/12 12:00:00 2014/10/12 06:33:16 UV 2.16.840.1.113883.3.1070.5848 mckesson-fusion-5848 mckesson-fusion-5848 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5848 2014/04/23 12:00:00 2014/10/12 12:00:00 2014/10/12 06:34:46 US 2.16.840.1.113883.3.4829.1.2 uwhcmlab University of Wisconsin Hospital and Clinics McKesson Lab Patricia Wagner masked Michelle Marggi Patricia Wagner 7974 UW HEALTH CT MIDDLETON, WI 53562 608-821-1680 masked Senior Systems Analyst University of Wisconsin Hospital and clinics 600 HIGHLAND AVE MADISON, WI 53792 PWagner@uwhealth.org http://www.uwhealth.org/ Provider 2.16.840.1.113883.3.4829 Ext 14 Complete 2.16.840.1.113883.3.4829.1.2 2014/04/24 12:00:00 2014/10/12 12:00:00 2014/10/12 06:37:33 UV 2.16.840.1.113883.9.150 trmc-roid Thibodaux Regional Medical Center Bernie Clement masked Chris Ford Chris Ford 602 North Acadia Road Thibodaux, La. 70301 (985)435-4822 masked Financial Applications Analyst Thibodaux Regional Medical Center 602 North Acadia Road Thibodaux, La. 70301 (985)447-5500 info@thibodaux.com http://www.thibodaux.com/Home Provider Int 3 Complete 2014/04/24 12:00:00 2014/10/12 12:00:00 2014/10/12 06:42:33 US 2.16.840.1.113883.3.4840 aMK Amy M. Keller, O.D, P.C. Amy Keller masked Amy M. Keller 115 W. Upton Avenue Reed City, MI 49677 231-832-3133 masked president Amy M. Keller, O.D., P.C. 115 W. Upton Avenue Reed City, MI 49677 231-832-3133 drakeller@sbcglobal.net Provider Int 3 Complete 2014/04/24 12:00:00 2014/10/12 12:00:00 2014/10/12 06:44:54 UV 2.16.840.1.113883.3.1264.1000 sjmcMRN St John Medical Center MRN Kim Ballard masked Kimberly Ballard 9187442202 masked St John Medical Center 1923 S Utica Ave Tulsa, OK 74104 9187443131 kimberly.ballard@sjmc.org Provider 2.16.840.1.113883.3.1264 Ext 3 Complete 2.16.840.1.113883.3.1264.1000 2014/04/24 12:00:00 2014/10/12 12:00:00 2014/10/12 06:47:03 UV 2.16.840.1.113883.3.1268.1000 jpmcMRN Jane Phillips Medical Center MRN Kimberly Ballard masked Kimberly Ballard 3500 SE Frank Phillips Blvd, Bartlesville, OK 74006 9187442202 masked Jane Phillips Medical Center 3500 SE Frank Phillips Blvd, Bartlesville, OK 74006 9183337200 kimberly.ballard@sjmc.org Provider 2.16.840.1.113883.3.1268 Ext 3 Complete 2.16.840.1.113883.3.1268.1000 2014/04/24 12:00:00 2014/10/12 12:00:00 2014/10/12 06:49:44 UV 2.16.840.1.113883.3.4841 wphd Cody Regional Health Sharon Phelps masked Arek Shennar 707 Sheridan Avenue Cody, WY 82414 307 578 2620 masked IT Director Cody Regional Health 707 Sheridan Avenue Cody, WY 82414 307 527 7501 alert@wphcody.org https://wep.ps-msite.com/Citrix/wep/site/default.aspx Provider Int 3 Complete 2014/04/24 12:00:00 2014/10/12 12:00:00 2018/06/20 11:47:18 UV 2.16.840.1.113883.3.4842 entallergy ENT and Allergy Center PA OID Root Bobby Ann Fox masked Bobby Ann Fox 8468 Herring Run Road Seaford, DE 19973 (302) 629-3400 masked Office Manager ENT and Allergy Center PA 8468 Herring Run Road Seaford, DE 19973 (302) 629-3400 bafentallergy@verizon.net Provider Int 3 Complete 2014/04/24 12:00:00 2014/10/12 12:00:00 2014/10/12 06:58:29 UV 2.16.840.1.113883.3.4843 ps-vset PluralSoft Valueset K.G. Subramanian masked Ham Pasupuleti K.G. 6482 S. Jericho Cir Centennial, CO 80016 3038834962 masked CTO PluralSoft Inc. kg@pluralsoft.com http://www.pluralsoft.com Vendor Int 3 Complete 2014/04/24 12:00:00 2014/10/12 12:00:00 2014/10/12 07:00:03 UV 2.16.840.1.113883.3.4844 chirowrite ChiroWrite Software Roger Gooden masked Roger Goode 378 Center Pointe Circle Suite 1250 Altamonte Springs, FL 32701 407.772.2100 masked President Softworx Solutions 378 Center Pointe Circle Suite 1250 Altamonte Springs, FL 32701 407.772.2100 rgooden@softworxsolutions.com http://www.softworxsolutions.com Vendor Int 3 Complete 2014/04/24 12:00:00 2014/10/12 12:00:00 2014/10/12 07:01:14 UV 2.16.840.1.113883.3.1264.999322.7544045 sjmcfacility St John Medical Center Facility Kimberly Ballard masked Kimberly Ballard 9187442202 masked St John Medical Center 1923 S Utica Ave Tulsa, OK 74104 9187443131 kimberly.ballard@sjmc.org Provider 2.16.840.1.113883.3.1264 Ext 17 Complete 2.16.840.1.113883.3.1264.999322.7544045 2014/04/25 12:00:00 2014/10/12 12:00:00 2014/10/12 07:04:56 UV 2.16.840.1.113883.3.1070.5820 mckessonn-fusion-5820 mckesson-fusion-5820 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5820 2014/04/25 12:00:00 2014/10/12 12:00:00 2014/10/12 07:10:22 US 2.16.840.1.113883.3.1070.5858 mckesson-fusion-5858 mckesson-fusion-5858 Anna Durbin masked Fusion Enrollment 8775074541 masked Fusion Enrollment anna.durbin@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5858 2014/04/25 12:00:00 2014/10/12 12:00:00 2014/10/12 07:12:03 US 2.16.840.1.113883.3.4846 jchc Jefferson County Hospital Carrie Winheim masked Carrie Winheim 6414694362 masked Jefferson County Hospital 2000 S Main Fairfield, IA 52556 6414724111 cwinheim@jchospital.org Provider Int 3 Complete 2014/04/25 12:00:00 2014/10/18 12:00:00 2014/10/18 05:31:42 UV 2.16.840.1.113883.3.4847 wit Witham Memorial Hospital Denise Letsinger masked Denise Letsinger Witham Health Services 2605 North Lebanon St Lebanon, IN 46052 765-485-8594 masked IT Applications Manager Witham Memorial Hospital 2605 North Lebanon St Lebanon, IN 46052 765-485-8000 dletsinger@witham.org Provider Int 3 Complete 2014/04/26 12:00:00 2014/10/18 12:00:00 2014/10/18 05:35:07 UV 2.16.840.1.113883.3.4848 cfha-leesburg-fl UF Health Central Florida Jeffrey James masked Steve Lambert 600 East Dixie Avenue Leesburg Florida 34748 352-323-5276 masked Interface Programmer UF Health Central Florida 600 East Dixie Avenue Leesburg FL 34748 352-323-5280 itsoftware@centflhealth.org http://www.centflhealth.org Provider Int 3 Complete 2014/04/26 12:00:00 2014/10/18 12:00:00 2020/06/09 09:18:43 UV 2.16.840.1.113883.3.4849 larmc Laredo Medical Center Christopher Eng masked Joe Rivera 1700 E Saunders St, Laredo, TX 78041 (956) 796-5000 masked Laredo Medical Center 1700 E Saunders St, Laredo, TX 78041 (956) 796-5000 Joe_Rivera@chs.net http://www.laredomedical.com/ Provider Int 3 Complete 2014/04/26 12:00:00 2014/10/18 12:00:00 2014/10/18 05:37:36 UV 2.16.840.1.113883.3.4850 clevtn SkyRidge Medical Center Christopher Eng masked Stacey Akin 2305 Chambliss Ave NW, Cleveland, TN 37311 423-559-6000 masked IT Director SkyRidge Medical Center 2305 Chambliss Ave NW, Cleveland, TN 37311 423-559-6000 Stacey_Akin@chs.net http://www.skyridgemedicalcenter.net/ Provider Int 3 Complete 2014/04/26 12:00:00 2014/10/18 12:00:00 2014/10/18 05:43:34 UV 2.16.840.1.113883.3.4851 peteva Southside Regional Medical Center Christopher Eng masked Eric Synnestvedt 200 Medical Park Blvd, Petersburg, VA 23805 804-765-5000 masked IT Director Southside Regional Medical Center 200 Medical Park Blvd, Petersburg, VA 23805 804-765-5000 Eric_Synnestvedt@chs.net http://www.srmconline.com/ Provider Int 3 Complete 2014/04/26 12:00:00 2014/10/18 12:00:00 2014/10/18 05:50:03 UV 2.16.840.1.113883.3.4852 easton Easton Hospital Christopher Eng masked Don Lutz 250 S 21st St, Easton, PA 18042 610-250-4000 masked IT Director Easton Hospital 250 S 21st St, Easton, PA 18042 610-250-4000 Don_Lutz2@chs.net http://www.easton-hospital.com/ Provider Int 3 Complete 2014/04/26 12:00:00 2014/10/18 12:00:00 2014/10/18 05:51:20 UV 2.16.840.1.113883.3.4853 pmmc Pottstown Memorial Medical Center Christopher Eng masked Ron Peterson 1600 E High St, Pottstown, PA 19464 610-327-7000 masked IT Director Pottstown Memorial Medical Center 1600 E High St, Pottstown, PA 19464 610-327-7000 Ron_Peterson@chs.net http://www.pottstownmemorial.com/ Provider Int 3 Complete 2014/04/26 12:00:00 2014/10/18 12:00:00 2014/10/18 05:52:43 UV 2.16.840.1.113883.3.4854 phoenix Phoenixville Hospital Christopher Eng masked Teresa Murphy 140 Nutt Rd, Phoenixville, PA 19460 610-983-1000 masked IT Director Phoenixville Hospital 140 Nutt Rd, Phoenixville, PA 19460 610-983-1000 Terry_Murphy@chs.net http://www.phoenixvillehospital.com/ Provider Int 3 Complete 2014/04/26 12:00:00 2014/10/18 12:00:00 2014/10/18 05:55:35 UV 2.16.840.1.113883.3.4855 brandy Brandywine Hospital Christopher Eng masked Kelly Emig 201 Reeceville Rd, Coatesville, PA 19320 610-383-8000 masked IT Director Brandywine Hospital 201 Reeceville Rd, Coatesville, PA 19320 610-383-8000 Kelly_Emig@chs.net http://www.brandywinehospital.com/ Provider Int 3 Complete 2014/04/26 12:00:00 2014/10/18 12:00:00 2014/10/18 05:56:29 UV 2.16.840.1.113883.3.4856 york Memorial Hospital Christopher Eng masked Jim Mahoney 325 S Belmont St, York, PA 17403 717-843-8623 masked IT Director Memorial Hospital 325 S Belmont St, York, PA 17403 717-843-8623 Jim_Mahoney@chs.net http://www.mhyork.org/ Provider Int 3 Complete 2014/04/26 12:00:00 2014/10/18 12:00:00 2014/10/18 05:58:38 UV 2.16.840.1.113883.3.4857 florsc Carolinas Hospital System Christopher Eng masked Cheryl Lynn Northcutt 805 Pamplico Highway, Florence, SC 29505 843-674-5000 masked IT Director Carolinas Hospital System 805 Pamplico Highway, Florence, SC 29505 843-674-5000 LNorthcutt@CarolinasHospital.com http://www.carolinashospital.com/ Provider Int 3 Complete 2014/04/26 12:00:00 2014/10/18 12:00:00 2014/10/18 05:59:30 UV 2.16.840.1.113883.3.4858 gadsal Gadsden Regional Medical Center Christopher Eng masked Glenn Phillips 1007 Goodyear Avenue, Gadsden, AL 35903 256-494-4000 masked IT Director Gadsden Regional Medical Center 1007 Goodyear Avenue, Gadsden, AL 35903 256-494-4000 Glenn_Phillips@GadsdenRegional.com http://www.gadsdenregional.com/ Provider Int 3 Complete 2014/04/26 12:00:00 2014/10/18 12:00:00 2014/10/18 06:00:32 UV 2.16.840.1.113883.3.4859 gateway Gateway Medical Center Christopher Eng masked Scott Greene 651 Dunlop Ln, Clarksville, TN 37040 931-502-1000 masked IT Director Gateway Medical Center 651 Dunlop Ln, Clarksville, TN 37040 931-502-1000 Scott_Greene@ghsystem.com http://www.todaysgateway.com/ Provider Int 3 Complete 2014/04/26 12:00:00 2014/10/18 12:00:00 2014/10/18 06:02:06 UV 2.16.840.1.113883.3.4860 wesley Wesley Medical Center Christopher Eng masked Robert Volentine 5001 Hardy St, Hattiesburg, MS 39402 601-268-8000 masked IT Director Wesley Medical Center 5001 Hardy St, Hattiesburg, MS 39402 601-268-8000 Robert.Volentine@Wesley.com http://www.wesley.com/ Provider Int 3 Complete 2014/04/26 12:00:00 2014/10/18 12:00:00 2014/10/18 06:03:17 UV 2.16.840.1.113883.3.4861 trinity Trinity Medical Center Christopher Eng masked Tim Townes 800 Montclair Rd, Birmingham, AL 35213 (205) 592-1000 masked IT Director Trinity Medical Center 800 Montclair Rd, Birmingham, AL 35213 (205) 592-1000 Tim.Townes@Trinitymedicalonline.com http://www.trinitymedicalonline.com/ Provider Int 3 Complete 2014/04/26 12:00:00 2014/10/18 12:00:00 2014/10/18 06:10:27 UV 2.16.840.1.113883.3.4862 valpo Porter Regional Hospital Christopher Eng masked Bob Richardson 85 East US Highway 6, Valparaiso, Indiana 46383 (219) 263-4600 masked IT Director Porter Regional Hospital 85 East US Highway 6, Valparaiso, Indiana 46383 (219) 263-4600 Robert.richardson@porterhealth.com http://www.porterhealth.com/ Provider Int 3 Complete 2014/04/26 12:00:00 2014/10/18 12:00:00 2014/10/18 06:11:40 UV 2.16.840.1.113883.3.4863 tucson Northwest Medical Center Christopher Eng masked David Bullock 6200 N La Cholla Blvd, Tucson, AZ 85741 (520) 742-9000 masked IT Director Northwest Medical Center 6200 N La Cholla Blvd, Tucson, AZ 85741 (520) 742-9000 David.Bullock@northwestmedicalcenter.com http://www.northwestmedicalcenter.com/ Provider Int 3 Complete 2014/04/26 12:00:00 2014/10/18 12:00:00 2014/10/18 06:12:33 UV 2.16.840.1.113883.3.4864 oro Oro Valley Hospital Christopher Eng masked Bradley Booth 1551 E Tangerine Rd, Oro Valley, AZ 85755 (520) 901-3500 masked IT Director Oro Valley Hospital 1551 E Tangerine Rd, Oro Valley, AZ 85755 (520) 901-3500 Bradley.Booth@orovalleyhospital.com http://www.orovalleyhospital.com/ Provider Int 3 Complete 2014/04/26 12:00:00 2014/10/18 12:00:00 2014/10/18 06:13:17 UV 2.16.840.1.113883.3.4865 metrosouth MetroSouth Medical Center Christopher Eng masked Bashirat Hahn 12935 Gregory St, Blue Island, IL 60406 (708) 597-2000 masked IT Director MetroSouth Medical Center 12935 Gregory St, Blue Island, IL 60406 (708) 597-2000 bhahn@metrosouthmedicalcenter.com http://www.metrosouthmedicalcenter.com/ Provider Int 3 Complete 2014/04/26 12:00:00 2014/10/18 12:00:00 2014/10/18 06:14:42 UV 2.16.840.1.113883.3.1070.5887 mckesson-fusion-5887 mckesson-fusion-5887 Gianna Goodman masked Fusion Enrollment 8775074541 masked Fusion Enrollment gianna.goodman@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5887 2014/04/27 12:00:00 2014/10/18 12:00:00 2014/10/18 06:26:26 US 2.16.840.1.113883.3.1070.5861 mckesson-fusion-5861 mckesson-fusion-5861 Gianna Goodman masked Fusion Enrollment 8775074541 masked Fusion Enrollment gianna.goodman@mckesson.com Payor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5861 2014/04/27 12:00:00 2014/10/18 12:00:00 2014/10/18 06:28:26 US 2.16.840.1.113883.3.1070.5862 mckesson-fusion-5862 mckesson-fusion-5862 Gianna Goodman masked Gianna Goodman 8775074541 masked Fusion Enrollment gianna.goodman@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5862 2014/04/27 12:00:00 2014/10/18 12:00:00 2014/10/18 06:30:22 US 2.16.840.1.113883.3.1070.5845 mckesson-fusion-5845 mckesson-fusion-5845 Anna Durbin masked Fusion Enrollment 8775074541 masked Fusion Enrollment anna.durbin@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5845 2014/04/28 12:00:00 2014/10/18 12:00:00 2014/10/18 06:31:43 US 2.16.840.1.113883.3.4866 caritasClinics Caritas Clinics, Inc. Greg Wilson masked Greg Wilson Caritas Clinics, Inc. 818 North Seventh Street Leavenworth, KS 66048 913.651.8860 masked Chief Financial Officer Caritas Clinics, Inc. 818 North Seventh Street Leavenworth, KS 66048 913.651.8860 Amy.Falk@CaritasClinics.org http://www.CaritasClinics.org Provider Int 3 Complete 2014/04/28 12:00:00 2014/10/18 12:00:00 2014/10/18 06:33:16 UV 2.16.840.1.113883.9.151 srk-010 Health India Sheetal K masked Sheetal At/PO-Nagpur 919823140280 masked HL7 Analyst Sheetal At/Po nagpur 919823140280 s.kurkule@gmail.com Vendor Int 9 9 Pending 2014/04/28 12:00:00 2014/04/28 10:01:41 2.x UV 2.16.840.1.113883.9.152 drm-hope01 Dr M Hope Software Pvt Ltd Dr BK Murali masked Ruby Ammon 917276623928 masked Dr BK Murali 401-A, Shri Shri Manohar Appartment, Anand Sai Marg, Clark Town, Nagpur - 440004 919373111709 murali@drmhope.com Vendor Int 3 Complete 2014/04/28 12:00:00 2014/10/18 12:00:00 2014/10/18 06:39:45 V2.x UV 2.16.840.1.113883.3.4867 uRMC United Regional Medical Center Alaana Hawkins masked Alaana Hawkins 1001 McArthur Street Manchester, TN 37355 931-461-3426 masked Laboratory Manager United Regional Medical Center 1001 McArthur Street Manchester, TN 37355 931-728-3586 alaana.hawkins@urmchealthcare.com http://urmchealthcare.com Provider Int 3 Complete 2014/04/28 12:00:00 2014/10/18 12:00:00 2014/10/18 06:36:03 UV 1.0.13616 iban International Bank Account Number (IBAN) Alexander Henket masked Alexander Henket P.O. Box 19121 2500 CC Den Haag The Netherlands +3170-3173450 masked ISO central@iso.org http://iso.org SDO 1 Ext 4 Complete 1.0.13616 2014/04/28 12:00:00 2014/10/18 12:00:00 2014/10/18 06:42:46 UV 1.0.9362 bic Bank Identification Code (BIC) Alexander Henket masked Alexander Henket P.O. Box 19121 2500 CC Den Haag The Netherlands +3170-3173450 masked ISO central@iso.org http://iso.org SDO 1 Ext 4 Complete 1.0.9362 2014/04/28 12:00:00 2014/10/18 12:00:00 2014/10/18 06:44:39 UV 2.16.840.1.113883.17.3957 reincke REINCKE FAMILY MEDICINE KIMBERLY BRASS masked KIMBERLY BRASS 3436 S RIVER RD. STE B EAST CHINA, MI 48054 (810)326-3540 masked Office Manager REINCKE FAMILY MEDICINE 3436 S RIVER RD. STE B EAST CHINA, MI 48054 (810)326-3540 reinckefp@hotmail.com Provider Int 17 Complete 2014/04/28 12:00:00 2014/10/18 12:00:00 2014/10/18 06:50:16 UV 2.16.840.1.113883.3.2402.200.6813 physicians-computer-company-clients-ptp Physician's Computer Company (PCC) Clients Patterson and Tedford Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6813 2014/04/28 12:00:00 2014/10/18 12:00:00 2014/10/18 06:51:57 UV 2.16.840.1.113883.3.4868 cumbrivhosp Cumberland River Hospital Inc Donna Knight masked Patricia Strong Donna Knight 100 Old Jefferson Street PO Box 427 Celina, TN 38551 931-243-3581 masked Director of Laboratory Cumberland River Hospital Inc 100 Old Jefferson Street PO Box 427 Celina, TN 38551 931-243-3581 donnak@cumberlandriverhospital.com Provider Int 3 Complete 2014/04/28 12:00:00 2014/10/18 12:00:00 2014/10/18 06:54:13 UV 2.16.840.1.113883.3.4869 bchc Boone County Health Center Tammy Reigle masked Tammy Reigle 723 West Fairview PO Box 151 Albion, NE 68620 402-395-3176 masked Project Manager Boone County Health Center 723 West Fairview PO Box 151 Albion, NE 68620 402-395-2191 mis@boonecohealth.org Provider Int 3 Complete 2014/04/28 12:00:00 2014/10/18 12:00:00 2014/10/18 06:55:21 UV 2.16.840.1.113883.3.1070.5891 mckesson-fusion-5891 mckesson-fusion-5891 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5891 2014/04/29 12:00:00 2014/10/18 12:00:00 2014/10/18 07:00:26 US 2.16.840.1.113883.3.1070.5881 mckesson-fusion-5881 mckesson-fusion-5881 Anna Durbin masked Fusion Enrollment 8775074541 masked Fusion Enrollment anna.durbin@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5881 2014/04/29 12:00:00 2014/10/18 12:00:00 2014/10/18 07:02:00 US 2.16.840.1.113883.3.4871 mmlplc Metropolitan Medical Lab, PLC Cathy Labath masked Cathy Labath 1814 E. Locust Davenport, IA 52803 563-324-0471 masked I.T. Officer Metropolitan Medical Laboratory, PLC 1814 E. Locust Davenport, IA 52803-2038 563-324-0471 clabath@qcmetro.com http://www.metromedlab.com Provider Int 3 Complete 2014/04/29 12:00:00 2014/10/18 12:00:00 2014/10/18 07:07:41 UV 2.16.840.1.113883.17.3958 midwestcardiology Midwest Cardiology Shannon Kleczka masked marcia@midwestcardiology.net Shannon Kleczka PO Box 7061 Bloomfield Hills, MI 48302 734-612-8588 masked Healthcare Consultant Midwest Cardiology Associates 30626 Ford Rd Garden City, MI 48135 734-261-9211 Marcia@Midwestcardiology.net Provider Int 17 Complete 2014/04/29 12:00:00 2014/10/18 12:00:00 2014/10/18 07:04:39 UV 2.16.840.1.113883.3.4873 gtsurg Grand Traverse Surgery Tina Weaver masked Tina Weaver 701 W. Front St, Ste 200 Traverse City MI 49684 231-346-4023 masked Office Manager Grand Traverse Surgery 701 W. Front St, Ste 200 Traverse City MI 49684 231-346-4023 tina.weaver@gtsurgery.com Provider Int 3 Complete 2014/04/29 12:00:00 2014/10/18 12:00:00 2014/10/18 07:11:26 UV 2.16.840.1.113883.3.4874 bcgmc Banner Casa Grande Medical Center Steve Drozdowski masked Steve Drozdowski 1441 N. 12th St. Phoenix, AZ 85006 602-747-4319 masked IT Software Integration Sr Consultant Banner Casa Grande Medical Center 1800 E. Florence Blvd. Casa Grande, AZ 85122 520-381-6300 steve.drozdowski@bannerhealth.com http://www.bannerhealth.com Provider Int 3 Complete 2014/04/29 12:00:00 2014/10/18 12:00:00 2014/10/18 07:12:36 UV 2.16.840.1.113883.3.3571.1.1 sturghospmainmrn Sturgis Hospital Facility MRN Rita Denison masked Rita Denison 916 Myrtle Avenue Sturgis, MI 49091 269-659-4454 masked HIS / MM Director Sturgis Hospital 916 Myrtle Avenue Sturgis, MI 49091 269-659-4454 rdenison@sturgishospital.com http://www.sturgishospital.com Provider 2.16.840.1.113883.3.3571 Ext 14 Complete 2.16.840.1.113883.3.3571.1.1 2014/04/29 12:00:00 2014/10/18 12:00:00 2014/10/18 07:14:42 UV 2.16.840.1.113883.17.3959 iit-SourceTech iit/SourceTech Sean MacAvaney masked Tyler Ellingen 6301 West Lincoln Ave. West Allis, WI 53219 (800) 515-4265 masked iit/SourceTech tylere@iit-sourcetech.com Vendor Int 17 Complete 2014/04/29 12:00:00 2014/10/18 12:00:00 2016/08/04 04:21:46 UV 2.16.840.1.113883.17.3960 nwood Northwood Obstetrics and Gynecology PC Julie Quinn masked KIm Weaver Julie Quinn 3960 West Royal Drive Traverse City, Michigan 49684 231-947-0404 masked Practice Manager Northwood Obstetrics and Gynecology PC 3960 West Royal Drive Traverse City, Michigan 49684 231-947-0404 jquinn@northwoodobgyn.com http://northwoodobgyn.com Provider Int 17 Complete 2014/04/29 12:00:00 2014/10/18 12:00:00 2014/10/18 07:18:19 UV 2.16.840.1.113883.2.44 hl7Philippines OID Root for HL7 Philippines Ted Klein masked Michael Hussin B. Muin Michael Hussin B. Muin, MD HL7 Philippines Ortigas Avenue Pasig City Philippines +63 9285543435 masked HL7 Philippines Chair HL7 Philippines HL7 Philippines Ortigas Avenue Pasig City Philippines +63 9285543435 mikemuin@gmail.com HL7 body Int 2 Complete 2014/04/29 12:00:00 2014/04/29 12:00:00 2014/04/29 04:22:03 UV 2.16.840.1.113883.3.4875 nott Electronic Transactions Development Agency (Public Organization) Natthaphat Rojanasupamit masked Natthaphat Rojanasupamit The Government Complex, 120 M.3, Building B, 7th Floor, Thung Song Hong, Laksi 66827588455 masked Electronic Transactions Development Agency (Public Organization) The Government Complex, 120 M.3, Building B, 7th Floor, Thung Song Hong, Laksi 827588455 natthaphat@etda.or.th SDO Int 3 Complete 2014/04/30 12:00:00 2014/10/24 12:00:00 2014/10/24 03:51:36 UV 2.16.840.1.113883.3.4878 hefw Healthcare Exclusively for Women PA (HEFW) OID Root Maria Ubaldo masked Maria Ubaldo 1000 Sw Blue Pkwy Lees Summit, MO 64063 816-525-0061 masked Healthcare Exclusively for Women PA 1000 SW Blue Pkwy Lees Summit, MO 64063 816-525-0061 hefwinc2013@yahoo.com Provider Int 3 Complete 2014/04/30 12:00:00 2014/10/18 12:00:00 2014/10/18 07:27:12 UV 2.16.840.1.113883.3.4879 keckMed Keck Medicine of USC Amy Purcell masked armin.kasravi@med.usc.edu Armin Kasravi 2011 N. Soto St., SST - Room 1421 Los Angeles, CA 90032 323-865-7643 masked Sr. Director of Core Clinical Applications Keck Medicine of USC 1500 San Pablo Los Angeles, CA 90033 800-872-2273 armin.kasravi@med.usc.edu Provider Int 3 Complete 2014/04/30 12:00:00 2014/10/18 12:00:00 2018/01/26 08:18:54 UV 2.16.840.1.113883.3.2402.200.5379 physicians-computer-company-clients-terrace Physician's Computer Company (PCC) Clients Terrace Pediatric Group Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.5379 2014/04/30 12:00:00 2014/10/18 12:00:00 2014/10/18 07:34:25 UV 2.16.840.1.113883.3.4880 iglesias iglesias OID Root Mary Mercado masked Mary Mercado 712 S Cage Pharr, TX 78577 956-783-1900 masked office mgr NORMA IGLESIAS MD AND ASSOC 712 S CAGE PHARR,TX 78577 956-783-1900 IGLESIASMC@SBCGLOBAL.NET Provider Int 3 Complete 2014/04/30 12:00:00 2014/10/18 12:00:00 2014/10/18 07:33:05 UV 2.16.840.1.113883.3.4881 lakeFranciscanClinic PCO LAKE The Franciscan Clinic Nanette Brister masked Nanette Brister 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 masked IS Programmer II Franciscan Missionaries of Our Lady Health System 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 Nanette.Brister@fmolhs.org http://www.fmolhs.net/ Provider Int 3 Complete 2014/04/30 12:00:00 2014/10/24 12:00:00 2014/10/24 03:46:57 UV 2.16.840.1.113883.3.2402.200.340 physicians-computer-company-clients-prov Physician's Computer Company (PCC) Clients Providence Pediatric Practice Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.340 2014/04/30 12:00:00 2014/10/24 12:00:00 2014/10/24 03:43:39 UV 2.16.840.1.113883.3.4881.1 lakeFranciscanClinicMRN PCO LAKE Franciscan Clinic MRN Nanette Brister masked Nanette Brister 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 masked IS Programmer II PCO LAKE The Franciscan Clinic 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 Nanette.Brister@fmolhs.org http://www.fmolhs.net Provider 2.16.840.1.113883.3.4881 Ext 14 Complete 2.16.840.1.113883.3.4881.1 2014/04/30 12:00:00 2014/10/24 12:00:00 2014/10/24 03:52:48 UV 2.16.840.1.113883.3.4881.2 lakeFranciscanClinicFIN PCO LAKE The Franciscan Clinic Nanette Brister masked Nanette Brister 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 masked IS Programmer II Nanette Brister 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 Nanette.Brister@fmolhs.org http://www.fmolhs.net/ Provider 2.16.840.1.113883.3.4881 Ext 14 Complete 2.16.840.1.113883.3.4881.2 2014/04/30 12:00:00 2014/10/24 12:00:00 2014/10/24 03:53:56 UV 2.16.840.1.113883.3.4882 obgynassociates Ob gyn Associates pllc Sharon Brenz masked Sharon Brenz 3535 W 13 Mile Rd #301 Royal Oak, Mi 48073 248 288-2230 masked office manager Ob-Gyn Associates Pllc 3535 W 13 Mile Rd #301 Royal Oak, Mi 48073 248 288-2230 abbouobgyn@yahoo.com Provider Int 3 Complete 2014/04/30 12:00:00 2014/10/24 12:00:00 2014/10/24 03:56:29 UV 2.16.840.1.113883.3.4883 healthFidelityInc Health Fidelity Inc Elisabeth Safari masked Raj Tiwari Elisabeth Safari 459 Hamilton Ave, Suite 205 Palo Alto, CA 94301 (650) 275-3775 masked Principal Software Engineer Health Fidelity Inc. 459 Hamilton Ave, Suite 205 Palo Alto, CA 94301 (650) 275-3775 raj.tiwari@healthfidelity.com http://healthfidelity.com Vendor 2.16.840.1.113883 Int 3 Complete 2014/04/30 12:00:00 2014/10/24 12:00:00 2014/10/24 03:58:28 UV 2.16.840.1.113883.3.4884 hhl Heart Hospital of Lafayette Nanette Brister masked Nanette Brister 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 masked IS Programmer II Heart Hospital of Louisiana 1105 Kaliste Saloom Rd Lafayette, LA 70508-5705 (337) 521-1000 Nanette.Brister@fmolhs.org http://www.hearthospitallaf.net Provider Int 3 Complete 2014/04/30 12:00:00 2014/10/24 12:00:00 2014/10/24 04:00:19 UV 2.16.840.1.113883.3.4884.1 hhlunitnbr HHL Unit Nbr Nanette Brister masked Nanette Brister 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 masked IS Programmer II Heart Hospital of Lafayette 1105 Kaliste Saloom Rd Lafayette, LA 70508-5705 337-521-1000 Nanette.Brister@fmolhs.org http://www.hearthospitallaf.net Provider 2.16.840.1.113883.3.4884 Ext 14 Complete 2.16.840.1.113883.3.4884.1 2014/04/30 12:00:00 2014/10/24 12:00:00 2014/10/24 04:01:17 UV 2.16.840.1.113883.3.4884.2 hhlacctnbr HHL Acct Nbr Nanette Brister masked Nanette Brister 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 masked IS Programmer II Heart Hospital Of Lafayette 1105 Kaliste Saloom Rd Lafayette, LA 70508-5705 337-521-1000 Nanette.Brister@fmolhs.org http://hearthospitallaf.net Provider 2.16.840.1.113883.3.4884 Ext 14 Complete 2.16.840.1.113883.3.4884.2 2014/04/30 12:00:00 2014/10/24 12:00:00 2014/10/24 04:02:09 UV 2.16.840.1.113883.3.4885 wyomingmedicalcenter Wyoming Medical Center Gabriel Williams masked Gabriel Williams 1233 East Second Street Casper, WY 82601 (307) 577-2729 masked Wyoming Medical Center 1233 East Second Street Casper, WY 82601 (307) 577-7201 jcochran@wyomingmedicalcenter.org Provider Int 3 Complete 2014/04/30 12:00:00 2014/10/24 12:00:00 2014/10/24 04:03:39 UV 2.16.840.1.113883.3.4886 smmcwv St. Mary's Medical Center Billy Cremeans masked Mike.House@st-marys.org Billy Cremeans St. Mary's Medical Center 2900 First Avenue Huntington, WV 25702 304-526-1175 masked IT Physician Liaison St. Mary's Medical Center St. Mary's Medical Center 2900 First Avenue Huntington, WV 25702 304-526-1234 Billy.Cremeans@st-marys.org http://www.st-marys.org Provider Int 3 Complete 2014/04/30 12:00:00 2014/10/24 12:00:00 2014/10/24 04:05:35 UV 2.16.840.1.113883.3.1070.5898 mckesson-fusion-5898 mckesson-fusion-5898 Jaime Cummins masked Fusion Enrollment 8775074541 masked Fusion Enrollment jaime.cummins@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5898 2014/04/30 12:00:00 2014/10/24 12:00:00 2014/10/24 04:06:45 US 2.16.840.1.113883.4.305.1.121 shaftsburyMedicalAssociates Shaftsbury Medical Associates, Inc. Jennifer Starling masked Michelle Metcalfe Po Box 379 Shaftsbury, VT 05262 (802) 442-5248 masked Shaftsbury Medical Associates, Inc. smaifd@comcast.net Provider 2.16.840.1.113883.4.305 Ext 17 Complete 2.16.840.1.113883.4.305.1.121 2014/04/30 12:00:00 2014/12/19 12:00:00 2014/12/19 05:05:13 US 2.16.840.1.113883.3.4887 mmh-Hospital Madison Memorial Hospital Care Record Summary William Whittington masked rhett.jackson@mmhnet.org Rhett Jackson 450 E. Main St. Rexburg, ID, 83440 208 359-6428 masked Information Systems Director Madison Memorial Hospital 450 E. Main St. Rexburg, ID, 83440 (208) 356-6959 ISSupport@mmhnet.org http://www.madisonhospital.org Exchange Int 3 Complete 2014/04/30 12:00:00 2014/10/24 12:00:00 2017/03/30 06:43:33 UV 2.16.840.1.113883.3.1070.5905 mckesson-fusion-5905 mckesson-fusion-5905 Harry Callier masked Fusion enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5905 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 04:12:34 US 2.16.840.1.113883.3.3823.101040 hfhn-OFP Henry Ford Health System OFP James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101040 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 04:14:59 UV 2.16.840.1.113883.3.3823.106008 hfm-WshTwp Henry Ford Macomb - Washington Township James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106008 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 04:21:28 UV 2.16.840.1.113883.3.3823.101029 hfhn-Pierson Henry Ford Health Network - Pierson Clinic James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 (313) 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101029 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 04:22:58 UV 2.16.840.1.113883.3.3823.106029 hfmwc Henry Ford Macomb Warren OPD Rehab James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106029 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 04:24:38 UV 2.16.840.1.113883.3.3823.106033 hfm-StrlgHgts Henry Ford Macomb Sterling Heights Clinic James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, Mi 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, Mi 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106033 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 04:29:14 UV 2.16.840.1.113883.3.3823.106026 hfm-WarrenEast Henry Ford Macomb Warren East Clinic James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, Mi 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, Mi 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106026 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 04:30:43 UV 2.16.840.1.113883.3.2403.1 fMCCHC Family Medicine Clinic Joel Lederman masked Joel Lederman 274 East Chicago Street Coldwater, MI 49036 517-279-5345 masked Director of IT Community Health Center of Branch County 274 East Chicago Street Coldwater, MI 49036 517-279-5345 jlederman@chcbc.com Provider 2.16.840.1.113883.3.2403 Ext 17 Complete 2.16.840.1.113883.3.2403.1 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 04:33:33 UV 2.16.840.1.113883.3.3823.101030 hfhn-Plymth Henry Ford Health Network Plymouth Clinic James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, Mi 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, Mi 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101030 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 04:35:44 UV 2.16.840.1.113883.3.2403.2 uCMCCHC Union City Medical Center Joel Lederman masked Joel Lederman 274 East Chicago Street Coldwater, MI 49036 517-279-5345 masked Director of IT Community Health Center of Branch County 274 East Chicago Street Coldwater, MI 49036 517-279-5345 jlederman@chcbc.com Provider 2.16.840.1.113883.3.2403 Ext 17 Complete 2.16.840.1.113883.3.2403.2 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 04:42:37 UV 2.16.840.1.113883.3.2403.3 cPEDSCHC CHC Pediatric and Adolescent Center Joel Lederman masked Joel Lederman 274 East Chicago Street Coldwater, MI 49036 517-279-5345 masked Director of IT Community Health Center of Branch County 274 East Chicago Street Coldwater, MI 49036 517-279-5345 jlederman@chcbc.com Provider 2.16.840.1.113883.3.2403 Ext 17 Complete 2.16.840.1.113883.3.2403.3 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 04:44:00 UV 2.16.840.1.113883.3.3823.101023 hfhn-Lakeside Henry Ford Health Network - Lakeside Clinic James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101023 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 04:40:29 UV 2.16.840.1.113883.3.2403.4 qCCHC Quincy Clinic Joel Lederman masked Joel Lederman 274 East Chicago Street Coldwater, MI 49036 517-279-5345 masked Director of IT Community Health Center of Branch County 274 East Chicago Street Coldwater, MI 49036 517-279-5345 jlederman@chcbc.com Provider 2.16.840.1.113883.3.2403 Ext 17 Complete 2.16.840.1.113883.3.2403.4 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 04:45:06 UV 2.16.840.1.113883.3.2403.5 cccCHC Community Cancer Center Joel Lederman masked Joel Lederman 274 East Chicago Street Coldwater, MI 49036 517-279-5345 masked Director of IT Community Health Center of Branch County 274 East Chicago Street Coldwater, MI 49036 517-279-5345 jlederman@chcbc.com Provider 2.16.840.1.113883.3.2403 Ext 17 Complete 2.16.840.1.113883.3.2403.5 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 04:47:14 UV 2.16.840.1.113883.3.3823.101009 hfhn-CtrReprodctMed Henry Ford Health Network Center for Reproductive Medicine James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, Mi 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, Mi 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101009 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 04:50:08 UV 2.16.840.1.113883.3.3823.101063 hfhn-Borgess Henry Ford Health Network Borgess James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101063 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 04:54:26 UV 2.16.840.1.113883.3.3823.106015 hfm-Seville Henry Ford Macomb Family Medicine - Seville James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106015 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 04:56:17 UV 2.16.840.1.113883.3.3823.101046 hfhn-GPPSuprVsnCtr Henry Ford Health Network Grosse Pointe Park Opthamology James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101046 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 05:01:19 UV 2.16.840.1.113883.3.4888 onePartnerHIE1 One Partner HIE 1 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 05:07:47 UV 2.16.840.1.113883.3.4889 onePartnerHIE2 One Partner HIE 2 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 05:09:28 UV 2.16.840.1.113883.3.4890 onePartnerHIE3 One Partner HIE 3 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 05:12:49 UV 2.16.840.1.113883.3.4891 onePartnerHIE4 One Partner HIE 4 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 05:14:13 UV 2.16.840.1.113883.3.4892 onePartnerHIE5 One Partner HIE 5 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 05:15:50 UV 2.16.840.1.113883.3.4893 onePartnerLLCHIE One Partner LLC HIE Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner LLC marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2021/08/18 01:30:23 UV 2.16.840.1.113883.3.4894 onePartnerHIE7 One Partner HIE 7 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 05:17:58 UV 2.16.840.1.113883.3.4895 onePartnerHIE8 One Partner HIE 8 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 05:19:07 UV 2.16.840.1.113883.3.4896 onePartnerHIE9 One Partner HIE 9 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 05:22:04 UV 2.16.840.1.113883.3.4897 onePartnerHIE10 One Partner HIE 10 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 05:25:30 UV 2.16.840.1.113883.3.4898 onePartnerHIE11 One Partner HIE 11 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 05:26:32 UV 2.16.840.1.113883.3.4899 onePartnerHIE12 One Partner HIE 12 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 05:28:15 UV 2.16.840.1.113883.3.4900 onePartnerHIE13 One Partner HIE 13 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 05:30:18 UV 2.16.840.1.113883.3.4901 onePartnerHIE14 One Partner HIE 14 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 05:38:41 UV 2.16.840.1.113883.3.4902 onePartnerHIE15 One Partner HIE 15 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 05:40:02 UV 2.16.840.1.113883.3.4903 onePartnerHIE16 One Partner HIE 16 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 05:41:04 UV 2.16.840.1.113883.3.4904 onePartnerHIE17 One Partner HIE 17 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 05:42:43 UV 2.16.840.1.113883.3.4905 onePartnerHIE18 One Partner HIE 18 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 05:44:15 UV 2.16.840.1.113883.3.4906 onePartnerHIE19 One Partner HIE 19 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 05:45:45 UV 2.16.840.1.113883.3.4907 onePartnerHIE20 One Partner HIE 20 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 05:47:26 UV 2.16.840.1.113883.3.4908 onePartnerHIE21 One Partner HIE 21 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 05:49:42 UV 2.16.840.1.113883.3.4909 onePartnerHIE22 One Partner HIE 22 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 05:50:49 UV 2.16.840.1.113883.3.4910 onePartnerHIE23 One Partner HIE 23 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 06:10:40 UV 2.16.840.1.113883.3.4911 onePartnerHIE24 One Partner HIE 24 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 06:12:08 UV 2.16.840.1.113883.3.4912 onePartnerHIE25 One Partner HIE 25 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 06:14:13 UV 2.16.840.1.113883.3.4913 onePartnerHIE26 One Partner HIE 26 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 06:16:24 UV 2.16.840.1.113883.3.4914 onePartnerHIE27 One Partner HIE 27 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 06:18:07 UV 2.16.840.1.113883.3.3823.105009 hfwy-sthgate Henry Ford Wyandotte Southgate Clinic James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.105009 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 05:52:35 UV 2.16.840.1.113883.3.4915 onePartnerHIE28 One Partner HIE 28 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 06:19:40 UV 2.16.840.1.113883.3.4916 onePartnerHIE29 One Partner HIE 29 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 06:22:44 UV 2.16.840.1.113883.3.4917 onePartnerHIE30 One Partner HIE 30 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 06:26:01 UV 2.16.840.1.113883.3.4918 onePartnerHIE31 One Partner HIE 31 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 06:28:31 UV 2.16.840.1.113883.3.4919 onePartnerHIE32 One Partner HIE 32 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 06:30:14 UV 2.16.840.1.113883.3.4920 onePartnerHIE33 One Partner HIE 33 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 06:35:36 UV 2.16.840.1.113883.3.4921 onePartnerHIE34 One Partner HIE 34 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 06:37:27 UV 2.16.840.1.113883.3.4922 onePartnerHIE35 One Partner HIE 35 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 06:38:56 UV 2.16.840.1.113883.3.4923 onePartnerHIE36 One Partner HIE 36 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 06:40:20 UV 2.16.840.1.113883.3.4924 onePartnerHIE37 One Partner HIE 37 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 06:46:23 UV 2.16.840.1.113883.3.4925 onePartnerHIE38 One Partner HIE 38 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 06:47:23 UV 2.16.840.1.113883.3.4926 onePartnerHIE39 One Partner HIE 39 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 06:48:41 UV 2.16.840.1.113883.3.4927 onePartnerHIE40 One Partner HIE 40 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 06:49:52 UV 2.16.840.1.113883.3.4928 onePartnerHIE41 One Partner HIE 41 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 06:51:05 UV 2.16.840.1.113883.3.4929 onePartnerHIE42 One Partner HIE 42 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 06:52:46 UV 2.16.840.1.113883.3.4930 onePartnerHIE43 One Partner HIE 43 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 06:59:47 UV 2.16.840.1.113883.3.4931 onePartnerHIE44 One Partner HIE 44 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 07:00:42 UV 2.16.840.1.113883.3.4932 onePartnerHIE45 One Partner HIE 45 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 07:01:54 UV 2.16.840.1.113883.3.4933 onePartnerHIE46 One Partner HIE 46 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 07:03:07 UV 2.16.840.1.113883.3.4934 onePartnerHIE47 One Partner HIE 47 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 07:04:32 UV 2.16.840.1.113883.3.4935 onePartnerHIE48 One Partner HIE 48 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 07:05:40 UV 2.16.840.1.113883.3.4936 onePartnerHIE49 One Partner HIE 49 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 07:06:35 UV 2.16.840.1.113883.3.4937 onePartnerHIE50 One Partner HIE 50 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 07:07:46 UV 2.16.840.1.113883.3.4938 onePartnerHIE51 One Partner HIE 51 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 07:09:47 UV 2.16.840.1.113883.3.4939 onePartnerHIE52 One Partner HIE 52 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 07:12:12 UV 2.16.840.1.113883.3.4940 onePartnerHIE53 One Partner HIE 53 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 07:14:55 UV 2.16.840.1.113883.3.4941 onePartnerHIE54 One Partner HIE 54 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 07:19:44 UV 2.16.840.1.113883.3.4942 onePartnerHIE55 One Partner HIE 55 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 07:21:39 UV 2.16.840.1.113883.3.4943 onePartnerHIE56 One Partner HIE 56 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 07:23:46 UV 2.16.840.1.113883.3.4944 onePartnerHIE57 One Partner HIE 57 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 07:25:08 UV 2.16.840.1.113883.3.4945 onePartnerHIE58 One Partner HIE 58 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 07:53:52 UV 2.16.840.1.113883.3.4946 onePartnerHIE59 One Partner HIE 59 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 07:55:56 UV 2.16.840.1.113883.3.4947 onePartnerHIE60 One Partner HIE 60 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 07:57:11 UV 2.16.840.1.113883.3.4948 onePartnerHIE61 One Partner HIE 61 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 07:58:16 UV 2.16.840.1.113883.3.4949 onePartnerHIE62 One Partner HIE 62 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 08:00:02 UV 2.16.840.1.113883.3.4950 onePartnerHIE63 One Partner HIE 63 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 08:04:45 UV 2.16.840.1.113883.3.4951 onePartnerHIE64 One Partner HIE 64 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 08:05:54 UV 2.16.840.1.113883.3.4952 onePartnerHIE65 One Partner HIE 65 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 08:08:02 UV 2.16.840.1.113883.3.4953 onePartnerHIE66 One Partner HIE 66 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 08:09:35 UV 2.16.840.1.113883.3.4954 onePartnerHIE67 One Partner HIE 67 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 08:17:31 UV 2.16.840.1.113883.3.4955 onePartnerHIE68 One Partner HIE 68 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 08:21:20 UV 2.16.840.1.113883.3.4956 onePartnerHIE69 One Partner HIE 69 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 08:22:47 UV 2.16.840.1.113883.3.4957 onePartnerHIE70 One Partner HIE 70 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 08:24:19 UV 2.16.840.1.113883.3.4958 onePartnerHIE71 One Partner HIE 71 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 08:25:20 UV 2.16.840.1.113883.3.4959 onePartnerHIE72 One Partner HIE 72 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 08:26:31 UV 2.16.840.1.113883.3.4960 onePartnerHIE73 One Partner HIE 73 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 08:29:11 UV 2.16.840.1.113883.3.4961 onePartnerHIE74 One Partner HIE 74 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 08:30:21 UV 2.16.840.1.113883.3.4962 onePartnerHIE75 One Partner HIE 75 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 08:31:17 UV 2.16.840.1.113883.3.4963 onePartnerHIE76 One Partner HIE 76 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 08:32:11 UV 2.16.840.1.113883.3.4964 onePartnerHIE77 One Partner HIE 77 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 08:33:31 UV 2.16.840.1.113883.3.4965 onePartnerHIE78 One Partner HIE 78 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 08:35:12 UV 2.16.840.1.113883.3.4966 onePartnerHIE79 One Partner HIE 79 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 08:36:20 UV 2.16.840.1.113883.3.4967 onePartnerHIE80 One Partner HIE 80 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 08:38:03 UV 2.16.840.1.113883.3.4968 onePartnerHIE81 One Partner HIE 81 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 08:39:29 UV 2.16.840.1.113883.3.4969 onePartnerHIE82 One Partner HIE 82 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 08:40:32 UV 2.16.840.1.113883.3.4970 onePartnerHIE83 One Partner HIE 83 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 08:42:41 UV 2.16.840.1.113883.3.4971 onePartnerHIE84 One Partner HIE 84 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 08:44:05 UV 2.16.840.1.113883.3.4972 onePartnerHIE85 One Partner HIE 85 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 08:45:07 UV 2.16.840.1.113883.3.4973 onePartnerHIE86 One Partner HIE 86 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 08:46:32 UV 2.16.840.1.113883.3.4974 onePartnerHIE87 One Partner HIE 87 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/24 12:00:00 2014/10/24 08:51:51 UV 2.16.840.1.113883.3.4975 onePartnerHIE88 One Partner HIE 88 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/28 12:00:00 2014/10/28 05:17:51 UV 2.16.840.1.113883.3.4976 onePartnerHIE89 One Partner HIE 89 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/28 12:00:00 2014/10/28 05:19:20 UV 2.16.840.1.113883.3.4977 onePartnerHIE90 One Partner HIE 90 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/28 12:00:00 2014/10/28 05:20:34 UV 2.16.840.1.113883.3.4978 onePartnerHIE91 One Partner HIE 91 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/28 12:00:00 2014/10/28 05:22:07 UV 2.16.840.1.113883.3.4979 onePartnerHIE92 One Partner HIE 92 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/28 12:00:00 2014/10/28 05:23:32 UV 2.16.840.1.113883.3.4980 onePartnerHIE93 One Partner HIE 93 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/28 12:00:00 2014/10/28 05:25:59 UV 2.16.840.1.113883.3.4981 onePartnerHIE94 One Partner HIE 94 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/28 12:00:00 2014/10/28 05:27:04 UV 2.16.840.1.113883.3.4982 onePartnerHIE95 One Partner HIE 95 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/28 12:00:00 2014/10/28 05:27:58 UV 2.16.840.1.113883.3.4983 onePartnerHIE96 One Partner HIE 96 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/28 12:00:00 2014/10/28 05:28:57 UV 2.16.840.1.113883.3.4984 onePartnerHIE97 One Partner HIE 97 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/28 12:00:00 2014/10/28 05:31:31 UV 2.16.840.1.113883.3.4985 onePartnerHIE98 One Partner HIE 98 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/28 12:00:00 2014/10/28 05:33:39 UV 2.16.840.1.113883.3.4986 onePartnerHIE99 One Partner HIE 99 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/28 12:00:00 2015/12/08 03:14:02 UV 2.16.840.1.113883.3.4987 onePartnerHIE100 One Partner HIE 100 Marty Smith masked Marty Smith 4238572000 masked Software Dev II One Partner HIE marty@lucentglow.com http://www.onepartner.com Provider Int 3 Complete 2014/05/01 12:00:00 2014/10/28 12:00:00 2014/10/28 05:36:58 UV 2.16.840.1.113883.3.3823.106016 hfm-SevilleII Henry Ford Macomb Family Medicine Seville II James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, Mi 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, Mi 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106016 2014/05/01 12:00:00 2014/10/28 12:00:00 2014/10/28 05:39:55 UV 2.16.840.1.113883.3.3823.105005 hfwy-Northline Henry Ford Wyandotte Northline Center James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.105005 2014/05/01 12:00:00 2014/10/28 12:00:00 2014/10/28 05:41:54 UV 2.16.840.1.113883.3.3823.106005 hfm-Fraser Henry Ford Macomb Fraser Clinic James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106005 2014/05/01 12:00:00 2014/10/28 12:00:00 2014/10/28 05:43:46 UV 2.16.840.1.113883.3.3823.106012 hfm-Commons-OPD Henry Ford Macomb Commons OPD James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 3 Complete 2.16.840.1.113883.3.3823.106012 2014/05/01 12:00:00 2014/10/28 12:00:00 2014/10/28 05:46:15 UV 2.16.840.1.113883.3.3823.101064 hfhn-downriverHomeHlth Henry Ford Health Network Downriver Home Health James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101064 2014/05/01 12:00:00 2014/10/28 12:00:00 2014/10/28 05:47:35 UV 2.16.840.1.113883.3.3823.105007 hfwy-Riverside Henry Ford Wyandotte Riverside James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.105007 2014/05/01 12:00:00 2014/10/28 12:00:00 2014/10/28 05:49:18 UV 2.16.840.1.113883.3.3823.101055 hfhn-Lansing Henry Ford Health Network Lansing James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101055 2014/05/01 12:00:00 2014/10/28 12:00:00 2014/10/28 05:52:31 UV 2.16.840.1.113883.3.3823.106031 hfm-PartridgeCrk Henry Ford Macomb Partridge Creek James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106031 2014/05/01 12:00:00 2014/10/28 12:00:00 2014/10/28 05:55:37 UV 2.16.840.1.113883.3.4988 maxMD-XDR MaxMD XDR Record from the Direct STA Bruce Schreiber masked support@max.md Bruce Schreiber 2200 Fletcher Ave Suite 506 Fort Lee, NJ 07024 2019630005 masked CTO MaxMD 2200 Fletcher Ave Suite 506 Fort Lee, NJ 07024 201-963-0005 support@max.md http://www.max.md Vendor Int 3 Complete 2014/05/01 12:00:00 2014/10/28 12:00:00 2014/10/28 05:57:13 US 2.16.840.1.113883.3.3823.101042 hfhn-SouthgtSprVsnCtr Henry Ford Health Network Southgate Super Vision Center James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101042 2014/05/01 12:00:00 2014/10/28 12:00:00 2014/10/28 05:58:34 UV 2.16.840.1.113883.3.3823.101016 hfhn-DownrvrCtrOnc Henry Ford Health Network Downriver Center for Oncology James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101016 2014/05/01 12:00:00 2014/10/28 12:00:00 2014/10/28 05:59:46 UV 2.16.840.1.113883.3.3823.106032 hfm-HallRd Henry Ford Macomb Hall Road James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106032 2014/05/01 12:00:00 2014/10/28 12:00:00 2014/10/28 06:01:16 UV 2.16.840.1.113883.3.3823.105004 hfwy-Rockwood Henry Ford Wyandotte Rockwood James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.105004 2014/05/01 12:00:00 2014/10/28 12:00:00 2014/10/28 06:05:36 UV 2.16.840.1.113883.17.3961 thepolyclinicOID The Polyclinic OID John Sargent masked John Sargent 1145 Broadway, Seattle, WA 98122 206-320-6774 masked Senior Systems and Security Administrator The Polyclinic john.sargent@polyclinic.com http://polyclinic.com Provider Int 17 Complete 2014/05/01 12:00:00 2014/10/28 12:00:00 2014/10/28 06:09:50 US 2.16.840.1.113883.3.3823.101060 hfhn-StJohn Henry Ford Health Network St. John's James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101060 2014/05/01 12:00:00 2014/10/28 12:00:00 2014/10/28 06:12:51 UV 2.16.840.1.113883.3.3823.101054 hfhn-Providence Henry Ford Health Network Providence James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101054 2014/05/01 12:00:00 2014/10/28 12:00:00 2014/10/28 06:16:08 UV 2.16.840.1.113883.3.3823.101038 hfhn-Woodhaven Henry Ford Health Network Woodhaven James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101038 2014/05/01 12:00:00 2014/10/28 12:00:00 2014/10/28 06:27:32 UV 2.16.840.1.113883.3.4989 almh Abraham Lincoln Memorial Hospital Keenan Leesman masked Keenan Leesman 200 Stahlhut Drive Lincoln, IL 62656 217-605-5041 masked Manager of Information Systems Abraham Lincoln Memorial Hospital 200 Stahlhut Drive Lincoln, IL 62656 217-732-2161 leesman.keenan@mhsil.com http://www.almh.org Provider Int 3 Complete 2014/05/01 12:00:00 2014/11/03 12:00:00 2014/11/03 03:34:18 UV 2.16.840.1.113883.3.3823.101033 hfhn-Sthfld Henry Ford Health Network Southfield James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101033 2014/05/01 12:00:00 2014/11/03 12:00:00 2014/11/03 03:38:01 UV 2.16.840.1.113883.3.3823.101066 hfhn-NrthHmHlth Henry Ford Health Network North Home Health James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101066 2014/05/01 12:00:00 2014/11/03 12:00:00 2014/11/03 03:39:25 UV 2.16.840.1.113883.3.3823.101035 hfhn-Taylor Henry Ford Health Network Taylor Clinic James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101035 2014/05/01 12:00:00 2014/11/03 12:00:00 2014/11/03 03:41:14 UV 2.16.840.1.113883.3.3823.101017 hfhn-EastJfrson Henry Ford Health Network East Jefferson James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101017 2014/05/01 12:00:00 2014/11/03 12:00:00 2014/11/03 03:43:09 UV 2.16.840.1.113883.3.3823.101006 hfhn-BlmfldHls Henry Ford Health Network BLOOMFIELD HILLS James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101006 2014/05/01 12:00:00 2014/11/03 12:00:00 2014/11/03 03:44:40 UV 2.16.840.1.113883.3.3823.101065 hfhn-EastHmHlth Henry Ford Health Network East Home Health James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101065 2014/05/01 12:00:00 2014/11/03 12:00:00 2014/11/03 03:45:41 UV 2.16.840.1.113883.3.3823.106024 hfm-WarrenOrthoSur Henry Ford Macomb Warren Orthopaedic Surgery James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106024 2014/05/01 12:00:00 2014/11/03 12:00:00 2014/11/03 03:50:10 UV 2.16.840.1.113883.3.3823.101031 hfhn-RoyalOak Henry Ford Health Network Royal Oak James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101031 2014/05/01 12:00:00 2014/11/03 12:00:00 2014/11/03 03:53:05 UV 2.16.840.1.113883.3.3823.101004 hfhn-AA Henry Ford Health Network Ann Arbor James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101004 2014/05/01 12:00:00 2014/11/03 12:00:00 2014/11/03 03:56:37 UV 2.16.840.1.113883.3.3823.101036 hfhn-Troy Henry Ford Health Network Troy James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101036 2014/05/01 12:00:00 2014/11/03 12:00:00 2014/11/03 03:57:28 UV 2.16.840.1.113883.3.3823.101024 hfhn-Livonia Henry Ford Health Network Livonia James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101024 2014/05/01 12:00:00 2014/11/03 12:00:00 2014/11/03 03:58:16 UV 2.16.840.1.113883.3.3823.101027 hfhn-NCO Henry Ford Health Network New Center One James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101027 2014/05/01 12:00:00 2014/11/03 12:00:00 2014/11/03 03:59:22 UV 2.16.840.1.113883.3.3823.106004 hfm-Chstrfld Henry Ford Macomb Chesterfield James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106004 2014/05/01 12:00:00 2014/11/03 12:00:00 2014/11/03 04:03:17 UV 2.16.840.1.113883.3.3823.106006 hfm-Richmond Henry Ford Macomb Richmond James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106006 2014/05/01 12:00:00 2014/11/03 12:00:00 2014/11/03 04:09:44 UV 2.16.840.1.113883.3.3823.105008 hfwy-Ortho Henry Ford Wyandotte Orthopaedics James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.105008 2014/05/01 12:00:00 2014/11/03 12:00:00 2014/11/03 04:10:52 UV 2.16.840.1.113883.3.1070.5909 mckesson-fusion-5909 mckesson-fusion-5909 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5909 2014/05/01 12:00:00 2014/11/03 12:00:00 2014/11/03 04:15:25 US 2.16.840.1.113883.3.3823.101047 hfhn-RosevlSuprVsnCtr Henry Ford Health Network ROSEVILLE SUPER VISION CTR James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101047 2014/05/01 12:00:00 2014/11/03 12:00:00 2014/11/03 04:26:04 UV 2.16.840.1.113883.3.3823.105003 hfwy-OutptRehab Henry Ford Wyandotte OUTPATIENT REHAB James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.105003 2014/05/01 12:00:00 2014/11/03 12:00:00 2014/11/03 04:12:54 UV 2.16.840.1.113883.3.3823.101051 hfhn-WyWmnsHlth Henry Ford Health Network WYANDOTTE WOMENS HEALTH James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101051 2014/05/01 12:00:00 2014/11/03 12:00:00 2014/11/03 04:29:37 UV 2.16.840.1.113883.3.3823.105011 hfwy-TrentonRd Henry Ford Wyandotte TRENTON RD James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.105011 2014/05/01 12:00:00 2014/11/03 12:00:00 2014/11/03 04:13:48 UV 2.16.840.1.113883.3.3823.101022 hfhn-HARBORTOWN Henry Ford Health Network HARBORTOWN James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101022 2014/05/01 12:00:00 2014/11/03 12:00:00 2014/11/03 04:32:29 UV 2.16.840.1.113883.3.1070.5850 mckesson-fusion-5850 mckesson-fusion Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5850 2014/05/01 12:00:00 2014/11/03 12:00:00 2014/11/03 04:18:00 US 2.16.840.1.113883.3.3823.101044 hfhn-WstlndSprVsnCtr Henry Ford Health Network WESTLAND SUPER VISION Center James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101044 2014/05/01 12:00:00 2014/11/03 12:00:00 2014/11/03 04:27:01 UV 2.16.840.1.113883.3.3823.101012 hfhn-COLUMBUS Henry Ford Health Network COLUMBUS James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101012 2014/05/01 12:00:00 2014/11/03 12:00:00 2014/11/03 04:35:03 UV 2.16.840.1.113883.3.4990 ummcdirect United Memorial Medical Center OID Kurt Calman masked Kurt Calman 127 North Street Batavia NY 14020 585-344-5439 masked Vice President / CIO United Memorial Medical Center contactus@ummc.org http://www.ummc.org Provider Int 3 Complete 2014/05/01 12:00:00 2014/11/03 12:00:00 2014/11/03 04:41:44 UV 1.2.36.1.2001.1005.49.1 hips-doc-id HIPS Document Id Philip Stalley-Gordon masked Philip Stalley-Gordon Level 9, 108 King William Street Adelaide, South Australia, 5000 0401950881 masked Senior Architect Chamonix Level 9, 108 King William Street Adelaide, South Australia, 5000 philip.stalley-gordon@chamonix.com.au http://chamonix.com.au/ Vendor 1.2.36.1.2001.1005.49 Ext 4 Complete 1.2.36.1.2001.1005.49.1 2014/05/02 12:00:00 2014/09/14 12:00:00 2014/09/14 06:48:33 UV 2.16.840.1.113883.3.3823.101028 hfhn-Novi Henry Ford Health Network Novi James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101028 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 04:37:44 UV 2.16.840.1.113883.3.3823.101058 hfhn-SpectumHlth Henry Ford Health Network SPECTRUM HEALTH James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101058 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 04:45:32 UV 2.16.840.1.113883.3.3823.106025 hfm-PlasticSrg Henry Ford Macomb PLASTIC SURGERY James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106025 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 05:00:52 UV 2.16.840.1.113883.3.3823.106010 hfm-GarfldOffcIII Henry Ford Macomb GARFIELD OFFICE III James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106010 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 05:02:44 UV 2.16.840.1.113883.3.3823.101045 hfhn-LksSprVisCtr Henry Ford Health Network LAKESIDE SUPER VISION CTR James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101045 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 05:06:35 UV 2.16.840.1.113883.3.3823.101041 hfhn-TchTwn Henry Ford Health Network TECH TOWN James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101041 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 05:07:53 UV 2.16.840.1.113883.3.3823.101061 hfhn-Pontiac Henry Ford Health Network PONTIAC James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101061 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 05:09:08 UV 2.16.840.1.113883.3.3823.101025 hfhn-LowlPrkRhb Henry Ford Health Network LOWELL PARK REHAB James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101025 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 05:10:24 UV 2.16.840.1.113883.3.3823.106019 hfm-ShlbySth Henry Ford Macomb SHELBY SOUTH James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106019 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 05:12:11 UV 2.16.840.1.113883.3.3823.106009 hfm-ChstrfldObGyn Henry Ford Macomb CHESTERFIELD OB GYN James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106009 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 05:13:13 UV 2.16.840.1.113883.3.1070.5777 mckesson-fusion-5777 mckesson-fusion-5777 Anna Durbin masked Fusion Enrollment 8775074541 masked Fusion Enrollment anna.durbin@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5777 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 05:14:46 US 2.16.840.1.113883.3.3823.101005 hfhn-BhvrlHlthSrvsDRBRN Henry Ford Health Network BEHAVIORAL HEALTH SERVICES DEARBORN James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101005 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 05:17:14 UV 2.16.840.1.113883.3.3823.106020 hfm-ShlbyNrth Henry Ford Macomb SHELBY NORTH James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106020 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 05:18:48 UV 2.16.840.1.113883.3.3823.101057 hfhn-YPSILANTI Henry Ford Health Network YPSILANTI James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101057 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 05:20:55 UV 2.16.840.1.113883.3.3823.101020 hfhn-FordRdMob Henry Ford Health Network FORD ROAD MOB James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101020 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 05:24:41 UV 2.16.840.1.113883.3.3823.101007 hfhn-CANTON Henry Ford Health Network CANTON James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101007 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 05:22:56 UV 2.16.840.1.113883.3.3823.106034 hfm-SamaritanHse Henry Ford Macomb SAMARITAN HOUSE James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106034 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 05:25:38 UV 2.16.840.1.113883.3.3823.101002 hfhn-ArabCommCtrEconSocSrvs Henry Ford Health Network ARAB COMMUNITY CENTER ECONOMIC & SOCIAL SERVICES James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101002 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 05:27:34 UV 2.16.840.1.113883.3.3823.101008 hfhn-CAM Henry Ford Health Network CENTER FOR ATHLETIC MEDICINE James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101008 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 05:28:51 UV 2.16.840.1.113883.3.3823.101019 hfhn-FarmgtnRd Henry Ford Health Network FARMINGTON ROAD James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101019 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 05:30:22 UV 2.16.840.1.113883.3.3823.102001 hfhsmg Henry Ford MAPLEGROVE James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.102001 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 05:39:09 UV 2.16.840.1.113883.3.3823.104003 hfhn-WBlmfldClnc Henry Ford Health Network WEST BLOOMFIELD CLINIC James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.104003 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 05:44:43 UV 2.16.840.1.113883.3.3823.105010 hfwy-AllenPrk Henry Ford Wyandotte ALLEN PARK James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.105010 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 05:46:47 UV 2.16.840.1.113883.3.3823.101050 hfhn-MONROE Henry Ford Health Network MONROE James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101050 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 05:48:28 UV 2.16.840.1.113883.3.3823.101043 hfhn-TrySprVsnCtr Henry Ford Health Network TROY SUPER VISION CTR James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 3 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101043 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 05:52:36 UV 2.16.840.1.113883.3.3823.101003 hfhn-AllenPrk Henry Ford Health Network ALLEN PARK James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101003 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 05:53:16 UV 2.16.840.1.113883.3.3823.101015 hfhn-DetNrthwst Henry Ford Health Network DETROIT NORTHWEST James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101015 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 05:54:05 UV 2.16.840.1.113883.4.731 fmdh FRANCES MAHON DEACONESS HOSPITAL Dave Nixdorf masked David Nixdorf 621 3rd St. South Glasgow, MT 59230 406-228-3591 masked Director of Support Services Frances Mahon Deaconess Hospital 621 3rd St. South Glasgow, MT 59230 406-228-3500 dave.nixdorf@fmdh.org Provider Int 3 Complete 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 05:59:33 2.5 US 2.16.840.1.113883.3.3823.101010 hfhn-CHRYSLER Henry Ford Health Network CHRYSLER James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101010 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 06:00:35 UV 2.16.840.1.113883.3.3823.106003 hfm-BruceTwp Henry Ford Macomb BRUCE TOWNSHIP James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106003 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 06:03:24 UV 2.16.840.1.113883.3.3823.101059 hfhn-GrandBlanc Henry Ford Health Network GRAND BLANC James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System\ One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101059 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 06:04:49 UV 2.16.840.1.113883.3.3823.101013 hfhn-COMMERCE Henry Ford Health Network COMMERCE James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101013 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 06:15:32 UV 2.16.840.1.113883.3.3823.101039 hfhn-WarrenChicagoRd Henry Ford Health Network WARREN CHICAGO RD James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101039 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 06:17:43 UV 2.16.840.1.113883.3.3823.101021 hfhn-HAMTRAMCK Henry Ford Health Network HAMTRAMCK James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101021 2014/05/02 12:00:00 2014/11/03 12:00:00 2014/11/03 06:20:06 UV 2.16.840.1.113883.3.3823.101056 hfhn-HURLEY Henry Ford Health Network HURLEY James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101056 2014/05/02 12:00:00 2014/11/07 12:00:00 2014/11/07 03:08:07 UV 2.16.840.1.113883.3.3823.101067 hfhn-FoxRn Henry Ford Health Network FOX RUN James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101067 2014/05/02 12:00:00 2014/11/07 12:00:00 2014/11/07 03:11:24 UV 2.16.840.1.113883.3.3519.1 rh-software Remarkable Health Software Ron Wilson masked Kyle Woodruff 825 E Warner Rd, Suite C-100 Chandler, AZ 85225 602-888-9606 masked Product Manager Remarkable Health, LLC 825 E Warner Rd, Suite C-100 Chandler, AZ 85225 kwoodruff@remarkablehealth.com http://www.remarkablehealth.com Vendor 2.16.840.1.113883.3.3519 Ext 14 Complete 2.16.840.1.113883.3.3519.1 2014/05/02 12:00:00 2014/11/07 12:00:00 2017/10/02 08:22:46 UV 2.16.840.1.113883.3.3519.1.10 rh-ctone-v10 Remarkable Health CT|One v10 Ron Wilson masked Kyle Woodruff 825 E Warner Rd, Suite C-100 Chandler, AZ 85225 602-888-9606 masked Product Manager Remarkable Health, LLC. 825 E Warner Rd, Suite C-100 Chandler, AZ 85225 602-888-9606 kwoodruff@remarkablehealth.com http://www.remarkablehealth.com Vendor 2.16.840.1.113883.3.3519 Ext 14 Complete 2.16.840.1.113883.3.3519.1.10 2014/05/02 12:00:00 2014/11/07 12:00:00 2017/10/02 08:26:14 UV 2.16.840.1.113883.3.3823.101014 hfh-Cottage Henry Ford Cottage Hospital James Scherphorn masked James Scherphorn One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2A, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101014 2014/05/02 12:00:00 2014/11/07 12:00:00 2014/11/07 03:17:16 UV 2.16.840.1.113883.3.3823.101032 hfhn-StrlngHts Henry Ford Health Network Sterling Heights James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101032 2014/05/02 12:00:00 2014/11/07 12:00:00 2014/11/07 03:21:41 UV 2.16.840.1.113883.3.4991 stjoseph-bryantx St Joseph Regional Health Center, Bryan, TX Keith Schlieker masked Jason Williams Keith Schlieker 2801 Franciscan Dr Bryan, TX 77802 979-776-2558 masked Information System Specialist St. Joseph Regional Health Center 2801 Franciscan Dr Bryan, TX 77802 979-776-3777 sjdifference@st-joseph.org http://www.st-joseph.org Provider Int 3 Complete 2014/05/02 12:00:00 2014/11/07 12:00:00 2014/11/07 03:29:02 UV 2.16.840.1.113883.3.1264.999762 sjmcSIOID St John Medical Center ORC3.3 Kimberly Ballard masked Kim Ballard 918-744-2202 masked St John Medical Center 1923 S Utica Ave 9187443131 kimberly.ballard@sjmc.org Provider 2.16.840.1.113883.3.1264 Ext 17 Complete 2.16.840.1.113883.3.1264.999762 2014/05/02 12:00:00 2014/11/07 12:00:00 2014/11/07 03:34:09 UV 2.16.840.1.113883.3.3823.105002 hfwy-Brownstown Henry Ford Wyandotte Brownstown James Scherphorn masked James Scherphorn One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 masked Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313 874-6121 jscherph@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.105002 2014/05/02 12:00:00 2014/11/07 12:00:00 2014/11/07 03:35:29 UV 2.16.840.1.113883.3.4993 milhosp Milford Hospital Gerry Wyckoff masked Gerry Wyckoff 203-876-4074 masked Milford Hospital 300 Seaside Ave Milford CT 06460 203-876-4000 gerry.wyckoff@milfordhospital.org Provider Int 3 Complete 2014/05/02 12:00:00 2014/11/07 12:00:00 2014/11/07 03:36:53 UV 2.16.840.1.113883.3.4994 renet Renet Consulting Inc Alexander Altotsky masked Alexander Altotsky 19210 NW Logie Trail Rd Portland, OR 97231 503-348-2346 masked Sr. Software Architect Renet Consulting, Inc. 1-800-367-9886 Info@renetusa.com http://www.renetusa.com Vendor Int 3 Complete 2014/05/02 12:00:00 2014/11/07 12:00:00 2014/11/07 03:39:28 UV 2.16.840.1.113883.3.4995 pumch Peking Union Medical College Hospital Wen Zhu masked Zhu Wen 8618612671629 masked Peking Union Medical College Hospital Shuaifuyuan 1, Dongcheng District, Beijing, China 86-10-69156055 Zhuwen@pumch.cn Provider Int 3 Complete 2014/05/03 12:00:00 2014/11/07 12:00:00 2014/11/07 03:42:57 UV 2.16.840.1.113883.3.4996 fintch-org Fintch.org Projects Vincent BECHON masked Vincent BECHON +33123456789 masked Project Manager Vincent BECHON fintch@fintch.org http://www.fintch.org/ Prof Soc Int 3 Rejected 2014/05/04 12:00:00 2014/11/07 03:45:11 FR 1.2.36.1.2001.1005.49.2 hips-set-id HIPS Set Id Philip Stalley-Gordon masked Philip Stalley-Gordon Level 9, 108 King William Street Adelaide, South Australia, 5000 0401950881 masked Chamonix Level 9, 108 King William Street Adelaide, South Australia, 5000 philip.stalley-gordon@chamonix.com.au http://chamonix.com.au/ Vendor 1.2.36.1.2001.1005.49 Ext 4 Complete 1.2.36.1.2001.1005.49.2 2014/05/04 12:00:00 2014/09/14 12:00:00 2014/09/14 06:50:54 UV 2.16.840.1.113883.3.1070.5577 mckesson-fusion-5577 mckesson-fusion-5577 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5577 2014/05/05 12:00:00 2014/11/07 12:00:00 2014/11/07 03:46:46 US 2.16.840.1.113883.3.4997 hsi Horizon Software International Amy Hughes masked Amy Hughes 7705546353 masked Horizon Software International ahughes@horizonsoftware.com Vendor Int 3 Complete 2014/05/05 12:00:00 2014/11/07 12:00:00 2014/11/07 03:49:34 Horizon Software Int UV 2.16.840.1.113883.3.4998 ems Eastern Medical Sprecialists PC OID Root Liz Owens masked Liz Owens 48 Medical Park East Dr Suite 452 Birmingham, AL 35235 (205) 838-3204 masked Office Manager Eastern Medical Specialists PC 48 Medical Park East Dr Suite 452 Birmingham, AL 35235 (205) 838-3204 lowens1654@bellsouth.net Provider Int 3 Complete 2014/05/05 12:00:00 2014/11/07 12:00:00 2014/11/07 04:03:05 UV 2.16.840.1.113883.3.1097.1.2730016 gotr Troy Gynecologic Oncology Taylor McMahon masked Jenna Hope 1555 E South Blvd Ste 390 Rochester Hills MI 48307-5624 248-267-5790 masked Practice Administrator Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2730016 2014/05/05 12:00:00 2014/11/07 12:00:00 2014/11/07 04:06:18 UV 2.16.840.1.113883.3.4999 valliant PRMC HealthCare Group - Valliant Clinic Sharlene Holland masked Kashena Gunn Sharlene Holland 1055 Clarksville St Suite 185 Paris, TX 75460 9037397461 masked Practice Manager PRMC HealthCare Group 514B East Wilson Valliant, OK 74764 5809337600 kashena.gunn@parisrmc.com http://www.parisrmc.com Provider Int 3 Complete 2014/05/05 12:00:00 2014/11/07 12:00:00 2014/11/07 04:04:15 UV 2.16.840.1.113883.3.5000 decatur969 Decatur County General Hospital Micah Cruse masked Micah Cruse 969 Tennessee Ave South Parsons, TN 38363 7318471296 masked IT Mgr Decatur County General Hospital 969 Tennessee Ave South Parsons, TN 38363 7318473031 mcruse@dcgh.org http://www.dcgh.org/ Exchange Int 3 Complete 2014/05/05 12:00:00 2014/11/07 12:00:00 2014/11/07 04:09:13 UV 2.16.840.1.113883.3.1070.5776 mckesson-fusion-5776 mckesson-fusion-5776 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5776 2014/05/05 12:00:00 2014/11/07 12:00:00 2014/11/07 04:10:40 US 2.16.840.1.113883.3.8.10.1 mck-hms McKesson Healthcare Messaging Service (HMS) Jegadish Purushothaman masked Jegadish Purushothaman 11000 Westmoor Circle, Suite #125 Westminster CO, 80021 7203567861 masked McKesson Corp. 11000 Westmoor Circle, Suite #125 Westminster CO, 80021 jegadish.purushothaman@mckesson.com http://www.mckesson.com Vendor 2.16.840.1.113883.3.8 Ext 14 Complete 2.16.840.1.113883.3.8.10.1 2014/05/05 12:00:00 2014/11/07 12:00:00 2014/11/07 04:14:25 UV 2.16.840.1.113883.3.8.3 mckesson-hms McKesson Healthcare Messaging Service (HMS) Jegadish Purushothaman masked Jegadish Purushothaman 7203567861 masked McKesson Corp. 11000 Westmoor Circle, Suite #125 Westminster, CO 80021 jegadish.purushothaman@mckesson.com http://www.mckesson.com Vendor 2.16.840.1.113883.3.8 Ext 14 Complete 2.16.840.1.113883.3.8.3 2014/05/06 12:00:00 2014/11/07 12:00:00 2014/11/07 04:16:25 UV 2.16.840.1.113883.9.153 scclabjhm SCC Soft Lab Information System at Johns Hopkins Medicine Peter Huppenthal masked Peter M Huppenthal Johns Hopkins Hospital 600 North Wolfe Street Carnegie 426 Baltimore, MD 21287 410-955-6559 masked Pathology Administrator Johns Hopkins Hospital Johns Hopkins Hospital 600 North Wolfe Street Baltimore, MD 21287 410-955-6559 mhuppen@jhmi.edu http://www.hopkinsmedicine.org/ Exchange Int 3 Complete 2014/05/06 12:00:00 2014/11/07 12:00:00 2014/11/07 04:30:49 US 2.16.840.1.113883.3.1070.5915 mckesson-fusion-5915 mckesson-fusion-5915 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5915 2014/05/06 12:00:00 2014/11/07 12:00:00 2014/11/07 04:32:40 US 2.16.840.1.113883.3.5001 gcob GCOB_GREEN COUNTRY OB/GYN Jodi Bowers masked Katherine Look Jodi Bowers 5604 SW Lee Blvd., Ste. 310 Lawton, OK 73505 5805316408 masked Director of Practice Management Capella Muskogee Medical Associates GCOB_GREEN COUNTRY OB/GYN 161 ECO FRIENDLY DR STE 101 Muskogee, OK 74401 9186865399 jodi.bowers@capellahealth.com Provider Int 3 Complete 2014/05/06 12:00:00 2014/11/07 12:00:00 2014/11/07 04:36:03 UV 2.16.840.1.113883.3.5002 mrob MROB_MUSKOGEE REGIONAL OB/GYN Jodi Bowers masked Katherine Look Jodi Bowers 5604 SW Lee Blvd., Ste. 310 Lawton, OK 73505 5805316408 masked Director of Practice Management Capella Muskogee Medical Associates MROB_MUSKOGEE REGIONAL OB/GYN 211 S 36 STE A MUSKOGEE, OK 74401-5033 9186873050 jodi.bowers@capellahealth.com Provider Int 3 Complete 2014/05/06 12:00:00 2014/11/07 12:00:00 2014/11/07 04:41:49 UV 2.16.840.1.113883.3.5003 mmae MMAE_MUSKOGEE MEDICAL EUFAULA Jodi Bauer masked Katherine Look Jodi Bowers 5604 SW Lee Blvd., Ste. 310 Lawton, OK 73505 580-531-6408 masked Director of Practice Managment Capella Muskogee Medical Associates MMAE_MUSKOGEE MEDICAL EUFAULA 100 COMMUNITY HEALTH DR STE 101 EUFAULA OK 74432-0608 918-689-9130 jodi.bowers@capellahealth.com Provider Int 3 Complete 2014/05/06 12:00:00 2014/11/07 12:00:00 2014/11/07 04:42:53 UV 2.16.840.1.113883.3.5004 mmamuskogee MMA_MUSKOGEE OFFICE Jodi Bowers masked Katherine Look Jodi Bowers 5604 SW Lee Blvd., Ste. 310 Lawton, OK 73505 580-531-6408 masked Director of Practice Management Capella Muskogee Medical Associates MMA_MUSKOGEE OFFICE 101 ROCKEFELLER DR STE 203 MUSKOGEE OK 74401-4648 918-686-0471 jodi.bowers@capellahealth.com Provider Int 3 Complete 2014/05/06 12:00:00 2014/11/07 12:00:00 2014/11/07 04:44:24 UV 2.16.840.1.113883.3.5005 mmaprovidence MMA_PROVIDENCE Jodi Bowers masked Katherine Look Jodi Bowers 5604 SW Lee Blvd., Ste. 310 Lawton, OK 73505 580-531-6408 masked Director of Practice Managment Capella Muskogee Medical Associates MMA_PROVIDENCE 101 ROCKEFELLER DR STE 203 MUSKOGEE OK 74401-5050 918-681-6847 jodi.bowers@capellahealth.com Provider Int 3 Complete 2014/05/06 12:00:00 2014/11/07 12:00:00 2014/11/07 04:45:29 UV 2.16.840.1.113883.3.5006 lfpvelury LFP_Velury_Office Jodi Bowers masked Katherine Look Jodi Bowers 5604 SW Lee Blvd., Ste. 310 Lawton, OK 73505 580-531-6408 masked Director of Practice Management Capella Southwestern Surgical LFP_Velury_Office 4411 W GORE BLVD STE B3 LAWTON OK 73505-5977 580-536-5300 jodi.bowers@capellahealth.com Provider Int 3 Complete 2014/05/06 12:00:00 2014/11/07 12:00:00 2014/11/07 04:53:56 UV 2.16.840.1.113883.3.5007 lfplawton LFP_Lawton Family Practice Jodi Bowers masked Katherine Look Jodi Bowers 5604 SW Lee Blvd., Ste. 310 Lawton, OK 73505 580-531-6408 masked Director of Practice Management Capella Southwestern Surgical LFP_Lawton Family Practice 5604 SW LEE BLVD STE 245 LAWTON OK 73505-9663 580-531-4845 jodi.bowers@capellahealth.com Provider Int 3 Complete 2014/05/06 12:00:00 2014/11/07 12:00:00 2014/11/07 04:57:22 UV 2.16.840.1.113883.3.5008 lfpmason LFP_Mason Jodi Bowers masked Katherine Look Jodi Bowers 5604 SW Lee Blvd., Ste. 310 Lawton, OK 73505 580-531-6408 masked Director of Practice Managment Capella Southwestern Surgical LFP_Mason 5606 SW LEE BLVD STE 303 LAWTON OK 73505-9618 580-531-6455 jodi.bowers@capellahealth.com Provider Int 3 Complete 2014/05/06 12:00:00 2014/11/07 12:00:00 2014/11/07 04:59:51 UV 2.16.840.1.113883.3.5009 mpccollinsville MPC Collinsville Hope May masked Katherine Look Hope May 9210 N 104th E Ave Owasso, OK 74055 (918) 745-0800 masked Clinic Manager Milestone Pediatric Care MPC Collinsville 1101 WEST MAIN STE 112 COLLINSVILLE OK 74021-3112 (918) 745-0800 hope@milestonespc.com Provider Int 3 Complete 2014/05/06 12:00:00 2014/11/07 12:00:00 2014/11/07 05:06:06 UV 2.16.840.1.113883.3.5010 mpc103 MPC 103RD STREET Hope May masked Katherine Look Hope May 9210 N 104th E Ave Owasso, OK 74055 (918) 745-0800 masked Clinic Manager Milestone Pediatric Care, PLLC MPC 103RD STREET 3863 S 103RD E AVE TULSA OK 74146-2443 (918) 745-0800 hope@milestonespc.com Provider Int 3 Complete 2014/05/06 12:00:00 2014/11/07 12:00:00 2014/11/07 05:07:59 UV 2.16.840.1.113883.17.3962 mfolk Mark N Folkening, MD, PC Tracie Steele masked Mark N Folkening Tracie Steele 400 S State Street Suite 200 Zeeland, MI 49464 6167419720 masked Insurance Billing Mark N Folkening, MD, PC 400 S State Street Suite 200 Zeeland, MI 49464 6167419720 mfolkening1@gmail.com Provider Int 17 Complete 2014/05/06 12:00:00 2014/11/07 12:00:00 2014/11/07 05:10:39 UV 2.16.840.1.113883.3.1871.3.841 wamcept IND OK WELL AGAIN MEDICAL CARE Lynn Rice masked Lynn Rice 214-951-5638 masked lead application developer-interfaces SSMHC 7980 Clayton Rd St Louis MO 63113 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.841 2014/05/06 12:00:00 2014/11/07 12:00:00 2014/11/07 05:13:33 UV 2.16.840.1.113883.3.5011 mcknightclinic McKnight Clinic OID Root Debborah Norwood masked Debbie Norwood 25 Woodbridge Rd Somerville, TN 38068-1242 901-465-6353 masked Office Manager McKnight Clinic 25 Woodbridge Rd Somerville, TN 38068-1242 901-465-6353 dnorwood@mcknightclinic.com Provider Int 3 Complete 2014/05/06 12:00:00 2014/11/07 12:00:00 2014/11/07 05:14:43 UV 2.16.840.1.113883.3.1097.9.91780102 tscsh Troy Sleep Center Sterling Heights Bradley Garfield masked Michel Alkhalil 37771 Schoenherr Rd Ste 107 Sterling Heights, MI 48312 248-689-1000 masked Provider Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91780102 2014/05/06 12:00:00 2014/11/07 12:00:00 2014/11/07 05:17:57 UV 2.16.840.1.113883.3.1097.9.91830101 aairst AAIRS Clinic Troy Bradley Garfield masked Michel Alkhalil, M.D. 1500 W Big Beaver Rd Ste 107 Troy, MI 48084 248-689-1000 masked Provider Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91830101 2014/05/06 12:00:00 2014/11/07 12:00:00 2014/11/07 05:21:16 UV 2.16.840.1.113883.3.1097.9.91830102 aairsw AAIRS Clinic Warren Bradley Garfield masked Michel Alkhalil, M.D. 30117 Schoenherr Rd Ste 100 Warren, MI 48088 248-689-1000 masked Provider Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91830102 2014/05/06 12:00:00 2014/11/07 12:00:00 2014/11/07 05:22:29 UV 2.16.840.1.113883.3.4848.1 lrmc-CommonWell UF Health Central Florida Leesburg Hospital Jeffrey James masked Steve Lambert 600 East Dixie Avenue Leesburg, Florida 34748 352-323-5276 masked Interface Programmer UF Health Central Florida Leesburg Hospital 600 East Dixie Avenue Leesburg, Florida 34748 352-323-5280 itsoftware@centflhealth.org http://www.centflhealth.org Provider 2.16.840.1.113883.3.4848 Ext 14 Complete 2.16.840.1.113883.3.4848.1 2014/05/06 12:00:00 2014/10/18 12:00:00 2020/07/02 11:15:22 UV 2.16.840.1.113883.3.4848.2 tvrh-CommonWell UF Health Central Florida The Villages Hospital Jeffrey James masked Steve Lambert 600 East Dixie Avenue Leesburg, Florida 34748 352-323-5276 masked Interface Programmer UF Health Central Florida The Villages Hospital 1451 El Camino Real The Villages, Florida 32159 352-751-8000 itsoftware@centflhealth.org http://www.centflhealth.org Provider 2.16.840.1.113883.3.4848 Ext 14 Complete 2.16.840.1.113883.3.4848.2 2014/05/06 12:00:00 2014/10/18 12:00:00 2020/07/02 11:15:51 UV 2.16.840.1.113883.3.4848.3 tvrh-alb Alliance Labs LLC at The Villages Regional Hospital Clinical Pathology Lab Jeffrey James masked Steve Lambert 600 East Dixie Avenue Leesburg, Florida 34748 352-232-5276 masked Interface Programmer Alliance Labs LLC at The Villages Regional Hospital Clinical Pathology Lab 1451 El Camino Real Lady Lake, Florida 32159 352-751-8000 slambert@centflhealth.org http://www.cfhalliance.org Provider 2.16.840.1.113883.3.4848 Ext 14 Complete 2.16.840.1.113883.3.4848.3 2014/05/06 12:00:00 2014/10/18 12:00:00 2020/05/20 07:41:21 UV 2.16.840.1.113883.3.4848.4 lrmc-alb Alliance Labs LLC at Leesburg Regional Medical Center Clinical Pathology Lab Jeffrey James masked Steve Lambert 600 East Dixie Avenue Leesburg, Florida 34748 352-323-5276 masked Interface Programmer Alliance Labs LLC at Leesburg Regional Medical Center Clinical Pathology Lab 600 East Dixie Avenue Leesburg, Florida 34748 352-323-5000 slambert@centflhealth.org http://www.cfhalliance.org Provider 2.16.840.1.113883.3.4848 Ext 14 Complete 2.16.840.1.113883.3.4848.4 2014/05/06 12:00:00 2014/10/18 12:00:00 2020/05/20 07:43:40 UV 2.16.840.1.113883.3.5012 drobert Paul M. Obert MD OID Root Patti Moon masked Patti Moon 100 Pilot Medical Dr. #255 Birmingham, AL 35235 205-716-6385 masked Office Manager Paul M. Obert MD 100 Pilot Medical Dr. #255 Birmingham, AL 35235 205-716-6385 patti.moon@hotmail.com Provider Int 3 Complete 2014/05/07 12:00:00 2014/11/07 12:00:00 2014/11/07 05:25:49 UV 2.16.840.1.113883.3.5013 amc Archbold Medical Center (Enterprise) Leonard Howard masked Leonard Howard Archbold Medical Center Information Services Administrative Services Building 900 Cairo Road Thomasville, Georgia 31792 229.227.5154 masked IS Service Delivery Manager Archbold Medical Center Archbold Medical Center Information Services Administrative Services Building 900 Cairo Road Thomasville, Georgia 31792 229.227.5154 wlhoward@archbold.org http://www.archbold.org Provider Int 3 Complete 2014/05/07 12:00:00 2014/11/07 12:00:00 2014/11/07 05:27:56 UV 2.16.840.1.113883.17.3963 seea AmyDSeeber Mark Rooker masked Amy Seeber Mark Rooker 720 W Central Ave El Dorado, KS 67042 316-322-4518 masked Director IT Susan B. Allen Memorial Hospital 720 W Central Ave El Dorado, KS 67042 316-321-3300 mrooker@sbamh.org Provider Int 17 Complete 2014/05/07 12:00:00 2014/12/31 12:00:00 2014/12/31 10:03:45 UV 2.16.840.1.113883.17.3964 tipk KyleMTipton Mark Rooker masked Kyle Tipton Mark Rooker 720 W. Central Ave El Dorado, KS 67042 316-322-4518 masked Director IT Susan B. Allen Memorial Hospital 720 W Central Ave El Dorado, KS 67042 316-321-3300 mrooker@sbamh.org Provider Int 17 Complete 2014/05/07 12:00:00 2014/12/31 12:00:00 2014/12/31 10:07:41 UV 2.16.840.1.113883.17.3965 kuhh HenryRKuhns Mark Rooker masked Henry Kuhns Mark Rooker 720 W Central Ave El Dorado, KS 67042 316-322-4518 masked Director IT Susan B. Allen Memorial Hospital 720 W Central Ave El Dorado, KS 67042 316-321-3300 mrooker@sbamh.org Provider Int 17 Complete 2014/05/07 12:00:00 2014/12/31 12:00:00 2014/12/31 10:10:51 UV 2.16.840.1.113883.17.3966 vega AlejandroAVega Mark Rooker masked Alejandro Vega Mark Rooker 720 W Central El Dorado, KS 67042 316-322-4518 masked Director IT Susan B. Allen Memorial Hospital 720 W Central El Dorado, KS 67042 316-321-3300 mrooker@sbamh.org Provider Int 17 Complete 2014/05/07 12:00:00 2014/12/31 12:00:00 2014/12/31 10:11:59 UV 2.16.840.1.113883.17.3967 cbfc Cherry Bend Family Care Jennifer Littlefield masked Jennifer 231-929-7933 masked FNP-office support Cherry Bend Family Care 10223 E. Cherry Bend Rd Traverse City, MI 49684 231-929-7933 jenniferlittlefield1968@yahoo.com http://cherrybendfamilycare.com Provider Int 17 Complete 2014/05/07 12:00:00 2014/12/31 12:00:00 2014/12/31 10:15:25 UV 2.16.840.1.113883.17.3968 mckc CamilleAMckesey Mark Rooker masked Camille Mckesey Mark Rooker 720 W Central Ave El Dorado, KS 67042 316-322-4518 masked Director It Susan B. Allen Memorial Hospital 720 W Central Ave El Dorado, KS 67042 316-321-3300 mrooker@sbamh.org Provider Int 17 Complete 2014/05/07 12:00:00 2014/12/31 12:00:00 2014/12/31 10:16:35 UV 2.16.840.1.113883.3.1070.5906 mckesson-fusion-5906 mckesson-fusion-5906 Harry Callier masked Fusion enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5906 2014/05/07 12:00:00 2014/11/07 12:00:00 2014/11/07 05:54:28 US 2.16.840.1.113883.17.3969 mckp PaulOMckesey Mark Rooker masked Paul Mckesey Mark Rooker 720 W Central Ave El Dorado, KS 67042 316-322-4518 masked Director IT Susan B. Allen Memorial Hospital 720 W Central Ave El Dorado, KS 67042 316-321-3300 mrooker@sbamh.org Provider Int 17 Complete 2014/05/07 12:00:00 2014/12/31 12:00:00 2014/12/31 10:17:45 UV 2.16.840.1.113883.17.3970 shal LawrencePShank Mark Rooker masked Larry Shank Mark Rooker 720 W Central Ave El Dorado, KS 67042 316-321-4518 masked Director IT Susan B. Allen Memorial Hospital 720 W Central Ave El Dorado, KS 67042 316-321-3300 mrooker@sbamh.org Provider Int 17 Complete 2014/05/07 12:00:00 2014/12/31 12:00:00 2014/12/31 10:27:50 UV 2.16.840.1.113883.3.5014 empact EMPACT-Suicide Prevention Center Lynn Hartline masked David Waechter 618 South Madison Drive Tempe AZ 85281 480-736-4922 masked Director of IT EMPACT-Suicide Prevention Center 618 South Madison Drive Tempe AZ 85281 480-784-1514 David.Waechter@LaFrontera-EMPACT.org http://www.lafrontera-empact.org Provider Int 3 Complete 2014/05/07 12:00:00 2014/12/11 12:00:00 2018/09/06 02:30:03 UV 2.16.840.1.113883.17.3971 shae EveCollinsShank Mark Rooker masked Eve Collins Shank Mark Rooker 720 W Central Ave El Dorado, KS 67042 316-322-4518 masked Director IT Susan B. Allen Memorial Hospital 720 W Central Ave El Dorado, KS 67042 316-321-3300 mrooker@sbamh.org Provider Int 17 Complete 2014/05/07 12:00:00 2014/12/31 12:00:00 2014/12/31 10:28:54 UV 2.16.840.1.113883.9.154 azkrmclab Kingman Regional Medical Center Laboratory Michael Oursler masked Leslie Juzek 3269 Stockton Hill Road Kingman, AZ 86409 9282633858 masked Director of Quality Managment Kingman Regional Medical Center Laboratory 3269 Stockton Hill Road Kingman, AZ 86409 9282633858 ljuzek@azkrmc.com http://www.azkrmc.com Provider Int 3 Complete 2014/05/07 12:00:00 2014/11/07 12:00:00 2023/08/24 10:45:09 UV 2.16.840.1.113883.3.2403.6 cHC CHC Emergency Department Joel Lederman masked Joel Lederman 274 E. Chicago Street Coldwater, MI 49036 517-279-5345 masked Director of Information Technology Community Health Center of Branch County 274 E. Chicago Street Coldwater, MI 49036 517-279-5400 jlederman@chcbc.com Provider 2.16.840.1.113883.3.2403 Ext 17 Complete 2.16.840.1.113883.3.2403.6 2014/05/07 12:00:00 2014/11/07 12:00:00 2014/11/07 06:04:33 UV 2.16.840.1.113883.3.5015 singhsurg Singh Surgical Associates OID Root Babena Singh masked Babena Singh PO Box 550790 Gastonia, NC 28055-0790 704-864-6484 masked Office Manager Singh Surgical Associates PO Box 550790 Gastonia, NC 28055-0790 704-864-6484 jeetsingh@mac.com Provider Int 3 Complete 2014/05/07 12:00:00 2014/11/07 12:00:00 2014/11/07 06:06:36 UV 2.16.840.1.113883.3.5016 jdamh John D. Archbold Memorial Hospital Leonard Howard masked Leonard Howard Archbold Medical Center Information Services Administrative Services Building 900 Cairo Road Thomasville, Georgia 31792 229.227.5154 masked Archbold Medical Center Archbold Medical Center Information Services Administrative Services Building 900 Cairo Road Thomasville, Georgia 31792 229.227.5154 wlhoward@archbold.org http://www.archbold.org Provider 2.16.840.1.113883.3.5013 Int 3 Complete 2014/05/07 12:00:00 2014/11/07 12:00:00 2014/11/07 06:09:08 UV 2.16.840.1.113883.3.5017 totalfootcare Total Foot Care, PA OID Root Alexander Terris masked Alexander Terris 607 W. 18th Street Wilmington, DE 19802-4707 302-652-5601 masked DPM/ Owner Total Foot Care, PA 607 W. 18th Street Wilmington, DE 19802-4707 302-652-5601 alext0923@gmail.com Provider Int 3 Complete 2014/05/07 12:00:00 2014/11/07 12:00:00 2014/11/07 06:09:53 UV 2.16.840.1.113883.3.1070.5689 mckesson-fusion-5689 mckesson-fusion-5689 Harry Callier masked Fusion enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5689 2014/05/08 12:00:00 2014/11/07 12:00:00 2014/11/07 06:11:39 US 2.16.840.1.113883.3.949.1 ollmc Our Lady of Lourdes Medical Center Dave Stratton masked Dave Stratton 610-492-3752 masked Integration Manager CHENJ Soarian Enterprise Catholic Health East 3805 West Chester Pike Suite 100 Newtown Square PA 19073 dstratton@che.org http://www.che.org Provider 2.16.840.1.113883.3.949 Ext 14 Complete 2.16.840.1.113883.3.949.1 2014/05/08 12:00:00 2014/11/07 12:00:00 2014/11/07 06:14:44 UV 2.16.840.1.113883.3.942.2 lmcbc Lourdes Medical Center Burlington County Dave Stratton masked Dave Stratton Catholic Health East 3805 West Chester Pike Suite 100 Newtown Square Pa 19073 610-492-3752 masked Integration Manager CHENJ Soarian Enterprise Catholic Health East 3805 West Chester Pike Suite 100 Newtown Square Pa 19073 610-492-3752 dstratton@che.org http://www.che.org Provider 2.16.840.1.113883.3.942 Ext 14 Complete 2.16.840.1.113883.3.942.2 2014/05/08 12:00:00 2014/12/15 12:37:36 UV 2.16.840.1.113883.3.493.914 gspHealth Great Salt Plains Health Center Bard Moss masked Tim Starkey Tim Starkey Great Salt Plains Health Center 405 S Oklahoma Ave Cherokee, OK 73728 580-596-2800 masked CEO Great Salt Plains Health Center 405 S Oklahoma Ave Cherokee, OK 73728 580-596-2800 gsphadmin@gsphealth.org http://www.gsphealth.org/ Provider 2.16.840.1.113883.3.493 Ext 14 Complete 2.16.840.1.113883.3.493.914 2014/05/08 12:00:00 2014/11/07 12:00:00 2014/11/07 06:38:58 UV 2.16.840.1.113883.3.493.914.4 gsph Great Salt Plains Health Center Bard Moss masked Tim Starkey Tim Starkey Great Salt Plains Health Center 405 S Oklahoma Ave Cherokee, OK 73728 580-596-2800 masked CEO Great Salt Plains Health Center 405 S Oklahoma Ave Cherokee, OK 73728 580-596-2800 gsphadmin@gsphealth.org http://gsphealth.org/ Provider 2.16.840.1.113883.3.493.914 Ext 14 Complete 2.16.840.1.113883.3.493.914.4 2014/05/08 12:00:00 2014/11/07 12:00:00 2014/11/07 06:42:11 UV 2.16.840.1.113883.3.493.951 ecofhealth East Central Oklahoma Family Health Center Bard Moss masked Donna Dyer Donna Dyer ECOFHC 109 S Main Wetumka, OK 74883 405-452-5400 masked CEO East Central Oklahoma Family Health Center 109 S Main Wetumka, OK 74883 405-452-5400 ecoadmin@ecofhc.org http://www.ecofhc.org/ Provider 2.16.840.1.113883.3.493 Ext 14 Complete 2.16.840.1.113883.3.493.951 2014/05/08 12:00:00 2014/11/07 12:00:00 2014/11/07 06:45:04 UV 2.16.840.1.113883.3.949.2 lmc-bc Lourdes Medical Center Burlington Cty. Dave Stratton masked Dave Stratton 610-492-3752 masked Integration Manager CHENJ Soarian Enterprise Catholic Health East 3805 West Chester Pike Suite 100 Newtown Square PA 19073 610-492-3752 dstratton@che.org http://www.che.org Provider 2.16.840.1.113883.3.949 Ext 14 Complete 2.16.840.1.113883.3.949.2 2014/05/08 12:00:00 2014/11/07 12:00:00 2014/11/07 06:23:38 UV 2.16.840.1.113883.3.493.951.4 ecofhc East Central Oklahoma Family Health Center Bard Moss masked Donna Dyer Donna Dyer ECOFHC 109 S Main Wetumka, OK 74883 405-452-5400 masked CEO East Central Oklahoma Family Health Center 109 S Main Wetumka, OK 74883 405-452-5400 ecoadmin@ecofhc.org http://www.ecofhc.org/ Provider 2.16.840.1.113883.3.493.951 Ext 14 Complete 2.16.840.1.113883.3.493.951.4 2014/05/08 12:00:00 2014/11/07 12:00:00 2014/11/07 06:47:50 UV 2.16.840.1.113883.3.949.3 stfrnj St Francis Medical Center Trenton Dave Stratton masked Dave Stratton 610-492-3752 masked Integration Manager CHENJ Soarian Enterprise Catholic Health East 3805 West Chester Pike Suite 100 Newtown Square PA 19073 610-492-3752 dstratton@che.org http://www.che.org Provider 2.16.840.1.113883.3.949 Ext 14 Complete 2.16.840.1.113883.3.949.3 2014/05/08 12:00:00 2014/11/07 12:00:00 2014/11/07 06:29:55 UV 2.16.840.1.113883.3.5018 llumcm Loma Linda University Medical Center Murrieta Justin Harlan masked Justin Harlan 28062 Baxter Rd Suite 110B Information Technology Murrieta, CA 92563 9517041715 masked Clinical Informatics Specialist Loma Linda University Medical Center Murrieta 28062 Baxter Rd Murrieta, CA 92563 9512904000 jharlan@llu.edu Provider Int 3 Complete 2014/05/08 12:00:00 2014/11/07 12:00:00 2014/11/07 06:50:14 UV 2.16.840.1.113883.3.949.4 stminj St Michael's Medical Center NJ Dave Stratton masked Dave Stratton 610-492-3752 masked CHENJ Soarian Enterprise Catholic Health East 3805 West Chester Pike Suite 100 Newtown Square PA 19073 610-492-3752 dstratton@che.org http://www.che.org Provider 2.16.840.1.113883.3.949 Ext 14 Complete 2.16.840.1.113883.3.949.4 2014/05/08 12:00:00 2014/11/07 12:00:00 2014/11/07 06:32:31 UV 2.16.840.1.113883.3.5019 dprov Provenance for Clinical Document Architecture (CDA R2) Documents Implementation Guide Ioana Singureanu masked Ioana Singureanu 8 Woodvue Road Windham, NH 03087 6035485640 masked Publication and Modeling Facilitator HL7 Community Based Collaborative Care WG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA (+1) 734-677-7777 hq@HL7.org http://www.hl7.org/Special/committees/homehealth/index.cfm HL7 body Int 3 Complete 2014/05/08 12:00:00 2014/11/07 12:00:00 2014/11/07 06:51:59 UV 2.16.840.1.113883.3.1070.5828 mckesson-fusion-5828 mckesson-fusion-5828 Jaime Cummins masked Fusion Enrollment 8775074541 masked Fusion Enrollment jaime.cummins@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5828 2014/05/08 12:00:00 2014/11/07 12:00:00 2014/11/07 06:55:20 US 2.16.840.1.113883.3.5020 wcdh Wray Community District Hospital Jennie Sullivan masked Jacque Jones email-jacque.jones@bannerhealth.com Jacque Jones 1017 W. 7th Street Wray, CO. 80758 970-332-4811 masked Clinical Informatics/RN Wray community District Hospital 1017 W. 7th Street Wray, CO 80758 970-332-4811 jacque.jones@bannerhealth.com Provider Int 3 Complete 2014/05/08 12:00:00 2014/11/07 12:00:00 2014/11/07 06:58:11 UV 2.16.840.1.113883.3.5021 hmhky Hardin Memorial Health Vik Patel masked Kendra Pence Vik Patel Hardin Memorial Hospital IT Department 913 N. Dixie Ave Elizabethtown KY 42701 2704954779 masked Integration Architect Hardin Memorial Health 913 N. Dixie Ave Elizabethtown, KY 42701 2707061173 kpence@hmh.net Provider Int 3 Complete 2014/05/08 12:00:00 2014/11/07 12:00:00 2014/11/07 06:59:57 UV 2.16.840.1.113883.3.5022 myownHIE MyownHIE Root OID Narasimhan Kannan masked Narasimhan Kannan 13824 JEFFERSON PARK DR APT 6105 Herndon, VA 20171 9253530197 masked Narasimhan Kannan 13824 JEFFERSON PARK DR APT 6105 Herndon, VA 20171 9253530197 narikannan@gmail.com Exchange Int 3 Complete 2014/05/08 12:00:00 2014/11/07 12:00:00 2014/11/07 07:01:38 UV 2.16.840.1.113883.3.5023 southhavenhealthsystem South Haven Health System OID Root Dennis Sorenson masked Mark Gross 955 South Bailey Avenue South Haven, Michigan 49090 (269) 639-2822 masked Executive Vice President / Chief Financial Officer South Haven Health System South Haven Health System 955 South Bailey Avenue South Haven, Michigan 49090 (269) 637-5271 mgross@sh-hs.org http://www.sh-hs.org/ Provider Int 3 Complete 2014/05/09 12:00:00 2014/11/07 12:00:00 2014/11/07 07:04:47 UV 2.16.840.1.113883.3.1076.6 mcer Medical Complex Emergency Room Danny Kelley masked Danny Kelley 870-262-1435 masked Director of Information Systems White River Health System 870-262-1435 IS@wrmc.com http://www.whiteriverhealthsystem.com Provider 2.16.840.1.113883.3.1076 Ext 14 Complete 2.16.840.1.113883.3.1076.6 2014/05/09 12:00:00 2014/11/07 12:00:00 2014/11/07 07:11:57 UV 2.16.840.1.113883.3.1145.2 edfacility War Memorial Hospital ED Facility Sandrad DePlonty masked Kathryn Wood Sandra DePlonty 500 Osborn Boulevard Sault Sainte Marie, MI 49783 9066354663 masked Senior Director of Clinical Services Chippewa County War Memorial Hospital 500 Osborn Boulevard Sault Sainte Marie, MI 49783 9066354476 sandra.deplonty@mymichigan.org http://www.warmemorialhospital.org Provider 2.16.840.1.113883.3.1145 Ext 17 Complete 2.16.840.1.113883.3.1145.2 2014/05/09 12:00:00 2014/11/07 12:00:00 2023/06/28 01:07:02 UV 2.16.840.1.113883.3.5025 aspirusup Aspirus Health System Ronald Eyer masked Ronald Eyer N10561 Grand View Lane Ironwood, MI 49938 906-932-7001 masked Manager of Informaiton Systems Aspirus Health System N10561 Grand View Lane Ironwood, MI 49938 906-932-7001 ron.eyer@aspirusgrandview.org http://www.aspirusgrandview.org/ Provider Int 3 Complete 2014/05/09 12:00:00 2014/11/07 12:00:00 2014/11/07 07:10:19 UV 2.16.840.1.113883.17.3972 agvh Aspirus Grand View Ronald Eyer masked Ronald Eyer N10561 Grand View Lane Ironwood, MI 49938 906 -932-7001 masked Manager of Information Systems Aspirus Health System N10561 Grand View Lane Ironwood, MI 49938 906-932-7001 ron.eyer@aspirusgrandview.org http://www.aspirusgrandview.org/ Provider 2.16.840.1.113883.3.5025 Int 17 Complete 2014/05/09 12:00:00 2014/11/07 12:00:00 2014/11/07 07:18:10 UV 2.16.840.1.113883.3.1097.9.90600102 rcpcsf Renal Consultants Melissa Mele masked Dr. Reddy 29877 Telegragh Ste 200 Soutfield, MI 48034 248-250-9474 masked Physician Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90600102 2014/05/09 12:00:00 2014/11/07 12:00:00 2014/11/07 07:20:32 UV 2.16.840.1.113883.17.3973 akh Aspirus Keweenaw Hospital Ronald Eyer masked Ronald Eyer N10561 Grand View Lane Ironwood, Mi 49938 909-932-7001 masked Management of Information Systems Aspirus Health System N10561 Grand View Lane Ironwood, Mi 49938 906-932-7001 ron.eyer@aspirusgrandview.org http://www.aspirusgrandview.org/ Provider 2.16.840.1.113883.3.5025 Int 17 Complete 2014/05/09 12:00:00 2014/11/07 12:00:00 2014/11/07 07:23:39 UV 2.16.840.1.113883.17.3974 akh1 Aspirus Keweenaw Hospital 1 Ronald Eyer masked Ronald Eyer N10561 Grand View Lane Ironwood, Mi 49938 909-932-7001 masked Management of Information Systems Aspirus Health System N10561 Grand View Lane Ironwood, Mi 49938 906-932-7001 ron.eyer@aspirusgrandview.org http://www.aspirusgrandview.org/ Provider 2.16.840.1.113883.3.5025 Int 17 Complete 2014/05/09 12:00:00 2014/11/07 12:00:00 2014/11/07 07:32:05 UV 2.16.840.1.113883.17.3975 aoh1 Aspirus Ontonagon Hospital Ronald Eyer masked Ronald Eyer Aspirus Grand View N10561 Grand View Lane Ironwood, MI 49938 906-932-7001 masked Management of Information System Aspirus Health System N10561 Grand View Lane Ironwood, MI 49938 906-932-7001 ron.eyer@aspirusgrandview.org http://www.aspirusgrandview.org/ Provider 2.16.840.1.113883.3.5025 Int 17 Complete 2014/05/09 12:00:00 2014/11/07 12:00:00 2014/11/07 07:33:05 UV 2.16.840.1.113883.3.1097.1.1730069 pedneu Pediatrics Neurology Melissa Mele masked Elieen McCormick 3535 W 13 Mile Rd St 605 Royal Oak, MI, 48073 248-551-7370 masked Physician Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730069 2014/05/09 12:00:00 2014/11/07 12:00:00 2014/11/07 07:36:11 UV 2.16.840.1.113883.3.1097.9.91640101 pasm AMB Phillips & Sacksner Melissa Mele masked Carole Paul 6900 Orchard Lake Rd Ste 203 West Bloomfield, MI 48322 248-865-2575 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91640101 2014/05/09 12:00:00 2014/11/07 12:00:00 2014/11/07 07:38:15 UV 2.16.840.1.113883.3.1097.9.90190101 boc AMB WBH Ortho Center Melissa Mele masked Kyle Anderson 3535 W. 13 Mile Rd Ste 742 Royal Oak, MI 48073 248-551-9100 masked Physician Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90190101 2014/05/09 12:00:00 2014/11/07 12:00:00 2014/11/07 07:40:08 UV 2.16.840.1.113883.3.1097.9.91750101 vcmd Corondan Medical Center Melissa Mele masked Victor Corondan 14050 E 14 Mile Rd Warren, MI 48088 586-871-1116 masked Physician Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91750101 2014/05/09 12:00:00 2014/11/07 12:00:00 2014/11/07 07:41:33 UV 2.16.840.1.113883.3.1097.1.1260001 cgcc Beaumont Cancer Genetics Program Melissa Mele masked Dana Zakalik 3577 W. Thirteen Mile Rd Royal Oak, MI 48073 248-551-3388 masked Physician Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1260001 2014/05/09 12:00:00 2014/11/07 12:00:00 2014/11/07 07:43:58 UV 2.16.840.1.1145190.30.101 loc1 AeHN-Location1 Rebecca Madison masked Rebecca Madison 907-770-2626 masked Executive Director AeHN-Location 1 4000 Old Seward Highway, Suite 203 Anchorage, Ak 99503 rebecca@ak-ehealth.org Provider 2.16.840.1.1145190 Ext 14 Complete 2.16.840.1.1145190.30.101 2014/05/09 12:00:00 2014/11/07 12:00:00 2014/11/07 07:46:19 UV 2.16.840.1.113883.3.5026 tykesandteens Tykes and Teens Inc Jeff Shearer masked Debbie Holtgard Debbie Holtgard 2770 Indian River Blvd, Suite 308 Vero Beach, FL 32960 719-694-1062 masked EDI Support AZZLY 2770 Indian River Blvd, Suite 308 Vero Beach, FL 32960 772-567-0206 vendorservices@azzly.com http://www.azzly.com Vendor 2.16.840.1.113883.3.662 Int 3 Complete 2014/05/09 12:00:00 2014/11/07 12:00:00 2014/11/07 07:57:01 UV 2.16.840.1.113883.3.5027 commoninf Commonwealth Informatics Robert Zambarano masked Robert Zambarano 3908 Ridgelea Drive Austin, TX 78731 (512) 206-0086 masked Principal Consultant Commonwealth Informatics 260 Charles Street Waltham, MA 02452 (781) 209-5015 info@commoninf.com http://www.commoninf.com/ Vendor Int 3 Complete 2014/05/10 12:00:00 2014/11/07 12:00:00 2014/11/07 08:02:14 UV 2.16.840.1.113883.3.1097.1.2180001 oscsh Cancer Genetics OSCSH Melissa Mele masked Dana Zakalik 44344 Dequindre Rd Sterling Heights, MI, 48314 248-551-3388 masked Physician Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2180001 2014/05/12 12:00:00 2014/11/07 12:00:00 2014/11/07 08:03:50 UV 2.16.840.1.113883.3.1097.1.1730073 pulmfh PULMONARY FARMINGTON HILLS Melissa Mele masked Dina Gargano 29645 W. 14 Mile Rd Farmington Hills, MI, 48334 248-551-0497 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 3 Complete 2.16.840.1.113883.3.1097.1.1730073 2014/05/12 12:00:00 2014/11/07 12:00:00 2014/11/07 08:08:29 UV 2.16.840.1.113883.3.1620.103 oidInitiate Initiate System Matthew Albright masked Matthew Albright 2001 Bryan St, Ste 2400 Dallas, TX 75201 214-820-3185 masked Baylor Health Care System 3500 Gaston Avenue Dallas, Tx 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.103 2014/05/12 12:00:00 2014/11/07 12:00:00 2014/11/07 08:10:21 UV 2.16.840.1.113883.3.5025.100 agver Aspirus Grand View ER Ronald Eyer masked Ronald Eyer N10561 Grand View Lane Ironwood, MI 49938 906-932-7001 masked Manager of Information Systems Aspirus Health System N10561 Grand View Lane Ironwood, MI 49938 906-932-7001 ron.eyer@aspirusgrandview.org http://www.aspirusgrandview.org/ Provider 2.16.840.1.113883.3.5025 Ext 17 Complete 2.16.840.1.113883.3.5025.100 2014/05/12 12:00:00 2014/11/08 12:00:00 2014/11/08 10:40:36 UV 2.16.840.1.113883.3.5025.101 agvclinic Aspirus Grand View Clinic Ronald Eyer masked Ronald Eyer N10561 Grand View Lane Ironwood, MI 49938 906-932-7001 masked Manager of Information Systems Aspirus Health System N10561 Grand View Lane Ironwood, MI 49938 906-932-7001 ron.eyer@aspirusgrandview.org http://www.aspirusgrandview.org/ Provider 2.16.840.1.113883.3.5025 Ext 17 Complete 2.16.840.1.113883.3.5025.101 2014/05/12 12:00:00 2014/11/08 12:00:00 2014/11/08 10:45:32 UV 2.16.840.1.113883.3.5025.200 akher Aspirus Keweenaw ER Ronald Eyer masked Ronald Eyer N10561 Grand View Lane Ironwood, MI 49938 906-932-7001 masked Manager of Information Systems Aspirus Health System N10561 Grand View Lane Ironwood, MI 49938 906-932-7001 ron.eyer@aspirusgrandview.org http://www.aspirusgrandview.org/ Provider 2.16.840.1.113883.3.5025 Ext 17 Complete 2.16.840.1.113883.3.5025.200 2014/05/12 12:00:00 2014/11/08 12:00:00 2014/11/08 10:50:51 UV 2.16.840.1.113883.3.5025.201 akhclinic Aspirus Keweenaw Clinic Ronald Eyer masked Ronald Eyer N10561 Grand View Lane Ironwood, MI 49938 906-932-7001 masked Manager of Information Systems Aspirus Grand Health System N10561 Grand View Lane Ironwood, MI 49938 906-932-7001 ron.eyer@aspirusgrandview.org http://www.aspirusgrandview.org/ Provider 2.16.840.1.113883.3.5025 Ext 17 Complete 2.16.840.1.113883.3.5025.201 2014/05/12 12:00:00 2014/11/08 12:00:00 2014/11/08 11:00:52 UV 2.16.840.1.113883.3.5025.300 aoher Aspirus Ontonagon Emergency Room Ronald Eyer masked Ronald Eyer N10561 Grand View Lane Ironwood, MI 49938 906-932-7001 masked Manager of Information Systems Aspirus Health System N10561 Grand View Lane Ironwood, MI 49938 906-932-7001 ron.eyer@aspirusgrandview.org http://www.aspirusgrandview.org/ Provider 2.16.840.1.113883.3.5025 Ext 17 Complete 2.16.840.1.113883.3.5025.300 2014/05/12 12:00:00 2014/11/08 12:00:00 2014/11/08 11:02:16 UV 2.16.840.1.113883.3.5025.301 aohclinic Aspirus Ontonagon Clinic Ronald Eyer masked Ronald Eyer N10561 Grand View Lane Ironwood, MI 49938 906-932-7001 masked Management of Information Systems Aspirus Health System N10561 Grand View Lane Ironwood, MI 49938 906-932-7001 ron.eyer@aspirusgrandview.org http://www.aspirusgrandview.org/ Provider 2.16.840.1.113883.3.5025 Ext 17 Complete 2.16.840.1.113883.3.5025.301 2014/05/12 12:00:00 2014/11/08 12:00:00 2014/11/08 11:05:31 UV 2.16.840.1.113883.3.5028 ar-JECMH John Ed Chambers Memorial Hospital Ken Masters masked Ken Masters 719 Detroit Ave Danville AR, 72833 479-495-6310 masked IT Director John Ed Chambers Memorial Hospital (JECMH) 719 Detroit Ave Danville, AR 72833 479-495-6310 it@chambershospital.com http://www.chambershospital.com Provider Int 3 Complete 2014/05/12 12:00:00 2014/11/07 12:00:00 2014/11/07 08:13:52 UV 2.16.840.1.113883.3.5029 pcolostclare PCO LO St. Clare's Clinic Nanette Brister masked Nanette Brister 6955 Perkins Road Baton Rouge, LA 70808 225-526-4023 masked IS Programmer II St. Clare's Medical Home 601 W. St Mary Blvd, Suite 210 Lafayette, LA 70506 337-470-4222 Nanette.Brister@fmolhs.org http://www.fmolhs.net Provider Int 3 Complete 2014/05/12 12:00:00 2014/11/07 12:00:00 2014/11/07 08:15:28 UV 2.16.840.1.113883.3.5030 nlcmg Northern Lancaster County Medical Group Erika Russo masked Erika Russo Ephrata Community Hospital 169 Martin Ave Ephrata, PA 17522 717-721-8752 masked Director IT Applications Northern Lancaster County Medical Group 169 Martin Avenue PO Box 1002 Ephrata, PA 17522 717-733-0311 erikarusso@ephratahospital.org http://www.nlcmg.org Provider Int 3 Complete 2014/05/12 12:00:00 2014/11/07 12:00:00 2015/09/03 03:33:02 UV 2.16.840.1.113883.3.1871.3.103 sapofms SAPO FAMILY MEDICINE SOUTH Lynn Rice masked Lynn Rice 314-951-5638 masked Lead APplication Developer- Interfaces SSMHC 7980 Clayton Rd St Louis, MO 63113 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.103 2014/05/12 12:00:00 2014/11/08 12:00:00 2014/11/08 11:15:00 UV 2.16.840.1.113883.3.1871.3.128 sapofmhlgyn SAPO FAMILY HEALTHCARE GYN Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer- Interfaces SSMHC 7980 Clayton Rd St Louis, MO 63313 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.128 2014/05/12 12:00:00 2014/11/08 12:00:00 2014/11/08 11:20:30 UV 2.16.840.1.113883.3.1871.3.139 sapocardvscr SAPO Cardiovascular Care Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer Interfaces SSMHC 7980 Clayton Rd St Louis, MO 63113 314-951-5637 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.139 2014/05/12 12:00:00 2014/11/08 12:00:00 2014/11/08 11:22:29 UV 2.16.840.1.113883.3.1871.3.140 sapocts SAPO THOR & CARDVASC SURG Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer- Interfaces SSMHC 7980 Clayton Rd St Louis, MO 63113 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.140 2014/05/12 12:00:00 2014/11/08 12:00:00 2014/11/08 11:28:07 UV 2.16.840.1.113883.3.1871.3.150 sapomedonce SAPO MED ONCOLOGY -ELK CITY Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer SSMHC 7980 Clayton Road St Louis, MO 63113 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.150 2014/05/12 12:00:00 2014/11/08 12:00:00 2014/11/08 11:29:37 UV 2.16.840.1.113883.3.5031 utmedicalgroup UT Medical Group Keith Scarbrough masked Carlo McDonald 1407 Union Avenue, Suite 500 Memphis TN, 38104-3615 (901) 866 -8027 masked CIO UT Medical Group 1407 Union Avenue, Suite 700 Memphis, TN 38104-3615 (901) 866-8864 utmgsupport@utmg.org http://utmedicalgroup.com Provider Int 3 Complete 2014/05/12 12:00:00 2014/11/07 12:00:00 2014/11/07 08:22:13 UV 2.16.840.1.113883.3.4734.1 jsumc Jersey Shore University Medical Center Susan Chechko masked Susan Chechko 732-212-6403 masked LIS Analyst Jersey Shore University Hospital 1945 Rt 33 Neptune, NJ 07753 732-676-4335 schechko@meridianhealth.com Provider 2.16.840.1.113883.3.4734 Ext 17 Complete 2.16.840.1.113883.3.4734.1 2014/05/12 12:00:00 2014/11/08 12:00:00 2014/11/08 11:43:36 UV 2.16.840.1.113883.3.4734.2 rvw Riverview Medical Center Susan Chechko masked Susan Chechko 1945 RT 33 Neptune, NJ 07753 732-212-6403 masked LIS Analyst Riverview Medical Center Riverview Medical Center 1 Riverview Plaza Red Bank, NJ 07701 732-530-2350 schechko@meridianhealth.com Provider 2.16.840.1.113883.3.4734 Ext 17 Complete 2.16.840.1.113883.3.4734.2 2014/05/12 12:00:00 2014/11/08 12:00:00 2014/11/08 11:48:30 UV 2.16.840.1.113883.3.5032 iabuchwald Irwin A Buchwald M.D. Paula Coldwell masked Paula Coldwell one hospital drive lowell ma, 01852 978-934-8319 masked office admin Irwin A Buchwald M.D. One Hospital Drive Lowell, MA 01852 978-934-8319 coldwellpaula@gmail.com Provider Int 3 Complete 2014/05/12 12:00:00 2014/11/08 12:00:00 2014/11/08 12:00:51 UV 2.16.840.1.113883.3.5033 pcostfranciscanclinic PCO SF Franciscan Clinic Nanette Brister masked Nanette Brister 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 masked IS Programmer II St Francis Medical Home - The Franciscan Clinic 920 Oliver Road, Suite 1600A Monroe, LA 71201 318-966-7165 Nanette.Brister@fmolhs.org http://fmolhs.net Provider Int 3 Complete 2014/05/12 12:00:00 2014/11/08 12:00:00 2014/11/08 12:04:14 UV 2.16.840.1.113883.3.4734.3 mco Ocean Medical Center Susan Chechko masked Susan Chechko Meridian Health 1945 Rt 33 Neptune, NJ 07753 732-212-6403 masked LIS Analyst Meridian Health Ocean Medical Center 425 Jack Martin Blvd Brick, NJ 08753 732-840-3221 schechko@meridianhealth.com Provider 2.16.840.1.113883.3.4734 Ext 17 Complete 2.16.840.1.113883.3.4734.3 2014/05/12 12:00:00 2014/11/08 12:00:00 2014/11/08 11:51:08 UV 2.16.840.1.113883.3.4734.4 bch Bayshore Community Hospital Susan Chechko masked Susan Chechko Meridian Health 1945 Rt 33 Neptune, NJ 07753 732-212-6403 masked LIS Analyst Meridian Health Bayshore Community Hospital 727 North Beers St Holmdel, NJ 07733 732-739-5847 schechko@meridianhealth.com Provider 2.16.840.1.113883.3.4734 Ext 17 Complete 2.16.840.1.113883.3.4734.4 2014/05/12 12:00:00 2014/11/08 12:00:00 2014/11/08 11:53:49 UV 2.16.840.1.113883.3.4734.5 smc Southern Ocean Medical Center Susan Chechko masked Susan Chechko Meridian Health 1945 Rt 33 Neptune, NJ 07753 732-212-6103 masked LIS Analyst Meridian Health Southen Ocean Medical Center 1140 RT 72 West Manahawkin, NJ 08050 609-978-8900 schechko@meridianhealth.com Provider 2.16.840.1.113883.3.4734 Ext 17 Complete 2.16.840.1.113883.3.4734.5 2014/05/12 12:00:00 2014/11/08 12:00:00 2014/11/08 11:54:50 UV 2.16.840.1.113883.3.5034 pcosfconvenienceclinic PCO SF Convenience Clinic Nanette Brister masked Nanette Brister 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 masked IS Programmer II St Francis Convenience Clinic - St. Francis Clinic 920 Oliver Rd, Suite 1600B Monroe, LA 71201 318-966-6223 Nanette.Brister@fmolhs.org http://fmolhs.net Provider Int 3 Complete 2014/05/12 12:00:00 2014/11/08 12:00:00 2014/11/08 12:05:53 UV 2.16.840.1.113883.4.733 nmc-vt Northwestern Medical Center Chris Giroux masked Dennis Boucher, IS Manager Dennis Boucher Northwestern Medical Center 133 Fairfield Street St. Albans, VT 05478 802-524-1276 masked IS Manager Northwestern Medical Center Northwestern Medical Center 133 Fairfield Street St. Albans, VT 05478 802-524-1276 dboucher@nmcinc.org http://www.northwesternmedicalcenter.org Provider Int 3 Complete 2014/05/12 12:00:00 2014/11/08 12:00:00 2014/11/08 12:11:22 UV 2.16.840.1.113883.3.2148.1 jhmc Jamaica Hospital Medical Center Michael Walcheski masked Tony Gatto Michael Walcheski 8900 Van Wyck Expressway Jamaica, New York, 11418 718-206-5972 masked Applications Integration Manager Jamaica Hospital Medical Center 8900 Van Wyck Expressway Jamaica, New York, 11418 718-206-6000 tgatto@jhmc.org http://www.jamaicahospital.org/ Provider 2.16.840.1.113883.3.2148 Ext 17 Complete 2.16.840.1.113883.3.2148.1 2014/05/13 12:00:00 2014/11/08 12:00:00 2014/11/08 12:28:58 UV 2.16.840.1.113883.3.2148.2 fhmc Flushing Hospital Medical Center Michael Walcheski masked Tony Gatto Michael Walcheski 8900 Van Wyck Expressway Jamaica, New York, 11418 718-206-5972 masked Applications Integration Manager Michael Walcheski 4500 Parsons Blvd Flushing, NY 11355 718-670-5000 mwalches@jhmc.org http://www.flushinghospital.org/ Provider 2.16.840.1.113883.3.2148 Ext 17 Complete 2.16.840.1.113883.3.2148.2 2014/05/13 12:00:00 2014/11/08 12:00:00 2014/11/08 12:30:02 UV 2.16.840.1.113883.3.1871.3.151 sapovinstfv SAPO CarVasc Inst- FVW Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer Interfaces SSMHC 7980 Clayton Rd St Louis, MO 63113 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.151 2014/05/13 12:00:00 2014/11/08 12:00:00 2014/11/08 12:38:21 UV 2.16.840.1.113883.3.2148.3 trpavrehab Trump Pavillion for Nursing and Rehabilitation Michael Walcheski masked Tony Gatto Michael Walcheski 8900 Van Wyck Expressway Jamaica, NY 11418 718-206-5972 masked Applications Integration Manager Trump Pavillion for Nursing and Rehabilitation 89-40 135th Street Jamaica, NY 11418 718-206-5000 tgatto@jhmc.org http://trumppavilion.org/ Provider 2.16.840.1.113883.3.2148 Ext 17 Complete 2.16.840.1.113883.3.2148.3 2014/05/13 12:00:00 2014/11/08 12:00:00 2014/11/08 12:32:50 UV 2.16.840.1.113883.3.1871.2.153 sapomedoncad SAPO Med Oncology -ADA Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer Interfaces SSMHC 7980 Clayton Rd St Louis, MO 63113 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.2.153 2014/05/13 12:00:00 2014/11/08 12:00:00 2014/11/08 12:46:03 UV 2.16.840.1.113883.3.1871.3.154 sapomedonch SAPO MED ONCOLOGY CHA Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer - Interfaces SSMHC 7980 Clayton Rd. St Louis, MO 63113 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.154 2014/05/13 12:00:00 2014/11/08 12:00:00 2014/11/08 12:48:15 UV 2.16.840.1.113883.3.1871.3.155 sapopnmgmtp SAPO PAIN MANAGEMENT - PURCELL Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer - Interfaces SSMHC 7980 Clayton Rd St Louis, MO 63113 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.155 2014/05/13 12:00:00 2014/11/08 12:00:00 2014/11/08 12:52:44 UV 2.16.840.1.113883.3.1871.3.156 sapocvscha SAPO CARDIO VASCULAR SPECIALIST - CHICKASHA Lynn Rice masked Lynn Rice 7980 Clayton Rd 314-951-5638 masked Lead Application Developer - Interfaces SSMHC 7980 Clayton Rd St Louis, MO 63113 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.156 2014/05/13 12:00:00 2014/11/08 12:00:00 2014/11/08 12:56:28 UV 2.16.840.1.113883.3.1871.3.157 sapocvspaul SAPO CARDIOVASCULAR SPECIALIST - PAUL Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer - Interfaces SSMHC 7980 Clayton Rd St Louis, MO 63113 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.157 2014/05/13 12:00:00 2014/11/08 12:00:00 2014/11/08 01:06:48 UV 2.16.840.1.113883.3.4420.1 allegiance-ER Allegiance Health Emergency Department Benny Chirackal masked Benny Chirackal 1 Jackson Square Jackson, MI 49201 5177884800 masked Interface Analyst Allegiance Health 205 N East Ave Jackson, MI 49201 5177884800 benny.chirackal@allegiancehealth.org http://www.allegiancehealth.org Provider 2.16.840.1.113883.3.4420 Ext 14 Complete 2.16.840.1.113883.3.4420.1 2014/05/13 12:00:00 2014/11/08 12:00:00 2014/11/08 01:10:42 UV 2.16.840.1.113883.3.1871.3.158 sapocvschk SAPO CARDVASC SPEC-SHK Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer Interfaces SSMHC 7980 Clayton Rd St Louis, MO 63113 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.158 2014/05/13 12:00:00 2014/11/08 12:00:00 2014/11/08 01:14:40 UV 2.16.840.1.113883.3.1871.3.159 sapocvshvle SAPO CARDVASC SPC-HVLE Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer- Interfaces SSMHC 7980 Clayton Rd. St Louis, MO 63113 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.159 2014/05/13 12:00:00 2014/11/08 12:00:00 2014/11/08 01:16:15 UV 2.16.840.1.113883.3.1871.3.160 sapocvsdunc SAPO CARDVASC SPECIALIST - DUNCAN Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer- Interfaces SSMHC 7980 Clayton Rd St Louis, MO 63113 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.160 2014/05/13 12:00:00 2014/11/08 12:00:00 2014/11/08 01:18:53 UV 2.16.840.1.113883.3.1871.3.165 sapocardseil SAPO CARDVASC INST-SEL Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer - Interfaces SSMHC 7980 Clayton Rd St Louis, MO 63113 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.165 2014/05/13 12:00:00 2014/11/08 12:00:00 2014/11/08 01:22:56 UV 2.16.840.1.113883.3.1871.3.167 sapomobilius SAPO MOBILE US Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer-Interfaces SSMHC 7980 Clayton Rd St Louis, MO 63113 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.167 2014/05/13 12:00:00 2014/11/08 12:00:00 2014/11/08 01:24:30 UV 2.16.840.1.113883.3.1070.5896 mckesson-fusion-5896 mckesson-fusion-5896 Harry Callier masked Fusion enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5896 2014/05/13 12:00:00 2014/11/07 12:00:00 2014/11/07 08:25:29 US 2.16.840.1.113883.3.1871.3.168 sapostafmeds SAPO ST ANTHY FM MEDS Lynn Rice masked Lynn Rice 314-951-5838 masked Lead Application Developer - Interfaces SSMHC 7980 Clayton Rd St Louis, MO 63113 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.168 2014/05/13 12:00:00 2014/11/08 12:00:00 2014/11/08 01:27:50 UV 2.16.840.1.113883.3.1871.3.169 saoctrwnsh SAPO CTR INT WMNS-HVLE Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer - Interfaces SSMHC 7980 Clayton Rd St Louis MO 63113 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.169 2014/05/13 12:00:00 2014/11/08 12:00:00 2014/11/08 01:29:27 UV 2.16.840.1.113883.3.1871.3.170 sapocarddalv SAPO CARVASC SPC ALVA Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer- Interfaces SSMHC 7980 Clayton Rd St Louis MO 63117 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.170 2014/05/13 12:00:00 2014/11/08 12:00:00 2014/11/08 01:31:12 UV 2.16.840.1.113883.3.5035 vigilance Vigilance Health, Inc. Laura Landry masked Laura Landry 699 Hampshire Rd, #217 Westlake Village, CA 91361 805-823-0981 masked Executive Vice President Vigilance Health, Inc. 699 Hampshire Rd, #217 Westlake Village, CA 91361 805-823-0981 hie@vigilancehit.com http://vigilancehit.com Exchange Int 3 Complete 2014/05/13 12:00:00 2014/11/08 12:00:00 2014/11/08 01:39:55 UV 2.16.840.1.113883.3.1871.3.171 sapojboc SAPO JOYFUL BEGINNINGS OB CLINIC Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer- Interfaces SSMHC 7980 Clayton Rd St Louis, MO 63117 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.171 2014/05/13 12:00:00 2014/11/08 12:00:00 2014/11/08 01:33:07 UV 2.16.840.1.113883.3.5036 thanigyn Professional OB/GYN Doctors OID Root Anita Thani masked Anita Thani 566 Nye Ave Irvington, NJ 07111-3241 973-399-9155 masked Office Manager Professional OB/GYN Doctors 566 Nye Ave Irvington, NJ 07111-3241 973-399-9155 nst123@aol.com Provider Int 3 Complete 2014/05/13 12:00:00 2014/11/08 12:00:00 2014/11/08 01:41:02 UV 2.16.840.1.113883.3.1871.3.173 sapocvinsok SAPO CARDVASC UNST-OKN Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer- Interfaces Lynn Rice 7980 Clayton Rd St Louis, MO 63117 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.173 2014/05/13 12:00:00 2014/11/08 12:00:00 2014/11/08 01:43:19 UV 2.16.840.1.113883.3.1871.3.178 sapopmgths SAPO HOLDENVILLE MEDICAL CLINIC Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer - Interfaces SSMHC 7980 Clayton Road St Louis, MO 63117 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.178 2014/05/13 12:00:00 2014/11/08 12:00:00 2014/11/08 01:46:26 UV 2.16.840.1.113883.3.5037 rochesterGeneralHealthSystem Rochester General Health System Todd Glanton masked Todd Glanton 100 Kings Highway South Rochester, NY 14617 15859221687 masked Manager, Application Systems Rochester General Health System 1425 Portland Ave, Rochester, NY 14621 15859224000 todd.glanton@rochestergeneral.org Provider Int 3 Complete 2014/05/13 12:00:00 2014/11/08 12:00:00 2014/11/08 01:49:28 UV 2.16.840.1.113883.3.5038 hccoid-01 Hackley Community Care Syndromic Surveillance System Gary Szatkowski masked Gary Szatkowski Gary Szatkowski 1675 Leahy Street Muskegon, MI 49442 2317336724 masked IT Manager Hackley Community Care 2700 Baker Street, Floor 3 Muskegon, MI 49444 2317371335 szatkowg@hccc-health.org http://www.hccc-health.org Provider Int 3 Complete 2014/05/14 12:00:00 2014/11/08 12:00:00 2014/11/08 01:50:47 UV 2.16.840.1.113883.3.5039 gbo Green Bay Oncology Nate Davies masked rose lewis Nate Davies 1726 Shawano Ave, Green Bay, WI 54303 9208842964 masked IT Green Bay Oncology 1726 Shawano Ave, Green Bay, WI 54303 9208842964 ndavies@gboncology.com http://gboncology.com Provider Int 3 Complete 2014/05/14 12:00:00 2014/11/08 12:00:00 2014/11/08 02:07:52 UV 2.16.840.1.113883.3.1070.5851 mckesson-fusion-5851 mckesson-fusion-5851 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5851 2014/05/14 12:00:00 2014/11/08 12:00:00 2014/11/08 02:09:47 US 2.16.840.1.113883.3.1070.5888 mckesson-fusion-5888 mckesson-fusion-5888 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5888 2014/05/14 12:00:00 2014/11/08 12:00:00 2014/11/08 02:10:53 US 2.16.840.1.113883.3.5040 lifescape lifescape OID Root Kris Galliart masked Kris Galliart 8757 East Bell Road, Scottsdale, AZ 85260 480-860-5500 masked Executive Director Lifescape Medical Associates 8757 East Bell Road, Scottsdale, AZ 85260 480-860-5500 kgalliart@lifescapemed.com http://www.lifescapemed.com Provider Int 3 Complete 2014/05/14 12:00:00 2014/11/08 12:00:00 2014/11/08 02:16:32 UV 2.16.840.1.113883.3.5041 rarbaymedctr Raritan Bay Medical Center Christopher Szczepaniak masked Christopher Szczepaniak 530 New Brunswick Avenue Pert Amboy, NJ 08861 732-324-5362 masked LIS Coordinator Raritan Bay Medical Center 530 New Brunswick Avenue Perth Amboy, NJ 08861 732-442-3200 cszczepaniak@rbmc.org Provider Int 3 Complete 2014/05/14 12:00:00 2014/11/08 12:00:00 2014/11/08 02:18:37 UV 2.16.840.1.113883.3.5042 consulatehc Consulate Health Care Matt Shah masked Matt Shah 800 Concourse Parkway, South Maitland, FL 32751 407-215-2324 masked Director of Apps and Integrations Consulate Health Care 800 Concourse Parkway, South Maitland, FL 32751 407-571-1550 matt.shah@consulatemgt.com http://www.consulatehealthcare.com Vendor Int 3 Complete 2014/05/14 12:00:00 2014/11/08 12:00:00 2014/11/08 02:20:55 UV 2.16.840.1.113883.3.1070.5843 mckesson-fusion-5843 mckesson-fusion-5843 Gianna Goodman masked Gianna Goodman 8775074541 masked Fusion Enrollment gianna.goodman@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5843 2014/05/15 12:00:00 2014/11/08 12:00:00 2014/11/08 02:12:30 US 2.16.840.1.113883.17.3976 mdhmacomb McDonough District Hospital Harlan Baker masked Harlan Baker 525 East Grant Street Macomb, IL 61455 309-836-1517 masked Information Systems Department Leader McDonough District Hospital 525 East Grant Street Macomb, IL 61455 309-833-4100 issupport@mdh.org http://www.mdh.org Provider Int 17 Complete 2014/05/15 12:00:00 2014/11/08 12:00:00 2014/11/08 02:23:02 UV 2.16.840.1.113883.3.1070.5916 mckesson-fusion-5916 mckesson-fusion-5916 Gianna Goodman masked Gianna Goodman 8775074541 masked Fusion Enrollment gianna.goodman@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5916 2014/05/15 12:00:00 2014/11/08 12:00:00 2014/11/08 02:13:51 US 2.16.840.1.113883.9.155 fiveStarSFDC Five Star Senior Living Salesforce System Doug Ricks masked FiveStarSFDC Doug Ricks 6801 Whittier Avenue Suite 201 McLean, VA 22101 7032880242 masked Five Star Senior Living Five Star Quality Care 400 Centre Street Newton, MA 02458-2076 617-796-8387 VHARRIS@5sqc.com http://www.fivestarseniorliving.com Provider Int 3 Complete 2014/05/15 12:00:00 2014/11/08 12:00:00 2014/11/08 02:27:14 UV 2.16.840.1.113883.9.156 gLH123 Greenwood Leflore Hospital Marvin Pate masked Sybil Lucic Marvin Pate Greenwood Leflore Hospital 1401 River Road Greenwood, MS 38930 662-459-2662 masked Director of IS Greenwood Leflore Hosptial 1401 River Road Greenwood, MS 38930 662-459-7000 mpate@glh.org Provider Int 3 Complete 2014/05/15 12:00:00 2014/11/08 12:00:00 2014/11/08 02:31:42 UV 2.16.840.1.113883.3.1984.3 abbhh Alexian Brothers Behavioral Health Hospital Vivien Pineda masked Vivien Pineda Alexian Brothers Health System 3040 Salt Creek Lane Arlington Heights, IL 60005 847.394.6433 masked Solutions Development Specialist Alexian Brothers Behavioral Health Hospital 1650 Moon Lake Blvd Hoffman Estates, IL 60169 800.432.5005 vivien.dickson@alexian.net Provider 2.16.840.1.113883.3.1984 Ext 14 Complete 2.16.840.1.113883.3.1984.3 2014/05/15 12:00:00 2014/11/08 12:00:00 2014/11/08 02:33:45 UV 2.16.840.1.113883.3.5043 wmhc Welsh Mountain Health Centers Georgette McAllister masked Kara Davis Kara Davis 717-354-4711 masked QA Coordinator Welsh Mountain Health Centers 584 Springville Road New Holland, PA 17557 717-354-4711 gmcallister@welshmountain.org http://www.welshmountain.org Provider Int 3 Complete 2014/05/16 12:00:00 2014/11/08 12:00:00 2014/11/08 02:37:09 UV 2.16.840.1.113883.3.5044 covenant Covenant Healthcare Alex Norton masked Alex 925 N. Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com/ Provider Int 3 Complete 2014/05/16 12:00:00 2014/09/10 12:00:00 2014/09/10 03:57:02 UV 2.16.840.1.113883.3.5045 orthok Scott Pelcyger O.D. Scott Pelcyger masked Scott Pelcyger 6 Bartholdi Avenue Butler, NJ 07405 973 838 1096 masked Optometrist Scott Pelcyger 6 Bartholdi Avenue Butler, NJ 07405 973 838 1096 orthok@scottpelcygerod.com https://www.scottpelcygerod.com Provider Int 3 Complete 2014/05/16 12:00:00 2014/11/08 12:00:00 2014/11/08 02:39:11 UV 2.16.840.1.113883.3.5041.1 rbmcpad Raritan Bay Medical Center Perth Amboy Division Christopher Szczepaniak masked Christopher Szczepaniak 530 New Brunswick Avenue Perth Amboy, NJ 08861 732-324-5362 masked LIS Coordinator Raritan Bay Medical Center Perth Amboy Division 530 New Brunswick Avenue Perth Amboy, NJ 08861 732-442-3700 cszczepaniak@rbmc.org Provider 2.16.840.1.113883.3.5041 Ext 14 Complete 2.16.840.1.113883.3.5041.1 2014/05/16 12:00:00 2014/11/08 12:00:00 2014/11/08 02:41:27 UV 2.16.840.1.113883.3.5041.2 rbmcobd Raritan Bay Medical Center Old Bridge Division Christopher Szczepaniak masked Christopher Szczepaniak 1 Hospital Drive Old Bridge, NJ 08859 732-324-5362 masked LIS Coordinator Raritan Bay Medical Center Old Bridge Division 1 Hospital Drive Old Bridge, NJ 08859 732-324-5362 cszczepaniak@rbmc.org Provider 2.16.840.1.113883.3.5041 Ext 17 Complete 2.16.840.1.113883.3.5041.2 2014/05/16 12:00:00 2014/11/08 12:00:00 2014/11/08 02:43:40 UV 2.16.840.1.113883.9.157 pmah Passavant Area Hospital Deean Foster masked Deean Foster 1600 West Walnut Jacksonville, IL 62650 217-479-5562 masked Laboratory Administrative Director Passavant Area Hospital 1600 West Walnut Jacksonville, IL 62650 217-245-9541 deean.foster@passavanthospital.com https://passavanthospital.com Provider Int 3 Complete 2014/05/16 12:00:00 2014/11/08 12:00:00 2014/11/08 02:47:26 US 2.16.840.1.113883.3.5046 nschd Healdsburg District Hospital Dan Cassat masked Dan Cassat Healdsburg District Hospital 1375 University Ave Healdsburg, CA 95448 707-431-6343 masked Data Analyst Healdsburg District Hospital 1375 University Ave Healdsburg, CA 95448 707-431-6500 helpdesk@nschd.org Provider Int 3 Complete 2014/05/16 12:00:00 2014/11/08 12:00:00 2014/11/08 04:29:15 UV 2.16.840.1.113883.4.734 marianjoy Marianjoy Portal Dominic Serpico masked Dominic M. Serpico 26W171 Roosevelt Road Wheaton, IL 60187 630-909-7308 masked Director, Finance - EHR project Lead Marianjoy Rehabilitation Hospital, Inc. 26W171 Roosevelt Rd. Wheaton, IL 60187 630-462-4000 dserpico@marianjoy.org http://marianjoy.org Provider Int 3 Complete 2014/05/16 12:00:00 2014/11/08 12:00:00 2014/11/08 04:23:42 US 2.16.840.1.113883.3.5047 yvmc Yampa Valley Medical Center Dustin Sayes masked Jeff Mack Dustin Sayes 1024 Central Park Drive Steamboat Springs, CO 80487 9708712465 masked Integration Analyst Yampa Valley Medical Center 1024 Central Park Drive Steamboat Springs, CO 80487 9708791322 hit@yvmc.org http://www.yvmc.org/ Provider Int 3 Complete 2014/05/16 12:00:00 2014/11/08 12:00:00 2014/11/08 04:31:50 UV 2.16.840.1.113883.13.265 walmart Wal-Mart Stores, Inc. OID Brandy Altstadter masked Brandy Altstadter 8444 N. 90th Street, Suite 100 Scottsdale, AZ 85258 480-745-8507 masked Director, Business Development Wal-Mart Stores, Inc. 702 SW 8th Street Bentonville, AR 479-273-4000 info@walmart.com http://www.walmart.com Provider Int 3 Complete 2014/05/16 12:00:00 2016/05/31 12:00:00 2016/05/31 05:13:04 UV 2.16.840.1.113883.3.5048 soga South Oakland Gastroenterology Associates, PC Maureen Skupny masked Maureen Skupny 28080 Grand River Ave Suite 306 Farmington Hills, MI 48336 248-471-8982 masked Office Manager South Oakland Gastroenterology Associates, PC 28080 Grand River Ave Suite 306 Farmington Hills, MI 48336 248-471-8982 mskupny@sogadocs.com http://sogadocs.com/ Provider Int 3 Complete 2014/05/19 12:00:00 2014/11/08 12:00:00 2015/03/18 01:31:45 UV 2.16.840.1.113883.3.1070.5635 mckesson-fusion-5635 mckesson-fusion-5635 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5635 2014/05/19 12:00:00 2014/11/08 12:00:00 2014/11/08 04:45:17 US 2.16.840.1.113883.4.735 sfmc-mrn Saint Francis Medical Center MRN Melissa Craft masked Melissa Craft 211 Saint Francis Drive Cape Girardeau, MO 63701 573-331-5561 masked LIS Specialist Saint Francis Medical Center 211 Saint Francis Drive Cape Girardeau, MO 63701 573-331-3000 sfmc@sfmc.net http://www.sfmc.net Provider Int 3 Complete 2014/05/19 12:00:00 2015/09/30 12:00:00 2015/09/30 05:33:53 US 2.16.840.1.113883.9.158 wmc-ccda Westchester Medical Center CCDA OID Jason Puskar masked Jennifer Bourque Jason Puskar 241 North Road Poughkeepsie NY 12601 8454835013 masked Interface Analyst MidHudson Regional Hospital 241 North Road Poughkeepsie, NY 12601 8454835000 Jason.Puskar@westchestermedicalcenter.org Provider Int 3 Complete 2014/05/19 12:00:00 2014/11/08 12:00:00 2014/11/08 04:52:06 ccda UV 2.16.840.1.113883.3.5049 rwestcott Robert M Westcott, MD, PC Katherine Look masked Trinia Westcott Trinia Westcott Robert M Westcott, MD, PC 409 S Main Street Lindsay, OK 73052 405-756-1240 masked Office Manager Robert M Westcott, MD, PC 409 S Main Street Lindsay, OK 73052 405-756-1240 trinia280@yahoo.com Provider Int 3 Complete 2014/05/19 12:00:00 2014/11/08 12:00:00 2014/11/08 04:59:42 UV 2.16.840.1.113883.3.5050 dconstance Daniel Constance, MD, PLLC Serita Bryan masked Katherine Look Serita Bryan Daniel Constance, MD, PLLC 5606 SW Lee Blvd Suite 203 Lawton, OK 73505 580-536-1111 masked Practice Manager Daniel Constance, MD, PLLC 5606 SW Lee Blvd Suite 203 Lawton, OK 73505 580-536-1111 dan@danconstance.com Provider Int 3 Complete 2014/05/19 12:00:00 2014/11/08 12:00:00 2014/11/08 05:06:16 UV 2.16.840.1.113883.3.5051 credible Credible Behavioral Health Robert Sipe masked Robert Sipe 7529 Standish Place 2nd Floor, Suite 270 Rockville, MD 20855 301-652-9500 masked Credible Behavioral Health 7529 Standish Place 2nd Floor, Suite 270 Rockville, MD 20855 301-652-9500 info@credibleinc.com http://www.credibleinc.com Vendor Int 3 Complete 2014/05/19 12:00:00 2014/11/08 12:00:00 2014/11/08 05:07:21 UV 2.16.840.1.113883.3.5052 almc Lawrence Medical Center Ashley Mayfield masked Ray Grantland Ray Grantland 202 Hospital St Moulton, Al 256-974-2148 masked Director of Information Systems Attentus Moulton, LLC 202 Hospital St Moulton Al 35650 256-974-2100 ray.grantland@lawrencemedicalcenter.com Provider Int 3 Complete 2014/05/19 12:00:00 2014/11/08 12:00:00 2014/11/08 05:09:08 UV 2.16.840.1.113883.3.5053 sgvmc San Gabriel Valley Medical Center Bernie Sauer masked Bernie Sauer 438 West Las Tunas Drive San Gabriel, CA 91776 626-300-7878 masked Director of Information Technology San Gabriel Valley Medical Center 438 West Las Tunas Drive San Gabriel, CA 91776 626-289-5454 bernie.sauer@ahmchealth.com http://www.sgvmc.com Provider Int 3 Complete 2014/05/19 12:00:00 2014/11/08 12:00:00 2014/11/08 05:10:48 UV 2.16.840.1.113883.3.5054 mCMH Maine Coast Memorial Hospital Debra Shissler masked Deb Swanberg 50 Union Street Ellsworth ME 04605 207-664-5558 masked Clinical Analyst Maine Coast Memorial Hospital dswanberg@mainehospital.org http://www.mainehospital.org Provider Int 3 Complete 2014/05/19 12:00:00 2014/11/08 12:00:00 2014/11/10 09:12:57 UV 2.16.840.1.113883.3.5055 un-known Unknown Matt Adams masked Matt Adams Walnuthill Medical Center 7502 Greenville Ave., Dallas, Texas 75231 9728636016 masked Director, IT Walnuthill Medical Center 7502 Greenville Ave., Dallas, TX 75231 9728636016 matt.adams@walnuthillmc.com Provider Int 2.16.840.1.113883.3.6297 3 Retired 2014/05/19 12:00:00 2015/08/20 12:00:00 2015/08/20 05:45:52 UV 2.16.840.1.113883.3.5056 wht Whittier Hospital Medical Center Jay Geldhof masked Jay Geldhof 9080 Colima Road Whittier, CA 90605 562/464-2914 masked Regional, Director of Information Technology Whittier Hospital Medical Center 9080 Colima Road Whittier, CA 90605 562/464-2914 jay.geldhof@ahmchealth.com http://whittierhospital.com Provider Int 3 Complete 2014/05/19 12:00:00 2014/11/08 12:00:00 2014/11/08 05:20:10 UV 2.16.840.1.113883.3.5057 ahmc-gem Greater El Monte Community Hospital Jay Geldhof masked Jay Geldhof 1701 Santa Anita Avenue South El Monte, CA 91733 562/464-2914 masked Regional, Director of Informatin Technology Greater El Monte Community Hospital 1701 Santa Anita Avenue South El Monte, CA 91733 562/464-2914 jay.geldhof@ahmchealth.com http://greaterelmonte.com Provider Int 3 Complete 2014/05/19 12:00:00 2014/11/08 12:00:00 2014/11/08 05:21:18 UV 2.16.840.1.113883.9.160 accumedEHR AccuMed EHR Peter Matulich masked Peter Matulich 11 Grace Ave STE 401 516-466-6800 masked COO Peter Matulich peterm@accumedic.com http://www.accumedic.com Vendor Int 3 Complete 2014/05/19 12:00:00 2014/11/08 12:00:00 2014/11/08 05:25:29 UV 2.16.840.1.113883.17.3977 tl910 Twin Lakes Regional Medical Center Mandy Bryant masked Patricia Popham Mandy Bryant 910 Wallace Ave Leitchfield, KY 42754 270-259-1383 masked Director Information Technology Twin Lakes Regional Medical Center 910 Wallace Ave Leitchfield, KY 42754 270-259-9400 issupport@tlrmc.com http://tlrmc.com Provider Int 17 Complete 2014/05/19 12:00:00 2014/11/08 12:00:00 2014/11/08 05:29:10 UV 2.16.840.1.113883.3.5058 pcosfdiabetesandnutrition PCO SF Diabetes & Nutrition Center Nanette Brister masked Nanette Brister 6955 Perkins Road Baton Rouge, LA 70808 225-526-4023 masked IS Programmer II St Francis Diabetes & Nutrition Center 920 Oliver Road Suite 1450 Monroe, LA 71201 318-966-6271 Nanette.Brister@fmolhs.org http://www.fmolhs.net Provider Int 3 Complete 2014/05/19 12:00:00 2014/11/08 12:00:00 2014/11/08 05:31:02 UV 2.16.840.1.113883.3.5059 pcosfhealthykidsclinic PCO SF Healthy Kids Clinic Nanette Brister masked Nanette Brister 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 masked IS Programmer II St Francis Healthy Kids Clinic 3510 Medical Park Drive Suite 3 Monroe, LA 71203 318-966-6165 Nanette.Brister@fmolhs.org http://fmolhs.net Provider Int 3 Complete 2014/05/19 12:00:00 2014/11/08 12:00:00 2014/11/08 05:35:52 UV 2.16.840.1.113883.3.5060 pcosfpediatricafterhoursclinic PCO SF Pediatric After Hours Clinic Nanette Brister masked Nanette Brister 6955 Perkins Road Baton Rouge, LA 70808 225-526-4023 masked IS Programmer II St Francis Pediatric After Hours Clinic 3421 Medical Park Drive Monroe, LA 71201 318-966-6191 Nanette.Brister@fmolhs.org http://fmolhs.net Provider Int 3 Complete 2014/05/19 12:00:00 2014/11/08 12:00:00 2014/11/08 05:40:11 UV 2.16.840.1.113883.4.736 4medica 4medica, Inc. John Schmidt masked Devin Dubose 13157 Mindanao Way Suite 481 Marina Del Rey, CA 90292 424.289.2500 masked Dir Integration 4medica, Inc. 13157 Mindanao Way Suite 481 Marina Del Rey, CA 90292 424.289.2500 support@4medica.com https://4medica.com Vendor Int 3 Complete 2014/05/19 12:00:00 2014/11/08 12:00:00 2025/07/29 01:17:46 UV 2.16.840.1.113883.3.5061 jlt Joseph L. Trupo, OD Joseph Trupo masked Joseph L. Trupo, OD 1506 Harrison Ave Elkins, WV 26241 3046362020 masked Joseph L. Trupo, OD 1506 Harrison Ave Elkins, WV 26241 3046362020 drtrupo@yahoo.com Provider Int 3 Complete 2014/05/20 12:00:00 2014/11/08 12:00:00 2014/11/08 05:43:23 UV 1.3.6.1.4.1.39284 msha Mountain States Health Alliance Kevin Bowes masked Kevin Bowes 602 Med Tech Pkwy Johnson City, TN 37604 +1 (423) 302-6370 masked Mountain States Health Alliance 602 Med Tech Pkwy Johnson City, TN 37604 +1 (423) 302-6370 boweskj@msha.com http://www.msha.com Provider Ext 3 Complete 1.3.6.1.4.1.39284 2014/05/20 12:00:00 2014/11/08 12:00:00 2014/11/08 05:58:27 UV 2.16.840.1.113883.3.5062 continuance-base Continuance Base OID Jon Harris-Shapiro masked Jon Continuance Health Solutions PO Box 31 Peapack, NJ 07977 908-781-7400 masked President Continuance Health Solutions Continuance Health Solutions PO Box 31 Peapack, NJ 07977 908-781-7400 jhs@continuancehealthsolutions.com http://www.continuancehealthsolutions.com Vendor Int 3 Complete 2014/05/20 12:00:00 2014/11/08 12:00:00 2014/11/08 06:04:58 UV 2.16.840.1.113883.3.5063 stCHENANGOPH Chenango County Public Health Paul Almy masked Paul M. Almy Southern Tier HealthLink in the former Lackawanna Train Station 45 Lewis Street Binghamton, NY 13901 607-651-9150 masked Deputy Director Chenango County Public Health 5 Court Street Norwich, NY 13815 (607) 337-1660 palmy@sthlny.com http://www.co.chenango.ny.us/public-health/ Provider Int 3 Complete 2014/05/20 12:00:00 2014/11/08 12:00:00 2014/11/08 06:07:01 UV 2.16.840.1.113883.9.161 chs-oid Community Hospitals Systems Jim Lunceford masked amanda_byers@chs.net Jim Lunceford 9009 Carothers Parkway, Suite 260 | Franklin, TN 37064 615-861-4093 masked Interface Engineer Community Hospitals Systems 9009 Carothers Parkway, Suite 260 | Franklin, TN 37064 amanda_byers@chs.net Vendor Int 3 Complete 2014/05/20 12:00:00 2014/12/15 12:00:00 2014/12/15 12:44:06 2.5.1 UV 2.16.840.1.113883.3.5064 atoka123 Atoka County Medical Center Lloyd Durbin III masked Lloyd E. Durbin III 1200 W. Liberty Rd Atoka, OK 74525 5808893333 ext.299 masked Interim IT Director Atoka County Medical Center 1200 W. Liberty Rd Atoka, OK 74525 5808893333 ext.299 tdurbin@atokamedicalcenter.org http://www.atokamedicalcenter.org Provider Int 3 Complete 2014/05/20 12:00:00 2014/11/08 12:00:00 2014/11/08 06:08:22 UV 2.16.840.1.113883.3.5065 push123 Pushmataha Hospital and Home Health Lloyd Durbin III masked Lloyd E. Durbin III 510 E Main Antlers, OK 74523 ACMC 1200 W. Liberty Atoka, OK 74525 5802983341 masked Interim IT Director Pushmataha Hospital and Home Health 510 E Main Antlers, OK 74523 5808893333 ext 299 tdurbin@atokamedicalcenter.org http://www.pushhospital.com Provider Int 3 Complete 2014/05/20 12:00:00 2014/11/08 12:00:00 2014/11/08 06:12:38 UV 2.16.840.1.113883.3.5064.1 acmc123 Atoka County Medical Center CPSI Lloyd Durbin III masked Lloyd E. Durbin III 1200 W. Liberty Rd Atoka, OK 74525 5808893333 ext 299 masked Interim IT Director Atoka County Medical Center 1200 W. Liberty Rd Atoka, OK 74525 5808893333 tdurbin@atokamedicalcenter.org http://www.atokamedicalcenter.org Provider 2.16.840.1.113883.3.5064 Ext 14 Complete 2.16.840.1.113883.3.5064.1 2014/05/20 12:00:00 2014/11/08 12:00:00 2014/11/08 06:14:16 UV 2.16.840.1.113883.3.5066 rcmh Refugio County Memorial Hospital District Alan Bryant masked Alan Bryant 107 Swift St Refugio, TX 78377 361-485-7217 masked IT Manager Refugio County Memorial Hospital District 107 Swift St Refugio, TX 78377 361-526-2321 abryant@rcmhospital.org Provider Int 3 Complete 2014/05/20 12:00:00 2014/11/08 12:00:00 2014/11/08 06:15:10 UV 2.16.840.1.113883.3.5064.1.1 acmchosp123 Atoka County Medical Center (Hospital) Lloyd Durbin III masked Lloyd E. Durbin III 1200 W. Liberty Rd Atoka, OK 74525 5808893333 ext 299 masked Interim IT Director Atoka County Medical Center 1200 W. Liberty Rd Atoka, OK 74525 5808893333 ext 299 tdurbin@atokamedicalcenter.org http://www.atokamedicalcenter.org Provider 2.16.840.1.113883.3.5064 Ext 14 Complete 2.16.840.1.113883.3.5064.1.1 2014/05/20 12:00:00 2014/11/08 12:00:00 2014/11/08 06:16:35 UV 2.16.840.1.113883.3.5067 fsh Fresno Surgical Hospital Ruby Berry masked Ruby Berry 6125 N Fresno Street Fresno, CA 93710 559-447-7757 masked Analyst Fresno Surgical Hospital 6125 N Fresno Street Fresno, CA 93710 559-431-8000 rberry@fresnosurgicalhospital.com http://www.fresnosurgicalhospital.com/ SDO Int 3 Complete 2014/05/20 12:00:00 2014/11/08 12:00:00 2014/11/08 06:19:33 UV 2.16.840.1.113883.3.5068 gmcHIE Garfield Medical Center Angelica Ching masked Angelica Ching 525 N. Garfield Avenue Monterey Park, CA 91754 626-307-2038 masked Interim Director of Information Technology Garfield Medical Center 525 N. Garfield Avenue Monterey Park, CA 91754 626-573-2222 angelica.ching@ahmchealth.com Provider Int 3 Complete 2014/05/21 12:00:00 2014/11/08 12:00:00 2014/11/08 06:34:59 UV 2.16.840.1.113883.3.5069 sphcs Saint Peter's Healthcare System Benjamin Rubin masked Darshak Shah Benjamin Rubin 254 Easton Ave New Brunswick, NJ 08901 732-745-8600 x8243 masked Manager, IT Business Systems & Integration Saint Peter's Healthcare System 254 Easton Ave New Brunswick, NJ 08901 732-745-8600 helpdesk@saintpetersuh.com http://saintpetershcs.com Provider Int 3 Complete 2014/05/21 12:00:00 2014/11/08 12:00:00 2021/08/17 02:55:06 UV 2.16.840.1.113883.3.1871.3.180 saponsshne SAPO NEURO SPC SHAWNEE Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer - Interfaces SSMHC 7980 Clayton Rd St Louis, MO 63117 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.180 2014/05/21 12:00:00 2014/11/08 12:00:00 2014/11/08 06:51:05 UV 2.16.840.1.113883.3.1871.3.182 sapowhcfo SAPO WOMEN'S HEALTH CENTER Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Applications Developer- Interfaces Lynn RIce 7980 Clayton Rd St Louis, MO 63117 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.182 2014/05/21 12:00:00 2014/11/08 12:00:00 2014/11/08 06:54:33 UV 2.16.840.1.113883.3.1871.3.183 sapopmaassoc SAPO PAIN MANAGEMENT ASSOC Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer-Interfaces SSMHC 7980 Clayton Rd St Louis, MO 63117 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.183 2014/05/21 12:00:00 2014/11/08 12:00:00 2014/11/08 06:57:48 UV 2.16.840.1.113883.3.1871.3.185 sapoendoas SAPO ENDOCRINOLOGY ASC Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer- Interfaces SSMHC 7980 Clayton Rd St Louis, MO 63117 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.185 2014/05/21 12:00:00 2014/11/08 12:00:00 2014/11/08 07:01:01 UV 2.16.840.1.113883.3.1871.3.192 sapobmcop SAPO BMC OP THERAPY Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer- Interfaces SSMHC 7980 Clayton Rd St Louis, MO 63117 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.192 2014/05/21 12:00:00 2014/11/08 12:00:00 2014/11/08 07:04:02 UV 2.16.840.1.113883.3.1871.3.195 saposhawp SAPO SHAWNEE PHYS Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer - Interfaces Lynn Rice 7980 Clayton Rd St Louis MO 63117 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.195 2014/05/21 12:00:00 2014/11/08 12:00:00 2014/11/08 07:06:02 UV 2.16.840.1.113883.3.1871.3.196 sapopsfm SAPO SHAWNEE FAMILY MED Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer - Interfaces SSMHC 7980 Clayton Rd St Louis, MO 63117 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.196 2014/05/21 12:00:00 2014/11/08 12:00:00 2014/11/08 07:08:40 UV 2.16.840.1.113883.3.1871.3.200 sapocardd SAPO CARDVASC DISEASE Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer SSMHC 7980 Clayton Rd St Louis, MO 63117 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.200 2014/05/21 12:00:00 2014/11/08 12:00:00 2014/11/08 07:11:12 UV 2.16.840.1.113883.3.1620.104 oidSCM SCM Matthew Albright masked Matthew Albright 2001 Bryan St, Ste 2400 Dallas, TX 75201 214-820-3185 masked Baylor Health Care System 3500 Gaston Avenue Dallas, Tx 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.104 2014/05/21 12:00:00 2014/11/08 12:00:00 2014/11/08 07:12:45 UV 2.16.840.1.113883.3.1620.105 oidSoftLabLIS SCC SoftLab LIS Matthew Albright masked Matthew Albright 2001 Bryan St, Ste 2400 Dallas, TX 75201 214-820-3185 masked Baylor Health Care System 3500 Gaston Avenue Dallas, TX 75246-2017 1-800-422-9567 portalsupport@bhcs.com http://www.baylorhealth.com Provider 2.16.840.1.113883.3.1620 Ext 17 Complete 2.16.840.1.113883.3.1620.105 2014/05/21 12:00:00 2014/11/08 12:00:00 2014/11/08 07:14:24 UV 2.16.840.1.113883.3.1070.5856 mckesson-fusion-5856 mckesson-fusion-5856 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5856 2014/05/21 12:00:00 2014/11/08 12:00:00 2014/11/08 07:16:07 US 2.16.840.1.113883.3.5070 sHA-TnHL7 Sweetwater Hospital Association HL7 Message Exchange Wendy Blair masked Wendy Blair 304 Wright Street Sweetwater TN 37874 865-213-8390 masked Clinical IT/ADON Sweetwater Hospital Association 304 Wright Street Sweetwater TN 37874 865-213-8390 nursingasst@sweetwaterhospital.org http://www.sweetwaterhospital.org Provider Int 3 Complete 2014/05/21 12:00:00 2014/11/08 12:00:00 2014/11/08 07:18:24 UV 2.16.840.1.113883.3.5071 vcnm Vascular Center of Northern Michigan Lachelle Bonner masked Lachelle Bonner 3930 Cedar Run Road Traverse City, MI 49684 231-935-0390 masked Office Manager Vascular Center of Northern Michigan 3930 Cedar Run Road Traverse City, MI 49685 231-935-0390 lachelle@vascularcentermi.com SDO Int 3 Complete 2014/05/21 12:00:00 2014/11/08 12:00:00 2014/11/08 07:20:00 UV 2.16.840.1.113883.9.162 troyderm Affiliated Troy Dermatologists Marcia Cardelli masked Marcia Cardelli 4600 Investment Drive Ste 260 Troy, MI 48098 2482675020 masked MD Affiliated Troy Dermatologists 4600 Investment Drive Ste 260 Troy, MI 48098 2482675020 danielh@myatderm.com https://www.myatderm.com Provider Int 3 Complete 2014/05/21 12:00:00 2014/11/08 12:00:00 2014/11/08 07:24:07 US 2.16.840.1.113883.3.5072 lincoln Lincoln Medical Center John Lavender masked John Lavender 106 Medical Center Blvd. Fayetteville, TN 37334 931-438-7490 masked IT Directer Lincoln Medical Center 106 Medical Center Blvd. Fayetteville, TN 37334 931-438-1100 john.lavender@lchealthsystem.com http://www.lchealthsystem.com Provider Int 3 Complete 2014/05/21 12:00:00 2014/11/08 12:00:00 2014/11/17 05:04:19 UV 2.16.840.1.113883.3.5064.1.2 atokaiop123 Atoka County Medical Center (IOP) Lloyd Durbin III masked Lloyd E. Durbin III 1200 W Liberty Rd Atoka, OK 74525 5808893333 ext 299 masked Interim IT/IS Director Atoka County Medical Center 1200 W Liberty Rd Atoka, OK 74525 5808893333 ext 299 tdurbin@atokamedicalcenter.org http://www.atokamedicalcenter.org Provider 2.16.840.1.113883.3.5064 Ext 14 Complete 2.16.840.1.113883.3.5064.1.2 2014/05/21 12:00:00 2014/11/08 12:00:00 2014/11/08 07:32:18 UV 2.16.840.1.113883.17.3978 emhealth-flh Ephraim McDowell Fort Logan Hospital Angela Allen masked Becky Blevins Angela Allen 217 South Third Street Danville, KY 40422 859-239-3442 masked Director, Information Services Ephraim McDowell Regional Medical Center Incorporated 217 South Third Street Danville, KY 40422 859-239-1000 aallen@emrmc.org http://www.emhealth.org Provider 2.16.840.1.113883.3.3748 Int 17 Complete 2014/05/22 12:00:00 2014/11/08 12:00:00 2014/11/08 07:35:31 UV 2.16.840.1.113883.3.1871.3.201 sapotelmh SAPO TELEMENTAL HEALTH Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer - Interfaces SSMHC 7980 Clayton Rd St Louis, MO 63117 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.201 2014/05/22 12:00:00 2014/11/08 12:00:00 2014/11/08 07:41:07 UV 2.16.840.1.113883.3.3748.100 emhealth-0100 Ephraim McDowell Health Resource 0100 Angela Allen masked Becky Blevins Angela Allen 217 South Third Street Danville, KY 40422 859-239-3442 masked Director, Information Services Ephraim McDowell Regional Medical Center Incorporated 217 South Third Street Danville, KY 40422 859-239-1000 aallen@emrmc.org http://www.emhealth.org Provider 2.16.840.1.113883.3.3748 Ext 17 Complete 2.16.840.1.113883.3.3748.100 2014/05/22 12:00:00 2014/11/08 12:00:00 2014/11/08 07:38:30 UV 2.16.840.1.113883.3.1871.3.205 sapookt SAPO OKEENE TIMESHARE Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer - Interfaces SSMHC 7980 Clayton Rd St Louis MO 63117 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.205 2014/05/22 12:00:00 2014/11/08 12:00:00 2014/11/08 07:43:35 UV 2.16.840.1.113883.3.1871.3.206 sapofvts SAPO FAIRVIEW TIMESHARE Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer- Interfaces SSMHC 7980 Clayton Rd St Louis, MO 63117 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.206 2014/05/22 12:00:00 2014/11/08 12:00:00 2014/11/08 07:45:21 UV 2.16.840.1.113883.3.5073 holzer Holzer Health System Shari Garnes masked Shari Garnes Holzer Health System 100 Jackson Pike Gallipolis, OH 45631 740-446-5000 masked Holzer Health System 100 Jackson Pike Gallipolis, OH 45631 740-446-5000 sgarnes@holzer.org http://holzer.org Provider Int 3 Complete 2014/05/22 12:00:00 2014/08/04 12:00:00 2014/08/04 06:38:38 UV 2.16.840.1.113883.3.3748.110 emhealth-0110 Ephraim McDowell Health Resource Clinic Angela Allen masked Becky Blevins Angela Allen 217 South Third Street Danville, KY 40422 859-239-3442 masked Director, Information Services Ephraim McDowell Regional Medical Center Incorporated 217 South Third Street Danville, KY 40422 859-239-1000 aallen@emrmc.org http://www.emhealth.org Provider 2.16.840.1.113883.3.3748 Ext 17 Complete 2.16.840.1.113883.3.3748.110 2014/05/22 12:00:00 2014/11/08 12:00:00 2014/11/08 07:49:18 UV 2.16.840.1.113883.3.3748.120 emhealth-120 Ephraim McDowell Health Resource Clinic Angela Allen masked Becky Blevins Angela Allen 217 South Third Street Danville, KY 40422 859-239-3442 masked Director, Information Services Ephraim McDowell Regional Medical Center Incorporated 217 South Third Street Danville, KY 40422 859-239-1000 aallen@emrmc.org http://www.emhealth.org Provider 2.16.840.1.113883.3.3748 Ext 17 Complete 2.16.840.1.113883.3.3748.120 2014/05/22 12:00:00 2014/11/08 12:00:00 2014/11/08 07:50:51 UV 2.16.840.1.113883.3.3748.130 emhealth-130 Ephraim McDowell Health Resource Clinic Angela Allen masked Becky Blevins Angela Allen 217 South Third Street Danville, KY 40422 859-239-3442 masked Director, Information Services Ephraim McDowell Regional Medical Center Incorporated 217 South Third Street Danville, KY 40422 859-239-1000 aallen@emrmc.org http://www.emhealth.org Provider 2.16.840.1.113883.3.3748 Ext 17 Complete 2.16.840.1.113883.3.3748.130 2014/05/22 12:00:00 2014/11/10 12:00:00 2014/11/10 03:36:45 UV 2.16.840.1.113883.3.3748.115 emhealth-115 Ephraim McDowell Health Resource Clinic Angela Allen masked Becky Blevins Angela Allen 217 South Third Street Danville, KY 40422 859-239-3442 masked Director, Information Services Ephraim McDowell Regional Medical Center Incorporated 217 South Third Street Danville, KY 40422 859-239-1000 aallen@emrmc.org http://www.emhealth.org Provider 2.16.840.1.113883.3.3748 Ext 17 Complete 2.16.840.1.113883.3.3748.115 2014/05/22 12:00:00 2014/11/10 12:00:00 2014/11/10 03:37:34 UV 2.16.840.1.113883.3.3748.125 emhealth-125 Ephraim McDowell Health Resource Clinic Angela Allen masked Becky Blevins Angela Allen 217 South Third Street Danville, KY 40422 859-239-3442 masked Director, Information Services Ephraim McDowell Regional Medical Center Incorporated 217 South Third Street Danville,KY 40422 859-239-1000 aallen@emrmc.org http://www.emhealth.org Provider 2.16.840.1.113883.3.3748 Ext 17 Complete 2.16.840.1.113883.3.3748.125 2014/05/22 12:00:00 2014/11/10 12:00:00 2014/11/10 03:39:19 UV 2.16.840.1.113883.3.3748.135 emhealth-135 Ephraim McDowell Health Resource Clinic Angela Allen masked Becky Blevins Angela Allen 217 South Third Street Danville, KY 40422 859-239-3442 masked Director, Information Services Ephraim McDowell Regional Medical Center Incorporated 217 South Third Street Danville, KY 40422 859-239-1000 aallen@emrmc.org http://www.emhealth.org Provider 2.16.840.1.113883.3.3748 Ext 17 Complete 2.16.840.1.113883.3.3748.135 2014/05/22 12:00:00 2014/11/10 12:00:00 2014/11/10 03:40:05 UV 2.16.840.1.113883.3.3748.145 emhealth-145 Ephraim McDowell Health Resource Clinic Angela Allen masked Becky Blevins Angela Allen 217 South Third Street Danville, KY 40422 859-239-3442 masked Director, Information Services Ephraim McDowell Regional Medical Center Incorporated 217 South Third Street Danville, KY 40422 859-239-1000 aallen@emrmc.org http://www.emhealth.org Provider 2.16.840.1.113883.3.3748 Ext 17 Complete 2.16.840.1.113883.3.3748.145 2014/05/22 12:00:00 2014/11/10 12:00:00 2014/11/10 03:41:41 UV 2.16.840.1.113883.3.3748.105 emhealth-0105 Ephraim McDowell Health Resource Clinic Angela Allen masked Becky Blevins Angela Allen 217 South Third Street Danville, KY 40422 859-239-3442 masked Director, Information Services Ephraim McDowell Regional Medical Center Incorporated 217 South Third Street Danville, KY 40440 859-239-1000 aallen@emrmc.org http://www.emhealth.org Provider 2.16.840.1.113883.3.3748 Ext 17 Complete 2.16.840.1.113883.3.3748.105 2014/05/22 12:00:00 2014/11/10 12:00:00 2014/11/10 03:44:12 UV 2.16.840.1.113883.3.1871.3.207 saposts SAPO SHATTUCK TIMESHARE Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer Interfaces SSMHC 7980 Clayton Rd St Louis, MO 63117 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.207 2014/05/22 12:00:00 2014/11/10 12:00:00 2014/11/10 03:51:00 UV 2.16.840.1.113883.3.3748.140 emhealth-140 Ephraim McDowell Health Resource Clinic Angela Allen masked Becky Blevins Angela Allen 217 South Third Street Danville, KY 40422 859-239-3442 masked Director, Information Services Ephraim McDowell Regional Medical Center Incorporated 217 South Third Street Danville, KY 40422 859-239-1000 aallen@emrmc.org http://www.emhealth.org Provider 2.16.840.1.113883.3.3748 Ext 17 Complete 2.16.840.1.113883.3.3748.140 2014/05/22 12:00:00 2014/11/10 12:00:00 2014/11/10 03:47:40 UV 2.16.840.1.113883.3.3748.150 emhealth-150 Ephraim McDowell Health Resource Clinic Angela Allen masked Becky Blevins Angela Allen 217 South Third Street Danville, KY 40422 859-239-3442 masked Director, Information Services Ephraim McDowell Regional Medical Center Incorporated 217 South Third Street Danville, KY 40422 859-239-1000 aallen@emrmc.org http://www.emhealth.org Provider 2.16.840.1.113883.3.3748 Ext 17 Complete 2.16.840.1.113883.3.3748.150 2014/05/22 12:00:00 2014/11/10 12:00:00 2014/11/10 03:48:39 UV 2.16.840.1.113883.3.1871.3.209 saodah SAPO DERM AT HERITAGE Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Applicatin Developer-Interfaces SSMHC 7980 Clayton Rd St Louis, MO 63117 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.209 2014/05/22 12:00:00 2014/11/10 12:00:00 2014/11/10 03:54:14 UV 2.16.840.1.113883.3.3748.155 emhealth-155 Ephraim McDowell Health Resource Clinic Angela Allen masked Becky Blevins Angela Allen 217 South Third Street Danville, KY 40422 859-239-3442 masked Director, Information Services Ephraim McDowell Regional Medical Center Incorporated 217 South Third Street Danville, KY 40422 859-239-1000 aallen@emrmc.org http://www.emhealth.org Provider 2.16.840.1.113883.3.3748 Ext 17 Complete 2.16.840.1.113883.3.3748.155 2014/05/22 12:00:00 2014/11/10 12:00:00 2014/11/10 03:58:31 UV 2.16.840.1.113883.3.3748.160 emhealth-160 Ephraim McDowell Health Resource Clinic Angela Allen masked Becky Blevins Angela Allen 217 South Third Street Danville, KY 40422 859-239-3442 masked Director, Information Services Ephraim McDowell Regional Medical Center Incorporated 217 South Third Street Danville, KY 40422 859-239-1000 aallen@emrmc.org http://www.emhealth.org Provider 2.16.840.1.113883.3.3748 Ext 17 Complete 2.16.840.1.113883.3.3748.160 2014/05/22 12:00:00 2014/11/10 12:00:00 2014/11/10 04:01:02 UV 2.16.840.1.113883.3.1871.3.210 saporc SAPO REFERRAL CENTER Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer - Interfaces SSMHC 7980 Clayton Rd St Louis MO 63117 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.210 2014/05/22 12:00:00 2014/11/10 12:00:00 2014/11/10 03:57:08 UV 2.16.840.1.113883.3.3748.165 emhealth-165 Ephraim McDowell Health Resource Clinic Angela Allen masked Becky Blevins Angela Allen 217 South Third Street Danville, KY 40440 859-239-3442 masked Director, Information Services Ephraim McDowell Regional Medical Center Incorporated 217 South Third Street Danville, KY 40422 859-239-1000 aallen@emrmc.org http://www.emhealth.org Provider 2.16.840.1.113883.3.3748 Ext 17 Complete 2.16.840.1.113883.3.3748.165 2014/05/22 12:00:00 2014/11/10 12:00:00 2014/11/10 04:06:39 UV 2.16.840.1.113883.3.3748.170 emhealth-170 Ephraim McDowell Health Resource Clinic Angela Allen masked Becky Blevins Angela Allen 217 South Third Street Danville, KY 40422 859-239-3442 masked Director, Information Services Ephraim McDowell Regional Medical Center Incorporated 217 South Third Street Danville, KY 40422 859-239-1000 aallen@emrmc.org http://www.emhealth.org Provider 2.16.840.1.113883.3.3748 Ext 17 Complete 2.16.840.1.113883.3.3748.170 2014/05/22 12:00:00 2014/11/10 12:00:00 2014/11/10 04:09:09 UV 2.16.840.1.113883.3.1871.3.172 sappbivr SAPO PV IVR Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Applicatin Developer - interfaces SSMHC 7980 Clayton Rd St Louis, MO 63117 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.172 2014/05/22 12:00:00 2014/11/10 12:00:00 2014/11/10 04:14:36 UV 2.16.840.1.113883.3.3748.175 emhealth-175 Ephraim McDowell Health Resource Clinic Angela Allen masked Becky Blevins Angela Allen 217 South Third Street Danville, KY 40440 859-239-3442 masked Director, Information Services Ephraim McDowell Regional Medical Center Incorporated 217 South Third Street Danville, KY 40422 859-239-1000 aallen@emrmc.org http://www.emhealth.org Provider 2.16.840.1.113883.3.3748 Ext 17 Complete 2.16.840.1.113883.3.3748.175 2014/05/22 12:00:00 2014/11/10 12:00:00 2014/11/10 04:11:44 UV 2.16.840.1.113883.3.5074 envisionradiologyhit Envision Radiology Anthony Shaner masked Anthony Shaner 8610 Explorer Drive, Suite 300 Colorado Springs, CO 80920 719-599-5178 masked PACS Administrator Envision Radiology 8610 Explorer Drive, Suite 300 Colorado Springs, CO 80920 719-955-4332 Contactus@envrad.com http://www.envrad.com Provider Int 3 Complete 2014/05/22 12:00:00 2014/11/10 12:00:00 2014/11/10 04:16:32 UV 2.16.840.1.113883.17.3979 nghs Northeast Georgia Health System Mark Ellingson masked Mark Ellingson 1405 Jesse Jewell Parkway 30501 770-219-2915 masked Chief Data Architect Northeast Georgia Health System 743 Spring Street Gainesville Ga 30501 770-219-9000 mark.ellingson@nghs.com http://www.nghs.com Provider Int 17 Complete 2014/05/22 12:00:00 2014/11/10 12:00:00 2017/08/08 02:55:07 UV 2.16.840.1.113883.3.5075 srhs-pa Sharon Rrional Health System Root Donna Walters masked Donna Walters 740 East State ST Sharon, PA 16146 724-699-5232 masked CIO Sharon Regional Health System 740 East State ST Sharon, PA 16146 724-983-3848 ithelp@srhs-pa.org http://www.sharonregional.com Provider Int 3 Complete 2014/05/22 12:00:00 2014/11/10 12:00:00 2014/11/10 04:22:55 UV 2.16.840.1.113883.17.3980 grahamRMC Graham Regional Medical Center Matt Harcourt masked Jeff Clark Jeff Clark 1301 Montgomery Road Graham, TX 76450 940-521-5460 masked CIO Graham Regional Medical Center 1301 Montgomery Road Graham, TX 76450 940-549-3400 jclark@grahamrmc.com http://www.grahamrmc.com Provider Int 17 Complete 2014/05/22 12:00:00 2014/11/10 12:00:00 2014/11/10 04:27:32 UV 1.2.36.1.2001.1005.15 aus-state-authority-number State Authority Number Philip Wilford masked NEHTA Philip Wilford NEHTA Brisbane, PO Box 5190, West End. QLD 4101 07 3023 8400 masked NEHTA philip.wilford@nehta.gov.au http://www.nehta.gov.au Govt body Ext 3 Complete 1.2.36.1.2001.1005.15 2014/05/22 12:00:00 2014/09/14 12:00:00 2014/09/14 06:42:31 AU 2.16.840.1.113883.9.163 nmrad NorthMain Radiation Oncology Hobart Shackford masked Hobart Shackford 825 North Main Street Providence, RI 02904 401 521-9700 masked NorthMain Radiation Oncology 825 North Main Street Providence, RI 02904 401 521-9700 Rita.Navilliat@vantageoncology.com http://www.nmrad.com Provider Int 3 Complete 2014/05/22 12:00:00 2014/11/10 12:00:00 2014/11/10 04:31:50 UV 2.16.840.1.113883.9.164 iSourceID iSource Solutions inc Selvaraj C Murugaiyan masked Selvaraj C Murugaiyan 23341, Golden Springs Dr Diamond Bar CA 91765 +91 9884021741 masked Chief Technology Officer iSource Solutions Inc 23341, Golden Springs Dr Diamond Bar CA 91765 9092087903 selva@transcriptionstar.com http://www.transcriptionstar.com Vendor Int 3 Complete 2014/05/23 12:00:00 2014/11/10 12:00:00 2014/11/10 04:35:31 UV 2.16.840.1.113883.3.5076 harnetthealth Harnett Health OID Root Timothy Krieger masked Timothy Krieger PO Box 1706 Dunn, NC 28334 910-892-1000 masked CIO Harnett Health PO Box 1706 Dunn, NC 28334 910-892-1000 tim.krieger@harnetthealth.org Provider Int 3 Complete 2014/05/23 12:00:00 2014/11/10 12:00:00 2014/11/10 04:39:23 UV 2.16.840.1.113883.3.5077 lakeimagingcenter Lake Imaging Center Nanette Brister masked Nanette Brister 6955 Perkins Road Baton Rouge, LA 70808 225-526-4023 masked IS Programmer II Lake Imaging Center 7135 Perkins Rd Baton Rouge, LA 70808 225-765-6500 Nanette.Brister@fmolhs.org http://www.lakeimagingcenter.com/ Provider Int 3 Complete 2014/05/23 12:00:00 2014/11/10 12:00:00 2014/11/10 04:41:00 UV 2.16.840.1.113883.3.5078 pcolakecritcaremedicalservices PCO Lake Critical Care Medical Services Nanette Brister masked Nanette Brister 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 masked IS Programmer II Lake Critical Care Medical Services 7777 Hennessy Blvd Suite 101 Baton Rouge, LA 70808 225-765-5864 Nanette.Brister@fmolhs.org http://www.ololrmc.com Provider Int 3 Complete 2014/05/23 12:00:00 2014/11/10 12:00:00 2014/11/10 04:42:49 UV 2.16.840.1.113883.3.5078.1 pcolakecritcaremedicalservicesmrn PCO Lake Critical Care Medical Services MRN Nanette Brister masked Nanette Brister 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 masked IS Programmer II Lake Critical Care Medical Services 7777 Hennessy Blvd Suite 101 Baton Rouge, LA 70808 225-765-5864 Nanette.Briste@fmolhs.org http://www.ololrmc.com Provider 2.16.840.1.113883.3.5078 Ext 14 Complete 2.16.840.1.113883.3.5078.1 2014/05/23 12:00:00 2014/11/10 12:00:00 2014/11/10 04:45:32 UV 2.16.840.1.113883.3.5078.2 pcolakecriticalcaremedicalservicesfin PCO Lake Critical Care Medical Services FIN Nanette Brister masked Nanette Brister 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 masked IS Programmer II Lake Critical Care Medical Services 7777 Hennessy Blvd Suite 101 Baton Rouge, LA 70808 225-765-5864 Nanette.Brister@fmolhs.org http://www.ololrmc.com Provider 2.16.840.1.113883.3.5078 Ext 14 Complete 2.16.840.1.113883.3.5078.2 2014/05/23 12:00:00 2014/11/10 12:00:00 2014/11/10 04:47:43 UV 2.16.840.1.113883.15.15 advanceHealthcareDirectivesTerminology AdvanceHealthcareDirectives Terminology Scott Brown masked Lisa Nelson Lisa Nelson 740 E. Campbell Rd., Suite 825 Richardson, TX 75081 469-238-2858 masked SVP Enterprise Integrations MyDirectives 740 E. Campbell Rd., Suite 825 Richardson, TX 75081 469-238-2858 lnelson@mydirectives.com https://mydirectives.com/ Vendor Int 15 Complete 2014/05/23 12:00:00 2014/11/10 12:00:00 2024/04/09 10:39:29 US 2.16.840.1.113883.3.5079 pcolaketraumaclinic PCO Lake Trauma Clinic Nanette Brister masked Nanette Brister 6955 Perkins Rd 225-526-4023 masked IS Programmer II Lake Trauma Clinic 7777 Hennessy Blvd Baton Rouge, LA 70808 225-765-6565 Nanette.Brister@fmolhs.org http://www.ololrmc.com Provider Int 3 Complete 2014/05/23 12:00:00 2014/11/10 12:00:00 2014/11/10 04:59:24 UV 2.16.840.1.113883.3.5079.1 pcolaketraumaclinicmrn PCO Lake Trauma Clinic MRN Nanette Brister masked Nanette Brister 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 masked IS Programmer II Lake Trauma Clinic 7777 Hennessy Blvd Baton Rouge, LA 70808 225-765-6565 Nanette.Brister@fmolhs.org http://www.ololrmc.com Provider 2.16.840.1.113883.3.5079 Ext 14 Complete 2.16.840.1.113883.3.5079.1 2014/05/23 12:00:00 2014/11/10 12:00:00 2014/11/10 05:02:15 UV 2.16.840.1.113883.3.5079.2 laketraumaclinicfin PCO Lake Trauma Clinic Nanette Brister masked Nanette Brister 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 masked IS Programmer II Lake Trauma Clinic 7777 Hennessy Blvd Baton Rouge, LA 70808 225-765-6565 Nanette.Brister@fmolhs.org http://www.ololrmc.com Provider 2.16.840.1.113883.3.5079 Ext 14 Complete 2.16.840.1.113883.3.5079.2 2014/05/23 12:00:00 2014/11/10 12:00:00 2014/11/10 05:13:18 UV 2.16.840.1.113883.17.3981 ccdPMC Providence Medical Center Carmen Laboy masked Carmen Laboy 913-596-5072 masked Clinical/Interface Specialist Providence Medical Center 8929 Parallel Parkway Kansas City, Ks 66112 913-596-4000 webmaster@providencekc.com http://www.providencekc.com/ Provider Int 17 Complete 2014/05/23 12:00:00 2014/11/10 12:00:00 2014/11/10 05:23:18 UV 2.16.840.1.113883.17.3982 ccdSJH St John Hosptial Carmen Laboy masked Carmen Laboy 913-596-5072 masked Clinical/Interface Specialist St John Hospital 3500 South 4th Street Leavenworth, Ks 66048 913-680-6000 webmaster@providence-health.org http://www.stjohnleavenworth.com Provider Int 17 Complete 2014/05/23 12:00:00 2014/11/10 12:00:00 2014/11/10 05:23:54 UV 2.16.840.1.113883.9.165 trivalley Tri Valley Health System Ciprian Galarneau masked Ciprian Galarneau P.O. Box 488 Cambridge, NE 69022 308-697-3329 masked IT Director Tri Valley Health System P.O. Box 488 Cambridge, NE 69022 308-697-3329 dir-it@trivalleyhealth.com Provider Int 3 Complete 2014/05/23 12:00:00 2014/11/10 12:00:00 2014/11/10 05:27:03 US 2.16.840.1.113883.3.5080 gjc Jean Coutu - DSE Eric Sauv&#233; masked Eric Sauv&#233; Centre d'information Rx lt&#233;e Le Groupe Jean Coutu (PJC) inc. 2165, rue de la Province Longueuil, Qu&#233;bec, J4G 1Y6 (450) 463-1890 ext. 3110 masked senior Analyst-prog. Prescription Le Groupe Jean Coutu (PJC) inc. Le Groupe Jean Coutu (PJC) inc. 530, rue B&#233;riault Longueuil, Qu&#233;bec J4G 1S8 (450) 646-9760 prod400pjcrx@jeancoutu.com http://www.jeancoutu.com Provider Int 3 Complete 2014/05/23 12:00:00 2014/11/10 12:00:00 2014/11/10 05:28:56 UV 2.16.840.1.113883.17.3983 randolph American Healthcare Systems, LLC dba Randolph Health Mark Moore masked Angela Burgess Mark Moore 364 White Oak St PO Box 1048 Asheboro, NC 272204 336-328-4460 masked Director of Information & Technology Services Randolph Health 364 White Oak St PO Box 1048 Asheboro, NC 272204 336-625-5151 RANDSystemsAdministrators@amhealthsystems.com http://www.RandolphHealth.org Provider Int 17 Complete 2014/05/23 12:00:00 2014/11/10 12:00:00 2026/05/08 09:18:21 US 2.16.840.1.113883.9.166 amh-oid Antelope Memorial Hospital Kevin Trease masked Kevin Trease 102 W 9th St Neligh Ne 68756 402-887-6298 masked IT Director Antelope Memorial Hospital 102 W 9th St Neligh NE 68756 402-887-4151 ktrease@amhne.org Provider Int 3 Complete 2014/05/23 12:00:00 2014/11/10 12:00:00 2014/11/10 05:46:38 UV 2.16.840.1.113883.3.5081 lourdesimaging Lourdes Imaging Network Ambassador Caffery Nanette Brister masked Nanette Brister 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 masked IS Programmer II Lourdes Imaging Network 4809 Ambassador Caffery Parkway Suite 350 Lafayette, LA 70508-8801 337-470-7226 Nanette.Brister@fmolhs.org http://www.lourdesimg.com/ Provider Int 3 Complete 2014/05/23 12:00:00 2014/11/10 12:00:00 2014/11/10 05:49:15 UV 2.16.840.1.113883.3.5082 avhospitalLab Antelope Valley Hospital Laboratory Kelli Lintemoot masked Kelli Lintemoot Antelope Valley Hospital Laboratory 1600 W. Ave. J Lancaster, CA 93534 661-949-5624 masked LIS Senior CLS Antelope Valley Hospital Laboratory 1600 W. Ave J Lancaster, CA 93534 661-949-5601 kelli.lintemoot@avhospital.org http://avhospital.org Provider Int 3 Complete 2014/05/23 12:00:00 2014/11/10 12:00:00 2014/11/10 05:51:04 UV 2.16.840.1.113883.3.5083 lourdesimagingnetworkks Lourdes Imaging Network Kaliste Saloom Nanette Brister masked Nanette Brister 6955 Perkins Road Baton Rouge, LA 70808 225-526-4023 masked IS Programmer II Lourdes Imaging Network 2311 Kaliste Saloom Road Lafayette, LA 70508-6807 337-231-5775 Nanette.Brister@fmolhs.org http://www.lourdesimg.com/ Provider Int 3 Complete 2014/05/23 12:00:00 2014/11/10 12:00:00 2014/11/10 05:53:17 UV 2.16.840.1.113883.3.5084 stmaryimagingcenter St Mary's Imaging Center Nanette Brister masked Nanette Brister 6955 Perkins Road Baton Rouge, LA 70808 225-526-4023 masked IS Programmer II St Mary's Imaging Center 411 St Landry Street Lafayette, LA 70506-4623 337-470-SCAN Nanette.Brister@fmolhs.org http://www.lourdesimg.com/stmary.php Provider Int 3 Complete 2014/05/23 12:00:00 2014/11/10 12:00:00 2014/11/10 05:54:54 UV 2.16.840.1.113883.3.5085 stagnesbreastcenter St Agnes Breast Center Nanette Brister masked Nanette Brister 6955 Perkins Rd Baton Rouge, LA 70808 225-526-4023 masked IS Programmer II St Agnes Breast Center 501 West St Mary Blvd Suite 104 Lafayette, LA 70506-3560 337-470-7226 Nanette.Brister@fmolhs.org http://www.lourdesimg.com/stagnes.php Provider Int 3 Complete 2014/05/23 12:00:00 2014/11/10 12:00:00 2014/11/10 05:57:45 UV 2.16.840.1.113883.3.5086 assistentis Assistentis Ltd OID Root Maris Gabalins masked Maris Gabalins 12-59 Zirgu str. Jelgava, LV-3001 Latvia +371-29242193 masked CTO Assistentis Ltd 12-59 Zirgu str. Jelgava, LV-3001 Latvia +371-29236993 info@assistentis.lv http://www.assistentis.lv/ Vendor Int 3 Complete 2014/05/24 12:00:00 2014/11/10 12:00:00 2014/11/10 07:49:36 UV 2.16.840.1.113883.3.5087 eQHealth eQHealth Solutions Inc. Root OID Sean Marchiafava masked Sean Marchiafava 8591 United Plaza Blvd. Ste. 270 Baton Rouge, Louisiana 70809 (225) 926-6353 masked Chief Information Officer eQHealth Solutions Inc. 8591 United Plaza Blvd. Ste. 270 Baton Rouge, Louisiana 70809 (225) 926-6353 info@eqhs.org http://www.eqhealthsolutions.org Vendor Int 3 Complete 2014/05/27 12:00:00 2014/11/10 12:00:00 2014/11/10 07:51:56 UV 2.16.840.1.113883.3.5088 davidmorleyorthopedics davidmorleyorthopedics OID root David Morley masked Nicole Layte 817 Merrimack st Lowell ma 01854 9784539345 masked Medical Assistant Dr David Morley MD 817 Merrimack st Lowell ma 01854 816-201-3987. drdmorley@gmail.com Provider Int 3 Complete 2014/05/27 12:00:00 2014/11/11 12:00:00 2014/11/11 02:15:59 UV 2.16.840.1.113883.3.5089 mcnmc Muscogee Creek Nation Medical Center Sharon Riker masked Sharon Riker 1401 Morris Drive Okmulgee, OK 74447 (918) 758-3135 masked Hospital Applications Administrator Muscogee Creek Nation Medical Center 1401 Morris Drive Okmulgee, OK 74447 (918) 756-4233 sriker@okmulgeehospital.com http://www.okmulgeehospital.com Provider 2.16.840.1.113883.3.3404 Int 3 Complete 2014/05/27 12:00:00 2014/11/11 12:00:00 2014/11/11 02:16:52 UV 2.16.840.1.113883.3.5091 srdOid-2999 Share Medical Center OID 2.999 Suheilah Herrera masked Melissa Headlee Suheilah Herrera 800 Share Drive &#8226; Alva, OK 73717 4694639409 masked IT Analyst Share Medical Center 800 Share Drive &#8226; Alva, OK 73717 5804302800 sherrera@smcok.com Provider Int 3 Complete 2014/05/27 12:00:00 2014/11/11 12:00:00 2014/11/11 02:19:32 UV 2.16.840.1.113883.3.5092 botsford-ed Botsford Hospital ED Eric Eberwein masked Eric Eberwein 28050 Grand River Ave Farmington Hills, MI 48336 248-615-7170 masked LIS Coordinator Botsford Hospital 28050 Grand River Ave Farmington Hills, MI 48336 248-471-8000 eeberwein@botsford.org https://botsford.org Provider Int 3 Complete 2014/05/27 12:00:00 2014/11/11 12:00:00 2014/11/11 02:21:34 UV 2.16.840.1.113883.9.167 perrycounty Perry County Memorial Hospital Mark Miller masked Debbie Kleeman Mark Miller #1 Hospital Road Tell City, IN 47586 812-547-0144 masked Information Systems Director Perry County Memorial Hospital #1 Hospital Road Tell City, IN 47586 812-547-7011 markmiller@pchospital.org Provider Int 3 Complete 2014/05/27 12:00:00 2014/11/11 12:00:00 2014/11/11 02:57:46 US 2.16.840.1.113883.4.737 m0NTR0SEH0SPITAL MONTROSE MEMORIAL HOSPITAL STEVEN SCHILTZ masked STEVEN SCHILTZ 800 SOUTH THIRD STREET MONTROSE, CO 81401 970-240-7142 masked LIS COORDINATOR MONTROSE MEMORIAL HOSPITAL 800 SOUTH THIRD STREET MONTROSE, CO 81401 970-240-7142 SSCHILTZ@MONTROSEHOSPITAL.COM Provider Int 3 Complete 2014/05/27 12:00:00 2014/11/11 12:00:00 2014/11/11 03:47:32 UV 2.16.840.1.113883.3.5093 cll Clarendon Health System Joy Floyd masked Joy Floyd 803-435-5291 masked Clarendon Health System 10 East Hospital Street Manning, SC 29102 803-435-8463 jfloyd@clarendonhealth.com Provider Int 3 Complete 2014/05/27 12:00:00 2014/11/11 12:00:00 2014/11/11 03:54:43 UV 2.16.840.1.113883.3.5094 edm Endless Mountains Health Systems Robert Thomas masked Robert Thomas 100 Hospital Drive, Montrose PA, 18801 570-278-3801 x8025 masked IT Specilist Endless Mountains Health Systems 100 Hospital Drive, Montrose PA, 18801 570-278-3801 rthomas@endlesscare.org http://endlesscare.org/ Provider Int 3 Complete 2014/05/27 12:00:00 2014/11/11 12:00:00 2014/11/11 03:57:11 UV 2.16.840.1.113883.4.738 emeasure-vsid eMeasure Version Specific Identifier Sarah Gaunt masked Yan Heras Alexandra Mugge +1 410 786 4457 masked Centers for Medicare & Medicaid Services 7500 Security Blvd. Baltimore, MD 21244 +1 410 786 4457 alexandra.mugge@cms.hhs.gov Govt body Int 3 Complete 2014/05/27 12:00:00 2014/11/11 12:00:00 2014/11/11 03:50:40 US 2.16.840.1.113883.3.1070.5844 mckesson-fusion-5844 mckesson-fusion-5844 Harry Callier masked Fusion enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5844 2014/05/27 12:00:00 2014/11/11 12:00:00 2014/11/11 03:59:27 US 2.16.840.1.113883.3.1070.5919 mckesson-fusion-5919 mckesson-fusion-5919 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5919 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 04:02:11 US 2.16.840.1.113883.3.3506.1 gmh-meditech Grady Memorial Hospital - Meditech HIS Mike Townsend masked Sylvia Ho Mike Townsend Grady Memorial Hospital 2220 W. Iowa Chickasha, OK 73018 405-779-2710 masked Network Admin Grady Memorial Hospital Grady Memorial Hospital 2220 W. Iowa Chickasha, OK 73018 405-224-2300 mtownsend@gradymem.org Provider 2.16.840.1.113883.3.3506 Ext 14 Complete 2.16.840.1.113883.3.3506.1 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 04:16:08 UV 2.16.840.1.113883.9.168 stjoseph-bellvilletx Bellville St. Joseph Health Center Keith Schlieker masked Jason Williams Keith Schlieker 2724 Koch St. Bryan, TX 77802 979-776-2558 masked Information System Specialist Bellville St. Joseph Health Center 44 North Cummings Bellville, TX 77418-0977 979-413-7400 sjdifference@st-joseph.org http://www.st-joseph.org/body.cfm?id=773 Provider Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 04:19:23 UV 2.16.840.1.113883.3.1355.2 ahwest-cid Adventist Health CID Diane Lewis masked Matthew Stemple Adventist Health 1101 Creekside Ridge Dr. # 150 Roseville, CA 95678 916-783-2572 masked Integration Managment Adventist Health West Adventist Health 2100 Douglas Boulevard Roseville, CA 95678 916-781-2000 cio@ah.org http://adventisthealth.org Provider 2.16.840.1.113883.3.1355 Ext 14 Complete 2.16.840.1.113883.3.1355.2 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 04:21:13 UV 2.16.840.1.113883.9.169 lacac LAC ADOLESCENT CARE Jose Casanova masked Fredrick Macwan Jose Casanova 3965 S. Vermont Avenue, Los Angeles, 90037. 3rd Floor. 323 541 7420 masked DHS - PEMRS Project Manager Probation Information Systems Bureau Medical Records Unit (PEMRS) 3965 S. Vermont Avenue, Los Angeles, 90037. 3rd Floor. 323 730 4463 fredrick.macwan@probation.lacounty.gov http://probation.lacounty.gov/wps/portal/probation Govt body Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 04:25:07 US 2.16.840.1.113883.3.5096 c2277655 Carroll Hospital Center Jeanie Madeira masked Connie Scharon Jeanie Madeira 200 Memorial Ave, Westminster, MD 21157 410-871-7509 masked Carroll Hospital Center 200 Memorial Ave, Westminster, MD 21157 410-871-7509 jmadeira@carrollhospitalcenter.org http://www.carrollhospitalcenter.org/ Provider Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 04:27:48 2.5.1 UV 2.16.840.1.113883.3.5097 cCMH-01 Cooper County Memorial Hospital Belinda Fisher masked Belinda D Fisher 17651 Hwy B Boonville, Missouri 65233 660-882-7461 masked IT coordinator Cooper County Memorial Hospital 17651 Hwy B Boonville, Missouri 65233 660-882-7461 gearhartd@ccmh-mo.com http://www.coopercountymemorialhospital.org Provider Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 04:29:53 UV 2.16.840.1.113883.3.5098 eHS2014 St. John's Episcopal Jerry Eugene masked Jerry Eugene 700 Hicksville Road Bethpage, NY 11714 516-349-4646 masked Associate System Engineer St. John's Episcopal Hospital 327 Beach 19th Street Far Rockaway, NY 11691 718-869-7000 JEugene@ehs.org Provider Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 04:31:25 UV 2.16.840.1.113883.3.1070.5907 mckesson-fusion-5907 mckesson-fusion-5907 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5907 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 04:33:33 US 2.16.840.1.113883.3.5099 vwchfacility Van Wert Community Hospital Facility OID Adam Rossbach masked Adam Rossbach 1250 S. Washington St. Van Wert, Ohio 45891 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 04:35:15 UV 2.16.840.1.113883.3.4730.100 botsford-lab Botsford Hospital Laboratory Eric Eberwein masked Eric Eberwein 28050 Grand River Ave 2-East Laboratory Farmington Hills, MI 48336 248-615-7170 masked LIS Coordinator Botsford Hospital 28050 Grand River Ave 2-East Laboratory Farmington Hills, MI 48336 248-888-2580 eeberwein@botsford.org http://botsford.org Provider 2.16.840.1.113883.3.4730 Ext 17 Complete 2.16.840.1.113883.3.4730.100 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 04:40:39 UV 2.16.840.1.113883.3.5100 vwchprovider Van Wert County Hospital Provider OID Adam Rossbach masked Adam Rossbach 1001 Bellefontaine Ave Lima, Ohio 45804 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 04:53:00 UV 2.16.840.1.113883.3.4730.200 botsford-ed Botsford Hospital ED Eric Eberwein masked Eric Eberwein 28050 Grand River Ave 2-East Laboratory Farmington Hills, MI 48336 248-615-7170 masked LIS Coordinator Botsford Hospital 28050 Grand River Ave ED Department Farmington Hills, MI 48336 248-471-8566 eeberwein@botsford.org http://botsford.org Provider 2.16.840.1.113883.3.4730 Ext 17 Complete 2.16.840.1.113883.3.4730.200 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 04:42:56 UV 2.16.840.1.113883.3.5102 lmhsfacility Lima Memorial Hospital Facility OID Adam Rossbach masked Adam Rossbach 1001 Bellefontaine Ave Lima, Ohio 45804 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.net Exchange Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 04:54:04 UV 2.16.840.1.113883.3.5103 lmhsprovider Lima Memorial Hospital Provider OID Adam Rossbach masked Adam Rossbach 1001 Bellefontaine Ave Lima, Ohio 45804 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.net Exchange Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 04:55:55 UV 2.16.840.1.113883.3.5104 somcfacility SOMC Facility OID Adam Rossbach masked Adam Rossbach Southern Ohio Medical Center 1248 Kinneys Lane Portsmouth, OH 45662 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 04:58:44 UV 2.16.840.1.113883.3.5105 somcprovider SOMC Provider OID Adam Rossbach masked Adam Rossbach Southern Ohio Medical Center 1248 Kinneys Lane Portsmouth, OH 45662 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 05:01:07 UV 2.16.840.1.113883.3.5106 fVP Fairview Pediatrics Tina Nicodemus masked Vasudha Singh Tina Nicodemus 1176 Memorial Drive Suite 2 Chicopee, MA 01020 4135931333 masked Operations Manager Fairview Pediatrics 1176 Memorial Drive Suite 2 Chicopee, MA 01020 4135931333 tnicodemus@fairviewpediatrics.net http://www.fairviewpeds.com Provider Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 05:02:49 UV 2.16.840.1.113883.3.5107 msyfacility MSV Facility OID Adam Rossbach masked Adam Rossbach Mercy St Vincent Medical Center 2213 Cherry St., Toledo, OH 43628 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 05:12:05 UV 2.16.840.1.113883.3.5108 msvprovider MSV Provider OID Adam Rossbach masked Adam Rossbach Mercy St Vincent Medical Center 2213 Cherry St., Toledo, OH 43628 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 05:13:30 UV 2.16.840.1.113883.3.5109 mscfacility MSC Facility OID Adam Rossbach masked Adam Rossbach Mercy St. Charles Hospital 2600 Navarre Ave., Oregon, OH 43616 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 05:15:11 UV 2.16.840.1.113883.3.5110 mscprovider MSC Provider OID Adam Rossbach masked Adam Rossbach Mercy St. Charles Hospital 2600 Navarre Ave., Oregon, OH 43616 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 05:19:35 UV 2.16.840.1.113883.3.5111 msafacility MSA Facility OID Adam Rossbach masked Adam Rossbach Mercy St. Anne Hospital 3404 W. Sylvania Ave., Toledo, OH 43623 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 05:20:38 UV 2.16.840.1.113883.3.5112 msaprovider MSA Provider OID Adam Rossbach masked Adam Rossbach Mercy St. Anne Hospital 3404 W. Sylvania Ave., Toledo, OH 43623 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 05:21:44 UV 2.16.840.1.113883.3.5113 mdffacility MDF Facility OID Adam Rossbach masked Adam Rossbach Mercy Defiance Hospital 1404 E. Second St., Defiance, OH 43512 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 05:22:56 UV 2.16.840.1.113883.3.5114 mdfprovider MDF Provider OID Adam Rossbach masked Adam Rossbach Mercy Defiance Hospital 1404 E. Second St., Defiance, OH 43512 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 05:24:25 UV 2.16.840.1.113883.3.5115 mtffacility MTF Facility OID Adam Rossbach masked Adam Rossbach Mercy Tiffin Hospital 45 St. Lawrence Dr., Tiffin, Ohio 44883 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 05:26:33 UV 2.16.840.1.113883.3.5116 mtfprovider MTF Provider OID Adam Rossbach masked Adam Rossbach Mercy Tiffin Hospital 45 St. Lawrence Dr., Tiffin, Ohio 44883 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 05:27:31 UV 2.16.840.1.113883.3.5117 mwlfacility MWL Facility OID Adam Rossbach masked Adam Rossbach Mercy Willard Hospital 1100 Neal Zick Rd., Willard, OH 44890 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 05:28:55 UV 2.16.840.1.113883.3.5118 mwlprovider MWL Provider OID Adam Rossbach masked Adam Rossbach Mercy Willard Hospital 1100 Neal Zick Rd., Willard, OH 44890 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 05:30:01 UV 2.16.840.1.113883.3.5119 mcchfacility MCCH Facility OID Adam Rossbach masked Adam Rossbach Mercer County Community Hospital 800 West Main St. Coldwater, OH 45828 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 05:32:31 UV 2.16.840.1.113883.3.4730.100.1 botsford-lab-softlab Botsford Hospital Laboratory SoftLab Eric Eberwein masked Eric Eberwein 28050 Grand River Ave 2-East Laboratory Farmington Hills, MI 48336 248-615-7170 masked LIS Coordinator Botsford Hospital 28050 Grand River Ave 2-East Laboratory Farmington Hills, MI 48336 248-888-2580 eeberwein@botsford.org http://botsford.org Provider 2.16.840.1.113883.3.4730 Ext 17 Complete 2.16.840.1.113883.3.4730.100.1 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 05:34:55 UV 2.16.840.1.113883.3.5120 mcchprovider MCCH Provider OID Adam Rossbach masked Adam Rossbach Mercer County Community Hospital 800 West Main St. Coldwater, OH 45828 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 05:41:06 UV 2.16.840.1.113883.3.5121 swghfacility SWGH Facility OID Adam Rossbach masked Adam Rossbach SWGH 18697 Bagley Rd Middleburg Heights, Ohio 44130 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 05:42:13 UV 2.16.840.1.113883.3.4730.100.2 botsford-lab-softmic Botsford Hospital Laboratory SoftMic Eric Eberwein masked Eric Eberwein 28050 Grand River Ave 2-East Laboratory Farmington Hills, MI 48336 248-615-7170 masked LIS Coordinator Botsford Hospital 28050 Grand River Ave 2-East Laboratory Farmington Hills, MI 48336 248-888-2580 eeberwein@botsford.org http://botsford.org Provider 2.16.840.1.113883.3.4730 Ext 17 Complete 2.16.840.1.113883.3.4730.100.2 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 05:43:19 UV 2.16.840.1.113883.3.4730.100.3 botsford-lab-softpath Botsford Hospital Laboratory SoftPath Eric Eberwein masked Eric Eberwein 28050 Grand River Ave 2-East Laboratory Farmington Hills, MI 48336 248-615-7170 masked LIS Coordinator Botsford Hospital 28050 Grand River Ave 2-East Laboratory Farmington Hills, MI 48336 248-888-2580 eeberwein@botsford.org http://botsford.org Provider 2.16.840.1.113883.3.4730 Ext 17 Complete 2.16.840.1.113883.3.4730.100.3 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 05:48:39 UV 2.16.840.1.113883.3.4730.100.4 botsford-lab-softbank Botsford Hospital Laboratory SoftBank Eric Eberwein masked Eric Eberwein 28050 Grand River Ave 2-East Laboratory Farmington Hills, MI 48336 248-615-7170 masked LIS Coordinator Botsford Hospital 28050 Grand River Ave 2-East Laboratory Farmington Hills, MI 48336 248-888-2580 eeberwein@botsford.org http://botsford.org Provider 2.16.840.1.113883.3.4730 Ext 17 Complete 2.16.840.1.113883.3.4730.100.4 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 05:49:55 UV 2.16.840.1.113883.3.5122 swghprovider SWGH Provider OID Adam Rossbach masked Adam Rossbach SWGH 18697 Bagley Rd Middleburg Heights, Ohio 44130 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 05:51:28 UV 2.16.840.1.113883.3.5123 glhsfacility GLHS Facility OID Adam Rossbach masked Adam Rossbach GLHS 200 St. Clair St. St. Marys, OH 45885 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 05:56:12 UV 2.16.840.1.113883.3.5124 glhsprovider GLHS Provider OID Adam Rossbach masked Adam Rossbach GLHS 200 St. Clair St. St. Marys, OH 45885 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 06:12:50 UV 2.16.840.1.113883.3.5125 mrmcfacility MRMC Facility OID Adam Rossbach masked Adam Rossbach Mercy Regional Medical Center 3700 Kolbe Rd. Lorain, OH 44053 (440) 960-4000 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 06:17:18 UV 2.16.840.1.113883.3.5126 mrmcprovider MRMC Provider OID Adam Rossbach masked Adam Rossbach Mercy Regional Medical Center 3700 Kolbe Rd. Lorain, OH 44053 (440) 960-4000 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 06:18:28 UV 2.16.840.1.113883.4.739 redlandsCA Redlands Community Hospital Ryan Donaldson masked Ryan Donaldson 909-478-7920 masked Redlands Community Hospital 350 Terracina Blvd, Redlands, CA 92373 909-478-7920 rld1@redlandshospital.org http://www.redlandshospital.org/ Provider Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 06:26:32 UV 2.16.840.1.113883.3.3506.20 fomg Five Oaks Medical Group Mike Townsend masked Sylvia Ho Mike Townsend Grady Memorial Hospital 2220 W. Iowa Chickasha, OK 73018 4057792710 masked Network Admin Grady Memorial Hospital Grady Memorial Hospital 2220 W Iowa Chickasha, OK 73018 405-779-2710 mtownsend@gradymem.org Provider 2.16.840.1.113883.3.3506 Ext 14 Complete 2.16.840.1.113883.3.3506.20 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 07:09:17 UV 2.16.840.1.113883.3.5127 hmh-west Houston Methodist West Hospital Thomas Rioux masked Marsha Parks 2550 Holly Hall Houston, TX 77054 832-667-5521 masked Integration Manager Houston Methodist West Hospital 18500 Katy Freeway Houston, TX 77094 832-522-1000 it-interfacesupportteam@houstonmethodist.org https://methodisthealth.com Provider Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 07:11:33 UV 2.16.840.1.113883.3.1355.0 ahwest Adventist Health West OID Enterprise Diane Lewis masked Diane Lewis Adventist Health 1101 Creekside Ridge Dr. # 150 Roseville, CA 95678 916 789-2335 masked Integration Analyst Adventist Health West Adventist Health 2100 Douglas Boulevard Roseville, CA 95661 916-781-2000 cioinfo@ah.org http://adventisthealth.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.0 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 07:19:51 UV 2.16.840.1.113883.3.3506.21 rsfmc Rush Springs Family Medical Clinic Mike Townsend masked Sylvia Ho Mike Townsend Grady Memorial Hospital 2220 W. Iowa Chickahsa, OK 73018 405-779-2710 masked Network Admin Grady Memorial Hospital Grady Memorial Hospital 2220 W. Iowa Chickasha, OK 73018 405-779-2710 mtownsend@gradymem.org Provider 2.16.840.1.113883.3.3506 Ext 14 Complete 2.16.840.1.113883.3.3506.21 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 07:22:58 UV 2.16.840.1.113833.3.1355.0.3 ahwestentprv Adventist Health West OID Enterprise Provider Diane Lewis masked Diane Lewis Adventist Health 1101 Creekside Ridge Dr. # 150 Roseville, CA 95678 916 789-2335 masked Intgration Analyst Adventist Health West Adventist Health 2100 Douglas Boulevard Roseville, CA 95661 916 781-2000 cioinfo@ah.org http://adventisthealth.org Provider 2.16.840.1.113833.3.1355 Ext 14 Complete 2.16.840.1.113833.3.1355.0.3 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 07:25:58 UV 2.16.840.1.113883.3.3506.22 tfmc Tuttle Family Medical Clinic Mike Townsend masked Sylvia Ho Mike Townsend Grady Memorial Hospital 2220 W. Iowa Chickasha, OK 73018 405-779-2710 masked Network Admin Grady Memorial Hospital Grady Memorial Hospital 2220 W. Iowa Chickasha, OK 73018 405-779-2710 mtownsend@gradymem.org Provider 2.16.840.1.113883.3.3506 Ext 14 Complete 2.16.840.1.113883.3.3506.22 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 07:24:35 UV 2.16.840.1.113883.4.740 sfmc-facility Saint Francis Medical Center - Cape Girardeau, Missouri Melissa Craft masked Melissa Craft 211 Saint Francis Drive Cape Girardeau, MO 63703 573-331-5561 masked LIS Specialist Saint Francis Medical Center 211 Saint Francis Drive Cape Girardeau, MO 63703 573-331-3000 sfmc@sfmc.net Provider Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 07:32:10 UV 2.16.840.1.113883.4.741 sfmc-heo Saint Francis Medical Center Horizon Expert Orders Melissa Craft masked Melissa Craft 211 St Francis Dr Cape Girardeau, MO 63701 573-331-5561 masked LIS Specialist Saint Francis Medical Center 211 St Francis Dr Cape Girardeau, MO 63701 573-331-3000 sfmc@sfmc.net Provider 2.16.840.1.113883.4.740 Int 3 Complete 2014/05/28 12:00:00 2014/11/11 12:00:00 2014/11/11 07:36:28 UV 2.16.840.1.113883.3.3580.20 stiglerhwc-EU-VXU Stigler Health & Wellness Center, Inc - Eufaula VXU Stephen Wotring masked Brooke Lattimore Stephen Wotring PO Box 179 Stigler OK 74462 918-967-3368 masked IT Director Stigler Health & Wellness Center, Inc. - Eufaula 17 Hospital Dr Eufaula OK 74432 918-689-3333 swotring@thwcinc.com http://www.thwcinc.com Provider 2.16.840.1.113883.3.3580 Ext 14 Complete 2.16.840.1.113883.3.3580.20 2014/05/29 12:00:00 2014/11/11 12:00:00 2014/11/11 07:41:52 UV 2.16.840.1.113883.3.3580.30 stiglerhwc-PT-VXU Stigler Health & Wellness Center, Inc - Poteau VXU Stephen Wotring masked Brooke Lattimore Stephen Wotring PO 179 Stigler OK 74462 918-967-3368 masked IT Director Stigler Health & Wellness Center, Inc. - Poteau 204 Wall Street, Ste. A Poteau OK 74953 918-647-2155 swotring@thwcinc.com http://www.thwcinc.com Provider 2.16.840.1.113883.3.3580 Ext 14 Complete 2.16.840.1.113883.3.3580.30 2014/05/29 12:00:00 2014/11/11 12:00:00 2014/11/11 07:43:40 UV 2.16.840.1.113883.3.3580.40 stiglerhwc-SA-VXU Stigler Health & Wellness Center, Inc - Sallisaw VXU Stephen Wotring masked Brooke Lattimore Stephen Wotring PO 179 Stigler OK 74462 918-967-3368 masked IT Director Stigler Health & Wellness Center, Inc. - Sallisaw 1630 S. Kerr Blvd Sallisaw OK 74955 918-790-2653 swotring@thwcinc.com http://www.thwcinc.com Provider 2.16.840.1.113883.3.3580 Ext 14 Complete 2.16.840.1.113883.3.3580.40 2014/05/29 12:00:00 2014/11/11 12:00:00 2014/11/11 07:44:32 UV 2.16.840.1.113883.3.3580.50 stiglerhwc-CHII-VXU Stigler Health & Wellness Center, Inc - Checotah II VXU Stephen Wotring masked Brooke Lattimore Stephen Wotring PO 179 Stigler OK 74462 918-967-3368 masked IT Director Stigler Health & Wellness Center, Inc. - Checotah II 212 W. Spaulding Checotah OK 74426 918-473-0048 swotring@thwcinc.com http://www.thwcinc.com Provider 2.16.840.1.113883.3.3580 Ext 14 Complete 2.16.840.1.113883.3.3580.50 2014/05/29 12:00:00 2014/11/11 12:00:00 2014/11/11 07:46:11 UV 2.16.840.1.113883.3.3580.60 stiglerhwc-WI-VXU Stigler Health & Wellness Center, Inc - Wilburton VXU Stephen Wotring masked Brooke Lattimore Stephen Wotring PO 179 Stigler OK 74462 918-967-3368 masked IT Director Stigler Health & Wellness Center, Inc. - Wilburton 802 Hwy 2 North Wilburton OK 74578 918-645-0005 swotring@thwcinc.com http://www.thwcinc.com Provider 2.16.840.1.113883.3.3580 Ext 14 Complete 2.16.840.1.113883.3.3580.60 2014/05/29 12:00:00 2014/11/11 12:00:00 2014/11/11 07:47:24 UV 2.16.840.1.113883.3.5128 oh-dearborn Oakwood Hospital - Dearborn Jeremiah Porter masked Jeremiah Porter 313-724-4723 masked Senior Systems Analyst Oakwood Health System 18101 Oakwood Blvd, PO Box 2500 Dearborn, MI 48124 313-724-4723 jeremiah.porter@oakwood.org http://www.oakwood.org/ Provider Int 3 Complete 2014/05/29 12:00:00 2014/11/11 12:00:00 2014/11/11 07:52:04 UV 2.16.840.1.113883.3.5129 mahfacility MAH Facility OID Adam Rossbach masked Adam Rossbach Mercy Allen Hospital 200 W. Lorain St. Oberlin, Ohio 44074 440-775-1211 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/29 12:00:00 2014/11/11 12:00:00 2014/11/11 07:53:58 UV 2.16.840.1.113883.3.5130 mahprovider MAH Provider OID Adam Rossbach masked Adam Rossbach Mercy Allen Hospital 200 W. Lorain St. Oberlin, Ohio 44074 440-775-1211 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/29 12:00:00 2014/11/11 12:00:00 2014/11/11 08:00:24 UV 2.16.840.1.113883.3.5131 wchfacility WCH Facility OID Adam Rossbach masked Adam Rossbach Wood County Hospital 950 West Wooster Street Bowling Green, OH 43402 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/29 12:00:00 2014/11/11 12:00:00 2014/11/11 08:08:47 UV 2.16.840.1.113883.3.5132 wchprovider WCH Provider OID Adam Rossbach masked Adam Rossbach Wood County Hospital 950 West Wooster Street Bowling Green, OH 43402 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/29 12:00:00 2014/11/11 12:00:00 2014/11/11 08:11:54 UV 2.16.840.1.113883.3.5133 plifacility PLI Facility OID Adam Rossbach masked Adam Rossbach Path Labs 1946 N. 13th St. Suite 301 Toledo, OH 43604 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/29 12:00:00 2014/11/11 12:00:00 2014/11/11 08:12:53 UV 2.16.840.1.113883.3.5134 pliprovider PLI Provider OID Adam Rossbach masked Adam Rossbach Path Labs 1946 N. 13th St. Suite 301 Toledo, OH 43604 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/29 12:00:00 2014/11/11 12:00:00 2014/11/11 08:14:01 UV 2.16.840.1.113883.3.5135 fchcfacility FCHC Facility OID Adam Rossbach masked Adam Rossbach Fulton County Health Center 725 S. Shoop Ave Wauseon, OH. 43567 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync,org Exchange Int 3 Complete 2014/05/29 12:00:00 2014/11/14 12:00:00 2014/11/14 03:47:03 UV 2.16.840.1.113883.3.5136 fchcprovider FCHC Provider OID Adam Rossbach masked Adam Rossbach Fulton County Health Center 725 S. Shoop Ave Wauseon, OH. 43567 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/29 12:00:00 2014/11/14 12:00:00 2014/11/14 03:48:05 UV 2.16.840.1.113883.3.5137 lelandmedical Leland Medical Clinic Daniel Thomas masked Daniel Thomas PO Box 277 Stoneville, MS 38776 662-686-7004 masked CIO Leland Medical Clinic PO Box 277 Stoneville, MS 38776 662-686-7004 dthomas@deltahealthalliance.org Provider Int 3 Complete 2014/05/29 12:00:00 2014/11/14 12:00:00 2014/11/14 03:50:20 UV 2.16.840.1.113883.3.5138 lexmed Lexington Medical Center Jorge Cuzmar masked Jorge Cuzmar Lexington Medical Center 2720 Sunset Boulevard West Columbia, SC 29169 803-739-3758 masked Integration Engineer Lexington Medical Center 2720 Sunset Boulevard West Columbia, SC 29169 803-791-2000 jdcuzmar@lexhealth.org http://www.lexmed.com/ Provider Int 3 Complete 2014/05/29 12:00:00 2014/11/14 12:00:00 2014/11/14 04:17:58 UV 2.16.840.1.113883.3.5139 oh-southshore Oakwood Hospital - Southshore Jeremiah Porter masked Ed Mummert 3137244586 masked Manager, Information Technology Oakwood Health System 5450 Fort Street Trenton, MI 48183 3137244586 Ed.Mummert@oakwood.org http://www.oakwood.org/ Provider Int 3 Complete 2014/05/29 12:00:00 2014/11/14 12:00:00 2014/11/14 04:19:12 UV 2.16.840.1.113883.3.5140 oh-taylor Oakwood Hospital - Taylor Jeremiah Porter masked Ed Mummert 3137244586 masked Manager, Information Technology Oakwood Health System 10000 Telegraph Rd Taylor, MI 48180-3330 3137244586 Ed.Mummert@oakwood.org http://www.oakwood.org/ Provider Int 3 Complete 2014/05/29 12:00:00 2014/11/14 12:00:00 2014/11/14 04:25:13 UV 2.16.840.1.113883.3.5141 oh-wayne Oakwood Hospital - Wayne Jeremiah Porter masked Ed Mummert 3137244586 masked Manager, Information Technology Oakwood Health System 33155 Annapolis St Wayne, MI 48184 3137244586 Ed.Mummert@oakwood.org Provider Int 3 Complete 2014/05/29 12:00:00 2014/11/14 12:00:00 2014/11/14 04:26:02 UV 2.16.840.1.113883.3.5142 cantoned Oakwood Healthcare Center - Canton Jeremiah Porter masked Jeremiah Porter 313-724-4723 masked Senior Systems Analyst Oakwood Health System 7300 N Canton Center Rd Canton, MI 48187 313-724-4723 jeremiah.porter@oakwood.org http://www.oakwood.org/ Provider Int 3 Complete 2014/05/29 12:00:00 2014/11/14 12:00:00 2014/11/14 04:27:15 UV 2.16.840.1.114222.4.1.185 n-vdh Namespace for the Vermont Department of Health Kimberly Jones masked Kimberly Jones Information Technology 108 Cherry Street PO Box 70 Burlington, VT 05402 802-863-7290 masked Public Health Informaticist Vermont Department of Health 108 Cherry Street PO Box 70 Burlington, VT 05402 802-863-7290 kimberly.jones@state.vt.us http://healthvermont.gov Govt body Ext 3 Complete 2.16.840.1.114222.4.1.185 2014/05/29 12:00:00 2014/11/14 12:00:00 2014/11/14 04:34:27 UV 2.16.840.1.113883.3.5143 choc CHOC Childrens Kyle Murkey masked Kyle Murkey 1201 W. La Veta Ave., Orange, CA 92868-3874 7145094701 masked Clinical Systems Lead CHOC Childrens 1201 W. La Veta Ave., Orange, CA 92868-3874 7149973000 kmurkey@choc.org Provider Int 3 Complete 2014/05/29 12:00:00 2014/11/14 12:00:00 2014/11/14 04:33:27 UV 2.16.840.1.113883.3.5044.1 alafleur Andrew M. LaFleur, M.D. - PLC Alex Norton masked Alex Norton 925 N Michigan Ave Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.1 2014/05/29 12:00:00 2014/08/28 12:00:00 2014/08/28 03:10:47 UV 2.16.840.1.113883.3.5044.2 cmgWB Covenant Medical Group West Branch Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.2 2014/05/29 12:00:00 2014/08/28 12:00:00 2014/08/28 03:13:16 UV 2.16.840.1.113883.3.5044.3 covdigctr Covenant Digestive Care Center Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com https://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.3 2014/05/29 12:00:00 2014/09/10 12:00:00 2014/09/10 04:18:32 UV 2.16.840.1.113883.3.5044.4 covneur Covenant Neurology Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 Complete 2.16.840.1.113883.3.5044.4 2014/05/29 12:00:00 2014/11/14 12:00:00 2014/11/14 04:38:11 UV 2.16.840.1.113883.3.5144 nvml New Vision Medical Laboratories Adam Rossbach masked Adam Rossbach New Vision Medical Laboratories Lima, OH 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/29 12:00:00 2014/11/14 12:00:00 2014/11/14 04:43:58 UV 2.16.840.1.113883.3.5044.5 covneurosurg Covenant Neurosurgery Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.5 2014/05/29 12:00:00 2014/09/10 12:00:00 2014/09/10 04:17:33 UV 2.16.840.1.113883.3.5044.6 greatlakes Great Lakes Family Health Center, P.C. Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.6 2014/05/29 12:00:00 2014/09/10 12:00:00 2014/09/10 04:18:03 UV 2.16.840.1.113883.3.5044.7 bportfam Bridgeport Family Physicians Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.7 2014/05/29 12:00:00 2014/09/10 12:00:00 2014/09/10 04:17:06 UV 2.16.840.1.113883.3.5044.8 fmuthfam Frankenmuth Family Practice Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.8 2014/05/29 12:00:00 2014/09/10 12:00:00 2014/09/10 04:16:39 UV 2.16.840.1.113883.3.5044.9 mirzahussain Alli Med PLLC Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.9 2014/05/29 12:00:00 2014/09/10 12:00:00 2014/09/10 04:16:12 UV 2.16.840.1.113883.3.5145 nvmlfacility NVML Facility OID Adam Rossbach masked Adam Rossbach New Vision Medical Laboratories Lima, OH 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/29 12:00:00 2014/11/14 12:00:00 2014/11/14 04:46:19 UV 2.16.840.1.113883.3.5146 nvmlprovider NVML Provider ID Adam Rossbach masked Adam Rossbach New Vision Medical Laboratories Lima, OH 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/29 12:00:00 2014/11/14 12:00:00 2014/11/14 04:47:52 UV 2.16.840.1.113883.3.5147 srmcfacility SRMC Facility OID Adam Rossbach masked Adam Rossbach St Ritas Medical Center Lima, OH 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/29 12:00:00 2014/11/14 12:00:00 2014/11/14 04:49:06 UV 2.16.840.1.113883.3.5044.10 sebewaing Sebewaing Primary Care Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.10 2014/05/29 12:00:00 2014/08/28 12:00:00 2014/08/28 03:11:35 UV 2.16.840.1.113883.3.5148 srmcprovider SRMC Provider OID Adam Rossbach masked Adam Rossbach St Ritas Medical Center Lima, OH 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/29 12:00:00 2014/11/14 12:00:00 2014/11/14 04:51:46 UV 2.16.840.1.113883.3.5149 bvhsfacility BVHS Facility OID Adam Rossbach masked Adam Rossbach Blanchard Valley 1900 South Main Street Findlay, Ohio 45840 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/29 12:00:00 2014/11/14 12:00:00 2014/11/14 04:53:49 UV 2.16.840.1.113883.3.5044.11 bayprimary Bay Primary Care Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.11 2014/05/29 12:00:00 2014/08/28 12:00:00 2014/08/28 03:12:22 UV 2.16.840.1.113883.3.5150 bvhsprovider BVHS Provider OID Adam Rossbach masked Adam Rossbach Blanchard Valley 1900 South Main Street Findlay, Ohio 45840 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/29 12:00:00 2014/11/14 12:00:00 2014/11/14 04:57:15 UV 2.16.840.1.113883.3.5044.12 covpedneuro Covenant Pediatric Neurology Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.12 2014/05/29 12:00:00 2014/09/10 12:00:00 2014/09/10 04:15:36 UV 2.16.840.1.113883.3.5151 chwcfacility CHWC Facility OID Adam Rossbach masked Adam Rossbach Community Hospitals & Wellness Centers 433 West High Street Bryan, OH 43506 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/29 12:00:00 2014/11/14 12:00:00 2014/11/14 04:58:28 UV 2.16.840.1.113883.3.5152 chwcprovider CHWC Provider OID Adam Rossbach masked Adam Rossbach Community Hospitals & Wellness Centers 433 West High Street Bryan, OH 43506 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/29 12:00:00 2014/11/14 12:00:00 2014/11/14 05:00:08 UV 2.16.840.1.113883.4.305.1.16 porterHospital Porter Hospital Anthony Panella masked Anthony J. Panella Porter Medical Center 115 Porter Drive Middlebury, VT 05753 802-388-4726 masked Senior Application Analyst Porter Medical Center 115 Porter Drive Middlebury, VT 05753 802-388-4701 apanella@portermedical.org http://www.portermedical.org Provider 2.16.840.1.113883.4.305 Ext 17 Complete 2.16.840.1.113883.4.305.1.16 2014/05/29 12:00:00 2014/12/19 12:00:00 2014/12/19 05:10:22 UV 2.16.840.1.113883.3.5153 cpcacohie Commonwealth Primary Care ACO HIE Lance Donkerbrook masked Lance Donkerbrook 5030 S Mill Ave Ste D8 Tempe AZ 85282 4808942823 masked COO Commonwealth Primary Care ACO 5030 S Mill Ave Ste D8 Tempe AZ 85282 4808942823 info@commonwealthaco.com http://www.commonwealthaco.com Provider Int 3 Complete 2014/05/29 12:00:00 2014/11/14 12:00:00 2014/11/14 05:02:49 UV 2.16.840.1.113883.3.5044.13 cmumed CMU Medical Education Partners Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.13 2014/05/30 12:00:00 2014/09/10 12:00:00 2014/09/10 04:14:54 UV 2.16.840.1.113883.3.5044.14 silverfm Silverwood Family Medicine Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.14 2014/05/30 12:00:00 2014/09/10 12:00:00 2014/09/10 04:14:28 UV 2.16.840.1.113883.3.5044.15 hemlockfm Hemlock Family Medicine Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.15 2014/05/30 12:00:00 2014/09/10 12:00:00 2014/09/10 04:14:03 UV 2.16.840.1.113883.3.5044.16 gratiotpc Gratiot Primary Care Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.16 2014/05/30 12:00:00 2014/09/10 12:00:00 2014/09/10 04:13:36 UV 2.16.840.1.113883.3.5044.17 dawnjohnson Dawn Johnson DO Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.17 2014/05/30 12:00:00 2014/09/10 12:00:00 2014/09/10 04:12:50 UV 2.16.840.1.113883.3.5154 kchfacility KCH FACILITY OID Adam Rossbach masked Adam Rossbach 1330 Coshocton Rd Mount Vernon, Ohio 43050 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 05:04:31 UV 2.16.840.1.113883.3.5155 citycreekmedicalspecialists City Creek Medical Specialists Christina Bean masked Christina Bean 324 10th Avenue, Suite 285 Salt Lake City, Utah 84103 801-408-5151 masked Billing City Creek Medical Specialists 324 10th Avenue, Suite 285 Salt Lake City, Utah 54103 801-408-5151 citycreekintmed@gmail.com Provider Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 05:09:19 UV 2.16.840.1.113883.3.5044.18 jaswal Parminder S Jaswal, MD Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.18 2014/05/30 12:00:00 2014/09/10 12:00:00 2014/09/10 04:12:20 UV 2.16.840.1.113883.3.5156 kchprovider KCH PROVIDER OID Adam Rossbach masked Adam Rossbach 1330 Coshocton Rd Mount Vernon, Ohio 43050 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 05:10:33 UV 2.16.840.1.113883.3.5157 nchfacility NCH FACILITY OID Adam Rossbach masked Adam Rossbach 700 Children's Drive, Columbus Ohio 43205 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 05:11:38 UV 2.16.840.1.113883.3.5158 nchprovider NCH PROVIDER OID Adam Rossbach masked Adam Rossbach 700 Children's Drive, Columbus Ohio 43205 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 05:12:17 UV 2.16.840.1.113883.3.5159 seormcfacility SEORMC FACILITY OID Adam Rossbach masked Adam Rossbach 1341 Clark Street Cambridge, OHIO 43725 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 05:18:53 UV 2.16.840.1.113883.3.5044.19 stfp Saginaw Township Family Physicians Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.19 2014/05/30 12:00:00 2014/09/10 12:00:00 2014/09/10 04:11:47 UV 2.16.840.1.113883.3.5044.20 sbim Saginaw Bay Internal Medicine Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.20 2014/05/30 12:00:00 2014/09/10 12:00:00 2014/09/10 04:11:17 UV 2.16.840.1.113883.3.5160 seormcprovider SEORMC PROVIDER OID Adam Rossbach masked Adam Rossbach 1341 Clark Street Cambridge, OHIO 43725 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 05:25:16 UV 2.16.840.1.113883.3.5161 lmhfacility LMH FACILITY OID Adam Rossbach masked Adam Rossbach 1320 W Main St Newark, OH 43055 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 05:26:13 UV 2.16.840.1.113883.3.5162 lmhprovider LMH PROVIDER OID Adam Rossbach masked Adam Rossbach 1320 W Main St Newark, OH 43055 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 05:27:17 UV 2.16.840.1.113883.3.5163 fmhfacility FMH FACILITY OID Adam Rossbach masked Adam Rossbach 715 South Taft Avenue Fremont, Ohio 43420 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 05:28:32 UV 2.16.840.1.113883.3.5164 fmhprovider FMH PROVIDER OID Adam Rossbach masked Adam Rossbach 715 South Taft Avenue Fremont, Ohio 43420 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 05:29:52 UV 2.16.840.1.113883.3.5165 mhucfacility MHUC FACILITY OID Adam Rossbach masked Adam Rossbach ATTN Brandon Grudt Memorial Hospital of Union County 500 London Ave Marysville, OH 43040 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 05:31:58 UV 2.16.840.1.113883.3.5166 mhucprovider MHUC PROVIDER OID Adam Rossbach masked Adam Rossbach ATTN Brandon Grudt Memorial Hospital of Union County 500 London Ave Marysville, OH 43040 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 05:33:28 UV 2.16.840.1.113883.3.5167 achfacility ACH FACILITY OID Adam Rossbach masked Adam Rossbach 1 Perkins Square, Akron, OH 44308 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 05:34:30 UV 2.16.840.1.113883.3.5168 achprovider ACH PROVIDER OID Adam Rossbach masked Adam Rossbach 1 Perkins Square, Akron, OH 44308 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 05:35:21 UV 2.16.840.1.113883.3.5169 woofacility WOO FACILITY OID Adam Rossbach masked Adam Rossbach Wooster Community Hospital 1761 Beall Avenue Wooster, Ohio 44691 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 05:36:15 UV 2.16.840.1.113883.3.5170 wooprovider WOO PROVIDER OID Adam Rossbach masked Adam Rossbach Wooster Community Hospital 1761 Beall Avenue Wooster, Ohio 44691 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 05:37:10 UV 2.16.840.1.113883.3.5171 ppokhie Pharmacy Providers of Oklahoma Josh Cline masked David Byrne David Byrne 3000 E Memorial Road Edmond, OK. 73013 405-557-5700 masked Manager Software Development Pharmacy Providers of Oklahoma 3000 E Memorial Road Edmond, OK. 73013 405-557-5700 ppok@ppok.com http://www.ppok.com Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 05:42:18 US 2.16.840.1.113883.3.5172 scotlandmemoid Scotland Memorial OID Jennifer Jones masked Jennifer Jones Scotland Memorial Hospital 500 Lauchwood Dr Laurinburg, NC 28352-5501 (910) 276-2406 x15 masked Scotland Memorial Hospital 500 Lauchwood Dr Laurinburg, NC 28352-5501 (910) 276-2406 x15 jennifer.jones@scotlandhealth.org Provider Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 05:43:58 UV 2.16.840.1.113883.3.5173 somerset-healthcareoid Somerset Healthcare OID Robert Tomasso masked Robert Tomasso (908) 685-2532 masked Somerset Healthcare 34 East Somerset St., Raritan , NJ 08869 (908) 685-2532 rtomasso@somerset-healthcare.com Provider Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 05:50:48 UV 2.16.840.1.113883.3.5174 somersethealthcareOID somerset-healthcare OID Heidi Smink masked Heidi Smink (908) 685-2200 masked Heidi Smink 454 Elizabeth Avenue - Suite 210 Somerset , NJ 08873 (908) 685-2200 hsmink@somerset-healthcare.com Provider Int 2.16.840.1.113883.3.5173 3 Retired 2014/05/30 12:00:00 2014/11/14 05:53:54 UV 2.16.840.1.113883.3.5175 mmhsfacility MMHS FACILITY OID Adam Rossbach masked Adam Rossbach 401 Matthew Street Marietta, OH 45750 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:01:43 UV 2.16.840.1.113883.3.5176 mmhsprovider MMHS PROVIDER OID Adam Rossbach masked Adam Rossbach 401 Matthew Street Marietta, OH 45750 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:04:37 UV 2.16.840.1.113883.3.5177 ccmhfacility CCMH FACILITY OID Adam Rossbach masked Adam Rossbach Coshocton County Memorial Hospital 1460 Oranges St. Coshocton, OH 43812 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:05:24 UV 2.16.840.1.113883.3.5178 ccmhprovider CCMH PROVIDER OID Adam Rossbach masked Adam Rossbach Coshocton County Memorial Hospital 1460 Oranges St. Coshocton, OH 43812 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:06:26 UV 2.16.840.1.113883.3.5179 hhsfacility HHS FACILITY OID Adam Rossbach masked Adam Rossbach Holzer Health System 100 Jackson Pike Gallipolis, OH 45631 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:07:45 UV 2.16.840.1.113883.3.5180 hhsprovider HHS PROVIDER OID Adam Rossbach masked Adam Rossbach Holzer Health System 100 Jackson Pike Gallipolis, OH 45631 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:08:47 UV 2.16.840.1.113883.3.5181 bhfacility BH FACILITY OID Adam Rossbach masked Adam Rossbach 639 W Main St, Barnesville, OH 43713 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:15:10 UV 2.16.840.1.113883.3.5182 bhprovider BH PROVIDER OID Adam Rossbach masked Adam Rossbach 639 W Main St, Barnesville, OH 43713 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:16:07 UV 2.16.840.1.113883.3.5044.21 cfhcooper Covenant Center for the Heart Physician Group - Cooper Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.21 2014/05/30 12:00:00 2014/09/10 12:00:00 2014/09/10 04:10:47 UV 2.16.840.1.113883.3.5044.22 cfhalma Covenant Center for the Heart Physician Group - Alma Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.22 2014/05/30 12:00:00 2014/09/10 12:00:00 2014/09/10 04:10:25 UV 2.16.840.1.113883.3.5044.23 cfhshields Covenant Center for the Heart Physician Group - Shields Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.23 2014/05/30 12:00:00 2014/09/10 12:00:00 2014/09/10 04:09:58 UV 2.16.840.1.113883.3.5183 cmcdfacility CMCD Facility OID Adam Rossbach masked Adam Rossbach One Children's Plaza Dayton, OH 45404 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:17:17 UV 2.16.840.1.113883.3.5184 cmcdprovider CMCD Provider OID Adam Rossbach masked Adam Rossbach One Children's Plaza Dayton, OH 45404 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:20:37 UV 2.16.840.1.113883.3.5185 elchfacility ELCH Facility OID Adam Rossbach masked Adam Rossbach 425 West Fifth St. East Liverpool, OH 43920 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:21:41 UV 2.16.840.1.113883.3.5186 elchprovider ELCH Provider OID Adam Rossbach masked Adam Rossbach 425 West Fifth St. East Liverpool, OH 43920 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:22:27 UV 2.16.840.1.113883.3.5187 hmhpfacility HMHP Facility OID Adam Rossbach masked Adam Rossbach St. Elizabeth Health Center 1044 Belmont Avenue Youngstown, Ohio 44501 (330) 746-7211 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:23:04 UV 2.16.840.1.113883.3.5188 hmhpprovider HMHP Provider OID Adam Rossbach masked Adam Rossbach St. Elizabeth Health Center 1044 Belmont Avenue Youngstown, Ohio 44501 (330) 746-7211 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:23:53 UV 2.16.840.1.113883.3.5189 hmhpsjhcfacility HMHP SJHC Facility OID Adam Rossbach masked Adam Rossbach St. Joseph Health Center 667 Eastland Avenue Warren, Ohio 44484 (330) 841-4000 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:24:48 UV 2.16.840.1.113883.3.5190 hmhpsjhcprovider HMHP SJHC Provider OID Adam Rossbach masked Adam Rossbach St. Joseph Health Center 667 Eastland Avenue Warren, Ohio 44484 (330) 841-4000 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:25:41 UV 2.16.840.1.113883.3.5191 schfacility SCH FACILITY OID Adam Rossbach masked Adam Rossbach Salem Community Hospital Salem, Ohio 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:28:57 UV 2.16.840.1.113883.3.5192 schprovider SCH PROVIDER OID Adam Rossbach masked Adam Rossbach Salem Community Hospital Salem, Ohio 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:29:37 UV 2.16.840.1.113883.3.5193 frmcfacility FRMC FACILITY OID Adam Rossbach masked Adam Rossbach Firelands Regional Medical Center 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:30:24 UV 2.16.840.1.113883.3.5194 hmhpsebhcfacility HMHP SEBHC Facility OID Adam Rossbach masked Adam Rossbach St. Elizabeth Boardman 8401 Market Street Boardman, Ohio 44512 (330) 729-1428 6146642603 masked CliniSYnc arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:31:13 UV 2.16.840.1.113883.3.5195 frmcprovider FRMC PROVIDER OID Adam Rossbach masked Adam Rossbach 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:32:09 UV 2.16.840.1.113883.3.5196 hmhpsebhcprovider HMHP SEBHC Provider OID Adam Rossbach masked Adam Rossbach St. Elizabeth Boardman 8401 Market Street Boardman, Ohio 44512 (330) 729-1428 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:34:15 UV 2.16.840.1.113883.3.5197 mrhfacility MRH FACILITY OID Adam Rossbach masked Adam Rossbach Mary Rutan Hospital 205 Palmer Rd Bellefontaine, OH 43311 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:34:54 UV 2.16.840.1.113883.3.5198 amgMMD Archbold Medical Group Dee Dee Snow masked Kristy Miller Dee Dee Snow 915 Gordon Ave Thomasville, GA 31792 229.227.5150 masked IS Security Officer Archbold Medical Group 915 Gordon Ave Thomasville, GA 31792 229.227.5160 dsnow@archbold.org http://www.archbold.org Provider Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:37:27 UV 2.16.840.1.113883.3.5199 mrhprovider MRH PROVIDER OID Adam Rossbach masked Adam Rossbach Mary Rutan Hospital 205 Palmer Rd Bellefontaine, OH 43311 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:38:08 UV 2.16.840.1.113883.3.5200 osuwmcfacility OSUWMC FACILITY OID Adam Rossbach masked Adam Rossbach 640 Ackerman Columbus, Oh 43218-3111 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:45:40 UV 2.16.840.1.113883.3.5201 osuwmcprovider OSUWMC PROVIDER OID Adam Rossbach masked Adam Rossbach 640 Ackerman Columbus, Oh 43218-3111 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:46:27 UV 2.16.840.1.113883.3.5202 osumchfacility OSUMCH FACILITY Adam Rossbach masked Adam Rossbach 640 Ackerman Rd Columbus, Oh 43218-3111 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:53:12 UV 2.16.840.1.113883.3.5203 osumchprovider OSUMCH PROVIDER OID Adam Rossbach masked Adam Rossbach 640 Ackerman Rd Columbus, Oh 43218-3111 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:54:22 UV 2.16.840.1.113883.3.5204 thsfacility THS FACILITY OID Adam Rossbach masked Adam Rossbach 380 Summit Ave Steubenville, OH 43952 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:55:24 UV 2.16.840.1.113883.3.5205 thsprovider THS PROVIDER OID Adam Rossbach masked Adam Rossbach 380 Summit Ave Steubenville, OH 43952 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:56:42 UV 2.16.840.1.113883.3.5206 khnkmcfacility KHN KMC Facility OID adam Rossbach masked Adam Rossbach Kettering Medical Center 3535 Southern Boulevard Kettering, Ohio 45429 937-298-4331 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:57:22 UV 2.16.840.1.113883.3.5207 khnkmcprovider KHN KMC Provider OID Adam Rossbach masked Adam Rossbach Kettering Medical Center 3535 Southern Boulevard Kettering, Ohio 45429 937-298-4331 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:58:11 UV 2.16.840.1.113883.3.5208 khngmcfacility KHN GMC Facility OID Adam Rossbach masked Adam Rossbach Grandview Medical Center 405 West Grand Avenue Dayton, Ohio 45405 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 06:59:12 UV 2.16.840.1.113883.3.5209 mchsfacility MCHS FACILITY OID Adam Rossbach masked Adam Rossbach Mount Carmel Health System 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 07:00:05 UV 2.16.840.1.113883.3.5210 khngmcprovider KHN GMC Provider OID Adam Rossbach masked Adam Rossbach Grandview Medical Center 405 West Grand Avenue Dayton, Ohio 45405 6146642603 masked ClinSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 07:01:38 UV 2.16.840.1.113883.3.5211 mchsprovider MCHS PROVIDER OID Adam Rossbach masked Adam Rossbach Mount Carmel Health System 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 07:07:21 UV 2.16.840.1.113883.3.5212 khnshfacility KHN SH Facility OID Adam Rossbach masked Adam Rossbach Sycamore Hospital 4000 Miamisburg-Centerville Road Miamisburg, Ohio 45342-3696 6146642603 masked ClinSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 07:08:34 UV 2.16.840.1.113883.3.5213 khnshprovider KHN SH Provider OID Adam Rossbach masked Adam Rossbach Sycamore Hospital 4000 Miamisburg-Centerville Road Miamisburg, Ohio 45342-3696 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 07:09:20 UV 2.16.840.1.113883.3.5044.24 cfhbc Covenant Center for the Heart Physician Group - Bay City Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.24 2014/05/30 12:00:00 2014/09/10 12:00:00 2014/09/10 04:09:12 UV 2.16.840.1.113883.3.5214 khnsvhfacility KHN SVH Facility OID Adam Rossbach masked Adam Rossbach Southview Hospital 1997 Miamisburg-Centerville Road Centerville, Ohio 45459 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 07:10:04 UV 2.16.840.1.113883.3.5215 khnsvhprovider KHN SVH Provider OID Adam Rossbach masked Adam Rossbach Southview Hospital 1997 Miamisburg-Centerville Road Centerville, Ohio 45459 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 07:11:01 UV 2.16.840.1.113883.3.5044.25 cfhfmuth Covenant Center for the Heart Physician Group - Frankenmuth Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.25 2014/05/30 12:00:00 2014/09/10 12:00:00 2014/09/10 04:08:47 UV 2.16.840.1.113883.3.5216 khngmhfacility KHN GMC Facility OID Adam Rossbach masked Adam Rossbach Greene Memorial Hospital 1141 North Monroe Drive Xenia, Ohio 45385 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 07:14:31 UV 2.16.840.1.113883.3.5217 khngmhprovider KHN GMH Provider OID Adam Rossbach masked Adam Rossbach Greene Memorial Hospital 1141 North Monroe Drive Xenia, Ohio 45385 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 07:16:39 UV 2.16.840.1.113883.3.5218 mcefacility MCE FACILITY OID Adam Rossbach masked Adam Rossbach Mount Carmel East 6001 E Broad St, Columbus, OH 43213 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 07:17:29 UV 2.16.840.1.113883.3.5219 mceprovider MCE PROVIDER OID Adam Rossbach masked Adam Rossbach Mount Carmel East 6001 E Broad St, Columbus, OH 43213 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 07:18:08 UV 2.16.840.1.113883.3.5044.26 cfhcc Covenant Center for the Heart Physician Group -Cass City Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.26 2014/05/30 12:00:00 2014/09/10 12:00:00 2014/09/10 04:08:17 UV 2.16.840.1.113883.3.5220 mcwfacility MCW FACILITY OID Adam Rossbach masked Adam Rossbach Mount Carmel West 793 West State Street Columbus, Ohio 43222 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 07:21:44 UV 2.16.840.1.113883.3.5221 mcwprovider MCW PROVIDER OID Adam Rossbach masked Adam Rossbach Mount Carmel West 793 West State Street Columbus, Ohio 43222 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 07:26:14 UV 2.16.840.1.113883.3.5044.27 cfhberl Covenant Center for the Heart Physician Group - Berl Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.27 2014/05/30 12:00:00 2014/09/10 12:00:00 2014/09/10 04:07:41 UV 2.16.840.1.113883.3.5222 mcstafacility MCSTA FACILITY OID Adam Rossbach masked Adam Rossbach Mount Carmel - St. Anne's 500 S Cleveland Ave, Westerville, OH 43081 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/14 12:00:00 2014/11/14 07:27:11 UV 2.16.840.1.113883.3.5223 mcstaprovider MCSTA PROVIDER OID Adam Rossbach masked Adam Rossbach Mount Carmel St. Ann's 500 S Cleveland Ave, Westerville, OH 43081 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/15 12:00:00 2014/11/15 11:50:23 UV 2.16.840.1.113883.3.5044.28 cfhcaro Covenant Center for the Heart Physician Group - Caro Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.28 2014/05/30 12:00:00 2014/09/10 12:00:00 2014/09/10 04:07:13 UV 2.16.840.1.113883.3.5224 khnirsmcfacility KHN IRSMC Facility OID Adam Rossbach masked Adam Rossbach Indu & Raj Soin Medical Center 3535 Pentagon Blvd. Beavercreek, OH 45431 6146642603 masked CliniSync arossbach@ohiponline.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/15 12:00:00 2014/11/15 11:51:40 UV 2.16.840.1.113883.3.5225 khnirsmcprovider KHN IRSMC Provider OID Adam Rossbach masked Adam Rossbach Indu & Raj Soin Medical Center 3535 Pentagon Blvd. Beavercreek, OH 45431 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/15 12:00:00 2014/11/15 11:52:20 UV 2.16.840.1.113883.3.5226 mcnafacility MCNA FACILITY OID Adam Rossbach masked Adam Rossbach Mount Carmel New Albany 7333 Smith's Mill Rd, New Albany, OH 43054 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/15 12:00:00 2014/11/15 11:53:25 UV 2.16.840.1.113883.3.5044.29 cfhmar Covenant Center for the Heart Physician Group - Marlette Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.29 2014/05/30 12:00:00 2014/09/10 12:00:00 2014/09/10 04:05:53 UV 2.16.840.1.113883.3.5227 mcnaprovider MCNA PROVIDER OID Adam Rossbach masked Adam Rossbach Mount Carmel New Albany 7333 Smith's Mill Rd, New Albany, OH 43054 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/15 12:00:00 2014/11/15 11:54:22 UV 2.16.840.1.113883.3.5228 khnfhhfacility KHN FHH Facility OID Adam Rossbach masked Adam Rossbach Fort Hamilton Hospital 630 Eaton Avenue Hamilton, Ohio 45013 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/15 12:00:00 2014/11/15 11:55:14 UV 2.16.840.1.113883.3.5229 drmcfacility DRMC FACILITY OID Adam Rossbach masked Adam Rossbach Diley Ridge Medical Center 7911 Diley Rd, Canal Winchester, OH 43110 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/15 12:00:00 2014/11/15 11:56:25 UV 2.16.840.1.113883.3.5044.30 cfhsan Covenant Center for the Heart Physician Group - Sandusky Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.30 2014/05/30 12:00:00 2014/09/10 12:00:00 2014/09/10 04:05:23 UV 2.16.840.1.113883.3.5230 drmcprovider DRMC PROVIDER OID Adam Rossbach masked Adam Rossbach Diley Ridge Medical Center 7911 Diley Rd, Canal Winchester, OH 43110 614-664-2603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/15 12:00:00 2014/11/15 12:00:15 UV 2.16.840.1.113883.3.5231 khnfhhprovider KHN FHH Provider OID Adam Rossbach masked Adam Rossbach Fort Hamilton Hospital 630 Eaton Avenue Hamilton, Ohio 45013 6146642603 masked CliniSync arossbach@ohiponline.org http://www.clinisync.org Exchange Int 3 Complete 2014/05/30 12:00:00 2014/11/15 12:00:00 2014/11/15 12:01:55 UV 2.16.840.1.113883.3.5232 plcentura Centura Lab Services Kathy Rem masked Myriah Vandre Kathy Rem 111 Inverness Dr W Englewood, CO 80112 303-643-4264 masked DIR APPL SYSTEMS ANALYST/PROGR Centura Lab Services 188 Inverness Dr W, Suite 500 Englewood, CO 80112 303-290-6500 KathrynRem@Centura.Org Provider Int 3 Complete 2014/05/30 12:00:00 2014/11/15 12:00:00 2014/11/15 12:03:00 UV 2.16.840.1.113883.3.5044.31 sfpjohnslavin Saginaw Family Physicians Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.31 2014/05/30 12:00:00 2014/09/10 12:00:00 2014/09/10 04:04:49 UV 2.16.840.1.113883.3.5233 rmhmt Roundup Memorial Healthcare Bradley Howell masked Bradley Howell 1202 3rd Street West Roundup, MT 59072 (406)323-4905 masked CEO Roundup Memorial Healthcare 1202 3rd Street West Roundup, MT 59072 406-323-2301 bhowell@rmhmt.org https://rmhmt.org Provider Int 3 Complete 2014/05/30 12:00:00 2014/11/15 12:00:00 2014/11/15 12:04:55 UV 2.16.840.1.113883.3.5234 niladri-sen-inc Niladri Sen Inc. Root Certificate Authority Niladri Sen masked Niladri Sen 22340000 masked Niladri Sen niladri.sen@hotmail.com Prof Soc Int 3 Complete 2014/05/31 12:00:00 2014/11/15 12:00:00 2014/11/15 12:12:23 UV 2.16.840.1.113883.3.5044.32 covpedsurg Covenant Pediatric Surgery Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.32 2014/06/01 12:00:00 2014/08/27 12:00:00 2014/08/27 02:30:42 UV 2.16.840.1.113883.3.5044.33 covpmr Covenant Physical Medicine & Rehab Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.33 2014/06/01 12:00:00 2014/08/28 12:00:00 2014/08/28 03:09:49 UV 2.16.840.1.113883.3.5044.34 cataquiz Doris Cataquiz, MD Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.34 2014/06/02 12:00:00 2014/09/10 12:00:00 2014/09/10 04:00:24 UV 2.16.840.1.113883.3.1070.5456 mckesson-fusion-5456 mckesson-fusion-5456 Harry Callier masked Fusion enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5456 2014/06/02 12:00:00 2014/10/18 12:00:00 2014/10/18 05:01:06 US 2.16.840.1.113883.3.5235 bristow Bristow Medical Center Jan Clark masked Jan Clark 700 W. 7th St. Suite 6 Bristow, OK 74010 918-367-4442 masked CEO Bristow Medical Center 700 W. 7th St. Suite 6 Bristow, OK 74010 918-367-2215 jwinter@endeavorhs.com https://www.bristowmedcenter.com Provider Int 3 Complete 2014/06/02 12:00:00 2014/09/02 12:00:00 2014/09/03 09:01:53 UV 2.16.840.1.113883.3.4848.5 cfha-lrmc-IE Leesburg Regional Medical Center Interface Engine Jeffrey James masked Steve Lambert 600 East Dixie Ave Leesburg, Florida 34148 352-323-5276 masked Interface Programmer UF Health Central Florida Leesburg Hospital 600 East Dixie Avenue Leesburg, Florida 34748 352-323-5280 slambert@centflhealth.org http://www.centflhealth.org Provider 2.16.840.1.113883.3.4848 Ext 14 Complete 2.16.840.1.113883.3.4848.5 2014/06/02 12:00:00 2014/10/18 12:00:00 2020/06/19 10:35:06 UV 2.16.840.1.113883.3.4848.6 cfha-tvrh-IE The Villages Regional Hospital Enterprise Interface Engine Jeffrey James masked Steve Lambert 600 East Dixie Avenue Leesburg, Florida 34748 352-323-5276 masked Interface Programmer UF Health Central Florida The Villages Hospital 1451 El Camino Real The Villages, Florida 32159 352-323-5280 slambert@centflhealth.org http://www.centflhealth.org Provider 2.16.840.1.113883.3.4848 Ext 14 Complete 2.16.840.1.113883.3.4848.6 2014/06/02 12:00:00 2014/10/18 12:00:00 2020/06/19 10:38:10 UV 2.16.840.1.113883.3.5236 rfmc rfmc Julie Ducklow masked Julie Ducklow 715-425-6701 masked Operations Manager Julie Ducklow 1687 E Division Street,River Falls, WI 54022-1571 715-425-6701 jducklow@rfmc.org http://www.rfmc.org/ Provider Int 3 3 Complete 2014/06/02 12:00:00 2014/09/03 12:00:00 2014/09/03 09:13:00 UV 2.16.840.1.113883.3.5044.35 bevjarema Beverly Jarema, D.O. Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.35 2014/06/02 12:00:00 2014/09/10 12:00:00 2014/09/10 04:00:59 UV 2.16.840.1.113883.3.5237 org-billingsclinic Billings Clinic Troy Bohrer masked Chris Stevens Troy Bohrer 2800 10th Avenue North P.O. Box 37000 Billings, MT 59107 (406) 657-3829 masked System Consultant/Clinical Applications Billings Clinic 2800 10th Avenue North PO Box 37000 Billings, MT 59107 (406) 657-4000 tbohrer@billingsclinic.org http://www.billingsclinic.org Provider Int 3 Complete 2014/06/02 12:00:00 2014/09/03 12:00:00 2014/09/03 09:17:20 UV 2.16.840.1.113883.3.5238 hway-corp-prod HealthwaysProduction Aaron Smith masked Aaron Smith Health Systems Healthways World Headquarters 701 Cool Springs Blvd, Franklin, TN 37067-2697 (214) 810-3476 masked VP Applications and Opperations Healthways Health Systems Healthways World Headquarters 701 Cool Springs Blvd, Franklin, TN 37067-2697 (214) 810-3476 aaron.smith@healthways.com http://www.healthways.com Vendor Int 3 Complete 2014/06/02 12:00:00 2014/09/03 12:00:00 2014/09/03 09:20:39 US 2.16.840.1.113883.3.5044.36 claudzacharek Claudia Zacharek, MD, PLC Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.36 2014/06/02 12:00:00 2014/09/10 12:00:00 2014/09/10 04:01:59 UV 2.16.840.1.113883.3.5239 john John Street Clinic PC Sotero Ureta masked Connie Stall PO Box 629 Lake City, MI 49651 231-839-4359 masked Manager Sotero Ureta MD PO Box 629 Lake City, MI 49651 231-839-4359 stall9@netzero.net Provider Int 3 Complete 2014/06/02 12:00:00 2014/09/03 12:00:00 2014/09/03 04:52:18 UV 2.16.840.1.113883.3.5240 compCardio Complete Cardiology Sue Bowden masked Sue Bowden 5671 Peachtree Dunwoody Road Suite 630 Atlanta, Georgia, 30342 404-939-9200 masked Practice Manager Complete Cardiology 5671 Peachtree Dunwoody Road Suite 630 Atlanta, GA 30342 404-939-9200 nlm@ccatlanta.com http://ccatlanta.com Provider Int 3 Complete 2014/06/02 12:00:00 2014/09/03 12:00:00 2014/09/03 04:54:54 UV 2.16.840.1.113883.3.5241 jlubelldpm jlubelldpm Jeffrey Lubell masked Jeffrey Lubell 628 E. 222nd St Euclid, OH 44123-2032 216-731-8052 masked Jeffrey Lubell 628 E. 222nd St Euclid, OH 44123-2032 216-731-8052 jlubelldpm@aol.com Provider Int 3 Complete 2014/06/02 12:00:00 2014/09/03 12:00:00 2014/09/03 05:02:35 UV 2.16.840.1.113883.3.5044.37 gfpa Covenant Healthcare Gratiot Family Practice, Alma Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.37 2014/06/02 12:00:00 2014/09/10 12:00:00 2014/09/10 04:02:30 UV 2.16.840.1.113883.3.5044.38 mmvs Mid Michigan Vascular Surgery Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.38 2014/06/02 12:00:00 2014/09/10 12:00:00 2014/09/10 04:03:00 UV 2.16.840.1.113883.4.742 ca-CNO College of Naturopaths of Ontario Major Yee masked Major Yee "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889428 masked Business Analyst College of Naturopaths of Ontario 150 John Street, 10th Floor, Toronto, ON M5V 3E3 4165836010 info@collegeofnaturopaths.on.ca http://www.collegeofnaturopaths.on.ca/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 12:55:07 UV 2.16.840.1.113883.4.743 ca-NBAN New Brunswick Association of Naturopathic Doctors Major Yee masked Major Yee "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889428 masked Business Analyst New Brunswick Association of Naturopathic Doctors 2278 King George Hwy Miramichi N.B. E1V 6N6 506-773-3700 dremartinmueller@nb.aibn.com http://www.nband.ca/en/index.html Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 12:56:22 UV 2.16.840.1.113883.4.744 ca-PEIND Prince Edward Island Association of Naturopathic Doctors Wilson Venancio masked Wilson Venancio Telus Health 5090 Explorer Drive Mississauga, Ontario L4W 4X6 647-7889477 masked PMG Manager Prince Edward Island Association of Naturopathic Doctors 34 Queen Street Charlottetown, PEI C1A 4A3 902-894-3868 info@peiand.com http://www.peiand.com/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/09/24 12:00:00 2014/09/25 10:50:59 UV 2.16.840.1.113883.4.745 ca-QCND Quebec College of Naturopathy Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Quebec College of Naturopathy "87-B boul. Brunswick, Dollard-des-Ormeaux, Qc, H9B 2J5" (514) 990-6658 drdegaetano@cpmdq.com http://www.cnqm.qc.ca/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 01:00:59 UV 2.16.840.1.113883.4.746 ca-CAPD College of Alberta Psychologists Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager College of Alberta Psychologists 10123 &#8211; 99 Street Edmonton AB T5J 3H1 (780) 424-5070 info@cap.ab.ca http://www.cap.ab.ca/ Vendor Int 2.16.840.1.113883.4.42 4 Retired 2014/06/02 12:00:00 2014/11/15 12:00:00 2018/10/30 11:33:19 UV 2.16.840.1.113883.4.747 ca-CPPA College of Podiatric Physicians of Alberta Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager College of Podiatric Physicians of Alberta 2020 - 61 Broadway Blvd. Sherwood Park Alberta T8H 2C1 (780) 922-7609 wilson.venancio@telus.com https://www.albertapodiatry.com/ Vendor Int 2.16.840.1.113883.4.447 4 Retired 2014/06/02 12:00:00 2014/11/15 12:00:00 2018/10/30 10:42:21 UV 2.16.840.1.113883.4.748 ca-NMOC National Manual Osteopathic College Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager National Manual Osteopathic College #219, 3722 57 Ave Red Deer, AB Canada T4N 4R7" 403-396-8444 info@nmoc.ca http://nmoc.ca/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 01:07:28 UV 2.16.840.1.113883.4.749 ca-AAOMT Alberta Association of Osteopathic Manual Therapists Wilson Venancio masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 1-780-415-1552 masked Alberta Association of Osteopathic Manual Therapists 4 Manyhorses Bay, Redwood Meadows, Alberta, T3Z 1A1 contact@osteopathyAlberta.com https://www.aaomt.org/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2021/12/09 11:21:03 UV 2.16.840.1.113883.4.750 ca-NMOS National Manual Osteopathic Society Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager National Manual Osteopathic Society #219 3722 57th Avenue Red Deer, Alberta Canada T4N 4R7" 403-356-1583 info@nmos.ca http://www.nmos.ca/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 01:16:11 UV 2.16.840.1.113883.4.751 ca-CPBC College of Psychologists of British Columbia Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager College of Psychologists of British Columbia 404 - 1755 West Broadway Vancouver, BC (604) 736-6164 wilson.venancio@telus.com http://www.collegeofpsychologists.bc.ca/index.php Vendor Int 2.16.840.1.113883.4.362 4 Retired 2014/06/02 12:00:00 2014/11/15 12:00:00 2017/11/16 08:42:16 UV 2.16.840.1.113883.4.752 ca-CPSA College of Physicians and Surgeons of Alberta Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager College of Physicians and Surgeons of Alberta 2700 - 10020 100 Street NW Edmonton, AB T5J 0N3 Canada 780-423-4764 info@cpsa.ab.ca http://www.cpsa.ab.ca/ Vendor Int 2.16.840.1.113883.4.41 4 Retired 2014/06/02 12:00:00 2014/11/15 12:00:00 2018/10/30 11:37:21 UV 2.16.840.1.113883.4.753 ca-CPSBC College of Podiatric Surgeons of British Columbia Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager College of Podiatric Surgeons of British Columbia # 617-938 Howe St. Vancouver, B.C. V6Z 1N9 604-602-0400 registrar@bcpodiatrists.org http://bcpodiatrists.org/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 01:22:20 UV 2.16.840.1.113883.4.754 ca-BCOA British Columbia Osteopathic Association Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager British Columbia Osteopathic Association 209 - 1595 McKenzie Avenue Victoria, BC Canada V8N 1A4 info@osteopathic.bc.ca http://www.osteopathic.bc.ca/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 01:24:36 UV 2.16.840.1.113883.4.755 ca-SPMPO Society for the Promotion of Manual Practice of Osteopathy Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Society for the Promotion of Manual Practice of Osteopathy Suite 200 5050 Kingsway St. Burnaby, BC V5H 4H2 778-998-8886 Dickson@Holistic-MediZen.com http://www.osteopathybc.ca/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 01:39:49 UV 2.16.840.1.113883.4.756 ca-CPSABC College of Physicians and Surgeons of British Columbia Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager College of Physicians and Surgeons of British Columbia 300&#8211;669 Howe Street Vancouver BC V6C 0B4 Canada 604-733-7758 wilson.venancio@telus.com https://www.cpsbc.ca Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 01:42:04 UV 2.16.840.1.113883.4.757 ca-MPAA Manitoba Professional Acupuncture Association Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Manitoba Professional Acupuncture Association "Unit A-2810 Pembina Hwy Winnipeg, Manitoba, R3T 2H8" 204-480-2415 info@acupunctureassociationmb.com http://acupunctureassociationmb.com/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 01:43:35 UV 2.16.840.1.113883.4.758 ca-CPMB Psychological Association of Manitoba Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Psychological Association of Manitoba 162-2025 Corydon Ave,#253 Winnipeg MB R3P-0N5 (204) 487-0784 pam@mymts.net http://www.cpmb.ca/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 01:46:17 UV 2.16.840.1.113883.4.759 ca-CPDMB College of Podiatrists of Manitoba Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager College of Podiatrists of Manitoba 512-428 PORTAGE AVE WINNIPEG MANITOBA R3C 0E2 (204) 942-3256 Administrator@copom.org http://www.copom.org/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 01:48:00 UV 2.16.840.1.113883.4.760 ca-CPSMB College of Physicians and Surgeons of Manitoba Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager College of Physicians and Surgeons of Manitoba 1000 &#8211; 1661 Portage Ave Winnipeg MB R3J 3T7 (204) 774-4344 cpsm@cpsm.mb.ca http://cpsm.mb.ca/ Vendor Int 2.16.840.1.113883.3.422 4 Retired 2014/06/02 12:00:00 2014/11/15 12:00:00 2018/11/09 01:50:42 UV 2.16.840.1.113883.4.761 ca-MARA Maritime Association of Registered Acupuncturists Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Maritime Association of Registered Acupuncturists Address: 39 McLean St. Sussex New Brunswick E4E 2G5 info@mara-atl.ca http://www.mara-atl.ca/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 01:56:43 UV 2.16.840.1.113883.4.762 ca-CPNB College of Psychologists of New Brunswick Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager College of Psychologists of New Brunswick 236 St. George Street Suite 219 Moncton, NB E1C 1W1 (506) 382-1994 cpnb@nbnet.nb.ca http://www.cpnb.ca/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 01:59:21 UV 2.16.840.1.113883.4.763 ca-NBPA New Brunswick Podiatry Association Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager New Brunswick Podiatry Association 1133 Regent St, 300 Fredericton E3B 5C2 506-472-3668 nbpoda@nb.sympatico.ca http://www.podiatrynb.org/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 02:01:06 UV 2.16.840.1.113883.4.764 ca-NFLPB Newfoundland & Labrador Psychology Board Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Newfoundland & Labrador Psychology Board P.O. Box 8275, Station A St. John's, NL A1B 3N4 (709) 579-6313 registrar@nbep.info http://www.nlpsychboard.ca/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 02:02:23 UV 2.16.840.1.113883.4.765 ca-CPMA Canadian Podiatric Medical Association Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Canadian&#160;Podiatric Medical Association 2063, 61 Broadway Boulevard Sherwood Park Alberta T8H 2C1 Canada 1-888-220-3338 info@podiatrycanada.org http://www.podiatrycanada.org/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 02:04:05 UV 2.16.840.1.113883.4.766 ca-CPSNL College of Physicians and Surgeons of Newfoundland and Labrador Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager College of Physicians and Surgeons of Newfoundland and Labrador 120 Torbay Road Suite W100 St. John's, Newfoundland and Labrador A1A 2G8 (709) 726-8546 cpsnl@cpsnl.ca http://www.cpsnl.ca/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 02:06:03 UV 2.16.840.1.113883.4.767 ca-NSBEP Nova Scotia Board of Examiners in Psychology Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Nova Scotia Board of Examiners in Psychology 455 &#8211; 5991 Spring Garden Road Halifax, NS B3H 1Y6 902-423-2238 nsbep@nsbep.org http://www.nsbep.org/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 02:07:47 UV 2.16.840.1.113883.4.768 ca-NSPA Nova Scotia Podiatry Association Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Nova Scotia Podiatry Association info@podiatryns.com http://www.podiatryns.com/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 02:09:28 UV 2.16.840.1.113883.4.769 ca-NSAO Nova Scotia Association of Osteopaths Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Nova Scotia Association of Osteopaths 350-B King Street Bridgewater, N.S. B4V 1A9? (902) 530-3320 nsaosteopaths@gmail.com http://novascotiaosteopaths.ca/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 02:13:34 UV 2.16.840.1.113883.4.770 ca-NTMTA Northwest Territories Massage Therapists Association Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Northwest Territories Massage Therapists Association PO Box 2517 Yellowknife, Northwest Territories X1A 2P9 867-873-4003 wilson.venancio@telus.com http://www.nwtmta.org/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 02:22:41 UV 2.16.840.1.113883.4.771 ca-CPCO College of Psychologists of Ontario Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager College of Psychologists of Ontario 110 Eglinton Avenue West Suite 500 Toronto, Ontario M4R 1A3 Canada (416) 961-8817 jhahn@cpo.on.ca http://www.cpo.on.ca/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 02:28:31 UV 2.16.840.1.113883.4.772 ca-CCPO College of Chiropodists of Ontario Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager College of Chiropodists of Ontario "180 Dundas Street West, Suite 2102 Toronto, Ontario M5G 1Z8" (416) 542-1333 slefkowitz@cocoo.on.ca http://www.cocoo.on.ca/ Vendor Int 4 Retired 2014/06/02 12:00:00 2014/11/15 12:00:00 2018/11/13 08:12:36 UV 2.16.840.1.113883.4.773 ca-CAO Canadian Academy of Osteopathy Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Canadian Academy of Osteopathy "66 Ottawa Street N. Hamilton, ON L8H 3Z1" 1 (866) 320-9898 wilson.venancio@telus.com http://canadianosteopathy.ca/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 02:30:58 UV 2.16.840.1.113883.3.5242 brilogy Brilogy Corporation Milton Allione masked Milton Allione PO Box 2448, Newport Beach, CA 92659 714.662.6000 masked President Brilogy Corporation PO Box 1800, Costa Mesa, CA 92628 714.662.6000 support@brilogy.com http://www.brilogy.com Vendor Int 3 Complete 2014/06/02 12:00:00 2014/09/03 12:00:00 2014/09/03 05:06:15 US 2.16.840.1.113883.4.774 ca-OAOMP Ontario Association of Osteopathic Manual Practitioners Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Ontario Association of Osteopathic Manual Practitioners 1-189 Queen St. East, Toronto, ON M5A 1S2 416-968-2563 membership@osteopathyontario.com http://osteopathyontario.org/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 02:32:36 UV 2.16.840.1.113883.4.775 ca-OAONM Ontario Association of Osteopathy and Natural Medicine Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Ontario Association of Osteopathy and Natural Medicine 11160 Yonge Street, unit 7 Richmond Hill, Ontario Canada L4S 1H5 (905) 884-9141 drkhoshbin@cchh.org http://www.oaonm.com/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 02:33:47 UV 2.16.840.1.113883.4.776 ca-OOA Ontario Osteopathic Association Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Ontario Osteopathic Association 1-189 Queen St. East, Toronto, ON M5A 1S2 416-968-2563 membership@osteopathyontario.com http://osteopathyontario.org/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 02:35:07 UV 2.16.840.1.113883.4.777 ca-OFOP Ontario Federation of Osteopathic Professionals Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Ontario Federation of Osteopathic Professionals 75 North Park Road, Suite 502 Thornhill, Ontario L4J 0H8 416-567-5282 info@ofop.ca http://ofop.ca/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 02:36:39 UV 2.16.840.1.113883.4.778 ca-OCDO Ontario Council of Drugless Osteopathy Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Ontario Council of Drugless Osteopathy 1020 Johnson's Lane, Unit A6, Mississauga, Ontario L5J 2P7 (905) 855-0987 wilson.venancio@telus.com http://www.ocdo.ca/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 02:39:19 UV 2.16.840.1.113883.4.779 ca-OSOAM Ontario School of Osteopathy and Alternative Medicine Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Ontario School of Osteopathy and Alternative Medicine 50 Mcintosh Dr., Unit 120, Markham, ON L3R 9T3 (905) 770 - 0266 info@osteopathycollege.com http://www.osteopathycollege.com/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 02:40:14 UV 2.16.840.1.113883.4.780 ca-GOCO General Osteopathic Council of Ontario Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager General Osteopathic Council of Ontario "20-50 Silverbell Grove, Toronto, ON M1B 2L7" 905-889-4462 info@osteopathcanada.com http://www.osteopathcanada.com/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 02:41:42 UV 2.16.840.1.113883.4.781 ca-CPSPEI College of Physicians and Surgeons of Prince Edward Island Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager College of Physicians and Surgeons of Prince Edward Island 14 Paramount Dr. Charlottetown, PE C1E 0C7 (902) 566 3861 cmoyse@cpspei.ca http://cpspei.ca Vendor Int 2.16.840.1.113883.4.14 4 Retired 2014/06/02 12:00:00 2014/11/15 12:00:00 2018/11/09 01:46:05 UV 2.16.840.1.113883.4.782 ca-PEIPA Prince Edward Island Podiatry Association Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Prince Edward Island Podiatry Association 591 North River Rd Charlottetown, PE C1E 1K1 902-569-8637 wilson.venancio@telus.com http://podiatrypei.com/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 02:46:26 UV 2.16.840.1.113883.4.783 ca-PEIPRB Prince Edward Island Psychologists Registration Board Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Prince Edward Island Psychologists Registration Board 550 University Avenue Charlottetown, PE C1A 4P3 (902) 566-0549 smithp@upei.ca http://www.peipsychology.org/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 02:47:48 UV 2.16.840.1.113883.4.784 ca-ARAPEI Association of Registered Acupuncturists of Prince Edward Island Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Association of Registered Acupuncturists of Prince Edward Island schulman81@gmail.com http://www.acupuncturepei.com/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 02:49:25 UV 2.16.840.1.113883.4.785 ca-SKCP Saskatchewan College of Psychologists Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Saskatchewan College of Psychologists 1026 Winnipeg Street, Regina SK S4R 8P8 (306) 352-1699 skcp@sasktel.net http://www.skcp.ca/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 02:50:48 UV 2.16.840.1.113883.4.786 ca-SKCPD Saskatchewan College of Podiatrists Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Saskatchewan College of Podiatrists 100- 2nd Ave NE Moose Jaw, SK S6H 1B8 (306) 694-3338 president@scop.ca http://www.scop.ca/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 02:52:24 UV 2.16.840.1.113883.4.787 ca-CPSSK College of Physicians and Surgeons of Saskatchewan Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager College of Physicians and Surgeons of Saskatchewan 500-321A-21st Street East Saskatoon, Saskatchewan S7K 0C1 (306) 244-7355 cpssinfo@cps.sk.ca http://www.cps.sk.ca/ Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 02:53:22 UV 2.16.840.1.113883.4.788 ca-YKNA Yukon Naturopathic Association Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Yukon Naturopathic Association janice@northwestel.net Vendor Int 4 Complete 2014/06/02 12:00:00 2014/11/15 12:00:00 2014/11/15 02:55:02 UV 2.16.840.1.113883.3.5243 practice H and R Medical Practice Alexandra Riabova masked Tekedra Lofton Tekedra Lofton 23800 ford rd Dearborn Heights, MI 48127 313-274-8181 masked manager H and R Medical Practice 23800 ford rd Dearborn Heights, mi 48127 313-274-8181 tekedralofton@gmail.com http://www.fordtelmedical.com Provider Int 3 Complete 2014/06/02 12:00:00 2014/09/04 12:00:00 2014/09/04 09:59:05 UV 2.16.840.1.113883.3.5244 cehcprn Coastal eHealth Connection PRN Jennifer Shmorhun masked Jennifer Shmorhun 400 W Pueblo Santa Barbara, CA 93105 805.569.7237 masked Senior Analyst Coastal eHealth Connection CeHC@sbch.org Exchange Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 10:05:03 UV 2.16.840.1.113883.3.5245 aghsfacility AGHS Facility OID Adam Rossbach masked Adam Rossbach Akron General Medical Center 400 Wabash Ave Akron, Ohio 44307 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 10:38:56 UV 2.16.840.1.113883.3.5246 aghsprovider AGHS Provider OID Adam Rossbach masked Adam Rossbach Akron General Medical Center 400 Wabash Ave Akron, Ohio 44307 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 10:39:39 UV 2.16.840.1.113883.3.5247 ahsgfacility AHSG Facility OID Adam Rossbach masked Adam Rossbach Avita Health System 269 Portland Way South Galion, OH 44833 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 12:26:52 UV 2.16.840.1.113883.3.5248 ahsgprovider AHSG Provider OID Adam Rossbach masked Adam Rossbach Avita Health System 269 Portland Way South Galion, OH 44833 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 10:43:24 UV 2.16.840.1.113883.3.5249 ahsbfacility AHSB Facility OID Adam Rossbach masked Adam Rossbach Bucyrus Community Hospital - Avita Health System 629 N Sandusky Ave Bucyrus, OH 44820 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 10:45:01 UV 2.16.840.1.113883.3.5250 ahsbprovider AHSB Provider OID Adam Rossbach masked Adam Rossbach Bucyrus Community Hospital - Avita Health System 629 N Sandusky Ave Bucyrus, OH 44820 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 10:46:16 UV 2.16.840.1.113883.3.5251 emhfacility EMH Facility OID Adam Rossbach masked Adam Rossbach University Hospitals Elyria Medical Center 630 East River St Elyria Oh 44035 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 12:29:12 UV 2.16.840.1.113883.3.5252 emhprovider EMH Provider OID Adam Rossbach masked Adam Rossbach University Hospitals Elyria Medical Center 630 East River St Elyria Oh 44035 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 12:29:55 UV 2.16.840.1.113883.3.5253 compassionate-123 Compassionate Women's Healthcare Chantel Lowry masked Dr. Regina Frost Chantel 22050 Greater Mack Ave St. Clair Shores, MI 48080 586-777-2550 masked Office Manager Compassionate Women's Healthcare 22050 Greater Mack Ave St.Clair Shores, MI 48080 586-777-2550 compassionatewomens@yahoo.com Provider Int 3 Complete 2014/06/03 12:00:00 2014/09/09 12:00:00 2014/09/09 10:06:15 UV 2.16.840.1.113883.3.5254 ghcsfacility GHCS Facility OID Adam Rossbach masked Adam Rossbach Genesis HealthCare System 2951 Maple Avenue Zanesville, OH 43701 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 11:04:44 UV 2.16.840.1.113883.3.5255 ghcsprovider GHCS Provider OID Adam Rossbach masked Adam Rossbach Genesis HealthCare System 2951 Maple Avenue Zanesville, OH 43701 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 11:06:14 UV 2.16.840.1.113883.3.5256 mmccfacility MMCC Facility OID Adam Rossbach masked Adam Rossbach Mercy Medical Center 1320 Mercy Dr NW Canton, OH 44708 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 11:07:38 UV 2.16.840.1.113883.3.5257 mmccprovider MMCC Provider OID Adam Rossbach masked Adam Rossbach Mercy Medical Center 1320 Mercy Dr NW Canton, OH 44708 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 11:08:42 UV 2.16.840.1.113883.3.5258 pcghfacility PCGH Facility OID Adam Rossbach masked Adam Rossbach University Hospitals Parma Medical Center Information Systems 7007 Powers Boulevard Parma, Ohio 44129 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 11:19:45 UV 2.16.840.1.113883.3.5259 pcghprovider PCGH Provider OID Adam Rossbach masked Adam Rossbach University Hospitals Parma Medical Center Information Systems 7007 Powers Boulevard Parma, Ohio 44129 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 11:21:13 UV 2.16.840.1.113883.3.5260 phpfacility PHP Facility OID Adam Rossbach masked Adam Rossbach Premier Health Partners 110 N. Main St. Suite 290 Dayton. Ohio 45402 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 12:40:34 UV 2.16.840.1.113883.3.5261 phpprovider PHP Provider OID Adam Rossbach masked Adam Rossbach Premier Health Partners 110 N. Main St. Suite 290 Dayton. Ohio 45402 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 12:41:35 UV 2.16.840.1.113883.3.5262 phpgshfacility PHP GSH Facility OID Adam Rossbach masked Adam Rossbach Good Samaritan Hospital 2222 Philadelphia Dr. Dayton, OH 45406-1891 (937) 734-2612 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 12:43:18 UV 2.16.840.1.113883.3.5263 phpgshprovider PHP GSH Provider OID Adam Rossbach masked Adam Rossbach Good Samaritan Hospital 2222 Philadelphia Dr. Dayton, OH 45406-1891 (937) 734-2612 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 12:44:00 UV 2.16.840.1.113883.3.5264 phpuvmcfacility PHP UVMC Facility OID Adam Rossbach masked Adam Rossbach Upper Valley Medical Center 3130 N. County Rd. 25-A Troy, OH 45373 (937) 440-4000 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 12:45:18 UV 2.16.840.1.113883.3.5265 phpuvmcprovider PHP UVMC Provider OID Adam Rossbach masked Adam Rossbach Upper Valley Medical Center 3130 N. County Rd. 25-A Troy, OH 45373 (937) 440-4000 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 12:45:56 UV 2.16.840.1.113883.3.5266 phpamcfacility PHP AMC Facility OID Adam Rossbach masked Adam Rossbach Atrium Medical Center One Medical Center Drive Middletown, Ohio 45005 Main number (513) 424-2111 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 03:22:56 UV 2.16.840.1.113883.3.5267 phpamcprovider PHP AMC Provider OID Adam Rossbach masked Adam Rossbach Atrium Medical Center One Medical Center Drive Middletown, Ohio 45005 Main number (513) 424-2111 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 03:25:34 UV 2.16.840.1.113883.3.5268 phpmvhfacility PHP MVH Facility OID Adam Rossbach masked Adam Rossbach Miami Valley Hospital One Wyoming Street Dayton, OH 45409-2793 (937) 208-8000 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 03:26:37 UV 2.16.840.1.113883.3.5269 phpmvhprovider PHP MVH Provider OID Adam Rossbach masked Adam Rossbach Miami Valley Hospital One Wyoming Street Dayton, OH 45409-2793 (937) 208-8000 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 03:33:49 UV 2.16.840.1.113883.3.5270 sjmcfacility SJMC Facility OID Adam Rossbach masked Adam Rossbach St. John Medical Center 29000 Center Ridge Road Westlake, OH 44145 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 03:42:25 UV 2.16.840.1.113883.3.5271 sjmcprovider SJMC Provider OID Adam Rossbach masked Adam Rossbach St. John 29000 Center Ridge Road Westlake, OH 44145 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 03:43:11 UV 2.16.840.1.113883.3.5272 svcmcfacility SVCMC Facility OID Adam Rossbach masked Adam Rossbach St. Vincent Charity 2351 E. 22nd Street Cleveland, OH 44115 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 03:44:18 UV 2.16.840.1.113883.3.5273 svcmcprovider SVCMC Provider OID Adam Rossbach masked Adam Rossbach St. Vincent Charity 2351 E. 22nd Street Cleveland, OH 44115 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 03:44:57 UV 2.16.840.1.113883.3.5274 uchfacility UCH Facility OID Adam Rossbach masked Adam Rossbach Union Hospital / I.S. Dept 659 Boulevard Dover,OH 44622 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 03:56:42 UV 2.16.840.1.113883.3.5275 pulmonaryassociates Pulmonary Associates Joel Frankel masked Joel Frankel Joel Frankel, M.D., Pulmonary Associates, P.A. 2951 Nw 49th Ave 202 Ft Lauderdale 33313 (954) 486-1250 masked Joel Frankel 2951 North West 49th Avenue Suite 202 (954) 486-1250 frankelets@yahoo.com Provider Int 3 3 Complete 2014/06/03 12:00:00 2014/09/09 12:00:00 2014/09/09 10:10:51 UV 2.16.840.1.113883.3.5276 uchprovider UCH Provider OID Adam Rossbach masked Adam Rossbach Union Hospital / I.S. Dept 659 Boulevard Dover,Ohio 44622 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 03:57:24 UV 2.16.840.1.113883.3.5277 armcfacility ARMC Facility OID Adam Rossbach masked Adam Rossbach Adena Medical Center 272 Hospital Road Chillicothe, Ohio 45601 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 04:01:26 UV 2.16.840.1.113883.3.5278 armcprovider ARMC Provider OID Adam Rossbach masked Adam Rossbach Adena Regional Medical Center 272 Hospital Road Chillicothe, Ohio 45601 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 04:04:15 UV 2.16.840.1.113883.3.5279 armcamcfacility ARMC AMC Facility OID Adam Rossbach masked Adam Rossbach Adena Medical Center 272 Hospital Road Chillicothe OH 45601 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/05 12:00:00 2014/09/05 01:10:46 UV 2.16.840.1.113883.3.5280 armcamcprovider ARMC AMC Provider OID Adam Rossbach masked Adam Rossbach Adena Regional Medical Center 272 Hospital Road Chillicothe OH 45601 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/05 12:00:00 2014/09/05 01:09:53 UV 2.16.840.1.113883.3.5281 armcapmcfacility ARMC APMC Facility OID Adam Rossbach masked Adam Rossbach Adena Pike Medical Center 100 Dawn Lane Waverly, Ohio 45690 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/05 12:00:00 2019/09/05 01:23:09 UV 2.16.840.1.113883.3.5282 armcapmcprovider ARMC APMC Provider OID Adam Rossbach masked Adam Rossbach Adena Pike Medical Center 272 Hospital Road, Chillicothe OH 45601 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/05 12:00:00 2014/09/05 01:05:39 UV 2.16.840.1.113883.3.5283 frankelmd frankelmd Stacy Frankel masked Stacy Frankel Stacy Frankel, MD, PA 2951 NW 49th Ave., Suite 207 Lauderdale Lakes, FL 33313 (954) 652-0246 masked Stacy Frankel 2951 NW 49th Ave Suite 207 (954) 652-0246 frankelets@yahoo.com http://drstacyfrankel.com/index.html Provider Int 3 3 Complete 2014/06/03 12:00:00 2014/09/09 12:00:00 2014/09/09 10:12:50 UV 2.16.840.1.113883.3.2187.4.4 smcccd Stillwater Medical Center Clinical Care Document James Ranone masked Chris Roark James Ranone 1323 W. 6th Ave Stillwater, OK 74074 405.742.5833 masked Integration Engineer Stillwater Medical Center 1323 W. 6th Ave. Stillwater, OK 74074 405.377.1480 croark@stillwater-medical.org http://stillwater-medical.org Provider 2.16.840.1.113883.3.2187.4 Ext 14 14 Complete 2.16.840.1.113883.3.2187.4.4 2014/06/03 12:00:00 2014/09/10 12:00:00 2014/09/10 04:23:57 UV 2.16.840.1.113883.3.5284 dilbrinunez Dilbri Nunez OID Dilbri Nunez masked Dilbri Nunez (631) 289-8346 masked Dilbri Nunez 4 Phyllis Dr Suite B Patchogue, NY 11772 (631) 289-8346 dil1097@yahoo.com Provider Int 3 Complete 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 03:01:55 UV 2.16.840.1.113883.3.5044.39 dwiersema David A Wiersema DO, PLLC Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.39 2014/06/03 12:00:00 2014/09/10 12:00:00 2014/09/10 04:03:50 UV 2.16.840.1.113883.3.5285 laurengearhart laurengearhart Lauren Gearhart masked Lauren Gearhart Olson Mem Clinic Int Med 16463 Boones Ferry Rd Suite 300 Lake Oswego, OR 97035 503-635-6256 masked Lauren Gearhart 16463 Boones Ferry Rd. Suite 300 Lake Oswego, OR 97035 503-635-6256 mdsarecool@yahoo.com Provider Int 3 3 Complete 2014/06/03 12:00:00 2014/09/09 12:00:00 2014/09/09 01:49:58 UV 2.16.840.1.113883.3.5044.40 nempa Northeast Michigan Pulmonary Associates, PC Alex Norton masked Alex Norton 925 N Michigan Saginaw, MI 48602 989-583-0440 masked Application Analyst Covenant Healthcare 1447 N Harrison Saginaw, MI 48602 989-583-0000 anorton@chs-mi.com http://www.covenanthealthcare.com Provider 2.16.840.1.113883.3.5044 Ext 17 17 Complete 2.16.840.1.113883.3.5044.40 2014/06/03 12:00:00 2014/09/10 12:00:00 2014/09/10 03:58:58 UV 2.16.840.1.113883.3.5286 somerset somerset Douglas Ashinsky masked Douglas Ashinsky 110 rehill avenue, Somerville, NJ, 08876 (908) 685-2505 masked Douglas Ashinsky 110 rehill avenue, Somerville, NJ, 08876 (908) 685-2505 drdqashinsky@gmail.com Provider Int 3 3 Complete 2014/06/03 12:00:00 2014/09/23 12:00:00 2014/09/23 09:58:15 UV 2.16.840.1.113883.3.1070.5799 mckesson-fusion-5799 mckesson-fusion-5799 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5799 2014/06/03 12:00:00 2014/09/23 12:00:00 2014/09/23 10:02:50 US 2.16.840.1.113883.3.5287 anthonyparksmd Anthony Parks, MD OID Anthony Parks masked Anthony Parks (973)-661-1833 masked Anthony Parks, MD 175 Franklin Ave Suite 103 Nutley, NJ 71100 (973)-661-1833 a.parksortho@msn.com Provider Int 3 Complete 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 03:04:58 UV 2.16.840.1.113883.3.5288 armcagmcfacility ARMC AGMC Facility OID Adam Rossbach masked Adam Rossbach Adena Greenfield Medical Center 550 Mirabeau Street Greenfield OH 45123 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 04:15:50 UV 2.16.840.1.113883.3.5289 armcagmcprovider ARMC AGMC Provider OID Adam Rossbach masked Adam Rossbach Adena Greenfield Medical Center 550 Mirabeau Street Greenfield OH 45123 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 04:17:25 UV 2.16.840.1.113883.3.5290 bhsfacility BHS Facility OID Adam Rossbach masked Adam Rossbach Berger Health System 600 N. Pickaway Street Circleville, OH 43113 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 04:21:14 UV 2.16.840.1.113883.3.5291 bhsprovider BHS Provider OID Adam Rossbach masked Adam Rossbach Berger Health System 600 N. Pickaway Street Circleville, OH 43113 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 04:22:03 UV 2.16.840.1.113883.3.5064.1.3 ptr123 PTR Business Office Lloyd Durbin III masked Lloyd E. Durbin III 1200 W Liberty Rd Atoka, OK 74525 5808893333 masked Int Dir IT/IS Atoka County Medical Center 1200 W Liberty Rd Atoka, OK 74525 5808893333 tdurbin@atokamedicalcenter.org http://www.atokamedicalcenter.org Provider 2.16.840.1.113883.3.5064 Ext 14 Complete 2.16.840.1.113883.3.5064.1.3 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 03:10:06 UV 2.16.840.1.113883.3.5292 mchfacility MCH Facility OID Adam Rossbach masked Adam Rossbach Morrow County Hospital 651 W Marion Rd Mt Gilead, OH 43338 419-949-3004 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 04:23:34 UV 2.16.840.1.113883.3.5293 mchprovider MCH Provider OID Adam Rossbach masked Adam Rossbach Morrow County Hospital 651 W Marion Rd Mt Gilead, OH 43338 419-949-3004 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 04:24:15 UV 2.16.840.1.113883.3.5294 uhfacility UH Facility OID Adam Rossbach masked Adam Rossbach University Hospitals Coordinated Care Organization 3605 Warrensville Center Rd Shaker Heights, OH 44122-5203 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 04:32:44 UV 2.16.840.1.113883.3.5295 uhprovider UH Provider OID Adam Rossbach masked Adam Rossbach University Hospitals Coordinated Care Organization 3605 Warrensville Center Rd Shaker Heights, OH 44122-5203 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 04:33:43 UV 2.16.840.1.113883.17.3984 sjph-misys-sub-OID St. John Providence Health System - Misys sub OID Lori Grudzien masked Lori Grudzien 28000 Dequindre Warren MI 48092 5867531757 masked Application Manager Lori Grudzien 28000 Dequindre Warren MI 48092 5867531757 lori.grudzien@stjohn.org Provider Int 17 Complete 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 03:12:57 UV 2.16.840.1.113883.3.5296 tbhmrn TBH MRN OID Adam Rossbach masked Adam Rossbach The Bellevue Hospital 1400 West Main St. Bellevue, Ohio 44811 6146642603 masked CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 4 Complete 2014/06/03 12:00:00 2014/09/05 12:00:00 2014/09/05 01:14:03 UV 2.16.840.1.113883.3.5065.1 cpsi123 CPSI for Pushmataha Lloyd Durbin III masked Lloyd E. Durbin III 1200 W Liberty Atoka, OK 74525 5808893333 masked Int Dir IT/IS Pushmataha Hospital and Home Health 510 E Main Antlers, OK 74523 5802983341 tdurbin@atokamedicalcenter.org http://www.pushhospital.com Provider 2.16.840.1.113883.3.5065 Ext 14 Complete 2.16.840.1.113883.3.5065.1 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 03:15:17 UV 2.16.840.1.113883.3.5297 tbhfacility TBH Facility OID Adam Rossbach masked Adam Rossbach The Bellevue Hospital 1400 West Main St. Bellevue, Ohio 44811 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 04:38:24 UV 2.16.840.1.113883.3.5298 tbhprovider TBH Provider OID Adam Rossbach masked Adam Rossbach The Bellevue Hospital 1400 West Main St. Bellevue, Ohio 44811 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/03 12:00:00 2014/09/04 12:00:00 2014/09/04 04:39:14 UV 2.16.840.1.113883.17.3985 sjph-athena-sub-OID St. John Providence Health System - Athena sub OID Lori Grudzien masked Lori Grudzien 28000 Dequindre Warren MI 48092 5867531757 masked Application Manager Lori Grudzien 28000 Dequindre Warren MI 48092 5867531757 lori.grudzien@stjohn.org Provider Int 17 Complete 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 03:21:45 UV 2.16.840.1.113883.3.5065.1.1 pushh123 Pushmataha Hospital OID Lloyd Durbin III masked Lloyd E. Durbin III 1200 W Liberty Atoka, OK 74525 5808893333 masked Int Dir IT/IS Pushmataha Hospital and Home Health 510 E Main Antlers, OK 74523 5802983341 tdurbin@atokamedicalcenter.org http://www.pushhospital.com Provider 2.16.840.1.113883.3.5065 Ext 14 Complete 2.16.840.1.113883.3.5065.1.1 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 03:24:03 UV 2.16.840.1.113883.4.789 ca-QANM association de m&#233;decine naturopathique du Qu&#233;bec Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager association de m&#233;decine naturopathique du Qu&#233;bec 1173 Boul Mont-Royal O Outremont, QC H2V 2H6 514-755-6629 info@qanm.org http://qanm.org/ Vendor Int 4 Complete 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 03:29:39 UV 2.16.840.1.113883.4.790 ca-ODPDQ l'Ordre des psychologues du Qu&#233;bec Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager l'Ordre des psychologues du Qu&#233;bec 1100 Beaumont avenue, suite 510 Mont-Royal, Quebec, H3P 3H5 514-738-1881 info@ordrepsy.qc.ca https://www.ordrepsy.qc.ca/en/index.sn Vendor Int 4 Complete 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 03:33:02 UV 2.16.840.1.113883.3.5065.1.2 pushhh123 Pushmataha HOME HEALTH Lloyd Durbin III masked Lloyd E Durbin III 1200 W Liberty Atoka, OK 74525 5808893333 masked Int Dir IT/IS Pushmataha Hospital and Home Health 510 E Main Antlers, OK 74523 5802983341 tdurbin@atokamedicalcenter.org http://www.pushhospital.com Provider 2.16.840.1.113883.3.5065 Ext 14 Complete 2.16.840.1.113883.3.5065.1.2 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 03:26:12 UV 2.16.840.1.113883.4.791 ca-ODPDQ2 l'Ordre des Podiatres du Qu&#233;bec Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Ordre des podiatres du Qu&#233;bec Bureau 1000, 7151 Rue Jean-Talon Est, Montr&#233;al, QC H1M 3N8 (514) 288-0019 podiatres@ordredespodiatres.qc.ca http://www.ordredespodiatres.qc.ca/ Vendor Int 2.16.840.1.113883.4.300 4 Retired 2014/06/03 12:00:00 2014/11/15 12:00:00 2018/11/09 01:30:35 UV 2.16.840.1.113883.4.792 ca-SOC Society of Osteopaths of Canada Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Society of Osteopaths of Canada 1123 Rachel Street East Montreal, Quebec H2J 2J6 514-419-5397 info@soc-osteopaths.ca http://www.soc-osteopaths.ca/ Vendor Int 4 Complete 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 03:40:59 UV 2.16.840.1.113883.4.793 ca-ADODQ Alliance des Ost&#233;opathes du Qu&#233;bec Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Alliance des Ost&#233;opathes du Qu&#233;bec info@alliancedesosteopathes.com http://www.alliancedesosteopathes.com/ Vendor Int 4 Complete 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 03:42:24 UV 2.16.840.1.113883.4.794 ca-ADORITMA Association des Ost&#233;opathes du RITMA Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Association des Ost&#233;opathes du RITMA 200 Main Street, Suite 19, Saint-Sauveur (Quebec) J0R 1R0 450-227-5888 ritma@ritma.ca http://www.ritma.ca/ Vendor Int 4 Complete 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 03:45:09 UV 2.16.840.1.113883.4.795 ca-ADMMDQ Association de M&#233;decine Manuelle du Qu&#233;bec Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Association de M&#233;decine Manuelle du Qu&#233;bec 1123, rue Rachel Est, Montr&#233;al (Qu&#233;bec), H2J 2J6 438 380-8797 info@ammq.org http://www.ammq.org/ Vendor Int 4 Complete 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 03:46:36 UV 2.16.840.1.113883.4.796 ca-AQDO Association Qu&#233;b&#233;coise des Ost&#233;opathes Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Association Qu&#233;b&#233;coise des Ost&#233;opathes 3557, boul. Dagenais Case postale 52038 Laval (Qu&#233;bec) H7P 5S1 450 622-6783 info@associationquebecoisedesosteopathes.com http://www.associationquebecoisedesosteopathes.com/ Vendor Int 4 Complete 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 03:47:56 UV 2.16.840.1.113883.4.797 ca-CDOC Coll&#232;ge des Ost&#233;opathes Canadiens Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Coll&#232;ge des Ost&#233;opathes Canadiens 1-800-798-3624 info@college-osteopathes.org http://www.college-osteopathes.org/ Vendor Int 4 Complete 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 03:50:38 UV 2.16.840.1.113883.4.798 ca-SDODQ Soci&#233;t&#233; des Ost&#233;opathes du Qu&#233;bec Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Soci&#233;t&#233; des Ost&#233;opathes du Qu&#233;bec 1123, rue Rachel Est, Montr&#233;al (Qu&#233;bec), H2J 2J6 514-524-6560 info@soq-osteopathes.ca http://www.soq-osteopathes.ca/ Vendor Int 4 Complete 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 03:52:07 UV 2.16.840.1.113883.4.799 ca-OPQ Ost&#233;opathie Qu&#233;bec Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Ost&#233;opathie Qu&#233;bec 204-7000, rue du Parc Montr&#233;al (Qu&#233;bec) H3N 1X1 514-770-5043 info@osteopathiequebec.ca http://www.osteopathiequebec.ca/ Vendor Int 4 Complete 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 03:54:01 UV 2.16.840.1.113883.4.800 ca-SCPLTDO Soci&#233;t&#233; Canadienne pour la Tradition de l'Ost&#233;opathie Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Soci&#233;t&#233; Canadienne pour la Tradition de l'Ost&#233;opathie 514 395-1134 info@socato.ca http://www.socato.ca/ Vendor Int 4 Complete 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 04:02:13 UV 2.16.840.1.113883.3.5065.1.3 ptrpush123 PTR PUSHMATAHA OID Lloyd Durbin III masked Lloyd E Durbin III 1200 W Liberty Atoka, OK 74525 5808893333 masked Int Dir IT/IS Pushmataha Hospital and Home Health 510 E Main Antler, OK 74525 5802983341 tdurbin@atokamedicalcenter.org http://www.pushhospital.com Provider 2.16.840.1.113883.3.5065 Ext 14 Complete 2.16.840.1.113883.3.5065.1.3 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 03:56:51 UV 2.16.840.1.113883.4.801 ca-CDMDQ College des Medecins du Quebec Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager College des Medecins du Quebec 2170 Bd Ren&#233; L&#233;vesque O, Montr&#233;al, QC H3H 2T8 (514) 933-4441 nfo@cmq.org http://www.cmq.org/ Vendor Int 4 Complete 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 04:04:25 UV 2.16.840.1.113883.3.5299 bdh Bozeman Deaconess Hospital Julie. Kindred masked Julie Kindred 915 Highland Boulevard Information Systems Bozeman, Mt 59715 406-411-5047 masked Clinical Coordinator Bozeman Deaconess Hospital 915 Highland Boulevard Attn. Julie Kindred Bozeman,MT 59715 406-411-5047 jkindred@bdh-boz.com http://www.bozemandeaconess.org/ Provider Int 3 Complete 2014/06/03 12:00:00 2014/10/16 12:00:00 2014/10/16 11:02:59 UV 2.16.840.1.113883.4.802 ca-ADOMDI Alliance des Ost&#233;opathes membres de l'A.I.S.N.A.C. Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Alliance des Ost&#233;opathes membres de l'A.I.S.N.A.C. wilson.venancio@telus.com Vendor Int 4 Complete 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 04:05:44 UV 2.16.840.1.113883.4.803 ca-ADMODC Association des M&#233;decins Ost&#233;opathes du Qu&#233;bec Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Association des M&#233;decins Ost&#233;opathes du Qu&#233;bec wilson.venancio@telus.com Vendor Int 4 Complete 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 04:07:07 UV 2.16.840.1.113883.4.804 ca-ADODC Association des Ost&#233;opathes du Qu&#233;bec Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Association des Ost&#233;opathes du Qu&#233;bec wilson.venancio@telus.com Vendor Int 4 Complete 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 04:09:41 UV 2.16.840.1.113883.4.805 ca-LCDODM Le Coll&#232;ge d'&#201;tudes Osteopathiques de Montr&#233;al Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Le Coll&#232;ge d'&#201;tudes Osteopathiques de Montr&#233;al 2015 Drummond Street, Montr&#233;al, QC H3G 1W7 (514) 342-2816 wilson.venancio@telus.com http://www.osteopathie-canada.ca/ Vendor Int 4 Complete 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 04:10:44 UV 2.16.840.1.113883.4.806 ca-CDPODQ Corporation des professionnels ost&#233;opathes du Qu&#233;bec Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Corporation des professionnels ost&#233;opathes du Qu&#233;bec 450.635.2205 wilson.venancio@telus.com http://cpoq.org/ Vendor Int 4 Complete 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 04:14:21 UV 2.16.840.1.113883.4.807 ca-RDODQ Registre des Ost&#233;opathes du Qu&#233;bec Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Registre des Ost&#233;opathes du Qu&#233;bec wilson.venancio@telus.com Vendor Int 4 Complete 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 04:15:52 UV 2.16.840.1.113883.4.808 ca-SPDODQ Syndicat professionnel des Ost&#233;opathes du Qu&#233;bec Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Syndicat professionnel des Ost&#233;opathes du Qu&#233;bec 101 boul. Cardinal - L&#233;ger CP 51071 Pincourt , Qu&#233;bec J7V 9T3 (514) 990-6658 wilson.venancio@telus.com http://spoq.cpmdq.com/ Vendor Int 4 Complete 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 04:17:40 UV 2.16.840.1.113883.4.809 ca-CPDMODC Corporation Professionnelle des M&#233;decines Ost&#233;opathiques du Canada Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Corporation Professionnelle des M&#233;decines Ost&#233;opathiques du Canada wilson.venancio@telus.com Vendor Int 4 Complete 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 04:18:58 UV 2.16.840.1.113883.4.810 ca-AQDTEO Association Qu&#233;b&#233;coise des Th&#233;rapeutes en Ost&#233;opathie Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Association Qu&#233;b&#233;coise des Th&#233;rapeutes en Ost&#233;opathie wilson.venancio@telus.com Vendor Int 4 Complete 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 04:23:24 UV 2.16.840.1.113883.4.811 ca-COMTNB College of Massage Therapists of New Brunswick Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager College of Massage Therapists of New Brunswick wilson.venancio@telus.com Vendor Int 4 Complete 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 04:25:00 UV 2.16.840.1.113883.4.812 ca-NFLAOND Newfoundland and Labrador Association of Naturopathic Doctors Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Newfoundland and Labrador Association of Naturopathic Doctors healthforlifenl@me.com Vendor Int 4 Complete 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 04:26:28 UV 2.16.840.1.113883.4.813 ca-OBOO Ontario Board of Osteopathy Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Ontario Board of Osteopathy wilson.venancio@telus.com Vendor Int 4 Complete 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 04:27:46 UV 2.16.840.1.113883.3.5300 healthanalytics Oregon Health Authority - Office of Health Analytics Sarah Bartelmann masked Sarah Bartelmann 421 SW Oak Street, Suite 850 Portland OR 97204 5034905689 masked Oregon Health Authority - Office of Health Analytics 421 SW Oak Street, Suite 850 Portland OR 97204 5039456446 tricia.macinnes@state.or.us http://www.oregon.gov/oha/analytics/ Govt body Int 3 Complete 2014/06/03 12:00:00 2014/10/16 12:00:00 2014/10/16 11:05:30 UV 2.16.840.1.113883.9.170 mch-id Mid Coast Hospital Thomas Hinton masked Thomas Hinton 121 Medical Center Drive Suite # 2300 Brunswick, Maine 04011 207-373-6434 masked System Administrator Mid Coast Hospital 123 Medical Center Drive Brunswick, Maine 04011 207-373-6000 helpdesk@midcoasthealth.com http://www.midcoasthealth.com Provider Int 3 Complete 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 04:32:52 UV 2.16.840.1.113883.3.1070.5933 mckesson-fusion-5933 mckesson-fusion-5933 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5933 2014/06/03 12:00:00 2014/11/15 12:00:00 2014/11/15 04:34:32 US 2.16.840.1.113883.3.5301 cch-ccd Cherry County Hospital Brent Peterson masked bpete@cchospital.net Phillip Mues 510 N. Green St. Valentine, NE 69201 402-376-2525 Ext. 401 masked Information Technology System's Specialist Brent Peterson 402-376-2525 Ext. 123 bpete@cchospital.net Provider Int 3 Complete 2014/06/03 12:00:00 2014/11/12 12:00:00 2014/11/12 01:28:16 UV 2.16.840.1.113883.3.5302 phoenixcenterbhs Phoenix Center Behavioral Health Services James Parrish Sr. masked James Parrish Sr. James Parrish Sr. Phoenix Center BHS 940-A Highway 96 Warner Robins, GA 31088 478-988-1222 Ext 224 masked IT Director Phoenix Center BHS Phoenix Center BHS 940 Highway 96 Warner Robins, GA 31088 478-988-1222 phoenixcenteradmin@phoenixcenterbhs.com Provider Int 3 Complete 2014/06/04 12:00:00 2014/11/12 12:00:00 2014/11/12 01:29:31 UV 2.16.840.1.113883.17.3911.1 aERMC-UC Eaton Rapids Medical Center - Urgent Care Connie Ebare masked Connie Ebare 1500 S. Main St 5176639569 masked CIO Eaton Rapids Medical Center Eaton Rapids Medical Center 1500 S. Main St. Eaton Rapids, MI 48827 517-663-2671 cebare@ermchealth.org http://www.eatonrapidsmedicalcenter.org/ Provider 2.16.840.1.113883.3.5342 Ext 17 Complete 2.16.840.1.113883.17.3911.1 2014/06/04 12:00:00 2014/12/11 12:00:00 2024/10/04 01:54:08 UV 2.16.840.1.113883.3.5303 phpplfacility PHP Physician Location Facility OID Adam Rossbach masked Adam Rossbach Premier Health Partners 110 N. Main St. Suite 290 Dayton OH 45402 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/04 12:00:00 2014/09/04 12:00:00 2014/09/04 04:53:23 UV 2.16.840.1.113883.3.5304 phpplprovider PHP Physician Locations Provider OID Adam Rossbach masked Adam Rossbach Premier Health Partners 110 N. Main St. Suite 290 Dayton OH 45402 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/04 12:00:00 2014/09/04 12:00:00 2014/09/04 04:55:00 UV 2.16.840.1.113883.3.5305 uhamcfacility UH AMC Facility OID Adam Rossbach masked Adam Rossbach 3605 Warrensville Center Rd Shaker Heights, OH 44122-5203 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/04 12:00:00 2014/09/05 12:00:00 2014/09/05 02:27:05 UV 2.16.840.1.113883.3.5306 uhbmcfacility UH BMC Facility OID Adam Rossbach masked Adam Rossbach 3605 Warrensville Center Rd Shaker Heights, OH 44122-5203 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/04 12:00:00 2014/09/05 12:00:00 2014/09/05 02:30:24 UV 2.16.840.1.113883.3.5307 uhcmcfacility UH CMC Facility OID Adam Rossbach masked Adam Rossbach 3605 Warrensville Center Rd Shaker Heights, OH 44122-5203 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/04 12:00:00 2014/09/05 12:00:00 2014/09/05 02:36:15 UV 2.16.840.1.113883.3.5308 uhctmcfacility UH CTMC Facility OID Adam Rossbach masked Adam Rossbach 3605 Warrensville Center Rd Shaker Heights, OH 44122-5203 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/04 12:00:00 2014/09/05 12:00:00 2014/09/05 02:35:04 UV 2.16.840.1.113883.3.5309 uhggmcfacility UH GGMC Facility OID Adam Rossbach masked Adam Rossbach 3605 Warrensville Center Rd Shaker Heights, OH 44122-5203 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/04 12:00:00 2014/09/05 12:00:00 2014/09/05 02:37:25 UV 2.16.840.1.113883.3.5310 uhgvmcfacility UH GVMC Facility OID Adam Rossbach masked Adam Rossbach 3605 Warrensville Center Rd Shaker Heights, OH 44122-5203 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/04 12:00:00 2014/09/05 12:00:00 2014/09/05 02:42:12 UV 2.16.840.1.113883.3.5311 uhrmcfacility UH RMC Facility OID Adam Rossbach masked Adam Rossbach 3605 Warrensville Center Rd Shaker Heights, OH 44122-5203 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/06/04 12:00:00 2014/09/05 12:00:00 2014/09/05 02:49:46 UV 1.2.36.1.2001.1005.49.3 hips-mrn-id HIPS Medical Record Id Philip Stalley-Gordon masked Philip Stalley-Gordon Level 9, 108 King William Street Adelaide, South Australia, 5000 0401950881 masked Chamonix Level 9, 108 King William Street Adelaide, South Australia, 5000 philip.stalley-gordon@chamonix.com.au http://chamonix.com.au/ Vendor 1.2.36.1.2001.1005.49 Ext 4 Complete 1.2.36.1.2001.1005.49.3 2014/06/04 12:00:00 2014/09/14 12:00:00 2014/09/14 06:52:51 UV 2.16.840.1.113883.3.5312 mchc-6580-IA Monroe County Hospital and Clinics James Gauld masked James Gauld 6580 165th Street Albia, IA 52531 641-932-1683 masked Clinical EHR Specialist Monroe County Hospital and Clinics 6580 165th Street Albia, IA 52501 641-932-2134 info@mchalbia.com http://www.mchalbia.com Provider Int 3 Complete 2014/06/05 12:00:00 2014/11/12 12:00:00 2014/11/12 01:30:43 0396 UV 2.16.840.1.113883.3.5313 labyrinth Labyrinth Production - Marco Venditti Marco Venditti masked Marco Venditti 3920890412 masked Owner Labyrinth Production - Marco Venditti 3920890412 marco.venditti@fastwebnet.it Prof Soc Int 3 Complete 2014/06/05 12:00:00 2014/11/15 12:00:00 2014/11/15 04:40:53 UV 2.16.840.1.113883.3.1070.5807 mckesson-fusion-5807 mckesson-fusion-5807 Harry Callier masked Fusion enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5807 2014/06/05 12:00:00 2014/11/15 12:00:00 2014/11/15 04:37:32 US 2.16.840.1.113883.3.5314 ralphzagha ralphzagha Ralph Zagha masked Ralph Zagha 954-652-0246 masked Ralph Zagha 2951 NW 49th Ave Suite 207 Lauderdal Lakes, FL 33313-1637 954-652-0246 frankelets@yahoo.com Provider Int 3 Complete 2014/06/05 12:00:00 2014/11/15 12:00:00 2014/11/15 04:43:51 UV 2.16.840.1.113883.17.3986 rc-OID RosieConnect Jodi Funderburk masked Jodi Funderburk 7330 Fern Ave Suite 1102 Shreveport, LA 71105 3182296670 masked CTO Eric Morris 7330 Fern Ave Suite 1102 Shreveport, LA 6017900873 emorris@rosieconnect.com http://www.rosieconnect.com Prof Soc Int 17 Complete 2014/06/05 12:00:00 2014/11/15 12:00:00 2014/11/15 04:46:09 UV 2.16.840.1.113883.4.814 dea DEA Number Ryan Stewart masked Ryan Stewart 408-753-2214 masked DEA Office of Diversion Control 8701 Morrissette Drive Springfield, VA 22152 ODLP@usdoj.gov http://www.deadiversion.usdoj.gov Govt body Int 4 Complete 2014/06/05 12:00:00 2014/11/15 12:00:00 2014/11/15 04:49:25 UV 2.16.840.1.113883.3.5315 nhps Norwalk Hospital Physicians and Surgeons Justin Carroll masked Justin Carroll 34 Maple Street Norwalk, CT 06856 2038522801 masked Norwalk Hospital Physician and Surgeons 24 Stevens Street Norwalk, CT 06856 2038522801 justin.carroll@norwalkhealth.org Provider Int 3 Complete 2014/06/05 12:00:00 2014/11/12 12:00:00 2014/11/12 02:10:43 UV 2.16.840.1.113883.3.5316 hwhipert hwhipert Holly Whipert masked Holly Whipert (732) 560-0490 masked Holly Whipert 101 E Union Ave Bound Brook, NJ 08805 (732) 560-0490 hwhipert@gmail.com Provider Int 3 Complete 2014/06/05 12:00:00 2014/11/15 12:00:00 2014/11/15 04:53:55 UV 2.16.840.1.113883.3.963.6.1.14 mercyHospitalBooneville mercyHospitalBooneville Brett DiNovi masked Brett DiNovi 3143652581 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 MISDEpicInterface@Mercy.Net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.6.1.14 2014/06/05 12:00:00 2014/11/15 12:00:00 2014/11/15 04:55:26 UV 2.16.840.1.113883.3.963.6.1.15 mercyHospitalHotSprings mercyHospitalHotSprings Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 MISDEpicInterface@Mercy.Net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.6.1.15 2014/06/05 12:00:00 2014/11/15 12:00:00 2014/11/15 04:56:42 UV 2.16.840.1.113883.3.963.4.1.7 mercyHospitalLoveCounty mercyHospitalLoveCounty Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 MISDEpicInterface@Mercy.Net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.4.1.7 2014/06/05 12:00:00 2014/11/15 12:00:00 2014/11/15 04:59:04 UV 2.16.840.1.113883.3.963.4.1.8 mercyHospitalAda mercyHospitalAda Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 MISDEpicInterface@Mercy.Net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.4.1.8 2014/06/05 12:00:00 2014/11/15 12:00:00 2014/11/15 05:00:48 UV 2.16.840.1.113883.3.963.4.1.9 mercyHospitalKingfisher mercyHospitalKingfisher Brett DiNovi masked Brett DiNovi 3143642581 masked Application Developer Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 MISDEpicInterface@Mercy.Net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.4.1.9 2014/06/05 12:00:00 2014/11/15 12:00:00 2014/11/15 05:01:52 UV 2.16.840.1.113883.3.5317 ceie CareEvolve Root OID Rita Hung masked Philippe Flamant 481 Edward H. Ross Drive Elmwood Park, NJ 07407 888-322-5222 masked Managing Director CareEvolve 481 Edward H. Ross Drive Elmwood Park, NJ 07407 888-322-5222 support@careevolve.com http://www.careevolve.com Vendor Int 3 Complete 2014/06/05 12:00:00 2014/11/12 12:00:00 2014/11/12 02:17:19 UV 2.16.840.1.113883.3.5318 mhmdpc MAZHER HUSSAIN MD PC(OWNER) MAZHER HUSSAIN masked RENEE HARVEY RENEE HARVEY 4206 PONTIAC LAKE ROAD WATERFORD, MI 48328 248-742-1638 masked OFFICE MANAGER MAZHER HUSSAIN MD PC 4206 PONTIAC LAKE ROAD WATERFORD, MI 48328 248-742-1638 ADVPAINCENTER@YAHOO.COM Provider Int 3 Complete 2014/06/05 12:00:00 2014/11/12 12:00:00 2014/11/12 02:16:18 UV 2.16.840.1.113883.3.5319 dac Syndromic Surveillance Data Andrea Spence masked Andrea Spence 3133890648 masked Center Manager Dialysis Access Center 16507 Southfield Allen Park, MI 48101 3133890648 andrea.spence@rmslifeline.com Provider Int 3 Complete 2014/06/05 12:00:00 2014/11/12 12:00:00 2014/11/12 02:14:51 UV 2.16.840.1.113883.3.5073.99 paragon99-holzer McKesson Paragon for Holzer Shari Garnes masked Shari Garnes 100 Jackson Pike Gallipolis, OH 45631 740-446-5000 masked LIS Analyst Shari Garnes 100 Jackson Pike Gallipolis, OH 45631 740-446-5000 sgarnes@holzer.org http://holzer.org Provider 2.16.840.1.113883.3.5073 Ext 14 Complete 2.16.840.1.113883.3.5073.99 2014/06/05 12:00:00 2014/08/04 12:00:00 2014/08/04 06:40:04 UV 2.16.840.1.113883.3.5073.99.88 allscripts88-holzer GE Allscripts for Holzer Shari Garnes masked Shari Garnes 100 Jackson Pike Gallipolis, OH 45631 740-446-5000 masked LIS Analyst Shari Garnes 740-446-5000 sgarnes@holzer.org http://holzer.org Provider 2.16.840.1.113883.3.5073 Ext 14 Complete 2.16.840.1.113883.3.5073.99.88 2014/06/05 12:00:00 2014/08/04 12:00:00 2014/08/04 06:41:41 UV 2.16.840.1.113883.3.5073.88 geallscripts88-holzer Node for GE ALLSCRIPTS for Holzer Health system Shari Garnes masked Shari Garnes 100 Jackson Pike Gallipolis, OH 45631 740-446-5000 masked LIS Analyst Shari Garnes 740-446-5000 sgarnes@holzer.org http://holzer.org Provider 2.16.840.1.113883.3.5073 Ext 14 Complete 2.16.840.1.113883.3.5073.88 2014/06/05 12:00:00 2014/08/04 12:00:00 2014/08/04 06:42:50 UV 2.16.840.1.113883.3.5073.77 laboratory77-holzer Node for Department of Laboratory Medicine for Holzer Health system Shari Garnes masked Shari Garnes 100 Jackson Pike Gallipolis, OH 45631 740-446-5000 masked LIS Analyst Holzer Health System 740-446-5000 sgarnes@holzer.org http://holzer.org Provider 2.16.840.1.113883.3.5073 Ext 14 Complete 2.16.840.1.113883.3.5073.77 2014/06/05 12:00:00 2014/08/04 12:00:00 2014/08/04 06:45:46 UV 2.16.840.1.113883.3.5320 rchOID Russell County Hospital Michael Logan masked Angie Hargis 153 Dowell Rd. Russell Springs, KY 42642 270-866-8861 x-503 masked Clinical Analyst Russell County Hospital 153 Dowell Rd. Russell Springs, KY 42642 270-866-4141 rchis@russellcohospital.org http://www.russellcohospital.org Provider Int 3 Complete 2014/06/05 12:00:00 2014/11/12 12:00:00 2014/11/12 02:20:47 UV 2.16.840.1.113883.3.1097.9.90770105 lsmcp Lung and Sleep Medicine Center Pontiac Melissa Mele masked Vicky Fox 44555 Woodward Ave Ste 301 Pontiac, MI 48341 248-556-5582 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road, Royal Oak, MI, 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90770105 2014/06/05 12:00:00 2014/11/15 12:00:00 2014/11/15 05:08:02 UV 2.16.840.1.113883.4.815 ca-FQM Federation quebecoise des massotherapeutes Wilson Venancio masked Wilson Venancio "5090 Explorer Drive Mississauga, Ontario L4W 4X6" 647-7889477 masked PMG Manager Federation quebecoise des massotherapeutes 4428 Boulevard Saint-Laurent #400, Montr&#233;al, QC H2W 1Z5 514 597-0505 administration@fqm.qc.ca http://www.fqm.qc.ca Vendor Int 4 Complete 2014/06/05 12:00:00 2014/11/15 12:00:00 2014/11/15 05:14:13 UV 2.16.840.1.113883.3.1381.1.3.12443 genFamMedOK Generations Family Medical Clinic LLC Jennifer Dalton masked Jennifer Dalton 4018543345 masked Generations Family Medical Clinic Jenn.Dalton@Optum.com Provider 2.16.840.1.113883.3.1381 Ext 17 Complete 2.16.840.1.113883.3.1381.1.3.12443 2014/06/06 12:00:00 2014/11/15 12:00:00 2014/11/15 05:20:37 UV 2.16.840.1.113883.3.5321 michiganbrainandspine Michigan Brain and Spine Surgery Center, Lucia Zamorano, MD, PLC Lindsay Gietzen masked Lucia Zamorano Lindsay Gietzen 2004 Hazel Street Birmingham, MI 48009 248-723-2477 masked Physician Assistant Michigan Brain and Spine Surgery Center 2004 Hazel Street Birmingham, MI 48009 248-723-2477 lgietzen@luciazamorano.com Provider Int 3 Complete 2014/06/06 12:00:00 2014/11/12 12:00:00 2014/11/12 02:21:17 UV 2.16.840.1.113883.3.5322 walnutlakeobgyn Walnut Lake Ob/Gyn PLLC OID Root Jamie DeMara masked Jamie DeMara 2300 Haggerty Rd Ste 2070 West Bloomfield, MI 48323 248 926-2020 masked Office Manager Walnut Lake Ob/Gyn, PLLC 2300 Haggerty Rd Ste 2070 West Bloomfield, MI 48323 248 926-2020 jamie@walnutlakeobgyn.com https://www.walnutlakeobgyn.com Provider Int 3 Complete 2014/06/06 12:00:00 2014/11/12 12:00:00 2014/11/12 02:21:59 UV 2.16.840.1.113883.3.5323 alh Alice Hyde Medical Center Public Health Lab Reporting Shannon Legacy masked amccarthy@alicehyde.com Shannon Legacy 133 Park Street Malone NY 12953 518-483-3000 masked IT Manager Alice Hyde Medical Center 133 Park Street Malone NY 12953 518-483-3000 slegacy@alicehyde.com http://alicehyde.com Provider 2.16.840.1.113883.3.2073 Int 3 Complete 2014/06/06 12:00:00 2014/11/15 12:00:00 2014/11/15 05:23:31 US 2.16.840.1.113883.3.5324 michaelsalesin Michael Salesin MD PLC OID Root Jamie DeMara masked Jamie DeMara 2300 Haggerty Rd Ste 2070 West Bloomfield, MI 48323 248 926-2020 masked Office Manager Michael Salesin, MD, PLC 2300 Haggerty Rd Ste 2070 West Bloomfield, MI 48323 248 926-2020 jamie@walnutlakeobgyn.com https://www.walnutlakeobgyn.com Provider Int 3 Complete 2014/06/06 12:00:00 2014/11/12 12:00:00 2014/11/12 02:24:42 UV 2.16.840.1.113883.3.5325 cmhor Columbia Memorial Hospital Carina Terance masked Carina 2111 Exchange St. Astoria, OR 97103 5033254321 masked IT Manager Columbia Memorial Hospital 2111 Exchange St. Astoria, OR 97103 503-325-4321 info@columbiamemorial.org Provider Int 3 Complete 2014/06/06 12:00:00 2014/11/12 12:00:00 2014/11/12 02:23:00 UV 2.16.840.1.113883.3.5326 seo Jean M Lim Optometry, Inc. dba Seaside Eyecare Optometry Jean Lim masked Jean Lim O.D. 638 Camino de los Mares, Suite A120 San Clemente, CA 92673 949-493-2269 masked President Jean M Lim Optometry, Inc 638 Camino de los Mares, Suite A120 San Clemente, CA 92637 949-493-2269 customerservice@seasideeyecare.com http://www.seasideeyecare.com Provider Int 3 Complete 2014/06/06 12:00:00 2014/11/12 12:00:00 2014/11/12 02:25:14 UV 2.16.840.1.113883.3.3823.1010012 hfhn-CLINIC HFHN HENRY FORD CLINIC Allison Nanni masked Allison Nanni 3031 W Grand Blvd Suite 750 Detroit, MI 48202 313-870-6255 masked Helios - Revenue Cycle Mgmt Henry Ford Health System 3031 W Grand Blvd Suite 750 Detroit, MI 48202 313-870-6255 ananni1@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.1010012 2014/06/06 12:00:00 2014/11/15 12:00:00 2014/11/15 05:26:12 UV 2.16.840.1.113883.3.3823.101011 hfhn-CLINTONOAKS HFHN CLINTON OAKS BEHAVIORAL HEALTH SERVICES Allison Nanni masked Allison Nanni 3031 W Grand Blvd Suite 750 Detroit, MI 48202 313-870-6255 masked Helios - Revenue Cycle Mgmt Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313-870-6255 ananni1@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101011 2014/06/06 12:00:00 2014/11/15 12:00:00 2014/11/15 05:28:33 UV 2.16.840.1.113883.3.3823.101026 hfhn-MWR HFHN MACOMB WARREN REHAB Allison Nanni masked Allison Nanni 3031 W Grand Blvd Suite 750 Detroit, MI 48202 313-870-6255 masked Helios - Revenue Cycle Mgmt Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313-870-6255 ananni1@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101026 2014/06/06 12:00:00 2014/11/15 12:00:00 2014/11/15 05:30:38 UV 2.16.840.1.113883.3.3823.101034 hfhn-SOUTHLND HFHN SOUTHLAND Allison Nanni masked Allison Nanni 3031 W Grand Blvd Suite 750 Detroit, MI 48202 313-870-6255 masked Helios - Revenue Cycle Mgmt Henry Ford Health System 3031 W Grand Blvd Suite 750 Detroit, MI 48202 313-870-6255 ananni1@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.101034 2014/06/06 12:00:00 2014/11/15 12:00:00 2014/11/15 05:32:02 UV 2.16.840.1.113883.3.3823.1050012 hfwy-wyancl HFWY WYANDOTTE CLINIC Allison Nanni masked Allison Nanni 3031 W Grand Blvd Suite 750 Detroit, MI 48202 313-870-6255 masked Helios - Revenue Cycle Mgmt Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313-870-6255 ananni1@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.1050012 2014/06/06 12:00:00 2014/11/15 12:00:00 2014/11/15 05:34:56 UV 2.16.840.1.113883.3.3823.105006 hfwy-BARSUR HFWY BARIATRIC SURGERY Allison Nanni masked Allison Nanni HFWY BARIATRIC SURGERY 313-870-6255 masked Helios - Revenue Cycle Mgmt Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313-870-6255 ananni1@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.105006 2014/06/06 12:00:00 2014/11/15 12:00:00 2014/11/15 05:36:35 UV 2.16.840.1.113883.3.3823.105012 hfwy-OBGYN HFWY OB GYN Allison Nanni masked Allison Nanni 3031 W Grand Blvd Suite 750 Detroit, MI 48202 313-870-6255 masked Helios - Revenue Cycle Mgmt Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313-870-6255 ananni1@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.105012 2014/06/06 12:00:00 2014/11/15 12:00:00 2014/11/15 05:38:23 UV 2.16.840.1.113883.3.3823.106007 hfm-SHBYMALL HFM SHELBY MALL Allison Nanni masked Allison Nanni 3031 W Grand Blvd Suite 750 Detroit, MI 48202 313-870-6255 masked Helios - Revenue Cycle Mgmt Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313-870-6255 ananni1@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106007 2014/06/06 12:00:00 2014/11/15 12:00:00 2014/11/15 05:40:47 UV 2.16.840.1.113883.3.3823.106011 hfm-BEHMEDGA HFM BEHAV MED OPD GARFIELD Allison Nanni masked Allison Nanni 3031 W Grand Blvd Suite 750 Detroit, MI 48202 313-870-6255 masked Helios - Revenue Cycle Mgmt Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313-870-6255 ananni1@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106011 2014/06/06 12:00:00 2014/11/15 12:00:00 2014/11/15 05:43:05 UV 2.16.840.1.113883.3.3823.106013 hfm-EASTRID HFM EASTRIDGE Allison Nanni masked Allison Nanni 3031 W Grand Blvd Suite 750 Detroit, MI 48202 313-870-6255 masked Helios - Revenue Cycle Mgmt Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313-870-6255 ananni1@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106013 2014/06/06 12:00:00 2014/11/15 12:00:00 2014/11/15 05:43:58 UV 2.16.840.1.113883.3.3823.106014 hfm-HARMET HFM HARPER METRO Allison Nanni masked Allison Nanni 3031 W Grand Blvd Suite 750 Detroit, MI 48202 313-870-6255 masked Helios - Revenue Cycle Mgmt Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313-870-6255 ananni1@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106014 2014/06/06 12:00:00 2014/11/15 12:00:00 2014/11/15 05:45:43 UV 2.16.840.1.113883.3.3823.106017 hfm-MOP HFM MEDICAL OFFICE PAVILION Allison Nanni masked Allison Nanni 3031 W Grand Blvd Suite 750 Detroit, MI 48202 313-870-6255 masked Helios - Revenue Cycle Mgmt Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313-870-6255 ananni1@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106017 2014/06/06 12:00:00 2014/11/15 12:00:00 2014/11/15 05:55:21 UV 2.16.840.1.113883.3.3823.106018 hfm-REDDING HFM REDDING Allison Nanni masked Allison Nanni 3031 W Grand Blvd Suite 750 Detroit, MI 48202 313-870-6255 masked Helios - Revenue Cycle Mgmt Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313-870-6255 ananni1@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106018 2014/06/06 12:00:00 2014/11/15 12:00:00 2014/11/15 05:57:46 UV 2.16.840.1.113883.3.3823.106021 hfm-HAYES HFM HAYES Allison Nanni masked Allison Nanni 3031 W Grand Blvd Suite 750 Detroit, MI 48202 313-870-6255 masked Helios - Revenue Cycle Mgmt Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313-870-6255 ananni1@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106021 2014/06/06 12:00:00 2014/11/15 12:00:00 2014/11/15 05:59:05 UV 2.16.840.1.113883.3.3823.106022 hfm-WARNORSTE HFM WARREN NORTHSITE Allison Nanni masked Allison Nanni 3031 W Grand Blvd Suite 750 Detroit, MI 48202 313-870-6255 masked Helios - Revenue Cycle Mgmt Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313-870-6255 ananni1@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106022 2014/06/06 12:00:00 2014/11/15 12:00:00 2014/11/15 06:00:40 UV 2.16.840.1.113883.3.3823.106028 hfm-MACROM HFM MACOMB ROMEO Allison Nanni masked Allison Nanni 3031 W Grand Blvd Suite 750 Detroit, MI 48202 313-870-6255 masked Helios - Revenue Cycle Mgmt Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313-870-6255 ananni1@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106028 2014/06/06 12:00:00 2014/11/15 12:00:00 2014/11/15 06:01:50 UV 2.16.840.1.113883.3.3823.106030 hfm-SOUTH HFM SOUTH Allison Nanni masked Allison Nanni 3031 W Grand Blvd Suite 750 Detroit, MI 48202 313-870-6255 masked Helios - Revenue Cycle Mgmt Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313-870-6255 ananni1@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106030 2014/06/06 12:00:00 2014/11/15 12:00:00 2014/11/15 06:03:59 UV 2.16.840.1.113883.3.3823.106035 hfm-assint HFM ASSOICATED INTERNISTS Allison Nanni masked Allison Nanni 3031 W Grand Blvd Suite 750 Detroit, MI 48202 313-870-6255 masked Helios - Revenue Cycle Mgmt Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313-870-6255 ananni1@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106035 2014/06/06 12:00:00 2014/11/15 12:00:00 2014/11/15 06:04:47 UV 2.16.840.1.113883.3.3823.106036 hfm-PIERSON HFM PIERSON Allison Nanni masked Allison Nanni 3031 W Grand Blvd Suite 750 Detroit, MI 48202 313-870-6255 masked Helios - Revenue Cycle Mgmt Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313-870-6255 ananni1@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106036 2014/06/06 12:00:00 2014/11/15 12:00:00 2014/11/15 06:06:49 UV 2.16.840.1.113883.3.3823.106023 hfm-SLEEP HFM SLEEP CENTER Allison Nanni masked Allison Nanni 3031 W Grand Blvd Suite 750 Detroit, MI 48202 313-870-6255 masked Helios - Revenue Cycle Mgmt Henry Ford Health System One Ford Place Suite 2a, 2A30 Detroit, MI 48202 313-870-6255 ananni1@hfhs.org Provider 2.16.840.1.113883.3.3823 Ext 17 Complete 2.16.840.1.113883.3.3823.106023 2014/06/06 12:00:00 2014/11/15 12:00:00 2014/11/15 06:08:01 UV 2.16.840.1.113883.3.5327 gmhs Gordon Memorial Health Services Michael Neeley masked Jordan Huether 300 E 8th St Gordon, NE 69343 3083374802 masked Systems Administrator Gordon Memorial Health Service 300 E 8th St Gordon, NE 69343 3082820401 it@gordonmemorial.org https://gordonmemorial.org Provider Int 3 Complete 2014/06/06 12:00:00 2014/11/12 12:00:00 2024/01/29 05:54:30 UV 2.16.840.1.113883.3.5328 whidbeygen WhidbeyHealth Gary Taylor masked Becky Dawson WhidbeyHealth 101 N Main Street Coupeville, WA 98239-3413 360-678-5151 x5905 masked Applications Manager WhidbeyHealth 101 N Main Street Coupeville, WA 98239-3413 360-678-5151 whitapp@whidbeyhealth.org http://whidbeyhealth.org Provider Int 3 Complete 2014/06/06 12:00:00 2014/11/12 12:00:00 2022/05/11 05:54:53 UV 2.16.840.1.113883.3.5329 ems1 Eric M. Selander, O.D. Eric Selander masked Eric M. Selander, O.D. 1815 Decatur Pike Athens, TN 37303 4237455100 masked Eric M. Selander, O.D. 1815 Decatur Pike Athens, TN 37303 4237455100 ericselander@bellsouth.net http://www.optometristathenstn.com Provider Int 3 Complete 2014/06/06 12:00:00 2014/11/12 12:00:00 2014/11/12 02:46:11 UV 2.16.840.1.113883.3.5330 hbch Harbor Beach Community Hospital Debra Geiger masked Tami Nickrand Harbor Beach Community Hospital 210 South First St. Harbor Beach Michigan 1-989-479-3201 ext. 272 masked Director of Information Technology Harbor Beach Community Harbor Beach Community Hospital 210 South First St. Harbor Beach Michigan 1-989-479-3201 ext 272 tnickrand@hbch.org http://www.hbch.org Provider Int 3 Complete 2014/06/06 12:00:00 2014/11/12 12:00:00 2024/10/15 10:56:34 UV 2.16.840.1.113883.3.5331 ebch Ely Bloomenson Hospital Mark Sandvick masked Mike Pechek Michael Pechek 328 W Conan St Ely, MN 55731 218-365-8737 masked Radiology Director Ely-Bloomenson Hospital 328 W Conan St Ely, MN 55731 218-365-3271 mpechek@ebch.org http://www.ebch.org/index.html Provider Int 3 Complete 2014/06/06 12:00:00 2014/11/12 12:00:00 2014/11/12 04:05:03 UV 2.16.840.1.113883.3.5332 swmc Southwest Medical Center Shelley Buttry masked Shelley Buttry 6206296324 masked Southwest Medical Center 315 W 15th Street Liberal KS 67901 6206241651 shelleys@swmedcenter.com Govt body Int 3 Complete 2014/06/06 12:00:00 2014/11/12 12:00:00 2014/11/12 04:09:06 UV 2.16.840.1.113883.3.5333 djwh Warner Hospital and Health Services - hospital Mark Sandvick masked Lawrence C. Schleicher Heather Schofield Warner Hospital and Health Services - hospital 422 W. White St Clinton, Il 61727 217-937-5212 masked Risk Management Warner Hospital and Health Services - hospital 422 W. White St Clinton, Il 61727 heather.schofield@warnerhospital.org http://www.warnerhospital.org/ Provider Int 3 Complete 2014/06/06 12:00:00 2014/11/12 12:00:00 2017/05/03 12:08:03 UV 2.16.840.1.113883.3.1070.5805 mckesson-fusion-5805 mckesson-fusion-5805 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5805 2014/06/06 12:00:00 2014/11/15 12:00:00 2014/11/15 05:53:24 US 2.16.840.1.113883.3.5334 silvhosp Silverton Hospital Laura Lukomski masked Laura Lukomski 971-983-5344 masked Project Manager Silverton Hospital 342 Fairview St Silverton, OR 97381 503-873-1500 llukomski@silvertonhealth.org http://silvertonhealth.org Provider Int 3 Complete 2014/06/06 12:00:00 2014/11/12 12:00:00 2014/11/12 04:02:44 UV 2.16.840.1.113883.3.5335 vida-guard VidaGuard Personal Health Records Network Claudio Mendoza masked Claudio Mendoza 305 606 1126 masked VidaGuard LLC dmendoza@vidaguard.com http://www.vidaguard.com Vendor Int 3 Complete 2014/06/07 12:00:00 2014/11/12 12:00:00 2014/11/12 04:03:03 UV 2.16.840.1.113883.3.5336 oho O'Hora Eye Care Center Megan Walsh masked Megan Walsh 1402 Washburn St Scranton, PA 18504 5703432591 masked Optometrist O'Hora Eye Care Center Inc 1402 Washburn St Scranton, PA 18504 5703432591 jo@ohoraeyecarecenter.com https://ohoraeyecarecenter.com Provider Int 3 Complete 2014/06/07 12:00:00 2014/11/12 12:00:00 2014/11/12 04:03:25 UV 2.16.840.1.113883.3.5337 ijis IJIS Institute OID for health interoperability testing Scott Serich masked Scott Serich 44983 Knoll Square Ashburn, VA 20147 7037261913 masked Scott Serich 44983 Knoll Square Ashburn, VA 20147 scott.serich@ijis.org Academic Int 3 Complete 2014/06/09 12:00:00 2014/11/12 12:00:00 2014/11/12 04:03:44 UV 2.16.840.1.113883.9.171 pdslabjhm Pathology Data System (LIS) at Johns Hopkins Medicine Martine Uveges masked Martine J Uveges Johns Hopkins Hospital 600 North Wolfe Street Meyer B119 Baltimore, MD 21287 410-955-2656 masked Manager, Pathology Data Systems Johns Hopkins Hospital Johns Hopkins Hospital 600 North Wolfe Street Baltimore, MD 21287 410-955-2656 muveges@jhmi.edu http://www.hopkinsmedicine.org Exchange Int 3 Complete 2014/06/09 12:00:00 2014/11/15 12:00:00 2014/11/15 06:11:52 US 2.16.840.1.113883.3.5338 shmem-hosp-main Sheridan Memorial Hospital Main Campus OID Derek Cross masked Derek 1401 W. 5th St Sheridan, WY 82801 307-672-1088 masked SysAdmin Sheridan Memorial Hospital 1401 W. 5th Street Sheridan, WY 82801 307-672-1000 netadmin@sheridanhospital.org http://www.sheridanhospital.org Provider Int 3 3 Complete 2014/06/09 12:00:00 2014/11/12 12:00:00 2014/11/12 04:04:06 UV 2.16.840.1.113883.3.5339 tBEC The Bixby Eye Center Krey Bixby masked Krey Bixby 6807 N. Knoxville Avenue Peoria, IL 61614 309-692-0000 masked President/Owner The Bixby Eye Center 6807 N. Knoxville Avenue Peoria, IL 61614 309-692-0000 bixexcel@aol.com http://www.bixbyeyecenter.com Provider Int 3 Complete 2014/06/09 12:00:00 2014/11/12 12:00:00 2014/11/12 01:24:25 UV 2.16.840.1.113883.3.5340 shmem-bhmm-main Big Horn Mountain Medicine Derek Cross masked Systems Administrator 1401 W. 5th Street Sheridan, WY 82801 307-672-1099 masked SysAdmin Big Horn Health Network 1435 W. Burton St. Sheridan, WY 82801 307-675-2649 netadmin@sheridanhospital.org Provider Int 3 3 Complete 2014/06/09 12:00:00 2014/11/11 12:00:00 2014/11/11 10:26:20 UV 2.16.840.1.113883.3.5341 lpnt-rrhs Rutherford Regional Health System Trevor Dickerson masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LIfepoint Hospitals, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2014/06/09 12:00:00 2014/11/12 12:00:00 2018/05/02 12:11:22 UV 2.16.840.1.113883.3.2533.300 lpnt-mghslis Marquette General Hospital LIS Trevor Dickerson masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Marquette General Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2533 Ext 14 Complete 2.16.840.1.113883.3.2533.300 2014/06/09 12:00:00 2014/11/15 12:00:00 2014/11/15 06:14:56 UV 2.16.840.1.113883.3.5342 aERMC-Root Eaton Rapids Medical Center Constance Ebare masked Connie Ebare 1500 S. Main St 5176639569 masked IS Director Eaton Rapids Medical Center 1500 S. Main St. Eaton Rapids, MI 48827 517-663-2671 cebare@ermchealth.org http://www.eatonrapidsmedicalcenter.org/ Provider Int 3 Complete 2014/06/09 12:00:00 2014/11/10 12:00:00 2024/10/04 01:57:23 UV 2.16.840.1.113883.3.5342.1 aERMC-Main Eaton Rapids Medical Center - Main Facility Constance Ebare masked Connie Ebare 1500 S. Main St Eaton Rapids, MI 48827 5176639569 masked IS Director Eaton Rapids Medical Center 1500 S. Main St. Eaton Rapids, MI 48827 517-663-2671 cebare@ermchealth.org http://www.eatonrapidsmedicalcenter.org/ Provider 2.16.840.1.113883.3.5342 Ext 17 Complete 2.16.840.1.113883.3.5342.1 2014/06/09 12:00:00 2014/11/15 12:00:00 2024/10/04 01:58:32 UV 2.16.840.1.113883.3.5343 mgh-MRN MageeGeneralHospital-MRN Kirby Craft masked Magee General Hospital Kirby Craft Magee General Hospital 300 Third Ave Magee, MS 39111 601-849-7223 masked CIO Magee General Hospital 601-849-5070 kcraft@mghosp.org http://www.mghosp.org Provider Int 3 Complete 2014/06/09 12:00:00 2014/11/10 12:00:00 2014/11/10 03:42:06 2.16.840.1.113883.3 US 2.16.840.1.113883.3.5342.11 aERMC-ED Eaton Rapids Medical Center - ED Constance Ebare masked Connie Ebare 1500 S. Main St Eaton Rapids, MI 48827 5176639569 masked IS Director Eaton Rapids Medical Center 1500 S. Main St. Eaton Rapids, MI 48827 517-663-2671 cebare@ermchealth.org http://www.eatonrapidsmedicalcenter.org/ Provider 2.16.840.1.113883.3.5342 Ext 17 Complete 2.16.840.1.113883.3.5342.11 2014/06/09 12:00:00 2014/11/15 12:00:00 2024/10/04 02:03:35 UV 2.16.840.1.113883.17.3987 plonka Randy J. Plonka MD, P.C. Randy Plonka masked Billielynn Volkman Billielynn Volkman 5979 Lakeshore Rd. Fort Gratiot, MI 48059 810-385-6370 masked assistant office manager Randy J. Plonka MD 5979 Lakeshore Rd. Fort Gratiot, MI 48059 810-385-6370 billielynn@drplonka.comcastbiz.net Provider Int 17 Complete 2014/06/09 12:00:00 2014/11/15 12:00:00 2014/11/15 06:22:21 UV 2.16.840.1.113883.3.1070.5929 mckesson-fusion-5929 mckesson-fusion-5009 Jaime Cummins masked Fusion Enrollment 8775074541 masked Fusion Enrollment jaime.cummins@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5929 2014/06/09 12:00:00 2014/11/15 12:00:00 2014/11/15 06:20:31 US 2.16.840.1.113883.3.4042.10 lpnt-uhsbmrn UP Health System - Bell MRN Trevor Dickerson masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange UP Health System - Bell 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.4042 Ext 14 Complete 2.16.840.1.113883.3.4042.10 2014/06/09 12:00:00 2014/11/15 12:00:00 2018/05/07 11:55:21 UV 2.16.840.1.113883.3.4043.10 lpnt-uhspmrn UP Health System - Portage MRN Trevor Dickerson masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange UP Health System - Portage 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.4043 Ext 14 Complete 2.16.840.1.113883.3.4043.10 2014/06/09 12:00:00 2014/11/15 12:00:00 2018/05/07 12:04:45 UV 2.16.840.1.113883.3.1097.1.2730017 pgitr Pediatric Gastroenterology Troy Bradley Garfield masked Laura Polce 44199 Dequindre Rd Ste 615 Troy, MI 48085-1117 248-964-9660 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2730017 2014/06/09 12:00:00 2014/11/15 12:00:00 2014/11/15 06:26:05 UV 2.16.840.1.113883.3.4045.10 lpnt-fhmrn Fauquier Health MRN Trevor Dickerson masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Fauquier Health 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.4045 Ext 14 Complete 2.16.840.1.113883.3.4045.10 2014/06/09 12:00:00 2014/11/15 12:00:00 2018/05/02 03:50:38 UV 2.16.840.1.113883.3.4048.10 lpnt-smhmrn Scott Memorial Hospital MRN Trevor Dickerson masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Scott Memorial Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.4048 Ext 14 Complete 2.16.840.1.113883.3.4048.10 2014/06/09 12:00:00 2014/11/15 12:00:00 2018/05/07 10:48:23 UV 2.16.840.1.113883.3.5341.10 lpnt-rrhsmrn Rutherford Regional Health System MRN Trevor Dickerson masked Terry Phillips Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange 19654 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.5341 Ext 14 Complete 2.16.840.1.113883.3.5341.10 2014/06/09 12:00:00 2014/11/15 12:00:00 2018/05/07 10:47:47 UV 2.16.840.1.113883.3.5344 yardleyvision Yardley Vision Care Inc Sheila Maisel masked Sheila Maisel 710 Floral Vale Blvd Yardley, PA 19067 215-493-1924 masked Owner Yardley Vision Care Inc 710 Floral Vale Blvd Yardley, PA 19067 215-493-1924 info@yardleyvision.com http://www.yardleyvision.com/ Provider Int 3 Complete 2014/06/09 12:00:00 2014/11/10 12:00:00 2014/11/10 03:46:00 UV 2.16.840.1.113883.3.1871.3.212 sapovascs SAPO Vascular Surgery Lynn Rice masked Lynn Rice 314-951-5638 masked Lead APplication Developer- Interfaces SSMHC 7980 Clayton Rd St Louis MO 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.212 2014/06/09 12:00:00 2014/11/15 12:00:00 2014/11/15 06:32:58 UV 2.16.840.1.113883.3.1871.3.211 sapogastro SAPO gastroenterology Lynn Rice masked Lynn Rice 314-951-5638 masked Lead Application Developer Interfaces SSMHC 7980 Clayton Rd St Louis, MO 63117 314-951-5638 lynn_rice@ssmhc.com Provider 2.16.840.1.113883.3.1871 Ext 17 Complete 2.16.840.1.113883.3.1871.3.211 2014/06/09 12:00:00 2014/11/15 12:00:00 2014/11/15 06:34:34 UV 2.16.840.1.113883.3.5345 sehealthllc Southeast Missouri Hospital Physicians LLC Sean Forgatch masked Sean Forgatch Cape Girardeau, MO, 63703 623 S. Silver Springs Road 573-331-6800 masked NextGen Systems Analyst SEHealth SoutheastHEALTH 1701 Lacey Street Cape Girardeau, MO 63701 573-331-6800 sforgatch@sehealth.org http://www.sehealth.org/ Provider Int 3 3 Complete 2014/06/09 12:00:00 2014/11/12 12:00:00 2014/11/12 04:22:38 US 2.16.840.1.113883.3.5346 sehealthcvc SeHealth Cardiovascular Consultants Sean Forgatch masked Sean Forgatch Servir Data Center 623 S. Silver Springs Road Cape Girardeau, MO 63703 573-331-6800 masked NextGen Systems Analyst SEHealth SoutheastHEALTH 1701 Lacey Street Cape Girardeau, MO 63701 573) 334-4822 sforgatch@sehealth.org http://www.sehealth.org/ Provider Int 3 3 Complete 2014/06/09 12:00:00 2014/11/12 12:00:00 2014/11/12 04:22:24 UV 2.16.840.1.113883.3.5347 sehealthENT Southeast Health Ear Nose and Throat Sean Forgatch masked Sean Forgatch SoutheastHEALTH 1701 Lacey Street Cape Girardeau, MO 63701 573-331-6800 masked NextGen Systems Analyst SEHealth SoutheastHEALTH 1701 Lacey Street Cape Girardeau, MO 63701 573-331-6800 sforgatch@sehealth.org http://www.sehealth.org/ Provider Int 3 3 Complete 2014/06/09 12:00:00 2014/11/12 12:00:00 2014/11/12 04:22:11 UV 2.16.840.1.113883.3.5348 sehealthOBGYN Southeast Obstetrics and Gynecology Sean Forgatch masked Sean Forgatch SoutheastHEALTH 1701 Lacey Street Cape Girardeau, MO 63701 573-331-6800 masked NextGen Systems Analyst SEHealth SoutheastHEALTH 1701 Lacey Street Cape Girardeau, MO 63701 573-331-6800 sforgatch@sehealth.org Provider Int 3 3 Complete 2014/06/09 12:00:00 2014/11/12 12:00:00 2014/11/12 04:21:57 UV 2.16.840.1.113883.3.5349 sehealthneuroSTAHLY Southeast Neurology Dr Stahly Sean Forgatch masked Sean Forgatch 573-331-6800 masked SEHealth SoutheastHEALTH 1701 Lacey Street Cape Girardeau, MO 63701 573-331-6800 sforgatch@sehealth.org Provider Int 3 3 Complete 2014/06/09 12:00:00 2014/11/12 12:00:00 2014/11/12 04:21:43 UV 2.16.840.1.113883.3.5350 neuroassocofcape Neurologic Associates of Cape Girardeau Inc Sean Forgatch masked Sean Forgatch SoutheastHEALTH 1701 Lacey Street Cape Girardeau, MO 63701 573-331-6800 masked SEHealth SoutheastHEALTH 1701 Lacey Street Cape Girardeau, MO 63701 573-331-6800 sforgatch@sehealth.org Provider Int 3 3 Complete 2014/06/09 12:00:00 2014/11/12 12:00:00 2014/11/12 04:20:30 UV 2.16.840.1.113883.3.5351 mdmcCancerandInfusion MDMC Cancer and Infusion Sean Forgatch masked Sean Forgatch 573-331-6800 masked Missouri Delta Physician Service 135 Plaza Dr Ste 102, Sikeston, MO, US, 63801 573-331-6800 sforgatch@sehealth.org Provider Int 3 3 Complete 2014/06/09 12:00:00 2014/11/12 12:00:00 2014/11/12 04:20:01 UV 2.16.840.1.113883.3.5352 mdmcCommFamPrac MDMC Community and Family Practice Sean Forgatch masked Sean Forgatch 573-331-6800 masked Missouri Delta Physician Service 135 Plaza Dr Ste 102, Sikeston, MO, US, 63801 (573) 472-7120 sforgatch@sehealth.org Provider Int 3 3 Complete 2014/06/09 12:00:00 2014/11/12 12:00:00 2014/11/12 04:19:48 UV 2.16.840.1.113883.3.5353 mdmcEndoDiab MDMC Endocrine and Diabetes Sean Forgatch masked Sean Forgatch 573-331-6800 masked Missouri Delta Physician Service 135 Plaza Dr Ste 102, Sikeston, MO, US, 63801 573) 472-7120 sforgatch@sehealth.org Provider Int 3 3 Complete 2014/06/09 12:00:00 2014/11/12 12:00:00 2014/11/12 04:19:29 UV 2.16.840.1.113883.3.5354 mdmcHospitalists MDMC Hospitalists Sean Forgatch masked Sean Forgatch 573-331-6800 masked Missouri Delta Physician Service 135 Plaza Dr Ste 102, Sikeston, MO, US, 63801 573-471-1600 sforgatch@sehealth.org Provider Int 3 3 Complete 2014/06/09 12:00:00 2014/11/12 12:00:00 2014/11/12 04:19:15 UV 2.16.840.1.113883.3.5355 mdmcHunterPearson MDMC Hunter Pearson Sean Forgatch masked Sean Forgatch 573-331-6800 masked Missouri Delta Physician Service 135 Plaza Dr Ste 102, Sikeston, MO, US, 63801 (573) 472-7120 sforgatch@sehealth.org Provider Int 3 3 Complete 2014/06/09 12:00:00 2014/11/12 12:00:00 2014/11/12 04:18:52 UV 2.16.840.1.113883.3.5356 mdmcIntMed MDMC Internal Medicine Sean Forgatch masked Sean Forgatch 573-331-6800 masked Missouri Delta Physician Service 135 Plaza Dr Ste 102, Sikeston, MO, US, 63801 573) 472-7120 sforgatch@sehealth.org Provider Int 3 3 Complete 2014/06/09 12:00:00 2014/11/12 12:00:00 2014/11/12 04:18:33 UV 2.16.840.1.113883.3.5357 mdmcNephro MDMC Nephrology Sean Forgatch masked Sean Forgatch 573-331-6800 masked Missouri Delta Physician Service 135 Plaza Dr Ste 102, Sikeston, MO, US, 63801 573) 472-7120 sforgatch@sehealth.org Provider Int 3 3 Complete 2014/06/09 12:00:00 2014/11/12 12:00:00 2014/11/12 04:18:20 UV 2.16.840.1.113883.3.5358 mdmcOrtho MDMC Orthopaedics Sean Forgatch masked Sean Forgatch 573-331-6800 masked Missouri Delta Physician Service 135 Plaza Dr Ste 102, Sikeston, MO, US, 63801 &#183; (573) 472-7120 sforgatch@sehealth.org Provider Int 3 3 Complete 2014/06/09 12:00:00 2014/11/12 12:00:00 2014/11/12 04:12:11 UV 2.16.840.1.113883.3.5359 mdmcPulm MDMC Pulmonology Sean Forgatch masked Sean Forgatch 573-331-6800 masked Missouri Delta Physician Service 135 Plaza Dr Ste 102, Sikeston, MO, US, 63801 (573) 472-7120 sforgatch@sehealth.org Prof Soc Int 3 3 Complete 2014/06/09 12:00:00 2014/11/12 12:00:00 2014/11/12 04:18:07 UV 2.16.840.1.113883.3.5360 mdmcSurg MDMC Surgeons Sean Forgatch masked Sean Forgatch 573-331-6800 masked Missouri Delta Physician Service 135 Plaza Dr Ste 102, Sikeston, MO, US, 63801 (573) 472-7120 sforgatch@sehealth.org Provider Int 3 3 Complete 2014/06/09 12:00:00 2014/11/12 12:00:00 2014/11/12 04:17:26 UV 2.16.840.1.113883.3.5361 mdmcUro MDMC Urology Sean Forgatch masked Sean Forgatch 573-331-6800 masked Missouri Delta Physician Service 135 Plaza Dr Ste 102, Sikeston, MO, US, 63801 (573) 472-7120 sforgatch@sehealth.org Provider Int 3 3 Complete 2014/06/09 12:00:00 2014/11/12 12:00:00 2014/11/12 04:16:58 UV 2.16.840.1.113883.3.5362 mdmcWomensCare MDMC Women's Care Center Sean Forgatch masked Sean Forgatch 573-331-6800 masked Missouri Delta Physician Service 135 Plaza Dr Ste 102, Sikeston, MO, US, 63801 573) 472-7120 sforgatch@sehealth.org Provider Int 3 Complete 2014/06/09 12:00:00 2014/10/16 12:00:00 2014/10/16 11:12:08 UV 2.16.840.1.113883.3.5363 mdmcWoundCareHyperBaric MDMC Wound Care and Hyperbaric Center Sean Forgatch masked Sean Forgatch 573-331-6800 masked Missouri Delta Physician Service 135 Plaza Dr Ste 102, Sikeston, MO, US, 63801 573) 472-7120 sforgatch@sehealth.org Provider Int 3 Complete 2014/06/09 12:00:00 2014/10/16 12:00:00 2014/10/16 11:11:28 UV 2.16.840.1.114519.30.102 ltp LaTouche Pediatrics Rebecca Madison masked Chad Jensen 3371 Northspruce Cr. Anchorage, Ak 99507 907-644-9532 masked Office Manager Alaska eHealth Network 4000 Old Seward Highway, Suite 203 Anchorage, AK 99503 866-966-9030 rebecca@ak-ehealth.org https://www.ak-ehealth.org Exchange 2.16.840.1.1145130 Ext 14 Complete 2.16.840.1.114519.30.102 2014/06/09 12:00:00 2014/11/15 12:00:00 2014/11/15 06:39:13 UV 2.16.840.1.113883.17.3988 atlaslabworks Atlas LabWorks Greg Andresen masked Gregory Andresen 26679 West Agoura Road, Suite 200 Calabasas, CA 91302 818-466-7136 masked Consultant Atlas Development 26679 West Agoura Road, Suite 200 Calabasas, CA 91302 818.340.7080 info@atlasmedical.com http://www.atlasmedical.com Vendor Int 17 Complete 2014/06/10 12:00:00 2014/11/15 12:00:00 2014/11/15 06:41:39 UV 2.16.840.1.113883.3.5364 nmdoh New Mexico Department of Health David Hunt masked David Hunt Harold Runnels Building 1190 S. St. Francis Drive Suite &#8211; S3352 Santa Fe, NM 87502 (505) 827-0276 masked IT Generalist II New Mexico Department of Health Harold Runnels Building 1190 S. St. Francis Drive Santa Fe, NM 87505 sandeep.patel@state.nm.us http://nmhealth.org/ Govt body Int 3 Complete 2014/06/10 12:00:00 2014/10/16 12:00:00 2014/10/16 11:09:18 UV 2.16.840.1.113883.3.5365 meierandmoser Meier & Moser Associates PC Stephen Meier masked Stephen P. Meier Jr. 542 N. Oak Street Lititz, PA 17543 717-626-8300 masked President Meier & Moser Assoc., PC 542 N. Oak Street Lititz, PA 17543 717-626-8300 eyecare@meierandmoser.com Provider Int 3 Complete 2014/06/11 12:00:00 2014/10/16 12:00:00 2014/10/16 11:10:37 UV 2.16.840.1.113883.3.5366 cwhs Colorado West Health System Randy Ferguson masked Randy Ferguson 2021 North 12th Street Grand Junction, Colorado 81501 970-256-6330 masked IT Director Colorado West Health System 2021 North 12th Street Grand Junction, Colorado 970-242-0920 rferguson@gjhosp.org http://www.yourcommunityhospital.org Prof Soc Int 3 3 Complete 2014/06/12 12:00:00 2014/11/12 12:00:00 2014/11/12 04:23:07 UV 2.16.840.1.113883.9.172 jhh Johns Hopkins Hospital Peter Huppenthal masked Johns Hopkins Hospital Johns Hopkins Hospital 1800 Orleans Street Carnegie 426 Baltimore, Maryland 21287 410-955-6559 masked Lab Administrator Johns Hopkins Hospital Johns Hopkins Hospital 1800 Orleans Street Carnegie 426 Baltimore, Maryland 21287 410-955-6559 mhuppen@jhmi.edu http://www.hopkinsmedicine.org Academic Int 3 Complete 2014/06/12 12:00:00 2014/11/15 12:00:00 2014/11/15 06:44:48 UV 2.16.840.1.113883.3.5367 ucfpegasushealth UCF Pegasus Health Luz Rodriguez masked Luz Rodriguez 3400 Quadrangle Blvd. Orlando, FL 32817 407-558-8512 masked HIT UCF Pegasus Health 3400 Quadrangle Blvd. Orlando, FL 32817 407-266-3627 luz.rodriguez@ucf.edu Provider Int 3 Complete 2014/06/12 12:00:00 2014/11/05 12:00:00 2014/11/05 10:30:38 UV 2.16.840.1.113883.9.173 jhm-epic Johns Hopkins Medicine - Epic Peter Huppenthal masked Johns Hopkins Medicine - Epic Johns Hopkins Medicine 1800 Orleans Street Carnegie 426 Baltimore, Maryland 21287 410-955-6559 masked Lab Project Administrator Johns Hopkins Medicine - Epic Johns Hopkins Medicine 1800 Orleans Street Carnegie 426 Baltimore, Maryland 21287 410-955-6559 mhuppen@jhmi.edu http://www.hopkinsmedicine.org Academic Int 3 Complete 2014/06/12 12:00:00 2014/11/15 12:00:00 2014/11/15 06:54:58 UV 2.16.840.1.113883.9.174 hcgh Howard County General Hospital - Meditech Peter Huppenthal masked John Brinkley Howard County General Hospital - Meditech Howard County General Hospital 5755 Cedar Lane Columbia, Maryland 21044 410-955-6559 masked Lab Project Administrator Howard County General Hospital - Meditech Howard County General Hospital 5755 Cedar Lane Columbia, Maryland 21044 410-955-6559 mhuppen@jhmi.edu http://www.hopkinsmedicine.org Academic Int 3 Complete 2014/06/12 12:00:00 2014/11/15 12:00:00 2014/11/15 06:57:19 UV 2.16.840.1.113883.17.3990 iuhmhccd Indiana University Health Morgan Hospital Continuity of Care Document Cindy Shields masked Cindy Shields 2209 John R Wooden Drive Martinsville, IN 46151 765-349-6703 masked Clinical Informatics Specialist Indiana University Health Morgan Hospital 2209 John R Wooden Drive Martinsville,IN 46151 765-349-6500 cshields2@iuhealth.org Provider Int 17 Complete 2014/06/13 12:00:00 2014/11/15 12:00:00 2014/11/15 06:58:50 UV 2.16.840.1.113883.3.2402.200.296 physicians-computer-company-clients-pafr Physician's Computer Company (PCC) Clients Pediatric Associates of Fall River Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.296 2014/06/13 12:00:00 2014/11/20 12:00:00 2014/11/20 05:16:11 UV 2.16.840.1.113883.3.2402.200.6811 physicians-computer-company-clients-uvp Physician's Computer Company (PCC) Clients Upper Valley Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6811 2014/06/13 12:00:00 2014/11/20 12:00:00 2014/11/20 05:24:17 UV 2.16.840.1.113883.3.2402.200.152 physicians-computer-company-clients-catalina Physician's Computer Company (PCC) Clients Catalina Pediatrics, P.C. Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.152 2014/06/13 12:00:00 2014/11/20 12:00:00 2014/11/20 05:25:12 UV 2.16.840.1.113883.3.5368 cchp CharterCARE Health Partners James Dio masked Susan Cerrone Susan Cerrone 825 Chalkstone Avenue Providence, RI 02908 401-456-2000 masked VP/CIO CharterCARE Health Partners 825 Chalkstone Avenue Providence, RI 02908 401-456-2000 scerrone@chartercare.org Provider Int 3 Complete 2014/06/16 12:00:00 2014/08/04 12:00:00 2014/08/04 06:51:05 UV 2.16.840.1.113883.3.5369 bmcf Baylor Medical Center at Frisco Don Eaton masked rbarry@bmcf.com Don Eaton 5601 Warren Parkway Frisco, TX. 75034 214-407-4444 masked interface analyst Baylor Medical Center at Frisco 5601 Warren Parkway Frisco, TX. 75034 214-407-4444 helpdesk@bmcf.com http://www.baylorhealth.com Provider Int 3 Complete 2014/06/16 12:00:00 2014/08/04 12:00:00 2014/08/04 06:53:06 UV 2.16.840.1.113883.3.5370 perry Perry Community Hospital Glenda Qualls masked Glenda Qualls 2718 Squirrel Hollow Drive Linden, Tennessee 37096 931-589-2121 masked Laboratory Supervisor Perry Community Hospital 2718 Squirrel Hollow Drive Linden, Tennessee 37096 931-589-2121 perrych3@tds.net Provider Int 3 Complete 2014/06/16 12:00:00 2014/08/04 12:00:00 2014/08/04 06:55:17 US 2.16.840.1.113883.17.3991 mmh Muenster Memorial Hospital Steve Fowler masked Steve Fowler 605 N. Maple Muenster, TX 76252 9407592271 masked IT Director Muenster Hospial District 605 N. Maple Muenster, TX 76252 9407592271 sfowler@muensterhospital.com https://muensterhospital.com Provider Int 17 Complete 2014/06/16 12:00:00 2014/08/04 12:00:00 2022/06/01 02:48:33 UV 2.16.840.1.113883.3.5371 awanikumar awanikumar OID Root AWANI Kumar masked Awani Kumar 780 HWY 37 W SUITE 110 TOMS RIVER, NJ 08755-5014 732-341-3500 masked Awani Kumar, MD, PC 780 HWY 37 W SUITE 110 TOMS RIVER, NJ 08755-5014 732-341-3500 awanikumar2000@yahoo.com Provider Int 3 Complete 2014/06/16 12:00:00 2014/08/04 12:00:00 2014/08/04 06:59:50 UV 2.16.840.1.113883.3.5372 camc Crete Area Medical Center Sheri Thompson masked Sheri Thompson Crete Area Medical Center 2910 Betten Drive Crete, NE 68333-3084 402-826-6568 masked IT Director Crete Area Medical Center 2910 Betten Drive Crete, NE 68333-3084 402-826-2102 Sheri.Thompson@bryanhealth.org http://www.bryanhealth.com/camc Provider Int 3 Complete 2014/06/16 12:00:00 2014/08/04 12:00:00 2014/08/04 07:02:22 UV 2.16.840.1.113883.3.1070.5936 mckesson-fusion-5936 mckesson-fusion-5936 Jaime Cummins masked Fusion Enrollment 8775074541 masked Fusion Enrollment jaime.cummins@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5936 2014/06/16 12:00:00 2014/11/20 12:00:00 2014/11/20 05:26:43 US 1.3.6.1.4.1.32898.1.4.2.1001 academic-med-assoc Academic Medicine Associates Michael Dobb masked Michael Dobb (616) 486-4054 masked Lead Business Systems Analyst Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 michael.dobb@spectrumhealth.org http://www.spectrumhealth.org Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.1001 2014/06/17 12:00:00 2014/08/04 12:00:00 2014/08/04 07:04:46 UV 2.16.840.1.113883.3.5373 kamacher kamacher Kathryn Amacher masked Kathryn Amacher 707-592-9625 masked Kathryn Amacher 313 Kendal St, Ste 102 Vacaville, CA 95688 707-592-9625 kamacher@sbcglobal.net Provider Int 3 Complete 2014/06/17 12:00:00 2014/08/04 12:00:00 2014/08/04 07:08:20 UV 2.16.840.1.113883.3.5374 hvhc Hudson Valley Hospital Center Joseph Cohen masked Joseph Cohen 1980 Crompond Road Cortlandt Manor, NY 10567 914-734-3125 masked Clinical Applications Manager Hudson Valley Hospital Center 1980 Crompond Road Cortlandt Manor, NY 10567 914-737-9000 jcohen@hvhc.org http://www.hvhc.org Provider Int 3 Complete 2014/06/17 12:00:00 2014/08/04 12:00:00 2014/08/04 07:10:13 UV 2.16.840.1.113883.3.5375 allen Allen County Regional Hospital Larry Peterson masked Larry Peterson Allen County Regional Hospital 3066 N Kentucky Street Iola, KS 66749 620-365-1026 masked CFO Allen County Regional Hospital 3066 N Kentucky Street Iola, KS 66749 620-365-1026 Larry.Peterson@HCAHealthcare.com Provider Int 3 Complete 2014/06/17 12:00:00 2014/08/04 12:00:00 2014/08/04 07:14:26 UV 2.16.840.1.113883.3.5376 hcmc Howard County Medical Center Corby Schulte masked Howard County Medical Center 1113 Sherman Street Saint Paul, NE 68873 308-754-4421 masked IT Howard County Medical Center 1113 Sherman Street Saint Paul, NE 68873 308-754-4421 cschulte@hcmc.us.com http://www.hcmc.us.com Provider Int 3 Complete 2014/06/19 12:00:00 2014/08/04 12:00:00 2014/08/04 07:16:03 UV 2.16.840.1.113883.3.5377 hecnb HEC Valerie Mendez masked Valerie Mendez 500 Superior Ave, Suite 120 Newport Beach, CA 92663 949-698-1339 masked Administrator HEC 500 Superior Ave, Suie 120 Newport Beach, CA 92663 949-698-1339 valerie.mendez@scasurgery.com Provider Int 3 Complete 2014/06/19 12:00:00 2014/08/04 12:00:00 2014/08/04 07:17:34 UV 2.16.840.1.113883.3.5378 kcho-ut Kane County Hospital Sherrie Pandya masked Sherrie Pandya 355 North Main Kanab, UT 84741 435-644-4129 masked Administrator Kane County Hospital 355 North Main Kanab, UT 84741 435-644-5811 kchceo@kanab.net Provider Int 3 Complete 2014/06/19 12:00:00 2014/08/04 12:00:00 2014/08/04 07:18:33 UV 2.16.840.1.113883.3.5379 sos Southwest Orthopaedic and Reconstructive Specialists Lucas Burke masked Lucas Burke 9155 East Nichols Ave, Suite 360 Centennial, CO 80112 720-382-7475 masked IT Integration Manager Southwest Orthopaedic and Reconstructive Specialists 8100 S Walker, Bldg A Oklahoma City, OK 73139 405-632-4468 farkhoy@southwestortho.com http://www.southwestortho.com Provider Int 3 Complete 2014/06/19 12:00:00 2014/08/04 12:00:00 2014/08/04 07:19:39 UV 2.16.840.1.113883.3.5380 mASSAC Massac Memorial Hospital Janet Vannatter masked Janet Vannatter 28 Chick Street Metropolis, IL 62960 6185242176 masked Massac Memorial Hospital 28 Chick Street Metropolis, IL 62960 6185242176 janetv@massachealth.org Provider Int 3 Complete 2014/06/19 12:00:00 2014/08/04 12:00:00 2014/08/04 07:22:03 UV 2.16.840.1.113883.3.5381 lcmhepil Little Company of Mary Hospital and Health Care Centers - Evergreen Park IL THOMAS PARSONS masked THOMAS PARSONS Attn: MIS Dept. 2800 W. 95th St. Evergreen Park, IL 60805 708-229-5191 masked Systems Programmer/HL7 Interface Engineer Little Company of Mary Hospital, MIS Dept. Attn: MIS Dept. 2800 W. 95th St. Evergreen Park, IL 60805 708-229-5160 tparsons@lcmh.org http://www.lcmh.org Provider Int 3 Complete 2014/06/19 12:00:00 2014/08/04 12:00:00 2014/08/04 07:23:43 UV 2.16.840.1.113883.3.5382 raulAlonsoMD Dr. Raul Alonso, MD PA Robert Hogle masked Rob Hogle 816 201-9813 masked Project Manager Dr. Raul Alonso, MD 7100 W 20th Ave suite 515 Hialeath, FL 33016 305-824-5517 mariagf15@aol.com Provider Int 3 Complete 2014/06/19 12:00:00 2014/08/07 12:00:00 2014/08/07 03:11:38 UV 2.16.840.1.113883.3.5383 oasis-hospital OASIS Hospital Ehab Al-Jamal masked Darin Prather Ehab OASIS Hospital 750 N 40th St Phoenix, AZ 85008 602-797-7723 masked IT Director OASIS Hospital 750 N 40th St Phoenix, AZ 85008 602-797-7700 ealjamal@oasishospital.com https://www.oasishospital.com Provider Int 3 Complete 2014/06/19 12:00:00 2014/08/07 12:00:00 2014/08/07 03:13:15 UV 2.16.840.1.113883.3.5384 geniusdoc GeniusDoc EHR Shane Bien masked Shane Bien 11645 Wilshire Blvd. Suite #701 Los Angeles, CA 90025 310-752-7772 masked Vice President, Sales & Marketing GeniusDoc, Inc. 11645 Wilshire Blvd. Suite #701 Los Angeles, CA 90025 310-752-7772 shane@geniusdoc.com http://www.geniusdoc.com Vendor Int 3 Complete 2014/06/19 12:00:00 2014/08/07 12:00:00 2014/08/07 03:15:07 UV 1.2.36.1.2001.1005.50 hpi-based-Prescription-Identifier Prescription Identifier scoped by an HPI-O Grahame Grieve masked Grahame Grieve NEHTA Brisbane Office Level 2, 10 Browning Street West End QLD 4101 Australia (07) 3023 8400 masked Contractor NEHTA NEHTA Brisbane Office Level 2, 10 Browning Street West End QLD 4101 Australia (07) 3023 8400 grahame@healthintersections.com.au http://nehta.gov.au Govt body Ext 4 Complete 1.2.36.1.2001.1005.50 2014/06/19 12:00:00 2014/08/07 12:00:00 2014/08/07 03:45:20 AU 1.2.36.1.2001.1005.51 hpi-based-dispense-identifier Dispense Record Identifier scoped by an HPI-O Grahame Grieve masked Grahame Grieve NEHTA Brisbane Office Level 2, 10 Browning Street West End QLD 4101 Australia (07) 3023 8400 masked Contractor NEHTA NEHTA Brisbane Office Level 2, 10 Browning Street West End QLD 4101 Australia (07) 3023 8400 grahame@healthintersections.com.au http://nehta.gov.au Govt body Ext 4 Complete 1.2.36.1.2001.1005.51 2014/06/19 12:00:00 2014/08/07 12:00:00 2014/08/07 03:46:24 AU 2.16.840.1.113883.17.3992 card-sw-nl Cardiology SW - NL Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2014/06/20 12:00:00 2014/11/20 12:00:00 2014/11/20 05:39:49 UV 2.16.840.1.113883.17.3993 card-sw-sj Cardiology SW - SJ Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2014/06/20 12:00:00 2014/11/20 12:00:00 2014/11/20 05:42:11 UV 2.16.840.1.113883.17.3994 palmer Tony Palmer MD Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2014/06/20 12:00:00 2014/11/20 12:00:00 2014/11/20 05:43:20 UV 2.16.840.1.113883.17.3995 campbell Matthew J Campbell, MD Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2014/06/20 12:00:00 2014/11/20 12:00:00 2014/11/20 05:46:06 UV 2.16.840.1.113883.17.3996 alimenti Alimenti Fam Practice Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2014/06/20 12:00:00 2014/11/20 12:00:00 2014/11/20 05:47:37 UV 2.16.840.1.113883.17.3997 cardII Cardiology II Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2014/06/20 12:00:00 2014/11/20 12:00:00 2014/11/20 05:48:24 UV 2.16.840.1.113883.3.1070.5934 mckesson-fusion-5934 mckesson-fusion-5934 Bao Generic_McKesson masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5934 2014/06/20 12:00:00 2014/11/20 12:00:00 2014/11/20 05:28:11 US 2.16.840.1.113883.17.3998 codoniXNotes OID for codoniXNotes Chi Wing Lee masked Andrew Muchmore Chi Wing Lee 781-721-6721 masked CodoniX Inc 11535 Springridge Road PO Box 59050 Potomac, MD 20859 (800) 495-7270 cwl@codonix.com http://www.codonix.com Vendor Int 17 Complete 2014/06/20 12:00:00 2014/08/07 12:00:00 2015/03/24 01:48:11 UV 2.16.840.1.113883.3.5386 mayowaycross Mayo Waycross OID Root Susy Wylie masked Camille York 1900 Tebeau Street Waycross, GA 31501 9122874178 masked IT Analyst Mayo Clinic Health System Waycross 1900 Tebeau Street Waycross, GA 31501 9122874178 york.camille@mayo.edu http://www.mayoclinichealthsystem.org Provider Int 3 Complete 2014/06/20 12:00:00 2014/08/07 12:00:00 2014/08/07 04:32:49 UV 1.3.6.1.4.1.32898.1.4.2.1002 al-im-gr-4069 SHMG Allergy and Immunology Michael Dobb masked Michael Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org/ Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.1002 2014/06/20 12:00:00 2014/08/07 12:00:00 2014/08/07 04:39:45 UV 2.16.840.1.113883.3.5387 bmeca Bis-Man Eyecare Associates Joel Neumiller masked Joel Neumiller OD 2717 Rock Island Place Bismarck, ND 58504 701-258-3402 masked OD Bis-Man Eyecare Associates 2717 Rock Island Place Bismarck, ND 58504 701-258-3402 bis-man.eyecare@qwestoffice.net Provider Int 3 Complete 2014/06/20 12:00:00 2014/08/07 12:00:00 2014/08/07 04:34:35 UV 1.3.6.1.4.1.32898.1.4.2.1003 anticoag-bradfrod SHMG Anticoagulation Clinic - 2902 Bradford Michael Dobb masked Michael Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org/ Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.1003 2014/06/20 12:00:00 2014/08/07 12:00:00 2014/08/07 04:41:51 UV 2.16.840.1.113883.3.5388 penndoc Penndoc Foot & Ankle Center LLC OID Root Kylee Lemke masked Vicki Miller 133 Mill Street Bradford, PA 16701-0040 814-362-0530 masked Office Manager Penndoc Foot & Ankle Center LLC 133 Mill Street Bradford, PA 16701-0040 814-362-0530 penndoc5@verizon.net Provider Int 3 Complete 2014/06/20 12:00:00 2014/08/07 12:00:00 2014/08/07 05:18:00 UV 2.16.840.1.113883.4.816 newtonMedCtr Newton Medical Center Mike Cottle masked Mike Cottle 600 Medical Dr Newton, KS 67114 316-804-6101 masked IS Director Newton Medical Center 600 Medical Center Dr. Newton, KS 67114 316-283-2700 isreg@newtonmed.com http://www.newtonmedicalcenter.com Provider Int 3 Complete 2014/06/20 12:00:00 2014/08/07 12:00:00 2014/08/07 04:44:45 UV 2.16.840.1.113883.3.5389 idcga Infectious Disease Consultants John Stellbauer masked Kyle Stellbauer 6916 McGinnis Ferry Rd Suite 100 Suwanee, GA 30024 770-757-6232 masked CIO Infectious Disease Consultants 6916 McGinnis Ferry Rd Suite 100 Suwanee, GA 30024 (770) 939-1601 contact@idcga.com http://www.idcga.com/ Provider Int 3 Complete 2014/06/20 12:00:00 2014/08/07 12:00:00 2014/08/07 05:20:36 UV 2.16.840.1.113883.3.5390 gordo Jonathan E Gordon OD PA Jonathan Gordon masked Amber Barrett 4320 W Broward Blvd suite 2 Plantation FL 33317 954-583-1311 masked owner Jonathan E Gordon OD PA 4320 W Broward Blvd suite 2 Plantation FL 33317 954-583-1311 info@gordoneyecare.com http://www.gordoneyecare.com Provider Int 3 Complete 2014/06/20 12:00:00 2014/08/07 12:00:00 2014/08/07 05:23:51 UV 2.16.840.1.113883.3.5391 rghgenhosp Rappahannock General Hospital David Glosser masked David Glosser P.O.Box 1449 Kilmarnock, VA 22482 804-435-8597 masked IS Director Rappahannock General Hospital P.O.Box 1449 Kilmarnock, VA 22482 804-435-8000 dglosser@rgh-hospital.com https://connectva.rappahannockhealth.com Provider Int 3 Complete 2014/06/20 12:00:00 2014/08/07 12:00:00 2014/08/07 05:28:37 UV 2.16.840.1.113883.3.5392 nnp Neuro Network Partners OID Root Kylee Lemke masked Ana Bermudez 3100 SW 62nd Ave Miami, FL 33165 (786)624-4483 masked Office Manager Neuro Network Partners 3100 SW 62nd Ave Miami, FL 33165 (786)624-4483 abermudez@nnpmd.com Provider Int 3 Complete 2014/06/20 12:00:00 2014/08/07 12:00:00 2014/08/07 05:29:51 UV 2.16.840.1.113883.3.5393 encmg Eastern North Carolina Medical Group OID Root Kylee Lemke masked Denise Bailey 1041 Noell Ln Ste 105 Rocky Mount, NC 27804-2055 2524512700 masked Office Manager Eastern North Carolina Medical Group 1041 Noell Ln Ste 105 Rocky Mount, NC 27804-2055 2524512700 dhbailey@encmg.com Provider Int 3 Complete 2014/06/20 12:00:00 2014/08/07 12:00:00 2014/08/07 05:31:11 UV 2.16.840.1.113883.3.3413.5 ambulatory Hurley Ambulatory Joseph Grathoff masked Joseph Grathoff 1 Hurley Plaza Flint, MI 48503 810-262-6792 masked Senior Technical Consultant Hurley Medical Center 1 Hurley Plaza Flint, MI 48503 810-262-9000 jgratho1@hurleymc.com http://www.hurleymc.com Provider 2.16.840.1.113883.3.3413 Ext 17 Complete 2.16.840.1.113883.3.3413.5 2014/06/23 12:00:00 2014/11/20 12:00:00 2014/11/20 05:52:14 UV 2.16.840.1.113883.3.5394 modelta Missouri Delta Facility OID Randel Fuller masked Randel Fuller 623 Silver Springs Rd. Ste. 100 Cape Girardeau, MO 63701 573-331-6516 masked Interface/Integration Engineer Missouri Delta Medical Center 1008 N. Main Street Sikeston, MO 63801 573-471-1600 ggaines@missouridelta.com http://www.missouridelta.com Provider Int 3 Complete 2014/06/23 12:00:00 2014/08/07 12:00:00 2014/08/07 05:36:48 UV 2.16.840.1.113883.3.5395 plattehealth Platte County Health Department OID Root Kylee Lemke masked Angela Smith 1201 East St, Parkville, MO 64152 (816) 587-5998 masked Office Manager Platte County Health Department 1201 East St, Parkville, MO 64152 (816) 587-5998 angela.smith@plattehealth.com http://www.plattecountyhealthdept.com/ Provider Int 3 Complete 2014/06/23 12:00:00 2014/08/07 12:00:00 2014/08/07 05:37:59 UV 2.16.840.1.113883.3.1164.6 mmcneph Munson Medical Center - Nephrology Consultants Jim Bailey masked Randi Terry Randi Terry Munson Healthcare 1105 6th Street Traverse City, MI 49684 231-935-5199 masked Director, IS Munson Healthcare Munson Healthcare 1105 6th Street Traverse City, MI 49684 rterry@mhc.net http://www.munsonhealthcare.org Provider 2.16.840.1.113883.3.1164 Ext 17 Complete 2.16.840.1.113883.3.1164.6 2014/06/23 12:00:00 2014/11/20 12:00:00 2014/11/20 05:56:18 UV 2.16.840.1.113883.3.5396 nvhc North Valley Health Center Mark Sandvick masked Joshua Benson 218-745-4211 x3271 masked IT Manager North Valley Health Center 109 S. Minnesota St. Warren, MN 56762 218-745-4211 josh.benson@northvalleyhealth.org http://www.northvalleyhealth.org/ Provider Int 3 Complete 2014/06/23 12:00:00 2014/08/07 12:00:00 2014/08/07 05:40:12 UV 2.16.840.1.113883.3.5397 garrity garrityeyecare John Garrity masked John Garrity 632 Vine St., Ste 301 Cincinnati, OH 45202 513-621-0979 masked Partner Drs. Fagedes and Garrity Optometrists 632 Vine St., Ste 301 Cincinnati, OH 45202 513-621-0979 jgarrity@fuse.net Provider Int 3 Complete 2014/06/24 12:00:00 2014/08/07 12:00:00 2014/08/07 05:41:35 UV 2.16.840.1.113883.3.5398 dan-hosp Danbury Hospital Jeffrey Purslow masked Western CT Health Network 24 Hospital Ave Danbury CT 06810 203 739-6411 masked Manager, Enabling Technologies Danbury Hospital 24 Hospital Ave Danbury CT 06801 203 739-6411 jeff.purslow@wchn.org Provider Int 3 Complete 2014/06/24 12:00:00 2014/08/07 12:00:00 2014/08/07 05:43:30 UV 2.16.840.1.113883.3.5399 ohiovalleyhospital Ohio Valley Hospital Elaine Polinak masked Elaine Polinak 25 Heckel Road McKees Rocks, PA 15137 412-777-6515 masked CIO Ohio Valley Hospital 25 Heckel Road McKees Rocks, PA 15136 412-777-6515 epolinak@ohiovalleyhospital.org https://ohiovalleyhospital.org Provider Int 3 Complete 2014/06/24 12:00:00 2014/08/07 12:00:00 2014/08/07 05:46:43 UV 2.16.840.1.113883.9.175 rmc-oid Rhea Medical Center Crystal Cornelius masked Crystal Cornelius 9400 Rhea County HWY Dayton, TN 37321 423-775-8584 masked Laboratory Director Rhea Medical Center 9400 Rhea County HWY Dayton, TN 37321 423-775-8572 blytle@rheamedical.org Provider Int 3 Complete 2014/06/24 12:00:00 2014/08/07 12:00:00 2014/08/07 05:50:36 UV 2.16.840.1.113883.3.5400 uhm University Hospital McDuffie Lisa Sanderlin masked Lisa Sanderlin 521 West Hill Street Thomson, GA 30824 706-597-5436 masked Director IT/CIO University Hospital McDuffie 521 West Hill Street Thomson, GA 30824 706-595-1411 lisasanderlin@uh.org http://www.universityhealth.org/mcduffie Provider Int 3 Complete 2014/06/24 12:00:00 2014/08/07 12:00:00 2014/08/07 05:53:15 UV 2.16.840.1.113883.3.5401 midatlanticeye Mid Atlantic Eye Center OID Root Kylee Lemke masked Eileen Cmielewski 70 East Front St Red Bank, NJ 07701-1851 732-741-0858 masked Office Manager Mid Atlantic Eye Center 70 East Front St Red Bank, NJ 07701-1851 732-741-0858 midatlanticeye@yahoo.com Provider Int 3 Complete 2014/06/24 12:00:00 2014/08/07 12:00:00 2014/08/07 05:54:16 UV 2.16.840.1.113883.3.5402 mghoid MARIONGENERALHOSPIALOID David Carmichael masked David Carmichael 441 N Wabash Avenue Marion, IN 46952 7656606775 masked Interface Analyst Marion General Hospital 441 N Wabash Avenue Marion, IN 46952 7656606775 david.carmichael@mgh.net http://www.mgh.net Provider Int 3 Complete 2014/06/24 12:00:00 2014/08/07 12:00:00 2014/08/07 05:55:39 UV 2.16.840.1.113883.3.5403 remediRx01 RemediRx01 Sean McCarthy masked Sean McCarthy 443-730-8928 masked Sean McCarthy One Olympic Place Suite 600 Towson, MD 21204 443-730-8928 sean.mccarthy@remedirx.com Provider Int 3 Complete 2014/06/24 12:00:00 2014/08/07 12:00:00 2014/08/07 05:58:36 UV 2.16.840.1.113883.3.5404 s-ea Suzanne E. Anderson Suzanne Anderson masked Suzanne E. Anderson 210-682-3773 masked Optometrist Suzanne E. Anderson 6301 NW Loop 410-SEARS San Antonio, Tx 78238 210-682-3773 nwvisioncare@sbcglobal.net Provider Int 3 Complete 2014/06/24 12:00:00 2014/08/07 12:00:00 2014/08/07 06:00:30 UV 2.16.840.1.113883.3.5405 lBeals1060 BEALSOID Lori Beals masked Lori Beals 6144871022 masked Vision One Optical, LLC 6144871022 visiononeoptical@gmail.com Provider Int 3 Complete 2014/06/24 12:00:00 2014/08/10 12:00:00 2014/08/10 02:25:10 UV 2.16.840.1.113883.3.2402.200.256 physicians-computer-company-clients-lp Physician's Computer Company (PCC) Clients Lebanon Pediatrics, LLC Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.256 2014/06/24 12:00:00 2014/11/20 12:00:00 2014/11/20 06:00:14 UV 2.16.840.1.113883.3.3413.4 hurleymc HURLEY MEDICAL CENTER Joseph Grathoff masked Joseph Grathoff 1 Hurley Plaza Flint, MI 48503 810-262-6792 masked Senior Technical Consultant Hurley Medical Center 1 Hurley Plaza Flint, MI 48503 810-262-9000 jgratho1@hurleymc.com http://www.hurleymc.com Provider 2.16.840.1.113883.3.3413 Ext 17 Complete 2.16.840.1.113883.3.3413.4 2014/06/24 12:00:00 2014/11/20 12:00:00 2014/11/20 06:02:23 UV 2.16.840.1.113883.3.5406 bacon-county-hospital Bacon County Hospital Neil O'Steen masked Neil O'Steen Bacon County Hospital 302 S. Wayne St. Alma, GA 31510 912-632-8961 masked IT Director Bacon County Hospital Bacon County Hospital 302 S. Wayne St. Alma, GA 31510 912-632-8961 nosteen@bchsi.org http://www.baconcountyhospital.com Provider Int 3 Complete 2014/06/24 12:00:00 2014/08/10 12:00:00 2014/08/10 02:26:39 UV 1.3.6.1.4.1.32898.1.4.2.1004 anticoag-wp-6105 SHMG Anticoagulation Clinic - Wyoming Michael Dobb masked Michael Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org/ Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.1004 2014/06/24 12:00:00 2014/08/10 12:00:00 2014/08/10 02:33:13 UV 2.16.840.1.113883.3.5407 heatherjozwiak Heather L. Jozwiak OD Heather Jozwiak masked Heather Jozwiak 2009 Roosevelt Road Suite D Valparaiso, IN 46383 2194625501 masked Owner Heather L. Jozwiak OD PC 2009 Roosevelt Road Suite D Valparaiso, IN 46383 2194625501 hthr1577@sbcglobal.net http://www.heatherljozwiak.com Provider Int 3 Complete 2014/06/24 12:00:00 2014/08/10 12:00:00 2014/08/10 02:36:15 UV 2.16.840.1.113883.3.5408 irm-uzh Institut fuer Rechtsmedizin der Universitaet Zuerich Lorenz Rebmann masked Lorenz Rebmann Universit&#228;t Z&#252;rich Institut f&#252;r Rechtsmedizin Winterthurerstrasse 190/52 8057 Z&#252;rich +41446355713 masked Universit&#228;t Z&#252;rich lorenz.rebmann@irm.uzh.ch Academic Int 3 Complete 2014/06/25 12:00:00 2014/08/10 12:00:00 2014/08/10 02:40:13 UV 2.16.840.1.113883.3.5409 deheartvascular Delaware Heart and Vascular OID Root Michael Elbs masked Terri Rosetta 200 Banning Street Suite 340 Dover, DE 19904 302-734-1414 x12 masked Office Manager Delaware Heart and Vascular PA 200 Banning Street Suite 340 Dover, DE 19904 302-734-1414 trosetta_dhv@verizon.net http://www.deheartandvascular.com/ Provider Int 3 Complete 2014/06/25 12:00:00 2014/08/10 12:00:00 2014/08/10 02:41:55 UV 2.16.840.1.113883.3.3413.6 hurley-urgent Hurley Urgent Care Joseph Grathoff masked Joseph Grathoff 1 Hurley Plaza Flint, MI 48503 810-262-6792 masked Senior Technical Consultant Hurley Medical Center 1 Hurley Plaza Flint, MI 48503 810-262-6792 jgratho1@hurleymc.com http://www.hurleymc.com Provider 2.16.840.1.113883.3.3413 Ext 17 Complete 2.16.840.1.113883.3.3413.6 2014/06/25 12:00:00 2014/11/20 12:00:00 2014/11/20 06:05:19 UV 2.16.840.1.113883.3.3413.7 gb-urgent Grand Blanc Urgent Care Joseph Grathoff masked Joseph Grathoff 1 Hurley Plaza Flint, MI 48503 810-262-6792 masked Senior Technical Consultant Hurley Medical Center 1 Hurley Plaza Flint, MI 48503 810-262-6792 jgratho1@hurleymc.com http://www.hurleymc.com Provider 2.16.840.1.113883.3.3413 Ext 17 Complete 2.16.840.1.113883.3.3413.7 2014/06/25 12:00:00 2014/11/20 12:00:00 2014/11/20 06:07:39 UV 2.16.840.1.113883.3.5410 gaston Lowell H Gilbert OD PC Lowell Gilbert masked Lowell H Gilbert OD 508 Belfield Dr. Emporia VA 23847 434-634-3400 masked owner Lowell H Gilbert 508 Belfield Dr Emporia VA 23847 434-634-3400 gilbertlh@juno.com Provider Int 3 Complete 2014/06/25 12:00:00 2014/08/10 12:00:00 2014/08/10 02:46:09 UV 2.16.840.1.113883.3.5411 eyeexpress EYE EXPRESS INC Alan Vilinsky masked Dr. Alan Vilinsky 718-681-9744 masked Office Manager Dr. Alan Vilinsky 210 East 161st Street, Bronx, NY 10451 718-681-9744 eyeexpressoptical@yahoo.com Provider Int 3 Complete 2014/06/25 12:00:00 2014/08/10 12:00:00 2014/08/10 02:49:59 UV 2.16.840.1.113883.3.5412 spmh Peterson Regional Medical Center Richard Cruthirds masked Richard Cruthirds 551 Hill Country Dr. Kerrville, TX 78028 830-258-7100 masked CIO Peterson Regional Medical Center 551 Hill Country Dr. Kerrville, TX 78028 830-896-4200 helpis@petersonrmc.com http://www.petersonrmc.com Provider Int 3 Complete 2014/06/25 12:00:00 2014/08/10 12:00:00 2014/08/10 02:51:14 UV 2.16.840.1.113883.3.5413 palladia Palladia Inc Osiris Rosario masked Osiris Rosario Palladia, Inc. 2006 Madison Avenue New York, NY 10035 (212) 979-8800 masked AVP Technology & Information Systems Palladia, Inc. 2006 Madison Avenue New York, NY 10035 (212) 979-8800 osiris.rosario@palladiainc.org http://www.palladiainc.org Provider Int 3 Complete 2014/06/26 12:00:00 2014/08/10 12:00:00 2014/08/10 02:52:40 UV 1.3.6.1.4.1.32898.1.4.2.1005 arthsp-gh-1445 SHMG Arthritis Specialists - Grand Haven Michael Dobb masked Michael Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org/ Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.1005 2014/06/26 12:00:00 2014/08/10 12:00:00 2014/08/10 03:00:45 UV 1.3.6.1.4.1.32898.1.4.2.1006 arthsp-gr-1900 SHMG Arthritis Specialists - 1900 Wealthy Michael Dobb masked Michael Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org/ Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.1006 2014/06/26 12:00:00 2014/08/10 12:00:00 2014/08/10 03:02:37 UV 1.3.6.1.4.1.32898.1.4.2.1007 arthsp-hol-890 SHMG Arthritis Specialists - Holland Michael Dobb masked Michael Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org/ Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.1007 2014/06/26 12:00:00 2014/08/10 12:00:00 2014/08/10 03:06:10 UV 1.3.6.1.4.1.32898.1.4.2.1008 aud-hc-gh-1445 SHMG Holland Hearing Professionals - Audio Michael Dobb masked Michael Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org/ Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.1008 2014/06/26 12:00:00 2014/08/10 12:00:00 2014/08/10 03:08:20 UV 2.16.840.1.113883.3.5414 selmamed Selma Medical Associates, Inc. Holly Sharp masked Holly Sharp 5405426105 masked Selma Medical Associates, Inc. 104 Selma Drive Winchester, VA 22601 5406782800 support@selmamed.com http://www.selmamed.com Provider Int 3 Complete 2014/06/26 12:00:00 2014/08/10 12:00:00 2014/08/10 02:54:21 UV 1.3.6.1.4.1.32898.1.4.2.1009 aud-hc-hdv-3152 SHMG Hearing Center - Grand Haven Michael Dobb masked Michael Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org/ Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.1009 2014/06/26 12:00:00 2014/08/10 12:00:00 2014/08/10 03:12:10 UV 2.16.840.1.113883.3.5415 citrusclinics Citrus Memorial Health System OID Root Susy Wylie masked Terri Davis 502 W Highland Blvd, Inverness, Florida 34452 3525606145 masked Director of Surgical Services Citrus Memorial Health System 502 W Highland Blvd, Inverness, Florida 34452 3525606145 tdavis@citrusmh.org https://www.citrusmh.com Provider Int 3 Complete 2014/06/26 12:00:00 2014/08/10 12:00:00 2014/08/10 03:19:59 UV 2.16.840.1.113883.3.5416 mdch Michigan Department of Community Health Jason Werner masked Jason Werner 517-241-0464 masked Manager - EHR Incentive Program Michigan Department of Community Health 400 S. Pine St. Lansing, MI 48909 517-241-0464 wernerj@michigan.gov Govt body Int 3 Complete 2014/06/26 12:00:00 2014/08/10 12:00:00 2014/08/10 03:23:47 UV 2.16.840.1.113883.3.5417 attmc Aydin Turan MD, Turan Medical Center Aydin Turan masked Nedret Turan 2600 Union Lake Road Suite 140 Commerce Township MI. 48382 248 363 6200 masked Office Manager Aydin Turan MD 2600 Union Lake Road Suite 140 Commerce Township MI 48382 248 363 6200 turanmedicalcenter@hotmail.com Provider Int 3 Complete 2014/06/26 12:00:00 2014/08/10 12:00:00 2014/08/10 03:26:28 UV 2.16.840.1.113883.3.5418 schospital Scotland County Hospital Robert Miller masked Robert Miller 450 E Sigler Ave Memphis, MO 63555 660-465-8511 Ext 1803 masked IT Specialist Scotland County Hospital 450 E Sigler Ave Memphis, MO 63555 660-465-8511 millerr@scmhnet.com http://scotlandcountyhospital.com/ Provider 2.16.840.1.113883.3.5418 Int 3 Complete 2014/06/26 12:00:00 2014/08/10 12:00:00 2025/02/06 09:37:58 US 1.3.6.1.4.1.32898.1.4.2.1010 aud-hc-hol-588 SHMG Hearing Center - 588 Holland Michael Dobb masked Michael Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org/ Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.1010 2014/06/26 12:00:00 2014/08/10 12:00:00 2014/08/10 03:15:40 UV 1.3.6.1.4.1.32898.1.4.2.1011 bcc-gr-4069 SHMG Advanced Breast Care Center of Michigan Michael Dobb masked Michael Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org/ Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.1011 2014/06/26 12:00:00 2014/08/10 12:00:00 2014/08/10 03:31:11 UV 1.3.6.1.4.1.32898.1.4.2.1012 breast-care-145 SHMG Breast Care and Surgical Oncology Michael Dobb masked Michael Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org/ Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.1012 2014/06/26 12:00:00 2014/08/10 12:00:00 2014/08/10 03:32:53 UV 1.3.6.1.4.1.32898.1.4.2.1013 cancer-genetics-145 SHHG Cancer Genetics Clinic (INCC) Michael Dobb masked Michael Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org/ Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.1013 2014/06/26 12:00:00 2014/08/10 12:00:00 2014/08/10 03:36:10 UV 2.16.840.1.113883.17.3999 pleasant-valley-hospital Pleasant Valley Hospital Paula Brooker masked Paula Brooker 2520 Valley Drive Point Pleasant, WV 25550 304-675-4340 masked Director of HIM/IS Pleasant Valley Hospital 2520 Valley Drive Point Pleasant, WV 25550 304-675-4340 pbrooker@pvalley.org http://www.pvalley.org Provider Int 3 Complete 2014/06/26 12:00:00 2014/08/10 12:00:00 2014/08/10 03:40:28 UV 2.16.840.1.113883.3.5419 can-CO-hosp1 Candler County Hospital Alicia Jones masked Alicia Jones P.O. Box 597 Metter, GA 30439 912-685-1755 masked Director of Care Continuum Candler County Hospital P.O.Box 597 Metter, GA 30439 912-685-5741 ajones@candlercountyhospital.com http://candlercohospital.com Provider Int 3 Complete 2014/06/26 12:00:00 2014/08/10 12:00:00 2014/08/10 03:42:25 UV 2.16.840.1.113883.3.5420 vachondpm Nicholas S. Vachon, DPM OID Root Kylee Lemke masked Nick Vachon 318 East Main Street Ellsworth, ME 04605-1510 2076672523 masked Owner/ DPM Nick Vachon 318 East Main Street Ellsworth, ME 04605-1510 2076672523 nikvachon@gmail.com Provider Int 3 Complete 2014/06/26 12:00:00 2014/08/10 12:00:00 2014/08/10 03:44:26 UV 2.16.840.1.113883.3.5421 nrmc-hospital-org Natchitoches Regional Medical Center Nikki London masked Nikki London 501 Keyser Avenue Natchitoches,LA 71457 318-214-4507 masked IT Manager Natchitoches Regional Medical Center 501 Keyser Avenue Natchitoches, LA 71457 318-214-4200 nikki.london@nrmchospital.org Provider Int 3 Complete 2014/06/26 12:00:00 2014/08/10 12:00:00 2014/08/10 03:46:23 UV 2.16.840.1.113883.3.1070.5704 mckesson-fusion-5704 mckesson-fusion-5704 Anna Durbin masked Fusion Enrollment 8775074541 masked Fusion Enrollment anna.durbin@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5704 2014/06/26 12:00:00 2014/11/20 12:00:00 2014/11/20 06:09:51 US 2.16.840.1.113883.3.5422 customeyes Liberty Eyecare Adam Wood masked Dr. Adam J Wood 513-759-5100 masked Optometrist Liberty Eyecare 7604 Cox Lane West Chester, Ohio 45069 513-759-5100 ajwood2020@gmail.com Provider Int 3 Complete 2014/06/26 12:00:00 2014/08/10 12:00:00 2014/08/10 03:50:42 UV 2.16.840.1.113883.3.5423 ohs Oakwood Health System Jeremiah Porter masked Ed Mummert 3137244586 masked Manager, Information Technology Oakwood Health System 15500 Lundy Parkway Dearborn, MI 48126 3137244586 Ed.Mummert@oakwood.org http://www.oakwood.org/ Provider Int 3 Complete 2014/06/27 12:00:00 2014/08/10 12:00:00 2014/08/25 10:27:05 UV 2.16.840.1.113883.3.5424 statimaging STAT Imaging Solutions Michael Gibbons masked Michael Gibbons 4439941394 masked CIO STAT Imaging Solutions N2273 Butternut Rd Waupaca, WI 54981 7124357057 info@statisllc.com http://www.statimagingsolutions.com Vendor Int 3 Complete 2014/06/27 12:00:00 2014/08/10 12:00:00 2014/08/10 03:54:59 UV 2.16.840.1.113883.3.5425 sfvc Staarmann Family Vision Center, Inc. Tim Staarmann masked M Timothy Staarmann 2834 Mack Road Fairfield, Ohio 45014 513-874-1718 masked Optometrist Staarmann Family Vision Center, Inc. 2834 Mack Road Fairfield, Ohio 45014 513-874-1718 drstaarmann@zoomtown.com http://drstaarmann.com Provider Int 3 Complete 2014/06/27 12:00:00 2014/08/10 12:00:00 2014/08/10 03:55:46 UV 2.16.840.1.113883.3.5426 ovmc2000-eoff Ohio Valley Medical Center Mary Grendel masked Mary J Grendel Ohio Valley Medical Center 2000 Eoff Street Wheeling WV 26003 13042348132 masked Application Systems Manager Ohio Valley Medical Center Ohio Valley Medical Center 2000 Eoff Street Wheeling WV 26003 13042348037 tmccroskey@ovrh.org https://wvhin.hieadvantage.com:8080/WVHIN/Hisp/DirectXdrService/DirectXdrService/ Provider Int 3 Complete 2014/06/27 12:00:00 2014/08/10 12:00:00 2014/08/10 03:57:53 UV 2.16.840.1.113883.3.5427 bchcc Butler County Health Care Center Cynthia Neesen masked Donald T. Naiberk Donald T. Naiberk Butler County Health Care Center 372 S 9th Street David City, NE 68632 402-367-1200 masked CEO Butler County Health Care Center 402-367-1200 don@bchccnet.org Provider Int 3 Complete 2014/06/27 12:00:00 2014/08/10 12:00:00 2014/08/10 03:58:57 UV 2.16.840.1.113883.3.5428 mnmcfk mnmcfk OID Root June Herman masked June Herman 530 Old Country Rd Ste 1B Westbury, NY 11590-4500 (516) 333-7272 masked Office Manager Mid-Nassau Medical Care for Kidz LLC 530 Old Country Rd Ste 1B Westbury, NY 11590-4500 (516) 333-7272 midnassaupeds@verizon.net Provider Int 3 Complete 2014/06/27 12:00:00 2014/08/10 12:00:00 2014/08/10 04:00:40 UV 2.16.840.1.113883.3.5429 ginc GraSee Inc. DBA Pearle Vision Christine McKimmie masked Christine McKimmie 23191 Three Notch Rd California, MD 20619 3018636080 masked President GraSee Inc. DBA Pearle Vision 23191 Three Notch Rd. California, MD 20619 301-863-6080 graseeinc@gmail.com Provider Int 3 Complete 2014/06/27 12:00:00 2014/08/10 12:00:00 2014/08/10 04:02:06 UV 2.16.840.1.113883.3.5430 firstcoastsurgicalassociates First Coast Surgical Associates OID Root Susy Wylie masked Myriam Barakat 6067 Kennerly Road Jacksonville,Florida 32216 904-731-3131 masked Office Manager Administrator First Coast Surgical Associates 6067 Kennerly Road Jacksonville,Florida 32216 904-731-3131 mbarakat@firstcoastsurgical.com https://firstcoastsurgical.com Provider Int 3 Complete 2014/06/27 12:00:00 2014/08/10 12:00:00 2014/08/10 04:04:35 UV 2.16.840.1.113883.3.5431 eorh0123-EORH East Ohio Regional Hospital Mary Grendel masked Mary J Grendel East Ohio Regional Hospital North 4th Street Martins Ferry Ohio 43935 1304-234-8132 masked Application System Manager East Ohio Regional Hospital North 4th Street Martins Ferry Ohio 43935 1304-234-8037 tmccroskey@ovrh.org https://wvhin.hieadvantage.com:8080/WVHIN/Hisp/DirectXdrService/DirectXdrService/ Provider Int 3 Complete 2014/06/27 12:00:00 2014/08/10 12:00:00 2014/08/10 04:32:54 UV 2.16.840.1.113883.3.5432 ovmg2014-OVMG Ohio Valley Medical Group Mary Grendel masked Mary J Grendel Ohio Valley Medical Group 2000 Eoff Street Wheeling WV 26003 1304-234-8132 masked Application Systems Manager Ohio Valley Medical Group Ohio Valley Medical Group 2000 Eoff Street Wheeling WV 26003 1304-234-8037 tmccroskey@ovrh.org https://wvhin.hieadvantage.com:8080/WVHIN/Hisp/DirectXdrService/DirectXdrService/ Provider Int 3 Complete 2014/06/27 12:00:00 2014/08/10 12:00:00 2014/08/10 04:35:07 UV 2.16.840.1.113883.3.5433 hillcrest2014-HILLCREST Hillcrest Psych Mary Grendel masked Mary J Grendel Hillcrest 2000 Eoff Street Wheeling Wv 26003 1304-234-8132 masked Application Systems Manager Hillcrest Psych 2000 Eoff Street Wheeling, WY 2600 1304-234-8037 tmccroskey@ovrh.org https://wvhin.hieadvantage.com:8080/WVHIN/Hisp/DirectXdrService/DirectXdrService/ Provider Int 3 Complete 2014/06/27 12:00:00 2014/08/10 12:00:00 2014/08/10 04:38:27 UV 2.16.840.1.113883.3.5434 etzel2014-ETZEL Etzel Office Mary Grendel masked Mary J Grendel Dr.'s Andrew & Jamie Etzel 2115 CHAPLINE STREET WHEELING WV 26003 1304-234-8132 masked Application Systems Manager Dr.'s Andrew & Jamie Etzel 2115 CHAPLINE STREET WHEELING WV 26003 1304-234-8037 tmccroskey@ovrh.org https://wvhin.hieadvantage.com:8080/WVHIN/Hisp/DirectXdrService/DirectXdrService/ Provider Int 3 Complete 2014/06/27 12:00:00 2014/08/10 12:00:00 2014/08/10 04:41:19 UV 2.16.840.1.113883.3.5435 mendotahospital Mendota Community Hospital Shawn Soliman masked Shawn 1401 E12th Street 815-993-6553 masked IT Manager Mendota Community Hospital 1401 E12th St Mendota IL, 61342 815-539-7461 ssoliman@mendotahospital.org Provider Int 3 Complete 2014/06/27 12:00:00 2014/08/10 12:00:00 2014/08/10 04:44:40 UV 2.16.840.1.113883.3.5436 armcga Athens Regional Medical Center Drew Swartz masked Drew Swartz 1199 Prince Ave Athens GA 30606 706.475.5275 masked Integration Analyst Athens Regional Medical Center 1199 Prince Ave Athens GA 30606 706.475.7000 contactus@armc.org Provider Int 3 3 Complete 2014/06/27 12:00:00 2014/08/10 12:00:00 2014/08/10 04:46:55 UV 2.16.840.1.113883.4.817 lho Loretto Hospital Osborne Obeng masked Osborne Obeng 645 South Central Avenue Chicago Il 60644 773-854-5324 masked Director of Application Loretto Hospital 645 South Central Avenue Chicago Il 60644 773-854-5324 osborne.obeng@lorettohospital.org http://www.lorettohospital.org Provider Int 3 Complete 2014/06/27 12:00:00 2014/08/10 12:00:00 2014/08/10 04:52:16 UV 2.16.840.1.113883.3.5437 ocneuro ocneuro OID Root Alene Lewis masked Alene Lewis 40 Bey Lea Rd Bldg C Ste 103 Tom's River, NJ 08753 732-367-8280 masked Office Manager Neurological Associates of Ocean County, PA 40 Bey Lea Rd Bldg C Ste 103 Tom's River, NJ 08753 7323678280 ocneuro2@aol.com Provider Int 3 Complete 2014/06/27 12:00:00 2014/08/10 12:00:00 2014/08/10 04:55:18 UV 2.16.840.1.113883.3.5438 blackwell blackwell OID Root Melinda Robin masked Melinda Robin 506 Groton Rd Westford, MA 01886 (978) 692-1222 masked Blackwell Family Medicine 506 Groton Rd Westford, MA 01886 (978) 692-1222 mraboin@blackwellmed.com Provider Int 3 Complete 2014/06/27 12:00:00 2014/08/10 12:00:00 2014/08/10 05:02:41 UV 2.16.840.1.113883.3.5440 vigil vigil OID Root Susan Vigil masked Susan Vigil 7974 E Haven Ave Ste 210 Rancho Cucamonga, CA 91730 (909) 941-0661 masked Carlos Vigil, DO 7974 E Haven Ave Ste 210 Rancho Cucamonga, CA 91730 (909) 941-0661 crvigildo@yahoo.com Provider Int 3 Complete 2014/06/27 12:00:00 2014/08/10 12:00:00 2014/08/10 05:10:19 UV 2.16.840.1.113883.3.5441 hemelt hemelt OID Root Gordon Nixon masked Gordon Nixon 3611 South Reed Road Suite 211 Kokomo, IN 46902 Nixon masked Hemelt Neurology 3611 South Reed Road Suite 211 Kokomo, IN 46902 7654538590 nodrognoxin@aol.com Provider Int 3 Complete 2014/06/27 12:00:00 2014/08/10 12:00:00 2014/08/10 06:00:30 UV 2.16.840.1.113883.3.5442 aricrobertson aricrobertson Aric Robertson masked Aric Robertson 1321 n columbia center blvd ste 419 Kennewick, WA 99336 5097353022 masked Aric Robertson 1321 n columbia center blvd ste 419 Kennewick, WA 99336 5097353022 aricdrobertson@yahoo.com Provider Int 3 Complete 2014/06/27 12:00:00 2014/08/10 12:00:00 2014/08/10 06:11:46 UV 2.16.840.1.113883.3.5443 corhio Colorado Regional Health Information Organization (CORHIO) Myriah Vandre masked Myriah Vandre 2000 S. Colorado Blvd. Tower 1, Ste. 12000 Denver, CO 80222 2901 N. Central Ave., Ste. 1100 Phoenix, AZ 85012 844-279-7120 masked VP, Integration Contexture (formerly Colorado Regional Health Information Organization) 2000 S. Colorado Blvd. Tower 1, Ste. 12000 Denver, CO 80222 2901 N. Central Ave., Ste. 1100 Phoenix, AZ 85012 844-279-7120 myriah.vandre@contexture.org https://contexture.org/ Exchange Int 3 Complete 2014/06/27 12:00:00 2014/08/10 12:00:00 2024/02/12 01:57:20 UV 2.16.840.1.113883.3.5444 glen Glendora Community Hospital Jeffrey Cox masked Jennifer Fong Jennifer Fong 150 W. Route 66 Glendora, CA 91740 626-852-5000 masked Clinical Systems Analyst Glendora Community Hospital 150 W. Route 66 Glendora, CA 91740 626-852-5000 help@primehealthcare.com http://www.evhmc.com Provider Int 3 3 Complete 2014/06/28 12:00:00 2014/08/10 12:00:00 2014/08/10 06:26:57 UV 2.16.840.1.113883.3.5445 sehealthripcounty Southeast Health of Ripley County Sean Forgatch masked Sean Forgatch 623 S Silver Springs Rd 5733316800 masked SEHealth 1701 Lacey Street Cape Girardeau, MO 63701 (573) 334-4822 sforgatch@sehealth.org http://www.sehealth.org/ Provider Int 3 Complete 2014/06/30 12:00:00 2014/08/10 12:00:00 2014/08/10 06:29:09 UV 2.16.840.1.113883.3.5446 scmc Surgeons Choice Medical Center Amelia Jones masked Tracie Bastien 22401 Foster Winter Dr. Southfield MI 48075 248-423-5772 masked EMR Administrator Surgeons Choice Medical Center 22401 Foster Winter Dr. Southfield MI 49075 248-423-5100 tbastien@surgeonschoice.com https://surgeonschoice.com/ Provider 2.16.840.1.113883.3.5446 Int 3 Complete 2014/06/30 12:00:00 2014/08/10 12:00:00 2024/04/12 09:07:44 UV 2.16.840.1.113883.3.5447 dvpasupuletimd dvpasupuletimd OID Root Bonnie Pasupuleti masked Bonnie Pasupuleti 2370 S. Linden Flint MI, 48532 (810)-230-7770 masked D.V. Pasupuleti, MD 2370 S. Linden Flint MI, 48532 (810) 230-7770 bhanu.pasupuleti4@gmail.com Provider Int 3 Complete 2014/06/30 12:00:00 2014/08/10 12:00:00 2014/08/10 06:35:01 UV 2.16.840.1.113883.3.5448 pvecc ProVision Eye Care Centers, LLC Marlene Cruz-Govin masked Marlene Cruz-Govn 16359 Miramar Parkway Miramar, Florida 33027 9545179056 masked Managing Member ProVision Eye Care Centers, LLC 16359 Miramar Parkway Miramar, Florida 33027 9545179041 pvecc@yahoo.com http://www.provisioneyecare.com Provider Int 3 Complete 2014/06/30 12:00:00 2014/08/10 12:00:00 2014/08/10 06:36:12 UV 2.16.840.1.113883.3.5449 habmed Habersham Medical Center Austin Lovell masked Miriam Strong 541 Historic Hwy 441 N. Demorest Ga 30535 706-754-3113 x1267 masked IT Clinical Analyst Habersham Medical Center 541 Historic Hwy 441 N. Demorest Ga 30535 7067543113 miriam.strong@hcmcmed.org Provider 2.16.840.1.113883.3.5449 Int 3 Complete 2014/06/30 12:00:00 2014/08/10 12:00:00 2017/12/27 12:35:59 UV 2.16.840.1.113883.3.5450 thcckc Turner House Children's Clinic OID Root Jacob Jordan masked Erin Solis 21 N 12th St, Suite 300 Kansas City, KS 66102 9133422552 ext 102 masked Office Manager Turner House Children's Clinic 21 N 12th St, Suite 300 Kansas City, KS 66102 9133422552 esolis@thcckc.org http://thcckc.org/ Provider Int 3 Complete 2014/07/01 12:00:00 2014/08/10 12:00:00 2014/08/10 06:40:29 UV 2.16.840.1.113883.3.5451 ha-SYND-SURV-MU2 OID for Syndromic Surveillance with MDPH Steve Simons masked Steve Simons HealthAlliance Hospitals 60 Hospital Rd Leominster, MA 01453 978-466-2287 masked Integration Analyst HealthAlliance Hospitals HealthAlliance Hospitals 60 Hospital Rd Leominster, MA 01453 978-466-2000 ssimons@healthalliance.com Provider Int 3 Complete 2014/07/01 12:00:00 2014/08/10 12:00:00 2014/08/10 06:49:20 UV 2.16.840.1.113883.3.5452 dubuqueorthopaedicsurgeonspc dubuqueorthopaedicsurgeonspc OID Root Marilyn McDermott masked Marilyn McDermott 1500 Delhi St. Suite 4200 Dubuque, IA 52001 Phone: 563-557-5999 Fax: 563-557-5990 (563) 557-5999 masked Dubuque Orthopaedic Surgeons, PC 1500 Delhi St. Suite 4200 Dubuque, IA 52001 Phone: 563-557-5999 Fax: 563-557-5990 (563) 557-5999 marilynmcd@dbqorthosurgeons.com Provider Int 3 Complete 2014/07/01 12:00:00 2014/08/11 12:00:00 2014/08/11 04:59:05 UV 2.16.840.1.113883.3.5453 bhsala Baptist Health System Beth Crabtree masked Beth Crabtree Baptist Health System 500 Chase Park South Suite 200 Hoover, AL 35244 205-949-2997 masked IT Director, Clinical Solutions Baptist Health System Baptist Health System 500 Chase Park South Suite 200 Hoover, AL 35244 205-783-3000 beth.crabtree@bhsala.com http://www.bhsala.com/ Provider Int 3 Complete 2014/07/01 12:00:00 2014/08/11 12:00:00 2014/08/11 05:00:28 UV 2.16.840.1.113883.3.5454 sacoid Summa Akron City OID Emily Cole masked Julie Fox 1077 Gorge Blvd Akron, OH 44309 2343125112 masked Director, Integration Summa Akron City Hospital 525 W Market St Akron, OH 44308 3303753000 foxj@summahealth.org Provider Int 3 Complete 2014/07/01 12:00:00 2014/08/11 12:00:00 2014/08/11 05:01:32 UV 2.16.840.1.113883.3.5455 thomasgwernerdpm thomasgwernerdpm OID Root Allison Wood masked Allison Wood 2503 W. Main Place Russellville, AR 72801 (479)968-1311 masked Thomas G. Werner, DPM 2503 W. Main Place Russellville, AR 72801 (479)968-1311 fhc@suddenlinkmail.com Provider Int 3 Complete 2014/07/01 12:00:00 2014/08/11 12:00:00 2014/08/11 05:06:47 UV 2.16.840.1.113883.3.5456 gcrmc Gerald Champion Regional Medical Center Ana Castro masked Ana Castro 2669 N. Scenic Drive Alamogordo, NM 88310 575-443-7775 masked Director of I.S. Gerald Champion Regional Medical Center 2669 N. Scenic Drive Alamogordo, NM 88310 575-439-6100 clinicalinformationservices@gcrmc.org Provider Int 3 Complete 2014/07/01 12:00:00 2014/08/11 12:00:00 2014/08/11 05:11:54 UV 2.16.840.1.113883.3.5457 svmcwy Star Valley Medical Center Eli Lainhart masked Eli Lainhart 901 Adams St. Afton, WY 83110 307-885-5800 masked IT Director North Lincoln County Hospital District 901 Adams St. Afton, WY 83110 307-885-5800 elainhart@svmcwy.org http://www.svmcwy.org Provider Int 3 Complete 2014/07/01 12:00:00 2014/08/11 12:00:00 2014/08/11 05:13:21 UV 2.16.840.1.113883.9.176 jchc-oid Jefferson Community Health Center Dennis Ahl masked Dennis Ahl 2200 H Street Fairbury, NE 68352 4027293539 masked Director of IT Jefferson Community Health Center 2200 H Street Fairbury, NE 68352 (402) 799-3539 support@jchc.us http://jchc.us Provider Int 3 Complete 2014/07/01 12:00:00 2014/08/11 12:00:00 2014/08/11 05:17:28 US 2.16.840.1.113883.3.2402.200.377 physicians-computer-company-clients-ss Physician's Computer Company (PCC) Clients Silverton Pediatrics, LLC Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.377 2014/07/02 12:00:00 2014/11/20 12:00:00 2014/11/20 06:11:53 UV 2.16.840.1.113883.3.2402.300.10 physicians-computer-company-vendors-ccpl Physician's Computer Company (PCC) Vendors Central Coast Pathology Laboratory Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.300.10 2014/07/02 12:00:00 2014/11/20 12:00:00 2014/11/20 06:13:17 UV 2.16.840.1.113883.3.5458 eac123 EAC Health Home Initiative Rebecca Bell masked Tania Peterson Chandler 99 Quentin Roosevelt Blvd Suite 200 Garden City NY 11530 (516) 539-0150 masked Chief Operating Officer EAC, Inc. 99 Quentin Roosevelt Blvd Suite 200 Garden City NY 11530 516 539-0150 tchandler@eac-network.org Provider Int 3 Complete 2014/07/02 12:00:00 2014/08/11 12:00:00 2023/05/04 02:43:59 UV 2.16.840.1.113883.3.773.1.1.5 tdh-EDI Tennessee Department of Health Electronic Data Interchange (EDI) John Roberts masked John A. Roberts Andrew Johnson Tower, 6th Floor 710 James Robertson Parkway Nashville, TN 37243 615-741-3702 masked DIrector Interoperability and Standards Tennessee Department of Health Andrew Johnson Tower, 6th Floor 710 James Robertson Parkway Nashville, TN 37243 615-741-3702 John.A.Roberts@tn.gov http://tn.gov/health Govt body 2.16.840.1.113883.3.773 Ext 4 Complete 2.16.840.1.113883.3.773.1.1.5 2014/07/02 12:00:00 2014/11/20 12:00:00 2014/11/20 06:15:48 UV 2.16.840.1.113883.3.773.1.1.6 tdh-TCR Tennessee Cancer Registry John Roberts masked John A. Roberts Andrew Johnson Tower, 6th Floor 710 James Robertson Parkway Nashville, TN 37243 615-741-3702 masked DIrector Interoperability and Standards Tennessee Department of Health Andrew Johnson Tower, 6th Floor 710 James Robertson Parkway Nashville, TN 37243 615-741-3702 John.A.Roberts@tn.gov http://tn.gov/health Govt body 2.16.840.1.113883.3.773 Ext 4 Complete 2.16.840.1.113883.3.773.1.1.6 2014/07/02 12:00:00 2014/11/20 12:00:00 2014/11/20 06:18:05 UV 1.3.6.1.4.1.32898.1.4.2.1014 cancerprg-acupunctur SH Cancer Program Supportive Care-Acupuncture Michael Dobb masked Michael Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org/ Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.1014 2014/07/03 12:00:00 2014/08/11 12:00:00 2014/08/11 05:31:04 UV 1.3.6.1.4.1.32898.1.4.2.1015 diabetic-ed-gr-1300 SHMG Center for Diabetes Education - 1300 Michigan Michael Dobb masked Michael Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org/ Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.1015 2014/07/03 12:00:00 2014/08/11 12:00:00 2014/08/11 05:33:14 UV 1.3.6.1.4.1.32898.1.4.2.1016 diabetic-ed-gr-4069 SHMG Center for Diabetes Education - 40769 Lake Dr Michael Dobb masked Michael Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org/ Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.1016 2014/07/03 12:00:00 2014/08/11 12:00:00 2014/08/11 05:40:13 UV 1.3.6.1.4.1.32898.1.4.2.1017 diabetic-ed-gr-4100 SHMG Center for Diabetes Education - 4100 Lake Dr Michael Dobb masked Michael Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org/ Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.1017 2014/07/03 12:00:00 2014/08/11 12:00:00 2014/08/11 05:43:06 UV 2.16.840.1.113883.3.5459 mvvc Mountain Valley Vision Center David Czerny masked David Czerny 1236 North Ave Spearfish, SD 57769 6053907624 masked CEO Mountain Valley Vision Center,LLC 1236 North Ave Spearfish, SD 57769 6056422645 mvalleyvision@hotmail.com Provider Int 3 Complete 2014/07/03 12:00:00 2014/08/11 12:00:00 2014/08/11 05:45:03 UV 1.2.36.1.2001.1005.52 hpi-based-local-order-identifier HPI-O based Local Order Identifier Philip Wilford masked NEHTA Stephen Royce Level 2, 10 Browning Street West End, Brisbane, 4101, QLD 07 3023 8450 masked NEHTA Stephen.Royce@nehta.gov.au http://www.nehta.gov.au Govt body Ext 3 Complete 1.2.36.1.2001.1005.52 2014/07/04 12:00:00 2014/09/14 12:00:00 2014/09/14 07:11:58 AU 2.16.840.1.113883.3.5460 frogapps Frog Apps Organizational OID Rick Gregory masked Rick Gregory 1905 Megan Ct Glen Allen, VA 23060 8043373964 masked Owner Frog Apps LLC 1905 Megan Ct Glen Allen, VA 23060 8043373964 support@frog-apps.com http://www.frog-apps.com Vendor Int 3 Complete 2014/07/06 12:00:00 2014/08/11 12:00:00 2014/08/11 05:49:19 UV 2.16.840.1.113883.3.5461 psychesystems Psyche Systems Corporation Andrew Rabbitt masked Andrew Rabbitt Psyche Systems Corporation 25 Birch Street Building B Milford MA 01757 5084731500 masked Psyche Systems Employee Psyche Systems Corporation Psyche Systems Corporation 25 Birch Street Building B Milford MA 01757 5084731500 info@psychesystems.com http://www.psychesystems.com Vendor Int 3 Complete 2014/07/07 12:00:00 2014/08/11 12:00:00 2014/08/11 05:54:59 UV 2.16.840.1.113883.3.5462 thomasflakemd thomasflakemd OID Root Danai Doss masked Danai Doss 23077 Greenfield Rd. Ste. 445 Southfield, MI 48075 248-569-5407 masked Thomas M. Flake Jr. MD PC 23077 Greenfield Rd. Ste. 445 Southfield, MI 48075 248-569-5407 fsmi1@yahoo.com Provider Int 3 Complete 2014/07/07 12:00:00 2014/08/11 12:00:00 2014/08/11 05:57:22 UV 2.16.840.1.113883.10.13 cdaR2CancerRegistryReportingIGTemplates HL7 IG for CDAR2: Reporting to Public Health Cancer Registries from Ambulatory Healthcare Providers Austin Kreisler masked Wendy Blumenthal Wendy Blumenthal 770-488-1131 masked HEALTH SCIENTIST CDC - NCCDPHP cdcinfo@cdc.gov http://www.cdc.gov/cancer/index.htm Govt body Int 10 Complete 2014/07/07 12:00:00 2014/11/20 12:00:00 2014/11/20 06:22:30 US 2.16.840.1.113883.3.5463 stjoseph-caldwelltx Burleson St. Joseph Health Center Keith Schlieker masked Jason Williams Keith Schlieker 2801 Franciscan Drive Bryan, TX 77802 979-776-2558 masked Information System Specialist Burleson St. Joseph Health Center 1101 Woodson Drive Caldwell, TX 77836 979.567.3245 sjdifference@st-joseph.org http://www.st-joseph.org/burleson Provider Int 3 Complete 2014/07/07 12:00:00 2014/08/11 12:00:00 2014/08/11 06:07:03 UV 2.16.840.1.113883.3.5464 cwgc C W Global Consulting, LLC Root OID Julia Chan masked Julia Chan 236 West Portal Avenue, #218 San Francisco, CA 94127 415-753-2318 masked Consultant C W Global Consulting, LLC 236 West Portal Avenue, #218 San Francisco, CA 94127 jchan@cwglobalconsult.com Vendor Int 3 Complete 2014/07/07 12:00:00 2014/08/11 12:00:00 2014/08/11 06:09:37 UV 2.16.840.1.113883.3.5465 stjoseph-navasotatx St Joseph Grimes Health Center, Navasota, TX Keith Schlieker masked Jason Williams Keith Schlieker 2801 Franciscan Dr Bryan, TX 77802 979-776-2558 masked Information System Specialist St Joseph Grimes Health Center 210 South Judson Street Navasota, TX 77868 936.825.6585 sjdifference@st-joseph.org http://www.st-joseph.org/landing.cfm?id=25 Provider Int 3 Complete 2014/07/07 12:00:00 2014/08/11 12:00:00 2014/08/11 06:13:13 UV 2.16.840.1.113883.3.5466 stjoseph-madisonvilletx Madison St. Joseph Health Center Keith Schlieker masked Jason Williams Keith Schlieker 2801 Franciscan Dr Bryan, TX 77802 979-776-2558 masked Information System Specialist Madison St. Joseph Health Center 100 W. Cross Street Madisonville, TX 936.348.2631 sjdifference@st-joseph.org http://www.st-joseph.org/landing.cfm?id=26 Provider Int 3 Complete 2014/07/07 12:00:00 2014/08/11 12:00:00 2014/08/11 06:14:38 UV 2.16.840.1.113883.3.5461.1 labweb OID for Psyche Systems LabWeb LIS Andrew Rabbitt masked Andrew Rabbitt Psyche Systems Corporation 25 Birch Street Building B Milford, MA 01757 5084631500 masked Psyche Systems Employee Psyche Systems Corporation Psyche Systems Corporation 25 Birch Street Building B Milford, MA 01757 5084631500 info@psychesystems.com http://www.psychesystems.com Vendor 2.16.840.1.113883.3.5461 Ext 14 Complete 2.16.840.1.113883.3.5461.1 2014/07/07 12:00:00 2014/08/11 12:00:00 2014/08/11 06:16:39 UV 2.16.840.1.113883.3.5467 wellport Wellport Health Information Exchange Joseph Heyman masked Joseph M. Heyman Wellport Health Information Exchange 255 Low Street Newburyport, MA 01950 9784622345 masked Chief Medical Information Officer Whittier Independent Practice Association 255 Low Street Newburyport, Massachusetts 01950 9784622345 joseph.heyman@verizon.net http://www.wellporthealth.net Provider Int 3 Complete 2014/07/07 12:00:00 2014/08/11 12:00:00 2014/08/11 06:18:51 UV 2.16.840.1.113883.3.1070.5931 mckesson-fusion-5931 mckesson-fusion-5931 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5931 2014/07/07 12:00:00 2014/11/20 12:00:00 2014/11/20 06:24:28 US 2.16.840.1.113883.3.1070.5947 mckesson-fusion-5947 mckesson-fusion-5947 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5947 2014/07/08 12:00:00 2014/11/20 12:00:00 2014/11/20 06:25:33 US 2.16.840.1.113883.3.5468 hcmhcde Hill Country Memorial Hospital Clinical Data Exchange Thomas Thelen BSN, MSN masked Holly Schmidt Thomas Thelen 1020 State Highway 16 Fredericksburg, TX 78624 830-997-1880 masked Interim IT Director Hill Country Memorial Hospital 1020 State Highway 16 Fredericksburg, TX 78624 830-997-4353 hschmidt@hillcountrymemorial.org http://www.hillcountrymemorial.org Provider Int 3 Complete 2014/07/08 12:00:00 2014/08/11 12:00:00 2014/08/11 06:21:45 UV 2.16.840.1.113883.3.5469 softagehealth SoftAge Health Sarada Posinasetty masked Sarada Posinasetty 5421 Calder Drive Tallahassee FL 32317 8503910339 masked SoftAge Systems Inc., 5421 Calder Drive Tallahassee FL 32317 8503910339 sarada@softagesystems.com http://www.softagesystems.com Vendor Int 3 Complete 2014/07/09 12:00:00 2014/08/11 12:00:00 2014/08/11 06:23:00 UV 2.16.840.1.113883.3.5470 ncmcla North Caddo Medical Center Ross Hansen masked Ross Hansen 1003 S. Spruce St. Vivian, LA 71082 (318) 375-4040 masked Director of IT North Caddo Medical Center 1000 S. Spruce St. Vivian, LA 71082 (318) 375-3235 ncmc@ncmcla.com Provider Int 3 Complete 2014/07/09 12:00:00 2014/08/11 12:00:00 2014/08/11 06:25:53 UV 2.16.840.1.113883.3.5471 csccadillac Cadillac Surgical Care Kim Anderson masked Kim Anderson Cadillac Surgical Care 927 Carmel st. Cadillac, MI 49601 231-876-3876 masked office manager Cadillac Surgical Care 927 Carmel St. Cadillac, MI 49601 231-876-3876 kima@cadillacsurgicalcare.com http://www.cadillacsurgical.com Provider Int 3 Complete 2014/07/09 12:00:00 2014/08/11 12:00:00 2014/08/11 06:27:42 UV 2.16.840.1.113883.3.5472 palOID Pediatric Associate of Livingston Penny Baumeier masked Jane Brooks 8548 W Grand River Brighton, MI 48116 810-229-7257 masked Manager Pediatric Associates of Livingston 8548 W Grand River Brighton, MI 48116 810-229-7257 manager@pediatricassociateslivingston.com https://pediatricassociateslivingston.com Provider Int 3 Complete 2014/07/09 12:00:00 2014/08/11 12:00:00 2014/08/11 06:30:19 UV 2.16.840.1.113883.3.5473 cchia Central Community Hospital Central Hospital masked Jonathan Holliday 901 Davidson St NW Elkader, IA 52043 563-245-7059 masked IT Technician Central Community Hospital 901 Davidson St NW Elkader, IA 52043 563-245-7000 hollidayj@cchelkader.org http://www.centralcommunityhospital.com Provider Int 3 Complete 2014/07/09 12:00:00 2014/08/11 12:00:00 2014/08/11 06:31:40 UV 2.16.840.1.113883.3.5474 kdmcmrn KDMC MRN Adam Rossbach masked Adam Rossbach King's Daughters Medical Center 2201 Lexington Ave. Ashland, KY 41101 6146642603 masked HIE Coordinator CliniSync arossbach@ohiponline.org http://ohiponline.org/ Exchange 2.16.840.1.113883.3.1301 Int 3 Complete 2014/07/09 12:00:00 2014/08/11 12:00:00 2014/08/11 06:38:28 UV 2.16.840.1.113883.4.818 nrhoid Norman Regional Hospital Authority OID Randy Hart masked Johnny Grandstaff 901 N. Porter Box 1308 Norman, OK 73070-1308 405-307-6958 masked Systems Analyst Lead - HIT Norman Regional Hospital Authority 901 N. Porter Box 1308 Norman, OK 73070-1308 405-307-1000 jgrandstaff@nrh-ok.com http://www.normanregional.com Provider Int 3 Complete 2014/07/09 12:00:00 2014/08/11 12:00:00 2019/09/10 02:22:28 UV 2.16.840.1.113883.3.5475 kdmcfacility KDMC Facility OID Adam Rossbach masked Adam Rossbach King's Daughters Medical Center 2201 Lexington Ave. Ashland, KY 41101 6146642603 masked CliniSync arossbach@ohiponline.org Exchange Int 3 Complete 2014/07/09 12:00:00 2014/08/12 12:00:00 2014/08/12 08:24:51 UV 2.16.840.1.113883.3.5476 kdmcprovider KDMC Provider OID Adam Rossbach masked aDAM rOSSBACH King's Daughters Medical Center 2201 Lexington Ave. Ashland, KY 41101 6146642603 masked CliniSync arossbach@ohiponline.org Exchange Int 3 Complete 2014/07/09 12:00:00 2014/08/12 12:00:00 2014/08/12 08:25:34 UV 2.16.840.1.113883.3.5477 hvchfacility HVCH Facility OID Adam Rossbach masked Adam Rossbach 6146642603 masked CliniSync arossbach@ohiponline.org Exchange Int 3 Complete 2014/07/09 12:00:00 2014/08/12 12:00:00 2014/08/12 08:26:30 UV 2.16.840.1.113883.3.5478 hvchprovider HVCH Provider OID Adam Rossbach masked Adam Rossbach Hocking Valley Community Hospital 6146642603 masked CliniSync arossbach@ohiponline.org Exchange Int 3 Complete 2014/07/09 12:00:00 2014/08/12 12:00:00 2014/08/12 08:27:52 UV 2.16.840.1.113883.4.819 hpxoid Norman Regional Healthplex Randy Hart masked Johnny Grandstaff 901 N. Porter Box 1308 Norman, OK 73070-1308 405-307-6958 masked Systems Analyst Lead - HIT Johnny Grandstaff 901 N. Porter Box 1308 Norman, OK 73070-1308 405-307-6958 jgrandstaff@nrh-ok.com http://www.normanregional.com Provider Int 3 Complete 2014/07/09 12:00:00 2014/08/12 12:00:00 2019/09/10 02:27:27 UV 2.16.840.1.113883.4.820 nrmoid Norman Regional Moore Randy Hart masked Johnny Grandstaff 901 N. Porter Box 1308 Norman, OK 73070-1308 405-307-6958 masked Systems Analyst Lead- HIT Norman Regional Moore 901 N. Porter Box 1308 Norman, OK 73070-1308 405-307-6958 jgrandstaff@nrh-ok.com http://www.normanregional.com Provider Int 3 Complete 2014/07/09 12:00:00 2014/08/12 12:00:00 2019/09/10 02:35:36 UV 2.16.840.1.113883.3.5479 norwalkmedicalgroup Clinic Name OID Root Norwalk Medical Group OID Root Igor Dargery masked Maritza Austin 40 Cross St 4th floor Norwalk, CT 06851 2038454863 masked Front End Supevisor Norwalk Medical Group, PC 40 Cross St 4th Floor Norwalk, CT 06851 203-845-4800 maustin@norwalkmedgroup.com http://www.norwalkmedgroup.com Provider Int 3 Complete 2014/07/09 12:00:00 2014/08/12 12:00:00 2014/08/12 08:36:21 UV 2.16.840.1.113883.3.5480 lafayettegeneralmedicaldoctors Lafayette General Medical Doctors Herbert Druilhet masked Herbert Druilhet 115 Audubon Blvd Lafayette, La 70503 337-289-8981 masked Director Lafayette General Medical Doctor 115 Audubon Blvd Lafayette, La 70503 337-289-8933 hedruilhet@lgmc.com Provider Int 3 Complete 2014/07/10 12:00:00 2014/08/12 12:00:00 2014/08/12 08:39:39 UV 2.16.840.1.113883.3.5481 pediatricophthalmology Pediatric Ophthalmology Consultants, LLC Ashly Dumas masked Ashly Dumas 2927 N. McCord Rd Suite 100 Toledo, OH 43615 419-517-5500 masked Office Manager Pediatric Ophthalmology Consultants, LLC 2927 N. McCord Rd Suite 100 Toledo, OH 43615 419-517-5500 ashly@pocllc.com http://www.pocllc.com Provider Int 3 Complete 2014/07/10 12:00:00 2014/08/12 12:00:00 2014/08/12 08:40:39 UV 2.16.840.1.113883.3.5482 csok Cancer Specialists of Oklahoma Windy Nunnery masked Windy Nunnery 3525 NW 56th, #D100 4059429200 masked HR Director/Office Manager Cancer Specialists of OKlahoma 3525 N.W. 56th STE D100 Oklahoma City, OK 73112 4059429200 windy.nunnery@csok.org Provider Int 3 3 Complete 2014/07/10 12:00:00 2014/08/12 12:00:00 2014/08/12 08:42:34 UV 2.16.840.1.113883.3.5483 peerplace PeerPlace Networks Christopher Dewey masked Christopher Dewey 300 Main Street Suite 4-212 East Rochester, NY 14445 585-643-1940 masked CIO PeerPlace Networks 300 Main Street Suite 4-212 East Rochester, NY 14445 585-586-1940 sysadmin@peerplace.com Vendor Int 3 Complete 2014/07/10 12:00:00 2014/08/12 12:00:00 2014/08/12 08:44:38 UV 2.16.840.1.113883.3.5485 t2e Ten2Eleven Accountable Care Solutions Regina Jones masked Regina Jones 2014 Capitol Ave, Suite 203 Sacramento, CA 95811 916-469-4415 masked Ten2Eleven Accountable Care Solutions 2014 Capitol Ave, Suite 203 Sacramento, CA 95811 5302204462 rjones@ten2eleven.com http://www.ten2eleven.com Vendor Int 3 Complete 2014/07/11 12:00:00 2014/08/12 12:00:00 2014/08/12 08:45:40 UV 2.16.840.1.113883.3.5486 wehha White Earth Home Health Agency Nightingale Notes Jennifer Stevens masked Jennifer Stevens PO Box 496 White Earth MN 56591 2189833286 masked Manager White Earth Home Health Agency 26246 Crane Road PO Box 496 White Earth MN 56591 2189833286 jens@whiteearth.com Provider Int 3 Complete 2014/07/14 12:00:00 2014/08/12 12:00:00 2014/08/12 08:47:42 UV 2.16.840.1.113883.3.5487 cfwh Center for Women's Health of Lansdale OID Root Lorraine Weil masked Lorraine Weil 1000 Walnut Street, Suite 122 Lansdale, PA 19446 215-368-1950 masked Office Manager Center for Women's Health of Lansdale 1000 Walnut Street, Suite 122 Lansdale, PA 19446 215-368-1950 lweil@cfwhoflansdale.com http://lansdalewomenshealth.com/ Provider Int 3 Complete 2014/07/15 12:00:00 2014/08/12 12:00:00 2014/08/12 08:50:01 UV 2.16.840.1.113883.3.5488 byrensmd David M. Byrens, M.D., P.C. Brittany Lighthall masked Brittany Lighthall 215 E. Mansion Street Suite 1G, Marshall, MI 49068 (269)781-2111 masked David M Byrens, M.D. 215 E. MAnsion Street, Suite 1G, Marshall, MI 49068 (269)781-2111 Brittany_Byrens@hotmail.com Provider Int 3 Complete 2014/07/15 12:00:00 2014/08/12 12:00:00 2014/08/12 08:52:05 UV 2.16.840.1.113883.3.2402.200.6834 physicians-computer-company-clients-mpac Physician's Computer Company (PCC) Clients Milestones Pediatric & Adolescent Care Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6834 2014/07/15 12:00:00 2014/11/20 12:00:00 2014/11/20 06:28:16 UV 2.16.840.1.113883.3.2169.11 lpnt-fpp LifePoint Health Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LIfepoint Health, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Ext 14 Complete 2.16.840.1.113883.3.2169.11 2014/07/15 12:00:00 2014/10/18 12:00:00 2018/05/02 10:13:12 UV 2.16.840.1.113883.3.2235.11 lpnnt-srmcfpp Sumner Regional Medicals Center Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Sumner Regional Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2235 Ext 14 Complete 2.16.840.1.113883.3.2235.11 2014/07/15 12:00:00 2014/11/20 12:00:00 2018/05/02 10:16:07 UV 2.16.840.1.113883.3.2236.11 lpnt-rrmcfpp Riverview Regional Hospital Providers Terry Phillipa masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Riverview Regional Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2236 Ext 14 Complete 2.16.840.1.113883.3.2236.11 2014/07/15 12:00:00 2014/11/20 12:00:00 2014/11/20 06:35:07 UV 2.16.840.1.113883.3.2237.11 lpnt-tmcfpp Trousdale Medical Center Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Trousdale Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2237 Ext 14 Complete 2.16.840.1.113883.3.2237.11 2014/07/15 12:00:00 2014/11/20 12:00:00 2014/11/20 06:35:55 UV 2.16.840.1.113883.3.5489 handalsacapediatrics Handal Saca Pediatrics OID Root Susy Wylie masked Wendy Handal 4410 w 16th ave. Suite #60 Hialeah, FL. 33012 305-823-0721 masked office Manager Carlos A. Handal-Saca,M.D. 4410 W 16th Ave. Suite #60 Hialeah, FL. 33012 305-823-0721 wh@handalsacapediatrics.com Provider Int 3 Complete 2014/07/15 12:00:00 2014/11/12 12:00:00 2014/11/12 04:29:09 UV 2.16.840.1.113883.3.2341.11 lpnt-rmcfpp Rockdale Medical Center Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Rockdale Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2341 Ext 14 Complete 2.16.840.1.113883.3.2341.11 2014/07/15 12:00:00 2014/11/20 12:00:00 2014/11/20 06:37:34 UV 2.16.840.1.113883.3.2342.11 lpnt-pmhfpp Person Memorial Hospital Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Person Memorial Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2342 Ext 14 Complete 2.16.840.1.113883.3.2342.11 2014/07/15 12:00:00 2014/11/20 12:00:00 2014/11/20 06:38:13 UV 2.16.840.1.113883.3.2344.11 lpnt-shdfpp SOVAH Health - Danville Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange SOVAH Health - Danville 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2344 Ext 14 Complete 2.16.840.1.113883.3.2344.11 2014/07/15 12:00:00 2014/11/20 12:00:00 2018/05/07 11:19:39 UV 2.16.840.1.113883.3.2349.11 lpnt-mmclcfpp Memorial Medical Center of Las Cruces Providers Terry Phillips masked 2.16.840.1.113883.3.2349 Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Memorial Medical Center of Las Cruces 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2349 Ext 14 Complete 2.16.840.1.113883.3.2349.11 2014/07/15 12:00:00 2014/11/20 12:00:00 2014/11/20 06:40:01 UV 2.16.840.1.113883.3.2350.11 lpnt-cvmcfpp Clinch Valley Medical Center Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Clinch Valley Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2350 Ext 14 Complete 2.16.840.1.113883.3.2350.11 2014/07/15 12:00:00 2014/11/20 12:00:00 2014/11/20 06:42:52 UV 2.16.840.1.113883.3.2351.11 lpnt-lcrhfpp Lake Cumberland Regional Hospital Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Lake Cumberland Regional Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2351 Ext 14 Complete 2.16.840.1.113883.3.2351.11 2014/07/15 12:00:00 2014/11/20 12:00:00 2014/11/20 06:43:49 UV 2.16.840.1.113883.3.2352.11 lpnt-shmfpp SOVAH Health - Martinsville Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange SOVAH Health - Martinsville 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2352 Ext 14 Complete 2.16.840.1.113883.3.2352.11 2014/07/15 12:00:00 2014/11/20 12:00:00 2018/05/07 11:24:52 UV 2.16.840.1.113883.3.2353.11 lpnt-rghfpp Raleigh General Hospital Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Raleigh General Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2353 Ext 14 Complete 2.16.840.1.113883.3.2353.11 2014/07/15 12:00:00 2014/11/20 12:00:00 2014/11/20 06:47:26 UV 2.16.840.1.113883.3.2354.11 lpnt-stmcfpp Southern Tennesse Medical Center Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Southern Tennesse Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2354 Ext 14 Complete 2.16.840.1.113883.3.2354.11 2014/07/15 12:00:00 2014/11/20 12:00:00 2014/11/20 06:49:04 UV 2.16.840.1.113883.3.5490 wchIN Wabash County Hospital OID Root David Brinson masked David Brinson 710 N East Street Wabash, IN 46992 2605633131 masked Information Technology Director Wabash County Hospital 710 N East Street Wabash, IN 46992 2605633131 technology@wchospital.com http://www.wchospital.com Provider Int 3 Complete 2014/07/16 12:00:00 2014/08/12 12:00:00 2014/08/12 08:54:29 UV 2.16.840.1.113883.3.5490.1 wchIN-CAH Wabash County Hospital - Main David Brinson masked David Brinson 710 N East Street Wabash, IN 46992 2605633131 masked Information Technology Director Wabash County Hospital 710 N East Street Wabash, IN 46992 2605633131 technology@wchospital.com http://www.wchospital.com Provider 2.16.840.1.113883.3.5490 Ext 14 Complete 2.16.840.1.113883.3.5490.1 2014/07/16 12:00:00 2014/08/12 12:00:00 2014/08/12 08:56:35 UV 2.16.840.1.113883.3.5491 wchdnn Webster County Health Department Nightingale Notes Jennifer Chance masked Jennifer Chance 723 1st Ave S Fort Dodge, IA 50501 515-573-4107 masked Webster County Health Department 723 1st Ave S Fort Dodge, IA 50501 515-573-4107 jchance@webstercountyia.org Provider Int 3 Complete 2014/07/16 12:00:00 2014/08/12 12:00:00 2014/08/12 08:58:50 UV 2.16.840.1.113883.3.5492 lbhhtx Lubbock Heart and Surgical Hospital Janit Heath masked Janit Heath 4810 N. Loop 289 Lubbock, TX 79416 806-472-5308 masked Director of Materials Management Lubbock Heart and Surgical Hospital 4810 N. Loop 289 Lubbock, TX 79416 806-687-7777 jheath@lubbockheart.com http://www.lubbockheart.com/ Provider Int 3 Complete 2014/07/16 12:00:00 2014/08/12 12:00:00 2014/08/12 09:00:18 UV 2.16.840.1.113883.17.4000 tvcc Total Vein Care Clinic Gregory Landis masked Gregory Landis 3515 Coolidge Road, Ste B East Lansing, MI 48823 (517) 999-3930 masked Total Vein Care Clinic 3515 Coolidge Road, Ste B East Lansing, MI 48823 (517) 999-3930 info@totalveincareclinic.com http://www.totalveincareclinic.com Provider Int 3 Complete 2014/07/16 12:00:00 2014/08/12 12:00:00 2014/08/12 09:02:39 UV 2.16.840.1.113883.3.2355.11 lpnt-vrmcfpp Vaughan Regional Medical Center Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Vaughan Regional Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2355 Ext 14 Complete 2.16.840.1.113883.3.2355.11 2014/07/16 12:00:00 2014/11/20 12:00:00 2014/11/20 06:50:50 UV 2.16.840.1.113883.3.2356.11 lpnt-jpmcfpp Jackson Purchase Medical Center Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Jackson Purchase Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2356 Ext 14 Complete 2.16.840.1.113883.3.2356.11 2014/07/16 12:00:00 2014/11/20 12:00:00 2014/11/20 06:52:46 UV 2.16.840.1.113883.3.2358.11 lpnt-lrmcfpp Logan Regional Medical Center Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Logan Regional Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2358 Ext 14 Complete 2.16.840.1.113883.3.2358.11 2014/07/16 12:00:00 2014/11/20 12:00:00 2014/11/20 06:54:32 UV 2.16.840.1.113883.3.2363.11 lpnt-mrmcfpp Meadowview Regional Medical Center Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Meadowview Regional Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2363 Ext 14 Complete 2.16.840.1.113883.3.2363.11 2014/07/16 12:00:00 2014/11/20 12:00:00 2014/11/20 06:58:05 UV 2.16.840.1.113883.3.2364.11 lpnt-pcmcfpp Putnam Community Medical Center Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Putnam Community Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2364 Ext 14 Complete 2.16.840.1.113883.3.2364.11 2014/07/16 12:00:00 2014/11/20 12:00:00 2014/11/20 07:00:25 UV 2.16.840.1.113883.3.2365.11 lpnt-svhfpp Spring View Hospital Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Spring View Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2365 Ext 14 Complete 2.16.840.1.113883.3.2365.11 2014/07/16 12:00:00 2014/11/20 12:00:00 2014/11/20 07:01:00 UV 2.16.840.1.113883.3.2366.11 lpnt-wpmcfpp Western Plains Medical Complex Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Western Plains Medical Complex 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2366 Ext 14 Complete 2.16.840.1.113883.3.2366.11 2014/07/16 12:00:00 2014/11/20 12:00:00 2014/11/20 07:02:01 UV 2.16.840.1.113883.3.2368.11 lpnt-wcchfpp Wythe County Community Hospital Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Wythe County Community Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2368 Ext 14 Complete 2.16.840.1.113883.3.2368.11 2014/07/16 12:00:00 2014/11/20 12:00:00 2014/11/20 07:03:24 UV 2.16.840.1.113883.3.2498.11 lpnt-amdfpp Acadian Medical Center Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Acadian Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2498 Ext 14 Complete 2.16.840.1.113883.3.2498.11 2014/07/16 12:00:00 2014/11/20 12:00:00 2014/11/20 07:08:09 UV 2.16.840.1.113883.3.2499.11 lpnt-arhfpp Andalusia Regional Hospital Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Andalusia Regional Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2499 Ext 14 Complete 2.16.840.1.113883.3.2499.11 2014/07/16 12:00:00 2014/11/20 12:00:00 2018/05/02 03:37:58 UV 2.16.840.1.113883.3.2500.11 lpnt-armcfpp Ashley Regional Medical Center Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Ashley Regional Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2500 Ext 14 Complete 2.16.840.1.113883.3.2500.11 2014/07/16 12:00:00 2014/11/20 12:00:00 2018/05/02 03:40:59 UV 2.16.840.1.113883.3.2501.11 lpnt-srmcafpp Starr Regional Medical Center - Athens Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Starr Regional Medical Center - Athens 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2501 Ext 14 Complete 2.16.840.1.113883.3.2501.11 2014/07/16 12:00:00 2014/11/20 12:00:00 2018/05/07 11:26:06 UV 2.16.840.1.113883.3.2502.11 lpnt-bchfpp Bluegrass Community Hospital Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Bluegrass Community Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2502 Ext 14 Complete 2.16.840.1.113883.3.2502.11 2014/07/16 12:00:00 2014/11/20 12:00:00 2018/05/02 03:42:04 UV 2.16.840.1.113883.3.2503.11 lpnt-bmcfpp Bolivar Medical Center Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Bolivar Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2503 Ext 14 Complete 2.16.840.1.113883.3.2503.11 2014/07/16 12:00:00 2014/11/20 12:00:00 2018/05/02 03:43:06 UV 2.16.840.1.113883.3.2504.11 lpnt-bourbonchfpp Bourbon Community Hospital Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Bourbon Community Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2504 Ext 14 Complete 2.16.840.1.113883.3.2504.11 2014/07/16 12:00:00 2014/11/20 12:00:00 2018/05/02 03:44:05 UV 2.16.840.1.113883.3.2505.11 lpnt-chfpp Castleview Hospital Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Castleview Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2505 Ext 14 Complete 2.16.840.1.113883.3.2505.11 2014/07/16 12:00:00 2014/11/20 12:00:00 2014/11/20 07:16:03 UV 2.16.840.1.113883.3.2506.11 lpnt-crmcfpp Clark Regional Medical Center Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Clark Regional Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2506 Ext 14 Complete 2.16.840.1.113883.3.2506.11 2014/07/16 12:00:00 2014/11/20 12:00:00 2014/11/20 07:16:47 UV 2.16.840.1.113883.3.2507.11 lpnt-cpmcfpp Colorado Plains Medical Center Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Colorado Plains Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2507 Ext 14 Complete 2.16.840.1.113883.3.2507.11 2014/07/16 12:00:00 2014/11/20 12:00:00 2014/11/20 07:17:33 UV 2.16.840.1.113883.3.2508.11 lpnt-strlfpp Southern Tennessee Regional - Lawrenceburg Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Southern Tennessee Regional - Lawrenceburg 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2508 Ext 14 Complete 2.16.840.1.113883.3.2508.11 2014/07/16 12:00:00 2014/11/20 12:00:00 2014/11/20 07:20:37 UV 2.16.840.1.113883.3.2509.11 lpnt-ermcfpp Ennis Regional Medical Center Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Ennis Regional Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2509 Ext 14 Complete 2.16.840.1.113883.3.2509.11 2014/07/16 12:00:00 2014/11/20 12:00:00 2014/11/20 07:21:20 UV 2.16.840.1.113883.3.2510.11 lpnt-gchfpp Georgetown Community Hospital Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Georgetown Community Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2510 Ext 14 Complete 2.16.840.1.113883.3.2510.11 2014/07/16 12:00:00 2014/11/20 12:00:00 2014/11/20 07:22:04 UV 2.16.840.1.113883.3.2511.11 lpnt-hrmcfpp Havasu Regional Medical Center Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Havasu Regional Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2511 Ext 14 Complete 2.16.840.1.113883.3.2511.11 2014/07/16 12:00:00 2014/11/20 12:00:00 2014/11/20 07:26:15 UV 2.16.840.1.113883.3.2512.11 lpnt-strpfpp Southern Tennessee Regional - Pulaski Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Southern Tennessee Regional - Pulaski 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2512 Ext 14 Complete 2.16.840.1.113883.3.2512.11 2014/07/16 12:00:00 2014/11/20 12:00:00 2014/11/20 07:26:56 UV 2.16.840.1.113883.3.2513.11 lpnt-lchfpp Lakeland Community Hospital Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Lakeland Community Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2513 Ext 14 Complete 2.16.840.1.113883.3.2513.11 2014/07/16 12:00:00 2014/11/20 12:00:00 2014/11/20 07:27:53 UV 2.16.840.1.113883.3.2514.11 lpnt-shclfpp SageWest Health Care - Lander Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange SageWest Health Care - Lander 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2514 Ext 14 Complete 2.16.840.1.113883.3.2514.11 2014/07/16 12:00:00 2014/11/20 12:00:00 2018/05/07 11:27:42 UV 2.16.840.1.113883.3.2515.11 lpnt-livingstonfpp Livingston Regional Hospital Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Livingston Regional Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2515 Ext 14 Complete 2.16.840.1.113883.3.2515.11 2014/07/16 12:00:00 2014/11/20 12:00:00 2014/11/20 07:32:25 UV 2.16.840.1.113883.3.2516.11 lpnt-lmhfpp Logan Memorial Hospital Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Logan Memorial Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2516 Ext 14 Complete 2.16.840.1.113883.3.2516.11 2014/07/16 12:00:00 2014/11/20 12:00:00 2014/11/20 07:33:23 UV 2.16.840.1.113883.3.2517.11 lpnt-lamcfpp Los Alamos Medical Center Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Los Alamos Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2517 Ext 14 Complete 2.16.840.1.113883.3.2517.11 2014/07/16 12:00:00 2014/11/20 12:00:00 2014/11/20 07:34:19 UV 2.16.840.1.113883.3.1070.5668 mckesson-fusion-5668 mckesson-fusion-5668 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5668 2014/07/16 12:00:00 2014/11/20 12:00:00 2014/11/20 07:37:13 US 2.16.840.1.113883.3.1070.5667 mckesson-fusion-5667 mckesson-fusion-5667 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5667 2014/07/16 12:00:00 2014/11/20 12:00:00 2014/11/20 07:38:13 US 2.16.840.1.113883.3.5493 doctorsoft Doctorsoft Marc Lepp masked Marc Lepp 17750 Sherman Way, Suite 300 Reseda, CA 91335 8553776381 masked Principal Doctorsoft 8553776381 info@doctorsoft.com http://www.doctorsoft.com Vendor Int 3 Complete 2014/07/16 12:00:00 2014/08/12 12:00:00 2014/08/12 09:06:23 UV 2.16.840.1.113883.3.5494 chb-hs Community Hospital of Bremen Linda Barrett masked Linda Barrett 1020 High Road Bremen, Indiana 46506 574-546-8005 masked CIO Community Hospital of Bremen 1020 High Road Bremen, Indiana 46506 574-546-2211 lbarrett@bremenhospital.com http://bremenhospital.com/ Provider Int 3 Complete 2014/07/17 12:00:00 2014/08/12 12:00:00 2014/08/12 09:07:43 UV 2.16.840.1.113883.3.5495 ymc Yankton Medical Clinic Jake Drotzman masked Jake Drotzman 1104 W 8th Yankton, SD 57078 605-665-7841 masked Information Technology Yankton Medical Clinic, PC 1104 W 8th Yankton, SD 57078 605-665-7841 jdrotzman@yanktonmedicalclinic.com http://www.yanktonmedicalclinic.com Provider Int 3 Complete 2014/07/17 12:00:00 2014/08/12 12:00:00 2015/02/20 12:48:54 UV 2.16.840.1.113883.3.5494.1 chb-mainhs Community Hospital of Bremen Main Campus Linda Barrett masked Linda Barrett 1020 High Road Bremen, Indiana 46506 574-546-2211 masked CIO Community Hospital of Bremen 1020 High Road Bremen, IN 46506 574-546-2211 lbarrett@bremenhospital.com http://bremenhospital.com/ Provider 2.16.840.1.113883.3.5494 Ext 14 Complete 2.16.840.1.113883.3.5494.1 2014/07/17 12:00:00 2014/08/12 12:00:00 2014/08/12 09:10:13 UV 2.16.840.1.113883.3.5496 nch2014 OID for The Nemours Foundation Damien Carey masked Damien Richard Carey 10140 Centurion Parkway North Jacksonville, Florida 32256 904-697-5570 masked Integration Team Supervisor The Nemours Foundation 140 Centurion Parkway North Jacksonville, Florida 32256 904-697-1000 ioc@nemours.org http://www.nemours.org Provider Int 3 Complete 2014/07/17 12:00:00 2014/08/12 12:00:00 2016/10/17 12:46:11 UV 2.16.840.1.113883.3.2518.11 lpnt-mpmcfpp Maria Parham Medical Center Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Maria Parham Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2518 Ext 14 Complete 2.16.840.1.113883.3.2518.11 2014/07/17 12:00:00 2014/11/20 12:00:00 2014/11/20 07:39:14 UV 2.16.840.1.113883.3.2519.11 lpnt-mercyfpp Mercy Regional Medical Center Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Mercy Regional Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2519 Ext 14 Complete 2.16.840.1.113883.3.2519.11 2014/07/17 12:00:00 2014/11/20 12:00:00 2014/11/20 07:40:19 UV 2.16.840.1.113883.3.2520.11 lpnt-mmcfpp Minden Medical Center Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Minden Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2520 Ext 14 Complete 2.16.840.1.113883.3.2520.11 2014/07/17 12:00:00 2014/11/20 12:00:00 2014/11/20 07:45:00 UV 2.16.840.1.113883.3.2521.11 lpnt-nnrhfpp Northeastern Nevada Regional Hospital Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Northeastern Nevada Regional Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2521 Ext 14 Complete 2.16.840.1.113883.3.2521.11 2014/07/17 12:00:00 2014/11/20 12:00:00 2014/11/20 07:45:39 UV 2.16.840.1.113883.3.2522.11 lpnt-nmcfpp Northwest Medical Center Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Northwest Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2522 Ext 14 Complete 2.16.840.1.113883.3.2522.11 2014/07/17 12:00:00 2014/11/20 12:00:00 2014/11/20 07:46:23 UV 2.16.840.1.113883.3.2523.11 lpnt-prmcfpp Palestine Regional Medical Center Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Palestine Regional Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2523 Ext 14 Complete 2.16.840.1.113883.3.2523.11 2014/07/17 12:00:00 2014/11/20 12:00:00 2014/11/20 07:47:11 UV 2.16.840.1.113883.3.2524.11 lpnt-prhfpp Parkview Regional Hospital Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Parkview Regional Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2524 Ext 14 Complete 2.16.840.1.113883.3.2524.11 2014/07/17 12:00:00 2014/11/20 12:00:00 2014/11/20 07:50:09 UV 2.16.840.1.113883.3.2525.11 lpnt-rphfpp River Parishes Hospital Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange River Parishes Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2525 Ext 14 Complete 2.16.840.1.113883.3.2525.11 2014/07/17 12:00:00 2014/11/20 12:00:00 2014/11/20 07:50:58 UV 2.16.840.1.113883.3.2526.11 lpnt-shcrfpp SageWest Health Care - Riverton Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange SageWest Health Care - Riverton 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2526 Ext 14 Complete 2.16.840.1.113883.3.2526.11 2014/07/17 12:00:00 2014/11/20 12:00:00 2018/05/07 11:30:54 UV 2.16.840.1.113883.3.2527.11 lpnt-rhfpp Russellville Hospital Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Russellville Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2527 Ext 14 Complete 2.16.840.1.113883.3.2527.11 2014/07/17 12:00:00 2014/11/20 12:00:00 2014/11/20 07:52:51 UV 2.16.840.1.113883.3.2528.11 lpnt-trmcfpp Teche Regional Medical Center Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Teche Regional Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2528 Ext 14 Complete 2.16.840.1.113883.3.2528.11 2014/07/17 12:00:00 2014/11/20 12:00:00 2014/11/20 07:53:39 UV 2.16.840.1.113883.3.2529.11 lpnt-tcrhfpp Twin County Regional Healthcare Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Twin County Regional Healthcare 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2529 Ext 14 Complete 2.16.840.1.113883.3.2529.11 2014/07/17 12:00:00 2014/11/20 12:00:00 2014/11/20 07:54:32 UV 2.16.840.1.113883.3.2530.11 lpnt-vvmcfpp Valley View Medical Center Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Valley View Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2530 Ext 14 Complete 2.16.840.1.113883.3.2530.11 2014/07/17 12:00:00 2014/11/20 12:00:00 2014/11/20 07:57:21 UV 2.16.840.1.113883.3.5497 swrhmrn SWRH MRN OID Adam Rossbach masked Adam Rossbach Western Reserve Hospital 1900 23rd Street Cuyahoga Falls, OH 44223 Office: (330) 971-7389 Fax: (330) 971-7370 6146642603 masked CliniSync arossbach@ohiponline.org Exchange Int 3 Complete 2014/07/17 12:00:00 2014/08/12 12:00:00 2014/08/12 09:15:12 UV 2.16.840.1.113883.3.2531.11 lpnt-srmcefpp Starr Regional Medical Center - Etowah Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Starr Regional Medical Center - Etowah 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2531 Ext 14 Complete 2.16.840.1.113883.3.2531.11 2014/07/17 12:00:00 2014/11/20 12:00:00 2018/05/07 11:34:11 UV 2.16.840.1.113883.3.5498 swrhfacility SWRH Facility OID Adam Rossbach masked Adam Rossbach Western Reserve Hospital 1900 23rd Street Cuyahoga Falls, OH 44223 Office: (330) 971-7389 Fax: (330) 971-7370 6146642603 masked CliniSync arossbach@ohiponline.org Exchange Int 3 Complete 2014/07/17 12:00:00 2014/08/12 12:00:00 2014/08/12 09:16:14 UV 2.16.840.1.113883.3.2533.11 lpnt-uhsmfpp UP Health System - Marquette Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange UP Health System - Marquette 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2533 Ext 14 Complete 2.16.840.1.113883.3.2533.11 2014/07/17 12:00:00 2014/11/20 12:00:00 2018/05/07 11:46:53 UV 2.16.840.1.113883.3.5499 swrhprovider SWRH Provider OID Adam Rossbach masked Adam Rossbach Western Reserve Hospital 1900 23rd Street Cuyahoga Falls, OH 44223 Office: (330) 971-7389 Fax: (330) 971-7370 6146642603 masked CliniSync arossbach@ohiponline.org Exchange Int 3 Complete 2014/07/17 12:00:00 2014/08/12 12:00:00 2014/08/12 09:17:08 UV 2.16.840.1.113883.3.4042.11 lpnt-uhsbfpp UP Health System - Bell Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange UP Health System - Bell 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.4042 Ext 14 Complete 2.16.840.1.113883.3.4042.11 2014/07/17 12:00:00 2014/11/20 12:00:00 2018/05/07 12:02:19 UV 2.16.840.1.113883.3.4043.11 lpnt-uhspfpp UP Health System - Portage Provider Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange UP Health System - Portage 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.4043 Ext 14 Complete 2.16.840.1.113883.3.4043.11 2014/07/17 12:00:00 2014/11/20 12:00:00 2018/05/07 12:05:59 UV 2.16.840.1.113883.3.4045.11 lpnt-fhfpp Fauquier Health Providers Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Fauquier Health 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.4045 Ext 14 Complete 2.16.840.1.113883.3.4045.11 2014/07/17 12:00:00 2014/11/20 12:00:00 2014/11/20 08:04:18 UV 2.16.840.1.113883.3.5500 fcmhmrn FCMH MRN OID Adam Rossbach masked Adam Rossbach 6146642603 masked CliniSync arossbach@ohiponline.org Exchange Int 3 Complete 2014/07/17 12:00:00 2014/08/12 12:00:00 2014/08/12 09:23:03 UV 2.16.840.1.113883.3.4048.11 lpnt-smhfpp Scott Memorial Hospital Provider Terry Phillip masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Scott Memorial Hospital 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.4048 Ext 14 Complete 2.16.840.1.113883.3.4048.11 2014/07/17 12:00:00 2014/11/20 12:00:00 2014/11/20 08:05:07 UV 2.16.840.1.113883.3.5341.11 lpnt-rrhsfpp Rutherford Regional Health System Provider Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Rutherford Regional Health System 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.5341 Ext 14 Complete 2.16.840.1.113883.3.5341.11 2014/07/17 12:00:00 2014/11/20 12:00:00 2014/11/20 08:06:19 UV 2.16.840.1.113883.3.5501 fcmhfacility FCMH Facility OID Adam Rossbach masked Adam Rossbach 6146642603 masked CliniSync arossbach@ohiponline.org Exchange Int 3 Complete 2014/07/17 12:00:00 2014/08/12 12:00:00 2014/08/12 09:25:58 UV 2.16.840.1.113883.3.2402.200.6847 physicians-computer-company-clients-skagit Physician's Computer Company (PCC) Clients Skagit Pediatrics, LLP Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6847 2014/07/17 12:00:00 2014/11/20 12:00:00 2014/11/20 08:08:03 UV 2.16.840.1.113883.3.5502 fcmhprovider FCMH Provider OID Adam Rossbach masked Adam Rossbach 6146642603 masked CliniSync arossbach@ohiponline.org Exchange Int 3 Complete 2014/07/17 12:00:00 2014/08/12 12:00:00 2014/08/12 09:27:17 UV 2.16.840.1.113883.3.5503 irmc Indian River Medical Center Barbara Pennell masked BarbaraPennell 1000 36th Street Vero Beach FL 32960 7725674311 masked Laboratory Data Coordinator Indian River Medical Center 1000 36th Street Vero Beach FL 32960 7725674311 irmc.admin@irmc.cc http://irmc.cc Provider Int 3 Complete 2014/07/17 12:00:00 2014/08/12 12:00:00 2014/08/12 09:30:33 UV 2.16.840.1.113883.3.2402.200.6801 physicians-computer-company-clients-spac Physician's Computer Company (PCC) Clients Sandhills Pediatric & Adolescent Clinic Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6801 2014/07/17 12:00:00 2014/11/20 12:00:00 2014/11/20 08:09:45 UV 2.16.840.1.113883.3.5504 aveonhealth Aveon Health oid root Robert Hogle masked Rob Hogle 816 668-1408 masked Project Manager Aveon Health Aveon Health 7699 E. Pinnacle Peak Rd Suite 115 Scottsdale, AZ 85255 480-300-4663 sfereido@cox.net Provider Int 3 Complete 2014/07/18 12:00:00 2014/08/12 12:00:00 2014/08/12 09:31:45 UV 2.16.840.1.113883.3.5505 mercydiagnostics Mercy Diagnostics Inc Corey Stilton masked Corey Stilton 3109 Poplarwood Ct Suite 302 8564375254 masked IT Director Mercy Diagnostics 2040 Briggs Road Suite B Mt. Laurel NJ 08054 877.514.5504 stiltoncl@mercydiagnostics.com http://www.mercydiagnostics.com Vendor Int 3 Complete 2014/07/18 12:00:00 2014/08/12 12:00:00 2014/08/12 09:33:30 US 2.16.840.1.113883.3.5506 mercydiagproviders Mercy Diagnostics Inc Provider Pool Corey Stilton masked Corey Stilton 3109 Poplarwood Ct Suite 302 Raleigh NC 27604 8564375254 masked IT Director Mercy Diagnostics 2040 Briggs Rd. Suite B Mt Laurel NJ 08054 2523273311 stiltoncl@mercydiagnostics.com http://www.mercydiagnostics.com Vendor 2.16.840.1.113883.3.5505 Int 3 Complete 2014/07/18 12:00:00 2014/08/12 12:00:00 2014/08/12 09:36:06 US 2.16.840.1.113883.3.5507 cCMH-Mission CHOC's Children at Mission Anh Ngo masked Anh Ngo 1201 West La Veta Ave. Orange, CA 92868 7145093187 masked MU Program Manager Children's Hospital of Orange County at Mission 27700 Medical Center Rd. 5th Floor Mission Viejo, CA 92691 7145093187 ango@choc.org Provider Int 3 Complete 2014/07/18 12:00:00 2014/08/12 12:00:00 2014/08/12 09:37:25 UV 2.16.840.1.113883.3.5508 larrycampolipodiatry Larry Campoli Podiatry OID Root Larry Campoli masked Larry Campoli PO Box 2413 Cranberry Twp, PA 16066 724-496-8838 masked Doctor Larry Campoli Podiatry 5830 Meridian Rd Gibsonia, PA 15044 724-496-8838 lcdpm1985@yahoo.com Provider Int 3 Complete 2014/07/19 12:00:00 2014/08/12 12:00:00 2014/08/12 09:38:43 UV 2.16.840.1.113883.3.1070.5957 mckesson-fusion-5957 mckesson-fusion-5957 Harry Callier masked Fusion enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5957 2014/07/21 12:00:00 2014/11/20 12:00:00 2014/11/20 08:13:20 US 2.16.840.1.113883.17.4001 cmo Central Michigan Orthopaedics Shannon Novak masked Shannon Novak 2890 Health Park Mt. Pleasant, MI 48858 989-953-4111 masked Practice Manager Central Michigan Orthopaedics 2890 Health Parkway Mt. Pleasant, MI 48858 989-953-4111 sn00@cmichortho.com Provider Int 3 Complete 2014/07/21 12:00:00 2014/08/12 12:00:00 2014/08/12 09:42:54 UV 2.16.840.1.113883.3.5509 tristateopenmri2 Tristate Imaging Consultants Facility OID Jason Dobbs masked Mark Koval Jason Dobbs 101 Greenwood Ave, Suite 150 Jenkintown, PA 19046 215-663-5910 ext 215 masked Enterprise IT Administrator Tristate Imaging Consultants 101 Greenwood Ave, Suite 150 Jenkintown, PA 19046 215-663-5910 Jason.dobbs@tristateopenmri.com http://www.tristateimaging.com Provider Int 3 Complete 2014/07/21 12:00:00 2014/08/12 12:00:00 2014/08/12 09:40:13 UV 2.16.840.1.113883.3.5510 tristateopenmri3 Tristate Imaging Consultants Provider Pool OID Jason Dobbs masked Mark Koval Jason Dobbs 101 Greenwood Ave, Suite 150 Jenkintown, PA 19046 215-663-5910 ext 215 masked Enterprise IT Administrator Tristate Imaging Consultants 101 Greenwood Ave, Suite 150 Jenkintown, PA 19046 215-663-5910 Jason.dobbs@tristateopenmri.com http://www.tristateimaging.com Provider Int 3 Complete 2014/07/21 12:00:00 2014/08/12 12:00:00 2014/08/12 09:44:27 UV 2.16.840.1.113883.3.5511 trcc The Regional Cancer Center Julie Cardman masked Julie Cardman The Regional Cancer Center 2500 W. 12th Street Erie, PA 16505 814-836-2601 masked The Regional Cancer Center The Regional Cancer Center 2500 W. 12th Street Erie, PA 16505 814-836-2601 itsupport@trcc.org Provider Int 3 Complete 2014/07/21 12:00:00 2014/08/12 12:00:00 2014/08/12 09:45:12 US 2.16.840.1.113883.3.5512 docneids Thomas Neidlinger, MD Thomas Neidlinger masked Karen Olmstead 269-781-1122 masked Office Manager Thomas Neidlinger, MD 215 E. Mansion Street Suite 2A Marshall, MI 49068 269-781-1122 kolmstead.neidlinger@gmail.com Provider Int 3 Complete 2014/07/21 12:00:00 2014/08/12 12:00:00 2014/08/12 09:46:14 UV 2.16.840.1.113883.3.1070.5962 mckesson-fusion-5962 mckesson-fusion-5962 Bao Lee masked Fusin enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5962 2014/07/22 12:00:00 2014/11/20 12:00:00 2014/11/20 08:15:46 US 2.16.840.1.113883.3.1070.5963 mckesson-fusion-5963 mckesson-fusion-5963 Bao Lee masked Fusion Enrollment 5775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5963 2014/07/22 12:00:00 2014/11/20 12:00:00 2014/11/20 08:16:50 UK 2.16.840.1.113883.3.5513 richmd Mark Richardson MD PC Jant Richardson masked Janet Richardson 215 E. Mansion St. Ste. 1E Marshall, MI 49068 269-781-3938 masked Office Manager Mark Richardson MD PC 215 E. Mansion St. Suite 1E Marshall, MI 49068 269-781-3938 richardson.fp@gmail.com Provider Int 3 Complete 2014/07/22 12:00:00 2014/08/12 12:00:00 2014/08/12 09:48:45 UV 2.16.840.1.113883.3.5514 gileadpaincare Gilead Pain Care/Pain Clinic of MI Associates Viji Thomas masked Viji V Thomas 39651 Garfield Road Clinton Township, MI 48038 2487038767 masked MD Gilead Pain Care/Pain Clinic of MI Associates 39651 Garfield Road Clinton Township, MI 48038 2487038767 vijivthomas@gmail.com Provider Int 3 Complete 2014/07/22 12:00:00 2014/08/12 12:00:00 2014/08/12 09:50:33 UV 2.16.840.1.113883.3.5515 lambrix-David6011 David Lambrix David Lambrix masked David L. Lambrix 215 E. Mansion Ste 1f Marshall, Mi 49068 269-781-6011 masked David L. Lambrix 215 E. Mansion Ste 1f Marshall, Mi 49068 269-781-6011 dlambosr@gmail.com Provider Int 3 Complete 2014/07/22 12:00:00 2014/08/12 12:00:00 2014/08/12 09:51:51 UV 2.16.840.1.113883.3.2402.200.6837 physicians-computer-company-clients-good Physician's Computer Company (PCC) Clients Good Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6837 2014/07/22 12:00:00 2014/11/20 12:00:00 2014/11/20 08:18:49 UV 2.16.840.1.113883.3.2402.200.335 physicians-computer-company-clients-ppa Physician's Computer Company (PCC) Clients Pediatric Associates of Hampton and Portsmouth, P.C. Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.335 2014/07/22 12:00:00 2014/11/20 12:00:00 2014/11/20 08:20:44 UV 2.16.840.1.113883.3.2402.200.6844 physicians-computer-company-clients-apa Physician's Computer Company (PCC) Clients Augusta Pediatric Associates, P.C. Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6844 2014/07/22 12:00:00 2014/11/20 12:00:00 2014/11/20 08:22:28 UV 2.16.840.1.113883.3.5516 orthodocs MICHAEL S KENNEDY MD R JOSEPH GRIERSON DO Kristy Lakari masked KRISTY Lakari 5 N ATKINSON DRIVE SUITE 200 LUDINGTON MI 49431 231-843-2664 masked OFFICE MANAGER MICHAEL S KENNEDY MD R JOSEPH GRIERSON DO 5 N ATKINSON DR SUITE 200 LUDINGTON, MI 49431 231-843-2664 KCOOPER@LUDINGTONORTHO.COM Provider Int 3 Complete 2014/07/22 12:00:00 2014/08/12 12:00:00 2014/08/12 09:54:48 UV 2.16.840.1.113883.3.5517 mshin Mississippi Health Information Network Jeremy Hill masked Groves Powers 805 S Wheatley St, Ste 540, Ridgeland, MS 39157 (601) 977-8191 masked Director, Healthcare Technology Mississippi Health Information Network 570 E Woodrow Wilson Ave, Jackson, MS 39216 (601) 977-8191 info@ms-hin.ms.gov http://www.ms-hin.ms.gov/ Govt body Int 3 Complete 2014/07/22 12:00:00 2014/08/12 12:00:00 2017/11/14 12:58:46 UV 2.16.840.1.113883.17.4002 clinicserver-eclaims ClinicServer-eClaims Tom McLean masked Tom McLean 89 Canterbury St Suite 205 Saint John, NB E2L 2C7 5066936650 masked CTO ClinicServer 89 Canterbury St Suite 205 Saint John, NB E2L 2C7 5066936650 support@clinicserver.com http://www.clinicserver.com Vendor Int 17 Complete 2014/07/22 12:00:00 2014/11/20 12:00:00 2014/11/20 08:25:24 UV 2.16.840.1.113883.13.266 lims-dhin LIMS-DHIN Connection Andrew Rentschler masked Kendall Patterson 3027444738 masked State of Delaware Division of Public Health 417 Federal St. Dover, DE 19901 3027444550 kendall.patterson@state.de.us Govt body Int 13 Complete 2014/07/23 12:00:00 2015/06/26 12:00:00 2015/06/26 08:57:19 UV 2.16.840.1.113883.13.267 dph-pvdr-pool DPH Provider Pool Andrew Rentschler masked Kendall Patterson 3027444738 masked State of Delaware Division of Public Health 417 Federal St. Dover, DE 19901 3027444550 kendall.patterson@state.de.us Govt body Int 13 Complete 2014/07/23 12:00:00 2015/06/26 12:00:00 2015/06/26 08:59:35 UV 2.16.840.1.113883.3.5518 wfpc West Front Primary Care Alex Steele masked Alex Steele 3537 West Front Street Suite E Traverse City, MI 49684 231-935-8997 masked Information Technologist West Front Primary Care 3537 West Front Street Suite E Traverse City, MI 49684 231-935-8930 asteele@wfpc.biz http://www.westfrontprimarycare.com/ Provider Int 3 Complete 2014/07/24 12:00:00 2014/08/12 12:00:00 2014/08/12 09:57:05 UV 2.16.840.1.113883.3.5519 apomcorp6301 Allied Physicians of Michiana, LLC Brenda Zandi masked Brenda Zandi 6301 University Commons, Suite 230 South Bend, IN 46635 574-251-2100,73228 masked CIO Allied Physicians of Michiana, LLC 6301 University Commons, Suite 230 South Bend, IN 46635 574-251-2100 administrator@apom.com http://www.apom.com/ Provider Int 3 Complete 2014/07/24 12:00:00 2014/08/12 12:00:00 2014/08/12 09:58:55 UV 2.16.840.1.113883.3.5519.22 apomcorp6301-mog Michiana Obstetrics and Gynecology Brenda Zandi masked Brenda Zandi 6301 University Commons, Suite 230 South Bend, IN 46635 574-251-2100,73228 masked CIO Michiana Obstetrics and Gynecology 6301 University Commons, Suite 230 South Bend, IN 46635 574-251-2100 bzandi@apom.com http://www.apom.com/ Provider 2.16.840.1.113883.3.5519 Ext 14 Complete 2.16.840.1.113883.3.5519.22 2014/07/24 12:00:00 2014/08/12 12:00:00 2014/08/12 10:00:43 UV 2.16.840.1.113883.3.5519.4 apomcorp6301-UASB Urology Associates of South Bend Brenda Zandi masked Brenda Zandi 6301 University Commons Suite 230 South Bend, IN 46635 574-251-2100,73228 masked CIO Urology Associates of South Bend 6301 University Commons Suite 230 South Bend, IN 46635 574-251-2100,73228 bzandi@apom.com http://www.apom.com/ Provider 2.16.840.1.113883.3.5519 Ext 14 Complete 2.16.840.1.113883.3.5519.4 2014/07/24 12:00:00 2014/08/12 12:00:00 2014/08/12 10:02:06 UV 2.16.840.1.113883.4.821 crisp-rhs Crisp Regional Health Services Crisp Regional masked Robert Love 902 7th St N Cordele GA 31015 229-276-3173 masked Network Administrator Crisp Regional Health Services 902 7th St N Cordele GA 31015 229-276-3173 it@crispregional.org http://www.crispregional.org/ Provider Int 3 Complete 2014/07/25 12:00:00 2014/09/12 12:00:00 2014/09/12 04:10:35 UV 2.16.840.1.113883.3.5520 mhp-ims Internal Medicine Specialists Steven Feldman masked Danita Mann 5821 West Maple Ste 190 West Bloomfield, Mi 48322 5821 West Maple Ste 190 masked Office Manager Internal Medicine Specialists 5821 West Maple Ste 190 West Bloomfield, Mi 48322 248-855-0407 dmann@millenniummedicalgroup.org Provider Int 3 Complete 2014/07/25 12:00:00 2014/09/12 12:00:00 2014/09/12 04:13:56 UV 2.16.840.1.113883.3.5521 stcatherine St Catherine Hospital Dana Fox masked Kathy Rem Kathy Rem 109 Inverness Dr E Englewood, CO 80112 303-643-4264 masked DIR APPL SYTEMS ANALYST?PROGR Centura Health 188 Inverness Dr West, Suite 500 Englewood, CO 80112 303-290-6500 kathyrem@centura.org http://centura.org Provider 2.16.840.1.113883.3.1001 Int 3 Complete 2014/07/25 12:00:00 2014/09/12 12:00:00 2014/09/12 04:17:17 UV 2.16.840.1.113883.13.268 mrnAtlanticGeneralHospital Atlantic General Hospital - MRN Pool William Smith masked Maria Recor Maria Recor 9733 Healthway Drive Berlin, MD 21811 410-641-1100 masked Information Services Atlantic General Hospital 9733 Healthway Drive Berlin, MD 21811 410-641-1100 mrecor@atlanticgeneral.org http://www.atlanticgeneral.org Provider 2.16.840.1.113883.3.3022 Int 13 Complete 2014/07/25 12:00:00 2014/12/31 12:00:00 2014/12/31 06:15:42 UV 2.16.840.1.113883.13.269 providerIdAtlanticGeneralHospital Atlantic General Hospital - Provider Id Pool William Smith masked Maria Recor Maria Recor 9733 Healthway Drive Berlin, MD 21811 410-641-1100 masked Interface Analyst Atlantic General Hospital 9733 Healthway Drive Berlin, MD 21811 410-641-1100 mrecor@atlanticgeneral.org http://www.atlanticgeneral.org Provider 2.16.840.1.113883.3.3022 Int 13 Complete 2014/07/25 12:00:00 2014/12/31 12:00:00 2014/12/31 06:16:36 UV 2.16.840.1.113883.13.270 mrnAtlanticGeneralHealthSystem Atlantic General Health System (AGHS) - MRN Pool OID William Smith masked Maria Recor Maria Recor 9733 Healthway Drive Berlin, MD 21811 410-641-1100 masked Information Services Atlantic General Hospital 9733 Healthway Drive Berlin, MD 21811 410-641-1100 mrecor@atlanticgeneral.org http://www.atlanticgeneral.org Provider 2.16.840.1.113883.17.117 Int 13 Complete 2014/07/25 12:00:00 2014/12/31 12:00:00 2014/12/31 06:22:27 UV 2.16.840.1.113883.13.271 providerIdAtlanticGeneralHealthSystem Atlantic General Health System (AGHS) - Provider Id Pool OID William Smith masked Maria Recor Maria Recor 9733 Healthway Drive Berlin, MD 21811 410-641-1100 masked Information Services Atlantic General Hospital 9733 Healthway Drive Berlin, MD 21811 410-641-1100 mrecor@atlanticgeneral.org http://www.atlanticgeneral.org Provider 2.16.840.1.113883.17.117 Int 13 Complete 2014/07/25 12:00:00 2014/12/31 12:00:00 2014/12/31 06:24:06 UV 2.16.840.1.113883.13.272 mrnAtlanticImmedicare Atlantic ImmediaCare (AIC) - MRN Pool OID William Smith masked Maria Recor Maria Recor 9733 Healthway Drive Berlin, MD 21811 410-641-1100 masked Information Services Atlantic General Hospital 9733 Healthway Drive Berlin, MD 21811 410-641-1100 mrecor@atlanticgeneral.org http://www.atlanticgeneral.org Provider 2.16.840.1.113883.17.118 Int 13 Complete 2014/07/25 12:00:00 2014/12/31 12:00:00 2014/12/31 06:25:06 UV 2.16.840.1.113883.13.273 providerIdAtlanticImmedicare Atlantic ImmediaCare (AIC) - Provider Id Pool OID William Smith masked Maria Recor Maria Recor 9733 Healthway Drive Berlin, MD 21811 410-641-1100 masked Information Services Atlantic General Hospital 9733 Healthway Drive Berlin, MD 21811 410-641-1100 mrecor@atlanticgeneral.org http://www.atlanticgeneral.org Provider 2.16.840.1.113883.17.118 Int 13 Complete 2014/07/25 12:00:00 2014/12/31 12:00:00 2014/12/31 06:27:16 UV 2.16.840.1.113883.3.1070.5959 mckesson-fusion-5959 mckesson-fusion-5959 Gianna Goodman masked Fusion Enrollment 8775074541 masked Fusion Enrollment gianna.goodman@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5959 2014/07/27 12:00:00 2014/11/21 12:00:00 2014/11/21 03:29:33 US 2.16.840.1.113883.3.5522 kingdomain Kingdomain Corporation John King masked John King 10305 Nantucket Court Fairfax, VA 22032 7035090394 masked President Kingdomain Corporation 10305 Nantucket Court Fairfax, VA 22032 7035090394 kingdomaincorp@gmail.com http://www.linkedin.com/in/kingdomain Vendor Int 3 Complete 2014/07/27 12:00:00 2014/09/12 12:00:00 2014/09/12 04:23:40 UV 2.16.840.1.113883.3.1070.5554 mckesson-fusion-5554 mckesson-fusion-5554 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5554 2014/07/28 12:00:00 2014/11/21 12:00:00 2014/11/21 03:31:46 US 2.16.840.1.113883.3.5523 schoolcraft Schoolcraft Memorial Hospital Kent LaCroix masked Kent LaCroix 7870W US Highway 2 Manistique, MI 49854 9063413295 masked IT Director Schoolcraft Memorial Hospital 9063413200 klacroix@scmh.org http://www.scmh.org Provider Int 3 Complete 2014/07/28 12:00:00 2014/09/12 12:00:00 2014/09/12 04:25:24 UV 2.16.840.1.113883.3.5524 family-medicine-center Centrastate Family Medicine Center Mark Handerhan masked Mark Handerhan 901 W. Main Street, Freehold, NJ 07728 732-294-2587 masked Manager - Systems & Operations Centrastate Family Medicine Center 1001 W. Main Street, Suite B, Freehold, NJ 07728 732-294-2540 mhanderhan@centrastate.com http://www.centrastate.com Provider Int 3 Complete 2014/07/28 12:00:00 2014/09/12 12:00:00 2014/09/12 04:27:26 UV 2.16.840.1.113883.3.2402.200.6843 physicians-computer-company-clients-jenks Physician's Computer Company (PCC) Clients Jenks House Pediatric Clinic Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6843 2014/07/29 12:00:00 2014/11/21 12:00:00 2014/11/21 03:34:57 UV 2.16.840.1.113883.17.4003 rnaholdings RNA Holdings HL7 Interface Naeem Malik masked Duke Yetter Naeem Malik 14800 Landmark Blvd Suite 250 Dallas, TX 75254 2142374510 masked VP of R&D RNA Holdings 14800 Landmark Blvd Suite 250 Dallas, TX 75254 2142374510 nmalik@rnahealth.com http://www.rnahealth.com Vendor Int 17 Complete 2014/07/29 12:00:00 2014/09/12 12:00:00 2014/09/12 04:28:55 UV 2.16.840.1.113883.3.5525 jcl-nm HonorHealth John C. Lincoln Medical Center Bill Cassels masked Jeanne Hanford Shane Bagley 2500 W Utopia Rd Phoenix, AZ 85027 623-683-4144 masked Data Integration Analyst III HonorHealth John C. Lincoln Medical Center 250 E. Dunlap Ave Phoenix, AZ 85020 602-870-6060 epicinterface@HonorHealth.com http://www.HonorHealth.com Provider Int 3 Complete 2014/07/29 12:00:00 2014/09/12 12:00:00 2023/05/24 04:25:50 UV 2.16.840.1.113883.3.5526 jcl-dv HonorHealth Deer Valley Medical Center Bill Cassels masked Jeanne Hanford Shane Bagley 2500 W. Utopia Rd. Phoenix, AZ 85027 623-683-4144 masked Data Integration Analyst II HonorHealth Deer Valley Medical Center 19829 N 27th Ave Phoenix, AZ 85027 623-879-6100 epicinterfaces@HonorHealth.com http://www.HonorHealth.com Provider Int 3 Complete 2014/07/29 12:00:00 2014/09/12 12:00:00 2023/05/24 04:26:27 UV 2.16.840.1.113883.3.5527 pedisurgery Miami Children's Hospital Andrew Vawter masked Colin Knight Miami Children's Hospital Medical Arts Building 3200 SW 60th Ct. 305-662-8320 masked Miami Children's Hospital Miami Children's Hospital Medical Arts Building 3200 SW 60th Ct. 305-662-8320 http://pedisurgery.com Provider Int 3 Complete 2014/07/29 12:00:00 2014/09/12 12:00:00 2014/09/12 04:40:04 UV 2.16.840.1.113883.3.5528 mandB Marquez and Bengochea PA Andrew Vawter masked Marquez & Bengochea, PA 135 Madeira Ave, Coral Gables, FL 33134 (305) 446-8377 masked Marquez & Bengochea, PA 135 Madeira Ave, Coral Gables, FL 33134 (305) 446-8377 andrew.vawter@cerner.com http://www.marquezandbengochea.com Provider Int 3 Complete 2014/07/29 12:00:00 2014/09/12 12:00:00 2014/09/12 04:43:45 UV 2.16.840.1.113883.3.5529 mandBPA Marquez and Bengochea PA Andrew Vawter masked Marquez & Bengochea, PA 135 Madeira Ave, Coral Gables, FL 33134 (305) 446-8377 masked Marquez & Bengochea, PA 135 Madeira Ave, Coral Gables, FL 33134 (305) 446-8377 support@marquezandbengochea.com http://www.marquezandbengochea.com Provider Int 3 Complete 2014/07/29 12:00:00 2014/09/12 12:00:00 2014/09/12 04:46:02 UV 2.16.840.1.113883.3.5530 sscfm Silver Sage Center for Family Medicine Andrew Pasternak masked Andrew Pasternak 10467 Double R Blvd Reno, NV 89521 7758539394 masked Owner Silver Sage Center for Family Medicine 10467 Double R Blvd Reno, NV 89521 775-853-9394 avpiv711@sbcglobal.net Provider Int 3 Complete 2014/07/29 12:00:00 2014/09/12 12:00:00 2014/09/12 04:52:03 UV 2.16.840.1.113883.3.5531 holtonhospital Holton Community Hospital/Rural Health Resources of Jackson County Tamara Elliott masked Tamara Elliott 1110 Columbine Dr. Holton, KS 66436 7853649688 masked Clinical Systems Coordinator Holton Community Hospital 1110 Columbine Dr. Holton, KS 66436 7853649688 telliott@rhrjc.org http://www.holtonhospital.com Provider Int 3 Complete 2014/07/30 12:00:00 2014/09/12 12:00:00 2014/09/12 04:55:45 UV 2.16.840.1.113883.3.2402.200.6817 physicians-computer-company-clients-pawa Physician's Computer Company (PCC) Clients South Sound Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6817 2014/07/30 12:00:00 2014/11/21 12:00:00 2020/05/14 03:34:19 UV 2.16.840.1.113883.3.5532 louisvillepcmh Louisville Patient Centered Medical Home, PSC OID Root James Charasika masked James Charasika 4010 Dupont Circle, Ste. 308 Louisville, KY. 40207 502-896-8041 masked Owner/ MD Louisville Patient Centered Medical Home, PSC 4010 Dupont Circle, Ste. 308 Louisville, KY. 40207 502-896-8041 charasikamd@louisvillepcmh.com http://www.louisvillepcmh.com/ Provider Int 3 Complete 2014/07/30 12:00:00 2014/09/12 12:00:00 2014/09/12 04:57:20 UV 2.16.840.1.113883.4.822 memorialhospital Memorial Hospital Chester Nathan Bartnicki masked Nathan Bartnicki 618 826 4581 masked IS Tech Memorial Hospital 1900 State Street Chester, Illinois 62233 618 826 4581 nbartnicki@mhchester.com Provider Int 3 Complete 2014/07/30 12:00:00 2014/09/14 12:00:00 2014/09/14 09:20:19 UV 2.16.840.1.113883.3.5533 bhmc1 Bayhealth Medical Center - Facility Linda Cronk masked Linda Cronk 655 Bay Road Suite 1H Dover, DE 19901 302-744-7031 masked Business Application Supervisor Bayhealth Medical Center 640 S. State Street Dover, DE 19901 302-674-4700 Linda_Cronk@Bayhealth.org http://www.bayhealth.org/ Provider Int 3 Complete 2014/07/31 12:00:00 2014/09/14 12:00:00 2014/09/14 09:27:03 UV 2.16.840.1.113883.3.5534 bhmc2 Bayhealth Medical Center - Provider Linda Cronk masked Linda Cronk 655 Bay Road Suite 1H Dover, DE 19901 302-744-7031 masked Business Application Supervisor Bahath Medical Center 640 S State Street Dover, DE 19901 302-674-4700 Linda_Cronk@Bayhealth.org http://www.bayhealth.org Provider Int 3 Complete 2014/07/31 12:00:00 2014/09/14 12:00:00 2014/09/14 09:27:41 UV 2.16.840.1.113883.3.5535 cpassoc Community Pulmonary Associates OID Root Lynn Wozney masked Lynn Wozney 20 Hospital Drive, Suite #16 Toms River, NJ 08755 732-349-3323 masked Office Manager Community Pulmonary Associates 20 Hospital Drive, Suite #16 Toms River, NJ 08755 732-349-3323 20LungDoctor16@gmail.com Provider Int 3 Complete 2014/07/31 12:00:00 2014/09/14 12:00:00 2014/09/14 09:28:49 UV 2.16.840.1.113883.3.5536 ddiroothl7oid DDIRootHL7OID Douglas Dersch masked Julie Jones Douglas Dersch Information Generation, inc. for DDI Delaware Diagnostic Imaging PO Box 397 Richwood, NJ 08074 856-478-2277 masked Consultant Delaware Diagnostic Imaging 2055 Limestone Road Suite 104 Wilmington, DE 19808 302-633-6200 jjones@delawarediagnosticimaging.com http://www.delawarediagnosticimaging.com Provider Int 3 Complete 2014/07/31 12:00:00 2014/09/14 12:00:00 2014/09/14 09:30:59 US 2.16.840.1.113883.3.5536.1 ddiFacilityHL7OID Delaware Diagnostic Imaging MRN HL7 OID Douglas Dersch masked Julie Jones Douglas Dersch Douglas Dersch Information Generation, inc. for DDI Delaware Diagnostic Imaging PO Box 397 Richwood, NJ 08074 856-478-2277 masked Consultant Delaware Diagnostic Imaging 2055 Limestone Road Suite 104 Wilmington, DE 19808 1-302-633-6200 jjones@delawarediagnosticimaging.com http://www.delawarediagnosticimaging.com Provider 2.16.840.1.113883.3.5536 Ext 14 Complete 2.16.840.1.113883.3.5536.1 2014/07/31 12:00:00 2016/10/19 12:00:00 2016/10/19 11:56:58 US 2.16.840.1.113883.3.5537 familyhealthofdelaware Family Health of Delaware OID Root Tutse Tonwe masked Julia Stevens 640 South Queen Street Dover, DE 19904 302-734-2444 masked Office Manager Family Health of Delaware 640 South Queen Street Dover, DE 19904 302-734-2444 jastevens07@yahoo.com http://www.familyhealthofdelaware.com/ Provider Int 3 Complete 2014/07/31 12:00:00 2014/09/14 12:00:00 2014/09/14 09:32:50 UV 2.16.840.1.113883.3.5538 jclmrn HonorHealth MRN Bill Cassels masked Jeanne Hanford Shane Bagley 2500 W Utopia Rd Phoenix, AZ 85027 623-683-4144 masked Data Integration Analyst III HonorHealth MRN 2500 W Utopia Rd Phoenix, AZ 85027 623-434-6200 DLITApplications_InterfaceTeam@HonorHealth.com http://www.HonorHealth.com Provider Int 3 Complete 2014/07/31 12:00:00 2014/09/14 12:00:00 2023/05/24 04:27:54 UV 2.16.840.1.113883.3.5539 dhinFacOID DHIN Facility OID Robert Bardwell masked Robert Bardwell St. Francis Hospital 702 N. Clayton Wilmington, DE 19805 302.421.4758 masked IT Project Manager St. Francis Hospital 702 N. Clayton Wilmington, DE 19805 302.421.4758 rbardwell@che-east.org http://www.che.org Provider Int 3 Complete 2014/07/31 12:00:00 2014/09/14 12:00:00 2014/09/14 09:39:53 UV 2.16.840.1.113883.3.5539.1 dhinProvOID DHIN Provider OID Robert Bardwell masked Robert Bardwell St. Francis Hospital 702 N. Clayton Wilmington, DE 19805 302.421.4758 masked IT Project Manager St. Francis Hospital 702 N. Clayton Wilmington, DE 19805 302.421.4758 rbardwell@che-east.org http://www.che.org Provider 2.16.840.1.113883.3.5539 Ext 14 Complete 2.16.840.1.113883.3.5539.1 2014/07/31 12:00:00 2014/09/14 12:00:00 2014/09/14 09:42:21 UV 2.16.840.1.113883.3.5536.2 ddiProviderHL7OID Delaware Diagnostic Imaging PROVIDER HL7 OID Douglas Dersch masked Julie Jones Douglas Dersch Douglas Dersch Information Generation, inc. for DDI Delaware Diagnostic Imaging PO Box 397 Richwood, NJ 08074 856-478-2277 masked Consultant Delaware Diagnostic Imaging 2055 Limestone Road Suite 104 Wilmington, DE 19808 302-633-6200 jjones@delawarediagnosticimaging.com http://www.delawarediagnosticimaging.com Provider 2.16.840.1.113883.3.5536 Ext 14 Complete 2.16.840.1.113883.3.5536.2 2014/07/31 12:00:00 2016/10/19 12:00:00 2016/10/19 12:03:05 US 2.16.840.1.113883.9.179 phlipFluMsgMapELRv251Receiver PHLIP Influenza Business Rules Applied to HL7 Version 2.5.1 Electronic Laboratory Reporting to Public Health R1 Michelle Meigs masked Michelle Meigs 8515 Georgia Ave Silver Spring, MD 20910 508.494.5958 masked Informatics Program Manager Association of Public Health Laboratories 8515 Georgia Ave Silver Spring, MD 20910 240.485.2745 info@aphl.org http://www.aphl.org/Pages/default.aspx Prof Soc Int 9 Complete 2014/08/01 12:00:00 2016/06/11 12:00:00 2016/06/11 12:02:58 ISO US 2.16.840.1.113883.4.823 myDirectivesUADD A|D Vault Exchange Lisa Nelson masked Scott Brown Lisa Nelson 740 E. Campbell Rd., Suite 825 Richardson, TX 75081 4692382858 masked SVP Enterprise Integrations MyDirectives 740 E. Campbell Rd., Suite 825 Richardson, TX 75081 4692382858 lnelson@mydirectives.com https://mydirectives.com/ Vendor Int 3 Complete 2014/08/01 12:00:00 2014/09/14 12:00:00 2024/04/08 01:17:57 UV 2.16.840.1.113883.3.5540 smcbhrs San Mateo County BHRS Lorrie Sheets masked Stephen Kaplan 225 37th Ave San Mateo, CA 94403 650-573-3609 masked Director, Behavioral Health and Recovery Services San Mateo County Health - Behavioral Health and Recovery Services 225 37th Ave San Mateo, CA 94403 650-573-2544 lsheets@smcgov.org http://smchealth.org/bhrs Provider Int 3 Complete 2014/08/01 12:00:00 2014/09/14 12:00:00 2014/09/14 10:01:28 UV 2.16.840.1.113883.3.1070.5967 mckesson-fusion-5967 mckesson-fusion-5967 Harry Callier masked Fusion enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 3 Complete 2.16.840.1.113883.3.1070.5967 2014/08/01 12:00:00 2014/11/21 12:00:00 2014/11/21 04:26:20 US 2.16.840.1.113883.3.5541 asante-root Asante Criss Garcia masked Criss Garcia 2600 Siskiyou Blvd. Suite 200 Medford, OR 97504 541-789-5386 masked Senior Application Analyst Asante 2650 Siskiyou Blvd. Medford, OR 97504 541-789-5386 cgarcia@asante.org http://www.asante.org/ Provider Int 3 Complete 2014/08/01 12:00:00 2014/09/14 12:00:00 2014/09/14 10:02:59 UV 2.16.840.1.113883.9.180 hardinmedical Hardin Medical Center Jacob Bomar masked Jacob Bomar Hardin Medical Center 935 Wayne Rd Savannah, TN 38372 7319268464 masked IT Director Hardin Medical Center Hardin Medical Center 935 Wayne Rd Savannah, TN 38372 7319268464 jbomar@hardinmedical.com Provider Int 3 Complete 2014/08/04 12:00:00 2014/09/14 12:00:00 2014/09/14 10:06:50 UV 2.16.840.1.113883.3.1070.5964 mckesson-fusion-5964 mckesson-fusion-5964 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5964 2014/08/04 12:00:00 2014/11/21 12:00:00 2014/11/21 04:27:31 US 2.16.840.1.113883.3.5542 millenniummedicalpc millenniummedicalpc OID Root Solomon Noguera masked Andrea Erger 1153 East Gannon Drive Festus, MO 63028 636-208-364669 masked Millennium Medical PC 1153 East Gannon Drive Festus, MO 63028 636-931-3667 andrea_mmed@sbcglobal.net Provider Int 3 Complete 2014/08/04 12:00:00 2014/09/14 12:00:00 2014/09/14 10:08:41 UV 2.16.840.1.113883.3.1164.7 mmcrheum Munson Medical Center - Rheumatology Jim Bailey masked rterry@mhc.net Randi Terry 1105 6th Street Traverse City, MI 49684 231-935-5199 masked Director, IS Munson Healthcare Munson Healthcare 1105 6th Street Traverse City, MI 49684 rterry@mhc.net http://www.munsonhealthcare.org Provider 2.16.840.1.113883.3.1164 Ext 17 Complete 2.16.840.1.113883.3.1164.7 2014/08/04 12:00:00 2014/11/21 12:00:00 2014/11/21 04:30:38 UV 2.16.840.1.113883.4.824 pedscdunc Sanford Children's Clinic Duncan Mike Willeson masked Mike Willeson 5300 S. Broadband Lane Suite 200 Sioux Falls, SD 57108 605-328-7345 masked Lead Interface Analyst Sanford Health 5300 S. Broadband Lane Suite 200 Sioux Falls, SD 57108 605-328-7345 mike.willeson@sanfordhealth.org Provider 2.16.840.1.113883.3.3271 Int 3 Complete 2014/08/04 12:00:00 2014/09/14 12:00:00 2014/09/14 10:14:28 UV 2.16.840.1.113883.3.5543 neuromuscular Neuromuscular and Rehabilitation Associates of Northern Michigan Laura Alexander masked Laura Alexander 3988 West Royal Drive Traverse City, MI 49684-9200 231-935-0860 masked Practice Manager Neuromuscular & Rehabilitation Associates of Northern Michigan 3988 West Royal Drive Traverse City, MI 49684-9200 231-935-0860 alexanderl@tc-rehab.com http://tc-rehab.com Provider Int 3 Complete 2014/08/05 12:00:00 2014/09/14 12:00:00 2014/09/14 10:11:33 UV 2.16.840.1.113883.17.4004 smh City of Sallisaw, Sequoyah County Hospital Authority Gary McClanahan masked Gary McClanahan 213 East Redwood PO Box 505 Sallisaw, OK 74955 918-774-1100 masked IT Director Sequoyah Memorial Hospital 213 East Redwood PO Box 505 Sallisaw, OK 74955 918-774-1100 gmcclanahan@smhok.com http://sequoyahmemorial.com Provider Int 17 Complete 2014/08/05 12:00:00 2014/09/14 12:00:00 2014/09/14 10:16:29 UV 2.16.840.1.113883.3.5544 family-practice-FPCS Family Practice of Centrastate Mark Handerhan masked Mark Handerhan 901 W. Main Street, Freehold, NJ 07728 732-294-2587 masked Family Practice of Centrastate 17 Broad Street, Freehold, NJ 07728 732-294-2587 mhanderhan@centrastate.com http://www.fpcj.net Provider Int 3 Complete 2014/08/05 12:00:00 2014/09/14 12:00:00 2014/09/14 10:21:08 UV 2.16.840.1.113883.17.4005 jpnowfacility Jane Phillips Nowata Health Center Facility Kimberly Ballard masked Kimberly Ballard 9187442202 masked Jane Phillips Nowata Health Center 237 S Locust St Nowata, OK 74048 918- 273-3102 kimberly.ballard@sjmc.org Provider Int 17 Complete 2014/08/05 12:00:00 2014/09/14 12:00:00 2014/09/14 10:26:52 UV 2.16.840.1.113883.3.5545 cmmc Chicot Memorial Medical Center Kirk Carpenter masked Kirk Carpenter 2729 South Hwy 65 and 82 8702659308 masked Network Administrator Chicot Memorial Medical Center 2729 South Hwy 65 & 82 8702655351 carpenterk@chicotmemorial.com http://www.chicotmemorial.com Provider Int 3 Complete 2014/08/05 12:00:00 2014/09/14 12:00:00 2014/09/14 10:23:01 UV 2.16.840.1.113883.3.2629.225 caldwell Caldwell UNC Health Care Bradley Cook masked Bradley Cook 101 Manning Dr, Chapel Hill, NC 27514 919-843-5004 masked HCS-Apps Systems Analyst Sr Caldwell UNC Health Care 321 Mulberry Street Lenoir, NC 28645 919-843-5004 bdcook@unch.unc.edu http://caldwellmemorial.org Provider Ext 14 Complete 2.16.840.1.113883.3.2629.225 2014/08/05 12:00:00 2014/11/21 12:00:00 2014/11/21 04:34:51 UV 2.16.840.1.113883.3.2629.250 highpoint High Point Regional UNC Health Care Bradley Cook masked Bradley Cook 101 Manning Dr, Chapel Hill, NC 27514 919-843-5004 masked HCS-Apps Systems Analyst Sr High Point Regional UNC Health Care High Point Regional Health P.O. Box HP-5 High Point, NC 27261 919-843-5004 bdcook@unch.unc.edu http://www.highpointregional.com/ Provider Ext 14 Complete 2.16.840.1.113883.3.2629.250 2014/08/05 12:00:00 2014/11/21 12:00:00 2014/11/21 04:35:54 UV 2.16.840.1.113883.3.2629.275 johnston Johnston UNC Health Care Bradley Cook masked Bradley Cook 101 Manning Dr, Chapel Hill, NC 27514 919-843-5004 masked HCS-Apps Systems Analyst Sr Johnston UNC Health Care 509 N. Bright Leaf Blvd. Smithfield, NC 919-843-5004 bdcook@unch.unc.edu http://johnstonhealth.org/ Provider Ext 14 Complete 2.16.840.1.113883.3.2629.275 2014/08/05 12:00:00 2014/11/21 12:00:00 2014/11/21 04:39:43 UV 2.16.840.1.113883.3.5546 lshp Lakeshore Health Partners Heidi Patterson masked Nathan Silva Nathan Silva 10720 Adams Street Holland, MI 49423 616-394-3460 masked I.S. Programmer/Analyst Lakeshore Health Partners 602 Michigan Ave Holland, MI 49423 616-355-3964 jnovak@hollandhospital.org http://www.lakeshorehealthpartners.com/ Provider Int 3 Complete 2014/08/05 12:00:00 2014/09/14 12:00:00 2014/09/14 10:30:48 UV 2.16.840.1.113883.3.5547 longviewtech Longview Technology Inc Endpoint Scott Sheetz masked Scott Sheetz 11950 Democracy Dr Suite 300 Reston, VA 20190-5692 561-239-8877 masked VP Technology, Emerging Healthcare Solutions Longview Technology Inc 11950 Democracy Dr Suite 300 Reston, VA 20190-5692 703-249-5121 ssheetz@longviewinc.com http://www.longview-inc.com Vendor Int 3 Complete 2014/08/05 12:00:00 2014/09/14 12:00:00 2014/09/14 10:32:47 UV 2.16.840.1.113883.3.2629.400 nash Nash UNC Health Care Mike Plesh masked Bradley Cook 101 Manning Drive Chapel Hill, NC 27514 919-843-5004 masked HCS-Apps System Analyst Sr Nash UNC Health Care 2460 Curtis Ellis Drive, Rocky Mount, NC 27804 919-843-5004 bdcook@unch.unc.edu http://www.nhcs.org/ Provider Ext 14 Complete 2.16.840.1.113883.3.2629.400 2014/08/05 12:00:00 2014/11/21 12:00:00 2014/11/21 04:41:27 UV 2.16.840.1.113883.3.2402.200.6848 physicians-computer-company-clients-eppc Physician's Computer Company (PCC) Clients East Portland Pediatric Clinic, P.C. Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6848 2014/08/05 12:00:00 2014/11/21 12:00:00 2014/11/21 04:44:27 UV 2.16.840.1.113883.3.1070.5972 mckesson-fusion-5972 mckesson-fusion-5972 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5972 2014/08/05 12:00:00 2014/11/21 12:00:00 2014/11/21 04:46:20 US 2.16.840.1.113883.3.1070.5970 mckesson-fusion-5970 mckesson-fusion-5970 Benefactor Generic masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 3 Complete 2.16.840.1.113883.3.1070.5970 2014/08/06 12:00:00 2014/11/21 12:00:00 2014/11/21 04:47:35 US 2.16.840.1.113883.3.5548 iris IRIS, Le Groupe Visuel (Canada) Denis Allard masked Denis Allard 418.781.0366 x 202 masked Directeur D&#233;veloppement Informatique IRIS, Le Groupe Visuel 418.781.0366 x 202 denis.allard@iris.ca http://www.iris.ca Vendor Int 3 Complete 2014/08/06 12:00:00 2014/09/14 12:00:00 2014/09/14 10:34:17 UV 2.16.840.1.113883.3.5549 elmdpm Edward L Murray, DPM OID root Edward Murray masked Rebecca Murray 304 Willow Ave. Honesdale, PA 18431 570-253-1540 masked Office Manager Edward L Murray, DPM 304 Willow Ave. Honesdale, PA 18431 570-253-1540 elmdpm@verizon.net Provider Int 3 Complete 2014/08/06 12:00:00 2014/09/14 12:00:00 2014/09/14 11:12:22 UV 2.16.840.1.113883.3.5550 olympiamedicalcenterLA Olympia Medical Center, Los Angeles Fritz Campbell masked Olympia Medical Center 5900 West Olympic Blvd Los Angeles, 90036 (310) 657-5900 masked Olympia Medical Center 5900 West Olympic Blvd Los Angeles, 90036 (310) 657-5900 helpdesk@olympiamc.com http://olympiamc.com/ Provider Int 3 Complete 2014/08/06 12:00:00 2014/08/27 12:00:00 2014/08/27 02:25:32 UV 2.16.840.1.113883.3.5551 nvfamcare Nevada Family Care Robert Karl masked Robert Karl 100 N Green Valley Pkwy #239 Henderson, NV 89012 USA 7029331485 masked Nevada Family Care 100 N Green Valley Pkwy #239 Henderson, NV 89012 USA 7029331485 admin@nevadafamilycare.com http://www.nevadafamilycare.com Provider Int 3 Complete 2014/08/07 12:00:00 2014/09/14 12:00:00 2014/09/14 11:15:27 UV 2.16.840.1.113883.3.2402.300.11 physicians-computer-company-vendors-palmetto Physician's Computer Company (PCC) Vendors Palmetto Health Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.300.11 2014/08/07 12:00:00 2014/11/21 12:00:00 2014/11/21 04:49:00 UV 2.16.840.1.113883.3.5552 paccsa Pulmonary Allergy Critical Care Sleep Associates Robert Go masked Justin Yu Justin Yu 950 W. Avon Road #2 Rochester Hills, MI 48307 2486516430 masked Pulmonary Allergy Critical Care Sleep Associates robertgodr@gmail.com Provider Int 3 Complete 2014/08/07 12:00:00 2014/09/14 12:00:00 2014/09/14 11:17:48 UV 2.16.840.1.113883.3.5553 mhhcc-pp Memorial Hospital and Health Care Patient Portal Gary Light masked Gary Light 800 West 9th Street Jasper, IN 47546 812-996-0435 masked VP / CIO Memorial Hospital and Health Care Patient Portal 800 West 9th Street Jasper, IN 47546 glight@mhcc.org http://www.mhhcc.org Provider Int 3 Complete 2014/08/07 12:00:00 2014/09/14 12:00:00 2014/09/14 11:20:50 US 2.16.840.1.113883.3.5554 srhn-061 Scotland Regional Health Network OID Root Allen Applewhite masked Allen Applewhite 500 Lauchwood Drive Laurinburg, NC 28352 910-291-7000 masked Scotland Regional Health Network 500 Lauchwood Drive Laurinburg, NC 28352 910-291-7000 Allen.Applewhite@scotlandhealth.org Provider Int 3 Complete 2014/08/07 12:00:00 2014/09/14 12:00:00 2014/09/14 11:23:12 UV 2.16.840.1.113883.3.5555 vippc VIP Eye Care Optometry, PC Inna Polishchuk masked Inna Polishchuk OD 593 E Tremont Ave Bronx, NY 10457 7183103303 masked OD VIP Eye Care Optometry, PC VIP Optometry 593 E Tremont Ave Bronx, NY 10457 7183103303 vipeyecareoptometry@gmail.com Provider Int 3 Complete 2014/08/07 12:00:00 2014/09/14 12:00:00 2014/09/14 11:25:21 UV 2.16.840.1.113883.3.5556 mtgraham Mt. Graham Regional Medical Center Bradley Poindexter masked Mt. Graham Regional Medical Center Casey Gable 928-348-5719 masked Clinical Informatics Mt. Graham Regional Medical Center 1600 20th Avenue Safford, AZ 85546 928-348-5719 casey.gable@mtgraham.org Provider Int 3 Complete 2014/08/07 12:00:00 2014/09/14 12:00:00 2018/08/15 06:37:56 UV 2.16.840.1.113883.3.5557 baptist-health-madisonville Baptist Health Madisonville Jeff Rogers masked Jeff Rogers 900 Hospital drive Attn: Jeff Rogers 270 326 6037 masked Business System Analyst - Lead Baptist Health Madisonville postmaster@bhsi.com http://www.baptisthealthmadisonville.com/ Provider Int 3 Complete 2014/08/07 12:00:00 2014/09/14 12:00:00 2014/09/14 11:33:39 US 2.16.840.1.113883.3.5558 elkview Kiowa County Hospital Authority Dennis Tarver masked Dennis Tarver 429 W. Elm Hobart, OK 73651 5807261969 masked IT Mgr Elkview General Hospital 429 W. Elm Hobart, OK 73651 5807261900 mu2@evgh.org http://www.elkviewhospital.com/ Provider Int 3 Complete 2014/08/08 12:00:00 2014/09/14 12:00:00 2014/09/14 11:35:50 UV 2.16.840.1.113883.3.5559 ach1 Arkansas Children's Hospital Chris Ebert masked Chris Ebert 1 Children's Way Little Rock, AR 72202 5013646545 masked Interoperability Manager Arkansas Children's Hospital 1 Children's Way Little Rock, AR 72202 5013641100 achinfo@archildrens.org Provider Int 3 Complete 2014/08/08 12:00:00 2014/09/14 12:00:00 2014/09/14 11:41:22 UV 2.16.840.1.113883.3.5560 longviewtechprod LongView Technology Production Endpoint Scott Sheetz masked Scott Sheetz 11950 Democracy Dr Suite 300 Reston, VA 20190-5692 561 239 8877 masked VP Technology, Emerging Healthcare Solutions Longview Technology Inc 11950 Democracy Dr Suite 300 Reston, VA 20190-5692 703-249-5121 ssheet@longviewinc.com http://www.longview-inc.com Vendor 2.16.840.1.113883.3.5547 Int 3 Complete 2014/08/08 12:00:00 2014/09/14 12:00:00 2014/09/14 11:47:03 UV 2.16.840.1.113883.3.5561 kennedy-HS Kennedy Health System Nick D'Amico masked Nick D'Amico 500 Marlboro Avenue Cherry Hill, NJ 08002 (856)661-5276 masked Corporate Director, Ambulatory Applications Kennedy Health System 500 Marlboro Avenue Cherry Hill, NJ 08002 (856)661-5227 p.damico@kennedyhealth.org http://www.kennedyhealth.org Provider Int 3 Complete 2014/08/08 12:00:00 2014/09/14 12:00:00 2014/09/14 11:51:00 UV 2.16.840.1.113883.3.5562 pvch Pawnee Valley Community Hospital Neal Haerich masked Vonda Ackerman 2220 Canterbury Drive Hays Kansas 67601 785-623-5463 masked Interface Engineer Pawnee Valley Community Hospital 923 Carroll Avenue Larned Kansas 67550 785-623-5463 vonda.ackerman@haysmed.com http://www.haysmed.com Provider Int 3 Complete 2014/08/08 12:00:00 2014/09/14 12:00:00 2025/08/22 03:33:02 UV 2.16.840.1.113883.3.5563 tbdsolutions TBD Solutions LLC Joshua Hagedorn masked Joshua Hagedorn 4585 40th Street SE, Kentwood, Michigan 49512 877.823.7348 masked Senior Associate TBD Solutions LLC 4585 40th Street SE, Kentwood, Michigan 49512 877.823.7348 info@tbdsolutions.com http://www.tbdsolutions.com/ Vendor Int 3 Complete 2014/08/11 12:00:00 2014/09/14 12:00:00 2014/09/14 11:55:05 UV 2.16.840.1.113883.3.5547.2 longviewtechtest Longview Technology Inc Test Endpoint Scott Sheetz masked Scott Sheetz 11950 Democracy Dr Suite 300 Reston VA, 20190-5692 561-239-8877 masked VP Technology, Emerging Healthcare Solutions LongView Technology Inc 11950 Democracy Dr Suite 300 Reston VA, 20190-5692 703-249-5121 ssheetz@longviewinc.com http://www.longview-inc.com Vendor 2.16.840.1.113883.3.5547 Ext 14 Complete 2.16.840.1.113883.3.5547.2 2014/08/11 12:00:00 2014/09/14 12:00:00 2014/09/14 11:57:06 UV 2.16.840.1.113883.3.5564 btc Barnes Talero Eyecare Maria Barnes masked Dr. Maria C Barnes 390 Harding Place Suite 104 Nashville, TN 37211 6154856251 masked Barnes Talero Eyecare 390 Harding Place Suite 104 Nashville, TN 37211 6154856251 barnes-talero-eyecare@comcast.net Provider Int 3 Complete 2014/08/11 12:00:00 2014/09/14 12:00:00 2014/09/14 11:59:36 UV 2.16.840.1.113883.3.5565 uhbereafacility UH Berea Facility OID Adam Rossbach masked Adam Rossbach UH Berea 6146642603 masked CliniSync arossbach@ohiponline.org Exchange Int 3 Complete 2014/08/11 12:00:00 2014/09/14 12:00:00 2014/09/14 12:01:40 UV 2.16.840.1.113883.3.1070.5965 mckesson-fusion-5965 mckesson-fusion-5965 Harry Callier masked Fusion enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5965 2014/08/11 12:00:00 2014/11/21 12:00:00 2014/11/21 04:51:18 US 2.16.840.1.113883.3.5566 tualityphysicians Tuality Physicians OID Root Peter Hoffman masked Max Seiler 730 SE Oak St Suite D 5034329442 masked Executive Assistant Tuality Physicians 730 SE Oak St Suite D 5034329442 MSeiler@tualityphysicians.com http://www.tualityphysicians.com Provider Int 3 Complete 2014/08/11 12:00:00 2014/09/14 12:00:00 2014/09/14 12:03:42 UV 2.16.840.1.113883.3.5567 meditureTruChart Mediture-TruChart Dan Vatland masked Dan Vatland 7700 Equitable Drive, Suite 100 Eden Prairie, MN 55317 952-400-0300 masked CEO Mediture dan_vatland@mediture.com http://www.mediture.com Vendor Int 3 Complete 2014/08/12 12:00:00 2014/09/14 12:00:00 2016/04/30 12:21:59 UV 2.16.840.1.113883.3.5568 kh Kootenai Health Angela Twedt masked Steve Garske 2003 Kootenai Health Way Coeur d Alene, Idaho 83814 208-625-56333 masked Chief Information Officer Kootenai Health 2003 Kootenai Health Way Coeur d Alene, Idaho 83814 208-625-4000 sgarske@kh.org http://www.kh.org/site/c.dkLSK7OPLnKaE/b.8238323/k.BD8F/Home.htm Provider Int 3 Complete 2014/08/12 12:00:00 2014/09/14 12:00:00 2014/09/14 12:15:31 UV 2.16.840.1.113883.3.5569 bsapg BSA Physicians Group Ashley Golden masked Ashley Golden BSA Health System 1600 Wallace Blvd Amarillo, TX 79106 806-212-8552 masked BSA Physician's Group 1000 Craig Drive Amarillo, TX 79105 ashley.golden@bsahs.org Provider Int 3 Complete 2014/08/12 12:00:00 2014/09/14 12:00:00 2014/10/16 12:45:10 UV 2.16.840.1.113883.3.1070.5968 mckesson-fusion-5968 mckesson-fusion-5968 Benefactor Generic masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@Mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5968 2014/08/12 12:00:00 2014/11/21 12:00:00 2014/11/21 04:52:35 US 2.16.840.1.113883.3.2518.300 lpnt-mpmclis Maria Parham Medical Center LIS Terry Phillipa masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange Maria Parham Medical Center 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2518 Ext 14 Complete 2.16.840.1.113883.3.2518.300 2014/08/13 12:00:00 2014/11/21 12:00:00 2018/05/02 03:55:47 UV 2.16.840.1.113883.3.2533.2 lpnt-uhsm-phy UP Health System - Marquette Physician Practices Terry Phillipa masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange UP Health System - Marquette 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2533 Ext 14 Complete 2.16.840.1.113883.3.2533.2 2014/08/13 12:00:00 2014/11/21 12:00:00 2018/05/07 11:47:52 UV 2.16.840.1.113883.3.2533.2.1 lpnt-uhsm-phy-fmm UP Health System - Marquette Family Medicine - Marquette Terry Phillipa masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange UP Health System - Marquette 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2533.2 Ext 14 Complete 2.16.840.1.113883.3.2533.2.1 2014/08/13 12:00:00 2014/11/21 12:00:00 2018/05/07 11:49:10 UV 2.16.840.1.113883.3.2533.2.2 lpnt-uhsm-phy-fml UP Health System - Marquette Family Medicine - Lakewood Terry Phillipa masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange UP Health System - Marquette 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2533.2 Ext 14 Complete 2.16.840.1.113883.3.2533.2.2 2014/08/13 12:00:00 2014/11/21 12:00:00 2018/05/07 11:50:07 UV 2.16.840.1.113883.3.2533.2.3 lpnt-uhsm-phy-fme UP Health System - Marquette Doctors Park Family Physicians - Escanaba Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange UP Health System - Marquette 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2533.2 Ext 14 Complete 2.16.840.1.113883.3.2533.2.3 2014/08/13 12:00:00 2014/11/21 12:00:00 2018/05/07 11:50:56 UV 2.16.840.1.113883.3.2533.2.4 lpnt-uhsm-phy-pem UP Health System - Marquette Pediatric Specialists Terry Phillips masked Trevor Dickerson Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange UP Health System - Marquette 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhospitals.com Provider 2.16.840.1.113883.3.2533.2 Ext 14 Complete 2.16.840.1.113883.3.2533.2.4 2014/08/13 12:00:00 2014/11/21 12:00:00 2018/05/07 11:52:04 UV 2.16.840.1.113883.3.5570 drdhl Douglas H. Lanning, OD Douglas Lanning masked Helen Lanning 2437 Buhne St. Eureka, CA 95501 (707) 443-4581 masked Business Manager Douglas H. Lanning, O.D. 2437 Buhne St. Eureka, CA 95501 (707) 443-4581 info@drdouglanning.com http://www.drdouglanning.com/ Provider Int 3 Complete 2014/08/13 12:00:00 2014/09/14 12:00:00 2014/09/14 12:44:14 UV 2.16.840.1.113883.3.5571 jclmeditech HonorHealth Medical Group - Saguaro Bill Cassels masked Jeanne Hanford Shane Bagley 2500 W Utopia Rd Phoenix, AZ 85027 623-683-4144 masked Data Integration Analyst II HonorHealth Medical Group - Saguaro 2500 W Utopia Rd Phoenix, AZ 85027 623-434-6200 DLITApplications_InterfaceTeam@HonorHealth.com http://www.HonorHealth.com Provider Int 3 Complete 2014/08/13 12:00:00 2014/09/14 12:00:00 2023/05/24 04:29:02 UV 2.16.840.1.113883.3.5572 pVSurgical Pioneer Valley Surgical Associates Elizabeth Courtney masked Elizabeth Courtney 413-244-9182 masked Pioneer Valley Surgical Associates 2 Medical Center Drive, Suite 404 Springfield Mass 01107 413-244-9182 ecourtney@pvsurgical.com Provider Int 3 Complete 2014/08/13 12:00:00 2014/09/14 12:00:00 2014/09/14 12:47:36 UV 2.16.840.1.113883.3.5573 staffpedi299 Stafford Pediatric Associates, P.C. Michael Laurin masked Michael Laurin 299 Carew St., Suite 430 Springfield, MA 01104 4134783316 masked Practice Manager Stafford Pediatric Associates, P.C. 299 Carew St., Suite 430 Springfield, MA 01104 4134783316 michael_laurin@yahoo.com Provider Int 3 Complete 2014/08/14 12:00:00 2014/09/14 12:00:00 2014/09/14 12:49:26 UV 1.3.6.1.4.1.32898.1.4.2.1021 cfdiab-gr-4100 SHMG Diabetes and Endocrinology - 4100 Lake Dr Michael Dobb masked Michael Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org/ Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.1021 2014/08/15 12:00:00 2014/11/21 12:00:00 2014/11/21 05:10:38 UV 1.3.6.1.4.1.32898.1.4.2.1022 cfdiab-hol-588 SHMG Diabetes and Endocrinology - Holland Michael Dobb masked Michael Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org/ Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.1022 2014/08/15 12:00:00 2014/11/21 12:00:00 2014/11/21 05:12:12 UV 1.3.6.1.4.1.32898.1.4.2.1023 concierge-gr-4069 SHMG Concierge Medicine Michael Dobb masked Michael Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org/ Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.1023 2014/08/15 12:00:00 2014/11/21 12:00:00 2014/11/21 05:13:00 UV 2.16.840.1.113883.17.4006 prsub1 PointRight-SubmissionsOID Glen Horton masked Glen Horton PointRight Inc. 150 CambridgePark Drive #301 Cambridge, MA 02140 781-457-5982 masked SaaS Operations Manager PointRight Inc. PointRight Inc. 150 CambridgePark Drive #301 Cambridge, MA 02140 781-457-5900 glen.horton@pointright.com http://www.pointright.com Vendor Int 17 Complete 2014/08/15 12:00:00 2014/09/14 12:00:00 2014/09/14 12:52:44 UV 2.16.840.1.113883.3.5574 dewittfootandankle DeWitt Foot and Ankle OID Root Matthew DeWitt masked Cheryl Watson 3610 N. Briarwood Lane Muncie, IN 47304 765-284-3879 masked Office Manager DeWitt Foot and Ankle 3610 N. Briarwood Lane Muncie, IN 47304 765-284-3879 drdewitt@dr-dewitt.com Provider Int 3 Complete 2014/08/15 12:00:00 2014/09/14 12:00:00 2014/09/14 12:54:44 UV 2.16.840.1.113883.3.5575 hmaplc Hillsdale Medical Associates, PLC Deborah Koehneke masked Deborah Koehneke 1456 Hudson Rd Hillsdale, Michigan 49242 517-439-0200 masked Practice Manager Hillsdale Medical Associates, PLC 1456 Hudson Rd Hillsdale, Michigan 49242 517-439-0200 dkoehneke@comcast.net http://hmaplc.portalforpatients.com/portal Provider Int 3 Complete 2014/08/15 12:00:00 2014/09/14 12:00:00 2014/09/14 12:56:17 UV 2.16.840.1.113883.9.181 tcrmc TCRMC EHR CDA Anthony Carrasco masked Anthony Carrasco 21530 S. Pioneer Blvd. Hawaiian Gardens, CA 90716 562-303-1044 masked Director, Information Systems Gardens Regional Hospital and Medical Center 21530 S. Pioneer Blvd. Hawaiian Gardens, CA 90716 562-860-0401 acarrasco@tcrmc.org http://www.tcrmc.org Provider Int 3 Complete 2014/08/15 12:00:00 2014/09/14 12:00:00 2014/09/14 12:59:44 US 2.16.840.1.113883.3.5576 pca299 Pediatric Care Associates Sansharee Trimble masked Sansharee Trimble 299 Carew Street Suite 210 Springfield, MA 01104 4137325580 masked Practice Manager Pediatric Care Associates 299 Carew Street Suite 210 Springfield, MA 01104 4137325580 pcasan@comcast.net http://www.yourkidsdoctors.com/ Provider Int 3 Complete 2014/08/15 12:00:00 2014/09/14 12:00:00 2014/09/14 01:04:24 UV 1.3.6.1.4.1.32898.1.4.2.1024 core-health Spectrum Health Core Health - 75 Sheldon Michael Dobb masked Michael Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org/ Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.1024 2014/08/15 12:00:00 2014/11/21 12:00:00 2014/11/21 05:14:00 UV 1.3.6.1.4.1.32898.1.4.2.1025 core-health-gnv-701 Spectrum Health Core Health - Greenville Michael Dobb masked Michael Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org/ Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.1025 2014/08/15 12:00:00 2014/11/21 12:00:00 2014/11/21 05:15:11 UV 1.3.6.1.4.1.32898.1.4.2.1026 cr-gn-707 SHMG Colon Rectal Surgery - Greenville Michael Dobb masked Michael Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org/ Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.1026 2014/08/15 12:00:00 2014/11/21 12:00:00 2014/11/21 05:16:36 UV 2.16.840.1.113883.3.5577 ccfmrn CCF MRN OID Adam Rossbach masked Adam Rossbach Cleveland Clinic | 17325 Euclid Ave. CL30 | Cleveland, OH 44112 6146642603 masked CliniSync arossbach@ohiponline.org Exchange Int 3 Complete 2014/08/18 12:00:00 2014/09/14 12:00:00 2014/09/14 01:06:34 UV 2.16.840.1.113883.3.5578 ccffacility CCF Facility OID Adam Rossbach masked Adam Rossbach Cleveland Clinic | 17325 Euclid Ave. CL30 | Cleveland, OH 44112 6146642603 masked CliniSync arossbach@ohiponline.org Exchange Int 3 Complete 2014/08/18 12:00:00 2014/09/14 12:00:00 2014/09/14 01:07:25 UV 2.16.840.1.113883.3.5579 ccfprovider CCF Provider OID Adam Rossbach masked Adam Rossbach Cleveland Clinic | 17325 Euclid Ave. CL30 | Cleveland, OH 44112 6146642603 masked CliniSync arossbach@ohiponline.org Exchange Int 3 Complete 2014/08/18 12:00:00 2014/09/14 12:00:00 2014/09/14 01:08:20 UV 2.16.840.1.113883.3.5580 ccmrn Cleveland Clinic MRN OID Adam Rossbach masked Adam Rossbach Cleveland Clinic | 17325 Euclid Ave. CL30 | Cleveland, OH 44112 6146642603 masked CliniSync arossbach@ohiponline.org Exchange Int 3 Complete 2014/08/18 12:00:00 2014/09/14 12:00:00 2014/09/14 01:11:11 UV 2.16.840.1.113883.3.5581 ccfacility Cleveland Clinic Facility OID Adam Rossbach masked Adam Rossbach Cleveland Clinic | 17325 Euclid Ave. CL30 | Cleveland, OH 44112 6146642603 masked CliniSync arossbach@ohiponline.org Exchange Int 3 Complete 2014/08/18 12:00:00 2014/09/14 12:00:00 2014/09/14 01:12:46 UV 2.16.840.1.113883.3.5582 ccprovider Cleveland Clinic Provider OID Adam Rossbach masked Adam Rossbach Cleveland Clinic | 17325 Euclid Ave. CL30 | Cleveland, OH 44112 6146642603 masked CliniSync arossbach@ohiponline.org Exchange Int 3 Complete 2014/08/18 12:00:00 2014/09/14 12:00:00 2014/09/14 01:14:05 UV 2.16.840.1.113883.3.5583 ccfrefmrn CCF Reference LAB MRN OID Adam Rossbach masked Adam Rossbach Cleveland Clinic | 17325 Euclid Ave. CL30 | Cleveland, OH 44112 6146642603 masked CliniSync arossbach@ohiponline.org Exchange Int 3 Complete 2014/08/18 12:00:00 2014/09/14 12:00:00 2014/09/14 01:20:56 UV 2.16.840.1.113883.3.5584 ccfreffacility CCF Reference LAB Facility OID Adam Rossbach masked Adam Rossbach Cleveland Clinic | 17325 Euclid Ave. CL30 | Cleveland, OH 44112 6146642603 masked CliniSync arossbach@ohiponline.org Exchange Int 3 Complete 2014/08/18 12:00:00 2014/09/14 12:00:00 2014/09/14 01:21:46 UV 2.16.840.1.113883.3.5585 ccfrefprovider CCF Reference LAB Provider OID Adam Rossbach masked Adam Rossbach Cleveland Clinic | 17325 Euclid Ave. CL30 | Cleveland, OH 44112 6146642603 masked CliniSync arossbach@ohiponline.org Exchange Int 3 Complete 2014/08/18 12:00:00 2014/09/14 12:00:00 2014/09/14 01:23:57 UV 2.16.840.1.113883.3.567.13.1 fdbETCID fdb_Enhanced_Therapeutic_Class_ID Stephanie Broderick masked George Robinson George Robinson 500 E. 96th Street Suite 500 Indianapolis, IN 46240 317-571-7390 masked Senior Product Manager First Databank 500 E. 96th Street Suite 500 Indianapolis, IN 46240 800-428-4495 Grobinson@fdbhealth.com http://www.fdbhealth.com Vendor 2.16.840.1.113883.3.567 Ext 14 Complete 2.16.840.1.113883.3.567.13.1 2014/08/18 12:00:00 2014/11/21 12:00:00 2014/11/21 05:19:00 US 2.16.840.1.113883.3.5586 springfieldchc Springfield College Student health Center Kellyann O'Brien masked Kellyann O'Brien 263 Alden St. Springfield, MA 01109 413-748-3175 masked Director of Health Services Springfield College Student Health Center 263 Alden St. Springfield, MA 01109 413-748-3175 kobrien6@springfieldcollege.edu Provider Int 3 Complete 2014/08/18 12:00:00 2014/09/14 12:00:00 2014/09/14 01:25:53 UV 2.16.840.1.113883.3.3991.2000 epic-placer Sparrow Epic Placer Order Number Karen Furman masked tom.woodward@sparrow.org Karen Furman 1301 N. Hagadorn East Lansing, MI 48823 (517)332-9656 masked Senior Interface Specialist Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 (517)364-1000 isparrowinterfaceteam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.2000 2014/08/18 12:00:00 2014/11/21 12:00:00 2014/11/21 05:20:33 UV 2.16.840.1.113883.3.5587 health-eFilings Health eFilings OID Root Ben West masked Ben West 6086923825 masked Health eFilings 7633 Ganser Way, Suite 103 Madison, WI 53719 6086923825 bwest@healthefilings.com Vendor Int 3 Complete 2014/08/18 12:00:00 2014/09/14 12:00:00 2015/10/06 11:04:03 UV 2.16.840.1.113883.3.5588 cfvhs Cape Fear Valley Health System Joseph Quinn masked Phill Wood Phill Wood CAPE FEAR VALLEY HEALTH SYSTEM 1638 OWEN DRIVE, FAYETTEVILLE, NC 28304 910-615-5713 masked CIO Cape Fear Valley Health System 1638 OWEN DRIVE FAYETTEVILLE, NC 28304 (910) 615-4000 pewood@capefearvalley.com http://www.capefearvalley.com Provider Int 3 Complete 2014/08/18 12:00:00 2014/09/14 12:00:00 2014/09/14 01:29:19 UV 1.2.36.1.2001.1005.19.6 picscentralNTDepartmentOfHealth PICS Central IDs for NT Department of Health Philip Wilford masked NEHTA Dr Angie Hayes Ground Floor Construction House, 1 Briggs Street Darwin , NT 0800 Postal address: PO Box 40596, Casuarina, NT 0811 0438014669 masked NT Department Of Health Angie.hayes@nt.gov.au http://www.health.nt.gov.au Govt body Ext 13 Complete 1.2.36.1.2001.1005.19.6 2014/08/18 12:00:00 2014/09/14 12:00:00 2014/09/14 03:02:33 AU 1.2.36.1.2001.1005.19.7 picsbagotNTDepartmentOfHealth PICS Bagot IDs for NT Department of Health Philip Wilford masked NEHTA Dr Angie Hayes Ground Floor Construction House, 1 Briggs Street Darwin , NT 0800 Postal address: PO Box 40596, Casuarina, NT 0811 0438014669 masked NT Department Of Health Angie.hayes@nt.gov.au http://www.health.nt.gov.au Govt body Ext 13 Complete 1.2.36.1.2001.1005.19.7 2014/08/18 12:00:00 2014/09/14 12:00:00 2014/09/14 03:03:36 AU 1.2.36.1.2001.1005.19.8 picsbinjariNTDepartmentOfHealth PICS Binjari IDs for NT Department of Health Philip Wilford masked NEHTA Dr Angie Hayes Ground Floor Construction House, 1 Briggs Street Darwin, NT 0800 Postal address: PO Box 40596, Casuarina, NT 0811 0438014669 masked NT Department Of Health Angie.hayes@nt.gov.au http://www.health.nt.gov.au Govt body Ext 13 Complete 1.2.36.1.2001.1005.19.8 2014/08/18 12:00:00 2014/09/14 12:00:00 2014/09/14 03:04:45 AU 1.2.36.1.2001.1005.19.9 caresysNTDepartmentOfHealth Caresys l IDs for NT Department of Health Philip Wilford masked NEHTA Dr Angie Hayes Ground Floor Construction House, 1 Briggs Street Darwin, NT 0800 Postal address: PO Box 40596, Casuarina, NT 0811 0438014669 masked NT Department Of Health Angie.hayes@nt.gov.au http://www.health.nt.gov.au Govt body Ext 13 Complete 1.2.36.1.2001.1005.19.9 2014/08/18 12:00:00 2014/09/14 12:00:00 2014/09/14 03:05:56 AU 1.2.36.1.2001.1005.19.10 clinicalworkstationNTDepartmentOfHealth Clinical Workstation IDs for NT Department of Health Philip Wilford masked NEHTA Dr Angie Hayes Ground Floor Construction House, 1 Briggs Street Darwin , NT 0800 Postal address: PO Box 40596, Casuarina, NT 0811 0438014669 masked NT Department Of Health Angie.hayes@nt.gov.au http://www.health.nt.gov.au Govt body Ext 13 Complete 1.2.36.1.2001.1005.19.10 2014/08/18 12:00:00 2014/09/14 12:00:00 2014/09/14 03:06:44 AU 2.16.840.1.113883.3.5589 brightree Brightree OID Gary Bartlett masked Gary Bartlett 1735 North Brown Road Lawrenceville Ga 30043 678.243.2081 masked Brightree LLC 1735 North Brown Road Lawrenceville, GA 30043 (678) 473-6790 gbartlett@brightree.com https://www.brightree.com Exchange Int 3 Complete 2014/08/19 12:00:00 2014/09/14 12:00:00 2014/09/14 03:08:32 UV 2.16.840.1.113883.3.989.5.1.1 eu EU OID Root John Kiser masked Master Data Management Service 30 Churchill Place, Canary Wharf, London E14 5EU, United Kingdom +44 (0) 20 3660 7326 masked EMA Technical Lead European Medicines Agency 30 Churchill Place, Canary Wharf, London E14 5EU, United Kingdom +44 (0) 20 3660 7326 mdms@ema.europa.eu http://www.ema.europa.eu Govt body Ext 17 Complete 2.16.840.1.113883.3.989.5.1.1 2014/08/19 12:00:00 2014/11/21 12:00:00 2014/11/21 05:23:21 UV 2.16.840.1.113883.3.5590 chs-org-hl7 Capital Health System Kurt fritsch masked Capital Health System Kurt Fritsch 750 Brunswick Ave Trenton, NJ 08638 609-537-6781 masked Manager Systems & Programming Capital Health system kfritsch@chsnj.org http://capitalhealth.org Provider Int 3 Complete 2014/08/19 12:00:00 2014/09/14 12:00:00 2014/09/14 03:13:01 US 2.16.840.1.113883.4.825 webEHR CGM webEHR Rachel Gilbert masked Rachel Gilbert CompuGroup Medical 3300 N. Central Ave, Suite 2100 Phoenix, AZ 85012 6179467845 masked Sr. Regulatory Affairs Analyst CompuGroup Medical 3300 N. Central Ave, Suite 2100 Phoenix, AZ 85012 6179467845 rachel.gilbert@cgm.com http://www.cgm.com/us/index.en.jsp Vendor Int 3 Complete 2014/08/19 12:00:00 2014/09/14 12:00:00 2015/08/21 01:05:31 UV 2.16.840.1.113883.4.826 cgmclinical CGM CLINICAL Rachel Gilbert masked Rachel Gilbert 125 High Street 8th Floor Boston, MA 02110 6179467845 masked Regulatory Affairs Analyst CompuGroup Medical 125 High Street 8th Floor Boston, MA 02110 6179467845 rachel.gilbert@cgm.com http://www.cgm.com/us/index.en.jsp Vendor Int 3 Complete 2014/08/19 12:00:00 2014/09/14 12:00:00 2014/09/14 03:23:19 UV 2.16.840.1.113883.4.827 cgmEEHR CGM ENTERPRISE EHR Rachel Gilbert masked Rachel Gilbert 125 High Street 8th Floor Boston, MA 02110 6179467845 masked CompuGroup Medical rachel.gilbert@cgm.com http://www.cgm.com/us/index.en.jsp Vendor Int 3 Complete 2014/08/19 12:00:00 2014/09/14 12:00:00 2014/09/14 03:26:16 UV 2.16.840.1.113883.17.4007 wagonerhospital Wagoner Community Hospital April Watkins masked April Watkins 1200 W Cherokee Wagoner, OK 74467 918-485-1218 masked Meaningful Use/Clinical Systems Wagoner Community Hospital 1200 W Cherokee Wagoner, OK 74467 918-485-1218 awatkins@wagonerhospital.com http://www.wagonerhospital.com Provider Int 17 Complete 2014/08/19 12:00:00 2014/09/14 12:00:00 2016/12/21 01:32:07 UV 2.16.840.1.113883.17.4008 athena-wagoner athena/Wagoner 14254 April Watkins masked April Watkins 1200 W Cherokee Wagoner, OK 74467 918-485-1218 masked Meaningful Use/Clinical Systems Athena Health System/Wagoner 14254 1200 W Cherokee Wagoner, OK 74467 918-485-1218 awatkins@wagonerhospital.com http://www.wagonerhospital.com Vendor Int 17 Complete 2014/08/19 12:00:00 2014/09/14 12:00:00 2016/12/21 01:38:01 UV 2.16.840.1.113883.3.5591 ria Radiology Imaging Associates Biswajit Mishra masked Claudia Tellez Sunil Patel Radiology Imaging Associates (RIA), 7801 Old Branch Ave, Suite 300, Clinton, MD 20735 7038580001 x 1 x 731 masked VP of Information Services Radiology Imaging Associates (RIA) Radiology Imaging Associates (RIA), 7801 Old Branch Ave, Suite 300, Clinton, MD 20735 7038580001 spatel@riassociates.com http://www.riassociates.com/ Provider Int 3 Complete 2014/08/20 12:00:00 2014/09/14 12:00:00 2014/09/14 03:34:23 UV 2.16.840.1.113883.3.5592 hcmhElkinNC Hugh Chatham Memorial Hospital Josh Griswell masked Ted 180 Parkwood Drive Elkin, NC 28621 336-527-3383 masked CIO Hugh Chatham Memorial Hospital 180 Parkwood Drive Elkin, NC 28621 336-527-3383 tbayack@hughchatham.org http://www.hughchatham.org Provider Int 3 Complete 2014/08/20 12:00:00 2014/09/14 12:00:00 2023/04/17 11:48:28 UV 2.16.840.1.113883.3.5593 qhsfacility Quindell Health Service Facility OID Mike Roberts masked Quindell Health Service Mike Roberts 70 Frid Street, Unit 2 Hamilton, ON L8P4M4 Canada (289)426-1853 masked Business Development Coordinator Quindell Health Service 70 Frid Street, Unit 2 Hamilton, ON L8P4M4 Canada (289)426-1891 qhinfo@quindell.com https://quindellhs.ca/ Vendor Int 3 Complete 2014/08/20 12:00:00 2014/09/14 12:00:00 2014/09/14 03:37:30 UV 2.16.840.1.113883.3.1070.5958 mckesson-fusion-5958 mckesson-fusion-5958 Harry Callier masked Fusion enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5958 2014/08/20 12:00:00 2014/11/21 12:00:00 2014/11/21 05:25:30 US 2.16.840.1.113883.3.5594 ngmllc NextGen Management LLC Lewis Stahl masked Lewis Stahl 1001 Avenue of the Americas 11th Floor New York, NY 10018 212-967-1944 masked CEO NextGen Management LLC 1001 Avenue of the Americas 11th Floor New York, NY 10018 212-967-1944 techwiz@nymed.net http://www.dx-web.com Vendor Int 3 Complete 2014/08/20 12:00:00 2014/09/14 12:00:00 2014/09/14 03:38:27 UV 2.16.840.1.113883.4.828 chadronHospital Chadron Community Hospital Danny Anderson masked Danny Anderson Chadron Community Hospital 825 Centennial Drive Chadron, NE 69337 308-432-5586 masked EHR Applications Manager Chadron Community Hospital 825 Centennial Drive Chadron, NE 69337 308-432-5586 coo@chadronhospital.com http://www.chadronhospital.com HL7 body Int 3 Complete 2014/08/21 12:00:00 2014/09/14 12:00:00 2014/09/14 03:42:05 UV 2.16.840.1.113883.4.829 chadronHospitalLab Chadron Community Hospital Lab Danny Anderson masked Danny Anderson Chadron Community Hospital 825 Centennial Dr Chadron, NE 69337 308-432-5586 masked EHR Applications Manager Chadron Community Hospital 825 Centennial Dr Chadron, NE 69337 308-432-5586 coo@chadronhospital.com http://www.chadronhospital.com HL7 body 2.16.840.1.113883.4.828 Int 3 Complete 2014/08/21 12:00:00 2014/09/14 12:00:00 2014/09/14 03:44:08 UV 2.16.840.1.113883.3.5595 oc Boundary Community Hospital LANA HERZINGER masked Craig Johnson 6640 Kaniksu St Bonners Ferry, ID 83805 208-267-3141 masked Chief Executive Officer Boundary Community Hospital 6640 Kaniksu St Bonners Ferry, ID 83805 208-267-3141 cjohnson@bcch.org http://www.boundaryhospital.org Provider Int 3 Complete 2014/08/21 12:00:00 2014/09/14 12:00:00 2014/09/14 05:29:28 UV 2.16.840.1.113883.3.5596 bchmed Benewah Community Hospital MediTch OID Lori Stoltz masked Lori Stoltz 229 South 7th Street St Maries, ID 83861 208-245-7614 masked Chief Finanical Officer Benewah Community Hospital 229 South 7th Street St Maries, ID 83861 208-245-5551 lstoltz@bchmed.org http://www.bchmed.org Provider Int 3 Complete 2014/08/21 12:00:00 2014/09/14 12:00:00 2014/09/14 05:36:20 UV 2.16.840.1.113883.3.5597 bghsp Bonner General Health Bob Hess masked Bob Hess 520 N Third Ave Sandpoint, ID 83864 208 265-1196 masked Director IS Bonner General Health 520 N Third Ave Sandpoint, ID 83864 208 263-1441 bob.hess@bonnergeneral.org http://www.bonnergeneral.org Provider Int 3 Complete 2014/08/21 12:00:00 2014/09/14 12:00:00 2014/09/14 05:38:23 UV 2.16.840.1.113883.3.1070.5625 mckesson-fusion-5625 mckesson-fusion-5625 Fusion Enrollment Generic_McKesson masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5625 2014/08/21 12:00:00 2014/11/21 12:00:00 2014/11/21 05:27:27 US 2.16.840.1.113883.3.5598 dhamilos David T. Hamilos, DPM OID Root David Hamilos masked Michelle Flint 508 Princeton Road, Suite 202 Johnson City, TN 37601 (423) 926-2741 masked Billing David T. Hamilos, DPM 508 Princeton Road, Suite 202 Johnson City, TN 37601 (423) 926-2741 hamilosstaff1@gmail.com Provider Int 3 Complete 2014/08/22 12:00:00 2014/09/14 12:00:00 2014/09/14 05:40:14 UV 2.16.840.1.113883.3.5599 kindredHealthcare Kindred Healthcare Molly Maloney masked Molly Maloney 680 S 4th Street Louisville, KY 40202 5025962357 masked Business Analyst Kindred Healthcare 680 S 4th Street Louisville, KY 40202 5025967486 betsy.reliford@kindred.com http://www.kindredhealthcare.com/ Provider Int 3 Complete 2014/08/22 12:00:00 2014/09/14 12:00:00 2014/09/14 05:41:54 US 2.16.840.1.113883.2.45 hl7-Malaysia HL7 Malaysia Lynn Laakso masked Mohamad Azrin Zubir Level 2 Tower 1 The Horizon Bangsar South Kuala Lumpur Malaysia 59200 +60 192365177 masked Chairperson, HL7 Malaysia HL7 Malaysia HL7 Malaysia Advanced Informatics Management Lvl 2, Twr 1, Ave 3, Bangsar So No. 8, Jalan Kerinchi Kuala Lumpur Kuala Lumpur 59200 MALAYSIA +60 192365177 Azrinmd@Mpmsb.net HL7 body Int 2 Complete 2014/08/22 12:00:00 2014/08/22 12:00:00 2014/08/22 04:31:15 UV 2.16.840.1.113883.3.5600 srma-01007 Swift River Medical Associates Laura Drake masked Laura Drake 35 Bridge Street Belchertown, MA 01007 4132130550 masked Office Manager Swift River Medical Associates 35 Bridge Street Belchertown, MA 01007 4132130550 ldrake@swiftrivermedical.com http://swiftrivermedical.com/ Provider Int 3 Complete 2014/08/25 12:00:00 2014/09/14 12:00:00 2014/09/14 05:43:49 UV 2.16.840.1.113883.3.5601 mcmhredoak Montgomery County Memorial Hospital Debi Slaughter masked Ron Kloewer Ronald G. Kloewer 2301 Eastern Ave Red Oak, IA 51566 712 623 7208 masked CIO Montgomery County Memorial Hospital 2301 Eastern Ave Red Oak, IA 51566 712 623 7000 rkloewer@mcmh.org http://www.mcmh.org Provider Int 3 Complete 2014/08/25 12:00:00 2014/09/14 12:00:00 2014/09/14 05:49:42 UV 2.16.840.1.113883.3.5602 sjpowwomens SJP Owasso Womens Health Group Kimberly Ballard masked Kimberly Ballard 12455 E. 100th St. N. , Ste. 220 Owasso, OK 74055 9187442202 masked SJC Owasso Womens Health Group 12455 E. 100th St. N. , Ste. 220 Owasso, OK 74055 918-274-5555 Ahisha.Peters@sjmc.org http://www.sjmc.org Provider Int 3 Complete 2014/08/25 12:00:00 2014/09/14 12:00:00 2014/09/14 05:51:08 UV 2.16.840.1.113883.3.5603 sjpowwomensba SJP Owasso Womens Health Group Broken Arrow MOB Kimberly Ballard masked Kimberly Ballard 4848 S. 129th East Avenue Tulsa, OK 74134 918-744-2202 masked SJC Owasso Womens Health Group BA 800 W Boise Circle, Suite 270 Broken Arrow, OK 74012 918-274-5555 Ahisha.Peters@sjmc.org http://www.sjmc.org Provider Int 3 Complete 2014/08/25 12:00:00 2014/09/14 12:00:00 2014/09/14 05:52:26 UV 2.16.840.1.113883.3.5604 sjpowwomenssap SJP Owasso Womens Health Group Sapulpa Kimberly Ballard masked Kimberly Ballard 4848 S. 129th East Avenue Tulsa, OK 74134 918-744-2202 masked SJC Owasso Womens Health Group Sapulpa 414 South Mission Street Sapulpa, OK 74066 918-274-5555 Ahisha.Peters@sjmc.org http://www.sjmc.org Provider Int 3 Complete 2014/08/25 12:00:00 2014/09/14 12:00:00 2014/09/14 05:54:16 UV 2.16.840.1.113883.3.5605 sahchicago Saint Anthony Hospital - Chicago, IL Mark Jennings masked adrankus@sahchicago.org Mark Jennings Saint Anthony Hospital 2875 West 19th Street, Chicago, IL 60623 770-891-7226 masked CIO Saint Anthony Hospital Saint Anthony Hospital 2875 West 19th Street, Chicago, IL 60623 773-484-4345 mjennings@sahchicago.org http://www.saintanthonyhospital.org Provider Int 3 Complete 2014/08/25 12:00:00 2014/09/14 12:00:00 2014/09/14 05:55:53 UV 2.16.840.1.113883.3.5606 igh Indianapolis Gastroenterology and Hepatology Elizabeth Trefry masked Elizabeth Trefry 8051 South Emerson Avenue, Suite 200 Indianapolis, In 46237 317-857-4028 masked Clinic Manager Elizabeth Trefry 8051 South Emerson Avenue, Suite 200 Indianapolis, In 46237 317-857-4028 ltrefry@indygastro.com https://indygastro.com Provider Int 3 Complete 2014/08/25 12:00:00 2014/09/14 12:00:00 2014/09/14 05:59:37 UV 2.16.840.1.113883.3.5607 dha-nm Digestive Health Associates of Northern Michigan Michelle Rippberger masked Michelle Rippberger 4100 Park Forest Drive, Suite 208 Traverse City, MI 49684 231-935-9053 masked Information Specialist Digestive Health Associates of Northern Michigan 4100 Park Forest Drive, Suite 208 Traverse City, MI 49684 mrippberger@dha-nm.com https://www.dha-nm.com/ Provider Int 3 Complete 2014/08/26 12:00:00 2014/09/14 12:00:00 2014/09/14 06:02:08 UV 2.16.840.1.113883.3.5608 cns Center for Neurological Surgery, PC Marcia Clark masked Marcia Clark 515 W Jefferson St Petoskey, MI 49770 2313485622 masked Practice Manager Center for Neurological Surgery, PC 515 W Jefferson St. Petoskey, MI 49770 2313485622 mclark@centerforneurosurgery.com https://centerforneurosurgery.com Provider Int 3 Complete 2014/08/26 12:00:00 2014/09/14 12:00:00 2014/09/14 06:05:31 UV 2.16.840.1.113883.3.520.3.17 naaccr-tnm-pathologic-staged-by NAACCR TNM Pathologic Staged By Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 15 Complete 2.16.840.1.113883.3.520.3.17 2014/08/26 12:00:00 2014/08/28 12:00:00 2014/08/28 01:17:42 UV 2.16.840.1.113883.3.520.4.17 tnm-pathologic-tumor TNM Pathologic Tumor value set Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 13 Complete 2.16.840.1.113883.3.520.4.17 2014/08/26 12:00:00 2014/11/21 12:00:00 2014/11/21 05:31:40 UV 2.16.840.1.113883.3.520.4.18 tnm-pathologic-node TNM Pathologic Node value set Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 13 Complete 2.16.840.1.113883.3.520.4.18 2014/08/26 12:00:00 2014/11/21 12:00:00 2014/11/21 05:33:25 UV 2.16.840.1.113883.3.520.4.19 tnm-pathologic-metastasis TNM Pathologic Merastasis valus set Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 13 Complete 2.16.840.1.113883.3.520.4.19 2014/08/26 12:00:00 2014/11/21 12:00:00 2014/11/21 05:36:04 UV 2.16.840.1.113883.3.520.4.20 tnm-pathologic-stage-group TNM Pathologic Stage Group value set Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 13 Complete 2.16.840.1.113883.3.520.4.20 2014/08/26 12:00:00 2014/11/21 12:00:00 2014/11/21 05:39:06 UV 2.16.840.1.113883.3.520.4.21 tnm-stage-descriptor TNM Stage Descriptor value set Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 13 Complete 2.16.840.1.113883.3.520.4.21 2014/08/26 12:00:00 2014/11/21 12:00:00 2014/11/21 05:41:35 UV 2.16.840.1.113883.3.520.4.23 naaccr-rrtabr-grouping NAACCR Radiation Regional Treatment and Boost Radiation Grouping value set Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 13 Complete 2.16.840.1.113883.3.520.4.23 2014/08/26 12:00:00 2014/11/21 12:00:00 2014/11/21 05:49:50 UV 2.16.840.1.113883.3.520.4.24 radiation-rrtabr-icd-9-cm-codes Radiation Regional Treatment and Boost Radiation ICD-9-CM codes value set Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 13 Complete 2.16.840.1.113883.3.520.4.24 2014/08/26 12:00:00 2014/11/21 12:00:00 2014/11/21 05:52:06 UV 2.16.840.1.113883.3.520.4.25 rrtabr-icd10-pcs-codes Radiation Regional Treatment and Boost Radiation ICD10-PCS codes valus set Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 13 Complete 2.16.840.1.113883.3.520.4.25 2014/08/26 12:00:00 2014/11/21 12:00:00 2014/11/21 05:56:42 UV 2.16.840.1.113883.3.520.4.26 rrtabr-snomed-ct-codes Radiation Regional Treatment and Boost Radiation SNOMED CT codes value set Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 13 Complete 2.16.840.1.113883.3.520.4.26 2014/08/26 12:00:00 2014/11/21 12:00:00 2014/11/21 06:00:26 UV 2.16.840.1.113883.3.520.4.27 naaccr-tnm-pathologic-staged-by NAACCR TNM Pathologic Staged By value set Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 13 Complete 2.16.840.1.113883.3.520.4.27 2014/08/26 12:00:00 2014/11/21 12:00:00 2014/11/21 06:01:20 UV 2.16.840.1.113883.3.520.4.29 naaccr-snomedct-cancer-reportability-list NAACCR SNOMEDCT Cancer Reportability List value set Wendy Scharber masked Lori Havener Lori Havener 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800x7 masked Program Manager of Standards North American Association of Central Cancer Registries (NAACCR) 2121 West White Oaks Drive Suite B Springfield, IL 62704-7412 217-698-0800 info@naaccr.org http://www.naaccr.org SDO Ext 13 Complete 2.16.840.1.113883.3.520.4.29 2014/08/26 12:00:00 2014/11/21 12:00:00 2014/11/21 06:03:06 UV 2.16.840.1.113883.3.2402.200.6835 physicians-computer-company-clients-bap Physician's Computer Company (PCC) Clients Bay Area Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6835 2014/08/27 12:00:00 2014/11/21 12:00:00 2014/11/21 06:04:18 UV 2.16.840.1.113883.4.350.111 stgelder Gelder Medical Paul Wilder masked Alexandra Cohen 40 Worth St, 5th Fl, New York, NY 10013 6466196750 masked VP Product Management STHL 45 Lewis Street Binghamton, NY 13901 607.651.9150 info@sthlny.com Exchange 2.16.840.1.113883.4.350 Ext 17 Complete 2.16.840.1.113883.4.350.111 2014/08/27 12:00:00 2014/12/18 12:00:00 2014/12/18 11:25:07 UV 2.16.840.1.113883.4.350.112 strivgastro Gastroenterology Associates of Riverside Drive Paul Wilder masked Alexandra Cohen 40 Worth St, 5th Fl, New York, NY 10013 6466196750 masked VP Product Management STHL 45 Lewis Street Binghamton, NY 13901 607.651.9150 info@sthlny.com Exchange 2.16.840.1.113883.4.350 Ext 17 Complete 2.16.840.1.113883.4.350.112 2014/08/27 12:00:00 2014/12/18 12:00:00 2014/12/18 11:26:22 UV 2.16.840.1.113883.4.350.113 stkapurpado Rani Kapur-Pado Paul Wilder masked Alexandra Cohen 40 Worth St, 5th Fl, New York, NY 10013 6466196750 masked VP Product Management STHL 45 Lewis Street Binghamton, NY 13901 607.651.9150 info@sthlny.com Exchange 2.16.840.1.113883.4.350 Ext 17 Complete 2.16.840.1.113883.4.350.113 2014/08/27 12:00:00 2014/12/18 12:00:00 2014/12/18 11:27:03 UV 2.16.840.1.113883.4.350.114 stbutt Khalid R Butt MD Paul Wilder masked Alexandra Cohen 40 Worth St, 5th Fl, New York, NY 10013 6466196750 masked VP Product Management STHL 45 Lewis Street Binghamton, NY 13901 607.651.9150 info@sthlny.com Exchange 2.16.840.1.113883.4.350 Ext 17 Complete 2.16.840.1.113883.4.350.114 2014/08/27 12:00:00 2014/12/18 12:00:00 2014/12/18 11:28:04 UV 2.16.840.1.113883.4.350.115 stsilvestri Mario G. Silvestri, DPM, PC Paul Wilder masked Alexandra Cohen 40 Worth St, 5th Fl, New York, NY 10013 6466196750 masked STHL 45 Lewis Street Binghamton, NY 13901 607.651.9150 info@sthlny.com Exchange 2.16.840.1.113883.4.350 Ext 17 Complete 2.16.840.1.113883.4.350.115 2014/08/27 12:00:00 2014/12/18 12:00:00 2014/12/18 11:29:02 UV 2.16.840.1.113883.17.4009 ridgeviewMedicalCenter Ridgeview Medical Center ELR William Lilly masked Mike Lilly 500 South Maple street Waconis, Mn 55387 9524422191 x 6592 masked Integration Mamanger Ridgeview Medical Center 500 South Maple street Waconia, MN 55387 9524422191 mike.lilly@ridgeviewmedical.org http://www.ridgeviewmedical.org/ Provider Int 17 Complete 2014/08/27 12:00:00 2014/09/14 12:00:00 2014/09/14 06:10:56 UV 2.16.840.1.113883.3.5609 connecticutDPH Connecticut Department of Public Health Diane Fraiter masked Diane Fraiter CT Dept. of Public Health 410 Capitol Ave Hartford, CT 06134 860-509-7938 masked IT Analyst 3 CT Department of Public Health CT Dept. of Public Health 410 Capitol Ave Hartford, CT 06134 860-509-8000 diane.fraiter@ct.gov http://ct.gov/dph/site/default.asp Govt body Int 3 Complete 2014/08/28 12:00:00 2014/09/14 12:00:00 2014/09/14 06:12:24 UV 2.16.840.1.113883.3.5610 cima222 Cardiology & Internal Medicine Associates Anand Kanjolia masked Anand kanjolia Cardiology & Internal Medicine Associates 222 Carew Street, 4th Floor Springfield MA 01104 4137811186 masked Physician Cardiology & Internal Medicine Associates 222 Carew Street, 4th Floor Springfield MA 01104 4137811186 dockanjolia@cima222.comcastbiz.net Provider Int 3 Complete 2014/08/28 12:00:00 2014/09/14 12:00:00 2014/09/14 06:16:57 UV 2.16.840.1.113883.3.5611 chs-LHN-Enterprise Lutheran Health Network Enterprise Jeff DeJournett masked Jeff DeJournett 7950 West Jefferson Blvd. Suite 301 Fort Wayne, IN 46804 303-552-6846 masked Interface Analyst Lutheran Health Network 7950 West Jefferson Blvd. Suite 301 Fort Wayne, IN 46804 303-552-6846 jdejournett@lhn.net Provider Int 3 Complete 2014/08/28 12:00:00 2014/09/14 12:00:00 2014/09/14 06:18:34 UV 2.16.840.1.113883.3.5461.2 windopath OID for Psyche Systems WindoPath LIS Andrew Rabbitt masked Andrew Rabbitt 25 Birch Street Bldg B Milford MA 01757 5084731500 masked Psyche Systems Employee Psyche Systems Corporation 25 Birch Street Bldg B Milford MA 01757z 5084731500 info@psychesystems.com http://www.psychesystems.com Vendor 2.16.840.1.113883.3.5461 Ext 14 Complete 2.16.840.1.113883.3.5461.2 2014/08/29 12:00:00 2014/11/21 12:00:00 2014/11/21 06:08:34 UV 2.16.840.1.113883.4.350.116 stcruz John N. Cruz MD Paul Wilder masked Alexandra Cohen 40 Worth St, 5th Fl, New York, NY 10013 6466196750 masked VP Product Management STHL 45 Lewis Street Binghamton, NY 13901 607.651.9150 info@sthlny.com Exchange 2.16.840.1.113883.4.350 Ext 17 Complete 2.16.840.1.113883.4.350.116 2014/08/29 12:00:00 2014/12/18 12:00:00 2014/12/18 11:30:22 UV 2.16.840.1.113883.3.5612 sjhs San Juan Health Services Julie Bingham masked Julie Bingham P.O. Box 308 Monticello, UT 84535 435-587-2116 masked Security Officer San Juan Health Services P.O. Box 308 Monticello, UT 84535 435-587-2116 jbingham@sanjuanhospital.org Provider Int 3 Complete 2014/09/02 12:00:00 2014/09/14 12:00:00 2014/09/14 06:25:43 UV 2.16.840.1.113883.3.5613 cpcfp CENTER FOR PRIMARY CARE MICHAEL HAMMOCK masked Jack Sunderman PO Box 1967 Evans, Ga 30809 7069228269 masked CIO CENTER FOR PRIMARY CARE PO Box 1967 Evans, GA 30809 7069228269 helpdesk@cpcfp.com http://www.cpcfamilymed.com Provider Int 3 Complete 2014/09/02 12:00:00 2014/09/14 12:00:00 2021/01/06 11:54:30 UV 2.16.840.1.113883.3.2402.200.6855 physicians-computer-company-clients-hilltop Physician's Computer Company (PCC) Clients Hilltop Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6855 2014/09/02 12:00:00 2014/11/21 12:00:00 2014/11/21 06:13:46 UV 2.16.840.1.113883.3.2402.200.6853 physicians-computer-company-clients-arvada Physician's Computer Company (PCC) Clients Arvada Pediatric Associates, P. C. Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6853 2014/09/02 12:00:00 2014/11/21 12:00:00 2014/11/21 06:15:32 UV 2.16.840.1.113883.3.5614 nysomh New York State Office of Mental Health Gerald Engel masked Gerald Engel 518-474-7720 masked Associate Commissioner, CMIO New York State Office of Mental Health 44 Holland Ave Albany, NY 12229 518-474-7720 gerald.engel@omh.ny.gov http://www.omh.ny.gov/ Govt body Int 3 Complete 2014/09/02 12:00:00 2014/09/14 12:00:00 2014/09/14 06:30:30 UV 2.16.840.1.113883.3.2402.200.413 physicians-computer-company-clients-wgpp physician's Computer Company (PCC) Clients West Georgia Pediatric Partners Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.413 2014/09/02 12:00:00 2014/11/21 12:00:00 2014/11/21 06:16:50 UV 2.16.840.1.113883.3.1070.5981 mckesson-fusion-5981 mckesson-fusion-5981 Harry Callier masked Fusion enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5981 2014/09/02 12:00:00 2014/10/18 12:00:00 2014/10/18 09:39:44 US 2.16.840.1.113883.3.1070.5974 mckesson-fusion-5974 mckesson-fusion-5974 Harry Callier masked Fusion enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor Ext 17 Complete 2.16.840.1.113883.3.1070.5974 2014/09/02 12:00:00 2014/10/18 12:00:00 2014/10/18 09:41:26 US 2.16.840.1.113883.3.5615 unival-ADR UNIVAL, Inc. Ron Fernandez masked Ron Fernandez 2311 Green Road Suite D Ann Arbor, Michigan 48105 800-332-4463 masked Director IT UNIVAL, Inc. 2311 Green Road Suite D Ann Arbor, Michigan 48105 800-332-4463 ron.fernandez@unival-med.com http://www.unival-med.com Vendor Int 3 Complete 2014/09/02 12:00:00 2014/10/17 12:00:00 2014/10/17 05:56:15 UV 2.16.840.1.113883.3.5616 reid Reid Hospital & Health Care Services Jason Blunk masked Tim Love Tim Love 1100 Reid Parkway Richmond, IN 47374 765-983-3064 masked Director, Information Services Reid Hospital & Health Care Services 1100 Reid Parkway Richmond, IN 47374 765-983-3000 Tim.Love@ReidHospital.org https://www.ReidHospital.org Provider Int 3 Complete 2014/09/02 12:00:00 2014/10/17 12:00:00 2014/10/17 05:58:46 UV 2.16.840.1.113883.3.5617 swmh-OID Southwest Health System HL7 OID David Cabana masked David Cabana 1311 North Mildred Rd. Cortez, CO 81321 970-564-2374 masked Information Technology Systems Manager Southwest Health System, Inc. 1311 North Mildred Rd. Cortez, CO 81321 970-565-6666 helpdesk@swhealth.org http://www.swhealth.org Provider Int 3 Complete 2014/09/02 12:00:00 2014/10/17 12:00:00 2014/10/17 06:00:04 UV 2.16.840.1.113883.3.1070.5980 mckesson-fusion-5980 mckesson-fusion-5980 Fusion Enrollment Generic_McKesson masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5980 2014/09/03 12:00:00 2014/10/18 12:00:00 2014/10/18 09:38:13 US 2.16.840.1.113883.17.4010 lakelandcancerspecialist Lakeland Cancer Specialist Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Medical Practices 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org Provider 2.16.840.1.113883.3.3848 Int 17 Complete 2014/09/03 12:00:00 2014/10/17 12:00:00 2014/10/17 06:02:14 UV 2.16.840.1.113883.3.5618 hchin Harrison County Hospital Michael Clark masked cwiley@hchin.org Michael Clark Harrison County Hospital 1141 Hospital Drive NW Corydon, IN 47112 (812)738-8746 masked Systems Administrator Harrison County Hospital 1141 Hospital Drive NW Corydon, IN 47112 (812) 738-4251 info@hchin.org Provider Int 3 Complete 2014/09/03 12:00:00 2014/10/17 12:00:00 2014/10/17 06:11:08 UV 2.16.840.1.113883.3.5619 lifepoint Lifepoint Informatics William Seay masked Erik McHugh 2014479991 x313 masked CIO Lifepoint Informatics 65 Harristown Road Glen Rock, NJ 07452 2014479991 x313 emchugh@lifepoint.com http://www.lifepoint.com Provider Int 3 Complete 2014/09/03 12:00:00 2014/10/17 12:00:00 2014/10/17 06:17:44 lifepoint UV 2.16.840.1.113883.3.5620 hmhHuntsvilleMemorialHospital HuntsvilleMemorialHospital Peggy Knight masked Peggy Knight 936-291-4592 masked Huntsville Memorial Hospital 110 Memorial Hospital Dr P.O. Box 4001 Huntsville, Tx 77340 936-291-3411 peggys@hmh.cc Provider Int 3 Complete 2014/09/03 12:00:00 2014/10/17 12:00:00 2014/10/17 06:30:36 UV 2.16.840.1.113883.3.5621 mrnpool Jefferson Health Information Exchange Paula Weldon masked Paula Weldon 520 Medical Center Drive Medford, OR 97504 8552905443 masked Project Manager Jefferson Health Information Exchange 520 Medical Center Drive Medford, OR 97504 8552905443 paula.weldon@jhie.org http://www.jhie.org/ Exchange Int 3 Complete 2014/09/03 12:00:00 2014/10/17 12:00:00 2014/10/17 06:33:07 UV 2.16.840.1.113883.3.5622 prhealth JHIE Primary Health Gina Bianco masked Paula Weldon 520 Medical Center Drive #120 Medford, OR 97504 855-290-5443 masked Project Manager JHIE Primary Health 520 Medical Center Drive #120 Medford, OR 97504 855-290-5443 paula.weldon@jhie.org http://jhie.org Exchange Int 3 Complete 2014/09/03 12:00:00 2014/10/17 12:00:00 2014/10/17 06:37:35 UV 2.16.840.1.113883.3.5623 cascha JHIE CHA Gina Bianco masked Paula Weldon 520 Medical Center Drive #120 Medford, OR 97504 855-290-5443 masked Project Manager JHIE CHA 520 Medical Center Drive #120 Medford, OR 97504 855-290-5443 paula.weldon@jhie.org http://jhie.org Exchange Int 3 Complete 2014/09/03 12:00:00 2014/10/17 12:00:00 2014/10/17 06:40:00 UV 2.16.840.1.113883.3.5624 dmcfh DeSoto Memorial Center for Family Health Daniel Hogan masked Mary Ellen Brown Mary Ellen Brown 900 N Robert Ave Arcadia, FL 34266 8634943535 masked Director MIS DeSoto County Hospital District 900 N Robert Ave Arcadia, FL 34266 863 494-3535 mbrown@dmh.org https://www.dmh.org Govt body 2.16.840.1.113883.3.3432 Int 3 Complete 2014/09/03 12:00:00 2014/10/17 12:00:00 2014/10/17 06:41:09 UV 2.16.840.1.113883.13.274 allergyIntoleranceType Allergy and Intolerance Type Value Set Elaine Ayres masked Lisa Nelson Elaine Ayres 10 Center Drive MSC 1504 NIH Clinical Center National Institutes of Health Bethesda, MD 20892-1504 301 594 3019 masked Deputy Chief, LID HL7 Patient Care WG eayres@nih.gov HL7 body Int 13 13 Complete 2014/09/03 12:00:00 2015/06/26 12:00:00 2015/06/26 08:43:09 UV 2.16.840.1.113883.13.275 allergyIntoleranceCriticality Allergy and Intolerance Criticality Value Set Elaine Ayres masked Lisa Nelson Elaine Ayres 10 Center Drive MSC 1504 NIH Clinical Center National Institutes of Health Bethesda, MD 20892-1504 301 594 3019 masked HL7 Patient Care WG eayres@nih.gov HL7 body Int 13 13 Complete 2014/09/03 12:00:00 2015/06/26 12:00:00 2015/06/26 08:45:48 UV 2.16.840.1.113883.3.5625 physicianservices physicianservices OID Root Melissa Miller masked Melissa Miller 32 Jefferson Avenue, Suite 209 Sharon, PA 16146 724-983-7272 masked Software Product Specialist Sharon Regional Physician Services 32 Jefferson Avenue, Suite 209 Sharon, PA 16146 724-983-7272 melmiller@srhs-pa.org Provider Int 3 Complete 2014/09/04 12:00:00 2014/10/18 12:00:00 2014/10/18 07:51:21 UV 2.16.840.1.113883.3.5626 nhcinc Neighborhood Health Clinic, Inc. Pamela Cardec masked Leslie Lascheid Leslie Lascheid 121 Goodlette Rd. N. 239-529-2246 masked CEO Neighborhood Health Clinic, Inc. 239-261-6600 info@neighborhoodhealthclinic.org http://www.neighborhoodhealthclinic.org Provider Int 3 Complete 2014/09/04 12:00:00 2014/10/17 12:00:00 2014/10/17 06:43:17 UV 2.16.840.1.113883.3.5627 lmcfl Lakeside Medical Center Nicole White masked Monica Georgelis 561-804-5686 masked IT Manager Lakeside Medical Center 39200 Hooker Highway Belle Glade, FL 33430 561-996-6571 mgeorgel@hcdpbc.org Provider Int 3 Complete 2014/09/04 12:00:00 2014/10/17 12:00:00 2014/10/17 06:45:35 UV 2.16.840.1.113883.3.2402.200.5019 physicians-computer-company-clients-csp Physician's Computer Company (PCC) Clients Coral Square Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.5019 2014/09/04 12:00:00 2014/11/21 12:00:00 2014/11/21 06:19:23 UV 2.16.840.1.113883.3.2402.200.6857 physicians-computer-company-clients-trivalley Physician's Computer Company (PCC) Clients Tri Valley Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6857 2014/09/04 12:00:00 2014/11/21 12:00:00 2014/11/21 06:21:29 UV 2.16.840.1.113883.3.5628 mep Mary Ellen Padusi O.D. Mary Ellen Padusi masked Mary Ellen Padusi 4131 E. Joppa Road Nottingham, MD 21236 410-256-1006 masked Optometrist Mary Ellen Padusi 4131 E. Joppa Road Nottingham, MD 21236 410-256-1006 maryellenpadusi@yahoo.com https://www.drpadusi.com Provider Int 3 Complete 2014/09/04 12:00:00 2014/10/18 12:00:00 2014/10/18 07:54:03 UV 2.16.840.1.113883.3.5629 evc Elliott Vision Care Jeffery Elliott masked Jeffery D Elliott, OD 1139 North Hills Centre Ada, OK 74820 580-332-6000 masked Jeffery D Elliott, OD 1139 North Hills Centre Ada, OK 74820 580-332-6000 odjeffe@cableone.net Provider Int 3 Complete 2014/09/04 12:00:00 2014/10/18 12:00:00 2014/10/18 07:55:31 UV 2.16.840.1.113883.4.831 unival-ADR-Repository Unival Advanced Directive Registry Repository ID Ron Fernandez masked Ron Fernandez 2311 Green Road Suite D Ann Arbor, Michigan 48105 800-332-4463 masked Director IT UNIVAL, Inc. 2311 Green Road Suite D Ann Arbor, Michigan 48105 800-332-4463 ron.fernandez@unival-med.com http://www.unival-med.com Vendor Int 3 Complete 2014/09/04 12:00:00 2014/10/18 12:00:00 2014/10/18 07:58:16 US 2.16.840.1.113883.3.1070.5960 mckesson-fusion-5960 mckesson-fusion-5960 Harry Callier masked Fusion enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5960 2014/09/04 12:00:00 2014/09/23 12:00:00 2014/09/23 10:08:06 US 2.16.840.1.113883.9.182 smh01 Saline Memorial Hospital ID for HIE Mike Harney masked Mike Harney 5017766394 masked Project Manager Saline Memorial Hospital 1 Medical Park Drive Benton, AR 72015 5017766000 mike.harney@salinememorial.org http://www.salinememorial.org Provider Int 3 Complete 2014/09/05 12:00:00 2014/10/18 12:00:00 2014/10/18 08:00:58 UV 2.16.840.1.113883.3.5630 mphHIE Monterey Park Hospital Health Information Exchange Angelica Ching masked Angelica Ching 6263072197 masked IT Director Monterey Park Hospital 900 S. Atlantic Blvd, Monterey Park, CA 91754 626-570-9000 angelica.ching@ahmchealth.com https://www.ahmchealth.com Provider Int 3 Complete 2014/09/05 12:00:00 2014/10/18 12:00:00 2014/10/18 08:03:17 UV 2.16.840.1.113883.3.5631 hrhcare-ccda-insight-to-nyec hrhcare-ccda-insight-to-nyec Adam Lipton masked Adam Lipton 1037 Main Street Peekskill, NY 10566 904-734-8713 masked VP of Information and Practice Management Hudson River HealthCare (HRHCare) 1037 Main Street Peekskill, NY 10566 914-734-8713 alipton@hrhcare.org http://www.hrhcare.org Provider Int 3 Complete 2014/09/05 12:00:00 2014/10/18 12:00:00 2014/10/18 08:08:20 UV 2.16.840.1.113883.3.5632 firstchoice First Choice Community Healthcare OID Root John Dailey masked John Dailey 2001 N. Centro Familiar SW Albuquerque, NM 87105 USA +1 505 452 4039 masked Accountant III First Choice Community Healthcare, Inc. 2001 N. Centro Familiar SW Albuquerque, NM 87105 +1 505 873 7401 helpdesk@fcch.com http://www.fcch.com Provider Int 3 Complete 2014/09/05 12:00:00 2014/10/18 12:00:00 2014/10/18 08:09:10 UV 2.16.840.1.113883.3.5633 jpmhfacility JPMH Facility OID Adam Rossbach masked Adam Rossbach 981 Wooster Rd, Millersburg, OH 44654 6146642603 masked CliniSync arossbach@ohiponline.org Exchange Int 3 Complete 2014/09/05 12:00:00 2014/10/18 12:00:00 2014/10/18 08:10:15 UV 2.16.840.1.113883.3.5634 jpmhprovider JPMH Provider OID Adam Rossbach masked Adam Rossbach 981 Wooster Rd, Millersburg, OH 44654 6146642603 masked Adam Rossbach arossbach@ohiponline.org Exchange Int 3 Complete 2014/09/05 12:00:00 2014/10/18 12:00:00 2014/10/18 08:10:56 UV 1.3.6.1.4.1.22812.3.7415001.0 sma Allscripts Touchworks EHR Robert Schaich masked Christopher Duke 2720 N. Tenaya Way Las Vegas, NV 89128 702-242-7675 masked Manager, Clinical Applications Southwest Medical Associates christopher.duke@uhc.com Provider Ext 3 Complete 1.3.6.1.4.1.22812.3.7415001.0 2014/09/05 12:00:00 2014/10/18 12:00:00 2018/06/18 07:17:31 UV 1.3.6.1.4.1.22812.3.7415001.0.2 sma-patients Patient assigning authority OID Robert Schaich masked Christopher Duke 2720 N. Tenaya Way Las Vegas, NV 89128 7022427675 masked Manager, Clinical Applications Christopher Duke christopher.duke@uhc.com Provider Ext 14 Complete 1.3.6.1.4.1.22812.3.7415001.0.2 2014/09/05 12:00:00 2014/10/18 12:00:00 2018/06/18 07:18:52 UV 2.16.840.1.113883.3.5635 wirralhospital Wirral University Teaching Hospital NHS Foundation Trust Stephen Gerrard masked Sheila Stewart Sheila Stewart Informatics Department Cedar House Clatterbridge Hospital Clatterbridge Road Bebington Wirral CH63 4JY 01516785111 Ext. 8881 masked Associate Director of Informatics Wirral University Teaching Hospital NHS Foundation Trust Arrowe Park Hospital Arrowe Park Road Upton Wirral CH49 5PE 0151 678 5111 wih-tr.communications@nhs.net http://www.wuth.nhs.uk Provider Int 3 Complete 2014/09/08 12:00:00 2014/10/18 12:00:00 2014/10/18 08:21:13 UV 2.16.840.1.113883.3.5636 fhcmo Family Health Center of Boone County Wade Greene masked Wade Greene 1001 W Worley St Columbia, MO 65203 573-886-6772 masked Director of IT and Facilities Family Health Center of Boone County 1001 W Worley St Columbia, MO 65203 573-214-2314 wgreene@fhcmo.org http://www.fhcmo.org Provider Int 3 Complete 2014/09/08 12:00:00 2014/10/18 12:00:00 2014/10/18 08:22:21 UV 1.3.6.1.4.1.22812.3.745001.0.3 sma-providers Provider assigning authority OID for SMA Robert Schaich masked Christopher Duke 2720 N. Tenaya Way Las Vegas, NV 89128 7022427675 masked Manager, Clinical Applications Southwest Medical Associates Inc. christopher.duke@uhc.com Provider 1.3.6.1.4.1.22812.3.7415001.0 Ext 14 Complete 1.3.6.1.4.1.22812.3.745001.0.3 2014/09/08 12:00:00 2014/10/18 12:00:00 2018/06/18 07:21:38 UV 2.16.840.1.113883.3.5637 larabida La Rabida Children's Hospital Root ID Vincent Vitali masked Vncent Vitali 6501 S Promontory Drive Chicago, IL 60649 773-663-8670 masked CIO La Rabida Children's Hospital 6501 S Promontory Drive Chicago, IL 60649 773-363-6700 info@larabida.org http://www.larabida.org Provider Int 3 Complete 2014/09/08 12:00:00 2014/10/18 12:00:00 2014/10/18 08:24:24 US 2.16.840.1.113883.3.5638 sjcentba SJC ENT BA Kimberly Ballard masked Kimberly Ballard 4848 S. 129th East Avenue Tulsa, OK 74134 918-744-2202 masked SJC ENT BA 800 West Boise Cir. Ste 150 Broken Arrow, OK 74012 918-994-9150 Ahisha.Peters@sjmc.org Provider Int 3 Complete 2014/09/08 12:00:00 2014/10/18 12:00:00 2014/10/18 08:27:25 UV 2.16.840.1.113883.3.5639 sjucss St John Urgent Care Center Sand Springs Kimberly Ballard masked Kimberly Ballard 4848 S. 129th East Avenue Tulsa, OK 74134 918-744-2202 masked St John Urgent Care Center Sand Springs 402 West Morrow Road Sand Springs, OK 74063 918-245-1119 Ahisha.Peters@sjmc.org Provider Int 3 Complete 2014/09/08 12:00:00 2014/10/18 12:00:00 2014/10/18 08:28:54 UV 2.16.840.1.113883.3.5640 jvchc Jordan Valley Community Health Center Matt Seebauer masked Matt Seebauer 4178310150 masked Director of IT & Facilities Jordan Valley Community Health Center 440 East Tampa Street Springfield MO 65806 4178310150 IT@jordanvalley.org Provider Int 3 Complete 2014/09/08 12:00:00 2014/10/18 12:00:00 2014/10/18 08:32:15 UV 2.16.840.1.113883.3.5641 cnsa Carolina Neurosurgery & Spine Pam Saunders masked Pam Saunders 225 Baldwin Av Charlotte, NC 28204 704-831-3104 masked Director of Information Systems and Managed Care Carolina Neurosurgery & Spine Assoc 225 Baldwin Av Charlotte, NC 28204 704-376-1605 pam.saunders@cnsa.com http://www.cnsa.com Provider Int 3 Complete 2014/09/08 12:00:00 2014/10/18 12:00:00 2014/10/18 08:33:46 UV 2.16.840.1.113883.3.5642 careforu Care For U OID Root Yolanda Worley masked Yolanda Worley 16250 Northland Dr., Suite 312 Southfield, MI 48075 864-367-8245 masked Consultant Care For U Medical PC 16250 Northland Dr., Suite 312 Southfield, MI 48075 248-336-2850 y.g.worley@gmail.com Provider Int 3 Complete 2014/09/09 12:00:00 2014/10/18 12:00:00 2014/10/18 08:35:19 UV 2.16.840.1.113883.3.5643 fmch Fort Madison Community Hospital Shane Tapper masked Shane Tapper 3193726530 masked Fort Madison Community Hospital stapper@fmchosp.com Provider Int 3 Complete 2014/09/09 12:00:00 2014/10/18 12:00:00 2014/10/18 08:37:56 UV 2.16.840.1.113883.3.5644 primarycareprofessionals Primary Care Professionals OID Root Nelson Antunez masked Tammy Dunn PRIMARY CARE PROFESSIONALS 1890 Silver Cross Blvd Suite 370 New Lenox, IL 60451 (815) 300-1591 masked Practice Manager Primary Care Professionals 1890 Silver Cross Blvd, Suite 370 New Lenox, IL 60451 (815) 300-1450 PrimaryCareProfessionals@silvercross.org Provider Int 3 Complete 2014/09/09 12:00:00 2014/10/18 12:00:00 2014/10/18 08:39:54 UV 2.16.840.1.113883.3.5645 arcsol Arcadia Solutions Luke Shulman masked Jonathan Cook 20 Blanchard Rd. Unit 10 Arcadia Solutions Burlington, MA 01803 781-202-3600 masked Cheif Technology Officer Arcadia Solutions 20 Blanchard Rd. Unit 10 Arcadia Solutions Burlington, MA 01803 781-202-3600 servicedesk@arcadiasolutions.com https://www.arcadiasolutions.com Vendor Int 3 Complete 2014/09/09 12:00:00 2014/10/18 12:00:00 2016/11/02 04:19:40 UV 2.16.840.1.113883.15 smExtCodesetRoot Root Small Codesets External to HL7 William Ted Klein masked Ted Klein +1 631 924 6922 masked OID Admin HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 Oidregistry@HL7.org http://www.hl7.org/Special/committees/Vocab/index.cfm SDO 2.16.840.1.113883 Ext 15 Complete 2.16.840.1.113883.15 2014/09/10 12:00:00 2014/09/10 12:00:00 2014/09/10 08:48:37 UV 2.16.840.1.113883.18 v2CodeSystemsRoot Version 2.x Code Systems Root William Ted Klein masked Ted Klein +1 631 924 6922 masked OID Admin HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org/Special/committees/Vocab/index.cfm SDO 2.16.840.1.113883 Ext 18 Complete 2.16.840.1.113883.18 2014/09/10 12:00:00 2014/09/10 12:00:00 2014/09/10 09:00:56 UV 2.16.840.1.113883.3.5646 ofrichterdpm Ofrichter D.P.M. OID Root William Ofrichter masked Jennifer Muth 2030 Center Street, Suite 101 Northampton, PA 18067 610-261-1001 masked P.M.A.C./Office Manager William A. Ofrichter, D.P.M. 2030 Center Street, Suite 101 Northampton, PA 18067 610-261-1001 northfoot@verizon.net Provider Int 3 Complete 2014/09/10 12:00:00 2014/10/18 12:00:00 2014/10/18 08:48:17 UV 2.16.840.1.113883.3.5647 fhcmo-FID Family Health Center of Boone County Wade Greene masked Wade Greene 1001 W Worley St Columbia, MO 65203 573-886-6772 masked Director of IT and Facilities Family Health Center of Boone County 1001 W Worley St Columbia, MO 65203 573-214-2314 wgreene@fhcmo.org http://www.fhcmo.org Provider Int 3 Complete 2014/09/10 12:00:00 2014/10/18 12:00:00 2014/10/18 08:51:18 UV 2.16.840.1.113883.3.5648 aulmrn AUL MRN OID Adam Rossbach masked Adam Rossbach 6146642603 masked CliniSync arossbach@ohiponline.org Exchange Int 3 Complete 2014/09/10 12:00:00 2014/10/18 12:00:00 2014/10/18 08:51:55 UV 2.16.840.1.113883.3.5649 aulfacilityoid AUL Facility OID Adam Rossbach masked Adam Rossbach 6146642603 masked CliniSync arossbach@ohiponline.org Exchange Int 3 Complete 2014/09/10 12:00:00 2014/10/18 12:00:00 2014/10/18 08:53:21 UV 2.16.840.1.113883.3.5650 aulprovideroid AUL Provider OID Adam Rossbach masked Adam Rossbach 6146642603 masked CliniSync arossbach@ohiponline.org Exchange Int 3 Complete 2014/09/10 12:00:00 2014/10/18 12:00:00 2014/10/18 08:59:27 UV 2.16.840.1.113883.3.5651 essehealth Esse Health - American Multispecialty Group Christen Schweizer masked Christen Schweizer 12655 Olive Road Suite 400 St. Louis, MO 63141 3148511050 masked Esse Health - American Multispecialty Group 12655 Olive Road Suite 400 St. Louis, MO 63141 cschweizer@essehealth.com Provider Int 3 Complete 2014/09/10 12:00:00 2014/10/18 12:00:00 2014/10/18 09:00:53 UV 2.16.840.1.113883.3.5652 partnersInterface Partners Interface Joseph Kneski masked Joseph Kneski 908-931-9111 masked manager, Clinical Interfaces Partners Pharmacy 70 Jackson drive Cranford, NJ 07016 joseph.kneski@partnerspharmacy.com http://www.partnerspharmacy.com Vendor Int 3 Complete 2014/09/10 12:00:00 2014/10/18 12:00:00 2014/10/18 09:02:20 UV 2.16.840.1.113883.3.5653 premierob PREMIER OBGYN Daniel Obiekwe masked DANIEL OBIEKWE 2412 VILLAGE PROFESSIONAL DR S OPELIKA, AL 363801 334-705-2900 masked OFFICE ADMINISTRATOR PREMIER OBGYN 2412 VILLAGE PROFESSIONAL DR S OPELIKA, AL 36801 THEPREMIEROBGYN@ATT.NET https://www.thepremierobgyn.com Provider Int 3 Complete 2014/09/10 12:00:00 2014/10/18 12:00:00 2014/10/18 09:04:06 UV 2.16.840.1.113883.3.5654 greenfootandanklecare Green Foot and Ankle Care LLC Joseph Schoeppner masked Yvonne Henderen 330-899-9160 masked Office Manager Green Foot and Ankle Care LLC 3333 Massillon Rd Suite 203 Akron, OH 44312 330-899-9160 greenftank@yahoo.com https://www.greenfootandankle.com Provider Int 3 Complete 2014/09/11 12:00:00 2014/10/18 12:00:00 2014/10/18 09:05:36 UV 2.16.840.1.113883.3.5655 sahOR StAnthonyPendletonOR Brian Kenner masked Brian Kenner 601 W. 1st Ave Spokane, WA 99201 509-789-4980 masked Assistant Director - Clinical Applications St. Anthony Hospital 2801 St. Anthony Way Pendleton, OR 97801 509-789-4980 kennerb@inhs.org http://www.sahpendleton.org/ Provider Int 3 Complete 2014/09/11 12:00:00 2014/10/18 12:00:00 2014/10/18 09:07:22 UV 2.16.840.1.113883.3.5656 mmrOR MercyMedicalRoseburgOR Brian Kenner masked Scott Boeck 1148 Broadway Plaza, 4th Floor Tacoma, WA 98402 253-428-8580 masked IT Site Director Mercy Medical Center 2700 NW Stewart Pkwy Roseburg, OR 97471 253-428-8580 ScottBoeck@catholichealth.net http://www.mercyrose.org/ Provider Int 3 Complete 2014/09/11 12:00:00 2014/10/18 12:00:00 2017/07/20 05:11:53 UV 2.16.840.1.113883.3.5657 heritagemed Heritage Medical Associates, PA OID root John Fenice MD masked John Fenice 2601 Annand Dr. Ste.4 Wilmington, DE 19808 (302)998-3334 masked President Heritage Medical Associates 2601 Annand Dr. Ste. 4 Wilmington, DE 19808 (302)998-3334 jfenice@yahoo.com Provider Int 3 Complete 2014/09/11 12:00:00 2014/10/18 12:00:00 2014/10/18 09:09:32 UV 2.16.840.1.113883.3.5658 cio Central Indiana Orthopedics, PC Todd Holaday masked Todd Holaday 3600 West Bethel Avenue Muncie, IN 47304 7652133867 masked Director of IT Business Solutions Central Indiana Orthopedics, PC 3600 West Bethel Avenue Muncie, IN 47304 7652847738 system_support@ciocenter.com Provider Int 3 Complete 2014/09/11 12:00:00 2014/10/18 12:00:00 2024/01/26 10:51:40 UV 2.16.840.1.113883.3.1070.5976 mckesson-fusion-5976 mckesson-fusion-5976 Fusion Enrollment Generic_McKesson masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5976 2014/09/14 12:00:00 2014/10/18 12:00:00 2014/10/18 09:37:18 US 1.2.36.1.2001.1005.53 hpi-based-accession-number HPI-O based Accession Number Philip Wilford masked NEHTA Stephen Royce Level 2, 10 Browning Street West End, Brisbane, 4101, QLD 07 3023 8400 masked NEHTA Stephen.Royce@nehta.gov.au http://www.nehta.gov.au Govt body Ext 3 Complete 1.2.36.1.2001.1005.53 2014/09/15 12:00:00 2014/10/18 12:00:00 2014/10/18 09:15:35 AU 2.16.840.1.113883.3.5659 pHEX Physio Extra Nicolas Dargis masked Nicolas Dargis 2171 rue Fleury est Montr&#233;al Qc H2B 1J9 514-383-8389 masked Contr&#244;leur Physio Extra 2171 rue Fleury est Montr&#233;al Qc H2B 1J9 514-383-8389 nicolas.dargis@physioextra.ca http://physioextra.ca Vendor Int 3 Complete 2014/09/15 12:00:00 2014/10/18 12:00:00 2014/10/18 09:12:51 UV 2.16.840.1.113883.17.4011 vsharma Dr. V. Sharma M.D. Vandana Sharma masked Vandana Sharma 2841 HARTLAND RD STE 402 FALLS CHURCH, VA 22043-3500 (703) 778-1800 masked MD / Neurologist Dr. V. Sharma M.D. 2841 HARTLAND RD STE 402 FALLS CHURCH, VA 22043-3500 (703) 778-1800 vsharmamd@yahoo.com http://www.vsharmamd.com/ Provider Int 17 Complete 2014/09/15 12:00:00 2014/10/18 12:00:00 2014/10/18 09:29:33 UV 2.16.840.1.113883.3.5660 aec-nextgen-ehr-direct Associated Eye Care Michelle Dudley masked Michelle Dudley 1719 Tower Drive West Stillwater, MN 55082 651-275-3045 masked Director, IT Associated Eye Care 1719 Tower Drive West Stillwater, MN 55082 651-275-3000 mbdudley@associatedeyecare.com Provider Int 3 Complete 2014/09/15 12:00:00 2014/10/18 12:00:00 2014/10/18 09:32:44 UV 2.16.840.1.113883.3.1014.101 sOSDH-LW-LIMS Oklahoma State Department of Health Labware LIMS Allen Badgett masked Peter Lemmon 1000 NE 10 th Oklahoma City, OK 73117 405 271-9444 x 56030 masked Information Systems Manager Oklahoma State Dept of Health Public Health Lab 1000 NE 10 th Oklahoma City, OK 73117 405 271- 5070 peterl@health.ok.gov Govt body 2.16.840.1.113883.3.1014 Ext 14 Complete 2.16.840.1.113883.3.1014.101 2014/09/15 12:00:00 2014/10/18 12:00:00 2014/10/18 09:35:00 UV 2.16.840.1.113883.3.5661 healthfirstcenter Health First Center LLC OID Root Ataur Rehman masked Cindy McGilberry 901 Leighton Avenue, Suite 704 Anniston, AL 36207 256-240-7332 masked Office Manager Health First Center LLC 901 Leighton Ave, Ste 704 Anniston, AL 36207 256-240-7332 health1stanniston@yahoo.com Provider Int 3 Complete 2014/09/15 12:00:00 2014/10/18 12:00:00 2014/10/18 09:35:53 UV 2.16.840.1.113883.3.2402.200.6856 physicians-computer-company-clients-lamorinda Physician's Computer Company (PCC) Clients Lamorinda Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6856 2014/09/15 12:00:00 2014/11/21 12:00:00 2014/11/21 06:24:08 UV 2.16.840.1.113883.3.5662 tlhpodiatry Tallahassee Podiatry Associates PA OID ROOT Rachel Sampson masked Rachel Sampson 1866 Buford Blvd. Tallahassee, FL 32308 8508786998 x112 masked Practice Administrator Tallahassee Podiatry Associates PA 1866 Buford Blvd. Tallahassee, FL 32308 8508786998 x112 rsampson@tallahasseepodiatry.com http://www.tallahasseepodiatry.com Provider Int 3 Complete 2014/09/15 12:00:00 2014/10/18 12:00:00 2014/10/18 09:44:44 UV 2.16.840.1.113883.3.5663 vchrc Via Christi Health Regional Clinics OID Root Norma Sanchez-Allred masked Norma Sanchez-Allred VCH IKM 3720 E Bayley Wichita, KS 67218 316-719-3402 masked IT Manager Via Christi Health - Regional Clinics VCH IKM 3720 E Bayley Wichita, KS 67218 316-719-3402 norma.sanchez-allred@viachristi.org http://www.viachristi.org Provider Int 3 Complete 2014/09/16 12:00:00 2014/10/18 12:00:00 2014/10/18 09:46:20 UV 2.16.840.1.113883.3.5664 mcphersonmedical McPherson Medical and Surgical Associates OID Root Norma Sanchez-Allred masked Norma Sanchez-Allred VCH IKM 3720 E Bayley Wichita, KS 67218 316-719-3402 masked IT Manager McPherson Medical and Surgical Associates VCH IKM 3720 E Bayley Wichita, KS 67218 316-719-3402 norma.sanchez-allred@viachristi.org http://www.viachristi.org Provider Int 3 Complete 2014/09/16 12:00:00 2014/10/18 12:00:00 2014/10/18 09:47:15 UV 2.16.840.1.113883.3.5665 s4s Solutions for Sight Optometric Associates P.C. Kathleen O'Shea masked Dr. Kathleen O'Shea 9233 S. Lake Rd. Corfu, NY 14036 716-597-4103 masked President Solutions for Sight Optometric Associates P.C. 9233 S. Lake Rd. Corfu, NY 14036 888-486-2852 drkoshea@solutionsforsight.com http://solutionsforsight.com/ Provider Int 3 Complete 2014/09/16 12:00:00 2014/10/18 12:00:00 2014/10/18 09:48:24 UV 2.16.840.1.113883.3.1070.5983 mckesson-fusion-5983 mckesson-fusion-5983 Jaime Cummins masked Fusion Enrollment 8775074541 masked Fusion Enrollment jaime.cummins@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5983 2014/09/16 12:00:00 2014/09/23 12:00:00 2014/09/23 10:05:51 US 2.16.840.1.113883.17.4012 cgmorgID Compugroup Medical Organization ID Rachel Gilbert masked Rachel Gilbert 125 High Street 8th Floor Boston, MA 02110 6179467845 masked Regulatory Affairs Analyst CompuGroup Medical 125 High Street 8th Floor Boston, MA 02110 6179467845 rachel.gilbert@cgm.com http://www.cgm.com/us/index.en.jsp Vendor Int 17 Complete 2014/09/16 12:00:00 2014/10/18 12:00:00 2014/10/18 09:51:25 UV 2.16.840.1.113883.17.4013 cgmproviderID CompuGroup Medical Provider ID Rachel Gilbert masked Rachel Gilbert 125 High Street 8th Floor Boston, MA 02110 6179467845 masked Regulatory Affairs Analyst CompuGroup Medical 125 High Street 8th Floor Boston, MA 02110 6179467845 rachel.gilbert@cgm.com http://www.cgm.com/us/index.en.jsp Vendor Int 17 Complete 2014/09/16 12:00:00 2014/10/18 12:00:00 2014/10/18 09:52:04 UV 2.16.840.1.113883.4.832 aIMA Arcadia Internal Medicine Associates Vaidy Nathan masked Kathy Nathan 830 North Mills Arcadia, Fl 34266 863-494-6599 masked Office Manager Arcadia Internal Medicine Associates 830 North Mills Ave. Arcadia,FL 34266 863-494-6599 arcadiainternalmedicine@gmail.com Provider Int 3 Complete 2014/09/16 12:00:00 2014/10/18 12:00:00 2014/10/18 09:56:07 UV 2.16.840.1.113883.3.2402.200.6849 physicians-computer-company-clients-tendercare Physician's Computer Company (PCC) Clients Tendercare Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6849 2014/09/16 12:00:00 2014/11/21 12:00:00 2014/11/21 06:28:56 UV 2.16.840.1.113883.3.4220.4.10954 urch WELLPOINTE MEDICAL CENTER Chuck Marshall masked Chuck Marshall 700 KMS Place Ann Arbor, MI 48108 734-647-5259 masked Application Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 cmarshal@med.umich.ed http://www.med.umich.edu/ Academic Ext 14 Complete 2.16.840.1.113883.3.4220.4.10954 2014/09/16 12:00:00 2014/10/18 12:00:00 2014/10/18 10:01:00 UV 2.16.840.1.113883.3.4220.4.10230 unecc NORTHEAST CORPORATE CENTER Chuck Marshall masked Chuck Marshall 700 KMS PLACE ANN ARBOR, MI 48108 734-647-5259 masked Application Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 cmarshal@med.umich.edu http://www.med.umich.edu/ Academic Ext 14 Complete 2.16.840.1.113883.3.4220.4.10230 2014/09/16 12:00:00 2014/10/18 12:00:00 2014/10/18 10:03:51 UV 2.16.840.1.113883.3.5666 atchhosp Atchison Hospital Larry Wurzbacher masked Larry Wurzbacher 800 Raven Hill Drive 9133672131 masked Systems Administrator Atchison Hospital 800 Raven Hill Drive 9133672131 lwurzbache@atchhosp.org http://www.atchisonhospital.org/ Provider Int 3 Complete 2014/09/17 12:00:00 2014/10/18 12:00:00 2014/10/18 10:08:06 US 2.16.840.1.113883.3.5667 leslienormanmd Leslie Carol Norman Leslie Norman masked Leslie C. Norman MD 1830 Independence Sq suite B Atlanta, GA 30338 4404548114 masked Leslie C. Norman MD 1830 Independence Sq suite B Atlanta, GA 30338 7704548114 lnormanmd@bellsouth.net Provider Int 3 Complete 2014/09/17 12:00:00 2014/10/18 12:00:00 2014/10/18 10:09:43 US 2.16.840.1.113883.3.5668 crmca Cookeville Regional Medical Center Authority Tim McDermott masked Tim McDermott 9317832637 masked Assistant Director - I.T. Cookeville Regional Medical Center Authority 1 Medical Center Blvd Cookeville, TN 38501 9315282541 tmcdermott@crmchealth.org http://www.crmchealth.org Provider Int 3 Complete 2014/09/17 12:00:00 2014/10/18 12:00:00 2014/10/18 10:10:51 2.5.1 UV 2.16.840.1.113883.3.5669 frhs FRHSCCD Matt Schauer masked Matt Schauer 2700 W Norfolk Ave Norfolk, NE 68701 402-644-7123 masked Applications Manager Faith Regional Health Services 2700 W Norfolk Ave Norfolk, NE 68701 402-644-7123 mschauer@frhs.org Exchange Int 3 Complete 2014/09/17 12:00:00 2014/10/18 12:00:00 2014/10/18 10:15:19 UV 2.16.840.1.113883.3.5670 frhst FRHS-T Matt Schauer masked Matt Schauer 2700 W Norfolk Ave Norfolk, NE 68701 402-644-7123 masked Applications Manager Faith Regional Health Services 2700 W Norfolk Ave Norfolk, NE 68701 402-644-7123 mschauer@frhs.org Exchange Int 3 Complete 2014/09/17 12:00:00 2014/10/18 12:00:00 2014/10/18 10:19:36 UV 2.16.840.1.113883.3.5671 reliantRehab Reliant Rehabilitation Thomas Ward masked Thomas L Ward 605 Rustic Ridge Road Rome GA, 30161 2253296110 masked VP Reliant Rehabilitation PO Box 671181 Dallas, TX 75267-1181 2253296110 tward@relaint-rehab.com http://www.reliant-rehab.com/ Vendor Int 3 Complete 2014/09/18 12:00:00 2014/10/18 12:00:00 2014/10/18 10:21:01 UV 2.16.840.1.113883.3.5672 nei Northeastern Eye Institute Dave Stesney masked Dave Stesney 200 Mifflin Ave., Scranton, PA 18503 570-342-3145X2001 masked IT Support Northeastern Eye Institute 200 Mifflin Ave., Scranton, PA 18503 570-342-3145 dstesney@ne-eye.com Provider Int 3 Complete 2014/09/18 12:00:00 2014/10/18 12:00:00 2014/10/18 10:22:34 UV 2.16.840.1.113883.4.833 stdominics-hne St. Dominics-Jackson Memorial-HNE Enterprize number William Amadio masked William R. Amadio 969 Lakeland Drive Jackson, MS 39216 (601)200-4006 masked Senior Interface analyst St. Dominics-Jackson Memorial 969 Lakeland Drive Jackson, MS 39216 601-200-4000 sscoles@stdom.com http://www.stdom.com/ Provider 2.16.840.1.113883.3.3542 Int 4 Complete 2014/09/18 12:00:00 2014/12/18 12:00:00 2014/12/18 10:28:26 v2.3 UV 2.16.840.1.113883.4.834 stdominics-mrn St. Dominics-Jackson Memorial-MRN William Amadio masked William R. Amadio 969 Lakeland Drive Jackson, MS 39216 601-200-4006 masked Senior Interface Analyst St. Dominics-Jackson Memorial 969 Lakeland Drive Jackson, MS 39216 601-200-4000 sscoles@stdom.com http://www.stdom.com/ Provider 2.16.840.1.113883.3.3542 Int 4 Complete 2014/09/18 12:00:00 2014/12/18 12:00:00 2014/12/18 10:30:47 v2.3 UV 2.16.840.1.113883.3.5673 lmhs-fl Lee Memorial Health System Susan Lucius masked Susan Lucius 9299 College Parkway Suite 10 Ft. Myers, FL 33919 239-343-7932 masked Senior Programmer/Analyst Lee Memorial Health System 2776 Cleveland Avenue Fort Myers, FL 33901 239-343-2000 susan.lucius@leememorial.org https://www.leememorial.org Provider Int 3 Complete 2014/09/18 12:00:00 2014/10/18 12:00:00 2014/10/18 10:26:17 UV 2.16.840.1.113883.3.1070.5990 mckesson-fusion-5990 mckesson-fusion-5990 Jaime Cummins masked Fusion Enrollment 8775074541 masked Fusion Enrollment jaime.cummins@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5990 2014/09/18 12:00:00 2014/09/23 12:00:00 2014/09/23 10:05:05 US 2.16.840.1.113883.4.835 stdominics-provider Provider St. Dominics-Jackson Memorial William Amadio masked William R. Amadio 969 Lakeland Drive Jackson, MS 39216 601-200-4006 masked Senior Interface Analyst St. Dominics-Jackson Memorial 969 Lakeland Drive Jackson, MS 39216 601-200-4006 sscoles@stdom.com http://www.stdom.com/ Provider 2.16.840.1.113883.3.3542 Int 4 Complete 2014/09/18 12:00:00 2014/12/18 12:00:00 2014/12/18 10:34:46 v2.3 UV 2.16.840.1.113883.3.5674 professionalassociates Professional Associates In Surgery,LLP OID Root Nidhi Aggarwal masked Nidhi Aggarwal 101 Old Short Hills Road Suite 206 West Orange, NJ 07052 9737315005 masked Credentialing/Billing Professional Associates In Surgery,LLP 101 Old Short Hills Road Suite 206 West Orange, NJ 07052 973 7315005 pas206@hotmail.com Provider Int 3 Complete 2014/09/19 12:00:00 2014/10/18 12:00:00 2014/10/18 10:27:50 UV 2.16.840.1.113883.3.5675 mhi McGehee Hospital Inc - McGehee AR James Perry masked James Shaun Perry 900 South Third Street McGehee, AR 71654 870-222-5600 Ext. 2141 masked Chief Technology Officer McGehee Hospital Inc. 900 South Third Street McGehee, AR 71654 870-222-5600 Ext. 2141 sperry@mcgeheehospital.org Provider Int 3 Complete 2014/09/19 12:00:00 2014/10/18 12:00:00 2014/10/18 10:29:49 UV 2.16.840.1.113883.10.20.36 phmr1-2 Personal Healthcare Monitoring Report 1.2 Brian Reinhold masked Brian Reinhold 70 Douglas Dr Candia, NH 03034 6034832796 masked SDWG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 +1 (734) 677-7777 brianreinhold@lampreynetworks.com SDO Ext 10 Complete 2.16.840.1.113883.10.20.36 2014/09/19 12:00:00 2016/11/11 12:00:00 2016/11/11 06:36:15 UV 2.16.840.1.113883.3.5673.100 lmhs-fl-lee Lee Memorial Hospital Facility Susan Lucius masked Susan Lucius 9299 College Parkway Suite 10 Ft. Myers, FL 33919 239-343-7932 masked Senior Programmer/Analyst Lee Memorial Health System 2776 Cleveland Avenue Fort Myers, FL 33901 239-343-2000 susan.lucius@leememorial.org https://www.leememorial.org Provider 2.16.840.1.113883.3.5673 Ext 14 Complete 2.16.840.1.113883.3.5673.100 2014/09/19 12:00:00 2014/10/18 12:00:00 2014/10/18 10:33:58 UV 2.16.840.1.113883.3.5673.200 lmhs-fl-hpmc HealthPark Medical Center Facility Susan Lucius masked Susan Lucius 9299 College Parkway Suite 10 Ft. Myers, FL 33919 239-343-7932 masked Senior Programmer/Analyst Lee Memorial Health System 2776 Cleveland Avenue Fort Myers, FL 33901 239-343-2000 susan.lucius@leememorial.org https://www.leememorial.org Provider 2.16.840.1.113883.3.5673 Ext 14 Complete 2.16.840.1.113883.3.5673.200 2014/09/19 12:00:00 2014/10/18 12:00:00 2017/02/24 02:01:56 UV 2.16.840.1.113883.3.5673.300 lmhs-fl-cch Cape Coral Hospital Facility Susan Lucius masked Susan Lucius 9299 College Parkway Suite 10 Ft. Myers, FL 33919 239-343-7932 masked Senior Programmer/Analyst Lee Memorial Health System 2776 Cleveland Avenue Fort Myers, FL 33901 239-343-2000 susan.lucius@leememorial.org https://www.leememorial.org Provider 2.16.840.1.113883.3.5673 Ext 14 Complete 2.16.840.1.113883.3.5673.300 2014/09/19 12:00:00 2014/10/18 12:00:00 2014/10/18 10:35:24 UV 2.16.840.1.113883.3.5673.400 lmhs-fl-gcmc Gulf Coast Medical Center Facility Susan Lucius masked Susan Lucius 9299 College Parkway Suite 10 Ft. Myers, FL 33919 239-343-7932 masked Senior Programmer/Analyst Lee Memorial Health System 2776 Cleveland Avenue Fort Myers, FL 33901 239-343-2000 susan.lucius@leememorial.org https://www.leememorial.org Provider 2.16.840.1.113883.3.5673 Ext 14 Complete 2.16.840.1.113883.3.5673.400 2014/09/19 12:00:00 2014/10/18 12:00:00 2014/10/18 10:36:10 UV 2.16.840.1.113883.3.5676 tent-1 Tallahassee Ear, Nose & Throat - Head & Neck Surgery, PA Kim Quackenbush masked Kim Green 1405 Centerville Road Suite 5400 Tallahassee, FL 32308 8508770101 masked Tallahassee Ear, Nose &Throat - Head & Neck Surgery 1405 Centerville Road Suite 5400 Tallahassee, FL 32308 8508770101 systemsmgr@tallyent.com Provider Int 3 Complete 2014/09/19 12:00:00 2014/10/18 12:00:00 2014/10/18 10:42:22 UV 2.16.840.1.113883.3.5677 crider Crider Health Center Mark Snowden masked Mark Snowden Crider Health Center, 1032 Crosswinds Court, Wentzville, MO 63385 636-332-8000 masked CIO Crider Health Center msnowden@cridercenter.org http://www.cridercenter.org Provider Int 3 Complete 2014/09/19 12:00:00 2014/10/18 12:00:00 2014/10/18 10:43:12 UV 2.16.840.1.113883.4.836 lcoxmo-Branson Cox Medical Center Branson Stephanie Haase masked Stephanie Haase 417-269-8714 masked CoxHealth 1423 N. Jefferson Springfield, MO 65802 417-269-7850 Si3@coxhealth.com Provider 2.16.840.1.113883.3.1770 Int 4 Complete 2014/09/22 12:00:00 2014/10/18 12:00:00 2014/10/18 10:47:17 UV 2.16.840.1.113883.3.5678 hhACRHealth-1 AIDS Community Resources, Inc. Paul Riccardi masked Paul Riccardi 627 West Genesee St. Syracuse NY 13204 3154752430 masked ACR Health 627 West Genesee St. Syracuse NY 13204 3154752430 priccardi@acrhealth.org Provider Int 3 Complete 2014/09/22 12:00:00 2014/10/18 12:00:00 2014/10/18 10:49:07 UV 2.16.840.1.113883.3.5679 spectrumHG Spectrum Healthcare Group OID Root Pam Clark masked Pam Clark 8 E Cottonwood St Cottonwood, AZ 86326 928-634-2236 masked IT Director Spectrum Healthcare Group 651 W Mingus Ave Cottonwood, AZ 86326 928-634-7534 pamc@spectrumhealthcare-group.org http://spectrumhealthcare-group.org Provider Int 3 Complete 2014/09/22 12:00:00 2014/10/18 12:00:00 2014/10/18 10:49:48 UV 2.16.840.1.113883.3.5680 fmrc Frasier Meadows Retirement Community Jerry Frohlich masked Jerry Frohlich 350 Ponca Place Boulder, CO 80303 720-562-4368 masked Clinical IT Specialist Frasier Meadows Retirement Community 350 Ponca Place Boulder, CO 80303 303-499-4888 jfrohlich@frasiermeadows.org http://www.frasiermeadows.org Provider Int 3 Complete 2014/09/22 12:00:00 2014/10/18 12:00:00 2016/05/04 12:03:45 UV 2.16.840.1.113883.3.5681 foxvalley Fox Valley Immediate Care Center Clara Gouge masked Clara Gouge 151 Dundee Ave Suite C East Dundee, IL 60118 847-426-9396 masked Office Manager Fox Valley immediate Care Center 151 Dundee Ave Suite C East Dundee, IL 60118 847-426-9396 contact@foxvalleycarecenter.com http://www.foxvalleycare.com Provider Int 3 Complete 2014/09/22 12:00:00 2014/10/18 12:00:00 2014/10/18 10:53:58 UV 2.16.840.1.113883.3.1070.5984 mckesson-fusion-5984 mckesson-Fusion-5984 Fusion Enrollment Generic_McKesson masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5984 2014/09/22 12:00:00 2014/10/18 12:00:00 2014/10/18 10:55:32 US 2.16.840.1.113883.3.1157.103.1 rsolommd Richard Solomon, MD/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.103.1 2014/09/22 12:00:00 2014/10/18 12:00:00 2024/07/25 01:46:16 UV 2.16.840.1.113883.3.1157.104.1 mmgbhmg Morristown Medical Group/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.104.1 2014/09/22 12:00:00 2014/10/18 12:00:00 2024/07/25 01:23:37 UV 2.16.840.1.113883.3.5682 hhUpstateCP-01 Upstate Cerebral Palsy Lisa Wilcox RN masked Lisa Wilcox 1427 Genesee St. Utica NY 13501 3157988869 masked Upstate Cerebral Palsy 1020 Mary Street Utica NY 13501 3157246907 bruce.brodsky@upstatecp.org Provider Int 3 Complete 2014/09/22 12:00:00 2014/10/18 12:00:00 2014/10/18 11:16:26 UV 2.16.840.1.113883.3.5683 hhCNYHHN-01 CNYHHN, Inc. Debra Juidiciani, RN masked Debra Juidiciani 1427 Genesee Street Utica NY 13501 3157988868 masked CNYHHN, Inc. 1020 Mary Street Utica NY 13501 3157246907 bruce.brodsky@upstatecp.org Provider Int 3 Complete 2014/09/22 12:00:00 2014/10/18 12:00:00 2014/10/18 11:19:56 UV 2.16.840.1.113883.3.1157.105.1 pdellaquila Paul Dell'Aquila, MD/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.105.1 2014/09/22 12:00:00 2014/10/18 12:00:00 2024/07/25 01:24:15 UV 2.16.840.1.113883.3.1157.106.1 trcard TR Cardiology Assoc/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.106.1 2014/09/22 12:00:00 2014/10/18 12:00:00 2024/07/25 01:21:14 UV 2.16.840.1.113883.3.1157.107.1 njcarda New Jersey Cardiology Assoc/BHMG Missy Kenney masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 14 Complete 2.16.840.1.113883.3.1157.107.1 2014/09/22 12:00:00 2014/10/18 12:00:00 2024/07/25 01:20:01 UV 2.16.840.1.113883.3.5684 kawealab Kaweah Delta Healthcare District Laboratory Result Rhonda McMillan masked Rhonda McMillan 400 W. Mineral king Visalia, CA 93291 559-679-2186 masked ISS Director of Application Support Kaweah Delta Healthcare District 400 W. Mineral king Visalia, CA 93291 559-624-2000 rhonda@kdhcd.org Prof Soc Int 3 Complete 2014/09/22 12:00:00 2014/10/18 12:00:00 2014/10/18 11:20:53 UV 2.16.840.1.113883.17.4014 mu-phi ASHFORD CCD DIRECT MESSAGING S. Irizarry masked S. Irizarry 1451 Ashford Avenue #607 Ashford Gallery Condado San Juan PR. 00907 787-721-2160 Ext.1062 masked IS&T Director Ashford Presbyterian Community Hospital 1451 Ashford Avenue #607 Ashford Gallery Condado San Juan PR. 00907 Att. S. Irizarry 787-721-2160 Ext.1062 sirizarry@presbypr.com http://www.presbypr.com Provider Int 17 Complete 2014/09/22 12:00:00 2014/10/18 12:00:00 2014/10/18 11:22:51 UV 2.16.840.1.113883.3.1070.5826 mckesson-fusion-5826 mckesson-fusion-5826 Rebecca Paul masked Fusion Enrollment 8775074541 masked Fusion Enrollment rebecca.paul@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5826 2014/09/22 12:00:00 2014/09/23 12:00:00 2014/09/23 10:04:21 US 2.16.840.1.113883.3.1070.5985 mckesson-fusion-5985 mckesson-fusion-5985 Fusion Enrollment Generic masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5985 2014/09/22 12:00:00 2014/10/18 12:00:00 2014/10/18 11:23:32 US 2.16.840.1.113883.3.5685 acupera Acupera Main OID Imran Qureshi masked Imran Qureshi 731 Sansome St, 301 San Francisco, CA 94111 4086599064 masked Chief Technology Officer Acupera Inc. 731 Sansome St, 301 San Francisco, CA 94111 415-361-5756 info@acupera.com https://www.acupera.com Vendor Int 3 Complete 2014/09/22 12:00:00 2014/10/18 12:00:00 2014/10/18 11:43:24 UV 2.16.840.1.113883.3.5686 surgicalartspc Surgical Arts PC OID Root Kathy Schuman masked Kathy Schuman 1930 Alabama Highway 157 Cullman, Alabama 35058 256-734-7850 masked Administrator Surgical Arts PC 1930 Alabama Highway 157 Cullman, Alabama 35058 256-734-7850 kschuman@surgicalartspc.com http://www.surgicalartspc.com Provider Int 3 Complete 2014/09/23 12:00:00 2014/10/18 12:00:00 2014/10/18 11:44:11 UV 2.16.840.1.113883.3.5687 glmh Grand Lake Mental Health Allan Normandin masked Grand Lake Mental Health 114 W Delaware Nowata OK 74048 (918) 273-1841 masked Chief Operating Officer The Echo Group 15 Washington Street, Box 2150 Conway, NH 03818 (603) 447-8600 allan.normandin@echoman.com http://www.echoman.com Vendor 2.16.840.1.113883.3.3802 Int 3 Complete 2014/09/23 12:00:00 2014/10/18 12:00:00 2014/10/18 11:45:34 UV 2.16.840.1.113883.9.183 enh Eastern Niagara Hospital, Inc. Mohammed Mere masked Mohammed Mere Eastern Niagara Hospital, Inc. 521 East Ave. Lockport, NY 14094 7165145501 masked Assistant Administrator Eastern Niagara Hospital, Inc. Eastern Niagara Hospital, Inc. 521 East Ave. Lockport, NY 14094 7165145501 mmere@enhs.org http://www.enhs.org Provider Int 3 Complete 2014/09/23 12:00:00 2014/10/18 12:00:00 2014/10/18 11:47:10 UV 2.16.840.1.113883.3.5688 arcard Baptist Health dba Arkansas Cardiology Marti Thomas masked Marti Thomas 9501 Baptist Health Drive Suite 600 Little Rock, AR 72205 501-978-1978 masked System Administrator Baptist Health dba Arkansas Cardiology 9501 Baptist Health Drive Suite 600 Little Rock, AR 72205 501-227-7596 mthomas@arcard.org Provider Int 3 Complete 2014/09/23 12:00:00 2014/10/18 12:00:00 2014/10/18 12:28:09 UV 2.16.840.1.113883.3.5689 nHs-1 Nexus Health Systems Deepak Chaudhry masked Deepak Chaudhry One Riverway, Suite 600, Houston, TX 77056 713 589-4101 masked Vice President, Information Technology Nexus Health Systems One Riverway, Suite 600, Houston, TX 77056 713 589-4101 dchaudhry@nhsltd.com http://www.nhsltd.com/Default.htm Provider Int 3 Complete 2014/09/23 12:00:00 2014/10/18 12:00:00 2014/10/18 12:30:06 UV 2.16.840.1.113883.3.5690 smhcs Sarasota Memorial Health Care System Jeffrey Sergi masked Jessica Rouse 1700 S. Tamiami Trail Sarasota, FL 34239 941-917-4416 masked Senior Integration Analyst Sarasota Memorial Health Care System 1700 S. Tamiami Trail Sarasota, FL 34239 941-917-6932 jeffrey-sergi@smh.com Provider Int 3 Complete 2014/09/23 12:00:00 2014/10/18 12:00:00 2014/10/18 12:35:47 UV 2.16.840.1.113883.3.5691 hhNeighborhoodCtr-01 The Neighborhood Center Vijayakumar Komareth masked Vijayakumar Komareth 293 Genesee St. Utica, NY 13501 3152722700 masked Neighborhood Center 293 Genesee St. Utica, NY 13501 3152722700 melissac@neighborhoodctr.org Provider Int 3 Complete 2014/09/23 12:00:00 2014/10/18 12:00:00 2014/10/18 12:37:39 UV 2.16.840.1.113883.3.5692 hhNNYChildren-01 Childrens Home of Jefferson County Robert Woznicki masked Nathan Nichols Empsall's Building &#8211; Lower Level P.O. Box 6550 211 J.B. Wise Place Watertown, NY 13601 (315) 788-7430 masked IT manager Childrens Home of Jefferson County Empsall's Building &#8211; Lower Level P.O. Box 6550 211 J.B. Wise Place Watertown, NY 13601 (315) 788-7430 admin@chjc.org Provider Int 3 Complete 2014/09/23 12:00:00 2014/10/18 12:00:00 2023/12/14 01:39:35 UV 2.16.840.1.113883.3.5693 hhTLSNNY-01 Transitional Living Services of Northern New York Kim Lung masked Kim Lung 482 Black River Parkway Watertown, NY 13601 3155697543 masked Transitional Living Srvs of Northern NY 482 Black River Parkway Watertown, NY 13601 3155697543 klung@tlsnny.com Provider Int 3 Complete 2014/09/24 12:00:00 2014/10/18 12:00:00 2014/10/18 12:43:03 UV 2.16.840.1.113883.3.5694 carolinaeye Carolina Eye Care OID Root Jeanne Allf masked Jeanne Allf 2555 Court Drive Suite 150 Gastonia, NC 28054 704-864-7789 masked Surgery Scheduler Carolina Eye Care 2555 Court Drive Suite 150 Gastonia, NC 28054 704-864-7789 jcallf56@gmail.com http://www.carolinaeyes.com/ Provider Int 3 Complete 2014/09/24 12:00:00 2014/10/18 12:00:00 2014/10/18 12:44:07 UV 2.16.840.1.113883.3.5695 cEDPV Chicago Eye Doctors at Pearle Vision Spencer Vidulich masked Spencer Vidulich Pearle Vision 1730 W. Fullerton Chicago, IL 60614 773-327-3000 masked Optometrist / Administrative Partner Chicago Eye Doctors at Pearle Vision drvidulich@chicago-eyedoctors.com https://www.chicago-eyedoctors.com Provider Int 3 Complete 2014/09/24 12:00:00 2014/10/18 12:00:00 2014/10/18 12:47:53 UV 2.16.840.1.113883.3.5696 prairiemed Prairie Medical Group OID Cindi Hamelka masked Cindi Hamelka 2434 S Wolf Road, Westchester, IL 60154 708-562-5430 masked Office Manager Prairie Medical Group 2434 S Wolf Road, Westchester, IL 60154 708-562-5430 tdka@msn.com Provider Int 3 Complete 2014/09/24 12:00:00 2014/10/18 12:00:00 2014/10/18 12:48:42 UV 2.16.840.1.113883.3.5697 pulmonaryphysicians PULMONARY PHYSICIANS OF OKC OID ROOT Brandis Meek masked BRANDIS MEEK 3366 NW EXPRESSWAY SUITE 660 OKLAHOMA CITY, OK 73112 4059473345 masked OFFICE MANAGER PULMONARY PHYSICIANS OF OKC 3366 NW EXPRESSWAY SUITE 660 OKLAHOMA CITY, OK 73112 4059473345 BEEMEEK@HOTMAIL.COM Provider Int 3 Complete 2014/09/24 12:00:00 2014/10/18 12:00:00 2014/10/18 12:50:24 UV 2.16.840.1.113883.3.5698 ams690 Adult Medicine Specialist, Inc. Danny Anderson masked Becky Bonella 690 Guzzi Lane Ste. C& D Sonora, CA 95370 209-533-0333 masked Office Manager Adult Medicine Specialist, Inc. 690 Guzzi Lane Ste. C& D Sonora, CA 95370 209-533-0333 amsbecky@gmail.com Prof Soc Int 3 Complete 2014/09/24 12:00:00 2014/10/18 12:00:00 2014/10/18 12:52:59 UV 2.16.840.1.113883.3.5699 mchs Mississippi County Hospital System Tammy Bratcher masked Tammy Bratcher 1520 N Division Blytheville AR 72315 870-838-7386 masked I.T. Director Mississippi County Hospital System 1520 N Division Blytheville AR 72315 870-838-7300 it@mchsys.org http://mchsys.org Provider Int 3 Complete 2014/09/25 12:00:00 2014/10/18 12:00:00 2014/10/18 12:56:10 0396 UV 2.16.840.1.113883.3.5700 sza Dr. Simon Zmyslinski & Associates, P.L.L.C. Simon Zmyslinski masked Simon R Zmyslinski 9617 North Metro Parkway West #1000 Phoenix, AZ 85051 6026784395 masked managing member Dr. Simon Zmyslinski & Associates, P.L.L.C. 9617 North Metro Parkway West #1000 Phoenix, AZ 85051 6026784395 drzmyslinski@gmail.com http://www.drzeyes.com Provider Int 3 Complete 2014/09/25 12:00:00 2014/10/18 12:00:00 2014/10/18 01:05:14 UV 2.16.840.1.113883.3.5701 sza2 Dr. Simon Zmyslinski & Associates, P.L.L.C. Simon Zmyslinski masked Simon R Zmyslinski 5000 South Arizona Mills Cir Ste 165 Tempe, AZ 85282 4808203813 masked managing member Dr. Simon Zmyslinski & Associates, P.L.L.C. 5000 South Arizona Mills Cir Ste 165 Tempe, AZ 85282 4808203813 azmillseyecare@gmail.com http://www.drzeyes.com Provider Int 3 Complete 2014/09/25 12:00:00 2014/10/18 12:00:00 2014/10/18 01:07:21 UV 2.16.840.1.113883.3.5702 shepherdshope Shepherd's Hope OID Root Carole Becker masked Carole Becker 4851 S. Apopka-Vineland Road Orlando, FL 32819 407-876-6699 masked Regional Manager of Operations Shepherd's Hope, Inc. 4851 S. Apopka-Vineland Road Orlando, FL 32819 407-876-6699 carole.becker@shepherdshope.org http://shepherdshope.org Provider Int 3 Complete 2014/09/25 12:00:00 2014/10/18 12:00:00 2014/10/18 01:08:26 UV 2.16.840.1.113883.3.5703 hhCayugaMH-01 Cayuga County Mental Health Bruce Brodsky masked Bruce Brodsky 1020 Mary Street Utica NY 13501 3152660627 masked Cayuga County Mental Health 146 North Street Auburn NY 13021 3152532746 bruce.brodsky@upstatecp.org Provider Int 3 Complete 2014/09/25 12:00:00 2014/10/18 12:00:00 2014/10/18 01:09:37 UV 2.16.840.1.113883.3.5704 hhLiberty-01 Liberty Resources Bruce Brodsky masked Bruce Brodsky 1020 Mary Street Utica NY 13501 3152660627 masked Liberty Resources 1045 James St. Syracuse NY 13203 3154251004 bruce.brodsky@upstatecp.org Provider Int 3 Complete 2014/09/25 12:00:00 2014/10/18 12:00:00 2014/10/18 01:10:51 UV 2.16.840.1.113883.3.5705 hhMVPCACT-01 Mohawk Valley Psychiatric Center ACT1 Bruce Brodsky masked Bruce Brodsky 1020 Mary Street Utica NY 13501 3152660627 masked MVPC-ACT Team 1400 Noyes St. Utica, NY 13502 3157386142 bruce.brodsky@upstatecp.org Provider Int 3 Complete 2014/09/25 12:00:00 2014/10/18 12:00:00 2014/10/18 01:15:52 UV 2.16.840.1.113883.3.5706 hhUnitedHelpers-01 United Helpers Meg Demers masked Meg Demers 91 Main Street Canton NY 13617 3157143110 masked United Helpers 91 Main Street Canton NY 13617 3157143110 mdemers@unitedhelpers.org Provider Int 3 Complete 2014/09/25 12:00:00 2014/10/18 12:00:00 2014/10/18 01:19:07 UV 2.16.840.1.113883.3.5707 hhStLawrenceCCS-01 St. Lawrence County Community Services Bruce Brodsky masked Bruce Brodsky 1020 Mary Street Utica NY 13501 3157246907 masked St. Lawrence County Community Services 80 State Highway 310 Canton NY 13617 3153862048 bruce.brodsky@upstatecp.org Provider Int 3 Complete 2014/09/26 12:00:00 2014/10/18 12:00:00 2014/10/18 01:20:09 UV 2.16.840.1.113883.3.5708 ironwood Ironwood Physicians, P.C. Mat Richins masked Mat Richins 3855 S. Val Vista Dr Gilbert, AZ 85297 4802561320 masked IT Director Ironwood Physicians 4808212838 info@ironwoodphysicians.com http://www.ironwoodcrc.com Provider Int 3 Complete 2014/09/26 12:00:00 2014/10/18 12:00:00 2014/10/18 01:22:49 UV 2.16.840.1.113883.3.2169.5 lpnt-rhap Lifepoint Health Rhapsody Trevor Dickerson masked Terry Phillips Terry Phillips 330 Seven Springs Way 6159207000 masked Director, Clinical Data Integration and Exchange LifePoint Health 330 Seven Springs Way 6159207000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Ext 14 Complete 2.16.840.1.113883.3.2169.5 2014/09/29 12:00:00 2014/10/18 12:00:00 2017/03/23 09:54:36 UV 2.16.840.1.113883.3.5709 provHosp Providence Hospital Patrick Lynch masked Lawrence Farrell Patrick Lynch Patrick Lynch Information Systems Department Providence Hospital 1150 Varnum St NE Washington DC 20017 202-269-7852 masked Lead Interface Analyst Providence Hospital Providence Hospital 1150 Varnum St NE Washington DC 20017 202-269-7000 plynch@provhosp.org http://provhosp.org Provider Int 3 Complete 2014/09/29 12:00:00 2014/10/18 12:00:00 2014/10/18 01:28:06 UV 2.16.840.1.113883.9.184 melhammd Thomas J Melham MD LLC OID root Kathy Carr masked Kathy Carr 3711 N Everbrook Ln Muncie, IN 47304 765-287-8596 masked Office Manager Thomas J Melham MD LLC 3711 N Everbrook Ln Muncie, IN 47304 765-287-8596 ktcarr57@hotmail.com Provider Int 3 Complete 2014/09/29 12:00:00 2014/10/18 12:00:00 2014/10/18 01:35:41 UV 2.16.840.1.113883.3.5710 cacc Rebecca A Beto, CEO Rebecca Beto masked Jennifer Rodriguez Rebecca A Beto 1521 S Staples St., Ste 700 Corpus Christi, TX 78404 3618888271 masked CEO Cardiology Associates of Corpus Christi 1521 S Staples St., Ste 700 Corpus Christi, TX 78404 3618888271 bbeto@heartofcc.com Provider Int 3 Complete 2014/09/29 12:00:00 2014/10/18 12:00:00 2014/10/18 01:42:35 UV 2.16.840.1.113883.3.5711 oidFalconEHR Root OID for Falcon EHR Manisha Bafna masked Manisha 1551 Wewatta Street,Denver, CO 80202 7202990824 masked Falcon EHR manisha.bafna@davita.com http://www.falconehr.com/ Vendor Int 3 Complete 2014/09/29 12:00:00 2014/10/18 12:00:00 2014/10/18 01:45:38 UV 2.16.840.1.113883.4.837 iuh-metig Indiana University Health - IU Health Physiciana Primary Care Brian Adams masked Brian Adams 317-962-5478 masked Application Support Analyst Indiana University Health badas9@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2014/09/30 12:00:00 2014/12/18 12:00:00 2014/12/18 10:03:41 UV 2.16.840.1.113883.4.838 iuh-cv Indiana Univeristy Health Cardiovascular Clinics Brian Adams masked Brian Adams 317-962-5478 masked Application Support Analyst Indiana University health badams9@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2014/09/30 12:00:00 2014/12/18 12:00:00 2014/12/18 10:05:31 UV 2.16.840.1.113883.4.839 iuh-bw Indiana University Health Methodist Medical Plaza Brian Adams masked Brian Adams 317-962-5478 masked Application Support Analyst Indiana University Health badams9@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2014/09/30 12:00:00 2014/12/18 12:00:00 2014/12/18 10:06:34 UV 2.16.840.1.113883.4.840 iuh-ph Indiana University Health Primary Care Physicians Brian Adams masked Brian Adams 317-962-5478 masked Application Support Analyst Indiana University Health badams9@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2014/09/30 12:00:00 2014/12/18 12:00:00 2014/12/18 10:10:34 UV 2.16.840.1.113883.4.841 iuh-uc Indiana University Health - University Hospital Clinics Brian Adams masked Brian Adams 317-962-5478 masked Application Support Analyst Indiana University Health badams9@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2014/09/30 12:00:00 2014/12/18 12:00:00 2014/12/18 10:14:45 UV 2.16.840.1.113883.4.842 iuh-rn Indiana University Health Riley Hospital at IUH North Brian Adams masked Brian Adams 317-962-5478 masked Application Support Analyst Indiana University Health badams9@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2014/09/30 12:00:00 2014/12/18 12:00:00 2014/12/18 10:16:03 UV 2.16.840.1.113883.4.843 iuh-roc Indiana Univerisity Health Riley Outpatient Center at IUH Brian Adams masked Brian Adams 317-962-5478 masked Application Support Analyst Indiana University Health badams9@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2014/09/30 12:00:00 2014/12/18 12:00:00 2014/12/18 10:17:48 UV 2.16.840.1.113883.3.5712 langeec Lange Eye Care & Associates PA Sheila Mauceri masked Sheila Mauceri 3101 SW College Road Ocala, FL 34474 3522373768 masked Director of Operations Lange Eye Care & Associates PA 3101 SW College Road Ocala, FL 34474 3522373768 langeeyecare@aol.com http://www.langeeyecare.com Provider Int 3 Complete 2014/09/30 12:00:00 2014/10/18 12:00:00 2014/10/18 01:46:47 UV 2.16.840.1.113883.17.4015 greenwood1310o 1310 Greenwood Jackson MI 49203 Jordan Anders masked Lynn Van Wagnen Lynn Van Wagnen MD Aaron Van Wagnen MD Ali Orandi MD 1310 Greenwood Dr Jackson, MI 49203 5177871990 masked JCMR 100 E Michigan Ave Ste 300 Jackson, MI 49204 5178417434 support@jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/09/30 12:00:00 2016/02/29 12:00:00 2016/02/29 08:27:41 UV 2.16.840.1.113883.3.5713 seprimarycare Southeast Primary Care Sean Forgatch masked Sean Forgatch (572) 331 6886 masked NextGen Systems Engineer Southeast Health 1701 Lacey Street Cape Girardeau, MO 63701 573 334 4822 sforgatch@sehealth.org Provider Int 3 Complete 2014/09/30 12:00:00 2014/10/18 12:00:00 2014/10/18 02:25:30 UV 2.16.840.1.113883.3.5714 sshosp South Shore Hospital Bruce Krigman masked Bruce Krigman South Shore Hospital 55 Fogg Rd. South Weymouth, Ma. 02190 781-624-8299 masked integration Engineer South Shore Hospital 55 Fogg Rd South Weymouth, MA 02190 781-624-8000 Del_Dixon@sshosp.org Provider Int 3 Complete 2014/09/30 12:00:00 2014/10/18 12:00:00 2014/10/18 02:27:52 UV 2.16.840.1.113883.3.5715 pmc1 Palisades Medical Center Abraham Vorensky masked Abraham Vorensky 7600 River Road North Bergen, NJ 07047 201 520 4794 masked Project Manager Palisades Medical Center 7600 River Road North Bergen, NJ 07047 201 854 5000 Aporco@palisadesmedical.org Provider Int 3 Complete 2014/09/30 12:00:00 2014/10/18 12:00:00 2014/10/18 02:29:16 UV 2.16.840.1.113883.3.6836.1 umsh-ufmg Unity Family Medicine of Granger Richard Leighton masked Richard Leighton 4455 Edison Lakes Parkway, Mishawaka Indiana 46545 5742316805 masked Unity Medical & Surgical Hospital 4455 Edison Lakes Parkway, Mishawaka Indiana 46545 5742316805 ishelp@umsh.net http://www.umsh.net Provider 2.16.840.1.113883.3.6836 Ext 14 Complete 2.16.840.1.113883.3.6836.1 2014/09/30 12:00:00 2016/07/18 12:00:00 2016/07/18 12:37:51 UV 2.16.840.1.113883.3.6836.2 umsh-ufms Unity Family Medicine South Bend Richard Leighton masked Richard Leighton 4455 Edison Lakes Parkway, Mishawaka Indiana 46545 5742316805 masked Unity Medical & Surgical Hospital 4455 Edison Lakes Parkway, Mishawaka Indiana 46545 5742316805 ishelp@umsh.net http://www.umsh.net Provider 2.16.840.1.113883.3.6836 Ext 14 Complete 2.16.840.1.113883.3.6836.2 2014/09/30 12:00:00 2016/07/18 12:00:00 2016/07/18 12:42:25 UV 2.16.840.1.113883.3.6836.3 umsh-ufmf Unity Family Medicine Fulmer Road Richard Leighton masked Richard Leighton 4455 Edison Lakes Parkway, Mishawaka Indiana 46545 5742316805 masked Manager of IT & Innovation Unity Medical & Surgical Hospital 4455 Edison Lakes Parkway, Mishawaka Indiana 46545 5742316805 ishelp@umsh.net http://www.umsh.net Provider 2.16.840.1.113883.3.6836 Ext 14 Complete 2.16.840.1.113883.3.6836.3 2014/09/30 12:00:00 2016/07/18 12:00:00 2016/07/18 12:48:00 UV 2.16.840.1.113883.3.6836.4 umsh-fmcp Family Medicine Center of Plymouth Richard Leighton masked Richard Leighton 4455 Edison Lakes Parkway, Mishawaka, Indiana 46545 5742316805 masked Manager of IT & Innovation Unity Medical & Surgical Hospital 4455 Edison Lakes Parkway, Mishawaka, Indiana 46545 5742316805 ishelp@umsh.net http://www.umsh.net Provider 2.16.840.1.113883.3.6836 Ext 14 Complete 2.16.840.1.113883.3.6836.4 2014/09/30 12:00:00 2016/07/18 12:00:00 2016/07/18 12:50:48 UV 2.16.840.1.113883.3.5716 ispineins I-Spine Institute Richard Leighton masked Richard Leighton 4455 Edison Lakes Parkway, Mishawaka Indiana 46545 5742316805 masked Manager of IT & Innovation I-Spine Institute ishelp@umsh.net http://www.ispineinstitute.com/ Provider Int 3 Complete 2014/09/30 12:00:00 2014/10/18 12:00:00 2014/10/18 02:38:55 UV 1.2.36.1.2001.1005.54 hpi-based-report-identifier HPI-O based Report Identifier Philip Wilford masked NEHTA Stephen Royce Level 2, 10 Browning Street West End, Brisbane, 4101, QLD 07 3023 8400 masked NEHTA Stephen.Royce@nehta.gov.au http://www.nehta.gov.au Govt body Ext 3 Complete 1.2.36.1.2001.1005.54 2014/09/30 12:00:00 2014/10/18 12:00:00 2014/10/18 02:42:20 AU 2.16.840.1.113883.17.4016 smarin Stelian Marinescu MD PC Stelian Marinescu masked Katrina Medrano 23100 Cherry Hill Suite 5 Dearborn, MI 48124 3133593652 masked Assistant Office Manager Stelian Marinescu MD PC 23100 Cherry Hill Suite 5 Dearborn, MI 48124 3133593652 smarinescu@sbcglobal.net Provider Int 17 Complete 2014/10/01 12:00:00 2014/10/18 12:00:00 2014/10/18 02:44:47 UV 2.16.840.1.113883.3.5717 spcc-HIE Southern Prairie Community Care HIE Elizabeth Cinqueonce masked Mary Fischer Elizabeth Cinqueonce PO Box 513 Marshall, MN 56258 6512161242 masked Senior VP, Community Health Improvement and HIE Southern Prairie Community Care PO Box 513 Marshall, MN 56258 5075321336 mary.fischer@southernprairie.org http://www.southernprairie.org/ Payor Int 3 Complete 2014/10/01 12:00:00 2014/10/18 12:00:00 2014/10/18 02:46:17 UV 2.16.840.1.113883.3.5718 fairchild Fairchild Medical Center Michael Madden masked Michael Madden 444 Bruce Street Yreka, CA 96097 530-841-6333 masked Assistant Administrator Fairchild Medical Center 444 Bruce Street Yreka, CA 96097 530-842-4121 mmadden@fairchildmed.org http://www.fairchildmed.org Provider Int 3 Complete 2014/10/01 12:00:00 2014/10/18 12:00:00 2014/10/18 02:48:12 UV 2.16.840.1.113883.3.1106.5000 byh-bmg BayCare's BMG Office Practices Tony McArtor masked Tony McArtor BayCare Information Services 17757 US Hwy 19 North, Suite 300 Clearwater, FL 33764 727 467-4680 masked Integration Analyst BayCare Health System gus.borrego@baycare.org http://www.baycare.org Provider 2.16.840.1.113883.3.1106 Ext 14 Complete 2.16.840.1.113883.3.1106.5000 2014/10/02 12:00:00 2014/10/18 02:50:27 UV 2.16.840.1.113883.3.5719 bcms Baker County Medical Services, Inc. Richard Taylor masked Richard Taylor 159 N 3rd Street Macclenny, FL 32063 9046534613 masked Network Administrator Baker County Medical Services, Inc. 159 N 3rd Street Macclenny, FL 32063 9042593151 bcmsit@bcmedsvcs.com http://www.bcmedsvcs.com Provider Int 3 Complete 2014/10/02 12:00:00 2014/10/18 12:00:00 2014/10/18 04:31:49 UV 2.16.840.1.113883.3.5720 mshne Midwest Surgical Hospital Spencer Williamson masked Spencer Williamson 7915 Farnam Drive 402-399-1900 masked Network Administrator Spencer WIlliamson 7915 Farnam Drive 402-399-1900 swilliamson@mwsurgical.com Provider Int 3 Complete 2014/10/02 12:00:00 2014/10/18 12:00:00 2014/10/18 04:33:55 UV 2.16.840.1.113883.3.5721 summitregional Summit Regional Steve Kearl masked Aaron Young 2200 Show Low Lake Rd Show Low, AZ 85901 928-537-6389 masked CIO Summit Healthcare Regional Medical Center 2200 Show Low Lake Rd Show Low, AZ 85901 928-537-6594 skearl@summithealthcare.net http://www.summithealthcare.net Provider Int 3 Complete 2014/10/02 12:00:00 2014/10/18 12:00:00 2014/10/18 04:37:04 UV 2.16.840.1.113883.17.4017 medcpu-advisor-platform MedCPU-Advisor-Platform Object Identifier Steve Oden masked Steve Oden 100 Wall Street, suite 2202 New York, NY 10005 (913) 205-2131 masked SVP of Product Operations MedCPU, Inc. 100 Wall Street, suite 2202 New York, NY 10005 (804) 205-5062 soden@medcpu.com http://www.medcpu.com Vendor Int 17 Complete 2014/10/02 12:00:00 2014/10/18 12:00:00 2014/10/18 04:46:59 UV 2.16.840.1.113883.3.5722 sjc St. Joseph's/ Candler Health System Nolan Hennessee masked Megan Woodall 5401 Paulsen Street Savannah, GA 31405 912-819-8222 masked Coordinator St. Joseph's/ Candler Health System 5353 Reynolds Street Savannah, GA 31405 912-819-8222 woodallm@sjchs.org https://www.sjchs.org Exchange Int 3 Complete 2014/10/03 12:00:00 2014/10/18 12:00:00 2014/10/18 04:41:28 UV 2.16.840.1.113883.3.5723 corinthcardiology Corinth Cardiology OID Root Susy Wylie masked Emad Mohamed 401 Alcorn Dr Ste 1A Corinth MS 38834 6622849541 masked Office Manager Corinth Cardiology 401 Alcorn Dr Ste 1A Corinth, MS 38834 6622849541 ssmith_corcard@yahoo.com Provider Int 3 Complete 2014/10/03 12:00:00 2014/10/18 12:00:00 2014/10/18 04:48:27 UV 2.16.840.1.113883.3.5724 vwc Virginia Women's Center Wesley Ralston masked Wesley Ralston 7130 Glen Forest Drive Suite 101 Richmond, VA 23226 804-662-6086 masked Clinical Applications Director Virginia Women's Center 7130 Glen Forest Drive Suite 101 Richmond, VA 23226 804-662-6086 wralston@vwcenter.com Provider Int 3 Complete 2014/10/03 12:00:00 2014/10/18 12:00:00 2014/10/18 04:49:48 UV 2.16.840.1.113883.17.4018 sblhsps Sarah Bush Lincoln Health System PS AMY CARLEN masked AMY CARLEN 1000 HEALTH CENTER DR MATTOON IL 61938 217-238-4831 masked Meaningful Use Analyst Sarah Bush Lincoln Health System 1000 Health Center Dr Mattoon IL 61938 2172582525 acarlen@sblhs.org Provider Int 17 Complete 2014/10/03 12:00:00 2014/10/18 12:00:00 2014/10/18 04:56:40 UV 2.16.840.1.113883.3.5725 sblhsbh Sarah Bush Lincoln Health System BH AMY CARLEN masked AMY CARLEN 1000 HEALTH CENTER DR MATTOON, IL 61938 2172384831 masked Meaningful Use Analyst Sarah Bush Lincoln Health System 1000 HEALTH CENTER DR MATTOON, IL 61938 2172582525 acarlen@sblhs.org Provider Int 3 Complete 2014/10/03 12:00:00 2014/10/18 12:00:00 2014/10/18 04:52:48 UV 2.16.840.1.113883.3.1147.4 ceh The Callahan Eye Hospital Health Care Authority, D/B/A UAB Callahan Eye Hospital Brian Bishop masked Brian Bishop General Services Building 401 619 19th Street South Birmingham, Alabama 35249-6529 205-934-0812 masked Manager Information Systems University of Alabama at Birmingham Health System (UABHS) 1720 University Boulevard Birmingham, AL 35233 205 325-8513 jamesmoore@uabmc.edu http://www.uabmedicine.org/locations/uab-callahan-eye-hospital Provider 2.16.840.1.113883.3.1147 Ext 14 Complete 2.16.840.1.113883.3.1147.4 2014/10/03 12:00:00 2014/10/17 12:00:00 2014/10/17 05:39:16 UV 2.16.840.1.113883.4.844 university-Of-Miami-Hospital University Of Miami Hospital Ravi Akkiraju masked Ravi Akkiraju 1400 NW 19th Ave Miami, FL 33172 3052439501 masked Manager, Systems Engineering Avis Blackwood 1400 NW 19th Ave Miami, FL 33172 3052439504 ablackwood@med.miami.edu http://www.miami.edu/ Academic Int 4 Complete 2014/10/06 12:00:00 2015/02/27 12:00:00 2015/02/27 09:30:27 UV 2.16.840.1.113883.9.185 sylvester-Cancer-Center Sylvester Cancer Center Ravi Akkiraju masked Ravi Akkiraju 3052439501 masked Manager, Systems Engineering Sylvester Cancer Center 1475 NW 12th Ave, Miami, FL 33136 3052439504 ablackwood@med.miami.edu http://www.miami.edu/ Academic Int 3 Complete 2014/10/06 12:00:00 2015/02/28 12:00:00 2015/02/28 03:28:18 UV 2.16.840.1.113883.9.186 bascom-Plamer-Eye-Institute Bascom Plamer Eye Institute Ravi Akkiraju masked Ravi Akkiraju 900 NW 17th St, Miami, FL 33136 3052439501 masked Manager, Systems Engineering Bascom Plamer Eye Institute 900 NW 17th St, Miami, FL 33136 3052439504 ablackwood@med.miami.edu http://bascompalmer.org/ Academic Int 3 Complete 2014/10/06 12:00:00 2015/02/28 12:00:00 2015/02/28 03:33:14 UV 2.16.840.1.113883.3.5726 kellwestccd Kell West Regional Hospital CCD Terry Murphy masked Terry Murphy 940-696-7584 masked IT Coordinator Kell West Regional Hospital 5420 Kell West Blvd Wichita Falls, TX 76310 940-692-5888 tstagg@kellwest.com Provider Int 3 Complete 2014/10/06 12:00:00 2014/12/01 12:00:00 2014/12/01 03:38:55 UV 2.16.840.1.113883.3.5727 msuhc MIchigan State University Health Care David Cowes masked Steve Sharp E Fee Hall 965 Fee Rd Room A526 East Lansing, Michigan 48824 517-884-2182 masked MSU Health Care sharps@msu.edu https://healthteam.msu.edu/MSU-Health-Care Academic Int 3 Complete 2014/10/06 12:00:00 2014/12/01 12:00:00 2023/08/14 08:42:06 UV 2.16.840.1.113883.3.5728 app-uhc Advocate Phsician Partners - UHC Dennis Gilge masked Dennis Gilge 847-635-5920 masked Dennis Gilge 1701 West Golf Road Suite 2-1100 Rolling Meadows, Ill 60008 847-635-5920 Dennis.Gilge@advocatehealth.com Provider Int 3 Complete 2014/10/06 12:00:00 2014/12/01 12:00:00 2014/12/01 03:42:36 US 2.16.840.1.113883.3.5729 app-medicaid Advocate Physician Partners - Medicaid ACE Dennis Gilge masked Dennis Gilge 847-635-5920 masked Dennis Gilge 1701 West Golf Road Suite 2-1100 Rolling Meadows, Il 60008 847-635-5920 Dennis.Gilge@advocatehealth.com Provider Int 3 Complete 2014/10/06 12:00:00 2014/12/01 12:00:00 2014/12/01 03:43:01 US 2.16.840.1.113883.3.5730 mhs-fl Memorial Healthcare System Wesley Morris masked Wesley Morris 3051 N. Commerce Parkway Miramar, FL 33025 954-276-5003 masked Memorial Healthcare System 3501 Johnson Street Hollywood, FL 33021 954-987-2000 wmorris@mhs.net http://www.mhs.net Provider Int 3 Complete 2014/10/06 12:00:00 2014/12/01 12:00:00 2014/12/01 03:53:07 UV 2.16.840.1.113883.17.4019 flagler-hospital Flagler Hospital Shronda Nichols masked Shronda Nichols 400 health Park Blvd. St. Augustine, FL 904-819-1051 masked Assistant Director of Integration Flagler Hospital 400 Health Park Blvd. St. Augustine, FL 32086 904-819-4404 interfaceteam@flaglerhospital.org http://www.flaglerhospital.org Provider Int 17 Complete 2014/10/06 12:00:00 2014/12/02 12:00:00 2014/12/02 04:10:58 UV 2.16.840.1.113883.3.5730.100 mhs-fl-mrh Memorial Regional Hospital Wesley Morris masked Wesley Morris 3051 N. Commerce Parkway Miramar, FL 33025 954-276-5003 masked Memorial Healthcare System 3501 Johnson Street Hollywood, FL 33021 954-987-2000 wmorris@mhs.net http://www.mhs.net Provider 2.16.840.1.113883.3.5730 Ext 17 Complete 2.16.840.1.113883.3.5730.100 2014/10/06 12:00:00 2014/12/02 12:00:00 2014/12/02 04:14:08 UV 2.16.840.1.113883.3.5730.200 mhs-fl-rsc Memorial Regional Hospital South Wesley Morris masked Wesley Morris 3051 N. Commerce Parkway Miramar, FL 33025 954-276-5003 masked Memorial Healthcare System 3501 Johnson Street Hollywood, FL 33021 954-987-2000 wmorris@mhs.net http://www.mhs.net Provider 2.16.840.1.113883.3.5730 Ext 17 Complete 2.16.840.1.113883.3.5730.200 2014/10/06 12:00:00 2014/12/02 12:00:00 2014/12/02 04:14:57 UV 2.16.840.1.113883.3.5730.300 mhs-fl-jdch Joe DiMaggio Children's Hospital Wesley Morris masked Wesley Morris 3051 N. Commerce Parkway Miramar, FL 33025 954-276-5003 masked Memorial Healthcare System 3501 Johnson Street Hollywood, FL 33021 954-987-2000 wmorris@mhs.net http://www.mhs.net Provider 2.16.840.1.113883.3.5730 Ext 17 Complete 2.16.840.1.113883.3.5730.300 2014/10/06 12:00:00 2014/12/02 12:00:00 2014/12/02 04:16:29 UV 2.16.840.1.113883.3.5730.400 mhs-fl-mhw Memorial Hospital West Wesley Morris masked Wesley Morris 3051 N. Commerce Parkway Miramar, FL 33025 954-276-5003 masked Memorial Healthcare System 3501 Johnson Street Hollywood, FL 33021 954-987-2000 wmorris@mhs.net http://www.mhs.net Provider 2.16.840.1.113883.3.5730 Ext 17 Complete 2.16.840.1.113883.3.5730.400 2014/10/06 12:00:00 2014/12/02 12:00:00 2014/12/02 04:17:02 UV 2.16.840.1.113883.3.5730.500 mhs-fl-mhm Memorial Hospital Miramar Wesley Morris masked Wesley Morris 3051 N. Commerce Parkway Miramar, FL 33025 954-276-5003 masked Memorial Healthcare System 3501 Johnson Street Hollywood, FL 33021 954-987-2000 wmorris@mhs.net http://www.mhs.net Provider 2.16.840.1.113883.3.5730 Ext 17 Complete 2.16.840.1.113883.3.5730.500 2014/10/06 12:00:00 2014/12/02 12:00:00 2014/12/02 04:17:36 UV 2.16.840.1.113883.3.5730.600 mhs-fl-mhp Memorial Hospital Pembroke Wesley Morris masked Wesley Morris 3051 N. Commerce Parkway Miramar, FL 33025 954-276-5003 masked Memorial Healthcare System 3501 Johnson Street Hollywood, FL 33021 954-987-2000 wmorris@mhs.net http://www.mhs.net Provider 2.16.840.1.113883.3.5730 Ext 17 Complete 2.16.840.1.113883.3.5730.600 2014/10/06 12:00:00 2014/12/02 12:00:00 2014/12/02 04:18:18 UV 2.16.840.1.113883.3.1070.5993 mckesson-fusion-5993 mckesson-fusion-5993 Jaime Cummins masked Fusion Enrollment 8775074541 masked Fusion Enrollment jaime.cummins@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5993 2014/10/06 12:00:00 2014/12/02 12:00:00 2014/12/02 04:19:05 US 2.16.840.1.113883.9.187 umMJHS University Of Miami CCD From MJHS Ravi Akkiraju masked Ravi Akkiraju 1475 NW 12th Ave, Miami, FL 33136 3052439501 masked Manager, Systems Engineering University Of Miami 1475 NW 12th Ave, Miami, FL 33136 3052439501 ravi@miami.edu http://www.miami.edu/ Academic Int 3 Complete 2014/10/06 12:00:00 2014/12/02 12:00:00 2014/12/02 04:22:23 UV 2.16.840.1.113883.3.1355.1000 ahwest-AHPS Adventist Health Physician Services Diane Lewis masked Diane Lewis 916 789-2335 masked Adventist Health Physician Services - Umbrella Adventist Health, 1101 Creekside Ridge Drive # 150, Roseville, CA 95678 916 783-2500 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000 2014/10/06 12:00:00 2014/12/02 12:00:00 2014/12/02 04:24:13 UV 2.16.840.1.113883.3.3991.102 gl-urgent-care Grand Ledge Urgent Care Brian Upton masked Brian Upton 1301 N. Hagadorn Rd. East Lansing, MI 48823 (517) 332-7063 masked IT Systems Interface Programmer Sparrow Health System 1215 E. Michigan Ave. Lansing, MI 48912 (517) 364-1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.102 2014/10/07 12:00:00 2014/12/02 12:00:00 2014/12/02 04:25:49 UV 2.16.840.1.113883.3.1070.5994 mckesson-fusion-5994 mckesson-fusion-5994 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5994 2014/10/07 12:00:00 2014/12/02 12:00:00 2014/12/02 04:27:13 US 2.16.840.1.113883.3.3991.1035 lansing-obgyn-tbc Lansing OBGYN Associates TBC Brian Upton masked Brian Upton 1301 N. Hagadorn Rd. East Lansing, MI 48823 (517) 332-7063 masked IT Systems Interface Programmer Sparrow Health System 1215 E. Michigan Ave. Lansing, MI 48912 (517) 364-1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1035 2014/10/07 12:00:00 2014/12/02 12:00:00 2014/12/02 04:29:50 UV 2.16.840.1.113883.3.3991.1036 pain-management-center Sparrow Pain Management Center Brian Upton masked Brian Upton 1301 N. Hagadorn Rd. East Lansing, MI 48823 (517) 332-7063 masked IT Systems Interface Programmer Sparrow Health System 1215 E. Michigan Ave. Lansing, MI 48912 (517) 364-1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1036 2014/10/07 12:00:00 2014/12/02 12:00:00 2014/12/02 04:30:33 UV 2.16.840.1.113883.3.3991.1037 ashok-gupta Ashok Gupta MD Eaton Rapids Brian Upton masked Brian Upton 1301 N. Hagadorn Rd. East Lansing, MI 48823 (517) 332-7063 masked IT Systems Interface Programmer Sparrow Health System 1215 E. Michigan Ave. Lansing, MI 48912 (517) 364-1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1037 2014/10/07 12:00:00 2014/12/02 12:00:00 2014/12/02 04:31:07 UV 2.16.840.1.113883.3.3991.1038 cristo-rey-fhc Cristo Rey Family Health Clinic Brian Upton masked Brian Upton 1301 N. Hagadorn Rd. East Lansing, MI 48823 (517) 332-7063 masked IT Systems Interface Programmer Sparrow Health System 1215 E. Michigan Ave. Lansing, MI 48912 (517) 364-1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1038 2014/10/07 12:00:00 2014/12/02 12:00:00 2014/12/02 04:32:27 UV 2.16.840.1.113883.3.3991.1039 smg-voa SMG Volunteers of America Brian Upton masked Brian Upton 1301 N. Hagadorn Rd. East Lansing, MI 48823 (517) 332-7063 masked IT Systems Interface Programmer Sparrow Health System 1215 E. Michigan Ave. Lansing, MI 48912 (517) 364-1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1039 2014/10/07 12:00:00 2014/12/02 12:00:00 2014/12/02 04:33:32 UV 2.16.840.1.113883.3.3991.1040 thomas-kelly Thomas Kelly MD Eaton Rapids Brian Upton masked Brian Upton 1301 N. Hagadorn Rd. East Lansing, MI 48823 (517) 332-7063 masked IT Systems Interface Programmer Sparrow Health System 1215 E. Michigan Ave. Lansing, MI 48912 (517) 364-1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1040 2014/10/07 12:00:00 2014/12/02 12:00:00 2014/12/02 04:34:05 UV 2.16.840.1.113883.3.5731 jkaei John-Kenyon American Eye Institute Tom Haselden masked Tom Haselden 7239 Fox Harbor Rd Prospect, Ky 40059 502-345-1598 masked IT Support John-Kenyon American Eye Institute 519 State Street New Albany, IN 47150 (812) 948-0616 stainsh@johnkenyon.com Provider Int 3 Complete 2014/10/07 12:00:00 2014/12/01 12:00:00 2014/12/01 03:53:35 UV 2.16.840.1.113883.3.5732 brg Baton Rouge General Jennifer Jejeune masked Jennifer Lejeune masked Baton Rouge General 8490 Picardy Ave., Suite 400 Baton Rouge, LA. 70809 225-273-1517 jennifer.lejeune@brgeneral.org Provider Int 3 Complete 2014/10/07 12:00:00 2014/12/01 12:00:00 2014/12/01 03:51:12 UV 2.16.840.1.113883.3.5733 atlropmed Atlanta Ropheka Medical Center Onwura Obiekwe masked Edward Olufelo 217 Medical Way Riverdale Ga 30274 7709919227 masked Office Administrator Atlanta Ropheka Medical Center 217 Medical Way Riverdale Ga. 30274 7709919227 atlantaropheka@gmail.com http://www.atlantaropheka.com Provider Int 3 Complete 2014/10/07 12:00:00 2014/12/01 12:00:00 2014/12/01 03:51:44 UV 2.16.840.1.113883.3.5734 valley-presbyterian-hospital Valley Presbyterian Hospital Ben Robbins masked Ben Robbins Valley Presbyterian Hospital 15107 Vanowen Street Van Nuys, CA 91405 818-902-5211 masked Manager, IT Infrastructure Valley Presbyterian Hospital Valley Presbyterian Hospital 15107 Vanowen Street Van Nuys, CA 91405 818-782-6600 netmanager@valleypres.org http://www.valleypres.org Provider Int 3 Complete 2014/10/07 12:00:00 2014/12/01 12:00:00 2014/12/01 03:52:06 UV 2.16.840.1.113883.3.5735 ahi1000 Adirondack Health Institute Annette Parisi masked Cathy Homkey Cathy Homkey 101 Ridge St. Glens Falls, NY 12801 518-480-0111 masked CEO Adirondack Health Institute, Inc. 101 Ridge St. Glens Falls, NY 12801 518-480-0111 aparisi@adkhi.org http://www.adirondackhealthinstitute.org Provider Int 3 Complete 2014/10/08 12:00:00 2014/12/01 12:00:00 2014/12/01 03:54:08 UV 2.16.840.1.113883.3.1070.5988 mckesson-fusion-5988 mckesson-fusion-5988 Harry Callier masked Fusion enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5988 2014/10/08 12:00:00 2014/12/02 12:00:00 2014/12/02 04:35:28 US 2.16.840.1.113883.3.5736 phccds Pima Heart CCD/CCDA Jason Sottosanti masked Jason Sottosanti 3375 N Campbell Ave Tucson, AZ 85719 5208382123 masked Pima Heart 5208382123 jason@pimaheart.com Provider Int 3 Complete 2014/10/08 12:00:00 2014/12/02 12:00:00 2014/12/02 04:45:57 UV 2.16.840.1.113883.3.5737 scha-HIE South Country Health Alliance - HIE John Whitington masked John Whitington 2300 Park Drive Owatonna MN, 55060 507-431-6061 masked CIO South Country Health Alliance 2300 Park Drive Owatonna MN, 55060 507-431-6061 jwhitington@mnscha.org http://www.mnscha.org Payor Int 3 3 Complete 2014/10/08 12:00:00 2014/12/01 12:00:00 2014/12/01 03:55:17 UV 2.16.840.1.113883.3.5738 healthcentral Health Central John Sills masked John Sills 10000 West Colonial Drive Ocoee, FL 43761 407.296.1051 masked Chief Information Officer Health Central 10000 West Colonial Drive Ocoee, FL 43761 407.296.1000 CIO@healthcentral.org https://healthcentral.org Provider Int 3 Complete 2014/10/08 12:00:00 2014/12/01 12:00:00 2014/12/01 03:55:42 UV 2.16.840.1.113883.3.5739 ramc Reedsburg Area Medical Center Clifford Stark masked Clifford Stark 2000 N Dewey Avenue Reedsburg WI, 53959 6087686244 masked Director of IT Reedsburg Area Medical Center 2000 N Dewey Avenue Reedsburg WI, 53959 6087686244 cstark@ramchealth.org http://www.ramchealth.com Prof Soc Int 4 3 Complete 2014/10/09 12:00:00 2014/12/01 12:00:00 2014/12/01 03:56:53 2.5.1 UV 2.16.840.1.113883.3.1355.1000.1000 ahps15DSpineOrtho Glendale Spine Institute & Orthopedic Center John Vigil masked John Vigil 916-783-2000 masked Glendale Spine Institute & Orthopedic Center 1500 Chevy Chase Drive 4th Floor Glendale, CA 91206 818-863-4444 cioinof@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1000 2014/10/09 12:00:00 2014/12/02 12:00:00 2014/12/02 04:47:50 UV 2.16.840.1.113883.4.845 eden Electronic Death Entry Network OID Jeffrey Duncan masked Jeffrey Duncan 288 N 1460 W PO Box 141019 Salt Lake City, UT 84114-1019 8019406203 masked Informatics Program Manager Utah Department of Health (UDOH) 8015387023 jduncan@utah.gov http://health.utah.gov Govt body 2.16.840.1.113883.3.4397 Int 4 Complete 2014/10/09 12:00:00 2015/03/10 12:00:00 2015/03/10 05:02:33 UV 2.16.840.1.113883.10.14 cda-ig-BirthDefects CDA Implementation Guide for Ambulatory and Hospital Healthcare Provider Reporting to Birth Defect Registries John Roberts masked Laura Rappleye Laura Rappleye 3520 Green Court Suite 300 Ann Arbor, MI 48105 517-750-7026 masked Health Systems Research Organization Altarum Institute 3520 Green Court Suite 300 Ann Arbor, MI 48105 734-302-4759 laura.rappleye@altarum.org Academic 2.16.840.1.113883.3.3380 Int 10 Complete 2014/10/10 12:00:00 2015/12/11 12:00:00 2017/02/13 03:23:35 UV 2.16.840.1.113883.3.773.1.2.2.9 tdh-region-EMR-knox Tennessee Department of Health EMR knox region John Roberts masked John Roberts Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 masked Director Interoperability and Standards Tennessee Department of Health Office Information Technology Services Cordell Hull Bldg., 6th Floor 425 Fifth Avenue North Nashville, TN 37243 615-741-3702 John.A.Roberts@TN.gov http://health.tn.gov Govt body 2.16.840.1.113883.3.773 Ext 4 Complete 2.16.840.1.113883.3.773.1.2.2.9 2014/10/10 12:00:00 2015/02/28 12:00:00 2015/02/28 03:39:53 UV 2.16.840.1.113883.3.5740 waim west alabama internal medicine oid root Ashley Simpson masked Ashley 701 university blvd e suite 810 tuscaloosa, al 3402 205-366-0009 masked nurse west alabama internal medicine 701 university blvd e suite 801 tuscaloosa,al 35401 205.366-0009 staff@waim.comcast.biz Provider Int 3 Complete 2014/10/10 12:00:00 2014/12/01 12:00:00 2014/12/01 03:57:31 UV 2.16.840.1.113883.3.5741 muhlenberg-community-hospital42345 Muhlenberg Community Hospital Frank Schmautz masked Frank Schmautz 440 Hopkinsville Street Greenville, KY 42345 2703388000 masked IT Director Muhlenberg Community Hospital 440 Hopkinsville Street Greenville, KY 42345 2703388000 f.schmautz@mchky.org http://www.mchky.org Provider Int 3 Complete 2014/10/10 12:00:00 2014/12/01 12:00:00 2014/12/01 03:58:00 UV 2.16.840.1.113883.3.5742 hrmcFlorida Healthmark Regional Medical Center William Wilkins masked William (Danny) Wilkins Healthmark Regional Medical Center 4413 U.S. Hwy 331 South Defuniak Springs, FL. 32435 8509514500 masked Hospital bookkeeping and credentialing Healthmark Regional Medical Center dwilkins@healthmarkregional.com http://www.healthmarkregional.com Provider Int 3 Complete 2014/10/10 12:00:00 2014/12/01 12:00:00 2014/12/01 03:58:19 UV 2.16.840.1.113883.3.2629.300 pardee-oid Margaret R Pardee Hospital Bradley Cook masked Bradley Cook 101 Manning Dr, Chapel Hill, NC 27514 919-843-5004 masked HCS-Apps Systems Analyst Sr Pardee UNC Health Care 800 N. Justice Street Hendersonville, NC 28791 919-843-5004 bdcook@unch.unc.edu http://www.pardeehospital.org/ Provider Ext 3 Complete 2.16.840.1.113883.3.2629.300 2014/10/10 12:00:00 2014/12/11 12:00:00 2014/12/11 03:45:51 UV 2.16.840.1.113883.3.5743 cpagilmore2014 Capital Podiatry OID root Leland Gilmore masked Leland T Gilmore 8550 Lee Hwy Ste 750 Fairfax,Va 22031 703-560-3773 masked Owner Capital Podiatry Associates P.C. 8550 Lee Hwy Ste 750 Fairfax,Va 22031 703-560-3774 j12rubio@mindspring.com Provider Int 3 Complete 2014/10/10 12:00:00 2014/12/01 12:00:00 2014/12/01 04:18:36 UV 2.16.840.1.113883.3.5744 hfa Hillside Family of Agencies Bill Pakulski masked technologyhelpdesk@hillside.com Bill Pakulski 1 Mustard St Rochester NY 14609 585-654-1453 masked Systems Analyst Carolyn Kenny Hillside Family of Agencies 1 Mustard St Rochester NY 14609 585-654-1424 cboyce@hillside.com http://www.hillside.com Provider Int 3 Complete 2014/10/10 12:00:00 2014/10/14 12:00:00 2014/10/14 04:07:30 UV 2.16.840.1.113883.3.5745 olollivingston Our Lady of the Lake Livingston Nanette Brister masked Nanette Brister 6955 Perkins Road Baton Rouge, LA 70808 225-526-4023 masked IS Programmer II Our Lady of the Lake at Livingston 5000 O'Donovan Blvd Walker, LA 70785 225-271-6000 Nanette.Brister@fmolhs.org https://fmolhs.org/ololrmc/Pages/Our-Lady-of-the-Lake-Livingston.aspx Provider Int 3 Complete 2014/10/13 12:00:00 2014/12/01 12:00:00 2014/12/01 04:19:28 UV 2.16.840.1.113883.3.5746 havenridge Havenridge Consulting, LLC David Havenridge masked David Havenridge PO Box 57367 Des Moines, IA 50317 515-265-8484 masked Director of Technology Havenridge Consulting, LLC PO Box 57367 Des Moines, IA 50317 515-265-8484 dave@havenridge.net http://www.havenridge.net Vendor Int 3 Complete 2014/10/13 12:00:00 2014/12/01 12:00:00 2014/12/01 04:20:05 UV 2.16.840.1.113883.3.5747 nmimed Northern Michigan Medicine and Pediatrics Theresa Phillips masked Theresa Phillips 3643 W Front St, Ste C 2319350826 masked Office Manager Northern Michigan Medicine & Pediatrics 2319350826 Theresa@nmimed.com Provider Int 3 Complete 2014/10/13 12:00:00 2014/12/01 12:00:00 2014/12/01 04:20:30 UV 2.16.840.1.113883.3.5748 mmg Meridian Medical Group Linda Wilson masked Linda Wilson 1115 N Ronald Reagan Pkwy Ste. 360 Avon, IN 46123 317-217-2113 masked Manager Meridian Medical Group, PC 1801 N Senate Blvd Ste 400 Indianapolis, IN 46202 317-217-2113 rwalter@mmggi.com Provider Int 3 Complete 2014/10/13 12:00:00 2014/12/01 12:00:00 2014/12/01 04:20:56 UV 2.16.840.1.113883.3.5749 macpractice Macpractice HL7 OID Erik Wrenholt masked Erik Wrenholt 233 N. 8th St. Ste. 300 Lincoln, NE 68508 4024202430 masked VP / Director of Product Development MacPractice 233 N. 8th St. Ste. 300 Lincoln, NE 68508 4024202430 erik@macpractice.com http://www.macpractice.com Vendor Int 3 3 Complete 2014/10/13 12:00:00 2014/12/01 12:00:00 2014/12/01 04:22:46 UV 2.16.840.1.113883.3.1355.1000.1001 ahpnGAMCEndoChevyChase AHPN GAMC Endo - Chevy Chase Diane Lewis masked Diane Lewis 916 789-2335 masked AHPN GAMC Endo - Chevy Chase 801 South Chevy Chase Drive Suite 102 Glendale, CA 91205 8182652242 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1001 2014/10/13 12:00:00 2014/12/02 12:00:00 2014/12/02 04:52:16 UV 2.16.840.1.113883.3.1070.5991 mckesson-fusion-5991 mckesson-fusion-5991 Harry Callier masked Fusion enrollment 8775074541 masked Fusion Enrollment harry.callier@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5991 2014/10/14 12:00:00 2014/12/02 12:00:00 2014/12/02 04:54:14 US 2.16.840.1.113883.3.1097.1.1730059 chiari Chiari Clinic Stephen Bean masked Gretchen Hoffman 3555 W 13 Mile Rd Ste N120 Royal Oak, MI 48073 855-863-8761 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730059 2014/10/14 12:00:00 2014/12/02 12:00:00 2014/12/02 04:55:44 UV 2.16.840.1.113883.3.1097.9.90310107 cw Covenant - Joy/Soutfield Stephen Bean masked Jan Pillai 18917 Joy Rd Detroit, MI 48228-3050 313-228-0220 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90310107 2014/10/14 12:00:00 2014/12/02 12:00:00 2014/12/02 04:56:48 UV 2.16.840.1.113883.3.1097.1.4730010 eafp East Area Physicians Stephen Bean masked Rebecca Jackman 30695 Little Mack Ave Ste 200 Roseville, MI 48066-1781 586-294-9600 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 3 Complete 2.16.840.1.113883.3.1097.1.4730010 2014/10/14 12:00:00 2014/12/02 12:00:00 2014/12/02 04:58:06 UV 2.16.840.1.113883.3.1097.1.4730008 gacgp Geriatric Assessment Center GP Stephen Bean masked Agnieszka Gladysz 23715 Little Macke Ste 100 St. Clair Shores, MI 48080 586-477-8021 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.4730008 2014/10/14 12:00:00 2014/12/02 12:00:00 2014/12/02 05:07:17 UV 2.16.840.1.113883.3.1355.1000.1002 gAPN-AGPCNG AHPN GA Primary Care-North Glendale Lynne Mantz masked Lynne Mantz Adventist Health, 1101 Creekside Ridge Dr. #150, Roseville, CA 95675 916-770-2889 masked AHPN GA Primary Care-North Glendale 1560 East Chevy Chase Drive Suite 245, Glendale, CA 91206 818-246-5900 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1002 2014/10/14 12:00:00 2014/12/02 12:00:00 2014/12/02 05:10:14 UV 2.16.840.1.113883.3.5750 wakemed WakeMed Health and Hospitals Jackie Cheeks masked Frank harrison 3000 New Bern Avenue Raleigh, NC 27610 919-350-7437 masked Lab Systems Analyst WakeMed Health and Hospitals 3000 New Bern Avenue Raleigh, NC 27610 919-350-3000 jcheeks@wakemed.org http://www.wakemed.org Provider Int 3 Complete 2014/10/14 12:00:00 2014/10/14 12:00:00 2014/10/14 03:50:36 UV 2.16.840.1.113883.3.5750.1 wakemedmrn WakeMed Health and Hospitals MRN Jackie Cheeks masked Frank Harrison 3000 New Bern Avenue Raleigh, NC 27610 919-350-7437 masked Lab systems analyst WakeMed Health and Hospitals 3000 New Bern Avenue Raleigh, NC 27610 919-350-3000 jcheeks@wakemed.org https://www.wakemed.org Provider 2.16.840.1.113883.3.5750 Ext 4 Complete 2.16.840.1.113883.3.5750.1 2014/10/14 12:00:00 2014/10/14 12:00:00 2014/10/14 04:03:25 UV 2.16.840.1.113883.17.4020 wakemedcary WakeMed Cary Hospital Jackie Cheeks masked Frank Harrison 3000 New Bern Avenue Raleigh, NC 27610 919-710-9870 masked Lab Systems Analyst WakeMed Health and Hospitals 3000 New Bern Avenue Raleigh, NC 27610 919-350-3000 jcheeks@wakemed.org https://www.wakemed.org Provider 2.16.840.1.113883.3.5750 Int 17 Complete 2014/10/14 12:00:00 2014/12/18 12:00:00 2014/12/18 04:00:41 UV 2.16.840.1.113883.17.4021 wakmednorth WakeMed North Healthplex Jackie Cheeks masked Frank Harrison 3000 New Bern Avenue Raleigh, NC 27610 919-710-9870 masked Lab Systems Analyst WakeMed Health and Hospitals 3000 New Bern Avenue Raleigh, NC 27610 919-350-3000 jcheeks@wakemed.org https://www.wakemed.org Provider 2.16.840.1.113883.3.5750 Int 17 Complete 2014/10/14 12:00:00 2014/12/18 12:00:00 2014/12/18 04:01:38 UV 2.16.840.1.113883.17.4022 wakemedapex WakeMed Apex Healthplex Jackie Cheeks masked Frank Harrison 3000 New Bern Avenue Raleigh, NC 27610 919-710-9870 masked Lab Systems Analyst WakeMed Health and Hospitals 3000 New Bern Avenue Raleigh, NC 27610 919-350-3000 jcheeks@wakemed.org https://www.wakemed.org Provider 2.16.840.1.113883.3.5750 Int 17 Complete 2014/10/14 12:00:00 2014/12/18 12:00:00 2014/12/18 04:03:02 UV 2.16.840.1.113883.17.4023 wakemedbriercreek WakeMed Brier Creek Healthplex Jackie Cheeks masked Frank Harrison 3000 New Bern Avenue Raleigh, NC 27610 3000 New Bern Avenue masked Lab Systems Analyst WakeMed Health and Hospitals 3000 New Bern Avenue Raleigh, NC 27610 919-350-3000 jcheeks@wakemed.org https://www.wakemed.org Provider 2.16.840.1.113883.3.5750 Int 17 Complete 2014/10/14 12:00:00 2014/12/18 12:00:00 2014/12/18 04:04:53 UV 2.16.840.1.113883.17.4024 wakemedgarner WakeMed Garner Healthplex Jackie Cheeks masked Frank Harrison 3000 New Bern Avenue Raleigh, NC 27610 919-710-9870 masked Lab Systems Analyst WakeMed Health and Hospitals 3000 New Bern Avenue Raleigh, NC 27610 919-350-3000 jcheeks@wakemed.org https://www.wakemed.org Provider 2.16.840.1.113883.3.5750 Int 17 Complete 2014/10/14 12:00:00 2014/12/18 12:00:00 2014/12/18 04:07:02 UV 2.16.840.1.113883.2.46 hl7Slovenia HL7 Slovenia Tamara Kamara masked HL7 Slovenia C/O SDMI Zaloska 4 SI-1000 Ljubljana Slovenia 386 543-7775 masked HL7 Slovenia Chair HL7 Slovenia C/O SDMI Zaloska 4 SI-1000 Ljubljana Slovenia 386 543-7775 brane.leskosek@mf.uni-li.si HL7 body Int 2 Complete 2014/10/14 12:00:00 2015/02/28 12:00:00 2015/02/28 04:58:49 SI 2.16.840.1.113883.3.1097.9.91840101 hvc Heart and Vascular Care Stephen Bean masked Heather Block 455 Barclay Circle Ste B Rochester hills, MI 48307 248-246-1127 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91840101 2014/10/15 12:00:00 2014/12/02 12:00:00 2014/12/02 05:13:55 UV 2.16.840.1.113883.3.1097.9.91710101 nazpc Nahed Zakaria M.D. P.C. Stephen Bean masked Tony 1080 Kirts Blvd Troy, MI 48084 248-362-2660 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91710101 2014/10/15 12:00:00 2014/12/02 12:00:00 2014/12/02 05:17:13 UV 2.16.840.1.113883.3.1097.9.90510101 nim George Nicoloff MD. PC. Stephen Bean masked Lori Cash 23985 Novi Road B102 Novi, MI 48375-5436 248-344-7400 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90510101 2014/10/15 12:00:00 2014/12/02 12:00:00 2014/12/02 05:20:54 UV 2.16.840.1.113883.3.1097.1.2730018 nsatr Neurosurgical Affiliates TR Stephen Bean masked Terry Lavasseaur 44344 Dequindre Rd 250 Sterling Heights, MI 48073 248-898-5000 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2730018 2014/10/15 12:00:00 2014/12/02 12:00:00 2014/12/02 05:23:14 UV 2.16.840.1.113883.3.1097.1.1730080 nsaro Neurosurgical Affiliates RO Stephen Bean masked Terry Lavasseaur 4203 W 13 Mile Rd 330 Royal Oak, MI 48314 248-898-5000 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730080 2014/10/15 12:00:00 2014/12/02 12:00:00 2014/12/02 05:42:59 UV 2.16.840.1.113883.3.1097.1.1730081 pg Pediatric Genetics MOB Stephen Bean masked Kim West 3535 W 13 Mile Rd 302 Royal Oak, MI 48073 248-551-4555 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730081 2014/10/15 12:00:00 2014/12/02 12:00:00 2014/12/02 05:43:32 UV 2.16.840.1.113883.3.1097.1.4730011 ts Thoracic Surgery GP Stephen Bean masked Veronica Adkins 23715 Little Mack 100 St. Clair Shores, MI 48080 248-851-1603 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.4730011 2014/10/15 12:00:00 2014/12/02 12:00:00 2014/12/02 05:44:41 UV 2.16.840.1.113883.3.1097.1.4730009 vpfm Village Park Family Medicine (MHT) Stephen Bean masked Krystal Van Horn 14201 Second Ave Ste Highland Park, MI 48203 313-305-1001&#160; masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.4730009 2014/10/15 12:00:00 2014/12/02 12:00:00 2014/12/02 05:45:29 UV 2.16.840.1.113883.3.1097.9.91380106 fvr Frikker, Villalba, Robbins Stephen Bean masked Rosemary Bachman 3535 W 13 Mile Rd 501 Royal Oak, MI 48073 248-898-5000 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91380106 2014/10/15 12:00:00 2014/12/02 12:00:00 2014/12/02 05:46:36 UV 1.3.6.1.4.1.32898.1.4.2.1 shhg Spectrum Health Hospital Group Michael Dobb masked Amy Robertson 100 Michigan NE Mail Code 6481 Grand Rapids, MI 49503 (616) 486-4171 masked Mgr. Digital Services Corewell Health 100 Michigan NE Mail Code 6481 Grand Rapids, MI 49503 (616) 486-4171 Amy.Robertson@corewellhealth.org http://www.corewellhealth.org/ Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.1 2014/10/15 12:00:00 2014/12/02 12:00:00 2024/03/18 11:19:30 UV 1.3.6.1.4.1.32898.1.4.2.1000 shmg Spectrum Health Medical Group Michael Dobb masked Michael S Dobb 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 masked Spectrum Health 100 Michigan NE Mail Code 843 Grand Rapids, MI 49503 (616) 391-1361 Michael.Dobb@spectrumhealth.org http://www.spectrumhealth.org/ Provider 1.3.6.1.4.1.32898.1.4 Ext 4 Complete 1.3.6.1.4.1.32898.1.4.2.1000 2014/10/15 12:00:00 2014/12/02 12:00:00 2014/12/02 05:50:32 UV 2.16.840.1.113883.3.5751 datalink Datalink LLC Kevin Steele masked mark.clayborough@datalinksoftware.com Mark Clayborough 12937 N. Telecom Parkway Temple Terrace, Florida 33637 8139031091 masked IT Director Datalink LLC 12937 N. Telecom Parkway Temple Terrace, Florida 33637 8139031091 mark.clayborough@datalinksoftware.com http://datalinksoftware.com/ Vendor Int 3 Complete 2014/10/15 12:00:00 2014/12/02 12:00:00 2014/12/02 05:52:17 UV 2.16.840.1.113883.3.5752 medisolvcqm Medisolv Electronic Clinical Quality Measures Michelle Hinterberg masked Michelle Hinterberg 10440 Little Patuxent Pkwy Suite 1000 Columbia, MD 20144 920-397-2631 masked Medisolv 10440 Little Patuxent Pkwy Suite 1000 Columbia, MD 20144 443-539-0505 medisolvcqm@medisolv.com http://www.medisolv.com/ Vendor Int 3 Complete 2014/10/15 12:00:00 2014/12/02 12:00:00 2014/12/02 05:57:53 UV 2.16.840.1.113883.3.5753 nchsi-vt North Country Hospital root Ervin Goodwin masked Ervin Goodwin 189 Prouty Drive Newport, VT 05855 802-334-3298 masked Director of IT North Country Hospital 189 Prouty Drive Newport, VT 05855 802-334-3298 helpdesk@nchsi.org http://www.nchsi.org/ Provider Int 3 Complete 2014/10/15 12:00:00 2014/12/02 12:00:00 2014/12/02 05:58:49 UV 2.16.840.1.113883.3.5754 aTlinfdis57 Atlanta Infectious Disease Specialists, P.C. Stacey Robertson masked Stacey Robertson 5669 Peachtree Dunwoody Road NE Suite 315 Atlanta, GA 30342 4048510081 masked Practice Administrator Atlanta Infectious Disease Specialist 5669 Peachtree Dunwwoody Road Suite 315 Atlanta, GA 30342 4048510081 oic960@gmail.com http://atlidspec.org Provider Int 3 Complete 2014/10/16 12:00:00 2014/10/16 12:00:00 2015/07/17 12:06:53 UV 2.16.840.1.113883.3.5755 fulton-county Fulton County Hospital Jesse Romine masked Jesse Romine 679 N. Main St. Salem, Ar 72576 8708952691 masked CIO Fulton County Hospital 679 N. Main St. Salem, Ar 72576 8708952691 jromine@fultoncountyhospital.org http://fultoncountyhospital.org Provider Int 3 Complete 2014/10/16 12:00:00 2014/12/02 12:00:00 2014/12/02 06:01:39 UV 2.16.840.1.113883.3.1106.775 byh-whw Winter Haven Women's Hospital Tony McArtor masked Shanon Carter BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727 467 4854 masked Supervisor, Interoperability BayCare Health System BayCare Health Systems Information Services 2995 Drew Street Clearwater FL 33759 727-519-1229 Christopher.Eakes@baycare.org http://www.baycare.org Provider 2.16.840.1.113883.3.1106 Ext 3 Complete 2.16.840.1.113883.3.1106.775 2014/10/16 12:00:00 2014/12/02 12:00:00 2018/12/26 11:54:56 UV 2.16.840.1.113883.3.5569.1 bsapg-NextGen BSA Physicians Group NextGen Ashley Golden masked Ashely Golden BSA Health System 1600 Wallace Blvd Amarillo, TX 79106 806-212-8552 masked BSA Physician's Group 1000 Craig Drive Amarillo, TX 79105 806-212-8552 ashley.golden@bsahs.org Provider 2.16.840.1.113883.3.5569 Ext 14 Complete 2.16.840.1.113883.3.5569.1 2014/10/16 12:00:00 2014/12/02 12:00:00 2014/12/02 06:04:31 UV 2.16.840.1.113883.3.5569.1.1 ng-EMR BSA Physician's Group NextGen EMR Ashley Golden masked Ashely Golden BSA Health System 1600 Wallace Blvd Amarillo, TX 79106 806-212-8552 masked BSA Physician's Group 1000 Craig Drive Amarillo, TX 79105 806-212-8552 ashley.golden@bsahs.org Provider 2.16.840.1.113883.3.5569 Ext 14 Complete 2.16.840.1.113883.3.5569.1.1 2014/10/16 12:00:00 2014/12/02 12:00:00 2014/12/02 06:06:31 UV 2.16.840.1.113883.3.5569.1.2.1 ng-0001 BSA Physician's Group NextGen Practice 0001 Ashley Golden masked Ashley Golden BSA Health System 1600 Wallace Blvd Amarillo, TX 79106 806-212-8552 masked BSA Physician's Group 1000 Craig Drive Amarillo, TX 79105 806-212-8552 ashley.golden@bsahs.org Provider 2.16.840.1.113883.3.5569 Ext 3 Complete 2.16.840.1.113883.3.5569.1.2.1 2014/10/16 12:00:00 2014/12/02 12:00:00 2014/12/02 06:07:46 UV 2.16.840.1.113883.3.5756 bvys Buena Vida y Salud Sheila Magoon masked Sheila Magoon, MD 2202 S. 77 Sunshine Strip Suite H Harlingen, TX 78550 956-412-3235 masked Executive Director Buena Vida y Salud, LLC 2202 S. 77 Sunshine Strip Suite H Harlingen, TX 78550 956-412-3235 drmagoon@bizrgv.rr.com https://www.BuenaVidaySalud.com Provider Int 3 Complete 2014/10/16 12:00:00 2014/12/02 12:00:00 2019/11/09 08:29:31 UV 2.16.840.1.113883.3.5757 lcmhs Labette Center for Mental Health Services Sandra Dickerson masked Sandra Dickerson P.O. Box 258 Parsons, KS 67357-4228 620-421-3770 masked Director of Business Operations Labette Center for Mental Health Services, Inc P.O. Box 258 Parsons, KS 67357-4228 620-421-3770 sandra@lcmhs.com http://www.lcmhs.com/ Provider Int 3 Complete 2014/10/16 12:00:00 2014/12/02 12:00:00 2014/12/02 06:10:39 UV 2.16.840.1.113883.3.1355.1000.1003 gAPN-AGPG AHPN GA Pediatrics-Glendale Lynne Mantz masked Lynne Mantz Adventist Health, 1101 Creekside Ridge Dr. #150, Roseville, CA 95678 916-770-2889 masked AHPN GA Pediatrics-Glendale 801 South Chevy Chase Drive, Suite 200, Glendale, CA 91205 818-637-7980 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1003 2014/10/16 12:00:00 2014/12/02 12:00:00 2014/12/02 06:18:26 UV 2.16.840.1.113883.3.1355.1000.1004 gAPN-AGRCB AHPN GA Rapid Care-Burbank Lynne Mantz masked Lynne Mantz Adventist Health, 1101 Creekside Ridge Drive #150, Roseville, CA 95678 916-770-2889 masked AHPN GA Rapid Care-Burbank 1130 West Olive Avenue, Burbank, CA 91506 818-843-8555 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1004 2014/10/16 12:00:00 2014/12/02 12:00:00 2014/12/02 06:19:21 UV 2.16.840.1.113883.3.1355.1000.1005 gAPN-AGRCG AHPN GA Rapid Care-Glendale Lynne Mantz masked Lynne Mantz Adventist Health, 1101 Creekside Ridge Drive #150, Roseville, CA 95678 916-770-2889 masked AHPN GA Rapid Care-Glendale 801 South Chevy Chase Drive Suite 200, Glendale, CA 91205 818-265-2200 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1005 2014/10/16 12:00:00 2014/12/02 12:00:00 2014/12/02 06:20:39 UV 2.16.840.1.113883.3.1355.1000.1006 sHPN-SHMSAM AHPN SH Medical Specialties Addiction Medicine Lynne Mantz masked Lynne Mantz Adventist Health, 1101 Creekside Ridge Drive #150, Roseville, CA 95678 916-770-2889 masked AHPN SH Medical Specialties Addiction Medicine 6 Woodland Rd. Suite 502 St. Helena, CA 94574-9501 707-967-8206 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1006 2014/10/16 12:00:00 2014/12/02 12:00:00 2014/12/17 06:09:34 UV 2.16.840.1.113883.3.1355.1000.1007 sHPN-SHMSEHV AHPN SH Medical Specialties ENT Hidden Valley Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150, Roseville, CA 95678 916-770-2889 masked AHPN SH Medical Specialties ENT Hidden Valley 18990 Coyote Valley Road Suite 8, Hidden Valley Lake, CA 95467-8339 707-963-8860 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1007 2014/10/16 12:00:00 2014/12/02 12:00:00 2014/12/17 06:12:33 UV 2.16.840.1.113883.3.1355.1000.1008 sHPN-SHMSEN AHPN SH Medical Specialties ENT Napa Lynne Mantz masked Lynne Mantz Adventist Health, 1101 Creekside Ridge Drive #150, Roseville, CA 95678 916-770-2889 masked AHPN SH Medical Specialties ENT Napa 3230 Beard Rd, Suite 2, Napa, CA 94558-3659 707-224-7400 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1008 2014/10/16 12:00:00 2014/12/02 12:00:00 2014/12/17 06:16:17 UV 2.16.840.1.113883.3.1355.1000.1009 sHPN-SHMSEW AHPN SH Medical Specialties ENT Woodland Lynne Mantz masked Lynne Mantz Adventist Health, 1101 Creekside Ridge Drive #150, Roseville, CA 95678 916-770-2889 masked AHPN SH Medical Specialties ENT Woodland 6 Woodland Rd. Suite 302, St. Helena, CA 94574-9562 707-963-8660 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1009 2014/10/16 12:00:00 2014/12/02 12:00:00 2014/12/17 06:18:35 UV 2.16.840.1.113883.3.1355.1000.1010 aHPNSHEyeCtrNapa AHPN SH Eye Ctr - Napa Lynne Mantz masked Lynne Mantz Adventist Health, 1101 Creekside Ridge Drive #150, Roseville, CA 95678 916-770-2889 masked AHPN SH Eye Care Ctr - Napa 895 Trancas Street, Napa, CA 94558-3040 707-963-6210 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1010 2014/10/16 12:00:00 2014/12/02 12:00:00 2014/12/02 06:27:05 UV 2.16.840.1.113883.3.5758 gloc Great Lakes Orthopaedic Center Joseph McGraw masked Joseph McGraw 4045 West Royal Drive, Traverse City, MI 49684 2319350900 masked Physician Great Lakes Orthopaedic Center 4045 West Royal Drive, Traverse City, MI 49684 2319350900 admin@gogloc.com http://gogloc.com/ SDO Int 3 Complete 2014/10/17 12:00:00 2014/12/02 12:00:00 2014/12/02 06:15:16 UV 2.16.840.1.113883.3.1355.1000.1011 aHPNSHFamilyPracticeHilltop AHPN SH Family Practice - Hilltop Lynne Mantz masked Lynne Mantz Adventist Health, 1101 Creekside Ridge Drive #150, Roseville, CA 95678 916-770-2889 masked AHPN SH Family Practice - Hilltop 15322 Lakeshort Drive Suite 201, Clearlake, CA 95422-9814 707-994-2920 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1011 2014/10/17 12:00:00 2014/12/02 12:00:00 2014/12/02 06:30:54 UV 2.16.840.1.113883.3.1355.1000.1012 sHPN-STFPVH AHPN SH Family Practice Vermeil House Lynne Mantz masked Lynne Mantz Adventist Health, 1101 Creekside Ridge Drive #150, Roseville, CA 95678 916-770-2889 masked AHPN SH Family Practice Vermeil House 913 Washington Street, Calistoga, CA 94515-1433 707-942-6233 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1012 2014/10/17 12:00:00 2014/12/02 12:00:00 2014/12/17 06:22:17 UV 2.16.840.1.113883.3.1355.1000.1013 aHPNSHGeneralSurgeryHilltop AHPN SH General Surgery - Hilltop Lynne Mantz masked Lynne Mantz Adventist Health, 1101 Creekside Ridge Drive #150, Roseville, CA 95678 916-770-2889 masked AHPN SH General Surgery - Hilltop 15322 Lakeshort Drive, Suite 203, Clearlake, CA 95422-9814 707-995-5034 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1013 2014/10/17 12:00:00 2014/12/02 12:00:00 2014/12/02 06:32:33 UV 2.16.840.1.113883.3.1355.1000.1014 aHPNSHGISHHighway AHPN SH GI - SH Highway Lynne Mantz masked Lynne Mantz Adventist Health, 1101 Creekside Ridge Drive #150, Roseville, Ca 95678 916-770-2889 masked AHPN SH GI - SH Highway 821 S. St. Helena Hwy, St. Helena, CA 94574-2266 707-967-7550 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1014 2014/10/17 12:00:00 2014/12/02 12:00:00 2014/12/02 06:34:27 UV 2.16.840.1.113883.3.5759 jamesrussell James Russell MD James Russell masked Teresa Siebert 308 S Main Street Sapulpa, Ok 74066 9182243081 masked Secretary/IT James Russell MD 308 S Main Street Sapulpa, Ok 74066 9182243081 jrus435646@aol.com Provider Int 3 Complete 2014/10/17 12:00:00 2014/12/02 12:00:00 2014/12/02 06:16:16 UV 2.16.840.1.113883.3.1355.1000.1015 aHPNSHHeartInstituteWoodland AHPN SH St Helena Adventist Heart Institute Woodland Lynne Mantz masked Lynne Mantz Adventist Health, 1101 Creekside Ridge Drive #150, Roseville, CA 95678 916-770-2889 masked AHPN SH St Helena Adventist Heart Institute Woodland 6 Woodland Rd, Suite 304, St. Helena, CA 94574-9504 707-963-7200 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1015 2014/10/17 12:00:00 2014/12/02 12:00:00 2014/12/17 06:33:22 UV 2.16.840.1.113883.3.1355.1000.1016 sHPN-SHMSIMHV AHPN SH Medical Specialties Int Med Hidden Valley Lynne Mantz masked Lynne Mantz Adventist Health, 1001 Creekside Ridge Drive #150, Roseville, CA 95678 916-770-2889 masked AHPN SH Medical Specialties Int Med Hidden Valley 18990 Coyote Valley Rd., Suite 10, Hidden Valley Lake, CA 95467-8339 707-987-4997 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1016 2014/10/17 12:00:00 2014/12/02 12:00:00 2014/12/18 12:50:19 UV 2.16.840.1.113883.3.1355.1000.1017 aHPNSHIntMedNapa AHPN SH Int Med - Napa Lynne Mantz masked Lynne Mantz Adventist Health, 1101 Creekside Ridge Drive #150, Roseville, CA 95678 916-770-2889 masked AHPN SH Int Med - Napa 935 Transcas St., Suite 48, Napa, CA 94558-2932 707-252-0313 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1017 2014/10/17 12:00:00 2014/12/02 12:00:00 2014/12/02 06:38:11 UV 2.16.840.1.113883.3.1355.1000.1018 sHPN-SHMSIMSH AHPN SH Medical Specialties Int Med St Helena Lynne Mantz masked Lynne Mantz Adventist Health, 1101 Creekside Ridge Drive #150, Roseville, CA 95678 916-770-2889 masked AHPN SH Medical Specialties Int Med St Helena 1530 Railroad Avenue, St. Helena, CA 94574-1106 707-963-8842 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1018 2014/10/17 12:00:00 2014/12/02 12:00:00 2014/12/18 05:34:23 UV 2.16.840.1.113883.3.5760 pronex Pronex Inc. Jean Laforest masked Jean Laforest 4301 Staten Island Dr Plano, TX 75024 972-375-1941 masked Pronex Inc. info@pronexinc.com http://www.pronexinc.com Vendor Int 3 Complete 2014/10/20 12:00:00 2014/12/02 12:00:00 2014/12/02 06:43:36 US 2.16.840.1.113883.3.5761 cidllc CID OID Root Christian Titus masked Christian Titus 5670 54th Ave. N. Suite A-1 Kenneth City, FL 33709 7275480260 masked IT Administrator Consultants in Infectious Diseases LLC 5670 54th Ave. N. Suite A-1 Kenneth City, FL 33709 7275480260 agate7@cidteam.com Provider Int 3 Complete 2014/10/20 12:00:00 2014/12/02 12:00:00 2014/12/02 06:44:52 UV 2.16.840.1.113883.17.4025 wbgh Wilkes Barre General Hospital Terri Grzymski masked Terri Grzymski 5705521410 masked LIS Coordinator Wilkes Barre General Hospital 575 N River St Wilkes Barre, PA 18764 5705521410 tgrzymski@commonwealthhealth.net Provider Int 17 Complete 2014/10/20 12:00:00 2014/12/02 12:00:00 2014/12/02 06:49:58 UV 2.16.840.1.113883.3.1355.1000.1019 aHPNSHNephrologyHiddenValley AHPN SH Nephrology - Hidden Valley Lynne Mantz masked Lynne Mantz Adventist Health, 1101 Creekside Ridge Drive #150, Roseville, CA 95678 916-770-2889 masked AHPN SH Nephrology - Hidden Valley 18990 Coyote Valley Rd, Suite 5, Hidden Valley, CA 95467-8339 707-963-1882 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1019 2014/10/20 12:00:00 2014/12/02 12:00:00 2014/12/02 06:40:48 UV 2.16.840.1.113883.3.1355.1000.1020 aHPNSHNephrologyRailroad AHPN SH Nephrology - Railroad Lynne Mantz masked Lynne Mantz Adventist Health, 1101 Creekside Ridge Drive #150, Roseville, CA 95678 916-770-2889 masked AHPN SH Nephrology - Railroad 1530 Railroad Avenue, St. Helena, CA 94574 707-967-8007 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1020 2014/10/20 12:00:00 2014/12/02 12:00:00 2014/12/02 06:42:07 UV 2.16.840.1.113883.3.5762 pchmc-org Parkview Commmunity Hospital Medical Center John Ciccarelli masked John Ciccarelli Parkview Community Hospital John Ciccarelli 3865 Jackson Street Riverside California 92503 951-688-2211 x 1597 masked Parkview Community Hospital Medical Center Parkview Community Hospital Medical Center 3865 Jackson Street Riverside California 92503 951-688-2211 himrecord@pchmc.org http://www.pchmc.org Provider Int 3 Complete 2014/10/20 12:00:00 2014/12/02 12:00:00 2014/12/02 06:52:13 UV 2.16.840.1.113883.3.5763 hHCINC Holyoke Health Center, Inc. Matthew Pasquale masked Sean Kinlin Sean Kinlin PO Box 6260 Holyoke, MA 01041 413-420-2888 masked EPM Specialist Holyoke Health Center, Inc. 230 Maple Street PO Box 6260 Holyoke, MA 01041 413-420-2200 Matthew.Pasquale@hhcinc.org http://www.hhcinc.org Provider Int 3 Complete 2014/10/20 12:00:00 2014/12/02 12:00:00 2014/12/02 06:55:35 UV 2.16.840.1.113883.3.5764 nephrologyassociates Nephrology Associates, Inc.OID Root Mindy Roley masked Mindy Roley 2000 S Wheeling Ave Ste 510 Tulsa, OK 74104 918-747-5200 masked Office Manager Nephrology Associates, Inc. 2000 S Wheeling Ave Ste 510 Tulsa, OK 74104 918-747-5200 mroley@nai-tulsa.com Provider Int 3 Complete 2014/10/20 12:00:00 2014/12/02 12:00:00 2014/12/02 06:57:31 UV 2.16.840.1.113883.3.1355.1000.1021 aHPNSHNEUROLOGYHiddenValley AHPN SH Neurology - Hidden Valley Lynne Mantz masked Lynne Mantz Adventist Health,1101 Creekside Ridge Drive #150, Roseville, CA 95678 916-770-2889 masked AHPN SH Neurology - Hidden Valley 18990 Coyote Valley Rd., Suite 8, Hidden Valley, CA 94574 707-963-1882 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1021 2014/10/20 12:00:00 2014/12/02 12:00:00 2014/12/02 07:00:52 UV 2.16.840.1.113883.3.1355.1000.1022 aHPNSHNeurologyRailroad AHPN SH Neurology - Railroad Lynne Mantz masked Lynne Mantz Adventist Health West, 1101 Creekside Ridge Drive #150, Roseville, CA 95678 916-770-2889 masked AHPN SH Neurology - Railroad 1530 Railroad Avenue, St. Helena, CA 94574 707-963-1882 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1022 2014/10/20 12:00:00 2014/12/02 12:00:00 2014/12/02 07:01:36 UV 2.16.840.1.113883.3.1355.1000.1023 aHPNSHPlasticSurgerySHHighway AHPN SH Plastic Surgery - SH Highway Lynne Mantz masked Lynne Mantz Adventist Health, 1101 Creekside Ridge Drive #150, Roseville, CA 95678 916-770-2889 masked AHPN SH Plastic Surgery - SH Highway 821 S. St. Helena Hwy, St. Helena, CA 94574-2266 707-968-0800 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1023 2014/10/21 12:00:00 2014/12/02 12:00:00 2014/12/02 07:02:28 UV 2.16.840.1.113883.3.1355.1000.1024 sHPN-SHMSPS AHPN SH Medical Specialties Plastic Surgery Lynne Mantz masked Lynne Mantz Adventist Health, 1101 Creekside Ridge Drive #150, Roseville, CA 95678 916-770-2889 masked AHPN SH Medical Specialties Plastic Surgery 6 Woodland Rd., Suite 302 St. Helena, CA 94574-9562 707-967-9307 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1024 2014/10/21 12:00:00 2014/12/02 12:00:00 2014/12/18 05:38:28 UV 2.16.840.1.113883.3.1355.1000.1025 sHPN-SHBHMSP AHPN SH-BH Medical Specialties Psychiatry Lynne Mantz masked Lynne Mantz Adventist Health, 1101 Creekside Ridge Drive #150, Roseville, CA 95678 916-770-2889 masked AHPN SH-BH Medical Specialties Psychiatry 913 Washington Street, Calistoga, CA 94515-1433 707-942-0844 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1025 2014/10/21 12:00:00 2014/12/02 12:00:00 2014/12/18 05:41:22 UV 2.16.840.1.113883.3.5765 iVHS Imperial Valley Health System Jack Blasingame masked Jack Blasingame (760) 339-7372 masked Interface programmer/analyst El Centro Regional Medical Center 1415 Ross Ave, El Centro, CA 92243 (760) 339-7111 tura.morice@ecrmc.org http://www.ecrmc.org/ Provider Int 3 Complete 2014/10/21 12:00:00 2014/12/02 12:00:00 2014/12/02 07:06:14 UV 2.16.840.1.113883.3.5766 arh-inc Appalachian Regional Healthcare, INC. Andrew Deters masked Andrew Deters 2285 Executive Dr Lexington, Ky 40505 8592262689 masked Senior Project Manager Appalachian Regional Healthcare, INC. 2285 Executive Dr Lexington, KY 40505 8592262440 adeters@arh.org http://www.arh.org Provider Int 3 Complete 2014/10/21 12:00:00 2014/12/02 12:00:00 2014/12/02 07:08:58 UV 2.16.840.1.113883.3.5767 npo Northern Physicians Organization Ed Worthington masked Edward Worthington 300 E. Front St Ste 240 231-421-8505 masked Northern Physicians Organization eworthington@npoinc.org http://www.npoinc.org Exchange Int 3 Complete 2014/10/21 12:00:00 2014/12/02 12:00:00 2014/12/02 07:12:11 UV 2.16.840.1.113883.3.5768 cassregional Cass Regional Medical Center Levi Souza masked Levi Souza 816-887-0403 masked Cass Regional Medical Center 2800 East Rock Haven Road Harrisonville, MO 64701 816-380-3474 lsouza@cassregional.org http://www.cassregional.org Provider Int 3 Complete 2014/10/21 12:00:00 2014/12/02 12:00:00 2014/12/02 07:13:08 UV 2.16.840.1.113883.3.5769 ehcattccc Emory Healthcare at The Coca-Cola Company OID Root Matthew Drohan masked Matthew Drohan 101 W. Ponce de Leon Ave Suite 452 Decatur, GA 30030 404-778-0512 masked Manager Emory Healthcare at The Coca-Cola Company 1 Coca-Cola Plz NW CCP 1D02 Atlanta, GA 30313 404-676-5800 matthew.drohan@emoryhealthcare.org Provider Int 3 Complete 2014/10/21 12:00:00 2014/12/02 12:00:00 2014/12/02 07:14:08 UV 2.16.840.1.113883.3.5770 sjhs-sjrmc St. Joseph's Regional Medical Center Michael O'Neill masked Michael O'Neill St. Joseph's Regional Medical Center Attn: IT Department 703 Main Street Paterson, NJ 07503 973-754-4485 masked Manager, Interface Development St. Joseph's Regional Medical Center St. Joseph's Regional Medical Center 703 Main Street Paterson, NJ 07503 973-754-2000 oneillm@sjhmc.org https://www.stjosephshealth.org/st-josephs-regional-medical-center Provider Int 3 Complete 2014/10/21 12:00:00 2014/12/02 12:00:00 2014/12/02 07:15:28 UV 2.16.840.1.113883.3.5771 sjhs-sjwh St. Joseph's Wayne Hospital Michael O'Neill masked Michael O'Neill St. Joseph's Regional Medical Center Attn: IT Department 703 Main Street Paterson, NJ 07503 973-754-4485 masked Manager, Interface Development St. Joseph's Wayne Hospital St. Joseph's Wayne Hospital 224 Hamburg Turnpike Wayne, NJ 07470 973-942-6900 oneillm@sjhmc.org https://www.stjosephshealth.org/st-josephs-wayne-hospital Provider Int 3 Complete 2014/10/21 12:00:00 2014/12/02 12:00:00 2014/12/02 07:18:40 UV 2.16.840.1.113883.3.5772 crmcwy Cheyenne Regional Medical Center David Kendrick masked David R Kendrick 214 East 23rd Street Cheyenne, WY 82001 307-773-8050 masked Sr Epic Bridges Analyst Cheyenne Regional Medical Center 214 East 23rd Street Cheyenne, WY 82001 307-633-7171 InformationTechnologyDepartment@crmcwy.org http://cheyenneregional.org Provider Int 3 Complete 2014/10/22 12:00:00 2014/12/02 12:00:00 2014/12/02 07:20:12 UV 2.16.840.1.113883.3.5773 pcolakeololvoicecenter PCO LAKE OLOL Voice Center Nanette Brister masked Nanette Brister 6955 Perkins Road Baton Rouge, LA 70808 225-526-4023 masked IS Programmer II Our Lady fo the Lake Voice Center 4950 Essen Lane, Suite B Baton Rouge, LA 70808 225-765-5335 Nanette.Brister@fmolhs.org https://fmolhs.org/ololrmc/Pages/Home.aspx Provider Int 3 Complete 2014/10/22 12:00:00 2014/10/22 12:00:00 2014/10/22 01:47:06 UV 2.16.840.1.113883.3.5773.1 pcolakeololvoicecentermrn PCO Lake OLOL Voice Center MRN Nanette Brister masked Nanette Brister 6955 Perkins Road Baton Rouge, LA 70808 225-526-4023 masked IS Programmer II Our Lady of the Lake Voice Center 4950 Essen Lane, Suite B Baton Rouge, LA 70808 225-765-5335 Nanette.Brister@fmolhs.org https://fmolhs.org/ololrmc/Pages/Home.aspx Provider 2.16.840.1.113883.3.5773 Ext 4 Complete 2.16.840.1.113883.3.5773.1 2014/10/22 12:00:00 2014/10/22 12:00:00 2014/10/22 01:38:07 UV 2.16.840.1.113883.3.5773.2 pcolakeololvoicecenterfin PCO Lake OLOL Voice Center FIN Nanette Brister masked Nanette Brister 6955 Perkins Road Baton Rouge, LA 70808 225-526-4023 masked IS Programmer II Our Lady of the Lake Voice Center 4950 Essen Lane, Suite B Baton Rouge, LA 70808 225-765-5335 Nanette.Brister@fmolhs.org https://fmolhs.org/ololrmc/Pages/Home.aspx Provider 2.16.840.1.113883.3.5773 Ext 4 Complete 2.16.840.1.113883.3.5773.2 2014/10/22 12:00:00 2014/10/22 12:00:00 2014/10/22 01:46:38 UV 2.16.840.1.113883.3.5774 tennesseesportsmed Tennessee Sports Medicine Heather Brooks masked jamie.sullivan@tennesseesportsmed.net Heather Brooks 5000 Crossings Circle Suite 101 Mt. Juliet, TN 37122 615-758-1010 masked Billing Manager Tennessee Sports Medicine 5000 Crossings Circle Suite 101 Mt. Juliet, TN 37122 615-758-1010 jamie.sullivan@tenneseesportsmed.net http://tennsportsmedicine.com/ Provider Int 3 Complete 2014/10/22 12:00:00 2014/12/02 12:00:00 2014/12/02 07:22:48 UV 2.16.840.1.113883.3.2402.200.6842 physicians-computer-company-clients-chico Physician's Computer Company (PCC) Clients Chico Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6842 2014/10/22 12:00:00 2014/12/03 12:00:00 2014/12/03 05:21:09 UV 2.16.840.1.113883.3.2402.200.6851 physicians-computer-company-clients-mykids Physician's Computer Company (PCC) Clients My Kid's Pediatrics & Adolescent Care Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6851 2014/10/22 12:00:00 2014/12/03 12:00:00 2014/12/03 05:21:58 UV 2.16.840.1.113883.3.5775 acmc Ashley County Medical Center Dan Austin masked Travis Meeks 1015 Unity Road PO Box 400 870.364.1202 masked CIO Ashley County Medical Center 1015 Unity Road PO Box 400 870-364-4111 travis.meeks@acmconline.org https://acmconline.org Provider Int 3 Complete 2014/10/22 12:00:00 2014/11/12 12:00:00 2020/10/13 03:10:16 UV 2.16.840.1.113883.3.5776 physicianXpress PhysicianXpress Magdalena Parks masked PhysicianXpress IT Team 877-366-7331 x103 masked PhysicianXpress 409 Second Avenue Suite 201 Collegeville, PA 19426 877-366-7331 ken@dompeds.com Vendor Int 3 Complete 2014/10/23 12:00:00 2014/12/02 12:00:00 2014/12/02 07:26:08 UV 2.16.840.1.113883.3.1355.1000.1043 cVBH-CCC AHPS CV BH-Community Care Coalinga Lynne Mantz masked Lynne Mantz Adventist Health, 1101 Creekside Ridge Drive #150, Roseville, CA 95678 916-770-2889 masked AHPS CV BH-Community Care Coalinga 155 South Fifth Street, Coalinga, CA 93210 559-935-4285 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1043 2014/10/24 12:00:00 2014/12/03 12:00:00 2014/12/03 05:25:58 UV 2.16.840.1.113883.3.5777 dmh-778 Drew Memorial Hosptial, Inc. Brandon Ward masked Brandon Ward 8704603579 masked System Administrator Drew Memorial Hospital, Inc 778 Scogin Dr. Monticello, AR 71655 8703672411 bward@drewmemorial.org http://www.drewmemorial.org Provider Int 3 Complete 2014/10/24 12:00:00 2014/12/03 12:00:00 2014/12/03 05:23:57 UV 2.16.840.1.113883.3.1355.1000.1044 cVBH-CCH AHPS CV BH-Community Care Hanford Lynne Mantz masked Lynne Mantz Adventist Health, 1101 Creekside Drive #150, Roseville, CA 95678 916-770-2889 masked AHPS CV BH-Community Care Hanford 1025 North Douty Street, Hanford, CA 93230 559-583-2195 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1044 2014/10/24 12:00:00 2014/12/03 12:00:00 2014/12/03 05:27:13 UV 2.16.840.1.113883.3.1355.1000.1045 cVBH-CCK AHPS CV BH-Community Care Kerman Lynne Mantz masked Lynne Mantz Adventist Health, 1101 Creekside Drive #150, Roseville, CA 95678 916-770-2889 masked AHPS CV BH-Community Care Kerman 1000 South Madera Avenue, Kerman, CA 93630 559-846-9352 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1045 2014/10/24 12:00:00 2014/12/03 12:00:00 2014/12/03 05:29:27 UV 2.16.840.1.113883.3.1355.1000.1046 cVBH-CCS AHPS CV BH-Community Care Selma Lynne Mantz masked Lynne Mantz Adventist Health, 1101 Creedkside Ridge Drive #150, Roseville, CA 95678 916-770-2889 masked AHPS CV BH-Community Care Selma 1041 Rose Avenue, Selma, CA 93662 559-891-6346 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1046 2014/10/24 12:00:00 2014/12/03 12:00:00 2014/12/03 05:33:14 UV 2.16.840.1.113883.3.1355.1000.1047 cVBH-CCSAN AHPS CV BH-Community Care Sanger Lynne Mantz masked Lynne Mantz Adventist Health, 1101 Creekside Ridge Drive #150, Roseville, CA 95678 916-770-2889 masked AHPS CV BH-Community Care Sanger 1939 Academy Avenue, Sanger, CA 93657 559-875-6900 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1047 2014/10/24 12:00:00 2014/12/03 12:00:00 2014/12/03 05:34:15 UV 2.16.840.1.113883.3.1070.6005 mckesson-fusion-6005 mckesson-fusion-6005 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.6005 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 05:35:47 US 2.16.840.1.113883.3.1355.1000.1048 cVBHCCSC AHPS CV BH-Community Care Selma Central Lynne Mantz masked Lynne Mantz Adventist Health, 1101 Creekside Ridge Drive #150, Roseville, CA 95678 916-770-2889 masked AHPS CV BH-Community Care Selma Central 2131 High Street, Suite E, Selma, CA 93662 559-891-2611 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1048 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 05:36:40 UV 2.16.840.1.113883.3.5778 efpset ElvinoFHIRProfileSet Elvino Saldanha masked Elvino Saldanha 2489824837 masked EFG Apt 411 55 Riverwalk Place West New York NJ 07093 2489824837 elvino_saldanha@yahoo.com Exchange Int 3 Complete 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 05:41:05 UV 2.16.840.1.113883.3.1355.1000.1049 cVCCA AHPS CV Community Care Avenal Lynne Mantz masked Lynne Mantz Adventist Health, 1101 Creekside Ridge Drive #150, Roseville, CA 95678 916-770-2889 masked AHPS CV Community Care Avenal 216 East Fresno Street, Avenal, CA 93204 559-386-4282 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1049 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 05:43:23 UV 2.16.840.1.113883.3.1355.1000.1050 cVCCCAR AHPS CV Community Care Caruthers Lynne Mantz masked Lynne Mantz Adventist Health, 1101 Creekside Ridge Drive #150, Roseville, CA 95678 916-770-2889 masked AHPS CV Community Care Caruthers 2440 West Tahoe Avenue Caruthers, CA 93609 559-864-8510 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1050 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 05:44:56 UV 2.16.840.1.113883.3.1355.1000.1051 cVCCCOA AHPS CV Community Care Coalinga Lynne Mantz masked Lynne Mantz Adventist Health, 1101 Creekside Ridge Drive #150, Roseville, CA 95678 916-770-2889 masked AHPS CV Community Care Coalinga 155 South Fifth Street Coalinga, CA93210 559-935-4285 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1051 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 05:47:17 UV 2.16.840.1.113883.3.1355.1000.1052 cVCCCOR AHPS CV Community Care Corcoran Lynne Mantz masked Lynne Mantz Adventist Health, 1101 Creekside Ridge Drive #150, Roseville, CA 95678 916-770-2889 masked AHPS CV Community Care Corcoran 1212 Hanna Avenue Corcoran, CA 93212 559-992-2899 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1052 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 05:48:15 UV 2.16.840.1.113883.3.1355.1000.1053 cVCCD AHPS CV Community Care Dinuba Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive, #150 Roseville, CA 95678 916-770-2889 masked AHPS CV Community Care Dinuba 1451 East El Monte Way Dinuba, CA 93618 559-591-5713 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1053 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 05:48:53 UV 2.16.840.1.113883.3.1355.1000.1054 cVCCF AHPS CV Community Care Fowler Lynne Mantz masked Lynne Mantz 1101 Creekside Ridge Drive #150 Roseville, CA 95678 9160770-2889 masked AHPS CV Community Care Fowler 119 South Sixth Street Fowler, CA 93625 559-834-1615 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1054 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 05:50:31 UV 2.16.840.1.113883.3.1355.1000.1055 cVCCH AHPS CV Community Care Hanford Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS CV Community Care Hanford 1025 North Douty Street Hanford, CA 93230 559-589-2065 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1055 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 05:51:21 UV 2.16.840.1.113883.3.5779 satc Surgical Associates of Traverse City Julie Smeltzer masked Julie Smeltzer 1221 Sixth St. Ste. 306 Traverse City, MI 49684 2319352401 masked Practice Administrator Surgical Associates of Traverse City 1221 Sixth St. Ste. 306 Traverse City, MI 49684 2319352401 jsmeltzer@surgicalassociatestc.com https://www.surgicalassociatestc.com Provider Int 3 Complete 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 05:42:32 UV 2.16.840.1.113883.3.1355.1000.1056 cVCCHD AHPS CV Community Care Hanford Dental Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS CV Community Care Hanford Dental 1025 North Douty Street Hanford, CA 93230 559-584-5651 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1056 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 05:52:55 UV 2.16.840.1.113883.3.1355.1000.1057 cVCCHG AHPS CV Community Care Home Garden Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Dr. #150 Roseville, CA 95678 916-770-2889 masked AHPS CV Community Care Home Garden 11899 Shaw Place HanfordCA 93230 559-585-3449 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1057 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 05:53:47 UV 2.16.840.1.113883.3.1355.1000.1058 cVCCHR AHPS CV Community Care Huron Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS CV Community Care Huron 16916 Fifth Street Huron, CA 93234 559-945-9100 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1058 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 05:54:45 UV 2.16.840.1.113883.3.1355.1000.1059 cVCCKER AHPS CV Community Care Kerman Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS CV Community Care Kerman 1000 South Madera Avenue Kerman, CA 93630 559-846-9352 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1059 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 05:55:51 UV 2.16.840.1.113883.3.1355.1000.1060 cVCCKETC AHPS CV Community Care Kettleman City Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS CV Community Care Kettleman City 304 Becky Pease Street Kettlemen City,CA 93239 559-386-2206 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1060 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 05:59:37 UV 2.16.840.1.113883.3.1355.1000.1061 cVCCKING AHPS CV Community Care Kingsburg Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2880 masked AHPS CV Community Care Kingsburg 1251 Draper Street Kingsburg, CA 93631 559-897-6611 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1061 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 06:00:34 UV 2.16.840.1.113883.3.1355.1000.1062 cVCCL AHPS CV Community Care Lemoore Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS CV Community Care Lemoore 810 East D Street LemooreCA 93245 559-924-1658 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1062 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 06:01:22 UV 2.16.840.1.113883.3.1355.1000.1063 cVCCREED AHPS CV Community Care Reedley Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS CV Community Care Reedley 1311 11th Street ReedleyCA 93654 559-638-3799 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1063 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 06:02:29 UV 2.16.840.1.113883.3.1355.1000.1064 cVCCSAN AHPS CV Community Care Sanger Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS CV Community Care Sanger 1939 Academy Avenue SangerCA 93657 559-875-6011 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1064 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 06:03:51 UV 2.16.840.1.113883.3.1355.1000.1065 cVCCSAND AHPS CV Community Care Sanger Dental Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS CV Community Care Sanger Dental 1939 Academy Avenue SangerCA 93657 559-875-6900 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1065 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 06:04:50 UV 2.16.840.1.113883.3.1355.1000.1066 cVCCSC AHPS CV Community Care Selma Central Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS CV Community Care Selma Central 2131 High Street Suite E SelmaCA 93662 559-891-6346 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1066 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 06:06:05 UV 2.16.840.1.113883.3.1355.1000.1067 cVCCSEL AHPS CV Community Care Selma Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95240 916-770-2889 masked AHPS CV Community Care Selma 1041 Rose Avenue Selma, CA 93662 559-891-6346 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1067 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 06:07:26 UV 2.16.840.1.113883.3.3991.1041 infusion-center Sparrow IV Infusion Center Brian Upton masked Brian Upton 1301 N. Hagadorn Rd. East Lansing, MI 48823 (517) 332-7063 masked IT Systems Interface Programmer Sparrow Health System 1215 E. Michigan Ave. (517) 364-1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1041 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 06:09:42 UV 2.16.840.1.113883.3.3991.1042 cancer-center-med-onc Sparrow Regional Cancer Center Medical Onocology Brian Upton masked Brian Upton 1301 N. Hagadorn Rd. East Lansing, MI 48823 (517) 332-7063 masked IT Systems Interface Programmer Sparrow Health System 1215 E. Michigan Ave. Lansing, MI 48912 (517) 364-1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1042 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 06:11:05 UV 2.16.840.1.113883.3.1355.1000.1068 cVCCT AHPS CV Community Care Taft Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS CV Community Care Taft 501 6th Street Taft, CA 93268 661-763-5131 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1068 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 06:12:04 UV 2.16.840.1.113883.3.5780 msmc Mount Sinai Medical Center Ivan Gomez masked Ivan Gomez 4300 Alton Road Miami Beach,FL 33140 305-674-2121 masked Epic - Cache Admin / Integration Engineer Mount Sinai Medical Center 4300 Alton Road Miami Beach,FL 33140 305-674-2121 Ivan.Gomez@msmc.com http://www.msmc.com HL7 body Int 3 Complete 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 06:13:57 UV 2.16.840.1.113883.3.1355.1000.1069 cVHIVCCH AHPS CV HIV-Community Care Hanford Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS CV HIV-Community Care Hanford 1025 North Douty Street Hanford,CA 93230 559-583-2254 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1069 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 06:15:07 UV 2.16.840.1.113883.3.1355.1000.1070 cVPNRAGN AHPN CV Reedley Acacia 110 Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPN CV Reedley Acacia 110 1419 North Acacia Avenue Suite 110 Reedley, CA 93654 559-391-3160 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1070 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 06:16:39 UV 2.16.840.1.113883.3.1355.1000.1071 cVPNRANG AHPN CV Reedley Acacia 101 Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPN CV Reedley Acacia 101 1419 North Acacia Avenue Suite 101 Reedley, CA 93654 559-391-3160 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1071 2014/10/27 12:00:00 2014/12/03 06:19:55 UV 2.16.840.1.113883.3.1355.1000.1072 cVPNSDB AHPN CV Selma Dockery B Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPN CV Selma Dockery B 2256 Dockery Avenue Suite B Selma, CA 93662 559-856-6170 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1072 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 06:21:07 UV 2.16.840.1.113883.3.1355.1000.1073 cVPNSRA AHPN CV Selma Rose A Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPN CV Selma Rose A 1142 Rose Avenue Suite A Selma, CA 93662-3251 559-856-6160 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1073 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 06:22:04 UV 2.16.840.1.113883.3.1355.1000.1074 cVPNSRC AHPN CV Selma Rose C Lynne Mantz masked Lynne Mantz Adventist Health 1102 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPN CV Selma Rose C 1142 Rose Avenue Suite C Selma, CA 93662-3251 559-856-6165 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1074 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 06:23:04 UV 2.16.840.1.113883.3.1355.1000.1075 cVPNVHB AHPN CV Visalia Hall B Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPN CV Visalia Hall B 107 North Hall Street Suite B Visalia, CA 93291 559-730-2000 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1075 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 06:23:51 UV 2.16.840.1.113883.3.1355.1000.1094 gAAGHCG AHPS GA HVI Cardiology Clinic Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Rdige Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS GA HVI Cardiology Clinic 1500 East Chevy Chase Drive Glendale, CA 91206 818-863-4099 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1094 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 06:26:06 UV 2.16.840.1.113883.3.1355.1000.1095 hCJCH AHPS HC Job Care Hanford Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS HC Job Care Hanford 500 North Greenfield Avenue HanfordCA 93230 559-537-1350 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1095 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 06:27:36 UV 2.16.840.1.113883.3.1355.1000.1096 hCLCC AHPS HC Lung Care Center Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS HC Lung Care Center 125 Mall Drive&#160;Suite 305 HanfordCA 93230 559-537-0440 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1096 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 06:28:55 UV 2.16.840.1.113883.3.1355.1000.1097 hCPNAHSAPC AHPN HC Pain Hanford Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPN HC Pain Hanford 470 Greenfield Avenue Suite 303 Hanford, CA 93230 559-537-0325 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1097 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 06:29:56 UV 2.16.840.1.113883.3.1355.1000.1098 hCPNHMP AHPN HC Hanford Medical Pavilion Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPN HC Hanford Medical Pavilion 125 Mall Drive HanfordCA 93230 5595370292 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1098 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 06:30:44 UV 2.16.840.1.113883.3.1355.1000.1099 hCPNLEM AHPN HC Lemoore Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPN HC Lemoore 784 North Lemoore Avenue LemooreCA 93245 559-924-8410 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1099 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 06:31:30 UV 2.16.840.1.113883.3.1355.1000.1100 hCPNLMP AHPN HC Lacey Medical Plaza Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 916-770-2889 masked AHPN HC Lacey Medical Plaza 1524 West Lacey Boulevard HanfordCA 93230 559-583-4600 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1100 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 06:33:58 UV 2.16.840.1.113883.3.1355.1000.1103 rDAMPD AHPS RD Adventist Medical Plaza Dinuba Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS RD Adventist Medical Plaza Dinuba 444 West El Monte Way DinubaCA 93618 559-591-4289 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1103 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 06:35:49 UV 2.16.840.1.113883.3.1355.1000.1104 rDBHCCO AHPS RD BH-Community Care Oakhurst Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS RD BH-Community Care Oakhurst 48677 Victoria Lane Oakhurst, CA 93644 559-683-2711 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1104 2014/10/27 12:00:00 2014/12/03 12:00:00 2014/12/03 06:37:04 UV 2.16.840.1.113883.3.5781 aaos aaos performance measures Jacqueline Ryan masked Jacqueline Ryan 6300 North River Road Rosemont, IL 60018 847-384-4337 masked Manager, Performance Measures American Academy of Orthopaedic Surgeons 6300 North River Road Rosemont IL 60018 ryan@aaos.org http://www.aaos.org Prof Soc Int 3 Complete 2014/10/28 12:00:00 2014/12/03 12:00:00 2014/12/03 06:40:15 UV 2.16.840.1.113883.3.5782 idsa The Infectious Diseases Society of America Thomas Kim masked Thomas Kim 1300 Wilson Blvd Suite 300 Arlington, VA 22209 7036381502 masked Program Coordinator, Clinical Affairs The Infectious Diseases Society of America 1300 Wilson Blvd Suite 300 Arlington, VA 22209 7036381502 tkim@idsociety.org http://www.idsociety.org Prof Soc Int 3 Complete 2014/10/28 12:00:00 2014/12/03 12:00:00 2014/12/03 06:43:25 UV 2.16.840.1.113883.3.1355.1000.1106 rDBHCCRJ AHPS RD BH-Community Care Reedley Jefferson Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS RD BH-Community Care Reedley Jefferson 1150 East Washington Avenue ReedleyCA 93654 559-638-2154 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1106 2014/10/28 12:00:00 2014/12/03 12:00:00 2014/12/03 06:45:21 UV 2.16.840.1.113883.3.1355.1000.1107 rDCCAW AHPS RD Community Care Avenal West Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS RD Community Care Avenal West 337 King Street AvenalCA 93204 559-386-5200 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1107 2014/10/28 12:00:00 2014/12/03 12:00:00 2014/12/03 06:46:24 UV 2.16.840.1.113883.3.1355.1000.1108 rDCCCARE AHPS RD Community Care Caruthers East Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS RD Community Care Caruthers East 2357 West Tahoe Caruthers, CA 93609 559-864-5200 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1108 2014/10/28 12:00:00 2014/12/03 12:00:00 2014/12/03 06:47:46 UV 2.16.840.1.113883.3.1355.1000.1109 rDCCCH AHPS RD Community Care Children's Health Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive, #11 Roseville, CA 95678 916-770-2889 masked AHPS RD Community Care Children's Health 1433 North Acacia Avenue ReedleyCA 94364 559-637-7550 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1109 2014/10/28 12:00:00 2014/12/03 12:00:00 2014/12/03 06:49:17 UV 2.16.840.1.113883.3.1355.1000.1110 rDCCCORE AHPS RD Community Care Corcoran East Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS RD Community Care Corcoran East 1310 Hanna Avenue Corcoran, CA 93212-2314 559-992-8200 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1110 2014/10/28 12:00:00 2014/12/03 12:00:00 2014/12/03 06:56:02 UV 2.16.840.1.113883.3.1355.1000.1111 rDCCCUT AHPS RD Community Care Cutler Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS RD Community Care Cutler 40657 Road 128 CutlerCA 93618 559-528-6798 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1111 2014/10/28 12:00:00 2014/12/03 12:00:00 2014/12/03 06:57:01 UV 2.16.840.1.113883.3.5783 reliance-hie Reliance eHealth Collaborative Gina Bianco masked Mike Hokanson 122 E. Main Street Medford, OR 97501 +1 360-362-0574 masked Sr. Interface Engineer, Data & Interoperability Reliance eHealth Collaborative 122 E. Main Street Medford, OR 97501 8552905443 paula.weldon@reliancehie.org Exchange Int 3 Complete 2014/10/28 12:00:00 2014/12/03 12:00:00 2026/09/28 03:05:49 UV 2.16.840.1.113883.3.1355.1000.1112 rDCCDW AHPS RD Community Care Dinuba West Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS RD Community Care Dinuba West 250 West El Monte Way DinubaCA 93618 559-595-9398 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1112 2014/10/28 12:00:00 2014/12/03 12:00:00 2014/12/03 07:00:25 UV 2.16.840.1.113883.3.1355.1000.1113 rDCCKERC AHPS RD Community Care Kerman Central Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS RD Community Care Kerman Central 275 South Madera Avenue Suite 201 KermanCA 93630 559-846-5240 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1113 2014/10/28 12:00:00 2014/12/03 12:00:00 2014/12/03 07:04:36 UV 2.16.840.1.113883.3.1355.1000.1114 rDCCO AHPS RD Community Care Orosi Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive, #150 Roseville, CA 95678 916-770-2889 masked AHPS RD Community Care Orosi 41696 Road 128 Orosi, CA 93647 559-528-6966 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1114 2014/10/28 12:00:00 2014/12/03 12:00:00 2014/12/03 07:05:24 UV 2.16.840.1.113883.3.1355.1000.1115 rDCCOC AHPS RD Community Care Orange Cove Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS RD Community Care Orange Cove 1455 Park Boulevard Orange Cove, CA 93646-9322 559-626-7498 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1115 2014/10/28 12:00:00 2014/12/03 12:00:00 2014/12/03 07:06:34 UV 2.16.840.1.113883.3.1355.1000.1116 rDCCOH AHPS RD Community Care Oakhurst Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS RD Community Care Oakhurst 48677 Victoria Lane Oakhurst, CA 93644 559-638-8155 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1116 2014/10/28 12:00:00 2014/12/03 12:00:00 2014/12/03 07:07:30 UV 2.16.840.1.113883.3.1355.1000.1117 rDCCPN AHPS RD Community Care Parlier Newmark Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS RD Community Care Parlier Newmark 155 South Newmark Avenue ParlierCA 93648 559-646-6622 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1117 2014/10/28 12:00:00 2014/12/03 12:00:00 2014/12/03 07:08:22 UV 2.16.840.1.113883.3.1355.1000.1118 rDCCRC AHPS RD Community Care Reedley Cypress Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS RD Community Care Reedley Cypress 372 West Cypress ReedleyCA 93654 559-643-8057 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1118 2014/10/28 12:00:00 2014/12/03 12:00:00 2014/12/03 07:10:17 UV 2.16.840.1.113883.3.5783.100 mmc-mrn JHIE interface MMC-MRN Pool Gina Bianco masked Mike Hokanson 520 Medical Center Drive #120 Medford, OR 97504 +1 360-362-0574 masked Sr. Interface Engineer, Data & Interoperability Jefferson Health Information Exchange (JHIE) 520 Medical Center Drive #120 Medford, OR 97504 8552905443 paula.weldon@jhie.org Exchange 2.16.840.1.113883.3.5783 Ext 14 Complete 2.16.840.1.113883.3.5783.100 2014/10/28 12:00:00 2014/12/03 12:00:00 2026/09/28 03:07:50 UV 2.16.840.1.113883.3.5783.101 mmc-prov JHIE interface MMC-Provider Pool Gina Bianco masked Mike Hokanson 520 Medical Center Drive Medford, OR 97504 +1 360-362-0574 masked Sr. Interface Engineer, Data & Interoperability Jefferson Health Information Exchange (JHIE) 520 Medical Center Drive Medford, OR 97504 8552905443 paula.weldon@jhie.org Exchange 2.16.840.1.113883.3.5783 Ext 14 Complete 2.16.840.1.113883.3.5783.101 2014/10/28 12:00:00 2014/12/03 12:00:00 2026/09/28 03:08:11 UV 2.16.840.1.113883.3.5784 solutions Solutions Practice Management LLC Roger Neal masked Roger Neal 2621 Whisenant Dr. Duncan, OK 73533 580-251-8555 masked VP-COO-CIO Solutions Practice Management, LLC 2210 Duncan Regional Loop Rd Duncan, OK 73533 580-252-5300 info@solutionsppm.com http://duncanregional.com/solutions-clinics Provider 2.16.840.1.113883.3.890 Int 3 Complete 2014/10/28 12:00:00 2014/12/03 12:00:00 2024/11/07 12:40:31 UV 2.16.840.1.113883.3.1355.1000.1119 rDCCRIVER AHPS RD Community Care Riverdale Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS RD Community Care Riverdale 3567 Mount Whitney Riverdale, CA 93656 559-867-7200 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1119 2014/10/28 12:00:00 2014/12/03 12:00:00 2014/12/03 07:16:34 UV 2.16.840.1.113883.3.1355.1000.1120 rDCCRJ AHPS RD Community Care Reedley Jefferson Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS RD Community Care Reedley Jefferson 1150 East Washington Avenue ReedleyCA 93654-4329 559-638-2154 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1120 2014/10/28 12:00:00 2014/12/03 12:00:00 2014/12/03 07:18:42 UV 2.16.840.1.113883.3.1355.1000.1121 rDCCRWH AHPS RD Community Care Reedley Womens Health Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS RD Community Care Reedley Womens Health 550 West Cypress Reedley, CA 93654 559-637-2455 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1121 2014/10/28 12:00:00 2014/12/03 12:00:00 2014/12/03 07:19:29 UV 2.16.840.1.113883.3.1355.1000.1122 rD-CR AHPS RD Job Care Reedley Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770--2889 masked AHPS RD Job Care Reedley 1311 11th Avenue ReedleyCA 93654 559-638-5005 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1122 2014/10/28 12:00:00 2014/12/03 12:00:00 2014/12/03 07:22:17 UV 2.16.840.1.113883.3.1355.1000.1123 sCJCS AHPS SC Job Care Selma Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS SC Job Care Selma 1142 Rose Avenue Suite B Selma, CA 93662 559-856-6760 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1123 2014/10/28 12:00:00 2014/12/03 12:00:00 2014/12/03 07:23:04 UV 2.16.840.1.113883.3.1355.1000.1133 sJCC SJCH Cancer Center Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked SJCH Cancer Center 2620 Chester Avenue Bakersfield, CA93301 661-323-4673 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1133 2014/10/28 12:00:00 2014/12/03 12:00:00 2014/12/03 07:26:24 UV 2.16.840.1.113883.3.1355.1000.1134 sJPNHMP AHPN SJ Highgrove Medical Plaza Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPN SJ Highgrove Medical Plaza 2701 Chester Avenue Bakersfield, CA93301 661-716-9400 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1134 2014/10/28 12:00:00 2014/12/03 12:00:00 2014/12/03 07:27:13 UV 2.16.840.1.113883.3.5785 lukedorf Luke Dorf Kieley Reynolds masked David Sones 8935 SW Center Street Tigard OR 97223 503-726-3714 masked EHR Programmer Luke Dorf Inc. 8935 SW Center Street Tigard OR 97223 503-726-3714 dsones@luke-dorf.org https://www.luke-dorf.org Provider Int 3 Complete 2014/10/28 12:00:00 2014/12/03 12:00:00 2014/12/03 07:24:51 UV 2.16.840.1.113883.3.1355.1000.1105 rDBHCCRIVER AHPS RD BH-Community Care Riverdale Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS RD BH-Community Care Riverdale 3567 Mount Whitney Riverdale, CA93656 559-867-7200 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1105 2014/10/28 12:00:00 2014/12/03 12:00:00 2014/12/03 07:31:16 UV 2.16.840.1.113883.3.1355.1000.1135 sJPNSMC AHPN SJ Strategos Medical Clinic Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPN SJ Strategos Medical Clinic 9330 Stockdale Highway Suite 400 Bakersfield, CA93311-3614 661-664-2633 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1135 2014/10/28 12:00:00 2014/12/03 12:00:00 2014/12/03 07:34:00 UV 2.16.840.1.113883.3.1355.1000.1136 sRACFMC AHPS SR Angels Camp Family Medical Ctr Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS SR Angels Camp Family Medical Ctr 445 South Main Angels Camp, CA95222 209-736-0249 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1136 2014/10/28 12:00:00 2014/12/03 12:00:00 2014/12/03 07:34:59 UV 2.16.840.1.113883.3.1355.1000.1137 sRACO AHPS SR Angels Camp Orthopedics Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS SR Angels Camp Orthopedics 23 North Main Street Sonora, CA 95222 209-736-1147 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1137 2014/10/28 12:00:00 2014/12/03 12:00:00 2014/12/03 07:36:09 UV 2.16.840.1.113883.3.1355.1000.1138 sRACPC AHPS SR Angels Camp Prompt Care Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS SR Angels Camp Prompt Care 23 North Main Street Angels Camp, CA95222 209-736-9130 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1138 2014/10/28 12:00:00 2014/12/03 12:00:00 2014/12/03 07:36:46 UV 2.16.840.1.113883.3.5786 rallp Radiology Associates LLP Harry Mosser masked Harry Jay Mosser 4444 corona dr. suite 200 corpus Christi, TX, 78411 361-561-3024 masked Enterprise Systems Architect Radiology Associates LLP 4444 corona dr. suite 200 corpus Christi, TX, 78411 361-887-7000 jmosser@xraydocs.com http://www.xraydocs.com Provider Int 3 Complete 2014/10/29 12:00:00 2014/12/03 12:00:00 2014/12/03 07:38:17 UV 2.16.840.1.113883.3.5787 shusa Sonic Healthcare USA Eric Crugnale masked Eric Crugnale 250 Miller Place Hicksville, NY 11801 516-396-5842 masked Director of Connectivity Sonic Healthcare USA 9737 Great Hills Trail Suite 100 Austin, TX 78759 ecrugnale@sonichealthcareusa.com http://www.sonichealthcareusa.com Provider Int 3 Complete 2014/10/29 12:00:00 2014/11/12 12:00:00 2014/11/12 05:07:49 UV 2.16.840.1.113883.3.5787.11801 shusa-sml Sunrise Medical Laboratories Eric Crugnale masked Eric Crugnale 250 Miller Place Hicksville, NY 11801 516-396-5842 masked Director of Connectivity Sonic Healthcare USA 9737 Great Hills Trail Suite 100 Austin, NY ecrugnale@sonichealthcareusa.com https://www.sonichealthcareusa.com Provider 2.16.840.1.113883.3.5787 Ext 4 Complete 2.16.840.1.113883.3.5787.11801 2014/10/29 12:00:00 2014/12/03 12:00:00 2014/12/03 07:41:14 UV 2.16.840.1.113883.3.1355.1000.1139 sRAFMC AHPS SR Arnold Family Medical Center Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS SR Arnold Family Medical Center 2037 Highway 4 ArnoldCA 95223 209-795-0155 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1139 2014/10/29 12:00:00 2014/12/03 12:00:00 2014/12/03 07:43:28 UV 2.16.840.1.113883.3.1355.1000.1140 sRBHFRHW AHPS SR BH-Forest Rd Health and Wellness Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS SR BH-Forest Rd Health and Wellness 193 South Fairview Lane, Suite J SonoraCA 95370 209-536-5110 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1140 2014/10/29 12:00:00 2014/12/03 12:00:00 2014/12/03 07:45:11 UV 2.16.840.1.113883.3.1355.1000.1141 sRCIM AHPS SR Cedarwood Internal Medicine Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive 150 Roseville, CA 95678 916-770-2889 masked AHPS SR Cedarwood Internal Medicine 690 Guzzi Lane Suite A SonoraCA 95370 209-536-5070 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1141 2014/10/29 12:00:00 2014/12/03 12:00:00 2014/12/03 07:45:51 UV 2.16.840.1.113883.3.1355.1000.1142 sRCWC AHPS SR Center for Wound Care Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS SR Center for Wound Care 12811 Covey Circle SonoraCA 95370 209-536-5196 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1142 2014/10/29 12:00:00 2014/12/03 12:00:00 2014/12/03 07:47:00 UV 2.16.840.1.113883.3.1355.1000.1143 sRFPC AHPS SR Foothill Primary Care Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS SR Foothill Primary Care 650 Pauline Court SonoraCA95370 209-532-5154 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1143 2014/10/29 12:00:00 2014/12/03 12:00:00 2014/12/03 07:48:00 UV 2.16.840.1.113883.3.1355.1000.1144 sRFPFP AHPS SR Foothill Pediatrics and Family Practice Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS SR Foothill Pediatrics and Family Practice 12791 Cabezut Road SonoraCA95370 209-532-1513 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1144 2014/10/29 12:00:00 2014/12/06 12:00:00 2014/12/06 06:28:06 UV 2.16.840.1.113883.3.1355.1000.1145 sRFRHW AHPS SR Forest Road Health and Wellness Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS SR Forest Road Health and Wellness 193 S. Fairview Lane SonoraCA95370 209-536-5100 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1145 2014/10/29 12:00:00 2014/12/06 12:00:00 2014/12/06 06:31:39 UV 2.16.840.1.113883.3.1355.1000.1146 sRFSG AHPS SR Foothill Spec Group Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS SR Foothill Spec Group 680 Guzzi Lane, Suite 206 SonoraCA95370 209-532-1817 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1146 2014/10/29 12:00:00 2014/12/06 12:00:00 2014/12/06 06:33:14 UV 2.16.840.1.113883.3.1355.1000.1147 sRGFMC AHPS SR Groveland Family Medical Center Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS SR Groveland Family Medical Center 18661 Highway 120 Groveland, CA95321 209-962-7121 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1147 2014/10/29 12:00:00 2014/12/06 12:00:00 2014/12/06 06:35:41 UV 2.16.840.1.113883.3.1355.1000.1148 sRGOC AHPS SR Greenley Oaks Clinic Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS SR Greenley Oaks Clinic 795 Morning Star Drive SonoraCA95370 209-536-3680 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1148 2014/10/29 12:00:00 2014/12/06 12:00:00 2014/12/06 06:37:18 UV 2.16.840.1.113883.3.1355.1000.1149 sRGPC AHPS SR Greenley Primary Care Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS SR Greenley Primary Care 19747 Greenley Road Suite S-2 SonoraCA95370 209-536-3320 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 3 Complete 2.16.840.1.113883.3.1355.1000.1149 2014/10/29 12:00:00 2014/12/06 12:00:00 2014/12/06 06:38:30 UV 2.16.840.1.113883.3.5788 trmcscm Trinitas Regional Medical Center Sunrise Clinical Manager Christian Wallace masked Christian Wallace Trinitas RMC Information Technologies 225 Williamson Street Elizabeth, NJ 07207 908-994-5857 masked IT Clinical Director Christian Wallace Trinitas RMC Information Technologies 225 Williamson Street Elizabeth, NJ 07207 908-994-5857 cwallace@trinitas.org http://www.trinitashospital.org Provider Int 3 Complete 2014/10/29 12:00:00 2014/11/12 12:00:00 2014/11/12 05:06:58 UV 2.16.840.1.113883.3.5789 hendry Hendry Regional Health System John Smathers masked Harrington Fuller 524 W Sagamore Street Clewiston, FL 33440 863-902-3040 masked IT Director Hendry Regional Medical Center 524 W Sagamore Avenue Clewiston, FL 33440 863-902-3000 hfuller@hrmc.us http://www.hrmc.us Provider Int 3 Complete 2014/10/30 12:00:00 2014/11/12 12:00:00 2026/10/20 08:57:17 UV 2.16.840.1.113883.3.5790 kmcin Kentuckiana Medical Center Paul Newsom masked Paul Newsom 4601 Medical Plaza Way Clarksville, IN 47129 8122803302 masked COO Kentuckiana Medical Center 4601 Medical Plaza Way Clarksville, IN 47129 8122803300 p.newsom@kentuckianamedcen.com Provider Int 3 3 Complete 2014/10/30 12:00:00 2014/11/12 12:00:00 2014/11/12 05:06:25 UV 2.16.840.1.113883.3.5791 verdugodermatology Verdugo Dermatology OID Root Thomas Su masked Nina Seevers 3600 N Verdugo Road Suite 210 Glendale, Ca 91208-1258 818-658-2300 masked Office Manager Su and Chang Dermatology Associates, APMC 3600 N Verdugo Road Suite 210 Glendale, Ca 91208-1258 818-658-2300 verdugodermatology@gmail.com https://www.verdugodermatology.com Provider Int 3 Complete 2014/10/30 12:00:00 2014/11/12 12:00:00 2014/11/12 05:06:09 UV 2.16.840.1.113883.3.1070.6001 mckesson-fusion-6001 mckesson-fusion-6001 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.6001 2014/10/30 12:00:00 2014/12/06 12:00:00 2014/12/06 06:40:48 US 2.16.840.1.113883.17.4026 nphc Northern Pines Health Center, P.C. Keisha Sexton masked Keisha Sexton 11293 N M37 Suite A Buckley, MI 49620 2312694185 masked Office Manager Northern Pines Health Center, P.C. 11293 N M37 Suite A Buckley, MI 49620 2312694185 keishasexton@northernpineshealthcenter.com Provider Int 17 Complete 2014/10/30 12:00:00 2014/12/06 12:00:00 2014/12/06 06:43:18 UV 2.16.840.1.113883.3.5792 mrhs-ar Mena Regional Health System Nicholas Dunn masked Nicholas Dunn 479-243-2194 masked IT Director Nicholas Dunn 311 North Morrow 479-243-2194 nickd@menaregional.com Provider Int 3 Complete 2014/10/30 12:00:00 2014/11/12 12:00:00 2014/11/12 05:05:48 UV 2.16.840.1.113883.3.5793 rvmc-4677 River Valley Medical Center Bill Millard masked Bill Millard 200 N 3rd Street Dardanelle, AR 72834 4792296145 masked Director of I.T. River Valley Medical Center 200 N 3rd Street Dardanelle, AR 72834 4792294677 bmillard@dardanellehospital.com http://www.rivervalleymedicalcenter.com/ Provider Int 3 Complete 2014/10/31 12:00:00 2014/11/12 12:00:00 2014/11/12 05:05:22 UV 2.16.840.1.113883.17.4027 one310a 1310 Greenwood Ave Aaron Jordan Anders masked Julie Lowry 100 E Michigan Ave Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/10/31 12:00:00 2014/12/18 12:00:00 2014/12/18 03:29:28 UV 2.16.840.1.113883.17.4028 tenten 1010 Burr St Jordan Anders masked Julie Lowry 100 E Michigan Ave Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/10/31 12:00:00 2014/12/18 12:00:00 2014/12/18 03:30:22 UV 2.16.840.1.113883.17.4029 ten24 1024 Fleming Jordan Anders masked Julie Lowry 100 E Michigan Ave Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/10/31 12:00:00 2014/12/18 12:00:00 2014/12/18 03:31:13 UV 2.16.840.1.113883.17.4030 eleven00 1100 E Michigan Ave Jordan Anders masked Julie Lowry 100 E Michigan Ave Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/10/31 12:00:00 2014/12/18 12:00:00 2014/12/18 03:35:36 UV 2.16.840.1.113883.17.4031 eleven11 1111 Teneyck Jordan Anders masked Julie Lowry 100 E Michigan Ave Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/10/31 12:00:00 2014/12/18 12:00:00 2014/12/18 03:36:32 UV 2.16.840.1.113883.17.4032 twelve00 1200 N West Ave Jordan Anders masked Julie Lowry 100 E Michigan Ave Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/10/31 12:00:00 2014/12/18 12:00:00 2014/12/18 03:38:16 UV 2.16.840.1.113883.3.5794 twelve01 1201 E Michigan Ave Jordan Anders masked Julie Lowry 100 E Michigan Ave Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 3 Complete 2014/10/31 12:00:00 2014/11/12 12:00:00 2014/11/12 05:04:39 UV 2.16.840.1.113883.17.4033 one2337 12337 E Michigan Ave Jordan Anders masked Julie Lowry 100 E Michigan Ave Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/10/31 12:00:00 2014/12/18 12:00:00 2014/12/18 03:44:43 UV 2.16.840.1.113883.17.4034 one2369 12369 E Michigan Ave Jordan Anders masked Julie Lowry 100 E Michigan Ave Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/10/31 12:00:00 2014/12/18 12:00:00 2014/12/18 03:46:02 UV 2.16.840.1.113883.3.5795 kernMedCtr-1 Kern Medical Center Eric Santerre masked Eric Santerre Kern Medical Center 1700 Mount Vernon Avenue Bakersfield, CA 93306 661-326-2903 masked Eric Santerre Kern Medical Center 1700 Mount Vernon Avenue Bakersfield, CA 93306 661-326-2903 santerre@kernmedctr.com Provider Int 3 Complete 2014/10/31 12:00:00 2014/11/12 12:00:00 2014/11/12 05:03:43 UV 2.16.840.1.113883.3.5796 affinia Affinia healthcare James Anderson masked James Anderson 1717 Biddle Street St Louis, MO 63106 314-814-8490 masked Vice President, CIO Affinia Healthcare 1717 Biddle Street St Louis, MO 63106 314-814-8490 janderson@gracehill.org Provider Int 3 Complete 2014/10/31 12:00:00 2014/11/12 12:00:00 2015/01/15 12:13:20 UV 2.16.840.1.113883.3.5797 socfac JHIE SOC Interface Facility Gina Bianco masked Paula Weldon 520 Medical Center Drive #120 Medford, OR 97504 855-290-5443 masked Project Manager JHIE SOC Interface Facility 520 Medical Center Drive #120 Medford, OR 97504 855-290-5443 paula.weldon@jhie.org Exchange Int 3 Complete 2014/10/31 12:00:00 2014/11/12 12:00:00 2014/11/12 05:03:12 UV 2.16.840.1.113883.3.5797.100 socmrn JHIE SOC Interface MRN Pool Gina Bianco masked Paula Weldon 520 Medical Center Dr #120 Medford, OR 97504 8552905443 masked Project Manager JHIE SOC Interface Facility 520 Medical Center Dr #120 Medford, OR 97504 8552905443 paula.weldon@jhie.org Exchange 2.16.840.1.113883.3.5797 Ext 14 Complete 2.16.840.1.113883.3.5797.100 2014/10/31 12:00:00 2014/12/06 12:00:00 2014/12/06 06:49:47 UV 2.16.840.1.113883.3.5797.101 socprov JHIE SOC Interface Provider Pool Gina Bianco masked Paula Weldon 520 Medical Center Dr #120 Medford, OR 97504 8552905443 masked Project Manager JHIE SOC Interface Facility 520 Medical Center Dr #120 Medford, OR 97504 8552905443 paula.weldon@jhie.org Exchange 2.16.840.1.113883.3.5797 Ext 14 Complete 2.16.840.1.113883.3.5797.101 2014/10/31 12:00:00 2014/12/06 12:00:00 2014/12/06 06:53:20 UV 2.16.840.1.113883.3.5798 yournextsteppc Your Next Step, PC OID Root Eric Ricefield masked Shawne Kincaid 39 Rittenhouse Place Ardmore, PA 19003 610-642-8837 masked Office Manager Your Next Step, PC 39 Rittenhouse Place Ardmore, PA 19003 (610) 642-8837 Contact@yournextstep.net http://www.yournextstep.net/ Provider Int 3 Complete 2014/10/31 12:00:00 2014/11/12 12:00:00 2014/11/12 05:02:47 UV 2.16.840.1.113883.3.5799 piggott Piggott Community Hospital Jonathan Winn masked Elaine Nixon 8705983881 masked Piggott Community Hospital 1206 Gordon Duckworth Drive Piggott, AR 72454 8705983881 jonathan.winn@pch-health.com Provider Int 3 Complete 2014/10/31 12:00:00 2014/11/12 12:00:00 2014/11/12 05:02:18 UV 2.16.840.1.113883.3.5800 vmsi Ventana Medical Systems, Inc. AbdulMalik Shakir masked kurella.murty@ventana.roche.com Murty Kurella 203 Ravendale Dr Mountain View, CA 94043 520-665-8395 masked Senior Director, Enterprise Software Ventana Medical Systems, Inc. 203 Ravendale Dr Mountain View, CA 94043 kurella.murty@ventana.roche.com http://www.ventana.com/ Vendor Int 3 Complete 2014/11/02 12:00:00 2014/12/06 12:00:00 2014/12/06 07:02:29 UV 2.16.840.1.113883.17.4035 one24 124 Seymour St Jordan Anders masked Julie Lowry 100 E Michigan Ave Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/03 12:00:00 2014/12/18 12:00:00 2014/12/18 11:41:31 UV 2.16.840.1.113883.17.4036 one30 130 N Sherman Jordan Anders masked Julie Lowry 100 E Michigan Ave Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/03 12:00:00 2014/12/18 12:00:00 2014/12/18 12:37:26 UV 2.16.840.1.113883.17.4037 one401 1401 W North St Jordan Anders masked Julie Lowry 100 E Michigan Ave Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/03 12:00:00 2014/12/18 12:00:00 2014/12/18 12:57:43 UV 2.16.840.1.113883.17.4038 one418 1418 E Michigan Ave Jordan Anders masked Julie Lowry 100 E Michigan Ave Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/03 12:00:00 2014/12/18 12:00:00 2014/12/18 01:01:02 UV 2.16.840.1.113883.17.4039 one50 150 S East Ave Jordan Anders masked Julie Lowry 100 E Michigan Ave Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/03 12:00:00 2014/12/18 12:00:00 2014/12/18 01:19:06 UV 2.16.840.1.113883.17.4040 one310h David Halsey MD - 1310 Greenwood Ave Jordan Anders masked Julie Lowry 100 E Michigan Ave Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/03 12:00:00 2014/12/18 12:00:00 2014/12/18 01:22:34 UV 2.16.840.1.113883.17.4041 one310l Lynn C. Van Wagnen, MD PC - 1310 Greenwood Ave Jordan Anders masked Julie Lowry 100 E Michigan Ave Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/03 12:00:00 2014/12/18 12:00:00 2014/12/18 01:25:07 UV 2.16.840.1.113883.17.4042 two05 205 N East Ave Jordan Anders masked Julie Lowry 100 E Michigan Ave Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/03 12:00:00 2014/12/18 12:00:00 2014/12/18 01:52:23 UV 2.16.840.1.113883.17.4043 two05P 205 Page Ave Jordan Anders masked Julie Lowry 100 E Michigan Ave Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/03 12:00:00 2014/12/18 12:00:00 2014/12/18 02:17:37 UV 2.16.840.1.113883.17.4044 two100 2100 Fourth St Jordan Anders masked Julie Lowry 100 E Michigan Ave Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/03 12:00:00 2014/12/18 12:00:00 2014/12/18 02:18:33 UV 2.16.840.1.113883.3.1070.6008 mckesson-fusion-6008 mckesson-fusion-6008 Gianna Goodman masked Fusion Enrollment 8775074541 masked Fusion Enrollment gianna.goodman@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.6008 2014/11/03 12:00:00 2014/12/06 12:00:00 2014/12/06 07:06:03 US 2.16.840.1.113883.3.5801 mrmc-ar Magnolia Regional Medical Center-Magnolia AR Stephen Collier masked Stephen Collier 101 Hospital Drive Magnolia, AR 71753 870-235-3220 masked IT Director Magnolia Regional Medical Center 101 Hospital Drive Magnolia, AR 71753 870-235-3000 scollier@magnoliarmc.org http://magnoliarmc.org/ Govt body Int 3 Complete 2014/11/03 12:00:00 2014/12/06 12:00:00 2014/12/06 07:15:00 UV 2.16.840.1.113883.1.10 birthDefectDiagnosis Birth Defect Diagnosis Value Set John Roberts masked Laura Rappleye Laura Rappleye 3520 Green Court Suite 300 Ann Arbor, MI 48105 517-750-7026 masked Interoperability Project Lead HL7 pher@hl7.org SDO 2.16.840.1.113883 Int 1 Rejected 2014/11/04 12:00:00 2015/04/16 01:13:14 UV 2.16.840.1.113883.3.1070.6013 mckesson-fusion-6013 mckesson-fusion-6013 Jaime Cummins masked Fusion Enrollment 8775074541 masked Fusion Enrollment jaime.cummins@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.6013 2014/11/04 12:00:00 2014/12/06 12:00:00 2014/12/06 07:10:52 US 2.16.840.1.113883.3.5802 gactrwomen GeorgiaCenterforWomen Michele Parks masked Michele Parks 315 Blvd. N.E. Suite 224 Atlanta, GA 30312 404-265-6888 masked Office Manager Georgia Center for Women 315 Blvd. N.E. Suite 224 Atlanta, GA 30312 404-265-6888 michelparks@bellsouth.net http://www.gacfw.com Provider Int 3 Complete 2014/11/04 12:00:00 2014/12/06 12:00:00 2014/12/06 07:19:03 UV 2.16.840.1.113883.3.5783.102 mmcmrn JHIE MMC Interface Project MRN Gina Bianco masked Mike Hokanson 520 Medical Center Drive #120 Medford, OR 97504 +1 360-362-0574 masked Sr. Interface Engineer, Data & Interoperability Jefferson Health Information Exchange (JHIE) 520 Medical Center Drive #120 Medford, OR 97504 8552905443 paula.weldon@jhie.org Exchange 2.16.840.1.113883.3.5783 Ext 14 Complete 2.16.840.1.113883.3.5783.102 2014/11/04 12:00:00 2014/12/06 12:00:00 2026/09/28 03:08:30 UV 2.16.840.1.113883.3.5783.103 mmcprov JHIE MMC Interface Provider Pool Gina Bianco masked Mike Hokanson 520 Medical Center Drive #120 Medford, OR 97504 +1 360-362-0574 masked Sr. Interface Engineer, Data & Interoperability Jefferson Health Information Exchange (JHIE) 520 Medical Center Drive #120 Medford, OR 97504 8552905443 paula.weldon@jhie.org Exchange 2.16.840.1.113883.3.5783 Ext 14 Complete 2.16.840.1.113883.3.5783.103 2014/11/04 12:00:00 2014/12/06 12:00:00 2026/09/28 03:08:55 UV 2.16.840.1.113883.3.5803 jmcfla Jupiter Medical Center David Savel masked David Savel 1210 South Old Dixie Highway Jupiter, Florida 33458 561-263-4132 masked Sr. Technical Analyst / Interfaces Specialist / Database Administrator Jupiter Medical Center 1210 South Old Dixie Highway Jupiter, Florida 33458 561-263-4132 dsavel@jupitermed.com Provider Int 3 Complete 2014/11/05 12:00:00 2014/12/06 12:00:00 2014/12/06 07:27:22 UV 2.16.840.1.113883.3.5804 advdigcarega Advanced Digestive Care Center Jennifer Parrott masked Jennifer Parrott 235 Medical Blvd,Ste A, Stockbridge, GA 30281 678-565-9457 masked Office Manager Advanced Digestive Care 235 Medical Blvd,Ste A, Stockbridge, GA 30281 678-783-0300 jparrott@gutsmd.com Provider Int 3 Complete 2014/11/05 12:00:00 2014/12/06 12:00:00 2016/01/29 08:36:05 UV 2.16.840.1.113883.3.3991.1043 cancer-center-rad-onc Cancer Center Radiation Oncology Brian Upton masked Brian Upton 1301 N. Hagadorn Rd. East Lansing, MI 48823 (517) 332-7063 masked IT Systems Interface Programmer Sparrow Health System 1215 E. Michigan Ave Lansing, MI 48912 (517) 364-1000 iSparrowInterfaceTeam@sparrow.org http://www.sparrow.org Prof Soc 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1043 2014/11/05 12:00:00 2014/12/06 12:00:00 2014/12/06 07:34:14 UV 2.16.840.1.113883.3.5805 mh-m Memorial Hospital and Manor Bruce Murkerson masked Bruce Murkerson 1500 East Shotwell Street Bainbridge, GA 39819 229-243-6100 masked Systems Analyst Memorial Hospital and Manor 1500 East Shotwell Street Bainbridge, GA 39819 229-246-3500 info@mh-m.org http://www.mh-m.org Provider Int 3 Complete 2014/11/06 12:00:00 2014/12/06 12:00:00 2014/12/06 07:36:40 UV 2.16.840.1.113883.17.4045 two200 2200 Springport Rd Jordan Anders masked Julie Lowry 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/07 12:00:00 2014/12/18 12:00:00 2014/12/18 02:24:57 UV 2.16.840.1.113883.17.4046 two282 2282 Springport Rd Jordan Anders masked Julie Lowry 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/07 12:00:00 2014/12/18 12:00:00 2014/12/18 02:26:08 UV 2.16.840.1.113883.17.4047 two400 2400 Fourth St Jordan Anders masked Julie Lowry 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/07 12:00:00 2014/12/18 12:00:00 2014/12/18 02:26:56 UV 2.16.840.1.113883.17.4048 two424 2424 Spring Arbor Rd Jordan Anders masked Julie Lowry 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/07 12:00:00 2014/12/18 12:00:00 2014/12/18 02:27:52 UV 2.16.840.1.113883.17.4049 two575 2575 Spring Arbor Rd Jordan Anders masked Julie Lowry 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/07 12:00:00 2014/12/18 12:00:00 2014/12/18 02:28:33 UV 2.16.840.1.113883.17.4050 two585 2585 Spring Arbor Rd Jordan Anders masked Julie Lowry 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/07 12:00:00 2014/12/18 12:00:00 2014/12/18 02:29:22 UV 2.16.840.1.113883.17.4051 two7391 27931 C Drive North Jordan Anders masked Julie Lowry 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/07 12:00:00 2014/12/18 12:00:00 2014/12/18 02:32:41 UV 2.16.840.1.113883.17.4052 three00 300 W Washington Ave Jordan Anders masked Julie Lowry 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/07 12:00:00 2014/12/18 12:00:00 2014/12/18 02:33:40 UV 2.16.840.1.113883.17.4053 three165 3165 County Farm Rd Jordan Anders masked Julie Lowry 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/07 12:00:00 2014/12/18 12:00:00 2014/12/18 02:34:36 UV 2.16.840.1.113883.17.4054 three235 3235 E Michigan Ave Jordan Anders masked Julie Lowry 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/07 12:00:00 2014/12/18 12:00:00 2014/12/18 02:36:40 UV 2.16.840.1.113883.17.4055 three305 3305 Spring Arbor Rd Jordan Anders masked Julie Lowry 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/07 12:00:00 2014/12/18 12:00:00 2014/12/18 02:37:43 UV 2.16.840.1.113883.17.4056 four00 400 Hinckley Blvd Jordan Anders masked Julie Lowry 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/07 12:00:00 2014/12/18 12:00:00 2014/12/18 02:38:55 UV 2.16.840.1.113883.17.4057 four26 426 N Jackson St Jordan Anders masked Julie Lowry 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/07 12:00:00 2014/12/18 12:00:00 2014/12/18 02:49:02 UV 2.16.840.1.113883.17.4058 four51 451 Hidden Meadows Dr Jordan Anders masked Julie Lowry 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/07 12:00:00 2014/12/18 12:00:00 2014/12/18 02:50:11 UV 2.16.840.1.113883.17.4059 five00 500 Lansing Ave Jordan Anders masked Julie Lowry 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/07 12:00:00 2014/12/18 12:00:00 2014/12/18 02:50:56 UV 2.16.840.1.113883.17.4060 five02 502 E Cummins St Jordan Anders masked Julie Lowry 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/07 12:00:00 2014/12/18 12:00:00 2014/12/18 02:53:49 UV 2.16.840.1.113883.17.4061 five05 505 N Jackson St Jordan Anders masked Julie Lowry 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/07 12:00:00 2014/12/18 12:00:00 2014/12/18 02:57:26 UV 2.16.840.1.113883.17.4062 five44 544 Wildwood Ave Jordan Anders masked Julie Lowry 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/07 12:00:00 2014/12/18 12:00:00 2014/12/18 02:58:25 UV 2.16.840.1.113883.17.4063 six700 6700 Rives Junction Rd Jordan Anders masked Julie Lowry 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/07 12:00:00 2014/12/18 12:00:00 2014/12/18 03:01:09 UV 2.16.840.1.113883.17.4064 seven20 720 W Franklin St Jordan Anders masked Julie Lowry 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/07 12:00:00 2014/12/18 12:00:00 2014/12/18 03:01:45 UV 2.16.840.1.113883.17.4065 seven20u 720 W Franklin St U Jordan Anders masked Julie Lowry 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/07 12:00:00 2014/12/18 12:00:00 2014/12/18 03:04:44 UV 2.16.840.1.113883.17.4066 seven44 744 W Michigan Ave Jordan Anders masked Julie Lowry 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/07 12:00:00 2014/12/18 12:00:00 2014/12/18 03:05:26 UV 2.16.840.1.113883.17.4067 seven44pu 744 W Michigan Ave Jordan Anders masked Julie Lowry 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/07 12:00:00 2014/12/18 12:00:00 2014/12/18 03:06:48 UV 2.16.840.1.113883.17.4068 seven44lp 744 W Michigan Ave Jordan Anders masked Julie Lowry 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/07 12:00:00 2014/12/18 12:00:00 2014/12/18 03:07:49 UV 2.16.840.1.113883.17.4069 seven60 760 W Franklin St Jordan Anders masked Julie Lowry 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/07 12:00:00 2014/12/18 12:00:00 2014/12/18 03:08:28 UV 2.16.840.1.113883.17.4070 seven845 7845 Spring Arbor Rd Jordan Anders masked Julie Lowry 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/07 12:00:00 2014/12/18 12:00:00 2014/12/18 03:11:04 UV 2.16.840.1.113883.17.4071 eight10 810 N Hogsback Rd Jordan Anders masked Julie Lowry 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/07 12:00:00 2014/12/18 12:00:00 2014/12/18 03:11:45 UV 2.16.840.1.113883.17.4072 eight17 817 W High St Jordan Anders masked Julie Lowry 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/07 12:00:00 2014/12/18 12:00:00 2014/12/18 03:12:40 UV 2.16.840.1.113883.17.4073 eight958 8958 West M 50 Jordan Anders masked Julie Lowry 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/07 12:00:00 2014/12/18 12:00:00 2014/12/18 03:14:48 UV 2.16.840.1.113883.17.4074 nine00 900 E Michigan Ave Jordan Anders masked Julie Lowry 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 masked Dev Manager JCMR 100 E Michigan Ave Ste 300 Jackson MI 49203 5178417434 support@jcmr.org http://jcmr.org Exchange 2.16.840.1.113883.3.4180 Int 17 Complete 2014/11/07 12:00:00 2014/12/18 12:00:00 2014/12/18 03:15:51 UV 2.16.840.1.113883.17.4075 glhv Great Lakes Heart & Vascular Kenneth Lomonaco masked Matt Fowler Matt Fowler 1234 Napier Ave St. Joseph, MI 49085 269-930-5469 masked System Architect Lakeland Community Connect 1234 Napier Ave St. Joseph, MI 49085 269-983-8300 mfowler@lakelandregional.org http://www.lakelandhealth.org/ Provider 2.16.840.1.113883.3.3874 Int 17 Complete 2014/11/07 12:00:00 2014/12/18 12:00:00 2014/12/18 11:34:03 UV 2.16.840.1.113883.3.5806 firstchoicehealth First Choice Health Carlo Figliomeni masked Carlo Figliomeni 4675 Sunset Drive Lockport, NY 14120 716-280-0723 masked COO First Choice Health 2424 Niagara Falls Blvd. Wheatfield, NY 14304 716-215-0822 Finance@firstchoicehealth.org http://www.firstchoicehealth.org Provider Int 3 Complete 2014/11/10 12:00:00 2014/12/06 12:00:00 2014/12/06 07:42:34 UV 2.16.840.1.113883.3.5547.1 longviewtechprod Longview Technology Inc Prouction Endpoint Scott Sheetz masked Scott Sheetz 11950 Democracy Dr Suite 300 Reston VA, 20190-5692 561-239-8877 masked VP Technology, Emerging Healthcare Solutions LongView Technology Inc 11950 Democracy Dr Suite 300 Reston VA, 20190-5692 703-249-5121 ssheetz@longviewinc.com http://www.longview-inc.com Vendor 2.16.840.1.113883.3.5547 Ext 14 Complete 2.16.840.1.113883.3.5547.1 2014/11/10 12:00:00 2014/12/06 12:00:00 2014/12/06 07:46:56 UV 2.16.840.1.113883.3.1355.1000.1150 sR-HIM AHPS SR Hillside Internal Medicine Lynne Mantz masked Lynne Mantz 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS SR Hillside Internal Medicine 690 Guzzi Lane Suite B SonoraCA 95370 209-536-5065 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1150 2014/11/10 12:00:00 2014/12/06 12:00:00 2014/12/06 07:56:18 UV 2.16.840.1.113883.3.1355.1000.1151 sR-HIM2 AHPS SR Hillside Internal Medicine 2 Lynne Mantz masked Lynne Mantz 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS SR Hillside Internal Medicine 2 AHPS SR Hillside Internal Medicine 2 680 Guzzi Lane Suite 204 SonoraCA 95370 209-536-5065 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1151 2014/11/10 12:00:00 2014/12/06 12:00:00 2014/12/06 07:57:03 UV 2.16.840.1.113883.3.1355.1000.1152 sR-IRC AHPS SR Indian Rock Clinic Lynne Mantz masked Lynne Mantz 1101 Creekside Ridge Drive, #150 Roseville, CA 95678 916-770-2889 masked AHPS SR Indian Rock Clinic 14540 Mono Way SonoraCA 95370 209-532-3167 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1152 2014/11/10 12:00:00 2014/12/06 12:00:00 2014/12/06 07:58:22 UV 2.16.840.1.113883.3.1355.1000.1153 sR-JCOH AHPS SR Job Care Occupational Health Lynne Mantz masked Lynne Mantz 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS SR Job Care Occupational Health 19747 Greenley Road, Suite S-2 SonoraCA 95370 209-536-3780 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1153 2014/11/10 12:00:00 2014/12/06 12:00:00 2014/12/06 07:59:14 UV 2.16.840.1.113883.3.1355.1000.1154 sR-LWBWC AHPS SR Live Well Be Well Clinic Lynne Mantz masked Lynne Mantz 1101 Creekside Ridge Drive, #150 Roseville, CA 95678 916-770-2889 masked AHPS SR Live Well Be Well Clinic 19747 Greenley Road, Suite N2 Sonora, CA 95370 209-536-3720 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1154 2014/11/10 12:00:00 2014/12/06 12:00:00 2014/12/06 08:01:37 UV 2.16.840.1.113883.3.1355.1000.1155 sR-MMFP AHPS SR Mountain Medical Family Practice Lynne Mantz masked Lynne Mantz 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS SR Mountain Medical Family Practice 680 Guzzi Lane Suite 101 SonoraCA 95370 209-536-5770 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1155 2014/11/10 12:00:00 2014/12/06 12:00:00 2014/12/06 08:04:13 UV 2.16.840.1.113883.3.5807 gic Gastroenterology Consultants Root OID Chris Folsom masked Chris Folsom 880 Ryland St Reno, NV 89502 775 329-4600 masked IT Director GIConsultants, Ltd 880 Ryland St Reno, NV 89502 775 329-4600 cfolsom@giconsultants.com http://www.giconsultants.com Provider Int 3 Complete 2014/11/10 12:00:00 2014/12/06 12:00:00 2014/12/06 07:45:24 UV 1.3.6.1.4.1.26580.190.12457709 kpnw-kzs-mob Keizer Station Medical Office Wesley Delcid masked Wesley Del Cid 5037216412 masked Kaiser Permanente - Northwest One kaiser Plaza Oakland, CA 94612 503-813-2000 wesley.delcid@kp.org Provider 1.3.6.1.4.1.26580.190 Ext 17 Complete 1.3.6.1.4.1.26580.190.12457709 2014/11/10 12:00:00 2014/12/06 12:00:00 2014/12/06 07:50:30 UV 2.16.840.1.113883.3.1355.1000.1156 sR-PR AHPS SR Pulmonary Rehabilitation Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS SR Pulmonary Rehabilitation 19747 Greenley Road, Suite S-1 SonoraCA 95370 209-526-5389 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1156 2014/11/10 12:00:00 2014/12/06 12:00:00 2014/12/06 08:05:31 UV 2.16.840.1.113883.3.1355.1000.1157 sR-SC AHPS SR Sierra Cardiology Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS SR Sierra Cardiology 900 Greenley Road, Suite 911 SonoraCA 95370 209-536-3240 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1157 2014/11/10 12:00:00 2014/12/06 12:00:00 2014/12/06 08:07:08 UV 2.16.840.1.113883.3.1355.1000.1158 sR-SCC AHPS SR Sierra Cancer Center Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive, #150 Roseville, CA 95678 916-770-2889 masked AHPS SR Sierra Cancer Center 900 Greenley Road Sonora, CA 95370 209-536-3512 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1158 2014/11/10 12:00:00 2014/12/06 12:00:00 2014/12/06 08:11:06 UV 2.16.840.1.113883.3.1355.1000.1159 sR-SG AHPS SR Sierra Gastroenterology Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS SR Sierra Gastroenterology 680 Guzzi Lane, Suite 206 Sonora, CA 95370 209-536-3780 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1159 2014/11/10 12:00:00 2014/12/06 12:00:00 2014/12/06 08:11:58 UV 2.16.840.1.113883.3.1355.1000.1160 sR-SIM AHPS SR Sierra Internal Medicine Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS SR Sierra Internal Medicine 600 Guzzi Lane Suite 106 Sonora, CA 95370 209-536-3738 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1160 2014/11/10 12:00:00 2014/12/06 12:00:00 2014/12/06 08:15:26 UV 2.16.840.1.113883.3.1355.1000.1161 sR-SIM2 AHPS SR Sierra Internal Medicine 2 Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95240 916-770-2889 masked AHPS SR Sierra Internal Medicine 2 680 Guzzi Lane Suite 201 Sonora, CA 95370 209-536-5790 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1161 2014/11/10 12:00:00 2014/12/06 12:00:00 2014/12/06 08:32:21 UV 2.16.840.1.113883.3.1355.1000.1162 sR-SOG AHPS SR Sierra OB/GYN Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS SR Sierra OB/GYN 900 Greenley Road Suite 922 B Sonora, CA 95370 209-536-3750 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1162 2014/11/10 12:00:00 2014/12/06 12:00:00 2014/12/06 08:34:05 UV 2.16.840.1.113883.3.1355.1000.1163 sR-SOI AHPS SR Sierra Orthopedic Institute Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS SR Sierra Orthopedic Institute 680 Guzzi Lane, Suite 105 Sonora, CA 95370 209-532-2950 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1163 2014/11/10 12:00:00 2014/12/06 12:00:00 2014/12/06 08:37:49 UV 2.16.840.1.113883.3.1355.1000.1164 sR-SPC AHPS SR Sierra Pulmonology Clinic Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive, #150 Roseville, CA 95678 916-770-2889 masked AHPS SR Sierra Pulmonology Clinic 900 Greenley Road, Suite 923 Sonora, CA 95370 209-536-5090 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1164 2014/11/10 12:00:00 2014/12/06 12:00:00 2014/12/06 08:40:41 UV 2.16.840.1.113883.3.1355.1000.1166 sR-YJROC AHPS SR Yosmt Jnt Replcmnt and Ortho Ctr Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS SR Yosmt Jnt Replcmnt and Ortho Ctr 680 Guzzi Lane Suite 102 Sonora, CA 95370 209-588-2760 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1166 2014/11/10 12:00:00 2014/12/06 12:00:00 2014/12/06 08:43:44 UV 2.16.840.1.113883.6.316 rfc5646 Tags for Identifying Languages - RFC5646 Robert McClure masked Addison Phillips 3039266771 masked Globalization Architect (Amazon Lab126), Chair (W3C I18N WG) The Internet Engineering Task Force (IETF&#174;) addison@inter-locale.com http://www.w3.org/International/articles/language-tags/Overview.en.php SDO Int 6 6 Complete 2014/11/10 12:00:00 2014/11/12 12:00:00 2014/11/12 02:03:18 UV 2.16.840.1.113883.3.1355.1000.1167 sVPN-FPSV AHPN SV Family Practice-Simi Valley Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPN SV Family Practice-Simi Valley 2750 North Sycamore Drive, Suite 202 Simi ValleyCA 93065 805-527-9140 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1167 2014/11/10 12:00:00 2014/12/06 12:00:00 2014/12/06 08:45:14 UV 2.16.840.1.113883.3.1355.1000.1168 sVPN-OSV AHPN SV Oncology-Simi Valley Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive, #150 Roseville, CA 95678 916-770-2889 masked AHPN SV Oncology-Simi Valley 1687 Erringer Road, Suite 104 Simi Valley, CA 93065 805-583-3006 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1168 2014/11/10 12:00:00 2014/12/06 12:00:00 2014/12/06 08:46:16 UV 2.16.840.1.113883.3.3198.2.191 intmedbre Internal Medicine of Bremen Kimberly Cowart masked lwilson@tanner.org Laura Wilson 157 Henry Burson Dr Carrollton, Ga 30117 770.812.9791 masked Director, Enterprise Apps Tanner Medical Center Inc 705 Dixie Street Carrollton, GA 30117 770.812.9595 servicedesk@tanner.org http://www.tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 Complete 2.16.840.1.113883.3.3198.2.191 2014/11/11 12:00:00 2014/12/06 12:00:00 2016/02/25 08:41:02 UV 2.16.840.1.113883.3.5808 mch-business-intelligence Miami Children's Hospital, Enterprise Business Intelligence data exchange OID. Cesar Ruiz masked Maylee Sanchez 3100 SW 62nd Avenue Miami, Florida 33155 786-624-6968 masked Director Enterprise Business Intelligence, Enterprise Business Intelligence Miami Children's Hospital 3100 SW 62nd Avenue Miami, Florida 33155 800-432-6837 info@mch.com http://www.mch.com HL7 body Int 3 Complete 2014/11/11 12:00:00 2014/12/06 12:00:00 2014/12/06 08:56:32 UV 2.16.840.1.113883.3.1355.1000.1170 sVPN-SVC AHPN SV Simi Valley Cardiology Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive, #150 Roseville, CA 95678 916-770-2889 masked AHPN SV Simi Valley Cardiology 124 Macaw Lane Simi ValleyCA 93065 805-306-0304 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1170 2014/11/11 12:00:00 2014/12/06 12:00:00 2014/12/06 09:03:58 UV 2.16.840.1.113883.3.1355.1000.1173 wM-BHMC AHPS WM Boyle Heights Medical Clinic Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS WM Boyle Heights Medical Clinic 1700 Caeser East Chavez Avenue Suite L-275 Los Angeles, CA 90033 323-307-8900 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1173 2014/11/11 12:00:00 2014/12/06 12:00:00 2014/12/06 09:05:00 UV 2.16.840.1.113883.3.1355.1000.1174 wM-CGDLHCC WMMC Cecilia Gonzalez De La Hoya Cancer Center Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked WMMC Cecilia Gonzalez De La Hoya Cancer Center 1720 Cesar East Chavez Avenue Los Angeles, CA 90033 323-268-5000 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1174 2014/11/11 12:00:00 2014/12/06 12:00:00 2014/12/06 09:06:42 UV 2.16.840.1.113883.3.5809 skypoint Skypoint Medical Center Ash Abraham masked Ash Abraham 919-740-8313 masked Administrator Skypoint Medical Center 1102 S. Roselle Road Schaumburg, IL 60193 847-882-1438 Sameern@skypointmed.com http://www.skypointmed.com Provider Int 3 Complete 2014/11/11 12:00:00 2014/11/12 12:00:00 2014/11/12 04:28:04 UV 2.16.840.1.113883.3.1355.1000.1175 wM-LASC WMMC Los Angeles Surgery Center Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked WMMC Los Angeles Surgery Center 1720 Cesar East Chavez Avenue Los Angeles, CA 90033 323-268-5000 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1175 2014/11/12 12:00:00 2014/12/06 12:00:00 2014/12/06 09:09:12 UV 2.16.840.1.113883.3.1355.1000.1176 wM-WMCCEC AHPS WM White Memorial Clinic-Cesar E Chavez Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS WM White Memorial Clinic-Cesar E Chavez 1700 Cesar East Chavez Avenue Suite 1400 Los Angeles, CA 90033 323-307-8913 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1176 2014/11/12 12:00:00 2014/12/06 12:00:00 2014/12/06 09:10:43 UV 2.16.840.1.113883.3.1355.1000.1177 wM-WMCPC WMMC White Memorial Cleft Palate Clinic Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked WMMC White Memorial Cleft Palate Clinic 1720 Cesar East Chavez Avenue Los Angeles, CA 90033 323-260-5750 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1177 2014/11/12 12:00:00 2014/12/06 12:00:00 2014/12/06 09:12:18 UV 2.16.840.1.113883.3.1355.1000.1178 wM-WMMCD WMMC White Memorial Medical Center Diabetes Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked WMMC White Memorial Medical Center Diabetes 1720 Cesar East Chavez Avenue Los Angeles, CA 90033 323-307-8921 lynne.mantz@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1178 2014/11/12 12:00:00 2014/12/06 12:00:00 2014/12/06 09:13:59 UV 2.16.840.1.113883.3.5810 doctors-memorial-bonifay Doctors Memorial Hospital Bonifay Florida Rohan Anderson masked Rohan 2600 Hospital Drive, Bonifay, FL 32425 8505478005 masked IT Director Doctors Memorial Hospital 2600 Hospital Drive, Bonifay, FL 32425 8505478000 dmh_it@doctorsmemorial.org http://www.doctorsmemorial.org Govt body Int 3 Complete 2014/11/12 12:00:00 2014/11/12 12:00:00 2014/11/12 04:27:21 UV 2.16.840.1.113883.3.5811 pvhc Pomona Valley Health Centers Lee Angelo masked Lee Angelo 1842 N. Garey Ave. Pomona, CA 91767 909-630-7967 masked I.S. Application Manager Pomona Valley Health Centers 1842 N. Garey Ave. Pomona, CA 91767 909-630-7967 lee.angelo@pvhmc.org http://mypvhc.com/ Provider Int 3 Complete 2014/11/13 12:00:00 2014/12/06 12:00:00 2014/12/06 09:20:04 UV 2.16.840.1.113883.3.5812 hmh-nv Howard Memorial Hospital Amanda Miller masked Amanda Miller 130 Medical Circle Nashville, Arkansas 71852 870-845-8908 masked Amanda Miller 130 Medical Circle Nashville, Arkansas 71852 870-845-8908 amandam@howardmemorial.com http://www.howardmemorial.com Provider Int 3 Complete 2014/11/13 12:00:00 2014/12/06 12:00:00 2014/12/06 09:20:48 UV 2.16.840.1.113883.3.5813 nova-HIE Nova Medical and Urgent Care Inc HIE Grace Keenan MD masked Megan Ellis 21785 Filigree Court Suite 100 Ashburn, VA 20147 703-554-1100 ext 350 masked IT Director Nova Medical and Urgent Care Inc 21785 Filigree Court Suite 100 Ashburn, VA 703-554-1100 mellis@novamedgroup.com Provider Int 3 Complete 2014/11/14 12:00:00 2014/12/06 12:00:00 2014/12/06 09:26:19 UV 2.16.840.1.113883.3.5814 bms Benchmark Systems Chas Hendricksen masked Mark Sangston 1467 Crossings Centre Dr Forest, VA 24550 8007790902 masked Interface Manager Benchmark Systems 1467 Crossings Centre Dr Forest, VA 24550 8007790902 customersupport@benchmarksystems.com http://www.benchmarksystems.com Vendor Int 3 Complete 2014/11/14 12:00:00 2014/12/06 12:00:00 2023/06/15 02:31:12 UV 2.16.840.1.113883.3.5815 pvchc Peak Vista Community Health Centers Paul Olson masked Paul Olson Peak Vista Community Health Centers 3205 North Academy Blvd Suite 130 Colorado Springs, CO 80917 7193447285 masked VP of IT Peak Vista Community Health Centers 3205 North Academy Blvd Suite 130 Colorado Springs, CO 80917 7193447285 paul.olson@peakvista.org Provider Int 3 Complete 2014/11/14 12:00:00 2014/12/06 12:00:00 2014/12/06 09:29:40 UV 2.16.840.1.113883.3.5816 sjmcyonkers Saint Josephs Hospital, Yonkers Deborah DiBernardo masked Deborah DiBernardo Saint Josephs Hospital Information Systems 127 South Broadway Yonkers, NY 10701 914-378-7838 masked Director IT Saint Joseph's Hospital, Yonkers 127 South Broadway Yonkers, NY 10701 917-378-7000 helpdesk@saintjosephs.org http://saintjosephs.org Provider Int 3 Complete 2014/11/14 12:00:00 2014/12/06 12:00:00 2014/12/06 09:33:30 UV 2.16.840.1.113883.3.5817 sjmclab Saint Joseph's Hospital, Yonkers Lab Deborah DiBernardo masked Deborah DiBernardo Saint Josephs Hospital Informtion Systems 127 South Broadway Yonkers, NY 10701 914-378-7838 masked Director IT Saint Joseph's Hospital, Yonkers 127 South Broadway Yonkers, NY 10701 914-378-7000 helpdesk@saintjosephs.org http://saintjosephs.org Provider Int 3 Complete 2014/11/14 12:00:00 2014/12/06 12:00:00 2014/12/06 09:35:40 UV 2.16.840.1.113883.3.1355.1000.1076 fR-FRAC AHPS FR Feather River Anticoagulation Clinic Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS FR Feather River Anticoagulation Clinic 5910 Clark Road Suite U Paradise, CA 95969 530-872-9729 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1076 2014/11/14 12:00:00 2014/12/06 12:00:00 2014/12/06 09:37:49 UV 2.16.840.1.113883.3.1355.1000.1077 fRBH-CVC AHPS FR BH-Canyon View Clinic Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS FR BH-Canyon View Clinic 5734 Canyon View Drive Paradise, CA 95969 530-876-7179 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1077 2014/11/14 12:00:00 2014/12/06 12:00:00 2014/12/06 09:38:56 UV 2.16.840.1.113883.3.1355.1000.1078 fRBH-FRHC AHPS FR BH-Feather River Health Center Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS FR BH-Feather River Health Center 5125 Skyway Paradise, CA 95969 530-872-2000 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1078 2014/11/14 12:00:00 2014/12/06 12:00:00 2014/12/06 09:40:35 UV 2.16.840.1.113883.3.1355.1000.1080 fR-CVC AHPS FR Canyon View Clinic Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #11 Roseville, CA 95678 916-770-2889 masked AHPS FR Canyon View Clinic 5734 Canyon View Drive Paradise, CA 95969 530-876-7179 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1080 2014/11/14 12:00:00 2014/12/06 12:00:00 2014/12/06 09:43:20 UV 2.16.840.1.113883.3.5818 cvi FRPS CVI Clinic Matt Schauer masked Help Desk 402-644-7123 masked Help Desk 2700 W Norfolk Ave Norfolk, NE 68701 402-644-7123 mschauer@frhs.org Exchange Int 3 Complete 2014/11/14 12:00:00 2014/12/11 12:00:00 2014/12/11 04:08:48 UV 2.16.840.1.113883.3.5819 nephrologyfrps FRPS Nephrology Services Matt Schauer masked Help Desk 402-644-7123 masked Help Desk 2700 W Norfolk Ave Norfolk, NE 68701 402-644-7123 mschauer@frhs.org Exchange Int 3 Complete 2014/11/14 12:00:00 2014/12/11 12:00:00 2014/12/11 04:26:02 UV 2.16.840.1.113883.3.5820 orthopedic FRPS Orthopedic Services Matt Schauer masked Help Desk 402-644-7123 masked Help Desk 2700 W Norfolk Ave Norfolk, NE 68701 402-644-7123 mschauer@frhs.org Exchange Int 3 Complete 2014/11/14 12:00:00 2014/12/11 12:00:00 2014/12/11 04:20:56 UV 2.16.840.1.113883.3.5821 pulmonologyfrps FRPS Pulmonology Services Matt Schauer masked Help Desk 402-644-7123 masked Help Desk 2700 W Norfolk Ave Norfolk, NE 68701 402-644-7123 mschauer@frhs.org Exchange Int 3 Complete 2014/11/14 12:00:00 2014/12/11 12:00:00 2014/12/11 04:27:00 UV 2.16.840.1.113883.3.5822 infectiousdisease FRPS Infectious Disease Clinic Matt Schauer masked Help Desk 402-644-7123 masked Help Desk 2700 W Norfolk Ave Norfolk, NE 68701 402-644-7123 mschauer@frhs.org Exchange Int 3 Complete 2014/11/14 12:00:00 2014/12/11 12:00:00 2014/12/11 02:52:09 UV 2.16.840.1.113883.3.5823 internalmedicine FRPS Internal Medicine Matt Schauer masked Help Desk 402-644-7123 masked Help Desk 2700 W Norfolk Ave Norfolk, NE 68701 402-644-7123 mschauer@frhs.org Exchange Int 3 Complete 2014/11/14 12:00:00 2014/12/11 12:00:00 2014/12/11 04:19:10 UV 2.16.840.1.113883.3.5824 neurologyfrps FRPS Neurology Services Matt Schauer masked Help Desk 402-644-7123 masked Help Desk 2700 W Norfolk Ave Norfolk,NE 68701 402-644-7123 mschauer@frhs.org Exchange Int 3 Complete 2014/11/14 12:00:00 2014/12/11 12:00:00 2014/12/11 04:27:19 UV 2.16.840.1.113883.3.5825 familymedicine FRPS Family Medicine Services Matt Schauer masked Help Desk 402-644-7123 masked Help Desk 2700 W Norfolk Ave Norfolk, NE 68701 402-644-7123 mschauer@frhs.org Exchange Int 3 Complete 2014/11/14 12:00:00 2014/12/11 12:00:00 2014/12/11 04:21:11 UV 2.16.840.1.113883.3.5826 woodlandpark FRPS Woodland Park Clinic Matt Schauer masked Help Desk 402-644-7123 masked Help Desk 2700 W Norfolk Ave Norfolk, NE 68701 402-644-7123 mschauer@frhs.org Exchange Int 3 Complete 2014/11/14 12:00:00 2014/12/11 12:00:00 2014/12/11 04:21:39 UV 2.16.840.1.113883.3.5827 ivystreetmedical FRPS Ivy Street Medical Matt Schauer masked Help Desk 402-644-7123 masked Help Desk 2700 W Norfolk Ave Norfolk, NE 68701 402-644-7123 mschauer@frhs.org Exchange Int 3 Complete 2014/11/14 12:00:00 2014/12/11 12:00:00 2014/12/11 04:22:12 UV 2.16.840.1.113883.3.5828 pierce FRPS Pierce Family Medicine Matt Schauer masked Help Desk 402-644-7123 masked Help Desk 2700 W Norfolk Ave Norfolk, NE 68701 402-644-7123 mschauer@frhs.org Exchange Int 3 Complete 2014/11/14 12:00:00 2014/12/11 12:00:00 2014/12/11 04:22:29 UV 2.16.840.1.113883.3.5829 gastroenterology FRPS Gastroenterology Matt Schauer masked Help Desk 402-644-7123 masked Help Desk 2700 W Norfolk Ave Norfolk, NE 68701 402-644-7123 mschauer@frhs.org Exchange Int 3 Complete 2014/11/14 12:00:00 2014/12/11 12:00:00 2014/12/11 04:10:28 UV 2.16.840.1.113883.3.5830 handplastic FRPS Hand Plst Recon Surg Matt Schauer masked Help Desk 402-644-7123 masked Help Desk 2700 W Norfolk Ave Norfolk, NE 68701 402-644-7123 mschauer@frhs.org Exchange Int 3 Complete 2014/11/14 12:00:00 2014/12/11 12:00:00 2014/12/11 04:22:51 UV 2.16.840.1.113883.3.5831 madison FRPS Madison Family Medicine Matt Schauer masked Help Desk 402-644-7123 masked Help Desk 2700 W Norfolk Ave Norfolk, NE 68701 402-644-7123 mschauer@frhs.org Exchange Int 3 Complete 2014/11/14 12:00:00 2014/12/11 12:00:00 2014/12/11 04:11:15 UV 2.16.840.1.113883.3.5832 battlecreek FRPS Battle Creek Fam Med Matt Schauer masked Help Desk 402-644-7123 masked Help Desk 2700 W Norfolk Ave Norfolk, NE 68701 402-644-7123 mschauer@frhs.org Exchange Int 3 Complete 2014/11/14 12:00:00 2014/12/11 12:00:00 2014/12/11 04:23:07 UV 2.16.840.1.113883.3.5833 generalsurgery FRPS General Surgery Matt Schauer masked Help Desk 402-644-7123 masked Help Desk 2700 W Norfolk Ave Norfolk, NE 68701 402-644-7123 mschauer@frhs.org Exchange Int 3 Complete 2014/11/14 12:00:00 2014/12/11 12:00:00 2014/12/11 04:11:55 UV 2.16.840.1.113883.3.5834 wayne FRPS Wayne Family Medicine Matt Schauer masked Help Desk 402-644-7123 masked Help Desk 2700 W Norfolk Ave Norfolk, NE 68701 402-644-7123 mschauer@frhs.org Exchange Int 3 Complete 2014/11/14 12:00:00 2014/12/11 12:00:00 2014/12/11 04:23:32 UV 2.16.840.1.113883.3.5835 laurel FRPS Laurel Family Medicine Matt Schauer masked Help Desk 402-644-7123 masked Help Desk 2700 W Norfolk Ave Norfolk, NE 68701 402-644-7123 mschauer@frhs.org Exchange Int 3 Complete 2014/11/14 12:00:00 2014/12/11 12:00:00 2014/12/11 04:23:45 UV 2.16.840.1.113883.3.5836 wakefield FRPS Wakefield Family Medicine Matt Schauer masked Help Desk 402-644-7123 masked Help Desk 2700 W Norfolk Ave Norfolk, NE 68701 402-644-7123 mschauer@frhs.org Exchange Int 3 Complete 2014/11/14 12:00:00 2014/12/11 12:00:00 2014/12/11 04:24:03 UV 2.16.840.1.113883.3.5837 wisner FRPS Wisner Family Medicine Matt Schauer masked Help Desk 402-644-7123 masked Help Desk 2700 W Norfolk Ave Norfolk, NE 68701 402-644-7123 mschauer@frhs.org Exchange Int 3 Complete 2014/11/14 12:00:00 2014/12/11 12:00:00 2014/12/11 04:24:22 UV 2.16.840.1.113883.3.5838 reconstructiveandaesthetic FRPS Reconstructive And Aesthetic Surg Matt Schauer masked Help Desk 402-644-7123 masked Help Desk 2700 W Norfolk Ave Norfolk, NE 68701 402-644-7123 mschauer@frhs.org Exchange Int 3 Complete 2014/11/14 12:00:00 2014/12/11 12:00:00 2014/12/11 04:24:40 UV 2.16.840.1.113883.3.5839 earnoseandthroat FRPS Ear Nose And Throat Matt Schauer masked Help Desk 402-644-7123 masked Help Desk 2700 W Norfolk Ave Norfolk, NE 68701 402-644-7123 mschauer@frhs.org Exchange Int 3 Complete 2014/11/14 12:00:00 2014/12/11 12:00:00 2014/12/11 04:24:55 UV 2.16.840.1.113883.3.5840 tilden FRPS Tilden Family Medicine Matt Schauer masked Help Desk 402-644-7123 masked Help Desk 2700 W Norfolk Ave Norfolk, NE 68701 402-644-7123 mschauer@frhs.org Exchange Int 3 Complete 2014/11/14 12:00:00 2014/12/11 12:00:00 2014/12/11 04:25:10 UV 2.16.840.1.113883.3.5841 cmd2 Care Management Desktop Scott Ebner masked Scott Ebner 620 Erie Boulevard West Suite 302 Syracuse, Ny 13204 315-472-7363 masked Executive Director Onondaga Case Management Services Inc. 620 Erie Boulevard West Suite 302 Syracuse, Ny 13204 315-472-7363 sebner@ocmsinc.org http://www.ocmsinc.org Provider Int 3 Complete 2014/11/15 12:00:00 2014/12/11 04:40:28 UV 2.16.840.1.113883.3.1097.2730020 mim Midway Internal Medicine Stephen Bean masked Cheryl Gorman 555 Barclay Circle Ste 150 Rochester Hills, MI 48307 248-299-5777 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.2730020 2014/11/17 12:00:00 2014/12/11 12:00:00 2014/12/11 04:23:08 UV 2.16.840.1.113883.3.1070.6004 mckesson-fusion-6004 mckesson-fusion-6004 Bao Lee masked Fusion Enrollment 8775074541 masked Fusion Enrollment bao.lee@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.6004 2014/11/17 12:00:00 2014/12/11 12:00:00 2014/12/11 04:24:29 US 2.16.840.1.113883.3.1070.6020 mckesson-fusion-6020 mckesson-fusion-6020 Jaime Cummins masked Fusion Enrollment 8775074541 masked Fusion Enrollment jaime.cummins@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.6020 2014/11/17 12:00:00 2014/12/11 12:00:00 2014/12/11 04:25:54 US 2.16.840.1.113883.3.1097.1.2050171 ostr Ostomy Clinic at Troy Stephen Bean masked Deanna Gould 44199 Dequindre Rd Troy MI 48085 844-259-7340 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2050171 2014/11/17 12:00:00 2014/12/11 12:00:00 2014/12/11 04:27:57 UV 2.16.840.1.113883.3.5842 fsgc Family Service & Guidance Center, Inc Candace Watson masked Candace Watson 327 SW Frazier Topeka KS 66606 785-232-7930 masked Director of Administration Family Service & Guidance Center, Inc 325 SW Frazier Topeka KS 66606 785-232-5005 fsgc@fsgctopeka.com http://www.fsgctopeka.com Provider Int 3 Complete 2014/11/17 12:00:00 2014/12/11 12:00:00 2014/12/11 04:40:59 UV 2.16.840.1.113883.3.1355.1000.1081 fR-FHC AHPS FR Family Health Center Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS FR Family Health Center 5730 Canyon View Paradise, CA 95969 530-876-7165 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1081 2014/11/17 12:00:00 2014/12/11 12:00:00 2014/12/11 04:29:39 UV 2.16.840.1.113883.3.1355.1000.1082 fR-FRE AHPS FR Feather River ENT Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS FR Feather River ENT 6161 Clark Road Paradise, CA 95969 530-877-9925 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1082 2014/11/17 12:00:00 2014/12/11 12:00:00 2014/12/11 04:30:43 UV 2.16.840.1.113883.3.1355.1000.1083 fR-FRHC AHPS FR Feather River Health Center Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS FR Feather River Health Center 5125 Skyway Paradise, CA 95969 530-872-2000 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1083 2014/11/17 12:00:00 2014/12/11 12:00:00 2014/12/11 04:32:54 UV 2.16.840.1.113883.3.1355.1000.1084 fR-FRHCAR AHPS FR Feather River Health Center Addiction Recovery Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS FR Feather River Health Center Addiction Recovery 5125 Skyway Paradise, CA 95969 530-872-2000 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1084 2014/11/17 12:00:00 2014/12/11 12:00:00 2014/12/11 04:33:56 UV 2.16.840.1.113883.3.1355.1000.1085 fR-FRHCC AHPS FR Feather River Hospital Cancer Center Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS FR Feather River Hospital Cancer Center 5974 Pentz Road Paradise, CA 95969 530-876-7952 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1085 2014/11/17 12:00:00 2014/12/11 12:00:00 2014/12/11 04:36:53 UV 2.16.840.1.113883.3.1355.1000.1086 fR-FRHCD AHPS FR Feather River Health Center Dental Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS FR Feather River Health Center Dental 5125 Skyway Paradise, CA 95969 530-872-2000 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1086 2014/11/17 12:00:00 2014/12/11 12:00:00 2014/12/11 04:37:51 UV 2.16.840.1.113883.3.1355.1000.1087 fR-FROGA AHPS FR Feather River OB GYN Associates Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS FR Feather River OB GYN Associates 771 Buschmann Road Suite AA Paradise, CA 95969 530-877-8640 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1087 2014/11/17 12:00:00 2014/12/11 12:00:00 2014/12/11 04:56:51 UV 2.16.840.1.113883.3.1355.1000.1088 fR-FRSA AHPS FR Feather River Surgical Associates Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 96578 916-770-2889 masked AHPS FR Feather River Surgical Associates 6460 Pentz Road Suite A Paradise, CA 95969 530-877-9301 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1088 2014/11/17 12:00:00 2014/12/11 12:00:00 2014/12/11 04:57:34 UV 2.16.840.1.113883.3.1355.1000.1089 fR-FRSSPR AHPS FR Feather River Specialty Services Pentz Road Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive, #150 Roseville, CA 95678 916-770-2889 masked AHPS FR Feather River Specialty Services Pentz Road 6009 Pentz Road Suite D Paradise, CA 95969 530-876-3152 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1089 2014/11/17 12:00:00 2014/12/11 12:00:00 2014/12/11 04:58:34 UV 2.16.840.1.113883.3.1355.1000.1091 fR-PPC AHPS FR Paradise Primary Care Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS FR Paradise Primary Care 6585 Clark Road Suite 440 Paradise, CA 95969 530-877-4465 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1091 2014/11/17 12:00:00 2014/12/11 12:00:00 2014/12/11 05:00:34 UV 2.16.840.1.113883.3.1355.1000.1092 fR-SPCWC AHPS FR Skyway Primary Care and Wellness Center Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS FR Skyway Primary Care and Wellness Center 111 Raley Boulevard Suite 140 Chico, CA 95928 530-342-5776 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1092 2014/11/17 12:00:00 2014/12/11 12:00:00 2014/12/11 05:01:33 UV 2.16.840.1.113883.3.1355.1000.1093 fR-TWHA AHPS FR Total Womens Health A Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS FR Total Womens Health A 6283 Clark Road Suite 5 Paradise, CA 95969 530-877-5083 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1093 2014/11/17 12:00:00 2014/12/11 12:00:00 2014/12/11 05:02:26 UV 2.16.840.1.113883.3.5843 bfcmc Banner Fort Collins Medical Center Steve Drozdowski masked Steve Drozdowski 1441 N. 12th St. Phoenix, AZ 85006 602-747-4319 masked IT Software Integration Sr Consultant Banner Fort Collins Medical Center 4700 Lady Moon Dr. Fort Collins, CO 80528 970-229-4000 steve.drozdowski@bannerhealth.com http://www.bannerhealth.com Provider Int 3 Complete 2014/11/18 12:00:00 2014/12/11 12:00:00 2014/12/11 04:41:27 UV 2.16.840.1.113883.3.1070.6021 mckesson-fusion-6021 mckesson-fusion-6021 Jaime Cummins masked Fusion Enrollment 8775074541 masked Fusion Enrollment jaime.cummins@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.6021 2014/11/18 12:00:00 2014/12/11 12:00:00 2014/12/11 04:46:03 US 2.16.840.1.113883.3.5844 fchcinc Florida Community Health Centers, Inc Michael Gervasi masked Gabrielle Pettiford 4450 S Tiffany Drive West Palm Beach, FL 33407 561-844-9443 masked Training & Support Supervisor Florida Community Health Centers, Inc 4450 S Tiffany Drive West Palm Beach, FL 33407 561-844-9443 mgervasi@fchcinc.org Provider Int 3 Complete 2014/11/18 12:00:00 2014/12/11 12:00:00 2014/12/11 04:41:57 UV 2.16.840.1.113883.3.1355.1000.1101 hMPN-AHPNFP AHPN HM Adventist Health Physician Network Family Practice Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPN HM Adventist Health Physician Network Family Practice 88 Madrone Street WillitsCA 95490 707-459-6115 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1101 2014/11/18 12:00:00 2014/12/11 12:00:00 2014/12/11 05:03:58 UV 2.16.840.1.113883.3.1355.1000.1102 hMPN-AHPNIM AHPN HM Adventist Health Physician Network Internal Medicine Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive, #150 Roseville, CA 95678 916-770-2889 masked AHPN HM Adventist Health Physician Network Internal Medicine 88 Madrone Street WillitsCA 95490 707-459-6115 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1102 2014/11/18 12:00:00 2014/12/11 12:00:00 2014/12/11 05:04:58 UV 2.16.840.1.113883.3.5845 iMONM Internal Medicine of Northern Michigan PLLC Robert Farrell masked Robert Farrell 560 W Mitchell St, Suite 300 Petoskey, MI 49770 2314879741 masked Practice Administrator Internal Medicine of Northern Michigan PLLC 560 W Mitchell St, Suite 300 Petoskey, MI 49770 2314872460 rfarrell@imnm.net Provider Int 3 Complete 2014/11/18 12:00:00 2014/12/11 12:00:00 2014/12/11 04:42:48 UV 2.16.840.1.113883.3.5846 nhcc New Horizon Counseling Center Jeremy Merrill masked Dr. Herrick Lipton Jeremy Merrill Jeremy Merrill c/o New Horizon Counseling Center 108-19 Rockaway Blvd Ozone Park, NY 11420 718-945-2273 masked Director of Care Coordination New Horizon Counseling Center Jeremy Merrill c/o New Horizon Counseling Center 108-19 Rockaway Blvd Ozone Park, NY 11420 718-945-2273 jeremy@nhcc.us http://www.nhcc.us Provider Int 3 Complete 2014/11/19 12:00:00 2014/11/19 12:00:00 2014/11/19 12:09:50 UV 2.16.840.1.113883.3.5847 evchc East Valley Community Health Center, Inc. Gia Tran masked Gia Tran 420 S. Glendora Ave. West Covina, CA 91790 626-919-4333 x2250 masked Director of Information Technology East Valley Community Health Center, Inc. 420 S. Glendora Ave. West Covina, CA 91790 626-919-4333 support@evchc.org http://www.evchc.org Provider Int 3 Complete 2014/11/19 12:00:00 2014/12/11 12:00:00 2014/12/11 04:43:16 UV 2.16.840.1.113883.3.5848 ghs-ci-hie Greenville Health System Cancer Institute Tami Mann masked Tami Mann 525 Grove Road greenville sc 29605 8646303691 masked Senior Application Analyst Greenville Health System Cancer Institute 65 International Drive Greenville SC 29615 864-455-8587 tmann2@ghs.org http://www.ghs.org/cancer Provider Int 3 Complete 2014/11/20 12:00:00 2014/12/11 12:00:00 2014/12/11 04:43:38 UV 2.16.840.1.113883.3.5849 oneidanationentny Oneida Nation Enterprises, LLC. William Grant masked Jeff Phelan 5218 Patrick Road Verona, NY 13478 (315) 335-3905 masked I.T. Senior Project Manager Jeff Phelan 5218 Patrick Road Verona, NY 13478 (315) 335-3905 jeff.phelan@onenterprises.com http://www.onenterprises.com/ Provider Int 3 Complete 2014/11/20 12:00:00 2014/12/11 12:00:00 2014/12/11 04:44:01 UV 2.16.840.1.113883.3.5850 nsa Neurological Surgery Associates Swaid Swaid masked Kelly Wright 513 Brookwood Blvd, Suite 372 Birmingham, AL 35209 205-949-1806 masked Office Manager Neurological Surgery Associates 513 Brookwood Blvd, Suite 372 Birmingham, AL 35209 205-949-1800 kelly@neurologicalsurgery.co Provider Int 3 Complete 2014/11/21 12:00:00 2014/12/11 12:00:00 2014/12/11 04:49:24 UV 2.16.840.1.113883.3.5851 fpcc First Person Care Clinic Tina Drago masked Tina Drago 1200 S. 4th Street Suite 111 Las Vegas, NV 89104 702-380-8118 masked CEO Tina Drago 1200 S. 4th Street Suite 111 Las Vegas, NV 89104 (702) 380-8118 tdrago@firstpersoncareclinics.org http://firstpersoncareclinics.org SDO Int 3 Complete 2014/11/21 12:00:00 2014/12/15 12:00:00 2014/12/15 01:59:47 UV 2.16.840.1.113883.3.5852 fhnofcny Family Health Network of CNY Inc Daniel Karn masked Daniel Karn 23 Central St. Moravia, NY 13118 315-497-9066 masked EHR Team Lead Family Health Network of CNY, Inc. 17 Main St. Suite 301 Cortland, NY 13045 607-753-3797 dkarn@familyhealthnetwork.org http://www.familyhealthnetwork.org Provider Int 3 Complete 2014/11/21 12:00:00 2014/12/11 12:00:00 2014/12/11 04:55:04 UV 2.16.840.1.113883.3.5853 tripletee TripleTee Software Company Vladimir Bukharov masked Vladimir Bukharov 6046269903 masked TripleTee Software Company 1574 Gulf Rd. #262 Point Roberts, WA 98281 6046269903 info@tripletee.com http://www.claimmanager.ca Vendor Int 3 Complete 2014/11/21 12:00:00 2014/12/15 12:00:00 2014/12/15 02:05:33 UV 2.16.840.1.113883.3.1355.1000.1165 sR-SVGSA AHPS Sierra Vascular and General Surgery Associates Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive, #150 Roseville, CA 95678 916-770-2889 masked AHPS Sierra Vascular and General Surgery Associates 900 Greenley Road Suite 922 A Sonora, CA 95370 209-536-5750 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1165 2014/11/24 12:00:00 2014/12/11 12:00:00 2014/12/11 05:08:14 UV 2.16.840.1.113883.3.1355.1000.1179 fR-TWHB AHPS FR Total Womens Health B Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS FR Total Womens Health B 6283 Clark Road Suite 8 Paradise, CA 95969 530-877-2229 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1179 2014/11/24 12:00:00 2014/12/11 12:00:00 2014/12/11 05:09:39 UV 2.16.840.1.113883.3.1355.1000.1180 fR-FRCRHC AHPS FR Corning Rural Health Clinic Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS FR Corning Rural Health Clinic 155 Solano Street Corning, CA 96021 530-824-4663 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1180 2014/11/24 12:00:00 2014/12/11 12:00:00 2014/12/11 05:12:23 UV 2.16.840.1.113883.3.1355.1000.1181 fR-SOGAMA AHPS FR Skyway OB GYN and Midwifery Associates Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS FR Skyway OB GYN and Midwifery Associates 111 Raley Boulevard Suite 220 Chico, CA 95928 530-345-4471 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1181 2014/11/24 12:00:00 2014/12/11 12:00:00 2014/12/11 05:13:36 UV 2.16.840.1.113883.3.1355.1000.1182 fR-PSA AHPS FR Paradise Surgical Associates Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS FR Paradise Surgical Associates 6480 Pentz Road, Suite A Paradise, CA 95969 530-877-4986 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1182 2014/11/24 12:00:00 2014/12/11 12:00:00 2014/12/11 05:14:24 UV 2.16.840.1.113883.3.1355.1000.1183 fRBH-FRCRHC Corning Rural Health Clinic BH Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked Corning Rural Health Clinic BH 155 Solano Street Corning, CA 96021 530-824-4663 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1183 2014/11/24 12:00:00 2014/12/11 12:00:00 2014/12/11 05:15:17 UV 2.16.840.1.113883.3.5854 swgc Southwest Guidance Center Nate Miller masked Dr. Leslie Bissell Nate Miller 333 W. 15th Street Liberal KS 67905 620-624-8171 masked Facility Manager Southwest Guidance Center 333 W. 15th Street Liberal KS 67905 620-624-8171 lbissell@swguidance.org Provider Int 3 Complete 2014/11/24 12:00:00 2014/12/11 12:00:00 2014/12/11 05:17:07 UV 2.16.840.1.113883.3.5855 neortho Nebraska Orthopaedic Hospital Tim Pugsley masked Paul Hakenkamp 2808 South 143rd Plaza Omaha, NE. 68144 402-609-1000 masked Director of Business Improvement Nebraska Orthopaedic Hospital 2808 South 143rd Plaza Omaha, NE. 68144 402-609-1000 IT@OrthoNebraska.com Provider Int 3 Complete 2014/11/24 12:00:00 2014/12/11 12:00:00 2019/10/04 10:02:13 UV 2.16.840.1.113883.3.5856 kh-ng Kootenai Health NextGen Nicholas Timperio masked Steve Garske 2003 Kootenai Health Way Coeur d Alene, Idaho 83814 208-625-5333 masked Chief Information Officer Kootenai Health 2003 Kootenai Health Way Coeur d Alene, Idaho 83814 208-625-4000 sgarske@kh.org http://www.kh.org Provider Int 3 Complete 2014/11/26 12:00:00 2014/12/11 12:00:00 2014/12/11 05:20:54 UV 2.16.840.1.113883.3.5857 mhp Meridian Health Plan Tony Randolph masked Tony Randolph 777 Woodward Ave Detroit, MI 48226 313-324-3700 x113 masked EDI Analyst Meridian Health Plan 777 Woodward Ave Detroit, MI 48226 313-32403700 tony.randolph@mhplan.com Payor Int 3 Complete 2014/11/26 12:00:00 2014/12/11 12:00:00 2014/12/11 05:23:47 UV 2.16.840.1.113883.3.5858 slx SmartlinxExport Nick Dresher masked Nick Dresher 345 Union Hill Rd Suite A Manalapan, NJ 07726 (732) 385-5506 masked VP of Development Smartlinx Solutions, LLC nick@smartlinxsolutions.com http://www.smartlinxsolutions.com Provider Int 3 Complete 2014/11/26 12:00:00 2014/12/11 12:00:00 2014/12/11 05:25:07 UV 2.16.840.1.113883.3.5859 evolutionhealth Evolution Health OID Root Gresham Bayne masked Gresham Bayne 13737 Noel Rd. #1200 Dallas, TX 75240 619-517-3000 masked National Director, Clinical Platforms Evolution Health, LLC 13737 Noel Rd. #1200 Dallas, TX 75240 214-754-8700 gresham.bayne@evhealth.net https://www.evhealth.net Provider Int 3 Complete 2014/11/26 12:00:00 2014/12/11 12:00:00 2014/12/11 05:26:28 UV 2.16.840.1.113883.3.5860 fha-CONNECT FHA-CONNECT Program Greg Turner masked Federal Health Architecture - CONNECT Program Greg Turner 12601 Fair Lakes Circle Fairfax, VA 22033 703-624-8079 masked Executive Consultant Federal Health Architecture - CONNECT Program federal.health@hhs.gov http://www.connectopensource.org/ Govt body Int 3 Complete 2014/11/26 12:00:00 2014/12/11 12:00:00 2014/12/11 05:28:26 UV 2.16.840.1.113883.17.4076 mdcare Vision Infonet MDCare EMR Vikram Prodduturi masked MDCare test Vikram Prodduturi 1717, Park street, Suite 110, Naperville, IL-60563 6302171808 masked Vision Infonet emrgroup@vinfonet.com Vendor Int 17 Complete 2014/11/27 12:00:00 2014/12/11 12:00:00 2014/12/11 05:45:06 UV 2.16.840.1.113883.3.5861 nwHospitalClinicalLaboratory Northwest Hospital and Medical Center Clinical Laboratory Robin Peterson masked Grace Agustin 1550 N 115th St. MS NG503 Seattle, WA. 98133 206-368-2057 masked Laboratory Manager, Information Systems and Technology Northwest Hospital and Medical Center 1550 N 115th St. A200 Seattle, WA. 98133 206-368-1344 NWHUWQuestions@nwhsea.org Provider Int 3 Complete 2014/12/02 12:00:00 2014/12/11 12:00:00 2014/12/11 05:38:13 UV 2.16.840.1.113883.3.5862 omh-hie Onslow Memorial Hospital HIE Angela Mallard masked Angela Mallard 317 Western Blvd Jacksonville, NC 28546 910-577-4892 masked ITS Apps Mgr Onslow Memorial Hospital 317 Western Blvd Jacksonville, NC 28546 910-577-4892 angie.mallard@onslow.org Exchange Int 3 Complete 2014/12/02 12:00:00 2014/12/11 12:00:00 2014/12/11 05:39:18 UV 2.16.840.1.113883.17.4077 acep American College of Emergency Physicians Diana Crowley masked Diana Crowley 2121 K St NW, St 325 Washington DC 20037 202-728-0610 masked Quality and Health IT Manager American College of Emergency Physicians 2121 K St NW, St 325 Washington DC 20037 202-728-0610 dcrowley@acep.org http://www.acep.org Prof Soc Int 17 Complete 2014/12/02 12:00:00 2014/12/11 12:00:00 2014/12/11 05:45:56 UV 2.16.840.1.113883.3.5863 wrhsri Wood River Health Services Lois Gelzhiser masked David Penney 823 Main Street Hope Valley, RI 02886 401-387-9637 masked Director of IT Wood River Health Services 823 Main Street Hope Valley, RI 02886 401-539-2461 dpenney@woodriverhealth.org http://www.woodriverhealth.org Provider Int 3 Complete 2014/12/02 12:00:00 2014/12/11 12:00:00 2025/07/03 01:45:32 UV 2.16.840.1.113883.17.4078 iNTerface-Wellfount-1 Wellfount HL7 Emar Interface Kevin Kamminga masked Wellfount Corporation Kevin J Kamminga 5751 W 73rd Indianapolis, IN 46278 3172581900 masked Director of IT Wellfount Coroporation 5751 W 73rd Indianapolis, IN 46278 3175241515 kkamminga@wellfount.com https://interface.wellfount.com Vendor Int 17 Complete 2014/12/03 12:00:00 2014/12/11 12:00:00 2014/12/11 05:48:07 UV 2.16.840.1.113883.3.5864 sjcfamyoung SJC PC Fam Med MPC 300 Young Jocelyn Sims masked Ahisha Peters 918-744-3131 ext 16737 masked SJC PC Fam Med MPC 300 Young 3400 SE Frank Phillips Blvd Ste 300 Bartlesville, Ok 74006 918-744-3131 ext 16737 ahisha.peters@sjmc.org Provider Int 3 Complete 2014/12/03 12:00:00 2014/12/11 12:00:00 2014/12/11 05:41:51 UV 2.16.840.1.113883.3.5865 sjfammedpaw SJC PC Fam Med Pawhuska Clinic Mary Ossie masked Ahisha Peters 918-744-3131 x16737 masked SJC PC Fam Med Pawhuska Clinic 701 Leahy Pawhuska OK 74056 918-744-3131 x16737 ahisha.peters@sjmc.org Provider Int 3 Complete 2014/12/03 12:00:00 2014/12/11 12:00:00 2014/12/11 05:02:33 UV 2.16.840.1.113883.3.5866 sjfammedafterhr SJC PC Fam Med After Hours Clinic Mary Ossie masked Ahisha Peters 918-744-3131 x16737 masked SJC PC Fam Med After Hours Clinic 3450 Frank Phillips Blvd Suite 1 Bartlesville OK 74006 918-744-3131 x16737 ahisha.peters@sjmc.org Provider Int 3 Complete 2014/12/03 12:00:00 2014/12/11 12:00:00 2014/12/11 05:03:07 UV 2.16.840.1.113883.3.5867 sjucclaremr St John Urgent Care Claremore Mary Ossie masked Ahisha Peters 9187443131 x16737 masked St John Urgent Care Claremore 1910 South Falcon Ave Claremore OK 74019 9187443131 x16737 ahisha.peters@sjmc.org Provider Int 3 Complete 2014/12/03 12:00:00 2014/12/11 12:00:00 2014/12/11 05:03:21 UV 2.16.840.1.113883.3.5868 sjpsychdebell SJC SC Psychiatry DeBell Hutchins J Mary Ossie masked Ahisha Peters 9187443131 x16737 masked SJC SC Psychiatry DeBell Hutchins J 226 SE DeBell Bldg A 103 Bartlesville OK 74006 9187443131 x16737 ahisha.peters@sjmc.org Provider Int 3 Complete 2014/12/03 12:00:00 2014/12/11 12:00:00 2014/12/11 05:03:33 UV 2.16.840.1.113883.3.5869 sjorthoadams SJC SC Orthopedic Surg Adams Mary Ossie masked Ahisha Peters 9187443131 x16737 masked SJC SC Orthopedic Surg Adams 4140 SE Adams Rd Suite 102 Bartlesville OK 74006 9187443131 x16737 ahisha.peters@sjmc.org Provider Int 3 Complete 2014/12/03 12:00:00 2014/12/11 12:00:00 2014/12/11 05:03:47 UV 2.16.840.1.113883.3.5870 sjsccardjp SJC SC Cardiology JP Mary Ossie masked Ahisha Peters 9187443131 x16737 masked SJC SC Cardiology JP 3460 Frank Phillips Blvd Bartlesville OK 74006 9187443131 x16737 ahisha.peters@sjmc.org Provider Int 3 Complete 2014/12/03 12:00:00 2014/12/11 12:00:00 2014/12/11 05:04:05 UV 2.16.840.1.113883.3.5871 aschinbergpediatrics Aschinberg Pediatrics OID Root Kelly Starostka masked Kelly Starostka 114 Barney Dr Joliet IL 60435 8157293331 masked L. Claude Aschinberg M.D. Ltd. 114 Barney Dr Joliet IL 60435 8157290521 kelbells15@comcast.net Provider Int 3 Complete 2014/12/03 12:00:00 2014/12/11 12:00:00 2014/12/11 05:50:22 UV 2.16.840.1.113883.3.5872 sjccaney SJC PC Fam Med RH Caney KS Jocelyn Sims masked Jocelyn Sims 3500 SE Frank Phillips Blvd Bartlesville, OK 74006 918-331-1779 masked SJC PC Fam Med RH Caney KS 218 W 4th Caney, KS 67333 918-744-3131 ext 16737 ahisha.peters@sjmc.org Provider Int 3 Complete 2014/12/03 12:00:00 2014/12/11 12:00:00 2014/12/11 05:00:54 UV 2.16.840.1.113883.3.5873 sjcbumpusm SJC PC Fam Med SJC 100 Bumpus M Jocelyn Sims masked Jocelyn Sims 3500 SE Frank Phillips Blvd Bartlesville, OK 74006 918-331-1779 masked SJC PC Fam Med SJC 100 Bumpus M 3450 Frank Phillips Blvd Ste 1 Bartlesville, OK 74006 918-744-3131 ext 16737 ahisha.peters@sjmc.org Provider Int 3 Complete 2014/12/03 12:00:00 2014/12/11 12:00:00 2014/12/11 05:00:38 UV 2.16.840.1.113883.3.5874 sjcscorthofrank SJC SC Orthopedic Surg Frank Phillips Jocelyn Sims masked Jocelyn Sims 3500 SE Frank Phillips Blvd Bartlesville, OK 74006 918-331-1779 masked SJC SC Orthopedic Surg Frank Phillips 3550 SE Frank Phillips Blvd Bartlesville, OK 74006 918-744-3131 ext 16737 ahisha.peters@sjmc.org Provider Int 3 Complete 2014/12/03 12:00:00 2014/12/11 12:00:00 2014/12/11 05:00:27 UV 2.16.840.1.113883.3.5875 sjccoffeyville SJC PC Fam Med RH Coffeyville Clinic Jocelyn Sims masked Jocelyn Sims 3500 Frank Phillips Blvd Bartlesville, OK 74006 918-331-1779 masked SJC PC Fam Med RH Coffeyville Clinic 1505 W 11th Suite C Coffeyville, KS 67337 918-744-3131 ext 16737 ahisha.peters@sjmc.org Provider Int 3 Complete 2014/12/03 12:00:00 2014/12/11 12:00:00 2014/12/11 05:00:05 UV 2.16.840.1.113883.3.5876 sjcpulmdicenter SJC SC Pulmonary DI Center Jocelyn Sims masked Jocelyn Sims 3500 SE Frank Phillips Blvd 918-331-1779 masked SJC SC Pulmonary DI Center 2661 SE Washington Blvd Bartlesville, OK 74006 918-744-3131 ext 16737 ahisha.peters@sjmc.org Provider Int 3 Complete 2014/12/03 12:00:00 2014/12/11 12:00:00 2014/12/11 04:59:51 UV 2.16.840.1.113883.3.1070.5584 mckesson-fusion-5584 mckesson-fusion-5584 Gianna Goodman masked Fusion Enrollment 8775074541 masked Fusion Enrollment gianna.goodman@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5584 2014/12/03 12:00:00 2014/12/11 12:00:00 2014/12/11 05:52:07 US 2.16.840.1.113883.3.5877 sjcsccardioindy SJC SC Cardiology Independence Jocelyn Sims masked Jocelyn Sims 3500 SE Frank Phillips Blvd Bartlesville, OK 74006 918-331-1779 masked SJC SC Cardiology Independence 800 W Chestnut Independence, KS 67301 918-744-3131 ext 16737 ahisha.peters@sjmc.org Provider Int 3 Complete 2014/12/03 12:00:00 2014/12/11 12:00:00 2014/12/11 04:59:27 UV 2.16.840.1.113883.3.1070.6010 mckesson-fusion-6010 mckesson-fusion-6010 Gianna Goodman masked Fusion Enrollment 8775074541 masked Fusion Enrollment gianna.goodman@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.6010 2014/12/03 12:00:00 2014/12/11 12:00:00 2014/12/11 05:53:34 US 2.16.840.1.113883.3.5878 perrymansfieldmdinc perrymansfieldmdinc OID Root Perry Mansfield masked MICHAEL STEINMETZ 6645 Alvarado Road Suite 4000 6198101450 masked COO Perry Mansfield MD Inc 6645 Alvarado Road Suite 4000 6198101111 msteinmetz@msaisd.com http://www.perrymansfieldmd.com Provider Int 3 Complete 2014/12/03 12:00:00 2014/12/11 12:00:00 2014/12/11 05:59:18 UV 2.16.840.1.113883.3.1070.6014 mckesson-fusion-6014 mckesson-fusion-6014 Anna Durbin masked Fusion Enrollment 87750747541 masked Fusion Enrollment anna.durbin@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 3 Complete 2.16.840.1.113883.3.1070.6014 2014/12/03 12:00:00 2014/12/11 12:00:00 2014/12/11 05:55:49 US 2.16.840.1.113883.3.5879 spooner1 spooner health system Michael Di Pasquale masked Mike DiPasquale 819 Ash Street Spooner,WI 54801 715-635-1353 masked Director Information Technology Spooner Health System 819 Ash Street Spooner,WI 54801 715-635-2111 mdipasquale@spoonerhealthsystem.com https://www.spoonerhealthsystem.com Provider Int 3 Complete 2014/12/04 12:00:00 2014/12/11 12:00:00 2014/12/11 04:58:40 UV 2.16.840.1.113883.3.5880 spooner2 spooner health system Michael Di Pasquale masked Mike DiPasquale 819 Ash Street Spooner,WI 54801 715 635 1353 masked Director Information Technology Spooner Health System 819 Ash street Spooner,WI 54801h Street 715-635-2111 mdipasquale@spoonerhealthsystem.com https://www.spoonerhealthsystem.com Provider Int 3 Complete 2014/12/04 12:00:00 2014/12/11 12:00:00 2014/12/11 04:58:21 US 2.16.840.1.113883.3.5881 spooner3 spooner health system Michael Di Pasquale masked Mike DiPasquale 819 Ash Street Spooner,WI 54801 7156351353 masked Director Information Technology Spooner Health System 819 Ash Street Spooner,WI 54801 7156352111 mdipasquale@spoonerhealthsystem.com https://spoonerhealthsystem.com Provider Int 3 Complete 2014/12/04 12:00:00 2014/12/11 12:00:00 2014/12/11 04:58:03 UV 2.16.840.1.113883.3.5882 sjcsccardiocoffey SJC SC Cardiology Coffeyville Jocelyn Sims masked Jocelyn Sims 3500 SE Frank Phillips Blvd Bartlesville, OK 918-331-1779 masked SJC SC Cardiology Coffeyville 1400 W 4th Street Coffeyville, KS 918-744-3131 ext 16737 ahisha.peters@sjmc.org Provider Int 3 Complete 2014/12/04 12:00:00 2014/12/11 12:00:00 2014/12/11 04:53:54 UV 2.16.840.1.113883.3.5883 sjcphillips SJC PC Fam Med Phillips Clinic Jocelyn Sims masked Jocelyn Sims 3500 SE Frank Phillips Blvd Bartlesville, OK 918-331-1779 masked SJC PC Fam Med Phillips Clinic 310 S Keeler Ave Bartlesville, OK 74003 918-744-3131 ext 16737 ahisha.peters@sjmc.org Provider Int 3 Complete 2014/12/04 12:00:00 2014/12/11 12:00:00 2014/12/11 04:53:37 UV 2.16.840.1.113883.3.5884 sjcintmeddebell SJC PC Int Med DeBell Jocelyn Sims masked Jocelyn Sims 3500 SE Frank Phillips Blvd Bartlesville, OK 918-331-1779 masked SJC PC Int Med DeBell 226 SE DeBell Ave Bldg B Bartlesville, OK 74006 918-744-3131 ext 16737 ahisha.peters@sjmc.org Provider Int 3 Complete 2014/12/04 12:00:00 2014/12/11 12:00:00 2014/12/11 04:53:24 UV 2.16.840.1.113883.3.5885 sjcscgensurg SJC SC General Surgery DeBell Jocelyn Sims masked Jocelyn Sims 3500 SE Frank Phillips Blvd Bartlesville, OK 918-331-1779 masked SJC SC General Surgery DeBell 224 SE DeBell Bartlesville, OK 74006 918-744-3131 ext 16737 ahisha.peters@sjmc.org Provider Int 3 Complete 2014/12/04 12:00:00 2014/12/11 12:00:00 2014/12/11 04:53:04 UV 2.16.840.1.113883.3.5886 sjcscorthodebell SJC SC Orthopedic Surg DeBell Jocelyn Sims masked Jocelyn Sims 3500 SE Frank Phillips Blvd Bartlesville, OK 918-331-1779 masked SJC SC Orthopedic Surg DeBell 222 SE DeBell Ave Bartlesville, OK 74006 918-744-3131 ext 16737 ahisha.peters@sjmc.org Provider Int 3 Complete 2014/12/04 12:00:00 2014/12/11 12:00:00 2014/12/11 04:52:44 UV 2.16.840.1.113883.3.5887 sjcscobgyn400 SJC SC OB/Gyn MPC 400 Jocelyn Sims masked Jocelyn Sims 3500 SE Frank Phillips Blvd Bartlesville, OK 918-331-1779 masked SJC SC OB/Gyn MPC 400 3400 Frank Phillips Ste 400 Bartlesville, OK 74006 918-744-3131 ext 16737 ahisha.peters@sjmc.org Provider Int 3 Complete 2014/12/04 12:00:00 2014/12/11 12:00:00 2014/12/11 04:52:32 UV 2.16.840.1.113883.3.5888 jamescrittendenmd James C Crittenden M.D OID Root James Crittenden masked Rose Ladner 1001 Beningo Lane Bay St Louis, MS 39520 228-467-1414 masked officemanager James C Crittenden, M. D. 1001 Beningo Lane Bay St Louis, MS 39520 228-4-1414 rladner62@gmail.com Provider Int 3 Complete 2014/12/04 12:00:00 2014/12/11 12:00:00 2014/12/11 04:56:08 UV 2.16.840.1.113883.3.5889 suclinica Su Clinica Humberto Gonzalez masked Marco Guerrero 1706 Treasure Hills Blvd. Harlingen, Texas 78550 (956) 365-6000 ext.12508 masked IT Systems Analyst Su Clinica 1706 Treasure Hills Blvd. Harlingen, Texas 78550 (956) 365-6000 MAGuerrero@SuClinica.org http://www.SuClinica.org Provider Int 3 Complete 2014/12/04 12:00:00 2014/12/11 12:00:00 2014/12/11 06:02:08 UV 2.16.840.1.113883.3.5890 sjcfmc SJC Family Medical Care Jocelyn Sims masked Jocelyn Sims 3500 Frank Phillips Blvd Bartlesville, OK 918-331-1779 masked SJC Family Medical Care 1441 E 75th Pl South Tulsa, OK 74136 918-744-3131 ext 16737 ahisha.peters@sjmc.org Provider Int 3 Complete 2014/12/04 12:00:00 2014/12/11 12:00:00 2014/12/11 04:51:52 UV 2.16.840.1.113883.3.5891 sjcneurogrove SJC Neuroscience Institute - Grove Jocelyn Sims masked Jocelyn Sims 3500 SE Frank Phillips Blvd Bartlesville, OK 918-331-1779 masked SJC Neuroscience Institute - Grove 1120 Neo Loop Grove, OK 74344 918-744-3131 ext 16737 ahisha.peters@sjmc.org Provider Int 3 Complete 2014/12/04 12:00:00 2014/12/11 12:00:00 2014/12/11 04:51:39 UV 2.16.840.1.113883.3.5892 sjcneuroowasso SJC Neuroscience Institute - Owasso Jocelyn Sims masked Jocelyn Sims 3500 SE Frank Phillips Blvd Bartlesville, OK 918-331-1779 masked SJC Neuroscience Institute - Owasso 12455 E 100th St N, Ste 260 Owasso, OK 74055 918-744-3131 ext 16737 ahisha.peters@sjmc.org Provider Int 3 Complete 2014/12/04 12:00:00 2014/12/11 12:00:00 2014/12/11 04:51:25 UV 2.16.840.1.113883.3.5893 sjcneurosap SJC Neuroscience Institute - Sapulpa Jocelyn Sims masked Jocelyn Sims 3500 SE Frank Phillips Blvd Bartlesville, OK 918-331-1779 masked SJC Neuroscience Institute - Sapulpa 414 S Mission Street Sapulpa, OK 74066 918-744-3131 ext 16737 ahisha.peters@sjmc.org Provider Int 3 Complete 2014/12/04 12:00:00 2014/12/11 12:00:00 2014/12/11 04:50:47 UV 2.16.840.1.113883.3.5894 sjcpain SJC Pain Management - Tulsa Jocelyn Sims masked Jocelyn Sims 3500 SE Frank Phillips Blvd Bartlesville, OK 918-331-1779 masked SJC Pain Management - Tulsa 2000 South Wheeling, Ste 200 Tulsa, OK 74104 918-744-3131 ext 16737 ahisha.peters@sjmc.org Provider Int 3 Complete 2014/12/04 12:00:00 2014/12/11 12:00:00 2014/12/11 04:50:29 UV 2.16.840.1.113883.3.5895 sjcsccardionowata SJC SC Cardiology Nowata Jocelyn Sims masked Jocelyn 3500 SE Frank Phillips Blvd Bartlesville, OK 918-331-1779 masked SJC SC Cardiology Nowata 237 S Locust St Nowata, OK 74048 918-744-3131 ext 16737 ahisha.peters@sjmc.org Provider Int 3 Complete 2014/12/05 12:00:00 2014/12/11 12:00:00 2014/12/11 04:50:08 UV 2.16.840.1.113883.3.5896 drjeffries Premier ENT Sharon Jeffries masked Ashley Fomby 255 Terracina Blvd Ste 201 Redlands Ca 92373 9097932500 masked Front Desk Sharen Jeffries 255 Terracina Blvd Ste 201 Redlands Ca 92373 9097932500 info@premierentmedical.com http://www.premierentmedical.com Provider Int 3 Complete 2014/12/05 12:00:00 2014/12/11 12:00:00 2014/12/23 01:49:42 UV 2.16.840.1.113883.9.188 rwhs-lab Regional West Health Services Lab Nancy Hall masked craig.krentz@rwmc.net Nancy Hall 4021 Avenue B Scottsbluff, NE 69361 308-630-2514 masked Project Manager Regional West Medical Center 4021 Avenue B Scottsbluff, NE 69361 308-635-3711 craig.krentz@rwmc.net http://www.rwhs.org/ Provider Int 3 Complete 2014/12/05 12:00:00 2014/12/15 12:00:00 2014/12/15 12:54:21 2.5.1 UV 2.16.840.1.113883.3.5897 mbpcc Mary Bird Perkins Cancer Center Aaron LaRose masked Aaron LaRose 4950 Essen Lane Baton Rouge, LA 70809 2252151346 masked MOSAIQ / Interface Technical Lead Mary Bird Perkins Cancer Center 4950 Essen Lane Baton Rouge, LA 70809 2257670847 alarose@marybird.com http://www.marybird.org Provider Int 3 Complete 2014/12/08 12:00:00 2014/12/11 12:00:00 2014/12/11 04:57:13 UV 2.16.840.1.113883.3.5898 olol-mbpcc Mary Bird Perkins - Our Lady of the Lake Cancer Center Aaron LaRose masked Aaron LaRose 4950 Essen Lane Baton Rouge, LA 70809 225-215-1346 masked MOSAIQ / Interface Technical Lead Mary Bird Perkins - Our Lady of the Lake Cancer Center 4850 Essen Lane Baton Rouge, LA 70809 2257671311 alarose@marybird.com http://www.marybird.org/olol Provider Int 3 Complete 2014/12/08 12:00:00 2014/12/11 12:00:00 2014/12/11 04:56:46 UV 2.16.840.1.113883.3.5899 afpedsOID American Fork Pediatrics OID Michael Whiting masked Jessica Adams 48 N 1100 E Suite C American Fork, UT 84003 8014924333 masked Office Manager American Fork Pediatrics 48 N 1100 E Suite C American Fork, UT 84003 8014924333 afpeds@gmail.com http://mychildsdoctor.com Provider Int 3 Complete 2014/12/08 12:00:00 2014/12/11 12:00:00 2014/12/11 06:09:39 UV 2.16.840.1.113883.3.5900 nwoh Northwest Oncology & Hematology Kim Hunt masked Kim Hunt 3701 Algonquin Rd Ste 900 Rolling Meadows, IL 60008 847-577-0620 ext 2300 masked Director of Operations Northwest Oncology & Hematology 3701 Algonquin Rd Ste 900 Rolling Meadows, IL 60008 847-577-0620 kimh@northwestoncology.com Provider Int 3 Complete 2014/12/09 12:00:00 2014/12/11 12:00:00 2014/12/11 06:11:13 UV 2.16.840.1.113883.3.5901 doctors-memorial-perry Doctors' Memorial Hospital, Inc. Perry, Florida Kyle Wright masked Kyle Wright 333 N Byron Butler Pkwy Perry, Florida 32347 8505840859 masked IT Co-Cooridinator Doctors' Memorial Hospital, Inc. 333 N Byron Butler Pkwy Perry, Florida 32347 8505840800 kwright@doctorsmemorial.com http://www.doctorsmemorial.com Govt body Int 3 Complete 2014/12/09 12:00:00 2014/12/11 12:00:00 2014/12/11 06:12:50 UV 2.16.840.1.113883.3.5902 drhs-Decatur DeKalb Medical Center MRN assigning authority Khalid Saeed masked Khalid Saeed 2701 N. Decatur Road Decatur, GA 30033 USA 404-501-5263 masked Laboratory Information System Manager DeKalb Medical Center 2701 N. Decatur Road Decatur, GA 30033 USA 404-501-1000 khalid.saeed@dekalbmedical.org http://www.dekalbmedical.org/ Provider Int 3 Complete 2014/12/09 12:00:00 2014/12/11 12:00:00 2014/12/11 06:14:04 UV 2.16.840.1.113883.3.5903 nwflor Northwest Florida Community Hospital Rick Demers masked Michael Drummond 1360 Brickyard Road Chipley, FL. 32428 850-415-8116 masked IS Manager Northwest Florida Community Hospital 1360 Brickyard Road Chipley, FL. 32428 850-638-1610 mdrummond@nfch.org http://nfch.org Provider Int 3 Complete 2014/12/09 12:00:00 2014/12/11 12:00:00 2024/09/17 12:20:53 UV 2.16.840.1.113883.3.5904 pma-oid Primary Medicine Associates Jeff Kirkpatrick masked Beth Henderson Amanda Floyd 2000 Pepperell Pkwy Opelika, AL 36801 334-528-6892 masked Associate Systems Architect East Alabama Medical Center 2000 Pepperell Pkwy Opelika, AL 36801 334-749-8303 amanda.floyd@eamc.org http://www.eamc.org Provider Int 3 Complete 2014/12/09 12:00:00 2014/12/11 12:00:00 2014/12/11 04:32:57 UV 2.16.840.1.113883.3.5905 emea Endocrinology and Metabolism of East Alabama Jeff Kirkpatrick masked Beth Henderson Amanda Floyd 2000 Pepperell Pkwy Opelika, AL 36801 334-528-6892 masked Associate systems architect East Alabama Medical Center 2000 Pepperell Pkwy Opelika, AL 36801 334-749-8303 amanda.floyd@eamc.org http://www.eamc.org Provider Int 3 Complete 2014/12/09 12:00:00 2014/12/15 12:00:00 2014/12/15 12:56:40 UV 2.16.840.1.113883.3.5906 gardasil Public Health Reporting Immunizations Sharon Dunn masked Sharon Dunn 439 Jennick Drive Colonial Heights, VA 23834 804-524-0890 masked Office Manager Summit Health Care, Inc. 439 Jennick Drive Colonial Heights, VA 23834 804-524-0890 sharon@rpfw-docs.com https://www.rpfw-docs.com Provider Int 3 Complete 2014/12/09 12:00:00 2014/12/15 12:00:00 2014/12/15 12:59:10 UV 2.16.840.1.113883.3.5907 bCH-NV Boulder City Hospital Rae Cummings masked Rae Cummings 901 Adams Blvd Boulder City, NV 89005 702.293.4111 masked Chief Operating Officer Boulder City Hospital Orgranization 901 Adams Blvd Boulder City, NV 89005 702.293.4111 rcummings@bouldercityhospital.org https://www.bchcares.org Provider Int 3 Complete 2014/12/09 12:00:00 2014/12/15 12:00:00 2014/12/15 01:00:49 UV 2.16.840.1.113883.3.5908 sda Solano Dermatology Associates Kyle Goleno masked swsugarman@solderm.com Sarah Sugarman 2290 Sacramento Street Vallejo, CA 94590 707643-5785 ext 344 masked EHR Analyst Solano Dermatology Associates 2290 Sacramento Street Vallejo, CA 94590 707 643-5785 kgoleno@solderm.com http://www.solderm.com Provider Int 3 Complete 2014/12/09 12:00:00 2014/12/15 12:00:00 2014/12/15 01:01:38 UV 2.16.840.1.113883.9.189 chit Covenant Health Information Technology Darlene Boles masked Elizabeth Hillman Covenant Health, IT Dept 1410 Centerpoint Blvd Bldg B Ste 400 Knoxville, TN 37932 865 374 4705 masked Supervisor IT Applications Covenant Health, IT Department 1410 Centerpoint Blvd Bldg B Ste 400 Knoxville, TN 37932 865 374 4705 ehillman@covhlth.com http://www.covenanthealth.org Provider Int 3 Complete 2014/12/10 12:00:00 2014/12/15 12:00:00 2014/12/15 01:22:51 2.5.1 US 2.16.840.1.113883.3.1070.5893 mckesson-fusion-5893 mckesson-fusion-5893 Anna Durbin masked Fusion Enrollment 8775074541 masked Fusion Enrollment anna.durbin@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5893 2014/12/10 12:00:00 2014/12/15 12:00:00 2014/12/15 01:24:09 US 2.16.840.1.113883.3.5909 ipc ipatientcare Udayan Mandavia masked Shahab Shaikh One Woodbridge Center, Suite 812, Woodbridge, New Jersey 07095 732-607-2400 masked Integration Specialist iPatientCare One Woodbridge Center, Suite 812, Woodbridge, New Jersey 07095 732-607-2400 support@ipatientcare.com http://www.ipatientcare.com Vendor Int 3 Complete 2014/12/10 12:00:00 2014/12/15 12:00:00 2014/12/15 01:25:49 UV 2.16.840.1.113883.17.4079 fcs Family & Children's Services, Inc. Becky Deatherage masked Becky Deatherage 650 S. Peoria Ave Tulsa, OK 74120 918-560-1103 masked Systems Administrator Family & Children's Services 650 S. Peoria Ave Tulsa, OK 74120 918-587-9471 licensing@fcsok.org http://www.fcsok.org/ Provider Int 17 Complete 2014/12/10 12:00:00 2014/12/15 12:00:00 2014/12/15 01:27:59 UV 2.16.840.1.113883.3.5910 frpscardiovascularsurgery FRPS Cardio Vascular Surgery Matt Schauer masked Matt Schauer 402-644-7123 masked Matt Schauer 2700 W Norfolk Ave Norfolk, NE 68701 402-644-7123 helpdesk@frhs.org Exchange Int 3 Complete 2014/12/10 12:00:00 2014/12/11 12:00:00 2014/12/11 05:01:42 UV 2.16.840.1.113883.3.5911 multicareHealthSystem MultiCare Health System George Williams masked George Willliams PO Box 5299 MS: 19U-A3-IS Tacoma, WA, 98415-0299 253-459-6660 masked Sr. IT Engineer MultiCare Health System PO Box 5299 MS: 19U-A3-IS Tacoma, WA, 98415-0299 253-403-1160 support@multicare.org http://www.multicare.org Provider Int 3 Complete 2014/12/10 12:00:00 2014/12/15 12:00:00 2014/12/15 01:30:27 UV 2.16.840.1.113883.3.5912 brrh Boca Raton Regional Hospital Robin Hildwein masked Robin Hildwein 800 Meadows Road Boca Raton, FL 33487 561-955-5029 masked Chief Information Officer Boca Raton Regional Hospital 800 Meadows Road Boca Raton, FL 33487 561-395-7100 noreply@brrh.com http://www.brrh.com Provider Int 3 Complete 2014/12/11 12:00:00 2014/12/11 12:00:00 2014/12/11 10:05:33 UV 2.16.840.1.113883.3.5913 mtbc Medical Transcription Billing Corp. Tanvir Abbas masked Tanvir Abbas 7 Clyde Road | Somerset, NJ 08873 732-873-5133 x214, 316 masked Lead Interface MTBC 7 Clyde Road | Somerset, NJ 08873 732-873-5133 x214,316 mtbchl7@mtbc.com http://www.mtbc.com Vendor Int 3 Complete 2014/12/11 12:00:00 2014/12/15 12:00:00 2014/12/15 01:33:01 UV 2.16.840.1.113883.3.1070.6009 mckesson-fusion-6009 mckesson-fusion-6009 Nina Louviere masked Fusion Enrollment 8775074541 masked Fusion Enrollment Nina.louviere@Mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.6009 2014/12/11 12:00:00 2014/12/15 12:00:00 2014/12/15 01:35:28 US 2.16.840.1.113883.3.5914 healthemax HealtheMax Services John Barnes masked Mike Fierro Mike Fierro 8182 Lark Brown Road Suite 300 Elkridge, MD 21075, United States 1-410-300-5096 masked Principal Dynamed Solutions 8182 Lark Brown Road Suite 300 Elkridge, MD 21075, United States 443-661-1403 mfierro@dynamedsolutions.com http://www.dynamedsolutions.com/ Exchange Int 3 Complete 2014/12/11 12:00:00 2014/12/15 12:00:00 2014/12/15 01:37:13 UV 2.16.840.1.113883.3.5915 silvercrossemp Silver Cross Hospital - Employed David Schwellenbach masked David Schwellenbach 1900 Silver Cross Blvd New Lenox, IL 60451 (815) 300-5949 masked Manager Integration Silver Cross Hospital 1900 Silver Cross Blvd New Lenox, IL 60451 (815) 300-1100 dschwellenbach@silvercross.org Provider Int 3 Complete 2014/12/11 12:00:00 2014/12/11 12:00:00 2014/12/11 04:06:07 UV 2.16.840.1.113883.3.5916 silvercrossaff Silver Cross Hospital affiliated physicians David Schwellenbach masked David Schwellenbach 1900 Silver Cross Blvd New Lenox, IL 60451 (815) 300-5949 masked Manager Integration Silver Cross Hospital 1900 Silver Cross Blvd New Lenox, IL 60451 (815) 300-1100 dschwellenbach@silvercross.org Provider Int 3 Complete 2014/12/11 12:00:00 2014/12/11 12:00:00 2014/12/11 04:04:50 UV 2.16.840.1.113883.3.1070.6031 mckesson-fusion-6031 mckesson-fusion-6031 Jaime Cummins masked Fusion Enrollment 8775074541 masked Fusion Enrollment jaime.cummins@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.6031 2014/12/11 12:00:00 2014/12/15 12:00:00 2014/12/15 01:39:05 US 2.16.840.1.113883.3.5917 betsyjohnson Betsy Johnson OID Root Timothy Krieger masked George Shaffer PO BOX 1706 Dunn, NC 28334 910-892-1000 masked CIO Betsy Johnson Hospital PO BOX 1706 Dunn, NC 28334 910-892-1000 george.shaffer@harnetthealth.org Provider Int 3 Complete 2014/12/12 12:00:00 2014/12/15 12:00:00 2017/04/12 09:34:24 UV 2.16.840.1.113883.3.5918 centralharnett Central Harnett OID Root Timothy Krieger masked Timothy Krieger PO BOX 1706 Dunn, NC 28334 910-892-1000 masked CIO Central Harnett Hospital PO BOX 1706 Dunn, NC 28334 910-892-1000 tim.krieger@harnetthealth.org Provider Int 3 Complete 2014/12/12 12:00:00 2014/12/15 12:00:00 2014/12/15 01:44:00 UV 2.16.840.1.113883.17.4080 wvva-healthcare-alliance WVVA Healthcare Alliance OID Brett Miller masked Mary McLear Brett Miller 3045365030 ext276 masked WVVA Healthcare Alliance 5E Alvon Road Suite 7 White Sulphur Springs, WV 24986 brett_miller@med3000.com Provider Int 17 Complete 2014/12/12 12:00:00 2014/12/15 12:00:00 2014/12/15 01:47:11 UV 2.16.840.1.113883.3.5919 cetrea Cetrea Clinical Logistics Martin Mogensen masked Martin Mogensen Cetrea A/S Brendstrupgaardsvej 21F 8200 Aarhus N, Denmark +4538400572 masked Chief Enterprise Architect Cetrea A/S Cetrea A/S Brendstrupgaardsvej 21F 8200 Aarhus N, Denmark +4538400572 martin@cetrea.com http://www.cetrea.com Vendor Int 3 Complete 2014/12/15 12:00:00 2014/12/15 12:00:00 2014/12/15 01:50:17 DK 2.16.840.1.113883.3.5920 caldwell01 Caldwell Pediatrics and Wellness Center Dawn Kluesner masked Dawn Kluesner 2035 Waterside Road Suite 105 Prince George, Va 23875 804-520-0002 masked office manager Caldwell Pediatrics.and Wellness Center 2035 Waterside Road Suite 105 Prince George, Va 23785 804-520-0002 admin@caldwellpediatrics.com Provider Int 3 Complete 2014/12/15 12:00:00 2014/12/15 12:00:00 2014/12/15 01:52:46 UV 2.16.840.1.113883.3.5921 union-health-center Unite Here Health Center Vipul Patel masked Vipul Patel 160 W 26th Street New York, NY 10001 212-812-3541 masked CIO Union Health Center 160 W 26th Street New York, NY 10001 212-924-2510 vpatel@unionhealthcenter.org http://www.unionhealthcenter.org Provider Int 3 Complete 2014/12/15 12:00:00 2014/12/15 12:00:00 2014/12/15 01:53:50 UV 2.16.840.1.113883.3.1070.6029 mckesson-fusion-6029 mckesson-fusion-6029 Nina Louviere masked Fusion Enrollment 877-507-5451 masked Fusion Enrollment Nina.louviere@Mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.6029 2014/12/15 12:00:00 2014/12/15 12:00:00 2014/12/15 01:41:03 US 2.16.840.1.113883.3.5922 sjendoba SJC Endocrinology - Broken Arrow (SJC Endo BA) Mary Ossie masked Ahisha Peters 918-744-3131 x16737 masked SJC Endocrinology - Broken Arrow (SJC Endo BA) 800 West Boise Circle, Suite 280 Broken Arrow OK 74012 918-744-3131 x16737 azpeters@sjmc.org Provider Int 3 Complete 2014/12/15 12:00:00 2014/12/15 12:00:00 2014/12/15 03:55:50 UV 2.16.840.1.113883.3.5923 sjentow SJC ENT - Owasso (SJC ENT Owasso) Mary Ossie masked Ahisha Peters 918-744-3131 x16737 masked SJC ENT - Owasso (SJC ENT Owasso) 12455 E. 100th St. N. , Ste. 260 Owasso OK 74055 918-744-3131 x16737 azpeters@sjmc.org Provider Int 3 Complete 2014/12/15 12:00:00 2014/12/15 12:00:00 2014/12/15 03:58:08 UV 2.16.840.1.113883.3.5924 sjgeriatric SJC Geriatric Clinic (SJC Geriatric) Mary Ossie masked Ahisha Peters Ahisha Peters 918-744-3131 x16737 azpeters@sjmc.org 918-744-3131 x16737 masked SJC Geriatric Clinic (SJC Geriatric) 800 W. Boise Circle B.A. Medical Office Bldg., Ste. 160 Broken Arrow OK 74012 918-744-3131 x16737 azpeters@sjmc.org Provider Int 3 Complete 2014/12/15 12:00:00 2014/12/15 12:00:00 2014/12/15 04:00:30 UV 2.16.840.1.113883.3.5925 sjneurosba SJC Neuroscience Institute - Broken Arrow (SJC Neuro BA) Mary Ossie masked Ahisha Peters 918-744-3131 x16737 masked SJC Neuroscience Institute - Broken Arrow (SJC Neuro BA) 800 West Boise Circle, Suite 280 Broken Arrow OK 74012 918-744-3131 x16737 azpeters@sjmc.org Provider Int 3 Complete 2014/12/15 12:00:00 2014/12/15 12:00:00 2014/12/15 04:03:25 UV 2.16.840.1.113883.3.5926 sjpainow SJC Pain Management - Owasso (SJC Pain Mgt Ow) Mary Ossie masked Ahisha Peters 918-744-3131 x16737 masked SJC Pain Management - Owasso (SJC Pain Mgt Ow) 12455 E. 100th St. N. , Ste. 260 Owasso OK 74055 918-744-3131 x16737 azpeters@sjmc.org Provider Int 3 Complete 2014/12/15 12:00:00 2014/12/15 12:00:00 2014/12/15 04:07:44 UV 2.16.840.1.113883.3.5927 sjpainsap SJC Pain Management - Sapulpa (SJC Pain Mgt Sa) Mary Ossie masked Ahisha Peters 918-744-3131 x16737 masked SJC Pain Management - Sapulpa (SJC Pain Mgt Sa) 414 S. Mission Street Sapulpa OK 74066 918-744-3131 x16737 azpeters@sjmc.org Provider Int 3 Complete 2014/12/15 12:00:00 2014/12/15 12:00:00 2014/12/15 04:08:51 UV 2.16.840.1.113883.3.5928 sjprimbaelm JC Primary Care Broken Arrow Elm (SJC PC BA Elm) Mary Ossie masked Ahisha Peters 918-744-3131 x16737 masked SJC Primary Care Broken Arrow Elm (SJC PC BA Elm) 3315 South Elm Broken Arrow OK 74012 918-744-3131 x16737 azpeters@sjmc.org Provider Int 3 Complete 2014/12/15 12:00:00 2014/12/15 12:00:00 2014/12/15 04:13:43 UV 2.16.840.1.113883.3.5929 sjwomenclmr SJC Womens Health Group - Claremore (SJC OB-GYN Clar) Mary Ossie masked Ahisha Peters 918-744-3131 x16737 masked SJC Womens Health Group - Claremore (SJC OB-GYN Clar) 3100 Medical Parkway, Ste 100 Claremore OK 74017 918-744-3131 x16737 azpeters@sjmc.org Provider Int 3 Complete 2014/12/15 12:00:00 2014/12/15 12:00:00 2014/12/15 04:15:34 UV 2.16.840.1.113883.3.5930 sjurologybville SJC SC Urology - Bartlesville Mary Ossie masked Ahisha Peters 918-744-3131 x16737 masked SJC SC Urology - Bartlesville 500 East 5th Street Bartlesville OK 74003 918-744-3131 x16737 azpeters@sjmc.org Provider Int 3 Complete 2014/12/15 12:00:00 2014/12/15 12:00:00 2014/12/15 04:18:41 UV 2.16.840.1.113883.3.5931 sIPC Dr. Jared LaCorte Lesley Fier masked Lesley Fier 718-982-1496 masked Front Desk Dr. Jared LaCorte 2550 Victory Blvd Suite 302 Staten Island, NY 10314 718-983-1496 jaredlacorte@hotmail.com Provider Int 3 Complete 2014/12/15 12:00:00 2014/12/15 12:00:00 2014/12/15 04:25:05 UV 2.16.840.1.113883.3.5932 reyescardiology Reyes Cardiology OID Root Vincent Reyes masked Monique Vanderhoof 349 SE 7th Avenue Hillsboro, OR 97123 5034077177 masked Manager Vincent P. Reyes, MD 349 SE 7th Avenue Hillsboro, OR 97123 5037059781 vincent@reyescardiology.com Provider Int 3 Complete 2014/12/15 12:00:00 2014/12/15 12:00:00 2014/12/15 07:33:52 UV 2.16.840.1.113883.3.5933 familyfootcare familyfootcare OID root Richard Adams masked Joeleen Adams 1008 Paluxy Road Granbury, TX 76048 8175737178 masked Office Manager Richard M. Adams, DPM, PA 1008 Paluxy Rd Granbury, TX 76048 8175737178 contactus@richardadamsdpm.com https://www.richardadamsdpm.com Provider Int 3 Complete 2014/12/16 12:00:00 2014/12/18 12:00:00 2014/12/18 09:01:26 UV 2.16.840.1.113883.3.1070.6024 mckesson-fusion-6024 mckesson-fusion-6024 Gianna Goodman masked Fusion Enrollment 8775074541 masked Fusion Enrollment gianna.goodman@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.6024 2014/12/16 12:00:00 2014/12/18 12:00:00 2014/12/18 09:05:19 US 2.16.840.1.113883.3.5934 davidaellbogenmd Karen E Ellbogen Pediactrics OID Root David Ellbogen masked Karen E Ellbogen 1720 S Poplar St Ste 1 Casper, WY 82601 307-2-473-1427 masked office manager Karen E Ellbogen Pediactrics 1720 S Poplar St Ste 1 Casper, WY 82601 307-473-1427 ellbogenpediatrics@gmail.com Provider Int 3 Complete 2014/12/17 12:00:00 2014/12/18 12:00:00 2014/12/18 09:04:06 UV 2.16.840.1.113883.3.5935 panyc Pediatric Associates of NYC David Horwitz masked David Horwitz 317 E34th Street New York NY 10016 212 725 6300 masked Pediatric Associates of NYC 317 E34th Street New York NY 10016 212 725 6300 davidhorwitz@earthlink.net Provider Int 3 Complete 2014/12/18 12:00:00 2014/12/18 12:00:00 2014/12/18 04:12:46 UV 2.16.840.1.113883.3.5936 nYUHIE NYU HIE MANHATTAN FERTILITY AND GYNECOLOGY Barbara Zimaras masked Barbara Zimaras 338 East 30th Street New York New York 10016 212 213 0893 masked RNC Pracrice Administartor Manhattan Fertility and Gynecology 338 East 30th St New York New York 10016 bzimaras@aol.com Provider Int 3 Complete 2014/12/18 12:00:00 2014/12/18 12:00:00 2014/12/18 04:14:22 UV 2.16.840.1.113883.3.5937 sjihiokmulgee SJC Family Medical Care IHI MHC Okmulgee Mary Ossie masked Ahisha Peters 918-744-3131 x16737 masked SJC Family Medical Care IHI MHC Okmulgee 1200 S Belmont Ave Okmulgee OK 74447 918-744-3131 x16737 azpeters@sjmc.org Provider Int 3 Complete 2014/12/18 12:00:00 2014/12/18 12:00:00 2014/12/18 04:15:14 UV 2.16.840.1.113883.3.906.10.1 oJacksonvilleOrthopaedicInstitute Jacksonville Orthopaedic Institute Affiliated with Baptist Health Darren Koontz masked Darren Koontz 904.202.0788 masked Sr. Systems Analyst Jacksonville Orthopaedic Institute 1325 San Marco Blvd., Suite 200 Jacksonville, FL 32207 904.346.3465 darren.koontz@bmcjax.com http://www.joionline.net/index.php Provider 2.16.840.1.113883.3.906 Ext 14 Complete 2.16.840.1.113883.3.906.10.1 2014/12/18 12:00:00 2014/12/18 12:00:00 2014/12/18 04:09:00 UV 2.16.840.1.113883.3.5938 sjihipeoria SJC Family Medical Care IHI MHC Peoria Mary Ossie masked Ahisha Peters 918-744-3131 x16737 masked SJC Family Medical Care IHI MHC Peoria 1212 E 58th St Tulsa OK 74105 918-744-3131 x16737 azpeters@sjmc.org Provider Int 3 Complete 2014/12/18 12:00:00 2014/12/18 12:00:00 2014/12/18 04:17:24 UV 2.16.840.1.113883.3.5939 sjihirockford SJC Family Medical Care IHI MHC Rockford Mary Ossie masked Ahisha Peters 918-744-3131 x16737 masked SJC Family Medical Care IHI MHC Rockford 12929 E 21st Street, Suite G Tulsa OK 74108 918-744-3131 x16737 azpeters@sjmc.org Provider Int 3 Complete 2014/12/18 12:00:00 2014/12/18 12:00:00 2014/12/18 04:18:23 UV 2.16.840.1.113883.3.5940 sjcardiosapulpa SJC Cardio Consults - Sapulpa Mary Ossie masked Ahisha Peters 918-744-3131 x16737 masked SJC Cardio Consults - Sapulpa 414 S. Mission Street Sapulpa OK 74066 918-744-3131 x16737 azpeters@sjmc.org Provider Int 3 Complete 2014/12/18 12:00:00 2014/12/18 12:00:00 2014/12/18 04:21:44 UV 2.16.840.1.113883.3.5941 sjgensrugba SJC General Surgery - Broken Arrow Mary Ossie masked Ahisha Peters 918-744-3131 x16737 masked SJC General Surgery - Broken Arrow 800 West Boise Circle, Suite 250 Broken Arrow OK 74012 918-744-3131 x16737 azpeters@sjmc.org Provider Int 3 Complete 2014/12/18 12:00:00 2014/12/18 12:00:00 2014/12/18 04:22:20 UV 2.16.840.1.113883.3.5942 sjgensurgsap SJC General Surgery - Sapulpa Mary Ossie masked Ahisha Peters 918-744-3131 x16737 masked SJC General Surgery - Sapulpa 1021 E Bryan Sapulpa OK 74066 918-744-3131 x16737 azpeters@sjmc.org Provider Int 3 Complete 2014/12/18 12:00:00 2014/12/18 12:00:00 2014/12/18 04:23:15 UV 2.16.840.1.113883.3.5943 sjneuroabramovitz SJC Neuroscience Institute - Abramovitz Mary Ossie masked Ahisha Peters 918-744-3131 x16737 masked SJC Neuroscience Institute - Abramovitz 2000 South Wheeling, Ste 200 Tulsa OK 74104 918-744-3131 x16737 azpeters@sjmc.org Provider Int 3 Complete 2014/12/18 12:00:00 2014/12/18 12:00:00 2014/12/18 04:24:08 UV 2.16.840.1.113883.3.906.11.1 oBaptistInitiate Baptist Health Initiate Darren Koontz masked Darren Koontz 904.202.0788 masked Sr. Systems Analyst Baptist Initiate 3451 Beach Blvd. Jacksonville, Florida 32207 904.202.2000 darren.koontz@bmcjax.com Vendor 2.16.840.1.113883.3.906 Ext 14 Complete 2.16.840.1.113883.3.906.11.1 2014/12/18 12:00:00 2014/12/18 12:00:00 2014/12/18 04:09:49 UV 2.16.840.1.113883.3.5944 sjneurostroke SJC NeuroStroke Mary Ossie masked Ahisha Peters 918-744-3131 x16737 masked SJC NeuroStroke 2000 South Wheeling, Ste 200 Tulsa OK 74104 918-744-3131 x16737 azpeters@sjmc.org Provider Int 3 Complete 2014/12/18 12:00:00 2014/12/18 12:00:00 2014/12/18 04:27:27 UV 2.16.840.1.113883.3.5945 lbucc Los Barrios Unidos Community Clinic Frank Alvarez masked Frank Alvarez 809 Singleton Blvd Dallas, Texas 75212 2145716155 masked EHR Specialist Los Barrios Unidos Community Clinic 809 Singleton Blvd Dallas, Texas 75212 2145400300 falvarez@lbucc.org http://LosBarriosUnidos.org Provider Int 3 Complete 2014/12/18 12:00:00 2014/12/18 12:00:00 2014/12/18 04:28:53 UV 2.16.840.1.113883.3.5946 intmedicine Olson Memorial Clinic Internal Medicine Stephen Enloe masked Stephen R Enloe 16463 Boones Ferry Rd #300 Lake Oswego, Oregon 97035 503 635 6256 masked MD/administrator Olson Memorial Clinic Internal Medicine 16463 Boones Ferry Rd #300 Lake Oswego, Oregon 97035 503 635 6256 senloe@omcim.com Provider Int 3 Complete 2014/12/18 12:00:00 2014/12/19 12:00:00 2014/12/19 04:13:15 UV 2.16.840.1.113883.3.2402.200.6850 physicians-computer-company-clients-ivy Physician's Computer Company (PCC) Clients Ivy League Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6850 2014/12/19 12:00:00 2014/12/19 12:00:00 2014/12/19 04:15:20 UV 2.16.840.1.113883.3.5947 sjcpainmgmtba SJC Pain Management - Broken Arrow Jocelyn Sims masked Jocelyn Sims 3500 SE Frank Phillips Blvd Bartlesville, OK 74006 918-331-1779 masked SJC Pain Management - Broken Arrow 800 West Boise Circle, Suite 280 Broken Arrow, OK 74012 918-744-3131 ext 16737 ahisha.peters@sjmc.org Provider Int 3 Complete 2014/12/19 12:00:00 2014/12/19 12:00:00 2014/12/19 04:19:35 UV 2.16.840.1.113883.3.5948 sjcpckaiser SJC Primary Care Kaiser 501 Jocelyn Sims masked Jocelyn Sims 3500 SE Frank Phillips Blvd Bartlesville, OK 74006 918-331-1779 masked SJC Primary Care Kaiser 501 1725 E 19th St, Ste 501 Tulsa, OK 74104 918-744-3131 ext 16737 ahisha.peters@sjmc.org Provider Int 3 Complete 2014/12/19 12:00:00 2014/12/19 12:00:00 2014/12/19 05:24:26 UV 2.16.840.1.113883.3.5949 sjcuccbaelm St John Urgent Care Center Broken Arrow Elm Jocelyn Sims masked Jocelyn Sims 3500 SE Frank Phillips Blvd Bartlesville, OK 74104 918-331-1779 masked St John Urgent Care Center Broken Arrow Elm 3315 South Elm Broken Arrow, OK 74012 918-744-3131 ext 16737 ahisha.peters@sjmc.org Provider Int 3 Complete 2014/12/19 12:00:00 2014/12/19 12:00:00 2014/12/19 05:25:58 UV 2.16.840.1.113883.3.5950 concorde Concorde Medical Group, PLLC Lorie Postell masked Jessica Corapi 232 East 30th Street, 1st floor New York, NY 10016 212-576-1420 masked Sr. Project Manager Concorde Medical Group, PLLC 232 East 30th Street, 1st floor New York, NY 10016 212-614-0039 jcorapi@northwell.edu Provider Int 3 Complete 2014/12/22 12:00:00 2014/12/30 12:00:00 2024/04/12 10:13:23 UV 2.16.840.1.113883.3.5951 sjendoowasso SJC Endocrinology - Owasso Mary Ossie masked Ahisha Peters 918-744-3131 x16737 masked SJC Endocrinology - Owasso 12455 E. 100th St. N Ste. 270 Owasso OK 74055 918-744-3131 x16737 azpeters@sjmc.org Provider Int 3 Complete 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 06:26:22 UV 2.16.840.1.113883.3.5952 hfp-va-2014 Hampton Family Practice PLLC Michelle Veitz masked Michelle Veitz 9 Manhattan Square Suite A Hampton, VA 23666 757-838-6335 masked Project Manager Hampton Family Practice PLLC 9 Manhattan Square Suite A Hampton, VA 23666 757-838-6335 mveitz@hfp.hrcoxmail.com Provider Int 3 Complete 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 06:30:00 UV 2.16.840.1.113883.3.137.4.1000.1 sjpnfmc Family Medicine Center Michael Kelly masked Michael Kelly 20255 Victor Parkway Livonia, MI 48152 734-343-0498 masked Senior Interoperability Architect Trinity Health 20255 Victor Parkway Livonia, MI 48152 734-343-0498 kellym@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.1000.1 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 06:52:30 UV 2.16.840.1.113883.3.137.4.1000.2 sjpnbofm Bourbon Family Medicine Michael Kelly masked Michael Kelly 20255 Victor Parkway Livonia, MI. 48152 734-343-0498 masked Senior Interoperability Architect Trinity Health 20255 Victor Parkway Livonia, MI 48152 734-343-0498 kellym@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.1000.2 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 06:53:15 UV 2.16.840.1.113883.3.137.4.1000 sjpn St. Joseph Physician Network Michael Kelly masked Michael Kelly 20255 Victor Parkway Livonia, MI. 48152 734-343-0498 masked Senior Interoperability Architect Trinity Health 20255 Victor Parkway Livonia, MI. 48152 734-343-0498 kellym@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.1000 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 07:04:04 UV 2.16.840.1.113883.3.137.4.1000.4 sjpncpp Community Pediatric Physicians Michael Kelly masked Michael Kelly 20255 Victor Parkway Livonia, MI 48152 734-343-0498 masked Senior Interoperability Architect Trinity Health 20255 Victor Parkway Livonia, MI 48152 734-343-0498 kellym@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.1000.4 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 07:05:57 UV 2.16.840.1.113883.3.137.4.1000.3 sjpnbrefm Bremen Family Medicine Michael Kelly masked Michael Kelly 20255 Victor Parkway Livonia, MI 48152 734-343-0498 masked Senior Interoperability Architect Trinity Health 20255 Victor Parkway Livonia, MI. 48152 734-343-0498 kellym@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.1000.3 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 06:57:29 UV 2.16.840.1.113883.3.137.4.1000.5 sjpncs Cardiothoracic Surgery Michael Kelly masked Michael Kelly 20255 Victor Parkway Livonia, MI 48152 734-343-0498 masked Senior Interoperability Architect Trinity Health 20255 Victor Parkway Livonia, MI 48152 734-343-0498 kellym@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.1000.5 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 07:06:59 UV 2.16.840.1.113883.3.137.4.1000.6 sjpnerfm Elm Road Family Medicine Michael Kelly masked Michael Kelly 20255 Victor Parkway Livonia, MI 48152 734-343-0498 masked Senior Interoperability Architect Trinity Health 20255 Victor Parkway Livonia, MI 48152 734-343-0498 kellym@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.1000.6 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 07:09:56 UV 2.16.840.1.113883.3.137.4.1000.7 sjpnfmfp Family Medicine Faculty Physicians Michael Kelly masked Michael Kelly 20255 Victor Parkway Livonia, MI 48152 734-343-0498 masked Senior Interoperability Architect Trinity Health 20255 Victor Parkway Livonia, MI 48152 734-343-0498 kellym@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.1000.7 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 07:10:47 UV 2.16.840.1.113883.3.137.4.1000.30 sjpngcm Granger Community Medicine Michael Kelly masked Michael Kelly 20255 Victor Parkway Livonia, MI. 48152 734-343-0498 masked Senior Interoperability Architect Trinity Health 20255 Victor Parkway Livonia, MI. 48152 734-343-0498 kellym@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.1000.30 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 07:11:28 UV 2.16.840.1.113883.3.137.4.1000.8 sjpngcmp Granger Community Medicine Plymouth Michael Kelly masked Michael Kelly 20255 Victor Parkway Livonia, MI. 48152 734-343-0498 masked Senior Interoperability Architect Trinity Health 20255 Victor Parkway Livonia, MI. 48152 734-343-0498 kellym@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.1000.8 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 07:12:30 UV 2.16.840.1.113883.3.137.4.1000.9 sjpnima Internal Medicine Associates Michael Kelly masked Michael Kelly 20255 Victor Parkway Livonia, MI. 48152 734-343-0498 masked Senior Interoperability Architect Trinity Health 20255 Victor Parkway Livonia, MI. 48152 734-343-0498 kellym@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.1000.9 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 07:14:09 UV 2.16.840.1.113883.3.137.4.1000.10 sjpnimap Internal Medicine Associates Plymouth Michael Kelly masked Michael Kelly 20255 Victor Parkway Livonia, MI 48152 734-343-0498 masked Senior Interoperability Architect Trinity Health 20255 Victor Parkway Livonia, MI 48152 734-343-0498 kellym@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 3 Complete 2.16.840.1.113883.3.137.4.1000.10 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 07:15:01 UV 2.16.840.1.113883.3.5953 precisioncare PrecisionCare Software Brian May masked Salvatore Vitti 18774295511 masked PrecisionCare Software 18774295511 info@precisioncare.com Vendor Int 3 Complete 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 07:18:15 UV 2.16.840.1.113883.3.137.4.1000.11 sjpnmccs Marshall County Cardiology Specialists Michael Kelly masked Michael Kelly 20255 Victor Parkway Livonia, MI 48152 734-343-0498 masked Senior Interoperability Architect Trinity Health 20255 Victor Parkway Livonia, MI 48152 734-343-0498 kellym@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.1000.11 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 07:20:37 UV 2.16.840.1.113883.3.137.4.1000.12 sjpnmcfp Marshall County Family Practice Michael Kelly masked Michael Kelly 20255 Victor Parkway Livonia, MI 48152 734-343-0498 masked Senior Interoperability Architect Trinity Health 20255 Victor Parkway Livonia, MI 48152 734-343-0498 kellym@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.1000.12 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 07:21:28 UV 2.16.840.1.113883.3.137.4.1000.13 sjpnmcobgyn Marshall County OBGYN Michael Kelly masked Michael Kelly 20255 Victor Parkway Livonia, MI 48152 734-343-0498 masked Senior Interoperability Architect Trinity Health 20255 Victor Parkway Livonia, MI 48152 734-343-0498 kellym@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.1000.13 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 07:22:49 UV 2.16.840.1.113883.3.137.4.1000.14 sjpnmco Marshall County Orthopedics Michael Kelly masked Michael Kelly 20255 Victor Parkway Livonia, MI 48152 734-343-0498 masked Senior Interoperability Architect Trinity Health 20255 Victor Parkway Livonia, MI 48152 734-343-0498 kellym@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.1000.14 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 07:26:45 UV 2.16.840.1.113883.3.137.4.1000.15 sjpnmcpp Marshall County Pediatric Physicians Michael Kelly masked Michael Kelly 20255 Victor Parkway Livonia, MI 48152 734-343-0498 masked Senior Interoperability Architect Trinity Health 20255 Victor Parkway Livonia, MI 48152 734-343-0498 kellym@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.1000.15 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 07:27:48 UV 2.16.840.1.113883.3.137.4.1000.16 sjpnmcp Marshall County Pulmonology Michael Kelly masked Michael Kelly 20255 Victor Parkway Livonia, MI 48152 734-343-0498 masked Senior Interoperability Architect Trinity Health 20255 Victor Parkway Livonia, MI 48152 734-343-0498 kellym@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.1000.16 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 07:28:31 UV 2.16.840.1.113883.3.137.4.1000.17 sjpnmcsa Marshall County Surgery Associates Michael Kelly masked Michael Kelly 20255 Victor Parkway Livonia, MI 48152 734-343-0498 masked Senior Interoperability Architect Trinity Health 20255 Victor Parkway Livonia, MI 48152 734-343-0498 kellym@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.1000.17 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 07:30:22 UV 2.16.840.1.113883.3.137.4.1000.18 sjpnnfm Northwest Family Medicine Michael Kelly masked Michael Kelly 20255 Victor Parkway Livonia, MI 48152 734-343-0498 masked Senior Interoperability Architect Trinity Health 20255 Victor Parkway Livonia, MI 48152 734-343-0498 kellym@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.1000.18 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 07:32:07 UV 2.16.840.1.113883.3.137.4.1000.19 sjpnstjobgyn St. Joseph OBGYN Specialists Michael Kelly masked Michael Kelly 20255 Victor Parkway Livonia, MI 48152 734-343-0498 masked Senior Interoperability Architect Trinity Health 20255 Victor Parkway Livonia, MI 48152 734-343-0498 kellym@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.1000.19 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 07:33:12 UV 2.16.840.1.113883.3.137.4.1000.20 sjpnpfim Plymouth Family and Internal Medicine Michael Kelly masked Michael Kelly 20255 Victor Parkway Livonia, MI. 48152 734-343-0498 masked Senior Interoperability Architect Trinity Health 20255 Victor Parkway Livonia, MI. 48152 734-343-0498 kellym@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.1000.20 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 07:34:45 UV 2.16.840.1.113883.3.137.4.1000.21 sjpnpfimd Plymouth Family and Internal Medicine Downtown Michael Kelly masked Michael Kelly 20255 Victor Parkway Livonia, MI. 48152 734-343-0498 masked Senior Interoperability Architect Trinity Health 20255 Victor Parkway Livonia, MI. 48152 734-343-0498 kellym@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.1000.21 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 07:36:34 UV 2.16.840.1.113883.3.137.4.1000.22 sjpnrpfm River Park Family Medicine Michael Kelly masked Michael Kelly 20255 Victor Parkway Livonia, MI 48152 734-343-0498 masked Senior Interoperability Architect Trinity Health 20255 Victor Parkway Livonia, MI 48152 734-343-0498 kellym@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.1000.22 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 07:38:04 UV 2.16.840.1.113883.3.137.4.1000.23 sjpnsmi Sports Medicine Institute Michael Kelly masked Michael Kelly 20255 Victor Parkway Livonia, MI. 48152 734-343-0498 masked Senior Interoperability Architect Trinity Health 20255 Victor Parkway Livonia, MI. 48152 734-343-0498 kellym@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.1000.23 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 07:38:32 UV 2.16.840.1.113883.3.137.4.1000.24 sjpnsjhcp St. Joseph Health Center Plymouth Michael Kelly masked Michael Kelly 20255 Victor Parkway Livonia, MI 48152 734-343-0498 masked Senior Interoperability Architect Trinity Health 20255 Victor Parkway Livonia, MI 48152 734-343-0498 kellym@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.1000.24 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 07:39:22 UV 2.16.840.1.113883.3.137.4.1000.25 sjpnupfm University Park Family Medicine Michael Kelly masked Michael Kelly 20255 Victor Parkway Livonia, MI 48152 734-343-0498 masked Senior Interoperability Architect Trinity Health 20255 Victor Parkway Livonia, MI 48152 734-343-0498 kellym@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.1000.25 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 07:41:49 UV 2.16.840.1.113883.3.137.4.1000.26 sjpntpc The People's Clinic Michael Kelly masked Michael Kelly 20255 Victor Parkway Livonia, MI 48152 734-343-0498 masked Senior Interoperability Architect Trinity Health 20255 Victor Parkway Livonia, MI 48152 734-343-0498 kellym@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.1000.26 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 07:43:42 UV 2.16.840.1.113883.3.137.4.1000.27 sjpnolr Our Lady of the Rosary Michael Kelly masked Michael Kelly 20255 Victor Parkway Livonia, MI 48152 734-343-0498 masked Senior Interoperability Architect Trinity Health 20255 Victor Parkway Livonia, MI 48152 734-343-0498 kellym@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.1000.27 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 07:45:09 UV 2.16.840.1.113883.3.137.4.1000.28 sjpnsmbhc Sister Maura Brannick Health Center Michael Kelly masked Michael Kelly 20255 Victor Parkway Livonia, MI 48152 734-343-0498 masked Senior Interoperability Architect Trinity Health 20255 Victor Parkway Livonia, MI 48152 734-343-0498 kellym@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.1000.28 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 07:46:05 UV 2.16.840.1.113883.3.137.4.1000.29 sjpnsjd St. Joseph Dermatology Michael Kelly masked Michael Kelly 20255 Victor Parkway Livonia, MI 48152 734-343-0498 masked Senior Interoperability Architect Trinity Health 20255 Victor Parkway Livonia, MI 48152 734-343-0498 kellym@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.1000.29 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 07:46:52 UV 2.16.840.1.113883.3.5954 patelmdfamilypractice Hiren K Patel MD PC OID Root Hiren Patel masked Tarsha Lewis 1941 1st Ave, Opelika, AL 36801 3347453534 masked Clinical Assistant Hiren K Patel MD PC 1941 1st Ave, Opelika, AL 36801 3347453534 hkpatelmd@gmail.com Provider Int 3 Complete 2014/12/22 12:00:00 2014/12/30 12:00:00 2014/12/30 07:48:42 UV 2.16.840.1.113883.3.1157.108.1 pja-md Vantage Point Primary Care/BHMG Michael Sawyer masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 Complete 2.16.840.1.113883.3.1157.108.1 2014/12/23 12:00:00 2014/12/30 12:00:00 2024/07/25 01:17:07 UV 2.16.840.1.113883.3.5955 medwindavismdpc medwindavismdpc OID Root Christie Wright masked Christie Wright 770-991-1170 masked M. Edwin Davis, M.D., P.C. 33 SW Upper Riverdale Rd. Ste 117 Riverdale, GA 30274 770-991-1170 MED4473@aol.com Provider Int 3 Complete 2014/12/23 12:00:00 2014/12/30 12:00:00 2014/12/30 07:50:18 UV 2.16.840.1.113883.3.1157.109.1 mspm-prac Multi-Specialty Millburn/BHMG Michael Sawyer masked Missy Kenney RWJBarnabas System Business Office, 2 Crescent Place, Oceanport, NJ 07757 7322726835 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Road West Orange, New Jersey 07052 1-888-724-7123 http://www.rwjbh.org http://www.rwjbh.org Provider 2.16.840.1.113883.3.1157 Ext 4 Complete 2.16.840.1.113883.3.1157.109.1 2014/12/23 12:00:00 2014/12/30 12:00:00 2024/07/25 01:15:35 UV 2.16.840.1.113883.3.5956 uconnhealth-JDH UCONN Health Michelle Dionne masked Michelle Dionne UCONN Health 263 Farmington Avenue Farmington, Ct 06030 860-679-4286 masked Application Devoloper UCONN Health UCONN Health 263 Farmington Avenue Farmington, Ct 06030 860-679-1000 mdionne@uconn.edu http://www.uchc.edu Govt body Int 3 Complete 2014/12/29 12:00:00 2014/12/30 12:00:00 2014/12/30 07:53:38 UV 2.16.840.1.113883.3.1355.1000.1032 uVPN-AMFCHIU AHPN UV Mendocino Family Care Heart Institute Ukiah Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPN UV Mendocino Family Care Heart Institute Ukiah 115 Hospital Dr. Ukiah, CA 95482-4591 707-463-2400 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1032 2014/12/29 12:00:00 2014/12/30 12:00:00 2014/12/30 08:00:49 UV 2.16.840.1.113883.3.1355.1000.1033 uVPN-MFC AHPN UV Mendocino Family Care Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive, #150 Roseville, CA 95678 916-770-2889 masked AHPN UV Mendocino Family Care 115 Hospital Dr. Ukiah, CA 95482 707.463.1900 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1033 2014/12/29 12:00:00 2014/12/30 12:00:00 2014/12/30 08:01:25 UV 2.16.840.1.113883.3.1355.1000.1034 cLBH-SHFHCC AHPS CL BH-St Helena Family Health Center Clearlake Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS CL BH-St Helena Family Health Center Clearlake 15230 Lakeshore Drive Clearlake, CA 95422-8107 707.995.4509 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1034 2014/12/29 12:00:00 2014/12/30 12:00:00 2014/12/30 08:02:21 UV 2.16.840.1.113883.3.1355.1000.1035 cL-SHFHCC AHPS CL St Helena Family Health Center Clearlake Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS CL St Helena Family Health Center Clearlake 15230 Lakeshore Drive Clearlake, CA 95422-8107 707.995.4509 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1035 2014/12/29 12:00:00 2014/12/30 12:00:00 2014/12/30 08:03:27 UV 2.16.840.1.113883.3.1355.1000.1036 cL-SHFHCK AHPS CL St Helena Family Health Center Kelseyville Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS CL St Helena Family Health Center Kelseyville 5290 State Street Kelseyville, CA 95451-9450 707.279.8813 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1036 2014/12/29 12:00:00 2014/12/30 12:00:00 2014/12/30 08:04:33 UV 2.16.840.1.113883.3.1355.1000.1038 sH-SHCFH AHPS SH St Helena Center for Health Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive #150 Roseville, CA 95678 916-770-2889 masked AHPS SH St Helena Center for Health 10 Woodland Road St. Helena, CA 94574-9554 707-963-6362 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1038 2014/12/29 12:00:00 2014/12/30 12:00:00 2014/12/30 08:06:05 UV 2.16.840.1.113883.3.1355.1000.1039 sH-SHCJRISH AHPS SH Coon Joint Replacement Institute St Helena Lynne Mantz masked Lynne Mantz Adventist Health 1101 Creekside Ridge Drive, #150 Roseville, CA 95678 916-770-2889 masked AHPS SH Coon Joint Replacement Institute St Helena 6 Woodland Road, Suite 202 St. Helena, CA 94574-9501 707-968-0670 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1039 2014/12/29 12:00:00 2014/12/30 12:00:00 2014/12/30 08:07:13 UV 2.16.840.1.113883.3.5957 bcbst BlueCross BlueShield of Tennessee Santosh Padhiari masked Santosh Padhiari 1 Cameron Hill Cir, Chattanooga, TN 37402 4235357058 masked Mgr, CDE BlueCross BlueShield of Tennessee 1 Cameron Hill Cir, Chattanooga, TN 37402 4235357058 santosh_padhiari@bcbst.com http://www.bcbst.com/ Payor Int 3 Complete 2014/12/30 12:00:00 2014/12/30 12:00:00 2014/12/30 01:38:24 UV 2.16.840.1.113883.3.5957.1 facetsMemberId Facets Member Id Santosh Padhiari masked Santosh Padhiari 1 Cameron Hill Cir, Chattanooga, TN, 37402 4235357058 masked Mgr, CDE BlueCross BlueShield of Tennessee 1 Cameron Hill Cir, Chattanooga, TN, 37402 4235357058 santosh_padhiari@bcbst.com http://www.bcbst.com/ Payor 2.16.840.1.113883.3.5957 Ext 17 Complete 2.16.840.1.113883.3.5957.1 2014/12/30 12:00:00 2014/12/30 12:00:00 2014/12/30 01:39:14 UV 2.16.840.1.113883.3.5957.2 facetsProviderId Facets Provider Id Santosh Padhiari masked Santosh Padhiari 1 Cameron Hill Cir, Chattanooga, TN 37402 4235357058 masked Mgr, CDE BlueCross BlueShield of Tennessee 1 Cameron Hill Cir, Chattanooga, TN 37402 4235357058 santosh_padhiari@bcbst.com http://www.bcbst.com/ Payor 2.16.840.1.113883.3.5957 Ext 17 Complete 2.16.840.1.113883.3.5957.2 2014/12/30 12:00:00 2014/12/30 12:00:00 2014/12/30 01:40:40 UV 2.16.840.1.113883.3.5958 cvsHealth CVS Health Registration Authority Matt Johnson masked James D. Murray CVS Health One CVS Drive Woonsocket, RI 02895 401-408-5344 masked VP, Clinical Informatics and Interoperability CVS Health CVS Health One CVS Drive Woonsocket, RI 02895 401-765-1500 James.Murray@CVSHealth.com Provider Int 3 Complete 2014/12/30 12:00:00 2014/12/30 12:00:00 2021/11/19 02:33:52 UV 2.16.840.1.113883.3.5959 lbh Lake Butler Hospital Stan Winzer masked Stan Winzer 850 East Main Street Lake Butler, FL 32054 386-496-2323 masked Lake Butler Hospital 850 East Main Street Lake Butler, FL 32054 386-496-2323 swinzer@lakebutlerhospital.com http://www.lakebutlerhospital.com Provider Int 3 Complete 2014/12/31 12:00:00 2014/12/31 12:00:00 2014/12/31 06:00:48 UV 2.16.840.1.113883.3.1070.6030 mckesson-fusion-6030 mckesson-fusion-6030 Gianna Goodman masked Fusion Enrollment 8775074541 masked Fusion Enrollment gianna.goodman@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.6030 2014/12/31 12:00:00 2014/12/31 12:00:00 2014/12/31 06:02:04 US 2.16.840.1.113883.3.5960 sdmi Steinberg Rachel Papka masked Rachel Papka 7301 Peak Road, Las Vegas, NV 89128 7027326000 masked Steinberg 7301 Peak Road, Las Vegas, NV 89128 7027326000 support@sdmi-lv.com https://sdmi-lv.com Provider Int 3 Complete 2014/12/31 12:00:00 2014/12/31 12:00:00 2014/12/31 06:06:40 UV 2.16.840.1.113883.17.4081 pkb Patients Know Best Thomas Pick masked Mohammad Al-Ubaydli +44 1223 790708 masked CEO Patients Know Best St John's Innovation Centre, Cowley Road, Cambridge, CB4 0WS, UK +44 1223 790708 mohammad@patientsknowbest.com http://www.patientsknowbest.com Provider Int 17 Complete 2015/01/02 12:00:00 2015/01/29 12:00:00 2015/01/29 03:53:14 UV 2.16.840.1.113883.3.1355.1000.1124 shMedSpecCardAdams St. Helena Medical Specialties Cardiology Adams Diane Lewis masked Diane Lewis 916-789-2335 masked Integration Analyst St. Helena Medical Specialties Cardiology Adams St. Helena Medical Specialties Cardiology Adams 999 Adams Street, Suite 106 St. Helena, CA 94574 916 781-2000 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1124 2015/01/02 12:00:00 2015/01/29 12:00:00 2015/01/29 03:54:55 UV 2.16.840.1.113883.3.1355.1000.1037 shFamHlthctrMiddletown St. Helena Family Health Center - Middletown Diane Lewis masked Diane Lewis 916 789-2335 masked Integration Analyst St. Helena Family Health Center - Middletown 2137 Bush Street Middletown, CA 95461 916 781-2000 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1037 2015/01/02 12:00:00 2015/01/29 12:00:00 2015/01/29 03:57:18 UV 2.16.840.1.113883.3.1355.1000.1040 ahSHMedSpecOrtho Adventist Health - St. Helena Medical Specialties - Orthopedic Diane Lewis masked Diane Lewis 916 789-2335 masked Integration Analyst AHPS SH Medical Specialties - Orthopedics 6 Woodland Road, Suite 203 St. Helena, CA 94574 916 783-2590 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1040 2015/01/02 12:00:00 2015/01/29 12:00:00 2015/01/29 03:58:25 UV 2.16.840.1.113883.3.1355.1000.1042 ahStHelenaKonoctiWellnessCenter St. Helena Konocti Wellness Center Diane Lewis masked Diane Lewis 916 789-2335 masked Integration Analyst St. Helena Konocti Wellness Center St. Helena Konocti Wellness Center 9430 C Lake Street Lower Lake, CA 95457 7079955630 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1042 2015/01/02 12:00:00 2015/01/29 12:00:00 2015/01/29 03:59:12 UV 2.16.840.1.113883.3.1355.1000.1127 ahPhysicanNetworkClaremont AHPN Adventist Health Physician Network Claremont Diane Lewis masked Diane Lewis 916 789-2335 masked Integration Analyst AHPN Adventist Health Physician Network Claremont AHPN Adventist Health Physician Network Claremont 3273 Claremont Way Suite 201 Napa, CA 94558 7072520313 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1127 2015/01/02 12:00:00 2015/01/29 12:00:00 2015/01/29 04:00:43 UV 2.16.840.1.113883.3.5961 nwc Northwest Cardiologists OID Root Ashley Miller masked Ashley Miller 9135 SW Barnes Rd Suite 967 Portland, OR 97225 503-688-5044 masked Office Manager Northwest Cardiologists, P.C. 333 SE 7th Ave Suite 5200 Hillsboro, OR 97123 503-640-5737 ashleym@nwcardiologists.com Provider Int 3 Complete 2015/01/02 12:00:00 2015/01/29 12:00:00 2015/01/29 04:02:55 UV 2.16.840.1.113883.4.846 ahMedSpecGenBarSurg AHPN Medical Specialties-General and Bariatric Surgery Diane Lewis masked Diane Lewis 916 789-2335 masked Integration Analyst AHPN Medical Specialties-General and Bariatric Surgery AHPN Medical Specialties-General and Bariatric Surgery 6 Woodland Road, Suite 301 St. Helena, CA 94574 7079679307 cioinfo@ah.org Provider Int 2.16.840.1.113883.3.1355.1000.1128 4 Retired 2015/01/02 12:00:00 2015/01/29 04:07:34 UV 2.16.840.1.113883.3.1355.1000.1128 ahMedSpecGenBariatricSurg AHPN Medical Specialties-General and Bariatric Surgery Diane Lewis masked Diane Lewis 916 789-2335 masked Integration Analyst AHPN Medical Specialties-General and Bariatric Surgery AHPN Medical Specialties-General and Bariatric Surgery 6 Woodland Road, Suite 301 St. Helena, CA 94574 7079679307 Diane.Lewis@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1128 2015/01/02 12:00:00 2015/01/29 12:00:00 2015/01/29 04:08:21 UV 2.16.840.1.113883.3.1355.1000.1129 ahMedSpecFairfield AHPN Medical Specialties-Fairfield Diane Lewis masked Diane Lewis 916 789-2335 masked Integration Analyst AHPN Medical Specialties-Fairfield AHPN Medical Specialties-Fairfield 1620 Pennsylvania Avenue, Suite B Fairfield, CA 95433 7075573200 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1129 2015/01/02 12:00:00 2015/01/29 12:00:00 2015/01/29 04:09:37 UV 2.16.840.1.113883.3.1355.1000.1132 ahStHelenaMedSpecHVGenSurgery AHPN St Helena Medical Specialties HV General Surgery Diane Lewis masked Diane Lewis 916 789-2335 masked Integration Analyst AHPN St Helena Medical Specialties HV General Surgery AHPN St Helena Medical Specialties HV General Surgery 18990 Coyote Valley Road Suite 5 Hidden Valley Lake, CA 95467 7079955034 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1132 2015/01/02 12:00:00 2015/01/29 12:00:00 2015/01/29 04:11:33 UV 2.16.840.1.113883.3.1355.1000.1171 ahUkiahValleyMedSpecGastro AHPN Ukiah Valley Medical Specialties Gastroenterology Diane Lewis masked Diane Lewis 916 789-2335 masked Integration Analyst AHPN Ukiah Valley Medical Specialties Gastroenterology 415 A Hospital Drive Ukiah, CA 95482 7074675275 Diane.Lewis@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1171 2015/01/02 12:00:00 2015/01/29 12:00:00 2015/01/29 04:12:42 UV 2.16.840.1.113883.3.1355.1000.1172 ahUkiahValleyMedSpecOrtho AHPN Ukiah Valley Medical Specialties Orthopedics Diane Lewis masked Diane Lewis AHPN Ukiah Valley Medical Specialties Orthopedics 236 B Hospital Drive Ukiah, CA 95482 916 789-2335 masked Integration Analyst AHPN Ukiah Valley Medical Specialties Orthopedics AHPN Ukiah Valley Medical Specialties Orthopedics 236 B Hospital Drive Ukiah, CA 95482 7074675278 cioinfo@ah.org Provider 2.16.840.1.113883.3.1355 Ext 4 Complete 2.16.840.1.113883.3.1355.1000.1172 2015/01/02 12:00:00 2015/01/29 12:00:00 2015/01/29 04:15:36 UV 2.16.840.1.113883.3.1070.5867 mckesson-fusion-5867 mckesson-fusion-5867 Anna Durbin masked Fusion Enrollment 8775074541 masked Fusion Enrollment 8775074541 anna.durbin@mckesson.com Vendor 2.16.840.1.113883.3.1070 Ext 17 Complete 2.16.840.1.113883.3.1070.5867 2015/01/05 12:00:00 2015/01/29 12:00:00 2015/01/29 04:18:09 US 2.16.840.1.113883.3.5962 hf-inc Health First, Inc. Nancy Hall masked Nancy Hall Health First, Inc. 3300 Fiske Blvd. Rockledge, FL 32955 321-434-5440 masked Integration Architect Health First, Inc Health First, Inc. 3300 Fiske Blvd. Rockledge, FL 32955 321-434-5440 nancy.hall@health-first.org Provider Int 3 Complete 2015/01/05 12:00:00 2015/01/29 12:00:00 2015/01/29 04:20:24 UV 2.16.840.1.113883.3.5963 dshealthcare Divine Savior Healthcare Marc Meyers masked Marc Meyers 2817 New Pinery Road Portage, WI 53901 608-745-5625 masked RN/Clinical Informatics Analyst Divine Savior Healthcare 2817 New Pinery Road Portage WI 53901 608-742-4131 helpdesk@dshealthcare.com http://dshealthcare.com/Main/Home.aspx Exchange Int 3 Complete 2015/01/06 12:00:00 2015/01/29 12:00:00 2015/01/29 04:22:02 UV 2.16.840.1.113883.3.5964 cyfluent Cyfluent EHR Elaine Law masked Gwen Dunn Elaine Kathleen Law 13318 Huntsman Road San Antonio, TX 78249 2108231614 masked Vice President of Operations Cyfluent, Inc. 11700 Old Georgetown RD Suite 100-5 North Bethesda, MD 20852 877-266-6016 support@cyfluent.com http://www.cyfluent.com Vendor Int 3 Complete 2015/01/06 12:00:00 2015/01/29 12:00:00 2015/01/29 04:23:52 UV 2.16.840.1.113883.3.5965 pccsp PCCSP OID Root Deanna Adams masked Deanna Adams 817 Princeton Ave SW Suite 199 Birmingham, AL 35211 205-785-2557 masked Office Manager Pulmonary & Critical Care Specialists of Princeton 817 Princeton Ave SW Suite 199 Birmingham, AL 35211 205-780-1920 dadams@lungmds.org https://www.lungmds.org Provider Int 3 Complete 2015/01/06 12:00:00 2015/01/29 12:00:00 2015/01/29 04:25:34 UV 2.16.840.1.113883.9.190 fiveriversmc Five Rivers Medical Center Pamela Smith masked Pamela Smith 2801 Medical Center Drive Pocahontas AR 72455 870-930-6284 masked IT Director Five Rivers Medical Center 2801 Medical Center Drive Pocahontas AR 72455 870-892-6000 psmith@frmcar.com http://www.fiveriversmc.com/FiveRiversMC.com/Home.html Provider Int 3 Complete 2015/01/07 12:00:00 2015/01/29 04:28:59 UV 2.16.840.1.113883.3.5966 rdc Reno Diagnostic Centers Nico Aguilera masked Nico Aguilera 590 Eureka Avenue Reno, NV 89512 7753235083 masked IT Manager Reno Diagnostic Centers 590 Eureka Avenue Reno, NV 89512 7753235083 it@renoimage.com http://www.renodiagnosticcenters.com Provider Int 3 Complete 2015/01/07 12:00:00 2015/01/29 12:00:00 2015/01/29 04:30:56 UV 2.16.840.1.113883.3.5967 ppauoid Planned Parenthood Assoc. of Utah Fred Pennington masked Fred Pennington 654 S 900 E SLC, UT. 84102 8012576787 masked CIO Planned Parenthood Assoc. of Utah 654 S 900 E SLC, UT. 84102 8015321586 helpdesk@ppau.org http://ppau.org Provider Int 3 Complete 2015/01/07 12:00:00 2015/01/29 12:00:00 2015/01/29 04:33:30 UV 2.16.840.1.113883.17.4082 minnshieccd MIN-NS HIE CCDA Exchange Karl Stansbury masked Karl Stansbury 1400 E. Kincaid Mount Vernon, WA 98273 360-848-4140 masked Application Manager Skagit Regional Health 1400 E. Kincaid Mount Vernon, WA 98273 kstansbury@srclinics.org Provider Int 17 Complete 2015/01/07 12:00:00 2015/01/29 12:00:00 2015/01/29 04:37:23 US 2.16.840.1.113883.3.5968 reli-med ReLi Med Solutions Lisa Davies masked Lisa Davies 9198523450 masked ReLi Med Solutions 155 Parkway Office Ct Ste 100 Cary NC 27518 919 852 3450 relimed@relimedsolutions.com http://www.relimedsolutions.com Vendor Int 3 Complete 2015/01/08 12:00:00 2015/01/29 12:00:00 2015/01/29 04:41:20 UV 2.16.840.1.113883.3.5969 rspcjk Retina Specialists PC John Khadem masked Cristina Rodriguez Cristina Rodriguez 20 West 13th Street New York NY 10011 212-604-9800 masked Administrator Retina Specialists PC 20 West 13th Street New York NY 10011 212-604-9800 rodriguez.cristinam@gmail.com Provider Int 3 Complete 2015/01/08 12:00:00 2015/01/29 12:00:00 2015/01/29 04:42:49 UV 2.16.840.1.113883.17.4083 textler Textler, Inc. Jay Kelkar masked Jay Kelkar 4253 Whitewater Ct. Peachtree Corners, GA 30092 770 248 9367 masked CTO Textler, Inc. 4253 Whitewater Ct. Peachtree Corners, GA 30092 jkelkar@textler.com http://textler.com Vendor Int 17 Complete 2015/01/08 12:00:00 2015/01/29 12:00:00 2015/01/29 04:38:31 UV 2.16.840.1.113883.3.5970 smmg Saint Mary's Medical Group Ian McLean masked Ian McLean 411 W. 6th St. Reno NV 89503 775-770-7724 masked Saint Mary's Medical Group 411 W. 6th St. Reno NV 89503 775-770-7724 imclean@primehealthcare.com Provider Int 3 Complete 2015/01/08 12:00:00 2015/01/29 12:00:00 2015/01/29 04:44:23 UV 2.16.840.1.113883.3.5971 shs-crh University of Maryland Shore Medical Center at Chestertown Tara Newman-Bell masked Elizabeth Fish Tara L. Newman-Bell 100 Brown Street Chestertown, MD 21620 410-328-9955 masked Director, IS&T University of Maryland Shore Medical Center at Chestertown tnewmanbell@umm.edu http://umshoreregional.org/ Provider Int 3 Complete 2015/01/09 12:00:00 2015/01/29 12:00:00 2015/01/29 04:48:13 US 2.16.840.1.113883.3.5972 shs-dgh University of Maryland Shore Medical Center at Dorchester Tara Newman-Bell masked Elizabeth Fish Tara L. Newman-Bell 300 Byrn Street Cambridge, MD 21613 410-328-9955 masked Director, IS&T University of Maryland Shore Medical Center at Dorchester tnewmanbell@umm.edu http://umshoreregional.org/ Provider Int 3 Complete 2015/01/09 12:00:00 2015/01/29 12:00:00 2015/01/29 04:48:53 US 2.16.840.1.113883.3.5973 newpath Newpath Root Tamra Davis masked Tamra Davis 2901 W Coast Drive #200 Newport Beach, CA 92663 949-891-1297 masked Practice Administrator Newpath Labs 2901 W Coast Drive #200 Newport Beach, CA 92663 949-891-1297 tamra@newpathlabs.com http://www.newpathlabs.com Provider Int 3 Complete 2015/01/09 12:00:00 2015/01/29 12:00:00 2015/01/29 04:50:01 UV 2.16.840.1.113883.3.5974 sshcorp South Shore Hospital Corp James Ritchie masked James Ritchie 8012 S Crandon Ave. Chicago, Il 60617 (773)356-5349 masked Director of Information Systems South Shore Hospital Corp 8012 S Crandon Ave. Chicago, Il 60617 (773)356-5349 jrtitchie@sshcorp.org http://www.southshorehospital.com Provider Int 3 Complete 2015/01/09 12:00:00 2015/01/29 12:00:00 2015/01/29 04:51:55 UV 2.16.840.1.113883.3.5975 iMW iMedicWare Arun Kapur masked Arun Kapur 2 TollHouse Lane Colts Neck, NJ 072 732 817 9475 masked President/CEO iMedicWare 64 East Main St. Freehold, NJ 07728 732 817 9475 akapur@imedicware.com http://www.imedicware.com Vendor Int 3 Complete 2015/01/09 12:00:00 2015/01/29 12:00:00 2015/01/29 04:53:38 UV 2.16.840.1.113883.3.5976 spr Sprout Vision Center LLC Holly Sprout masked Holly Sprout 316 Second St. Marietta, OH 45750 740-374-3937 masked Sprout Vision Center LLC 316 Second St. Marietta, OH 45750 740-374-3937 hollysproutvision@gmail.com https://sproutvisioncenter.com Provider Int 3 Complete 2015/01/13 12:00:00 2015/01/29 12:00:00 2015/01/29 04:55:09 UV 2.16.840.1.113883.3.5977 lifenexus LifeNexus, Inc OID Root Justin Tabor masked Justin Tabor One Embarcadero Center San Francisco, CA 94111 4158135530 masked LifeNexus, Inc One Embarcadero Center San Francisco, CA 94111 4158135530 itadmin@lifenexus.com http://www.lifenexus.com Vendor Int 3 Complete 2015/01/13 12:00:00 2015/01/29 12:00:00 2015/01/29 04:59:41 UV 2.16.840.1.113883.3.5977.1 ichip iChip by LifeNexus Justin Tabor masked Justin Tabor One Embarcadero Center San Francisco, CA 94111 4158135530 masked IT Operations LifeNexus, Inc One Embarcadero Center San Francisco, CA 94111 4158135530 itadmin@lifenexus.com http://www.lifenexus.com Vendor 2.16.840.1.113883.3.5977 Ext 17 Complete 2.16.840.1.113883.3.5977.1 2015/01/13 12:00:00 2015/01/29 12:00:00 2015/01/29 05:00:33 UV 2.16.840.1.113883.3.5978 stinfectiousdiseases South Texas Infectious Diseases Consultants, PA Carmen Garcia masked Carmen Garcia 1200 E Ridge Road Suite 8 McAllen TX 78503 956-630-5530 masked Office Manager South Texas Infectious Diseases Consultants, PA 1200 E Ridge Road Suite 8 McAllen TX 78503 956-630-5530 idoffice@stidcpa.com Provider Int 3 Complete 2015/01/13 12:00:00 2015/01/29 12:00:00 2015/01/29 05:02:55 UV 2.16.840.1.113883.3.5979 firsthealth-carolinas FirstHealth of the Carolinas Drusi Smith masked Drusi Smith 910-715-1409 masked Director Applications Support FirstHealth of the Carolinas 155 Memorial Drive PO Box 3000 Pinehurst, NC 28374 910-715-1000 dsmith@firsthealth.org http://www.firsthealth.org Provider 2.16.840.1.113883.3.5979 Int 3 Complete 2015/01/14 12:00:00 2015/01/29 12:00:00 2015/02/27 11:32:55 UV 2.16.840.1.113883.3.5980 mpc McKesson Practice Choice Kara Erlandsen masked Kara Erlandsen 678-522-2255 masked Product Manager McKesson Practice Choice kara.erlandsen@mckesson.com Vendor Int 3 Complete 2015/01/14 12:00:00 2015/01/29 12:00:00 2015/01/29 05:24:38 UV 2.16.840.1.113883.3.5981 lincolnsurgery Lincoln Surgical Hospital Health Information Exchange CCD Paul Tran masked Paul Tran 1710 S 70TH ST Lincoln, NE 68504 4024849910 masked Director of EHR Lincoln Surgical Hospital 1710 S 70TH ST Lincoln, NE 68504 4024849090 technologycenter@lincolnsurgery.com http://lincolnsurgery.com Provider Int 3 Complete 2015/01/15 12:00:00 2015/01/29 12:00:00 2015/01/29 05:25:39 UV 2.16.840.1.113883.17.4084 pghc Prince Georges Hospital Center Mark Crotzer masked Mark Crotzer 3001 Hospital Drive Cheverly, MD 20785 301-618-2180 masked Clinical Systems Analyst Prince Georges Hospital Center 3001 Hospital Drive Cheverly, MD 20785 301-618-2000 molly.cooper@dimensionshealth.org http://www.dimensionshealth.org/index.php/dimensions-healthcare-facilities/prince-georges-hospital-center/ Provider Int 17 Complete 2015/01/15 12:00:00 2015/01/29 12:00:00 2015/01/29 05:29:24 UV 2.16.840.1.113883.17.4085 lrh Laurel Regional Hospital Mark Crotzer masked Mark Crotzer 7300 Van Dusen Road Laurel, MD 20707 301-618-2180 masked Clinical Systems Analyst Laurel Regional Hospital 7300 Van Dusen Road Laurel, MD 20707 301-725-4300 teresa.blackshear@dimensionshealth.org http://www.dimensionshealth.org/index.php/dimensions-healthcare-facilities/laurel-regional-hospital/ Provider Int 17 Complete 2015/01/15 12:00:00 2015/01/29 12:00:00 2015/01/29 05:30:30 UV 2.16.840.1.113883.17.4086 bhc Bowie Health Center Mark Crotzer masked Mark Crotzer 15001 Health Center Drive Bowie, MD 20716 301-618-2180 masked Clinical Systems Analyst Bowie Health Center 15001 Health Center Drive Bowie, MD 20716 301-262-5511 sue.allyn@dimensionshealth.org http://www.dimensionshealth.org/index.php/dimensions-healthcare-facilities/bowie-health-campus/ Provider Int 17 Complete 2015/01/15 12:00:00 2015/01/29 12:00:00 2015/01/29 05:31:32 UV 2.16.840.1.113883.3.5982 yshc Yeaman Signature Health Clinic Brian Yeaman masked Jesse Smith 111 North Peters Avenue STE 600 Norman, Oklahoma 73069 405-801-4726 masked Clinical Director Yeaman Signature Health Clinic 111 North Peters Avenue STE 600 Norman, OK 73069 4058014726 jsmith@yeamanandassociates.com Provider Int 3 Complete 2015/01/15 12:00:00 2015/01/29 12:00:00 2015/01/29 05:33:21 UV 2.16.840.1.113883.3.5983 chldDC Children's National OID Root James Venus masked sonya burroughs James Venus 12211 Plum Orchard Drive Silver Spring, Md, 20904 301-572-6241 masked Interoperability Lead Children's National 111 Michigan Ave Washington, DC 20010 202-476-5000 jvenus@cnmc.org http://childrensnational.org Provider Int 3 Complete 2015/01/16 12:00:00 2015/01/29 12:00:00 2015/01/29 05:35:37 UV 2.16.840.1.113883.3.5984 strose St Rose Hospital Prabhu Bollu masked Prabhu Bollu 27200 Calaroga Avenue Hayward CA-94545 USA 5102644000 X5545 masked Director - Information Technology St Rose Hospital 27200 Calaroga Avenue Hayward CA-94545 USA 5102644000 pbollu@srhca.org http://www.strosehospital.org/ Provider Int 3 Complete 2015/01/16 12:00:00 2015/01/29 12:00:00 2015/01/29 05:38:28 UV 2.16.840.1.113883.3.5985 wEems-12313 George Weems Memorial Hospital George Weems masked Kevin Ward 135 Ave G Apalachicola, FL 32320 850-653-8853 masked IT Manager George Weems Memorial Hospital 135 Ave G Apalachicola, FL 32320 850-653-8853 Kward@eagletreetech.com http://www.weemsmemorial.com Provider Int 3 Complete 2015/01/19 12:00:00 2015/01/29 12:00:00 2015/01/29 05:43:48 UV 2.16.840.1.113883.3.5986 malawiEMRS Malawi National Electronic Medical Record System Jeremy Espino masked Oliver Gadabu P.O. Box 31797 Lilongwe 3 MALAWI (265) 999 339 353 masked Executive Director Malawi Ministry of Health P. O. Box 30377 Capital City Lilongwe 3 Malawi, Central Africa (265) 999 339 353 oliver.gadabu@baobabhealth.org Provider Int 3 Complete 2015/01/19 12:00:00 2015/01/29 12:00:00 2015/01/29 05:45:16 UV 2.16.840.1.113883.3.5987 rec The Regional Eye Center Channing Short masked Channing Short 1440 Shipley Ferry Rd E Kingsport, TN 37663 4236123056 masked IT Contact The Regional Eye Center 135 W Ravine Rd, Suite 2c Kingsport, TN 37660 4232467372 administrator@regionaleye.com http://www.regionaleye.com/ Provider Int 3 Complete 2015/01/20 12:00:00 2015/01/29 12:00:00 2015/01/29 05:47:06 UV 2.16.840.1.113883.17.4087 mrhc-elr Magnolia Regional Health Center - ELR Vik Patel masked Brandon Forsyth Brandon Forsyth 611 Alcorn Dr Corinth, Mississippi 38834 6622931125 masked Systems Analyst Magnolia Regional Health Center 611 Alcorn Dr Corinth, Mississippi 38834 6622931000 ithelpdesk@mrhc.org http://www.mrhc.org Provider 2.16.840.1.113883.3.1512 Int 17 Complete 2015/01/20 12:00:00 2015/01/31 12:00:00 2015/01/31 01:54:31 UV 2.16.840.1.113883.17.4088 mrhc-synd Magnolia Regional Health Center - SYND Vik Patel masked Brandon Forsyth Brandon Forsyth 611 Alcorn Dr Corinth, Mississippi 38834 6622931125 masked Systems Analyst Magnolia Regional Health Center 611 Alcorn Dr Corinth, Mississippi 38834 6622931000 ithelpdesk@mrhc.org http://www.mrhc.org Provider 2.16.840.1.113883.3.1512 Int 17 Complete 2015/01/20 12:00:00 2015/01/31 12:00:00 2015/01/31 01:55:57 UV 2.16.840.1.113883.3.5988 wishin Wisconsin Statewide Health Information Network, Inc. Laura Widder masked Laura Widder P.O. Box 259038 Madison, WI 53715-9038 608-274-1820 masked Implementation Project Management Supervisor Wisconsin Statewide Health Information Network, Inc. P.O. Box 259038 Madison, WI 53725-9038 608-274-1820 wishin@wishin.org http://www.wishin.org Exchange Int 3 Complete 2015/01/21 12:00:00 2015/01/29 12:00:00 2015/01/29 05:48:19 UV 2.16.840.1.113883.3.5989 nYMAOID New York Medical Associates HL7 OID Mark Lipton masked Mark Lipton 212 570 2077 masked President New York Medical Associates, PC 635 Madison Avenue New York, NY 10022 212 439 6690 mark.lipton@nymamed.com Provider Int 3 Complete 2015/01/21 12:00:00 2015/01/29 12:00:00 2015/01/29 05:52:37 UV 2.16.840.1.113883.3.5990 phc-oid Pediatric Health Care OID Zenaida Ali masked Ligia Alvarez 407-563-2821 masked Medical assistant Pediatric Health Care 5308 South John T=Young Pkwy. Ste 200 Orlando, Fl 32837 407-563-2821 ligia.phc@gmail.com Provider Int 3 Complete 2015/01/21 12:00:00 2015/01/29 12:00:00 2015/01/29 05:55:01 UV 2.16.840.1.113883.3.5991 chmco Children's Hospital & Medical Center Eric Paik masked Eric Paik 8200 Dodge St. Omaha, NE 68114 4029556845 masked Interface Analyst Children's Hospital & Medical Center 8200 Dodge St. Omaha, NE 68114 (402) 955-6731 wworthing@childrensomaha.org http://www.childrensomaha.org Provider Int 3 Complete 2015/01/21 12:00:00 2015/01/29 12:00:00 2015/01/29 05:58:54 UV 2.16.840.1.113883.3.5992 r-g-h-w-01 Regional General Hospital Williston Rahul Chekuri masked Rahul Chekuri 125 SW 7th St Williston, FL 32696 3525282801 masked IT Regional General Hospital 125 SW 7th St Williston, FL 32696 3525282801 rchekuri@regionalgeneral.net http://www.regionalgeneral.com Provider Int 3 Complete 2015/01/21 12:00:00 2015/01/29 12:00:00 2015/01/29 06:00:50 UV 2.16.840.1.113883.17.4089 jcfhd-elr1 JCFHD-ELR Reg Comp Phil Blas masked John C. Fremont Healthcare District Phil Blas 5189 Hospital Road Mariposa, CA 95338 2099663631 masked CIO John C. Fremont Healthcare District 5189 Hospital Road Mariposa, CA 95338 2099663631 jcfadm@jcf-hospital.com http://www.jcf-hospital.com Govt body Int 17 Complete 2015/01/21 12:00:00 2015/01/29 12:00:00 2015/01/29 06:07:58 UV 2.16.840.1.113883.3.5993 gabbiemedical Gabbie Medical Clinic OID Root Mary OSteen masked Mary OSteen 401 East Street Texarkana, AR 71854 903-614-8337 masked Office Manager Gabbie Medical Clinic PA 401 East Street Texarkana, AR 71854 903-614-8337 mosteen@gabbiemedicalclinic.com Provider Int 3 Complete 2015/01/22 12:00:00 2015/01/29 12:00:00 2015/01/29 06:02:11 UV 2.16.840.1.113883.3.5994 preetsandhu Pritpal Sandhu MD Pritpal Sandhu masked Vicky Greenwood 3851 West Road Suite 2 Trenton, MI 48183 734-675-5100 masked Office Manager Pritpal G Sandhu 3851 West Road Suite 2 Trenton, MI 48183 734-675-5100 Vickygreenwoodsmc@gmail.com Provider Int 3 Complete 2015/01/22 12:00:00 2015/01/29 12:00:00 2015/01/29 06:05:28 UV 2.16.840.1.113883.9.191 larkincommunityhospital Larkin Community Hospital Orlando Suarez masked Orlando Suarez 3052847685 masked IT Director Larkin Community Hospital 7031 sw 62 ave, South Miami, FL 33143 3052847500 osuarez@larkinhospital.com Provider Int 3 Complete 2015/01/22 12:00:00 2015/01/29 12:00:00 2015/01/29 06:10:45 UV 2.16.840.1.113883.3.5995 podiatryassociatespa Podiatry Associates, P.A. OID Root Rose Marie Buechner masked Rose Marie Buechner 843-524-02352 masked Practice Manager Podiatry Associates, P.A. 1084 Ribaut Road Ste A Beaufort, SC 29902 843-524-0232 rbuechner@beaufortpodiatry.com Provider Int 3 Complete 2015/01/23 12:00:00 2015/01/29 12:00:00 2015/01/29 06:12:48 UV 2.16.840.1.113883.3.5996 atlpod Atlanta Podiatry OID Root Rupal Gupta masked Rupal P. Gupta 4385 Johns Creek Parkway Suite 200 Suwanee, GA 30024 770-418-0456 masked President Atlanta Podiatry 4385 Johns Creek Parkway Suite 200 Suwanee, GA 30024 770-418-0456 rupsterdoc@hotmail.com https://www.atlpod.com Provider Int 3 Complete 2015/01/23 12:00:00 2015/01/29 12:00:00 2015/01/29 06:13:51 UV 2.16.840.1.113883.3.5997 nchne Nemaha County Hospital Kermit Moore masked Susi Vonbergen 402-274-6125 masked COO Nemaha County Hospital 2022 13th Street Auburn, NE 68305 402-274-4366 svonbergen@nchnet.org Provider Int 3 Complete 2015/01/23 12:00:00 2015/01/29 12:00:00 2023/10/26 04:52:54 UV 2.16.840.1.113883.4.847 mmcmhs Montefiore Medical Center Rebecca Moshief masked ipan@emerginghealthit.com Rebecca D. Moshief Montefiore Medical Center 3 Odell Plaza Yonkers, NY 10701 914-457-6318 masked Director, Integration Services Montefiore Medical Center Montefiore Medical Center 111 East 210th Street Bronx, New York, 10467 914-457-6300 dmoshief@montefiore.org http://www.montefiore.org Provider Int 3 Complete 2015/01/26 12:00:00 2015/01/31 12:00:00 2015/01/31 01:27:12 2.3 UV 2.16.840.1.113883.3.5998 jh01529 Jackson County Hospital District Beth Medlock masked James Hussey 4250 Hospital Drive PO Box 1608 Marianna, FL 32446 8507182610 masked IT DIrector Jackson Hospital 4250 Hospital Drive PO Box 1608 Marianna, FL 32446 8507182623 krovito@jackhosp.org Provider Int 3 Complete 2015/01/26 12:00:00 2015/01/29 12:00:00 2015/01/29 06:20:19 US 2.16.840.1.113883.17.4090 statestreeteye State Street Eye Shirley Salomon masked Shirley Salomon 33 Broad Street Boston, MA 02109 (617) 742 7200 masked Optometrist State Street Eye 33 Broad Street Boston, MA 02109 (617) 742-7200 myvision@statestreeteye.com http://www.statestreeteye.com Provider Int 17 Complete 2015/01/28 12:00:00 2015/01/31 12:00:00 2015/01/31 01:29:28 US 2.16.840.1.113883.3.5999 sjcardclaremore SJC Cardio Consults - Claremore Kelli Johnson masked Kimberly Ballard 4848 S. 129th east Avenue Tulsa, OK 74134 918-744-2202 masked SJC Cardio Consults - Claremore 1910 South Falcon Avenue Claremore, OK 74019 918-994-9150 ahisha.peters@sjmc.org Provider Int 3 Complete 2015/01/28 12:00:00 2015/01/31 12:00:00 2015/01/31 01:31:27 UV 2.16.840.1.113883.3.6000 sjfamilypeoria SJC Family Medical Care Peoria Kelli Johnson masked Kelli Johnson 1923 S Utica Tulsa, OK 74104 918-748-1305 masked Data Analyst SJC Family Medical Care Peoria 5780 South Peoria Tulsa, OK 75105 918-994-9150 ahisha.peters@sjmc.org Provider Int 3 Complete 2015/01/28 12:00:00 2015/01/31 12:00:00 2015/01/31 01:33:29 UV 2.16.840.1.113883.3.6001 cityscape cityscape ob/gyn Sharon Bankasingh masked Sharon Bankasingh 38 E 32nd St 4th Fl NYC, NY 10016 212-683-3595 masked Office Manager Cityscape Ob/Gyn PLLC 38 E 32nd St 4th Fl NYC, NY 10016 212-683-3595 sbankasingh@cityscapeobgyn.com Provider Int 3 Complete 2015/01/29 12:00:00 2015/01/31 12:00:00 2015/01/31 01:34:41 UV 2.16.840.1.113883.3.6002 grvhaz Green Valley Hospital John Lynch masked Steve McCalley 4455 S. 1-19 Frontage Road Green Valley, AZ 85614 480-201-8192 masked Project Manager Green Valley Hospital 4455 S. 1-19 Frontage Road Green Valley, AZ 85614 520-808-2382 smccalley@greenvalleyhospital.com Provider Int 3 Complete 2015/01/29 12:00:00 2015/01/31 12:00:00 2015/01/31 01:35:46 UV 2.16.840.1.113883.3.6003 labgem LabGEM James Campbell masked James T Campbell Diamond Computing 2345 Fourth Street Suite 400 Tucker, GA 30084 1-770-653-0941 masked President Diamond Computing Diamond Computing 2345 Fourth Street Suite 400 Tucker, GA 30084 1--770-496-0286 jim@diamondcomputing.net http://diamondcomputing.net Vendor Int 3 Complete 2015/01/29 12:00:00 2015/01/31 12:00:00 2015/01/31 01:37:35 UV 2.16.840.1.113883.3.6004 radiance Radiance OB-GYN root OID Jan Penvose-Yi masked Jan Penvose-Yi 3998 Vista Way Suite C Oceanside, CA 92056 (760) 385-8008 masked MD/CEO Radiance OB-GYN 3998 Vista Way Suite C Oceanside, CA 92056 (760) 385-8008 jan@radianceobgyn.com https://www.radianceobgyn.com Provider Int 3 Complete 2015/01/29 12:00:00 2015/01/31 12:00:00 2015/01/31 01:39:03 UV 2.16.840.1.113883.3.4806.8 peckclinic McKenzie Family Health Center - Peck Cherish Frank masked Cherish Frank 120 Delaware St. Sandusky, MI 48471 810-648-6186 masked Clinical Infromation Specialist McKenzie Family Health Center - Peck 251 E. Peck Rd. Peck, MI 48466 810-378-4900 peck@mckenziehealth.org Provider 2.16.840.1.113883.3.4806 Ext 14 Complete 2.16.840.1.113883.3.4806.8 2015/01/29 12:00:00 2015/01/31 12:00:00 2015/01/31 01:44:51 UV 2.16.840.1.113883.3.6005 morganfamilyclinic Morgan Family Clinic OID Root Edith Morgan masked Holly Dunn 662-390-8992 masked The Morgan Family Clinic 2119 Highway 82 East Greenville, MS 38703 662-390-8992 morganfamilyclinic@yahoo.com Provider Int 3 Complete 2015/01/29 12:00:00 2015/01/31 12:00:00 2015/01/31 01:46:57 UV 2.16.840.1.113883.3.6006 fch Fishermen's Community Hospital Patrick Stitt masked Patrick Stitt 305-289-6218 masked Director of IS Fishermen's Community Hospital 305-743-5533 patrick.stitt@fhcares.com Provider Int 3 Complete 2015/01/30 12:00:00 2015/01/31 12:00:00 2015/01/31 01:49:23 UV 2.16.840.1.113883.3.2151.100 nah-CER NAH-CERNER Steve Lewis masked Steve Lewis 1200 N. Beaver Street Flagstaff, AZ 86001 928-773-2436 masked HIE Architect Northern Arizona Healthcare 1200 N. Beaver Street Flagstaff, AZ 86001 info@nahealth.com Provider 2.16.840.1.113883.3.2151 Ext 4 Complete 2.16.840.1.113883.3.2151.100 2015/02/02 12:00:00 2015/02/19 12:00:00 2015/02/19 02:23:49 UV 2.16.840.1.113883.3.2151.200 nah-ATH NAH-ATHENA Steve Lewis masked Steve Lewis 1200 N. Beaver Street Flagstaff, AZ 86001 928-773-2436 masked HIE Architect Northern Arizona Healthcare 1200 N. Beaver Street Flagstaff, AZ 86001 info@nahealth.com Provider 2.16.840.1.113883.3.2151 Ext 4 Complete 2.16.840.1.113883.3.2151.200 2015/02/02 12:00:00 2015/02/19 12:00:00 2015/02/19 02:22:13 UV 2.16.840.1.113883.3.6007 cgh Campbellton-Graceville Hospital Michael Scurlock masked Michael Scurlock 5385 Smith Street Graceville, FL 32440 850-360-4949 masked IT Consultant Campbellton-Graceville Hospital 5429 College Drive Graceville, FL 32440 850-263-4431 it@c-ghospital.org http://www.c-ghospital.com Provider Int 3 Complete 2015/02/02 12:00:00 2015/02/18 12:00:00 2015/02/18 03:24:53 UV 2.16.840.1.113883.3.6008 siemens_StonyBrookMed Stony Brook Medicine Siemens Christine Gironda masked Christine Gironda 7 Flowerfield, Suites 44 and 88 St. James, NY 11780 631-444-4010 masked Director, Enterprise Analytics Stony Brook Medicine Stony Brook Medicine 101 Nicolls Road Stony Brook, NY 11794 631-444-4010 Christine.Gironda@Stonybrookmedicine.edu Provider 2.16.840.113883.3.2936 Int 3 Complete 2015/02/03 12:00:00 2015/02/18 12:00:00 2015/02/18 03:27:35 UV 2.16.840.1.113883.3.6009 pihcGA3075 Positive Impact Health Centers Steven Bales masked Brace Arnette Steven Bales 3075 Breckinridge Blvd Suite 415 Duluth, GA 30096 678-990-6445 masked Data Administrator Positive Impact Health Centers 3075 Breckinridge Blvd Suite 415 Duluth, GA 30096 770-962-8396 steven.bales@pihcga.org https://www.positiveimpacthealthcenters.org Provider Int 3 Complete 2015/02/03 12:00:00 2015/02/18 12:00:00 2016/05/06 01:36:56 UV 2.16.840.1.113883.3.6010 tcpc Tri-City Primary Care Medical Group Root Jeremy Raimo masked Jeremy Raimo 3925 Waring Road Suite A Oceanside, CA 92056 7609407499 masked Sr. Director Tri-City Primary Care Medical Group 1926 Via Centre Court Vista, CA 92081 7609407000 raimoj@tcmc.com https://www.tricityprimarycare.com Provider Int 3 Complete 2015/02/03 12:00:00 2015/02/18 12:00:00 2015/02/18 03:29:27 UV 2.16.840.1.113883.3.6011 ghs-amb-hie Greenville Health System ambulatory OID William Forbus masked Warren Leonard William Forbus 525 Grove Road Greenville, SC 29605 864-455-2106 masked Greenville Health System 525 Grove Road Greenville, SC 29605 wforbus@ghs.org http://www.ghs.org Provider Int 3 Complete 2015/02/04 12:00:00 2015/02/18 12:00:00 2015/02/18 03:29:58 UV 2.16.840.1.113883.3.6012 iCare Independent Care Health Plan Peggy Hartwig masked Vinay Pandey 1555 N. RiverCenter Dr. Suite 206 Milwaukee, WI 53212 1-800-777-4376 masked CIO iCare Information Systems 1555 N. RiverCenter Dr. Suite 206 Milwaukee, WI 53212 1-800-777-4376 vpandey@icare-wi.org http://www.icare-wi.org/ Provider Int 3 3 Complete 2015/02/04 12:00:00 2015/02/18 12:00:00 2016/03/30 11:45:31 UV 2.16.840.1.113883.17.4092 bamcOID BoyneAreaMedicalCenterOID David Priest masked David Priest 14700 Lake Shore Dr. Charlevoix, MI 49720 2315478534 masked Director IT Boyne Area Medical Center 223 North Park Street Boyne City, MI 49712 2315825314 dpriest@cah.org http://www.cah.org Provider Int 17 Complete 2015/02/04 12:00:00 2015/02/19 12:00:00 2015/02/19 04:07:20 UV 2.16.840.1.113883.17.4093 pcocOID PhysiciansClinicofCharlevoixOID David Priest masked David Priest 14700 Lake Shore Dr. Charlevoix, MI 49720 2315478534 masked Director IT Physicians Clinic of Charlevoix 14709 West Upright Street Charlevoix, MI 49720 (231) 547-6519 dpriest@cah.org http://www.cah.org Provider Int 17 Complete 2015/02/04 12:00:00 2015/02/19 12:00:00 2015/02/19 04:09:26 UV 2.16.840.1.113883.17.4094 cwhcOID CharlevoixWomensHealthCareOID David Priest masked David Priest 14700 Lake Shore Dr. Charlevoix, MI 49720 2315478534 masked Director IT Charlevoix Womens Health Care 14651 West Upright Street Charlevoix, MI 49720 (231) 547-4477 dpriest@cah.org http://www.cah.org Provider Int 17 Complete 2015/02/04 12:00:00 2015/02/19 12:00:00 2015/02/19 04:11:10 UV 2.16.840.1.113883.3.6013 comg Community Orthopedic Medical Group Armando Besne masked Armando Besne 26401 Crown Valley Pkwy Mission Viejo, CA 92691 949-348-4000 masked In-House IT Community Orthopedic Medical Group 26401 Crown Valley Pkwy Mission Viejo, CA 92691 949-348-4000 communityortho@comg.com Provider Int 3 Complete 2015/02/04 12:00:00 2015/02/18 12:00:00 2015/02/18 03:36:35 UV 2.16.840.1.113883.3.6014 yra Yaffe, Ruden & Associates, LLP Sandy Esteril masked Sandy Esteril Yaffe, Ruden & Associates, LLP 201 East 65th Street New York, New York 10065 212-879-4700 masked Human Resources Yaffe Ruden and Associates LLP Yaffe Ruden and Associates LLP 201 East 65th Street New York, New York 10065 212-879-4700 yraesteril@yafferuden.com Provider Int 3 Complete 2015/02/05 12:00:00 2015/02/18 12:00:00 2015/02/18 03:37:48 UV 2.16.840.1.113883.3.6015 hfd Houston Fire Department Jenny Mikhail masked Jenny Mikhail 8325642599 masked Greater Houston Healthconnect jenny.mikhail@ghhconnect.org Exchange Int 3 3 Complete 2015/02/06 12:00:00 2015/02/18 12:00:00 2015/02/18 03:38:40 UV 2.16.840.1.113883.3.6016 hVCC Hudson Valley Care Coalition OID Sherry Saturno masked Sherry Saturno 303 South Broadway, Suite 420 Tarrytown, NY 10591 (914) 372-2034 masked Executive Director Sherry Saturno 303 South Broadway, Suite 420 Tarrytown, NY 10591 (914) 372-2034 sherry.saturno@hcheq.org Provider Int 3 Complete 2015/02/06 12:00:00 2015/02/06 12:00:00 2015/02/06 12:13:17 UV 2.16.840.1.113883.3.6017 alphacm AlphaCM Dwayne Hill masked jeff@alphacm.com Jeff Shelley 2033 Corporate Drive, Wilmington NC 28405 910-791-6724 masked Development Manager AlphaCM 910-791-6724 info@alphacm.com http://www.alphacm.com Vendor Int 3 Complete 2015/02/06 12:00:00 2015/02/18 12:00:00 2015/02/18 03:39:09 UV 2.16.840.1.113883.3.6018 pssc-295-60563 Park Street Solutions Company Karen Hart masked Karen Hart 40 Shuman Blvd Ste 295 Naperville, IL 60563 6304091612 masked Park Street Solutions Company 40 Shuman Blvd Ste 295 Naperville, IL 60563 6304091620 khart@parkstreetsolutions.com http://www.ParkStreetSolutions.com Vendor Int 3 Complete 2015/02/06 12:00:00 2015/02/19 12:00:00 2015/02/19 02:27:59 UV 2.16.840.1.113883.3.6019 iMCW Inspira Medical Center Woodbury Edwin Rodriguez masked Edwin Rodriguez 333 Irving Ave Bridgeton NJ 08302 856-575-4461 masked Director, Ambulatory IT Inspira Medical Center Woodbury 509 North Broad Street Woodbury, NJ 08096 856-575-4461 rodrigueze@ihn.org http://www.inspirahealthnetwork.org/ Provider Int 3 Complete 2015/02/06 12:00:00 2015/02/19 12:00:00 2015/02/19 02:30:08 UV 2.16.840.1.113883.3.6020 aig Associates in Gastroenterology OID Root Paul DeMartino masked Paul Demartino 368 Lakehurst Rd Ste 205 Toms River NJ 08755 732-914-8282 masked President Associates in Gastroenterology, PC 368 Lakehurst Rd Ste 205 Toms River NJ 08755 732-914-8282 aig205@comcast.net Provider Int 3 Complete 2015/02/06 12:00:00 2015/02/19 12:00:00 2015/02/19 02:31:54 UV 2.16.840.1.113883.3.4228.101 sbcmSPM Stony Brook Community Medical-SPM David Cyrille masked David G. Cyrille SB Adminstrative Services, LLC 45 Research Way, Suite 204 East Setauket, NY 11733 631-615-8280 masked Stony Brook Community Medical, PC SB Adminstrative Services, LLC 45 Research Way, Suite 204 East Setauket, NY 11733 631-615-8280 info@sbbusinessventures.org http://www.sbcommunitymedical.org Provider 2.16.840.1.113883.3.4228 Ext 14 Complete 2.16.840.1.113883.3.4228.101 2015/02/06 12:00:00 2015/02/19 12:00:00 2015/02/19 02:37:21 UV 2.16.840.1.113883.3.4228.102 sbcmGEMMSnsc Stony Brook Community Medical-GEMMS-NSC David Cyrille masked David G. Cyrille SB Adminstrative Services, LLC 45 Research Way, Suite 204 East Setauket, NY 11733 631-615-8280 masked Stony Brook Community Medical, PC SB Adminstrative Services, LLC 45 Research Way, Suite 204 East Setauket, NY 11733 631 615 8275 info@sbbusinessventures.org http://www.sbcommunitymedical.org Provider 2.16.840.1.113883.3.4228 Ext 3 Complete 2.16.840.1.113883.3.4228.102 2015/02/06 12:00:00 2015/02/19 12:00:00 2015/02/19 02:39:31 UV 2.16.840.1.113883.3.4228.103 sbcmCureMDesc Stony Brook Community Medical-CureMD-ESC David Cyrille masked David G. Cyrille SB Adminstrative Services, LLC 45 Research Way, Suite 204 East Setauket, NY 11733 631 615 8280 masked Stony Brook Community Medical, PC SB Adminstrative Services, LLC 45 Research Way, Suite 204 East Setauket, NY 11733 631 615 8275 info@sbbusinessventures.org http://www.sbcommunitymedical.org Provider 2.16.840.1.113883.3.4228 Ext 14 Complete 2.16.840.1.113883.3.4228.103 2015/02/06 12:00:00 2015/02/19 12:00:00 2015/02/19 02:41:11 UV 2.16.840.1.113883.3.6021 oronw Rancho Vistoso Urgent Care Ronnie Brewer masked Ronnie Brewer 4000 Meridian BLVD, Franklin, TN 37067 615-925-4879 masked Rancho Vistoso Urgent Care 13101 North Oracle Road, Tucson AZ (520) 818 -2000 bradley.booth@orovalleyhospital.com http://orovaleyhospital.com Provider Int 3 Complete 2015/02/06 12:00:00 2015/02/19 12:00:00 2015/02/19 02:47:01 UV 2.16.840.1.113883.3.2936.102 sbuh-idx Stony Brook Medicine - IDX Christine Gironda masked Christine Gironda 7 Flowerfield Suites 44 & 88 Saint James, NY 11780 631-617-3808 masked Director, Enterprise Analytics Stony Brook Medicine 101 Nicolls Road Stony Brook, NY 11794 631-444-5145 Christine.Gironda@Stonybrookmedicine.edu Provider 2.16.840.1.113883.3.2936 Ext 14 Complete 2.16.840.1.113883.3.2936.102 2015/02/09 12:00:00 2015/02/28 12:00:00 2015/02/28 03:12:46 UV 2.16.840.1.113883.3.6022 nwmcog Orange Grove Urgent Care Ronnie Brewer masked Ronnie Brewer 615-925-4879 masked Orange Grove Urgent Care 6200 N La Chulla Blvd Tucson, AZ 85741 520-742-9000 david.bullock@northwestmedicalcenter.com http://northwestmedicalcenter.com Provider Int 3 Complete 2015/02/09 12:00:00 2015/02/19 12:00:00 2015/02/19 02:56:07 UV 2.16.840.1.113883.3.6023 nwmccr Continental Reserve Urgent Care Ronnie Brewer masked Ronnie Brewer 615-925-4879 masked Continental Reserve Urgent Care 6200 North La Chulla Bvld Tucson, AZ 85741 5207429000 david.bullock@northwestmedicalcenter.com http://northwestmedicalcenter.com Provider Int 3 Complete 2015/02/09 12:00:00 2015/02/19 12:00:00 2015/02/19 03:00:53 UV 2.16.840.1.113883.3.6024 nwmclp La Paloma Urgent Care Ronnie Brewer masked Ronnie Brewer 615-925-4879 masked La Paloma Urgent Care 6200 N La Chulla Blvd Tucson AZ 85741 520-742-9000 david.bullock@northwestmedicalcenter.com http://northwestmedicalcenter.com Provider Int 3 Complete 2015/02/09 12:00:00 2015/02/19 12:00:00 2015/02/19 03:02:37 UV 2.16.840.1.113883.3.6025 nwmcdm Duval Mine (Green Valley) Urgent Care Ronnie Brewer masked Ronnie Brewer 615-925-4879 masked Duval Mine (Green Valley) Urgent Care 6200 N La Chulla Blvd Tucson, AZ 85741 520-742-9000 david.bullock@northwestmedicalcenter.com http://northwestmedicalcenter.com Provider Int 3 Complete 2015/02/09 12:00:00 2015/02/19 12:00:00 2015/02/19 03:07:08 UV 2.16.840.1.113883.3.6026 nwmcsp Speedway Urgent Care Ronnie Brewer masked Ronnie Brewer 615-925-4879 masked Speedway Urgent Care 6200 N La Chulla Blvd Tucson, AZ 85741 520-742-9000 david.bullock@northwestmedicalcenter.com http://northwestmedicalcenter.com Provider Int 3 Complete 2015/02/09 12:00:00 2015/02/19 12:00:00 2015/02/19 03:09:26 UV 2.16.840.1.113883.3.6027 nwmcval Valencia Urgent Care Ronnie Brewer masked Ronnie Brewer 615-925-4879 masked Valencia Urgent Care 6200 N La Chulla Blvd Tucson AZ 85741 520-742-9000 david.bullock@northwestmedicalcenter.com http://northwestmedicalcenter.com Provider Int 3 Complete 2015/02/09 12:00:00 2015/02/19 12:00:00 2015/02/19 03:12:45 UV 2.16.840.1.113883.3.6028 sasc sasc OID Root Michael Harkins masked Michael Harkins 455 School St., Suite 10 Tomball, Tx 77375 281-351-5409 masked Physician Michael Harkins 455 School St., Suite 10 Tomball, Tx 77375 281-351-5409 drbrianharkins@gmail.com Provider Int 3 Complete 2015/02/09 12:00:00 2015/02/19 12:00:00 2015/02/19 03:23:23 UV 2.16.840.1.113883.3.6029 smalab SMA Medical Laboratory Alexander Yelkin masked George Sacal 940 Pennsylvania Boulevard, Suite E, Feasterville, PA 19053 1-877-697-6252 masked SMA Medical Laboratory, Inc. george.s@smalaboratory.com Provider Int 3 Complete 2015/02/09 12:00:00 2015/02/19 12:00:00 2016/06/09 07:37:26 UV 2.16.840.1.113883.9.192 ovhdclinics Oak Valley Hospital District Clinics Sherri Peral masked Sherri Peral 350 South Oak Ave Oakdale, CA 95361 209-848-4120 masked Director of Information Services Oak Valley Hospital District 350 South Oak Ave Oakdale, CA 95361 209-847-3011 is@ovhd.com http://www.oakvalleycares.org Provider 2.16.840.1.113883.3.1655 Int 3 Complete 2015/02/10 12:00:00 2015/02/19 12:00:00 2015/02/19 03:29:16 UV 2.16.840.1.113883.3.6030 hurstdpm12 James M. Hurst, DPM James Hurst masked James M. Hurst, DPM 5729 Centre Square Dr. Centreville, VA 20120 703-830-3338 masked Sole proprietor Centreville Foot & Ankle Clinic 5729 Centre Square Dr. Centreville, VA 20120 703-830-3338 jmhurst926@aol.com https://www.drjameshurst.com Provider 2.16.840.1.113883.1 Int 3 Complete 2015/02/10 12:00:00 2015/02/18 12:00:00 2015/02/18 10:57:51 James M. Hurst, DPM UV 2.16.840.1.113883.3.2936.101 sbuh-siemens Stony Brook Medicine - Siemens Christine Gironda masked Christine Gironda 7 Flowerfield Suites 44 & 88 Saint James, NY 11780 631-444-4010 masked Director, Enterprise Analytics Stony Brook Medicine Stony Brook Medicine 101 Nicolls Road Stony Brook, NY 11794 631-444-5145 Christine.Gironda@stonybrookmedicine.edu Provider 2.16.840.1.113883.3.2936 Ext 14 Complete 2.16.840.1.113883.3.2936.101 2015/02/11 12:00:00 2015/02/28 12:00:00 2015/02/28 03:14:47 UV 2.16.840.1.113883.3.6031 src Suburban Imaging Scott Anderson masked jguzik@subrad.com Jean Guzik 8990 Springbrook Drive Suite 140 Coon Rapids, MN 55433 763-792-1992 masked Radinformatics Suburban Imaging 8990 Springbrook Drive Suite 140 Coon Rapids, MN 55433 763-792-1992 northit@subrad.com Provider Int 3 Complete 2015/02/11 12:00:00 2015/02/19 12:00:00 2015/02/19 03:31:38 UV 2.16.840.1.113883.3.5766.1 arh-inc Beckley Appalachian Regional Healthcare Inc Andrew Deters masked Andrew Deters 2260 Executive Dr. Lexington, KY 40505 8592262689 masked Senior Project Manager Appalachian Regional Healthcare Inc 2260 Executive Dr. Lexington, KY 40505 8592262689 adeters@arh.org http://www.arh.org Provider 2.16.840.1.113883.3.5766 Ext 14 Complete 2.16.840.1.113883.3.5766.1 2015/02/12 12:00:00 2015/02/21 12:00:00 2015/02/21 02:17:13 UV 2.16.840.1.113883.3.5766.2 b-arh-inc Reference Lab Appalachian Regional Healthcare Inc Andrew Deters masked Andrew Deters 2260 Executive Dr Lexington, KY 40505 8592262689 masked Senior Project Manager Appalachian Regional Healthcare Inc 2260 Executive Dr Lexington, KY 40505 8592262689 adeters@arh.org http://www.arh.org Provider 2.16.840.1.113883.3.5766 Ext 14 Complete 2.16.840.1.113883.3.5766.2 2015/02/12 12:00:00 2015/02/21 12:00:00 2015/02/21 02:22:34 UV 2.16.840.1.113883.3.5766.3 c-arh-inc Tug Valley Appalachian Regional Healthcare Inc Andrew Deters masked Andrew Deters 2260 Executive Dr Lexington, KY 40505 8592262689 masked Senior Project Manager Appalachian Regional Healthcare Inc 2260 Executive Dr Lexington, KY 40505 8592262689 adeters@arh.org http://www.arh.org Provider 2.16.840.1.113883.3.5766 Ext 14 Complete 2.16.840.1.113883.3.5766.3 2015/02/12 12:00:00 2015/02/21 12:00:00 2015/02/21 02:25:24 UV 2.16.840.1.113883.3.5766.4 e-arh-inc McDowell Appalachian Regional Healthcare Inc Andrew Deters masked Andrew Deters 2260 Executive Dr Lexington, KY 40505 8592262689 masked Senior Project Manager Appalachian Regional Healthcare Inc 2260 Executive Dr Lexington, KY 40505 8592262689 adeters@arh.org http://www.arh.org Provider 2.16.840.1.113883.3.5766 Ext 14 Complete 2.16.840.1.113883.3.5766.4 2015/02/12 12:00:00 2015/02/21 12:00:00 2015/02/21 02:28:02 UV 2.16.840.1.113883.3.5766.5 f-arh-inc Hazard Appalachian Regional Healthcare Inc Andrew Deters masked Andrew Deters 2260 Executive Dr Lexington, KY 40505 8592262689 masked Senior Project Manager Appalachian Regional Healthcare Inc 2260 Executive Dr Lexington, KY 40505 8592262689 adeters@arh.org http://www.arh.org Provider 2.16.840.1.113883.3.5766 Ext 14 Complete 2.16.840.1.113883.3.5766.5 2015/02/12 12:00:00 2015/02/21 12:00:00 2015/02/21 02:30:10 UV 2.16.840.1.113883.3.5766.6 g-arh-inc Whitesburg Appalachian Regional Healthcare Inc Andrew Deters masked Andrew Deters 2260 Executive Dr Lexington, KY 40505 8592262689 masked Senior Project Manager Appalachian Regional Healthcare Inc 2260 Executive Dr Lexington, KY 40505 8592262689 adeters@arh.org http://www.arh.org Provider 2.16.840.1.113883.3.5766 Ext 14 Complete 2.16.840.1.113883.3.5766.6 2015/02/12 12:00:00 2015/02/21 12:00:00 2015/02/21 02:33:13 UV 2.16.840.1.113883.3.5766.7 h-arh-inc Mary Breckinridge Appalachian Regional Healthcare Inc Andrew Deters masked Andrew Deters 2260 Executive Dr Lexington, KY 40505 8592262689 masked Senior Project Manager Appalachian Regional Healthcare Inc 2260 Executive Dr Lexington, KY 40505 8592262689 adeters@arh.org http://www.arh.org Provider 2.16.840.1.113883.3.5766 Ext 14 Complete 2.16.840.1.113883.3.5766.7 2015/02/12 12:00:00 2015/02/21 12:00:00 2015/02/21 03:35:29 UV 2.16.840.1.113883.3.5766.8 i-arh-inc Summers County Appalachian Regional Healthcare Inc Andrew Deters masked Andrew Deters 2260 Executive Dr Lexington, KY 40505 8592262689 masked Senior Project Manager Appalachian Regional Healthcare Inc 2260 Executive Dr Lexington, KY 40505 8592262689 adeters@arh.org http://www.arh.org Provider 2.16.840.1.113883.3.5766 Ext 14 Complete 2.16.840.1.113883.3.5766.8 2015/02/12 12:00:00 2015/02/21 12:00:00 2015/02/21 03:38:19 UV 2.16.840.1.113883.3.5766.9 j-arh-inc Harlan Appalachian Regional Healthcare Inc Andrew Deters masked Andrew Deters 2260 Executive Dr Lexington, KY 40505 8592262689 masked Senior Project Manager Appalachian Regional Healthcare Inc 2260 Executive Dr Lexington, KY 40505 8592262689 adeters@arh.org http://www.arh.org Provider 2.16.840.1.113883.3.5766 Ext 14 Complete 2.16.840.1.113883.3.5766.9 2015/02/12 12:00:00 2015/02/21 12:00:00 2015/02/21 03:40:26 UV 2.16.840.1.113883.3.5766.10 k-arh-inc Middlesboro Appalachian Regional Healthcare Inc Andrew Deters masked Andrew Deters 2260 Executive Dr Lexington, KY 40505 8592262689 masked Senior Project Manager Appalachian Regional Healthcare Inc 2260 Executive Dr Lexington, KY 40505 8592262689 adeters@arh.org http://www.arh.org Provider 2.16.840.1.113883.3.5766 Ext 14 Complete 2.16.840.1.113883.3.5766.10 2015/02/12 12:00:00 2015/02/21 12:00:00 2015/02/21 03:43:11 UV 2.16.840.1.113883.3.5766.11 m-arh-inc Morgan County Appalachian Regional Healthcare Inc Andrew Deters masked Andrew Deters 2260 Executive Dr Lexington, KY 40505 8592262689 masked Senior Project Manager Appalachian Regional Healthcare Inc 2260 Executive Dr Lexington, KY 40505 8592262689 adeters@arh.org http://www.arh.org Provider 2.16.840.1.113883.3.5766 Ext 14 Complete 2.16.840.1.113883.3.5766.11 2015/02/12 12:00:00 2015/02/21 12:00:00 2015/02/21 03:45:48 UV 2.16.840.1.113883.3.6032 meoc Mountain Empire Older Citizens, Inc. Callie Greer masked Callie Greer P.O. Box 888 Big Stone Gap, VA 24219 276-523-0599 masked EHR Project Manager Mountain Empire Older Citizens, Inc. P.O. Box 888 Big Stone Gap, VA 24219 2765230599 tlawson@meoc.org Provider Int 3 Complete 2015/02/12 12:00:00 2015/02/18 12:00:00 2015/02/18 10:58:12 UV 2.16.840.1.113883.13.276 aSAMOID American Society of Addiction Medicine Beth Haynes masked Beth Haynes 301-547-4123 masked American Society of Addiction Medicine 4601 North Park Avenue Upper Arcade, Suite 101 Chevy Chase, MD 20815-4520 301-547-4123 info@asam.org Prof Soc Int 3 Complete 2015/02/12 12:00:00 2015/02/28 12:00:00 2015/02/28 06:48:13 UV 2.16.840.1.113883.3.6033 cigarroa ricardo cigarroa md Ricardo Cigarroa masked Brenda Perez 1710 E. SAUNDERS ST TOWER B 5TH FLOOR LAREDO, TEXAS 78041 956-726-0033 masked director Ricardo Cigarroa MD BPEREZ1225@HOTMAIL.COM Provider Int 3 Complete 2015/02/13 12:00:00 2015/02/21 12:00:00 2015/02/21 03:51:56 UV 2.16.840.1.113883.3.6034 nlhc New Liberty Hospital Corporation Julie Merckling masked Julie Merckling 816-407-2099 masked Physician Practice IT Manager New Liberty Hospital Corporation 2525 Glenn Hendren Dr Liberty, MO 64068 816-407-2099 julie.merckling@libertyhospital.org http://www.libertyhospital.org/ Provider Int 3 Complete 2015/02/13 12:00:00 2015/02/19 12:00:00 2015/02/19 03:35:58 UV 2.16.840.1.113883.3.6035 affosoft Affosoft Inc. Sreekanth Puram masked Sreekanth Puram 798 Praderia Circle, Fremont, CA 94539 408-625-7047 masked CTO Affosoft Inc. 798 Praderia Circle, Fremont, CA 94539 408-625-7047 sreekanth.puram@affosoft.com Vendor Int 3 Complete 2015/02/13 12:00:00 2015/02/19 12:00:00 2015/02/19 03:43:29 UV 2.16.840.1.113883.3.6036 bradenclinic Braden Clinic OID Root Beau Braden masked Beau Braden 5050 Ave Maria Blvd Ave Maria, FL 34142 239-867-4395 masked Managing Physician Braden Clinic LLC 5050 Ave Maria Blvd Ave Maria, FL 34142 239-867-4395 info@bradenclinic.com http://bradenclinic.com Provider Int 3 Complete 2015/02/13 12:00:00 2015/02/19 12:00:00 2015/02/19 03:44:50 UV 2.16.840.1.113883.3.6037 mettlesolutions Mettle Solutions Kishore Metla masked Kishore A. Metla 10320 Little Patuxent Parkway, Suite 233-02, Columbia, MD 21044 443-410-1533 masked President Mettle Solutions 10320 Little Patuxent Parkway, Suite 233-02, Columbia, MD 21044 443-410-1533 kishore.metla@mettles.com http://www.mettles.com Vendor Int 3 Complete 2015/02/13 12:00:00 2015/02/18 12:00:00 2018/06/08 04:07:28 UV 2.16.840.1.113883.3.6038 aha-asa American Heart Association/American Stroke Association Melanie Shahriary masked Melanie Shahriary 7272 Greenville Ave., Dallas, TX 75231 301-651-7548 masked Manager, Performance Measures American Heart Association/American Stroke Association 7272 Greenville Ave., Dallas, TX 75231 1-800-242-8721 AHA.NSC.General@heart.org http://www.heart.org SDO Int 3 Complete 2015/02/18 12:00:00 2015/02/18 12:00:00 2015/02/18 10:55:54 UV 2.16.840.1.113883.3.6039 commACCESSoid Community Access OID Jerome Grant masked Alysia Pascaris Alysia Pascaris Community Access 2 Washington St 9th Fl New York NY, 10004 212 780 1400 ext 7730 masked Deputy CEO Community Access Community Access 2 Washington St 9th Fl New York NY, 10004 212 780 1400 ext 7730 HealthHomeGroup@communityaccess.org http://www.communityaccess.org/ Govt body Int 3 Complete 2015/02/18 12:00:00 2015/02/18 12:00:00 2015/02/18 10:50:02 UV 2.16.840.1.113883.3.6040 hl7Albania HL7 Albania OID Root Olegas Niaksu masked Mariola Pina Mariola Pina Bulevardi "Bajram Curri", Nr.1, Tirana, ALBANIA +355 42364663 masked Ministry of Health of Albania Bulevardi "Bajram Curri", Nr.1, Tirana, ALBANIA info@shendetesia.gov.al http://www.shendetesia.gov.al/ Govt body Int 3 Complete 2015/02/18 12:00:00 2016/12/23 12:00:00 2016/12/23 07:44:33 UV 2.16.840.1.113883.3.6041 thc-sandlot Texas Health Care PLLC Luke Hebert masked Luke Hebert 2821 Lackland Rd Suite 300 Fort Worth, TX 76116 8177408500 masked Nextgen EHR Technical Manager Texas Health Care PLLC 2821 Lackland Rd Suite 300 Fort Worth, TX 76116 8177408500 it@txhealthcare.com http://www.txhealthcare.com Provider Int 3 Complete 2015/02/18 12:00:00 2015/02/19 12:00:00 2015/02/19 03:52:13 UV 2.16.840.1.113883.3.6042 cernhec Cerner Population Health Services Roger Crown masked Paul Clark Paul Clark 2800 Rockcreek Parkway Kansas City, MO 64117 816-201-2015 masked Sr Engagement Leader Cerner Population Health Services 2800 Rockcreek Parkway Kansas City, MO 64117 816-221-1024 dl_ehc_tech@cerner.com Provider Int 3 Complete 2015/02/19 12:00:00 2015/02/19 12:00:00 2015/02/19 03:53:46 UV 2.16.840.1.113883.4.849 lmgphysicians Laughlin Medical Group Justin Ryans masked Justin Ryans 1420 Tusculum Blvd Greeneville, TN 37745 423-787-5151 masked Applications Manager Laughlin Memorial Hospital 1420 Tusculum Blvd Greeneville, TN 37745 423-787-5151 helpdesk@lmhcare.org http://www.laughlinmemorial.org Provider 2.16.840.1.113883.3.1845 Int 4 Complete 2015/02/19 12:00:00 2015/02/19 12:00:00 2015/02/19 01:33:49 UV 2.16.840.1.113883.3.6043 visionware VisionWare Inc. Brenda Fogal masked Brenda Fogal 60 Bathurst Dr., Unit 13 Waterloo, ON N2V 2A9 519-742-7334 x 264 masked General Manager VisionWare Inc. 60 Bathurst Dr., Unit 13 Waterloo, ON N2V 2A9 519-742-7334 bfogal@essilor.ca Vendor Int 3 Complete 2015/02/19 12:00:00 2015/02/19 12:00:00 2015/02/19 03:55:25 UV 2.16.840.1.113883.3.6044 lacodhs Los Angeles County Department of Health Services Robert Bart masked Robert Bart 313 N. Figueroa Street Suite 317 Los Angeles, CA 90012 213-240-7822 masked Los Angeles County Department of Health Services 313 N. Figueroa Street Suite 317 Los Angeles, CA 90012 213-240-7822 rbart@dhs.lacounty.gov Provider Int 3 Complete 2015/02/19 12:00:00 2015/02/21 12:00:00 2015/02/23 03:23:12 UV 2.16.840.1.113883.3.6045 famsmyrna family healthcare of smyrna oid Julie Marquardt masked Julie Marquardt Emory Healthcare 57 Executive Park South Suite 400 Atlanta, Ga 30329 404-712-2918 masked Family Healthcare of Smyrna 3969 S. Cobb Drive Suite 205 Smyrna, Ga 30080 770-438-9723 propofol70@gmail.com Provider Int 3 Complete 2015/02/20 12:00:00 2015/02/21 12:00:00 2015/02/21 02:06:11 UV 2.16.840.1.113883.3.6046 teladoc Teladoc Root OID Holton Walker masked Holton Walker One Sound Shore Dr Greenwich, CT 06830 203-433-7929 masked Teladoc, Inc. 4100 Spring Valley Suite 515 Dallas, TX 75244 844-798-3810 hwalker@teladoc.com http://www.teladoc.com Provider Int 3 Complete 2015/02/23 12:00:00 2015/02/25 12:00:00 2015/02/25 03:13:32 UV 2.16.840.1.113883.3.6047 peacehealthcenter peacehealthcenter OID Root Karen Scott masked KAREN SCOTT 653 ROBERTS DRIVE, STE A RIVERDALE, GA 30274 770-907-8722 masked MANAGER PEACE HEALTH FAMILY MEDICAL CENTER 653 ROBERTS DRIVE,STE A RIVERDALE, GA 30274 770-907-8722 PEACEHEALTH02@YAHOO.COM Provider Int 3 Complete 2015/02/23 12:00:00 2015/02/25 12:00:00 2015/02/25 03:16:53 UV 2.16.840.1.113883.3.6048 giconsult Gastro Intestinal Consultants of Manhattan PA Kathy Ellis masked Kathy Ellis 1213 Hylton Heights Road Suite 101 Manhattan, KS 66502 785-770-3480 masked Gastro Intestinal Consultants of Manhattan PA 1213 Hylton Heights Road Suite 101 Manhattan, KS 66502 785-539-0156 klellis123@gmail.com Provider Int 3 Complete 2015/02/23 12:00:00 2015/02/25 12:00:00 2015/02/25 03:18:21 UV 2.16.840.1.113883.17.4095 org-Inovalon Inovalon Organization Susan Labine masked Frederick Smith 4321 Collington Rd Bowie, MD 20716 301-809-4000 x1497 masked Sr, Director IT Inovalon Organization 4321 Collington Rd Bowie, MD 20716 301-809-4000 x1497 fsmithjr@inovalon.com Exchange Int 17 Complete 2015/02/24 12:00:00 2015/02/25 12:00:00 2015/02/25 03:50:28 UV 2.16.840.1.113883.3.6049 ptreedunderm Peachtree Dunwoody Dermatology Julie Marquardt masked Joe Erwin Practice Manager Julie Marquardt Emory Healthcare Information Services 57 Executive Park South Suite 400 Atlanta, GA 30329 404-712-2918 masked HIE Project Manager Peachtree Dunwoody Dermatology 5667 Peachtree Dunwoody Road, NE Suite 200 Atlanta, GA 30324 404-252-4110 jalmdpc@gmail.com http://www.peachtreedunwoodydermatology.com/ Provider Int 3 Complete 2015/02/24 12:00:00 2015/02/25 12:00:00 2015/02/25 03:21:30 UV 2.16.840.1.113883.3.6050 ent ENT Associates of Savannah Julie Moore masked Kathy Layne 5201 Frederick ST Savannah,Ga 31405 912-351-3030 masked Office Manager ENT Associates of Savannah 5201 Frederick ST Savannah,Ga 31405 9120351-3030 klayne@entsavannah.com Provider Int 3 Complete 2015/02/24 12:00:00 2015/02/25 12:00:00 2015/02/25 03:26:38 UV 2.16.840.1.113883.3.6051 svci Savannah Vascular Institute, LLC Nichol Evensen masked Nichol Evensen 4750 Waters Avenue Suite 500 Savannah, GA 31404 912-629-7833 masked EDI/IT Analyst Savannah Vascular Institute, LLC 4750 Waters Avenue Suite 500 Savannah, GA 31404 912-352-8346 nevensen@savannahvascular.com Provider Int 3 Complete 2015/02/24 12:00:00 2015/02/25 12:00:00 2015/02/25 03:30:11 UV 2.16.840.1.113883.3.6052 sima suffolk internal medicine Debbie Crawford masked Debbie Crawford 500 Montauk Highway Suite S West Islip NY 11795 631-587-7943 masked office manager Suffolk Internal Medicine 500 Montauk Highway Suite S West Islip NY 11795 631-587-7943 dcrawford@nshs.edu Provider Int 3 Complete 2015/02/24 12:00:00 2015/02/25 12:00:00 2015/02/25 03:36:15 UV 2.16.840.1.113883.3.6053 toa The Opportunity Alliance Craig Given masked Craig Given 50 Lydia Lane South Portland, ME 04106 204-874-1175 masked Vice President of Information Technology The Opportunity Alliance 50 Lydia Lane South Portland, ME 04106 207-874-1175 craig.given@opportunityalliance.org http://www.opportunityalliance.org Provider Int 3 Complete 2015/02/25 12:00:00 2015/02/25 12:00:00 2015/02/25 03:38:02 UV 2.16.840.1.113883.3.6054 spur Spurwink Services Tracy Hinkley masked Melissa Das Tracy Hinkley 901 Washington Ave Portland, ME 04103 207-871-1211 x2196 masked Sr Programmer/Analyst Spurwink Services 901 Washington Ave Portland, ME 04103 207-871-1200 its2@spurwink.org http://www.spurwink.org/ Provider Int 3 Complete 2015/02/25 12:00:00 2015/02/25 12:00:00 2015/02/25 03:39:20 UV 2.16.840.1.113883.3.6055 adwbcn Associated Dermatologist of West Bloomfield, Commerce and Novi Ronald Kerwin masked Ashley Mecum 6330 Orchard Lake Road, Suite 120 West Bloomfield, MI 48322 248-855-3366 masked MA/ MU supervisor Associated Dermatologist 6330 Orchard Lake Road, Suite 120 West Bloomfield, MI 48322 248-855-3366 xmecum89x@aol.com http://www.adwbc.com/index.html Provider Int 3 Complete 2015/02/25 12:00:00 2015/02/25 12:00:00 2015/02/25 03:42:26 UV 2.16.840.1.113883.3.6056 hsxsepa HealthShare Exchange of Southeastern Pennsylvania Rakesh Mathew masked Brian Wells American College of Physicians Building 190 N. Independence Mall West, Suite 701 Philadelphia, PA 19106 215-796-4622 masked VP / CTO / CISO Mirthcorp 611 Anton Blvd, Suite 500 Costa Mesa, CA 92626 714-389-1356 JohnsonD@mirthcorp.com https://mirthcorp.com Vendor Int 3 Complete 2015/02/25 12:00:00 2015/02/25 12:00:00 2021/01/21 08:45:45 UV 2.16.840.1.113883.3.6057 countrydoctors Country Doctors OID Root Vicky Mays masked Vicky Mays 658 Burke Road Masontown, WV 26542 304-864-4362 masked Director Country Doctors 658 Burke Road Masontown, WV 26542 304-864-4362 drvickymays@yahoo.com Provider Int 3 Complete 2015/02/25 12:00:00 2015/02/25 12:00:00 2015/02/25 03:45:05 UV 2.16.840.1.113883.3.6058 chcs Community Health and Counseling Services Mark Friedman masked Mark Friedman Community Health and Counseling Services PO Box 425 42 Cedar Street Bangor, ME 04402-0425 (207) 947-0366 masked MIS Manager Community Health and Counseling Services PO Box 425 42 Cedar Street Bangor, ME 04402-0425 (207) 947-0366 mfriedman@chcs-me.org http://www.chcs-me.org Provider Int 3 Complete 2015/02/25 12:00:00 2015/02/25 12:00:00 2015/02/25 06:20:18 UV 2.16.840.1.113883.3.6059 mzdpm Margaret Zakanycz DPM OID Root Margaret Zakanycz masked Lecia Jones 1300 State Route 35 Plaza 1 Suite 101 Ocean Township, NJ 07712 732-531-0490 masked Podiatry Assistant Margaret Zakanycz DPM 1300 State Route 35 Plaza 1 Suite 101 Ocean Township, NJ 07712 732-531-0490 mzdpm@verizon.net Provider Int 3 Complete 2015/02/26 12:00:00 2015/02/27 12:00:00 2015/02/27 09:26:04 UV 2.16.840.1.113883.3.6060 aphs551 Allegan Professional Health Services, Inc. Ashley Allen masked Ashley Allen 551 Linn Street, Allegan, MI 49010 269-686-5865 masked System Administrator Allegan Professional Health Services, Inc. 551 Linn Street, Allegan, MI 49010 269-686-5800 ashleyallen@aghosp.com https://www.alleganhealth.com Provider Int 3 Complete 2015/02/26 12:00:00 2015/02/27 12:00:00 2015/02/27 09:26:22 UV 2.16.840.1.113883.3.6061 graceobgyn Grace OBGYN OID root Laura Broome masked Laura Broome 2 Yorkshire Street Asheville, NC 28803 828-252-1050 masked Office Manager Grace OBGYN, PA 2 Yorkshire Street Asheville, NC 28803 828-252-1050 obbusinessmanager@yahoo.com http://www.graceobgyn.com Provider Int 3 3 Complete 2015/02/26 12:00:00 2015/02/27 12:00:00 2015/03/02 12:10:48 UV 1.3.6.1.4.1.338 nttdata NTT Data, Inc. Daniel Ziobron masked Daniel Ziobron 100 City Square Boston MA 02129 860-873-8561 masked Interface Coordinator NTT Data, Inc. 100 City Square Boston MA 02129 860-873-8561 daniel.ziobron@nttdata.com http://www.nttdata.com/global/en/ Vendor Ext 4 Complete 1.3.6.1.4.1.338 2015/02/26 12:00:00 2015/02/28 12:00:00 2015/02/28 02:59:05 UV 2.16.840.1.113883.3.4220.4.10955 umk WEST MICHIGAN NEPHROLOGY Chuck Marshall masked Elizabeth A. Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Manager University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.ed http://www.med.umich.edu/ Academic Ext 14 Complete 2.16.840.1.113883.3.4220.4.10955 2015/02/27 12:00:00 2015/02/27 12:00:00 2015/02/27 01:42:09 UV 2.16.840.1.113883.3.4220.4.10231 ukeg KELLOGG EYE CENTER - GRAND BLANC Chuck Marshall masked Elizabeth A. Lind 24 Frank Lloyd Wright Drive Lobby H, Suite 1700 Ann Arbor, MI 48106-0421 734-904-5123 masked Senior IT Project Mana University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 lizlind@med.umich.edu http://www.med.umich.edu/ Academic Ext 14 Complete 2.16.840.1.113883.3.4220.4.10231 2015/02/27 12:00:00 2015/02/28 12:00:00 2015/02/28 03:07:04 UV 2.16.840.1.113883.3.2591.500 nysMPI NYeC Statewide MPI Alexandra Cohen masked Luke Doles 40 Worth Street 5th Floor New York, NY 10013 646-619-6400 masked Director, Engineering Luke Doles ldoles@nyehealth.org Exchange 2.16.840.1.113883.3.2591 Ext 17 Complete 2.16.840.1.113883.3.2591.500 2015/02/27 12:00:00 2015/02/27 12:00:00 2015/02/27 01:00:35 UV 2.16.840.1.113883.3.2591.500.1 nysMPIaa NYeC Statewide MPIaa Alexandra Cohen masked Luke Doles 40 worth Street 5th floor New York, NY 10013 646-619-6400 masked Director, Engineering Luke Doles ldoles@nyehealth.org Exchange 2.16.840.1.113883.3.2591 Ext 17 Complete 2.16.840.1.113883.3.2591.500.1 2015/02/27 12:00:00 2015/02/27 12:00:00 2015/02/27 01:00:53 UV 2.16.840.1.113883.9.193 mtSanRafael Mt San Rafael Hospital Michael Archuleta masked Michael Archuleta 7198468029 masked Director of IT Mt San Rafael Hospital 410 Benedicta Ave Trinidad Colorado 81082 7198469213 support@msrhc.org Provider Int 3 Complete 2015/02/27 12:00:00 2015/02/28 12:00:00 2015/02/28 03:01:51 US 2.16.840.1.113883.3.137.4.903.13.1 thmhpsmskmwim Trinity Health Mercy Health Physician Services Mercy Westshore Internal Med Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.1 2015/02/27 12:00:00 2015/02/28 12:00:00 2015/02/28 03:03:39 UV 2.16.840.1.113883.3.137.4.903.13.2 thmhpsmskhpm Trinity Health Mercy Health Physician Services Harbour Pointe Med Assoc Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.2 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 04:14:10 UV 2.16.840.1.113883.3.137.4.903.13.3 thmhpsmskkpam Trinity Health Mercy Health Physician Services KPA Medical Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.3 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 04:16:00 UV 2.16.840.1.113883.3.137.4.903.13.5 thmhpsmsknsfp Trinity Health Mercy Health Physician Services Northshore Family Practice Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.5 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 04:17:23 UV 2.16.840.1.113883.3.137.4.903.37.24 thmhppgrnw Trinity Health Mercy Health Physician Partners Northwest David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.24 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 04:19:20 UV 2.16.840.1.113883.3.137.4.903.37.25 thmhppgrobgyndto Trinity Health Mercy Health Physician Partners OBGYN DTO David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.25 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 04:22:49 UV 2.16.840.1.113883.3.137.4.903.37.26 thmhppgrobgynebo Trinity Health Mercy Health Physician Partners OBGYN EBO David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.26 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 04:24:31 UV 2.16.840.1.113883.3.137.4.903.37.27 thmhppgrrt Trinity Health Mercy Health Physician Partners Rivertown David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.27 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 04:26:03 UV 2.16.840.1.113883.3.137.4.903.37.28 thmhppgrrf Trinity Health Mercy Health Physician Partners Rockford David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.28 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 04:28:20 UV 2.16.840.1.113883.3.137.4.903.37.29 thmhppgrsc Trinity Health Mercy Health Physician Partners Sleep Clinic David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.29 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 04:29:47 UV 2.16.840.1.113883.3.137.4.903.13.6 thmhpsmskwmig Trinity Health Mercy Health Physician Services West MI Gastroenterology Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.6 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 04:33:37 UV 2.16.840.1.113883.3.137.4.903.37.30 thmhppgrse Trinity Health Mercy Health Physician Partners Southeast David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.30 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 04:40:36 UV 2.16.840.1.113883.3.137.4.903.37.31 thmhppgsw Trinity Health Mercy Health Physician Partners Southwest David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.31 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 04:43:48 UV 2.16.840.1.113883.3.137.4.903.13.7 thmhpsmskmwhs Trinity Health Mercy Health Physician Services Mercy Womens Health Services Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.7 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 04:35:07 UV 2.16.840.1.113883.3.137.4.903.37.32 thmhppgrshc Trinity Health Mercy Health Physician Partners Sparta Health Center David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.32 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 04:46:58 UV 2.16.840.1.113883.3.137.4.903.37.33 thmhppgrsimm Trinity Health Mercy Health Physician Partners Special Immunology David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.33 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 04:49:34 UV 2.16.840.1.113883.3.137.4.903.13.8 thmhpsmskbcc Trinity Health Mercy Health Physician Services MHP Bladder Control Clinic Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.8 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 04:36:54 UV 2.16.840.1.113883.3.137.4.903.45.1 thgvwgrc Trinity Health Gerald VanWieren MD Grand Rapids Clinic David Lenz masked David R Lenz 20555 Victor Parkway, Livonia, MI 48152 7343062344 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 7343430654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.45.1 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 04:54:42 UV 2.16.840.1.113883.3.137.4.903.37.34 thmhppgrtg Trinity Health Mercy Health Physician Partners Thrive Geriatrics David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinty Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.34 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 04:51:52 UV 2.16.840.1.113883.3.137.4.903.47.1 thgrfpgrc Trinity Health Grand Rapids Family Physicians Clinic David Lenz masked David R Lenz 20555 Victor Parkway, Livonia, MI 48152 7343430654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 7343430654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.47.1 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 04:55:56 UV 2.16.840.1.113883.3.137.4.903.13.9 thmhpsmsknfp Trinity Health Mercy Health Physician Services Norton Family Practice Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.9 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 04:59:11 UV 2.16.840.1.113883.3.137.4.903.37.35 thmhppgrws Trinity Health Mercy Health Physician Partners Walker Standale David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.35 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 05:03:32 UV 2.16.840.1.113883.3.137.4.904.15.1 thdmpccc Trinity Health Detroit Mercy Primary Care Center Clinic David Lenz masked David R Lenz 20555 Victor Parkway, Livonia, MI 48152 7343430654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 7343430654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.904.15.1 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 05:06:20 UV 2.16.840.1.113883.3.137.4.904.41.1 thphmcmfcm Trinity Health Port Huron Mercy Family Care (MFC) - Marysville David Lenz masked David R Lenz 20555 Victor Parkway, Livonia, MI 48152 7343430654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 7343430654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.904.41.1 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 05:11:02 UV 2.16.840.1.113883.3.137.4.903.13.10 thmhpsmskbchc Trinity Health Mercy Health Physician Services Bear Creek Health Center Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.10 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 05:13:03 UV 2.16.840.1.113883.3.137.4.903.37.36 thmhppgrwfmp Trinity Health Mercy Health Physician Partners Wege FM Private David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.36 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 05:15:38 UV 2.16.840.1.113883.3.137.4.904.41.2 thphmcmfcc Trinity Health Port Huron Mercy Family Care (MFC) - Campus David Lenz masked David R Lenz 20555 Victor Parkway, Livonia, MI 48152 7343430654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 7343430654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.904.41.2 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 05:20:43 UV 2.16.840.1.113883.3.137.4.904.41.3 thphmcmsc Trinity Health Port Huron Mercy Care MSC Mercy Surgery Center David Lenz masked David R Lenz 20555 Victor Parkway, Livonia, MI 48152 7343430654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 7343430654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.904.41.3 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 05:32:59 UV 2.16.840.1.113883.3.137.4.903.13.11 thmhpsmskhwfm Trinity Health Mercy Health Physician Services Harborwood Family Medicine Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.11 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 05:35:42 UV 2.16.840.1.113883.3.137.4.903.37.37 thmhppgrwfmr Trinity Health Mercy Health Physician Partners Wege FM Residency David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.37 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 05:40:49 UV 2.16.840.1.113883.3.137.4.904.55.1 thcepnfms Trinity Health Chelsea Employed Physicians Network Family Medicine Of Stockbridge David Lenz masked David R Lenz 20555 Victor Parkway, Livonia, MI 48152 7343430654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 7343430654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.904.55.1 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 05:44:51 UV 2.16.840.1.113883.3.137.4.904.55.2 thcepncr Trinity Health Chelsea Employed Physicians Network Chelsea Rheumatology David Lenz masked David R Lenz 20555 Victor Parkway, Livonia, MI 48152 7343430654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 7343430654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 3 Complete 2.16.840.1.113883.3.137.4.904.55.2 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 05:46:24 UV 2.16.840.1.113883.3.137.4.903.37.38 thmhppgrwimp Trinity Health Mercy Health Physician Partners Wege IM Private David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.38 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 05:52:53 UV 2.16.840.1.113883.3.137.4.903.13.12 thmhpsmskhwatl Trinity Health Mercy Health Physician Services Harborwood At The Lakes Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trintiy Health 20555 Victor Parkway Livonia, MI 45152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.12 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 05:37:38 UV 2.16.840.1.113883.3.137.4.904.55.3 thcepndim Trinity Health Chelsea Employed Physicians Network Dexter Internal Medicine David Lenz masked David R Lenz 20555 Victor Parkway, Livonia, MI 48152 7343430654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 7343430654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.904.55.3 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 05:49:21 UV 2.16.840.1.113883.3.137.4.903.37.39 thmhppgrwimr Trinity Health Mercy Health Physician Partners Wege IM Residency David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.39 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 05:54:29 UV 2.16.840.1.113883.3.137.4.904.55.4 thcepndimp Trinity Health Chelsea Employed Physicians Network Dexter Internal Medicine And Pediatrics David Lenz masked David R Lenz 20555 Victor Parkway, Livonia, MI 48152 7343430654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 7343430654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.904.55.4 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 05:50:26 UV 2.16.840.1.113883.3.137.4.903.13.13 thmhpsmsklmw Trinity Health Mercy Health Physician Services Lakeshore Medical Whitehall Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.13 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 05:42:09 UV 2.16.840.1.113883.3.137.4.904.55.5 thcepnwhc Trinity Health Chelsea Employed Physicians Network Womens Health Center David Lenz masked David R Lenz 20555 Victor Parkway, Livonia, MI 48152 7343430654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 7343430654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.904.55.5 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 05:51:19 UV 2.16.840.1.113883.3.6062 lmg Loudoun Medical Group Corey Perloff masked Corey Perloff 224D Cornwall St NW Suite 403 Leesburg, VA 20176 7037376011 masked Director of IT Loudoun Medical Group 236 Rebecca Dr224D Cornwall St NW Suite 403 Leesburg, VA 20176 7037376011 cperloff@lmgdoctors.com Provider Int 3 Complete 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 06:00:20 UV 2.16.840.1.113883.3.137.4.904.56.1 thdmpc Trinity Health Douglas M Portz MD PC Clinic David Lenz masked David R Lenz 20555 Victor Parkway, Livonia, MI 48152 7343430654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 7343430654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.904.56.1 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 06:03:33 UV 2.16.840.1.113883.3.137.4.903.37.40 thmhppgrwsp Trinity Health Mercy Health Physician Partners Wege Specialty Pulmonology David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.40 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 06:07:15 UV 2.16.840.1.113883.3.137.4.903.13.14 thmhpsmskobl Trinity Health Mercy Health Physician Services OB Laborist Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.14 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 06:09:35 UV 2.16.840.1.113883.3.137.4.904.70.1 thsmmppcce Trinity Health St Mary Mercy Physicians Livonia SMM Primary Care Central David Lenz masked David R Lenz 20555 Victor Parkway, Livonia, MI 48152 7343430654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 7343430654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.904.70.1 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 06:12:19 UV 2.16.840.1.113883.3.137.4.903.37.41 thmhppgrwywec Trinity Health Mercy Health Physician Partners WY Weekend Exp Care David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.41 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 06:14:45 UV 2.16.840.1.113883.3.137.4.904.70.2 thsmmpwsobgync Trinity Health St Mary Mercy Physicians Livonia Canton WSOBGYN David Lenz masked David R Lenz 20555 Victor Parkway, Livonia, MI 48152 7343430654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 7343430654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.904.70.2 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 06:16:55 UV 2.16.840.1.113883.3.137.4.903.13.15 thmhpsmskffm Trinity Health Mercy Health Physician Services Fruitport Family Medicine Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.15 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 06:26:38 UV 2.16.840.1.113883.3.137.4.903.37.42 thmhppgrwy Trinity Health Mercy Health Physician Partners Wyoming David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.42 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 06:21:13 UV 2.16.840.1.113883.3.137.4.903.13.16 thmhpsmsklfm Trinity Health Mercy Health Physician Services Lakes Family Medicine Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.16 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 06:27:37 UV 2.16.840.1.113883.3.137.4.903.44.1 thfmsgrc Trinity Health Family Medicine Specialists Grand Rapids Clinic David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.44.1 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 06:23:51 UV 2.16.840.1.113883.3.137.4.903.13.17 thmhpsmsklsmcs Trinity Health Mercy Health Physician Services Lakeshore Medical Cntr Shelby Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 737-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.17 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 06:30:15 UV 2.16.840.1.113883.3.137.4.903.13.18 thmhpsmskhvfm Trinity Health Mercy Health Physician Services Harbourview Family Medicine Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.18 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 06:30:53 UV 2.16.840.1.113883.3.137.4.903.13.19 thmhpsmsklobgyn2 Trinity Health Mercy Health Physician Services Lakes OBGYN 215A Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.19 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 06:31:51 UV 2.16.840.1.113883.3.137.4.903.13.20 thmhpsmsklsmp Trinity Health Mercy Health Physician Services Lakeshore Med Plus Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.20 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 06:36:11 UV 2.16.840.1.113883.3.137.4.903.13.21 thmhpsmsklsmcp Trinity Health Mercy Health Physician Services Lakeshore Medical Cntr Procedures Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.21 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 06:37:26 UV 2.16.840.1.113883.3.137.4.903.13.22 thmhpsmsklobgynmp Trinity Health Mercy Health Physician Services Lakes OBGYN MP Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.22 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 06:38:26 UV 2.16.840.1.113883.3.137.4.903.13.23 thmhpsmskwvfm Trinity Health Mercy Health Physician Services West View Family Medicine Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.23 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 06:39:23 UV 2.16.840.1.113883.3.137.4.903.13.24 thmhpsmsknpfd Trinity Health Mercy Health Physician Services Norton Family Practice Dexa Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.24 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 06:40:57 UV 2.16.840.1.113883.3.137.4.903.13.25 thmhpsmsklobgyn Trinity Health Mercy Health Physician Services Lakes OBGYN Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-43-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.25 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 06:42:10 UV 2.16.840.1.113883.3.137.4.903.13.26 thmhpsmskams Trinity Health Mercy Health Physician Services Adult Medicine Specialists Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trintiy Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.26 2015/03/02 12:00:00 2015/03/13 06:43:07 UV 2.16.840.1.113883.3.137.4.903.13.27 thmhpsmskcbc Trinity Health Mercy Health Physician Services MH Comp Breast Clinic Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.27 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 06:45:01 UV 2.16.840.1.113883.3.137.4.903.13.28 thmhpsmsknc Trinity Health Mercy Health Physician Services Norris Creek Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 205555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.28 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 06:50:29 UV 2.16.840.1.113883.3.137.4.903.13.29 thmhpsmskmhplsmp Trinity Health Mercy Health Physician Services MHP Lakeshore Med Plus Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.29 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 06:51:48 UV 2.16.840.1.113883.3.137.4.903.13.30 thmhpsmsklsmhpmcs Trinity Health Mercy Health Physician Services MHP Lakeshore Medical Cntr Shelby Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.30 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 06:53:37 UV 2.16.840.1.113883.3.137.4.903.13.31 thmhpsmsklmwh Trinity Health Mercy Health Physician Services MHP Lakeshore Medical Whitehall Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.31 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 06:54:46 UV 2.16.840.1.113883.3.137.4.903.13.32 thmhpsmskspfc Trinity Health Mercy Health Physician Services Sable Point Family Care Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.32 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 06:56:44 UV 2.16.840.1.113883.3.137.4.903.37.1 thmhppgraccp Trinity Health Mercy Health Physician Partners ACCP Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.1 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 07:26:05 UV 2.16.840.1.113883.3.137.4.903.37.2 thmhppgrbc Trinity Health Mercy Health Physician Partners Browning Claytor Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livoia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.2 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 07:26:48 UV 2.16.840.1.113883.3.137.4.903.37.3 thmhppgrc Trinity Health Mercy Health Physician Partners Caledonia Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.3 2015/03/02 12:00:00 2015/03/13 07:27:40 UV 2.16.840.1.113883.3.137.4.903.37.4 thmhppgrcde Trinity Health Mercy Health Physician Partners Center For Diabetes Endocrine Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.4 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 07:29:22 UV 2.16.840.1.113883.3.137.4.903.37.5 thmhppgrcsm Trinity Health Mercy Health Physician Partners Clinica Santa Maria Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architech Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.5 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 07:30:15 UV 2.16.840.1.113883.3.137.4.903.37.6 thmhppgrdto Trinity Health Mercy Health Physician Partners Downtown Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.6 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 07:31:08 UV 2.16.840.1.113883.3.137.4.903.37.7 thmhppgreb Trinity Health Mercy Health Physician Partners East Beltline Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.7 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 07:31:54 UV 2.16.840.1.113883.3.137.4.903.37.8 thmhppgrecwdeb Trinity Health Mercy Health Physician Partners Express Care Weekday East Beltline Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.8 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 07:32:46 UV 2.16.840.1.113883.3.137.4.903.37.9 thmhppgrecwdnw Trinity Health Mercy Health Physician Partners Express Care Weekday Northwest Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.9 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 07:34:09 UV 2.16.840.1.113883.3.137.4.903.37.10 thmhppgrecwdr Trinity Health Mercy Health Physician Partners Express Care Weekday Rivertown Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.10 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 07:35:06 UV 2.16.840.1.113883.3.137.4.903.37.11 thmhppgrecwedto Trinity Health Mercy Health Physician Partners Express Care Weekend Downtown Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.11 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 07:40:06 UV 2.16.840.1.113883.3.6063 mvhw Marble Valley HealthWorks OID Root Ann Hughes masked Ann Hughes 8 Commons Street Rutland, VT 05701 802-770-1807 masked Practice Manager Marble Valley HealthWorks 8 Commons Street Rutland, VT 05701 802-770-1807 ann.hughes@mvhealthworks.com http://www.yourhealthyourdoctor.com Provider Int 3 Complete 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 07:38:35 UV 2.16.840.1.113883.3.137.4.903.37.12 thmhppgrecweeb Trinity Health Mercy Health Physician Partners Express Care Weekend East Beltline Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.12 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 07:43:44 UV 2.16.840.1.113883.3.137.4.903.37.13 thmhppgrecwenw Trinity Health Mercy Health Physician Partners Express Care Weekend Northwest Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.13 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 07:44:48 UV 2.16.840.1.113883.3.137.4.903.37.14 thmhppgrecwer Trinity Health Mercy Health Physician Partners Express Care Weekend Rivertown Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.14 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 07:45:45 UV 2.16.840.1.113883.3.137.4.903.37.15 thmhppgrvsm Trinity Health Mercy Health Physician Partners GR Vascular Surgery Metro Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.15 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 07:50:24 UV 2.16.840.1.113883.3.137.4.903.37.16 thmhppgrvssmhc Trinity Health Mercy Health Physician Partners GR Vascular Surgery SMHC Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.16 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 07:54:55 UV 2.16.840.1.113883.3.137.4.903.37.17 thmhppgrcdt Trinity Health Mercy Health Physician Partners Grand River Cardiology DT Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.17 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 07:56:52 UV 2.16.840.1.113883.3.137.4.903.37.18 thmhppgrcse Trinity Health Mercy Health Physician Partners Grand River Cardiology SE Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.18 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 07:57:59 UV 2.16.840.1.113883.3.137.4.903.37.19 thmhppgrcsw Trinity Health Mercy Health Physician Partners Grand River Cardiology SW Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.19 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 07:59:21 UV 2.16.840.1.113883.3.137.4.903.37.20 thmhppgrhsc Trinity Health Mercy Health Physician Partners Heartside Clinic Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.20 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 08:00:54 UV 2.16.840.1.113883.3.137.4.903.37.21 thmhppgrid Trinity Health Mercy Health Physician Partners Infectious Disease Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.21 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 08:03:16 UV 2.16.840.1.113883.3.6064 tthca The Troy Hospital Health Care Authority Alice Teal masked Alice Teal 1330 Hwy 231 South Troy, Alabama 36081 334-670-5000 masked Compliance Officer The Troy Hospital Health Care Authority 1330 Hwy 231 South Troy, Alabama 36081 334-670-5000 alice.teal@troymedicalcenter.com Provider Int 3 Complete 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 08:27:30 UV 2.16.840.1.113883.3.137.4.903.37.22 thmhppgrj Trinity Health Mercy Health Physician Partners Jenison Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.22 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 08:06:17 UV 2.16.840.1.113883.3.137.4.903.37.23 thmhppgrmipct Trinity Health Mercy Health Physician Partners MIPct Lesa Dugan masked David R. Lenz 20555 Victor Parkway Livonia, MI 48152 734-343-0654 masked Architect Trinity Health 20555 Victor Parkway Livonia, MI 48152 734-343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.23 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 08:07:19 UV 2.16.840.1.113883.3.6065 stlco Saint Louis County Department of Health Ahmed Raoof masked Jamison Velda 6121 North Hanley Road Berkeley MO 63134 314 615 6877 masked IT Manager St. Louis County Dept. of Health 6121 North Hanley Road Berkeley MO 63134 (314) 615 0600 vjamison@stlouisco.com http://www.stlouisco.com/doh Govt body Int 3 Complete 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 08:28:35 UV 2.16.840.1.113883.3.6066 n3-Nanthealth Nanthealth root OID Robert Alkire masked Ravi Seshadri 5000 Quorum Drive, Suite 400 Dallas, TX 75254 1.855.WHY.NANT masked Nanthealth 9920 Jefferson Blvd, Culver City, CA 90232 1.855.WHY.NANT info@nanthealth.com http://www.nanthealth.com Vendor Int 3 Complete 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 08:31:07 UV 2.16.840.1.113883.3.137.4.904.70.3 thsmmpwsobgynl Trinity Health St Mary Mercy Physicians Livonia WSOBGYN Livonia David Lenz masked David R Lenz 20555 Victor Parkway, Livonia, MI 48152 7343430654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 7343430654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.904.70.3 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 08:33:53 UV 2.16.840.1.113883.3.137.4.904.70.4 thsmmpsmw Trinity Health St Mary Mercy Physicians Livonia SMM Sports Med Wellness David Lenz masked David R Lenz 20555 Victor Parkway, Livonia, MI 48152 7343430654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 7343430654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.904.70.4 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 08:34:47 UV 2.16.840.1.113883.3.137.4.904.70.5 thsmmpsmp Trinity Health St Mary Mercy Physicians Livonia SMM Sports Med Primary David Lenz masked David R Lenz 20555 Victor Parkway, Livonia, MI 48152 7343430654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 7343430654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.904.70.5 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 08:35:38 UV 2.16.840.1.113883.3.137.4.904.70.6 thsmmppcca Trinity Health St Mary Mercy Physicians Livonia SMM Primary Care Campus David Lenz masked David R Lenz 20555 Victor Parkway, Livonia, MI 48152 7343430654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 7343430654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.904.70.6 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 08:37:03 UV 2.16.840.1.113883.3.137.4.904.70.7 thsmmpmgu Trinity Health St Mary Mercy Physicians Livonia Michigan Gynecology And Urogynecology David Lenz masked David R Lenz 20555 Victor Parkway, Livonia, MI 48152 7343430654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 7343430654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.904.70.7 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 08:37:56 UV 2.16.840.1.113883.3.137.4.904.70.8 thsmmppcn Trinity Health St Mary Mercy Physicians Livonia SMM Primary Care North David Lenz masked David R Lenz 20555 Victor Parkway, Livonia, MI 48152 7343430654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 7343430654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.904.70.8 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 08:38:53 UV 2.16.840.1.113883.3.6067 gcmed Gulfshore Concierge Medicine Eric Hochman masked Eric Hochman 239 325-1020 masked MD Gulfshore Concierge Medicine 1350 Tamiami Tr Suite 101 Naples, FL 34102 239 325-1020 staff@gcmedicine.com Provider Int 3 Complete 2015/03/02 12:00:00 2015/03/13 12:00:00 2015/03/13 08:41:23 UV 2.16.840.1.113883.3.137.4.901.2 thsamg Trinity Health St. Alphonsus Medical Group David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.901.2 2015/03/04 12:00:00 2015/03/13 12:00:00 2015/03/13 08:45:00 UV 2.16.840.1.113883.3.137.4.902.43 thmcmc Trinity Health Mercy Clinics David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.902.43 2015/03/04 12:00:00 2015/03/13 12:00:00 2015/03/13 08:46:40 UV 2.16.840.1.113883.3.137.4.902.20 thmmssc Trinity Health Mercy Medical Services David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.902.20 2015/03/04 12:00:00 2015/03/13 12:00:00 2015/03/13 08:49:01 UV 2.16.840.1.113883.3.137.4.903.13 thmhpsmsk Trinity Health Mercy Health Physician Services David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13 2015/03/04 12:00:00 2015/03/13 12:00:00 2015/03/13 08:54:41 UV 2.16.840.1.113883.3.137.4.903.37 thmhppgr Trinity Health Mercy Health Physician Partners David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37 2015/03/04 12:00:00 2015/03/13 12:00:00 2015/03/13 08:56:39 UV 2.16.840.1.113883.3.137.4.903.44 thfmsgr Trinity Health Family Medicine Specialists PC David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.44 2015/03/04 12:00:00 2015/03/13 12:00:00 2015/03/13 09:02:22 UV 2.16.840.1.113883.3.137.4.903.45 thgvwgr Trinity Health Gerald VanWieren M.D., P.C. David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.45 2015/03/04 12:00:00 2015/03/13 12:00:00 2015/03/13 09:04:01 UV 2.16.840.1.113883.3.137.4.903.47 thgrfpgr Trinity Health Grand Rapids Family Physicians PLC David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.47 2015/03/04 12:00:00 2015/03/13 12:00:00 2015/03/13 09:17:29 UV 2.16.840.1.113883.3.137.4.904.15 thdmpcc Trinity Health Detroit Mercy Primary Care Center Clinic David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.904.15 2015/03/04 12:00:00 2015/03/13 12:00:00 2015/03/13 09:19:35 UV 2.16.840.1.113883.3.137.4.904.41 thphmc Trinity Health Port Huron Mercy Care David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.904.41 2015/03/04 12:00:00 2015/03/13 12:00:00 2015/03/13 09:21:35 UV 2.16.840.1.113883.3.137.4.904.55 thcepn Trinity Health Chelsea Employed Physicians Network David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.904.55 2015/03/04 12:00:00 2015/03/13 12:00:00 2015/03/13 09:25:29 UV 2.16.840.1.113883.3.137.4.904.70 thsmmp Trinity Health St Mary Mercy Physicians David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.904.70 2015/03/04 12:00:00 2015/03/13 12:00:00 2015/03/13 09:34:35 UV 2.16.840.1.113883.3.137.4.905.38 thhchnpss Trinity Health Holy Cross Health Network Practices David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.905.38 2015/03/04 12:00:00 2015/03/13 12:00:00 2015/03/13 09:37:36 UV 2.16.840.1.113883.3.137.4.906.67 thmcmgc Trinity Health Mount Carmel Medical Group David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.906.67 2015/03/04 12:00:00 2015/03/13 12:00:00 2015/03/13 09:40:14 UV 2.16.840.1.113883.3.137.4.906.68 thmcpc Trinity Health Mount Carmel Physicians David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.906.68 2015/03/04 12:00:00 2015/03/13 12:00:00 2015/03/13 09:42:05 UV 2.16.840.1.113883.3.137.4.907.2 theenps Trinity Health ENPS (East Norton Physicians) David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.907.2 2015/03/04 12:00:00 2015/03/13 12:00:00 2015/03/13 09:44:21 UV 2.16.840.1.113883.3.137.4.907.4 themmsepa Trinity Health MMSEPA (Mercy Medical Southeaster PA) David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.907.4 2015/03/04 12:00:00 2015/03/13 12:00:00 2015/03/13 09:46:27 UV 2.16.840.1.113883.3.137.4.907.3 thenps Trinity Health NPS (Nazareth Physicians) David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.907.3 2015/03/04 12:00:00 2015/03/13 12:00:00 2015/03/13 09:50:36 UV 2.16.840.1.113883.3.137.4.907.9 thelps Trinity Health LPS (Langhorne Physician Services) David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.907.9 2015/03/04 12:00:00 2015/03/13 12:00:00 2015/03/13 09:52:58 UV 2.16.840.1.113883.3.137.4.907.13 thelma Trinity Health LMA (Lourdes Medical Assoc.) David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.907.13 2015/03/04 12:00:00 2015/03/13 12:00:00 2015/03/13 09:54:36 UV 2.16.840.1.113883.3.6068 slhnc St. Luke's Hospital OID Root Nick Whichard masked Nick Whichard 101 Hospital Drive Columbus NC 28722 828 894 0989 masked Information Services Director St. Luke's Hospital 101 Hospital Drive Columbus, NC 828 894 3311 nick.whichard@slhnc.org http://www.saintlukeshospital.com Provider Int 3 Complete 2015/03/04 12:00:00 2015/03/10 12:00:00 2015/03/10 05:07:41 UV 2.16.840.1.113883.3.1097.1.1730084 jsmd JOHN SCHMITT MD Stephen Bean masked Ashley Akers 17392 W 13 Mile Rd Beverly Hills, MI 48025-5438 248-642-7575 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730084 2015/03/04 12:00:00 2015/03/14 12:00:00 2015/03/14 01:16:36 UV 2.16.840.1.113883.3.2402.200.6826 physicians-computer-company-clients-vp Physician's Computer Company (PCC) Clients Village Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6826 2015/03/04 12:00:00 2015/03/13 12:00:00 2015/03/13 10:02:43 UV 2.16.840.1.113883.3.1097.1.1730083 lomd Luis Ospina MD Stephen Bean masked Ashley Akers 17392 W 13 Mile Rd Beverly Hills MI 48025-5438 248-642-7575 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730083 2015/03/04 12:00:00 2015/03/14 12:00:00 2015/03/14 01:18:32 UV 2.16.840.1.113883.3.1097.1.2730024 lomdtr Luis Ospina MD TR Stephen Bean masked Ashley Akers 44199 Dequindre Rd Ste 304 Troy, MI 48085-1128 248-642-7575 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2730024 2015/03/04 12:00:00 2015/03/14 12:00:00 2015/03/14 01:21:13 UV 2.16.840.1.113883.3.1097.9.91900101 gnmd GEORGE H NASSIF MD Stephen Bean masked Sheeren Goubrial 42621 Garfield Rd Ste 108 Clinton Township MI 48038-5031 586-263-3312 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91900101 2015/03/04 12:00:00 2015/03/14 12:00:00 2015/03/14 01:24:32 UV 2.16.840.1.113883.3.137.4.903.13.4 thmhpsmsklfc Trinity Health Mercy Health Physician Services Lakeshore Family Care David Lenz masked David R Lenz 20555 Victor Parkway, Livonia, MI 48152 7343430654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 7343430654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.13.4 2015/03/04 12:00:00 2015/03/14 12:00:00 2015/03/14 01:30:54 UV 2.16.840.1.113883.3.1097.9.91890101 lmtr LMT Rehabilitation Associates Stephen Bean masked Amy Thomas 3535 W 13 Mile Rd Ste 437 Royal Oak MI 48073-6770 248-288-2210 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91890101 2015/03/04 12:00:00 2015/03/14 12:00:00 2015/03/14 01:34:36 UV 2.16.840.1.113883.3.1097.9.91930101 ssmd SAADIA SIDDIQUI MD Stephen Bean masked Mrs. Siddiqui 18161 E 8 Mile Rd Eastpointe MI 48021-3219 586-772-720 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91930101 2015/03/04 12:00:00 2015/03/14 12:00:00 2015/03/14 01:36:32 UV 2.16.840.1.113883.3.1097.9.91940101 baurh BISHR AL UJAYLI MD RH Stephen Bean masked Crissy Biauce 1349 S Rochester Rd Ste 115 Rochester Hills MI 48307-3151 248-299-985 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91940101 2015/03/04 12:00:00 2015/03/14 12:00:00 2015/03/14 01:38:32 UV 2.16.840.1.113883.3.6069 ccallp Cardiology Center of Amarillo Brant Campbell masked Brant Campbell 6200 W Interstate 40 Amarillo TX 79106 806-584-0830 masked I.T. Director Cardiology Center of Amarillo 6200 W Interstate 40 Amarillo TX 79106 806-354-9764 bcampbell@ccallp.com http://www.ccallp.com Provider Int 3 Complete 2015/03/04 12:00:00 2015/03/10 12:00:00 2015/03/10 05:09:10 UV 2.16.840.1.113883.3.137.4.907.16 thesmps Trinity Health SMPS (St Michael's Physician Services) David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.907.16 2015/03/04 12:00:00 2015/03/14 12:00:00 2015/03/14 01:42:55 UV 2.16.840.1.113883.3.137.4.904.56 thdmp Trinity Health Douglas M Portz MD PC David Lenz masked David Lenz 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 masked Enterprise Application Architect Trinity Health 20555 Victor Parkway, Livonia, MI 48152 (734)343-0654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.904.56 2015/03/04 12:00:00 2015/03/14 12:00:00 2015/03/14 01:46:56 UV 2.16.840.1.113883.3.1097.9.91910101 sho SOMERSET HEM ONC Stephen Bean masked Dr. Aslam 1380 Coolidge Hwy Ste 200 Troy, MI 48084-7067 248-435-8000 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91910101 2015/03/05 12:00:00 2015/03/14 12:00:00 2015/03/14 01:49:05 UV 2.16.840.1.113883.3.1097.9.91920101 efm Elite Family Medicine Stephen Bean masked Maha Hasso 33200 Dequindre Rd Ste 200 Sterling Heights MI 48310-5967 248-506-5321 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91920101 2015/03/05 12:00:00 2015/03/14 12:00:00 2015/03/14 01:51:25 UV 2.16.840.1.113883.3.6070 ruralhealthcareinc Rural Health Care, Inc.d/b/a/ Azalea Health, Inc. Hugh Holborn masked Hugh Holborn 613 St. Johns Avenue, 3rd floor Palatka, Florida 32177 386-326-7390 masked IT Manager Rural Health Care, Inc.d/b/a/ Azalea Health, Inc. 613 St. Johns Avenue, 3rd floor Palatka, Florida 32177 386-326-0108 wmeade@azahealth.org http://www.azahealth.org Provider Int 3 Complete 2015/03/05 12:00:00 2015/03/14 12:00:00 2015/03/14 01:56:09 UV 2.16.840.1.113883.3.239.13.9 ca-onDTLN Canada, Ontario, College of Dietitians Licence Number Wendy Huang masked Natalya Pogrebetsky 777 Bay Street, 2nd Floor, Toronto, Ontario, Canada M5G 2C8 1 (416) 500 - 6879 masked eHealth Ontario, Ontario, Canada P.O. Box 148, 777 Bay Street, Suite 701, Toronto, Ontario, M5G 2C8 1 (416) 586 - 6500 info@ehealthontario.on.ca http://www.ehealthontario.on.ca/ Govt body 2.16.840.1.113883.3.239 Ext 4 Complete 2.16.840.1.113883.3.239.13.9 2015/03/05 12:00:00 2015/03/14 12:00:00 2015/03/14 02:06:55 UV 2.16.840.1.113883.3.6071 aECA American Eye Care Kenny Hopkins masked Kenny Hopkins 706-323-3652 masked owner American Eye Care 6490 Veteran Parkway Columbus, GA 31909 706-323-3652 contactus@americaneyecare.biz http://www.americaneyecare.biz Provider Int 3 Complete 2015/03/06 12:00:00 2015/03/14 12:00:00 2015/03/14 02:01:47 UV 2.16.840.1.113883.4.850 dss-vxVistA Document Storage Systems, Inc. vxVistA Bob Pedraza masked Mark Byers Bob Pedraza 12575 US Hwy 1, Suite 200 Juno Beach, FL 33408 561-284-7173 masked Manager of Partner Relations Document Storage Systems, Inc. 12575 US Hwy 1, Suite 200 Juno Beach, FL 33408 561-284-7000 rpedraza@dssinc.com http://www.dssinc.com Vendor Int 4 Complete 2015/03/06 12:00:00 2015/03/06 12:00:00 2015/03/06 10:24:23 N/A UV 2.16.840.1.113883.3.6072 sd-doh South Dakota Department of Health Lance Jahnig masked Lance Jahnig 605-800-1678 masked Interface Analyst South Dakota Department of Health Robert Hayes Building 600 E. Capitol Ave. Pierre, SD 57501-2536 Kevin.DeWald@state.sd.us http://doh.sd.gov/ Govt body Int 3 Complete 2015/03/06 12:00:00 2015/03/14 12:00:00 2022/09/28 03:48:40 UV 2.16.840.1.113883.3.6073 odmhsas ODMHSAS root OID Tracy Leeper masked Kevin Marble Tracy Leeper PO Box 53277 Oklahoma City OK 73152 4055223822 masked Policy Analyst OK Dept. Mental Health and Substance Abuse Svcs. PO Box 53277 Oklahoma City OK 73152 4055223822 tleeper@odmhsas.org https://odmhsas.org Govt body Int 3 Complete 2015/03/06 12:00:00 2015/03/10 12:00:00 2015/03/12 04:28:58 UV 2.16.840.1.113883.3.2402.200.3858 physicians-computer-company-clients-eastern Physician's Computer Company (PCC) Clients Eastern Pediatrics, P. A. Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.3858 2015/03/09 12:00:00 2015/03/14 12:00:00 2015/03/14 02:21:03 UV 2.16.840.1.113883.3.2402.200.6859 physicians-computer-company-clients-olney Physician's Computer Company (PCC) Clients Olney Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6859 2015/03/09 12:00:00 2015/03/14 12:00:00 2015/03/14 02:22:54 UV 2.16.840.1.113883.3.6074 jccany Jewish Child Care Association of New York Antonio Garay masked Antonio Garay 1075 Broadway Pleasantville, NY 10570 (914) 741-4506 masked Director of Information Technology Jewish Child Care Association 9147414506 garaya@jccany.org http://www.jccany.org Provider Int 3 Complete 2015/03/09 12:00:00 2015/03/14 12:00:00 2015/03/14 02:30:37 UV 2.16.840.1.113883.3.6075 clq CancerLinQ LLC Andrew Stewart masked Andrew K Stewart 2318 Mill Road, Suite 800, Alexandria, VA 22314 571-483-1753 masked CancerLinQ LLC CancerLinQ LLC 2318 Mill Road, Suite 800, Alexandria, VA 22314 andrew.stewart@asco.org http://cancerlinq.org/ Prof Soc Int 3 Complete 2015/03/10 12:00:00 2015/03/14 12:00:00 2015/03/14 02:31:50 UV 2.16.840.1.113883.3.6076 obgynwestlake OB/GYN Westlake OID Root Mark Glorius masked Jan Benson 30701 Lorain Road North Olmsted, Ohio 44070 440-274-5000,,,,103 masked Vice-President Apex Partners LLC 30701 Lorain Road 440-274-5000 jbenson@apexpar.com http://www.apexpar.com Provider Int 3 Complete 2015/03/11 12:00:00 2015/03/14 12:00:00 2015/03/14 02:33:12 UV 2.16.840.1.113883.3.6077 ihp Integrity Health Plus LLC Jeffrey Cole masked Wade Rosenburg Jeffrey Cole 14830 Venture Dr Farmers Branch TX 75234 214.377.9845 masked IT Director Integrity Health Plus info@integrityhealthplus.com http://www.integrityhealthplus.com Provider Int 3 Complete 2015/03/11 12:00:00 2015/03/14 12:00:00 2015/03/14 02:35:47 UV 2.16.840.1.113883.3.6078 anderson-RMC AndersonRegionalMedicalCenterOID Billy Breland masked Steve Taylor Steve Taylor 2124 14th Street Meridian, MS 39301 6017033500 masked CIO Anderson Regional Medical Center 2124 14th Street Meridian, MS 39301 6015536000 staylor@andersonregional.org Provider Int 3 Complete 2015/03/11 12:00:00 2015/03/14 12:00:00 2015/03/14 02:38:49 UV 2.16.840.1.113883.3.6079 cECS Claris Eye Care & Surgery Cheryl Schow masked Cheryl Schow 710 E 24th St. Suite 102 Minneapolis, MN 55404 6127758011 masked Claris Eye Care & Surgery 710 E 24th St. Suite 102 Minneapolis, MN 55404 6127758009 cschow@clariseycare.com Provider Int 3 Complete 2015/03/12 12:00:00 2015/03/14 12:00:00 2015/03/14 02:41:42 UV 2.16.840.1.113883.3.6074.5.92.1 jcca-hhya Health Homes for Young Adults Antonio Garay masked Antonio Garay 1075 Broadway Pleasantville, NY 10570 9147414506 masked Director of Information Technology Jewish Child Care Association 9147414506 garaya@jccany.org http://www.jccany.org Provider 2.16.840.1.113883.3.6074 Ext 17 Complete 2.16.840.1.113883.3.6074.5.92.1 2015/03/12 12:00:00 2015/03/14 12:00:00 2015/03/14 02:42:55 UV 2.16.840.1.113883.3.6080 nextstep-solutions NextStep Solutions Darrin Hanna masked Darrin Hanna 3201 University Drive Suite 250 Auburn Hills, MI 48326 2483093402 masked CTO NextStep Solutions, Inc. 3201 University Drive Suite 250 Auburn Hills, MI 48326 2483093402 dmhanna@nextstepsolutionsinc.com http://www.nextstepsolutionsinc.com Vendor Int 3 Complete 2015/03/12 12:00:00 2015/03/14 12:00:00 2015/03/14 02:48:48 UV 2.16.840.1.113883.3.6081 antibexIncEClaims Antibex Inc EClaims Dimitri Nissanov masked Slava Nissanov (416) 663 - 3777 masked Antibex Software 116 Rayette Road, Unit 1A Concord, ON L4K 2G3 Canada (416) 663 - 3777 info@antibex.com http://antibex.com/ Vendor Int 3 Complete 2015/03/12 12:00:00 2015/03/14 12:00:00 2015/03/14 02:51:31 UV 2.16.840.1.113883.3.3991.1044 arthritis-care Arthritis Care, PC Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48823 5173327063 masked Interface Programmer Sparrow Health System 1200 E Michigan Ave Lansing, MI 48912 5173641000 ITInterfaceAnalysts@sparrow.org http://www.sparrow.org/ Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1044 2015/03/13 12:00:00 2015/03/14 12:00:00 2015/03/14 03:02:35 UV 2.16.840.1.113883.3.3991.1045 lansing-obgyn-lake-lansing Lansing OB/GYN - Lake Lansing Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48823 5173327063 masked Interface Programmer Sparrow Health System 1201 E Michigan Ave Lansing, MI 48912 5173641000 ITInterfaceAnalysts@sparrow.org http://www.sparrow.org/ Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1045 2015/03/13 12:00:00 2015/03/14 12:00:00 2015/03/14 03:05:27 UV 2.16.840.1.113883.3.3991.1046 lansing-obgyn-stjohns Lansing OB/GYN - St. Johns Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48823 5173327063 masked Interface Programmer Sparrow Health System 1201 E Michigan Ave Lansing, MI 48912 5173641000 ITInterfaceAnalysts@sparrow.org http://www.sparrow.org/ Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1046 2015/03/13 12:00:00 2015/03/14 12:00:00 2015/03/14 03:07:14 UV 2.16.840.1.113883.3.3991.1047 smg-muir Sparrow Medical Group - Muir Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48823 5173327063 masked Interface Programmer Sparrow Health System 1201 E Michigan Ave Lansing, MI 48912 5173641000 ITInterfaceAnalysts@sparrow.org http://www.sparrow.org/ Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1047 2015/03/13 12:00:00 2015/03/14 12:00:00 2015/03/14 03:09:27 UV 2.16.840.1.113883.3.6082 ttp-DermHealthPoint Texas Tech Dermatology Department at Health Point Rae Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street RM 1B150 MS 8352 Lubbock,Texas 79430 806-743-4357 masked Unit Manager Texas Tech Dermatology Health Point 3601 4th street RM 1B150 MS 8352 Lubbock,Texas 79430 806-743-4357 emrhelpdesklubbock@ttuhsc.edu http://www.ttuhsc.edu/som/dermatology Academic Int 3 Complete 2015/03/13 12:00:00 2015/03/14 12:00:00 2015/03/14 03:13:45 UV 2.16.840.1.113883.3.6083 ttp-combestcentral TTP - Combest Central Community Health Center Rae Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street RM 1B150 MS 8352 Lubbock, Texas 79430 806-743-4357 masked Unit Manager Combest Central Community Health Center 806-743-4357 emrhelpdesklubbock@ttuhsc.edu http://www.ttuhsc.edu/son/combest Academic Int 3 Complete 2015/03/13 12:00:00 2015/03/14 12:00:00 2021/10/07 10:25:46 UV 2.16.840.1.113883.3.6084 soah-slh SOAH- Speech, language & Hearing Rae Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street rm 1b150 ms 8352 Lubbock, Texas 79430 806-743-4357 masked Unit Manager SOAH-Speech,Language & Hearing 806-743-4357 emrhelpdesklubbock@ttuhsc.edu http://www.ttuhsc.edu/sah/cdu/ Academic Int 3 Complete 2015/03/13 12:00:00 2015/03/14 12:00:00 2015/03/14 03:18:16 UV 2.16.840.1.113883.3.6085 ttp-swcc TTP Southwest Cancer Center Rae Rodriguez masked Thomas Wise Rae Ann Rodriguez 3601 4th street RM 1B150 MD 8352 Lubbock,Texas 79430 806-743-4357 masked Unit Manager TTP Cancer Center 806-743-4357 emrhelpdesklubbock@ttuhsc.edu http://www.umchealthsystem.com/ Academic Int 3 Complete 2015/03/13 12:00:00 2015/03/14 12:00:00 2015/03/14 03:20:59 UV 2.16.840.1.113883.3.6086 rmchosp Riverside Medical Center Byron Griffith masked Scott Griffith 747 Pine St Jena, LA 71342 318 992 0626 masked CIO Riverside Medical Center 1900 Main St, Franklinton, LA 70438 (985) 795-4294 scott@geauxtech.com http://www.rmchospital.com Provider Int 3 Complete 2015/03/16 12:00:00 2015/03/25 12:00:00 2015/03/25 05:50:26 UV 2.16.840.1.113883.3.6087 apcclinic ADVANCED PEDIATRIC CARE Moazzam Saeed masked MOAZZAM SAEED 215 REMINGTON BLVD SUITE B BOLINGBROOK, IL 60440 6302265300 masked ADVANCED PEDIATRIC CARE 300 READ STREET, SUITE D LOCKPORT, IL 60441 8158387337 moaz3339@gmail.com http://www.advancedpediatriccare.com Provider Int 3 Complete 2015/03/17 12:00:00 2015/03/25 12:00:00 2015/03/25 05:51:56 UV 2.16.840.1.113883.3.2402.200.6865 physicians-computer-company-clients-scpa Physician's Computer Company (PCC) Clients South Carolina Pediatric Alliance Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6865 2015/03/17 12:00:00 2015/03/25 12:00:00 2015/03/25 05:54:33 UV 2.16.840.1.113883.3.6088 cherry-H Cherry Health Andre Beaumont masked Andre Beaumont 201 Sheldon Blvd SE Grand Rapids, MI 49506 616-965-8231 masked Senior Database Manager Cherry Health 100 Cherry Street SE Grand Rapids, MI 49506 616-965-8200 andrebeaumont@cherryhealth.com http://www.cherryhealth.org/ Provider Int 3 Complete 2015/03/17 12:00:00 2015/03/25 12:00:00 2015/03/25 05:56:16 UV 2.16.840.1.113883.3.6089 infocqm Infomedika, Inc. Measure Authoring Tool HECTOR SANTINI masked Hector R. Santini 181 FD Roosevelt Ave. Hato Rey San Juan, PR 00917 787-620-2474 masked V. P. Infomedika, Inc. 181 FD Roosevelt Ave. Hato Rey San Juan, PR 00917 787-620-2474 hsantini@infomedika.com http://www.infomedika.com Vendor Int 3 Complete 2015/03/18 12:00:00 2015/03/25 12:00:00 2015/03/25 05:59:50 UV 2.16.840.1.113883.3.6090 cfhcms Coastal Family Health Center MS Chuck Clark masked Chuck Clark 228-374-2494 masked Information Systems Director Coastal Family Health Center PO 475 Biloxi, MS 39531 228-374-2494 cclark@coastalfamilyhealth.org http://www.coastalfamilyhealth.org Provider Int 3 Complete 2015/03/18 12:00:00 2015/03/25 12:00:00 2015/03/25 06:02:47 UV 2.16.840.1.113883.3.6091 mmcenters Marshall Medical Centers Kim Bunch masked Kim Bunch 2505 US Highway 431 Boaz, AL 35957 256-840-4891 masked Director of Information Technology Marshall Medical Centers 2505 US Highway 431 Boaz, AL 35957 256-593-8310 marshallmedcenters@mmcenters.com http://www.mmcenters.com Provider Int 3 Complete 2015/03/18 12:00:00 2015/03/25 12:00:00 2015/03/25 06:06:54 UV 2.16.840.1.113883.3.6092 pdxinc PDX Incorporated Todd Crosslin masked Todd Crosslin 8172466760 masked SVP, Software Development PDX, Inc 101 Jim Wright Fwy, Ste 200 Fort Worth, TX 76108 8172466760 tcrosslin@pdxinc.com https://www.pdxinc.com Vendor Int 3 Complete 2015/03/19 12:00:00 2015/03/25 12:00:00 2015/03/25 06:09:34 UV 2.16.840.1.113883.3.6093 brooksrehab Brooks Rehabilitation Jayne Shults masked Jayne Shults 3599 University Blvd S Jacksonville, Fl 32216 904-345-7835 masked Applications Manager Genesis Health dba Brooks Rehabilitation 3599 University Blvd S Jacksonville, Fl 32216 904-345-7600 brooksIThelpdesk@brooksrehab.org http://www.brookshealth.org/ Provider Int 3 Complete 2015/03/19 12:00:00 2015/03/25 12:00:00 2015/03/25 06:11:22 UV 2.16.840.1.113883.3.6094 cHMCNTR California Hospital Medical Center Linda Barrie masked Linda Barrie (818) 885-3509 masked California Hospital Medical Center 1401 S. Grand Ave. Los Angeles, CA 90015 (213) 748-2411 linda.barrie@dignityhealth.org https://www.dignityhealth.org/californiahospital Provider Int 3 Complete 2015/03/20 12:00:00 2015/03/25 12:00:00 2015/03/25 06:14:31 UV 2.16.840.1.113883.3.6095 dhSBMC St. Bernardine Medical Center Linda Barrie masked Linda Barrie (818) 885-3509 masked St. Bernardine Medical Center 2101 N Waterman Ave San Bernardino, CA 92404 (909) 883-8711 linda.barrie@dignityhealth.org https://www.stbernardinemedicalcenter.org Provider Int 3 Complete 2015/03/20 12:00:00 2015/03/25 12:00:00 2015/03/25 06:15:56 UV 2.16.840.1.113883.3.6096 dhBMH Bakersfield Memorial Hospital Linda Barrie masked Linda Barrie (818) 885-3509 masked Bakersfield Memorial Hospital 420 34th St Bakersfield, CA 93303 661) 327-4647 linda.barrie@dignityhealth.org https://www.bakersfieldmemorial.org Provider Int 3 Complete 2015/03/20 12:00:00 2015/03/25 12:00:00 2015/03/25 06:17:38 UV 2.16.840.1.113883.3.6097 dhMHB Mercy Hospital of Bakersfield Linda Barrie masked Linda Barrrie (818) 885-3509 masked Mercy Hospital of Bakersfield 2215 Truxtun Ave Bakersfielk, CA 93301 (661) 632-5000 linda.barrie@dignityhealth.org https://www.mercybakersfield.org/ Provider Int 3 Complete 2015/03/20 12:00:00 2015/03/25 12:00:00 2015/03/25 06:18:57 UV 2.16.840.1.113883.3.6098 dhGMH Glendale Memorial Hospital Linda Barrie masked Linda Barrie (818) 885-3509 masked Glendale Memorial Hospital 1420 S Central Ave Glendale, CA 91204 (818) 502-1900 linda.barrie@dignityhealth.org https://www.dignityhealth.org/glendalememorial Provider Int 3 Complete 2015/03/20 12:00:00 2015/03/25 12:00:00 2015/03/25 06:20:52 UV 2.16.840.1.113883.3.6099 bellevuecollege Bellevue College Caroline Spice masked Esther Daniels 425.564.3331 masked Project Manager Bellevue College 3000 Landerholm Circle Bellevue, WA 98007 425.564.1000 esther.daniels@bellevuecollege.edu Academic Int 3 Complete 2015/03/22 12:00:00 2015/03/25 12:00:00 2015/03/25 06:23:06 UV 2.16.840.1.113883.3.6100 kat KATHRYN L. FORD FAMILY PRACTICE CENTER, L.L.C. OID Root Rosalie Ford masked Rosalie Ford 302-674-8088 masked Office Manager KATHRYN L. FORD FAMILY PRACTICE CENTER, L.L.C. 870 S. Governors Ave. Dover, DE 19904 302-674-8088 klfordfpcenter@hotmail.com Provider Int 3 Complete 2015/03/24 12:00:00 2015/03/25 12:00:00 2015/03/25 06:27:35 UV 2.16.840.1.113883.3.6101 gmh2015 Gothenburg Memorial Hospital Tinna Therrien masked Tinna Therrien 910 20th st Gothenburg NE 69138 308-537-4019 masked CIO Director of Clinical Informatics Gothenburg Memorial Hospital 910 20th st Gothenburg NE 69138 308-537-3661 ttherrien@ghospital.org http://www.ghospital.org/getpage.php?name=index Provider Int 3 Complete 2015/03/24 12:00:00 2015/03/25 12:00:00 2015/03/25 06:29:40 UV 2.16.840.1.113883.3.6102 adultmedical Adult Medical Associates OID Root Diana Burda masked Diana M Burda, MD 15929 S Bell Road Homer Glen, IL 60491 708-745-5600 masked Physician/owner Diana M Burda, MD 15929 S Bell Road Homer Glen, IL 60491 708-745-5600 dburdamd@yahoo.com https://www.adultmedicalassociates.com Provider Int 3 Complete 2015/03/24 12:00:00 2015/03/25 12:00:00 2015/03/25 06:31:03 UV 2.16.840.1.113883.3.6103 vCU-CMH VCU Community Memorial Hospital Tracy Jackson masked Tracy Jackson 125 Buena Vista Circle South Hill, VA 23970 4344473151 masked Assistant Director, Information Systems VCU Community Memorial Hospital 125 Buena Vista Circle South Hill, VA 23970 4344473151 tracy.doyle@cmh-sh.org Provider Int 3 Complete 2015/03/25 12:00:00 2015/03/25 12:00:00 2015/03/25 06:35:38 UV 2.16.840.1.113883.3.6104 tsmh Tri-State Memorial Hospital Avi Popovich masked Avi Popovich 1221 Highland Avenue Clarkston, WA 99403 509-758-5511 masked IT Director Tri-State Memorial Hospital 1221 Highland Avenue Clarkston, WA 99403 509-758-5511 admin@tsmh.org http://tristatehospital.org Provider Int 3 Complete 2015/03/25 12:00:00 2015/03/25 12:00:00 2015/03/25 06:37:54 UV 2.16.840.1.113883.3.6105 royalfree Royal Free London Hospital site OID identifier Michael Leenane masked Michael Leenane Information Systems Directorate Royal Free London NHS Foundation Trust Pond Street London NW3 2QG 0207 830 2172 masked Head of Systems Information Royal Free London NHS Foundation Trust Royal Free London NHS Foundation Trust Pond Street London NW3 2QG 020 7794 0500 rf.communications@nhs.net https://www.royalfree.nhs.uk Provider Int 3 Complete 2015/03/25 12:00:00 2015/03/25 12:00:00 2015/03/25 06:39:21 UV 2.16.840.1.113883.3.6106 battelle Battelle Memorial Institute Jeffrey Geppert masked Jeffrey J Geppert 614.424.5111 masked Research Leader Battelle Memorial Institute 505 King Avenue Columbus, OH 43201 1.800.201.2011 solutions@battelle.org http://www.battelle.org/ SDO Int 3 Complete 2015/03/25 12:00:00 2015/03/25 12:00:00 2015/03/25 07:03:20 UV 2.16.840.1.113883.3.6107 cCNS-BHS Catholic Charities Neighborhood Services (Behavioral Health Services) Gabriela Joita masked Gabriela Joita 191 Joralemon Street, 11th Floor Brooklyn, NY 11201 718-722-6053 masked EHR Manager Catholic Charities Neighborhood Services 191 Joralemon Street, 11th Floor Brooklyn, NY 11201 718-722-6058 pmahon@ccbq.org Provider Int 3 Complete 2015/03/25 12:00:00 2015/03/25 12:00:00 2015/03/25 07:07:13 UV 2.16.840.1.113883.3.6108 mohamedali mohamed Ali MD Prof Corp OID Root Mohamed Ali masked Mohamed Ali 10165 Foothill Blvd, STE 26 Rancho Cucmonga, CA 91730 9094810800 masked Owner Mohamed Ali MD 10165 Foothill Blvd, STE 26 Rancho Cucmonga, CA 91730 9094810800 alizone2@gmail.com Provider Int 3 Complete 2015/03/25 12:00:00 2015/03/25 12:00:00 2015/03/25 07:10:42 UV 2.16.840.1.113883.3.6109 hkimuramd Hidenao Kimura, M.D. OID ROOT Hidenao Kimura masked Hidenao Kimura, M.D. 6475 SW Borland Road Suite J Tualatin, OR 97062 503-612-1181 masked owner Hidenao Kimura, M.D. 6475 SW Borland Road Suite J Tualatin, OR 97062 503-612-1181 hkimura@frontier.com Provider Int 3 Complete 2015/03/25 12:00:00 2015/03/25 12:00:00 2015/03/25 07:11:52 UV 2.16.840.1.113883.3.6110 cmsCQM Clinical Quality Meterics Alice Loveys masked Alice Loveys 510 Kreag Road STE 4 Pittsford, NY 14534 585-218-9560 masked CMIO IT Practice Consulting 510 Kreag Road STE 4 Pittsford, NY 14534 585-218-9560 aloveys@itpc-corp.com https://www.itpc-corp.com Provider Int 3 Complete 2015/03/27 12:00:00 2015/03/28 12:00:00 2015/03/28 10:00:57 0369 UV 2.16.840.1.113883.3.6111 lovelace LovelaceMedicalCenter Ben Ware masked Ben Ware One Burton Hills Suite 250 Nashville, TN 37215 615.296.3336 masked Interface Developer Lovelace Medical Center 4101 INDIAN SCHOOL RD NE SUITE 405 ALBUQUERQUE, NM 87110-3988 6152963000 ITS_Cloverleaf_Team@ardenthealth.com http://www.lovelace.com/ Provider Int 3 Complete 2015/03/27 12:00:00 2015/03/28 12:00:00 2015/03/28 10:03:00 UV 2.16.840.1.113883.3.6112 lovelaceWomens Lovelace Women's Hospital Ben Ware masked Ben Ware One Burton Hills Suite 250 Nashville, TN 37215 615.296.3336 masked Interface Developer Lovelace Women's Hospital 4701 Montgomery Blvd NE Albuquerque, NM 87109 (505) 727-7800 ITS_Cloverleaf_Team@ardenthealth.com http://www.lovelace.com/ Provider Int 3 Complete 2015/03/27 12:00:00 2015/03/28 12:00:00 2015/03/28 10:04:38 UV 2.16.840.1.113883.3.6113 lovelaceWestside Lovelace Westside Hospital Ben Ware masked Ben Ware One Burton Hills Suite 250 Nashville, TN 37215 615.296.3336 masked Interface Developer Lovelace Westside Hospital 10501 Golf Course Rd NW Albuquerque, NM 87114 505.727.2000 ITS_Cloverleaf_Team@ardenthealth.com http://www.lovelace.com Provider Int 3 Complete 2015/03/27 12:00:00 2015/03/28 12:00:00 2015/03/28 10:05:50 UV 2.16.840.1.113883.3.6114 lovelaceRoswell Lovelace Regional Hospital - Roswell Ben Ware masked Ben Ware One Burton Hills Suite 250 Nashville, TN 37215 615.296.3336 masked Interface Developer Lovelace Regional Hospital - Roswell 117 E 19th St Roswell, NM 88201 575.627.7000 ITS_Cloverleaf_Team@ardenthealth.com http://www.lovelace.com/ Provider Int 3 Complete 2015/03/27 12:00:00 2015/03/28 12:00:00 2015/03/28 10:06:58 UV 2.16.840.1.113883.3.6115 ash Arizona Dept. of Health Services, Arizona State Hospital Janet Slawinski masked Janet Slawinski Arizona Department of Health Services Information Technology Services 1740 W. Adams Phoenix, AZ 85007 602-542-1676 masked IT Project Manager Arizona Department of Health Services/Arizona State Hospital Arizona State Hospital 501 N. 24th Street Phoenix, AZ 85008 602-220-6000 Janet.Slawinski@azdhs.gov Provider 2.16.840.1.113883.9 Int 3 Complete 2015/03/27 12:00:00 2015/03/28 12:00:00 2015/03/30 05:37:34 UV 2.16.840.1.113883.3.6116 tfomc-root Tahoe Fracture and Orthopedic Medical Clinic Root OID Allen Ballard masked Allen Ballard 973 Mica Dr. STE 201 Carson City, NV 89705 775-412-3992 masked IT Tahoe Fracture and Orthopedic Medical Clinic 973 Mica Dr. STE 201 Carson City, NV 89705 775-783-6190 aballard@tahoefracture.com http://www.tahoefracture.com Provider Int 3 Complete 2015/03/29 12:00:00 2015/03/31 12:00:00 2015/03/31 05:03:33 UV 2.16.840.1.113883.3.6117 fhg Family Health Group Warren Robinson masked Warren Robinson 931-840-4457 masked IT Applications Manager Family Health Group 854 West James Campbell Blvd. Suite 303 Columbia, Tennessee 38401 931-540-4255 wrobinson@mauryregional.com http://www.familyhealthgroup.com/ Provider 2.16.840.1.113883.3.999 Int 3 Complete 2015/03/30 12:00:00 2015/03/31 12:00:00 2015/03/31 05:05:18 UV 2.16.840.1.113883.3.6118 mcmhus Madison County Memorial Hospital Andrew Hendry masked Andrew Hendry 224 NW Crane Ave Madison, FL 32340 8502531934 masked IT Director Madison County Memorial Hospital 224 NW Crane Ave Madison, FL 32340 8502531934 ahendry@mcmh.us https://mcmh.us Exchange Int 3 Complete 2015/03/30 12:00:00 2015/03/31 12:00:00 2015/03/31 05:06:40 UV 2.16.840.1.113883.3.6119 grmh Greer Memorial Hospital Willie Jackson masked Julian Bartley Greenville Health System I/S Information System Center 525 Grove Road Greenville, SC 29605 864-455-5628 masked Manager - AcuteCare Applications Greer Memorial Hospital Greenville Health System Greer Memorial Hospital 803 S. Buncombe Rd Greer, SC 29650 864-455-7000 wjackson@ghs.org http://www.ghs.org/greermemorial Provider Int 3 Complete 2015/03/30 12:00:00 2015/03/31 12:00:00 2015/03/31 05:07:57 UV 2.16.840.1.113883.3.6120 brmh Black River Memorial Hospital Darin Oakes masked Darin Oakes 711 W Adams Street Black River Falls, WI 54615 715.284.1366 masked Black River Memorial Hospital 711 W Adams Street Black River Falls, WI 54615 715.284.5361 oakesd@brmh.net http://brmh.net Provider Int 3 Complete 2015/03/30 12:00:00 2015/03/31 12:00:00 2015/03/31 05:20:52 UV 2.16.840.1.113883.3.6121 ngh North Greenville Hospital Willie Jackson masked Julian Bartley Greenville Health System I/S Information Service Center 525 Grove Road Greenville, SC 29605 864-455-5628 masked Manager - Application Acute Care North Greenville Hospital Greenville Health System North Greenville Hospital 807 N. Main Street Highway 276 Travelers Rest, SC 29690 864-455-7000 wjackson@ghs.org http://www.ghs.org/ngh Provider Int 3 Complete 2015/03/31 12:00:00 2015/03/31 12:00:00 2015/03/31 05:22:24 UV 2.16.840.1.113883.3.6122 prov Providence Medical Center Andrew Contreras masked Andrew Contreras 1200 Providence Road Wayne, NE 68787 402-375-7662 masked Providence Medical Center 1200 Providence Road Wayne, NE 68787 402-375-3800 administration@providencemedical.com Provider Int 3 Complete 2015/03/31 12:00:00 2015/03/31 12:00:00 2015/03/31 05:26:37 UV 2.16.840.1.113883.4.851 iuh-blm Indiana University Health Bloomington Hospital Brian Adams masked Brian Adams 317-962-5478 masked Application Support Analyst Indiana University Health badams9@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2015/03/31 12:00:00 2015/05/31 12:00:00 2015/05/31 11:43:15 UV 2.16.840.1.113883.4.852 iuh-pao Indiana Univerisity Health Paoli Hospital Brian Adams masked Brian Adams 317-962-5478 masked Application Support Analyst Indiana University Health badams9@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2015/03/31 12:00:00 2015/05/31 12:00:00 2015/05/31 11:44:22 UV 2.16.840.1.113883.4.853 iuh-bfd Indiana University Health Bedford Hospital Brian Adams masked Brian Adams 317-962-5478 masked Application Support Analyst Indiana University Health badams9@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2015/03/31 12:00:00 2015/05/31 12:00:00 2015/05/31 11:45:18 UV 2.16.840.1.113883.3.6123 hmhc Hillcrest Memorial Hospital Willie Jackson masked Julian Bartley Greenville Health System I/S Information Service Center 525 Grove Road Greenville, SC 29605 864-455-5628 masked Manager - Application Acute Care Hillcrest Memorial Hospital Greenville Health System Hillcrest Memorial Hospital 729 S.E. Main Street Simpsonville 29681 864-455-7000 wjackson@ghs.org http://ghs.org/hillcrest Provider Int 3 Complete 2015/03/31 12:00:00 2015/03/31 12:00:00 2015/03/31 05:37:52 UV 2.16.840.1.113883.3.6124 pwh Patewood Memorial Hospital Willie Jackson masked Julian Bartley Greenville Health System I/S Information Service Center 525 Grove Road Greenville, SC 29605 864-455-5628 masked Manager - Application Acute Care Patewood Memorial Hospital Greenville Health System Patewood Memorial Hospital 175 Patewood Drive Greenville, SC 29615 864-455-7000 wjackson@ghs.org http://www.ghs.org/patewood Vendor Int 3 Complete 2015/03/31 12:00:00 2015/03/31 12:00:00 2015/03/31 05:53:35 UV 2.16.840.1.113883.3.6125 choccernermillenniummrn CHOC Cerner Millennium MRN Neil Garde masked Bonnie Wolf Neil Garde 1201 W La Veta Ave Orange CA 92868 714-509-4817 masked Manager, Business Intelligence CHOC Children's Hospital of Orange County 1201 W La Veta Ave Orange, CA 92868 714-509-4817 ngarde@choc.org https://www.choc.org Provider Int 3 Complete 2015/03/31 12:00:00 2015/03/31 12:00:00 2015/03/31 05:55:58 UV 2.16.840.1.113883.3.6126 choccernermillenniumcmrn Choc Cerner Millennium CMRN Neil Garde masked Bonnie Wolf Neil Garde 1201 W La Veta Ave Orange, CA 92868 714-509-4817 masked Manager, Business Intelligence Choc Childrens Hospital 1201 W La Veta Ave Orange, CA 92868 714-509-4817 ngarde@choc.org https://www.choc.org Provider Int 3 Complete 2015/03/31 12:00:00 2015/03/31 12:00:00 2015/03/31 06:14:57 UV 2.16.840.1.113883.3.6127 mwhc Mary Washington Healthcare Carlotta McCormick masked Carlotta McCormick 2300 Fall Hill Avenue, Suite 330 Fredericksburg, VA 22401 540-741-1013 masked Integration Supervisor Mary Washington Healthcare 1001 Sam Perry Blvd. Fredericksburg, VA 22401 carlotta.mccormick@mwhc.com http://www.marywashingtonhealthcare.com/ Provider Int 3 Complete 2015/03/31 12:00:00 2015/03/31 12:00:00 2015/03/31 06:16:01 UV 2.16.840.1.113883.3.6128 meditechOID MEDITECH OID Robert Sagerian masked Robert Sagerian 7 Blue Hill River Road Canton, MA 02021 7817745802 masked Director MEDITECH 7 Blue Hill River Road Canton, MA 02021 7817745802 rsagerian@meditech.com http://www.meditech.com Vendor Int 3 Complete 2015/04/01 12:00:00 2015/04/20 12:00:00 2022/05/17 04:22:42 UV 2.16.840.1.113883.3.6129 dovercardio Dover Cardiology Center, LLC OID Root Hani Douedi masked Hani Douedi 413 Lakehurst Rd Building 2 Suite 200 Toms River, NJ 08755 732-557-4777 masked Owner Dover Cardiology Center, LLC 413 Lakehurst Rd Building 2 Suite 200 Toms River, NJ 08755 732-557-4777 dovercardiology@comcast.net Provider Int 3 Complete 2015/04/02 12:00:00 2015/04/20 12:00:00 2015/04/20 04:56:47 UV 2.16.840.1.113883.3.6130 saiclinic Gowri D Sathiraju MD PA OID Root Gowri Sathiraju masked Gowri Sathiraju 828 413 3450 masked MD Gowri D Sathiraju MD PA P O box 848 560Malcolm Blvd Rutherford college NC28671 USA 828 879 3400 gowri.sathiraju@gmail.com Provider Int 3 Complete 2015/04/03 12:00:00 2015/04/20 12:00:00 2015/04/20 04:59:58 UV 2.16.840.1.113883.3.6131 hpmc Hollywood Presbyterian Meical Center Stephen Giles masked Roehmer Salinas 1300 N Vermont Ave. Los Angeles CA. 90027 323-644-5886 masked Systems Analyst Hollywood Presbyterian Medical Center 1300 N Vermont Ave. Los Angeles CA. 90027 213-413-3000 roehmer.salinas@hpmedcenter.com http://hollywoodpresbyterian.com/ Provider Int 3 Complete 2015/04/03 12:00:00 2015/04/20 12:00:00 2015/04/20 05:02:34 UV 2.16.840.1.113883.3.6132 bsfm Bayside Family & Sports Medicine Ed Worthington masked Marty Zuke Whitcomb 2325 Summit Park Drive Petoskey, MI 49770 231.439.5100 masked Practice Manager Bayside Family & Sports Medicine 2325 Summit Park Drive Petoskey, MI 49770 231.439.5100 marty.whitcomb@baysidefsm.com Provider Int 3 Complete 2015/04/05 12:00:00 2015/04/20 12:00:00 2015/04/20 05:06:51 UV 2.16.840.1.113883.3.6133 antonishen Mark Antonishen, MD. Ed Worthington masked Ed Worthington 405 Division Rd, Petoskey, MI 49770 231-421-8505 masked NPO - IT Analyst Dr. Mark Antonishen 405 Division Rd, Petoskey, MI 49770 231-421-8505 info@npoinc.org Provider Int 3 Complete 2015/04/05 12:00:00 2015/04/20 12:00:00 2015/04/20 05:12:43 UV 2.16.840.1.113883.3.6134 pmgphysician PMG Physician Associates, PC Elizabeth Hubert masked Jessica Ellis-Willson Elizabeth Hubert 362 Court Street, Plymouth, MA 02360 508-746-4862 masked EMR Manager PMG Physician Associates, PC 135 Sandwich Street, Plymouth, MA 02360 508-746-4862 ehubert@pmhphysician.com http://pmgphysician.com/ Provider Int 3 Complete 2015/04/06 12:00:00 2015/04/20 12:00:00 2015/04/20 05:16:43 UV 2.16.840.1.113883.3.6135 gaf Gaffney Medical Center Elza Freeston masked Ronnie Brewer 6159254879 masked Portal Team Lead Gaffney Medical Center 1530 North Limestone St Gaffney, SC 29340 8644874271 arbledsoe@novanthealth.org Provider Int 3 Complete 2015/04/06 12:00:00 2015/04/20 12:00:00 2015/04/20 05:18:02 UV 2.16.840.1.113883.9.194 savannah Merline Minott Merline Minott masked Merline Minott 1915 Eisenhower Drive Savannah, GA 31406 912-356-2557 masked Director of HHIM Services Georgia DBHDD 1915 Eisenhower Drive Savannah, GA 31406 912-356-2482 Merline.Minott@dbhdd.ga.gov http://www.garegionalsavannah.com Govt body Int 9 9 Rejected 2015/04/06 12:00:00 2015/07/15 09:53:06 US 2.16.840.1.113883.3.6136 goughfamily Gough's Family and Pediatric Clinic Daniel Thomas masked Daniel Thomas PO Box 277 Stoneville, MS 38776 662-686-7004 masked CIO Gough's Family and Pediatric Clinic PO Box 277 Stoneville, MS 38776 662-686-7004 dthomas@deltahealthalliance.org Provider Int 3 Complete 2015/04/08 12:00:00 2015/04/20 12:00:00 2015/04/20 05:20:39 UV 2.16.840.1.113883.3.6137 douglasSGreenMD DouglasGreenMD Paula Green masked Paula B. Green 1199 Pleasant Valley Way C/O OUTPATIENT DEPT. West Orange, NJ 07052 9733256210 masked Office Manager Douglas S Green MD 1199 Pleasant Valley Way West Orange, NJ 07052 9733256210 paulagreen186@gmail.com Provider Int 3 Complete 2015/04/08 12:00:00 2015/04/20 12:00:00 2015/04/20 05:24:42 UV 2.16.840.1.113883.3.6138 mallorychc Mallory Community Health Center Daniel Thomas masked Daniel Thomas PO Box 277 Stoneville, MS 38776 662-686-7004 masked CIO Mallory Community Health Center PO Box 277 Stoneville, MS 38776 662-686-7004 dthomas@deltahealthalliance.org Provider Int 3 Complete 2015/04/08 12:00:00 2015/04/20 12:00:00 2015/04/20 05:26:11 UV 2.16.840.1.113883.3.6139 cummingshealthcare Cummings Healthcare Daniel Thomas masked Daniel Thomas PO Box 277 Stoneville, MS 38776 662-686-7004 masked CIO Cummings Healthcare PO Box 277 Stoneville, MS 38776 662-686-7004 dthomas@deltahealthalliance.org Provider Int 3 Complete 2015/04/08 12:00:00 2015/04/20 12:00:00 2015/04/20 05:27:31 UV 2.16.840.1.113883.17.4096 jch-JCH-500 Jay County Hospital Ronald Willis masked Ronald L Willis 500 W Votaw St Portland, IN 47371 260-726-1930 masked Interface Analyst Information Systems Jay County Hospital 500 W Votaw St Portland, IN 47371 260-726-7131 jhorn@jaycountyhospital.com http://www.jaycountyhospital.com/ Prof Soc Int 17 Complete 2015/04/09 12:00:00 2015/04/20 12:00:00 2015/04/20 05:33:36 UV 2.16.840.1.113883.3.6140 ghr-a Georgia Regional Hospital -Atlanta Quanda Vance masked Quanda Vance 3073 Panthersville Road Decatur, GA 30034 404-243-2301 masked HIM Director Georgia Regional Hospital - Atlanta 404-243-2301 Quanda.Vance@dbhdd.ga.gov http://dbhdd.georgia.gov/georgia-regional-hospital-atlanta Govt body Int 3 Complete 2015/04/09 12:00:00 2015/04/20 12:00:00 2015/04/20 05:39:04 UV 2.16.840.1.113883.3.6141 imalab Internal Medicine Associates Laboratory Larry Fresinski masked Larry Fresinski 1175 American Pacific Dr. Suite F Henderson, NV 89074 702-407-3600 masked Chief Technology Officer Internal Medicine Associates Laboratory 1175 American Pacific Dr. Suite F Henderson, NV 89074 702-407-3600 larry@hc360usa.com http://imalv.com Provider Int 3 Complete 2015/04/09 12:00:00 2015/04/20 12:00:00 2015/04/20 05:43:50 UV 2.16.840.1.113883.3.6142 cardiocare CardioCare OID Root Maria Taylor masked Maria Taylor 200 Courtyard Drive Ste 213 Hillsborough, NJ 08844 908-725-5200 masked Adminstrator CardioCare 200 Courtyard Drive Ste 213 Hillsborough, NJ 08844 908-725-5200 mtjt1@aol.com Provider Int 3 Complete 2015/04/10 12:00:00 2015/04/20 12:00:00 2015/04/20 05:46:32 UV 2.16.840.1.113883.3.6143 spmg St. Peter's Hospital Medical Group Volker Riedlinger masked Volker Riedlinger 2475 Broadway Helena, MT 59601 406-495-6515 masked Information Systems Director St. Peter's Hospital 2475 Broadway Helena, MT 59601 406-495-6515 vriedlinger@stpetes.org https://www.stpetes.org Provider Int 3 Complete 2015/04/14 12:00:00 2015/04/20 12:00:00 2015/04/20 05:47:56 UV 2.16.840.1.113883.3.6144 sla Suburban Lung Associates Cynthia Gronkiewicz masked Kim French Cynthia Gronkiewicz 800 Biesterfield Rd. Suite 510 Elk Grove Village,IL 60007 847-981-3660 masked Pulmonary APN Suburban Lung Associates 800 Biesterfield Rd. Suite 510 Elk Grove Village,IL 60007 847-981-3660 cynthia.gronkiewicz@sublung.com Exchange Int 3 Complete 2015/04/14 12:00:00 2015/04/20 12:00:00 2015/04/20 05:52:18 UV 2.16.840.1.113883.3.6145 synapse-root Synapse Root OID Walid Tlatli masked Walid Tlatli 4 rue CERES 2016 Carthage Tunisia +21655400022 masked S.I.H. 4 rue CERES 2016 Carthage Tunisia contact@sih.tn Vendor Int 3 Complete 2015/04/14 12:00:00 2015/04/20 12:00:00 2015/04/20 05:56:39 UV 2.16.840.1.113883.3.6146 wCGRh-1 Beverly Bolin Beverly Bolin masked Beverly Bolin 3000 Schatulga Road Columbus, GA 31907 706-568-5308 masked Interim Director, HIMD Beverly Bolin 3000 Schatulga Road Columbus, GA 31907 706-568-5308 Beverly.Bolin@dbhdd.ga.gov Provider Int 3 Complete 2015/04/14 12:00:00 2015/07/15 12:00:00 2015/07/15 09:54:17 US 2.16.840.1.113883.3.6147 redoxengine Redox Engine Assigning Authority Nick Hatt masked James Lloyd Nick Hatt 111 N Fairchild St Suite 240 Madison, WI 53703 6086205746 masked Developer Redox Engine team@redoxengine.com https://www.redoxengine.com/ Vendor Int 3 Complete 2015/04/14 12:00:00 2015/04/20 12:00:00 2015/04/20 06:02:47 UV 2.16.840.1.113883.3.6148 dbhdd-456 DBHDD, East Central Regional Hospital Augusta Sandra Boone masked Sandra Dean Boone East Central Regional Hospital Augusta Health Information Management Bld 202 3405 Mike Padgett Highway Augusta, GA 30906 706-792-7002 masked Office Manager/Interim HIM Director DBHDD, East Central Regional Hospital Augusta East Central Regional Hospital Augusta Health Information Management Bld 202 3405 Mike Padgett Highway Augusta, GA 30906 706-792-7002 Sandra.Boone@dbhdd.ga.gov http://dbhdd.georgia.gov/east-central-regional-hospital-augusta-gracewood Provider Int 3 Complete 2015/04/14 12:00:00 2015/04/20 12:00:00 2015/04/20 06:05:22 UV 2.16.840.1.113883.3.6149 personalizedprimarycareatl Personalized Primary Care Atlanta OID Root Juliet Mavromatis masked Juliet Mavromatis 57 Executive Park South, Ste. 390, Atlanta, GA 30329 404-997-6790 masked MD, Owner Personalized Primary Care Atlanta 57 Executive Park South, Ste. 390, Atlanta, GA 30329 404-997-6790 drmavromatis@ppcatl.com http://www.ppcatl.com/ Provider Int 3 Complete 2015/04/14 12:00:00 2015/04/20 12:00:00 2015/04/20 06:07:00 UV 2.16.840.1.113883.17.4097 wakemedraleigh WakeMed Raleigh Hospital Jackie Cheeks masked Frank Harrison 3000 New Bern Avenue Raleigh, NC 27610 919-710-9870 masked Lab Systems Analyst WakeMed Health and Hospitals 3000 New Bern Avenue Raleigh, NC 27610 919-350-3000 jcheeks@wakemed.org https://www.wakemed.org Provider 2.16.840.1.113883.3.5750 Int 17 Complete 2015/04/15 12:00:00 2015/04/30 12:00:00 2015/04/30 07:08:55 UV 2.16.840.1.113883.3.6150 vcfaa Virginia Center for Allergy & Asthma Robert Sikora masked Dianne Franklin 2296 Opitz Blvd., Ste 401 Woodbridge, VA 22191-3347 703-670-3900 masked Office Manager Virginia Center for Allergy & Asthma 2296 Opitz Blvd., Ste 401 Woodbridge, VA 22191-3347 703-670-3900 dfranklin@vcfaa.com http://www.vcfaa.com Provider Int 3 Complete 2015/04/15 12:00:00 2015/04/20 12:00:00 2015/04/20 06:12:49 UV 2.16.840.1.113883.3.6151 scituatepodiatry Scituate Podiatry Group Inc OID Root debbie Joyce masked Debbie Joyce 10 New Driftway Rd Scituate, MA 02066 781-545-9285 masked OM Scituate Podiatry Group Inc 10 New Driftway Rd Scituate, MA 02066 781-545-9285 debbie@scituatepodiatry.com Provider Int 3 Complete 2015/04/15 12:00:00 2015/04/20 12:00:00 2015/04/20 06:14:27 UV 2.16.840.1.113883.3.6152 genecaiccodpm Gene Caicco, D.P.M. OID Root Gene Caicco masked Gene Caicco 11900 E 12 Mile Suite 102 Warren, MI 48093 586-573-7470 masked Owner Gene Caicco, D.P.M. 11900 E 12 Mile Suite 102 Warren, MI 48093 586-573-7470 caiccodpm@comcast.net Provider Int 3 Complete 2015/04/16 12:00:00 2015/04/20 12:00:00 2015/04/20 06:15:48 UV 2.16.840.1.113883.3.6153 iPaaS-XDS LUMERIS IPAAS XDS THAJIB PARAKKAL masked THAJIB PARAKKAL 13900 RIVERPORT DR MARYLAND HEIGHTS, MO - 63376 3142095816 masked Manager EDI LUMERIS INC 13900 RIVERPORT DR MARYLAND HEIGHTS, MO - 63376 3142095816 tparakkal@lumeris.com http://www.lumeris.com Vendor Int 3 Complete 2015/04/16 12:00:00 2015/04/20 12:00:00 2015/04/20 06:18:28 UV 2.16.840.1.113883.3.6154 stp-HL St. Peter's Hospital Homelink John Green masked Volker Riedlinger 2475 Broadway Helena, MT 59601 (406)195-6515 masked Information Systems Director St. Peter's Hospital 2475 Broadway Helena, MT 59601 (406)495-6515 vriedlinger@stpetes.org https://www.stpetes.org Provider Int 3 Complete 2015/04/16 12:00:00 2015/04/20 12:00:00 2015/04/20 06:20:05 UV 2.16.840.1.113883.3.6155 heartlandpeds Heartland Pediatrics OID Root Jolene Hrabik masked Jolene Hrabik 201 Ridge Street, Suite 105 Council Bluffs, IA 51503 7123965437 masked Office Mgr Heartland Pediatrics, PC 201 Ridge Street, Suite 105 Council Bluffs, IA 51503 7123965437 jo-hpbilling@cox.net Provider Int 3 Complete 2015/04/17 12:00:00 2015/04/20 12:00:00 2015/04/20 06:22:48 UV 2.16.840.1.113883.3.6156 sironahealth SironaHealth, Inc. Eric DeVaudreuil masked Eric DeVaudreuil 500 Southborough Drive South Portland, ME 04106 2072532143 masked Software Developer SironaHealth, Inc. 500 Southborough Drive South Portland, ME 04106 8886747662 hostmaster@sironahealth.com http://www.sironahealth.com Vendor Int 3 Complete 2015/04/17 12:00:00 2015/04/20 12:00:00 2015/04/20 06:25:21 UV 2.16.840.1.113883.3.6157 charlesharrismd H. Charles-Harris MD PA OID Root Samantha Ifill masked Samantha Ifill 1190 NW 95 St, Suite 101, Miami, FL 33150 3056912941 masked Operations Manager H. Charles-Harris MD PA 1190 NW 95 St, Suite 101, Miami, FL 33150 3056912941 gvsurgeon@gmail.com http://www.all-surgery.com Provider Int 3 Complete 2015/04/17 12:00:00 2015/04/20 12:00:00 2015/04/20 06:27:23 UV 2.16.840.1.113883.3.6158 elxrHealth ELXR Health root node Paul Emanuel masked Paul Emanuel 334 Blackwell Street, Suite B-005 Durham, NC 27701 9199178484 masked CEO ELXR Health, Inc. 334 Blackwell Street, Suite B-005 Durham, NC 27701 9199178484 paul@elxrhealth.com http://www.elxrhealth.com Exchange Int 3 Complete 2015/04/20 12:00:00 2015/04/28 12:00:00 2015/04/28 03:44:14 UV 2.16.840.1.113883.3.6159 hhpintmed HHP Internal Medicine PLLC OID Root Sandy Mills masked Sandy Mills 3132 Collins ferry road Morgantown, WV 26505 3045982442 masked HHP Internal Medicine PLLC 3132 Collins ferry road Morgantown, WV 26505 3045982442 HHPIntMed@gmail.com Provider Int 3 Complete 2015/04/20 12:00:00 2015/04/28 12:00:00 2015/04/28 03:47:18 UV 2.16.840.1.113883.3.6160 cvs-ehr Colonial Valley Software OID Rick Miller masked Rick Miller 1187 W. Bristol Rd. Flint, MI 48507 810-516-6871 masked Sr. Programmer Colonial Valley Software, LLC 1187 W. Bristol Rd. Flint, MI 48507 810-654-2828 paul@colonialvalley.com http://www.colonialvalley.com Vendor Int 3 Complete 2015/04/20 12:00:00 2015/04/28 12:00:00 2015/04/28 03:53:41 UV 2.16.840.1.113883.3.6161 lbb-PNS-UMCIM UMC Physician Network Services- UMC Internal Medicine Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock TX 79407 806-761-0322 masked Director, EMR Intgegration UMC Internal Medicine 3502 9th Street Suite 170 Lubbock TX 79415 806-744-0566 yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2015/04/20 12:00:00 2015/04/28 12:00:00 2015/04/28 04:03:04 UV 2.16.840.1.113883.3.6162 lbb-PNS-MFH UMC Physician Network Services- Milwaukee Family Medicine Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock TX 79407 806-761-0322 masked Director EMR Integration Milwaukee Family Medicine 7301 Milwaukee Ave Lubbock TX 79424 806-761-0464 yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2015/04/20 12:00:00 2015/04/28 12:00:00 2015/04/28 04:04:15 UV 2.16.840.1.113883.3.6163 dbhdd-csh Georgia DBHDD - Central State Hospital Betsy Bradley masked Betsy Bradley 478 445-5520 masked Georgia DBHDD Betsy.Bradley@dbhdd.ga.gov Govt body Int 3 Complete 2015/04/22 12:00:00 2015/04/28 12:00:00 2015/04/28 04:05:46 UV 2.16.840.1.113883.3.6164 pminv Pueblo Medical Imaging Amber Miller masked Amber Miller 2400 S Cimarron Rd Ste 100 Las Vegas, NV 89117 702-228-0031 masked IT Coordinator Pueblo Medical Imaging 2400 S. Cimarron Rd Ste 100 Las Vegas, NV 89117 702-228-0031 amiller@nvrads.com http://www.pmilv.com Provider Int 3 Complete 2015/04/22 12:00:00 2015/04/28 12:00:00 2015/04/28 04:07:06 UV 2.16.840.1.113883.3.6165 mggh Mt. Grant General Hospital Gregory Schumann masked Gregory Schumann 200 South A Street PO Box 1510, Hawthorne, NV 89415 7759452461 masked I.T. Manager Mt. Grant General Hospital 200 South A Street PO Box 1510, Hawthorne, NV 89415 7759452461 gregs@mtgrantgenhospital.org http://mtgrantgenhospital.org Provider Int 3 Complete 2015/04/23 12:00:00 2015/04/28 12:00:00 2015/04/28 04:10:09 UV 2.16.840.1.113883.3.6166 hrvoid Healthreveal OID Frank Norman masked Frank Norman 54 W 40th Street New York, NY 10018 860 378 4146 masked Co-Founder & CIO HealthReveal, Inc. 54 W 40th Street Suite 428 New York, NY 10018 646 893 3080 fnorman@healthreveal.com http://www.healthreveal.com Vendor Int 3 Complete 2015/04/23 12:00:00 2015/04/28 12:00:00 2015/04/28 04:12:52 UV 2.16.840.1.113883.3.6167 prometheus Prometheus Research, LLC Frank Farach masked Leon Rozenblit, JD, PhD 55 Church St., 7th Floor New Haven, CT 06510 203-672-5800 masked President/CEO Prometheus Research, LLC 55 Church Street, 7th Floor New Haven, CT 06510 203-672-5800 info@prometheusresearch.com http://www.prometheusresearch.com Vendor Int 3 Complete 2015/04/23 12:00:00 2015/04/28 12:00:00 2016/08/26 12:34:08 UV 2.16.840.1.113883.3.6168 acrmat American College of Radiology Judy Burleson masked Judy Burleson 1891 Preston White Drive Reston VA 20191 7036483787 masked Senior Advisor, Quality Metrics American College of Radiology 1891 Preston White Drive Reston VA 20191 7036488900 info@acr.org https://www.acr.org Prof Soc Int 3 Complete 2015/04/23 12:00:00 2015/04/28 12:00:00 2015/04/28 04:17:38 UV 2.16.840.1.113883.3.6169 uswr US Wound Registry David Walker masked David Walker 2700 Technology Forest Blvd Suite 250 The Woodlands, Texas 77381 US 8006037896 masked President and CEO US Wound Registry 2700 Technology Forest Blvd Suite 250 The Woodlands, Texas 77381 US 8006037896 dwalker@uswoundregistry.com http://www.uswoundregistry.com/ Vendor Int 3 Complete 2015/04/24 12:00:00 2015/04/28 12:00:00 2015/04/28 04:18:37 UV 2.16.840.1.113883.3.6170 pgh Pershing General Hospital Patricia Bianchi masked Patricia Bianchi PO Box 661 Lovelock, NV 89419 7752732621 masked CEO Pershing General Hospital Po Box 661 Lovelock, NV 89419 7752732621 pbianchi@pershinghospital.org http://www.pershinghospital.org Govt body Int 3 Complete 2015/04/24 12:00:00 2015/04/28 12:00:00 2015/04/28 04:20:53 UV 2.16.840.1.113883.3.6171 careport CarePort Health Anita Sekar masked Sean Santry 186 South St, 6th Floor Boston, MA 02211 844-722-7376 masked CarePort Health info@careporthealth.com https://www.careporthealth.com Vendor Int 3 Complete 2015/04/27 12:00:00 2015/04/28 12:00:00 2017/01/10 03:50:04 UV 2.16.840.1.113883.3.1097.9.91960101 jdrrro Renal Redux - Royal Oak Stephen Bean masked Melody Williams 32121 N Woodward Ste 200 Royal Oak, MI 48073 248-690-7135 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91960101 2015/04/27 12:00:00 2015/04/28 12:00:00 2015/04/28 04:31:55 UV 2.16.840.1.113883.3.1097.9.91960102 jdrrsh Renal Redux - Sterling Heights Stephen Bean masked Melody Williams 44344 Dequindre Rd Ste 490 Sterling Heights, MI 48314 248-690-7135 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91960102 2015/04/27 12:00:00 2015/04/28 12:00:00 2015/04/28 04:35:39 UV 2.16.840.1.113883.3.1097.9.91960103 jdrrlo Renal Redux - Lake Orion Stephen Bean masked Melody Williams 1455 S Lapeer Rd Ste 207 Lake Orion MI 48306 248-690-7135 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91960103 2015/04/27 12:00:00 2015/04/28 12:00:00 2015/04/28 04:38:54 UV 2.16.840.1.113883.3.1097.1.2730022 hptr Hepatobiliary Troy Stephen Bean masked Chasity Bellon 44199 Dequindre Rd Ste 315 Troy, MI 48085 248-551-0357 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2730022 2015/04/27 12:00:00 2015/04/28 12:00:00 2015/04/28 04:43:11 UV 2.16.840.1.113883.3.1097.1.1050135 ricro Rad IR Clinic RO Stephen Bean masked Shelley Harless 3601 W. Thirteen Mile Rd Royal Oak MI 48073 248-898-7546 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1050135 2015/04/27 12:00:00 2015/04/28 12:00:00 2015/04/28 05:12:40 UV 2.16.840.1.113883.3.1097.1.1730067 ppmob Pediatric Pulmonary RO Stephen Bean masked Shelley Harless 3535 W 13 Mile Rd Ste 707 Royal Oak, MI 48073 248-551-0487 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730067 2015/04/27 12:00:00 2015/04/28 12:00:00 2015/04/28 05:15:07 UV 2.16.840.1.113883.3.1097.1.1730082 pdrh Pediatric Rheumatology RO Stephen Bean masked Shelley Harless 3536 W 13 Mile Rd Ste 707 Royal Oak, MI 48073 248-551-0487 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730082 2015/04/27 12:00:00 2015/04/28 12:00:00 2015/04/28 05:23:32 UV 2.16.840.1.113883.17.4098 ammc-oid Arkansas Methodist Medical Center William Holmes masked Dan Austin Arkansas Methodist Medical Center 900 West Kingshighway Paragould, AR 72450 870-239-7392 masked CIO Arkansas Methodist Medical Center Arkansas Methodist Medical Center 900 West Kingshighway Paragould, AR 72450 870-239-7392 dan.austin@arkansasmethodist.org https://www.myammc.org Provider Int 17 Complete 2015/04/27 12:00:00 2015/04/28 12:00:00 2023/12/07 11:45:55 UV 2.16.840.1.113883.3.6172 massoc Medical Associates Clinic Jeremy Wulfekuhle masked Jeremy Wulfekuhle 1500 Associates Dr Dubuque, IA 52002 563-584-4222 masked IT Director Medical Associates Clinic 1500 Associates Dr Dubuque, IA 52002 563-584-3000 helpdesk@mahealthcare.com http://www.mahealthcare.com Provider Int 3 Complete 2015/04/27 12:00:00 2015/04/28 12:00:00 2015/04/28 04:26:05 UV 2.16.840.1.113883.3.6173 caf Cardiology Associates of Fredericksburg, Ltd. Atique Pappa masked Atique Pappa 9530 Cosner Drive suite 200 Fredericksburg, VA 22408 5403731331 masked Administrator Cardiology Associates of Fredericksburg, Ltd. 5403731331 atique@fredcardio.com Provider Int 3 Complete 2015/04/27 12:00:00 2015/04/28 12:00:00 2015/04/28 04:29:25 UV 2.16.840.1.113883.4.854 bsfc Blue Springs Family Care, P.C. Melanie Peterson masked Melanie Peterson 104 NW State Route 7 Suite B Blue Springs, MO 64014 816-229-8880 masked Office Manager Blue Springs Family Care, P.C. 104 NW State Route 7 Suite B Blue Springs, MO 64014 816-229-8880 mpetersonbsfc@gmail.com http://www.bluespringsfamilycare.org Provider Int 3 Complete 2015/04/28 12:00:00 2015/04/28 12:00:00 2015/04/28 06:46:15 UV 2.16.840.1.113883.3.6174 dmpr MaryPat Roy, MD Marypat Roy masked MaryPat Roy, MD 766 North King Street Suite 1 Northampton, MA 01060 413-5866425 masked MD MaryPat Roy, MD 766 North King Street Suite 1 Northampton, MA 01060 413-5866425 office@marypatroymd.com Provider Int 3 Complete 2015/04/30 12:00:00 2015/04/30 12:00:00 2015/04/30 07:03:57 UV 2.16.840.1.113883.3.6175 rrr-RichardRRosenthalMD Richard R. Rosenthal, MD, LTD. Melanie Mock masked Melanie Mock 8318 Arlington Boulevard Suite 308 Fairfax, VA 22031 703-573-4440 masked Office Manager Richard R. Rosenthal, MD 8318 Arlington Boulevard Suite 308 Fairfax, VA 22031 703-573-4440 mmock@allergysource.org https://www.allergysource.org Provider Int 3 Complete 2015/05/01 12:00:00 2015/05/08 12:00:00 2015/05/08 10:16:37 UV 2.16.840.1.113883.3.6176 valleyMedCtrLewId Valley Medical Center, PLLC Lewiston ID Jake Hinkelman masked Jake 2315 8TH ST Lewiston ID 83501 2087461383 masked Director of IS Valley Medical Center, PLLC 2315 8TH ST Lewiston ID 83501 2087461383 jhinkelman@valleymedicalcenter.com Provider Int 3 Complete 2015/05/01 12:00:00 2015/05/08 12:00:00 2015/05/08 10:18:09 UV 2.16.840.1.113883.3.6177 richardswarnermd Richard S Warner, MD Richard Warner masked Anna S Morey 191 Lower St Shelburne Falls, MA 01370 413-625-9300 masked Richard S Warner, MD 191 Lower St Shelburne Falls, MA 01370 413-625-9300 admin@drwarner.comcastbiz.net Provider Int 3 Complete 2015/05/04 12:00:00 2015/05/08 12:00:00 2015/05/08 10:18:42 UV 2.16.840.1.113883.3.6178 coastalhorizons Coastal Horizons Center Inc Root OID Cindy Taro masked Coastal Horizons Center, Inc. 615 Shipyard Blvd Wilmington, NC 28412-6431 910-202-3155 masked Chief Operating Officer Coastal Horizons Center, Inc. 615 Shipyard Blvd Wilmington, NC 28412-6431 910-343-0145 restes@coastalhorizons.org https://coastalhorizons.org/ Provider Int 3 Complete 2015/05/04 12:00:00 2015/05/08 12:00:00 2023/04/25 12:42:37 UV 2.16.840.1.113883.3.6179 edifecs Edifecs Maxim Abramsky masked Maxim Abramsky 1756 114th Ave SE, Bellevue, WA 98004 (425) 452-0630 masked Director of Product Management Edifecs 1756 114th Ave SE, Bellevue, WA 98004 (425) 452-0630 Support@Edifecs.com http://www.edifecs.com Vendor Int 3 Complete 2015/05/04 12:00:00 2015/05/08 12:00:00 2015/05/08 10:22:55 UV 2.16.840.1.113883.3.6180 gshs-tx Good Shepherd Health Systems Jonathan LaMaster masked Jonathan LaMaster 700 East Marshall Ave. Longview, Texas 75601 United States of America 9033155110 masked HL7 Developer Good Shepherd Health Systems 700 East Marshall Ave. Longview, Texas 75601 United States of America 9033152000 jlamaster@gsmc.org http://www.gsmc.org Provider Int 3 Complete 2015/05/05 12:00:00 2015/05/08 12:00:00 2015/05/08 10:23:37 UV 1.3.6.1.4.1.43635 pv Practice Velocity OID Root David Karl masked Greg Wentz Practice Velocity 8777 Velocity Dr. Machesney Park, IL 61115 888-357-4209 masked Practice Velocity, LLC Practice Velocity 8777 Velocity Dr. Machesney Park, IL 61115 888-357-4209 info@practicevelocity.com http://www.practicevelocity.com Vendor 1.3.6.1.4.1.43635 Ext 3 Complete 1.3.6.1.4.1.43635 2015/05/05 12:00:00 2015/05/30 12:00:00 2015/05/30 11:25:58 UV 1.3.6.1.4.1.43635.3 pv-facility Practice Velocity Facility Namespace David Karl masked Greg Wentz Practice Velocity 8777 Velocity Dr. Machesney Park, IL 61115 888-357-4209 masked Practice Velocity, LLC Practice Velocity 8777 Velocity Dr. Machesney Park, IL 61115 888-357-4209 info@practicevelocity.com http://www.practicevelocity.com Vendor 1.3.6.1.4.1.43635 Ext 4 Complete 1.3.6.1.4.1.43635.3 2015/05/05 12:00:00 2015/05/30 12:00:00 2015/05/30 11:27:39 UV 2.16.840.1.113883.3.6181 radysans Radysans, Inc Shekar Raju masked Shekar Raju 1701 Center Street Suite 200 Apex, NC 27502 9193634398 masked Radysans, Inc 1701 Center Street Suite 200 Apex, NC 27502 9193634398 shekar@radysans.com https://ehr.cutecharts.com Vendor Int 3 Complete 2015/05/05 12:00:00 2015/05/08 12:00:00 2015/05/08 10:24:08 UV 2.16.840.1.113883.3.6182 gahhs Gibson Area Hospital & Health Services Executive Director Information technology masked Matthew Brown Matthew Brown 1120 N. Melvin St Gibson City, IL 60936 217-784-4251 masked Software Analyst Gibson Area Hospital & Health Services 1120 N. Melvin St Gibson City, IL 60936 217-784-4251 help_desk@gibsonhospital.org Provider Int 3 3 Complete 2015/05/05 12:00:00 2015/05/08 12:00:00 2015/05/08 10:25:03 UV 2.16.840.1.113883.3.6183 hec-app HealtheCare Registration Dennis Gilge masked Dennis Gilge 847-635-5920 masked Dennis Gilge 1701 West Golf Road Suite 2-1100 Rolling Meadows, Il. 60008 847-635-5920 Dennis.Gilge@advocatehealth.com Provider Int 3 Complete 2015/05/05 12:00:00 2015/05/08 12:00:00 2015/05/08 10:25:22 UV 2.16.840.1.113883.3.6184 multicareConnectedCare MultiCare Connected Care George Williams masked George Williams PO Box 5299 MS: 19U-A3-IS, 315 Martin Luther King, Jr. Way, Tacoma, WA, 98415-0299 253-459-6660 masked Sr. IT Engineer MultiCare Connected Care PO Box 5299 MS:315-C6-ACO 315 Martin Luther King, Jr. Way Tacoma, WA 98415 253-403-1130 support@multicare.org http://www.multicareconnectedcare.com/ Provider Int 3 Complete 2015/05/05 12:00:00 2015/05/30 12:00:00 2015/05/30 11:30:45 UV 2.16.840.1.113883.3.6185 calmed California Medical Systems Joe Cruz masked Joe Cruz 567 San Nicolas Dr., Ste. 160 Newport Beach, CA 92660 9497196767 masked IT Manager California Medical Systems 567 San Nicolas Dr., Ste. 160 Newport Beach, CA 92660 9497196767 jcruz@cal-med.com http://www.cal-med.com Vendor Int 3 Complete 2015/05/05 12:00:00 2015/05/30 12:00:00 2015/05/30 11:33:18 UV 2.16.840.1.113883.3.6186 avenues-ehr AVENUES EHR Sandra D'Angelo masked Sandra D'Angelo 888-470-3545 masked VP Development Angel Systems, Inc. info@angelsystemsinc.com http://www.angelsystemsinc.com Vendor Int 3 Complete 2015/05/05 12:00:00 2015/05/30 12:00:00 2015/05/30 11:35:22 UV 2.16.840.1.113883.3.6187 gcmh Garrett County Memorial Hospital steven Peterson masked Steven Peterson 251 N 4th Street Oakland, MD 21550 301-533-4380 masked VP Operations/CIO Garrett County Memorial Hospital 251 N 4th Street Oakland, MD 21550 301-533-4000 speterson@gcmh.com http://www.gcmh.com Govt body Int 3 Complete 2015/05/06 12:00:00 2015/05/30 12:00:00 2015/05/30 11:36:58 UV 2.16.840.1.113883.3.6188 staffoflife Clinic Name OID Root Staff of Life Margaret Porter masked Margaret Porter 1011 Leighton Ave Anniston, AL 36207 2567707197 masked Office Manager Staff of Life Medical Clinic 1011 Leighton Ave Anniston, AL 36207 2567707197 mporter37@aol.com Provider Int 3 Complete 2015/05/06 12:00:00 2015/05/30 12:00:00 2015/05/30 11:40:13 UV 2.16.840.1.113883.3.6189 millennium-oid Millennium Medical Corp OID Arun Sekaran masked Arun Sekaran 6356 Hoadly Rd Manassas, VA 20112 7035905999 masked CEO Millennium Medical Corp 13168 Centerpointe Way Suite 101 Woodbridge, VA 22193 7035905999 support@millenniummedicalcare.com http://www.millenniummedicalcorp.com/ Provider Int 3 Complete 2015/05/07 12:00:00 2015/05/30 12:00:00 2015/05/30 11:42:59 UV 2.16.840.1.113883.3.6190 ccpeds Collin County Pediatrics Jay Schwartz masked Darla Theis 4461 Coit Road, #315 Frisco, Texas 75035 972-731-9900 masked Clinical Supervisor Collin County Pediatrics 4461 Coit Road, #315 Frisco, Texas 75035 972-731-9900 drjay@ccpeds.org http://www.collincountypediatrics.com Provider Int 3 Complete 2015/05/08 12:00:00 2015/05/08 12:00:00 2015/05/08 10:16:02 UV 2.16.840.1.113883.3.6191 umg Untied Medical Group Cheryl Zimmerman masked Cheryl Zimmerman 913-287-7800 masked Practice Manager United Medical Group 5701 State Ave., #100 Kansas City, KS 66102 913-287-7800 czimmermand@umghealth.com http://www.umghealth.com Vendor Int 3 Complete 2015/05/12 12:00:00 2015/05/30 12:00:00 2015/05/30 11:46:02 UV 2.16.840.1.113883.3.6192 cenobgyn Centennial ob gyn p a Karen Bausone masked Karen Bausone 5757 Warren Pkwy STE 210 Frisco, Texas 75034 972-731-6565 masked Office Manager Centennial OB Gyn, P A 5757 Warren Pkwy STE 210 Frisco, Texas 75034 9727316565 centennialobgynpa@yahoo.com http://centennialobgynpa.com Provider Int 3 Complete 2015/05/13 12:00:00 2015/05/30 12:00:00 2015/05/30 11:47:51 UV 2.16.840.1.113883.3.5569.1.3 ng-EMRPROD BSA Physician's Group Production NextGen EMR Ashley Golden masked Ashley Golden BSA Health System 1600 Wallace Blvd Amarillo, TX 79106 806-212-8552 masked BSA Physician's Group 1000 Craig Drive Amarillo, TX 79105 ashley.golden@bsahs.org Provider 2.16.840.1.113883.3.5569 Ext 14 Complete 2.16.840.1.113883.3.5569.1.3 2015/05/14 12:00:00 2015/05/30 12:00:00 2015/05/30 11:56:44 UV 2.16.840.1.113883.3.5569.1.4.1 ng-0001-PROD BSA Physician's Group Production NextGen Practice 0001 Ashley Golden masked Ashley Golden BSA Health System 1600 Wallace Blvd Amarillo, TX 79106 806-212-8552 masked BSA Physician's Group 1000 Craig Drive Amarillo, TX 79105 ashley.golden@bsahs.org Provider 2.16.840.1.113883.3.5569 Ext 14 Complete 2.16.840.1.113883.3.5569.1.4.1 2015/05/14 12:00:00 2015/05/30 12:00:00 2015/05/30 11:58:32 UV 2.16.840.1.113883.3.6193 swainengassociates Swain Eng Associates Rebecca Swain-Eng masked Rebecca Swain-Eng 13480 Havelock Trl Apple Valley MN 55124 952-686-1510 masked CEO Swain Eng and Associates rswaineng@gmail.com http://www.swainengassociates.com Vendor Int 3 Complete 2015/05/14 12:00:00 2015/05/30 12:00:00 2015/05/30 11:49:03 UV 2.16.840.1.113883.3.2402.200.6863 physicians-computer-company-clients-pohp Physician's Computer Company (PCC) Clients Pediatricians of Hyde Park Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6863 2015/05/14 12:00:00 2015/05/30 12:00:00 2015/05/30 11:59:59 UV 2.16.840.1.113883.3.6194 nvrhc Nevada Health Centers Jenni Wilson masked Art Rempp Art Rempp 3325 Research Way, 2nd Floor Carson City, NV 89706 775-888-6617 masked VP Technology Nevada Health Centers, Inc. 3325 Research Way 2nd Floor Carson City, NV 89706 775-887-1590 arempp@nvhealthcenters.org Provider Int 3 Complete 2015/05/14 12:00:00 2015/05/30 12:00:00 2015/05/30 11:50:45 UV 2.16.840.1.113883.17.4099 hlwkh Health Language / Wolters Kluwer Health Brian Levy masked Stephen Ross Stephen Ross 4200 S. Syracuse Street Suite 1200 Denver, Colorado 80237 (720) 940-2923 masked Manager, Clinical Informatics Health Langauge / Wolters Kluwer Health 4200 S. Syracuse Street Suite 1200 Denver, Colorado 80237 (720) 940-2900 healthlanguageinfo@wolterskluwer.com http://www.healthlanguage.com/ Vendor Int 3 Complete 2015/05/15 12:00:00 2015/05/31 12:00:00 2015/05/31 12:01:57 UV 2.16.840.1.113883.3.6195 hcsinc Health Care Systems, Inc Reubin Felkey masked Reubin 5755 Carmichael Pkwy Montgomery, AL 26117 334-323-9711 masked VP, Operations Health Care Systems, Inc. 5755 Carmichael Pkwy Montgomery, AL 26117 334-279-9711 reubin.felkey@hcsinc.net http://www.hcsinc.net Vendor Int 3 Complete 2015/05/17 12:00:00 2015/05/31 12:00:00 2015/05/31 12:04:30 UV 2.16.840.1.113883.3.6196 lchdOID Lake County Health Department Douglas Kasamis masked Douglas Kasamis 3010 Grand Avenue Waukegan, IL 60085 8473778081 masked Lake County Health Department 3010 Grand Avenue Waukegan, IL 60085 8473778000 EHRTraining@lakecountyil.gov Govt body Int 3 Complete 2015/05/18 12:00:00 2015/05/31 12:00:00 2015/05/31 12:06:07 UV 2.16.840.1.113883.3.6197 ocmc Ouachita County Medical Center Kenny Frachiseur masked Kenny Frachiseur 8708361062 masked Ouachita County Medical Center Ouachita County Medical Center 638 California Ave SW Camden, AR 71701 8708361000 kfrachiseur@ouachitamedcenter.com Provider Int 3 Complete 2015/05/19 12:00:00 2015/05/31 12:00:00 2015/05/31 12:07:48 US 2.16.840.1.113883.3.594.1001 intHealthResProd INTEGRISHealthProd Tommy Matthews masked INTEGRIS Health Tommy Matthews 5555 N Grand Blvd Suite 100 Oklahoma City, OK 73112 4056081122 masked Manager INTEGRIS Health, Inc. 5555 N Grand Blvd Suite 100 Oklahoma City OK 73112 4055520112 tommy.matthews@integrisok.com http://www.integrisok.com Exchange 2.16.840.1.113883.3.594 Ext 17 Complete 2.16.840.1.113883.3.594.1001 2015/05/19 12:00:00 2016/08/12 12:00:00 2016/08/12 10:49:47 US 2.16.840.1.113883.3.594.1000 intHealthResTest INTEGRISHealthTest Tommy Matthews masked INTEGRIS HEalth Tommy Matthews 5555 N Grand Blvd Suite 100 Oklahoma City OK 73112 4055520112 masked Manager INTEGRIS Health, Inc. 5555 N Grand Blvd Suite 100 Oklahoma City OK 73112 4055520112 tommy.matthews@integrisok.com http://www.integrisok.com Exchange 2.16.840.1.113883.3.594 Ext 17 Complete 2.16.840.1.113883.3.594.1000 2015/05/19 12:00:00 2016/08/12 12:00:00 2016/08/12 10:45:13 US 2.16.840.1.113883.3.6198 renaissanceBMI Renaissance Bariatric and Metabolic Institute OID Root Charles Stewart masked Rebecca Brooks 5500 Raphael Drive Edinburg, TX 78539 956-362-5673 masked Director Renaissance Bariatric and Metabolic Institute 5500 Raphael Drive Edinburg, TX 78539 956-362-5673 re.brooks@dhr-rgv.com http://www.dhr-rgv.com/Healthcare-Services/Bariatric-and-Metabolic-Institute Provider Int 3 Complete 2015/05/19 12:00:00 2015/05/31 12:00:00 2015/05/31 12:10:19 UV 2.16.840.1.113883.3.6199 riograndeheartspecialists Rio Grande Heart Specialists OID Root Charles Stewart masked Jeanette Garcia 100 E Ridge Rd Ste A McAllen, TX 78501 (956) 682-1888 masked Office Manager Rio Grande Heart Specialists 100 E Ridge Rd Ste A McAllen, TX 78501 (956) 682-1888 jeanette.garcia@rgvheartspecialists.com http://www.mcallenheartspecialists.com/ Provider Int 3 Complete 2015/05/19 12:00:00 2015/05/31 12:00:00 2015/05/31 12:11:22 UV 2.16.840.1.113883.3.6200 syapse Syapse Tony Loeser masked Tony Loeser 101 University Ave. Suite 230 Palo Alto, CA 94301 650-924-1461 masked CTO Syapse 101 University Ave. Suite 230 Palo Alto, CA 94301 650-924-1461 contact@syapse.com http://www.syapse.com Vendor Int 3 Complete 2015/05/19 12:00:00 2015/05/31 12:00:00 2015/05/31 12:16:12 UV 2.16.840.1.113883.3.6201 unthsc UNTHealth JPS Conversion OID Woody Hagar masked Anthony Tissera Woody Hagar 3500 Camp Bowie Blvd. Fort Worth, TX 76107 817-735-2929 masked Director Information Service UNTHealth 1412 May Street Fort Worth, TX 76104 817-547-9565 817-547-9565 callcenter@unthsc.edu http://web.unthsc.edu/patient_care/ Academic Int 3 Complete 2015/05/20 12:00:00 2015/05/31 12:00:00 2015/05/31 12:17:30 UV 2.16.840.1.113883.3.6202 tfhd Tahoe Forest Hospital Kristina Martin masked Kristina Martin 10121 Pine Ave. Truckee, CA 96161 530-582-6232 masked System Interfaces Manager Tahoe Forest Hopsital District 10121 Pine Ave. Truckee, CA 96161 530-582-6232 information@tfhd.com http://www.tfhd.com Provider Int 3 Complete 2015/05/20 12:00:00 2015/05/31 12:00:00 2015/05/31 12:18:36 UV 2.16.840.1.113883.3.6203 mcallensurgeons McAllen Surgeons OID Root Charles Stewart masked Pricilla De La Cruz 2821 Michelangelo Drive, Suite 101 Edinburg, TX 76539 956-383-3360 masked Office Manager McAllen Surgeons 2821 Michelangelo Drive, Suite 101 Edinburg, TX 76539 956-383-3360 McAllen_Surgeons@hotmail.com http://www.mcallentxsurgeons.com Provider Int 3 Complete 2015/05/20 12:00:00 2015/05/31 12:00:00 2015/05/31 12:25:02 UV 2.16.840.1.113883.3.6204 cdms-root cdms.root Chris Schacherer masked Christopher W. Schacherer 1022 Mohican Pass Madison, WI 6082746625 masked Owner Clinical Data Manaagement Systems, LLC 608-274-6625 cschacherer@cdms-llc.com Vendor Int 3 Complete 2015/05/20 12:00:00 2015/05/31 12:00:00 2015/05/31 12:26:08 UV 2.16.840.1.113883.3.6205 hLHQ Health Quest Paul Almy masked Robert Gilliland 21 Fox Street Poughkeepsie NY 12601 845 483-6703 masked Chief Technology Officer/AVP, Health Quest IT Health Quest 21 Fox Street Poughkeepsie NY 12601 rgilliland@health-quest.org Provider Int 3 Complete 2015/05/21 12:00:00 2015/05/31 12:00:00 2015/05/31 12:27:48 UV 2.16.840.1.113883.3.6206 mlmc Mountain Laurel Medical Center Charles Wilt masked Charles 1027 Memorial Drive Oakland, MD 21550 3015333300 x3056 masked Chief Operating Officer Mountain Laurel Medical Center 1027 Memorial Drive Oakland, MD 21550 3015333300 charles@mtnlaurel.org Provider Int 3 Complete 2015/05/21 12:00:00 2015/05/31 12:00:00 2015/05/31 12:29:08 UV 2.16.840.1.113883.3.6207 reccol Riverside Eye Center Darrell Dye masked Darrell Dye 3434 Riverside Dr. Columbus, OH 43221 614-273-0393 masked Owner/Optometrist Riverside Eye Center 3434 Riverside Dr. Columbus, OH 43221 6142730993 dukedye@gmail.com http://www.riversideeyectr.com Provider Int 3 Complete 2015/05/21 12:00:00 2015/05/31 12:00:00 2015/05/31 12:30:56 UV 2.16.840.1.113883.3.6208 kidneydoctorsofsouthtexas Kidney Doctors of South Texas OID Root Charles Stewart masked Martin Jimenez 1300 S Bryan Rd Ste 106 Mission, TX 78572 (956) 519-2315 masked Office Manager Kidney Doctors of South Texas 1300 S Bryan Rd Ste 106 Mission, TX 78572 (956) 519-2315 kidneydoctorsofsouthtexas@yahoo.com http://www.healthgrades.com/group-directory/texas-tx/mission/kidney-doctors-of-south-texas-oojtk45 Provider Int 3 Complete 2015/05/21 12:00:00 2015/05/31 12:00:00 2015/05/31 12:31:59 UV 2.16.840.1.113883.3.6209 fccc Fox Chase Cancer Center Bonnie Berman masked Michael Sweeney Bonnie Berman 333 Cottman Ave Phile, PA 19111 215-214-4240 masked Fox Chase Cancer Center 333 Cottman Ave Phile, PA 19111 michael.sweeney@fccc.edu Provider Int 3 Complete 2015/05/22 12:00:00 2015/05/31 12:00:00 2015/05/31 12:33:36 UV 2.16.840.1.113883.3.6210 richardbpricemd Richard B Price, MD Kira Merz masked Kira Merz 12330 Metcalf Ave Suite 550 Overland Park, KS 66213 913-491-3900 masked Office Manager Richard B Price, MD 12330 Metcalf Ave Suite 550 Overland Park, KS 66213 913-491-3900 kira@richardbpricemd.com http://richardbpricemd.com/ Provider Int 3 Complete 2015/05/27 12:00:00 2015/05/31 12:00:00 2015/05/31 12:36:31 UV 2.16.840.1.113883.3.6211 aenta Albany ENT & Allergy Services Karen Johnson masked Karen Johnson 400 Patroon Creek Boulevard Suite 205 Albany NY 12206 518-701-2124 masked Operations and Billing Manager Albany ENT & Allergy Services, PC 400 Patroon Creek Boulevard Suite 205 Albany NY 12206 518-701-2000 patientportal@albanyentandallergy.com Provider Int 3 Complete 2015/05/27 12:00:00 2015/05/31 12:00:00 2015/05/31 12:39:30 UV 2.16.840.1.113883.3.6212 sbh1 Syracuse Brick House Inc. Jaime Stephenson masked Jaime Stephenson 329 North Salina St. Suite 200 Syracuse, NY 13203 315-474-5506 ext. 232 masked HIT System Administrator Syracuse Brick House Inc. 329 North Salina St. Suite 200 Syracuse, NY 13203 315-474-5506 ext. 232 jaimes@sbh.org http://www.sbh.org/ Provider Int 3 Complete 2015/05/28 12:00:00 2015/05/31 12:00:00 2015/05/31 12:41:04 UV 2.16.840.1.113883.3.6213 deerchase Deer Chase Medical Associates Root OID Thomas O'Brien masked Maryann Adubato 160 State Highway 37 West Toms River, NJ 08755 732-286-0440 masked Office Manager Deer Chase Medical Associates, P.A. 160 State Highway 37 West Toms River, NJ 08755 732-286-0440 deerchase@aol.com Provider Int 3 Complete 2015/05/28 12:00:00 2015/05/31 12:00:00 2015/05/31 12:43:21 UV 2.16.840.1.113883.3.1097.9.91980101 ssmc Stephen M. Swetech, D.O. Stephen Bean masked Grozda Swetech 43600 Garfield Rd Clinton Township, MI 48038 586-228-0400 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91980101 2015/05/29 12:00:00 2015/05/31 12:00:00 2015/05/31 11:20:09 UV 2.16.840.1.113883.3.1097.9.91990101 chvs Cardioq Heart and Vascular Specialists of MI Stephen Bean masked Misty Schaffer 26631 Southfield Rd Southfield, MI 48076 248-552-8195 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91990101 2015/05/29 12:00:00 2015/05/31 12:00:00 2015/05/31 11:21:53 UV 2.16.840.1.113883.3.1097.1.4730017 bhi Beaumont Home Infusion Pharmacy Stephen Bean masked Karla Barnnett 1410 E 14 Mile Rd Madison Heights, MI 48071 248-743-6500 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.4730017 2015/05/29 12:00:00 2015/05/31 12:00:00 2015/05/31 11:24:07 UV 2.16.840.1.113883.3.1097.1.2730026 bcsc Onc Breast Cancer Surv Clinic Stephen Bean masked Lisa D'Andrea 44344 Dequindre Ste 140 Sterling Heights, MI 48314 248-964-3432 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2730026 2015/05/29 12:00:00 2015/05/31 12:00:00 2015/05/31 11:25:52 UV 2.16.840.1.113883.3.1097.1.2730025 wcrc Wilson Cancer Resource Center Stephen Bean masked Lisa D'Andrea 44344 Dequindre Ste 140 Sterling Heights, MI 48314 248-964-3432 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2730025 2015/05/29 12:00:00 2015/05/31 12:00:00 2015/05/31 11:28:00 UV 2.16.840.1.113883.3.1097.1.4730016 wcwscs Weight Control Center SCS Stephen Bean masked Shelley Harless 25631 Litle Mack Ste LL St Clair Shores, MI 480081 586-443-2998 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.4730016 2015/05/29 12:00:00 2015/05/31 12:00:00 2015/05/31 11:30:38 UV 2.16.840.1.113883.3.1097.9.90710101 clc Cancer & Leukemia Center Stephen Bean masked Karen Moody 44344 Dequindre Ste 260 Sterling Heights, MI 48314 586-323-1500 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90710101 2015/05/29 12:00:00 2015/05/31 12:00:00 2015/05/31 11:32:51 UV 2.16.840.1.113883.3.1097.1.2140018 tshvc HEART AND VALVE CLINIC OSCSH Stephen Bean masked Shelley Harless 44250 Dequindre Rd Sterling Heights, MI 48314 248-964-3884 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2140018 2015/05/29 12:00:00 2015/05/31 12:00:00 2015/05/31 11:34:33 UV 2.16.840.1.113883.3.1097.9.91630102 abswt A Bahjat Shahbandar, MD, PC Stephen Bean masked Bahjat Shahbandar 67200 Van Dyke Rd Ste 203 Washington, MI 48095 586-752-7575 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91630102 2015/05/29 12:00:00 2015/05/31 12:00:00 2015/05/31 11:36:19 UV 2.16.840.1.113883.3.6214 app-uhcmap Advocate Physician Partners - UHC MA PPO Dennis Gilge masked Dennis Gilge 847-635-5920 masked Advocate Physician Partners 1701 West Golf Road Suite 2-1100 Rolling Meadows, Il 60008 847-635-5920 Dennis.Gilge@advocatehealth.com Provider Int 3 Complete 2015/05/29 12:00:00 2015/05/31 12:00:00 2015/05/31 12:46:13 UV 2.16.840.1.113883.3.6215 app-uhcppo Advocate Physician Partners - UHC PPO Dennis Gilge masked Dennis Gilge 847-635-5920 masked Advocate Physician Partners 1701 West Golf Road Suite 2-1100 Rolling Meadows, Il 60008 847-635-5920 Dennis.Gilge@advocatehealth.com Provider Int 3 Complete 2015/05/29 12:00:00 2015/05/31 12:00:00 2015/05/31 12:48:52 UV 2.16.840.1.113883.3.6216 knoxvilleneurologyclinic Knoxville Neurology Clinic OID Root Lesa Kerbo masked Lesa Kerbo 2200 Sutherland Ave Knoxville, TN 37919 8655216174 masked Office Manager Knoxville Neruology Clinic 2200 Sutherland Ave Knoxville, TN 37919 8655216174 lesak@kncneuro.com Provider Int 3 Complete 2015/05/30 12:00:00 2015/05/31 12:00:00 2015/05/31 12:50:07 UV 2.16.840.1.113883.3.6217 cchnnj CompleteCare Health Network Robert Rupp masked Robert Rupp 1200 N High St Millville, NJ 08332 856-451-4700 masked Senior Systems Analyst CompleteCare Health Network PO Box 597 Bridgeton, NJ 08302 856-451-4700 rrupp@chcinj.org http://completecarenj.org/ Provider Int 3 Complete 2015/06/03 12:00:00 2015/06/18 12:00:00 2015/06/18 04:26:46 UV 2.16.840.1.113883.3.6218 dhrfamilyhealthcenter DHR Family Health Center OID Root Charles Stewart masked Elaine Villarreal 2821 Michael Angelo Drive Suite 400 Edinburg, TX 78539 9563623603 masked Office Manager DHR Family Health Center 2821 Michael Angelo Drive Suite 400 Edinburg, TX 78539 9563623520 el.villarreal@dhr-rgv.com Provider Int 3 Complete 2015/06/04 12:00:00 2015/06/18 12:00:00 2015/06/18 04:29:29 UV 2.16.840.1.113883.3.6219 mahaskahealth Mahaska Health Partnership Chris Hickie masked Chris Hickie 1229 C Ave E Oskaloosa, IA 52577 641-672-3352 masked Information Technology Director Mahaska Health Partnership 1229 C Ave E Oskaloosa, IA 52577 641-672-3100 helpdesk@mahaskahealth.org http://mahaskahealth.org Provider Int 3 Complete 2015/06/05 12:00:00 2015/06/18 12:00:00 2015/06/18 04:33:51 UV 2.16.840.1.113883.3.6220 hBEMR Healthbridge EMR Alex Zhitomirsky masked Alex Zhitomirsky 132 Welsh Road Suite 140 Horsham, PA 19044 215-431-7679 masked Healthbridge EMR 132 Welsh Road Suite 140 Horsham, PA 19044 215-431-7679 alex@valexconsulting.com http://www.valexconsulting.com Vendor Int 3 Complete 2015/06/05 12:00:00 2015/06/18 12:00:00 2015/06/18 04:44:58 UV 2.16.840.1.113883.3.6221 tuh Temple UNiversity Hospital Audrey Funt masked Gerald Oetzel Audrey Funt 3401 N. Broad St Phila., PA 19140 267-746-1755 masked MU PM Temple University Hospital 3401 N. Broad St. Phila. PA 19140 267-746-1755 gerald.oetzel@tuhs.temple.edu Provider Int 3 Complete 2015/06/05 12:00:00 2015/06/18 12:00:00 2015/07/29 02:31:57 UV 2.16.840.1.113883.3.6222 aedocs Advanced Endocrinology Gayle Albergo masked Gayle Albergo 800 E. Woodfield Road Suite 113 Schaumburg, IL 60173 8476866866 masked Practice Contact/Receptionist Advanced Endocrinology 800 E. Woodfield Road Suite 113 Schaumburg, IL 60173 8476866866 gayle.albergo@att.net Exchange Int 3 Complete 2015/06/08 12:00:00 2015/06/18 12:00:00 2015/06/18 04:50:35 UV 2.16.840.1.113883.3.6223 bpmc Banner Payson Medical Center Steve Drozdowski masked Steve Drozdowski 1441 N. 12th St. Phoenix, AZ 85006 602-747-4319 masked IT Software Integration Sr Consultant Banner Payson Medical Center 807 South Ponderosa St. Payson, AZ 85441 928-474-3222 steve.drozdowski@bannerhealth.com http://www.bannerhealth.com Provider Int 3 Complete 2015/06/08 12:00:00 2015/06/18 12:00:00 2015/06/18 04:52:01 UV 2.16.840.1.113883.3.6224 rhi Resolution Health, Inc. Thinzar Min masked Thinzar Min Resolution Health, Inc. 10490 Little Patuxent Parkway, Suite 610 Columbia, MD 21044 941 3763512 masked Director, RHI HC Quality Improvement, Resolution Health, Inc. 10490 Little Patuxent Parkway, Suite 610 Columbia, MD 21044 941 3763512 THINZAR.MIN@ANTHEM.COM SDO Int 3 Complete 2015/06/09 12:00:00 2015/06/18 12:00:00 2019/12/23 11:19:47 UV 2.16.840.1.113883.3.2402.200.172 physicians-computer-company-clients-ebp Physician's Computer Company (PCC) Clients East Bay Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.172 2015/06/09 12:00:00 2015/06/18 12:00:00 2015/06/18 05:19:32 UV 2.16.840.1.113883.3.6225 alfiericardiology Alfieri Cardiology, P.A. OID Root Jennifer Hrischuk masked Jennifer H Hrischuk 701 Foulk Road Suite 1A Wilmington, DE 19803 3023978199 masked Business Manager Alfieri Cardiology, P.A. G39 Omega Drive Newark, DE 19713 3023978199 jennifer.hrischuk@alfiericardiology.com http://www.alfiericardiology.com Provider Int 3 Complete 2015/06/09 12:00:00 2015/06/18 12:00:00 2015/06/18 05:02:12 UV 2.16.840.1.113883.3.6226 ppcwest Plaza Primary Care West Randel Fuller masked Randel Fuller 623 Silver Springs Rd Suite 100 Cape Girardeau, MO 63701 573-331-6516 masked Interface/Integration Analyst Southeast Health 1701 Lacey Street Cape Girardeau, MO 63701 573-334-4822 rfuller@sehealth.org Provider Int 3 Complete 2015/06/09 12:00:00 2015/06/18 12:00:00 2015/06/18 05:04:14 UV 2.16.840.1.113883.3.6227 bioC BioCardia Diagnostics Aurie Bond masked mweiner@biocare.org Aurie Bond 1180 Beacon street, Suite 7C 617-232-0317 masked Director of Operations and Development BioCardia Diagnostics 1180 Beacon Street Suite 7C Brookline, MA 02446 617-232-0317 abond@biocare.org http://www.biocare.org/index2.htm Provider Int 3 Complete 2015/06/10 12:00:00 2015/06/18 12:00:00 2015/06/18 05:05:58 UV 2.16.840.1.113883.3.6228 swchc Southwest Community Health Center, Inc. Alan Wegener masked Southwest Community Health Center, Inc. 46 Albion Street Bridgeport, CT 06605 203-330-6000 masked Contact IT department for more infomation Southwest Community Health Center, Inc. 46 Albion Street Bridgeport, CT 06605 203-330-6000 itdept@swchc.org http://www.swchc.org Provider Int 3 Complete 2015/06/10 12:00:00 2015/06/18 12:00:00 2015/06/18 05:08:09 UV 2.16.840.1.113883.3.6229 chcsbc The Center for Health Care Services Basil Sattler masked Basil Sattler 3031 IH10 West San Antonio, TX 78201 2102611181 masked DBA The Center for Health Care Services 3031 IH10 West San Antonio, TX 78201 (210) 261-1000 bsattler@chcsbc.org http://www.chcsbc.org/ Provider Int 3 Complete 2015/06/10 12:00:00 2015/06/18 12:00:00 2015/06/18 05:11:12 US 1.3.6.1.4.1.43635.3.443.827 pv-facility-picin-elkhart Physicians Immediate Care Indiana Elkhart Robyn Conti masked John Donovan 9701 W Higgins Road Ste 270 Rosemont, IL 60018 8157132749 masked EHR Manager Practice Velocity 8777 Velocity Drive Machesney Park, IL 61115 8883574209 info@practicevelocity.com http://www.practicevelocity.com Vendor 1.3.6.1.4.1.43635 Ext 13 Complete 1.3.6.1.4.1.43635.3.443.827 2015/06/11 12:00:00 2015/06/18 12:00:00 2015/06/18 05:21:41 UV 2.16.840.1.113883.3.6230 osmc Orthopedic & Sports Medicine Center OID Root Sioux Kearnes masked Sioux Kearnes 3107 Frederick Ave., Ste. B St. Joseph, MO 64506 816-233-9888 masked Orthopedic & Sports Medicine Center 3107 Frederick Ave., Ste. B St. Joseph, MO 64506 816-233-9888 skearnes@osmconline.com Provider Int 3 Complete 2015/06/11 12:00:00 2015/06/18 12:00:00 2015/06/18 05:13:10 UV 1.3.6.1.4.1.43635.3.443.801 pv-facility-picin-wcleveland Physicians Immediate Care Indiana WCleveland Robyn Conti masked John Donovan 9701 W Higgins Road Ste 270 Rosemont, IL 60018 8157132749 masked EHR Manager Practice Velocity 8777 Velocity Drive Machesney Park, IL 61115 8883574209 info@practicevelocity.com http://www.practicevelocity.com Vendor 1.3.6.1.4.1.43635 Ext 13 Complete 1.3.6.1.4.1.43635.3.443.801 2015/06/11 12:00:00 2015/06/18 12:00:00 2015/06/18 05:25:17 UV 1.3.6.1.4.1.43635.3.443.824 pv-facility-picin-southbend Physicians Immediate Care Indiana South Bend Robyn Conti masked John Donovan 9701 W Higgins Road Ste 270 Rosemont, IL 60018 8157132749 masked EHR Manager Practice Velocity 8777 Velocity Drive Machesney Park, IL 61115 8883574209 info@practicevelocity.com http://www.practicevelocity.com Vendor 1.3.6.1.4.1.43635 Ext 13 Complete 1.3.6.1.4.1.43635.3.443.824 2015/06/11 12:00:00 2015/06/18 12:00:00 2015/06/18 05:27:18 UV 2.16.840.1.113883.3.906.12.1 oLyerlyNeuro Lyerly Neurosurgery Darren Koontz masked Darren Koontz 3451 Beach Blvd Jacksonville, FL 32207 904-202-0788 masked Sr Systems Analyst Lyerly Neurosurgery 800 Prudential Drive, Tower B 11th Floor Jacksonville, Fl 32207 904-202-0788 darren.koontz@bmcjax.com http://www.lyerlyneuro.com/ Provider 2.16.840.1.113883.3.906 Ext 14 Complete 2.16.840.1.113883.3.906.12.1 2015/06/12 12:00:00 2015/06/18 12:00:00 2015/06/18 05:33:28 UV 2.16.840.1.113883.3.6231 pharrpediatricclinic Pharr Pediatric Clinic OID Root Charles Stewart masked Yvonne Ochoa 105 E Polk Ave. Pharr, TX 78577 956-781-6591 masked Office Manager Pharr Pediatric Clinic 105 E Polk Ave. Pharr, TX 78577 956-781-6591 yochoa@pharrcareclinics.com Provider Int 3 Complete 2015/06/12 12:00:00 2015/06/18 12:00:00 2015/06/18 05:17:34 UV 2.16.840.1.113883.3.3991.6 carsoncity Carson City Hospital Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 517-332-7063 masked Interface Analyst Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 517-364-1000 itinterfaceanalysts@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.6 2015/06/15 12:00:00 2015/06/18 12:00:00 2015/06/18 05:56:36 UV 2.16.840.1.113883.3.6232 wdmh Winchester District Memorial Hospital Service Desk masked sobrien@wdmh.on.ca Service Desk 566 Louise St Winchester, ON K0C 2K0 CANADA 613-774-2420 x6888 masked Service Desk Winchester District Memorial Hospital 566 Louise St Winchester, ON K0C 2K0 CANADA 613-774-2420 x6150 sobrien@wdmh.on.ca http://www.wdmh.on.ca Govt body Int 3 Complete 2015/06/16 12:00:00 2015/06/18 12:00:00 2015/06/18 06:04:37 CA 2.16.840.1.113883.3.6233 app-wal Advocate Physician Partners - Walgreens Dennis Gilge masked Dennis Gilge 847-635-5920 masked Advocate Health 3701 West Golf Road Suite 2-1100 Rolling Meadows, Il 60008 847-635-5920 Dennis.Gilge@advocatehealth.com Provider Int 3 Complete 2015/06/16 12:00:00 2015/06/18 12:00:00 2015/06/18 06:07:40 UV 2.16.840.1.113883.3.6234 utmsa UT Medicine San Antonio Michael Walter masked David Speare Michael Walter 7703 Floyd Curl Dr San Antonio, TX 78239 210-450-4539 masked CTO UT Medicine San Antonio 7703 Floyd Curl Dr San Antonio, TX 78239 210-450-4500 upgsupport@uthscsa.edu Provider Int 3 Complete 2015/06/16 12:00:00 2015/06/18 12:00:00 2015/06/18 06:09:08 UV 2.16.840.1.113883.3.2402.300.12 physicians-computer-company-vendors-svmc Physician's Computer Company (PCC) Vendors Southwestern Vermont Medical Center Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.300.12 2015/06/16 12:00:00 2015/06/18 12:00:00 2015/06/18 06:26:05 UV 2.16.840.1.113883.3.2402.200.6867 physicians-computer-company-clients-gmp Physician's Computer Company (PCC) Clients Green Mountain Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6867 2015/06/16 12:00:00 2015/06/18 12:00:00 2015/06/18 06:29:47 UV 2.16.840.1.113883.3.6235 ccgc Clarity Child Guidance Center David Keith masked David R Keith 8535 Tom Slick Dr San Antonio, TX 78229 210-593-2164 masked Database Specialist Clarity Child Guidance Center 8535 Tom Slick Dr San Antonio, TX 78229 itadmin@claritycgc.org http://claritycgc.org/ Provider Int 3 Complete 2015/06/17 12:00:00 2015/06/18 12:00:00 2015/06/18 06:12:16 UV 2.16.840.1.113883.3.6236 wmg Wellspan Medical Group (Ephrata) Erika Becker masked Erika Becker 717-721-8752 masked Director of Applications Wellspan Ephrata Community Hospital 169 Martin Ave Ephrata, PA 17522 717-733-0311 ebecker2@wellspan.org Provider Int 3 Complete 2015/06/18 12:00:00 2015/06/18 12:00:00 2015/06/18 06:16:17 UV 2.16.840.1.113883.3.6237 hutzelwomenshealth Hutzel Women's Health Specialists OID Root Kelly Lutz masked Kelly Lutz 313-833-8800 masked Office Manager Hutzel Women's Health Specialists 4727 St. Antoine, Suite 304 Detroit, MI 48201 313-833-8800 hutzelwomens@gmail.com http://www.hutzelwomens.com Provider Int 3 Complete 2015/06/18 12:00:00 2015/06/18 12:00:00 2015/06/18 06:17:41 UV 2.16.840.1.113883.3.6238 amida AmidaCare Alexandra Shuss masked Alexandra Shuss 14 Penn Plaza 3rd Floor New York, NY 10122 646-757-7083 masked Senior Director of Information Services AmidaCare 14 Penn Plaza 3rd Floor New York, NY 10122 646-757-7000 support@amidacareny.org http://www.amidacareny.org/ Payor Int 3 Complete 2015/06/18 12:00:00 2015/06/18 12:00:00 2015/06/18 06:21:28 UV 2.16.840.1.113883.3.6239 entandallergy ENT & Allergy Associates, P.C. OID Root Kristina Tortorici masked Kristina Tortorici 516 Brookwood Boulevard Suite 100 Birmingham, Al 35209 2057763131 masked Office Manager ENT & Allergy Associates, P.C. 516 Brookwood Boulevard Suite 100 Birmingham, Al 35209 2057763131 ktortorici@aol.com Provider Int 3 Complete 2015/06/18 12:00:00 2015/06/18 12:00:00 2015/06/18 06:23:13 UV 2.16.840.1.113883.3.2402.200.6866 physicians-computer-company-clients-sfb Physician's Computer Company (PCC) SF Bay Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6866 2015/06/18 12:00:00 2015/06/18 12:00:00 2015/06/18 06:31:47 UV 2.16.840.1.113883.3.2402.200.274 physicians-computer-company-clients-pbn Physician's Computer Company (PCC) Pediatrics By Night Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.274 2015/06/18 12:00:00 2015/06/18 12:00:00 2015/06/18 06:33:50 UV 2.16.840.1.113883.3.2402.200.6861 physicians-computer-company-clients-lighthouse Physician's Computer Company (PCC) Lighthouse Pediatrics of Naples, LLC Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6861 2015/06/18 12:00:00 2015/06/18 12:00:00 2015/06/18 06:36:35 UV 2.16.840.1.113883.3.2402.200.6782 physicians-computer-company-clients-kfpp Physician's Computer Company (PCC) Kids First Pediatric Partners Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6782 2015/06/18 12:00:00 2015/06/18 12:00:00 2015/06/18 06:40:14 UV 2.16.840.1.113883.3.2402.200.6839 physicians-computer-company-clients-flatiron Physician's Computer Company (PCC) Flatiron Pediatrics, P. C. Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6839 2015/06/18 12:00:00 2015/06/18 12:00:00 2015/06/18 06:42:07 UV 2.16.840.1.113883.3.2402.200.188 physicians-computer-company-clients-esp Physician's Computer Company (PCC) East Suburban Pediatrics, LTD. Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.188 2015/06/18 12:00:00 2015/06/18 12:00:00 2015/06/18 06:45:19 UV 2.16.840.1.113883.3.2402.200.6875 physicians-computer-company-clients-ewmd Physician's Computer Company (PCC) Eric Wells, M. D. Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6875 2015/06/18 12:00:00 2015/06/18 12:00:00 2015/06/18 06:47:32 UV 2.16.840.1.113883.3.2402.200.6869 physicians-computer-company-clients-cnp Physician's Computer Company (PCC) Colts Neck Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6869 2015/06/18 12:00:00 2015/06/18 12:00:00 2015/06/18 06:49:06 UV 2.16.840.1.113883.3.6240 uch-ucms Upper Chesapeake Medical Services Michael Marino masked Michael Marino 510 Upper Chesapeake Dr Bel Air, MD 21014 443-643-3255 masked Director Upper Chesapeake Health 510 Upper Chesapeake Dr Suite 515 Bel Air, MD 21014 443-643-3255 mmarino@uchs.org Provider Int 3 Complete 2015/06/22 12:00:00 2015/06/25 12:00:00 2015/06/25 04:59:47 UV 2.16.840.1.113883.3.6241 gmeinternalmedicinecenter GME Internal Medicine Center OID Root Holly Llasos masked Karen McAllister/Roberta Reyes 2821 Michael Angelo Suite 400 Edinburg, TX 78539 956-362-3520 masked Manager GME Internal Medicine Center 2821 Michael Angelo, Suite 400 Edinburg, Texas 78539 956-362-3520 k.mcalister@dhr-rgv.com Provider Int 3 Complete 2015/06/22 12:00:00 2015/06/25 12:00:00 2015/06/25 05:08:19 UV 2.16.840.1.113883.3.6242 gmesurgery GME Surgery OID Root Holly Llasos masked Karen McAllister/Roberta Reyes 5321 S McColl Road Edinburg, TX 78539 956-362-3501 masked Manager GME Surgery 5321 S McColl Road Edinburg, Texas 78539 956-362-3501 k.mcalister@dhr-rgv.com Provider Int 3 Complete 2015/06/22 12:00:00 2015/06/25 12:00:00 2015/06/25 05:11:35 UV 2.16.840.1.113883.3.6243 gmewomenhealth GME Women Health OID Root Holly Llasos masked Karen McAllister/Roberta Reyes 2821 Michael Angelo Suite 400 Edinburg, TX 78539 956-362-3520 masked Manager GME Women Health 2821 Michael Angelo, Suite 400 Edinburg, Texas 78539 956-362-3520 k.mcalister@dhr-rgv.com Provider Int 3 Complete 2015/06/22 12:00:00 2015/06/25 12:00:00 2015/06/25 05:18:38 UV 2.16.840.1.113883.3.6244 renaissanceorthopedictraumainstitute Renaissance Orthopedic Trauma Institute OID Root Holly Llasos masked ROBERTA REYES 5519 Doctors Drive Edinburg, TX 78539 956-219-7839 masked Manager Renaissance Orthopedic Trauma Institute 5519 Doctors Drive Edinburg, Texas 78539 956-362-2421 ro.reyes@dhr-rgv.com Provider Int 3 Complete 2015/06/22 12:00:00 2015/06/25 12:00:00 2015/06/25 05:19:43 UV 2.16.840.1.113883.3.6245 centerformaternalfetalmedicine Center for Maternal Fetal Medicine OID Root Holly Llasos masked Audrey L. Palacios 801 E. Nolana, Suite 6, McAllen, TX 78504 956-627-3097 masked Women's health nurse practitioner - NP & clinic management Center for Maternal Fetal Medicine 801 E. Nolana, Suite 6, McAllen, TX 78504 956-627-3097 au.palacios@dhr-rgv.com Provider Int 3 Complete 2015/06/22 12:00:00 2015/06/25 12:00:00 2015/06/25 05:20:50 UV 2.16.840.1.113883.3.6246 albertboydmdpa Albert Boyd, MD PA OID Root Albert Boyd masked Bianca Ortega 941 York Drive Suite 200 Desoto, TX 75115 9722967500 masked RN/ Office Manager Albert Boyd, MD PA 941 York Drive Suite 200 Desoto, TX 75115 9722967500 drboydmail@sbcglobal.net Provider Int 3 Complete 2015/06/22 12:00:00 2015/06/25 12:00:00 2015/06/25 05:21:53 UV 2.16.840.1.113883.3.6247 ankleandfootassoicates Ankle & Foot Associates OID Root Betsy Clark masked Betsy Clark 232 Bullard Parkway Temple Terrace, FL 33617 813-985-2811 masked Manager Ankle & Foot Assoicates 232 Bullard Parkway Temple Terrace, FL 33617 813-985-2811 docadmin1@verizon.net Provider Int 3 Complete 2015/06/23 12:00:00 2015/06/25 12:00:00 2015/06/25 05:23:04 UV 2.16.840.1.113883.3.6248 gshcs-root Good Shepherd Health Care System Rob Rizk masked Rob Rizk 610 NW 11th Street Hermiston, or 97838 541-667-3559 masked Director, information Technology Good Shepherd Health Care System 610 NW 11th Street Hermiston, OR 97838 541-667-3400 it-staff@gshealth.org Provider Int 3 Complete 2015/06/24 12:00:00 2015/06/25 12:00:00 2015/06/25 05:25:04 UV 2.16.840.1.113883.4.855 sCHCNY Syracuse Community Health Center of New York William Grant masked Daniel Stinson 819 South Salina St Syracuse, NY 13202 315.476.7921 x 2394 masked Systems Administrator Syracuse Community Health Center 819 South Salina St Syracuse, NY 13202 315.476.7921 des1@schcny.com http://www.schcny.com Provider Int 3 Complete 2015/06/25 12:00:00 2015/06/25 12:00:00 2015/06/25 05:35:57 UV 2.16.840.1.113883.3.6249 lbb-pns-dal UMC Physician Network Services Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock, TX 79423 806-761-0322 masked Director EMR Integration UMC Physician Network Services 3612 22nd Place Lubbock, TX 79410 806-795-1393 yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2015/06/25 12:00:00 2015/06/25 12:00:00 2015/06/25 05:29:20 UV 2.16.840.1.113883.3.6250 pacwh Pacific Women's Healthcare Association Tracy Kahler masked Pacific Women's Healthcare Association Tracy Kahler 402-486-7360 masked Project Manager ALN Medical Management 9155 East Nicholes Ave., Suite 360 Centennial, CO 80112 ALNSupport@alnmm.com Vendor Int 3 Complete 2015/06/26 12:00:00 2015/06/26 12:00:00 2015/06/26 03:35:04 UV 2.16.840.1.113883.3.6251 verinovum Verinovum LLC Chris McLean masked ryan.campbell@verinovum.com Chris McLean 1611 S UTICA AVE # 317 TULSA, OK 74104-4902 9182698269 masked CTO Verinovum LLC 1611 S UTICA AVE # 317 TULSA, OK 74104-4902 9182698269 admin@verinovum.com http://verinovum.com Vendor Int 3 Complete 2015/06/26 12:00:00 2015/06/26 12:00:00 2015/06/26 06:04:12 UV 2.16.840.1.113883.3.6252 linkcare Linkcare OID Root Jim Roldan masked Jose Manuel Sanchez Roger de Lluria 50 satic 08009 BARCELONA +34 696 454 614 masked President Linkcare Health Care Services Roger de Lluria 50 satic 08009 BARCELONA +34607974138 jimroldan@linkcare.es http://www.linkcare.es Vendor 2.16.840.1.113883.2.19 Int 3 Complete 2015/06/28 12:00:00 2015/07/30 12:00:00 2015/07/30 06:00:44 UV 2.16.840.1.113883.3.6253 med-md Mark E. Dubin, M.D., LLC Mark Dubin masked Mark Dubin PO Box 5075 Buffalo Grove, IL 60089-5075 8474909901 masked physician Mark E. Dubin, M.D., LLC PO Box 5075 Buffalo Grove, IL 60089-5075 8474909901 drdubin.gi@gmail.com Exchange Int 3 Complete 2015/06/28 12:00:00 2015/06/29 12:00:00 2015/06/29 03:47:04 UV 2.16.840.1.113883.3.6254 nmqf National Minority Quality Forum Chris Millet masked Gretchen C. Wartman 202-223-7560 masked Vice President for Policy and Program National Minority Quality Forum 1101 K Street, NW Suite 350 Washington, DC 20005 202-223-7560 gwartman@nmqf.org Prof Soc Int 3 Complete 2015/06/29 12:00:00 2015/06/29 12:00:00 2015/06/29 03:48:42 UV 2.16.840.1.113883.3.6255 ucnt Urology Clinics of North Texas John Thomas masked John Thomas 8230 Walnut Hill #700 Dallas, TX 75231 214-580-1403 masked IT Manager Urology Clinics of North Texas 8230 Walnut Hill #700 Dallas, TX 75231 214-691-1902 jthomas@urologyclinics.com http://www.urologyclinics.com Provider Int 3 Complete 2015/06/29 12:00:00 2015/06/29 12:00:00 2015/06/29 03:51:13 UV 2.16.840.1.113883.3.6256 shastahealth Shasta Community Health Center Will Misslin masked Charles Kitzman 1035 Placer St Redding, CA 96001 5302465710 masked Chief Information Officer Shasta Community Health Center 1035 Placer St Redding, CA 96001 5302465710 infosys@shastahealth.org http://www.shastahealth.org Provider Int 3 Complete 2015/06/30 12:00:00 2015/06/30 12:00:00 2015/06/30 07:18:28 UV 2.16.840.1.113883.3.6257 wilmhlth Wilmington Health Christopher Richardson masked Christopher Todd Richardson 1202 Medical Center Drive Wilmington, NC 28401 9108153191 masked IT Manager Wilmington Health 1202 Medical Center Drive Wilmington, NC 28401 9103413300 trichardson@wilmingtonhealth.com http://www.wilmingtonhealth.com Provider Int 3 Complete 2015/06/30 12:00:00 2015/06/30 12:00:00 2015/06/30 07:20:20 UV 2.16.840.1.113883.3.6252.1 linkcareDocsRepo Linkcare's document repository Jim Roldan masked Jose Manuel Sanchez Roger de Lluria 50 satic 08009 BARCELONA +34 696 454 614 masked President Linkcare Health Care Services Roger de Lluria 50 satic 08009 BARCELONA +34607974138 jimroldan@linkcare.es http://www.linkcare.es Vendor 2.16.840.1.113883.2.19 Ext 14 Complete 2.16.840.1.113883.3.6252.1 2015/07/01 12:00:00 2015/07/30 12:00:00 2015/07/30 06:03:12 UV 2.16.840.1.113883.3.6252.2 linkcareServEvenRepo Linkcare's service events repository Jim Roldan masked Jose Manuel Sanchez Roger de Lluria 50 satic 08009 BARCELONA +34 696 454 614 masked President Linkcare Health Care Services Roger de Lluria 50 satic 08009 BARCELONA +34607974138 jimroldan@linkcare.es http://www.linkcare.es Vendor 2.16.840.1.113883.2.19 Ext 14 Complete 2.16.840.1.113883.3.6252.2 2015/07/01 12:00:00 2015/07/30 12:00:00 2015/07/30 06:05:26 UV 2.16.840.1.113883.3.6258 slch-HIE St Luke HIE Harisha Nanjappa masked Aaron Kramer Harisha Nanjappa (845) 568-2374 masked Interface Analyst St. Luke's Cornwall Hospital 70 Dubois St Newburgh, NY 12550 845-568-2374 hnanjappa@slchospital.org http://www.stlukescornwallhospital.org Provider Int 3 Complete 2015/07/01 12:00:00 2015/07/15 12:00:00 2015/07/15 04:46:54 UV 2.16.840.1.113883.3.6259 abh-MI Aetna Better Health of Michigan Jennifer Sica masked Jennifer Sica 1333 Gratiot Ave # 400, Detroit, MI 48207 928-856-7070 masked Project Manager Aetna Better Health of Michigan 1333 Gratiot Ave # 400, Detroit, MI 48207 1-855-676-5772 sicaj@aetna.com http://www.aetnabetterhealth.com/Michigan Vendor Int 3 Complete 2015/07/02 12:00:00 2015/07/15 12:00:00 2015/07/15 04:52:05 UV 2.16.840.1.113883.3.6260 abh-OH Aetna Better Health of Ohio Jennifer Sica masked Jennifer Sica 4500 E. Cotton Center Blvd. Phoenix AZ 928-856-7070 masked Project Manager Aetna Better Health of Ohio 4500 E. Cotton Center Blvd. Phoenix AZ 1-855-364-0974 sicaj@aetna.com http://www.aetnabetterhealth.com/ohio/ Payor Int 3 Complete 2015/07/02 12:00:00 2015/07/15 12:00:00 2015/07/15 04:54:50 UV 2.16.840.1.113883.17.4100 chcrrpeds CHCRR Pediatrics Joann Blair masked Joann Blair 8027739131 masked CHCRR Pediatrics 1 General Wing RD Rutland, VT 05701 8027793131 jblair@chcrr.org Provider Int 17 Complete 2015/07/02 12:00:00 2015/07/15 12:00:00 2015/07/15 04:58:02 UV 2.16.840.1.113883.3.6261 aaaai AAAAI measures Shazia Ali masked Sheila Heitzig Sheila Heitzig 555 E. Wells Street Suite 1100 Milwaukee, Wisconsin 53202 414-272-6071 masked Director of Practice and Policy American Academy of Allergy Asthma and Immunology 555 E. Wells Street Suite 1100 Milwaukee, Wisconsin 53202 414-272-6071 info@aaaai.org http://www.aaaai.org/home.aspx Prof Soc Int 3 Complete 2015/07/06 12:00:00 2015/07/15 12:00:00 2015/07/15 05:02:11 UV 2.16.840.1.113883.3.6262 ffcare Family Footcare OID Root Mark Baxter masked Mark C Baxter DPM 421 W.Stone Dr. Suite 6 Kingsport, TN 37660 423-245-4100 masked Owner Mark C Baxter DPM 421 W.Stone Dr. Suite 6 Kingsport, TN 37660 423-245-4100 drbaxter@familyfootcaretn.com http://www.familyfootcaretn.com Provider Int 3 Complete 2015/07/07 12:00:00 2015/07/15 12:00:00 2015/07/15 05:05:50 UV 2.16.840.1.113883.3.6263 umsjmc University of Maryland St. Joseph Medical Center Shanna Hartman masked Tara Newman-Bell Tara Newman-Bell 410-328-9955 masked University of Maryland St. Joseph Medical Center 7601 Osler Dr, Towson, MD 21204 410-337-1000 BenVanlandingham@umm.edu Provider Int 3 Complete 2015/07/08 12:00:00 2015/07/15 12:00:00 2015/07/15 05:12:19 UV 2.16.840.1.113883.3.6264 humanecenter Humane Center for Arthritis and Rheumatism OID Root Wen Xiong masked Wen Xiong 2424 Morris Ave, suite 110 Union, NJ 07083 9086881288 masked MD Humane Center for Arthritis and Rheumatism 2424 Morris Ave, suite 110 Union, NJ 07083 9086881288 humanecenter@gmail.com Provider Int 3 Complete 2015/07/08 12:00:00 2015/07/15 12:00:00 2015/07/15 05:35:47 UV 2.16.840.1.113883.3.6265 scars-oid SCARS Management Services Alex Liao masked Alex Liao 180 Newport Center Drive Ste 158 Newport Beach, CA 92660 9492001600 masked SCARS Management Services sms-admin@scarscenter.com Provider Int 3 Complete 2015/07/09 12:00:00 2015/07/15 12:00:00 2015/07/15 05:37:48 UV 2.16.840.1.113883.3.6266 liverandPancreasSurgeryOrganTransplantation Liver and Pancreas Surgery Organ Transplantation OID Root Holly Llasos masked Roberta Reyes 2717 Michael Angelo Drive, Suite 201 Edinburg, TX 78539 956-219-7839 masked manager Liver & Pancreas Surgery/ Organ Transplantation 2717 Michael Angelo Drive, Suite 201 Edinburg, Texas 78539 956-362-2200 ro.reyes@dhr-rgv.com Provider Int 3 Complete 2015/07/09 12:00:00 2015/07/15 12:00:00 2015/07/15 05:39:51 UV 2.16.840.1.113883.3.6267 ummtc University of Maryland Midtown Campus Patti Wilemon masked Tara Newman-Bell Tara Newman-Bell 410.328.9955 masked Director of Integration University of Maryland Midtown UMMC Midtown Campus 827 Linden Avenue Baltimore, MD 21201 410.225.8000 jqueen@umms.edu http://www.ummidtown.org Provider Int 3 Complete 2015/07/10 12:00:00 2015/07/15 12:00:00 2015/07/15 05:42:04 UV 2.16.840.1.113883.3.6268 eyeco Eye Couture Optical PC Anita Cichon masked James Cichon 5217 Library Rd Bethel Park, PA 15102 412-851-2020 masked Operations Manager Eye Couture Optical PC 5217 Library RD Bethel Park, PA 15102 412-851-2020 eyecouturepa@hotmail.com http://www.eyecoutureoptical.com Provider Int 3 Complete 2015/07/13 12:00:00 2015/07/15 12:00:00 2015/07/15 05:46:53 UV 2.16.840.1.113883.3.6269 wsi2015 Way Station, Inc. Anne Rea masked Anne Rea PO Box 3826 Frederick, MD 21705 301-662-0099 masked Chief of Operations Way Station, Inc. PO Box 3826 Frederick, MD 21705 301-662-0099 area@waystationinc.org http://www.waystationinc.org Provider Int 3 Complete 2015/07/13 12:00:00 2015/07/15 12:00:00 2015/07/15 05:48:05 UV 2.16.840.1.113883.3.6270 fffhc FC Fetter Family Health Center Ryan Eller masked Ryan Eller 51 Nassau Street Charleston, SC 29403 (843) 722-4112 ext. 3007 masked FC Fetter Family Health Center 51 Nassau Street Charleston, SC 29403 (843) 722-4112 ext. 3007 ryan_eller@fetterhealthcare.org Provider Int 3 Complete 2015/07/13 12:00:00 2015/07/15 12:00:00 2015/07/15 05:52:42 UV 2.16.840.1.113883.3.6271 cvcphc Curtis V. Cooper Primary Health Care Carolyn Eiland masked Sherry Tyson Carolyn Eiland 106 East Broad Street Savannah, GA 31402 912-527-1091 masked Director of Clinical Services Curtis V. Cooper Primary Health Care,Inc 106 East Broad Street Savannah, GA 31402 912-527-1000 ceiland@cvcphc.com http://www.cvcphc.net Provider Int 3 Complete 2015/07/15 12:00:00 2015/07/15 12:00:00 2015/07/15 05:55:20 UV 2.16.840.1.113883.9.195 lriProfileRoot US Laboratory Implementation Guide Suite William Ted Klein masked Hans Buitendijk Hans Buitendijk 51 Valley Stream Parkway Malvern, PA 19355 USA 610-219-2087 masked HL7 OO WG 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 734 677 7777 Hans.Buitendijk@Cerner.com HL7 body Int 9 Complete 2015/07/15 12:00:00 2015/07/24 12:00:00 2015/07/24 03:31:20 UV 2.16.840.1.113883.3.6272 celebrationorthopaedicandspineinstitute celebration orthopaedic and spine institute Darlene Quidgley masked Darlene Quidgley 400 Celebration Place Suite A280 Celebration, FL 34747 4074320082 masked Office Manager Celebration Orthopaedic and Spine Institute 400 Celebration Place Suite A280 Celebration, FL 34747 4075664411 dquidgley@gmail.com http://www.celebrationmisi.com Provider Int 3 Complete 2015/07/16 12:00:00 2015/07/24 12:00:00 2015/07/24 03:32:48 UV 2.16.840.1.113883.3.6273 calverthealth Calvert Community Health Record System Terri DePhillip-Patterson masked Terri DePhillip-Patterson 100 Hospital Road Prince Frederick, MD 20678 443-968-4313 masked Ambulatory Systems Manager Calvert Community Health Record System 100 Hospital Road Prince Frederick, MD 20678 410-535-4000 webmaster@cmhlink.org http://www.calverthospital.org Provider Int 3 Complete 2015/07/16 12:00:00 2015/07/24 12:00:00 2015/07/24 03:35:14 UV 2.16.840.1.113883.3.6274 enquiresolutions EnquireSolutions Ryan Smith masked Ryan Smith 5600 South Quebec Street, Suite 305D Greenwood Village, CO 3039818037 masked Enquire Solutions 5600 South Quebec Street, Suite 305D Greenwood Village, CO 855.212.7262 support@enquiresolutions.com Vendor Int 3 Complete 2015/07/17 12:00:00 2015/07/24 12:00:00 2015/07/24 03:37:30 UV 2.16.840.1.113883.17.4101 mh-hp Repository Unique ID for the Patient Identity Feed for HealthPulse Sheila Method masked Sheila Method Information Services 826 W King St Owosso, MI 48867 989-729-4688 masked Sr Clinical Analyst Memorial Healthcare 826 W King St Owosso, MI 48867 989-723-5211 smethod@memorialhealthcare.org http://www.memorialhealthcare.org Provider 2.16.840.1.113883.3.992 Int 17 Complete 2015/07/20 12:00:00 2015/07/30 12:00:00 2015/07/30 05:47:18 UV 2.16.840.1.113883.3.6275 scldc SCL Health Martin McCullough masked Julie Einhellig 12600 W Colfax Ave Suite C500 Lakewood, CO 80215 (303) 403-7740 masked Manager, Integration Services - CO/MT SCL Health 12600 W Colfax Ave Suite C500 Lakewood, CO 80215 (303) 813-5190 info@sclhs.net http://www.sclhealthsystem.org/ Provider 2.16.840.1.113883.3.3829 Int 3 Complete 2015/07/21 12:00:00 2015/07/24 12:00:00 2015/07/24 03:45:06 UV 2.16.840.1.113883.3.6276 vipcommservices VIP Community Services Jessica Brigyoni masked David Colon Jessica Brigyoni 1910 Arthur Ave Bronx, NY 10457 718.974.8448 masked COO VIP Community Services 1910 Arthur Ave Bronx, NY 10457 718.583.5150 jbrigyoni@vipservices.org http://vipservices.org/ Provider Int 3 Complete 2015/07/21 12:00:00 2015/07/24 12:00:00 2015/07/24 03:48:45 UV 2.16.840.1.113883.3.6277 bio-drug-substance-code Biological Drug Substance Code William Hess masked William Albert Hess Food and Drug Administration Data Standards Advisory Board 10903 New Hampshire Ave WO32-Room 2261 Silver Spring, MD 20993-0002 United States of America 301-796-8494 masked Pharmacist Food and Drug Administration Data Standards Advisory Board 10903 New Hampshire Ave WO32-Room 2261 Silver Spring, MD 20993-0002 United States of America 301-796-8494 william.hess@fda.hhs.gov http://www.fda.gov/ Govt body 2.16.840.1.113883.3.24 Int 3 Complete 2015/07/21 12:00:00 2015/07/24 12:00:00 2015/09/30 05:22:45 UV 2.16.840.1.113883.9.196 vcc Virginia Cardiovascular Consultants Gina Baxter masked Gina Baxter 1201 Sam Perry Blvd. Suite 280 Fredericksburg, VA 22401 (703) 216-8920 masked Administrator Virginia Cardiovascular Consultants 1201 Sam Perry Blvd. Suite 280 Fredericksburg, VA 22401 (540) 361-2922 gbaxter@vcc4life.org http://www.vcc4life.org/ Provider Int 3 Complete 2015/07/22 12:00:00 2015/07/24 12:00:00 2015/07/24 04:01:47 UV 2.16.840.1.113883.3.6278 childrensurology Children's Urology Kristin Kroll masked Kristin Kroll Children's Urology 1301 Barbara Jordan Blvd. Ste 302 Austin, TX 78723 512-472-6134 ext 2102 masked Practice Admin Children's Urology Children's Urology 1301 Barbara Jordan Blvd. Ste 302 Austin, TX 78723 512-472-6134 scheduling@childrensurology.com http://www.childrensurology.com Provider Int 3 Complete 2015/07/22 12:00:00 2015/07/24 12:00:00 2015/07/24 04:09:29 UV 2.16.840.1.113883.3.6279 sbnc Santa Barbara Neighborhood Clinics Yessenia Marroquin masked Santa Barbara Neighborhood Clinics 915 N. Milpas St. Second Floor, Santa Barbara, CA 93103 805.617.7850 masked Director of Clinic Operations Santa Barbara Neighborhood Clinics Yessenia.Marrogquin@sbclinics.org Provider Int 3 Complete 2015/07/22 12:00:00 2015/07/24 12:00:00 2015/07/24 04:11:59 UV 2.16.840.1.113883.3.6280 sud-africa-GDoH Gauteng Department of Health (GDoH) - Sud Africa Amos Monyatsi masked Amos Monyatsi +2711 355 3862 masked Director ICT Gauteng Department of Health (GDoH) 011 355 3300 Bank of Lisbon 37 Sauer Street Marshalltown Johannesburg,2000 South Africa +2711 355 3862 amos.monyatsi@gauteng.gov.za http://www.health.gpg.gov.za Govt body Int 3 Complete 2015/07/23 12:00:00 2015/07/24 12:00:00 2015/07/24 04:18:46 UV 2.16.840.1.113883.3.6281 mercy-medical Mercy Medical Group Joan Methe masked Joan Methe 413-748-9256 masked CIO Sisters of Providence Health System 271 Carew Street Springfield, MA 01104 413-748-9256 joan.methe@sphs.com Provider Int 3 Complete 2015/07/23 12:00:00 2015/07/24 12:00:00 2015/07/24 04:20:30 UV 2.16.840.1.113883.4.856 ca-OAQ Ordre des acupuncteurs du Qu&#233;bec Wilson Venancio masked Wilson Venancio TELUS Health 1000 - 5090 Explorer Drive Mississauga ON L4W 4X6 6477889477 masked Operational Capabilities and Process Manager Ordre des acupuncteurs du Qu&#233;bec 505, boul. Ren&#233;-L&#233;vesque Ouest bureau 1106 Montr&#233;al (Qu&#233;bec) H2Z 1Y7 5145232882 info@o-a-q.org http://www.o-a-q.org Vendor Int 4 Complete 2015/07/24 12:00:00 2015/07/24 12:00:00 2015/07/24 04:30:30 UV 2.16.840.1.113883.3.3991.1048 fastcare-frandor SMG FastCare - Frandor Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 (517) 332-7063 masked Interface Analyst Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 (517) 364-1000 interfaceanalysts@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1048 2015/07/24 12:00:00 2015/07/24 12:00:00 2015/07/24 04:41:21 UV 2.16.840.1.113883.3.3991.1049 smg-neph-coolidge SMG Nephrology - Coolidge Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 (517) 332-7063 masked Interface Analyst Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 (517) 364-1000 interfaceanalysts@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1049 2015/07/24 12:00:00 2015/07/24 12:00:00 2015/07/24 04:42:45 UV 2.16.840.1.113883.3.3991.1050 smg-neph-michigan-ave SMG Nephrology - Michigan Ave Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 (517) 332-7063 masked Interface Analyst Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 (517) 364-1000 interfaceanalysts@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1050 2015/07/24 12:00:00 2015/07/24 12:00:00 2015/07/24 04:45:33 UV 2.16.840.1.113883.3.3991.1051 smg-neph-lake-lansing SMG Nephrology - Lake Lansing Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 (517) 332-7063 masked Interface Analyst Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 (517) 364-1000 interfaceanalysts@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1051 2015/07/24 12:00:00 2015/07/24 12:00:00 2015/07/24 04:48:52 UV 2.16.840.1.113883.3.3991.1052 smg-gen-surgery-lansing Sparrow Medical Group General Surgery Lansing Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 (517) 332-7063 masked Interface Analyst Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 (517) 364-1000 interfaceanalysts@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1052 2015/07/24 12:00:00 2015/07/24 12:00:00 2015/07/24 05:02:14 UV 2.16.840.1.113883.3.6282 pp-delaware Planned Parenthood of Delaware Michael Form masked Randy Wise Randy Wise 625 N. Shipley Street Wilmington, DE 19801 302-655-7296 x1032 masked Planned Parenthood of Delaware 625 N. Shipley Street Wilmington, DE 19801 302-655-7296 rwise@ppde.org Provider Int 3 Complete 2015/07/24 12:00:00 2015/07/24 12:00:00 2015/07/24 04:38:35 UV 2.16.840.1.113883.3.6283 getWell GetWellSoon, Inc Brian Lee masked James Diecidue James Diecidue 222 Broadway 19F GetWell New York, NY 10038 5702427092 masked GetWellSoon, Inc 222 Broadway 19F GetWell New York, NY 10038 8003643930 support@getwellehr.com https://getwellehr.com Vendor Int 3 Complete 2015/07/27 12:00:00 2015/07/30 12:00:00 2015/07/30 04:50:23 UV 2.16.840.1.113883.3.6284 abaqis abaqis Ian Schreuder masked Ian Schreuder 8055 E. Tufts Ave Denver, CO 80237 7204432234 masked CTO Providigm, LLC. 8055 E. Tufts Ave. Denver, CO 80237 3032210184 info@providigm.com https://www.providigm.com Vendor Int 3 Complete 2015/07/28 12:00:00 2015/07/30 12:00:00 2015/07/30 04:51:48 UV 2.16.840.1.113883.3.3237.13 carolinapines Carolina Pines Regional Medical Center Amanda Hebert masked Amanda Hebert 1304 W Bobo Newsom Hwy Hartsville, SC 29550 318-613-2557 masked Senior Applications Analyst Carolina Pines Regional Medical Center 1304 W Bobo Newsom Hwy Hartsville, SC 29550 (843) 339-2100 Amanda.Hebert@CapellaHealthcare.com Provider 2.16.840.1.113883.3.3237 Ext 14 Complete 2.16.840.1.113883.3.3237.13 2015/07/28 12:00:00 2015/07/30 12:00:00 2015/07/30 05:12:40 UV 2.16.840.1.113883.3.6285 emhsclin Endless Mountains Health Systems Clinic Robert Thomas masked Robert Thomas (570)278-3801 masked Endless Mountains Health System Clinic 100 Hospital Drive, Montrose, PA 18801 (570)278-3801 rthomas@endlesscare.org Provider Int 3 Complete 2015/07/29 12:00:00 2015/07/30 12:00:00 2015/07/30 04:54:04 UV 2.16.840.1.113883.3.1097.9.91970101 eshm Endocrine Shores Stephen Bean masked Dana Hammond 37771 Schoenherr Rd Ste 101 Sterling Heights MI 48312-2302 586-698-121 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91970101 2015/07/29 12:00:00 2015/07/30 12:00:00 2015/07/30 05:25:02 UV 2.16.840.1.113883.3.1097.9.91970102 eshmrv Endocrine Shores Roseville Stephen Bean masked Dana Hammond 25710 Kelly Rd Ste 3 Roseville MI 48066-4959 586-698-121 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.91970102 2015/07/29 12:00:00 2015/07/30 12:00:00 2015/07/30 05:25:39 UV 2.16.840.1.113883.3.1097.1.2730027 pntr Pediatric Nephrology Troy Stephen Bean masked Shelly Harless 44199 Dequindre Rd Ste 615 Troy MI 48085-1128 248-964-9660 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2730027 2015/07/29 12:00:00 2015/07/30 12:00:00 2015/07/30 05:27:34 UV 2.16.840.1.113883.3.1097.9.90930104 ctcdb Cancer and Transplant Consultants DB Stephen Bean masked Leidy Murcia 1611 Monroe St Dearborn, MI 48124-2912 313-486-909 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.90930104 2015/07/29 12:00:00 2015/07/30 12:00:00 2015/07/30 05:29:19 UV 2.16.840.1.113883.3.1097.1.2730023 pden Pediatric Endocrinology Stephen Bean masked Amanda Skewes 44199 Dequindre Rd Ste 615 Troy MI 48085-1128 248-964-966 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2730023 2015/07/29 12:00:00 2015/07/30 12:00:00 2015/07/30 05:34:44 UV 2.16.840.1.113883.3.6286 intermedix Intermedix Karla Casiano masked Ian Merkel Intermedix 6451 N Federal Hwy #1000 Ft Lauderdale, FL 33308 USA 3054590605 masked Project Manager Intermedix info@ioshs.com http://www.intermedix.com Vendor Int 3 Complete 2015/07/30 12:00:00 2015/07/30 12:00:00 2015/07/30 05:32:39 UV 2.16.840.1.113883.3.6287 beThePartner Be the Partner, LLC. OID Root Ryan Norris masked Ryan Norris One Broadway, 14th Floor Cambridge, MA 02142 (617) 453-8564 masked Be the Partner, LLC. One Broadway, 14th Floor Cambridge, MA 02142 info@bethepartner.com http://www.bethepartner.com Vendor Int 3 Complete 2015/07/31 12:00:00 2015/07/31 12:00:00 2015/07/31 05:41:19 UV 2.16.840.1.113883.3.5027.6.1 esphealth ESPNet: EHR Support for Public Health Bob Zambarano masked Robert Zambarano 3908 Ridgelea Drive Austin, TX 78731 (512) 206-0086 masked Director of Research Commonwealth Informatics 260 Charles Street Waltham, MA 02452 (781) 209-5015 info@commoninf.com http://www.commoninf.com/ Vendor 2.16.840.1.113883.3.5027 Ext 17 Complete 2.16.840.1.113883.3.5027.6.1 2015/07/31 12:00:00 2015/07/31 12:00:00 2015/07/31 05:45:09 UV 2.16.840.1.113883.3.6288 pam Pediatric & Adolescent Medicine Lillian Mallett masked Lillian Mallett 2207 Boston Road, Wilbraham, MA 01095 413-599-1201 masked Office Manager Pediatric & Adolescent Medicine 2207 Boston Road, Wilbraham, MA 01095 413-599-1201 vitek01095@yahoo.com Provider Int 3 Complete 2015/08/03 12:00:00 2015/08/17 12:00:00 2015/08/17 04:08:19 UV 2.16.840.1.113883.3.6289 iNTERFACE-SIMCONNECT-1 Simavita-SIM connect HL7 Interface Kenneth Huynh masked Kenneth Huynh L13, 54 Miller Street North Sydney NSW 2060 +61 2 8405 6300 masked Software Team Lead Simavita L13, 54 Miller Street North Sydney NSW 2060 +61 2 8405 6300 customerservice@simavita.com http://simavita.com Vendor Int 3 Complete 2015/08/03 12:00:00 2015/08/17 12:00:00 2015/08/17 04:10:06 UV 2.16.840.1.113883.3.6290 bhninc The Behavioral Health Network David LaPlatney masked David LaPlatney 417 Liberty Street, Springfield, MA 01104 413-301-9884 masked Project Manager The Behavioral Health Network 417 Liberty Street, Springfield, MA 01104 bhnhie@bhninc.org https://www.bhninc.org Provider Int 3 Complete 2015/08/04 12:00:00 2015/08/17 12:00:00 2015/08/17 04:14:12 UV 2.16.840.1.113883.3.6291 vicfac Valley Immediate Care Gina Bianco masked Suman Kareti 1175 E.Main Street, Medford, OR 97504 8552995443 masked Interface Analyst JHIE 1175 E.Main Street, Medford, OR 97504 8552995443 support@jhie.org http://jhie.org/ Exchange 2.16.840.1.113883.3.5783 Int 3 Complete 2015/08/04 12:00:00 2015/08/17 12:00:00 2015/08/17 04:27:48 UV 2.16.840.1.113883.4.857 ccic Cancer Care of Iowa City Maureen Brookhart masked Maureen Brookhart 3196887223 masked Office Manager Cancer Care of Iowa City 613 E Bloomington St, Suite 100 Iowa City, IA 52245 3193393917 sally.conley@mercyic.org Provider Int 3 Complete 2015/08/04 12:00:00 2015/09/30 12:00:00 2015/09/30 04:29:39 UV 2.16.840.1.113883.3.6292 b-INC Bjond Inc Ron Sweeney masked Ron Sweeney 1275 Kinnear Road, Columbus, OH 43212 6162176516 masked Bjond Inc. 1275 Kinnear Road, Columbus, OH 43212 6162176516 ron.sweeney@bjondinc.com http://www.bjondinc.com Vendor Int 3 Complete 2015/08/05 12:00:00 2015/08/17 12:00:00 2015/08/17 04:38:07 UV 2.16.840.1.113883.3.6293 iMG Inspira Medical Group Edwin Rodriguez masked Edwin Rodriguez 333 Irving Ave Bridgeton, NJ 08302 856-575-4461 masked Director, Ambuylatory IT Inspira Medical Group 2848 S Delsea Dr Suite 4B Vineland, NJ 08360 856-575-4461 rodrigueze@ihn.org http://www.inspirahealthnetwork.org/ Provider Int 3 Complete 2015/08/05 12:00:00 2015/08/17 12:00:00 2015/08/17 04:41:00 UV 2.16.840.1.113883.3.6291.100 vicmrn Valley Immediate Care MRN Pool Gina Bianco masked Suman Kareti 1175 E.Main Street, Medford, OR 97504 8552995443 masked Interface Analyst JHIE 1175 E.Main Street, Medford, OR 97504 8552995443 support@jhie.org http://jhie.org/ Exchange 2.16.840.1.113883.3.6291 Ext 14 Complete 2.16.840.1.113883.3.6291.100 2015/08/05 12:00:00 2015/08/17 12:00:00 2015/08/17 04:30:43 UV 2.16.840.1.113883.3.6291.101 vicprov Valley Immediate Care Provider Pool Gina Bianco masked Suman Kareti 1175 E.Main Street, Medford, OR 97504 8552995443 masked Interface Analyst JHIE 1175 E.Main Street, Medford, OR 97504 8552995443 support@jhie.org http://jhie.org/ Exchange 2.16.840.1.113883.3.6291 Ext 3 Complete 2.16.840.1.113883.3.6291.101 2015/08/05 12:00:00 2015/08/17 12:00:00 2015/08/17 04:34:08 UV 2.16.840.1.113883.3.6294 hci HORIZON CARDIOVASCULAR INSTITUTE PLC HIVA VAKIL masked HIVA VAKIL 19058 N. 95TH WAY SCOTTSDALE, AZ 85255 480-789-3606 masked OWNER/MANAGER HORIZON CARDIOVASCULAR INSTITUTE PLC 5251 W. CAMPBELL SUITE 204 PHOENIX, AZ 85031 602-456-9999 VAKILH@YAHOO.COM Provider Int 3 Complete 2015/08/05 12:00:00 2015/08/17 12:00:00 2015/08/17 04:45:54 UV 2.16.840.1.113883.17.4102 fhr-01 Franciscan Healthcare Rensselaer Katie Alson masked Kirby Reed 219-866-5141 masked IS Director Franciscan Healthcare Renssealer 1104 E Grace Street Rensselaer, IN 47978 2198665141 kreed@jchh.com http://www.franciscanalliance.org Provider Int 17 Complete 2015/08/07 12:00:00 2015/08/17 12:00:00 2015/08/17 05:26:36 UV 2.16.840.1.113883.3.6295 fvc-Michigan-SS Fresenius Vascular Care SS OID- Michigan Brian Cohen masked Brian Cohen 1200 Swedesford Road Berwyn, PA 19312 4849132639 masked Meaningful Use Manager Fresenius Vascular Care (Michigan) 1200 Swedesford Road Berwyn, PA 19312 4849132639 Brian.Cohen@fvc-na.com Provider Int 3 Complete 2015/08/10 12:00:00 2015/08/17 12:00:00 2015/08/17 04:50:10 UV 2.16.840.1.113883.3.6296 prairieclinic Prairie Clinic SC Todd Zantow masked Todd Zantow 608-644-2488 masked IT Manager Prairie Clinic SC 112 Helen Street Sauk City, WI 53583 608-643-3351 webmaster@prairieclinic.com http://www.prairieclinic.com Provider Int 3 Complete 2015/08/11 12:00:00 2015/08/17 12:00:00 2015/08/17 04:52:26 UV 2.16.840.1.113883.17.4103 totemlakefamilymedicine Totem Lake Family Medicine Staci Chavez masked Staci Chavez 425.285.3116 masked Manager Totem Lake Family Medicine 11800 NE 128th St. Ste. 560 Kirkland, WA 98034 425.899.5200 staci@tlfm.com http://www.tlfm.com Provider Int 17 Complete 2015/08/12 12:00:00 2015/08/17 12:00:00 2015/08/17 05:19:43 UV 2.16.840.1.113883.3.6297 whmc-tx Walnut Hill Physician Hospital dba - Walnut Hill Medical Center Larry Sutherland masked Larry Sutherland 7502 Greenville Ave Dallas, TX 75231 972-863-6905 masked Program Mgr Business Applications Walnut Hill Medical Center 7502 Greenville Ave Dallas, TX 75231 972-863-6905 larry.sutherland@walnuthillmc.com http://www.walnuthillmc.com Provider 2.16.840.1.113883.3.5055 Int 3 Complete 2015/08/12 12:00:00 2015/08/20 12:00:00 2015/08/20 06:41:40 UV 2.16.840.1.113883.3.6298 pacificsource PacificSource Brian Wetter masked Michael Heidenreich 541-330-4984 masked Senior Business Analyst PacificSource Health Plans (541) 385-5315 IT-BusinessIntelligenceGovernmentPrograms@pacificsource.com Payor Int 3 Complete 2015/08/12 12:00:00 2015/08/17 12:00:00 2015/08/17 05:39:56 UV 2.16.840.1.113883.3.6299 cardiovascularcarespecialist Cardiovascular Care Specialist Asim Chohan masked Asim Chohan 8121 National Ave Midwest City, OK 73110 405-733-9500 masked MD Cardiovascular Care Specialist 8121 National Ave Suite 400 Midwest City, OK 73110 405-733-9500 chohanasim@aol.com Provider Int 3 Complete 2015/08/13 12:00:00 2015/08/17 12:00:00 2015/09/03 01:06:53 UV 2.16.840.1.113883.3.6300 ycu YourCareUniverse, Inc. Manasa Panda masked Maqbool.Patel@yourcareuniverse.com Manasa Ranjan Panda YourCareUniverse, Inc. 6550 Carothers Parkway #100, Franklin, TN 37067 (615) 308-5096 masked Manager, YCU YourCareUniverse, Inc. YourCareUniverse, Inc. 6550 Carothers Parkway #100, Franklin, TN 37067 (615) 761-1000 Manasa.Panda@yourcareuniverse.com http://www.yourcareuniverse.com/ Vendor Int 3 Complete 2015/08/18 12:00:00 2015/08/20 12:00:00 2015/08/27 09:58:37 UV 2.16.840.1.113883.3.6301 prowers-medical Prowers Medical Center Jason Spano masked Jason P. Spano 401 Kendall Drive 7193366724 masked Director of IT Prowers Medical Center 401 Kendall Drive Lamar, CO 81052 719334343 jason.spano@prowersmedical.com http://www.prowersmedical.com Provider Int 3 Complete 2015/08/18 12:00:00 2015/08/20 12:00:00 2015/08/20 04:49:22 UV 2.16.840.1.113883.3.6302 juliealorbermd Julie A Lorber OID RooT Julie Lorber masked Julie Lorber 33 Overlook Road, Suite 306 Summit, NJ 07901 908-273-2886 masked MD Julie A. Lorber, MD, PC 33 Overlook Road, Suite 306 Summit, NJ 07901 908-273-2886 drlorber@gmail.com Provider Int 3 Complete 2015/08/19 12:00:00 2015/08/20 12:00:00 2015/08/20 04:53:06 UV 2.16.840.1.113883.3.6303 hhCredo-1 Credo Community Center Bruce Brodsky masked James Scordo 595 West Main Street Watertown, NY 13601 315-788-1530 masked Executive Director Credo Community Center 595 West Main Street Watertown, NY 13601 315-788-1530 bruce.brodsky@upstatecp.org Provider Int 3 Complete 2015/08/19 12:00:00 2015/08/20 12:00:00 2015/08/20 04:56:19 UV 2.16.840.1.113883.3.6304 engagedVision Engaged Vision LLC Dominic Riggi masked Dominic James Riggi 980-333-5317 masked President Engaged Vision LLC 11915 Austin Court Charlotte, NC 28227 704-426-3339 jimriggi@engaged-vision.com http://engaged-vision.com Vendor Int 3 Complete 2015/08/19 12:00:00 2015/08/20 12:00:00 2015/08/20 04:58:20 UV 2.16.840.1.113883.3.6305 ghs-legacy-emr-data Greenville Health System Legacy EMR Data OID warren leonard masked Warren Daniel Leonard 525 Grove Rd Greenville, SC 29669 8647049265 masked Mgr Data Integration Greenville Health System 701 Grove Rd Greenville, SC 29605 864-455-4000 wleonard@ghs.org http://www.ghs.org Academic Int 3 Complete 2015/08/19 12:00:00 2015/08/20 12:00:00 2015/08/20 05:01:17 UV 2.16.840.1.113883.3.6306 southviewclinic Southviewclinic OID Root Edward Mazique masked Sacelia Reid 7706 Martin Luther King Houston, TX 77033 713-738-7111 masked Office Manager Business/Southviewclinic 7706 Martin Luther King Houston, TX 77033 713-738-7111 southviewclinic@gmail.com Provider Int 3 Complete 2015/08/20 12:00:00 2015/08/20 12:00:00 2015/08/20 05:06:58 UV 2.16.840.1.113883.3.6307 molinahealthcare Molina Healthcare Rohit Gupta masked Anil Kumar Patel Rohit Gupta 200 Oceangate # 100, Long Beach, CA 90802 888-562-5442 Ext.: 112538 masked Director Applications &#8211; Healthcare Systems Molina Healthcare 200 Oceangate # 100, Long Beach, CA 90802 888-562-5442 CareHIEITAdmin@MolinaHealthCare.Com http://www.molinahealthcare.com/ Payor Int 3 Complete 2015/08/20 12:00:00 2015/08/20 12:00:00 2015/08/20 05:10:45 US 2.16.840.1.113883.3.6308 eatright Academy of Nutrition and Dietetics Sharon McCauley masked Sharon McCauley 120 South Riverside Plaza Suite 2000 Chicago, IL 60606 312-899-4823 masked Director, Quality Management Academy of Nutrition and Dietetics 120 South Riverside Plaza Suite 2000 Chicago, IL 60606 312-899-4823 smccauley@eatright.org http://www.eatright.org/ Prof Soc Int 3 Complete 2015/08/20 12:00:00 2015/08/20 12:00:00 2015/08/20 05:17:34 UV 2.16.840.1.113883.3.6309 primeClinicalSystems PRIME CLINICAL SYSTEMS, INC. Sandy Thompson masked Prime Clinical Systems, Inc. Sandy Thompson 3675 Huntington Drive Suite-A Pasadena, CA 91107 626 449 1705 ext 755 masked Executive Administrator Prime Clinical Systems, Inc. 3675 Huntington Drive Suite-A Pasadena, CA 91107 626 449 1705 sandy@primeclinical.com http://www.primeclinical.com Vendor Int 3 Complete 2015/08/20 12:00:00 2015/08/20 12:00:00 2015/08/20 05:24:45 UV 2.16.840.1.113883.3.6310 cgmpatientID CGM Patient ID Rachel Gilbert masked Rachel Gilbert CompuGroup Medical 3300 N. Central Ave, Suite 2100 Phoenix, AZ 85012 6179467845 masked Sr. Regulatory Affairs Analyst CompuGroup Medical 3300 N. Central Ave, Suite 2100 Phoenix, AZ 85012 6179467845 rachel.gilbert@cgm.com http://www.cgm.com/us/index.en.jsp Vendor Int 3 Complete 2015/08/21 12:00:00 2015/08/28 12:00:00 2015/08/28 01:28:51 UV 2.16.840.1.113883.9.197 baylaan Baylaan Technologies Inc. Danny Doobay masked Varman Cholan Danny Doobay 66 Bullock Dr Unit 3 Markham ON L3P 3P2 9052024716 masked CEO Baylaan Technologies Inc. 66 Bullock Dr Unit 3 Markham ON L3P 3P2 9052024716 ddoobay@baylaan.com http://www.baylaan.com Vendor Int 3 Complete 2015/08/24 12:00:00 2015/08/31 12:00:00 2015/08/31 04:28:40 UV 2.16.840.1.113883.3.6311 hnMirth HN OID for Mirth Connect Integration Carmen Vacar masked Carmen Vacar 4570 Executive Dr San Diego, CA 92121 (858) 864-1065 masked Technology Architect Human Longevity, Inc 4570 Executive Dr San Diego, CA 92121 (858) 864-1065 cvacar@humanlongevity.com http://www.humanlongevity.com/ Provider Int 3 Complete 2015/08/24 12:00:00 2015/08/28 12:00:00 2015/08/28 01:31:06 UV 2.16.840.1.113883.3.6312 sum-rehab-hosp SUMMA Rehab Hospital Jonathan Cooper masked Kevin Peters 4550 Lena Drive Mechanicsburg, PA 17055 717-591-5788 masked Director of Business Intelligence Vibra Healthcare LLC 4550 Lena Drive Mechanicsburg, PA 17055 Corporate Headquarters 717-591-5700 Info@summarehabhospital.com http://www.summarehabhospital.com/home.aspx Provider Int 3 Complete 2015/08/26 12:00:00 2015/08/28 12:00:00 2016/04/14 12:34:40 US 2.16.840.1.113883.9.198 rimg1201 Rockville Internal Medicine Group Joyce Heller masked Dawn Wilson 3017625020 masked Rockville Internal Medicine Group 1201 Seven Locks Road STE 111 Rockville, MD 20854 3017625020 dwilson@rimgmd.com Provider Int 3 Complete 2015/08/26 12:00:00 2015/08/31 12:00:00 2015/08/31 04:32:13 UV 2.16.840.1.113883.3.6313 mrxsolutions MRX SOLUTIONS CORP SAVA JURISIC masked SAVA JURISIC 103 - 470 KINGSWAY VANCOUVER, BC, V5T 3J9 CANADA 604-676-2362 masked COO MRX SOLUTIONS CORP. 103 - 470 KINGSWAY VANCOUVER, BC, V5T 3J9 CANADA 604-676-2362 info@mrxsolutions.com http://mrxsolutions.com/ Vendor Int 3 Complete 2015/08/26 12:00:00 2015/08/28 12:00:00 2015/08/28 01:46:11 UV 2.16.840.1.113883.3.6314 lbb-pns-swmedical UMC Physician Network Services - Southwest Medical Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock TX 79407 806-761-0322 masked Director, EMR Southwest Medical 4008 82nd Street Bldg 1 Lubbock TX 79423 806-792-1050 yvette.hinojosa@umchealthsystem.com Govt body Int 3 Complete 2015/08/26 12:00:00 2015/08/28 12:00:00 2015/08/28 01:48:39 UV 2.16.840.1.113883.3.6315 obmc OakBend Medical Center Ted Perryman masked Ted Perryman 1705 Jackson Street Richmond, Texas 281-633-4031 masked Senior Systems Analyst OakBend Medical Center 1705 Jackson Street Richmond, Texas 281.633.4886 tmccarty@obmc.org http://www.obmc.org Provider Int 3 Complete 2015/08/26 12:00:00 2015/08/28 12:00:00 2015/08/28 01:49:55 UV 2.16.840.1.113883.3.6316 cshp Colorado Springs Health Partners Dorothy Dolve masked Kathryn Sobczak Dorothy Dolve 2 S Cascade Ave Ste 140 Colorado Springs, CO 80903 719-538-2980 masked Director Analytics and Integration Colorado Springs Health Partners LLC 2 S Cascade Ave Ste 140 Colorado Springs, CO 80903 719-538-2900 ddolve@cshp.net https://www.cshp.net Provider Int 3 Complete 2015/08/26 12:00:00 2015/08/28 12:00:00 2015/08/28 01:51:49 UV 2.16.840.1.113883.3.6317 srsh-pa Sharon Regional Patient Portal McKenzie Hedges masked McKenzie Hedges 4000 Meridian Blvd Franklin, TN 37067 6158409949 masked IS Deployment Team Lead Sharon Regional Hospital 740 East Street Sharon, PA 16146-3328 7249833911 debbie.biggins@srhs-pa.org https://wpahs.org Provider Int 3 Complete 2015/08/26 12:00:00 2015/08/28 12:00:00 2015/08/28 01:56:17 UV 2.16.840.1.113883.3.6318 a77-465-3 OID For PRISM Tom Palakie masked Tom Palakie 615-344-4052 masked Manager PRISM 490 Metroplex Drive Nashville, TN 37211 615-344-4052 tom.palakie@parallon.com http://www.Parallon.com Vendor Int 3 Complete 2015/08/26 12:00:00 2015/08/28 12:00:00 2015/08/28 01:58:43 UV 2.16.840.1.113883.3.6319 amcopenlink AMC OPENLink Interface Engine Leonard Howard masked Leonard Howard Archbold Medical Center Information Services Administrative Services Building 900 Cairo Road Thomasville, Georgia 31792 229.227.5154 masked Director, IS Corporate Services Archbold Medical Center Information Services Administrative Services Building 900 Cairo Road Thomasville, Georgia 31792 229.227.5154 wlhoward@archbold.org http://www.archbold.org Provider Int 3 Complete 2015/08/27 12:00:00 2015/08/28 12:00:00 2015/08/28 02:00:17 UV 2.16.840.1.113883.3.6320 pphs-ppmh Phoebe Putney Memorial Hospital Michael Burrows masked Michael Beau Burrows 417 W. 3rd Avenue Albany, GA 31701 229-312-6440 masked Programmer Analyst II Phoebe Putney Memorial Hospital Information Systems 417 W. 3rd Avenue Albany, GA 31701 29-312-6440 mburrows@ppmh.org http://www.phoebeputney.com Provider Int 3 Complete 2015/08/27 12:00:00 2015/08/28 12:00:00 2015/08/28 02:02:20 UV 2.16.840.1.113883.3.6321 crh01 Crossing Rivers Health John Daane masked John Daane 37868 US-18, Prairie du Chien, WI 53821 608-357-2000 masked IT Director Crossing Rivers Health 37868 US-18, Prairie du Chien, WI 53821 608-357-2000 john.daane@crossingrivers.org Provider Int 3 Complete 2015/08/28 12:00:00 2015/08/28 12:00:00 2015/08/28 02:39:10 UV 2.16.840.1.113883.3.6322 rsfh Roper St Francis Health Alliance Diana Michalic masked April Rogers 4230 Faber Place Suite 101 Charleston, SC 29405 843-579-3564 masked Director of Physician Systems Development Roper St Francis Health Alliance 4230 Faber Place Suite 101 Charleston, SC 29405 843-579-3564 april.rogers@rsfh.com Provider Int 3 Complete 2015/08/28 12:00:00 2015/08/28 12:00:00 2015/08/28 02:43:35 UV 2.16.840.1.113883.3.6323 sepulvedamd Sepulveda & Associates, PC OID Root Margaret Oxner masked Margaret Oxner 9 North Road Suite 101 Chelmsford, MA 01824 978-458-2005 masked Office/Billing Manager Sepulveda & Associates, PC 9 North Road Suite 101 Chelmsford, MA 01824 978-458-2005 moxner2006@yahoo.com http://www.sepulvedamd.com/ Provider Int 3 Complete 2015/08/28 12:00:00 2015/08/31 12:00:00 2015/08/31 03:45:50 UV 2.16.840.1.113883.3.6324 utgi Utah Gastroenterology Enrique Mata masked Enrique Mata 8019443187 masked EHR Manager Utah Gastroenterology 6360 S 3000 E, Ste 220 Salt Lake City, UT 84102 8019443199 emata@utahgastro.com https://www.utahgastro.com Provider Int 3 Complete 2015/08/31 12:00:00 2015/08/31 12:00:00 2015/08/31 03:48:53 UV 2.16.840.1.113883.3.6325 uphp Upper Peninsula Health Plan Dan Boyle masked Paula Hedlund Paula Hedlund Upper Peninsula Health Plan (UPHP) 228 W. Washington St. Marquette, MI 49855 906-225-7831 masked CIO Upper Peninsula Health Plan 228 W. Washington St. Marquette, MI 49855 906-225-7500 phedlund@uphp.com http://www.uphp.com/ Payor Int 3 Complete 2015/09/02 12:00:00 2015/09/09 12:00:00 2015/09/09 04:28:53 UV 2.16.840.1.113883.3.6326 lwang Lawrence C Wang MD PC Lawrence Wang masked Lawrence C Wang 548 Silver Oak Grove Colorado Springs, CO 80906 719-447-0150 masked Lawrence C Wang MD PC 3245 International Circle, Suite 103 Colorado Springs, CO 80910 719-447-0150 office@springschildneurology.com Provider Int 3 Complete 2015/09/03 12:00:00 2015/09/09 12:00:00 2015/09/09 04:33:18 UV 2.16.840.1.113883.3.6327 wchdnd Walsh County Health District Nightingale Notes Wanda Kratochvil masked Wanda Kratochvil 638 Cooper Ave Suite 3 Grafton, ND 58237 701-352-5139 masked Administrator Walsh County Health District 638 Cooper Ave Suite 3 Grafton, ND 58237 701-352-5139 wkratoch@nd.gov Provider Int 3 Complete 2015/09/04 12:00:00 2015/09/09 12:00:00 2015/09/09 04:37:12 UV 2.16.840.1.113883.9.199 gRCC Goddard Riverside Community Center Blasina Tavarez masked Alison Arthur DeHaven Alison Arthur DeHaven 140 West 140th Street New York, NY 10030 212-531-2727 masked Director Goddard Riverside Community Center 140 West 140th Street New York, NY 10030 212-531-2727 aarthur@goddard.org Provider Int 3 Complete 2015/09/04 12:00:00 2015/09/09 12:00:00 2015/09/09 04:45:21 UV 2.16.840.1.113883.3.6328 s-SMH St Marys Healthcare System for Children Ken Kupetsky masked Ken Kupetsky 29-01 216th Street Bayside, NY 11360 718-281-8745 masked VP/CIO St. Mary's Healthcare System for Children 29-01 216th Street Bayside, NY 11360 718-281-8800 kkupetsky@stmaryskids.org Provider Int 3 Complete 2015/09/04 12:00:00 2015/09/09 12:00:00 2015/09/09 04:46:55 UV 2.16.840.1.113883.3.2402.200.6878 physicians-computer-company-clients-gpeds Physician's Computer Company (PCC) Glendale Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6878 2015/09/04 12:00:00 2015/09/09 12:00:00 2015/09/09 04:51:30 UV 2.16.840.1.113883.3.6329 lsc Lakeshore Clinic Cameron Carpenter masked Betsy Hail 10131 Main St. Bothell, WA 98011 United States 425-489-5330 masked Director of Clinical Operations Lakeshore Clinic 10131 Main St. Bothell, WA 98011 United States 425-485-3955 betsy.hail@lakeshoreclinic.net http://www.lakeshoreclinic.com Provider Int 3 Complete 2015/09/04 12:00:00 2015/09/09 12:00:00 2015/09/09 04:53:18 UV 2.16.840.1.113883.3.6330 nkrootid Nasar Kalani Root OID NASER KALANI masked Naser Kalani 6850 E Evans Ave, Denver, CO 80224 3036915009 masked Naser Kalani 6850 E Evans Ave, Denver, CO 80224 3036915009 ameen1233@hotmail.com Provider Int 3 Complete 2015/09/04 12:00:00 2015/09/30 12:00:00 2015/09/30 04:38:24 UV 2.16.840.1.113883.3.6331 emrad East Midlands Radiology Consortium UK Phil Thorpe masked Phil Thorpe National Centre for Sports and Exercise Medicine Loughborough University Epinals Way Loughborough LE11 3TU United Kingdom +44(0)7812268321 masked Emrad Technical Director Emrad (East Midlands Radiology Consortium UK) National Centre for Sports and Exercise Medicine Loughborough University Epinals Way Loughborough LE11 3TU United Kingdom +44(0)1509 225421 phil.thorpe@nuh.nhs.uk Govt body Int 3 Complete 2015/09/07 12:00:00 2015/09/09 12:00:00 2015/09/09 05:45:54 UV 2.16.840.1.113883.3.6332 nuh Nottingham University Hospital PACS Phil Thorpe masked Phil Thorpe National Centre for Sports and Exercise Medicine Loughborough University Epinals Way Loughborough LE11 3TU United Kingdom +44(0)7812268321 masked Emrad Technical Director Nottingham University NHS Trust Queens Medical Centre Derby Road Nottingham NG7 2UH United Kingdom +44(0)7812268321 phil.thorpe@nuh.nhs.uk Govt body Int 3 Complete 2015/09/07 12:00:00 2015/09/09 12:00:00 2015/09/09 05:47:37 UV 2.16.840.1.113883.3.6333 southmountain South Mountain Nephrology Root OID Ranka Samsa-Litvak masked Ranka Samsa-Litvak 5 Franklin Ave, Ste 401 Belleville, NJ 07109 973-450-8999 masked MD South Mountain Nephrology, LLC 5 Franklin Ave, Ste 401 Belleville, NJ 07109 973-450-8999 Ranka.SL@gmail.com Provider Int 3 Complete 2015/09/08 12:00:00 2015/09/09 12:00:00 2015/09/09 05:48:34 UV 2.16.840.1.113883.3.6334 athol Athol Hospital Carol Roosa masked Carol Roosa Athol Hospital 2033 Main Street Athol, MA 01331 978-630-6448 masked Chief Information Officer Athol Hospital 2033 Main Street Athol, MA 01331 978-630-6448 president@heywood.org http://www.atholhospital.org Provider Int 3 Complete 2015/09/08 12:00:00 2015/09/09 12:00:00 2015/09/09 05:49:38 UV 2.16.840.1.113883.3.6335 phs Progressive Health System Matthew Frauenhoffer masked Matthew Frauenhoffer 600 S. 13th Street Pekin, IL 61554 309-353-0772 masked Computer Systems Analyst Progressive Health Systems 600 S. 13th Street Pekin, IL 61554 309-347-1151 shall@pekinhospital.com http://www.pekinhospital.org Provider Int 3 Complete 2015/09/08 12:00:00 2015/09/09 12:00:00 2015/09/09 05:52:03 US 2.16.840.1.113883.3.6336 mhccwyo Memorial Hospital of Converse County Dave Patterson masked Dave Patterson 111 S 5th St Douglas, WY 82633 3073587333 masked CIO Memorial Hospital of Converse County 111 S 5th St Douglas, WY 82633 3073582122 dpatterson@mhccwyo.org http://conversehospital.com Provider Int 3 Complete 2015/09/09 12:00:00 2015/09/09 12:00:00 2018/12/31 02:59:23 UV 2.16.840.1.113883.3.6337 mhccmob Memorial Hospital of Converse County - Outpatient Clinic Department Dave Patterson masked Dave Patterson 111 S 5th St Douglas, WY 82633 3073587333 masked CIO Memorial Hospital of Converse County - Outpatient Clinic Department 700 E. Center St Douglas, WY 82633 3073587300 dpatterson@mhccwyo.org http://conversehospital.com Provider Int 3 Complete 2015/09/09 12:00:00 2015/09/09 12:00:00 2015/09/09 05:54:20 UV 2.16.840.1.113883.3.6338 cnmri CNMRI PA Jim Hunt masked Jim Hunt 1074 South State Street Dover, DE 19901 302-678-8100 masked IT Manager CNMRI 1074 South State Street Dover, DE 19901 302-678-8100 jim.hunt@cnmri.com Provider Int 3 Complete 2015/09/09 12:00:00 2015/09/09 12:00:00 2015/09/09 05:57:40 UV 2.16.840.1.113883.3.6339 sdh Saint Dominic's Home Joshua Scher masked Carolyn Pinilla 500 Western Highway Blauvelt, NY 10913 18453593400312 masked Saint Dominic's Home 500 Western Highway Blauvelt, NY 10913 8453593400 jscher@sdomhome.org Provider Int 3 Complete 2015/09/09 12:00:00 2015/09/09 12:00:00 2015/09/09 06:05:29 UV 2.16.840.1.113883.3.6340 ppheartland Planned Parenthood of the Heartland Darren Alexander masked Darren Alexander 1171 7th Street Des Moines, IA. 50314 5152807000 masked Director of Information Technology Planned Parenthood of the Heartland 1171 7th Street Des Moines, IA. 50314 5152807000 HL7_Administrator@ppheartland.org http://www.ppheartland.org Provider Int 3 Complete 2015/09/11 12:00:00 2015/09/16 12:00:00 2015/09/16 07:27:22 US 2.16.840.1.113883.9.200 nypcc New York Psychotherapy and Counseling Center Care Coordination Program Eric Bettelheim masked Eric Bettelheim NYPCC 176-20 148th Avenue Jamaica, NY 11434 718-553-1100 masked Director of Program Operations and General Counsel NYPCC 176-20 148th Avenue Jamaica, NY 11434 718-553-1100 EricBettelheim@nypcc.org http://www.nypcc.org Provider Int 3 Complete 2015/09/11 12:00:00 2015/09/16 12:00:00 2015/09/16 07:35:23 UV 2.16.840.1.113883.3.6341 gmpho-2015 Greater Macomb PHO Teresa Choate masked Teresa Choate 43411 Garfield Suite A Clinton Township, MI 48038 586-263-2620 masked Director Greater Macomb PHO 43411 Garfield Rd Suite A Clinton Townhip, MI 48038 586-263-2620 tchoate1@hfhs.org Provider Int 3 Complete 2015/09/14 12:00:00 2015/09/16 12:00:00 2015/09/16 07:39:54 UV 2.16.840.1.113883.17.4104 pcha Petoskey Child Health Associates, PC Edward Worthington masked Edward Worthington 231-421-8505 masked IT Analyst Petoskey Child Health Associates, PC 2390 Mitchell Park Dr # A, Petoskey, MI 49770 eworthington@npoinc.org Provider Int 17 Complete 2015/09/14 12:00:00 2015/09/16 12:00:00 2015/09/16 07:43:01 UV 2.16.840.1.113883.3.6342 spc-2015 Shores Primary Care, PC Teresa Choate masked Teresa Choate 43411 Garfield Rd. Suite A Clinton Township, MI 48038 586-263-2620 masked Director Shores Primary Care, PC 28001 Harper Ave St. Clair Shores, MI 48081 586-772-7180 shoresprimarycare@yahoo.com Provider Int 3 Complete 2015/09/14 12:00:00 2015/09/16 12:00:00 2015/09/16 08:04:09 UV 2.16.840.1.113883.3.6343 hhhcr-1 L Woerner Inc. dba HCR Brittany Bono masked Andrew S. Bascom 85 Metro Park Rochester, NY 14623-2607 5852956441 masked L Woerner Inc. dba HCR 85 Metro Park Rochester, NY 14623-2607 Brittany.Bono@cnyhealthhome.net Provider Int 3 Complete 2015/09/14 12:00:00 2015/09/16 12:00:00 2016/11/04 12:15:09 UV 2.16.840.1.113883.3.6344 neurologyinstituteatrenaissance Neurology Institute at Renaissance OID Root Holly Llasos masked Veronica Martinez 2821 Michael Angelo Drive Suite 306 Edinburg, TX 78539 9563623608 masked Office Manager Neurology Institute at Renaissance 2821 Michael Angelo Drive Suite 306 Edinburg, TX 78539 9563622440 ver.martinez@dhr-rgv.com Provider Int 3 Complete 2015/09/14 12:00:00 2015/09/16 12:00:00 2015/09/16 08:24:56 UV 2.16.840.1.113883.3.6345 neurologyinstituteatrenaissancemedpoint Neurology Institute at Renaissance Medpoint OID Root Holly Llasos masked Veronica Martinez 2108 South M Street Suite 4 McAllen, TX 78503 9563623608 masked Office Manager Neurology Institute at Renaissance Medpoint 2108 South M Street Suite 4 McAllen, TX 78503 9566868100 ver.martinez@dhr-rgv.com Provider Int 3 Complete 2015/09/14 12:00:00 2015/09/16 12:00:00 2015/09/16 08:30:24 UV 2.16.840.1.113883.3.6346 renaissancegastroenterology Renaissance Gastroenterology OID Root Holly Llasos masked Lee Munoz 5520 Leonardo DaVinci Drive Edinburg, TX 78539 9563622675 masked Office Manager Renaissance Gastroenterology 5520 Leonardo DaVinci Drive Edinburg, TX 78539 9563623636 l.munoz@dhr-rgv.com Provider Int 3 Complete 2015/09/14 12:00:00 2015/09/16 12:00:00 2015/09/16 08:38:33 UV 2.16.840.1.113883.3.6347 renaissancegastroenterologyweslaco Renaissance Gastroenterology Weslaco OID Root Holly Llasos masked Lee Munoz 902 South Airport, Suite 6, Weslaco, TX 78596 9563622675 masked Office Manager Renaissance Gastroenterology Weslaco 902 South Airport, Suite 6, Weslaco, TX 78596 9569732446 l.munoz@dhr-rgv.com Provider Int 3 Complete 2015/09/14 12:00:00 2015/09/16 12:00:00 2015/09/16 08:42:36 UV 2.16.840.1.113883.3.6348 spmg-inc Stockton Pediatric Medical Group OID Root Voltaire Pabustan masked Voltaire Pabustan 2349 N California St Stockton, CA 95204-5505 2094692229 masked Clinical Director Stockton Pediatric Medical Group, Inc. 2349 N California St Stockton, CA 95204-5505 2094692229 vfp@stocktonpediatrics.com Provider Int 3 Complete 2015/09/14 12:00:00 2015/09/16 12:00:00 2015/09/16 08:49:46 UV 2.16.840.1.113883.3.6349 nmim North Macomb Internal Medicine Teresa Choate masked Teresa Choate 43411 Garfield Rd Suite A Clinton Township, MI 48038 586-263-2620 masked Director North Macomb Internal Medicine 58024 Van Dyke Washington Township, MI 48094 586-781-5535 dena@nmimedicine.com Provider Int 3 Complete 2015/09/15 12:00:00 2015/09/16 12:00:00 2015/09/16 08:52:12 UV 2.16.840.1.113883.3.6350 madinahaque MADINAHAQUEMD Madina Haque masked Madina Haque, M.D. 1635 N. George Mason Drive Suite 410 Arlington, VA 22205 7035252898 masked President/Physician Madina Haque, M.D. 1635 N. George Mason Drive Suite 410 Arlington, VA 22205 7035252898 mhaque@haquemdpc.com Provider Int 3 Complete 2015/09/16 12:00:00 2015/09/16 12:00:00 2015/09/16 08:57:46 UV 2.16.840.1.113883.3.6351 pcsPrimaryCareMemphis Primary Care Specialists Memphis TN Mary Ellen Jensen masked Mary Ellen Jensen 3109 Walnut Grove Rd Memphis, TN 38111 9014580162 masked Medical Office Manager Primary Care Specialists Memphis TN 3109 Walnut Grove Rd Memphis, TN 38111 9014580162 mjensen@pcsmem.com https://www.pcsmem.com Provider Int 3 Complete 2015/09/16 12:00:00 2015/09/16 12:00:00 2015/09/16 09:06:25 UV 2.16.840.1.113883.3.6352 jolietpediatrics Joliet Pediatrics and Family Care Sherahsan Niazi masked Sherahsan K Niazi 815-741-8888 masked president Joliet Pediatrics and Family Care 831 N larkin Ave, Joliet, IL 60435 815-741-8888 sherahsan@aol.com Provider Int 3 Complete 2015/09/16 12:00:00 2015/09/16 12:00:00 2015/09/16 09:12:25 UV 2.16.840.1.113883.3.6353 highlandriverscsb Highland Rivers Community Service Board Mark Whitfield masked Mark Whitfield 1401 Applewood Drive, Suite 6 Dalton, GA 30720 706-270-5143 masked IT Manager Highland Rivers Community Service Board 1401 Applewood Drive Dalton, GA 30720 706-270-5002 markwhitfield@highlandrivers.org http://highlandrivershealth.com/ Provider Int 3 Complete 2015/09/16 12:00:00 2015/09/16 12:00:00 2015/09/16 09:22:44 UV 2.16.840.1.113883.3.594.6453.1 integris-ho-okc INTEGRIS Hospice Services Virginia Parrish masked Clayton Fike Virgina Parrish INTEGRIS Health Information Technology 5555 N Grand Blvd Suite 100 Oklahoma City, Oklahoma 73112-5673 405-945-4834 masked IT Applications Analyst INTEGRIS Hospice Services INTEGRIS Hospice Services 4334 NW Expressway Ste. 106 Oklahoma City, OK 73116 405-848-8884 Virginia.parrish@integrisok.com http://integrisok.com/hospice-oklahoma-city-ok Provider 2.16.840.1.113883.3.594 Ext 14 Complete 2.16.840.1.113883.3.594.6453.1 2015/09/16 12:00:00 2015/09/16 12:00:00 2015/09/16 09:37:26 UV 2.16.840.1.113883.3.594.6275.1 integris-hh-okc Integris Home Care Oklahoma City Virginia Parrish masked Clayton Fike Virginia Parrish INTEGRIS Health Information Technology 5555 N Grand Blvd Suite 100 Oklahoma City, Oklahoma 73112-5673 405-945-4834 masked IT Applications Analyst Integris Home Care Oklahoma City INTEGRIS Home Care Oklahoma City 3500 NW 56th St Suite 201 Oklahoma City, OK 73112 405-951-8400 virginia.parrish@integrisok.com http://integrisok.com/home-care-oklahoma-city-ok Provider 2.16.840.1.113883.3.594 Ext 14 Complete 2.16.840.1.113883.3.594.6275.1 2015/09/16 12:00:00 2015/09/16 12:00:00 2015/09/16 09:48:37 UV 2.16.840.1.113883.3.594.6275.3 integris-hh-grove Integris Home Care Grove Virginia Parrish masked Clayton Fike Virgina Parrish INTEGRIS Health Information Technology 5555 N Grand Blvd Suite 100 Oklahoma City, Oklahoma 73112-5673 405-945-4834 masked IT Applications Analyst Integris Home Care Grove Integris Home Care Grove 2229 S Main Grove, OK 74344 918-786-4461 virginia.parrish@integrisok.com http://integrisok.com/grove-hospital-grove-ok-home-care Provider 2.16.840.1.113883.3.594 Ext 14 Complete 2.16.840.1.113883.3.594.6275.3 2015/09/16 12:00:00 2015/09/16 12:00:00 2015/09/16 09:53:27 UV 2.16.840.1.113883.3.594.6275.2 integris-hh-enid Integris Home Care Enid Virginia Parrish masked Clayton Fike Virgina Parrish INTEGRIS Health Information Technology 5555 N Grand Blvd Suite 100 Oklahoma City, Oklahoma 73112-5673 405-945-4834 masked IT Applications Analyst Integris Home Care Enid INTEGRIS Home Care Enid 401 S. 3rd Enid, OK 73701 580-548-1116 virginia.parrish@integrisok.com http://integrisok.com/bass-baptist-health-center-enid-ok-home-care Provider Ext 14 Complete 2.16.840.1.113883.3.594.6275.2 2015/09/16 12:00:00 2015/09/16 12:00:00 2015/09/16 09:57:46 UV 2.16.840.1.113883.3.594.6275.4 integris-hh-miami Integris Home Care Miami Virginia Parrish masked Clayton Fike Virginia Parrish INTEGRIS Home Care Oklahoma City 3500 NW 56th St Suite 201 Oklahoma City, OK 73112 405-945-4834 masked IT Applications Analyst Integris Home Care Miami Integris Home Care Miami 119 South Main Miami, OK 74354 918-540-2577 virginia.parrish@integrisok.com http://integrisok.com/baptist-regional-health-center-miami-ok-home-care Provider 2.16.840.1.113883.3.594 Ext 14 Complete 2.16.840.1.113883.3.594.6275.4 2015/09/16 12:00:00 2015/09/16 12:00:00 2015/09/16 10:11:24 UV 2.16.840.1.113883.3.594.6275.5 integris-ho-miami Integris Hospice Miami Virginia Parrish masked Clayton Fike Virginia Parrish INTEGRIS Home Care Oklahoma City 3500 NW 56th St Suite 201 Oklahoma City, OK 73112 405-945-4834 masked IT Applications Analyst Integris Hospice Miami Integris Hospice Miami 115 South Main Miami, OK 74354 918-542-1226 virginia.parrish@integrisok.com http://integrisok.com/baptist-regional-health-center-miami-ok-hospice-services Provider Ext 14 Complete 2.16.840.1.113883.3.594.6275.5 2015/09/16 12:00:00 2015/09/16 12:00:00 2015/09/16 10:15:16 UV 2.16.840.1.113883.3.6354 glendivemedical Glendive Medical Center Matt Shahan masked Matt Shahan 202 Prospect Dr Glendive, MT 59330 406-345-8935 masked Clinic Admin/Director of IT Glendive Medical Center 202 Prospect Dr Glendive, MT 59330 406-345-3306 mshahan@gmc.org http://www.gmc.org Provider Int 3 Complete 2015/09/17 12:00:00 2015/09/22 12:00:00 2015/09/22 04:58:41 UV 2.16.840.1.113883.3.6355 eHM EvergreenHealth Monroe John Gepford masked John Gepford 14701 179th Ave. SE Monroe, WA 98272 360-794-1447 masked IT Director EvergreenHealth Monroe 14701 179th Ave. SE Monroe, WA 98272 360-794-1447 issupport@valleygeneral.org Provider Int 3 Complete 2015/09/17 12:00:00 2015/09/22 12:00:00 2015/09/22 05:03:13 UV 2.16.840.1.113883.2.47 hl7Serbia HL7 Serbia Affiliate William Ted Klein masked Filip Toskovic Djorda Ognjanovica 7 11030 Belgrade Serbia +381 65-251518 masked HL7 Serbia Chair HL7 Serbia Djorda Ognjanovica 7 11030 Belgrade Serbia +381 65-251518 filip-toskovic@lastbajt.com HL7 body Int 2 Complete 2015/09/18 12:00:00 2015/09/16 12:00:00 2015/09/18 05:54:24 UV 2.16.840.1.113883.3.6356 mhsi Milwaukee Health Services Inc Steven Zeitlin masked Steven Zeitlin 2555 North Martin Luther King Drive Milwaukee, WI 53212 414-267-4329 masked EMR Systems Manager Milwaukee Health Services Inc 2555 North Martin Luther King Drive Milwaukee, WI 53212 414-267-4329 szeitlin@mhsi.org Provider Int 3 Complete 2015/09/18 12:00:00 2015/09/22 12:00:00 2015/09/22 05:08:10 UV 2.16.840.1.113883.3.6357 lexington-MH Lexington Center for Mental Health Services Adele Agin masked Adele Agin Lexington Center for Mental Health Services, Inc. 26-26 75th Street East Elmhurst, NY 11370 718-350-3110 masked Executive Director Lexington Center for Mental Health Services Lexington Center for Mental Health Services, Inc. 26-26 75th Street East Elmhurst, NY 11370 718-350-3110 aagin@lexnyc.org Provider Int 3 Complete 2015/09/18 12:00:00 2015/09/22 12:00:00 2015/09/22 05:12:36 UV 2.16.840.1.113883.3.6358 sjcdermatology SJC Dermatology Kelli Johnson masked Kelli Johnson 1923 S Utica Tulsa, OK 74104 918-748-1305 masked Data Analyst SJC Dermatology 9940 E 81st St Ste 100 Tulsa, OK 74133 918-664-9881 ahisha.peters@sjmc.org Provider Int 3 Complete 2015/09/21 12:00:00 2015/09/22 12:00:00 2015/09/22 05:18:52 UV 2.16.840.1.113883.3.6359 sjcpcbakenosha SJC Primary Care BA Kenosha Kelli Johnson masked Kelli Johnson 1923 S. Utica Tulsa, OK 74104 918-748-1305 masked Data Analyst SJC Primary Care BA Kenosha 5050 E. Kenosha St. Broken Arrow, OK 74014 918-355-9492 ahisha.peters@sjmc.org Provider Int 3 Complete 2015/09/21 12:00:00 2015/09/22 12:00:00 2018/03/08 02:57:18 UV 2.16.840.1.113883.3.6360 sjcfmcriverside SJC Family Medical Care Riverside Kelli Johnson masked Kelli Johnson 1923 S. Utica Tulsa, OK 74104 918-748-1305 masked Data Analyst SJC Family Medical Care Riverside 7501 South Riverside Parkway Tulsa, OK 74136 918-710-4200 ahisha.peters@sjmc.org Provider Int 3 Complete 2015/09/21 12:00:00 2015/09/22 12:00:00 2015/09/22 05:23:46 UV 2.16.840.1.113883.3.6361 sjcowassopeds SJC Owasso Pediatrics Kelli Johnson masked Kelli Johnson 1923 S. Utica Tulsa, OK 74104 918-748-1305 masked Data Analyst SJC Owasso Pediatrics 12455 E. 100th St N., Suite 190 Owasso, OK 74055 918-274-5509 ahisha.peters@sjmc.org Provider Int 3 Complete 2015/09/21 12:00:00 2015/09/22 12:00:00 2015/09/22 05:33:04 UV 2.16.840.1.113883.3.6362 pcphnd Pembina County Public Health Nightingale Notes Jeanna Kujava masked Jeanna Kujava 301 Dakota Street West Suite 2 Cavalier, ND 58220 701-265-5133 masked RN, Public Health Director Pembina County Public Health 301 Dakota Street West Suite 2 Cavalier, ND 58220 701-265-4248 jkujava@nd.gov Provider Int 3 Complete 2015/09/21 12:00:00 2015/09/22 12:00:00 2015/09/22 05:35:22 UV 2.16.840.1.113883.3.6363 hap Health Alliance Plan Annette Marcath masked Annette Marcath 2850 West Grand Blvd Detroit, MI 48202 313-664-8166 masked VP, CIO Health Alliance Plan 2850 West Grand Blvd Detroit, MI 48202 313-664-8166 amarcath@hap.org http://hap.org Payor Int 3 Complete 2015/09/21 12:00:00 2015/09/22 12:00:00 2015/09/22 05:38:29 UV 2.16.840.1.113883.3.6364 mhri2015 Memorial Hospital of Rhode Island OID Kristin McCabe masked Kristin McCabe 10 Health Lane Trowbridge Building 3rd Floor Warwick, RI 02886 401-921-2744 masked CPOE Specialist Memorial Hospital of Rhode Island 111 Brewster Street Pawtucket, RI 02860 4019212744 kmccabe@carene.org http://www.mhri.org Provider Int 3 Complete 2015/09/22 12:00:00 2015/09/22 12:00:00 2015/09/22 05:44:34 UV 2.16.840.1.113883.3.6365 huronreg Huron Regional Medical Center Marcia Zwanziger masked Irene Haley Marcia Zwanziger 172 4th Street SE Huron, SD 57350 605-353-6545 masked Vice President, Finance Huron Regional Medical Center 172 4th Street SE Huron, SD 57350 605-353-6200 mzwanziger@huronregional.org http://www.huronregional.org Provider Int 3 Complete 2015/09/22 12:00:00 2015/09/22 12:00:00 2015/09/22 05:46:50 UV 2.16.840.1.113883.3.6366 arc-phat Austin Regional Clinic Population Health Analytics Root OID Adam Sieja masked Adam Sieja (512) 421-4447 masked Austin Regional Clinic Population Health Analytics arc@austinregionalclinic.com http://www.austinregionalclinic.com Provider Int 3 Complete 2015/09/22 12:00:00 2015/09/23 12:00:00 2015/09/23 05:15:06 UV 2.16.840.1.113883.3.1097.9.92040101 gfcpc Grace Family Medicine Stephen Bean masked Susan Naoumi 34580 Dequindre Rd Sterling Heights, MI 48310 586-939-950 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.92040101 2015/09/23 12:00:00 2015/09/23 12:00:00 2015/09/23 05:27:35 UV 2.16.840.1.113883.3.1097.9.92010101 hrps Heart Rhythms & Pacemaker Specialists Stephen Bean masked Danielle Chambers 25779 Kelly Rd Rosevile, MI 48066 586-777-7772 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.92010101 2015/09/23 12:00:00 2015/09/23 12:00:00 2015/09/23 05:30:30 UV 2.16.840.1.113883.3.1097.9.92050101 ocrb Oakland Colon & Rectal Assoc (Barkel) Stephen Bean masked Jean Leman 1121 Crooks Rd Royal Oak, MI 48067 248-541-7023 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.92050101 2015/09/23 12:00:00 2015/09/23 12:00:00 2015/09/23 05:41:31 UV 2.16.840.1.113883.3.1097.9.92060101 ocraw Oakland Colon & Rectal Assoc (Wasvaryl) Stephen Bean masked Jean Leman 1121 Crooks Rd Royal Oak, MI 48067 248-541-7023 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.92060101 2015/09/23 12:00:00 2015/09/23 12:00:00 2015/09/23 05:46:38 UV 2.16.840.1.113883.3.1097.9.92030101 ocras Oakland Colon & Rectal Assoc (Shellnutl) Stephen Bean masked Jean Leman 1121 Crooks Rd Royal Oak, MI 48067 248-541-7023 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.92030101 2015/09/23 12:00:00 2015/09/23 12:00:00 2015/09/23 05:57:36 UV 2.16.840.1.113883.3.1097.1.2730028 pcctr PULMONARY AND CRITICAL CARE TR Stephen Bean masked Shelly Harless 44344 Dequindre Rd, Suite 520 Sterling Heights, MI 48314-1042 248-267-5005 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.2730028 2015/09/23 12:00:00 2015/09/23 12:00:00 2015/09/23 06:06:51 UV 2.16.840.1.113883.3.1097.1.1880001 sdrmd ASSOC VASCULAR & ENDO SURG Stephen Bean masked Shelly Harless 4600 Investment Dr Ste 250 Troy, MI 48098 248-267-5005 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1880001 2015/09/23 12:00:00 2015/09/23 12:00:00 2015/09/23 06:11:54 UV 2.16.840.1.113883.3.1097.9.92000102 psmrh Pulmonary & Sleep RH Stephen Bean masked Audreanna Alonzi 1701 SOUTH BLVD E STE 190 ROCHESTER HILLS MI 48307-6124 248-835-3634 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.92000102 2015/09/23 12:00:00 2015/09/23 12:00:00 2015/09/23 06:14:08 UV 2.16.840.1.113883.3.1097.9.92000103 psmfh Pulmonary & Sleep FH Stephen Bean masked Audreanna Alonzi 32255 NORTHWESTERN HWY STE 50 FARMINGTON HILLS MI 48334-1572 248-835-3634 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.92000103 2015/09/23 12:00:00 2015/09/23 12:00:00 2015/09/23 06:18:34 UV 2.16.840.1.113883.3.1097.9.92000101 psmrv Pulmonary & Sleep RV Stephen Bean masked Audreanna Alonzi 18263 10 Mile Rd Roseville, MI 48056 248-835-3634 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.92000101 2015/09/23 12:00:00 2015/09/23 12:00:00 2015/09/23 06:20:57 UV 2.16.840.1.113883.3.1097.1.1730087 wbuc West Beaumont Urgent Care Stephen Bean masked Harry Kuo 6900 Orchard Lake Rd Ste 100 West Bloomfield, MI 48322 248-267-5005 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730087 2015/09/23 12:00:00 2015/09/23 12:00:00 2015/09/23 06:24:40 UV 2.16.840.1.113883.3.1097.1.1730088 apmrhc Aljassem Phys Med & Rehab HC Stephen Bean masked Dawn Fulks 3601 W 13 Mile Rd Royal Oak, MI 48073 248-898-0161 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730088 2015/09/23 12:00:00 2015/09/23 12:00:00 2015/09/23 06:35:31 UV 2.16.840.1.113883.3.1097.1.1730089 apmrro Aljassem Phys Med & Rehab RO Stephen Bean masked Dawn Fulks 4949 Coolidge Hwy Royal Oak, MI 48073 248-898-0161 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730089 2015/09/23 12:00:00 2015/09/23 12:00:00 2015/09/23 06:39:38 UV 2.16.840.1.113883.3.1097.9.92020101 hpmc Hazel Park Medical Center Stephen Bean masked Janet Smith 23411 John R Rd Hazel Park, MI 48030 248-399-8331 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.92020101 2015/09/23 12:00:00 2015/09/23 12:00:00 2015/09/23 06:42:46 UV 2.16.840.1.113883.3.6367 nyf New York Foundling Thomas Dewar masked Thomas Dewar 590 Avenue of the Americas, 8th Floor New York, NY 10011 2127276936 masked Sr. Director of Applications & Healthcare Systems New York Foundling 590 Avenue of the Americas, 8th Floor New York, NY 10011 212-727-6813 Ming.Zhang@NYFoundling.org http://www.nyfoundling.org Provider Int 3 Complete 2015/09/23 12:00:00 2015/09/23 12:00:00 2015/09/23 05:18:53 UV 2.16.840.1.113883.3.6368 ccmh1 Campbell County Health Chris Harrison masked Chris Harrison 501 S. Burma Ave Gillette, WY 82716 307-688-1662 masked Director of Information Systems Campbell County Health 501 S. Burma Ave Gillette, WY 82716 307-688-1000 administration@ccmh.net http://www.cchwyo.org/ Provider Int 3 Complete 2015/09/23 12:00:00 2015/09/23 12:00:00 2015/09/23 12:03:56 UV 2.16.840.1.113883.17.4105 gpwhc-1-1-0 GPWHC Leland Tong masked Leland Tong 1700 11th St. W Williston, ND 58801 701-774-7687 masked Business Manager Great Plains Women's Health Center 1700 11th St. W Williston, ND 58801 701-774-7687 ltong@gpwomenshealth.com Provider Int 17 Complete 2015/09/23 12:00:00 2015/09/23 12:00:00 2015/09/23 07:02:07 UV 2.16.840.1.113883.3.6369 tmh The Methodist Hospitals, Inc. Charles Stitt masked Charles Stitt 600 Grant Street Gary IN 46402 (219) 886 - 5317 masked Interface Analyst The Methodist Hospitals, Inc. 600 Grant Street Gary, IN 46402 helpdesk@methodisthospitals.org http://www.methodisthospitals.org Provider Int 3 Complete 2015/09/23 12:00:00 2015/09/23 12:00:00 2015/09/23 05:25:44 UV 2.16.840.1.113883.3.6370 smcmed Southside Medical Center Ty Nguyen masked Ty Nguyen 1046 Ridge Ave SW Atlanta, GA 30315 6784143725 masked Southside Medical Center 1046 Ridge Ave SW Atlanta, GA 30315 6784143725 tnguyen@smcmed.com Provider Int 3 Complete 2015/09/24 12:00:00 2015/09/29 12:00:00 2015/09/29 02:55:32 UV 2.16.840.1.113883.3.6371 ulh United Lincolnshire Hospitals PACS Stephen Creasey masked Stephen Creasey ICT Department Lincoln County Hospital Greetwell Road LINCOLN LN2 5QY 01522512512 masked ICT Manager United Lincolnshire Hospitals NHS Trust ICT Department Lincoln County Hospital Greetwell Road LINCOLN LN2 5QY 01522512512 application.services@ulh.nhs.uk http://www.ulh.nhs.uk Govt body Int 3 Complete 2015/09/24 12:00:00 2015/09/29 12:00:00 2015/09/29 02:59:25 UV 2.16.840.1.113883.3.6372 rk5 Sherwood Forest Hospitals Tony Cheesbrough masked Robin Bolt Notts HIS Level2 - Trust Admin Building Kings Mill Hospital Mansfield Rod Sutton-in-Ashfield Notts NG174JL 01623-435438 masked Development Manager Sherwood Forest Hospitals Sherwood Forest Hospitals Trust HQ Kings Mill Hospital Mansfield Rod Sutton-in-Ashfield Notts NG174JL 01623-622515 robin.bolt@notts-his.nhs.uk Govt body Int 3 Complete 2015/09/24 12:00:00 2015/09/29 12:00:00 2015/09/29 03:02:49 UV 2.16.840.1.113883.3.6373 avasile Anthony Vasile OID Root Anthony Vasile masked Lori Vasile 700 W Lea Blvd, Suite 301 Wilmington, DE 19802 302 764 2072 masked office manager Dr Anthony Vasile 700 W Lea Blvd Suite 301 Wilmington, DE 19802 302 764 2072 aavoffice@comcast.net Provider Int 3 Complete 2015/09/24 12:00:00 2015/09/29 12:00:00 2015/09/29 03:04:53 UV 2.16.840.1.113883.9.201 adfacilityoid Aurora Diagnostics Facility OID Jon Anger masked Jon Anger 11025 RCA Center Dr #300, Palm Beach Gardens, FL 33410 561-935-8250 masked Interface Manager at Aurora Diagnostics Aurora Diagnostics 11025 RCA Center Dr #300, Palm Beach Gardens, FL 33410 (561) 626-5512 janger@auroradx.com http://www.auroradx.com/ Provider Int 3 Complete 2015/09/25 12:00:00 2015/09/29 12:00:00 2015/09/29 03:08:49 US 2.16.840.1.113883.3.6374 cnyhhn-dsrip CNY Health Home DSRIP Brittany Bono masked Brittany Bono 326 Catherine Street Utica, NY 13501 3157979057 masked Practice Manager CNY HHN, Inc. 326 Catherine Street Utica, NY 13501 3157979057 Brittany.Bono@cnyhealthhome.net Provider Int 3 Complete 2015/09/25 12:00:00 2015/09/29 12:00:00 2015/09/29 03:16:19 UV 2.16.840.1.113883.3.6375 fpa Family Practice Associates - Dr. Meyer Teresa Choate masked Teresa Choate 43411 Garfield, Suite A Clinton Township, MI 48038 586-263-2620 masked Family Practice Associates 30050 Hoover Rd, Suite A Warren, MI 48093 586-754-4700 ronaldleemeyers@hotmail.com Provider Int 3 Complete 2015/09/28 12:00:00 2015/09/29 12:00:00 2015/09/29 03:19:26 UV 2.16.840.1.113883.3.6376 mipaco-01 Michigan Pioneer ACO Erik Westbrook masked Erik Westbrook 28411 Northwestern Hwy, Ste. 750 Southfield, MI 48034 248-281-6608 masked Clinical Informatics Officer Michigan Pioneer ACO 28411 Northwestern Hwy, Ste. 750 Southfield, MI 48034 248-595-8819 info@michiganpioneeraco.com https://www.michiganpioneeraco.com/ Provider Int 3 Complete 2015/09/28 12:00:00 2015/09/29 12:00:00 2015/09/29 03:22:22 US 2.16.840.1.113883.3.6377 pediurology Childrens Urology Associates OID Root Nadia De La Ossa masked Children's Urology Associates, PA 3200 SW 60 Court Suite 104 Miami, FL 33155 3056696448 masked Credentialing Children's Urology Associates, PA 3200 SW 60 Court Suite 104 Miami. FL 33155 3056696448 nadia.delaossa@mch.com https://www.childrensurologyflorida.com Provider Int 3 Complete 2015/09/28 12:00:00 2015/09/29 12:00:00 2015/09/29 03:23:57 UV 2.16.840.1.113883.3.6378 pphc Personal Physicians HealthCare Julie Pivor masked Julie Pivor 1244 Boylston Street, Suite 306 Chestnut Hill, MA 02467 617-731-0058 masked Executive Director Personal Physicians HealthCare 1244 Boylston Street, Suite 306 Chestnut Hill, MA 02467 617-731-0058 info@personalphysicians.net Provider Int 3 Complete 2015/09/28 12:00:00 2015/09/29 12:00:00 2015/09/29 03:26:41 UV 2.16.840.1.113883.3.6379 rns01 Northampton General Hospital Eileen Mountford masked ITHelpdesk@ngh.nhs.uk Eileen Mountford 01604 235999 masked Northampton General Hospital ITHelpdesk@ngh.nhs.uk Govt body Int 3 Complete 2015/09/29 12:00:00 2015/09/29 12:00:00 2015/09/29 03:29:48 UV 2.16.840.1.113883.3.6380 rnq Kettering General Hospital David Donoghue masked David Donoghue Kettering General Hospital Rothwell Road Kettering Northants NN16 8UZ United Kingdom +441536492661 masked Senior Interface Specialist Kettering General Hospital Kettering General Hospital Rothwell Road Kettering Northants NN16 8UZ United Kingdom +441536492000 david.donoghue@kgh.nhs.uk Govt body Int 3 Complete 2015/09/29 12:00:00 2015/09/29 12:00:00 2015/09/29 03:51:03 UV 2.16.840.1.113883.3.6381 abigailfamilymedicine Abigail Family Medicine OID Root James Horah masked James C Horah Abigail Family Medicine 412 Suburban Dr Newark, DE 19711-3564 3027383770 masked Business Manager Abigail Medical Family Medicine, L.L.C. 412 Suburban Dr Newark, DE 19711-3564 3027383770 jameschorah@abbycare.com Provider Int 3 Complete 2015/09/29 12:00:00 2015/09/29 12:00:00 2015/09/29 03:52:45 UV 2.16.840.1.113883.3.6382 oid-GH Gouverneur Hospital Lyndon Allen masked Richard T. Lang Richard T. Lang Gouverneur Hospital 77 West Barney St. Gouverneur, NY 13642 315-535-9233 masked Chief Financial Officer Gouverneur Hospital 77 West Barney St. Gouverneur, NY 13642 315-535-9233 tlang@gvnrhospital.org http://www.gvnrhospital.org/ Provider Int 3 Complete 2015/09/29 12:00:00 2015/09/29 12:00:00 2015/09/29 03:59:59 UV 2.16.840.1.113883.9.202 na-children New Alternatives for Children Annie Koontz masked Annie Koontz 37 W. 26th Street New York, NY 10010 646-367-8406 masked Quality Assurance Coordinator New Alternatives for Children 37 W. 26th Street New York, NY 10010 212-696-1550 info@nackidscan.org Provider Int 3 Complete 2015/09/29 12:00:00 2015/09/29 12:00:00 2015/09/29 04:12:03 UV 2.16.840.1.113883.3.6383 sjmg St Joseph Medical Group OID Root Nicole Strohl masked Renee Schlegel-Capitle 2500 Bernville Road Reading, PA 19605 610-378-2963 masked Meaningful Use Coordinator St Joseph Medical Group PO Box 316 Reading, PA 19603 610-378-2280 reneecapitle@catholichealth.net Provider Int 3 Complete 2015/09/30 12:00:00 2015/09/30 12:00:00 2015/09/30 04:15:04 UV 2.16.840.1.113883.3.6384 barclaymedical Barclay Medical OID root Rita Martin masked Rita Martin 135 Barclay Circle St 100 Rochester Hills, MI 48307 248-852-2277 masked Office Manager Barclay Medical 135 Barclay Circle St 100 Rochester Hills, MI 48307 248-852-2277 rmartin@barclaymed.org Provider Int 3 Complete 2015/09/30 12:00:00 2015/09/30 12:00:00 2015/09/30 04:17:30 UV 2.16.840.1.113883.3.6385 pshsjmg St. Joseph Regional Health Network Root OID Amanda Klopp masked Amanda Marie Klopp St. Joseph Regional Health Network 2500 Bernville Road Reading, PA 19605 610-378-2189 masked Director Innovation and Clinical Innovation St. Joseph Medical Group PO Box 316 Reading, PA 19603 610-378-2280 amandaklopp@catholichealth.net http://www.thefutureofhealthcare.org Provider Int 3 Complete 2015/09/30 12:00:00 2015/10/12 12:00:00 2015/10/12 06:16:51 UV 2.16.840.1.113883.3.6386 mhanc The Mental Health Association in Niagara County Steven Ferguson masked Steven Ferguson 36 Pine St Lockport, NY 14094 7164333780 masked Director of Consumer Activities The Mental Health Association in Niagara County 36 Pine St Lockport, NY 14094 7164333780 sferguson@mhanc.com http://www.mhanc.com Provider Int 3 Complete 2015/10/01 12:00:00 2015/10/12 12:00:00 2015/10/12 04:00:44 UV 2.16.840.1.113883.9.203 fh-oid Fountain House Nicole Pickett masked Nicole Pickett 425 West 47th Street New York, NY 10036 212-582-3155 masked Director of Managed Care Relations Fountain House 425 West 47th Street New York, NY 10036 212-582-3155 npickett@fountainhouse.org Provider Int 3 Complete 2015/10/01 12:00:00 2015/10/12 12:00:00 2015/10/12 04:13:42 UV 2.16.840.1.113883.3.6387 nro Newark Radiation Oncology, Inc. Nancy Hudnall masked Nancy Hudnall Newark Radiation Oncology, Inc. Attn: Nancy Hudnall PO Box 1039 Newark, OH 43058-1039 740-344-3100 masked Administrative Manager Newark Radiation Oncology, Inc. Newark Radiation Oncology, Inc. PO Box 1039 Newark, OH 43058-1039 nhudnall@hotmail.com Provider Int 3 Complete 2015/10/02 12:00:00 2015/10/12 12:00:00 2015/10/12 05:32:01 UV 2.16.840.1.113883.17.4106 lsh Lemuel Shattuck Hospital David Olverson masked David Olverson 365 East St. Tewksbury, MA 01876 1-978-851-7321 Ext. 2305 masked Director of IT Lemuel Shattuck Hospital 170 Morton St. Jamaica Plain, MA 02130 (617) 971-3225 Kathryn.Noonan@MassMail.State.MA.US http://www.mass.gov/eohhs/gov/departments/dph/programs/hospitals/shattuck/ Provider Int 17 Complete 2015/10/05 12:00:00 2015/10/15 12:00:00 2015/10/15 05:51:00 UV 2.16.840.1.113883.17.4107 tkh Tewksbury Hospital David Olverson masked David Olverson 365 East St. Tewksbury, MA 01876 978-851-7321 Ext. 2305 masked Director of IT Tewksbury Hospital 365 East St. Tewksbury, MA 01876 (978) 851-7321 Ext. 2294 Patricia.Eskandar@MassMail.State.MA.US http://www.mass.gov/eohhs/gov/departments/dph/programs/hospitals/tewksbury-hospital.html Provider Int 17 Complete 2015/10/05 12:00:00 2015/10/15 12:00:00 2015/10/15 06:05:49 UV 2.16.840.1.113883.17.4108 masshosp Massachusetts Hospital School David Olverson masked David Olverson 365 East St. Tewksbury, MA 01876 978-851-7321 Ext. 2305 masked Director of IT Massachusetts Hospital School 3 Randolph St. Canton, Massachusetts 02021 781-830-8764 Elyse.Disciullo@MassMail.State.MA.US http://www.mass.gov/eohhs/gov/departments/dph/programs/hospitals/mass-hospital-school.html Provider Int 17 Complete 2015/10/05 12:00:00 2015/10/15 12:00:00 2015/10/15 06:09:47 UV 2.16.840.1.113883.17.4109 wmh Western Massachusetts Hospital David Olverson masked David Olverson 365 East St. Tewksbury, MA 01876 978-851-7321 Ext. 2305 masked Director of IT Western Massachusetts Hospital 91 East Mountain Rd. Westfield, Massachusetts 01085 (413) 784-9016 Pamela.L.Lawton@MassMail.State.MA.US http://www.mass.gov/eohhs/gov/departments/dph/programs/hospitals/western-massachusetts-hospital.html Provider Int 17 Complete 2015/10/05 12:00:00 2015/10/15 12:00:00 2015/10/15 06:16:10 UV 2.16.840.1.113883.3.6363.6500 hapmidwest HAP Midwest Health Plan Annette Marcath masked Annette Marcath 2850 West Grand Blvd Detroit, MI 48202 313.664.8166 masked VP, CIO HAP Midwest Health Plan 2850 West Grand Blvd Detroit, MI 48202 313.664.8166 amarcath@hap.org http://midwesthealthplan.com Payor 2.16.840.1.113883.3.6363 Ext 17 Complete 2.16.840.1.113883.3.6363.6500 2015/10/06 12:00:00 2015/10/12 12:00:00 2015/10/12 05:43:58 UV 2.16.840.1.113883.3.6388 kingsleyeagbeyegbemdpc kingsley e agbeyegbe mdpc - oid root Kingsley Agbeyegbe masked Kwavi Agbeyegbe 1151 Cleveland Avenue Suite C East Point, GA 30344 404 305 0004 masked Practice Manager Kingsley E Agbeyegbe MD PC 1151 Cleveland Avenue Suite C East Point, GA 30344 404 305 0004 kwavi@kwavi.com https://www.thedoctor4me.com Provider Int 3 Complete 2015/10/07 12:00:00 2015/10/12 12:00:00 2015/10/12 05:47:33 UV 2.16.840.1.113883.3.6389 careteamlink Regional Health Information Collaborative Klint Peterson masked Klint Peterson Peterson masked InterCommunity Health Network CCO 815 NW 9th St. Corvallis, OR 97339 541-768-4550 kpeterson@samhealth.org http://www.samhealth.org/IHN-CCO Payor Int 3 Complete 2015/10/07 12:00:00 2015/10/12 12:00:00 2015/10/12 06:01:13 UV 2.16.840.1.113883.3.6390 chac Community Health Accountable Care Heather Skeels masked Heather Skeels 61 Elm Street Montpelier Vermont 05602 8022290002 masked Project Manager Community Health Accountable Care 61 Elm Street Montpelier, Vermont 05602 8022290002 ksimmons@bistatepca.org Provider 2.16.840.1.113883.3.3686 Int 3 Complete 2015/10/07 12:00:00 2016/01/12 12:00:00 2016/01/12 12:23:58 UV 2.16.840.1.113883.3.6391 fCHCN Fairfax County Community Health Care Network Pamela Cole masked E. Noel Clarin 10777 Main Street Suite 203 Fairfax, VA 22030 703-246-8462 masked Informatics and IT Manager Fairfax County Health Department 10777 Main Street Suite 203 Fairfax, VA 22030 703-246-2411 noel.clarin@fairfaxcounty.gov http://www.fairfaxcounty.gov/hd Provider Int 3 Complete 2015/10/07 12:00:00 2015/10/12 12:00:00 2022/06/17 08:57:32 UV 2.16.840.1.113883.3.1097.9.92070101 aimed Associates in Medicine, P.C. Stephen Bean masked Leann Pontello 1695 12 Mile Rd, Ste 200 Berkley MI 48072-2100 248 548-9090 ext 1210 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.92070101 2015/10/12 12:00:00 2015/10/12 12:00:00 2015/10/12 06:30:06 UV 2.16.840.1.113883.3.6392 rvp Rogue Valley Physicians JHIE Dena Donnelly masked Dena Donnelly 3524 Heathrow Way Medford OR 97504 541-646-3505 masked Operations Manager Rogue Valley Physicians 2900 Doctors Park Drive Medford, OR 97504 541-842-9655 its@rvpdocs.com Provider Int 3 Complete 2015/10/12 12:00:00 2015/10/12 12:00:00 2015/10/12 06:28:12 UV 2.16.840.1.113883.3.1097.9.92100101 mipea MI PED ENT ASSOC PLLC Stephen Bean masked Lynn Denahardt 29120 Franklin Rd, Southfield MI 48034 248-355-3100 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.92100101 2015/10/12 12:00:00 2015/10/12 12:00:00 2015/10/12 06:35:13 UV 2.16.840.1.113883.3.1097.9.92100102 mipeact MI PED ENT ASSOC PLLC CT Stephen Bean masked Lynn Denahardt 42700 Garfield Ste 230 Clinton Township 48038 586-532-3444 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.92100102 2015/10/12 12:00:00 2015/10/12 12:00:00 2015/10/12 06:37:42 UV 2.16.840.1.113883.3.1097.9.92090101 mmgs Millennium Med Grp S P.C. Stephen Bean masked Yelda 22260 GARRISON ST Dearborn MI 481242208 313-563-6000 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.92090101 2015/10/12 12:00:00 2015/10/12 12:00:00 2015/10/12 06:41:32 UV 2.16.840.1.113883.3.1097.9.92090102 mmgwl Millennium Med Grp WL P.C. Stephen Bean masked Yelda 3640 BIDDLE AVE Wyandotte MI 48192-6515 313-563-6000 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.92090102 2015/10/12 12:00:00 2015/10/12 12:00:00 2015/10/12 06:42:40 UV 2.16.840.1.113883.3.1097.9.92090103 mmgwd Millennium Med Grp WD P.C. Stephen Bean masked Yelda 33116 PALMER RD STE D Westland MI 48186-5528 313-563-6000 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.92090103 2015/10/12 12:00:00 2015/10/12 12:00:00 2015/10/12 06:45:07 UV 2.16.840.1.113883.3.1097.1.7730006 bhhc Botsford Heart Health Center Stephen Bean masked Craig Dimaya 28080 Grand River Ave Ste 306n Farmington Hills, MI 48336-5966 248-473-4774 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.7730006 2015/10/12 12:00:00 2015/10/12 12:00:00 2015/10/12 06:51:54 UV 2.16.840.1.113883.3.1097.1.7730007 bosvc Botsford Osteoporosis Svcs Stephen Bean masked Becky Masters 28100 Grand River Ave Ste 314 Farmington Hills, MI 48336-5970 248-471-8688 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.7730007 2015/10/13 12:00:00 2015/10/13 12:00:00 2015/10/13 09:43:44 UV 2.16.840.1.113883.3.1097.705 bhs-fh BHS Farmington Hills Hospital Stephen Bean masked Stephen Bean 28050 Grand River Ave. Farmington Hills, MI 48336 248-733-7448 masked IT Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.705 2015/10/13 12:00:00 2015/10/15 12:00:00 2015/10/15 04:40:16 UV 2.16.840.1.113883.3.1097.1.7730014 gpc Geriatrics and Palliative Care Stephen Bean masked Amy Bone 21440 Archwood Circle, 2nd Floor Farmington Hills, MI 48336 248-476-1010 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.7730014 2015/10/13 12:00:00 2015/10/13 12:00:00 2015/10/13 09:47:13 UV 2.16.840.1.113883.3.1097.1.7730018 bgo Botsford Gynecologic Oncology Stephen Bean masked Kim Klevenger 39475 Lewis Dr Ste 270 Novi, MI 48377-2904 734-678-5731 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.7730018 2015/10/13 12:00:00 2015/10/13 12:00:00 2015/10/13 09:51:11 UV 2.16.840.1.113883.3.1097.1.7730019 bts Botsford Thoracic Surgery Stephen Bean masked Nicki Anderson 27900 Grand River Ave Farmington Hills, MI 48336 248-473-4828 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.7730019 2015/10/13 12:00:00 2015/10/13 12:00:00 2015/10/13 09:53:47 UV 2.16.840.1.113883.3.1097.1.7730020 bvsc Botsford Vascular Surgery Cntr Stephen Bean masked Janet Cellitti 28080 Grand River Ave Ste 207N Farmington Hills, MI 48336-5967 248-471-8829 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.7730020 2015/10/13 12:00:00 2015/10/13 12:00:00 2015/10/13 09:55:32 UV 2.16.840.1.113883.4.858 ca-MRP Mon R&#233;seau Plus Wilson Venancio masked Wilson Venancio 5090 Explorer Drive Suite 1000 6477889477 masked Operational Planning & Process Manager Mon R&#233;seau Plus 2285 rue St-Pierre, Drummondville, Qu&#233;bec, J2C 5A7 6477889477 info@monreseauplus.com http://www.monreseauplus.com Prof Soc Int 4 Complete 2015/10/13 12:00:00 2015/10/15 12:00:00 2015/10/15 04:29:22 UV 2.16.840.1.113883.4.859 ca-AMQ Association des Massoth&#233;rapeutes du Qu&#233;bec Wilson Venancio masked Wilson Venancio 5090 Explorer Drive Suite 1000 Missisauga ON L4W 4X6 6477889477 masked Operational Planning & Process Manager Association des Massoth&#233;rapeutes du Qu&#233;bec 2229 Boul. Louis-XIV, Qu&#233;bec, QC, G1C 1A1 1-866-663-0168 info@amquebec.qc.ca http://www.amquebec.qc.ca/ Prof Soc Int 4 Complete 2015/10/13 12:00:00 2015/10/15 12:00:00 2015/10/15 04:49:10 UV 2.16.840.1.113883.3.6393 ca-CRMTA Certified Registered Massage Therapist Association Wilson Venancio masked Wilson Venancio 5090 Explorer Drive Suite 1000 Mississauga ON L4W 4X6 6477889477 masked Operational Planning & Process Manager Certified Registered Massage Therapist Association 9618 Horton Road SW, Calgary, AB, T2V 2X5 4034740772 info@acrmt.ca http://crmtaab.com/ Prof Soc Int 4 Complete 2015/10/13 12:00:00 2015/10/15 12:00:00 2022/01/06 10:22:41 UV 2.16.840.1.113883.3.1097.1.7730021 mohs Botsford MOHS Surgery Center Stephen Bean masked Nicki Anderson 27900 Grand River Ave Farmington Hills, MI 48336 248-473-4828 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.7730021 2015/10/13 12:00:00 2015/10/13 12:00:00 2015/10/13 09:58:01 UV 2.16.840.1.113883.3.1097.1.7730023 bpa Botsford Perinatology FH Stephen Bean masked Karen DenBraven 28711 W 8 Mile Rd Ste C Livonia, MI 48152-2041 248-474-4590 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.7730023 2015/10/13 12:00:00 2015/10/13 12:00:00 2015/10/13 10:00:18 UV 2.16.840.1.113883.3.1097.1.7730026 bcim Botsford Center Internal Med Stephen Bean masked Barb Fitzgerald 27031 W Warren Ave Dearborn Heights, MI 48127 313-278-1982 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.7730026 2015/10/13 12:00:00 2015/10/13 12:00:00 2015/10/13 10:03:11 UV 2.16.840.1.113883.3.1097.1.7730027 bpodc Botsford Podiatry Clinic Stephen Bean masked Carol Hernandez 28100 Grand River Ave Ste 301 Farmington Hills, MI 48336 248-471-8970 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.7730027 2015/10/13 12:00:00 2015/10/13 12:00:00 2015/10/13 10:05:52 UV 2.16.840.1.113883.3.1097.1.7730029 bpsm Botsford Pulmonary and Sleep Med Stephen Bean masked Carol Hernandez 28080 Grand River Ave Ste 306 Farmington Hills, MI 48336 248-471-8970 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.7730029 2015/10/13 12:00:00 2015/10/13 12:00:00 2015/10/13 10:07:03 UV 2.16.840.1.113883.3.1097.1.7730030 nsmc2 Botsford Northside Med Ctr Stephen Bean masked Kimberly Porter-Turner 14001 Greenfield Detroit, MI 48227 313-605-7277 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.7730030 2015/10/13 12:00:00 2015/10/13 12:00:00 2015/10/13 10:09:05 UV 2.16.840.1.113883.3.1097.1.7730031 bid Botsford Infectious Disease Stephen Bean masked Carol Hernandez 28080 Grand River Ave Ste 306 Farmington Hills, MI 48336 248-471-8970 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.7730031 2015/10/13 12:00:00 2015/10/13 12:00:00 2015/10/13 10:11:08 UV 2.16.840.1.113883.3.1097.1.7730032 bsdc Botsford Sleep Disorder Center Stephen Bean masked Paul Vanden Bosch 21440 Archwood Circle Farmington Hills, MI 48336 248-473-8411 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.7730032 2015/10/13 12:00:00 2015/10/13 12:00:00 2015/10/13 10:12:28 UV 2.16.840.1.113883.3.1097.1.7730034 bdns Diabetes and Nutrition Svcs Stephen Bean masked Denise Anderson 25400 W Eight Mile Rd Southfield, MI 48033 248-473-9164 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.7730034 2015/10/13 12:00:00 2015/10/13 12:00:00 2015/10/13 10:19:22 UV 2.16.840.1.113883.3.1097.1.7730035 bitc Botsford International Travel Stephen Bean masked Carol Hernandez 28080 Grand River Ave Ste 306 Farmington Hills, MI 48336 248-471-8970 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.7730035 2015/10/13 12:00:00 2015/10/13 12:00:00 2015/10/13 10:24:02 UV 2.16.840.1.113883.3.1097.1.7730036 bhhcb Botsford Heart Health Center B Stephen Bean masked Craig Dimaya 28711 W 8 Mile Rd Ste B Livonia, MI 48152 248-473-4774 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.7730036 2015/10/13 12:00:00 2015/10/13 12:00:00 2015/10/13 10:25:20 UV 2.16.840.1.113883.3.1097.1.7730037 bhhce Botsford Heart Health Center E Stephen Bean masked Craig Dimaya 39475 Lewis Dr Ste 200 Novi, MI 48377 248-473-4774 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.7730037 2015/10/13 12:00:00 2015/10/13 12:00:00 2015/10/13 10:27:23 UV 2.16.840.1.113883.3.1097.1.7730038 bhhcs Botsford Heart Health Center S Stephen Bean masked Craig Dimaya 44130 West Twelve Mile Rd Novi, MI 48377 248-473-4774 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.7730038 2015/10/13 12:00:00 2015/10/13 12:00:00 2015/10/13 10:41:14 UV 2.16.840.1.113883.3.1097.1.7730039 bdc Botsford Dermatology Clinic Stephen Bean masked Sandra Roth 21141 Middlebelt Farmington Hills, MI 48336 248-473-9195 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.7730039 2015/10/13 12:00:00 2015/10/13 12:00:00 2015/10/13 10:42:39 UV 2.16.840.1.113883.3.1097.1.7730045 bpcog Botsford Perinatology Livonia Stephen Bean masked Karen DenBraven 28711 W 8 Mile Rd Suite C Livonia, MI 48152-2041 248-474-4590 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.7730045 2015/10/13 12:00:00 2015/10/13 12:00:00 2015/10/13 10:45:37 UV 2.16.840.1.113883.3.1097.1.7730011 midwuc Midwest Urgent Care Stephen Bean masked Fatyma Harris 15540 Beech Daly Road Redford, MI 48239 313-592-6316 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.7730011 2015/10/13 12:00:00 2015/10/15 12:00:00 2015/10/15 04:26:39 UV 2.16.840.1.113883.3.6394 rfs Chesterfield Royal Hospital Foundation Trust Kayleigh Sheldon masked Kayleigh Laura Sheldon Chesterfield Royal Hospital NHS Foundation Trust Calow Chesterfield Derbyshire S44 5BL (UK) 01246 516462 masked Application Support Lead - Currently working as the EMRAD Project Lead for CRHFT Chesterfield Royal Hospital Foundation Trust Chesterfield Royal Hospital NHS Foundation Trust Calow Chesterfield Derbyshire S44 5BL 01246 277271 crhft.chesterfieldEMRAD@nhs.net http://www.chesterfieldroyal.nhs.uk Govt body Int 3 Complete 2015/10/14 12:00:00 2015/10/15 12:00:00 2015/10/15 05:23:22 UV 2.16.840.1.113883.3.6395 mountainside-software Mountainside Software, Inc. Leonard Hampton masked Leonard Hampton P.O. box 66 Weyers Cave, VA 24486 5402348423 masked CTO Mountainside Software, Inc. P.O. Box 66 Weyers Cave, VA 24486 (USA) 5402348423 lhampton@mountainsidesoftware.com http://www.mountainsidesoftware.com Vendor Int 3 Complete 2015/10/14 12:00:00 2015/10/15 12:00:00 2015/10/15 05:25:59 UV 2.16.840.1.113883.3.6396 ventureforthe Venture Forthe Inc. David Hogan masked David Hogan 3900 Packard Rd. Niagara Falls, NY 14303 7162858070 masked CEO Venture Forthe Inc. 3900 Packard Rd. Niagara Falls, NY 14303 7162858070 davehogan@ventureforthe.com Provider Int 3 Complete 2015/10/14 12:00:00 2015/10/15 12:00:00 2015/10/15 05:31:15 UV 2.16.840.1.113883.3.6397 rvpfac Rogue Valley Physicians Gina Bianco masked Suman Kareti 1175 E.Main Street, Medford, OR 97504 8552995443 masked Interface Analyst JHIE 1175 E.Main Street, Medford, OR 97504 8552995443 support@jhie.org http://jhie.org/ Exchange 2.16.840.1.113883.3.5783 Int 3 Complete 2015/10/14 12:00:00 2015/10/15 12:00:00 2015/10/15 05:33:24 UV 2.16.840.1.113883.3.6398 gw Graham Windham Robert Oswald masked Robert Oswald 33 Irving Place 7th Floor New York, NY 10003 646-462-4677 masked CIO Graham Windham 33 Irving Place 7th Floor New York, NY 10003 212-529-6445 oswaldr@graham-windham.org http://www.graham-windham.org Provider Int 3 Complete 2015/10/15 12:00:00 2015/10/15 12:00:00 2015/10/15 05:35:32 UV 2.16.840.1.113883.3.6399 onemedical onemedical OID Geoff Hyde masked Geoffrey Hyde 130 Sutter Street, 2nd Floor San Francisco, CA 94104 415-722-2496 masked Director, Product Development One Medical Group 130 Sutter Street, 2nd Floor San Francisco, CA 94104 ghyde@onemedical.com Vendor Int 3 Complete 2015/10/15 12:00:00 2015/10/15 12:00:00 2015/10/15 05:38:19 UV 2.16.840.1.113883.3.6400 swmbh Southwest Michigan Behavioral Health Tim Dubois masked Tim Dubois 5250 Lovers Lane, Portage, mi 49002 269-488-6984 masked IT Project Manager Southwest Michigan Behavioral Health 5250 Lovers Lane, Portage, MI 49002 800-676-0423 tim.dubois@swmbh.org http://www.swmbh.org Payor Int 3 Complete 2015/10/15 12:00:00 2015/10/15 12:00:00 2015/10/15 05:42:54 UV 2.16.840.1.113883.3.6401 drhaller Dr. Patricia A Haller Optometrist Inc Patricia Haller masked Patricia Haller 7407744616 masked Dr. Patricia A Haller Optometrist Inc 7407744616 phaller@horizonview.net Provider Int 3 Complete 2015/10/15 12:00:00 2015/10/16 12:00:00 2015/10/16 06:19:49 UV 2.16.840.1.113883.3.6402 aceto ACETO Softwareentwicklung GmbH Jens Brieger masked Dr. Jens Brieger ACETO Softwareentwicklung GmbH Landshuter Allee 8-10 80637 M&#252;nchen 004989416128710 masked ACETO Softwareentwicklung GmbH ACETO Softwareentwicklung GmbH Landshuter Allee 8-10 80637 M&#252;nchen 004989416128710 info@aceto-online.com http://www.aceto-online.com Vendor Int 3 Complete 2015/10/16 12:00:00 2015/10/16 12:00:00 2015/10/16 06:15:07 UV 2.16.840.1.113883.3.6403 tylerholmes Tyler Holmes Memorial Hospital Eddie Pipkin masked Eddie Pipkin 409 Tyler Holmes Drive, Winona, MS 38967 662-283-6779 masked Information Technology Director Tyler Holmes Memorial Hospital 409 Tyler Holmes Drive, Winona, MS 38967 662-283-4114 eddie.pipkin@thmh.org Provider Int 3 Complete 2015/10/20 12:00:00 2015/10/20 12:00:00 2015/10/20 03:48:39 US 2.16.840.1.113883.17.4110 crh-mmc CRH - Midtown Medical Center - Columbus Georgia Oliver Banta masked Oliver Banta Columbus Regional Health ATTN: Oliver Banta 707 Center St. Suite 300 Columbus, GA 31901 7066606453 masked VP/CIO Midtown Medical Center networkengineers@columbusregional.com http://www.columbusregional.com/ Provider Int 17 Complete 2015/10/20 12:00:00 2015/10/20 12:00:00 2015/10/20 03:59:53 UV 2.16.840.1.113883.17.4111 crh-nmc CRH - Northside Medical Center - Columbus Georgia Oliver Banta masked Oliver Banta Columbus Regional Health ATTN: Oliver Banta 707 Center St. Suite 300 Columbus, GA 31901 7066606453 masked VP/CIO Northside Medical Center networkengineers@columbusregional.com http://www.columbusregional.com Provider Int 17 Complete 2015/10/20 12:00:00 2015/10/20 12:00:00 2015/10/20 04:06:51 UV 2.16.840.1.113883.3.6404 dorso Dossier Patient - Groupe Dorso Hugues Lacroix masked Pascale Drolet Hugues Lacroix 4388805590 masked Programmer Groupe Dorso droletpascale@hotmail.com Vendor Int 3 Complete 2015/10/20 12:00:00 2015/10/20 12:00:00 2015/10/20 03:53:30 UV 2.16.840.1.113883.3.6405 privia Privia Health Justin Johnston masked Chris Voigt 950 N. Glebe Rd., Suite 4000 Arlington, VA. 22203 571.779.4936 masked Vice President, Business and Product Strategy Privia Health 950 N. Glebe Rd., Suite 4000 Arlington, VA. 22203 571.779.4936 cvoigt@priviahealth.com http://www.priviahealth.com Provider Int 3 Complete 2015/10/20 12:00:00 2015/10/20 12:00:00 2015/10/20 03:54:57 UV 2.16.840.1.113883.17.4112 clinicaldocumentengineering CLINICAL DOCUMENT ENGINEERING Josep Vilalta - Marzo masked Josep Vilalta - Marzo Francesc Layret, 24 08911 Badalona Barcelona - SPAIN 34608892793 masked CEO CLINICAL DOCUMENT ENGINEERING Calabria, 267 - 7-3 08029 BARCELONA SPAIN 34608892793 jvilalta@clinicaldocumentengineering.com http://clinicaldocumentengineering.com Vendor Int 3 Complete 2015/10/21 12:00:00 2015/10/21 12:00:00 2015/10/21 11:28:10 UV 2.16.840.1.113883.3.6406 pthwy Pathways, Inc. Betty Sublett masked Betty Marie Sublett PO BOX 790 ASHLAND KY 41105-0790 606-329-8588 EXT. 4075 masked Medical Records Director Pathways, Inc. PO BOX 790 ASHLAND KY 41105-0790 606-329-8588 EXT. 4075 marie.sublett@pathways-ky.org http://www.pathways-ky.org/ Provider Int 3 Complete 2015/10/21 12:00:00 2015/10/21 12:00:00 2015/10/21 11:29:11 US 2.16.840.1.113883.3.6407 hillcresthfhc Hillcrest Family Health Centers Jerry Hamar masked Jerry Hamar 100 Hillcrest Medical Blvd. Waco, Texas 76712 254 202 4637 masked Applications Hillcrest Family Health Centers 100 Hillcrest Medical Blvd. Waco, Texas 76712 254 202 2000 ghamar@sw.org http://hillcrestfamilyphysicians.net/ Provider Int 3 Complete 2015/10/21 12:00:00 2015/10/21 12:00:00 2015/10/21 03:52:25 UV 2.16.840.1.113883.3.6408 encite encite Don Stewart masked Don Stewart 7044611259 masked Encite Inc. 481 MUNN ROAD SUITE 325 FORT MILL, SC 29715 7044611255 don@encite.us Vendor Int 3 Complete 2015/10/21 12:00:00 2015/10/23 12:00:00 2015/10/23 03:53:41 UV 2.16.840.1.113883.3.6409 assocInCardiovascularMed Associates in Cardiovascular Medicine Sunit Mukherjee masked Jo-Ann Ouellette 217 Sutton Street North Andover, MA 01845 978-687-4145 masked Office Manager Associates in Cardiovascular Medicine 217 Sutton Street North Andover, MA 01845 978-687-4145 acm217jo@comcast.net http://www.acmheart.com/ Provider Int 3 Complete 2015/10/22 12:00:00 2015/10/23 12:00:00 2015/10/23 03:57:10 UV 2.16.840.1.113883.4.860 armcga-rfc Athens Regional Health Services - Regional First Care Drew Swartz masked Drew Swartz 706.475.5275 masked Integration Analyst Athens Regional Medical Center 1199 Pring Ave Athens, GA 30606 706.475.7000 contactus@armc.org Provider 2.16.840.1.113883.3.5436 Int 4 Complete 2015/10/22 12:00:00 2015/10/23 12:00:00 2015/10/23 04:03:18 UV 2.16.840.1.113883.4.861 armcga-arp Athens Regional Health Services - Athens Regional Professional Services Drew Swartz masked Drew Swartz 1199 Prince Ave Athens, GA 30606 706.475.5275 masked Integration Analyst Athens Regional Medical Center 1199 Prince Ave Athens, GA 30606 706.475.7000 dswartz@armc.org Provider 2.16.840.1.113883.3.5436 Int 4 Complete 2015/10/22 12:00:00 2015/10/23 12:00:00 2015/10/23 04:08:54 UV 2.16.840.1.113883.4.862 armcga-ars Athens Regional Health Services - Athens Regional Specialty Services Drew Swartz masked Drew Swartz 1199 Prince Ave Athens, GA 30606 706.475.5275 masked Integration Analyst Athens Regional Medical Center 1199 Prince Ave Athens, GA 30606 706.475.7000 contactus@armc.org Provider 2.16.840.1.113883.3.5436 Int 4 Complete 2015/10/22 12:00:00 2015/10/23 12:00:00 2015/10/23 04:11:58 UV 2.16.840.1.113883.3.6410 rightcare RightCare Solutions Scott Borzillo masked Scott Borzillo 110 Gibraltar Road Suite 100 2156468800 ext 112 masked Senior Systems Admininstrator RightCare Solutions 110 Gibraltar Road Suite 100 Horshmam PA 19044 2156468800 techops@rightcaresolutions.com http://www.rightcaresolutions.com Vendor Int 3 Complete 2015/10/22 12:00:00 2015/10/23 12:00:00 2015/10/23 04:17:22 UV 2.16.840.1.113883.3.6411 sjim St Johns Internal Medicine, P.C. Christopher Beal masked Dawn Blemaster 110 W. Higham Street St Johns, MI 49979-1557 1-989-224-0646 masked Practice Manager St Johns Internal Medicine, P.C. 110 W. Higham Street St Johns, MI 49979-1557 1-989-224-0646 d_blemaster@yahoo.com https://secure.StJohnsMed.Org Provider Int 3 Complete 2015/10/23 12:00:00 2015/10/23 12:00:00 2015/10/23 04:27:09 UV 2.16.840.1.113883.3.3686 vommunityHealthACO Community Health Accountable Care LLC Jennifer Starling masked Heather Skeels Heather Skeels 802-229-0002 x210 masked Project Manager Community Health Accountable Care LLC hskeels@bistatepca.org Provider 2.16.840.1.113883.3.3686 Ext 2.16.840.1.113883.3.6390 3 Retired 2.16.840.1.113883.3.3686 2015/10/23 12:00:00 2019/11/30 03:42:27 UV 2.16.840.1.113883.3.6412 tungstenSoftware TungstenSoftware Xavier Verwaerde masked Xavier Verwaerde 19 rue de la recreation 59650 Villeneuve d'Ascq FRANCE +33615325161 masked Owner Tungsten Software 19 rue de la recreation 59650 Villeneuve d'Ascq FRANCE xverwaerde@tungstensoftware.fr http://www.tungstensoftware.fr Prof Soc Int 3 Complete 2015/10/26 12:00:00 2015/10/29 12:00:00 2015/10/29 05:58:36 UV 2.16.840.1.113883.3.6413 veiinc Ventura Eye Institute Inc. OID Root Michael Ragen masked Natalya Hughes 3801 Las Posas Road, Ste 112 Camarillo, CA 93010 8053881211 masked Ventura Eye Institute Inc. 3801 Las Posas Road, Ste 112 Camarillo, CA 93010 8053881211 staff@venturaeyeinstitute.com http://www.venturaeyeinstitute.com/ Provider Int 3 Complete 2015/10/26 12:00:00 2015/10/29 12:00:00 2015/10/29 06:00:03 UV 2.16.840.1.113883.3.6414 ichd Ingham County Health Department Richard Estill masked Richard Estill 5303 S. Cedar St. Lansing, MI 48909 5172724188 masked System Analyst Ingham County Health Department 5303 S. Cedar St. Lansing, MI 48909 5178874311 health@ingham.org http://hd.ingham.org Provider Int 3 Complete 2015/10/27 12:00:00 2015/10/29 12:00:00 2015/10/29 06:08:40 UV 2.16.840.1.113883.3.6415 root-IPN IPN Tom Swenarski masked Tom Swenarski 414-771-4829 masked IPN 6767 W Greenfield Ave Milwaukee, WI 53214 414-771-6177 mrepka@ipn-wi.com Provider Int 3 Complete 2015/10/27 12:00:00 2015/10/29 12:00:00 2015/10/29 06:09:59 UV 2.16.840.1.113883.3.6416 sgcmhpc Ste Genevieve County Memorial Hospital Physician Clinics Judy Schmieder masked Judy M Schmieder 800 Ste Genevieve Drive Ste Genevieve, MO 63670 573-883-4479 masked Director of Clinical Informatics Ste Genevieve County Memorial Hospital 800 Ste Genevieve Drive Ste Genevieve, MO 63670 573-883-2751 jschmieder@sgcmh.org http://www.stegenevievehospital.org Provider 2.16.840.1.113883.3.1734 Int 3 Complete 2015/10/27 12:00:00 2016/02/03 12:00:00 2016/02/03 04:49:42 UV 2.16.840.1.113883.3.6417 sorrellSolutions Sorrell Solutions, L.L.C. Sven Aelterman masked Sven Aelterman 327 Bibb Graves Hall Troy University Troy, AL 36082 334-670-3922 masked Software Architect Sorrell Solutions, L.L.C. 151 Bibb Graves Hall Troy University Troy, AL 36082 sven@sorrell.us Vendor Int 3 Complete 2015/10/27 12:00:00 2015/10/29 12:00:00 2015/10/29 06:29:34 UV 2.16.840.1.113883.3.6418 persiviaOID Persivia Inc. Object Identifier Gregory Magazu masked Muhammad Kashif 4 Mount Royal Avenue, 4th Floor, Marlborough, MA 01752 978-856-4517 masked Chief Technology Officer Persivia Inc. 4 Mount Royal Avenue, 4th Floor, Marlborough, MA 01752 978-856-4600 info@persivia.com http://www.persivia.com Vendor Int 3 Complete 2015/10/28 12:00:00 2015/10/29 12:00:00 2024/09/26 07:27:45 UV 2.16.840.1.113883.3.6419 nemcmha-oid Northeast Michigan CMH OID Dennis Bannon masked Dennis Bannon Northeast Michigan CMH 400 Johnson Street Alpena, MI 49707 989-356-2161 masked Northeast Michigan Community Mental Health 400 Johnson Street Alpena, MI 49707 989-356-2161 nemcmh-mis@nemcmh.org http://www.nemcmh.org/ Provider Int 3 Complete 2015/10/29 12:00:00 2015/10/29 12:00:00 2015/10/29 06:46:52 UV 2.16.840.1.113883.3.6420 kfp Kids First Pediatrics Leslie Elmer masked Kelly Roybal-Sanchez Kelly Roybal-Sanchez 96 Wadsworth Blvd Suite 100 Lakewood, Colorado 80226 303/239-8327 masked Office Manager Kids First Pedtiarics 96 Wadsworth Blvd Suite 100 Lakewood, Colorado 80226 303/239-8327 KellyR@kids1peds.net Provider Int 3 Complete 2015/10/29 12:00:00 2015/10/29 12:00:00 2015/10/29 06:52:17 2.3 US 2.16.840.1.113883.3.6421 hpa150 Holyoke Pediatric Associates Annette Beaupre masked Annette Beaupre 150 Lower Westfield Road Holyoke, MA 01040 413-313-0251 masked IT Analyst/Project Coordinator Holyoke Pediatric Associates 150 Lower Westfield Road Holyoke, MA 01040 413-536-2393 beauprea@holypeds.com Provider Int 3 Complete 2015/10/30 12:00:00 2015/10/31 12:00:00 2015/10/31 04:16:49 UV 2.16.840.1.113883.3.6422 enabledoc EnableDoc LLC Steve Rothschild masked Steve Rothschild 932 Dead Run Drive, McLean, VA 22101 5405880016 masked CEO EnableDoc LLC 932 Dead Run Drive, VA 22101 8775400933 support@enabledoc.com http://www.enabledoc.com Vendor Int 3 Complete 2015/11/02 12:00:00 2015/11/09 12:00:00 2025/01/28 03:51:56 UV 2.16.840.1.113883.3.6423 awny AgeWell New York Justin Walter masked Justin Walter (718) 484-5048 masked AgeWell New York 1991 Marcus Ave M201, Lake Success, NY 11042 (866) 586-8044 jwalter@agewellnewyork.com http://www.agewellnewyork.com/ Payor Int 3 Complete 2015/11/02 12:00:00 2015/11/09 12:00:00 2015/11/09 04:06:19 UV 2.16.840.1.113883.3.6424 dermSurgeryCVA Dermatologic Surgery of Central Virginia OID John Hendrix masked Brandy Martin 902 East Jefferson St, Suite 201 Charlottesville, VA 22902 434-979-7700 masked Practice Manager Dermatologic Surgery of Central Virginia 902 East Jefferson St, Suite 201 Charlottesville, VA 22902 434-979-7700 brandydscv@gmail.com https://www.dermsurgcv.com Provider Int 3 Complete 2015/11/03 12:00:00 2015/11/03 12:00:00 2015/11/03 09:29:00 UV 2.16.840.1.113883.3.6425 nmhs North Mississippi Health Services James Boyle masked James Boyle 812 Varsity Drive Tupelo, MS 38801 662-377-2613 masked Supervisor of Development & Integration, BSO North Mississippi Health Services 830 South Gloster Street Tupelo, MS 38801 662-377-3658 jboyle@nmhs.net http://www.nmhs.net/ Provider Int 3 Complete 2015/11/03 12:00:00 2015/11/09 12:00:00 2015/11/09 04:22:03 UV 2.16.840.1.113883.3.6426 nelsonvega nelsonvega Nelson Vega masked Iraida B-Vega, ARNP-BC 3837 SW 99 Ave Miami, Fl 33165 305-552-1717 masked Nurse Practitioner / Office Manager Nelson Vega MD 3837 SW 99 Ave Miami, Fl 33165 305-552-1717 irnvega@bellsouth.net Provider Int 3 Complete 2015/11/03 12:00:00 2015/11/09 12:00:00 2015/11/09 04:26:31 UV 2.16.840.1.113883.9.204 sfhc Salud Family Health Centers Mike Homiack masked Mike Homiack 203 S. Rollie Ave Ft. Lupton, CO 80621 7203229492 masked Clinical Applications Administrator Salud Family Health Centers 203 S Rollie Ave Ft. Lupton, CO 80621 3038926401 mhomiack@saludclinic.org http://www.saludclinic.org Provider Int 3 Complete 2015/11/03 12:00:00 2015/11/09 12:00:00 2015/11/09 05:02:02 UV 2.16.840.1.113883.3.3991.1053 thompson-fp Thompson Family Practice Brian Upton masked Brian W Upton 4440 S Hagadorn East Lansing, MI 48864 5173327063 masked Interface Programmer Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 5173641000 itinterfaceanalysts@sparrow.org http://www.sparrow.org/ Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1053 2015/11/04 12:00:00 2015/11/09 12:00:00 2015/11/09 05:05:45 UV 2.16.840.1.113883.3.3991.1054 whole-being-therapy Whole Being Therapy Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 5173327063 masked Interface Programmer Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 5173641000 itinterfaceanalysts@sparrow.org http://www.sparrow.org/ Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1054 2015/11/04 12:00:00 2015/11/09 12:00:00 2015/11/09 05:09:46 UV 2.16.840.1.113883.3.3991.1055 care-free-clinic Care Free Clinic Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 5173327063 masked Interface Programmer Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 5173641000 itinterfaceanalysts@sparrow.org http://www.sparrow.org/ Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1055 2015/11/04 12:00:00 2015/11/09 12:00:00 2015/11/09 05:12:51 UV 2.16.840.1.113883.3.3991.7 shs-provider SHS Provider Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 5173327063 masked Interface Programmer Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 5173641000 itinterfaceanalysts@sparrow.org http://www.sparrow.org/ Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.7 2015/11/04 12:00:00 2015/11/09 12:00:00 2015/11/09 05:24:49 UV 2.16.840.1.113883.3.3991.1056 family-care-eaton-rapids Family Care Center Eaton Rapids Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 5173327063 masked Interface Programmer Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 5173641000 itinterfaceanalysts@sparrow.org http://www.sparrow.org/ Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1056 2015/11/04 12:00:00 2015/11/09 12:00:00 2015/11/09 05:25:56 UV 2.16.840.1.113883.3.3991.1057 cancer-center-infusion Sparrow Regional Cancer Center Infusion Center Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 5173327063 masked Interface Programmer Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 5173641000 itinterfaceanalysts@sparrow.org http://www.sparrow.org/ Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1057 2015/11/04 12:00:00 2015/11/09 12:00:00 2015/11/09 05:27:40 UV 2.16.840.1.113883.3.3991.1058 smg-med-surg-clinton SMG Med Surg Clinton Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 5173327063 masked Interface Programmer Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 5173641000 itinterfaceanalysts@sparrow.org http://www.sparrow.org/ Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1058 2015/11/04 12:00:00 2015/11/09 12:00:00 2015/11/09 05:28:42 UV 2.16.840.1.113883.3.3991.1059 smg-saranac SMG Saranac Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 5173327063 masked Interface Programmer Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 5173641000 itinterfaceanalysts@sparrow.org http://www.sparrow.org/ Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1059 2015/11/04 12:00:00 2015/11/09 12:00:00 2015/11/09 05:30:33 UV 2.16.840.1.113883.3.6427 agne Agnesian HealthCare Jennifer Jirochvong masked Jennifer Jirochvong 30 South Main St Fond du Lac, WI 54935 9209268829 masked IT Applications Supervisor Agnesian HealthCare 430 E Division St Fond du Lac, WI 54935 8009223400 jirochvongj@agnesian.com http://www.agnesian.com Provider Int 3 Complete 2015/11/05 12:00:00 2015/11/09 12:00:00 2015/11/09 05:38:58 UV 2.16.840.1.113883.3.6428 syhcOID SYHC ROOT OID Lito Dominguez masked Lito Dominguez 1275 30th St San Diego, CA 92184 6196624100x3420 masked DBA San Ysidro Health Center 1275 30th St San Diego, CA 92184 619 662 4100 lito.dominguez@syhc.org http://www.syhc.org/ Provider Int 3 Complete 2015/11/06 12:00:00 2015/11/09 12:00:00 2015/11/09 05:44:39 UV 2.16.840.1.113883.3.6429 toc The Oregon Clinic Tim Fitzgerald masked Tim Fitzgerald 847 NE 19th Ave Suite 300 Portland, OR 97232 5039632916 masked Director of IT The Oregon Clinic 847 NE 19th Ave Suite 300 Portland, OR 97232 5039632801 info@orclinic.com http://www.oregonclinic.com/ Provider Int 3 Complete 2015/11/06 12:00:00 2015/11/09 12:00:00 2015/11/09 05:53:12 UV 2.16.840.1.113883.3.6430 relc-1-5 Mid Michigan Ophthalmology Felipe Zavala masked Felipe Zavala 5173932020 masked IT Great Lakes Health Connect 695 Kenmoor SE, Suite B Grand Rapids, MI 49546 8444542443 mporter@gl-hc.org http://gl-hc.org/ Vendor Int 3 Complete 2015/11/09 12:00:00 2015/11/09 12:00:00 2015/11/09 05:59:22 UV 2.16.840.1.113883.3.6431 ac AmeriHealth Caritas Arshad Hussain masked Arshad Hussain 2 International Plaza Philadelphia PA 19113 2158635557 masked Manager e business AmeriHealth Caritas VIP Care Plus 215-863-6671 JMiller@amerihealthcaritas.com https://www.amerihealthcaritasvipcareplus.com/ Payor Int 3 Complete 2015/11/10 12:00:00 2015/11/11 12:00:00 2015/11/11 04:02:16 UV 2.16.840.1.113883.3.6432 imi Insightful Medical Informatics, Inc. David Channin masked David. S. Channin MD Insightful Medical Informatics, Inc. 923 Jones Road Vestal, NY 13850 15704319729 masked President Insightful Medical Informatics, Inc. 923 Jones Road Vestal, NY 13850 19292669473 info@insightfulinformatics.com https://www.insightfulinformatics.com Vendor Int 3 Complete 2015/11/10 12:00:00 2015/11/11 12:00:00 2015/11/11 04:05:18 UV 2.16.840.1.113883.3.3880.2000 sinai-hospital-baltimore Sinai Hospital of Baltimore Paul Winner masked Al Broomfield 2401 W. Belvedere Ave. Baltimore, MD 21215 410-601-6091 masked IT Manager Sinai Hospital 2401 W. Belvedere Ave. Baltimore, MD 21215 410-601-6091 Abroomfi@lifebridgehealth.org http://www.lifebridgehealth.org Provider 2.16.840.1.113883.3.3880 Ext 17 Complete 2.16.840.1.113883.3.3880.2000 2015/11/11 12:00:00 2015/11/11 12:00:00 2015/11/11 03:53:13 UV 2.16.840.1.113883.3.6433 ambsw Ambassador Software Works Clayton Daley masked Clayton Daley 855.349.4224 x400 masked Ambassador Software Works 1275 Kinnear Rd #900 Columbus, OH 43212 855.349.4224 info@ambsw.com https://www.ambsw.com Vendor Int 3 Complete 2015/11/12 12:00:00 2015/11/24 12:00:00 2015/11/24 06:04:03 UV 2.16.840.1.113883.3.6434 sjcneurobville SJC Neuroscience Institute - Bartlesville Kelli Johnson masked Kelli Johnson 1923 S Utica Tulsa, OK 74104 918-748-1305 masked Data Analyst SJC Neuroscience Institute - Bartlesville 224 SE DeBell Bartlesville, OK 74006 (918) 748-7854 ahisha.peters@sjmc.org Provider Int 3 Complete 2015/11/13 12:00:00 2015/11/24 12:00:00 2015/11/24 06:05:51 UV 2.16.840.1.113883.3.6435 aIIMPA Associates in Internal Medicine OID Root Goar de Lamerens masked Goar Delamerens 3700 US Highway 1 South St. Augustine, Florida 32086 904-794-2464 masked Owner Associates in Internal Medicine 3700 US Highway 1 South St. Augustine, Florida 32086 904-794-2464 gdelamerens@aiimpa.com https://www.aiimpa.com Provider Int 3 Complete 2015/11/13 12:00:00 2015/11/24 12:00:00 2015/11/24 06:07:23 UV 2.16.840.1.113883.4.642.1.222 observationCategory Observation Category William Ted Klein masked Rob Hausam Grahame Grieve +1 734-677-7777 masked FHIR Chief HL7 International FHIR WG 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@HL7.org http://www.hl7.org HL7 body 2.16.840.1.113883 Ext 6 Complete 2.16.840.1.113883.4.642.1.222 2015/11/13 12:00:00 2015/11/24 12:00:00 2015/11/24 06:12:46 UV 2.16.840.1.113883.3.2402.400.100.12 pcc-internal-environment-systems-bopeep6 Physician's Computer Company (PCC) Internal Environment Systems bopeep6 Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.400.100.12 2015/11/16 12:00:00 2015/11/24 12:00:00 2015/11/24 06:20:04 UV 2.16.840.1.113883.3.2402.400.100.13 pcc-internal-environment-systems-bopeep7 Physician's Computer Company (PCC) Internal Environment Systems bopeep7 Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.400.100.13 2015/11/16 12:00:00 2015/11/24 12:00:00 2015/11/24 06:19:37 UV 2.16.840.1.113883.3.6436 lbbPNSManson UMC Physician Network Services -Paul Manson MD Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock, TX 79407 806-761-0322 masked Director Paul Manson MD 3502 9th Street Suite 270 Lubbock, TX 79407 806-761-0535 yvette.hinojosa@umchealthsystem.com https://www.umchealthsystem.com Govt body Int 3 Complete 2015/11/16 12:00:00 2015/11/24 12:00:00 2015/11/24 06:25:51 UV 2.16.840.1.113883.17.4113 hc1operations hc1operations Thomas Cooper masked Thomas Cooper hc1.com 6100 Technology Center Dr, Indianapolis, IN 46278 3172194646 masked Chief Information Security Officer hc1.com hc1.com 6100 Technology Center Dr, Indianapolis, IN 46278 3172194646 operations@hc1.com https://hc1.com Vendor Int 17 Complete 2015/11/16 12:00:00 2015/11/24 12:00:00 2015/11/24 06:23:10 UV 2.16.840.1.113883.3.6437 api Diversus Health, Inc. Mark Vogtner masked IT Development Manager 675 SouthPointe Ct., Suite 201 Colorado Springs, CO 80906 719-572-6100 masked Manager, App Development Diversus Health, Inc. 675 SouthPointe Ct., Suite 201 Colorado Springs, CO 80906 719-572-6100 ApplicationDevStaff@DiversusHealth.org http://www.DiversusHealth.org/ Provider Int 3 Complete 2015/11/18 12:00:00 2015/11/24 12:00:00 2021/08/30 02:06:42 UV 2.16.840.1.113883.3.6438 sngc Southeast Nassau Guidance Center Julie Oliva masked Julie Oliva 516-221-3030 x115 masked CLINIC ADMINISTRATOR Southeast Nassau Guidance Center 2146 Jackson Avenue Seaford, New York 11783 516-221-3030 JOLIVA@SNGCOUNSSELING.ORG HL7 body Int 3 Complete 2015/11/18 12:00:00 2015/11/24 12:00:00 2015/11/24 06:36:55 UV 2.16.840.1.113883.3.6439 fpcFM-1245 family Practice Clinic of Dothan-First Med1245 Robin Bell masked Robin Bell 1245 Westgate Pkwy Dothan, AL 36303 3347939595 masked CDA Family Practice Clinic of Dothan, PA 1245 Westgate Parkway Dothan, AL 36303 3347939595 rcreel@fpcfm.com Provider Int 3 Complete 2015/11/18 12:00:00 2015/11/24 12:00:00 2015/11/24 06:39:39 UV 2.16.840.1.113883.3.6437.2 unicarePatientID Unicare Patient ID Mark Vogtner masked Application Development Team 675 SouthPointe Ct., Suite 201 Colorado Springs, CO 80906 719-572-6100 masked Diversus Health, Inc. Diversus Health, Inc. 675 SouthPointe Ct., Suite 201 Colorado Springs, CO 80906 719-572-6100 ApplicationDevStaff@diversushealth.org http://www.DiversusHealth.org/ Payor 2.16.840.1.113883.3.6437 Ext 14 Complete 2.16.840.1.113883.3.6437.2 2015/11/18 12:00:00 2015/11/24 12:00:00 2021/08/30 02:04:04 UV 2.16.840.1.113883.3.6440 bnb Seth Bernstein, OD & Lisa Benham, OD, Inc. Lisa Benham masked Lisa Benham 9517362020 masked Seth Bernstein, OD & Lisa Benham, OD, Inc. 2791 Green River Rd., #106 Corona, CA 92882 9517362020 sblbeyes@gmail.com Provider Int 3 Complete 2015/11/18 12:00:00 2015/11/24 12:00:00 2015/11/24 07:10:33 UV 2.16.840.1.113883.3.6441 philiphealthservices Philip Health Services Heidi Tennyson masked Heidi Tennyson 503 W. Pine Street Philip, SD 57567 605-859-2511 masked IT Coordinator Philip Health Services 503 W. Pine Street Philip, SD 57567 605-859-2511 htennyson2@regionalhealth.com http://www.philiphealthservices.com/ Provider Int 3 Complete 2015/11/18 12:00:00 2015/11/24 12:00:00 2015/11/24 07:16:55 UV 2.16.840.1.113883.3.6442 cCOVA-AIDA Root OID for ConnectVirginia Eric Reines masked Hang Twiss 6300 Stevenson Ave D Alexandria, VA 22304 7032128750 masked Office Manager Eric Reines MD 6300 Stevenson Ave D Alexandria, VA 22304 7032128750 aida8750@verizon.net Provider Int 3 Complete 2015/11/19 12:00:00 2015/11/24 12:00:00 2015/11/24 07:18:24 UV 2.16.840.1.113883.3.6443 avc American Vision Center Lonnie Williams masked Lonnie Williams 9617 S Western Chicago, IL 60643 7084254350 masked Manager American Vision Center 9617 S Western Chicago, IL 60643 708-425-4350 Lon11@att.net Provider Int 3 Complete 2015/11/19 12:00:00 2015/11/24 12:00:00 2015/11/24 07:20:17 UV 2.16.840.1.113883.3.137.4.903.37.43 thmhpphn Trinity Health Mercy Health Physician Partners Holland North David Lenz masked David R Lenz 20555 Victor Parkway Livonia, MI 48152 7343430654 masked IT Application Manager Trinity Health 20555 Victor Parkway Livonia, MI 48152 7343430654 david.lenz@trinity-health.org Provider 2.16.840.1.113883.3.137 Ext 4 Complete 2.16.840.1.113883.3.137.4.903.37.43 2015/11/20 12:00:00 2015/11/24 12:00:00 2015/11/24 07:07:48 UV 2.16.840.1.113883.4.863 ca-RMTSM Remedial Massage Therapists Society of Manitoba Inc. Wilson Venancio masked Wilson Venancio 5090 Explorer Drive Suite 1000 L4W 4X6 Mississauga ON 6477889477 masked Operational Planning & Process Manager Remedial Massage Therapists Society of Manitoba Inc. Rivergrove PO Box 50033 Winnipeg, MB, R2V 1M5 2043967795 info@rmtsmb.com https://www.rmtsmb.com Prof Soc Int 4 Complete 2015/11/20 12:00:00 2015/11/24 12:00:00 2015/11/24 07:21:43 UV 2.16.840.1.113883.3.6444 tachc tachchccn Mell Rosandich masked Todd Radloff Mell Rosandich 5900 Southwest Parkway Building 3 Austin, TX 78735 (512) 329-5959 masked Sr. Software Engineer and Project Manager Texas Association of Community Health Centers 5900 Southwest Parkway Building 3 Austin, TX 78735 (512) 329-5959 projects@tachc.org https://www.tachc.org Prof Soc Int 3 Complete 2015/11/24 12:00:00 2015/11/24 12:00:00 2015/11/24 03:46:53 UV 2.16.840.1.113883.3.6445 internalmedecinehealth Dr Aldarsani's Office OID Root Hussain Al darsani masked Hussain aldarsani 13193 Central Ave Suite #110 Chino, CA 91710 9092870440 masked CEO Hussain Al-Darsani Inc 13193 Central Ave # 110 Chino, CA 91710 9092870440 daisywork08@hotmail.com Provider Int 3 Complete 2015/11/24 12:00:00 2015/11/24 12:00:00 2015/11/24 05:35:19 UV 2.16.840.1.113883.3.6446 ringgoldcountyhospital Ringgold County Hospital Carrie Main masked Carrie Main 504 N Cleveland St Mt. ayr, Iowa 50854 641-464-3226 masked Director of Health Information Systems Ringgold County Hospital 504 N Cleveland St Mt. Ayr Iowa 50854 641-464-3226 hisaps@rchmtayr.org http://www.rchmtayr.org Provider Int 3 Complete 2015/11/30 12:00:00 2015/11/30 12:00:00 2015/12/01 09:15:18 UV 2.16.840.1.113883.3.6447 dlhcsa The Dennelisse LHCSA Luis Pons masked Ruslan Beltsyk 16 East 40 Street, Floor 12 New York, NY 10016 2122658320 masked CIO The Dennelisse LHCSA 16 East 40 Street, Floor 12 New York, NY 10016 2122658320 it@dlhcsa.org Provider Int 3 Complete 2015/11/30 12:00:00 2015/11/30 12:00:00 2015/12/01 09:17:36 UV 2.16.840.1.113883.3.6448 pointclickcare PointClickCare Root OID Alan Fong masked leeann.ruf@pointclickcare.com Alan Fong 5570 Explorer Drive Mississauga, ON L4W 0C4 905-858-8885 masked PointClickCare 5570 Explorer Drive Mississauga, ON L4W 0C4 905-858-8885 alan.f@pointclickcare.com https://www.pointclickcare.com Vendor Int 3 Complete 2015/11/30 12:00:00 2015/11/30 12:00:00 2015/12/01 09:21:00 UV 2.16.840.1.113883.3.6449 chccc Community Health Centers of the Central Coast Jeff Castle masked Jeff Castle 2050 South Blosser Rd, Santa Maria, CA, 93458 805-931-2503 masked IT Director Community Health Centers of the Central Coast 2050 South Blosser Rd, Santa Maria, CA 93458 jcastle@chccc.org http://www.communityhealthcenters.org/ Provider Int 3 Complete 2015/11/30 12:00:00 2015/11/30 12:00:00 2015/12/01 09:24:43 UV 2.16.840.1.113883.3.6450 rocklandOID Rockland Thoracic & Vascular Associates, PC RITA PADILLA masked RITA PADILLA 5A MEDICAL PARK DRIVE POMONA, NY 10970 845-362-1081 masked ASST CREDENTIALING MANAGER ROCKLAND THORACIC & VASCULAR ASSOCIATES PC 5A MEDICAL PARK DRIVE POMONA, NY 10970 845-362-0075 RITA.PADILLA@ROCKLANDTHORACICANDVASCULAR.COM http://www.rocklandthoracicandvascular.com/ Provider Int 3 Complete 2015/12/01 12:00:00 2015/12/08 12:00:00 2015/12/08 04:38:02 UV 2.16.840.1.113883.3.6451 hpsh Heritage Park Surgical Hospital Melba Turbyfill masked Melba Turbyfill 3601 N Calais Street Sherman Texas 75090 903-870-0757 masked EHR Clinical Analyst Heritage Park Surgical Hospital 3601 N Calais Street Sherman Texas 75090 903-870-0999 ksikes@uspi.com Provider Int 3 Complete 2015/12/01 12:00:00 2015/12/08 12:00:00 2015/12/08 04:40:07 UV 2.16.840.1.113883.3.3880.1000 lbh-CMRN LifeBridge Health CMRN Paul Winner masked Paul Winner 2401 W. Belvedere Ave Baltimore, MD 21215 410-601-6091 masked Senior Systems Analyst LifeBridge Health of Baltimore 2401 W. Belvedere Ave Baltimore, MD 21215 410-601-6091 Abroomfi@lifebridgehealth.org http://www.lifebridgehealth.org/Main/Home.aspx Provider 2.16.840.1.113883.3.3880 Ext 17 Complete 2.16.840.1.113883.3.3880.1000 2015/12/01 12:00:00 2015/12/08 12:00:00 2015/12/08 04:31:59 UV 2.16.840.1.113883.3.6452 imat-root IMAT Solutions Root OID Lynn Bendixsen masked Lynn Bendixsen 565 East Technology Ave Building C Suite 3300 Orem, Utah 84097 8014371100 masked Technical Services Manager IMAT Solutions 565 East Technology Ave Building C Suite 3300 Orem, Utah 84097 8014371100 admin@imatsolutions.com Vendor Int 3 Complete 2015/12/01 12:00:00 2015/12/08 12:00:00 2015/12/08 04:45:02 UV 2.16.840.1.113883.3.6453 floridaneurology Florida Neurology OID Root Melanie McConnon masked Melanie McConnon 755 Stirling Center Place Lake Mary, FL 32746-5714 407-333-1718 masked Office Manager Florida Neurology 755 Stirling Center Place Lake Mary, FL 32746-5714 407-333-1718 melanie-fln@cfl.rr.com Provider Int 3 Complete 2015/12/02 12:00:00 2015/12/08 12:00:00 2015/12/08 04:47:38 UV 2.16.840.1.113883.3.6454 fms Freedom Medical Systems Arthur Alt masked Arthur Alt 4029785144 masked Custom Computing Corporation info@ccccorp.com http://www.ccccorp.com Vendor Int 3 Complete 2015/12/02 12:00:00 2015/12/08 12:00:00 2015/12/08 04:51:27 UV 2.16.840.1.113883.3.6455 rehabassociates Rehabilitation Associates of Mid Michigan Blake Bergeon masked Dr.John Szajenko Katherine Niswonger 555 W. Wackerly Suite 3825 Midland, MI 48640 989-631-9267 masked Medical Assistant Rehabilitation Associates of Mid Michigan 555 West Wackerly Suite 3825 Midland, MI 48640 989631-9267 rammpaperwork@gmail.com http://www.rammonline.com/ Provider Int 3 Complete 2015/12/02 12:00:00 2015/12/08 12:00:00 2015/12/08 05:04:57 UV 2.16.840.1.113883.3.6456 cureatr Cureatr Inc. OID Root Alex Khomenko masked Alex Khomenko 285 W Broadway Suite 200 New York, NY 10013 (212) 203-3927 masked CTO Cureatr Inc. 285 W Broadway Suite 200 New York, NY 10013 (212) 203-3927 ops@cureatr.com https://cureatr.com/ Vendor Int 3 Complete 2015/12/02 12:00:00 2015/12/08 12:00:00 2015/12/08 05:06:26 UV 2.16.840.1.113883.3.6457 pioneerhealthservice Pioneer Health Service April Walker masked Sandra Cain 110 Pioneer Way Magee, MS 39111 601-668-0965 masked IS Director Pioneer Health Service 110 Pioneer Way Magee, MS 39111 601-668-0965 SandraCain@phscorporate.com Prof Soc Int 3 Complete 2015/12/03 12:00:00 2015/12/08 12:00:00 2015/12/08 05:09:53 UV 2.16.840.1.113883.3.6458 eafp9790 East Alabama Family Practice Keith Duller masked Rachel Stamps 2214 Gateway Drive Suite C Opelika, Alabama 36801 334-741-9790 masked Office Manager/Clinical Manager Cerner 1-816-221-1024 cernerambulatorycommunications@cerner.com Vendor Int 3 Complete 2015/12/03 12:00:00 2015/12/08 12:00:00 2015/12/08 05:15:32 UV 2.16.840.1.113883.3.6459 apc-Footankledoc-512 Arlington Podiatry Center Edward Pozarny masked Libertyscales 7038201472 masked Manager Arlington Podiatry Center 611 S Carlin Springs Rd 512 Arlington, Virginia 22204 7038201472 Pozarny@gmail.com Provider Int 3 Complete 2015/12/03 12:00:00 2015/12/08 12:00:00 2015/12/08 05:20:19 UV 2.16.840.1.113883.3.6460 empowerSystems EmpowerSystems Roger Cheng masked Roger Cheng 2000 Spring Road, Suite 200 Oak Brook, IL 60523 8773623237 masked Developer EmpowerSystems 2000 Spring Road, Suite 200 Oak Brook, IL 60523 8773623237 contact@empower.md http://www.empower.md Vendor Int 3 Complete 2015/12/03 12:00:00 2015/12/08 12:00:00 2015/12/08 05:22:46 UV 2.16.840.1.113883.3.6461 campbelltonGracevilleHospital Campbellton-Graceville Hospital Roger Cheng masked Peggy Moore 5429 College Drive Graceville, Florida 32440 850-263-4431 Ext 2080 masked VP of Nursing and Operations Campbellton-Graceville Hospital 5429 College Drive Graceville, Florida 32440 850-263-4431 Peggy.Moore@c-ghospital.org http://www.c-ghospital.com Provider Int 3 Complete 2015/12/03 12:00:00 2015/12/08 12:00:00 2015/12/08 05:26:24 UV 2.16.840.1.113883.3.6462 hudson-valley Hudson Valley Thoracic & Vascular OID Root Rita Padilla masked Rita Padilla 5A Medical Park Drive Pomona, NY 10970 845-362-1081 masked Assistant Credentialing Manager Hudson Valley Thoracic & Vascular Associates, PC 70 Hatfield Lane, Suite 202 Goshen, NY 10924 845-291-3656 rita.padilla@rocklandthoracicandvascular.com http://rocklandthoracicandvascular.com/ Provider Int 3 Complete 2015/12/04 12:00:00 2015/12/08 12:00:00 2015/12/08 05:27:57 UV 2.16.840.1.113883.3.6463 signaturehealthcarecorp Signature Healthcare Corporation William Hausen masked William Hausen C/O IT DEPT 680 Centre Street Brockton, MA 02302 5088940419 masked Meaningful Use Specialist Signature Healthcare C/O IT DEPT 680 Centre Street Brockton, MA 02302 508-941-7000 whausen@signature-healthcare.org http://www.signature-healthcare.org Provider Int 3 Complete 2015/12/04 12:00:00 2015/12/08 12:00:00 2015/12/08 05:31:19 UV 2.16.840.1.113883.3.3880.1001 lbh-Sinai-Hosp-MRN LifeBridge Health Sinai MRN pool Paul Winner masked Paul Winner LifeBridge Health 2401 W. Belvedere Ave. Baltimore, MD 21215 410-601-6212 masked LifeBridge Health 2401 W. Belvedere Ave. Baltimore, MD 21215 410-601-6091 Abroomfi@lifebridgehealth.org http://www.lifebridgehealth.org/Main/Home.aspx Provider 2.16.840.1.113883.3.3880 Ext 17 Complete 2.16.840.1.113883.3.3880.1001 2015/12/07 12:00:00 2015/12/10 12:00:00 2015/12/10 03:40:44 UV 2.16.840.1.113883.3.3880.1002 lbh-NorthWest-Hosp-MRN LifeBridge Health NorthWest MRN pool Paul Winner masked Paul Winner LifeBridge Health 2401 W. Belvedere Ave. Baltimore, MD 21215 410-601-6212 masked LifeBridge Health 2401 W. Belvedere Ave. Baltimore, MD 21215 410-601-6091 Abroomfi@lifebridgehealth.org http://www.lifebridgehealth.org/Main/Home.aspx Provider 2.16.840.1.113883.3.3880 Ext 17 Complete 2.16.840.1.113883.3.3880.1002 2015/12/07 12:00:00 2015/12/10 12:00:00 2015/12/10 04:01:52 UV 2.16.840.1.113883.3.3880.1003 lbh-HCS-hosp-mrn LifeBridge Health HCS MRN pool Paul Winner masked Paul Winner LifeBridge Health 2401 W. Belvedere Ave. Baltimore, MD 21215 410-601-6212 masked LifeBridge Health 2401 W. Belvedere Ave. Baltimore, MD 21215 410-601-6091 Abroomfi@lifebridgehealth.org http://www.lifebridgehealth.org/Main/Home.aspx Provider 2.16.840.1.113883.3.3880 Ext 17 Complete 2.16.840.1.113883.3.3880.1003 2015/12/07 12:00:00 2015/12/10 12:00:00 2015/12/10 03:51:39 UV 2.16.840.1.113883.3.3880.2001 lbh-Northwest-Hospital LifeBridge Health NorthWest Hospital Paul Winner masked Paul Winner LifeBridge Health 2401 W. Belvedere Ave. Baltimore, MD 21215 410-601-6212 masked LifeBridge Health 2401 W. Belvedere Ave. Baltimore, MD 21215 410-601-6091 Abroomfi@lifebridgehealth.org http://www.lifebridgehealth.org/Main/Home.aspx Provider 2.16.840.1.113883.3.3880 Ext 17 Complete 2.16.840.1.113883.3.3880.2001 2015/12/07 12:00:00 2015/12/10 12:00:00 2015/12/10 10:43:52 UV 2.16.840.1.113883.3.3880.2002 lbh-Levindale-Specialty LifeBridge Health Levindale Specialty Hospital Paul Winner masked Paul Winner LifeBridge Health 2401 W. Belvedere Ave. Baltimore, MD 21215 410-601-6212 masked LifeBridge Health 2401 W. Belvedere Ave. Baltimore, MD 21215 410-601-6091 Abroomfi@lifebridgehealth.org http://www.lifebridgehealth.org/Main/Home.aspx Provider 2.16.840.1.113883.3.3880 Ext 3 Complete 2.16.840.1.113883.3.3880.2002 2015/12/07 12:00:00 2015/12/10 12:00:00 2015/12/10 10:46:15 UV 2.16.840.1.113883.3.3880.2003 lbh-Levindale-Nursing-Home LifeBridge Health Levindale Nursing Home Paul Winner masked Paul Winner LifeBridge Health 2401 W. Belvedere Ave. Baltimore, MD 21215 410-601-6212 masked LifeBridge Health 2401 W. Belvedere Ave. Baltimore, MD 21215 410-601-6091 Abroomfi@lifebridgehealth.org http://www.lifebridgehealth.org/Main/Home.aspx Provider 2.16.840.1.113883.3.3880 Ext 17 Complete 2.16.840.1.113883.3.3880.2003 2015/12/07 12:00:00 2015/12/10 12:00:00 2015/12/10 10:49:08 UV 2.16.840.1.113883.3.6464 internalmedicinephysicianspc Internal Medicine Physicians, PC OID Root DAVID SHARP masked David G. Sharp 17030 Lakeside Hills Plaza Suite 102 Omaha, NE 68130 402-758-5800 masked President Internal Medicine Physicians, PC 17030 Lakeside Hills Plaza Suite 102 Omaha, NE 68130 402-758-5800 marndt@awsmed.com http://www.impomaha.com Provider Int 3 Complete 2015/12/08 12:00:00 2015/12/10 12:00:00 2015/12/10 10:53:00 UV 2.16.840.1.113883.3.6465 bcchie Butler County Clinic HIE Gail Chapek masked Gail Chapek 336 S 9th St David City, NE 68632 402-367-3193 masked Administrator Butler County Clinic PC 336 S 9th St David City, NE 68632 402-367-3193 gchapek@butlercountyclinic.com Provider Int 3 Complete 2015/12/08 12:00:00 2015/12/10 12:00:00 2015/12/10 10:55:40 UV 2.16.840.1.113883.3.6466 lgmdambreed LGMD AMB - Dr. Reed Matthew Duhon masked Matthew Duhon 3372898888 masked Dr. Reed Physician Practice 121 Audubon Dr Lafayette, LA 70503 3372898888 mjduhon@lgh.org Provider Int 3 Complete 2015/12/08 12:00:00 2015/12/10 12:00:00 2015/12/10 11:05:51 UV 2.16.840.1.113883.3.6467 lgmdambheartvasc LGMD AMB - Heart and Vascular Center of Acadiana Matthew Duhon masked Matthew Duhon 3372898888 masked Heart and Vascular Center of Acadiana 121 Audubon Dr Lafayette, LA 70503 mjduhon@lgh.org Provider Int 3 Complete 2015/12/08 12:00:00 2015/12/10 12:00:00 2015/12/10 11:08:40 UV 2.16.840.1.113883.3.6468 lgmdambneuro LGMD AMB - Neuroscience Center of Acadiana Matthew Duhon masked Matthew DUhon 3372898888 masked Neuroscience Center of Acadiana mjduhon@lgh.org Provider Int 3 Complete 2015/12/08 12:00:00 2015/12/10 12:00:00 2015/12/10 11:10:17 UV 2.16.840.1.113883.3.6469 lgmdamborthosouthwest LGMD AMB - Orthopedic Surgery Southwest Matthew Duhon masked Matthew Duhon 3372898888 masked Orthopedic Surgery Southwest Practice mjduhon@lgh.org Provider Int 3 Complete 2015/12/08 12:00:00 2015/12/10 12:00:00 2015/12/10 11:12:48 UV 2.16.840.1.113883.3.6470 lgmdambpulm LGMD AMB &#8211; Pulmonary/Critical Care Matthew Duhon masked Matthew Duhon 3372898888 masked Pulmonary/Critical Care practice mjduhon@lgh.org Provider Int 3 Complete 2015/12/08 12:00:00 2015/12/10 12:00:00 2015/12/10 11:16:44 UV 2.16.840.1.113883.3.6471 lgmcambcvsurgsouthwest LGMD AMB &#8211; CV Surgery Southwest Matthew Duhon masked Matthew Duhon 3372898888 masked CV Surgery Southwest Practice mjduhon@lgh.org Provider Int 3 Complete 2015/12/08 12:00:00 2015/12/10 12:00:00 2015/12/10 11:18:54 UV 2.16.840.1.113883.3.6472 lgmdambsouthsidefamily LGMD AMB &#8211; Southside Family Health Physicians Matthew Duhon masked Matthew Duhon 3372898888 masked Southside Family Health Physicians mjduhon@lgh.org Provider Int 3 Complete 2015/12/08 12:00:00 2015/12/10 12:00:00 2015/12/10 11:21:54 UV 2.16.840.1.113883.3.6473 lgmdambtylerbellelo LGMD AMB &#8211; Tyler Perrin-Bellelo MD Clinic Matthew Duhon masked Matthew Duhon 3372898888 masked Tyler Perrin-Bellelo MD Clinic mjduhon@lgh.org Provider Int 3 Complete 2015/12/08 12:00:00 2015/12/10 12:00:00 2015/12/10 11:28:40 UV 2.16.840.1.113883.3.6474 lgmdambucccarencro LGMD AMB &#8211; UCC Carencro Matthew Duhon masked Matthew Duhon 3372898888 masked UCC Carencro Practice mjduhon@lgh.org Provider Int 3 Complete 2015/12/08 12:00:00 2015/12/10 12:00:00 2015/12/10 11:31:23 UV 2.16.840.1.113883.3.6475 primarycarekaplan Primary Care Clinic Kaplan Matthew Duhon masked Matthew Duhon 3372898888 masked Primary Care Clinic Kaplan mjduhon@lgh.org Provider Int 3 Complete 2015/12/08 12:00:00 2015/12/10 12:00:00 2015/12/10 11:33:09 UV 2.16.840.1.113883.3.6476 wheatlandmemorial Wheatland Memorial Healthcare Gia Holiway masked brad.howell@wheatlandmemorial.org Gia Holiway 530 3rd Street NW PO Box 28 Harlowton, MT 59036 406-632-3144 masked Clinic Director Wheatland Memorial Healthcare 530 3rd Street NW PO Box 28 Harlowton, MT 59036 406-632-4351 gia.holiway@wheatlandmemorial.org http://www.wheatlandmemorial.org Provider Int 3 Complete 2015/12/08 12:00:00 2015/12/10 12:00:00 2015/12/10 11:35:04 UV 2.16.840.1.113883.3.6477 hsvs HeartShare St. Vincent's Services Mathew Smith masked Mathew Smith 66 Boerum Place, 5th Floor Brooklyn, New York 11201 7184222315 masked Senior Vice President HeartShare St. Vincent's Services 66 Boerum Place Brooklyn, New York 11201 7185223700 info@heartshare.org Provider Int 3 Complete 2015/12/09 12:00:00 2015/12/10 12:00:00 2015/12/10 11:37:34 UV 2.16.840.1.113883.17.4114 montefiore-mount-vernon Montefiore Mount Vernon Hospital Rebecca Moshief masked Rebecca Moshief Montefiore IT 3 Odell Plaza Yonkers, NY 10701 914-457-6318 masked Director, Integration Services Montefiore Mount Vernon Hospital Montefiore Mount Vernon Hospital 12 N 7th Ave Mount Vernon, NY 10550 (914) 664-8000 DMOSHIEF@montefiore.org http://www.montefiorehealthsystem.org/landing.cfm?id=17 Provider Int 17 Complete 2015/12/10 12:00:00 2015/12/10 12:00:00 2015/12/10 11:44:03 UV 2.16.840.1.113883.17.4115 montefiore-schaffer Montefiore Schaffer Extended Care Center Rebecca Moshief masked Rebecca Moshief Montefiore IT 3 Odell Plaza Yonkers, NY 10701 914-457-6318 masked Director, Integration Services Montefiore Schaffer Extended Care Center Schaffer Extended Care Center 16 Guion Place New Rochelle, NY 10801 914-632-5000 DMOSHIEF@montefiore.org http://www.montefiorehealthsystem.org/body.cfm?id=66 Provider Int 17 Complete 2015/12/10 12:00:00 2015/12/10 12:00:00 2015/12/10 11:45:26 UV 2.16.840.1.113883.3.6478 wgi-5115 Wilmington Gastroenterology Associates Steve Peterson masked Steve Peterson 5115 Oleander Drive Wilmington, NC 28403 910 362 1011 masked Administrator Wilmington Gastroenterology Associates 5115 Oleander Drive Wilmington, NC 28403 910 362 1011 speterson@wilmingtongi.com Provider Int 3 Complete 2015/12/11 12:00:00 2015/12/16 12:00:00 2015/12/16 06:39:53 UV 2.16.840.1.113883.3.6479 sfsh Sioux Falls Specialty Hospital Fred Mooney masked Fred Mooney 910 E 20th Street Sioux Falls, SD 57105 605-444-8256 masked IT Manager Sioux Falls Specialty Hospital 910 E 20th Street Sioux Falls, SD 57105 605-334-6730 support@sfsh.com https://www.sfsh.com Provider Int 3 Complete 2015/12/11 12:00:00 2015/12/16 12:00:00 2015/12/16 06:41:01 UV 2.16.840.1.113883.3.6480 desertrad Desert Radiology Paul Smith masked Paul Smith 2020 Palomino Lane, Suite 100 Las Vegas, NV 89106 702-859-8600 masked CIO Desert Radiology psmith@desertrad.com http://www.desertrad.com Provider Int 3 Complete 2015/12/11 12:00:00 2015/12/16 12:00:00 2015/12/16 06:44:21 UV 2.16.840.1.113883.13.277 birthDefectDiagnosis Birth Defect Diagnosis Value Set John A. Roberts masked Laura Rappleye Laura Rappleye 3520 Green Court Suite 300 Ann Arbor, MI 48105 517-750-7026 masked Interoperability Project Lead HL7 International Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 615-741-3702 john.a.roberts@tn.gov http://www.hl7.org SDO 2.16.840.1.113883 Int 13 Complete 2015/12/11 12:00:00 2015/12/16 12:00:00 2015/12/16 08:40:37 UV 2.16.840.1.113883.3.6481 michaelesber Michael F Esber DPM PC Judy Sanders masked Judy Sanders 14418 W Meeker Blvd Suite 205 Sun City West, Az 85375 623-546-4930 masked Office Manager Michael F Esber DPM PC 14418 W Meeker Blvd Suite 205 Sun City West, Az 85375 623-546-4930 judyfeet@aol.com Provider Int 3 Complete 2015/12/11 12:00:00 2015/12/16 12:00:00 2015/12/16 06:48:20 UV 2.16.840.1.113883.3.6482 woundvision WoundVision Andy Hoover masked Andy Hoover 5410 Emerson Way Indianapolis, IN 46226 317-775-6080 masked Product Manager WoundVision, LLC 5410 Emerson Way Indianapolis, IN 46226 317-775-6080 support@woundvision.com http://www.woundvision.com Vendor Int 3 Complete 2015/12/11 12:00:00 2015/12/16 12:00:00 2015/12/16 06:49:18 UV 2.16.840.1.113883.3.6483 coa-main Chatham Orthopaedic Rose Konter masked Rose Konter 912-525-1321 masked Technology Coordinator Chatham Orthopaedic Associates 4425 Paulsen Street Savannah, GA 31405 912-355-6615 rkonter@chathamortho.com http://www.chathamortho.com Provider Int 3 Complete 2015/12/11 12:00:00 2015/12/16 12:00:00 2015/12/16 06:52:13 UV 2.16.840.1.113883.3.6484 southdalepeds Southdale Pediatrics OID Root Beverly Krueger masked Beverly Krueger 3955 Parklawn Ave Suite 110 Edina, MN 55435 952-278-6950 masked Administrator Southdale Pediatric Associates,Ltd 3955 Parklawn Ave Suite 110 Edina, MN 55435 952-831-1944 bkrueger@southdalepeds.com Provider Int 3 Complete 2015/12/11 12:00:00 2015/12/16 12:00:00 2015/12/16 06:54:08 UV 2.16.840.1.113883.3.1097.1.1730514 fcrmc FastCare Retail Medicine Clinic Stephen Bean masked Fran Marzouk 5150 Coolidge Highway Royal Oak, MI 48073 586-393-3039 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@Beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730514 2015/12/14 12:00:00 2015/12/16 12:00:00 2015/12/16 07:09:08 UV 2.16.840.1.113883.3.1097.9.92120101 iacco ANTHONY IACCO MD PLC Stephen Bean masked Dr. Anthony Iacco 3535 W 13 Mile Rd Ste 204 Royal Oak, MI 48073 734-657-2409 masked Doctor Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.92120101 2015/12/14 12:00:00 2015/12/16 12:00:00 2015/12/16 07:11:14 UV 2.16.840.1.113883.3.1097.1.1730090 imoswb Integrative Medicine WB Stephen Bean masked Candace Tarwokski 6900 Orchard Lake Rd West Bloomfield, MI 48322 248-964-0181 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.1.1730090 2015/12/14 12:00:00 2015/12/16 12:00:00 2015/12/16 07:13:02 UV 2.16.840.1.113883.3.1097.9.92080101 roped Royal Oak Pediatrics Stephen Bean masked Shirlene 26657 Woodward Suite 200 Huntington Woods, MI 48070 248-398-8400 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, Michigan 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.92080101 2015/12/14 12:00:00 2015/12/16 12:00:00 2015/12/16 07:14:45 UV 2.16.840.1.113883.3.1097.9.92110101 jlcmd JOHN L ZINKEL MD PC Stephen Bean masked Michelle OM 21605 11 Mile Rd St. Clair Shores, MI 48081 586-774-4600 masked Office Manager Beaumont Health System 3601 W. Thirteen Mile Road Royal Oak, MI 48073 248-898-5000 OID_Id_Registry@beaumont.edu http://www.beaumont.edu/ Provider 2.16.840.1.113883.3.1097 Ext 17 Complete 2.16.840.1.113883.3.1097.9.92110101 2015/12/14 12:00:00 2015/12/16 12:00:00 2015/12/16 07:23:44 UV 2.16.840.1.113883.3.2402.200.6854 physicians-computer-company-clients-bcp Physician's Computer Company (PCC) Clients Bay Children's Physicians Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6854 2015/12/14 12:00:00 2015/12/16 12:00:00 2015/12/16 07:26:25 UV 2.16.840.1.113883.3.6485 lhs-RootOID Legacy Health Services Root OID Amy Bowes masked Amy Bowes 12380 Plaza Drive, Parma, Ohio 44130 440-477-7027 masked Clinical Software Nurse Legacy Health Services 12380 Plaza Drive, Parma, Ohio 44130 216-898-8399 PCCsupport@lhshealth.com Provider Int 3 Complete 2015/12/14 12:00:00 2015/12/16 12:00:00 2015/12/16 07:42:38 UV 2.16.840.1.113883.3.2402.200.6873 physicans-computer-company-clients-advanced Physician's Computer Company (PCC) Clients Advanced Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6873 2015/12/14 12:00:00 2015/12/16 12:00:00 2015/12/16 07:56:07 UV 2.16.840.1.113883.3.2402.200.6799 physicans-computer-company-clients-hudson Physician's Computer Company (PCC) Clients Pediatrics on Hudson Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6799 2015/12/14 12:00:00 2015/12/16 12:00:00 2015/12/16 08:00:52 UV 2.16.840.1.113883.3.6486 mgh-1-a-Z Morton General Hospital (Lewis County Hospital District no. 1) Roy Anderson masked Roy Anderson ATTN Roy Anderson Morton General Hospital 521 Adams Ave Morton, WA 98356 1-360-496-3585 masked Informatics Director Morton General Hospital ATTN Informatics Director 521 Adams Ave Morton, Washington 98356 1-360-496-5112 randerson@mortongeneral.org http://www.mortongeneral.org Provider Int 3 Complete 2015/12/14 12:00:00 2015/12/16 12:00:00 2015/12/16 07:45:56 UV 2.16.840.1.113883.3.2402.200.418 physicans-computer-company-clients-wppc Physician's Computer Company (PCC) Clients Westside Pediatrics, P. C. Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.418 2015/12/14 12:00:00 2015/12/16 12:00:00 2015/12/16 08:02:57 UV 2.16.840.1.113883.3.2402.300.13 physicians-computer-company-vendors-bcho Physician's Computer Company (PCC) Vendors Benioff Children's Hospital Oakland Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.300.13 2015/12/14 12:00:00 2015/12/16 12:00:00 2015/12/16 08:04:56 UV 2.16.840.1.113883.3.2402.300.14 physicians-computer-company-vendors-enzo Physician's Computer Company (PCC) Vendors Enzo Clinical Labs Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.300.14 2015/12/14 12:00:00 2015/12/16 12:00:00 2015/12/16 08:06:15 UV 2.16.840.1.113883.4.864 qpid-root QPID Health Root Gary Zakon masked Cynthia Yamaga 175 Federal St. Suite 1300 Boston, MA 02110 617-982-5458 masked Director of Product Commercialization QPID Health 175 Federal St. Suite 1300 Boston, MA 02110 (617) 982-5400 info@qpidhealth.com http://www.qpidhealth.com Vendor Int 3 Complete 2015/12/15 12:00:00 2015/12/16 12:00:00 2015/12/16 08:10:22 UV 2.16.840.1.113883.3.6487 eGCS Georgia Cancer Specialists, I.P.C. Fred Englert masked Fred Englert Georgia Cancer Specialists, I.P.C. 1835 Savoy Drive Suite 300 Atlanta, GA 30341 (770) 403-1792 masked Senior Software Engineer Georgia Cancer Specialists, I.P.C. 1835 Savoy Drive Suite 300 Atlanta, GA 30341 (770) 496-9400 fred.englert@gacancer.com Provider Int 3 Complete 2015/12/15 12:00:00 2015/12/16 12:00:00 2015/12/16 08:15:19 UV 2.16.840.1.113883.9.205 sean-ODonnell-MD Sean ODonnell MD Sean ODonnell masked Cathy ODonnell 629 N Nevada,110 Colorado Springs, CO 80903 719-473-6171 masked Sean ODonnell MD 629 N Nevada,110 Colorado Springs, CO 80903 719-473-6171 sod0007@yahoo.com Provider Int 3 Complete 2015/12/16 12:00:00 2015/12/16 12:00:00 2015/12/16 08:30:02 UV 2.16.840.1.113883.9.206 cvcc Castle Valley Children's Clinic Jo Ellyn Bradley masked Jo Ellyn Bradley 820 Castle Valley Blvd Ste 204 New Castle, CO 81647 970-984-3333 masked Practice manager Castle Valley Children's Clinic 820 Castle Valley Blvd Ste 204 New Castle, CO 81647 970-984-3333 jocvcc@gmail.com Provider Int 3 Complete 2015/12/16 12:00:00 2015/12/16 12:00:00 2015/12/16 08:32:20 UV 2.16.840.1.113883.3.6488 sjin SJC PC Independence Kelli Johnson masked Kelli Johnson 1923 S Utica Tulsa, OK 74104 918-748-1305 masked Data Analyst SJC PC Independence 800 W Laurel St Independence, KS 67301 620-332-3280 ahisha.peters@sjmc.org Provider Int 3 Complete 2015/12/16 12:00:00 2015/12/16 12:00:00 2015/12/16 08:17:08 UV 2.16.840.1.113883.4.305.1.1 pediatricMedicine Pediatric Medicine - The organization Craig Hill masked Mary Jane Knapp 52 Timber Lane South Burlington, VT 05403 802.658.2320 ext: 116 masked R.N., Clinical Coordinator Vermont Information Technology Leaders, Inc. 144 Main St Montpelier, VT 05602 (802) 861-1800 IT@vitl.net http://www.vitl.net Exchange 2.16.840.1.113883.4.305 Ext 17 Complete 2.16.840.1.113883.4.305.1.1 2015/12/17 12:00:00 2015/12/28 12:00:00 2015/12/28 10:57:45 UV 2.16.840.1.113883.3.6489 hec-fin HealtheCare Case Number Dennis Gilge masked Dennis Gilge 847-635-5920 masked Advocate Health 1701 West Golf Road Suite 2-1100 Rolling Meadows, Il 60008 847-635-5920 Dennis.Gilge@advocatehealth.com Provider Int 3 Complete 2015/12/17 12:00:00 2015/12/18 12:00:00 2015/12/18 12:56:07 UV 2.16.840.1.113883.3.6490 fkm Franz Michel MD Inc Franz Michel masked Franz Michel 8054992676 masked koz_md@yahoo.com Franz Michel MD Inc 2239 Michael Drive Newbury Park, CA 91320 8054992676 koz_md@yahoo.com Provider Int 3 Complete 2015/12/17 12:00:00 2015/12/18 12:00:00 2015/12/18 01:02:32 Franz Michel MD UV 2.16.840.1.113883.3.6491 nyhtc New York Hotel Trades Council & Employee Benefits Fund Justin Fanslau masked John Briscoe Erin Osbourn 305 W 44th Street New York, NY 10036 2122373001 masked Chief Information Officer NYHTC & HAoNYC Employee Benefit Funds 305 W 44th Street New York, NY 10036 2125866400 eosbourn@hotelfunds.org https://hotelfunds.org Provider 2.16.840.1.113883.3.6491 Int 3 Complete 2015/12/18 12:00:00 2015/12/18 12:00:00 2020/09/08 03:01:25 UV 2.16.840.1.113883.3.6492 eLMRK Eldermark Exchange Leo Yanchuk masked Leo Yanchuk 5610 Rowland Rd Suite 130 Minnetonka, MN 55343 6129406218 masked Tech Lead Eldermark Exchange 5610 Rowland Rd Suite 130 Minnetonka, MN 55343 952.460.3848 manderson@eldermark.com http://www.eldermark.com Exchange Int 3 Complete 2015/12/18 12:00:00 2015/12/18 12:00:00 2015/12/18 01:50:41 UV 2.16.840.1.113883.3.6493 tFCOID The Family Center Ivy Gamble Cobb masked Ivy Gamble Cobb The Family Center 493 Nostrand Avenue Brooklyn, NY 11216 718-230-1379 ext. 144 masked Executive Director The Family Center The Family Center 493 Nostrand Avenue Brooklyn, NY 11216 718-230-1379 ext. 144 igamble@thefamilycenter.org https://www.thefamilycenter.org Provider Int 3 Complete 2015/12/21 12:00:00 2015/12/28 12:00:00 2015/12/28 11:08:06 UV 2.16.840.1.113883.3.6494 watson-25079 Dermatology Associates of N.W. Fl Maribel Noda masked Maribel Noda 4850 Grande Drive Pensacola, FL 32504 850-477-4447 masked Billing Amy Watson MD 4850 Grande Drive Pensacola, FL 32504 850-477-4447 info@pensacoladerm.com Provider Int 3 Complete 2015/12/22 12:00:00 2015/12/28 12:00:00 2015/12/28 11:11:29 UV 2.16.840.1.113883.3.6495 chuc Cullman Heart and Urgent Care PC Cindy Henry masked Cindy Henry Cullman Heart & Urgent Care PC 1801 Parkview Drive NE Cullman, Alabama 35058 (256) 775-6550 masked Office Manager Cullman Heart and Urgent Care PC 1801 Parkview Drive NE Cullman, Alabama 35058 (256) 775-6550 henrycin@bellsouth.net Provider Int 3 Complete 2015/12/23 12:00:00 2015/12/28 12:00:00 2015/12/28 11:16:45 CHUC UV 2.16.840.1.113883.3.6496 clchc Community Health Project Richard Clarkson masked RClarkson@Callen-Lorde.org Richard Clarkson 2122717274 masked System Analyst Community HEalth Project 356 West 18th Street New York, NY 10011 212-271-7200 RClarkson@Callen-Lorde.org http://Callen-lorde.org Provider Int 3 Complete 2015/12/24 12:00:00 2015/12/28 12:00:00 2015/12/28 11:20:07 UV 2.16.840.1.113883.3.6497 avicenna-medical-systems Avicenna Medical Systems, Inc. Erdwing Coronado masked Erdwing Coronado 3090 Dhu Varren Court Ann Arbor, MI 48105 1-888-284-4080 masked President/CEO Avicenna Medical Systems, Inc. 3090 Dhu Varren Court Ann Arbor, MI 48105 1-888-284-4080 coronado@avicenna-medical.com http://www.avicenna-medical.com Vendor Int 3 Complete 2015/12/24 12:00:00 2015/12/28 12:00:00 2015/12/28 10:47:37 UV 2.16.840.1.113883.4.865 aphelion Aphelion Technologies Keerthi Arutla masked Keerthi Arutla 798 Praderia Cir Fremont, CA 94539 4083727430 masked Aphelion Technologies, Inc 798 Praderia Cir Fremont, CA 94539 4083727430 keerthiarutla@apheliontechnologies.com Vendor Int 3 Complete 2015/12/28 12:00:00 2015/12/28 12:00:00 2015/12/28 10:52:27 UV 2.16.840.1.113883.3.6498 bhcs Banner Health Center Susanville Steve Drozdowski masked Steve Drozdowski 2901 N Central Avenue Phoenix, AZ 85012 (602) 747-4319 masked IT Software Integr Sr Consult Steve Drozdowski 2901 N Central Avenue Phoenix, AZ 85012 (602) 747-4319 steve.drozdowski@bannehealth.com http://www.bannerhealth.com Provider Int 3 Complete 2015/12/29 12:00:00 2015/12/30 12:00:00 2015/12/30 10:28:51 UV 2.16.840.1.113883.3.6499 ncc Nebraska Cardiac Care Marwan Salfity masked Kris Ernsberger 339 N 78th ST Omaha, NE 68114 402-315-3788 masked Office Manager Nebraska Cardiac Care, PC 339 N 78th ST Omaha, NE 68114 402-315-3788 krisernsberger@cox.net Provider Int 3 Complete 2015/12/30 12:00:00 2015/12/30 12:00:00 2015/12/30 01:51:23 UV 2.16.840.1.113883.3.6500 renaissancetransplant Renaissance Transplant Institute OID Root Holly Llasos masked Shannon Lopez 5513 DOCTORS DR EDINBURG, TEXAS 78539 956-362-8013 masked Office Manager Renal Transplant Institute 5513 DOCTORS DR EDINBURG, TEXAS 78539 956-362-8013 sh.lopez@dhr-rgv.com Provider Int 3 Complete 2015/12/30 12:00:00 2015/12/30 12:00:00 2015/12/30 06:42:55 UV 2.16.840.1.113883.3.6501 renaissanceHospice Renaissance Hospice and Palliative Care OID Root Holly Llasos masked Veronica Martinez 5403 Doctors Drive, Edinburg, TX 78539 956-362-2430 masked Office Manager Renaissance Hospice and Palliative Care 5403 Doctors Drive, Edinburg, TX 78539 956-362-2430 ver.martinez@dhr-rgv.com Provider Int 3 Complete 2015/12/30 12:00:00 2015/12/30 12:00:00 2015/12/30 06:43:58 UV 2.16.840.1.113883.3.6502 rheumatologyinstitute Rheumatology Institute OID Root Holly Llasos masked Veronica Martinez 2821 Michael Angelo Dr. Suite 306, Edinburg, TX 956-362-2400 masked Office Manager Rheumatology Institute 2821 Michael Angelo Dr. Suite 306, Edinburg, TX 956-362-2400 ver.martinez@dhr-rgv.com Provider Int 3 Complete 2015/12/30 12:00:00 2015/12/30 12:00:00 2015/12/30 06:45:07 UV 2.16.840.1.113883.4.866 wec Wadena Eye Clinic Ltd Joseph Miller masked Cynthia A Miller Cynthia A Miller 222 First Street Southeast Post Office Box 71 Wadena, MN 56482 218-639-0774 masked Office Supervisor Wadena Eye Clinic, Ltd. 222 First Street Southeast Post Office Box 71 Wadena, MN 56482 218-631-2020 wadenaeyeclinic@yahoo.com http://www.wadenaeyeclinic.com Provider Int 3 Complete 2015/12/30 12:00:00 2016/01/08 12:00:00 2016/01/08 09:03:44 UV 2.16.840.1.113883.3.6503 vandiestmedicalcenter vandiestmedicalcenter OID Root Anthony Hock masked Erick Schrier Anthony Hock 2350 Hospital Drive Webster City, IA 50595 515-832-7774 masked Information Systems Lead Van Diest Medical Center 2350 Hospital Drive Webster City, IA 50595 515-832-9400 thock@vandiestmc.org Provider Int 3 Complete 2016/01/04 12:00:00 2016/01/06 12:00:00 2023/04/10 03:11:47 UV 2.16.840.1.113883.3.6504 mcmcf MANISTEE COUNTY MEDICAL CARE FACILITY Ed Worthington masked Ed Worthington 300 E. Front Ste. Suite 240 Traverse City, MI 49684 2314218505 masked Northern Physicians Organization 300 E. Front Ste. Suite 240 Traverse City, MI 49684 2314218505 eworthington@npoinc.org Exchange Int 3 Complete 2016/01/04 12:00:00 2016/01/06 12:00:00 2016/01/06 02:23:26 UV 2.16.840.1.113883.3.6505 drchungshin Valley Vascular OID Root Jessica Gariepy masked Jessica Gariepy Valley Vascular Associates, LLC 91 East Avenue Norwalk, CT 06851 2038559806 masked Office Manager Valley Vascular Associates, LLC 91 East Avenue Norwalk, CT 06851 2038559806 valleyvascular@gmail.com Provider Int 3 Complete 2016/01/04 12:00:00 2016/01/06 12:00:00 2016/01/06 02:25:38 UV 2.16.840.1.113883.3.6506 castroCountyHealthcare CASTRO COUNTY HEALTHCARE OID ROOT Jeremy Howell masked Jeremy Howell 310 W. Halsell Dimmitt, TX 79027 806-647-8719 masked accountspayable.materials director. IT support Castro County Healthcare 310 West Halsell Dimmitt, TX 79027 806-647-2191 jeremy.howell@cchdonline.com Provider Int 3 Complete 2016/01/04 12:00:00 2016/01/06 12:00:00 2016/01/06 02:27:25 UV 2.16.840.1.113883.3.6507 gSBWC garden State Bariatrics and wellness Center Kathleen Glorioso masked Kathleen Glorioso 225 Millburn Ave Suite 203 Millburn, NJ 07041 973-218-1990 masked Nurse Manager Garden State Bariatrics and Wellness Center 225 Millburn Ave Suite 203 Millburn, NJ 07041 732-218-1990 drbilof@gsbwc.com Provider Int 3 Complete 2016/01/05 12:00:00 2016/01/05 12:00:00 2016/01/05 11:25:19 UV 2.16.840.1.113883.3.6508 bfhc-01 Baldwin Family Health Care Jeffrey Martin masked Jeffrey Martin Baldwin Family Health Care 1615 Michigan Ave Baldwin, MI 49304 231-876-6562 masked Director of Information Services Baldwin Family Health Care Baldwin Family Health Care 1615 Michigan Ave Baldwin, MI 49304 231-745-4621 jmartin@familyhealthcare.org Provider Int 3 Complete 2016/01/05 12:00:00 2016/01/06 12:00:00 2016/01/06 02:32:03 UV 2.16.840.1.113883.3.6509 gcpc gibson county podiatry clinic Brittney Cole masked Brittney Cole 2051 S Hwy 45 Bypass Trenton, TN 38382 7318551040 masked billing and insurance Gibson County Podiatry Clinic 2051 S Hwy 45 Bypass Trenton, TN 38382 7318551040 info@gibsoncountypodiatry.com https://www.gibsoncountypodiatry.com Provider Int 3 Complete 2016/01/05 12:00:00 2016/01/06 12:00:00 2016/01/06 02:34:33 UV 2.16.840.1.113883.3.6510 awh Associates in Women's Health, PA Kelly Phipps masked Kelly Phipps 3232 E. Murdock Wichita, KS 67208 316-219-6788 masked Director, Information Technology Associates in Women's Health, PA Kelly.Phipps@AWHbobgyn.com http://www.awhobgyn.com Provider Int 3 Complete 2016/01/05 12:00:00 2016/01/06 12:00:00 2016/01/06 02:36:10 UV 2.16.840.1.113883.3.6511 nuehealth NueHealth LLC Michael Franklin masked Michael Franklin 2817449800 masked CTO NueHealth LLC 11221 Roe Avenue, Suite 300 Leawood, Kansas, USA 66211 9133870510 mfranklin@nuehealth.com http://www.nuehealth.com Provider Int 3 Complete 2016/01/05 12:00:00 2016/01/06 12:00:00 2016/01/06 02:37:58 UV 2.16.840.1.113883.3.6512 ahcs Root OID for Avalon Healthcare Solutions Har Puri masked Har Puri 3405 W. Dr. Martin Luther King Jr. Blvd. Suite 200 Tampa, FL 33607 8137513860 masked VP Solution Architecture Avalon Health Services, LLC, d/b/a Avalon Healthcare Solutions 3405 W. Dr. Martin Luther King Jr. Blvd. Suite 200 Tampa, FL 33607 813-751-3800 Info@AvalonHCS.com https://www.avalonhcs.com/ Payor Int 3 Complete 2016/01/06 12:00:00 2016/01/06 12:00:00 2016/01/06 02:52:04 UV 2.16.840.1.113883.3.6513 tchs Thayer County Health Services Daniel Engle masked Daniel A Engle 120 Park Ave Hebron, NE 68370 402-768-6041 masked CIO Daniel A Engle 120 Park Ave Hebron, NE 68370 402-768-6041 cio@tchsne.org http://www.thayercountyhealth.com Provider Int 3 Complete 2016/01/06 12:00:00 2016/01/06 12:00:00 2016/01/06 02:54:05 UV 2.16.840.1.113883.3.6514 chestnuthillpodiatry Chestnut Hill Podiatry OID Root Donna Cummings masked Donna Cummings 8815 Germantown Avenue Suite 11 Philadelphia, PA 19118 215-247-0879 masked Office Manager Chestnut Hill Podiatry Associates 8815 Germantown Avenue Suite 11 Philadelphia, PA 19118 215-247-0879 chestnuthillpodiatry@gmail.com Provider Int 3 Complete 2016/01/06 12:00:00 2016/01/06 12:00:00 2016/01/06 02:55:41 UV 2.16.840.1.113883.4.305.2.1 pediatricMedicineMRNPool Pediatric Medicine - The MRN Pool Craig Hill masked Mary Jane Knapp 52 Timber Lane South Burlington, VT 05403 802.658.2320 ext: 116 masked R.N., Clinical Coordinator Vermont Information Technology Leaders, Inc. 144 Main St Montpelier, VT 05602 (802) 861-1800 IT@vitl.net http://www.vitl.net Exchange 2.16.840.1.113883.4.305 Ext 17 Complete 2.16.840.1.113883.4.305.2.1 2016/01/07 12:00:00 2016/01/07 12:00:00 2016/01/07 10:41:03 UV 2.16.840.1.113883.3.6515 lchnh Lincoln Community Hospital OID Root Erin Mellott masked Erin Mellott 111 6th Street Hugo, CO 80821 7197432155 masked LCH Family Practice Clinics 111 6th Street Hugo, CO 80821 7197432155 emellott@lchnh.com http://www.lincolncommunityhospital.org/ Provider Int 3 Complete 2016/01/07 12:00:00 2016/01/07 12:00:00 2016/01/07 11:33:06 UV 2.16.840.1.113883.3.2402.200.929 physicans-computer-company-clients-tp Physician's Computer Company (PCC) Clients Trinity Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.929 2016/01/08 12:00:00 2016/01/08 12:00:00 2016/01/08 03:56:26 UV 2.16.840.1.113883.3.6516 aet-hmo Aetna HMO Dennis Gilge masked Dennis Gilge 847-635-5920 masked Advocate Physician Partners 1701 West Golf Road Suite 2-1100 Rolling Meadows, Il 60008 847-635-5920 Dennis.Gilge@advocatehealth.com Provider Int 3 Complete 2016/01/08 12:00:00 2016/01/08 12:00:00 2016/01/08 04:00:14 UV 2.16.840.1.113883.3.6517 cig-css Cigna Commercial Shared Savings Patrick Connolly masked Patrick Connolly 847.390.3515 masked Advocate Physician Partners 1701 W Golf Road Suite 2-1100 Rolling Meadows, IL 60008 847.390.3515 patrick.connolly@advocatehealth.com Provider Int 3 Complete 2016/01/08 12:00:00 2016/01/08 12:00:00 2016/01/08 04:04:18 UV 2.16.840.1.113883.17.4116 mchie RML Specialty Hospital Vincent Vitali masked Todd Prellberg 5601 S County Line Road Hinsdale, IL 60521 630-286-4135 masked Director of IS RML Specialty Hospital 5601 S County Line Road Hinsdale, IL 60521 630-286-4135 tprellberg@rmlspecialtyhospital.org Provider Int 17 Complete 2016/01/08 12:00:00 2016/01/08 12:00:00 2021/06/17 08:44:13 UV 2.16.840.1.113883.3.6518 bumg-p Banner University Medical Group - Phoenix Steve Drozdowski masked Steve Drozdowski 2901 N Central Avenue Phoenix, AZ 85012 602-747-4319 masked IT Software Integr Sr Consult Steve Drozdowski 2901 N Central Avenue Phoenix, AZ 85012 602-747-4319 steve.drozdowski@bannerhealth.com http://www.bannerhealth.com Provider Int 3 Complete 2016/01/11 12:00:00 2016/01/12 12:00:00 2016/07/25 01:18:14 UV 2.16.840.1.113883.3.6519 midtex Mid-Texas Health Care Assoc., P.A. Karen Swift masked Karen Swift 1305 N Milam Fredericksburg, TX 78624 830-997-7626 masked Billing Manager Mid-Texas Health Care 1305 N Milam Fredericksburg, TX 78624 830-997-7626 kristie@midtexashealthcare.com Provider Int 3 Complete 2016/01/11 12:00:00 2016/01/12 12:00:00 2016/01/12 12:18:38 UV 2.16.840.1.113883.3.6520 pSJASchoolBasedHealthCenter PSJA School Based Health Center Holly Llasos masked Ana P Perez 1229 S Veterans Blvd. San Juan TX 78589 956-362-3602 masked Manager PSJA ISD School Based Health Center 1229 S Veterans Blvd. San Juan TX 78589 956-787-5454 ap.perez@dhr-rgv.com http://www.dhr-rgv.com/Healthcare-Services/PSJA-ISD-School-Based-Health-Center Provider Int 3 Complete 2016/01/12 12:00:00 2016/01/12 12:00:00 2016/01/12 12:19:24 UV 2.16.840.1.113883.3.6521 edinburgCISDSchoolBasedHealthCenter Edinburg CISD School Based Health Center Holly Llasos masked Dehisy Villarreal 1601 E. Sprague Edinburg, TX 78542 956-378-9290 masked RMF Manager Edinburg CISD School Based Health Center 1601 E. Sprague Edinburg, TX 78542 956-378-9290 de.villarreal@dhr-rgv.com http://www.dhr-rgv.com/Healthcare-Services/Edinburg-CISD-School-Based-Health-Center Provider Int 3 Complete 2016/01/12 12:00:00 2016/01/12 12:00:00 2016/01/12 12:19:59 UV 2.16.840.1.113883.3.6522 jfbrungo James F Brungo, DPM James Brungo masked Theresa Brungo 8035 McKnight Road Suite 104 Pittsburgh, PA 15237 4123690255 masked James F. Brungo, DPM 8035 McKnight Road Suite 104 Pittsburgh, PA 15237 4123690255 jfbrungo@verizon.net Provider Int 3 Complete 2016/01/12 12:00:00 2016/01/14 12:00:00 2016/01/14 04:43:40 UV 2.16.840.1.113883.3.6523 cardiospecialist Stewart Katz, MD Cardiovascular Specialist, INC., P.C. Stewart Katz masked Kasey Zabonik 1705 E 19th St Ste 410 Tulsa, OK 74104 9187449400 masked Clinic Manager Stewart Katz, MD Cardiovascular Specialist, INC., P.C. 1705 E 19th St Ste 410 Tulsa, OK 74104 918-744-9400 sjkmd@tulsacoxmail.com Provider Int 3 Complete 2016/01/12 12:00:00 2016/01/14 12:00:00 2016/01/14 04:47:00 UV 2.16.840.1.113883.3.6524 fcmcpc Fillmore County Medical Center, PC Karen Leach masked Karen Leach 1840 F Street, Geneva, NE 68361 402-759-4485 masked Clinic Manager Fillmore County Medical Center, PC 1840 F Street, Geneva, NE 68361 402-759-4485 kleach@fcmcpc.com Provider Int 3 Complete 2016/01/12 12:00:00 2016/01/14 12:00:00 2016/01/14 04:48:53 UV 2.16.840.1.113883.3.6525 imf INFORMATICA MEDICA FARMACEUTICA Josep Vilalta - Marzo masked Josep Vilalta - Marzo Francesc Layret, 24 08911 Badalona Barcelona - SPAIN 34608892793 masked CEO Inform&#225;tica M&#233;dico Farmac&#233;utica SL Av. Men&#233;ndez y Pelayo, 9 &#8211; pta. 10 46010 &#8211; Valencia SPAIN 34963689729 victor.jimenez@imf.es http://www.imf.es Vendor Int 3 Complete 2016/01/13 12:00:00 2016/01/14 12:00:00 2016/01/14 04:51:51 UV 2.16.840.1.113883.3.6526 smfc Smoky Mountain Foot Clinic OID Root Kari Willis masked Kari Willis 289 Access Road Waynesville, NC 28786 828-586-8950 masked Administrative Assistant Smoky Mountain Foot Clinic, P.A. 289 Access Road Waynesville, NC 28786 828-452-4343 kariking@smokymountainfootclinic.com http://www.smokymountainfootclinic.com/ Provider Int 3 Complete 2016/01/13 12:00:00 2016/01/14 12:00:00 2016/01/14 04:53:07 UV 2.16.840.1.113883.3.6527 lookoutmountaincsb Lookout Mountain CSB Karen Maxey masked Karen Maxey 501 Mize Street, Lafayette, GA 30728 706-638-5580 masked System Administrator Lookout Mountain Community Services Board 501 Mize Street, Lafayette, GA 30728 706-638-5580 karenm@lmcs.org http://www.lmcs.org Provider Int 3 Complete 2016/01/13 12:00:00 2016/01/14 12:00:00 2016/01/14 04:55:27 UV 2.16.840.1.113883.3.6528 gpu G. Perrin Underwood, M.D. G Perrin Underwood masked Perrin Underwood 2055 Normandie Drive Suite 212 Montgomery, Alabama 36111 3342844106 masked M.D. G. Perrin Underwood, M.D. 2055 Normandie Drive Suite 212 Montgomery, Alabama 36111 3342844106 gpunderwoodmd@gmail.com Provider Int 3 Complete 2016/01/13 12:00:00 2016/01/14 12:00:00 2016/01/14 04:57:17 UV 2.16.840.1.113883.3.6529 roper Roper St. Francis John Buchanan masked John Buchanan 4230 Faber Place Drive, North Charleston, SC 29405 843-402-5047 masked Manager Financial Systems Roper St. Francis 316 Calhoun Street Charleston, SC 29401 843-724-2000 john.buchanan@rsfh.com http://www.rsfh.com Provider Int 3 Complete 2016/01/14 12:00:00 2016/01/14 12:00:00 2016/01/14 06:09:49 UV 2.16.840.1.113883.3.6530 wvc Well Vision and Laser Eye Center Kevin Wells masked Kevin Wells 36086 Emerald Coast Pkwy Destin, FL 32541 850-424-6677 masked Doctor Wells Vision and Laser Eye Center 36086 Emerald Coast pkwy Destin, FL 32541 850-424-6677 info@wellsvisioncenter.com Provider Int 3 Complete 2016/01/14 12:00:00 2016/01/14 12:00:00 2016/01/14 05:36:39 UV 2.16.840.1.113883.3.6531 lbb-PNS-UMCWH UMC PS Women's Health Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 214 Lubbock, TX 79407 806-761-0333 masked Director UMC PS Women's Health 3502 9th Street suite 270 Lubbock TX 79415 806-744-1171 yvette.hinojosa@umchealthsystem.com Govt body Int 3 Complete 2016/01/15 12:00:00 2016/01/15 12:00:00 2016/01/15 03:21:59 UV 2.16.840.1.113883.3.6532 andrus Julia Dyckman Andrus Memorial Vickia Tolla masked Vickia Tolla 1156 North Broadway Yonkers, New York 10701 914-965-3700 masked Assistant Director Quality Assurance and Compliance Julia Dyckman Andrus Memorial 1156 North Broadway Yonkers, New York 10701 914-965-3700 vtolla@jdam.org http://andruscc.org/ Provider Int 3 Complete 2016/01/15 12:00:00 2016/01/15 12:00:00 2016/01/15 03:23:20 UV 2.16.840.1.113883.3.6533 kingstonHC Kingston Healthcare Company Ted Liszeski masked Ted S Liszeski One SeaGate, Suite 1960 Toledo, OH 43604 419-304-5702 masked Director of Clinical Information Systems Kingston Healthcare Company One SeaGate, Suite 1960 Toledo, OH 43604 419-247-2880 tliszeski@kingstonhealthcare.com http://www.kingstonhealthcare.com/ Exchange Int 3 Complete 2016/01/15 12:00:00 2016/01/15 12:00:00 2016/01/15 03:24:26 Kingston Healthcare UV 2.16.840.1.113883.3.6534 totalFootCareDe Total Foot Care of Deleware OID Alexander Terris masked Kellie Ritz 2700 Silverside Rd. Ste 3B Wilmington, DE 19810 302-478-1694 masked Office Manager Total Foot Care, PA 2700 Silverside Rd. Ste 3B Wilmington, DE 19810 302-478-1694 totalfootcarede@gmail.com Provider Int 3 Complete 2016/01/18 12:00:00 2016/01/22 12:00:00 2016/01/22 10:20:42 UV 2.16.840.1.113883.3.6535 rhaventures RHA Ventures LLC Edgar Reyna masked Holly Hoover 25699 SW ARGYLE AVE STE A, WILSONVILLE, OR 97070 503.833.2662 masked Administrator RHA Ventures LLC 25699 SW ARGYLE AVE STE A, WILSONVILLE, OR 97070 503 holly.hoover@lenzaadmin.com Provider Int 3 Complete 2016/01/19 12:00:00 2016/01/22 12:00:00 2016/01/22 10:23:47 UV 2.16.840.1.113883.3.6536 wcop West Central Ohio Podiatry OID Root Jill Briggs masked Jill Briggs 1138 West High Street Lima, OH 45805 419-225-2726 masked Office Manager West Central Ohio Podiatry Inc. 1138 West High Street Lima, OH 45805 419-225-2726 wcopodiatry@gmail.com http://wcopodiatry.com/ Provider Int 3 Complete 2016/01/20 12:00:00 2016/01/22 12:00:00 2020/05/29 09:05:31 UV 2.16.840.1.113883.3.6537 sai SA Ignite Tim Hansen masked Ellen Kennedy 1144 W. Fulton Market Suite 200 Chicago, IL 60607 312-724-7700 masked Director of Finance SA Ignite Inc 1144 W. Fulton Market Suite 200 Chicago, IL 60607 312-724-7700 info@saignite.com http://www.saignite.com Vendor Int 3 Complete 2016/01/20 12:00:00 2016/01/22 12:00:00 2016/01/22 10:27:26 UV 2.16.840.1.113883.3.6538 krcc Kentucky River Community Care Robert Ryzowicz masked Robert Ryzowicz (606) 666-4351 x7412 masked Practice Management Software Support Specialist Kentucky River Community Care 1795 Alysheba Way Suite 6205 Lexington, KY 40509 (606) 666-4351 x7412 Robert.ryzowicz@krccnet.com Provider Int 3 Complete 2016/01/21 12:00:00 2016/01/22 12:00:00 2016/01/22 10:30:52 UV 2.16.840.1.113883.3.6539 awhs Advanced Women's Healthcare Specialists, SC Ranae Yockey masked Marilyn Magafas Marilyn Magafas 800 Biesterfield Rd., Suite 750 Elk Grove Village, IL 60007 847-981-3698 Ext. 103 masked Practice Manager Advanced Women's Healthcare Specialists 800 Biesterfield Rd., Suite 750 Elk Grove Village, IL 60007 847-981-3698 ydocisin@aol.com Provider Int 3 Complete 2016/01/21 12:00:00 2016/01/22 12:00:00 2016/01/22 10:32:53 UV 2.16.840.1.113883.3.6540 hcuc Hill Country Urology Clinic Karen Swift masked Jane Lester 703 S Adams St Fredericksburg, TX 78624 8309979507 masked Hill Country Urology Clinic 703 S. Adams St Fredericksburg, TX 78624 8309979507 lesjan@hcuclinic.com Provider Int 3 Complete 2016/01/21 12:00:00 2016/01/22 12:00:00 2016/01/22 10:36:05 UV 2.16.840.1.113883.3.6541 mee Massachusetts Eye and Ear Chris Buliga masked Lisa Bove 243 Charles St. Boston, MA 02114 617-573-3336 masked Director - Clinical Lab Massachusetts Eye and Ear 243 Charles St. Boston, MA 02114 617-523-7900 interface@meei.harvard.edu http://www.masseyeandear.org Provider Int 3 Complete 2016/01/21 12:00:00 2016/01/22 12:00:00 2016/01/22 10:42:59 UV 2.16.840.1.113883.3.6542 dmc2016 Dahl Memorial Clinic Este Fielding masked Este Fielding PO Box 537 Skagway, AK 99840 907-983-2255 masked Administrative Manager Dahl Memorial Clinic PO Box 537 Skagway, AK 99840 907-983-2255 e.fielding@skagway.org http://www.dahlclinic.org Provider Int 3 Complete 2016/01/21 12:00:00 2016/01/22 12:00:00 2016/01/22 10:44:01 UV 2.16.840.1.113883.3.6543 ppemr Practice Perfect EMR & Management Software Steven Presement masked Steven Presement 2-344 North Rivermede Road Concord, ON L4K 3N2 14165282877 masked President Practice Perfect EMR & Management Software 2-344 North Rivermede Road Concord, ON L4K 3N2 4165282877 steve@practiceperfectemr.com http://www.practiceperfectemr.com Vendor Int 3 Complete 2016/01/22 12:00:00 2016/01/22 12:00:00 2016/01/22 10:46:27 UV 2.16.840.1.113883.17.4117 consonus Consonus Healthcare Anthony Laflen masked Cal Callaghan Anthony Laflen 4560 SE International Way #100 Portland, OR 97222 503-975-7530 masked VP of Data Analytics Consonus Healthcare 4560 SE International Way #100 Portland, OR 97222 co-pilot@consonushealth.com http://www.consonushealth.com/ Provider Int 17 Complete 2016/01/22 12:00:00 2016/01/26 12:00:00 2016/01/26 07:07:34 UV 2.16.840.1.113883.3.6544 clarkccrc Clark Retirement Community Brian Morrill masked Brian Morrill 1551 Franklin St SE Grand Rapids, MI 49506 616-452-1568 x153 masked Director IT Clark Retirement Community 1551 Franklin St SE Grand Rapids, MI 49506 616-452-1568 x153 Brian.Morrill@ClarkRetirement.org https://www.clarkretirement.org Provider Int 3 Complete 2016/01/25 12:00:00 2016/01/26 12:00:00 2016/01/26 07:12:22 UV 2.16.840.1.113883.3.6545 bec Bui Eye Care Thang Bui masked Dr. Thang Q. Bui, OD 10600 W 21st Street Wichita, KS 67205-1886 3167227376 masked Owner/Optometrist Bui Eye Care 10600 W 21st Street Wichita, KS 67205-1886 3167227376 buieyecare@yahoo.com Provider Int 3 Complete 2016/01/25 12:00:00 2016/01/26 12:00:00 2016/01/26 07:15:04 UV 2.16.840.1.113883.3.6546 cmcs Cardinal McCloskey Community Services Marc DiGilio masked Marc DiGilio 115 E Stevens Ave, Suite LL5 Valhalla, NY 10595 914-997-8000 masked Director of Technology Cardinal McCloskey Community Services 115 E Stevens Ave, Suite LL5 Valhalla, NY 10595 914-997-8000 mdigilio@cmcs.org http://www.cmcs.org Provider Int 3 Complete 2016/01/25 12:00:00 2016/01/26 12:00:00 2016/01/26 07:17:41 UV 2.16.840.1.113883.3.6547 neurospecalistspc Neurological Specialists OID Root Jennifer Beene masked Jennifer Beene 100 Medical Center Drive Suite 402 Gadsden, AL 35903 256-492-3571 masked Office Manager Neurological Specialists 100 Medical Center Drive Suite 402 Gadsden, AL 35903 256-492-3571 nspc@bellsouth.net http://www.neurologicalspecialists.net Provider Int 3 Complete 2016/01/25 12:00:00 2016/01/26 12:00:00 2016/01/26 07:25:29 UV 2.16.840.1.113883.17.4118 healthpulse-live HealthPulse Live application for Memorial Healthcare Sheila Method masked Sheila Method 826 W King St Owosso, MI 48867 989-729-4688 masked Sr Clinical Analyst Memorial Healthcare 826 W King St Owosso, MI 48867 989-723-5211 smethod@memorialhealthcare.org http://www.memorialhealthcare.org Provider 2.16.840.1.113883.3.992 Int 17 Complete 2016/01/25 12:00:00 2016/02/03 12:00:00 2016/02/03 03:20:59 UV 2.16.840.1.113883.17.4119 healthpulse-test HealthPulse Test application for Memorial Healthcare Sheila Method masked Sheila Method 826 W King St Owosso, MI 48867 989-729-4688 masked Sr Clinical Analyst Memorial Healthcare 826 W King St Owosso, MI 48867 989-723-5211 smethod@memorialhealthcare.org http://www.memorialhealthcare.org Provider 2.16.840.1.113883.3.992 Int 17 Complete 2016/01/25 12:00:00 2016/02/03 12:00:00 2016/02/03 03:24:43 UV 2.16.840.1.113883.3.6548 wmn West Michigan Nephrology Kathy Holtz masked Kathy Holtz 1250 Mercy Drive Suite 101 Muskegon, MI 49444 2317331912 masked Administrator West Michigan Nephrology 1250 Mercy Drive Suite 101 Muskegon, MI 49444 2317331912 wmn4932@gmail.com Provider Int 3 Complete 2016/01/25 12:00:00 2016/01/26 12:00:00 2016/01/26 07:35:30 UV 2.16.840.1.113883.3.6549 palaceGroup The Palace Group Carlos Montenegro masked Carlos Montenegro 10850 SW 113th Place Suite # 208 Miami, FL 33176 3053380638 masked The Palace Group 10850 SW 113th Place Miami, FL 33176 3052752533 Carlos@thepalace.org http://www.thepalace.org Provider Int 3 Complete 2016/01/25 12:00:00 2016/01/26 12:00:00 2016/01/26 07:38:45 UV 2.16.840.1.113883.3.3991.1060 ashley-fcc Ashley Family Care Center Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 5173327063 masked Interface Programmer Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 5173641000 interfaceanalysts@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1060 2016/01/26 12:00:00 2016/01/26 12:00:00 2016/01/26 12:07:17 UV 2.16.840.1.113883.3.3991.1061 carson-fcc Carson Family Care Center Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 5173327063 masked Interface Programmer Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 5173641000 interfaceanalysts@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1061 2016/01/26 12:00:00 2016/01/26 12:00:00 2016/01/26 12:08:42 UV 2.16.840.1.113883.3.3991.1062 fowler-fcc Fowler Family Care Center Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 5173327063 masked Interface Programmer Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 5173641000 interfaceanalysts@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1062 2016/01/26 12:00:00 2016/01/26 12:00:00 2016/01/26 12:09:30 UV 2.16.840.1.113883.3.3991.1063 greenville-fcc Greenville Family Care Center Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 5173327063 masked Interface Programmer Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 5173641000 interfaceanalysts@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1063 2016/01/26 12:00:00 2016/01/26 12:00:00 2016/01/26 12:10:52 UV 2.16.840.1.113883.3.3991.1064 ithaca-fcc Ithaca Family Care Center Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 5173327063 masked Interface Programmer Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 5173641000 interfaceanalysts@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1064 2016/01/26 12:00:00 2016/01/26 12:00:00 2016/01/26 12:11:51 UV 2.16.840.1.113883.3.3991.1065 lyons-fcc Lyons Family Care Center Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 5173327063 masked Interface Programmer Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 5173641000 interfaceanalysts@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1065 2016/01/26 12:00:00 2016/01/26 12:00:00 2016/01/26 12:27:14 UV 2.16.840.1.113883.3.3991.1066 peds-adolescent-specialists Pediatric and Adolescent Specialists Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 5173327063 masked Interface Programmer Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 5173641000 interfaceanalysts@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1066 2016/01/26 12:00:00 2016/01/26 12:00:00 2016/01/26 12:33:51 UV 2.16.840.1.113883.3.3991.1067 stanton-fcc Stanton Family Care Center Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 5173327063 masked Interface Programmer Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 5173641000 interfaceanalysts@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1067 2016/01/26 12:00:00 2016/01/26 12:00:00 2016/01/26 12:35:29 UV 2.16.840.1.113883.3.3991.1068 carson-ent Carson Ear Nose and Throat Center Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 5173327063 masked Interface Programmer Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 5173641000 interfaceanalysts@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1068 2016/01/26 12:00:00 2016/01/26 12:00:00 2016/01/26 12:37:28 UV 2.16.840.1.113883.3.3991.1069 carson-surgical-specialties Carson Surgical Specialties (Ortho/GenSurg) Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 5173327063 masked Interface Programmer Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 5173641000 interfaceanalysts@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1069 2016/01/26 12:00:00 2016/01/26 12:00:00 2016/01/26 12:39:17 UV 2.16.840.1.113883.3.3991.1070 carson-pain-clinic Carson Pain Management Clinic Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 5173327063 masked Interface Programmer Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 5173641000 interfaceanalysts@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1070 2016/01/26 12:00:00 2016/01/26 12:00:00 2016/01/26 12:42:53 UV 2.16.840.1.113883.3.3991.1071 carson-obgyn Carson OBGYN Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 5173327063 masked Interface Programmer Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 5173641000 interfaceanalysts@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1071 2016/01/26 12:00:00 2016/01/26 12:00:00 2016/01/26 12:44:29 UV 2.16.840.1.113883.3.6550 hhCPNC-01 United Cerebral Palsy Association of North Country Inc. dba Community Health Center of the North Country Brittany Bono masked Melissa Walker 4 Commerce Lane Canton, NY 13617 315.386.1156 x8219 masked United Cerebral Palsy Association of the North Country 4 Commerce Lane Canton, NY 13617 315.386.1156 x8310 Anne@cpnorthcountry.org Provider Int 3 Complete 2016/01/27 12:00:00 2016/01/27 12:00:00 2016/01/27 01:46:08 UV 2.16.840.1.113883.17.4120 mhhc Morris Hospital & Healthcare Centers Brenda Rittof masked Julie Brandt 150 W. High St. Morris, IL 60450 815-942-2932 masked Data Integration Specialist Morris Hospital & Healthcare Centers 150 W. High St. Morris, IL 60450 815-942-2932 jbrandt@morrishospital.org Exchange Int 17 Complete 2016/01/28 12:00:00 2016/01/29 12:00:00 2016/01/29 04:00:57 UV 2.16.840.1.113883.3.6551 pcsLebanon Pennsylvania Counseling Services, Inc. Jason Wright masked Jason Wright 200 N 7th Street Lebanon, PA 17046 717-350-3265 masked Director of Electronic Health Records Administration Pennsylvania Counseling Services, Inc. 200 N 7th Street Lebanon, PA 17046 717-272-1653 ehrsupport@pacounseling.com http://www.pacounseling.com Provider Int 3 Complete 2016/02/02 12:00:00 2016/02/03 12:00:00 2016/02/03 02:31:00 UV 2.16.840.1.113883.3.6552 footcaredoctors Dr. Jeffrey J. Betman, Podiatric Physician and Surgeon, PC OID Root Jeffrey Betman masked Jeffrey Betman 6039 W. Belmont Ave. Chicago, IL 60634 7737451919 masked Podiatric Physician/ Owner Dr. Jeffrey J. Betman, Podiatric Physician and Surgeon, PC 6039 W. Belmont Ave. Chicago, IL 60634 7737451919 mddpm2@aol.com https://footcaredoctors.com Provider Int 3 Complete 2016/02/02 12:00:00 2016/02/03 12:00:00 2016/02/03 02:37:15 UV 2.16.840.1.113883.3.6553 kent-rehab-hosp Kentfield Rehabilitation and Specialty Hospital Jonathan Cooper masked Kevin Peters 4550 Lena Drive Mechanicsburg, PA 17055 717-591-5788 masked Corporate HIE Manager Vibra Healthcare LLC 4550 Lena Drive Mechanicsburg, PA 17055 Corporate Headquarters 717-591-5700 info@kentfieldrehab.com http://www.kentfieldrehab.com/contact_us.aspx Provider Int 3 Complete 2016/02/02 12:00:00 2016/02/03 12:00:00 2016/04/14 10:05:53 US 2.16.840.1.113883.3.6554 pSSL Precision Surgical Specialists of Lowell, PC David Lin masked Susanne Anthony 21 Village Square Chelmsford, MA 01824 978-995-3292 masked Office Manager Precision Surgical Specialists of Lowell 21 Village Square Chelmsford, MA 01824 978-995-3292 office@sslsurgical.com http://www.sslsurgical.com Provider Int 3 Complete 2016/02/02 12:00:00 2016/02/03 12:00:00 2016/02/03 02:40:06 UV 2.16.840.1.113883.3.6555 flsoid FrontLine Service Eric Morse masked Eric Morse 1744 Payne Ave Cleveland, Ohio 44114 2166236555 masked COO FrontLine Service 1744 Payne Ave Cleveland, Ohio 44114 2166236555 eric.morse@frontlineservice.org https://frontlineservice.org Provider Int 3 Complete 2016/02/02 12:00:00 2016/02/03 12:00:00 2016/02/03 02:43:36 UV 2.16.840.1.113883.3.6556 press-ganey Press Ganey Associates Larry Carter masked Press Ganey Associates Larry Carter Press Ganey Associates 6810 Deerpath Road Elkridge, MD 21075 443.459.5157 masked IT Directory Press Ganey Associates Press Ganey Associates 6810 Deerpath Road Elkridge, MD 21075 443.459.5157 lcarter@pressganey.com http://www.pressganey.com Vendor Int 3 Complete 2016/02/02 12:00:00 2016/02/03 12:00:00 2016/02/03 02:44:56 UV 2.16.840.1.113883.3.6557 bermudahealthcare Bermuda Healthcare Services OID Root Mary Nell Goolsby masked Mary Nell Goolsby 19 The Lane Paget, PG05 Bermuda 441-236-2810 masked Chief Operating Officer Bermuda Healthcare Services 19 The Lane Paget, PG05 Bermuda 441-236-2810 mgoolsby@bhcs.bm http://www.bhcs.bm/ Provider Int 3 Complete 2016/02/02 12:00:00 2016/02/03 12:00:00 2016/02/03 02:46:28 UV 1.3.6.1.4.1.39469.99.1 nmrmc Neosho Memorial Regional Medical Center Gretchen Keller masked Gretchen Keller 629 S Plummer Chanute, KS 66720 620-432-5352 masked Dir IS/HIM Neosho Memorial Regional Medical Center 629 S Plummer PO Box 426 Chanute, KS 66720 620-431-4000 admin@nmrmc.com http://www.nmrmc.com Provider 1.3.6.1.4.1.39469.99.1 Ext 3 Complete 1.3.6.1.4.1.39469.99.1 2016/02/02 12:00:00 2016/02/03 12:00:00 2016/02/03 02:50:03 UV 2.16.840.1.113883.3.6558 iccare ICCARE George Bone masked George Bone 301-773-9700 masked ICCARE Suite 135 1100 Mercantile Lane Largo, MD 20774 301-773-9700 ihc.bone@gmail.com Provider Int 3 Complete 2016/02/03 12:00:00 2016/02/03 12:00:00 2016/02/03 02:52:32 UV 2.16.840.1.113883.3.6559 sheltering Sheltering Arms Children and Family Services Dawn Lewis masked Ester Lok Daw Lewis 305 7th Ave. Manhattan, NY 10001 2128865688 masked Chief Operating Officer Sheltering Arms Children and Family Services 305 7th Ave. Manhattan, NY 10001 2128865688 dlewis@shelteringarmsny.org http://shelteringarmsny.org/ Provider Int 3 Complete 2016/02/03 12:00:00 2016/02/03 12:00:00 2016/02/03 03:07:28 UV 2.16.840.1.113883.3.6560 visionplustukwila Vision Plus of Tukwila / Guo Eyecare, LLC Weiqun Guo masked Weiqun Guo 2065756166 masked OD Guo Eyecare, LLC 381 Strander Blvd Tukwila, WA 98188 2065756166 visionplustukwila@gmail.com http://www.visionplustukwila.com Provider Int 3 Complete 2016/02/03 12:00:00 2016/02/03 12:00:00 2016/02/03 03:11:50 UV 2.16.840.1.113883.3.6561 vbgodpc Vincent b Graniero. OD PC vincent graniero masked Vincent graniero 121 miracle mile drive Rochester, by. 14623 585-427-7960 masked President Vincent b Graniero. OD PC 121 miracle mile drive Rochester, by 14623 585-427-7960 Vrakb@aol.com Provider Int 3 Complete 2016/02/03 12:00:00 2016/02/03 12:00:00 2016/02/03 04:37:53 UV 2.16.840.1.113883.3.2402.200.6790 physicans-computer-company-clients-brevard Physician's Computer Company (PCC) Clients Pediatrics in Brevard Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6790 2016/02/03 12:00:00 2016/02/03 12:00:00 2016/02/03 10:24:05 UV 2.16.840.1.113883.3.2402.200.6872 physicans-computer-company-clients-tampeds Physician's Computer Company (PCC) Clients Tamalpais Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6872 2016/02/03 12:00:00 2016/02/03 12:00:00 2016/02/03 10:26:55 UV 2.16.840.1.113883.3.6562 completecarenj CompleteCare Health Network Dong Choo masked Dong Choo 53 S. Laurel St. 2nd Floor Bridgeton, NJ 08302 856-451-4700 ext. 2031 masked CompleteCare Health Network 53 S. Laurel St. 2nd Floor Bridgeton, NJ 08302 856-451-4700 dchoo@chcinj.org http://completecarenj.org Provider Int 3 Complete 2016/02/03 12:00:00 2016/02/04 12:00:00 2016/02/04 02:12:36 UV 2.16.840.1.113883.3.6563 scc-DSRIP Suffolk Care Collaborative Ned Micelli masked Ned J. Micelli Flowerfield Industrial Park Building 7, Suite 44 St. James, NY 11780-6060 16314446461 masked Sr Program Manager Suffolk Care Collaborative Office of Population Health Stony Brook Medicine Health Sciences Tower, Level 5, Room 058 Stony Brook, NY 11794-8520 (631) 638-2227 DSRIP@stonybrookmedicine.edu Provider Int 3 Complete 2016/02/04 12:00:00 2016/02/04 12:00:00 2016/02/04 02:14:01 UV 2.16.840.1.113883.3.6564 cares-chh Community Assistance Resources and Extended Services, Inc. (CARES) Beth Statfeld masked Beth Statfeld CARES Inc. 465 Grand Street 2nd floor New York, NY 10002 212-420-1970 ext. 102 masked CFO Community Assistance Resources and Extended Services, Inc. (CARES) 465 Grand Street 2nd floor New York, NY 10002 212-420-1970 ext. 125 sstatfeld@caresnyc.org Provider Int 3 Complete 2016/02/04 12:00:00 2016/02/04 12:00:00 2016/02/04 02:23:29 UV 2.16.840.1.113883.3.6565 healthmedx-vision HealthMEDX Vision Ty Doverspike masked T.K. King (417)799-3060 masked HealthMEDX Vision 5100 N. Towne Centre Drive Ozark, MO 65721 (417)799-3060 tk.king@healthmedx.com http://www.healthmedx.com Vendor Int 3 Complete 2016/02/04 12:00:00 2016/02/04 12:00:00 2016/02/04 07:09:15 UV 2.16.840.1.113883.3.6565.18349 healthmedx-exchange-18349 HealthMEDX Exchange 18349 Ty Doverspike masked Ty Doverspike (417)799-6732 masked Vision Exchange 18349 ty.doverspike@healthmedx.com Vendor 2.16.840.1.113883.3.6565 Ext 17 Complete 2.16.840.1.113883.3.6565.18349 2016/02/04 12:00:00 2016/02/04 12:00:00 2016/02/04 07:11:38 US 2.16.840.1.113883.3.6566 ppla Planned Parenthood Los Angeles Roman Sicat masked Glenn Requierme Roman Sicat 400 W 30th Street Los Angeles, CA 90007 213-342-9094 masked Sr Database Administrator/Developer Planned Parenthood Los Angeles 400 W 30th Street Los Angeles, CA 90007 213-284-3200 glenn.requierme@pp-la.org Provider Int 3 Complete 2016/02/05 12:00:00 2016/02/05 12:00:00 2016/02/05 01:26:59 UV 2.16.840.1.113883.3.6567 sfpp South Florida Pediatric Partners Javier Alfonso masked Javier Alfonso 14400 NW 77TH CT, UNIT 102, Hialeah, FL 33016 (305) 878 7091 masked EMR Workflow Coordinator South Florida Pediatric Partners 7800 SW 87TH Ave Unit 350, Miami, FL, 33173 (954) 731-9676 jalfonso@sflpeds.com http://www.sflpp.com/ Provider Int 3 Complete 2016/02/08 12:00:00 2016/02/09 12:00:00 2016/02/09 03:37:23 UV 2.16.840.1.113883.3.6568 hpchc High Plains Community Health Center Shae Emick masked shae Emick 201 Kendall Drive Lamar, CO 81052 719-336-0261 masked VP of Operations High Plains Community Health Center 201 Kendall Drive Lamar, CO 81052 719-336-0261 shae.emick@highplainschc.net http://www.highplainschc.net Provider Int 3 Complete 2016/02/08 12:00:00 2016/02/09 12:00:00 2016/02/09 03:39:31 UV 2.16.840.1.113883.3.6569 hhKO-01 Kids Oneida, Inc. Brittany Bono masked Steven Bulger 310 Main Street Utica, NY 13501 315-731-2603 masked CEO/Executive Director Kids Oneida, Inc. 310 Main Street Utica, NY 13501 315-731-2603 sbulger@kidsoneida.org Provider Int 3 Complete 2016/02/09 12:00:00 2016/02/09 12:00:00 2016/02/09 03:41:36 UV 2.16.840.1.113883.17.4121 lssny Lutheran Social Services of New York Thomas Dewar masked Thomas Dewar 475 Riverside Drive, Suite 1244 New York, NY 10115 2128701116 masked Executive Director of Information Technology Lutheran Social Services of New York 475 Riverside Drive, Suite 1244 New York, NY 10115 2128701100 tdewar@lssny.org http://www.lssny.org Provider Int 17 Complete 2016/02/09 12:00:00 2016/02/09 12:00:00 2016/02/09 03:49:59 UV 2.16.840.1.113883.3.6570 tgcw The Guidance Center of Westchester Bart Worden masked Amy Gelles The Guidance Center of Westchester 256 Washington Street Mount Vernon, NY 10053 347-386-0790 masked Executive Director The Guidance Center of Westchester 256 Washington Street Mount Vernon, NY 10553 914-613-0700 agelles@theguidancecenter.org http://www.theguidancecenter.org/ Provider Int 3 Complete 2016/02/09 12:00:00 2016/02/09 12:00:00 2016/02/09 04:14:05 UV 2.16.840.1.113883.3.6571 westsidemedicine Westside Medicine and Cardiology OID Root Mark Glorius masked Mark Glorius 30701 Lorain Road Suite A North Olmsted, Ohio 44040 440-274-5000 masked Information Systems Westside Medicine and Cardiology 29099 Health Campus Drive Westlake, Ohio 44145 440-925-7000 westsidemed.card@hotmail.com http://www.westsidemedcardiology.com/ Provider Int 3 Complete 2016/02/10 12:00:00 2016/02/11 12:00:00 2016/02/11 03:45:05 UV 2.16.840.1.113883.3.6572 aac-mer Advocate Accountable Care - Medicaid - Meridian Patrick Connolly masked Patrick Connolly 847.390.3515 masked Advocate Physician Partners 1701 W Golf Road Suite 2-1100 Rolling Meadows, IL 60008 847.390.3515 patrick.connolly@advocatehealth.com Provider Int 3 Complete 2016/02/10 12:00:00 2016/02/11 12:00:00 2016/02/11 03:47:25 UV 2.16.840.1.113883.3.6573 wtfm West Texas Family Medicine Justin Januta masked Justin Januta 1806 Quincy Plainview, TX 79072 806-288-7891 masked IT West Texas Family Medicine 1806 Quincy Plainview, TX 79072 806-288-7891 admin@westtxfamilymed.com Provider Int 3 Complete 2016/02/11 12:00:00 2016/02/11 12:00:00 2016/02/11 03:51:34 UV 2.16.840.1.113883.3.6574 samg South Alamo Medical Group Root Robert Ross masked Robert D Ross 7355 Barlite Blvd #405 San Antonio, TX 78224 2102220333 masked IT Director/Health Information Manager South Alamo Medical Group 740 S Alamo St San Antonio, TX 78205 2102220333 itsupport@samedgrp.com http://www.samedgrp.com Provider Int 3 Complete 2016/02/11 12:00:00 2016/02/11 12:00:00 2016/02/11 03:54:11 UV 2.16.840.1.113883.3.6575 fpn Fauquier Physicians Network Keith Swanson masked Keith Swanson 493 Blackwell Rd. Suite 202 Warrenton, VA 20186 5403411718 masked IT Manager Fauquier Physicians Network 493 Blackwell Rd. Suite 202 Warrenton, VA 20186 5403411718 kswanson@ppcdocs.com http://piedmontdocs.com/ Prof Soc Int 3 Complete 2016/02/11 12:00:00 2016/02/11 12:00:00 2016/02/11 03:59:02 UV 2.16.840.1.113883.3.6576 lp Lowry Pediatrics, PC Jolene Sutcliffe masked Jolene Sutcliffe 8190 E 1st Ave #100 Denver, CO 80230 720-859-8222 masked Business Manager Lowry Pediatrics, PC 8190 E 1st Ave #100 Denver, CO 80230 720-859-8222 jolene.lowrypeds@outlook.com http://lowrypediatrics.com Provider Int 3 Complete 2016/02/11 12:00:00 2016/02/11 12:00:00 2016/02/11 04:00:51 UV 2.16.840.1.113883.17.4122 sco SCO Family of Services Stephen Mack masked Joseph Fatuzzo 1 Alexander Pl Glen Cove, NY 11542 516-953-1888 masked CIO SCO Family of Services 1 Alexander Pl Glen Cove, NY 11542 516-671-1253 jfatuzzo@sco.org http://sco.org Provider Int 17 Complete 2016/02/11 12:00:00 2016/02/11 12:00:00 2016/02/11 04:08:39 UV 2.16.840.1.113883.3.6577 hcmhin Henry County Memorial Hospital Robert Spencer masked Robert Michael Spencer 1000 N 16th ST New Castle, IN 47362 7655211395 masked CIO Henry County Memorial Hospital 1000 N 16th ST New Castle, IN 47362 765 521 0890 INFO@HCMHCARES.ORG Provider Int 3 Complete 2016/02/11 12:00:00 2016/02/11 12:00:00 2016/02/11 04:10:37 UV 2.16.840.1.113883.3.6578 tflsc The Foot & Leg Specialty Center Rita Briggs masked Rita Briggs 6543 Madison St New Port Richey, Fl 34652 727-842-9504 masked General manager The Foot & Leg Specialty Center 6543 Madison St New Port Richey,, Fl 34652 727-842-9504 Footleg@Marlowe.net https://footlegspecialtycenter.com Provider Int 3 Complete 2016/02/11 12:00:00 2016/02/11 12:00:00 2016/02/11 06:01:42 UV 2.16.840.1.113883.3.6579 mdpgh Martin de Porres Group Homes Eon Parks masked Eon Parks 218 -24 136 Avenue Springfield Gardens, NY 11413 718-527-0606 masked Executive Director Martin de Porres Group Homes 218 -24 136 Avenue Springfield Gardens, NY 11413 718-527-0606 eparks@mdpgh.org Provider Int 3 Complete 2016/02/11 12:00:00 2016/02/11 12:00:00 2016/02/11 06:05:26 UV 2.16.840.1.113883.3.6580 mhpwq Mental Health Providers of Western Queens, Inc. James McQuade masked Elena Hatzakos 61-20 Woodside Avenue, Lower Level Woodside, NY 11377 718-392-3516 masked Program Director Mental Health Providers of Western Queens, Inc. 41-20 Woodside Avenue Woodside, NY 11377 718-476-0076 ehatzakos@wqcm.org Provider Int 3 Complete 2016/02/12 12:00:00 2016/02/12 12:00:00 2016/02/12 03:15:03 UV 2.16.840.1.113883.17.4123 littleflower Little Flower Children and Family Services of NY Michelle Amato masked Michelle Amato 2450 North Wading River Road Wading River, NY 11792 631-761-6700 ext 1903 masked Administrative Director Little Flower Children and Family Services of NY 2450 North Wading River Road Wading River, NY 11792 631-929-6200 info@lfchild.org https://www.littleflowerny.org Provider Int 17 Complete 2016/02/12 12:00:00 2016/02/12 12:00:00 2016/02/12 03:46:14 UV 2.16.840.1.113883.3.6581 sir Society of Interventional Radiology Tresha Russell masked Rebecca Swain-Eng Rebecca Swain-Eng 13480 Havelock Trl Apple Valley, MN 55124 952-686-1510 masked Society of Interventional Radiology 3975 Fair Ridge Dr. Suite 400N Fairfax, VA 22033 7034605576 trussell@sirweb.org https://sirweb.org Prof Soc Int 9 3 Complete 2016/02/12 12:00:00 2016/02/12 12:00:00 2016/02/12 03:17:08 UV 2.16.840.1.113883.3.6582 akronambulatoryfoot Akron Ambulatory Foot Surgeons OID Root Jill May masked JILL MAY 335 E WATERLOO RD AKRON, OHIO 44319-1218 330-724-8689 masked Office Manager Akron Ambulatory Foot Surgeons, Inc 335 E Waterloo Rd Akron, Ohio 44319-1218 330-724-8689 jtabor7064@aol.com Provider Int 3 Complete 2016/02/12 12:00:00 2016/02/12 12:00:00 2016/02/12 03:20:25 UV 2.16.840.1.113883.17.4124 casny The Children's Aid Society John Varadi masked John Varadi 150 East 45th Street, Suite 221 New York, NY 10017 212-949-2764 masked EHR Application Analyst/Developer The Children's Aid Society 711 Third Avenue, Suite 700 New York, NY 10017 212-949-4800 jvaradi@childrensaidsociety.org http://www.childrensaidsociety.org Provider Int 17 Complete 2016/02/12 12:00:00 2016/02/12 12:00:00 2016/02/12 03:48:21 UV 2.16.840.1.113883.3.6583 kadinfootctr Kadin Foot Center OID Root Lynn Bankert masked Lynn Bankert 8008 Route 130, Suite 310 Delran, NJ 08075 856-393-8771 masked Office Manager Kadin Foot & Ankle Center 8008 Route 130, Suite 310 Delran, NJ 08075 856-393-8771 info@kadinfootandankle.com https://www.kadinfootandankle.com Provider Int 3 Complete 2016/02/12 12:00:00 2016/02/12 12:00:00 2016/02/12 03:27:08 UV 2.16.840.1.113883.3.6584 rgh RIo Grande Hospital Arlene Harms masked Arlene Harms 310 County Rd. 14 Del Norte, CO 81132 719-657-4104 masked CEO Rio Grande Hospital 310 County Rd. 14 Del Norte, CO 81132 719-657-2510 arleneh@riograndehospital.net https://www.rio-grande-hospital.org Provider Int 3 Complete 2016/02/12 12:00:00 2016/02/12 12:00:00 2016/02/12 03:33:56 UV 2.16.840.1.113883.17.4125 mf MercyFirst Gerard Mccaffery masked Achim Kretschmer 525 Convent Road Syosset, NY 11791 516-921-0808 masked Chief Technology Officer MercyFirst 525 Convent Road Syosset, NY 11791 516-921-0808 akretschmer@mercyfirst.org http://www.mercyfirst.org Provider Int 17 Complete 2016/02/12 12:00:00 2016/02/12 12:00:00 2016/02/12 07:50:14 UV 2.16.840.1.113883.17.4126 abbotthouse Abbott House Bridget Carter masked James Kaufman, CEO James Kaufman 100 N. Broadway Irvington, NY 10533 914-591-7300 ext 3100 masked President & CEO Abbott House 100 N Broadway Irvington, NY 10533 914-591-7300 ext 3100 jkaufman@abbotthouse.net http://abbotthouse.net Provider Int 17 Complete 2016/02/12 12:00:00 2016/02/12 12:00:00 2016/02/16 10:36:49 UV 2.16.840.1.113883.3.6585 intelichart InteliChart LLC. Derek Heasley masked Chris Boston Christopher Boston 1061 Red Ventures Dr Suite 130 Fort Mill, SC 29707 704 347 0661 masked InteliChart 1061 Red Ventures Dr Suite 130 Fort Mill, SC 29707 704 947 0661 support@intelichart.com http://www.intelichart.com Vendor Int 3 Complete 2016/02/15 12:00:00 2016/02/16 12:00:00 2016/02/16 05:11:55 UV 2.16.840.1.113883.3.6586 sjcbvillegastro SJC SC Bartlesville Gastroenterology Kelli Johnson masked Kelli Johnson 1923 S Utica Tulsa, OK 74104 918-748-1305 masked Data Analyst SJC SC Bartlesville Gastroenterology 3400 SE Frank Phillips Blvd, Suite 700 Bartlesville, OK 74006 918-333-7172 ahisha.peters@sjmc.org Provider Int 3 Complete 2016/02/16 12:00:00 2016/02/16 12:00:00 2016/02/16 05:14:36 UV 2.16.840.1.113883.17.4127 sscf Seamen's Society for Children and Families William Sabado masked William P. Sabado 50 Bay Street Staten Island, NY 10301 718-447-7740 masked President/CEO Seamen's Society for Children and Families 50 Bay Street Staten Island, NY 10301 718-447-7740 WilliamS@roots-wings.org http://www.seamenssociety.org Provider Int 17 Complete 2016/02/16 12:00:00 2016/02/16 12:00:00 2016/02/16 05:23:24 UV 2.16.840.1.113883.17.4128 hfy Hope For Youth David Hegarty masked Michael LaDisa Michael LaDisa 201 Dixon Ave Amityville, NY 11701 631-782-6502 masked Deputy Executive Director/COO Hope For Youth 201 Dixon Ave Amityville, NY 11701 631-782-6502 ladisam@hfyny.org http://www.hfyny.org Provider Int 17 Complete 2016/02/16 12:00:00 2016/02/16 12:00:00 2016/02/16 05:38:46 UV 2.16.840.1.113883.3.6587 hwl-07-FL Billy K Yeh MD LLC and FL Blue Dacier Iglesias masked Dacier Iglesias 7990 SW 117 Avenue Suite 202, Miami, FL 33183 3052000399 masked Systems Analyst Billy K Yeh MD LLC 7990 SW 117 Avenue Suite 202, Miami, FL 33183 3052000399 diglesias@heartwell.com Provider Int 3 Complete 2016/02/16 12:00:00 2016/02/16 12:00:00 2016/02/16 05:16:36 UV 2.16.840.1.113883.3.6588 dSFHS Dominican Sisters Family Health Service OID John Salandra masked Rose Scanga 299 North Highland Ossining NY 10562 914-941-1710 Ext 1107 masked Exec Administrative Assistant Dominican Sisters Family Health Service Inc. 299 North Highland Avenue Ossining NY 10562 914-941-1710 Ext 1107 rscanga@dsfhs.org http://DSFHS.ORG Provider Int 3 Complete 2016/02/17 12:00:00 2016/02/17 12:00:00 2016/02/17 09:17:37 UV 2.16.840.1.113883.17.4129 leakeandwatts Leake And Watts Services, Inc. Sasha Hill masked Sasha Hill 463 Hawthorne Ave Yonkers, NY, 10705 914-375-8604 masked Network Administrator Leake And Watts Services, Inc. 463 Hawthorne Ave Yonkers, NY, 10705 914-375-8708 BConway@LeakeAndWatts.Org http://www.leakeandwatts.org/ Provider Int 17 Complete 2016/02/17 12:00:00 2016/02/17 12:00:00 2016/02/17 02:50:36 UV 2.16.840.1.113883.17.4130 stjohnsresidence st johns residence for boys inc Alissa Deakin masked Alissa Deakin 150 Beach 110th Street Rockaway Park, NY 11694 718-945-2800 masked Executive Director St. John's Residence for Boys, Inc. 150 Beach 110th Street Rockaway Park, NY 11694 718-945-2800 Alissa.deakin@dfa.state.ny.us https://stjohnsresidence.org Provider Int 17 Complete 2016/02/17 12:00:00 2016/02/17 12:00:00 2016/02/17 02:53:53 UV 2.16.840.1.113883.3.6589 lbhqd Lightbeam Health Quality Development James FOX masked James Fox 9728317270 masked BI Developer Lightbeam Health Solutions 222 w Las Colinas blvd. suite 2200N Irving, TX, 75039 972.831.7270 jfox@lightbeamhealth.com http://www.lightbeamhealth.com Vendor Int 3 Complete 2016/02/17 12:00:00 2016/02/17 12:00:00 2016/02/17 02:56:52 UV 2.16.840.1.113883.17.4131 goodshepherd Good Shepherd Services Joan SIegel masked Joan Siegel 305 Seventh Avenue, 5th floor New York, NY 10001 212-243-7070 masked Senior Division Director, Integrated Health Services Good Shepherd Services 305 Seventh Avenue, 9th floor New York, NY 10001 212-243-7070 info@goodshepherds.org http://www.goodshepherds.org Provider Int 17 Complete 2016/02/17 12:00:00 2016/02/17 12:00:00 2016/02/17 10:37:12 UV 2.16.840.1.113883.3.6590 mcdh Mendocino Coast District Hospital Scott Mix masked Scott Mix 700 River Drive Fort Bragg, CA 95437 707-961-4923 masked Programmer/Analyste Mendocino Coast District Hospital 700 River Drive Fort Bragg, CA 95437 jfox@mcdh.net http://www.mcdh.org Provider Int 3 Complete 2016/02/17 12:00:00 2016/02/17 12:00:00 2016/02/17 10:40:40 UV 2.16.840.1.113883.17.4132 egscf Edwin Gould Services for Children and Families Abu Taher masked Keith Little Abu Taher 151 Lawrence Street (5th Floor) Brooklyn, NY 11201 212-437-3579 masked Director Of Information Technology Edwin Gould Services for Children and Families 151 Lawrence Street (5th Floor) Brooklyn, NY 11201 212-437-3500 ataher@egscf.org http://www.egscf.org Provider Int 17 Complete 2016/02/17 12:00:00 2016/02/17 12:00:00 2016/02/17 11:13:43 UV 2.16.840.1.113883.4.867 universitysettlement University Settlement Society of New York Mary Adams masked Melissa Aase Mary Adams 212-453-4505 masked Managing Director of Mental Health and Wellness University Settlement 184 Eldridge Street New York, NY 10002 212453-4555 maase@universitysettlement.org https://universitysettlement.org Provider Int 3 Complete 2016/02/18 12:00:00 2016/02/18 12:00:00 2016/02/18 03:22:02 UV 2.16.840.1.113883.3.6591 seacortho Seacoast Orthopedic Associates, Inc. Sandra Gordon masked Sandra Gordon 21 Highland Ave Suite 16 Newburyport, MA 01950 978-499-4254 masked Office Manager Seacoast Orthopedic Associates, Inc. 21 Highland Ave Suite 16 Newburyport, MA 01950 978-499-4254 sgordon@seacoastorthopedics.com http://www.seacoastorthopedics.com Provider Int 3 Complete 2016/02/18 12:00:00 2016/02/18 12:00:00 2016/02/18 12:18:11 UV 2.16.840.1.113883.17.4133 cgs1011 Catholic Guardian Services Gary Carter masked Gary Carter Catholic Guardian Services 1011 First Avenue New York, NY 10022 212-371-1011 masked Assistant Executive Directoe Catholic Guardian Services 1011 First Avenue New York, NY 10022 212-371-1011 gcarter@catholicguardian.org http://www.catholicguardian.org Provider Int 17 Complete 2016/02/18 12:00:00 2016/02/18 12:00:00 2016/02/18 12:22:55 UV 2.16.840.1.113883.17.4134 nAFI-NY North American Family Institute Yvette Christofilis masked Yvette Christofilis 85 Executive Blvd. Upper Level Elmsford, NY 10523 914-355-7412 masked Director of Operations North American Family Institute 85 Executive Blvd. Upper Level Elmsford, NY 10523 914-355-7412 yvettechristofilis@nafi.com http://nafiny.org Provider Int 17 Complete 2016/02/18 12:00:00 2016/02/18 12:00:00 2016/02/18 11:35:44 UV 2.16.840.1.113883.3.6592 ff-hc Family Foot Health Center, PC Susan Lesser masked Susan Lesser 732-370-1100 masked Practice Manager Family Foot Health Center, PC 4527 US Highway 9 Howell, NJ 07731 732-370-1100 ffhc@verizon.net Provider Int 3 Complete 2016/02/18 12:00:00 2016/02/18 12:00:00 2016/02/18 11:41:43 UV 2.16.840.1.113883.3.6593 aaskc ALLERGY AND ASTHMA SPECIALISTS OF KANSAS CITY Karie Samples masked KARIE SAMPLES 6000 n. oak trafficway Suite 102 Gladstone, MO 64118 816 4537771 masked PRACTICE MANAGER ALLERGY AND ASTHMA SPECIALISTS OF KANSAS CITY 6000 n. oak trafficway suite 102 Gladstone, MO 64118 816 453 7771 kariesamples@hotmail.com Provider Int 3 Complete 2016/02/18 12:00:00 2016/02/18 12:00:00 2016/02/18 11:47:05 UV 2.16.840.1.113883.3.6594 nyfoid The New York Foundling Sylvia Rowlands masked Eric Alter 3300 Northern Boulevard Long Island City, NY 11101 212-660-1320 masked The New York Foundling 3300 Northern Boulevard Long Island City, NY 11101 212-633-9300 eric.alter@nyfoundling.org https://www.nyfoundling.org Provider Int 3 Complete 2016/02/19 12:00:00 2016/02/19 12:00:00 2016/02/19 11:49:24 UV 2.16.840.1.113883.3.6595 cv1851 The Children's Village Lia Schwartz masked David Collins Lia Schwartz 1 Echo Hills Dobbs Ferry, NY 10522 9146930600 x1819 masked Chief of Staff The Children's Village 1 Echo Hills Dobbs Ferry, NY 10522 9146930600 x1591 dcollins@childrensvillage.org Provider Int 3 Complete 2016/02/22 12:00:00 2016/02/22 12:00:00 2016/02/22 04:43:10 UV 2.16.840.1.113883.17.4135 forestdale Forestdale, Inc. Marlene Pressner masked Marlene Pressner 67-35 112th Street Forest Hills, NY 11375 718-263-0740 x 302 masked Director, Quality and Performance Management Forestdale, Inc. 67-35 112th Street Forest Hills, NY 11375 718-263-0740 x 302 mpressner@forestdaleinc.org http://www.forestdaleinc.org Provider Int 17 Complete 2016/02/22 12:00:00 2016/02/22 12:00:00 2016/02/22 04:46:18 UV 2.16.840.1.113883.3.6596 mlkch Martin Luther King Jr. Community Hospital James Arric masked James Arric 4243388080 masked Martin Luther King Jr. Community Hospital 1680 E. 120th Street Los Angeles, CA 90059 4243388000 itlicenses@mlkch.org Prof Soc Int 3 Complete 2016/02/22 12:00:00 2016/02/22 12:00:00 2016/02/22 04:51:41 UV 2.16.840.1.113883.3.6597 rsbrg Dr. Suzanne Rosenberg Suzanne Rosenberg masked Suzanne Rosenberg, MD 303-881-3739 masked Suzanne Rosenberg, MD 1601 East 19th Avenue, suite 4600 Denver, CO 80218 3038813739 dr.suzanne.rosenberg@gmail.com Provider Int 3 Complete 2016/02/22 12:00:00 2016/02/22 12:00:00 2016/02/22 04:54:01 UV 2.16.840.1.113883.3.6598 bluestrataehr BlueStrata EHR Robert Clark masked Robert Clark 11477 Olde Cabin Road Suite 450 St. Louis, MO 63141 314-480-5633 masked BlueStrata EHR 11477 Olde Cabin Road Suite 450 St. Louis, MO 63141 314-480-5633 robc@bluestrataemr.com Vendor Int 3 Complete 2016/02/22 12:00:00 2016/02/22 12:00:00 2016/02/22 04:55:19 UV 2.16.840.1.113883.3.6599 surgicalgroup The Surgical Group of Naples OID Root Mary Boedeker masked Mary Boedeker 2335 Tamiami Trail N. Ste 501 Naples, FL 34103 239-263-0011 masked Practice Manager The Surgical Group of Naples 2335 Tamiami Trail N. Ste 501 Naples, FL 34103 239-263-0011 mary.boedeker@21co.com Provider Int 3 Complete 2016/02/22 12:00:00 2016/02/22 12:00:00 2016/02/22 04:58:55 UV 2.16.840.1.113883.3.6600 hIfootandAnkle Hawaii Foot and Ankle Associates OID Root Joanne Chun masked Joanne Chun 98-1079 Moanalua Road Suite 400 Aiea, HI 96701 8084888101 masked Office Admin Hawaii Foot and Ankle Associates LLC 98-1079 Moanalua Rd, Ste 400 Aiea, HI 96701 8084888101 chunpodiatry@aol.com Provider Int 3 Complete 2016/02/22 12:00:00 2016/02/22 12:00:00 2016/02/22 05:07:33 UV 2.16.840.1.113883.3.6601 bRMCMS BRMC Medical Specialists OID root Carla Edington masked Carla Edington 628 Hospital Drive, Suite G/A Mountain Home, AR 72653 870-425-4402 masked Practice Manager BRMC Medical Specialists 628 Hospital Drive, Suite G/A Mountain Home, AR 72653 870-425-4402 cedington@baxterregional.org Provider Int 3 Complete 2016/02/22 12:00:00 2016/02/22 12:00:00 2016/02/22 05:09:10 UV 2.16.840.1.113883.17.4136 stchrisinc St. Christopher's Inc. Dara Caputo masked Dara Caputo 71 South Broadway Dobbs Ferry, NY 10522 914-693-3030 masked Dir. of Clinical Administration and External Affairs St. Christopher's Inc. 71 South Broadway Dobbs Ferry, NY 10522 914-693-3030 dcaputo@sc1881.org https://stchristophersinc.com Provider Int 17 Complete 2016/02/23 12:00:00 2016/02/23 12:00:00 2016/02/23 07:37:52 UV 2.16.840.1.113883.3.6602 unitedmedicalcenter United Medical Center OID Root Anthony Donfor masked Anthony Donfor 1310 Southern Avenue S.E. Washington, D.C. 20032 202-574-6844 masked IT Director United Medical Center 1310 Southern Avenue S.E. Washington, D.C. 20032 202-574-6000 jakintewe@united-medicalcenter.com http://www.united-medicalcenter.com Provider Int 3 Complete 2016/02/23 12:00:00 2016/02/23 12:00:00 2017/11/20 04:17:32 UV 2.16.840.1.113883.6.301.6 nubc-ValueCode-cs NUBC Value Codes and Amounts for UB-04 William Ted Klein masked Mary Kay McDaniel Mary Kay McDaniel 8200 Greensboro Drive Suite 1200 McLean, VA 22102 +1 602 300 4246 masked HL7 FM Vocabulary Facilitator National Uniform Billing Committee (NUBC) George Arges Chair, National Uniform Billing Committee Senior Director - Health Data Management Group American Hospital Association 155 N. Wacker Drive, Suite 400 Chicago, IL 60606-1725 +1 312 422 3398 garges@aha.org http://www.nubc.org/become.html Prof Soc Ext 6 Complete 2.16.840.1.113883.6.301.6 2016/02/23 12:00:00 2016/02/23 12:00:00 2016/02/23 12:08:18 HL70153 US 2.16.840.1.113883.3.6603 brycebesethmd Bryce D Beseth, M.D. OID ROOT Gay Beseth masked Gay M Beseth 510 N 13th Ave, Ste 204 Upland, CA 91786 (909)920-0525 masked CFO Bryce D Beseth, MD 510 N 13th Ave, Ste 204 Upland, CA 91786 (909) 920-0525 gmnakahara@gmail.com Provider Int 3 Complete 2016/02/23 12:00:00 2016/02/23 12:00:00 2016/02/23 07:41:31 UV 2.16.840.1.113883.3.6604 avcmha-oid AuSable Valley Community Mental Health Authority Fred Overholt masked Fred Overholt 1199 Harris, Tawas City, MI 48763 989-362-8636 masked CIO AuSable Valley Community Mental Health Authority 1199 Harris, Tawas City, MI 48763 989-362-8636 fred.overholt@avcmh.org http://www.avcmh.org Provider Int 3 Complete 2016/02/23 12:00:00 2016/02/23 12:00:00 2016/02/23 07:45:58 UV 2.16.840.1.113883.17.4137 gsmg Good Shepherd Medical Group Rob Rizk masked Nell Roberts Rob Rizk 610 NW 11th Street Hermiston, or 97838 541 667-3559 masked Director, Information Technology Good Shepherd Health Care System 610 NW 11th Street Hermiston, or 97838 541 667-3567 nrober@gshealth.org http://www.gshealth.org Provider 2.16.840.1.113883.3.2424 Int 17 Complete 2016/02/23 12:00:00 2016/02/23 12:00:00 2016/02/23 07:52:23 UV 2.16.840.1.113883.3.6605 aC760 Argus Community, Inc. Daniel Lowy masked Daniel Lowy 760 East 160th Street, Bronx, NY 10456 718-401-5650 masked Senior Vice President Argus Community, Inc. 760 East 160th Street, Bronx, NY 10456 718-401-5700 dlowy@arguscommunity.org http://www.arguscommunity.org/ Provider Int 3 Complete 2016/02/23 12:00:00 2016/02/23 12:00:00 2016/02/23 07:48:28 UV 2.16.840.1.113883.3.6606 fischer Jeffrey A Fischer DPM Jeffrey Fischer masked Jeffrey A Fischer 9226 W Burleigh St. Milwaukee, WI 53222 4144493338 masked Jeffrey A Fischer DPM 9226 W Burleigh St. Milwaukee WI 53222 4144493338 jfishstore@hotmail.com Provider Int 3 Complete 2016/02/23 12:00:00 2016/02/23 12:00:00 2016/02/23 11:05:45 UV 2.16.840.1.113883.9.207 bcmhospital Bates County Memorial Hospital Marcia Cook masked Marcia Cook 615 W Nursery St PO Box 370 Butler, MO 64730 660-200-7117 masked CIO Bates County Memorial Hospital 615 W Nursery St PO Box 370 Butler, MO 64730 660-200-7117 mcook@bcmhospital.com http://bcmhospital.com Provider Int 3 Complete 2016/02/24 12:00:00 2019/11/30 12:00:00 2019/11/30 05:13:38 UV 2.16.840.1.113883.9.208 bcmhfcc Participation in Cancer Registry Marcia Cook masked Marcia Cook 615 W Nursery St PO Box 370 Butler, MO 64730 660-200-7117 masked CIO Marcia Cook 615 W Nursery St PO Box 370 Butler, MO 64730 660-200-7117 mcook@bcmhospital.com http://bcmhospital.com Provider Int 9 Pending 2016/02/24 12:00:00 2016/02/24 09:14:23 UV 2.16.840.1.113883.3.6607 bw-1 BronxWorks, Inc. Jonathan Morgenstern masked Jonathan Morgenstern (718) 508-3160 masked BronxWorks, Inc. 1130 Grand Concourse Bronx, NY 11456 (718) 508-3160 jmorgenstern@bronxworks.org http://bronxworks.org/ Provider Int 3 Complete 2016/02/24 12:00:00 2016/02/24 12:00:00 2016/02/24 12:59:38 UV 2.16.840.1.113883.3.6608 tanner-clinic Tanner Clinic Michael Millerberg masked Michel Millerberg 801-525-8770 masked Director - Information Services Tanner Clinic 2121 N 1700 W Layton, UT 84041 801-773-4840 mike.millerberg@tannerclinic.com Provider Int 3 Complete 2016/02/24 12:00:00 2016/02/24 12:00:00 2016/02/24 01:00:56 UV 2.16.840.1.113883.3.3198.100.40 empi IBM Infosphere MDM Laura Wilson masked Laura Wilson 770-812-9791 masked Director, Enterprise Applications Tanner Medical Center, Inc. 705 Dixie Street Carrollton, GA 30117 lwilson@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 Complete 2.16.840.1.113883.3.3198.100.40 2016/02/25 12:00:00 2016/02/25 12:00:00 2016/02/25 04:44:56 UV 2.16.840.1.113883.17.4138 chdfs CHDFS, Inc. Julio Barros masked Julio E. Barros 307 West 38th Street, Suite 817, New York, NY 10018 212-695-4562 masked CEO/Founder CHDFS, Inc. 307 West 38th Street, Suite 817, New York, NY 10018 212-695-4564 info@chdfs.org http://www.chdfs.org Provider Int 17 Complete 2016/02/25 12:00:00 2016/02/25 12:00:00 2016/02/25 04:52:56 UV 2.16.840.1.113883.3.6609 bbecmcf Bay Bluffs - Emmet County Medical Care Facility Ed Worthington masked Ed Worthington 231-421-8505 masked IT Director Bay Bluffs - Emmet County Medical Care Facility 750 East Main Street, Harbor Springs, Michigan 49740 eworthington@npoinc.org Provider Int 3 Complete 2016/02/25 12:00:00 2016/02/25 12:00:00 2016/02/25 04:49:20 UV 2.16.840.1.113883.3.6610 pSL Presbyterian Senior Living Brian Stever masked bstever@psl.org Brian Stever Presbyterian Senior Living One Trinity Drive East, Suite 201 Dillsburg, PA 17019 717-502-8895 masked Director of Health Informatics Presbyterian Senior Living One Trinity Drive East, Suite 201 Dillsburg, PA 17019 717-502-8895 bstever@psl.org http://www.presbyterianseniorliving.org/ Provider Int 3 Complete 2016/02/26 12:00:00 2016/02/26 12:00:00 2016/02/26 04:30:03 UV 2.16.840.1.113883.9.209 scha Stephens County Hospital Authority Jeff Laird masked Jeffrey Laird 163 Hospital Drive Toccoa, GA 30577 706-282-4281 masked Controller Stephens County Hospital Authority 163 Hospital Drive Toccoa, GA 30577 7062824281 jlaird@stephenscountyhospital.com https://www.stephenscountyhospital.com Provider Int 3 Complete 2016/02/26 12:00:00 2016/02/26 12:00:00 2016/02/26 08:45:44 UV 2.16.840.1.113883.17.4139 saado Dr. Walid Saado M.D. Walid Saado masked Walid Saado 5476 Clintwood Hwy Clintwood, VA 24228-1929 (276) 926-5511 masked MD Dr. Walid Saado M.D. 5476 Clintwood Hwy Clintwood, VA 24228-1929 (276) 926-5511 wsaado@aol.com http://health-beauty-clinic.com Provider Int 17 Complete 2016/02/26 12:00:00 2016/02/26 12:00:00 2016/02/26 08:36:26 UV 2.16.840.1.113883.3.6611 upstatepodiatrygroup Upstate Podiatry Group, PA Stephanie Thomas masked Stephanie THomas 114B Hospital Drive Simpsonville, SC 29681 864-399-9070 masked Office Manager Upstate Podiatry Group, PA 114B Hospital Drive Simpsonville, SC 29681 864-399-9070 stephanie.upstatepodiatry@gmail.com Provider Int 3 Complete 2016/02/29 12:00:00 2016/02/29 12:00:00 2016/02/29 06:43:32 UV 2.16.840.1.113883.3.6612 rpks Republic County Hospital Barry Bottger masked Barry Bottger 2420 G Street Belleville KS, 66935 785-527-2254 masked CFO Republic County Hospital 2420 G Street Belleville, KS 66935 785-527-2254 bbottger@rphospital.org Provider Int 3 Complete 2016/03/01 12:00:00 2016/03/01 12:00:00 2016/03/01 03:28:09 UV 2.16.840.1.113883.3.6613 gachassinandeschete Philip Gachassin MD APMC OID Root Rami Lanclos masked Rami Lanclos 1000 W Pinhook Rd Suite 310 Lafayette, LA 70503 337-233-9900 masked Office Manager Philip Gachassin MD and Dennis Eschete MD 1000 W Pinhook Rd Suite 310 Lafayette, LA 70503 337-233-9900 rami.lanclos@lafayettesurgery.com Provider Int 3 Complete 2016/03/01 12:00:00 2016/03/01 12:00:00 2016/03/01 03:28:50 UV 2.16.840.1.113883.3.6614 walshclinic Walsh Medical Clinic Sissie Hutches masked Cathy Miller 672 Santa Fe Springfield, Colo. 81073 719-989-0005 masked Clinic Manager Walsh Medical Clinic PO Box 608 Walsh, CO 81090 719-324-5253 walshmedclinic@gmail.com Provider Int 3 Complete 2016/03/01 12:00:00 2016/03/02 12:00:00 2024/01/17 10:19:04 UV 2.16.840.1.113883.3.6615 mth Moses Taylor Hospital Sheryl Roos masked Tina Carey 700 Quincy Ave Scranton, PA 18510 5703402055 masked HIMD Moses Taylor Hosptial 700 Quincy Ave Scranton, PA 18510 5707705000 ashley_sullivan@chs.net https://www.commonwealthhealth.net Vendor Int 3 Complete 2016/03/01 12:00:00 2016/03/02 12:00:00 2016/03/02 11:17:55 UV 2.16.840.1.113883.3.6616 wbgh Wilkes Barre General Hospital Sheryl Roos masked Linda Makowski 575 North River Street Wilkes Barre, PA 18764 5708298111 masked HIMD WIlkes Barre General Hosptial 575 North River Street Wilkes Barre, PA 18764 5708298111 ashley_sullivan@chs.net http://www.commonwealthhealth.net Vendor Int 3 Complete 2016/03/01 12:00:00 2016/03/02 12:00:00 2016/03/02 11:21:45 UV 2.16.840.1.113883.3.6617 rhos Regional Hosptial of Scranton Sheryl Roos masked Terri Krevey 746 Jefferson Ave, Scranton, PA 18510 5703487100 masked HIMD Regional Hospital of Scranton 746 Jefferson Ave, Scranton, PA 18510 5703487100 ashley_sullivan@chs.net http://www.commonwealthhealth.net Vendor Int 3 Complete 2016/03/01 12:00:00 2016/03/02 12:00:00 2016/03/02 11:25:03 UV 2.16.840.1.113883.3.6618 impcoid Internal Medicine and Pediatrics of Cullman OID Lisa Ballard masked Lisa Ballard 1948 Alabama Highway 157 Suite 360 Cullman, AL 35058 256-739-1552 masked Billing Manager Internal Medicine and Pediatrics of Cullman 1948 Alabama Highway 157 Suite 360 Cullman, AL 35058 256-739-1575 lisaballard5@yahoo.com Provider Int 3 Complete 2016/03/02 12:00:00 2016/03/02 12:00:00 2016/04/14 11:15:14 UV 2.16.840.1.113883.6.301.7 nubc-OccurrenceCode-cs NUBC Occurrence Codes and Amounts for UB-04 William Ted Klein masked Mary Kay McDaniel Mary Kay McDaniel 8200 Greensboro Drive Suite 1200 McLean, VA 22102 +1 602 300 4246 masked HL7 FM Vocabulary Facilitator National Uniform Billing Committee (NUBC) George Arges Chair, National Uniform Billing Committee Senior Director - Health Data Management Group American Hospital Association 155 N. Wacker Drive, Suite 400 Chicago, IL 60606-1725 +1 312 422 3398 garges@aha.org http://www.nubc.org/become.html Prof Soc Ext 6 Complete 2.16.840.1.113883.6.301.7 2016/03/02 12:00:00 2018/10/02 12:00:00 2018/10/02 11:59:55 UV 2.16.840.1.113883.6.301.8 nubc-OccurrenceSpan-cs NUBC Occurrence Span Codes for UB-04 William Ted Klein masked Mary Kay McDaniel Mary Kay McDaniel 8200 Greensboro Drive Suite 1200 McLean, VA 22102 +1 602 300 4246 masked HL7 FM Vocabulary Facilitator National Uniform Billing Committee (NUBC) George Arges Chair, National Uniform Billing Committee Senior Director - Health Data Management Group American Hospital Association 155 N. Wacker Drive, Suite 400 Chicago, IL 60606-1725 +1 312 422 3398 garges@aha.org http://www.nubc.org/become.html Prof Soc Ext 6 Complete 2.16.840.1.113883.6.301.8 2016/03/02 12:00:00 2018/10/02 12:00:00 2018/10/02 12:00:38 US 2.16.840.1.113883.3.6619 oidaddison Dr Mark Addison OID Lisa Ballard masked Lisa Ballard 1948 Alabama Highway 157 Suite 330 Cullman, Alabama 35058 2567391552 masked Billing Manager Cullman Medical and Pediatric Associates, P.C. 1948 Alabama Highway 157 Suite 330 Cullman, AL 35058 256-739-3838 lballard@cullmanmedandped.com Provider Int 3 Complete 2016/03/02 12:00:00 2016/03/02 12:00:00 2016/04/14 11:11:08 UV 2.16.840.1.113883.6.301.9 cms-OCEEditCode-cs CMS OCE Edit Codes William Ted Klein masked Mary Kay McDaniel Mary Kay McDaniel 8200 Greensboro Drive Suite 1200 McLean, VA 22102 +1 602 300 4246 masked HL7 FM Vocabulary Facilitator National Uniform Billing Committee (NUBC) US Department of Health and Human Services, Center for Medicare and Medicaid Services Centers for Medicare & Medicaid Services 7500 Security Boulevard, Baltimore, MD 21244 info@cms.gov https://www.cms.gov/Medicare/Coding/OutpatientCodeEdit/index.html Govt body Ext 6 Complete 2.16.840.1.113883.6.301.9 2016/03/02 12:00:00 2018/10/02 12:00:00 2018/10/02 12:02:15 UV 2.16.840.1.113883.6.301.10 cms-OCEModifierEditCode-cs CMS OCE Modifier Edit Codes William Ted Klein masked Mary Kay McDaniel Mary Kay McDaniel 8200 Greensboro Drive Suite 1200 McLean, VA 22102 +1 602 300 4246 masked HL7 FM Vocabulary Facilitator Centers for Medicare & Medicaid Services US Department of Health and Human Services, Center for Medicare and Medicaid Services Centers for Medicare & Medicaid Services 7500 Security Boulevard, Baltimore, MD 21244 info@cms.gov https://www.cms.gov/Medicare/Coding/OutpatientCodeEdit/index.html Govt body Ext 1 Complete 2.16.840.1.113883.6.301.10 2016/03/02 12:00:00 2018/10/02 12:00:00 2018/10/02 12:01:51 UV 2.16.840.1.113883.6.301.11 presentOnAdmission Present on Admission (POA) Indicator William Ted Klein masked Mary Kay McDaniel Robert McClure MD Partners, Inc. 511 S Miller Ave Lafayette, CO 80026-1545 +13039266771 masked Vocabulary co-chair Centers for Medicare and Medicaid Services Marilu Hue Centers for Medicare & Medicaid Services 7500 Security Boulevard Baltimore, MD 21244 marilu.hue@cms.hhs.gov https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding Govt body Ext 6 Complete 2.16.840.1.113883.6.301.11 2016/03/02 12:00:00 2018/10/02 12:00:00 2021/01/06 05:17:42 HL70895 US 2.16.840.1.113883.3.6620 solanocounty County of Solano Jaime Fontelera masked Jaime 675 Texas St. Suite 3700 Fairfield, CA 94533 707-784-6389 masked Information Security County of Solano 675 Texas St. Suite 3700 Fairfield, CA 94533 707-784-6389 jfontelera@solanocounty.com http://www.solanocounty.com Govt body Int 3 Complete 2016/03/02 12:00:00 2016/03/02 12:00:00 2016/03/02 04:30:00 UV 2.16.840.1.113883.3.6621 klasswasserman421 Neurological Associates of Westchester PC OID Root Angela Watkins masked Angela Watkins 914-636-4418 masked Office Manager Neurological Associates of Westchester, P.C. 421 Huguenot Street Suite 15 New Rochelle, NY 10801 914-636-4418 awatkinsneuroassoc15@gmail.com Provider Int 3 Complete 2016/03/03 12:00:00 2016/03/03 12:00:00 2016/03/03 01:07:19 UV 2.16.840.1.113883.3.6622 schks Sabetha Community Hospital Stacy Scott masked Stacy Scott 14th and Oregon Streets PO Box 229 Sabetha, KS 66534 785-284-2121 masked Clinical Nurse Analyst Sabetha Community Hospital 14th and Oregon Streets PO Box 229 Sabetha, KS 66534 785-284-2121 lkey@sabethahospital.com Provider Int 3 Complete 2016/03/03 12:00:00 2016/03/03 12:00:00 2016/03/03 01:17:48 UV 2.16.840.1.113883.3.6623 proHealthCare ProHealth Care Larry Overkamp masked Larry Overkamp ProHealth Care Information Technology N17 W24100 Riverwood Drive Waukesha, WI 53188 262-696-0368 masked ProHealth Care larry.overkamp@phci.org Provider Int 3 Complete 2016/03/03 12:00:00 2016/03/03 12:00:00 2016/03/03 07:24:08 UV 2.16.840.1.113883.3.6624 smithcohosp Smith County Memorial Hospital Allen Van Driel masked Allen Van Driel 614 S Main P.O. Box 349 Smith Center, KS 66967 785-282-6845 masked CEO Great Plains of Smith County, Inc. P.O. Box 349 Smith Center, KS 66967 785-282-6845 avandriel@smithcohosp.org Provider Int 3 Complete 2016/03/07 12:00:00 2016/03/09 12:00:00 2016/03/09 04:04:22 UV 2.16.840.1.113883.3.6625 stonegatelg Stonegate LG OID Daniel Scallion masked Daniel Scallion 1500 Waters Ridge Drive Lewisville, TX 75057 9728994135 masked IT Director StoneGate Senior Living, LLC 1500 Waters Ridge Drive Lewisville, TX 75057 9728994135 dscallion@stonegatesl.com http://www.stonegatesl.com Provider Int 3 Complete 2016/03/07 12:00:00 2016/03/09 12:00:00 2016/03/09 04:07:06 UV 2.16.840.1.113883.17.4140 episodeConnect Remedy Partners Episode Connect Nicholas Fisser masked Nicholas Fisser 275 7th Avenue, 21st Floor New York, NY 10001 203-541-4660 masked VP Remedy BPCI Partners LLC 1120 Post Road, 3rd Floor Darien, CT 06820 support@remedypartners.com https://www.remedypartners.com/ Vendor Int 17 Complete 2016/03/07 12:00:00 2016/03/09 12:00:00 2016/03/09 05:25:42 UV 2.16.840.1.113883.3.6626 lincolnHall16 Lincoln Hall Robert Farmer masked Robert Farmer P.O.BOX 600, Route 202, Lincolndale, NY 10540 914-248-7474 ext 215 masked Controller Lincoln Hall P.O. BOX 600, Route 202, Lincolndale, NY 10540 914-248-7474 rfarmer@lincolnhall.org Provider Int 3 Complete 2016/03/07 12:00:00 2016/03/09 12:00:00 2016/03/09 05:00:20 UV 2.16.840.1.113883.3.6627 smp Script Management Partners LLC (SMP) Kimberly Mernovage masked Kimberly Mernovage 7827 Highway N, Suite 104 O'Fallon, MO 63368 636-294-0791 masked SVP Script Management Partners (SMP) 7827 Highway N, Suite 104 O'Fallon, MO 63368 888-790-0767 info@rxsmp.com http://rxsmp.com Vendor Int 3 Complete 2016/03/07 12:00:00 2016/03/09 12:00:00 2016/03/09 05:06:45 UV 2.16.840.1.113883.3.6628 sdhospital Satanta District Hospital Tina Pendergraft masked Jeremy Clingenpeel P.O. Box 24 Satanta, KS 67870 620-649-2000 ext 236 masked CEO Satanta District Hospital P.O. Box 24 Satanta, KS 67870 620-649-2764 jclingenpeel@satantahospital.org Provider Int 3 Complete 2016/03/07 12:00:00 2016/03/09 12:00:00 2016/03/09 05:08:51 UV 2.16.840.1.113883.3.6629 katy-trail-community-health Katy Trail Community Health Deborah Lake masked Morgan Lynch Deborah lake 821 Westwood Dr Sedalia, MO 65301 660-826-4774 ext 873 masked RN/BSN Health Informatics Specialist Katy Trail Community Health 821 Westwood Dr Sedalia, MO 65301 660-826-4774 dlake@katyhealth.org http://www.katytrailcommunityhealth.org/ Provider Int 3 Complete 2016/03/07 12:00:00 2016/03/09 12:00:00 2016/03/09 05:19:01 UV 2.16.840.1.113883.17.4141 sbl-Meditech Sarah Bush Lincoln Mary Bovard masked Mary Bovard 1000 Health Center Drive Mattoon, IL 61938 217-258-4137 masked Director, Business Informatics Sarah Bush Lincoln 1000 Health Center Drive Mattoon, IL 61938 217-258-2525 mbovard@sblhs.org http://www.sarahbush.org Provider Int 17 Complete 2016/03/09 12:00:00 2016/03/09 12:00:00 2016/03/09 05:26:57 UV 2.16.840.1.113883.3.6630 newcoastcardiology New Coast Cardiology OID Root Chris Boudreaux masked chris boudreaux 14055 Seaway Rd Gulfport, MS 39503 2288685555 masked New Coast Cardiology 14055 Seaway Rd Gulfport, MS 39503 2288685555 cboudreaux@cccms.ms Provider Int 3 Complete 2016/03/09 12:00:00 2016/03/09 12:00:00 2016/03/09 05:34:06 UV 2.16.840.1.113883.3.6631 hhHN-01 HERK Non-Medicaid Brittany Bono masked Elizabeth Pritchard 235 North Prospect Street Herkimer, NY 13350 315-8662863 masked HERK Non-Medicaid 235 North Prospect Street Herkimer, NY 13350 315-866-2863 Elizabeth.pritchard@upstatecp.org Provider Int 3 Complete 2016/03/09 12:00:00 2016/03/09 12:00:00 2016/03/09 06:17:10 UV 2.16.840.1.113883.3.6632 joelbowendpm Joel Bowen DPM OID Joel Bowen masked Brenda Avila 13555 W. McDowell RD suite 301 Goodyear, AZ 85395 623-848-0123 masked Office Manager Joel Bowen DPM 13555 W McDowell RD suite 301 Goodyear, AZ 85395 623-848-0123 brendaa.pfa@gmail.com http://www.stayonestepahead.com Provider Int 3 Complete 2016/03/09 12:00:00 2016/03/09 12:00:00 2016/03/09 06:20:33 UV 2.16.840.1.113883.3.6633 jeffersonpsychiatricassoc Jefferson Psychiatric Assoc LLC OID Root Gina Brocato masked Gina Brocato 3340 Severn Ave., Suite 206 Metairie, LA 70002 504-889-1448 masked OFFICE MANAGER JEFFERSON PSYCHIATRIC ASSOCIATES LLC 3340 Severn Ave., Suite 206 Metairie, LA 70002 504-889-1448 JPA2000@BELLSOUTH.NET Provider Int 3 Complete 2016/03/09 12:00:00 2016/03/09 12:00:00 2016/03/09 06:23:43 UV 2.16.840.1.113883.3.6634 ahcchc Adelante Healthcare, Inc. Eric Bultman masked Benjamin Guldborg 623-544-5169 masked Adelante Healthcare, Inc. 9520 W Palm Lane Suite 200 Phoenix, AZ 85037 623-583-3001 cio@adelantehealthcare.com Provider Int 3 Complete 2016/03/10 12:00:00 2016/03/10 12:00:00 2016/03/10 02:17:08 UV 2.16.840.1.113883.3.6635 ciox CIOX Health Seonho Kim masked Seonho Kim 925 North Point Parkway, Ste 350 Alpharetta, GA 30005 978-701-4745 masked VP of Information Exchange CIOX Health 925 North Point Parkway, Ste 350 Alpharetta, GA 30005 seonho.kim@cioxhealth.com http://www.cioxhealth.com Vendor Int 3 Complete 2016/03/10 12:00:00 2016/03/10 12:00:00 2016/03/10 03:19:41 UV 2.16.840.1.113883.17.4142 eger Eger Lutheran Homes and Services Debra Alexandria masked Debra Alexandria 140 Meisner Ave Staten Island, NY 10306 718-989-3110 masked IT Director Eger Lutheran Homes and Service 140 Meisner Ave Staten Island, NY 10306 718-979-1800 dalexandria@eger.org https://www.eger.org Provider Int 17 Complete 2016/03/10 12:00:00 2016/03/10 12:00:00 2016/03/10 10:27:45 UV 2.16.840.1.113883.3.6636 medicaldirector MedicalDirector Julie Serrano masked Julie Serrano +61294676123 masked Product Manager MedicalDirector Level 5, 72 Christie Street St Leonards NSW 2065 Australia 1800 622 678 Julie.Serrano@medicaldirector.com http://medicaldirector.com/ Vendor Int 3 Complete 2016/03/10 12:00:00 2016/03/10 12:00:00 2016/03/10 10:23:11 AU 2.16.840.1.113883.9.210 ummhc Upper Manhattan Mental Health Center, Inc. Lawrence Fowler masked Lawrence Fowler 1727 Amsterdam Avenue New York, NY 10031 212-694-0863 masked Administrator Upper Manhattan Mental Health Center, Inc. 1727 Amsterdam Avenue New York, NY 10031 212-694-9200 lfowler@bowencsc.org http://bowencsc.org Provider Int 9 Complete 2016/03/11 12:00:00 2016/03/14 12:00:00 2016/03/14 10:57:10 UV 2.16.840.1.113883.3.6637 specialtyortho Speciality Orthopedics OID Root Raquel Moyet masked Raquel Moyet 225 Millburn Ave Suite 104B Millburn, NJ 07041 973-379-1991 masked Specialty Orthopedics 225 Millburn Ave Suite 104B Millburn, NJ 07041 973-379-1991 rmoyet@barnabashealth.org Provider Int 3 Complete 2016/03/11 12:00:00 2016/03/11 12:00:00 2016/03/11 12:55:58 UV 2.16.840.1.113883.3.6638 sjgh San Joaquin General Hospital Tura Morice masked Tura Morice 500 W. Hospital Road French Camp, CA 95231 209-468-7878 masked CIO San Joaquin General Hospital 500 W. Hospital Road, French Camp, CA 95231 209-468-6000 tmorice@sjgh.org http://www.sjgeneral.org Provider Int 3 Complete 2016/03/11 12:00:00 2016/03/11 12:00:00 2016/03/11 02:46:40 UV 2.16.840.1.113883.3.6639 acfr Albuquerque Center for Rheumatology OID Root Mary Wideman masked Mary Jo Wideman 1617 University Blvd NE, Albuquerque, NM 87102 5053414148 masked Practice manager Albuquerque Center for Rheumatology 1617 University Blvd NE, Albuquerque, Nm 87102 5053414148 maryjow@qwestoffice.net Provider Int 3 Complete 2016/03/14 12:00:00 2016/03/14 12:00:00 2016/03/14 10:56:44 UV 2.16.840.1.113883.3.6640 oneTouchoid OneTouch EMR Robert Abbate masked Kevin Lundeen 1-800-41-TOUCH masked VP Engineering OneTouch EMR 10100 N Central Expressway, Suite 250 Dallas, TX 75231 drabbate@Onetouchemr.com Vendor Int 3 Complete 2016/03/14 12:00:00 2016/03/15 12:00:00 2016/03/15 10:43:14 UV 2.16.840.1.113883.3.6641 primarypartnercare Primary PartnerCare Darren Smith masked Darren Smith 1010 Northern Boulevard, Suite 314 Great Neck, NY 11021 5162332483 masked Primary PartnerCare 1010 Northern Boulevard, Suite 314 Great Neck, NY 11021 5162332483 dsmith@primarypartnercare.com http://www.primarypartnercare.com Provider Int 3 Complete 2016/03/14 12:00:00 2016/03/15 12:00:00 2016/03/15 10:45:57 UV 2.16.840.1.113883.3.3198.2.410 wgaobgyn West Georgia OB/GYN Laura Wilson masked Laura Wilson 157 Henry Burson Drive Carrollton, GA 30117 770-812-9791 masked Director, Enterprise Applications Tanner Medical Center, Inc. 705 Dixie Street Carrollton, GA 30117 770-836-9666 lwilson@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 Complete 2.16.840.1.113883.3.3198.2.410 2016/03/14 12:00:00 2016/03/15 12:00:00 2016/03/15 10:56:07 UV 2.16.840.1.113883.3.3198.100.10 meditech-tanner Meditech Tanner Medical Center Laura Wilson masked Laura Wilson 157 Henry Burson Drive Carrollton, GA 30117 770-812-9791 masked Director, Enterprise Applications Tanner Medical Center, Inc. 705 Dixie Street Carrollton, GA 30117 770-836-9666 lwilson@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 Complete 2.16.840.1.113883.3.3198.100.10 2016/03/14 12:00:00 2016/03/15 12:00:00 2016/03/15 10:58:34 UV 2.16.840.1.113883.3.3198.100.20 greenway-tanner Greenway - Tanner Laura Wilson masked Laura Wilson 157 Henry Burson Drive Carrollton, GA 30117 770-812-9791 masked Director, Enterprise Applications Tanner Medical Center, Inc. 705 Dixie Street Carrollton, GA 30117 770-836-9666 lwilson@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 Complete 2.16.840.1.113883.3.3198.100.20 2016/03/14 12:00:00 2016/03/15 12:00:00 2016/03/15 11:12:14 UV 2.16.840.1.113883.17.4143 mrhelr MRH Electronic Lab Reportables Christopher Sykes masked Christopher Sykes 200 Somerset Street Millinocket, ME 04462 2077237298 masked Millinocket Regional Hospital 200 Somerset Street Millinocket, ME 04462 2077235161 info@mrhme.org http://www.mrhme.org/ Provider Int 17 Complete 2016/03/15 12:00:00 2016/03/15 12:00:00 2016/03/15 11:19:39 US 2.16.840.1.113883.17.4144 addatech-eclaims ADDATECH-eclaims Massimo Di Paola masked Massimo Di Paola 3233 ave des Ambassadeurs Laval Quebec H7E 5K6 Canada 5145833186 masked CEO Les Syst&#232;mes ADDA Tech Inc 3233 ave des Ambassadeurs Laval Quebec H7E 5K6 Canada +14506828674 x232 max@addatech.ca http://www.addatech.ca Vendor Int 17 Complete 2016/03/15 12:00:00 2016/03/17 12:00:00 2016/03/17 03:07:59 UV 2.16.840.1.113883.3.6642 ogne Osmond General Hospital Lon Knievel masked Lon M. Knievel 402 N. Maple St. Osmond, NE 68765 402-748-3393 masked CEO Osmond General Hospital 402 N Maple St. Osmond, NE 68765 402-748-3393 hosadmin@oghne.com Provider Int 3 Complete 2016/03/15 12:00:00 2016/03/16 12:00:00 2016/03/16 12:27:02 UV 2.16.840.1.113883.3.6643 cmhschd Cogdell Memorial Hospital John Everett masked John H Everett, FACHE 1700 Cogdell Bvld Snyder, TX 79549 325-574-7439 masked CFO Cogdell memorial Hospital 1700 Cogdell Blvd Snyder, TX 79549 325-574-7437 cmh.jeverett@cogdellhospital.com Provider Int 3 Complete 2016/03/15 12:00:00 2016/03/16 12:00:00 2016/03/16 12:29:19 UV 2.16.840.1.113883.3.6644 aics Alaska Island Community Services Carly Allen masked Carly Allen 9078745024 masked Alaska Island Community Services PO Box 1231 Wrangell, AK 99929 907-874-2373 carly.allen@akics.org Provider Int 3 Complete 2016/03/15 12:00:00 2016/03/16 12:00:00 2016/03/16 12:31:10 UV 2.16.840.1.113883.3.6645 qmed QuadMed Anna Patrick masked Anna Patrick QuadMed, LLC N53 W24700 Corporate Circle Sussex, WI 53089 414-566-8085 masked Business Analyst QuadMed, LLC QuadMed, LLC N53 W24700 Corporate Circle Sussex, WI 53089 414-566-8085 Helpdesk@qg.com http://quadmedical.com/contact/ Provider Int 3 Complete 2016/03/15 12:00:00 2016/03/16 12:00:00 2016/03/16 12:34:05 UV 2.16.840.1.113883.9.211 uptown-OID Uptown Health Care Management, Inc. Hosam El-Sherbiny masked Sherene Sawas Hosam El-Sherbiny 930 East Tremont Avenue, Bronx, NY 10460 (718) 313-0177 masked Chief Compliance Officer Uptown Health Care Management, Inc. 930 East Tremont Avenue, Bronx, NY 10460 (718) 313-0177 hosam.elsherbiny@uthcm.com http://www.uthcm.com Provider Int 3 Complete 2016/03/15 12:00:00 2016/03/28 12:00:00 2016/03/28 05:27:19 UV 2.16.840.1.113883.3.6646 mrks Mercy Hospital Inc Royce Holdeman masked Royce Holdeman 218 E Pack street PO Box 180 Moundridge, KS 67107 620-345-6391 masked CFO Mercy Hospital Inc 218 E Pack St PO Box 180 Moundridge, KS 67107 620-345-6391 admin@mercyh.org Provider Int 3 Complete 2016/03/16 12:00:00 2016/03/16 12:00:00 2016/03/16 11:59:34 UV 2.16.840.1.113883.3.6647 wcks General Hospital Amanda Baker masked Amanda Baker 211 East Earl Leoti, KS 67861 6203752233 masked Office manager General Hospital 211 East Earl Leoti, KS 67861 6203752233 abaker@wchosp.com Provider Int 3 Complete 2016/03/16 12:00:00 2016/03/16 12:00:00 2016/03/16 12:02:57 UV 2.16.840.1.113883.3.6648 mNKS Minneola District Hospital NBR2 Debbie Bruner masked Debbie Bruner 212 Main St. Minneola, KS 67865 620-885-4264 masked CEO Minneola District Hospital NBR2 212 Main St. Minneola, KS 67865 620-885-4264 debb@minneolahealthcare.com Provider Int 3 Complete 2016/03/16 12:00:00 2016/03/16 12:00:00 2016/03/16 12:04:14 UV 2.16.840.1.113883.3.6649 ePathLogicConsult ePath Logic Consult Michael Germain masked Michael Germain 290 Town Center Dr Suite 410 Dearborn, MI 48126 313-254-9279 masked President and Chief Operating Officer ePath Logic, Inc. 290 Town Center Dr Suite 410 Dearborn, MI 48126 313-254-9279 support@epathlogic.com Vendor Int 3 Complete 2016/03/16 12:00:00 2016/03/16 12:00:00 2016/03/16 12:09:39 UV 2.16.840.1.113883.3.6650 lnks Lane County Hospital Sherri Doris masked Sherri Doris 620-397-5321 masked Operations Manager Lane County Hospital PO Box 969 235 W Vine Dighton, KS 67839 620-397-5321 sdoris@lchospital.com Provider Int 3 Complete 2016/03/16 12:00:00 2016/03/16 12:00:00 2016/03/16 12:11:03 UV 2.16.840.1.113883.3.6651 elks Ellinwood District Hospital Jill Ritchie masked Jill Ritchie 605 N Main Ellinwood, KS 67526 6205642548 masked RN Ellinwood District Hospital 605 N Main Ellinwood, KS 67526 6205642548 jritchie@gpoe.org Provider Int 3 Complete 2016/03/16 12:00:00 2016/03/16 12:00:00 2016/03/16 02:05:13 UV 2.16.840.1.113883.3.6652 tetonvc Teton Vision Center, PLLC Bryan Cook masked Bryan Cook 1340 S. Ammon Rd. Idaho Falls, ID 83406 208-523-3141 masked Optometrist / Owner Teton VIsion Center PLLC 1340 S. Ammon Rd. Idaho Falls, ID 83406 208-523-3141 tetonvc1@ida.net Provider Int 3 Complete 2016/03/16 12:00:00 2016/03/16 12:00:00 2016/03/16 02:41:49 UV 2.16.840.1.113883.3.6653 veca Vincett Eye Care Associates William Vincett masked William K. Vincett Jr., O.D. 645 Rodi Road Pittsburgh, PA 15235 4122562020 masked Owner Vincett Eye Care Associates 645 Rodi Road Pittsburgh, PA 15235 4122562020 accounting1@vincett.com Provider Int 3 Complete 2016/03/16 12:00:00 2016/03/16 12:00:00 2016/03/16 10:02:30 UV 2.16.840.1.113883.3.6654 whitevilleeye Whiteville Eye Associates, P.A. OID Root Christy Ward masked Christy Ward (910)642-9850 masked Office Manager Whiteville Eye Associates, P.A. P.O. Box 525 Whiteville, NC 28472 (910)642-9850 whitevilleeye@gmail.com Provider Int 3 Complete 2016/03/17 12:00:00 2016/03/17 12:00:00 2016/03/17 03:04:22 UV 2.16.840.1.113883.3.6655 sfks Stafford County Hospital Jo Caley masked Jo Caley 502 S Buckeye PO Box 190 Stafford, KS 67578 620-234-5221 masked Asst. Administrator Stafford County Hospital 502 S Buckeye PO Box 190 Stafford, KS 67578 620-234-5221 jcaley@sdh4.org Provider Int 3 Complete 2016/03/17 12:00:00 2016/03/17 12:00:00 2016/03/17 03:05:54 UV 2.16.840.1.113883.3.6656 grks Grisell Memorial Hospital David Caudill masked David Caudill 210 S. Vermont Ransom, KS 67572 7857312231 masked CEO Grisell Memorial Hospital 210 S. Vermont Ransom, KS 67572 7857312231 dcaudill@grisell.org Provider Int 3 Complete 2016/03/18 12:00:00 2016/03/18 12:00:00 2016/03/18 01:30:29 UV 2.16.840.1.113883.3.6657 otks OTTAWA COUNTY HEALTH CENTER CHERYL LANOUE masked CHERYL LANOUE 215 E 8th Street PO Box 290 Minneapolis, KS 67467 7853923547 masked CFO OTTAWA COUNTY HEALTH CENTER 215 E 8th Street PO Box 290 Minneapolis, KS 67467 7853922122 MGAWITH@OCHC.NET http://www.ottawacountyhealthcenter.com/ Provider Int 3 Complete 2016/03/18 12:00:00 2016/03/18 12:00:00 2016/03/18 01:34:18 UV 2.16.840.1.113883.3.6658 frh Fredonia Regional Hospital Tracy Row masked Tracy Row 1527 Madison St. Fredonia, KS 66736 6203782121 masked Business Office Manager Fredonia Regional Hospital 1527 Madison St. Fredonia, KS 66736 6203782121 tracyrow@frh1.org Provider Int 3 Complete 2016/03/18 12:00:00 2016/03/18 12:00:00 2016/03/18 10:45:04 UV 2.16.840.1.113883.3.6659 vecahp Vincett Eye Care Associates Holiday Park Cara Hauser masked Cara Hauser, O.D. 1670 Golden Mile Hwy Monroeville, PA 15146 7243272020 masked Optometrist Vincett Eye Care Associates 1670 Golden Mile Hwy Monroeville, PA 15146 7243272020 kim@vincett.com Provider Int 3 Complete 2016/03/18 12:00:00 2016/03/18 12:00:00 2016/03/18 10:46:03 UV 2.16.840.1.113883.3.6660 trks Trego County-Lemke Memorial Hospital Tom Micek masked Tom Micek 320 N 13th ST Wakeeney, KS 67672 785-743-3403 masked Director of IT Trego County-Lemke Memorial Hospital 320 N 13th ST Wakeeney, KS 67672 785-743-3403 it@tclmh.org Provider Int 3 Complete 2016/03/22 12:00:00 2016/03/23 12:00:00 2016/03/23 10:30:39 UV 2.16.840.1.113883.3.3198.2.420 wgaplastic West Georgia Center for Plastic Surgery Laura Wilson masked Laura Wilson 157 Henry Burson Drive Carrollton, GA 30117 770-812-9791 masked Dir, Enterprise Apps Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 lwilson@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 Complete 2.16.840.1.113883.3.3198.2.420 2016/03/22 12:00:00 2016/03/23 12:00:00 2016/03/23 10:36:00 UV 2.16.840.1.113883.3.6661 srmc1 Sidney Regional Medical Center Jennifer Brockhaus masked Jennifer Brockhaus 1000 Pole Creek Crossing Sidney, NE 69162 308-254-8962 masked CIO Sidney Regional Medical Center 1000 Pole Creek Crossing Sidney, NE 69162 308-254-5825 jbrockhaus@sidneyrmc.com Provider Int 3 Complete 2016/03/23 12:00:00 2016/03/23 12:00:00 2016/03/23 10:33:30 UV 2.16.840.1.113883.3.6662 ucla-UIC UCLA UIC IMMUNOGENETICS Deb LaCava masked Stan Orand 310-825-0479 masked Immunogenetics Lab 1000 Veteran Ave, Los Angeles, CA 90024 310-206-0708 JQZhang@mednet.ucla.edu Academic Int 3 Complete 2016/03/23 12:00:00 2016/03/23 12:00:00 2016/03/23 03:32:21 UV 2.16.840.1.113883.3.6663 soco Southern Colorado Clinic, P.C. Zane Brodeur masked Zane Brodeur 3676 Parker Blvd Pueblo, CO 81008 7195531822 masked IT Manager Southern Colorado Clinic, P.C. 3676 Parker Blvd Pueblo, CO 81008 7195532200 help@scc.md http://www.southerncoloradoclinic.com/ Provider Int 3 Complete 2016/03/23 12:00:00 2016/03/23 12:00:00 2016/03/23 03:39:34 UV 2.16.840.1.113883.3.6664 canyon-lake Canyon Lake Urgent and Family Care Kevin Mohl masked Kevin Mohl 714-598-8960 masked Canyon Lake Urgent and Family Care 31581 Canyon Estates Drive Lake Elsinore, CA 92532-0424 951-244-3500 daneshmedical@hotmail.com Provider Int 3 Complete 2016/03/24 12:00:00 2016/03/24 12:00:00 2016/03/24 03:05:40 UV 2.16.840.1.113883.3.6665 sFHomeCare St Francis Home Care Mark Jacobs masked Chet Schechterly 701 North Clayton Street, Wilmington, DE 19805 302-421-4750 masked Director Information & Technology Services St Francis Home Care 701 North Clayton Street, Wilmington, DE 19805 cschechterly@mercyhealth.org http://www.stfrancishealthcare.org/ Provider Int 3 Complete 2016/03/24 12:00:00 2016/03/24 12:00:00 2016/03/24 03:10:07 UV 2.16.840.1.113883.3.6666 renaissanceENT Ear, Nose, and Throat Institute at Renaissance OID Root Priscilla Peralez masked Ana P. Perez 2821 Michael Angelo Drive Suite 303, Edinburg, TX 78539 956-362-2490 masked Office Manager Ear, Nose, and Throat Institute at Renaissance 2821 Michael Angelo Drive Suite 303, Edinburg, TX 78539 956-362-2490 ap.perez@dhr-rgv.com Provider Int 3 Complete 2016/03/24 12:00:00 2016/03/24 12:00:00 2016/03/24 03:12:57 UV 2.16.840.1.113883.3.6667 renaissancePSPN Pediatric Specialists at Renaissance-Pediatric Nephrology and Hypertension OID Root Priscilla Peralez masked Maytee Rodea 2001 S. Cynthia Street Suite B McAllen, TX 78503 956-362-8200 masked Office Manager Pediatric Specialists at Renaissance-Pediatric Nephrology and Hypertension 2001 S. Cynthia Street Suite B McAllen, TX 78503 956-362-8200 m.rodea@dhr-rgv.com Provider Int 3 Complete 2016/03/24 12:00:00 2016/03/24 12:00:00 2016/03/24 03:14:09 UV 2.16.840.1.113883.3.6668 renaissanceNEUROSCI Neuroscience Institute at Renaissance OID Root Priscilla Peralez masked Veronica Martinez 2821 Michael Angelo Dr., Ste 200, Edinburg, TX 78539 956-362-8215 masked Office Manager Neuroscience Institute at Renaissance 2821 Michael Angelo Dr., Ste 200, Edinburg, TX 78539 956-362-8215 ver.martinez@dhr-rgv.com Provider Int 3 Complete 2016/03/24 12:00:00 2016/03/24 12:00:00 2016/03/24 03:15:48 UV 2.16.840.1.113883.3.2402.200.6868 physicans-computer-company-clients-ofp Physician's Computer Company (PCC) Clients One Family Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6868 2016/03/24 12:00:00 2016/03/24 12:00:00 2016/03/24 03:18:20 UV 2.16.840.1.113883.3.2402.200.6876 physicans-computer-company-clients-ppmg Physician's Computer Company (PCC) Clients Primary Pediatric Medical Group Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6876 2016/03/24 12:00:00 2016/03/24 12:00:00 2016/03/24 03:25:21 UV 2.16.840.1.113883.3.2402.200.287 physicans-computer-company-clients-npa Physician's Computer Company (PCC) Clients Northeast Pediatric Associates Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.287 2016/03/24 12:00:00 2016/03/24 12:00:00 2016/03/24 03:28:35 UV 2.16.840.1.113883.3.6669 hcso Harris County Sheriff's Office Terrell Clark masked Alvin York Harris County Sheriff's Office 1200 Baker Street Houston, TX 77002 713-755-5795 masked EMR Manager Harris County Sheriff's Office alvin.york@sheriff.hctx.net Govt body Int 3 Complete 2016/03/24 12:00:00 2016/03/24 12:00:00 2016/03/24 03:31:58 US 2.16.840.1.113883.3.2402.200.2923 physicans-computer-company-clients-lgp Physician's Computer Company (PCC) Clients Locust Grove Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.2923 2016/03/24 12:00:00 2016/03/24 12:00:00 2016/03/24 03:35:34 UV 2.16.840.1.113883.3.2402.200.327 physicans-computer-company-clients-pnp Physician's Computer Company (PCC) Clients Princeton-Nassau Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.327 2016/03/24 12:00:00 2016/03/24 12:00:00 2016/03/24 03:48:47 UV 2.16.840.1.113883.3.6670 trmcoid Tulare Regional Medical Center Jackie Begaye masked Shawn Burgess Shawn Burgess 869 N Cherry Street Tulare, California 93274 559-684-7038 masked Chief Information Officer Tulare Regional Medical Center 869 N Cherry Street Tulare, California 93274 559-685-3462 sburgess@teamhcca.com Provider Int 3 Complete 2016/03/24 12:00:00 2016/03/24 12:00:00 2016/03/24 07:01:40 UV 2.16.840.1.113883.3.6671 ghvhs Greater Hudson Valley Health System Gabrielle Baudendistel masked Gabrielle Baudendistel 707 East Main Street Middletown, NY 10940 845-333-2529 masked Lead Interface Analyst Greater Hudson Valley Health System 707 East Main Street Middletown, NY 10940 845-333-2529 gbaudendistel@ormc.org Provider Int 3 Complete 2016/03/25 12:00:00 2016/03/25 12:00:00 2016/03/25 04:39:08 UV 2.16.840.1.113883.13.278 patientping PatientPing Lisa Solomon masked Lisa Solomon 330 Congress St. Boston, MA 02210 6172949002 masked Intergrations Manager PatientPing 330 Congress St. Boston, MA 02210 6173567147 support@patientping.com http://www.patientping.com/ Vendor Int 3 Complete 2016/03/25 12:00:00 2016/05/31 12:00:00 2016/05/31 08:57:35 UV 2.16.840.1.113883.3.6672 bg Bluegrass.org Lora Adams masked Lora Adams 1351 Newtown Pike Lexington, KY 40511 8592531686 masked Compliance Officer Bluegrass.org 1351 Newtown Pike Lexington, KY 40511 8592531686 laadams@bluegrass.org https://www.bluegrass.org Provider Int 3 Complete 2016/03/28 12:00:00 2016/03/28 12:00:00 2016/03/28 05:03:04 UV 2.16.840.1.113883.3.6673 swmw Southwest Midwives Amy Ginn masked Mikka Buxton 1 Mercado St Suite 145 Durango, CO 81301 970-247-5543 masked office manager Southwest Midwives 1 Mercado St Suite 145 Durango, CO 81301 970-247-5543 southwestmidwives@gmail.com Provider Int 3 Complete 2016/03/28 12:00:00 2016/03/28 12:00:00 2016/03/28 05:05:31 UV 2.16.840.1.113883.3.6674 nmo New Mexico Orthopaedics Associates PC Zack Gorman masked Zachary Gorman 505-508-9670 masked Developer New Mexico Orthopaedic Associates PC 201 Cedar SE Suite 6600 Albuquerque, NM 87106 505-724-4300 it@nmortho.net Provider Int 3 Complete 2016/03/28 12:00:00 2016/03/28 12:00:00 2016/03/28 05:10:48 UV 2.16.840.1.113883.3.6675 rives16 Elvira Rives Elvira Rives masked Elvira Rives 14505 Commerce way ste 800 Miami Lakes, FL 33016 305-821-9098 masked Presedent Elvira Rives 14505 Commerce way ste 800 Miami Lakes, FL 33016 305-821-9098 riveselviramd@bellsouth.com Provider Int 3 Complete 2016/03/29 12:00:00 2016/03/29 12:00:00 2016/03/29 11:06:07 US 2.16.840.1.113883.3.6676 mlks Medicine Lodge Memorial Hospital Jen Bowe masked Jennifer Bowe 710 N Walnut Medicine Lodge, KS 67104 620-930-3702 masked CFO / Project Manager Medicine Lodge Memorial Hospital 710 N Walnut Medicine Lodge, KS 67104 620-886-3771 jbowe@mlmh.net Provider Int 3 Complete 2016/03/29 12:00:00 2016/03/29 12:00:00 2016/03/29 11:07:33 UV 2.16.840.1.113883.3.6677 lgmd-GenSurgCr LGMD AMB - General Surgery of Crowley Andrea Dean masked Andrea Dean 121 Audubon Blvd Lafayette, LA 70503 337-289-8955 masked IS Ambulatory Manager Lafayette General Health (LGH) 121 Audubon Blvd Lafayette, LA 70503 337-289-8955 amdean@lgh.org Provider Int 3 Complete 2016/03/29 12:00:00 2016/03/29 12:00:00 2016/03/29 11:13:25 UV 2.16.840.1.113883.3.6678 lgmd-OBGYNCr LGMD AMB - OB/GYN of Crowley Andrea Dean masked Andrea Dean 121 Audubon Blvd Lafayette, LA 70503 337-289-8955 masked IS Ambulatory Manager Lafayette General Health (LGH) 121 Audubon Blvd Lafayette, LA 70503 337-289-8955 amdean@lgh.org Provider Int 3 Complete 2016/03/29 12:00:00 2016/03/29 12:00:00 2016/03/29 12:22:47 UV 2.16.840.1.113883.3.6679 lgmd-IntMedCr LGMD AMB - Internal Medicine of Crowley Andrea Dean masked Andrea Dean 121 Audubon Blvd Lafayette, LA 70503 337-289-8955 masked IS Ambulatory Manager Lafayette General Health (LGH) 121 Audubon Blvd Lafayette, LA 70503 337-289-8955 amdean@lgh.org Provider Int 3 Complete 2016/03/29 12:00:00 2016/03/29 12:00:00 2016/03/29 12:24:48 UV 2.16.840.1.113883.3.6680 ohi Ocean Health Initiatives Anthony DeLeo masked Anthony DeLeo 101 2nd Street Lakewood, NJ 08701 7323636655 masked IT Director Ocean Health Initiatives 101 2nd Street Lakewood, NJ 08701 7323636655 bhogan@ohinj.org http://www.ohinj.org Provider Int 3 Complete 2016/03/29 12:00:00 2016/03/29 12:00:00 2016/03/29 01:04:06 UV 2.16.840.1.113883.3.6681 ezramedical Ezra Medical Center Shlomo Cutler masked Shlomo Cutler 1312 38th Street Brooklyn, NY 11218 718-686-7600 masked Ezra Medical Center 1312 38th Street Brooklyn, NY 11218 718-686-7600 ITAdmins@ezramedical.org http://ezramedical.org/ Provider Int 3 Complete 2016/03/29 12:00:00 2016/03/29 12:00:00 2016/03/29 02:04:51 UV 2.16.840.1.113883.4.868 chartlogic ChartLogic EHR Kyle Woodruff masked itservices@chartlogic.com Kyle Woodruff 3995 South 700 East Suite 200 Salt Lake City, UT 84107 8013651800 masked Product Manager ChartLogic, Inc. 3995 South 700 East Suite 200 Salt Lake City, UT 84107 8013651800 ProductOwners@chartlogic.com http://www.chartlogic.com Vendor Int 3 Complete 2016/03/29 12:00:00 2016/04/08 12:00:00 2016/04/08 05:19:32 UV 2.16.840.1.113883.3.6682 rfhc Raritan Family Health Care Lauren Connors masked Lauren Connors 901 US Hwy 202 Raritan, NJ 08869 908-253-6640 masked RN care coordinator Raritan Family Health Care 901 US Hwy 202 Raritan, NJ 08869 908-253-6640 Connors.lauren@hunterdonhealthcare.org https://www.raritanfamily.com Prof Soc Int 3 Complete 2016/03/30 12:00:00 2016/03/30 12:00:00 2016/03/30 02:22:30 UV 2.16.840.1.113883.3.6683 kcmh Kiowa County Memorial Hospital Susan West masked Mary Sweet 721 W. Kansas Ave. Greensburg, KS 67054 620-723-3341 masked Hospital Administrator Kiowa County Memorial Hospital 721 W. Kansas Ave. Greensburg, KS 67054 620-723-3341 msweet@kcmh.net Provider Int 3 Complete 2016/03/30 12:00:00 2016/03/30 12:00:00 2016/03/30 10:25:18 UV 2.16.840.1.113883.3.6684 abcpeds Mountain View Medical Group, ABC Pediatrics Kevin Bedee masked Kevin Bedee 5575 Tech Center Drive #100 Colorado Springs, CO 80919 719-388-7685 masked Quality/ Improvement Mountain View Medical Group ABC Pediatrics 8890 N Union, #220 Colorado Springs, CO 80920 719-574-9191 clin-staff-abc@mvmgmessenger.com http://www.mvmg.com Provider Int 3 Complete 2016/03/30 12:00:00 2016/03/30 12:00:00 2016/03/30 10:37:19 UV 2.16.840.1.113883.3.6685 mvmgadv Mountain View Medical Group Advantage Family Medicine Kevin Bedee masked Kevin Bedee 5575 Tech Center Drive #100 Colorado Springs, CO 80919 719-388-7685 masked Quality/ Improvement Mountain View Medical Group Advantage Family Medicine 4760 Flintridge Drive, Suite 200 Colorado Springs, CO 80918 719-598-9446 clin-staff-adv@mvmgmessenger.com http://www.mvmg.com Provider Int 3 Complete 2016/03/30 12:00:00 2016/03/30 12:00:00 2016/03/30 10:40:05 UV 2.16.840.1.113883.3.6686 mvmgbma Mountain View Medical Group Briargate Medical Associates Kevin Bedee masked Kevin Bedee 5575 Tech Center Drive, #100 Colorado Springs, CO 81919 719-388-7685 masked Quality/ Improvement Mountain View Medical Group Briargate Medical Associates 8890 N Union, Suite 200 Colorado Springs, CO 80920 719-548-0700 clin-staff-bma@mvmgmessenger.com http://www.mvmg.com Provider Int 3 Complete 2016/03/30 12:00:00 2016/03/30 12:00:00 2016/03/30 10:55:56 UV 2.16.840.1.113883.3.6687 mvmgbvpds Mountain View Medical Group Broadmoor Valley Pediatrics Kevin Bedee masked Kevin Bedee 5575 Tech Center Drive, #100 Colorado Springs, CO 80919 719-388-7685 masked Quality/ Improvement Mountain View Medical Group Broadmoor Valley Pediatrics 1230 Tenderfoot Hill Road, Suite 255 Colorado Springs, CO 80906 719-576-5437 clin-staff-bvpds@mvmgmessenger.com http://mvmg.com Provider Int 3 Complete 2016/03/30 12:00:00 2016/03/30 12:00:00 2016/03/30 10:57:47 UV 2.16.840.1.113883.3.6688 mvmgaud Mountain View Medical Group at Audubon Kevin Bedee masked Kevin Bedee 5575 Tech Center Drive, #100 Colorado Springs, CO 80919 719-388-7685 masked Quality/ Improvement Mountain View Medical Group at Audubon 3030 N Circle Dr., Suite 301 Colorado Springs, CO 80909 719-475-9574 clin-staff-ams@mvmgmessenger.com http://www.mvmg.com Provider Int 3 Complete 2016/03/30 12:00:00 2016/03/30 12:00:00 2016/03/30 11:02:37 UV 2.16.840.1.113883.3.6689 mvmgyoesel Mountain View Medical Group Dr. Yoesel, MDVIP Kevin Bedee masked Kevin Bedee 5575 Tech Center Drive, #100 Colorado Springs, CO 80919 719-388-7685 masked Quality/ Improvement Mountain View Medical Group Dr. Yoesel, MDVIP 3470 Centennial Blvd, Suite 215 Colorado Springs, CO 80907 719-635-3355 clin-staff-yoesel@mvmgmessenger.com http://www.mvmg.com Provider Int 3 Complete 2016/03/30 12:00:00 2016/03/30 12:00:00 2016/03/30 11:05:12 UV 2.16.840.1.113883.3.6690 mvmgpikespeak Mountain View Medical Group Pikes Peak Kevin Bedee masked Kevin Bedee 5575 Tech Center Drive, #100 Colorado Springs, CO 80919 719-388-7685 masked Quality/ Improvement Mountain View Medical Group Pikes Peak 16222 West US Hwy 24 Woodland Park, CO 80863 719-687-6022 clin-staff-langs@mvmgmessenger.com http://www.mvmg.com Provider Int 3 Complete 2016/03/30 12:00:00 2016/03/30 12:00:00 2016/03/30 11:09:25 UV 2.16.840.1.113883.3.6691 mvmgmon Mountain View Medical Group Monument Medical Center Kevin Bedee masked Kevin Bedee 5575 Tech Center Drive, #100 Colorado Springs, CO 80919 719-388-7685 masked Quality/ Improvement Mountain View Medical Group Monument Medical Center 550 Highway 105 Monument, CO 80132 719-488-9860 clin-staff-mon@mvmgmessenger.com http://www.mvmg.com Provider Int 3 Complete 2016/03/31 12:00:00 2016/03/31 12:00:00 2016/03/31 10:49:24 UV 2.16.840.1.113883.3.6692 mvmgmonpeds Mountain View Medical Group Monument Pediatrics Kevin Bedee masked Kevin Bedee 5575 Tech Center Drive, #100 Colorado Springs, CO 80919 719-388-7685 masked Quality/ Improvement Mountain View Medical Group Monument Pediatrics 17230 Jackson Creek Pkwy, Suite 260 Monument, CO 80132 719-488-6998 clin-staff-monpd@mvmgmessenger.com http://www.mvmg.com Provider Int 3 Complete 2016/03/31 12:00:00 2016/03/31 12:00:00 2016/03/31 10:51:26 UV 2.16.840.1.113883.3.6693 mvmgpowers Mountain View Medical Group at Powers Kevin Bedee masked Kevin Bedee 5575 Tech Center Drive, #100 Colorado Springs, CO 80919 719-388-7685 masked Quality/ Improvement Mountain View Medical Group at Powers 6140 Tutt Blvd, Suite 200 Colorado Springs, CO 80923 719-380-6800 clin-staff-power@mvmgmessenger.com http://www.mvmg.com Provider Int 3 Complete 2016/03/31 12:00:00 2016/03/31 12:00:00 2016/03/31 10:53:31 UV 2.16.840.1.113883.3.6694 mvmgpwh Mountain View Medical Group Partners in Womens Health Kevin Bedee masked Kevin Bedee 5575 Tech Center Drive, #100 Colorado Springs, CO 80919 719-388-7685 masked Quality/ Improvement Mountain View Medical Group Partners in Women's Health 6285 Lehman Dr., Suite 200 Colorado Springs, CO 80918 719-260-7050 clin-staff-ob@mvmgmessenger.com http://www.mvmg.com Provider Int 3 Complete 2016/03/31 12:00:00 2016/03/31 12:00:00 2016/03/31 10:55:57 UV 2.16.840.1.113883.3.6695 mvmgcent Mountain View Medical Group at Centennial Kevin Bedee masked Kevin Bedee 5575 Tech Center Drive, #100 Colorado Springs, CO 80919 719-388-7685 masked Quality/ Improvement Mountain View Medical Group at Centennial 3470 Centennial Blvd, Suite 205 Colorado Springs, CO 80907 719-598-4588 clin-staff-cent@mvmgmessenger.com http://www.mvmg.com Provider Int 3 Complete 2016/03/31 12:00:00 2016/03/31 12:00:00 2016/03/31 11:01:49 UV 2.16.840.1.113883.3.6696 mvmgpedspec Mountain View Medical Group Pediatric Specialists Kevin Bedee masked Kevin Bedee 5575 Tech Center Drive, #100 Colorado Springs, CO 80919 719-388-7685 masked Quality/ Improvement Mountain View Medical Group Pediatric Specialists 6071 E Woodmen, Suite 105 Colorado Springs, CO 80923 719-597-8704 clin-staff-pspec@mvmgmessenger.com http://www.mvmg.com Provider Int 3 Complete 2016/03/31 12:00:00 2016/03/31 12:00:00 2016/03/31 11:04:20 UV 2.16.840.1.113883.3.6697 mvmgwc Mountain View Medical Group The Walking Clinic Kevin Bedee masked Kevin Bedee 5575 Tech Center Drive, #100 Colorado Springs, CO 80919 719-388-7685 masked Quality/ Improvement Mountain View Medical Group The Walking Clinic 5014 El Camino Dr., Colorado Springs, CO 80918 719-635-7700 clin-staff-pod@mvmgmessenger.com http://www.mvmg.com Provider Int 3 Complete 2016/03/31 12:00:00 2016/03/31 12:00:00 2016/03/31 11:08:16 UV 2.16.840.1.113883.3.6698 pcks Phillips County Health Systems Steven Seems masked Steven Seems P.O. Box 607 Phillipsburg, KS 67661 785-543-5226 masked Phillips County Health Systems P.O. Box 607 Phillipsburg, KS 67661 785-543-5226 sseems@phillipshospital.org Provider Int 3 Complete 2016/03/31 12:00:00 2016/03/31 12:00:00 2016/03/31 11:56:16 UV 2.16.840.1.113883.3.6699 ghcc Genesis HealthCare Corporation Clifford Boyd masked Clifford A.Boyd 101E State Street Kennett Square, PA 19348 610-925-1093 masked Director, Data and Intergration Services Genesis HealthCare Corporation 101E State Street Kennett Square, PA 19348 610-444-6350 cliff.boyd@genesishcc.com http://www.genesishcc.com Provider Int 3 Complete 2016/03/31 12:00:00 2016/03/31 12:00:00 2016/03/31 01:01:37 UV 2.16.840.1.113883.3.6700 wmmg West Midtown Medical Group Allegra Schorr masked Armando Fernandez 505 Eighth Avenue Suite 404 New York, NY 10018 212-643-8811 masked IT Director West Midtown Medical Group 505 Eighth Avenue Suite 404 New York, NY 10018 212-643-8811 afernandez@westmidtownmedical.com http://www.westmidtownmedicalgroup.net Provider Int 3 Complete 2016/03/31 12:00:00 2016/03/31 12:00:00 2016/03/31 04:50:54 UV 2.16.840.1.113883.3.6701 prhsRoot PRHS (Peninsula Regional Health System Root OID for HIE/HL7) Wayne Corkran masked Wayne Corkran 410*543*7399 masked Peninsula Regional Health System 100 E. Carroll Street Salisbury, MD 21801 410*546*6400 wayne.corkran@peninsula.org Provider Ext 17 Complete 2.16.840.1.113883.3.6701 2016/04/01 12:00:00 2016/04/05 12:00:00 2016/04/05 10:59:52 UV 2.16.840.1.113883.3.6701.1 prhsEPIC PRHS EPIC Wayne Corkran masked Wayne Corkran 100 E. Carroll Street Salisbury, MD 21801 410*543*7399 masked Peninsula Regional Health System 100 E. Carroll Street Salisbury, MD 21801 410*546*6400 wayne.corkran@penisula.org Provider 2.16.840.1.113883.3.6701 Ext 17 Complete 2.16.840.1.113883.3.6701.1 2016/04/01 12:00:00 2016/04/05 12:00:00 2016/04/05 11:03:51 UV 2.16.840.1.113883.3.6701.2 prhsLocations PRHS Locations Wayne Corkran masked Wayne Corkran 410*543*7399 masked Peninsula Regional Health System 100 E. Carroll St. Salisbury, MD 21801 410*546*6400 wayne.corkran@peninsula.org Provider Ext 17 Complete 2.16.840.1.113883.3.6701.2 2016/04/01 12:00:00 2016/04/05 12:00:00 2016/04/05 11:05:32 UV 2.16.840.1.113883.3.6701.2.1 prmcHosp PRMC Hospital Wayne Corkran masked Wayne Corkran 4105437399 masked Peninsula Regional Health System 100 E. Carroll Street Salisbury, MD 21801 4105466400 wayne.corkran@peninsula.org Provider 2.16.840.1.113883.3.6701 Ext 17 Complete 2.16.840.1.113883.3.6701.2.1 2016/04/01 12:00:00 2016/04/05 12:00:00 2016/04/05 11:48:35 UV 2.16.840.1.113883.3.6702 renaissancePSPO Pediatric Specialists at Renaissance-Pediatric Orthopedic Surgery OID Root Holly Llasos masked Priscilla Peralez Roel Reyna Jr. 2001 S. Cynthia St. McAllen, TX 78501 956-362-8205 masked Office Manager Pediatric Specialists at Renaissance-Pediatric Orthopedic Surgery 2001 S. Cynthia St. McAllen, TX 78501 956-362-8205 roe.reyna@dhr-rgv.com Provider Int 3 Complete 2016/04/04 12:00:00 2016/04/05 12:00:00 2016/04/05 11:53:13 UV 2.16.840.1.113883.3.6703 renaissanceGYNONC Doctor's Hospital at Renaissance-Gynecology Oncology OID Root Holly Llasos masked Priscilla Peralez Maytee Rodea 2717 Michael Angelo Drive Ste 304 Edinburg, TX 78539 956-362-2310 masked Office Manager Doctor's Hospital at Renaissance-Gynecology Oncology 2717 Michael Angelo Drive Ste 304 Edinburg, TX 78539 956-362-2310 m.rodea@dhr-rgv.com Provider Int 3 Complete 2016/04/04 12:00:00 2016/04/05 12:00:00 2016/04/05 11:54:51 UV 2.16.840.1.113883.3.6704 nmuro Northern Michigan Urology Ed Worthington masked Ed Worthington 300 E. Front St Suite 240 Traverse City, MI 49684 2314218505 masked IT Director Northern Michigan Urology 405 N Division Road Ste 2 Petoskey, MI 49770 eworthington@npoinc.org Provider Int 3 Complete 2016/04/04 12:00:00 2016/04/05 12:00:00 2016/04/05 11:56:35 UV 2.16.840.1.113883.3.6705 renaissanceENTSouth Ear, Nose, and Throat Institute at Renaissance-South OID Root Holly Llasos masked Priscilla Peralez Jessica De Leon 5511 Doctor's Drive Edinburg, TX 78539 956-648-4789 masked Office Manager Ear, Nose, and Throat Institute at Renaissance-South 5511 Doctor's Drive Edinburg, TX 78539 956-648-4789 je.deleon@dhr-rgv.com Provider Int 3 Complete 2016/04/04 12:00:00 2016/04/05 12:00:00 2016/04/05 11:58:17 UV 2.16.840.1.113883.3.6706 christus CHRISTUS Health Chetan Sharma masked Chetan Sharma 919 Hidden Ridge, Irving, TX 75038 4806781842 masked Integration Lead Christus Health 919 Hidden Ridge, Irving, TX 75038 4806781842 chetan.sharma@christushealth.org http://www.christushealth.org Provider Int 3 Complete 2016/04/04 12:00:00 2016/04/05 12:00:00 2016/04/05 11:59:48 UV 2.16.840.1.113883.3.6707 pathwaysOK-durant Pathways of Oklahoma - Durant Pamela Ocasek masked Pamela L Ocasek 44 E Broadway Blvd Suite 200 Tucson, AZ 85711 520-747-6660 masked Sr. IT Director Pathways Human Services, LLC 44 E Broadway Blvd Suite 200 Tucson, AZ 85711 520-382-4140 purchase_manage@pathways.com http://www.pathways.com Provider Int 3 Complete 2016/04/04 12:00:00 2016/04/05 12:00:00 2016/04/05 12:06:08 UV 2.16.840.1.113883.3.6708 pathwaysOK-ada Pathways of Oklahoma - Ada Pamela Ocasek masked Pamela L Ocasek 44 E Broadway Blvd Suite 200 Tucson, AZ 85701 520-747-6660 masked Sr. IT Director Pathways Human Services, LLC 44 E Broadway Blvd Suite 200 Tucson, AZ 85701 520-382-4140 purchase_manage@pathways.com http://www.pathways.com Provider Int 3 Complete 2016/04/04 12:00:00 2016/04/05 12:00:00 2016/04/05 12:08:08 UV 2.16.840.1.113883.3.6709 pathwaysOK-madill Pathways of Oklahoma - Madill Pamela Ocasek masked Pamela L Ocasek 44 E Broadway Blvd Suite 200 Tucson, AZ 85701 520-747-6660 masked Sr. IT Director Pathways Human Services, LLC 44 E Broadway Blvd Suite 200 Tucson, AZ 85701 520-382-4140 purchase_manage@pathways.com http://www.pathways.com Provider Int 3 Complete 2016/04/04 12:00:00 2016/04/05 12:00:00 2016/04/05 12:09:20 UV 2.16.840.1.113883.3.6710 svptadataportal Saint Vincents Patient Data Portal to NYS OMH Deborah DiBernardo masked Thomas Good Deborah DiBernardo Saint Josephs Hospital Information Systems 127 South Broadway Yonkers, NY 10701 914-378-7838 masked Director IT Saint Josephs Medical Center Saint Josephs Hospital Informaiton Systems 127 South Broadway Yonkers, NY 10701 914-378-7838 deborah.dibernardo@saintjosephs.org http://www.stvincentswestchester.org/ Provider Int 3 Complete 2016/04/05 12:00:00 2016/04/05 12:00:00 2016/04/05 12:32:44 UV 2.16.840.1.113883.3.6711 usahealth-HIE University of South Alabama Health - Health Information Exchange Richard Swansburg masked Richard J Swansburg 1504 Springhill Avenue Room 3318 Mobile, AL 36604-3207 251-434-3675 masked USA Healthcare Management, LLC 2451 Fillingim Street Mobile, AL 36617-2238 251-471-7118 rjswansburg@health.southalabama.edu Provider Int 3 Complete 2016/04/05 12:00:00 2016/04/05 12:00:00 2016/04/08 10:48:35 UV 2.16.840.1.113883.3.6712 innatsb Institute of Neurology & Neuro at Saint Barn OID Root Carol Antoniello masked Carol Antoniello 200 South Orange Avenue, Suite 165 Livingston, NJ 07039 973-322-7580 masked Institute of Neurology and Neurosurgery at Saint Barnabas LLC 200 South Orange Avenue, Suite 165 Livingston, NJ 07039 973-322-7580 CAntoniello@Barnabashealth.org Provider Int 3 Complete 2016/04/06 12:00:00 2016/04/06 12:00:00 2016/04/06 09:37:02 UV 2.16.840.1.113883.3.6713 nsea NSEA Lino Khuon masked Lino Khuon TCom Networks 10 Draper St. Unit #3 Woburn, MA 01801 781-569-2961 masked IT Consultant North Suburban Eye Associates 669 Main Street Wakefield, MA 01880 781-245-5200 jbell@northsuburbaneye.com Provider Int 3 Complete 2016/04/06 12:00:00 2016/04/06 12:00:00 2016/04/06 05:57:27 UV 2.16.840.1.113883.3.6714 dodmarrow C.W. Bill Young Department of Defense Marrow Donor Program Stephan Arrington masked Stephan Arrington 11333 Woodglen Drive 3rd Floor Rockville, MD 20852 301-998-8925 masked C.W. Bill Young Department of Defense Marrow Donor Program 11333 Woodglen Drive 3rd Floor Rockville, MD 20852 301-998-8925 s.arrington@dodmarrow.org https://www.salutetolife.org Provider Int 3 Complete 2016/04/06 12:00:00 2016/04/06 12:00:00 2016/04/06 06:01:38 UV 2.16.840.1.113883.3.6715 peaceOfMindRegistry PeaceOfMindRegistry James Fogarty masked Dennis Carmichael 801 W Ellsworth Ste 201 Ann Arbor, MI 48108 7343279532 masked Owner Peace Of Mind Registry dccarmichael@cimulus.com Vendor Int 3 Complete 2016/04/07 12:00:00 2016/04/07 12:00:00 2016/04/07 03:28:59 UV 2.16.840.1.113883.9.212 cfds Centricity HL7 Elliott Wilson masked Elliott Wilson 314 S. Manning Blvd. Albany, NY 12208 518-437-5570 masked Senior Business Systems Analyst Center for Disability Services 314 S. Manning Blvd. Albany, NY 12208 518-437-5700 elliott@cfdsny.org http://www.cfdsny.org Provider Int 3 Complete 2016/04/07 12:00:00 2016/04/08 12:00:00 2016/04/08 05:10:42 UV 2.16.840.1.113883.3.6716 cva2020 Clear Vision Associates, P.C. Esteban Sandoval masked Esteban Sandoval 5990 Dahlia St Commerce City, CO 80022 3032873937 masked President Clear Vision Associates info@clearvisionassociates.com http://www.clearvisionassociates.com Provider Int 3 Complete 2016/04/07 12:00:00 2016/04/07 12:00:00 2016/04/07 06:35:22 UV 2.16.840.1.113883.3.6717 gchc Grace Community Health Center John Keeton masked John Keeton (606) 465-6603 masked Director of IT Grace Community Health Center Inc. gracetech@gracechc.com Provider Int 3 Complete 2016/04/08 12:00:00 2016/04/08 12:00:00 2016/04/08 10:52:39 UV 2.16.840.1.113883.3.6718 metropath Metropolitan Pathologists PC Drew Curtis masked Drew Curtis 7444 W Alaska Dr Suite 250 Lakewood, CO 80226 303-592-7284 masked Interface Project Coordinator Metropolitan Pathologists PC 7444 W Alaska Dr Suite 250 Lakewood, CO 80226 303-592-7284 interfaces@metropath.com https://www.metropath.com/ Provider Int 3 Complete 2016/04/11 12:00:00 2016/04/11 12:00:00 2016/04/11 05:46:12 UV 2.16.840.1.113883.3.6719 myrtue1213 Myrtue Medical Center David Sirek masked David Sirek 712-755-4298 masked CIO Myrtue Medical Center 1213 Garfield Avenue Harlan, IA 51537 712-755-5161 dsirek@myrtuemedical.org http://myrtuemedical.org Govt body Int 3 Complete 2016/04/11 12:00:00 2016/04/11 12:00:00 2016/04/11 05:48:44 UV 2.16.840.1.113883.3.6720 mpcp Maryland Primary Care Physicians Thomas Forsyth masked Tom Forsyth 1111 Benfield Blvd Suite 200 Millersville, MD 21108 410-729-2850 masked CIO Maryland Primary Care Physicians tforsyth@biz-med.com https://www.mpcp.com Provider Int 3 Complete 2016/04/11 12:00:00 2016/04/11 12:00:00 2016/04/11 05:53:26 US 2.16.840.1.113883.3.6721 flass Florida Lung Asthma and Sleep Specialists, P.A Jacqueline Blanco masked Donna Krause 2940 Mallory Circle, Suite 204 Celebration, FL 34747 407-507-2615 Ext 109 masked Florida Lung Asthma and Sleep Specialists P.A. 2940 Mallory Circle, Suite 204 Celebration, FL 34747 407-507-2615 jacqueline@floridalungdoctors.com http://www.floridalungdoctors.com Provider Int 3 Complete 2016/04/11 12:00:00 2016/04/11 12:00:00 2016/04/11 05:56:10 UV 2.16.840.1.113883.3.6722 chesterfieldderm Chesterfield Valley Dermatology OID Root Jennifer Reinken masked Jill Dierker 100 Chesterfield Business Pkwy suite 110 Chesterfield, MO 63005 636-532-09990 masked office manager Chesterfield Valley Dermatology 100 Chesterfield Business Pkwy suite 110 Chesterfield, MO 63005 636-532-0990 info@chesterfieldvalleyderm.com http://chesterfieldvalleyderm.com/ Provider Int 3 Complete 2016/04/12 12:00:00 2016/04/12 12:00:00 2016/04/12 11:51:52 UV 2.16.840.1.113883.3.6723 summerwoodPediatrics Summerwood Pediatrics Traci Scanlin masked Traci Scanlin 4811 Buckley Road Liverpool, NY 13088 315-701-2129 masked Compliance & Quality Analyst Summerwood Pediatrics 4811 Buckley Road Liverpool, NY 13088 Robert.Dracker@summerwoodmedical.com http://www.summerwoodpediatrics.com/ Provider Int 3 Complete 2016/04/13 12:00:00 2016/04/14 12:00:00 2016/04/14 11:23:11 UV 2.16.840.1.113883.3.6724 sipps Staten Island Performing Provider System Anyi Chen masked Anyi Chen 1 Edgewater Plaza, Suite 700, NY 10305 917-830-1142 masked Senior Director, IT & Analytics Staten Island Performing Provider System achen@statenislandpps.org http://www.statenislandpps.org SDO Int 3 Complete 2016/04/14 12:00:00 2016/04/14 12:00:00 2016/04/14 11:25:42 UV 2.16.840.1.113883.3.6725 jclewisclinic J.C.LEWIS PRIMARY HEALTH CARE CENTER, INC Rena Douse masked Rena Douse J.C. Lewis Primary Health Care Center, Inc. 125 Fahm Street Savannah, Georgia 31401 9127216704 masked J.C.Lewis Primary Health Care Center 125 Fahm Street Savannah, Georgia 31401 9124958887 rdouse@jclewishealth.org http://www.jclewishealth.org Provider Int 3 Complete 2016/04/14 12:00:00 2016/04/14 12:00:00 2016/04/14 12:34:36 UV 2.16.840.1.113883.3.6726 lnormanmd Leslie C Norman MD Leslie Norman masked leslie C Norman MD 7704548114 masked physician Leslie C Norman MD 1830 Independence sq suite B Atlanta, GA 30338 7704548114 lnormanmd@bellsouth.net Provider Int 3 Complete 2016/04/14 12:00:00 2016/04/14 12:00:00 2016/04/14 02:04:34 UV 2.16.840.1.113883.3.6727 psmi PSMI Value Set Content James Shalaby masked James Shalaby PSMI Consulting, Inc 1160 Brickyard Cove Road Suite 200F Pt. Richmond, CA 94801 5109326512 masked CEO PSMI Consulting, Inc PSMI Consulting, Inc 1160 Brickyard Cove Road Suite 200F Pt. Richmond, CA 94801 (510) 439-4116 jshalaby@psmiconsulting.com http://www.psmiconsulting.com Vendor Int 3 Complete 2016/04/15 12:00:00 2016/04/15 12:00:00 2016/04/15 11:07:24 UV 2.16.840.1.113883.3.6728 moreaumd Yvel P. Moreau M.D Root OID Gina Hardaway masked Gina Hardaway 1710 E. Saunders St #B440 Laredo, TX 78045 956-724-5666 masked Practice Manager Yvel P. Moreau M.D 1710 E. Saunders St. #B440 Laredo, TX 78045 956-724-5666 moreauorthopaedics@yahoo.com Provider Int 3 Complete 2016/04/15 12:00:00 2016/04/15 12:00:00 2016/04/15 05:42:45 UV 2.16.840.1.113883.3.6729 smgh-rpr St. Mary's General Hospital Dwayne Johnson masked Dwayne Johnson St. Mary's General Hospital 350 Boulevard Passaic, NJ 07055 973-574-2349 masked St. Mary's General Hospital 350 Boulevard Passaic, NJ 07055 973-574-2349 johnsond@smh-passaic.org Provider Int 3 Complete 2016/04/15 12:00:00 2016/04/15 12:00:00 2016/04/15 05:47:54 UV 2.16.840.1.113883.3.6730 atlrehab Atlanta Rehabilitation Physicians, P.C. OID Root Brent Clower masked Brent Clower 1245 Legend Run Alpharetta, GA 30005 7704021845 masked Physician Atlanta Rehabilitation Physicians, P.C. 1245 Legend Run Alpharetta, GA 30005 404-500-7378 clowerdoc@gmail.com Provider Int 3 Complete 2016/04/15 12:00:00 2016/04/15 12:00:00 2016/04/15 05:56:16 UV 2.16.840.1.113883.17.4145 fsjh-ch Franciscan St. James Health Chicago Heights Lisa Moore masked Lisa Moore Franciscan Alliance Information Services 1040 Sierra Drive, Suite 1500 Greenwood, IN 46143 317-782-6373 masked Project Manager Franciscan St. James Health - Chicago Heights ismuaudit@franciscanalliance.org http://www.franciscanalliance.org/hospitals/chicagoheights/pages/default.aspx Provider Int 17 Complete 2016/04/15 12:00:00 2016/04/15 12:00:00 2016/04/15 07:32:52 UV 2.16.840.1.113883.3.6731 kychfs Kentucky Office of Health Policy-CHFS Carla Crane masked Thangappan Patturajah 8 Mill Creek Park, Frankfort, KY 502-564-0105 Ext 2712 masked CTO Kentucky Office of Health Policy-CHFS 275 East Main Street, 4W-E Frankfort, KY-40601 502-564-9592 Carla.Crane@ky.gov Govt body Int 3 Complete 2016/04/18 12:00:00 2016/04/18 12:00:00 2016/04/18 01:24:42 UV 2.16.840.1.113883.3.6732 ksmdpc KISHWAR SHAREEF MD PC Kishwar Shareef masked Syed Shareef Kishwar Shareef 447 route 10 east #15 Randolph, NJ 07869 9734423016 masked Provider Kishwar Shareef MD PC 447 route 10 east #15 Randolph, NJ 07869 9734423016 ksmd44715@yahoo.com Provider Int 3 Complete 2016/04/18 12:00:00 2016/04/18 12:00:00 2016/04/18 01:33:13 UV 2.16.840.1.113883.3.2402.200.6885 physicans-computer-company-clients-np Physician's Computer Company (PCC) Clients Northport Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6885 2016/04/19 12:00:00 2016/04/19 12:00:00 2016/04/19 06:31:48 UV 2.16.840.1.113883.17.4146 sbl-Cerner Sarah Bush Lincoln Mary Bovard masked Mary Bovard 1000 Health Center Drive Mattoon, IL 61938 217-258-4137 masked Director, Business Informatics Sarah Bush Lincoln 1000 Health Center Drive Mattoon, IL 61938 217-258-2525 mbovard@sblhs.org http://www.sarahbush.org Provider Int 17 Complete 2016/04/20 12:00:00 2016/04/22 12:00:00 2016/04/22 03:13:23 UV 2.16.840.1.113883.3.6733 ttuhscep Texas Tech University Health Science Center at El Paso Root OID Nicole Ruiz masked Nicole Ruiz 4801 Alberta Ave El Paso, TX 79905 915-215-4024 masked Associate Director Texas Tech University Health Science Center 4801 Alberta Ave El Paso, TX 79905 915-215-4024 nicole.ruiz@ttuhsc.edu Provider Int 3 Complete 2016/04/22 12:00:00 2016/04/22 12:00:00 2016/04/22 05:59:09 UV 2.16.840.1.113883.3.6734 oregonui Oregon Urology Institute OID Colleen Parker masked Colleen Parker 2400 Hartman Lane Springfield, Oregon 97477 541-334-3350 masked RN,BSN,CEN Oregon Urology Institute 2400 Hartman Lane Springfield, Oregon 97477 541-334-3350 colleen@oregonurology.com http://www.oregonurology.com Provider Int 3 Complete 2016/04/25 12:00:00 2016/04/26 12:00:00 2016/04/26 10:33:58 US 2.16.840.1.113883.3.6735 smdh Salem Memorial District Hospital Mary Travis masked Jeremy Harrison 35629 Hwy 72, Salem, MO 65560 573-729-6626 masked Director of Information Technology Salem Memorial District Hospital 35629 Hwy 72, Salem, MO 65560 573-729-6626 jharrison@smdh.net http://www.smdh.net Provider Int 3 Complete 2016/04/26 12:00:00 2016/04/26 12:00:00 2024/07/10 12:59:12 UV 2.16.840.1.113883.3.6736 nych New York Community Hospital Oleksiy Litvinov masked Donna Fitzmartin Donna Fitzmartin 2525 Kings Highway Brooklyn, NY 11229 (718)692-5344 masked VP Ancillary Svcs./Case Management New York Community Hospital 2525 Kings Highway Brooklyn, NY 11229 (718)692-5344 dof9005@nyp.org http://www.nych.com Provider Int 3 Complete 2016/04/26 12:00:00 2016/04/26 12:00:00 2016/04/26 10:51:02 UV 2.16.840.1.113883.3.6737 rockcastleOID Rockcastle Regional Hospital, Inc. Maleigha Amyx masked Maleigha Amyx 145 Newcomb Ave Mount Vernon, KY 40456 606-256-2195 masked I.T. Director Rockcastle Regional Hospital, Inc. m.amyx@rhrcc.org https://rockcastleregional.org Provider Int 3 Complete 2016/04/26 12:00:00 2016/04/26 12:00:00 2016/04/26 10:53:57 OID UV 2.16.840.1.113883.3.2402.200.6786 physicans-computer-company-clients-kpp Physician's Computer Company (PCC) Clients Kids Plus Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6786 2016/04/26 12:00:00 2016/04/26 12:00:00 2016/04/26 10:57:39 UV 2.16.840.1.113883.3.2402.200.6789 physicans-computer-company-clients-hamden Physician's Computer Company (PCC) Clients Hamden Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6789 2016/04/26 12:00:00 2016/04/26 12:00:00 2016/04/26 11:02:16 UV 2.16.840.1.113883.3.6738 neGreatPlainsHealth Great Plains Health Brad Garrick masked Brad Garrick 601 W Leota St, North Platte, NE 69101 1-308-568-7131 masked Interim Director Great Plains Health 601 W Leota St, North Platte, NE 69101 1-308-568-7131 garrickb@gphealth.org http://www.gphealth.org/ Provider Int 3 Complete 2016/04/26 12:00:00 2016/04/26 12:00:00 2016/04/26 11:07:28 UV 2.16.840.1.113883.3.6739 pic Precision iCare Erica Touhill-Watson masked Erica L. Touhill-Watson 115 W. Upton Ave. Reed City, MI 49677 231-832-3133 masked Precision iCare 115 W. Upton Ave. Reed City, MI 49677 231-832-3133 inquire@precision-icare.com Provider Int 3 Complete 2016/04/26 12:00:00 2016/04/26 12:00:00 2016/04/26 11:15:02 UV 2.16.840.1.113883.3.6740 rhmoid OID Root for Rose Hill Medical center Santana Cash masked Santana Cash Rose Hill Medical 600 S Sycamore St Rose Hill, NC 28458 (910) 289-3027 masked Office Manager Rose Hill Medical Center 600 S Sycamore St Rose Hill, NC 28458 (910) 289-3027 duplinmedical@embarqmail.com Provider Int 3 Complete 2016/04/27 12:00:00 2016/04/27 12:00:00 2016/04/27 10:20:33 UV 2.16.840.1.113883.3.6741 srickoff Root OID for Dr Scott Rickoff PA scott rickoff masked scott rickoff 2110 n palafox 8504335488 masked dr scott rickoff ,PA 2110 n palafox pensacola, fla 32501 8504335488 serdpm@bellsouth.net Provider Int 3 Complete 2016/04/27 12:00:00 2016/04/27 12:00:00 2016/04/27 11:56:12 UV 2.16.840.1.113883.3.6742 cmhne Syracuse Area Health Matthew Steinblock masked Anthony Starzec 2731 Healthcare Dr Syracuse, NE 68446 4022692011 masked EHR Specialist Syracuse Area Health 2731 Healthcare Dr Syracuse, NE 68446 4022692011 astarzec@syracuseareahealth.com https://syracuseareahealth.com/ Provider Int 3 Complete 2016/04/27 12:00:00 2016/04/27 12:00:00 2021/02/01 11:04:19 UV 2.16.840.1.113883.3.6743 ukh-khsc University of Kansas Hospital - KHSC Jane Maskus masked Jane Maskus University Of Kansas Hospital - KHSC 2330 Shawnee Mission Parkway Suite 300 Westwood, KS 66205 (785)656-9495 masked Technology University of Kansas Hospital - KHSC 2330 Shawnee Mission Parkway Suite 300 Westwood, KS 66205 (785)650-2860 jane.maskus@khsc-ku.com http://kumed.com/KHSC Provider Int 3 Complete 2016/04/27 12:00:00 2016/04/27 12:00:00 2016/04/27 05:54:41 UV 2.16.840.1.113883.3.6743.1 ukh-khsc-hnammrn University of Kansas Hospital - KHSC HNAM MRN Jane Maskus masked Jane Maskus University of Kansas Hospital - KHSC 2330 Shawnee Mission Parkway Suite 300 Westwood, KS 66205 (785)656-9495 masked Technology University of Kansas Hospital - KHSC 2330 Shawnee Mission Parkway Suite 300 Westwood, KS 66205 (785) 650-2860 jane.maskus@khsc-ku.com http://kumed.com/khsc Provider 2.16.840.1.113883.3.6743 Ext 17 Complete 2.16.840.1.113883.3.6743.1 2016/04/27 12:00:00 2016/04/29 12:00:00 2016/04/29 08:57:10 UV 2.16.840.1.113883.3.6743.2 ukh-khsc-hnamfin University of Kansas Hospital - KHSC HNAM FIN Jane Maskus masked Jane Maskus University of Kansas Hospital - KHSC 2330 Shawnee Mission Parkway Suite 300 Westwood,KS 66205 (785)656-9495 masked Technology University of Kansas Hospital - KHSC 2330 Shawnee Mission Parkway Suite 300 Westwood,KS 66205 (785) 650-2860 jane.maskus@khsc-ku.com http://kumed.com/khsc Provider 2.16.840.1.113883.3.6743 Ext 17 Complete 2.16.840.1.113883.3.6743.2 2016/04/27 12:00:00 2016/04/29 12:00:00 2016/04/29 08:58:29 UV 2.16.840.1.113883.3.6744 ortho Orthopaedics Unlimited LLC Mary Pat Cardinale masked Mary Pat Cardinale 200 South Orange Avenue Suite 230 Livingston, NJ 07039 973-322-7400 masked Office Manager Orthopaedics Unlimited LLC 200 South Orange Avenue Suite 230 Livingston, NJ 07039 973-322-7400 mpc869091@gmail.com Provider Int 3 Complete 2016/04/29 12:00:00 2016/04/29 12:00:00 2016/04/29 04:07:36 UV 2.16.840.1.113883.3.6745 dineshklahotimd DINESH K. LAHOTI MD MANJU LAHOTI masked MANJU LAHOTI 204 CENTER STREET OLEAN N.Y 14760 716-397-8137 masked OFFICE MANAGER DINESH LAHOTI PHYSICIAN PC 204 CENTER STREET OLEAN, N.Y 14760 716-373-5801 office.lahoti@yahoo.com Provider Int 3 Complete 2016/05/02 12:00:00 2016/05/03 12:00:00 2016/05/03 09:29:06 UV 2.16.840.1.113883.3.6746 neilsozermd Neil S Ozer MD OID Root Bobbi Ozer masked Bobbi Ozer 3355 Burns Rd Palm Beach Gardens,Fl33410 Suite207 5616267435 masked neil s ozer md 3355 Burns Rd Palm Beach Gardens, FL 33410 Suite207 5616267435 doctorneil47@gmail.com Provider Int 3 Complete 2016/05/02 12:00:00 2016/05/03 12:00:00 2016/05/03 09:30:22 UV 2.16.840.1.113883.3.6747 sjcrh St. Jude Children's Research Hospital William Smith masked William Carl Smith 262 Danny Thomas Place Memphis, TN 38105 901-595-5727 masked Project Manager St. Jude Children's Research Hospital 262 Danny Thomas Place Memphis, TN 38105 901-595-5727 williamc.smith@stjude.org https://stjude.org Provider Int 3 Complete 2016/05/03 12:00:00 2016/05/03 12:00:00 2016/05/03 07:37:14 UV 2.16.840.1.113883.3.6748 stfh Charleston Hospital Inc Jeremy Taylor masked Jeremy Lee Taylor 333 Laidley St Charleston, WV 25301 304 347 6121 masked Dir of IT Charleston Hospital Inc. 333 Laidley st Charleston, WV 25301 304 766 brian.ulery@thomaswv.org Provider Int 3 Complete 2016/05/03 12:00:00 2016/05/03 12:00:00 2016/05/03 07:44:08 UV 2.16.840.1.113883.3.6749 zfpc Zachary Family Practice (ZFPC) Scarlet Collier masked Scarlet B. Collier 6300 Main Street Zachary, LA 70791 225-658-4173 masked Application Specialist Zachary Family Practice 2335 Church Street Zachary, LA 70791 225-654-3607 scollier@lanermc.org Exchange Int 3 Complete 2016/05/03 12:00:00 2016/05/03 12:00:00 2016/05/03 07:46:06 UV 2.16.840.1.113883.3.6750 lsgc Lane Surgery Group Scarlet Collier masked Scarlet B Collier 6300 Main Street Zachary, LA 70791 225-658-4173 masked Application Specialist Lane Surgery Group 4801 McHugh Road Suite C Zachary, LA 70791 225-658-6690 scollier@lanermc.org Exchange Int 3 Complete 2016/05/03 12:00:00 2016/05/03 12:00:00 2016/05/03 07:54:52 UV 2.16.840.1.113883.3.6751 phhc Professional Home Health Care Sheryl Bellinger masked szion@homecarephhc.com Sheryl Bellinger 1629 Harvard Street Longmont, CO 80503 720-864-2839 masked President Professional Home Health Care (PHHC) Inc. 1629 Harvard Street Longmont, CO 80503 720-494-0190 szion@homecarephhc.com http://www.homecarephhc.com Provider Int 3 Complete 2016/05/03 12:00:00 2016/05/03 12:00:00 2016/05/03 07:57:32 UV 2.16.840.1.113883.3.6752 insync InSync Software System Mitesh Shah masked Mitesh Shah 10 Lanidex Plaza West Parsippany, NJ 07054 732-616-8218 masked President InSync Healthcare Solution LLC 10 Lanidex Plaza West Parsippany, NJ 07054 973-404-9229 tom.wilson@insynchcs.com http://www.insynchcs.com/ Vendor Int 3 Complete 2016/05/04 12:00:00 2016/05/04 12:00:00 2016/05/04 09:45:41 UV 2.16.840.1.113883.3.6753 caipa Chinese American IPA, Inc dba Coalition of Asian-American IPA JB Liu masked JB Liu 202 Canal Street, Suite 500 New York, New York 10013 212-965-9888 masked Network Specialist CAIPA 202 Canal Street, Suite 500 New York, New York 10013 212-965-9888 jb@caipa.net http://www.caipa.net/ Prof Soc Int 3 Complete 2016/05/04 12:00:00 2016/05/04 12:00:00 2016/05/04 12:49:31 UV 2.16.840.1.113883.3.6754 rei-hie-nextgen The Reeves Eye Institute Health Information Exchange Interface with OnePartner Michael Manning masked Michael Manning 2328 Knob Creek Rd Suite 506 Johnson City, TN 37604 423-722-1311 ext. 4004 masked Administrator The Reeves Eye Institute 2328 Knob Creek Rd Suite 506 Johnson City, TN 37604 423-722-1311 mmanning@reeveseyeinstitute.com Provider Int 3 Complete 2016/05/04 12:00:00 2016/05/06 12:00:00 2016/05/06 08:13:48 UV 2.16.840.1.113883.3.6755 simpsongen Simpson General Hospital OID David Welch masked David Welch 1842 Simpson Highway 149 Mendenhall, MS 39114 6018477113 masked Assistant Administrator / CIO Simpson General Hospital 1842 Simpson Highway 149 Mendenhall, MS 39114 6018472221 david.welch@simpsongeneral.com Provider Int 3 Complete 2016/05/05 12:00:00 2016/05/06 12:00:00 2016/05/06 07:28:57 US 2.16.840.1.113883.3.6756 nlcmh Northern Lakes Community Mental Health Ed Worthington masked Ed Worthington 105 Hall St, Traverse City, MI 49684 (231) 922-3639 masked IT Director - NPO HIE Northern Lakes Community Mental Health 105 Hall St, Traverse City, MI 49684 (231) 922-3639 eworthington@npoinc.org Provider Int 3 Complete 2016/05/06 12:00:00 2016/05/06 12:00:00 2016/05/06 07:35:56 UV 2.16.840.1.113883.3.6757 hwl-08-FL Heart Smart, LLC and Florida Blue Dacier Iglesias masked Dacier Iglesias 7990 SW 117 Avenue, Suite 202 Miami, FL 33183 3052000399 masked System Analyst Heart Smart, LLC 7990 SW 117 Avenue, Suite 202 Miami, FL 33183 3052000399 diglesias@heartwell.com Provider Int 3 Complete 2016/05/08 12:00:00 2016/05/10 12:00:00 2016/05/10 12:16:41 UV 2.16.840.1.113883.3.6758 vnam Visiting Nurse Association of the Midlands John LeDoux masked John LeDoux 12565 West Center Road Suite 100 Omaha, NE 68144 402 930-4012 masked DBA Visiting Nurse Association of the Midlands 12565 West Center Road Suite 100 Omaha, NE 68144 4023425566 jledoux@thevnacares.org Provider Int 3 Complete 2016/05/09 12:00:00 2016/05/10 12:00:00 2016/05/10 12:17:59 UV 2.16.840.1.113883.6.317 populatedPlacesGNIS Populated Places (GNIS) Hetty Khan masked Mead Walker Kryn Krautheim CDC/National Center for Health Statistics PO Box 12214 Research Triangle Park NC 27709 919.541.0197 masked Survey Statistician Centers for Disease Control and Prevention, National Center for Health Statistics 2500 Century Center Parkway Atlanta, GA 30329 404-498-6685 dsq3@cdc.gov http://phinvads.cdc.gov Govt body 2.16.840.1.114222.4 Int 6 Complete 2016/05/09 12:00:00 2016/06/14 12:00:00 2016/12/07 10:48:46 NCHSGNIS UV 2.16.840.1.113883.3.6759 baltimoremedical Baltimore Medical System Susan Weimer masked Susan Weimer 3501 Sinclair Lane Baltimore, MD 21213 410-558-4951 masked Director of Health Informatics Baltimore Medical System 3501 Sinclair Lane Baltimore, MD 21213 410-732-8800 sue.weimer@bmsi.org Provider Int 3 Complete 2016/05/10 12:00:00 2016/05/10 12:00:00 2016/05/10 12:20:45 UV 2.16.840.1.113883.3.6760 clinnection Clinnection OID John Carbone masked John Carbone 519 Route 111 Hauppauge, NY 11788 5165859770 masked VP Technology Practice Provider 519 Route 111 Hauppauge, NY 11788 5165859770 john@practiceprovider.com http://www.practiceprovider.com Vendor Int 3 Complete 2016/05/10 12:00:00 2016/05/10 12:00:00 2016/05/10 12:31:28 UV 2.16.840.1.113883.3.6761 sjmhwv Stonewall Jackson Memorial Hospital Tara Arnold masked Tara Arnold 304-269-8527 masked Clinical IT Specialist Stonewall Jackson Memorial Hospital 230 Hospital Plaza Weston, WV 26452 304-269-8527 tarnold@stonewallhospital.net Provider Int 3 Complete 2016/05/10 12:00:00 2016/05/10 12:00:00 2016/05/10 05:08:30 UV 2.16.840.1.113883.3.6762 afhc Auburn Family Health Center, P.C. Kimberly Kruger masked Kimberly Kruger 2115 14th Street Suite 100 Auburn, NE 68305 402-274-4993 ext. 105 masked Practice Manager Auburn Family Health Center, P.C. 2115 14th Street Suite 100 Auburn, NE 68305 402-274-4993 kkruger@afhcpc.com Provider Int 3 Complete 2016/05/11 12:00:00 2016/05/11 12:00:00 2016/05/11 11:25:54 UV 2.16.840.1.113883.3.6763 rogerdduberdo Dr Roger Duber DO Practice OID Root Jay Govind masked Jay Govind ` 5107083200 masked MU Specialist Dr Roger Duber Practice 685 N. 13th Avenue, Suite 9, Upland, CA 91786 909-981-8383 wemonitor@yahoo.com http://www.rogerdduberdo.com Provider Int 3 Complete 2016/05/11 12:00:00 2016/05/11 12:00:00 2016/05/11 03:06:33 UV 2.16.840.1.113883.3.6764 qFP Quality Family Physicians Mark Jacobs masked Dr. Kathleen Willey Kathleen Willey, MD 722 Yorklyn Rd Suite 400 Hockessin, DE 19707 302-235-2351 masked Physician Quality Family Physicians 722 Yorklyn Rd, Suite 400 Hockessin, DE 19707 302-235-2351 kathywilley@gmail.com https://portal.qualityfamilyphysicians.com/portal/default.aspx Provider Int 3 Complete 2016/05/12 12:00:00 2016/05/12 12:00:00 2016/05/12 09:20:14 UV 2.16.840.1.113883.3.6765 southernortho Southern Ortho OID Root Sherrie PIke masked Sherrie Pike 2950 Hwy 78 East Jasper, AL 35501 205-221-5374 masked Practice Manager Southern Orthopedic and Sports Medicine Associates, P.C. PO Box 580 Jasper, AL 35502-0580 205-221-5374 sherriepike@southernortho.org https://www.southernortho.org Provider Int 3 Complete 2016/05/12 12:00:00 2016/05/12 12:00:00 2016/05/12 01:37:32 UV 2.16.840.1.113883.3.6766 svhw-avartar St. Vincent's Hospital Westchester OID for NetSmart to RHIO Deborah DiBernardo masked Joseph Paternoster Deborah DiBernardo 127 South Broadway Yonkers, NY 10701 914-378-7838 masked Director IT St. Vincent's Hospital Westchester 275 North St Harrison, NY 10528 914-925-5070 jpaternoster@svwsjmc.org http://www.stvincentswestchester.org Provider Int 3 Complete 2016/05/13 12:00:00 2016/05/13 12:00:00 2016/05/13 11:53:08 UV 2.16.840.1.113883.3.6767 sunrs Sunrise Health Care, PC Chuks Nweke masked Chuks Nweke 4020 Palmer Park Blvd 101B Colorado Springs, CO 80909 719-577-9977 masked Administrator Sunrise Health Care, PC 4020 Palmer Park Blvd 101B Colorado Springs, CO 80909 719-577-9977 admin@sunrisehlthcare.com Provider Int 3 Complete 2016/05/16 12:00:00 2016/05/16 12:00:00 2016/05/16 11:16:38 UV 2.16.840.1.113883.3.6577.1 hcmhinmrn Henry County Memorial Hospital MRN Robert Spencer masked Robert Michael Spencer 1000 N 16th ST New Castle, IN 47362 7655211395 masked CIO Henry County Memorial Hospital 1000 N 16th ST New Castle, IN 47362 7655210890 INFO@HCMHCARES.ORG Provider Ext 14 Complete 2.16.840.1.113883.3.6577.1 2016/05/16 12:00:00 2016/05/16 12:00:00 2016/05/16 05:02:23 UV 2.16.840.1.113883.3.6577.2 hmchinfin Henry County Memorial Hospital FIN Robert Spencer masked Robert Michael Spencer 1000 N 16th ST New Castle, IN 47362 7655211395 masked CIO Henry County Memorial Hospital 1000 N 16th ST New Castle, IN 47362 7655210890 INFO@HCMHCARES.ORG Provider Ext 14 Complete 2.16.840.1.113883.3.6577.2 2016/05/16 12:00:00 2016/05/16 12:00:00 2016/05/16 05:06:47 UV 2.16.840.1.113883.3.6768 jstrangaritymd JOSEPH W. STRANGARITY, M.D. OID ROOT JOSEPH STRANGARITY masked JOSEPH STRANGARITY 320 SCHOOL RD DENVER, PA 17517-9728 7174454371 masked JOSEPH W. STRANGARITY, M.D. 320 SCHOOL RD DENVER, PA. 17517-9728 7174454371 stranggo@ptd.net Provider Int 3 Complete 2016/05/17 12:00:00 2016/05/17 12:00:00 2016/05/17 08:20:19 UV 2.16.840.1.113883.3.6769 chmTroy DMC Children's Hospital of Michigan - Troy, Michigan Facility Daniel Messing masked Daniel Messing Detroit Medical Center Corporation 3663 Woodward Ave Room 5-926 Detroit, Michigan 48201-2445 313 578-2132 masked Executive Director of Applications Detroit Medical Center Corporation 3663 Woodward Ave Room 5-926 Detroit, Michigan 48201-2445 313 578-2132 dmessing@dmc.org http://dmc.org/ Provider 2.16.840.1.113883.3.801 Int 3 Complete 2016/05/18 12:00:00 2016/05/18 12:00:00 2016/05/18 10:37:41 UV 2.16.840.1.113883.3.2402.200.6892 physicans-computer-company-clients-peekaboo Physician's Computer Company (PCC) Clients Peekaboo Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6892 2016/05/18 12:00:00 2016/05/18 12:00:00 2016/05/18 07:56:58 UV 2.16.840.1.113883.3.2402.200.6879 physicans-computer-company-clients-springtime Physician's Computer Company (PCC) Clients Springtime Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6879 2016/05/18 12:00:00 2016/05/18 12:00:00 2016/05/18 07:59:10 UV 2.16.840.1.113883.3.6770 esi Express Scripts (ESI) Joe Credico masked Joe Credico 100 Parsons Pond Drive Franklin Lakes, NJ 07417 201.269.4106 masked Sr. Manager Express Scripts (ESI) 100 Parsons Pond Drive Franklin Lakes, NJ 07417 201.269.4106 joe_credico@express-scripts.com Provider Int 3 Complete 2016/05/19 12:00:00 2016/05/19 12:00:00 2016/05/19 03:45:02 UV 2.16.840.1.113883.3.6771 smg St. Mary's Hospital Martin McCullough masked Julie Einhellig 12600 W. Colfax Ave., Suite A-500 Lakewood, CO 80215 (303) 403-7740 masked Manager, Integration Services - CO/MT St. Mary's Hospital 2635 N. 7th St. Grand Junction, CO 81502 970-298-2273 info@sclhs.net http://www.sclhealthsystem.org/ Provider Int 3 Complete 2016/05/19 12:00:00 2016/05/19 12:00:00 2016/05/19 03:48:45 UV 2.16.840.1.113883.3.6772 lifeskills LifeSkills, Inc. Arthur Stockton masked Arthur Stockton 380 Suwannee Trail St Bowling Green, KY 42103 2709015000x1188 masked IT Director LifeSkills, Inc 380 Suwannee Trail St Bowling Green, KY 42103 2709015000 postmaster@lifeskills.com http://www.lifeskills.com Provider Int 3 Complete 2016/05/19 12:00:00 2016/05/19 12:00:00 2016/05/19 05:49:29 UV 2.16.840.1.113883.3.6773 csbmg Community Service Board of Middle Georgia Robert Moran masked Robert Keith Moran 2121A Bellevue Road Dublin, GA 31021 478-275-6811 masked CFO Community Service Board of Middle Georgia 2121A Bellevue Road Dublin, GA 31021 478-275-6811 rkm2@csbmg.com Provider Int 3 Complete 2016/05/19 12:00:00 2016/05/19 12:00:00 2016/05/19 05:51:54 UV 2.16.840.1.113883.3.6774 pPA-10215 Potomac Physician Associates, PC Amanda Townsend masked Amanda Townsend 19735 Germantown Road Suite 100 Germantown, MD 20875 3019176509 masked CEO Potomac Physician Associates 19735 Germantown Road Suite 100 Germantown, MD 20875 3019176509 alt@ppa.md https://www.ppa.md Provider Int 3 Complete 2016/05/20 12:00:00 2016/05/20 12:00:00 2016/05/20 09:51:57 UV 2.16.840.1.113883.3.6775 bMA-20817 Bethesda Medical Associates, PC Alan Sheff masked Amanda Townsend Bethesda Medical Associates 10215 Fernwood Road Suite 50 Bethesda, MD 20817 Suite 50 masked VP Bethesda Medical Associates 10215 Fernwood Road Suite 50 Bethesda, MD 20817 3014934761 administrator@mdvip.md https://www.mdvip.md Provider Int 3 Complete 2016/05/20 12:00:00 2016/05/20 12:00:00 2016/05/20 09:54:21 UV 2.16.840.1.113883.3.6776 lifesourcehealth Lifesource Health Incorporated Timothy Kelly masked Timothy Kelly 803 Church Street North Syracuse, NY 13212 3154501944 masked Chief Executive Officer Lifesource Health Incorporated 803 Church Street North Syracuse, NY 13212 lifesourcehealth@icloud.com Vendor Int 3 Complete 2016/05/20 12:00:00 2016/05/20 12:00:00 2016/05/20 10:49:11 UV 2.16.840.1.113883.3.6777 eHealthPlatformBelgium eHealth Platform OID Robin Bosman masked Robin Bosman Willebroekkaai 38 B-1000 Brussel Belgium +32 2 891 8651 masked Analyst Standards & Interoperability eHealth Platform Willebroekkaai 38 B-1000 Brussel Belgium 476681868 robin.bosman@ehealth.fgov.be https://www.ehealth.fgov.be/standards/kmehr/ SDO Int 3 Complete 2016/05/23 12:00:00 2016/05/23 12:00:00 2016/05/23 10:45:39 UV 2.16.840.1.113883.3.6778 avh Aspen Valley Hospital Kim Clawson masked Michelle Gelroth 0401 Castle Creek Road Aspen, CO 81611 970-544-7356 masked Director of Information Technology Aspen Valley Hospital 0401 Castle Creek Road Aspen, CO 81611 970-544-7356 mGelroth@aspenhospital.org http://www.aspenvalleyhospital.org/page.cfm Provider Int 3 Complete 2016/05/23 12:00:00 2016/05/23 12:00:00 2016/05/23 10:49:25 UV 2.16.840.1.113883.17.4147 psiDietech PRIME Services, Inc. - Dietech Neil Donhauser masked Neil Donhauser 6400 Sheridan Drive, STE 112 Williamsville, NY 14221 7165659400 masked CIO PRIME Services, Inc. - Dietech neild@primeservicesinc.com http://www.dietechsoftware.com Vendor Int 17 Complete 2016/05/23 12:00:00 2016/05/23 12:00:00 2016/05/23 02:48:21 UV 2.16.840.1.113883.3.2591.700.1 nyPatientPortal New York Patient Portal Luke Doles masked Luke Doles 616-619-6690 masked Director, Engineering New York eHealth Collaborative 40 Worth Street, 4th Floor New York, NY 10013 646-619-6400 ldoles@nyehealth.org http://nyehealth.org Exchange 2.16.840.1.113883.3.2591 Ext 17 Complete 2.16.840.1.113883.3.2591.700.1 2016/05/23 12:00:00 2016/05/23 12:00:00 2016/05/23 02:11:57 UV 2.16.840.1.113883.3.6779 dcsb DeKalb Community Service Board Angela Carter masked Angela Carter 445 Winn Way, Decatur, GA 30030 404-508-6409 masked DeKalb Community Service Board 445 Winn Way, Decatur, GA 30030 angelac@dekcsb.org Provider Int 3 Complete 2016/05/23 12:00:00 2016/05/23 12:00:00 2016/05/23 02:41:46 UV 2.16.840.1.113883.3.2402.200.6890 physicans-computer-company-clients-ttyp Physician's Computer Company (PCC) Clients Through the Years Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6890 2016/05/23 12:00:00 2016/05/23 12:00:00 2016/05/23 02:56:54 UV 2.16.840.1.113883.3.3991.1072 fastcare-dewitt SMG FastCare - Dewitt Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 (517) 332-7063 masked Interface Analyst Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 (517) 364-1000 interfaceanalysts@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1072 2016/05/24 12:00:00 2016/05/24 12:00:00 2016/05/24 10:22:39 UV 2.16.840.1.113883.3.6780 umcp-UCC UMC Physicians Urgent Care Center Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 160 Lubbock, TX 79407 806-761-0333 masked Director, Business Services UMC Physicians Urgent Care Center 808 Joilet Ave Suite 130 Lubbock, TX 79415 806-761-0545 yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2016/05/25 12:00:00 2016/05/25 12:00:00 2016/05/25 11:59:41 UV 2.16.840.1.113883.3.6781 umcp-NWPedi UMC Physicians Northwest Pediatrics Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 160 Lubbock, TX 79407 806-761-0333 masked Director, Business Services UMC Phyicians Northwest Pediatrics 808 Joliet Ave Suite 110 Lubbock, TX 79415 806-761-0563 yvette.hinojosa@umchealthsystem.com Govt body Int 3 Complete 2016/05/25 12:00:00 2016/05/25 12:00:00 2016/05/25 12:02:19 UV 2.16.840.1.113883.3.6782 umc-diab UMC Diabetes Center Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 160 Lubbock, TX 79407 806-761-0333 masked Director, Business Services UMC Diabetes Center 808 Joliet Ave Suite 120 Lubbock, TX 79415 806-761-0540 yvette.hinojosa@umchealthsystem.com Govt body Int 3 Complete 2016/05/25 12:00:00 2016/05/25 12:00:00 2016/05/25 12:05:41 UV 2.16.840.1.113883.3.6783 umcp-AIC UMC Physicians Advanced Illness Clinic Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 160 Lubbock, TX 79407 806-761-0333 masked Director, Business Services UMC Physicians Advanced Illness Clinics 808 Joliet Ave Suite 120 Lubbock, TX 79415 806-761-0540 yvette.hinojosa@umchealthsystem.com Govt body Int 3 Complete 2016/05/25 12:00:00 2016/05/25 12:00:00 2016/05/25 01:31:12 UV 2.16.840.1.113883.3.6784 radassocsfl Radiology Associates of South Florida Elena Fernandez masked Elena Fernandez Baptist Medical Arts Bldg 8950 N Kendall Dr #504W Miami, FL 33176 305-274-2030 masked Office Manager Radiology Associates of South Florida 8900 N Kendall Dr Miami, FL 33176 786-596-1684 bdeppman@rasf.net Provider Int 3 Complete 2016/05/25 12:00:00 2016/05/25 12:00:00 2016/05/25 03:48:12 UV 2.16.840.1.113883.3.6785 rwe University Hospitals of Leicester Nicholas Sone masked Nicholas Sone Finance Department Materials Handling Unit Leicester Royal Infirmary Infirmary Square Leicester LE1 5WW 0300 303 1573 masked Financial Controller University Hospitals of Leicester NHS Trust University Hospitals of Leicester Headquarters Level 3 Balmoral Building Leicester Royal Infirmary Infirmary Square Leicester Leicestershire LE1 5WW 0300 303 1573 pils@uhl-tr.nhs.uk http://www.leicestershospitals.nhs.uk/ Govt body Int 3 Complete 2016/05/26 12:00:00 2016/05/26 12:00:00 2016/05/26 01:27:28 UV 2.16.840.1.113883.3.6786 ghsoid Genesee Health System Markaman Childress masked Markaman Childress Genesee Health System 725 Mason St Flint, MI 48503 810-496-4899 masked Chief Information Officer Genesee Health System 725 Mason St Flint, MI 48503 810-496-4899 mchildress@genhs.org http://www.genhs.org Provider Int 3 Complete 2016/05/26 12:00:00 2016/05/26 12:00:00 2016/05/26 03:12:53 UV 2.16.840.1.113883.3.6787 fmaa1417 Family Medicine Associates of Augusta Charlton Pickett masked Kelly L. Crytzer 1417 Pendleton Road Augusta, GA 30904 706-738-9824 masked Office Manager Family Medicine Associates of Augusta 1417 Pendleton Road Augusta, GA 30904 706-738-9824 kelly.litchfield@familymedicine-augusta.com http://www.familymedicineaugusta.com Provider Int 3 Complete 2016/05/31 12:00:00 2016/05/31 12:00:00 2016/05/31 11:17:56 UV 2.16.840.1.113883.17.4148 optima Optima Healthcare Solutions Tom Trice masked Tom 4229 SW High Meadows Ave Palm City, FL 34990 7724031232 masked Director of Interoperability Optima Healthcare Solutions 4229 SW High Meadows Ave Palm City, FL 34990 7724031232 support@optimahcs.com http://optimahcs.com Vendor Int 17 Complete 2016/05/31 12:00:00 2016/05/31 12:00:00 2016/05/31 01:05:51 US 2.16.840.1.113883.3.6788 pmcpmg Prowers Medical Center - Prowers Medical Group Jason Spano masked Jason P. Spano 401 Kendall Dr Lamar, CO 81052 7193366724 masked Director of IT Prowers Medical Center 401 Kendall Dr Lamar, CO 81052 7193366724 jason.spano@prowersmedical.com http://www.prowersmedical.com Provider Int 3 Complete 2016/05/31 12:00:00 2016/05/31 12:00:00 2016/05/31 12:41:28 UV 2.16.840.1.113883.3.6789 stjoseph-collegestationtx CHI St Joseph College Station Express Keith Schlieker masked Keith Schlieker 4401 Hwy 6 South College Station, TX 77845 979-731-5200 masked ITS Specialist CHI STJOSEPH HEALTH CENTER 2801 Franciscan Dr. Bryan, TX 77802 979-776-3777 sjdifference@st-joseph.org http://www.st-joseph.org Provider 2.16.840.1.113883.3.4991 Int 3 Complete 2016/05/31 12:00:00 2016/05/31 12:00:00 2016/05/31 04:20:14 UV 2.16.840.1.113883.3.6790 renaissanceBMIRIO Renaissance Bariatric and Metabolic Institute-Rio Grande City OID Root Holly Llasos masked Priscilla Peralez Rebecca Brooks 5326 E. Hwy 83, Bldg A Rio Grande City, TX 78582 956-362-5673 masked Director Renaissance Bariatric and Metabolic Insitute-Rio Grande City 5326 E. Hwy 83, Bldg A Rio Grande City, TX 78582 956-362-5673 re.brooks@dhr-rgv.com Provider Int 3 Complete 2016/06/01 12:00:00 2016/06/02 12:00:00 2016/06/02 06:52:19 UV 2.16.840.1.113883.3.6791 scolioscan Scolioscan SCN801 Simon Chan masked Simon Chan Flat D, 2/F, Valiant Industrial Centre, 2-12 Au Pui Wan Street, Fo Tan, New Territories, Hong Kong +852-26052844 masked Assistant Engineer Telefield Medical Imaging Limited Flat D, 2/F, Valiant Industrial Centre, 2-12 Au Pui Wan Street, Fo Tan, New Territories, Hong Kong +852-26052844 cs.imaging@telefield.com.hk http://www.telefield-imaging.com.hk/ Vendor Int 3 Complete 2016/06/02 12:00:00 2016/06/02 12:00:00 2016/06/02 06:56:12 UV 2.16.840.1.113883.3.6792 think-wphc Think Whole Person Healthcare John Gorman masked John Gorman 7100 W Center Rd Omaha, NE 68106 4025069000 masked Director of Information Technology Think Whole Person Healthcare 7100 W Center Rd Omaha, NE 68106 4027700103 support@thinkhealthcare.org http://www.thinkhealthcare.org Provider Int 3 Complete 2016/06/02 12:00:00 2016/06/02 12:00:00 2016/06/02 01:44:43 UV 2.16.840.1.113883.3.6793 gapines Georgia Pines CSB Ronnie Smith masked Ronnie Smith 1102 Smith Avenue Suite H Thomasville, GA 31792-5740 1-229-225-4358 masked IT Director Georgia Pines CSB 1102 Smith Avenue Suite H Thomasville, GA 31792-5740 1-229-225-4358 rsmith@georgiapines.net http://www.georgiapines.net/ Provider Int 3 Complete 2016/06/03 12:00:00 2016/06/03 12:00:00 2016/06/03 11:06:31 UV 2.16.840.1.113883.3.6794 umcp-pain UMC Pain Clinic Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 160 Lubbock, TX 79407 806-761-0333 masked Director, Business Services UMC Pain Clinic 3502 9th Street Suite 430 Lubbock, TX 79415 806-761-0333 yvette.hinojosa@umchealthsystem.com Govt body Int 3 Complete 2016/06/03 12:00:00 2016/06/03 12:00:00 2016/06/03 06:47:45 UV 2.16.840.1.113883.3.6795 umcp-neurosurgery UMC Neurosurgery Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 160 Lubbock, TX 79407 806-761-0333 masked Director, Business Services UMC Neurosurgery 3502 9th Street Suite 430 Lubbock, TX 79415 806-761-0333 yvette.hinojosa@umchealthsystem.com Govt body Int 3 Complete 2016/06/03 12:00:00 2016/06/03 12:00:00 2016/06/03 06:49:34 UV 2.16.840.1.113883.3.6796 philipjaisohnmedicalcenter Philip Jaisohn Medical Center OID Root Jenny Shin masked Jenny Shin 6705 Old York Road Philadelphia, PA 19126 215-224-2000 ext:100 masked Office Manager The Philip Jaisohn Memorial Foundation 6705 Old York Road Philadelphia, PA 19126 215-224-2000 jennyshin3429@gmail.com http://www.jaisohn.org Provider Int 3 Complete 2016/06/07 12:00:00 2016/06/07 12:00:00 2016/06/07 02:51:33 UV 2.16.840.1.113883.3.6797 mccc-HIE Mountain Comprehensive Care Center - HIE David Webb masked David Webb 104 South Front Avenue Prestonsburg, KY 41653 6068868572 masked IT Director Mountain Comprehensive Care Center 104 South Front Avenue Prestonsburg, KY 41653 6068868572 dwebb@mtcomp.org http://www.mtcomp.org Provider Int 3 Complete 2016/06/07 12:00:00 2016/06/07 12:00:00 2016/06/07 02:59:47 UV 2.16.840.1.113883.3.6798 mfm Merrimack Family Medicine Daliu Hu masked Amy HU 295 Varnum Ave., Lowell, MA 01854 (978) 937-6268 masked Merrimack Family Medicine 600 Clark Road, Suite 3 Tewksbury, MA 01876 +1 (978) 851-4141 lisa.wilcox@lowellgeneral.org http://merrimackfamilymedicine.com Provider Int 3 Complete 2016/06/08 12:00:00 2016/06/08 12:00:00 2016/06/08 12:05:50 UV 2.16.840.1.113883.3.6799 hhUHCC-01 Unity House of Cayuga County Inc. Brittany Bono masked Paul Joslyn 34 Wright Avenue Suite C Auburn, NY 13021 315-282-0230 masked Chief Operating Officer Unity House of Cayuga County Inc. 34 Wright Avenue Suite C Auburn, NY 13021 315-282-0230 pjoslyn@unityhouse.com Provider Int 3 Complete 2016/06/08 12:00:00 2016/06/08 12:00:00 2016/06/08 12:07:53 UV 2.16.840.1.113883.3.2402.200.6883 physicans-computer-company-clients-coastal Physician's Computer Company (PCC) Clients Coastal Children's Clinic Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6883 2016/06/08 12:00:00 2016/06/08 12:00:00 2016/06/08 12:40:34 UV 2.16.840.1.113883.3.2402.200.6871 physicans-computer-company-clients-ggp Physician's Computer Company (PCC) Clients Golden Gate Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6871 2016/06/08 12:00:00 2016/06/08 12:00:00 2016/06/08 02:32:41 UV 2.16.840.1.113883.3.6800 tkchie The Kaufmann Clinic HIE Robert Kaufmann masked Perry Westberry Crawford Long Medical Office Tower 550 Peachtree Street, NE Suite 1700 404-881-9727 masked Provider The Kaufmann Clinic Crawford Long Medical Office Tower 550 Peachtree Street, NE Suite 1700 4048819727 jfgrimmette@yahoo.com Provider Int 3 Complete 2016/06/08 12:00:00 2016/06/08 12:00:00 2016/06/08 05:58:18 UV 2.16.840.1.113883.3.6801 ttp-capclinic TTP CAP Clinic Rae Rodriguez masked Rae Ann Rodriguez 3601 4th Street RM 1BC150 MS 8352 Lubbock, Texas 79430 806-743-4357 masked Unit Manager TTP Pedi Superheroes Clinic 3601 4th Street RM 1BC150 MS 8352 Lubbock, Texas 79430 806-743-4357 emrhelpdesklubbock@ttuhsc.edu http://umchealthsystem.com Academic Int 3 Complete 2016/06/09 12:00:00 2016/06/09 12:00:00 2021/10/06 02:55:55 UV 2.16.840.1.113883.3.6802 mywomba World Medical Bank Moti Mitteldorf masked Moti Mitteldorf 1-718-419-1348 masked World Medical Bank 120&#173;10 Queens Blvd Queens, NY 11415 1-718-419-1348 Moti.M@womba.com Vendor Int 3 Complete 2016/06/09 12:00:00 2016/06/09 12:00:00 2016/06/09 11:49:18 UV 2.16.840.1.113883.4.869 bcbsne Blue Cross and Blue Shield of Nebraska Ashwin Bhatnagar masked Clint Williams Blue Cross and Blue Shield of Nebraska 1919 Aksarben Drive/ P.O. Box 3248 Omaha, NE 68180-0001 4029828531 masked VP of Risk Adjustment and Pharmacy Blue Cross and Blue Shield of Nebraska 1919 Aksarben Drive/ P.O. Box 3248 Omaha, NE 68180-0001 1-888-592-8961 Clint.Williams@NebraskaBlue.com https://www.nebraskablue.com/ Payor Int 4 Complete 2016/06/09 12:00:00 2016/06/09 12:00:00 2016/06/09 02:33:58 UV 2.16.840.1.113883.17.4149 kstars Kentucky State Ambulance Reporting System Drew Chandler masked Douglas Taylor 500 Mero St 5th Floor 5SE32 Frankfort, KY 40601 (866) 975-2367 masked Director of EMS Data Systems Kentucky Board of Emergency Medical Services 500 Mero St 5th Floor 5SE32 Frankfort, KY 40601 (866) 975-2367 douglas.taylor@ky.gov https://kbems.ky.gov/Pages/index.aspx Govt body Int 17 Complete 2016/06/09 12:00:00 2016/06/09 12:00:00 2024/02/02 11:47:43 UV 2.16.840.1.113883.9.213 svi1 Samaritan Village Inc. Alan Tillinghast masked Alan Tillinghast 138-02 Queens Blvd Briarwood, NY 11435 7182062000 masked Samaritan Village Inc. 138-02 Queens Blvd Briarwood, NY 11435 7182062000 Alan.Tillinghast@samaritanvillage.org Provider Int 3 Complete 2016/06/09 12:00:00 2016/06/10 12:00:00 2016/06/10 10:42:03 UV 2.16.840.1.113883.3.6803 rgvhie Rio Grande Valley Health Information Exchange Genaro Garza masked Genaro Garza 1816 East Harrison Ave., Ste. A, Harlingen, Texas 78550 956-622-5801 masked Director of Technology Rio Grande Valley Health Information Exchange 1816 East Harrison Ave., Ste. A, Harlingen, Texas 78550 956-622-5801 info@rgvhie.org http://www.rgvhie.org Exchange Int 3 Complete 2016/06/10 12:00:00 2016/06/10 12:00:00 2016/06/10 10:34:45 UV 2.16.840.1.113883.9.214 animalRabies-ELR HL7 v2.5.1 ELR conformance profile for animal rabies reporting Ulrike Merrick masked Jesse Blanton Ulrike Merrick 8515 Georgia Ave, Suite 700 Silver Spring, MD 20910 916.216.0052 masked Terminologist Association of Public Health Laboratories 8515 Georgia Ave, Suite 700 Silver Spring, MD 20910 240.485.2745 info@aphl.org http://www.aphl.org Prof Soc Int 9 Complete 2016/06/10 12:00:00 2016/06/10 12:00:00 2016/06/10 11:55:13 US 2.16.840.1.113883.3.6804 a1504 Universal American Stephanie Hill masked Stephanie Hill 202-360-2542 masked Executive Director Universal American 4888 Loop Central Drive, Suite 300 Houston, TX 77081 2023602542 stephanie.hill@universalamerican.com Exchange Int 3 Complete 2016/06/12 12:00:00 2016/06/13 12:00:00 2016/06/13 09:01:45 UV 2.16.840.1.113883.3.6805 gchh Gold Coast Home Health & Hospice Peter Barnick masked Dianne Basdeo-Boodooram Broward Health Information Services Center 1608 SE 3rd Ave. Fort Lauderdale, FL 33316 954-847-4497 masked Manager Ambulatory & Analytics Gold Coast Home Health Gold Coast Home Health & Hospice Services (GCHH) 309 SE 18th St. Fort Lauderdale, FL. 33316 954-785-2990 ng_support@browardhealth.org http://www.goldcoasthealth.org/ Provider 2.16.840.1.113883.3.1451 Int 3 Complete 2016/06/13 12:00:00 2016/06/14 12:00:00 2016/12/29 03:38:32 UV 2.16.840.1.113883.3.6806 procentive Procentive Jeff Burton masked Jeff Burton 2321 Jack Breault Drive Hudson, WI 54016 (715) 220-4277 masked Director of Engineering Procentive 2321 Jack Breault Drive Hudson, WI 54016 (715) 220-4277 jeff@procentive.com http://www.procentive.com Vendor Int 3 Complete 2016/06/14 12:00:00 2016/06/14 12:00:00 2016/06/14 02:10:10 UV 2.16.840.1.113883.3.6807 lhcqf Louisiana Health Care Quality Forum Michael Efferson masked Alex Helwig Michael Efferson 8550 United Plaza, Suite 500 Baton Rouge, Louisiana 70809-2256 2252783008 masked Director Louisiana Health Care Quality Forum 8550 United Plaza, Suite 500 Baton Rouge, Louisiana 70809-2256 (225) 334-9299 info@lhcqf.org https://www.lhcqf.org Exchange Int 3 Complete 2016/06/14 12:00:00 2016/06/14 12:00:00 2016/06/14 03:59:57 UV 2.16.840.1.113883.3.6808 ilo Instituto Lleida de Oftalmolog&#237;a Josep Vilalta - Marzo masked Josep Vilalta - Marzo Francesc Layret, 24 08911 Badalona Barcelona - SPAIN 34608892793 masked CEO Instituto Lleida de Oftalmolog&#237;a, SLP ILO oftalmologia Av. Dr. Fleming, 14. 25006 Lleida SPAIN +34 973 245 380 xcaufape@ilooftalmologia.com http://www.ilooftalmologia.com Provider Int 3 Complete 2016/06/15 12:00:00 2016/06/15 12:00:00 2016/06/15 09:34:53 UV 2.16.840.1.113883.3.6809 wem ZoomBIM b.v. WEM Modeler William Goossen PhD masked Mr. Harrie Huisman Dr. William Goossen Results 4 Care bv De Stinse 15 3823 VM Amersfoort the Netherlands +31654614458 masked system architect for partner Zoombim bv ZoomBIM b.v. WEM Modeler Lizzy Ansinghstraat 163&#8211;3, 1072 RG Amsterdam the Netherlands +31 20 240 21 20 harrie.huisman@zoombim.nl http://wem.io/ Vendor Int 3 Complete 2016/06/15 12:00:00 2016/06/15 12:00:00 2016/06/15 03:44:46 NL 2.16.840.1.113883.3.6810 guardianhl7 Guardian Health Service, LLC Ganesh Ramachandran masked Satya Tottappillil Ganesh Ramachandran 483, N Semoran Blvd, Suite 204 Winterpark, FL 32792 407-960-5590 masked VP Guardian Health Service, LLC 483, N Semoran Blvd, Suite 204 Winterpark, FL 32792 satya@itsguardian.com http://www.itsguardian.com Prof Soc Int 3 Complete 2016/06/15 12:00:00 2016/06/15 12:00:00 2016/06/15 04:31:07 UV 2.16.840.1.113883.3.6811 exo EXO OID Root Diego Szychowski masked Diego Szychowski Av. Chiclana 3444 1260, Buenos Aires Argentina 54-11-4021-5430 masked Vicepresident EXO Av. Chiclana 3444 1260, Buenos Aires Argentina 54-11-4021-5430 diegos@exo.com.ar http://www.exo.com.ar Vendor Int 3 Complete 2016/06/16 12:00:00 2016/06/16 12:00:00 2016/06/16 08:41:33 UV 2.16.840.1.113883.3.6812 mhin-phr Monroe Hospital Solomon Gerber masked Solomon Gerber 4011 S Monroe Medical Park Blvd Bloomington, IN 47403 909-657-5058 masked CSA Monroe Hospital 4011 S Monroe Medical Park Blvd Bloomington, IN 47403 909-657-5058 sgerber@primehealthcare.com Provider Int 3 Complete 2016/06/20 12:00:00 2016/06/20 12:00:00 2016/06/20 01:56:54 UV 2.16.840.1.113883.4.870 nlvss Newfoundland and Labrador Vital Statistics System Sisira De Silva masked Sisira De Silva Newfoundland & Labrador Centre for Health Information 70 O'Leary Avenue St. John's, NL, A1B 2C7 709-752-6026 masked Newfoundland & Labrador Vital Statistics Vital Statistics Division, Service NL, PO BOX 8700, St. John's A1B 4J6 709-729-3311 kmullaly@gov.nl.ca http://www.servicenl.gov.nl.ca/department/branches/divisions/vs.html Govt body Int 4 Complete 2016/06/20 12:00:00 2016/06/20 12:00:00 2016/06/20 02:02:54 UV 2.16.840.1.113883.3.6813 wmcofmeridian Women's Medical Center of Meridian Gina Boswell masked Gina Boswell 1523 22nd Avenue Meridian, MS 39301 6014830039 masked Office Administrator Women's Medical Center of Meridian, P.A. 1523 22nd Avenue Meridian, MS 39301 6014830039 gboswell@wmcofmeridian.com http://www.wmcofmeridian.com Provider Int 3 Complete 2016/06/20 12:00:00 2016/06/20 12:00:00 2016/06/20 03:05:19 UV 2.16.840.1.113883.3.6814 marymacguiremdpc Mary MacGuire MD PC Root Mary MacGuire masked Heather McMurtry 1450 East A Street, Suite 3 Casper, WY 82601 307-473-7821 masked Office Manager Mary E. MacGuire, M.D., P.C. 1450 East A Street, Suite 3 Casper, WY 82601 307-473-7821 drmacg@live.com https://www.marymacguiremd.com Provider Int 3 Complete 2016/06/21 12:00:00 2016/06/21 12:00:00 2016/06/21 05:32:19 UV 2.16.840.1.113883.3.6815 ucsdcancer University of California, San Diego - Moores Cancer Center Anthony Mayoral masked Anthony Mayoral 9500 Gilman Dr #0905 La Jolla, California 92093-0905 USA 858-300-1070 masked University of California, San Diego - Moores Cancer Center 9500 Gilman Dr #0905 La Jolla, California 92093-0905 USA 858-300-1070 amayoral@ucsd.edu http://cancer.ucsd.edu/Pages/default.aspx Academic Int 3 Complete 2016/06/21 12:00:00 2016/06/21 12:00:00 2016/06/21 09:58:17 UV 2.16.840.1.113883.3.6816 arldermclinic Arlington Dermatology Clinic Olga Retana masked Olga Retana 801 Road To Six Flags W Ste 139 Arlington, TX 76012 8172651356 masked Office Manager Arlington Dermatology Clinic 801 Road To Six Flags W, Suite 139 Arlington, TX 76012 8172651356 arldermclinic@sbcglobal.net Provider Int 3 Complete 2016/06/22 12:00:00 2016/06/22 12:00:00 2016/06/22 01:09:12 UV 2.16.840.1.113883.3.6817 mspaths MSPATHS Julius del Rosario masked Samuel Bavery 16122771116 masked MSPATHS MSPATHS.ACNSupport@accenture.com Academic Int 3 Complete 2016/06/22 12:00:00 2016/06/22 12:00:00 2016/06/22 12:55:50 UV 2.16.840.1.113883.3.6818 pathways Pathways Center Ron Lawrance masked Ronald Edward Lawrance 122C Gordon Commercial Dr. Lagrange, Georgia 30240 706-298-7822 masked IT Director Pathways Center 122C Gordon Commercial Dr. Lagrange, Georgia 30240 706-845-4045 rlawrance@pathwayscsb.org http://www.pathwayscsb.org Govt body Int 3 Complete 2016/06/22 12:00:00 2016/06/22 12:00:00 2016/06/22 04:13:03 Georgia DBHDD UV 2.16.840.1.113883.3.6819 mhp-avl Mission Health Partners Ryan Maccubbin masked Ryan Maccubbin 267 McDowell Street Asheville, NC 28803 828-213-5079 masked Mission Health Partners 267 McDowell Street Asheville, NC 28803 828-213-5079 Ryan.Maccubbin@msj.org http://www.missionhealthpartners.org/ Provider Int 3 Complete 2016/06/23 12:00:00 2016/06/23 12:00:00 2016/06/24 12:53:10 UV 2.16.840.1.113883.3.6820 drbryanmd Washington Bryan II MD INC OID Root Washington Bryan masked Washington Bryan II 11669 Santa Monica Blvd ste 110 Los Angeles, CA 90025 3102283652 masked President Washington Bryan II MD INC 11669 Santa Monica Blvd Ste 110 Los Angeles, CA 90025 3102283652 drbryan@drbryanmd.com http://drbryanmd.com Provider Int 3 Complete 2016/06/23 12:00:00 2016/06/23 12:00:00 2016/06/23 04:50:48 US 2.16.840.1.113883.3.6821 nADAP NADAP Ana Tabachneck masked Raheem Sarcar Raheem Sarcar 355 Lexington Ave. 2nd Floor New York, NY 10017 917-942-9499 masked NADAP DB Team Project Manager NADAP 355 Lexington Ave. 2nd Floor New York, NY 10017 212-986-1170 raheems@consultcra.com https://www.nadap.org Provider Int 3 Complete 2016/06/24 12:00:00 2016/06/24 12:00:00 2016/06/24 12:52:30 UV 2.16.840.1.113883.3.6822 bfc Bethel Family Clinic Kyle McGrath masked Kyle McGrath Po Box 1908 631 Main St Bethel, AK 99559 9075433773 masked Director of Operations Bethel Family Clinic Po Box 1908 631 Main St Bethel, AK 99559 9075433773 kmcgrath@bethelclinic.org http://www.bethelclinic.org Provider Int 3 Complete 2016/06/24 12:00:00 2016/06/24 12:00:00 2016/06/24 09:18:47 UV 2.16.840.1.113883.3.6823 grhd Grand River Hospital District William Ladewig masked Natalie Stampfl William Ladewig 501 Airport Road Rifle, Colorado 81650 970-625-6473 masked Systems Interface Analyst Grand River Hospital District 501 Airport Road Rifle, Colorado 81650 970) 625-6451 nstampfl@grhd.org http://grandriverhealth.org/ Provider Int 3 Complete 2016/06/24 12:00:00 2016/06/24 12:00:00 2016/06/24 09:21:58 UV 2.16.840.1.113883.4.871 ca-nb-CPSNB College of Physicians and Surgeons of New Brunswick Wilson Venancio masked Wilson Venancio 6477889477 masked Business Architect College of Physicians and Surgeons of New Brunswick College of Physicians and Surgeons of New Brunswick One Hampton Road, Suite 300 Rothesay, NB E2E 5K8 5068495050 info@o-a-q.org https://www.cpsnb.org/ Prof Soc Int 4 Complete 2016/06/27 12:00:00 2016/06/29 12:00:00 2016/06/29 12:59:21 UV 2.16.840.1.113883.4.872 ca-nu-PHYSICIAN Professional Licensing, Department of Health, Government of Nunavut Wilson Venancio masked Wilson Venancio 6477889477 masked Business Architect Professional Licensing, Department of Health, Government of Nunavut Registrar, Health Professions Department of Health Government of Nunavut Box 390, Kugluktuk, Nunavut X0B 0E0 8679757153 medicine@gov.nu.ca http://www.nunavut-physicians.gov.nu.ca/ Govt body Int 4 Complete 2016/06/27 12:00:00 2016/06/29 12:00:00 2016/06/29 01:02:02 UV 2.16.840.1.113883.3.6824 ca-yt-PHYSICIAN Yukon Medical Council Wilson Venancio masked Wilson Venancio 6477889477 masked Business Architect Yukon Medical Council Box 2703 (C-18) Whitehorse, YT Y1A 2C6 8676673774 ymc@gov.yk.ca http://www.yukonmedicalcouncil.ca/physician_licensing.html Prof Soc Int 4 Complete 2016/06/27 12:00:00 2016/06/29 12:00:00 2022/01/06 10:27:47 UV 2.16.840.1.113883.3.3880.3000 lbh-BW-Primary-Care-LLC BW Primary Care, LLC Paul Winner masked Paul Winner 2401 W. Belvedere Ave. Baltimore, MD 21215 Contact Us: 410-601-9000 4106016212 masked Sr Systems Analyst LifeBridge Health 2401 W. Belvedere Ave. Baltimore, MD 21215 Contact Us: 410-601-9000 410-601-9000 Abroomfi@lifebridgehealth.org http://www.lifebridgehealth.org Provider 2.16.840.1.113883.3.3880 Ext 17 Complete 2.16.840.1.113883.3.3880.3000 2016/06/28 12:00:00 2016/06/28 12:00:00 2016/06/28 02:35:14 UV 2.16.840.1.113883.3.6825 drslrl Drs. Liggett, Rocklin & Liggett, Inc. James Rocklin masked James Rocklin 401 N. Court Street Circleville, OH 43113 7404746039 masked Drs. Liggett, Rocklin & Liggett, Inc. 401 N. Court Street Circleville, OH 43113 7404746039 drslrl@drslrl.com http://visionsource-circleville.com/ Provider Int 3 Complete 2016/06/29 12:00:00 2016/06/29 12:00:00 2016/06/29 12:42:55 US 2.16.840.1.113883.13.279 echo-LABS The Echo Group Allan Normandin masked Allan Normandin 15 Washington St., Box 2150 Conway, NH 03818 6034478600 masked Chief Technology Officer The Echo Group 15 Washington St, Box 2150 Conway, NH 03818 6034478600 allan.normandin@echoman.com http://www.echoman.com Vendor Int 3 Complete 2016/06/29 12:00:00 2016/06/29 12:00:00 2016/06/29 01:25:58 US 2.16.840.1.113883.3.6826 minns Medical Information Network - North Sound HIE Sophia Wong masked Duncan West 325 Pine Street #B Mount Vernon, WA 98273 360-982-2415 masked Medical Information Network - North Sound HIE 325 Pine Street #B Mount Vernon, WA 98273 360.982.2415 minns_ehealthexchange@min-ns.org http://www.min-ns.org/ Exchange Int 3 Complete 2016/06/29 12:00:00 2016/06/29 12:00:00 2016/06/29 05:16:54 UV 2.16.840.1.113883.3.6827 minnsstage Medical Information Network - North Sound HIE Stage Sophia Wong masked Duncan West 325 Pine Street #B Mount Vernon, WA 98273 360-982-2415 masked Medical Information Network - North Sound HIE 325 Pine Street #B Mount Vernon, WA 98273 360.982.2415 minns_ehealthexchange@min-ns.org http://www.min-ns.org/ Exchange Int 3 Complete 2016/06/30 12:00:00 2016/06/30 12:00:00 2016/06/30 06:42:23 UV 2.16.840.1.113883.17.4150 bfcsy Berkshire Farm Center & Services for Youth Daniel Powell masked Daniel Powell 13640 State Route 22 Canaan, NY 12029 518-781-4567 masked Director of Software Berkshire Farm Center and Services for Youth 13640 State Route 22 Canaan, NY 12029 518-781-4567 info@berkshirefarm.org http://www.berkshirefarm.org Provider Int 17 Complete 2016/07/01 12:00:00 2016/07/06 12:00:00 2016/07/06 05:18:30 UV 2.16.840.1.113883.3.6828 bumch Brooklyn United Methodist Church Home OID Sandra Pitterson masked Sandra Pitterson 1485 Dumont Ave. Brooklyn, NY 11208 (718) 827-4500 masked Brooklyn United Methodist Church Home 1485 Dumont Ave. Brooklyn, NY 11208 (718) 827-4500 spitterson@bumch.org Provider Int 3 Complete 2016/07/06 12:00:00 2016/07/06 12:00:00 2016/07/06 05:03:49 UV 2.16.840.1.113883.3.6829 mHAORC MHA of Rockland County Brian Patterson masked Brian Patterson 140 Route 303 Valley Cottage, NY 10989 845-267-2172 ext. 332 masked Mental Health Association (MHA) of Rockland County mha@mharockland.org http://www.mharockland.org Provider Int 3 Complete 2016/07/06 12:00:00 2016/07/06 12:00:00 2016/07/06 05:05:48 UV 2.16.840.1.113883.3.6830 mycmc Coordinate My Care Bijal Shah masked Bijal Shah 02078118513 masked Development Manager Coordinate My Care 02078118513 coordinatemycare@nhs.net http://www.coordinatemycare.co.uk Exchange Int 3 Complete 2016/07/07 12:00:00 2016/07/07 12:00:00 2016/07/07 09:52:33 UV 2.16.840.1.113883.3.6831 bodhi Bodhi Medical Care, LLC Martin Malachovsky masked Martin Malachovsky 330 West 58th Street, Suite 414 NY, NY 10019 9176645607 masked Md/ Owner/manager Bodhi Medical Care, LLC 330 West 58th street, Suite 414, NY, NY 10019 8886039338 drm@mybodhi.com http://www.mybodhi.com Provider Int 3 Complete 2016/07/07 12:00:00 2016/07/07 12:00:00 2016/07/07 09:57:16 UV 2.16.840.1.113883.3.3880.3001 lbh-Cardiology-parkville-Balt Cardiology Parkville Baltimore Paul Winner masked Al Broomfield LifeBridge Health 2401 W. Belvedere Ave. Baltimore, MD 21215 410-601-6089 masked LifeBridge Health LifeBridge Health 2401 W. Belvedere Ave. Baltimore, MD 21215 410-601-9000 Abroomfi@lifebridgehealth.org http://www.lifebridgehealth.org Provider Ext 17 Complete 2.16.840.1.113883.3.3880.3001 2016/07/07 12:00:00 2016/07/07 12:00:00 2016/07/07 10:37:18 UV 2.16.840.1.113883.17.4151 ch-poughkeepsie Children's Home of Poughkeepsie Michele Hayward masked Michele Hayward 10 Children's Way Poughkeepsie, NY 12601 8455059447 masked QAI Coordinator Children's Home of Poughkeepsie 10 Children's Way Poughkeepsie, NY 12601 8454521420 mhayward@childrenshome.us https://www.childrenshome.us/ Provider Int 17 Complete 2016/07/07 12:00:00 2016/07/08 12:00:00 2016/07/08 10:06:19 UV 2.16.840.1.113883.17.4152 choice-ny CHOICE of NY Eric Weber masked Eric Weber CHOICE of NY 200 East Post Road White Plains, NY 10601 914-576-0173 masked COO CHOICE of NY 200 East Post Road White Plains, NY 10601 914-576-0173 eweber@choiceofny.org http://www.choiceofny.org Provider Int 17 Complete 2016/07/07 12:00:00 2016/07/08 12:00:00 2016/07/08 10:10:03 UV 2.16.840.1.113883.3.6832 elrio El Rio Community Health Center Jose Jerez masked Dave Gifford 450 W Paseo Redondo #154 Tucson, AZ 85701 520-309-4307 masked IT interface Engineer El Rio Health Center 450 W Paseo Redondo #154 Tucson, AZ 85701 520-670-3909 dgifford@elrio.org http://www.elrio.org Provider Int 3 Complete 2016/07/07 12:00:00 2016/07/08 12:00:00 2022/11/30 01:28:06 UV 2.16.840.1.113883.3.6833 vim Victory Internal Medicine Rosemarie Santoro masked David Wortman David Wortman Victory Internal Medicine 2315 Victory Blvd Staten Island, NY 10314 917-829-2626 masked COO Victory Internal Medicine 2315 Victory Blvd Staten Island, NY 10314 718-477-6900 dwortman@victorymedicine.com http://victorymedicine.com Provider Int 3 Complete 2016/07/08 12:00:00 2016/07/08 12:00:00 2016/07/08 09:58:40 UV 2.16.840.1.113883.17.4153 eocsuffolk The Economic Opportunity Council of Suffolk, Inc. Halim Kaygisiz masked Halim Kaygisiz 320 Carleton Avenue Suite 7800 Central Islip, NY 11722 6312412119 masked Director of Health Outreach Services The Economic Opportunity Council of Suffolk, Inc. 31 W. Main Street Suite 300 Patchogue, NY 11772 6312892124 hkaygisiz@eoc-suffolk.com http://www.eoc-suffolk.com/ Provider Int 17 Complete 2016/07/08 12:00:00 2016/07/08 12:00:00 2016/07/08 11:24:49 UV 2.16.840.1.113883.3.6834 oID-4-gSI Jawonio Joseph Bloss masked Joseph Bloss 260 North Little Tor Rd New City, NY 10956 8457082000 masked CBO Jawonio 260 North Little Tor Rd New City, NY 10956 8457082000 joseph.bloss@jawonio.org Provider Int 3 Complete 2016/07/08 12:00:00 2016/07/08 12:00:00 2016/07/08 04:21:56 UV 2.16.840.1.113883.17.4154 sayvilleproject SUNY SB Sayville Project Bridget Baio masked Sayville Project SUNY SB The Sayville Project - Stony Brook University 640 Johnson Avenue, Suite 2 Bohemia, NY 11716 6315632290 masked Director SUNY SB Sayville Project The Sayville Project - Stony Brook University 640 Johnson Avenue, Suite 2 Bohemia, NY 11716 6315632290 bridget.baio@stonybrook.edu Provider Int 17 Complete 2016/07/11 12:00:00 2016/07/11 12:00:00 2016/07/11 12:58:32 UV 2.16.840.1.113883.17.4155 mhadc-GSI Mental Health America of Dutchess County Gerald Dieterich masked Gerald Dieterich 253 Mansion St. Poughkeepsie, NY 12601 845-473-2500 ext3055 masked Database Manager Mental Health America of Dutchess County 253 Mansion St. Poughkeepsie, NY 12601 8454732500 gdieterich@mhadutchess.org http://mhadutchess.org/ Provider Int 17 Complete 2016/07/11 12:00:00 2016/07/11 12:00:00 2018/09/06 03:31:09 UV 2.16.840.1.113883.3.6835 hechie HealtheConnection Chris Wright masked HealtheConnection. LLC Chris Wright HealtheConnection 743 Spring Street Gainesville, GA 30501 770-219-7400 masked Manager HealtheConnection HealtheConnection 743 Spring Street Gainesville, GA 30501 770-219-7400 chris.wright@nghs.com http://www.healtheconnection.org Exchange Int 3 Complete 2016/07/11 12:00:00 2016/07/11 12:00:00 2016/07/11 02:48:26 UV 2.16.840.1.113883.3.6836 umsh-practices Michiana Primary Care, LLC Richard Leighton masked Richard Leighton Unity Medical and Surgical Hospital 4455 Edison Lakes Parkway, Mishawaka Indiana 46545 5742316800 masked Director of Information Technology Michiana Primary Care, LLC 4455 Edison Lakes Parkway, Mishawaka Indiana 46545 5742316800 ishelp@umsh.net https://www.umsh.net Provider Int 3 Complete 2016/07/11 12:00:00 2016/07/11 12:00:00 2016/07/11 04:12:07 UV 2.16.840.1.113883.3.6837 rxihealth RxiHealth Dinesh Gambhir masked Dinesh Gambhir 1069 GRECO AVE APT 219 6316453184 masked VP Engineering Rxihealth info@rxihealth.com http://www.rxihealth.com Vendor Int 3 Complete 2016/07/11 12:00:00 2016/07/12 12:00:00 2016/07/12 09:20:45 US 2.16.840.1.113883.3.6838 chc2291 Community Health Clinic Sandy Moore masked Sandra Moore PO Box 576 Dove Creek, CO 81324 USA 970-677-3643 masked IT/Data Management Community Health Clinic PO Box 576 Dove Creek, CO 81324 USA 970-677-2291 info@dovecreekclinic.org http://www.dovecreekclinic.org Provider Int 3 Complete 2016/07/12 12:00:00 2016/07/12 12:00:00 2016/07/12 10:04:40 UV 2.16.840.1.113883.3.6839 drtx-phs Dallas Regional Medical Center Solomon Gerber masked Solomon Gerber 1011 North Galloway Avenue | Mesquite, TX 75149 909-657-5058 masked CSA Dallas Regional Medical Center 1011 North Galloway Avenue | Mesquite, TX 75149 909-657-5058 sgerber@primehealthcare.com Provider Int 3 Complete 2016/07/12 12:00:00 2016/07/12 12:00:00 2016/07/12 12:13:23 UV 2.16.840.1.113883.3.6840 hcx HealthCareXchange, LLC Ed Salvador masked Ed Salvador PO Box 3293 Lake Charles, LA 70602 337-478-6241 masked President HealthCareXchange PO Box 3293 Lake Charles, LA 70602 337-478-624 edsalvador@healthcarexchange.com http://www.healthcarexchange.com Vendor Int 3 Complete 2016/07/12 12:00:00 2016/07/12 12:00:00 2016/07/12 01:50:48 UV 2.16.840.1.113883.17.4156 pfcs Putnam Family and Community Services Cynthia Ott masked Anna Williamson Cynthia Ott 1808 Route Six Carmel, NY 10512 845-225-2700 masked Chief Financial Officer Putnam Family and Community Services 1808 Route Six Carmel, NY 10512 845-225-2700 cott@pfcsinc.org Provider Int 17 Complete 2016/07/12 12:00:00 2016/07/13 12:00:00 2016/07/13 10:15:57 UV 2.16.840.1.113883.9.215 rssHVHL-2001 RSS Health Information Personal Health Record System Nolly Climes masked wbennett@rehab.org Evelyn Massar-Spedden 27 Matthews Street Goshen, NY 10924 845-615-9022 masked Program Director Rehabilitation Support Services, Inc. 27 Matthews Street Goshen, NY 10924 845-615-9022 emspedden@rehab.org http://rehab.org/ Provider Int 3 Complete 2016/07/12 12:00:00 2016/07/14 12:00:00 2016/07/14 02:04:00 US 2.16.840.1.113883.17.4157 rss Rehabilitation Support Services, Inc. Anthony Siracusa masked Anthony Siracusa 5172 Western Turnpike Altamont, NY 12009 518-579-4211 masked Director, Operational Technology Rehabilitation Support Services, Inc 5172 Western Turnpike Altamont, NY 12009 518-579-4211 asiracusa@rehab.org http://www.rss.org Provider Int 17 Complete 2016/07/13 12:00:00 2016/07/13 12:00:00 2016/07/13 10:17:16 UV 2.16.840.1.113883.17.4158 mental-health-association-oci Mental Health Association in Orange County, Inc. Carole Lindsell masked Carole Lindsell 73 James P. Kelly Way, Middletown, NY 10940 845-342-2400 ext. 1257 masked Office Manager/Executive Assistant Mental Health Association in Orange County, Inc. 73 James P. Kelly Way, Middletown, NY 10940 845-342-2400 mha@mhaorangeny.com https://www.mhaorangeny.com Provider Int 17 Complete 2016/07/13 12:00:00 2016/07/13 12:00:00 2016/07/13 05:04:33 UV 2.16.840.1.113883.17.4159 mhaw Association for Mental Health and Wellness Paula Fries masked Paula Fries 939 Johnson Avenue Ronkonkoma, NY 11779 631-913-6114 masked Chief Operating Officer Association for Mental Health and Wellness 939 Johnson Avenue Ronkonkoma, NY 11779 631-913-6114 pfries@mhaw.org http://www.mentalhealthandwellness.org Provider Int 17 Complete 2016/07/13 12:00:00 2016/07/13 12:00:00 2016/07/13 05:08:49 UV 2.16.840.1.113883.3.6841 mhanassau Mental Health Association of Nassau County Sheri-Ann Best masked Sheri-Ann Best Mental Health Association of Nassau County 16 Main Street Hempstead, NY 11550 5164892322 x 1105 masked Director of Care Coordination Mental Health Association of Nassau County 16 Main Street Hempstead, NY 11550 5164892322 Sbest@mhanc.org Provider Int 3 Complete 2016/07/13 12:00:00 2016/07/13 12:00:00 2016/07/13 05:11:13 UV 2.16.840.1.113883.3.2407.6.1 myhealth-ihe MyHealth IHE interface Joseph Walker masked Joseph Walker PO Box 56 Tulsa, OK 74101 9182363434 masked Security Officer MyHealth Access Network PO Box 56 Tulsa, OK 74101 9182363434 techops@myhealthaccess.net https://myhealthaccess.net Exchange 2.16.840.1.113883.3.2407 Ext 17 Complete 2.16.840.1.113883.3.2407.6.1 2016/07/13 12:00:00 2016/07/13 12:00:00 2024/11/12 05:42:24 US 2.16.840.1.113883.17.4160 ocme-MD Office of the Chief Medical Examiner - Maryland William Spencer-Strong masked William H. Spencer-Strong, III 900 W. Baltimore Street Baltimore, MD 21223 4103334982 masked DBA Office of the Chief Medical Examiner - Maryland 900 W. Baltimore Street Baltimore, MD 21223 4103334983 strongw@ocmemd.org Govt body Int 17 Complete 2016/07/14 12:00:00 2016/07/14 12:00:00 2016/07/14 11:09:00 US 2.16.840.1.113883.3.6842 renaissanceENDO Renaissance Endocrinology OID Root Priscilla Peralez masked Maggie Salinas 2609 Michael Angelo Drive Edinburg, TX 78539 956-362-5650 masked Office Manager Renaissance Endocrinology 2609 Michael Angelo Drive Edinburg, TX 78539 956-362-5650 mag.salinas@dhr-rgv.com Provider Int 3 Complete 2016/07/14 12:00:00 2016/07/14 12:00:00 2016/07/14 01:47:53 UV 2.16.840.1.113883.3.6843 renaissanceENDOMISSION Renaissance Endocrinology Mission OID Root Priscilla Peralez masked Maggie Salinas 2121 E Griffin Parkway, Suite 17 Mission, TX 78574 9563625650 masked Office Manager Renaissance Endocrinology Mission 2121 E Griffin Parkway, Suite 17 Mission, TX 78574 9563625650 mag.salinas@dhr-rgv.com Provider Int 3 Complete 2016/07/14 12:00:00 2016/07/14 12:00:00 2016/07/14 01:53:02 UV 2.16.840.1.113883.3.6844 renaissanceENDOBR Renaissance Endocrinology Brownsville OID Root Priscilla Peralez masked Maggie Salinas 4770 N US Expressway 77/83 Suite 305B Brownsville, TX 78521 9563625650 masked Office Manager Renaissance Endocrinology Brownsville 4770 N US Expressway 77/83 Suite 305B Brownsville, TX 78521 9563625650 mag.salinas@dhr-rgv.com Provider Int 3 Complete 2016/07/14 12:00:00 2016/07/14 12:00:00 2016/07/14 01:55:11 UV 2.16.840.1.113883.17.4161 mhacgc Mental Health Association of Columbia-Greene Counties Michael Gelfand masked Michael H. Gelfand Mental Health Association of Columbia-Greene Counties 713 Union St. Hudson, NY 12534-0001 518-828-4619 masked Dierctor of Quality Assurance Mental Health Association of Columbia-Greene Counties 713 Union St. Hudson, NY 12534-0001 5188284619 mgelfand@mhacg.org http://www.mhacg.org Provider Int 17 Complete 2016/07/14 12:00:00 2016/07/14 12:00:00 2016/07/14 11:16:32 UV 2.16.840.1.113883.3.6845 renaissanceENDOWES Renaissance Endocrinology Weslaco OID Root Priscilla Peralez masked Maggie Salinas 505 Angelita St, Suite 12, 13, 14 Weslaco, TX 78596 9563625650 masked Office Manager Renaissance Endocrinology Weslaco 505 Angelita St, Suite 12, 13, 14 Weslaco, TX 78596 9563625650 mag.salinas@dhr-rgv.com Provider Int 3 Complete 2016/07/14 12:00:00 2016/07/14 12:00:00 2016/07/14 01:58:19 UV 2.16.840.1.113883.3.6846 uPG University Physicians Group, PC Jeffrey Hyman masked Jeffrey Hyman, MD 1 Edgewater Plaza Suite 701 Staten Island, NY 10305 718 226 1012 masked Medical Director University Physicians Group, PC 1 Edgewater Plaza Suite 701 Staten Island, NY 10305 718 226 1012 Jhyman3@northwell.edu https://www.northwell.edu Provider Int 3 Complete 2016/07/14 12:00:00 2016/07/14 12:00:00 2016/07/14 01:59:53 UV 2.16.840.1.113883.3.6847 renaissanceDWCE Diabetes Wellness Center - Edinburg OID Root Priscilla Peralez masked Maggie Salinas 2609 Michael Angelo Drive Edinburg, TX 78539 9563625650 masked Office Manager Diabetes Wellness Center - Edinburg 2609 Michael Angelo Drive Edinburg, TX 78539 9563625650 mag.salinas@dhr-rgv.com Provider Int 3 Complete 2016/07/14 12:00:00 2016/07/14 12:00:00 2016/07/14 05:39:47 UV 2.16.840.1.113883.3.6848 renaissanceDWCM Diabetes Wellness Center - Mission OID Root Priscilla Peralez masked Maggie Salinas 2121 E Griffin Parkway, Suite 17 Mission, TX 78574 9563625650 masked Office Manager Diabetes Wellness Center - Mission 2121 E Griffin Parkway, Suite 17 Mission, TX 78574 9563625650 mag.salinas@dhr-rgv.com Provider Int 3 Complete 2016/07/14 12:00:00 2016/07/14 12:00:00 2016/07/14 05:42:08 UV 2.16.840.1.113883.3.6849 iMSAN-297 IMSAN OID Root Joel Rajnherc masked Joel Rajnherc +297524883 masked Director Instituto Medical San Nicolas (IMSAN) +297524883 j.rajnherc@imsan.aw Provider Int 3 Complete 2016/07/15 12:00:00 2016/07/15 12:00:00 2016/07/15 06:21:40 UV 2.16.840.1.113883.3.6850 empower-wny Empower-wny Eric DesSoye masked Eric DesSoye 9812 Lockport Rd. Niagara Falls, NY 14304 716-297-0798 masked Director of Managed Care Readiness Empower 9812 Lockport Rd. Niagara Falls, NY 14304 716-297-0798 edessoye@empower-wny.org http://empower-wny.org/ Provider Int 3 Complete 2016/07/15 12:00:00 2016/07/15 12:00:00 2016/07/15 06:29:23 UV 2.16.840.1.113883.3.6851 maccabi Maccabi Health Care Idan Hayout masked porat_fa@mac.org.il Fanny Vazana Porat Maccabi Health Care Hamered 27, Tel Aviv, Israel +972-3-5143605 masked IT TEAM LEADER Maccabi Health Care Hamered 27, Tel Aviv, Israel +972-503802758 porat_fa@mac.org.il http://www.maccabi4u.co.il/ Govt body Int 3 Complete 2016/07/18 12:00:00 2016/07/18 12:00:00 2016/07/18 12:22:44 UV 2.16.840.1.113883.3.6852 cng CN Guidance and Counseling Services Siyuan Liu masked Siyuan Liu 950 South Oyster Road, Hicksville, NY11801 516-396-2801 masked EHR specialist CN Guidance and Counseling Services 950 South Oyster Road, Hicksville, NY11801 516-396-2801 sliu@centralnassau.org Provider Int 3 Complete 2016/07/18 12:00:00 2016/07/18 12:00:00 2016/07/18 12:25:21 UV 2.16.840.1.113883.3.6853 rmcare Rocky Mountain Care Casey Whiteley masked johnathan.bangerter@rmcare.com Casey Whiteley 598 W 900 S Woods Cross, UT 84010 801-397-4030 masked VP of IT Rocky Mountain Care 576 W 900 S Woods Cross, UT 84010 801-397-4030 support@rmcare.com http://www.rmcare.com Vendor Int 3 Complete 2016/07/18 12:00:00 2016/07/18 12:00:00 2016/07/18 12:57:07 UV 2.16.840.1.113883.3.6854 pvfc Prairie View Family Care Karen Migliaccio masked Karen Migliaccio 7641 McLaughlin Rd Peyton, CO 80831 719-495-4554 masked Owner Prairie View Family Care 7641 McLaughlin Rd Peyton, CO 80831 719-495-4554 prairieviewfamilycare@gmail.com Provider Int 3 Complete 2016/07/18 12:00:00 2016/07/18 12:00:00 2016/07/18 05:18:14 UV 2.16.840.1.113883.3.6855 heartandvascular Heart And Vascular Specialists of South Texas PLLC Claudia Pimentel masked Claudia Pimentel (956) 994-3278 masked Office Manager Heart and Vascular Specialists of South Texas, PLLC 4316 N McColl Road McAllen, TX 78504 (956) 994-3278 HVS.ST@aol.com Provider Int 3 Complete 2016/07/18 12:00:00 2016/07/18 12:00:00 2016/07/18 07:18:13 US 2.16.840.1.113883.3.6856 aOCSCOLL LGMD AMB - AOC S COLLEGE Andrea Dean masked Andrea Dean 337-289-8955 masked IS Ambulatory Manager Acadiana Orthopedic Center of Lafayette 1448 S. College Lafayette, LA 70503 337-289-8955 amdean@lgh.org Provider Int 3 Complete 2016/07/18 12:00:00 2016/07/19 12:00:00 2016/07/19 09:49:08 UV 2.16.840.1.113883.3.6857 hEALTHeCl Healthe Clinic Andrea Dean masked Andrea Dean 121 Audubon Blvd Lafayette, LA 70503 337-289-8955 masked IS Ambulatory Manager Healthe Clinic 121 Audubon Blvd Lafayette, LA 70503 337-289-8955 amdean@lgh.org Provider Int 3 Complete 2016/07/18 12:00:00 2016/07/19 12:00:00 2016/07/19 09:50:29 UV 2.16.840.1.113883.3.6858 orthoNeuroCr LGMD AMB - Ortho & Neuro Satellite Crowley Andrea Dean masked Andrea Dean 121 Audubon Blvd Lafayette, LA 70503 337-289-8955 masked IS Ambulatory Manager Crowley Ortho & Neuro Clinic 1113 E Northern Ave Crowley, LA 70526 337-783-5577 amdean@lgh.org Provider Int 3 Complete 2016/07/18 12:00:00 2016/07/19 12:00:00 2016/07/19 09:52:06 UV 2.16.840.1.113883.3.6859 bBAfterHrs LGMD AMB AfterHours BB Andrea Dean masked Andrea Dean 121 Audubon Blvd Lafayette, LA 70503 337-289-8955 masked IS Ambulatory Manager After Hours Clinic Breaux Bridge 206 Champagne Blvd Ste A Breaux Bridge, LA 70517 337-332-3500 amdean@lgh.org Provider Int 3 Complete 2016/07/18 12:00:00 2016/07/19 12:00:00 2016/07/19 09:53:44 UV 2.16.840.1.113883.3.6860 bBJeanneT HLink AMB Jeanne Theriot Andrea Dean masked Andrea Dean 121 Audubon Blvd Lafayette, LA 70503 337-289-8955 masked IS Ambulatory Manager Dr. Jeanne Theriot 112 Champagne Blvd Breaux Bridge, LA 70517 337-332-2242 amdean@lgh.or Provider Int 3 Complete 2016/07/18 12:00:00 2016/07/19 12:00:00 2016/07/19 10:51:38 UV 2.16.840.1.113883.3.6861 aOCWPinhook LGMD AMB AOC PINHOOK Andrea Dean masked Andrea Dean 121 Audubon Blvd Lafayette, LA 70503 337-289-8955 masked IS Ambulatory Manager Acadiana Orthopedic Group 1000 W Pinhook Lafayette, LA 70503 337-235-1600 amdean@lgh.org Provider Int 3 Complete 2016/07/18 12:00:00 2016/07/19 12:00:00 2016/07/19 10:53:43 UV 2.16.840.1.113883.6.318 clinVar-A ClinVar Allele ID Clement McDonald masked Shennon Lu Clement McDonald Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 2089 (301 ) 496-4441 masked Director, Lister Hill National Center for Biomedical Communications National Lister Hill Center of Biomedical Communications, National Library of Medicine Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 301-496-4441 nlmlhclhcques@mail.nih.gov https://lhncbc.nlm.nih.gov/ Govt body Int 6 Complete 2016/07/19 12:00:00 2016/07/19 12:00:00 2016/07/19 11:31:30 UV 2.16.840.1.113883.6.319 clinVar-V ClinVar Variant ID Clement McDonald MD masked Shennon Lu Clement McDonald Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 masked Director, Lister Hill National Center for Biomedical Communications National Lister Hill Center of Biomedical Communications, National Library of Medicine Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 301-496-4441 nlmlhclhcques@mail.nih.gov https://lhncbc.nlm.nih.gov/ Govt body Int 6 Complete 2016/07/19 12:00:00 2016/07/20 12:00:00 2016/07/20 03:32:56 UV 2.16.840.1.113883.6.320 cosmic-Smpl COSMIC - Simple Variants Clement McDonald MD masked Shennon Lu Clement McDonald Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 masked Director, Lister Hill National Center for Biomedical Communications National Lister Hill Center of Biomedical Communications, National Library of Medicine Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 301-496-4441 nlmlhclhcques@mail.nih.gov https://lhncbc.nlm.nih.gov/ Govt body Int 6 Complete 2016/07/19 12:00:00 2016/07/20 12:00:00 2016/07/20 03:51:16 UV 2.16.840.1.113883.6.321 cosmic-Strc COSMIC-Structural variants Clement McDonald MD masked Shennon Lu Clement McDonald Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 masked Director, Lister Hill National Center for Biomedical Communications Lister Hill National Center for Biomedical Communications Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 301-496-4441 nlmlhclhcques@mail.nih.gov https://lhncbc.nlm.nih.gov/ Govt body Int 6 Complete 2016/07/19 12:00:00 2016/07/20 12:00:00 2016/07/20 03:53:44 UV 2.16.840.1.113883.6.322 dbVar-GL dbVar-Germline Clement McDonald MD masked Shennon Lu Clement McDonald Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 masked Director, Lister Hill National Center for Biomedical Communications Lister Hill National Center for Biomedical Communications, U.S. National Library of Medicine Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 nlmlhclhcques@mail.nih.gov https://lhncbc.nlm.nih.gov/ Govt body Int 6 Complete 2016/07/19 12:00:00 2016/07/20 12:00:00 2016/07/20 04:38:49 UV 2.16.840.1.113883.6.323 dbVar-Som dbVar-Somatic Clement McDonald MD masked Shennon Lu Clement McDonald Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301 ) 496-4441 masked Director, Lister Hill National Center for Biomedical Communications Lister Hill National Center for Biomedical Communications, U.S. National Library of Medicine Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301 ) 496-4441 nlmlhclhcques@mail.nih.gov https://lhncbc.nlm.nih.gov/ Govt body Int 6 Complete 2016/07/19 12:00:00 2016/07/20 12:00:00 2016/07/20 04:45:17 UV 2.16.840.1.113883.6.324 ensembl-G Ensembl genomic reference sequence Clement McDonald MD masked Shennon Lu Clement McDonald Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 masked Director, Lister Hill National Center for Biomedical Communications Lister Hill National Center for Biomedical Communications, U.S. National Library of Medicine Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 nlmlhclhcques@mail.nih.gov https://lhncbc.nlm.nih.gov/ Govt body Int 6 Complete 2016/07/19 12:00:00 2016/07/20 12:00:00 2016/07/20 04:48:55 UV 2.16.840.1.113883.6.325 ensembl-P Ensembl protein reference sequence Clement McDonald MD masked Shennon Lu Clement McDonald Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 masked Director, Lister Hill National Center for Biomedical Communications Lister Hill National Center for Biomedical Communications, U.S. National Library of Medicine Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 nlmlhclhcques@mail.nih.gov https://lhncbc.nlm.nih.gov/ Govt body Int 6 Complete 2016/07/19 12:00:00 2016/07/20 12:00:00 2016/07/20 04:54:00 UV 2.16.840.1.113883.6.326 ensembl-T Ensembl transcript reference sequence Clement McDonald MD masked Shennon Lu Clement McDonald Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 masked Director, Lister Hill National Center for Biomedical Communications Lister Hill National Center for Biomedical Communications, U.S. National Library of Medicine Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 nlmlhclhcques@mail.nih.gov https://lhncbc.nlm.nih.gov/ Govt body Int 6 Complete 2016/07/19 12:00:00 2016/07/20 12:00:00 2016/07/20 05:00:00 UV 2.16.840.1.113883.6.327 gHGVS HGVS- Genomic syntax Clement McDonald MD masked Shennon Lu Clement McDonald Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 masked Director, Lister Hill National Center for Biomedical Communications Lister Hill National Center for Biomedical Communications, U.S. National Library of Medicine Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 nlmlhclhcques@mail.nih.gov https://lhncbc.nlm.nih.gov/ Govt body Int 6 Complete 2016/07/19 12:00:00 2016/07/20 12:00:00 2016/07/20 05:12:11 UV 2.16.840.1.113883.6.328 cHGVS HGVS- Transcript syntax Clement McDonald MD masked Shennon Lu Clement McDonald Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 masked Director, Lister Hill National Center for Biomedical Communications Lister Hill National Center for Biomedical Communications, U.S. National Library of Medicine Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 nlmlhclhcques@mail.nih.gov https://lhncbc.nlm.nih.gov/ Govt body Int 6 Complete 2016/07/19 12:00:00 2016/07/20 12:00:00 2016/07/20 05:14:21 UV 2.16.840.1.113883.6.329 pHGVS HGVS-Protein syntax Clement McDonald MD masked Shennon Lu Clement McDonald Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 masked Director, Lister Hill National Center for Biomedical Communications Lister Hill National Center for Biomedical Communications, U.S. National Library of Medicine Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 nlmlhclhcques@mail.nih.gov https://lhncbc.nlm.nih.gov/ Govt body Int 6 Complete 2016/07/19 12:00:00 2016/07/20 12:00:00 2016/07/20 05:17:34 UV 2.16.840.1.113883.6.330 refSeq-G NCBI - genomic and chromosome reference sequences Clement McDonald MD masked Shennon Lu Clement McDonald Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 masked Director, Lister Hill National Center for Biomedical Communications Lister Hill National Center for Biomedical Communications, U.S. National Library of Medicine Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 nlmlhclhcques@mail.nih.gov https://lhncbc.nlm.nih.gov/ Govt body Int 6 Complete 2016/07/19 12:00:00 2016/07/20 12:00:00 2016/07/20 05:24:09 UV 2.16.840.1.113883.6.331 refSeq-P NCBI - protein reference sequence Clement McDonald MD masked Shennon Lu Clement McDonald Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 masked Director, Lister Hill National Center for Biomedical Communications Lister Hill National Center for Biomedical Communications, U.S. National Library of Medicine Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 nlmlhclhcques@mail.nih.gov https://lhncbc.nlm.nih.gov/ Govt body Int 6 Complete 2016/07/19 12:00:00 2016/07/20 12:00:00 2016/07/20 05:26:15 UV 2.16.840.1.113883.6.332 refSeq-T NCBI-transcript reference sequences (RefSeq) Clement McDonald MD masked Shennon Lu Clement McDonald Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 masked Director, Lister Hill National Center for Biomedical Communications Lister Hill National Center for Biomedical Communications, U.S. National Library of Medicine Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 nlmlhclhcques@mail.nih.gov https://lhncbc.nlm.nih.gov/ Govt body Int 6 Complete 2016/07/19 12:00:00 2016/07/20 12:00:00 2016/07/20 05:30:30 UV 2.16.840.1.113883.6.333 medgen-dis NCBI MedGen disease subset Clement McDonald MD masked Shennon Lu Clement McDonald Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 masked Director, Lister Hill National Center for Biomedical Communications Lister Hill National Center for Biomedical Communications, U.S. National Library of Medicine Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 nlmlhclhcques@mail.nih.gov https://lhncbc.nlm.nih.gov/ Govt body Int 6 Complete 2016/07/19 12:00:00 2016/07/20 12:00:00 2016/07/20 05:32:22 UV 2.16.840.1.113883.6.334 rxT-ingrd RxTerms-Ingredients Subset Clement McDonald MD masked Shennon Lu Clement McDonald Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 masked Director, Lister Hill National Center for Biomedical Communications Lister Hill National Center for Biomedical Communications, U.S. National Library of Medicine Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 nlmlhclhcques@mail.nih.gov https://lhncbc.nlm.nih.gov/ Govt body Int 6 Complete 2016/07/19 12:00:00 2016/07/20 12:00:00 2016/07/20 05:34:55 UV 2.16.840.1.113883.6.335 chrom-loc Cytogenetic (chromosome) location Clement McDonald MD masked Shennon Lu Clement McDonald Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 masked Director, Lister Hill National Center for Biomedical Communications Lister Hill National Center for Biomedical Communications, U.S. National Library of Medicine Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 nlmlhclhcques@mail.nih.gov https://lhncbc.nlm.nih.gov/ Govt body Int 6 Complete 2016/07/19 12:00:00 2016/07/20 12:00:00 2016/07/20 05:39:09 UV 2.16.840.1.113883.6.336 hgnc-symb HUGO Gene Nomenclature Committee Gene Code and Symbol Clement McDonald MD masked Shennon Lu Clement McDonald Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 masked Director, Lister Hill National Center for Biomedical Communications Lister Hill National Center for Biomedical Communications, U.S. National Library of Medicine Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 nlmlhclhcques@mail.nih.gov https://lhncbc.nlm.nih.gov/ Govt body Int 6 Complete 2016/07/19 12:00:00 2016/07/20 12:00:00 2016/07/20 05:52:53 UV 2.16.840.1.113883.6.337 lrg-refseq Locus Reference Genomic Sequences (LRG) Clement McDonald MD masked Shennon Lu Clement McDonald Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 masked Director, Lister Hill National Center for Biomedical Communications Lister Hill National Center for Biomedical Communications, U.S. National Library of Medicine Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 (301) 496-4441 nlmlhclhcques@mail.nih.gov https://lhncbc.nlm.nih.gov/ Govt body Int 6 Complete 2016/07/19 12:00:00 2016/07/20 12:00:00 2016/07/20 05:55:45 UV 2.16.840.1.113883.3.6862 sunbaked Sunbaked Software Inc. Brock Denys masked Brock W Denys 855-509-1111 masked President Sunbaked Software Inc 9739 - 83 Avenue NW Edmonton, AB Canada T6E 2B6 855-509-1111 brock@sunbaked.com http://www.sunbaked.com Vendor Int 3 Complete 2016/07/19 12:00:00 2016/07/20 12:00:00 2016/07/20 10:58:46 UV 2.16.840.1.113883.3.6863 gtpa Grand Traverse Pavilions Ed Worthington masked Ed Worthington 300 E. Front Street Traverse City, MI 49684 2314218505 masked IT Director Grand Traverse Pavilions eworthington@npoinc.org https://www.gtpavilions.org Provider Int 3 Complete 2016/07/19 12:00:00 2016/07/20 12:00:00 2016/07/20 11:00:29 UV 2.16.840.1.113883.3.6864 gipath GI Pathology of the Rockies Cody Carlin masked Cody Carlin 382 S Arthur Avenue Louisville, CO 80027 7209327724 masked Ancillary Services Manager GI Pathology of the Rockies 382 S Arthur Avenue Louisville, CO 80027 3036045000 cody.carlin@gastrorockies.com http://www.gastrorockies.com Provider Int 3 Complete 2016/07/20 12:00:00 2016/07/20 12:00:00 2016/07/20 11:02:22 US 2.16.840.1.113883.3.6865 aetna Aetna Insurance Company Donald Cavanaugh masked Donald Cavanaugh 151 Farmington Ave. Hartford, CT 06156 860-273-5013 masked Aetna Insurance Company 151 Farmington Ave. Hartford, CT 06156 1-800-872-3862 carusoj2@aetna.com https://www.aetna.com Provider Int 3 Complete 2016/07/20 12:00:00 2016/07/20 12:00:00 2016/07/20 11:06:47 UV 2.16.840.1.113883.3.6866 footandankleclinic Foot & Ankle Clinic of South Boston, P.C. OID Root Pamela Perkins masked Pamela Perkins 405 A Oak Lane, South Boston, VA 24592 434-572-1444 masked Office Manager Foot & Ankle Clinic of South Boston, P.C. 405 A Oak Lane, South Boston, VA 24592 434-572-1444 pamela_gentry75@yahoo.com Provider Int 3 Complete 2016/07/20 12:00:00 2016/07/20 12:00:00 2016/07/20 11:41:11 UV 2.16.840.1.113883.3.6867 sblhs Sarah Bush Lincoln Health System AMY CARLEN masked Amy Carlen 1000 Health Center Dr Mattoon, IL 61938 217-238-4831 masked IT Analyst Sarah Bush Lincoln Health System 1000 Health Center Dr Mattoon, IL 61938 acarlen@sblhs.org Provider Int 3 Complete 2016/07/20 12:00:00 2016/07/20 12:00:00 2016/07/20 06:06:12 UV 2.16.840.1.113883.3.6868 rushhealth Rush Health Jeff England masked Raymond Halper 1 Mid America Plaza 9th Floor % Rush Health Oakbrook Terrace 60181 630-954-3267 masked Senior Director IT Rush Health 1645 W Jackson Blvd #501 Chicago, IL 60612 312-942-4061 Ramond_J_Halper@rush.edu https://www.rush-health.com Vendor Int 3 Complete 2016/07/20 12:00:00 2016/07/20 12:00:00 2016/07/20 06:10:12 UV 2.16.840.1.113883.3.6869 schs97701 St Charles Health System Patricia Bracknell masked Patricia Bracknell 5417062626 masked St. Charles Health System 2500 NE Neff Road Bend, Oregon 97701 5413824321 servicedesk@stcharleshealthcare.org Provider Int 3 Complete 2016/07/20 12:00:00 2016/07/21 12:00:00 2016/07/21 11:55:52 UV 2.16.840.1.113883.17.4162 gcn-dom-001 Green Chimneys Clare Rigano masked Clare Rigano 400 Doansburg Road Brewster, NY 10509 845-279-2378 masked Green Chimneys 400 Doansburg Road Brewster, NY 10509 845-279-2995 info@greenchimneys.org http://www.greenchimneys.org/ Provider Int 17 Complete 2016/07/21 12:00:00 2016/07/21 12:00:00 2016/07/21 12:13:54 UV 2.16.840.1.113883.17.4163 childcenter The Child Center of NY,Inc Sofya Badalbayeva masked Sofya Badalbayeva 718 651 7770 ext 230 masked Associate Executive Director The Child Center of NY 60-02 Queens Boulevard Lower Level Woodside, NY 11377 7186517770 sofyabadalbayeva@childcenterny.org http://www.childcenterny.org Provider Int 17 Complete 2016/07/21 12:00:00 2016/07/21 12:00:00 2016/07/21 03:11:49 UV 2.16.840.1.113883.3.6870 hec-tristate TriState ACO Edward Samraj masked Ankit Kapoor Edward Samraj HealthEC LLC 371 Hoes Lane Piscataway, NJ 08854 7326521508 masked AVP HealthEC LLC HealthEC LLC 371 Hoes Lane Piscataway NJ 08854 7322710600 support@healthec.com http://www.healthec.com/ Vendor Int 3 Complete 2016/07/21 12:00:00 2016/07/21 12:00:00 2016/07/28 02:43:53 99HEC UV 2.16.840.1.113883.3.6871 ttuhscpb Texas Tech Physicians of the Permian Basin OID Root Terry Hurt masked Terry Hurt 701 W 5th St Odessa, TX 79763 432-703-5251 masked Managing Director Texas Tech University Health Sciences Center Permian Basin 701 W 5th St Odessa, TX 79763 432-335-2222 webmaster2@ttuhsc.edu Academic Int 3 Complete 2016/07/21 12:00:00 2016/07/21 12:00:00 2016/07/21 04:07:49 UV 2.16.840.1.113883.3.3861.1 foo-act Federation of Organizations ACTProgram Rochelle Carr masked Rochelle Carr 1 Farmingdale Road West Babylon, NY 11704 631-669-5355 masked Director, IT Federation of Organizations 1 Farmingdale Road West Babylon, NY 11704 631-669-5355 RCarr@fedoforg.org http://www.fedoforg.org/ Provider 2.16.840.1.113883.3.3861 Ext 14 Complete 2.16.840.1.113883.3.3861.1 2016/07/21 12:00:00 2016/07/21 12:00:00 2016/07/21 04:25:37 UV 2.16.840.1.113883.4.873 uri OID for URIs created subject to IETF rules Grahame Grieve masked Grahame Grieve 5 Eileen Close North Warrandyte 3113 Australia 411867065 masked Grahame Grieve 5 Eileen Close North Warrandyte 3113 Australia +61411867065 grahame@healthintersections.com.au HL7 body Int 4 Complete 2016/07/21 12:00:00 2016/07/21 12:00:00 2016/07/21 09:51:58 UV 2.16.840.1.113883.3.6872 hec-dcpca DCPCA Edward Samraj masked Ankit Kapoor Edward Samraj HealthEC LLC 371 Hoes Lane Piscataway, NJ 08854 7326521508 masked AVP HealthEC LLC HealthEC LLC 371 Hoes Lane Piscataway, NJ 08854 7322710600 support@healthec.com http://www.healthec.com/ Vendor Int 3 Complete 2016/07/22 12:00:00 2016/07/28 12:00:00 2016/07/28 10:37:27 99HEC UV 2.16.840.1.113883.3.6873 cch-stout Colorado Coalition for the Homeless Jessica Driscoll masked Jessica Driscoll 2103 Stout St Denver, CO 80205 3033129660 masked Colorado Coalition for the Homeless 2103 Stout St Denver, CO 80205 303.293.2217 data@coloradocoalition.org Provider Int 3 Complete 2016/07/22 12:00:00 2016/07/22 12:00:00 2016/07/22 08:06:59 UV 2.16.840.1.113883.3.6874 bumg-t Banner University Medical Group - Tucson Steve Drozdowski masked Steve Drozdowski 2901 N Central Avenue Phoenix, AZ 85012 602-747-4319 masked IT Software Integr Sr Consult Banner University Medical Group 2901 N Central Avenue Phoenix, AZ 85012 602-747-4319 steve.drozdowski@bannerhealth.com http://www.bannerhealth.com Provider Int 3 Complete 2016/07/25 12:00:00 2016/07/25 12:00:00 2016/07/25 03:06:39 UV 2.16.840.1.113883.3.6875 dh-DMH-Enterprise DeKalb Health Edward Hobbs masked Edward Hobbs 1316 E. Seventh Street Auburn, IN 46706 2609202600 masked Director, Information Technology DeKalb Health 1316 E. Seventh Street Auburn, IN 46706 2609254600 ehobbs@dekalbhealth.com http://www.dekalbhealth.com Provider Int 3 Complete 2016/07/25 12:00:00 2016/07/25 12:00:00 2016/07/25 03:07:38 UV 2.16.840.1.113883.3.6876 adams-3434 Adams Eye Clinic Gerald Adams masked Gerald S Adams 105 S. Main St Westby, WI 54667 608-634-3434 masked Owner Adams Eye Clinic 105 S. Main St Westby, WI 54667 608-634-3434 clinicstaff@adamseyeclinic.org Provider Int 3 Complete 2016/07/25 12:00:00 2016/07/25 12:00:00 2016/07/25 06:37:26 UV 2.16.840.1.113883.17.4164 wcap Westchester Cares Action Program Joseph Cunningham masked s.herzog@wecareap.org Susan Herzog 303 S. Broadway Tarrytown, NY 10591 914-606-5022 masked Associate Director of Health Home & Integrated Case Management Westchester Cares Action Program 303 S. Broadway Tarrytown, NY 10591 914-606-5022 s.herzog@wecareap.org Provider Int 17 Complete 2016/07/25 12:00:00 2016/07/28 12:00:00 2016/07/28 11:17:56 UV 2.16.840.1.113883.3.6877 hec-pgc Prince George County Edward Samraj masked Ankit Kapoor Edward Samraj HealthEC LLC 371 Hoes Lane Piscataway, NJ 08854 7326521508 masked AVP HealthEC LLC HealthEC LLC 371 Hoes Lane Piscataway, NJ 08854 7322710600 support@healthec.com http://www.healthec.com/ Vendor Int 3 Complete 2016/07/25 12:00:00 2016/07/28 12:00:00 2016/07/28 10:38:58 99HEC UV 2.16.840.1.113883.17.4165 sail South Shore Association for Independent Living, Inc. Brian Cohen masked Brian Cohen 1976 Grand Ave., Baldwin, NY 11510 (516) 855-1800 masked SAIL, Inc. 1976 Grand Ave., Baldwin, NY 11510 (516) 855-1800 bcohen@sail-inc.org Provider Int 17 Complete 2016/07/28 12:00:00 2016/07/28 12:00:00 2016/07/28 11:20:30 UV 2.16.840.1.113883.3.6878 williamson-mc Williamson Medical Center Christine Scarborough masked Jeff Goad Christine Scarborough 615-435-5638 masked Williamson Medical Center 4321 Carothers Pkwy Franklin, TN 37067 615-435-5000 cscarborough@wmed.org Provider Int 3 Complete 2016/07/28 12:00:00 2016/07/28 12:00:00 2016/07/28 11:39:23 UV 2.16.840.1.113883.17.4166 server01-ccalbany Catholic Charities Care Coordination Services Elizabeth Schady masked Elizabeth Schady 100 Slingerland Street Albany, NY 12202 518-449-3581 masked Elizabeths@ccalbany.org Catholic Charities Care Coordination Services 100 Slingerland street Albany, NY 12202 518-449-3581 elizabeths@ccalbany.org http://www.cccarecoordination.org Provider Int 17 Complete 2016/07/28 12:00:00 2016/07/28 12:00:00 2016/07/28 09:37:44 UV 2.16.840.1.113883.4.874 aspirebhdds Aspire Behavioral Health and Developmental Disability Services Dennis Addison masked Dennis Addison 2294302896 masked Aspire Behavioral Health and Developmental Disability Services P.O. Box 1988 1120 W Broad Ave Albany, GA 31702 2294302896 daddison@albanycsb.org Provider Int 3 Complete 2016/07/28 12:00:00 2016/07/28 12:00:00 2016/07/28 09:43:51 UV 2.16.840.1.113883.3.6879 sunnysidepeds Sunnyside Pediatrics OID Root Justina Anyanwu masked Justina Anyanwu 9733990571 masked Sunnyside Pediatrics 1182 Stuyvesant Ave. Irvington, NJ 07111 9733990571 sunnysidepeds@hotmail.com Provider Int 3 Complete 2016/07/29 12:00:00 2016/07/29 12:00:00 2016/07/29 11:59:33 UV 2.16.840.1.113883.3.6880 tlc-mdccd TLC-MD Patricia Monteith masked Camille Bash (CFO at DCH) Patricia Monteith Doctors Community Hospital for TLC-MD IT Department 8118 Good Luck Road Lanham, Maryland 20706 301-552-8118 masked IT Clinical Project Leader Doctors Community Hospital for TLC-MD Doctors Community Hospital for TLC-MD IT Department 8118 Good Luck Road Lanham, Maryland 20706 301-552-8118 tlcmd@dchweb.org http://www.tlc-md.org Provider Int 3 Complete 2016/08/01 12:00:00 2016/08/01 12:00:00 2016/08/01 09:26:13 UV 2.16.840.1.113883.4.875 pccsb Phoenix Center CSB Michael Fowler masked Arikibraa Andico 940-A GA Hwy 96 Warner Robins, GA 31088 (478) 988-1222 ext. 224 masked Data Analyst Phoenix Center CSB 940 GA Hwy 96 Warner Robins, GA 31088 (478) 988-1222 arikibraaandico@phoenixcenterbhs.com Provider Int 3 Complete 2016/08/01 12:00:00 2016/08/01 12:00:00 2016/08/01 09:30:16 UV 2.16.840.1.113883.3.6881 bumct Banner University Medical Center - Tucson Steve Drozdowski masked Steve Drozdowski 2929 N Central Ave. Phoenix, AZ 85012 602-747-4319 masked IT Software Integration Sr Consultant Banner University Medical Center - Tucson 1501 N. Campbell Avenue Tucson, AZ 85724 520-694-0111 steve.drozdowski@bannerhealth.com http://www.bannerhealth.com Provider Int 3 Complete 2016/08/01 12:00:00 2016/08/01 12:00:00 2016/08/01 09:31:49 UV 2.16.840.1.113883.3.6882 bumcs Banner University Medical Center - South Steve Drozdowski masked Steve Drozdowski 2929 N Central Ave. Phoenix, AZ 85012 602-747-4319 masked IT Software Integration Sr Consultant Banner University Medical Center - South 2800 E. Ajo Way Tucson, AZ 85713 520-874-2000 steve.drozdowski@bannerhealth.com http://www.bannerhealth.com Provider Int 3 Complete 2016/08/01 12:00:00 2016/08/01 12:00:00 2016/08/01 09:32:56 UV 2.16.840.1.113883.3.6883 gccsb Greene County Community Services Board Amanda Passaretti masked Greene County Community Services Board 905 Greene County Office Building Cairo, NY 12413 518-622-9163 masked Fiscal Officer Greene County Community Services Board 905 Greene County Office Building Cairo, NY 12413 518-622-9163 mentalhealth@discovergreene.com http://greenegovernment.com/departments/mental-health Govt body Int 3 Complete 2016/08/02 12:00:00 2016/08/02 12:00:00 2016/08/02 04:09:51 UV 2.16.840.1.113883.3.6884 gfmc Grace Family Medicine Clinic Uzoma Obuekwe masked Uzoma Obuekwe Grace Family Medicine Clinic 300 Moore Street Suite A Bristol, VA 24201 276-644-4433 masked Grace Family Medicine Clinic 300 Moore Street Suite A Bristol, VA 24201 276-644-4433 uobuekwe@yahoo.com Provider Int 3 Complete 2016/08/03 12:00:00 2016/08/03 12:00:00 2016/08/03 07:51:30 UV 2.16.840.1.113883.3.6885 tfp The Family Practice Kristin Martin masked Kristin Martin 6005 Delmonico Drive #150 Colorado Springs, CO 80919 719-266-5244 masked Office Manager The Family Practice 6005 Delmonico Dr Colorado Springs, CO 80919 719-266-5244 info@thefamilypractice.org https://Thefamilypractice.org Provider Int 3 Complete 2016/08/03 12:00:00 2016/08/03 12:00:00 2016/08/03 07:53:54 UV 2.16.840.1.113883.17.4167 ccdhs-hhcc Columbia Co. Dept Human Services/HHCC Gary Whittaker masked Gary Whittaker 325 Columbia St. Hudson, NY 12534 5188289446 masked Director for Information Management Columbia Co. Dept Human Services/HHCC 325 Columbia St. Hudson, NY 12534 5188289446 john.lyons@columbiacountyny.com Provider Int 17 Complete 2016/08/03 12:00:00 2016/08/03 12:00:00 2016/08/03 07:58:19 UV 2.16.840.1.113883.17.4168 options-inc Options for Community Living, Inc Yolanda Robano-Gross masked Joyce Tancredi 202 E. Main Street Smithtown, NY 11787 631-631-9020 masked Data Management Coordinator Options for Community Living, Inc 202 E. Main Street Smithtown, NY 11787 631-361-9020 yRobanoGross@optionscl.org https://www.optionscl.org Provider Int 17 Complete 2016/08/03 12:00:00 2016/08/03 12:00:00 2016/08/03 08:01:46 UV 2.16.840.1.113883.17.4169 sai St. Anne Institution Diane Malecki masked Diane Malecki 518-437-6510 masked St. Anne Institute 160 North Main Avenue Albany, NY 12206 518-437-6500 DMalecki@s-a-i.org Provider Int 17 Complete 2016/08/03 12:00:00 2016/08/03 12:00:00 2016/08/03 08:06:04 UV 2.16.840.1.113883.3.6886 h2t Head2Toe HealthCare, LLC Dianne Whitmill masked Dianne Whitmill 14901 E Hampden Ave., #140 Aurora, Colorado 80014 303-627-1400 masked Office Manager Head2Toe HealthCare, LLC 14901 E Hampden Ave., #140 Aurora, Colorado 80014 303-627-1400 dianne@head2toehc.com https://head2toehc.com Provider Int 3 Complete 2016/08/03 12:00:00 2016/08/03 12:00:00 2016/08/03 08:07:50 UV 2.16.840.1.113883.3.6887 jhmi Johns Hopkins Medical Institutions Claudia Allshouse masked Claudia Allshouse 1000 Lancaster St, Suite 450 Baltimore, MD 21202 410-576-5618 masked Project Leader Johns Hopkins Hospital 1800 Orleans St. Baltimore, MD 21287 410-576-5618 callsho1@jhmi.edu http://www.hopkinsmedicine.org Academic Int 3 Complete 2016/08/03 12:00:00 2016/08/03 12:00:00 2016/08/03 08:15:32 UV 2.16.840.1.113883.3.6888 ummhc UMass Memorial Health Care Michael Knell masked Michael Knell UMassMemorial Health Care 295 Lincoln Street Worcester, MA 01605 508-334-2113 masked Sr Applications Analyst UMassMemorial Health Care 55 Lake Avenue North Worcester, MA 01655 United States 508-334-2113 contactus.medctr@umassmemorial.org https://www.umassmemorialhealthcare.org/ Provider Int 3 Complete 2016/08/04 12:00:00 2016/08/04 12:00:00 2016/08/04 09:45:08 UV 2.16.840.1.113883.3.6889 afph Alliance for Positive Health Leo Ponter masked Laurie Lanphear Laurie Lanphear Alliance for Positive Health 10 LaCrosse Street, Suite 12 Hudson Falls, NY 12839 518-743-0703 x3305 masked Assistant Director of Client Services Alliance for Positive Health Alliance for Positive Health 927 Broadway Albany, NY 12207 518-434-4686 info@alliancefph.org http://www.allianceforpositivehealth.org Provider Int 3 Complete 2016/08/04 12:00:00 2016/08/04 12:00:00 2016/08/04 01:10:22 UV 2.16.840.1.113883.3.6890 fhc83864 Family Health Center Mari Cower masked Mari Cower Family Health Center 606 N 3rd Ste 101 Sandpoint, ID 83864 208-263-1435 masked Administrator Family Health Center 606 N 3rd Ste 101 Sandpoint, ID 83864 208-263-1435 mcower@fhcsandpoint.com http://www.fhcsandpoint.com/ Provider Int 3 Complete 2016/08/04 12:00:00 2016/08/04 12:00:00 2016/08/04 01:13:24 UV 2.16.840.1.113883.3.6891 dch-oid Doctors' Center Hospital, Inc Pedro Rios masked Pedro Rios PO Box 30532 Manati, PR 00674 787-621-3322 x.1017 masked IT Director Doctors' Center Hospital, Inc PO Box 30532 Manati, PR 00674 787-621-3322 administrator@dchpr.com http://www.tuhospitalfamiliar.com Provider Int 3 Complete 2016/08/04 12:00:00 2016/08/04 12:00:00 2016/08/04 02:48:13 UV 2.16.840.1.113883.3.6892 hdsw Human Development Services of Westchester Kathy Pandekakes masked Kathy Pandekakes 930 Mamaroneck Ave Mamaroneck, NY 10543 914-835-8906 masked Chief Operating Officer Human Development Services of Westchester 930 Mamaroneck Ave. Mamaroneck, NY 10543 914-835-8906 accounts@hdsw.org http://www.hdsw.org Provider Int 3 Complete 2016/08/04 12:00:00 2016/08/04 12:00:00 2016/08/04 02:49:48 UV 2.16.840.1.113883.17.4170 liaac Long Island Association for AIDS Care Michael Pissanos masked Michael Pissanos 60 Adams Avenue, Hauppauge, NY 11788 631-385-2451 masked Director of IT Long Island Association for AIDS Care 60 Adams Avenue, Hauppauge, NY 11788 631-385-2451 it@liaac.org http://www.liaac.org Provider Int 17 Complete 2016/08/04 12:00:00 2016/08/04 12:00:00 2016/08/04 04:14:18 UV 2.16.840.1.113883.3.6893 southeastgeorgiagastro Southeast Georgia Gastroenterology OID Ahmad Irfan masked Jami Tanner Jami Tanner 2003 A PIONEER STREET WAYCROSS, GA 31501 912-284-1210 masked Practice Manager Southeast Georgia Gastroenterology 2003 A Pioneer Street Waycross, GA 31501 912-284-1210 jamitannersega@gmail.com Provider Int 3 Complete 2016/08/04 12:00:00 2016/08/04 12:00:00 2016/08/04 04:09:44 UV 2.16.840.1.113883.3.6894 mariposa Mariposa Community Health Center Juliette Slavik masked Juliette Slavik 1852 N Mastick Way Nogales, Arizona 85621 5202811550 masked Director of QI/QA & Sytems Management Mariposa Community Health Center 1852 N Mastick Way Nogales, Arizona 85621 5202811550 jslavik@mariposachc.net Provider Int 3 Complete 2016/08/04 12:00:00 2016/08/04 12:00:00 2016/08/04 06:31:37 UV 2.16.840.1.113883.3.6895 mindzplay mindZplay Solutions Inc Doug Bleich masked Doug Bleich 106 Whitewood Terrace Saskatoon, SK S7J 4K4 3063736982 masked mindZplay Solutions Inc. dbleich07@mindzplay.com http://www.mindzplay.com Vendor Int 3 Complete 2016/08/05 12:00:00 2016/08/05 12:00:00 2016/08/05 05:17:15 UV 2.16.840.1.113883.17.4171 lifqhc Long Island FQHC, Inc. Melinda Carbonell masked Ana Colon Melinda Carbonell 250 Fulton Avenue Suite 608 Hempstead, NY 11550 516-572-1691 masked Long Island FQHC, Inc. 250 Fulton Avenue Suite 608 Hempstead, NY 11550 516-572-1740 LIFQHCinfo@numc.edu https://www.lifqhc.org Provider Int 17 Complete 2016/08/08 12:00:00 2016/08/08 12:00:00 2016/08/08 01:37:41 UV 2.16.840.1.113883.3.6896 neurologyeastal Neurology Clinic of East Alabama Courtney Adcock masked Courtney Adcock 2750 Professional Village Drive Opelika, AL 36801 (334) 203-1917 masked Office Manager Neurology Clinic of East Alabama 2750 Professional Village Drive Opelika, AL 36801 (334) 203-1917 courtney.adcock@eamc.org Provider Int 3 Complete 2016/08/08 12:00:00 2016/08/08 12:00:00 2016/08/08 01:40:46 US 2.16.840.1.113883.3.6897 melillo Melillo Center Marissa Peralta masked Marissa Peralta 516-676-2388 masked Office Manager Melillo Center 113 Glen Cove Ave Glen Cove, NY 11542 516-676-2388 mperalta@melillo.org Provider Int 3 Complete 2016/08/08 12:00:00 2016/08/08 12:00:00 2016/08/08 03:23:05 UV 2.16.840.1.113883.3.6898 rzhouclinic Office Clinic of Dr. Raymond Zhou Michael Knell masked Michael Knell UMass Memorial Health Care 295 Lincoln Street Worcester, MA 01605 508-334-2113 masked Sr Applications Analyst UMass Memorial Health Care 55 Lake Avenue North Worcester, MA 01655 508-334-2113 contactus.medctr@umassmemorialhealthcare.org https://www.umassmemorialhealthcare.org/ Provider Int 3 Complete 2016/08/08 12:00:00 2016/08/08 12:00:00 2016/08/08 04:30:28 UV 2.16.840.1.113883.3.6899 njii New Jersey Innovation Institute Michelle Marki masked Michelle Marki 211 Warren Street, Suite 308, Newark, NJ 07103 973-856-5262 masked Project Manager New Jersey Innovation Institute 211 Warren Street, Suite 308, Newark, NJ 07103 973-642-4055 njhin@njii.com http://www.njii.com/ Academic Int 3 Complete 2016/08/09 12:00:00 2016/08/09 12:00:00 2016/08/09 04:26:17 UV 2.16.840.1.113883.3.6900 cuc2016 CommUnityCare Emily Hafner masked Javier Leal 8627 N. Mopac Expressway #350 Austin, TX 78759 512-978-9027 masked Database Analyst CommUnityCare 2115 Kramer Ln Suite #100 Austin, TX 78758 512-978-9027 Javier.Leal@centralhealth.net Provider Int 3 Complete 2016/08/09 12:00:00 2016/08/09 12:00:00 2016/08/09 04:28:52 UV 2.16.840.1.113883.3.6901 eBS El Buen Samaritano Bella Kirchner masked Bella Kirchner 7000 Woodhue Dr. Austin, TX 78745 512-439-8923 masked Director of Clinical Applications El Buen Samaritano Clinic 7000 Woodhue Dr. Austin, TX 78745 512-439-8923 bKirchner@elbuen.org Provider Int 3 Complete 2016/08/09 12:00:00 2016/08/09 12:00:00 2016/08/09 04:31:52 UV 2.16.840.1.113883.3.6902 aia-IPM-9 Associates in Anesthesia, Inc. John Christy masked John Christy 610-874-4147 masked Associates in Anesthesia, Inc. 30 Medical Center Blvd. POB 1 Suite 305 Upland, PA 19013 610-874-4147 John.Christy@aiamd.com Provider Int 3 Complete 2016/08/10 12:00:00 2016/08/10 12:00:00 2016/08/10 04:47:54 UV 2.16.840.1.113883.3.6903 apms American Spine Maryland Silvia Perdomo masked Silvia Perdomo PO Box 2348 Germantown, MD 20875 2406293939 masked Practice Manager American Spine Maryland info@americanspinemd.com Provider Int 3 Complete 2016/08/11 12:00:00 2016/08/11 12:00:00 2016/08/11 02:40:04 UV 2.16.840.1.113883.3.6904 pentra Piedmont Ear, Nose, Throat and Allergy Jason Dudley masked Jason Dudley 1720 Peachtree Street NW, Suite 200, Atlanta, GA 30309 404-446-0462 masked IT Manager Piedmont Ear, Nose, Throat and Allergy 1720 Peachtree Street NW, Suite 200, Atlanta, GA 30309 404-351-5045 jdudley@piedent.com http://www.piedent.com Provider Int 3 Complete 2016/08/11 12:00:00 2016/08/11 12:00:00 2016/08/11 02:53:04 UV 2.16.840.1.113883.3.6905 europeanmedicinesagency European Medicines Agency OID Root Nick Halsey masked Nick Halsey European Medicines Agency Domenico Scarlattilaan 6 1083 HS Amsterdam The Netherlands +31 88 781 7100 masked European Medicines Agency European Medicines Agency Domenico Scarlattilaan 6 1083 HS Amsterdam The Netherlands +31 88 781 7100 nick.halsey@ema.europa.eu http://www.ema.europa.eu Govt body Int 3 Complete 2016/08/12 12:00:00 2016/08/12 12:00:00 2023/02/16 04:20:59 UV 2.16.840.1.113883.3.6906 cwc Capital Women's Care Veronica Carrera masked Veronica Carrera 11850 West Market Place, Suite P Fulton, MD 20759 301-340-8339, ext. 214 masked Director, EHR Ancillary Services, Interfaces and Compliance Capital Women's Care 11850 West Market Place, Suite P Fulton, MD 20759 301-340-8339 vcarrera@cwcare.net http://www.cwcare.net/ Provider Int 3 Complete 2016/08/12 12:00:00 2016/08/12 12:00:00 2016/08/12 10:44:48 US 2.16.840.1.113883.3.6907 honor HONOR Lisa Stivers masked Lisa Stivers 38 Seward Avenue Middletown, NY 10940 845-343-7115 masked Director of Care Management Services HONOR 38 Seward Avenue Middletown, NY 10940 845-343-7115 cmolinelli@honorehg.org http://honorhelpingothers.org/ Provider Int 3 Complete 2016/08/12 12:00:00 2016/08/12 12:00:00 2016/08/12 02:59:17 UV 2.16.840.1.113883.3.6908 medicalisOID Medicalis Customer Production Deployment Identifier Cleon Hill Wood-Salomon masked Cleon Hill Wood-Salomon 508 Riverbend Dr. Kitchener Ontario, Canada N2K 3S2 519-589-0984 masked Director Product Management Medicalis 508 Riverbend Dr. Kitchener Ontario, Canada N2K 3S2 519-579-5454 support@medicalis.com http://www.medicalis.com Vendor Int 3 Complete 2016/08/12 12:00:00 2016/08/12 12:00:00 2016/08/12 03:20:31 UV 2.16.840.1.113883.3.6909 aesclepion Aesclepion Health Center Michael Knell masked Michael Knell UMass Memorial Health Care 295 Lincoln Street Worcester, MA 01605 508-334-2113 masked Sr Applications Analyst UMass Memorial Health Care 55 Lake Avenue North Worcester, MA 01655 508-334-2113 contactus.medctr@umassmemorialhealthcare.org https://www.umassmemorialhealthcare.org/ Provider Int 3 Complete 2016/08/15 12:00:00 2016/08/15 12:00:00 2016/08/15 10:28:38 UV 2.16.840.1.113883.3.6910 chaclinic Child Health Associates Michael Knell masked Michael Knell UMass Memorial Health Care 295 Lincoln Street Worcester, MA 01605 508-334-2113 masked Sr Applications Analyst UMass Memorial Health Care 55 Lake Avenue North Worcester, MA 01655 508-334-2113 contactus.medctr@umassmemorialhealthcare.org Provider Int 3 Complete 2016/08/15 12:00:00 2016/08/15 12:00:00 2016/08/15 10:32:17 UV 2.16.840.1.113883.3.6911 dry-clinic Delacy, Rozak & Young Clinic Michael Knell masked Michael Knell UMass Memorial Health Care 295 Lincoln Street Worcester, MA 01605 508-334-2113 masked Sr Applications Analyst UMass Memorial Health Care 55 Lake Avenue North Worcester, MA 01655 508-334-2113 contactus.medctr@umassmemorialhealthcare.org Provider Int 3 Complete 2016/08/15 12:00:00 2016/08/15 12:00:00 2016/08/15 11:08:00 UV 2.16.840.1.113883.3.6912 arestradingoid Ares Trading OID Claude-Alain Piguet masked Claude-Alain Piguet +41 58 432 3331 masked Director QM Ares Trading S.A. Zone industrielle 1267 Coinsins Switzerland +41 58 432 3444 claude-alain.piguet@merckgroup.com Vendor Int 3 Complete 2016/08/15 12:00:00 2016/08/15 12:00:00 2016/08/15 11:53:21 UV 2.16.840.1.113883.3.6913 clar Clara Barton Hospital Rebecca Moore masked Rebecca Moore 620-653-2114 masked Clara Barton Hospital 250 W. 9th Hoisington, KS 67544 620-653-2114 isteam@clarabarton.hpmin.com Provider Int 3 Complete 2016/08/15 12:00:00 2016/08/15 12:00:00 2016/08/15 03:51:19 UV 2.16.840.1.113883.3.6914 bthft Bradford Teaching Hospitals NHS Foundation Trust Linda Wood masked Linda Wood Therapy Department Bradford Royal Infirmary Duckworth Lane Bradford BD9 6RJ 01274 364350 masked Bradford Teaching Hospitals NHS Foundation Trust Bradford Royal Infirmary Duckworth Lane Bradford BD9 6RJ 01274 542200 david.hollings@bthft.nhs.uk http://www.bradfordhospitals.nhs.uk Provider Int 3 Complete 2016/08/16 12:00:00 2016/08/16 12:00:00 2016/08/16 07:59:13 UV 2.16.840.1.113883.3.6915 chft Calderdale and Huddersfield NHS Foundation Trust Linda Wood masked Tom Amos Oak House, Woodvale Office Park Woodvale Road HD6 4AB 07786352884 masked Calderdale and Huddersfield NHS Foundation Trust Huddersfield Royal Infirmary Trust Headquarters Acre Street Lindley Huddersfield West Yorkshire HD3 3EA 01484342000 tom.amos@this.nhs.uk http://www.cht.nhs.uk Provider Int 3 Complete 2016/08/16 12:00:00 2016/08/16 12:00:00 2016/08/16 08:02:44 UV 2.16.840.1.113883.3.6916 kAN-1 Kanrad Technologies Inc Sundar Kannan masked Sundar Kannan Kanrad Technologies Inc. 4340, Stevens Creek Blvd. # 162, San Jose, CA 95129 4086158880 masked Kanrad Technologies Inc. 340, Stevens Creek Blvd. # 162, San Jose, CA 95129 4086157461 info@kanrad.com Vendor Int 3 Complete 2016/08/16 12:00:00 2016/08/16 12:00:00 2016/08/16 08:09:24 US 2.16.840.1.113883.3.6917 glazer-practice Dr Wayne B Glazer Practice Michael Knell masked Michael Knell UMass Memorial Health Care 295 Lincoln Street Worcester, MA 01605 508-334-2113 masked Sr Applications Analyst UMass Memorial Health Care 55 Lake Avenue North Worcester, MA 01655 508-334-2113 contactus.medctr@umassmemorialhealthcare.org https://www.umassmemorialhealthcare.org Provider Int 3 Complete 2016/08/16 12:00:00 2016/08/16 12:00:00 2016/08/16 08:14:19 UV 2.16.840.1.113883.3.6918 dr-psadhujan Dr PRABHASADANAM G SADHUJAN Michael Knell masked Michael Knell UMass Memorial Health Care 295 Lincoln Street Worcester, MA 01605 508-334-2113 masked Sr Applications Analyst UMass Memorial Health Care 55 Lake Avenue North Worcester, MA 01655 508-334-2113 contactus.medctr@umassmemorialhealthcare.org https://www.umassmemorialhealthcare.org Provider Int 3 Complete 2016/08/16 12:00:00 2016/08/16 12:00:00 2016/08/16 11:30:26 UV 2.16.840.1.113883.3.2402.200.6881 physicans-computer-company-clients-cp Physician's Computer Company (PCC) Clients Calabasas Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6881 2016/08/16 12:00:00 2016/08/16 12:00:00 2016/08/16 11:34:05 UV 2.16.840.1.113883.3.6919 dsefamilymedicine Dimitri, Sullivan & Erban Family Medicine Michael Knell masked Michael Knell UMass Memorial Health Care 295 Lincoln Street Worcester, MA 01605 508-334-2113 masked Sr Applications Analyst UMass Memorial Health Care 55 Lake Avenue North Worcester, MA 01655 508-334-2113 contactus.medctr@umassmemorialhealthcare.org https://www.umassmemorialhealthcare.org Provider Int 3 Complete 2016/08/16 12:00:00 2016/08/16 12:00:00 2016/08/16 11:32:21 UV 2.16.840.1.113883.3.6920 marlboro-internal Marlboro Internal Medicine Michael Knell masked Michael Knell UMass Memorial Health Care 295 Lincoln Street Worcester, MA 01605 508-334-2113 masked Sr Applications Analyst UMass Memorial Health Care 55 Lake Avenue North Worcester, MA 01655 508-334-2113 contactus.medctr@umassmemorialhealthcare.org https://www.umassmemorialhealthcare.org Provider Int 3 Complete 2016/08/16 12:00:00 2016/08/16 12:00:00 2016/08/16 11:38:44 UV 2.16.840.1.113883.3.6921 a-forPositiveChange Alliance for Positive Change Ebony Ross masked Alliance for Positive Change 64 West 35th Street New York, NY 10001 212-645-0875 masked Associate Director of Data & Planning Alliance for Postive Change 64 West 35th Street New York, NY 10001 212-645-0875 Ebony@ascnyc.org http://www.ascnyc.org/ Provider Int 3 Complete 2016/08/16 12:00:00 2016/08/16 12:00:00 2016/08/16 11:43:43 UV 2.16.840.1.113883.3.6922 masslung-allergy Mass Lung & Allergy PC Michael Knell masked Michael Knell UMass Memorial Health Care 295 Lincoln Street Worcester, MA 01605 508-334-2113 masked Sr Applications Analyst UMass Memorial Health Care 55 Lake Avenue North Worcester, MA 01655 508-334-2113 contactus.medctr@umassmemorialhealthcare.org https://www.umassmemorialhealthcare.org Provider Int 3 Complete 2016/08/16 12:00:00 2016/08/16 12:00:00 2016/08/16 11:50:48 UV 2.16.840.1.113883.3.6923 shrewsbury-ob-gyn Shrewsbury OB/GYN, PC Michael Knell masked Michael Knell UMass Memorial Health Care 295 Lincoln Street Worcester, MA 01605 508-334-2113 masked Sr Applications Analyst UMass Memorial Health Care 55 Lake Avenue North Worcester, MA 01655 508-334-2113 contactus.medctr@umassmemorialhealthcare.org https://www.umassmemorialhealthcare.org Provider Int 3 Complete 2016/08/16 12:00:00 2016/08/16 12:00:00 2016/08/16 11:54:51 UV 2.16.840.1.113883.3.6924 ashlandmansfieldfootandanklespecialists Ashland/Mansfield Foot and Ankle Specialists OID route Stephanie Holloway masked Stephanie Holloway 550 S Trimble Rd Mansfield, OH 44906 419-756-1961 masked office manager Ashland/Mansfield Foot and Ankle Specialists 550 S Trimble Rd Mansfield, OH 44906 419-756-1961 sholloway@amfootandanklespecialists.com Provider Int 3 Complete 2016/08/16 12:00:00 2016/08/16 12:00:00 2016/08/16 11:57:17 UV 2.16.840.1.113883.3.6925 monroefootclinic MONROE FOOT CLINIC OID ROOT Allison Laborde masked Allison Laborde 1500 11TH STREET MONROE, WI 53566 6083259175 masked BILLING MONROE FOOT CLINIC 1500 11TH STREET MONROE, WI 53566 6083259175 MONROEFOOTCLINIC@TDS.NET Provider Int 3 Complete 2016/08/16 12:00:00 2016/08/16 12:00:00 2016/08/16 01:01:17 UV 2.16.840.1.113883.4.876 generations-healthcare Generations Healthcare David Effio masked Generations Healthcare 20371 Irvine Ave, Suite 210 Newport Beach, CA 92660 714- 241-5600 masked Web Developer Generations Healthcare 20371 Irvine Ave, Suite 210 Newport Beach, CA 92660 714- 241-5600 davideffio@lifegen.net http://www.lifegen.net/ Provider Int 3 Complete 2016/08/16 12:00:00 2016/08/16 12:00:00 2016/08/16 04:08:32 UV 2.16.840.1.113883.3.6926 grove-medical Grove Medical Associates Michael Knell masked Michael Knell UMass Memorial Health Care 295 Lincoln Street Worcester, MA 01605 508-334-2113 masked Sr Applications Analyst UMass Memorial Health Care 55 Lake Avenue North Worcester, MA 01655 508-334-2113 contactus.medctr@umassmemorialhealthcare.org https://www.umassmemorialhealthcare.org Provider Int 3 Complete 2016/08/16 12:00:00 2016/08/16 12:00:00 2016/08/16 03:57:20 UV 2.16.840.1.113883.3.6927 idmmd W David Mello M.D. Barbara Mello masked Barbara Mello 1818 Verdugo Boulevard Suite 107 Glendale, CA 91208-1400 818-790-0122 masked Office Manager W. David Mello M.D. 1818 Verdugo Boulevard Suite 107 Glendale, CA 91208-1400 818-790-0122 dmellomd@gmail.com Provider Int 3 Complete 2016/08/16 12:00:00 2016/08/16 12:00:00 2016/08/16 05:27:19 UV 2.16.840.1.113883.3.6928 nSCentral-AL Neurosurgery & Spine Associates of Central Alabama PC Sherry McFeely masked Sherry McFeely 2065 E South Blvd Ste 204 Montgomery, AL 36116 3342816990 masked Operations Manager Neurosurgery & Spine Associates of Central Alabama PC 2065 E South Blvd Ste 204 Montgomery, AL 36116 3342816990 smcfeely@alneurospine.com Provider Int 3 Complete 2016/08/16 12:00:00 2016/08/17 12:00:00 2016/08/17 08:48:14 US 2.16.840.1.113883.3.6929 nkf National Kidney Foundation Joseph Vassalotti masked Joseph Vassalotti 30 East 33rd Street New York, NY 10016 212 889 2210 masked Chief Medical Officer National Kidney Foundation 30 East 33rd Street New York, NY 10016 212 889 2210 info@kidney.org https://www.kidney.org Prof Soc Int 3 Complete 2016/08/17 12:00:00 2016/08/17 12:00:00 2016/08/17 10:52:29 UV 2.16.840.1.113883.3.6930 sullivancountycommunityservices Sullivan County Department of Community Services Frances Cole masked County of Sullivan Department of Community Services Frances Cole PO Box 716 20 Community Lane Liberty, NY 12754 845-292-8770 x2009 masked EMR, Accounting and Eelctronic Med Billing Data Management Specialist County of Sullivan Department of Community Services PO Box 716 20 Community Lane Liberty, NY 12754 845-292-8770 Frances.Cole@co.sullivan.ny.us http://co.sullivan.ny.us/ Govt body Int 3 Complete 2016/08/17 12:00:00 2016/08/17 12:00:00 2016/08/17 12:25:33 UV 2.16.840.1.113883.3.6931 bchp Boston Children's Health Physicians Kimberly Gannon masked Kimberly Gannon 9149222270 masked Analyst Boston Children's Health Physicians 22 Saw Mill River Road, Hawthorne NY 10532 9149222271 daniel_rodriguez@cwpw.org http://bchphysicians.org/ Provider Int 3 Complete 2016/08/17 12:00:00 2016/08/17 12:00:00 2016/08/17 04:31:45 UV 2.16.840.1.113883.4.877 vP-h175 View Point Health Fray Gordon masked erica.ginn@vphealth.org Fray Gordon 175 Gwinnett Drive Lawrenceville, GA 30046 678-613-0733 masked EMR Sys Admin View Point Health 175 Gwinnett Drive Lawrenceville, GA 30046 678-209-2416 fray.gordon@vphealth.org Provider Int 3 Complete 2016/08/18 12:00:00 2016/08/18 12:00:00 2016/08/18 03:04:49 UV 2.16.840.1.113883.3.2402.200.6805 physicans-computer-company-clients-tiger Physician's Computer Company (PCC) Clients Tiger Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6805 2016/08/22 12:00:00 2016/08/22 12:00:00 2016/08/22 01:55:27 UV 2.16.840.1.113883.3.2402.200.360 physicans-computer-company-clients-saenz Physician's Computer Company (PCC) Clients Pediatric Center at Renaissance Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.360 2016/08/22 12:00:00 2016/08/22 12:00:00 2016/08/22 01:57:34 UV 2.16.840.1.113883.3.6932 umcpamigos UMC Physicians Express Care Clinic Amigos Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 160 Lubbock, TX 79407 806-761-0322 masked Director UMC Physicians 112 N. University Lubbock, TX 79415 806-761-0333 yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2016/08/22 12:00:00 2016/08/22 12:00:00 2016/08/22 06:22:40 UV 2.16.840.1.113883.3.6933 umcp1585 UMC Physicians Express Care 1585 Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 160 Lubbock, TX 79407 806-761-0333 masked Director UMC Physicians 12815 Indiana Ave Lubbock, TX 79423 806-761-0333 yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2016/08/22 12:00:00 2016/08/22 12:00:00 2016/08/22 06:25:13 UV 2.16.840.1.113883.3.6934 umcporchard UMC Physicians Orchard Park Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 160 Lubbock, TX 79407 806-761-0333 masked Director UMC Physicians 4420 114th Street Lubbock, TX 79424 806-761-0333 yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2016/08/22 12:00:00 2016/08/22 12:00:00 2016/08/22 06:27:45 UV 2.16.840.1.113883.3.6935 umcpfamhealth UMC Physicians Family Health Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 160 Lubbock, TX 79407 806-761-0333 masked Director UMC Physicians 3502 9th Street Suite 240 Lubbock, TX 79415 806-761-0333 yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2016/08/23 12:00:00 2016/08/23 12:00:00 2016/08/23 11:16:13 UV 2.16.840.1.113883.3.6936 urgidoc URGIDOC Moti Mitteldorf masked Moti Mitteldorf 1-718-419-1348 masked URGIDOC 120&#173;10 Queens Blvd Queens, NY 11415 1-718-419-1348 Moti.M@womba.com Vendor Int 3 Complete 2016/08/23 12:00:00 2016/08/23 12:00:00 2016/08/23 11:30:18 UV 2.16.840.1.113883.3.6937 ids Integrated Data Services Moti Mitteldorf masked Moti Mitteldorf 1-718-419-1348 masked Integrated Data Services 120&#173;10 Queens Blvd Queens, NY 11415 1-718-419-1348 Moti.M@womba.com Vendor Int 3 Complete 2016/08/23 12:00:00 2016/08/23 12:00:00 2016/08/23 11:50:50 UV 2.16.840.1.113883.3.6938 msarthritisclinic Mississippi Arthritis Clinic OID Root Harold Ingram masked Harold Ingram PO Box 4319 Jackson, MS 39296 601-420-0141 masked Mississippi Arthritis Clinic PLLC 971 Lakeland Dr. Suite 1157 Jackson, MS 39216 601-362-6900 hingram@performax.biz Provider Int 3 Complete 2016/08/23 12:00:00 2016/08/23 12:00:00 2016/08/23 06:28:29 UV 2.16.840.1.113883.3.6939 tlc TLC Health Network Raymond Manning masked Raymond Manning 845 RT 5 & 20 Irving, NY 14081 716-951-7174 masked Director of IT/Informatics Raymond Manning 845 RT 5 & 20 Irving, NY 14081 716-951-7174 rmanning@tlchealth.org http://tlchealth.org/ Provider Int 3 Complete 2016/08/23 12:00:00 2016/08/23 12:00:00 2016/08/23 06:32:01 US 2.16.840.1.113883.3.6940 pulse8 Pulse8, Inc. Paul Schiele masked Chris Goffredo Carrie Price 175 Admiral Cochrane Drive, Suite 302 Annapolis, MD 21401 6362841037 masked Director EMR Strategy Pulse8, Inc. 175 Admiral Cochrane Drive, Suite 302 Annapolis, MD 21401 4109284218 info@pulse8.com http://www.pulse8.com Vendor Int 3 Complete 2016/08/24 12:00:00 2016/08/24 12:00:00 2019/02/18 05:40:26 UV 2.16.840.1.113883.3.3991.1073 smg-williamston SMG Williamston Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 5173327063 masked Interface Analyst Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 5173641000 itinterfaceanalysts@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1073 2016/08/24 12:00:00 2016/08/24 12:00:00 2016/08/24 06:08:43 UV 2.16.840.1.113883.3.6941 fmridaho-root Family Medicine Residency of Idaho Tygh Walker masked Elizabeth Johnsen 777 Raymond Boise, ID 83704 (208) 514-2500 masked Lead Project Manager Family Medicine Residency of Idaho 777 Raymond Boise, ID 83704 (208) 514-2500 Elizabeth.Johnsen@FMRIdaho.org https://www.fmridaho.org Provider Int 3 Complete 2016/08/24 12:00:00 2016/08/24 12:00:00 2016/08/24 06:54:38 UV 2.16.840.1.113883.3.6942 seton-dsmcut-austin-tx Dell Seton Medical Center at The University of Texas Data Exchange Object Tim Hudak masked Tim Hudak 7715 Chevy Chase Dr Austin, TX 78752 512-324-1000 x13350 masked Seton Healthcare Family 7715 Chevy Chase Dr Austin, TX 78752 512-324-1000 tghudak@seton.org http://www.seton.net Provider Int 3 Complete 2016/08/25 12:00:00 2016/08/25 12:00:00 2016/08/25 09:38:16 UV 2.16.840.1.113883.3.6943 zane0 Zane Networks, LLC Alexandra Jellerette masked Luigi Leblanc 506 9th Street, NW Washington, DC 20004 202-215-1758 masked VP of Technology Zane Networks, LLC 506 9th Street, NW Washington, DC 20004 3015600500 alexandra@zanenetworks.com https://www.zanenetworks.com Vendor Int 3 Complete 2016/08/25 12:00:00 2016/08/25 12:00:00 2016/08/25 02:40:44 US 2.16.840.1.113883.3.6944 hcgv Home Care of the Grand Valley Charleen Raaum masked Charleen Raaum 1131 N. 21st St. Grand Junction, CO 81501 970-683-3283 masked Director of Clinical Services Home Care of the Grand Valley 1131 N. 21st St. Grand Junction, CO 81501 970-263-0202 info@homecareofthegrandvalley.org http://www.homecareofthegrandvalley.org Provider Int 3 Complete 2016/08/25 12:00:00 2016/08/25 12:00:00 2016/08/25 06:22:16 UV 2.16.840.1.113883.3.6945 fpadoctors Family Practice Associates Cynthia Iwanowicz masked Cynthia Iwanowicz 20 Elm Street Pittsfield, MA 01201 413-445-3131 masked Practice Manager Family Practice Assocaites 20 Elm Street Pittsfield, MA 01201 413-442-1019 ciwnaowicz@fpadoctors.com http://WWW.fpadoctors.com Provider Int 3 Complete 2016/08/26 12:00:00 2016/08/26 12:00:00 2016/08/26 11:08:13 UV 2.16.840.1.113883.3.6946 azred Arizona Red Mountain Eyecare Jeremy Olsen masked Jeremy Olsen 6136 E Brown Road Ste 102 Mesa, AZ 85205 4809856211 masked Arizona Red Mountain Eyecare 6136 E Brown Rd Ste 102 Mesa, AZ 85205 4809856211 drjolsen@gmail.com http://www.azredmountaineyecare.com Provider Int 3 Complete 2016/08/26 12:00:00 2016/08/26 12:00:00 2016/08/26 01:19:49 UV 2.16.840.1.113883.3.6947 fhsid Family Health Services Corporation Chris Wingfield masked Chris Wingfield 794 Eastland Drive Twin Falls, ID 83301 2087343312 masked CIO Family Health Services 794 Eastland Drive Twin Falls, ID 83301 2087343312 cwingfield@fhsid.org http://fhsid.org Provider Int 3 Complete 2016/08/26 12:00:00 2016/08/26 12:00:00 2016/08/26 04:14:45 US 2.16.840.1.113883.3.6948 viaquest ViaQuest Home Health and Hospice Sehul Patel masked Kathy Richard Sehul Patel 525 Metro Place North Suite 300 Dublin, Ohio 43017 6143390837 masked CIO ViaQuest 525 Metro Place North Suite 300 Dublin, Ohio 43017 8552891722 Sehul.Patel@ViaQuestInc.com http://www.viaquestinc.com Provider Int 3 Complete 2016/08/30 12:00:00 2016/08/30 12:00:00 2016/08/30 08:27:14 US 2.16.840.1.113883.3.6949 bai Banner Alzheimer's Institute Steve Drozdowski masked Steve Drozdowski 2901 N Central Avenue Phoenix, AZ 85012 602-747-4319 masked IT Software Integr Sr Consult Banner Alzheimer's Institute 901 E Willetta St. Phoenix, AZ 85006 602-839-6900 BAIinfo@bannerhealth.com http://banneralz.org Provider Int 3 Complete 2016/08/30 12:00:00 2016/08/30 12:00:00 2016/08/30 08:30:06 UV 2.16.840.1.113883.21 hl7-V2-valueSets-root HL7 Version 2.x Table-derived Value Sets Root William Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734-677-7777 masked OID Administrator HL7 Vocabulary WG 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734-677-7777 Oidregistry@HL7.org http://www.hl7.org HL7 body 2.16.840.113883 Ext 1 Complete 2.16.840.1.113883.21 2016/08/30 12:00:00 2022/04/30 12:00:00 2022/04/30 04:01:31 UV 2.16.840.1.113883.3.6950 crcgn Colglazier Demmel Medical Clinic Clifford Colglazier masked Clifford R Colglazier 945 Washington Ave P O Box 97 Grant, NE 69140 308-352-2122 masked Owner Colglazier Demmel Medical Clinic 945 Washington Ave P O Box 97 Grant, NE 69140 308-352-2122 acolglaz@gpcom.net Provider Int 3 Complete 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 06:10:12 UV 2.16.840.1.113883.3.6951 canyonlands Canyonlands Health Care Heather Bridgewater masked Heather Bridgewater P.O. Box 1625 Page, AZ 86040 928-645-9675 masked EMR Project Leader Canyonlands Healthcare P.O. Box 1625 Page, AZ 86040 928-645-9675 h.bridgewater@cchcaz.org Provider Int 3 Complete 2016/09/01 12:00:00 2016/09/06 12:00:00 2016/09/06 11:13:55 UV 2.16.840.1.113883.3.6952 ecah Elite Care at Home Sarah Andrews masked Sarah Andrews 2829 North Ave, Suite 102 Grand Junction, CO 81501 970-208-8359 masked Elite Care at Home 2829 North Ave, Suite 102 Grand Junction, CO 81501 970-208-8359 director@elitecareathome.org https://www.elitecareathome.org Provider Int 3 Complete 2016/09/01 12:00:00 2016/09/06 12:00:00 2016/09/06 11:17:06 UV 2.16.840.1.113883.3.6953 cvmg Canyon View Medical Group Matt Thibault masked Matt Thibault 325 W Center St Spanish Fork, UT 84660 8012102653 masked Director of I.T. Canyon View Medical Group 325 W Center St Spanish Fork, UT 84660 801-798-7301 administrator@canyonviewmed.com https://www.canyonviewmedical.com Provider Int 3 Complete 2016/09/06 12:00:00 2016/09/06 12:00:00 2016/09/06 11:18:32 UV 2.16.840.1.113883.3.6954 populusEHR Populus Global Solutions Blair Crabbe masked Jeff Beairsto Jeff Beairsto 5064529780 masked Director of Quality Populus Global Solutions 590 Brunswick Street Fredericton, NB E3B1H5 5064529780 info@populusgs.com http://populusglobalsolutions.com/ Vendor Int 3 Complete 2016/09/06 12:00:00 2016/09/06 12:00:00 2016/09/06 11:24:18 UV 2.16.840.1.113883.3.3991.1074 fastcare-downtown SMG FastCare - Downtown Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 5173327063 masked Interface Analyst Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 5173641000 itinterfaceanalysts@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1074 2016/09/06 12:00:00 2016/09/06 12:00:00 2016/09/06 03:32:20 UV 2.16.840.1.113883.3.6955 oc-30-ems Orange County EMS Laurent Repass masked Laurent Repass 405 W. 5th Street Suite 301A Santa Ana, CA 92701 714-834-2964 masked EMS Information Systems Chief Orange County Emergency Medical Services 405 W. 5th Street Suite 301A Santa Ana, CA 92701 714-834-3500 oc-meds@ochca.com http://healthdisasteroc.org/ems/ Govt body Int 3 Complete 2016/09/06 12:00:00 2016/09/06 12:00:00 2016/09/06 04:20:26 UV 2.16.840.1.113883.3.3991.1075 fastcare-okemos SMG FastCare - Okemos Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 5173327063 masked Interface Analyst Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 5173641000 itinterfaceanalysts@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1075 2016/09/06 12:00:00 2016/09/06 12:00:00 2016/09/06 03:38:52 UV 2.16.840.1.113883.4.878 oc-30-nbfd Newport Beach Fire Department Laurent Repass masked Kristin Thompson 100 Civic Center Drive, Bay 2B Newport Beach, CA 92660 949-644-3385 masked EMS Division Chief Newport Beach Fire Department 100 Civic Center Drive, Bay 2B Newport Beach, CA 92660 949-644-3385 kthompson@NBFD.net http://www.newportbeachca.gov/government/departments/fire-department Govt body Int 3 Complete 2016/09/06 12:00:00 2016/10/31 12:00:00 2016/10/31 03:39:58 UV 2.16.840.1.113883.3.6956 chhcok Caring Hands Healthcare Centers, Inc. Sheldon King masked Sheldon King 727 East Wyandotte Ave. McAlester, OK 74501 9184262442 masked Chief Information Officer Caring Hands Healthcare Centers, Inc. 727 East Wyandotte Ave. McAlester, OK 74501 9184262442 sking@chhcok.com http://chhcok.com Provider Int 3 Complete 2016/09/07 12:00:00 2016/09/07 12:00:00 2016/09/07 12:42:20 UV 2.16.840.1.113883.3.6957 familyhealthcenter Family Health Center OID Root Paul Vitantonio masked Raymond Tabaczka Beth King 601 John Street Kalamazoo, MI 49007 269-552-4127 masked IT Analyst Family Health Center 117 W. Paterson Street Kalamazoo, MI 49007 269-349-2641 Raymond.Tabaczka@fhckzoo.com http://www.fhckzoo.com/ Provider Int 3 Complete 2016/09/07 12:00:00 2016/09/07 12:00:00 2016/09/07 06:12:09 UV 2.16.840.1.113883.3.6958 signaldev SignalHealth - Development Jessica Gleason masked Jessica Gleason 3800 Summitview Ave, Ste 200 Yakima, WA 98902 509-249-5077 masked Data Systems SignalHealth 3800 Summitview Ave, Ste 200 Yakima, WA 98902 509-249-5090 info@signalhealthwa.com https://www.signalhealthwa.com Exchange Int 3 Complete 2016/09/07 12:00:00 2016/09/07 12:00:00 2016/09/07 06:13:11 UV 2.16.840.1.113883.3.6959 chathamcountysheriffoffice Chatham County Sheriff's Office Dan Brunell masked Chatham County Sheriff's Office Chatham County Sheriff's Office 912-652-7720 masked Fusion Consulting dan.brunell@fusionmgt.com Vendor Int 3 Complete 2016/09/07 12:00:00 2016/09/07 12:00:00 2016/09/07 06:14:39 UV 2.16.840.1.113883.3.6960 ttp-ent TTP ENT Clinic Rae Rodriguez masked Rae Ann Rodriguez 3601 4th Street RM 1BC150 MS8352 Lubbock, Texas 79430 806-743-4357 masked TTP ENT Clinic 3601 4th Street RM 1BC150 MS8352 Lubbock, Texas 79430 806-743-4357 emrhelpdesklubbock@ttuhsc.edu http://umchealthsystem.com Academic Int 3 Complete 2016/09/08 12:00:00 2016/09/08 12:00:00 2016/09/08 02:35:42 UV 2.16.840.1.113883.3.6961 devine-obgyn Devine ObGyn PA Jerry Devine masked Jerry Devine 4403 6th St Lubbock, TX 79416 8067873642 masked Clinic IT Manager Devine ObGyn 4403 6th St Lubbock, TX 79416 8067911122 devineobgyn@att.net Provider Int 3 Complete 2016/09/08 12:00:00 2016/09/08 12:00:00 2016/09/08 02:49:54 UV 2.16.840.1.113883.3.6962 achc Adams County Health Center Andria Hall masked Andria Hall 205 N Berkley St., Council, Idaho 83612 208-253-6849 masked Internal I.T. Adams County Health Center 205 N Berkley St., Council, Idaho 83612 2087411478 andriah@achcid.org http://www.achcid.org Provider Int 3 Complete 2016/09/08 12:00:00 2016/09/08 12:00:00 2016/09/08 03:02:25 US 2.16.840.1.113883.3.6963 mcfi Milwaukee Center For Independence Kellen Wanasek masked Jennifer Yaris Kellen Wanasek 2020 West Wells Street Milwaukee, WI 53233 414-290-7821 masked Applications Services Supervisor Milwaukee Center For Independence (MCFI) Milwaukee Center For Independence 2020 West Wells Street Milwaukee, WI 53233 414.937.2020 helpdesk@mcfi.net http://www.mcfi.net/MCFI.htm Provider Int 3 Complete 2016/09/12 12:00:00 2016/09/13 12:00:00 2016/09/13 06:33:03 UV 2.16.840.1.113883.3.6964 osks Osborne County Memorial Hospital Linda Murphy masked Linda Murphy 424 W New Hampshire PO Box 70 Osborne, KS 67473 785-346-2121 masked CFO Osborne County Memorial Hospital 424 W New Hampshire PO Box 70 Osborne, KS 67473 785-346-2121 lmurphy@ocmh.net https://www.ocmh.org Provider Int 3 Complete 2016/09/12 12:00:00 2016/09/13 12:00:00 2016/09/13 08:09:13 UV 2.16.840.1.113883.12.101 displayLevel DISPLAY LEVEL Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.11 chargingSystem CHARGING SYSTEM Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.12 stockLocation STOCK LOCATION Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.16 isolation ISOLATION Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.176 masterFileApplicationIdentifier Master File Application Identifier Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.192 visitIDType Visit ID Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.33 route ROUTE Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.34 siteAdministered SITE ADMINISTERED Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.36 unitsOfMeasure-ISO528-1977 UNITS OF MEASURE - ISO528,1977 Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.4000 name-addressRepresentation Name/address representation Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.47 dangerCode DANGER CODE Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.520 messageWaitingPriority Message Waiting Priority Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.553 invoiceControlCode Invoice Control Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.554 invoiceReasonCodes Invoice Reason Codes Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.555 invoiceType Invoice Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.556 benefitGroup Benefit Group Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.557 payeeType Payee Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.558 payeeRelationshipToInvoice Payee Relationship to Invoice Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.559 product-ServiceStatus Product/Service Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.560 quantityUnits Quantity Units Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.561 product-ServicesClarificationCodes Product/Services Clarification Codes Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.562 processingConsiderationCodes Processing Consideration Codes Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.564 adjustmentCategoryCode Adjustment Category Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.565 providerAdjustmentReasonCode Provider Adjustment Reason Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.566 bloodUnitType Blood Unit Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.567 weightUnits Weight Units Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.568 volumeUnits Volume Units Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.569 adjustmentAction Adjustment Action Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.57 drugCode DRUG CODE Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.570 paymentMethodCode Payment Method Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.571 invoiceProcessingResultsStatus Invoice Processing Results Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.572 taxstatus Tax status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.60 errorCode ERROR CODE Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.615 userAuthenticationCredentialTypeCode User Authentication Credential Type Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.616 addressExpirationReason Address Expiration Reason Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.617 addressUsage Address Usage Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.618 protectionCode Protection Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.625 itemStatusCodes Item Status Codes Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.634 itemImportanceCodes Item Importance Codes Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.642 reorderTheoryCodes Reorder Theory Codes Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.651 laborCalculationType Labor Calculation Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.653 dateFormat Date Format Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.657 deviceType Device Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.659 lotControl Lot Control Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.667 deviceDataState Device Data State Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.669 loadStatus Load Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.682 deviceStatus Device Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.702 cycleType Cycle Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.717 accessRestrictionValue Access Restriction Value Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.719 accessRestrictionReasonCode Access Restriction Reason Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.725 moodCodes Mood Codes Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.728 cclValue CCL Value Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.731 drgDiagnosisDeterminationStatus DRG Diagnosis Determination Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.734 grouperStatus Grouper Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.739 drgStatusPatient DRG Status Patient Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.742 drgStatusFinancialCalculation DRG Status Financial Calculation Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.749 drgGroupingStatus DRG Grouping Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.75 reportTypes REPORT TYPES Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.755 statusWeightAtBirth Status Weight At Birth Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.757 drgStatusRespirationMinutes DRG Status Respiration Minutes Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.759 statusAdmission Status Admission Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.761 drgProcedureDeterminationStatus DRG Procedure Determination Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.763 drgProcedureRelevance DRG Procedure Relevance Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.771 resourceTypeOrCategory Resource Type or Category Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.776 itemStatus Item Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.778 itemType Item Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.79 location Location Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.790 approvingRegulatoryAgency Approving Regulatory Agency Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.793 rulingAct Ruling Act Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.806 sterilizationType Sterilization Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.809 maintenanceCycle Maintenance Cycle Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.81 noticeOfAdmission NOTICE OF ADMISSION Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.811 maintenanceType Maintenance Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.818 package Package Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.834 mimeTypes MIME Types Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.836 problemSeverity Problem Severity Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.838 problemPerspective Problem Perspective Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.865 referralDocumentationCompletionStatus Referral Documentation Completion Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.868 telecommunicationExpirationReason Telecommunication Expiration Reason Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.871 supplyRiskCodes Supply Risk Codes Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.879 product-ServiceCode Product/Service Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.880 product-ServiceCodeModifier Product/Service Code Modifier Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.881 roleExecutingPhysician Role Executing Physician Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.882 medicalRoleExecutingPhysician Medical Role Executing Physician Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.894 sideOfBody Side of body Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.895 presentOnAdmission-POA-Indicator Present On Admission (POA) Indicator Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.90 procedureType PROCEDURE TYPE Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.904 securityCheckScheme Security Check Scheme Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.905 shipmentStatus Shipment Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.906 actPriority ActPriority Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.907 confidentiality Confidentiality Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.908 packageType Package Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.909 patientResultsReleaseCategorizationScheme Patient Results Release Categorization Scheme Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.910 acquisitionModality Acquisition Modality Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.912 participation Participation Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.913 monetaryDenominationCode Monetary Denomination Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.914 rootCause Root Cause Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.915 processControlCode Process Control Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.916 relevantClinicalInformation Relevant Clincial Information Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.917 bolusType Bolus Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.918 pcaType PCA Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.919 exclusiveTest Exclusive Test Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.920 preferredSpecimen-AttributeStatus Preferred Specimen/Attribute Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.921 certificationTypeCode Certification Type Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.922 certificationCategoryCode Certification Category Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.923 processInterruption Process Interruption Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.924 cumulativeDosageLimitUoM Cumulative Dosage Limit UoM Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.925 phlebotomyIssue Phlebotomy Issue Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.926 phlebotomyStatus Phlebotomy Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.927 armStick Arm Stick Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.929 weightUnits Weight Units Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.930 volumeUnits Volume Units Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.931 temperatureUnits Temperature Units Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.932 donationDurationUnits Donation Duration Units Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.933 intendedProcedureType Intended Procedure Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.934 orderWorkflowProfile Order Workflow Profile Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.935 processInterruptionReason Process Interruption Reason Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.936 observationType Observation Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.937 observationSub-Type Observation Sub-Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.938 collectionEvent-ProcessStepLimit Collection Event/Process Step Limit Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.939 communicationLocation Communication Location Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.94 reportOfEligibility REPORT OF ELIGIBILITY Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.940 limitationTypeCodes Limitation Type Codes Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.941 procedureCode Procedure Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.942 equipmentStateIndicatorTypeCode Equipment State Indicator Type Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.943 transportDestination Transport Destination Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.944 transportRoute Transport Route Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.945 auto-DilutionType Auto-Dilution Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.946 supplierType Supplier Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.947 classOfTrade Class of Trade Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.948 relationshipType Relationship Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.949 orderControlCodeReason Order Control Code Reason Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.950 orderStatusModifier Order Status Modifier Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.951 reasonForStudy Reason for Study Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.12.96 financialTransactionCode FINANCIAL TRANSACTION CODE Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 12 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.10 acknowledgmentCodes Acknowledgment Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.100 ethnicGroup Ethnic Group Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.101 addressType Address Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.102 typeOfReferencedData Type of referenced data Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.103 amountClass Amount Class Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.104 nameType Name type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.105 nameType2 Name Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.106 telecommunicationUse Telecommunication Use Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.107 telecommunicationEquipmentType Telecommunication Equipment Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.108 identifierType Identifier type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.109 organizationalNameType Organizational Name Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.11 ambulatoryStatus Ambulatory Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.110 priceType Price Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.111 segmentAction Segment Action Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.112 processingMode Processing Mode Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.113 queryResponseStatus Query Response Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.114 relationalOperator Relational Operator Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.115 relationalConjunction Relational Conjunction Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.116 alternateCharacterSets Alternate Character Sets Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.117 purgeStatus Purge status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.118 specialProgram Special Program Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.119 publicity Publicity Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.12 stockLocation STOCK LOCATION Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.120 patientStatus Patient Status Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.121 visitPriority Visit Priority Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.122 livingArrangement Living Arrangement Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.123 livingDependency Living dependency Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.124 livingDependency2 Living Dependency Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.125 transportArranged Transport Arranged Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.126 escortRequired Escort Required Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.127 manufacturersOfVaccinesHL7 Manufacturers of Vaccines HL7 Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.128 diagnosisClassification Diagnosis Classification Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.129 drgPayor DRG payor Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.13 transactionType Transaction Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.130 procedureFunctionalType Procedure Functional Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.131 studentStatus Student Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.132 insuranceCompanyContactReason Insurance Company Contact Reason Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.133 reportTiming Report Timing Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.134 reportSource Report Source Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.135 eventReportedTo Event Reported To Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.136 eventQualification Event Qualification Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.137 eventSeriousness Event Seriousness Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.138 eventExpected Event Expected Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.139 eventConsequence Event Consequence Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.14 admitSource Admit Source Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.140 patientOutcome Patient Outcome Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.141 primaryObserverQualification Primary Observer's Qualification Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.142 identityMayBeDivulged Identity May Be Divulged Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.143 statusOfEvaluation Status of evaluation Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.144 productSource Product Source Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.145 relatednessAssessment Relatedness Assessment Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.146 actionTakenInResponseToTheEvent Action Taken in Response to the Event Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.147 causalityObservations Causality Observations Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.148 indirectExposureMechanism Indirect Exposure Mechanism Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.149 kindOfQuantity Kind of Quantity Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.15 priority Priority Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.150 durationCategories Duration Categories Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.151 timeDelayPostChallenge Time Delay Post Challenge Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.152 natureOfChallenge Nature of Challenge Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.153 relationshipModifier Relationship Modifier Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.154 modality Modality Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.155 patientLocationType Patient Location Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.156 locationEquipment Location Equipment Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.157 privacyLevel Privacy Level Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.158 levelOfCare Level of Care Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.159 specialtyType Specialty Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.16 route ROUTE Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.160 daysOfTheWeek Days of the Week Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.161 override Override Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.162 chargeOnIndicator Charge On Indicator Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.163 documentType Document Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.164 documentCompletionStatus Document Completion Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.165 documentConfidentialityStatus Document Confidentiality Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.166 documentConfidentialityStatus2 Document Confidentiality Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.167 documentAvailabilityStatus Document Availability Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.168 documentStorageStatus Document Storage Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.169 appointmentReason Appointment reason codes Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.17 siteAdministered SITE ADMINISTERED Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.170 appointmentType Appointment Type Codes Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.171 fillerStatus Filler status codes Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.172 allowSubstitution Allow Substitution Codes Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.173 referralPriority Referral Priority Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.174 referralType Referral Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.175 referralDisposition Referral Disposition Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.176 referralStatus Referral Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.177 referralCategory Referral Category Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.178 providerRole Provider Role Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.179 maritalStatus Marital Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.18 orderStatus Order status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.180 mimeBase64EncodingCharacters MIME base64 encoding characters Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.181 subtypeOfReferencedData Subtype of Referenced Data Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.182 vaccinesAdministeredHL7 Vaccines administered HL7 Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.183 timeSelectionCriteriaParameterClass Time Selection Criteria Parameter Class Codes Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.184 cpRangeType CP Range Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.185 encoding Encoding Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.186 universalIdType Universal ID Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.187 personLocationType Person Location Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.188 coverageType Coverage Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.189 jobStatus Job Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.19 conditionCodes Condition code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.190 livingWillCodes Living Will Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.191 organDonorCode1 Organ Donor Code Initial Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.192 organDonorCodes Organ Donor Codes Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.193 annotations Annotations Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.194 dispenseMethod Dispense Method Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.195 completionStatus Completion Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.196 actionCodes Action Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.197 locationCharacteristic Location Characteristic ID Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.198 locationRelationship Location Relationship ID Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.199 visitIndicator Visit Indicator Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.20 whatSubjectFilter What subject filter Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.200 quantityMethod Quantity Method Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.201 marketingBasis Marketing Basis Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.202 facilityType Facility Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.203 sourceType Source type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.204 disabilityInformationRelationship Disabled Person Relationship Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.205 repeatPattern Repeat Pattern Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.206 referralReason Referral Reason Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.207 certificationStatus Certification Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.208 practitionerIdNumberType Practitioner ID Number Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.209 advancedBeneficiaryNotice Advanced Beneficiary Notice Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.21 diagnosisType Diagnosis Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.210 patientsRelationshipToInsured Patient's Relationship to Insured Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.213 cweStatuses CWE statuses Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.214 messageStructure Message Structure Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.215 primaryKeyValueType Primary Key Value Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.216 alternateCharacterSetHandlingScheme Alternate Character Set Handling Scheme Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.217 messageErrorCondition Message error condition codes Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.218 diagnosisPriority Diagnosis Priority Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.219 degreeLicenseCertificate Degree/license/certificate Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.22 checkDigitScheme Check Digit Scheme Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.220 degreeLicenseCertificate Degree/License/Certificate Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.221 assigningAuthority Assigning authority Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.222 commentType Comment Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.223 equipmentState Equipment State Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.224 local-remoteControlState Local/Remote Control State Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.225 alertLevel Alert Level Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.226 remoteControlCommand Remote Control Command Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.227 specimenRole Specimen Role Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.228 containerStatus Container Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.229 additivePreservative Additive/Preservative Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.23 eventReason Event Reason Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.230 specimenComponent Specimen Component Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.231 treatment Treatment Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.232 systemInducedContaminants System Induced Contaminants Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.233 artificialBlood Artificial Blood Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.234 specialHandling Special handling considerations Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.235 environmentalFactors Other Environmental Factors Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.236 substanceStatus Substance Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.237 substanceType Substance Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.238 commandResponse Command Response Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.239 processingType Processing Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.24 relationship Relationship Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.240 analyteRepeatStatus Analyte Repeat Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.241 segmentGroup Segment group Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.242 segmentGroup Segment Group Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.243 matchReason Match Reason Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.244 matchAlgorithms Match Algorithms Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.245 responseModality Response Modality Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.246 modifyIndicator Modify Indicator Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.247 codingSystem Coding System Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.248 sequencing Sequencing Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.249 continuationStyle Continuation Style Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.25 specimenAction Specimen Action Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.250 governmentReimbursementProgram Government Reimbursement Program Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.251 schoolType School Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.252 languageAbility Language Ability Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.253 languageProficiency Language Proficiency Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.254 organizationUnitType Participant Organization Unit Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.255 applicationChangeType Application Change Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.256 supplementalServiceInformation Supplemental service information values Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.257 drgTransferType DRG Transfer Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.258 procedureDrgType Procedure DRG Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.259 tissueType Tissue Type Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.26 employmentStatus Employment Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.260 procedurePriority Procedure Priority Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.262 severityOfIllness Severity of Illness Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.263 triageType Triage Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.264 caseCategory Case Category Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.265 gestationCategory Gestation Category Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.266 newbornType Newborn Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.267 bloodProduct Blood Product Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.268 riskManagementIncident Risk Management Incident Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.269 incidentType Incident Type Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.27 hospitalService Hospital Service Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.270 productionClass Production Class Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.271 arrivalMode Mode of Arrival Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.272 recreationalDrugType Recreational Drug Use Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.273 admissionLevelOfCare Admission Level of Care Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.274 precaution Precaution Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.275 patientCondition Patient Condition Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.276 advanceDirective Advance Directive Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.277 sensitivityToCausativeAgent Sensitivity to Causative Agent Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.278 alertDevice Alert Device Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.279 allergyClinicalStatus Allergy Clinical Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.28 specimenSourceCodes Specimen Source Codes Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.280 dataTypes HL7 Data Types Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.281 immunizationRegistryStatus Immunization Registry Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.282 locationServiceType Location Service Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.283 providerRole Provider Role Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.284 nameAssemblyOrder Name Assembly Order Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.285 identityReliability Identity Reliability Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.286 eventType Event Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.287 healthCareProviderTypeCode Health Care Provider Type Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.288 healthCareProviderClassification Health Care Provider Classification Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.289 healthCareProviderAreaOfSpecialization Health Care Provider Area of Specialization Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.29 diagnosticServiceSectionId Diagnostic Service Section ID Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.290 typeOfBill Type of bill code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.292 overallClaimDisposition Overall Claim Disposition Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.293 reimbursementAction Reimbursement Action Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.294 denialOrRejectionType Denial or Rejection Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.295 name-addressRepresentation Name/Address Representation Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.296 ambulatoryPaymentClassification Ambulatory Payment Classification Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.297 paymentAdjustmentInformation Payment Adjustment Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.298 packagingStatus Packaging Status Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.299 reimbursementType Reimbursement Type Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.30 messageType Message Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.300 tqConjunctionId TQ Conjunction ID Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.301 formularyStatus Formulary Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.302 organizationUnitType Practitioner Organization Unit Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.303 chargeTypeReason Charge Type Reason Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.304 controlledSubstanceSchedule Controlled Substance Schedule Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.305 formularyStatus Formulary Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.306 pharmacyOrderTypes Pharmacy Order Types Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.307 orderType Order Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.308 authorizationMode Authorization Mode Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.309 dispenseType Dispense Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.31 interpretationCodes Interpretation Codes Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.310 extendedPriorityCodes Extended Priority Codes Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.311 specimenType Specimen Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.312 specimenCollectionMethod Specimen Collection Method Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.313 risks Risk Codes Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.314 specimenRejectReason Specimen Reject Reason Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.315 specimenQuality Specimen Quality Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.316 specimenAppropriateness Specimen Appropriateness Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.317 specimenCondition Specimen Condition Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.318 specimenChildRole Specimen Child Role Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.319 bodySiteModifier Body Site Modifier Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.32 natureOfAbnormalTesting Nature of Abnormal Testing Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.320 consentType Consent Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.321 consentMode Consent Mode Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.322 consentStatus Consent Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.323 consentBypassReason Consent Bypass Reason Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.324 consentDisclosureLevel Consent Disclosure Level Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.325 consentNon-disclosureReason Consent Non-Disclosure Reason Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.326 non-subjectConsenterReason Non-Subject Consenter Reason Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.327 sequenceResultsFlag Sequence/Results Flag Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.328 sequenceCondition Sequence Condition Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.329 cyclicEntryExitIndicator Cyclic Entry/Exit Indicator Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.33 outlierType Outlier Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.330 serviceRequestRelationship Service Request Relationship Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.331 observationResultHandling Observation Result Handling Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.332 bloodProductProcessingRequirements Blood Product Processing Requirements Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.333 bloodProductDispenseStatus Blood Product Dispense Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.334 bpObservationStatusCodesInterpretation BP Observation Status Codes Interpretation Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.335 bloodProductTransfusion-dispositionStatus Blood Product Transfusion/Disposition Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.336 transfusionAdverseReaction Transfusion Adverse Reaction Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.337 errorSeverity Error Severity Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.338 informInstructions Inform Person Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.339 overrideType Override Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.34 observationResultStatusCodesInterpretation Observation Result Status Codes Interpretation Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.340 messageWaitingPriority Message Waiting Priority Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.341 computationType Computation Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.342 sequenceCondition Sequence condition Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.343 calendarAlignment Calendar Alignment Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.344 eventRelatedPeriod Event Related Period Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.345 precision Precision Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.346 organization-Agency-Department Organization, Agency, Department Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.347 expandedYes-NoIndicator Expanded Yes/no indicator Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.348 clergyNotificationType Clergy Notification Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.349 signatureType Signature Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.35 queryPriority Query Priority Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.350 certificateStatus Certificate Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.351 institutionRelationshipType Institution Relationship Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.352 inactiveReason Inactive Reason Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.353 containerCondition Container Condition Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.354 jurisdictionalBreadth Jurisdictional Breadth Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.355 signatorysRelationshipToSubject Signatory's Relationship to Subject Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.356 bodyParts Body Parts Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.357 invoiceControl Invoice Control Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.358 invoiceReason Invoice Reason Codes Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.359 invoiceType Invoice Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.36 re-admissionIndicator Re-Admission Indicator Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.360 benefitGroup Benefit Group Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.361 payeeType Payee Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.362 payeeRelationshipToInvoice Payee Relationship to Invoice Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.363 product-serviceStatus Product/Service Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.364 product-servicesClarification Product/Services Clarification Codes Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.365 processingConsideration Processing Consideration Codes Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.366 adjustmentCategory Adjustment Category Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.367 providerAdjustmentReason Provider Adjustment Reason Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.368 bloodUnitType Blood Unit Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.369 adjustmentAction Adjustment Action Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.37 typeOfAgreement Type of Agreement Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.370 paymentMethod Payment Method Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.371 invoiceProcessingResultsStatus Invoice Processing Results Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.372 taxStatus Tax status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.373 userAuthenticationCredentialType User Authentication Credential Type Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.374 addressExpirationReason Address Expiration Reason Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.375 addressUsage Address Usage Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.376 protection Protection Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.377 itemStatus Item Status Codes Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.378 itemImportance Item Importance Codes Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.379 reorderTheory Reorder Theory Codes Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.38 invocationEvent Invocation event Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.380 laborCalculationType Labor Calculation Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.381 dateFormat Date Format Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.382 deviceType Device Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.383 lotControl Lot Control Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.384 deviceDataState Device Data State Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.385 loadStatus Load Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.386 deviceStatus Device Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.387 cycleType Cycle Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.388 accessRestrictionValue Access Restriction Value Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.389 accessRestrictionReason Access Restriction Reason Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.39 delayedAcknowledgmentType Delayed Acknowledgement Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.391 cclValue CCL Value Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.392 drgDiagnosisDeterminationStatus DRG Diagnosis Determination Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.393 grouperStatus Grouper Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.394 drgStatusPatient DRG Status Patient Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.395 drgStatusFinancialCalculation DRG Status Financial Calculation Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.396 drgGroupingStatus DRG Grouping Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.397 drgstatusWeightAtBirth Status Weight At Birth Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.398 drgStatusRespirationMinutes DRG Status Respiration Minutes Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.399 drgstatusAdmission Status Admission Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.4 eventType Event Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.40 processingId Processing ID Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.400 drgProcedureDeterminationStatus DRG Procedure Determination Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.401 drgProcedureRelevance DRG Procedure Relevance Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.402 itemStatus Item Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.403 itemType Item Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.404 approvingRegulatoryAgency Approving Regulatory Agency Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.405 rulingAct Ruling Act Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.406 sterilizationType Sterilization Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.407 package Package Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.408 mimeTypes MIME Types Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.409 telecommunicationExpirationReason Telecommunication Expiration Reason Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.41 versionId Version ID Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.410 supplyRisk Supply Risk Codes Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.411 roleExecutingPhysician Role Executing Physician Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.412 medicalRoleExecutingPhysician Medical Role Executing Physician Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.413 sideOfBody Side of body Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.415 securityCheckScheme Security Check Scheme Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.416 shipmentStatus Shipment Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.417 actpriority ActPriority Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.418 confidentiality Confidentiality Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.419 patientResultsReleaseCategorizationScheme Patient Results Release Categorization Scheme Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.42 sourceOfComment Source of Comment Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.420 participation Participation Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.421 rootCause Root Cause Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.422 relevantClincialInformation Relevant Clincial Information Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.423 bolusType Bolus Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.424 pcaType PCA Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.425 exclusiveTest Exclusive Test Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.426 preferredSpecimen-AttributeStatus Preferred Specimen/Attribute Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.427 certificationType Certification Type Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.428 certificationCategory Certification Category Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.429 processInterruption Process Interruption Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.43 queryResponseFormat Query/response format code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.430 cumulativeDosageLimitUom Cumulative Dosage Limit UoM Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.431 phlebotomyIssue Phlebotomy Issue Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.432 phlebotomyStatus Phlebotomy Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.433 armStick Arm Stick Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.434 intendedProcedureType Intended Procedure Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.435 processInterruptionReason Process Interruption Reason Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.436 name-addressRepresentation Name/address representation Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.438 dischargeDisposition Discharge Disposition Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.439 observationType Observation Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.44 deferredResponseType Deferred response type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.440 observationSubtype Observation Sub-Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.441 collectionEvent Collection Event/Process Step Limit Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.442 communicationLocation Communication Location Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.443 limitationTypeCode Limitation Type Codes Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.444 equipmentStateIndicator Equipment State Indicator Type Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.445 auto-DilutionType Auto-Dilution Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.446 supplierType Supplier Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.447 approvalIndicator PSRO/UR approval indicator Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.448 v2CS-relationshipType Relationship Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.449 orderControlCodeReason Order Control Code Reason Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.45 queryResultsLevel Query results level Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.450 orderStatusModifier Order Status Modifier Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.451 reasonForStudy Reason for Study Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.46 reportPriority Report priority Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.47 bedStatus Bed Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.48 orderControlCodes Order Control Codes Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.49 responseFlag Response Flag Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.5 patientClass Patient Class Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.50 chargeType Charge Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.51 resultStatus Result Status (OBR) Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.52 transportationMode Transportation Mode Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.53 quantityLimitedRequest Quantity Limited Request Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.54 allergenType Allergen Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.55 allergySeverity Allergy Severity Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.56 visitUserCodes Visit User Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.57 contactRole Contact Role Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.58 contactRole2 Contact Role Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.59 procedurePractitionerIdentifierCodeType Procedure Practitioner Identifier Code Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.6 ethnicGroup ETHNIC GROUP Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.60 assignmentOfBenefits Assignment of Benefits Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.61 mailClaimParty Mail Claim Party Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.62 militaryService Military Service Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.63 militaryRank-Grade Military Rank/Grade Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.64 militaryStatus Military Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.65 eligibilitySource Eligibility Source Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.66 roomType Room Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.67 amountType Amount Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.68 policyType Policy Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.69 moneyOrPercentageIndicator Money or Percentage Indicator Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.7 religion RELIGION Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.70 dayType Day Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.71 certificationPatientType Certification Patient Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.73 accept-applicationAcknowledgmentConditions Accept/Application Acknowledgment Conditions Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.74 whichDate-timeQualifier Which Date/Time Qualifier Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.75 whichDate-timeStatusQualifier Which date/time status qualifier Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.76 date-timeSelectionQualifier Date/time selection qualifier Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.77 dietCodeSpecificationType Diet Code Specification Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.78 trayType Tray Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.79 allowSubstitution Allow Substitution Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.8 religion2 Religion Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.80 routeOfAdministration Route of Administration Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.81 bodySite Body Site Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.82 administrationDevice Administration Device Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.83 administrationMethod Administration Method Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.84 rxComponentType RX Component Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.85 substitutionStatus Substitution Status Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.86 processingPriority Processing Priority Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.87 reportingPriority Reporting Priority Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.88 derivedSpecimen Derived Specimen Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.89 coordinationOfBenefits Coordination of Benefits Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.9 admissionType Admission Type Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.90 natureOfServiceTestObservation Nature of Service/Test/Observation Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.91 masterFileIdentifierCodes Master File Identifier Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.92 confidentialityCodes Confidentiality Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.93 file-levelEvent File Level Event Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.94 responseLevel Response Level Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.95 masterfileActionCode Record Level Event Code Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.96 mfnRecord-levelErrorReturn MFN Record-level Error Return Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.97 active-inactive Active/Inactive Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.98 preferredMethodOfContact Preferred Method of Contact Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.18.99 providerBilling Provider Billing Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 18 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.1 hl7VS-sex Sex HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.10 hl7VS-admissionType Admission Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.100 hl7VS-derivedSpecimen Derived Specimen HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.101 hl7VS-coordinationOfBenefits Coordination of Benefits HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.102 hl7VS-natureOfServiceTestObservation Nature of Service/Test/Observation HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.103 hl7VS-masterFileIdentifierCode Master File Identifier Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.104 hl7VS-confidentialityCode Confidentiality Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.105 hl7VS-file-levelEventCode File Level Event Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.106 hl7VS-responseLevel Response Level HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.107 hl7VS-masterfileActionCode Master File Action Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.108 hl7VS-mfnRecode-levelErrorReturn MFN Record-level Error Return HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.109 hl7VS-active-inactive Active/Inactive HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.11 hl7VS-acknowledgmentCode Acknowledgment code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.110 hl7VS-preferredMethodOfContrct Preferred Method of Contact HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.111 hl7VS-providerBilling Provider Billing HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.112 hl7VS-ethnicGroup Ethnic Group HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.113 hl7VS-addressType Address Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.114 hl7VS-typeOfData Type of Referenced Data HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.115 hl7VS-amountClass Amount Class HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.116 hl7VS-nameType Name type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.117 hl7VS-nameType Name Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.118 hl7VS-telecommunicationUseCode Telecommunication Use Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.119 hl7VS-telecommunicationEquipmentType Telecommunication Equipment Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.12 hl7VS-ambulatoryStatus Ambulatory Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.120 hl7VS-identifierType Identifier Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.121 hl7VS-organizationalNameType Organizational Name Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.122 hl7VS-priceType Price Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.123 hl7VS-segmentActionCode Segment Action Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.124 hl7VS-processingMode Processing Mode HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.125 hl7VS-queryResponseStatus Query Response Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.126 hl7VS-relationalOperator Relational Operator HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.127 hl7VS-relationalConjunction Relational Conjunction HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.128 hl7VS-alternateCharacterSets Alternate Character Sets HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.129 hl7VS-purgeStatus Purge Status Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.13 hl7VS-stockLocation STOCK LOCATION HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.130 hl7VS-specialProgramCode Special Program Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.131 hl7VS-publicityCode Publicity Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.132 hl7VS-patientStatusCode Patient Status Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.133 hl7VS-visitPriorityCode Visit Priority Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.134 hl7VS-livingArrangement Living Arrangement HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.135 hl7VS-livingDependency Living dependency HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.136 hl7VS-livingDependency Living Dependency HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.137 hl7VS-transportArranged Transport Arranged HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.138 hl7VS-escortRequired Escort Required HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.139 hl7VS-manufacturersOfVaccines Manufacturers of vaccines (code=MVX) HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.14 hl7VS-transactionType Transaction Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.140 hl7VS-diagnosisClassification Diagnosis Classification HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.141 hl7VS-outlierType DRG Payor HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.142 hl7VS-procedureFunctionalType Procedure Functional Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.143 hl7VS-studentStatus Student Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.144 hl7VS-insuranceCompanyContactReason Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.145 hl7VS-reportTiming Report Timing HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.146 hl7VS-reportSource Report Source HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.147 hl7VS-eventReportedTo Event Reported To HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.148 hl7VS-eventQualification Event Qualification HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.149 hl7VS-eventSeriousness Event Seriousness HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.15 hl7VS-admitSource Admit Source HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.150 hl7VS-eventExpected Event Expected HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.151 hl7VS-eventConsequence Event Consequence HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.152 hl7VS-patientOutcome Patient Outcome HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.153 hl7VS-primaryObserver'sQualification Primary Observer's Qualification HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.154 hl7VS-identityMayBeDivulged Identity May Be Divulged HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.155 hl7VS-startOfEvaluation Status of Evaluation HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.156 hl7VS-productSource Product Source HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.157 hl7VS-relatednessAssessment Relatedness Assessment HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.158 hl7VS-actionTakenInResponseToTheEvent Action Taken in Response to the Event HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.159 hl7VS-causalityObservations Causality Observations HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.16 hl7VS-priority Priority HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.160 hl7VS-indirectExposureMechanism Indirect Exposure Mechanism HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.161 hl7VS-kindOfQuantity Kind of Quantity HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.162 hl7VS-durationCategories Duration Categories HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.163 hl7VS-timeDelayPostChallenge Time Delay Post Challenge HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.164 hl7VS-natureOfChallenge Nature of Challenge HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.165 hl7VS-relationshipModifier Relationship Modifier HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.166 hl7VS-modality Modality HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.167 hl7VS-patientLocationType Patient Location Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.168 hl7VS-locationEquipment Location Equipment HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.169 hl7VS-privacyLevel Privacy Level HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.17 hl7VS-route ROUTE HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.170 hl7VS-levelOfCare Level of Care HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.171 hl7VS-specialtyType Specialty Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.172 hl7VS-daysOfTheWeek Days of the Week HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.173 hl7VS-override Override HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.174 hl7VS-chargeOnIndicator Charge On Indicator HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.175 hl7VS-reportTypeCode Document Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.176 hl7VS-documentCompletionStatus Document Completion Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.177 hl7VS-documentConfidentialityStatus Document Confidentiality Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.178 hl7VS-documentConfidentialityStatus Document Confidentiality Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.179 hl7VS-documentAvailabilityStatus Document Availability Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.18 hl7VS-siteAdministered SITE ADMINISTERED HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.180 hl7VS-documentStorageStatus Document Storage Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.181 hl7VS-appointmentReasonCodes Appointment reason codes HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.182 hl7VS-appointmentTypeCodes Appointment Type Codes HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.183 hl7VS-fillerStatusCodes Filler status codes HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.184 hl7VS-allowSubstitutionCodes Allow Substitution Codes HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.185 hl7VS-referralPriority Referral Priority HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.186 hl7VS-referralType Referral Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.187 hl7VS-referralDisposition Referral Disposition HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.188 hl7VS-referralStatus Referral Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.189 hl7VS-referralCategory Referral Category HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.190 hl7VS-providerRole Provider Role HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.191 hl7VS-actionCode Problem/Goal Action Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.192 hl7VS-mimeBase64EncodingCharacters MIME base64 encoding characters HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.193 hl7VS-subtypeOfReferencedData Subtype of Referenced Data HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.194 hl7VS-vaccinesAdministered Vaccines administered HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.195 hl7VS-timeSelectionCriteriaParameterClassCodes Time Selection Criteria Parameter Class Codes HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.196 hl7VS-rangeType CP Range Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.197 hl7VS-encoding Encoding HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.198 hl7VS-universalIdType Universal ID Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.199 hl7VS-personLocationType Person Location Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.2 hl7VS-administrativeSex Administrative Sex HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.20 hl7VS-unitsOfMeasure UNITS OF MEASURE - ISO528,1977 HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.200 hl7VS-coverageType Coverage Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.201 hl7VS-jobStatus Job Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.202 hl7VS-livingWill Living Will Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.203 hl7VS-organDonor Organ Donor HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.204 hl7VS-organDonor Organ Donor Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.205 hl7VS-annotations Annotations HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.206 hl7VS-dispenseMethod Dispense Method HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.207 hl7VS-completionStatus Completion Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.208 hl7VS-actionCode Action Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.209 hl7VS-locationCharacteristicId Location Characteristic ID HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.21 hl7VS-orderStatus Order status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.210 hl7VS-locationRelationshipId Location Relationship ID HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.211 hl7VS-visitIndicator Visit Indicator HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.212 hl7VS-quantityMethod Quantity Method HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.213 hl7VS-marketingBasis Marketing Basis HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.214 hl7VS-facilityType Facility Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.215 hl7VS-networkSourceType Source Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.216 hl7VS-disabledPerson Disabled Person Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.217 hl7VS-repeatPattern Repeat Pattern HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.218 hl7VS-referralReason Referral Reason HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.219 hl7VS-certificationStatus Certification Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.22 hl7VS-conditionCode Condition code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.220 hl7VS-practitionerIdNumberType Practitioner ID Number Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.221 hl7VS-advancedBeneficiaryNoticeCode Advanced Beneficiary Notice Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.222 hl7VS-patient'sRelationshipToInsured Patient's Relationship to Insured HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.223 hl7VS-autoAccidentState Auto accident state HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.224 hl7VS-stateProvince State/Province HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.225 hl7VS-specialProgramIndicator Special program indicator HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.226 hl7VS-psro-urApprovalIndicator PSRO/UR approval indicator HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.227 hl7VS-occurrenceCode Occurrence Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.228 hl7VS-occurrenceSpan Occurrence Span HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.229 hl7VS-cweStatuses CWE statuses HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.23 hl7VS-whatSubjectFilter What subject filter HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.230 hl7VS-messageStructure Message Structure HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.231 hl7VS-primaryKeyValueType Primary Key Value Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.232 hl7VS-alternateCharacterSetHandlingScheme Alternate Character Set Handling Scheme HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.233 hl7VS-messageErrorConditionCodes Message Error Condition Codes HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.234 hl7VS-diagnosisPriority Diagnosis Priority HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.235 hl7VS-degree Degree/license/certificate HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.236 hl7VS-degreeLicenseCertificate Degree/License/Certificate HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.237 hl7VS-assigningAuthority Assigning authority HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.238 hl7VS-commentType Comment Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.239 hl7VS-equipmentState Equipment State HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.24 hl7VS-diagnosisType Diagnosis Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.240 hl7VS-local-remoteControlState Local/Remote Control State HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.241 hl7VS-alertLevel Alert Level HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.242 hl7VS-remoteControlCommand Remote Control Command HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.243 hl7VS-specimenRole Specimen Role HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.244 hl7VS-containerStatus Container Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.245 hl7VS-additivePreservative Additive/Preservative HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.246 hl7VS-specimenComponent Specimen Component HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.247 hl7VS-treatment Treatment HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.248 hl7VS-systemInducedContaminants System Induced Contaminants HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.249 hl7VS-artificialBlood Artificial Blood HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.25 hl7VS-checkDigitScheme Check Digit Scheme HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.250 hl7VS-specialHandlingConsiderations Special Handling Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.251 hl7VS-otherEnvironmentalFactors Other Environmental Factors HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.252 hl7VS-substanceStatus Substance Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.253 hl7VS-substanceType Substance Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.254 hl7VS-commandResponse Command Response HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.255 hl7VS-processingType Processing Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.256 hl7VS-analyteRepeatStatus Analyte Repeat Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.257 hl7VS-segmentGroup Segment group HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.258 hl7VS-segmentGroup Segment Group HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.259 hl7VS-matchReason Match Reason HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.26 hl7VS-eventReason Event Reason HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.260 hl7VS-matchAlgorithms Match Algorithms HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.261 hl7VS-responseModality Response Modality HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.262 hl7VS-modifyIndicator Modify Indicator HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.263 hl7VS-codingSystem Coding System HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.264 hl7VS-sequencing Sequencing HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.265 hl7VS-continuationStyleCode Continuation Style Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.266 hl7VS-countryCode Country Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.267 hl7VS-governmentReimbursementProgram Government Reimbursement Program HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.268 hl7VS-schoolType School Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.269 hl7VS-languageAbility Language Ability HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.27 hl7VS-relationship Relationship HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.270 hl7VS-languageProficiency Language Proficiency HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.271 hl7VS-organizationUnitType Participant Organization Unit Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.272 hl7VS-applicationChangeType Application Change Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.273 hl7VS-supplementalServiceInformationValues Supplemental service information values HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.274 hl7VS-drgTransferType Transfer Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.275 hl7VS-procedureDrgType Procedure DRG Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.276 hl7VS-tissueTypeCode Tissue Type Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.277 hl7VS-procedurePriority Procedure Priority HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.278 hl7VS-severityOfIllnessCode Severity of Illness Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.279 hl7VS-triageCode Triage Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.28 hl7VS-actionCode Specimen Action Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.280 hl7VS-caseCategoryCode Case Category Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.281 hl7VS-gestationCategoryCode Gestation Category Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.282 hl7VS-newbornCode Newborn Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.283 hl7VS-bloodProductCode Blood Product Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.284 hl7VS-riskManagementIncidentCode Risk Management Incident Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.285 hl7VS-incidentTypeCode Incident Type Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.286 hl7VS-productionClassCode Production Class Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.287 hl7VS-modeOfArrivalCode Mode of Arrival Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.288 hl7VS-recreationalDrugUseCode Recreational Drug Use Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.289 hl7VS-admissionLevelOfCareCode Admission Level of Care Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.29 hl7VS-employmentStatus Employment Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.290 hl7VS-precautionCode Precaution Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.291 hl7VS-patientConditionCode Patient Condition Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.292 hl7VS-advanceDirectiveCode Advance Directive Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.293 hl7VS-sensitivityToCausativeAgentCode Sensitivity to Causative Agent Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.294 hl7VS-alertDeviceCode Alert Device Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.295 hl7VS-allergyClinicalStatus Allergy Clinical Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.296 hl7VS-dataTypes Data Types HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.297 hl7VS-immunizationRegistryStatus Immunization Registry Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.298 hl7VS-locationServiceCode Location Service Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.299 hl7VS-providerRole Provider Role HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.3 hl7VS-maritalStatus Marital Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.30 hl7VS-hospitalService Hospital Service HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.300 hl7VS-nameAssemblyOrder Name Assembly Order HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.301 hl7VS-identityReliabilityCode Identity Reliability Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.302 hl7VS-eventType Event Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.303 hl7VS-healthCareProviderTypeCode Health Care Provider Type Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.304 hl7VS-healthCareProviderClassification Health Care Provider Classification HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.305 hl7VS-healthCareProviderAreaOfSpecialization Health Care Provider Area of Specialization HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.306 hl7VS-typeOfBillCode Type of bill code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.308 hl7VS-overallClaimDispositionCode Overall Claim Disposition Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.309 hl7VS-reimbursementActionCode Reimbursement Action Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.31 hl7VS-sourceOfSpecimen Specimen Source Codes HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.310 hl7VS-denialOrRejectionCode Denial or Rejection Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.311 hl7VS-name-addressRepresentation Name/Address Representation HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.312 hl7VS-ambulatoryPaymentClassificationCode Ambulatory Payment Classification Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.313 hl7VS-paymentAdjustmentCode Payment Adjustment Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.314 hl7VS-packagingStatusCode Packaging Status Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.315 hl7VS-reimbursementTypeCode Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.316 hl7VS-tqConjunctionId TQ Conjunction ID HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.317 hl7VS-formularyStatus Formulary Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.318 hl7VS-organizationUnitType-Org Practitioner Organization Unit Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.319 hl7VS-chargeTypeReason Charge Type Reason HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.32 hl7VS-diagnosticServiceSectionId Diagnostic Service Section ID HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.320 hl7VS-controlledSubstanceSchedule Controlled Substance Schedule HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.321 hl7VS-formularyStatus Formulary Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.322 hl7VS-pharmacyOrderTypes Pharmacy Order Types HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.323 hl7VS-orderType Order Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.324 hl7VS-authorizationMode Authorization Mode HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.325 hl7VS-dispenseType Dispense Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.326 hl7VS-extendedPriorityCodes Extended Priority Codes HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.327 hl7VS-specimenType Specimen Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.328 hl7VS-specimenCollectionMethod Specimen Collection Method HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.329 hl7VS-riskCodes Risk Codes HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.33 hl7VS-messageType Message Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.330 hl7VS-specimenRejectReason Specimen Reject Reason HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.331 hl7VS-specimenQuality Specimen Quality HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.332 hl7VS-specimenAppropriateness Specimen Appropriateness HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.333 hl7VS-specimenCondition Specimen Condition HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.334 hl7VS-specimenChildRole Specimen Child Role HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.335 hl7VS-bodySiteModifier Body Site Modifier HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.336 hl7VS-consentType Consent Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.337 hl7VS-consentMode Consent Mode HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.338 hl7VS-consentStatus Consent Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.339 hl7VS-consentBypassReason Consent Bypass Reason HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.34 hl7VS-interpretationCode Interpretation Codes HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.340 hl7VS-consentDisclosureLevel Consent Disclosure Level HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.341 hl7VS-consentNon-disclosureReason Consent Non-Disclosure Reason HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.342 hl7VS-non-subjectConsenterReason Non-Subject Consenter Reason HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.343 hl7VS-sequenceResultsFlag Sequence/Results Flag HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.344 hl7VS-sequenceConditionCode Sequence Condition Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.345 hl7VS-cyclicEntryExitIndicator Cyclic Entry/Exit Indicator HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.346 hl7VS-serviceRequestRelationship Service Request Relationship HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.347 hl7VS-observationResultHandling Observation Result Handling HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.348 hl7VS-bloodProductProcessingRequirements Blood Product Processing Requirements HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.349 hl7VS-bloodProductDispenseStatus Blood Product Dispense Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.350 hl7VS-bpObservationStatusCodesInterpretation BP Observation Status Codes Interpretation HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.351 hl7VS-bloodProductTransfusion-dispositionStatus Blood Product Transfusion/Disposition Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.352 hl7VS-transfusionAdverseReaction Transfusion Adverse Reaction HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.353 hl7VS-errorSeverity Error Severity HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.354 hl7VS-informPersonCode Inform Person Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.355 hl7VS-overrideType Override Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.356 hl7VS-messageWaitingPriority Message Waiting Priority HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.357 hl7VS-computationType Computation Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.358 hl7VS-sequenceCondition Sequence condition HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.359 hl7VS-calendarAlignment Calendar Alignment HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.36 hl7VS-natureOfAbnormalTesting Nature of Abnormal Testing HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.360 hl7VS-eventRelatedPeriod Event Related Period HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.361 hl7VS-precision Precision HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.362 hl7VS-organization-Agency-Department Organization, Agency, Department HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.363 hl7VS-expandedYes-NoIndicator Expanded Yes/no Indicator HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.364 hl7VS-notifyClergyCode Notify Clergy Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.365 hl7VS-signatureCode Signature Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.366 hl7VS-certificateStatus Certificate Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.367 hl7VS-institutionRelationshipType Institution Relationship Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.368 hl7VS-inactiveReasonCode Inactive Reason Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.369 hl7VS-containerCondition Container Condition HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.37 hl7VS-outlierType Outlier Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.370 hl7VS-jurisdictionalBreadth Jurisdictional Breadth HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.371 hl7VS-signatory'sRelationshipToSubject Signatory's Relationship to Subject HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.372 hl7VS-bodyParts Advanced Beneficiary Notice Override Reason HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.373 hl7VS-invoiceControlCode Invoice Control Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.374 hl7VS-invoiceReasonCodes Invoice Reason Codes HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.375 hl7VS-invoiceType Invoice Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.376 hl7VS-benefitGroup Benefit Group HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.377 hl7VS-payeeType Payee Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.378 hl7VS-payeeRelationshipToInvoice Payee Relationship to Invoice HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.379 hl7VS-product-serviceStatus Product/Service Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.38 hl7VS-observationResultStatus Observation Result Status Codes Interpretation HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.380 hl7VS-quantityUnits Quantity Units HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.381 hl7VS-product-servicesClarification Product/Services Clarification Codes HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.382 hl7VS-processingConsiderationCodes Processing Consideration Codes HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.383 hl7VS-adjustmentCategoryCode Adjustment Category Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.384 hl7VS-providerAdjustmentReasonCode Provider Adjustment Reason Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.385 hl7VS-bloodUnitType Blood Unit Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.386 hl7VS-adjustmentAction Adjustment Action HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.387 hl7VS-paymentMethodCode Payment Method Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.388 hl7VS-invoiceProcessingResultsStatus Invoice Processing Results Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.389 hl7VS-taxStatus Tax status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.39 hl7VS-queryPriority Query Priority HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.390 hl7VS-userAuthenticationCredentialTypeCode User Authentication Credential Type Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.391 hl7VS-addressExpirationReason Address Expiration Reason HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.392 hl7VS-addressUsage Address Usage HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.393 hl7VS-protectionCode Protection Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.394 hl7VS-itemStatusCodes Item Status Codes HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.395 hl7VS-itemImportanceCodes Item Importance Codes HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.396 hl7VS-reorderTheoryCodes Reorder Theory Codes HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.397 hl7VS-laborCalculationType Labor Calculation Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.398 hl7VS-dateFormat Date Format HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.399 hl7VS-deviceType Device Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.4 hl7VS-eventTypeCode Event Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.40 hl7VS-re-admissionIndicator Re-Admission Indicator HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.400 hl7VS-lotControl Lot Control HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.401 hl7VS-deviceDataState Device Data State HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.402 hl7VS-loadStatus Load Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.403 hl7VS-deviceStatus Device Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.404 hl7VS-cycleType Cycle Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.405 hl7VS-accessRestrictionValue Access Restriction Value HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.406 hl7VS-accessRestrictionReasonCode Access Restriction Reason Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.407 hl7VS-moodCodes Mood Codes HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.408 hl7VS-cclValue CCL Value HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.409 hl7VS-drgDiagnosisDeterminationStatus DRG Diagnosis Determination Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.41 hl7VS-typeOfAgreement Type of Agreement HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.410 hl7VS-grouperStatus Grouper Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.411 hl7VS-statusPatient DRG Status Patient HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.412 hl7VS-drgStatusFinancialCalculation DRG Status Financial Calculation HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.413 hl7VS-drgGroupingStatus DRG Grouping Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.414 hl7VS-statusWeightAtBirth Status Weight At Birth HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.415 hl7VS-statusRespirationMinutes DRG Status Respiration Minutes HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.416 hl7VS-statusAdmission Status Admission HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.417 hl7VS-drgProcedureDeterminationStatus DRG Procedure Determination Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.418 hl7VS-drgProcedureRelevance DRG Procedure Relevance HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.419 hl7VS-itemStatus Item Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.42 hl7VS-whenToCharge Invocation event HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.420 hl7VS-itemType Item Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.421 hl7VS-approvingRegulatoryAgency Approving Regulatory Agency HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.422 hl7VS-rulingAct Ruling Act HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.423 hl7VS-sterilizationType Sterilization Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.424 hl7VS-package Package HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.425 hl7VS-mimeTypes MIME Types HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.426 hl7VS-telecommunicationExpirationReason Telecommunication Expiration Reason HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.427 hl7VS-supplyRiskCodes Supply Risk Codes HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.428 hl7VS-roleExecutingPhysician Role Executing Physician HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.429 hl7VS-medicalRoleExecutingPhysician Medical Role Executing Physician HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.43 hl7VS-delayedAcknowledgmentType Delayed acknowledgment type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.430 hl7VS-sideOfBody Side of body HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.431 hl7VS-presentOnAdmission(poa)Indicator Present On Admission (POA) Indicator HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.432 hl7VS-securityCheckScheme Security Check Scheme HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.433 hl7VS-shipmentStatus Shipment Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.434 hl7VS-actpriority ActPriority HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.435 hl7VS-confidentiality Confidentiality HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.436 hl7VS-patientResultsReleaseCategorizationScheme Patient Results Release Categorization Scheme HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.437 hl7VS-acquisitionModality Acquisition Modality HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.438 hl7VS-participation Participation HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.439 hl7VS-rootCause Root Cause HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.44 hl7VS-processingId Processing ID HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.440 hl7VS-relevantClincialInformation Relevant Clincial Information HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.441 hl7VS-bolusType Bolus Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.442 hl7VS-pcaType PCA Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.443 hl7VS-exclusiveTest Exclusive Test HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.444 hl7VS-preferredSpecimen-AttributeStatus Preferred Specimen/Attribute Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.445 hl7VS-certificationTypeCode Certification Type Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.446 hl7VS-certificationCategoryCode Certification Category Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.447 hl7VS-processInterruption Process Interruption HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.448 hl7VS-cumulativeDosageLimitUom Cumulative Dosage Limit UoM HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.449 hl7VS-phlebotomyIssue Phlebotomy Issue HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.45 hl7VS-versionControlTable Version ID HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.450 hl7VS-phlebotomyStatus Phlebotomy Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.451 hl7VS-armStick Arm Stick HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.452 hl7VS-weightUnits Weight Units HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.453 hl7VS-volumeUnits Volume Units HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.454 hl7VS-temperatureUnits Temperature Units HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.455 hl7VS-donationDurationUnits Donation Duration Units HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.456 hl7VS-intendedProcedureType Intended Procedure Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.457 hl7VS-processInterruptionReason Process Interruption Reason HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.458 hl7VS-name-addressRepresentation Name/address representation HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.459 hl7VS-VS-dischargeDisposition Discharge Disposition HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.46 hl7VS-sourceOfComment Source of Comment HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.460 hl7VS-VS-observationType Observation Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.461 hl7VS-VS-observationSubtype Observation Sub-Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.462 hl7VS-VS-collectionEvent Collection Event/Process Step Limit HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.463 hl7VS-VS-communicationLocation Communication Location HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.464 hl7VS-VS-limitationTypeCode Limitation Type Codes HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.465 Equipment State Indicator Type Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.466 hl7VS-auto-DilutionType Auto-Dilution Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.467 hl7VS-supplierType Supplier Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.469 hl7VS-modifierEditCode Modifier Edit Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.47 hl7VS-queryFormatCode Query/response format code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.470 hl7VS-OCEEditCode OCE Edit Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.471 hl7VS-relationshipType Relationship Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.472 hl7VS-orderControlCodeReason Order Control Code Reason HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.473 hl7VS-orderStatusModifier Order Status Modifier HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.474 hl7VS-ReasonForStudy Reason for Study HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.48 hl7VS-deferredResponseType Deferred response type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.49 hl7VS-queryResultsLevel Query results level HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.5 hl7VS-patientClass Patient Class HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.50 hl7VS-reportPriority Report priority HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.51 hl7VS-bedStatus Bed Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.52 hl7VS-orderControl Order Control Codes HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.53 hl7VS-responseFlag Response Flag HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.54 hl7VS-chargeType Charge Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.55 hl7VS-resultStatus-Obr Result Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.56 hl7VS-transportationMode Transportation Mode HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.57 hl7VS-valueType Value Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.6 hl7VS-ethnicGroup ETHNIC GROUP HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.64 hl7VS-quantityLimitedRequest Quantity Limited Request HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.65 hl7VS-allergyType Allergen Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.66 hl7VS-allergySeverity Allergy Severity HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.67 hl7VS-visitUserCode Visit User Code HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.68 hl7VS-contactRole Contact Role HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.69 hl7VS-contactRole2 Contact Role HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.70 hl7VS-procedurePractitionerType Procedure Practitioner Identifier Code Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.71 hl7VS-assignmentOfBenefits Assignment of Benefits HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.72 hl7VS-yes-no-Indicator Yes/no Indicator HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.73 hl7VS-mailClaimParty Mail Claim Party HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.74 hl7VS-militaryService Military Service HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.75 hl7VS-militaryRank-Grade Military Rank/Grade HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.76 hl7VS-militaryStatus Military Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.77 hl7VS-eligibilitySource Eligibility Source HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.78 hl7VS-roomType Room Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.79 hl7VS-amountType Amount Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.8 hl7VS-religion RELIGION HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.80 hl7VS-policyType Policy Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.81 hl7VS-penaltyType Money or Percentage Indicator HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.82 hl7VS-dayType Day Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.83 hl7VS-precertificationPatientType Certification Patient Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.85 hl7VS-accept-applicationAcknowledgmentConditions Accept/Application Acknowledgment Conditions HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.86 hl7VS-whichDate-timeQualifier Which date/time qualifier HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.87 hl7VS-whichDate-timeStatusQualifier Which date/time status qualifier HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.88 hl7VS-date-timeSelectionQualifier Date/time selection qualifier HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.89 hl7VS-dietType Diet Code Specification Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.9 hl7VS-religion2 Religion HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.90 hl7VS-trayType Tray Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.91 hl7VS-allowSubstitution Allow Substitution HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.92 hl7VS-routeOfAdministration Route of Administration HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.93 hl7VS-administriveSite Body Site HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.94 hl7VS-administrationDevice Administration Device HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.95 hl7VS-administrationMethod Administration Method HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.96 hl7VS-rxComponentType RX Component Type HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.97 hl7VS-substitutionStatus Substitution Status HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.98 hl7VS-processingPriority Processing Priority HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.21.99 hl7VS-reportingPriority Reporting Priority HL7 V2 Value Set Ted Klein masked Ted Klein 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked HL7 Vocabulary WG Cochair HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 21 Complete 2.16.840.1.113883 2016/08/31 12:00:00 2016/08/31 12:00:00 2016/08/31 12:00:00 UV 2.16.840.1.113883.3.6965 shsc-oid Sunnybrook Health Science Centre OID AFTAB AHMAD masked Sunnybrook Health Science Centre Aftab Ahmad 2075 Bayview Ave, North York, Ontario, Canada, M4N 3M5 416 480 6100 ext. 1647 masked System Admin/Specialist Sunnybrook Health Science Centre 2075 Bayview Ave, North York, Ontario, Canada, M4N 3M5 416 480 6100 aftab.ahmad@sunnybrook.ca http://www.sunnybrook.ca/ Academic Int 3 Complete 2016/09/14 12:00:00 2016/09/14 12:00:00 2016/09/14 03:00:46 CA 2.16.840.1.113883.3.6966 westchester Westchester General Hospital Carlos Siu masked Carlos Siu 3053314237 masked Westchester General Hospital 2500 SW 75th Ave. Miami, FL 33155 3052645252 csiu@westchesterhospital.com http://westchesterhospital.com Provider Int 3 Complete 2016/09/14 12:00:00 2016/09/14 12:00:00 2016/09/14 03:05:21 UV 2.16.840.1.113883.3.6967 drsstt Drs. Schissler, Turkewitz & Trifoglio Peter Schissler masked Peter M Schissler (301) 345-5857 masked Partner Drs. Schissler, Turkewitz & Trifoglio Maryland Trade Center Bldg. # 17500 Greenway Center Drive Suite 430 Greenbelt, Maryland 20770 (301) 598-0433-345-5857 mdgmed1@gmail.com Provider Int 3 Complete 2016/09/15 12:00:00 2016/09/15 12:00:00 2016/09/15 08:43:06 UV 2.16.840.1.113883.3.6968 fcsmg Family Care Specialists Medical Group Reiner Carrera masked Edward Castro Reiner Carrera 1701 E. Cesar E. Chavez Ave., Ste. 230 Los Angeles, CA 90033 3233179650 masked Family Care Specialists Medical Group 1701 E. Cesar E. Chavez Ave., Ste. 230 Los Angeles, CA 90033 3233179650 rcarrera@fcsmg.com Provider Int 3 Complete 2016/09/15 12:00:00 2016/09/15 12:00:00 2016/09/15 09:11:19 US 2.16.840.1.113883.3.6969 bergen2016 Bergen Thoracic and Vascular Associates Rita Padilla masked Rita Padilla 5A Medical Park Dr Pomona, NY 10970-3516 845-362-1081 masked Bergen Thoracic & Vascular Associates, PC 350 Engle Street - Berrie Building 6th Floor, suite 6501 Englewood, NJ 07631 201-569-1101 rpadilla@rtvamail.com http://rocklandthoracicandvascular.com/ Provider Int 3 Complete 2016/09/16 12:00:00 2016/09/16 12:00:00 2016/09/16 01:02:10 UV 2.16.840.1.113883.4.879 cprheartplace Cardiovascular Provider Resources, LLC/Heartplace Dallas Koeppe masked Dallas Koeppe 972-391-1900 masked Cardiovascular Provider Resources, LLC/Heartplace 16980 Dallas Pky #200 Dallas, TX 75248 9723911900 dallas.koeppe@heartplace.com Provider Int 3 Complete 2016/09/16 12:00:00 2016/09/16 12:00:00 2016/09/16 01:06:06 UV 2.16.840.1.113883.3.6971 fpgwp Family Physicians of Winter Park (FPGWP) HIE Amar Bulsara masked Amar Bulsara 6416 Old Winter Garden Rd Orlando, FL 32835 407-447-7109 masked Director of IT Family Physicians of Winter Park, PA abulsara@fpg-florida.com Provider Int 3 Complete 2016/09/16 12:00:00 2016/09/16 12:00:00 2016/09/16 06:08:15 UV 2.16.840.1.113883.3.6972 scenicbluffschc Scenic Bluffs Health Centers, Inc. Barbara Mlsna masked Barbara Mlsna 238 Front Street PO Box 39 Cashton, WI 54619 608-654-5100 masked Health Information Manager Scenic Bluffs Health Centers, Inc. 238 Front Street PO Box 39 Cashton, WI 54619 608-654-5100 info@scenicbluffs.org Provider Int 3 Complete 2016/09/16 12:00:00 2016/09/16 12:00:00 2016/09/16 06:11:17 UV 2.16.840.1.113883.17.4172 southBayGastroenterology South Bay Gastroenterology Medical Group Kim Georgian masked Kim Georgian 23600 Telo Ave., Suite 260 Torrance, CA 90505 310-539-2055 masked Administrator South Bay Gastroenterology Medical Group 23600 Telo Ave., Suite 260 Torrance, CA 90505 310-539-2055 kim@southbaygastro.com Provider Int 17 Complete 2016/09/16 12:00:00 2016/09/16 12:00:00 2016/09/16 06:22:31 UV 2.16.840.1.113883.3.6973 allied-smithtown-pediatrics Allied Smithtown Pediatrics Christine Gironda masked Denise Reilly 7 Flowerfield Suites 44 & 88 Saint James, NY 11780 631-444--4030 masked Director, Patient Engaging Technologies Allied Smithtown Pediatrics 260 Middle Country Road #107 Smithtown, NY 11787 631-979-7222 Lauren.Graf1@stonybrookmedicine.edu Provider Int 3 Complete 2016/09/20 12:00:00 2016/09/20 12:00:00 2016/09/20 08:25:10 UV 2.16.840.1.113883.3.6974 ida Infectious Diseases Associates Amy Klein masked Amy Klein 1425 South Osprey Ave Ste 1 Sarasota, Florida 34239 941-366-9060 x 0 masked Office Manager Infectious Diseases Associates 1425 South Osprey Ave Ste 1 Sarasota, Florida 34239 941-366-9060 amyk@srqida.com https://www.srqida.com Provider Int 3 Complete 2016/09/21 12:00:00 2016/09/21 12:00:00 2016/09/21 12:08:10 UV 2.16.840.1.113883.3.6975 mmrlss Massena Memorial Hospital Clinics Abe Bejjani masked Massena Memorial Hospital Clinics 1 Hospital Drive Massena, NY 13662 3157694200 masked net admin Massena Memorial Hospital Clinics 1 Hospital Drive Massena, NY 13662 3152964200 abejjani@massenahospital.org http://www.massenahospital.org Provider Int 3 Complete 2016/09/21 12:00:00 2016/09/21 12:00:00 2016/09/21 03:03:56 UV 2.16.840.1.113883.3.6976 sjcpam SJC Pediatric and Adolescent Medicine Kelli Johnson masked Kelli Johnson 1923 S Utica Tulsa, OK 74104 918-748-1305 masked Data Analyst SJC Pediatric and Adolescent Medicine 1919 S. Wheeling Ave., Suite 304 Tulsa, OK 74104 918-794-7337 ahisha.peters@sjmc.org Provider Int 3 Complete 2016/09/21 12:00:00 2016/09/21 12:00:00 2016/09/21 03:05:48 UV 2.16.840.1.113883.17.4173 inno Innominds Shyamsundhar Kambam masked Shyamsundhar Reddy Kambam Innominds Software SEZ India Pvt Ltd., Survey No.115 (Part), Waverock, TSIIC IT / ITES SEZ, Nanakramguda Village, Serilingampally Mandal, Hyderabad &#8211; 500008 9177156603 masked manager Innominds Innominds Software SEZ India Pvt Ltd., Survey No.115 (Part), Waverock, TSIIC IT / ITES SEZ, Nanakramguda Village, Serilingampally Mandal, Hyderabad &#8211; 500008 +91-40-66126300 skambam@innominds.com http://www.innominds.com/ Vendor Int 17 Complete 2016/09/22 12:00:00 2016/09/22 12:00:00 2016/09/22 10:32:43 US 2.16.840.1.113883.3.6977 acpny Advantage Care Physicians Prisco Lamdagan masked Prisco Lamdagan 441 9th Avenue New York, NY 10001 646-680-1530 masked Director of Application Technology Advantage Care Physicians 441 9th Ave 6th Floor New York, NY 10001 6466801530 lamdaganp@acpny.com http://www.acpny.com Provider Int 3 Complete 2016/09/22 12:00:00 2016/09/22 12:00:00 2016/09/22 03:34:12 UV 2.16.840.1.113883.3.6978 bhsfhl7 Baptist Health South Florida Alain Morales masked Jason Stoyles Jason Stoyles 3055933458 masked Corporate Director Data Management Baptist Health South Florida 9165 SW 87th Ave. Miami, FL 33176 3055933458 jasons@baptisthealth.net http://www.baptisthealth.net Provider Int 3 Complete 2016/09/23 12:00:00 2016/09/23 12:00:00 2016/09/23 12:52:38 UV 2.16.840.1.113883.3.6979 gvh Gunnison Valley Hospital Trevor Smith masked Trevor Smith 711 North Taylor St Gunnison, CO 81230 9706417296 masked Director of Info Systems Gunnison Valley Hospital 711 North Taylor St Gunnison, CO 81230 9706411456 trevors@gvh-colorado.org https://www.gunnisonvalleyhealth.org Provider Int 3 Complete 2016/09/23 12:00:00 2016/09/23 12:00:00 2016/09/23 12:54:28 UV 2.16.840.1.113883.3.6980 hendoh Hennis Care Centre Harold Baker masked Harold Baker 330-364-8849 masked controller Hennis Care Centre 1720 Cross St Dover, Ohio 44622 330-364-8849 hbaker@henniscarecentre.com Provider Int 3 Complete 2016/09/23 12:00:00 2016/09/23 12:00:00 2016/09/23 02:22:44 UV 2.16.840.1.113883.3.6981 medpeds Medpeds Associates of Sarasota, PA John Collins masked Lisa Dement 1931 S Tuttle Ave Sarasota, FL 34239 941-955-8800 masked Practice Administrator MedPeds Associates of Sarasota, PA 1931 S Tuttle Ave Sarasota, FL 34239 941-955-8800 doctors@medpedsdocs.com http://medpedsdocs.com Provider Int 3 Complete 2016/09/26 12:00:00 2016/09/26 12:00:00 2016/09/26 03:48:27 UV 2.16.840.1.113883.3.6982 trhs Terry Reilly Health Services Sandy White masked Sandy White 211 16th Avenue North, Nampa, ID 83653 208-318-1202 masked EHR System Analyst Terry Reilly Health Services 211 16th Avenue North PO Box 9 Nampa, ID 83653 208-467-4431 office@trhs.org http://www.trhs.net Provider Int 3 Complete 2016/09/26 12:00:00 2016/09/26 12:00:00 2016/09/26 03:50:55 2.4 UV 2.16.840.1.113883.9.216 medo Medocity Entities Anil Balani masked Anil Balani 1 Upper Pond Road Bldg D, 3rd FL Parsippany, NJ 07054 9736798242 masked Chief Technology Officer Medocity, Inc. 1 Upper Pond Road Bldg D, 3rd FL Parsippany, NJ 07054 9736798242 abalani@medocity.com http://www.medocity.com Vendor Int 3 Complete 2016/09/26 12:00:00 2016/09/26 12:00:00 2016/09/26 05:56:56 UV 2.16.840.1.113883.3.6983 asmsc Advanced Skin and Mohs Surgery Center OID Root Clarence Brown masked Clarence W. Brown 431 Upton Drive Unit 4 St. Joseph, MI 49085 773-294-0107 masked Owner Advanced Skin and Mohs Surgery Center 431 Upton Drive Unit 4 St. Joseph, MI 49085 269-985-0021 cwbrownmd1@aol.com Provider Int 3 Complete 2016/09/26 12:00:00 2016/09/26 12:00:00 2016/09/26 06:33:41 UV 2.16.840.1.113883.3.6984 sunset Sunset Community Health Center Judy Heredia masked Judy Heredia 2060 W 24th Street Yuma, AZ 85364 928-819-8999 masked Sunset Community Health Center 2060 W 24th Street Yuma, AZ 85364 928-819-8999 jheredia@sunset-chc.org Provider Int 3 Complete 2016/09/26 12:00:00 2016/09/26 12:00:00 2016/09/26 06:35:28 UV 2.16.840.1.113883.3.6985 dschc DESERT SENITA COMMUNITY HEALTH CENTER Jonathan Leonard masked Jonathan Leonard 410 N MALACATE ST AJO, AZ 85321 5203875651 masked CEO DESERT SENITA COMMUNITY HEALTH CENTER 410 N MALACATE ST AJO, AZ 85321 5203875651 jleonard@desertsenita.org Govt body Int 3 Complete 2016/09/27 12:00:00 2016/09/27 12:00:00 2016/09/27 04:31:35 UV 2.16.840.1.113883.3.6986 treasurecoastpodiatry Treasure Coast Podiatry OID Root Debbie Hammond masked Debbie Hammond 2291 SE Federal Highway Stuart, FL 34994 772-286-9912 masked Practice Manager Treasure Coast Podiatry 2291 SE Federal Highway Stuart, FL 34994 772-286-9912 dhammond@treasurecoastpodiatry.com http://www.footsurgicalspecialist.com Provider Int 3 Complete 2016/09/27 12:00:00 2016/09/27 12:00:00 2016/09/27 04:41:42 UV 2.16.840.1.113883.3.6987 pollack-associates Pollack & Associates, PT, OT & SLP, PLLC Suzanne Hellmig masked John Torrens 1045 James Street Syracuse, NY 13203 3154251004 masked President Pollack & Associates, PT, OT & SLP, PLLC 1045 James Street Syracuse, NY 13203 3154251004 jtorrens@liberty-resources.org http://www.liberty-resources.org Provider Int 3 Complete 2016/09/29 12:00:00 2016/09/29 12:00:00 2016/09/29 12:49:42 UV 2.16.840.1.113883.3.6988 hFP Holistic Family Practice Candy Drew masked Marci Eiserman Marci Eiserman 255 Low St Newburyport, MA 01950 978-462-2345 masked Analyst Holistic Family Practice 65 Newburyport Turnpike Newbury, MA 01950 978-465-9770 cdrew@holisticfamilypractice.com Provider Int 3 Complete 2016/09/29 12:00:00 2016/09/29 12:00:00 2016/09/29 02:14:14 UV 2.16.840.1.113883.3.6989 mFP147 Middleton Family Medicine Marci Eiserman masked Marci Eiserman Marci Eiserman 255 Low St Newburyport, MA 978-462-2345 masked Analyst Middleton Family Practice 147 S Main St Middleton, MA 978-774-2555 sdickinson@midfamilymed.com Provider Int 3 Complete 2016/09/29 12:00:00 2016/09/29 12:00:00 2016/09/29 02:27:56 UV 2.16.840.1.113883.3.6990 lrp Laura M Reich, MD Pediatrics Laura Reich masked Laura Reich 3585 Van Teylingen Dr. Ste E Colorado Springs, CO 80917 7196389772 masked Laura M Reich, MD Pediatrics lreichpeds@gmail.com Provider Int 3 Complete 2016/09/29 12:00:00 2016/09/29 12:00:00 2016/09/29 02:34:11 UV 2.16.840.1.113883.17.4174 rsoh Renal Specialists of Houston, PA John Jorgenson masked John Jorgenson 8876 Gulf Freeway #215 Houston, TX 77017 7139479509 masked IT Director Renal Specialists of Houston, PA 8876 Gulf Freeway #215 Houston, TX 77017 7139479509 jjorgenson@renalspecialisyts.com Provider Int 17 Complete 2016/09/29 12:00:00 2016/09/29 12:00:00 2016/09/29 04:16:44 UV 2.16.840.1.113883.3.6991 arcHealthResources ARC HealthResources Galit Sacajiu masked Steven Rubinsky 25 Hemlock Drive Congers, NY 10920 845-267-2500 masked COO ARC HealthResources 25 Hemlock Drive Congers, NY 10920 845-267-0110 srubinsky@rocklandarc.org http://www.arcofrockland.org Provider Int 3 Complete 2016/09/30 12:00:00 2016/09/30 12:00:00 2016/09/30 09:42:07 UV 2.16.840.1.113883.3.6992 medxpress-registry MedXpress Registry Pamela Bobrow masked Pamela Bobrow 3720 Oceanside Road W Oceanside, NY 11572 5167662129 masked VP Operations ICS Software, Ltd. 3720 Oceanside Road W Oceanside, NY 11572 516-766-2129 sales@specialtyregistry.com http://www.specialtyregistry.com Vendor Int 3 Complete 2016/09/30 12:00:00 2016/09/30 12:00:00 2016/09/30 10:48:51 US 2.16.840.1.113883.3.6993 fivejourn Five Journeys Wendie Trubow masked Wendie Trubow 181 Wells Ave Suite 202 Newton, MA 02459 6179346400 masked President Five Journeys 181 Wells Ave Suite 202 Newton, MA 02459 6179346400 wtrubow@fivejourneys.com http://www.fivejourneys.com Provider Int 3 Complete 2016/09/30 12:00:00 2016/09/30 12:00:00 2016/09/30 12:14:12 UV 2.16.840.1.113883.17.4175 cCFHH The Collaborative for Children & Families, Inc. Jodi Saitowitz masked Lisa Peterson Lisa Michelle Peterson 590 Avenue of the Americas 12th Floor New York, NY 10001 646-459-3972 masked Operations Coordinator The Collaborative for Children & Families, Inc. 590 Avenue of the Americas 12th Floor New York, NY 10001 646-459-3971 jsaitowitz@ccfhh.org http://ccfhh.org/about/ Provider Int 17 Complete 2016/10/04 12:00:00 2016/10/04 12:00:00 2016/10/04 08:19:18 UV 2.16.840.1.113883.3.6994 perimeterortho Perimeter Orthopaedics Kathryn Keller masked Kathyn Keller 5673 Peachtree Dunwoody Rd. Suite 825 Atlanta, GA 30342 404-255-5595 masked Practice Administrator Perimeter Orthopaedics 5673 Peachtree Dunwoody Rd. Suite 825 Atlanta, GA 30342 404-255-5595 kkeller@perimeterortho.com http://www.perimeterortho.com Provider Int 3 Complete 2016/10/04 12:00:00 2016/10/04 12:00:00 2016/10/04 08:22:06 US 2.16.840.1.113883.3.6995 gladeRunHIE ACMH Physician Practices Health Information Exchange Mike London masked Mike London One Nolte Drive Kittanning, PA 16201 724-543-8421 masked Project Manager ACMH Physician Practices PO Box 977 Kittanning, PA 16201 724-543-8421 londonm@acmh.org http://www.acmh.org Provider Int 3 Complete 2016/10/05 12:00:00 2016/10/05 12:00:00 2016/10/05 12:12:39 UV 2.16.840.1.113883.3.6996 vh Visualize Health Rob Bramblett masked David Andrews Rob Bramblett 6159676687 masked CEO Visualize Health, LLC PO Box 2948 Brentwood, TN 37024 6159676687 rob.bramblett@VHealth.net http://visualizehealth.co Vendor Int 3 Complete 2016/10/05 12:00:00 2016/10/05 12:00:00 2016/10/05 04:33:35 UV 2.16.840.1.113883.3.6997 pcplow Personal Care Physicians of Greater Newburyport Sayard Naehring masked Sayard Naehring 255 Low St Suite 303 Newburyport, MA 01950 978-2550378 masked Practice Manager Personal Care Physicians of Greater Newburyport 255 Low St Suite 303 Newburyport, MA 01950 978-462-2345 meiserman@lmvpho.net Provider Int 3 Complete 2016/10/05 12:00:00 2016/10/05 12:00:00 2016/10/05 04:42:23 UV 2.16.840.1.113883.3.6998 pch55 Pender Community Hospital Bryan Neiman masked IT Department Pender Community Hospital 100 Hospital Dr Pender, NE 68047 402-385-4035 masked IT Department Pender Community Hospital Pender Community Hospital 100 Hospital Dr Pender, NE 68047 402-385-3083 it@pchne.org http://www.pchne.org Provider Int 3 Complete 2016/10/06 12:00:00 2016/10/06 12:00:00 2023/01/25 04:38:07 UV 1.3.6.1.4.1.22812.3.7415002.0 uhcnv HPN Assigning authority OID Robert Schaich masked Robert Schaich 2720 N. Tenaya Way Las Vegas, NV 89128 702-242-7606 masked SVP & CIO Health Plan of Nevada bob.schaich@uhc.com Payor Ext 3 Complete 1.3.6.1.4.1.22812.3.7415002.0 2016/10/06 12:00:00 2016/10/06 12:00:00 2016/10/06 09:23:56 UV 1.3.6.1.4.1.22812.3.7415002.0.1 uhcnv-provider Provider assigning authority OID for HPN Robert Schaich masked Robert Schaich 2720 N. Tenaya Way Las Vegas, NV 89128 702-242-7606 masked SVP & CIO Health Plan of Nevada bob.schaich@uhc.com Payor 1.3.6.1.4.1.22812.3.7415002.0 Ext 14 Complete 1.3.6.1.4.1.22812.3.7415002.0.1 2016/10/06 12:00:00 2016/10/06 12:00:00 2016/10/06 09:26:53 UV 1.3.6.1.4.1.22812.3.7415002.0.2 uhcnv-patient Patient assigning authority OID for HPN Robert Schaich masked Robert Schaich 2720 N. Tenaya Way Las Vegas, NV 89128 702-242-7606 masked SVP & CIO Health Plan of Nevada bob.schaich@uhc.com Payor 1.3.6.1.4.1.22812.3.7415002.0 Ext 14 Complete 1.3.6.1.4.1.22812.3.7415002.0.2 2016/10/06 12:00:00 2016/10/06 12:00:00 2016/10/06 09:30:27 UV 2.16.840.1.113883.3.6999 mcghealth MCG Health Naqi Khan masked Naqi Khan 901 Fifth Avenue, Suite 2000, Seattle, WA 98164 USA 12063895362 masked Director, Medical Informatics MCG Health 901 Fifth Avenue, Suite 2000, Seattle, WA 98164 USA 18884644746 cghelp@mcg.com http://www.mcg.com/ Vendor Int 3 Complete 2016/10/06 12:00:00 2016/10/06 12:00:00 2016/10/06 08:15:38 UV 2.16.840.1.113883.3.7000 stevenjzorn Steven J Zorn OD PA Steven Zorn masked Steven J Zorn 8889 W. Colonial Drive, Ocoee, FL 34761 407-298-4631 masked OD Steven J Zorn sjzornod@gmail.com Provider Int 3 Complete 2016/10/10 12:00:00 2016/10/10 12:00:00 2016/10/10 07:09:26 US 2.16.840.1.113883.3.7001 lwfaac Lake Wales Foot & Ankle Care Prerna Mall masked Prerna Mall 408 S 1st Street Lake Wales, FL 33853 8636761710 masked President Lake Wales Foot & Ankle Care, Inc. 408 S 1st Street Lake Wales, FL 33853 8636761710 lakewalesfaac@gmail.com Provider Int 3 Complete 2016/10/12 12:00:00 2016/10/12 12:00:00 2016/10/12 10:26:40 UV 2.16.840.1.113883.3.7002 futurecarehealthmanagement FutureCare Health and Management Alan Siu masked Alan Siu 8028 Ritchie Highway, #210 Pasadena, MD 21122 +14107661995 masked Director of I.T. FutureCare Health and Management 8028 Ritchie Highway, #210 Pasadena, MD 21122 +14107661995 siua@futurecare.com http://www.futurecare.com Provider Int 3 Complete 2016/10/12 12:00:00 2016/10/12 12:00:00 2016/10/12 12:20:16 UV 2.16.840.1.113883.3.7003 trioshealth Trios Health Jonathan Caldwell masked Michael Cloutier 900 S Auburn Kennewick, WA 99336 5092215884 masked IT Director Trios Health 900 S Auburn Kennewick, WA 99336 5092217000 helpdesk@trioshealth.org https://www.trioshealth.org/ Vendor Int 3 Complete 2016/10/12 12:00:00 2016/10/12 12:00:00 2016/10/12 01:57:22 UV 2.16.840.1.113883.17.4176 admitplus Admit+ by LincWare Darren Mathis masked Darren Mathis 401 Main Street East Rochester, NY 14445 585-563-1670 masked CEO LincWare 401 Main Street East Rochester, NY 14445 5855631670 darren@lincware.com http://www.lincware.com Vendor Int 17 Complete 2016/10/12 12:00:00 2016/10/12 12:00:00 2016/10/12 06:12:00 US 2.16.840.1.113883.4.305.1.201 plannedParenthoodOfNorthernNewEngland Planned Parenthood of Northern New England - The organization Craig Hill masked Wendy Campbell Planned Parenthood of Northern New England 784 Hercules Dr, Suite 110 | Colchester, VT 05446 802-448-9767 masked Innovations Manager Vermont Information Technolgoy Leaders, Inc. 144 Main St Montpelier, VT 05602 (802) 861-1800 IT@VITL.net http://www.vitl.net Exchange 2.16.840.1.113883.4.305 Ext 17 Complete 2.16.840.1.113883.4.305.1.201 2016/10/12 12:00:00 2016/10/14 12:00:00 2016/10/14 08:44:02 UV 2.16.840.1.113883.3.7004 ctowncardiology Chestertown Cardiology OID Root George Panas masked Chestertown Cardiology, LLC 120 Speer Rd, Chestertown, MD 21620 410-778-1311 masked office manager Chestertown Cardiology, LLC 120 Speer Rd, Chestertown, MD 21620 410-778-1311 chestertowncardiology21620@gmail.com Provider Int 3 Complete 2016/10/13 12:00:00 2016/10/13 12:00:00 2016/10/13 07:10:13 UV 2.16.840.1.113883.4.305.2.201 plannedParenthoodOfNorthernNewEnglandMRNPool Planned Parenthood of Northern New England - The MRN Pool Craig Hill masked Wendy Campbell Planned Parenthood of Northern New England 784 Hercules Dr, Suite 110 | Colchester, VT 05446 802-448-9767 masked Innovations Manager Vermont Information Technolgoy Leaders, Inc. 1 Mill St. Suite 249 Burlington, VT 05401 (802) 861-1800 IT@VITL.net http://www.vitl.net Exchange 2.16.840.1.113883.4.305 Ext 17 Complete 2.16.840.1.113883.4.305.2.201 2016/10/14 12:00:00 2016/10/14 12:00:00 2016/10/14 03:38:38 UV 2.16.840.1.113883.3.7005 swi Immanuel Pathways-SWI Tamara Stepanek masked Tamara Stepanek 1044 North 115th Street Omaha, NE 68154 402-829-2906 masked Director of IT - Informatics Immanuel Pathways - SWI 1702 North 16th Street Council Bluffs, IA 51501 712-256-7284 tstepanek@immanuel.com http://www.immanuel.com Provider Int 3 Complete 2016/10/14 12:00:00 2016/10/14 12:00:00 2016/10/14 03:47:53 UV 2.16.840.1.113883.3.7006 ipo Immanuel Pathways-IPO Tamara Stepanek masked Tamara Stepanek 1044 North 115th Street Omaha, NE 68154 402-829-2906 masked Director of IT-Informatics Immanuel Pathways - IPO 5755 Sorensen Parkway Omaha, NE 68152 402-991-8892 tstepanek@immanuel.com http://www.immanuel.com Provider Int 3 Complete 2016/10/14 12:00:00 2016/10/14 12:00:00 2016/10/14 03:54:17 UV 2.16.840.1.113883.3.7007 envera Envera Health Steven Leighty masked Steven Leighty 4900 Cox Rd, Ste 200 Glen Allen, VA 23060 804-955-1240 x4213 masked IT Executive Envera Health 4900 Cox Rd, Ste 200 Glen Allen, VA 23060 804-955-1240 info@enverahealth.com http://enverahealth.com Exchange Int 3 Complete 2016/10/14 12:00:00 2016/10/14 12:00:00 2016/10/14 03:56:39 UV 2.16.840.1.113883.17.4177 angelashouse Angela's House Linda Carlino masked Linda Carlino PO Box 5052 Hauppauge, NY 11788 6313662165 masked Office Manager Angela's House PO Box 5052 Hauppauge, NY 11788 6313662165 lcarlino@angelashouse.org http://www.angelashouse.org Provider Int 17 Complete 2016/10/17 12:00:00 2016/10/17 12:00:00 2016/10/17 04:51:59 UV 2.16.840.1.113883.3.7008 ogh-main Opelousas General Health System Matthew Duhon masked Jesse Folds 3376784355 masked ASST, CIO Opelousas General Health System 3376784355 jessefolds@opelousasgeneral.com http://www.opelousasgeneral.com Provider Int 3 Complete 2016/10/17 12:00:00 2016/10/17 12:00:00 2020/07/09 11:59:53 UV 2.16.840.1.113883.3.7009 familiesfirst Families First in Essex County, Inc. JoAnne Caswell masked JoAnne Caswell PO Box 565 196 Water St. Elizabethtown, NY 12932 518-873-9544 masked Executive Director Families First in Essex County, Inc. PO Box 565 196 Water St. Elizabethtown, NY 12932 518-873-9544 jcaswell@familiesfirstessex.org https://www.familiesfirstessex.org Provider Int 3 Complete 2016/10/18 12:00:00 2016/10/18 12:00:00 2016/10/18 11:11:23 UV 2.16.840.1.113883.3.7010 sjcuccbville St. John Clinic Urgent Care Bartlesville Kelli Johnson masked Kelli Johnson 1923 S Utica Tulsa, OK 74104 918-748-1305 masked Data Analyst St. John Clinic Urgent Care Bartlesville 3315 SE Frank Phillips Blvd Bartlesville, OK 74006 918-338-3730 ahisha.peters@sjmc.org Provider Int 3 Complete 2016/10/18 12:00:00 2016/10/18 12:00:00 2016/10/18 11:15:26 UV 2.16.840.1.113883.3.7011 sjcoures SJC OU Residency Clinic Kelli Johnson masked Kelli Johnson 1923 S Utica Tulsa, OK 74104 918-748-1305 masked Data Analyst SJC OU Residency Clinic 3400 Frank Phillips Blvd, Ste 502 Bartlesville, OK 74006 918-338-3790 ahisha.peters@sjmc.org Provider Int 3 Complete 2016/10/18 12:00:00 2016/10/18 12:00:00 2016/10/18 11:17:49 UV 2.16.840.1.113883.3.7012 sjcpalliative SJC Palliative & Supportive Care HV Kelli Johnson masked Kelli Johnson 1923 S Utica Tulsa, OK 74104 918-743-1305 masked Data Analyst SJC Palliative & Supportive Care HV 1919 S Wheeling Ave., Ste. 504 Tulsa OK 74104 918-748-7650 ahisha.peters@sjmc.org Provider Int 3 Complete 2016/10/18 12:00:00 2016/10/18 12:00:00 2016/10/18 11:38:40 UV 2.16.840.1.113883.3.7013 sjcscgensurgind SJC SC General Surgery Independence Kelli Johnson masked Kelli Johnson 1923 S Utica Tulsa, OK 74104 918-748-1305 masked Data Analyst SJC SC General Surgery Independence 800 W. Laurel Street Independence, KS 67301 620-332-3225 ahisha.peters@sjmc.org Provider Int 3 Complete 2016/10/18 12:00:00 2016/10/18 12:00:00 2016/10/18 11:43:49 UV 2.16.840.1.113883.3.7014 sjcfammedmpc501 SJC PC Fam Med MPC 501 Kelli Johnson masked Kelli Johnson 1923 S Utica Tulsa, OK 74104 918-743-1305 masked Data Analyst SJC PC Fam Med MPC 501 3400 Frank Phillips Blvd., Suite 300 Bartlesville, OK 74006 918-331-2415 ahisha.peters@sjmc.org Provider Int 3 Complete 2016/10/18 12:00:00 2016/10/18 12:00:00 2016/10/18 11:54:39 UV 2.16.840.1.113883.3.7015 sjcneurodebell SJC SC Neurology Debell Kelli Johnson masked Kelli Johnson 1923 S Utica Ave Tulsa, OK 74104 918-743-1305 masked Data Analyst SJC SC Neurology Debell 224 SE Debell Ave Bartlesville, OK 74006 918-748-7810 ahisha.peters@sjmc.org Provider Int 3 Complete 2016/10/18 12:00:00 2016/10/18 12:00:00 2016/10/18 12:37:59 UV 2.16.840.1.113883.3.7016 c-m-1 Community Maternity Services Anne Marie Couser masked Gene Montenieri Gene Montenieri 27 No. Main Avenue Albany, NY 12203 5184828836 masked IT Consultant Community Maternity Services 27 North Main Ave Albany, NY 12203 5184828836 support@cccms.org https://www.cccms.org Provider Int 3 Complete 2016/10/18 12:00:00 2016/10/18 12:00:00 2016/10/18 05:36:03 UV 2.16.840.1.113883.3.7017 peacehealthrbmc PeaceHealth RBMC Heather Tone masked Heather Tone 3400 Main St Vancouver, WA 98663 360-729-2876 masked Systems Analyst PeaceHealth 115 SE 164th Ave Vancouver, WA 98663 3607291900 hjtone@peacehealth.org http://www.peacehealth.org Provider Int 3 Complete 2016/10/19 12:00:00 2016/10/19 12:00:00 2016/10/19 01:08:23 UV 2.16.840.1.113883.3.7018 peacehealthcgmc PeaceHealth Cottage Grove Medical Center Heather Tone masked Heather Tone 3400 Main St Vancouver, WA 98663 360-729-2876 masked Systems Analyst PeaceHealth 115 SE 164th Ave Vancouver, WA 98663 360-729-1900 htone@peacehealth.org http://www.peacehealth.org Provider Int 3 Complete 2016/10/19 12:00:00 2016/10/19 12:00:00 2016/10/19 01:11:39 UV 2.16.840.1.113883.3.7019 peacehealthphmc PeaceHealth Peace Harbor Medical Center Heather Tone masked Heather Tone 3400 Main St. Vancouver, WA 98663 360-729-2876 masked Systems Analyst PeaceHealth 115 SE 164th Ave Vancouver, WA 98663 360-729-1900 htone@peacehealth.org http://www.peacehealth.org Provider Int 3 Complete 2016/10/19 12:00:00 2016/10/19 12:00:00 2016/10/19 01:16:14 UV 2.16.840.1.113883.3.7020 peacehealthudmc PeaceHealth University District Medical Center Heather Tone masked Heather Tone 3400 Main St. Vancouver, WA 98674 360-729-2876 masked Systems Analyst PeaceHealth 115 SE 1164th Ave Vancouver, WA 98663 360-729-1900 htone@peacehealth.org http://www.peacehealth.org Provider Int 3 Complete 2016/10/19 12:00:00 2016/10/19 12:00:00 2016/10/19 03:51:14 UV 2.16.840.1.113883.3.7021 signalprod SignalHealth - Production Jessica Gleason masked Jessica Gleason 509-249-5077 masked Data Systems SignalHealth 3800 Summitview Ave, Ste 200 Yakima, WA 98902 509-249-5090 info@signalhealthwa.com https://www.signalhealthwa.com Exchange Int 3 Complete 2016/10/19 12:00:00 2016/10/19 12:00:00 2016/10/19 03:56:09 UV 2.16.840.1.113883.3.7022 hccs Hamilton Couny Community Services Robert Kleppang masked Robert Kleppang 143 White Birch Lane Indian Lake, NY 12842 518-648-5355 masked Director Hamilton County Community Services 143 White Birch Lane Indian Lake, NY 12842 518-648-0289 rkleppang.hccs@frontiernet.net Govt body Int 3 Complete 2016/10/19 12:00:00 2016/10/19 12:00:00 2016/10/19 04:46:44 UV 2.16.840.1.113883.3.2402.200.6896 physicans-computer-company-clients-allstarr Physician's Computer Company (PCC) Clients All Starr Pediatrics, LLC Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6896 2016/10/19 12:00:00 2016/10/19 12:00:00 2016/10/19 04:49:42 UV 2.16.840.1.113883.3.7023 davidwarnerdpm David H Warner DPM OID Root David Warner masked Lisa J Warner 198 S. Green Street Nazareth, PA 18064 6107307365 masked Business Administrator David H. Warner, DPM, II, LLC 198 S. Green Street Nazareth, PA 18064 (610) 759-4555 drwarner.lwarner@rcn.com http://www.drdavidwarner.com Provider Int 3 Complete 2016/10/19 12:00:00 2016/10/19 12:00:00 2016/10/19 06:50:15 UV 2.16.840.1.113883.3.7024 mdlab-08690 MEDICAL DIAGNOSTIC LABORATORIES, L.L.C Gary Volochinsky masked Gary Volochinsky 2439 Kuser Rd Hamilton, NJ 08690 609-570-1095 Ext.1409 masked ITLC Manager MEDICAL DIAGNOSTIC LABORATORIES, L.L.C 2439 Kuser Rd Hamilton, NJ 08690 609-570-1095 gvolochinsky@mdlab.com http://www.mdlab.com Vendor Int 3 Complete 2016/10/20 12:00:00 2016/10/20 12:00:00 2016/10/20 02:08:24 UV 2.16.840.1.113883.3.7025 vpg Valley Pediatric Group Steven Mumbauer masked Steven Mumbauer 108 Community Drive Waynesboro, VA 22980 540-949-0118 masked Managing Partner Valley Pediatric Group, PLC 108 Community Drive Waynesboro, VA 22980 540-949-0118 mumbauer@valleypedgroup.com Provider Int 3 Complete 2016/10/20 12:00:00 2016/10/20 12:00:00 2016/10/20 02:11:28 UV 2.16.840.1.113883.17.4178 fca Family and Children's Association Lisa Burch masked Lisa Burch 100 E. Old Country Rd Mineola, NY 11501 5167460350 masked VP & COO Family and Children's Assocation 100 E. Old Country Rd Mineola, NY 11501 5167460350 info@familyandchildrens.org https://www.familyandchildrens.org Provider Int 17 Complete 2016/10/20 12:00:00 2016/10/20 12:00:00 2016/10/20 04:09:39 UV 2.16.840.1.113883.3.7026 lisvh Long Island State Veterans Home Angela Demmer masked Angela Demmer 100 Patriots Road Stony Brook, New York 11790 631-444-8633 masked Director of Information Services Long Island State Veterans Home 100 Patriots Road Stony Brook, New York 11790 631-444-8500 lisvh_helpdesk@lisvh.org http://www.lisvh.org Provider Int 3 Complete 2016/10/20 12:00:00 2016/10/20 12:00:00 2023/08/11 12:35:07 UV 2.16.840.1.113883.3.7027 renaissanceCARDIOSURG Cardiovascular Surgery OID Root Priscilla Peralez masked Omar Almaguer San Juanita Alvarado 224 Lindberg Ave McAllen, TX 78501 956-971-0066 masked Office Manager Cardiovascular Surgery 224 Lindberg Ave McAllen, TX 78501 956-971-0066 s.alvarado@dhr-rgv.com Provider Int 3 Complete 2016/10/24 12:00:00 2016/10/24 12:00:00 2016/10/24 12:44:05 UV 2.16.840.1.113883.17.4179 afec01 AFEC Services, LLC. Regina Filannino masked Regina C. Filannino 33 Cimarron Road Putnam Valley, NY 10579 914-589-5142 masked President/Case Manager AFEC Services, LLC 33 Cimarron Road Putnam Valley, NY 10579 914-589-5142 afec01@aol.com Provider Int 17 Complete 2016/10/25 12:00:00 2016/10/25 12:00:00 2016/10/25 11:28:30 UV 2.16.840.1.113883.3.7028 tsa Transitional Services Association, Inc. John A Menzer masked John A Menzer 127 Union St Saratoga Springs, NY 12866 518-587-6193 x 326 masked Business Director Transitional Services Association, Inc. 127 Union St Saratoga Springs, NY 12866 518-587-6193 jmenzer@tsamail.org http://tsa-inc.org/ Provider Int 3 Complete 2016/10/25 12:00:00 2016/10/25 12:00:00 2016/10/25 02:35:23 UV 2.16.840.1.113883.4.880 wwamh Warren Washington Association for Mental Health, Inc. Andrea Deepe masked Andrea Deepe 3043 State Route 4 Hudson Falls, NY 12839 5187472284 masked Warren Washington Association for Mental Health, Inc. 3043 State Route 4 Hudson Falls, NY 12839 5187472284 andread@wwamh.org https://www.wwamh.org Provider Int 3 Complete 2016/10/25 12:00:00 2016/10/31 12:00:00 2016/10/31 03:45:59 WWAMH US 2.16.840.1.113883.3.7029 chn Children's Health Network Melody Palange masked Melody Palange 15 Suffern Place - Suite B Suffern, NY 10901 845-369-4058 masked Director Children's Health Network 15 Suffern Place - Suite B Suffern, NY 10901 845-369-4058 mpalange@chn4ny.com http://www.chn4ny.com Provider Int 3 Complete 2016/10/25 12:00:00 2016/10/25 12:00:00 2016/10/25 06:05:31 UV 2.16.840.1.113883.3.7030 wkh-uptodate Wolters Kluwer Health - UpToDate Howard Strasberg masked Howard Strasberg Wolters Kluwer Health - UpToDate 230 Third Ave Waltham, MA 02451 858-481-4249 masked VP Medical Informatics Wolters Kluwer Health - UpToDate Wolters Kluwer Health - UpToDate 230 Third Ave Waltham, MA 02451 781-392-2000 howard.strasberg@wolterskluwer.com http://www.uptodate.com Vendor Int 3 Complete 2016/10/25 12:00:00 2016/10/25 12:00:00 2016/10/25 08:03:19 UV 2.16.840.1.113883.9.217 rhsctn Rural Health Services Consortium, Inc. Brandi Fugate masked Brandi Fugate 4239211627 masked Database Administrator Rural Health Services Consortium, Inc. 4966 Highway 11W Rogersville, TN 37857 4232729163 itsales@rhsctn.com http://www.rhsctn.com Provider Int 3 Complete 2016/10/26 12:00:00 2016/11/30 12:00:00 2016/11/30 01:33:09 UV 2.16.840.1.113883.3.7031 aciid Advancing Care Information Reshma Patel masked Yan Heras Alexandra Mugge 7500 Security Blvd Baltimore, MD 21244 410-786-4457 masked Centers for Medicare and Medicaid Services 7500 Security Blvd Baltimore, MD 21244 410-786-4457 alexandra.mugge@cms.hhs.gov https://www.cms.gov/ Govt body Int 3 Complete 2016/10/27 12:00:00 2016/10/27 12:00:00 2016/10/27 04:23:22 UV 2.16.840.1.113883.3.7032 millenniumcc Millennium Collaborative Care PPS OID Root John Bono masked John Bono 1461 Kensington Ave. Buffalo, NY 14215 7168981954 masked Chief Reporting Officer Millennium Collaborative Care 1461 Kensington Ave. Buffalo, NY 14215 7168981954 jbono@millenniumcc.org http://millenniumcc.org Provider Int 3 Complete 2016/10/27 12:00:00 2016/10/27 12:00:00 2016/10/27 04:31:19 UV 2.16.840.1.113883.3.7033 perinatologie-nl perinatologie.nl Joost Faassen masked Joost Faassen Vrijthof 10 5688 AE Oirschot The Netherlands 0031641369879 masked Perinatologie.nl info@perinatologie.nl https://www.perinatologie.nl SDO Int 3 Complete 2016/10/27 12:00:00 2016/10/27 12:00:00 2016/10/27 05:51:49 NL 2.16.840.1.113883.3.7034 iaid Improvement Activity Reshma Patel masked Yan Heras Timothy Jackson 7500 Security Blvd. Baltimore, MD 21244 410-786-4006 masked Centers for Medicare and Medicaid Services 7500 Security Blvd. Baltimore, MD 21244 410-786-4006 Timothy.Jackson@cms.hhs.gov https://www.cms.gov/ Govt body Int 3 Complete 2016/10/28 12:00:00 2016/10/28 12:00:00 2016/10/28 12:42:52 UV 2.16.840.1.113883.3.7035 fsp Fort Sanders Perinatal Center Donna Thompson masked Donna Thompson 501 19th Street, Suite 401 Knoxville, TN 37916 865-331-2020 masked Dir of Finance Fort Sanders Perinatal Center 501 19th Street, Suite 401 Knoxville, TN 37916 865-331-2020 dward8@covhlth.com http://www.fortsandersperinatal.com Provider Int 3 Complete 2016/10/31 12:00:00 2016/10/31 12:00:00 2016/10/31 01:09:05 US 2.16.840.1.113883.3.7036 ahsinc Advanced Human Services, Inc. Anna Rikhter masked Anna Rikhter 112-15 72nd Road LL1 Forest Hills, NY 11375 718-261-3437 masked President Advanced Human Services, Inc. 112-15 72nd Road LL1 Forest Hills, NY 718-261-3437 advancedhumanservices@gmail.com http://advancedhumanservices.com Provider Int 3 Complete 2016/10/31 12:00:00 2016/10/31 12:00:00 2016/10/31 01:12:48 0396 UV 2.16.840.1.113883.3.7037 aaanm Area Agency on Aging of Northwest Michigan Ed Worthington masked Area Agency on Aging of Northwest Michigan 1609 Park Dr. Traverse City, MI 49696 2319478920 masked NPO - IT Director Area Agency on Aging of Northwest Michigan eworthington@npoinc.org Provider Int 3 Complete 2016/10/31 12:00:00 2016/10/31 12:00:00 2016/10/31 02:36:52 UV 2.16.840.1.113883.3.7038 primarypediatrics Primary Pediatrics OID Root Tracey Smithers masked Tracey Smithers 59 Cavalier Blvd Suite 330 Florence, KY 41042 8593713232 masked Primary Pediatrics tsmithers07@yahoo.com Provider Int 3 Complete 2016/10/31 12:00:00 2016/10/31 12:00:00 2016/10/31 03:55:55 UV 2.16.840.1.113883.3.7039 tosmg Torrance Orthopaedic & Sports Medicine Group Bryan Pasten masked Bryan Pasten 23456 Hawthorne Blvd #300 Torrance, CA 90505 310-265-3080 masked IT Manager Torrance Orthopaedic & Sports Medicine Group 23456 Hawthorne Blvd #300 Torrance, CA 90505 310-316-6190 bpasten@tosmg.com http://www.tosmg.com Provider Int 3 Complete 2016/11/01 12:00:00 2016/11/01 12:00:00 2016/11/01 03:42:15 UV 2.16.840.1.113883.3.7040 lmmg La Magnolia Medical Group Inc Huy Nguyen masked Huy Nguyen 14571 Magnolia Street #210 Westminster, CA 92683 7147247993 masked La Magnolia Medical Group Inc 14571 Magnolia Street #210 Westminster, CA 92683 7147247993 chaudock@gmail.com Provider Int 3 Complete 2016/11/01 12:00:00 2016/11/01 12:00:00 2016/11/01 06:23:07 US 2.16.840.1.113883.3.7041 mississippiarthritis Mississippi Arthritis Clinic OID Root Annette Hitt masked Annette Hitt Mississippi Arthritis Clinic 971 Lakeland Dr., Suite 1157 Jackson, MS 39216 601-362-6900 masked Mississippi Arthritis Clinic 971 Lakeland Drive, Suite 1157 Jackson, MS 39216 601-362-6900 annettehitt@bellsouth.net Govt body Int 3 Complete 2016/11/02 12:00:00 2016/11/02 12:00:00 2016/11/02 11:52:52 UV 2.16.840.1.113883.3.7042 nchc-CCD North Country HealthCare - Continuity of Care document Anabel Ledford masked Anabel Ledford 2920 N 4th street Flagstaff, AZ 86004 9285229763 masked EHR Department Supervisor North Country HealthCare 2920 N 4th Street Flagstaff, AZ 86004 9285229400 ehrteam@nchcaz.org http://northcountryhealthcare.org/ Provider Int 3 Complete 2016/11/03 12:00:00 2016/11/03 12:00:00 2016/11/03 11:44:41 UV 2.16.840.1.113883.3.7043 pai Pediatric Associates, Inc. David Rusk masked David A Rusk 7910 W Jefferson Blvd, Ste 201 Fort Wayne, IN 46804 260-432-8831 masked President Pediatric Associates, Inc. 7910 W Jefferson Blvd, Ste 201 Fort Wayne, IN 46804 260-432-8831 sheller@paikids.com http://www.paikids.com Provider Int 3 Complete 2016/11/04 12:00:00 2016/11/04 12:00:00 2016/11/04 08:54:51 UV 2.16.840.1.113883.3.7044 ochRegMedCenter OCH Regional Medical Center Chamath Wijewardane masked Michael Kerr OCH Regional Medical Center Post Office Box 1506 Starkville, Mississippi 39760 (662) 615-2639 masked Senior Interface Programmer OCH Regional Medical Center OCH Regional Medical Center Post Office Box 1506 Starkville, Mississippi 39760 (662) 323-4320 chamath@och.org http://www.och.org Provider Int 3 Complete 2016/11/04 12:00:00 2016/11/04 12:00:00 2016/11/04 09:09:59 UV 2.16.840.1.113883.10.20.37 ePhCP Electronic Pharmacist Care Plan (ePhCP). Rick Geimer masked Zabrina Gonzaga 919-435-0862 masked SDWG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 SDWG rick.geimer@lantanagroup.com HL7 body Ext 10 10 Complete 2.16.840.1.113883.10.20.37 2016/11/04 12:00:00 2016/11/09 12:00:00 2016/11/09 04:04:53 UV 2.16.840.1.113883.3.7045 river-abay River Hospital Ben Smith masked Ben Smith River Hospital 4 Fuller Street Alexandria Bay, NY 13607 315-713-5280 masked Information Systems Anaylst River Hospital 4 Fuller Street Alexandria Bay, NY 13607 315-482-2511 smithb@chmed.org https://www.riverhospital.org/ Provider Int 3 Complete 2016/11/07 12:00:00 2016/11/07 12:00:00 2016/11/07 01:27:17 UV 2.16.840.1.113883.3.7046 azr Azara Healthcare Patrick Crowley masked Patrick Crowley 70 Blanchard Road Suite #401 Burlington, MA 01803 (781) 365-2208 masked VP of Engineering Azara Healthcare 70 Blanchard Road Suite #401 Burlington, MA 01803 (781) 365-2208 patrick.crowley@azarahealthcare.com http://www.azarahealthcare.com/ Provider Int 3 Complete 2016/11/07 12:00:00 2016/11/07 12:00:00 2016/11/07 01:33:21 UV 2.16.840.1.113883.3.7047 erh-12428 Westchester-Ellenville Hospital Inc James Witterschein masked James Witterschein 10 Healthy Way Ellenville, NY 12408 845-647-6400 masked Network Administrator Westchester-Ellenville Hospital Inc 845-647-6400 jwitterschein@ellenvilleregional.org Exchange Int 3 Complete 2016/11/07 12:00:00 2016/11/07 12:00:00 2016/11/07 01:35:58 UV 2.16.840.1.113883.3.7048 water World Advancement of Technology for EMS and Rescue Andrea Spindler masked Andrea Spindler 619-955-6488 x312 masked World Advancement of Technology for EMS and Rescue 1748 San Diego Ave, San Diego, CA 92110 619-955-6488 sales@wateronscene.com http://wateronscene.com/ Vendor Int 3 Complete 2016/11/07 12:00:00 2016/11/07 12:00:00 2016/11/07 05:45:44 UV 2.16.840.1.113883.3.7049 water-test World Advancement of Technology for EMS and Rescue Test Andrea Spindler masked Andrea Spindler 619-955-6488 x312 masked World Advancement of Technology for EMS and Rescue 1748 San Diego Ave, San Diego, CA 92110 619-955-6488 sales@wateronscene.com http://wateronscene.com/ Vendor Int 3 Complete 2016/11/07 12:00:00 2016/11/07 12:00:00 2016/11/07 05:56:03 UV 2.16.840.1.113883.3.7050 ptrefs PTREFS Martin Stallone masked Tom Hardy Martin Stallone 22 Reach Run, Ithaca, NY 14850 215-815-3618 masked Owner PTREFS, LLC mstallone@cayugamed.org https://ptrefs.com Vendor Int 3 Complete 2016/11/07 12:00:00 2016/11/08 12:00:00 2016/11/08 12:00:28 UV 2.16.840.1.113883.3.7051 medicaSoft MedicaSoft LLC Brandt Welker masked Brandt Welker Brandt Welker 4601 N. Fairfax Drive, Suite 1200 Arlington, VA 22203 USA (202)495-1448 masked CTO MedicaSoft LLC 4601 N. Fairfax Drive, Suite 1200 Arlington, VA 22203 USA (202)495-1448 info@medicasoftllc.com http://www.medicasoft.us Vendor Int 3 Complete 2016/11/08 12:00:00 2016/11/08 12:00:00 2016/11/08 12:04:24 UV 2.16.840.1.113883.3.7052 util UTIL Healthcare Gil Eris masked Gil Eris Rua Padre Agostinho Mendicute, 175 Sala 1 Sumarezinho, S&#227;o Paulo - SP - 01257-090 Brazil +55-11-2367-3128 masked UTIL Healthcare Rua Padre Agostinho Mendicute, 175 Sala 1 Sumarezinho, S&#227;o Paulo - SP - 01257-090 Brazil +55-11-2367-3128 sac@utilhealthcare.com http://utilhealthcare.com Vendor Int 3 Complete 2016/11/08 12:00:00 2016/11/08 12:00:00 2016/11/08 12:07:08 UV 2.16.840.1.113883.3.2402.200.2598 physicans-computer-company-clients-cpa Physician's Computer Company (PCC) Clients Clinical Pediatric Associates Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.2598 2016/11/08 12:00:00 2016/11/08 12:00:00 2016/11/08 12:12:23 UV 2.16.840.1.113883.3.7053 lgt Lewisham and Greenwich NHS Trust Kelley Page masked Kelley Page University Hospital Lewisham Waterloo Block Lewisham High Street London SE13 6LH +44 208 333 8706 masked Project Manager Lewisham and Greenwich NHS Trust Lewisham High Street London SE13 6LH +44 208 333 3000 kelley.page1@nhs.net https://www.lewishamandgreenwich.nhs.uk/ Provider Int 3 Complete 2016/11/08 12:00:00 2016/11/08 12:00:00 2016/11/08 12:20:36 UV 2.16.840.1.113883.3.7054 tcm St. Joseph Hospital Marissa Preciado masked MARISSA PRECIADO 555 EAST MEMORY LANE, SANTA ANA, CA 92706 7145477581 masked ADMINISTRATOR St. Joseph Hospital 1515 E Orangewood Ave 3rd Floor Anaheim, CA 92805 714-347-7611 deep.kumar@stjoes.org Provider Int 3 Complete 2016/11/08 12:00:00 2016/11/08 12:00:00 2016/11/08 03:08:57 UV 2.16.840.1.113883.3.7055 reliant Reliant Medical Group Lawrence Garber masked Lawrence Garber 100 Front Street Worcester, MA 01608 508-852-0600 masked Medical Director for Informatics Reliant Medical Group 100 Front Street Worcester, MA 01608 508-852-0600 Lawrence.Garber@ReliantMedicalGroup.org http://www.ReliantMedicalGroup.org Provider Int 3 Complete 2016/11/09 12:00:00 2016/11/09 12:00:00 2016/11/09 04:05:29 UV 2.16.840.1.113883.3.7055.1.1 safehealth-receiving-ADT SAFEHealth service to receive inbound ADT messages Lawrence Garber masked Lawrence Garber 100 Front Street Worcester, MA 01608 508-852-0600 masked Medical Director for Informatics Reliant Medical Group 100 Front Street Worcester, MA 01608 508-852-0600 Lawrence.Garber@ReliantMedicalGroup.org http://www.ReliantMedicalGroup.org Provider 2.16.840.1.113883.3.7055 Ext 17 Complete 2.16.840.1.113883.3.7055.1.1 2016/11/09 12:00:00 2016/11/09 12:00:00 2016/11/09 09:17:21 UV 2.16.840.1.113883.3.7056 kid-care Kid Care Pediatrics Maria Fernandez masked Maria V. Fernandez 305-336-6726 masked MD Kid Care Pediatrics, P.A. 3750 W 16 Ave Ste. 102 Hialeah, FL 33012 305-821-1600 kidcarepediatrics37@gmail.com Provider Int 3 Complete 2016/11/09 12:00:00 2016/11/09 12:00:00 2016/11/09 09:19:39 UV 2.16.840.1.113883.3.7057 doccare AMB Medical Services, PC Joel Hershey masked Joel E. Hershey Doc Care 1 Kings Highway Hauppauge, NY 11788 1 631 348 4900 masked Medical Director AMB Medical Services, PC 66-55 Fresh Pond Road Ridgewood, NY 11385 1 718 497 1919 mgarcia@doccareny.com https://www.doccareny.com Provider Int 3 Complete 2016/11/09 12:00:00 2016/11/09 12:00:00 2016/11/09 09:21:34 UV 2.16.840.1.113883.9.218 lrgh Lakes Region General Hospital Amy O'Hearn masked Amy O'Hearn 80 Highland St Laconia, NH 03246 603-524-3211 masked Manager, Clinical Applications Lakes Region General Hospital 80 Highland St Laconia, NH 03246 603-524-3211 help@lrgh.org http://www.lrgh.org Provider Int 3 Complete 2016/11/10 12:00:00 2016/11/30 12:00:00 2016/11/30 01:09:42 UV 2.16.840.1.113883.9.219 frhoid Franklin Regional Hospital Amy O'Hearn masked Amy O'Hearn 80 Highland St Laconia, NH 03246 603-524-3211 masked Manager, Clinical Applications Franklin Regional Hospital 15 Aiken Avenue Franklin, NH 03235 603-934-2060 help@lrgh.org http://www.lrgh.org Provider Int 3 Complete 2016/11/10 12:00:00 2016/11/30 12:00:00 2016/11/30 01:14:33 UV 2.16.840.1.113883.10.20.38 perioAttachment Periodontal Attachment Russell Ott masked Russell Ott 202-578-7940 masked Attachments WG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 +1 (734) 677-7777 hq@hl7.org HL7 body Ext 10 Complete 2.16.840.1.113883.10.20.38 2016/11/10 12:00:00 2016/11/11 12:00:00 2016/11/11 06:21:28 US 2.16.840.1.113883.3.7058 mkgavigan Michael K Gavigan DPM Michael Gavigan masked Vicki Wilhite 4 Barlows Landing Rd Suite 17 P.O. Box 3227 Pocasset, MA 02559 508-563-7133 masked Office Manager Michael K Gavigan DPM 4 Barlows Landing Rd Suite 17 P.O. Box 3227 Pocasset, MA 02559 508-563-7133 capecodpodiatry@comcast.net Provider Int 3 Complete 2016/11/11 12:00:00 2016/11/11 12:00:00 2016/11/11 07:13:55 UV 2.16.840.1.113883.3.2402.200.6888 physicans-computer-company-clients-bee Physician's Computer Company (PCC) Clients Busy Bee Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6888 2016/11/11 12:00:00 2016/11/11 12:00:00 2016/11/11 03:43:29 UV 2.16.840.1.113883.17.4180 fhcatx FHCATX Brad Holman masked Brad Holman 1300 South Fielder road Arlington, TX 76006 8174595266 masked IT Manager Family HealthCare Associates, LP 8174595266 bholman@fhcatx.com Provider Int 17 Complete 2016/11/11 12:00:00 2016/11/11 12:00:00 2016/11/11 03:48:25 US 2.16.840.1.113883.3.7059 dcma Dallas Center Medical OID Root Ronald McHose masked Ronald McHose 515-992-3711 masked Physician DCMA/BMC 507 14th St Dallas Center Iowa 50063 515-992-3711 dcmapc@gmail.com Provider Int 3 Complete 2016/11/11 12:00:00 2016/11/11 12:00:00 2016/11/11 03:54:10 UV 2.16.840.1.113883.3.7060 caHealthcare Comarch Healthcare SA Daniel Matras masked Daniel Matras COMARCH HEALTHCARE SA ul. Jana Paw&#322;a II 39A 31-864 Krak&#243;w, ma&#322;opolskie Poland +48 660 464 304 masked Comarch Healthcare SA ul. Jana Paw&#322;a II 39A 31-864 Krak&#243;w, ma&#322;opolskie Poland +48 (12) 646 10 00 cm@imed24.pl http://www.comarch.com/healthcare/ Vendor Int 3 Complete 2016/11/14 12:00:00 2016/11/14 12:00:00 2016/11/14 11:02:54 UV 2.16.840.1.113883.3.3198.1.5 tmc-we Tanner Medical Center/Wedowee Pat Davis masked Pat Davis 705 Dixie Street Carrollton, GA 30117 770-836-9590 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 servicedesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 Complete 2.16.840.1.113883.3.3198.1.5 2016/11/14 12:00:00 2016/11/14 12:00:00 2016/11/14 11:05:37 UV 2.16.840.1.113883.3.3198.2.430 healthcareforwomenvr Tanner Healthcare for Women VR Pat Davis masked Pat Davis 705 Dixie Street Carrollton, GA 30117 770-836-9590 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 servicedesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 Complete 2.16.840.1.113883.3.3198.2.430 2016/11/14 12:00:00 2016/11/14 12:00:00 2016/11/14 11:08:17 UV 2.16.840.1.113883.3.7061 farzanehhassanimdpllc Farzaneh Hassani MD PLLC OID Root Shelia Porter masked Shelia Porter 1195 Pineview Suite 1 Morgantown, WV 26505 3042915275 masked Office Manger Farzaneh Hassani MD PLLC 1195 Pineview Drive Suite 1 Morgantown, WV 26505 3042915275 sporter55@yahoo.com Provider Int 3 Complete 2016/11/14 12:00:00 2016/11/14 12:00:00 2016/11/14 11:22:54 UV 2.16.840.1.113883.3.7062 ttd Too Tall Docs Hermes Koop masked Joan Koop 599 Ninth St. North #307 Naples, Florida 34102 239-595-2653 masked Manager Too Tall Docs 599 Ninth St N. #307 Naples, Florida 34102 239-325-4801 joan@tootalldocs.com http://hermeskoopmd.com/ Provider Int 3 Complete 2016/11/15 12:00:00 2016/11/15 12:00:00 2016/11/15 11:05:28 TooTall Docs UV 2.16.840.1.113883.3.7063 renercompeanmd Rene R Compean, MD OID Root Judy Rivera masked Judy Rivera 7210 McPherson Rd Ste #205 Laredo, Texas 78041 956-724-5600 masked office manager Rene R Compean, MD 7210 McPherson Rd Ste #205 Laredo, Texas 78041 956-724-5600 rcompean08@yahoo.com Provider Int 3 Complete 2016/11/15 12:00:00 2016/11/15 12:00:00 2016/11/15 07:23:31 UV 2.16.840.1.113883.3.7064 pathgroup-root OID Root for PathGroup Labs William Fuqua masked William Fuqua 615-695-4987 masked PathGroup Labs wfuqua@pathgroup.com Vendor Int 3 Complete 2016/11/15 12:00:00 2016/11/15 12:00:00 2016/11/15 07:35:09 UV 2.16.840.1.113883.4.881 glmhc Grand Lake Medical Health Centers Jeremy Hume masked Jeremy Hume 114 W. Delaware Nowata, Oklahoma 74048 (918) 342-9530 masked Chief Information Officer Grand Lake Medical Health Centers 114 W. Delaware Nowata, Oklahoma 74048 (918) 342-9530 info@glmhc.net https://glmhc.net Provider 2.16.840.1.113883.3.5687 Int 4 Complete 2016/11/15 12:00:00 2016/11/17 12:00:00 2016/11/17 12:06:26 UV 2.16.840.1.113883.3.7065 spoa Nassau County Office of Mental Health James Dolan,Jr masked James Dolan, Jr 60 Charles Lindbergh Boulevard Suite200 Uniondale, NY 11553 516-227-7057 masked Acting Commissioner Dept. Human Services Nassau County Office of Mental Health 60 Charles Lindbergh Boulevard Suite 200 Uniondale, NY 11553 516-227-7057 James.DolanJr@hhsnassaucountyny.us http://www.nassaucountyny.gov/1690/Mental-Health-Chemical-Dependency-Develo Govt body Int 3 Complete 2016/11/16 12:00:00 2016/11/16 12:00:00 2016/11/16 02:30:36 UV 2.16.840.1.113883.3.7066 warrentondermatology Warrenton Dermatology and Skin Therapy Center Juan-Carlos Caballero masked Danielle Pierson 28 Blackwell Park Lane suite 302 Warrenton, VA 20186 540-341-1900 x203 masked CMA Warrenton Dermatology and Skin Therapy Center 28 Blackwell Park Lane suite 302 Warrenton, VA 20186 540-341-1900 Danielle@warrentondermatology.com Provider Int 3 Complete 2016/11/16 12:00:00 2016/11/16 12:00:00 2016/11/16 07:20:28 UV 2.16.840.1.113883.3.7067 sansimeonbythesound San Simeon by the Sound Center for Nursing and Rehabilitation Amy Giangregorio masked Amy Giangregorio San Simeon by the Sound 61700 Rte 48 Greenport, NY 11944 6314772110 masked CFO San Simeon by the Sound Center for Nursing and Rehabilitaion 61700 Rte 48 Greenport, NY 11944 6314772110 agiangregorio@sansimeonbythesound.org http://www.sansimeonbythesound.com Provider Int 3 Complete 2016/11/17 12:00:00 2016/11/17 12:00:00 2016/11/17 12:01:54 UV 2.16.840.1.113883.3.7068 nani Nephrology Associates of Northern IL and IN Joseph Boccuzzi masked Joseph Boccuzzi 120 W. 22nd Street Oak Brook, IL 60523 630-974-5222 masked IT Director Nephrology Associates of Northern IL and IN 120 W. 22nd Street Oak Brook, IL 60523 630-573-5000 jboccuzzi@nephdocs.com Provider Int 3 Complete 2016/11/17 12:00:00 2016/11/17 12:00:00 2016/11/17 01:17:25 UV 2.16.840.1.113883.3.7069 claimsecure ClaimSecure Inc. Robin Lefebvre masked Robin Lefebvre 40 Elm Street, Suite 225 Sudbury, ON CANADA P3C 0A2 705-669-2614 masked Project Manager, Information Technology ClaimSecure Inc. 40 Elm Street, Suite 225 Sudbury, ON CANADA P3C 0A2 705-673-2541 robin.lefebvre@claimsecure.com Payor Int 3 Complete 2016/11/17 12:00:00 2016/11/17 12:00:00 2016/11/17 01:19:53 UV 2.16.840.1.113883.3.7070 serenitybhs Serenity Behavioral Health Systems Kellye Lewis-Cox masked Kellye Lewis-Cox 3421 Mike Padgett Highway Augusta, GA 30906 706-432-4942 masked QA Director Serenity Behavioral Health Systems 3421 Mike Padgett Highway Augusta, GA 30906 706-432-4942 klewis@serenitybhs.com Provider Int 3 Complete 2016/11/17 12:00:00 2016/11/17 12:00:00 2016/11/17 02:47:12 UV 2.16.840.1.113883.3.7071 svms Shenandoah Valley Medical System, Inc David Stuller masked David Stuller 304-263-4999 x1068 masked Director of IT Shenandoah Valley Medical System 99 Tavern Road Martinsburg, WV 25401 304-263-4999 support@svms.net http://www.svms.net Provider Int 3 Complete 2016/11/17 12:00:00 2016/11/17 12:00:00 2016/11/17 04:14:28 UV 2.16.840.1.113883.3.7072 neurospinecenter Neurology and Spine Center OID Root Thomas Morell masked Jamie E. Shafer 3501 Health Center Blvd # 2140 Bonita Springs, FL 34135 239-949-9000 masked Office Manager Neurology and Spine Center 3501 Health Center Blvd # 2140 Bonita Springs, FL 34135 239-949-9000 neurospinecenter@aol.com https://neurologyandspinecenter.com Provider Int 3 Complete 2016/11/21 12:00:00 2016/11/21 12:00:00 2016/11/21 12:17:25 UV 2.16.840.1.113883.3.7073 comprehensive-womens-care Comprehensive Women's Care Brian Saunders masked Brian Saunders 3600 Olentangy River Road Building A Columbus, OH 43214 614-583-5552 masked IT Administrator Comprehensive Women's Care, Inc. 3600 Olentangy River Road Building A Columbus, OH 43214 614-583-5552 contactus@cwc4women.com http://www.cwc4women.com Provider Int 3 Complete 2016/11/21 12:00:00 2016/11/21 12:00:00 2016/11/21 12:19:32 UV 2.16.840.1.113883.3.7074 erbchsd Pioneers Medical Center / Pioneers Hospital Curtis Cooper masked Curtis Cooper 100 Pioneers Medical Center Dr Meeker, CO 81641 970-878-9333 masked IT Director Pioneers Medical Center 100 Pioneers Medical Center Dr Meeker, CO 81641 970-878-5047 it@pioneershospital.org https://pioneersmedicalcenter.org Provider Int 3 Complete 2016/11/21 12:00:00 2016/11/21 12:00:00 2016/11/21 01:19:17 UV 2.16.840.1.113883.3.7075 mfhc Meeker Family Health Center Curtis Cooper masked Curtis Cooper 100 Pioneers Medical Center Drive Meeker, CO 81641 970-878-9333 masked IT Director Pioneers Medical Center / Meeker Family Health Center 100 Pioneers Medical Center Drive Meeker, CO 81641 970-878-4014 it@pioneershospital.org http://pioneersmedicalcenter.org Provider Int 3 Complete 2016/11/21 12:00:00 2016/11/21 12:00:00 2016/11/21 01:23:49 UV 2.16.840.1.113883.3.7076 imc-llc Internal Medicine Consultants LLC OID Root Ricardo Febry masked Ricardo Febry 3941 Houma Blvd Ste 2B Metairie, LA 70006 504-456-9199 masked Managing Member Internal Medicine Consultants LLC 3941 Houma Blvd Ste 2B Metairie, LA 70006 504-456-9199 febrymd@imc-llc.com http://imc-llc.com Provider Int 3 Complete 2016/11/22 12:00:00 2016/11/22 12:00:00 2016/11/22 10:05:16 US 2.16.840.1.113883.3.7077 renaissanceSERRAOTI Serra Orthopedic Trauma Insitutute at Renaissance OID Root Priscilla Peralez masked Elizabeth Rebolloso 315 E. Palm Dr. Edinburg, TX 78539 956-362-3579 masked Office Manager Serra Orthopedic Institute at Renaissance 315 E. Palm Dr. Edinburg, TX 78539 956-362-3579 e.rebolloso@dhr-rgv.com Provider Int 3 Complete 2016/11/22 12:00:00 2016/11/22 12:00:00 2016/11/22 10:11:23 UV 2.16.840.1.113883.3.7078 quirurgica QUIRURGICA CIRUJANOS ASOCIADOS Josep Vilalta - Marzo masked Josep Vilalta - Marzo Francesc Layret, 24 08911 Badalona Barcelona - SPAIN 34608892793 masked CEO QCA Quir&#250;rgica Barcelona S.L.P. P. Bonanova 71. Esc A 1 pis 08017 Barcelona - SPAIN 34934184715 jtorralba@quirurgica.com http://www.quirurgica.com Provider Int 3 Complete 2016/11/22 12:00:00 2016/11/22 12:00:00 2016/11/22 11:12:57 UV 2.16.840.1.113883.3.7079 pediatricgastro Miami Pediatric Gastroenterology Oscar Loret De Mola masked Ashley Lopez 7775 SW 87th Ave Suite 120 Miami, FL 33173 3052748243 masked Miami Pediatric Gastroenterology 7775 SW 87th Ave Suite 120 Miami, FL 33173 3052748243 ashley_belle@outlook.com Provider Int 3 Complete 2016/11/23 12:00:00 2016/11/23 12:00:00 2016/11/23 03:32:13 UV 2.16.840.1.113883.3.3510.300 mrhcok-clin-test MRHC Clinical EMR Test Paul Olson masked Paul Olson McAlester Regional Health Center 1 Clark Bass Blvd. McAlester, OK 74501 9184216945 masked Sr. Applications Architect McAlester Regional Health Center 1 Clark Bass Blvd. McAlester, OK 74501 9184261800 MISDept2@mrhcok.com http://www.mrhcok.com Provider 2.16.840.1.113883.3.3510 Ext 14 14 Complete 2.16.840.1.113883.3.3510.300 2016/11/23 12:00:00 2016/11/23 12:00:00 2016/11/23 09:47:40 UV 2.16.840.1.113883.3.3510.400 mrhcok-clin-prod MRHC Clinical EMR Production Paul Olson masked Paul Olson McAlester Regional Health Center 1 Clark Bass Blvd. McAlester, OK 74501 9184216945 masked Sr. Applications Architect McAlester Regional Health Center 1 Clark Bass Blvd. McAlester, OK 74501 9184261800 MISDept2@mrhcok.com http://www.mrhcok.com Provider 2.16.840.1.113883.3.3510 Ext 14 14 Complete 2.16.840.1.113883.3.3510.400 2016/11/23 12:00:00 2016/11/23 12:00:00 2016/11/23 09:48:31 UV 2.16.840.1.113883.3.7080 onerecord OneRecord Morgan Knochel masked Morgan Knochel 212-400-3280 masked OneRecord morgan@onerecord.com http://onerecord.com/ Exchange Int 3 Complete 2016/11/28 12:00:00 2016/11/28 12:00:00 2016/11/28 06:29:05 UV 2.16.840.1.113883.3.7081 sscm Skin Surgery Center of Missouri Saadia Raza masked Saadia Raza 6704 Keaton Corporate Parkway O'Fallon, MO 63368 6363009596 masked Skin Surgery Center of Missouri 6704 Keaton Corporate Parkway O'Fallon, MO 63368 636-300-9596 drraza@sscmissouri.com http://sscmissouri.com/ Provider Int 3 Complete 2016/11/28 12:00:00 2016/11/28 12:00:00 2016/11/28 06:37:02 US 2.16.840.1.113883.17.4181 VYN Vynca, Inc Ashish Kaul masked Vishnu Vyas 1875 S. Grant Street, Suite 760. San Mateo, CA 94402 (213) 321 0411 masked CTO Vynca, Inc. 1875 S. Grant Street, Suite 760. San Mateo, CA 94402 1-888-269-2864 IT@vyncacare.com https://www.vyncacare.com/ Vendor Int 17 Complete 2016/11/28 12:00:00 2016/11/28 12:00:00 2026/07/22 04:59:59 UV 2.16.840.1.113883.3.7082 canevafootclinic Caneva Foot & Ankle Clinic, LTD Adrienne Trent masked Adrienne Trent 200 N Hammes Ave, Joliet, IL 60435 815-741-0791 masked Business Manager Caneva Foot & Ankle Clinic, LTD 200 N Hammes Ave, Joliet, IL 60435 815-741-0791 drcaneva@canevafootclinic.com http://www.canevafootclinic.com/ Provider Int 3 Complete 2016/11/28 12:00:00 2016/11/28 12:00:00 2016/11/28 07:12:36 UV 2.16.840.1.113883.17.4182 secureExSolutions Secure Exchange Solutions Root Dan Kazzaz masked Boris Shur 6900 Blackwell Rd., Suite 250 Rockville, MD 20850 703-796-1000 masked CTO Secure Exchange Solutions, Inc. 6900 Blackwell Rd., Suite 250 Rockville, MD 20850 info@secureexsolutions.com http://www.secureexsolutions.com Vendor Int 17 Complete 2016/11/29 12:00:00 2016/11/29 12:00:00 2016/11/29 09:00:54 UV 2.16.840.1.113883.3.7083 ritc Rheumatology and Immunotherapy Center OID Root Sandy Sadler masked Sandy Sadler 4225 W. Oakwood Park Ct. Franklin, WI 53132 414-435-0025 masked Practice Manager Rheumatology and Immunotherapy Center 4225 W. Oakwood Park Ct. Franklin, WI 53132 414-435-0025 sandy.sadler@rheumatologitc.com Provider Int 3 Complete 2016/11/29 12:00:00 2016/11/29 12:00:00 2016/11/29 09:12:12 UV 2.16.840.1.113883.3.7084 clife CoreLife Ryan Ebersole masked Ryan 4109755447 masked CoreLife 579 Baltimore Annapolis Blvd, Severna Park, MD 21146 4109755447 info@corelifemd.com Provider Int 3 Complete 2016/11/29 12:00:00 2016/11/29 12:00:00 2016/11/29 09:14:12 UV 2.16.840.1.113883.3.7085 alphacare ALPHACARE by Magellan Health Charles Esposito masked Charles Esposito 335 Adams St. Brooklyn, NY 11201 9292587500 masked DIRECTOR OF IT AlphaCare 335 Adams St. Brooklyn, NY 11201 9292587500 CESPOSITO@MAGELLANHEALTH.COM Payor Int 3 Complete 2016/11/29 12:00:00 2016/11/29 12:00:00 2016/11/29 09:21:57 UV 2.16.840.1.113883.3.7086 aslr Affinity Skilled Living and Rehabilitation Regina Primm masked Stephanie Malone Regina Primm 305 Locust Ave Oakdale, NY 11769 631-218-5901 masked DSRIP Champion Affinity Skilled Living and Rehabilitation 305 Locust Ave Oakdale, NY 11769 631-218-5900 rprimm@affinityskilled.com https://www.chooseaffinity.com Provider Int 3 Complete 2016/11/30 12:00:00 2016/11/30 12:00:00 2016/11/30 11:15:03 UV 2.16.840.1.113883.3.7087 pulmonarywellnessfl Pulmonary Wellness FL OID Root Zenaida Tijero masked Zenaida Tijero 6705 SW 57th Ave #510 Miami, FL 33143 786-299-5419 masked Pulmonary Medicine Ass-FL 6705 SW 57TH AVE # 510 S Miami, FL 33143 786-299-5419 ztijero.pulmonarywellnessgroup@gmail.com Provider Int 3 Complete 2016/11/30 12:00:00 2016/11/30 12:00:00 2016/11/30 02:12:30 UV 2.16.840.1.113883.4.882 iuh-cicc Indiana University Health CICC Brian Adams masked Brian Adams 317-962-5478 masked Programmer Analyst II Indiana University Health IntegrationTeam@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2016/12/01 12:00:00 2016/12/01 12:00:00 2016/12/01 01:02:56 UV 2.16.840.1.113883.3.7088 abbgen Abbeville General Hospital Kelly Hair masked Kelly T. Hair 118 N Hospital Drive Abbeville, LA 70510 337-898-6204 masked Director of Information Systems/Data Analytics Abbeville General Hospital 118 N Hospital Drive Abbeville, LA 70510 337-893-5466 info@abbgen.net Provider Int 3 Complete 2016/12/01 12:00:00 2016/12/01 12:00:00 2016/12/01 12:58:26 UV 2.16.840.1.113883.4.883 iuh-ciccph Indiana University Health CICC-Physicians Brian Adams masked Brian Adams 317-962-5478 masked Programmer Analyst II Indiana University Health IntegrationTeam@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2016/12/01 12:00:00 2016/12/01 12:00:00 2016/12/01 01:04:44 UV 2.16.840.1.113883.4.884 iuh-ecr Indiana University Health ECR Brian Adams masked Brian Adams 317-962-5478 masked Programmer Analyst II Indiana University Health IntegrationTeam@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2016/12/01 12:00:00 2016/12/01 12:00:00 2016/12/01 01:10:05 UV 2.16.840.1.113883.4.885 iuh-mohc Indiana University Health MOHC Clinics Brian Adams masked Brian Adams 317-962-5478 masked Programmer Analyst II Indiana University Health IntegrationTeam@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2016/12/01 12:00:00 2016/12/01 12:00:00 2016/12/01 01:13:01 UV 2.16.840.1.113883.4.886 iuh-pa Indiana University Health Arnett Physicians Brian Adams masked Brian Adams 317-962-5478 masked Programmer Analyst II Indiana University Health IntegrationTeam@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2016/12/01 12:00:00 2016/12/01 12:00:00 2016/12/01 01:28:25 UV 2.16.840.1.113883.4.887 iuh-bp Indiana University Health Ball Memorial Physicians Brian Adams masked Brian Adams 317-962-5478 masked Programmer Analyst II Indiana University Health IntegrationTeam@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2016/12/01 12:00:00 2016/12/01 12:00:00 2016/12/01 01:32:15 UV 2.16.840.1.113883.4.888 iuh-qb Indiana Univeristy Health Ball Memorial Outpatient Surgery Brian Adams masked Brian Adams 317-962-5478 masked Programmer Analyst II Indiana University Health IntegrationTeam@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2016/12/01 12:00:00 2016/12/01 12:00:00 2016/12/01 01:34:39 UV 2.16.840.1.113883.4.889 iuh-s2 Indiana Univeristy Health Ball Memorial Sleep Center Brian Adams masked Brian Adams 317-962-5478 masked Programmer Analyst II Indiana University Health IntegrationTeam@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2016/12/01 12:00:00 2016/12/01 12:00:00 2016/12/01 01:37:12 UV 2.16.840.1.113883.4.890 iuh-sc Indiana University Health Beltway Surgery Brian Adams masked Brian Adams 317-962-5478 masked Programmer Analyst II Indiana University Health IntegrationTeam@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2016/12/01 12:00:00 2016/12/01 12:00:00 2016/12/01 01:53:47 UV 2.16.840.1.113883.4.891 iuh-be Indiana University Health East Washington Surgery Brian Adams masked Brian Adams 317-962-5478 masked Programmer Analyst II Indiana University Health IntegrationTeam@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2016/12/01 12:00:00 2016/12/01 12:00:00 2016/12/01 01:55:01 UV 2.16.840.1.113883.4.892 iuh-2m Indiana University Health Morgan Hospital Brian Adams masked Brian Adams 317-962-5478 masked Programmer Analyst II Indiana University Health IntegrationTeam@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2016/12/01 12:00:00 2016/12/01 12:00:00 2016/12/01 01:59:27 UV 2.16.840.1.113883.4.893 iuh-pc Indiana University Health Phys CTZ Brian Adams masked Brian Adams 317-962-5478 masked Programmer Analyst II Indiana University Health IntegrationTeam@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2016/12/01 12:00:00 2016/12/01 12:00:00 2016/12/01 02:52:46 UV 2.16.840.1.113883.4.894 iuh-sn Indiana University Health Southern Indiana Physicians Brian Adams masked Brian Adams 317-962-5478 masked Programmer Analyst II Indiana University Health IntegrationTeam@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2016/12/01 12:00:00 2016/12/01 12:00:00 2016/12/01 02:54:39 UV 2.16.840.1.113883.4.895 iuh-bu Indiana University Health Springmill Outpatient Brian Adams masked Brian Adams 317-962-5478 masked Programmer Analyst II Indiana University Health IntegrationTeam@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2016/12/01 12:00:00 2016/12/01 12:00:00 2016/12/01 02:56:05 UV 2.16.840.1.113883.4.896 iuh-vv Indiana University Health Video Visits Brian Adams masked Brian Adams 317-962-5478 masked Programmer Analyst II Indiana University Health IntegrationTeam@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2016/12/01 12:00:00 2016/12/01 12:00:00 2016/12/01 02:59:57 UV 2.16.840.1.113883.4.897 iuh-sr Indiana Univeristy Health Southern Indiana Radiology Associates Brian Adams masked Brian Adams 317-962-5478 masked Programmer Analyst II Indiana University Health IntegrationTeam@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2016/12/01 12:00:00 2016/12/01 12:00:00 2016/12/01 03:54:51 UV 2.16.840.1.113883.3.7089 caresync-oid CareSync Phil LoVerde masked Phil LoVerde 919-745-7442 masked Interoperability Product Manager CareSync LLC 14055 Riveredge Dr Ste 600 Tampa, FL 33637 800-587-5227 phil.loverde@caresync.com https://www.caresync.com Vendor Int 3 Complete 2016/12/01 12:00:00 2016/12/01 12:00:00 2016/12/01 04:09:24 UV 2.16.840.1.113883.3.7090 deps Danbury Eye Physicians and Surgeons Linda Bennett masked Linda Bennett 2037912020 x25 masked Admin Danbury Eye Physicians and Surgeons 69 Sand Pit Road Danbury, CT 06810 2037912020 lbennett@danburyeye.com Provider Int 3 Complete 2016/12/01 12:00:00 2016/12/01 12:00:00 2016/12/01 04:15:27 UV 2.16.840.1.113883.3.7091 lgi Lighthouse Guild International Judith Foulkes masked Judith Foulkes 15 West 65th street, New York, NY 10023 2127696207 masked Director of Information Technology Lighthouse Guild International Inc 15 West 65th street, New York, NY 10023 212-769-6200 foulkesj@lighthouseguild.org https://www.lighthouseguild.org Provider Int 3 Complete 2016/12/01 12:00:00 2016/12/01 12:00:00 2016/12/01 04:18:04 UV 2.16.840.1.113883.3.7092 um-ct Ulrich Medical and CorrecTek Matt Wurth masked Matt Wurth 1640 McCracken Blvd. Paducah, KY 42001 866.885.1150 masked Chief Technology Officer Ulrich Medical and CorrecTek 1640 McCracken Blvd. Paducah, KY 42001 866.885.1150 info@ulrichmedicalconcepts.com http://www.ulrichmedicalconcepts.com Vendor Int 3 Complete 2016/12/01 12:00:00 2016/12/01 12:00:00 2016/12/01 05:58:52 UV 2.16.840.1.113883.3.7093 shms Settlement Health and Medical Services Victor Valdes masked Victor Valdes 6463029216 masked IT Manager Settlement Health 212 East 106 Street New York, NY 10029 2123602600 it-manager@settlementhealth.org Provider Int 3 Complete 2016/12/02 12:00:00 2016/12/02 12:00:00 2016/12/02 01:29:05 UV 2.16.840.1.113883.3.7094 crisp-ng11-2016 Clinical Associates Kimberly Bennett masked Kimberly A. Bennett 515 Fairmount Ave. Towson, Maryland 21286 410-494-7731 masked Director of Practice Operations NextGen RCM Services 11350 Mccormick Rd Hunt Valley, MD 21031 443-933-4300 Support@RCM.Nextgen.com Vendor Int 3 Complete 2016/12/02 12:00:00 2016/12/02 12:00:00 2016/12/02 06:58:23 UV 2.16.840.1.113883.3.7095 peopleinc People Inc. Stacy Blair masked Stacy Blair 3332 Walden Avenue, Suite 100 Depew, NY 14043 716-880-3848 masked Associate Vice President Service Coordination People Inc. 3332 Walden Avenue, Suite 100 Depew, NY 14043 716-880-3700 sblair@people-inc.org Provider Int 3 Complete 2016/12/04 12:00:00 2016/12/05 12:00:00 2016/12/05 09:58:50 UV 2.16.840.1.113883.3.7096 usaoid union settlement association Neli Acevedo masked Neli Acevedo 2089 Third Avenue New York, NY 10029 2128286177 masked Coordinator Union Settlement Association 2089 Third Avenue New York, NY 10029 2128286177 nacevedo@unionsettlement.org Provider Int 3 Complete 2016/12/05 12:00:00 2016/12/05 12:00:00 2016/12/05 10:02:39 US 2.16.840.1.113883.3.7097 jeffreylubell Jeffrey Lubell OID root Jeffrey Lubell masked Jeffrey D Lubell 628 East 222nd Street Euclid, Ohio 44123 216-731-8052 masked owner Jeffrey D Lubell DPM 628 East 222nd Street Euclid, Ohio 44123 216-731-8052 JLubellDPM@aol.com Provider Int 3 Complete 2016/12/05 12:00:00 2016/12/05 12:00:00 2016/12/05 04:26:59 UV 2.16.840.1.113883.3.7098 newdirectionsyouthandfamilyservices New Directions Youth & Family Services, Inc. Joseph Gallagher masked Joseph Gallagher New Directions Youth & Family Services Suite 200 4511 Harlem Rd Amherst, NY 14226 7165291237 masked Chief Administrative Officer New Directions Youth & Family Services Suite 200 4511 Harlem Rd Amherst, NY 14226 7165291237 jgallagher@ndyfs.org http://www.fosteringgood.org Provider Int 3 Complete 2016/12/05 12:00:00 2016/12/05 12:00:00 2016/12/05 04:29:43 UV 2.16.840.1.113883.3.7099 marylandWoCHD Worcester County Health Department Diana Nolte masked Diana Nolte 6040 Public Landing Road Snow Hill, MD 21863 4106321100 masked IT Supervisor Worcester County Health Department 6040 Public Landing Rd. Snow Hill, MD 21863 4106321100 worcester.health@maryland.gov http://worcesterhealth.org Provider Int 3 Complete 2016/12/05 12:00:00 2016/12/05 12:00:00 2016/12/05 05:29:17 UV 2.16.840.1.113883.3.7100 gep Georgia Eye Partners Scott Bullock masked Scott Bullock 550 Peachtree St., NE Suite 1500 Atlanta, GA 30308 404-923-4024 masked CEO Georgia Eye Partners 550 Peachtree St., NE Suite 1500 Atlanta, GA 30308 404-953-4024 sbullock@gaeyepartners.com http://www.gaeyepartners.com Provider Int 3 Complete 2016/12/06 12:00:00 2016/12/06 12:00:00 2016/12/06 10:32:08 UV 2.16.840.1.113883.3.7101 thcr Timothy Hill Children's Ranch Bernadette Gildea masked Bernadette Gildea 298 Middle Road Riverhead, NY 11901 631-369-1234 ext. 111 masked Care Manager Supervisor Timothy Hill Children's Ranch 298 Middle Road Riverhead, NY 11901 631-369-1234 bgildea@timothyhill.org http://www.timothyhill.org Provider Int 3 Complete 2016/12/06 12:00:00 2016/12/06 12:00:00 2016/12/06 02:14:46 UV 2.16.840.1.113883.3.7102 ap2 American Pathology Partners Jeff Martin masked Jeff Martin 6116 East Warren Avenue, Denver, CO 80222 3035122299 masked Interface Manager American Pathology Partners, Inc. 103 Continental Place, Suite 400 Brentwood, TN 37027 6159163200 interface@unipathdx.com http://www.ap2.com/ Provider Int 3 Complete 2016/12/07 12:00:00 2016/12/07 12:00:00 2017/08/07 03:21:41 UV 2.16.840.1.113883.3.7032.1 mcc-mrn Millennium Collaborative Care PPS - MRN John Bono masked John Bono 1461 Kensington Ave. Buffalo, NY 14215 7168981954 masked Chief Reporting Officer Millennium Collaborative Care 1461 Kensington Ave. Buffalo, NY 14215 7168981954 jbono@millenniumcc.org http://millenniumcc.org Provider 2.16.840.1.113883.3.7032 Ext 17 Complete 2.16.840.1.113883.3.7032.1 2016/12/07 12:00:00 2016/12/07 12:00:00 2016/12/07 07:12:36 UV 2.16.840.1.113883.3.7103 robertesussman Robert E Sussman DPM PC Robert Sussman masked Denise Dafeldecker 2260 Hwy. 33 Neptune, NJ 07753 732-776-7260 masked Office Manager Robert E Sussman DPM PC 2260 Hwy. 33 Neptune, NJ 07753 732-776-7260 rylu2@optimum.net http://jerseyshorepodiatry.com/ Provider Int 3 Complete 2016/12/08 12:00:00 2016/12/08 12:00:00 2016/12/08 10:45:27 UV 2.16.840.1.113883.3.2402.200.406 physicans-computer-company-clients-upnyc Physician's Computer Company (PCC) Clients Uptown Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.406 2016/12/08 12:00:00 2016/12/08 12:00:00 2016/12/08 12:39:08 UV 2.16.840.1.113883.3.2402.200.317 physicans-computer-company-clients-pearland Physician's Computer Company (PCC) Clients Pearland Pediatrics Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.317 2016/12/08 12:00:00 2016/12/08 12:00:00 2016/12/08 01:19:03 UV 2.16.840.1.113883.3.7104 gerihealth Geri Health OID ROOT Anne-Marie Gracia masked Anne-Marie Gracia PO Box3122, Memorial Station Montclair, NJ 07043 973-243-0220 masked Office Physician Anne-Marie Gracia, MD 59 Main Street, suite 204, West orange, NJ 07052 973-243-0220 annemariegracia@gmail.com Provider Int 3 Complete 2016/12/08 12:00:00 2016/12/08 12:00:00 2016/12/08 03:03:35 UV 2.16.840.1.113883.4.898 iuh-fin Indiana University Health Financial Number Brian Adams masked Brian Adams 317-962-5478 masked Programmer Analyst II Indiana University Health IntegrationTeam@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2016/12/09 12:00:00 2016/12/09 12:00:00 2016/12/09 10:23:12 UV 2.16.840.1.113883.3.7105 boa Berkshire Orthopaedic Associates Yvonne Robert masked Yvonne Robert 24 Park St Pittsfield, MA 01201 413-499-6600 masked Practice Manager Berkshire Orthopaedic Associates 24 Park St Pittsfield, MA 01201 413-499-6600 yrobert@berkshireorthopaedics.com https://berkshireorthopaedics.com Provider Int 3 Complete 2016/12/09 12:00:00 2016/12/09 12:00:00 2016/12/09 10:28:10 UV 2.16.840.1.113883.3.7106 healthjump-OID Healthjump identifier Clifford Cavanaugh masked Clifford Cavanaugh 400 Franklin Ave STE 124 Phoenixville, PA 19460 4842681738 masked CTO Healthjump 400 Franklin Ave STE 124 Phoenixville, PA 19460 (888) 475-6078 bsuhendra@healthjump.com http://www.healthjump.com Vendor Int 3 Complete 2016/12/09 12:00:00 2016/12/09 12:00:00 2016/12/09 01:52:05 UV 2.16.840.1.113883.3.7107 whmc Whitehall Medical Center OID Root Elmer Diltz masked Debbie Burchfield 4254 East Main Street Columbus, Ohio 43213 614-235-9944 masked Medical Receptionist/Billing Specialist Whitehall Medical Center, Inc 4254 East Main Street Columbus, Ohio 43213 614-235-9944 whitehallmedicalcenter@hotmail.com Provider Int 3 Complete 2016/12/09 12:00:00 2016/12/09 12:00:00 2016/12/09 03:49:10 UV 2.16.840.1.113883.17.4183 rmlsh-direct RML Specialty Hospital OID Vincent Vitali masked Todd Prellberg 5601 S County Line Road Hinsdale, IL 60521 630-286-4135 masked Director of IS RML Specialty Hospital 5601 S County Line Road Hinsdale, IL 60521 630-286-4135 tprellberg@rmlspecialtyhospital.org Provider Int 17 Complete 2016/12/09 12:00:00 2016/12/09 12:00:00 2021/06/17 08:53:18 UV 2.16.840.1.113883.3.7108 ksbhospital Katherine Shaw Bethea KSB OID Root David Ginn masked David Ginn 403 East First St Dixon, IL 61021 815-285-5544 masked IS Director Katherine Shaw Bethea Hospital 403 East First St Dixon, IL 61021 815-288-5531 istechs@ksbhospital.com http://www.ksbhospital.com Provider Int 3 Complete 2016/12/09 12:00:00 2016/12/12 12:00:00 2016/12/12 09:15:40 UV 2.16.840.1.113883.3.7109 pqa Pharmacy Quality Alliance (PQA) Lynn Pezzullo masked Lynn Pezzullo 6213 Old Keene Mill Court Springfield, VA 22152 4014749706 masked Senior Director, Performance Measurement Pharmacy Quality Alliance (PQA) 6213 Old Keene Mill Court Springfield, VA 22152 703690-1987 info@pqaalliance.org http://pqaalliance.org/ SDO Int 3 Complete 2016/12/12 12:00:00 2016/12/12 12:00:00 2016/12/12 10:32:57 UV 2.16.840.1.113883.3.7032.2 mcc-fin Millennium Collaborative Care PPS - FIN John Bono masked John Bono 1461 Kensington Ave Buffalo, NY 14215 7168981954 masked Chief Reporting Officer Millennium Collaborative Care 1461 Kensington Ave Buffalo, NY 14215 7168981954 jbono@millenniumcc.org http://millenniumcc.org Provider 2.16.840.1.113883.3.7032 Ext 17 Complete 2.16.840.1.113883.3.7032.2 2016/12/12 12:00:00 2016/12/12 12:00:00 2016/12/12 04:07:09 UV 2.16.840.1.113883.3.7110 vma Virginia Medical Alliance Shawn Dowling masked Shawn Dowling 5510 Alma Lane Springfield, VA 22151 703-642-5990 masked Clinical Coordinator Virginia Medical Alliance 5510 Alma Lane Springfield, VA 22151 sdowling@virginiamedicalalliance.com http://www.virginiamedicalalliance.com/ Provider Int 3 Complete 2016/12/13 12:00:00 2016/12/13 12:00:00 2016/12/13 11:29:36 UV 2.16.840.1.113883.3.7111 cMG Centennial Medical Group Rajiv Dua masked Rajiv Dua 8186 Lark Brown Rd Elkridge, MD 21075 4107303399 masked MD Centennial Medical Group 8186 Lark Brown Rd Elkridge, MD 21075 4107303399 drd@centennialmedical.com http://www.centennialmedical.com/ Provider Int 3 Complete 2016/12/13 12:00:00 2016/12/13 12:00:00 2016/12/13 05:18:24 UV 2.16.840.1.113883.3.7112 mills-pond Mills Pond Nursing and Rehabilitation Center Andrew Yandoli masked Andrew Yandoli Mills Pond Nursing and Rehabilitation Center 273 Moriches Road St. James, NY 11780 631-862-8990 masked Administrator Mills Pond Nursing and Rehabilitation Center 273 Moriches Road St. James, NY 11780 631-862-8990 ayandoli@cassenacare.com Provider Int 3 Complete 2016/12/15 12:00:00 2016/12/15 12:00:00 2016/12/15 11:25:51 UV 2.16.840.1.113883.3.7113 carillonnursing Carillon Nursing and Rehabilitation Center Geraldine Albers masked Geraldine Albers 6312715800 masked Administrator Carillon Nursing and Rehabilitation Center 830 Park Ave Huntington, NY 11743 6312715800 galbers@carillonnursing.com http://www.carillonnursing.com Provider Int 3 Complete 2016/12/15 12:00:00 2016/12/15 12:00:00 2016/12/15 11:51:04 UV 2.16.840.1.113883.3.7114 inrc Island Nursing and Rehab Center Maureen Messa masked Maureen Messa 5537 Expressway Drive North Holtsville, NY 11742 +1 6317583336 masked CFO Island Nursing and Rehab Center 5537 Expressway Drive N Holtsville, NY 11742 +1 6317583336 dfridkin@islandnursing.org http://www.islandnursing.org Provider Int 3 Complete 2016/12/15 12:00:00 2016/12/15 12:00:00 2016/12/15 11:58:51 UV 2.16.840.1.113883.3.7115 atticadistricthospital1 Attica District Hospital 1 OID Root Tonya Bickle masked Holly Noble Tonya Bickle 302 N. Botkin Street Attica, KS 67009 6202547253 masked Business Office/Financial Officer Attica District Hospital #1; dba Attica Long Term Care 302 N. Botkin Street Attica, KS 67009 6202547253 administrator@atticalongtermcare.com http://www.atticalongtermcare.com/ Provider Int 3 Complete 2016/12/15 12:00:00 2016/12/15 12:00:00 2016/12/15 12:02:16 UV 2.16.840.1.113883.3.7116 stapple GSI Health Services Ronald Humphries masked Ronald Humphries 74-03 Commonwealth Blvd Bellerose, NY 11426 1-718 -264-4626 masked ICM Coordinator GSI Health Services 74-03 Commonwealth Blvd Bellerose, NY 11426 1-718-264-4626 Ronald.Humphries@OMH.NY.Gov https://hub.omh.ny.gov Provider Int 3 Complete 2016/12/15 12:00:00 2016/12/15 12:00:00 2016/12/15 12:44:23 V2xLinkage UV 2.16.840.1.113883.3.7117 sydian Sydian Solutions Inc Barbara Dorin masked Barbara Dorin 9505 Hull Street Road Suite C Chesterfield, VA 23236 8042766456 masked President Sydian Solutions 9505 Hull Street Road Suite C Chesterfield, VA 23236 8042766456 support@sydian.com http://Help.sydian.com Vendor Int 3 Complete 2016/12/16 12:00:00 2016/12/16 12:00:00 2016/12/16 09:25:25 UV 2.16.840.1.113883.3.7118 ncnrehab Nesconset Center for Nursing and Rehab Michael Donohue masked Michael Donohue Nesconset Center for Nursing and Rehab 100 Southern Blvd. Nesconset NY 11767 6313618800 masked Nesconset Center for Nursing and Rehab Nesconset Center for Nursing and Rehab 100 Southern Blvd. Nesconset, NY 11767 6313618800 mikedo@ncnrehab.com Exchange Int 3 Complete 2016/12/19 12:00:00 2016/12/19 12:00:00 2016/12/19 02:56:54 US 2.16.840.1.113883.3.7119 hilaire Hilaire Rehab and Nursing Michael Donohue masked Michael Donohue Nesconset Center for Nursing and Rehab 100 Southern Blvd Nesconset, NY 11767 6313618800 masked Dir of IT Nesconset Center for Nursing and Rehab Nesconset Center for Nursing and Rehab 100 Southern Blvd Nesconset, NY 11767 6313618800 mikedo@ncnrehab.com Exchange Int 3 Complete 2016/12/19 12:00:00 2016/12/19 12:00:00 2016/12/19 03:07:12 UV 2.16.840.1.113883.3.7120 centralisHlth Centralis Health, LLC Zach Finn masked Sandy Phillips Sandy Phillips 3411 Capital Medical Blvd Tallahassee, FL 32308 770-367-0059 masked CIO Centralis Health, LLC Centralis Health, LLC 3411 Capital Medical Blvd Tallahassee, FL 32308 850-702-0365 contact@centralishealth.com http://www.centralishealth.com Vendor Int 3 Complete 2016/12/19 12:00:00 2016/12/20 12:00:00 2021/06/10 11:28:41 US 2.16.840.1.113883.17.4184 liafs Long Island Adolescent and Family Services Regina Ely masked Regina Ely 1413 Stony Brook Road Stony Brook, NY 11790 631-444-0101 masked Director of Social Work Long Island Adolescent and Family Services 1413 Stony Brook Road Stony Brook, NY 11790 631-444-0101 rely@liafs.org https://www.liafs.org Provider Int 17 Complete 2016/12/20 12:00:00 2016/12/20 12:00:00 2016/12/20 07:46:21 UV 2.16.840.1.113883.3.7121 woodcreek Woodcreek Healthcare Timothy Pierson masked Tim Turner, CEO Timothy Pierson 11102 Sunrise Blvd E Suite 103 Puyallup, WA 98374 253-446-3203 masked Director of Patient Services Woodcreek Healthcare help@woodcreekhealthcare.com https://www.woodcreekhealthcare.com Provider Int 3 Complete 2016/12/20 12:00:00 2016/12/20 12:00:00 2016/12/20 07:55:08 UV 2.16.840.1.113883.3.7122 lchd1 Liberty County Hospital District No 1 Matthew Thornton masked Matthew Thornton 1353 North Travis Street Liberty, TX 77575 9363367316 masked CEO Liberty County Hospital District No 1 1353 North Travis Street Liberty, TX 77575 9363367316 mthornton@libertydaytonrmc.com http://www.libertydaytonrmc.com Provider Int 3 Complete 2016/12/20 12:00:00 2016/12/20 12:00:00 2016/12/20 07:56:50 UV 2.16.840.1.113883.3.7123 penCard Peninsula Cardiology Associates, PA Danielle Morrison masked Danielle Morrison 400 Eastern Shore Drive Salisbury, MD 21804 4107498906 masked Peninsula Cardiology Associates, PA 400 Eastern Shore Drive Salisbury, MD 21804 4107498906 danielle@pencard.com Provider Int 3 Complete 2016/12/22 12:00:00 2016/12/22 12:00:00 2016/12/22 03:54:41 UV 2.16.840.1.113883.3.7124 bucs Banner Urgent Care System Steve Drozdowski masked Steve Drozdowski 2929 N Central Ave. Phoenix, AZ 85012 602-747-4319 masked IT Software Integration Sr Consultant Banner Urgent Care System 2901 N Central Avenue Phoenix, AZ 85012 602-747-4319 steve.drozdowski@bannerhealth.com http://www.bannerhealth.com Provider Int 3 Complete 2016/12/22 12:00:00 2016/12/22 12:00:00 2016/12/22 03:59:44 UV 2.16.840.1.113883.3.7125 janeapp Jane Software Inc. Luke Cowell masked Luke Cowell 201-173 Forester Street North Vancouver, BC, V7H 0A6 Canada 604-670-5263 masked Jane Software Inc 201-173 Forester Street North Vancouver, BC, V7H 0A6 Canada 604-670-5263 support@janeapp.com https://janeapp.com/ Vendor Int 3 Complete 2016/12/22 12:00:00 2016/12/23 12:00:00 2016/12/23 09:56:01 CA 2.16.840.1.113883.3.7126 moch Missouri Ozarks Community Health Joseph McDowell masked Paul Adams 504 NW 10th Ave Ava, MO 65608 4176835739 masked IT Manager Missouri Ozarks Community Health 504 NW 10th Ave Ava, MO 65608 4176835739 itsupport@mo-ozarks.org https://www.mo-ozarks.org Provider Int 3 Complete 2016/12/29 12:00:00 2016/12/29 12:00:00 2025/05/07 09:23:50 UV 2.16.840.1.113883.3.7127 bouldermedcenter Boulder Medical Center David Glow masked David Glow 2750 Broadway Boulder, CO 80304 303-440-3059 masked EMR Manager Boulder Medical Center 2750 Broadway Boulder, CO 80304 303-440-3059 daglow@bouldermedicalcenter.com http://www.bouldermedicalcenter.com Provider Int 3 Complete 2016/12/29 12:00:00 2016/12/29 12:00:00 2016/12/29 03:44:56 UV 2.16.840.1.113883.3.7128 easnecknursing East Neck Nursing and Rehabilitation Center Keith Powers masked Keith Powers 134 Great East Neck Road West Babylon, NY 11704 631-422-4800 x115 masked Administrator East Neck Nursing and Rehabilitation Center 134 Great East Neck Road West Babylon, NY 11704 631-422-4800 x115 kpowers@cassenacare.com Provider Int 3 Complete 2016/12/29 12:00:00 2016/12/29 12:00:00 2016/12/29 03:55:55 UV 2.16.840.1.113883.3.7129 snrc Sayville Nursing & Rehabilitation Center kwang lee masked Kwang Lee 300 Broadway Ave Sayville, NY 11782 (631) 567-9300 masked Administrator Sayville Nursing & Rehabilitation Center 300 Broadway Ave Sayville, NY 11782 klee@cassenacare.com Provider Int 3 Complete 2016/12/29 12:00:00 2016/12/29 12:00:00 2016/12/29 06:28:09 UV 2.16.840.1.113883.3.7130 ablehealth Able Health Steve Daniels masked Steve Daniels Able Health 50 Hawthorne St San Francisco, CA 94105 5166590072 masked President Able Health 50 Hawthorne St San Francisco, CA 94105 804-537-ABLE hello@ablehealth.com http://ablehealth.com Vendor Int 3 Complete 2017/01/02 12:00:00 2017/01/04 12:00:00 2017/01/04 01:56:47 UV 2.16.840.1.113883.3.7131 cihc Central Island Healthcare Charles Okolie masked Charles Okolie 825 Old Country Road Plainview, N.Y. 11803 5167124613 masked Systems Administrator Central Island Healthcare 825 Old Country Road Plainview, N.Y. 11803 516-433-0600 cokolie@central-island.com http://www.centralislandhealthcare.com/ Provider Int 3 Complete 2017/01/02 12:00:00 2017/01/04 12:00:00 2017/01/04 02:02:29 UV 2.16.840.1.113883.3.7132 mkeBHD Milwaukee County Behavioral Health Division Andrew Hayes masked Andrew Hayes 9455 W Watertown Plank Rd, Milwaukee, WI 53226 4142577866 masked Business Development Analyst Milwaukee County Behavioral Health Division 9455 W Watertown Plank Rd, Milwaukee, WI 53226 414-257-6995 jodi.mapp@milwaukeecountywi.gov http://county.milwaukee.gov/BehavioralHealthDivi7762.htm Govt body Int 3 Complete 2017/01/03 12:00:00 2017/01/04 12:00:00 2017/01/04 02:06:53 UV 2.16.840.1.113883.3.7133 texasspineconsultants Texas Spine Consultants, LLP Ramona Edmonson masked Ramona Edmonson 17051 Dallas Parkway, Suite 400 Addison, TX 75001 214-370-3535 masked Practice Administrator Texas Spine Consultants, LLP 17051 Dallas Parkway, Suite 400 Addison, TX 75001 214-370-3535 redmonson@texasspineconsultants.com http://www.texasspineconsultants.com/ Provider Int 3 Complete 2017/01/03 12:00:00 2017/01/04 12:00:00 2017/01/04 02:10:16 UV 2.16.840.1.113883.3.7134 sunydmc SUNY Downstate Medical Center Danielle Bishop masked Jeffrey Lee Danielle Bishop SUNY Downstate Medical Center IS Department 450 Clarkson Avenue Brooklyn, NY 11203 7182702593 masked Senior Analyst SUNY Downstate Medical Center IS Department-Mailbox Number 17 450 Clarkson Avenue Brooklyn, NY 11203 7182702593 healthbridge@downstate.edu http://downstate.edu/ Academic Int 3 Complete 2017/01/04 12:00:00 2017/01/04 12:00:00 2017/01/04 02:13:24 UV 2.16.840.1.113883.3.7135 rff Radiant Healthcare, LLC Doug Miller masked Heather Elliott 1014 Elm Rocky Ford, CO 81067 719-254-7421 masked OWNER Radiant Healthcare, LLC 1014 Elm Rocky Ford, CO 81067 719-254-7421 heather_rffhc@outlook.com Provider Int 3 Complete 2017/01/04 12:00:00 2017/01/04 12:00:00 2023/01/05 03:31:44 UV 2.16.840.1.113883.3.7136 ccpa Cardiology Consultant Of Philadelphia Maria Jannelli masked Peter Jannelli Peter Jannelli 207 North Broad Street, Floor 3, Philadelphia, PA 19107 267-479-4151 masked Executive Director Cardiology Consultants Of Philadelphia 207 North Broad Street, Floor 3, Philadelphia, PA 19107 267-479-4151 ITstaff@ccpdocs.com Provider Int 3 Complete 2017/01/04 12:00:00 2017/01/04 12:00:00 2017/01/04 02:28:16 UV 2.16.840.1.113883.3.7137 cpa111 Commack Pediatric Associates Indira Atluru masked Indira Atluru 3 Huntington Quadrangle Suite 105S Melville, NY 11747 6313864171 masked Manager of Clinical Analytics Allied Physicians Group 3 Huntington Quadrangle Suite 105S Melville, NY 11747 6313864100 iatluru@alliedphysiciansgroup.com https://www.alliedphysiciansgroup.com Provider Int 3 Complete 2017/01/04 12:00:00 2017/01/04 12:00:00 2017/01/04 02:32:27 UV 2.16.840.1.113883.3.7138 jh141 Jason Hitner, MD Indira Atluru masked Indira Atluru 3 Huntington Quadrangle Suite 105S Melville, NY 11747 6313864173 masked Manager of Clinical Analytics Allied Physicians Group 3 Huntington Quadrangle Suite 105S Melville, NY 11747 6313864100 iatluru@alliedphysiciansgroup.com https://www.alliedphysiciansgroup.com Provider Int 3 Complete 2017/01/04 12:00:00 2017/01/04 12:00:00 2017/01/04 02:36:10 UV 2.16.840.1.113883.3.7139 pp261 Peconic Pediatrics Sylvia Dacunha masked Indira Atluru 3 Huntington Quadrangle Suite 105S Melville, NY 11747 6313864173 masked Manager of Clinical Analytics Allied Physicians Group 3 Huntington Quadrangle Suite 105S Melville, NY 11747 6313864100 iatluru@alliedphysiciansgroup.com https://www.alliedphysiciansgroup.com Provider Int 3 Complete 2017/01/04 12:00:00 2017/01/04 12:00:00 2017/01/04 02:39:36 UV 2.16.840.1.113883.3.7140 psh262 Peconic Pediatrics at Southold Indira Atluru masked Indira Atluru 3 Huntington Quadrangle Suite 105S Melville, NY 11747 6313864173 masked Manager of Clinical Analytics Allied Physicians Group 3 Huntington Quadrangle Suite 105S Melville, NY 11747 6313864100 iatluru@alliedphysiciansgroup.com https://www.alliedphysiciansgroup.com Provider Int 3 Complete 2017/01/04 12:00:00 2017/01/04 12:00:00 2017/01/04 02:46:34 UV 2.16.840.1.113883.3.7141 hvp351 Huntington Village Pediatrics Indira Atluru masked Indira Atluru 3 Huntington Quadrangle Suite 105S Melville, NY 11747 6313864173 masked Manager of Clinical Analytics Allied Physicians Group 3 Huntington Quadrangle Suite 105S Melville, NY 11747 6313864100 iatluru@alliedphysiciansgroup.com https://www.alliedphysiciansgroup.com Provider Int 3 Complete 2017/01/04 12:00:00 2017/01/04 12:00:00 2017/01/04 03:02:46 UV 2.16.840.1.113883.3.7142 pfp371 Peds First Pediatrics Indira Atluru masked Indira Atluru 3 Huntington Quadrangle Suite 105S Melville, NY 11747 6313864173 masked Manager of Clinical Analytics Allied Physicians Group 3 Huntington Quadrangle Suite 105S Melville, NY 11747 6313864100 iatluru@alliedphysiciansgroup.com https://www.alliedphysiciansgroup.com Provider Int 3 Complete 2017/01/04 12:00:00 2017/01/04 12:00:00 2017/01/04 03:06:15 UV 2.16.840.1.113883.3.7143 kfpj391 Kids First Pediatrics - Port Jefferson Indira Atluru masked Indira Atluru 3 Huntington Quadrangle Suite 105S Melville, NY 11747 6313864173 masked Manager of Clinical Analytics Allied Physicians Group 3 Huntington Quadrangle Suite 105S Melville, NY 11747 6313864100 iatluru@alliedphysiciansgroup.com https://www.alliedphysiciansgroup.com Provider Int 3 Complete 2017/01/04 12:00:00 2017/01/04 12:00:00 2017/01/04 03:10:17 UV 2.16.840.1.113883.3.7144 kfwr392 Kids First Pediatrics - Wading River Indira Atluru masked Indira Atluru 3 Huntington Quadrangle Suite 105S Melville, NY 11747 6313864173 masked Manager of Clinical Analytics Allied Physicians Group 3 Huntington Quadrangle Suite 105S Melville, NY 11747 6313864100 iatluru@alliedphysiciansgroup.com https://www.alliedphysiciansgroup.com Provider Int 3 Complete 2017/01/04 12:00:00 2017/01/04 12:00:00 2017/01/04 03:16:24 UV 2.16.840.1.113883.3.7145 androsent Andros ENT & Sleep Center OID Root Angel Swanstrom masked Angel Swanstrom 5565 Blaine Avenue Suite 225 Inver Grove Heights, MN 55076 6518887800 masked Administrator Andros ENT & Sleep Center 5565 Blaine Avenue Suite 225 Inver Grove Heights, MN 55076 651-888-7800 angel@androsent-sleep.com http://www.androsent-sleep.com Provider Int 3 Complete 2017/01/05 12:00:00 2017/01/06 12:00:00 2017/01/06 08:25:50 UV 2.16.840.1.113883.3.7146 mopodiatry Mercer Ocean Podiatry OID Root Frank Killian masked Jennifer Hahn 2103 Whitehorse Mercerville Rd Hamilton, NJ 08619 609-585-3200 masked Mercer Ocean Podiatry 2103 Whitehorse Mercerville Rd Hamilton, NJ 08619 609-585-3200 drkillian_103@optimum.net http://www.newjerseyfoot.com Provider Int 3 Complete 2017/01/05 12:00:00 2017/01/06 12:00:00 2017/01/06 08:27:54 UV 2.16.840.1.113883.3.7147 hpeds HAMPTON PEDIATRICS Nadine Persheff masked Flory Veliz 444 North Sea Rd. Southampton, NY 11968 6312834843 masked Billing Manager HAMPTON PEDIATRICS 444 NORTH SEA ROAD Southampton, NY 11968 6312834843 fveliz@hamptonpediatrics.com http://hamptonpeds.com Provider Int 3 Complete 2017/01/05 12:00:00 2017/01/06 12:00:00 2017/01/06 08:31:50 UV 2.16.840.1.113883.3.7148 mdcwellnessclinic MDC Wellness Clinic Dario Mercado masked Dario Mercado 950 NW 20 Street Miami, FL 33127 305-237-4452 masked Campus CIO MDC Wellness Clinic 950 NW 20 Street Miami, FL 33127 305-237-4399 dmercado@mdc.edu http://www.mdc.edu/medical/campus-information/wellness-clinic.aspx Provider Int 3 Complete 2017/01/06 12:00:00 2017/01/06 12:00:00 2017/01/06 09:37:46 UV 2.16.840.1.113883.3.7149 sw SimplyWell Michael Demman masked Michael Demman SimplyWell LLC 9140 West Dodge Road, Suite 408 Omaha, NE 68114 402-559-2879 masked CEO SimplyWell LLC 9140 West Dodge Road, Suite 408 Omaha, NE 68114 402-559-2879 mdemman@nebraskamed.com https://www.simplywell.com Vendor Int 3 Complete 2017/01/06 12:00:00 2017/01/06 12:00:00 2017/01/06 02:28:51 UV 2.16.840.1.113883.3.7150 orthopedicsportsmedicinecenter Orthopedic & Sports Medeicine Center OID Root Cheryl Wenger masked Cheryl Wenger 3107 Frederick Blvd Suite B St. Joseph, MO 64506 816-233-9888 masked Practice Administrator Cheryl Wenger 3107 Frederick Blvd Suite B St. Joseph, MO 64506 816-233-9888 cwenger@osmconline.com https://www.osmcortho.com Provider Int 3 Complete 2017/01/09 12:00:00 2017/01/09 12:00:00 2017/01/09 09:14:15 UV 2.16.840.1.113883.3.7151 cdh Callaway District Hospital HIE Brett Eggleston masked Brett Eggleston Po Box 100 211 East Kimball St. Callaway, NE 68825 308-836-2228 masked CFO Callaway District Hospital PO Box 100 211 East Kimball St. Callaway, NE 68825 308-836-2228 beggleston@callawayhospital.org https://www.callawayhospital.org Provider Int 3 Complete 2017/01/09 12:00:00 2017/01/09 12:00:00 2017/01/09 09:25:40 UV 2.16.840.1.113883.3.7152 ccspathways Care Coordination Systems Bob Harnach masked Bob Harnach 75 East Market Street Akron, Ohio 44308 708-906-3057 masked CEO Care Coordination Systems 75 East Market Street Akron, Ohio 44308 708-906-3057 bob.harnach@ccspathways.com http://carecoordinationsystems.com/ Vendor Int 3 Complete 2017/01/09 12:00:00 2017/01/10 12:00:00 2017/01/10 12:07:29 UV 2.16.840.1.113883.3.7153 phpcares Partners Health Plan Jeff Birgenheier masked Jeff Birgenheier 655 Third Ave. Second Floor New York, NY 10017 6467602241 masked IT Director Partners Health Plan 655 Third Ave. Second Floor New York, NY 10017 6467602241 it@phpcares.org http://phpcares.org/ Payor Int 3 Complete 2017/01/10 12:00:00 2017/01/10 12:00:00 2017/01/10 12:11:37 UV 2.16.840.1.113883.3.7154 awma AgeWell Medical Associates Lori Trivelli masked Lori Trivelli 2350 International Circle Colorado Springs, CO 80910 719-471-7160 masked Practice Manager AgeWell Medical Associates 2350 International Circle Colorado Springs, CO 80910 719-475-5065 lorit@agewellmedical.com http://www.agewellmedical.com/ Provider Int 3 Complete 2017/01/10 12:00:00 2017/01/10 12:00:00 2017/01/10 01:15:30 UV 2.16.840.1.113883.3.7155 sjcnephrology St. John Clinic Nephrology Kelli Johnson masked Kelli Johnson 1923 S. Utica Tulsa, OK 74104 918-748-3131 masked Data Analyst St. John Clinic Nephrology 1923 E 21st, Suite 200 Tulsa, OK 74114-1430 918-744-2925 ahisha.peters@sjmc.org Provider Int 3 Complete 2017/01/10 12:00:00 2017/01/10 12:00:00 2017/01/10 03:01:27 UV 2.16.840.1.113883.3.7156 sjcpulmsleepclinic SJC Pulmonology Sleep Clinic Kelli Johnson masked Kelli Johnson 1923 S Utica Tulsa, OK 74104 918-748-3131 masked Data Analyst SJC Pulmonology Sleep Clinic 1923 S Utica Ave Tulsa, OK 74104-5419 918-748-8381 ahisha.peters@sjmc.org Provider Int 3 Complete 2017/01/10 12:00:00 2017/01/10 12:00:00 2017/01/10 03:04:38 UV 2.16.840.1.113883.3.7157 sjcpalsupport SJC Palliative & Supportive Care - OCSRI Kelli Johnson masked Kelli Johnson 1923 S Utica Tulsa, OK 74104 918-748-3131 masked Data Analyst SJC Palliative & Supportive Care - OCSRI 12697 E 51st St Tulsa, OK 74146 918-505-3200 ahisha.peters@sjmc.org Provider Int 3 Complete 2017/01/10 12:00:00 2017/01/10 12:00:00 2017/01/10 03:12:29 UV 2.16.840.1.113883.3.7158 sjcpallsupporthv SJC Palliative & Supportive Care HV Kelli Johnson masked Kelli Johnson 1923 S Utica Tulsa, OK 74104 918-748-3131 masked Data Analyst SJC Palliative & Supportive Care HV 12697 E 51st St Tulsa, OK 74146 918-505-3200 ahisha.peters@sjmc.org Provider Int 3 Complete 2017/01/10 12:00:00 2017/01/10 12:00:00 2017/01/10 03:28:11 UV 2.16.840.1.113883.3.7159 sjcurologyba SJC Urology Broken Arrow Kelli Johnson masked Kelli Johnson 1923 S Utica Tulsa, OK 74104 918-748-3131 masked Data Analyst SJC Urology Broken Arrow 800 W Boise Cir, Ste 210 Broken Arrow, OK 74012 918-872-9611 ahisha.peters@sjmc.org Provider Int 3 Complete 2017/01/10 12:00:00 2017/01/10 12:00:00 2017/01/10 03:33:08 UV 2.16.840.1.113883.3.7160 sphllc Suffolk Primary Health, LLC Sheldon Benson masked Elvis Batista 170 Old Country Rd Riverhead, NY 11901 631-208-4460 masked Administrator Suffolk Primary Health, LLC 170 Old Country Rd Riverhead, NY 11901 631-208-4460 elvis.b@suffolkprimaryhealth.com http://www.suffolkprimarycare.com/ Provider Int 3 Complete 2017/01/10 12:00:00 2017/01/10 12:00:00 2017/01/10 07:06:24 UV 2.16.840.1.113883.3.7161 s-kope Skope Medical Care P.C Dawari Longjohn masked Dawari Longjohn Skope Medical Care P.C 1537 Straight Path, Suite 102 Wyandanch, New York 11798 6312530270 masked Skope Medical Care P.C 1537 Straight Path, Suite 102 Wyandanch, New York 11798 6312530270 skopemedcare@aol.com Provider Int 3 Complete 2017/01/10 12:00:00 2017/01/10 12:00:00 2017/01/10 07:12:31 UV 2.16.840.1.113883.3.7162 wnh VJJ Holding Co., LLC D/B/A Woodhaven Nursing Home Sheldon Benson masked Sheldon Benson 1360 Route 112 Port Jefferson Station, NY 11776 631-473-7100 masked Controller VJJ Holding Co., LLC D/B/A Woodhaven Nursing Home 1360 Route 112 Port Jefferson Station, NY 11776 631-473-7100 info@woodhavencenter.com http://woodhavencenter.com/ Provider Int 3 Complete 2017/01/10 12:00:00 2017/01/10 12:00:00 2017/01/10 07:20:10 UV 2.16.840.1.113883.3.7163 wah Woodhaven Adult Home, LLC Sheldon Benson masked Sheldon Benson 1360 Route 112 Port Jefferson Station, NY 11776 631-473-7100 masked Controller Woodhaven Adult Home, LLC 1360 Route 112 Port Jefferson Station, NY 11776 631-473-7100 info@woodhavencenter.com http://woodhavencenter.com Provider Int 3 Complete 2017/01/10 12:00:00 2017/01/10 12:00:00 2017/01/10 07:26:28 UV 2.16.840.1.113883.3.7164 eastendpeds East End Pediatrics, P.C. Sophie French masked Sophie French 200 Pantigo Place Suite E East Hampton, NY 11937-5921 6313248030 masked East End Pediatrics, P.C. 200 Pantigo Place Suite E East Hampton, NY 11937-5921 631-324-8030 gschonfeld@eastendpediatricspc.com http://www.eastendpediatricspc.com Provider Int 3 Complete 2017/01/11 12:00:00 2017/01/11 12:00:00 2017/01/11 08:29:59 UV 2.16.840.1.113883.3.239.13.6 ca-onCASLPORN Canada, Ontario, College of Audiologists and Speech-Language Pathologists Registration Number Standards Infodesk masked eHealth Ontario "P.O. Box 148 777 Bay Street, Suite 701 Toronto, Ontario M5G 2C8" 416-586-6500 masked Standards eHealth Ontario 777 Bay Street,Toronto, ON, Canada M5G 2C8 4165866500 architecture@ehealthontario.on.ca http://www.ehealthontario.on.ca Govt body 2.16.840.1.113883.3.239 Ext 4 Complete 2.16.840.1.113883.3.239.13.6 2017/01/12 12:00:00 2017/01/12 12:00:00 2017/01/12 01:54:06 UV 2.16.840.1.113883.3.239.13.7 ca-onCDHOLN Canada, Ontario, College of Dental Hygienists Licence Number Standards Infodesk masked eHealth Ontario P.O. Box 148 777 Bay Street, Suite 701 Toronto, Ontario M5G 2C8 4165866500 masked eHealth Ontario 777 Bay Street, Toronto, ON, Canada M5G 2C8 4165866500 architecture@ehealthontario.on.ca http://www.ehealthontario.on.ca/ Govt body 2.16.840.1.113883.3.239 Ext 4 Complete 2.16.840.1.113883.3.239.13.7 2017/01/12 12:00:00 2017/01/12 12:00:00 2017/01/12 01:57:03 UV 2.16.840.1.113883.3.239.13.8 ca-onCDOLN Canada, Ontario, College of Denturists Licence Number Standards Infodesk masked eHealth Ontario P.O. Box 148 777 Bay Street, Suite 701 Toronto, Ontario M5G 2C8 4165866500 masked Standards eHealth Ontario 777 Bay Street, Toronto, ON, Canada M5G 2C8 4165866500 architecture@ehealthontario.on.ca http://www.ehealthontario.on.ca/ Govt body 2.16.840.1.113883.3.239 Ext 4 Complete 2.16.840.1.113883.3.239.13.8 2017/01/12 12:00:00 2017/01/12 12:00:00 2017/01/12 01:59:40 UV 2.16.840.1.113883.3.239.13.10 ca-onCDTORN Canada, Ontario, College of Dental Technologists Registration Number Standards Infodesk masked eHealth Ontario P.O. Box 148 777 Bay Street, Suite 701 Toronto, Ontario M5G 2C8 4165866500 masked Standards eHealth Ontario 777 Bay Street, Toronto, ON, Canada M5G 2C8 4165866500 architecture@ehealthontario.on.ca http://www.ehealthontario.on.ca/ Govt body 2.16.840.1.113883.3.239 Ext 4 Complete 2.16.840.1.113883.3.239.13.10 2017/01/12 12:00:00 2017/01/12 12:00:00 2017/01/12 02:02:49 UV 2.16.840.1.113883.3.239.13.11 ca-onCMLTORN Canada, Ontario, College of Medical Laboratory Technologists Registration Number Standards Infodesk masked eHealth Ontario P.O. Box 148 777 Bay Street, Suite 701 Toronto, Ontario M5G 2C8 4165866500 masked Standards eHealth Ontario 777 Bay Street, Toronto, ON, Canada M5G 2C8 4165866500 architecture@ehealthontario.on.ca http://www.ehealthontario.on.ca/ Govt body 2.16.840.1.113883.3.239 Ext 4 Complete 2.16.840.1.113883.3.239.13.11 2017/01/12 12:00:00 2017/01/12 12:00:00 2017/01/12 02:05:20 UV 2.16.840.1.113883.3.239.13.12 ca-onCMORN Canada, Ontario, College of Midwives Registration Number Standards Infodesk masked eHealth Ontario P.O. Box 148 777 Bay Street, Suite 701 Toronto, Ontario M5G 2C8 4165866500 masked Standards eHealth Ontario P.O. Box 148 777 Bay Street, Suite 701 Toronto, Ontario M5G 2C8 4165866500 architecture@ehealthontario.on.ca http://www.ehealthontario.on.ca/ Govt body 2.16.840.1.113883.3.239 Ext 4 Complete 2.16.840.1.113883.3.239.13.12 2017/01/12 12:00:00 2017/01/12 12:00:00 2017/01/12 02:09:03 UV 2.16.840.1.113883.3.239.13.13 ca-onCMRTORN Canada, Ontario, College of Medical Radiation Technologists Registration Number Standards Infodesk masked eHealth Ontario P.O. Box 148 777 Bay Street, Suite 701 Toronto, Ontario M5G 2C8 4165866500 masked Standards eHealth Ontario P.O. Box 148 777 Bay Street, Suite 701 Toronto, Ontario M5G 2C8 4165866500 architecture@ehealthontario.on.ca http://www.ehealthontario.on.ca/ Govt body Ext 4 Complete 2.16.840.1.113883.3.239.13.13 2017/01/12 12:00:00 2017/01/12 12:00:00 2017/01/12 02:12:09 UV 2.16.840.1.113883.3.239.13.15 ca-onCNORN Canada, Ontario, College of Nurses Registration Number Standards Infodesk masked eHealth Ontario P.O. Box 148 777 Bay Street, Suite 701 Toronto, Ontario M5G 2C8 4165866500 masked Standards eHealth Ontario P.O. Box 148 777 Bay Street, Suite 701 Toronto, Ontario M5G 2C8 4165866500 architecture@ehealthontario.on.ca http://www.ehealthontario.on.ca/ Govt body 2.16.840.1.113883.3.239 Ext 4 Complete 2.16.840.1.113883.3.239.13.15 2017/01/12 12:00:00 2017/01/12 12:00:00 2017/01/12 02:16:50 UV 2.16.840.1.113883.3.239.13.18 ca-onCOTORN Canada, Ontario, College of Occupational Therapists Registration Number Standards Infodesk masked eHealth Ontario P.O. Box 148 777 Bay Street, Suite 701 Toronto, Ontario M5G 2C8 4165866500 masked Standards eHealth Ontario P.O. Box 148 777 Bay Street, Suite 701 Toronto, Ontario M5G 2C8 4165866500 architecture@ehealthontario.on.ca http://www.ehealthontario.on.ca/ Govt body 2.16.840.1.113883.3.239 Ext 4 Complete 2.16.840.1.113883.3.239.13.18 2017/01/12 12:00:00 2017/01/12 12:00:00 2017/01/12 02:20:20 UV 2.16.840.1.113883.3.239.13.19 ca-onCRTORN Canada, Ontario, College of Respiratory Therapists Registration Number Standards Infodesk masked eHealth Ontario P.O. Box 148 777 Bay Street, Suite 701 Toronto, Ontario M5G 2C8 4165866500 masked Standards eHealth Ontario P.O. Box 148 777 Bay Street, Suite 701 Toronto, Ontario M5G 2C8 4165866500 architecture@ehealthontario.on.ca http://www.ehealthontario.on.ca/ Govt body 2.16.840.1.113883.3.239 Ext 4 Complete 2.16.840.1.113883.3.239.13.19 2017/01/12 12:00:00 2017/01/12 12:00:00 2017/01/12 02:24:56 UV 2.16.840.1.113883.3.239.13.43 ca-onOCPLN Canada, Ontario, College of Pharmacists Licence Number Standards Infodesk masked eHealth Ontario P.O. Box 148 777 Bay Street, Suite 701 Toronto, Ontario M5G 2C8 4165866500 masked Standards eHealth Ontario P.O. Box 148 777 Bay Street, Suite 701 Toronto, Ontario M5G 2C8 4165866500 architecture@ehealthontario.on.ca http://www.ehealthontario.on.ca/ Govt body 2.16.840.1.113883.3.239 Ext 4 Complete 2.16.840.1.113883.3.239.13.43 2017/01/12 12:00:00 2017/01/12 12:00:00 2017/01/12 02:30:11 UV 2.16.840.1.113883.3.239.13.44 ca-onOCSWSSWRN Canada, Ontario, College of Social Workers and Social Service Workers Registration Number Standards Infodesk masked eHealth Ontario P.O. Box 148 777 Bay Street, Suite 701 Toronto, Ontario M5G 2C8 4165866500 masked Standards eHealth Ontario P.O. Box 148 777 Bay Street, Suite 701 Toronto, Ontario M5G 2C8 4165866500 architecture@ehealthontario.on.ca http://www.ehealthontario.on.ca/ Govt body 2.16.840.1.113883.3.239 Ext 4 Complete 2.16.840.1.113883.3.239.13.44 2017/01/12 12:00:00 2017/01/12 12:00:00 2017/01/12 02:44:23 UV 2.16.840.1.113883.3.239.13.54 ca-onCHORN Canada, Ontario, College of Homeopaths Registration Number Standards Infodesk masked eHealth Ontario P.O. Box 148 777 Bay Street, Suite 701 Toronto, Ontario M5G 2C8 4165866500 masked Standards eHealth Ontario P.O. Box 148 777 Bay Street, Suite 701 Toronto, Ontario M5G 2C8 4165866500 architecture@ehealthontario.on.ca http://www.ehealthontario.on.ca/ Govt body 2.16.840.1.113883.3.239 Ext 4 Complete 2.16.840.1.113883.3.239.13.54 2017/01/12 12:00:00 2017/01/12 12:00:00 2017/01/12 02:48:42 UV 2.16.840.1.113883.3.239.13.55 ca-onCOKORN Canada, Ontario, College of Kinesiologists Registration Number Standards Infodesk masked eHealth Ontario P.O. Box 148 777 Bay Street, Suite 701 Toronto, Ontario M5G 2C8 4165866500 masked Standards eHealth Ontario P.O. Box 148 777 Bay Street, Suite 701 Toronto, Ontario M5G 2C8 4165866500 architecture@ehealthontario.on.ca http://www.ehealthontario.on.ca/ Govt body 2.16.840.1.113883.3.239 Ext 4 Complete 2.16.840.1.113883.3.239.13.55 2017/01/12 12:00:00 2017/01/12 12:00:00 2017/01/12 02:52:13 UV 2.16.840.1.113883.3.239.13.56 ca-onCRPORN Canada, Ontario, College of Registered Psychotherapists Registration Number Standards Infodesk masked eHealth Ontario P.O. Box 148 777 Bay Street, Suite 701 Toronto, Ontario M5G 2C8 4165866500 masked Standards eHealth Ontario P.O. Box 148 777 Bay Street, Suite 701 Toronto, Ontario M5G 2C8 4165866500 architecture@ehealthontario.on.ca http://www.ehealthontario.on.ca/ Govt body 2.16.840.1.113883.3.239 Ext 4 Complete 2.16.840.1.113883.3.239.13.56 2017/01/12 12:00:00 2017/01/12 12:00:00 2017/01/12 02:58:44 UV 2.16.840.1.113883.3.239.13.61 ca-onCOCOORN Canada, Ontario, College of Chiropodists Registration Number Standards Infodesk masked eHealth Ontario P.O. Box 148 777 Bay Street, Suite 701 Toronto, Ontario M5G 2C8 4165866500 masked Standards eHealth Ontario P.O. Box 148 777 Bay Street, Suite 701 Toronto, Ontario M5G 2C8 4165866500 architecture@ehealthontario.on.ca http://www.ehealthontario.on.ca/ Govt body 2.16.840.1.113883.3.239 Ext 4 Retired 2.16.840.1.113883.3.239.13.61 2017/01/12 12:00:00 2017/01/12 12:00:00 2018/11/08 11:38:42 UV 2.16.840.1.113883.3.239.13.76 ca-onOCPPAN Canada, Ontario, College of Pharmacists, Pharmacy Accreditation Number Standards Infodesk masked eHealth Ontario P.O. Box 148 777 Bay Street, Suite 701 Toronto, Ontario M5G 2C8 4165866500 masked Standards eHealth Ontario P.O. Box 148 777 Bay Street, Suite 701 Toronto, Ontario M5G 2C8 4165866500 architecture@ehealthontario.on.ca http://www.ehealthontario.on.ca/ Govt body 2.16.840.1.113883.3.239 Ext 4 Complete 2.16.840.1.113883.3.239.13.76 2017/01/12 12:00:00 2017/01/12 12:00:00 2017/01/12 03:09:22 UV 2.16.840.1.113883.3.239.13.52 ca-onRCDSOLN Canada, Ontario, Royal College of Dental Surgeons Licence Number Standards Infodesk masked eHealth Ontario P.O. Box 148 777 Bay Street, Suite 701 Toronto, Ontario M5G 2C8 4165866500 masked Standards eHealth Ontario P.O. Box 148 777 Bay Street, Suite 701 Toronto, Ontario M5G 2C8 4165866500 architecture@ehealthontario.on.ca http://www.ehealthontario.on.ca/ Govt body 2.16.840.1.113883.3.239 Ext 4 Complete 2.16.840.1.113883.3.239.13.52 2017/01/12 12:00:00 2017/01/12 12:00:00 2017/01/12 03:24:06 UV 2.16.840.1.113883.3.7165 cloudpractice Cloud Practice Inc Conan Morris masked Hardie Schmitt #302 - 31 Bastion Square,&#160;Victoria BC Canada,&#160;V8W1J1 888.686.8560 x.709 masked Cloud Practice Inc #302 - 31 Bastion Square,&#160;Victoria BC Canada,&#160;V8W1J1 888.686.8560 info@cloudpractice.ca http://www.cloudpractice.ca Vendor Int 3 Complete 2017/01/12 12:00:00 2017/01/12 12:00:00 2020/10/06 05:51:57 UV 2.16.840.1.113883.4.899 xchangeworx Xchangeworx Stephen MacMinn masked Stephen MacMinn 80 Wolf Rd Albany, NY 12205 5186400040 masked Xchangeworx Inc 80 Wolf Rd Albany, NY 12205 5186400040 smacminn@xchangeworx.com Vendor Int 3 Complete 2017/01/13 12:00:00 2017/01/17 12:00:00 2017/01/17 03:04:25 UV 2.16.840.1.113883.3.7166 rmh-IN Rush Memorial Hospital Jim Boyer masked Jim Boyer 1300 North Main Street Rushville, IN 46173 765-932-7422 masked CIO Rush Memorial Hospital 1300 North Main Street Rushville, IN 46173 765-932-4111 jim.boyer@rushmemorial.com https://www.rushmemorial.com Provider Int 3 Complete 2017/01/13 12:00:00 2017/01/13 12:00:00 2017/01/13 07:31:05 UV 2.16.840.1.113883.3.7167 abhscsb Advantage Behavioral Health Systems Anne Campbell masked Anne Campbell 250 North Ave Athens, GA 30601 706-389-6767 678-622-3307 masked Information Systems Director Advantage Behavioral Health Systems 250 North Ave Athens, GA 30601 706-389-6767 678-622-3307 acampbell@advantagebhs.org https://www.advantagebhs.org/ Provider Int 3 Complete 2017/01/13 12:00:00 2017/01/13 12:00:00 2017/01/13 07:35:04 UV 2.16.840.1.113883.10.21 hl7RxTemplatesRoot HL7 Pharmacy Workgroup Registered Templates Root William Ted Klein masked Kai Heitmann Melva Peters Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 734-677-7777 masked Pharmacy WG Co Chair HL7 Pharmacy WorkGroup Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 734-677-7777 hq@hl7.org http://www.hl7.org/Special/committees/medication/leadership.cfm HL7 body 2.16.840.1.113883 Ext 10 Complete 2.16.840.1.113883.10.21 2017/01/16 12:00:00 2022/04/30 12:00:00 2022/04/30 04:06:06 UV 2.16.840.1.113883.3.7168 pmg-az Phoenix Medical Group Douglas Robb masked Douglas Robb 9145 W Thunderbird Rd Suite #101 Peoria, AZ 85381 6238157800 masked IT Manager Phoenix Medical Group 9145 W Thunderbird Rd Suite #101 Peoria, AZ 85381 6238157800 drobb@phoenixmedicalgroup.com http://www.phoenixmedicalgroup.com Provider Int 3 Complete 2017/01/16 12:00:00 2017/01/16 12:00:00 2017/01/16 09:06:03 UV 2.16.840.1.113883.3.7169 nfmmcOID Niagara Falls Memorial Medical Center OID Diane Pratt masked Peggy.Grandinetti@nfmmc.org Diane Pratt 621 Tenth St Niagara Falls, NY 14302 716-278-4872 masked IT Applications Manager Niagara Falls Memorial Medical Center 621 Tenth St Niagara Falls, NY 14302 716-278-4872 diane.pratt@nfmmc.org Provider Int 3 Complete 2017/01/16 12:00:00 2017/01/16 12:00:00 2017/01/16 09:20:30 UV 2.16.840.1.113883.3.7170 hhfl Highlands Health for Life Whitney Kennedy masked Whitney Kennedy 4104 Tejon St Denver, CO 80211 303-949-9171 masked Owner Highlands Health for Life 4104 Tejon St Denver, CO 80211 303-381-3700 whitneykennedymd@gmail.com https://www.highlandshealthforlife.com Provider Int 3 Complete 2017/01/16 12:00:00 2017/01/16 12:00:00 2017/01/16 09:23:05 UV 2.16.840.1.113883.3.7171 hhs325 Hendrick Health System Matt Pace masked Matt Pace 1900 Pine St. Abilene, Texas 79601 3256704307 masked System Engineer III Hendrick Health System 1900 Pine St. Abilene, Texas 79601 3256704307 mpace@hendrickhealth.org http://www.ehendrick.org/Main/Home.aspx Provider Int 3 Complete 2017/01/16 12:00:00 2017/01/16 12:00:00 2017/01/16 09:27:27 UV 2.16.840.1.113883.3.7172 ghhlivedata Greater Houston Healthconnect Live Warren Clifford masked Warren Clifford 1213 Hermann Dr, Suite 135 Houston, Texas 77004 832-564-2599 masked Chief Technical Officer Greater Houston Healthconnect 1213 Hermann Dr, Suite 135 Houston, Texas 77004 832-564-2599 warren.clifford@ghhconnect.org http://ghhconnect.org Provider Int 3 Complete 2017/01/16 12:00:00 2017/01/16 12:00:00 2017/01/16 09:29:57 US 2.16.840.1.113883.3.2402.200.6899 physicans-computer-company-clients-wrpam Physician's Computer Company (PCC) Clients West Rock Pediatrics and Adolescent Medicine Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6899 2017/01/17 12:00:00 2017/01/17 12:00:00 2017/01/17 02:47:43 UV 2.16.840.1.113883.3.7173 sjcpcsouth169 SJC Primary Care South Hwy 169 Kelli Johnson masked Kelli Johnson 1923 S Utica Ave Tulsa, OK 74104 918-748-3131 masked Data Analyst SJC Primary Care South Hwy 169 9940 E 81st St Tulsa, OK 74133 918-664-9881 ahisha.peters@sjmc.org Provider Int 3 Complete 2017/01/17 12:00:00 2017/01/17 12:00:00 2017/01/17 02:52:50 UV 2.16.840.1.113883.3.7174 avitacsb Avita Community Partners CSB Anne Campbell masked Anne Campbell 4331 Thurmon Tanner Parkway Flowery Branch, GA 30542 678-622-3307 masked Information Systems Director Avita Community Partners 4331 Thurmon Tanner Parkway Flowery Branch, GA 30542 678-513-5700 anne.campbell@avitapartners.org http://www.avitapartners.org/ Provider Int 3 Complete 2017/01/18 12:00:00 2017/01/18 12:00:00 2017/01/18 12:04:33 UV 2.16.840.1.113883.3.7175 dsh94 Dunes Surgical Hospital Cynthia Meyer masked Cynthia Meyer 600 Sioux POint Road Dakota Dunes, SD 57049 605-232-3332 masked Director of HIM/Front Office/EMR Dunes Surgical Hospital 600 Sioux Point Road Dakota Dunes, SD 57049 605-232-3332 cmeyer@uspi.com https://dunessurgicalhospital.com Provider Int 3 Complete 2017/01/18 12:00:00 2017/01/18 12:00:00 2017/01/18 12:07:41 UV 2.16.840.1.113883.3.7176 tsoft epcr SHAWN OOSTERLINCK masked SHAWN ROBERT OOSTERLINCK 1111 W Centre Ave, Portage, MI 49024 2693663060 masked CTO Traumasoft 1111 W Centre Ave, Portage, MI 49024 2693663060 shawn@traumasoft.com http://www.traumasoft.com Provider Int 3 Complete 2017/01/18 12:00:00 2017/01/18 12:00:00 2017/01/18 12:44:52 US 2.16.840.1.113883.3.7177 accm1234 Asian Community Care Management, Inc. Ahnchi Huang masked Ahnchi Huang 7183536788 masked HR/Office Manager Asian Community Care Management, Inc. 224 w35th street suite 705 New York, NY 10001 7183536788 angelh@accmcare.com Vendor Int 3 Complete 2017/01/18 12:00:00 2017/01/18 12:00:00 2017/02/06 11:30:05 UV 2.16.840.1.113883.3.7178 associatednephrology Associated Nephrology Consultants Root OID Travis Forgey masked Travis Forgey 1997 Sloan Place, Suite 17 Maplewood, MN 55117 651-842-3345 masked Practice Manager Associated Nephrology Consultants 1997 Sloan Place, Suite 17 Maplewood, MN 55117 651-772-6251 travis@hmr.net https://www.ancmn.com Provider Int 3 Complete 2017/01/19 12:00:00 2017/01/19 12:00:00 2017/01/19 02:55:19 UV 2.16.840.1.113883.3.7179 kIDSandTeensPediatricsofDover Kids and Teens Pediatrics of Dover Patrick Schliesing masked Amal Fouad 938 S. Bradford Street Dover, DE 19904 3025385624 masked Practice Manager Kids and Teens Pediatrics of Dover amalf2007@aol.com http://www.kidsandteenspeds.com/ Provider Int 3 Complete 2017/01/19 12:00:00 2017/01/19 12:00:00 2017/01/19 03:02:56 UV 2.16.840.1.113883.3.7180 sscs Suburban Surgical Care Specialist Sherri Davenport masked Sherri Davenport 4885 Hoffman Blvd. Suite 400 Hoffman Estates, IL 60192 847-255-9697 masked Practice Manager Suburban Surgical Care Specialist 4885 Hoffman Blvd. Suite 400 Hoffman Estates, IL 60192 847-255-9697 sadavenport@suburbansurgicalcare.com https://www.suburbansurgicalcare.com Provider Int 3 Complete 2017/01/19 12:00:00 2017/01/19 12:00:00 2017/01/19 03:08:42 UV 2.16.840.1.113883.3.7181 delawareFootandAnkleGroup Delaware Foot and Ankle Group Patrick Schliesing masked Michele Tobiason Delaware Foot and Ankle Group Glasgow Medical Center 2600 Glasgow Avenue, Suite 101 Newark, DE 19702 (302) 834-3575 masked Practice Manager Delaware Foot and Ankle Group defootandankle@comcast.net http://www.defootandanklegroup.net/ Provider Int 3 Complete 2017/01/19 12:00:00 2017/01/19 12:00:00 2017/01/19 03:13:33 UV 2.16.840.1.113883.3.7182 l-LABOID OID for Lab testing system Yohei Nishioka masked Yohei Nishioka 4-7-127 Asahigaoka Hino Tokyo Pref. 81+09-9810-7586 masked Solution Architect Yohei Nishioka 4-7-127 Asahigaoka Hino Tokyo Pref. 81+09-9810-7586 yohei.nishioka@ge.com Vendor Int 3 Complete 2017/01/20 12:00:00 2017/01/21 12:00:00 2017/01/21 07:23:06 UV 2.16.840.1.113883.3.7183 dEMCRAIG Dignity Health Emerus - Craig Ranch Linda Barrie masked Linda Barrie (818) 885-3509 masked Dignity Health Emerus - Craig Ranch 1550 W. Craig Ranch Las Vegas, NV 89032 (818) 885-3509 linda.barrie@dignityhealth.org http://www.dignityhealth.org Provider Int 3 Complete 2017/01/20 12:00:00 2017/01/21 12:00:00 2017/01/21 07:25:18 UV 2.16.840.1.113883.3.7184 dulceA1377 Dulce Almanzar MD PC Dulce Almanzar masked Eduardo Marroquin 6316473265 masked Manager Dulce Almanzar MD PC 1377 5th Ave Bayshore, NY 11706 6316473265 wecare@integrateddoc.com Provider Int 3 Complete 2017/01/24 12:00:00 2017/01/25 12:00:00 2017/01/25 08:45:35 UV 2.16.840.1.113883.3.7185 oih-nw Orthoindy Hospital Tracey Clark masked Tracey Clark 3178022056 masked Orthoindy Hospital 8400 Northwest Blvd Indianapolis, IN 46278 3179561000 tclark@orthoindy.com Provider Int 3 Complete 2017/01/24 12:00:00 2017/01/25 12:00:00 2017/01/25 08:49:53 UV 2.16.840.1.113883.3.7186 mhcd Mental Health Center of Denver Brandon Ward masked Brandon Ward 4141 E. Dickenson Pl. Denver, CO 80222 3035046716 masked Information Systems Project Director Mental Health Center of Denver 4141 E. Dickenson Pl. Denver, CO 80222 3035046716 brandon.ward@mhcd.org http://www.mhcd.org Provider Int 3 Complete 2017/01/25 12:00:00 2017/01/25 12:00:00 2017/01/25 10:25:22 UV 2.16.840.1.113883.3.7187 dashealth DASHealth Derick Miller masked Derick Miller 1000 N Ashley Dr. Tampa, FL 33602 704-499-9154 masked Director of Inetgrations DASHealth 1000 N Ashley Dr. Tampa, FL 33602 8137749800 derick.miller@dashealth.com https://www.dashealth.com Provider Int 3 Complete 2017/01/25 12:00:00 2017/01/25 12:00:00 2017/01/25 12:48:16 UV 2.16.840.1.113883.3.7188 chapinhome Chapin Home for the Aging William O'Hara masked William B. O'Hara Chapin Home for the Aging 165-01 Chapin Parkway Jamaica, NY 11432 718-739-2523 x2016 masked CFO Chapin Home for the Aging Chapin Home for the Aging 165-01 Chapin Parkway Jamaica, NY 11432 718-739-2523 wohara@chapinhome.org http://www.chapinhome.org/ Provider Int 3 Complete 2017/01/25 12:00:00 2017/01/25 12:00:00 2017/01/25 12:52:59 UV 2.16.840.1.113883.3.7189 ukhc-Kentucky University of Kentucky Health Care John Baston masked John Baston 245 Fountain Court Lexington, KY 40511 859-323-9655 masked UKHC Data Analysist University of Kentucky Health Care 245 Fountain Court Lexington, KY 40511 859-323-9655 jabast@uky.edu Prof Soc Int 3 Complete 2017/01/25 12:00:00 2017/01/25 12:00:00 2017/01/25 07:37:22 UV 2.16.840.1.113883.3.7190 amcggh Grady General Hospital Leonard Howard masked Leonard Howard Archbold Medical Center Information Services Administrative Services Building 900 Cairo Road Thomasville, Georgia 31792 229.227.5154 masked Director of Corporate Services Archbold Medical Center Information Services Administrative Services Building 900 Cairo Road Thomasville, Georgia 31792 229.227.5154 wlhoward@archbold.org http://www.archbold.org Provider 2.16.840.1.113883.3.5013 Int 3 Complete 2017/01/26 12:00:00 2017/01/26 12:00:00 2017/01/26 05:20:21 UV 2.16.840.1.113883.3.7191 amcmch Mitchell County Hospital Leonard Howard masked Leonard Howard Archbold Medical Center Information Services Administrative Services Building 900 Cairo Road Thomasville, Georgia 31792 229.227.5154 masked Director of Corporate Services Archbold Medical Center Information Services Administrative Services Building 900 Cairo Road Thomasville, Georgia 31792 229.227.5154 wlhoward@archbold.org http://www.archbold.org Provider 2.16.840.1.113883.3.5013 Int 3 Complete 2017/01/26 12:00:00 2017/01/26 12:00:00 2017/01/26 05:24:14 UV 2.16.840.1.113883.3.7192 amcbch Brooks County Hospital Leonard Howard masked Leonard Howard Archbold Medical Center Information Services Administrative Services Building 900 Cairo Road Thomasville, Georgia 31792 229.227.5154 masked Director of Corporate Services Archbold Medical Center Information Services Administrative Services Building 900 Cairo Road Thomasville, Georgia 31792 229.227.5154 wlhoward@archbold.org http://www.archbold.org Provider 2.16.840.1.113883.3.5013 Int 3 Complete 2017/01/26 12:00:00 2017/01/26 12:00:00 2017/01/26 05:25:30 UV 2.16.840.1.113883.3.7193 scdhs Suffolk County Dept of Health Services Barbara Russo masked Barbara Russo Suffolk County Dept of Health 3500 Sunrise Hwy, Suite 124 P.O. Box 9006 Great River, NY 11739-9006 631-853-8533 masked Suffolk County Dept of Health Suffolk County Dept of Health 3500 Sunrise Hwy, Suite 124 P.O. Box 9006 Great River, NY 11739-9006 631-853-8500 annmarie.csorny@suffolkcountyny.gov http://www.suffolkcountyny.gov/Departments/HealthServices.aspx Govt body Int 3 Complete 2017/01/26 12:00:00 2017/01/26 12:00:00 2017/01/26 05:29:58 UV 2.16.840.1.113883.4.900 eMedSolutions eMed Solutions LLC Atul Kukreja masked Atul Kukreja 1636 Lookout Cir Waxhaw, NC 28173 USA 7048432374 masked President eMed Solutions LLC 1636 Lookout Cir Waxhaw, NC 28173 USA 7048432374 ak@emedsolutionsllc.com http://www.emedsolutionsllc.com Vendor Int 3 Complete 2017/01/26 12:00:00 2017/01/31 12:00:00 2017/01/31 09:07:54 UV 2.16.840.1.113883.3.2402.300.20 physicans-computer-company-vendors-bbpl Physician's Computer Company (PCC) Vendors Boyce and Bynum Pathology Laboratories Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.300.20 2017/01/27 12:00:00 2017/01/27 12:00:00 2017/01/27 03:36:41 UV 2.16.840.1.113883.3.7194 openmrs Open Medical Record System Burke Mamlin masked Burke Mamlin 1101 W 10th St Indianapolis, IN 46202 317-274-9000 masked OpenMRS c/o Theresa Props, CPA 10425 Commerce Dr. Ste. 110 Carmel, IN 46032-7643 +1-405-362-6677 community@openmrs.org http://openmrs.org/ Academic Int 3 Complete 2017/01/27 12:00:00 2017/01/27 12:00:00 2017/01/27 03:42:47 UV 2.16.840.1.113883.3.7195 nelsonsanchezmd Nelson Sanchez OID Root Liset Gamez masked Liset Gamez 8720 N.Kendall Drive suite 211 Miami, FL 33176 305-273-3007 masked Oficce Manager Nelson Sanchez, MD. PA. 8720 N.Kendall Drive suite 211 Miami, FL 33176 305-273-3007 childneuromia@bellsouth.net Provider Int 3 Complete 2017/01/30 12:00:00 2017/01/31 12:00:00 2017/01/31 08:54:34 UV 2.16.840.1.113883.3.7196 newyorkcomprehensivecare New York Comprehensive Medical Care OID Root Adalbert Pilip masked Paola Frey 631-656-9040 masked ma New York Comprehensive Medical Care 732 Smithtown Bypass Suite 200 Smithtown, NY 11787 631-656-9040 Apilip@newyorkcmc.com http://www.newyorkcmc.com/ Provider Int 3 Complete 2017/01/31 12:00:00 2017/01/31 12:00:00 2017/01/31 03:59:21 UV 2.16.840.1.113883.3.7197 sidra Sidra Medical and Research Center Paul Marriott masked Paul Marriott eHealth Dept Sidra Medical and Research Center Education City Doha Qatar 00974 77101585 masked e-Health Integration and Innovation Manager Sidra Medical and Research Center sidra_cloverleaf_support@sidra.org http://www.sidra.org/ Provider Int 3 Complete 2017/01/31 12:00:00 2017/02/01 12:00:00 2017/02/01 11:00:32 UV 2.16.840.1.113883.3.7198 hmcqatar Hamad Medical Corporation Sudhir Murikenchery masked Murikencher Sudhir 0097455315262 masked Hamad Medical Corporation HICT Departemt Hamad Medical COrp PO BOX 3050 DOHA Qatar msudhir@hamad.qa Govt body Int 3 Complete 2017/02/01 12:00:00 2017/02/01 12:00:00 2017/02/01 11:03:27 UV 2.16.840.1.113883.3.7199 renaissanceORTHOINST Orthopedic Institute at Renaissance OID Root Priscilla Peralez masked Jessica De Leon 800 East Dove, St. A McAllen, TX 78504 9566642600 masked Office Manager Orthopedic Institute at Renaissance 800 East Dove, St. A McAllen, TX 78504 9566642600 je.deleon@dhr-rgv.com Provider Int 3 Complete 2017/02/01 12:00:00 2017/02/01 12:00:00 2017/02/01 11:08:15 UV 2.16.840.1.113883.3.7200 renaissanceCOUNSELINGPHARR Renaissance Counseling Center - Pharr OID Root Priscilla Peralez masked Monica Torrez 1002 W. Sam Houston, Ste. 10 Pharr, TX 78577 9569614691 masked Office Contact Renaissance Counseling Center - Pharr 1002 W. Sam Houston, Ste. 10 Pharr, TX 78577 9569614691 m.torrez@dhr-rgv.com Provider Int 3 Complete 2017/02/01 12:00:00 2017/02/01 12:00:00 2017/02/01 11:34:47 UV 2.16.840.1.113883.3.7201 ciel Columbia International eHealth Lab Andrew Kanter masked Andrew Kanter Department of Biomedical Informatics Columbia University Medical Center 622 W. 168th Street, Presbyterian Building 20th Floor New York, NY 10032 6464692421 masked Assistant Professor Columbia International eHealth Laboratory ask2164@cumc.columbia.edu Academic Int 3 Complete 2017/02/02 12:00:00 2017/02/02 12:00:00 2017/02/02 09:17:16 UV 2.16.840.1.113883.3.7202 careport2017 Carespring-Careport-Interface William Noffsinger masked William 390 Wards Corner Road Loveland, Ohio 45140 513-500-6734 masked Director of Information Technology Carespring Health Care Management, LLC 390 Wards Corner Road Loveland, Ohio 45140 513-943-4000 william.noffsinger@carespring.com http://www.carespring.com Provider Int 3 Complete 2017/02/02 12:00:00 2017/02/02 12:00:00 2017/02/02 09:19:41 US 2.16.840.1.113883.3.7203 nrpc NorthRiver Primary Care Associates OID Root Heather Sheffield masked Heather Sheffield NorthRiver Primary Care Associates Attn: Heather Sheffield 1325 McFarland Blvd., Suite 104 Northport, AL 35476 205-330-5266 masked Office Manager NORTHRIVER PRIMARY CARE ASSOCIATES 1325 MCFARLAND BLVD SUITE 104 Northport, AL 35476 2053305266 nr.primarycare@gmail.com http://northriverpca.com HL7 body Int 3 Complete 2017/02/03 12:00:00 2017/02/03 12:00:00 2017/02/08 04:19:32 US 2.16.840.1.113883.3.7204 sequoia The Sequoia Project Assigning Authority Root OID Eric Heflin masked Eric Heflin The Sequoia Project ATTN: Eric Heflin, CTO/CIO 8300 Boone Blvd., Suite 500 Vienna, Virginia, 22182 USA 571.327.3638 masked CTO/CIO The Sequoia Project The Sequoia Project ATTN: Eric Heflin, CTO/CIO 8300 Boone Blvd., Suite 500 Vienna, Virginia, 22182 USA 571.327.3638 admin@sequoiaproject.org http://www.sequoiaproject.org Exchange Int 3 Complete 2017/02/03 12:00:00 2017/02/03 12:00:00 2017/02/03 11:18:21 UV 2.16.840.1.113883.3.7205 acadia Riverhead Care Center, LLC d/b/a Acadia Center for Nursing and Rehabilitation Mary Ann Mangels masked Mary Ann Mangels 1146 Woodcrest Avenue Riverhead, NY 11901 631-727-4400 masked Administrator Riverhead Care Center, LLC d/b/a Acadia Center for Nursing and Rehabilitation 1146 Woodcrest Avenue Riverhead, NY 11901 631-727-4400 mmangels@acadiacenter.com https://www.acadiacenter.com Provider Int 3 Complete 2017/02/03 12:00:00 2017/02/03 12:00:00 2017/02/03 01:07:51 UV 2.16.840.1.113883.4.901 ca-NTAND Northwest Territories Association of Naturopathic Doctors Johanne C&#244;t&#233; masked Johanne C&#244;t&#233; 630 Ren&#233;-L&#233;vesque Blvd West 22th floor Montr&#233;al (Quebec) H3B 1S6 514 665-4174 masked Senior Business Analyst Northwest Territories Association of Naturopathic Doctors P.O. Box 1401, 4907-47th Street Yellowknife, NT, X1A 2P1 (867) 873-3669 ntand@hotmail.ca https://nwtand.wordpress.com/ Vendor Int 4 Complete 2017/02/03 12:00:00 2017/02/03 12:00:00 2017/02/03 02:29:41 UV 2.16.840.1.113883.4.902 ca-AMIS-N Agence pour massoth&#233;rapeutes et intervenants en sant&#233; naturelle Johanne C&#244;t&#233; masked Johanne C&#244;t&#233; 630 Ren&#233;-L&#233;vesque Blvd West 22th floor Montr&#233;al, QC H3B 1S6 514 665-4174 masked Senior Business Analyst Agence pour massoth&#233;rapeutes et intervenants en sant&#233; naturelle agence@amis-n.com http://www.amis-n.com/ Vendor Int 4 Complete 2017/02/03 12:00:00 2017/02/03 12:00:00 2017/02/03 03:58:49 UV 2.16.840.1.113883.4.903 ca-ACTMD Association canadienne des th&#233;rapeutes en m&#233;decines douces Johanne C&#244;t&#233; masked Johanne C&#244;t&#233; 630 Ren&#233;-L&#233;vesque Blvd West 22th floor Montr&#233;al, QC H3B 1S6 514 665-4174 masked Senior Business Analyst Association canadienne des th&#233;rapeutes en m&#233;decines douces info@actmd.org http://www.actmd.org/ Vendor Int 4 Complete 2017/02/03 12:00:00 2017/02/03 12:00:00 2017/02/03 04:02:13 UV 2.16.840.1.113883.3.7206 ccb Community Care of Brooklyn Brian Pisano masked Michael Carbery Brian Pisano 6323 7th Avenue Brooklyn, NY 11220 718-283-7606 masked Product and Implementation Manager Maimonides Medical Center 4802 10th Avenue Brooklyn, NY 11219 718-283-6000 healthhome@maimonidesmed.org https://www.maimonidesmed.org Provider 2.16.840.1.113883.4.367 Int 3 Complete 2017/02/03 12:00:00 2017/02/03 12:00:00 2017/02/03 04:05:29 UV 2.16.840.1.113883.4.904 ca-ACDM Association canadienne des massoth&#233;rapeutes et autres th&#233;rapeutes en m&#233;decine alternative Johanne C&#244;t&#233; masked Johanne C&#244;t&#233; 630 Ren&#233;-L&#233;vesque Blvd West 22th floor Montr&#233;al, QC H3B 1S6 514 665-4174 masked Senior Business Analyst Association canadienne des massoth&#233;rapeutes et autres th&#233;rapeutes en m&#233;decine alternative info@actmd.org http://www.actmd.org/ Vendor Int 4 Complete 2017/02/03 12:00:00 2017/02/03 12:00:00 2017/02/03 04:09:35 UV 2.16.840.1.113883.4.905 ca-AMTMC Association des massologues et techniciens en massage du Canada Johanne C&#244;t&#233; masked Johanne C&#244;t&#233; 630 Ren&#233;-L&#233;vesque Blvd West 22th floor Montr&#233;al, QC H3B 1S6 514 665-4174 masked Senior Business Analyst Association des massologues et techniciens en massage du Canada not.available@gmail.com http://www.ampq-pmaq.ca/ Vendor Int 4 Complete 2017/02/03 12:00:00 2017/02/03 12:00:00 2017/02/03 04:14:38 UV 2.16.840.1.113883.4.906 ca-SPMQ Syndicat professionnel des massoth&#233;rapeutes du Qu&#233;bec Johanne C&#244;t&#233; masked Johanne C&#244;t&#233; 630 Ren&#233;-L&#233;vesque Blvd West 22th floor Montr&#233;al, QC H3B 1S6 514 665-4174 masked Senior Business Analyst Syndicat professionnel des massoth&#233;rapeutes du Qu&#233;bec not.available@gmail.com http://spmq.cpmdq.com/ Vendor Int 4 Complete 2017/02/03 12:00:00 2017/02/03 12:00:00 2017/02/03 04:34:14 UV 2.16.840.1.113883.4.907 ca-CPMDQ Corporation des praticiens en m&#233;decines douces du Qu&#233;bec Johanne C&#244;t&#233; masked Johanne C&#244;t&#233; 630 Ren&#233;-L&#233;vesque Blvd West 22th floor Montr&#233;al, QC H3B 1S6 514 665-4174 masked Senior Business Analyst Corporation des praticiens en m&#233;decines douces du Qu&#233;bec info@cpmdq.com http://www.cpmdq.com/ Vendor Int 4 Complete 2017/02/03 12:00:00 2017/02/03 12:00:00 2017/02/03 04:35:58 UV 2.16.840.1.113883.4.908 ca-impq Institut des massoth&#233;rapeutes professionnels du Qu&#233;bec Johanne C&#244;t&#233; masked Johanne C&#244;t&#233; 630 Ren&#233;-L&#233;vesque Blvd West 22th floor Montr&#233;al, QC H3B 1S6 514 665-4174 masked Senior Business Analyst Institut des massoth&#233;rapeutes professionnels du Qu&#233;bec not.available@gmail.com http://www.massotherapiequebec.com/ Vendor Int 4 Complete 2017/02/03 12:00:00 2017/02/03 12:00:00 2017/02/03 04:40:46 UV 2.16.840.1.113883.4.909 ca-amtmdl Association des massoth&#233;rapeutes et th&#233;rapeutes en massage et drainage lymphatique Johanne C&#244;t&#233; masked Johanne C&#244;t&#233; 630 Ren&#233;-L&#233;vesque Blvd West 22th floor Montr&#233;al, QC H3B 1S6 514 665-4174 masked Senior Business Analyst Association des massoth&#233;rapeutes et th&#233;rapeutes en massage et drainage lymphatique info@amtmdl.ca http://www.amtmdl.ca/ Vendor Int 4 Complete 2017/02/03 12:00:00 2017/02/03 12:00:00 2017/02/03 04:47:20 UV 2.16.840.1.113883.4.910 ca-amdq Alliance des massoth&#233;rapeutes du Qu&#233;bec Johanne C&#244;t&#233; masked Johanne C&#244;t&#233; 630 Ren&#233;-L&#233;vesque Blvd West 22th floor Montr&#233;al, QC H3B 1S6 514 665-4174 masked Senior Business Analyst Alliance des massoth&#233;rapeutes du Qu&#233;bec info@massotherapeutes.qc.ca http://www.massotherapeutes.qc.ca/ Vendor Int 4 Complete 2017/02/03 12:00:00 2017/02/03 12:00:00 2017/02/03 04:52:41 UV 2.16.840.1.113883.4.911 ca-snmq Soci&#233;t&#233; nouvelle de massoth&#233;rapie du Qu&#233;bec Johanne C&#244;t&#233; masked Johanne C&#244;t&#233; 630 Ren&#233;-L&#233;vesque Blvd West 22th floor Montr&#233;al, QC H3B 1S6 514 665-4174 masked Senior Business Analyst Soci&#233;t&#233; nouvelle de massoth&#233;rapie du Qu&#233;bec info@massotherapieadam.com http://www.massotherapieadam.com/ Vendor Int 4 Complete 2017/02/03 12:00:00 2017/02/03 12:00:00 2017/02/03 04:59:49 UV 2.16.840.1.113883.4.912 ca-cmkq Coll&#232;ge des masso-kin&#233;sith&#233;rapeutes du Qu&#233;bec Johanne C&#244;t&#233; masked Johanne C&#244;t&#233; 630 Ren&#233;-L&#233;vesque Blvd West 22th floor Montr&#233;al, QC H3B 1S6 514 665-4174 masked Senior Business Analyst Coll&#232;ge des masso-kin&#233;sith&#233;rapeutes du Qu&#233;bec mcouture-masso@hotmail.com http://www.collegemassokine.com/ Vendor Int 4 Complete 2017/02/03 12:00:00 2017/02/03 12:00:00 2017/02/03 05:12:41 UV 2.16.840.1.113883.4.913 ca-RMQ Regroupement des massoth&#233;rapeutes du Qu&#233;bec Johanne C&#244;t&#233; masked Johanne C&#244;t&#233; 630 Ren&#233;-L&#233;vesque Blvd West 22th floor Montr&#233;al, QC H3B 1S6 514 665-4174 masked Senior Business Analyst Regroupement des massoth&#233;rapeutes du Qu&#233;bec anm.anpq@videotron.ca http://www.rmqmasso.ca/ Vendor Int 4 Complete 2017/02/06 12:00:00 2017/02/06 12:00:00 2017/02/06 10:27:21 UV 2.16.840.1.113883.4.914 ca-ams Association des massoth&#233;rapeutes de Shefford Johanne C&#244;t&#233; masked Johanne C&#244;t&#233; 630 Ren&#233;-L&#233;vesque Blvd West 22th floor Montr&#233;al, QC H3B 1S6 514 665-4174 masked Senior Business Analyst Association des massoth&#233;rapeutes de Shefford info@santeglobale.ca http://www.santeglobale.ca/association/details_des_associations.html Vendor Int 4 Complete 2017/02/06 12:00:00 2017/02/06 12:00:00 2017/02/06 10:29:30 UV 2.16.840.1.113883.4.915 ca-ampq Association des massoth&#233;rapeutes professionnels du Qu&#233;bec Johanne C&#244;t&#233; masked Johanne C&#244;t&#233; 630 Ren&#233;-L&#233;vesque Blvd West 22th floor Montr&#233;al, QC H3B 1S6 514 665-4174 masked Senior Business Analyst Association des massoth&#233;rapeutes professionnels du Qu&#233;bec admin@ampq-pmaq.ca http://ampq-pmaq.ca/ Vendor Int 4 Complete 2017/02/06 12:00:00 2017/02/06 12:00:00 2017/02/06 10:32:43 UV 2.16.840.1.113883.4.916 ca-aqtn Alliance Qu&#233;b&#233;coise des Th&#233;rapeutes Naturels Johanne C&#244;t&#233; masked Johanne C&#244;t&#233; 630 Ren&#233;-L&#233;vesque Blvd West 22th floor Montr&#233;al, QC H3B 1S6 514 665-4174 masked Senior Business Analyst Alliance Qu&#233;b&#233;coise des Th&#233;rapeutes Naturels Contact@AQTN.Ca http://www.aqtn.ca/ Vendor Int 4 Complete 2017/02/06 12:00:00 2017/02/06 12:00:00 2017/02/06 10:54:54 UV 2.16.840.1.113883.4.917 ca-ftm F&#233;d&#233;ration des th&#233;rapeutes en m&#233;decines alternatives Johanne C&#244;t&#233; masked Johanne C&#244;t&#233; 630 Ren&#233;-L&#233;vesque Blvd West 22th floor Montr&#233;al, QC H3B 1S6 514 665-4174 masked Senior Business Analyst F&#233;d&#233;ration des th&#233;rapeutes en m&#233;decines alternatives ftma@orthowim.quebec.ca https://ftma1.wordpress.com/ Vendor Int 4 Complete 2017/02/06 12:00:00 2017/02/06 12:00:00 2017/02/06 10:57:43 UV 2.16.840.1.113883.4.918 ca-lcsp L.C.S.P. Canadian Branch Johanne C&#244;t&#233; masked Johanne C&#244;t&#233; 630 Ren&#233;-L&#233;vesque Blvd West 22th floor Montr&#233;al, QC H3B 1S6 514 665-4174 masked Senior Business Analyst L.C.S.P. Canadian Branch lcsp.cdn.br@gmail.com http://www.lcsp.ca/ Vendor Int 4 Complete 2017/02/06 12:00:00 2017/02/06 12:00:00 2017/02/06 11:12:52 UV 2.16.840.1.113883.4.919 ca-apmcq Association provinciale des massoth&#233;rapeutes cliniciens du Qu&#233;bec Johanne C&#244;t&#233; masked Johanne C&#244;t&#233; 630 Ren&#233;-L&#233;vesque Blvd West 22th floor Montr&#233;al, QC H3B 1S6 514 665-4174 masked Senior Business Analyst Association provinciale des massoth&#233;rapeutes cliniciens du Qu&#233;bec 2748, boul Guillaume-Couture, L&#233;vis QC G6W 7Y1 418-834-5581 no.available@hotmail.ca Vendor Int 4 Complete 2017/02/06 12:00:00 2017/02/06 12:00:00 2017/02/06 11:28:06 UV 2.16.840.1.113883.3.7207 anhc Amsterdam Nursing Home Corp. Richard Pineda masked Richard Pineda 2125317884 masked Director of IT Amsterdam Nursing Home Corp. 1060 Amsterdam Avenue New York, NY 10025 2125317884 rpineda@amsterdamnh.org Provider Int 3 Complete 2017/02/06 12:00:00 2017/02/06 12:00:00 2017/02/06 11:32:42 UV 2.16.840.1.113883.2.48 hl7-Poland HL7 Poland OID Root William Ted Klein masked Roman Radomski, MD, MBA HL7 Poland ul. Cha&#322;ubi&#324;skiego 8 00-613 Warszawa POLAND +48 605 404 363 masked Affiliate Chair HL7 Poland HL7 Poland ul. Cha&#322;ubi&#324;skiego 8 00-613 Warszawa POLAND +48 605 404 363 office@hl7.org.pl http://hl7.org.pl HL7 body Int 2 Complete 2017/02/06 12:00:00 2017/02/06 12:00:00 2017/02/06 11:21:04 UV 2.16.840.1.113883.3.7208 xincon Xincon Home Health Care Services, Inc. Marcia Morgan Parker masked Elaine Lui 224W 35th Street, Suite 708 New York, NY 10001 2125609218, ext 2034 masked Coporate Compliance Manager Xincon Home Health Care Services, Inc. 224W 35th Street, Suite 708 New York, NY 10001 2125609218, ext 2022 marciam@xinconcare.com Provider Int 3 Complete 2017/02/06 12:00:00 2017/02/06 12:00:00 2017/02/06 11:49:11 UV 2.16.840.1.113883.4.920 ca-acam Association can-am&#233;ricaine des massoth&#233;rapeutes Johanne C&#244;t&#233; masked Johanne C&#244;t&#233; 630 Ren&#233;-L&#233;vesque Blvd West 22th floor Montr&#233;al, QC H3B 1S6 514 665-4174 masked Senior Business Analyst Association can-am&#233;ricaine des massoth&#233;rapeutes no.available@hotmail.ca http://www.massotherapeutes.com/ Vendor Int 4 Complete 2017/02/06 12:00:00 2017/02/06 12:00:00 2017/02/06 05:17:44 UV 2.16.840.1.113883.4.921 ca-amlq Association des massoth&#233;rapeutes licenci&#233;s du Qu&#233;bec Johanne C&#244;t&#233; masked Johanne C&#244;t&#233; 630 Ren&#233;-L&#233;vesque Blvd West 22th floor Montr&#233;al, QC H3B 1S6 514 665-4174 masked Senior Business Analyst Association des massoth&#233;rapeutes licenci&#233;s du Qu&#233;bec not.available@hotmail.ca http://www.amlq-massotherapie.com/ Vendor Int 4 Complete 2017/02/06 12:00:00 2017/02/06 12:00:00 2017/02/06 05:19:34 UV 2.16.840.1.113883.4.922 ca-ommarq Ordre des ma&#238;tres massoth&#233;rapeutes relevant de l'Acad&#233;mie de r&#233;flexologie du Qu&#233;bec Johanne C&#244;t&#233; masked Johanne C&#244;t&#233; 630 Ren&#233;-L&#233;vesque Blvd West 22th floor Montr&#233;al, QC H3B 1S6 514 665-4174 masked Senior Business Analyst Ordre des ma&#238;tres massoth&#233;rapeutes relevant de l'Acad&#233;mie de r&#233;flexologie du Qu&#233;bec not.available@hotmail.ca http://www.academiereflexologie.ca/ Vendor Int 4 Complete 2017/02/06 12:00:00 2017/02/06 12:00:00 2017/02/06 05:23:11 UV 2.16.840.1.113883.4.923 ca-akkomq Association des kin&#233;siologues, kin&#233;sith&#233;rapeutes, orthoth&#233;rapeutes, massoth&#233;rapeutes du Qu&#233;bec Johanne C&#244;t&#233; masked Johanne C&#244;t&#233; 630 Ren&#233;-L&#233;vesque Blvd West 22th floor Montr&#233;al, QC H3B 1S6 514 665-4174 masked Senior Business Analyst Association des kin&#233;siologues, kin&#233;sith&#233;rapeutes, orthoth&#233;rapeutes, massoth&#233;rapeutes du Qu&#233;bec not.available@hotmail.com http://akkomq.ca/ Vendor Int 4 Complete 2017/02/06 12:00:00 2017/02/06 12:00:00 2017/02/06 06:31:59 UV 2.16.840.1.113883.4.924 ca-ammaisnac Alliance des massoth&#233;rapeutes membres de l'A.I.S.N.A.C. Johanne C&#244;t&#233; masked Johanne C&#244;t&#233; 630 Ren&#233;-L&#233;vesque Blvd West 22th floor Montr&#233;al, QC H3B 1S6 514 665-4174 masked Senior Business Analyst Alliance des massoth&#233;rapeutes membres de l'A.I.S.N.A.C. not.available@hotmail.com http://www.massagealainalarie.com/ Vendor Int 4 Complete 2017/02/06 12:00:00 2017/02/06 12:00:00 2017/02/06 06:34:14 UV 2.16.840.1.113883.3.7209 chsli Catholic Health Services of Long Island Steve Marzari masked Steve Marzari 245 Old Country Road Melville, NY 11747 631-465-4173 masked Director of Technology and Integration Catholic Health Services of Long Island 245 Old Country Road Melville, NY 11747 Steve.Marzari@chsli.org http://www.chsli.org Provider Int 3 Complete 2017/02/06 12:00:00 2017/02/06 12:00:00 2017/02/06 06:37:40 UV 2.16.840.1.113883.9.220 pRCTI Project Renewal CTI Serafina Payne masked Serafina Payne 200 Varick Street, 9th Floor New York, NY 10014 212-620-0340 masked Project Renewal 200 Varick Street, 9th Floor New York, NY 10014 212-620-0340 Serafina.payne@projectrenewal.org Provider Int 3 Complete 2017/02/07 12:00:00 2017/02/25 12:00:00 2017/02/25 09:16:55 UV 2.16.840.1.113883.3.7210 lhm Liberty Healthcare Group Richard Gallo masked Richard Gallo 9103324927 masked VP of Information Management Liberty Healthcare Group 9103324927 rgallo@libertyhcare.com Provider Int 3 Complete 2017/02/08 12:00:00 2017/02/08 12:00:00 2017/02/08 12:04:50 UV 2.16.840.1.113883.3.7211 cbwchc Charles B. Wang Community Health Center (CBWCHC) Stephen Lam masked Stephen Lam 212-379-6988 masked Charles B. Wang Community Health Center (CBWCHC) 268 Canal Street New York, NY 10013 212-379-6988 slam@cbwchc.org Provider Int 3 Complete 2017/02/08 12:00:00 2017/02/08 12:00:00 2017/02/08 12:35:54 UV 2.16.840.1.113883.3.7212 bellevue Bellevue Heart Group OID ROOT Amanda Finney masked Amanda Finney 1016 Delaware Avenue Wilmington, DE 19806 3024684500 masked Office Manager Bellevue Heart Group 1016 Delaware Avenue Wilmington, DE 19806 3024684500 Bellevueheartgroup7@gmail.com Provider Int 3 Complete 2017/02/08 12:00:00 2017/02/08 12:00:00 2017/02/08 07:47:44 UV 2.16.840.1.113883.3.7213 professionals-womens-health Professionals for Women's Health Betsy Hackett masked Betsy Hackett 921B Jasonway Ave Columbus, OH 43214 614-2688800 ext 215 masked Professionals for Women's Health 921B Jasonway Ave Columbus, OH 43214 614-268-8800 bhackett@pwhealth.com http://www.pwhealth.com Provider Int 3 Complete 2017/02/08 12:00:00 2017/02/08 12:00:00 2017/02/08 07:50:57 UV 2.16.840.1.113883.3.7214 slcphhs Saint Louis County Public Health Roger Laaksonen masked Roger Laaksonen 320 W 2nd St Duluth, MN 55802 218-260-4445 masked Saint Louis County Public Health and Human Services LaaksonenR@stlouiscountymn.gov https://www.stlouiscountymn.gov/healthandhumanservices Govt body Int 3 Complete 2017/02/09 12:00:00 2017/02/09 12:00:00 2017/02/09 07:01:09 UV 2.16.840.1.113883.3.7215 kidsandteenspediatrics Kids and Teens Pediatrics of Dover OID Root Amal Fouad masked osama hussein Amal Fouad 938 South Bradford St, Dover, DE 19904 5712785693 masked Office Manager Kids and Teens Pediatrics of Dover Inc. 938 South Bradford St, Dover, DE 19904 3022649386 info@ktpdover.com http://wwwkidsandteenspeds.com Provider Int 3 Complete 2017/02/09 12:00:00 2017/02/09 12:00:00 2017/02/09 07:04:39 UV 2.16.840.1.113883.3.7216 caremesh careMESH Root OID Sivash Kandaswamy masked Peter Tippett Sivash Kandaswamy 12110 Sunset Hills Road, Suite 600 Reston, VA 20190 7577467896 masked VP Development & Operations careMESH 12110 Sunset Hills Road, Suite 600 Reston, VA 20190 1-703-657-9062 patrick@caremesh.com http://www.healthcelerate.com Exchange Int 3 Complete 2017/02/09 12:00:00 2017/02/09 12:00:00 2019/03/04 06:46:23 US 2.16.840.1.113883.3.7217 mandm Mitchell and McCormick Mark Bennett masked Chris Parham Chris Parham 2165 W. Park Ct. Ste. G Stone Mountain, GA 30087 8005510775 masked Mitchell and McCormick 2165 W. Park Ct. Ste. G Stone Mountain, GA 30087 8005510775 cparham@harriscomputer.com Vendor Int 3 Complete 2017/02/10 12:00:00 2017/02/10 12:00:00 2017/02/10 09:19:06 UV 2.16.840.1.113883.3.7217.91.1 mmchathamcare Chatham Care (Mitchell and McCormick) Mark Bennett masked Chris Parham Chris Parham 2165 W. Park Ct. Ste. G Stone Mountain, GA 30087 8005510775 masked Mitchell and McCormick 2165 W. Park Ct. Ste. G Stone Mountain, GA 30087 8005510775 cparham@harriscomputer.com Vendor Ext 17 Complete 2.16.840.1.113883.3.7217.91.1 2017/02/10 12:00:00 2017/02/10 12:00:00 2017/02/10 11:44:04 UV 2.16.840.1.113883.17.4185 dcmh-in Decatur County Memorial Hospital Doug Watson masked Sam Ruf Doug Watson 720 N Lincoln St Greensburg, IN 47240 8126631167 masked Systems Administrator Decatur County Memorial Hospital 720 N Lincoln St Greensburg, IN 47240 8126634331 hl7@dcmh.net http://www.dcmh.net Provider Int 17 Complete 2017/02/10 12:00:00 2017/02/10 12:00:00 2017/02/10 03:21:43 UV 2.16.840.1.113883.3.7218 peacehealthgwmpuc PeaceHealth GWMP Urgent Care Heather Tone masked Heather Tone 3400 Main St. Vancouver WA 98663 360-729-2876 masked Systems Analyst PeaceHealth 1115 SE 164th&#160;Avenue Vancouver, WA 98683 360-729-1000 htone@peacehealth.org Provider Int 3 Complete 2017/02/13 12:00:00 2017/02/14 12:00:00 2017/02/14 12:36:35 UV 2.16.840.1.113883.3.7219 peacehealthweuc PeaceHealth West Eugene Urgent Care Heather Tone masked Heather Tone 3400 Main St Vancouver, WA 98683 360-729-2876 masked System Analyst PeaceHealth 1115 SE 164th&#160;Avenue Vancouver, WA 98683 360-729-1000 htone@peacehealth.org Provider Int 3 Complete 2017/02/13 12:00:00 2017/02/14 12:00:00 2017/02/14 12:40:35 UV 2.16.840.1.113883.3.7220 kareo Kareo, Inc. OID Shirley Leong masked Shirley Leong Kareo, Inc. ATTN: Shirley Leong 600 California Street Suite 15000 San Francisco, CA 94109 4153129181 masked Senior Product Manager Kareo, Inc. 3353 Michelson Dr #400 Irvine, CA 92612 8887752736 beth.onofri@kareo.com Vendor Int 3 Complete 2017/02/13 12:00:00 2017/02/14 12:00:00 2017/02/14 12:47:50 UV 2.16.840.1.113883.3.7221 ehfm George P Dempsey MD PC Douglas Kronenberg masked Douglas Kronenberg 200 Pantigo Place Suite I East Hampton, NY 11937 6313298435 masked George P Dempsey MD PC 200 Pantigo Place Suite I East Hampton, NY 11937 6313298435 doug@netphysician.net https://www.easthamptonfamilymedicine.com Provider Int 3 Complete 2017/02/14 12:00:00 2017/02/14 12:00:00 2017/02/14 01:41:54 UV 2.16.840.1.113883.3.7222 bellchc Bellhaven Center for Rehabilitaion and Nursing Care Bernadette Walker masked Bernadette Walker 110 Beaver Dam Rd Brookhaven, NY 11719 631-286-8100 masked administrator Bellhaven Center for Rehabilitaion and Nursing Care 110 Beaver Dam Rd Brookhaven, NY 11719 631-286-8100 bwalker@bellhavencenter.com http://www.bellhavencenter.com Provider Int 3 Complete 2017/02/14 12:00:00 2017/02/14 12:00:00 2017/02/14 03:33:19 UV 2.16.840.1.113883.3.7223 wink Wink Technologies Inc Marlene Berger masked Christian Mokbel 1-888-764-4318 masked Founder and CEO, Wink Technologies Inc. Wink Technologies Inc. 4996 Place de la Savane, Suite 303 Montreal, PQ H4P 1Z8 1-888-764-4318 hello@downloadwink.com http://www.downloadwink.com Vendor Int 3 Complete 2017/02/14 12:00:00 2017/02/14 12:00:00 2017/02/14 03:47:12 UV 2.16.840.1.113883.3.7224 sbh-hs Saint Barnabas Hospital Health Systems Randy Gocool masked Randy Gocool 4422 Third Ave Annex Building 5th Floor Bronx, New York 10457 1-718-960-3781 masked Analyst SBH Health System 4422 Third Ave Bronx, New York 10457 1-718-960-9000 rgocool@sbhny.org Provider Int 3 Complete 2017/02/15 12:00:00 2017/02/15 12:00:00 2017/02/15 07:15:09 UV 2.16.840.1.113883.3.7225 sbh-union Union Community Health Center Randy Gocool masked Randy Gocool 4422 Third Ave Annex Building, 5th Floor Bronx, New York 10457 1-718-960-3781 masked Analyst Union Community Health Center 360 E 188th Street Bronx, New York 10458 1-917-649-1887 rgocool@sbhny.org Provider Int 3 Complete 2017/02/15 12:00:00 2017/02/15 12:00:00 2017/02/15 07:24:09 UV 2.16.840.1.113883.3.7226 tmi Touchstone Medical Imaging Jennifer Different masked Jennifer Different 665 N.E. Alsbury Boulevard Burleson, TX 76028 9723423228 masked Clinical Applications Analyst Touchstone Medical Imaging 1431 Perrone Way Franklin, TN 37069 bgraves@touchstoneimaging.com https://www.touchstoneimaging.com/ Provider Int 3 Complete 2017/02/15 12:00:00 2017/02/15 12:00:00 2017/02/15 07:30:23 UV 2.16.840.1.113883.3.7227 hchmd Health Care for the Homeless Maryland Theodore Ramsay masked Kevin Keirney Ted Ramsay 421 Fallsway Baltimore, MD 21202 443-703-1195 masked Director, Health Informatics Health Care for the Homeless, Maryland 421 Fallsway Baltimore, MD 21202 443-703-1195 tramsay@hchmd.org http://www.hchmd.org Provider Int 3 Complete 2017/02/16 12:00:00 2017/02/16 12:00:00 2017/02/16 09:25:17 UV 2.16.840.1.113883.3.7228 rscod Dr. Robert S. Christensen, Inc. Robert Christensen masked Dr. Robert S. Christensen 250 Camino Alto Suite 110 Mill Valley, CA 94941 415-381-3355 masked Owner Dr. Robert S. Christensen, Inc. 250 Camino Alto Suite 110 Mill Valley, CA 94941 415-381-3355 drbob@rscod.comcastbiz.net http://www.drrobertschristensen.com/ Provider Int 3 Complete 2017/02/16 12:00:00 2017/02/16 12:00:00 2017/02/16 01:27:26 UV 2.16.840.1.113883.3.7229 hchc1152 Hampton Community Health Care Jacqueline Roman masked Jacqueline Roman 365 County Rd39A, Ste#14 Southampton, NY 11968 631-726-8033 masked Office Manager Hampton Community Health Care 365 County Rd39A, Ste#14 Southampton, NY 11968 631-726-8033 hchcjroman@optonline.net Provider Int 3 Complete 2017/02/17 12:00:00 2017/02/17 12:00:00 2017/02/17 04:12:59 UV 2.16.840.1.113883.3.7230 qualityinsights Quality Insights, Inc. Gary Rezek masked Gary Rezek 3001 Chesterfield Place Charleston, WV 25304 304-346-9864 x4254 masked Quality Insights 3001 Chesterfield Place Charleston, WV 25304 304-346-9864 grezek@qualityinsights.org SDO Int 3 Complete 2017/02/20 12:00:00 2017/02/20 12:00:00 2017/02/20 12:28:42 UV 2.16.840.1.113883.3.7231 ocfasa Ocean County Foot & Ankle Surgical Associates OID Root Christine Morris masked Christine Morris 54 Bey Lea Rd, STE 1 Toms River, NJ 08753 7325059728 masked Ocean County Foot & Ankle Surgical Associates 54 Bey Lea Rd, STE 1 Toms River, NJ 08753 732-505-4500 cmorris@ocfasa.com http://www.ocfasa.com Provider Int 3 Complete 2017/02/20 12:00:00 2017/02/20 12:00:00 2017/02/20 01:41:16 UV 2.16.840.1.113883.3.7232 dschd Hereford Regional Medical Center Clint Walker masked Clint Walker 540 W. 15th Hereford, TX 79045 806-349-9121 masked I.T. Director Hereford Regional Medical Center 540 W. 15th Hereford, TX 79045 806-349-9121 clint.walker@dschd.org Govt body Int 3 Complete 2017/02/21 12:00:00 2017/02/21 12:00:00 2017/02/21 09:04:53 UV 2.16.840.1.113883.3.7233 hhBF-01 Berkshire Farm Center and Services for Youth Brittany Bono masked Jim Dennis 13640 Rt. 22 Canaan, NY 12075 518-781-1817 masked President and CEO Berkshire Farm Center and Services for Youth 13640 Rt. 22 Canaan, NY 12075 518-781-1817 jdennis@berkshirefarm.org Provider Int 3 Complete 2017/02/21 12:00:00 2017/02/21 12:00:00 2017/02/21 11:47:50 UV 2.16.840.1.113883.3.7234 hhPRC-01 Belvedere Health Services Brittany Bono masked Lisa Truax 4300 Middle Settlement Road New Hartford, NY 13413 315-235-2816 masked Director of Home Care Presbyterian Residential Community 4300 Middle Settlement Road New Hartford, NY 13413 315-235-2816 ltruax@presbyterianhome.com Provider Int 3 Complete 2017/02/21 12:00:00 2017/02/21 12:00:00 2018/01/11 11:05:07 UV 2.16.840.1.113883.3.7235 hh-MLV-01 Millview TBI, LLC Brittany Bono masked Michael Blase 7a Avis Drive Latham, NY 12110 518-250-4224 masked Chief Operating Officer Millview TBI, LLC 7a Avis Drive Latham, NY 12110 518-250-4224 mblase@millviewtbi.com Provider Int 3 Complete 2017/02/21 12:00:00 2017/02/21 12:00:00 2017/02/21 08:22:34 UV 2.16.840.1.113883.3.7236 cha-oid Community Health Alliance Lance Taylor-Warren masked Lance Taylor-Warren Community Health Alliance 680 S. Rock Blvd Reno, NV 89502 775-336-3020 masked CIO Community Health Alliance 680 S. Rock Blvd Reno, NV 89512 775-329-6300 info@chanevada.org http://www.chanevada.org Provider Int 3 Complete 2017/02/21 12:00:00 2017/02/21 12:00:00 2017/02/21 08:28:19 UV 2.16.840.1.113883.3.7237 hh-LR-01 Living Resources Corporation Brittany Bono masked Fred Erlich 300 Washington Avenue Extension Albany, NY 12203 518-218-0000 masked Chief Executive Officer Living Resources Corporation 300 Washington Avenue Extension Albany, NY 12203 518-218-0000 ferlich@livingresources.org Provider Int 3 Complete 2017/02/21 12:00:00 2017/02/21 12:00:00 2017/02/21 08:25:06 UV 2.16.840.1.113883.3.7238 hh-ACDC-01 Albany County Department for Children, Youth and Families Brittany Bono masked Moira Manning 112 State Street Albany, NY 12207 518-447-4550 masked Deputy Commissioner Albany County Department for Children, Youth and Families 112 State Street Albany, NY 12207 518-447-4550 moira.manning@albanycountyny.gov Provider Int 3 Complete 2017/02/21 12:00:00 2017/02/21 12:00:00 2017/02/21 08:40:04 UV 2.16.840.1.113883.3.7239 hh-US-01 Utica Safe Schools Healthy Students Partnership, Inc. Brittany Bono masked Anne Lansing 106 Memorial Parkway Utica, NY 13501 315-792-2205 masked Chief Executive Officer Utica Safe Schools Healthy Students Partnership, Inc. 106 Memorial Parkway Utica, NY 13501 315-792-2205 alansing@uticaschools.org Provider Int 3 Complete 2017/02/22 12:00:00 2017/02/22 12:00:00 2017/02/22 12:31:57 UV 2.16.840.1.113883.3.7240 hh-JRC-01 Jefferson Rehabilitation Center Brittany Bono masked Lynn M. Pietroski 380 Gaffney Drive Watertown, NY 13601 315-836-1272 masked Chief Operating Officer Jefferson Rehabilitation Center 380 Gaffney Drive Watertown, NY 13601 315-836-1272 lmpietroski@jeffrehabcenter.org Provider Int 3 Complete 2017/02/22 12:00:00 2017/02/22 12:00:00 2018/01/11 12:18:50 UV 2.16.840.1.113883.3.7241 hh-EJG-01 E. John Gavras Center Brittany Bono masked Danielle Ambrose 182 North Street Auburn, NY 13021 315-255-2746 masked Executive Director E. John Gavras Center 182 North Street Auburn, NY 13021 315-255-2746 dma@gavrascenter.com Provider Int 3 Complete 2017/02/22 12:00:00 2017/02/22 12:00:00 2017/02/22 12:42:31 UV 2.16.840.1.113883.3.7242 bltc Berkshire Health Systems Kenneth Ward masked Kenneth Ward 725 North Street, Pittsfield, MA 01201 413-881-5435 masked Director of IT Berkshire Health Systems 725 North Street, Pittsfield, MA 01201 413-447-2000 keward@bhs1.org Provider Int 3 Complete 2017/02/22 12:00:00 2017/02/22 12:00:00 2017/02/22 12:51:43 UV 2.16.840.1.113883.3.7243 hh-CDS-01 Center for Disability Services Brittany Bono masked Gregory Sorrentino 314 South Manning Blvd. Albany, NY 12208 518-944-2100 masked CCO/CFO Center for Disability Services 314 South Manning Blvd. Albany, NY 12208 518-944-2100 sorrentino@cfds.org Provider Int 3 Complete 2017/02/22 12:00:00 2017/02/22 12:00:00 2017/02/22 01:53:46 UV 2.16.840.1.113883.3.7244 hhRC-01 Rensselaer County Department of Mental Health Brittany Bono masked Katherine Alonge-Coons 1600 7th Ave Troy, NY 12180 518-270-2800 masked Commissioner of Mental Health Rensselaer County Department of Mental Health 1600 7th Ave Troy, NY 12180 518-270-2800 kcoons@rensco.com Provider Int 3 Complete 2017/02/22 12:00:00 2017/02/22 12:00:00 2017/02/22 01:56:56 UV 2.16.840.1.113883.3.7245 hhAN-01 St. Anne Institute Brittany Bono masked Anthony G. Cortese 160 North Main Avenue Albany, NY 12206 518-437-6501 masked Chief Executive Officer St. Anne Institute 160 North Main Avenue Albany, NY 12206 518-437-6501 acortese@s-a-i.org Provider Int 3 Complete 2017/02/22 12:00:00 2017/02/22 12:00:00 2017/02/22 02:25:26 UV 2.16.840.1.113883.3.7246 hhSC-01 St. Catherine's Center for Children Brittany Bono masked Frank Pindiak 40 North Main Ave Albany, NY 12203 518-453-6700 masked St. Catherine's Center for Children 40 North Main Ave Albany, NY 12203 518-453-6700 fpindiak@st-cath.org Provider Int 3 Complete 2017/02/22 12:00:00 2017/02/22 12:00:00 2017/02/22 02:28:25 UV 2.16.840.1.113883.3.7247 cgmx Contextual Genomics Inc. Patrick Franchini masked Sohrab Shah Suite 204, 2389 Health Sciences Mall Vancouver, BC, Canada V6T 1Z3 7783792931 masked CIO Contextual Genomics Inc. Suite 204, 2389 Health Sciences Mall Vancouver, BC, Canada V6T 1Z3 7783792931 info@contextualgenomics.com http://www.contextualgenomics.com Provider Int 3 Complete 2017/02/22 12:00:00 2017/02/22 12:00:00 2017/02/22 02:35:10 UV 2.16.840.1.113883.3.7248 hhCC-01 Cayuga Centers Brittany Bono masked Christine Moulton 101 Hamilton Ave Auburn, NY 13201 315-253-5383 masked Vice President of Strategic Growth Cayuga Centers 101 Hamilton Ave Auburn, NY 13201 315-253-5383 christine.moulton@cayugacenters.org Provider Int 3 Complete 2017/02/22 12:00:00 2017/02/22 12:00:00 2017/02/22 03:19:06 UV 2.16.840.1.113883.3.7249 hhWP-01 Wildwood Programs Brittany Bono masked Louis Deepe 1190 Troy Schenectady Road Latham, NY 12110 518-640-3342 masked Chief Operating Officer Wildwood Programs 1190 Troy Schenectady Road Latham, NY 12110 518-640-3342 ldeepe@wildwoodprograms.org Provider Int 3 Complete 2017/02/22 12:00:00 2017/02/22 12:00:00 2017/02/22 04:50:16 UV 2.16.840.1.113883.3.7250 hhVH-01 Vanderheyden Hall, Inc. Brittany Bono masked Lori Eason 614 Cooper Hill Road Wynantskill, NY 12198 518-283-6500 masked VP/Chief Administrative Officer Vanderheyden Hall Inc. 614 Cooper Hill Road Wynantskill, NY 12198 518-283-6500 leason@vanderheyden.org Provider Int 3 Complete 2017/02/22 12:00:00 2017/02/22 12:00:00 2017/02/22 04:57:27 UV 2.16.840.1.113883.3.7251 hhUHT-01 Unity House of Troy, Inc. Brittany Bono masked Susan Rimkunas Unity Sunshine Program 1 435 Fourth Street Troy, NY 12180 518-271-6777 masked Director, Educational Services Unity House of Troy, Inc. Unity Sunshine Program 1 435 Fourth Street Troy, NY 12180 518-271-6777 srimkunas@unityhouseny.org Provider Int 3 Complete 2017/02/22 12:00:00 2017/02/22 12:00:00 2017/02/22 05:02:15 UV 2.16.840.1.113883.3.7252 hhCCS-01 Cayuga Counseling Services, Inc. Brittany Bono masked Heather Petrus 17 East Genesee Street Auburn, NY 13021 315-253-3255 masked Executive Director Cayuga Counseling Services, Inc. 17 East Genesee Street Auburn, NY 13021 315-253-3255 hpetrus@cayugacounseling.org Provider Int 3 Complete 2017/02/22 12:00:00 2017/02/22 12:00:00 2017/02/22 05:19:59 UV 2.16.840.1.113883.3.7253 jcphs Jefferson County Public Health Service Ginger Hall masked Ginger Hall 531 Meade St Watertown, NY 13601 315-786-3710 masked Public Health Director Jefferson County Public Health Service 531 Meade St. Watertown, NY 13601 315-786-3710 gingerh@co.jefferson.ny.us http://jcphs.org Provider Int 3 Complete 2017/02/23 12:00:00 2017/02/23 12:00:00 2017/02/23 05:51:16 UV 2.16.840.1.113883.4.925 ca-saskRNAAPID Registered Nurse with Additional Authorized Practice (RNAAP) License Number Standards Infodesk masked Ian Fallas 2130 11th Avenue Regina, Saskatchewan S4P 0J5 306-337-1759 masked Manager Data Quality & Standards eHealth Saskatchewan 2130 11th Avenue Regina, Saskatchewan S4P 0J5 306-337-0601 dataquality@ehealthsask.ca https://www.ehealthsask.ca/Pages/default.aspx Govt body Int 4 Complete 2017/02/23 12:00:00 2017/02/23 12:00:00 2017/02/23 05:54:25 UV 2.16.840.1.113883.3.7254 oid-VMA Vidalia Medical Associates, PC Tony White masked Tony White PO Box 1367 200 Maple Drive Vidalia, GA 30475 9125379851 masked Director of IS/IT Vidalia Medical Associates, PC PO Box 1367 200 Maple Drive Vidalia, GA 30475 9125379851 businessoffice@prevention.md http://www.prevention.md Provider Int 3 Complete 2017/02/24 12:00:00 2017/02/24 12:00:00 2017/02/24 11:40:30 UV 2.16.840.1.113883.3.7255 stjohnland St. Johnland Nursing Center, Inc. Mary Weber masked St. Johnland Nursing Center, Inc. 395 Sunken Meadow Road Kings Park, NY 11754 6312695800 masked Assistant Administartor St. Johnland Nursing Center, Inc. 395 Sunken Meadow Road Kings Park, NY 11754 6316632460 dbaez@stjohnland.org http://www.stjohnland.org Provider Int 3 Complete 2017/02/24 12:00:00 2017/02/24 12:00:00 2017/02/24 11:43:57 UV 2.16.840.1.113883.3.7256 ccnc Root OID for Community Care of North Carolina Kim Roberts masked Kim Roberts 2300 Rexwoods Drive, Suite 380 Raleigh, NC 27607 3367038460 masked PHARMACeHOME Product Manager Community Care of North Carolina 2300 Rexwoods Drive, Suite 380 Raleigh, NC 27607 3367038460 kroberts@communitycarenc.org https://communitycarenc.org Payor Int 3 Complete 2017/02/24 12:00:00 2017/02/24 12:00:00 2018/06/07 09:24:02 UV 2.16.840.1.113883.3.7257 scrn Smithtown Center for Rehabilitation & Nursing Care Linda Lozach masked Smithtown Center for Rehabilitation & Nursing Care 391 North Country Road Smithtown, NY 11787 631-361-2020 masked Smithtown Center for Rehabilitation & Nursing Care 391 North Country Road Smithtown, NY 11787 6313612020 llozach@smithtowncenter.com http://www.smithtowncenter.com Provider Int 3 Complete 2017/02/24 12:00:00 2017/02/25 12:00:00 2017/02/25 08:30:15 UV 2.16.840.1.113883.3.7258 mIKOmihs Metron IHS Jennifer Zdunic masked Jennifer Zdunic 4630 Plainfield Ave. Ste. 100 Grand Rapids, MI 49525 616-485-6159 masked Director of Clinical IT Metron IHS 4630 Plainfield Ave. Ste. 100 Grand Rapids, MI 49525 616-957-3957 info@metronihs.com Provider Int 3 Complete 2017/02/27 12:00:00 2017/02/28 12:00:00 2017/02/28 10:04:40 UV 2.16.840.1.113883.3.7259 steveloveladymdllc Steve Lovelady MD LLC Steve Lovelady masked Steve Lovelady 1490 Northbank Pkwy Ste 290 Tuscaloosa, AL 35406 2053332656 masked MD/Owner Steve Lovelady MD LLC 1490 Nortbhank Pkwy Ste 290 Tuscaloosa, AL 35406 2053332656 steveloveladymdllc@gmail.com Provider Int 3 Complete 2017/02/27 12:00:00 2017/02/28 12:00:00 2017/02/28 10:08:07 UV 2.16.840.1.113883.3.7260 bchcerner Benewah Community Hospital Cerner OID Joseph Getchius masked Joseph Getchius 229 South 7th Street St. Maries, Idaho 83861 2082457618 masked IT Director Benewah Community Hospital 229 South 7th Street St. Maries, Idaho 83861 208-245-5551 jgetchius@bchmed.org http://www.bchmed.org Provider Int 3 Complete 2017/02/28 12:00:00 2017/02/28 12:00:00 2017/02/28 08:26:54 UV 2.16.840.1.113883.6.338 hl-pft Health Language Provider Friendly Terminology Brian Levy masked Brian Levy 4600 S. Syracuse St. Suite 1200 Denver, CO 80237 7209402940 masked Wolters Kluwer Health Language 4600 S. Syracuse St. Suite 1200 Denver, CO 80237 7209402940 brian.levy@wolterskluwer.com http://www.healthlanguage.com Vendor Int 6 Complete 2017/03/01 12:00:00 2017/03/02 12:00:00 2017/03/02 04:26:09 UV 2.16.840.1.113883.9.221 qcmss-01 UnityPoint Health Trinity Moline Syndromic Surveillance Catherine Kearns masked Sean Liddell 2701 17th Street Rock Island, Illinois 61201 309-779-2347 masked Regional Service Manager UnityPoint Health Trinity Moline 500 John Deere Road Moline, Illinois 61265 309-779-5000 sean.liddell@unitypoint.org Provider Int 3 Complete 2017/03/01 12:00:00 2017/03/07 12:00:00 2017/03/07 05:51:33 UV 2.16.840.1.113883.3.7261 womenshealthspecialists Women's Health Specialists, PC OID Root Carrie Carda masked Lee Ann Brannum 2340 Katy Lane Poplar Bluff, MO 63901 573-776-7393 masked Office Manager Womens's Health Specialists, PC 2340 Katy Lane Poplar Bluff, MO 63901 573-776-7393 ccobgyn@gmail.com Provider Int 3 Complete 2017/03/02 12:00:00 2017/03/02 12:00:00 2017/03/02 04:15:00 UV 2.16.840.1.113883.3.7262 sug Swedish Urology Group Michelle Zamora masked Michelle Zamora 1101 Madison Street, Suite 1400 Seattle, WA 98104 206-386-6266 masked Clinic Administrator Swedish Urology Group 1101 Madison Street, Suite 1400 Seattle, WA 98104 206-386-6266 michelle@swedishurology.com https://www.swedishurology.com Provider Int 3 Complete 2017/03/02 12:00:00 2017/03/02 12:00:00 2017/03/02 04:22:22 UV 2.16.840.1.113883.17.4186 aledade Aledade, Inc. Edwin Miller masked Edwin Miller 7315 Wisconsin Ave, Suite 1000E Bethesda, MD 20814 202-803-7979 masked CTO Aledade, Inc. 7315 Wisconsin Ave, Suite 1000E Bethesda, MD 20814 202-803-7979 systems@aledade.com https://www.aledade.com Provider Int 17 Complete 2017/03/02 12:00:00 2017/03/02 12:00:00 2017/03/02 07:22:41 UV 2.16.840.1.113883.3.7263 cmh13346 Community Memorial Hospital Lucinda Pelky masked Lucinda Pelky 150 Broad street Hamilton, NY 13346 315-824-7064 masked Clinical IT manager Community Memorial Hospital 150 Broad Street Hamilton, NY 13346 315-824-6083 cpelky@cmhhamilton.com https://www.communitymemorial.org/ Provider Int 3 Complete 2017/03/06 12:00:00 2017/03/07 12:00:00 2017/03/07 05:46:21 UV 2.16.840.1.113883.3.7264 dvcc Daleview Care Center Mary Kochaniwsky masked Mary Kochaniwsky 574 Fulton St Farmingdale, NY 11735 5166949800 masked Administrator Daleview Care Center 574 Fulton St Farmingdale, NY 11735 5166949800 mkochaniwsky@daleviewcarecenter.com http://www.daleviewcarecenter.com Provider Int 3 Complete 2017/03/07 12:00:00 2017/03/07 12:00:00 2017/03/07 01:46:43 UV 2.16.840.1.113883.3.7265 bmwc Benewah Medical and Wellness Center Stephen Garwick masked Stephen Garwick 427 N 12th Street Plummer, ID 83851 208-686-1931 masked IT Manager Benewah Medical Center 427 N 12th Street Plummer, ID 83851 208-686-1931 bmcwcsupport@bmc.portland.ihs.gov Provider Int 3 Complete 2017/03/07 12:00:00 2017/03/07 12:00:00 2017/03/07 01:51:19 UV 2.16.840.1.113883.3.7266 pchs Perkins County Health Services Jennifer Baumgartner masked Jennifer Baumgartner 900 Lincoln Avenue Grant, NE 69140 308-352-7117 masked CIO Perkins County Health Services 900 Lincoln Avenue Grant, NE 69140 308-352-7200 jbaumgartner@pchsgrant.com Govt body Int 3 Complete 2017/03/07 12:00:00 2017/03/07 12:00:00 2017/03/07 01:54:16 UV 2.16.840.1.113883.3.7267 afc Access Family Care Medical and Dental Clinics Chris Crist masked Christopher Crist 475 Nelson Avenue, Neosho, MO 64850 316-727-1619 masked Chief Information Officer Access Family Care Medical and Dental Clinics 475 Nelson Avenue, Neosho, MO 64850 4174519450 christopher.crist@accessfamilycare.org http://www.accessfamilycare.org/ Provider Int 3 Complete 2017/03/08 12:00:00 2017/03/08 12:00:00 2017/03/08 07:51:48 UV 2.16.840.1.113883.3.7268 independenceparkmedicalservices Independence Park Medical Services OID Root Jessica Fabacher masked Jessica A. Fabacher 9500 Independence Dr. Suite #900 Anchorage, AK 99507 (907) 522-1341 masked Clinic Administrator Independence Park Medical Services 9500 Independence Dr. Suite #900 Anchorage, AK 99507 (907) 522-1341 ipms@ipmsak.net Provider Int 3 Complete 2017/03/08 12:00:00 2017/03/08 12:00:00 2017/03/08 07:54:58 UV 2.16.840.1.113883.3.7269 clfd-pa Clearfield Hospital Sean Farley masked Kelly Grube Sean Farley DuBois Regional Medical Center P O Box 447 DuBois, PA 15801 814-375-6689 masked Integration Architect I Clearfield Hospital 809 Turnpike Ave Clearfield, PA 16830 814-765-5341 SPFarley@phhealthcare.org http://www.phhealthcare.org Provider Int 3 Complete 2017/03/08 12:00:00 2017/03/08 12:00:00 2017/03/08 08:00:41 US 2.16.840.1.113883.3.7270 whcc Westhampton Care Center Kelly Brady masked Kelly Brady 78 Old Country Road Westhampton, NY 11977 631-288-0101 masked Administrator Westhampton Care Center 78 Old Country Road Westhampton, NY 11977 631-288-0101 kbrady@westhamptoncarecenter.com http://www.westhamptonrehab.com Provider Int 3 Complete 2017/03/09 12:00:00 2017/03/09 12:00:00 2017/03/09 05:48:14 UV 2.16.840.1.113883.17.4187 triplecare TripleCare, Inc. Evan Rakowski masked Evan Rakowski 27-01 Queens Plaza N Suite 502A Long Island City, NY 11101 855-376-3669 masked Chief Operating Officer TripleCare, Inc. finance@triple.care Provider Int 17 Complete 2017/03/14 12:00:00 2017/03/14 12:00:00 2017/03/14 11:14:01 UV 2.16.840.1.113883.3.7271 smcne Saunders Medical Center Denise Sabatka masked Denise Sabatka 1760 County Road J Wahoo, NE 68066 402 443 4191 masked Clinical Informatics Saunders Medical Center Saunders Medical Center 1760 County RD J Wahoo, NE 68066 402 443 4191 dsabatka@smcne.com Provider Int 3 Complete 2017/03/14 12:00:00 2017/03/14 12:00:00 2017/03/14 11:16:58 UV 2.16.840.1.113883.3.7272 shsvcs Sheridan Health Services Roger Reeves masked Roger Reeves 3525 W. Oxford Avenue G1 Denver, CO 80236 303-724-5515 masked Sheridan Health Services 3525 W. Oxford Avenue G1 Denver, CO 80236 303-315-6150 Roger.Reeves@ucdenver.edu http://www.ucdenver.edu/academics/colleges/nursing/Sheridan/Pages/Home.aspx Provider Int 3 Complete 2017/03/14 12:00:00 2017/03/14 12:00:00 2017/03/14 05:44:32 UV 2.16.840.1.113883.3.7273 wppmed Wayland Personal Physicians Frederic Goldman masked Frederic Goldman Wayland Personal Physicians, PLLC 109 Andrew Avenue, Suite 203 Wayland, MA 01778 5083583300 masked MD Wayland Personal Physicians, PLLC 109 Andrew Avenue Suite 203 Wayland, MA 01778 5083583300 info@wppmed.com https://www.waylandpersonalphysicians.com Provider Int 3 Complete 2017/03/15 12:00:00 2017/03/15 12:00:00 2017/03/15 10:48:31 UV 2.16.840.1.113883.17.4188 bluespire-senior-living Bluespire, Inc. David Benoit masked David Benoit 29 South Main St. Suite #300 West Hartford, CT 06062 8603598214 masked Director Interactive Bluespire, Inc. 7650 Edinborough Way, Suite 500 Minneapolis, MN 55435 860-359-8412 david.benoit@bluespireseniorliving.com http://bluespireseniorliving.com Vendor Int 17 Complete 2017/03/15 12:00:00 2017/03/15 12:00:00 2017/04/06 11:32:53 UV 2.16.840.1.113883.3.7274 gracech-llc Grace Clinic Holdings LLC Mason Sinclair masked jderouen@gracehealthsystem.com Jason Derouen 4515 Marsha Sharp Freeway Lubbock, TX 79407 806-438-5561 masked Chief Technical Officer Grace Clinic Holdings LLC 4515 Marsha Sharp Freeway Lubbock, TX 79407 (806) 744-7223 helpdesk@gracehealthsystem.com https://gracehealthsystem.com Provider Int 3 Complete 2017/03/15 12:00:00 2017/03/15 12:00:00 2017/03/15 01:13:18 UV 2.16.840.1.113883.3.7275 cpih-1801 ChangePoint Integrated Health Paula Martin masked Paula Kaye Martin 1808 Deuce of Clubs suite 100 Show Low, AZ 85901 928-537-2951 masked Director of Quality Management ChangePoint Integrated Health 1808 Deuce of Clubs suite 100 Show Low, AZ 85901 928-537-2951 joakes@mychangepoint.org http://www.changepoint.org Provider Int 3 Complete 2017/03/17 12:00:00 2017/03/17 12:00:00 2017/03/17 01:45:17 UV 2.16.840.1.113883.3.7276 kohlls Kohll's Pharmacy & Homecare Joseph Bernasek masked Joseph Bernasek 12759 Q St Omaha, NE 68137 402-895-6812 masked Director, IS Kohll's Pharmacy & Homecare 12759 Q St Omaha, NE 68137 4028956812 jbernasek@kohlls.com Provider Int 3 Complete 2017/03/17 12:00:00 2017/03/17 12:00:00 2017/03/17 01:49:31 UV 2.16.840.1.113883.3.7277 spim SouthPark Internal Medicine Kathleen Stanis masked Kathleen Stanis 9088 S. Ridgeline Blvd., Suite 201 Highlands Ranch, CO 80129 720-266-6900 masked Practice Manager SouthPark Internal Medicine 9088 S. Ridgeline Blvd., Suite 201 Highlands Ranch, CO 80129 720-266-6900 kathystanis45@gmail.com http://www.southparkinternalmed.com Provider Int 3 Complete 2017/03/20 12:00:00 2017/03/20 12:00:00 2017/03/20 06:16:10 UV 2.16.840.1.113883.3.7278 bmhvt Brattleboro Memorial Hospital Doreen Lincoln masked Steve Cummings Doreen Lincoln 17 Belmont Ave Brattleboro, VT 05301 8022578859 masked Director, I.S. Brattleboro Memorial Hospital 17 Belmont Ave Brattleboro, VT 05301 802-257-0341 helpdesk@bmhvt.org Provider Int 3 Complete 2017/03/20 12:00:00 2017/03/20 12:00:00 2017/03/20 06:18:20 UV 2.16.840.1.113883.3.7279 blueLaurel BlueLaurel John Caruso masked John Caruso 877-442-8339 masked BlueLaurel jcaruso@mybluelaurel.com https://mybluelaurel.com/ Vendor Int 3 Complete 2017/03/20 12:00:00 2017/03/21 12:00:00 2017/08/25 08:36:02 UV 2.16.840.1.113883.3.7280 sdcim Sangre de Cristo Internal Medicine Associates Doug Duffee masked Doug Duffee 1600 N Grand Ave #520 Pueblo, CO 81003 719-542-3100 masked PhysicianManager Sangre de Cristo Internal Medicine 1600 N Grand Ave #520 Pueblo, CO 81003 719-542-3100 dduffeemd@sdcim.com https://www.sdcim.com Provider Int 3 Complete 2017/03/21 12:00:00 2017/03/21 12:00:00 2017/03/21 10:30:24 UV 2.16.840.1.113883.3.7281 lpfma LA PLATA FAMILY MEDICINE ASSOC PC Meryl Lowe masked Meryl Lowe 316 SAWYER DRIVE DURANGO, CO 81303 9703755840 masked PRACTICE MANAGER LA PLATA FAMILY MEDICINE ASSOC PC 316 SAWYER DRIVE DURANGO, CO 81303 9703755840 MERYL@LPFMA.COM Provider Int 3 Complete 2017/03/21 12:00:00 2017/03/21 12:00:00 2017/03/21 10:33:34 UV 2.16.840.1.113883.3.7282 gRHS Glacial Ridge Health System OID Jeff Ofstedal masked Jeff Ofstedal Glacial Ridge Heatlh System 10 4th ave SE Glenwood, MN 56334 3206342003 masked CIO Glacial Ridge Health System Glacial Ridge Heatlh System 10 4th ave SE Glenwood, MN 56334 3206342003 jeff.ofstedal@glacialridge.org http://www.glacialridge.org Provider Int 3 Complete 2017/03/21 12:00:00 2017/03/21 12:00:00 2017/03/21 10:37:23 US 2.16.840.1.113883.3.7283 shiloh Shiloh OneCity Health Requirement Kay Jackson masked Kay Jackson 214 West 29th Street Suite 703 New York NY 10001 2125647631 masked Executive Director Shiloh Consulting LLC 214 West 29th Street Suite 703 New York NY 10001 2125647631 ShilohConsultingLLC@gmail.com Provider Int 3 Complete 2017/03/22 12:00:00 2017/03/22 12:00:00 2017/03/22 05:25:18 UV 2.16.840.1.113883.3.7284 cfaai Celebration Foot and Ankle Institute Darlene Quidgley masked Darlene Quidgley 410 Celebration Place Suite 206 Celebration, FL 34747 3219392001 masked Practice Administrator Celebration Foot and Ankle Intitute 410 Celebration Place Suite 206 Celebration, FL 34747 3219392001 dquidgley@gmail.com Provider Int 3 Complete 2017/03/23 12:00:00 2017/03/23 12:00:00 2017/03/23 06:21:28 UV 2.16.840.1.113883.9.222 awoc-upth UnityPoint Health Virtual Care Alfredo Morales masked Alfredo Morales 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x:3643 masked Director, Technical Implementation Services American Well alfredo.morales@americanwell.com Vendor 2.16.840.1.113883.3.634 Int 17 Complete 2017/03/23 12:00:00 2017/03/24 12:00:00 2017/03/24 10:45:15 UV 2.16.840.1.113883.3.7285 jfcsaz JFCS Arizona Kevin Rhode masked Kevin Rhode 4747 N. 7th St Suite 100 Phoenix, AZ 85014 602.567.8328 masked Chief Technology Officer Jewish Family & Children's Service 6025678328 itadmins@jfcsaz.org http://www.jfcsaz.org Provider Int 3 Complete 2017/03/23 12:00:00 2017/03/23 12:00:00 2017/03/23 06:25:40 UV 2.16.840.1.113883.9.223 awoc-geis myeVisits Alfredo Morales masked Alfredo Morales 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x3648 masked Director, Technical Implementation Services American Well alfredo.morales@americanwell.com Vendor 2.16.840.1.113883.3.634 Int 17 Complete 2017/03/23 12:00:00 2017/03/24 12:00:00 2017/03/24 10:51:55 UV 2.16.840.1.113883.17.4189 comunilifeoid Comunilifeoid Wanda Santaella masked Wanda Santaella 214 W 29th Street, 8th Fl, New York, NY 10001 7186176400 masked Director of DSRIP Initiatives Comunilife, Inc. 214 W 29th Street, 8th Fl, New York, NY 10001 7186176400 wsantaella@comunilife.org https://comunilife.org Provider Int 17 Complete 2017/03/23 12:00:00 2017/03/23 12:00:00 2017/03/23 06:42:08 UV 2.16.840.1.113883.17.4190 harmonIQ HarmonIQ Health Systems Linda Weaver masked Linda Weaver 1515 Poydras Street, Suite 2440 New Orleans, LA 70112 504-495-3502 masked EVP Field Services HarmonIQ Health Systems 1515 Poydras Street, Suite 2440 New Orleans, LA 70112 504-495-3502 lweaver@myharmoniq.com http://www.harmoniqhealth.com/ Vendor Int 17 Complete 2017/03/23 12:00:00 2017/03/23 12:00:00 2017/03/23 06:45:39 UV 2.16.840.1.113883.3.7286 jamesrommermd James Rommer MD James Rommer masked James Rommer, MD 349 East Northfield Road Livingston, NJ 07039 9739922227 masked James Rommer, MD 349 East Northfield Road, Suite 110 Livingston, NJ 07039 9739922227 jrommer176@gmail.com Provider Int 3 Complete 2017/03/24 12:00:00 2017/03/24 12:00:00 2017/03/24 11:13:42 UV 2.16.840.1.113883.3.7287 viv VIVAGE Senior Living Heather TerHark masked Heather TerHark 12136 West Bayaud Avenue, Suite 200 Lakewood, CO 80228 3032383838 masked Director of Sales and Marketing VIVAGE Senior Living 12136 W. Bayaud Avenue, Suite 200 Lakewood, CO 80228 3032383838 hterhark@vivage.com http://www.vivage.com Provider Int 3 Complete 2017/03/24 12:00:00 2017/03/24 12:00:00 2017/03/24 04:15:46 UV 2.16.840.1.113883.3.7288 emerusROOT Emerus Holdings, Inc - Root OID Corey Farmer masked Corey Farmer 8686 New Trails Dr. The Woodlands, TX 77381 7136371124 masked Lead Integration Analyst Emerus Holdings, Inc 8686 New Trails Dr. The Woodlands, TX 77381 7136371124 interfaces@emerus.com http://www.emerus.com Provider Int 3 Complete 2017/03/24 12:00:00 2017/03/24 12:00:00 2017/03/24 04:18:54 UV 2.16.840.1.113883.3.7289 rral-phs Riverview Regional Medical Center Rene Coley masked Rene Coley 600 South 3rd Street Gadsden, Alabama 35901 256-543-5808 masked Director of Performance Improvement Riverview Regional Medical Center 600 South 3rd Street Gadsden, Alabama 359001 909-657-5058 sgerber@primehealthcare.com Provider Int 3 Complete 2017/03/27 12:00:00 2017/03/27 12:00:00 2017/03/27 05:12:19 UV 2.16.840.1.113883.3.7290 ga-Medicaid GA Medicaid Michael Alexandrou masked Harry Tate Michael Alexandrou 4042774979 masked Data architect GA Medicaid 2 Peachtree street NW 38th Floor Atlanta, GA 30303 4042774979 malexandrou@dch.ga.gov Govt body Int 3 Complete 2017/03/27 12:00:00 2017/03/27 12:00:00 2017/03/28 02:21:08 UV 2.16.840.1.113883.3.7291 lifewell Lifewell Behavioral Wellness Bryan Colby masked Dan Porter 202 E. Earll Suite 200 Phoenix, AZ 85012 602-302-7712 masked VP of Information Technology Terros Health 202 E. Earll Suite 200 Phoenix, AZ 85012 dan.porter@terroshealth.org http://www.terroshealth.org Provider Int 3 Complete 2017/03/27 12:00:00 2017/03/27 12:00:00 2026/03/27 11:44:42 UV 2.16.840.1.113883.3.2402.200.1662 physicans-computer-company-clients-brookstone Physician's Computer Company (PCC) Clients Pediatrics at Brookstone Centre, P.C. Justin Ballou masked Justin Ballou 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked EDI Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 admin@pcc.com http://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.1662 2017/03/27 12:00:00 2017/03/27 12:00:00 2017/03/27 05:35:45 UV 2.16.840.1.113883.3.7292 bethesdaHealthGroup Bethesda Health Group OID Root Joshua Sharp masked Joshua Sharp 1630 Des Peres Rd. Suite 290 Saint Louis, MO 63131 314-292-5505 masked Director, Information Technology Bethesda Health Group 1630 Des Peres Rd. Suite 290 Saint Louis, MO 63131 314-800-1900 helpdesk@bethesdahealth.org http://www.bethesdahealth.org Provider Int 3 Complete 2017/03/27 12:00:00 2017/03/27 12:00:00 2017/03/27 06:37:09 UV 2.16.840.1.113883.3.7293 gentletouch-02 Rimma Pozdnyakova, MD Rimma Pozdnyakova masked Rimma Pozdnyakova, M.D. 9708 Seaview Avenue, Brooklyn, NY 11236 9178426173 masked Rimma Pozdnyakova, M.D. 9708 Seaview Avenue, Brooklyn, NY 11236 7184440520 rimmap137@gmail.com Provider Int 3 Complete 2017/03/27 12:00:00 2017/03/27 12:00:00 2017/03/27 10:14:01 UV 2.16.840.1.113883.3.7294 hopesparks HopeSparks Family Services Allan Normandin masked Allan Normandin The Echo Group 15 Washington St, Box 2150 6034478600 masked Chief Technology Officer HopeSparks Family Services 6424 North Ninth Street Tacoma, WA 98406 (253) 565-4484 mhammond@hopesparks.org Provider Int 3 Complete 2017/03/27 12:00:00 2017/03/27 12:00:00 2017/03/27 10:21:47 UV 2.16.840.1.113883.3.7295 umcsn University Medical Center of Southern Nevada Amelia Jamison masked Daniel Price 901 N. Rancho Ln Suite 200 Las Vegas, NV 89102 7023833862 masked Assistant Director Information Technology Department Univsersity Medical Center of Southern Nevada 1800 W CHARLESTON BLVD Las Vegas, NV 89102 7023837397 Lonnie.Richardson@umcsn.com https://www.umcsn.com/ Provider Int 3 Complete 2017/03/28 12:00:00 2017/03/28 12:00:00 2017/03/28 10:53:45 UV 2.16.840.1.113883.3.7296 teneleven1 TenEleven Group, Inc. Mark Hackford masked Mark Hackford 6489 Transit Road East Amherst, NY 14051 7168109755 masked General Manger of Software Development TenEleven Group, Inc. 6489 Transit Road East Amherst, NY 14051 716-810-9755 aalexander@10e11.com https://www.10e11.com/ Vendor Int 3 Complete 2017/03/28 12:00:00 2017/03/28 12:00:00 2017/03/28 10:56:24 UV 2.16.840.1.113883.4.926 asc African Services Committee (ASC) patient database Kim Nichols masked Kim Nichols African Services Committee 429 West 127th St. New York, NY 10027 212-222-3882 ext 2119 masked Co-Executive Director African Services Committee, Inc. 429 West 127th St. New York, NY 10027 212-222-3882 info@africanservices.org https://www.africanservices.org Provider Int 3 Complete 2017/03/28 12:00:00 2017/03/31 12:00:00 2017/03/31 04:00:44 UV 2.16.840.1.113883.3.7297 codac CODAC Health, Recovery & Wellness Rafael Arechaga masked Marcus Oddo Help Desk 4585 E Speedway Blvd. Tucson, AZ 85712 5202021700 masked Sys Admin CODAC Health, Recovery & Wellness 4585 E Speedway Blvd., Building 1 Tucson, AZ 85712 5202021700 helpdesk@codac.org Provider Int 3 Complete 2017/03/28 12:00:00 2017/03/28 12:00:00 2023/09/12 04:20:17 UV 2.16.840.1.113883.3.7298 allen-hc-services Health Care Acquisition Corp. d/b/a Allen Health Care Services James Graff masked Robert Ponzo 70-00 Austin Street Suite 201 Forest Hills, NY 11375 718.689.1223 masked Chief Technology Officer Health Care Acquisition Corp. d/b/a Allen Health Care Services 70-00 Austin Street Suite 201 Forest Avenue, NY 11375 718.689.1223 robert@allenhealth.com Provider Int 3 Complete 2017/03/28 12:00:00 2017/03/28 12:00:00 2017/03/28 10:40:23 UV 2.16.840.1.113883.3.7299 smedcda Seasons Medical Jon Nelson masked Jon Nelson 37 S 2nd E Rexburg, ID 83440 (208) 656-0193 masked IT Manager Seasons Medical 37 S 2nd E Rexburg, ID 83440 (208) 356-0234 it@seasonsmedical.com https://www.seasonsmedical.com Exchange Int 3 Complete 2017/03/29 12:00:00 2017/03/29 12:00:00 2017/03/29 05:56:28 UV 2.16.840.1.113883.3.7300 whiteneng Yong-Hwan KIM Yong-Hwan KIM masked Yong-Hwan KIM +82-10-3893-5183 masked Yong-Hwan KIM whiteneng@gmail.com Academic Int 3 Complete 2017/03/30 12:00:00 2017/03/31 12:00:00 2017/03/31 08:37:50 UV 2.16.840.1.113883.3.7301 tfh The Floating Hospital Reginald Thompson masked Stiles Nyerere Reginald Thompson 41-40 27th Street, LIC, NY 11101 718 784 2240 x128 masked Director of Finance - Special Projects The Floating Hospital 41-40 27th Street, LIC, NY 11101 718 784 2240 rthompson@thefloatinghospital.org https://thefloatinghospital.org Provider Int 3 Complete 2017/03/30 12:00:00 2017/03/31 12:00:00 2017/03/31 08:40:55 UV 2.16.840.1.113883.3.7302 sMWC South Minneapolis Walk In Clinic OID Root Travis Forgey masked Travis Forgey South Minneapolis Walk In Clinic 4727 Hiawatha Ave Minneapolis, MN 55406 651-842-3345 masked Administrator South Minneapolis Walk In Clinic South Minneapolis Walk In Clinic 4727 Hiawatha Ave Minneapolis, MN 55406 612-354-7860 info@mplswalkinclinic.com http://mplswalkinclinic.com Provider Int 3 Complete 2017/03/31 12:00:00 2017/03/31 12:00:00 2017/03/31 09:25:20 UV 2.16.840.1.113883.3.7303 ttporthohand TTP Ortho Hand Center Rae Rodriguez masked Rae Ann Rodriguez 3601 4th street RM1BC150 ms 8352 Lubbock, Texas 79430 806743-4357 masked Unit Manager TTP ORTHO HAND CENTER 3601 4th street RM1BC150 ms 8352 Lubbock, Texas 79430 806-743-4357 emrhelpdesklubbock@ttuhsc.edu http://umchealthsystem.com Academic Int 3 Complete 2017/03/31 12:00:00 2017/03/31 12:00:00 2017/03/31 11:53:34 UV 2.16.840.1.113883.3.7304 ttptransplantclinic TTP Transplant Clinic Rae Rodriguez masked Rae Ann Rodriguez 3601 4th street RM 1BC150 Lubbock, Texas 79430 806-743-4357 masked Unit Manager TTP Transplant Clinic 3601 4th street RM 1BC150 Lubbock, Texas 79430 806-743-4357 emrhelpdesklubbock@ttuhsc.edu http://umchealthsystem.com Academic Int 3 Complete 2017/03/31 12:00:00 2017/03/31 12:00:00 2017/03/31 12:23:01 UV 2.16.840.1.113883.3.7305 ttpcarecenteropedi TTP C.A.R.E Center Department of Pedi Rae Rodriguez masked Rae Ann Rodriguez 3601 4th street RM 1BC150 MS 8352 Lubbock, Texas 79430 806743-4357 masked Unit Manager TTP-C.A.R.E Center Dept of Ped 3601 4th street RM 1BC150 MS 8352 Lubbock, Texas 79430 806-743-4357 emrhelpdesklubbock@ttuhsc.edu http://umchealthsystem.com Academic Int 3 Complete 2017/03/31 12:00:00 2017/03/31 12:00:00 2017/03/31 02:45:18 UV 2.16.840.1.113883.3.7306 apg Allied Physicians Group Indira Atluru masked Allied Physicians Group Indira Atluru 3 Huntington Quadrangle Suite 105S Melville, NY 11747 6313864173 masked Manager of Clinical Analytics Allied Physicians Group 3 Huntington Quadrangle Suite 105S Melville, NY 11747 6313864173 iatluru@alliedphysiciansgroup.com https://www.alliedphysiciansgroup.com Provider Int 3 Complete 2017/03/31 12:00:00 2017/03/31 12:00:00 2017/03/31 02:48:52 UV 2.16.840.1.113883.3.7307 pcinc People Care, Inc. Joan Altomonte masked Joan Altomonte People Care, Inc 116 West 32 Street, 15th floor New York, NY 10001 212-631-7316 masked People Care, Inc. 116 West 32 Street, 15th floor New York, NY 10001 212-631-7300 jrolla@peoplecare.com http://www.peoplecare.com Provider Int 3 Complete 2017/03/31 12:00:00 2017/03/31 12:00:00 2017/03/31 02:54:20 UV 2.16.840.1.113883.3.7308 fedcap Fedcap Rehabilitation Services, Inc. Paul Lovejoy masked Richard Matist 633 Third Ave., 6th Floor New York, NY 10017 212-727-4271 masked Director of Information Technology Fedcap Rehabilitation Services, Inc. 633 Third Ave., 6th Floor New York, NY 10017 212-727-4200 rmatist@fedcap.org http://www.fedcap.org Provider Int 3 Complete 2017/03/31 12:00:00 2017/03/31 12:00:00 2017/03/31 03:04:53 UV 2.16.840.1.113883.3.7309 city-health-works City Health Works Tamir Oren masked City Health Works Jamillah Hoy-Rosas 127 W. 127th St., Suite 207 New York, NY 10027 917-903-1036 masked Director of Health Coaching & Clinical Partnerships City Health Works 127 W. 127th St., Suite 207 New York, NY 10027 jhoyrosas@cityhealthworks.com http://cityhealthworks.com Vendor Int 3 Complete 2017/04/03 12:00:00 2017/04/04 12:00:00 2017/04/04 06:52:39 UV 2.16.840.1.113883.15.16 tnm-Edition8 TNM Edition8 UICC Kai Heitmann masked Kai Heitmann HL7 Germany An der Schanz 1 50375 Cologne +49 172 2660814 masked Dr. International Union Against Cancer (UICC) 62 Route de Frontenex 1207 Geneva Switzerland +41 22 809 1811 custserv@wiley.com https://www.uicc.org Prof Soc Int 15 Complete 2017/04/03 12:00:00 2017/04/04 12:00:00 2017/04/04 07:14:57 UV 2.16.840.1.113883.3.7310 renaissanceNEUROINTRAD Neurointerventional Radiology Clinic OID Root Priscilla Peralez masked Travis Corwin 2821 Michael Angelo Dr. Ste 304 Edinburg, TX 78539 956-362-2460 masked VP Administrator Neurointerventional Radiology Clinic 2821 Michael Angelo Dr. Ste 304 Edinburg, TX 78539 956-362-2460 travis.corwin@dhr-rgv.com Provider Int 3 Complete 2017/04/04 12:00:00 2017/04/04 12:00:00 2017/04/04 06:55:19 UV 2.16.840.1.113883.3.7311 caromonthealth CaroMont Health William Baucom masked Jason Cox Daniel Baucom 2525 Court Dr. Gastonia, NC 28056 C/O Information Systems 704-834-3964 masked Systems Analyst CaroMont Health Information Systems 2525 Court Dr. Gastonia, NC 28056 C/O Information Systems InformationSystems@caromonthealth.org Provider Int 3 Complete 2017/04/04 12:00:00 2017/04/04 12:00:00 2017/04/05 10:42:18 UV 2.16.840.1.113883.3.7312 beachcitiesderm Beach Cities Dermatology OID Root Janis Gertsch masked Janis Gertsch 520 N Prospect Avenue, Suite 302 Redondo Beach, CA 90277 310-798-1515 masked Office Manager William J Wickwire, M.D. Inc. APC /Beach Cities Dermatology Medical Center 520 N Prospect Avenue, Suite 302 Redondo Beach, CA 90277 310-798-1515 janis@beachcitiesderm.com http://www.beachcitiesderm.com Provider Int 3 Complete 2017/04/05 12:00:00 2017/04/05 12:00:00 2017/04/05 11:51:01 UV 2.16.840.1.113883.3.7313 iPA140 Bronx United IPA Inc Victor Morisete Romero masked Soraya Foy 140 Wadsworth Avenue, New York, NY 10033 929-381-9998 masked DSRIP Project Director Bronx United IPA Inc 140 Wadsworth Avenue, New York, NY 10033 929-381-9998 sfoy@unitedipas.com Provider Int 3 Complete 2017/04/05 12:00:00 2017/04/05 12:00:00 2017/04/05 12:10:04 UV 2.16.840.1.113883.3.7314 cdrbhie Community Data Roundtable Dan Warner masked Communimetrix Dan Warner 4129805438 masked Executive Director Community Data Roundtable 4129805438 dwarner@communitydataroundtable.org Prof Soc Int 3 Complete 2017/04/05 12:00:00 2017/04/05 12:00:00 2017/04/05 05:59:50 UV 2.16.840.1.113883.3.7315 jasa Jewish Association Serving the Aged Sholom Ellenberg masked Sholom Ellenberg JASA 247 W 37th Street 9th Floor New York, NY 10018 2122735306 masked CIO Jewish Association Serving the Aged JASA 247 W 37th Street 9th Floor New York, NY 10018 2122735272 help@jasa.org http://www.jasa.org Provider Int 3 Complete 2017/04/06 12:00:00 2017/04/06 12:00:00 2017/04/06 10:27:17 UV 2.16.840.1.113883.3.7316 rmha Riverdale Mental Health Association OID Juliana Steen masked Donna Friedman Donna Friedman 5676 Riverdale Ave Bronx, NY 10471 718-796-5300 masked Executive Director Riverdale Mental Health Association 5676 Riverdale Avenue Bronx, NY 10471 718-796-5300 aheyward@mosaicmh.org https://www.rmha.org Provider Int 3 Complete 2017/04/06 12:00:00 2017/04/06 12:00:00 2020/02/04 05:14:21 US 2.16.840.1.113883.3.7317 mmh-RexburgMedicalClinic Madison Memorial Rexburg Medical Clinic Karen Newman masked Rhett Jackson 450 E. Main St. Rexburg, ID 83440 208-359-6428 masked Information Systems Director Madison Memorial Hospital 450 E. Main St. Rexburg, ID 83440 208-359-6959 ISSupport@mmhnet.org http://www.madisonhospital.org Exchange Int 3 Complete 2017/04/06 12:00:00 2017/04/06 12:00:00 2017/12/06 10:47:45 UV 2.16.840.1.113883.3.7318 echesnutis Edward J Chesnutis, DPM, PLLC Edward Chesnutis masked Jobeth Mitchell 10305 19th Ave SE, Suite A Everett, WA 98208 425.379.9999 masked office/billing Manager Edward J. Chesnutis, DPM, PLLC 10305 19th Ave SE, Suite A Everett, WA 98208 425.379.9999 dpmoffice@hotmail.com Provider Int 3 Complete 2017/04/07 12:00:00 2017/04/07 12:00:00 2017/04/07 11:29:21 UV 2.16.840.1.113883.3.7319 samuelfieldy Samuel Field YM & YWHA, Community Advisory Program for the Elderly Michael Upston masked Community Advisory Program for the Elderly Michael Upston 58-20 Little Neck Parkway, Little Neck, NY 11362 7182240566 masked CAPE Clinic Director Samuel Field YM & YWHA 58-20 Little Neck Parkway, Little Neck, NY 11362 718 224-0566 mupston@sfy.org http://www.sfy.org Provider Int 3 Complete 2017/04/07 12:00:00 2017/04/07 12:00:00 2017/04/07 01:47:11 UV 2.16.840.1.113883.3.7320 lugpa LUGPA OID Colleen Parker masked Colleen Parker 2400 Hartman Lane Springfield, OR 97477 541-867-4474 masked RN, BSN, CEN Large Urology Group Practice Association (LUGPA) 1100 E Woodfield Road Suite 350 Schaumburg, IL 60173 867-517-7225 ckirschner@lugpa.org http://lugpa.org/ Provider Int 3 Complete 2017/04/07 12:00:00 2017/04/07 12:00:00 2017/04/07 02:21:11 UV 2.16.840.1.113883.3.7321 airnyc a.i.r. nyc Enrico Cullen masked Shoshanah Brown, Executive Director, a.i.r. nyc Enrico Cullen a.i.r. nyc 349 East 149th Street, Suite 405 Bronx, NY 10451 7185772794 masked Director, Strategy a.i.r. nyc a.i.r. nyc 349 East 149th Street, Suite 405 Bronx, NY 10451 7185772794 sbrown@air-nyc.org http://www.air-nyc.org Vendor Int 3 Complete 2017/04/07 12:00:00 2017/04/07 12:00:00 2017/04/07 02:38:17 UV 2.16.840.1.113883.3.7322 jeffcohosp Jefferson County Hospital Roger Neal masked Roger Neal 2621 Whisenant Dr. Duncan, OK 73533 580-251-8555 masked VP-COO-CIO Jefferson County Hospital 9170 US Hwy 70 Waurika, OK 73573 580-228-2344 roger.neal@drhhealth.org https://www.duncanregional.com/locations/jefferson-county-hospital/ Provider 2.16.840.1.113883.3.890 Int 3 Complete 2017/04/07 12:00:00 2017/04/07 12:00:00 2024/11/07 12:43:03 UV 2.16.840.1.113883.3.7323 galenmedical GALEN MEDICAL GROUP Jill White masked Jill White 5600 Brainerd Road Suite H-100 Chattanooga, TN 37411 423-308-0520 masked HIT Director PCIS Gold 1525 W 820 N Provo, UT 84601 801-373-8518 info@pcisgold.com http://www.pcisgold.com Vendor Int 3 Complete 2017/04/10 12:00:00 2017/04/10 12:00:00 2017/04/10 08:50:57 UV 2.16.840.1.113883.3.7324 rasoandcohen Raso and Cohen Gastroenterology Associates OID Root Carl Raso masked Linda Shelley 129 Route 37, Suite 4 Toms River, NJ 08755 732-797-3990 masked office manager Raso and Cohen Gastroenterology Associates, Inc 129 Route 37, Suite 4 Toms River, NJ 08755 732-797-3990 rasoandcohen@gmail.com Provider Int 3 Complete 2017/04/12 12:00:00 2017/04/12 12:00:00 2017/04/12 05:51:02 UV 2.16.840.1.113883.3.7325 landmark-health Landmark Health Vaishali Kothari masked Vaishali Kothari 7755 Center Avenue, Suite #630 Huntington Beach, CA 92647 (657)400-5050 masked VP Technology Operation Landmark Health 7755 Center Avenue, Suite #630 Huntington Beach, CA 92647 (657) 237-2450 vkothari@landmarkhealth.org https://www.landmarkhealth.org Provider Int 3 Complete 2017/04/12 12:00:00 2017/04/13 12:00:00 2017/04/13 09:50:09 UV 2.16.840.1.113883.3.7326 eid Emirates Identification Number Syed Ahmed masked Syed Amir Jamil Ahmed DHA VIP Sports Club, Salama Office, Rashid Hospital, Dubai, UAE PO BOX 4545 Dubai 0097142191382 masked Senior Systems Analyst Dubai Health Authority DHA VIP Sports Club, Salama Office, Rashid Hospital, Dubai, UAE PO BOX 4545 Dubai 0097142191382 sajahmed@dha.gov.ae http://www.dha.gov.ae Govt body Int 3 Complete 2017/04/16 12:00:00 2017/04/17 12:00:00 2017/04/17 01:17:48 UV 2.16.840.1.113883.17.4191 oZ-NBS-OZ OZ Telepathy NBS Lura Daussat masked Michael Droppo 1701 East Lamar Blvd. Suite 160 Arlington, TX 76006 214-769-6014 masked Director of IT OZ Systems 1701 E. Lamar Blvd. Suite 160 Arlington, TX 76006 214-631-6161 mdroppo@oz-systems.com http://www.oz-systems.com/ Vendor Int 17 Complete 2017/04/17 12:00:00 2017/04/17 12:00:00 2017/04/17 02:43:35 UV 2.16.840.1.113883.3.7327 lluh Loma Linda University Health Rahsaan Middleton masked Rahsaan Middleton 11165 Mt. View Ave., Suite 228, Loma Linda, CA 92354 9095584000 ext 32639 masked Programmer Analyst Loma Linda University 11165 Mt. View Ave., Suite 228, Loma Linda, CA 92354 9095584000 ext 32639 rmiddleton@llu.edu http://www.one.lluh.org Provider Int 3 Complete 2017/04/17 12:00:00 2017/04/17 12:00:00 2017/04/17 02:52:08 UV 2.16.840.1.113883.3.7328 tgcaz The Guidance Center, Inc Kathlene Tanner masked Kathlene Tanner 2187 N Vickey Street Flagstaff, AZ 86004 928-527-1899 masked Application Support Analyst The Guidance Center, Inc 2187 N Vickey Street Flagstaff, AZ 86004 928-527-1899 itsadmin@tgcaz.org https://www.tgcaz.org Provider Int 3 Complete 2017/04/17 12:00:00 2017/04/17 12:00:00 2017/04/17 06:53:16 UV 2.16.840.1.113883.3.7329 wnyil Western New York Independent Living, Inc. Katrina Jacobi masked Katrina Jacobi 3108 Main Street Buffalo, NY 14214 716-836-0822 ext 104 masked Contracts Administrator Western New York Independent Living, Inc. 3108 Main Street Buffalo, NY 14214 716-836-0822 kjacobi@wnyil.org Provider Int 3 Complete 2017/04/19 12:00:00 2017/04/19 12:00:00 2017/04/19 10:56:00 UV 2.16.840.1.113883.3.7330 penrad-imaging Penrad Imaging Lewis Spady masked George Spady 1390 Kelly Johnson Blvd, Colorado Springs, CO 80920 (719) 593-1799 masked Director of Radiology Applications Penrad Imaging 1390 Kelly Johnson Blvd, Colorado Springs, CO 80920 (719) 593-1799 lgspady@penrad.org http://www.penrad.org/ Provider Int 3 Complete 2017/04/19 12:00:00 2017/04/19 12:00:00 2017/04/19 11:00:12 UV 2.16.840.1.113883.3.7331 azuba Azuba Corporation Bart Carlson masked Azuba Corporation Bart Carlson 40 Shuman Blvd Naperville, IL 60563 6304164051 masked Azuba Corporation 40 Shuman Blvd. Naperville, IL 60563 6304164051 bart.carlson@azuba.com http://www.azuba.com Vendor Int 3 Complete 2017/04/19 12:00:00 2017/04/19 12:00:00 2017/04/19 11:24:27 UV 2.16.840.1.113883.3.7332 recordquest RecordQuest, LLC Joey Kanner masked Joey Kanner 537 Long Point Rd Ste 101 Mt Pleasant, SC 29464 888-300-7410 masked ops@recordquest.com RecordQuest 537 Long Point Rd Ste 101 Mt Pleasant, SC 29464 888-300-7410 ops@recordquest.com http://www.recordquest.com Vendor Int 3 Complete 2017/04/19 12:00:00 2017/04/19 12:00:00 2017/04/19 12:36:22 UV 2.16.840.1.113883.3.7333 lhchos Liberty Homecare and Hospice Richard Gallo masked Richard Gallo 2334 South 41st st. Wilmington, NC 28402 910-332-4927 masked VP of Information Management Liberty Homecare and Hospice 2334 South 41st st. Wilmington, NC 28402 910-815-3122 rgallo@libertyhcare.com https://www.libertyhomecare.com Provider Int 3 Complete 2017/04/19 12:00:00 2017/04/19 12:00:00 2017/04/19 01:19:48 UV 2.16.840.1.113883.3.7334 mmcrootoid Murphy Medical Center, Inc. Root OID Connie Stalcup masked Connie R Stalcup 3990 E US HWY 64 ALT MURPHY, NC 28906 828-835-7635 masked IT MANAGER MURPHY MEDICAL CENTER INC 3990 E US HWY 64 ALT MURPHY, NC 28906 828-837-8161 cstalcup@murphymedical.org http://www.murphymedical.org Provider Int 3 Complete 2017/04/19 12:00:00 2017/04/19 12:00:00 2017/04/19 03:39:35 UV 2.16.840.1.113883.3.7335 noi Newport Orthopedic Institute Phi Nguyen masked Phi Nguyen 22 Corporate Plaza Drive Newport Beach, CA 92660 949-722-5034 masked Director of Information Technology Newport Orthopedic Institute 22 Corporate Plaza Drive Newport Beach, CA 92660 949-722-7038 PNguyen@NewportOrtho.com https://www.newportortho.com Provider Int 3 Complete 2017/04/19 12:00:00 2017/04/19 12:00:00 2017/04/19 03:52:21 UV 2.16.840.1.113883.3.7336 americare-pharmacy-NY Americare Pharmaceutical Services Garden City NY Dinesh Gambhir masked Dinesh Gambhir 4 Salamander Way, Sharon, MA 02067 6316453184 masked principal RXIHealth info@rxihealth.com https://www.rxihealth.com Vendor Int 3 Complete 2017/04/19 12:00:00 2017/04/20 12:00:00 2017/04/20 03:09:08 UV 2.16.840.1.113883.3.7337 hhhCCDOID HtoHH CCD OID Russ Abercrombie masked Russ Abercrombie 7240 Chase Oaks Blvd Plano, TX 75025 972-517-6300 masked VP of IT Heart to Heart Hospice 7240 Chase Oaks Blvd Plano, TX 75025 972-517-6300 russa@htohh.com Provider Int 3 Complete 2017/04/20 12:00:00 2017/04/20 12:00:00 2017/04/20 03:10:56 UV 2.16.840.1.113883.3.7338 aifp Associates in Family Practice, P.A. Christine Patrick masked Christine Patrick 12210 Plum Orchard Drive, Suite 212 Silver Spring, MD 20904 301-622-6020 masked Practice Manager Associates in Family Practice, P.A. 12210 Plum Orchard Drive, Suite 212 Silver Spring, MD 20904 301-622-6020 aifpmanager@aifpmd.com https://www.associatesinfamilypracticemd.com Provider Int 3 Complete 2017/04/20 12:00:00 2017/04/20 12:00:00 2017/04/20 03:14:23 UV 2.16.840.1.113883.3.7339 lpnt-cch Central Carolina Hospital Trevor Dickerson masked Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Health, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2017/04/20 12:00:00 2017/04/20 12:00:00 2018/05/02 12:11:47 UV 2.16.840.1.113883.3.7340 lpnt-frmc Frye Regional Medical Center Trevor Dickerson masked Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Health, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2017/04/20 12:00:00 2017/04/20 12:00:00 2018/05/02 12:12:40 UV 2.16.840.1.113883.3.7341 metroinfectious Metro Infectious Disease Consultants OID Root Beth Muldoon masked Beth Muldoon 901 McClintock Dr Burr Ridge, IL 60527 708-239-3501 masked Metro Infectious Disease Consultants 901 McClintock Dr Burr Ridge, IL 60527 630-654-4201 bethm@midcusa.com https://www.midcusa.com Provider Int 3 Complete 2017/04/20 12:00:00 2017/04/20 12:00:00 2017/04/20 05:20:41 UV 2.16.840.1.113883.3.7342 regv Regency Village Care Skilled Nursing & Rehabilitation Chris Barcelo masked Chris Barcelo 411 Alabama Avenue League City, Texas 77573 281-332-9588 masked Administrator Regency Village Care 411 Alabama Avenue League City, Texas 77573 281-332-9588 kjohnson@baywindvillagecare.net http://www.BaywindVillageCare.net Provider Int 3 Complete 2017/04/20 12:00:00 2017/04/20 12:00:00 2017/04/20 05:41:18 UV 2.16.840.1.113883.3.7343 ehimdnet Enable Healthcare Inc Rohit Paul masked Rohit Paul 9733393078 masked Enable Healthcare Inc 100 Eagle Rock Avenue, Suite 306 East Hanover, NJ 07936 9736298400 rohitpaul@ehiehr.com Vendor Int 3 Complete 2017/04/20 12:00:00 2017/04/20 12:00:00 2026/09/29 12:47:32 UV 2.16.840.1.113883.3.7344 rcs Rosie Connectivity Solutions George Thomas masked Harold Landers 7320 Central Avenue, Savannah, GA 31406 800-841-1109 masked Executive VP Rosie Connectivity Solutions 7320 Central Avenue, Savannah, GA 31406 800-841-1109 naveen.noel@nurserosie.com http://www.nurserosie.com/ SDO Int 3 Complete 2017/04/21 12:00:00 2017/04/21 12:00:00 2017/04/21 07:25:08 UV 2.16.840.1.113883.3.7345 dineshkbhatiamdpc Dinesh K. Bhatia MD PC OID Root Linda McCormick masked Linda McCormick 1000 Whitlock Avenue Suite 320 PMB 290 Marietta, GA 30064 770-380-5010 masked Practice Manager Dinesh K. Bhatia, MD PC 550 Peachtree Street Suite 1285 Atlanta, GA 30308 404-875-9636 lmccormick@nephroga.org http://www.nephroga.org Provider Int 3 Complete 2017/04/24 12:00:00 2017/04/24 12:00:00 2017/04/24 02:05:42 UV 2.16.840.1.113883.3.7346 empire-aco Empire ACO LLC AnandKumar Jeevarathinam masked AnandKumar 973-629-8356 masked EHI 973-629-8356 interface@ehiconnect.com Vendor Int 3 Complete 2017/04/24 12:00:00 2017/04/24 12:00:00 2017/04/24 05:41:11 UV 2.16.840.1.113883.4.927 cmsMBI Medicare Beneficiary Identifier Sweta Ladwa masked Timothy.Jackson@cms.hhs.gov Sweta Ladwa 2403868150 masked Associate Director, Data Science Center for Clinical Standards and Quality Center for Clinical Standards and Quality Center for Medicare and Medicaid Services 7500 Security Boulevard Baltimore, MD 21244 410-786-4006 Timothy.Jackson@cms.hhs.gov Govt body Int 4 Complete 2017/04/24 12:00:00 2017/04/25 12:00:00 2017/04/25 12:55:46 US 2.16.840.1.113883.3.7347 hnEHRPM Highlands Neuro EHRPM Carolyn Fletcher-Helton masked Joshua Lyons 2004 American Way Suite 201 Kingsport, TN 37660 423-392-1920 masked IT Consultant Highlands Neurosurgery 1 Medical Park Blvd. Suite 400 East 1 Bristol, TN 37620 423-844-5400 information@highlandsneuro.com http://highlandsneuro.com/ Provider Int 3 Complete 2017/04/25 12:00:00 2017/04/25 12:00:00 2017/04/25 12:45:14 UV 2.16.840.1.113883.3.7334.1 mmclaboratory LABORATORY Connie Stalcup masked CONNIE STALCUP 3990 E US HWY 64 ALT MURPHY, NC 28906 828-835-7635 masked IT MANAGER Murphy Medical Center 3990 E US HWY 64 ALT MURPHY, NC 28906 8288357635 cstalcup@murphymedical.org http://www.murphymedical.org Provider 2.16.840.1.113883.3.7334 Ext 14 Complete 2.16.840.1.113883.3.7334.1 2017/04/26 12:00:00 2017/05/05 12:00:00 2017/05/05 10:56:45 US 2.16.840.1.113883.3.7334.2 mmcmedicalrecordnumbers Pool of Medical Record Numbers Connie Stalcup masked CONNIE STALCUP 3990 E US HWY 64 ALT MURPHY, NC 28906 8288357635 masked IT MANAGER Murphy Medical Center 3990 E US HWY 64 ALT MURPHY, NC 28906 8288357635 cstalcup@murphymedical.org http://www.murphymedical.org Provider 2.16.840.1.113883.3.7334 Ext 14 Complete 2.16.840.1.113883.3.7334.2 2017/04/26 12:00:00 2017/05/05 12:00:00 2017/05/05 11:04:04 UV 2.16.840.1.113883.3.7348 cbiaz Community Bridges, Inc. Dana Neves masked Jason Suttor Jason Suttor 1855 W. Baseline Road Suite #110 Mesa, AZ 85202 480-768-6030 masked VP, Information Technologies Community Bridges, Inc. 1855 W. Baseline Road Suite #110 Mesa, AZ 85202 480-831-7566 support@cbridges.com http://communitybridgesaz.org/ Provider Int 3 Complete 2017/04/27 12:00:00 2017/04/28 12:00:00 2017/04/28 08:52:56 UV 2.16.840.1.113883.3.7349 family-foot12 Family Foot and Ankle Clinic, PA Deborah Leverton masked Deborah Leverton 3790 -117th Lane NW Coon Rapids, MN 55433 763-421-7300 masked Office MGR Family Foot and Ankle Clinic, PA 3790-117th Lane NW Coon Rapids, MN 55433 763-421-7300 familyfoot@integra.net http://www.familyfootmn.com Provider Int 3 Complete 2017/04/28 12:00:00 2017/04/28 12:00:00 2017/04/28 08:58:41 UV 2.16.840.1.113883.3.7350 aaa Allergy and Asthma Associates Robert Mamlok masked Tim Gary Tim Gary 3306 54th Street, Lubbock, TX 79413 806.441.0404 masked Clinic IT Consultant Allergy and Asthma Associates 5424 19th Street, Suite 300 Lubbock, TX 79407 806.795.4391 robertmam@gmail.com http://www.drmamlok.com Provider Int 3 Complete 2017/04/28 12:00:00 2017/04/28 12:00:00 2017/04/28 01:33:45 UV 2.16.840.1.113883.3.7351 drfang Drs. Feldman and Galotto, LLC Jeannette Smith masked Jeannette Smith 5225 Pooks Hill Rd Suite 1-a, Bethesda, MD 20814 301-897-8550 masked Office Manager Drs. Feldman and Galotto, LLC 5225 Pooks Hill Rd Suite 1-a, Bethesda, MD 20814 301-897-8550 drsfeldmanandgalotto@yahoo.com Provider Int 3 Complete 2017/04/28 12:00:00 2017/04/28 12:00:00 2017/04/28 01:43:44 UV 2.16.840.1.113883.3.7352 southerniowaortho Southern Iowa Orthopedics OID Root Scott Nelson masked Scott Nelson Southern Iowa Orthopedics 509 E Monroe St Corydon, IA 50060 515-381-3410 masked Director of Operations Southern Iowa Orthopedics Southern Iowa Orthopedics 509 E Monroe St Corydon, IA 50060 515-381-3410 info@jointpreservationiowa.com http://www.jointpreservationiowa.com Provider Int 3 Complete 2017/04/28 12:00:00 2017/04/28 12:00:00 2017/04/28 03:03:12 UV 2.16.840.1.113883.3.7353 des Diabetes and Endocrine Specialists OID Root Nisha Varghese masked Nisha Varghese 330 Townepark Cir Ste 100 Louisville, KY 40243 502-245-8988 ext 22 masked Owner/MD Diabetes and Endocrine Specialists PLLC 330 Townepark Cir Ste 100 Louisville, KY 40243 502-245-8988 des_heather@hotmail.com http://www.endospecialists.org Provider Int 3 Complete 2017/04/28 12:00:00 2017/04/28 12:00:00 2017/04/28 03:38:04 UV 2.16.840.1.113883.3.7354 pyramedhealthsys PyraMED Health Systems Richard Vernick masked Richard Vernick PyraMED Health Systems 850 Cassatt Rd Berwyn, PA 19312 6106472255 masked CTO PyraMED Health Systems PyraMED Health Systems 850 Cassatt Rd Berwyn, PA 19312 6106472255 rvernick@pyramed-health.com https://www.pyramed-health.com Vendor Int 3 Complete 2017/05/01 12:00:00 2017/05/02 12:00:00 2017/05/02 10:53:59 UV 2.16.840.1.113883.3.7355 gcdmc Grover C Dils Medical Center George Rowe masked George Rowe 700 N. Spring Street P.O. Box 1010 Caliente, Nevada 89008 (775) 726-3171 masked Grover C Dils Medical Center 700 N. Spring Street P.O. Box 1010 Caliente, Nevada 89008 (775) 726-3171 george@gcdmc.org Provider Int 3 Complete 2017/05/01 12:00:00 2017/05/02 12:00:00 2017/05/02 11:00:17 UV 2.16.840.1.113883.4.928 chocallscripts CHOC Allscripts EMR Neil Garde masked Neil Garde 1201 W. La Veta Ave., Orange, CA 92868-3874 7145094817 masked BI Manager CHOC Children's Hospital 1201 W. La Veta Ave., Orange, CA 92868-3874 7149973000 ngarde@choc.org Provider Int 3 Complete 2017/05/02 12:00:00 2017/05/04 12:00:00 2017/05/04 12:53:15 UV 2.16.840.1.113883.3.7356 statcareoutpatient StatCare Outpatient OID Root Amber Singleton masked Amber Singleton 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919 8655888831 masked Office Manager StatCare Outpatient 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919 8655888831 asingleton@statcaremed.net Provider Int 3 Complete 2017/05/02 12:00:00 2017/05/02 12:00:00 2017/05/02 08:29:50 UV 2.16.840.1.113883.3.7357 manillazamanmd Manilla Zaman OID Root Manila Zaman masked Manila Zaman 29995 technology dr suite 302 Murrieta, CA 92563 9514454347 masked Provider manila 29995 technology dr suite 302 Murrieta, CA 92563 9514454347 manila.zaman@yahoo.com Provider Int 3 Complete 2017/05/02 12:00:00 2017/05/02 12:00:00 2017/05/02 08:36:32 UV 2.16.840.1.113883.3.7358 scm Southern Colorado Medicine Marilyn Dippold masked Marilyn Dippold 719-494-1950 masked CEO Southern Colorado Medicine 8890 North Union Blvd, Colorado Springs, CO 80929 719-494-1950 marilyn@socomedicine.com Provider Int 3 Complete 2017/05/02 12:00:00 2017/05/02 12:00:00 2017/05/02 08:39:33 UV 2.16.840.1.113883.4.929 slmcfid South Lyon Medical Center Noelle Karrick masked Noelle Karrick 213 S Whitacre St Yerington, NV 89447 7754636411 masked IT Supervisor South Lyon Medical Center 213 S Whitacre St Yerington, NV 89447 7754632301 noelle@southlyonmedicalcenter.org https://slmcnv.org Provider Int 3 Complete 2017/05/03 12:00:00 2017/05/04 12:00:00 2017/05/04 12:42:59 UV 2.16.840.1.113883.3.7359 twpedia-301 Tidewater Pediatrics Laarni Bibay masked Laarni S. Bibay 301 Goode Way, Suite 203 Portsmouth, VA 23704 757-399-5300 masked President Tidewater Pediatrics, P.C. 301 Goode Way, Suite 203 Portsmouth, VA 23704 757-399-5300 tidewaterpeds@gmail.com Provider Int 3 Complete 2017/05/03 12:00:00 2017/05/03 12:00:00 2017/05/03 02:28:40 UV 2.16.840.1.113883.3.2402.200.6901 physicians-computer-company-ap Physician's Computer Company (PCC) client Augusta Pediatrics Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interop-Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6901 2017/05/03 12:00:00 2017/05/03 12:00:00 2017/05/03 03:40:10 UV 2.16.840.1.113883.3.7360 internalimedicineassociates6940 Internal Medicine Associates Candace Bridges masked Candace Bridges 6940 Winton Blount Blvd. Montgomery, AL 36117 3342799211 masked Office Administrator Internal Medicine Associates 6940 Winton Blount Blvd. Montgomery, AL 36117 3342799211 cbridges@intmedassociates.com https://www.intmedassociates.com Provider Int 3 Complete 2017/05/03 12:00:00 2017/05/03 12:00:00 2017/05/03 05:01:14 UV 2.16.840.1.113883.9.224 pulse Patient Unified Lookup System for Emergencies (PULSE) Brian Lindsey masked Brian Lindsey 4439871013 masked Software Engineer California Emergency Medical Services Authority 10901 Gold Center Drive, Suite 400 Rancho Cordova, CA 95670 9163224336 Leslie.Witten@emsa.ca.gov Govt body Int 3 Complete 2017/05/04 12:00:00 2017/05/05 12:00:00 2017/05/05 05:10:03 UV 2.16.840.1.113883.3.7361 hhSW-01 Catholic Charities Diocese of Ogdensburg Brittany Bono masked Carol Whitcombe 6866 State Highway 37 Ogdensburg, NY 13669 315-393-3133 masked Catholic Charities Diocese of Ogdensburg 6866 State Highway 37 Ogdensburg, NY 13669 315-393-2255 seaway1@northnet.org Provider Int 3 Complete 2017/05/04 12:00:00 2017/05/04 12:00:00 2017/05/04 12:59:59 UV 2.16.840.1.113883.9.225 atlasimmrt2 Atlas Immunization Services MRT 2.0 Brett Levert masked Brett Levert Suite 106, 7633 &#8211; 50 Street T6B 2W9 780-850-6721 masked LeVerb Suite 106, 7633 &#8211; 50 Street T6B 2W9 780-850-6721 brett@leverb.com http://leverb.com Vendor Int 3 Retired 2017/05/05 12:00:00 2018/08/31 12:00:00 2018/11/08 10:48:32 UV 2.16.840.1.113883.3.7362 sunnyhills The Pavilion at Sunny Hills Colin Hart masked Pursue Health Colin Hart 400 Exchange, Suite 140 Irvine, CA 92602 7146736851 masked VP Information Technology The Pavilion at Sunny Hills 2222 N. HARBOR BLVD FULLERTON, CA 92835 7149925701 info@sunnyhillshc.com http://www.sunnyhillshc.com Provider Int 3 Complete 2017/05/05 12:00:00 2017/05/05 12:00:00 2017/05/05 05:01:03 UV 2.16.840.1.113883.9.226 tmr2015 Senior Care Excellence Oscar Osundwa masked Oscar Osundwa 4900 E Sam Houston Pkwy S. Pasadena, Texas 77505 281-998-0399 masked VP of Operations Senior Care Excellence 4900 E Sam Houston Pkwy S. Pasadena, Texas 77505 281-998-0399 or 281-329-4300 oosundwa@scexcellence.com Provider Int 3 Complete 2017/05/05 12:00:00 2017/05/05 12:00:00 2017/05/05 05:14:15 US 2.16.840.1.113883.3.7363 cchks Cheyenne County Hospital Shawna Blanka masked Director of Quality/Risk Mgt Shawna Blanka 210 West First Street PO Box 547 St. Francis, KS 67756 785-332-2104 masked Director of Quality/Risk Mgt/Public Relations Cheyenne County Hospital 210 West First Street PO Box 547 St. Francis, KS 67756 785-332-2104 sblanka@cheyennecountyhospital.com Provider Int 3 Complete 2017/05/08 12:00:00 2017/05/09 12:00:00 2017/05/09 11:04:59 UV 2.16.840.1.113883.10.22 intlPatSumryRoot Internaitonal Patient Summary Templates Root William Ted Klein masked Giorgio Cangioli Giorgio Cangioli Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked Representative International Patient Summary Structured Documents Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org HL7 body 2.16.840.1.113883 Ext 10 Complete 2.16.840.1.113883.10.22 2017/05/09 12:00:00 2017/07/31 12:00:00 2017/08/01 03:15:34 UV 2.16.840.1.113883.3.7364 rogosin The Rogosin Institute Allyson Pifko masked Allyson Pifko 505 East 70th Street NY, NY 10021 646-317-0698 masked VP of Operations The Rogosin Institute 505 East 70th Street NY, NY 10021 212-746-1551 alp2004@nyp.org http://www.rogosin.org Academic Int 3 Complete 2017/05/09 12:00:00 2017/05/09 12:00:00 2017/05/09 05:46:24 UV 2.16.840.1.113883.4.930 mxc MatrixCare CareCommunity Doc DeVore masked Chris Pugliese 1550 American Blve E 9th Floor Bloomington, MN 55425 9529959800 masked Head of Product, nteroperability MatrixCare 1550 American Blve E 9th Floor Bloomington, MN 55425 9529959800 connections@matrixcare.com http://www.matrixcare.com/company/contact/ Vendor Int 3 Complete 2017/05/10 12:00:00 2017/05/11 12:00:00 2024/12/11 10:28:43 US 2.16.840.1.113883.3.7365 jeffreyamen Jeffrey Amen Jeffrey Amen masked Jeffrey Amen 1615 Hill Road, Suite E Novato, CA 94947 4158984828 masked Jeffrey Amen 1615 Hill Road, Suite E Novato, CA 94947 4158984828 drjeffa@comcast.net Provider Int 3 Complete 2017/05/10 12:00:00 2017/05/11 12:00:00 2017/05/11 10:15:28 UV 2.16.840.1.113883.3.7366 elcfc The Eye and Laser Center of Fort Collins Andrew Norris masked Holly A. Herson 2121 E. Harmony Road Suite 190 Fort Collins, CO 80528 970-224-2020 masked EMR/Internal I.T. Support The Eye and Laser Center of Fort Collins 2121 E. Harmony Road Suite 190 Fort Collins, CO 80528 970-224-2020 hollyh@elcfc.com http://www.eyeandlasercenterfortcollins.com/ Provider Int 3 Complete 2017/05/11 12:00:00 2017/05/11 12:00:00 2017/05/11 10:18:58 UV 2.16.840.1.113883.3.7367 instrideccfacare InStride Coastal Carolina Foot & Ankle Care OID Root Thomas Hagan masked Coastal Carolina Foot & Ankle Care Kristie Tyson 612 A McCarthy Blvd New Bern, NC 28562 2526333400 masked Office Manager InStride Foot & Ankle Specialists 612 A McCarthy Blvd New Bern, NC 28562 2526333400 footcare@carolinamail.net Provider Int 3 Complete 2017/05/11 12:00:00 2017/05/11 12:00:00 2017/05/11 10:40:14 UV 2.16.840.1.113883.3.7368 luisfanezmdpa LUIS F ANEZ MD PA Pamela Maxey masked Pamela Maxey 9765 San Jose Blvd.,Ste. 102 Jacksonville, FL 32257 9042605757 masked Office Administrator LUIS F ANEZ MD PA 9765 San Jose Blvd.,Ste. 102 Jacksonville, FL 32257 9042605757 pamelac_luisfanezmdpa@yahoo.com Provider Int 3 Complete 2017/05/12 12:00:00 2017/05/12 12:00:00 2017/05/12 10:56:17 UV 2.16.840.1.113883.3.7369 relevant-healthcare-technologies-qccphh Relevant Healthcare Technologies serving QCCP Health Home Kevin Finn masked Relevant Healthcare Technologies 222 Broadway Fl. 19 New York, NY 10038 (212) 220-3807 masked Relevant Healthcare Technologies 222 Broadway Fl. 19 New York, NY 10038 (212) 220-3807 info@relht.com http://relevant.healthcare Vendor Int 3 Complete 2017/05/12 12:00:00 2017/05/12 12:00:00 2017/06/07 02:50:47 UV 2.16.840.1.113883.3.7370 hhGS-01 The House of the Good Shepherd Brittany Bono masked Virginia Whitford 133 North Genesee Street Utica, NY 13502 315-235-7700 masked The House of the Good Shepherd 133 North Genesee Street Utica, NY 13502 315-235-7700 virginiaw@hgs-utica.com Provider Int 3 Complete 2017/05/15 12:00:00 2017/05/15 12:00:00 2017/05/15 05:05:21 UV 2.16.840.1.113883.17.4192 medicat Medicat LLC OID Errol Szokolay masked Errol Szokolay 1100 Johnson Ferry Road, Suite LL75, Sandy Springs, GA 30342 866-633-4053 X8121 masked Interface Developer Medicat LLC 1100 Johnson Ferry Road, Suite LL75, Sandy Springs, GA 30342 866-633-4053 support@medicat.com http://www.medicat.com Vendor Int 17 Complete 2017/05/16 12:00:00 2017/05/17 12:00:00 2017/05/17 01:37:12 US 2.16.840.1.113883.3.7371 sjcheartrhythmba SJC Heart Rhythm - Broken Arrow Kelli Johnson masked Kelli Johnson 1923 S Utica Tulsa, OK 74104 918-748-1305 masked Data Analyst SJC Heart Rhythm - Broken Arrow 800 W Boise Circle Suite 120 Broken Arrow, OK 74012 918-748-7501 ahisha.peters@sjmc.org Provider Int 3 Complete 2017/05/17 12:00:00 2017/05/17 12:00:00 2017/05/17 01:53:39 UV 2.16.840.1.113883.3.7372 sjcheartrhythmpryor SJC Heart Rhythm - Pryor Kelli Johnson masked Kelli Johnson 1923 S Utica Tulsa, OK 74104 918-748-1305 masked Data Analyst SJC Heart Rhythm - Pryor 133 N Fairland St Pryor, OK 74361 918-748-7501 ahisha.peters@sjmc.org Provider Int 3 Complete 2017/05/17 12:00:00 2017/05/17 12:00:00 2017/05/17 01:58:39 UV 2.16.840.1.113883.17.4193 wtma West Texas Medical Associates Thomas Brady masked Thomas G Brady 3555 Knickerbocker Road San Angelo, Texas 76904 325-224-5357 masked IT Manager West Texas Medical Associates 3555 Knickerbocker Road San Angelo, Texas 76904 325-224-5357 administrator@wtmedical.com Provider Int 17 Complete 2017/05/17 12:00:00 2017/05/17 12:00:00 2017/05/17 01:50:18 US 2.16.840.1.113883.17.4194 userID-TrakCareLab Document Author for CDA Pathology Report from Territory Pathology Angie Hayes masked Adam Gollow Angie Hayes 1 Briggs Street, Darwin NT 0800 Australia +61437558012 masked Senior Business Analyst Territory Pathology Territory Pathology 105 Rocklands Drive Tiwi NT 0810 Australia +61 8 89228299 rob.baird@nt.gov.au Govt body Int 17 Complete 2017/05/17 12:00:00 2017/05/17 12:00:00 2017/05/17 11:21:56 UV 2.16.840.1.113883.17.4195 pathology-disciplines Identifier for Pathology disciplines Angie Hayes masked Adam Gollow Angie Hayes 1 Briggs St Darwin NT 0800 Australia +61 437558012 masked Senior Business analyst Territory Pathology Territory Pathology 105 Rocklands Drive Tiwi NT 0810 Australia +61 8 89228299 rob.baird@nt.gov.au Govt body Int 17 Complete 2017/05/17 12:00:00 2017/05/17 12:00:00 2017/05/17 11:25:03 UV 2.16.840.1.113883.3.7373 fcmhne Franklin County Memorial Hospital James Brown masked James Brown 1406 Q Street Franklin, NE 68939 308-425-6221 masked Director Support Services Franklin County memorial Hospital 1406 Q Street Franklin, NE 68939 308-425-6221 jbrown@fcmh.biz Provider Int 3 Complete 2017/05/18 12:00:00 2017/05/18 12:00:00 2017/05/18 11:53:26 UV 2.16.840.1.113883.3.7374 umcpgastro UMC Physicians Gastroenterology Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 160 Lubbock, TX 79407 806-761-0333 masked Director, Business Services UMC Physicians 3502 9th Street Suite 270 Lubbock, TX 79415 806-761-0333 yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2017/05/18 12:00:00 2017/05/18 12:00:00 2017/05/18 11:57:00 UV 2.16.840.1.113883.3.7375 cope COPE Community Services, Inc. Khalid Maskari masked Khalid Al-Maskari 5207923293 masked CIO COPE Community Services, Inc. 5207923293 kmaskari@copebhs.com http://www.copecommunityservices.org/ Provider Int 3 Complete 2017/05/18 12:00:00 2017/05/18 12:00:00 2017/05/18 05:23:37 UV 2.16.840.1.113883.3.7376 renaissanceENTMission Ear, Nose, and Throat Institute at Renaissance-Mission OID Root Priscilla Peralez masked Martha Torres 909 Business Park Drive Mission, TX 78572 9563628250 masked Practice Manager Ear, Nose, and Throat Institute at Renaissance-Mission 909 Business Park Drive Mission, TX 78572 9563628250 mart.torres@dhr-rgv.com Provider Int 3 Complete 2017/05/19 12:00:00 2017/05/19 12:00:00 2017/05/19 02:31:29 UV 2.16.840.1.113883.3.7377 hhie Hawaii Health Information Exchange Michael Donnelly masked Michael Donnelly 900 Fort Street Mall, #1305 Honolulu, HI 96813 808-441-1310 masked Project Manager Hawaii Health Information Exchange 900 Fort Street Mall, #1305 Honolulu, HI 96813 808-441-1374 https://www.hawaiihie.org/ https://www.hawaiihie.org/ Exchange Int 3 Complete 2017/05/19 12:00:00 2017/05/19 12:00:00 2017/05/19 02:59:58 UV 2.16.840.1.113883.3.7378 dVH360 Desert View Hospital Alliance, LLC Chad Anders masked Susan Davila Chad Anders 360 S. Lola Lane Pahrump, NV 89048 775-751-7165 masked IT Director Desert View Hospital 360 S. Lola Lane Pahrump, NV 89048 775-751-7500 chad.anders@uhsinc.com Provider Int 3 Complete 2017/05/19 12:00:00 2017/05/19 12:00:00 2017/05/19 03:11:51 US 2.16.840.1.113883.3.7379 tow Tutors on Wheels Inc. Nydia Torres masked Nydia Torres 68-60 Austin Street Forest Hills, NY 11375 718-268-0092 masked Director of Early Intervention Tutors on Wheels 68-60 Austin Street Forest Hills, NY 11375 718-268-0092 nydia.torres@tutorsonwheels.com http://www.tutorsonwheels.com Provider Int 3 Complete 2017/05/19 12:00:00 2017/05/19 12:00:00 2017/05/19 03:40:47 UV 2.16.840.1.113883.3.7380 ahi Azalea Health Dev Azalea masked Andrew McCall 6 Concourse Pkwy #2550 Atlanta, GA 30328 8664604079 masked VP of Ambulatory Application Azalea Health 6 Concourse Pkwy #2550 Atlanta, GA 30328 (877) 777-7686 dev@azaleahealth.com http://www.azaleahealth.com/ Vendor Int 3 Complete 2017/05/19 12:00:00 2017/05/19 12:00:00 2025/11/19 12:59:06 UV 2.16.840.1.113883.3.7381 cardiacassociat CARDIAC ASSOCIATES, P.C. Jean Dufort masked Jean Dufort 15225 SHADY GROVE RD SUITE 201 ROCKVILLE, MD 20850 301-670-3000 masked INFORMATION SYSTEMS SERVICES DIRECTOR CARDIAC ASSOCIATES, PC 15225 SHADY GROVE RD SUITE 201 ROCKVILLE, MD 20850 301-670-3000 referrals@cardiacassociates.com http://www.cardiacassociates.org/ Provider Int 3 Complete 2017/05/19 12:00:00 2017/05/19 12:00:00 2017/05/19 04:40:15 UV 2.16.840.1.113883.4.931 chs-TRP Cooperative Health Solutions, LLC DBA The Right Place Katherine Chambers masked Katherine Chambers 770 S. Post Oak Lane Suite 600 Houston, Texas 77056 (877) 435-5283 masked Co-Founder & CEO Cooperative Health Solutions LLC 770 S. Post Oak Lane Suite 600 Houston, Texas 77056 (877) 435-5283 katherine@therightplace.com https://www.therightplace.com Vendor Int 3 Complete 2017/05/19 12:00:00 2017/05/22 12:00:00 2017/05/22 07:16:56 US 2.16.840.1.113883.17.4196 gcmhs Genesee County Mental Health Services Beverly Walthew masked Beverly Walthew 5130 East Main St Rd Batavia, NY 14020 5853441421 masked Genesee County Mental Health 5130 East Main ST Rd Batavia, NY 14020 5853441421 bev.walthew@co.genesee.ny.us Govt body Int 17 Complete 2017/05/22 12:00:00 2017/05/22 12:00:00 2017/05/22 06:04:36 UV 2.16.840.1.113883.3.7382 rdmgbc RDMG- Bull City Linda Hall masked Linda Hall 919-618-9797 masked RDMG- Bull City 5420 Wade Park BLD Raleigh NC 27607 919-618-9797 Linda.Hall@intermedix.com Provider Int 3 Complete 2017/05/22 12:00:00 2017/05/22 12:00:00 2017/05/22 06:09:08 UV 2.16.840.1.113883.3.7383 rdmgaro RDMGA- Roxboro Linda Hall masked Linda Hall 919-618-9797 masked RDMGA-Roxboro 5420 Wade park Blvd Raleigh, NC 27607 919-618-9797 Linda.Hall@intermedix.com Provider Int 3 Complete 2017/05/22 12:00:00 2017/05/22 12:00:00 2017/05/22 06:25:07 UV 2.16.840.1.113883.3.7384 rdmgahoriz RDMGA-Horizon Linda Hall masked Linda Hall 919-618-9797 masked RDMGA-Horizon 5420 Wade park BLvd Raleigh, NC 27607 919-618-9797 Linda.Hall@intermedix.com Provider Int 3 Complete 2017/05/22 12:00:00 2017/05/22 12:00:00 2017/05/22 07:13:33 UV 2.16.840.1.113883.3.7385 eCQMsAfoundriaLLC electronic Clinical Quality Measures for use in Afoundria's EHR, ChartPath Charles Owen MD masked Charles B Owen 3403 Foothill Pkwy Austin, TX 78731 (512) 589-5965 masked Chief Medical Information Officer Afoundria, LLC 3901 Spicewood Springs Road Austin, TX 78759 (888) 632-4659 charles@afoundria.com http://afoundria.com Vendor Int 3 Complete 2017/05/23 12:00:00 2017/05/23 12:00:00 2017/05/23 12:32:33 UV 2.16.840.1.113883.3.7386 whhs Warner Hospital and Health Services - Family Medicine Heather Schofield masked Mark Sandvick Heather Schofield Warner Hospital and Health Services - Family Medicine 422 W. White Street Clinton, IL 61727 217-937-5212 masked Risk Manager Warner Hospital and Health Services - Family Medicine 422 West White Street Clinton, IL 61727 217-935-9571 info@warnerhospital.org http://warnerhospital.org/ Provider Int 3 Complete 2017/05/23 12:00:00 2017/05/23 12:00:00 2017/05/23 12:47:20 UV 2.16.840.1.113883.3.7387 fasterCare Faster Care Crystal Angelino masked Crystal Angelino Faster Care 3440 Declaration Blvd. Sumter, SC 29154 803-905-3278 masked Office Manager Faster Care 3440 Declaration Blvd. Sumter, SC 29154 8039053278 cevans@fastercaresumter.com Provider Int 3 Complete 2017/05/23 12:00:00 2017/05/23 12:00:00 2017/05/23 12:59:29 UV 2.16.840.1.113883.3.7388 barrington Barrington Orthopedic Specialists Bruce Kerlin masked Bruce Kerlin 929 West Higgins Rd Schaumburg, IL 60195 847-285-4200 masked Director Of IT Barrington Orthopedic Specialists 929 W Higgins Rd Schaumburg, IL 60195 8472854200 bkerlin@barringtonortho.com Provider Int 3 Complete 2017/05/23 12:00:00 2017/05/23 12:00:00 2017/05/23 03:40:10 UV 2.16.840.1.113883.3.7389 adultinternalmedicine Adult Internal Medicine, PA Joyce Warren masked Joyce Warren 21 18th Ave. NW Hickory, NC 28601 828-267-2246 masked Practice Manager Adult Internal Medicine, PA 21 18th Ave. NW Hickory, NC 28601 828-267-2246 joyce@adultinternalmedicine.net Provider Int 3 Complete 2017/05/23 12:00:00 2017/05/23 12:00:00 2017/05/23 05:01:27 UV 2.16.840.1.113883.3.7390 lpnt-fch Fleming County Hospital Trevor Dickerson masked Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Health, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2017/05/24 12:00:00 2017/05/24 12:00:00 2018/05/02 12:12:13 UV 2.16.840.1.113883.3.7391 nychHealthix New York Community Hospital Oleksiy Litvinov masked New York Community Hospital 2525 Kings Highway Brooklyn, NY 11229 917-626-7466 masked MIS Director New York Community Hospital 2525 Kings Highway Brooklyn, NY 11229 718-692-5300 olx@nych.com Provider Int 3 Complete 2017/05/24 12:00:00 2017/05/24 12:00:00 2022/01/28 06:23:54 UV 2.16.840.1.113883.3.7392 kairosnw Kairos NW Jim von Stein masked Jim von Stein 715 SW Ramsey Ave Grants Pass, OR 97527 541-956-4943 ext. 1107 masked Information Services Admin Information Services InformationServices@kairosnw.org https://www.kairosnw.org Provider Int 3 Complete 2017/05/25 12:00:00 2017/05/25 12:00:00 2017/05/25 02:41:52 UV 2.16.840.1.113883.3.7393 pocchild Pocatello Children's Clinic Jessica Perry masked Pocatello Children's Clinic Jessica L Perry 1151 Hospital Way, Bldg F Pocatello, ID 83201 2082369600 masked Administrator Pocatello Children's Clinic 1151 Hospital Way, Bldg F Pocatello, ID 83201 2082369600 jperry@pocatellochildren.com http://www.pocatellochildren.com Provider Int 3 Complete 2017/05/25 12:00:00 2017/05/25 12:00:00 2017/05/25 03:44:44 US 2.16.840.1.113883.9.227 mha-nyc Mental Health Association of New York City Angela Mora-Vargas masked Angela Mora-Vargas 975 Kelly Street #301 Bronx, NY 10459 718-220-0456 ext. 6149 masked Assistant Vice President of Programs Mental Health Association of New York City 50 Broadway, 19th Floor New York, NY 10004 (212) 254-0333 mha-nyc@mhaofnyc.org https://mhaofnyc.org/ Provider Int 3 Complete 2017/05/26 12:00:00 2017/05/26 12:00:00 2017/05/26 12:25:15 US 2.16.840.1.113883.3.7394 davisAssociates Root OID for Davis & Associates Consulting corporation Attila Farkas masked Todd Davis 223 Chapalina Heights SE Calgary, Alberta T2X 0B1 403-918-4615 masked President Davis and Associates Consulting Ltd 223 Chapalina Heights SE Calgary, Alberta T2X 0B1 403-918-4615 tmdavis@todddavisconsulting.com https://infocentral.infoway-inforoute.ca/en/ Vendor Int 3 Complete 2017/05/26 12:00:00 2017/05/26 12:00:00 2017/05/26 12:15:23 UV 2.16.840.1.113883.3.7395 iown2 Iown2 Marcin Mejran masked Marcin Mejran 116 W 32nd Floor 9 New York, NY 10001 9176236980 masked Iown 2 LLC 116 W 32nd Floor 9 New York, NY 10001 646-282-3120 marcin@iown2.com Vendor Int 3 Complete 2017/05/31 12:00:00 2017/05/31 12:00:00 2017/05/31 11:10:53 UV 2.16.840.1.113883.3.7396 cllmdpa C Lance Love MD PA Judy Love masked Judy Love 820 Reuben Street Suite A Fredericksburg, TX 78624 8309976000 masked Office Manager C Lance Love, MD PA 820 Reuben Street Suite A Fredericksburg, TX 78624 8309976000 cllmdpa@yahoo.com Provider Int 3 Complete 2017/05/31 12:00:00 2017/05/31 12:00:00 2017/05/31 11:19:46 UV 2.16.840.1.113883.3.7397 kirklandfamilypractice Clem Kirkland MD Inc OID Root Clem Kirkland masked Clem Kirkland 5928 Springboro Pike Dayton, OH 45449 937-433-0220 masked MD Clem Kirkland MD Inc 5928 Springboro Pike Dayton, OH 45449 937-433-0220 clemkirkland@yahoo.com Provider Int 3 Complete 2017/05/31 12:00:00 2017/05/31 12:00:00 2017/05/31 01:57:55 UV 2.16.840.1.113883.3.7398 nscfg North Shore Child & Family Guidance Center Peter Matulich masked North Shore Child & Family Guidance Center Cindy Ambrose 480 Old Westbury Road Roslyn Heights, NY 11577-2215 (516)626-1971 masked North Shore Child & Family Guidance Center 480 Old Westbury Road Roslyn Heights, NY 11577-2215 (516) 626-1971 info@northshorechildguidance.org https://www.northshorechildguidance.org Provider Int 3 Complete 2017/06/01 12:00:00 2017/06/05 12:00:00 2017/06/05 01:17:01 UV 2.16.840.1.113883.3.7400 th-provider Therap Provider Sazzad Rafique masked Sazzad Rafique 562 Watertown Avenue Waterbury CT06708 4752358512 masked Chief of Software Design Therap Services, LLC 562 Watertown Avenue, Waterbury CT06708 2035967553 sazzad@therapservices.net https://www.therapservices.net/ Vendor Int 3 Complete 2017/06/01 12:00:00 2017/06/01 12:00:00 2017/06/01 10:36:41 UV 2.16.840.1.113883.3.7401 ttp-pedispec TTP-Pediatric Specility Rae Rodriguez masked Rae Ann Rodriguez 3601 4TH Street RM 1BC150 MS 8352 Lubbock, Texas 79430 806-743-4357 masked Unit Manager TTP- Pedi Speciality 3601 4TH Street RM 1BC150 MS 8352 Lubbock, Texas 79430 806-743-4357 emrhelpdesklubbock@ttuhsc.edu http://umchealthsystem.com Academic Int 3 Complete 2017/06/01 12:00:00 2017/06/01 12:00:00 2017/06/01 10:39:12 UV 2.16.840.1.113883.3.7402 ttp-son-abilenechc TTP- SON Abilene Community Health Center Rae Rodriguez masked Rae Ann Rodriguez 3601 4th Street RM 1BC150 MS8352 Lubbock, Texas 79430 806-743-4357 masked Unit Manager TTP- SON Abilene Community Health Center 3601 4th Street RM 1BC150 MS8352 Lubbock, Texas 79430 806-743-4357 emrhelpdesklubbock@ttuhsc.edu http://umchealthsystem.com Academic Int 3 Complete 2017/06/01 12:00:00 2017/06/01 12:00:00 2017/06/01 10:58:14 UV 2.16.840.1.113883.17.4197 h-2-A-0-v-1-E-3 Hope And Victory Evolves (H.A.V.E.), LLC Carrie Taft masked Carrie Taft 917-226-7960 masked Hope And Victory Evolves (H.A.V.E.), LLC PO Box 1239 Bronx, NY 10459 917-226-7960 ctafthave@aol.com Provider Int 17 Complete 2017/06/01 12:00:00 2017/06/01 12:00:00 2017/06/01 11:05:36 UV 2.16.840.1.113883.3.7403 jchosp Johnson County Hospital Diane Newman masked Jennifer Rogge 202 High Street Tecumseh, NE 68450 402-335-3361 masked CIO Johnson County Hospital 202 High Street Tecumseh, NE 68450 402-335-3361 jrogge@jchosp.com Provider Int 3 Complete 2017/06/02 12:00:00 2017/06/02 12:00:00 2020/07/20 10:03:59 UV 2.16.840.1.113883.3.7404 jwKS Jewll County Hospital Bobi Fogo masked Bobi Fogo Jewell County Hospital 100 Crestvue Ave PO Box 327 Mankato, KS 66956 785-378-3137 masked IT manager Jewell County Hospital 100 Crestvue Ave PO Box 327 Mankato, KS 66956 785-378-3137 dmckimmy@jewellcohosp.org Provider Int 3 Complete 2017/06/02 12:00:00 2017/06/02 12:00:00 2017/06/02 06:31:49 UV 2.16.840.1.113883.3.7405 abh-NV Aetna Better Health of Nevada Srinivas Koka masked Srinivas Koka 4500 E. Cotton Center Blvd. Phoenix, AZ, 85034 480-320-8581 masked Director, IT Program Management Aetna Better Health of Nevada 4500 E. Cotton Center Blvd. Phoenix, AZ, 85034 1-855-364-0974 KokaS@aetna.com http://www.aetnabetterhealth.com/nevada Payor Int 3 Complete 2017/06/02 12:00:00 2017/06/05 12:00:00 2017/06/05 10:34:20 UV 2.16.840.1.113883.3.7406 frenda-dcm Frenda Mjukvaruutveckling AB Tomas von Peltzer masked Tomas von Peltzer +468227080 masked Frenda Mjukvaruutveckling AB admin@frenda.se http://frenda.se Vendor Int 3 Complete 2017/06/05 12:00:00 2017/06/05 12:00:00 2017/06/05 10:41:37 UV 2.16.840.1.113883.3.7407 hhCAH-01 Carthage Area Hospital Brittany Bono masked Kim Carr 1001 West Street Carthage, NY 13619 315-519-5503 masked Director of Clinical Informatics Carthage Area Hospital 1001 West Street Carthage, NY 13619 315-493-1000 kcarr@cahny.org Provider Int 3 Complete 2017/06/06 12:00:00 2017/06/06 12:00:00 2023/11/16 04:43:32 UV 2.16.840.1.113883.14.5 ahc-GrandVeinSpecialists Advocate Health Care - Grand Vein Specialists Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/06/06 12:00:00 2017/06/15 12:00:00 2017/06/15 10:44:30 UV 2.16.840.1.113883.14.6 ahc-PediatricsonDemand Advocate Health Care - Pediatrics on Demand Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/06/06 12:00:00 2017/06/15 12:00:00 2017/06/15 10:47:32 UV 2.16.840.1.113883.14.7 ahc-CAMMedicalGrp Advocate Health Care - CAM Medical Group Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/06/06 12:00:00 2017/06/15 12:00:00 2017/06/15 10:58:54 UV 2.16.840.1.113883.3.7408 vds Valle del Sol, Inc. Paul Decker masked Robert DeParvine Paul Decker III 3877 North 7th Street Phoenix, AZ 85014 4804984469 masked Director of Health Informatics Valle del Sol, Inc. 3877 North 7th Street Phoenix, AZ 85014 6022586797 ISDept@valledelsol.com http://www.valledelsol.com/ Provider Int 3 Complete 2017/06/07 12:00:00 2017/06/07 12:00:00 2023/08/07 11:36:59 US 2.16.840.1.113883.3.7409 kanghan1 Kanghan Medical Services Esther Jee masked Kanghan Medical Services, P.C. Esther Jee 38-34 Parsons Blvd. #1A Flushing, NY 11354 7187623240 masked Office Manager Kanghan Medical Services, P.C. 38-34 Parsons Blvd. #1A Flushing, NY 11354 7187623240 kanghanclinic@gmail.com Provider Int 3 Complete 2017/06/07 12:00:00 2017/06/07 12:00:00 2017/06/07 01:53:20 UV 2.16.840.1.113883.3.7410 rdmgabilt RDMGA-Biltmore Linda Hall masked Linda Hall 919-618-9797 masked RDMGA-Biltmore 5420 Wade Park Blvd Raleigh, NC 27607 919-618-9797 Linda.Hall@intermedix.com Provider Int 3 Complete 2017/06/07 12:00:00 2017/06/07 12:00:00 2017/06/07 02:14:04 UV 2.16.840.1.113883.3.7411 srems Susquehanna Regional EMS Council Michael Cox masked Susquehanna Regional EMS Council Michael Cox 62 Lusk Street Johnson City, NY 13790 6076991367 masked Executive Director Susquehanna Regional EMS Council 62 Lusk Street Johnson City, NY 13790 6076991367 director@srems.com https://srems.com Vendor Int 3 Complete 2017/06/07 12:00:00 2017/06/07 12:00:00 2017/06/07 02:44:51 UV 2.16.840.1.113883.3.7412 relevant-healthcare-technologies-chnhh Relevant Healthcare Technologies serving CHN Health Home Kevin Finn masked Relevant Healthcare Technologies 222 Broadway Fl. 19 New York, NY 10038 (212) 220-3807 masked Relevant Healthcare Technologies 222 Broadway Fl. 19 New York, NY 10038 (212) 220-3807 info@relht.com http://relevant.healthcare Vendor Int 3 Complete 2017/06/07 12:00:00 2017/06/07 12:00:00 2017/06/07 04:02:21 UV 2.16.840.1.113883.3.7413 cmmc-lewistown Central Montana Medical Facilities Inc. Mike Dowdy masked Kay Lynn Burnham 408 Wendell Ave, Lewistown, MT 59457 406-535-6216 masked Accounting/Administrative Assistant Central Montana Medical Facilities Inc 408 Wendell Ave Lewistown, MT 59457 406-535-7711 rbrand@cmmccares.com Provider Int 3 Complete 2017/06/08 12:00:00 2017/06/08 12:00:00 2017/06/08 12:05:16 UV 2.16.840.1.113883.3.7414 mirah Mirah Production Identifiers Hugh Barrigan masked Hugh Barrigan 4th Floor 212 Elm Street, Somerville MA 02144 USA 814-753-0919 masked CTO Mirah Inc 4th Floor 212 Elm Street, Somerville MA 02144 USA 800-957-6769 info@mirah.com http://www.mirah.com Vendor Int 3 Complete 2017/06/08 12:00:00 2017/06/08 12:00:00 2017/06/08 01:36:20 UV 2.16.840.1.113883.3.7415 frasermed The Fraser Medical Clinic Patrick Barry masked Patrick Barry Fraser Medical Clinic PO BOX 3550 Winter Park, CO 80482 9707266778 masked Physician, Practice Co-Owner Dr. Patrick Barry Fraser Medical Clinic PO BOX 3550 Winter Park, CO 80482 9707266778 pbarry@frasermedicalclinic.com http://www.FraserMedicalClinic.com Provider Int 3 Complete 2017/06/12 12:00:00 2017/06/12 12:00:00 2017/06/12 06:04:15 UV 2.16.840.1.113883.3.7416 premierinc Premier, Inc. Bernie Traiteur masked patrick_gillie@premierinc.com Bernie Traiteur 13034 Ballantyne Corporate Pl Charlotte, NC 28277 7048165849 masked Data Architect Premier, Inc. 13034 Ballantyne Corporate Pl Charlotte, NC 28277 (704) 357-0022 solutioncenter@premierinc.com https://premierinc.com Vendor Int 3 Complete 2017/06/12 12:00:00 2017/06/12 12:00:00 2017/06/12 06:09:10 UV 2.16.840.1.113883.3.7417 cmcfc-fmc CMCFC-FMC Joseph Buckminster masked Joseph Buckminster 3307 Barada Street Falls City, NE 68355 4022456654 masked IT Director Family Medicine Clinic 3307 Barada Street Falls City, NE 68355 4022456654 jbuckminster@cmcfc.org http://www.cmcfc.org Provider Int 3 Complete 2017/06/12 12:00:00 2017/06/12 12:00:00 2017/06/12 06:37:43 UV 2.16.840.1.113883.3.7418 fmcna-root FMCNA- Clinical Services Root OID Ravi Kuchi masked radu.craioveanu@fmc-na.com Ravi Kuchi 32 Hartwell Ave, Lexington, MA 02421 781-676-6417 masked Principal Systems Developer FMCNA-ClinicalServices 32 Hartwell Ave, Lexington, MA 02421 781-676-6541 radu.craioveanu@fmc-na.com https://fmcna.com/ Provider Int 3 Complete 2017/06/13 12:00:00 2017/06/13 12:00:00 2017/06/13 11:48:44 UV 2.16.840.1.113883.3.7419 hhc-VOA3 VOA Horizons Health Care Craig Ammermann masked Liza Lucero 11411 Hwy 65 Eckert, CO 81418 9702402706 masked Executive Assistance Horizons 11411 Hwy 65 Eckert, CO 81418 9708353113 llucero@voa.org Provider Int 3 Complete 2017/06/13 12:00:00 2017/06/13 12:00:00 2017/06/13 12:43:23 UV 2.16.840.1.113883.3.7420 smchie SAN MATEO COUNTY HIE David Anderson masked Lorrie Sheets 225 37th Ave San Mateo, CA 94403 650-573-2213 masked Director Business Intelligence County of San Mateo 650-573-2213 lsheets@smcgov.org http://www.smcgov.org Govt body Int 3 Complete 2017/06/13 12:00:00 2017/06/13 12:00:00 2017/06/13 01:49:36 UV 2.16.840.1.113883.3.7421 pcrc Paonia Care and Rehabilitation Center Jason Bell masked Jason Bell 1625 Meadowbrook Blvd Paonia, CO 81428 970-527-4837 masked Executive Director Paonia Care and Rehabilitation Center 1625 Meadowbrook Blvd Paonia, CO 81428 970-527-4837 admin-paonia@madison.care Provider Int 3 Complete 2017/06/13 12:00:00 2017/06/13 12:00:00 2017/06/13 04:00:12 UV 2.16.840.1.113883.3.7422 tvar The Village at Rockville, Inc. Jason Gottschalk masked Jason Gottschalk 9701 Veirs Drive Rockville, MD 20850 301-424-9560 masked Executive Director The Village at Rockville, Inc. 9701 Veirs Drive Rockville, MD 20850 301-424-9560 jgottschalk@thevillageatrockville.org http://www.thevillageatrockville.org Provider Int 3 Complete 2017/06/14 12:00:00 2017/06/14 12:00:00 2017/06/14 10:12:46 UV 2.16.840.1.113883.3.7423 cybermed CyberMed Corporation Jinpin Ying masked Jinpin Ying 180 Tices Lane, Building A, Suite 204, East Brunswick, NJ 08816 7328000009 masked CEO CyberMed Corporation 180 Tices Lane, Building A, Suite 204, East Brunswick, NJ 08816 7328000020 info@cybermedcorp.com http://www.cybermedcorp.com/ SDO Int 3 Complete 2017/06/14 12:00:00 2017/06/14 12:00:00 2017/06/14 12:37:16 UV 2.16.840.1.113883.3.7424 pcoliHealthix Primary Care of Long Island (PCOLI) Healthix Prashant Patel masked Lindenhurst Medical Prashant Patel 791 North Wellwood Ave Lindenhurst, NY 11757 6319572200 masked Primary Care of Long Island 791 N Wellwood Ave Lindenhurst, NY 11757 6319572200 prashant@lindenhurstmedical.com http://www.pcoli.com Provider Int 3 Complete 2017/06/14 12:00:00 2017/06/14 12:00:00 2017/06/14 02:20:28 UV 2.16.840.1.113883.14.8 ahc-RidgeFamilyPhysiciansAMG Advocate Health Care - Ridge Family Physicians (AMG) Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/06/14 12:00:00 2017/06/15 12:00:00 2017/06/15 11:02:41 UV 2.16.840.1.113883.14.9 ahc-AdventistOwnedPhysicians Advocate Health Care - Adventist Owned Physicians Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/06/14 12:00:00 2017/06/15 12:00:00 2017/06/15 11:06:00 UV 2.16.840.1.113883.14.10 ahc-EnsignMedical Advocate Health Care - Ensign Medical Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/06/14 12:00:00 2017/06/15 12:00:00 2017/06/15 11:11:52 UV 2.16.840.1.113883.14.11 ahc-DrSunilShah Advocate Health Care - Dr Sunil Shah Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/06/14 12:00:00 2017/06/15 12:00:00 2017/06/15 11:16:56 UV 2.16.840.1.113883.14.12 ahc-UndriaNairMD Advocate Health Care - UndriaNairMD Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/06/14 12:00:00 2017/06/15 12:00:00 2017/06/15 11:29:26 UV 2.16.840.1.113883.14.13 ahc-AdvancedHeadacheNeuro Advocate Health Care - Advanced Headache and Neuro Clinic Andrew Adamik masked Andrew Adamik 1400 Kensington Road, Oak Brook, IL 60523 630-575-3274 masked Advocate Health Care 1400 Kensington Road, Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/06/14 12:00:00 2017/06/15 12:00:00 2017/06/15 11:34:47 UV 2.16.840.1.113883.14.14 ahc-LifeWeightBariatrics Advocate Health Care - Life Weight Bariatrics Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/06/14 12:00:00 2017/06/15 12:00:00 2017/06/15 11:41:22 UV 2.16.840.1.113883.14.15 ahc-NorthSuburbanSurgicalConsultants Advocate Health Care - North Suburban Surgical Consultants Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/06/14 12:00:00 2017/06/15 12:00:00 2017/06/15 11:55:07 UV 2.16.840.1.113883.14.16 ahc-NorthSuburbanFamilyMedicine Advocate Health Care - North Suburban Family Medicine Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/06/14 12:00:00 2017/06/15 12:00:00 2017/06/15 12:03:48 UV 2.16.840.1.113883.3.7425 ahc-UnionHealth Advocate Health Care - Union Health Andrew Adamik masked Andrew Adamik 630-575-3274 masked Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 3 Complete 2017/06/14 12:00:00 2017/06/15 12:00:00 2017/06/15 12:19:35 UV 2.16.840.1.113883.3.7426 centene-corporation centene-corporation-registration-authority James Stiegemeier masked James Stiegemeier 1390 Timberlake Manor Parkway Chesterfield, MO 63107 (314) 505-6477 masked Director, IT Centene Corporation Centene Plaza 7700 Forsyth Blvd St. Louis, MO 63105 314-725-4477 EDIBA@Centene.com https://www.centene.com/ Payor Int 3 Complete 2017/06/16 12:00:00 2017/06/16 12:00:00 2017/06/16 08:08:57 UV 2.16.840.1.113883.4.932 silversummit-healthplan silversummit-healthplan James Stiegemeier masked James Stiegemeier 1390 Timberlake Manor Parkway Chesterfield, MO 63107 314-505-6477 masked Director, IT Silversummit healthplan Centene Plaza 7700 Forsyth Blvd. St. Louis, MO 63105 844-366-2880 EDIBA@Centene.com https://www.silversummithealthplan.com/ Payor 2.16.840.1.113883.3.7426 Int 4 Complete 2017/06/16 12:00:00 2017/06/20 12:00:00 2017/07/06 06:18:55 UV 2.16.840.1.113883.3.7427 rdmgacarol RDMGA-Carolina Prime Linda Hall masked Linda Hall 919-618-9797 masked RDMGA-Carolina Prime 5420 Wade Park Ave Blvd Raleigh , NC 27607 919-618-9797 Linda.Hall@intermedix.com Provider Int 3 Complete 2017/06/16 12:00:00 2017/06/16 12:00:00 2017/06/16 08:12:33 UV 2.16.840.1.113883.3.7428 rdgmadurh RDMGA-Durham Linda Hall masked Linda Hall 9196189797 masked RDMGA-Durham 5420 Wade Park Blvd Raleigh, NC 27607 919-618-9797 Linda.Hall@intermedix.com Provider Int 3 Complete 2017/06/16 12:00:00 2017/06/16 12:00:00 2017/06/16 08:15:59 UV 2.16.840.1.113883.3.7429 rdmgafam RDMGA-Family Wellness Linda Hall masked Linda Hall 919-618-9797 masked RDMGA-Family Wellness 5420 Wade Park BLVD Raleigh, NC 27607 919-618-9797 Linda.Hall@intermedix.com Provider Int 3 Complete 2017/06/16 12:00:00 2017/06/16 12:00:00 2017/06/16 08:21:35 UV 2.16.840.1.113883.5.1140 prescriptionTaskType PrescriptionTaskType Attila Farkas masked standards@infoway-inforoute.ca Beverly Knight 150 King Sreet West, Suite 1300 Toronto, ON M5H 1J9 416-595-3449 masked Manager Canada Health Infoway 150 King Sreet West, Suite 1300 Toronto, ON M5H 1J9 416-595-3449 standards@infoway-inforoute.ca https://www.infoway-inforoute.ca/en/ Govt body Int 15 Complete 2017/06/16 12:00:00 2017/07/07 12:00:00 2017/07/07 11:05:46 CA 2.16.840.1.113883.5.1143 sharedMessageEvents SharedMessageEvents Attila Farkas masked standards@infoway-inforoute.ca Beverly Knight 150 King Street West, Suite 1300 Toronto, ON M5H 1J9 416-595-3449 masked Interoperability Standards Manager Canada Health Infoway 150 King Street West, Suite 1300 Toronto, ON M5H 1J9 416-595-3449 standards@infoway-inforoute.ca https://www.infoway-inforoute.ca/en/ Govt body Int 15 Complete 2017/06/16 12:00:00 2017/07/07 12:00:00 2017/07/07 11:10:30 CA 2.16.840.1.113883.3.7430 rdmgwaver RDMG-Waverly Linda Hall masked Linda Hall 919-618-9797 masked RDMG-Waverly 5420 Wade Park Blvd Raleigh, NC 27607 919-618-9797 Linda.Hall@intermedix.com Provider Int 3 Complete 2017/06/16 12:00:00 2017/06/17 12:00:00 2017/06/17 12:38:08 UV 2.16.840.1.113883.5.1144 sharedServiceType SharedServiceType Attila Farkas masked standards@infoway-inforoute.ca Beverly Knight 150 King Street West,Suite 1300 Toronto, ON M5H 1J9 416-595-3449 masked Interoperability Standards Manager Canada Health Infoway 150 King Street West,Suite 1300 Toronto, ON M5H 1J9 416-595-3449 standards@infoway-inforoute.ca https://www.infoway-inforoute.ca/en/ Govt body Int 15 Complete 2017/06/16 12:00:00 2017/07/07 12:00:00 2017/07/07 11:17:40 CA 2.16.840.1.113883.5.1145 sharedPrescriptionServiceStatus SharedPrescriptionServiceStatus Attila Farkas masked standards@infoway-inforoute.ca Beverly Knight 150 King Street West, Suite 1300 Toronto, ON M5H 1J9 416-595-3449 masked Interoperability Standards Manager Canada Health Infoway 150 King Street West, Suite 1300 Toronto, ON M5H 1J9 416-595-3449 standards@infoway-inforoute.ca https://www.infoway-inforoute.ca/en/ Govt body Int 15 Complete 2017/06/16 12:00:00 2017/07/07 12:00:00 2017/07/07 11:26:28 CA 2.16.840.1.113883.5.1146 sharedSpecificationVersion SharedSpecificationVersion Attila Farkas masked standards@infoway-inforoute.ca Beverly Knight 150 King Street West, Suite 1300 Toronto, ON M5H 1J9 416-595-3449 masked Interoperability Standards Manager Canada Health Infoway 150 King Street West, Suite 1300 Toronto, ON M5H 1J9 416-595-3449 standards@infoway-inforoute.ca https://www.infoway-inforoute.ca/en/ Govt body Int 15 Complete 2017/06/16 12:00:00 2017/07/07 12:00:00 2017/07/07 11:34:31 CA 2.16.840.1.113883.5.1147 prescriptionDosageInstructionLineRelationship PrescriptionDosageInstructionLineRelationship Attila Farkas masked standards@infoway-inforoute.ca Beverly Knight 150 King Street West, Suite 1300 Toronto, ON M5H 1J9 416-595-3449 masked Interoperability Standards Manager Canada Health Infoway 150 King Street West, Suite 1300 Toronto, ON M5H 1J9 416-595-3449 standards@infoway-inforoute.ca Govt body Int 15 Complete 2017/06/16 12:00:00 2017/07/07 12:00:00 2017/07/07 11:49:05 CA 2.16.840.1.113883.5.1148 prescriptionSubstitutionType PrescriptionSubstitutionType Attila Farkas masked standards@infoway-inforoute.ca Beverly Knight 150 King Street West, Suite 1300 Toronto, ON M5H 1J9 416-595-3449 masked Interoperability Standards Manager Canada Health Infoway 150 King Street West, Suite 1300 Toronto, ON M5H 1J9 416-595-3449 standards@infoway-inforoute.ca Govt body Int 15 Complete 2017/06/16 12:00:00 2017/07/07 12:00:00 2017/07/07 12:17:39 CA 2.16.840.1.113883.5.1149 prescriptionType PrescriptionType Attila Farkas masked standards@infoway-inforoute.ca Beverly Knight 150 King Street West, Suite 1300 Toronto, ON M5H 1J9 416-595-3449 masked Interoperability Standards Manager Canada Health Infoway 150 King Street West, Suite 1300 Toronto, ON M5H 1J9 416-595-3449 standards@infoway-inforoute.ca https://www.infoway-inforoute.ca/en/ Govt body Int 15 Complete 2017/06/16 12:00:00 2017/07/07 12:00:00 2017/07/07 12:23:34 CA 2.16.840.1.113883.3.7431 uhchha UnitedHebrewCHHA Rita Mabli masked Kelvin Hui 391 Pelham Road, New Rochelle, NY, 10805 9146322804 X 1298 masked IT director United Hebrew CHHA 391 Pelham Road, New Rochelle, NY, 10805 khui@uhgc.org http://www.uhgc.org Provider Int 3 Complete 2017/06/16 12:00:00 2017/06/17 12:00:00 2017/06/17 12:42:32 UV 2.16.840.1.113883.3.7432 restorative-therapies Restorative Therapies Andrew Barriskill masked Andrew Barriskill 1434 Fleet St Baltimore, MD 21231 USA 8006099166 masked CEO Restorative Therapies 1434 Fleet St Baltimore, MD 21231 USA 8006099166 restothera@restorative-therapies.com http://www.restorative-therapies.com Vendor Int 3 Complete 2017/06/16 12:00:00 2017/06/17 12:00:00 2017/06/17 12:52:03 UV 2.16.840.1.113883.3.7433 rvha28 River Valley Health Care Associates, MU Immunization and Surveillance Registry Halle Ramsey masked RVHA 28 Town Center Drive Dublin, VA 24084 540-835-0500 masked River Valley Healthcare Associates 28 Town Center Drive Dublin, VA 24084 540-835-0500 hramsey@rvha.life Provider Int 3 Complete 2017/06/19 12:00:00 2017/06/19 12:00:00 2017/06/19 03:37:31 UV 2.16.840.1.113883.3.7434 kchs Kearney County Health Services Luke Poore masked Kendra Brown 727 East 1st Street Minden, NE 68959 308-832-3400 x 2300 masked Acute Director of Nursing Kearney County Health Services 727 East 1st Street Minden, NE 68959 308-832-3400 info@kchs.org Provider Int 3 Complete 2017/06/19 12:00:00 2017/06/19 12:00:00 2017/06/19 06:27:32 UV 2.16.840.1.113883.9.228 awoc-uhuw UW Health Care Anywhere Alfredo Morales masked American Well Alfredo Morales 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x:3643 masked Director, Technical Implementation Services American Well 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x:3643 alfredo.morales@americanwell.com Vendor 2.16.840.1.113883.3.634 Int 17 Complete 2017/06/20 12:00:00 2017/06/20 12:00:00 2017/08/17 09:38:57 UV 2.16.840.1.113883.3.7435 simi-obgyn Simi Obstetrics & Gynecology Medical Group, Inc Catherine Kim masked Candi Mattern 1147 Red Tail Way, Simi Valley, CA 93065 805-527-8055 masked Office Manager Simi Obstetrics & Gynecology Medical Group, Inc. 1147 Red Tail Way, Simi Valley, CA 93065 805-527-8055 simiobgyn@gmail.com http://www.simiobgyn.com/index.html Provider Int 3 Complete 2017/06/20 12:00:00 2017/06/20 12:00:00 2017/06/20 11:13:16 UV 2.16.840.1.113883.3.7436 gshc Glenwood Springs Health Care Kyle Necke masked Kyle Necke 2305 Blake Avenue Glenwood Springs, CO 81601 970-945-5476 masked Administrator Glenwood Springs Health Care 2305 Blake Avenue Glenwood Springs, CO 81601 970-945-5476 kylen@madison.care http://www.glenwoodspringshealthcare.com Provider Int 3 Complete 2017/06/20 12:00:00 2017/06/20 12:00:00 2017/06/20 04:54:39 UV 2.16.840.1.113883.17.4198 coniferOID2017 Conifer Health Solutions OID 2017 Nicholas Overs masked Chris Schilstra 1596 Whitehall Road Annapolis, MD 21409 4109190515 masked Conifer Health VBC Product Management 1596 Whitehall Road Annapolis, MD 21409 4109722025 chris.schilstra@coniferhealth.com Vendor Int 17 Complete 2017/06/20 12:00:00 2017/06/20 12:00:00 2017/06/20 05:01:08 UV 2.16.840.1.113883.3.7437 kpc-EHRPM Kingsport Primary Care EHRPM Scott McLain masked Scott McLain 1526 Bridgewater Lane Kingsport, TN 37660 4232460033 masked Medical Doctor Kingsport Primary Care 1526 Bridgewater Lane Kingsport, TN 37660 4232460033 greece@kingsportprimarycare.com Provider Int 3 Complete 2017/06/21 12:00:00 2017/06/21 12:00:00 2017/06/21 04:54:42 UV 2.16.840.1.113883.17.4199 aak MID ISLAND THERAPY ASSOCIATES LLC DBA All About Kids Michael Grossfeld masked Michael Grossfeld 255 Executive Drive, Suite 101, Plainview, NY 11803 516-576-2040, ext. 109 masked Partner-Division Director-Fiscal-New Business Development All About Kids 255 Executive Drive, Suite 101, Plainview, NY 11803 516-576-2040 michael.grossfeld@allaboutkidsny.com https://www.allaboutkidsny.com Provider Int 17 Complete 2017/06/21 12:00:00 2017/06/21 12:00:00 2017/06/21 06:52:23 UV 2.16.840.1.113883.3.7438 ohnh Ozanam Hall Nursing Home Charles Steffen masked Charles Steffen 718 423 2000 masked Director Of I.T Ozanam Hall Nursing Home 42-41 201st Street Bayside, New York 11361 718 423 2000 csteffen@ozanamhall.org Provider Int 3 Complete 2017/06/21 12:00:00 2017/06/21 12:00:00 2017/06/21 05:13:51 UV 2.16.840.1.113883.3.7439 pblx Publix Super Markets, Inc. Jessica Miller masked Mark Hamilton Publix Super Markets, Inc. 321 South Kentucky Avenue Lakeland, FL 33815-3760 (863) 686-8754 x42399 masked IT Delivery Manager Publix Super Markets, Inc. 321 South Kentucky Avenue Lakeland, FL 33815-3760 (863) 688-1188 mark.hamilton@publix.com Provider Int 3 Complete 2017/06/22 12:00:00 2017/06/22 12:00:00 2017/06/22 09:45:54 UV 2.16.840.1.113883.3.7423.1001 chi COMMUNITY HEALTH INITIATIVES, INC. Alex Movshovich masked Alex Movshovich 2882 W. 15th St., lower level Brooklyn, NY 11224 7182103110 masked CyberMed Corporation 180 Tices Lane, Building A, Suite 204, East Brunswick, NJ 08816 732-800-0020 info@cybermedcorp.com http://www.cybermedcorp.com/ Vendor 2.16.840.1.113883.3.7423 Ext 14 Complete 2.16.840.1.113883.3.7423.1001 2017/06/22 12:00:00 2017/06/22 12:00:00 2017/06/22 09:44:33 UV 2.16.840.1.113883.3.7440 highlandClinic Highland Clinic, APMC Paul Rushing masked Paul Rushing 1455 East Bert Kouns Industrial Loop, Shreveport, LA 71105 13187984500 masked CIO Highland Clinic, APMC 1455 East Bert Kouns Industrial Loop, Shreveport, LA 71105 13187984500 prushing@highlandclinic.com http://www.highlandclinic.com Provider Int 3 Complete 2017/06/22 12:00:00 2017/06/22 12:00:00 2017/06/22 06:38:15 US 2.16.840.1.113883.3.7441 newbirthcompany New Birth Company OID Root Kendra Wyatt masked Erin Davis Kendra Wyatt 721 North 31st Street #200 Kansas City, KS 66102 816-210-8964 masked Manager New Birth Company L3C 721 North 31st #200 Kansas City, KS 66102 info@newbirthcompany.com https://www.newbirthcompany.com Provider Int 3 Complete 2017/06/22 12:00:00 2017/06/22 12:00:00 2017/06/22 06:41:43 UV 2.16.840.1.113883.3.7442 ummhcOCI UMass Memorial Health Care - Office of Clinical Integration Lori Smith masked Lori Smith UMassMemorial Health Care One Mercantile St Worcester, MA 01605 508-334-6791 masked Manager Data Integrity and Production UMass Memorial Health Care 55 Lake Avenue North Worcester, MA 01655 United States 1 855-862-7763 contactus.medctr@umassmemorial.org https://www.umassmemorialhealthcare.org Provider Int 3 Complete 2017/06/22 12:00:00 2017/06/22 12:00:00 2017/06/22 07:29:16 UV 2.16.840.1.113883.3.7443 peclan Peconic Landing Jennifer Ackroyd masked Peconic Landing Jennifer Ackroyd 1500 Brecknock Road Greenport, NY 11944 6314773800 masked Assistant Administrator Peconic Landing 1500 Brecknock Road Greenport, NY 11944 6314773800 jackroyd@peconiclanding.org https://www.peconiclanding.org Provider Int 3 Complete 2017/06/23 12:00:00 2017/06/23 12:00:00 2017/06/23 02:46:57 UV 2.16.840.1.113883.3.7444 bcnains Brown County Hospital Michael Depko masked Gary Burrus 945 E Zero Street Ainsworth, NE 69210 402-387-2800 masked IT Director Brown County Hospital 945 E Zero Street Ainsworth, NE 69210 402-387-2800 tstearns@browncountyhospital.org http://www.browncountyhospital.org Provider Int 3 Complete 2017/06/23 12:00:00 2017/06/23 12:00:00 2022/03/24 12:46:15 UV 2.16.840.1.113883.3.7445 qhi Quartet Health Identifier Mason Krause masked Mason Krause 866.595.0090 masked Integration Quartet Health 114 W 41st St, New York, NY 10036 mkrause@quartethealth.com Provider Int 3 Complete 2017/06/26 12:00:00 2017/06/26 12:00:00 2017/06/26 12:48:29 UV 2.16.840.1.113883.3.7446 umcpswm UMC Physicians Southwest Medical Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 160 Lubbock, TX 79407 806-761-0333 masked Director UMC Physicians 4004 82nd Street Building 100 Lubbock, TX 79423 806-792-1050 yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2017/06/26 12:00:00 2017/06/26 12:00:00 2017/06/26 05:59:33 UV 2.16.840.1.113883.3.7447 kwoc Kennedy-White Orthopaedic Center Sean ONeal masked Sean O'Neal 9413650655 masked Kennedy-White Orthopaedic Center 6050 Cattleridge Blvd Ste 201 Sarasota, FL 34232 9413650655 sean@kwoc.net Provider Int 3 Complete 2017/06/27 12:00:00 2017/06/27 12:00:00 2017/06/27 09:01:37 UV 2.16.840.1.113883.3.7448 mulvey John R Mulvey MD Cindy Mulvey masked John Mulvey Cindy Mulvey 104 West Main Street Elkton, MD 21921 410-996-8990 masked Practice Manager John Mulvey, MD/PA 104 West Main Street Elkton, MD 21921 410-996-8990 cidsm@comcast.net Provider Int 3 Complete 2017/06/27 12:00:00 2017/06/27 12:00:00 2017/06/27 11:26:42 UV 2.16.840.1.113883.3.7449 flcardiac Florida Cardiac Consultants Mark Spetsios masked Mark Spetsios 1540 S Tamiami Trail Suite 401 Sarasota, FL 34239 941-917-0060 masked Florida Cardiac Consultants 1540 S Tamiami Trail Suite 401 Sarasota, FL 34239 941-917-0060 marks@flcardiac.com Provider Int 3 Complete 2017/06/27 12:00:00 2017/06/27 12:00:00 2017/06/27 04:07:59 UV 2.16.840.1.113883.3.7450 ccmg Colorado Children's Medical Group, P.C. Jill Weiner masked Jill Weiner, MD 9397 Crown Crest Blvd, Suite 211 Parker, CO 80138 303-369-6977 masked MD Colorado Children's Medical Group, PC 9397 Crown Crest Blvd, Suite 211 Parker, CO 80138 303-369-6977 drjill32@gmal.com http://coloradochildrensmedgroup.com Provider Int 3 Complete 2017/06/28 12:00:00 2017/06/28 12:00:00 2017/06/28 04:56:10 UV 2.16.840.1.113883.3.7451 ecmc Ellsworth County Medical Center Lynette Dick masked Lynette Dick 1604 Aylward Avenue PO Box 87 Ellsworth, KS 67439 7854723111 masked Director of Technology Ellsworth County Medical Center 1604 Aylward Avenue Ellsworth, KS 67439 785.472.3111 ldick@ewmed.com Provider Int 3 Complete 2017/06/28 12:00:00 2017/06/28 12:00:00 2017/06/28 05:09:33 UV 2.16.840.1.113883.3.7452 hacienda Hacienda HealthCare OID Kevin Payne masked Kevin Payne 1402 E. South Mountain Ave Phoenix, AZ 85042 6022434231 masked COO-Operations Hacienda HealthCare 1402 E. South Mountain Ave Phoenix, AZ 85042 6022434231 kevin@haciendainc.org http://www.haciendainc.org Provider Int 3 Complete 2017/06/29 12:00:00 2017/06/29 12:00:00 2017/06/29 12:14:35 UV 2.16.840.1.113883.15.18 authorizationMechanism AuthorizationMechanism Attila Farkas masked Beverly Knight 150 King Street West, Suite 1300 Toronto, ON M5H 1J9 416-595-3449 masked Interoperability Standards Manager Canada Health Infoway 150 King Street West, Suite 1300 Toronto, ON M5H 1J9 416-595-3449 standards@infoway-inforoute.ca Govt body Int 15 Complete 2017/06/29 12:00:00 2017/07/07 12:00:00 2017/07/07 01:11:50 CA 2.16.840.1.113883.15.19 communicationCategory CommunicationCategory Attila Farkas masked Beverly Knight 150 King St West, Suite 1300 Toronto, ON M5H 1J9 416-595-3449 masked Interoperability Standards Manager Canada Health Infoway 150 King St West, Suite 1300 Toronto, ON M5H 1J9 416-595-3449 standards@infoway-inforoute.ca Govt body Int 15 Complete 2017/06/29 12:00:00 2017/07/07 12:00:00 2017/07/07 02:10:32 CA 2.16.840.1.113883.3.7453 fortuneSociety The Fortune Society Marc Piparo masked Marc Piparo 29-76 Northern Boulevard Long Island City, NY 11101 212-691-7554 masked CTO The Fortune Society 29-76 Northern Boulevard Long Island City, NY 11101 212-691-7554 mpiparo@fortunesociety.org http://www.fortunesociety.org Provider Int 3 Complete 2017/06/29 12:00:00 2017/06/29 12:00:00 2017/06/29 06:43:30 UV 2.16.840.1.113883.3.7454 bmnc Brookside Multicare Nursing Center Bobby Thariath masked Jen Schneider Bobby Thariath 7 Route 25A Smithtown, NY 11787 6317242200 masked Administrator Brookside Multicare Nursing Center 7 Route 25A Smithtown, NY 11787 6317242200 Bthariath@brooksidenursing.org Provider Int 3 Complete 2017/06/29 12:00:00 2017/06/29 12:00:00 2017/06/29 06:59:53 UV 2.16.840.1.113883.3.7455 nvch Nemaha Valley Community Hospital Mark Wessel masked Mark Wessel 1600 Community Dr Seneca, KS 66538 785-336-6181 masked IT Director Nemaha Valley Community Hospital 1600 Community Dr. Seneca, KS 66538 785-336-6181 mwessel@nemvch.org https://www.nemvch.com Provider Int 3 Complete 2017/07/03 12:00:00 2017/07/05 12:00:00 2017/07/05 05:17:33 UV 2.16.840.1.113883.3.7456 hhBB-01 Building Blocks Learning Center, LLC Brittany Bono masked Michelle P. O'Brien 19 Robinson Road Clinton, NY 13323 315-853-6090 masked CEO Building Blocks Learning Center, LLC 19 Robinson Road Clinton, NY 13323 315-853-6090 mobrien@buildingblockscny.com Provider Int 3 Complete 2017/07/05 12:00:00 2017/07/05 12:00:00 2017/07/05 05:38:36 UV 2.16.840.1.113883.3.7457 albanysurgical Albany Surgical, PC OID Root Michael St. Angelo masked Michael St.Angelo 605 N. Westover Blvd. Albany, GA 31707 229-434-4200 ext 114 masked Administrator Albany Surgical, PC 605 N. Westover Blvd. Albany, GA 31707 229-434-4200 ext. 114 mstangelo@albanysurgical.com http://www.albanysurgical.com Provider Int 3 Complete 2017/07/05 12:00:00 2017/07/05 12:00:00 2017/07/05 05:43:34 UV 2.16.840.1.113883.11.22 ips-valueSetRoot International Patient Summary Value Set Root William Ted Klein masked Kai Heitmann Kai Heitmann Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked Representative International Patient Summary Structured Documents Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org HL7 body 2.16.840.1.113883 Ext 11 Complete 2.16.840.1.113883.11.22 2017/07/05 12:00:00 2017/07/31 12:00:00 2017/08/01 03:19:36 UV 2.16.840.1.113883.3.7458 chartfast ChartFast Dawn Crump masked satyakirankumar.allamraju@sutherlandglobal.com Dawn Crump 678-829-4712 masked SVP Product Solutions Chartfast 5425 Sugarloaf Parkway Suite 2201 Lawerenceville, GA 30043 888-202-1671 dawn.crump@chartfast.com https://www.chartfast.com/ Vendor Int 3 Complete 2017/07/05 12:00:00 2017/07/05 12:00:00 2017/07/05 05:48:14 UV 2.16.840.1.113883.3.2402.200.6889 physicians-computer-company-clients-cpaga Physician's Computer Company (PCC) Clients Columbus Pediatric Associates Romni Palmer masked PCC Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 8028468711 masked Interoperability Implementations Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 8028468711 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6889 2017/07/05 12:00:00 2017/07/05 12:00:00 2017/07/05 05:52:32 UV 2.16.840.1.113883.3.7459 azar Azar/Filipov MD PA Laura Burleson masked Azar/Filipov MD PA Laura Burleson 31519 Winter Place Pkwy Salisbury, MD 21804 4105462500 masked COT Azar/Filipov MD PA 31519 Winter Place Pkwy Salisbury, MD 21804 4105462500 jgallagher@azareyeinstititute.com https://www.cyfluentchart.com/AzarEye/Default.aspx?ReturnUrl=%2fAzarEye%2fSecure%2fHome%2fDesktop.aspx&account=AzarEye Provider Int 3 Complete 2017/07/07 12:00:00 2017/07/07 12:00:00 2017/07/07 09:33:10 UV 2.16.840.1.113883.3.7460 lcom-calvary-health-care Little Company of Mary Health Care Ltd - Calvary Health Care - Root OID Kevin Paulazzo masked Kevin Paulazzo Level 12, 135 King Street, Sydney, NSW, 2000. Australia +61432181543 masked National Enterprise Architect Little Company of Mary Health Care Ltd Level 12, 135 King Street, Sydney, NSW, 2000. Australia +61292581700 kevin.paulazzo@calvarycare.org.au http://www.calvarycare.org.au Provider Int 3 Complete 2017/07/09 12:00:00 2017/07/09 12:00:00 2017/07/09 09:01:24 UV 2.16.840.1.113883.3.7461 shareBehavioral Arkansas Office of Health Information Technology Cheryl Powell masked Dionne Ware Dionne Ware 1501 N. University Avenue, # 420 Little Rock, AR 72207 (501) 537-8912 masked HIT Interface Developer Arkansas Office of Health Information Technology 1501 N. University Avenue, # 420 Little Rock, AR 72207 (501) 537-8912 dionne.ware@hit.arkansas.gov Exchange Int 3 Complete 2017/07/10 12:00:00 2017/07/10 12:00:00 2017/07/10 11:53:08 UV 2.16.840.1.113883.3.7462 ima-webster-ma InterMed Associates, PC Ishwara Sharma masked Ishwara Sharma 72 Cudworth Road Webster, MA 01570 508-612-3629 masked President InterMed Associates, PC 72 Cudworth Road Webster, MA 01590 isharma@webstermd.com http://webstermd.com Provider Int 3 Complete 2017/07/11 12:00:00 2017/07/11 12:00:00 2017/07/11 04:17:49 UV 2.16.840.1.113883.4.933 bbtlc Bridge Back to Life center Gary Butchen masked Harold Nussbaum Gary Butchen 175 Remsen St., 10th Floor Brooklyn, NY 11201 2126794960 masked Executive Director Bridge Back to Life Center 175 Remsen St., 10th Floor Brooklyn, NY 11201 2126794960 gbutchen@bridgebacktolife.com http://www.bridgebacktolife.com/ Provider Int 3 Complete 2017/07/12 12:00:00 2017/07/12 12:00:00 2017/07/12 05:39:07 UV 2.16.840.1.113883.3.7463 eICare-1 Apicha Community Health Center Healthix Kim Tong masked Kim F. Tong 400 Broadway, New York, NY 10013 6468845368 masked Director of Information Systems Apicha Community Health Center 400 Broadway, New York, NY 10013 6468845368 Ktong@apicha.org Provider Int 3 Complete 2017/07/12 12:00:00 2017/07/12 12:00:00 2017/07/12 04:53:24 UV 2.16.840.1.113883.3.7464 innovaccer Innovaccer OID Kanav Hasija masked Ankit Maheshwari 202 4th street, Des Moines 50309 4157978298 masked VP, Engineering Innovaccer Inc. 701, 2120 University Ave CA 94704 United States +1 650 479 4038 mahesh.dutt@innoavccer.com http://www.innovaccer.com Vendor Int 3 Complete 2017/07/13 12:00:00 2017/07/13 12:00:00 2017/07/13 10:58:09 UV 2.16.840.1.113883.3.7465 bikurcholim Bikur Cholim Peter Matulich masked Accumedic Computer System ARON REINER 25 Robert Pitt Drive Suite 101 Monsey, NY 10952 (845)425-7877 masked CEO Bikur Cholim Inc. 25 Robert Pitt Drive Suite 101 Monsey, NY 10952 (845)425-5252 areiner@achivebh.org http://www.achievebh.org Provider Int 3 Complete 2017/07/13 12:00:00 2017/07/13 12:00:00 2019/05/27 03:05:31 UV 2.16.840.1.113883.3.7466 mchofMiddletown Medical Health Center of Middletown Angelina Toma masked Joseph Clemente MD 1270 HWY 35 S Suite 1 Middletown, NJ 07748 7326153900 masked Owner/Physician Joseph Clemente MD 1270 HWY 35 S Suite 1 Middletown, NJ 07748 7326153900 https://www.mhcrn@gmail.com https://www.mhcmiddletown.com Provider Int 3 Complete 2017/07/13 12:00:00 2017/07/13 12:00:00 2017/07/13 06:53:09 UV 2.16.840.1.113883.3.7467 phungle Phung Le, D.O. Natalie Orlando masked - None - Natalie Orlando 3609 Crossings Drive Suite B 928-443-8862 masked Biller Phung Le 804 Ainsworth Drive, Suite 103 Prescott, AZ 86301 928-771-1011 prescottdoc6@gmail.com Provider Int 3 Complete 2017/07/13 12:00:00 2017/07/13 12:00:00 2017/07/13 08:07:36 UV 2.16.840.1.113883.3.7468 snfqapi SNFQAPI Jacob Hyde masked Stephen Shipley Jacob Hyde 3696 Crown Hill Dr Santa Rosa, CA 95404 USA 18312173833 masked VP of Engineering SNFQAPI, LLC 3696 Crown Hill Dr Santa Rosa, CA 95404 USA 18447637274 sshipley@snfqapi.com https://www.snfqapi.com Vendor Int 3 Complete 2017/07/13 12:00:00 2017/07/13 12:00:00 2017/07/13 09:23:56 US 2.16.840.1.113883.14.17 ahc-GastroandLiverDiseaseAssoc Advocate Health Care - Gastroenterology & Liver Disease Associates Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/07/14 12:00:00 2017/08/09 12:00:00 2017/08/09 08:00:49 UV 2.16.840.1.113883.14.18 ahc-SpineConsultantsLLC Advocate Health Care - Spine Consultants, LLC Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/07/14 12:00:00 2017/08/09 12:00:00 2017/08/09 08:03:18 UV 2.16.840.1.113883.14.19 ahc-UnionMedicalCenter Advocate Health Care - Union Medical Center Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/07/14 12:00:00 2017/08/09 12:00:00 2017/08/09 08:06:59 UV 2.16.840.1.113883.14.20 ahc-BarringtonFamilyHealthCare Advocate Health Care - Barrington Family Health Care Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/07/14 12:00:00 2017/08/09 12:00:00 2017/08/09 08:10:21 UV 2.16.840.1.113883.14.21 ahc-FoxValleyInternalMed Advocate Health Care - Fox Valley Internal Medicine Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/07/14 12:00:00 2017/08/09 12:00:00 2017/08/09 08:14:28 UV 2.16.840.1.113883.14.22 ahc-OrthopaedicSurgerySpecialistLtd Advocate Health Care - Orthopaedic Surgery Specialists, Ltd Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/07/14 12:00:00 2017/08/09 12:00:00 2017/08/09 08:18:08 UV 2.16.840.1.113883.14.23 ahc-HeartlandIntlHealthCenter Advocate Health Care - Heartland International Health Center Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/07/14 12:00:00 2017/08/09 12:00:00 2017/08/09 08:20:34 UV 2.16.840.1.113883.14.24 ahc-HowardBrownHealthCenter Advocate Health Care - Howard Brown Health Center Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/07/14 12:00:00 2017/08/09 12:00:00 2017/08/09 09:40:46 UV 2.16.840.1.113883.14.25 ahc-HinsdaleOrthopaedics Advocate Health Care - Hinsdale Orthopaedics Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/07/14 12:00:00 2017/08/09 12:00:00 2017/08/09 09:44:27 UV 2.16.840.1.113883.14.26 ahc-Germbusters Advocate Health Care - Germbusters Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/07/14 12:00:00 2017/08/09 12:00:00 2017/08/09 09:49:52 UV 2.16.840.1.113883.14.27 ahc-AdvancedMedicalCare Advocate Health Care - Advanced Medical Care Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/07/14 12:00:00 2017/08/09 12:00:00 2017/08/09 09:51:49 UV 2.16.840.1.113883.14.28 ahc-InternalMedicineAssoc Advocate Health Care - Internal Medicine Associates Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/07/14 12:00:00 2017/08/09 12:00:00 2017/08/09 09:54:40 UV 2.16.840.1.113883.14.29 ahc-MidwestGastroenterologyAssociates Advocate Health Care - Midwest Gastroenterology Associates Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/07/14 12:00:00 2017/08/09 12:00:00 2017/08/09 09:56:24 UV 2.16.840.1.113883.14.30 ahc-NorthshoreINternistsPhysicians Advocate Health Care - Northshore INternists Physicians Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/07/14 12:00:00 2017/08/09 12:00:00 2017/08/09 10:04:42 UV 2.16.840.1.113883.14.31 ahc-IllinoisCancerSpecialists Advocate Health Care - Illinois Cancer Specialists Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/07/14 12:00:00 2017/08/09 12:00:00 2017/09/06 04:44:59 UV 2.16.840.1.113883.14.32 ahc-WomensHealthcareofIL Advocate Health Care - Women's Healthcare of Illinois Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/07/14 12:00:00 2017/08/09 12:00:00 2017/08/09 10:11:17 UV 2.16.840.1.113883.14.33 ahc-RegencyMedicalCenter Advocate Health Care - Regency Medical Center Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/07/14 12:00:00 2017/08/09 12:00:00 2017/08/09 10:14:31 UV 2.16.840.1.113883.14.34 ahc-OakMillAssoc Advocate Health Care - Oak Mill Associates Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/07/14 12:00:00 2017/08/09 12:00:00 2017/08/09 10:42:01 UV 2.16.840.1.113883.14.35 ahc-SouthSuburbanGastroenterology Advocate Health Care - South Suburban Gastroenterology Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/07/14 12:00:00 2017/08/09 12:00:00 2017/08/09 11:02:41 UV 2.16.840.1.113883.14.36 ahc-MichiganAveImmediateCare Advocate Health Care - Michigan Avenue Immediate Care Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/07/14 12:00:00 2017/08/09 12:00:00 2017/08/09 11:04:55 UV 2.16.840.1.113883.14.37 ahc-SandeepChandraMDSC Advocate Health Care - SandeepChandra, MD, SC Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/07/14 12:00:00 2017/08/09 12:00:00 2017/08/09 11:08:23 UV 2.16.840.1.113883.14.38 ahc-JRNephrologyandAssoc Advocate Health Care - JR Nephrology & Associates Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/07/14 12:00:00 2017/08/09 12:00:00 2017/08/09 11:21:10 UV 2.16.840.1.113883.14.39 ahc-OncologySpecialists Advocate Health Care - Oncology Specialists Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/07/14 12:00:00 2017/08/09 12:00:00 2017/08/09 11:24:16 UV 2.16.840.1.113883.3.7469 zipnosis Zipnosis Derek Rockwell masked Kevin Smith Kevin Smith 323 N Washington Ave Suite 300, Minneapolis, MN 55401 (612) 512-1657 masked Chief Clinical Officer Zipnosis, Inc. 323 N Washington Ave Suite 300, Minneapolis, MN 55401 administrators@zipnosis.com https://www.zipnosis.com Vendor Int 3 Complete 2017/07/14 12:00:00 2017/07/14 12:00:00 2017/07/14 01:18:59 UV 2.16.840.1.113883.14.40 ahc-AssocinNephrology Advocate Health Care - Associates in Nephrology Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/07/14 12:00:00 2017/08/09 12:00:00 2017/08/09 01:00:44 UV 2.16.840.1.113883.14.41 ahc-DrChudgar Advocate Health Care - Dr. Chudgar Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/07/14 12:00:00 2017/08/09 12:00:00 2017/08/09 01:02:36 UV 2.16.840.1.113883.14.42 ahc-ComprehensiveUrologicalCare Advocate Health Care - Comprehensive Urological Care Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/07/14 12:00:00 2017/08/09 12:00:00 2017/08/09 01:09:43 UV 2.16.840.1.113883.14.43 ahc-GynecologicalCancerInstituteofChicago Advocate Health Care - Gynecological Cancer Institute of Chicago Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/07/14 12:00:00 2017/08/09 12:00:00 2017/08/09 01:15:30 UV 2.16.840.1.113883.14.44 ahc-CenterofBrainandSpineSurgery Advocate Health Care - Center of Brain and Spine Surgery, SC Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/07/14 12:00:00 2017/08/09 12:00:00 2017/08/09 01:19:30 UV 2.16.840.1.113883.14.45 ahc-FairviewOgdenMedicalGroup Advocate Health Care - Fairview Ogden Medical Group Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/07/14 12:00:00 2017/08/09 12:00:00 2017/08/09 01:35:33 UV 2.16.840.1.113883.14.46 ahc-CIMPAR Advocate Health Care - CIMPAR Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Project Leader Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/07/14 12:00:00 2017/08/09 12:00:00 2017/08/09 01:38:18 UV 2.16.840.1.113883.3.7470 ttpgensurgpedi TTP-General Surgery Pediatrics Rae Rodriguez masked RaeAnn Rodriguez 3601 4th Street STOP 8352 Lubbock, Texas 79430 806-743-4357 masked Unit Manager Texas Tech Physicians General Surgery Pediatrics 3601 4th street STOP 8352 Lubbock, Texas 79430 806-743-4357 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2017/07/17 12:00:00 2017/07/17 12:00:00 2017/07/17 11:04:22 UV 2.16.840.1.113883.3.7471 sandspoint Sands Point Center for Health and Rehabilitation Janet Miele Powers masked Janet Miele Powers 1440 Port Washington Boulevard Port Washington, NY 11050 516-719-9400 x3106 masked Administrator Sands Point Center for Health and Rehabilitation 1440 Port Washington Boulevard Port Washington, NY 10050 516-719-9400 jmpowers@nathealthcare.com Provider Int 3 Complete 2017/07/17 12:00:00 2017/07/17 12:00:00 2017/07/17 05:28:12 UV 2.16.840.1.113883.3.7472 cvm Clear View Medical PC Oleg Gorenburg masked Dr. Oleg Gorenburg MD.,DO. 176 Brighton 11 St. 1st Fl. Brooklyn, NY 11235 718-484-8410 masked President Clear View Medical PC 176 Brighton 11 St. 1st Fl. Brooklyn, NY 11235 718-484-8410 cviewmed@gmail.com http://www.clearviewmedical.com Provider Int 3 Complete 2017/07/17 12:00:00 2017/07/17 12:00:00 2017/07/17 05:31:15 UV 2.16.840.1.113883.3.7473 kvh Kittitas Valley Healthcare Jack Schwartz masked Jack Schwartz 603 S. Chestnut St. Ellensburg, WA 98926 206-280-8541 masked Director, Information Systems Kittitas Valley Healthcare 603 S. Chestnut St. Ellensburg, WA 98926 509.962.9841 questions@kvhealthcare.org Provider Int 3 Complete 2017/07/17 12:00:00 2017/07/17 12:00:00 2017/07/17 05:56:28 UV 2.16.840.1.113883.3.7474 wchpoid WellCare Health Plans Eileen Peitsch masked Eileen Peitsch 8725 Henderson Road Tampa, FL 33634 813-206-6200 x6789 masked Director of IT, EIM WellCare Health Plans 8725 Henderson Road Tampa, FL 33634 813-206-6200 epeitsch@wellcare.com http://www.wellcare.com Payor Int 3 Complete 2017/07/18 12:00:00 2017/07/18 12:00:00 2017/07/18 11:27:04 UV 2.16.840.1.113883.3.7475 dgec-oid David G Gross, DO PC DBA| Deen-Gross Eye Centers David Gross masked Prabhat Bhattarai 303 W. 89th Avenue Suite E-4, Merrillville, IN 46410 (219) 769-8989 masked IT Manager David G Gross, DO PC DBA| Deen-Gross Eye Centers 303 W. 89th Avenue Suite E-4, Merrillville, IN 46410 (219) 769-8989 deengrosseye@vision144.com http://deengrosseye.com Provider Int 3 Complete 2017/07/18 12:00:00 2017/07/18 12:00:00 2017/07/18 11:39:45 UV 2.16.840.1.113883.3.7476 montgomerypulmonary Montgomery Pulmonary Consultants, P.A. OID Janet Moore masked Janet W. Moore 1140 Narrow Lane Parkway Montgomery, Alabama 36111 334-281-4140 masked Office Manager Montgomery Pulmonary Consultants, P.A. 1440 Narrow Lane Parkway Montgomery, Alabama 36111 334-281-4140 janet@montgomerypulmonary.net Provider Int 3 Complete 2017/07/18 12:00:00 2017/07/18 12:00:00 2017/07/18 12:11:09 UV 2.16.840.1.113883.3.7477 ctsinsdigital Cognizant Insurance Digital Solutions Sreenivas Rangamani masked Chandan Gokhale Chandan Gokhale 1210 Longpointe pass Alpharetta, GA 30005 6786410650 masked Senior Director/Head Digital Insurance Solutions Cognizant Technology Solutions 500 Frank W Burr Blvd, Teaneck, NJ 07666 (201) 801-0233 chandan.gokhale@cognizant.com https://www.cognizant.com/ Vendor Int 3 Complete 2017/07/18 12:00:00 2017/07/18 12:00:00 2017/07/18 03:13:13 UV 2.16.840.1.113883.17.4200 occs Otsego County Community Services Martha Quackenbush masked Martha Quackenbush 242 Main Street Oneonta, NY 13820 607-433-6693 masked Business Office Manager Otsego County Community Services 242 Main Street Oneonta, NY 13820 607-433-2343 matts@otsegocounty.com Govt body Int 17 Complete 2017/07/19 12:00:00 2017/07/19 12:00:00 2017/07/19 06:59:30 UV 2.16.840.1.113883.3.7478 footandanklecenter Foot & Ankle Center OID Root Alex Gorenshtein masked Alex Gorenshtein 912 s. pleasant valley rd. Winchester, VA 22601 5712156149 masked president Foot & Ankle Center 912 s. pleasant valley rd. Winchester, VA 22601 5406626822 a.gorenshtein@gmail.com Provider Int 3 Complete 2017/07/19 12:00:00 2017/07/19 12:00:00 2017/07/19 06:55:39 UV 2.16.840.1.113883.3.7479 slp Senior Living Properties LLC Data Exchange System IT Department masked IT 1300 S. University Dr. Ste. 306 Fort Worth, TX 76107 8174107300 masked Senior Living Properties LLC 1300 S. University Dr. Ste. 306 Fort Worth, TX 76107 8174107300 it@seniorlivingproperties.com http://www.seniorlivingproperties.com Provider Int 3 Complete 2017/07/20 12:00:00 2017/07/20 12:00:00 2017/07/20 12:06:49 UV 2.16.840.1.113883.3.7480 wihcc Winslow Indian Health Care Center Peter Vermilyea masked Peter Vermilyea 500 N. Indiana Ave Winslow, AZ 86047 9282898092 masked Director of Medical Informatics Winslow Indian Health Care Center 500 N. Indiana Ave Winslow, AZ 86047 peter.vermilyea@wihcc.org http://www.wihcc.com Provider Int 3 Complete 2017/07/20 12:00:00 2017/07/20 12:00:00 2024/08/16 06:20:03 UV 2.16.840.1.113883.3.7481 jaz M Jay Jazayeri MD Mahmood Jazayeri masked Janice Lawson 2690 Pacific Avenue Suite 380 Long Beach, CA 90806 562-595-426 masked Office manager M Jay Jazayeri MD Inc 2690 Pacific Avenue Suite 380 Long Beach, CA 90806 562-595-6426 surgery@mjayjazayerimd.com Provider Int 3 Complete 2017/07/20 12:00:00 2017/07/20 12:00:00 2017/07/20 04:24:08 UV 2.16.840.1.113883.3.7482 serveismedicspenedes SERVEIS MEDICS PENEDES Josep Vilalta - Marzo masked Josep Vilalta - Marzo Francesc Layret, 24 08911 BADALONA BARCELONA SPAIN 34608892793 masked CEO SERVEIS MEDICS PENEDES Pla&#231;a de la Creu de Santa Digna, 1 08720 VILAFRANCA DEL PENED&#200;S BARCELONA SPAIN 34938172299 jpanyella@smp.cat http://smp.cat Provider Int 3 Complete 2017/07/21 12:00:00 2017/07/21 12:00:00 2017/07/21 06:59:53 UV 2.16.840.1.113883.3.7483 csmWilmingtonNC Carolina Sports Medicine and Orthopaedic Specialists, PA Laurie Mays masked Laurie Mays 1717 Shipyard Blvd Suite 350 Wilmington, NC 28403 9107990110 masked Executive Director Carolina Sports Medicine and Orthopaedic Specialists, PA 1717 Shipyard Blvd Suite 350 Wilmington, NC 28403 9107990110 laurie@carolinasportsmed.com Provider Int 3 Complete 2017/07/24 12:00:00 2017/07/24 12:00:00 2017/07/24 10:40:17 UV 2.16.840.1.113883.3.7484 hfmc Himalaya Family Medicine Clinic Bipin Kumar masked Victoria Scalise 1550 S Potomac St Ste. 250 Aurora, CO 80012 303-632-8648 masked Office Manager Himalaya Family Medicine Clinic 1550 S Potomac St Ste. 250 Aurora, CO 80012 303-632-8648 kumar@bipinkumarmd.com http://bipinkumarmd.com/ Provider Int 3 Complete 2017/07/24 12:00:00 2017/07/24 12:00:00 2017/07/24 01:03:01 UV 2.16.840.1.113883.3.7485 mhlmp Meeting House Lane Medical Practice Philip Taboada masked Philip Taboada 240 Meeting House Lane Southampton, NY 11968 6317268500 masked Meeting House Lane Medical Practice 57 Hampton Road Southampton, NY 11968 6317268500 ptaboada@southamptonhospital.org Provider Int 3 Complete 2017/07/24 12:00:00 2017/07/24 12:00:00 2017/07/24 02:06:52 UV 2.16.840.1.113883.3.7486 shinn Shinnecock Indian Health Services Philip Taboada masked Philip Taboada 240 Meeting House Lane Southampton, NY 11968 6317268500 masked Shinnecock Indian Health Services 6317268500 ptaboada@southamptonhospital.org Provider Int 3 Complete 2017/07/24 12:00:00 2017/07/24 12:00:00 2017/07/24 02:58:30 UV 2.16.840.1.113883.3.7487 westhampton-pc Westhampton Primary Care Philip Taboada masked Philip Taboada 240 Meeting House Lane Southampton, NY 11968 6317268500 masked Westhampton Primary Care 6317268500 ptaboada@southamptonhospital.org Provider Int 3 Complete 2017/07/24 12:00:00 2017/07/24 12:00:00 2017/07/24 03:07:04 UV 2.16.840.1.113883.3.7488 azca Arizonas Children Association Justin Hankerd masked Kaleigh Hawkins 3636 N. Central Avenue, Ste 200 Phoenix, AZ 85012 602-234-3733 masked Med Integration Officer Arizonas Children Association 3636 N. Central Avenue, Ste 200 Phoenix, AZ 85012 602-234-3733 administrator@arizonaschildren.org https://www.arizonaschildren.org Provider Int 3 Complete 2017/07/24 12:00:00 2017/07/24 12:00:00 2023/09/11 05:17:31 UV 2.16.840.1.113883.3.7489 phit Pharmacy HIT Collaborative Shelly Spiro masked Pharmacy HIT Collaborative Pharmacy HIT Collaborative American Pharmacists Association 2215 Constitution Avenue NW, Washington, DC 20037 7035995051 masked Executive Director Pharmacy HIT Collaborative 7035995051 shelly@pharmacyhit.org http://www.pharmacyhit.org/ Prof Soc Int 3 Complete 2017/07/24 12:00:00 2017/07/24 12:00:00 2017/07/24 06:22:54 US 2.16.840.1.113883.9.229 chchie Columbia Heart Clinic HIE Tommy Bryson masked Tommy Bryson (803) 256-6511 masked Columbia Heart Clinic 8 Medical Park Drive, Suite 300 Columbia, SC 29203 (803) 256-6511 tbryson@columbia-heart.com Provider Int 3 Complete 2017/07/25 12:00:00 2017/07/25 12:00:00 2017/07/25 10:58:44 UV 2.16.840.1.113883.3.7490 aha-01 Arthritis Health Associates Randall Osborne masked Randall Osborne 101 Europa Drive Suite 200 Chapel Hill, NC 27517 800-354-4205 masked Sr. Software Engineer Arthritis Health Associates 5794 Widewaters Parkway Syracuse, NY 13214 315-422-1513 bharrington@ahasyr.com http://ahasyr.com Provider Int 3 Complete 2017/07/25 12:00:00 2017/07/25 12:00:00 2017/07/25 10:47:43 UV 2.16.840.1.113883.3.7491 anewleaf A New Leaf Karl Massera masked Karl R. Massera 868 E. University Dr. Mesa, AZ 85203 480-733-3055 masked IT Supervisor A New Leaf 868 E. University Dr. Mesa, AZ 85203 480-733-3055 kmassera@turnanewleaf.org http://www.turnanewleaf.org Provider Int 3 Complete 2017/07/25 12:00:00 2017/07/26 12:00:00 2017/07/26 12:51:59 UV 2.16.840.1.113883.3.7492 hmghealthcare HMG Healthcare David Hopkins masked David Hopkins HMG 1780 Hughes Landing Blvd ste 500 The Woodlands, TX 77380 281 363 4141 masked IT Manager HMG Healthcare 1780 Hughes Landing Blvd ste 500 The Woodlands, TX 77380 281 419 5520 david.hopkins@mmcinc.com http://www.hmghealthcare.com Provider Int 3 Complete 2017/07/26 12:00:00 2017/07/26 12:00:00 2017/07/26 12:56:42 UV 2.16.840.1.113883.3.7493 dhn Dry Harbor Nursing Rehab Center Meyer Guttman masked Meyer Gutman 7185654200 masked Dry Harbor Nursing Rehab Center 6135 Dry Harbor Rd, Middle Village, NY 11379 7185654200 anussbaum@reliablehealth.com Provider Int 3 Complete 2017/07/26 12:00:00 2017/07/26 12:00:00 2017/07/26 04:07:03 UV 2.16.840.1.113883.3.7494 htfp Hilltop Family Physicians Jennifer Souders masked Jennifer Souders 19964 E Hilltop Road Suite A Parker, CO 80134 303-841-2212 masked Practice Manager Hilltop Family Physicians 19964 E Hilltop Road Suite A Parker, CO 80134 303-841-2212 jsouders@hilltopmd.com http://www.hilltopmd.com Provider Int 3 Complete 2017/07/26 12:00:00 2017/07/26 12:00:00 2017/07/26 04:12:33 UV 2.16.840.1.113883.3.7495 schsa Stanislaus County Health Services Agency Lourdes Lopez masked Lourdes Lopez 830 Scenic Drive Modesto, CA 95350 2095584520 masked IT Analyst Stanislaus County Health Services Agency 830 Scenic Drive Modesto, CA 95350 llopez@schsa.org http://www.schsa.org/ Govt body Int 3 Complete 2017/07/27 12:00:00 2017/07/27 12:00:00 2017/07/27 03:17:23 UV 2.16.840.1.113883.3.7496 bmhmc-DSStoDSRIP Brookhaven Memorial Hospital - (Hosp/DSS --> DSRIP/SCC) Mary Shortell masked MARY SHORTELL 101 HOSPITAL ROAD PATCHOGUE, NY 11772 631-447-3653 masked APPLICATIONS MANAGER BROOKHAVEN MEMORIAL HOSPITAL 101 HOSPITAL ROAD PATCHOGUE, NY 11772 631-447-3653 MESHORTELL@BMHMC.ORG Provider Int 3 Complete 2017/07/28 12:00:00 2017/07/28 12:00:00 2018/12/13 03:59:58 UV 2.16.840.1.113883.6.339 hpo Human Phenotype Ontology Clem McDonald masked Shennon Lu Clem McDona Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 +1 301-496-4441 masked Director, Lister Hill National Center for Biomedical Communications Lister Hill National Center for Biomedical Communications Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 +1 301-496-4441 nlmlhclhcques@mail.nih.gov https://lhncbc.nlm.nih.gov/ Govt body Int 6 Complete 2017/07/28 12:00:00 2017/07/28 12:00:00 2017/07/28 03:43:09 HPO UV 2.16.840.1.113883.6.340 geneCodeNCBI NCBI Gene Code Clem McDonald masked Shennon Lu Clem McDonald Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 +1 301-496-4441 masked Director, Lister Hill National Center for Biomedical Communications Lister Hill National Center for Biomedical Communications Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 +1 301-496-4441 nlmlhclhcques@mail.nih.gov https://lhncbc.nlm.nih.gov/ Govt body Int 6 Complete 2017/07/28 12:00:00 2017/07/28 12:00:00 2017/07/28 03:43:35 NCBI-GeneCode UV 2.16.840.1.113883.6.341 hlaAllele Human leukocyte antigen nomenclature Clem McDonald masked Shennon Lu Clem McDonald, MD Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 +1 301-496-4441 masked Director, Lister Hill National Center for Biomedical Communications Lister Hill National Center for Biomedical Communications Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 +1 301-496-4441 nlmlhclhcques@mail.nih.gov https://lhncbc.nlm.nih.gov/ Govt body Int 6 Complete 2017/07/28 12:00:00 2017/07/28 12:00:00 2017/07/28 03:43:52 HLA-Allele UV 2.16.840.1.113883.6.342 starAllele Pharmacogenomics star allele nomenclature Clem McDonald masked Shennon Lu Clem McDonald, MD Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 +1 301-496-4441 masked Director, Lister Hill National Center for Biomedical Communications Lister Hill National Center for Biomedical Communications Lister Hill National Center for Biomedical Communications U.S. National Library of Medicine 8600 Rockville Pike, Bethesda, MD 20894 +1 301-496-4441 nlmlhclhcques@mail.nih.gov https://lhncbc.nlm.nih.gov/ Govt body Int 6 Complete 2017/07/28 12:00:00 2017/07/28 12:00:00 2017/07/28 03:44:15 Star-Allele UV 2.16.840.1.113883.3.7497 simai David Simai M.D. David Simai masked David Simai M.D. David E. Simai 660 Central Ave Suite #3 Cedarhurst, N.Y. 11516 5163742228 masked Pediatrician David Simai M.D. 660 Central Ave Suite #3 Cedarhurst, N.Y. 11516 5163742228 drsimaipediatrics@gmail.com http://www.doctorsimai.com/ Provider Int 3 Complete 2017/08/01 12:00:00 2017/08/01 12:00:00 2017/08/01 03:24:36 UV 2.16.840.1.113883.3.7498 careWI1 Care Wisconsin Amy Corcoran masked Amy Corcoran 1617 Sherman Ave. PO Box 14017 Madison, WI 53708-0017 608-245-3045 masked Regulatory Data Manager Care Wisconsin 1617 Sherman Ave. PO Box 14017 Madison, WI 53708-0017 800-963-0035 customerservice@carewisc.org https://www.carewisc.org Provider Int 3 Complete 2017/08/01 12:00:00 2017/08/01 12:00:00 2017/08/01 03:28:56 UV 2.16.840.1.113883.3.7499 grhc Gila River Health Care Timothy Phillis masked Timothy Phillis PO Box 38 Sacaton, AZ 85147 602-258-1467 masked Database Administrator Gila River Healthcare 483 West Seed Farm Road Sacaton, Arizona 85147 520-562-3321 tphillis@grhc.org http://grhc.org Provider Int 3 Complete 2017/08/01 12:00:00 2017/08/01 12:00:00 2017/08/01 06:45:54 US 2.16.840.1.113883.3.7500 hcn-doh Ho-Chunk Nation Department of Health Heather Roberts masked Heather Roberts N6520 Lumberjack Guy Rd Black River Falls, WI 54615 7152849851 masked Database Administrator Ho-Chunk Nation Department of Health N6520 Lumberjack Guy Rd Black River Falls, WI 54615 715-284-9851 heather.roberts@ho-chunk.com Provider Int 3 Complete 2017/08/02 12:00:00 2017/08/02 12:00:00 2017/08/02 01:03:06 UV 2.16.840.1.113883.3.7501 hopeInc Hope Inc Enos Maner masked Hope Inc Enos Maner 4067 E Grant Rd Tucson, AZ 85712 5209036526 masked IT Specialist Hope Inc 4067 E Grant Rd Tucson, AZ 85712 5207701197 jackpruitt@hopetucson.org http://hopetucson.org/ Provider Int 3 Complete 2017/08/02 12:00:00 2017/08/02 12:00:00 2017/08/02 01:12:01 UV 2.16.840.1.113883.3.7502 cahie Connections Arizona HIE interchange Tes Mcilvride masked Tes Mcilvride 1201 S 7th Ave Phoenix, AZ 85016 602300-3591 masked EHR Analyst Connections Arizona 1201 S 7th Ave Phoenix, AZ 85016 602 300-3591 tes.mcilvride@connectionsarizona.com http://www.connectionsarizona.com/ Provider Int 3 Complete 2017/08/02 12:00:00 2017/08/02 12:00:00 2017/08/02 01:29:26 UV 2.16.840.1.113883.3.7503 iGFM Ignacio Family Medicine INC Dixie Melton masked Dixie Melton PO BOX 707 Ignacio, CO 81137 970-563-9388 masked corp president Ignacio Family Medicine INC PO Box 707 Ignacio, CO 81137 970-563-9388 ignacioi@centurytel.net Provider Int 3 Complete 2017/08/02 12:00:00 2017/08/02 12:00:00 2017/08/02 03:51:51 UV 2.16.840.1.113883.3.7504 californiakidney California Kidney Specialists OID Root Zahra Unwalla masked Zahra Unwalla 1335 Cypress Steet, Suite 205 San Dimas, CA 91773 9095422777 masked Medical Biller/Coder California Kidney Specialists 1335 Cypress Street, Suite 205 San Dimas, CA 91773 9095422777 zunwalla@ckskidney.com http://www.ckskidney.com Provider Int 3 Complete 2017/08/02 12:00:00 2017/08/02 12:00:00 2017/08/02 04:06:36 UV 2.16.840.1.113883.3.7505 hsh Haym Salomon Home for Nursing & Rehabilitation David Schoenblum masked David Schoenblum 7185359512 masked Assistant Administrator Haym Salomon Home for Nursing & Rehabilitation 2340 Cropsey Avenue Brooklyn, NY 11214 7185359506 chaiml@hshny.com Provider Int 3 Complete 2017/08/02 12:00:00 2017/08/02 12:00:00 2017/08/02 07:31:43 UV 2.16.840.1.113883.3.7506 renaissanceNEUROSURGMEDPT Neuroscience Institute at Renaissance - Neurosurgery Medpoint OID Root Priscilla Peralez masked Yesika Yerena 1200 E. Savannah, Ste. 3 McAllen, TX 78503 956-687-1998 masked Office Manager Neuroscience Institute at Renaissance - Neurosurgery Medpoint 1200 E. Savannah, Ste. 3 McAllen, TX 78503 956-687-1998 yy.yerena@dhr-rgv.com Provider Int 3 Complete 2017/08/03 12:00:00 2017/08/03 12:00:00 2017/08/03 10:01:35 UV 2.16.840.1.113883.3.7507 renaissancePLASTICS Plastic and Reconstructive Surgery Institute at Renaissance OID Root Priscilla Peralez masked Christian Martinez 5323 S. McColl Rd Edinburg, Texas 78539 956-362-8160 masked Administrator Plastic and Reconstructive Surgery Institute at Renaissance 5323 S. McColl Rd Edinburg, Texas 78539 956-362-8160 ch.martinez2@dhr-rgv.com Provider Int 3 Complete 2017/08/03 12:00:00 2017/08/03 12:00:00 2017/08/03 10:05:10 UV 2.16.840.1.113883.3.7508 grhc-oid Grant Regional Health Center OID Ken Kaiser masked Ken Kaiser 507 South Monroe Street Lancaster, WI 53813 6087233248 masked IT Director Grant Regional Health Center 507 South Monroe Street Lancaster, WI 53813 6087232143 kkaiser@grantregional.com Provider Int 3 Complete 2017/08/04 12:00:00 2017/08/04 12:00:00 2017/08/04 09:55:29 UV 2.16.840.1.113883.3.7509 voa-vmcc VOA Valley Manor Care Center Craig Ammermann masked VOA Valley Manor 1401 South Cascade Montrose, CO 81401 9702499634 masked Regional Director of Operations VOA Valley Manor 1401 South Cascade Montrose, CO 81401 970-249-9634 cammermann@voa.org Provider Int 3 Complete 2017/08/04 12:00:00 2017/08/04 12:00:00 2017/08/04 03:50:57 UV 2.16.840.1.113883.3.7510 reflexion RefleXion Medical Michael Owens masked Michael Owens 25841 Industrial Blvd Suite 275, RefleXion Medical Hayward, CA 94545 650-239-9070x1030 masked Principal UX RefleXion Medical 25841 Industrial Blvd Suite 275 Hayward, CA 94545 650-239-9070 contact@reflexionmedical.com http://reflexion.com Vendor Int 3 Complete 2017/08/07 12:00:00 2017/08/07 12:00:00 2017/08/07 08:59:04 UV 2.16.840.1.113883.3.7511 kdh King's Daughters' Health Ron Mundt masked Ron Mundt 1373 E SR 62 Madison, IN 47250 812-801-0667 masked IT Applications Manager King's Daughters' Health 1373 E SR 62 Madison, IN 47250 812-801-0800 mundtr@kdhmadison.org Provider Int 3 Complete 2017/08/07 12:00:00 2017/08/07 12:00:00 2017/08/07 09:04:51 UV 2.16.840.1.113883.3.7512 umcpneph UMCP Nephrology Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 160 Lubbock, TX 79407 806-761-0333 masked Director, Business Services UMC Physicians 3801 21st Street Suite 200 Lubbock, TX 79410 806-687-0338 yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2017/08/07 12:00:00 2017/08/07 12:00:00 2017/08/07 09:11:18 UV 2.16.840.1.113883.3.7513 nshc Northshore Health Centers Derek Allan masked Derek Allan Northshore Health Centers 3207 Willowcreek Rd Portage, IN 46368 219-314-8725 masked Nextgen Developer Northshore Health Centers Northshore Health Centers 3207 Willowcreek Rd Portage, IN 46368 219-314-8725 dallan@northshorehealth.org http://www.northshorehealth.org/ Provider Int 3 Complete 2017/08/08 12:00:00 2017/08/09 12:00:00 2017/08/09 07:49:44 UV 2.16.840.1.113883.17.4201 skip-ny SKIP OF NY Margaret Mikol masked Margaret Mikol 601 West 26 Street Suite 522 New York, NY 10001 2122685999 masked Executive Director SKIP OF NY 601 West 26 Street Suite 522 New York, NY 10001 2122685999 itdept@skipofny.org http://skipofny.org Provider Int 17 Complete 2017/08/08 12:00:00 2017/08/09 12:00:00 2017/08/09 07:53:28 UV 2.16.840.1.113883.3.7514 ocdmh County of Orange, Dept of Mental Health Sandra Atkin masked Sandra Atkin 30 Harriman Drive Goshen, NY 10924-2410 845-291-2604 masked Administrative Officer County of Orange, Dept. of Mental Health 30 Harriman Drive Goshen, NY 10924-2410 845-291-2600 satkin@orangecountygov.com http://www.orangecountygov.com/content/124/1348/default.aspx Provider Int 3 Complete 2017/08/09 12:00:00 2017/08/09 12:00:00 2017/08/09 10:37:22 UV 2.16.840.1.113883.3.7515 momentum340 Momentum at South Bay for Rehabilitation and Nursing Kevin Cahill masked Kevin Cahill 6315816400 masked Administrator Momentum at South Bay for rehabilitation and Nursing 340 East Main Street East Islip, NY 6315816400 kcahill@momentumatsouthbay.com Govt body Int 3 Complete 2017/08/09 12:00:00 2017/08/10 12:00:00 2017/08/10 06:53:49 UV 2.16.840.1.113883.17.4202 awoc-chri Christiana Care Health System Care Now Alfredo Morales masked Alfredo Morales 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x:3643 masked Director, Technical Implementation Services American Well 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x:3643 alfredo.morales@americanwell.com Vendor 2.16.840.1.113883.3.634 Int 17 Complete 2017/08/09 12:00:00 2017/08/10 12:00:00 2017/08/17 09:39:01 UV 2.16.840.1.113883.13.280 facv FACV Consultants PC Fadi El-Atat masked Fadi El-Atat 9737444075 masked M.D. FACV Consultants PC 127 Pine st ste 1 Montclair NJ 07042 1945 Morris Ave ste 8 Union NJ 07083 9737444075 drelatat@yahoo.com http://www.drfadielatat.com Provider Int 13 Complete 2017/08/10 12:00:00 2017/08/11 12:00:00 2017/08/11 09:06:49 UV 2.16.840.1.113883.3.7516 alpineOID Alpine Home Health Care Avi Katz masked Alpine Home Health Care Avi Katz 4770 WHITE PLAINS RD Bronx, NY 10470 7188638000 masked Alpine Home Health Care 4770 WHITE PLAINS RD Bronx, NY 10470 7188638000 akatz@alpinehhc.org Provider Int 3 Complete 2017/08/10 12:00:00 2017/08/10 12:00:00 2017/08/10 08:37:00 UV 2.16.840.1.113883.3.7517 kjddmc Desai Medical Center Kartik Desai masked Minna Tran 3290 N. Ridge Rd. Suite 100 Ellicott City, MD 21043 (410) 313-9292 masked Office Manager Desai Medical Center 3290 N. Ridge Rd. Suite 100 Ellicott City, MD 21043 (410) 313-9292 drdesai@desaimedicalcenter.com Provider Int 3 Complete 2017/08/10 12:00:00 2017/08/10 12:00:00 2017/08/10 08:38:57 UV 2.16.840.1.113883.17.4203 pcc PointClickCare Root OID Saverio Carollo masked Saverio Carollo 520 Prospect Place Brooklyn, NY 11238 718-636-1000 x428 masked Associate Administrator Center for Nursing and Rehabilitation Center 520 Prospect Place Brooklyn, NY 11238 718-636-1000 x428 scarollo@cassenacare.com https://login.pointclickcare.com/home/userLogin.xhtml Prof Soc Int 17 Complete 2017/08/10 12:00:00 2017/08/10 12:00:00 2017/08/10 08:45:31 0396 UV 2.16.840.1.113883.3.7518 lpnt-provh Providence Hospitals Trevor Dickerson masked Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Health, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2017/08/15 12:00:00 2017/08/15 12:00:00 2018/05/02 12:13:56 UV 2.16.840.1.113883.3.7519 cRAIN-610 CRAIN MEDICAL PA Sukhpal Jassi masked kiran jassi 1600 Crain Hwy S.W Suite 610 Glen Burnie, MD 21061 240-447-3823 masked Office Manager CRAIN MEDICAL PA 1600 Crain Hwy S.W Suite 610 Glen Burnie, MD 21061 4107609300 kjassi1@yahoo.com Provider Int 3 Complete 2017/08/15 12:00:00 2017/08/15 12:00:00 2017/08/15 10:27:32 UV 2.16.840.1.113883.3.7520 cpsc Castle Peak Senior Care Renee Micaletti masked Crisie Bateman Crisie Bateman 195 Freestone Road PO Box 5980 Eagle, CO 81631-5980 970-432-1161 masked Medical Records Renee Micaletti 195 Freestone Road PO Box 5980 Eagle, CO 81631-5980 970-432-970-432-1110 rmicaletti@augustanacare.org http://castlepeak.org/#&panel1-1 Provider Int 3 Complete 2017/08/15 12:00:00 2017/08/15 12:00:00 2017/08/15 10:40:08 UV 2.16.840.1.113883.17.4204 lwshsc Lower West Side Household Services Corporation Lucia Pons masked Lucia Pons 16 East 40th St, 12th Fl New York, NY 10016 212-307-7107 masked Executive Director Lower West Side Household Services Corp 16 East 40th St, 12th Fl New York, NY 10016 212-307-7107 it@homecareny.org http://homecareny.org/ Provider Int 17 Complete 2017/08/15 12:00:00 2017/08/15 12:00:00 2017/08/15 10:45:18 UV 2.16.840.1.113883.3.7521 dunwoodyphysicians Dunwoody Physicians Sanjay Patel masked Dunwoody Physicians Sanjay Patel 8095-A ROSWELL ROAD SANDY SPRINGS, GA-30350 7703947868 masked OFFICE MANAGER Dunwoody Physicians 8095-A ROSWELL ROAD SANDY SPRINGS, GA-30350 7703946588 DUNWOODY7868@GAMIL.COM Provider Int 3 Complete 2017/08/15 12:00:00 2017/08/15 12:00:00 2017/08/15 10:50:05 UV 2.16.840.1.113883.3.7522 dod Doctor On Demand, Inc. Jeffrey Jacobs masked Jeffrey Jacobs 275 Battery St Suite 650 San Francisco, CA 94111 (415) 944-9163 masked Sr. Backend Engineer Doctor On Demand, Inc. 275 Battery St Suite 650 San Francisco, CA 94111 (800) 997-6196 support@doctorondemand.com https://www.doctorondemand.com Provider Int 3 Complete 2017/08/15 12:00:00 2017/08/15 12:00:00 2017/08/15 11:00:16 UV 2.16.840.1.113883.3.7523 abc Association to Benefit Children Peter Matulich masked Accumedic Computer System Eri Noguchi 419 East 86th Street New York, NY 10028 (212) 845-3821 masked Chief Program Officer Association to Benefit Children abc@a-b-c.org http://www.a-b-c.org Provider Int 3 Complete 2017/08/16 12:00:00 2017/08/16 12:00:00 2017/08/16 07:34:52 UV 2.16.840.1.113883.3.7524 mhprov Mental Health Providers of Western Queens, Inc. Peter Matulich masked Accumedic Computer System Sasha A. Cobo 61-20 Woodside Avenue Woodside, NY 11377 (718) 672-1705 masked Director of Financial Services & Contracts Management Mental Health Providers of Western Queens, Inc. scobo@mhpwq.org http://www.mhpwq.org/ Provider Int 3 Complete 2017/08/16 12:00:00 2017/08/16 12:00:00 2017/08/16 07:40:18 UV 2.16.840.1.113883.17.4205 awoc-lho LiveHealth Online Alfredo Morales masked American Well Alfredo Morales 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x:3643 masked Director, Technical Implementation Services American Well 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x:3643 alfredo.morales@americanwell.com Vendor 2.16.840.1.113883.3.634 Int 17 Complete 2017/08/17 12:00:00 2017/08/18 12:00:00 2017/08/18 11:40:40 UV 2.16.840.1.113883.3.7525 limestoneMRI-202 Limestone Open MRI Imaging Center Bernadette Barthel masked Bernadette Barthel 2060 Limestone Road, Suite 202 Wilmington, DE 19808 302-246-2001 masked General Manager Limestone Open MRI Imaging Center 2060 Limestone Road, Suite 202 Wilmington, DE 19808 302-246-2001 bbarthel@limestonemri.com Provider Int 3 Complete 2017/08/17 12:00:00 2017/08/18 12:00:00 2017/08/18 11:50:12 US 2.16.840.1.113883.3.7526 juansalazarmd Juan J. Salazar MD OID Root JANIE DAVILA masked JANIE DAVILA 801 E. NOLANA STE#2 MCALLEN, TEXAS 78504 956-687-1177 masked office manager JUAN J. SALAZAR MD. 801 E. NOLANA STE#2 MCALLEN, TEXAS 78504 956-687-1177 flavio102@aol.com Provider Int 3 Complete 2017/08/17 12:00:00 2017/08/18 12:00:00 2017/08/18 11:55:50 UV 2.16.840.1.113883.3.7527 prescribeWellness PrescribeWellness OID for Exchange of data Sean Power masked PrescribeWellness Sean Power 9701 Jeronimo Rd. Third floor Irvine, CA 92618 617-388-9015 masked Vice Chairman PrescribeWellness 9701 Jeronimo Rd. Third floor Irvine, CA 92618 (800) 960-8147 spower@prescribewellness.com http://www.prescribewellness.com Vendor Int 3 Complete 2017/08/18 12:00:00 2017/08/18 12:00:00 2017/08/18 12:02:59 UV 2.16.840.1.113883.3.7528 needhampodiatry Needham Podiatry, P.C. Daniel Rutowicz masked Daniel Rutowicz 145 Rosemary St Suite B Needham, MA 02494 7814441129 masked President Needham Podiatry, P.C. 145 Rosemary St Suite B Needham, MA 02494 7814441129 dr@needhampodiatry.com Provider Int 3 Complete 2017/08/18 12:00:00 2017/08/22 12:00:00 2017/08/22 07:16:40 UV 2.16.840.1.113883.3.7529 jamh Jasper Health Services, Inc. Jan Gaston masked Jan Gaston 898 College Street Monticello, GA 31064 706-468-4519 masked Administrator, Jasper Health Services, Inc. Jasper Health Services, Inc. 898 College Street Monticello, GA 31064 706-468-6411 lhudgins@jaspermemorial.com Provider Int 3 Complete 2017/08/22 12:00:00 2017/08/22 12:00:00 2017/08/22 07:22:26 UV 2.16.840.1.113883.3.7530 drwarrenekaplan Dr. Warren E. Kaplan OID Root Adam Kaplan masked Adam Kaplan 908 889 1660 masked D.P.M. Dr. Warren E. Kaplan 346 South Ave. Suite 2, Fanwood, NJ, 07023 908 889 1660 drwekaplan@gmail.com Provider Int 3 Complete 2017/08/23 12:00:00 2017/08/23 12:00:00 2017/08/23 11:05:20 UV 2.16.840.1.113883.9.230 nHp Novelle Health Partners Darwin Baird masked Darwin Baird 813-616-8131 masked Director of IT Novelle Health Partners 4033 Tampa Rd Suite 101 Oldsmar, FL 34677 813-854-2003 darwin_baird@pedialliance.com http://www.novellehealth.com/ Provider Int 3 Complete 2017/08/23 12:00:00 2017/08/28 12:00:00 2017/08/28 06:21:43 UV 2.16.840.1.113883.3.7531 gaclinic GEORGIA CLINIC, PC Hetal Parmar masked HETAL PARMAR 6330 Primrose Hill ct Norcross, GA 30092 6787706018 masked Georgia Clinic, PC 6330 Primrose Hill ct Norcross, GA 30092 7709030144 hparmar07@gmail.com Provider Int 3 Complete 2017/08/23 12:00:00 2017/08/23 12:00:00 2017/08/23 06:10:32 UV 2.16.840.1.113883.3.7532 gohealth Global Office Software Health Terry Davison masked Terry Davison 178 Samborski Dr Unit #2 OakBluff, Manitoba R4G 0B3 204-612-4395 masked President Global Office Software 178 Samborski Dr Unit #2 OakBluff, Manitoba R4G 0B3 2046124395 terry@globalofficesoftware.com http://www.globalofficesoftware.com Vendor Int 3 Complete 2017/08/23 12:00:00 2017/08/23 12:00:00 2017/08/23 06:13:48 UV 2.16.840.1.113883.3.7533 jghwv-testOID Jackson General Hospital Electronic HIE TEST OID John Manley masked John Manley 122 Pinnell Street Ripley, WV 25271 304-373-1553 masked Director of IT Jackson General Hospital PO Box 720 122 Pinnell Street Ripley, WV 25271 304-372-2731 JGHWVINFO@jacksongeneral.com http://www.jacksongeneral.com/ Exchange Int 3 Complete 2017/08/24 12:00:00 2017/08/24 12:00:00 2017/08/24 07:02:31 UV 2.16.840.1.113883.17.4206 ocmh Orleans County Department of Mental Health Lynn Fearby masked Lynn Fearby 14014 Route 31 West Albion, NY 14411 585-589-3289 masked Orleans County Department of Mental Health 14014 Route 31 West Albion, NY 14411 585-589-7066 lynn.fearby@orleanscountyny.gov Govt body Int 17 Complete 2017/08/25 12:00:00 2017/08/26 12:00:00 2017/08/26 08:32:17 UV 2.16.840.1.113883.3.7534 gbfd7166 Gerritsen Beach Volunteered Fire Department Nancy Benedetto masked Nancy Benedetto 475 Riverside Drive, Suite 1929 New York, NY 10115 212-870-2215 masked Executive Director, Administration Gerrittsen Beach Volunteer Fire Department 52 Seba Ave, Brooklyn, NY 11229 718-332-3333 jraneri@nycremsco.org Provider Int 3 Complete 2017/08/25 12:00:00 2017/08/26 12:00:00 2017/08/26 08:53:26 UV 2.16.840.1.113883.3.7535 redwoodMedNetTest TEST CONNECT Gateway Will Ross masked Will Ross 216 W. Perkins St., #206 Ukiah, CA 95482 USA 707-462-6369 masked Project Manager Mendocino Informatics, Inc. 216 W. Perkins St., #206 Ukiah, CA 95482 USA 707-462-6369 support@minformatics.com http://www.minformatics.com Vendor Int 3 Complete 2017/08/28 12:00:00 2017/08/28 12:00:00 2021/09/14 05:07:15 UV 2.16.840.1.113883.3.7536 dvch-hsx Delaware Valley Community Health Isaiah Nathaniel masked Isaiah Nathaniel Delaware Valley Community Health 1412-22 Fairmount Ave Philadelphia, PA 19130 2676398444 masked HIT Manager Delaware Valley Community Health 1412-22 Fairmount Ave Philadelphia, PA 19130 2152359600 nathanieli@dvch.org http://www.dvch.org Provider Int 3 Complete 2017/08/28 12:00:00 2017/08/28 12:00:00 2017/08/28 06:01:46 UV 2.16.840.1.113883.9.231 postgraduatecenteract Postgraduate Center for Mental Health ACT Program John McMasters masked John McMasters Postgraduate Center 158 East 35th Street New York, NY 10016 212-889-5500 masked Executive Assistant Postgraduate Center for Mental Health 158 East 35th Street New York, NY 10016 212-889-5500 jmcmasters@pgcmh.org http://www.pgcmh.org Provider Int 3 Complete 2017/08/28 12:00:00 2017/08/28 12:00:00 2017/08/28 06:45:47 ACT Program US 2.16.840.1.113883.3.7537 umcpcard UMCP Cardiology Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 160 Lubbock, TX 79407 806-761-0322 masked Director UMC Physicians 808 Joliet Ave Suite 110 Lubbock, TX 79415 806-722-3144 yvette.hinojosa@umchealthsystem.com http://umchealthsystem.com Govt body Int 3 Complete 2017/08/28 12:00:00 2017/08/28 12:00:00 2017/08/28 06:05:19 UV 2.16.840.1.113883.3.7538 redwoodMedNetProd PROD CONNECT Gateway Will Ross masked Will Ross Mendocino Informatics 216 W. Perkins St, #206 Ukiah, CA 95482 USA 707-462-6369 masked Project Manager Mendocino Informatics 216 W. Perkins St, #206 Ukiah, CA 95482 USA 707-462-6369 support@minformatics.com Vendor Int 3 Complete 2017/08/29 12:00:00 2017/08/29 12:00:00 2021/09/14 05:09:17 UV 2.16.840.1.113883.3.7539 hmpc Highland Medical PC Henderson Rose masked Henderson Rose Highland Medical, PC ATTN: Henderson Rose 160 North Midland Avenue Nyack, NY 10960 8453482985 masked Director of Physician Practice Management Highland Medical PC Highland Medical, PC ATTN: Henderson Rose 160 North Midland Avenue Nyack, NY 10960 8453482985 info@highlandmedicalpc.com http://highlandmedicalpc.com Provider Int 3 Complete 2017/08/29 12:00:00 2017/08/29 12:00:00 2017/08/29 12:34:01 UV 2.16.840.1.113883.3.7540 metderm METRODERM, P.C. Zane Ragone masked Zane Ragone 875 Johnson Ferry Road Suite 300 Atlanta, GA 30342 678-904-2340 masked Administrative Assistant MetroDerm, P.C. 875 Johnson Ferry Road Suite 300 Atlanta, GA 30342 404-257-9933 mohs@metroderm.org https://www.metroderm.org Provider Int 3 Complete 2017/08/29 12:00:00 2017/08/29 12:00:00 2017/08/29 12:37:50 UV 2.16.840.1.113883.9.232 crc Elizabeth Seton Children's Rehabilitation Center Sue Hausch masked Heather Stevenson Elizabeth Seton Children's Rehabilitation Center 317 North Street White Plains, New York 10605 914-294-6129 masked Director of Patient Accounts Elizabeth Seton Children's Rehabilitation Center 317 North Street White Plains, New York 10605 914-294-6129 hstevenson@setonchildrens.org https://setonchildrens.org Provider Int 3 Complete 2017/08/29 12:00:00 2017/08/31 12:00:00 2019/07/16 03:00:06 UV 2.16.840.1.113883.3.7541 seiffcenter Seiff Center for Aesthetic & Reconstructive Surgery Bryan Seiff masked Bryan D Seiff MD 302-678-3443 masked Owner Seiff Center for Aesthetic & Reconstructive Surgery 200 Banning St Suite 370 Dover, DE 19904 302-678-3443 seiffcenter@gmail.com https://www.seiffcenter.com Provider Int 3 Complete 2017/08/29 12:00:00 2017/08/29 12:00:00 2017/08/29 05:31:38 UV 2.16.840.1.113883.3.7542 monarch Monarch - Corporate Office Troy Connell masked Monarch Nathan Connell 350 Pee Dee Avenue, Suite 101, Albemarle, NC 28001 704-986-1882 masked Monarch DBA Monarch 350 Pee Dee Avenue, Suite 101, Albemarle, NC 28001 704-986-1500 hiex@monarchnc.org https://www.monarchnc.org Provider Int 3 Complete 2017/08/29 12:00:00 2017/08/29 12:00:00 2017/08/29 05:36:26 UV 2.16.840.1.113883.3.3880.2004 lbh-Carroll-Hospital Carroll Hospital Paul Winner masked Al Broomfield LifeBridge Health 2401 W. Belvedere Ave Baltimore, MD 21215 410-601-6089 masked LifeBridge Health 2401 W. Belvedere Ave Baltimore, MD 21215 410-601-9000 Abroomfi@lifebridgehealth.org https://www.lifebridgehealth.org Provider 2.16.840.1.113883.3.3880 Ext 17 Complete 2.16.840.1.113883.3.3880.2004 2017/08/30 12:00:00 2017/08/30 12:00:00 2017/08/30 07:59:32 UV 2.16.840.1.113883.3.7543 watersedge Waters Edge at Port Jefferson Adam Cooperman masked Adam Cooperman Waters Edge at Port Jefferson 150 Dark Hollow Rd Port Jefferson, NY 11777 631 473 5400 masked Administrator Waters Edge at Port Jefferson 150 Dark Hollow Rd Port Jefferson, NY 11777 631-473-5400 acooperman@portjeffersonrehab.com Provider Int 3 Complete 2017/08/30 12:00:00 2017/08/30 12:00:00 2017/08/30 08:08:19 UV 2.16.840.1.113883.3.7544 sran Surge Rehabilitation and Nursing Tanya Randolph masked Tanya Randolph 49 Oakcrest Ave Middle Island, NY 11953 631-995-2900 masked Administrator Surge Rehabilitation and Nursing 49 Oakcrest Ave Middle Island, NY 11953 631-995-2900 trandolph@surgerehab.com Provider Int 3 Complete 2017/08/31 12:00:00 2017/08/31 12:00:00 2017/08/31 08:26:05 UV 2.16.840.1.113883.3.7545 umhtx Uvalde Memorial Hospital Blake Eaker masked Jose Flores Blake Eaker Uvalde Memorial Hospital 1025 Garner Field Road Uvalde, TX 78801 8302786251 masked CIO Uvalde Memorial Hospital 1025 Garner Field Road Uvalde, TX 78801 8302786251 j.flores@umhtx.org http://www.umhtx.org Provider Int 3 Complete 2017/08/31 12:00:00 2017/08/31 12:00:00 2017/08/31 08:30:02 US 2.16.840.1.113883.3.7546 ppna Pikes Peak Nephrology Associates Sandra Drachenberg masked Robin Largin, RMA 1914 Lelaray Street Colorado Springs, CO 80909 719-632-7641 masked Clinical Supervisor Pikes Peak Nephrology Associates, PC 1914 Lelaray Street Colorado Springs, CO 80909 719-632-7641 robin.largin@pikespeaknephrology.com http://www.pikespeaknephrology.com/ Provider Int 3 Complete 2017/08/31 12:00:00 2017/08/31 12:00:00 2017/08/31 08:36:28 UV 2.16.840.1.113883.3.7547 mNIS MISH Hospital Amir Abbaszadeh masked Amir Abbaszadeh 11217 Lakeview Ave, Lenexa, Kansas 66219 9133227408 masked IT Director MISH Hospital 11217 Lakeview Ave, Lenexa, Kansas 66219 9133227408 amir@mishhospital.com Provider Int 3 Complete 2017/09/01 12:00:00 2017/09/04 12:00:00 2017/09/04 11:05:52 UV 2.16.840.1.113883.3.7548 hugoH Hugo Health Hugo Health masked Dave Hutten (203) 900-4846 masked Product Lead Hugo Health PO Box 145 Guilford, CT 06437 (203) 900-4846 admin@hugophr.com Vendor Int 3 Complete 2017/09/01 12:00:00 2017/09/04 12:00:00 2017/09/04 11:11:06 UV 2.16.840.1.113883.3.7549 qolhs QOLHS OID Root Chris Williams masked Rhonda Lipscomb Chris Williams 1411 Piedmont Cutoff Gadsden, AL 35903 2564396300 masked Application Support Analyst Quality Of Life Health Services, Inc. 1411 Piedmont Cutoff Gadsden, AL 35903 2564396300 chris.williams@qolhs.com http://qolhs.org/ Provider Int 3 Complete 2017/09/05 12:00:00 2017/09/05 12:00:00 2017/09/05 08:06:25 UV 2.16.840.1.113883.3.7550 pcom-hsx Philadelphia College of Osteopathic Medicine William Schmidt masked William Schmidt 4190 City Avenue Rowland Hall Suite 216 Philadelphia, PA 19131 2158716391 masked EHR Consultant Philadelphia College of Osteopathic Medicine 4190 City Avenue Philadelphia, PA 19131 2158716391 billp@pcom.edu http://pcom.edu Provider Int 3 Complete 2017/09/05 12:00:00 2017/09/05 12:00:00 2017/09/05 08:10:34 UV 2.16.840.1.113883.3.7551 ayn Alexander Youth Network Jason Cagle masked Carolyn Spence Jason Cagle 6220 Thermal Road Charlotte, NC 28211 704.366.8712 masked Sr. System Architect Alexander Youth Network 6220 Thermal Road Charlotte, NC 28211 704.366.8712 cspence@alexanderyouthnetwork.org http://www.alexanderyouthnetwork.org Provider Int 3 Complete 2017/09/06 12:00:00 2017/09/07 12:00:00 2017/09/07 08:13:38 US 2.16.840.1.113883.3.7552 ur-UCU2 University of Maryland Urgent Care Center LaVette Jackson masked LaVette Jackson 105 Penn Street Baltimore, MD 21201 410.328.2387 masked Practice Manager University of Maryland Urgent Care Center 105 Penn Street Baltimore, MD 21201 410.328.1660 ljackson5@umm.edu Provider Int 3 Complete 2017/09/06 12:00:00 2017/09/07 12:00:00 2017/09/07 08:17:06 UV 2.16.840.1.113883.3.7553 ur-UCM2 University of Maryland Walk-In Center LaVette Jackson masked LaVette Jackson 821 N. Eutaw Street Baltimore, MD 21201 410.856.3660 masked Practice Manager University of Maryland Walk-In Center 821 N. Eutaw Street Baltimore, MD 21201 410.856.3660 ljackson5@umm.edu Provider Int 3 Complete 2017/09/06 12:00:00 2017/09/07 12:00:00 2017/09/07 08:19:51 UV 2.16.840.1.113883.2.20.6 hc-HPFB Health Canada, Health Products and Food Branch Attila Farkas masked standards@infoway-inforoute.ca Health Products and Food Branch A/L 2004, 250 Lanark Avenue Ottawa ON, K1A 0K9 613-291-3787 masked Manager, Data Science, Health Products and Food Branch Health Products and Food Branch A/L 2004, 250 Lanark Avenue Ottawa ON, K1A 0K9 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body Ext 3 Complete 2.16.840.1.113883.2.20.6 2017/09/06 12:00:00 2017/09/07 12:00:00 2017/09/07 08:25:40 UV 2.16.840.1.113883.2.20.6.1 hc-CCDD Canadian Clinical Drug Data Set Attila Farkas masked standards@infoway-inforoute.ca Health Products and Food Branch A/L 2004, 250 Lanark Avenue Ottawa, ON, K1A 0K9 613-291-3787 masked Manager, Data Science, Health Products and Food Branch Health Products and Food Branch A/L 2004, 250 Lanark Avenue Ottawa, ON, K1A 0K9 416-5953449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 6 Complete 2.16.840.1.113883.2.20.6.1 2017/09/06 12:00:00 2017/09/07 12:00:00 2020/11/13 03:36:30 UV 2.16.840.1.113883.3.377.1.12 mHH UHS Medicaid Home Health Mark Amendola masked Sherri O'Connor Mark L. Amendola UHS Hospitals 10-42 Mitchell Ave Phelps Hall Binghamton, NY 13903 607-762-3190 masked Manager Applications & Integration UHS Hospitals 10-42 Mitchell Ave Phelps Hall Binghamton, NY 13903 607-762-3190 Mark_Amendoal@uhs.org Provider 2.16.840.1.113883.3.377 Ext 14 Complete 2.16.840.1.113883.3.377.1.12 2017/09/07 12:00:00 2017/09/29 12:00:00 2017/09/29 08:23:04 UV 2.16.840.1.113883.4.934 chhc Cobble Hill Health Center Donny Tuchman masked Donny Tuchman 380 Henry Street Brooklyn, NY 11201 9175897321 masked Cobble Hill Health Center 380 Henry Street Brooklyn, NY 11201 7188556789 dtuchman@cobblehill.org http://www.cobblehilllifecare.org/ Provider Int 3 Complete 2017/09/07 12:00:00 2017/09/07 12:00:00 2017/09/07 08:39:28 UV 2.16.840.1.113883.3.7554 avejmed Samira Ovshaev, D.O. Samira Ovshaev masked Samira Ovshaev 4010 Avenue J Brooklyn, NY 11210 718-266-9779 masked D.O. physician Avenue J Medical P.C. 4010 Avenue J Brooklyn, NY 11210 718-266-9779 avejnantonyuk@gmail.com Provider Int 3 Complete 2017/09/07 12:00:00 2017/09/07 12:00:00 2017/09/07 08:48:13 UV 2.16.840.1.113883.3.7120.10.2 hieNetworks-TLH-VSA Vascular Surgery Associates Zach Finn masked HIE Networks LLC Zach Finn 3411 Capital Medical Blvd Tallahassee, FL 32308 850-545-6406 masked COO Vascular Surgery Associates 2631 Centennial Blvd Tallahassee, FL 32308 850-877-8539 lkaelin@vsafl.com http://vsafl.com Provider Ext 4 Complete 2.16.840.1.113883.3.7120.10.2 2017/09/07 12:00:00 2017/09/07 12:00:00 2017/09/07 08:57:47 US 2.16.840.1.113883.3.7555 aCR Albuquerque Center for Rheumatology Messina Gurrola masked Messina Gurrola 1617 University Blvd NE Albuquerque, NM 87102 5053414148 masked Practice Administrator Albuquerque Center for Rheumatology 1617 University Blvd NE Albuquerque, NM 87102 505-341-4148 mgurrola@qwestoffice.nt Provider Int 3 Complete 2017/09/07 12:00:00 2017/09/07 12:00:00 2017/09/07 08:52:03 UV 2.16.840.1.113883.3.7120.10.3 hieNetworks-TLH-NFWC North Florida Women's Care Zach Finn masked North Florida Women's Care Zach Finn 3411 Capital Medical Blvd Tallahassee, FL 32308 850-702-0369 masked COO North Florida Womens' Care 1401 Centerville Road Suite #202 Tallahassee, FL 32308 850-877-7241 arush@nflwc.com http://www.nflwc.com Provider Ext 4 Complete 2.16.840.1.113883.3.7120.10.3 2017/09/07 12:00:00 2017/09/07 12:00:00 2017/09/07 09:01:45 US 2.16.840.1.113883.3.7556 ttpsurgcov TTP General Surgery Covenant Rae Rodriguez masked RaeAnn Rodriguez 3601 4th street RM 1BC150 Lubbock, Texas 79430 806-743-4357 masked Unit Manager TTP General Surgery Covenant 3601 4TH Street RM 1BC150 Lubbock, Texas 79430 8067434357 EMRHELPDESKLUBBOCK@TTUHSC.EDU https://texastechphysicians.com/ Academic Int 3 Complete 2017/09/07 12:00:00 2017/09/07 12:00:00 2017/09/07 09:58:47 UV 2.16.840.1.113883.3.7557 sprhc Spanish Peaks Regional Health Center Joe Camacho masked Cindy Brooks Joe Camacho Spanish Peaks Regional Health Center 23500 U.S. Highway 160 Walsenburg, CO 81089 719-738-4573 masked Director of Information Technology Spanish Peaks Regional Health Center 23500 U.S. Highway 160 Walsenburg, CO 81089 719-738-4573 jcamacho@sprhc.org Provider Int 3 Complete 2017/09/08 12:00:00 2017/09/08 12:00:00 2017/09/08 08:08:44 UV 2.16.840.1.113883.3.7558 opti Opti-Care Michael Davis masked Michael I. Davis Opti-Care 6300 Georgetown Blvd., Suite 121 Eldersburg, MD 21784 4107958670 masked President Opti-Care Opti-Care 6300 Georgetown Blvd., Suite 121 Eldersburg, MD 21784 4107958670 info@opti-care.com http://www.opti-care.com Provider Int 3 Complete 2017/09/10 12:00:00 2017/09/11 12:00:00 2017/09/11 01:38:05 UV 2.16.840.1.113883.3.7559 seamenssociety Seamen's Society for Children and Families Peter Matulich masked Accumedic Computer System Hina Naveed 50 Bay St Staten Island, NY 10301 (718) 447-7740 masked RN, BSN Seamen's Society for Children and Families info@roots-wings.org http://seamenssociety.org/ Provider Int 3 Complete 2017/09/11 12:00:00 2017/09/11 12:00:00 2017/09/11 01:41:54 UV 2.16.840.1.113883.3.7560 eSolHIM-001 eSolutions Healthcare Information Management Nabil Abujbara masked eSolutions! Healthcare Information Management, Inc Nabil M Abujbara 4 Deerwood East Irvine, California 92604 9498610019 masked President eSolutions! Healthcare Information Management, Inc. 4 Deerwood East Irvine, CA 92604 9498610019 nabil@mywellnessbuddy.com https://www.mywellnessbuddy.com Vendor Int 3 Complete 2017/09/11 12:00:00 2017/09/11 12:00:00 2017/09/11 08:24:09 UV 2.16.840.1.113883.17.4207 oti-Mana-123 OTI Management Consulting, Inc. Osarose Izevbizua masked Osarose Izevbizua 50 Clinton st Suite 205 Rm 2 Hempstead, NY 11550 631-747-2240 masked CEO/ Executive Director OTI Management Consulting, Inc. 50 Clinton st Suite 205 Rm 2 Hempstead, NY 11550 631-747-2240 tracey@otimanagementconsulting.com Provider Int 17 Complete 2017/09/12 12:00:00 2017/09/13 12:00:00 2017/09/13 10:14:25 UV 2.16.840.1.113883.3.3198.2.440 vrfammed Villa Rica Family Medicine Art Gasses masked Art Gasses 770-812-5215 masked Tanner Medical Center, Inc 705 Dixie Street Carrollton, GA 30117 770-836-9666 ishelpdesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 14 Complete 2.16.840.1.113883.3.3198.2.440 2017/09/13 12:00:00 2017/09/13 12:00:00 2017/09/13 10:03:19 UV 2.16.840.1.113883.3.7561 community-health-home-care Community Health and Home Care Sue Stuart masked Sue Ellen Stuart 138 Cecil A. Malone Drive Ithaca, New York 14850 607-273-0466 masked Executive Director Community Health and Home Care 138 Cecil A. Malone Drive Ithaca, New York 14850 607-273-0466 sstuart@vnsithaca.org http://www.vnsithaca.org Provider Int 3 Complete 2017/09/13 12:00:00 2017/09/13 12:00:00 2017/09/13 10:07:28 UV 2.16.840.1.113883.3.3228.1 lenoir-send-fac Lenoir Memorial Hospital Sending Facility Kimberly Moore masked Kimberly Moore 100 Airport Rd Kinston, NC 28501 2525227880 masked Integration Analyst UNC Lenoir Health Care 100 Airport Rd Kinston, NC 28501 2525227000 kmoore@lenoir.org Provider 2.16.840.1.113883.3.3228 Ext 14 Complete 2.16.840.1.113883.3.3228.1 2017/09/14 12:00:00 2017/09/14 12:00:00 2017/09/14 10:02:03 UV 2.16.840.1.113883.3.7563 mskcc Memorial Sloan Kettering Cancer Center Joseph Gutierrez masked Joseph Gutierrez 633 3rd AV. New York, NY 10017 8452498740 masked Manager of Enterprise Imaging Memorial Sloan Kettering Cancer Center 633 3rd AV. New York, NY 10017 646-227-5987 computers@mskcc.org https://www.mskcc.org/ Academic Int 3 Complete 2017/09/14 12:00:00 2017/09/14 12:00:00 2017/09/14 08:10:30 UV 2.16.840.1.113883.17.4208 theracareny TheraCare of New York, Inc. Carol McCarthy masked Carol McCarthy 116 West 32nd St., 8th flr. New York, NY 10001 2125642350 masked Director of Contract Development TheraCare of New York, Inc. 116 West 32nd St., 8th flr. New York, NY 10001 2125642350 carolmccarthy@theracare.com http://www.theracare.com Provider Int 17 Complete 2017/09/14 12:00:00 2017/09/14 12:00:00 2017/09/14 08:15:22 UV 2.16.840.1.113883.3.3228.2 lenoir-lab UNC Lenoir Laboratory Kimberly Moore masked Kimberly Moore 100 Airport Rd Kinston, NC 28501 2525227880 masked Integration Analyst UNC Lenoir Health Care 100 Airport Rd Kinston, NC 28501 2525227000 kmoore@lenoir.org Provider 2.16.840.1.113883.3.3228 Ext 14 Complete 2.16.840.1.113883.3.3228.2 2017/09/14 12:00:00 2017/09/14 12:00:00 2017/09/14 10:08:54 UV 2.16.840.1.113883.3.7564 chasf Chinese Hospital Carl Fung masked Abel Lai Carl Fung 835 Pacific Avenue, San Francisco, CA 94133 415-677-6930 masked Clinical Informatics Analyst Chinese Hospital 845 Jackson St, San Francisco, CA 94133 415-677-6930 carlf@chasf.org http://chasf.org/ Provider Int 3 Complete 2017/09/14 12:00:00 2017/09/14 12:00:00 2017/09/14 08:21:07 UV 2.16.840.1.113883.3.3228.3 lenoir-med-rec-num Lenoir Memorial's Medical record number pool Kimberly Moore masked Kimberly Moore 100 Airport Rd Kinston, NC 28501 2525227880 masked UNC Lenoir Health Care 100 Airport Rd Kinston, NC 28501 2525227000 kmoore@lenoir.org Provider 2.16.840.1.113883.3.3228 Ext 14 Complete 2.16.840.1.113883.3.3228.3 2017/09/15 12:00:00 2017/09/15 12:00:00 2017/09/15 09:17:18 UV 2.16.840.1.113883.3.7565 helenhayeshospital Helen Hayes Hospital Ronald Serao masked Ronald Serao Helen Hayes Hospital 51-55 North Route 9W West Haverstraw, NY 10993 845-786-4755 masked Director, Information Technology Helen Hayes Hospital 51-55 North Route 9W West Haverstraw, NY 10993 845-786-4000 seraor@helenhayeshosp.org http://www.helenhayeshospital.org Provider Int 3 Complete 2017/09/15 12:00:00 2017/09/15 12:00:00 2017/09/15 09:21:41 UV 2.16.840.1.113883.3.7566 ncch Northern Cochise Community Hospital Michael Falk masked Michael Falk 901 W. Rex Allen Drive Willcox, AZ 85643 520-766-6492 masked I.T. Director Northern Cochise Community Hospital 901 W. Rex Allen Drive Willcox, AZ 85643 520-766-6492 mfalk@ncch.com http://www.ncch.com Provider Int 3 Complete 2017/09/15 12:00:00 2017/09/15 12:00:00 2017/09/15 09:25:14 UV 2.16.840.1.113883.2.20.6.2 scheduling-symbol Scheduling Symbol Linda Monico masked standards@infoway-inforoute.ca Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.2 2017/09/15 12:00:00 2017/09/15 12:00:00 2017/09/15 09:31:30 CA 2.16.840.1.113883.2.20.6.3 dosage-form Dosage Form Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.3 2017/09/15 12:00:00 2017/09/15 12:00:00 2017/09/15 09:36:10 CA 2.16.840.1.113883.2.20.6.4 telecom-use Telecommunications Use Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.4 2017/09/15 12:00:00 2017/09/15 12:00:00 2017/09/15 09:39:35 CA 2.16.840.1.113883.2.20.6.5 pharmaceutical-standard Pharmaceutical Standard Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.5 2017/09/15 12:00:00 2017/09/15 12:00:00 2017/09/15 09:44:08 CA 2.16.840.1.113883.2.20.6.6 therapeutic-class Therapeutic Class Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.6 2017/09/15 12:00:00 2017/09/15 12:00:00 2017/09/15 09:47:30 CA 2.16.840.1.113883.2.20.6.7 route-of-administration Route of Administration Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.7 2017/09/15 12:00:00 2017/09/15 12:00:00 2017/09/15 09:57:21 CA 2.16.840.1.113883.2.20.6.8 section-id Section Identifier Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.8 2017/09/15 12:00:00 2017/09/15 12:00:00 2017/09/15 10:15:01 CA 2.16.840.1.113883.2.20.6.9 template-id Template Identifier Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3349 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.9 2017/09/15 12:00:00 2017/09/15 12:00:00 2017/09/15 10:34:14 CA 2.16.840.1.113883.2.20.6.10 document-id Document Identifier Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.10 2017/09/18 12:00:00 2017/09/18 12:00:00 2017/09/18 08:15:51 CA 2.16.840.1.113883.2.20.6.11 marketing-category Marketing Category Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.11 2017/09/18 12:00:00 2017/09/18 12:00:00 2017/09/18 08:18:00 CA 2.16.840.1.113883.2.20.6.12 equivalence-codes Equivalence Codes Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.12 2017/09/18 12:00:00 2017/09/18 12:00:00 2017/09/18 08:20:02 CA 2.16.840.1.113883.2.20.6.13 identifier-type Identifier Type Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.13 2017/09/18 12:00:00 2017/09/18 12:00:00 2017/09/20 07:27:01 CA 2.16.840.1.113883.2.20.6.14 ingredient-id Ingredient Identifier Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.14 2017/09/18 12:00:00 2017/09/18 12:00:00 2017/09/18 08:25:18 CA 2.16.840.1.113883.2.20.6.15 units-of-measure Units of Measure Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.15 2017/09/18 12:00:00 2017/09/18 12:00:00 2017/09/18 08:46:08 CA 2.16.840.1.113883.2.20.6.16 form-code Form Code Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.16 2017/09/18 12:00:00 2017/09/18 12:00:00 2017/09/18 08:52:12 CA 2.16.840.1.113883.2.20.6.17 country-code Country Code Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.17 2017/09/18 12:00:00 2017/09/18 12:00:00 2017/09/18 08:55:04 CA 2.16.840.1.113883.2.20.6.18 marketing-status Marketing Status Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.18 2017/09/18 12:00:00 2017/09/18 12:00:00 2017/09/18 09:13:24 CA 2.16.840.1.113883.2.20.6.19 telecom-capability Telecommunications Capability Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.19 2017/09/18 12:00:00 2017/09/18 12:00:00 2017/09/18 09:15:21 CA 2.16.840.1.113883.2.20.6.20 product-item-code Product Item Code Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.20 2017/09/18 12:00:00 2017/09/18 12:00:00 2017/09/18 09:17:39 CA 2.16.840.1.113883.2.20.6.21 information-disclosure Information Disclosure Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.21 2017/09/18 12:00:00 2017/09/18 12:00:00 2017/09/18 09:20:12 CA 2.16.840.1.113883.2.20.6.22 schedule Schedule Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.22 2017/09/18 12:00:00 2017/09/18 12:00:00 2017/09/18 09:22:11 UV 2.16.840.1.113883.2.20.6.23 product-characteristics Product Characteristics Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.23 2017/09/18 12:00:00 2017/09/18 12:00:00 2017/09/18 09:24:20 CA 2.16.840.1.113883.2.20.6.24 color Color Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.24 2017/09/18 12:00:00 2017/09/18 12:00:00 2017/09/18 09:26:31 CA 2.16.840.1.113883.2.20.6.25 shape Shape Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.25 2017/09/18 12:00:00 2017/09/18 12:00:00 2017/09/18 09:29:18 CA 2.16.840.1.113883.2.20.6.26 flavor Flavor Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.26 2017/09/18 12:00:00 2017/09/18 09:32:56 CA 2.16.840.1.113883.2.20.6.27 product-classification Product Classification Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.27 2017/09/18 12:00:00 2017/09/18 12:00:00 2017/09/18 09:35:41 CA 2.16.840.1.113883.2.20.6.28 submission-tracking-system Submission Tracking System Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.28 2017/09/18 12:00:00 2017/09/18 12:00:00 2017/09/18 09:41:11 CA 2.16.840.1.113883.2.20.6.29 language-code Language Code Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.29 2017/09/18 12:00:00 2017/09/18 12:00:00 2017/09/18 09:48:07 CA 2.16.840.1.113883.2.20.6.30 combination-product-type Combination Product Type Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.30 2017/09/18 12:00:00 2017/09/18 12:00:00 2017/09/18 09:56:11 CA 2.16.840.1.113883.2.20.6.31 company-id Company Identifier Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.31 2017/09/18 12:00:00 2017/09/18 12:00:00 2017/09/18 10:07:24 CA 2.16.840.1.113883.2.20.6.32 pack-type Package Type Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 hc.hpr-rps.sc@canada.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.32 2017/09/18 12:00:00 2017/09/18 12:00:00 2017/09/19 01:21:14 CA 2.16.840.1.113883.2.20.6.33 organization-role Organization Role Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.33 2017/09/18 12:00:00 2017/09/18 12:00:00 2017/09/18 10:21:06 CA 2.16.840.1.113883.2.20.6.34 product-source Product Source Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.34 2017/09/18 12:00:00 2017/09/18 12:00:00 2017/09/18 10:24:55 CA 2.16.840.1.113883.2.20.6.35 derived-source Derived Source Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.35 2017/09/18 12:00:00 2017/09/18 12:00:00 2017/09/18 10:29:21 CA 2.16.840.1.113883.2.20.6.36 structure-aspects Structure Aspects Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.36 2017/09/18 12:00:00 2017/09/18 12:00:00 2017/09/18 10:34:58 CA 2.16.840.1.113883.2.20.6.37 term-status Term Status Linda Monico masked Vikesh Srivastava 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 masked Health Products and Food Branch 250 Lanark Ave, Ottawa, ON K1Z 6R5 416-595-3449 HPR-RPS@hc-sc.gc.ca https://www.canada.ca/en/health-canada/corporate/about-health-canada/branches-agencies/health-products-food-branch.html Govt body 2.16.840.1.113883.2.20.6 Ext 13 Complete 2.16.840.1.113883.2.20.6.37 2017/09/18 12:00:00 2017/09/18 12:00:00 2017/09/18 10:48:03 CA 2.16.840.1.113883.3.7567 phai Precision Health AI Gal Sivan masked Victor Wang Orr Inbar 33 Brainerd Rd, Boston, MA 02134 6176863093 masked Director of Data Science & Engineering Precision Health AI 2475 Hanover St. Palo Alto, CA 94304, USA 650.935.9500 support@phi.com http://www.precisionhealth.ai Vendor Int 3 Complete 2017/09/19 12:00:00 2017/09/19 12:00:00 2017/09/19 08:08:49 UV 2.16.840.1.113883.3.7568 wwmg Western Washington Medical Group Joseph Smecker masked Joseph Smecker 425-740-4177 masked Western Washington Medical Group 1728 W. Marine View Drive, Suite 110 Everett, WA 98201 jsmecker@wwmedgroup.com http://www.wwmedgroup.com/ Provider Int 3 Complete 2017/09/19 12:00:00 2017/09/19 12:00:00 2017/09/19 08:16:17 UV 2.16.840.1.113883.3.7569 sjcneurotulsa SJC Neurology - Tulsa Kelli Johnson masked Kelli Johnson 1923 S Utica Ave Tulsa, OK 74104 918-748-1305 masked Credentialing Specialist II SJC Neurology - Tulsa 2000 S Wheeling Ave Ste 700 Tulsa, OK 74104 918-748-7810 ahisha.peters@ascension.org Provider Int 3 Complete 2017/09/20 12:00:00 2017/09/21 12:00:00 2017/09/21 07:39:41 UV 2.16.840.1.113883.3.7570 redion-object DICOM object manipulated or created by Red Ion LLC Rex Cardan masked Rex Cardan 2651 Alta Vista Dr., Birmingham, AL 35243 2055788739 masked CEO Red Ion LLC 2055788739 support@redion.io https://www.redion.io Vendor Int 3 Complete 2017/09/21 12:00:00 2017/09/21 12:00:00 2020/08/11 01:27:57 UV 2.16.840.1.113883.3.7571 fdoni Family Doctor of Natchitoches Melissa Eppler masked Melissa Eppler 615 Bienville St, Natchitoches, LA 71457 318-352-6800 masked Office Manager Family Doctor of Natchitoches, Inc 615 Bienville St, Natchitoches, LA 71457 318-352-6800 emelissaeppler@aol.com Provider Int 3 Complete 2017/09/22 12:00:00 2017/09/22 12:00:00 2017/09/22 08:05:05 UV 2.16.840.1.113883.3.7572 fair-mc Fair Medical Clinic Melissa Eppler masked Melissa Eppelr 615 Bienville St, Natchitoches, LA 71457 318-352-6800 masked Office Manager Fair Medical Clinic, APMC 615 Bienville St, Natchitoches, LA 71457 318-352-6800 emelissaeppler@aol.com Provider Int 3 Complete 2017/09/22 12:00:00 2017/09/22 12:00:00 2017/09/22 09:07:55 UV 2.16.840.1.113883.3.3198.1.6 tmc-ea Tanner Medical Center/Tanner Imaging Center Art Gasses masked Art Gasses 119 Ambulance Drive Carrollton, GA 30117 770-812-5215 masked Tanner Medical Center, Inc 119 Ambulance Drive Carrollton, GA 30117 770-836-9666 servicedesk@tanner.org Provider 2.16.840.1.113883.3.3198 Ext 17 14 Complete 2.16.840.1.113883.3.3198.1.6 2017/09/22 12:00:00 2017/09/22 12:00:00 2018/04/17 02:28:43 UV 2.16.840.1.113883.3.7573 idl Infinity Diagnostic Labs Jordan Yabroudi masked Infinity diagnostic Labs Jordan Yabroudi 370 North street, Teterboro, NJ 07608 5514821150 masked Infinity diagnostic Labs/ Jordan 370 North street, Teterboro, NJ 07608 9735288070 jyabroudi@myinfinitylabs.com Provider Int 3 Complete 2017/09/22 12:00:00 2017/09/22 12:00:00 2017/09/22 09:18:24 UV 2.16.840.1.113883.17.4209 awoc-ochr Ochsner Anywhere Care Alfredo Morales masked Alfredo Morales 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x:3643 masked Director, Technical Implementation Services American Well alfredo.morales@americanwell.com Vendor 2.16.840.1.113883.3.634 Int 17 Complete 2017/09/22 12:00:00 2017/09/22 12:00:00 2017/09/22 09:22:08 UV 2.16.840.1.113883.3.7574 imperial-health Imperial Health Nick Taylor masked Nicholas Taylor 501 Dr. Michael DeBakey Dr. Lake Charles, LA 70601 337-433-8400 masked Application Engineer Imperial Health 501 Dr. Michael DeBakey Dr. Lake Charles, LA 70601 337-433-8400 ntaylor@imperialhealth.com http://imperialhealth.com Provider Int 3 Complete 2017/09/25 12:00:00 2017/09/26 12:00:00 2017/09/26 03:51:10 UV 2.16.840.1.113883.3.7575 mariaregina Maria Regina Residence Ellen Bartoldus masked Ellen Bartoldus Maria Regina Residence Building 1 1725 Brentwood Rd. Brentwood, NY 11717 631-299-3190 masked Administrator Maria Regina Residence Maria Regina Residence Building 1 1725 Brentwood Rd. Brentwood, NY 11717 631-299-3000 ebartoldus@mariareginaresidence.org http://www.mariareginaresidence.org Provider Int 3 Complete 2017/09/25 12:00:00 2017/09/26 12:00:00 2017/09/26 03:53:46 UV 2.16.840.1.113883.3.7576 chdc Community Health and Dental Care Careta Grant masked Careta Grant 800 Heritage Dr, Suite 810 Pottstown, PA 19464 6103269460 ext 207 masked EHR Data Manager Community Health and Dental Care 800 Heritage Dr, Suite 810 Pottstown, PA 19464 6103269460 cgrant@ch-dc.org https://ch-dc.org Provider Int 3 Complete 2017/09/26 12:00:00 2017/09/26 12:00:00 2017/09/26 03:57:26 UV 2.16.840.1.113883.3.7577 hcc Hispanic Counseling Center Peter Matulich masked Accumedic Computer System Gladys Serrano 344 Fulton Avenue Hempstead, NY 11550 (516) 538-2613 masked CEO Hispanic Counseling Center info@hispaniccounseling.org http://www.hispaniccounseling.org/ Provider Int 3 Complete 2017/09/26 12:00:00 2017/09/26 12:00:00 2017/09/26 04:04:00 UV 2.16.840.1.113883.3.7578 summit-root Summit Medical Center Root Jeff Stoabs masked Jeff Stoabs 1800 Renaissance Blvd Edmond, OK 73013 4057157170 masked Summit Medical Center 1800 Renaissance Blvd Edmond, OK 73013 4053592400 info@smedok.com Provider Int 3 Complete 2017/09/26 12:00:00 2017/09/26 12:00:00 2017/09/26 04:10:17 UV 2.16.840.1.113883.3.7579 brh Bartlett Regional Hospital Ryan Campbell masked Ryan Campbell 3260 Hospital Dr. Juneau, AK 99801 9077968645 masked IS Manager Bartlett Regional Hospital 3260 Hospital Dr. Juneau, AK 99801 (907) 796-8900 DepartmentInformationSystems@bartletthospital.org Provider Int 3 Complete 2017/09/26 12:00:00 2017/09/26 12:00:00 2017/09/26 04:19:45 UV 2.16.840.1.113883.17.4210 glynndevins GlynnDevins, Inc. Scott Finnerty masked Scott Finnerty 8880 Ward Parkway Suite 400 Kansas City, MO 64114 9137542351 masked SVP Execution and Delivery GlynnDevins, Inc. 8880 Ward Parkway Suite 400 Kansas City, MO 64114 9134910600 sfinnerty@glynndevins.com https://www.glynndevins.com/ Vendor Int 17 Complete 2017/09/27 12:00:00 2017/09/28 12:00:00 2017/09/28 06:45:17 UV 2.16.840.1.113883.3.7580 indianaspinegroup Indiana Spine Group OID Root InfoTech IndianaSpine masked Jeff Yancey 13225 North Meridian Street Carmel, IN 46032 3172751953 masked CIO Indiana Spine Group 13225 North Meridian Street Carmel, IN 46032 3172287000 info@indianaspinegroup.com http://www.indianaspinegroup.com Provider Int 3 Complete 2017/09/27 12:00:00 2017/09/28 12:00:00 2017/09/28 06:49:35 UV 2.16.840.1.113883.3.7581 zeichner William Zeichner William Zeichner masked Patricia Zeichner 651 Bienville Circle Natchitoches, LA 71457-5744 318-357-1200 masked William Zeichner, M.D. 318-357-1200 trishz@cp-tel.net Provider Int 3 Complete 2017/09/27 12:00:00 2017/09/28 12:00:00 2017/09/28 06:54:49 UV 2.16.840.1.113883.17.4211 hcma-nb Hill Country Medical Associates Douglas Brandsma masked Douglas A. Brandsma 774 Landa Street New Braunfels, TX 78130-6114 830-625-0305 x210 masked Administrator Hill Country Medical Associates 774 Landa Street New Braunfels, TX 78130-6114 830-625-0305 dbrandsma@hillcountrymed.com http://www.hcma-nb.com Provider Int 17 Complete 2017/09/28 12:00:00 2017/09/28 12:00:00 2017/09/28 06:59:33 UV 2.16.840.1.113883.3.7582 metroobgyn Metro Obstetrics & Gynecology OID Root Penny Baker masked Pennybaker 8391 Commerce Rd Ste. 101 Commerce Twp, MI 48382 248-360-9090 ext.300 masked Office Manager Metro Obstetrics & Gynecology 8391 Commerce Rd Ste. 101 Commerce Twp, MI 48382 248-360-9090 pennybaker@metroobgyn.com https://metroobgyn.com Provider Int 3 Complete 2017/09/29 12:00:00 2017/09/29 12:00:00 2017/09/29 07:47:02 UV 2.16.840.1.113883.3.7583 sunrisemanor Sunrise Manor Center for Rehab Maxine Lewis masked Mordy Berman 6316654960 masked administrator Sunrise Manor Rehab 1325 Brentwood Rd Bayshore, NY 11706 6316654960 mordy@sunrisemanorrehab.com http://www.sunrisemanorrehab.com Provider Int 3 Complete 2017/09/29 12:00:00 2017/09/29 12:00:00 2017/11/08 11:21:37 UV 2.16.840.1.113883.14.48 ahc-GIPartnersofIllinois Advocate Health Care - GI Partners of Illinois Andrew Adamik masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 masked Andrew Adamik 1400 Kensington Road Oak Brook, IL 60523 630-575-3274 andrew.adamik@advocatehealth.com Provider Int 14 Complete 2017/09/29 12:00:00 2017/09/29 12:00:00 2017/09/29 08:30:38 UV 2.16.840.1.113883.4.305.1.202 stowePersonalizedMedicalCare Stowe Personalized Medical Care Craig Hill masked Oana Louviere 53 Old farm Road, PO Box 357 Stowe, VT 05672 802-253-5024 masked Practice Manager Vermont Information Technology Leaders, Inc. 1 Mill St. Suite 249 Burlington, VT 05401 (802) 861-1800 IT@vitl.net http://www.vitl.net Exchange 2.16.840.1.113883.4.305 Ext 17 Complete 2.16.840.1.113883.4.305.1.202 2017/09/29 12:00:00 2017/09/29 12:00:00 2017/09/29 08:02:05 UV 2.16.840.1.113883.4.305.2.202 stowePMCmrnPool Stowe Personalized Medical Care Craig Hill masked Oana Louviere 53 Old farm Road, PO Box 357 Stowe, VT 05672 802-253-5024 masked Practice Manager Vermont Information Technology Leaders, Inc. 1 Mill St. Suite 249 Burlington, VT 05401 (802) 861-1800 IT@vitl.net http://www.vitl.net Exchange 2.16.840.1.113883.4.305 Ext 17 Complete 2.16.840.1.113883.4.305.2.202 2017/09/29 12:00:00 2017/09/29 12:00:00 2017/09/29 08:04:30 UV 2.16.840.1.113883.3.7584 harford Harford County Health Department Russell Moy masked Harford County Health Department Russell Moy 120 S. Hays Street PO Box 797 Bel Air, MD 21014 4108771012 masked Harford County Health Department 120 S. Hays Street PO Box 797 Bel Air, MD 21014 4108771012 russell.moy@maryland.gov Govt body Int 3 Complete 2017/09/29 12:00:00 2017/09/29 12:00:00 2017/09/29 09:42:01 UV 2.16.840.1.113883.9.233 eyesde Halpern Medical Services LLC Deb Farley Blunt masked Halpern Medical Services LLC 200 Banning St Suite 130 Dover, DE 19904 3026781700 masked Halpern Medical Services LLC 200 Banning St Suite 130 Dover, DE 19904 3026781700 info@halpernmedical.com https://www.eyesde.com Provider Int 3 Complete 2017/10/02 12:00:00 2017/10/09 12:00:00 2017/10/09 08:34:26 UV 2.16.840.1.113883.3.7585 inSH Starke Hospital Drew Keesbury masked Dr. Jeffrey E. Anderson 219-325-4653 masked Chief Medical Information Officer / CIO Starke Hospital 102 E Culver Rd Knox, IN 46534 (574) 772-6231 helpdesk@lph.org http://www.starkehealth.com Provider Int 3 Complete 2017/10/02 12:00:00 2017/10/02 12:00:00 2017/10/02 08:33:36 UV 2.16.840.1.113883.3.7586 iNLP-Physicians La Porte Physician Network Drew Keesbury masked Dr. Jeffrey E. Anderson (210 325-4653 masked Chief Medical Information Officer / CIO La Porte Physician Network helpdesk@lph.org http://www.laportehealth.com Provider Int 3 Complete 2017/10/02 12:00:00 2017/10/02 12:00:00 2017/10/02 08:35:36 UV 2.16.840.1.113883.17.4212 pixalere7ADT Pixalere ADT Interface Travis Morris masked Travis Morris Pixalere Healthcare Inc #204 34434 Mcconnell Rd Abbbotsford, BC, Canada, V2S 7P1 6047980440 masked CIO Pixalere Healthcare Inc #204 34434 Mcconnell Rd Abbbotsford, BC, Canada, V2S 7P1 6047980440 travis@pixalere.com https://www.pixalere.com Vendor Int 17 Complete 2017/10/02 12:00:00 2017/10/02 12:00:00 2017/10/02 08:43:38 CA 2.16.840.1.113883.3.7587 aapmr American Academy of Physical Medicine and Rehabilitation Kavitha Neerukonda masked AAPMR Kavitha Neerukonda 9700 Bryn Mawr Avenue Suite 200 Rosemont, IL 60018 8477376000 masked American Academy of Physical Medicine and Rehabilitation 9700 Bryn Mawr Avenue Suite 200 Rosemont, IL 60018 8477376000 kneerukonda@aapmr.org https://www.aapmr.org/ Prof Soc Int 3 Complete 2017/10/02 12:00:00 2017/10/02 12:00:00 2017/10/02 08:52:08 UV 2.16.840.1.113883.3.7588 outSmart outSmart Root OID Pascal Bisson masked Venk Prabhu c/o Real Decoy 1309 Carling Ave Ottawa, ON K1Z 7L3 1-888-507-0856 masked CEO SmartND Inc. 1-888-507-0826 info@outsmartemr.com https://www.outsmartemr.com Vendor Int 3 Complete 2017/10/02 12:00:00 2017/10/02 12:00:00 2020/01/14 11:03:26 UV 2.16.840.1.113883.3.7589 cc-ruralhealth Christus Coushatta Rural Health Clinic Angela Shoemaker masked Angela Shoemaker 1635 Marvel St, Coushatta, LA 71019 318-932-2085 masked Manager of Patient Financial Services Christus Coushatta Rural Health Clinic 1635 Marvel St, Coushatta, LA 71019 318-932-2081 angela.shoemaker@christushealth.org http://www.christushealth.org Provider Int 3 Complete 2017/10/03 12:00:00 2017/10/03 12:00:00 2017/10/03 07:33:44 UV 2.16.840.1.113883.3.7590 hhit Harmony Healthcare IT OID Root Jim Hammer masked Jim Hammer 800-781-1044 x145 masked VP of Product and Program Management Harmony Healthcare IT 53702 Generations Dr South Bend, IN 46635 800-781-1044 jhammer@harmonyhit.com http://www.harmonyhit.com Vendor Int 3 Complete 2017/10/04 12:00:00 2017/10/04 12:00:00 2017/10/04 07:57:02 UV 2.16.840.1.113883.3.7591 ensBELMA SYED F MAHMOOD M.D. P. A Rena Taddeo masked Syed F Mahmood MD Rena G Taddeo Bel Air Medical Associates, 2227 Old Emmorton Road, Suite 212 Bel Air, MD 21015 4106387791 masked Office Manager SYED F MAHMOOD M.D. P. A Bel Air Medical Associates, 2227 Old Emmorton Road, Suite 212 Bel Air, MD 21015 4106387791 r.g.taddeo@hotmail.com Provider Int 3 Complete 2017/10/05 12:00:00 2017/10/06 12:00:00 2017/10/06 09:38:46 UV 2.16.840.1.113883.3.7592 calvary-H CALVARY HOSPITAL Kathleen Parker masked Information Systems Department CALVARY HOSPITAL 1740 Eastchester Road, Bronx, NY 10641 718-518-2096 masked CIO Calvary Hospital 1740 Eastchester Road, Bronx, NY 10641 718-518-2096 infosystems@calvaryhospital.org Provider Int 3 Complete 2017/10/05 12:00:00 2017/10/06 12:00:00 2017/10/06 09:41:38 UV 2.16.840.1.113883.3.7593 lapulm Louisiana Pulmonary Dianne LeJeune masked Dianne LeJeune 213 South Dr. Natchitoches, LA 71457 318-354-2493 masked Office Manager Louisiana Pulmonary 213 South Dr. Natchitoches, LA 71457 318-354-2493 louisianapulmonary@yahoo.com Provider Int 3 Complete 2017/10/09 12:00:00 2017/10/09 12:00:00 2017/10/09 08:22:33 UV 2.16.840.1.113883.4.935 rhg OID for Royal Health Group Joshua Mamary masked Royal Health Group Joshua Mamary 42 Winter st, Unit 1, Pembroke, MA 02359 7812495737 masked Business Systems Royal Health Group 42 Winter st, Unit 1, Pembroke, MA 02359 joshmamary@royalhealthgroup.com http://www.royalhealthgroup.com Provider Int 3 Complete 2017/10/10 12:00:00 2017/10/11 12:00:00 2017/10/11 09:57:20 UV 2.16.840.1.113883.3.7594 chsi-56560 Community Health Service Inc. Belinda Morin masked Kristi Halvarson Belinda Morin 701-352-4048 masked H.I.T. Analyst Community Health Service Inc. 1810 4th Ave S. Suite 101 Moorhead, MN 56560 218-236-6502 bmorin@chsiclinics.org Provider Int 3 Complete 2017/10/10 12:00:00 2017/10/11 12:00:00 2017/10/11 09:46:10 UV 2.16.840.1.113883.3.7595 myobgyn MyOBGYN, PC Anne Campbell masked Anne Campbell 770-996-1200 masked MyOBGYN, PC 81 Upper Riverdale Rd., Suite 210 Riverdale, GA 30274 770-996-1200 anne.campbell@my-obgyn.org Provider Int 3 Complete 2017/10/11 12:00:00 2017/10/11 12:00:00 2017/10/11 09:48:27 UV 2.16.840.1.113883.3.7596 sMMM St. Mary's Medical Management Hulse Budd masked Wendy Perry, RN Hulse L. Budd 304-399-7206 masked Senior Clinical Analyst St. Mary's Medical Management 2850 First Avenue Suite 301 Huntington, WV 25702 304-526-8958 wendy.perry@st-marys.org http://www.stmarysdoc.com Provider Int 3 Complete 2017/10/11 12:00:00 2017/10/11 12:00:00 2017/10/11 09:53:15 UV 2.16.840.1.113883.3.7597 urpg-OID United Regional Physician Group Mason Guinan masked Mason Guinan 4327 Barnett Rd Wichita Falls, TX 76310 940-764-5295 masked Manager, IT - URPG United Regional Physician Group 4327 Barnett Rd Wichita Falls, TX 76310 mguinan@unitedregional.org Provider Int 3 Complete 2017/10/12 12:00:00 2017/10/12 12:00:00 2017/10/12 07:20:52 UV 2.16.840.1.113883.3.7598 hhaeXchange HHAeXchange OID Root Jacob Sebastian masked Quang Nguyen Quang Nguyen One Court Square 44th Floor Long Island City, NY 11120 (718) 407-4633 masked Integration Lead HHAeXchange One Court Square 44th Floor Long Island City, NY 11120 (718) 407-4633 jacob@hhaexchange.com https://hhaexchange.com/ Vendor Int 3 Complete 2017/10/12 12:00:00 2017/10/12 12:00:00 2017/10/12 07:24:40 UV 2.16.840.1.113883.3.7599 egHealthcare EG Healthcare Maria Parraga masked EG Healthcare ToniMarie DiMartino 209 Steinway Ave Staten Island, NY 10314 7186986700 masked Office Manager EG Healthcare 209 Steinway Ave Staten Island, NY 10314 7186986700 info@eghealthcare.net https://eghealthcare.net/ Provider Int 3 Complete 2017/10/12 12:00:00 2017/10/12 12:00:00 2017/10/12 07:30:45 UV 2.16.840.1.113883.4.936 iuh-3f Indiana University Health - Frankfurt Hospital Brian Adams masked Brian Adams 317-962-5478 masked Application Support Analyst Indiana University Health badams9@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2017/10/13 12:00:00 2017/10/27 12:00:00 2017/10/27 08:39:39 UV 2.16.840.1.113883.4.937 iuh-jay Indiana University Health - Jay County Brian Adams masked Brian Adams 317-962-5478 masked Application Support Analyst Indiana University Health badams9@iuhealth.org Provider 2.16.840.1.113883.3.4729 Int 4 Complete 2017/10/13 12:00:00 2017/10/27 12:00:00 2017/10/27 08:49:12 UV 2.16.840.1.113883.3.7600 care-first Carefirst Family Medicine Fangqin Li masked Fangqin Li 2500 Nesconset Highway, Bldg 12C Stony Brook, NY 11790 6317515550 masked Carefirst Family Medicine 2500 Nesconset Highway, Bldg 12C Stony Brook, NY 11790 6317515550 fql999@yahoo.com Provider Int 3 Complete 2017/10/14 12:00:00 2017/10/16 12:00:00 2017/10/16 09:04:04 UV 2.16.840.1.113883.3.7601 bpc-reporting BoroParkCenter.Reporting Cipora Moskowitz masked Cipora Moskowitz 8455986225 masked Director Value-Based Program Integration Boro Park Center, Centers Health Care 4915 10th Ave Brooklyn, NY 11219 7188513700 cmoskowitz@centershealthcare.org http://centershealthcare.com/ Provider Int 3 Complete 2017/10/16 12:00:00 2017/10/16 12:00:00 2017/10/16 09:07:14 UV 2.16.840.1.113883.3.2402.200.6902 physicians-computer-company-clients-fpam Physician's Computer Company (PCC) Clients Farmington Pediatric & Adolescent Medicine, LLC Romni Palmer masked PCC Romni Palmer 20 Winooski Falls Way Suite 7 Winooski VT, 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski VT, 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6902 2017/10/16 12:00:00 2017/10/16 12:00:00 2017/10/16 09:09:05 UV 2.16.840.1.113883.3.4761.1 mmch-mrn Margaret Mary Health MRN Trisha Prickel masked Trisha Prickel 321 Mitchell Ave Batesville, IN 47006 812-933-5455 masked Director, Information Systems Margaret Mary Health 321 Mitchell Ave Batesville, IN 47006 812-933-5455 trisha.prickel@mmhealth.org https://www.mmhealth.org Provider 2.16.840.1.113883.3.4761 Ext 14 Complete 2.16.840.1.113883.3.4761.1 2017/10/16 12:00:00 2017/10/16 12:00:00 2017/10/16 09:21:16 UV 2.16.840.1.113883.3.4761.2 mmch-fin Margaret Mary Health - Financial Identification Number Trisha Prickel masked Trisha Prickel 321 Mitchell Ave. Batesville, IN 47006 812-933-5455 masked Director, Information Systems Margaret Mary Health 321 Mitchell Ave. Batesville, IN 47006 812-934-6624 trisha.prickel@mmhealth.org http://www.mmhealth.org Provider 2.16.840.1.113883.3.4761 Int 14 Complete 2.16.840.1.113883.3.4761.2 2017/10/16 12:00:00 2017/10/16 12:00:00 2017/10/16 09:25:40 UV 2.16.840.1.113883.6.343 issue-details SharedIssueDetails Attila Farkas masked Lorie Carey 150 King St. West Toronto, ON M5H 1J9 416 595 3400 masked Canada Health Infoway 150 King St. West Toronto, ON M5H 1J9 416 595 3400 standards@infoway-inforoute.ca SDO Int 6 6 Complete 2017/10/17 12:00:00 2021/08/31 12:00:00 2021/08/31 11:24:25 CA 2.16.840.1.113883.3.7602 ssrx SensorRX Alex Dzeda masked Alexander Dzeda 106 Moss St, Houston, TX 77009 5124008717 masked SensorRX, Inc. 5124008717 cory.kennedy@sensorrx.io Vendor Int 3 Complete 2017/10/17 12:00:00 2017/10/18 12:00:00 2017/10/18 08:31:07 UV 2.16.840.1.113883.17.4213 compass-case-management Compass Case Management Inc Roselle Zutt masked Roselle Zutt 417 South Ocean Ave, Freeport, NY 11520 631-886-2331 masked CEO/OWNER Compass Case Management Inc. 417 South Ocean Ave, Freeport, NY 11520 631-886-2331 rzutt@compasscasemanagement.com https://www.compasscasemanagement.com Vendor Int 17 Complete 2017/10/18 12:00:00 2017/10/19 12:00:00 2017/10/19 08:38:23 UV 2.16.840.1.113883.3.7603 nchatt North Chattahoochee Family Physicians Bonnie Chapman masked North Chattahoochee Family Physicians Mary Salloum 11459 Johns Creek Pkwy. Ste. 250 Johns Creek, GA 30097 7704971555 masked Practice Manager North Chattahoochee Family Physicians 11459 Johns Creek Pkwy. Ste. 250 Johns Creek, GA 30097 7704971555 msalloum@ncfpinfo.com Provider Int 3 Complete 2017/10/18 12:00:00 2017/10/18 12:00:00 2025/06/06 10:47:11 UV 2.16.840.1.113883.3.7604 eeim Eastside Endocrine, PC Donna Gregory masked Donna Gregory 1600 Medical Way Suite 200 Snellville, GA 30078 770-979-7466 masked Office Manager Eastside Endocrine, PC 1600 Medical Way Suite 200 Snellville, GA 30078 770-979-7466 dgregory@eastsideendo.com Provider Int 3 Complete 2017/10/18 12:00:00 2017/10/18 12:00:00 2017/10/18 08:40:44 UV 2.16.840.1.113883.17.4214 awoc-dgty Dignity Health My Care Now Alfredo Morales masked Alfredo Morales 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x:3643 masked Director, Technical Implementation Services American Well 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x:3643 alfredo.morales@americanwell.com Vendor 2.16.840.1.113883.3.634 Int 17 Complete 2017/10/18 12:00:00 2017/10/19 12:00:00 2017/10/19 08:25:36 UV 2.16.840.1.113883.3.2402.200.6904 physicians-computer-company-clients-mvp Physician's Computer Company (PCC) Medina Valley Pediatrics Romni Palmer masked PCC Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6904 2017/10/18 12:00:00 2017/10/18 12:00:00 2017/10/18 09:57:34 UV 2.16.840.1.113883.3.2402.200.299 physicians-computer-company-clients-pak Physician's Computer Company (PCC) Pediatric Associates Of Kingston, LLC Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.299 2017/10/18 12:00:00 2017/10/18 12:00:00 2017/10/18 09:58:57 UV 2.16.840.1.113883.3.2402.200.227 physicians-computer-company-clients-hpah Physician's Computer Company (PCC) Holland Pediatric Associates Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.227 2017/10/18 12:00:00 2017/10/18 12:00:00 2017/10/18 10:02:18 UV 2.16.840.1.113883.3.2402.200.6898 physicians-computer-company-clients-lpeds Physician's Computer Company (PCC) client Laramie Pediatrics Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6898 2017/10/18 12:00:00 2017/10/18 12:00:00 2017/10/18 10:10:27 UV 2.16.840.1.113883.3.2402.200.6793 physicians-computer-company-clients-tcfap Physician's Computer Company (PCC) client The Center For Advanced Pediatrics Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6793 2017/10/19 12:00:00 2017/10/19 12:00:00 2017/10/19 08:41:09 UV 2.16.840.1.113883.3.4220.4.10968 clarkpo CLARK PROFESSIONAL OFFICE Rosalyn Beene-Harris masked Rosalyn Beene-Harris 4251 Plymouth Rd Ste 3000 Ann Arbor, MI 48105 734-232-9119 masked University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000 rbeene@med.umich.edu http://www.med.umich.edu Academic Ext 17 Complete 2.16.840.1.113883.3.4220.4.10968 2017/10/19 12:00:00 2017/10/19 12:00:00 2017/10/19 08:47:26 UV 2.16.840.1.113883.3.4220.4.10972 westsu MICHIGAN MEDICINE AT UWSU Rosalyn Beene-Harris masked Rosalyn Beene-Harris 4251 Plymouth Rd Ste. 3000 Ann Arbor, MI 48105 734-232-9119 masked University of Michigan Health System 1500 E. Medical Center Drive Ann Arbor, MI 48105 734-936-4000 rbeene@med.umich.edu http://www.med.umich.edu Academic 2.16.840.1.113883.3.4220 Ext 17 Complete 2.16.840.1.113883.3.4220.4.10972 2017/10/19 12:00:00 2017/10/19 12:00:00 2017/11/16 11:02:58 UV 2.16.840.1.113883.3.2402.200.266 physicians-computer-company-clients-mct Physician's Computer Company (PCC) client M. Calhoun Thomas, M.D. Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company (PCC) 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.266 2017/10/19 12:00:00 2017/10/19 12:00:00 2017/10/19 08:54:19 UV 2.16.840.1.113883.3.7605 hhTA-01 Trinity Alliance of the Capital Region, Inc. Brittany Bono masked Harris Oberlander 1S Trinity Place Albany, NY 92202 518-449-5155 masked CEO Trinity Alliance of the Capital Region, Inc. 1S Trinity Place Albany, NY 92202 518-449-5155 h.oberlander@ta-cr.org Provider Int 3 Complete 2017/10/19 12:00:00 2017/10/19 12:00:00 2017/10/19 09:00:00 UV 2.16.840.1.113883.3.2402.200.300 physicians-computer-company-clients-pal Physician's Computer Company (PCC) client Pediatric Associates Of Latrobe Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.300 2017/10/20 12:00:00 2017/10/20 12:00:00 2017/10/20 09:04:48 UV 2.16.840.1.113883.3.2402.200.337 physicians-computer-company-clients-ppnp Physician's Computer Company (PCC) client Pediatric Practices Of Northeastern PA Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.337 2017/10/20 12:00:00 2017/10/20 12:00:00 2017/10/20 09:07:53 UV 2.16.840.1.113883.17.4215 gchieccda Gerstenberg Clinic HIE CCDA Kandice Varela masked Kandice Varela 2645 Nall Street Port Neches, TX 77651 409-210-3336 masked Office Manager Gerstenberg Clinic 2645 Nall Street Port Neches, TX 77651 409-210-3336 kandice@gerstenbergclinic.com http://gerstenberg.clinic/ Provider Int 17 Complete 2017/10/23 12:00:00 2017/10/23 12:00:00 2017/10/23 08:54:36 UV 2.16.840.1.113883.3.2402.200.6886 physicians-computer-company-clients-apt Physician's Computer Company (PCC) client Allied Pediatrics of Texas Romni Palmer masked PCC Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6886 2017/10/23 12:00:00 2017/10/23 12:00:00 2017/10/23 08:56:43 UV 2.16.840.1.113883.3.2402.200.166 physicians-computer-company-clients-dp Physician's Computer Company (PCC) client Dover Pediatric Associates Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.166 2017/10/23 12:00:00 2017/10/23 12:00:00 2017/10/23 09:00:06 UV 2.16.840.1.113883.3.2402.200.6894 physicians-computer-company-clients-docl Physician's Computer Company (PCC) client Doctors of Children Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6894 2017/10/23 12:00:00 2017/10/23 12:00:00 2017/10/23 09:04:23 UV 2.16.840.1.113883.3.2402.400.100.14 pcc-internal-environment-systems-ehrfdb Physician's Computer Company (PCC) Internal Environment Systems EHRFDB Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.400.100.14 2017/10/23 12:00:00 2017/10/23 12:00:00 2017/10/23 09:09:06 UV 2.16.840.1.113883.3.7606 southshorerehab South Shore Rehabilitation and Nursing Center Gilad Diamond masked Gilad Diamond 275 West Merrick Road Freeport, NY 11520 (516)623-4000 masked Administrator South Shore Rehabilitation and Nursing Center 275 West Merrick Road Freeport, NY 11520 (516)623-4000 gdiamond@southshorerehab.net Provider Int 3 Complete 2017/10/24 12:00:00 2017/10/24 12:00:00 2017/10/24 07:49:44 UV 2.16.840.1.113883.3.7607 viviphi Viviphi Ltd. Brent Kurdydyk masked Viviphi Ltd. Brent Kurdydyk 9250 E.Costilla Ave., Ste 201 Greenwood Village, CO 80112 2042296354 masked VP Engineering Viviphi Ltd. 9250 E.Costilla Ave., Ste 201 Greenwood Village, CO 80112 2042296354 brent.kurdydyk@viviphicare.com http://viviphicare.com Vendor Int 3 Complete 2017/10/24 12:00:00 2017/10/24 12:00:00 2017/10/24 07:57:26 UV 2.16.840.1.113883.3.7608 hcp HealthCare Partners IPA/ MSO Adam Rattner masked Adam Rattner 501 Franklin Avenue, Suite 300 Garden City, NY 11530 516-941-2122 masked Chief Compliance Officer HealthCare Partners IPA/ MSO 501 Franklin Avenue, Suite 300 Garden City, NY 11530 516-941-2122 ARATTNER@HCPIPA.COM http://www.hcpipa.com Payor Int 3 Complete 2017/10/24 12:00:00 2017/10/24 12:00:00 2017/10/24 08:00:43 UV 2.16.840.1.113883.3.7609 sbei Aarchan Joshi, M.D. Inc Aarchan Joshi masked Marion Andrade 520 N Prospect Ave, Suite 206 Redondo Beach, CA 90277 3103768850 ext 103 masked Office Manager Aarchan Joshi, M.D. Inc 520 N Prospect Ave, Suite 206 Redondo Beach, CA 90277 3103768850 marion.andrade@verizon.net Provider Int 3 Complete 2017/10/24 12:00:00 2017/10/24 12:00:00 2017/10/24 08:06:06 UV 2.16.840.1.113883.9.234 mvpeds Mountain View Pediatrics Angela Hernandez masked Angela Hernandez 77 W. Forest Ave Suite 304 Flagstaff, AZ 86001 928-214-3600 masked Office Manager Mountain View Pediatrics 77 W. Forest Ave, Suite 304 Flagstaff, AZ 86001 928-214-3600 info@mvpeds.com http://www.mvpeds.com Provider Int 3 Complete 2017/10/24 12:00:00 2017/10/27 12:00:00 2017/10/27 08:33:09 UV 2.16.840.1.113883.3.7610 sph-interop-MU3-Macra Sauk Prairie Healthcare Interoperability for Meaningful Use and MACRA Requirements Jill Bower masked rich.bonjour@saukprairiehealthcare.org Jill Bower Sauk Prairie Healthcare 260 26th Street Prairie du Sac, WI 53578 608-643-7610 masked IT Project Manager & Analyst Sauk Prairie Healthcare Sauk Prairie Healthcare 260 26th Street Prairie du Sac, WI 53578 608-643-3311 jill.bower@saukprairiehealthcare.org https://www.saukprairiehealthcare.org Provider Int 3 Complete 2017/10/24 12:00:00 2017/10/24 12:00:00 2017/10/24 09:02:33 UV 2.16.840.1.113883.4.938 hcn-SPM Saint Pierre and Miquelon Health Card Number Attila Farkas masked Sisira De Silva (709)752-6026 masked EHR Informatics Consultant CAISSE DE PREVOYANC SOCIALE CAISSE DE PREVOYANC SOCIALE, SERVICE DES SOINS EXTERIEURS, PO BOX 4220, 97500 ST PIERRE ET MIQUELON 0508 41 15 70 accueil.cps@secuspm.com http://www.secuspm.com/sitecps/index.php/component/content/article/86-connaitrecps/236-coordonnees Govt body Int 4 Complete 2017/10/25 12:00:00 2017/10/26 12:00:00 2017/10/26 07:53:40 CA 2.16.840.1.113883.3.7611 uacc Urology Associates of the Central Coast OID Root Tom Sperling masked Tom Sperling 225 Prado Rd, Ste D San Luis Obispo, CA 93401 805-786-2500 masked Administrator Urology Associates of the Central Coast 225 Prado Rd, Ste D San Luis Obispo, CA 93401 805-786-2500 tsperling@urologyslo.com http://www.urologyslo.com/ Provider Int 3 Complete 2017/10/25 12:00:00 2017/10/26 12:00:00 2017/10/26 07:48:04 UV 2.16.840.1.113883.3.7612 jime Jimenez Medical Group, Inc. Daniel Jimenez masked Jimenez Medical Group, Inc. Daniel Jimenez 801 N Tustin Ave Ste 601 Santa Ana, CA 92705 7145651077 masked Medical Doctor Jimenez Medical Group, Inc. 801 N Tustin Ave Ste 601 Santa Ana, CA 92705 7145651077 office@danieljimenezmd.com Provider Int 3 Complete 2017/10/25 12:00:00 2017/10/26 12:00:00 2017/10/26 07:51:39 UV 2.16.840.1.113883.17.4216 nrmc-nwc Natchitoches Women's Care Maria Pulley masked Maria Pulley 3183529595 masked Office Administrator Natchitoches Women's Care 627 Bienville Circle Natchitoches, LA 71457 318 352 9595 mariap.nwc@suddenlinkmail.com http://natchitocheswomenscare.com/ Provider Int 17 Complete 2017/10/26 12:00:00 2017/10/26 12:00:00 2017/10/26 08:05:41 UV 2.16.840.1.113883.3.7613 c3hie HASA Phil Beckett masked Robert Harris 5535 Fredericksburg Rd, Suite 220, San Antonio, TX 78229 (210) 549-8376 masked IT-Director C3HIE 5535 Fredericksburg Rd, Suite 220, San Antonio, TX 78229 info@c3hie.org https://c3hie.org Exchange Int 3 Complete 2017/10/26 12:00:00 2017/10/26 12:00:00 2026/09/30 05:08:55 UV 2.16.840.1.113883.3.7614 adsc Advanced Data Systems Surya Kuchimanchi masked Surya Kuchimanchi 15 Prospect St, Paramus, NJ 07652, USA 800-899-4237 masked Vice President Advanced Data Systems 15 Prospect St, Paramus, NJ 07652, USA 800-899-4237 softwaresupport@adsc.com Vendor Int 3 Complete 2017/10/27 12:00:00 2017/10/27 12:00:00 2017/10/27 08:02:52 UV 2.16.840.1.113883.3.7615 bHA Baltimore Heart Associates, P.A. Laura Hughes masked Baltimore Heart Associates Baltimore Heart Associates, P.A. 4000 Old Court Road Suite 103 Pikesville, MD 21208 410-521-5600 masked Practice Manager Baltimore Heart Associates 4000 Old Court Road Suite 103 Pikesville, MD 21208 410-521-5600 administrator@baltimoreheart.com http://www.baltimoreheart.com/index.html Provider Int 3 Complete 2017/10/27 12:00:00 2017/10/27 12:00:00 2017/10/27 08:08:28 UV 2.16.840.1.113883.3.7616 williamhicks William J. Hicks OID Root William Hicks masked William J. Hicks 303 Williams Avenue Suite 1511 Huntsville, Alabama 35801 2565030154 masked William J. Hicks 303 Williams Avenue Suite 1511 Huntsville, Alabama 35801 2565030154 wjhmls@aol.com Provider Int 3 Complete 2017/10/27 12:00:00 2017/10/27 12:00:00 2017/10/27 08:15:03 UV 2.16.840.1.113883.3.7617 bestrx Best Computer Systems Inc Hemal Desai masked Hemal Desai 1200 Jorie Blvd Suite 310 Oak Brook, IL 60523 6308939210 masked President Best Computer Systems Inc 1200 Jorie Blvd Suite 310 Oak Brook, IL 60523 6308939210 hemal.desai@bestrx.com http://www.bestrx.com Vendor Int 3 Complete 2017/10/27 12:00:00 2017/10/27 12:00:00 2017/10/27 08:20:04 UV 2.16.840.1.113883.3.7618 residex ResiDex Software Alexander Berg masked Alexander Berg 1778 Englewood Avenue St. Paul, MN 55104 9524288813 masked Tenx Systems LLC 8066 Bluebill Lane Lino Lakes, MN 55014 8665128369 support@residexsoftware.com http://www.residexsoftware.com Vendor Int 3 Complete 2017/10/27 12:00:00 2017/10/27 12:00:00 2017/10/27 09:09:25 UV 2.16.840.1.113883.3.7619 jghwv-OID Jackson General Hospital Electronic HIE OID John Manley masked John Manley 122 Pinnell Street Ripley, WV 25271 304-373-1553 masked Director of IT Jackson General Hospital PO Box 720 122 Pinnell Street Ripley, WV 25271 304-372-2731 JGHWVINFO@jacksongeneral.com http://www.jacksongeneral.com/ Exchange Int 3 Complete 2017/10/30 12:00:00 2017/10/30 12:00:00 2017/10/30 09:44:06 UV 2.16.840.1.113883.3.7620 sanne SANNE_PACS Miguel Perera Borrego masked Miguel Perera +34 616648520 masked Responsable Sistemas Sanitas Nuevos Negocios dptosisdentales@sanitas.es Prof Soc Int 3 Complete 2017/10/30 12:00:00 2017/10/30 12:00:00 2017/10/30 09:52:21 UV 2.16.840.1.113883.3.7621 drchrono drchrono OID Denis Malinovskiy masked Carly Kakasuleff 3172753956 masked Regulatory Compliance Product Manager drchrono, Inc. 111 N. MAGNOLIA AVE STE 1100 Orlando, FL 32801 (844) 569-8628 ops-team@drchrono.com https://www.drchrono.com/ Vendor Int 3 Complete 2017/10/30 12:00:00 2017/10/30 12:00:00 2022/11/28 04:47:25 UV 2.16.840.1.113883.3.7622 careconvene Care Convene OID Chris Bailey masked Chris Bailey 855.909.9925 masked Meta-PHR (DBA Care Convene) info@careconvene.com http://www.careconvene.com Vendor Int 3 Complete 2017/10/30 12:00:00 2017/10/30 12:00:00 2017/10/30 10:45:24 UV 2.16.840.1.113883.3.7623 widocbhs Wisconsin Department of Corrections Bureau of Health Services John Cao masked John Cao 3099 East Washington Ave PO Box 7925 Madison, WI 53707 608-240-3453 masked Wisconsin Department of Corrections Bureau of Health Services 3099 East Washington Ave PO Box 7925 Madison, WI 53707 608-240-5000 john.cao@wisconsin.gov https://doc.wi.gov/Pages/Home.aspx Govt body Int 3 Complete 2017/10/31 12:00:00 2017/10/31 12:00:00 2017/10/31 07:38:58 UV 2.16.840.1.113883.3.7624 nfc Nathaniel Francis Consulting LTD. Tanese Talbert masked Tanese Talbert 1360 East 86th Street Brooklyn, NY 11236 646-415-7735 masked EI Director Nathaniel Francis Consulting LTD. 1360 East 86th Street Brooklyn, NY 11236 646-415-7735 nfcnyc16@gmail.com Provider Int 3 Complete 2017/11/01 12:00:00 2017/11/02 12:00:00 2017/11/02 06:40:17 US 2.16.840.1.113883.3.7625 renaissanceSURGERYINST DHR Health Surgery Institute OID Root Marie Rios masked Julie Ocanas 5323 S McColl Rd Edinburg, TX 78539 956-682-8700 masked Office Manager DHR Health Surgery Institute 5323 S McColl Rd Edinburg, TX 78539 956-682-8700 ju.ocanas@dhr-rgv.com Provider Int 3 Complete 2017/11/01 12:00:00 2017/11/02 12:00:00 2017/11/02 06:43:45 UV 2.16.840.1.113883.3.7626 gcbs Goodman Campbell Brain and Spine Dan Thuerbach masked Dan Thuerbach 355 W 16th St Suite 5100 Indianapolis, IN 46202 317-396-1150 masked IT Manager Goodman Campbell Brain and Spine 355 W 16th St Suite 5100 Indianapolis, IN 46202 317-396-1300 itdept@goodmancampbell.com http://www.goodmancampbell.com Provider Int 3 Complete 2017/11/02 12:00:00 2017/11/02 12:00:00 2017/11/02 07:13:48 UV 2.16.840.1.113883.3.7627 med Dr Bremer & Dr Clark Office Vivian Clark masked Karyn Greene 1503 W. Elk Ave Suite #5 Elizabethton, TN 37643 4235420400 masked LPN Dr Bremer & Dr Clark Office 1503 W. Elk Ave Suite# 5 Elizabethton, TN 37643 4235420400 karynellis1977@yahoo.com Provider Int 3 Complete 2017/11/02 12:00:00 2017/11/02 12:00:00 2017/11/02 07:17:53 UV 2.16.840.1.113883.3.7628 trc-entrypoint Think Research Corporation Jordon Ellis masked Jordon Ellis 156 Front St W, 5th Floor, Toronto, ON M5J 2L6 +1 877-302-1861 masked Manager of Technical Services Think Research Corporation 156 Front St W, 5th Floor, Toronto, ON M5J 2L6 +1 877-302-1861 info@thinkresearch.com http://www.thinkresearch.com/ca/ Vendor Int 3 Complete 2017/11/02 12:00:00 2017/11/02 12:00:00 2017/11/02 07:21:05 UV 2.16.840.1.113883.17.4217 ccdPMCClinics Providence Medical Center Physician Clinics Chad Pease masked Chad Pease 913-596-5080 masked IT Manager Providence Medical Center Physician Clinics 8929 Parallel Parkway Kansas City, KS 66112 913-596-4000 webmaster@providencekc.com http://www.providencekc.com/ Provider Int 17 Complete 2017/11/02 12:00:00 2017/11/02 12:00:00 2017/11/02 07:26:19 UV 2.16.840.1.113883.4.939 qs1datasystems QS/1 Data Systems Crystal Ratliff masked Crystal Ratliff 201 West Saint John St Spartanburg, SC 29306 8642538600 masked Interface Analyst, Retail QS/1 Data Systems 201 West Saint John St Spartanburg, SC 29306 8008457558 marketing@qs1.com http://www.qs1.com Vendor Int 3 Complete 2017/11/02 12:00:00 2017/11/07 12:00:00 2017/11/07 09:02:20 US 2.16.840.1.113883.3.7629 hhADHD-01 ADHD Educational Services Brittany Bono masked Deborah Cavallario 259 Thompson Blvd Watertown, NY 13601 315-782-5888 masked Owner/CEO ADHD Educational Services 259 Thompson Blvd Watertown, NY 13601 315-782-5888 adhdcavallario@gmail.com Provider Int 3 Complete 2017/11/03 12:00:00 2017/11/07 12:00:00 2017/11/07 08:18:00 UV 2.16.840.1.113883.3.7630 manion Manion Wilkins & Associates Ltd Angela Venkatarangam masked Angela Venkatarangam 500-21 Four Seasons Place Toronto, Ontario M9B 0A5 4162343506 masked Controller Manion Wilkins & Associates Ltd 500-21 Four Seasons Place Toronto, ON M9B 0A5 4162345044 info@manionwilkins.com https://www.manionwilkins.com Payor Int 3 Complete 2017/11/03 12:00:00 2017/11/07 12:00:00 2017/11/07 08:23:20 UV 2.16.840.1.113883.3.7631 renaissanceCTSURGERY Heart Institute at Renaissance - CT Surgery OID Root Marie Rios masked Gracie Zamora 4419 N McColl Rd McAllen, TX 78504 956-630-9430 masked Office Manager Heart Institute at Renaissance - CT Surgery 4419 N McColl Rd McAllen, TX 78504 956-630-9430 gr.zamora@dhr-rgv.com Provider Int 3 Complete 2017/11/06 12:00:00 2017/11/07 12:00:00 2017/11/07 08:28:31 UV 2.16.840.1.113883.3.7632 psg Phoenix Shanti Group James Claymon masked James Claymon 2345 W. Glendale Avenue Phoenix, AZ 85021 602-279-0008 masked Administrator Phoenix Shanti Group 2345 W. Glendale Avenue Phoenix, AZ 85021 602-279-0008 jamesc@shantiaz.org http://www.ShantiAZ.org Provider Int 3 Complete 2017/11/07 12:00:00 2017/11/07 12:00:00 2017/11/07 08:35:03 UV 2.16.840.1.113883.3.7633 app-Humana-MA-FFS Humana MA HMO FFS Patrick Connolly masked judy.wagner@advocatehealth.com Patrick Connolly 1701 W Golf Road Ste 2-1100 Rolling Meadows, IL 60008 847.390.3515 masked Advocate Physician Partners 1701 W Golf Road Ste 2-1100 Rolling Meadows, IL 60008 847.298.6000 patrick.connolly@advocatehealth.com Provider Int 3 Complete 2017/11/07 12:00:00 2017/11/07 12:00:00 2017/11/07 08:42:47 UV 2.16.840.1.113883.3.7634 app-UHC-NEXUS UHC NEXUS Commercial PPO Shared Savings Patrick Connolly masked judy.wagner@advocatehealth.com Patrick Connolly 1701 W Golf Road Suite 2-1100 Rolling Meadows, IL 60008 847.390.3515 masked Advocate Physician Partners 1701 W Golf Road Suite 2-1100 Rolling Meadows, IL 60008 847.390.3515 patrick.connolly@advocatehealth.com Provider Int 3 Complete 2017/11/07 12:00:00 2017/11/07 12:00:00 2017/11/07 08:52:41 UV 2.16.840.1.113883.17.4218 arksurgicalhospital Arkansas Surgical Hospital Brian Taylor masked Brian Fowler 5201 NORTHSHORE DR NORTH LITTLE ROCK, AR 72118 5017488000 masked CFO Arkansas Surgical Hospital 5201 NORTHSHORE DR NORTH LITTLE ROCK, AR 72118 5017488000 bfowler@arksurgicalhospital.com http://www.arksurgicalhospital.com Provider Int 17 Complete 2017/11/08 12:00:00 2017/11/08 12:00:00 2017/11/08 09:06:18 UV 2.16.840.1.113883.3.7635 healthy-harford Healthy Harford, Inc. Sharon Lipford masked Sharon Lipford 520 Upper Chesapeake Drive Klein Ambulatory, Suite 405 Bel Air, MD 21014 443-619-3659 masked Executive Director Healthy Harford, Inc. 520 Upper Chesapeake Drive Klein Ambulatory, Suite 405 Bel Air, MD 21014 443-643-3330 Slipford@uchs.org https://Healthyharford.org Provider Int 3 Complete 2017/11/08 12:00:00 2017/11/08 12:00:00 2017/11/08 09:17:27 UV 2.16.840.1.113883.3.7636 renaissanceOIREDINBURG Orthopedic Institute at Renaissance OID Root Marie Rios masked Eliazbeth Rebolloso 5540 Raphael Edinburg, TX 78539 956-362-6683 masked Office Manager Orthopedic Institute at Renaissance 5540 Raphael Edinburg, TX 78539 956-362-6683 e.rebolloso@dhr-rgv.com Provider Int 3 Complete 2017/11/09 12:00:00 2017/11/09 12:00:00 2017/11/09 08:29:52 UV 2.16.840.1.113883.3.7637 andersondermatologyskinandsurgerycenterllc Anderson Dermatology and Skin Surgery Center LLC OID Root J George masked J George 1501 N Main Street Anderson, South Carolina 29621 864-716-0063 masked Practice Manager Anderson Dermatology and Skin Surgery Center, LLC 1501 N Main Street Anderson, South Carolina 29621 864-716-0063 practiceadmin@andersondermatologysc.com https://www.andersondermatologysc.com Provider Int 3 Complete 2017/11/09 12:00:00 2017/11/09 12:00:00 2017/11/09 08:32:23 UV 2.16.840.1.113883.3.7638 hlc HEARTLIGHT FAMILY CLINIC, LLC KATRINA DE ROMANA masked KATRINA DE ROMANA 1001 SOUTH PERRY STREET UNIT 104B CASTLE ROCK, CO 80104 7202727771 masked HEARTLIGHT FAMILY CLINIC, LLC 1001 SOUTH PERRY STREET UNIT 104B CASTLE ROCK, CO 80104 720-485-3178 cderomana@heartlightclinic.com https://www.heartlightclinic.com Provider Int 3 Complete 2017/11/10 12:00:00 2017/11/10 12:00:00 2017/11/10 06:21:10 UV 2.16.840.1.113883.3.7639 rphc Rego Park Health Care Marilyn Da Silva masked Michael Gallardo Marilyn Da Silva 11126 Corona Avenue Flushing, NY 11360 7185926400 masked Administrator Rego Park Health Care 11126 Corona Avenue Flushing, NY 11360 7185926400 marilynd@regoparkhealthcare.com http://www.regoparkhealthcare.com/ Provider Int 3 Complete 2017/11/10 12:00:00 2017/11/10 12:00:00 2017/11/10 06:26:05 UV 2.16.840.1.113883.17.4219 therapists2go Therapists 2 Go OT PT SLP PLLC William Dease masked William Dease 6800 Jericho Turnpike Ste 120W Syosset, NY 11791 6316003027 masked Therapists 2 Go OT PT SLP PLLC 6800 Jericho Turnpike Ste 120W Syosset, NY 11791 516-393-5966 wdease@therapists2go.com http://www.therapists2go.com Provider Int 17 Complete 2017/11/10 12:00:00 2017/11/10 12:00:00 2017/11/10 06:32:52 UV 2.16.840.1.113883.3.7640 sjcdiabetescenter SJC Outpatient Diabetes Center Kelli Johnson masked Kelli Johnson 1923 S Utica Tulsa, OK 74104 918-748-1305 masked Credentialing Specialist II SJC Outpatient Diabetes Center 1717B S Utica Ave Ste 205 Tulsa, OK 74104 918-744-2444 ahisha.peters@ascension.org Provider Int 3 Complete 2017/11/13 12:00:00 2017/11/14 12:00:00 2017/11/14 07:45:18 UV 2.16.840.1.113883.3.7641 sjcbehavioralhealth SJC Behavioral Health Kelli Johnson masked Kelli Johnson 1923 S. Utica Ave Tulsa, OK 74104 918-748-1305 masked Credentialing Specialist II SJC Behavioral Health 4720 South Harvard, STe 207 Tulsa, OK 74135 918-748-9868 ahisha.peters@ascension.org Provider Int 3 Complete 2017/11/13 12:00:00 2017/11/14 12:00:00 2017/11/14 07:47:10 UV 2.16.840.1.113883.3.7642 heahie Harvard Eye Associates Erik Leavell masked Erik Leavell 24401 Calle de la Louisa Suite 300 Laguna Hills, CA 92627 9499005266 masked Controller Harvard Eye Associates 24401 Calle de la Louisa Suite 300 Laguna Hills, CA 92627 9499512020 admin@harvardeye.com http://www.harvardeye.com Provider Int 3 Complete 2017/11/13 12:00:00 2017/11/14 12:00:00 2017/11/14 07:49:46 US 2.16.840.1.113883.3.7643 onsmeasures Oncology Nursing Society Value Sets Deborah Struth masked Deborah Struth 125 Enterprise Drive Pittsburgh, PA 15275 USA 1-412-859-6385 masked Research Associate The Oncology Nursing Soceity 125 Enterprise Drive Pittsburgh, PA 15275 USA 1-412-859-6385 research@ons.org http://ons.org Prof Soc Int 3 Complete 2017/11/14 12:00:00 2017/11/14 12:00:00 2017/11/14 07:52:45 UV 2.16.840.1.113883.3.7644 nad North Atlanta Dermatology Veronica Lamb masked Veronica Lamb 7708148222 masked North Atlanta Dermatology 3850 Pleasant Hill Rd Duluth, GA 30096 7708148222 veronica@naderm.com Provider Int 3 Complete 2017/11/14 12:00:00 2017/11/14 12:00:00 2017/11/14 08:05:15 UV 2.16.840.1.113883.3.7645 mrdocs Miles River Physicians Hilbert Dawkins masked Hugh Dawkins PO Box 2142 Easton, MD 21601 410-822-9133 masked Business Manager Miles River Physicians P.O. Box 2142 Easton, MD 21601 Hdawkins@mrdocs.or Provider Int 3 Complete 2017/11/15 12:00:00 2017/11/16 12:00:00 2017/11/16 08:18:20 UV 2.16.840.1.113883.3.7646 dpc Dublin Primary Care Deborah Duncan Milburn masked Deborah Milburn 2685 Dublin Blvd Colorado Springs, CO 80918 719-265-3737 masked Adminstrator Dublin Primary Care, PC 2685 Dublin Blvd Colorado Springs, CO 80918 719-592-9890 ddmilburn@dublinprimarycare.com http://www.dublinprimarycare.com Provider Int 3 Complete 2017/11/15 12:00:00 2017/11/16 12:00:00 2017/11/16 08:21:02 UV 2.16.840.1.113883.3.7647 cahescrc CAH Elizabeth Seton Children's Rehabilitation Center Heather Stevenson masked Florin Berevoescu Heather Stevenson c/o CAH Elizabeth Seton Children's Rehab Center 300 Corporate Blvd South Yonkers, NY 10701 914-294-6129 masked Director of Patient Accounts CAH Elizabeth Seton Children's Rehabilitation Center Finance Dept. 300 Corporate Blvd South Yonkers, NY 10701 914-294-6129 hstevenson@setonchildrens.org https://setonchildrens.org Provider Int 3 Complete 2017/11/16 12:00:00 2017/11/16 12:00:00 2019/07/16 01:59:27 UV 2.16.840.1.113883.3.7648 schtx Sweeny Hospital District dba Sweeny Community Hospital Stuart Butler masked Sweeny Hospital Michael Kime 305 N McKinney Sweeny, TX 77480 9795481830 masked CIO Sweeny Hospital 305 N McKinney Sweeny, TX 77480 9795481500 mkime@sweenyhospital.org https://sweenyhospital.org Provider Int 3 Complete 2017/11/16 12:00:00 2017/11/16 12:00:00 2023/10/27 12:32:13 UV 2.16.840.1.113883.3.7649 chooseKeswick Keswick Multi-Care Center Crystal Evans masked Eula Dean Crystal Evans 700 W 40th Street Baltimore, MD 21211 410-662-4343 masked Point Click Care Manager/Educator Keswick Multi Care Center 700 W 40th Street Baltimore, MD 21211 410-235-8860 helpdesk@choosekeswick.org https://choosekeswick.org Provider Int 3 Complete 2017/11/16 12:00:00 2017/11/16 12:00:00 2017/11/16 09:03:20 UV 2.16.840.1.113883.3.7650 healthpointfc HealthPoint Family Care Pam Smallwood masked Pam Smallwood 1401 Madison Ave Covington, KY 41011 859-655-6100 masked COO HealthPoint Family Care 1401 Madison Ave Covington, KY 41011 859-655-6100 psmallwood@healthpointfc.org http://www.healthpointfc.org/ Provider Int 3 Complete 2017/11/16 12:00:00 2017/11/16 12:00:00 2017/11/16 09:09:06 UV 1.3.6.1.4.1.41179 id-DirectTrustOrg DirectTrust Organization Arc Stephen Weiss masked Stephen Weiss 1629 K Street Suite 300 Washington, DC 20006 5167826305 masked Managing Director DirectTrust.org, Inc. 1629 K Street Suite 300 Washington, DC 20006 admin@directtrust.org http://www.directtrust.org SDO 1.3.6.1.4.1.41179 Ext 4 Complete 1.3.6.1.4.1.41179 2017/11/17 12:00:00 2017/11/17 12:00:00 2017/11/17 07:28:13 UV 1.3.6.1.4.1.41179.2 id-DirectTrustCat DirectTrust Organization Category Stephen Weiss masked Stephen Weiss 1629 K Street Suite 300 Washington, DC 20006 5167826305 masked Managing Director DirectTrustt.org, Inc. 1629 K Street Suite 300 Washington, DC 20006 admin@directtrust.org https://www.directtrust.org SDO 1.3.6.1.4.1.41179 Ext 4 Complete 1.3.6.1.4.1.41179.2 2017/11/17 12:00:00 2017/11/17 12:00:00 2017/11/17 07:35:03 UV 1.3.6.1.4.1.41179.2.1 id-DirectTrustCat1 DirectTrust Covered Entity Organization Category Stephen Weiss masked Stephen Weiss 1629 K Street Suite 300 Washington, DC 20006 5167826305 masked Managing Director DirectTrust.org, Inc. 1629 K Street Suite 300 Washington, DC 20006 admin@directtrust.org http://www.directtrust.org SDO 1.3.6.1.4.1.41179 Ext 4 Complete 1.3.6.1.4.1.41179.2.1 2017/11/17 12:00:00 2017/11/17 12:00:00 2017/11/17 07:40:22 UV 1.3.6.1.4.1.41179.2.4 id-DirectTrustCat4 DirectTrust Patient Category Stephen Weiss masked Stephen Weiss 1629 K Street Suite 300 Washington, DC 20006 5167826305 masked Managing Director DirectTrust.org, Inc. 1629 K Street Suite 300 Washington, DC 20006 admin@directtrust.org http://directtrust.org SDO 1.3.6.1.4.1.41179 Ext 4 Complete 1.3.6.1.4.1.41179.2.4 2017/11/17 12:00:00 2017/11/17 12:00:00 2017/11/17 07:51:03 UV 2.16.840.1.113883.3.7651 shpimp Strategic Healthcare Programs imp Pedro Aguilar masked Strategic Healthcare Programs 510 Castillo Street Santa Barbara, CA 93101 1-805-456-5944 masked Strategic Healthcare Programs 510 Castillo Street Santa Barbara, CA 93101 1-805-456-5944 network@shpdata.com https://www.shpdata.com Vendor Int 3 Complete 2017/11/17 12:00:00 2017/11/17 12:00:00 2017/11/17 08:05:09 US 2.16.840.1.113883.3.7652 cida Colorado Infectious Disease Associates Amanda Brodnax masked Amanda Brodnax 950 E Harvard Ave, Ste 140 Denver, CO 80210 3037770781 masked Practice Manager Colorado Infectious Disease Associates 950 E Harvard Ave, Ste 140 Denver, CO 80210 3037770781 amanda.brodnax@coloradoid.com http://www.coloradoid.com Provider Int 3 Complete 2017/11/17 12:00:00 2017/11/17 12:00:00 2017/11/17 08:41:41 UV 2.16.840.1.113883.3.7653 delaney-drg Delaney Radiologists Group Jonathan Owsley masked Jonathan Mark Owsley 1025 Medical Center Dr. Wilmington, NC 28401 910-341-1847 masked IT Director Delaney Radiologists Group 1025 Medical Center Dr. Wilmington, NC 28401 910-762-3882 jowsley@delaneyrad.com Exchange Int 3 Complete 2017/11/20 12:00:00 2017/11/20 12:00:00 2017/11/20 08:36:35 UV 2.16.840.1.113883.3.7654 delaney-dip Diagnostic Imaging Partners Jonathan Owsley masked Jonathan Mark Owsley 1025 Medical Center Dr. Wilmington, NC 28401 910-341-1847 masked IT Director Diagnostic Imaging Partners 2000 Brabham Ave, Suite 110 Jacksonville, NC 28546 910-939-3110 jowsley@delaneyrad.com Exchange Int 3 Complete 2017/11/20 12:00:00 2017/11/20 12:00:00 2017/11/20 08:38:42 UV 2.16.840.1.113883.3.7655 trimsnet TRIMSNet esMD Certification William Pomerance masked William Pomerance TRIMSNet IP, LLC 801 North Pitt Street Suite 117 Alexandria, VA 22314 703 356-7965 masked TRIMSNet IP, LLC 801 North Pitt Street Suite 117 Alexandria, VA 22314 703-356-7965 billp@trimsnet.net http://trimsnet.net Vendor Int 3 Complete 2017/11/20 12:00:00 2017/11/20 12:00:00 2017/11/20 08:55:44 UV 2.16.840.1.113883.3.2402.200.6903 physicians-computer-company-clients-nrp Physician's Computer Company (PCC) client North River Pediatrics Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6903 2017/11/20 12:00:00 2017/11/20 12:00:00 2017/11/20 08:58:36 UV 2.16.840.1.113883.3.7656 apncas Allergy Partners P.A. Donna Kuykendall masked cdproctor@allergypartners.com Cody Proctor 1978 Hendersonville Rd Suite 130A Asheville, NC 28803 828-350-2183 masked Interface Developer Allergy Partners, P.A. 1978 Hendersonville Rd Suite 130A Asheville, NC 28803 828-277-1300 ap-it.billing@allergypartners.com https://www.allergypartners.com Provider Int 3 Complete 2017/11/21 12:00:00 2017/11/21 12:00:00 2017/11/21 07:51:31 UV 2.16.840.1.113883.3.7657 bPX Bellicum Pharmaceuticals, Inc. Donnie Lash masked Bellicum Pharmaceuticals, Inc. 2130 W. Holcombe Boulevard Suite 800 Houston, Texas 77030 8323841100 masked IT Manager Bellicum Pharmaceuticals, Inc. domains@bellicum.com http://www.bellicum.com Provider Int 3 Complete 2017/11/21 12:00:00 2017/11/21 12:00:00 2017/11/21 07:53:54 UV 2.16.840.1.113883.3.7658 pfc Parker Family Care Christopher West masked Rachel Dobnak 10259 S. Parker Rd. Suite 200 Parker, CO 80134-9106 (303) 805-2273 masked Project Manager Parker Family Care RDobnak@ParkerFamilyCare.com Provider Int 3 Complete 2017/11/21 12:00:00 2017/11/21 12:00:00 2017/11/21 08:28:06 UV 2.16.840.1.113883.3.7659 ashcerner Animas Surgical Hospital Peggey Patterson masked Peggey Patterson 9702473537 masked IT Director Animas Surgical Hospital 575 Rivergate Lane Durango, CO 81301 9702473537 ppatterson@animassurgical.com Provider Int 3 Complete 2017/11/21 12:00:00 2017/11/21 12:00:00 2017/11/21 08:29:55 UV 2.16.840.1.113883.3.7660 mana-health Mana Health Drew Hensel masked Drew Hensel Mana Health 315 W 36th St New York, NY 10018 +14845546953 masked Director of Implementations Mana Health hello@manahealth.com http://www.manahealth.com/ Vendor Int 3 Complete 2017/11/21 12:00:00 2017/11/21 12:00:00 2017/11/21 08:34:59 UV 2.16.840.1.113883.3.7661 jcg Johns Creek Gastroenterology Barbara Thompson masked Barbara Thompson 678-984-8835 masked Business Office Manager Johns Creek Gastroenterology 1100 Northside Forsyth Dr., Suite 330, Cumming, GA 30041 7708899901 barb2thompson@bellsouth.net Provider Int 3 Complete 2017/11/21 12:00:00 2017/11/21 12:00:00 2017/11/21 08:38:55 UV 2.16.840.1.113883.3.7662 handinHand Hand In Hand Development Beth Statfeld masked Beth Statfeld 465 Grand Street, Second Floor New York, NY 10002 212-420-1999 masked CFO Hand In Hand Development bstatfeld@hihdev.com http://hihdev.com/ Provider Int 3 Complete 2017/11/21 12:00:00 2017/11/21 12:00:00 2017/11/21 08:48:01 UV 2.16.840.1.113883.3.7663 fasma Foot and Ankle Specialists of the Mid-Atlantic Scott Erickson masked Scott Erickson Foot & Ankle Specialists of the Mid-Atlantic 1600 E Gude Drive, Suite 200 Rockville, MD 20850-1341 410.929.5570 masked CIO Foot and Ankle Specialists of the Mid-Atlantic 1600 E Gude Drive, Suite 200 Rockville, MD 20850-1341 Phone: (301) 933-7133 Fax: (301) 933-7137 (301) 933-7133 info@footandankle-usa.com http://www.FootandAnkle-usa.com Provider Int 3 Complete 2017/11/27 12:00:00 2017/11/28 12:00:00 2017/11/28 06:50:43 UV 2.16.840.1.113883.3.7664 rbk RBK Pediatrics George Rogu masked George Rogu 646 Commack Road Commack, NY 11725 6314994114 masked MD RBK Pediatrics 646 commack road Commack, NY 11725 6314994114 drrogu@rbkpediatrics.com https://www.rbkpediatrics.com Provider Int 3 Complete 2017/11/28 12:00:00 2017/11/28 12:00:00 2017/11/28 06:52:01 UV 2.16.840.1.113883.3.7665 escc Elizabeth Seton Children's Center Heather Stevenson masked Florin Berevoescu Heather Stevenson c/o Eliz. Seton Children's Center 300 Corporate Blvd South Yonkers, NY 10701 914-294-6129 masked Director of Patient Accounts Elizabeth Seton Children's Center Finance Dept. 300 Corporate Blvd South Yonkers, NY 10701 914-294-6129 hstevenson@setonchildrens.org https://setonchildrens.org Provider Int 3 Complete 2017/11/28 12:00:00 2017/11/28 12:00:00 2019/07/16 02:06:35 UV 2.16.840.1.113883.3.7666 leschealthix LESC Healthix HIE Ivelice Cacioppo masked Michael Cea Ivelice Cacioppo 80 Maiden Lane Ste 305 New York, NY 10038 212-566-7897 masked IT Director Lower Eastside Service Center 80 Maiden Lane Ste 305 New York, NY 10038 212-566-5372 icacioppo@lesc.org https://www.lesc.org Provider Int 3 Complete 2017/11/28 12:00:00 2017/11/28 12:00:00 2017/11/28 07:14:26 UV 2.16.840.1.113883.3.7667 calvaryHHA Calvary Homecare Hospice Kathleen Parker masked Kathleen Parker 1740 Eastchester Road, Bronx, NY 10461 718-518-2095 masked CIO Calvary Homecare Hospice 1740 Eastchester Road, Bronx, NY 10461 718-518-2000 infosystems@calvaryhospital.org Provider Int 3 Complete 2017/11/29 12:00:00 2017/11/29 12:00:00 2017/11/29 08:09:18 UV 2.16.840.1.113883.3.7668 caresource CareSource Management Group Johan Botha masked Patrick Garland Johan Botha 230 N Main St Dayton, OH 45402 (937)224-3300 masked Technology Architect CareSource Management Group 230 N Main St Dayton, OH 45402 (937)224-3300 ESB_Operations@caresource.com http://www.caresource.com Payor Int 3 Complete 2017/11/29 12:00:00 2017/11/29 12:00:00 2017/11/29 08:14:58 UV 2.16.840.1.113883.3.7669 cfd Center for Dermatology, LLC Amna Hafeez masked Amna Hafeez 631 Professional Dr suite 110 Lawrenceville, GA 30046 7706822500 masked Practice Administrator Center for Dermatology, LLC. 631 Professional Drive suite 110 Lawrenceville, GA 30046 7706822500 cfdmail10@yahoo.com https://www.cfderm.com Provider Int 3 Complete 2017/11/29 12:00:00 2017/11/29 12:00:00 2017/11/29 08:19:15 UV 2.16.840.1.113883.3.7670 clareto Clareto Health Information Exchange Steven Leighty masked Steven Leighty 8045009140 masked Clareto 1001 Haxall Point Richmond, VA 23219 8045009140 sleighty@clareto.com http://www.clareto.com Exchange Int 3 Complete 2017/11/29 12:00:00 2017/11/29 12:00:00 2017/11/29 08:24:22 UV 2.16.840.1.113883.3.7671 ttp-facultystaffurgentcare TTP-Faculty/Staff Urgent Care Clinic Rae Rodriguez masked Rae Ann Rodriguez 3601 4TH Street RM 1BC150 MS 8352 Lubbock, Texas 79430 806-743-4357 masked Unit Manager TTP- Faculty/Staff Urgent Care Clinic 3601 4TH Street RM 1BC150 MS 8352 Lubbock, Texas 79430 806-743-4357 emrhelpdesklubbock@ttuhsc.edu http://umchealthsystem.com Academic Int 3 Complete 2017/11/30 12:00:00 2017/11/30 12:00:00 2017/11/30 07:26:52 UV 2.16.840.1.113883.3.7672 ckpc Central Kentucky Primary Care Jennifer Judd masked Chris Gibbs 1700 Old Lebanon Road Campbellsville, KY 42718 270-465-3561 *5858 masked IT Director Central Kentucky Primary Care 1700 Old Lebanon Road Campbellsville, KY 42718 270-465-3561 *5858 cmgibbs@trhosp.org http://www.trhosp.org Provider 2.16.840.1.113883.4.515 Int 3 Complete 2017/11/30 12:00:00 2017/11/30 12:00:00 2017/11/30 07:39:27 UV 2.16.840.1.113883.3.7673 cuTClinic CU Tiger Clinic Jennifer Judd masked Chris Gibbs 1700 Old Lebanon Road Campbellsville, KY 42718 270-465-3561 *5858 masked IT Director CU Tiger Clinic 1700 Old Lebanon Road Campbellsville, KY 42718 270-465-3561 *5858 cmgibbs@trhosp.org http://www.trhosp.org Provider 2.16.840.1.113883.4.515 Int 3 Complete 2017/11/30 12:00:00 2017/11/30 12:00:00 2017/11/30 07:43:18 UV 2.16.840.1.113883.3.7674 ima-trmg Internal Medicine Associates Jennifer Judd masked Chris Gibbs 1700 Old Lebanon Road Campbellsville, KY 42718 2704653561 *5858 masked IT Director Internal Medicine Associates 1700 Old Lebanon Road Campbellsville, KY 42718 2704653561 5858 cmgibbs@trhosp.org http://www.trhosp.org Provider 2.16.840.1.113883.4.515 Int 3 Complete 2017/11/30 12:00:00 2017/11/30 12:00:00 2017/11/30 07:49:03 UV 2.16.840.1.113883.3.7675 pco-trmg Primary Care Office Jennifer Judd masked Chris Gibbs 1700 Old Lebanon Road Campbellsville, KY 42718 2704653561 *5858 masked IT Director Primary Care Office 1700 Old Lebanon Road Campbellsville, KY 42718 2704653561 *5858 cmgibbs@trhosp.org http://www.trhosp.org Provider 2.16.840.1.113883.4.515 Int 3 Complete 2017/11/30 12:00:00 2017/11/30 12:00:00 2017/11/30 08:09:12 UV 2.16.840.1.113883.3.7676 trcc-trmg Taylor Regional Care Center Jennifer Judd masked Chris Gibbs 1700 Old Lebanon Road Campbellsville, KY 42718 2704653561 *5858 masked IT Director Taylor Regional Care Center 1700 Old Lebanon Road Campbellsville, KY 42718 2704653561 *5858 cmgibbs@trhosp.org http://www.trhosp.org Provider 2.16.840.1.113883.4.515 Int 3 Complete 2017/11/30 12:00:00 2017/11/30 12:00:00 2017/11/30 08:13:47 UV 2.16.840.1.113883.3.7677 ent-trmg Taylor Regional Ear, Nose, and Throat Jennifer Judd masked Chris Gibbs 1700 Old Lebanon ROad Campbellsville, KY 42718 2704653561 *5858 masked IT Director Taylor Regional Ear, Nose, and Throat 1700 Old Lebanon Road Campbellsville, KY 42718 2704653561 *5858 cmgibbs@trhosp.org http://www.trhosp.org Provider 2.16.840.1.113883.4.515 Int 3 Complete 2017/11/30 12:00:00 2017/11/30 12:00:00 2017/11/30 08:21:05 UV 2.16.840.1.113883.3.7678 trh-trmg Taylor Regional Hospitalists Jennifer Judd masked Chris Gibbs 1700 Old Lebanon Road Campbellsville, KY 42718 2704653561 *5858 masked IT Director Taylor Regional Hospitalists 1700 Old Lebanon Road Campbellsville, KY 42718 270-465-3561 *5858 cmgibbs@trhosp.org http://www.trhosp.org Provider 2.16.840.1.113883.4.515 Int 3 Complete 2017/11/30 12:00:00 2017/11/30 12:00:00 2017/11/30 08:31:07 UV 2.16.840.1.113883.3.7679 trmo-trmg Taylor Regional Medical Oncology Jennifer Judd masked Chris Gibbs 1700 Old Lebanon Road Campbellsville, KY 42718 2704653561 *5858 masked IT Director Taylor Regional Medical Oncology 1700 Old Lebanon Road Campbellsville, KY 42718 2704653561 *5858 cmgibbs@trhosp.org http://www.trhosp.org Provider Int 3 Complete 2017/11/30 12:00:00 2017/11/30 12:00:00 2017/11/30 08:33:29 UV 2.16.840.1.113883.3.7680 trn-trmg Taylor Regional Neurology Jennifer Judd masked Chris Gibbs 1700 Old Lebanon Road Campbellsville, KY 42718 2704653561 *5858 masked IT Director Taylor Regional Neurology 1700 Old Lebanon Road Campbellsville, KY 42718 2704653561 *5858 cmgibbs@trhosp.org http://www.trhosp.org Provider 2.16.840.1.113883.4.515 Int 3 Complete 2017/11/30 12:00:00 2017/11/30 12:00:00 2017/11/30 09:11:56 UV 2.16.840.1.113883.3.7681 trog-trmg Taylor Regional Orthopedic Group Jennifer Judd masked Chris Gibbs 1700 Old Lebanon Road Campbellsville, KY 42718 2704653561 *5858 masked IT Director Taylor Regional Orthopedic Group 1700 Old Lebanon Road Campbellsville, KY 42718 2704653561 *5858 cmgibbs@trhosp.org http://www.trhosp.org Provider 2.16.840.1.113883.4.515 Int 3 Complete 2017/11/30 12:00:00 2017/11/30 12:00:00 2017/11/30 09:16:23 UV 1.3.6.1.4.1.50533 samHL7 Samaritas HL7 William Schaper masked Edin Cizmic 2170 East Big Beaver Road Troy, MI 48083 313-308-8832 masked IT Business Analyst Samaritas 8131 East Jefferson Detroit, MI 48214 313-823-7700 ecizm@samaritas.org http://www.samaritas.org Provider Ext 3 Complete 1.3.6.1.4.1.50533 2017/11/30 12:00:00 2017/11/30 12:00:00 2018/06/14 11:08:42 UV 2.16.840.1.113883.3.7682 trp-trmg Taylor Regional Pediatrics Jennifer Judd masked Chris Gibbs 1700 Old Lebanon Road Campbellsville, KY 42718 2704653561 *5858 masked IT Director Taylor Regional Pediatrics 1700 Old Lebanon Road Campbellsville, KY 42718 2704653561 *5858 cmgibbs@trhosp.org http://www.trhosp.org Provider 2.16.840.1.113883.4.515 Int 3 Complete 2017/11/30 12:00:00 2017/11/30 12:00:00 2017/11/30 09:22:22 UV 2.16.840.1.113883.3.7683 trps-trmg Taylor Regional Pulmonary Sleep Medicine Jennifer Judd masked Chris Gibbs 1700 Old Lebanon Road Campbellsville, KY 42718 2704653561 *5858 masked IT Director Taylor Regional Pulmonary Sleep Medicine 1700 Old Lebanon Road Campbellsville, KY 42718 2704653561 *5858 cmgibbs@trhosp.org http://www.trhosp.org Provider 2.16.840.1.113883.4.515 Int 3 Complete 2017/11/30 12:00:00 2017/11/30 12:00:00 2017/11/30 09:28:10 UV 2.16.840.1.113883.3.7684 trpw-trmg Taylor Regional Physicians for Women Jennifer Judd masked Chris Gibbs 1700 Old Lebanon Road Campbellsville, KY 42718 2704653561 *5858 masked IT Director Taylor Regional Physicians for Women 1700 Old Lebanon Road Campbellsville, KY 42718 2704653561 *5858 cmgibbs@trhosp.org http://www.trhosp.org Provider 2.16.840.1.113883.4.515 Int 3 Complete 2017/11/30 12:00:00 2017/11/30 12:00:00 2017/11/30 09:38:48 UV 2.16.840.1.113883.3.7685 trsa-trmg Taylor Regional Surgical Associates Jennifer Judd masked Chris Gibbs 1700 Old Lebanon Road Campbellsville, KY 42718 2704653561 *5858 masked IT Director Taylor Regional Surgical Associates 1700 Old Lebanon Road Campbellsville, KY 42718 2704653561 *5858 cmgibbs@trhosp.org http://www.trhosp.org Provider 2.16.840.1.113883.4.515 Int 3 Complete 2017/11/30 12:00:00 2017/11/30 12:00:00 2017/11/30 09:41:17 UV 2.16.840.1.113883.3.7686 tru-trmg Taylor Regional Urology Jennifer Judd masked Chris Gibbs 1700 Old Lebanon Road Campbellsville, KY 42718 2704653561 5858 masked IT Director Taylor Regional Urology 1700 Old Lebanon Road Campbellsville, KY 42718 2704653561 *5858 cmgibbs@trhosp.org http://www.trhosp.org Provider 2.16.840.1.113883.4.515 Int 3 Complete 2017/11/30 12:00:00 2017/11/30 12:00:00 2017/11/30 09:45:49 UV 2.16.840.1.113883.3.7687 trhl-trmg Taylor Rural Health Jennifer Judd masked Chris Gibbs 1700 Old Lebanon Road Campbellsville, KY 42718 2704653561 *5858 masked IT Director Taylor Rural Health 1700 Old Lebanon Road Campbellsville, KY 42718 2704653561 *5858 cmgibbs@trhosp.org http://www.trhosp.org Provider 2.16.840.1.113883.4.515 Int 3 Complete 2017/11/30 12:00:00 2017/11/30 12:00:00 2017/11/30 09:55:14 UV 2.16.840.1.113883.3.5416.1.33 munsonhealthcare Munson Healthcare Randi Terry masked Randi Terry 1105 6th Street Traverse City, MI 49684 231-935-5199 masked Director, IS Munson Healthcare 1105 6th Street Traverse City, MI 49684 231-935-5199 rterry@mhc.net http://www.munsonhealthcare.org/ Provider 2.16.840.1.113883.3.5416 Ext 3 Complete 2.16.840.1.113883.3.5416.1.33 2017/12/01 12:00:00 2018/03/30 12:00:00 2018/03/30 09:38:30 UV 2.16.840.1.113883.3.7688 accent1 Accent on Health Gilbert Daniel masked Candice Morrison 1328 Southern Ave Suite 205 Washington, DC 20032 443-379-9330 masked Administrator Accent on Health 1328 Southern Ave Suite 205 Washington, DC 20032 202-610-9570 pm-csolutions@outlook.com Provider Int 3 Complete 2017/12/01 12:00:00 2017/12/04 12:00:00 2017/12/04 09:07:36 UV 2.16.840.1.113883.3.7689 iphc Integrative Pediatric Health Care, LLC Clare Huber-Navin masked Clare Huber-Navin 1610 E Girard Pl, Suite M Englewood, CO 80113 720-442-3615 masked Managing Partner Integrative Pediatric Health Care, LLC 1610 E Girard Pl, Suite M Englewood, CO 80113 720-442-3615 admin@iphcdenver.com http://www.iphcdenver.com Provider Int 3 Complete 2017/12/01 12:00:00 2017/12/04 12:00:00 2017/12/04 09:10:01 UV 2.16.840.1.113883.3.7690 premera Premera Blue Cross Blue Shield Michael Garrett masked Michael Garrett (425) 918-6305 masked Data Integration Specialist Premera Blue Cross Blue Shield Michael.Garrett@PREMERA.com Payor Int 3 Complete 2017/12/04 12:00:00 2017/12/04 12:00:00 2017/12/04 09:26:23 UV 2.16.840.1.113883.17.4220 emrKYCHFSBHDIDMT Kentucky Cabinet for Health and Family Services Department of Behavioral Health, Developmental and Intellectual Disabilities Daniel Hume masked Daniel Hume Department for Behavioral Health, Developmental and Intellectual Disabilities 275 East Main Street, 4-C Frankfort, KY 40601 502-782-0600 masked SQL Administrator Kentucky Dept. Behavioral Health, Developmental & Intellectual Disabilities 275 E. Main Street 4WF Frankfort, KY 40621 Phone: (502) 564-4527 Fax: (502) 564-5478 502-564-4527 https://dbhdid.ky.gov/kdbhdid/documents/orgchart.pdf https://dbhdid.ky.gov/kdbhdid/documents/orgchart.pdf Govt body Int 3 Complete 2017/12/05 12:00:00 2017/12/11 12:00:00 2017/12/11 07:09:29 UV 2.16.840.1.113883.3.7691 axial axial Healthcare, Inc. Trey Fore masked Trey Fore 209 10th Av S, Suite 332 Nashville, TN 37203 6153453555 masked Data Integration Analyst axial Healthcare, Inc. 209 10th Av S, Suite 332 Nashville, TN 37203 6153453555 tfore@axialhealthcare.com https://axialhealthcare.com Vendor Int 3 Complete 2017/12/05 12:00:00 2017/12/06 12:00:00 2017/12/06 08:21:17 UV 2.16.840.1.113883.3.7692 welligent Welligent Inc. Rick Hasson masked Rick Hasson 7572135960 masked Welligent Inc. 5005 Colley Ave Norfolk, VA 23508 7572135960 rhasson@welligent.com http://www.welligent.com Vendor Int 3 Complete 2017/12/05 12:00:00 2017/12/06 12:00:00 2017/12/06 08:31:05 UV 2.16.840.1.113883.3.7693 teg Thomas Eye Group Justin Armstrong masked Justin Armstrong 6788922020 masked Thomas Eye Group 5901 A Peachtree Dunwoody Rd Atlanta, GA 30328 6788922020 jarmstrong@thomaseye.com https://www.thomaseye.com/ Provider Int 3 Complete 2017/12/05 12:00:00 2017/12/06 12:00:00 2017/12/06 08:35:36 UV 2.16.840.1.113883.3.7694 mmh-HealthPartner Madison Health Partners CCD OID Karen Newman masked Rhett Jackson 450 E Main, Rexburg, ID 83440 208-359-6428 masked IS/IT Director Madison Memorial Hospital 450 E Main, Rexburg, ID 83440 208-359-6959 ISSupport@mmhnet.org http://www.madisonhospital.org Provider Int 3 Complete 2017/12/06 12:00:00 2017/12/06 12:00:00 2017/12/06 08:40:38 UV 2.16.840.1.113883.3.7695 alvis Alvis Pediatrics Israel Alvarez masked Soraya Alvarez 18300 NW 62 AVE., MIAMI, FL 33015 #230 305-623-4444 masked mgr Alvis Pediatrics 18300 NW 62 AVE., MIAMI, FL 33015 #230 305-623-4444 Alvispediatrics@yahoo.com Provider Int 3 Complete 2017/12/06 12:00:00 2017/12/06 12:00:00 2017/12/06 08:44:25 UV 2.16.840.1.113883.3.7696 cdln Casa De Los Ninos Carrie Osman masked Carrie Osman 520-344-6685 masked IS Manager Casa De Los Ninos 1101 N 4th Avenue Tucson, AZ 85705 520-624-5600 georgee@casadelosninos.org Provider Int 3 Complete 2017/12/07 12:00:00 2017/12/07 12:00:00 2017/12/07 08:20:08 UV 2.16.840.1.113883.3.7697 surgical-mmg Surgical Multispecialties Medical Group Rebecca Martinez masked Surgical Multispecialties Medical G Faisal Khan MD 1701 E Cesar E Chavez Ave Suite 300 Los Angeles, CA 90033 3232642633 masked Partner/Physician Surgical Multispecialties Medical Group 1701 E Cesar E Chavez Ave Suite 300 Los Angeles, CA 90033 323 2642633 rebecca_smmg@yahoo.com Provider Int 3 Complete 2017/12/07 12:00:00 2017/12/07 12:00:00 2017/12/18 05:16:25 UV 2.16.840.1.113883.3.7698 fd Family Doctors, LLC Alex Espina masked Dr. Pete Barker Alex Espina 250 Paradise Road Swampscott, MA 01907 7817151154 masked Population Health Manager Family Doctors, LLC 250 Paradise Road Swampscott, MA 01907 7817151154 aespina@myfamdocs.com https://myfamdocs.com Provider Int 3 Complete 2017/12/07 12:00:00 2017/12/07 12:00:00 2017/12/07 08:30:43 UV 2.16.840.1.113883.4.940 ca-ACNN Academy of Naturopaths and Naturotherapists of Canada Inc. Johanne C&#244;t&#233; masked Johanne Cote 630 Ren&#233;-L&#233;vesque Blvd West 22th floor Montr&#233;al, QC H3B 1S6 514 665-4174 masked Senior Business Analyst Academy of Naturopaths and Naturotherapists of Canada Inc. 1029, rue des Escoumins, Bureau 140 Terrebonne, QC J6W 5H2 (450) 326-1800 info@acnn.ca Vendor Int 4 Complete 2017/12/08 12:00:00 2017/12/08 12:00:00 2017/12/08 10:14:25 UV 2.16.840.1.113883.4.941 ca-MCPANS Manual and Complementary Practitioners Association of Nova Scotia Johanne C&#244;t&#233; masked Johanne Cote 630 Ren&#233;-L&#233;vesque Blvd West 22th floor Montr&#233;al, QC H3B 1S6 514 665-4174 masked Senior Business Analyst Manual and Complementary Practitioners Association of Nova Scotia 7 Yeadon Drive Middle Sackville Nova Scotia, Canada B4E 2Z5 (902) 442-8534 mcpans@me.ca Vendor Int 4 Complete 2017/12/08 12:00:00 2017/12/08 12:00:00 2017/12/08 10:24:34 UV 2.16.840.1.113883.4.942 ca-SAA Saskatchewan Acupuncture Association Johanne C&#244;t&#233; masked Johanne Cote 630 Ren&#233;-L&#233;vesque Blvd West 22th floor Montr&#233;al, QC H3B 1S6 514 665-4174 masked Senior Business Analyst Saskatchewan Acupuncture Association 2815 Estey Dr, Saskatoon, SK S7J 2V8, Canada (306) 652-0788 saskatchewanacupuncture@gmail.com http://www.saskatchewanacupuncture.com/ Vendor Int 4 Complete 2017/12/08 12:00:00 2017/12/08 12:00:00 2017/12/08 10:33:59 UV 2.16.840.1.113883.3.7699 healthlx HealthLX Will Tesch masked Will Tesch 1350 14th Ave, Suite 1 Grafton, WI 53024 United States +1-262-546-4540 x2300 masked President HealthLX 1350 14th Ave, Suite 1 Grafton, WI 53024 United States +1-877-987-7728 will.tesch@healthlx.com http://www.healthlx.com Vendor Int 3 Complete 2017/12/08 12:00:00 2017/12/08 12:00:00 2017/12/08 10:36:26 UV 2.16.840.1.113883.3.7700 rosh Rothman Orthopaedic Specialty Hospital Steve Roney masked Luke Alonso 2152192092 masked Health Information Systems Manager Rothman Orthopaedic Specialty Hospital 3300 Tillman Dr. Bensalem, PA 19020 2152447400 info@rothmanorthohospital.com http://rothmanorthohospital.com/ Provider Int 3 Complete 2017/12/08 12:00:00 2017/12/08 12:00:00 2025/05/06 09:43:03 UV 2.16.840.1.113883.3.7701 interpreta Interpreta Inc. Keith Glassford masked Keith M Glassford 10578 Science Center, Suite 250 San Diego, CA 92121 8582297748 masked VP DevOps Interpreta Inc. 10578 Science Center, Suite 250 San Diego, CA 92121 8587951903 raghu@interpreta.com https://www.interpreta.com Vendor Int 3 Complete 2017/12/08 12:00:00 2017/12/08 12:00:00 2018/10/03 05:54:33 US 2.16.840.1.113883.3.7702 lcbh Little Colorado Behavioral Health Scott Poche masked Scott Poche 9283332683 masked CEO Little Colorado Behavioral Health 50 N. Hopi Drive / PO Box 699 Springerville, AZ 8593 9283332683 SPoche@lcbhc.org http://www.lcbhc.org Provider Int 3 Complete 2017/12/11 12:00:00 2017/12/11 12:00:00 2017/12/11 07:12:34 UV 2.16.840.1.113883.3.3991.103 mich-ave-urgent-care Michigan Avenue Urgent Care Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 5174206309 masked Interface Analyst Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 5173641000 interfaceanalysts@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.103 2017/12/11 12:00:00 2017/12/11 12:00:00 2017/12/11 07:29:41 UV 2.16.840.1.113883.3.7703 rghc Rio Grande Hospital Clinics Arlene Harms masked Arlene Harms 310 COunty Road 14 Del Norte, CO 81132 719-657-4104 masked CEO Rio Grande Hospital Clinic 310C County Rd. 14 Del Norte, CO 81132 719-657-2418 arleneh@riograndehospital.net http://www.rio-grande-hospital.net Provider Int 3 Complete 2017/12/11 12:00:00 2017/12/11 12:00:00 2017/12/11 07:21:19 UV 2.16.840.1.113883.3.7704 homewood Homewood Retirement Centers, Inc. Candace McMullen masked Candace McMullen 16107 Elliott Parkway, Williamsport, MD 21795 301-223-1410 masked VP of Operations Homewood Retirement Centers, Inc. 16107 Elliott Parkway Williamsport, MD 21795 3015821626 clmcmullen@hmwd.org https://www.homewood.com Provider Int 3 Complete 2017/12/12 12:00:00 2017/12/14 12:00:00 2017/12/14 09:21:55 UV 2.16.840.1.113883.3.7705 podiatryfootandanklecare Podiatry Foot and Ankle Care OID Root Julian Menendez masked Julian R Menendez 5415 Park Street North, Suite C St Petersburg, FL 33709 7275445425 masked provider Podiatry Foot and Ankle Care 5415 Park Street North, Suite C St Petersburg, FL 33709 775445424 2podiatry@gmail.com Provider Int 3 Complete 2017/12/13 12:00:00 2017/12/14 12:00:00 2017/12/14 09:24:27 UV 2.16.840.1.113883.3.7706 rmid Rocky Mountain Infectious Diseases Brandy Haskins masked Brandy Haskins 1450 EAST A STREET, STE 1 CASPER, WY 82601 3072348700 masked FINANCIAL MANAGER Rocky Mountain Infectious Diseases 1450 EAST A STREET, STE 1 CASPER, WY 82601 3072348700 ghazighanem@gmail.com https://www.rockymountaininfectiousdiseases.com/ Provider Int 3 Complete 2017/12/13 12:00:00 2017/12/14 12:00:00 2017/12/14 09:30:05 UV 2.16.840.1.113883.3.7707 swha Southwest Women's Health Associates Christine Stacey masked Southwest Women's Health Assoc Christine Stacey 575 Rivergate Lane Ste 210 Durango, CO 81301 9702470042 masked Office Administrator Southwest Women's Health Associates 575 Rivergate Ln Ste 210 Durango, CO 81301 9702470042 christine@southwestwomenshealth.com Provider Int 3 Complete 2017/12/14 12:00:00 2017/12/14 12:00:00 2017/12/14 10:02:40 UV 2.16.840.1.113883.3.7708 ihw Industrial Health Works Family Day And Night Clinic Roxane Arguelles masked Roxane Arguelles 3127 S. Sugar Rd. Edinburg, TX 78539 956-259-0400 masked Office Manager Industrial Health Works Family Day And Night Clinic 3127 S. Sugar Rd. Edinburg, TX 78539 956-259-0400 sarojinibose@hotmail.com Provider Int 3 Complete 2017/12/14 12:00:00 2017/12/14 12:00:00 2017/12/14 10:05:10 UV 2.16.840.1.113883.3.7709 lcchc Lake Chelan Community Hospital and Clinics Ross Hurd masked Sheri Krupla 110 S Apple Blossom Dr. Chelan, WA 98816 509-726-6023 masked Coordinator of Clinical Informatics Lake Chelan Health 110 S Apple Blossom Dr. Chelan, WA 98816 509-682-3300 ross@lcch.net Provider Int 3 Complete 2017/12/14 12:00:00 2017/12/14 12:00:00 2024/09/30 07:17:41 UV 2.16.840.1.113883.3.7710 villageCareMAX VillageCareMax Christopher Brown masked VillageCare Christopher Brown VillageCare 120 Broadway Suite 2840 New York, NY 10271 2123375858 masked Director, Application Services VillageCare 120 Broadway Suite 2840 New York, NY 10271 2123375858 christopherb@villagecare.org Payor Int 3 Complete 2017/12/14 12:00:00 2017/12/14 12:00:00 2017/12/14 10:19:52 UV 2.16.840.1.113883.3.7711 dmgaz-phx District Medical Group of Arizona Jeff Weil masked Jeff Weil 2929 E. Thomas Rd. Phoenix, AZ 85016 6024705500 masked CIO District Medical Group of Arizona 2929 E. Thomas Rd. Phoenix, AZ 85016 6024705000 support@dmgaz.org Provider Int 3 Complete 2017/12/15 12:00:00 2017/12/15 12:00:00 2017/12/15 09:21:12 UV 2.16.840.1.113883.3.7712 s-uff-peds SUFFOLK PEDIATRIC ASSOCIATES, PC Dorothy Thomas masked Dorothy Thomas 1111 Montauk Highway Suite 104 West Islip, NY 11795 631-661-2510 ext 20 masked Practice Manager SUFFOLK PEDIATRIC ASSOCIATES, PC 1111 MONTAUK HIGHWAY SUITE 104 WEST ISLIP, NY 11795 631-661-2510 SUFFOLKPEDIATRICS1@GMAIL.COM http://www.suffolkpediatrics.com Provider Int 3 Complete 2017/12/18 12:00:00 2017/12/18 12:00:00 2017/12/18 09:45:56 UV 2.16.840.1.113883.3.7713 universitymedicalcenter University Medical Center dba University of Louisville Hospital Darren Powell masked Debbie Mullins Darren Powell 530 S. Jackson Street, Louisville, KY 40202 502-560-3133 masked Director - IT Integration University Medical Center 530 S. Jackson Street, Louisville, KY 40202 502-560-3133 darrenpowell@ulh.org https://uoflhospital.org/ Provider Int 3 Complete 2017/12/18 12:00:00 2017/12/18 12:00:00 2017/12/18 09:48:24 UV 2.16.840.1.113883.3.7714 eaoc-oid Emkey Arthritis & Osteoporosis Clinic Randall Osborne masked Randall Osborne 101 Europa Drive Suite 200 Chapel Hill, NC 27517 8003544205 masked Sr. Software Engineer Emkey Arthritis & Osteoporosis Clinic 1200 Broadcasting Rd #200 Wyomissing, PA 19610-2100 6103748133 jvogel@emkeyarthritis.com http://www.emkeyarthritis.com Provider Int 3 Complete 2017/12/18 12:00:00 2017/12/18 12:00:00 2017/12/18 09:51:45 UV 2.16.840.1.113883.3.2402.200.175 physicians-computer-company-clients-eden Physician's Computer Company (PCC) client Eden Park Pediatrics Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.175 2017/12/18 12:00:00 2017/12/18 12:00:00 2017/12/18 09:54:01 UV 2.16.840.1.113883.3.7715 semmes-murphey Semmes Murphey Clinic Drazen Vamplin masked Drazen Vamplin 6325 Humphreys Blvd Memphis, TN 38120 901-522-2563 masked Director of IT Semmes Murphey Clinic 6325 Humphreys Blvd Memphis, TN 38120 901-522-7700 smc_sysadmin_subscription@semmes-murphey.com https://www.semmes-murphey.com Provider Int 3 Complete 2017/12/18 12:00:00 2017/12/18 12:00:00 2017/12/18 09:58:29 UV 2.16.840.1.113883.3.2402.200.6797 physicians-computer-company-clients-millburn Physician's Computer Company (PCC) client Millburn Pediatrics, PA Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6797 2017/12/18 12:00:00 2017/12/18 12:00:00 2017/12/18 10:01:31 UV 1.2.36.1.2001.1005.30.7 act-DiagnosticImagingResultUpload Diagnostic Imaging Result Upload to My Health Record System Peter O'Halloran masked Sandra Cook Level 2, 2-6 Bowes Street Phillip ACT 2606 02 6205 1451 masked Director, Future Capability & Governance ACT Government Health Directorate acthealthcio@act.gov.au https://www.health.act.gov.au Govt body 1.2.36.1.2001.1005.30 Ext 4 Complete 1.2.36.1.2001.1005.30.7 2017/12/18 12:00:00 2017/12/18 12:00:00 2017/12/18 10:06:16 AU 1.2.36.1.2001.1005.30.6 act-PathologyReportstoNationalHealthRecord Pathology Reports to National Health Record Peter O'Halloran masked Sandra Cook Level 4, 2-6 Bowes Street Phillip ACT 2606 02 6205 1451 masked Director, Future Capability & Governance ACT Government Health Directorate acthealthcio@act.gov.au https://www.health.act.gov.au Govt body 1.2.36.1.2001.1005.30 Ext 4 Complete 1.2.36.1.2001.1005.30.6 2017/12/18 12:00:00 2017/12/18 12:00:00 2025/03/02 06:14:40 AU 2.16.840.1.113883.3.7716 sebaCOVA ConnectVirginia Gregory Julian masked Melinda Sebastian MD 6000 Stevenson Avenue - 101 Alexandria, VA 22304 703-823-1735 masked Melinda Sebastian MD 6000 Stevenson Avenue - 101 Alexandria, VA 22304 703-823-1735 ramada-sebastian6000@lycos.com Provider Int 3 Complete 2017/12/19 12:00:00 2017/12/19 12:00:00 2017/12/19 09:15:22 UV 2.16.840.1.113883.3.7717 renaissanceENTCLOSNER Ear, Nose, and Throat Institute at Renaissance - Closner OID Root Marie Rios masked Martha Torres 520 South Closner Edinburg, TX 78539 9565988964 masked Office Manager Ear, Nose, and Throat Institute at Renaissance - Closner 520 South Closner Edinburg, TX 78539 9565988964 mart.torres@dhr-rgv.com Provider Int 3 Complete 2017/12/19 12:00:00 2017/12/19 12:00:00 2017/12/19 09:17:22 UV 2.16.840.1.113883.3.7718 warrenjdegatur Warren J. Degatur Jr MD OID Root Warren Degatur masked Kristy Poche 206 Champagne Blvd Breaux Bridge, LA 70517 3373323500 masked office manager Warren J Degatur Jr. MD 206 Champagne Blvd Breaux Bridge, LA 70517 3373323500 wjd_md@yahoo.com Provider Int 3 Complete 2017/12/19 12:00:00 2017/12/19 12:00:00 2017/12/19 09:23:37 UV 2.16.840.1.113883.3.7719 jsa JSA Health Telepsychiatry Will Yancy masked Will Yancy 410 Pierce #103 Houston, TX 77002 (888)792-7122 masked IT Director, CIO JSA Health Telepsychiatry 410 Pierce Ste#103 Houston, TX 77002 8887927122 wyancy@jsahealthmd.com https://www.jsahealthmd.com Provider Int 3 Complete 2017/12/19 12:00:00 2017/12/19 12:00:00 2017/12/19 09:30:59 UV 2.16.840.1.113883.3.7720 wfmoid Winfield Family Medicine Kelly Deckinga masked Kelly Deckinga 9150 E. 109th Ave., Ste. 2A Crown Point, IN 46307 219-226-1529 masked Practice Manager Winfield Family Medicine 9150 E. 109th Ave., Ste. 2A Crown Point, IN 46307 219-226-1529 kdeckinga@winfieldfamilymedicine.com Provider Int 3 Complete 2017/12/20 12:00:00 2017/12/20 12:00:00 2017/12/20 09:37:44 UV 2.16.840.1.113883.3.7721 mhs-02 Memorial Health System - Ambulatory Jon Winsley masked Jon Winsley 401 Matthew St Marietta, OH 45750 7405685463 masked MIS/Interface Analyst Memorial Health System 401 Matthew St Marietta, OH 45750 7403741400 jwinsley@mhsystem.org Provider Int 3 Complete 2017/12/20 12:00:00 2017/12/20 12:00:00 2017/12/20 09:40:48 UV 2.16.840.1.113883.3.7722 marincc Marin Community Clinic Willmer Diaz masked Willmer Diaz 9 commercial blvd Novato, CA 94945 415-755-2575 masked Lead application Analyst Marin Community Clinic 9 commercial blvd Novato, CA 94945 415-755-2575 wdiaz@marinclinic.org http://www.marinclinic.org/ Provider Int 3 Complete 2017/12/21 12:00:00 2017/12/22 12:00:00 2017/12/22 09:26:15 UV 2.16.840.1.113883.9.235 visiblehand VisibleHand OID Matt Morris masked VisibleHand, Inc. Matt Morris 7525 East 1st Place STE 1102 Denver, CO 80230 7208399529 masked CEO VisibleHand, Inc. 7525 East 1st Place STE 1102 Denver, CO 80230 7208399529 matt@visiblehand.io https://www.visiblehand.com/ Vendor Int 3 Complete 2017/12/26 12:00:00 2017/12/28 12:00:00 2017/12/28 07:22:35 UV 2.16.840.1.113883.17.4221 cpi Chronic Pain Institute Kuldip Deogun masked Kuldip Deogun 43145 Schoenherr Rd., Sterling Heights, MI 48313 586-997-5048 masked M.D., Owner Chronic Pain Institute 43145 Schoenherr Rd., Sterling Heights, MI 48313 586-997-5048 priscilla.hughes@chronicpaininst.com http://www.michigancpi.com Provider Int 17 Complete 2017/12/27 12:00:00 2017/12/28 12:00:00 2017/12/28 07:12:22 UV 2.16.840.1.113883.3.7723 diameterHealth Diameter Health Identifier John DAmore masked Paulo B Pinho attn: Diameter Health 36 Washington St Suite #1 Wellesley, MA 02481 19083463098 masked VP & Medical Director for Innovation Diameter Health attn: Diameter Health 36 Washington St Suite #1 Wellesley, MA 02481 19083463098 support@diameterhealth.com https://www.diameterhealth.com Vendor Int 3 Complete 2017/12/28 12:00:00 2017/12/28 12:00:00 2022/03/28 12:17:59 UV 2.16.840.1.113883.3.7724 pji Parker Jewish Institute Vincent Villany masked Parker Jewish Institute Vincent Villany 271-11 76th Avenue New Hyde Park, NY 11040 7182892338 masked Director of IT Parker Jewish Institute 271-11 76th Ave New Hyde Park, NY 11040 7182892338 infoservices@parkerinstitute.org http://www.parkerinstitute.org Provider Int 3 Complete 2018/01/02 12:00:00 2018/01/02 12:00:00 2018/01/02 07:16:44 UV 2.16.840.1.113883.4.943 varmar Varsity Marketing Lee Cichanowicz masked Lee Cichanowicz (717) 234-8886 masked Director of Development Varsity Marketing, LLC (717) 234-8886 WLangley@VarsityBranding.com http://www.varsitybranding.com/ Vendor Int 3 Complete 2018/01/02 12:00:00 2018/01/02 12:00:00 2018/01/02 07:19:50 US 2.16.840.1.113883.3.7725 rafaelabreu Rafael Abreu MD OID Root Rafael Abreu masked Rafael Abreu 777 E 25th St Suite 312 Hialeah, FL 33013 305-392-0380 masked MD Rafael Abreu MD 777 E 25th St Suite 312 Hialeah, FL 33013 305-392-0380 rabreumd@hotmail.com Provider Int 3 Complete 2018/01/03 12:00:00 2018/01/04 12:00:00 2018/01/04 08:29:07 UV 2.16.840.1.113883.3.7726 csishealth CSIS Health Medication Review Solution James O Connell masked James O Connell 157 Church Street, 19th floor, New Haven, CT 06510 USA +1 475 655 3080 masked Director of Software Engineering CSIS Health Corp 157 Church Street, 19th floor, New Haven, CT 06510 USA +1 475 655 3080 itsupport@csishealth.com http://csishealth.com Vendor Int 3 Complete 2018/01/04 12:00:00 2018/01/04 12:00:00 2018/01/22 12:03:20 UV 2.16.840.1.113883.3.7727 ppdata-OID P & P Data Systems Company OID Standards Infodesk masked Eric Gaydos 99 Saint Regis Crescent North Toronto, Ontario M3J 1Y9 Canada 416-665-6450 x124 masked Senior Software Engineer P & P Data Systems Company OID 99 Saint Regis Crescent North Toronto, Ontario M3J 1Y9 Canada 416-665-6450 ericg@p-pdata.com https://www.p-pdata.com Vendor Int 3 Complete 2018/01/04 12:00:00 2018/01/04 12:00:00 2018/01/04 08:37:28 UV 2.16.840.1.113883.3.7728 lakemartinvascular Lake Martin Vascular Clinic Tina Dean masked Tina Dean 1120 Airport Drive, Suite 102 Alexander City, AL 35010 256-212-9300 masked Office Manager Lake Martin Vascular Clinic 1120 Airport Drive, Suite 102 Alexander City, AL 35010 256-212-9300 tdean@lakemartinvascular.com http://www.lakemartinvascular.com Provider Int 3 Complete 2018/01/04 12:00:00 2018/01/04 12:00:00 2018/01/04 08:53:41 UV 2.16.840.1.113883.9.236 physicalTherapyRegistry Physical Therapy Registry Matt Elrod masked Matt Elrod 1111 N Fairfax St Alexandria, VA 22314 7034081792 masked American Physical Therapy Association American Physical Therapy Association 1111 N Fairfax St Alexandria, VA 22314 18009992782 Practice-Dept@apta.org http://www.apta.org Prof Soc Int 3 Complete 2018/01/04 12:00:00 2018/01/04 12:00:00 2018/01/04 08:57:02 US 2.16.840.1.113883.3.7729 hpc High Plains Community Health Center Cece Bohl masked Cece Bohl 201 Kendall Dr Lamar, CO 81052 719-336-0261 masked QI Coordinator High Plains Community Health Center 201 Kendall Dr Lamar, CO 81052 719-336-0261 cece.bohl@highplainschc.net http://www.highplainschc.net Provider Int 3 Complete 2018/01/05 12:00:00 2018/01/08 12:00:00 2018/01/08 09:22:37 UV 2.16.840.1.113883.3.2402.300.26 physicans-computer-company-vendors-mercy Physician's Computer Company (PCC) Vendors Mercy Diagnostics Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.300.26 2018/01/08 12:00:00 2018/01/08 12:00:00 2018/01/08 09:25:36 UV 2.16.840.1.113883.3.2402.300.25 physicans-computer-company-vendors-holland Physician's Computer Company (PCC) Vendors Holland Hospital Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.300.25 2018/01/08 12:00:00 2018/01/08 12:00:00 2018/01/08 09:36:47 UV 2.16.840.1.113883.3.7730 kchc Kinston Community Health Center Daphne Betts-Hemby masked Daphne Betts-Hemby 324 N Queen Street Kinston, NC 28501 2525268685 masked CFO Kinston Community Health Center, Inc. 324 N Queen Street Kinston, NC 27834 2525224350 edwin.vasquez@kinstonchc.orgw http://www.kinstonhealth.org Provider Int 3 Complete 2018/01/08 12:00:00 2018/01/08 12:00:00 2018/01/08 09:39:09 UV 2.16.840.1.113883.3.7731 blueKC-root Blue Cross and Blue Shield of Kansas City Sharon Andrew BS masked Hal Schierts Sharon Andrew Blue Cross and Blue Shield of Kansas City 2301 Main Street Kansas City, MO 64108 816-395-2218 masked Technical Lead Analyst Blue Cross and Blue Shield of Kansas City DVP, Healthcare Insights 2301 Main Street Kansas City, MO 64108 816-395-2218 Hal.Schierts@BlueKC.com http://www.BlueKC.com Payor Int 3 Complete 2018/01/09 12:00:00 2018/01/09 12:00:00 2018/01/09 08:58:19 UV 2.16.840.1.113883.3.7732 manifestmx MANIFEST MEDEX Nick Yarker masked Nick Yarker (424) 330-9315 masked Director, Technology Manifest Medex 3993 Jurupa Avenue, Riverside, CA 92506 (951) 686-1326 info@manifestmedex.org https://www.manifestmedex.org/ Exchange Int 3 Complete 2018/01/09 12:00:00 2018/01/09 12:00:00 2018/01/09 09:02:27 UV 2.16.840.1.113883.3.7733 cca8116 CAPITOL CARDIOLOGY Venkata Rayi masked CHRIS 8116 GOOD LUCK RD, STE 305 LANHAM, MD 20706 3015521200 masked ADMIN CAPITOL CARDIOLOGY 8116 GOOD LUCK RD, STE 305 LANHAM, MD 20706 3015521200 CHRIS@CAPITOLCARDIOLOGY.COM Provider Int 3 Complete 2018/01/09 12:00:00 2018/01/09 12:00:00 2018/01/09 09:09:53 UV 2.16.840.1.113883.3.7734 smmg8116 SOUTHERN MARYLAND MEDICAL GROUP Venkata Rayi masked CHRIS 8116 Good Luck Rd, Ste 305 Lanham, MD 20706 3015521200 masked ADMIN SOUTHERN MARYLAND MEDICAL GROUP 8116 Good Luck Rd, Ste 305 Lanham, MD 20706 3015521200 CHRIS@SMMGMD.COM Provider Int 3 Complete 2018/01/09 12:00:00 2018/01/09 12:00:00 2018/01/09 09:13:47 UV 2.16.840.1.113883.3.7735 renaissanceHIRVHC Heart Institute at Renaissance - VHC OID Root Marie Rios masked Frank Muniz 1200 E Savannah, Ste 7 McAllen, TX 78503 956-618-2999 masked Office Manager Heart Institute at Renaissance 1200 E Savannah, Ste 7 McAllen, TX 78503 956-618-2999 f.muniz@dhr-rgv.com Provider Int 3 Complete 2018/01/09 12:00:00 2018/01/09 12:00:00 2018/01/09 09:18:13 UV 2.16.840.1.113883.3.7736 rossNH Ross Center for Health and Rehabilitation Avri Szafranski masked Avri Szafranski 839 Suffolk Ave Brentwood, NY 11717 631 273 4700 masked Administrator Ross Center for Health and Rehabilitation 839 Suffolk Ave Brentwood, NY 11717 631 273 4700 aszafranski@rosshealthcare.com Provider Int 3 Complete 2018/01/09 12:00:00 2018/01/09 12:00:00 2018/01/09 09:22:23 UV 2.16.840.1.113883.3.7737 renaissanceSURGERYINSTMOB DHR Health Surgery Institute MOB OID Root Marie Rios masked Priscilla De La Cruz 2821 Michael Angelo Drive, Ste 101 Edinburg, TX 78539 956-383-3360 masked Office Manager DHR Health Surgery Institute 2821 Michael Angelo Drive, Ste 101 Edinburg, TX 78539 956-383-3360 p.delacruz@dhr-rgv.com Provider Int 3 Complete 2018/01/10 12:00:00 2018/01/10 12:00:00 2018/01/10 08:24:50 UV 2.16.840.1.113883.3.7738 sapphire Sapphire Center for Rehabilitation and Nursing of Central Queens, LLC Aliza Nussbaum masked Reliable Health Systems Jeffrey Enella 35-15 Parsons Blvd Flushing, NY 11354 7189613500x203 masked Administrator Sapphire Center for Rehabilitation and Nursing of Central Queens, LLC. 35-15 Parsons Blvd Flushing, NY 11354 7189613500x203 jenella@sapphirerehab.cm Provider Int 3 Complete 2018/01/10 12:00:00 2018/01/10 12:00:00 2018/01/10 08:28:13 UV 2.16.840.1.113883.3.4761.3 mmch-allcriptsmrn MMCH Allscripts MRN Trisha Prickel masked Trisha Prickel 321 Mitchell Ave. Batesville, IN 47006 812-933-5455 masked Director, Information Systems Margaret Mary Health 321 Mitchell Ave. Batesville, IN 47006 812-934-6624 mmch@mmch.org http://www.mmhealth.org Provider 2.16.840.1.113883.3.4761 Ext 14 Complete 2.16.840.1.113883.3.4761.3 2018/01/10 12:00:00 2018/01/13 12:00:00 2018/01/13 11:58:27 UV 2.16.840.1.113883.3.7739 prx PioneerRx Pharmacy Software Paul Carrig masked Paul Carrig 408 Kay Lane, Shreveport LA 71115 3187971717 masked VP Software Development PioneerRx 408 Kay Lane, Shreveport LA 71115 3187971717 PioneerRxDataPrograms@PioneerRx.com http://www.pioneerrx.com Vendor Int 3 Complete 2018/01/10 12:00:00 2018/01/10 12:00:00 2018/01/10 08:32:19 UV 2.16.840.1.113883.3.7740 hsa Human Service Agency Laura Newman masked Laura Newman 605-884-3510 masked Lead Application Developer Human Service Agency 123 19th St NE Watertown, SD 57201 605-886-0123 lauran@humanserviceagency.org http://www.humanserviceagency.org Provider Int 3 Complete 2018/01/11 12:00:00 2018/01/13 12:00:00 2018/01/13 11:50:20 UV 2.16.840.1.113883.3.7741 c-n-s-18-CNS CNS Multispecialty Clinic Peter Warinner masked Peter Warinner 781-237-0070 masked President CNS Multispecialty Clinic 65 Walnut Street, suite 150, Wellesley, MA 02481 781-237-0070 contact@cns.md http://www.CNS.md Provider Int 3 Complete 2018/01/11 12:00:00 2018/01/13 12:00:00 2018/01/13 11:54:01 UV 2.16.840.1.113883.3.2402.200.6906 physicians-computer-company-clients-paswfl Physician's Computer Company (PCC) client Pediatric Associates of Southwest Florida Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6906 2018/01/15 12:00:00 2018/01/17 12:00:00 2018/01/17 09:19:57 UV 2.16.840.1.113883.3.7742 docsink DocsInk Brad Hinely masked Brad Hinely 9105089226 masked CTO DocsInk 232 Causeway Drive Wrightsville Beach, North Carolina 28401 (888) 577-7409 bh@docsink.com https://docsink.com/ Vendor Int 3 Complete 2018/01/16 12:00:00 2018/01/17 12:00:00 2018/01/17 09:23:36 UV 2.16.840.1.113883.3.7743 mitmedical MIT MEDICAL Terry McNatt masked Terry McNatt 617-253-1525 masked Programmer MIT Medical MIT Medical E23 25 Carleton Street Cambridge, MA 02139 617-253-4988 joyc@med.mit.edu https://medical.mit.edu Provider Int 3 Complete 2018/01/17 12:00:00 2018/01/17 12:00:00 2018/01/17 09:27:26 UV 2.16.840.1.113883.3.7744 mtabib Marjan Y. Tabibzadeh MD PLLC Marjan Tabibzadeh masked Debra Sockett 516-829-5117 masked Practice Administrator Marjan Y. Tabibzadeh MD 1615 northern blvd suite 200 Manhasset, ny 11030 516-829-5117 marjanpeds@gmail.com Provider Int 3 Complete 2018/01/17 12:00:00 2018/01/17 12:00:00 2018/01/17 09:36:11 UV 2.16.840.1.113883.3.7745 forestView Forest View Center Moishe Deutsch masked Moishe Deutsch 71-20 110th St, Forest Hills, NY 11375 (718) 793-3200 masked Administrator Forest View Center 71-20 110th St, Forest Hills, NY 11375 (718) 793-3200 md@fvrehab.com Provider Int 3 Complete 2018/01/18 12:00:00 2018/01/18 12:00:00 2018/01/18 06:52:31 UV 2.16.840.1.113883.3.7746 kgreene Kenneth M. Greene, MD & Associates Kenneth Greene masked Kenneth Greene 6701 N. Charles Street Suite 4104 Baltimore, MD 21204 410-821-2800 masked MD Kenneth M. Greene, MD & Associates 6701 N. Charles Street Suite 4104 Baltimore, MD 21204 410-821-2800 kgreene@drgreeneonline.com Provider Int 3 Complete 2018/01/18 12:00:00 2018/01/18 12:00:00 2018/01/18 06:56:09 UV 2.16.840.1.113883.3.7747 pei-RNLN Association of Registered Nurses of Prince Edward Island Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked Association of Registered Nurses of Prince Edward Island Unit 6 - 161 Maypoint Rd, Charlottetown, PEI C1E 1X6 (902) 368-3764; 1-844-843-3933 Product-management@prescribeIT.ca https://www.arnpei.ca/ Prof Soc Int 4 Complete 2018/01/18 12:00:00 2018/01/18 12:00:00 2022/01/06 10:29:16 UV 2.16.840.1.113883.3.7748 bc-coDSLN College of Dental Surgeons of British Columbia Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked College of Dental Surgeons of British Columbia College of Dental Surgeons of BC 500-1765 West 8th Avenue Vancouver, B.C. V6J 5C6 604-736-3621; 1-800-663-9169 Product-management@prescribeIT.ca https://www.cdsbc.org/about-cdsbc Prof Soc Int 4 Complete 2018/01/18 12:00:00 2018/01/18 12:00:00 2022/01/06 10:30:07 UV 2.16.840.1.113883.3.7749 bc-coMIDwLN College Of Midwives Of British Columbia Standards Infoesk masked Salve Achacoso 1-888-733-6462 masked College Of Midwives Of British Columbia Suite 603, 601 West Broadway, Vancouver, BC V5Z 4C2 &#160;604-742-2230 Product-management@prescribeIT.ca http://cmbc.bc.ca/about-cmbc/about-us/ Prof Soc Int 4 Complete 2018/01/18 12:00:00 2018/01/18 12:00:00 2022/01/06 10:30:41 UV 2.16.840.1.113883.3.7750 mb-coMIDwLN College of Midwives of Manitoba Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked College of Midwives of Manitoba 230-500 Portage Ave Winnipeg, MB R3C 3X1 204-783-4520 Product-management@prescribeIT.ca http://www.midwives.mb.ca/aboutus.html Prof Soc Int 4 Complete 2018/01/18 12:00:00 2018/01/18 12:00:00 2022/01/06 10:31:24 UV 2.16.840.1.113883.3.7751 nl-coMIDwLN College of Midwives of Newfoundland and Labrador Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked College of Midwives of Newfoundland and Labrador 209 Blackmarsh Road, St. John's, NL, A1E 1T1 (709)745-7304; 1-855-863-8616 Product-management@prescribeIT.ca http://www.cmnl.ca/ Prof Soc Int 4 Complete 2018/01/18 12:00:00 2018/01/18 12:00:00 2022/01/06 10:33:29 UV 2.16.840.1.113883.3.7752 bc-coRNLN College of Registered Nurses of British Columbia Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked College of Registered Nurses of British Columbia 2855 Arbutus Street Vancouver, BC V6J 3Y8 Canada 604.736.7331; 1.800.565.6505 Product-management@prescribeIT.ca https://www.crnbc.ca/crnbc/Pages/Default.aspx Prof Soc Int 4 Complete 2018/01/18 12:00:00 2018/01/18 12:00:00 2022/01/06 10:34:35 UV 2.16.840.1.113883.3.7753 mb-coRNLN College of Registered Nurses of Manitoba Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked College of Registered Nurses of Manitoba 890 Pembina Highway Winnipeg, Manitoba R3M 2M8 204-774-3477 ; 1-800-665-2027 Product-management@prescribeIT.ca https://www.crnm.mb.ca/about/college Prof Soc Int 4 Complete 2018/01/18 12:00:00 2018/01/18 12:00:00 2022/01/06 10:35:22 UV 2.16.840.1.113883.3.7754 pei-dentalcouncil Dental Council of Prince Edward Island Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked Dental Council of Prince Edward Island 184 Belvedere Ave Charlottetown, PEI C1A 2Z1 (902) 628-8156 Product-management@prescribeIT.ca http://www.dcpei.ca/about.php Prof Soc Int 4 Complete 2018/01/18 12:00:00 2018/01/18 12:00:00 2022/01/06 10:35:59 UV 2.16.840.1.113883.3.7755 mb-dentalassoLN Manitoba Dental Association Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked Manitoba Dental Association 202-1735 Corydon Avenue Winnipeg, MB R3N 0K4 (204) 988-5300 Product-management@prescribeIT.ca https://www.manitobadentist.ca/about-mda.cfm Prof Soc Int 4 Complete 2018/01/18 12:00:00 2018/01/18 12:00:00 2022/01/06 10:36:36 UV 2.16.840.1.113883.3.7756 chocallscriptsPAM CHOC Allscripts EMR PAM Neil Garde masked Neil Garde 1201 W. La Veta Ave., Orange, CA 92868 7145094817 masked Director, Business Applications and Analytics CHOC Children's Hospital 1201 W. La Veta Ave., Orange, CA 92868 7149973300 ngarde@choc.org Provider Int 3 Complete 2018/01/18 12:00:00 2018/01/18 12:00:00 2018/01/18 07:42:53 UV 2.16.840.1.113883.3.7757 chocnextgen CHOC NextGen Seaview Neil Garde masked Neil Garde 1201 W. La Veta Ave., Orange, CA 92868 7145094817 masked Director, Business Applications and Analytics CHOC Children's Hospital 1201 W. La Veta Ave., Orange, CA 92868 7149973000 ngarde@choc.org Provider Int 3 Complete 2018/01/18 12:00:00 2018/01/18 12:00:00 2018/01/18 07:58:54 UV 2.16.840.1.113883.3.7758 hhhc Hannah Home Health Care, Inc Barry Hannah masked Barry Hannah 318 N Rochester St Mukwonago, WI 53149 262-363-2500 masked Chief Financial Officer Hannah Home Health Care, Inc 318 N Rochester St Mukwonago, WI 53149 262-363-2500 BarryH@HannahHomeHealth.com http://www.HannahHomeHealth.com Provider Int 3 Complete 2018/01/18 12:00:00 2018/01/18 12:00:00 2018/01/18 08:04:23 UV 2.16.840.1.113883.3.7759 nb-coPHARMLN New Brunswick College of Pharmacists Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked New Brunswick College of Pharmacists 1224 Mountain Rd, Unit 8, Moncton, NB E1C 2T6 (506) 857-8957; 1-800-463-4434 Product-management@prescribeIT.ca http://www.nbpharmacists.ca/site/about-the-college?nav=02 Prof Soc Int 4 Complete 2018/01/19 12:00:00 2018/01/19 12:00:00 2022/01/06 10:37:21 UV 2.16.840.1.113883.3.7760 nb-dentalsocietyLN New Brunswick Dental Society Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked New Brunswick Dental Society 520 King Street, HSBC Place &#8470; 820 P.O. Box 488 Station "A" Fredericton, NB E3B 4Z9 (506) 452-8575 Product-management@prescribeIT.ca http://www.nbdental.com/en/e-about_nb_dental.html Prof Soc Int 4 Complete 2018/01/19 12:00:00 2018/01/19 12:00:00 2022/01/06 10:38:01 UV 2.16.840.1.113883.3.7761 nb-Nurseasso Nurses Association of New Brunswick Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked Nurses Association of New Brunswick 165 Regent Street Fredericton NB Canada E3B 7B4 506-458-8731; 1-800-442-4417 Product-management@prescribeIT.ca http://www.nanb.nb.ca/about/nanb Prof Soc Int 4 Complete 2018/01/19 12:00:00 2018/01/19 12:00:00 2022/01/06 10:38:37 UV 2.16.840.1.113883.3.7762 pei-MIDwasso Prince Edward Island Midwives Association Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked Prince Edward Island Midwives Association 34 Russet Dr Charlottetown Prince Edward Island C1E 1B7 1-888-733-6462 Product-management@prescribeIT.ca http://www.cwhn.ca/en/node/15014 Prof Soc Int 4 Complete 2018/01/19 12:00:00 2018/01/19 12:00:00 2022/01/06 10:39:13 UV 2.16.840.1.113883.3.7763 yt-govPLRAB The Government of Yukon's Professional Licensing & Regulatory Affairs Branch Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked Canada Health Infoway-PrescribeIT&#174; 2071 2nd Ave., Whitehorse, Yukon, Y1A 1B2 867-667-5811 or 867-667-5812; 1-800-661-0408 Product-management@prescribeIT.ca http://www.community.gov.yk.ca/consumer/pl.html Govt body Int 4 Complete 2018/01/19 12:00:00 2018/01/19 12:00:00 2018/01/19 04:57:12 UV 2.16.840.1.113883.3.7764 nl-PHARMboard The Newfoundland & Labrador Pharmacy Board Standards Infoway masked Salve Achacoso Salve Achacoso masked The Newfoundland & Labrador Pharmacy Board Apothecary Hall 488 Water Street St. John's, NL A1E 1B3 709.753.5877; 877.453.5877 Product-management@prescribeIT.ca http://www.nlpb.ca/about-the-board/ Prof Soc Int 4 Complete 2018/01/19 12:00:00 2018/01/19 12:00:00 2022/01/06 10:40:17 UV 2.16.840.1.113883.3.7765 sensitive1 SHARE Sensitive Shirley Tyson masked Shirley Tyson 1501 North University Avenue, Suite 420, Little Rock, AR 72207 501.410.1999 masked Arkanas Office of Health Information Technology 1501 North University Avenue, Suite 420, Little Rock, AR 72207 501.410.1999 shirley.a.tyson@hit.arkansas.gov http://www.sharearkansas.com/ Exchange Int 3 Complete 2018/01/19 12:00:00 2018/01/19 12:00:00 2018/01/19 05:07:29 UV 2.16.840.1.113883.3.7766 nb-MIDwco The Midwifery Council of New Brunswick Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked The Midwifery Council of New Brunswick Registrar - Kelly Ebbett PO Box 20315 King's Place PO Fredericton, NB E3B 0N7 (506) 300-0225 Product-management@prescribeIT.ca https://www.midwiferycnb.ca/home/ Prof Soc Int 4 Complete 2018/01/19 12:00:00 2018/01/19 12:00:00 2022/01/06 10:41:10 UV 2.16.840.1.113883.3.7767 nu-govPLDHSS Professional Licensing, Department of Health and Social Services, Government of Nunavut Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked Canada Health Infoway-PrescribeIT&#174; Registrar, Health Professions Department of Health Government of Nunavut Box 390, Kugluktuk, Nunavut X0B 0E0 (867) 982-7668 or (867) 982-7655 Product-management@prescribeIT.ca http://www.hss.gov.nt.ca/en/services/professional-licensing Govt body Int 3 Complete 2018/01/19 12:00:00 2018/01/19 12:00:00 2018/01/19 05:16:09 UV 2.16.840.1.113883.3.7768 bc-coPHARMLN College of Pharmacists of British Columbia Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked Canada Health Infoway-PrescribeIT&#174; 200-1765 West 8th Avenue Vancouver, BC V6J 5C6 604.733.2440 or 800.663.1940 Product-management@prescribeIT.ca http://www.bcpharmacists.org/who-we-are Prof Soc Int 2.16.840.1.113883.4.607 3 Retired 2018/01/19 12:00:00 2018/01/19 12:00:00 2018/11/09 12:01:51 UV 2.16.840.1.113883.3.7769 lpnt-hrh Harris Regional Hospital Trevor Dickerson masked Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Health, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2018/01/19 12:00:00 2018/01/19 12:00:00 2018/05/02 12:13:02 UV 2.16.840.1.113883.3.7770 lpnt-hrc Haywood Regional Medical Center Trevor Dickerson masked Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Health, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2018/01/19 12:00:00 2018/01/19 12:00:00 2018/05/02 12:13:27 UV 2.16.840.1.113883.3.7771 lpnt-sch Swain Community Hospital Trevor Dickerson masked Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Health, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2018/01/19 12:00:00 2018/01/19 12:00:00 2018/05/02 12:14:46 UV 2.16.840.1.113883.3.7772 oandfs Orthopedic and Fracture Specialists Jason Palmer masked Jason Palmer 11782 SW Barnes RD Suite 300 Portland, OR 97225 503-906-4390 masked IT Director Orthopedic and Fracture Specialists 11782 SW Barnes RD Suite 300 Portland, OR 97225 503-214-5200 it@oandfs.com http://www.oandfs.com Provider Int 3 Complete 2018/01/22 12:00:00 2018/01/23 12:00:00 2018/01/23 09:14:49 UV 2.16.840.1.113883.9.237 oidswh Southwoods Surgical Hospital Dennis Crumb masked Dennis Crumb 7630 Southern BLVD Boardman, OH 44512 7246831282 masked IT Manager The Surgical Hospital at Southwood 7630 Southern BLVD Boardman, OH 44512 3309654242 tech@muranskyco.com HL7 body Int 3 Complete 2018/01/22 12:00:00 2018/02/06 12:00:00 2018/02/06 09:37:59 UV 2.16.840.1.113883.3.7773 pharmetika Pharmetika Ryan Perry masked Pharmetika Ryan Perry 340 S LEMON AVE #3909 Walnut, CA 91789 8002224767 masked CIO Pharmetika 340 S LEMON AVE #3909 Walnut, CA 91789 8002224767 admin@pharmetika.com https://pharmetika.com Vendor Int 3 Complete 2018/01/22 12:00:00 2018/01/23 12:00:00 2018/01/23 09:17:03 UV 2.16.840.1.113883.9.238 medicabase medicabase Suzanne Pereira masked Suzanne Pereira 0173281188 masked VIDAL 21 rue Camille Desmoulins 92789 Issy Les Moulineaux 173281188 suzanne.bento-pereira@vidal.fr Prof Soc Int 3 Complete 2018/01/23 12:00:00 2018/03/30 12:00:00 2018/03/30 09:50:11 UV 2.16.840.1.113883.3.7774 cumcdrs1 Columbia Doctors InfoSys Anthony Teri masked Anthony Teri 400 Kelby Street Fort Lee, NJ 07024 212-304-7471 masked Senior Director of I.T. Columbia University 400 Kelby Street Fort Lee, NJ 07024 212-304-7471 ast2163@cumc.columbia.edu Provider Int 3 Complete 2018/01/23 12:00:00 2018/01/23 12:00:00 2018/01/23 09:22:29 UV 2.16.840.1.113883.3.7775 cogi Colorado Gastroenterology Patricia Bronikowski masked Kevin Sieja MD 1960 Ogden, Suite 220 Denver, CO 80218 3038610808 masked Managing Partner Colorado Gastroenterology 1960 Ogden, Suite 220 Denver, CO 80218 3038610808 patb@gicolorado.com http://www.gicolorado.com Provider Int 3 Complete 2018/01/23 12:00:00 2018/01/23 12:00:00 2018/01/23 09:28:26 UV 2.16.840.1.113883.3.7776 wsn Waldemar S. Nelson & Co., Inc. PKI Robert Denman masked Robert Denman 1200 St. Charles Avenue New Orleans, LA 70130 5045935347 masked IT DIRECTOR Waldemar S. Nelson & Co., Inc. robert.denman@wsnelson.com Provider Int 3 Complete 2018/01/24 12:00:00 2018/01/24 12:00:00 2018/01/24 09:01:09 UV 2.16.840.1.113883.3.7777 alliedservicesintegratedhealthsystem Allied Services Integrated Health System Chris Langley masked Allied Services Christopher Langley 100 Abington Executive Park Clarks Summit, PA 18411 570 341-3057 masked AVP of Information Systems Allied Services Integrated Health System 100 Abington Executive Park Clarks Summit, PA 18411 570 341-3057 clang1@allied-services.org https://www.allied-services.org Provider Int 3 Complete 2018/01/24 12:00:00 2018/01/24 12:00:00 2018/01/24 09:05:46 UV 2.16.840.1.113883.3.7778 digestivediseaseconsultants Digestive Disease Consultants OID Root Digestive Consultants masked Sandra Kicklighter 1501 Alice Street Waycross, GA 31501 9122870387 masked Administrator Digestive Disease Consultants 1501 Alice Street Waycross, GA 31501 9122850877 eomddc@gmail.com Provider Int 3 Complete 2018/01/24 12:00:00 2018/01/24 12:00:00 2018/01/24 09:30:40 UV 2.16.840.1.113883.3.7779 gmhc Gay Men's Health Crisis Ailish Bateman masked Ailish Bateman 446 W 33rd Street GMHC New York, NY 2123671144 masked Senior Director, Data and Evaluation Gay Men's Health Crisis 446 W 33rd Street GMHC New York, NY 2123671000 ailishb@gmhc.org http://www.gmhc.org Provider Int 3 Complete 2018/01/24 12:00:00 2018/01/24 12:00:00 2018/01/24 09:32:34 UV 2.16.840.1.113883.3.2402.200.6907 physicians-computer-company-clients-cpp Physician's Computer Company (PCC) client Connecticut Pediatric Partnership Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6907 2018/01/25 12:00:00 2018/01/25 12:00:00 2018/01/25 08:06:10 UV 2.16.840.1.113883.3.7780 jslny jslny-Jewish Senior Life NY Travis Masonis masked Travis Masonis Jewish Senior Life Information Technology 2021 Winton Road South Rochester, NY 14618 585-784-6440 masked Chief Information Office Jewish Senior Life Jewish Senior Life Information Technology 2021 Winton Road South Rochester, NY 14618 585-784-6440 infotechnology@jewishseniorlife.org Provider Int 3 Complete 2018/01/25 12:00:00 2018/01/25 12:00:00 2018/01/25 08:14:24 UV 2.16.840.1.113883.3.7781 pvbmc Platte Valley Medical Center Martin McCullough masked Julie Einhellig 2420 West 26th Ave., Suite 100D Denver, CO 80211 (303) 403-7740 masked Manager, Integration Services - CO/MT Platte Valley Med Center 1600 Prairie Center Parkway Brighton, CO 80601 303-498-1600 info@sclhs.net http://www.pvmc.org Provider Int 3 Complete 2018/01/25 12:00:00 2018/01/25 12:00:00 2018/01/25 08:17:30 UV 2.16.840.1.113883.3.7782 foresee ForeSee Medical Seth Flam masked Seth Flam 8334263348 masked ForeSee Medical sflam@foreseemed.com http://foreseemed.com/ Vendor Int 3 Complete 2018/01/26 12:00:00 2018/01/29 12:00:00 2018/01/29 09:19:00 UV 2.16.840.1.113883.3.2402.300.24 physicans-computer-company-vendors-ah Physician's Computer Company (PCC) Vendors Adventist Health Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.300.24 2018/01/29 12:00:00 2018/01/29 12:00:00 2018/01/29 09:22:51 UV 2.16.840.1.113883.17.4222 lhn-medicity-edi Lutheran Helath Network Medicity Enterprise Jeff DeJournett masked Jeff 38965 County Road 18 Roggen, CO 80652 303-552-6846 masked Senior Architect Lutheran Helath Network Medicity Enterprise 7950 W. Jefferson Blvd Fort Wayne, IN 46804 260-4793836 dmcfarland@lhn.net Provider 2.16.840.1.113883.3.5611 Int 17 Complete 2018/01/30 12:00:00 2018/01/30 12:00:00 2018/01/30 06:36:44 UV 2.16.840.1.113883.3.7783 nfp Newton Family Physicians Holly Cooke masked TriMed Technologies Holly Cooke 4140 Mendenhall Oaks Parkway High Point, NC 27265 866-874-6339 masked Newton Family Physicians 767 W 1st Street Newton, NC 28658 828-465-3928 mwhite@newtonfamilyphysicians.com Provider Int 3 Complete 2018/01/30 12:00:00 2018/01/30 12:00:00 2018/01/30 06:40:00 US 2.16.840.1.113883.3.7784 seabhs SouthEastern Arizona Behavioral Health Services, Inc Elaine Miller masked Elaine Miller 5206860632 masked Data Systems Manager SouthEastern Arizona Behavioral Health Services, Inc 611 W Union St Benson, AZ 85602 5205860800 MIS@seabhssolutions.org https://www.seabhs.org/ Provider Int 3 Complete 2018/01/30 12:00:00 2018/01/30 12:00:00 2018/01/30 06:42:48 UV 2.16.840.1.113883.3.7785 dtcfh DTC Family Health and Walk-in Angie Lopeman masked Angie Lopeman 8301 E Prentice Ave Ste 125 Greenwood Village, CO 80111 303-771-3939 ext 104 masked MA Care Coordinator DTC Family Health and Walk-in 8301 E Prentice Ave Ste 125 Greenwood Village, CO 80111 303-771-3939 dtcfamilyhealth1@gmail.com https://dtcfamilyhealth.com Provider Int 3 Complete 2018/01/30 12:00:00 2018/01/30 12:00:00 2018/01/30 07:03:09 UV 2.16.840.1.113883.3.7786 arw Applied Research Works, Inc Karen Leung-Noda masked Amitava Maulik 39300, Civic Center Dr #180, Fremont, CA 94538 1 (877) 862-7048 masked CTO Applied Research Works, Inc 39300, Civic Center Dr #180, Fremont, CA 94538 info@cozeva.com https://corp.cozeva.com/ Vendor Int 3 Complete 2018/01/30 12:00:00 2018/01/30 12:00:00 2021/07/26 01:24:08 UV 2.16.840.1.113883.3.7787 fhnh Fort Hudson Nursing Center, Inc. Amanda Waite masked Amanda Waite 319 Broadway Fort Edward, NY 12828 5187472811 masked Administrator Fort Hudson Nursing Center, Inc. 319 Broadway Fort Edward, NY 12828 5187472811 awaite@forthudson.com Provider Int 3 Complete 2018/01/30 12:00:00 2018/01/30 12:00:00 2018/01/30 07:11:07 UV 2.16.840.1.113883.3.7788 kansasHealthInformationNetwork Kansas Health Information Network identifier Andy Grittman masked Jody Denson 623 SW 10th Ave Topeka, KS 66612 (785) 438-0098 masked Chief Technology Officer & VP of Technology Solutions Kansas Health Information Network (KHIN) 623 SW 10th Ave Topeka, KS 66612 (785) 861-7490 lmccrary@khinonline.org https://www.khinonline.org Exchange Int 3 Complete 2018/01/31 12:00:00 2018/01/31 12:00:00 2023/11/02 05:22:17 US 2.16.840.1.113883.17.4223 ccbhs Chenango County Behavioral Health Services Andrea McIntyre masked Andrea McIntyre 5 Court St Suite 42 Norwich, NY 13815 607 337 1600 masked Compliance Officer Chenango County Behavioral Health Services 5 Court St Suite 42 Norwich, NY 13815 607 337 1600 andream@co.chenango.ny.us Provider Int 17 Complete 2018/01/31 12:00:00 2018/01/31 12:00:00 2018/01/31 08:06:26 UV 2.16.840.1.113883.17.4224 apfm-PartnerEnablement A Place For Mom - Partner Enablement Alisha Stalkfleet masked Alisha Stalkfleet 701 5th Ave Suite 3200, Seattle, WA 98104 866-333-7161 masked A Place For Mom, Inc. techop@aplaceformom.com https://www.aplaceformom.com Vendor Int 17 Complete 2018/01/31 12:00:00 2018/01/31 12:00:00 2018/01/31 08:18:17 UV 2.16.840.1.113883.3.7789 cgsi CGSI@SOLUTIONS-TI INC Tommy B&#233;langer masked Mario Fournier Tommy B&#233;langer 825 Lebourgneuf #307 Quebec, QC, G2J0B9 4186233442 masked Assistant Director CGSI@SOLUTIONS-TI INC 825 Lebourgneuf #307 Quebec, QC, G2J0B9 4186233442 mario.fournier@cgsi.qc.ca http://www.cgsi.qc.ca/ Provider Int 3 Complete 2018/01/31 12:00:00 2018/01/31 12:00:00 2018/01/31 07:56:22 UV 2.16.840.1.113883.3.7790 oumc OU Medical Center Kristian Brown masked Kevin Olson Kristian Brown 940 NE 13th, OKC, OK 73104 4th Floor Garrison Tower 405-271-8001 Ext 38692 masked Clinical Applications Manager OU Medicine Inc 700 NE 13th, OKC, OK 73104 405-271-5656 oumcis@oumedicine.com https://www.oumedicine.com/ Provider Int 3 Complete 2018/01/31 12:00:00 2018/01/31 12:00:00 2018/03/28 10:18:29 UV 2.16.840.1.113883.6.344 dsm5 DSM-5 Alexander Henket masked APA Answer Center 800 Maine Ave. S.W., Suite 900, Washington D.C. +1202-559-3900 masked American Psychiatry Association 800 Maine Ave. S.W., Suite 900, Washington D.C. +1202-559-3900 apa@psych.org https://www.psychiatry.org Prof Soc Int 6 Complete 2018/01/31 12:00:00 2018/03/30 12:00:00 2018/03/30 09:26:36 UV 2.16.840.1.113883.3.7791 shcoid Satellite Healthcare Shamyo Chatterjee masked Harini Srinivasan 300 Santana Row, Suite 300, San Jose, CA 95128 925-201-8015 masked Software Development Lead Satellite Healthcare 300 Santana Row, Suite 300, San Jose, CA 95128 925-201-8015 srinivasanh@satellitehealth.com Provider Int 3 Complete 2018/02/01 12:00:00 2018/02/06 12:00:00 2018/08/16 03:52:59 UK 2.16.840.1.113883.3.7792 montefiore-home-beachwood-ohio Montefiore Home Beachwood Ohio Margaret Roberts-Brown masked Montefiore Home One David Myers Parkway Beachwood, Ohio 44122 1-216-360-9080 masked Montefiore Home One David Myers Parkway Beachwood, Ohio 44122 1-216-360-9080 mbrown@montefiorecare.org Provider Int 3 Complete 2018/02/02 12:00:00 2018/02/06 12:00:00 2018/02/06 07:48:47 UV 2.16.840.1.113883.3.7793 ssepr San Lucas CCD Identification Angel Nazario masked Israel Perez PO Box 336810 Ponce, PR 00733-6810 7876251406 masked IT Supervisor Sistema de Salud Episcopal PO Box 336810 Ponce, PR 00733-6810 7876251406 jose.abram@ssepr.org https://www.sanlucaspr.org Exchange Int 3 Complete 2018/02/02 12:00:00 2018/02/06 12:00:00 2018/02/06 07:54:34 UV 2.16.840.1.113883.3.7794 sus Services For the UnderServed BALAKUMAR BALASUBRAMANIAN masked Services For the UnderServed BALAKUMAR BALASUBRAMANIAN 620 freedom business center Suite 115 King Of Prussia, PA 19406 6106876080 masked Product Director Services For the UnderServed 463 7th Avenue, 17th Floor New York, NY 10018 212-633-6900 MGoldsmith@sus.org http://sus.org Provider Int 3 Complete 2018/02/02 12:00:00 2018/02/06 12:00:00 2018/02/06 07:56:44 UV 2.16.840.1.113883.3.7795 stcamillusrhcf St. Camillus Residential Health Care Facility Sean Quinn masked Sean Quinn 813 Fay Road Syracuse, NY 13219 315-703-0645 masked Director of Information Systems St. Camillus Residential Health Care Facility 813 Fay Road Syracuse, NY 13219 315-488-2951 stcamillusrhcf@st-camillus.org Provider Int 3 Complete 2018/02/05 12:00:00 2018/02/06 12:00:00 2018/02/06 08:41:05 UV 2.16.840.1.113883.3.7796 logibec Logibec Georges Haddad masked Daniel Cote Daniel Cote 700 Wellington bur 1500 Montreal, QC H3C 3S4 1-514-766-0134 masked Enterprise Architect Logibec 700 Wellington bur 1500 Montreal, QC H3C 3S4 1-514-766-0134 hl7_oid@logibec.com http://www.logibec.com Vendor Int 3 Complete 2018/02/06 12:00:00 2018/02/06 12:00:00 2018/02/06 08:44:02 UV 2.16.840.1.113883.3.7797 caMedCenter CAMC Health System, Inc. April Dawson masked April Dawson 400 Association Drive, Suite 200 Charleston, WV 25311 304-388-8596 masked CAMC Health System, Inc. 501 Morris Street Charleston, WV 25301 304-388-5432 april.dawson@camc.org Provider Int 3 Complete 2018/02/08 12:00:00 2018/02/08 12:00:00 2018/02/08 08:53:46 UV 2.16.840.1.113883.3.7798 tricenter TRI Center Inc. Joe Gonzalez masked TRI Center Inc. Joe Gonzalez 1369 Broadway New York, NY 10018 2122688830 masked Pres/CEO TRI Center Inc. 1369 Broadway New York, NY 10018 2122688830 tricenter@msn.com https://tricenter.com Provider Int 3 Complete 2018/02/08 12:00:00 2018/02/08 12:00:00 2018/02/08 08:57:48 UV 2.16.840.1.113883.3.7799 stvhs-1 St. Vincent's Health System Katherine Buchwald masked Katherine Buchwald 810 St. Vincent's Drive Birmingham, AL 35205 2055583472 masked EHR Site Lead St. Vincent's Health System 810 St. Vincent's Drive Birmingham, AL 35205 2059397000 kay.buchwald@ascension.org http://stvhs.com Provider Int 3 Complete 2018/02/12 12:00:00 2018/02/13 12:00:00 2018/02/13 07:53:36 UV 2.16.840.1.113883.3.7800 ehi Enable Healthcare Inc. Peter Silas masked Peter Silas 100 Eagle Rock Avenue East Hanover, NJ 07936 6464425468 masked Mgr Enable Healthcare Inc. 100 Eagle Rock Avenue, East Hanover, NJ 07936 6464425468 peter@ehiconnect.com https://ehiconnect.com Vendor Int 3 Complete 2018/02/12 12:00:00 2018/02/13 12:00:00 2018/02/13 07:56:11 UV 2.16.840.1.113883.3.7801 eldw Elderwood Administrative Services Karen Camacho masked Karen Camacho 500 Seneca Street Suite 100 Buffalo, NY 14204 716-225-8598 masked Director of Information Analytics Elderwood Administrative Services 500 Seneca Street Suite 100 Buffalo, NY 14204 716-633-3900 cbozard@elderwood.com http://www.elderwood.com/ Vendor Int 3 Complete 2018/02/13 12:00:00 2018/02/13 12:00:00 2018/02/13 08:31:57 UV 2.16.840.1.113883.3.7802 wmpc Woodhaven Medical PC Syed Rahman masked Syed Ahmad Moosa 8017 237th Street, Fl 2nd, Queens Village, NY 11427 8609318426 masked Transcriber Woodhaven Medical PC 89-12 Woodhaven Blvd, Woodhaven, NY 11421 7184412640 wmedical1@gmail.com https://www.zocdoc.com/doctor/syed-rahman-md-80161 Provider Int 3 Complete 2018/02/13 12:00:00 2018/02/13 12:00:00 2018/02/13 08:36:33 UV 2.16.840.1.113883.3.7803 bayhealthdev BayHealth Development Donald Francis masked Donald Francis 6475 Christie Avenue, Suite 560 Emeryville, CA 94608 415-353-3869 masked Solutions Architect, Interoperability Program Director BayHealth Development 6475 Christie Avenue, Suite 560 Emeryville, CA 94608 415-353-3869 don.francis@bayhealthdevelopment.com http://www.bayhealthdevelopment.com/ Provider Int 3 Complete 2018/02/13 12:00:00 2018/02/13 12:00:00 2018/02/13 08:55:44 UV 2.16.840.1.113883.9.239 ips91 Integrated Pathology Services, PLLC Michael Morley masked Michael Morley 9150 West Indian School Road, Suite 122 Phoenix, AZ 85037 6238890100 masked Administrative Services Officer Integrated Pathology Services, PLLC 9150 West Indian School Road, Suite 122 Phoenix, AZ 85037 6238890100 m.morley@integrated-pathology.com http://www.integrated-pathology.com Provider Int 3 Complete 2018/02/13 12:00:00 2018/02/13 12:00:00 2018/02/13 08:58:51 US 2.16.840.1.113883.3.7804 cLIFFHOME1 Cliffside Nursing Home Shmuel Freedman masked Shmuel Freedman 119-19 Graham Ct, Flushing, NY 11354 (718) 886-0700 masked Cliffside Nursing Home 119-19 Graham Ct, Flushing, NY 11354 718 886 0700 sf@cliffsiderehab.com Provider Int 3 Complete 2018/02/15 12:00:00 2018/02/16 12:00:00 2018/02/16 07:07:19 UV 2.16.840.1.113883.3.7805 lmctx Lavaca Medical Center Dale Zoch-Hardilek masked Dale Zoch-Hardilek 361-798-3671 ext 1204 masked CIO Lavaca Medical Center 1400 North Texana Street Hallettsville, TX 77964 361-798-3671 dalez@lavacamedcen.com Provider Int 3 Complete 2018/02/16 12:00:00 2018/02/16 12:00:00 2018/02/16 07:10:54 UV 2.16.840.1.113883.3.7806 hcm Hill Country Memorial Hospital Shane Dickinson masked Shane Dickinson 830-990-1553 masked Hill Country Memorial 1020 S. State Hwy 16 Fredericksburg, TX 78624 830-997-4353 shane.dickinson@hillcountrymemorial.org Provider Int 3 Complete 2018/02/19 12:00:00 2018/02/22 12:00:00 2018/02/22 07:52:08 UV 2.16.840.1.113883.3.7807 lcmc Little Colorado Medical Center Doug Umlah masked Robert Kolomitz Little Colorado Medical Center 1501 N. Williamson Ave. Winslow, AZ 86047 928-289-6314 masked Little Colorado Medical Center 1501 N. Williamson Ave. Winslow, AZ 86047 928-289-6314 Helpdesk@lcmcwmh.com http://www.lcmcwmh.com Provider Int 3 Complete 2018/02/19 12:00:00 2018/02/22 12:00:00 2018/02/22 07:53:30 UV 2.16.840.1.113883.3.7808 matAbrahamMD Mathew, Abraham MD., PC Gary Gorsline masked Easy Business Software Gary Gorsline 3632 Land O Lakes Boulevard Suite 101 Land O Lakes, FL 34639 8139952200 masked CEO Easy Business Software 3632 Land O Lakes Boulevard Suite 101 Land O Lakes, FL 34639 8139952200 gary@ezbizware.com http://www.x-link.info Vendor Int 3 Complete 2018/02/20 12:00:00 2018/02/22 12:00:00 2018/02/22 07:56:08 UV 2.16.840.1.113883.3.7809 hsp-nbh Northern Beaches Hospital Nuhaim Amirdeen masked Nuhaim Amirdeen Healthscope IT Level 1, 312 St Kilda Road Melbourne 3004 Australia +61488368574 masked Systems Integration Manager Northern Beaches Hospital Northern Beaches Hospital Frenchs Forest NSW 2086 +613 9926 7500 nuhaim.amirdeen@healthscope.com.au http://www.northernbeacheshospital.com.au/ Provider Int 3 Complete 2018/02/21 12:00:00 2018/02/22 12:00:00 2018/02/22 07:57:55 UV 2.16.840.1.113883.3.7810 ems-hie emsCharts EMS Health Information Exchange Peter Goutmann masked Peter Goutmann 420 Commonwealth Dr, Suite 200 Warrendale, PA 15086 (412) 256-7200 masked President emsCharts, Inc. 420 Commonwealth Dr, Suite 200 Warrendale, PA 15086 (412) 256-7200 goutmann@emscharts.com http://www.emscharts.com Vendor Int 3 Complete 2018/02/21 12:00:00 2018/02/22 12:00:00 2018/02/22 08:04:49 UV 2.16.840.1.113883.3.7811 mHOID Millennium Health Brian Hood masked Millennium Health Brian Hood 16981 Via Tazon San Diego, CA 92127 8584513535 masked Director of IS & EMR Millennium Health 16981 Via Tazon San Diego, CA 92127 8584513535 brian.hood@millenniumhealth.com http://www.millenniumhealth.com/ Provider Int 3 Complete 2018/02/22 12:00:00 2018/02/22 12:00:00 2018/02/22 08:10:40 UV 2.16.840.1.113883.3.7812 shhs-1 Ascension Sacred Heart Health System Meghan Sumner masked Michael Martz Michael Martz 5130 Bayou Blvd Suite 2A Pensacola, FL 32504 8504167914 masked MIO Ascension Sacred Heart 5151 N 9th Ave Pensacola, FL 32504 850-416-7000 michael.martz@ascensionn.org http://www.sacred-heart.org Provider Int 3 Complete 2018/02/23 12:00:00 2018/02/23 12:00:00 2018/02/23 01:44:00 UV 2.16.840.1.113883.3.7813 phs-1 Ascension Providence Health System Meghan Sumner masked Michael Martz Meghan Sumner 5130 Bayou Blvd Suite 2A Pensacola, FL 32504 8504161190 masked Manager Ascension Providence Health System 6801 Airport Blvd Mobile, AL 36685 251-633-1000 michael.martz@ascension.org https://www.providencehospital.org/ Provider Int 3 Complete 2018/02/23 12:00:00 2018/02/23 12:00:00 2018/02/23 01:46:45 UV 2.16.840.1.113883.3.7814 nk-oid Dr. Nina Kashtelyan Nina Kashtelyan masked Nina Kashtelyan 4000 Old Court Rd. Suite 205 Baltimore, MD 21208 410-382-8278 masked Physician Dr. Nina Kashtelyan 4000 Old Court Rd. Suite 205 Baltimore, MD 21208 410-484-9950 vadim@drninapediatrics.com http://www.drninapediatrics.com/ Provider Int 3 Complete 2018/02/23 12:00:00 2018/02/23 12:00:00 2018/02/23 02:37:09 UV 2.16.840.1.113883.3.2402.200.6908 physicians-computer-company-clients-aqua Physician's Computer Company (PCC) client Aquarius Pediatrics Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6908 2018/02/23 12:00:00 2018/02/23 12:00:00 2018/02/23 02:40:01 UV 2.16.840.1.113883.3.7815 deltaOID Delta Health Technologies Anthony Beerbower masked Nicole Bright Delta Health Technologies 400 Lakemont Park Blvd Altoona, PA 16602 800-444-1651 masked Delta Health Technologies 400 Lakemont Park Blvd Altoona, PA 16602 800-444-1651 Licensing@deltahealthtech.com http://deltahealthtech.com/ Vendor Int 3 Complete 2018/02/26 12:00:00 2018/02/27 12:00:00 2022/07/12 01:25:08 UV 2.16.840.1.113883.3.7816 wincintmed Winchester Internal Medicine Larry McCauley masked Larry Lynn McCauley 540-504-0004 ext 3117 masked Office Manager Winchester Internal Medicine 190 Campus BLVD Suite 200 Winchester, VA 22601 540-662-6135 lmccauley@winchesterim.com Provider Int 3 Complete 2018/02/26 12:00:00 2018/02/27 12:00:00 2018/02/27 05:50:04 UV 2.16.840.1.113883.17.4225 thegarage The Garage Tessy Nash masked Pranam Ben One South Orange Ave., Suite 506 Orlando, FL 32801 (407) 730-2286 masked CEO The Garage One South Orange Ave., Suite 506 Orlando, FL 32801 (407) 730-2286 info@thegaragein.com http://www.thegaragein.com Vendor Int 17 Complete 2018/02/27 12:00:00 2018/02/27 12:00:00 2018/02/27 06:06:16 UV 2.16.840.1.113883.3.7817 crccarerite CareRite Centers Peter Rizzo masked Peter Rizzo 9172733851 masked Dir. Clinical Applications Carerite Centers 1700 Sylvan Ave Englewood Cliffs, NJ 07632 9172733851 prizzo@careritecenters.com Provider Int 3 Complete 2018/02/27 12:00:00 2018/02/27 12:00:00 2018/02/27 05:59:49 UV 2.16.840.1.113883.3.7818 mp Medycyna Praktyczna Bernard Wirkijowski masked Bernard Wirkijowski +48122934000 masked Medycyna Praktyczna Cholerzyn 445 32-060 Liszki Poland +48122934000 sekretariat@mp.pl http://www.mp.pl/ Vendor Int 3 Complete 2018/02/28 12:00:00 2018/02/28 12:00:00 2018/02/28 09:07:57 UV 2.16.840.1.113883.4.944 fmc-hl7-oid Fairfield Medical Center Alan Greenslade masked Alan Greenslade 401 N Ewing St. Lancaster, Ohio 43130 740-689-6825 masked Chief Admin Officer Fairfield Medical Center 401 N Ewing St. Lancaster, Ohio 43130 740-687-8000 alang@fmchealth.org http://www.fmchealth.org Provider Int 3 Complete 2018/02/28 12:00:00 2018/02/28 12:00:00 2018/02/28 05:43:22 UV 2.16.840.1.113883.6.345 medrt Medication Reference Terminology Caroline Macumber masked Michael J. Lincoln MD, FACMI Michael J. Lincoln MD, FACMI 801-588-5200 masked Chief Terminologist US Department of Veterans Affairs 550 Foothill Boulevard Salt Lake City, UT 84113 michael.lincoln@va.gov Govt body Int 6 Complete 2018/03/01 12:00:00 2018/03/30 12:00:00 2018/03/30 09:30:09 UV 2.16.840.1.113883.3.7819 pchca Pickens County Health Care Authority Richard McBryde masked Richard McBryde 241 Robert K Wilson Drive Carrollton, AL 35447 2053678111 masked Director of Finance Pickens County Health Care Authority 241 Robert K Wilson Drive Carrollton, AL 35447 2053678111 richard.mcbryde@pcmc.care Provider Int 3 Complete 2018/03/02 12:00:00 2018/03/02 12:00:00 2018/03/02 10:17:36 UV 2.16.840.1.113883.3.7820 generationsgealthcare-oid Generations Healthcare OID Paul Haider masked Paul Haider 714-824-6122 masked Director of Information Technology Generations Healthcare 6 Hutton Center Drive, Suite 400 Santa Ana, CA 92707 714-824-6122 paul.haider@lifegen.net https://www.generationshealthcare.com Provider Int 3 Complete 2018/03/02 12:00:00 2018/03/05 12:00:00 2018/03/05 08:51:56 UV 2.16.840.1.113883.3.7821 renaissanceSOTOMAYOR DHR Health - PSJA Sotomayor Family Health Center Marie Rios masked Delia Munoz 1200 E Polk Ave Pharr, TX 78577 956-601-0339 masked Practice Administrator DHR Health - PSJA Sotomayor Family Health Center 1200 E Polk Ave Pharr, TX 78577 956-601-0339 de.munoz@dhr-rgv.com Provider Int 3 Complete 2018/03/02 12:00:00 2018/03/05 12:00:00 2018/03/05 08:58:00 UV 2.16.840.1.113883.3.7822 renaissancePHYSMED DHR Health - Physical Medicine and Rehabilitation Marie Rios masked Travis Corwin 5323 S McColl Rd Edinburg, TX 78539 956-362-6561 masked Practice Administrator DHR Health - Physical Medicine and Rehabilitation 5323 S McColl Rd Edinburg, TX 78539 956-362-6561 travis.corwin@dhr-rgv.com Provider Int 3 Complete 2018/03/02 12:00:00 2018/03/05 12:00:00 2018/03/05 09:00:17 UV 2.16.840.1.113883.3.7823 renaissancePEDIENDOCRINE Diabetes & Endocrinology Institute at Renaissance - Pedi Marie Rios masked Maggie Salinas 2821 Michael Angelo Drive, Suite 102A Mcallen, TX 78501 956-362-5650 masked Office Manager/Practice Admin Diabetes & Endocrinology Institute at Renaissance - Pedi 2821 Michael Angelo Drive, Suite 102A Mcallen, TX 78501 956-362-5650 Mag.Salinas@dhr-rgv.com Provider Int 3 Complete 2018/03/02 12:00:00 2018/03/05 12:00:00 2018/03/05 09:23:11 UV 2.16.840.1.113883.9.240 eBF-OID Easterseals Blake Foundation Johnathan Davis masked Johnathan Jesse Davis 7750 E Broadway Blvd, Tucson, AZ 85710 520-373-3150 masked EHR/Data Coordinator Easterseals Blake Foundation 7750 E Broadway Blvd, Tucson, AZ 85710 520-327-1529 lmorales@blake.easterseals.com Provider Int 3 Complete 2018/03/05 12:00:00 2018/03/05 12:00:00 2018/03/05 09:35:43 UV 2.16.840.1.113883.3.7824 lua LUA Associates PC Gary Kearney masked Gary Paul Kearney 319 Longwood Avenue Suite 5 Boston, MA 6172770100 masked President LUA Associates PC 319 Longwood Avenue Suite 5 Boston, MA 02115 6172770100 gkearney@longwoodurology.com http://www.longwoodurology.com Provider Int 3 Complete 2018/03/06 12:00:00 2018/03/06 12:00:00 2018/03/06 06:43:24 UV 2.16.840.1.113883.3.7825 nhca National Healthcare Associates Martin Markovits masked Martin Markovits 20 East Sunrise Highway, Valley Stream, NY 11581 646-704-6123 masked CIO National Healthcare Associates 20 East Sunrise Highway, Valley Stream, NY 11581 516-705-4800 mmarkovits@nathealthcare.com http://nathealthcare.com/ Provider Int 3 Complete 2018/03/07 12:00:00 2018/03/09 12:00:00 2018/03/09 05:08:54 UV 2.16.840.1.113883.3.7826 mobia Mobia Technology Innovations Standards Infodesk masked Don Trotter Unit 13, 340 Wright Ave, Dartmouth, NS B3B 0B3 (902) 468-8000 masked Senior HealthCare Architect Mobia Technology Innovations Unit 13, 340 Wright Ave, Dartmouth, NS B3B 0B3 (902) 468-8000 don.trotter@mobia.io http://mobia.io Vendor Int 3 Complete 2018/03/07 12:00:00 2018/03/09 12:00:00 2018/03/09 05:16:44 UV 2.16.840.1.113883.3.7827 taah Amsterdam at Harborside Richard Pineda masked Richard Pineda 2125317884 masked Director of IT Amsterdam at Harborside 300 East Overlook Port Washington, NY 11050 2125317884 rpineda@amsterdamnh.org Provider Int 3 Complete 2018/03/08 12:00:00 2018/03/09 12:00:00 2018/03/09 05:20:36 UV 2.16.840.1.113883.3.7828 ctca-hospital-system-oncology Cancer Treatment Centers of America Brian Treptow masked Brian Treptow 636 N 137th Ave Goodyear, AZ 85338 623 207 3677 masked CTO Cancer Treatment Centers of America brian.treptow@ctca-hope.com http://www.cancercenter.com Provider Int 3 Complete 2018/03/08 12:00:00 2018/03/09 12:00:00 2018/03/09 05:24:47 UV 2.16.840.1.113883.3.7829 ahvi Alaska Heart and Vascular Heart Institute Matthew Gravelle masked Matthew Gravelle 3841 Piper St Anchorage, AK 99508 9072645700 masked IT Manager Alaska Heart & Vascular Institute 3841 Piper St Anchorage, AK 99508 9075613211 ahimis@alaskaheart.com Provider Int 3 Complete 2018/03/08 12:00:00 2018/03/09 12:00:00 2018/03/09 05:28:52 UV 2.16.840.1.113883.3.7830 glmmh George L Mee Memorial Hospital Rena Salamacha masked Rena Salamacha 300 Canal Street King City, CA 93930 8313857284 masked CIO George L Mee Memorial Hospital 300 Canal Street King City, CA 8313856000 rsalamacha@meememorial.com Provider Int 3 Complete 2018/03/09 12:00:00 2018/03/09 12:00:00 2018/03/09 05:18:54 UV 2.16.840.1.113883.3.7831 fivestarphysicians Five Star Physician Services Lee Maynard masked Five Star Lee Maynard 901 Elkridge Landing Road Suite 100 Linthicum Heights, MD 21090 4435485700 masked Vice President of Operations Five Star Physician Services 901 Elkridge Landing Road Ste 100 Linthicum Heights, MD 21090 4435485700 lmaynard@fivestarphysician.com Provider Int 3 Complete 2018/03/09 12:00:00 2018/03/09 12:00:00 2018/03/09 05:28:48 UV 2.16.840.1.113883.3.7832 swc Specialists in Women's Care, PC Nicole Pinkerton masked Nicole Pinkerton 555 S. Camino Del Rio Suite B2 Durango, CO 81303 970-259-0701 masked President Specialists in Women's Care, PC 555 S. Camino Del Rio Suite B2 Durango, CO 81303 970-259-0701 gynecology301@gmail.com http://drpinkerton.com Provider Int 3 Complete 2018/03/09 12:00:00 2018/03/09 12:00:00 2018/03/09 08:55:32 UV 2.16.840.1.113883.3.7833 metrofmc Metropolitan Family Medical Clinic Shawna Sanchez masked sandra_metro@msn.com Sandra Gonzalez 742 W Highland Ave San Bernardino, CA 92405-3839 9098817320 masked Administrator Metropolitan Family Medical Clinic 742 W Highland Ave San Bernardino, CA 92405-3839 9098817320 sandra_metro@msn.com http://metro-clinic.net/metclinic/ Provider Int 3 Complete 2018/03/12 12:00:00 2018/03/14 12:00:00 2018/03/14 10:44:56 UV 2.16.840.1.113883.3.7834 nhcc-act New Horizon Counseling Center Jeremy Merrill masked Elizabeth Felix Jeremy Merrill Jeremy Merrill c/o New Horizon Counseling Center 108-19 Rockaway Blvd Ozone Park, NY 11420 718-945-2273 masked Director of Care Management New Horizon Counseling Center 108-19 Rockaway Blvd Ozone Park, NY 11420 718-945-2273 jeremy@nhcc.us http://www.nhcc.us Provider Int 3 Complete 2018/03/13 12:00:00 2018/03/14 12:00:00 2018/03/14 10:48:01 UV 2.16.840.1.113883.3.7835 lakehealth-lcfp LHPG Lake County Family Practice David Adams masked David Adams Lake Health 7590 Auburn Road Concord Township, OH 44077 440-354-1205 masked Systems and Programming Manager LHPG Lake County Family Practice Lake County Family Practice 9500 Mentor Ave Suite 100 Mentor, OH 44060 440-352-4880 Eileen.Sraj@lakehealth.org http://www.lcfp.net/ Provider Int 3 Complete 2018/03/13 12:00:00 2018/03/14 12:00:00 2018/03/14 10:52:39 UV 2.16.840.1.113883.3.7836 brantonjarrah Branton and Jarrah, PA Lloyd Morris masked Lloyd Morris 4109759160 masked Branton & Jarrah PA 1205 Pemberton Drive Suite 101 Salisbury, MD 21801 (410) 546-5141 lbranton15@comcast.net Provider Int 3 Complete 2018/03/14 12:00:00 2018/03/14 12:00:00 2018/03/14 10:57:18 UV 2.16.840.1.113883.3.7837 lfpd Larkspur Fire Protection District Stuart Mills masked Stuart Eric Mills 9414 Spruce Mountain Road Larkspur, CO 80118 303-681-3284 masked Fire Chief Larkspur Fire Protection District 9414 Spruce Mountain Road Larkspur, CO 80118 303-681-3284 smills@larkspurfire.org https://www.larkspurfire.org/ Govt body Int 3 Complete 2018/03/14 12:00:00 2018/03/14 12:00:00 2018/03/14 11:03:12 UV 2.16.840.1.113883.3.7838 abelmedInc ABELMed Inc. Arun Rele masked johnr@abelhealthgroup.com David Clarkson 3310 South Service Rd. Burlington, ON L7N 3M6 +1 905 333 3200 masked COO ABELMed Inc. 3310 South Service Rd. Burlington, ON L7N 3M6 +1 905 333 3200 davec@abelhealthgroup.com http://www.abelmed.com Vendor Int 3 Complete 2018/03/15 12:00:00 2018/03/16 12:00:00 2018/03/16 08:35:27 UV 2.16.840.1.113883.4.945 safe Safe Group Inc Santosh jami masked Safe Group Inc Santosh jami 1639 11th Street, Suite 200 Santa Monica, CA 90404 7324211531 masked Integration Architect Safe Group Inc 1639 11th Street, Suite 200 Santa Monica, CA 90404 7324211531 Santosh@safemovement.org https://safemovement.org Vendor Int 3 Complete 2018/03/16 12:00:00 2018/03/16 12:00:00 2018/03/16 08:41:31 UV 2.16.840.1.113883.3.7839 n-s-c Northwest Specialty Clinics Jon Reasoner masked Jon Reasoner 3355 Riverbend Dr. Springfield, OR 97477 541-868-9383 masked IS Manager Northwest Specialty Clinics 3355 Riverbend Dr. Springfield, OR 97477 541-868-9395 support@nwspecialtyclinics.com http://www.nwspecialtyclinics.com Provider Int 3 Complete 2018/03/16 12:00:00 2018/03/16 12:00:00 2018/03/16 08:39:30 UV 2.16.840.1.113883.17.4226 caredox CareDox Benjamin Maisano masked Brendan Lavender +1 (732) 965-7199 masked Customer Solutions Manager CareDox 104 W 40th St. Suite 1030 New York, NY 10018 +1 (347) 696-7067 brendan@caredox.com Vendor Int 17 Complete 2018/03/19 12:00:00 2018/03/20 12:00:00 2018/03/20 09:22:46 UV 2.16.840.1.113883.3.7840 cPIHINC COMMUNITY PARTNERS INTERGRATED HEALTH INC Maria Alvarez masked Scott Couch Scott Couch 44 E. Broadway, Suite 100 Tucson, Arizona 85701 520-325-4268 masked Director, Population Health Management CPIH 44 E. Broadway, Suite 100 Tucson, Arizona 85701 520-325-4268 scott.couch@communitypartnersinc.org https://www.communitypartnersinc.org Provider Int 3 Complete 2018/03/19 12:00:00 2018/03/20 12:00:00 2018/03/20 10:01:11 UV 2.16.840.1.113883.3.7841 chs4700 Communicare Health Services Renee Boyd masked Renee Boyd 4700 Ashwood Dr. Cincinnati, Ohio 45241 (419) 564-9403 masked EHR Implementatin Manager Point Click Care 5570 Explorer Drive Mississauga, Ontario L4W 0C4 (800) 277-5889 support@pointclickcare.com https://login.pointclickcare.com/home/userLogin.xhtml Vendor Int 3 Complete 2018/03/20 12:00:00 2018/03/20 12:00:00 2018/03/20 10:03:58 UV 2.16.840.1.113883.3.7842 cassena Cassena Care Anthony Derosa masked Anthony Derosa 5164227817 masked Vice President of Finance Cassena Care 225 Crossways Park Drive, Woodbury, NY 11797 itdept@cassenacare.com Provider Int 3 Complete 2018/03/20 12:00:00 2018/03/20 12:00:00 2018/03/20 10:06:52 UV 2.16.840.1.113883.3.7843 epS2017 Empower Psychiatry & Sleep LLC Ravi Singareddy masked Reese Jing 770-615-0226 masked Front Office Empower Psychiatry & Sleep LLC 3890 Johns Creek Pkwy, Suite 200 Suwanee, GA 30024 770-615-0226 empowerpsysleep@outlook.com https://none.org Provider Int 3 Complete 2018/03/21 12:00:00 2018/03/21 12:00:00 2018/03/21 08:06:06 UV 2.16.840.1.113883.3.7844 falck Falck Rocky Mountain Andrew Katz masked Andrew Katz 10703 E Bethany Dr, Aurora, CO 80014 7209250545 masked IT Support Falck Rocky Mountain 10703 E Bethany Dr, Aurora, CO 80014 720-857-7000 falckusa@falck.com http://us.falck.com/en/us_emergency/ Provider Int 3 Complete 2018/03/22 12:00:00 2018/03/23 12:00:00 2018/03/23 08:31:16 UV 2.16.840.1.113883.3.7845 praxisemr Infor*Med Medical Information Systems, Inc. Richard Low masked Infor*Med Medical Information Systems, Inc. Ariel Guatta 7108 DeSoto Ave. Suite 201A Canoga Park, CA 91303 8185922900 masked Admin Infor*Med Medical Information Systems, Inc. 7108 DeSoto Ave. Suite 201A Canoga Park, CA 91303 8185922900 admin@praxisemr.com http://www.praxisemr.com/ Vendor 1.3.6.1.4.1.44807 Int 3 Complete 2018/03/22 12:00:00 2018/03/23 12:00:00 2018/03/23 08:35:07 UV 2.16.840.1.113883.3.7846 myhealth-ECWtoDSRIP MyHealth Long Island ECW--DSRIP Jody Scardino masked MYHEALTHLI 100 Hospital Road Patchogue, NY 11772 6316874244 masked Analyst MYHEALTHLI 100 Hospital Road Patchogue, NY 11772 6316874244 jscardino@bmhmc.org Provider Int 3 Complete 2018/03/23 12:00:00 2018/03/23 12:00:00 2018/03/23 08:47:17 UV 2.16.840.1.113883.3.7847 ch-riv Continuum Health - Riverside Ryan Stouffer masked Ryan Stouffer 402 Lippencott Drive Marlton, NJ 08053 8567621944 masked Continuum Health 402 Lippencott Drive Marlton, NJ 08053 8567823300 appadmins@continuumhealth.net Vendor Int 3 Complete 2018/03/23 12:00:00 2018/03/23 12:00:00 2018/03/23 09:00:23 UV 2.16.840.1.113883.3.7848 bellport-eCWtoDSRIP Bellport eClinical Works to DSRIP Mary Shortell masked Mary Shortell 101 Hospital Road Patchogue, NY 11772 631-447-3653 masked Applications Manager Brookhaven Memorial Hospital 101 Hospital Road Patchogue, NY 11772 631-447-3653 meshortell@bmhmc.org Provider Int 3 Complete 2018/03/23 12:00:00 2018/03/23 12:00:00 2018/03/23 09:08:58 UV 2.16.840.1.113883.5.1139 workClassificationODH Work Classification (Occupational Data for Health) William Ted Klein masked Genevieve Luensman +1 404-488-5585 masked HL7 Public Health Workgroup Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org/Special/committees/pher/index.cfm HL7 body 2.16.840.1.113883 Int 5 Complete 2018/03/24 12:00:00 2018/03/24 12:00:00 2018/03/24 03:49:39 HL70953 UV 2.16.840.1.113883.5.1150 ips-codeSystemRoot International Patient Summary Code System Root Kai Heitmann MD masked William Ted Klein Kai Heitmann Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 masked Representative International Patient Summary Structured Documents Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org HL7 body 2.16.840.1.113883 Ext 5 5 Complete 2.16.840.1.113883.5.1150 2018/03/27 12:00:00 2018/03/27 12:00:00 2018/03/27 08:35:53 UV 2.16.840.1.113883.3.7849 famserv Family Service of the Piedmont, Inc. Steve Hess masked Family Service of the Piedmont, Inc. 902 Bonner Drive Jamestown, NC 27282 336-387-6161 masked Family Service of the Piedmont, Inc. 902 Bonner Drive Jamestown, NC 27282 336-387-6161 steve.hess@fspcares.org https://www.fspcares.org Provider Int 3 Complete 2018/03/27 12:00:00 2018/03/27 12:00:00 2018/03/27 08:37:44 UV 2.16.840.1.113883.3.7850 sjcjenks SJC Primary Care Jenks Jennifer Lockhart masked Jennifer Lockhart 9184034085 masked SJC Primary Care Jenks 220 South Elm Jenks, OK 74037 9184037144 ahisha.peters@ascension.org Provider Int 3 Complete 2018/03/27 12:00:00 2018/03/27 12:00:00 2018/03/27 08:55:16 UV 2.16.840.1.113883.3.7851 sjcbixby SJC Primary Care Bixby Jennifer Lockhart masked Jennifer Lockhart 9184034085 masked SJC Primary Care Bixby 7673 E 121st Street South Bixby, OK 74008 9184037140 ahisha.peters@ascension.org Provider Int 3 Complete 2018/03/27 12:00:00 2018/03/27 12:00:00 2018/03/27 08:58:06 UV 2.16.840.1.113883.3.7852 sjcurgentjenks SJC Urgent Care Jenks Jennifer Lockhart masked Jennifer Lockhart 9184034085 masked SJC Urgent Care Jenks 220 South Elm Jenks, OK 74037 9184037146 ahisha.peters@ascension.org Provider Int 3 Complete 2018/03/27 12:00:00 2018/03/27 12:00:00 2018/03/27 09:02:34 UV 2.16.840.1.113883.3.7853 sjcurgentbixby SJC Urgent Care Bixby Jennifer Lockhart masked Jennifer Lockhart 9184034085 masked SJC Urgent Care Bixby 7673 E 121st Street South Bixby, OK 74008 9184037142 ahisha.peters@ascension.org Provider Int 3 Complete 2018/03/27 12:00:00 2018/03/27 12:00:00 2018/03/27 09:25:18 UV 2.16.840.1.113883.3.7854 sjcpawhuska SJC Cardiology Pawhuska Jennifer Lockhart masked Jennifer Lockhart 9184034085 masked SJC Cardiology Pawhuska 701 Leahy Ave Pawhuska, OK 74056 9182871310 ahisha.peters@ascension.org Provider Int 3 Complete 2018/03/27 12:00:00 2018/03/27 12:00:00 2018/03/27 09:32:59 UV 2.16.840.1.113883.3.7855 hQI-2017 HEALTH QUALITY INC Jose Baez masked IVONE PAGAN 978-655-5349 masked PRACTICE MANAGER HEALTH QUALITY INC 290 MERRIMNACK ST, STE 205 LAWRENCE, MA 01843 978-655-5349 IPAGAN69@ICLOUD.COM Provider Int 3 Complete 2018/03/27 12:00:00 2018/03/27 12:00:00 2018/03/27 09:36:15 UV 2.16.840.1.113883.3.7856 wbmmdpc Wilbert Maniego, MD, PC Angelica Maniego masked Wilbert maniego, MD, PC Angelica Maniego 915 Hillside Ave., New Hyde Park, NY 11040 7183437600 masked Office Manager Wilbert Maniego, MD, PC 915 Hillside AVe., New Hyde Park, NY 11040 7183437600 dokwil@aol.com Provider Int 3 Complete 2018/03/27 12:00:00 2018/03/27 12:00:00 2018/03/27 09:49:21 UV 2.16.840.1.113883.3.7857 astria Astria Health John Andersen masked John Andersen Astria Sunnyside Hospital PO Box 719 Sunnyside, WA 98944 509-837-1620 masked Director of Infrastructure Astria Health PO Box 979 Sunnyside, WA 98944 509-837-1620 help@astriahealth.com http://www.astria.health Provider Int 3 Complete 2018/03/27 12:00:00 2018/03/28 12:00:00 2018/03/28 09:06:42 UV 2.16.840.1.113883.3.7858 greenwayexchange Greenway Exchange Kevin Williams masked Kevin Williams 100 Greenway Blvd., Carrollton, GA 30117 678-839-4274 masked Senior Software Engineer &#8211; Interoperability Services Greenway Exchange 100 Greenway Blvd. Carrollton, GA 30117 GX_InteropDev@greenwayhealth.com https://www.greenwayhealth.com Vendor Int 3 Complete 2018/03/28 12:00:00 2018/03/28 12:00:00 2018/03/28 09:10:22 UV 2.16.840.1.113883.3.7859 oumc-edmond OU Medical Center Edmond Kristian Brown masked Kevin Olson Kristian Brown 700 NE 13th, OKC, OK 73104 405-271-8001 Ext 38692 masked Clinical Applications Manager OU Medicine Inc 700 NE 13th, OKC, OK 73104 405-271-5656 oumcis@oumedicine.com https://www.oumedicine.com/ Provider Int 3 Complete 2018/03/28 12:00:00 2018/03/28 12:00:00 2018/03/28 09:21:52 UV 2.16.840.1.113883.3.7860 ou-breasthealth OU Breast Health Network Kristian Brown masked Kevin Olson Kristian Brown 700 NE 13th, OKC, OK 73104 405-271-8001 Ext 38692 masked Clinical Applications Manager OU Medicine Inc 700 NE 13th, OKC, OK 73104 405-271-5656 oumcis@oumedicine.com https://www.oumedicine.com/ Provider Int 3 Complete 2018/03/28 12:00:00 2018/03/28 12:00:00 2018/03/28 09:33:24 UV 2.16.840.1.113883.3.7861 c364-1429 Chiricahua Community Health Centers Erik Moreno masked Reachel Friend 155 Calle Portal Suite 100 Sierra Vista, AZ 85635 520-515-8666 masked IT Analyst Chiricahua Community Health Centers, Inc. 155 Calle Portal Suite 100 Sierra Vista, AZ 85635 520-364-1429 itdept@cchci.org https://cchci.org/ Provider Int 3 Complete 2018/03/28 12:00:00 2018/03/28 12:00:00 2018/03/28 09:39:30 UV 2.16.840.1.113883.3.7862 ashc Aspen Skilled Healthcare David Chocco masked Cathy Schmidt 28202 Cabot Road Suite 412 Laguna Niguel, CA 92677 9493477100 masked VP of Compliance Aspen Skilled Healthcare 28202 Cabot Road Suite 412 Laguna Niguel, CA 92677 9493477100 dchocco@aspenskilledhealth.com Provider Int 3 Complete 2018/03/29 12:00:00 2018/03/29 12:00:00 2018/03/29 08:59:20 UV 2.16.840.1.113883.3.7863 famc1 Faulkton Area Medical Center Tom Hericks masked Faulkton Area Medical Center Tom Hericks 1300 Oak Street / PO Box 100 Faulkton, SD 57438 6055981218 masked Faulkton Area Medical Center 1300 Oak Street / PO Box 100 Faulkton, SD 57438 6055981218 tom.hericks@faulktonmedical.org Provider Int 3 Complete 2018/03/30 12:00:00 2018/03/30 12:00:00 2018/03/30 08:15:04 UV 2.16.840.1.113883.17.4227 awoc-shan Shannon On Demand Alfredo Morales masked Alfredo Morales 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x 3643 masked Director, Technical Implementation Services American Well 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x:3643 alfredo.morales@americanwell.com Vendor 2.16.840.1.113883.3.634 Int 17 Complete 2018/03/30 12:00:00 2018/03/30 12:00:00 2018/03/30 09:04:51 UV 2.16.840.1.113883.3.7864 awoc-hmhs Houston Methodist Virtual Care Alfredo Morales masked Alfredo Morales 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x 3643 masked Director, Technical Implementation Services American Well 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x 3643 alfredo.morales@americanwell.com Vendor 2.16.840.1.113883.3.634 Int 17 3 Complete 2018/03/30 12:00:00 2018/03/30 12:00:00 2018/03/30 09:06:58 UV 2.16.840.1.113883.3.7865 menninger-clinic The Menninger Clinic Wesley Daniels masked Wesley Daniels 936-698-9359 masked The Menninger Clinic 12301 S Main St, Houston, TX 77035 936-698-9359 wdaniels@menninger.edu Academic Int 3 Complete 2018/03/30 12:00:00 2018/03/30 12:00:00 2018/03/30 09:09:53 UV 2.16.840.1.113883.3.7866 sco Spine Colorado, PC Christopher Scott masked Christopher Scott 1 Mercado Street, Suite 200 Durango, CO 81301 970-382-9500 masked CEO Spine Colorado, PC 1 Mercado Street, Suite 200 Durango, CO 81301 970-382-9500 cscott@spinecolorado.com http://www.spinecolorado.com Provider Int 3 Complete 2018/03/30 12:00:00 2018/03/30 12:00:00 2018/03/30 09:16:49 UV 2.16.840.1.113883.3.963.5.1.4 mercyHospitalStAnthonys mercyHospitalStAnthonys James Lyons masked James Lyons 3143643980 masked Mercy Health System 3637 Geyer Rd Sunset Hills, MO 63127 MISDEpicInterface@Mercy.Net Provider 2.16.840.1.113883.3.963 Ext 17 Complete 2.16.840.1.113883.3.963.5.1.4 2018/04/03 12:00:00 2018/04/03 12:00:00 2018/04/03 09:03:16 UV 2.16.840.1.113883.3.7867 indianarmc Indiana Regional Medical Center Root Jerry Cosner masked Jerry Cosner 835 Hospital Road Indiana, PA 15701 7244711583 masked Manager, Information Technology Indiana Regional Medical Center 835 Hospital Road Indiana, PA 15701 7243577000 jcosner@indianarmc.org http://www.indianarmc.org Provider Int 3 Complete 2018/04/03 12:00:00 2018/04/03 12:00:00 2018/04/03 09:06:20 UV 2.16.840.1.113883.3.7868 xogroup XO Group Inc Root OID Michael Snyder masked Michael Snyder 2700 W Anderson Ln STE 901 Austin, TX 78757 512-814-6914 masked Lead Systems Engineer XO Group Inc 195 Broadway 25th Floor New York, NY 10007 877-843-5668 datacentersupport@xogrp.com https://xogroupinc.com Vendor Int 3 Complete 2018/04/03 12:00:00 2018/04/03 12:00:00 2018/04/03 09:09:10 UV 2.16.840.1.113883.3.7869 babylonpeds EDWARD TOM, MD Edward Tom masked EDWARD TOM 50 N CARLL AVENUE BABYLON, NY 11702 6316613693 masked EDWARD TOM, MD 50 N CARLL AVENUE BABYLON, NY 11702 6316613693 BABYLONPEDS@YAHOO.COM Provider Int 3 Complete 2018/04/04 12:00:00 2018/04/04 12:00:00 2018/04/04 08:01:53 UV 2.16.840.1.114222.4.1.7701 ogh Olean General Hospital Melody Stuckey masked bmurphy@uahs.org Brad Murphy 515 Main Street Olean, NY 14760 716-375-6155 masked Supervisor/Project Manager Information Technology Olean General Hospital 515 Main Street Olean, NY 14760 716-373-2600 jyaworsky@uahs.org https://www.ogh.org Provider 2.16.840.1.114222.4 Ext 17 Complete 2.16.840.1.114222.4.1.7701 2018/04/04 12:00:00 2018/04/13 12:00:00 2018/04/13 07:46:45 UV 2.16.840.1.113883.3.7870 stlukeshospital St. Luke's Hospital OID Root Ian Byrne masked Leigh Eward Ian M. Byrne St. Luke's Hospital 5901 Monclova Road Maumee, Ohio 43537 14198937747 masked Sr. Manager of Clinical Applications St. Luke's Hospital 5901 Monclova Road Maumee, Ohio 43537 14198937747 ian.byrne@stlukeshospital.com https://www.stlukeshospital.com/ Provider Int 3 Complete 2018/04/04 12:00:00 2018/04/04 12:00:00 2018/04/04 08:08:00 UV 2.16.840.1.113883.3.7871 cpfm Center Pointe Family Medicine Tonnie Darling masked Tonnie Darling 5410 Powers Center Point Suite 230 Colorado Springs, CO 80920 7192826100 masked Administrator Center Pointe Family Medicine 5410 Powers Center Point Suite 230 Colorado Springs, CO 80920 7192826100 contact@cpfamilymedicine.com https://www.cpfamilymedicine.com Provider Int 3 Complete 2018/04/09 12:00:00 2018/04/09 12:00:00 2018/04/09 08:19:14 UV 2.16.840.1.113883.3.7872 krhc Keystone Rural Health Consortia, Inc. Kristie Bennardi masked Kristie Bennardi 90 East 2nd Street, Emporium, PA 15834 8144861115 masked CEO Keystone Rural Health Consortia, Inc 90 East 2nd Street, Emporium, PA 15834 8144861115 kriben@keystoneruralhealth.com http://www.keystoneruralhealth.com/ Provider Int 3 Complete 2018/04/09 12:00:00 2018/04/09 12:00:00 2018/04/09 08:20:21 UV 2.16.840.1.113883.3.7873 kpp Kings Point Pediatrics Daniel Benilevi masked Daniel Benilevi 200 Middle Neck Road Great Neck, NY 11021 5164663311 masked MD/Owner Kings Point Pediatrics 200 Middle Neck Road Great Neck, NY 11021 5164663311 kppdoc@gmail.com Provider Int 3 Complete 2018/04/09 12:00:00 2018/04/09 12:00:00 2018/04/09 08:43:59 UV 2.16.840.1.113883.2.49 hl7Ukraine HL7 Ukraine Root William Ted Klein masked Linda Jenkins Leonid Stoyanov HL7 Ukraine 3 Poddubnogo Ivana str. Kyiv 03061 Ukraine +380 443336829 masked HL7 Ukraine Chair HL7 Ukraine HL7 Ukraine Leonid Stoyanov HL7 Ukraine Chair Richna vul. 3, app. 5 Kyiv 01135 Ukraine +380 443336829 info@HL7.org.ua HL7 body 2.16.840.1.113883 Int 2 Complete 2018/04/09 12:00:00 2018/04/09 12:00:00 2018/04/09 09:21:54 UV 2.16.840.1.113883.9.241 ed-OID Ethan H. Dubin, MD Ethan Dubin masked Falene Nochomovitz 21 Crossroads Drive, Suite 205 Owings Mills, MD 21117 4103562306 masked Office Manager Dr. Ethan Dubin 21 Crossroads Drive, Suite 205 Owings Mills, MD 21117 4103562306 drethandubin@gmail.com Provider Int 3 Complete 2018/04/10 12:00:00 2018/04/10 12:00:00 2018/04/10 09:46:34 UV 2.16.840.1.113883.17.4228 cmh Cuba Memorial Hospital Melody Stuckey masked Brad Murphy Brad Murphy 515 Main Street Olean, NY 14760 716-375-6155 masked Supervisor/Project Manager Information Technology Cuba Memorial Hospital 140 West Main Street Cuba, NY 14727 585-968-2000 jyaworsky@uahs.org https://www.cubamemorialhospital.com/ Provider Int 17 Complete 2018/04/10 12:00:00 2018/04/10 12:00:00 2018/04/10 09:36:54 UV 2.16.840.1.113883.3.7874 fcs Family Care Specialists, PC Nancy Moya masked Nancy Moya 201 Lamkin Street Unit 101 Pueblo, CO 81003 719-543-6633 masked owner Family Care Specialists, PC 201 Lamkin Street Unit 101 Pueblo, CO 81003 719-543-6633 fcspueblo@comcast.net http://www.fcspueblo.com Provider Int 3 Complete 2018/04/10 12:00:00 2018/04/10 12:00:00 2018/04/10 09:43:10 UV 2.16.840.1.113883.3.7875 anthem Anthem Inc. Christine Green masked Christine Green Anthem, Inc. 201 Monument Cir, Indianapolis, IN 46204 3035646046 masked Anthem, Inc. 8003311476 christol.green@anthem.com https://www.anthem.com Payor Int 3 Complete 2018/04/11 12:00:00 2018/04/12 12:00:00 2018/04/12 09:37:07 US 2.16.840.1.113883.3.7876 edaris Edaris Health Carolyn Doucette masked Carolyn Doucette 1550 Soldiers Field Rd Boston, MA 02135 7815477636 masked Edaris Health 1550 Soldiers Field Rd Boston, MA 02135 781-547-7777 support@edaris.com https://www.edaris.com/ Vendor Int 3 Complete 2018/04/12 12:00:00 2018/04/12 12:00:00 2018/04/12 09:40:16 UV 2.16.840.1.113883.17.4229 crisis-Prep Crisis Preparation and Recovery Michael Magarinos masked Michael Magarinos 1400 E Southern Ave, Suite 705, Tempe, AZ, 85282 4808040326 masked Informatics Director Crisis Preparation & Recovery, Inc. 1400 E Southern Ave, Suite 705, Tempe, AZ, 85282 4808040326 mmagarinos@crisisprepandrecovery.com http://crisisprepandrecovery.com/ Provider Int 17 Complete 2018/04/13 12:00:00 2018/04/13 12:00:00 2018/04/13 07:44:16 UV 2.16.840.1.113883.17.4230 onhcno O'Neill Healthcare North Olmsted Jason Jacobs masked Jason Jacobs 38642 Center Ridge Road North Ridgeville, Ohio 44039 4403875557 masked Project Manager O'Neill Healthcare North Olmsted 4800 Clague Road North Olmsted, Ohio 44070 4407349933 projectmanager@oneillhc.com Provider Int 17 Complete 2018/04/16 12:00:00 2018/04/17 12:00:00 2018/04/17 09:27:33 UV 2.16.840.1.113883.17.4231 onhcbv O'Neill Healthcare Bay Village Jason Jacobs masked Jason Jacobs 38642 Center Ridge Road North Ridgeville, Ohio 44039 4403875557 masked O'Neill Healthcare Bay Village 605 Bradley Road Bay Village, Ohio 44140 4403875557 projectmanager@oneillhc.com Provider Int 17 Complete 2018/04/16 12:00:00 2018/04/17 12:00:00 2018/04/17 09:30:39 UV 2.16.840.1.113883.17.4232 onhcfp O'Neill Healthcare Fairview Park Jason Jacobs masked Jason Jacobs 38642 Center Ridge Road North Ridgeville, Ohio 44039 4403875557 masked Project Manager O'Neill Healthcare Fairview Park 20770 Lorain Road Fairview Park, Ohio 44126 4403310300 projectmanager@oneillhc.com Provider Int 17 Complete 2018/04/16 12:00:00 2018/04/17 12:00:00 2018/04/17 09:35:57 UV 2.16.840.1.114222.4.1.6912 brmc Bradford Regional Medical Center Melody Stuckey masked Brad Murphy Brad Murphy 515 Main Street Olean, NY 14760 716-375-6155 masked Supervisor/Project Manager Information Technology Bradford Regional Medical Center 116 Interstate Pkwy Bradford, PA 16701 814-368-4143 jyaworsky@uahs.org https://www.brmc.com/ Provider 2.16.840.1.114222.4 Ext 17 Complete 2.16.840.1.114222.4.1.6912 2018/04/18 12:00:00 2018/04/18 12:00:00 2018/04/18 10:56:27 UV 2.16.840.1.113883.3.7877 caPMP Prescription Monitorng Program Standards Infodesk masked Andrew Liu Canada Health Infoway 150 King Street West, Suite 1300 Toronto, Ontario M5H 1J9 Canada 416) 595-3449 Ext.3080 masked Canada Health Infoway HL7 Canada c/o Canada Health Infoway 150 King Street West, Suite 1300 Toronto, Ontario M5H 1J9 Canada 416-595-3417 standards@infoway-inforoute.ca SDO Int 3 Complete 2018/04/18 12:00:00 2018/04/18 12:00:00 2018/04/18 11:00:06 UV 2.16.840.1.113883.17.4233 kaiinno-prescribeit KAI Innovations - PrescribeIT Arjun Kumar masked KAI Innovations 905-444-9166 masked KAI Innovations support@kaiinnovations.com Vendor Int 17 Complete 2018/04/18 12:00:00 2018/04/18 12:00:00 2018/04/18 11:04:43 CA 2.16.840.1.113883.3.7878 uson Urology Specialists of Nevada Shelley Ray masked itsupport@usonv.com James Crom 2716 N. Tenaya Way Las Vegas, NV 89128 7027248804 masked IT Manager Urology Specialists of Nevada 2716 N. Tenaya Way Las Vegas, NV 89128 7027248804 itsupport@usonv.com Provider Int 3 Complete 2018/04/18 12:00:00 2018/04/18 12:00:00 2018/04/18 11:17:04 UV 2.16.840.1.113883.3.7879 youthfocus Youth Focus David Coleman masked Hannah Labas David Coleman 405 Parkway Suite A Greensboro, NC 27401 336-542-0888 masked Director of Operations Youth Focus 405 Parkway Suite A Greensboro, NC 27401 336-274-5909 dcoleman@youthfocus.org https://www.youthfocus.org/ Provider Int 3 Complete 2018/04/19 12:00:00 2018/04/19 12:00:00 2018/04/19 09:33:05 UV 2.16.840.1.113883.3.7880 chsinc Canadian Health Systems Integrations Rick Delorme masked Rick Delorme 204-1902 Robertson Road Ottawa, Ontario K2H 5B8 6137273372 masked VP Product Development Canadian Health Systems Inc 204-1902 Robertson Road Ottawa, Ontario K2H 5B8 18882258310 info@chsinc.ca http://www.chsinc.ca Vendor Int 3 Complete 2018/04/19 12:00:00 2018/04/19 12:00:00 2018/04/19 09:39:37 UV 2.16.840.1.113883.3.7217.500.1 mmchildrenshopealliance Children's Hope Alliance (Harris Public Health Solutions) Chris Parham masked Chris Parham Chris Parham 2165 W. Park Ct. Ste. G Stone Mountain, GA 30087 8005510775 masked Mitchell and McCormick 2165 W. Park Ct. Ste. G Stone Mountain, GA 30087 8005510775 cparham@harriscomputer.com Vendor 2.16.840.1.113883.3.7217 Ext 17 Complete 2.16.840.1.113883.3.7217.500.1 2018/04/19 12:00:00 2018/04/19 12:00:00 2018/04/19 09:45:55 UV 2.16.840.1.113883.3.7881 elcor0124 Elcor Operating company LLC Suzanne Rose masked Suzanne Rose 48 Colonial Dr Horseheads, NY 14845 607-739-3654 masked MDS Coordinator Elcor Operating Company LLC 48 Colonial Dr Horseheads, NY 14845 607-739-3654 srose@elcor.us http://www.elcor.us Provider Int 3 Complete 2018/04/20 12:00:00 2018/04/21 12:00:00 2018/04/21 05:25:51 UV 2.16.840.1.113883.3.7882 ca-CDHBC College of Dental Hygienists of British Columbia Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked College of Dental Hygienists of British Columbia Suite 600, 3795 Carey Road, Victoria, BC V8Z 6T8 1-250-383-4101 Product-management@prescribeIT.ca http://www.cdhbc.com/About-CDHBC.aspx Prof Soc Int 4 Complete 2018/04/23 12:00:00 2018/04/23 12:00:00 2022/01/06 10:41:45 UV 2.16.840.1.113883.3.7883 ca-CDHM College of Dental Hygienists of Manitoba Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked College of Dental Hygienists of Manitoba College of Dental Hygienists of Manitoba 109-420 Des Meurons Street Winnipeg, MB R2H2N9 204-219-2678 Product-management@prescribeIT.ca http://www.cdhm.info/ Prof Soc Int 4 Complete 2018/04/23 12:00:00 2018/04/23 12:00:00 2022/01/06 10:42:21 UV 2.16.840.1.113883.3.7884 ca-CDHO College of Dental Hygienists of Ontario Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked Canada Health Infoway-PrescribeIT&#174; 69 Bloor Street East, Suite 300 Toronto, ON M4W 1A9 416-961-6234; 1-800-268-2346 Product-management@prescribeIT.ca http://www.cdho.org/ Prof Soc Int 2.16.840.1.113883.3.239.13.7 3 Retired 2018/04/23 12:00:00 2018/04/23 12:00:00 2018/10/30 10:32:27 UV 2.16.840.1.113883.3.7885 ca-CRDHA College of Registered Dental Hygienists of Alberta Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked Canada Health Infoway-PrescribeIT&#174; 302, 8657 &#8211; 51 Avenue Edmonton AB T6E 6A8 (780) 465-1756; 1-877-465-1756 Product-management@prescribeIT.ca http://www.crdha.ca/ Prof Soc Int 2.16.840.1.113883.4.25 3 Retired 2018/04/23 12:00:00 2018/04/23 12:00:00 2018/10/30 10:51:34 UV 2.16.840.1.113883.3.7886 ca-OHDQ L'Ordre des Hygi&#233;nistes Dentaires du Qu&#233;bec Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked L'Ordre des Hygi&#233;nistes Dentaires du Qu&#233;bec 1212-1155, boul. Robert-Bourassa, Montr&#233;al, Qu&#233;bec H3B 3A7 1-514-284-7639; 1-800-361-2996 Product-management@prescribeIT.ca http://www.ohdq.com Prof Soc Int 4 Complete 2018/04/23 12:00:00 2018/04/23 12:00:00 2022/01/06 10:43:07 UV 2.16.840.1.113883.3.7887 ca-NBCDH New Brunswick College of Dental Hygienists Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked New Brunswick College of Dental Hygienists 120 rue High Street Suite #209 Moncton, NB E1C 6B5 1-506-872-3133 Product-management@prescribeIT.ca http://www.nbcdh.ca/ Prof Soc Int 4 Complete 2018/04/23 12:00:00 2018/04/23 12:00:00 2022/01/06 10:43:54 UV 2.16.840.1.113883.3.7888 ca-NLCDH Newfoundland and Labrador College of Dental Hygienists Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked Newfoundland and Labrador College of Dental Hygienists 390 Topsail Road P.O.Box 39008 St.John's NL A1E 5Y7 1-888-733-6462 Product-management@prescribeIT.ca http://www.nlcdh.com Prof Soc Int 4 Complete 2018/04/23 12:00:00 2018/04/23 12:00:00 2022/01/06 10:44:42 UV 2.16.840.1.113883.3.7889 ca-PEIDHA Prince Edward Island Dental Hygienists' Association Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked Prince Edward Island Dental Hygienists' Association 81 Prince Street Charlottetown, PE C1A 4R3 1-888-733-6462 Product-management@prescribeIT.ca http://www.peidha.ca/ Prof Soc Int 4 Complete 2018/04/23 12:00:00 2018/04/23 12:00:00 2022/01/06 10:45:21 UV 2.16.840.1.113883.3.7890 ca-RgtrHSSNT Registrar, Professional Licensing, Health and Social Services, Government of Northwest Territories Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked Registrar, Professional Licensing, Health and Social Services, Government of Northwest Territories 5015-49th Street (7th Floor) P.O. Box 1320 Yellowknife, NT X1A 2L9 867-767-9067 Product-management@prescribeIT.ca http://www.hss.gov.nt.ca/en/services/professional-licensing Govt body Int 4 Complete 2018/04/23 12:00:00 2018/04/23 12:00:00 2022/01/06 10:46:21 UV 2.16.840.1.113883.3.7891 ca-SDHA Saskatchewan Dental Hygienists' Association Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked Saskatchewan Dental Hygienists' Association 1024 8th Street East Saskatoon, SK S7H 0R9 (306) 931-7342 Product-management@prescribeIT.ca http://www.sdha.ca/index.php/about-sdha/ Prof Soc Int 4 Complete 2018/04/23 12:00:00 2018/04/23 12:00:00 2022/01/06 10:58:31 UV 2.16.840.1.113883.3.7892 ca-CDHNS The College of Dental Hygienists of Nova Scotia Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked Canada Health Infoway-PrescribeIT&#174; Armdale Professional Building 11 &#8211; 2625 Joseph Howe Drive Halifax, Nova Scotia Canada B3L 4G4 (902) 444-7241 Product-management@prescribeIT.ca http://www.cdhns.ca/ Prof Soc Int 3 Retired 2018/04/23 12:00:00 2018/04/23 12:00:00 2018/11/09 12:07:31 UV 2.16.840.1.113883.3.7893 ca-CPPAB The College of Podiatric Physicians of Alberta Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked Canada Health Infoway-PrescribeIT&#174; P.O. Box 88094 Rabbit Hill Road, Edmonton, AB T6R 0M5 780-977-1706; 1-888-220-3338 Product-management@prescribeIT.ca https://www.albertapodiatry.com/ Prof Soc Int 2.16.840.1.113883.4.447 3 Retired 2018/04/23 12:00:00 2018/04/23 12:00:00 2018/10/30 10:45:32 UV 2.16.840.1.113883.3.7894 ca-COBC College of Optometrists of British Columbia Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked Canada Health Infoway-PrescribeIT&#174; 906 &#8211; 938 Howe Street Vancouver, BC V6Z 1N9 604.623.3464;1.866.910.3464 Product-management@prescribeIT.ca http://optometrybc.com Prof Soc Int 2.16.840.1.113883.4.429 3 Retired 2018/04/23 12:00:00 2018/04/23 12:00:00 2018/11/08 11:53:26 UV 2.16.840.1.113883.3.7895 chcpa Community Health Clinic, Inc. Raji Jayakrishnan masked Raji Jayakrishnan Community Health Clinic, Inc. 943 Fourth Ave. New Kensington, PA 15068 724-335-3334 masked Executive Director Community Health Clinic, Inc. 943 Fourth Ave. New Kensington, PA 15068 724-335-3334 raji@communityhealthclinic.org http://www.communityhealthclinic.org Provider Int 3 Complete 2018/04/23 12:00:00 2018/04/23 12:00:00 2018/04/23 10:00:05 UV 2.16.840.1.113883.3.7896 gwp Greenwood Pediatrics Gery Lee masked Gery Lee 9094 E Mineral Ave #100 Centennial, CO 80112 3036943200 masked IT Coordinator Greenwood Pediatrics 9094 E Mineral Ave #100 Centennial, CO 80112 3036943200 glee@greenwoodpediatrics.com http://www.greenwoodpediatrics.com Provider Int 3 Complete 2018/04/23 12:00:00 2018/04/23 12:00:00 2018/04/23 10:06:04 UV 2.16.840.1.113883.17.4234 microquest Microquest - PrescribeIT OID Daniel Black masked Daniel Black 4404 94 Street NW Edmonton, Alberta T6E 6T7 Canada 7804383762 masked Microquest 4404 94 Street NW Edmonton, Alberta T6E 6T7 Canada 7804383762 dan@microquest.ca https://www.microquest.ca Vendor Int 2.16.840.1.113883.3.163.99.1.7.2 17 Retired 2018/04/24 12:00:00 2018/04/24 12:00:00 2019/04/03 10:24:58 UV 2.16.840.1.113883.3.7897 nhchdWilmingtonNC New Hanover County Health Department Carla Turner masked Carla Turner New Hanover County Health Department 2029 South 17th Street Wilmington, NC 28401 910-798-6559 masked Personal Health Services Manager New Hanover County Health Department 2029 South 17th Street Wilmington, NC 28401 910-798-6559 cturner@nhcgov.com https://health.nhcgov.com/ Provider Int 3 Complete 2018/04/24 12:00:00 2018/04/24 12:00:00 2018/04/24 07:29:36 UV 2.16.840.1.113883.9.242 kbic-DHHS KBIC Health System Kathleen Mayo masked Kathleen Mayo 102 Superior Avenue Baraga, MI 49908 906-353-4519 masked Assistant health Administartor Keweenaw Bay Indian Community 16429 Beartown Road Baraga, MI 49908 9063536623 mpetoskey@kbic-nsn.gov Govt body Int 3 Complete 2018/04/25 12:00:00 2018/04/25 12:00:00 2018/04/25 09:33:56 UV 2.16.840.1.113883.3.7898 wbrmc West Branch Regional Medical Center Peter Whyte masked peter.whyte@midmichigan.org Peter Whyte West Branch Regional Medical Center 2463 South M-30 West Branch, MI 48661 +1 989-343-3640 masked IT Director West Branch Regional Medical Center 2463 South M-30 West Branch, MI 48661 +1 989-343-3660 peter.whyte@midmichigan.org http://www.wbrmc.com Provider Int 3 Complete 2018/04/25 12:00:00 2018/04/25 12:00:00 2018/04/25 09:37:56 UV 2.16.840.1.113883.3.7899 idspecialists Infectious Disease Specialists Randi Ropp masked Infectious Disease Specialists 3230 E. Woodmen Rd Ste 210 Colorado Springs, CO 80920 719-578-5176 masked Practice Administrator Infectious Disease Specialists 3230 E. Woodmen Rd Ste 210 Colorado Springs, CO 80920 719-578-5176 rropp@idsdrs.com https://www.idsdrs.com Provider Int 3 Complete 2018/04/25 12:00:00 2018/04/25 12:00:00 2018/04/25 09:41:05 UV 2.16.840.1.113883.4.946 eccovia Eccovia Solutions Frank Parth masked Sam Taylor Sam Taylor 545 E 4500 S, Millcreek, UT 84107 801.290.5492 masked Solutions Director, Health and Human Services Eccovia Solutions 545 E 4500 S, Millcreek, UT 84107 801.451.2885 sales@eccoviasolutions.com https://eccoviasolutions.com/ Exchange Int 4 2.16.840.1.113883.3.7900 4 Retired 2018/04/25 12:00:00 2018/08/31 09:27:14 US 2.16.840.1.113883.3.7900 eccovia Eccovia, Inc. Frank Parth masked Paul LaForge 2150 W Parkway Blvd, Suite A-101, West Valley City, UT 84119 801.290.5495 masked Chief Technology Officer Eccovia, Inc. 2150 W Parkway Blvd, Suite A-101, West Valley City, UT 84119 801.290.5495 cloudit@eccovia.com https://eccovia.com/ Exchange Int 3 Complete 2018/04/25 12:00:00 2018/04/30 12:00:00 2023/09/25 06:02:40 UV 2.16.840.1.113883.3.7901 mhcs Memorial Health Care Systems Mark Criner masked Mark Criner 300 N Columbia Ave Seward, NE 68434 402-646-4708 masked Director of Information Technology Memorial Health Care Systems 300 N Columbia Ave Seward, NE 68434 402-643-2971 mark.criner@mhcs.us https://www.mhcs.us/ Provider Int 3 Complete 2018/04/26 12:00:00 2018/04/26 12:00:00 2018/04/26 08:28:45 UV 2.16.840.1.113883.3.7902 plumtreefam Plumtree Family Health Center Lloyd Morris masked Lloyd Morris 4109759160 masked Plumtree Family Health Center 104 Plumtree Road Suite 102 Bel Air, MD 21015 410-569-4224 cmarkel@plumtreehealth.com Provider Int 3 Complete 2018/04/26 12:00:00 2018/04/26 12:00:00 2018/04/26 08:35:14 UV 2.16.840.1.113883.3.7903 sti-ErikJonesMD Dr. Erik Jones Mary Swayze masked Mary Swayze 5096381191 masked Stanford Technology support@stanfordtechnology.com http://stanfordtechnology.com/ Vendor Int 3 Complete 2018/04/26 12:00:00 2018/04/26 12:00:00 2018/05/30 12:19:57 US 2.16.840.1.113883.3.7904 psjh-hie PSJH HIE Theo Siagian masked Theo Siagian 1515 W Orangewood Ave, Anaheim, CA 92805 7145895735 masked Executive Director, HIE & Interoperability PSJH HIE 1515 W Orangewood Ave, Anaheim, CA 92805 7145895735 hie@stjoe.org https://www.stjhs.org/our-programs/health-information-exchange/ Provider Int 3 Complete 2018/04/26 12:00:00 2018/04/26 12:00:00 2018/04/26 09:27:07 UV 2.16.840.1.113883.3.7905 adaoid Albemarle Dermatology Associates OID Mandy Shifflett masked Mandy Shifflett 3350 Berkmar Drive Charlottesville, VA 22901 434-923-4651 masked Medical Office Manager - Albemarle Dermatology Associates Albemarle Dermatology Associates 3350 Berkmar Drive Charlottesville, VA 22901 434-923-4651 mshifflett@albemarledermatology.com Provider Int 3 Complete 2018/04/27 12:00:00 2018/04/27 12:00:00 2018/04/27 09:09:41 UV 2.16.840.1.113883.17.4235 eKare eKare Insight Adil Alaoui masked Adil Alaoui 3040 Williams Drive, Suite 610 Fairfax, VA 22031, USA 2023297450 masked CIO eKare Inc 3040 Williams Drive, Suite 610 Fairfax, VA 22031, USA 2023297450 aalaoui@ekareinc.com http://ekare.ai Vendor Int 17 Complete 2018/04/27 12:00:00 2018/04/27 12:00:00 2018/04/27 09:21:53 UV 2.16.840.1.113883.3.7906 ebh-Phoenix Ebony House Calicia White masked Calicia R White 6222 South 13th Street, Phoenix, AZ 85042 602-276-4288 masked Program Director Ebony House 6222 South 13th Street, Phoenix, AZ 85042 602-276-4288 wfreeman@ebonyhouseinc.org http://ebonyhouseinc.org Provider Int 3 Complete 2018/04/30 12:00:00 2018/04/30 12:00:00 2018/04/30 09:01:04 UV 2.16.840.1.113883.3.7907 fda-ctp-eTTD-CV USFDA CTP Electronic Tobacco Technical Document Controlled Vocabulary Jeffrey Smith masked Jeffrey K. Smith FDA, Center for Tobacco Products 10903 New Hampshire Avenue, Silver Spring, MD 20993 301-796-8870 masked Project Manager U.S. Food and Drug Administration, Data Standards Advisory Board FDA, Center for Tobacco Products 10903 New Hampshire Avenue, Silver Spring, MD 20993 1-888-463-6332 AskCTP@fda.hhs.gov https://www.fda.gov/TobaccoProducts/AboutCTP/ContactUs/default.htm Govt body 2.16.840.1.113883.3.24 Int 3 Complete 2018/05/01 12:00:00 2018/05/02 12:00:00 2018/05/02 10:03:47 UV 2.16.840.1.113883.3.7908 acacia-net Acacia Network Ronald Howard masked Ronald Howard 324 E 149th St Bronx, NY 10451 9176216878 masked IT Project Manager Acacia Network 300 E 175th St Bronx, NY 10457 718-299-1100 rohoward@promesa.org Provider Int 3 Complete 2018/05/01 12:00:00 2018/05/02 12:00:00 2018/05/02 10:05:47 UV 2.16.840.1.113883.3.7909 lpnt-sfh St. Francis Hospital Trevor Dickerson masked Terry Phillips 330 Seven Springs Way Brentwood, TN 37027 615-920-7170 masked Director, Clinical Data Integration and Exchange LifePoint Health, Inc. 330 Seven Springs Way Brentwood, TN 37027 615-920-7000 terry.phillips@lpnt.net http://www.lifepointhealth.net Provider 2.16.840.1.113883.3.2169 Int 3 Complete 2018/05/02 12:00:00 2018/05/02 12:00:00 2018/05/02 10:10:07 UV 2.16.840.1.113883.3.7910 cspc Colorado Springs Pulmonary Consultants, PC Sandra Robben-Weber masked Sandra May Robben-Weber 2222 N Nevada Ave STE 4004 Colorado Springs, CO 80907-6832 7194717064 masked Practice Administrator Colorado Springs Pulmonary Consultants, PC 2222 N Nevada Ave STE 4004 Colorado Springs, CO 80907-6832 7194717064 sandra@cspulmonary.com http://coloradospringspulmonary.com Provider Int 3 Complete 2018/05/02 12:00:00 2018/05/02 12:00:00 2018/05/02 10:16:43 UV 2.16.840.1.113883.3.7911 frhpearsall Frio Regional Hospital Tim Eakes masked AWilliams@myfrh.com Tim Eakes Frio Regional Hospital 200 South IH 35 Pearsall, TX 78061 8303343617 masked I.T. Director Frio Regional Hospital 200 South IH 35 Pearsall, TX 78061 8303343617 Teakes@myfrh.com https://www.frioregionalhospital.com Provider Int 3 Complete 2018/05/02 12:00:00 2018/05/02 12:00:00 2018/05/02 10:20:46 US 2.16.840.1.113883.3.7912 bfp Bala Family Practice Sriram Balasubramanian masked Sriram Balasubramanian 2021-B Emmorton Road ste 210 Bel Air, MD 21015 410-569-1001 masked Bala Family Practice 2021-B Emmorton Road Ste 210 Bel Air, MD 21015 410-569-1001 drbala@me.com Provider Int 3 Complete 2018/05/02 12:00:00 2018/05/02 12:00:00 2018/05/02 10:40:46 UV 2.16.840.1.113883.3.7913 kmroot Kern Medical IS OID Sai Ravi Behara masked Reynaldo Lopez (661) 326-5480 masked CIO Kern Medical 1111 Columbus St, Bakersfield, CA 93305 661 326 2416 quan.jiang@kernmdical.com Provider Int 3 Complete 2018/05/02 12:00:00 2018/05/02 12:00:00 2018/05/02 10:43:55 UV 2.16.840.1.113883.3.7914 lisheCWtoDsrip Long Island Select Healthcare Jason Rabolli masked Janet Pepper 159 Carleton Ave Central Islip, NY 11722 6316502084 masked Administrator Long Island Select Healthcare 159 Carleton Ave Central Islip, NY 11722 6316502084 janet.pepper@lishcare.org Provider Int 3 Complete 2018/05/03 12:00:00 2018/05/03 12:00:00 2018/05/03 08:34:06 UV 2.16.840.1.113883.9.243 bsq Brightsquid Secure Communications Corp. Francis Chew masked Brightsquid Francis Chew Alastair Ross Technology Centre Suite 282, 3553 31 Street N.W. Calgary, Alberta, T2L 2K7 8002386503 masked Architect Brightsquid Secure Communications Corp Alastair Ross Technology Centre Suite 282, 3553 31 Street N.W. Calgary, Alberta, T2L 2K7 800-238-6503 support@brightsquid.com https://brightsquid.com Vendor Int 3 Complete 2018/05/03 12:00:00 2018/05/14 12:00:00 2018/05/14 09:09:10 UV 2.16.840.1.113883.3.7915 bchcoid Brownsville Community Health Center Bernardo De Hoyos masked BCHC Bernardo De Hoyos 191 E Price Rd Brownsville, TX 78526 9566213590 masked MIS Brownsville Community Health Center 191 E Price Rd Brownsville, TX 78526 9566213590 bdehoyos.bchc@tachc.org Provider Int 3 Complete 2018/05/03 12:00:00 2018/05/03 12:00:00 2018/05/03 08:40:18 UV 2.16.840.1.113883.3.7907.1 fda-ctp-eTTD-CoU USFDA CTP Electronic Tobacco Technical Document Context of Use Jeffrey Smith masked Jeffrey K. Smith FDA, Center for Tobacco Product 10903 New Hampshire Ave. Silver Spring 20993 3017968870 masked Project Manager U.S. Food and Drug Administration, Data Standards Advisory Board FDA, Center for Tobacco Product 10903 New Hampshire Ave. Silver Spring 20993 1-888-463-6332 AskCTP@fda.hhs.gov https://www.fda.gov/TobaccoProducts/AboutCTP/ContactUs/default.htm Govt body 2.16.840.1.113883.3.7907 Ext 14 Complete 2.16.840.1.113883.3.7907.1 2018/05/04 12:00:00 2018/05/06 12:00:00 2018/05/24 10:27:05 UV 2.16.840.1.113883.3.7916 dcI-101 Dermatology Consultants, Inc. Kerry McMinn masked Kerry McMinn 4348476132 masked Practice Manager Dermatology Consultants Inc. 1330 Oak Lane Suite 101 Lynchburg, VA 24503 4348476132 info@lynchburgdermatology.com https://www.lynchburgdermatology.com Provider Int 3 Complete 2018/05/04 12:00:00 2018/05/06 12:00:00 2018/05/06 04:39:33 UV 2.16.840.1.113883.3.7917 rii RI INTERNATIONAL dba RECOVERY INNOVATIONS, INC. Brandi Ryan-Cabot masked Shannon Youso RI International 2701 N. 16th Street Ste 320 Phoenix, Arizona 85006 480-679-5126 masked EHR Manager Recovery Innovations RI International 2701 N. 16th Street ste 316 Phoenix, Arizona 85006 8664815361 contact.communications@recoveryinnovations.org https://riinternational.com Provider Int 3 Complete 2018/05/04 12:00:00 2018/05/06 12:00:00 2024/05/10 01:26:03 UV 2.16.840.1.113883.3.7918 m-f-m Miramont Family Medicine John Bender masked Nicholas Bender Nicholas Bender Miramont Family Medicine 4674 Snow Mesa Drive Suite140 Fort Collins, CO 80528 9702255048 masked IT Director Miramont Family Medicine Miramont Family Medicine 4674 Snow Mesa Drive Suite140 Fort Collins, CO 80528 9702255000 info@miramont.us https://www.miramont.us/ Provider Int 3 Complete 2018/05/04 12:00:00 2018/05/06 12:00:00 2018/05/06 05:49:16 UV 2.16.840.1.113883.3.7919 shnrc-medical Snow Hill Nursing & Rehabilitation Center Sharon Raynor masked Sharon Raynor 430W. Market St Snow Hill, MD 21863 410-632-3755 masked Administrator Harrison Senior Living 300 Strode Ave Coatesville, PA 19320 610-383-4225 ngallagher@harrisonseniorliving.com https://www.harrisonseniorliving.com Provider Int 3 Complete 2018/05/07 12:00:00 2018/05/07 12:00:00 2018/05/07 08:44:24 UV 2.16.840.1.113883.3.7920 clearsense Clearsense, LLC David Quickstad masked cboicey@clearsense.com David Quickstad 13901 Sutton Park Drive South Suite 101 Jacksonville, FL 32224 904.364.5629 masked Clearsense, LLC 13901 Sutton Park Drive South Suite 101 Jacksonville, FL 32224 904.364.5629 info@clearsense.com https://clearsense.com/ Vendor Int 3 Complete 2018/05/07 12:00:00 2018/05/07 12:00:00 2018/05/07 08:47:52 UV 2.16.840.1.113883.3.7921 moxe Moxe Health Assigning Authority Dan Wilson masked Mike Arce Mike Arce 228 N Henry, Suite 300 Madison, WI 53703 (608) 669-9176 masked Chief Administrative Officer Moxe (608) 669-9176 admin@moxehealth.com https://moxehealth.com Vendor Int 3 Complete 2018/05/07 12:00:00 2018/05/07 12:00:00 2024/02/16 01:55:10 UV 2.16.840.1.113883.3.7922 khie Kentucky Health Information Exchange Dennise Green masked Thangappan Patturajah 8 Mill Creek Park Frankfort, KY 40601 502-564-0105 x2712 masked Chief Technology Officer Kentucky Health Information Exchange 8 Mill Creek Park Frankfort, KY 40601 502-564-7992 khie@ky.gov Govt body Int 3 Complete 2018/05/07 12:00:00 2018/05/07 12:00:00 2018/05/07 08:52:33 UV 2.16.840.1.113883.3.7923 resortnh Resort Nursing Home Grace Natindim masked Brenda Friedman 430 Beach 68th St, Arverne, NY 11692 718-474-5200 masked Resort Nursing Home 430 Beach 68th St, Arverne, NY 11692 718-474-5200 controller@resortnh.net Provider Int 3 Complete 2018/05/07 12:00:00 2018/05/07 12:00:00 2018/05/07 08:56:44 UV 2.16.840.1.113883.3.7924 nhfm-nh North Hills Family Medicine Amanda Pultz masked Amanda Pultz 817-284-6928 masked IT Administrator North Hills Family Medicine -NH 4351 Booth Calloway Rd #101 North Richland Hills, TX 76180 817-284-1165 amandapultz@nhfm.net http://nhfm.net/ Provider Int 3 Complete 2018/05/07 12:00:00 2018/05/07 12:00:00 2018/05/07 09:03:11 UV 2.16.840.1.113883.3.7925 tfcft Total Family Care of Five Towns and Rockaway PC Leah Lightman masked Leah Lightman 718-686-4808 masked Administrator Total Family Care of Five Towns and Rockaway PC leah@totalfamilycaremd.com Provider Int 3 Complete 2018/05/08 12:00:00 2018/05/08 12:00:00 2018/05/08 09:42:53 UV 2.16.840.1.113883.3.7926 kindermender KinderMender Pediatric Walk in Clinic Keyvan Rafei masked Keyvan Rafei 8310 Guilford Road Suite D Columbia, MD 21046 443-832-6063 masked KinderMender Pediatric Walk in Clinic 8310 Guilford Road Suite D Columbia, MD 21046 443-832-6063 Lgreen@kindermender.com https://www.kindermender.com/ Provider Int 3 Complete 2018/05/09 12:00:00 2018/05/13 12:00:00 2018/05/13 12:44:55 UV 2.16.840.1.113883.3.368.1020 medesync-EMR Medesync EMR Standards Infodesk masked Jean-Fran&#231;ois Lambert 418-781-5238 masked Telus Health Solutions 5090 Explorer Drive Mississauga, Ontario L4W 4X6 905-602-7350 anne.belford@telus.com http://www.telus.com Vendor 2.16.840.1.113883.3.368 Ext 3 Complete 2.16.840.1.113883.3.368.1020 2018/05/09 12:00:00 2018/05/13 12:00:00 2018/05/13 12:54:07 CA 2.16.840.1.113883.3.368.1021 kinlogix-EMR Kinlogix EMR Standards Infodesk masked Jean-Fran&#231;ois Lambert 418-781-5238 masked Telus Health Solutions 5090 Explorer Drive Mississauga, Ontario L4W 4X6 905-602-7350 anne.belford@telus.com http://www.telus.com Vendor 2.16.840.1.113883.3.368 Ext 3 Complete 2.16.840.1.113883.3.368.1021 2018/05/09 12:00:00 2018/05/13 12:00:00 2018/05/13 12:56:46 CA 2.16.840.1.113883.3.7927 rcare-hl7-integration RCare HL7 Integration Nick Mitchell masked myronk@rcareinc.com Nick Mitchell 262-689-5098 masked ResponseCare, Inc 38 Commercial St. Webster, NY 14580 585-671-4144 info@rcareinc.com http://rcareinc.com/ Vendor Int 3 Complete 2018/05/09 12:00:00 2018/05/13 12:00:00 2018/05/13 12:48:08 UV 2.16.840.1.113883.3.7928 centerformanualmedicine Center for Manual Medicine Debbie Robinson masked Debbie Robinson 5000 SW 21st Street Topeka, KS 66604 785-271-8100 masked Inurance Manager Center for Manual Medicine 5000 SW 21st Street Topeka, KS 66604 785-271-8100 http://ctrmm.com http://ctrmm.com Provider Int 3 Complete 2018/05/14 12:00:00 2018/05/14 12:00:00 2018/05/14 08:40:25 UV 2.16.840.1.113883.3.7929 vDerm Valley Dermatology, LLC Marilyn Johnson masked Rebecca Bryant Marilyn Johnson 2611 W. Main Street Suite 1 Waynesboro, Virginia 22980 540.221.6702 masked Manager Valley Dermatology, LLC 2611 W. Main Street Suite 1 Waynesboro, Virginia 22980 540.221.6702 manager@valleydermatologyllc.com http://www.valleydermatologyllc.com Provider Int 3 Complete 2018/05/14 12:00:00 2018/05/14 12:00:00 2018/05/14 08:42:37 UV 2.16.840.1.113883.3.7930 oFP2018 Ogdensburg Family Practice Wylon Springstead masked Wylon Springstead 921 State Street Ogdensburg, NY 13669 3153939268 masked Office Manager Ogdensburg Family Practice LLC 921 State Street Ogdensburg, NY 13669 3153939268 ofamilyp@gmail.com Provider Int 3 Complete 2018/05/14 12:00:00 2018/05/14 12:00:00 2018/05/14 09:06:18 UV 2.16.840.1.113883.3.7931 ihb-mpls Indian Health Board of Minneapolis, Inc Rhiannon Blackdeer de Prado masked Rhiannon Blackdeer de Prado 1315 East 24th Street Minneapolis, MN 55404 6127219805 masked Manager of HIT & Systems Indian Health Board of Minneapolis, Inc 1315 East 24th Street Minneapolis, MM 55404 6127219800 info@ihb-mpls.org http://www.indianhealthboard.com/ Provider Int 3 Complete 2018/05/15 12:00:00 2018/05/15 12:00:00 2018/05/15 10:05:26 UV 2.16.840.1.113883.3.7932 adrs Alabama Department of Rehabilitation Services David Rainey masked Beverly Floyd Beverly Floyd 602 South Lawrence St Montgomery, AL 36104 3349237101 masked Software Development Manager Alabama Department of Rehabilitation Services 602 South Lawrence St Montgomery, AL 36104 3342937500 Beverly.Floyd@rehab.alabama.gov http://www.alabama.gov Govt body Int 3 Complete 2018/05/15 12:00:00 2018/05/15 12:00:00 2018/05/15 10:08:40 UV 2.16.840.1.113883.3.7933 dantes Araceli Dantes MD Araceli Dantes masked Araceli Dantes 631-661-0545 masked Physician Aracelis Dantes MD drdantes@gmail.com Provider Int 3 Complete 2018/05/15 12:00:00 2018/05/15 12:00:00 2018/05/15 10:11:07 UV 2.16.840.1.113883.3.7934 pedscare166 Pediatric Professional Care PC Nikhat Khan masked Nikhat Khan 631-716-0851 masked Physician Pediatric Professioanl Care PC cypress786@yahoo.com Provider Int 3 Complete 2018/05/15 12:00:00 2018/05/15 12:00:00 2018/05/15 10:12:28 UV 2.16.840.1.113883.3.7935 prohcint Proactive Healthcare Internal Medicine PC Jocelyn Cervantes masked Jocelyn Cervantes 516-502-2308 masked Physician Proactive Healthcare Internal Medicine PC proactivehealthcarepc@gmail.com Provider Int 3 Complete 2018/05/15 12:00:00 2018/05/15 12:00:00 2018/05/15 10:18:52 UV 2.16.840.1.113883.3.7936 hicksville1 Hicksville Medical Care PC Eli Linder masked Eli Linder 516-942-5800 masked Office Administrator Hicksville Medical Care PC hicksvillemedicalcare1@gmail.com Provider Int 3 Complete 2018/05/15 12:00:00 2018/05/15 12:00:00 2018/05/15 10:27:16 UV 2.16.840.1.113883.3.7937 igpeds I&G Pediatrics Mziya Itzkevitch masked Mziya Itzkevitch 718-896-0105 masked Physician I&G Pediatrics mmamistval@aol.com Provider Int 3 Complete 2018/05/15 12:00:00 2018/05/15 12:00:00 2018/05/15 10:29:55 UV 2.16.840.1.113883.3.7938 cebeparasmo Rosanne M. Cebelenski, DO & Frank J. Parasmo MD Colette DeAcetis masked Collete DeAcetis 631-253-7005 masked Administrator Rosanne Cebelenski, DO & Frank Parasmo MD portbell98@aol.com Provider Int 3 Complete 2018/05/15 12:00:00 2018/05/15 12:00:00 2018/05/15 10:32:45 UV 2.16.840.1.113883.3.7939 roslynheights Roslyn Heights Medical PC Farzad Tabibzadeh masked Rebeka 516-767-2576 masked Administrator Roslyn Heights Medical PC FTabib4@gmail.com Provider Int 3 Complete 2018/05/15 12:00:00 2018/05/15 12:00:00 2018/05/15 10:35:13 UV 2.16.840.1.113883.3.7940 mahabirmd Parmeshwar Mahabir / LI Medical Care PC Amrita Parmeshwar masked Amrita Parmeshwar 718-264-2925 masked Administrator Parmeshwar Mahabir / LI Medical Care PC MDMahabir@aol.com Provider Int 3 Complete 2018/05/15 12:00:00 2018/05/15 12:00:00 2018/05/15 10:38:25 UV 2.16.840.1.113883.3.7941 totalmedicalny Total Medical NY PC Sarah Goldberg masked Sarah Goldberg 718-730-9040 masked Administrator Total Medical NY PC SarahWein@hotmail.com Provider Int 3 Complete 2018/05/15 12:00:00 2018/05/15 12:00:00 2018/05/15 10:43:39 UV 2.16.840.1.113883.3.7942 lewismarshalljr Lewis W. Marshall JR MD PC Josie Braam masked Josie Braam 718-291-6161 masked Administrator Lewis W. Marshall JR MD PC QMG2916161@yahoo.com Provider Int 3 Complete 2018/05/15 12:00:00 2018/05/15 12:00:00 2018/05/15 10:47:30 UV 2.16.840.1.113883.3.7943 pritamsingh Pritam Singh MD Pritam Singh masked Pritam Singh 718-278-1484 masked Physician Pritam Singh MD PritamHans@aol.com Provider Int 3 Complete 2018/05/15 12:00:00 2018/05/15 12:00:00 2018/05/15 10:55:01 UV 2.16.840.1.113883.3.7944 rolyborges Roly Borges MD PC Maria Barrios masked Maria Barrios 718-535-7927 masked Administrator Roly Borges MD PC RolyBorgesMD@gmail.com Provider Int 3 Complete 2018/05/15 12:00:00 2018/05/15 12:00:00 2018/05/15 11:00:22 UV 2.16.840.1.113883.3.7945 ssuarez Sergio G. Suarez Physicians PC Ligia Estevez masked Ligia Estevez 516-377-2727 masked Administrator Sergio G. Suarez Physicians PC sgsuarezmd@gmail.com Provider Int 3 Complete 2018/05/15 12:00:00 2018/05/15 12:00:00 2018/05/15 11:07:55 UV 2.16.840.1.113883.3.7946 chslihc Catholic Health Services of Long Island Homecare Alexander Fier masked Patricia Lupski 631-465-4110 masked IT Manager Continuing Care Catholic Health Services of Long Island Homecare Patricia.Lupski@chsli.org Provider Int 3 Complete 2018/05/15 12:00:00 2018/05/15 12:00:00 2018/05/15 11:11:25 UV 2.16.840.1.113883.3.7947 queenpedsvcs Queens Pediatric Services PC Alexander Fier masked Jenny Ulloa 718-868-8282 masked Administrator Queens Pediatric Services jennyluv24@aim.com Provider Int 3 Complete 2018/05/15 12:00:00 2018/05/15 12:00:00 2018/05/15 11:14:19 UV 2.16.840.1.113883.3.7948 drpssaini PRITAM SAINI Pritam Saini masked PRITAM SAINI 9101 CHERRY LANE SUITE 211 Laurel, MD 20708 3015098808 masked MD PRITAM SAINI MD 9101 CHERRY LANE SUITE 211 Laurel, MD 20708 3015098808 pssaini@outlook.com Provider Int 3 Complete 2018/05/15 12:00:00 2018/05/15 12:00:00 2018/05/15 11:19:18 UV 2.16.840.1.113883.3.7949 perr Perry Memorial Hospital Karen Behrens masked Karen Behrens 530 Park Avenue East Princeton, IL 61356 815-875-2811 masked Director Technology Services Perry Memorial Hospital 530 Park Avenue East Princeton, IL 61356 815.875-2811 aschnabel@perrymemorial.org Provider Int 3 Complete 2018/05/16 12:00:00 2018/05/16 12:00:00 2018/05/16 09:26:38 UV 2.16.840.1.113883.3.7950 pgchd Prince George's County Health Department OID Anthony Hemmans masked Anthony Hemmans 1701 McCormick Drive Upper Marlboro, MD 20774 301-442-4998 masked Health IT Consultant Prince George's County Health Department 1701 McCormick Drive Upper Marlboro, MD 20774 301-442-4998 RAHemmans@co.pg.md.us http://www.mypgchealthyrevolution.org/ Govt body Int 3 Complete 2018/05/16 12:00:00 2018/05/16 12:00:00 2018/05/16 09:31:31 UV 2.16.840.1.113883.3.7951 hai-casagrande Helping Associates, Inc. Joan McGillicuddy masked Joan McGillicuddy 1901 N. Trekell Rd. Casa Grande, AZ 85122 520-836-1029 masked Co-Executive Director Helping Associates, Inc. 1901 N. Trekell Rd. Casa Grande, AZ 85122 520-836-1029 jmcgillicuddy@helpingassociates.com Provider Int 3 Complete 2018/05/16 12:00:00 2018/05/16 12:00:00 2018/05/16 09:34:25 UV 2.16.840.1.113883.3.7952 drSyedSadiq Dr. Syed Sadiq Syed Sadiq masked Syed Sadiq 14333 Laurel Bowie Rd Laurel, Bowie 20708 (301) 776-0061 masked MD Syed Sadiq MD 14333 Laurel Bowie Rd Laurel, Bowie 20708 (301) 776-0061 sasadiq@aol.com Provider Int 3 Complete 2018/05/16 12:00:00 2018/05/16 12:00:00 2018/05/16 09:38:29 UV 2.16.840.1.113883.3.7953 lagintmed LaGrange Internal Medicine Clarence Knowlton masked Clarence Edward Knowlton, Jr 1602 Vernon Road Suite 400 LaGrange, GA 30240 7062982660 masked Executive Director LaGrange Internal Medicine 1602 Vernon Road Suite 400 LaGrange, GA 30240 7068829341 eknowlton@lagrangeinternalmedicine.com http://lagrangeinternalmedicine.com/ Provider Int 3 Complete 2018/05/17 12:00:00 2018/05/18 12:00:00 2018/05/18 05:23:18 UV 2.16.840.1.113883.9.244 lm-2018 Lifemark Health 2018 Brock Dodgson masked Brock Dodgson 416-619-9485 masked CIO Lifemark Health Corp 20 Eglinton Avenue West, Suite 600, Box #2076 Toronto, Ontario M4R 1K8 1-844-878-4450 helpdesk@lifemark.ca Vendor Int 3 Complete 2018/05/17 12:00:00 2018/05/18 12:00:00 2018/05/18 05:46:40 UV 2.16.840.1.113883.3.7954 cor Capitol Orthopaedics and Rehabilitation, LLC Stephen Rockower masked Stephen Rockower 6000 Executive Blvd Suite 510 Rockville, MD 20852 301-770-7900 masked Managing Partner Capitol Orthopaedics and Rehabilitation, LLC 6000 Executive Blvd Suite 510 Rockville, MD 20852 301-770-7900 drrockower@cordocs.com https://www.cordocs.com Provider Int 3 Complete 2018/05/18 12:00:00 2018/05/18 12:00:00 2018/05/18 05:28:09 UV 2.16.840.1.113883.3.7955 naturalFamWellness Natural Family Wellness Lloyd Morris masked AVS Medical Lloyd Morris 877 Baltimore Annapolis Blvd Severna Park, MD 21146 4109759160 masked Natural Family Wellness 12200 Annapolis Rd, Suite 115, Glenn Dale, MD 20769 (301) 805-7084 romhug@verizon.net Provider Int 3 Complete 2018/05/18 12:00:00 2018/05/18 12:00:00 2018/05/18 05:30:30 UV 2.16.840.1.113883.3.7956 alanChanalesMD Alan Chanales MD Lloyd Morris masked AVS Medical Lloyd Morris 877 Baltimore Annapolis Blvd Severna Park, MD 21146 4109759160 masked Alan Chanales MD 15225 Shady Grove Rd Suite 205 Rockville, MD 20850 (301) 330-0200 alanchanales@gmail.com Provider Int 3 Complete 2018/05/18 12:00:00 2018/05/18 12:00:00 2018/05/18 05:32:20 UV 2.16.840.1.113883.3.7913.100 kmsubnode Kern Medical IS OID Subnode Sai Ravi Behara masked Reynaldo Lopez (661) 326-5480 masked CIO Kern Medical 1111 Columbus St, Bakersfield, CA 93305 661 326 2416 quan.jiang@kernmdical.com Provider 2.16.840.1.113883.3.7913 Ext 14 Complete 2.16.840.1.113883.3.7913.100 2018/05/18 12:00:00 2018/05/18 12:00:00 2018/05/18 05:37:20 UV 2.16.840.1.113883.3.7957 mmh-tx Midland Health Ron Wooten masked Ron Wooten 400 Rosalind Redfern Grover Pkwy. Midland, TX 79701 432-221-4565 masked IT Applications Manager Midland Health 400 Rosalind Redfern Grover Pkwy. Midland, TX 79701 432-221-1111 ron.wooten@midlandhealth.org https://www.midlandhealth.org Provider Int 3 Complete 2018/05/18 12:00:00 2018/05/18 12:00:00 2018/05/18 05:41:43 UV 2.16.840.1.113883.3.7958 briarwood Briarwood Medical PC Alexander Fier masked Adina 917-941-2447 masked Administrator Briarwood Medical PC yakovfaap@aol.com Provider Int 3 Complete 2018/05/21 12:00:00 2018/05/22 12:00:00 2018/05/22 08:29:57 UV 2.16.840.1.113883.3.7959 fhhc Fort Hudson Home Care, Inc John Coburn masked John Coburn 319 Broadway Fort Edward, NY 12828 518-747-2811 masked CFO Fort Hudson Home Care Inc 319 Broadway Fort Edward, NY 12828 518-747-2811 rcampbell@forthudson.com Provider Int 3 Complete 2018/05/21 12:00:00 2018/05/22 12:00:00 2018/05/22 08:32:02 UV 2.16.840.1.113883.3.7960 vxl VXL Medical Care Alexander Fier masked Nad Daredie 631-261-4445 masked Administrator VXL Medical Care vxlmedicalcarepc@gmail.com Provider Int 3 Complete 2018/05/22 12:00:00 2018/05/22 12:00:00 2018/05/22 08:37:28 UV 2.16.840.1.113883.3.7961 eden Eden Health, Inc Scott Sansovich masked Scott Sansovich 108 Reade Street Suite 4F New York, New York 10013 2487569245 masked Chief Product Officer Eden Health 108 Reade Street Suite 4F New York, New York 10013 917-261-4410 info@edenhealth.com https://www.edenhealth.com Provider Int 3 Complete 2018/05/22 12:00:00 2018/05/22 12:00:00 2018/05/22 08:41:58 UV 2.16.840.1.113883.3.7962 nACC Native American Community Clinic Shannon Fahey masked Shannon Fahey 6128435930 masked Native American Community Clinic 1213 E Franklin Ave Minneapolis, MN 55404 612-872-8086 info@nacc-healthcare.org https://nacc-healthcare.org Provider Int 3 Complete 2018/05/23 12:00:00 2018/05/25 12:00:00 2018/05/25 10:13:31 UV 2.16.840.1.113883.3.7963 icc Infinite Care, LLC LuAnne Hicks masked LuAnne Hicks 750 West Hampden Ave. Suite 105 Englewood, CO 80110 303-341-4730 x173 masked Director of Clinical Operations Infinite Care, LLC 750 West Hampden Ave. Suite 105 Englewood, CO 80110 303-945-3299 lhicks@infinitecares.com https://www.rockymountainurgentcare.com Provider Int 3 Complete 2018/05/23 12:00:00 2018/05/25 12:00:00 2018/05/25 10:18:33 UV 2.16.840.1.113883.3.7964 silsc Silverlake Specialized Care Center Michael Kraus masked Michael Kraus 275 Castleton Ave, Staten Island, NY 10301 7184477800 masked Administrator Silverlake Specialized Care Center mkcyclist@silverlakesc.com Provider Int 3 Complete 2018/05/23 12:00:00 2018/05/25 12:00:00 2018/05/25 10:20:49 UV 2.16.840.1.113883.3.7907.2 fda-ctp-eTTD-CoU-Status USFDA CTP Electronic Tobacco Technical Document Context of Use Status Jeffrey Smith masked Jeffrey K. Smith FDA, Center for Tobacco Product, 10903 New Hampshire Ave. Silver Spring 20993 301-796-8870 masked Project Manager Jeffrey K. Smith FDA, Center for Tobacco Product, 10903 New Hampshire Ave. Silver Spring 20993 1-888-463-6332 AskCTP@fda.hhs.gov https://www.fda.gov/TobaccoProducts/AboutCTP/ContactUs/default.htm Govt body 2.16.840.1.113883.3.7907 Ext 14 Complete 2.16.840.1.113883.3.7907.2 2018/05/24 12:00:00 2018/05/25 12:00:00 2018/05/25 10:48:44 UV 2.16.840.1.113883.3.7907.3 fda-ctp-eTTD-APPL-Type USFDA CTP Electronic Tobacco Technical Document Application Type Jeffrey Smith MPH masked Jeffrey K. Smith FDA, Center for Tobacco Product, 10903 New Hampshire Ave. Silver Spring 20993 301-796-8870 masked Project Manager U.S. Food and Drug Administration, Data Standards Advisory Board FDA, Center for Tobacco Product, 10903 New Hampshire Ave. Silver Spring 20993 1-888-463-6332 AskCTP@fda.hhs.gov https://www.fda.gov/TobaccoProducts/AboutCTP/ContactUs/default.htm Govt body 2.16.840.1.113883.3.7907 Ext 14 Complete 2.16.840.1.113883.3.7907.3 2018/05/24 12:00:00 2018/05/25 12:00:00 2018/05/25 10:52:52 UV 2.16.840.1.113883.3.7907.4 fda-ctp-eTTD-APPL-Ref-Reason Electronic Tobacco Technical Document Application Reference Reason Code Jeffrey Smith MPH masked Jeffrey K. Smith FDA, Center for Tobacco Product, 10903 New Hampshire Ave. Silver Spring 20993 301-796-8870 masked Project Manager U.S. Food and Drug Administration, Data Standards Advisory Board FDA, Center for Tobacco Product, 10903 New Hampshire Ave. Silver Spring 20993 1-888-463-6332 AskCTP@fda.hhs.gov https://www.fda.gov/TobaccoProducts/AboutCTP/ContactUs/default.htm Govt body 2.16.840.1.113883.3.7907 Int 14 Complete 2.16.840.1.113883.3.7907.4 2018/05/24 12:00:00 2018/05/25 12:00:00 2018/05/25 11:00:08 UV 2.16.840.1.113883.3.7907.5 fda-ctp-eTTD-SUBM-Type USFDA CTP Electronic Tobacco Technical Document Submission Type Jeffrey Smith MPH masked Jeffrey K. Smith FDA, Center for Tobacco Product, 10903 New Hampshire Ave. Silver Spring 20993 301-796-8870 masked Project Manager U.S. Food and Drug Administration, Data Standards Advisory BoardFDA FDA, Center for Tobacco Product, 10903 New Hampshire Ave. Silver Spring 20993 1-888-463-6332 AskCTP@fda.hhs.gov https://www.fda.gov/TobaccoProducts/AboutCTP/ContactUs/default.htm Govt body 2.16.840.1.113883.3.7907 Ext 14 Complete 2.16.840.1.113883.3.7907.5 2018/05/24 12:00:00 2018/05/25 12:00:00 2018/05/25 11:04:55 UV 2.16.840.1.113883.3.7965 derminc Dermatology Associates, Inc. Wendy Fleece masked Wendy Fleece Dermatology Associates, Inc. 1514 Amherst St. Winchester, VA 22601 5406674499 masked Dermatology Associates, Inc. 1514 Amherst St Winchester, VA 22601 5406674499 lisa@dermmds.com http://www.dermmds.com Provider Int 3 Complete 2018/05/24 12:00:00 2018/05/25 12:00:00 2018/05/25 10:25:16 UV 2.16.840.1.113883.3.7966 unique-P1 Unique People Services Michael Ealy masked Rosemarie Gooden Michael J. Ealy 4234 Vireo Avenue, Bronx, NY 10470 718 231-7711 x1041 masked Director of OMH Mental Health Services Unique People Services, Inc. 4234 Vireo Avenue, Bronx, NY 10470 718 231-7711 x1041 MichaelE@uniquepeopelservices.org http://www.uniquepeopleservices.org Provider Int 3 Complete 2018/05/24 12:00:00 2018/05/25 12:00:00 2018/05/25 10:27:07 UV 2.16.840.1.113883.3.7907.6 fda-ctp-eTTD-SUBM-Unit-Type USFDA CTP Electronic Tobacco Technical Document Submission Unit Type Jeffrey Smith MPH masked Jeffrey K. Smith FDA, Center for Tobacco Product, 10903 New Hampshire Ave. Silver Spring 20993 301-796-8870 masked Project Manager U.S. Food and Drug Administration, Data Standards Advisory BoardFDA FDA, Center for Tobacco Product, 10903 New Hampshire Ave. Silver Spring 20993 1-888-463-6332 AskCTP@fda.hhs.gov https://www.fda.gov/TobaccoProducts/AboutCTP/ContactUs/default.htm Govt body 2.16.840.1.113883.3.7907 Ext 14 Complete 2.16.840.1.113883.3.7907.6 2018/05/24 12:00:00 2018/05/25 12:00:00 2018/05/25 11:10:06 UV 2.16.840.1.113883.3.7907.7 fda-ctp-eTTD-Submtr-Cat-Event USFDA CTP Electronic Tobacco Technical Document Submitter Category Event Jeffrey Smith MPH masked Jeffrey K. Smith FDA, Center for Tobacco Product, 10903 New Hampshire Ave. Silver Spring 20993 301-796-8870 masked Project Manager U.S. Food and Drug Administration, Data Standards Advisory Board FDA, Center for Tobacco Product, 10903 New Hampshire Ave. Silver Spring 20993 1-888-463-6332 AskCTP@fda.hhs.gov https://www.fda.gov/TobaccoProducts/AboutCTP/ContactUs/default.htm Govt body 2.16.840.1.113883.3.7907 Ext 14 Complete 2.16.840.1.113883.3.7907.7 2018/05/24 12:00:00 2018/05/25 12:00:00 2018/05/25 11:13:55 UV 2.16.840.1.113883.3.7967 mvmc Mountain View Medical Center David Swartout masked David Swartout 1909 Mountain View Ln #200 Forest Grove, OR 97116 503-359-4773 masked Owner - Clinic Administrator Mountain View Medical Center 1909 Mountain View Ln #200 Forest Grove, OR 97116 503-359-4773 david@mountainviewmed.com https://mountainviewmed.com Provider Int 3 Complete 2018/05/29 12:00:00 2018/05/30 12:00:00 2018/05/30 07:54:21 UV 2.16.840.1.113883.3.7968 renaissancePSJAEMPHEALTH DHR PSJA Employee Health Clinic Marie Rios masked Christian Martinez 201 S. Gumwood Pharr, TX 78577 (956) 354-2183 masked Practice Administrator DHR PSJA Employee Health Clinic 201 S. Gumwood Pharr, TX 78577 (956) 354-2183 chis.martinez@dhr-rgv.com Provider Int 3 Complete 2018/05/30 12:00:00 2018/05/30 12:00:00 2018/05/30 07:59:16 UV 2.16.840.1.113883.3.7969 renaissanceNEUROSCINORTH Neuroscience Institute at Renaissance - North Marie Rios masked Ana Perez 2821 MICHAEL ANGELO DR STE 306 EDINBURG, TX 78539 956-362-8500 masked Practice Administrator Neuroscience Institute at Renaissance - North 2821 MICHAEL ANGELO DR STE 306 EDINBURG, TX 78539 956-362-8500 ap.perez@dhr-rgv.com Provider Int 3 Complete 2018/05/30 12:00:00 2018/05/30 12:00:00 2018/05/30 08:01:39 UV 2.16.840.1.113883.3.7970 ahhc-NYusa1 Allen Health Care Services Robert Ponzo masked Robert Ponzo 7000 Austin Street Forest Hills, NY 11375 USA 7186891223 masked CTO Allen Health Care Services robert@allenhealth.com http://allenhealth.com Provider Int 3 Complete 2018/05/30 12:00:00 2018/05/30 12:00:00 2018/05/30 08:09:10 UV 2.16.840.1.113883.3.7971 careplusnj Care Plus NJ, Inc. Isam Daifallah masked Isam Daifallah 610 Valley Health Plaza Paramus, NJ 07652 (201) 986-5030 masked IT Director Care Plus NJ, Inc. 610 Valley Health Plaza Paramus, NJ 07652 (201) 986-5030 isamd@careplusnj.org https://careplusnj.careplusnj.org Provider Int 3 Complete 2018/05/31 12:00:00 2018/05/31 12:00:00 2018/05/31 07:50:14 UV 2.16.840.1.113883.3.7907.8 fda-ctp-eTTD-KDT USFDA CTP Electronic Tobacco Technical Document Keyword Definition Type Jeffrey Smith MPH masked Jeffrey K. Smith FDA, Center for Tobacco Product, 10903 New Hampshire Ave. Silver Spring 20993 301-796-8870 masked Project Manager U.S. Food and Drug Administration, Data Standards Advisory BoardFDA FDA, Center for Tobacco Product, 10903 New Hampshire Ave. Silver Spring 20993 1-888-463-6332 AskCTP@fda.hhs.gov https://www.fda.gov/TobaccoProducts/AboutCTP/ContactUs/default.htm Govt body 2.16.840.1.113883.3.7907 Ext 14 Complete 2.16.840.1.113883.3.7907.8 2018/05/31 12:00:00 2018/05/31 12:00:00 2018/05/31 07:53:14 UV 2.16.840.1.113883.3.7972 thehaven The Haven Cynthia Duncan masked Cynthia Duncan 1107 E Adelaide Dr Tucson, AZ 85719 520-623-4590 masked Finance Director The Haven 1107 E Adelaide Dr Tucson, AZ 85719 520-623-4590 cynthiaduncan@thehaventucson.org https://www.thehaventucson.org Provider Int 3 Complete 2018/05/31 12:00:00 2018/05/31 12:00:00 2018/05/31 08:07:57 UV 2.16.840.1.113883.3.7907.9 fda-ctp-eTTD-SCT USFDA CTP Electronic Tobacco Technical Document Submission Contact Type Jeffrey Smith MPH masked Jeffrey K. Smith FDA, Center for Tobacco Product, 10903 New Hampshire Ave. Silver Spring 20993 301-796-8870 masked U.S. Food and Drug Administration, Data Standards Advisory Board FDA, Center for Tobacco Product, 10903 New Hampshire Ave. Silver Spring 20993 1-888-463-6332 AskCTP@fda.hhs.gov https://www.fda.gov/TobaccoProducts/AboutCTP/ContactUs/default.htm Govt body 2.16.840.1.113883.3.7907 Ext 14 Complete 2.16.840.1.113883.3.7907.9 2018/05/31 12:00:00 2018/05/31 12:00:00 2018/05/31 07:55:03 UV 2.16.840.1.113883.3.7973 chc Community Health Care, Inc Ronald Gillis masked Community Health Care, Inc Ronald Gillis 500 West River Drive Davenport, IA 52801 5633363137 masked Chief Information Officer Community Health Care, Inc 500 West River Drive Davenport, IA 52801 563-336-3000 info@chcqca.org http://www.chcqca.org Provider Int 3 Complete 2018/05/31 12:00:00 2018/05/31 12:00:00 2018/05/31 08:10:04 UV 2.16.840.1.113883.3.7974 bvaac Boulder Valley Asthma and Allergy Clinics, P.C. Casey Ferguson masked Casey Ferguson 1746 Cole Blvd. Ste. 320 Lakewood, CO 80401 303-234-9305 masked Supervisor Boulder Valley Asthma and Allergy Clinics, P.C. 1746 Cole Blvd. Ste 320 Lakewood, CO 80401 303-234-1067 cferguson@denverallergy.com Provider Int 3 Complete 2018/05/31 12:00:00 2018/05/31 12:00:00 2018/05/31 08:15:17 UV 2.16.840.1.113883.3.7975 slo-ha-ph County of San Luis Obispo Public Health HIE OID Nicholas Drews masked nbdrews@gmail.com Nicholas Drews County of San Luis Obispo, Health Agency 2180 Johnson Ave San Luis Obispo, CA 93401 8052351808 masked County of San Luis Obispo, Health Agency 2180 Johnson Ave San Luis Obispo, CA 93401 805-788-5500 HA_ServiceDesk@co.slo.ca.us http://www.slocounty.ca.gov/Departments/Health-Agency.aspx Govt body Int 3 Complete 2018/06/01 12:00:00 2018/06/04 12:00:00 2018/06/04 08:30:51 UV 2.16.840.1.113883.3.7976 slo-ha-bh San Luis Obispo County Behavioral Health Department HIE OID Nicholas Drews masked Nicholas Drews 2180 Johnson Ave San Luis Obispo, CA 93401 805-788-2135 masked County of San Luis Obispo, Health Agency 2180 Johnson Ave San Luis Obispo, CA 93401 805-788-5500 HA_ServiceDesk@co.slo.ca.us http://www.slocounty.ca.gov/Departments/Health-Agency.aspx Govt body Int 3 Complete 2018/06/01 12:00:00 2018/06/04 12:00:00 2018/06/04 08:34:41 UV 2.16.840.1.113883.3.7977 nachci Native Health System Administrator masked Brian Oliver 602-469-1041 masked Native Health 4041 N Central Ave Building D Phoenix, AZ 85012 602-279-5262 sysop@nachci.com Provider Int 3 Complete 2018/06/01 12:00:00 2018/06/04 12:00:00 2018/06/04 08:53:09 UV 2.16.840.1.113883.3.7978 renaissanceOIRPALM Orthopedic Institute at Renaissance - Palm OID Root Marie Rios masked Norma Madrid 315 E Palm Dr. Edinburg, TX 78539 956-362-6807 masked Office Manager Orthopedic Institute at Renaissance - Palm 315 E Palm Dr. Edinburg, TX 78539 956-362-6807 n.madrid@dhr-rgv.com Provider Int 3 Complete 2018/06/04 12:00:00 2018/06/04 12:00:00 2018/06/04 09:03:20 UV 2.16.840.1.113883.3.7979 awan Mateen A Awan, MD LLC Mateen Awan masked Mateen Awan 410 382 1032 masked Mateen A Awan, MD LLC 10796 Hickory Ridge Rd Columbia, MD 21044 4109929355 awanmateen@yahoo.com Provider Int 3 Complete 2018/06/05 12:00:00 2018/06/06 12:00:00 2018/06/06 10:18:19 UV 2.16.840.1.113883.3.7980 two-rivers-medical-clinic Two Rivers Medical Clinic, PA Lena Barbot masked Lena Barbot 683 E Third St Weiser, ID 83672 +1 208-549-0211 masked Two Rivers Medical Clinic, PA 683 E Third St Weiser, ID 83672 +1 208-549-0211 tworivers.lbarbot@gmail.com Provider Int 3 Complete 2018/06/05 12:00:00 2018/06/06 12:00:00 2018/06/06 10:33:39 UV 2.16.840.1.113883.3.7981 radstmbdb Radiologie St-Martin & Bois-de-Boulogne Standards Infodesk masked Franco D'Onofrio 514-331-4772 masked Radiologie St-Martin & Bois-de-Boulogne 1575 Henri Bourassa Ouest, suite 150. Montreal, QC H3M 3A9 514-331-4772 f.donofrio@radiologiesmbb.com http://www.radiologiesmbb.com Provider Int 4 Complete 2018/06/06 12:00:00 2018/06/06 12:00:00 2022/01/06 10:59:38 CA 2.16.840.1.113883.3.7982 thpg Total Health Physician Group Daniel Schwartz masked Robert Spady 619 S Washington St., Suite 203 Moscow, ID 83843 2088921346 masked Director Total Health Physician Group rspady@totalhealthphysician.com http://www.totalhealthphysicians.com Provider Int 3 Complete 2018/06/06 12:00:00 2018/06/06 12:00:00 2018/06/06 10:42:18 US 2.16.840.1.113883.3.7983 cphc Colorado Primary Health Care Paul Patterson masked Colorado Primary Health Care Paul Patterson 7720 S Broadway Suite 590 Littleton, CO 80122 303-703-8583 masked Colorado Colorado Primary Health Care 7720 S Broadway Suite 590 Littleton, CO 80122 3037038583 ppatterson@coloradoprimaryhealthcare.com Provider Int 3 Complete 2018/06/06 12:00:00 2018/06/06 12:00:00 2018/06/06 10:52:37 UV 2.16.840.1.113883.3.7984 qrx QuickRX Pharmacy Software Standards Infoesk masked Andrew Ibrahim 226-455-1090 masked QuickRX Pharmacy Software 682 Beach Ln Sarnia, ON N7V 2Z2 226-455-1090 info@QuickRX.ca http://www.QuickRX.ca Provider Int 3 Complete 2018/06/07 12:00:00 2018/06/12 12:00:00 2018/06/12 11:03:03 CA 2.16.840.1.113883.3.7985 renaissanceONCOLOGYINST2 Oncology Institute at Renaissance - 2nd Floor OID Root Marie Rios masked Maytee Rodea 2717 Michaelangelo Dr., Ste 201 Edinburg, TX 78539 956-362-2205 masked Office Manager Oncology Institute at Renaissance - 2nd Floor 2717 Michaelangelo Dr., Ste 201 Edinburg, TX 78539 956-362-2205 m.rodea@dhr-rgv.com Provider Int 3 Complete 2018/06/07 12:00:00 2018/06/12 12:00:00 2018/06/12 11:07:48 UV 2.16.840.1.113883.3.7986 cityblockhealth Cityblock Health Mat Balez masked Mat Balez 55 Washington st #552 Brooklyn, NY 11201 347-770-1024 masked Chief Product Officer Cityblock Health 55 Washington st #552 Brooklyn, NY 11201 347-770-1024 info@cityblock.com http://cityblock.com Provider Int 3 Complete 2018/06/10 12:00:00 2018/06/12 12:00:00 2018/06/12 11:10:49 UV 2.16.840.1.113883.3.7987 stJohnsMedCenterOID St. John's Medical Center OID Lance Spranger masked Lance Spranger 625 E. Broadway Jackson, WY 83001 307-733-7383 masked CIO St. John's Medical Center 625 E. Broadway Jackson, WY 83001 307-733-3636 lspranger@tetonhospital.org Provider Int 3 Complete 2018/06/11 12:00:00 2018/06/12 12:00:00 2018/06/12 11:15:09 UV 2.16.840.1.113883.3.7988 tjrock TJ Rock Enterprises John Moore masked John Moore 5800 Genesis Lane Frederick, MD 21703 2404397161 masked IT Manager TJ Rock Enterprises 5800 genesis Lane Frederick, MD 21703 2404397161 jmoore@tjrock.com Provider Int 3 Complete 2018/06/11 12:00:00 2018/06/12 12:00:00 2018/06/12 11:35:57 UV 2.16.840.1.113883.3.7989 chwgchd Coastal Health and Wellness Andy Mann masked lamaro@gchd.org Andy Mann 9850 Emmett F. Lowry Expressway Texas City, TX 77591 409-938-7221 masked Coastal Health and Wellness 9850 Emmett F. Lowry Expressway Texas City, TX 77591 409-938-2234 lamaro@gchd.org Provider Int 3 Complete 2018/06/11 12:00:00 2018/06/12 12:00:00 2018/06/12 11:44:59 UV 2.16.840.1.113883.3.7990 fuse-cardinal-health Fuse by Cardinal Health Robert Wheaton masked Robert Wheaton 6145519801 masked Forward Engineer Fuse by Cardinal Health fuse@cardinalhealth.com https://www.cardinalhealth.com/en/about-us/who-we-are/fuse-by-cardinal-health.html Vendor Int 3 Complete 2018/06/12 12:00:00 2018/06/12 12:00:00 2018/06/12 11:50:26 US 2.16.840.1.113883.3.7991 rock-derm Rockingham Dermatology, PC Carolyn Miller masked Michelle Hensley 2061 Evelyn Byrd Ave, Ste C Harrisonburg, VA 22801 5404428056 masked Practice Manager Rockingham Dermatology, PC 2061 Evelyn Byrd Ave, Ste C Harrisonburg, VA 22801 5404428056 Practiceadmin@rockinghamdermatology.com Provider Int 3 Complete 2018/06/12 12:00:00 2018/06/12 12:00:00 2018/06/12 11:52:32 UV 2.16.840.1.113883.3.7992 gahc Guardian Angels Health Center Gail Bleibtrey masked Gail L. Bleibtrey 1550 S Potomac Street Suite 180 Aurora, CO 80012 303-369-1077 masked Office Manager Guardian Angels Health Center 1550 S Potomac Street Suite 180 Aurora, CO 80012 303-369-1077 gailb@ca-gahc.com https://www.ca-gahc.com Provider Int 3 Complete 2018/06/12 12:00:00 2018/06/12 12:00:00 2018/06/12 11:59:07 UV 2.16.840.1.113883.3.7993 hamilton-Park691 Hamilton Park Nursing and Rehabilitation Center Yitz Twersky masked Yitz Twersky 691 92nd Street Brooklyn, NY 11228 718-567-1000 masked Hamilton Park Nursing and Rehabilitation Center 691 92nd Street Brooklyn, NY 11228 718-567-1000 ytwersky@allurecare.com Provider Int 3 Complete 2018/06/13 12:00:00 2018/06/14 12:00:00 2018/06/14 08:39:49 UV 2.16.840.1.113883.3.7994 progressionsystems-PSNet Progression Systems, LLC Serge van Neck masked Serge van Neck 480-610-6788 masked Software Developer / Rich Content Producer Child & Family Support Services 10439 S. 51st St. #100 Phoenix, AZ 85044 480-635-9944 info@cfssinc.com https://net.cfssinc.com Provider 2.16.840.1.113883.3.7994 Int 3 Complete 2018/06/13 12:00:00 2018/06/14 12:00:00 2023/04/28 01:27:50 UV 2.16.840.1.113883.3.7995 milwa-hd Milwaukee Health Department Noah Leigh masked Milwaukee Health Department Noah Leigh 841 N Broadway Ave, Milwaukee, WI 53202 4142860795 masked LIS Specialist Milwaukee Health Department Laboratory 841 N Broadway Ave, Milwaukee, WI 53202 4142863526 SBHATT@milwaukee.gov http://city.milwaukee.gov/health/healthlab Govt body Int 3 Complete 2018/06/13 12:00:00 2018/06/14 12:00:00 2018/06/14 08:45:08 UV 2.16.840.1.113883.3.7996 niagarahospice Niagara Hospice David Lee masked David Lee 4675 Sunset Drive Lockport, NY 14094 716-280-0729 masked Director of Information Systems Niagara Hospice 4675 Sunset Drive Lockport, NY 14094 716-439-4417 info@niagarahospice.org http://www.niagarahospice.org Provider Int 3 Complete 2018/06/14 12:00:00 2018/06/14 12:00:00 2018/06/14 08:50:28 UV 2.16.840.1.113883.3.7997 nschc North Shore Childrens Healthcare Marion Voegtlen masked Catherine Screnci MD PLLC Marion Voegtlen 3 School Street Suite 302 Glen Cove, NY 11542 5167591234 masked Office Manager North Shore Childrens Healthcare 3 School Street Suite 302 Glen Cove, NY 11542 5167591234 nschildrenshealthcare@gmail.com https://www.nschc.com/ Provider Int 3 Complete 2018/06/15 12:00:00 2018/06/15 12:00:00 2018/06/15 11:39:34 UV 2.16.840.1.113883.3.7998 vadssc Virginia Dermatology and Skin Surgery Center Angie Washington masked Virginia Dermatology and Skin Surgery Center Mark Eid 1985 Jefferson Davis Highway Fredericksburg, VA 22401 5403736647 masked Owner Virginia Dermatology and Skin Surgery Center 1985 Jefferson Davis Highway Fredericksburg, VA 22401 540-373-6647 vadssc@gmail.com Provider Int 3 Complete 2018/06/18 12:00:00 2018/06/19 12:00:00 2018/06/19 09:37:59 UV 2.16.840.1.113883.3.7999 vip VIPediatrics David Rosenberg masked David Rosenberg 320 Peninsula Blvd Cedarhurst, NY 11516 516-569-2323 masked Owner VIPediatrics 320 Peninsula Blvd Cedarhurst, NY 11516 516-569-2323 drdave@vipediatrics.com Provider Int 3 Complete 2018/06/18 12:00:00 2018/06/19 12:00:00 2018/06/19 09:40:31 UV 2.16.840.1.113883.3.8000 litepeds Lighthouse Pediatrics PC Yvonne Chung masked Yvonne Chung 160 BENNETT AVE NEW YORK, NY 10040 2127810800 masked Office Manager Lighthouse Pediatrics PC P.O.BOX 128 TEANECK, NJ 07666 2127810800 y.chung@lighthouseped.com https://Lighthouseped.com Provider Int 3 Complete 2018/06/19 12:00:00 2018/06/19 12:00:00 2018/06/19 09:48:15 UV 2.16.840.1.113883.3.8001 ghsg Apex Global Solutions Yitzchok Rich masked Dov Weller 8455796657 masked Apex Global Solutions 400 Rella Boulevard, Suite 200 Montebello, NY 10901 8455952444 support@axgsolutions.com Provider Int 3 Complete 2018/06/19 12:00:00 2018/06/19 12:00:00 2018/06/19 09:57:55 UV 2.16.840.1.113883.3.8002 aRSVA Dermatology PLC Brandy Knight masked Brandy Knight 320 Winding River Lane Ste 301 Charlottesville, VA 22911-3569 4342960113 masked Clinical Dermatology PLC 320 Winding River Lane Ste 301 Charlottesville, VA 22911-3569 4342960113 dermplc@gmail.com http://www.dermplc.com/ Provider Int 3 Complete 2018/06/19 12:00:00 2018/06/19 12:00:00 2018/06/19 10:42:37 UV 2.16.840.1.113883.3.8003 pfp1 Pinon Family Practice Amy Patterson masked Amy Patterson 9895 W. Remington Place Littleton, CO 80128 3038623484 masked Practice Manager Pinon Family Practice 9895 W Remington Place Littleton, CO 80128 3039482676 amyp80227@gmail.com https://www.pinonfamilypractice.com Provider Int 3 Complete 2018/06/19 12:00:00 2018/06/19 12:00:00 2018/06/19 10:01:32 UV 2.16.840.1.113883.3.2402.200.245 physicians-computer-company-clients-kiddoc Physician's Computer Company (PCC) client Kid-Doc Pediatrics Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.245 2018/06/20 12:00:00 2018/06/21 12:00:00 2018/06/21 11:00:39 UV 2.16.840.1.113883.3.8004 lipeds1 LONG ISLAND PEDIATRICS JOSEPHINE TARANGELO masked JOSEPHINE TARANGELO 664 MERRICK ROAD BALDWIN, NEW YORK 11510 516-771-8123 masked MANGER LONG ISLAND PEDIATRICS 664 MERRICK ROAD BALDWIN, NY 11510 516-771-8123 JTMARANO123@HOTMAIL.COM Provider Int 3 Complete 2018/06/20 12:00:00 2018/06/21 12:00:00 2018/06/21 11:04:42 UV 2.16.840.1.113883.3.8005 hlmd Trey Medical Enterprises DBA HealthLogicMD Vanessa Flores masked HealthLogicMD Vanessa Flores 7400 E Arapahoe Rd, Unit 100 Centennial, CO 80112 7204465190 masked Practice Manager Trey Medical Enterprises DBA HealthLogicMD 7400 E Arapahoe Rd, Unit 100 Centennial, CO 80112 720-446-5190 vanessaf@healthlogicmd.com https://healthlogicmd.com/ Provider Int 3 Complete 2018/06/21 12:00:00 2018/06/21 12:00:00 2018/06/21 11:07:24 UV 2.16.840.1.113883.3.8006 chmi Ciena/Laurel Health Care Christopher Hamstra masked Christopher Hamstra Ciena Healthcare 4000 Town Center Suite 700 Southfield, MI 48075 248-262-2382 masked Director of Clinical Technology Ciena Healthcare 4000 Town Center Suite 700 Southfield, MI 48075 248-386-0300 chamstra@cienahmi.com http://www.cienahealthcare.com Provider Int 3 Complete 2018/06/25 12:00:00 2018/06/26 12:00:00 2018/06/26 10:01:37 UV 2.16.840.1.113883.3.8007 ctdss State of CT Department of Social Services Lori Fassman masked Minakshi Tikoo Beth Schroeder 55 Farmington Ave Hartford, CT 06105 860-424-5474 masked State of CT Department of Social Services 55 Farmington Ave Hartford, CT 06105 (800) 842-4524 HWSWQuotes.DSS@ct.gov https://portal.ct.gov Govt body Int 3 Complete 2018/06/25 12:00:00 2018/06/26 12:00:00 2018/06/26 10:06:01 UV 2.16.840.1.113883.3.8008 suyipark SUYI PARK, MD & ASSOCIATES, PA Suyi Park masked SUYI PARK, MD 700 Washington Blvd Baltimore, MD 21230 410 539 1051 masked SUYI PARK, MD & ASSOCIATES, PA 700 Washington Blvd Baltimore, MD 21230 410 539 1051 Suyipark@hotmail.com Provider Int 3 Complete 2018/06/25 12:00:00 2018/06/26 12:00:00 2018/06/26 10:10:08 UV 2.16.840.1.113883.3.8009 mian-family-medicine Jamshid Mian Family Medicine Jamshid Mian masked Rhonda Kaintuck Rhonda Kaintuck 9114 Philadelphia Road Rosedale, MD 21237 443-231-5711 masked Office Manager Mian Family Medicine 9114 Philadelphia Rd Rosedale, MD 21237 443-231-5711 jmian@yahoo.com Provider Int 3 Complete 2018/06/26 12:00:00 2018/06/26 12:00:00 2018/06/26 10:23:48 UV 2.16.840.1.113883.3.8010 nRD-vdh1 New River Dermatology Virginia Department of Health Daniel Hurd masked Whitney Dempsey 5409532210 masked New River Dermatology 2617 Sheffield Drive Blacksburg, VA 24060 5409532210 contactus@newriverdermatology.com Provider Int 3 Complete 2018/06/26 12:00:00 2018/06/26 12:00:00 2018/06/26 10:36:20 UV 2.16.840.1.113883.3.8011 sgc-SalemGastroConnect Salem Gastro - Healthcare Connect Identification Steve Denny masked Salem Gastro Steve Denny 875 Oak St SE Suite 3010 Salem, OR 97301 5033853400 masked IT Director Salem Gastro 875 Oak St SE Suite 3010 Salem, OR 97301 5033997520 steved@salemgastro.com http://www.salemgastro.com Provider Int 3 Complete 2018/06/26 12:00:00 2018/06/26 12:00:00 2018/06/26 10:55:57 UV 2.16.840.1.113883.3.8012 sip South Island Pediatrics Mitchell Weiler masked Mitchell I. Weiler, M.D. 86 Carman Avenue Cedarhurst, NY 11516 516-569-0500 masked South Island Pediatrics, P.C., A Division of ARM of Pediatrics, LLP 86 Carman Avenue Cedarhurst, NY 11516 516-569-0500 southislandpediatrics@gmail.com Provider Int 3 Complete 2018/06/26 12:00:00 2018/06/26 12:00:00 2018/06/26 10:57:46 UV 2.16.840.1.113883.3.8013 cpp Colorado Pain Care Debbie Leone masked Debbie Leone 1355 S Colorado Blvd Suite 700 Denver, CO 80222 8134222905 masked VP of Operations Colorado Pain Care 1355 S Colorado Blvd Suite 700 Denver, CO 80222 3032770700 debbie.leone@coloradopaincare.com Provider Int 3 Complete 2018/06/26 12:00:00 2018/06/26 12:00:00 2018/06/26 11:03:20 UV 2.16.840.1.113883.9.245 hl7crisp Vinu Ganti, MDPC Vinu Ganti masked Usha R Ganti 12800 Middlebrook Road Suite#204 Germantown, MD 20874 3015408146 masked office manager Vinu Ganti, MDPC 12800 Middlebrook Road Suite#204 Germantown, MD 20874 3015408146 drgantistaff@gmail.com http://www.doctorganti.com/ Provider Int 3 Complete 2018/06/27 12:00:00 2018/06/29 12:00:00 2018/06/29 11:30:31 US 2.16.840.1.113883.3.7217.600.1 mmidsouthwestdistricthealth Idaho Southwest District Health Chris Parham masked Chris Parham Chris Parham 2165 W. Park Ct. Ste. G Stone Mountain, GA 30087 8005510775 masked Mitchell and McCormick 2165 W. Park Ct. Ste. G Stone Mountain, GA 30087 8005510775 cparham@harriscomputer.com Vendor 2.16.840.1.113883.3.7217 Ext 17 Complete 2.16.840.1.113883.3.7217.600.1 2018/06/27 12:00:00 2018/06/27 12:00:00 2018/06/27 08:59:07 UV 2.16.840.1.113883.3.8014 caremore CareMore Health Plan Mellissa Chiles masked Mellissa Chiles 12898 Towne Center Dr. Cerritos, CA 90703 562-207-0179 masked CareMore Health Plan 12898 Towne Center Dr. Cerritos, CA 90703 562-207-0179 mellissa.chiles@caremore.com Provider Int 3 Complete 2018/06/29 12:00:00 2018/06/29 12:00:00 2018/06/29 11:04:25 UV 2.16.840.1.113883.3.8015 tmass-1 TMASS Erica Maltby masked Erica Maltby 401 West 15th Street Austin, TX 78701 Attn: TMA PracticeEdge 7325012573 masked VP Operations TMA Specialty Services 7325012573 erica.maltby@texmed.org https://www.texmed.org Vendor Int 3 Complete 2018/07/03 12:00:00 2018/07/05 12:00:00 2018/07/05 10:52:01 UV 2.16.840.1.113883.3.3228.4 ssn Social Security Number Kimberly Moore masked Kimberly Moore 100 Airport Rd Kinston, NC 28501 252-522-7880 masked Integration Analyst UNC Lenoir Healthcare 100 Airport Rd Kinston, NC 28501 252-522-7000 kmoore@lenoir.org Provider 2.16.840.1.113883.3.3228 Ext 14 Complete 2.16.840.1.113883.3.3228.4 2018/07/03 12:00:00 2018/07/05 12:00:00 2018/07/05 10:56:35 UV 2.16.840.1.113883.3.8016 hadh Hermann Area District Hospital Matt Siebert masked Matthew William Siebert Hermann Area District Hospital Attn: Matt Siebert 509 W. 18th Street P.O. Box 470 Hermann, MO 65041 573-486-2094 masked Assistant Administrator Hermann Area District Hospital Hermann Area District Hospital Attn: Matt Siebert 509 W. 18th Street P.O. Box 470 Hermann, MO 65041 573-486-2191 dan@hadh.org https://www.hadh.org Govt body Int 3 Complete 2018/07/03 12:00:00 2018/07/05 12:00:00 2018/07/05 11:08:39 UV 2.16.840.1.113883.17.4236 lm360 Linkmedia 360 Jake Schroeder masked Jake Schroeder 2 Summit Park Dr Suite 630 Independence, OH 44131 2166662728 masked Digital Marketing Specialist Linkmedia 360 2 Summit Park Dr Suite 630 Independence, OH 44131 8778431091 linkmedia360mcc@gmail.com https://www.linkmedia360.com/ Vendor Int 17 Complete 2018/07/05 12:00:00 2018/07/05 12:00:00 2018/07/05 11:23:26 UV 2.16.840.1.113883.3.8017 hl7PAS Prestige Administrative Services - OID Stacey Rogers masked Stacey Rogers 5024298062 masked Prestige Administrative Services 7400 New La Grange Rd # 100, Louisville, KY 40222 5024298062 bsparks@prestigehcm.com Provider Int 3 Complete 2018/07/05 12:00:00 2018/07/05 12:00:00 2018/07/05 11:27:13 UV 2.16.840.1.113883.3.8018 csedny Counseling Service of EDNY, Inc. Nicole Whitcroft masked Counseling Service of EDNY Nicole Whitcroft 175 Remsen Street Suite 900 Brooklyn, NY 11201-4333 9179728425 masked Compliance Director Counseling Service of EDNY, Inc. 175 Remsen Street Suite 900 Brooklyn, NY 11201 9179728425 nicole.whitcroft@csedny.org http://www.csedny.org Provider Int 3 Complete 2018/07/05 12:00:00 2018/07/05 12:00:00 2018/07/05 11:32:41 UV 2.16.840.1.113883.3.8019 renaissanceONCOLOGYINST1 Oncology Institute at Renaissance - 1st Floor OID Root Marie Rios masked Maytee Rodea 2717 Michaelangelo Dr. Edinburg, TX 78539 956-362-2188 masked Office Manager Oncology Institute at Renaissance - 1st Floor 2717 Michaelangelo Dr. Edinburg, TX 78539 956-362-2188 m.rodea@dhr-rgv.com Provider Int 3 Complete 2018/07/05 12:00:00 2018/07/05 12:00:00 2018/07/05 11:37:24 UV 2.16.840.1.113883.3.8020 renaissanceUTRGVWOMENSUB DHR UTRGV Women's Health Center Gynecology Oncology Subspecialty OID Root Marie Rios masked Abby Montanez 2821 Michaelangelo Dr., Suite 202 Edinburg, TX 78539 956-362-2465 masked Office Manager DHR UTRGV Women's Health Center Gynecology Oncology Subspecialty 2821 Michaelangelo Dr., Suite 202 Edinburg, TX 78539 956-362-2465 jo.montanez@dhr-rgv.com Provider Int 3 Complete 2018/07/05 12:00:00 2018/07/05 12:00:00 2018/07/05 11:43:20 UV 2.16.840.1.113883.3.8021 msp Mainstreet Pediatrics Kirstin Clark masked Mainstreet Pediatrics Kirstin Clark 9235 CROWN CREST BLVD SUITE 100 Parker, CO 80138 7204586543 masked Office Manager Mainstreet Pediatrics 9235 Crown Crest Blvd Suite 100 Parker, CO 80138 7204586543 kirstin.clark@mainstreet-pediatrics.com Provider Int 3 Complete 2018/07/06 12:00:00 2018/07/10 12:00:00 2018/07/10 08:59:01 UV 2.16.840.1.113883.3.8022 fchGeneva Fillmore County Hospital Deb Domann masked Deb Domann 1900 F Street Geneva, Nebraska 68361 4027593167 masked COO Fillmore County Hospital 1900 F Street Geneva, Nebraska 68361 402-759-3167 ddomann@myfch.org http://myfch.org Provider Int 3 Complete 2018/07/10 12:00:00 2018/07/10 12:00:00 2018/07/10 09:01:46 UV 2.16.840.1.113883.10.20.39 orthoAttachment Orthodontic Attachment Russell Ott masked Russell Ott 1919 N Lynn St Arlington, VA 22209-1742 202-578-7940 masked Attachments WG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 +1 (734) 677-7777 hq@hl7.org HL7 body Ext 10 Complete 2.16.840.1.113883.10.20.39 2018/07/10 12:00:00 2018/07/10 12:00:00 2018/07/10 09:04:05 US 2.16.840.1.113883.4.947 magnolia-healthplan magnolia-healthplan Angela Bates masked Trip Peeples Trip Peeples 111 E. Capitol Street Suite 500 Jackson, MS 39201 (601) 863-0736 masked Sr. VP, Operations Magnolia Health Plan 111 E. Capitol Street Suite 500 Jackson, MS 39201 (601) 863-0736 tpeeples@centene.com Payor Int 3 Complete 2018/07/10 12:00:00 2018/07/10 12:00:00 2018/07/10 09:20:09 UV 2.16.840.1.113883.3.8023 hst Health Systems Technology, inc. Daniel Loncoa masked Tim Schmidt Daniel Loncoa 5854614376 masked Health Systems Technology, inc. 2090 South Clinton ave Rochester, NY 14618 5854614376 support@hstcentral.com Vendor Int 3 Complete 2018/07/11 12:00:00 2018/07/12 12:00:00 2018/07/12 08:40:08 UV 2.16.840.1.113883.3.8024 ca-CDietBC College of Dietitians of British Columbia Andrea MacLean masked Salve Achacoso 1-888-733-6462 masked Canada Health Infoway-PrescribeIT&#174; Suite 409 &#8211; 1367 West Broadway Vancouver, BC V6H 4A7 604.736.2016 Product-management@prescribeIT.ca http://collegeofdietitiansofbc.org/home/about-us Prof Soc Int 2.16.840.1.113883.4.530 3 Retired 2018/07/11 12:00:00 2018/07/12 12:00:00 2018/11/08 11:46:18 CA 2.16.840.1.113883.3.8025 ca-CDietAB College of Dietitians of Alberta Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked Canada Health Infoway-PrescribeIT&#174; 1320, 10123 99 Street Edmonton, Alberta T5J 3H1 780-448-0059 Product-management@prescribeIT.ca http://www.collegeofdietitians.ab.ca/about-us/ Prof Soc Int 2.16.840.1.113883.4.43 3 Retired 2018/07/11 12:00:00 2018/07/12 12:00:00 2018/10/30 10:57:30 CA 2.16.840.1.113883.3.8026 ca-CDietSK Saskatchewan Dietitians Association Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked Saskatchewan Dietitians Association 17-2010 7th Avenue Regina, SK S4R 1C2 306-359-3040 Product-management@prescribeIT.ca https://www.saskdietitians.org/ Prof Soc Int 4 Complete 2018/07/11 12:00:00 2018/07/12 12:00:00 2022/01/06 11:00:15 CA 2.16.840.1.113883.3.8027 ca-CDietMB College of Dietitians of Manitoba Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked College of Dietitians of Manitoba College of Dietitians of Manitoba 36-1313 Border Street Winnipeg, MB, R3H 0X4 (204) 694-0532 Product-management@prescribeIT.ca http://manitobadietitians.ca/home.aspx Prof Soc Int 4 Complete 2018/07/11 12:00:00 2018/07/12 12:00:00 2022/01/06 11:00:45 CA 2.16.840.1.113883.3.8028 ca-CDietON College of Dietitians of Ontario Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked Canada Health Infoway-PrescribeIT&#174; 5775 Yonge Street, Suite 1810, Box 30 Toronto, ON, M2M 4J1 (416) 598-1725 or 1-800-668-4990 Product-management@prescribeIT.ca http://www.collegeofdietitians.org/home.aspx Prof Soc Int 2.16.840.1.113883.3.239.13.9 3 Retired 2018/07/11 12:00:00 2018/07/12 12:00:00 2018/10/30 10:30:54 CA 2.16.840.1.113883.3.8029 anisimova Elena Anisimova, MD, PC Elena Anisimova masked Elena Anisimova 1260 S Parker Rd Ste 201 Denver, CO 80231 3035220425 masked MD Elena Anisimova, MD, PC 1260 S Parker Rd Ste 201 Denver, CO 80231 3035220425 lena_anisimova@hotmail.com Provider Int 3 Complete 2018/07/11 12:00:00 2018/07/12 12:00:00 2018/07/12 09:10:07 UV 2.16.840.1.113883.3.8030 gchcc Groton Community Health Care Center Nasar Khan masked Nasar Khan 120 Sykes Street Groton, NY 13073 607-898-5876 masked Groton Community Health Care Center 120 Sykes Street Groton, NY 13073 607-898-5876 groton@grotonhealth.org Provider Int 3 Complete 2018/07/11 12:00:00 2018/07/12 12:00:00 2018/07/12 09:21:21 UV 2.16.840.1.113883.3.8031 ca-CDietQC Ordre professionnel des di&#233;t&#233;tistes du Qu&#233;bec Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked Ordre professionnel des di&#233;t&#233;tistes du Qu&#233;bec 550, rue Sherbrooke Ouest, Tour Ouest, bureau 1855 Montr&#233;al (Qu&#233;bec) H3A 1B9 514 393-3733 or 1 888 393-8528 Product-management@prescribeIT.ca https://opdq.org/ Prof Soc Int 4 Complete 2018/07/12 12:00:00 2018/07/12 12:00:00 2022/01/06 11:01:27 CA 2.16.840.1.113883.3.8032 ca-CDietNB New Brunswick Association of Dietitians Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked New Brunswick Association of Dietitians P.O. Box 7022 Riverview, NB E1B 4T8 (506) 386-5903 Product-management@prescribeIT.ca http://www.adnb-nbad.com/about-us/visionmission/ Prof Soc Int 4 Complete 2018/07/12 12:00:00 2018/07/12 12:00:00 2022/01/06 11:01:56 CA 2.16.840.1.113883.3.8033 ca-CDietNS Nova Scotia Dietetic Association Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked Nova Scotia Dietetic Association 380 Bedford Highway, Suite 301 Halifax, NS B3M 2L4 (902) 493-3034 Product-management@prescribeIT.ca https://www.nsdassoc.ca/ Prof Soc Int 4 Complete 2018/07/12 12:00:00 2018/07/12 12:00:00 2022/01/06 11:02:33 UV 2.16.840.1.113883.3.8034 ca-DietboardPE PEI Dietitians Registration Board Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked PEI Dietitians Registration Board 5th Floor, Shaw Building 95 Rochford Street P.O. Box 2000, Charlottetown, PE C1A 7N8 (902) 368-4502 Product-management@prescribeIT.ca https://www.princeedwardisland.ca/en/information/executive-council-office/prince-edward-island-dietitians-registration-board Prof Soc Int 4 Complete 2018/07/12 12:00:00 2018/07/12 12:00:00 2022/01/06 11:03:27 CA 2.16.840.1.113883.3.8035 ca-CDietNL Newfoundland and Labrador College of Dietitians Standards Infodesk masked Salve Achacoso 1-888-733-6462 masked Newfoundland and Labrador College of Dietitians PO Box 1756 Postal Station C St. John's, NL A1C 5P5 709-753-4040 Product-management@prescribeIT.ca http://www.nlcd.ca/ Prof Soc Int 4 Complete 2018/07/12 12:00:00 2018/07/12 12:00:00 2022/01/06 11:04:16 CA 2.16.840.1.113883.5.1141 hl7TerminologyProperties HL7 Terminology Properties William Ted Klein masked Russell Hamm Ted Klein Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 516 429 9739 masked Vocabulary CoChair Vocabulary WG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 vocab@lists.hl7.org http://www.hl7.org HL7 body 2.16.840.1.113883 Int 5 Complete 2018/07/12 12:00:00 2018/07/12 12:00:00 2018/07/12 02:19:25 UV 2.16.840.1.113883.3.8036 wwc Woodbury Wellness Center Judith Bullard masked Judith Bullard 2778 Country Club Drive Hampstead, NC 28443 910-270-1443 masked Administrator Woodbury Wellness Center 2778 Country Club Drive Hampstead, NC 28443 910-270-1443 judith@woodburywellness.com https://woodburywellness.com Provider Int 3 Complete 2018/07/13 12:00:00 2018/07/13 12:00:00 2018/07/13 09:21:52 UV 2.16.840.1.113883.3.8037 mayo-regional-hospital-04426 Mayo Regional Hospital Geoff Shorette masked Nick Cannon Geoff Shorette 897 West Main Street Dover Foxcroft, ME 04426 207-564-4354 masked Director of Information Technology Mayo Regional Hospital 897 West Main Street Dover Foxcroft, ME 04426 207-564-8401 itdepartment@mayohospital.com http://www.mayohospital.com/ Provider Int 3 Complete 2018/07/13 12:00:00 2018/07/13 12:00:00 2018/07/13 09:23:03 UV 2.16.840.1.113883.3.8038 roosevelt Roosevelt Warm Springs Rehabilitation & Specialty Hospitals Susan Wilder masked Susan Wilder 7066555461 masked Director of Finance Roosevelt Warm Springs Rehabilitation & Specialty Hospitals 7066555525 suwilder@augusta.edu https://augustahealth.org/roosevelt-warm-springs/ Academic Int 3 Complete 2018/07/13 12:00:00 2018/07/13 12:00:00 2018/07/13 09:40:18 UV 2.16.840.1.113883.3.8039 raleighortho Raleigh Orthopaedic Clinic Jason Moll masked Jason Moll 3001 Edwards Mill Rd. Suite 200 Raleigh, NC 27612 919-863-6861 masked Director of IT Raleigh Orthopaedic Clinic 3001 Edwards Mill Rd. Suite 200 Raleigh, NC 27612 919-781-5600 info@raleighortho.com https://www.raleighortho.com/ Provider Int 3 Complete 2018/07/16 12:00:00 2018/07/17 12:00:00 2018/07/17 08:45:31 UV 2.16.840.1.113883.3.8040 emblem Emblem Health Thomas MacMillan masked Thomas MacMillan 6464474401 masked Cheif Information Officer Emblem Health 55 Water Street New York, NY 10041-8190 6464474401 TMacMillan@emblemhealth.com https://www.emblemhealth.com/ Payor Int 3 Complete 2018/07/16 12:00:00 2018/07/17 12:00:00 2018/07/17 08:51:19 UV 2.16.840.1.113883.4.948 edco-solarity EDCO Health Information Solutions - Solarity Matt Marcus masked Matt Marcus 5121 S. Solberg Suite 150 Sioux Falls, SD 57108 605-367-1589 masked Product Manager EDCO Health Information Solutions 1351 N. Belcrest Ave Springfield, MO 65802 866-225-9885 support@edcohis.com https://solaritybyedco.com/ Vendor Int 3 Complete 2018/07/17 12:00:00 2018/07/31 12:00:00 2018/07/31 09:10:50 UV 2.16.840.1.113883.3.8041 scsp Skin Care Specialty Physicians, LLC Kathleen Foehrkolb masked Kathleen Foehrkolb 1447 York Road, Suite 301 Lutherville, MD 21093 410-252-9090 ext 1210 masked Administrative Coordinator Skin Care Specialty Physicians, LLC 1447 York Road, Suite 301 Lutherville, MD 21093 410-252-9090 hrap@scsphysicians.com https://scsphysicians.com Provider Int 3 Complete 2018/07/17 12:00:00 2018/07/17 12:00:00 2018/07/17 08:55:17 UV 2.16.840.1.113883.3.8042 shcm Southern Healthcare Management Brandon Weaver masked ssempier@southernltc.com Brandon Weaver 101 Sunnytown Road Suite 201 Casselberry, FL 32707 407-830-5309 x112 masked Vice President of Information Technology Southern Healthcare Management 101 Sunnytown Road Suite 201 Casselberry, FL 32707 407-830-5309 bweaver@southernltc.com Provider Int 3 Complete 2018/07/17 12:00:00 2018/07/17 12:00:00 2018/07/17 09:03:52 UV 2.16.840.1.113883.3.8043 fa-root Franciscan Alliance Craig Regester masked Craig Regester Franciscan Alliance Information Services 1500 Albany St Beech Grove, IN 46107 317-782-6970 masked Enterprise Architect Franciscan Alliance Information Services Franciscan Alliance Information Services 1500 Albany St Beech Grove, IN 46107 isappintegration@franciscanalliance.org http://www.franciscanalliance.org Provider Int 3 Complete 2018/07/17 12:00:00 2018/07/17 12:00:00 2021/11/01 10:43:30 UV 2.16.840.1.113883.3.8044 swbroot Social Welfare Board Linda Judah masked Linda Judah 8162335188 ext 101 masked Executive Director Social Welfare Board 904 S. 10th, Suite A St. Joseph, MO 64503 816-233-5188 lindajudah@socialwelfareboard.org http://www.socialwelfareboard.org/ Provider Int 3 Complete 2018/07/18 12:00:00 2018/07/19 12:00:00 2018/07/19 08:31:21 UV 2.16.840.1.113883.3.8045 md4peds Kevin B Norowitz MD FAAP Kevin Norowitz masked Norowitz Kevin Norowitz 522 East 9 Street Brooklyn, NY 11218 7184355009 masked Owner Kevin B Norowitz MD FAAP 522 East 9 Street Brooklyn, NY 11218 7184355009 md4peds@gmail.com Provider Int 3 Complete 2018/07/19 12:00:00 2018/07/19 12:00:00 2018/07/19 08:59:41 UV 2.16.840.1.113883.3.8046 oHRC Osborn Health and Rehab Kimberly Jacobson masked Kimberly Jacobson 3333 N. Civic Center Plaza Scottsdale, AZ 85251 (480) 212-4895 masked Health Information Manager Osborn Health and Rehab 3333 N Civic Center Plaza Scottsdale, AZ 85251 (480) 994-1333 kjacobson@ensignservices.net Provider Int 3 Complete 2018/07/19 12:00:00 2018/07/24 12:00:00 2018/07/24 10:57:48 UV 2.16.840.1.113883.3.8047 communityhealthassociates Community Health Associates Arianna Tapia masked Arianna Tapia 2851 S Avenue B Bldg 4 Yuma, AZ 85364 928-920-7338 masked Manager of EHR & Support Services Community Health Associates 2851 S Avenue B Bldg 4 Yuma, AZ 85364 928-376-0026 atapia@chaarizona.com http://www.chaarizona.com Provider Int 3 Complete 2018/07/20 12:00:00 2018/07/24 12:00:00 2018/07/24 11:02:02 UV 2.16.840.1.113883.3.8048 nmch Nelson Mandela Children's Hospital Kwadzanai Majaji masked Kwadzanai Wilson Majaji Kwadzanai Wilson Majaji Nelson Mandela Children's Hospital 6 Jubilee Road Parktown, Johannesburg South Africa 0027837055853 masked IT Manager Nelson Mandela Children's Hospital 6 Jubilee Road Parktown, Johannesburg South Africa 010 133 0675 kwadzanai.majaji@nmch.co.za Academic Int 3 Complete 2018/07/23 12:00:00 2018/07/24 12:00:00 2018/07/24 11:05:52 UV 2.16.840.1.113883.3.8049 co-142 CARLOS A ORTIZ, MD Carlos Ortiz MD masked CARLOS A ORTIZ MD PC ERICA A ROSAS 142-42 A 41ST AVE FLUSHING, NY 11355 718-939-8440 masked MA CARLOS A ORTIZ, MD 142-42 A 41ST AVE FLUSHING, NY 11355 718-939-8440 cortizjroffice@gmail.com Provider Int 3 Complete 2018/07/23 12:00:00 2018/07/24 12:00:00 2018/07/24 11:09:20 UV 2.16.840.1.113883.3.8050 wschs West Side Community Health Services Kris Sarkilahti masked Kris Sarkilahti 6516027522 masked IS Manager West Side Community Health Services 380 E Lafayette Frontage Rd., St. Paul, MN 55107 6516027522 ksarkilahti@westsidechs.org https://www.westsidechs.org/ Provider Int 3 Complete 2018/07/23 12:00:00 2018/07/24 12:00:00 2018/07/24 11:20:12 UV 2.16.840.1.113883.3.8051 awoc-srhs Spartanburg Regional Healthcare System Virtual Care Alfredo Morales masked Alfredo Morales 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x 3643 masked Director, Integration Architecture American Well 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x 3643 alfredo.morales@americanwell.com Vendor 2.16.840.1.113883.3.634 Int 17 3 Complete 2018/07/23 12:00:00 2018/07/24 12:00:00 2018/07/24 11:39:16 UV 2.16.840.1.113883.3.8052 rrh Rochester Regional Health Erik Jacob masked Erik Jacob 100 Kings Highway South Rochester, New York 14617 585-922-1190 masked Manager Interoperability Rochester Regional Health 100 Kings Highway South Rochester, New York 14617 interoperability@rochesterregional.org http://www.rochesterregional.org Provider Int 3 Complete 2018/07/24 12:00:00 2019/06/24 12:00:00 2019/06/24 07:12:36 UV 2.16.840.1.113883.3.8053 usrc USRC CCD Records Jeffrey Skwarek masked Sachin Mehta 5851 Legacy Circle Suite 900 Plano, TX 75024 615-268-7926 masked SVP, Applications U.S. Renal Care, Inc. 5851 Legacy Circle Suite 900 Plano, TX 75024 214-736-2700 sachin.mehta@usrenalcare.com http://www.USRenalCare.com Provider Int 3 Complete 2018/07/25 12:00:00 2018/07/25 12:00:00 2024/10/08 01:28:14 UV 2.16.840.1.113883.3.377.1.13 uhshc UHS Professional Home Care Mark Amendola masked Mark Amendola 10-42 Mitchell Ave Binghamton, NY 13903 607-762-3190 masked Manager Applications and Integration UHS Professional Home Care 601 Riverside Drive Johnson City, NY 13790 607-763-8950 cindy_trait@uhs.org Provider 2.16.840.1.113883.3.377 Ext 14 Complete 2.16.840.1.113883.3.377.1.13 2018/07/26 12:00:00 2018/07/26 12:00:00 2018/07/26 10:40:53 UV 2.16.840.1.113883.3.8054 ncgh Neshoba County General Hospital and Nursing Home Kyle James masked Kyle James 1001 Holland Ave Philadelphia, MS 39350 601-663-1475 masked IT Director Neshoba County General Hospital and Nursing Home 1001 Holland Ave Philadelphia, MS 39350 601-663-1200 hnelson@neshoba-hospital.com Provider Int 3 Complete 2018/07/27 12:00:00 2018/07/30 12:00:00 2018/07/30 07:56:25 UV 2.16.840.1.113883.3.8055 spllc SinhaPatelLLC Standards Infodesk masked Sureshchandra Patel 5166100482 masked Sinha & Patel LLC 5801 5th Ave Brooklyn, NY 11220 5166100482 abc42332@gmail.com Provider Int 3 Complete 2018/07/30 12:00:00 2018/07/30 12:00:00 2018/07/30 08:04:40 UV 2.16.840.1.113883.3.8056 nrp Allen Natow MD, Irene Rosenberg MD & Ira Pion MD PC Stephanie Pernal masked Allen Natow MD, Irene Rosenberg MD & Ira Pion MD PC 949 Central Ave, Suite 101 Woodmere, NY 11598 516-295-1921 masked MD Allen Natow MD, Irene Rosenberg MD & Ira Pion MD PC 949 Central Ave, Suite 101 Woodmere, NY 11598 516-295-1921 Allen949@aol.com Provider Int 3 Complete 2018/07/30 12:00:00 2018/07/30 12:00:00 2018/07/30 08:10:26 UV 2.16.840.1.113883.3.8057 lmdc-oid Lower Manhattan Dialysis Center, Inc. Lorna Ancheta masked Lorna Ancheta 323 East 34th St. New York, NY 10016 1-212-889-0770 masked Administrator Lower Manhattan Dialysis Center, Inc. 323 East 34th St. New York, NY 10016 1-212-889-0770 lorna.ancheta_lmdc@yahoo.com Provider Int 3 Complete 2018/07/30 12:00:00 2018/07/30 12:00:00 2018/07/30 08:15:54 UV 2.16.840.1.113883.4.949 widhs State of Wisconsin Department of Health Services Leon Lipp masked Leon Lipp 317 Knutson Dr. Madison, WI 53704 608-234-7568 masked Director, Office of Electronic Health Records State of Wisconsin 1 West Wilson Madison, Wisconsin 53703 608-234-7568 Leon.lipp@wi.gov https://www.dhs.wisconsin.gov/ Govt body Int 3 Complete 2018/07/31 12:00:00 2018/07/31 12:00:00 2018/07/31 08:07:23 UV 2.16.840.1.113883.3.8058 kbec Kips Bay Endoscopy Center, LLC Elizabeth Yuen masked Kimberly Ahwal Elizabeth Yuen 535 2nd Avenue New York, NY 10016 2128895477 masked Administrator Kips Bay Endoscopy Center, LLC 535 2nd Avenue New York, NY 10016 2128895477 eyuen@kipsbayendo.com http://kipsbayendo.com Provider Int 3 Complete 2018/07/31 12:00:00 2018/07/31 12:00:00 2018/07/31 08:12:30 UV 2.16.840.1.113883.17.4237 tmc Therapy Management Corporation Eric Jones masked Eric Jones 14 Orleans Ave. Suite B Hattiesburg, MS 39402 6014080955 masked Software Engineer Therapy Management Corporation (TMC) 14 Orleans Ave. Suite B Hattiesburg, MS 39402 6012648578 ejones@therapymgmt.com http://www.therapymgmt.com/ Provider Int 17 Complete 2018/07/31 12:00:00 2018/07/31 12:00:00 2018/07/31 08:19:57 UV 2.16.840.1.113883.4.950 oc-30-hbfd Huntington Beach Fire Department Laurent Repass masked Jeff Lopez 18311 Gothard Street Huntington Beach, CA 92648 (714) 374-5376 masked Battalion Chief/EMS Huntington Beach Fire Department City of Huntington Beach Fire Department 2000 Main Street Huntington Beach, CA 92648 (714) 536-5411 jlopez@surfcity-hb.org https://www.huntingtonbeachca.gov/government/departments/fire/ Govt body Int 3 Complete 2018/07/31 12:00:00 2018/07/31 12:00:00 2018/07/31 08:53:33 UV 2.16.840.1.113883.3.8059 hhc-ct HARTFORD HEALTHCARE Sridhar Nelakudity masked Sridhar Nelakudity Hartford HealthCare 5 Batterson Park Drive Farmington, CT 06032 860-677-3093 masked Manager - Interoperability Hartford Healthcare Hartford HealthCare 5 Batterson Park Drive Farmington, CT 06032 860-677-3093 sridhar.nelakudity@hhchealth.org https://hartfordhealthcare.org/ Provider Int 3 Complete 2018/07/31 12:00:00 2018/08/03 12:00:00 2018/08/03 07:27:56 UV 2.16.840.1.113883.3.8060 lfcAZ La Frontera Center Inc DJ Lee masked La Frontera Center Inc DJ Lee 504 W 29th St Tucson, AZ 85713 5208849920 masked Director, MIS La Frontera Center Inc 504 W 29th St Tucson, AZ 85713 5208849920 dave.lee@lafrontera.org Provider Int 3 Complete 2018/08/01 12:00:00 2018/08/03 12:00:00 2018/08/03 07:31:53 UV 2.16.840.1.113883.3.8061 mchhs Memorial Community Hospital & Health System Margo Price masked Margo Price 810 North 22nd. St. Blair, NE 68008 4024261252 masked IT Lead, Project Manager Memorial Community Hospital & Health System 810 North 22nd. St. Blair, NE 68008 4024261252 mprice@mchhs.org Provider Int 3 Complete 2018/08/03 12:00:00 2018/08/03 12:00:00 2018/08/03 08:13:03 UV 2.16.840.1.113883.3.8062 pabrooklyn Pediatric Associates of Brooklyn, LLP Judith Abberbock masked Pediatric Associates of Brooklyn, LLP Judith Abberbock 1421 East 2nd Street Brooklyn, NY 11230 7186457337 masked administrator Pediatric Associates of Brooklyn, LLP 1421 East 2nd Street Brooklyn, NY 11230 7186457337 gabberbockmd@gmail.com Provider Int 3 Complete 2018/08/06 12:00:00 2018/08/07 12:00:00 2018/08/07 09:10:16 UV 2.16.840.1.113883.3.8063 hcfsOID HCFS, Inc Adina Hirsch masked Adina Hirsch 3343 N. Windsong Rd. Prescott Valley AZ 86314 928-379-0122 masked Director EHR and Programming HCFS, Inc 3343 N. Windsong Rd. Prescott Valley AZ 86314 928-379-0122 a.hirsch@wygc.org https://www.wygc.org Provider Int 3 Complete 2018/08/07 12:00:00 2018/08/07 12:00:00 2018/08/07 09:15:22 UV 2.16.840.1.113883.3.8064 osms OSMS Joan Johnson masked Sandy Titulaer 2223 Lime Kiln Rd Suite #1 Green Bay, WI 54311 920-569-4310 masked Clinical Applications Manager OSMS 2223 Lime Kiln Rd Suite #1 Green Bay, WI 54311 920-430-8113 stitulaer@osmsgb.com http://osmsgb.com Provider Int 3 Complete 2018/08/07 12:00:00 2018/08/07 12:00:00 2025/03/27 12:37:20 UV 2.16.840.1.113883.3.8065 omhc Olivero Medical Health Center, Inc Daniel Olivero masked Daniel Olivero 1243 Skytop Mountain Rd. Suite 4 Port Matilda, PA 16870-7725 (814) 499-3009 masked Owner Olivero Medical Health Center, Inc 1243 Skytop Mountain Rd. Suite 4 Port Matilda, PA 16870-7725 (814) 499-3009 admin@oliveromedical.com Provider Int 3 Complete 2018/08/07 12:00:00 2018/08/07 12:00:00 2018/08/07 09:24:14 UV 2.16.840.1.113883.3.8066 welg The WellBridge Group Julie Ryan masked Heather Perry 10503 Citation Drive Brighton, MI 48116 812-595-7886 masked VP of Clinical Services The WellBridge Group 10503 Citation Drive Brighton, MI 48116 810-534-0150 hperry@wellbridgegroup.com https://thewellbridgegroup.com Provider Int 3 Complete 2018/08/07 12:00:00 2018/08/07 12:00:00 2018/08/07 09:29:37 UV 2.16.840.1.113883.3.8067 cphlhealthixoid CPHL Healthix OID Aaron Katz masked Aaron Katz 75 Vanderbilt Avenue Staten Island, NY 10304 718-215-7000 X3305 masked Manager, Information Systems Centers Plan for Healthy Living (CPHL) 75 Vanderbilt Avenue Staten Island, NY 10304 718-215-7000 X3247 bshonk@centersplan.com http://www.centersplan.com Exchange Int 3 Complete 2018/08/08 12:00:00 2018/08/09 12:00:00 2018/08/09 08:57:43 UV 2.16.840.1.113883.3.8068 vitacare Vita Care, LLC Junette Restrepo masked Manuel Garcia Junette Restrepo MMM Holdings, LLC. PO BOX 71114 SAN JUAN, PR 00936-8014 7873196261 masked eConnectivity Product Manager MMM Holdings, LLC PO BOX 71114 SAN JUAN, PR 00936-8014 7873196261 junette.rstrepo@mmmhc.com Provider Int 3 Complete 2018/08/08 12:00:00 2018/08/09 12:00:00 2018/08/09 09:03:05 UV 2.16.840.1.113883.3.8069 giassociatesLLP Gastrointestinal Associates LLP Jacob Pilger masked Jacob Pilger 210 Portland St Suite 100 Columbia, MO 65201 573-777-8818 masked Administrator Gastrointestinal Associates LLP 210 Portland St Suite 100 Columbia, MO 65201 573-777-8818 JPILGER@gicolumbia.com https://gicolumbia.com Exchange Int 3 Complete 2018/08/08 12:00:00 2018/08/09 12:00:00 2018/08/09 09:05:31 UV 2.16.840.1.113883.3.8070 tHCLLC0907 Transitions Healthcare, LLC Nancy Casanas masked Nancy Casanas 531 Old Westminster Pike Suite 101 Westminster, MD 21157 443-388-2030 masked Director of Clinical Services Transitions Healthcare, LLC 531 Old Westminster Pike, Suite 101, Westminster, MD 21157 443-952-7125 ncasanas@transitionshealthcarellc.com Provider Int 3 Complete 2018/08/09 12:00:00 2018/08/09 12:00:00 2018/08/09 09:09:49 UV 2.16.840.1.113883.3.8071 renalhypertension Renal Hypertension Clinic OID Root Ravindranath Kantamneni masked Jennifer Kirk 1540 East Main Str Dothan, Al 36303 334-793-2618 masked Office Manager Renal Hypertension Clinic, P.C, 1540 East Main Str Dothan, Al 36303 334-793-2618 renalhc@comcast.net Provider Int 3 Complete 2018/08/09 12:00:00 2018/08/09 12:00:00 2018/08/09 09:18:25 UV 2.16.840.1.113883.3.8072 bmhInc Bingham Memorial Hospital and Clinics Sunil Kolanti masked Sunil Kolanti 98 Poplar St. Blackfoot, ID 83221 2087822875 masked Sr. Software Engineer Bingham Memorial Hospital and Clinics 98 Poplar St. Blackfoot, ID 83221 2087854100 skolanti@binghammemorial.org https://www.binghammemorial.org Provider Int 3 Complete 2018/08/09 12:00:00 2018/08/09 12:00:00 2018/08/09 09:22:03 US 2.16.840.1.113883.3.8073 zen Zen Healthcare IT Jim Benson masked Zen Healthcare IT Jim Benson 9648 Crestedge Dr Dallas, TX 75238 949-396-0361 masked CEO Zen Healthcare IT 9648 Crestedge Dr Dallas, TX 75238 949-396-0361 oidmanagement@zenhealthcareit.com http://www.zenhealthcareit.com Vendor Int 3 Complete 2018/08/09 12:00:00 2018/08/09 12:00:00 2025/06/17 08:56:26 UV 2.16.840.1.113883.3.8073.1000 zenstargate Zen Stargate Jim Benson masked Zen Healthcare IT Jim Benson 9648 Crestedge Dr Dallas, TX 75238 949-396-0361 masked CEO Zen Healthcare IT 9648 Crestedge Dr Dallas, TX 75238 949-396-0361 oidmanagement@zenhealthcareit.com https://www.zenhealthcareit.com Vendor 2.16.840.1.113883.3.8073 Ext 17 Complete 2.16.840.1.113883.3.8073.1000 2018/08/09 12:00:00 2018/08/09 12:00:00 2025/06/17 08:58:45 UV 2.16.840.1.113883.17.4238 experianhealth Experian Health OID McLain Causey masked W. McLain Causey 720 Cool Springs Blvd Suite 200 Franklin, TN 37067 6122089746 masked Director, Care Management Solutions Experian Health 720 Cool Springs Blvd Suite 200 Franklin, TN 37067 8886615657 mclain.causey@experian.com https://www.experian.com/healthcare/solutions/patient-care-management-solutions.html Vendor Int 17 Complete 2018/08/10 12:00:00 2018/08/10 12:00:00 2019/10/10 02:14:34 UV 2.16.840.1.113883.3.8074 lch La Comunidad Hispana Katie Slauch-Boozer masked Amy Bastianelli 731 West Cypress Street Kennett Square, PA 19348 6104447550X248 masked Director of Population Health La Comunidad Hispana 731 West Cypress Street Kennett Square, PA 19348 6104447550 abastianelli@lchps.org https://lacomunidadhispana.org/ Provider Int 3 Complete 2018/08/13 12:00:00 2018/08/14 12:00:00 2018/08/14 09:51:57 UV 2.16.840.1.113883.3.8075 rdls Richmond Dermatology Natalie Hansen masked Natalie Hansen 9816 Mayland Drive Richmond, Virginia 23233 804-282-8510 masked Clinical Coordinator Richmond Dermatology nthomas@richmonddermlaser.com Provider Int 3 Complete 2018/08/13 12:00:00 2018/08/14 12:00:00 2018/08/14 09:54:21 UV 2.16.840.1.113883.3.8076 happyhealthy Happy and Healthy Pediatrics Brian Cohen masked Happy and Healthy Pediatrics Brian Cohen 5162165910 masked Business Manager Happy and Healthy Pediatrics 5162165910 happyandhealthypeds@gmail.com Provider Int 3 Complete 2018/08/13 12:00:00 2018/08/14 12:00:00 2018/08/14 09:56:43 UV 2.16.840.1.113883.3.8077 opd Dermatology Specialists Renee Calupitan masked Renee Calupitan 11844 Rock Landing Drive Suite B Newport News, VA 23606 757-259-9466 masked Williamsburg Site Manager Dermatology Specialists 11844 Rock Landing Drive Suite B Newport News, VA 23606 757-873-016 reneec@opderm.net http://www.opderm.net/ Provider Int 3 Complete 2018/08/13 12:00:00 2018/08/14 12:00:00 2018/08/14 10:02:44 UV 2.16.840.1.113883.3.8078 assumptioncommunityhospital Assumption Community Hospital Nanette Brister masked Nanette Brister 5959 S Sherwood Forest Blvd Baton Rouge, LA 70816 225-526-4023 masked Epic Analyst III Assumption Community Hospital 5959 S Sherwood Forest Blvd Baton Rouge, LA 70816 225-526-4023 Nanette.Brister@fmolhs.org https://fmolhs.org/ Provider Int 3 Complete 2018/08/13 12:00:00 2018/08/14 12:00:00 2018/08/14 10:10:34 UV 2.16.840.1.113883.3.8079 phix Paso del Norte Health Information Exchange Emily Hartmann masked Emily Hartmann 100 S Alto Mesa Suite F El Paso, TX 79912 915-242-0674 masked Executive Director Paso del Norte Health Information Exchange (PHIX) 100 S Alto Mesa Suite F El Paso, TX 79912 915-242-0674 info@phixnetwork.org Exchange Int 3 Complete 2018/08/14 12:00:00 2018/08/14 12:00:00 2018/08/14 10:13:09 UV 2.16.840.1.113883.3.8080 mra Minneapolis Radiology Associates Eric Mortenson masked Sandy Mulford Eric Mortenson 2955 Xenium Lane, Suite 40 Plymouth, MN 55441 763-398-2224 masked CIO Minneapolis Radiology Associates 2955 Xenium Lane, Suite 40 Plymouth, MN 55441 763-559-2171 eric@mplsrad.com http://www.mplsrad.com Provider Int 3 Complete 2018/08/14 12:00:00 2018/08/14 12:00:00 2018/08/14 10:24:44 UV 2.16.840.1.113883.3.8081 krmc1 Kearney Regional Medical Center Jerry Waddel masked Kearney Regional Medical Center Jerry Waddel 804 22nd Ave. Kearney, NE 68845 3084553650 masked Kearney Regional Medical Center 804 22nd Ave. Kearney, NE 68845 3084553650 jwaddel@kearneyregional.com Provider Int 3 Complete 2018/08/15 12:00:00 2018/08/15 12:00:00 2018/08/15 05:15:02 UV 2.16.840.1.113883.3.8082 pchmo Perry County Health System Chris Wibbenmeyer masked Perry County Health System Chris Wibbenmeyer 434 N. West St. Perryville, MO 63775 5737683293 masked COO Perry County Health System 434 N. West St. Perryville, MO 63775 5735472536 cmwibbenmeyer@pchmo.org http://www.pchmo.org Provider Int 3 Complete 2018/08/15 12:00:00 2018/08/15 12:00:00 2018/08/15 05:17:51 UV 2.16.840.1.113883.3.8083 pennStateSJR Penn State Health St. Joseph OID Root Rudy Reyes masked dbender1@pennstatehealth.psu.edu Candice L. Daily Penn State Health Milton S. Hershey Medical Center 90 Hope Drive ASB 3200D -A310 Hershey, PA 17033 | 717 531-1472 717 531-1472 masked Manager - Clinical Information Systems Penn State Health 500 University Drive Hershey, PA 17033 717-531-8521 HMCWEB@pennstatehealth.psu.edu https://www.pennstatehealth.org/ Provider Int 3 Complete 2018/08/15 12:00:00 2018/08/15 12:00:00 2018/08/15 05:35:34 UV 2.16.840.1.113883.3.8084 nightingale Nightingale Homecare Tom Glatt masked Tom Glatt 2411 W. Rose Garden Lane #110 Phoenix, AZ 85027 6025041555 masked Nightingale Homecare 2411 W. Rose Garden Lane #110 Phoenix, AZ 85027 6025041555 tom@ngcare.com Provider Int 3 Complete 2018/08/15 12:00:00 2018/08/20 12:00:00 2018/08/20 07:50:23 UV 2.16.840.1.113883.3.8085 bear-Lake-CHC Bear Lake Community Health Center Cameron Vaux masked Cameron Vaux 4357556061 masked IT Superviser Bear Lake Community Health Center 517 West 100 North Ste. 210 Providence Utah 84332 4357556061 cvaux@cvchc.org Provider Int 3 Complete 2018/08/16 12:00:00 2018/08/20 12:00:00 2018/08/20 07:54:22 UV 2.16.840.1.113883.3.8086 thrnc Trillium Health Resources NC Chris Penrod masked Chris Penrod 3809 Shipyard Blvd. Wilmington, NC 28403 866-998-2597 masked Director of Informatics Trillium Health Resources 3809 Shipyard Blvd. Wilmington, NC 28403 866-998-2597 informatics@trilliumnc.org http://www.trilliumhealthresources.org/ Payor Int 3 Complete 2018/08/16 12:00:00 2018/08/20 12:00:00 2018/08/20 08:00:21 UV 2.16.840.1.113883.3.8087 clinictracker-OID ClinicTracker EHR OID Joshua Gordon masked Joshua Gordon 315-633-4240 masked President ClinicTracker hello@ClinicTracker.com http://www.ClinicTracker.com Vendor Int 3 Complete 2018/08/16 12:00:00 2018/08/20 12:00:00 2018/08/20 08:03:22 UV 2.16.840.1.113883.3.8088 arizonahomecare Arizona Home Care Jason Smidt masked Jason Smidt 1626 S Edward Drive Tempe, AZ 85281 4802463968 masked CIO Arizona Home Care 1626 S Edward Drive Tempe, AZ 85281 4802463968 jason@azhomecare.com http://www.azhomecare.com Provider Int 3 Complete 2018/08/16 12:00:00 2018/08/20 12:00:00 2018/08/20 08:06:50 UV 2.16.840.1.113883.3.8089 ahc-EPIC Advocate Health Care-EPIC Eric Kinzle masked Eric Kinzle 630-575-3338 masked Manager IT Advocate Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3338 eric.kinzle@advocatehealth.com Provider Int 3 Complete 2018/08/20 12:00:00 2018/08/20 12:00:00 2018/08/20 08:17:59 UV 2.16.840.1.113883.3.8090 hpiHPI601 Headwall Photonics, Inc James Gennari masked James Gennari 9783534100 masked Director of Fiance Headwall Photonics, Inc Headwall Photonics, Inc. 580 Main Street Bolton, MA 01740 9783534100 Finance@headwallphotonics.com Vendor Int 3 Complete 2018/08/20 12:00:00 2018/08/20 12:00:00 2018/08/20 08:24:27 UV 2.16.840.1.113883.3.8091 jphmd Jackson Parish Hospital OID Root Jason Thomas masked Jason Alexander Thomas 165 Beech Springs Road Jonesboro, LA 71251 3182595656 masked COO/CIO Jackson Parish Hospital 165 Beech Springs Road Jonesboro, LA 71251 3182595656 jphit@jphmd.com http://www.jacksonparishhospital.com Provider Int 3 Complete 2018/08/20 12:00:00 2018/08/20 12:00:00 2018/08/20 08:27:04 UV 2.16.840.1.113883.3.8092 ncdoh-2018 Niagara County Department of Health Cathy Donovan masked Cathy Donovan Nursing Division 1001 11th Street Niagara Falls, NY 14301 716-278-1900 masked Director of Operations Niagara County Department of Health Nursing Division 1001 11th Street Niagara Falls, NY 14301 716-278-1900 cathy.donovan@niagaracounty.com http://www.niagaracounty.com/health/ Govt body Int 3 Complete 2018/08/21 12:00:00 2018/08/24 12:00:00 2018/08/24 09:38:18 UV 2.16.840.1.113883.3.8093 healthbridgemihs Metron IHS Jennifer Zdunic masked Jennifer Zdunic 4630 Plainfield Ave. NE Grand Rapids, MI 49525 616-485-6159 masked Director of Clinical IT Metron IHS 4630 Plainfield Ave. NE Grand Rapids, MI 49525 616-957-3957 info@metronihs.com https://metronhealth.com Provider Int 3 Complete 2018/08/21 12:00:00 2018/08/24 12:00:00 2018/08/24 09:47:24 UV 2.16.840.1.113883.3.8094 esad1910 Ebrahim Sadighim MD Alexander Fier masked Ebrahim Sadighim 516-466-1910 masked Physician Ebrahim Sadighim MD 516-466-1910 rashinp@hotmail.com Provider Int 3 Complete 2018/08/22 12:00:00 2018/08/24 12:00:00 2018/08/24 09:49:38 UV 2.16.840.1.113883.3.2402.300.28 physicans-computer-company-vendors-medlabs Physician's Computer Company (PCC) Vendors MedLabs Diagnostics Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.300.28 2018/08/22 12:00:00 2018/08/24 12:00:00 2018/08/24 09:52:13 UV 2.16.840.1.113883.3.8095 nhs-mn Neighborhood HealthSource Mary Niska masked Mary Niska 612-581-9738 masked Neighborhood HealthSource 3300 Fremont Avenue North Minneapolis, MN 55412 612-588-9411 info@neighborhoodhealthsource.org Provider Int 3 Complete 2018/08/23 12:00:00 2018/08/24 12:00:00 2018/08/24 10:00:48 UV 2.16.840.1.113883.3.8096 vhs Valley Health Services Inc Peter Bizzari masked Peter Bizzari 690 West German Street Herkimer, NY 13350 3153606680 masked Director of IT & Compliance Valley Health Services, Inc. 690 West German Street Herkimer, NY 13350 3158663330 pbizzari@valleyhealthservices.org https://www.bassett.org/medical/locations/long-term-care-services/valley-health-services Provider Int 3 Complete 2018/08/23 12:00:00 2018/08/24 12:00:00 2018/08/24 10:10:53 UV 2.16.840.1.113883.3.8097 renallg Renal Associates of LaGrange, LLC Beverly Reynolds masked Jessica Bullard 7063221486 masked Office Manager Renal Associates of LaGrange, LLC 6228 Bradley Park Drive Suite A Columbus, GA 31904-3605 7063221486 bfinch@knology.net Provider Int 3 Complete 2018/08/27 12:00:00 2018/08/28 12:00:00 2018/08/28 09:46:29 UV 2.16.840.1.113883.3.8098 xcare XCare Community Jeremy Wyatt masked Zach Bresee 214 Overlook Circle Suite 170 Brentwood, TN 37027 6152214971 masked Director of Operations eTransX, Inc. 214 Overlook Circle Suite 170 Brentwood, TN 37027 6152214971 zbresee@etransx.com http://www.etransx.com Vendor Int 3 Complete 2018/08/31 12:00:00 2018/08/31 12:00:00 2018/08/31 09:00:28 UV 2.16.840.1.113883.3.8099 voicefriend VoiceFriend Andrew Maillet masked Andrew Maillet +1 781 996 3123 masked CTO VoiceFriend 361 Albemarle Rd, Suite 300 Newton, MA 02460 +1 781 996 3123 andrew.maillet@voicefriend.net http://www.voicefriend.net Vendor Int 3 Complete 2018/09/04 12:00:00 2018/09/05 12:00:00 2018/09/05 06:26:46 UV 2.16.840.1.113883.3.8100 ppwi PLANNED PARENTHOOD OF WISCONSIN Debra Austin masked Debra Austin 262-210-7578 masked PLANNED PARENTHOOD OF WISCONSIN 302 North Jackson Street Milwaukee, WI 53202 Debra Austin debra.austin@ppwi.org Provider Int 3 Complete 2018/09/04 12:00:00 2018/09/05 12:00:00 2018/09/05 06:28:54 UV 2.16.840.1.113883.3.8101 crossroads The Crossroads, Inc. Tammy Wilson masked Crossroads, Inc Tammy Wilson 1700 E. Thomas Road Phoenix, AZ 85016 6022635242 masked The Crossroads, Inc. 1700 E. Thomas Road Phoenix, AZ 85016 6022635242 tammy.wilson@thecrossroadsinc.org https://www.thecrossroadsinc.org Provider Int 3 Complete 2018/09/05 12:00:00 2018/09/05 12:00:00 2018/09/05 06:33:42 UV 2.16.840.1.113883.3.8102 cwp Community Wellness Partners, Inc. Robert Morehouse masked Karen Dunne Robert Morehouse 108 Utica Rd. Clinton, NY 13323 315-235-7140 masked CIO Community Wellnss Partners 108 Utica Rd Clinton, NY 13323 315-235-7139 kdunne@lutherancare.org Provider Int 3 Complete 2018/09/06 12:00:00 2018/09/06 12:00:00 2018/09/06 10:17:05 UV 2.16.840.1.113883.3.8103 olitsa5211 Olitsa Roth, MD Rosalyn Schnitzler masked Olitsa Roth, MD Rosalyn Schnitzler 5211-15th Ave Brooklyn, NY 11219 7188517444 masked Practice Manager Olitsa Roth, MD 5211-15th Ave Brooklyn, NY 11219 7188517444 orothmd@gmail.com Provider Int 3 Complete 2018/09/06 12:00:00 2018/09/06 12:00:00 2018/09/06 10:28:03 UV 2.16.840.1.113883.3.8104 dallascohospital Dallas County Hospital Jann Haglan masked Jann Haglan 610 10th St Perry, IA 50220 5154657540 masked Clinical Informatics Dallas County Hospital 610 10th St Perry, IA 50220 5154657540 IT@dallascohospital.org http://www.dallascohospital.org/ Provider Int 3 Complete 2018/09/06 12:00:00 2018/09/06 12:00:00 2018/09/06 10:30:17 UV 2.16.840.1.113883.3.8105 mcguiregroup The McGuireGroup Carl Yost masked Carl Yost 716-826-2010 masked IT Director The McGuireGroup 455 Cayuga Rd Buffalo, NY 14225 716-826-2010 cyost@mcguiregroup.com http://www.mcguiregroup.com Provider Int 3 Complete 2018/09/06 12:00:00 2018/09/06 12:00:00 2018/09/06 10:37:54 UV 2.16.840.1.113883.3.8106 scs Selfhelp Community Services, Inc Neil Actable masked Neil Actable 520 8th Avenue New York, NY 10018 212-971-7712 masked IT Director Selfhelp Community Services, Inc 520 8th Avenue New York, NY 10018 212-971-7600 neil@selfhelp.net http://www.selfhelp.net Provider Int 3 Complete 2018/09/06 12:00:00 2018/09/06 12:00:00 2018/09/06 10:41:56 UV 2.16.840.1.113883.3.3991.8 hayesgreenbeach Hayes Green Beach Hospital Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 5173327063 masked Interface Programmer Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 5173641000 itinterfaceanalysts@sparrow.org http://www.sparrow.org/ Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.8 2018/09/06 12:00:00 2018/09/06 12:00:00 2018/09/06 11:02:06 UV 2.16.840.1.113883.3.3991.1076 hgb-team-one Hayes Green Beach - Team One Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 5173327063 masked Interface Programmer Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 5173641000 itinterfaceanalysts@sparrow.org http://www.sparrow.org/ Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1076 2018/09/06 12:00:00 2018/09/06 12:00:00 2018/09/06 11:25:48 UV 2.16.840.1.113883.3.3991.1077 hgb-charlotte-med-group Hayes Green Beach - Charlotte Medical Group Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 5173327063 masked Interface Programmer Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 5173641000 itinterfaceanalysts@sparrow.org http://www.sparrow.org/ Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1077 2018/09/06 12:00:00 2018/09/06 12:00:00 2018/09/06 11:28:45 UV 2.16.840.1.113883.3.3991.1078 hgb-scott-randall Hayes Green Beach - Scott Randall DO office Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 5173327063 masked Interface Programmer Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 5173641000 itinterfaceanalysts@sparrow.org http://www.sparrow.org/ Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1078 2018/09/06 12:00:00 2018/09/06 12:00:00 2018/09/06 11:31:48 UV 2.16.840.1.113883.3.3991.1079 hgb-family-care Hayes Green Beach - Family Care Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 5173327063 masked Interface Programmer Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 5173641000 itinterfaceanalysts@sparrow.org http://www.sparrow.org/ Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1079 2018/09/06 12:00:00 2018/09/06 12:00:00 2018/09/06 11:35:12 UV 2.16.840.1.113883.3.3991.1080 hgb-internal-med Hayes Green Beach - Internal Medicine Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 5173327063 masked Interface Programmer Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 5173641000 itinterfaceanalysts@sparrow.org http://www.sparrow.org/ Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1080 2018/09/06 12:00:00 2018/09/06 12:00:00 2018/09/06 11:39:57 UV 1.3.6.1.4.1.38068 centrastate-medical-center Centrastate Medical Center, Inc. Mark Handerhan masked Mark Handerhan 901 West Main Street Freehold, NJ 07728 732-294-2587 masked IT Director Centrastate Medical Center, Inc. 901 West Main Street Freehold, NJ 07728 732-294-2587 mhanderhan@centrastate.com https://www.centrastate.com Provider 1.3.6.1.4.1.38068 Ext 3 Complete 1.3.6.1.4.1.38068 2018/09/06 12:00:00 2018/09/06 12:00:00 2018/09/06 11:49:10 UV 2.16.840.1.113883.4.951 csmc-meditech CentraState Medical Center Inc - Meditech C/S Mark Handerhan masked Mark Handerhan 901 West Main Street Freehold, NJ 07728 732-294-2587 masked IT Director Mark Handerhan 901 West Main Street Freehold, NJ 07728 732-294-2587 mhanderhan@centrastate.com https://www.centrastate.com Provider 1.3.6.1.4.1.38068 Int 4 Complete 2018/09/06 12:00:00 2018/09/18 12:00:00 2018/09/18 09:33:45 UV 2.16.840.1.113883.3.8107 ayfs-2018 Arizona Youth & Family Services, Inc. Joey Zepeda masked Joey Zepeda 3707 N. 7th. St., Suite 200 Phoenix, AZ 85014 602-277-4833 masked Arizona Youth & Family Services, Inc. 3707 N. 7th. St., Suite 200 Phoenix, AZ 85014 602-277-4833 jzepeda@azyfs.org Provider Int 3 Complete 2018/09/06 12:00:00 2018/09/06 12:00:00 2018/09/06 11:55:58 UV 2.16.840.1.113883.3.8108 seneca-view Schuyler Hospital Seneca View Skilled Nursing Facility Wendy Collins masked Wendy Collins 220 Steuben Street Montour Falls, NY 14865 607-535-8639 EXT 2218 masked Schuyler Hospital Seneca View Skilled Nursing Facility Schuyler Hospital Seneca View Skilled Nursing Facility 220 Steuben Street Montour Falls, NY 14865 607 535 8611 collinsw@schuylerhospital.org https://schuylerhospital.org Provider Int 3 Complete 2018/09/10 12:00:00 2018/09/10 12:00:00 2018/09/10 08:28:34 UV 2.16.840.1.113883.3.8109 abs Absolut Care Tracy Sullivan masked Tracy Sullivan 300 Gleed ave East Aurora, NY 14052 (716)465-1381 masked RN Regional Quality Clinical Services Coordinator Absolut Care 300 Gleed ave East Aurora, NY 14052 1-800-888-9918 techsupport@billitco.com https://www.absolutcare.com/ Provider Int 3 Complete 2018/09/10 12:00:00 2018/09/10 12:00:00 2018/09/10 08:30:37 UV 2.16.840.1.113883.3.8110 avm Avante Management Tracy Sullivan masked Tracy Sullivan 300 Gleed Ave East Aurora, NY 14052 (716)465-1381 masked Avante Management 300 Gleed Ave East Aurora, NY 14052 1-800-888-9918 techsupport@billitco.com https://www.absolutcare.com/ Provider Int 3 Complete 2018/09/10 12:00:00 2018/09/10 12:00:00 2018/09/10 08:48:46 UV 2.16.840.1.113883.3.8111 rwjms Rutgers Robert Wood Johnson Medical School Theresa Savage masked Dr. Frank Sonnenberg Frank Sonnenberg 125 Paterson Street, Room 2302B New Brunswick, NJ 08901 732-235-7145 masked Chief Medical Informatics Officer Rutgers Robert Wood Johnson Medical School 125 Paterson Street, Room 2302B New Brunswick, NJ 08901 732-235-7145 frank.sonnenberg@rutgers.edu http://rwjms.rutgers.edu/ Academic Int 3 Complete 2018/09/10 12:00:00 2018/09/10 12:00:00 2018/09/10 08:52:59 UV 2.16.840.1.113883.3.8112 schofield Schofield OID Catherine Sobotka masked Catherine Sobotka 3333 Elmwood Avenue Kenmore, NY 14217 7164366307 masked Director of Information Systems Schofield 3333 Elmwood Avenue Kenmore, NY 14217 7164366358 is@schofieldcare.org https://schofieldcare.org Provider Int 3 Complete 2018/09/10 12:00:00 2018/09/10 12:00:00 2018/09/10 08:55:53 UV 2.16.840.1.113883.3.8113 ghrc Greenfield Health and Rehabilitation Center Cory Edmonds masked Cory Edmonds 5959 Broadway Lancaster, NY 14086 716-684-0202 masked IT Manager Greenfield Health and Rehabilitation Center 5949 Broadway Lancaster, NY 14086 716-684-3000 cedmonds@niagaralutheran.org Provider Int 3 Complete 2018/09/10 12:00:00 2018/09/10 12:00:00 2018/09/10 09:03:10 UV 2.16.840.1.113883.3.8114 lehcc Logan Elm Health Care Center Janette Flynn masked Ashley Green 370 Tarlton Road Circleville, OH 43113 740-474-3121 masked Director Of Nursing Logan Elm Health Care Center 370 Tarlton Road Circleville, OH 43113 740-474-311 jflynn@ncmgnt.com Provider Int 3 Complete 2018/09/11 12:00:00 2018/09/11 12:00:00 2018/09/11 09:20:14 UV 2.16.840.1.113883.3.2402.200.6914 physicians-computer-company-clients-vpv Physician's Computer Company (PCC) client Village Pediatrics at Vickery Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6914 2018/09/11 12:00:00 2018/09/11 12:00:00 2018/09/11 09:29:52 UV 2.16.840.1.113883.3.8115 mac623 Medical Associates of Cambridge, Inc. Melody Gray masked Medical Associates of Cambridge Inc. Melody Gray 1515 Maple Drive Cambridge, OH 43725 740-439-3515 masked Practice Administrator Medical Associates of Cambridge, Inc. 1515 Maple Drive Cambridge, OH 43725 740-439-3515 mlg43725@gmail.com https://www.medicalassociatescare.com Provider Int 3 Complete 2018/09/11 12:00:00 2018/09/11 12:00:00 2018/09/11 09:23:59 UV 2.16.840.1.113883.17.4239 hamaspikkings Hamaspik of kings County Abraham Solomon masked Abraham Solomon, LMHC 4102 14 Avenue Brooklyn, NY 11219 718-387-8400 Ext. 130 masked Director of Mental Health Services Hamaspik of Kings County 4102 14 Avenue Brooklyn, NY 11219 718-387-8400 Administration@hamaspikkings.org https://www.Hamaspikkings.org Provider Int 17 Complete 2018/09/12 12:00:00 2018/09/12 12:00:00 2018/09/12 11:30:26 UV 2.16.840.1.113883.3.8116 renaissanceINTEGRATIVE DHR Health Wellness Institute OID Root Marie Rios masked Amy Viverette 4500 N. 10th Street STE 100 McAllen, TX 78504 956-362-3492 masked Office Manager DHR Health Wellness Institute 4500 N. 10th Street STE 100 McAllen, TX 78504 956-362-3492 am.viverette@dhr-rgv.com Provider Int 3 Complete 2018/09/12 12:00:00 2018/09/12 12:00:00 2018/09/12 11:41:38 UV 2.16.840.1.113883.17.4240 mhadc-eyw Mental Health America of Dutchess County - EHR Your Way Gerald Dieterich masked Gerald Dieterich 253 Mansion St. Poughkeepsie, NY 12601 845-473-2500 masked Database Manager Mental Health America of Dutchess County 253 Mansion St. Poughkeepsie, NY 12601 845-473-2500 gdieterich@mhadutchess.org https://mhadutchess.org Provider Int 17 Complete 2018/09/13 12:00:00 2018/09/18 12:00:00 2018/09/18 08:58:27 UV 2.16.840.1.113883.3.7492.1.1 fp Forum Parkway OID David Hopkins masked David Hopkins HMG 1780 Hughes Landing Blvd ste 500 The Woodlands, TX 77380 281 363 4141 masked HMG Healthcare, LLC HMG 1780 Hughes Landing Blvd ste 500 The Woodlands, TX 77380 281 419 5520 wayne.culp@healthmarkgroup.com http://www.hmghealthcare.com Provider 2.16.840.1.113883.3.7492 Ext 14 Complete 2.16.840.1.113883.3.7492.1.1 2018/09/17 12:00:00 2018/09/18 12:00:00 2018/09/18 09:14:15 UV 2.16.840.1.113883.3.7492.2.1 ap Arbrook Plaza OID David Hopkins masked David Hopkins HMG 1780 Hughes Landing Blvd ste 500 The Woodlands, TX 77380 281 363 4141 masked IT mgr HMG Healthcare HMG 1780 Hughes Landing Blvd ste 500 The Woodlands, TX 77380 282 419 5520 wayne.culp@healthmarkgroup.com http://www.hmghealthcare.com Provider 2.16.840.1.113883.3.7492 Ext 14 Complete 2.16.840.1.113883.3.7492.2.1 2018/09/17 12:00:00 2018/09/18 12:00:00 2018/09/18 09:16:45 UV 2.16.840.1.113883.3.8117 rvhc Rocky Vista Health Center Jennifer Badolato masked Rocky Vista Health Center Jennifer Badolato 8401 S Chambers Rd Parker, CO 80134 7208752880 masked Director of Practice Management Rocky Vista Health Center 8401 S Chambers Rd Parker, CO 80134 7208752880 jbadolato@rockyvistahc.com Provider Int 3 Complete 2018/09/18 12:00:00 2018/09/18 12:00:00 2018/09/18 09:19:33 UV 2.16.840.1.113883.4.952 crmcrcf Cortland Regional Nursing and Rehabilitation Center Vickie Walczak masked Vickie Walczak 134 Homer Avenue Cortland, NY 13045 607-756-3574 masked Interface Analyst Cortland Regional Nursing and Rehabilitation Center 134 Homer Avenue Cortland, NY 13045 607-756-3900 vwalczak@cortlandregional.org https://www.cortlandregional.org/services/nursing-rehabilitation-center/residential-care/ Provider Int 3 Complete 2018/09/18 12:00:00 2018/09/18 12:00:00 2018/09/18 09:36:29 UV 2.16.840.1.113883.3.8118 clarindaregionalhealthcenter Clarinda Regional Health Center Ron McCauley masked Ron McCauley 7125428354 masked Clarinda Regional Health Center 220 Essie Davison Dr Clarinda, IA 51632 712542-8354 rmccauley@clarindahealth.com Provider Int 3 Complete 2018/09/18 12:00:00 2018/09/18 12:00:00 2018/09/18 09:23:40 UV 2.16.840.1.113883.3.8119 wellskyh&p WellSky Brian Clark masked Kelly Phillips 11300 Switzer Road Overland Park, KS 66210 855-935-5759 masked Director, Solutions Management WellSky 855-935-5759 kelly.phillips@wellsky.com www.wellsky.com Vendor Int 3 Complete 2018/09/18 12:00:00 2018/09/18 12:00:00 2024/11/07 06:41:26 UV 2.16.840.1.113883.3.8120 altheawoodland Silver Spring Health, LLC (dba) Althea Woodland Nursing and Rehabilitation Adam Sanders masked Adam Sanders 4238341494 masked Administrator Silver Spring Health, LLC (dba) Althea Woodland Nursing and Rehabilitation 1000 Daleview Dr. Silver Spring, MD 20901 4238341494 philip.meyer@altheawoodland.net Provider Int 3 Complete 2018/09/19 12:00:00 2018/09/20 12:00:00 2018/09/20 09:54:50 UV 2.16.840.1.113883.3.8121 peakhealthfamilymedicine Peak Health Family Medicine Angel Maldonado masked Peak Health Family Medicine Angel Maldonado 10901 W Toller Dr Suite 100 Littleton, CO 80127 3039733529 masked Practice Manager Peak Health Family Medicine PC 10901 W Toller Dr Suite 100 Littleton, CO 80127 3039733529 info@peakhealthmedicine.com Provider Int 3 Complete 2018/09/20 12:00:00 2018/09/20 12:00:00 2018/09/20 09:57:36 UV 2.16.840.1.113883.17.4241 icanotes ICANotes EHR Edward Chalon masked David Fencik David Fencik 1600 St Margarets Rd Annapolis, MD 21409 (443) 569-8778 masked Partner, ICANotes LLC ICANotes LLC 1600 St Margarets Rd Annapolis, MD 21409 (443) 569-8778 ticket@icanotes.com https://www.icanotes.com Vendor Int 3 Complete 2018/09/20 12:00:00 2018/09/20 12:00:00 2018/09/20 10:45:00 UV 2.16.840.1.113883.3.8122 kindercareOIDRoot Kindercare Pediatrics, LLP Jeffrey Dick masked Jeffery M. Dick 44 Lee Avenue, 3rd Floor Brooklyn, NY 11211 718-302-5437 masked Kindercare Pediatrics, LLP 44 Lee Avenue, 3rd Floor Brooklyn, NY 11211 718-302-5437 jmdickmd@gmail.com Provider Int 3 Complete 2018/09/20 12:00:00 2018/09/20 12:00:00 2018/09/20 10:48:38 UV 2.16.840.1.113883.3.8123 h-l-cs Healthy Life Centers Tanya Duke masked Tanya Duke 3090 Sugar Valley Rd Sugar Valley, GA 30746 7066244669 masked MLT: Business Project Sr Analyst Healthy Life Centers 3090 Sugar Valley Sugar Valley, GA 30746 7066244669 tanya.duke@cigna.com https://mymohawkbenefits.com/index.php/healthy-life-centers Provider Int 3 Complete 2018/09/21 12:00:00 2018/09/24 12:00:00 2018/09/24 10:03:45 UV 2.16.840.1.113883.3.8124 m-c-h-d Martin County Hospital District Freddy Olivarez masked Freddy Olivarez 600 Interstate 20 East Stanton, TX 79782 432-607-3636 masked CIO Martin County Hospital District 600 Interstate 20 East Stanton, TX 79782 432-607-3200 folivarez@martinch.org https://www.martincountyhospital.org/ Govt body Int 3 Complete 2018/09/21 12:00:00 2018/09/24 12:00:00 2018/09/24 10:08:27 UV 2.16.840.1.113883.3.8125 hspdd Hillside Pediatrics, PC Alexander Fier masked Shilpa Patel 256-02 Hillside Ave, Floral Park, 11004 (718) 343-3535 masked Administrator Hillside Pediatrics PC 256-02 Hillside Ave, Floral Park, 11004 (718) 343-3535 hillsidepediatricspc@gmail.com Provider Int 3 Complete 2018/09/21 12:00:00 2018/09/24 12:00:00 2018/09/24 10:18:52 UV 2.16.840.1.113883.3.8126 ppsfl Planned Parenthood of the Southern Finger Lakes Liz Weissbrot masked Liz Weissbrot 620 W. Seneca St. Ithaca, NY 14850 6072731513 masked Planned Parenthood of the Southern Finger Lakes 620 W. Seneca St. Ithaca, NY 14850 6072731513 liz.weissbrot@ppsfl.org Provider Int 3 Complete 2018/09/21 12:00:00 2018/09/24 12:00:00 2018/09/24 10:21:53 UV 2.16.840.1.113883.3.8127 crw Educational Alliance - Center for Recovery & Wellness Ryna Dery masked Ryna Dery 25-29 Avenue D New York, NY 10009 646-395-4409 masked AED of Operations & New Business Educational Alliance - Center for Recovery & Wellness 25-29 Avenue D, New York, NY 10009 646-395-4400 RDery@edalliance.org Provider Int 3 Complete 2018/09/21 12:00:00 2018/09/24 12:00:00 2018/09/24 10:26:30 UV 2.16.840.1.113883.3.8128 parkway Parkway Cardiology Associates Mark Norstedt masked Mark Norstedt 80 Vermont Avenue Oak Ridge, TN 37830 8654824078 masked CEO Parkway Cardiology Associates 80 Vermont Avenue Oak Ridge, TN 37830 8655999886 mnorstedt@pcaheart.com Provider Int 3 Complete 2018/09/21 12:00:00 2018/09/24 12:00:00 2018/09/24 10:30:06 UV 2.16.840.1.113883.3.8129 stem Stella Maris, Inc. Chris Martin masked Michael Mathura Chris Martin 2300 Dulaney Valley Rd, Timonium, MD 21093 410-252-4500 x7261 masked IT Systems Analyst Stella Maris, Inc. 2300 Dulaney Valley Rd, Timonium, MD 21093 410-252-4500 DL-IT-Stella@mdmercy.com https://www.stellamaris.org Provider Int 3 Complete 2018/09/24 12:00:00 2018/09/24 12:00:00 2018/09/24 10:33:43 UV 2.16.840.1.113883.4.608 ca-bcRPN-LN College of Registered Psychiatric Nurses of British Columbia Standards Infodesk masked Shamil Nizamov 1 (778) 974-2664 masked College of Registered Psychiatric Nurses of British Columbia 1483 Douglas PO BOX 9635, Victoria, BC, V8W3K4 1 (250) 356-2608 HLTH.CISSupport@gov.bc.ca Prof Soc 2.16.840.1.113883.3.51 Ext 4 Complete 2.16.840.1.113883.4.608 2018/09/24 12:00:00 2019/02/28 12:00:00 2019/02/28 08:01:23 CA 2.16.840.1.113883.3.8130 ca-bcCSH College of Speech and Hearing Health Professionals of British Colombia Standards Infodesk masked Standards Infodesk 1-877-595-3417 masked College of Speech and Hearing Health Professionals of British Colombia 150 King St. West Toronto, ON M5H 1J9 1-877-595-3417 standards@infoway-inforoute.ca Prof Soc Int 4 Complete 2018/09/25 12:00:00 2018/09/28 12:00:00 2022/01/06 02:32:54 CA 2.16.840.1.113883.3.8131 ca-mbCASLP College of Audiologists and Speech-Language Pathologists of Manitoba Standards Infodesk masked Standards Infodesk 150 King St. West Toronto, ON M5H 1J9 1-877-595-3417 masked College of Audiologists and Speech-Language Pathologists of Manitoba 150 King St. West Toronto, ON M5H 1J9 1-877-595-3417 standards@infoway-inforoute.ca Prof Soc Int 4 Complete 2018/09/25 12:00:00 2018/09/28 12:00:00 2022/01/06 02:33:30 CA 2.16.840.1.113883.3.8132 ca-onCASLP College of Audiologists and Speech-Language Pathologists of Ontario Standards Infodesk masked Standards Infodesk 150 King St. West Toronto, ON M5H 1J9 1-877-595-3417 masked Canada Health Infoway 150 King St. West Toronto, ON M5H 1J9 1-877-595-3417 standards@infoway-inforoute.ca SDO Int 2.16.840.1.113883.3.239.13.6 3 Retired 2018/09/25 12:00:00 2018/09/28 12:00:00 2018/10/31 11:22:42 UV 2.16.840.1.113883.3.8133 ca-qcOA Ordre des orthophonistes et audiologistes du Qu&#233;bec Standards Infodesk masked Standards Infodesk 150 King St. West Toronto, ON M5H 1J9 1-877-595-3417 masked Ordre des orthophonistes et audiologistes du Qu&#233;bec 150 King St. West Toronto, ON M5H 1J9 1-877-595-3417 standards@infoway-inforoute.ca Prof Soc Int 4 Complete 2018/09/25 12:00:00 2018/09/28 12:00:00 2022/01/06 02:34:06 CA 2.16.840.1.113883.3.8134 ca-nlASLP College of Audiologists and Speech-Language Pathologists Newfoundland and Labrador Standards Infodesk masked Standards Infodesk 150 King St. West Toronto, ON M5H 1J9 1-877-595-3417 masked College of Audiologists and Speech-Language Pathologists Newfoundland and Labrador 150 King St. West Toronto, ON M5H 1J9 1-877-595-3417 standards@infoway-inforoute.ca Prof Soc Int 4 Complete 2018/09/25 12:00:00 2018/09/28 12:00:00 2022/01/06 02:34:38 CA 2.16.840.1.113883.3.8135 ca-peCD College of Dietitians of Prince Edward Island Standards Infodesk masked Standards Infodesk 150 King St. West Toronto, ON M5H 1J9 1-877-595-3417 masked College of Dietitians of Prince Edward Island 150 King St. West Toronto, ON M5H 1J9 1-877-595-3417 standards@infoway-inforoute.ca Prof Soc Int 4 Complete 2018/09/25 12:00:00 2018/09/28 12:00:00 2022/01/06 02:35:20 CA 2.16.840.1.113883.3.8136 nexhs Nexcare Healthcare Nicholas Davis masked Nicholas Davis 10503 Citation Drive, Suite 100 Brighton, MI 48116 734-770-6887 masked VP Business Development Nexcare Healthcare 10503 Citation Drive Suite 100 Brighton, MI 48116 810-534-0150 Ndavis@nexcarehealth.com Provider Int 3 Complete 2018/09/26 12:00:00 2018/09/28 12:00:00 2018/09/28 09:59:49 UV 2.16.840.1.113883.17.4242 awoc-pmed ProMedica OnDemand Alfredo Morales masked Alfredo Morales 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x3648 masked Director, Integration Architecture American Well alfredo.morales@americanwell.com http://www.americanwell.com Vendor 2.16.840.1.113883.3.634 Int 17 Complete 2018/09/26 12:00:00 2018/09/28 12:00:00 2018/09/28 10:10:59 UV 2.16.840.1.113883.3.8137 dvp4137 Desert Valley Pediatrics, LTD Arriana Anzures masked Arriana Anzures 4137 N. 108th Ave Phoenix, AZ 85037 623-877-7227 masked Desert Valley Pediatrics, LTD 4137 N. 108th Ave Phoenix, AZ 85037 623-877-7337 aanzures@dvpeds.com Provider Int 3 Complete 2018/09/27 12:00:00 2018/09/28 12:00:00 2018/09/28 10:22:38 UV 2.16.840.1.113883.3.8138 ehryourway EHRYourWay Kumara Prathipati masked Kumara Prathipati 4992 Hidden Dune ct, San Diego, CA 92130 619 7155276 masked CEO ADAPTAMED LLC 4992 Hidden Dune ct, San Diego, CA 92130 619 7155276 kumara44@yahoo.com https://www.ehryourway.com Vendor Int 3 Complete 2018/09/28 12:00:00 2018/09/28 12:00:00 2018/09/28 10:25:01 UV 2.16.840.1.113883.3.8139 ecny The Endoscopy Center of New York David Hertz masked The Endoscopy Center of New York 201 East 93rd Street New York, NY 10128 212-897-1006 masked Administrator The Endoscopy Center of New York 201 East 93rd Street New York, NY 10128 212-897-1006 dhertz@ecny.com Provider Int 3 Complete 2018/09/28 12:00:00 2018/09/28 12:00:00 2018/09/28 10:33:13 UV 2.16.840.1.113883.3.8140 wellsn12095-hixny Wells Nursing Home Hixny Connection Coti Reid masked Coti Reid (518) 762-4546 masked Wells Nursing Home Inc. 201 West Madison Ave Johnstown, N.Y. 12095 (518) 762-4546 creid@wellsnursing.org Provider Int 3 Complete 2018/10/01 12:00:00 2018/10/10 12:00:00 2018/10/10 10:35:11 UV 2.16.840.1.113883.3.8141 sccc Summit Community Care Clinic Cyndi Lynch masked Cyndi 360 Peak One Dr #100 Frisco, CO 80443 9706686893 masked Clinical Applications Manager Summit Community Care Clinic 360 Peak One Dr #100 Frisco, CO 80443 9706684040 clynch@summitclinic.org http://www.summitclinic.org/ Provider Int 3 Complete 2018/10/02 12:00:00 2018/10/10 12:00:00 2018/10/10 10:45:40 UV 2.16.840.1.113883.17.4243 bHCC Beechwood Homes Rich McCune masked Rich McCune 2235 Millersport Highway Getzville, NY 14068 716-810-7303 masked Administrator Beechwood Homes 2235 Millersport Highway Getzville, NY 14068 716-810-7000 rmccune@beechwoodcare.org https://www.beechwoodcare.org Provider Int 17 Complete 2018/10/10 12:00:00 2018/10/10 12:00:00 2018/10/10 10:48:28 UV 2.16.840.1.113883.3.8142 primary-care-specialists Primary Care Specialists Chris Clinger masked Chris Clinger 2325 Coronado Street, Idaho Falls, ID 83404 208-596-6927 masked IT Enterprise Application Team Supervisor Mountain View Hospital 2325 Coronado Street, Idaho Falls, ID 83404 208-557-2700 appteam@mvhospital.net https://www.mountainviewhospital.org/ Provider Int 3 Complete 2018/10/10 12:00:00 2018/10/10 12:00:00 2018/10/10 10:50:30 UV 2.16.840.1.113883.3.8143 dymed Dymed Pediatrics Benyamin Friedman masked Benyamin Friedman 441 Route 306 Monsey, NY 10952 9179020056 masked md Dymed Pediatrics 441 Route 306 Monsey, NY 10952 8453623185 benyamin@dymedpediatrics.com Provider Int 3 Complete 2018/10/10 12:00:00 2018/10/10 12:00:00 2018/10/10 11:03:02 UV 2.16.840.1.113883.3.8144 aec-670 Asheville Endocrinology Consultants, PA Regina Spears masked Regina Spears 8286336642 masked Practice Manager Asheville Endocrinology Consultants, PA 750 Alliance Court Asheville, NC 28806 828-670-6812 rspears@ashe-endo.com Provider Int 3 Complete 2018/10/11 12:00:00 2018/10/11 12:00:00 2018/10/11 09:50:25 UV 2.16.840.1.113883.3.8145 rsc Roberts Street Clinic, PC Linda Mankey masked Linda Mankey 5036693066 masked Roberts Street Clinic, PC 400 NE Roberts St Gresham, OR 5036693066 lcmankey@aol.com Provider Int 3 Complete 2018/10/12 12:00:00 2018/10/17 12:00:00 2019/02/05 10:11:32 UV 2.16.840.1.113883.3.8146 ehcpa Esperanza Health Center Andy Bussey masked Esperanza Health Center Monroe Madison 4417 N. 6th Street Philadelphia, PA 19140 6092180229 masked Dir of IT Esperanza Health Center 4417 N. 6th Street Philadelphia, PA 19140 6092180229 monroe.madison@esperanzahealth.com https://www.esperanzahealth.com Provider Int 3 Complete 2018/10/15 12:00:00 2018/10/17 12:00:00 2022/10/31 05:05:49 UV 2.16.840.1.113883.3.8147 phoebe-devitt Phoebe Devitt Homes Inc Matthew Rassler masked Matthew Rassler 1925 W Turner St Allentown, PA 18104 6107945097 masked IT Application & Support Manager Phoebe Devitt Homes Inc. 1925 W Turner St Allentown, PA 18104 6107945053 helpdesk@phoebe.org Provider Int 3 Complete 2018/10/16 12:00:00 2018/10/17 12:00:00 2018/10/17 10:01:19 UV 2.16.840.1.113883.9.246 premhcllc Premier Healthcare, LLC Benjamin Treitel masked Suzanne Detweiler 215-499-2028 masked PremierHealthcare, LLC Premier Healthcare, LLC 8301 Roosevelt Boulevard Philadelphia, PA 19152 215-624-7575 sdetweiler@premierhcllc.com Provider Int 3 Complete 2018/10/16 12:00:00 2018/10/17 12:00:00 2019/08/22 12:03:15 US 2.16.840.1.113883.3.8148 mhslp Marquis Health Services Kelly Orlando masked Andrea Gele 800 West Cummings Park Suite 4400 Woburn, MA 01801 603-440-4214 masked VP Case Management Marquis Health Services 800 West Cummings Park Suite 4400 Woburn, MA 01801 781-927-5833 Agele@mhslp.com http://mhslp.com Provider Int 3 Complete 2018/10/16 12:00:00 2018/10/17 12:00:00 2018/10/17 10:19:32 UV 2.16.840.1.113883.3.8149 tam Thornapple Manor Ryan Whilden masked Ryan Whilden 2700 Nashville RD Hastings, MI 49058 269-945-2407 masked Director of Information Technology Thornapple Manor 2700 Nashville RD Hastings, MI 49058 269-945-2407 whildenra@thornapplemanor.com http://www.thornapplemanor.com Provider Int 3 Complete 2018/10/17 12:00:00 2018/10/17 12:00:00 2018/10/17 10:23:32 UV 2.16.840.1.113883.3.8150 raintreesystemsbase Raintree Systems Base OID Clayton Case masked Clayton Case 27307 Via Industria Temecula, CA 92590 951-252-9400 x7032 masked Product Manager - Billing/Interfaces Raintree Systems, Inc. 27307 Via Industria Temecula, CA 92590 951-252-9400 info@raintreeinc.com https://www.raintreeinc.com Vendor Int 3 Complete 2018/10/17 12:00:00 2018/10/17 12:00:00 2018/10/17 10:31:26 UV 2.16.840.1.113883.3.8151 rcj Rosa Coplon Managemant Michelle Olear masked Michelle Olear Rosa Coplon Jewish Home 2700 North Forest Road Getzville, New York 14068 716-639-3311 ext 2210 masked Medical Reocrds Rosa Coplon Jewish Home and Infirmary 2700 North Forest Road Getzville, New York 14068 717 539-3311 MOlear@weinbergcampus.org https://Weinbergcampus.org Provider Int 3 Complete 2018/10/18 12:00:00 2018/10/18 12:00:00 2018/10/18 08:26:49 UV 2.16.840.1.113883.17.4244 mrhc-xdsb Magnolia Regional Health Center - XDSb Vik Patel masked Wendy Sain Wendy Sain 611 Alcorn Dr Corinth, Mississippi 38834 6622931721 masked Magnolia Regional Health Center 611 Alcorn Dr Corinth, Mississippi 38834 6622931721 wsain@mrhc.org Provider 2.16.840.1.113883.3.1512 Int 17 Complete 2018/10/18 12:00:00 2018/10/18 12:00:00 2018/10/18 08:35:37 UV 2.16.840.1.113883.3.8152 relymd RelyMD David Kammer masked David Kammer 210 Towne Village Drive Cary, NC 27513 United States (919) 859-3373 masked Director of Technology RelyMD 210 Towne Village Drive Cary, NC 27513 United States (919) 859-3373? david.kammer@weppa.org https://relymd.com Provider Int 3 Complete 2018/10/18 12:00:00 2018/10/18 12:00:00 2018/10/18 08:30:22 UV 2.16.840.1.113883.3.2402.200.6915 physicians-computer-company-clients-pomp Physician's Computer Company (PCC) client Peace of Mind Pediatrics Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6915 2018/10/18 12:00:00 2018/10/18 12:00:00 2018/10/18 08:39:16 UV 2.16.840.1.113883.3.2402.200.6858 physicians-computer-company-clients-casper Physician's Computer Company (PCC) client Casper Children's Center Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6858 2018/10/18 12:00:00 2018/10/18 12:00:00 2018/10/18 08:46:46 UV 2.16.840.1.113883.3.8153 wmhiDHE-OID Weiser Memorial Hospital Crystal Cooper masked Crystal Cooper 645 E. 5th Weiser, Idaho 83672 208-549-4470 masked Healthcare Data Informaticist Weiser Memorial Hospital 645 E. 5th Weiser, Idaho 83672 208-549-0370 ccooper@weiserhospital.org http://Weisermemorialhospital.org Provider Int 3 Complete 2018/10/22 12:00:00 2018/10/25 12:00:00 2018/10/25 09:50:48 UV 2.16.840.1.113883.3.8154 mcph Mecklenburg County Public Health Jonathan Ong masked Jonathan Ong 249 Billingsley Road Charlotte, NC 28211 7047708891 masked Senior Health Manager Mecklenburg County Public Health 249 Billingsley Road Charlotte, NC 28211 704-336-4700 meckhealth@mecklenburgcountync.gov https://www.mecknc.gov/HealthDepartment/ Govt body Int 3 Complete 2018/10/22 12:00:00 2018/10/25 12:00:00 2018/10/25 10:21:39 US 2.16.840.1.113883.3.8155 schofieldcare Schofield Care OID Catherine Sobotka masked Catherine Sobotka 3333 Elmwood Avenue Kenmore, NY 14217 7164366307 masked Director of Information Systems Schofield Care 3333 Elmwood Avenue Kenmore, NY 14217 7164366358 is@schofieldcare.org https://schofieldcare.org Provider Int 3 Complete 2018/10/23 12:00:00 2018/10/25 12:00:00 2018/10/25 10:27:51 UV 2.16.840.1.113883.3.8156 smc1380 Summit Medical Clinic,PC Neelam Chopra masked Neelam Chopra 1380 E Fillmore St. Colorado Springs, CO 80907 719-6301006 masked Office Manager Summit Medical Clinic, PC 1380 E Fillmore St. Colorado Springs, CO 80907 7196301006 anyyot@msn.com Provider Int 3 Complete 2018/10/24 12:00:00 2018/10/25 12:00:00 2018/10/25 10:31:12 UV 2.16.840.1.113883.3.8157 northlandhealth-nd Northland Health Partners Community Health Center Patrick Butler masked Nadine Boe 104 Main Street Post Office Box 535 Turtle Lake, ND 58575 701-448-2054 masked Chief Executive Officer Northland Health Partners Community Health Center 104 Main Street Post Office Box 535 Turtle Lake, ND 58575 701-448-2054 nboe@northlandchc.org http://www.northlandchc.org Provider Int 3 Complete 2018/10/24 12:00:00 2018/10/25 12:00:00 2019/07/11 04:15:29 UV 2.16.840.1.113883.9.247 villa Villa Healthcare Michele Self masked Michele Self 3755 W. Chase Ave. Skokie, IL 60076 3172581534 masked VP of Clinical Reimbursement Villa Healthcare 3755 W. Chase Ave. Skokie, IL 60076 3172581534 mself@villahc.com http://villahc.com Provider Int 3 Complete 2018/10/25 12:00:00 2018/10/29 12:00:00 2018/10/29 08:07:04 US 2.16.840.1.113883.3.8158 mon Michael J ONeill,MD,PLLC Evelyn ONeill masked Evelyn ONeill 5038887654 masked Office Manager Michael J ONeill, MD,PLLC 1465 Kelly Johnson Blvd Ste#310 Colorado Springs, CO 80920 503-888-7654 offmanage@michaeloneillmd.com Provider Int 3 Complete 2018/10/25 12:00:00 2018/10/25 12:00:00 2018/10/25 10:47:52 UV 2.16.840.1.113883.3.8159 hmd Hospital Mae de Deus Elena Ferrarini masked Pedro Silva 555132138611 masked Hospital Mae de Deus 555132138611 registros@aesc.org.br Prof Soc Int 3 Complete 2018/10/25 12:00:00 2018/10/25 12:00:00 2018/11/08 02:03:04 UV 2.16.840.1.113883.3.8160 vhc3248 Vrable Healthcare James Muckle masked James Muckle 3248 W Henderson Rd Columbus, OH 43220 614-545-5524 masked Vrable Healthcare 3248 W Henderson Rd Columbus, OH 43220 6145455560 helpdesk@vrablehealthcare.com Provider Int 3 Complete 2018/10/29 12:00:00 2018/10/29 12:00:00 2018/10/29 07:46:16 UV 2.16.840.1.113883.3.8161 phome Project HOME Howard Kahlenberg masked Howard Kahlenberg 1415 Fairmount Avenue Philadelphia, PA 19130 215-232-7272 x 5323 masked Healthcare Business Analyst Project HOME 1415 Fairmount Avenue Philadelphia, PA 19130 215-232-7272 howardkahlenberg@projecthome.org https://projecthome.org Provider Int 3 Complete 2018/10/29 12:00:00 2018/10/29 12:00:00 2018/10/29 07:49:10 UV 2.16.840.1.113883.3.8162 sthd Sault Tribe Health Division Toyo Eggert masked Toyo Eggert 2864 Ashmun St Sault Ste Marie, MI 49783 9066325234 masked Medical Record Administrator Sault Tribe Health Division 2864 Ashmun St Sault Ste Marie, MI 49783 906-632-5200 teggert@saulttribe.net https://www.saulttribehealth.com Provider Int 3 Complete 2018/10/29 12:00:00 2018/10/29 12:00:00 2018/10/29 07:52:34 UV 2.16.840.1.113883.3.8163 burgesshealthcenter Burgess Health Center Grady Warner masked Grady Warner 1600 Diamond Street Onawa, IA 51040 712-423-9291 masked Director of Information Technology Burgess Health Center 1600 Diamond Street Onawa, IA 51040 712-423-2311 ftramp@burgesshc.org https://www.burgesshc.org Provider Int 3 Complete 2018/10/29 12:00:00 2018/10/29 12:00:00 2018/10/29 07:55:42 UV 2.16.840.1.113883.3.8164 kcchsd Kit Carson County Health Service District Juan DeLaCruz masked Juan DeLaCruz 286 16th St Burlington, CO 80807 7193464748 masked IT Director Kit Carson County Health Service District 286 16th St Burlington, CO 80807 7193465311 itnotification@kcchsd.org http://www.kcchsd.org Provider Int 3 Complete 2018/10/30 12:00:00 2018/10/30 12:00:00 2018/10/30 09:24:25 UV 2.16.840.1.113883.3.8165 mvhsrnc MVHS Rehabilitation and Nursing Center Michael McCoy masked Michael McCoy 1650 Champlin Avenue Utica, NY 13502 315-624-8601 masked Executive Director MVHS Rehabilitation and Nursing Center 1650 Champlin Ave Utica, NY 13502 315-624-8600 mmccoy@mvhealthsystem.org http://mvhealthsystem.org/location/crccs Provider Int 3 Complete 2018/10/31 12:00:00 2018/10/31 12:00:00 2018/10/31 09:49:59 UV 2.16.840.1.113883.3.8166 ahc-WIMSSP1 Advocate Aurora Health Care-WIMSSP1 Eric Kinzle masked Eric Kinzle 630-575-3338 masked Director IT Advocate Aurora Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3338 eric.kinzle@advocatehealth.com Provider Int 3 Complete 2018/10/31 12:00:00 2018/10/31 12:00:00 2018/10/31 09:53:02 UV 2.16.840.1.113883.3.8167 ahc-WIMSSP3 Advocate Aurora Health Care-WIMSSP3 Eric Kinzle masked Eric Kinzle 630-575-3338 masked Advocate Aurora Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3338 eric.kinzle@advocatehealth.com Provider Int 3 Complete 2018/10/31 12:00:00 2018/10/31 12:00:00 2018/10/31 09:57:14 UV 2.16.840.1.113883.3.8168 ahc-WIUHCCOMMPPO Advocate Aurora Health Care-WIUHCCOMMPPO Eric Kinzle masked Eric Kinzle 630-575-3338 masked Advocate Aurora Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3338 eric.kinzle@advocatehealth.com Provider Int 3 Complete 2018/10/31 12:00:00 2018/10/31 12:00:00 2018/10/31 10:01:45 UV 2.16.840.1.113883.3.8169 ahc-WIUHCMA Advocate Aurora Health Care-WIUHCMA Eric Kinzle masked Eric Kinzle 630-575-3338 masked Advocate Aurora Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3338 eric.kinzle@advocatehealth.com Provider Int 3 Complete 2018/10/31 12:00:00 2018/10/31 12:00:00 2018/10/31 10:05:05 UV 2.16.840.1.113883.3.8170 ahc-WIANTHEMWCIC Advocate Aurora Health Care-WIANTHEMWCIC Eric Kinzle masked Eric Kinzle 630-575-3338 masked Advocate Aurora Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3338 eric.kinzle@advocatehealth.com Provider Int 3 Complete 2018/10/31 12:00:00 2018/10/31 12:00:00 2018/10/31 11:09:24 UV 2.16.840.1.113883.3.8171 ahc-WIANTHEMEPHC Advocate Aurora Health Care-WIANTHEMEPHC Eric Kinzle masked Eric Kinzle 630-575-3338 masked Advocate Aurora Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3338 eric.kinzle@advocatehealth.com Provider Int 3 Complete 2018/10/31 12:00:00 2018/10/31 12:00:00 2018/10/31 11:12:26 UV 2.16.840.1.113883.3.8172 ahc-WIHUMMAHMO Advocate Aurora Health Care-WIHUMMAHMO Eric Kinzle masked Eric Kinzle 630-575-3338 masked Advocate Aurora Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3338 eric.kinzle@advocatehealth.com Provider Int 3 Complete 2018/10/31 12:00:00 2018/10/31 12:00:00 2018/10/31 11:16:15 UV 2.16.840.1.113883.3.8173 ahc-WIHUMMAPPO Advocate Aurora Health Care-WIHUMMAPPO Eric Kinzle masked Eric Kinzle 630-575-3338 masked Advocate Aurora Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3338 eric.kinzle@advocatehealth.com Provider Int 3 Complete 2018/10/31 12:00:00 2018/10/31 12:00:00 2018/10/31 11:30:49 UV 2.16.840.1.113883.3.8174 ahc-WIHUMPFFS Advocate Aurora Health Care-WIHUMPFFS Eric Kinzle masked Eric Kinzle 630-575-3338 masked Advocate Aurora Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3338 eric.kinzle@advocatehealth.com Payor Int 3 Complete 2018/10/31 12:00:00 2018/10/31 12:00:00 2018/10/31 11:37:24 UV 2.16.840.1.113883.3.8175 mspq Massapequa Center Rehabilitation and Nursing Lana Streshinskaya masked Richard Sherman 101 Louden Ave Amityville, NY 11701 631-608-5627 masked Administrator Massapequa Center Rehabilitation and Nursing 101 Louden Ave Amityville, NY 11701 631-608-5627 rsherman@mspqrehab.com Provider Int 3 Complete 2018/11/01 12:00:00 2018/11/08 12:00:00 2018/11/08 10:56:25 UV 2.16.840.1.113883.3.8176 fillware Fillware Technologies Inc. Standards Infodesk masked Adnan Tomas (416) 878-6040 masked Fillware Technologies 1495 Bonhill Rd. Unit 9, Mississauga, ON L5T 1M2 (905) 564-0501 info@fillware.com http://www.fillware.com Vendor Int 3 Complete 2018/11/02 12:00:00 2018/11/08 12:00:00 2018/11/08 10:58:52 UV 2.16.840.1.113883.3.8177 mrhs1 Midwest Regional Health Services Jerry Imig masked Midwest Regional Health Services Jerry Imig 2727 S 144th Street, Suite 280 Omaha, NE 68144 402-778-5490 masked Clinic Operations Support & Technology Coordinator Midwest Regional Health Services 2727 S 144th Street, Suite 280 Omaha, NE 68144 402-778-5490 jimig@mrhsomaha.com Provider Int 3 Complete 2018/11/02 12:00:00 2018/11/08 12:00:00 2018/11/08 11:05:05 UV 2.16.840.1.113883.3.8178 psmar Parc de Salut Mar de Barcelona Francisco Cadenas masked Jordi Fonollosa Caballer Passeig Circumvalaci&#243;, 8 08003 - BARCELONA +34 932483000 masked Head of Interoperability Parc de Salut Mar Passeig Circumvalaci&#243;, 8 08003 - BARCELONA +34 932483000 jfonollosa@psmar.cat https://www.parcdesalutmar.cat/ Provider Int 3 Complete 2018/11/05 12:00:00 2018/11/08 12:00:00 2021/09/22 05:30:51 UV 2.16.840.1.113883.3.2402.200.6527 physicians-computer-company-clients-galloway Physician's Computer Company (PCC) client Galloway Pediatrics Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6527 2018/11/08 12:00:00 2018/11/08 12:00:00 2018/11/08 11:17:10 UV 2.16.840.1.113883.3.8179 nysopwdd New York State Office for People With Developmental Disabilities Balakumar Balasubramanian masked Balakumar Balasubramanian 6106876080 masked Product Director New York State Office for People With Developmental Disabilities 44 Holland Ave Albany, NY 12208 5184739585 virginia.l.scottadams@opwdd.ny.gov https://opwdd.ny.gov/ Govt body Int 3 Complete 2018/11/08 12:00:00 2018/11/08 12:00:00 2018/11/08 11:12:55 UV 2.16.840.1.113883.3.8180 naliHL7 NEUROLOGICAL ASSOCIATES OF LI PC ERIKA KORETZ masked ERIKA KORETZ 1991 MARCUS AVENUE SUITE 110 LAKE SUCCESS, NY 11042 516-466-4700 masked MANAGER NEUROLOGICAL ASSOCIATES OF LONG ISLAND PC 1991 MARCUS AVENUE SUITE 110 LAKE SUCCESS, NY 11042 516-466-4700 EKORETZ@NEUROLI.COM Provider Int 3 Complete 2018/11/09 12:00:00 2018/11/09 12:00:00 2018/11/09 08:55:15 UV 2.16.840.1.113883.3.8181 relevant-healthcare-technologies-ccmphh Relevant Healthcare Technologies serving CCMP Health Home Kevin Finn masked Relevant Healthcare Technologies 11 Park Pl. Fl. 3 New York, NY 10007 (212) 220-3807 masked Relevant Healthcare Technologies 11 Park Pl. Fl. 3 New York, NY 10007 (212) 220-3807 info@relht.com http://relevant.healthcare Vendor Int 3 Complete 2018/11/09 12:00:00 2018/11/09 12:00:00 2018/11/09 08:57:22 UV 2.16.840.1.113883.3.8182 brothers Brothers of Mercy Nursing and Rehabilitation Center Teal Strollo masked Teal Strollo 10570 Bergtold Road Clarence, New York 14031 716-759-7683 masked Brothers of Mercy Nursing and Rehabilitation Center 10570 Bergtold Road Clarence, New York 14031 716-759-6985 teal@brothersofmercy.org Provider Int 3 Complete 2018/11/09 12:00:00 2018/11/09 12:00:00 2018/11/09 09:14:04 UV 2.16.840.1.113883.3.8183 aristacare AristaCare Health Services Peretz Stern masked Peretz Stern 245 Birchwood Avenue Cranford, NJ 07016 9083153400 masked CIO AristaCare 245 Birchwood Avenue Cranford, NJ 07016 9083153400 peretz@aristacare.com Provider Int 3 Complete 2018/11/11 12:00:00 2018/11/13 12:00:00 2018/11/13 08:44:33 UV 2.16.840.1.113883.3.8184 burgesssquare Burgess Square Healthcare and Rehab Centre John Vrba masked John Vrba 5801 South Cass Avenue Westmont, IL 60559 630-971-2645 x 7000 masked Chief Executive Officer Burgess Square Healthcare and Rehab Centre 5801 South Cass Avenue Westmont, IL 60559 630-971-2645 johnfvrba@burgesssquare.com Provider Int 3 Complete 2018/11/12 12:00:00 2018/11/13 12:00:00 2018/11/13 08:48:22 UV 2.16.840.1.113883.3.8185 shn ShareNote Chevol Davis masked Trinity Manning 111 N. Chestnut St. Suite 302 Winston-Salem, NC 27101 3367930622 masked CEO ShareNote 111 N. Chestnut St. Suite 302 Winston-Salem, NC 27101 3367930622 dev@sharenote.com https://www.sharenote.com Vendor Int 3 Complete 2018/11/13 12:00:00 2018/11/13 12:00:00 2020/02/11 12:34:23 UV 2.16.840.1.113883.3.8186 kigi Kee to Independent Growth, Inc. Karen LeQue masked Karen LeQue 518-309-3557 x303 masked President, ED Kee to Independent Growth, Inc. P.O. Box 243 Ballston Spa, NY 12020 518-309-3557 x303 kleque@kigiservices.com Provider Int 3 Complete 2018/11/13 12:00:00 2018/11/13 12:00:00 2018/11/13 09:24:03 UV 2.16.840.1.113883.3.8187 jcmc-HL7-main-OID Jacksonville Children's and Multispecialty Clinic Jonathan Woods masked Cyril Thomas 118 Memorial Dr., Jacksonville, NC 28546 9103530581 masked Senior .NET Developer Jacksonville Children's and Multispecialty Clinic 118 Memorial Dr., Jacksonville, NC 28546 9103530581 dsechrist@ammhealthcare.com http://jacksonvillechildrensclinic.org/ Provider Int 3 Complete 2018/11/13 12:00:00 2018/11/13 12:00:00 2023/07/20 12:01:26 UV 2.16.840.1.113883.3.8188 snamed SNA Medical PC Leonid Yatskar masked Leonid Yatskar 86 Bell Point Drive Brooklyn, NY 11234 9178222176 masked administrator SNA Medical PC 1711 Sheepshead Bay Rd Fl. 2 Brooklyn, NY 11235 7186150014 doctoryatskar@gmail.com http://snamedical.com Provider Int 3 Complete 2018/11/13 12:00:00 2018/11/13 12:00:00 2018/11/13 09:38:24 UV 2.16.840.1.113883.3.8189 cmhd Crawford Memorial Hospital District Timothy Richard masked Timothy Richard 1000 N Allen St Robinson, IL 62454 (618) 546 2551 masked Crawford Memorial Hospital District 1000 N Allen St Robinson, IL 62454 (618) 544 3131 tim.richard@crawfordmh.org Provider Int 3 Complete 2018/11/14 12:00:00 2018/11/16 12:00:00 2018/11/16 09:07:36 UV 2.16.840.1.113883.3.803.11142018 pelhamPhysicalMedicine Pelham Physical Medicine, Inc Rajeev Mathur masked Rajeev Mathur 18 Genevieve Place Great Neck, NY 11021 516-466-1942 masked Pelham Physical Medicine, Inc 2118 Williamsbridge Road Bronx, New York 10461 (718) 823-3900 pelhamrehab@gmail.com Provider 2.16.840.1.113883.3.803 Ext 4 Complete 2.16.840.1.113883.3.803.11142018 2018/11/14 12:00:00 2018/11/16 12:00:00 2018/11/16 09:11:04 UV 2.16.840.1.113883.3.239.13.17 ca-onCOCOORN Canada, Ontario, College of Chiropodists Registration Number Standards Infodesk masked eHealth Standards 416-586-6500 masked eHealth Ontario P.O. Box 148, 777 Bay Street, Suite 701, Toronto, Ontario, M5G 2C8 1-888-411-7742 architecture@ehealthontario.on.ca https://www.ehealthontario.on.ca/en/ Govt body 2.16.840.1.113883.3.239 Ext 4 Complete 2.16.840.1.113883.3.239.13.17 2018/11/14 12:00:00 2018/11/16 12:00:00 2018/11/16 09:13:48 CA 2.16.840.1.113883.3.2402.200.5104 physicians-computer-company-clients-topeka Physician's Computer Company (PCC) client Topeka Pediatrics Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.5104 2018/11/14 12:00:00 2018/11/16 12:00:00 2018/11/16 09:15:50 UV 2.16.840.1.113883.3.8190 usha-thomas Usha Thomas, MD Usha Thomas masked Usha Thomas 175 Guyon Avenue Staten Island, NY 10306 7189874303 masked MD Usha Thomas, MD 175 Guyon Avenue Staten Island, NY 10306 7189874303 uthomasmd@gmail.com Provider Int 3 Complete 2018/11/14 12:00:00 2018/11/16 12:00:00 2018/11/16 09:22:48 UV 2.16.840.1.113883.3.8191 comppedsny Comprehensive Pediatrics, PC Scott Scecina masked Danny Eugene 1407 West 6th St Brooklyn, NY 11204 718-256-1057 Ext. 112 masked Business Manager Comprehensive Pediatrics, PC 1407 West 6th St Brooklyn, NY 11204 718-236-6994 nickfaracimd@gmail.com http://comprehensivepediatricsny.com Provider Int 3 Complete 2018/11/15 12:00:00 2018/11/16 12:00:00 2018/11/16 09:25:22 UV 2.16.840.1.113883.3.8192 womba World Medical Bank Moti Mitteldorf masked Moti Mitteldorf 1-718-419-1348 masked World Medical Bank 120&#173;10 Queens Blvd Queens, NY 11415 1-718-419-1348 Moti.M@womba.com Vendor Int 3 Complete 2018/11/16 12:00:00 2018/11/16 12:00:00 2018/11/16 09:30:53 UV 2.16.840.1.113883.17.4245 ndestin09-03 Little Treasures-Petits Tresors SLP PLLC Niquette Destin masked N/A Niquette Destin 22004 Linden Blvd, Cambria Heights, NY 11411 718-712-3358 masked Executive Director Little Treasures Petits Tresors SLP PLLC 22004 Linden Blvd, Cambria Heights, NY 11411 718-712-3358 ndestin@littletreasures-pt.com https://littletreasures-pt.com Provider Int 17 Complete 2018/11/16 12:00:00 2018/11/16 12:00:00 2018/11/16 09:42:25 UV 2.16.840.1.113883.3.8193 pthc-11-2018 Personal-Touch Homecare Deborah Harrison masked Deborah Harrison or Daniele Chenal Corporate Headquarters 1985 Marcus Avenue, Ste. 202 Lake Success, NY 11042 888-275-4147 masked Technical Projects Manager Personal-Touch Homecare Corporate Headquarters 1985 Marcus Avenue, Ste. 202 Lake Success, NY 11042 888-275-4147 dharrison@pthomecare.com Provider Int 3 Complete 2018/11/16 12:00:00 2018/11/16 12:00:00 2018/11/16 10:08:26 UV 2.16.840.1.113883.3.8194 mslpa Morningstar Senior Living Inc. Michael Gillmer masked Michael Gillmer 6107461049 masked Network Computer Support Specialist Morningstar Senior Living Inc. 175 West North Street Nazareth, PA 18064 6107461000 support@moravian.com Provider Int 3 Complete 2018/11/16 12:00:00 2018/11/16 12:00:00 2018/11/16 10:16:43 UV 2.16.840.1.113883.3.3991.1081 smg-urology SMG Urology Brian Upton masked Brian Upton 4440 S Hagadorn East Lansing, MI 48864 5173327063 masked Interface Programmer Sparrow Health System 1215 E Michigan Ave Lansing, MI 48912 5173641000 itinterfaceanalysts@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 Complete 2.16.840.1.113883.3.3991.1081 2018/11/20 12:00:00 2018/11/21 12:00:00 2018/11/21 09:27:53 UV 2.16.840.1.113883.3.8195 qBEC Queens Boulevard ASC Mirela Sociu masked Mirela Sociu Queens Boulevard Endoscopy Center, LLC 95-25 Queens Boulevard, 3rd Floor Rego Park, NY 11374 7184068000 masked Administrator Queens Boulevard Endoscopy Center, LLC 95-25 Queens Boulevard, 3rd Floor Rego Park, NY 11374 7184068000 msociu@queensboulevardoendo.com Provider Int 3 Complete 2018/11/20 12:00:00 2018/11/21 12:00:00 2018/11/21 09:41:24 UV 2.16.840.1.113883.3.8196 peachtreenephrology Peachtree Nephrology PC OID Root Vasudev Honnappagowda masked Peachtree Nephrology PC 5673 Peachtree Dunwoody Rd Ste 745 Atlanta, GA 30342 4044103970 masked Peachtree Nephrology PC 5673 Peachtree Dunwoody Rd Ste 745 Atlanta, GA 30342 404-410-3970 vasu@peachneph.com Provider Int 3 Complete 2018/11/20 12:00:00 2018/11/21 12:00:00 2018/11/21 09:43:42 UV 2.16.840.1.113883.3.8197 ca-dhcs California Department of Health Care Services Philip Heinrich masked Wendy Ng California Department of Health Care Services 1700 K Street, Suite 17.4000 Sacramento, CA 95814 (916) 750-1168 masked California Department of Health Care Services 1501 Capitol Sacramento, CA 95814 (916) 750-1168 wendy.ng@dhcs.ca.gov https://www.dhcs.ca.gov Govt body Int 3 Complete 2018/11/21 12:00:00 2018/11/21 12:00:00 2019/12/18 04:23:24 UV 2.16.840.1.113883.4.953 ca-AtlasImm Atlas Immunization Services Randy Nonay masked ABHL7@gov.ab.ca Mariela Robleto 780-465-5101 masked Atlas Immunization Services, Inc. Suite 104, 7633 - 50 Street NW, Edmonton, Alberta T6B 2W9 780-465-5101 mariela@atlasimmunization.com https://atlasimmunization.com/ Vendor Int 3 Complete 2018/11/23 12:00:00 2018/11/30 12:00:00 2018/11/30 09:51:10 CA 2.16.840.1.113883.3.8198 shgrootoid Spectrum Healthcare Group Frank Gutierrez masked Frank Gutierrez 8 E Cottonwood St Cottonwood, AZ 86326 9283401290 masked Chief Technology Officer Spectrum Healthcare Group 8 E Cottonwood St Cottonwood, AZ 86326 9286342236 frankg@spectrumhg.org http://www.spectrumhealthcare-group.org Provider Int 3 Complete 2018/11/26 12:00:00 2018/11/27 12:00:00 2018/11/27 09:40:27 UV 2.16.840.1.113883.9.248 advanced1 Advanced Clinical Associates (ACA) Ashley Johnson masked Michelle Waller Ashley Johnson 10752 N 89th Place #203 Scottsdale, AZ 85260 480-828-2932 masked Speciality Network Director Advanced Clinical Associates 10752 N 89th Place #203 Scottsdale, AZ 85260 602-373-0540 info@inhomehealthaz.com http://www.acahealthservices.com Provider Int 3 Complete 2018/11/26 12:00:00 2018/11/30 12:00:00 2018/11/30 09:43:24 UV 2.16.840.1.113883.3.8199 webstercohealthdept Webster County Health Department Kari Prescott masked Kari Prescott Webster County Health Department 723 1st Avenue South Suite 220 Fort Dodge, Iowa 50501 515-573-4107 masked Executive Director Webster County Health Department 723 1st Avenue South Suite 220 Fort Dodge, Iowa 50501 515-573-4107 kprescott@webstercountyia.org https://www.webstercountyia.org Govt body Int 3 Complete 2018/11/27 12:00:00 2018/11/27 12:00:00 2018/11/27 11:12:58 UV 2.16.840.1.113883.3.2402.200.6910 physicians-computer-company-clients-ahoskie Physician's Computer Company (PCC) client Ahoskie Pediatrics, PA Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6910 2018/11/28 12:00:00 2018/11/28 12:00:00 2018/11/28 11:07:54 UV 2.16.840.1.113883.3.8200 shcc Sitrin Health Care Center Steven Klem masked smacmaster@sitrin.com Steven Klem 2050 Tilden Ave. New Hartford, NY 13413 315-737-2302 masked Director of Information Systems Sitrin Health Care Center 2050 Tilden Ave. New Hartford, NY 13413 315-797-3114 sklem@sitrin.com Provider Int 3 Complete 2018/11/28 12:00:00 2018/11/28 12:00:00 2018/11/28 11:12:15 UV 2.16.840.1.113883.3.8201 nthtech Nth Technologies, Inc. Fredrick Knieper masked Fredrick Knieper 1235 North Loop West Ste 502 Houston, TX 77008 +1 713-290-9393 masked Vice President of Software Development Nth Technology, Inc. 1235 North Loop West Ste 502 Houston, TX 77008 +1 713-290-9393 fk@nthtechnology.com https://www.nablemd.com/ Vendor Int 3 Complete 2018/11/28 12:00:00 2018/11/28 12:00:00 2018/11/28 11:16:23 UV 2.16.840.1.113883.3.8202 awoc-rsfh Roper St. Francis Healthcare Alfredo Morales masked Alfredo Morales 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x:3643 masked Director, Integration Architecture American Well 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x:3643 alfredo.morales@americanwell.com http://www.americanwell.com Vendor 2.16.840.1.113883.3.634 Int 3 Complete 2018/11/29 12:00:00 2018/11/30 12:00:00 2019/02/22 01:28:15 UV 2.16.840.1.113883.3.8203 fLH Finger Lakes Health William Garrity masked William Garrity 196 North Street Geneva, NY 14456 3157874730 masked VP LTC Finger Lakes Health 196 North Street Geneva, NY 14456 3157874730 bill.garrity@flhealth.org https://www.flhealth.org Provider Int 3 Complete 2018/11/30 12:00:00 2018/11/30 12:00:00 2018/11/30 07:56:02 UV 2.16.840.1.113883.3.8204 iDHWWITS Idaho Department of Health and Welfare (WITS) Nick Hoover masked Seth Schreiber Idaho Dept of Health & Welfare 450 W. State Street, 3rd Floor Boise, ID 83702 (208) 334-5727 masked IDHW-WITS Idaho Dept of Health & Welfare 450 W. State Street, 3rd Floor Boise, ID 83702 (208) 334-5727 seth.schreiber@dhw.idaho.gov Provider Int 3 Complete 2018/11/30 12:00:00 2018/11/30 12:00:00 2018/11/30 08:00:45 UV 2.16.840.1.113883.3.8205 tidewell Tidewell Hospice, Inc. David Lafferty masked David Lafferty 9415527542 masked EVP/CIO Tidewell Hospice, Inc. 5955 Rand Blvd. Sarasota, FL 34238 9415527500 dlafferty@tidewell.org http://www.tidewell.org Provider Int 3 Complete 2018/11/30 12:00:00 2018/11/30 12:00:00 2018/11/30 09:32:42 UV 2.16.840.1.113883.17.4246 lfs-hca Lynn Fielden-Smith Health Care Advocacy Lynn Fielden-Smith masked Lynn Fielden-Smith 33 Beach Road Ossining, NY 10562 9147628815 masked Care Manager Lynn Fielden-Smith Health Care Advocacy 33 Beach Road Ossining, NY 10562 9147628815 healthcaread@aol.com Provider Int 17 Complete 2018/11/30 12:00:00 2018/11/30 12:00:00 2018/11/30 09:39:07 UV 2.16.840.1.113883.3.8206 acnh Albany County Nursing Home Laura Vartanian masked Laura Vartanian 780 Albany Shaker Road Albany, NY 12211 518-869-2231 masked RN Assistant Administrator Albany County Nursing Home 780 Albany Shaker Road Albany, NY 12211 518-869-2231 acnh@albanycounty.com http://www.albanycounty.com/Government/Departments/NursingHomeResidentialHealthCareFacilities.aspx Govt body Int 3 Complete 2018/12/03 12:00:00 2018/12/05 12:00:00 2018/12/05 05:56:30 UV 2.16.840.1.113883.3.8207 tphr-pcc THE PINES HEALTHCARE & REHAB. Karrie Furman masked Melody Ballard Karrie Furman 2245 W STATE ST. OLEAN, NY 14760 7163731910 masked AP/PURCHASING THE PINES HEALTHCARE & REHAB. 2245 W STATE ST OLEAN, NY 14760 7163731910 mrballard@cattco.org Vendor Int 3 Complete 2018/12/03 12:00:00 2018/12/05 12:00:00 2018/12/05 05:59:40 UV 2.16.840.1.113883.4.954 clearpathfamily ClearPath Family Healthcare Shaun Romero masked Shaun Romero 7725 N 43rd ave Ste 720 Phoenix, AZ 85051 6236880468 masked President ClearPath Family Healthcare 7725 N 43rd ave Ste 720 Phoenix, AZ 85051 6236880468 it@cpfhc.com http://www.cpfhc.com Provider Int 3 Complete 2018/12/04 12:00:00 2018/12/14 12:00:00 2018/12/14 09:37:04 US 2.16.840.1.113883.3.8208 grs Genesis Rehab Services Clifford Boyd masked Clifford A. Boyd 101E State Street Kennett Square, PA 19348 610-925-1093 masked Director, Data and Intergration Services Genesis Rehab Services 101E State Street Kennett Square, PA 19348 610-444-6350 cliff.boyd@genesishcc.com http://www.genesisrehab.com Provider Int 3 Complete 2018/12/04 12:00:00 2018/12/05 12:00:00 2018/12/05 06:04:19 UV 2.16.840.1.113883.3.8209 hasa NYC - HRA/ HIV AIDS Services Administration Bhuvaneswari Ramamoorthi masked Maaz Siddiqui 12 West 14th Street New York, NY 10011 2126205490 masked Director, MIS/ HASA NYC - HRA/ HIV AIDS Services Administration 12 West 14th Street New York, NY 10011 212-620-4655 dudleyj@hra.nyc.gov Govt body Int 3 Complete 2018/12/04 12:00:00 2018/12/05 12:00:00 2018/12/05 06:11:12 UV 2.16.840.1.113883.3.8210 dss NYC- Department of Social Services (DSS) Bhuvaneswari Ramamoorthi masked Pamela Hersch 15 Metrotech Center Brooklyn, New York 11201 7185108487 masked IT Director, DSS NYC- Department of Social Services (DSS) 150 Greenwich Street New York, NY 10006 dinank@dss.nyc.gov Govt body Int 3 Complete 2018/12/04 12:00:00 2018/12/05 12:00:00 2018/12/05 06:17:45 UV 2.16.840.1.113883.3.8211 ccpamd Cardiology Consultants, PA Neil Gavel masked Anthony Patrick 910-777-4641 masked IT Director Cardiology Consultants, PA 1083 Boiling Springs Rd. Spartanburg, SC 29303 864-699-4100 ngavel@ccpamd.com Provider Int 3 Complete 2018/12/05 12:00:00 2018/12/05 12:00:00 2018/12/05 06:28:34 UV 2.16.840.1.113883.3.8212 casescarecoord CASES Rebecca Asbury masked Rebecca 151 Lawrence street, 3rd Floor Brooklyn, NY 11201 2125536305 masked CFO Center for Alternative Sentencing & Employment Svs 151 Lawrence Street, 3rd Floor Brooklyn, NY 11201 2125536305 rasbury@cases.org https://www.cases.org Provider 2.16.840.1.113883.3.4817 Int 3 Complete 2018/12/07 12:00:00 2018/12/08 12:00:00 2018/12/08 02:05:09 0265 US 2.16.840.1.113883.3.8213 aauccda Anne Arundel Urology Patricia Schiro masked Kent Krejci 600 Ridgely Ave Suite 210 Annapolis, MD 21401 14102668049 masked Physician IT liaison Anne Arundel Urology 600 Ridgely Ave Suite 210 Annapolis, MD 21401 14102668049 pschiro@aaurology.com Provider Int 3 Complete 2018/12/07 12:00:00 2018/12/08 12:00:00 2018/12/08 02:48:17 UV 2.16.840.1.113883.3.8214 mohkw-AMRoid Ministry of Health - Amiri Hospital Kuwait Salahudheen EK masked Salahudheen EK Alessa Medical & Scientific Equipment Co. WLL, 118,Sector C, Street# 38 Shuwaikh Industrial Area, PO 3562, Safat 13036, Kuwait +965 22206500 masked ICT Manager Ministry of Health Information Systems Department Al Jahidh Street | Department Complex, Al Sabah Area - Kuwait +96524958883 disd@moh.gov.kw https://www.moh.gov.kw Govt body Int 3 Complete 2018/12/09 12:00:00 2018/12/11 12:00:00 2018/12/11 11:08:47 UV 2.16.840.1.113883.3.8215 uhspvh UHS Palo Verde Behavioral Health Errol Maner masked Errol Maner UHS Palo Verde Behavioral Health 2695 N Craycroft Rd Tucson, AZ 85712 5203222888 masked IT Administrator UHS Palo Verde Behavioral Health UHS Palo Verde Behavioral Health 2695 N Craycroft Rd Tucson, AZ 85712 5203222888 errol.maner@uhsinc.com https://www.paloverdebh.com/ Provider Int 3 Complete 2018/12/11 12:00:00 2018/12/11 12:00:00 2018/12/11 11:11:55 UV 2.16.840.1.113883.3.8216 thehypertensionclinic The Hypertension Clinic OID Root Odler Jeanlouie masked Odler Jeanlouie 60 Northfield Ave Ste 1 West Orange, NJ 07052 973-731-1919 masked Physician The Hypertension Clinic 60 Northfield Ave Ste 1 West Orange, NJ 07052 973-731-1919 medcross1@gmail.com Provider Int 3 Complete 2018/12/11 12:00:00 2018/12/11 12:00:00 2018/12/11 11:16:32 UV 2.16.840.1.113883.3.8217 whscv-stateimmu Women's Health Services of Central Virginia John Scheffey masked John Scheffey Women's Health Services of Central Virginia 114 Nationwide Dr. Lynchburg, VA 24502 4344010405 masked Information Technology Lead Women's Health Services of Central Virginia Women's Health Services of Central Virginia 114 Nationwide Dr. Lynchburg, VA 24502 4342397890 nfloyd@whscv.com https://whscv.com Provider Int 3 Complete 2018/12/12 12:00:00 2018/12/12 12:00:00 2018/12/12 08:44:28 US 2.16.840.1.113883.3.8218 ccn Care Compass Network Kenneth Green masked Kenneth Green 33 Lewis Rd Binghamton, NY 13903 607 240-2586 masked IT Project Manager Care Compass Network 33 Lewis Rd Binghamton, NY 13903 607 240-2545 info@carecompassnetwork.org http://carecompassnetwork.org/ Govt body Int 3 Complete 2018/12/12 12:00:00 2018/12/12 12:00:00 2018/12/12 08:49:05 UV 2.16.840.1.113883.3.8219 bhp Bright Health Plan Ryan Beckman masked Ryan Beckman 219 North 2nd Street Minneapolis, MN 55401 6124233415 masked VP of Technology Bright Health Plan 219 North 2nd Street Minneapolis, MN 55401 6124233415 rbeckman@brighthealthplan.com http://www.brighthealthplan.com Payor Int 3 Complete 2018/12/12 12:00:00 2018/12/12 12:00:00 2018/12/12 08:54:06 UV 2.16.840.1.113883.3.8220 rchdtx Reeves County Hospital District Judith Gulihur masked Reeves County Hospital District Judith Gulihur 2323 Texas Street Pecos, TX 79772 432-447-3551 x 6325 masked Special Projects Manager Reeves County Hospital District 2323 Texas Street Pecos, TX 79772 4324473551 maininfo@rchd.care http://www.reevescountyhospital.com Provider Int 3 Complete 2018/12/12 12:00:00 2018/12/12 12:00:00 2018/12/12 09:03:26 UV 2.16.840.1.113883.3.8221 ssks Salina Surgical Hospital Andrew Seehafer masked Andrew Seehafer 401 S Santa Fe. Salina, KS 67401 7853420884 masked IT Supervisor Salina Surgical Hospital 401 S Santa Fe. Salina, KS 67401 7858270610 andrew.seehafer@salinasurgical.com Provider Int 3 Complete 2018/12/12 12:00:00 2018/12/12 12:00:00 2018/12/12 09:10:21 UV 2.16.840.1.113883.3.8222 suppliesmgr SuppliesMGR Demographics David Quattlebaum masked David Quattlebaum 1814 E Main St, Suite A Easley, SC 29640 864-482-2019 masked CTO MedProcure, LLC 1814 E Main St, Suite A Easley, SC 29640 864-482-2019 dquattle@medprocure.com https://www.medprocure.com Exchange Int 3 Complete 2018/12/13 12:00:00 2018/12/14 12:00:00 2018/12/14 09:12:53 UV 2.16.840.1.113883.3.803.1213201801 rimmaGelbert Rimma Gelbert, M.D. Rajeev Mathur masked Raj Mathur 18 Genevieve Place Great Neck, NY 11021 5164768499 masked CTO Rimma Gelbert, M.D. 1632 East 16th Street Brooklyn, NY 11229 (718) 336-0330 LShirman@verizon.net Provider 2.16.840.1.113883.3.803 Ext 4 Complete 2.16.840.1.113883.3.803.1213201801 2018/12/13 12:00:00 2018/12/14 12:00:00 2018/12/14 09:18:06 UV 2.16.840.1.113883.3.803.1213201802 regoParkMedicalAssociates Rego Park Medical Associates Rajeev Mathur masked Raj Mathur 18 Genevieve Place Great Neck, NY 11021 516-466-1942 masked Rego Park Medical Associates 59-10 Junction Blvd Elmhurst, NY 11373 (718) 592-3200 hrld_weissman@yahoo.com Provider 2.16.840.1.113883.3.803 Ext 4 Complete 2.16.840.1.113883.3.803.1213201802 2018/12/13 12:00:00 2018/12/14 12:00:00 2018/12/14 09:20:35 UV 2.16.840.1.113883.3.8223 prmh General John J Pershing Memorial Hospital Association Scott Tomlinson masked Scott Tomlinson 130 E. Locking Brookfield MO 64628 6602582222 masked Dir. of IT General John J Pershing Memorial Hospital Association 130 E. Lockling Brookfield MO 64628 660 258 2222 it@phsmo.org http://www.phsmo.org Provider Int 3 Complete 2018/12/13 12:00:00 2018/12/14 12:00:00 2018/12/14 09:16:07 UV 2.16.840.1.113883.3.7217.34 mmeastmetrophdist East Metro Public Health District (Mitchell and McCormick) Mark Bennett masked Chris Parham Chris Parham 2165 W. Park Ct. Ste. G Stone Mountain, GA 30087 8005510775 masked Mitchell and McCormick cparham@harriscomputer.com Vendor 2.16.840.1.113883.3.7217 Ext 17 Complete 2.16.840.1.113883.3.7217.34 2018/12/13 12:00:00 2018/12/14 12:00:00 2018/12/14 09:25:04 UV 2.16.840.1.113883.9.249 acoe Absolut Care of Endicott James Shadduck masked James Shadduck 607-754-2705 masked Absolut Care of Endicott 301 Nantucket Dr. Endicott, NY 13760 607-754-2705 jshadduck@absolutcare.com https://www.absolutcare.com/ Provider Int 3 Complete 2018/12/17 12:00:00 2018/12/18 12:00:00 2018/12/18 09:54:19 US 2.16.840.1.113883.3.8224 carbon-OID Carbon Health identifier Thomas Berry masked Thomas Berry Thomas Berry (Carbon Health) 55 Pacific Ave. San Francisco, CA 94111 4152002099 masked Carbon Health Technologies, Inc. Carbon Health 55 Pacific Ave. San Francisco, CA 94111 4152002099 tom@carbonhealth.com https://carbonhealth.com Provider Int 3 Complete 2018/12/18 12:00:00 2018/12/18 12:00:00 2018/12/18 09:58:03 UV 2.16.840.1.113883.3.803.1218201802 tinaDobsevage Tina Dobsevage Raj Mathur masked Raj Mathur 18 Genevieve Place Great Neck, NY 11021 5164661942 masked CTO Tina Dobsevage 1050 5th ave Suite #4 (86th Street) New York, NY 10028 (646) 672-0763 tina.dobsevage@gmail.com Provider 2.16.840.1.113883.3.803 Ext 4 Complete 2.16.840.1.113883.3.803.1218201802 2018/12/19 12:00:00 2018/12/20 12:00:00 2018/12/20 08:33:43 UV 2.16.840.1.113883.3.803.1218201803 peterSimonson Peter Simonson, MD Raj Mathur masked Raj Mathur 18 Genevieve Place Great Neck, NY 11021 5164661942 masked CTO Peter Simonson, MD 257 Lafayette Ave Suite 120 Suffern, NY 10901 (845) 369-9100 deb914mas@aol.com Provider 2.16.840.1.113883.3.803 Ext 4 Complete 2.16.840.1.113883.3.803.1218201803 2018/12/19 12:00:00 2018/12/20 12:00:00 2018/12/20 08:35:54 UV 2.16.840.1.113883.3.803.1218201804 jonathanField Jonathan Field, M.D Raj Mathur masked Raj Mathur 18 Genevieve Place Great Neck, NY 11021 516-466-1942 masked CTO Jonathan Field, M.D 133 East 58th Street New York, NY 10022 (212) 355-1006 superkool08@gmail.com Provider 2.16.840.1.113883.3.803 Ext 4 Complete 2.16.840.1.113883.3.803.1218201804 2018/12/19 12:00:00 2018/12/20 12:00:00 2018/12/20 08:38:26 UV 2.16.840.1.113883.3.8225 pgmd62 Philippa Gordon MD and Associates Barbara Williams masked Philippa Gordon MD and Associates 62 8th Ave Brooklyn, NY 11217 7186239464 masked Administrator Philippa Gordon MD and Associates 62 8th Ave Brooklyn, NY 11217 7186239464 pgmd62@gmail.com Provider Int 3 Complete 2018/12/19 12:00:00 2018/12/20 12:00:00 2018/12/20 08:44:05 UV 2.16.840.1.113883.3.8226 vnsnychoice Visiting Nurse Service of New York CHOICE Atul Kumar masked Timothy Peng 220 East, 42nd Street New York, NY 10017 2126095765 masked Chief Data Analytics Officer Healthix 5th Floor, 40 Worth St, New York, NY 10013 8776954749 info@healthix.org https://healthix.org/ Payor Int 3 Complete 2018/12/19 12:00:00 2018/12/20 12:00:00 2018/12/20 08:50:17 UV 2.16.840.1.113883.3.8227 abilitynet ABILITY Network Eric Mindrum masked Eric Mindrum (612) 277-1449 masked Senior Product Manager ABILITY Network Butler Square 100 North 6th St., Suite 900A Minneapolis, MN 55403 (877) 340-5610 partner.support@abilitynetwork.com https://abilitynetwork.com/ Vendor Int 3 Complete 2018/12/20 12:00:00 2018/12/20 12:00:00 2018/12/20 09:05:15 UV 2.16.840.1.113883.3.8228 bmhhosp Bingham Memorial Hospital Sunil Kolanti masked Sunil Kolanti 2087822875 masked Sr. Software Engineer Bingham Memorial Hospital 98 Poplar St. Blackfoot, ID 83221 2087854100 skolanti@binghammemorial.org Provider Int 3 Complete 2018/12/20 12:00:00 2018/12/20 12:00:00 2018/12/20 09:15:34 US 2.16.840.1.113883.3.803.1218201801 pulmonaryConsultantsLibby Pulmonary Consultants of NY Raj Mathur masked Raj Mathur 5164661942 masked Pulmonary Consultants of NY 635 Madison Avenue, 11th Floor New York, New York 10022 (212) 628-6611 dmlibbyoo@aol.com Provider Ext 4 Complete 2.16.840.1.113883.3.803.1218201801 2018/12/21 12:00:00 2018/12/21 12:00:00 2018/12/21 08:49:24 UV 2.16.840.1.113883.3.8229 wp-RNC-1 Willow Point Rehabilitation and Nursing Center Stephanie Jerzak masked Rosemarie Murphy 3700 Old Vestal Road Vestal, NY 13850 607-763-4210 masked Health Information Administrator Willow Point Rehabilitation and Nursing Center 3700 Old Vestal Road Vestal, NY 13850 607-763-4400 rlaclair@co.broome.ny.us Provider Int 3 Complete 2018/12/27 12:00:00 2018/12/28 12:00:00 2018/12/28 07:21:43 UV 2.16.840.1.113883.3.8230 albertmd Albert Benchabbat Albert Benchabbat masked Olga Benchabbat 1525 E 28th Street Brooklyn, NY 11229 9178056031 masked Albert Benchabbat, MD 77 Belmont ave Brooklyn, NY 11212 9178056031 benchabbat@gmail.com https://www.benchabbat.com Provider Int 3 Complete 2018/12/28 12:00:00 2018/12/28 12:00:00 2018/12/28 07:41:19 US 2.16.840.1.113883.3.8231 mchdcctx Mitchell County Hospital District John Davis masked Benny Cornett 997 West Interstate 20 Colorado City, Texas 79512 3257283431 masked Systems Engineer Mitchell County Hospital District 997 West Interstate 20 Colorado City, Texas 79512 3257283431 bcornett@mitchellcountyhospital.com https://www.mitchellcountyhospital.com/ Provider Int 3 Complete 2018/12/31 12:00:00 2019/01/07 12:00:00 2023/11/15 09:40:09 UV 2.16.840.1.113883.3.8232 nyakc New York Artificial Kidney Center Winston Lee masked Winston Lee 2701 Emmons ave Brooklyn, NY 11235 7187694100 masked medical director New York Artificial Kidney Center 2701 Emmons ave Brooklyn, NY 11235 7187694100 winstonlee1@gmail.com Provider Int 3 Complete 2019/01/02 12:00:00 2019/01/07 12:00:00 2019/01/07 09:43:45 UV 2.16.840.1.113883.3.8233 rhnscny Rural Health Network South Central NY Kenneth Green masked Kenneth Green 33 Lewis Rd Binghamton, NY 13905 607 240-2586 masked IT Project Manager Rural Health Network South Central NY 455 Court St Binghamton, NY 13904 607 692-7669 x 216 jsalo@rhnscny.org http://www.rhnscny.org Vendor Int 3 Complete 2019/01/04 12:00:00 2019/01/07 12:00:00 2019/01/07 09:57:24 UV 2.16.840.1.113883.3.8234 hsd Human Services Development (S2AY) Kenneth Green masked Kenneth Green 33 Lewis Rd, Binghamton, NY 13905 607 240-2586 masked IT Project Manager Human Services Development (S2AY) PO Box 97, Corning, NY 14830 607 962-8459 grantstogo@stny.rr.com http://www.humanservicedevelopment.com Vendor Int 3 Complete 2019/01/04 12:00:00 2019/01/07 12:00:00 2019/01/07 10:06:49 UV 2.16.840.1.113883.3.8235 chenHN Chenango Health Network Kenneth Green masked Kenneth Green 33 Lewis Rd, Binghamton, NY 13905 607 240-2586 masked IT Project Manager Chenango Health Network 24 Conkey Avenue, Norwich, NY 13815 607 337-4128 theresa@chenangohealth.org http://www.chenangohealth.org Vendor Int 3 Complete 2019/01/04 12:00:00 2019/01/07 12:00:00 2019/01/07 10:13:41 UV 2.16.840.1.113883.3.8236 hscTC Human Services Coalition Thompkins County Kenneth Green masked Kenneth Green 33 Lewis Rd, Binghamton, NY 13905 607 240-2586 masked IT Project Manager Human Services Coalition Thompkins County 171 East Martin Luther King Jr State Street #133, Ithaca, NY 14850 607 273-8686 jmazzello@hsctc.org http://www.hsctc.org Vendor Int 3 Complete 2019/01/04 12:00:00 2019/01/07 12:00:00 2019/01/07 10:19:13 UV 2.16.840.1.113883.3.8237 brnc Bishop Rehabilitation and Nursing Center Margaret Mary Wagner masked Cindy Alsheimer 918 James Street Syracuse, NY 13203 315-474-1561 ext. 541 masked Director of Medical Records Bishop Rehabilitation and Nursing Center 918 James Street Syracuse, NY 13203 315-474-1561 ext. 541 calsheimer@bishopcare.com https://www.bishopcare.com/ Provider Int 3 Complete 2019/01/08 12:00:00 2019/01/09 12:00:00 2019/01/09 09:58:28 UV 2.16.840.1.113883.3.8238 asa American Society of Anesthesiologists Toni Kaye masked Toni Kaye 1061 American Lane Schaumburg, IL 60173 847-268-9160 masked Quality Program Manager American Society of Anesthesiologists 1061 American Lane Schaumburg, IL 60173 847-268-9160 qra@asahq.org https://www.asahq.org Prof Soc Int 3 Complete 2019/01/08 12:00:00 2019/01/09 12:00:00 2019/01/09 09:59:33 UV 2.16.840.1.113883.3.8239 medi-ehr Medi-EHR LLC Matthew D'Alessandro masked Shehryar Khlaid 347-464-8385 masked PM Medi-EHR 90 Washington Valley Rd Bedminster, NJ 07921 3474648385 support@medi-ehr.com http://medi-ehr.com Vendor Int 3 Complete 2019/01/08 12:00:00 2019/01/09 12:00:00 2019/01/09 10:02:37 UV 2.16.840.1.113883.3.8240 idocsweb iDocsWeb LLC Bharath Rayasam masked Bharath Rayasam iDocsWeb LLC 5700 Granite Parkway, #200 Plano, TX-75024 214-914-8765 masked Chief Technology Officer iDocsWeb LLC 5700 Granite Parkway, #200 Plano, TX-75024 214-914-8765 support@idocsweb.com https://idocsweb.com Vendor Int 3 Complete 2019/01/09 12:00:00 2019/01/09 12:00:00 2019/01/09 11:46:41 UV 2.16.840.1.113883.3.8241 lsafhs LSA Family Health Service Jose Lopez masked Jose Lopez 333 E 115TH ST New York, NY 10029 6466725200 masked IT Manager LSA Family Health Service 333 East 115th St New York, NY 10029 6466725200 jlopez@lsafhs.org https://littlesistersfamily.org Provider Int 3 Complete 2019/01/10 12:00:00 2019/01/11 12:00:00 2019/01/11 09:48:01 UV 2.16.840.1.113883.3.8242 door-ccOID The Door's Healthcare Services Jeff DeRoche masked Jeff DeRoche 121 Avenue of the Americas New York, NY 10013 212-941-9090 ext. 3291 masked Director of Mental Health The Door - A Center of Alternatives 121 Avenue of the Americas New York, NY 10013 212-941-9090 info@door.org https://door.org/ Provider Int 3 Complete 2019/01/10 12:00:00 2019/01/11 12:00:00 2019/01/18 01:34:33 UV 2.16.840.1.113883.3.8243 mva-health Monongahela Valley Association of Health Centers Tony Riley masked Tony Riley 1322 Locust Ave., Fairmont, WV 26554 304-366-0700 masked IT Director Monongahela Valley Association of Health Centers 3043660700 IT@mvahealth.org http://www.mvahealth.org Provider Int 3 Complete 2019/01/11 12:00:00 2019/01/11 12:00:00 2019/01/11 09:54:38 UV 2.16.840.1.113883.17.4247 adelpo Adelpo Hollie Brogunier masked Hollie Brogunier 1351 Sawgrass Corporate Pkwy, Suite 100 Sunrise, FL 33323 9542980099 masked Adelpo, LLC 1351 Sawgrass Corporate Pkwy, Suite 100 Sunrise, FL 33323 9545727488 contact@adelpo.com http://www.adelpo.com Vendor Int 17 Complete 2019/01/14 12:00:00 2019/01/15 12:00:00 2019/01/15 10:44:30 UV 2.16.840.1.113883.3.8244 fpg Family Practice Group April Villarreal masked April Villarreal 229 West Stewart Ave. Medford, OR 97501 541-779-5531 masked IT/System Administrator Family Practice Group 229 West Stewart Ave. Medford, OR 97501 541-779-5531 avillarreal@fpgdocs.com Provider Int 3 Complete 2019/01/14 12:00:00 2019/01/15 12:00:00 2019/01/15 10:47:36 UV 2.16.840.1.113883.3.8245 gsc-3 Good Shepherd Communities Kathy Swezey masked Kathy Swezey 80 Fairview Avenue Binghamton, New York 13904 607-724-2477 masked Executive Director Good Shepherd Communities 80 Fairview Avenue Binghamton, New York 13904 607-724-2477 kswezey@gsfhome.org Provider Int 3 Complete 2019/01/15 12:00:00 2019/01/15 12:00:00 2019/01/15 10:51:52 UV 2.16.840.1.113883.3.8246 white-mountain-regional White Mountain Regional Medical Center David Miller masked Wesley Babers White Mountain Regional Medical Center 118 S. Mountain Ave., Springerville, AZ 85938 9283337178 masked CEO White Mountain Regional Medical Center 118 S. Mountain Ave., Springerville, AZ 85938 9283337178 Wesley.babers@wmrmc.com http://www.wmrmc.com Provider Int 3 Complete 2019/01/15 12:00:00 2019/01/15 12:00:00 2024/08/26 03:53:44 UV 2.16.840.1.113883.3.8247 ucdh UC Davis Health Willy Bansi masked Willy Bansi 1651 Alhambra Blvd Suite 110, Sacramento, CA 95816 916-734-4812 masked Project Manager / Interoperability & HIE UC Davis Health 2315 Stockton Blvd. Sacramento, CA 95817 (916) 734-2011 vbansi@ucdmc.ucdavis.edu http://www.ucdmc.ucdavis.edu/ Exchange Int 3 Complete 2019/01/16 12:00:00 2019/01/24 12:00:00 2019/01/24 09:30:32 UV 2.16.840.1.113883.3.8248 cbhed Cornerstone Behavioral Health El Dorado Robert Thrall masked Robert Thrall 2200 Ross Ave Suite 5400 Dallas, TX 75201 4696216763 masked IT Director Cornerstone Behavioral Health El Dorado rthrall@chghospitals.com Provider Int 3 Complete 2019/01/17 12:00:00 2019/01/24 12:00:00 2019/01/24 09:34:00 UV 2.16.840.1.113883.3.8249 aURO Aurora Health Management Joanben Rara masked Joanben Rara 8227 Cloverleaf Drive Suite 309 Millersville, MD 21108 4105076640 masked Director- Electronic Medical Records Aurora Health Management 8227 Cloverleaf Drive Suite 309 Millersville, MD 21108 (410) 729-8406 jrara@aurorahealthmgt.com http://aurorahealthmgt.com/ Provider Int 3 Complete 2019/01/18 12:00:00 2019/01/24 12:00:00 2019/01/24 09:36:15 UV 2.16.840.1.113883.3.8250 uhdb University Hospitals of Derby and Burton NHS Foundation Trust Stephen Silkstone masked Stephen Silkstone Royal Derby Hospital Uttoxeter Road, Derby DE22 3NE +44(0)7799337766 masked Deputy Patient Systems Manager University Hospitals of Derby and Burton NHS Foundation Trust Royal Derby Hospital Uttoxeter Road, Derby DE22 3NE +44(0)7799337766 stephen.silkstone@nhs.net Govt body Int 3 Complete 2019/01/21 12:00:00 2019/01/24 12:00:00 2019/01/24 09:39:16 UV 2.16.840.1.113883.3.2402.300.29 physicans-computer-company-vendors-diatherix Physician's Computer Company (PCC) Vendors Diatherix Eurofins Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.300.29 2019/01/21 12:00:00 2019/01/24 12:00:00 2019/01/24 09:42:03 UV 2.16.840.1.113883.9.250 iMMUNOeHealthCenters IMMUNOe Health Centers Roni Mushovic masked Roni Mushovic 6801 S. Yosemite St Centennial, CO 80112 303-224-4669 masked General Counsel IMMUNOe Health Centers 6801 S. Yosemite St Centennial, CO 80112 303-244-4669 RMushovic@immunoe.com Provider Int 3 Complete 2019/01/21 12:00:00 2019/01/24 12:00:00 2019/01/24 09:45:15 UV 2.16.840.1.113883.3.8251 azova Azova OID Root Frank Parth masked Frank Parth 144 S Main St, Alpine, UT 84004 844 MY-AZOVA masked Senior Interface Software Engineer Azova 144 S Main St, Alpine, UT 84004 844 MY-AZOVA cheryllee@azovahealth.com https://azovahealth.com/ Vendor Int 3 Complete 2019/01/22 12:00:00 2019/01/24 12:00:00 2019/01/24 09:48:53 UV 2.16.840.1.113883.3.8252 pp Premier Pediatrics Celeste Smith masked Celeste Smith 1606 Prairie Center Parkway Suite 300 Brighton, CO 80601 303-681-6123 masked Resource Coordinator Premier Pediatrics, PC 1606 Prairie Center Parkway Suite 300 Brighton, CO 80601 303-655-1685 sharon.ppeds@gmail.com http://www.premierpediatrics.us Provider Int 3 Complete 2019/01/23 12:00:00 2019/01/24 12:00:00 2019/01/24 10:02:06 UV 2.16.840.1.113883.3.8253 ttp-pedisurgspec TTP - Pediatric Surgical Specialties Rae Rodriguez masked Rae Ann Rodriguez 3601 4th street RM 1BC150 Lubbock, Texas 79430 806-743-4357 masked Unit Manager TTP - Pedi Surgical Specialites 3601 4th street Lubbock, Texas 79430 806-743-4357 emrlubbockhelpdesk@ttuhsc.edu http://umchealthsystem.com Academic Int 3 Complete 2019/01/23 12:00:00 2019/01/24 12:00:00 2019/01/24 10:15:17 UV 2.16.840.1.113883.3.8254 dundy Dundy County Hospital Rita Jones masked Rita A. Jones 1313 N.Cheyenne St, PO Box 626 Benkelman, NE 69021-0626 3084232204 masked CEO Dundy County Hospital 1313 N.Cheyenne St, PO Box 626 Benkelman, NE 69021-0626 3084232204 rjones@dchbenkelman.com https://dchbenkelman.com Provider Int 3 Complete 2019/01/24 12:00:00 2019/01/24 12:00:00 2019/01/24 10:38:11 UV 2.16.840.1.113883.3.8255 hhcs Hamilton Health Care System John Forrester masked John Forrester P.O. Box 1168 Dalton, GA 30721 706-272-6000 masked CIO Hamilton Health Care System jforrester@hhcs.org http://www.hamiltonhealth.com Provider Int 3 Complete 2019/01/25 12:00:00 2019/01/28 12:00:00 2019/01/28 11:11:18 UV 2.16.840.1.113883.3.8256 cb-pcc Cedarbrook Senior Care and Rehabilitation Jason Cumello masked Jason Cumello 350 South Cedarbrook Rd. Allentown, PA 18104 610-336-5610 masked Administrator/Director Cedarbrook Senior Care and Rehabilitation 350 South Cedarbrook Rd. Allentown, PA 18104 610-336-5610 jasoncumello@lehighcounty.org Provider Int 3 Complete 2019/01/25 12:00:00 2019/01/28 12:00:00 2019/01/28 11:14:52 UV 2.16.840.1.113883.3.8257 mmha Munising Memorial Hospital Association Dana Steinhoff masked Dana Steinhoff 1500 Sand Point Road Munising, MI 49862 9063874110 masked IT Manager Munising Memorial Hospital 1500 Sand Point Road Munising, MI 49862 9063874110 danasteinhoff@mmhos.org https://www.munisingmemorial.org Provider Int 3 Complete 2019/01/28 12:00:00 2019/01/28 12:00:00 2019/01/28 11:26:04 US 2.16.840.1.113883.3.8258 gaylord Gaylord Specialty Healthcare Colleen Rawlick masked Colleen Rawlick 50 Gaylord Farm road PO box 400 Wallingford, CT 06492 203-284-2823 masked Application Analyst Gaylord Specialty Healthcare 50 Gaylord Farm road PO box 400 Wallingford, CT 06492 203-284-2823 crawlick@gaylord.org https://www.gaylord.org Provider Int 3 Complete 2019/01/28 12:00:00 2019/01/28 12:00:00 2019/01/28 11:29:45 UV 2.16.840.1.113883.3.8259 csh-pcc CSHHCS Kathryn Ford masked Kathryn Ford Holy Family Manor 1200 Spring St. Bethlehem, PA 18018 6108655595 masked Director of Admissions and Marketing Holy Family Manor 1200 Spring St. Bethlehem, PA 18018 6108655595 kford@hfmanor.org https://www.hfmanor.org Provider Int 3 Complete 2019/01/28 12:00:00 2019/01/28 12:00:00 2019/01/28 11:33:00 UV 2.16.840.1.113883.3.803.1218201805 frankScafuri Frank Scafuri, M.D. Raj Mathur masked Raj Mathur 516-466-1942 masked Frank Scafuri, M.D. 682 Forest Ave Staten Island, NY 10310 (718) 370-3730 samena72090@aol.com Provider 2.16.840.1.113883.3.803 Ext 4 Complete 2.16.840.1.113883.3.803.1218201805 2019/01/29 12:00:00 2019/01/29 12:00:00 2019/01/29 08:47:06 UV 2.16.840.1.113883.3.803.1218201806 paulWein Paul Wein, M.D. Raj Mathur masked Raj Mathur 5164661942 masked Paul Wein, M.D. 3131 Kings Highway Suite D6 Brooklyn, New York 11234 (718) 338-2283 pweinmd@gmail.com Provider 2.16.840.1.113883.3.803 Ext 4 Complete 2.16.840.1.113883.3.803.1218201806 2019/01/29 12:00:00 2019/01/29 12:00:00 2019/01/29 08:50:29 UV 2.16.840.1.113883.3.8260 caregrove CareGrove Trevor Gavin masked Trevor Gavin 390 Mike Loza dr. Unit 105 Camarillo, CA 93012 5037046953 masked Director of business development CareGrove 5037040615 trevor@caregrove.com https://www.caregrove.com/ Payor Int 3 Complete 2019/01/29 12:00:00 2019/01/29 12:00:00 2019/01/29 08:53:41 0396 UV 2.16.840.1.113883.3.803.1218201808 galinaGershkovich Galina Gershkovich M. D. Raj Mathur masked Raj Mathur 5164661942 masked Galina Gershkovich M. D. 4111 18th Ave Brooklyn, NY 11218 (718) 851-2916 germed61@hotmail.com Provider 2.16.840.1.113883.3.803 Ext 4 Complete 2.16.840.1.113883.3.803.1218201808 2019/01/30 12:00:00 2019/01/30 12:00:00 2019/01/30 07:32:20 UV 2.16.840.1.113883.3.8261 plvm Pleasant Valley Manor Drew Lutton masked Drew Lutton 4227 Manor Drive Stroudsburg, PA 18360 570-992-4172 X4223 masked Administrator Pleasant Valley Manor, Inc. 4227 Manor Drive Stroudsburg, PA 18360 570-992-4172 dlutton@pvmnh.com http://pvmnh.com/ Provider Int 3 Complete 2019/01/30 12:00:00 2019/01/30 12:00:00 2019/01/30 07:40:09 US 2.16.840.1.113883.17.4248 daltonfp Dalton Family Practice PC Deborah Jones masked kstepp@daltonfamilypractice.com Deborah Jones 1114 Professional Blvd, Dalton, GA 30720 7062780138 masked IT Manager, Bookkeeper Dalton Family Practice PC 1114 Professional Blvd, Dalton, GA 30720 7062780138 dcjones@daltonfamilypractice.com HL7 body Int 17 Complete 2019/01/31 12:00:00 2019/01/31 12:00:00 2019/01/31 10:42:31 UV 2.16.840.1.113883.3.8262 elmys Elmys Special Services Kabetha Udayan masked Kabetha Udayan 163 Van Buren Street, Brooklyn, NY 11221 718-789-7539 Ex. 107 masked Elmys Special Services 163 Van Buren Street, Brooklyn, NY 11221 718-789-7539 desirania.cortes@elmysspecialservices.org Provider Int 3 Complete 2019/01/31 12:00:00 2019/01/31 12:00:00 2019/01/31 10:54:07 UV 2.16.840.1.113883.3.8263 abigailhouse Abigail House for Nursing and Rehabilitation Chaya Bleier masked Chaya Bleier 1105 linden street Camden, NJ 08102 8563658500 masked CEO Abigail House for Nursing and Rehabilitation 1105 linden Street Camden, NJ 08102 8563658500 chaya@abigailrehab.com Provider Int 3 Complete 2019/02/04 12:00:00 2019/02/07 12:00:00 2019/02/07 08:22:37 UV 2.16.840.1.113883.3.8264 encompasshealthservices Encompass Health Services Mark Guth masked Mark Guth 450 South 400 East, Suite 200 Bountiful, UT 84010 801-683-6565 masked VP Business Development Encompass Health Services 450 South 400 East, Suite 200 Bountiful, UT 84010 801-683-6565 Dianna.Taylor@welbrook.com https://welbrook.com Provider Int 3 Complete 2019/02/04 12:00:00 2019/02/07 12:00:00 2019/02/07 08:24:09 UV 2.16.840.1.113883.3.803.1218201807 sergeyBogdan Sergey Bogdan, MD Raj Mathur masked Raj Mathur 5164661942 masked Sergey Bogdan, MD 8686 Bay Parkway Brooklyn, NY 11214 (718) 265-7702 superkool08@gmail.com Provider 2.16.840.1.113883.3.803 Ext 4 Complete 2.16.840.1.113883.3.803.1218201807 2019/02/05 12:00:00 2019/02/07 12:00:00 2019/02/07 08:32:30 UV 2.16.840.1.113883.3.803.1218201809 longIslandNeurology Long Island Neurology Raj Mathur masked Raj Mathur 5164661942 masked Long Island Neurology 777 Sunrise Highway Lynbrook, NY 11563 (516) 887-3516 donnabocci@yahoo.com Provider 2.16.840.1.113883.3.803 Ext 4 Complete 2.16.840.1.113883.3.803.1218201809 2019/02/05 12:00:00 2019/02/07 12:00:00 2019/02/07 08:34:27 UV 2.16.840.1.113883.3.8265 smnos Sports Medicine North Orthopedic Surgery Jennifer Franco masked Jennifer Franco 1 Orthopedics Drive Peabody, MA 01960 9788186350 masked IT Manager Sports Medicine North 1 Orthopedics Drive Peabody, MA 01960 9788186350 jfranco@sportsmednorth.com Provider Int 3 Complete 2019/02/06 12:00:00 2019/02/07 12:00:00 2019/02/07 08:38:22 UV 2.16.840.1.113883.3.8266 srx Synergy HCA Scott Taylor masked Scott Taylor 833-633-6833 masked Synergy HCA it@synergyhca.com Vendor Int 3 Complete 2019/02/06 12:00:00 2019/02/07 12:00:00 2019/02/07 08:45:49 UV 2.16.840.1.113883.3.8267 qls Quality Life Services Mark Talton masked Mark Talton 612N Main Street Butler, PA 16001 7244310770 X2133 masked Director of Information Systems Quality Life Services 612N Main St. Butler, PA 16001 7244310770 support@qualitylifeservices.com http://www.qualitylifeservices.com Provider Int 3 Complete 2019/02/07 12:00:00 2019/02/07 12:00:00 2019/02/07 08:55:40 UV 2.16.840.1.113883.3.8268 lwv Lake Washington Vascular Susan Ballas masked Brian Lindsay 1135 116th Ave NE, Bellevue, WA 98004 425) 453-1772 masked Executive Director Lake Washington Vascular 1135 116th Ave NE, Bellevue, WA 98004 425) 453-1772 sueb@lkwv.com Provider Int 3 Complete 2019/02/07 12:00:00 2019/02/07 12:00:00 2019/02/07 09:03:12 UV 2.16.840.1.113883.3.8269 uph-keokuk UnityPoint Helath-Keokuk Linda Atterberg masked Linda Atterberg 1600 Morgan Street Keokuk, IA 52632 319.526.8693 masked Director of Information Technology UnityPoint Health - Keokuk 1600 Morgan Street Keokuk, IA 52632 319.524.7150 latterberg@keokukhospital.org https://www.unitypoint.org/keokuk/default.aspx Provider Int 3 Complete 2019/02/08 12:00:00 2019/02/12 12:00:00 2019/02/12 08:38:50 US 2.16.840.1.113883.3.2402.200.6911 physicians-computer-company-clients-gcp Physician's Computer Company (PCC) client Gulf Coast Pediatrics Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6911 2019/02/08 12:00:00 2019/02/12 12:00:00 2019/02/12 08:41:54 UV 2.16.840.1.113883.3.8270 costco Costco Immunizations Dennis Isaacson masked Kevin Brismeur Kevin Brismeur 999 Lake Dr, Issaquah, WA 98027 425-313-6099 masked Analyst Costco 999 Lake Dr, Issaquah, WA 98027 425-313-8000 kbrismeur@costco.com Provider Int 3 Complete 2019/02/08 12:00:00 2019/02/12 12:00:00 2019/02/12 08:47:40 UV 2.16.840.1.113883.3.8271 fsi Family Services INC Christopher Campbell masked Christopher Campbell 29 North Hamilton St Poughkeepsie, NY 12601 8454862703 ext1324 masked Associate Director of Information Management Family Services INC 29 North Hamilton St Poughkeepsie, NY 12601 8454521110 ccampbell@hvmh.org http://familyservicesny.org/ Provider Int 3 Complete 2019/02/08 12:00:00 2019/02/12 12:00:00 2019/02/12 08:50:47 UV 2.16.840.1.113883.17.4249 healthCatalyst Health Catalyst Cessily Johnson MBA masked Cessily Johnson 3165 Millrock Dr. Ste 400 Salt Lake City, UT 84121 801-554-8635 masked VP, Terminology & Master Data Mgt. Health Catalyst 3165 Millrock Dr. Ste 400 Salt Lake City, UT 84121 801-708-6800 support@healthcatalyst.com https://www.healthcatalyst.com Vendor Int 17 Complete 2019/02/11 12:00:00 2019/02/12 12:00:00 2019/02/12 09:02:20 UV 2.16.840.1.113883.3.8272 bac Bridging Access to Care Esther Obanero masked Bridging Access to Care Esther Obanero 2261 Church Avenue 3rd Floor Brooklyn NY 11226 3475055198 masked Director of Healthcare Informatics and Information Systems Bridging Access to Care 2261 Church Avenue c/o Esther Obanero 3rd Floor Brooklyn NY 11226 3475055198 eobanero@bac-ny.org https://www.bac-ny.org Provider Int 3 Complete 2019/02/12 12:00:00 2019/02/12 12:00:00 2019/02/12 09:08:22 UV 2.16.840.1.113883.3.8273 ahg Affinity Health Group Cindy Treadwell masked Landon Wright Cindy Treadwell 130 Desiard Street Suite 355 Monroe, LA 71201 318-998-3365 masked Clinical Interface Analyst Supervisor Affinity Health Group 300 Desiard Street Monroe, LA 71201 318-807-7875 techsupport@vhpla.com https://www.myaffinityhealth.com/ Provider Int 3 Complete 2019/02/13 12:00:00 2019/02/14 12:00:00 2019/02/14 09:10:45 UV 2.16.840.1.113883.3.8274 celerity Celerity LLC OID Root Jonathan Strange masked Jonathan Strange 561 Main Street Suite 1200 Tonawanda, NY 14150 888-461-0226 masked Clinical Director, Vice President Celerity, LLC 561 Main Street Suite 1200 Tonawanda, NY 14150 888-461-0226 jstrange@celerityllc.net http://www.celerityllc.net Vendor Int 3 Complete 2019/02/13 12:00:00 2019/02/14 12:00:00 2019/02/14 09:13:23 UV 2.16.840.1.113883.3.8275 spa Suburban Pediatric Associates Robert Wallace masked Suzzy Jasper 9600 Children's Drive Bldg D Mason, OH 45040 513-336-6700 masked Clinical Manager Suburban Pediatric Associates 7335 Yankee Road Liberty Township, OH 45044 513336-6700 sejasper@suburbandocs.com Provider Int 3 Complete 2019/02/18 12:00:00 2019/02/20 12:00:00 2019/02/20 09:39:07 UV 2.16.840.1.113883.4.955 secsabol DEPARTAMENTO DE SALUD DE BOLIVAR EDWIN EDUARDO SALGUEDO masked SECRETARIA DE BOLIVAR EDWIN EDUARDO QUINTANA SALGUEDO VILLA DEL SOL MZ C LOTE 11 3006230499 masked DEPARTAMENTO DE SALUD DE BOLIVAR VILLA DEL SOL MZ LOTE 11 3006230499 gerencia@softcomputo.com.co http://www.softcomputo.com.co Govt body Int 3 Complete 2019/02/19 12:00:00 2019/02/20 12:00:00 2019/02/20 09:46:07 2..5 UV 2.16.840.1.113883.17.4250 bhccps Blue Haven Counseling and Psychotherapy Services Lcsw P.C. Rebecca Downer masked Timothy Johnson 204-17 Hillside Ave Suite 309 Hollis, NY 11423 929-200-9241 masked Director of Program Operations Blue Haven Confidential Counseling and Psychotherapy Services Lcsw P.C. 204-17 Hillside Ave Suite 309 Hollis, NY 11423 347-506-3986 ext. 5026 ddowner@bluehavencounseling.com https://www.bluehavencounseling.com Provider Int 17 Complete 2019/02/19 12:00:00 2019/02/20 12:00:00 2019/02/20 09:53:39 UV 2.16.840.1.113883.3.8276 cabrini-of-westchester Cabrini of Westchester Cassidy Barnes masked Bonita Burke 115 Broadway Dobbs Ferry, NY 10522 914-693-6800 masked COO Cabrini of Westchester 115 Broadway Dobbs Ferry, NY 10522 914-693-6800 cabrini@cabrini-eldercare.org Provider Int 3 Complete 2019/02/22 12:00:00 2019/02/23 12:00:00 2019/02/23 10:22:22 UV 2.16.840.1.113883.3.8277 awoc-vchs VCUHealthAnywhere Alfredo Morales masked Alfredo Morales 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x:3643 masked Director, Integration Architecture American Well 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x:3643 info@americanwell.com http://www.americanwell.com Vendor 2.16.840.1.113883.3.634 Int 3 Complete 2019/02/22 12:00:00 2019/02/23 12:00:00 2019/02/23 10:26:52 UV 2.16.840.1.113883.3.8278 dpcc Ditmas Park Rehabilitation and Care Center Arvin Pascual masked Arvin Pascual 2107 Ditmas Ave. Brooklyn, NY 11226 (718) 462-8100 masked Administration Staff/IT Ditmas Park Rehabilitation and Care Center LLC 2107 Ditmas Ave. Brooklyn, NY 11226 (718) 462-8100 admin@ditmasrehab.com Provider Int 3 Complete 2019/02/25 12:00:00 2019/02/25 12:00:00 2019/02/25 09:31:14 UV 2.16.840.1.113883.3.8279 ncha North Colorado Health Alliance Brad Keil masked Brad Keil 2930 11th Avenue, Evans, CO 80620 970-350-4603 masked Director of Information Technology North Colorado Health Alliance 2930 11th Avenue, Evans, CO 80620 970-353-9403 bkeil.alliance@nocoha.org https://northcoloradohealthalliance.org/ Provider Int 3 Complete 2019/02/26 12:00:00 2019/02/26 12:00:00 2019/02/26 09:58:32 UV 2.16.840.1.113883.3.8280 mcig Premier Medical Group, LLC Phil McGowan masked Phil McGowan 2200 Jacobssen Drive Ste. B Normal, IL 61761 3094511123 masked Administrator Premier Medical Group, LLC 2200 Jacobssen Drive Normal, IL 61761 3094511123 info@ilgastro.com https://www.ilgastro.com Provider Int 3 Complete 2019/02/26 12:00:00 2019/02/26 12:00:00 2019/02/26 10:05:56 UV 2.16.840.1.113883.3.8281 slm Select Specialty Hospital Cleveland, Transitional Care Center Jennifer Fess masked Jennifer Fess Select Specialty Hospital Cleveland, Transitional Care Unit 11900 Fairhill Rd Cleveland, OH 44120 216-983-8012 masked Administrator, Transitional Care Unit Select Specialty Hospital Cleveland, LLC Select Specialty Hospital Cleveland, Transitional Care Unit 11900 Fairhill Rd Cleveland, OH 44120 216-983-8030 jfess@selectmedical.com Provider Int 3 Complete 2019/02/26 12:00:00 2019/02/26 12:00:00 2019/02/26 10:11:26 UV 2.16.840.1.113883.3.3510.500 mrhcok-hosp MRHC Main Hospital Paul Olson masked Paul Olson McAlester Regional Health Center 1 Clark Bass Blvd. McAlester, OK 74501 9184216945 masked Sr. Applications Architect McAlester Regional Health Center 1 Clark Bass Blvd. McAlester, OK 74501 9184261800 MISDept2@mrhcok.com http://www.mrhcok.com Provider 2.16.840.1.113883.3.3510 Ext 14 Complete 2.16.840.1.113883.3.3510.500 2019/02/27 12:00:00 2019/02/27 12:00:00 2019/02/27 08:17:06 UV 2.16.840.1.113883.3.8282 sbh-oid-86 Southwest Behavioral & Health Services Daniel Trayler masked Daniel Trayler 3450 N. 3rd Street Phoenix, AZ 85012 602-285-4306 masked DBA Manager Southwest Behavioral & Health Services 3450 N. 3rd Street Phoenix, AZ 85012 602-265-8338 info@sbhservices.org https://www.sbhservices.org Provider Int 3 Complete 2019/02/28 12:00:00 2019/02/28 12:00:00 2019/02/28 07:42:50 UV 2.16.840.1.113883.3.8283 dwdc Dominican Women's Development Center Katherine Diaz masked Katherine Diaz 715 West 179th Street Lower Level, NY, NY 10033 2127404335 masked Program Director Dominican Women's Development Center 519 West 189th Street, Ground Floor, NY, NY 10040 212-994-6060 health@dwdc.org https://www.dwdc.org Provider Int 3 Complete 2019/02/28 12:00:00 2019/02/28 12:00:00 2019/02/28 07:44:54 UV 2.16.840.1.113883.3.8284 nottingham Leeds Health Care Services, Inc. d/b/a Nottingham Village Kenneth Brouse masked Kenneth Brouse 58 Neitz Road Northumberland, PA 17857 570.4738366 masked Project Manager Leeds Health Care Services, Inc. d/b/a Nottingham Village 58 Neitz Road Northumberland, PA 17857 5704738366 kbrouse@nottinghamvillage.org https://nottinghamvillage.org Provider Int 3 Complete 2019/02/28 12:00:00 2019/02/28 12:00:00 2019/02/28 07:53:55 UV 2.16.840.1.113883.3.8285 emorydecatur Emory at Decatur Physician Group Todd Settlemyre masked J. Michael Duffell J. Michael Duffell 57 Executive Park South 4th floor Atlanta, GA 30329 404-712-1934 masked Emory at Decatur Physician Group 57 Executive Park South 4th floor Atlanta, GA 30329 404-712-1934 j.michael.duffell@emoryhealthcare.org https://www.emoryhealthcare.org/ Provider Int 3 Complete 2019/03/01 12:00:00 2019/03/04 12:00:00 2019/03/04 09:54:36 UV 2.16.840.1.113883.3.8286 kcm-2019 Kee Case Management Services, LLC Robin Iacobelli masked Robin Iacobelli 518-879-4894 masked Executive Director Kee Case Management Services, LLC P.O. Box 58 Ballston Spa, N.Y. 12020 518-879-4894 robin@kigiservices.com Provider Int 3 Complete 2019/03/04 12:00:00 2019/03/04 12:00:00 2019/03/04 09:57:29 UV 2.16.840.1.113883.3.8287 williampenn William Penn Care Center Lynne Truswell masked Lynne Truswell 7243273500 masked Administrator William Penn Care Center 2020 Ader Road Jeannette PA 15644 7243273500 administrator@williampenncc.com https://www.williampenncc.com Provider Int 3 Complete 2019/03/04 12:00:00 2019/03/04 12:00:00 2019/03/04 10:02:48 UV 2.16.840.1.113883.17.4251 jemcare JEMCare, LLC Martin Itzkowitz masked Martin Itzkowitz 1224 East 23rd Street Brooklyn, NY 11210 9178658727 masked CEO JEMCare, LLC 1224 East 23rd Street Brooklyn, NY 11210 9178658727 mitzkowitz@jemcare.org https://www.jemcare.org Provider Int 17 Complete 2019/03/04 12:00:00 2019/03/04 12:00:00 2019/03/04 10:16:12 UV 2.16.840.1.113883.3.8288 physiciansSolutionOID Physician's Solution Root OID Aaron Wachspress masked Aaron Wachspress 15 Cutter Mill Road, #156 Great Neck, NY 11021 5166849521 masked President MD Charts, Inc 15 Cutter Mill Road, #156 Great Neck, NY 11021 5166849521 awachspress@md-charts.com http://dermcharts.net/ Vendor Int 3 Complete 2019/03/04 12:00:00 2019/03/04 12:00:00 2019/03/04 10:19:49 UV 2.16.840.1.113883.3.8289 wmldManor Westmoreland Manor Nancy McCune masked Nancy McCune Westmoreland Manor 2480 South Grande Blvd Greensburg, PA 15601 724-830-4151 masked Healthcare Systems Administrator Westmoreland County 2 North Main St. Greensburg, PA 15601 724-830-3166 rsvesnik@co.westmoreland.pa.us http://www.westmorelandmanor.org Govt body Int 3 Complete 2019/03/05 12:00:00 2019/03/06 12:00:00 2019/03/06 11:26:30 UV 2.16.840.1.113883.3.8290 indian-haven The Communities at Indian Haven Kimberly Cobaugh masked Kimberly Cobaugh 1675 Saltsburg Ave Indiana, PA 15701 724-465-3900 masked The Communities at Indian Haven 1675 Saltsburg Ave Indiana, PA 15701 724-465-3900 kimberly_cobaugh@indianhaven.com Provider Int 3 Complete 2019/03/05 12:00:00 2019/03/06 12:00:00 2019/03/06 11:40:04 UV 2.16.840.1.113883.3.8291 vna VNA Health Care Erik Jensen masked Erik Jensen +16309782532 masked CIO VNA Health Care 400 N. Highland Ave Aurora, IL 60506 +16309782532 italerts@vnahealth.com https://www.vnahealth.com/ Provider Int 3 Complete 2019/03/05 12:00:00 2019/03/06 12:00:00 2019/03/06 11:41:46 UV 2.16.840.1.113883.3.8292 acss Americare Certified Special Services Inc. Michael Mayer masked Jack Meth Jack Meth 171 Kings Highway Brooklyn, NY 11223 718-535-3100 masked V.P., Information Technology Americare Certified Special Services Inc. 5923 Strickland Avenue Brooklyn, NY 11234 718-535-3100 agoldin@americareny.com http://www.americareny.com Provider Int 3 Complete 2019/03/05 12:00:00 2019/03/06 12:00:00 2019/03/06 11:46:42 UV 2.16.840.1.113883.3.8293 grane-hc Grane Healthcare Keith Livsey masked Adam Newhouse 412-963-0700 masked Systems Analyst Grane Healthcare 412-963-0700 anewhouse@pas-lp.com Provider Int 3 Complete 2019/03/06 12:00:00 2019/03/06 12:00:00 2019/03/06 11:54:59 UV 2.16.840.1.113883.3.8294 el8 Elation Health Conan Fong masked Conan Fong (415) 231-5164 masked Elation Health 550 15th St #21, San Francisco, CA 94103 (415) 231-5164 integrations@elationhealth.com Vendor Int 3 Complete 2019/03/06 12:00:00 2019/03/07 12:00:00 2019/03/07 12:13:32 UV 2.16.840.1.113883.3.8295 mont Montecito Post Acute Care & Rehabilitation Lisa Leveque masked Lisa Leveque 480-313-1429 masked VP Montecito Post Acute Care & Rehabilitation 51 S 48th Street Mesa, AZ 85206 (480) 832-8333 lleveque@ensignservices.net https://montecitocare.com/ Provider Int 3 Complete 2019/03/06 12:00:00 2019/03/07 12:00:00 2019/03/07 12:17:24 UV 2.16.840.1.113883.3.8296 mmm Mt. Macrina Manor Richard Leonard masked Richard Leonard 520 W. Main Street Uniontown, PA 15401 724-4730-1099 masked Administrator Mt. Macrina Manor 520 W. Main Street Uniontown, PA 15401 724-437-1400 rleonard@mtmacrinamanor.com Provider Int 3 Complete 2019/03/07 12:00:00 2019/03/07 12:00:00 2019/03/07 08:59:36 UV 2.16.840.1.113883.3.8297 shelteringarms Sheltering Arms Physical Rehabilitaion Centers Michael Ellerman masked Michael Ellerman 140 Eastshore Dr. Glen Allen, VA 23059 8043424381 masked Manager, Applications Team Sheltering Arms Physical Rehabilitation 8254 Atlee Rd. Mechanicsville, VA 23116 8047641000 mellerman@shelteringarms.com Provider Int 3 Complete 2019/03/07 12:00:00 2019/03/07 12:00:00 2019/03/07 09:05:02 UV 2.16.840.1.113883.3.8298 indivica Indivica Inc Standards Infodesk masked Registration Manager 4100 Yonge St., Suite 505 Toronto, Ontario CANADA M2P 2B5 1 855 678 2878 masked Indivica Inc. 4100 Yonge St., Suite 505 Toronto, Ontario CANADA M2P 2B5 1 855 678 2878 hl7_oid@indivica.ca http://indivica.ca Vendor Int 3 Complete 2019/03/07 12:00:00 2019/03/07 12:00:00 2019/03/07 09:08:53 UV 2.16.840.1.113883.3.8299 mCH-RHIO Monroe Community Hospital Kim Williams masked Kim Williams 435 East Henrietta Road Rochester, NY 14630 5857606211 masked Sr Clinical Systems Administrator Monroe Community Hospital 435 East Henrietta Road Rochester, NY 14630 5857606211 kimwilliams@monroehosp.org Provider Int 3 Complete 2019/03/08 12:00:00 2019/03/08 12:00:00 2019/03/08 09:26:50 UV 2.16.840.1.113883.3.8300 nchhc-1250 Norwegian Christian Home and Health Center Patrick Hemsworth masked Patrick Hemsworth Norwegian Christian Home 1250 67th Street Brooklyn, NY 11219 718-232-2322 x5658 masked IT Director Norwegian Christian Home Norwegian Christian Home 1250 67th Street Brooklyn, NY 11219 718-232-2322 x5642 arestaino@nchhc.org https://www.nchhc.org Provider Int 3 Complete 2019/03/08 12:00:00 2019/03/08 12:00:00 2019/03/08 09:31:04 UV 2.16.840.1.113883.9.251 lifelongMC Lifelong Medical Center Rhonda Yongue masked Ryan Hensler Ryan Hesler PO Box 11247 Berkely, CA 94712 510-981-4133 masked EHR Manager Lifelong Medical Center PO Box 11247 Berkely, CA 94712 510-981-4133 rhensler@lifelongmedical.org Vendor Int 3 Complete 2019/03/08 12:00:00 2019/03/08 12:00:00 2019/03/09 01:24:42 UV 2.16.840.1.113883.3.8301 awoc-aspi Aspirus Video Visit Alfredo Morales masked Alfredo Morales 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x:3643 masked Director, Integration Architecture American Well 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x:3643 info@americanwell.com http://www.americanwell.com Vendor 2.16.840.1.113883.3.634 Int 3 Complete 2019/03/11 12:00:00 2019/03/12 12:00:00 2019/03/12 09:37:55 UV 2.16.840.1.113883.3.8302 lexrhc Lexington Regional Health Center Robb Hanna masked Robb Hanna Lexington Regional Health Center 1201 N. Erie PO Box 980 Lexington, NE 68850 3083245651 masked CIO Lexington Regional Health Center Lexington Regional Health Center 1201 N. Erie PO Box 980 Lexington, NE 68850 3083245651 https://www.lexingtonregional.org Provider Int 3 Complete 2019/03/11 12:00:00 2019/03/12 12:00:00 2019/03/12 09:44:00 UV 2.16.840.1.113883.3.8303 miemss Maryland Institute for Emergency Medical Services Systems Andrew Naumann masked William Thompson Maryland Institute for Emergency Medical Services Systems 653 W. Pratt St Baltimore, MD 21201 410-706-8544 masked Maryland Institute for Emergency Medical Services Systems 653 W. Pratt St Baltimore, MD 21201 410-706-8544 anaumann@miemss.org Govt body Int 3 Complete 2019/03/11 12:00:00 2019/03/12 12:00:00 2019/03/12 09:52:40 UV 2.16.840.1.113883.3.8304 cbhs1 Chase Brexton Healthcare Matt Danna masked Matt Danna Chase Brexton Healthcare 1111 N. Charles Street Baltimore, MD 21201 410-837-2050 masked CIO Chase Brexton Health Services 1111 N. Charles Street Baltimore, MD 21201 410-837-2050 servicedesk@chasebrexton.org http://www.chasebrexton.org Provider Int 3 Complete 2019/03/12 12:00:00 2019/03/12 12:00:00 2019/03/12 10:03:33 UV 2.16.840.1.113883.3.8305 ccofcc Catholic Charities of Chenango County Kenneth Green masked Kenneth Green 33 Lewis Rd, Binghamton, NY 13905 607 240-2586 masked IT Project Manager Catholic Charities of Chenango County 3 Ohara Dr, Norwich, NY 13815 (607)334-8244 ext. 237 jchesebro@ccofcc.com http://www.ccofcc.com/ Vendor Int 3 Complete 2019/03/13 12:00:00 2019/03/13 12:00:00 2019/03/13 07:05:20 UV 2.16.840.1.113883.3.8306 hcidPorterHills Health Connect Identifier for Porter Hills Retirement Community and Services Ron Bianchi masked Ron Bianchi 6169494975 masked IT Manager Porter Hills Retirement Community and Services 4450 Cascade Rd SE Grand Rapids, MI 49546 6164949475 info@porterhills.org http://www.porterhills.org Provider Int 3 Complete 2019/03/13 12:00:00 2019/03/13 12:00:00 2019/03/13 07:07:55 UV 2.16.840.1.113883.3.8307 unrMed UNR School of Medicine - Integrated Clinical Services James Poulos masked James Poulos 702 916-3712 masked Manager Application Support Services Medicine University of Nevada Reno School of Medicine 1664 N. Virginia Avenue Reno, Nevada 89557 775 682-5000 dhsEMRSupport@unr.edu https://med.unr.edu Academic Int 3 Complete 2019/03/13 12:00:00 2019/03/13 12:00:00 2019/03/13 07:18:55 UV 2.16.840.1.113883.3.2402.200.6930 physicians-computer-company-clients-kent Physician's Computer Company (PCC) client Kent Pediatrics Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6930 2019/03/13 12:00:00 2019/03/13 12:00:00 2019/03/13 07:24:44 UV 2.16.840.1.113883.3.8308 njha-hbs New Jersey Hospital Association, Healthcare Business Solutions, Inc Ruojie Wang masked Joseph Carr 760 Alexander Road Princeton, NJ 08543 609-936-2228 masked CIO NJHA Healthcare Business Solutions, Inc 760 Alexander Road Princeton, NJ 08543 609-936-2228 jcarr@njha.com https://www.njha.com Vendor Int 3 Complete 2019/03/14 12:00:00 2019/03/14 12:00:00 2019/03/14 10:09:04 UV 2.16.840.1.113883.3.8309 slhv St. Louis Heart and Vascular Harvey Serota masked Travis Williams 3550 McKelvey Rd Bridgeton, MO 63044 3147410911 masked St. Louis Heart and Vascular 3550 McKelvey Rd Bridgeton, MO 63044 3147410911 slhv@slhv.com https://www.slhv.com/ Provider Int 3 Complete 2019/03/14 12:00:00 2019/03/14 12:00:00 2019/03/14 10:17:20 UV 2.16.840.1.113883.3.8310 pprehab Progressive Pain & Rehabilitation LLC Kevin Harris masked Dr. Edward Nash 10710 Kuykendahl Rd. Suite #110 The Woodlands, TX 77381 3462208063 masked Practice Owner Progressive Pain & Rehabilitation LLC 15916 Cutten Rd. Houston, Texas 77070 7132038570 techsupport@cloud-com.com http://www.cloud-com.com Vendor Int 3 Complete 2019/03/14 12:00:00 2019/03/14 12:00:00 2019/03/14 10:26:12 UV 2.16.840.1.113883.3.2402.200.6927 physicians-computer-company-clients-kfpo Physician's Computer Company (PCC) client Kidz First Pediatrics of Oberlin Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6927 2019/03/14 12:00:00 2019/03/14 12:00:00 2019/03/14 10:36:00 UV 2.16.840.1.113883.3.8311 infomedika Infomedika, Inc. Edgardo Cosme masked Infomedika, Inc Edgardo Cosme Research and Development Manager Infomedika Inc. 181 Ave. FD Roosevelt San Juan, PR 00918-3202 787-620-2474 masked Research And Development Manager Infomedika, Inc 181 Ave. FD Roosevelt San Juan, PR 00918-3202 787-620-2474 ctorres@infomedika.com http://www.infomedika.com Vendor Int 3 Complete 2019/03/15 12:00:00 2019/03/18 12:00:00 2019/03/18 08:53:49 UV 2.16.840.1.113883.3.8312 kammcohealthsolutions KAMMCO Health Solutions, Inc Identifier Andy Grittman masked Andy Grittman 623 SW 10th Ave Topeka, KS 66612 (785) 232-2224 masked CIO and VP, IT KAMMCO Health Solutions 623 SW 10th Ave Topeka, KS 66612 (785) 232-2224 lmccrary@kammco.com https://www.kammco.com Vendor Int 3 Complete 2019/03/18 12:00:00 2019/03/18 12:00:00 2019/03/18 08:59:21 US 2.16.840.1.113883.17.4252 awoc-bron Bronson Healthcare Virtual Care Alfredo Morales masked Alfredo Morales 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x:3643 masked Director, Integration Architecture American Well 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x:3643 alfredo.morales@americanwell.com Vendor 2.16.840.1.113883.3.634 Int 17 Complete 2019/03/18 12:00:00 2019/03/18 12:00:00 2019/03/18 09:05:47 UV 2.16.840.1.113883.17.4253 awoc-lmhs Lee Memorial Health System Virtual Care Alfredo Morales masked Alfredo Morales 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x:3643 masked Director, Integration Architecture American Well 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x:3643 alfredo.morales@americanwell.com Vendor 2.16.840.1.113883.3.634 Int 17 Complete 2019/03/18 12:00:00 2019/03/18 12:00:00 2019/03/18 09:11:08 UV 2.16.840.1.113883.3.8313 hcnh Hillsborough County Nursing Home Sarah Chidavaenzi masked Sarah Chidavaenzi 400 Mast Road Goffstown, NH 03045 6036275540 masked Medical Records Director / Compliance Officer Hillsborough County Nursing Home 400 Mast Road Goffstown, NH 03045 6036275540 schidavaenzi@hcnh.org Provider Int 3 Complete 2019/03/20 12:00:00 2019/03/20 12:00:00 2019/03/20 08:11:58 UV 2.16.840.1.113883.3.8314 permianregionalmedicalcenter Permian Regional Medical Center Shari Smith masked Morgan Mason Shari Smith 720 Hospital Drive Andrews, Texas 79714 432-464-2287 masked Clinical Informatics BSN RN Permian Regional Medical Center 720 Hospital Drive Andrews, Texas 79714 432-523-2200 prmcportal@permianregional.com http://www.permianregional.com/ Provider Int 3 Complete 2019/03/21 12:00:00 2019/03/21 12:00:00 2019/03/21 09:31:06 UV 2.16.840.1.113883.3.8315 leffertsmedical01 Lefferts Medical Associates PC Inderpal Chhabra masked Inderpal Chhabra 7183470434 masked Provider Lefferts Medical Associates PC 266-19 Union Turnpike New Hyde Park, NY 11040 7183470434 ichhabra@leffertsmedical.com http://www.leffertsmedical.com/ Provider Int 3 Complete 2019/03/21 12:00:00 2019/03/21 12:00:00 2019/03/21 09:36:23 UV 2.16.840.1.113883.3.8316 suremedical Sure Medical Hertzel Sure masked Hertzel Sure (718) 760-0797 masked Hertzel Sure 94-25 60th Avenue Elmhurst, NY 11373 (718) 760-0797 suremedicalpc@gmail.com Provider Int 3 Complete 2019/03/21 12:00:00 2019/03/21 12:00:00 2019/03/21 09:40:00 UV 2.16.840.1.113883.3.8317 rouse Rouse Home Phil DeFabio masked Phil DeFabio 701 Rouse Avenue Youngsville, PA 16371 8145636433 masked IT Systems Administrator Rouse Home 701 Rouse Avenue Youngsville, PA 16371 8145637565 it@rouse.org Provider Int 3 Complete 2019/03/21 12:00:00 2019/03/21 12:00:00 2019/03/21 09:45:23 UV 2.16.840.1.113883.3.8318 sbhs St Barnabas Health System Jeremiah Wimer masked Jeremiah Wimer 85 Charity Place Valencia, PA 16059 724-625-4000 masked PCC Project Manager St. Barnabas Health System 85 Charity Place Valencia, PA 16059 724-625-4000 jwimer@stbarnabashealthsystem.com Provider Int 3 Complete 2019/03/22 12:00:00 2019/03/22 12:00:00 2019/03/22 09:54:17 UV 2.16.840.1.113883.3.8319 kfhc Kids First Health Care Devra Fregin masked Devra Fregin 4675 E. 69th Ave Commerce City, CO 80022 303-853-3282 masked Director of Clinic Management Kids First Health Care 4675 E. 69th Ave Commerce City, CO 80022 303-289-1086 dafregin@adams14.org https://www.kidsfirsthealthcare.org Provider Int 3 Complete 2019/03/25 12:00:00 2019/03/30 12:00:00 2019/03/30 03:42:50 UV 2.16.840.1.113883.6.346 medispanKDC Medi-Span KDC Howard Strasberg masked Howard Strasberg Wolters Kluwer 8425 Woodfield Crossing Blvd. Suite 490 Indianapolis, IN 46240 858-481-4249 masked VP Medical Informatics Wolters Kluwer 8425 Woodfield Crossing Blvd. Suite 490 Indianapolis, IN 46240 855-633-0577 howard.strasberg@wolterskluwer.com https://www.wolterskluwercdi.com/ Vendor Int 6 Complete 2019/03/25 12:00:00 2019/03/30 12:00:00 2019/03/30 03:53:47 UV 2.16.840.1.113883.3.8320 benncohosp Bennett County Hospital and Nursing Home Mike Jager masked Andrew Riggin Mike Jager 102 Major Allen St Martin, SD 57551 605-685-6622 masked IT Manager Bennett County Hospital and Nursing Home 102 Major Allen St Martin, SD 57551 605-685-6622 mjager@bennettcountyhospital.com http://www.bennettcountyhospital.com Provider Int 3 Complete 2019/03/27 12:00:00 2019/03/30 12:00:00 2019/03/30 04:03:05 UV 2.16.840.1.113883.3.8321 tenbroeck Ten Broeck Center for Rehabilitation & Nursing Kathryn Perez masked Kathryn Perez 1 Commons Dr Lake Katrine, NY 12449 8453366666 masked Administrator Ten Broeck Center for Rehabilitation & Nursing 1 Commons Drive Lake Katrine, NY 12449 845-336-6666 kperez@tenbroeckrehab.com https://www.tenbroeckrehab.com Provider Int 3 Complete 2019/03/27 12:00:00 2019/03/30 12:00:00 2019/03/30 04:08:23 UV 2.16.840.1.113883.3.8322 mview Mountain View Care Center Lisa Leveque masked Lisa Leveque 480-313-1429 masked VP Mountain View Care Center 1313 West Magee Road Tucson, AZ 85704 (520) 797-2600 lleveque@ensignservices.net https://mountainviewcarecenteraz.com Provider Int 3 Complete 2019/03/28 12:00:00 2019/03/30 12:00:00 2019/03/30 04:10:51 UV 684b9bbf-6c11-4ff2-be90-487be050b9f8 patagoniaHealth Patagonia Health Inc Abhijit Muthiyan masked Abhi Muthiyan 15100 Weston Parkway Ste 204 9196496465 masked CTO Patagonia Health 15100 Weston Parkway Ste 204 9196496465 abhi@patagoniahealth.com Vendor Ext 3 Pending 684b9bbf-6c11-4ff2-be90-487be050b9f8 2019/03/28 12:00:00 2019/03/28 11:37:20 UV 2.16.840.1.113883.3.2402.300.30 physicans-computer-company-vendors-healthlab Physician's Computer Company (PCC) Vendors HealthLab Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.300.30 2019/03/28 12:00:00 2019/03/30 12:00:00 2019/03/30 04:16:56 UV 2.16.840.1.113883.3.8323 bayb Bayberry Nursing Home Terry Congionti masked Terry Congionti 40 Keogh Lane New Rochelle, NY 10805 9146366200 masked Assistant Administrator Bayberry Nursing Home 40 Keogh Lane New Rochelle, NY 10805 9146366200 tcongionti@bayberrycarecenter.com https://www.bayberrycarecenter.com Provider Int 3 Complete 2019/03/28 12:00:00 2019/03/30 12:00:00 2019/03/30 04:26:05 UV 2.25.144105640512485394834706790773261976859 ztscorp Zenith Technology Solutions Purushottam Yeluripati masked Purush Yeluripati 31500 W 13 Mile Rd, Ste 220 Farmington Hills, MI 48334 2485398900 masked Zenith Technology Solutions 31500 W 13 Mile Rd, Ste 220 Farmington Hills, MI 48334 2485398900 purush@ztscorp.com http://www.ztscorp.com Vendor Ext 2.16.840.1.113883.3.8336 3 Retired 2.25.144105640512485394834706790773261976859 2019/03/28 12:00:00 2019/04/02 12:00:00 2019/04/24 08:58:13 UV 2.16.840.1.113883.3.8324 gicnr Glen Island Center for Nursing & Rehab Harry Wruble masked jocelyn Pineda-Festin Harry Wruble 490 Pelham Road New Rochelle, NY 10805 914-636-2800 masked Administrator Glen Island Center for Nursing & Rehab 490 Pelham Road New Rochelle, NY 10805 914-636-2800 info@gicnr.com Provider Int 3 Complete 2019/03/29 12:00:00 2019/03/30 12:00:00 2019/03/30 04:33:42 UV 2.16.840.1.113883.3.8325 cary-skin-center Cary Skin Center, PA Robert Gregory masked Robert Gregory 200 Wellesley Trade Lane Cary, North Carolina 27519 9193637546 masked Sr Systems Administrator Cary Skin Center, PA 200 Wellesley Trade Lane Cary, North Carolina 27519 9193637546 rclark@caryskincenter.com https://www.caryskincenter.com Provider Int 3 Complete 2019/03/29 12:00:00 2019/03/30 12:00:00 2019/03/30 04:40:04 UV 2.16.840.1.113883.3.8326 panacommhosp Pana Community Hospital Dianne Bailey masked Dianne Bailey Pana Community Hospital 101 E Ninth St Pana, IL 62557 2175626235 masked CIO Pana Community Hospital Pana Community Hospital 101 E Ninth St Pana, IL 62557 2175622131 cio@panahospital.com http://www.panahospital.com Provider Int 3 Complete 2019/03/29 12:00:00 2019/03/30 12:00:00 2019/03/30 04:51:56 UV 2.16.840.1.113883.3.8327 renaissanceONCOLOGYINST303 Oncology Institute at Renaissance - 303 OID Root Marie Rios masked Maytee Rodea 2717 Michaelangelo Dr., Ste 303 Edinburg, TX 78539 956-687-4600 masked Office Manager Oncology Institute at Renaissance - 303 2717 Michaelangelo Dr., Ste 303 Edinburg, TX 78539 956-687-4600 m.rodea@dhr-rgv.com Provider Int 3 Complete 2019/03/29 12:00:00 2019/03/30 12:00:00 2019/03/30 05:01:09 UV 2.16.840.1.113883.3.8328 renaissanceONCOLOGYINST302 Oncology Institute at Renaissance - 302 OID Root Marie Rios masked Maytee Rodea 2717 Michaelangelo Dr., Ste 302 Edinburg, TX 78539 956-631-0201 masked Office Manager Oncology Institute at Renaissance - 302 2717 Michaelangelo Dr., Ste 302 Edinburg, TX 78539 956-631-0201 m.rodea@dhr-rgv.com Provider Int 3 Complete 2019/03/29 12:00:00 2019/03/30 12:00:00 2019/03/30 05:04:13 UV 2.16.840.1.113883.3.2402.200.6925 physicians-computer-company-clients-llp Physican's Computer Company (PCC) Clients Lovelight Pediatrics Jen Merriman masked Jen Merriman 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-5536 masked Interoperability Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6925 2019/04/01 12:00:00 2019/04/02 12:00:00 2019/04/02 08:33:20 UV 2.16.840.1.113883.3.2402.200.6923 physicians-computer-company-clients-vida Physican's Computer Company (PCC) Clients Vida Pediatrics Jen Merriman masked Jen Merriman 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-5536 masked Interoperability Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6923 2019/04/01 12:00:00 2019/04/02 12:00:00 2019/04/02 08:43:56 UV 2.16.840.1.113883.3.2402.200.5827 physicians-computer-company-clients-newpa Physician's Computer Company (PCC) Clients Northeast Wyoming Pediatric Associates, P.C. Jen Merriman masked Jen Merriman 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 8028468177 masked Interoperability Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 8028468177 info@pcc.com https://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.5827 2019/04/01 12:00:00 2019/04/02 12:00:00 2019/04/02 08:50:18 UV 2.16.840.1.113883.3.2402.200.6926 physicians-computer-company-clients-blocks Physician's Computer Company (PCC) Clients Building Blocks Pediatrics Jen Merriman masked Jen Merriman 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 8028468177 masked Interoperability Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 8028468177 info@pcc.com https://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6926 2019/04/01 12:00:00 2019/04/02 12:00:00 2019/04/02 08:54:04 UV 2.16.840.1.113883.3.8329 mghpr-cima Hospital Menonita CIMA OID Emmanuel Miranda masked Daniza Morales PO Box 1650 Cidra, PR 00739-1650 7874341700 masked Chief Information Officer Hospital Menonita CIMA Calle Gerardo Santiago PR-14 KM 53.0 Aibonito PR 00705 7877142462 dmorales@mghpr.org https://sistemamenonita.com/ Provider Int 3 Complete 2019/04/02 12:00:00 2019/04/02 12:00:00 2023/08/03 10:13:41 UV 2.16.840.1.113883.3.8330 vnaSI Visiting Nurse Association of Staten Island Simon Leung masked Marco Duran Simon Leung 399 Lake Avenue, Staten Island, NY 10303 718-816-3539 masked Director of Information Systems Visiting Nurse Association of Staten Island 399 Lake Avenue, Staten Island, NY 10303 718-7202245 homecare@vnasi.org http://www.vnasi.org Provider Int 3 Complete 2019/04/02 12:00:00 2019/04/02 12:00:00 2019/04/02 08:16:02 UV 2.16.840.1.113883.3.8331 rsh Redstone Highlands Christine Shope masked Christine Shope 6 Garden Center Drive Greensburg, PA 15601 724-691-1214 masked Director of Education and Informatics Redstone Highlands 6 Garden Center Drive Greensburg, PA 15601 724-832-8400 cshope@redstone.org http://www.redstonehighlands.org/Communities/Greensburg_Campus_RedstoneHighlands.html Provider Int 3 Complete 2019/04/02 12:00:00 2019/04/02 12:00:00 2019/04/02 08:29:30 UV 2.16.840.1.113883.3.2402.200.6917 physicians-computer-company-clients-wbp Physician's Computer Company (PCC) Clients Willow Bend Pediatrics Jen Merriman masked Jen Merriman 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 8028468177 masked Interoperablility Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 8028468177 info@pcc.com https://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6917 2019/04/02 12:00:00 2019/04/02 12:00:00 2019/04/02 09:07:10 UV 2.16.840.1.113883.3.8332 lbh-Potomac-Physicians Potomac Physicians Paul Winner masked Al Broomfieldd LifeBridge Health 2401 W. Belvedere Ave. Baltimore, MD 21215 410-601-6089 masked LifeBridge Health LifeBridge Health 2401 W. Belvedere Ave. Baltimore, MD 21215 410-601-9000 Abroomfi@lifebridgehealth.org https://lifebridgehealth.org Provider 2.16.840.1.113883.3.3880 Int 3 Complete 2019/04/03 12:00:00 2019/04/03 12:00:00 2019/04/03 11:09:46 UV 2.16.840.1.113883.3.3880.1004 lbh-Potomac-MRN Potomac Physicians MRN Paul Winner masked Al Broomfieldd LifeBridge Health 2401 W. Belevedere Ave. Baltimore, MD 21215 410-601-6089 masked LifeBridge Health LifeBridge Health 2401 W. Belevedere Ave. Baltimore, MD 21215 410-601-9000 Abroomfi@llifebridgehealth.org https://lifebridgehealth.org Provider 2.16.840.1.113883.3.3880 Ext 3 Complete 2.16.840.1.113883.3.3880.1004 2019/04/03 12:00:00 2019/04/03 12:00:00 2019/04/03 10:07:32 UV 2.16.840.1.113883.4.956 inputHealth InputHealth Systems Standards Infodesk masked Fiona Connolly #1400 &#8211; 207 W Hastings Street, Vancouver, BC 1-604-704-9776 masked Input Health 29 Fraser Ave #2, Toronto, ON M6K 1Y7 1-888-369-3643 info@inputhealth.com https://inputhealth.com/ Vendor Int 4 Complete 2019/04/03 12:00:00 2019/04/03 12:00:00 2019/04/03 10:51:40 CA 2.16.840.1.113883.3.8333 chcs-hl7 CHCS Immunizations Interfaces Alex Schlegel masked Alex Schlegel 120 W 8th Street Onaga, KS 66521 785-889-5084 masked Application Analyst Manager Community HealthCare System 120 W 8th Street Onaga, KS 66521 785-889-4274 it@chcsks.org Provider Int 3 Complete 2019/04/03 12:00:00 2019/04/03 12:00:00 2019/04/03 10:55:31 UV 2.16.840.1.113883.3.163.99.1.7.2 ca-Microquest Microquest Canada Standards Infodesk masked Brandon Blanck 4408-94 Street NW, Edmonton, AB T6E 6T7 1-780-438-3762 masked Microquest 4408-94 Street NW, Edmonton, AB T6E 6T7 1-780-438-3762 support@microquest.ca https://www.microquest.ca Vendor 2.16.840.1.113883.3.163 Ext 4 Complete 2.16.840.1.113883.3.163.99.1.7.2 2019/04/03 12:00:00 2019/04/03 12:00:00 2019/04/03 10:29:49 CA 2.16.840.1.113883.9.252 wbrh WBRH NEVADA HIE CONNECTION Amber Cardwell masked Amber Cardwell 1500 Avenue H Ely, Nevada 89301 775-289-3002 masked Hardware Admin William Bee Ririe Hospital 1500 Avenue H Ely, Nevada 89301 775-289-3002 acardwell@wbrhely.org http://www.wbrhely.org Provider Int 3 Complete 2019/04/03 12:00:00 2019/04/03 12:00:00 2019/04/03 10:38:22 UV 2.16.840.1.113883.3.8334 renaissancePLC DHR Health Pediatric Lung Center OID Root Marie Rios masked Hector Garay 1900 S Jackson Rd, Ste 7 Mcallen, TX 78503 (956) 688-5864 masked Office Manager DHR Health Pediatric Lung Center 1900 S Jackson Rd, Ste 7 Mcallen, TX 78503 (956) 688-5864 h.garay@dhr-rgv.com Provider Int 3 Complete 2019/04/03 12:00:00 2019/04/03 12:00:00 2019/04/03 11:13:58 UV 2.16.840.1.113883.3.8335 renaissanceOIRMISSION Orthopedic Institute at Renaissance - Mission OID Root Marie Rios masked Jessica Deleon 1022 E Griffin Pkwy, Ste 108 Mission, TX 78572 956-583-7111 masked Practice Administrator Orthopedic Institute at Renaissance - Mission 1022 E Griffin Pkwy, Ste 108 Mission, TX 78572 956-583-7111 je.deleon@dhr-rgv.com Provider Int 3 Complete 2019/04/03 12:00:00 2019/04/03 12:00:00 2019/04/03 11:33:09 UV 2.16.840.1.113883.3.8336 zts Zenith Technology Solutions Purush Yeluripati masked Purush Yeluripati 31500 W 13 Mile Rd, Ste 220 Farmington Hills, MI 48334 2485398900 masked Zenith Technology Solutions 31500 W 13 Mile Rd, Ste 220 Farmington Hills, MI 48334 2485398900 purush@ztscorp.com http://www.ztscorp.com Vendor Int 3 Complete 2019/04/03 12:00:00 2019/04/24 12:00:00 2019/04/24 09:03:42 UV 2.16.840.1.113883.3.2402.200.6928 physicians-computer-company-clients-kfl Physican's Computer Company (PCC) Clients Kids First Pediatric Care Jen Merriman masked Jen Merriman 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 8028468177 masked Interoperability Team Leader Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 8028468177 info@pcc.com https://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6928 2019/04/04 12:00:00 2019/04/05 12:00:00 2019/04/05 09:50:54 UV 2.16.840.1.113883.4.957 altH Altruista Health Ravikumar Panjabi masked Ravikumar Panjabi 11800 Sunrise Valley Drive Suite 1100 Reston, VA 20191 703-707-8890 masked Integration Manager Altruista Health 11800 Sunrise Valley Drive Suite 1100 Reston, VA 20191 703-707-8890 rpanjabi@altruistahealth.com Vendor Int 3 Complete 2019/04/05 12:00:00 2019/04/05 12:00:00 2019/04/05 09:57:58 UV 2.16.840.1.113883.4.958 ca-abPMP Alberta Prescription Monitoring Protocol Standards Infodesk masked EHR Medication Domain Team 14th Floor ATB Place, 10025 Jasper Avenue, Edmonton, AB T5J 1S6 780-644-7464 masked Alberta Health - EHR Medication Domain 14th Floor ATB Place, 10025 Jasper Avenue, Edmonton, AB T5J 1S6 780-644-7464 HEALTH-PIN@gov.ab.ca Govt body Int 4 Complete 2019/04/05 12:00:00 2019/04/05 12:00:00 2020/08/10 06:00:47 CA 2.16.840.1.113883.3.8337 neodeckholdings NeoDeck Holdings Corp Ricardo Pineda masked Ricardo Pineda 2053 Ponce by Pass, Suite 209 Ponce, PR 00718-1308 17876516154 masked CTO NeoDeck Holdings 2053 Ponce by Pass, Suite 209 Ponce, PR 00718-1308 17876516154 cs@nd-soft.com https://neodeckholdings.com Vendor Int 3 Complete 2019/04/05 12:00:00 2019/04/05 12:00:00 2019/04/08 08:40:55 UV 2.16.840.1.113883.3.8338 benedictine Benedictine Health System Jeff Anderson masked Jeff C Anderson 4560 Norway Pines Place, Hermantown, MN 55811 2187862343 masked Web Technology Manager Benedictine Health System 4560 Norway Pines Place, Hermantown, MN 55811 2187862343 jeff.anderson@bhshealth.org http://www.bhshealth.org Provider Int 3 Complete 2019/04/08 12:00:00 2019/04/10 12:00:00 2019/04/10 09:35:39 UV 2.16.840.1.113883.3.8339 premcardio Premiere Cardiology PLLC Laura Coudrey masked Laura Coudrey 1916 Union Blvd Bay Shore, NY 11706 6316656599 masked Owner Premiere Cardiology PLLC 1916 Union Blvd Bay Shore, NY 11706 6316656599 coudreymdpc@gmail.com Provider Int 3 Complete 2019/04/09 12:00:00 2019/04/10 12:00:00 2019/04/10 09:37:51 UV 2.16.840.1.113883.3.8340 themaplewoodnursinghome The Maplewood Nursing Home Tonie ONeil masked Tonie ONeil Maplewood Nursing Home 100 Daniel Drive Webster, NY 14580 (585) 872-1800 ext 4038 masked Medical Record Manager Maplewood Nursing Home and Rehabilitation 100 Daniel Drive Webster, NY 14580 (585) 872-1800 toneil@visitmaplewood.com https://visitmaplewood.com Provider Int 3 Complete 2019/04/09 12:00:00 2019/04/10 12:00:00 2019/04/10 09:48:51 UV 2.16.840.1.113883.3.8341 atembis Atembis LLC Andrew Carroll masked ANDREW CARROLL 333 N DOBSON RD STE 15 CHANDLER, AZ 85224 USA 4802828336 masked CEO ATEMBIS LLC 333 N DOBSON RD STE 15 CHANDLER, AZ 85224 USA 4802828336 E.COMMUNICATIONS@ATEMBIS.COM Provider Int 3 Complete 2019/04/11 12:00:00 2019/04/12 12:00:00 2019/04/12 12:02:38 UV 2.16.840.1.113883.3.8342 casacolinahospital Casa Colina Hospital and Centers for Healthcare Rey Vargas masked Ross Lesins 255 E Bonita Ave Pomona, CA 91767 (909) 596-7733 masked Chief Information Officer Casa Colina Hospital and Centers for Healthcare 255 E Bonita Ave Pomona, CA 91767 (909) 596-7733 ralesins@casacolina.org https://www.casacolina.org/ Provider Int 3 Complete 2019/04/11 12:00:00 2019/04/12 12:00:00 2019/04/12 12:07:11 UV 2.16.840.1.113883.3.803.1218201810 backKim Heart Vein NYC Raj Mathur masked Raj Mathur 5164661942 masked Heart Vein NYC 136-20 38th Avenue #8j Flushing, NY 11354 (347) 379-4753 backkim@gmail.com Provider 2.16.840.1.113883.3.803 Ext 4 Complete 2.16.840.1.113883.3.803.1218201810 2019/04/12 12:00:00 2019/04/12 12:00:00 2019/04/12 11:37:58 UV 2.16.840.1.113883.3.803.1218201811 longIslandSpine Long Island Spine and Orthopedics Raj Mathur masked Raj Mathur 5164661942 masked Long Island Spine and Orthopedics 87 West Old Country Road Hicksville, NY 11801 (516) 433-1100 PRafiy@aol.com Provider 2.16.840.1.113883.3.803 Ext 4 Complete 2.16.840.1.113883.3.803.1218201811 2019/04/12 12:00:00 2019/04/12 12:00:00 2019/04/12 11:44:09 UV 2.16.840.1.113883.3.803.1218201812 entFaculty ENT Faculty Practice, LLP. Raj Mathur masked Raj Mathur 5164661942 masked ENT Faculty Practice, LLP. 1055 Saw Mill River Road Ardsley, NY 10502 (914) 693-7636 dmiller@entfaculty.com Provider 2.16.840.1.113883.3.803 Ext 4 Complete 2.16.840.1.113883.3.803.1218201812 2019/04/12 12:00:00 2019/04/12 12:00:00 2019/04/12 11:50:15 UV 2.16.840.1.113883.3.8343 awoc-gund Gundersen Virtual Visit Alfredo Morales masked Alfredo Morales 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x3648 masked Director, Integration Architecture American Well 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 info@americanwell.com http://www.americanwell.com Vendor 2.16.840.1.113883.3.634 Int 3 Complete 2019/04/13 12:00:00 2019/04/17 12:00:00 2019/04/17 10:53:15 UV 2.16.840.1.113883.17.4254 awoc-chow Children's Hospital of Wisconsin American Well DTP Platform Instance Alfredo Morales masked Alfredo Morales 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x:3643 masked Director, Integration Architecture American Well 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 info@americanwell.com http://www.americanwell.com Vendor 2.16.840.1.113883.3.634 Int 17 Complete 2019/04/13 12:00:00 2019/04/17 12:00:00 2019/04/17 10:56:34 UV 2.16.840.1.113883.3.8344 chs-LHN-Blufton Lutheran Health Network - Blufton Regional Medical Center Jeff DeJournett masked dmcfarland@lhn.net Jeff DeJournett 7950 West Jefferson Blvd. Suite 301 Fort Wayne, IN 46804 303-552-6846 masked Interface Analyst Lutheran Health Network 7950 West Jefferson Blvd. Suite 301 Fort Wayne, IN 46804 jdejournett@lhn.net Provider 2.16.840.1.113883.3.5611 Int 3 Complete 2019/04/17 12:00:00 2019/04/17 12:00:00 2019/04/17 11:33:14 UV 2.16.840.1.113883.3.8345 chs-LHN-Dukes Lutheran Health Network - Dukes Memorial Hospital Jeff DeJournett masked dmcfarland@lhn.net Jeff DeJournett 950 West Jefferson Blvd. Suite 301 Fort Wayne, IN 46804 303-552-6846 masked Interface Analyst Lutheran Health Network 950 West Jefferson Blvd. Suite 301 Fort Wayne, IN 46804 303-552-6846 jdejournett@lhn.net Provider 2.16.840.1.113883.3.5611 Int 3 Complete 2019/04/17 12:00:00 2019/04/18 12:00:00 2019/04/18 12:07:59 UV 2.16.840.1.113883.3.8346 chs-LHN-Dupont Lutheran Health Network - Dupont Hospital Jeff DeJournett masked dmcfarland@lhn.net Jeff DeJournett 7950 West Jefferson Blvd. Suite 301 Fort Wayne, IN 46804 303-552-6846 masked Interface Analyst Lutheran Health Network 7950 West Jefferson Blvd. Suite 301 Fort Wayne, IN 46804 303-552-6846 jdejournett@lhn.net Provider 2.16.840.1.113883.3.5611 Int 3 Complete 2019/04/17 12:00:00 2019/04/18 12:00:00 2019/04/18 12:09:18 UV 2.16.840.1.113883.3.8347 chs-LHN-Kosciusko Lutheran Health Network - Kosciusko Community Hospital Jeff DeJournett masked dmcfarland@lhn.net Jeff DeJournett 7950 West Jefferson Blvd. Suite 301 Fort Wayne, IN 46804 303-552-6846 masked Interface Analyst Lutheran Health Network 7950 West Jefferson Blvd. Suite 301 Fort Wayne, IN 46804 303-552-6846 jdejournett@lhn.net Provider 2.16.840.1.113883.3.5611 Int 3 Complete 2019/04/17 12:00:00 2019/04/18 12:00:00 2019/04/18 12:13:18 UV 2.16.840.1.113883.3.8348 chs-LHN-TOH Lutheran Health Network - The Orthopedic Hospital Jeff DeJournett masked dmcfarland@lhn.net Jeff DeJournett 7950 West Jefferson Blvd. Suite 301 Fort Wayne, IN 46804 303-552-6846 masked Interface Analyst Lutheran Health Network 7950 West Jefferson Blvd. Suite 301 Fort Wayne, IN 46804 303-552-6846 jdejournett@lhn.net Provider 2.16.840.1.113883.3.5611 Int 3 Complete 2019/04/17 12:00:00 2019/04/18 12:00:00 2019/04/18 12:30:59 UV 2.16.840.1.113883.3.8349 chs-LHN-Rehab Lutheran Health Network - Rehabilitation Hospital Jeff DeJournett masked dmcfarland@lhn.net Jeff DeJournett 7950 West Jefferson Blvd. Suite 301 Fort Wayne, IN 46804 303-552-6846 masked Interface Analyst Lutheran Health Network 7950 West Jefferson Blvd. Suite 301 Fort Wayne, IN 46804 303-552-6846 jdejournett@lhn.net Provider 2.16.840.1.113883.3.5611 Int 3 Complete 2019/04/17 12:00:00 2019/04/18 12:00:00 2019/04/18 12:36:01 UV 2.16.840.1.113883.3.8350 chs-LHN-StJoe Lutheran Health Network - St. Joseph Hospital Jeff DeJournett masked dmcfarland@lhn.net Jeff DeJournett 7950 West Jefferson Blvd. Suite 301 Fort Wayne, IN 46804 303-552-6846 masked Interface Analust Lutheran Health Network 7950 West Jefferson Blvd. Suite 301 Fort Wayne, IN 46804 303-552-6846 jdejournett@lhn.net Provider 2.16.840.1.113883.3.5611 Int 3 Complete 2019/04/17 12:00:00 2019/04/18 12:00:00 2019/04/18 12:38:49 UV 2.16.840.1.113883.3.8351 chs-LHN-Ambulatory Lutheran Health Network Ambulatory Jeff DeJournett masked dmcfarland@lhn.net Jeff DeJournett 7950 West Jefferson Blvd. Suite 301 Fort Wayne, IN 46804 303-552-6846 masked Interface Analyst Lutheran Health Network 7950 West Jefferson Blvd. Suite 301 Fort Wayne, IN 46804 303-552-6846 jdejournett@lhn.net Provider 2.16.840.1.113883.3.5611 Int 3 Complete 2019/04/17 12:00:00 2019/04/18 12:00:00 2019/04/18 12:44:28 UV 2.16.840.1.113883.3.8352 malaffi Malaffi OID Sameh El Ashi masked Sameh El Ashu 00971552017577 masked Head of HIE Development Abu Dhabi Health Data Services - Single Shareholder Company L.L.C United Arab of Emirates - Abu Dhabi - 4th Street Muroor Road - IPIC Square - 10th Floor - Abu Dhabi Health Data Services 0097122042600 it@malaffi.ae https://www.malaffi.ae Exchange Int 3 Complete 2019/04/18 12:00:00 2019/04/18 12:00:00 2019/04/18 09:51:05 UV 2.16.840.1.113883.3.8353 drt DynamicRT Ferdous Khan masked Ferdous Khan 678-463-3833 masked DynamicRT 5256 Peachtree Rd #140, Atlanta, GA 30341 678-463-3833 ferdous@hatchworks.com Payor Int 3 Complete 2019/04/18 12:00:00 2019/04/18 12:00:00 2019/04/18 10:06:03 UV 2.16.840.1.113883.3.8354 pmgarizona Premier Medical Group Arizona William Lewis masked William O Lewis 5030 S Mill Ave, Suite D12 Tempe, AZ 85282 4804019603 masked EHR Specialist Premier Medical Group 5030 S Mill Ave, Suite D12 Tempe, AZ 85282 480-894-2823 help@pmgarizona.com http://www.pagefamilypractice.com/ Provider Int 3 Complete 2019/04/18 12:00:00 2019/04/18 12:00:00 2019/04/18 10:10:53 UV 2.16.840.1.113883.3.8355 sjvirtualheartfailureclinic Virtual heart failure clinic Telehealth Ashley Carrican masked Ashley Carrican 1924 S Utica Tulsa, OK 74104 9187487863 masked Project Coordinator Virtual heart failure clinic Telehealth 1923 S Utica Tulsa, OK 74104 918-744-2868 MELISSA.COX@ascension.org Provider Int 3 Complete 2019/04/18 12:00:00 2019/04/18 12:00:00 2019/04/18 10:13:29 UV 2.16.840.1.113883.3.8356 ihg Inmediata Health Group Corp Herman Monserrate Miranda masked Herman Monserrate 636 San Patricio Avenue 3rd Floor San Juan, PR 00920 +1(787)783-3233 masked Senior Business Architect Inmediata Health Group Corp 636 San Patricio Avenue 3rd Floor San Juan, PR 00920 +1(787)783-3233 techsupport@inmediata.com https://portal.inmediata.com Vendor Int 3 Complete 2019/04/19 12:00:00 2019/04/19 12:00:00 2019/04/19 10:42:04 UV 2.16.840.1.113883.3.8357 ghr Gila_Health_Resources Rodney McCarty masked ldorrell@gilahealth.com Rodney McCarty PO Box 218 Morenci, AZ 85540 928-865-7505 masked IT Manager Gila Health Resources PO Box 218 Morenci, AZ 85540 928-865-9184 rodney.mccarty@gilahealth.com Provider Int 3 Complete 2019/04/22 12:00:00 2019/04/24 12:00:00 2019/04/24 09:09:30 UV 2.16.840.1.113883.3.8358 care-continuity Care Continuity Rick Funaki masked Rick Funaki 1551 Oak Lawn Ave Apt 394 Dallas, TX 75207 8145948710 masked CTO Care Continuity, Inc 8585 N STEMMONS FWY SUITE S-103 DALLAS, TX 75247-3820 info@carecontinuity.com https://www.carecontinuity.com/ Vendor Int 3 Complete 2019/04/23 12:00:00 2019/04/24 12:00:00 2019/04/24 09:14:40 UV 2.16.840.1.113883.17.4255 awoc-wstr Wellstar Health System - American Well DTP Solution Alfredo Morales masked Alfredo Morales 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x 3643 masked Director, Integration Architecture American Well 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 info@americanwell.com http://www.americanwell.com Vendor 2.16.840.1.113883.3.634 Int 17 Complete 2019/04/24 12:00:00 2019/04/24 12:00:00 2019/04/24 09:22:28 UV 2.16.840.1.113883.3.8359 nypc New York Proton Center John Maher masked John Maher 225 E. 126 Street New York, NY 10035 646-968-9045 masked Senior Systems Analyst New York Proton Center 225 E. 126th Street New York, NY 10035 646-968-9045 jmaher@nyproton.com https://www.nyproton.com Provider Int 3 Complete 2019/04/29 12:00:00 2019/04/30 12:00:00 2019/04/30 08:42:36 UV 2.16.840.1.113883.3.8360 sim Summit Internal Medicine Jared Davis masked Julie Gamboa 6179 S Balsam Way Ste 210 Littleton, CO 80123 303-347-2000 masked Summit Internal Medicine 6179 S Balsam Way Ste 210 Littleton, CO 80123 303-347-2000 jared.davis@summitinternal.com https://www.mdvip.com/doctors/jareddavismd?utm_source=local&utm_medium=organic&utm_campaign=yextgmb&st-t=yext_ Provider Int 3 Complete 2019/04/30 12:00:00 2019/04/30 12:00:00 2019/04/30 09:06:25 UV 2.16.840.1.113883.3.8361 ccbipa Community Care of Brooklyn, IPA Inc. Brian Pisano masked Kishor Malavade 730 64th Street, 2nd Floor, Brooklyn, NY 11220 718-283-8547 masked Executive Director Community Care of Brooklyn IPA, Inc. 730 64th Street, 2nd Floor, Brooklyn, NY 11220 support@ccbrooklyn.org https://www.ccbrooklyn.org/ Provider Int 3 Complete 2019/05/02 12:00:00 2019/05/02 12:00:00 2025/03/07 11:09:37 UV 2.16.840.1.113883.3.8362 connected-mind Connected Mind Peggy Banks masked Christian Lehinger Peggy Banks 4100 Eldorado Pkwy Ste 100-226 McKinney, TX 75070 469-609-9911 masked Project Manager Connected Mind 4100 Eldorado Pkwy Ste 100-226 McKinney, TX 75070 469-609-9911 support@connectedmind.me https://www.connectedmind.me Vendor Int 3 Complete 2019/05/04 12:00:00 2019/05/06 12:00:00 2019/05/06 08:26:54 UV 2.16.840.1.113883.3.6577.3 hcmhHCprod Henry County Memorial Hospital Home Care Commonwell Prod Robert Spencer masked Robert Michael Spencer 1000 N 16th ST New Castle, IN 47362 7655211395 masked CIO Henry County Memorial Hospital 1000 N 16th ST New Castle, IN 47362 7655210890 INFO@HCMHCARES.ORG Provider 2.16.840.1.113883.3.6577 Ext 14 Complete 2.16.840.1.113883.3.6577.3 2019/05/06 12:00:00 2019/05/30 12:00:00 2019/05/30 09:23:02 UV 2.16.840.1.113883.3.6577.4 hcmhHCtest Henry County Memorial Hospital Home Care Commonwell Test Robert Spencer masked Robert Michael Spencer 1000 N 16th ST New Castle, IN 47362 7655211395 masked CIO Henry County Memorial Hospital 1000 N 16th ST New Castle, IN 47362 7655210890 INFO@HCMHCARES.ORG Provider 2.16.840.1.113883.3.6577 Ext 14 Complete 2.16.840.1.113883.3.6577.4 2019/05/06 12:00:00 2019/05/30 12:00:00 2019/05/30 09:42:15 UV 2.16.840.1.113883.3.8363 mfa Medical Facilities of America Brenda Moore masked Brenda Moore 5407767554 masked Medical Facilities of America, Inc. 2917 Penn Forest Blvd, Roanoke, VA 24018 5407767554 moorebrenda@mfa.net Provider Int 3 Complete 2019/05/07 12:00:00 2019/05/07 12:00:00 2019/05/07 09:45:29 UV 2.16.840.1.113883.3.8364 tvch Tiburcio Vazquez Health Rhonda Yongue masked chuang@tvhc.org Calvin Huang 22211 Foothill Blvd Hayward, CA 94541 1-510-471-5880 masked Director of IT Tiburcio Vazquez Health 22211 Foothill Blvd Hayward, CA 94541 1-510-471-5880 chuang@tvhc.org Provider Int 3 Complete 2019/05/07 12:00:00 2019/05/07 12:00:00 2019/05/07 09:50:18 UV 2.16.840.1.113883.3.8365 tchc Tri-City Health Center Rhonda Yongue masked lsentigar@tri-cityhealth.org Lisa Sentigar 40910 Fremont Blvd Fremont, CA 34538 1-510-252-6820 masked Information System Analyst Tri-City Health Center 40910 Fremont Blvd Fremont, CA 34538 1-510-252-6820 lsentigar@tri-cityhealth.org Provider Int 3 Complete 2019/05/07 12:00:00 2019/05/07 12:00:00 2019/05/07 09:54:01 UV 2.16.840.1.113883.3.8366 teh Third Eye Health Miraj Chokshi masked Miraj Chokshi 222 W Merchandise Mart Plaza Suite #1230, Chicago, IL 60654 6303631383 masked Third Eye Health 222 W Merchandise Mart Plaza Suite #1230, Chicago, IL 60654 8004116768 hello@thirdeyehealth.net https://thirdeyehealth.net/ Vendor Int 3 Complete 2019/05/07 12:00:00 2019/05/07 12:00:00 2019/05/07 10:02:39 UV 2.16.840.1.113883.3.8367 covc-CA Covenant Care CA LLC Denise Mulcahy masked Karen Reed Karen Reed 27071 Aliso Creek Road Suite 100 Aliso Viejo, CA 92656 949-349-1200 masked Director of Integrated Services Covenant Care California LLC 27071 Aliso Creek Road Suite 100 Aliso Viejo, CA 92656 949-349-1200 support@covenantcare.com https://www.covenantcare.com Provider Int 3 Complete 2019/05/07 12:00:00 2019/05/07 12:00:00 2019/05/07 10:25:08 UV 2.16.840.1.113883.3.8368 shm Seasons Hospice Satinder Singh masked Satinder Singh 847-692-1156 masked Seasons Hospice 6400 Shafer Court, Suite #700 Rosemont, IL 60018 847-692-1000 satinder@seasons.org Provider Int 3 Complete 2019/05/08 12:00:00 2019/05/09 12:00:00 2019/05/09 09:04:49 UV 2.16.840.1.113883.3.8369 shrmc Summit Healthcare Regional Medical Center Jay Larson masked Jay Larson 2200 E. Show Low Lake Rd. Show Low, AZ 85901 9285376730 masked IT Director Summit Healthcare Regional Medical Center 2200 E. Show Low Lake Rd. Show Low, AZ 85901 9285376594 summithelpdesk@summithealthcare.net http://www.summithealthcare.net Provider Int 3 Complete 2019/05/08 12:00:00 2019/05/09 12:00:00 2019/05/09 09:12:52 UV 2.16.840.1.113883.3.8370 cypress-healthcare Cypress Healthcare Group Matt Jackson masked Matt Jackson 1748 Grazziani Way, Roseville, CA 95661 916-257-2564 masked Manager Cypress Healthcare Group matt@cypressh.com Prof Soc Int 3 Complete 2019/05/09 12:00:00 2019/05/09 12:00:00 2019/05/09 09:17:07 UV 2.16.840.1.113883.3.8371 llrc Laurel Lake Retirement Community Jana Strock masked Jana Strock 200 Laurel Lake Drive Hudson, Ohio 44236 330-655-1402 masked Director of Healthcare Services Laurel Lake Retirement Community 200 Laurel Lake Drive Hudson, Ohio 44236 330-655-1402 jstrock@laurellake.org https://login.pointclickcare.com/home/userLogin.xhtml Provider Int 3 Complete 2019/05/09 12:00:00 2019/05/09 12:00:00 2019/05/09 09:19:55 UV 2.16.840.1.113883.3.8372 changeHealthcareIHDP ChangeHealth Intelligent Healthcare Data Platform (IHDP) Root Registration Authority Peter Bernhardt masked Peter Bernhardt 2100 Powell Street, Suite 500 Emeryville, CA 94608 5106377760 masked Principal Architect Change Healthcare 3055 Lebanon Pike Suite 1000 Nashville, TN 37214 5106377760 peter.bernhardt@changehealthcare.com https://www.changehealthcare.com/ Vendor Int 3 Complete 2019/05/09 12:00:00 2019/05/09 12:00:00 2019/05/09 09:21:33 UV 2.16.840.1.113883.6.347 icd11 ICD-11 Nenad Kostanjsek masked Nenad Kostanjsek Avenue Appia 20 1211 Geneva 27 Switzerland +41794755474 masked Technical Officer for Classifications and Terminologies World Health Organization Avenue Appia 20 1211 Geneva 27 Switzerland + 41 22 791 21 11 info@who.int https://who.int SDO Int 6 Complete 2019/05/10 12:00:00 2022/02/10 12:00:00 2022/02/10 10:18:30 UV 2.16.840.1.113883.3.8373 hhKO-o1 Hospice & Palliative Care Inc Jennifer Robinson masked Shannon Cayea 4277 Middle Settlement Rd. New Hartford, NY 13413 315-735-6487 masked CEO Hospice & Palliative Care Inc 4277 Middle Settlement Rd. New Hartford, NY 13413 315-735-6487 scayea@hospicecareinc.org https://hospicecareinc.org/ Provider Int 3 Complete 2019/05/10 12:00:00 2019/05/10 12:00:00 2019/05/10 08:42:28 UV 2.16.840.1.113883.3.8374 hhKO-o2 The Menatl Health Association in Jefferson County, Inc Jennifer Robinson masked Ed Thomas 425 Washington St. Watertown, NY 13601 315-788-0970 masked The Mental Health Association in Jefferson County, Inc. 425 Washington St. Watertown, NY 13601 315-788-0970 ethomas@mhajc.org Provider Int 3 Complete 2019/05/10 12:00:00 2019/05/10 12:00:00 2019/05/10 08:46:09 UV 2.16.840.1.113883.3.8375 acurus Acurus Solutions Development Kumar Bommineni masked Kumar Bommineni 7142216300 masked Acurus Solutions 714-221-6300 support@acurussolutions.com Vendor Int 3 Complete 2019/05/10 12:00:00 2019/05/10 12:00:00 2019/05/10 08:50:02 UV 2.16.840.1.113883.3.1157.8.1 jcmc Jersey City Medical Center Facility Missy Kenney masked Missy Kenney 95 Old Short Hills Rd West Orange, NJ 07052 7325577136 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Rd West Orange, NJ 07052 7325577136 https://www.rwjbh.org/ https://www.rwjbh.org/ Provider 2.16.840.1.113883.3.1157 Ext 4 Complete 2.16.840.1.113883.3.1157.8.1 2019/05/13 12:00:00 2019/05/16 12:00:00 2019/05/16 09:02:02 UV 2.16.840.1.113883.3.1157.9.1 rwjham RWJ Hamilton Missy Kenney masked Missy Kenney 95 Old Short Hills Rd West Orange, NJ 07052 7325577136 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Rd West Orange, NJ 07052 7325577136 https://www.rwjbh.org/ https://www.rwjbh.org/ Provider 2.16.840.1.113883.3.1157 Ext 4 Complete 2.16.840.1.113883.3.1157.9.1 2019/05/13 12:00:00 2019/05/16 12:00:00 2019/05/16 09:09:01 UV 2.16.840.1.113883.3.1157.10.1 rwjnb Robert Wood Johnson University Hospital Missy Kenney masked Missy Kenney 95 Old Short Hills Rd West Orange, NJ 07052 7325577136 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Rd West Orange, NJ 07052 7325577136 https://www.rwjbh.org/ https://www.rwjbh.org/ Provider 2.16.840.1.113883.3.1157 Ext 4 Complete 2.16.840.1.113883.3.1157.10.1 2019/05/13 12:00:00 2019/05/16 12:00:00 2019/05/16 09:11:38 UV 2.16.840.1.113883.3.1157.11.1 rwjrah RWJ University Hospital Rahway facility Missy Kenney masked Missy Kenney 95 Old Short Hills Rd West Orange, NJ 07052 7325577136 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Rd West Orange, NJ 07052 7325577136 https://www.rwjbh.org/ https://www.rwjbh.org/ Provider 2.16.840.1.113883.3.1157 Ext 4 Complete 2.16.840.1.113883.3.1157.11.1 2019/05/13 12:00:00 2019/05/16 12:00:00 2019/05/16 09:14:33 UV 2.16.840.1.113883.3.1157.12.1 rwjsom RWJ University Hospital Somerset facility Missy Kenney masked Missy Kenney 95 Old Short Hills Rd West Orange, NJ 07052 7325577136 masked AVP of System Integration RWJBarnabas Health 95 Old Short Hills Rd West Orange, NJ 07052 7325577136 https://www.rwjbh.org/ https://www.rwjbh.org/ Provider 2.16.840.1.113883.3.1157 Ext 3 Complete 2.16.840.1.113883.3.1157.12.1 2019/05/13 12:00:00 2019/05/16 12:00:00 2019/05/16 09:17:03 UV 2.16.840.1.113883.3.8376 chsm Centro Hospitalario Serena del Mar (CHSM) Edixon Sanchez masked Edixon Sanchez V&#237;a al Mar, Km 8, Cartagena, Colombia 573146959640 masked SIS ADMIN Centro Hospitalario Serena del Mar (CHSM) edixon.sanchez@chsm.com https://chsm.com/ Provider Int 3 Complete 2019/05/15 12:00:00 2019/05/16 12:00:00 2019/05/16 09:53:49 UV 1.3.6.1.4.1.38993 inspiraHealth Inspira Health Network Edwin Rodriguez masked Edwin Rodriguez Inspira Health Network 333 Irving Ave Bridgeton, NJ 08302 856-575-4461 masked Director, IT Inspira Health Network Inspira Health Network 333 Irving Ave Bridgeton, NJ 08302 856-575-4461 rodrigueze@ihn.org https://www.inspirahealthnetwork.org Provider Ext 3 Complete 1.3.6.1.4.1.38993 2019/05/16 12:00:00 2019/05/16 12:00:00 2019/05/16 09:55:52 UV 2.16.840.1.113883.3.8377 renaissanceUCC2 DHR Health Urgent Care Center 2nd St OID Root Marie Rios masked Tony Ashley 1421 N. Col Rowe Blvd, Ste A McAllen, TX 78501 956-362-7265 masked Associate VP of Clinical Services DHR Health Urgent Care Center 2nd St 1421 N. Col Rowe Blvd, Ste A McAllen, TX 78501 956-362-5030 t.ashley@dhr-rgv.com Provider Int 3 Complete 2019/05/16 12:00:00 2019/05/16 12:00:00 2019/05/16 10:03:08 UV 2.16.840.1.113883.3.8378 sjcGeneralSurgeryJenks St John Clinic General Surgery Jenks Ashley Carrican masked Ashley Carrican 1924 S Utica Ave Tulsa, OK 74104 9187487863 masked Project Management Lead St John Clinic General Surgery Jenks 220 South Elm St. Ste 200, Jenks, OK 918-403-7060 Sherri.Griffin@ascension.org Provider Int 3 Complete 2019/05/16 12:00:00 2019/05/16 12:00:00 2019/05/16 10:08:23 UV 2.16.840.1.113883.3.8379 isj Invision Sally Jobe Justin Langston masked Justin Langston 4404541540 masked Integration Analyst Invision Sally Jobe 10700 E Geddes Ave Suite 200 Englewood, CO 80112 7204933700 justin.langston@riaco.com https://www.invisionsallyjobe.com Provider Int 3 Complete 2019/05/17 12:00:00 2019/05/17 12:00:00 2019/05/17 10:43:46 UV 2.16.840.1.113883.3.8380 scsed-queenshospital Sunnyside Community Services Jonah Gensler masked Jonah Gensler 43-31 39th Street, Sunnyside, NY 11104 718-784-6173 ext 429 masked Associate Executive Director of Community Services Sunnyside Community Services 43-31 39th Street, Sunnyside, NY 11104 7187656183 ext 429 jgensler@scsny.org http://scsny.org Provider Int 3 Complete 2019/05/17 12:00:00 2019/05/17 12:00:00 2019/05/17 10:56:37 UV 2.16.840.1.113883.3.8381 s-acss South Asian Council for Social Services Sudha Acharya masked Sudha Acharya 143-06, 45th Avenue, Flushing, NY 11355 7183217929 masked Executive Director South Asian Council for Social Services 143-06, 45th Avenue, Flushing, NY 11355 7183217929 rehan@sacssny.org SDO Int 3 Complete 2019/05/20 12:00:00 2019/05/24 12:00:00 2019/05/24 06:46:45 UV 2.16.840.1.113883.3.8382 trpeds Thompson River Pediatrics and Urgent Care, LLC Amber Griffin masked Amber Griffin 4435 Ronald Reagan Blvd. Johnstown, CO 80534 970-619-8139 masked Owner/CEO Thompson River Pediatrics and Urgent Care, LLC 4435 Ronald Reagan Blvd. Johnstown, CO 80534 970-619-8139 amber@trpeds.com https://trpeds.com Provider Int 3 Complete 2019/05/21 12:00:00 2019/05/24 12:00:00 2023/12/08 12:10:45 UV 2.16.840.1.113883.3.8383 villamariacarecenter Villa Maria Care Center Steven Hunt masked Steven Hunt 5203438251 masked ED Villa MariaCare Center 4310 E Grant Rd Tucson, AZ 85712 5203239351 steveh@villamariacc.com https://www.villamariacc.com Provider Int 3 Complete 2019/05/21 12:00:00 2019/05/24 12:00:00 2019/05/24 06:51:21 UV 2.16.840.1.113883.3.8384 wrcc Waterville Residential Care Center Judith Harding-Staelens masked Judith Harding-Staelens 220 Tower Street Waterville, NY 13480 315-525-4473 masked Owner Waterville Residential Care Center 220 Tower Street Waterville, NY 13480 315-841-4156 Jharding@watervillecares.com https://watervillecares.com Provider Int 3 Complete 2019/05/23 12:00:00 2019/05/24 12:00:00 2019/05/24 06:54:59 UV 2.16.840.1.113883.3.8385 husm HOSPITAL UNIVERSITI SAINS MALAYSIA Lye Hin Khoo masked SHAHRIR.JUNUS@GE.COM SHAHRIR JUNUS Level 38, Nu Tower 2 203, Jalan Tun Sambathan KL Sentral 50740 Kuala Lumpur, Malaysia +60122168703 masked SERVICE ENGINEER HOSPITAL UNIVERSITI SAINS MALAYSIA Universiti Sains Malaysia Kampus Kesihatan Jalan Raja Perempuan Zainab 2 16150 Kota Bharu Kelantan, Malaysia +6097673000 drezane@usm.my Academic Int 3 Complete 2019/05/23 12:00:00 2019/05/24 12:00:00 2019/05/24 07:00:34 UV 2.16.840.1.113883.3.8386 mscc Morningstar Residential Care Center Judith Harding-Staelens masked Judith Harding-Staelens 17 Sunrise Drive Oswego, NY 13126 315-525-4473 masked Morningstar Residential Care Center 17 Sunrise Drive Oswego, NY 13126 315-342-4790 Jharding@watervillecares.com https://morningstarcares.com Provider Int 3 Complete 2019/05/24 12:00:00 2019/05/24 12:00:00 2019/05/24 10:58:43 UV 2.16.840.1.113883.3.8387 org-valorhealth Valor Health Jared Burch masked Jared Burch 1202 E Locust St, Emmett, ID 83617 (208)999-3862 masked Nurse Informaticist Valor Health 1202 E Locust St, Emmett, ID 83617 (208)365-3561 jared.burch@valorhealth.org https://www.valorhealth.org/ Provider Int 3 Complete 2019/05/28 12:00:00 2019/05/30 12:00:00 2019/05/30 08:56:26 UV 2.16.840.1.113883.3.8388 amrn Aaron Manor Rehabilitation & Nursing Center Judith Harding-Staelens masked Judith Harding-Staelens 210 Tower Street Waterville, NY 13480 315-525-4473 masked Aaron Manor Rehabilitation & Nursing Center 100 St. Camillus Way Fairport, NY 14450 585-377-4000 Jharding@watervillecares.com Provider Int 3 Complete 2019/05/28 12:00:00 2019/05/30 12:00:00 2019/05/30 09:01:01 UV 2.16.840.1.113883.3.8389 embassyhealthcare Embassy Healthcare Ashlee Cameron masked Ashlee Cameron 25201 Chagrin Blvd #190 Beachwood, Ohio 44122 330-803-3388 masked Director of Education Embassy Healthcare 25201 Chagrin Blvd #190 Beachwood, Ohio 44122 216-378-2050 dhandler@embassyhealthcare.net https://www.embassyhealthcare.net Provider Int 3 Complete 2019/05/30 12:00:00 2019/05/30 12:00:00 2019/05/30 09:07:20 UV 2.16.840.1.113883.3.8390 emorydecaturhospital emorydecaturhospital Todd Settlemyre masked Julie.Marquardt@emoryhealthcare.org Michael Duffell 57 Executive Park South 4th floor Atlanta, GA 30329 404-712-1934 masked Associate Technical Architect Emory Decatur Hospital Julie.Marquardt@emoryhealthcare.org Provider Int 3 Complete 2019/05/30 12:00:00 2019/05/30 12:00:00 2019/05/30 09:09:24 US 2.16.840.1.113883.3.8391 particle-health Particle Health Dan Horbatt masked Dan Horbatt 335 Madison Ave 3rd Floor New York, NY 10017 +1 (504) 372-0818 masked CTO Particle Health Inc. contact@particlehealth.com https://www.particlehealth.com Vendor Int 3 Complete 2019/06/04 12:00:00 2019/06/06 12:00:00 2019/06/06 11:47:38 UV 2.16.840.1.113883.9.253 wcchs WyomingCountyCommunityHealthSystem Daniel Flint masked Daniel Flint 400 N Main st Warsaw, NY 14569 5857862233 masked Network Administrator II Wyoming County Community Health System 400 N Main st Warsaw, NY 14569 5857862233 dflint@wcchs.net http://www.wcchs.net Govt body Int 3 Complete 2019/06/04 12:00:00 2019/06/19 12:00:00 2019/06/19 08:23:37 UV 2.16.840.1.113883.3.8392 scihp-HIE-cac Sonoma County Indian Health Project Jim ONeill masked Jim ONeill 144 Stony Point Rd Santa Rosa, CA 95401 7075214690 masked Clinical Applications Coordinator Sonoma County Indian Health Project 144 Stony Point Rd Santa Rosa, CA 95401 7075214545 CAC@scihp.org Provider Int 3 Complete 2019/06/05 12:00:00 2019/06/06 12:00:00 2019/06/06 11:51:11 UV 2.16.840.1.113883.17.4256 awoc-bark Baptist Health Virtual Care Clinic - American Well DTP Solution Alfredo Morales masked Alfredo Morales 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x:3643 masked Director, Integration Architecture American Well 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 info@americanwell.com http://www.americanwell.com Vendor 2.16.840.1.113883.3.634 Int 17 Complete 2019/06/06 12:00:00 2019/06/06 12:00:00 2019/06/06 11:56:55 UV 2.16.840.1.113883.17.4257 awoc-crvl CorVel Telehealth - American Well DTP Solution Alfredo Morales masked Alfredo Morales 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x 3643 masked Director, Integration Architecture American Well 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 info@americanwell.com http://www.americanwell.com Vendor 2.16.840.1.113883.3.634 Int 17 Complete 2019/06/06 12:00:00 2019/06/07 12:00:00 2019/06/07 12:03:22 UV 2.16.840.1.113883.3.8393 nRCH Roseland Community Hospital Sherry Isom masked Mariusz Mazek Sherry Isom 45 w. 111th ST Chicago, IL 60628 773-995-3422 masked Nurse Informatics Roseland Community Hospital 45 w. 111th ST Chicago, IL 60628 773-995-3000 sisom@roselandhospital.org http://www.roselandhospital.org Provider Int 3 Complete 2019/06/06 12:00:00 2019/06/07 12:00:00 2019/06/07 12:37:37 UV 2.16.840.1.113883.3.8394 acccc ACC Care Center Perfecto Bravo masked Tamara Kario Perfecto Bravo 7801 Rush River Drive Sacramento, CA 95831 9163939020 masked Director of IT ACC Care Center 7801 Rush River Drive Sacramento, CA 95831 9163939020 pbravo@accsv.org https://www.accsv.org/housing/care-center Provider Int 3 Complete 2019/06/06 12:00:00 2019/06/07 12:00:00 2019/06/07 12:40:20 UV 2.16.840.1.113883.3.8395 selectrehab Select Rehabilitation Michael Gallagher masked Michael Gallagher 847-441-5593 masked Select Rehabilitation 2600 Compass Rd Glenview, IL 60026 847-441-5593 info@selectrehab.com https://selectrehab.com Provider Int 3 Complete 2019/06/07 12:00:00 2019/06/07 12:00:00 2019/06/07 10:15:06 US 2.16.840.1.113883.3.8396 fph Family Practice of Holyoke Gabe Bazan masked Gabe Bazan 1001 East Johnson St., Holyoke, CO 80734 97085422451 masked IT Manager Family Practice of Holyoke 1001 East Johnson St., Holyoke, CO 80734 970-854-2241 gabe.bazan@bannerhealth.com http://melissamemorial.org/ Govt body Int 3 Complete 2019/06/07 12:00:00 2019/06/07 12:00:00 2021/08/06 03:59:32 UV 2.16.840.1.113883.3.8397 karenhorneyclinic Karen Horney Clinic Craig Fuller masked Craig Fuller 329 E. 62nd Street New York, NY 10065 2128384333 masked Karen Horney Clinic 329 E. 62nd Street New York, NY 10065 2128384333 cfuller@karenhorneyclinic.org Provider Int 3 Complete 2019/06/07 12:00:00 2019/06/07 12:00:00 2019/06/07 10:35:11 UV 2.16.840.1.113883.3.8398 bellevue2019 Bellevue DSRIP Project 2019 Sarah Worthington masked Sarah Worthington 265 Henry Street New York, NY 10002 212-471-2400 masked Supervisor Henry Street Settlement 265 Henry Street New York, NY 10002 212.766.9200 info@henrystreet.org http://henrystreet.org Provider Int 3 Complete 2019/06/07 12:00:00 2019/06/07 12:00:00 2019/06/07 10:38:59 UV 2.16.840.1.113883.3.8399 wa-omakmidvalleyhospital Omak WA Mid Valley Hospital and Clinic Christopher Freel masked Christopher Freel PO BOX 793 810 Jasmine Street Omak, WA 98841 5098268187 masked IT Manager Okanogan Public Hospital District #3 810 Jasmine Street Omak, WA 98841 5098261760 infotech@mvhealth.org http://www.mvhealth.org Provider Int 3 Complete 2019/06/07 12:00:00 2019/06/07 12:00:00 2019/06/07 10:47:40 UV 2.16.840.1.113883.3.8400 nyqc2019 NewYork Quality Care Jessica Han masked Jessica Han 575 Lexington Ave, 11th Floor, NY, NY 10022 6469622302 masked NewYork Quality Care jeh9112@nyp.org Provider Int 3 Complete 2019/06/10 12:00:00 2019/06/11 12:00:00 2025/07/18 11:39:08 UV 2.16.840.1.113883.17.4258 horc Hamaspik of Rockalnd County, Inc. Rivki Koth masked Moses Laufer Rivki Koth 58 Route 59 Suite 1 Monsey, NY 10952 845-503-0204 masked Office Manager Hamaspik of Rockalnd County, Inc. 58 Route 59 Suite 1 Monsey, NY 10952 845-503-0204 mlaufer@hamaspikrockland.org http://www.hamaspikrockland.org/ Provider Int 17 Complete 2019/06/11 12:00:00 2019/06/11 12:00:00 2019/06/11 09:05:14 UV 2.16.840.1.113883.3.8401 avera-ecare Avera eCare OID Amy Heinrichs masked Amy Heinrichs 4500 N. Lewis Ave., Sioux Falls, SD 57104 605-322-1387 masked Integration Engineer Avera eCare 4500 N. Lewis Ave., Sioux Falls, SD 57104 605-322-8000 amy.heinrichs@avera.org http://www.avera.org Provider Int 3 Complete 2019/06/11 12:00:00 2019/06/11 12:00:00 2019/06/11 09:07:19 UV 2.16.840.1.113883.3.8402 vizihs VIZI Healthcare Kenneth Goss masked ramki@vizihealthcare.com Kenneth Goss 801 S Rancho Drive, Suite E6 Las Vegas, NV 89106 9513839322 masked COO VIZI Healthcare 801 S Rancho Drive, Suite E6 Las Vegas, NV 89106 800-216-5098 support@vizihealthcare.com https://vizihealthcare.com Provider Int 3 Complete 2019/06/11 12:00:00 2019/06/11 12:00:00 2019/06/11 09:18:54 UV 2.16.840.1.113883.3.8403 pHR14 Paramount Health Resources, Inc. Chase Darmstadter masked Chase Darmstadter 3025 Washington Road, Suite 201, McMurray, PA 15317 7249691020 masked Director Paramount Health Resources, Inc. 3025 Washington Road, Suite 201, McMurray, PA 15317 7249691020 cdarmstadter@paramounthr.org https://www.paramountseniorliving.com Provider Int 3 Complete 2019/06/11 12:00:00 2019/06/11 12:00:00 2019/06/11 09:29:33 UV 2.16.840.1.113883.3.8404 nemsqa National EMS Quality Alliance Kelly Burlison masked Kelly Burlison 4950 W Royal Lane Irving, Texas 75063 469-499-0206 masked Grants Manager National EMS Quality Alliance (NEMSQA) kburlison@acep.org http://www.nemsqa.org Prof Soc Int 3 Complete 2019/06/12 12:00:00 2019/06/13 12:00:00 2019/06/13 08:33:36 UV 2.16.840.1.113883.13.281 paa paa_integration Sayed Akhter masked Darren Pierce 1500 Waters Ridge Lewisville, TX 75057 2147624941 masked Post Acute Analytics, Inc. 1500 Waters Ridge Lewisville, TX 75057 9728999245 dpierce@paanalytics.com https://paanalytics.com/ Vendor Int 3 Complete 2019/06/14 12:00:00 2019/06/28 12:00:00 2019/06/28 11:55:18 UV 2.16.840.1.113883.3.8405 avalonhealthcare Avalon Health Care Group Fred Shepherd masked Fred Shepherd 801.325.0132 masked VP of IT Avalon Health Care Group 206 N 2100 W Street, Salt Lake City, UT 84116 fred.shepherd@avalonhealthcare.com Provider Int 3 Complete 2019/06/14 12:00:00 2019/06/17 12:00:00 2019/06/17 10:08:24 UV 2.16.840.1.113883.3.8406 tricitymedicalcenter Tri City Medical Center OID Root Mark Albright masked Farruk Mir 4002 Vista Way Oceanside, CA 92056 760-940-5635 masked Sr. Director of IT Tri-City Medical Center 4002 Vista Way Oceanside, CA 92056 760-724-8411 inquiry@tcmc.com https://www.tricitymed.org Provider Int 3 Complete 2019/06/14 12:00:00 2019/06/17 12:00:00 2019/06/17 10:13:02 UV 2.16.840.1.113883.3.8407 whc9200 Windsor Healthcare John Minor masked John Minor 9200 W. Sunset Blvd Suite 700 West Hollywood, CA 90069 3108602259 masked Vice-President of Information Technology S&F Management, LLC \Windsor Healthcare 9200 W. Sunset Blvd Suite 700 West Hollywood, CA 90069 3103851090 ithelpdesk@snfmgt.com https://www.windsorcares.com Provider Int 3 Complete 2019/06/17 12:00:00 2019/06/17 12:00:00 2019/06/17 10:15:34 UV 2.16.840.1.113883.4.959 intrahealth Intrahealth Systems Standards Infodesk masked Andrew Hall 390-889 Harbourside Drive, North Vancouver, British Columbia, BC V7P 3S1 Canada (604)980-5577 Ext 214 masked Intrahealth Systems Limited 390-889 Harbourside Drive, North Vancouver, British Columbia, BC V7P 3S1 Canada 1(800)708-6442 vendor.notifications@intrahealth.com https://www.intrahealth.com/ Vendor Int 3 Complete 2019/06/18 12:00:00 2019/06/21 12:00:00 2019/06/21 09:38:28 CA 2.16.840.1.113883.3.8408 ernest-healthcare Ernest Healthcare Root William Myers masked William Myers William Myers 4600 Lena Dr Mechanicsburg, PA 17055 717-610-1092 masked Director, Health Information Exchange Ernest Health Holding, LLC 4600 Lena Dr Mechanicsburg, PA 17011 717.591.5700 askus@ernesthealth.com https://www.ernesthealth.com Provider Int 3 Complete 2019/06/18 12:00:00 2019/06/19 12:00:00 2019/06/19 07:51:27 UV 2.16.840.1.113883.3.8409 lhnh Lenox Hill Neighborhood House Bradley Moore masked Bradley Moore Lenox Hill Neighborhood House 331 East 70th Street New York, NY 10021 212-218-0444 masked Director of Research and Evaluation Lenox Hill Neighborhood House 331 East 70th Street New York, NY 10021 212-744-5022 bmoore@lenoxhill.org https://www.lenoxhill.org Provider Int 3 Complete 2019/06/19 12:00:00 2019/06/19 12:00:00 2019/06/19 07:53:17 UV 2.16.840.1.113883.3.8410 gulfcoasthealthcare Gulf Coast Health Care Jon Dossey masked Rosanna Dale Rosanna Dale 40 Palafox Pl Pensacola, FL 32502 850-430-0125 masked Corporate Clinical RN Gulf Coast Health Care 40 Palafox Pl Pensacola, FL 32502 850-430-0100 rdale@gchc.com https://www.gchc.com Provider Int 3 Complete 2019/06/19 12:00:00 2019/06/19 12:00:00 2019/06/19 08:05:16 UV 2.16.840.1.113883.3.8411 gracedalenursinghome Gracedale Nursing Home Bryan Dunlap masked Bryan Dunlap 610 829 3413 masked County of Northampton - Gracedale 2 Gracedale Ave Nazareth, PA 18064 610 746 1900 bdunlap@northamptoncounty.org Provider Int 3 Complete 2019/06/19 12:00:00 2019/06/19 12:00:00 2019/06/19 08:11:54 UV 2.16.840.1.113883.3.2402.200.6916 physicians-computer-company-clients-mmp Physician's Computer Company (PCC) client Miracle Mile Pediatrics Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6916 2019/06/20 12:00:00 2019/06/20 12:00:00 2019/06/20 09:12:34 UV 2.16.840.1.113883.3.2402.200.6913 physicians-computer-company-clients-hartman Physician's Computer Company (PCC) client Hartman Pediatrics, LLC Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6913 2019/06/20 12:00:00 2019/06/20 12:00:00 2019/06/20 09:16:41 UV 2.16.840.1.113883.3.2402.200.6932 physicians-computer-company-clients-pp Physician's Computer Company (PCC) client Preferred Pediatrics Primary Care Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6932 2019/06/20 12:00:00 2019/06/20 12:00:00 2019/06/20 09:25:46 UV 2.16.840.1.113883.3.2402.300.31 physicans-computer-company-vendors-northwell Physician's Computer Company (PCC) Vendors Northwell Health Lab Romni Palmer masked Romni Palmer 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com http://www.pcc.com Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.300.31 2019/06/20 12:00:00 2019/06/20 12:00:00 2019/06/20 09:33:47 UV 2.16.840.1.113883.4.960 aaneel AaNeel Infotech, LLC OID Upendra Patel masked Upendra Patel 8139099555 masked Support Executive AaNeel Infotech, LLC 7823 N Dale Mabry, Suite 200, Tampa, FL 33614 8139099555 support@aaneel.com http://www.aaneel.com Vendor Int 3 Complete 2019/06/21 12:00:00 2019/06/21 12:00:00 2019/06/21 09:22:16 UV 2.16.840.1.113883.3.8408.857 mountianvalleyrehab Ernest Mountian Valley Regional Rehabilitation Hospital William Myers masked William Myers 4600 Lena Drive Mechanicsburg, PA 17055 717.610.1092 masked Director, Health Information Exchange Ernest Health Holding, LLC Ernest Health Holdings Attn: HIE Director 4600 Lena Drive Mechanicsburg, PA 17055 717.591.5700 askus@ernesthealth.com https://www.ernesthealth.com/gallery-item/mountain-valley-regional-rehabilitation-hospital/ Provider 2.16.840.1.113883.3.8408 Ext 14 Complete 2.16.840.1.113883.3.8408.857 2019/06/21 12:00:00 2019/06/21 12:00:00 2019/06/21 09:06:53 UV 2.16.840.1.113883.3.8408.872 rhna Ernest Rehabilitation Hospital of Northern Arizona William Myers masked William Myers 4600 Lena Drive Mechanicsburg, PA 17055 717.610.1092 masked Director, Health Information Exchange Ernest Health Holding, LLC Ernest Healthcare Holdings Attn: HIE Director 4600 Lena Drive Mechanicsburg, PA 17055 717.591.5700 askus@ernesthealth.com http://www.ernesthealth.com/gallery-item/rehabilitation-hospital-of-northern-arizona/ Provider 2.16.840.1.113883.3.8408 Ext 14 Complete 2.16.840.1.113883.3.8408.872 2019/06/21 12:00:00 2019/06/21 12:00:00 2019/06/21 09:11:44 UV 2.16.840.1.113883.3.8412 cdoc-clinical-services Colorado Department of Corrections Clinical Services Roger Sulzbach masked Roger Sulzbach Colorado Department of Corrections 1250 Academy Park Loop Colorado Springs, CO 80910 (719) 226-4145 masked Senior Project Manager Colorado Department of Corrections Colorado Department of Corrections 1250 Academy Park Loop Colorado Springs, CO 80910 (719) 579-9580 CDOC@state.co.us https://www.colorado.gov/cdoc/ Govt body Int 3 Complete 2019/06/21 12:00:00 2019/06/21 12:00:00 2019/06/21 09:15:36 UV 2.16.840.1.113883.3.8413 orangeCareGroup Orange Care Group Raphael Ruiz masked Raphael Ruiz 14750 NW 77th Court Suite 308 Miami Lakes, FL 33016 786.363.8500 masked SVP & Chief Operating Officer Orange Care Group 14750 NW 77th Court Suite 308 Miami Lakes, FL 33016 786.363.8500 Raphael.ruiz@orangecaregroup.com https://orangecaregroup.com/ Provider Int 3 Complete 2019/06/25 12:00:00 2019/06/26 12:00:00 2019/06/26 08:22:00 UV 2.16.840.1.113883.3.8414 bvhc Bella Vista Health Center Gabriela Cabrero masked Gabriela Cabrero 7922 Palm St Lemon Grove, CA 91945 6199854588 masked Associate Administrator Bella Vista Health Center 7922 Palm St Lemon Grove, CA 91945 6196441000 gabriela@bellavistahealth.com https://www.bellavistahealth.com/ Provider Int 3 Complete 2019/06/25 12:00:00 2019/06/26 12:00:00 2019/06/26 08:36:32 UV 2.16.840.1.113883.3.8415 ovsh Ohio Valley Surgical Hospital Caleb Mounts masked Caleb Mounts 100 W. Main Street Springfield, Ohio 45502 937-521-3946 masked Ohio Valley Surgical Hospital 100 W. Main Street Springfield, Ohio 45502 937-521-3900 ITInfo@ovsurgical.com Provider Int 3 Complete 2019/06/26 12:00:00 2019/06/26 12:00:00 2019/06/26 08:57:45 UV 2.16.840.1.113883.3.8416 fcswp Franciscan Care Services OID Root Nathan Eby masked Nathan Eby 430 N. Monitor St. West Point, NE 68788 402-372-4027 masked Franciscan Care Services, Inc. 430 N. Monitor St. West Point, NE 68788 402-372-2404 info@fcswp.org http://fcswp.org Provider Int 3 Complete 2019/06/27 12:00:00 2019/06/27 12:00:00 2019/06/27 11:17:48 UV 2.16.840.1.113883.3.8417 a-1ps Phylene Sunga Phylene Sunga masked Phylene Sunga 925-331-1800 masked Phylene Sunga 5129 Lone Tree Way, Antioch, CA 94531 925-331-1800 psunga@ebsnfs.com Provider Int 3 Complete 2019/06/28 12:00:00 2019/07/09 12:00:00 2019/07/09 09:12:14 UV 2.16.840.1.113883.9.254 wdstfmsd PHMG Woodfield Station Family Medicine Same Day Ronald Blatch masked Ronald Blatch 123 International Way Springfield, OR 97477 541-222-6856 masked Manager PeaceHealth System Office 1115 SE 164th Avenue Vancouver, WA 98683 360-729-1000 rblatch@peacehealth.org Provider Int 3 Complete 2019/07/01 12:00:00 2019/07/09 12:00:00 2019/07/09 09:17:26 UV 2.16.840.1.113883.3.8418 cvsSpecialty CVS Specialty Pharmacy Bryan Tate masked James.Murray@CVSHealth.com James Murray 401-770-6501 masked CVS Specialty Pharmacy 1 CVS Dr, Woonsocket, RI 02895 401-770-6501 James.Murray@CVSHealth.com Provider Int 3 Complete 2019/07/02 12:00:00 2019/07/09 12:00:00 2019/07/09 09:20:57 UV 2.16.840.1.113883.3.8419 rmv Rochester Manor and VIlla Rob DePietro masked Jill Snyder 174 Virginia Ave, Rochester, PA 15074 7244950674 masked Director of Marketing Rochester Manor and Villa 174 Virginia Ave, Rochester, PA 15074 7247756400 info@rmv4me.com https://www.rochestermanorandvilla.com Provider Int 3 Complete 2019/07/03 12:00:00 2019/07/09 12:00:00 2019/07/09 09:32:31 UV 2.16.840.1.113883.3.8420 aoa-MORE American Optometric Association Measures and Outcomes Registry for Eyecare - AOA MORE Laura Miller masked Laura Danette Miller American Optometric Association 243 N Lindbergh Blvd St. Louis, MO 63141 314-983-4155 masked Manager, Quality Improvement American Optometric Association 243 N Lindbergh Blvd St. Louis, MO 63141 800-365-2219 AOAMore@aoa.org https://www.aoa.org/ Prof Soc Int 3 Complete 2019/07/03 12:00:00 2019/07/09 12:00:00 2019/07/09 09:42:48 UV 2.16.840.1.113883.3.8421 ccap Comprehensive Community Action, Inc. Gina Eubank masked Gina Eubank 311 Doric Ave Cranston, RI 02910 4015628305 masked Director of Operations Comprehensive Community Action, Inc. 311 Doric Ave Cranston, RI 02910 4014679610 geubank@comcap.org https://www.comcap.org Provider Int 3 Complete 2019/07/08 12:00:00 2019/07/09 12:00:00 2019/07/09 09:45:39 UV 2.16.840.1.113883.3.8422 crown Crown Park Rehabilitation and Nursing Center Maggie Calli masked Maggie Calli 607-753-6060 masked Administrator Crown Park Rehabilitation and Nursing Center 28 Kellogg Road Cortland, NY 13045 607-753-6060 mcalli@crownparkrehab.com https://www.crownparkrehab.com Provider Int 3 Complete 2019/07/08 12:00:00 2019/07/09 12:00:00 2019/07/09 09:48:55 UV 2.16.840.1.113883.3.8423 inSPHN Indiana State Psychiatric Hospital Network Kristine Thornton masked Kristine Thornton 402 W. Washington St., Room W353 Indianapolis, IN 46204 317-234-5047 masked IN Family & Social Services Administration, DMHA 402 W. Washington St., Room W353 Indianapolis, IN 46204 800-901-1133 kristine.thornton@fssa.in.gov https://www.in.gov/fssa/dmha Govt body Int 3 Complete 2019/07/08 12:00:00 2019/07/09 12:00:00 2019/11/21 01:00:24 UV 2.16.840.1.113883.3.8424 sblbonuttiom SBL Bonutti Clinic Acute/Occ Med Amy Carlen masked Amy Carlen 1000 Health Center Dr. Mattoon, IL 61938 217-238-4831 masked Clinical Systems Analyst Sarah Bush Lincoln Health Center 1000 Health Center Dr. Mattoon, IL 61938 217-258-2525 acarlen@sblhs.org Provider Int 3 Complete 2019/07/08 12:00:00 2019/07/09 12:00:00 2019/07/09 10:29:00 UV 2.16.840.1.113883.17.4259 sbleffinghamfp SBL Effingham Family Practice Amy Carlen masked Amy Carlen 1000 Health Center Dr. Mattoon, IL 61938 217-238-4831 masked Clinical System Analyst Sarah Bush Lincoln Health Center 1000 Health Center Dr. Mattoon, IL 61938 217-258-2525 acarlen@sblhs.org Provider Int 17 Complete 2019/07/08 12:00:00 2019/07/09 12:00:00 2019/07/09 10:35:52 UV 2.16.840.1.113883.17.4260 sbleffinghamim SBL Effingham Internal Medicine Amy Carlen masked Amy Carlen 1000 Health Center Dr. Mattoon, IL 61938 217-238-4831 masked Clinical Systems Analyst Sarah Bush Lincoln Health Center 1000 Health Center Dr. Mattoon, IL 61938 217-258-2525 acarlen@sblhs.org Provider Int 17 Complete 2019/07/08 12:00:00 2019/07/09 12:00:00 2019/07/09 10:41:13 UV 2.16.840.1.113883.17.4261 sblwiceff SBL Walk In Clinic Effingham Amy Carlen masked Amy Carlen 1000 Health Center Dr. Mattoon, IL 61938 217-238-4831 masked Clinical Systems Analyst Sarah Bush Lincoln Health Center 1000 Health Center Dr. Mattoon, IL 61938 217-258-2525 acarlen@sblhs.org Provider Int 17 Complete 2019/07/08 12:00:00 2019/07/09 12:00:00 2019/07/09 10:45:31 UV 2.16.840.1.113883.3.8425 mneas MNEAS Nick Regier masked kboone@ainq.com Nick Regier Audacious Inquiry 5523 Research Park Drive, Suite 370 Baltimore, MD 21228 6513024825 masked Engagement Manager Audacious Inquiry 5523 Research Park Drive, Suite 370 Baltimore, MD 21228 6513024825 nregier@ainq.com http://www.mneas.org Vendor Int 3 Complete 2019/07/09 12:00:00 2019/07/09 12:00:00 2019/07/09 10:02:01 UV 2.16.840.1.113883.3.4825.1000 asth-meditech-sub-OID Ascension St John Hospital-Meditech sub OID Cheryl Doerr masked Cheryl Doerr 28000 Dequindre Rd Warren, MI 48092 586-753-0833 masked SR Solution Development Analyst St John Providence Health System 28000 Dequindre Rd Warren, MI 48092 586-753-0833 Cheryl.Doerr@ascension.org Provider 2.16.840.1.113883.3.4825 Ext 14 Complete 2.16.840.1.113883.3.4825.1000 2019/07/11 12:00:00 2023/01/31 12:00:00 2023/02/01 04:27:05 UV 2.16.840.1.113883.3.8426 uwcleve211 Cleveland United Way 2-1-1 Matt Finley masked Franco Formicelli 216-436-2012 masked 2-1-1 Director United Way of Greater Cleveland 1331 Euclid Ave. Cleveland, OH 44115 216-436-2001 fformichelli@unitedwaycleveland.org Provider Int 3 Complete 2019/07/11 12:00:00 2019/07/13 12:00:00 2019/07/13 09:30:55 UV 2.16.840.1.113883.3.8427 terphx The Terraces of Phoenix Julie Thompson masked Julie Thompson 7550 N 16th Street Phoenix, AZ 85020 602-371-4135 masked Health Services Administrator The Terraces of Phoenix 7550 N 16th Street Phoenix, AZ 85020 The Terraces of Phoenix Julie.Thompson@HumanGood.org https://www.humangood.org/the-terraces-of-phoenix Provider Int 3 Complete 2019/07/11 12:00:00 2019/07/13 12:00:00 2019/07/13 09:57:09 UV 2.16.840.1.113883.4.961 abDSRID Alberta, Canada Delivery Site Registry Identifier Standards Infodesk masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 1-780-415-1552 masked Alberta Health, Delivery Site Registry Team 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada health.dsr@gov.ab.ca https://www.albertanetcare.ca/learningcentre/Delivery-Site-Registry.htm Govt body Int 4 Complete 2019/07/11 12:00:00 2019/07/15 12:00:00 2020/08/10 05:42:52 CA 2.16.840.1.113883.4.962 abWDFA Alberta, Canada Wellnet Distributed Facility Identifier Standards Infodesk masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 1-780-415-1552 masked Alberta Health, Delivery Site Registry Team 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada health.dsr@gov.ab.ca https://www.albertanetcare.ca/learningcentre/Delivery-Site-Registry.htm Govt body Int 4 Complete 2019/07/11 12:00:00 2019/07/15 12:00:00 2020/08/10 05:41:18 CA 2.16.840.1.113883.3.8428 hrh HUDSON REGIONAL Mani Anbazhagan masked Mani Anbazhagan 55 Meadowlands Parkway Secaucus, NJ 07094 201-392-3565 masked IT Analyst Hudson Regional Hospital 55 Meadowlands Parkway Secaucus, NJ 07094 201-392-3100 it@hudsonregionalhospital.com Provider Int 3 Complete 2019/07/12 12:00:00 2019/07/13 12:00:00 2019/07/13 10:00:16 UV 2.16.840.1.113883.3.8429 bridgePoint BridgePoint Healthcare Kamila Lipowska masked Kamila Lipowska 2760 Eisenhower Ave Suite 406 Alexandria, VA 22314 2028407826 masked EHR PM BridgePoint Healthcare 2760 Eisenhower Ave Suite 406 Alexandria, VA 22314 2028407826 klipowska@bridgepointhealthcare.com Provider Int 3 Complete 2019/07/12 12:00:00 2019/07/13 12:00:00 2019/07/13 10:04:55 UV 2.16.840.1.113883.3.8430 mips Minimally Invasive Procedure Specialists Kyler Brady masked Kyler Brady 8671 S. Quebec St. Ste 200 Highlands Ranch, CO 80130 303-805-7477 masked Director of Operations Minimally Invasive Procedure Specialists 8671 S. Quebec St. Ste 200 Highlands Ranch, CO 80130 3038057477 kbrady@mipscenter.com Provider Int 3 Complete 2019/07/12 12:00:00 2019/07/13 12:00:00 2019/07/13 10:16:22 UV 2.16.840.1.113883.3.8431 j-o-8 Joanna B Lis Pediatrics PC Joanna Lis masked Joanna B Lis 970 41 Street Suite M1 Brooklyn, New York 11219 718-4381322 masked MD Jolanta Murgas 970 41 Street Suite M1 Brooklyn, New York 11219 7184381322 joannablis21@gmail.com http://www.drjoannablis.com Provider Int 3 Complete 2019/07/17 12:00:00 2019/07/19 12:00:00 2019/07/19 08:20:27 UV 2.16.840.1.113883.3.8432 dakrad Dakota Radiology Jessica Ortmeier masked John Griffith 2929 5th Street, Suite 100 Rapid City, SD 57701 605-342-2852 masked Administrator Dakota Radiology 2929 5th Street, Suite 100 Rapid City, SD 57701 605-342-2852 admin@dakota-radiology.com Provider Int 3 Complete 2019/07/17 12:00:00 2019/07/19 12:00:00 2019/07/19 08:27:56 UV 2.16.840.1.113883.3.8433 pmasac Pediatric Medical Associates of Sacramento Richard Gould masked Richard Gould 650 Howe Ave Suite 100 Sacramento, CA 95825 9169240340 masked CEO Pediatric Medical Associates of Sacramento 650 Howe Ave Suite 100 Sacramento, CA 95825 9169240340 Drgould@kiddoc.com Provider Int 3 Complete 2019/07/18 12:00:00 2019/07/19 12:00:00 2019/07/19 08:29:59 UV 2.16.840.1.113883.3.8434 mmh-SNF Medina Memorial Hospital Skilled Nursing Facility Marc Shurtz masked Marc Shurtz 200 Ohio St Medina, NY 14103 5857982000 masked Orleans Community Health 200 Ohio St Medina, NY 14103 5857982000 mshurtz@medinamemorial.org Provider Int 3 Complete 2019/07/18 12:00:00 2019/07/19 12:00:00 2019/09/16 01:50:58 UV 2.16.840.1.113883.3.8435 futurecare FutureCare Health and Management Calvin Ho masked Calvin Ho FutureCare Health and Management 8028 Ritchie Hwy, Suite 210 Pasadena, Maryland 21122 410-766-1995 masked Director of Health Information Services FutureCare Health and Management 8028 Ritchie Hwy, Suite 210 Pasadena, Maryland 21122 410-766-1995 hoc@futurecare.com https://futurecare.com/ Provider Int 3 Complete 2019/07/18 12:00:00 2019/07/19 12:00:00 2019/07/19 08:52:26 UV 2.16.840.1.113883.3.8436 michigancompletehealth Michigan Complete Health Kathleen Harkness masked Marcie Johnson Kathleen Harkness 800 Tower Drive Suite 200 Troy, MI 48098 248-982-8992 masked VP Compliance Michigan Complete Health 800 Tower Drive Suite 200 Troy, MI 48098 248-729-8911 Marcie.S.Johnson@centene.com https://www.michigancompletehealth.com Payor Int 3 Complete 2019/07/18 12:00:00 2019/07/19 12:00:00 2019/07/19 09:08:04 UV 2.16.840.1.113883.3.8437 chcc Coronado Healthcare Center Lisa Zaitz masked Lisa Zaitz 11411 N 19th Avenue Phoenix, AZ 85029 (602) 256-7500 ext 306 masked Facility Administration Manager Coronado Healthcare Center 11411 N 19th Avenue Phoenix, AZ 85029 (602) 256-7500 lzaitz@EnsignServices.net https://www.coronadocare.com/ Provider Int 3 Complete 2019/07/18 12:00:00 2019/07/19 12:00:00 2019/07/19 09:13:48 UV 2.16.840.1.113883.3.8438 cphd Catahoula Parish Hospital District No. 2 Renee Ford masked Renee G. Ford P O Box 8 307 Chisum Street Sicily Island, LA 71368 318.389.5727 masked CFO Catahoula Parish Hospital District No. 2 P O Box 8 307 Chisum Street Sicily Island, LA 71368 318.389.5727 rford@cphd2.org Provider Int 3 Complete 2019/07/18 12:00:00 2019/07/19 12:00:00 2019/07/19 10:00:33 UV 2.16.840.1.113883.3.8439 parkwaypantai Parkway Pantai Dinesh Paravatham masked Ameya Tamhane Ameya Tamhane +6586115662 masked Melvin Lo Wern Ching 302 Orchard Rd, Tong Building level 6 Singapore 238862 +6588164322 melvin.lo@parkwaypantai.com Academic Int 3 Complete 2019/07/19 12:00:00 2019/07/19 12:00:00 2019/07/19 10:03:50 UV 2.16.840.1.113883.3.8440 gsl Glencroft Senior Living Mike McCammond masked Mike McCammond 8641 N. 67th Avenue Glendale, AZ 85302 623-847-3057 masked CFO Glencroft Senior Living 8641 N. 67th Avenue Glendale, AZ 85302 623-847-3057 mmccammond@glencroft.com https://www.glencroft.com/types-of-living/assisted-living?gclid=EAIaIQobChMIkKH8-aXB4wIVtx-tBh2G2AzMEAAYASAAEgJeyvD_BwE Provider Int 3 Complete 2019/07/19 12:00:00 2019/07/19 12:00:00 2019/07/19 10:15:14 UV 2.16.840.1.113883.3.6770.100 accredo Accredo Garret Anderson masked Garret Anderson 3657 Snelling Ave N Arden Hills, MN 55112 651-328-9915 masked Express Scripts 100 Parsons Pond Drive Franklin Lakes, NJ 07417 201-269-4106 joe_credico@express-scripts.com https://www.express-scripts.com Provider 2.16.840.1.113883.3.6770 Ext 14 Complete 2.16.840.1.113883.3.6770.100 2019/07/19 12:00:00 2019/07/19 12:00:00 2019/07/19 10:34:19 UV 2.16.840.1.113883.3.8441 avalonHCG Avalon Health Care Group Rachelle Crews masked Rachelle Crews 206 N 2100 W Street, Salt Lake City, UT 84116 5419534461 masked Dir Information Systems Avalon Health Care Group 206 N 2100 W Street, Salt Lake City, UT 84116 _AV_IT_Department@avalonhealthcare.com Provider Int 3 Complete 2019/07/19 12:00:00 2019/07/19 12:00:00 2019/07/19 10:21:08 UV 2.16.840.1.113883.3.8442 brbh Blue Ridge Behavioral Healthcare Root OID Cheryl Holt masked Cheryl Holt 301 Elm Avenue, SW Roanoke, VA 24016 5403459841 masked Manager, Information Management and Analysis Blue Ridge Behavioral Healthcare 301 Elm Avenue, SW Roanoke, VA 24016 5403459841 cholt@brbh.org https://www.brbh.org Provider Int 3 Complete 2019/07/22 12:00:00 2019/07/23 12:00:00 2019/07/23 09:03:12 UV 2.16.840.1.113883.3.8443 foothills Foothills Nephrology Melanie Helton masked Melanie Helton 126 Dillon Dr. Spartanburg, SC 29307 864-327-1214 masked Assistant Office Manager Foothills Nephrology 126 Dillon Dr. Spartanburg, SC 29307 864-327-1214 mhelton@foothillsnephrology.com Provider Int 3 Complete 2019/07/22 12:00:00 2019/07/23 12:00:00 2019/07/23 09:05:38 UV 2.16.840.1.113883.3.8444 midcolumbiacenterforliving Mid-Columbia Center for Living OID Root Patricia Garland masked Patricia Garland 541-386-2620 masked Mid-Columbia Center for Living 1060 Webber Street The Dalles, OR 97058 541-296-5452 pgarland@mccfl.org Provider Int 3 Complete 2019/07/22 12:00:00 2019/07/23 12:00:00 2019/07/23 09:07:05 UV 2.16.840.1.113883.3.8445 hie-icc Integrated Care Collaboration Carole Tamayo masked Jarrod Knox 8627 No.Mopac Expwy, suite 300 Austin, TX 78759 512-804-2090 masked Senior Software Architect Integrated Care Collaboration 8627 No.Mopac Expwy, suite 300 Austin, TX 78759 512-804-2090 jaknox@icc-centex.org http://www.icc-centex.org Exchange Int 3 Complete 2019/07/23 12:00:00 2019/07/23 12:00:00 2019/07/23 09:12:58 UV 2.16.840.1.113883.3.8446 pdh Plumas District Hospital Chase Harding masked Chase Harding 1065 Bucks Lake Road Quincy, CA 95971 5302837125 masked I.T. Manager Plumas District Hospital 1065 Bucks Lake Road Quincy, CA 95971 5302832121 information@pdh.org https://www.pdh.org Provider Int 3 Complete 2019/07/23 12:00:00 2019/07/23 12:00:00 2019/07/23 09:34:51 UV 2.16.840.1.113883.3.8447 gpmpeds GPM Pediatrics, PC Ilisa Crowley masked Ilisa Crowley 1779 Richmond Avenue Staten Island, NY 10314 7186986190 masked Billing Manager GPM Pediatrics, PC 7715 4th Avenue Brooklyn, NY 11209 7188332300 billing@gpmpeds.com Provider Int 3 Complete 2019/07/23 12:00:00 2019/07/23 12:00:00 2019/07/23 09:46:14 UV 2.16.840.1.113883.3.8448 cvsSpecialtyTST CVS Specialty Pharmacy TST Bryan Tate masked James Murray James Murray 401-770-6501 masked CVS 1 CVS Dr, Woonsocket, RI 02895 James.Murray@CVSHealth.com Provider Int 3 Complete 2019/07/24 12:00:00 2019/07/26 12:00:00 2019/07/26 09:25:42 UV 2.16.840.1.113883.3.8449 echa-dwmmh D. W. McMillan Memorial Hospital Scott Hillman masked Felecia Lyles Scott Hillman 1301 Belleville Ave. Brewton, AL 36426 251-809-8254 masked D. W. McMillan Memorial Hospital 1301 Belleville Ave. Brewton, AL 36426 251-867-8061 shillman@echca.org Provider Int 3 Complete 2019/07/25 12:00:00 2019/07/26 12:00:00 2019/07/26 09:33:05 UV 2.16.840.1.113883.3.8450 echa-ach ECHA dba Atmore Community Hospital Scott Hillman masked Felecia Lyles Felecia Lyles 401 Medical Park Drive Atmore, AL 36502 251-368-6265 masked Atmore Community Hospital 401 Medical Park Drive Atmore, AL 36502 251-368-2500 flyles@echca.org Provider Int 3 Complete 2019/07/25 12:00:00 2019/07/26 12:00:00 2019/07/26 09:38:46 UV 2.16.840.1.113883.3.8451 bNS Barnett Neurosurgery PC Leslie Jones masked Leslie Jones 3333 OLD MILTON PKWY STE 300 ALPHARETTA GA 30005-4626 678-474-9490 masked Practice Manager Barnett Neurosurgery PC 678-474-9490 admin@barnettneurosurgery.com http://www.barnettneurosurgery.com/ Provider Int 3 Complete 2019/07/25 12:00:00 2019/07/26 12:00:00 2021/03/25 04:58:58 UV 2.16.840.1.113883.3.8452 oneida-ECF Oneida Health - Extended Care Facility Mohammed Mere masked Mohammed Mere 321 Genesee St. Oneida, NY 13421 315-361-2234 masked Chief Information Officer Oneida Health Systems, Inc. 321 Genesee St. Oneida, NY 13421 315-363-6000 mmere@oneidahealthcare.org https://www.oneidahealth.org Provider Int 3 Complete 2019/07/26 12:00:00 2019/07/26 12:00:00 2019/07/26 09:52:47 UV 2.16.840.1.113883.9.255 cloudCraftOID CloudCraft OID for EHR application CCDA transmission Terry Lee masked Terry Lee 175 Eddice Taylor Road Faison, NC 28341 2053690854 masked President / CEO CloudCraft, LLC 175 Eddice Taylor Road Faison, NC 28341 2053690854 tlee@naiacorp.com http://cloudcraftsoftware.com/ Vendor Int 3 Complete 2019/07/26 12:00:00 2019/07/26 12:00:00 2019/07/26 10:02:44 US 2.16.840.1.113883.3.8453 bvhrc Bella Vita Health & Rehab Center Doug Haney masked Doug Haney 5125 N 58th Avenue Glendale, AZ 85301 623-931-8776 masked CEO Bella Vita Health & Rehab Center 5125 N 58th Avenue Glendale, AZ 85301 623-931-5800 dhaney@ensignservices.net http://bellavitarehab.com/ Provider Int 3 Complete 2019/07/29 12:00:00 2019/07/29 12:00:00 2019/07/29 10:02:12 UV 2.16.840.1.113883.3.8454 countryclinics Country Clinics P.C. dba St. Edward/Cedar Rapids Medical Clinics Lisa Kennedy masked Lisa Kennedy PO Box 313 Cedar Rapids, NE 68627 3083580615 masked Office Management Country Clinics P.C. 1102 Water Street, PO Box F Saint Edward, NE 68627 4026782232 cedarclinic@gpcom.net Provider Int 3 Complete 2019/07/29 12:00:00 2019/07/29 12:00:00 2019/07/29 10:07:21 UV 2.16.840.1.113883.3.8455 bria BRIA Health Services Efriam Weinfeld masked Efriam Weinfeld 1101 E State St, Geneva, IL 60134 7735570432 masked LNHA BRIA Health Services 1101 E State St, Geneva, IL 60134 7735570432 eweinfeld@briahs.com Provider Int 3 Complete 2019/07/30 12:00:00 2019/07/30 12:00:00 2019/07/30 09:24:26 UV 2.16.840.1.113883.3.8456 suffolk InSync Healthcare Solutions LLC In Han masked In Ho Han 1235 Suffolk ave Brentwood, NY 11717 6314367770 masked MD InSync Healthcare Solutions LLC 8408 Benjamin Road, Tampa, FL 33634 877-246-8484 bipin.patel@insynchcs.com Provider Int 3 Complete 2019/07/30 12:00:00 2019/07/30 12:00:00 2019/07/30 09:27:05 UV 2.16.840.1.113883.3.8457 remvinc Remi Vista, Inc. Anthony Foster masked Dominic Zuckswert Troy Foster 2701 Park Marina Drive Redding, CA 96001 1-530-245-5805 masked Quality Assurance Officer Remi Vista, Inc. 2701 Park Marina Drive Redding, CA 96001 1-530-245-5805 tafoster@remivistainc.org https://remiivstainc.org Vendor Int 3 Complete 2019/07/31 12:00:00 2019/07/31 12:00:00 2019/07/31 11:32:32 UV 2.16.840.1.113883.3.8458 dchia Decatur County Hospital Stacy Webb masked Stacy Webb 1405 NW Church Street Leon, IA 50144 6414462326 masked IT Technician Decatur County Hospital 1405 NW Church Street Leon, IA 50144 6414462326 swebb@d-c-h.org http://www.decaturcountyhospital.org/ Provider Int 3 Complete 2019/08/01 12:00:00 2019/08/06 12:00:00 2019/08/06 08:34:20 UV 2.16.840.1.113883.3.8459 cedar-ccmh Cedar County Memorial Hospital LeeAnne Craven masked LeeAnne Craven 1401 S Park St. El Dorado Springs, MO 64744 4178763769 masked IT MANAGER Cedar County Memorial Hospital 1401 S Park St. El Dorado Springs, MO 64744 4178762511 it@ccmh.co https://www.ccmh.co/ Provider Int 3 Complete 2019/08/01 12:00:00 2019/08/06 12:00:00 2019/08/06 08:43:08 UV 2.16.840.1.113883.3.8460 ma123 Medical Associates Atif Shah masked Atif Shah 503 Route 111, Hauppauge, NY 11788 6318275500 masked Medical Associates Atif@manewyork.com Provider Int 3 Complete 2019/08/01 12:00:00 2019/08/06 12:00:00 2019/08/06 08:47:49 UV 2.16.840.1.113883.3.8461 renaissanceUCC1 DHR Health Urgent Care Center Dove OID Root Marie Rios masked Tony Ashley 800 East Dove, Ste A Mcallen, TX 78504 956-362-5050 masked Associate VP of Clinical Services DHR Health Urgent Care Center - Dove 800 East Dove, Ste A Mcallen, TX 78504 956-362-5050 t.ashley@dhr-rgv.com Provider Int 3 Complete 2019/08/01 12:00:00 2019/08/06 12:00:00 2019/08/06 09:00:38 UV 2.16.840.1.113883.3.8462 iclny Institute For Community Living Balakumar Balasubramanian masked John Lofaro 125 Broad Street 3rd Floor New York, NY 10004 (212) 385-3030 ext 10101 masked Institute for community living 125 Broad Street 3rd Floor New York, NY 10004 (212) 385-3030 ext 10101 JLofaro@iclinc.net http://iclinc.org Provider Int 3 Complete 2019/08/01 12:00:00 2019/08/06 12:00:00 2019/08/06 09:09:44 UV 2.16.840.1.113883.3.8463 cpfm1 Central Phoenix Family Medicine Steven Sayegh masked Steven Sayegh 333 W Thomas Rd Suite 207 Phoenix, AZ 85013 6024958960 masked Central Phoenix Family Medicine 333 W Thomas Rd Suite 207 Phoenix, AZ 85013 6024958960 drhout1@hotmail.com Provider Int 3 Complete 2019/08/01 12:00:00 2019/08/06 12:00:00 2019/08/06 09:13:02 UV 2.16.840.1.113883.3.8464 shp-ylbh SHP - Your Life Behavioral Health Clinic Rae Rodriguez masked Rae Ann Rodriguez 3601 4th street RM 1BC150 Lubbock, Texas 79430 806-743-4357 masked Unit Manager SHP - Your Life Behavioral Health Clinic 3601 4th Street Lubbock, TX 79430-6225 806-743-4357 EMRHELPDESKLUBBOCK@TTUHSC.EDU http://umchealthsystem.com Academic Int 3 Complete 2019/08/05 12:00:00 2019/08/06 12:00:00 2019/08/06 09:17:15 UV 2.16.840.1.113883.3.8465 nvpediatrics North Valley Pediatrics Joann Kolnick masked Joann Kolnick 14045 N 7th St Ste 2 Phoenix, AZ 85022 602-482-7311 masked Office Manager North Valley Pediatrics itmanager@northvalleypeds.com https://northvalleypeds.com Provider Int 3 Complete 2019/08/05 12:00:00 2019/08/06 12:00:00 2019/08/06 09:24:10 UV 2.16.840.1.113883.3.8466 ccrs Children's Clinics OID Clay Cummings masked Clay Cummings 2600 N Wyatt Dr Tucson, AZ 85712 5203243275 masked IS Director Children's Clinics 2600 N Wyatt Dr Tucson, AZ 85712 5203245437 info@childrensclinics.org https://www.childrensclinics.org Provider Int 3 Complete 2019/08/05 12:00:00 2019/08/06 12:00:00 2019/08/06 09:43:13 UV 2.16.840.1.113883.3.8467 fu-berlin FreieUniversitaet-Berlin Kai Carle masked Denny Spiegelberg +49 30 838 62513 masked Freie Universit&#228;t Berlin Oertzenweg 19b 14163 Berlin Germany +49 30 838 62518 it@vetmed.fu-berlin.de Academic Int 3 Complete 2019/08/06 12:00:00 2019/08/06 12:00:00 2019/08/06 09:48:23 UV 2.16.840.1.113883.17.4263 ddc-MRN Doc-tor.com MRN Chaim Drellich masked Tessie Austin 877-634-2727 x63028 masked Manager of Data Integration Doc-tor.com 1600 Division Road, Suite 2000 West Warwick, RI 02893 877-634-2727 taustin@harriscomputer.com https://doc-tor.com/ Vendor Int 3 Complete 2019/08/06 12:00:00 2019/08/06 12:00:00 2020/05/26 12:42:54 UV 2.16.840.1.113883.3.8468 goa Gynoncology Oncology Associates Phi Nguyen masked Innovative Health Management Partner 200 Standpoint Ave Suite 725 Santa Ana, CA 92707 949-722-5034 masked Director of Infomation Technology Gynoncology Oncology Associates 200 Standpoint Ave Suite 725 Santa Ana, CA 92707 949-722-5034 PNguyen@NewportOrtho.com https://gynoncology.com/ Provider Int 3 Complete 2019/08/06 12:00:00 2019/08/06 12:00:00 2019/08/06 10:20:25 UV 2.16.840.1.113883.3.8469 asp DBA Animas Spine Steffi Neiman masked Steffi Neiman 575 Rivergate Unit 109 Durango, CO 81301 9703828292 masked Director of Operations DBA Animas Spine 575 Rivergate Unit 109 Durango, CO 81301 9703828292 steffi@animasspine.com http://www.animasspine.com/ Provider Int 3 Complete 2019/08/06 12:00:00 2019/08/06 12:00:00 2019/08/06 10:26:59 UV 2.16.840.1.113883.3.8470 lwfm Living Well Family Medicine Lyndsay Bowman masked Lyndsay Bowman 695 S Colorado Blvd Suite 160 Denver, CO 80246 303-991-7979 masked Office Manager Living Well Family Medicine 695 S Colorado Blvd Suite 160 Denver, CO 80246 303-991-7979 office@livingwellfamilymedicine.com http://www.livingwellfamilymedicine.com/ Provider Int 3 Complete 2019/08/07 12:00:00 2019/08/07 12:00:00 2019/08/07 06:47:52 UV 2.16.840.1.113883.3.8471 nhsoklahoma1 Northeastern Health System Aaron Pack masked Aaron Pack Northeastern Health System 1400 E Downing Tahlequah, OK 74464 9184532288 masked IT Director Northeastern Health System 9184560641 it@nhs-ok.org http://nhs-ok.org Provider Int 3 Complete 2019/08/07 12:00:00 2019/08/07 12:00:00 2019/08/07 06:56:00 UV 2.16.840.1.113883.3.8472 prairieOID Prairie Orthopaedic & Plastic Surgery, PC Erica Heiman masked Erica Heiman 4130 Pioneer Woods Dr Ste 1 Lincoln, NE 68506 4024894700 masked Clinic Manager Prairie Orthopaedic & Plastic Surgery PC 4130 Pioneer Woods Dr Ste 1 Lincoln, NE 68506 4024894700 eheiman@prairie-ortho.com https://prairie-ortho.com Provider Int 3 Complete 2019/08/07 12:00:00 2019/08/08 12:00:00 2019/08/08 09:14:15 UV 2.16.840.1.113883.3.8473 pda Professional Data Analysts, GBC Harlan Luxenberg masked Harlan Luxenberg 219 Main Street SE, Suite 302 Minneapolis, Minnesota 55414 612-623-9110 masked Professional Data Analysts, GBC 219 Main Street SE, Suite 302 Minneapolis, Minnesota 55414 612-623-9110 harlan@pdastats.com http://pdastats.com Vendor Int 3 Complete 2019/08/08 12:00:00 2019/08/08 12:00:00 2019/08/08 09:44:37 UV 2.16.840.1.113883.3.8474 crp Castle Rock Pediatrics Shelley Haas masked Shelley Haas 1001 S Perry Street Suite 101B Castle Rock, CO 80104 3036882228 masked Office Coordinator Castle Rock Pediatrics 1001 S Perry Street Suite 101B Castle Rock, CO 80104 3036882228 shaas@castlerockpediatrics.com https://www.castlerockpediatrics.com Provider Int 3 Complete 2019/08/08 12:00:00 2019/08/08 12:00:00 2019/08/08 09:48:16 UV 2.16.840.1.113883.3.8475 btcs Bluebonnet Trails Community Services Paul Sisler masked scott.trapp2@bbtrails.org Paul Sisler 1009 N. Georgetown Street Round Rock, TX 78664 USA 512-244-8344 masked Director of Business Development Bluebonnet Trails Community Services 1009 N. Georgetown Street Round Rock, TX 78664 USA 512-255-1720 paul.sisler@bbtrails.org http://bbtrails.org Provider Int 3 Complete 2019/08/09 12:00:00 2019/08/09 12:00:00 2019/08/09 09:16:17 UV 2.16.840.1.113883.3.8476 riverpointeOID Riverpointe OID Anthony Tobin masked Anthony Tobin 6041 Fair Oaks Blvd Carmichael, CA 95608 6615786579 masked IT Director Riverpointe Post Acute 6041 Fair Oaks Blvd Carmichael, CA 95608 9164838103 itmanagement@linkshealth.com http://www.linkshealth.com Provider Int 3 Complete 2019/08/09 12:00:00 2019/08/09 12:00:00 2019/08/09 09:27:38 US 2.16.840.1.113883.3.8477 cattco CATTARAUGUS COUNTY MH SERVICES Peter Matulich masked Accumedic Computer System Mary O'Leary 1 LEO MOSS DRIVE OLEAN, NY 14760 (716)373-8080 masked CATTARAUGUS COUNTY MH SERVICES mholeary@cattco.org https://www.cattco.org Provider Int 3 Complete 2019/08/09 12:00:00 2019/08/09 12:00:00 2019/08/09 09:32:42 UV 2.16.840.1.113883.3.8478 seasons Seasons Center for Behavioral Health Dan Ries masked Dan Ries 201 E. 11th St. Spencer, IA 51301 712-262-2922 masked VP of Finance & HR Seasons Center for Behavioral Health 201 E. 11th St. Spencer, IA 51301 712-262-2922 jlow@seasonscenter.org https://www.seasonscenter.org Provider Int 3 Complete 2019/08/09 12:00:00 2019/08/09 12:00:00 2019/08/09 09:47:28 UV 2.16.840.1.113883.3.8479 mdx Medexa OID Teddy Dreyfus masked Teddy Dreyfus 4270 St Laurent Blvd #206 Montreal, QC H2W 1Z3 CANADA 4159105112 masked CTO MEDEXA 4270 St Laurent Blvd #206 Montreal, QC H2W 1Z3 CANADA 5143123291 ian.beaubien@medexa.com http://medexa.com Vendor Int 3 Complete 2019/08/10 12:00:00 2019/08/11 12:00:00 2019/08/11 11:14:57 CA 2.16.840.1.113883.3.8480 s-j123-nc-567-sh89 Azria Health Montclair Silvester Juanes masked Silvester Juanes 2525 S 135th Ave Omaha, NE 68144 4023332304 masked Executive Director Azria Health Montclair 2525 S 135 Ave Omaha, NE 68144 4023332304 sjuanes@azriahalth.com Provider Int 3 Complete 2019/08/12 12:00:00 2019/08/13 12:00:00 2019/08/13 07:50:34 UV 2.16.840.1.113883.3.8481 ger Global Emergency Response Stan Kuzia masked ger.operations@ger911.com Stan Kuzia 2917 Professional Parkway, Suite A Augusta, GA 30907 706-869-6911 masked Global Emergency Response info@ger911.com https://www.ger911.com Vendor Int 3 Complete 2019/08/12 12:00:00 2019/08/13 12:00:00 2019/08/13 07:54:59 UV 2.16.840.1.113883.3.8482 eCLI1-a-A Empowerment Collaborative of Long Island Inc. Jennifer Hernandez masked Jennifer G. Hernandez 225 Eastview Drive PAC 203 Central Islip, NY 11722 6318801125 masked Co-Founder & Executive Director Empowerment Collaborative of Long Island Inc. 225 Eastview Drive PAC 203 Central Islip, NY 11722 6319138655 info@empowerli.org https://www.empowerli.org Vendor Int 3 Complete 2019/08/12 12:00:00 2019/08/13 12:00:00 2019/08/13 08:03:52 UV 2.16.840.1.113883.3.8483 ciitizen Ciitizen Corporation Kelly Huang masked brian@ciitizen.com Kelly Huang 3000 El Camino Real, Suite 3-120 Palo Alto, CA 94306 8045926405 masked Ciitizen Corporation admin@ciitizen.com Exchange Int 3 Complete 2019/08/12 12:00:00 2019/08/13 12:00:00 2019/08/13 08:16:01 UV 2.16.840.1.113883.3.8484 system-ABHMWMCHC-1 Maple Crest Health Center Omaha Naomi Kamoro masked Naomi Kamoro 2824 N 66th Ave Omaha, NE 68104 4025512110 masked RN Maple Crest Health Center 2824 N 66th Ave Omaha, NE 68104 4025512110 NKamoro@abhomes.org Provider Int 3 Complete 2019/08/13 12:00:00 2019/08/13 12:00:00 2019/08/13 08:22:22 UV 2.16.840.1.113883.3.8485 bc Beatitudes Campus Teresa Borton masked Teresa Borton 1610 W Glendale Avenue Phoenix, AZ 85021 602-995-6125 masked Director of Nursing Beatitudes Campus 1610 W Glendale Avenue Phoenix, AZ 85021 602-910-2795 tborton@beatitudescampus.org https://www.beatitudescampus.org/ Provider Int 3 Complete 2019/08/13 12:00:00 2019/08/13 12:00:00 2019/08/13 08:33:58 UV 2.16.840.1.113883.3.8486 nrc-HL7 National Research Corporation HL7 Object identification Andrew Glenn masked Andrew Glenn 1245 Q St Lincoln, NE 68508 4024752525 masked Senior Manager Corporate Systems National Research Corporation 1245 Q St Lincoln, NE 68508 4024752525 webmaster@nrchealth.com Vendor Int 3 Complete 2019/08/14 12:00:00 2019/08/14 12:00:00 2019/08/14 11:15:51 UV 2.16.840.1.113883.3.8487 rhinin Rehabilitation Hospital of Indiana Gary Skinner masked Gary Skinner 4141 Shore Drive Indianapolis, Indiana 46254 317-329-2676 masked Director, Information Technology Rehabilitation Hospital of Indiana 4141 Shore Drive Indianapolis, Indiana 46254 317-329-2000 administrator@rhin.com https://www.rhin.com Provider Int 3 Complete 2019/08/14 12:00:00 2019/08/14 12:00:00 2019/08/14 11:18:55 UV 2.16.840.1.113883.3.8488 hoscon Round Rock Surgery Center Connect Chelsea Simon masked Chelsea Simon 2000 South Mays, Suite 201 Round Rock, TX 78664 5125889060 masked COO Round Rock Surgery Center 2000 South Mays, Suite 201 Round Rock, TX 78664 5125889060 csimon@advancedpaincare.us Provider Int 3 Complete 2019/08/15 12:00:00 2019/08/15 12:00:00 2019/08/15 11:04:49 UV 2.16.840.1.113883.3.8489 rjm Rajesh Mariwalla MD Alexander Fier masked Alexander Fier 245 Old Country Road Melville, NY 11747 631-465-6842 masked IT Project Manager Rajesh Mariwalla MD 1175 Montauk Hwy, Ste 4, West Islip, NY 11795 (631) 422-9600 bombabina1@aol.com Provider Int 3 Complete 2019/08/16 12:00:00 2019/08/16 12:00:00 2019/08/16 06:36:13 UV 2.16.840.1.113883.3.8490 ifch Idaho Falls Community Hospital Chris Clinger masked Chris Clinger 2327 Coronado Street Idaho Falls, ID 83404 208-557-2705 masked IT Application Team Manager Idaho Falls Community Hospital 2327 Coronado Street Idaho Falls, ID 83404 208-528-1000 cajackman@ifcommunityhospital.com https://www.idahofallscommunityhospital.com Provider Int 3 Complete 2019/08/16 12:00:00 2019/08/16 12:00:00 2019/08/16 07:19:49 UV 2.16.840.1.113883.3.8491 pioneercarepcc Pioneer Home Inc Linda Lee masked Linda Lee 1131 Mabelle Ave S Fergus Falls, MN 56537 218-998-1510 masked Director of HIM PioneerCare 1131 Mabelle Ave S Fergus Falls, MN 56537 218-998-1500 lindal@pioneercare.org https://www.pioneercare.org Provider Int 3 Complete 2019/08/19 12:00:00 2019/08/20 12:00:00 2019/08/20 08:40:31 UV 2.16.840.1.113883.3.8492 id-ICHD Intermountain Centers For Human Development Maria Alvarez masked Maria Alvarez 44 E. Broadway, Suite 100 Tucson, Arizona 85701 520-318-6906 masked Director of Information Systems Intermountain Centers For Human Development 994 S Harrison Rd Tucson, Arizona 85748 520-721-1887 Klininger@ichd.net https://intermountaincenters.org/ Provider Int 3 Complete 2019/08/19 12:00:00 2019/08/20 12:00:00 2019/08/20 08:45:03 UV 2.16.840.1.113883.3.8493 itex ITEX Ian Crook masked Ian Crook 6633 N. Lincoln Ave. Lincolnwood, IL 60712 United States 8476799141 masked COO ITEX Company 6633 N. Lincoln Ave. Lincolnwood, IL 60712 United States 847-763-2551 ian.crook@itexcompany.com https://www.whitehallofdeerfield.com/ Provider Int 3 Complete 2019/08/20 12:00:00 2019/08/20 12:00:00 2019/08/20 08:48:10 UV 2.16.840.1.113883.3.8494 hee Health Engagement Engine Mary King masked James Murray 1 CVS Dr, Woonsocket, RI 02895 401-770-6501 masked Vice President Health Engagement Engine 1 CVS Dr, Woonsocket, RI 02895 401-770-6501 james.murray@cvshealth.com Provider Int 3 Complete 2019/08/20 12:00:00 2019/08/20 12:00:00 2022/03/28 04:03:52 UV 2.16.840.1.113883.9.256 mvgi Mid-Valley Gastroenterology Bonnie Bertalotto masked Bonnie Bertalotto 3521 NW Samaritan Dr, Ste 101 Corvallis, OR 97330 5417687840 masked Practice Manager Mid-Valley Gastroenterology 3521 NW Samaritan Dr Corvallis, OR 97330 5417687840 bonnieb@midvalleygi.com https://www.midvalleygi.com Provider Int 3 Complete 2019/08/20 12:00:00 2019/08/20 12:00:00 2019/08/20 09:18:37 UV 2.16.840.1.113883.17.4264 shccs Signature Healthcare Consulting Services LLC Organizational Unit Kirk Seddon masked Kirk Seddon (502) 568-7843 masked Signature Healthcare Consulting Services LLC 12201 Bluegrass Pkwy, Louisville, KY 40299 (502) 568-7800 bwade@signaturehealthcarellc.com https://www.ltcrevolution.com/contact/ Provider Int 17 Complete 2019/08/21 12:00:00 2019/08/21 12:00:00 2019/08/21 10:40:24 US 2.16.840.1.113883.17.4265 gigglesEarlyIntervention Giggles Early Intervention Occupational Therapy Speech Language Pathologist Psychologist LLC Hermite Louis masked Hermite Louis 8038 211th street Hollis Hills, NY 11427 8443444453 X700 masked Owner/CEO Giggles Early Intervention Occupational Therapy Speech Language Pathologist Psychologist LLC 8038 211 street Hollis Hills, NY 11427 844-344-4453 GigglesEarlyIntervention@gmail.com https://www.GigglesEarlyIntervention.com Provider Int 17 Complete 2019/08/22 12:00:00 2019/08/28 12:00:00 2019/08/28 09:53:26 UV 2.16.840.1.113883.3.8495 simpleltc SimpleLTC Corey Pauley masked Corey Pauley 2435 N Central Expy, Ste 1510 Richardson, TX 75080 4699162800 masked Director of Product & Software Engineering SimpleLTC 2435 N Central Expy, Ste 1510 Richardson, TX 75080 4699162800 support@simpleltc.com https://www.simpleltc.com Vendor Int 3 Complete 2019/08/22 12:00:00 2019/08/22 12:00:00 2019/08/22 11:23:55 US 2.16.840.1.113883.3.8496 dindoffer-OB Timothy C. Dindoffer, M.D., P.C. Krista Reed masked Krista Reed 1107 Memorial Drive Suite 301 Dalton, GA 30720 706-271-0076 masked Office Manager Timothy C. Dindoffer, M.D., P.C. 1107 Memorial Drive Suite 301 Dalton, GA 30720 706-271-0076 krista@dindofferobgyn.com Provider Int 3 Complete 2019/08/23 12:00:00 2019/08/23 12:00:00 2019/08/23 09:19:54 UV 2.16.840.1.113883.3.8497 bachinst Bacharach Institute OID Root Jeff Rees masked Jeff Rees 61 W. Jimmie Leeds Road Pomona, NJ 08240 6096527000 masked Director Information Systems Bacharach Institute for Rehabilitation 61 W. Jimmie Leeds Road Pomona, NJ 08240 6096527000 jrees@bacharach.org http://www.bacharach.org Provider Int 3 Complete 2019/08/23 12:00:00 2019/08/23 12:00:00 2019/08/23 09:21:30 UV 2.16.840.1.113883.3.8498 snap Division of Food and Energy Assistance, Office of Economic Security, State of Colorado Christine Willoughby masked Christine Willoughby 1575 Sherman Street, Floor 3, Denver, CO 80203 3038662537 masked Analyst Division of Food and Energy 1575 Sherman Street, Floor 3, Denver, CO 80203 cdhs_fa_redteam@state.co.us Govt body Int 3 Complete 2019/08/23 12:00:00 2019/08/23 12:00:00 2019/08/23 09:44:57 UV 2.16.840.1.113883.3.8499 ofl Ohman Family Living Jamie Linstra masked Joshua Wallace 4406355567 masked VP of Growth Strategies Ohman Family Living PO Box 377 Newbury, OH 44065 4406355567 jwallace@ohmanfamilyliving.com https://www.ohmanfamilyliving.com Provider Int 3 Complete 2019/08/26 12:00:00 2019/08/28 12:00:00 2019/08/28 09:31:59 US 2.16.840.1.113883.3.8500 shhswny Spectrum Health and Human Services Mario Alonzo masked Mario Alonzo 227 Thorn Ave Orchard Park, NY 14127 716-539-6330 masked SVP of IT and Security Officer Spectrum Health and Human Services 227 Thorn Ave Orchard Park, NY 14127 716-662-2040 alonzom@shswny.org https://shswny.org Provider Int 3 Complete 2019/08/26 12:00:00 2019/08/28 12:00:00 2019/08/28 09:35:46 UV 2.16.840.1.113883.3.8501 phntx-dataExchange Prism Health North Texas Rick Funches masked Rick Funches 351 W Jefferson Blvd Suite 300 Dallas, Texas 7528 2145215191 masked Prism Health North Texas 351 W Jefferson Blvd Suite 300 Dallas, Texas 7528 2145215191 rick.funches@prismntx.org http://www.phntx.org Provider Int 3 Complete 2019/08/26 12:00:00 2019/08/28 12:00:00 2019/08/28 09:42:07 UV 2.16.840.1.113883.17.4266 cmcsb-VA-oid1 Cumberland Mountain CSB OID Lab Charles Smith masked Charles Smith PO Box 810 Cedar Bluff, VA 24609 276-964-6702 masked CTO Cumberland Mountain Community Services PO Box 810 Cedar Bluff, VA 24609 276-964-6702 cgsmith@cmcsb.com Provider Int 3 Complete 2019/08/28 12:00:00 2019/08/28 12:00:00 2019/08/28 10:01:01 UV 2.16.840.1.113883.4.963 wmr Wilson Health Larry Meyers masked Randy Nelson 915 W. Michigan Street Sidney, Ohio 45365 937-498-5389 masked Senior Systems Analyst Wilson Health 915 W. Michigan Street Sidney, Ohio 45365 937-498-2311 rnelson@wilsonhealth.org Provider Int 3 Complete 2019/08/28 12:00:00 2019/08/28 12:00:00 2019/08/28 10:07:02 US 2.16.840.1.113883.3.8502 nwhc Nationwide Healthcare Services LLC Joseph Forman masked Joseph Forman 260 Chambers Bridge Road, Brick, NJ 08723 7322622255 masked Director of Information Technology Nationwide Healthcare Services 260 Chambers Bridge Road, Brick, NJ 08723 7322622255 jforman@nationwidehealthcare.com https://nationwidehealthcare.com Provider Int 3 Complete 2019/08/29 12:00:00 2019/08/30 12:00:00 2019/08/30 10:18:19 UV 2.16.840.1.113883.3.8503 wic Colorado WIC Alex Erkenbeck masked Data & Evaluation Manager 4300 Cherry Creek Dr. South, Denver, CO 3036922465 masked Data & Evaluation Manager Colorado WIC 4300 Cherry Creek Dr. South, Denver, CO 3036922465 cdphe_nsbdata@state.co.us Govt body Int 3 Complete 2019/08/29 12:00:00 2019/08/30 12:00:00 2019/08/30 10:26:35 UV 2.16.840.1.113883.3.8504 hG-SF-myUnity Humangood Cynthia Salgado masked Cynthia Salgado 516 Burchett Street Glendale, CA 91203 818-247-0420 masked VP of IT Projects & Application HumanGood Cynthia.Salgado@humangood.org https://www.humangood.org/ Provider Int 3 Complete 2019/08/30 12:00:00 2019/08/30 12:00:00 2019/08/30 10:29:40 UV 2.16.840.1.113883.3.8505 mghpr-aibonito Hospital General Menonita Aibonito OID Emmanuel Miranda masked Daniza Morales PO Box 1650 Cidra, PR 00739-1650 7874341700 masked Chief Information Officer Hospital General Menonita Aibonito Calle Jos&#233; C. V&#225;zquez Aibonito, PR 00705 787-735-8001 dmorales@mghpr.org https://sistemamenonita.com/ Provider Int 3 Complete 2019/08/30 12:00:00 2019/08/30 12:00:00 2023/08/03 10:14:26 UV 2.16.840.1.113883.3.8506 mghpr-caguas Hospital General Menonita Caguas OID Emmanuel Miranda masked Daniza Morales PO Box 1650 Cidra, PR 00739-1650 7874341700 masked Chief Information Officer Hospital Menonita Caguas Urb Turabo Gardens Caguas, PR 00726 787-653-0550 dmorales@mghpr.org https://sistemamenonita.com/ Provider Int 3 Complete 2019/08/30 12:00:00 2019/08/30 12:00:00 2023/08/03 10:15:19 UV 2.16.840.1.113883.3.8507 mghpr-cayey Hospital General Menonita Cayey OID Emmanuel Miranda masked Daniza Morales 7874341700 masked Chief Information Officer Centro M&#233;dico Menonita Cayey Carr 14 Km 72.2 Bo. Rinc&#243;n Sector Lomas Cayey, PR 00737 787-535-1001 dmorales@mghpr.org https://sistemamenonita.com/ Provider Int 3 Complete 2019/08/30 12:00:00 2019/08/30 12:00:00 2023/08/03 10:16:04 UV 2.16.840.1.113883.3.8508 mghpr-guayama Hospital General Menonita Guayama OID Emmanuel Miranda masked Daniza Morales PO Box 1650 Cidra, PR 00739-1650 7874341700 masked Chief Information Officer Hospital Menonita Guayama Ave. Pedro Albizu Campos Urb La Hacienda Guayama, PR 00785 787-864-4300 dmorales@mghpr.org https://sistemamenonita.com/ Provider Int 3 Complete 2019/08/30 12:00:00 2019/08/30 12:00:00 2023/08/03 10:16:56 UV 2.16.840.1.113883.3.8509 fbhsnf Fairport Baptist Homes Greg Powers masked Greg Powers 4646 Nine Mile Point Road Fairport, NY 14450 5853882320 masked COO/Administrator Fairport Baptist Homes 4646 Nine Mile Point Road Fairport, NY 14450 5853882320 gpowers@fbhcm.org Provider Int 3 Complete 2019/09/02 12:00:00 2019/09/06 12:00:00 2019/09/06 09:25:44 UV 2.16.840.1.113883.3.8510 ccoc Crystal Clinic Orthopaedic Center Gregg Zolton masked Gregg Zolton 3925 Embassy Parkway Suite 250 Akron, OH 44333 330-670-4273 masked Chief Information Officer Crystal Clinic Orthopaedic Center 3925 Embassy Parkway Suite 250 Akron, OH 44333 330-668-4040 noc@crystalclinic.com Provider Int 3 Complete 2019/09/03 12:00:00 2019/09/06 12:00:00 2019/09/06 09:34:14 UV 2.16.840.1.113883.3.8511 smphs-ltc-rose-org SMP Health System Lizabeth Letness masked Liz Letness 1351 Broadway N Fargo, ND 58102 701-277-7958 masked Director of Nursing SMP Health System 1351 Broadway N Fargo, ND 58102 701-277-7999 rosewd@smphs.org http://www.rosewoodonbroadway.com Provider Int 3 Complete 2019/09/03 12:00:00 2019/09/06 12:00:00 2019/09/06 09:37:30 UV 2.16.840.1.113883.3.8512 vadodhie VA/DoD Joint HIE Cindy Pan masked Cindy Pan 2661 Imperial Ave San Diego, CA 92102 619-806-1739 masked VHIE Exchange Partner & Network Program Manager Joint VA/DoD HIE cindy.pan@va.gov Govt body Int 3 Complete 2019/09/05 12:00:00 2019/09/06 12:00:00 2019/09/06 09:46:09 UV 2.16.840.1.113883.3.8513 ghcm GHCM PCC TO CAREPORT Ray Benegas masked Ray Benegas Director IT - Healthcare Greystone Healthcare Management 4042 Park Oaks Blvd., Suite 300 Tampa, FL 33610 813-675-2315 masked Director IT - Healthcare Greystone Healthcare Management Director IT - Healthcare Greystone Healthcare Management 4042 Park Oaks Blvd., Suite 300 Tampa, FL 33610 813-675-2315 ray.benegas@greyco.com https://www.greystonehealth.com Provider Int 3 Complete 2019/09/05 12:00:00 2019/09/06 12:00:00 2019/09/06 09:52:13 UV 2.16.840.1.113883.3.8514 crcc Children's Respite Care Center Lora Bogatz masked Lora Bogatz 5321 s 138th st. Omaha, NE 68134 402-895-4000 masked Director of Nursing Children's Respite Care Center 5321 s 138th st Omaha, NE 68134 402-895-4000 lbogatz@crccomaha.org Provider Int 3 Complete 2019/09/05 12:00:00 2019/09/06 12:00:00 2019/09/06 10:22:18 UV 2.16.840.1.113883.3.8515 vrc VRC Management, Inc Michael Daczko masked Michael Daczko VRC Management 405 Tallmadge Rd Cuyahoga Falls, Ohio 44221 330-920-6494 masked IT Director VRC Management 405 Tallmadge Rd Cuyahoga Falls, Ohio 44221 330-920-6472 CHerchenroeder@vrcmgmt.net Provider Int 3 Complete 2019/09/06 12:00:00 2019/09/06 12:00:00 2019/09/06 10:30:33 UV 2.16.840.1.113883.3.8516 east-peds EASTERN PEDIATRICS PC Gabriel Agbim masked Maria Reyes 1140 EASTERN PARKWAY BROOKLYN, NY 11213 7182210333 masked OFFICE MANAGER EASTERN PEDIATRICS PC 1140 EASTERN PARKWAY BROOKLYN, NY 11213 7182210333 officemanager@easternpediatricsny.com https://www.easternpediatricsny.com Provider Int 3 Complete 2019/09/06 12:00:00 2019/09/06 12:00:00 2019/09/06 10:34:34 UV 2.16.840.1.113883.3.8517 milicent Midlands Living Center LLC Steven Chamley masked Steven Chamley 2452 North Broadway Council Bluffs, IA 51503 712-323-7135 masked Administrator Midlands Living Center 2452 North Broadway Council Bluffs, IA 51503 7123237135 schamley@midlandslivingcenter.com https://www.midlandslivingcenter.com Provider Int 3 Complete 2019/09/06 12:00:00 2019/09/06 12:00:00 2019/09/06 10:44:21 UV 2.16.840.1.113883.3.8518 mvnh Maple Valley Nursing Home of Maple City, Inc. Misty Porter masked Misty Porter 1086 W Burdickville Rd. Maple City, MI 49664 231-228-5895 masked Account, CFO Maple Valley Nursing Home of Maple City, Inc. 1086 W Burdickville Rd. Maple City, MI 49664 231-228-5895 info@mvnh.org Provider Int 3 Complete 2019/09/06 12:00:00 2019/09/06 12:00:00 2019/09/06 10:47:35 UV 2.16.840.1.113883.3.8519 dRMG Doughty&Ryzova Medical Group, PC Yekaterina Ryzova-Vaysman masked Yekaterina Ryzova-Vaysman 207 Hallock Rd #106 Stony Brook, NY 11790 6316896226 masked physician/cfo/owner Doughty&Ryzova Medical Group, PC 207 Hallock RD #107 Stony Brook, NY 11790 6316896226 friendlymedical@optonline.net Provider Int 3 Complete 2019/09/06 12:00:00 2019/09/06 12:00:00 2019/09/06 10:54:44 UV 2.16.840.1.113883.3.8520 bca Bridge Counseling Associates Jim Clinton masked Jim Clinton 1640 Alta Dr #4 Las Vegas, NV 89106 702-474-6450 masked CFO Bridge Counseling Associates 1640 Alta Dr #4 Las Vegas, NV 89106 702-474-6450 info@bcalv.com https://bridgecounseling.org/ Provider Int 3 Complete 2019/09/06 12:00:00 2019/09/06 12:00:00 2019/09/06 11:03:07 UV 2.16.840.1.113883.3.8521 fid Fidelis Care Michael Coppa masked Michael Coppa 2501 Jackson Avenue Long Island City, NY 11101 718-906-0868 masked Director, IT Fidelis Care 2501 Jackson Avenue Long Island City, NY 11101 718-906-0868 mcoppa@fideliscare.org https://www.fideliscare.org/ Payor Int 3 Complete 2019/09/06 12:00:00 2019/09/06 12:00:00 2019/09/06 11:09:48 UV 2.16.840.1.113883.3.8522 fsogf Friendship Senior Options-GreenFields Anthony Rizzato masked Anthony Rizzato 630-578-7945 masked Friendship Senior Options-GreenFields ON801 Friendship Way, Geneva, Il 60134 630-578-6600 tony.rizzato@myFSO.org Provider Int 3 Complete 2019/09/06 12:00:00 2019/09/06 12:00:00 2019/09/06 11:18:42 UV 2.16.840.1.113883.3.8523 soundmind Soundmind Inc. Dave Rubin masked Dave Rubin Soundmind Inc. 713 Classon Avenue Brooklyn, NY 11238 3476788365 masked Chief Technology Officer Soundmind Inc. 713 Classon Avenue Brooklyn, NY 11238 3476788365 info@soundmindinc.com https://www.soundmindinc.com Vendor Int 3 Complete 2019/09/09 12:00:00 2019/09/11 12:00:00 2019/09/11 08:39:27 UV 2.16.840.1.113883.3.8524 hhpeds Healing Hearts Pediatrics Vilma Rivera masked Ellie Ellicott 595 N Dobson Road, Ste A18 Chandler, AZ 85224 4808211400 masked Administrator Healing Hearts Pediatrics 595 N Dobson Road, Ste A18 Chandler, AZ 85224 4808211400 Ellie.EllicottGooch@zarminali.com https://www.healingheartspeds.com Provider Int 3 Complete 2019/09/09 12:00:00 2019/09/11 12:00:00 2026/07/17 05:00:27 UV 2.16.840.1.113883.3.5027.6.2 nhsncda Commonwealth Informatics software to generate, submit, and track CDA documents for CDC NHSN Bob Zambarano masked Don Kacher (dkacher@commoninf.com Don Kacher 307 Waverley Oaks Road Suite 201 Waltham, MA 02452 +1 781 328 1743 masked Project Manager Commonwealth Informatics 307 Waverley Oaks Road Suite 201 Waltham, MA 02452 +1 781 328 1743 info@commoninf.com http://www.commoninf.com Vendor 2.16.840.1.113883.3.5027 Ext 17 Complete 2.16.840.1.113883.3.5027.6.2 2019/09/10 12:00:00 2019/09/11 12:00:00 2019/09/11 08:54:44 UV 2.16.840.1.113883.3.8525 cbh Colonial Behavioral Health Root OID Kari Traver masked Kari Traver 1657 Merrimac Trail Williamsburg, VA 23185 757-220-3200 masked Director of Information Services Colonial Behavioral Health 1657 Merrimac Trail Williamsburg, VA 23185 757-220-3200 mis@colonialbh.org https://www.colonialbh.org Provider Int 3 Complete 2019/09/10 12:00:00 2019/09/11 12:00:00 2019/09/11 08:45:40 UV 2.16.840.1.113883.3.8526 ohit-oha-organization-identifier-root Office of Health IT - Oregon Health Authority - Organization Identifier Root Jason Miranda masked Karen Hale 500 Summer Street, NE Salem, OR 97301-1097 503-931-6946 masked Lead HIT and CEHRT Policy Analyst Office of Health Information Technology - Oregon Health Authority 500 Summer Street, NE Salem, OR 97301-1097 503-931-6946 karen.hale@dhsoha.state.or.us https://www.oregon.gov/oha/HPA/OHIT/Pages/index.aspx Govt body Int 3 Complete 2019/09/10 12:00:00 2019/09/11 12:00:00 2021/07/07 11:36:24 UV 2.16.840.1.113883.3.8527 KYIR Kentucky Immunization Information System Elizabeth Owens masked Eduardo A Ballestero Kentucky Immunization Registry Electronic Records Information Systems Branch Office of Application Technology Services Cabinet for Health and Family Services 275 E. Main Street, 4E-A Frankfort, KY 40621 502-564-0038 masked Project Manager Cabinet for Health and Family Services - Immunization Branch Kentucky Immunization Branch Division of Epidemiology and Health Planning Department for Public Health Cabinet for Health and Family Services 275 E. Main Street, 4E-A Frankfort, KY 40621 502-564-0038 CHFSOATSKIR@KY.GOV https://www.chfs.ky.gov/agencies/os/oats/Pages/kir.aspx Govt body Int 3 Complete 2019/09/11 12:00:00 2019/09/11 12:00:00 2025/08/15 11:20:35 US 2.16.840.1.113883.3.8528 lutherwoods Luther Woods Nursing & Rehabilitation Center Kim Kieffer masked Terri Costa, RN, NHA Luther Woods 313 W. County Line Rd. Hatboro, PA 19040 267-576-3960 masked Administrator Luther Woods Luther Woods 313 W. County Line Rd. Hatboro, PA 19040 215-675-5005 tcosta@lutherwoods.org http://www.lutherwoods.org Provider Int 3 Complete 2019/09/11 12:00:00 2019/09/11 12:00:00 2019/09/11 09:05:41 UV 2.16.840.1.113883.3.8529 lifecook LifeStream Cook Health Care Nina Louis masked Nina Louis 11527 W Peoria Ave Youngtown, AZ 85363 623-933-4683 masked Executive Director of Healthcare Services LifeStream at Cook Health Care 11527 W Peoria Ave Youngtown, AZ 85363 (623) 933-4683 NLouis@lifestreamliving.com https://www.lifestreamliving.com/ Provider Int 3 Complete 2019/09/11 12:00:00 2019/09/11 12:00:00 2019/09/11 09:14:07 UV 2.16.840.1.113883.17.4267 pr-HDLC Hospital de la Concepcion Juan Caban masked gpadilla@hospitalconcepcion.org Juan Caban PO BOX 285 SAN GERMAN, PR 00683 7874534651 masked IT Director Hospital de la Concepcion PO BOX 285 SAN GERMAN, PR 00683 7878921860 jcaban@hospitalconcepcion.org https://hospitaldelaconcepcion.com Provider Int 17 Complete 2019/09/12 12:00:00 2019/09/13 12:00:00 2019/09/13 09:03:00 UV 2.16.840.1.113883.3.8530 x660-09-2019 DBHDS HL7 OID Angel Lucena masked Angel Lucena 7177253824 masked Integration Architect Department of Behavioral Health and Developmental Services 1220 Bank St Richmond, VA 23219 8043877828 Angel.Lucena@dbhds.virginia.gov Govt body Int 3 Complete 2019/09/12 12:00:00 2019/09/13 12:00:00 2019/09/13 09:06:33 UV 2.16.840.1.113883.3.8531 ensg Ensign Services Tyler Douglas masked Tyler Douglas 29222 Rancho Viejo Rd Suite 112 San Juan Capistrano, CA 92675 9492852511 masked CIO Ensign Services 29222 Rancho Viejo Rd Suite 112 San Juan Capistrano, CA 92675 949-487-9500 tdouglas@ensignservices.net Provider Int 3 Complete 2019/09/13 12:00:00 2019/09/13 12:00:00 2019/09/13 09:22:02 UV 2.16.840.1.113883.3.8532 tmcaz Total Medical Care Arizona Ahmad Qasimyar masked Ahmad Qasimyar 5048 W Northern Ave, suite 106 Glendale, AZ 85301 6234350190 masked Medical Director Total Medical Care 5048 W Northern Ave, Suite 106 Glendale, AZ 85301 6234350190 tmc5048bill@live.com https://www.walkin-care.com Provider Int 3 Complete 2019/09/13 12:00:00 2019/09/13 12:00:00 2019/09/13 09:25:30 UV 2.16.840.1.113883.3.8533 adss Advanced Dermatology and Skin Surgery Wendy Stoehr masked Wendy Stoehr 1807 N Hutchinson Road Spokane, WA 99212 509-456-7414 masked Practice Administrator Advanced Dermatology & Skin Surgery 1807 N Hutchinson Rd Spokane, WA 99212 509-456-7414 wendys@advancederm.net http://www.advancederm.net Provider Int 3 Complete 2019/09/13 12:00:00 2019/09/13 12:00:00 2019/09/13 09:30:43 UV 2.16.840.1.113883.3.8534 assv Ascension Seton Smithville Gregory Homier masked Cheryl Griffin Cheryl Griffin 101 South Hanley Rd., Suite 450 St. Louis, MO 63105 918-744-2182 masked Technology Manager Ascension Seton Smithville 101 South Hanley Rd., Suite 450 St. Louis, MO 63105 918-744-2182 cheryl.griffin@ascension.org http://ascension.org Provider Int 3 Complete 2019/09/16 12:00:00 2019/09/17 12:00:00 2019/09/17 08:53:43 UV 2.16.840.1.113883.3.8535 asb Ascension Seton Bastrop Gregory Homier masked Cheryl Griffin Cheryl Griffin 101 South Hanley Rd., Suite 450 St. Louis, MO 63105 918-744-2182 masked Technology Manager Ascension Seton Bastrop Hospital 101 South Hanley Rd., Suite 450 St. Louis, MO 63105 918-744-2182 cheryl.griffin@ascension.org http://ascension.org Provider Int 3 Complete 2019/09/16 12:00:00 2019/09/17 12:00:00 2019/09/17 08:57:44 UV 2.16.840.1.113883.3.8536 bedrockcare Bed Rock Care Amy Hornberger masked Amy Hornberger 1600 Black Rock Road Royersford, PA 19468 5704123112 masked Senior Director, Network Contracting Bed Rock Care 1600 Black Rock Road Royersford, PA 19468 5704123112 ahornberger@bedrockcare.com Provider Int 3 Complete 2019/09/16 12:00:00 2019/09/17 12:00:00 2019/09/17 09:00:16 UV 2.16.840.1.113883.3.8537 ecumen Ecumen John Oliver masked John Oliver 3530 Lexington Ave N, Shoreview, MN 55126 651-766-4382 masked Sr. Director Business Solutions Ecumen 3530 Lexington Ave N, Shoreview, MN 55126 651-766- 4300 support@ecumen.org Provider Int 3 Complete 2019/09/16 12:00:00 2019/09/17 12:00:00 2019/09/17 09:09:40 UV 2.16.840.1.113883.3.8538 srhh Santa Rita Home Health Amy Malkin masked Amy Malkin 150 N. La Canada Drive Green Valley, AZ 85614 (520) 230-4529 masked Chief Operating Officer Santa Rita Home Health 150 N. La Canada Drive Green Valley, AZ 85614 (520) 625-0178 Amy@santaritacare.com https://www.santaritacare.com Provider Int 3 Complete 2019/09/17 12:00:00 2019/09/17 12:00:00 2019/09/17 09:17:16 UV 2.16.840.1.113883.3.8539 srnrc Santa Rita Nursing & Rehabilitation Center Amy Malkin masked Amy Malkin 150 N. La Canada Drive Green Valley, AZ 85614 (520) 230-4529 masked Chief Operating Officer Santa Rita Nursing & Rehabilitation Center 150 N. La Canada Drive Green Valley, AZ 85614 (520) 625-0178 Amy@santaritacare.com https://www.santaritacare.com Provider Int 3 Complete 2019/09/17 12:00:00 2019/09/17 12:00:00 2019/09/17 09:25:35 UV 2.16.840.1.113883.3.8540 dsamh-dpc Delaware Psychiatric Center (DSAMH) Sean Miller masked Sean Miller 302-255-9407 masked Chief of Informatics Delaware Psychiatric Center (DSAMH) 1901 North DuPont Highway New Castle, DE 19720 302-255-9407 sean.miller@delaware.gov Govt body Int 3 Complete 2019/09/18 12:00:00 2019/09/22 12:00:00 2019/09/22 11:26:21 US 2.16.840.1.113883.3.8541 shg Saber Healthcare Group Curtis McEwen masked curtis.mcewen@gmail.com Curtis McEwen 26691 Richmond Road Bedford Hts, OH 44146 2162925706 masked Director, Information Services Saber Healthcare Group 26691 Richmond Road Bedford Hts, OH 44146 2162925706 curtis.mcewen@saberhealth.com https://www.saberhealth.com Provider Int 3 Complete 2019/09/18 12:00:00 2019/09/22 12:00:00 2019/09/22 11:30:58 UV 2.16.840.1.113883.3.8542 ahc-ILBCBSEPOTM Advocate Aurora Health Care-ILBCBSEPOTM Eric Kinzle masked Eric Kinzle 630-575-3338 masked Advocate Aurora Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3338 eric.kinzle@advocatehealth.com Provider Int 3 Complete 2019/09/25 12:00:00 2019/09/25 12:00:00 2019/09/25 11:00:26 UV 2.16.840.1.113883.3.8543 ahc-ILHLTHALLITM Advocate Aurora Health Care-ILHLTHALLITM Eric Kinzle masked Eric Kinzle 630-575-3338 masked Advocate Aurora Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3338 eric.kinzle@advocatehealth.com Provider Int 3 Complete 2019/09/25 12:00:00 2019/09/25 12:00:00 2019/09/25 11:23:51 UV 2.16.840.1.113883.3.8544 parkwaypeds Parkway Pediatric and Adolescent Medicine, LLC Paul Burke masked Paul Burke 353 Island Cottage Road Rochester, NY 14612 585-259-4528 masked Practice Manager Parkway Pediatric and Adolescent Medicine, LLC 353 Island Cottage Road Rochester, NY 14612 1-585-225-2610 parkwaypeds@rochester.rr.com http://www.parkwaypeds.com Provider Int 3 Complete 2019/09/26 12:00:00 2019/09/26 12:00:00 2019/09/26 11:37:29 UV 2.16.840.1.113883.3.8545 wilmamed Hospital Wilma N Vazquez Juan Gonzalez masked Juan L Gonzalez Call Box 7001, Vega Baja PR 00694 939-226-3932 masked IT Manager INSTITUTO MEDICO DEL NORTE INC Km 39 Hm 5 Rr2, Vega Baja PR 00693 787-858-1580 admin@wilmamed.com Provider Int 3 Complete 2019/09/26 12:00:00 2019/09/27 12:00:00 2019/09/27 12:10:58 UV 2.16.840.1.113883.3.8546 fhchha Fort Hudson Certified Home Health Agency, Inc. John Coburn masked Erika Swenton 319 Broadway Fort Edward, NY 12828 (518) 747-2811 masked Director Fort Hudson Certified Home Health Agency, Inc. 319 Broadway Fort Edward, NY 12828 (518) 747-2811 eswenton@forthudson.com http://www.forthudson.com Provider Int 3 Complete 2019/09/27 12:00:00 2019/10/02 12:00:00 2019/10/02 09:11:07 UV 2.16.840.1.113883.3.8547 cchc-inc Christian Care Health Center Naomi McMillan masked Naomi McMillan 11812 N 19th Avenue Phoenix, AZ 85029 602-443-5412 masked Christian Care Health Center 11812 N 19th Avenue Phoenix, AZ 85029 602-443-5447 Naomi.McMillan@christiancare.org Provider Int 3 Complete 2019/09/30 12:00:00 2019/10/02 12:00:00 2019/10/02 09:15:27 UV 2.16.840.1.113883.3.8548 ompmso Optum Medical Group MSO Shelley Ray masked Shelley Ray 8655 South Eastern Avenue, Las Vegas, NV 89123 7028770814 masked analyst Optum Medical Group MSO 8655 South Eastern Avenue, Las Vegas, NV 89123 7028770814 sray@OptumMSO.com https://optum.com Provider Int 3 Complete 2019/10/01 12:00:00 2019/10/02 12:00:00 2019/10/02 09:20:27 UV 2.16.840.1.113883.3.567.14.1 fdbOrdMedID fdb Orderable Medication ID George Robinson masked bnguyen@fdbhealth.com George Robinson 500 East 96th Street Suite 500 Indianapolis, IN 46240 3175717390 masked Sr Product Manager First Databank, Inc. 701 Gateway Blvd., Ste 600 South San Francisco, CA 94080 6505885454 cs@fdbhealth.com https://www.fdbhealth.com/ Vendor 2.16.840.1.113883.3.567 Ext 15 Complete 2.16.840.1.113883.3.567.14.1 2019/10/01 12:00:00 2019/10/02 12:00:00 2019/10/02 09:31:45 UV 2.16.840.1.113883.3.567.14.2 fdbOrdNameID fdb Orderable Name ID George Robinson masked bnguyen@fdbhealth.com George Robinson 500 E 96th Street Suite 500 Indianapolis, IN 46240 3175717390 masked Senior Product Manager First Databank, Inc. 701 Gateway Blvd., Ste 600 South San Francisco, CA 94080 6505885454 cs@fdbhealth.com https://www.fdbhealth.com/ Vendor 2.16.840.1.113883.3.567 Ext 15 Complete 2.16.840.1.113883.3.567.14.2 2019/10/01 12:00:00 2019/10/02 12:00:00 2019/10/02 09:33:02 UV 2.16.840.1.113883.17.4268 ds-smart Direct Supply DSSmart Rick Miller masked Rick Miller 6767 N Industrial Rd Milwaukee, WI 53223 4147605539 masked Platform Director Direct Supply 6767 N Industrial Rd Milwaukee, WI 53223 4147605539 rick.miller@directsupply.com https://www.directsupply.com/ Vendor Int 17 Complete 2019/10/01 12:00:00 2019/10/02 12:00:00 2019/10/02 09:36:05 UV 2.16.840.1.113883.3.8549 care-innovations Care Innovations Jason Smith masked Jason Smith 950 Iron Point Rd Ste 160 Folsom, CA 95630-9304 United States +1-855-885-2273 masked Director of Product Development Care Innovations, LLC 950 Iron Point Rd Ste 160 Folsom, CA 95630-9304 United States +1-855-885-2273 support@careinnovations.com https://www.careinnovations.com Vendor Int 3 Complete 2019/10/01 12:00:00 2019/10/02 12:00:00 2019/10/02 09:43:05 UV 2.16.840.1.113883.17.4269 fhplfmsd PHMG Fairhaven Plaza Family Medicine Same Day Ronald Blatch masked Ronald Blatch 5412226856 masked PeaceHealth Medical Group 3125 Old Fairhaven Parkway Suite 106 Bellingham, WA 98225 360-788-8388 thurrle@peacehealth.org Provider Int 17 Complete 2019/10/01 12:00:00 2019/10/02 12:00:00 2019/10/02 10:14:43 UV 2.16.840.1.113883.17.4270 unstfmcamas PHMG Family Medicine Same Day Care Union Station Ronald Blatch masked Ronald Blatch 541-222-6856 masked PeaceHealth Medical Group 315 NE 192nd Avenue Building 3, Suite 310 Camas, Vancouver 98607 360-735-8100 rtaylor@peacehealth.org Provider Int 17 Complete 2019/10/01 12:00:00 2019/10/02 12:00:00 2019/10/02 10:31:17 UV 2.16.840.1.113883.3.8550 mrh-ne Madonna Rehabilitation Hospital Brandon Luethke masked Brandon Luethke (402) 413-4446 masked Director of Hospital Applications Madonna Rehabilitation Hospital 5401 South St Lincoln, NE 68506 (402) 413-3000 bluethke@madonna.org http://www.madonna.org Provider Int 3 Complete 2019/10/02 12:00:00 2019/10/02 12:00:00 2019/10/02 10:35:43 UV 2.16.840.1.113883.3.8551 cmedpc Caremed Primary and Urgent Care PC Javaid Farooq masked Javaid Farooq 1 E Roe Blvd, Patchogue, NY 11772 6316977945 masked COO Caremed Primary and Urgent Care PC 1 E Roe Blvd, Patchogue, NY 11772 6316981111 jfarooq@caremedpc.com https://caremedpc.com/ Provider Int 3 Complete 2019/10/03 12:00:00 2019/10/03 12:00:00 2019/10/03 11:47:00 UV 2.16.840.1.113883.3.8552 nyc-CHS NYC Correctional Health Services Jeffrey Herrera masked Jessica Laboy Jessica Laboy NYC Health+Hospitals, CHS Jessica Laboy, AVP CHS 55 Water Street, 18th floor New York, NY 10041 646-614-0142 masked Assistant Vice President, Executive Administration NYC Correctional Health Services NYC Health+Hospitals, CHS 55 Water Street, 18th floor New York, NY 10041 347-774-7000 CHSCommunications@nychhc.org https://www.nychealthandhospitals.org/correctionalhealthservices/ Govt body Int 3 Complete 2019/10/07 12:00:00 2019/10/18 12:00:00 2019/10/18 09:09:10 UV 2.16.840.1.113883.3.8553 lspm Lone Star Pain Medicine Leslie Stark masked Leslie Stark 817-598-8253 masked Lone Star Pain Medicine 907 E Eureka St Ste B Weatherford, TX 76086 8175994901 https://lonestarpain.com Provider Int 3 Complete 2019/10/08 12:00:00 2019/10/18 12:00:00 2019/10/18 09:13:04 UV 2.16.840.1.113883.3.8554 spcc SouthPoint Cancer Center Meaghan Lutz masked Meaghan Lutz 7017 A C Skinner Parkway Jacksonville, FL 32256 904-520-6800 masked Controller SouthPoint Cancer Center 7017 A C Skinner Parkway Jacksonville, FL 32256 904-520-6800 mlutz@terkoncology.com Provider Int 3 Complete 2019/10/09 12:00:00 2019/10/18 12:00:00 2019/10/18 09:15:28 UV 2.16.840.1.113883.3.8555 helios HELIOS - VirtualHealth Gregory Mahony masked Gregory Mahony 115 5th Ave, New York, NY 10003 (646) 690-8207 masked Director, Product Deployment HELIOS - VirtualHealth 115 5th Ave, New York, NY 10003 (646) 690-8207 operations@virtualhealth.com Vendor Int 3 Complete 2019/10/09 12:00:00 2019/10/18 12:00:00 2019/10/18 09:26:42 UV 2.16.840.1.113883.3.8556 em-HD Eastland Memorial Hospital District Lana McCain masked Lana McCain Eastland Memorial Hospital District 304 S Daugherty Street Eastland, TX 76448 254-631-5355 masked Business Office Manager Eastland Memorial Hospital District 304 S Daugherty Street Eastland, TX 76448 254-629-2601 lana.mccain@emhd.org http://www.eastlandmemorial.com/ Provider Int 3 Complete 2019/10/11 12:00:00 2019/10/18 12:00:00 2019/10/18 09:48:00 UV 2.16.840.1.113883.3.8557 rapc Radiology Associates, PC Traci Corbin masked Traci Corbin 7601 Pioneers Blvd Lincoln, NE 68506 402-484-4839 masked Manager of ITS Radiology Associates PC 7601 Pioneers Blvd Lincoln, NE 68506 402-484-6677 tcorbin@amimaging.com https://amimaging.com Provider Int 3 Complete 2019/10/11 12:00:00 2019/10/18 12:00:00 2019/10/18 09:49:53 UV 2.16.840.1.113883.3.8558 sdhealthconnect San Diego Health Connect Nicholas Hess masked services@sdhealthconnect.org Nicholas Hess 8588481650 masked San Diego Health Connect 8588481650 info@sdhealthconnect.org http://www.sdhealthconnect.org Exchange Int 3 Complete 2019/10/15 12:00:00 2019/10/18 12:00:00 2026/02/19 12:19:29 UV 2.16.840.1.113883.3.8559 sleepyeye Sleepy Eye Medical Center Mark Sandvick masked Sara Schultz Sara Schultz 507-794-8459 masked Sleepy Eye Medical Center 400 4th Avenue NW Sleepy Eye, MN 56085 507-794-3691 sschultz@semedicalcenter.org http://www.semedicalcenter.org Provider Int 3 Complete 2019/10/16 12:00:00 2019/10/18 12:00:00 2019/10/18 09:55:32 UV 2.16.840.1.113883.3.8560 hgh-cdgccd Clinical Document Generator and Continuity of Care Document Sandi Lehman masked Sandi Lehman 118 E Haskell Street Winnemucca, NV 89445 775-623-5222 masked Chief Financial Officer Humboldt General Hospital 118 E Haskell Street Winnemucca, NV 89445 775-623-5222 lehmans@hghospital.org https://www.hghospital.org Provider Int 3 Complete 2019/10/16 12:00:00 2019/10/18 12:00:00 2019/10/18 10:02:27 UV 2.16.840.1.113883.3.8561 phn The Primary Health Network Molly Kapusta masked Molly Kapusta 62 East State Street Sharon, PA 16146 724-342-3150 ext 428 masked Executive Director of Informatics The Primary Health Network 63 Pitt Street Sharon, PA 16146 7243423200 records@primary-health.net https://primary-health.net/ Provider Int 3 Complete 2019/10/17 12:00:00 2019/10/18 12:00:00 2019/10/18 10:04:12 UV 2.16.840.1.113883.3.8562 nikkb Nordisk Institut for Kiropraktik og Klinisk Biomekanik Jan Dohrmann masked Jan Dohrmann +45 61 28 98 04 masked Nordisk Institut for Kiropraktik og Klinisk Biomekanik Syddansk Universitet Campusvej 55 DK-5230 Odense M +45 6550 4523 h.wulff@nikkb.dk http://www.nikkb.dk Provider Int 3 Complete 2019/10/21 12:00:00 2019/10/22 12:00:00 2019/10/22 10:10:06 UV 2.16.840.1.113883.3.8563 sbcdph San Bernardino County Public Health Raul Fierros masked Raul Fierros 172 W 3rd st, Sixth Floor San Bernardino, CA 92415-0010 909-387-9140 masked Business Systems Analyst II San Bernardino County Public Health 172 W 3rd st, Sixth Floor San Bernardino, CA 92415-0010 EHIP@dph.sbcounty.gov Provider Int 3 Complete 2019/10/21 12:00:00 2019/10/22 12:00:00 2019/10/22 10:12:50 UV 2.16.840.1.113883.3.8564 yaph1978 Youth Action YouthBuild Robert Taylor masked Amanda Guzman 206 East 118th Street New York, NY 10035 212-860-8170 ext. 39 masked Program Director Youth Action YouthBuild 206 East 118th Street New York, NY 10035 212-860-8170 ext. 39 aguzman@yayb.org https://www.youthaction.nyc/ Vendor Int 3 Complete 2019/10/21 12:00:00 2019/10/22 12:00:00 2019/10/22 10:26:36 UV 2.16.840.1.113883.3.8565 napacounty-HHSA County of Napa Health and Human Services Agency Carolina Harry masked carolina.harry@countyofnapa.org 2751 Napa Valley Corporate Drive Napa, CA 94558 707-299-2116 masked Application Support Team Manager County of Napa Health and Human Services Agency 2751 Napa Valley Corporate Drive Napa, CA 94558 707-253-4279 carolina.harry@countyofnapa.org http://www.countyofnapa.org Govt body Int 3 Complete 2019/10/21 12:00:00 2019/10/22 12:00:00 2019/10/22 10:29:50 UV 2.16.840.1.113883.3.8566 referal-hnh Hillcrest Nursing Home Melissa Weiss masked Melissa Weiss 309 West 7th St. McCook, NE 69001 308-737-0633 masked socialservice director Hillcrest Nursing Home 309 West 7th St. McCook, NE 69001 308-345-4600 socialservice@hillcrestnh.org https://hillcrestnh.org/ Provider Int 3 Complete 2019/10/21 12:00:00 2019/10/22 12:00:00 2019/10/22 11:30:27 UV 2.16.840.1.113883.17.4271 bfp1 Bellevue Family Practice Rachel Pridham masked Rachel Pridham 2206 Longo Dr Suite 201 Bellevue, NE 68005 4022922335 masked Radiology/Lab Manager Bellevue Family Practice 2206 Longo Dr Suite 201 Bellevue, NE 68005 4022929170 trojo@bfpdocs.com Provider Int 17 Complete 2019/10/22 12:00:00 2019/10/22 12:00:00 2019/10/22 05:19:18 UV 2.16.840.1.113883.3.8567 mmh-medina Medina Memorial Hospital Marc Shurtz masked Marc Shurtz 200 Ohio St Medina, NY 14103 5857988069 masked Orleans Community Health 200 Ohio St Medina, NY 14103 5857988069 mshurtz@medinamemorial.org Provider Int 3 Complete 2019/10/23 12:00:00 2019/10/23 12:00:00 2019/10/23 05:37:54 UV 2.16.840.1.113883.3.8568 ppcp Preferred Primary Care Physicians Briana O'Malley masked Briana O'Malley Manor Oak Two 1910 Cochran Rd Suite 490 Pittsburgh, PA 15220 4125312902x143 masked Director, Clinical Informatics Preferred Primary Care Physicians Manor Oak Two 1910 Cochran Rd Suite 490 Pittsburgh, PA 15220 4125312902 bomalley@ppcp.org https://www.ppcp.org/ Provider Int 3 Complete 2019/10/23 12:00:00 2019/10/23 12:00:00 2019/10/23 05:42:10 UV 2.16.840.1.113883.3.8569 selhc Select Home Care Nicole Sturdivant masked Nicole Sturdivant 3014 N. Hayden Road, Suite 107 Scottsdale, AZ 85251 (480) 946-2233 masked Operations Manager Select Home Care 3014 N. Hayden Road, Suite 107 Scottsdale, AZ 85251 (480) 946-2233 nicolesturdivant@selecthcaz.com https://www.selecthcaz.com/ Provider Int 3 Complete 2019/10/23 12:00:00 2019/10/23 12:00:00 2019/10/23 05:44:44 UV 2.16.840.1.113883.3.8570 lakedistrict Lake District Hospital OID Diana Trechter masked Diana Trechter Lake District Hospital 700 South J Street Lakeview, Oregon 97630 541-947-2114 ext. 345 masked Lake District Hospital 700 South J Street Lakeview, Oregon 97630 541-947-2114 dtrechter@lakehealthdistrict.org Provider Int 3 Complete 2019/10/28 12:00:00 2019/10/30 12:00:00 2019/10/30 09:42:48 UV 2.16.840.1.113883.17.4272 ne-medicaid Nebraska Medicaid Program Andy Scherer masked Andy Scherer Golds Building Ste 450 1033 O Street Lincoln, NE 68508 402-471-7526 masked MMIS Supervisor Nebraska Medicaid dhhs.mmisprodsupport@nebraska.gov http://dhhs.ne.gov Govt body Int 17 Complete 2019/10/28 12:00:00 2019/10/30 12:00:00 2019/10/30 09:48:05 US 2.16.840.1.113883.3.8571 warrencountyOID Warren County Health Services J'nelle Oxford masked Ginelle Jones 1340 State Route 9, Lake George, NY 12845 518-761-6580 masked Director Warren County Health Services 1340 State Route 9, Lake George, NY 12845 5187616580 jonesg@warrencountyny.gov https://warrencountyny.gov/healthservices/ Govt body Int 3 Complete 2019/10/29 12:00:00 2019/10/30 12:00:00 2019/10/30 09:57:48 UV 2.16.840.1.113883.3.8572 ckhs Crozer Keystone Health System Susan Adami masked Susan Adami 484-467-2062 masked IT Director Crozer Keystone Health System one medical center blvd Upland, PA 19013 610-447-2000 susan.adami@crozer.org Provider Int 3 Complete 2019/10/30 12:00:00 2019/10/30 12:00:00 2019/10/30 10:05:55 UV 2.16.840.1.113883.3.8573 kingsview Kings View Bill Dollar masked Bill Dollar 7170 N Financial Drive # 110 Fresno, CA 93720 559-256-7625 masked CIO Kings View 7170 N Financial Drive # 110 Fresno, CA 93720 559-256-0100 bdollar@kingsview.org https://kingsview.org Provider Int 3 Complete 2019/10/30 12:00:00 2019/10/30 12:00:00 2019/10/30 10:13:30 UV 2.16.840.1.113883.3.8574 aas Allergy & Asthma Specialists PC Sharon Ott masked Sharon Ott 610-825-5800 masked Operations Mgr Allergy & Asthma Specialists PC 470 Sentry Pkwy East Suite 200 Blue Bell, PA 19422 610-825-5800 sott@allergypc.com http://www.AllergyAndAsthmaWellness.com Provider Int 3 Complete 2019/10/31 12:00:00 2019/10/31 12:00:00 2019/10/31 10:43:56 UV 2.16.840.1.113883.3.8575 paho Pawhuska Hospital Inc Loren Quiram masked Jason McBride 1101 E 15th Street Pawhuska, OK 74056 9182873232 masked Administrator Pawhuska Hospital Inc 1101 E 15th Street Pawhuska, OK 74056 9182873232 jmcbride@chmcok.com http://www.pawhuskahospital.com Provider Int 3 Complete 2019/10/31 12:00:00 2019/10/31 12:00:00 2024/07/24 04:12:18 UV 2.16.840.1.113883.3.8576 mib MIB OID Kelly Depew masked Carlos Ruiz 781-751-6000 masked Principal Engineer MIB, Inc 50 Braintree Hill Office Park Braintree, MA 02164 781-751-6000 cruiz@mib.com Vendor Int 3 Complete 2019/11/01 12:00:00 2019/11/07 12:00:00 2025/09/12 08:29:51 UV 2.16.840.1.113883.3.8577 patient-pattern Patient Pattern Brett Kellgren masked John Brian Slater Brett Kellgren C/O Patient Pattern 701 Ellicott St Buffalo, NY 14203 2122011212 masked Chief Technology Officer Patient Pattern C/O Patient Pattern 701 Ellicott St Buffalo, NY 14203 2122011212 info@patientpattern.com https://patientpattern.com Vendor Int 3 Complete 2019/11/05 12:00:00 2019/11/07 12:00:00 2019/11/07 08:46:35 UV 2.16.840.1.113883.3.8578 ydhc Yuma District Hospital Keith Lauer masked Keith Lauer 1000 W. 8th Ave, Yuma, CO 80759 970-848-4772 masked CISSO/IT Director Yuma District Hospital 1000 W. 8th Ave, Yuma, CO 80759 970-848-5405 klauer@yumahospital.org http://yumahospital.org Provider Int 3 Complete 2019/11/05 12:00:00 2019/11/07 12:00:00 2019/11/07 08:49:30 UV 2.16.840.1.113883.3.8579 hffm-nfp Heartland Family First Medical Clinic - Nextgen for Pediatrics Sheila Bleyhl masked Sheila Bleyhl 14421 Dupont Ct, Omaha, NE 68144 402-884-6400 masked Office Manager Heartland Family First Medical Clinic 14421 Dupont Ct Omaha, NE 68144 402-884-6400 heartlandfamilyfirst@aol.com https://heartlandfamilyfirst.com Provider Int 3 Complete 2019/11/06 12:00:00 2019/11/27 12:00:00 2019/11/27 06:46:37 UV 2.16.840.1.113883.3.8580 hffm-amfm Heartland Family First Medical Clinic - Advanced MD for Midwives Sheila Bleyhl masked Sheila Bleyhl 14421 Dupont Ct Omaha, NE 68144 402-884-6400 masked Office Manager Heartland Family FIrst Medical Clinic 14421 Dupont Ct Omaha, NE 68144 402-884-6400 heartlandfamilyfirst@aol.com https://heartlandfamilyfirst.com Provider Int 3 Complete 2019/11/06 12:00:00 2019/11/27 12:00:00 2019/11/27 06:55:44 UV 2.16.840.1.113883.3.8581 riversidemanor Riverside Manor Dwayne Shepherd masked Dwayne Shepherd Riverside Manor 1100 East State Road Newcomerstown, OH 43832 7404985165 masked Administrator Riverside Manor Riverside Manor 1100 East State Road Newcomerstown, OH 43832 7404985165 dshepherd@riversidemanor.com Provider Int 3 Complete 2019/11/07 12:00:00 2019/11/07 12:00:00 2019/11/07 09:10:03 UV 2.16.840.1.113883.3.8582 care-HL7-12910 360care Jeanette Bremer masked Brian Garrison Jeanette Bremer 1200 Kirts Blvd Suite 200 Troy, MI 48084 2485281981 masked Project Manager 360care 12910 Shelbyville Rd Ste 300 Louisville, KY 40243 2485281981 jbremer@360care.com https://360care.com Provider Int 3 Complete 2019/11/07 12:00:00 2019/11/07 12:00:00 2019/11/07 09:12:32 UV 2.16.840.1.113883.4.964 abACPPLN Alberta College of Pharmacists Pharmacy License Number Standards Infodesk masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 1-780-427-4734 masked Alberta Health 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 1-780-427-4734 ABHL7@gov.ab.ca Govt body Int 4 Complete 2019/11/08 12:00:00 2019/11/14 12:00:00 2019/11/14 09:11:29 CA 2.16.840.1.113883.3.8583 hillcresthealth Hillcrest Health Services Kevin Mulhearn masked Kevin Mulhearn 1902 Harlan Drive Bellevue, NE 68005 402-682-4192 masked CFO Hillcrest Health Services 1902 Harlan Drive Bellevue, NE 68005 402-682-4192 kmulhearn@hillcresthealth.com Provider Int 3 Complete 2019/11/12 12:00:00 2019/11/14 12:00:00 2019/11/14 08:49:54 UV 2.16.840.1.113883.3.8584 mayfield Mayfield Clinic Eric Kappes masked Eric Kappes Mayfield Clinic 3825 Edwards Road Suite 300 Norwood, OH 45209 513-569-5340 masked VP, Information Systems Mayfield Clinic 3825 Edwards Road Suite 300 Norwood, OH 45209 513-221-1100 support@mayfieldclinic.com http://www.mayfieldclinic.com Provider Int 3 Complete 2019/11/13 12:00:00 2019/11/14 12:00:00 2019/11/14 08:52:24 UV 2.16.840.1.113883.3.8585 exaAppOID Exa RIS/PACS Application OID Rob Horton masked Natasha White 2217 US Highway 70 East Garner, NC 27529 800-366-5343 masked Manager Application Integration Konica Minolta Healthcare Americas 2217 US Highway 70 East Garner, NC 27529 800-366-5343 natasha.white@konicaminolta.com https://www.konicaminolta.com/medicalusa/ Vendor Int 3 Complete 2019/11/13 12:00:00 2019/11/14 12:00:00 2019/11/14 08:56:46 UV 2.16.840.1.113883.3.8586 poplarhealth Poplar Healthcare Root OID Philip Dean masked infosvcs@poplarhealthcare.com Philip Dean 901-435-2102 masked Poplar Healthcare 3495 Hacks Cross Road Memphis, TN 38125 901-526-1912 infosvcs@poplarhealthcare.com https://www.poplarhealthcare.com/ Provider Int 3 Complete 2019/11/14 12:00:00 2019/11/14 12:00:00 2019/11/14 08:59:09 UV 2.16.840.1.113883.3.8587 prairieridge Prairie Ridge OID Root Larece Bartusek masked Larece Bartusek 641-243-7222 masked Office Manager Prairie Ridge Integrated Behavioral Healthcare 320 North Eisenhower Avenue Mason City, IA 50401 641-424-2391 lbartusek@prairieridge.net https://prairieridge.net Provider Int 3 Complete 2019/11/14 12:00:00 2019/11/14 12:00:00 2019/11/14 09:01:12 UV 2.16.840.1.113883.3.8588 mhchealth MHC Healthcare Emily Jeffery masked Emily Jeffery 13995 North Marana Main Street Marana, AZ 85653 520-616-1569 masked HIS Manager MHC Healthcare 13995 North Marana Main Street Marana, AZ 85653 520-682-4111 it@mhchealthcare.org https://mhchealthcare.org/ Vendor Int 3 Complete 2019/11/14 12:00:00 2019/11/14 12:00:00 2019/11/14 09:04:29 UV 2.16.840.1.113883.3.8589 aphl Association of Public Health Laboratories Ulrike Merrick masked Ulrike Merrick Association of Public Health Laboratories 8515 Georgia Avenue, Suite 700 Silver Spring, MD 20910 9162160052 masked Lead Terminologist Association of Public Health Laboratories 8515 Georgia Avenue, Suite 700 Silver Spring, MD 20910 240.485.2745 info@aphl.org https://www.aphl.org/Pages/default.aspx Prof Soc Int 3 Complete 2019/11/15 12:00:00 2019/11/19 12:00:00 2019/11/19 07:26:20 UV 2.16.840.1.113883.3.8590 sutcom Sutton Community Home, Inc Janet Lytton masked Janet Lytton 1106 N Saunders Avenue Sutton, NE 68979 4027735557 masked Administrator Sutton Community Home, Inc 1106 N Saunders Ave Sutton, NE 68979 4027735557 admin@sch-hcv.org Provider Int 3 Complete 2019/11/18 12:00:00 2019/11/19 12:00:00 2019/11/19 07:28:39 UV 2.16.840.1.113883.3.8591 holdregehomes Holdrege Memorial Homes Robin Freeburg masked Robin Freeburg 1320 11th Avenue Holdrege, NE 68949 308-995-8631 masked Business Manager Holdrege Memorial Homes 1320 11th Avenue Holdrege, NE 68949 308-995-8631 administrator@holdregehomes.org http://holdregehomes.org Provider Int 3 Complete 2019/11/18 12:00:00 2019/11/19 12:00:00 2019/11/19 07:30:53 UV 2.16.840.1.113883.3.8592 gma Genesis Medical Associates Regis Singer masked Regis A Singer 8150 Perry Highway Suite 300 Pittsburgh, PA 15237 4123699550 masked Director of IT Genesis Medical Associates 8150 Perry Highway Suite 300 Pittsburgh, PA 15237 4123699550 rsinger@genesismedical.org http://www.genesismedical.org Provider Int 3 Complete 2019/11/18 12:00:00 2019/11/19 12:00:00 2019/11/19 07:36:40 UV 2.16.840.1.113883.3.8593 tcat The Center at Tucson Jennie Grijalva masked Jennie Grijalva 5020 E. Glen Street Tucson, AZ 85712 520-347-5555 masked The Center at Tucson 5020 E. Glen Street Tucson, AZ 85712 520-347-5555 JGrijalva@centerattucson.com https://centerattucson.com/ Provider Int 3 Complete 2019/11/18 12:00:00 2019/11/19 12:00:00 2019/11/19 07:55:02 UV 2.16.840.1.113883.3.8594 srcc-ar Santa Rosa Care Center Kim Arndt masked Kim Arndt 1650 N Santa Rosa Avenue Tucson, AZ 85712 520-795-1610 masked Santa Rosa Care Center 1650 N Santa Rosa Avenue Tucson, AZ 85712 520-795-1610 admin@srccaz.com https://www.santarosacarecenter.com/ Provider Int 3 Complete 2019/11/18 12:00:00 2019/11/19 12:00:00 2019/11/19 07:58:48 UV 2.16.840.1.113883.3.8595 mhasp Marathon Health LLC Bill Campbell masked Bill Campbell Marathon Health 20 Winooski Falls Way Suite 400 Winooski, VT 05404 8028570400 masked VP of IT Marathon Health 20 Winooski Falls Way Suite 400 Winooski, VT 05404 8028570400 interfaceoperations@marathon-health.com Provider Int 3 Complete 2019/11/19 12:00:00 2019/11/19 12:00:00 2019/11/19 08:03:32 UV 2.16.840.1.113883.3.8596 b-N-H Bethany Nursing Home & HRF, Inc. James Mark masked James Mark Bethany Nursing Home & HRF, Inc. 3005 Watkins Rd. Horseheads, NY 14845 607-378-6528 masked Administrator Bethany Nursing Home & HRF, Inc. 3005 Watkins Rd. Horseheads, NY 14845 607-378-6547 markj@bethany-village.org http://www.bethany-village.org Provider Int 3 Complete 2019/11/19 12:00:00 2019/11/19 12:00:00 2019/11/19 08:21:05 US 2.16.840.1.113883.3.8597 apollomd ApolloMD Business Services, LLC Charles Hartley masked Charles Hartley 4049612775 masked VP, Business Systems ApolloMD Business Services, LLC chartley@apollomd.com http://www.apollomd.com Vendor Int 3 Complete 2019/11/19 12:00:00 2019/11/19 12:00:00 2019/11/19 08:32:32 UV 2.16.840.1.113883.17.4273 ughcfm PHMG UGHC Family Medicine Ronald Blatch masked Ron Blatch 541-222-6856 masked PHMG UGHC Family Medicine 1235 3rd Street Sedro Wooley, WA 98284 360-856-7995 cboe@peacehealth.org Provider Int 17 Complete 2019/11/19 12:00:00 2019/11/19 12:00:00 2019/11/19 08:47:38 UV 2.16.840.1.113883.3.8598 metro-qhco Metro qhco hospital integration Shuey Teitelbaum masked Justin Kelly Justin Kelly 412-247-2310 masked Clinical Informatics Specialist Quatris Healthco 3301 Airport Fwy, Bedford, TX 76021 817-282-0300 support@qhco.com https://www.quatrishealthco.com Vendor Int 3 Complete 2019/11/27 12:00:00 2019/11/30 12:00:00 2019/11/30 03:11:19 UV 2.16.840.1.113883.3.8599 vatica Vatica Health LLC. Christopher Weber masked Christopher L Weber 11800 Amber Park Drive, Parkway 400 Building 1, Suite 230 Alpharetta, GA 30009 404-229-5542 masked Product Manager Vatica Health 11800 Amber Park Drive, Parkway 400 Building 1, Suite 230 Alpharetta, GA 30009 800-624-8846 interoperability@vaticahealth.com http://www.vaticahealth.com/ Vendor Int 3 Complete 2019/12/02 12:00:00 2019/12/03 12:00:00 2019/12/03 10:33:32 UV 2.16.840.1.113883.3.8600 sedghosp Sedgwick County Memorial Hospital Nick Goshe masked Karla Dunker Nick Goshe 900 Cedar Street Julesburg, CO 80737 970-474-3323 masked CEO Sedgwick County Memorial Hospital 900 Cedar Street Julesburg, CO 80737 970-474-3323 ngoshe@schealth.org http://www.schealth.org Provider Int 3 Complete 2019/12/02 12:00:00 2019/12/03 12:00:00 2019/12/03 10:40:49 UV 2.16.840.1.113883.3.8601 shp SummitStone Health Partners Faelynn DuHadway masked Renee Brooks 4856 Innovation Drive, Suite B Fort Collins, CO 80525 970-792-5590 masked Director of Information Systems, Data and Business Intelligence SummitStone Health Partners 4856 Innovation Drive, Suite B Fort Collins, CO 80525 970-494-4200 faelynn.duhadway@summitstonehealth.org http://summitstonehealth.org Provider Int 3 Complete 2019/12/03 12:00:00 2019/12/03 12:00:00 2024/05/21 04:21:17 UV 2.16.840.1.113883.3.8602 sjcent St. John Clinic SC ENT Bartlesville Ashley Carrican masked Ashley Carrican 1924 S Utica Ave Ste 415 Tulsa, OK 74104 918-748-7863 masked St. John Clinic SC ENT Bartlesville 205 SE Howard Ave. Bartlesville, OK 74006 918-331-2439 McKenzie.Rolls@ascension.org Provider Int 3 Complete 2019/12/03 12:00:00 2019/12/03 12:00:00 2019/12/03 11:00:18 UV 2.16.840.1.113883.3.8603 uCP-NYC United Cerebral Palsy of NYC Panh Lam masked Panh Lam Panh Lam 80 Maiden lane, 8th Floor New York, New York 10038 212-683-6700 masked Network Engineer United Cerebral Palsy of New York 80 Maiden lane, 8th Floor New York, New York 10038 212-6836700 Engineer@ucpnyc.org https://adaptcommunitynetwork.org Provider Int 3 Complete 2019/12/04 12:00:00 2019/12/04 12:00:00 2019/12/04 07:26:35 UV 2.16.840.1.113883.3.8604 pertexaHealthcareTechnologies Pertexa Healthcare Technologies Kishor Joshi masked Kishor Joshi 900 North Heritage Drive Building E, Suite 201 Ridgecrest, CA 93555 844-327-2199 masked Pertexa Healthcare Technologies 900 North Heritage Drive Building E, Suite 201 Ridgecrest, CA 93555 844-327-2199 info@pertexa.com https://www.pertexa.com Vendor Int 3 Complete 2019/12/04 12:00:00 2019/12/04 12:00:00 2019/12/04 07:29:50 UV 2.16.840.1.113883.3.8605 scahc San Carlos Apache Healthcare Corporation Heather Townsend masked Nina Mazzola 19284751202 masked San Carlos Apache Healthcare Corporation 103 Medicine Way Rd. San Carlos, AZ 85524 19284751400 nina.mazzola@scahealth.org http://www.scahealth.org Provider Int 3 Complete 2019/12/04 12:00:00 2019/12/05 12:00:00 2025/12/11 07:21:18 UV 2.16.840.1.113883.3.8606 cosd County of San Diego Joseph Coyne masked Joseph Coyne County of San Diego Health and Human Services Agency 7947 Mission Center Court San Diego, CA 92108 619-767-5068 masked Information Technology Principal County of San Diego Health and Human Services Agency 1600 Pacific Hwy San Diego, CA 92101 619-767-5068 ITServices.HHSA@sdcounty.ca.gov https://www.sandiegocounty.gov/ Provider Int 3 Complete 2019/12/05 12:00:00 2019/12/05 12:00:00 2019/12/05 10:24:25 UV 2.16.840.1.113883.3.8607 viibrant Viibrant William Smith masked Sarah Pohlig Sarah Pohlig 103 Lloyd Street Suite 100 Carrboro, NC 27510 9842345287 masked Senior Applications Developer Viibrant 103 Lloyd Street Suite 100 Carrboro, NC 27510 9842345287 patrick@viibrant.com https://www.viibrant.com Vendor Int 3 Complete 2019/12/05 12:00:00 2019/12/05 12:00:00 2019/12/05 10:32:54 UV 2.16.840.1.113883.3.8608 cgcc Central Georgia Cancer Care Traci Harris masked Traci Harris 800 First St. Suite 410 Macon, GA 31201 478-314-1662 masked IS Director Central Georgia Cancer Care 800 First St. Suite 410 Macon, GA 31201 478-743-7068 tharris@centralgacancercare.com https://centralgeorgiacancercare.com Provider Int 3 Complete 2019/12/09 12:00:00 2019/12/12 12:00:00 2019/12/12 07:48:12 UV 2.16.840.1.113883.3.8609 wchd Winkler County Hospital District Lorenzo Serrano masked Lorenzo Serrano 821 Jeffee St. Kermit, TX 79745 432-586-8299 masked Administrator Winkler County Hospital District 821 Jeffee St. Kermit, TX 79745 4325868299 lserrano@wcmh.net https://www.winklercountymemorialhospital.com Provider Int 3 Complete 2019/12/10 12:00:00 2019/12/12 12:00:00 2019/12/12 07:58:02 UV 2.16.840.1.113883.3.8610 hchacutefacility Henry County Hospital Acute Facility William Grimm masked William Grimm 1600 East Riverview Ave Napoleon, OH 43545 4195913860 masked Chief Information Officer Henry County Hospital 1600 East Riverview Ave Napoleon, OH 43545 4195924015 support@henrycountyhospital.org Provider Int 3 Complete 2019/12/12 12:00:00 2019/12/12 12:00:00 2019/12/12 09:09:20 UV 2.16.840.1.113883.3.8611 hchambulatoryfacility Henry County Hospital Ambulatory Facility William Grimm masked William Grimm 1600 East Riverview Ave Napoleon, OH 43545 4195913860 masked Chief Information Officer Henry County Hospital 1600 East Riverview Ave Napoleon, OH 43545 4195924015 support@henrycountyhospital.org Provider Int 3 Complete 2019/12/12 12:00:00 2019/12/12 12:00:00 2019/12/12 09:11:09 UV 2.16.840.1.113883.3.8612 hchacutefacilitymrn Henry County Hospital Acute Facility MRN William Grimm masked Henry County Hospital 1600 East Riverview Ave Napoleon, OH 43545 4195913860 masked Henry County Hospital 1600 East Riverview Ave Napoleon, OH 43545 4195924015 support@henrycountyhospital.org Provider Int 3 Complete 2019/12/12 12:00:00 2019/12/12 12:00:00 2019/12/12 10:26:15 UV 2.16.840.1.113883.3.8613 hchambulatoryfacilitymrn Henry County Hospital Ambulatory Facility MRN William Grimm masked Henry County Hospital 1600 East Riverview Ave Napoleon, OH 43545 4195924015 masked Chief Information Officer Henry County Hospital 1600 East Riverview Ave Napoleon, OH 43545 4195924015 support@henrycountyhospital.org Provider Int 3 Complete 2019/12/12 12:00:00 2019/12/12 12:00:00 2019/12/12 10:28:01 UV 2.16.840.1.113883.3.8614 rcchc Resource Care Community Health Center Patrick Muncie masked Patrick Muncie PO Box 2435 Albany, TX 76430 325-762-2447 masked CIO Resource Care Community Health Center PO Box 2435 Albany, TX 76430 325-762-2447 pmuncie@resourcecare.org http://www.resourcecare.org Provider Int 3 Complete 2019/12/12 12:00:00 2019/12/12 12:00:00 2019/12/12 10:29:42 UV 2.16.840.1.113883.3.8615 ahc-ONEMED Advocate Aurora Health Care-ONEMED Eric Kinzle masked Eric Kinzle 630-575-3338 masked Director Advocate Aurora Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3338 eric.kinzle@advocatehealth.com Provider Int 3 Complete 2019/12/13 12:00:00 2019/12/18 12:00:00 2019/12/18 11:13:25 UV 2.16.840.1.113883.3.8616 ahc-QUEST Advocate Aurora Health Care-QUEST Eric Kinzle masked Eric Kinzle 630-575-3338 masked Director Advocate Aurora Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3338 eric.kinzle@advocatehealth.com Provider Int 3 Complete 2019/12/13 12:00:00 2019/12/18 12:00:00 2019/12/18 11:15:25 UV 2.16.840.1.113883.3.8617 ahc-WI-RE Advocate Aurora Health Care-WI-RE Eric Kinzle masked Eric Kinzle 630-575-3338 masked Director Advocate Aurora Health Care 1400 Kensington Road Oak Brook, IL 60523 630-575-3338 eric.kinzle@advocatehealth.com Provider Int 3 Complete 2019/12/13 12:00:00 2019/12/18 12:00:00 2019/12/18 11:21:23 UV 2.16.840.1.113883.3.8618 nwcch Northwest Center for Colorectal Health, LLC Victoria Ingebretsen masked Victoria Ingebretsen 9155 SW Barnes Road, Suite 231, Portland, Oregon 97225 503-216-5380 masked Clinic Manager Northwest Center for Colorectal Health, LLC 9155 SW Barnes Road, Suite 231, Portland, Oregon 97225 503-216-5380 scott.browning@nwcch.com http://www.nwcch.com Provider Int 3 Complete 2019/12/16 12:00:00 2019/12/18 12:00:00 2019/12/18 11:31:11 UV 2.16.840.1.113883.3.8619 sterlingRx SterlingRx object for Specialty Portal Tim Gallagher masked Lyle Prussman Tim Gallagher 1312 Northland Drive Suite 500 Mendota Heights, MN 55120 507-438-0948 masked President Sterling Specialty Pharmacy 1312 Northland Drive Suite 500 Mendota Heights, MN 55120 888-618-4126 support@sterlingspecialtyrx.com http://sterlingspecialtyrx.com Exchange Int 3 Complete 2019/12/18 12:00:00 2019/12/18 12:00:00 2019/12/18 11:34:46 UV 2.16.840.1.113883.3.8620 pDR Physicians Diagnostics and Rehabilitation Tiffany Heisel masked Todd Ginkel Tiffany Heisel 7700 France Ave S Suite 240 Edina, MN 55435 9529082572 masked IT Manager Physicians' Diagnostics & Rehabilitation 7700 France Ave S Suite 240 Edina, MN 55435 9529082700 IT@pdrclinics.com https://www.pdrclinics.com Provider Int 3 Complete 2019/12/19 12:00:00 2019/12/19 12:00:00 2019/12/19 11:50:45 UV 2.16.840.1.113883.3.8621 n-m-pp127 Northern Manhattan Perinatal Partnership Adrienne Mercer masked Adrienne Mercer NMPP 127 West 127th Street, 3rd Floor New York, NY 10027 2126652600 ext 302 masked Program Director Northern Manhattan Perinatal Partnership NMPP 127 West 127th Street, 3rd Floor New York, NY 10027 2126652600 ext 302 adrienne.mercer@nmppcares.org Provider Int 3 Complete 2019/12/19 12:00:00 2019/12/19 12:00:00 2019/12/19 11:57:17 UV 2.16.840.1.113883.3.8622 eBF Easterseals Blake Foundation Johnathan Davis masked Johnathan Davis 7750 E. Broadway Blvd Tucson, AZ 85710 520-327-1529 masked EMR/Data Coordinator, Population Health Administrator Easterseals Blake Foundation 7750 E. Broadway Blvd Tucson, AZ 85710 520-327-1529 jdavis@blake.easterseals.com Provider Int 3 Complete 2019/12/23 12:00:00 2019/12/23 12:00:00 2019/12/23 09:18:58 UV 2.16.840.1.113883.3.8623 deldxlabs Delaware Diagnostic Labs Root OID Dianna Hicks masked Bo Wang Bo Wang 1 Centurian Dr Suite- #103, Newark, DE 19713 302-407-5903 masked Lab Director Delaware Diagnostic Labs 1 Centurian Dr Suite- #103, Newark, DE 19713 302-407-5903 Info@deldxlabs.com https://www.deldxlabs.com/ Vendor Int 3 Complete 2019/12/26 12:00:00 2019/12/26 12:00:00 2019/12/26 08:50:42 UV 2.16.840.1.113883.3.8624 healthyroster Healthy Roster Alexander Elek masked Alexander Elek 20 North St Dublin, OH 43017 1-833-767-8371 masked Sr. Software Engineer Healthy Roster, Inc 20 North St Dublin, OH 43017 1-833-767-8371 help@healthyroster.com https://www.healthyroster.com/ Vendor Int 3 Complete 2020/01/06 12:00:00 2020/01/06 12:00:00 2020/01/06 09:57:24 UV 2.16.840.1.113883.3.8625 pjitcm Parker Jewish Institute for Health Care and Rehabilitation Lorraine Breuer masked Lorraine Breuer 271-11 76th Ave New Hyde Park, NY 11040 7182892102 masked Parker Jewish Institute 271-11 76th Ave New Hyde Park, NY 11040 7182892102 lbreuer@parkerinstitute.org https://www.parkerinstitute.org Vendor Int 3 Complete 2020/01/06 12:00:00 2020/01/06 12:00:00 2020/01/06 10:06:22 UV 2.16.840.1.113883.3.8626 osl Omega Senior Living, LLC Rod Martin masked Rodney Martin 333 S. Broadway Wichita, KS 67202 3168414798 masked VP of IT Omega Senior Living, LLC 333 S. Broadway Wichita, KS 67202 3168414798 rmartin@omegasrliving.com Provider Int 3 Complete 2020/01/06 12:00:00 2020/01/06 12:00:00 2020/01/06 10:08:30 UV 2.16.840.1.113883.3.8627 hir-RGC Heart Institute at Renaissance OID Root Edna Rodriguez masked Erika Rocha 201 FM 3167 STE 104 Rio Grande City, TX 78582 956-648-0396 masked Office Manager Heart Institute at Renaissance 201 FM 3167 STE 104 Rio Grande City, TX 78582 956-362-3950 ER.ROCHA@DHR-RGV.COM Provider Int 3 Complete 2020/01/07 12:00:00 2020/01/07 12:00:00 2020/01/07 10:50:32 UV 2.16.840.1.113883.3.8628 dhrCounseling DHR Health Counseling and Psychiatry Center OID Root Edna Rodriguez masked Carolyn Bell 2821 Michael Angelo Drive ste 204 Edinburg, TX 78539 956-342-4108 masked Office Manager DHR Health Counseling and Psychiatry Center 2821 Michael Angelo Drive ste 204 Edinburg, TX 78539 (956) 362-8290 ca.bell@dhr-rgv.com Provider Int 3 Complete 2020/01/07 12:00:00 2020/01/07 12:00:00 2020/01/07 10:54:18 UV 2.16.840.1.113883.3.8629 zmm Zattam Musselmani Zattam Musselmani masked Zattam Musselmani 1422 Poindexter Str Chesapeake, VA 23324 7572772856 masked Physician Zattam Musselmani 1422 Poindexter Str Chesapeake, VA 23324 7572772856 zmusselmani4@gmail.com Provider Int 3 Complete 2020/01/09 12:00:00 2020/01/14 12:00:00 2020/01/14 09:25:52 UV 2.16.840.1.113883.10.20.40 dentalExchange Dental Exchange Russell Ott masked Russell Ott 202-578-7940 masked Payer/Provider Information Exchange WG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 Payer/Provider Information Exchange WG rott@deloitte.com HL7 body Ext 10 Complete 2.16.840.1.113883.10.20.40 2020/01/13 12:00:00 2020/03/31 12:00:00 2020/03/31 07:30:36 US 2.16.840.1.113883.3.8630 rmmhc Rocky Mountain Medical and Health Care Naser Kalani Yazd masked Kai Nothdurft Naser Kalani 6850 E. Evans Ave. Ste 102 Denver, CO 80224 3036915009 masked DNP, Owner Rocky Mountain Medical and Health Care, Inc. 6850 E. Evans Ave. Ste 102 Denver, CO 80224 3036915009 kai.nnothdurft@rmmhc.net Provider Int 3 Complete 2020/01/14 12:00:00 2020/01/14 12:00:00 2020/01/14 09:28:41 UV 2.16.840.1.113883.3.8631 mrny Make the Road New York Rebecca Telzak masked Rebecca Telzak 92-10 Roosevelt Ave, Jackson Heights, NY 11372 347-512-9073 masked Director of Health Programs Make the Road New York 92-10 Roosevelt Ave, Jackson Heights, NY 11372 718-565-8500 rebecca.telzak@maketheroadny.org http://www.maketheroadny.org Provider Int 3 Complete 2020/01/16 12:00:00 2020/01/16 12:00:00 2020/01/16 09:46:30 UV 2.16.840.1.113883.3.8632 qch-52801-20 Queens Community House, Inc, Christina Edmunds masked Christina Edmunds 7185925757 masked Director of Administrative Services Queens Community House, Inc. 108-25 62nd Drive Forest Hills, NY 11375 7185925757 cedmunds@qchnyc.org https://www.qchnyc.org Provider Int 3 Complete 2020/01/16 12:00:00 2020/01/16 12:00:00 2020/01/16 09:51:12 UV 2.16.840.1.113883.3.8633 bcr Bridge Connector (Destinations) Darcy McNew masked Josh Cotham Darcy McNew 424 Church St Suite 2400 Nashville, TN 37219 (844) 727-4343 masked Compliance and Certifications Director Bridge Connector 424 Church St Suite 2400 Nashville, TN 37219 (844) 727-4343 compliance@bridgeconnector.co https://bridgeconnector.co/ Exchange Int 3 Complete 2020/01/16 12:00:00 2020/01/16 12:00:00 2020/01/16 09:55:22 UV 2.16.840.1.113883.3.8634 lpfp Longs Peak Family Practice, PC Vickie McCay masked Vickie McCay 1309 Sunset Street Longmont, CO 80501 3037725578 masked Longs Peak Family Practice, PC 1309 Sunset Street Longmont, CO 80501 3037725578 vmccay@longspeakfamilypractice.com https://www.longspeakfamilypractice.com Provider Int 3 Complete 2020/01/17 12:00:00 2020/01/17 12:00:00 2020/01/17 08:35:11 UV 2.16.840.1.113883.3.8635 umsa-sabinal-HIE Uvlade Medical and Surgical Associates HIE HASA Interface Brandi Smith masked Brandi Smith 830-278-6251 xt 1185 masked Practice Director Uvalde Medical and Surgical Associates 1195 Garner Field Rd., Ste 300 Uvalde, TX 78801 830-278-3086 b.smith@umhtx.org Provider Int 3 Complete 2020/01/20 12:00:00 2020/01/20 12:00:00 2020/01/20 10:24:20 UV 2.16.840.1.113883.3.8636 smartlink Smartlink Health Solutions Siu Tong masked Siu Tong 1000 Centergreen Way Suite 250 Cary, NC 27513 (919)674-8455 masked Smartlink Health Solutions (919)674-8455 support@smartlinkhealth.com https://www.smartlinkhealth.com/ Vendor Int 3 Complete 2020/01/20 12:00:00 2020/01/20 12:00:00 2020/01/20 10:42:28 UV 2.16.840.1.113883.3.8637 zook Tacteon Ltd. Abraham Tio masked Abraham Tio 6502 Karjula Road Falkland, BC Canada V0E 1W1 2503796826 masked Director Tacteon Ltd. 2503796826 tio.a@tacteonltd.com Vendor Int 3 Complete 2020/01/20 12:00:00 2020/01/20 12:00:00 2020/01/20 11:01:39 UV 2.16.840.1.113883.3.8638 maryfreebed Mary Free Bed OID Root Jeff Burns masked Jeff Burns 235 Wealthy Street S.E. Grand Rapids, MI 49503 616-840-8338 masked IT Director Mary Free Bed Rehabilitation Hospital 235 Wealthy Street S.E. Grand Rapids, MI 49503 616-840-8000 Jeff.Burns@maryfreebed.com https://www.maryfreebed.com/ Provider Int 3 Complete 2020/01/21 12:00:00 2020/01/21 12:00:00 2020/01/21 08:25:51 UV 2.16.840.1.113883.3.8639 sothPracticeManagement Soth Practice Management Anne Chong masked John Morgan 286 - 4819C 48 Ave Red Deer, Alberta T4N 3T2 4033141322 masked Senior Developer SOTH Inc 286 - 4819C 48 Ave Red Deer, Alberta T4N 3T2 4033141322 accounting@visual-eyes.ca https://www.visual-eyes.ca Vendor Int 3 Complete 2020/01/22 12:00:00 2020/01/22 12:00:00 2020/01/22 10:49:10 UV 2.16.840.1.113883.3.8640 hcpas Heritage Court Post Acute of Scottsdale Cory Williams masked Cory Williams 3339 N Drinkwater Boulevard Scottsdale, AZ 85251 480-949-5400 masked Heritage Court Post Acute of Scottsdale 3339 N Drinkwater Boulevard Scottsdale, AZ 85251 480-949-5400 corywilliams@ensignservices.net https://www.scottsdaleheritagecourt.com/ Provider Int 3 Complete 2020/01/22 12:00:00 2020/01/22 12:00:00 2020/01/22 10:57:46 UV 2.16.840.1.113883.3.8641 ruh Rockefeller University Hospital Ummey Johra masked Prasanth Manukonda Ummey Johra Hospital Informatics 1230 York Avenue New York, NY 10065 212-327-7877 masked Technical Project Lead Rockefeller University Hospital Informatics 1230 York Avenue New York, NY 10065 212-327-7689 mfernands@rockefeller.edu https://rockefeller.edu Academic Int 3 Complete 2020/01/23 12:00:00 2020/01/27 12:00:00 2024/03/07 02:27:12 UV 2.16.840.1.113883.13.282 hie-McClendon McClendon Center EHR OID Registration for HIE Michael Dark masked Michael Burt Michael Burt 1338 North Capitol Street NW Suite 201 Washington, DC 20002 2027450073 masked IT Manager McClendon Center 1338 North Capitol Street NW Suite 201 Washington, DC 20002 2027450073 mburt@mcclendoncenter.org Provider Int 3 Complete 2020/01/23 12:00:00 2020/02/08 12:00:00 2020/02/08 02:38:02 UV 2.16.840.1.113883.13.283 dchie-Enlightened Enlightened OID Registration for HIE Connectivity Team Enlightened masked Dr. Dana McGinty Enlightened Inc. 1101 Connecticut Avenue, NW Washington, DC 20036 202-728-7190 masked President Kenya Herring 1208 Crittenden Street NW Washington DC 20011 202-728-7190 x305 kherring@ENLIGHTENED.COM Vendor Int 3 Complete 2020/01/24 12:00:00 2020/02/08 12:00:00 2020/02/28 05:13:48 UV 2.16.840.1.113883.3.8642 bBGH Box Butte General Hospital Mandy Greve masked Mandy Greve 2101 Box Butte Ave. Alliance, NE 69301 3087613337 masked IT Manager Box Butte General Hospital 2101 Box Butte Ave. Alliance, NE 69301 3087626660 _informationtech@bbgh.org http://www.bbgh.org Govt body Int 3 Complete 2020/01/27 12:00:00 2020/01/27 12:00:00 2020/01/27 09:32:55 UV 2.16.840.1.113883.13.284 hie-HLYOON HLYoon MDPC EHR OID Registration for HIE Team Enlightened masked LaTara Brown LaTara Brown 2345 Martin Luther King Jr Ave SE Washington, DC 20020 2026784940 masked Practice Manager HLYoon MDPC 2345 Martin Luther King Jr Ave SE Washington, DC 20020 2026784940 hlyoonmdpc@gmail.com Provider Int 3 Complete 2020/01/27 12:00:00 2020/02/08 12:00:00 2020/02/08 03:05:20 UV 2.16.840.1.113883.9.800 cchdIG CCHD Result Reporting IG Craig Newman masked Craig Newman 3520 Green Court, Suite 300 Ann Arbor, MI 48105 +1 734 474 8891 masked HL7 Public Health Work group 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body 2.16.840.1.113883 Ext 0 Complete 2.16.840.1.113883.9.800 2020/01/27 12:00:00 2020/01/28 12:00:00 2020/01/28 07:06:42 UV 2.16.840.1.113883.9.801 ehdiIG EHDI Result Reporting IG Craig Newman masked Craig Newman 3520 Green Court, Suite 300 Ann Arbor, MI 48105 +1 734 474 8891 masked HL7 Public Health Work group 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org http://www.hl7.org HL7 body 2.16.840.1.113883 Ext 0 Complete 2.16.840.1.113883.9.801 2020/01/27 12:00:00 2020/02/28 12:00:00 2020/01/28 07:08:44 UV 2.16.840.1.113883.13.285 hie-MetropolitanDCNeurology Metropolitan DC Neurology EHR OID Registration for HIE Team Enlightened masked Marc Schlosberg Marc Schlosberg 106 Irving Street NW Suite # 421 Washington, DC 20010 2028775119 masked Provider Metropolitan DC Neurology 106 Irving Street NW Suite # 421 Washington, DC 20010 2028775119 marc.f.schlosberg@medstar.net Provider Int 3 Complete 2020/01/27 12:00:00 2020/02/08 12:00:00 2020/02/08 03:13:21 UV 2.16.840.1.113883.13.286 hie-EssentialSurgicalCare Essential Surgical Care EHR OID Registration for HIE Team Enlightened masked Dr. Gregory Morrow Dr. Gregory Morrow 455 Massachusetts Ave NW Suite 345 Washington, DC 20001 2024626479 masked Physician Essential Surgical Care PC 455 Massachusetts Ave NW Suite 345 Washington, DC 20001 2024626479 gregory.morrow7@gmail.com Provider Int 3 Complete 2020/01/27 12:00:00 2020/02/08 12:00:00 2020/02/08 03:26:02 UV 2.16.840.1.113883.3.8643 novarihealth NovariHealth Michael Nedvidek masked Michael Nedvidek Novari Health 1473 John Counter Blvd Suite 401 Kingston, ON K7M 8Z6 Canada 6134841511 masked Novari Health 1473 John Counter Blvd Suite 401 Kingston, ON K7M 8Z6 Canada mnedvidek@novarihealth.com http://novarihealth.com Vendor Int 3 Complete 2020/01/29 12:00:00 2020/01/31 12:00:00 2020/01/31 09:10:11 UV 2.16.840.1.113883.3.8644 pyraMED PyraMED Health Systems (PHS) Richard Vernick masked Richard Vernick 850 Cassatt Rd Suite 105 Berwyn, PA 19312 6106472255 masked CTO PyraMED Health Systems 850 Cassatt Rd Suite 105 Berwyn, PA 19312 6106472255 implementation@pyramed-health.com Vendor Int 3 Complete 2020/01/29 12:00:00 2020/01/31 12:00:00 2020/01/31 09:17:56 UV 2.16.840.1.113883.3.8645 mch-tn Macon Community Hospital Gary Bean masked Gary Bean 204 Medical Drive Lafayette, TN 37083 615-688-7900 masked Director Information Systems Macon Community Hospital 204 Medical Drive Lafayette, TN 37083 615-666-2147 gbean@mcgh.net http://www.mcgh.net Provider Int 3 Complete 2020/01/30 12:00:00 2020/01/31 12:00:00 2020/01/31 09:21:20 UV 2.16.840.1.113883.3.8646 rmkc Rocky Mountain Kidney Care, LLC Andrew Brookens masked Amber Schoenrock 1444 S Potomac St, Ste 215 Aurora, CO 80012 9777 S Yosemite St, Ste 110 Lone Tree, CO 80124 720-500-3439 masked Lead Medical Assistant Rocky Mountain Kidney Care 1444 S Potomac St, Ste 215 Aurora, CO 80012 9777 S Yosemite St, Ste 110 Lone Tree, CO 80124 720-500-3439 amber.schoenrock@rmkc.com https://www.rockymountainkidney.com/ Provider Int 3 Complete 2020/01/30 12:00:00 2020/01/31 12:00:00 2023/01/20 11:41:20 UV 2.16.840.1.113883.3.8647 uccMission DHR Health Urgent Care OID Root Edna Rodriguez masked Tony Ashley 2121 E Griffin Pkwy Ste 16 Mission, TX 78572 956-638-9404 masked Director DHR Health Urgent Care 2121 E Griffin Pkwy Ste 16 Mission, TX 78572 956-362-5700 t.ashley@dhr-rgv.com Provider Int 3 Complete 2020/01/31 12:00:00 2020/01/31 12:00:00 2020/01/31 09:29:04 UV 2.16.840.1.113883.3.8648 mwh Mark W. Hinman, MD, LLC Mark Hinman masked Mark Hinman 1350 Tulip St Longmont, CO 80501 303-776-6872 masked Owner Mark W. Hinman, MD, LLC 1350 Tulip St Longmont, CO 80501 303-776-6872 mwhinman@comcast.net https://www.longmontfamilypractice.com Provider Int 3 Complete 2020/01/31 12:00:00 2020/01/31 12:00:00 2020/01/31 09:33:36 UV 2.16.840.1.113883.3.8649 ihpeds Iron Horse Pediatrics Justin Woody masked Justin Woody 402 N Tejon st Suite 200 Colorado Springs, CO 80903 719-633-3850 masked Care Coordinator Iron Horse Pediatrics 402 N Tejon St Suite 200 Colorado Springs, CO 80903 719-633-3850 jwoody@ironhorsepeds.com https://www.ironhorsepeds.com/ Provider Int 3 Complete 2020/01/31 12:00:00 2020/01/31 12:00:00 2020/01/31 09:36:02 UV 2.16.840.1.113883.3.8650 omaobgyn Omaha OB-GYN Associates, P.C. Ellen Houston masked Ellen Houston 119 N 51st Street Suite 200 Omaha, NE 68132 402-932-8020 masked Administrator Omaha OB-GYN Associates, P.C. 119 N 51st Street Suite 200 Omaha, NE 68132 402-932-8020 ehouston@omahaobgyn.com Provider Int 3 Complete 2020/01/31 12:00:00 2020/01/31 12:00:00 2020/01/31 09:43:39 UV 2.16.840.1.113883.3.8651 eICare eICare Sabrina Ramos masked Chanchal Gandhwani Sabrina Ramos 81 Willoughby Street 2nd Floor Brooklyn, NY 11201 7184086596 masked Housing Works/eICare 81 Willoughby St. 2nd floor Brooklyn, NY 11201 7184086596 s.ramos@housingworks.org Vendor Int 3 Complete 2020/02/04 12:00:00 2020/02/08 12:00:00 2020/02/08 03:59:43 US 2.16.840.1.113883.13.287 hie-metrobestclinic Metrobest Clinic ehr oid registration for hie Michelle Zancan masked milca@metrobestclinic.com Milca 7733 Alaska Ave NW Washington, DC 20012 2028646605 masked NP Metrobest Clinic 7733 Alaska Ave NW Washington, DC 20012 2028646605 milca@metrobestclinic.com http://www.metrobestclinic.com Provider Int 3 Complete 2020/02/04 12:00:00 2020/02/08 12:00:00 2020/02/08 03:29:42 UV 2.16.840.1.113883.13.288 hie-Platinumcare Platinumcare EHR OID Registration for HIE Team Enlightened masked Jacque Edwards 4061 Minnesota Avenue, NE Washington, DC 20019 2023883100 masked Practice Manager Platinumcare 4061 Minnesota Avenue, NE Washington, DC 20019 2023883100 meandmskennedy@yahoo.com Provider Int 3 Complete 2020/02/06 12:00:00 2020/02/08 12:00:00 2020/02/08 03:48:14 UV 2.16.840.1.113883.13.289 hie-RuiLu RuiLu EHR OID Registration for HIE Team Enlightened masked Kimberly Harris Kimberly Harris 106 Irving Street Ste 411 Washington, DC 20010 2028777080 masked Office Manager Rui Lu DC Endocrinology 106 Irving Street Ste 411 Washington, DC 20010 2028777089 rlu677@yahoo.com Provider Int 3 Complete 2020/02/06 12:00:00 2020/02/08 12:00:00 2020/02/08 03:55:30 UV 2.16.840.1.113883.3.8652 sophy Sound Inpatient Physicians Inc Tushar Sonak masked Tushar Sonak 1498 Pacific Ave Suite 400 Tacoma, WA 98402 2532033526 masked Sound Physicians 1498 Pacific Ave Suite 400 Tacoma, WA 98402 855-768-6363 zhartz@soundphysicians.com https://soundphysicians.com Provider Int 3 Complete 2020/02/07 12:00:00 2020/02/08 12:00:00 2020/02/08 04:05:17 UV 2.16.840.1.113883.17.4274 bbh BestSelf Behavioral Health HL7 OID Kevin Wiese masked Kevin Wiese 255 Delaware Avenue Buffalo, NY 14202 7168420440 masked Vice President of Information Systems BestSelf Behavioral Health, Inc. 255 Delaware Avenue Buffalo, NY 14202 7168420440 kwiese@bestselfwny.org https://www.bestselfwny.org Provider Int 17 Complete 2020/02/07 12:00:00 2020/02/08 12:00:00 2020/02/08 04:14:56 US 2.16.840.1.113883.3.8653 ttp-pediorthopaedic Texas Tech Physicians of Lubbock Department of Pediatric Orthopaedic Rae Rodriguez masked RaeAnn Rodriguez 3601 4th street MS 8352 Lubbock, TX 79430 806-743-4357 masked Unit Manager Texas Tech Physcians Of Lubbock- Pedi Orthopaedic 3601 4th street MS 8352 Lubbock, Texas 79430 806-743-1901 emrhelpdesklubbock@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2020/02/07 12:00:00 2020/02/08 12:00:00 2020/02/08 04:27:22 UV 2.16.840.1.113883.3.8654 ihh Inspiring Home Health Steven Gierish masked Steven Gierish 10000 N. 31st Avenue Suite D-402 Phoenix, AZ 85051 (623) 910-9365 masked Inspiring Home Health 10000 N. 31st Avenue Suite D-402 Phoenix, AZ 85051 (623) 910-9365 steve@inspiringhh.com Provider Int 3 Complete 2020/02/07 12:00:00 2020/02/08 12:00:00 2020/02/08 04:31:08 UV 2.16.840.1.113883.3.8655 baymed Ascension Bay Medical Cheryl Griffin masked Donna McIntyre Ascension Bay Medical 615 N Bonita Ave. Panama City, FL 32401 586-258-9683 masked Program Manager Ascension Bay Medical 615 N Bonita Ave. Panama City, FL 32401 586-258-9683 donna.mcintyre@ascension.org https://ascension.org Provider Int 3 Complete 2020/02/10 12:00:00 2020/02/12 12:00:00 2020/02/12 11:07:26 UV 2.16.840.1.113883.3.8656 ffmc Founders Family Medical Center Doris Kleinert masked Jessie Wojciehoski - Office Manager Doris Kleinert 4386 Trail Boss Drive Suite A Castle Rock, CO 80104 303-688-8666 masked MD Founders Family Medical Center 4386 Trail Boss Drive Suite A Castle Rock, CO 80104 303-688-8666 dakffmuc@gmail.com https://www.foundersfamilymedicine.com Provider Int 3 Complete 2020/02/11 12:00:00 2020/02/12 12:00:00 2020/02/12 11:14:26 UV 2.16.840.1.113883.3.8657 cmb CAMBA, Inc. Rosalinda Roy masked Rosalinda Roy 19 Winthrop St., Brooklyn, NY 11225 7184628654 masked Program Manager for Data and Special Projects, HIV/AIDS, Health and Housing Services CAMBA, Inc. CAMBA Head Office: 1720 Church Avenue, Brooklyn, NY 11226 Responsible authority for OID: Michael Erhard, Senior Vice President, CAMBA, Inc. 19 Winthrop St., Brooklyn NY 11225 7184628654 MichaelE@camba.org Provider Int 3 Complete 2020/02/11 12:00:00 2020/02/12 12:00:00 2020/02/12 11:19:36 UV 2.16.840.1.113883.3.8658 medasync MedaSync Ryan Edgerly masked Ryan Edgerly 2800 Euclid Ave Ste 125 Cleveland, Ohio 44115 4196020426 masked CEO MedaSync 2800 Euclid Ave Ste 125 Cleveland, Ohio 44115 4196020426 redgerly@medasync.com Vendor Int 3 Complete 2020/02/13 12:00:00 2020/02/13 12:00:00 2020/02/13 09:36:02 UV 2.16.840.1.113883.3.8659 southerntierpeds Southern Tier Pediatrics Practice PC Patricia D'Angelo masked Tariq Khan Patricia D'Angelo 1684 Foote Avenue Extension Jamestown, NY 14701 716-661-9730 masked Manager Southern Tier Pediatrics Practice PC 1684 Foote Avenue Extension Jamestown, NY 14701 716-661-9730 ped@southerntierpeds.net http://www.southerntierpeds.net Provider Int 3 Complete 2020/02/13 12:00:00 2020/02/13 12:00:00 2020/02/13 09:39:27 UV 2.16.840.1.113883.13.290 hie-medicalhomedeveolpmentgroup Medical Home Development Group ehr oid registration for hie Team Enlightened masked awhetsell@consultrp.net Audrey Whetsell 1647 BENNING RD NE SUITE 200 WASHINGTON, DC 20002 (843) 554-2533 masked Director Medical Home Development Group 1647 BENNING RD NE SUITE 200 WASHINGTON, DC 20002 (843) 554-2533 awhetsell@consultrp.net https://www.mhdgroups.net/ Provider Int 3 Complete 2020/02/14 12:00:00 2020/02/20 12:00:00 2020/02/20 09:57:16 UV 2.16.840.1.113883.3.8660 ahks Ashland Health Center Mariel Bernardo masked Mariel Bernardo 625 S Kentucky, Ashland, Kansas 67831 6206352241 masked System Administrator Ashland Health Center 625 S Kentucky, Ashland, Kansas 67831 6206352241 mbernardo@ashlandhc.org Provider Int 3 Complete 2020/02/17 12:00:00 2020/02/20 12:00:00 2020/02/20 10:02:10 UV 2.16.840.1.113883.3.8661 yardi Yardi Systems, Inc. Fil Southerland masked Fil Southerland 868 E Riverside Dr Suite 270 Eagle, ID 83616 800-866-1124 x6673 masked Director, Healthcare Solutions Yardi Systems, Inc. 430 S Fairview Avenue Santa Barbara, CA 93117 800-866-1124 x1769 Arnold.Brier@Yardi.Com https://www.yardi.com/ Vendor Int 3 Complete 2020/02/21 12:00:00 2020/02/22 12:00:00 2020/02/22 11:42:31 UV 2.16.840.1.113883.3.8662 ahcarhm Adventist Healthcare Rehabilitation Lynn Hickey masked Julie Vick 820 West Diamond Ave Suite 400 Gaithersburg, MD 20878 301-315-3239 masked Manager Adventist Healthcare Rehabilitation 9909 Medical Center Drive Rockville, MD 20850 240-864-6000 jvick@adventisthealthcare.com Provider Int 3 Complete 2020/02/24 12:00:00 2020/02/27 12:00:00 2020/02/27 10:08:53 UV 2.16.840.1.113883.3.8663 coastalplains Coastal Plains Community Center Micheline Hodge masked Theresa Guerra 200 Marriott Dr. Portland, Texas 78374 361-777-3991 masked Director of Authority Functions Coastal Plains Community Center 200 Marriott Dr. Portland, Texas 78374 361-777-3991 theresa@coastalplainsctr.org Provider Int 3 Complete 2020/02/25 12:00:00 2020/02/27 12:00:00 2020/02/27 10:14:28 UV 2.16.840.1.113883.3.8664 westtexasdbc West Texas Developmental Pediatric & Behavioral Health Network PA Karen Rogers masked Karen Rogers 3301-101st Street Lubbock, Texas 79423 806-543-7730 masked Physician West Texas Developmental Pediatric & Behavioral Health Network PA 3301-101st Street Lubbock, Texas 79423 8062819966 rogers.kl@att.net http://www.westtexasdbc.com Provider Int 3 Complete 2020/02/25 12:00:00 2020/02/27 12:00:00 2020/02/27 10:36:01 UV 2.16.840.1.113883.3.8665 aiwh Associates in Womens Health, L.L.C. Sheryl Shuster-Rodgers masked Sheryl Shuster-Rodgers 17001 Lakeside Hills Plaza Suite 100 Omaha, NE 68130 402-697-7200 masked Practice Administrator Associates in Womens Health, L.L.C. 17001 Lakeside Hills Plaza Suite 100 Omaha, NE 68130 402-697-7200 sheryls@awhomaha.com Provider Int 3 Complete 2020/02/26 12:00:00 2020/02/27 12:00:00 2020/02/27 10:38:37 UV 2.16.840.1.113883.3.8666 UHP The Urology Center PC Pamela Griswold masked Pamela Griswold 111 South 90TH Street Omaha, NE 68114 4023979800 masked Workflow Operations Manager UroHealth Partners 111 South 90TH Street Omaha, NE 68114 4027634503 pgriswold@urohealthpartners.com www.urohealthpartners.com Provider Int 3 Complete 2020/02/27 12:00:00 2020/02/27 12:00:00 2025/12/22 03:29:55 UV 2.16.840.1.113883.3.23.3.1 chbostonheart Boston Children's Heart Foundation, Inc. Brenda Dodson masked Brenda Dodson 617-355-6000 masked EMR Clinical Integration Architect Boston Children's Hospital brenda.dodson@childrens.harvard.edu Provider Ext 4 Complete 2.16.840.1.113883.3.23.3.1 2020/02/27 12:00:00 2020/02/27 12:00:00 2020/02/27 11:01:23 UV 2.16.840.1.113883.3.23.3.2 chbostonneurosurgical Boston Pediatric Neurosurgical Foundation, Inc. Brenda Dodson masked Brenda Dodson 617-355-6000 masked EMR Clinical Integration Architect Boston Children's Hospital brenda.dodson@childrens.harvard.edu Provider Ext 4 Complete 2.16.840.1.113883.3.23.3.2 2020/02/28 12:00:00 2020/02/28 12:00:00 2020/02/28 09:31:03 UV 2.16.840.1.113883.3.23.3.3 chbostonplasticoralsurgery Boston Plastic & Oral Surgery Foundation Brenda Dodson masked Brenda Dodson 617-355-6000 masked EMR Clinical Integration Architect Boston Children's Hospital brenda.dodson@childrens.harvard.edu Provider 2.16.840.1.113883.3.23 Ext 4 Complete 2.16.840.1.113883.3.23.3.3 2020/02/28 12:00:00 2020/02/28 12:00:00 2020/02/28 09:32:41 UV 2.16.840.1.113883.3.23.3.4 chbostonanesthesia CHMC Anesthesia Foundation Brenda Dodson masked Brenda Dodson 617-355-6000 masked EMR Clinical Integration Architect Boston Children's Hospital 617-355-6000 brenda.dodson@childrens.harvard.edu Provider 2.16.840.1.113883.3.23 Ext 4 Complete 2.16.840.1.113883.3.23.3.4 2020/02/28 12:00:00 2020/02/28 12:00:00 2020/02/28 09:36:20 UV 2.16.840.1.113883.3.23.3.5 chbostonorl CHMC Otolaryngologic Foundation, Inc. Brenda Dodson masked Brenda Dodson 617-355-6000 masked EMR Clinical Integration Architect Boston Children's Hospital brenda.dodson@childrens.harvard.edu Provider 2.16.840.1.113883.3.23 Ext 4 Complete 2.16.840.1.113883.3.23.3.5 2020/02/28 12:00:00 2020/02/28 12:00:00 2020/02/28 10:04:31 UV 2.16.840.1.113883.3.23.3.6 chbostonsurgical CHMC Surgical foundation, Inc. Brenda Dodson masked Brenda Dodson 617-355-6000 masked EMR Clinical Integration Architect Boston Children's Hospital brenda.dodson@childrens.harvard.edu Provider 2.16.840.1.113883.3.23 Ext 4 Complete 2.16.840.1.113883.3.23.3.6 2020/02/28 12:00:00 2020/02/28 12:00:00 2020/02/28 10:08:27 UV 2.16.840.1.113883.3.23.3.7 chbostoncardiology Children's Hospital Cardiology Foundation Brenda Dodson masked Brenda Dodson 617-355-6000 masked EMR Clinical Integration Architect Boston Children's Hospital brenda.dodson@childrens.harvard.edu Provider 2.16.840.1.113883.3.23 Ext 4 Complete 2.16.840.1.113883.3.23.3.7 2020/02/28 12:00:00 2020/02/28 12:00:00 2020/02/28 10:10:45 UV 2.16.840.1.113883.3.23.3.8 chbostonneurology Children's Hospital Neurology Foundation, Inc. Brenda Dodson masked Brenda Dodson 617-355-6000 masked EMR Clinical Integration Architect Boston Children's Hospital brenda.dodson@childrens.harvard.edu Provider 2.16.840.1.113883.3.23 Ext 4 Complete 2.16.840.1.113883.3.23.3.8 2020/02/28 12:00:00 2020/02/28 12:00:00 2020/02/28 10:21:48 UV 2.16.840.1.113883.3.23.3.9 chbostonophthalmology Children's Hospital Ophthalmology Foundation Brenda Dodson masked Brenda Dodson 617-355-6000 masked EMR Clinical Integration Architect Boston Children's Hospital brenda.dodson@childrens.harvard.edu Provider 2.16.840.1.113883.3.23 Ext 4 Complete 2.16.840.1.113883.3.23.3.9 2020/02/28 12:00:00 2020/02/28 12:00:00 2020/02/28 10:24:01 UV 2.16.840.1.113883.3.23.3.10 chbostonpathology Children's Hospital Pathology Foundation, Inc. Brenda Dodson masked Brenda Dodson 617-355-6000 masked EMR Clinical Integration Architect Boston Children's Hospital brenda.dodson@childrens.harvard.edu Provider 2.16.840.1.113883.3.23 Ext 4 Complete 2.16.840.1.113883.3.23.3.10 2020/02/28 12:00:00 2020/02/28 12:00:00 2020/02/28 10:35:05 UV 2.16.840.1.113883.3.23.3.11 chbostonpediatricassoc Children's Hospital Pediatric Associates, Inc. (Medicine) Brenda Dodson masked Brenda Dodson 617-355-6000 masked EMR Clinical Integration Architect Boston Children's Hospital brenda.dodson@childrens.harvard.edu Provider 2.16.840.1.113883.3.23 Ext 4 Complete 2.16.840.1.113883.3.23.3.11 2020/02/28 12:00:00 2020/02/28 12:00:00 2020/02/28 10:41:33 UV 2.16.840.1.113883.3.23.3.12 chbostonradiology Children's Hospital Radiology Foundation Brenda Dodson masked Brenda Dodson 617-355-6000 masked EMR Clinical Integration Architect Boston Children's Hospital brenda.dodson@childrens.harvard.edu Provider 2.16.840.1.113883.3.23 Ext 4 Complete 2.16.840.1.113883.3.23.3.12 2020/02/28 12:00:00 2020/02/28 12:00:00 2020/02/28 11:09:03 UV 2.16.840.1.113883.3.23.3.13 chbostonsportsmedicine Children's Hospital Sports Medicine Brenda Dodson masked Brenda Dodson 617-355-6000 masked EMR Clinical Integration Architect Boston Children's Hospital brenda.dodson@childrens.harvard.edu Provider 2.16.840.1.113883.3.23 Ext 4 Complete 2.16.840.1.113883.3.23.3.13 2020/02/28 12:00:00 2020/02/28 12:00:00 2020/02/28 11:16:32 UV 2.16.840.1.113883.3.23.3.14 chbostonorthosurg Children's Orthopaedic Surgery Foundation Brenda Dodson masked Brenda Dodson 617-355-6000 masked EMR Clinical Integration Architect Boston Children's Hospital brenda.dodson@childrens.harvard.edu Provider 2.16.840.1.113883.3.23 Ext 4 Complete 2.16.840.1.113883.3.23.3.14 2020/02/28 12:00:00 2020/02/28 12:00:00 2020/02/28 11:19:27 UV 2.16.840.1.113883.3.23.3.15 chbostonurology Children's Urological Foundation, Inc. Brenda Dodson masked Brenda Dodson 617-355-6000 masked EMR Clinical Integration Architect Boston Children's Hospital brenda.dodson@childrens.harvard.edu Provider 2.16.840.1.113883.3.23 Ext 4 Complete 2.16.840.1.113883.3.23.3.15 2020/02/28 12:00:00 2020/02/28 12:00:00 2020/02/28 11:34:12 UV 2.16.840.1.113883.3.23.3.16 chbostonholyfamilyhosp Holy Family Hospital Brenda Dodson masked Brenda Dodson 617-355-6000 masked EMR Clinical Integration Architect Boston Children's Hospital brenda.dodson@childrens.harvard.edu Provider 2.16.840.1.113883.3.23 Ext 4 Complete 2.16.840.1.113883.3.23.3.16 2020/02/28 12:00:00 2020/02/28 12:00:00 2020/02/28 11:36:38 UV 2.16.840.1.113883.3.23.3.17 chbostonmarthaeliothealthctr Martha Elliot Health Center Brenda Dodson masked Brenda Dodson 617-355-6000 masked EMR Clinical Integration Architect Boston Children's Hospital brenda.dodson@childrens.harvard.edu Provider 2.16.840.1.113883.3.23 Ext 4 Complete 2.16.840.1.113883.3.23.3.17 2020/02/28 12:00:00 2020/02/28 12:00:00 2020/02/28 11:39:34 UV 2.16.840.1.113883.3.8667 nedhhsoehs Nebraska Department of Health and Human Services Office of Emergency Health Systems Tim Wilson masked Tim Wilson 301 Centennial Mall South Lincoln, NE 68506 4024710124 masked Administrator Nebraska DHHS Office of Emergency Health Systems 301 Centennial Mall South Lincoln, NE 68506 4024710124 dhhs.emstrauma@nebraska.gov https://dhhs.ne.gov/ehs Provider Int 3 Complete 2020/02/28 12:00:00 2020/02/28 12:00:00 2020/02/28 11:54:53 UV 2.16.840.1.113883.3.8668 clinicaCO Clinica Colorado Devra Fregin masked Devra Fregin 720-388-6491 masked Practice Manager Clinica Colorado 8300 Alcott Street Suite 300 Westminster, CO 80031 720-443-8461 info@clinicacolorado.org Provider Int 3 Complete 2020/03/02 12:00:00 2020/03/04 12:00:00 2020/03/04 08:42:44 UV 2.16.840.1.113883.3.8669 cobbeye Cobb Eye Center Timothy Herman masked Timothy Herman 5775 Glenridge Dr Atlanta, GA 30328 404-480-4018 masked CIO Cobb Eye Center 130 Vann St., Suite 230 Marietta, GA 30060 770-425-1341 tim.herman@eyesouthpartners.com https://cobbeyecenter.com/ Provider Int 3 Complete 2020/03/03 12:00:00 2020/03/04 12:00:00 2020/03/04 08:45:15 UV 2.16.840.1.113883.3.8670 gar Georgia Retina Timothy Herman masked Timothy Herman 5775 Glenridge dr Atlanta, GA 30328 404-480-4018 masked CIO Georgia Retina 1100 Johnson Ferry Rd. #593 Atlanta, GA 30342 404-255-9096 x5023 plucas@garetina.com https://garetina.com/ Provider Int 3 Complete 2020/03/03 12:00:00 2020/03/04 12:00:00 2020/03/04 08:48:14 UV 2.16.840.1.113883.3.8671 sn-DutchessCountyDBCH Dutchess County Department of Behavioral and Community Health Brian Palmer masked Brian Palmer 503 Haight Avenue Poughkeepsie, NY 12603 845-486-2834 masked Project Leader Dutchess County OCIS 503 Haight Avenue Poughkeepsie, NY 12603 845-486-2450 dcocis@dutchessny.gov https://www.dutchessny.gov Govt body Int 3 Complete 2020/03/03 12:00:00 2020/03/04 12:00:00 2020/03/04 09:00:21 UV 2.16.840.1.113883.3.8672 lcdlr La Clinica de La Raza Simon Tam masked Fernando Cortez Simon Tam Post Office Box 22210 Oakland, CA 94623-2210 510-715-0343 masked Lead Systems Engineer La Clinica de La Raza Post Office Box 22210 Oakland, CA 94623-2210 510-715-0343 stam@laclinica.org Provider Int 3 Complete 2020/03/04 12:00:00 2020/03/04 12:00:00 2020/03/04 09:04:02 UV 2.16.840.1.113883.3.8673 nwrc Northwest Renal Clinic Jerimi Boston masked Jonalyn Horsfall 1130 NW 22nd Avenue, Suite 640 Portland, OR 97210 503-229-7976 masked Practice Administrator Northwest Renal Clinic, Inc. 1130 NW 22nd Avenue, Suite 640 Portland, OR 97210 503-229-7976 helpdesk@nwrc.com https://www.nwrc.com Provider Int 3 Complete 2020/03/04 12:00:00 2020/03/04 12:00:00 2020/05/18 04:21:48 US 2.16.840.1.113883.3.8674 encoreSupportServices Encore Support Services Mordechai Meisels masked Dawn Mastoridis Dawn Mastoridis 1338 44th Street, Brooklyn, NY 11219 718.304.9977 x127 masked National Director of Development Encore Support Services 1338 44th Street, Brooklyn, NY 11219 718-304-9977 x108 mmeisels@encoresupport.org https://encoresupport.org/ Provider Int 3 Complete 2020/03/04 12:00:00 2020/03/04 12:00:00 2020/03/04 09:13:24 UV 2.16.840.1.113883.3.8675 chocpomonapeds CHOC Prime Clinicals EMR Pomona Peds Neil Garde masked Neil Garde 1201 W. La Veta Ave., Orange, CA 92868 7145094817 masked Director, Business Applications and Analytics CHOC Children's Hospital 1201 W. La Veta Ave., Orange, CA 92868 7149973300 ngarde@choc.org https://www.choc.org Provider Int 3 Complete 2020/03/04 12:00:00 2020/03/04 12:00:00 2020/03/04 09:17:43 UV 2.16.840.1.113883.3.8676 wee Wee Care Pediatrics Aaron Williams masked Aaron Williams 6965 Tutt Blvd Suite 100 Colorado Springs, CO 80923 719-258-7393 masked Operations Officer Margot A Williams DO PC DBA Wee Care Pediatrics 6965 Tutt Blvd Suite 100 Colorado Springs, CO 80923 7192587393 weecarepediatrics@gmail.com http://www.wee-care-pediatrics.com Provider Int 3 Complete 2020/03/05 12:00:00 2020/03/05 12:00:00 2020/03/05 09:28:40 UV 2.16.840.1.113883.3.8677 lkc-ca-bh Lake County Behavioral Health Services Michelle Lamkin masked Michelle Lamkin PO Box 1024 Lucerne, CA 95458 707-274-9101 masked Staff Services Specialist Lake County Behavioral Health Services PO Box 1024 Lucerne, CA 95458 707-274-9101 todd.metcalf@lakecountyca.gov https://www.lakecountyca.gov Govt body Int 3 Complete 2020/03/05 12:00:00 2020/03/05 12:00:00 2020/03/05 09:48:10 UV 2.16.840.1.113883.3.8678 pfpShallotteNC Phelps Family Practice, PLLC Shannon Phelps masked Shannon Phelps P.O. Box 1369 Shallotte, NC 28459 9107548000 masked Phelps Family Practice, PLLC P.O. Box 1369 Shallotte, NC 28459 9107548000 shannonphelps@atmc.net Provider Int 3 Complete 2020/03/06 12:00:00 2020/03/12 12:00:00 2020/03/12 08:25:12 UV 2.16.840.1.113883.17.4275 chcl Community Health Clinical Laboratory, LLC Alex Feoktistov masked Alex Feoktistov 150 Tejas Pl Bldg B STE A Nipomo, CA 93444 805-338-0460 masked Community Health Clinical Laboratory, LLC 150 Tejas Pl Bldg B STE A Nipomo, CA 93444 805-338-0460 alexistov@gmail.com Provider Int 17 Complete 2020/03/06 12:00:00 2020/03/12 12:00:00 2020/03/12 08:44:12 UV 2.16.840.1.113883.3.8679 fourwind Four Winds Hospital Westchester Egal sanchez masked Egal sanchez 750 Cross River Road, Cross River, New York 10518 9147638151 masked Director of MIS Four Winds Hospital Westchester 750 Cross River Road, Cross River, New York 10518 9147638151 esanchez@fourwindshospital.com https://www.fourwindshospital.com/ Provider Int 3 Complete 2020/03/06 12:00:00 2020/03/12 12:00:00 2020/03/12 08:52:16 US 2.16.840.1.113883.3.8680 ethizo ethizo EHR OID Faraz Khan masked Faraz Khan (253) 777-7279 masked Product Lead DocToMe, Inc. 33rd Ave CT NW Suite 518 Gig Harbor, WA 98335 United States (253) 777-7279 jawad@ethizo.com Vendor Int 3 Complete 2020/03/11 12:00:00 2020/03/12 12:00:00 2020/03/12 08:59:14 UV 2.16.840.1.113883.3.8681 cfbcbs CareFirst BlueCross BlueShield Grace Jacoby masked Mark Mundorf Mark Mundorf 1501 S Clinton Street, Baltimore, MD 21224 410-469-2393 masked Data Warehouse Manager CareFirst BlueCross BlueShield 1501 S Clinton Street, Baltimore, MD 21224 410-469-2393 Mark.mundorf@carefirst.com Payor Int 3 Complete 2020/03/11 12:00:00 2020/03/12 12:00:00 2020/03/12 09:19:25 UV 2.16.840.1.113883.3.8682 shellpoint Shellpoint Retirement Community Trish Fenton masked Trish Fenton 239-433-7927 masked Clinical Application Analyst ShellPoint Retirement Community 15000 Shell Point Blvd. Ft Myers, FL 33908 239-433-7927 trishfenton@shellpoint.org Provider Int 3 Complete 2020/03/12 12:00:00 2020/03/12 12:00:00 2020/03/12 09:24:47 UV 2.16.840.1.113883.3.8683 sdta Sandata Technologies, LLC Melissa Eberlein masked Kevin Wade 26 Harbor Park Drive Port Washington, NY 11050 5164844400 masked Sandata Technologies, LLC 26 Harbor Park Drive Port Washington, NY 11050 5164844400 meberlein@sandata.com Vendor Int 3 Complete 2020/03/13 12:00:00 2020/03/13 12:00:00 2020/03/13 08:34:45 UV 2.16.840.1.113883.3.8684 r1-v3Rd-aL3 Theodore C Docu MD PC Mariana Ortega masked Hemo Bodh 5750 Mosholu Ave Bronx, NY 10471 914-332-1099 masked Office Administrator Theodore C Docu MD PC 5750 Mosholu Ave Bronx, NY 10471 914-332-1099 mosholumedical@gmail.com Provider Int 3 Complete 2020/03/13 12:00:00 2020/03/13 12:00:00 2020/03/13 08:51:52 UV 2.16.840.1.113883.3.8685 fourWindsSaratoga Four Winds Saratoga Egal Sanchez masked Egal Sanchez 9147638151 masked Director of MIS Four Winds Saratoga 30 Crescent Ave, Saratoga Springs, NY 12866 9147638151 ssnowdon@fourwindssaratoga.com https://www.fourwindshospital.com/about_four_winds/saratoga/ Provider Int 3 Complete 2020/03/16 12:00:00 2020/03/18 12:00:00 2020/03/18 08:39:27 UV 2.16.840.1.113883.3.8686 eh ENGLEWOOD HEALTH Manoj Thotakura masked Manoj Thotakura 350 Engle street Englewood, NJ 07631 7342760025 masked Englewood Health 350 Engle street Englewood, NJ 07631 2016082605 Manoj.Thotakura@EHMCHealth.org https://www.englewoodhealth.org/ Academic Int 3 Complete 2020/03/16 12:00:00 2020/03/18 12:00:00 2020/03/18 09:02:43 UV 2.16.840.1.113883.3.8687 mt-bscc Big Sky Care Connect Montana Swetha Nalakonda masked Jean Branscum Swetha Nalakonda 8042969272 masked Technical Lead Big Sky Care Connect Montana 2021 11th Ave., Suite 2 Helena, MT 59601 8042969272 jean@mmaoffice.org https://www.mtbscc.org/ Exchange Int 3 Complete 2020/03/16 12:00:00 2020/03/18 12:00:00 2020/03/18 09:07:19 UV 2.16.840.1.113883.3.8688 nicusa NIC USA OID For NIC Objects Kevin Schmidt masked Kevin Schmidt 25501 West Valley Parkway Suite 300 Olathe, KS 66061 9137388471 masked Director, Product Management Healthcare NIC USA 25501 West Valley Parkway Suite 300 Olathe, KS 66061 9137388471 kevin.schmidt@egov.com https://www.egov.com/ Vendor Int 3 Complete 2020/03/17 12:00:00 2020/03/18 12:00:00 2020/03/18 09:30:47 UV 2.16.840.1.113883.4.965 ca-QHR QHR Technologies Inc Standards Infodesk masked Brian Ellis #300 - 1620 Dickson Ave. Kelowna, BC V1Y 9Y2 Canada 1-855-550-5004 masked QHR Technologies Inc. #300 - 1620 Dickson Ave. Kelowna, BC V1Y 9Y2 Canada 1-855-550-5004 support@qhrtech.com https://qhrtechnologies.com/ Vendor Int 4 Complete 2020/03/18 12:00:00 2020/03/18 12:00:00 2020/03/18 09:42:09 CA 2.16.840.1.113883.3.8689 phxmpa Phoenix Mountain Post Acute Doug Bowen masked Doug Bowen 13232 North Tatum Blvd. Phoenix, AZ 85032 (602) 996-5200 masked Executive Director Phoenix Mountain Post Acute 13232 North Tatum Blvd. Phoenix, AZ 85032 (602) 996-5200 dobowen@ensignservices.net Provider Int 3 Complete 2020/03/19 12:00:00 2020/03/19 12:00:00 2020/03/19 10:12:03 UV 2.16.840.1.113883.3.8690 sbc The South Bend Clinic, LLP Mark Miller masked Mark Miller 311 N. Eddy Street, South Bend, IN 46617 574-204-6972 masked Database Administrator The South Bend Clinic, LLP 311 N. Eddy Street, South Bend, IN 46617 574-234-8161 shubler@southbendclinic.com http://www.southbendclinic.com Provider Int 3 Complete 2020/03/19 12:00:00 2020/03/19 12:00:00 2020/03/19 10:28:19 UV 2.16.840.1.113883.3.8691 regmia Delaware County Memorial Hospital Keith Nuehring masked Mark Tucker Keith Nuehring 709 W. Main St. PO Box 359 Manchester, IA 52057 563-927-7739 masked IT Manager Delaware County Memorial Hospital 709 W. Main St. PO Box 359 Manchester, IA 52057 563-927-3232 keith.nuehring@regmedctr.org Provider Int 3 Complete 2020/03/19 12:00:00 2020/03/19 12:00:00 2020/03/19 10:47:11 UV 2.16.840.1.113883.3.8692 simple-practice Simple Practice Inc. Mark Eastwood masked Mark Eastwood 11801 Mississippi Ave 2nd Floor Los Angeles, CA 90025 3102663770 masked Chief Product Officer Simple Practice Inc. 11801 Mississippi Ave 2nd Floor Los Angeles, CA 90025 mark@simplepractice.com https://www.simplepractice.com Provider Int 3 Complete 2020/03/19 12:00:00 2020/03/19 12:00:00 2020/03/19 11:00:45 UV 2.16.840.1.113883.3.8693 relevant-healthcare-technologies-bhh Relevant Healthcare Technologies serving Brooklyn Health Home Sarah Laine masked Relevant Healthcare Technologies 11 Park Pl. Fl. 3 New York, NY 10007 (212) 220-3807 masked Relevant Healthcare Technologies 11 Park Pl. Fl. 3 New York, NY 10007 (212) 220-3807 info@relht.com http://relevant.healthcare Vendor Int 3 Complete 2020/03/23 12:00:00 2020/03/26 12:00:00 2020/03/26 11:51:27 UV 2.16.840.1.113883.3.8694 hinq Innovatie Co&#246;peratie Gezondheid & Zorg U.A. Jari Maijenburg masked Jari Maijenburg Prinses Margrietplantsoen 32 2595 BR Den Haag The Netherlands +31638311061 masked CTO HINQ Prinses Margrietplantsoen 32 2595 BR Den Haag The Netherlands info@hinq.nl https://hinq.nl Vendor Int 3 Complete 2020/03/24 12:00:00 2020/03/26 12:00:00 2024/07/16 11:58:41 UV 2.16.840.1.113883.3.8695 orx OptumRx Christina Taylor masked Chris Simeone 131 Morristown Rd Basking Ridge, NJ 07920 973-348-1411 masked VP, PBM Technology / Product Integration Optum 11000 Optum Circle Eden Prairie, MN 55344 973-348-1411 csimeone@optum.com https://optum.com Vendor Int 3 Complete 2020/03/25 12:00:00 2020/03/26 12:00:00 2020/03/26 11:58:18 UV 2.16.840.1.113883.3.8696 cpc1401 Castillo Primary Care Pauline Castillo masked Pauline Sophie Castillo 7195829161 masked Castillo Primary Care 7192256510 paulinepcs@comcast.net Provider Int 3 Complete 2020/03/26 12:00:00 2020/03/27 12:00:00 2020/03/27 12:48:24 UV 2.16.840.1.113883.3.8697 smpa South Mountain Post Acute Brenda Aguilar masked Brenda Aguilar 8008 S Jesse Owens Parkway Phoenix, AZ 85042 602-243-2780 masked Health Information Director South Mountain Post Acute 8008 S Jesse Owens Parkway Phoenix, AZ 85042 602-243-2780 BrenAguilar@EnsignServices.net https://www.southmountainpostacute.com Provider Int 3 Complete 2020/03/26 12:00:00 2020/03/27 12:00:00 2020/03/27 12:52:14 UV 2.16.840.1.113883.9.257 palouseMedical Palouse Medical, PS. Theresa Kwate masked Theresa Kwate 825 S.E. Bishop Blvd. Ste. 200, Pullman, WA 99163 509-332-2517 masked Administrator Palouse Medical 825 S.E. Bishop Blvd. Ste. 200, Pullman, WA 99163 509-332-2517 tkwat@palousemedical.com https://www.palousemedical.com Provider Int 3 Complete 2020/03/26 12:00:00 2020/09/19 12:00:00 2020/09/19 11:35:28 UV 2.16.840.1.113883.3.8698 rpmh-1 RPMH Alex Gonzales masked Alex Gonzales 200 E. Arizona Ave. Sweetwater, TX 79556 325-219-6101 masked Information Systems RPMH 200 E. Arizona Ave. Sweetwater, TX 79556 325-235-1701 webmaster@rpmh.net http://www.rpmh.net Exchange Int 3 Complete 2020/03/30 12:00:00 2020/03/31 12:00:00 2020/03/31 07:06:26 UV 2.16.840.1.113883.3.8699 sjpfamilybixby SJP Family Medical Center Bixby Kalia Yang masked Kalia Yang 1924 S Utica Ave, DT4 Tulsa, OK 74104 918-748-7863 masked Project Analyst SJP Family Medical Center Bixby 7333 E 121st So Bixby, OK 74008 918-710-4200 kalia.yang1@ascension.org Provider Int 3 Complete 2020/03/30 12:00:00 2020/03/31 12:00:00 2020/03/31 07:14:12 UV 2.16.840.1.113883.3.8700 renaissanceMFM Center of Maternal Fetal Medicine OID Root Raphael Somosot masked Lisa Torres 5119 S McColl Rd. Edinburg, TX 78539 9563622470 masked Office Manager Center of Maternal Fetal Medicine 5119 S McColl Rd. Edinburg, TX 78539 9563622090 el.torres@dhr-rgv.com https://dhrhealth.com/services/maternal-fetal-medicine Provider Int 3 Complete 2020/03/31 12:00:00 2020/03/31 12:00:00 2020/03/31 07:18:29 UV 2.16.840.1.113883.3.8701 hybrent Hybrent Inc Navneet Gosal masked Navneet Gosal 3309 Woodley Road NW Washington, DC 20008 7039806793 masked CTO Hybrent Inc 3309 Woodley Road NW Washington, DC 20008 7039806793 navneet.gosal@hybrent.com http://www.hybrent.com Vendor Int 3 Complete 2020/03/31 12:00:00 2020/03/31 12:00:00 2020/03/31 07:22:50 UV 2.16.840.1.113883.3.8702 mos-mmh MedOne Systems (MMH) Waldo Marx masked Waldo Marx 401 Matthews Street Innovation center Marietta, OH 45750 646 838 2720 masked Software developer MedOne Systems 401 Matthews Street Innovation center Marietta, OH 45750 646 838 2720 support@medonesystems.com http://www.medonesystems.com Vendor Int 3 Complete 2020/04/01 12:00:00 2020/04/06 12:00:00 2020/04/06 09:52:12 UV 2.16.840.1.113883.3.8703 aperi Aperiomics Crystal Icenhour masked Alvin Chen 45925 Horseshoe Dr, Suite 170 Sterling, VA 20166 7032290406 masked Aperiomics, Inc 45925 Horseshoe Dr, Suite 170 Sterling, VA 20166 7032290406 oid@aperiomics.com Provider Int 3 Complete 2020/04/02 12:00:00 2020/04/06 12:00:00 2020/04/06 10:01:39 UV 2.16.840.1.113883.3.8704 hjsta Handmaker Jewish Services for the Aging Kyle Montoya masked Kyle Montoya 2221 N. Rosemont Boulevard Tucson, AZ 85712 (520) 547-6028 masked Handmaker Jewish Services for the Aging 2221 N. Rosemont Boulevard Tucson, AZ 85712 (520) 547-6028 kmontoya@handmaker.org http://www.handmaker.org/ Provider Int 3 Complete 2020/04/02 12:00:00 2020/04/06 12:00:00 2020/04/06 10:06:30 UV 2.16.840.1.113883.3.8705 rscktzuchi RS CINTA KASIH TZU CHI Mohammad Tamam masked MOHAMMAD TAMAM JL. R.A. KARTINI KAV. 8 SOUTH QUARTER TOWER B 18-19TH FLOOR CILANDAK JAKARTA +6281519062767 masked FIELD ENGINEER RS CINTA KASIH TZU CHI Jl. Lingkar Luar Kamal Raya (Outer Ring Road) Perumahan Cinta Kasih Tzu Chi Cengkareng Timur - Cengkareng, Jakarta Barat 11730 +622155963680 teddy.sunarto@tzuchi.or.id Prof Soc Int 3 Complete 2020/04/03 12:00:00 2020/04/06 12:00:00 2020/04/06 10:18:30 UV 2.16.840.1.113883.4.966 ca-abSMAntigen Alberta to SNOMED Antigen codes Mapping Standards Infodesk masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780-427-4734 masked Alberta Health 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780-427-4734 HISCA@gov.ab.ca Govt body Int 4 Complete 2020/04/03 12:00:00 2020/04/06 12:00:00 2020/04/06 10:24:41 CA 2.16.840.1.113883.4.967 ca-abSMVaccine Alberta to SNOMED Vaccine codes Mapping Standards Infodesk masked Health Information Standards 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780-427-4734 masked Alberta Health 13th Floor, ATB Place, 10025 Jasper Ave, Edmonton, Alberta, T5J 1S6 Canada 780-427-4734 HISCA@gov.ab.ca Govt body Int 4 Complete 2020/04/03 12:00:00 2020/04/06 12:00:00 2020/04/06 10:29:28 CA 2.16.840.1.113883.3.8706 kypca CHARLI-HL7 David Bolt masked JOE ACOSTA 651 Comanche Trail Frankfort, KY 40601 5022274379 masked Kentucky Primary Care Association 651 Comanche Trail Frankfort, KY 40601 5022274379 membership@kypca.net https://www.kpca.net Exchange Int 3 Complete 2020/04/06 12:00:00 2020/04/06 12:00:00 2020/04/06 10:33:30 UV 2.16.840.1.113883.3.8707 wyammc AspenMountainMedicalCenter Andrea Evers masked Cheryl Hinman 4401 College Dr. Rock Springs, WY 82901 3073528970 masked Aspen Mountain Medical Center 4401 College Dr. Rock Springs, WY 82901 3073528900 chinman@aspenmountainmc.com Provider Int 3 Complete 2020/04/06 12:00:00 2020/04/06 12:00:00 2020/04/06 10:42:09 UV 2.16.840.1.113883.3.8708 whsi Whatley Health services, Inc. Donnie Lewis masked Donnie Lewis 2731 MLK Jr. Blvd Tuscaloosa, Alabama 35401 205-758-6647 masked Whatley Health Serevices, Inc 2731 MLK Jr. Blvd Tuscaloosa, ALabama 35401 205-758-6647 tburton@whatleyhealth.org https://www.whatleyhealth.org/ Provider Int 3 Complete 2020/04/07 12:00:00 2020/04/07 12:00:00 2020/04/07 07:45:31 UV 2.16.840.1.113883.3.8709 casamba Casamba Doron Hetz masked Doron Hetz 5210 Lewis Road Suite 10 Agoura Hills, CA 9130 8189919111 masked Casamba 5210 Lewis Road Suite 10 Agoura Hills, CA 9130 8189919111 doron.hetz@casamba.net https://www.casamba.net Vendor Int 3 Complete 2020/04/07 12:00:00 2020/04/07 12:00:00 2020/04/07 07:49:42 UV 2.16.840.1.113883.3.8710 greenclinicslab Green Clinics Laboratory, LLC Melissa Earley masked Fady Gerges Fady Gerges 1633 Sorghum Mill Road Dover, DE 19901 (302) 734-5050 masked Owner/Operator Green Clinics Laboratory, LLC 1633 Sorghum Mill Road Dover, DE 19901 (302) 734-5050 fgerges@greenclinics.net http://www.greenclinics.net/ Vendor Int 3 Complete 2020/04/09 12:00:00 2020/04/09 12:00:00 2020/04/09 09:18:09 US 2.16.840.1.113883.3.8711 maa Medical Arts Allergy, PC Patty Calaman masked Patty 220 Wilson Street Suite 200 Carlisle, PA 17013 7172433103 x 8 masked Office Manager Medical Arts Allergy, PC 220 Wilson Street Suite 200 Carlisle, PA 17013 7172437540 pcalaman@medicalartsallergy.com Provider Int 3 Complete 2020/04/09 12:00:00 2020/04/09 12:00:00 2020/04/09 09:24:34 UV 2.16.840.1.113883.3.8712 shenmc Shenandoah Medical Center Zac Zwickel masked Zac Zwickel 300 Pershing Ave Shenandoah, IA 51601 712-246-7398 masked IT Manager Shenandoah Medical Center 300 Pershing Ave Shenandoah, IA 51601 712-246-1230 it-alerts@smchospital.com Provider Int 3 Complete 2020/04/13 12:00:00 2020/04/15 12:00:00 2020/04/15 08:05:22 UV 2.16.840.1.113883.3.8713 bomc Banner Ocotillo Medical Center Steve Drozdowski masked Steve Drozdowski 2929 N Central Ave. Phoenix, AZ 85012 602-747-4319 masked IT Software Integration Sr Consultant Banner Ocotillo Medical Center 1435 S Alma School Rd Chandler, AZ 85286 480-668-1600 steve.drozdowski@bannerhealth.com Provider Int 3 Complete 2020/04/13 12:00:00 2020/04/15 12:00:00 2020/04/15 08:07:42 UV 2.16.840.1.113883.3.8714 faith Faith Regional Health Services Kim Atkins masked Kim Atkins 2700 Norfolk Avenue Norfolk, NE 68701 1-402-649-7246 masked RN- Manager of Clinical Informatics Faith Regional Health Services 2700 Norfolk Ave Norfolk, NE 68701 1-402-371-4880 katkins@frhs.org https://www.frhs.org Provider Int 3 Complete 2020/04/14 12:00:00 2020/04/15 12:00:00 2020/04/15 08:23:04 UV 2.16.840.1.113883.3.8715 cibo Cibola General Hospital Rick Smith masked Rick Smith 1016 E. Roosevelt Avenue Grants, NM 87020 505.287.5314 masked IT Director Cibola General Hospital 1016 E. Roosevelt Avenue Grants, NM 87020 505.287.4446 Rick_Smith@cibolahospital.com http://www.cibolahospital.com Provider Int 3 Complete 2020/04/15 12:00:00 2020/04/15 12:00:00 2020/04/15 08:41:25 UV 2.16.840.1.113883.3.8716 bchhc-3 Beatrice Community Hospital & Health Center Patty Hortman masked Eric Carel 4800 Hospital Parkway Beatrice, NE 68310 402-223-6769 masked Director, Technology Services Beatrice Community Hospital & Health Center 4800 Hospital Parkway Beatrice, NE 68310 402-228-3344 ecarel@bchhc.org https://beatricecommunityhospital.com/ Provider Int 3 Complete 2020/04/15 12:00:00 2020/04/15 12:00:00 2020/04/15 08:43:59 UV 2.16.840.1.113883.3.8717 mitchell Mitchell Care Center Stephanie Hahn masked Stephanie Hahn 1723 23rd St. Mitchell, NE 69357 308-623-1212 masked Administrator Mitchell Care Center 1723 23rd St. Mitchell, NE 69357 308-623-1212 mitchellcarestaff@yahoo.com Provider Int 3 Complete 2020/04/15 12:00:00 2020/04/15 12:00:00 2020/04/15 08:49:18 UV 2.16.840.1.113883.3.8718 tabitha Tabitha Health Care Caleb Herwick masked Lisa Osborne Caleb Herwick 4720 Randolph St. Lincoln, NE 68510 402-484-9897 masked Executive Director of Information Services Tabitha Health Care 4720 Randolph St. Lincoln, NE 68510 402-483-7671 itteam@tabitha.org Provider Int 3 Complete 2020/04/16 12:00:00 2020/04/16 12:00:00 2020/04/16 08:03:13 UV 2.16.840.1.113883.3.8719 hhwaz Horizon Health and Wellness Jeff Carter masked Horizon Health and Wellness 8334314449 masked Horizon Health and Wellness 625 N Plaza Dr Apache Junction, AZ 85120 8334314449 info@hhwaz.org http://www.hhwaz.org Provider Int 3 Complete 2020/04/16 12:00:00 2020/04/16 12:00:00 2020/04/16 08:05:57 UV 2.16.840.1.113883.3.8720 wic-denver The Women's Imaging Center John Lewin masked John Lewin The Women's Imaging Center 3773 Cherry Creek N. Dr., Suite 101 Denver, CO 80209 +1 303 321-2273 ext 236 masked Radiologist The Women's Imaging Center 3773 Cherry Creek N. Dr., Suite 101 Denver, CO 80209 +1 303 321-2273 Kelly.McAleese@thewomensimagingcenter.net https://thewomensimagingcenter.com/ Provider Int 3 Complete 2020/04/16 12:00:00 2020/04/17 12:00:00 2020/04/17 09:16:35 UV 2.16.840.1.113883.3.1640.400 swghc-hh Southwest General Home Health David Saffron masked David Saffron 18697 Bagley Road Middleburg Heights, Ohio 44130 4408168786 masked Operations Lead Southwest General Health Center 18697 Bagley Road Middleburg Heights, Ohio 44130 4408168037 clynn@swgeneral.com http://swgeneral.com Provider 2.16.840.1.113883.3.1640 Ext 14 Complete 2.16.840.1.113883.3.1640.400 2020/04/17 12:00:00 2020/04/17 12:00:00 2020/04/17 09:27:59 UV 2.16.840.1.113883.3.8721 khshl7 Kimball Health Services Charles Walker masked Charles Walker 255 W. 4th Street Kimball, NE 69145 3082351977 masked Kimball Health Services 255 W. 4th Street Kimball, NE 69145 3082351951 OID_HL7@kimballhealth.org https://www.kimballhealth.org/ Provider Int 3 Complete 2020/04/20 12:00:00 2020/04/20 12:00:00 2024/09/18 11:55:41 UV 2.16.840.1.113883.3.8722 vsl Vetter Health Services Matthew Marquardt masked Matthew Marquardt 20220 Harney St Elkhorn, NE 68022 4028953932 masked Vetter Health Services 20220 Harney St Elkhorn, NE 68022 mmarquardt@vhsmail.com Provider Int 3 Complete 2020/04/20 12:00:00 2020/04/20 12:00:00 2020/04/20 07:36:45 UV 2.16.840.1.113883.3.8723 parhoi Parkview Home Inc. Lori Franzluebbers masked Lori Franzluebbers 930 2nd Street Dodge, NE 68633 402-693-2212 masked Administrator Parkview Home Inc. 930 2nd Street Dodge, NE 68633 4026932212 parkview1967@parkviewhome.net Provider Int 3 Complete 2020/04/20 12:00:00 2020/04/20 12:00:00 2020/04/20 07:39:00 UV 2.16.840.1.113883.3.8724 genetworx Recovery Centers Of America Laboratory Services DBA Genetworx Sarah Jacobs-Helber masked Charnetta Williams Sarah Jacobs-Helber 4060 Innslake Dr. Glenn Allen, VA 23060 8043464363 masked Medical Director RCA Laboratory Services DBA Genetworx 4060 Innslake Dr. Glenn Allen, VA 23060 8043464363 acctsupport@genetworx.com https://www.genetworx.com Provider Int 3 Complete 2020/04/20 12:00:00 2020/04/20 12:00:00 2020/04/20 07:42:02 US 2.16.840.1.113883.3.8725 adracare Adracare Practice Management Platform Edward Philip masked edward.philip@adracare.com Edward Philip 1810 Rex Heath Drive. Pickering, ON L1X 0E6 4169043845 masked Chief Technology Officer Adracare Inc. Suite 300 21 R Atlantic Ave. Toronto, Ontario M6K 3E7 Canada 1-855-783-6771 info@adracare.com https://adracare.com Vendor Int 3 Complete 2020/04/21 12:00:00 2020/04/21 12:00:00 2020/04/21 11:40:12 UV 2.16.840.1.113883.3.8726 wyfi Wyoming Frontier Information Kelly Lloyd masked Ruth Jo Friess Timothy Caswell 122 W. 25th Street 4th Floor Cheyenne, Wyoming 82002 307-777-5414 masked HIT Manager Wyoming Frontier Information 122 W. 25th Street 4th Floor Cheyenne, Wyoming 82002 307-777-5414 timothy.caswell@wyo.gov https://health.wyo.gov/healthcarefin/wyoming_frontier_information_wyfi/ Exchange Int 3 Complete 2020/04/22 12:00:00 2020/04/22 12:00:00 2021/03/11 06:01:46 UV 2.16.840.1.113883.3.8727 tcmhsmaine Tri-County Mental Health Services OID Root Tom Gagnier masked Tom Gagnier 1155 Lisbon St PO Box 2008 Lewiston, ME 04241-2008 207-344-1814 masked EHR Administrator Tri-County Mental Health Services 1155 Lisbon St PO Box 2008 Lewiston, ME 04241-2008 207-783-9141 tgagnier@tcmhs.org Provider Int 3 Complete 2020/04/22 12:00:00 2020/04/22 12:00:00 2020/04/22 09:37:02 UV 2.16.840.1.113883.3.8728 gtx Genotox Laboratories Bill Edgemond masked Bill Edgemond 2170 Woodward St, Suite 100 Austin, TX 78744 5126006601 masked Lab Manager Genotox Laboratories 2170 Woodward St, Suite 100 Austin, TX 78744 5126006601 bedgemond@genotoxlabs.com Provider Int 3 Complete 2020/04/23 12:00:00 2020/04/23 12:00:00 2020/04/23 09:55:17 UV 2.16.840.1.113883.3.8729 mnlhnh Mid Nebraska Lutheran Home and Newman House Angela Caubarrus masked Angela Caubarrus 109 N. 2nd Street Newman Grove, NE 68758 402-447-6203 masked Administrator Mid Nebraska Lutheran Home and Newman House 109 N 2nd Street Newman Grove, NE 68758 4024476203 mnlhome@midneluth.com Provider Int 3 Complete 2020/04/23 12:00:00 2020/04/23 12:00:00 2020/04/23 10:03:52 UV 2.16.840.1.113883.3.8730 docs Dentrust Dental Virginia, P.C Rishi Bhardwaj masked Rishi Bhardwaj Dentrust 6097 Easton Road Pipersville, PA 18947 6092345436 masked COO Dentrust Dental Virginia, P.C 6097 Easton Road, Pipersville, PA 18947 2679275000 rbhardwaj@dentrustocs.com Provider Int 3 Complete 2020/04/23 12:00:00 2020/04/23 12:00:00 2020/04/23 10:11:02 UV 2.16.840.1.113883.3.8731 mlh Mary Lanning Healthcare Michelle Musgrave masked Michelle Musgrave 715 N St Joseph Ave Hastings, NE 68901 4024615282 masked ITS Analyst Mary Lanning Healthcare 715 N St Joseph Ave Hastings, NE 68901 4024634521 mmusgrave@marylanning.org https://www.marylanning.org Provider Int 3 Complete 2020/04/23 12:00:00 2020/04/23 12:00:00 2020/04/23 10:20:11 UV 2.16.840.1.113883.3.8732 bd-LabResults Bako Diagnostics Lab Reporting David Jenkins masked David Jenkins 6240 Shiloh Road Alpharetta, GA 30005 6786795670 masked Chief Information Officer Bako Diagnostics 6240 Shiloh Road Alpharetta, GA 30005 6782086400 djenkins@bakodx.com http://bakodx.com Vendor Int 3 Complete 2020/04/24 12:00:00 2020/04/24 12:00:00 2020/04/24 10:47:02 UV 2.16.840.1.113883.3.8733 safekeeping SafeKeeping, Inc. Doug Wilcox masked Matt Prasek Matt Prasek 318 Main Street Evansville, IN 47708 888-752-7575 masked CPO SafeKeeping, Inc 318 Main Street Evansville, IN 47708 888-752-7575 inquiries@safekeepingapp.com https://www.safekeepingapp.com Vendor Int 3 Complete 2020/04/24 12:00:00 2020/04/24 12:00:00 2020/04/24 10:50:06 UV 2.16.840.1.113883.3.8734 id-DirectTrust DirectTrust.org, Inc. Stephen Weiss masked Stephen Weiss 1629 K Street NW Suite 300 Washington, DC 20006 5167826305 masked Managing Director DirectTrust.org, Inc. 1629 K Street NW Suite 300 Washington, DC 20006 5167826305 stephen.weiss@directtrust.org https://directtrust.org SDO 1.3.6.1.4.1.41179 Int 1.3.6.1.4.1.41179 3 Retired 2020/04/24 12:00:00 2020/04/27 07:50:03 UV 2.16.840.1.113883.3.8735 padmajaisukapalli Inman Medical Associates Padmaja Isukapalli masked Padmaja Isukapalli 805 Inman Ave, Colonia, NJ 07067-1433 (732)-340-0007 masked Practitioner Inman Medical Associates 805 Inman Ave, Colonia, NJ 07067-1433 (732)-340-0007 jainisu@yahoo.com Provider Int 3 Complete 2020/04/24 12:00:00 2020/04/24 12:00:00 2020/04/24 10:54:06 UV 1.3.6.1.4.1.41179.2.2 id-DirectTrustCat2 DirectTrust BA Stephen Weiss masked Stephen Weiss 1629 K Street Suite 300 Washington, DC 20006 5167826305 masked Managing Director DirectTrust.org, Inc. 1629 K Street Suite 300 Washington, DC 20006 stephen.weiss@directtrust.org https://directtrust.org SDO 1.3.6.1.4.1.41179 Ext 4 Complete 1.3.6.1.4.1.41179.2.2 2020/04/24 12:00:00 2020/04/24 12:00:00 2020/04/24 11:21:53 UV 1.3.6.1.4.1.41179.2.3 id-DirectTrustCat3 DirectTrust HE Stephen Weiss masked Stephen Weiss 1629 K Street Suite 300 Washington, DC 2006 5167826305 masked Managing Director DirectTrust.org, Inc. 1629 K Street Suite 300 Washington, DC 2006 stephen.weiss@directtrust.org https://directtrust.org SDO 1.3.6.1.4.1.41179 Ext 4 Complete 1.3.6.1.4.1.41179.2.3 2020/04/24 12:00:00 2020/04/24 12:00:00 2020/04/24 11:24:12 UV 2.16.840.1.113883.3.8736 next-BRS Next Bio-Research Services, LLC Melissa Russell masked Thomas Reynolds Thomas R Reynolds 11601 Ironbridge Road Ste 101 Chester, VA 23831 8049776602 masked President Next Bio-Research Services, LLC 11601 Ironbridge Rd Ste 101 Chester, VA 23831 8049776600 info@nextmolecular.com https://www.nextmolecular.com/ Provider Int 3 Complete 2020/04/25 12:00:00 2020/04/25 12:00:00 2020/04/25 04:14:24 UV 2.16.840.1.113883.3.8737 clkcc Clarkson Community Care Center Heather Eagle masked Heather Eagle 212 SUNRISE DRIVE Clarkson, NE 68629 4028923494 masked Administrator Clarkson Community Care Center 212 Sunrise Dr. Clarkson, NE 68629 4028923494 administrator@clarksoncarecenter.com Provider Int 3 Complete 2020/04/27 12:00:00 2020/04/27 12:00:00 2020/04/27 07:36:10 UV 2.16.840.1.113883.3.8738 girmc Grand Island Regional Medical Center Thomas Wenzke masked Thomas Wenzke 3533 Prairieview Street Grand Island, NE 68803 308-675-4351 masked IT Director Grand Island Regional Medical Center 3533 Prairieview Street Grand Island, NE 68803 308-675-5000 info@giregional.org https://giregional.org Provider Int 3 Complete 2020/04/27 12:00:00 2020/04/27 12:00:00 2020/04/27 07:37:41 UV 2.16.840.1.113883.3.8739 lrc1001 Lancaster Rehabilitation Center Amy Fish masked Amy Fish 1001 South Street Lincoln, NE 68502 4024417101 masked Administrator Lancaster Rehabilitation Center 1001 South Street Lincoln, NE 68502 4024417101 administrator@lancasterrc.com Provider Int 3 Complete 2020/04/27 12:00:00 2020/04/27 12:00:00 2020/04/27 07:47:27 UV 2.16.840.1.113883.3.8740 nsch North Shore Community Health Andrea Russano masked Andrea Russano 27 Congress Street Suite 513 Salem, MA 01970 9788251183 masked Director of Decision Support North Shore Community Health 27 Congress Street Suite 513 Salem, MA 01970 9788251183 emrsupport@nschi.org Provider Int 3 Complete 2020/04/28 12:00:00 2020/04/28 12:00:00 2020/04/28 10:08:34 UV 2.16.840.1.113883.3.8741 bL BOWlink Technologies Michael Stelmach masked Michael P Stelmach 6 Linden Lane Auburn, MA 01501 7742720313 masked President/CEO BOWlink Technologies, Inc. 6 Linden Lane Auburn, MA 01501 7742720313 mstelmach@health-e-link.net https://health-e-link.net Vendor Int 3 Complete 2020/04/28 12:00:00 2020/04/28 12:00:00 2020/04/28 10:13:10 UV 2.16.840.1.113883.3.8742 rchbass Rock County Hospital Calvin Alder masked Stacey Knox 102 E South Street Bassett, NE 68714 4026843366 masked Administrator Rock County Hospital 102 E South Street Bassett, NE 68714 4026843366 healthlandupdates@rockcountyhospital.com Provider Int 3 Complete 2020/04/28 12:00:00 2020/04/28 12:00:00 2020/04/28 10:46:01 UV 2.16.840.1.113883.3.8743 bodecovid19testing Bode COVID-19 Testing Robert Bever masked Renee Walker 10430 Furnace Road, Suite 107, Lorton, VA 22079 703-646-9875 masked Contract Manager Bode Cellmark Forensics, Inc. 10430 Furnace Road, Suite 107, Lorton, VA 22079 703-646-9740 contracts@bodetech.com Vendor Int 3 Complete 2020/04/29 12:00:00 2020/04/29 12:00:00 2020/04/29 07:39:26 UV 2.16.840.1.113883.3.8744 bryanH Bryan Health Laureen Ehmen masked Laureen Ehmen 1600 S. 48th St. Lincoln, NE 68506 USA +1-402-481-2032 masked Integration Engineer Bryan Health 1600 S. 48th St. Lincoln, NE 68506 USA 402-481-1111 Epic_Integration@bryanhealth.org Provider Int 3 Complete 2020/04/29 12:00:00 2020/04/29 12:00:00 2020/04/29 07:42:11 UV 2.16.840.1.113883.3.8745 gmu George Mason University Matthew Hicks masked Matthew Hicks 4400 University Drive Fairfax, VA 22030 7039933409 masked Director George Mason University 4400 University Drive Fairfax, VA 22030 7039933409 mhicks21@gmu.edu Provider Int 3 Complete 2020/04/29 12:00:00 2020/04/29 12:00:00 2020/04/30 08:07:25 US 2.16.840.1.113883.3.8746 olsnh Oglala Sioux Lakota Nursing Home Tiffany Shangreau masked Tiffany Shangreau 7835 Elders Dr. St Hwy 87 Rushville, NE 69360 3088624020 masked Interim Administrator Oglala Sioux Lakota Nursing Home 7835 Elders Dr. St Hwy 87 Rushville, NE 69360 3088624020 business@oslnh.com Provider Int 3 Complete 2020/04/30 12:00:00 2020/04/30 12:00:00 2020/04/30 09:48:13 UV 2.16.840.1.113883.3.8747 lbphd Loup Basin Public Health Department Amanda Jeffres masked Loup Basin 934 I St PO Box 995 Burwell, NE 68823 3083465795 masked Loup Basin Public Health Department 934 I St PO Box 995 Burwell, NE 68823 3083465795 healthdept@lbphd.org Provider Int 3 Complete 2020/04/30 12:00:00 2020/04/30 12:00:00 2020/04/30 10:01:47 UV 2.16.840.1.113883.3.8748 aegisscicorp Aegis Sciences Corporation Kristie Shafer masked Kristie Shafer (615) 425-4632 masked Aegis Sciences Corporation 515 Great Circle Road Nashville, TN 37228 (615) 255-2400 info@aegislabs.com https://www.aegislabs.com/ Provider Int 3 Complete 2020/05/01 12:00:00 2020/05/04 12:00:00 2020/05/04 10:00:23 UV 2.16.840.1.113883.3.8749 ops Organizational Performance Systems Thomas Moore masked Thomas Moore 3042 S Josephine St Denver, CO 80210 3036912722 masked Organizational Performance Systems 1393 Oak Ave Los Altos, CA 94024 650-968-7032 tom.moore@ops1.com https://www.ops1.com SDO Int 17 Complete 2020/05/02 12:00:00 2020/05/04 12:00:00 2020/05/04 10:03:19 UV 2.16.840.1.113883.3.8750 mako Mako Medical Austin Fitzwater masked Austin Fitzwater 8461 Garvey Dr, Raleigh, NC 27616 802 343 6322 masked Director Software of Engineering MAKO Medical 8461 Garvey Dr, Raleigh, NC 27616 (844) 625-6522 integrationsupport@makomedical.com https://makomedical.com/ Provider Int 3 Complete 2020/05/03 12:00:00 2020/05/04 12:00:00 2020/05/04 10:09:36 V2.5.1 UV 2.16.840.1.113883.3.8751 cpccmr Community Pride Care Center Tanya Bode masked Tanya Bode 901 South 4th Street Battle Creek, NE 68715 4026752955 masked Medical Records Community Pride Care Center 901 South 4th Street Battle Creek, NE 68715 4026752955 medrec@pridecarecenter.com Provider Int 3 Complete 2020/05/04 12:00:00 2020/05/04 12:00:00 2020/05/04 10:14:27 UV 2.16.840.1.113883.3.8752 amggensurg AMG General Surgery Kalia Yang masked Kalia Yang 1930 S. Utica Ave Tulsa, OK 74104 918-384-8894 masked Project Analyst AMG General Surgery 1725 E 19th St Suite 800 Tulsa, OK 74104 918-301-2505 paul.harris@ascension.org Provider Int 3 Complete 2020/05/04 12:00:00 2020/05/04 12:00:00 2020/05/04 10:19:11 UV 2.16.840.1.113883.3.8753 renaissanceHIRCC DHR Health Heart Institute OID Root Raphael Somosot masked Marcia Pinheiro 1801 S. Fifth St. Ste 130 McAllen, TX 78503 956-776-3442 masked Office Manager DHR Health Heart Institute 1801 S. Fifth St. Ste 130 McAllen, TX 78503 956-362-8340 m.pinheiro@dhr-rgv.com https://dhrhealth.com/services/cardiology Provider Int 3 Complete 2020/05/04 12:00:00 2020/05/04 12:00:00 2020/05/07 09:56:37 UV 2.16.840.1.113883.3.8754 rpm East West Family Health Floyd Russak masked Katie Perry 5420 S Quebec St #100 Greenwood Village, CO 80111 303-221-6797 masked Office Manager East West Family Health 5420 S Quebec St #100 Greenwood Village, CO 80111 303-221-6797 kbunt@rpmmedicine.com http://www.russakpersonalizedmedicine.com Provider Int 3 Complete 2020/05/05 12:00:00 2020/05/05 12:00:00 2020/05/05 10:15:30 UV 2.16.840.1.113883.3.8755 aahmn-HIE Appleton Area Health MN Brandon Norman masked John Whitington Brandon Norman 3202891580 masked IT Manager Appleton Area Health 30 South Behl Street Appleton, MN 56208 320-289-1580 bnorman@aah-mn.org https://www.appletonareahealth.com/ Provider Int 3 Deprecated 2020/05/05 12:00:00 2020/05/05 12:00:00 2020/05/11 06:26:56 UV 2.16.840.1.113883.17.4276 tcare5 NaphCare Jason Douglas masked luke.dobbs@naphcare.com Jason Douglas 2090 Columbiana Rd Suite 4000 Birmingham, Alabama 35216 205-536-8445 masked VP of Information System NaphCare 2090 Columbiana Rd Suite 4000 Birmingham, Alabama 35216 205-536-8400 jdouglas@naphcare.com http://www.naphcare.com Provider Int 17 Complete 2020/05/05 12:00:00 2020/05/05 12:00:00 2020/05/05 10:22:53 US 2.16.840.1.113883.3.8756 lgclabs Priva Path, Inc d/b/a LGC Labs Eric Kwak masked Eric Kwak 222 E Huntington Dr. Suite 100 Monrovia, CA 91016 626-386-5277 masked CBO Priva Path Labs, Inc d/b/a LGC Labs 222 E Huntington Dr. Suite 100 Monrovia, CA 91016 626-386-5277 ekwak@lgclabs.com https://www.letsgetchecked.com Provider Int 3 Complete 2020/05/05 12:00:00 2020/05/05 12:00:00 2020/05/05 10:24:18 UV 2.16.840.1.113883.3.8757 suncoast CompliaHealth -Suncoast Suncoast Pharmacy masked Melissa Turner Melissa Turner Suncoast by CompliaHealth 5771 Roosevelt Blvd Bldg 400 Clearwater, FL 33760 727-599-2556 masked Director of Integration Complia Health 900 National Parkway Suite 100 Schaumburg, IL 60173 7275992556 mturner@compliahealth.com http://compliahealth.com Vendor Int 3 Complete 2020/05/06 12:00:00 2020/05/06 12:00:00 2020/05/28 10:59:44 US 2.16.840.1.113883.3.8758 vvrmc Val Verde Regional Medical Center Keith Willey masked Adam J Souvigney Keith Willey 801 N Bedell Ave, Del Rio, TX 78840 830-778-3880 masked Chief Information Officer Val Verde Regional Medical Center 801 N Bedell Ave, Del Rio, TX 78840 830-778-3880 keith.willey@vvrmc.org https://www.vvrmc.org/ Provider Int 3 Complete 2020/05/06 12:00:00 2020/05/06 12:00:00 2020/05/06 07:42:40 UV 2.16.840.1.113883.3.8759 hiltpest Hilltop Estates Lori McPeak masked Lori McPeak PO Box 429 2520 Ave M Gothenburg, NE 69138 3085377138 masked Medical Records Director Hilltop Estates PO Box 429 2520 Ave M Gothenburg, NE 69138 3085377138 hilltopadm@qwestoffice.net Provider Int 3 Complete 2020/05/06 12:00:00 2020/05/06 12:00:00 2020/05/06 07:47:21 UV 2.16.840.1.113883.3.8760 wilcare Wilber Care Center Barbara Dreyer masked Barbara Dreyer 611 North Main St Wilber, NE 68465 4028212331 masked Administrator Wilber Care Center 611 North Main Street Wilber, NE 68465 4028212331 administrator@wilbercare.com Govt body Int 3 Complete 2020/05/07 12:00:00 2020/05/07 12:00:00 2020/05/07 09:36:41 UV 2.16.840.1.113883.3.8761 relevant-healthcare-technologies-cbc Relevant Healthcare Technologies serving Coordinated Behavioral Care Jacob Hodes masked Relevant Healthcare Technologies 11 Park Pl Fl 3 New York, NY 10007 2122203807 masked Relevant Healthcare Technologies 11 Park Pl Fl 3 New York, NY 10007 2122203807 ops@relht.com https://relevant.healthcare Vendor Int 3 Complete 2020/05/07 12:00:00 2020/05/07 12:00:00 2020/05/07 09:41:35 UV 2.16.840.1.113883.3.8762 relevant-healthcare-technologies-ccc Relevant Healthcare Technologies serving CommunityHealth Care Collaborative (Hudson River Healthcare) Sarah Laine masked Relevant Healthcare Technologies 11 Park Pl Fl 3 New York, NY 10007 212-220-3807 masked Relevant Healthcare Technologies 11 Park Pl Fl 3 New York, NY 10007 2122203807 ops@relht.com https://relevant.healthcare Vendor Int 3 Complete 2020/05/07 12:00:00 2020/05/07 12:00:00 2020/05/07 09:45:00 UV 2.16.840.1.113883.4.968 labWare-LIS-Portable-Lab-vendor-LabWare LabWare Inc. - LabWare LIS Portable Lab Russell Robertson masked Russell Robertson 3 Mill Rd, Suite 102 Wilmington, Delaware 19806 3026588444 masked Clinical Product Manager LabWare Inc. 3 Mill Rd, Suite 102 Wilmington, Delaware 19806 3026588444 robertson@labware.com http://www.labware.com Vendor Int 4 Complete 2020/05/08 12:00:00 2020/05/21 12:00:00 2020/05/21 11:26:32 UV 2.16.840.1.113883.3.8763 rogersBH-rootOID Rogers Behavioral Health Root Organization Identifier Eric Klosterman masked Rogers Behavioral Health 34700 Valley Road, Oconomowoc, WI 53066 800-767-4411 masked Rogers Behavioral Health 34700 Valley Road, Oconomowoc, WI 53066 800-767-4411 info@rogersbh.org https://rogersbh.org/ Provider Int 3 Complete 2020/05/08 12:00:00 2020/05/08 12:00:00 2020/05/08 08:22:29 UV 2.16.840.1.113883.3.8764 lcphd1 Lincoln County PHD1 Marcus Horak masked Marcus Horak PO Box 368 Odessa, WA 99159-0368 509-982-2611 masked HIM Director Lincoln County PHD1 PO Box 368 Odessa, WA 99159-0368 509-982-2611 ap@omhc.org https://www.omhc.org Govt body Int 3 Complete 2020/05/08 12:00:00 2020/05/08 12:00:00 2020/05/08 08:26:03 UV 2.16.840.1.113883.3.8765 dw-Interface Desert West Interface OID Brad Fox masked Brad Fox 5601 W Eugie Ave Ste 100 Glendale, AZ 85304 602-644-4889 masked Systems Director Desert West OB/GYN, Ltd. 5601 W Eugie Ave Ste 100 Glendale, AZ 85304 602-978-1500 bfox@desertwestobgyn.com https://desertwestobgyn.com/ Provider Int 3 Complete 2020/05/10 12:00:00 2020/05/11 12:00:00 2020/05/11 06:42:36 UV 2.16.840.1.113883.3.8766 iPANS Practice Management of America Henry Wolfe masked Henry Wolfe 994 Jericho Turnpike, Suite 202A Smithtown, NY 11787 8604590960 masked CIO Practice Management of America 1092 Jericho Turnpike, Suite 2N Commack, NY 11725 631-698-1900 oid@ipany.com https://www.ipany.com/ Provider Int 3 Complete 2020/05/11 12:00:00 2020/05/11 12:00:00 2020/05/11 06:50:59 UV 2.16.840.1.113883.3.8767 horizonLabSystems HORIZON Lab Systems Ben Moore masked Ben Moore HORIZON Lab Systems 8601 Six Forks Road, Suite 160 Raleigh, NC 27615 919.855.8716 masked HORIZON Lab Systems bmoore@horizonlims.com Vendor Int 3 Complete 2020/05/11 12:00:00 2020/05/11 12:00:00 2020/05/11 06:53:38 UV 2.16.840.1.113883.3.8768 nta Natera Todd McFarlin masked Todd McFarlin Todd McFarlin 2485724541 masked Natera 201 Industrial Rd San Carlos, CA 94070 510.826.2350 SUPPORT@NATERA.COM https://www.natera.com/ Provider Int 3 Complete 2020/05/12 12:00:00 2020/05/12 12:00:00 2020/05/12 09:53:31 UV 2.16.840.1.113883.17.4277 mhaw2 Association for Mental Health and Wellness Paula Fries masked Association for Mental Health and Wellness 939 Johnson Avenue PO Box 373 Ronkonkoma, NY 11779 631-471-7242 x1414 masked Chief Operating Officer Association for Mental Health and Wellness 939 Johnson Avenue PO Box 373 Ronkonkoma, NY 11779 641-471-7242 information@mhaw.org https://www.mhaw.org Provider Int 17 Complete 2020/05/12 12:00:00 2020/05/12 12:00:00 2020/05/12 10:04:32 UV 2.16.840.1.113883.3.8769 whittingtonhealth Whittington Health Trust OID identifier Leon Douglas masked Whittington Health Whittington Health NHS Trust Magdala Avenue London N19 5NF 02072723070 masked Whittington Health communications.whitthealth@nhs.net Provider Int 3 Complete 2020/05/13 12:00:00 2020/05/13 12:00:00 2020/05/13 06:44:11 UV 2.16.840.1.113883.3.8770 wvhc Wabash Valley Health Center Davy Montgomery masked Davy Montgomery 1436 Locust St Terre Haute, IN 47807 8122441116 masked IT Director Wabash Valley Health Center 1436 Locust St Terre Haute, IN 47807 8122327447 dmontgomery@wvhc.org http://www.wabashvalleyhealthcenter.org Provider Int 3 Complete 2020/05/14 12:00:00 2020/05/16 12:00:00 2020/05/16 06:45:57 UV 2.16.840.1.113883.9.258 vcd Vista Clinical Diagnostics Keith Davenport masked keith j davenport Keith J Davenport 3705 S HWY 27 Clermont, FL 34711 3525360090 masked LIS Director Vista Clinical Diagnostics keith@vista-clinical.com http://vista-clinical.com Provider Int 3 Complete 2020/05/14 12:00:00 2020/05/21 12:00:00 2020/05/21 10:40:48 UV 2.16.840.1.113883.3.8771 rYIS-001 Restorative Youth Integrated Services Jennifer Robinson masked Lisa Longeretta 268 Genesee St. Utica, NY 13501 3157359501 masked AVP Restorative Youth Integrated Services 268 Genesee St. Utica, NY 13501 3157359501 lisa.longeretta@cnyhealthhome.net Provider Int 3 Complete 2020/05/14 12:00:00 2020/05/16 12:00:00 2020/05/18 10:47:16 UV 2.16.840.1.113883.3.8772 alorair Alorair Solutions Inc. Kervin Lansang masked Kervin Lansang 4240 Latham Street Suite D Riverside, CA 92501 951.836.6473 masked Business Development Alorair Solutions Inc. 4240 Latham Street Suite D Riverside, CA 92501 951.836.6473 kervin@alorair.com https://www.alorair.com/ Vendor Int 3 Complete 2020/05/14 12:00:00 2020/05/16 12:00:00 2020/05/16 07:55:32 UV 2.16.840.1.113883.3.8773 mdp1 MDPortals Compendium Omar Salah masked Omar Salah 20 Pine St. , #2302 New York, NY 10005 3108694340 masked CEO MDPortals 20 Pine St. , #2302 New York, NY 10005 3108694340 Omar@MDportals.com https://mdportals.com Vendor Int 3 Complete 2020/05/15 12:00:00 2020/05/16 12:00:00 2020/05/16 08:43:37 UV 2.16.840.1.113883.3.8774 ahcrdh Arrowhead Family Health Centers Rj Anglin masked Rj Anglin 6233344000 masked Project Manager QA Arrowhead Family Health Centers 16390 N 59th Ave Glendale, AZ 85306 6233344000 info@redirecthealth.com Provider Int 3 Complete 2020/05/15 12:00:00 2020/05/16 12:00:00 2020/05/16 08:47:19 UV 2.16.840.1.113883.3.8775 sctimst-3 SREE CHITRA TRIUNAL INSTITUTE FOR MEDICAL SCIENCES & TECHNOLOGY Suresh B masked Suresh B SREE CHITRA TRIUNAL INSTITUTE FOR MEDICAL SCIENCES & TECHNOLOGY MEDICAL COLLEGE PO PAN NO. # AAAJS0437M TRIVANDRUM, KERALA IN, 695011 9447002247 masked SREE CHITRA TRIUNAL INSTITUTE FOR MEDICAL SCIENCES & TECHNOLOGY MEDICAL COLLEGE PO PAN NO. # AAAJS0437M TRIVANDRUM, KERALA IN, 695011 9447002247 suresh@sctimst.ac.in https://www.sctimst.ac.in/ Govt body Int 3 Complete 2020/05/18 12:00:00 2020/05/20 12:00:00 2020/05/20 08:59:20 UV 2.16.840.1.113883.3.8776 gtmed Georgetown Medical PC Shanetrice Franklin masked Mary Ann Hutfless Shanetrice Franklin 3440 South 50th Street Omaha, NE 68106 402-556-3000 masked CMA Georgetown Medical PC 3440 South 50th Street Omaha, NE 68106 402-556-3000 drhutflessstaff@mdvip.com Provider Int 3 Complete 2020/05/18 12:00:00 2020/05/20 12:00:00 2020/05/20 09:02:39 UV 2.16.840.1.113883.3.8777 rbjh Jewish Federation of Omaha dba Rose Blumkin Jewish Home Jerry Nevins masked Jerry Nevins Jerry Nevins 323 S 132nd St Omaha, Nebraska 68154-2197 4023346512 masked Assistant Administrator Jewish Federation of Omaha dba Rose Blumkin Jewish Home 323 S 132nd St Omaha, Nebraska 68154-2197 4023304272 OID@rbjh.com Provider Int 3 Complete 2020/05/19 12:00:00 2020/05/20 12:00:00 2020/05/20 09:11:54 UV 2.16.840.1.113883.3.8778 rmyc-ecp Every Child Pediatrics Hans Mueller masked Hans Mueller Every Child Pediatrics 9197 Grant St, Suite 100 Thornton, CO 80229 303-450-3690 masked Director of Information Technology Every Child Pediatrics 9197 Grant St, Suite 100 Thornton, CO 80229 303-450-3690 hmueller@everychildpediatrics.org Provider Int 3 Complete 2020/05/20 12:00:00 2020/05/20 12:00:00 2020/05/20 09:25:21 UV 2.16.840.1.113883.3.8779 lbbh Lighthouse Behavioral Health Hospital James Wydock masked James Wydock Lighthouse Behavioral Health Hospital 152 Waccamaw Medical Park Dr. Conway, SC 29526 843-347-5070 masked CFO Lighthouse Behavioral Health Hospital 152 Waccamaw Medical Park Dr. Conway, SC 29626 8433478871 james.wydock@uhsinc.com https://lighthousebehavioral.com Provider Int 3 Complete 2020/05/20 12:00:00 2020/05/20 12:00:00 2020/05/20 09:32:06 UV 2.16.840.1.113883.3.8780 bluevalley Blue Valley Lutheran Homes Society Inc. Lori Wittler masked Lori Wittler PO Box 166 Hebron, NE 68370 4027683913 masked CFO Blue Valley Lutheran Homes Society Inc. PO Box 166 Hebron, NE 68370 4027683900 don@bvlh.org Provider Int 3 Complete 2020/05/20 12:00:00 2020/05/20 12:00:00 2020/05/20 09:37:07 UV 2.16.840.1.113883.3.8781 rwamInsurance RWAM Insurance Administrators Kevin Pfeiffer masked Kevin Pfeiffer RWAM Insurance Administrators 49 Industrial Drive Elmira, ON Canada N3B 3B1 519-669-1631 ext 291 masked Application Development Manager RWAM Insurance Administrators 49 Industrial Drive Elmira, ON Canada N3B 3B1 519-669-1632 kevin.pfeiffer@pib.com Payor Int 3 Complete 2020/05/21 12:00:00 2020/05/21 12:00:00 2020/05/21 10:32:15 UV 2.16.840.1.113883.17.8750 oksurghosp OKLAHOMA SURGICAL HOSPITAL Madonna Burton masked Madonna Burton 2408 E 81st St Suite 300 Tulsa, OK 74137 918-477-5010 masked Executive Director of Revenue & IT Oklahoma Surgical Hospital 2408 E 81st St Suite 300 Tulsa, OK 74137 mburton@oksurg.com https://oklahomasurgicalhospital.com Provider Int 17 Complete 2020/05/26 12:00:00 2020/05/27 12:00:00 2020/05/27 11:10:31 UV 2.16.840.1.113883.3.8782 oneUpHealth 1upHealth Kyle Brew masked contact@1up.health Kyle Brew 280 Summer Street, Floor 7, Boston MA 02210 7817525927 masked Solution Architect 1upHealth, Inc. 280 Summer Street, Floor 7, Boston MA 02210 support@1up.health https://1up.health/ Vendor Int 3 Complete 2020/05/26 12:00:00 2020/05/27 12:00:00 2025/02/04 05:11:22 UV 2.16.840.1.113883.3.8783 rCHD Rankin County Hospital District Jim Horton masked Jim Horton PO Box 327 Rankin, TX 79778 432-693-1205 masked CEO Rankin County Hospital District PO Box 327 Rankin, TX 79778 432-693-1200 jhorton@rankincountyhospital.org https://www.rankinhospital.org/ Govt body Int 3 Complete 2020/05/27 12:00:00 2020/05/27 12:00:00 2020/05/27 11:18:26 UV 2.16.840.1.113883.3.8784 svhrc Sunview Health and Rehabilitation Center Melissa Jeffery masked Melissa Jeffery 12207 N 113th Avenue Youngtown, AZ 85363 623-977-6532 masked Administrator Sunview Health and Rehabilitation Center 12207 N 113th Avenue Youngtown, AZ 85363 623-977-6532 Mejeffery@EnsignServices.net Provider Int 3 Complete 2020/05/27 12:00:00 2020/05/27 12:00:00 2020/05/27 11:24:35 UV 2.16.840.1.113883.3.8785 uhsovy UHS Old Vineyard Behavioral Health Kelly Thacker masked Kelly Thacker UHS Old Vineyard Behavioral Health 3637 Old Vineyard Road Winston-Salem, NC 27104 3367943550 masked CEO UHS Old Vineyard Behavioral Health 3637 Old Vineyard Road Winston-Salem, NC 27104 3367943550 kelly.thacker@uhsinc.com https://oldvineyardbhs.com/ Provider Int 3 Complete 2020/05/28 12:00:00 2020/05/28 12:00:00 2020/05/28 11:18:02 UV 2.16.840.1.113883.3.8786 healthx HealthxSolutions HealthxApp Jay Patadia masked Jay Patadia 2162853095 masked HealthxSolutions Ltd 3401 Enterprise Pkwy, Ste 340, Beachwood, OH 44122 2162853095 contact@healthxsolutions.com Vendor Int 3 Complete 2020/05/28 12:00:00 2020/05/28 12:00:00 2020/05/28 11:23:27 UV 2.16.840.1.113883.3.8787 imprivataOID Imprivata customer production deployment identifier Robert Durso masked Robert Durso 10 Maguire Road Building 1, Suite 125 Lexington, MA 02421-3120 781-430-2862 masked Engineering Manager Imprivata, Inc. 10 Maguire Road Building 1, Suite 125 Lexington, MA 02421-3120 781-674-2700 oidinfo@imprivata.com https://www.imprivata.com Vendor Int 3 Complete 2020/05/28 12:00:00 2020/05/28 12:00:00 2020/05/28 11:27:55 UV 2.16.840.1.113883.3.8788 andersonhealth Anderson Healthcare Michael Ward masked Travis Hanson Michael Ward 6800 State Route 162 Maryville, IL 62062 618-391-5899 masked CIO Anderson Healthcare 6800 State Route 162 Maryville, IL 62062 618-391-5899 wardm@andersonhospital.org http://www.andersonhospital.org Provider Int 3 Complete 2020/05/28 12:00:00 2020/05/28 12:00:00 2020/05/28 11:30:59 UV 2.16.840.1.113883.17.8751 curative Curative Inc. Mohamed Elmallah masked Isaac Turner Mohamed Elmallah 430 S Cataract Ave, San Dimas, CA 91773 2132192948 masked Integration PM Curative Inc. 430 S Cataract Ave, San Dimas, CA 91773 2132192948 mohamed@curativeinc.com http://www.curativeinc.com Provider Int 17 Complete 2020/05/28 12:00:00 2020/05/28 12:00:00 2020/05/28 11:46:56 UV 2.16.840.1.113883.3.8789 whms West Holt Memorial Hospital Kimberly Stenka masked Kimberly Stenka 406 W Neely Street Atkinson, NE 68713 402-925-1964 masked Executive Administrative Aassistant West Holt Memorial Hospital 406 W Neely Street Atkinson, NE 68713 402-925-2811 office.admin@westholtmed.org Provider Int 3 Complete 2020/06/01 12:00:00 2020/06/03 12:00:00 2020/06/03 11:05:40 UV 2.16.840.1.113883.3.8790 oid-PCMH-Cerner Pike County Memorial Hospital's OID for Cerner project Jeremy Gruen masked Jeremy Gruen 2305 Georgia St Louisiana, MO 63353 573-754-5531 masked IT Director Pike County Memorial Hospital 2305 Georgia St Louisiana, MO 63353 573-754-5531 jgruen@pcmhmo.org https://www.pcmh-mo.org Provider Int 3 Complete 2020/06/01 12:00:00 2020/06/03 12:00:00 2020/06/03 11:08:34 UV 2.16.840.1.113883.3.8791 healthnow Health Now Family Practice + Walk In Clinic Claire Diamant-Yefet masked Claire Diamant-Yefet Claire Diamant-Yefet 9137 E Mineral Cir. Ste.110 Centennial, CO 80112 3039539405 masked Owner, FNP Health Now Family Practice + Walk In Clinic 9137 E Mineral Cir. Ste.110 Centennial, CO 80112 3039539405 healthnow2019@gmail.com Provider Int 3 Complete 2020/06/01 12:00:00 2020/06/03 12:00:00 2020/06/03 11:16:05 UV 2.16.840.1.113883.3.8792 monarchhealthcare Monarch HealthCare Albert Chen masked Debra Vargas 11 Technology Drive Irvine, CA 92618-2302 949-453-4106 masked Assistant Director, EHR Development and HIE Monarch HealthCare, Part of OptumCare 11 Technology Drive Irvine, CA 92618-2302 949-923-3200 achen@mhealth.com https://www.monarchhealthcare.com/ Provider Int 3 Complete 2020/06/02 12:00:00 2020/06/03 12:00:00 2020/06/03 11:22:47 UV 2.16.840.1.113883.3.8793 mnc MedNOW Clinics Jaime Woodruff masked Jaime Woodruff Jaime Woodruff 15101 E. Iliff Avenue, Suite 140 Aurora, CO 80014 7208787055 masked Practice Manager MedNOW Clinics 15101 E. Iliff Avenue, Suite 140 Aurora, CO 80014 7208787055 jwoodruff@mednowclinics.com https://mednowclinics.com Provider Int 3 Complete 2020/06/03 12:00:00 2020/06/03 12:00:00 2020/06/03 11:32:27 UV 2.16.840.1.113883.3.8794 rochesterrehab Rochester Rehabilitation Center Maureen Servas masked Maureen Servas Maureen Servas 1000 Elmwood Ave Rochester, NY 14620 5852563430 masked PROS Team Leader Rochester Rehabilitation Center 1000 Elmwood Ave Rochester, NY 14620 5852712520 mservas@rochesterrehab.org http://www.rochesterrehab.org Provider Int 3 Complete 2020/06/03 12:00:00 2020/06/03 12:00:00 2020/06/03 11:40:07 UV 2.16.840.1.113883.3.8795 tTCOF The Children's Clinic of Fredericksburg Patricia Seidman masked Patricia Seidman 4532 Plank Road Fredericksburg, VA 22407 5402521840 masked Operations Manager The children's Clinic of Fredericksburg 4532 Plank Rd Fredericksburg, VA 22407 5402521840 pseidman@childrensclinicfxbg.com https://www.childrensclinicfxbg.com/ Provider Int 3 Complete 2020/06/03 12:00:00 2020/06/03 12:00:00 2020/06/03 11:47:18 UV 2.16.840.1.113883.3.8796 snhs Seneca Nation Health System J-Anne Martin masked Trevor Kilby J-Anne J Martin 36 Thomas Indian School Dr Irving, NY 14081 716-532-8492 masked Clinical Application specialist EMR administrator Seneca Nation Health System PO Box 500 Salamanca, NY 14779 716-945-5894 speterson@senecahealth.org Govt body Int 3 Complete 2020/06/04 12:00:00 2020/06/04 12:00:00 2020/06/04 08:52:03 UV 2.16.840.1.113883.3.8797 vita Vita Health Systems Benjamin Williamson masked Benjamin Williamson Benjamin Williamson #3 Audubon Place New Orleans, LA 70118 8669338482 masked Managing Member Vita Health Systems 8669338482 bwilliamson@vitahealthsystems.com https://www.vitahealthsystems.com SDO Int 3 Complete 2020/06/04 12:00:00 2020/06/04 12:00:00 2020/06/04 08:55:39 UV 2.16.840.1.113883.3.8798 nmuh North Middlesex University Hospital NHS Trust Richard Bowyer masked Richard Bowyer North Middlesex University Hospital NHS Trust Sterling Way London N18 1QX 02088874566 masked Head of Technology North Middlesex University Hospital NHS Trust North Middlesex University Hospital NHS Trust Sterling Way London N18 1QX 02088872000 richard.bowyer2@nhs.net http://www.northmid.nhs.uk Provider Int 3 Complete 2020/06/05 12:00:00 2020/06/06 12:00:00 2020/06/06 01:50:06 UV 2.16.840.1.113883.3.8799 gra Leslie Berigan masked Leslie Berigan Leslie Berigan 970 Parchment Dr. SE Grand Rapids, MI, 49546 6169494840 masked Office Manager Grand Rapids Allergy 970 Parchment Dr. SE Grand Rapids, MI, 49546 6169494840 lberigan@grandrapidsallergy.com http://www.grandrapidsallergy.com Provider Int 3 Complete 2020/06/05 12:00:00 2020/06/06 12:00:00 2020/06/06 01:53:46 UV 2.16.840.1.113883.3.8800 ehsny Endeavor Health Services David Parisi masked David V. Parisi 1526 Walden Ave, Suite 400 Cheektowaga, NY 14225 7168956700 masked CIO Endeavor Health Services 1526 Walden Ave, Suite 400 Cheektowaga, NY 14225 7168956700 InformationSystems@ehsny.org https://www.ehsny.org Provider Int 3 Complete 2020/06/05 12:00:00 2020/06/06 12:00:00 2020/06/06 02:05:24 UV 2.16.840.1.113883.3.8801 ccop Children's Clinic of Pueblo Michael DiTondo masked Michael DiTondo Children's Clinic of Pueblo 1600 N.Grand Ave Suite 240 Pueblo, CO 81003 7192952302 masked Office Manager Children's Clinic of Pueblo 1600 N.Grand Ave Suite 240 Pueblo, CO 81003 7192952302 mditondo@ccopueblo.net https://childrensclinicofpueblo.com/ Provider Int 3 Complete 2020/06/05 12:00:00 2020/06/06 12:00:00 2020/06/06 02:10:43 UV 2.16.840.1.113883.3.8802 cozad-chs Cozad Community Health System Jamion Aden masked Jamion Aden 300 East 12th St P.O. Box 108 Cozad, NE 69130 3087842261 masked IT Director Cozad Community Health System 300 East 12th St P.O. Box 108 Cozad, NE 69130 3087842261 webmaster@cozadhealthcare.com Provider Int 3 Complete 2020/06/08 12:00:00 2020/06/09 12:00:00 2020/06/09 08:34:57 UV 2.16.840.1.113883.3.8803 plvmanorwp Plainview Manor & Whispering Pines Juleen Johnson masked Juleen Johnson Juleen Johnson 101 W Harper Ave PO Box 219 Plainview, NE 68769 4025823849 masked Administrator Plainview Manor & Whispering Pines 101 W Harper Ave PO Box 219 Plainview, NE 68769 4025823849 plvmanorwp@yahoo.com Provider Int 3 Complete 2020/06/09 12:00:00 2020/06/09 12:00:00 2020/06/09 08:45:14 UV 2.16.840.1.113883.3.8804 eccsnf Elwood Care Center Kate Reiners masked Kate Reiners Elwood Care Center PO Box 315 Elwood, NE 68937 308-785-3302 masked Administrator Village of Elwood 304 Calvert Ave. Elwood, NE 68937 308-785-2480 villelwood@atcjet.net Govt body Int 3 Complete 2020/06/09 12:00:00 2020/06/09 12:00:00 2020/06/09 08:56:44 UV 2.16.840.1.113883.3.8805 uhsbmh UHS Brynn Marr Hospital Allison Davenport masked Allison Davenport 192 Village Drive. Jacksonville, NC 28546 910-577-1400 masked CEO UHS Brynn Marr Hospital 192 Village Drive. Jacksonville, NC 28546 910-577-1400 allison.davenport@uhsinc.com https://brynnmarr.org/ Provider Int 3 Complete 2020/06/09 12:00:00 2020/06/09 12:00:00 2020/06/09 09:14:00 UV 2.16.840.1.113883.3.8806 ndbh New Directions Behavioral Health, LLC Darral Van Goethem masked Darral Dean Van Goethem 6100 Sprint Parkway Suite 200 Overland Park, KS 66211 8169941572 masked Vice President, Technical Operations New Directions Behavioral Health, LLC 6100 Sprint Parkway Suite 200 Overland Park, KS 66211 8169941572 dvangoethem@ndbh.com https://www.ndbh.com Exchange Int 3 Complete 2020/06/09 12:00:00 2020/06/09 12:00:00 2020/06/09 09:20:59 UV 2.16.840.1.113883.3.8807 szls-oid StageZero Life Sciences Emmet Vassar masked Jay Ying Emmet Vassar 8751 Park Central Dr. Suite 200 Richmond, VA 23227 855-420-7140 masked QA LIMS Administrator StageZero Life Sciences 8751 Park Central Dr. Suite 200 Richmond, VA 23227 855-420-7140 clientrelations@stagezerols.com https://www.stagezerolifesciences.com/ Provider Int 3 Complete 2020/06/10 12:00:00 2020/06/11 12:00:00 2020/06/11 09:18:33 UV 2.16.840.1.113883.3.8808 scmanor Sunrise Country Manor Seth Stauffer masked Seth Stauffer 610 224th Rd PO Box A Milford, NE 68405 402-761-3230 masked Administrator Sunrise Country Maor 610 224th Rd PO Box A Milford, NE 68405 402-761-3230 info@sunrisecountrymanor.com Provider Int 3 Complete 2020/06/10 12:00:00 2020/06/11 12:00:00 2020/06/11 09:25:58 UV 2.16.840.1.113883.3.8809 tcrh Three Crosses Regional Hospital MaryBeth Jackson masked MaryBeth Jackson MaryBeth Jackson 2560 Samaritan Drive Las Cruces, NM 88001 816-769-4831 masked Project Manager Three Crosses Regional Hospital 2560 Samaritan Drive Las Cruces, NM 88001 800-421-8274 info@3crossesrh.com https://3crossesrh.com/ Provider Int 3 Complete 2020/06/10 12:00:00 2020/06/11 12:00:00 2020/06/11 09:29:58 UV 2.16.840.1.113883.4.969 ecg-hq Electronic Caregiver Inc. Steve Eiserling masked Steve Eiserling Steve Eiserling 506 S Main St Suite 1000 Las Cruces, NM 88001 5753862739 masked CIO Electronic Caregiver Inc. 506 S Main Street Suite 1000 Las Cruces, NM 88001 5753862739 api_team@ecg-hq.com https://electroniccaregiver.com/ Vendor Int 3 Complete 2020/06/11 12:00:00 2020/06/12 12:00:00 2020/06/12 10:01:58 UV 2.16.840.1.113883.3.8810 kimbcoman Kimball County Manor and Assisted Living Anna Hansen masked Anna 810 E. 7th Street Kimball, NE 69145 308 235-4693 masked Health Information Kimball County Manor 810 E. 7th Street Kimball, NE 69145 3082354693 administrator@kcmanor.com Provider Int 3 Complete 2020/06/11 12:00:00 2020/06/11 12:00:00 2020/06/11 09:43:37 UV 2.16.840.1.113883.3.8811 renaissanceHandandWrist DHR Health Hand and Wrist Institute OID Root Raphael Somosot masked Gracie Flores 5121 S. McColl Road Edinburg, TX 78539 (956)362-6738 masked Office Manager DHR Health Hand and Wrist Institute 5121 S. McColl Road Edinburg, TX 78539 (956) 362-6730 gr.flores@dhr-rgv.com https://dhrhealth.com/services/cardiology Provider Int 3 Complete 2020/06/11 12:00:00 2020/06/11 12:00:00 2020/06/11 09:47:12 UV 2.16.840.1.113883.3.8812 mhatc Mental Health Association in Tompkins County Josephine Gibson masked Josephine Gibson Josephine Gibson 301 S Geneva St. Suite 109 Ithaca, NY 14850 6072739250 masked Executive Director Mental Health Association in Tompkins County 301 S Geneva St Suite 109 Ithaca, NY 14850 6072739250 JGibson@mhaedu.org http://mhaedu.org/ Provider Int 3 Complete 2020/06/12 12:00:00 2020/06/12 12:00:00 2020/06/12 08:54:32 UV 2.16.840.1.113883.17.8752 sjvnc Saint Joseph Villa Nursing Center Hector Leguillow masked Hector Leguillow Saint Joseph Villa Nursing Center 2305 S. 10th Street Omaha, NE 68108 402-345-5683 masked Administrator Saint Joseph Villa Nursing Center 2305 S. 10th Street Omaha, NE 68108 402-345-5683 hleguillow@stjoevilla.com https://www.delmargardens.com/company/ Provider Int 17 Complete 2020/06/12 12:00:00 2020/06/12 12:00:00 2020/06/12 09:10:09 UV 2.16.840.1.113883.3.8813 renaissanceHIRVCElsa DHR Health Heart Institute VC Elsa OID Root Raphael Somosot masked Adel Limon 119 Retama Drive Ste C Elsa, TX 78543 956-638-0029 masked Office Manager DHR Health Heart Institute (VC Elsa) 119 Retama Drive Ste C Elsa, TX 78543 956-362-8400 a.limon@dhr-rgv.com Provider Int 3 Complete 2020/06/12 12:00:00 2020/06/12 12:00:00 2020/06/12 09:15:33 UV 2.16.840.1.113883.3.8814 renaissanceHIRVC5thst DHR Health Heart Institute VC 5th St OID Raphael Somosot masked Adel Limon 1801 S 5th Street Ste 114 McAllen, TX 78503 956-638-0029 masked Office Manager DHR Health Heart Institute (VC 5th St.) 1801 S 5th Street Ste 114 McAllen, TX 78503 956-362-8400 a.limon@dhr-rgv.com Provider Int 3 Complete 2020/06/12 12:00:00 2020/06/12 12:00:00 2020/06/12 09:24:11 UV 2.16.840.1.113883.4.970 mydoc-health-ehr-id MyDoc Digital Health EHR data sync Vas Metupalle masked Vas Metupalle 137, #02-01 Market St, Singapore 048943 +65 81232719 masked CIO MyDoc Pte. Ltd 137, #02-01 Market St, Singapore 048943 +65 6589 8101 support@my-doc.com https://my-doc.com/ Provider Int 3 Complete 2020/06/14 12:00:00 2020/06/14 12:00:00 2020/06/14 09:11:39 UV 2.16.840.1.113883.3.8815 comchil Complete Children's Health Steve Lant masked Steve Lant 8201 Northwoods Drive Lincoln, NE 68505 402-465-5600 masked IT Coordinator Complete Childrens Health 8201 Northwoods Drive Lincoln, NE 68505 4024655600 steve.lant@cch-neb.com https://www.completechildrenshealth.com Provider Int 3 Complete 2020/06/15 12:00:00 2020/06/19 12:00:00 2020/06/19 08:57:21 UV 2.16.840.1.113883.3.8816 salveo Salveo Diagnostics, Inc. Zachary Hoefner masked Thaddeus Parker Salveo Diagnostics, Inc. 8751 Park Central Drive, Suite 200, Richmond, VA 23227 +1 844-725-8365 masked Salveo Diagnostics, Inc. 8751 Park Central Drive, Suite 200, Richmond, VA 23227 +1 844-725-8365 info@salveodiagnostics.com https://salveodiagnostics.com/ Provider Int 3 Complete 2020/06/18 12:00:00 2020/06/19 12:00:00 2020/06/19 09:02:55 UV 2.16.840.1.113883.3.8817 arborcc Arbor Care Centers Joseph Kezar masked Joseph Kezar 300 West Meigs St. Valley, NE 68064 14023592533 masked Executive Director Arbor Care Centers 300 West Meigs St. Valley, NE 68064 4023592533 edvalhaven@arborcarecenter.com Provider Int 3 Complete 2020/06/18 12:00:00 2020/06/19 12:00:00 2020/06/19 09:07:47 UV 2.16.840.1.113883.3.8818 brmdpc Beth Roland MD PC dba Parkside OBGYN & Medical Spa Ben Coopermsith masked Ben Coopersmith 7120 E Hampden Avenue, Suite A Denver, CO 80224 303-758-0072 masked Practice Manager Beth Roland MD PC dba Parkside OBGYN & Medical Spa 7120 E Hampden Avenue Suite A Denver, CO 80224 3037580072 info@parksideobgyn.com https://parksideobgyn.com Provider Int 3 Complete 2020/06/19 12:00:00 2020/06/19 12:00:00 2020/06/19 09:16:41 UV 2.16.840.1.113883.3.8819 whccadmin Wakefield Care Center's Clinic Root OID Traci Haglund masked Traci Haglund Traci Haglund 306 Ash Street Wakefield, NE 68784 4022872244 masked Administrator Wakefield Care Center 306 Ash Street Wakefield, NE 68784 4022872244 administrator@wakefieldcarecenter.com Provider Int 3 Complete 2020/06/19 12:00:00 2020/06/19 12:00:00 2020/06/19 09:28:19 UV 2.16.840.1.113883.3.8820 c-reachC Community Reach Center Werner Hoellerbauer masked Werner Hoellerbauer 1870 W. 122nd Ave., Ste. 100, Westminster, CO 80234 303-853-3416 masked CIO Community Reach Center 1870 W. 122nd Ave., Ste. 100, Westminster, CO 80234 303-853-3500 w.hoellerbauer@communityreachcenter.org https://www.communityreachcenter.org Provider Int 3 Complete 2020/06/19 12:00:00 2020/06/19 12:00:00 2020/06/19 09:41:12 UV 2.16.840.1.113883.3.8821 par Post Acute Recovery, Inc. Andres Reyes-Capo masked Andres Reyes-Capo 4 Forest Avenue Ste 201 Paramus, NJ 07652 3054503665 masked Vice President, Business Operations Post Acute Recovery, Inc. 4 Forest Avenue Ste 201 Paramus, NJ 07652 8882247312 areyescapo@strivecares.com https://www.strivecares.com/ Provider Int 3 Complete 2020/06/22 12:00:00 2020/06/24 12:00:00 2020/06/24 09:38:53 UV 2.16.840.1.113883.3.8822 lccne Louisville Care Center Britany Knispel masked Britany Knispel 410 W. 5th St. Louisville, NE 68037 402-234-2125 masked Director of Social Services and Admissoin Louisville Care Center 410 W. 5th St. Louisville, NE 68037 402-234-2125 carecenter@lccne.com Provider Int 3 Complete 2020/06/23 12:00:00 2020/06/24 12:00:00 2020/06/24 09:41:08 UV 2.16.840.1.113883.3.8823 integro Integro Health Systems Chris Preisel masked Chris Preisel 2728 N 24th St Phoenix, AZ 85008 602-535-8200 masked Owner Integro Health Systems Inc 2728 N 24th St Phoenix, AZ 85008 602-535-8200 accounting@integrohs.com http://www.integrohs.com Provider Int 3 Complete 2020/06/23 12:00:00 2020/06/24 12:00:00 2020/06/24 09:49:53 UV 2.16.840.1.113883.9.259 labPHHHSELRGuidanceComponent LAB_PH_HHS_ELR_Guidance_Component Hans Buitendijk masked Hans J Buitendijk Hans J. Buitendijk 906 St. Matthews Road 6102472647 masked HL7 Orders & Observations workgroup 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 7146777777 info@hl7.org http://www.hl7.org HL7 body 2.16.840.1.113883 Int 9 Complete 2020/06/24 12:00:00 2020/06/24 12:00:00 2020/06/24 12:19:24 US 2.16.840.1.113883.3.8824 ffa Forsyth Foot & Ankle OID root Holly Heier masked Holly Heier 102 Mary Alice Park Rd Suite 201 Cumming, GA 30040 678-262-4040 masked office manager Forsyth Foot & Ankle 102 Mary Alice Park Rd Suite 201 Cumming, GA 30040 678-262-4040 forsythfoot201@gmail.com https://forsythfoot.com Provider Int 3 Complete 2020/06/24 12:00:00 2020/06/24 12:00:00 2020/06/24 10:02:51 UV 2.16.840.1.113883.3.8825 episource Episource OID Jeff Elrod masked Patricia Miller Sujata Bajaj 500 W. 190th Street Suite 400 Gardena, CA 90248 713-293-2603 masked Episource, LLC 500 W. 190th Street Suite 400 Gardena, CA 90248 714-452-1961 records@episource.com https://www.episource.com/ Vendor Int 3 Complete 2020/06/26 12:00:00 2020/06/26 12:00:00 2020/06/26 09:37:13 UV 2.16.840.1.113883.4.971 verafinOID Verafin Inc. OID Jonathan LeDrew masked Jonathan LeDrew Jonathan LeDrew 18 Hebron Way St. John's, NL A1A 5G9 7097491314 masked Verafin Inc 18 Hebron Way St. John's, NL A1A 5G9 1 877-368-9986 cloudops@verafin.com Vendor Int 3 Complete 2020/06/26 12:00:00 2020/06/26 12:00:00 2020/06/26 09:44:31 UV 2.16.840.1.113883.3.8826 afp Alpine Family Practice Quinn Lichfield masked Quinn Lichfield 1400 S. Potomac Street Suite #130 Aurora, CO 80012 303-752-1157 masked DO Alpine Family Practice 1400 S. Potomac Street Suite #130 Aurora, CO 80012 303-752-1157 qlichfield@alpinefp.com https://www.alpinefp.com Provider Int 3 Complete 2020/06/26 12:00:00 2020/06/26 12:00:00 2020/06/26 09:53:45 UV 2.16.840.1.113883.3.8827 mentalhealthresources Mental Health Resources OID Root David Brown masked David Brown 1100 W. 21st Street Clovis, NM 88101 575-769-2345 masked IT Director Mental Health Resources, Inc 1100 W. 21st Street Clovis, NM 88101 575-769-2345 dbrown@mhrnewmexico.com http://www.mhrnewmexico.com Provider Int 3 Complete 2020/06/26 12:00:00 2020/06/26 12:00:00 2020/06/26 10:08:18 UV 2.16.840.1.113883.3.8828 nmhne The Nebraska Masonic Home Mary Russell masked Mary Russell 1300 Avenue D Plattsmouth, NE 68048 402-296-7300 masked Executive Director The Nebraska Masonic Home 1300 Avenue D Plattsmouth, NE 68048 402-296-7300 stateinfo@nemh.net Provider Int 3 Complete 2020/06/26 12:00:00 2020/06/26 12:00:00 2020/06/26 10:11:54 UV 2.16.840.1.113883.3.8829 fphc Franklin Primary Health Center, Inc. Beth Adams masked Beth Adams 1303 Dr MLK Jr Avenue Mobile, AL 36603 251-436-7636 masked IS Director Franklin Primary Health Center, Inc. 1303 Dr MLK Jr Avenue Mobile, AL 36603 251-432-4117 beth.adams@franklinprimary.org http://www.franklinprimary.org Provider Int 3 Complete 2020/06/29 12:00:00 2020/06/29 12:00:00 2020/06/29 09:53:01 UV 2.16.840.1.113883.3.8830 pioneer Pioneer Manor Krystyn Turman masked Rachel Belknap Krystyn Turman PO Box 310 318 North Third Street Hay Springs, NE 69347 3086384483 masked Administrator Pioneer Manor PO Box 310 318 North Third Street Hay Springs, NE 69347 3086384483 administrator@pioneermanor.net Provider Int 3 Complete 2020/06/29 12:00:00 2020/06/29 12:00:00 2020/06/29 10:03:44 UV 2.16.840.1.113883.2.50 hl7Belgium HL7 Belgium OID Root William Ted Klein masked Jos&#233; Costa Texeira HL7 Belgium (Secretary Karlien Erauw) Reyerslaan 80 1030 Brussel +32 468 215 828 masked Chair, HL7 Belgium HL7 Belgium Visserij 209-302 9000 Gent Belgium +32 468 215 828 jose.a.teixeira@gmail.com HL7 body Int 2 Complete 2020/07/01 12:00:00 2020/07/06 12:00:00 2020/07/06 09:24:27 UV 2.16.840.1.113883.3.8831 scbhcc South Central Behavioral Health Care Collaborative Carol Tytler masked Carol Tytler 165 Main Street, Suite A Cortland, NY 13045 6077530234 masked Director South Central BHCC 165 Main Street, Suite A Cortland, NY 13045 6077530234 ctytler@familycs.org Provider Int 3 Complete 2020/07/01 12:00:00 2020/07/06 12:00:00 2020/07/06 09:35:39 UV 2.16.840.1.113883.3.8832 fccs Family & Children's Counseling Services Carol Tytler masked Carol Tytler 165 Main Street, Suite A Cortland, NY 13045 6077530234 masked Director Family & Children's Counseling Services 165 Main Street, Suite A Cortland, NY 13045 6077530234 ctytler@familycs.org Provider Int 3 Complete 2020/07/01 12:00:00 2020/07/06 12:00:00 2020/07/06 09:37:38 UV 2.16.840.1.113883.3.8833 ncdoh Nassau County Department of Health Tavora Buchman masked djenkins@nassaucountyny.gov Nassau County Department of Health 200 County Seat Drive, Mineola, NY 11501 516-227-9408 masked Dir. Epidemiology and Planning Nassau County Department of Health 200 County Seat Drive Mineola, NY 11501 516-227-9500 djenkins@nassaucountyny.gov https://www.nassaucountyny.gov/1652/Health-Department Govt body Int 3 Complete 2020/07/01 12:00:00 2020/07/06 12:00:00 2020/07/06 09:44:38 UV 2.16.840.1.113883.3.8834 conservpros Consumer Services of Madison County PROS Clinic Carol Tytler masked Carol Tytler 165 Main Street, Suite A Cortland, NY 13045 6077530234 masked Director Consumer Services of Madison County PROS Clinic 1099 Northside Shopping Center Oneida, NY 13421 3153632451 ctytler@familycs.org Provider Int 3 Complete 2020/07/01 12:00:00 2020/07/06 12:00:00 2020/07/06 09:50:20 UV 2.16.840.1.113883.3.8835 carepaths-ehr CarePaths EHR Barrett Griffith masked Gerardo Osorio 505 Beachland Blvd #254 Vero Beach, FL 32963 8003571200 masked Chief Operating Officer CarePaths Inc. 505 Beachland Blvd #254 Vero Beach, FL 32963 8003571200 info@carepaths.com https://carepaths.com Vendor Int 3 Complete 2020/07/01 12:00:00 2020/07/06 12:00:00 2020/07/06 10:08:05 UV 2.16.840.1.113883.3.8836 uhshhh UHS Holly Hill Hospital Bo Pulley masked Kevin Poitinger 3019 Falstaff Rd Raleigh, NC 27610 919-250-7186 masked CEO UHS Holly Hill Hospital 3019 Falstaff Rd Raleigh, NC 27610 919-250-7186 kevin.poitinger@uhsinc.com https://hollyhillhospital.com/ Provider Int 3 Complete 2020/07/02 12:00:00 2020/07/06 12:00:00 2020/07/06 10:11:50 UV 2.16.840.1.113883.3.8837 renaissanceHIRVCdST DHR Health Heart Institute VC D St OID Root Raphael Somosot masked Adel Limon 1817 S. D. St McAllen, TX 78503 956-638-0029 masked Office Manager DHR Health Heart Institute (VC D St.) 1817 S. D. St McAllen, TX 78503 956-638-0029 a.limon@dhr-rgv.com Provider Int 3 Complete 2020/07/03 12:00:00 2020/07/06 12:00:00 2020/07/06 10:14:36 UV 2.16.840.1.113883.3.8838 south-Pulm-Assoc Southwest Pulmonary Associates Randall Osborne masked kjohnston@swpulmonary.com Katherine Johnston 8220 Walnut Hill Lane, POB II, Suite 408 Dallas, TX 75231 (214) 361-9777 masked COO Southwest Pulmonary Associates 8220 Walnut Hill Lane, POB II, Suite 408 Dallas, TX 75231 (214) 361-9777 kjohnston@swpulmonary.com https://swpulmonary.com/ Provider Int 3 Complete 2020/07/06 12:00:00 2020/07/06 12:00:00 2020/07/06 10:16:29 UV 2.16.840.1.113883.3.8839 wsmc-emr West Suburban EMR Kim Stinson masked Kim Stinson Robecca Quammen Pipeline Health System 898 N. Pacific Coast Highway Suite 500 El Segundo, CA 90245 4077583390 masked CIO West Suburban Medical Center 3 Erie Court Oak Park, IL 60302 7083836200 bquammen@pipelinehealth.us https://www.westsuburbanmc.com/ Provider Int 3 Complete 2020/07/08 12:00:00 2020/07/08 12:00:00 2020/07/08 10:23:08 US 2.16.840.1.113883.3.8840 wmh-emr Weiss Memorial Hospital EMR Kim Stinson masked Robecca Quammen 898 N. Pacific Coast Highway Suite 500 El Segundo, CA 90245 4077583390 masked CIO Weiss Memorial Hospital 4646 Marine Drive Chicago, IL 60640 773878-8700 bquammen@pipelinehealth.us https://www.weisshospital.com/ Provider Int 3 Complete 2020/07/08 12:00:00 2020/07/08 12:00:00 2020/07/08 10:28:22 US 2.16.840.1.113883.3.8841 chwr-emr City Hospital at White Rock EMR Kim Stinson masked Robecca Quammen 898 N. Pacific Coast Highway Suite 500 El Segundo, CA 90245 4077583390 masked CIO City Hospital at White Rock 9440 Poppy Drive Dallas, TX 75218 2143246100 bquammen@pipelinehealth.us https://cityhospital.co/ Provider Int 3 Complete 2020/07/08 12:00:00 2020/07/08 12:00:00 2020/07/08 10:33:20 UV 2.16.840.1.113883.3.8842 nrc Northfield Retirement Community Matt Payne masked Matt Payne 2100 Circle Dr, Scottsbluff, NE 69361 3086411470 masked IT Northfield Retirement Community 2100 Circle Dr, Scottsbluff, NE 69361 3086324342 mpayne@northfieldvilla.com Provider Int 3 Complete 2020/07/08 12:00:00 2020/07/08 12:00:00 2020/07/08 10:39:59 UV 2.16.840.1.113883.3.8843 gravitydiagnostics Gravity Diagnostics Ryan Walker masked Ryan G. Walker Gravity Diagnostics 632 Russell Street Covington, KY 41011 5133101419 masked Director of Laboratory Operations Gravity Diagnostics 632 Russell Street Covington, KY 41011 5133101419 rwalker@gravitydiagnostics.com https://www.gravitydiagnostics.com Provider Int 3 Complete 2020/07/09 12:00:00 2020/07/09 12:00:00 2020/07/09 10:33:24 UV 2.16.840.1.113883.3.8844 strokeMobileClinic Stroke Mobile Program OID Root Raphael Somosot masked Irene Lares 2821 Michael Angelo Drive #304 Edinburg, TX 78539 956-362-6091 masked Office Manager Stroke Mobile Program 2821 Michael Angelo Drive #304 Edinburg, TX 78539 956-451-6894 i.lares@dhr-rgv.com Provider Int 3 Complete 2020/07/09 12:00:00 2020/07/09 12:00:00 2020/07/09 10:35:09 UV 2.16.840.1.113883.3.8845 cdfm Central Delaware Family Medicine Timothy Breyer masked Timothy Breyer Central Delaware Family Medicine 95 Wolf Creek Blvd., Unit 2 Dover, DE 19901 (302) 735-1616 masked Practice Manager Central Delaware Family Medicine Central Delaware Family Medicine 95 Wolf Creek Blvd., Unit 2 Dover, DE 19901 (302) 735-1616 cdfm@comcast.net Provider Int 3 Complete 2020/07/10 12:00:00 2020/07/10 12:00:00 2020/07/10 09:47:35 UV 2.16.840.1.113883.3.8846 accushield Accushield, LLC Lever Stewart masked Sreekanth Gongalareddy 404-565-3482 masked CTO Accushield, LLC 2030 Powers Ferry Rd Suite 360 Atlanta, GA 30339 4043860126 lever.stewart@accushield.com http://www.accushield.com Provider Int 3 Complete 2020/07/10 12:00:00 2020/07/10 12:00:00 2020/07/10 09:50:01 UV 2.16.840.1.113883.3.8847 t-b-r The Buckeye Ranch Joel Denton masked Simon Sweet Joel Denton 4653 East Main Street Whitehall, OH 43213 (614) 539-6548 masked Business Analyst / Report Writer The Buckeye Ranch 4653 East Main Street Whitehall, OH 43213 (614) 875-2371 helpdesk@buckeyeranch.org https://www.buckeyeranch.org/ Provider Int 3 Complete 2020/07/13 12:00:00 2020/07/13 12:00:00 2020/07/13 10:47:16 UV 2.16.840.1.113883.3.8848 yvy Yeled v'Yalda ECC Mina Sputz masked Mina Sputz 718-686-2301 masked Director of Disablities Operations Yeled v'Yalda 1312 38th Street Brooklyn, NY 11218 718-686-2300 msputz@yeled.org https://www.yeled.org Vendor Int 3 Complete 2020/07/13 12:00:00 2020/07/13 12:00:00 2020/07/13 10:56:34 UV 2.16.840.1.113883.3.8849 progenity Progenity Inc Root OID Dianna Hicks masked Shelley Dunnett Shelley Dunnett Progenity, Inc. 5230 S. State Road Ann Arbor, MI 48108 734-794-0735 masked Manager, Client Integration Progenity, Inc. 4330 La Jolla Village Drive Suite 200 San Diego, CA 92122 855-293-2639 client.services@progenity.com https://www.progenity.com/ Provider Int 3 Complete 2020/07/14 12:00:00 2020/07/16 12:00:00 2020/07/16 10:37:02 UV 2.16.840.1.113883.3.8850 epspc EYE PHYSICIANS & SURGEONS, PC OID ROOT Patricia Ellington masked Patricia F Ellington Patricia F Ellington 1457 SCOTT BLVD DECATUR, GA 30030 4042676775 masked Practice Administrator EYE PHYSICIANS & SURGEONS, PC 1457 SCOTT BLVD DECATUR, GA 30030 4042922500 info@atlantaeye.com http://atlantaeye.com Provider Int 3 Complete 2020/07/14 12:00:00 2020/07/16 12:00:00 2020/07/16 10:41:58 UV 2.16.840.1.113883.3.8851 bioreferencelaboratories BioReference Laboratories Inc Root OID Dianna Hicks masked Derrick Muthusammy Derrick Muthusammy BioReference Laboratories, Inc. 41 Slater Drive Elmwood Park, NJ 07407 201-791-2600, X7942 masked Sr. Technical Implementation Analyst, Connectivity Solutions BioReference Laboratories, Inc. 481 Edward H. Ross Drive Elmwood Park, NJ 07407 (800) 229-5227 TechSupport@BioReference.com https://www.bioreference.com/ Vendor Int 3 Complete 2020/07/19 12:00:00 2020/07/22 12:00:00 2020/07/22 09:16:06 UV 2.16.840.1.113883.3.8852 healthtap HealthTap Root OID Hammad Saleem masked Hammad Saleem 2465 Latham St 3rd floor, Mountain View, CA 94040 (650) 268-9806 masked CTO HealthTap Inc. 2465 Latham St 3rd floor, Mountain View, CA 94040 (650) 268-9806 hammad@healthtap.com https://www.healthtap.com Provider Int 3 Complete 2020/07/20 12:00:00 2020/07/22 12:00:00 2020/07/22 09:17:35 UV 2.16.840.1.113883.17.8753 cdcpl Capital Digestive Care Pathology Laboratory Lane Edwards masked Laura Vivian Capital Digestive Care Pathology Laboratory 4831 Tesla Drive, Bowie, MD 20715 2407370080 masked Quality Assurance Coordinator Capital Digestive Care Pathology Laboratory 4831 Tesla Drive, Bowie, MD 20715 2407370080 lhahn@capitaldigestivecare.com https://www.capitaldigestivecare.com/about/pathology-laboratory Provider Int 17 Complete 2020/07/21 12:00:00 2020/07/22 12:00:00 2020/07/22 09:24:10 UV 2.16.840.1.113883.3.8853 phsne Ponca Health Services Lawrence Voegele masked Lawrence Voegele 5805 S 86TH CIR OMAHA, NE 68127 402-315-2773 masked Chief Business / Technology Officer Ponca Tribe of Nebraska - Health Services 5805 S 86TH CIR OMAHA, NE 68127 402-315-2760 poncahealthit@poncatribe-ne.org https://www.poncatribe-ne.org Govt body Int 3 Complete 2020/07/21 12:00:00 2020/07/22 12:00:00 2020/07/22 09:37:27 UV 2.16.840.1.113883.3.8854 rspvh Park View Haven Robert Sheckler masked Robert Sheckler 309 N Madison St Coleridge, NE 68727 402-283-4224 masked Administrator Park View Haven 309 N Madison St Coleridge, NE 68727 402-283-4224 rsheckler@parkviewhaven.org Provider Int 3 Complete 2020/07/21 12:00:00 2020/07/22 12:00:00 2020/07/22 09:43:39 UV 2.16.840.1.113883.3.8855 triadpedsroot Triad Pediatrics Joel Williams masked Chad Cooke 336-802-1111 masked Practice Administrator Triad Pediatrics 2766 NC-68 High Point, NC 27265 336-802-1111 chad@triadpediatrics.com http://www.triadpediatrics.com Provider Int 3 Complete 2020/07/22 12:00:00 2020/07/22 12:00:00 2020/07/22 09:48:09 UV 2.16.840.1.113883.3.8856 mira MIRA Scientific Chris Blevins masked Chris Blevins 12011 Lee Jackson Memorial Highway Suite 200 Fairfax, VA 22033 571-378-2369 masked COO MIRA Scientific 12011 Lee Jackson Memorial Highway Suite 200 Fairfax, VA 22033 571-378-2369 atef@mirascientific.com http://mirascientific.com Vendor Int 3 Complete 2020/07/22 12:00:00 2020/07/22 12:00:00 2020/07/22 09:57:13 UV 2.16.840.1.113883.3.8857 midtown Midtown Health Center Brandon Jones masked Brandon Jones 302 W Phillip Ave Norfolk, NE 68701 402-371-8000 masked Information Technology Manager Midtown Health Center 302 W Phillip Ave Norfolk, NE 68701 402-371-8000 itsupport@midtownhealthne.org Provider Int 3 Complete 2020/07/22 12:00:00 2020/07/22 12:00:00 2020/07/22 10:02:47 UV 2.16.840.1.113883.3.8858 hhc68803 Heartland Health Center Maureen Horne masked Michelle Bittner Michelle Bittner 3307 W. Capital Ave Grand Island, NE 68803 308-382-4297 masked Director of Clinical Services Heartland Health Center 3307 W. Capital Ave Grand Island, NE 68803 308-382-4297 mbittner@hhcne.org https://www.heartlandhealthcenter.org/ Provider Int 3 Complete 2020/07/23 12:00:00 2020/07/27 12:00:00 2020/07/27 10:39:05 UV 2.16.840.1.113883.3.8859 vitalaxis Vital Axis Inc Tharak Krishnamurthy masked Tharak Krishnamurthy Tharak Krishnamurthy 3811 Terrawood Court Rockville, MD 20853 3018502812 masked CIO VitalAxis Inc 3811 Terrawood Court Rockville, MD 20853 info@vitalaxis.com https://www.vitalaxis.com Vendor Int 3 Complete 2020/07/27 12:00:00 2020/07/27 12:00:00 2020/07/27 10:42:30 US 2.16.840.1.113883.3.8860 sjcgensurgeryowasso SJC General Surgery Owasso Kalia Yang masked Kalia Yang 1930 S Utica Ave, Tulsa, OK 74104 918-384-8894 masked Project Analyst SJC General Surgery Owasso 12455 E 100th St N, Suite 290, Owasso, OK 74055-4675 918-212-2200 paul.harris@ascension.org Provider Int 3 Complete 2020/07/27 12:00:00 2020/07/27 12:00:00 2020/07/27 10:48:57 UV 2.16.840.1.113883.3.8861 amgvirtualafterhours AMG Virtual After Hours Clinic Kalia Yang masked Kalia Yang 1930 S Utica Ave, Tulsa, OK 74104 9183848894 masked Project Analyst AMG Virtual After Hours Clinic 1923 S Utica Ave, Tulsa, OK 74104 n/a rachel.gunnell@ascension.org Provider Int 3 Complete 2020/07/27 12:00:00 2020/07/27 12:00:00 2020/07/27 10:52:21 UV 2.16.840.1.113883.3.8862 awoc-cneh Care New England - Care, Right Here Alfredo Morales masked Alfredo Morales 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 x3648 masked Director, Integration Architecture American Well 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 info@americanwell.com http://www.americanwell.com Vendor Int 3 Complete 2020/07/27 12:00:00 2020/07/27 12:00:00 2020/07/27 11:02:52 UV 2.16.840.1.113883.3.8863 pioneermemorial Pioneer Memorial Rest Home Nicole Hoffmann masked Nicole Hoffmann 308-546-2217 masked Pioneer Memorial Rest Home pioneeradmin@nebnet.net Provider Int 3 Complete 2020/07/27 12:00:00 2020/07/27 12:00:00 2020/07/27 11:07:02 UV 2.16.840.1.113883.3.8864 cdhcinc Charles Drew Health Center, Inc. Angeline Larson masked Angeline Larson Angeline Larson 2915 Grant Street Omaha, NE 68111 USA 4024571202 masked Chief Operating Officer Charles Drew Health Center, Inc. 2915 Grant Street Omaha, NE 68111 USA 4024571200 Development.Desk@charlesdrew.com Provider Int 3 Complete 2020/07/27 12:00:00 2020/07/27 12:00:00 2020/07/27 11:11:28 UV 2.16.840.1.113883.3.8865 wmhfchs Warren Memorial Hospital Amanda Gardner masked Amanda Gardner 905 2nd ST Friend, NE 68359-1133 402-947-2811 masked Director of Revenue Cycle Warren Memorial Hospital 905 2nd ST Friend, NE 68359-1133 402-947-2541 businessoffice@friendmed.org Provider Int 3 Complete 2020/07/27 12:00:00 2020/07/27 12:00:00 2020/07/27 11:14:26 UV 2.16.840.1.113883.3.8866 lpim Lafayette Pediatrics and Internal Medicine Adam Palazzari masked Adam MI Palazzari Adam Palazzari 300 Exempla Cir, #420 Lafayette, CO 80026 7205656101 masked Lafayette Pediatrics and Internal Medicine 300 Exempla Cir, #420 Lafayette, CO 80026 7205656101 apalazza@gmail.com https://www.lafayettemedpeds.com Provider Int 3 Complete 2020/07/27 12:00:00 2020/07/27 12:00:00 2020/07/27 11:19:50 UV 2.16.840.1.113883.3.8867 lhbmc Lake Health Beachwood Medical Center Christopher Truax masked Christopher Truax 25501 Chagrin Boulevard Beachwood, OH 44122 216-545-4811 masked Chief Administrative Officer Lake Health Beachwood Medical Center 25501 Chagrin Boulevard Beachwood, OH 44122 216-545-4811 christopher.truax@lakehealth.org http://www.beachwoodmedicalcenter.org Provider 1.3.6.1.4.1.37938.99.1 Int 3 Complete 2020/07/28 12:00:00 2020/07/28 12:00:00 2020/07/28 09:38:41 US 2.16.840.1.113883.3.8868 lmadhinoid Lifeline Medical Associates DHIN OID Lindsay Tarolli masked Lindsay Tarolli Lindsay Tarolli 99 Cherry Hill Road, Suite 220, Parsippany, NJ 07940 973-879-5461 masked Manager of Clinical Ops & IT Delaware Health Information Network Delaware Health Information Network 107 Wolf Creek Blvd. Suite 2 Dover, DE 19901 302-678-0220 servicedesk@dhin.org https://dhin.org/ Exchange Int 3 Complete 2020/07/28 12:00:00 2020/07/28 12:00:00 2020/07/28 09:40:39 UV 2.16.840.1.113883.3.8869 northCentralHealthCare Human Services Board Serving North Central Health Care Facility (d/b/a North Central Health Care) Thomas Boutain masked Thomas L. Boutain 1100 Lake View Dr. Wausau, WI 54403 7158484435 masked Information Services Executive North Central Health Care 1100 Lake View Dr. Wausau, WI 54403 7158484435 tboutain@norcen.org http://www.norcen.org Provider Int 3 Complete 2020/07/29 12:00:00 2020/07/29 12:00:00 2020/07/29 11:49:29 UV 2.16.840.1.113883.9.260 limsabc LIMSABC HL7 Gabriel Balint masked Gabriel Balint 500 E Broward Blvd, Suite 1710, Fort Lauderdale, FL 33394 1-800-834-8618 masked CEO LIMSABC LLC 500 E Broward Blvd, Suite 1710, Fort Lauderdale, FL 33394 1-800-834-8618 office@limsabc.com https://www.limsabc.com Vendor Int 3 Complete 2020/07/31 12:00:00 2020/08/04 12:00:00 2020/08/04 07:24:54 UV 2.16.840.1.113883.3.8870 sdx Solaris Diagnostics John Drury masked John Drury John Drury 110 Dewey Dr Ste A, Nicholasville, KY 40356 8445500308 masked Director of Operations Solaris Diagnostics 110 Dewey Dr Ste A, Nicholasville, KY 40356 8445500308 admin@solarisdx.com https://www.solarisdx.com Provider Int 3 Complete 2020/08/01 12:00:00 2020/08/04 12:00:00 2020/08/04 07:33:00 US 2.16.840.1.113883.3.8871 acclivity Acclivity Health Solutions Wenzhi Li masked Wenzhi Li 1301 Riverplace Blvd Jacksonville, FL 32207 6508228822 masked Acclivity Health 1301 Riverplace Blvd Jacksonville, FL 32207 wenzhi.li@acclivityhealth.com Vendor Int 3 Complete 2020/08/04 12:00:00 2020/08/04 12:00:00 2020/08/04 07:37:08 UV 2.16.840.1.113883.3.8872 wwamhcernermillennium Warren Washington Association for Mental Health, Inc. Andrea Deepe masked Andrea Deepe Andrea Deepe 3043 State Route 4 Hudson Falls, NY 12839 5187472284 masked CEO Warren Washington Association for Mental Health, Inc. 3043 State Route 4 Hudson Falls, NY 12839 5187472284 adeepe@wwamh.org https://www.wwamh.org Provider Int 3 Complete 2020/08/04 12:00:00 2020/08/04 12:00:00 2020/08/04 07:47:02 UV 2.16.840.1.113883.3.8873 chenmed ChenMed LLC Laxmi Anumala masked Tim Burr 1395 NW 167th Street Miami Gardens, FL 33169 305-698-6529 masked Data Integration Team ChenMed LLC 1395 NW 167th Street Miami Gardens, FL 33169 305-698-6529 data.integration@chenmed.com https://www.chenmed.com/ Provider Int 3 Complete 2020/08/05 12:00:00 2020/08/06 12:00:00 2023/10/10 01:59:01 UV 2.16.840.1.113883.3.8874 ppim Pinnacle Pediatrics and Internal Medicine Thomas Pham masked Thomas Pham 2440 N Clarkson St Denver, CO 80205 8165909456 masked MD/President/Owner Pinnacle Pediatrics and Internal Medicine 2440 N Clarkson St Denver, CO 80205 8165909456 deckard6969@hotmail.com https://www.pinnaclepedim.com Provider Int 3 Complete 2020/08/09 12:00:00 2020/08/10 12:00:00 2020/08/10 06:31:55 UV 2.16.840.1.113883.3.8875 shim20 Securehealthcareinformationmanagement Robert Stover masked Sherri McGimpsey Robert Stover 1605 N Cedar Crest Blvd Ste 110 Allentown, PA 18104 610-973-1400 masked Executive Director Secure Healthcare Information Management 1605 N Cedar Crest Blvd Ste. 110 Allentown, PA 18104 610-973-1400 Secureadmin@secureehr.com https://secureehr.com/ Provider Int 3 Complete 2020/08/10 12:00:00 2020/08/10 12:00:00 2020/08/10 06:39:14 UV 2.16.840.1.113883.3.8876 ch-mc Camarena Health Manuel Gonzalez masked Manuel Gonzalez 559-664-4085 masked IT Manager Camarena Health 344 East Sixth Street Madera, CA 93638 559-664-4000 ITAdmin@camarenahealth.org Provider Int 3 Complete 2020/08/11 12:00:00 2020/08/11 12:00:00 2020/08/11 09:56:46 UV 2.16.840.1.113883.3.8877 owchc OneWorld Community Health Centers, Inc Joel Dougherty masked Joel Dougherty Joel Dougherty 4920 S 30th St. Omaha, NE 68107 4025028881 masked COO OneWorld Community Health Centers, Inc 4920 S 30th St. Omaha, NE 68107 4027344110 jdougherty@oneworldomaha.org http://www.oneworldomaha.org Provider Int 3 Complete 2020/08/11 12:00:00 2020/08/11 12:00:00 2020/08/11 09:59:15 UV 2.16.840.1.113883.3.8878 heartInstituteMcAllenMcColl DHR Health Heart Institute McAllen McColl OID root Raphael Somosot masked Norah Aguilar 5521 N McColl Rd McAllen, TX 78504 956-222-4791 masked Office Manager DHR Health Heart Institute (McAllen McColl) 5521 N McColl Rd McAllen, TX 78504 956-222-4791 no.aguilar@dhr-rgv.com Provider Int 3 Complete 2020/08/13 12:00:00 2020/08/15 12:00:00 2020/08/15 01:35:56 UV 2.16.840.1.113883.3.8879 heartInstituteMcAllenRGC DHR Health Heart Institute RGC OID Root Raphael Somosot masked Norah Aguilar 5326 E Hwy 83 Bldg A Rio Grande City, TX 78582 956-222-4791 masked Office Manager DHR Health Heart Institute (RGC) 5326 E Hwy 83 Bldg A Rio Grande City, TX 78582 956-222-4791 no.aguilar@dhr-rgv.com Provider Int 3 Complete 2020/08/13 12:00:00 2020/08/15 12:00:00 2020/08/15 01:38:12 UV 2.16.840.1.113883.3.8880 heartInstituteMcAllenWeslaco DHR Health Heart Institute Weslaco OID Root Raphael Somosot masked Norah Aguilar 505 Angelita St Ste 13,14,15 Weslaco, TX 78596 956-222-4791 masked Office Manager DHR Health Heart Institute (Weslaco) 505 Angelita St Ste 13,14,15 Weslaco, TX 78596 956-222-4791 no.aguilar@dhr-rgv.com Provider Int 3 Complete 2020/08/13 12:00:00 2020/08/15 12:00:00 2020/08/15 01:47:37 UV 2.16.840.1.113883.3.8881 healthNeuroscienceInstitute DHR Health Neuroscience Institute OID Root Raphael Somosot masked Josefina Castillo 5405 N McColl Rd. Edinburg, TX 78504 956-662-9043 masked Office Manager DHR Health Neuroscience Institute 5405 N McColl Rd. Edinburg, TX 78504 956-662-9043 josef.castillo@dhr-rgv.com Provider Int 3 Complete 2020/08/13 12:00:00 2020/08/15 12:00:00 2020/08/15 01:50:44 UV 2.16.840.1.113883.17.8754 prattmedical HCA Pratt Medical Group Brandon Aguilar masked Brandon Aguilar Brandon Aguilar 1451 Hospital Dr Ste 101 Fredericksburg, VA 22401 5407857901 masked IT Technician HCA Pratt Medical Group 1451 Hospital Dr Ste 101 Fredericksburg, VA 22401 540-785-7805 debra.nance@hcahealthcare.com Provider Int 17 Complete 2020/08/14 12:00:00 2020/08/15 12:00:00 2020/08/15 02:01:55 US 2.16.840.1.113883.3.8882 madock Hospital Universitario Martin Dockweiler Julio Chavez masked Hospital Universitario Martin Dockweiler Julio Cesar Chavez +59170074000 masked CIO Hospital Universitario Mart&#237;n Dockweiler 3er Anillo Edificio UDABOL Santa Cruz - Bolivia +59170074000 jchavez@udabol.edu.bo https://www.udabol.edu.bo/ Provider Int 3 Complete 2020/08/16 12:00:00 2020/08/19 12:00:00 2020/08/19 05:54:08 UV 2.16.840.1.113883.3.8883 allcare All Care Health Center Kristen Hendershot masked Kristen Hendershot 902 S. 6th Street Council Bluffs, IA 51501 7123251990275 masked Quality Improvement Director All Care Health Center 902 S. 6th Street Council Bluffs, IA 51501 7123251990275 khendershot@allcarehealthcenter.org https://www.allcarehealthcenter.org Provider Int 3 Complete 2020/08/17 12:00:00 2020/08/19 12:00:00 2020/08/19 06:01:17 UV 2.16.840.1.113883.3.8884 gEPS Georgia Eye Physicians & Surgeons OID root William Segal masked William Segal 678-584-0400 masked owner Georgia Eye Physicians & Surgeons 3800 Pleasant Hill Rd Ste # 3 Duluth, GA 30096 6785840400 info@georgiaeyephysicians.com Provider Int 3 Complete 2020/08/19 12:00:00 2020/08/19 12:00:00 2020/08/19 08:09:30 UV 2.16.840.1.113883.4.972 ca-MagnetTx MagnetTx Oncology Solutions Standards Infodesk masked Donghui Yin 9505 41 Ave, NW, Edmonton, Alberta T6E 5X7, Canada 587-458-1162 masked Regulatory Officer MagnetTx Oncology Solutions 9505 41 Ave, NW, Edmonton, Alberta T6E 5X7, Canada 780-886-6728 brad.murray@magnettx.com https://magnettx.com/ Vendor Int 4 Complete 2020/08/19 12:00:00 2020/08/19 12:00:00 2020/08/19 08:16:44 CA 2.16.840.1.113883.3.8885 btnrh Father Flanagan's Boy's Home Joseph Crum masked Katie Francis 1410 Crawford St Boys Town, NE 68010 531-355-6596 masked Director of Clinical Systems Father Flanagan's Boy's Home 14100 Crawford St Boys Town, NE 68010 531-355-1300 boystowndba@boystown.org https://boystown.org Provider Int 3 Complete 2020/08/21 12:00:00 2020/08/22 12:00:00 2020/08/22 11:30:10 UV 2.16.840.1.113883.3.8886 nmic NMIC Kevin White masked Kevin White Kevin White 45 Wadsworth Ave. New York, NY 10033 2128228300 masked Data Systems Manager NMIC 45 Wadsworth Ave. New York, NY 10033 2128228312 kevinwhite@nmic.org https://www.nmic.org Provider Int 3 Complete 2020/08/21 12:00:00 2020/08/22 12:00:00 2020/08/22 11:35:21 UV 2.16.840.1.113883.3.8887 plsHL7 Phi Life Sciences Patient Tests Donald Gauger masked Sawan Hurst 503-752-3553 masked CEO Phi Life Sciences 645 Meeting St. Suite 3 Charleston, SC 29403 888-576-5445 sawan@philifesciences.com https://www.philifesciences.com/ Provider Int 3 Complete 2020/08/24 12:00:00 2020/08/25 12:00:00 2020/08/25 11:26:01 UV 2.16.840.1.113883.3.8888 willseye-Hospital Willseye-Hospital Gerry Thornton masked Gerry Thornton Willseye Hospital 840 Walnut street suite 1505 Philadelphia, PA 19107 215-825-4747 masked Willseye Hospital 840 Walnut street suite 1505 Philadelphia, PA 19107 215-825-4747 gthornton@willseye.org https://www.willseye.org Academic Int 3 Complete 2020/08/24 12:00:00 2020/08/25 12:00:00 2020/08/25 11:31:09 UV 2.16.840.1.113883.3.8889 rbk02 Walsall Healthcare NHS Trust Ranj Dhanjal masked Ranj Dhanjal Walsall Healthcare NHS Trust Moat Road Walsall WS2 9PS 01922 72117 masked IT SME Walsall Healthcare NHS Trust Walsall Healthcare NHS Trust Moat Road Walsall WS2 9PS 01922 721172 contactus@walsallhealthcare.nhs.uk https://www.walsallhealthcare.nhs.uk Govt body Int 3 Complete 2020/08/24 12:00:00 2020/08/25 12:00:00 2020/08/25 11:33:36 UV 2.16.840.1.113883.3.8890 phystox Physicians Toxicology Lab Brook Delnista masked Brook Delnista Brook Delnista 4433 Manchester Rd, Kalamazoo, MI 49001 800-633-1850 x 207 masked Physicians Toxicology Lab 4433 Manchester Rd, Kalamazoo, MI 49001 800-633-1850 x 207 brook@phystox.com Vendor Int 3 Complete 2020/08/25 12:00:00 2020/08/25 12:00:00 2020/08/25 11:46:19 UV 2.16.840.1.113883.3.8891 summerBio Summer Bio, LLC Roy Feague masked Roy Feague 751 Laurel St., #225 San Carlos, CA 94070 8312067048 masked Head of IS Summer Bio, LLC 751 Laurel St., #225 San Carlos, CA 94070 8312067048 roy@summer.bio https://summer.bio Provider Int 3 Complete 2020/08/25 12:00:00 2020/08/26 12:00:00 2020/08/26 12:08:05 UV 2.16.840.1.113883.3.8892 clsky-health ClearSky Health Jeremey King masked Jeremey King 5600 Wyoming Blvd NE STE 225 Albuquerque, NM 87109 5757910241 masked Sr. Systems Architect ClearSky Health 1000 Westbank Drive, Suite 3A Austin, Texas 78746 5129957597 help@clearskyhealth.com https://clearskyhealth.com Provider Int 3 Complete 2020/08/26 12:00:00 2020/08/29 12:00:00 2020/08/29 03:57:29 UV 2.16.840.1.113883.3.8893 luhd Lower Umpqua Hospital District Jennifer Aldrich masked Jennifer Anderson 600 Ranch Road Reedsport, OR 97467 5412712171 masked Chief Ancillary Services Officer Lower Umpqua Hospital District 600 Ranch Road Reedsport, OR 97467 5412712171 janderson@luhonline.com Provider Int 3 Complete 2020/08/26 12:00:00 2020/08/29 12:00:00 2026/05/27 12:46:57 UV 2.16.840.1.113883.3.8894 vPHC Valley Pediatric and Health Clinic PLLC Gauri Kanhere masked Maricela Vela 2542 Central Palm Drive Ste 207 Rio Grande City, TX 78582 19563521344 masked Office Manager Valley Pediatric and Health Clinic PLLC 2542 Central Palm Drive Ste 207 Rio Grande City, TX 78582 19563521344 valleypediatrichealthclinic@gmail.com Provider Int 3 Complete 2020/08/26 12:00:00 2020/08/29 12:00:00 2020/08/29 04:07:38 UV 2.16.840.1.113883.3.8895 masoncos College of Science George Mason University Dale Pokorski masked Dale Pokorski Dale Pokorski 4400 University Drive, MSN 5C3 Exploratory Hall, Suite 3200 Fairfax, Virginia 22030 7039934657 masked Director of Information Technology College of Science George Mason University 4400 University Drive, MSN 5C3 Exploratory Hall, Suite 3200 Fairfax, Virginia 22030 7039934657 dpokorsk@gmu.edu https://science.gmu.edu Academic Int 3 Complete 2020/08/27 12:00:00 2020/08/29 12:00:00 2020/08/29 04:15:58 US 2.16.840.1.113883.9.261 eden-software-solutions Eden Software Solutions LLC. Art McCabe masked Art McCabe Arthur McCabe Eden Software Solutions 915 Doyle Road, suite 303-311 Deltona, Florida 32725 407-963-5864 masked CIO Eden Software Solutions LLC 915 Doyle Road, suite 303-311 Deltona, Florida 32725 407-963-5864 art@edenss.com http://www.edenss.com Vendor Int 3 Complete 2020/08/31 12:00:00 2020/08/31 12:00:00 2020/08/31 07:25:35 UV 2.16.840.1.113883.3.8896 gwu-phl GWU Public Health Laboratory PHLadmin GWU masked PHLadmin Science and Engineering Hall 800 22nd St. NW, Suite 1800 Washington, DC 20052 202-994-2720 masked GWU Public Health Laboratory Science and Engineering Hall 800 22nd St. NW, Suite 1800 Washington, DC 20052 202-994-2720 PHLadmin@gwu.edu Academic Int 3 Complete 2020/08/31 12:00:00 2020/08/31 12:00:00 2020/08/31 07:32:21 UV 2.16.840.1.113883.3.8897 whmg Wilson Health Medical Group Larry Meyers masked Randy Nelson 937-498-5389 masked Senior Systems Engineer Wilson Health Medical Group 915 W. Michigan Street Sidney, Ohio 45365 937-498-3211 rnelson@wilsonhealth.org http://www.wilsonhealth.org Provider Int 3 Complete 2020/09/01 12:00:00 2020/09/04 12:00:00 2020/09/04 08:09:32 US 2.16.840.1.113883.3.8898 ipss Innovative Pain and Spine Specialists Keeli Chicoine masked Keeli Chicoine 7121 Stephanie Lane #102 Lincoln, NE 68516 402-413-5010 masked Manager Innovative Pain and Spine Specialists 7121 Stephanie Lane #102 Lincoln, NE 68516 402-413-5010 kchicoine@ipneb.com Provider Int 3 Complete 2020/09/01 12:00:00 2020/09/04 12:00:00 2020/09/04 08:14:33 UV 2.16.840.1.113883.3.8899 nivaho Niobrara Valley Hospital Kelly Kalkowski masked Kelly Kalkowski 401 South 5th Street Lynch, NE 68746 1-402-569-2451 masked CEO Niobrara Valley Hospital 401 South 5th Street Lynch, NE 68746 1-402-569-2451 nvhadmin@threeriver.net https://www.nvhcares.org Provider Int 3 Complete 2020/09/02 12:00:00 2020/09/04 12:00:00 2020/09/04 08:20:33 UV 2.16.840.1.113883.3.8900 triad Triad Health Services IT Dept masked IT Dept IT Dept 3309654242 masked IT Manager Triad Health Services 7629 Market St #100 Boardman, OH 44512 3309654242 dcrumb@southwoodshealth.com http://www.southwoodshealth.com Provider Int 3 Complete 2020/09/02 12:00:00 2020/09/04 12:00:00 2020/09/04 08:33:22 UV 2.16.840.1.113883.3.26.8 nciPatMol NCI/NIH Patented Molecule Identifier Sherri de Coronado masked Marc C. Nicklaus Marc C. Nicklaus NCI-Frederick Bldg 376, Rm 207 376 Boyles Street FREDERICK, MD 21702 USA (301) 846-5903 masked Head, Computer-Aided Drug Design (CADD) Group National Cancer Institute Center for Biomedical Informatics and Information Technology NCI 9609 Medical Center Dr Rockville MD 20852 240-276-5129 ncicbiit@mail.nih.gov http://datascience.cancer.gov/ Govt body 2.16.840.1.113883.3.26 Ext 14 Complete 2.16.840.1.113883.3.26.8 2020/09/02 12:00:00 2020/09/04 12:00:00 2020/09/04 09:26:33 UV 2.16.840.1.113883.3.8901 ehr-GOV OID authority for for VA-DoD OID registration Ioana Singureanu MSCs, FHL7 masked Javon Hyland Ioana Singureanu 360 Central Avenue Suite 970 St. Petersburg, FL 33701 (603) 548-5640 masked Chief Innovation Officer, Book Zurman, Inc. Department of Veterans Affairs, Veterans Health Administration 360 Central Avenue Suite 970 St. Petersburg, FL 33701 727.378.9006 contact@bookzurman.com Provider Int 1 3 Complete 2020/09/03 12:00:00 2020/09/04 12:00:00 2020/09/04 09:45:53 US 2.16.840.1.113883.3.8902 graceim Grace Inspired Ministries Ellen Hill masked Ellen Hill 12 Lutheran Home Drive Telford, PA 18969 2674293218 masked Director of IT and Informatics Grace Inspired Ministries 12 Lutheran Home Drive Telford, PA 18969 2157239819 informationtechnology@graceim.org Provider Int 3 Complete 2020/09/03 12:00:00 2020/09/04 12:00:00 2020/09/04 09:49:08 UV 2.16.840.1.113883.3.8903 synsormed SynsorMed Inc. Amin Holmes masked Amin Holmes 2451 Cumberland Pkwy #3755 Atlanta, GA 30339 4048224686 masked President SynsorMed Inc. 2451 Cumberland Pkwy #3755 Atlanta, GA 30339 888-605-1440 dev@synsormed.com http://www.synsormed.com Vendor Int 3 Complete 2020/09/03 12:00:00 2020/09/04 12:00:00 2020/09/04 09:56:05 UV 2.16.840.1.113883.3.8904 nmuhc-OID Northern Michigan University Health Center Robin Aho masked Brian Larson Robin Aho 1401 Presque Isle Avenue Marquette, MI 49855 9062272355 masked Medical Office Manager Northern Michigan University Health Center 1401 Presque Isle Avenue Marquette, MI 49855 9062272355 healthcenter@nmu.edu https://www.nmu.edu/healthcenter Provider Int 3 Complete 2020/09/03 12:00:00 2020/09/04 12:00:00 2020/09/04 10:00:08 UV 2.16.840.1.113883.9.262 cpchie CentralPAConenctHIE Keith Cromwell masked Keith Cromwell Keith Cromwell 555 N. Duke St PO Box 3555 Lancaster, PA 17604-3555 7175445269 masked HIE Program Director Central PA Connect Health Information Exchange 555 N. Duke St PO Box 3555 Lancaster, PA 17604-3555 7175446403 keith@centralpaconnect.org http://www.centralpaconnect.org Exchange Int 3 Complete 2020/09/03 12:00:00 2020/09/04 12:00:00 2020/09/04 10:05:53 UV 2.16.840.1.113883.2.51 hl7Europe HL7 Europe OID Root Giorgio Cangioli masked Giorgio Cangioli Giorgio Cangioli HL7 Europe Square de Mee&#251;s 38/40 1000 Brussels Belgium +39 3357584479 masked HL7 Europe Square de Mee&#251;s 38/40 1000 Brussels Belgium EUoffice@HL7.org http://www.hl7.eu HL7 body Int 2 Complete 2020/09/07 12:00:00 2020/09/09 12:00:00 2020/09/09 08:50:46 UV 2.16.840.1.113883.3.8905 mmoh Mammoth Hospital John Kokado masked John Kokado Mammoth Hospital 85 Sierra Park Road Mammoth Lakes, CA 93546 7609343311 masked DBA Mammoth Hospital 85 Sierra Park Road Mammoth Lakes, CA 93546 7609343311 john.kokado@mammothhospital.com Provider Int 3 Complete 2020/09/09 12:00:00 2020/09/09 12:00:00 2020/09/09 08:57:17 UV 2.16.840.1.113883.3.8906 cona Carolina Orthopaedic & Neurosurgical Associates Kelly Roper masked Darryl Jolly Kelly Roper 1330 Boiling Springs Road, Suite 1600 Spartanburg, SC 29303 864-285-9324 masked CEO Carolina Orthopaedic & Neurosurgical Associates 1330 Boiling Springs Road, Suite 1600 Spartanburg, SC 29303 864-582-6396 kroper@carolinaona.com http://cona.care Provider Int 3 Complete 2020/09/09 12:00:00 2020/09/09 12:00:00 2020/09/09 09:02:52 UV 2.16.840.1.113883.4.973 ca-AwareMD AwareMD Standards Infodesk masked Dr. Galina Langer 259 Yorkland Road, Suite 200 North York, Ontario, Canada M2J 0B5 (416) 977-8010 ext. 272 masked Aware MD 259 Yorkland Road, Suite 200 North York, Ontario, Canada M2J 0B5 (416) 977-8010 ext. 272 cerebrumsupport@mdprimer.com https://awaremd.com/ Vendor Int 4 Complete 2020/09/09 12:00:00 2020/09/09 12:00:00 2020/09/09 09:12:36 CA 2.16.840.1.113883.3.8907 mi211 Michigan 211 SS Object Identifier Shelby Lummis masked Shelby Lummis 330 Marshall St. Suite 211 Lansing, MI 48912 2694199513 masked Technology Manager Michigan 2-1-1 330 Marshall St. Suite 211 Lansing, MI 48912 5176649320 shelby.lummis@mi211.org https://www.mi211.org/ Exchange Int 3 Complete 2020/09/09 12:00:00 2020/09/09 12:00:00 2020/09/09 09:19:06 UV 2.16.840.1.113883.3.8908 omg OnPoint Medical Group Carol Liese masked Carol Liese 1805 Shae Center Dr, Suite 301 Highlands Ranch, CO 80129 303-357-2559 ext 12226 masked Director of Managed Care OnPoint Medical Group 1805 Shae Center Dr, Suite 301 Highlands Ranch, CO 80129 303-357-2559 carol.liese@onpointmedical.com Provider Int 3 Complete 2020/09/10 12:00:00 2020/09/12 12:00:00 2020/09/12 05:27:35 UV 2.16.840.1.113883.3.8909 fonemed-oid Fonemed North America Kevin Hillier masked Kevin Hillier 1 Crosbie Pl Suite 202 St. John's, NL A1B 3Y8 7097000127 masked CIO Fonemed 1 Crosbie Pl Suite 202 St. John's, NL A1B 3Y8 8663165009 kevin.hillier@fonemed.com http://www.fonemed.com Vendor Int 3 Complete 2020/09/11 12:00:00 2020/09/12 12:00:00 2020/09/12 05:30:01 UV 2.16.840.1.113883.3.8910 eNTA ENT and Allergy Associates, LLP Anthony Fraioli masked Anthony Fraioli 9143335886 masked ENT and Allergy Associates, LLP 660 White Plains Road Suite 400 Tarrytown, NY 10591 9143335886 afraioli@entandallergy.com Provider Int 3 Complete 2020/09/11 12:00:00 2020/09/12 12:00:00 2020/09/12 05:33:17 UV 2.16.840.1.113883.3.8911 dHRHealthWomensInstitute DHR Health Women's Institute OID Root Raphael Somosot masked Jovita A. Montanez 2821 Michael Angelo Drive Ste 202 Edinburg, TX 78539 956-483-0300 masked Office Manager DHR Health Women's Institute 2821 Michael Angelo Drive Ste 202 Edinburg, TX 78539 956-362-5880 jo.montanez@dhr-rgv.com Provider Int 3 Complete 2020/09/11 12:00:00 2020/09/12 12:00:00 2020/09/12 05:34:36 UV 2.16.840.1.113883.3.8912 ciandx Patriot Medical Laboratories DBA CIAN Diagnostics Sombabu Mullapudi masked Manoj Adusumilli 5330 Spectrum Drive, Suite I Frederick, MD 21703 8043356158 masked Operations Patriot Medical Laboratories DBA CIAN Diagnostics 2403964343 manoj@ciandx.com https://www.ciandx.com Provider Int 3 Complete 2020/09/14 12:00:00 2020/09/15 12:00:00 2020/09/15 11:27:44 US 2.16.840.1.113883.3.8913 hillcrestne Hillcrest Care Center Virginia Lundahl masked Virginia Lundahl Hillcrest Care Center 702 Cedar Ave Laurel, NE 68745 402-256-3961 masked Administrator Hillcrest Care Center 702 Cedar Ave Laurel, NE 68745 4022563961 HILLCRESTCARECENTER@GMAIL.COM Provider Int 3 Complete 2020/09/15 12:00:00 2020/09/15 12:00:00 2020/09/15 11:33:16 UV 2.16.840.1.113883.3.8914 jose St. Joseph's Rehabiliation and Care Center Michelle Schmidt masked Rita Raffety Rita Raffety (402) 644-7380 masked administrator St. Joseph's Rehabilitation and Care Center 401 N. 18th Street Norfolk, NE 68701 (402) 644-7375 rraffety@frhs.org Provider Int 3 Complete 2020/09/15 12:00:00 2020/09/15 12:00:00 2020/09/15 11:35:42 UV 2.16.840.1.113883.3.8915 i2ipophealth i2i Population Health Allison Brumfield masked Tim Welling Tim Welling 377 Riverside Dr Suite 300 Franklin, TN 37064 615-561-1112 masked Vice President, Data Solutions i2i Population Health 377 Riverside Dr Suite 300 Franklin, TN 37064 615-561-1190 info@i2ipophealth.com https://www.i2ipophealth.com/ Vendor Int 3 Complete 2020/09/17 12:00:00 2020/09/19 12:00:00 2020/09/19 11:49:16 UV 2.16.840.1.113883.3.8916 usbiotek US Biotek Laboratories LLC Steven Freist masked Steven Freist 16020 Linden Ave N Shoreline, WA 98133 206-365-1256 masked Systems Administrator US BioTek Laboratories LLC 16020 Linden Ave N Shoreline, WA 98133 206-365-1256 info@usbiotek.com https://www.usbiotek.com Provider Int 3 Complete 2020/09/18 12:00:00 2020/09/19 12:00:00 2020/10/08 05:13:39 US 2.16.840.1.113883.4.974 deltamem Delta Memorial Hospital Victor Wernicke masked Victor Wernicke Victor Wernicke 811 Hwy 65 South Dumas, AR 71639 8703828275 masked IT Director Delta Memorial Hospital 811 Hwy 65 South Dumas, AR 71639 8703828275 vwernicke@deltamem.net http://www.deltamem.org/ Provider Int 3 Complete 2020/09/21 12:00:00 2020/09/24 12:00:00 2020/09/24 07:48:22 UV 2.16.840.1.113883.9.263 excelt Exceltox Laboratories LLC Casey Crawford masked Casey Crawford 15375 Barranca Pkwy, Ste E-104 Irvine, CA 92618 888.207.1769 masked Exceltox Laboratories LLC 15375 Barranca Pkwy, Ste E-104 Irvine, CA 92618 877.202.7019 casey@exceltox.com https://www.exceltox.com Provider Int 3 Complete 2020/09/21 12:00:00 2020/09/24 12:00:00 2020/09/24 08:54:15 US 2.16.840.1.113883.3.8917 cidcLumbertonNC Carolina Infectious Disease Consultants PC Obiefuna Okoye masked Obiefuna Okoye 395 West 27th st. Lumberton, NC 28358 (910) 587-5392 masked Carolina Infectious Disease Consultants PC 395 West 27th st. Lumberton, NC 28358 (910) 587-5392 carolinaidconsultants@gmail.com Provider Int 3 Complete 2020/09/21 12:00:00 2020/09/24 12:00:00 2020/09/24 08:58:00 UV 2.16.840.1.113883.3.8918 nxgenmdx-23D2059943 NxGen MDx LLC Jacqueline Peacock masked Jacqueline Peacock Jacqueline Peacock 801 Broadway Ave NW Suite 203 Grand Rapids, MI 49504 8557769436 masked Director of Laboratory Operations NxGen MDx LLC 801 Broadway Ave NW Suite 203 Grand Rapids, MI 49504 8557769436 info@nxgenmdx.com https://nxgenmdx.com/ Provider Int 3 Complete 2020/09/22 12:00:00 2020/09/24 12:00:00 2020/09/24 09:01:36 UV 2.16.840.1.113883.3.8919 akiraHealth Akira Health by Telus Health Brodie O'Neil masked Brodie O'Neil 252 Adelaide St E Toronto, ON M5A 1N1 5197015567 masked Software Engineering Manager Akira Health by Telus Health 252 Adelaide St E Toronto, ON M5A 1N1 5197015567 brodie@akira.md https://akirahealth.ca/ Vendor Int 3 Complete 2020/09/22 12:00:00 2020/09/24 12:00:00 2020/09/24 09:03:55 UV 2.16.840.1.113883.3.8920 lifeBook LifeBook Richard Tannenbaum masked Richard Tannenbaum 100 Summer Str Suite 1600 Boston, MA 02110 813-308-9273 masked CEO Medblob, Inc. 100 Summer Str Suite 1600 Boston, MA 02110 813-308-9273 info@medblob.com http://www.medblob.com Exchange Int 3 Complete 2020/09/24 12:00:00 2020/09/24 12:00:00 2020/09/24 09:12:34 UV 2.16.840.1.113883.3.8921 foresite Foresite Healthcare Mark Schmidt masked Mark Schmidt 2574 Metro Blvd Maryland Heights, MO 63043 618-973-6044 masked Client Operations Foresite Healthcare 2574 Metro Blvd Maryland Heights, MO 63043 16189736044 mark.schmidt@foresitehealthcare.com http://foresitehealthcare.com SDO Int 3 Complete 2020/09/24 12:00:00 2020/09/24 12:00:00 2020/09/24 09:17:15 UV 2.16.840.1.113883.3.8922 afmc Aurora Family Medicine Center Rosanne Carr masked Katie McKinney 1421 South Potomac Street, Suite 320 Aurora, CO 80012 3037501920 masked Medical Assistant Aurora Family Medicine Center 1421 South Potomac Street, Suite 320 Aurora, CO 80012 3037501920 aurorafamilymedicine@comcast.net Provider Int 3 Complete 2020/09/24 12:00:00 2020/09/24 12:00:00 2020/09/24 09:20:23 UV 2.16.840.1.113883.3.8923 phw-healthplan PA Health & Wellness-healthplan Scott Walter masked Scott Walter Scott Walter 300 Corporate Center Dr. Mechanicsburg, PA 17011 7175518072 masked Director, Clinical Outcomes Analysis PA Health & Wellness 300 Corporate Center Dr. Mechanicsburg, PA 17011 844-349-8916 scott.r.walter@pahealthwellness.com https://www.pahealthwellness.com/ Payor Int 3 Complete 2020/09/24 12:00:00 2020/09/24 12:00:00 2020/09/24 09:23:51 UV 2.16.840.1.113883.3.8924 ilh Immanuel Communities Lighthouse Liza Grasz masked Liza Grasz 1044 N. 115th Street Omaha, NE 68154 402-536-9907 masked Director of Informatics Immanuel Communities 1044 N. 115th Street Omaha, NE 68154 402-507-4899 lgrasz@immanuel.com https://www.immanuel.com Provider Int 3 Complete 2020/09/28 12:00:00 2020/09/28 12:00:00 2020/09/28 09:24:52 UV 2.16.840.1.113883.3.8925 fnt Immanuel Communities Fontenelle Liza Grasz masked Liza Grasz 1044 N. 115th Street Omaha, NE 68154 402-536-9907 masked Director of Informatics Immanuel Communities 1044 N. 115th Street Omaha, NE 68154 402-507-4899 lgrasz@immanuel.com https://www.immanuel.com Provider Int 3 Complete 2020/09/28 12:00:00 2020/09/28 12:00:00 2020/09/28 09:27:01 UV 2.16.840.1.113883.3.8926 crystalrun Crystal Run Healthcare, LLC Troy Danko masked Diana Bon Troy Danko 155 Crystal Run Road Middletown, NY 10941 845-703-3683 masked Assistant Director, Clinical Applications Crystal Run Healthcare, LLC 155 Crystal Run Road Middletown, NY 10941 845-703-6999 gspencer@crystalrunhealthcare.com https://www.crystalrunhealthcare.com/ Provider Int 3 Complete 2020/09/29 12:00:00 2020/09/29 12:00:00 2020/09/29 08:12:46 UV 2.16.840.1.113883.3.8927 rchc Rawlins County Health Center Destiny Schroeder masked Destiny Schroeder 707 Grant Street Atwood, KS 67730 785-626-3211 masked IS Director Rawlins County Health Center 707 Grant Street Atwood, KS 67730 785-626-3211 dschroeder@rchc.us https://www.rchc.us Provider Int 3 Complete 2020/09/29 12:00:00 2020/09/29 12:00:00 2020/09/29 08:17:27 UV 2.16.840.1.113883.3.8928 ucsc University of California Santa Cruz Cayla McEwen masked Cayla McEwen UC Santa Cruz 1156 High Street MS: Office of Research Santa Cruz, CA 95064 831-459-3360 masked Director, Office of Research Business & Operations University of California Santa Cruz 1156 High Street MS: ITS Scotts Valley Santa Cruz, CA 95064 831-459-1290 blackler@ucsc.edu Academic Int 3 Complete 2020/09/29 12:00:00 2020/09/29 12:00:00 2020/09/29 08:24:53 UV 2.16.840.1.113883.3.8929 sphh Solace Pediatric Home Healthcare Jose Jaquez masked Jose Jaquez 4500 Cherry Creek South Drive Suite 710 Denver, CO 80246 7203986186 masked IT Director Solace Pediatric Home Healthcare 4500 Cherry Creek South Drive Suite 710 Denver, CO 80246 3034328487 helpdesk@solacehealthcare.com https://www.solacepediatrichealthcare.com Provider Int 3 Complete 2020/09/30 12:00:00 2020/09/30 12:00:00 2020/09/30 07:27:34 UV 2.16.840.1.113883.3.8930 mdlabs MD Labs Richard Wardin masked Brian Ludwig 9899960081 masked Senior Software Architect MD Labs bludwig@mdlabs.com https://mdlabs.com/ Vendor Int 3 Complete 2020/09/30 12:00:00 2020/09/30 12:00:00 2020/09/30 07:40:08 UV 2.16.840.1.113883.3.8931 grmc2 Goodland Regional Medical Center Destiny Schroeder masked Destiny Schroeder 707 Grant Street Atwood, KS 67730 785-626-3211 masked IS Director Goodland Regional Medical Center 220 W. 2nd Goodland, KS 67735 785-890-3625 dschroeder@rchc.us https://goodlandregional.com Provider Int 3 Complete 2020/10/01 12:00:00 2020/10/05 12:00:00 2020/10/05 09:56:12 UV 2.16.840.1.113883.3.8932 caremount CareMount Medical Pravir Gandhi masked Pravir Gandhi 480 Bedford Rd Chappaqua, NY 10514 914-302-8428 masked Director of Solutions CareMount Medical info@caremount.com Provider Int 3 Complete 2020/10/02 12:00:00 2020/10/05 12:00:00 2020/10/05 09:59:31 UV 2.16.840.1.113883.3.8933 ctvti Cotiviti Assigning Authority OID Edward Bennett masked David Costello Todd Bennett 6843 Walnut Hills Drive Brentwood, TN 37027 6154148414 masked VP New Solutions Cotiviti 1 Glenlake Pkwy NE #1400 Atlanta, GA 30328 (770) 379-2800 david.costello@cotiviti.com http://www.cotiviti.com/ Vendor Int 3 Complete 2020/10/05 12:00:00 2020/10/05 12:00:00 2020/10/05 10:12:50 UV 2.16.840.1.113883.3.8934 ixl ixlayer Poorya Sabounchi masked Poorya Sabounchi Poorya Sabounchi 51 Holbrook Lane Atherton, CA 94027 9252858786 masked COO ixLayer info@ixlayer.com https://ixlayer.com/ Vendor Int 3 Complete 2020/10/05 12:00:00 2020/10/05 12:00:00 2020/10/05 10:14:25 UV 2.16.840.1.113883.3.8935 beauregard Beauregard Health System Meg Jackson masked Meg Jackson 3374627411 masked Director of IT Meg Jackson 600 South Pine Street DeRidder, LA 70634 337-462-7411 m.jackson@beauregard.org Provider Int 3 Complete 2020/10/05 12:00:00 2020/10/05 12:00:00 2020/10/05 10:29:10 UV 1.3.6.1.4.1.6774.1000.1 uvacovid 1.3.6.1.4.1.6774.1000.uvacovid Ron Hutchins masked Ron Hutchins Rotunda University Ave. Charlottesville, VA 22903 434-924-8748 masked VP-IT University of Virginia Rotunda University Ave Charlottesville, VA 22903 vpit@virginia.edu https://www.virginia.edu Academic 1.3.6.1.4.1.6774 Ext 14 17 Complete 1.3.6.1.4.1.6774.1000.1 2020/10/06 12:00:00 2020/10/07 12:00:00 2020/10/07 08:36:42 UV 2.16.840.1.113883.3.7217.700.1 mmeriecounytdoh Erie County Department of Health (Harris Public Health Solutions) Mark Bennett masked Chris Parham 2165 W. Park Ct. Ste. G Stone Mountain, GA 30087 8005510775 masked Developer Mitchell and McCormick 2165 W. Park Ct. Ste. G Stone Mountain, GA 30087 8005510775 cparham@harriscomputer.com Vendor Ext 17 Complete 2.16.840.1.113883.3.7217.700.1 2020/10/07 12:00:00 2020/10/07 12:00:00 2020/10/07 08:39:33 UV 2.16.840.1.113883.3.8936 hopehealth HopeHealth Gary Croteau masked Gary Croteau 1085 North Main St Providence, RI 02904 14014154220 masked VP/CIO HopeHealth 1085 North Main St Providence, RI 02904 14014154220 gcroteau@hopehealthco.org https://www.hopehealthco.org Provider Int 3 Complete 2020/10/07 12:00:00 2020/10/07 12:00:00 2020/10/07 08:52:14 UV 2.16.840.1.113883.3.8937 pip Partners in Pediatrics Tasha Whatley masked Tasha Whatley 919 Jasmine St Denver, CO 80220 3033884256 masked Practice Manager Partners in Pediatrics 919 Jasmine St Denver, CO 80220 3033884256 tasha.whatley@partnersinpediatrics.com https://partnersinpediatrics.com/ Provider Int 3 Complete 2020/10/07 12:00:00 2020/10/07 12:00:00 2020/10/07 08:54:23 UV 2.16.840.1.113883.3.8938 patm Pediatrics at the Meadows PC Susan Clark masked Susan Clark 2352 Meadows Blvd Suite 170 Castle Rock, CO 80109 3036885226 masked Practice Manager Pediatrics at the Meadows PC 2352 Meadows Blvd Suite 170 Castle Rock, CO 80109 3036885226 sclark@pedsatm.com https://pedsatthemeadows.com Provider Int 3 Complete 2020/10/07 12:00:00 2020/10/07 12:00:00 2020/10/07 09:59:51 UV 2.16.840.1.113883.3.8939 hsmed Health Solutions Medical Center Dana Brown masked Dana Brown 41 Montebello Rd. Suite 116 Pueblo, CO 81001 1-719-545-2746 masked Chief Technology Officer Health Solutions Medical Center 41 Montebello Rd. Suite 116 Pueblo, CO 81001 1-719-423-1500 danab@spanishpeaks.org https://www.health.solutions Provider Int 3 Complete 2020/10/08 12:00:00 2020/10/08 12:00:00 2020/10/08 09:09:36 UV 2.16.840.1.113883.3.8940 pedpath Pediatric Pathways Amy Eichenseer masked Amy Eichenseer 6909 S Holly Circle Ste 150 Centennial, CO 80112 3036942323 masked Business Manager Pediatric Pathways 6909 S Holly Circle Ste 150 Centennial, CO 80112 3036942323 pedpath@msn.com https://www.pediatricpathways.com Provider Int 3 Complete 2020/10/08 12:00:00 2020/10/08 12:00:00 2020/10/08 09:17:18 UV 2.16.840.1.113883.3.8941 integritylabtn Integrity Laboratories, LLC Hannah Dee masked Hannah Dee Hannah Dee 830 Corridor Park Boulevard Suite 400 Knoxville, TN 37932 8446585745 masked Director of Client Solutions Integrity Laboratories 830 Corridor Park Boulevard Suite 400 Knoxville, TN 37932 8446585745 info@integritylaboratories.com https://www.integritylaboratories.com Provider Int 3 Complete 2020/10/08 12:00:00 2020/10/08 12:00:00 2020/10/08 09:22:58 UV 2.16.840.1.113883.3.8942 givf Molecular Infectious Disease Laboratory - Genetics & IVF Institute Leeanne Sciolto masked Brian Mariani Leeanne Sciolto 703-362-9767 masked Consultant Genetics & IVF Institute 3015 Williams Dr Fairfax, VA 22031 703.698.7355 lsciolto@givf.com https://www.givf.com/contactus/ Provider Int 3 Complete 2020/10/08 12:00:00 2020/10/09 12:00:00 2022/12/01 05:19:09 UV 2.16.840.1.113883.3.8943 cinternacional Clinica Internacional Mauricio Alpuin masked Mauricio Alpuin Blanche Av Inca Garcilazo de la Vega 1420 Lima, Peru +51915180175 masked Sub Gerente de Arquitectura Empresarial Clinica Internacional Av Inca Garcilazo de la Vega 1420 Lima, Peru +516196161 dominios@ci.pe https://clinicainternacional.com.pe Provider Int 3 Complete 2020/10/09 12:00:00 2020/10/09 12:00:00 2020/10/09 07:25:22 UV 2.16.840.1.113883.3.8944 nj-cap Acenda Incorporated Brian Annett masked Brian Annett 42 Delsea Dr Glassboro NJ 08028 856 725 9294 masked Sr Director of Information Technology Acenda Inc 42 Delsea Dr S, Glassboro NJ 08028 1 844 422 3632 bannett@acendahealth.org https://acendahealth.org/ Provider Int 3 Complete 2020/10/12 12:00:00 2020/10/15 12:00:00 2020/10/15 10:27:13 US 2.16.124.113618 caShoppersDrugMart Shoppers Drug Mart Canada Standards Infodesk masked Ruth Nielsen 243 Consumers Road, Toronto, Ontario M2J 4W8 416-844-2727 masked Technical Product Owner, Pharmacy Systems Shoppers Drug Mart 243 Consumers Road, Toronto, Ontario M2J 4W8 416-493-1220 Ruth.Nielsen@loblaw.ca https://www1.shoppersdrugmart.ca Vendor 2.16.124.113618 Ext 4 Complete 2.16.124.113618 2020/10/13 12:00:00 2020/10/15 12:00:00 2020/10/15 10:31:57 CA 2.16.840.1.113883.3.8945 sage-memorial-hospital Navajo Health Foundation - Sage Memorial Hospital Clifton Bia masked Clifton Bia SR 264 & HWY 191 Ganado, AZ 86505 928-755-4803 masked IT Director Navajo Health Foundation - Sage Memorial Hospital coronel.lopez@sagememorial.com Provider Int 3 Complete 2020/10/13 12:00:00 2020/10/15 12:00:00 2020/10/15 10:37:04 UV 2.16.840.1.113883.3.8946 tiogaMH Tioga County Department of Mental Hygiene Sarah Begeal masked Lori Morgan Sarah Begeal 1062 State Route 38 PO Box 177 Owego, NY 13827 6076898103 masked Deputy Director of Community Services Tioga County Mental Hygiene 1062 State Route 38 PO Box 177 Owego, NY 13827 6076870200 begeals@co.tioga.ny.us https://www.tiogacountyny.com/departments/mental-hygiene/ Govt body Int 3 Complete 2020/10/14 12:00:00 2020/10/15 12:00:00 2020/10/15 10:43:01 UV 2.16.840.1.113883.3.8947 nextcare NextCare Holdings Inc OID Kevin Foster masked Kevin Foster 2550 North Thunderbird Circle, Suite #303 Mesa, AZ 85215 480-455-4983 masked Application Development Manager NextCare Holdings noreply@nextcare.com https://nextcare.com/ Provider Int 3 Complete 2020/10/19 12:00:00 2020/10/20 12:00:00 2020/10/20 08:35:34 UV 2.16.840.1.113883.3.8948 cars Community Alliance Rehabilitation Services Ryan Mulligan masked Ryan Mulligan 4001 Leavenworth St. Omaha, NE 68105 402-341-5128 masked MIS Manager Community Alliance Rehabilitation Services 4001 Leavenworth St. Omaha, NE 68105 402-341-5128 rmulligan@commall.org https://community-alliance.org/ Provider Int 3 Complete 2020/10/20 12:00:00 2020/10/20 12:00:00 2020/10/20 08:40:18 UV 2.16.840.1.113883.3.8949 pea Professional Eye Associates Sandra Curd masked Sandra D Curd 1111 Professional Blvd Dalton, GA 30720 7062262020 masked COO Professional Eye Associates 1111 Professional Blvd Dalton, GA 30720 7062262020 scurd@professionaleye.com https://www.professionaleye.com Provider Int 3 Complete 2020/10/20 12:00:00 2020/10/20 12:00:00 2020/10/20 08:42:47 US 2.16.840.1.113883.3.8950 apa Advanced Pediatric Associates Autumn Wilkerson masked Autumn Wilkerson 3300 S Parker Road Ste 404 Aurora, CO 80014 7209747199 masked IT Manager Advanced Pediatric Associates 3300 S Parker Road Ste 404 Aurora, CO 80014 3036996200 apa.supportdesk@advanced-pediatrics.com Provider Int 3 Complete 2020/10/20 12:00:00 2020/10/20 12:00:00 2020/10/20 09:00:09 UV 2.16.840.1.113883.3.8951 neuralframe Root OID for NeuralFrame, Inc Patrick McNeillie masked Patrick McNeillie 277 Old Church Road Greenwich, CT 06830 9194547522 masked Chief Information Officer NeuralFrame, Inc 277 Old Church Road Greenwich, CT 06830 9194547522 patrick.mcneillie@neuralframe.com https://neuralframe.com Vendor Int 3 Complete 2020/10/20 12:00:00 2020/10/20 12:00:00 2020/10/20 09:02:01 UV 2.16.840.1.113883.3.8952 spsp Stapleton Pediatrics Mary Lemke masked Mary Lemke 2975 Roslyn Street Suite 100 Denver, CO 80238 3033997900 masked Practice Administrator Stapleton Pediatrics 2975 Roslyn Street Suite 100 Denver, CO 80238 3033997900 mary.lemke@stapletonpeds.com https://stapletonpeds.com Provider Int 3 Complete 2020/10/20 12:00:00 2020/10/20 12:00:00 2020/10/20 09:07:00 UV 2.16.840.1.113883.3.8953 cFH Flow Health Dmitry Shingarev masked Dmitry Shingarev 8627 Washington Blvd Culver City, CA 90232 (323) 452-6980 masked CTO Flow Health 8627 Washington Blvd Culver City, CA 90232 (323) 452-6980 dmitry@flowhealth.com Provider Int 3 Complete 2020/10/20 12:00:00 2020/10/21 12:00:00 2020/10/21 08:46:03 UV 2.16.840.1.113883.3.8954 oakstreethealth-ny Oak Street Health New York Emma Hodge masked Emma Hodge 455 Sutter Ave, Brooklyn, NY 11212 847 420 5269 masked Population Health Director Oak Street Health 455 Sutter Ave, Brooklyn, NY 11212 718 709 5746 emma.hodge@oakstreethealth.com Provider Int 3 Complete 2020/10/21 12:00:00 2020/10/21 12:00:00 2020/10/21 08:47:38 UV 2.16.840.1.113883.3.8955 hzn-bcbsnj Horizon Blue Cross Blue Shield of New Jersey Ellen Montondo masked Ellen Montondo Horizon Blue Cross Blue Sheild NJ 3 Penn Plaza East Newark, NJ 07105 1-973-466-5586 masked Director Data Strategy Horizon Blue Cross Blue Shield of New Jersey Horizon Blue Cross Blue Sheild NJ 3 Penn Plaza East Newark, NJ 07105 973-466-4000 ellen_montondo@horizonblue.com https://www.horizonblue.com/ Payor Int 3 Complete 2020/10/21 12:00:00 2020/10/21 12:00:00 2020/10/21 08:50:00 UV 2.16.840.1.113883.3.8956 ochgrv Ozarks Community Hospital Yvette Condon masked Yvette Condon 1101 Jackson St SW Gravette, AR 72736 417-241-0960 masked HIS Director Ozarks Community Hospital 1101 Jackson St SW Gravette, AR 72736 417-241-0960 ycondon@ochonline.com http://www.ochonline.com/ Provider Int 3 Complete 2020/10/21 12:00:00 2020/10/21 12:00:00 2020/10/21 09:03:26 UV 2.16.840.1.113883.3.8957 cm Columbus Medical Center Nicole Pollema masked Nicole Pollema Nicole Pollema 1454 28TH AVE Columbus, NE 68601 402-564-2816 masked Administrator Columbus Medical Center 1454 28th Ave Columbus, NE 68601 4025642816 npollema@columbusmedicalcenter.com Provider Int 3 Complete 2020/10/21 12:00:00 2020/10/21 12:00:00 2020/10/21 09:09:52 UV 2.16.840.1.113883.3.8958 cfccodeforEHR Center for Children, Inc. Catherine Meyers masked Catherine Meyers PO Box 2924 La Plata, MD 20646 3016099887 masked Executive Director Center for Children, Inc. PO Box 2924 La Plata, MD 20646 1-301-609-9887 meyers@center-for-children.org https://www.center-for-children.org Provider Int 3 Complete 2020/10/21 12:00:00 2020/10/21 12:00:00 2020/10/21 09:23:55 UV 2.16.840.1.113883.3.8959 cmcpc Children's Medical Center Lorie Joslyn masked Lorie Joslyn 1625 Marion Street Denver, CO 80218 303-830-7337 masked Practice Manager Children's Medical Center 1625 Marion Street Denver, CO 80218 303-830-7337 ljoslyn@cmcpc.com http://www.cmcpediatrics.com Provider Int 3 Complete 2020/10/22 12:00:00 2020/10/23 12:00:00 2020/10/23 09:19:03 UV 2.16.840.1.113883.17.8755 bvsl-covid Brightview Senior Living Tesh Patel masked Tesh Patel 4103825969 masked Director of Business Operations Brightview Senior Living 218 North Charles Street Baltimore, MD 21201 4109620595 hpatel@bvsl.net Provider Int 17 Complete 2020/10/22 12:00:00 2020/10/23 12:00:00 2020/10/23 09:27:18 UV 2.16.840.1.113883.3.8960 scachs Sacramento County Adult Correctional Health Services Deborah Walker masked Aron Brewer Aron Brewer 7001A East Parkway, Suite 700 Sacramento, CA 95823 916-875-9901 masked Chief, Sacramento County Adult Correctional Health Sacramento County Adult Correctional Health Services 7001A East Parkway, Suite 700 Sacramento, CA 95823 916-876-7195 BrewerA@SacCounty.net https://dhs.saccounty.net/PRI/Pages/Correctional%20Health%20Services/GI-Adult-Correctional-Health.aspx Govt body Int 3 Complete 2020/10/22 12:00:00 2020/10/23 12:00:00 2020/10/23 09:43:09 UV 2.16.840.1.113883.3.8961 arapparkpeds Arapahoe Park Pediatrics Tina Dempewolf masked Tina Dempewolf 303-795-2345 masked Business Office Arapahoe Park Pediatrics 7780 S Broadway, #220 Littleton, CO 80122 303-795-2345 tdempewolf@appeds.com https://www.arapahoeparkpeds.com Provider Int 3 Complete 2020/10/22 12:00:00 2020/10/23 12:00:00 2020/10/23 10:01:54 UV 2.16.840.1.113883.3.8962 pcs-health-gateway Person Centred Software Health Gateway Simon Papworth masked Simon Papworth Simon Papworth Person Centred Software 1 Bell Court Leapale Lane Guildford GU1 4LY 07766491597 masked Director Person Centred Software 1 Bell Court Leapale Lane Guildford GU1 4LY 01483 357657 s.papworth@personcentredsoftware.com https://www.personcentredsoftware.com Vendor Int 3 Complete 2020/10/23 12:00:00 2020/10/23 12:00:00 2020/10/23 10:07:59 UV 2.16.840.1.113883.3.8963 dHRHealthOccupationalPreventativeMedicineClinic DHR Health Occupational & Preventative Medicine Clinic OID Root Raphael Somosot masked Maria Lopez 2001 S. Cynthia St Ste. D McAllen, TX 78503 956-787-1975 masked Office Manager DHR Health Occupational & Preventative Medicine Clinic 2001 S. Cynthia St Ste. D McAllen, TX 78503 956-362-6696 maria.lopez@dhr-rgv.com Provider Int 3 Complete 2020/10/23 12:00:00 2020/10/23 12:00:00 2020/10/23 10:12:07 UV 2.16.840.1.113883.3.8964 dHRHealthHeartInstituteRGHSEdinburg DHR Health Heart Institute (RGHS) Edinburg OID Root Raphael Somosot masked Jeanette Garcia 5525 Doctors Dr., Ste A Edinburg, Texas 78503 956-221-1345 masked Office Manager DHR Health Heart Institute (RGHS) Edinburg 5525 Doctors Dr., Ste A Edinburg, Texas 78503 956-682-1888 jea.garcia@dhr-rgv.com Provider Int 3 Complete 2020/10/23 12:00:00 2020/10/23 12:00:00 2021/01/18 01:45:16 UV 2.16.840.1.113883.3.8965 dHRHealthHeartInstituteRGHSWeslaco DHR Health Heart Institute (RGHS) Weslaco OID Root Raphael Somosot masked Jeanette Garcia 505 Angelita St Ste 14 Weslaco, TX 78599 956-221-1345 masked Office Manager DHR Health Heart Institute (RGHS) Weslaco 505 Angelita St Ste 14 Weslaco, TX 78599 956-682-1888 jea.garcia@dhr-rgv.com Provider Int 3 Complete 2020/10/23 12:00:00 2020/10/23 12:00:00 2020/10/23 10:18:57 UV 2.16.840.1.113883.3.8966 pphw Pankaj Nashikkar MD LLC Pankaj Nashikkar masked Pankaj Nashikkar 3745 Outback Vista Pt Colorado Springs, CO 80904 719-232-1939 masked President Pankaj Nashikkar MD LLC 2920 N. Cascade Ave. #201 Colorado Springs, CO 80907 719-362-4590 pankajnashikkar@yahoo.com Provider Int 3 Complete 2020/10/26 12:00:00 2020/10/26 12:00:00 2020/10/26 07:23:08 UV 2.16.840.1.113883.3.8967 stmhealth St. Mark Health, LLC Rewais Morcus masked Rewais Morcus 599 Wilson Avenue, Staten Island, NY 10312-3746 7184500515 masked MD St. Mark Health, LLC 599 Wilson Avenue, Staten Island, NY 10312-3746 7184500515 dr.morcus@gmail.com Academic Int 3 Complete 2020/10/26 12:00:00 2020/10/26 12:00:00 2020/10/26 07:27:59 UV 2.16.840.1.113883.3.8968 lec-ccda-hl7 La Esperanza Clinic, INC CCDA OID Edward Dotson masked La Esperanza Clinic Ed Dotson 2029 W Beauregard Ave San Angelo, TX 76901 3259475603 masked Director of Information Technology La Esperanza Clinic, Inc. 2029 W Beauregard Ave San Angelo, TX 76901 3256585339 edwarddotson@esperanzahealth.org Provider Int 3 Complete 2020/10/26 12:00:00 2020/10/26 12:00:00 2020/10/26 07:33:31 UV 2.16.840.1.113883.3.8969 obga OB/GYN Affiliates Elizabeth Foelske masked Elizabeth Foelske 1745 Shea Center Dr #400 Littleton, CO 80129 7203755845 masked Authorized Representative OB/GYN Affiliates 1745 Shea Center Dr #400 Littleton, CO 80129 720-307-4456 liz@prosumipp.com https://www.obga.net Provider Int 3 Complete 2020/10/26 12:00:00 2020/10/26 12:00:00 2020/10/26 07:36:45 UV 2.16.840.1.113883.3.8970 glm-oid Genesis Laboratory Management LLC Steven Hannon masked Steven Hannon 1912 Route 35 Suite 202 Oakhurst, NJ 07755 732-389-8400 Ext 103 masked IT Manager Genesis Laboratory Management LLC 1912 Route 35 Suite 202 Oakhurst, NJ 07755 732-389-1530 it@labofchoice.com https://labofchoice.com/ Provider Int 3 Complete 2020/10/26 12:00:00 2020/10/26 12:00:00 2020/10/26 07:48:23 UV 2.16.840.1.113883.3.8971 pediatrixMD Pediatrix Medical Group Brandon Diaz masked Brandon Diaz 1301 Concord Terrace Sunrise, FL 33323 800-243-3839 masked Project Manager Pediatrix Medical Group 1301 Concord Terrace Sunrise, FL 33323 800-243-3839 vendor_management@mednax.com http://www.pediatrix.com/ Provider Int 3 Complete 2020/10/26 12:00:00 2020/10/26 12:00:00 2020/10/26 07:52:11 UV 2.16.840.1.113883.3.8972 virant Virant Diagnostics LLC Joseph Chiao masked Joseph Chiao, MD 12501 Prosperity Drive Suite 340 Silver Spring, MD 20904 USA 6092138556 masked Medical Director Virant Diagnostics LLC 12501 Prosperity Drive Suite 340 Silver Spring, MD 20904 USA 6092138556 jchaio@virantdx.com https://www.virantdx.com/ Provider Int 3 Complete 2020/10/27 12:00:00 2020/10/27 12:00:00 2020/10/27 10:53:42 UV 2.16.840.1.113883.3.8973 wrp Wheatridge Pediatrics Yelena Khayut masked Barb Heil 4350 Wadsworth Blvd., Ste 301 Wheatridge, CO 80033 303.421.0194 masked Practice Manager Wheatridge Pediatrics 4350 Wadsworth Blvd., Ste 301 Wheatridge, CO 80033 303.421.0194 yelmik@gmail.com http://www.wheatridgepediatrics.com Provider Int 3 Complete 2020/10/27 12:00:00 2020/10/27 12:00:00 2020/10/27 10:58:06 UV 2.16.840.1.113883.3.8974 hrsneb HRS of Nebraska Chris Oltmans masked Chris Oltmans Chris Oltmans 900 S. 74th Plaza unit 111 Omaha, NE 68114 3122177948 masked VP of Clinical Operations HRS of Nebraska 900 S. 74th Plaza unit 111 Omaha, NE 68114 3122177948 COLTMANS@HEALTHRS.NET http://hrsnebraska.com/ Provider Int 3 Complete 2020/10/27 12:00:00 2020/10/27 12:00:00 2020/10/27 11:05:31 657662441 UV 2.16.840.1.113883.3.8975 genesystems2020 20/20 Genesytems, Inc Barry Cohen masked Barry Cohen 9430 Key West Avenue Suite 100 Rockville, MD 20850 240-453-6339 ext. 103 masked IT 20/20 Genesystems, Inc 9430 Key West Avenue Suite 100 Rockville, MD 20850 240-453-6339 bcohen@2020gene.com https://2020gene.com/ Provider Int 3 Complete 2020/10/27 12:00:00 2020/10/27 12:00:00 2020/10/27 11:09:35 UV 2.16.840.1.113883.3.8976 qdx QDx Pathology Service Ivan Tuazon masked Ivan Tuazon 20 Jackson Drive, Suite 1B Cranford, NJ 07016 9083251508 masked Computer Programmer QDx Pathology Service 20 Jackson Drive, Suite 1B Cranford, NJ 07016 9083251508 ituazon@qdxpath.com http://qdxpath.com Prof Soc Int 3 Complete 2020/10/27 12:00:00 2020/10/27 12:00:00 2020/10/27 11:12:57 UV 2.16.840.1.113883.3.8977 pwpc Pediatrics West, P.C. Tym Johnson masked Tym Johnson Tym Johnson 3555 Lutheran Pkwy Suite 200 Wheat Ridge, CO 80033 7202843708 masked Practice Administrator Pediatrics West, P.C. 3555 Lutheran Pkwy Suite 200 Wheat Ridge, CO 80033 7202843708 tjohnson@pediatricswest.org http://www.pediatricswest.org Provider Int 3 Complete 2020/10/27 12:00:00 2020/10/27 12:00:00 2020/10/27 11:29:38 UV 2.16.840.1.113883.3.8978 dHRHealthOrthopedicInstitute DHR Health Orthopedic Institute OID Root Raphael Somosot masked Amanda Martinez 1313 St. Claire Blvd Mission, TX 78572 9563626986 masked Office Manager DHR Health Orthopedic Institute 1313 St. Claire Blvd Mission, TX 78572 9563626986 a.martinez@dhr-rgv.com Provider Int 3 Complete 2020/10/29 12:00:00 2020/10/29 12:00:00 2020/10/29 09:46:28 UV 2.16.840.1.113883.3.8979 swp1 Small World Pediatrics Terri Shawcroft masked Terri 332 S. Orchard Springs Dr. Ste 150 Pueblo CO 81007 7196472396 masked Office Manager Small World Pediatrics 332 S. Orchard Springs Dr. ste 150 Pueblo CO 81007 7192537640 smallworldpeds1@gmail.com https://smallworldpediatrics.weebly.com/ Provider Int 3 Complete 2020/10/29 12:00:00 2020/10/29 12:00:00 2020/10/29 09:50:07 UV 2.16.840.1.113883.3.8980 bostonHeartDxOID Boston Heart Diagnostics Root Registration Authority Steven Lundahl masked Shalom Keynan Steven Lundahl Boston Heart Diagnostics 200 Crossing Blvd Framingham, MA 01702 603-496-3364 masked Sr Software Engineer and Database Manager Boston Heart Diagnostics 200 Crossing Blvd Framingham, MA 01702 skeynan@bostonheartdx.com https://www.bostonheartdiagnostics.com Provider Int 3 Complete 2020/10/30 12:00:00 2020/10/30 12:00:00 2020/10/30 06:33:39 UV 2.16.840.1.113883.3.8981 clinicalEnterpriseOID Clinical Enterprise Root Registration Authority Steven Lundahl masked Shalom Keynan Steven Lundahl Boston Heart Diagnostics 200 Crossing Blvd Framingham, MA 01702 603-496-3364 masked Sr Software Engineer and Database Manager Clinical Enterprise Inc 175 Crossing Blvd, Suite 400 Framingham, MA 01702 skeynan@bostonheartdx.com Provider Int 3 Complete 2020/10/30 12:00:00 2020/10/30 12:00:00 2020/10/30 06:37:17 UV 2.16.840.1.113883.3.8982 ccca Collom and Carney Clinic Association Angelo Mitchell masked Robert Haley Robert Haley 5002 Cowhorn Creek Rd Texarkana, TX 75503 9036143289 masked CIO Collom and Carney Clinic Association 5002 Cowhorn Creek Rd Texarkana, TX 75503 9036143000 rhaley@cccahealth.com http://www.cccahealth.com Provider Int 3 Complete 2020/11/02 12:00:00 2020/11/04 12:00:00 2020/11/04 07:56:41 UV 2.16.840.1.113883.17.8756 ailis AilisNGS Theodore Chiang masked Theodore Chiang Theodore Chiang 1920 Country Pl Pkwy Suite 100, Pearland, TX 77584 346-342-1802 masked Bioinformatics Manager AiLife Diagnostics 1920 Country Pl Pkwy Suite 100, Pearland, TX 77584 346-342-1802 tchiang@ailifeus.com https://www.ailifeus.com Provider Int 17 Complete 2020/11/03 12:00:00 2020/11/04 12:00:00 2020/11/04 08:16:02 UV 2.16.840.1.113883.3.8983 academy1357 Academy Park Pediatrics Diana Cruzan masked Diana Cruzan 3333 S Wadsworth Blvd, B103 Lakewood, CO 80227 3039885252 masked Practice Manager Academy Park Pediatrics 3333 S Wadsworth Blvd, B103 Lakewood, CO 80227 3039885252 academy01@msn.com https://academyparkpeds.com/ Provider Int 3 Complete 2020/11/03 12:00:00 2020/11/04 12:00:00 2020/11/04 08:21:59 UV 2.16.840.1.113883.3.8984 galileo Galileo Health John Caruso masked John Caruso 8602519543 masked Galileo jcaruso@galileo.io Provider Int 3 Complete 2020/11/04 12:00:00 2020/11/04 12:00:00 2023/06/21 04:20:18 UV 2.16.840.1.113883.3.8985 bp Brighton Pediatrics, PC Teresa Reckard masked Teresa Reckard 183 S 18th Avenue Brighton, CO 80601 3036594248 masked Office Manager Brighton Pediatrics, PC 183 S 18th Avenue Brighton, CO 80601 3036594248 teresa@brightonpeds.com http://brightonpeds.com Provider Int 3 Complete 2020/11/04 12:00:00 2020/11/04 12:00:00 2020/11/04 08:33:38 UV 2.16.840.1.113883.17.8757 hecmobile Health Education Center Mobile Site Cara Simington masked Cara Simington 541-999-7310 masked PeaceHealth Medical Group 3333 Squalicum Parkway Bellingham, WA 98225 360-752-5258 jreynolds2@peacehealth.org Provider Int 17 Complete 2020/11/04 12:00:00 2020/11/04 12:00:00 2020/11/04 09:25:52 UV 2.16.840.1.113883.17.8758 psgiurology Urology Pacific Surgical Institute Cara Simington masked Cara Simington 541-999-7310 masked Urology Pacific Surgical Institute 625 9th Avenue Suite 120 Longview, WA 98632 360-425-3720 dtraver@peacehealth.org Provider Int 17 Complete 2020/11/04 12:00:00 2020/11/04 12:00:00 2020/11/04 10:37:26 UV 2.16.840.1.113883.17.8759 rbamobile Riverbend Annex Mobile Site Cara Simington masked Cara Simington 541-999-7310 masked Riverbend Annex Mobile Site 123 International Way Springfield, OR 97477 541-222-7615 sparrott@peacehealth.org Provider Int 17 Complete 2020/11/04 12:00:00 2020/11/04 12:00:00 2020/11/04 10:46:28 UV 2.16.840.1.113883.3.8986 ltd-sc Labtech Diagnostics MJ Amouri masked MJ Amouri 1502 E Greenville St Anderson, SC 29621 8647600039 masked IT Director Labtech Diagnostics 1502 E Greenville St Anderson, SC 29621 ama@labtechdiagnostics.net ama@labtechdiagnostics.net Provider Int 3 Complete 2020/11/04 12:00:00 2020/11/04 12:00:00 2020/11/04 10:52:01 UV 2.16.840.1.113883.3.8987 sehealthcare Southeast Health Care Pete Davis masked Pete Davis 16 West Long Columbus, OH 43215 16143600101 masked Southeast Health Care 16 West Long Columbus, OH 43215 16143600101 davisp@southeastinc.com http://www.southeastinc.com Provider Int 3 Complete 2020/11/05 12:00:00 2020/11/07 12:00:00 2020/11/07 10:54:56 UV 2.16.840.1.113883.3.8988 sapphire-Health Sapphire-Health Jayme Shildt masked Jayme Shildt 645 Kolter Dr, Indiana, PA 15701 877.532.2345 masked General Manager Sapphire-Health 645 Kolter Dr, Indiana, PA 15701 724-349-1111 jshildt@sapphire-health.com https://www.sapphire-health.com/ Vendor Int 3 Complete 2020/11/05 12:00:00 2020/11/07 12:00:00 2020/11/07 11:00:04 UV 2.16.840.1.113883.3.8989 denpeds Denver Pediatrics P.C. Gita Sikand masked Cecilia Lyman 9141 Grant St # 115 Thornton, CO 80229 3039209000 masked Medical Billing Denver Pediatrics P.C. 9141 Grant St # 115 Thornton, CO 80229 3039209000 denpeds@aol.com http://hl7.org Provider Int 3 Complete 2020/11/05 12:00:00 2020/11/07 12:00:00 2020/11/07 11:05:20 UV 2.16.840.1.113883.17.8760 alii-care Alii Ben Schrijver masked Ben Schrijver Veilinghavenkade 129 3521AT Utrecht The Netherlands 0031642101751 masked Alii Veilinghavenkade 129 3521AT Utrecht The Netherlands info@alii.care https://alii.care/ Vendor Int 17 Complete 2020/11/09 12:00:00 2020/11/11 12:00:00 2020/11/11 07:36:51 UV 2.16.840.1.113883.3.8990 lpfc Little Poudre Family Clinic Karen McGraw masked Karen McGraw 3817 W County Rd 54G LaPorte, Colorado 80535 9704722001 masked Nurse Practitioner / Owner Little Poudre Family Clinic 3817 W County Rd 54G LaPorte, Colorado 80535 9704722001 karen@littlepoudre.com http://littlepoudre.com Provider Int 3 Complete 2020/11/10 12:00:00 2020/11/11 12:00:00 2020/11/11 07:43:23 UV 2.16.840.1.113883.4.975 icp-triageGroup Tunstall ICP identifier for a home health monitoring triage group Garth Smedley masked Garth Smedley 9024710114 masked Tunstall Health Inc. garth.smedley@tunstall.com Vendor Int 4 Complete 2020/11/10 12:00:00 2020/11/11 12:00:00 2020/11/11 07:57:33 CA 2.16.840.1.113883.3.8991 mohap Ministry of Health and Prevention UAE Rajesh Dugar masked Manikandan Sugumaran Mubaraka Ibrahim MOHAP, Sheikh Muhammed bin Zayed Road, Dubai. POBox: 1853. UAE +971 4 2301000 masked IT Director, MOHAP Ministry of Health and Prevention MOHAP, Sheikh Muhammed bin Zayed Road, Dubai. POBox: 1853. UAE +971 4 2301000 ITD.Office@mohap.gov.ae https://www.mohap.gov.ae/ Govt body Int 3 Complete 2020/11/11 12:00:00 2020/11/11 12:00:00 2021/09/02 03:10:22 UV 2.16.840.1.113883.3.8991.1 riayati RIAYATI Exchange, MOHAP Rajesh Dugar masked Manikandan Sugumaran Jamal Masalma MOHAP, Sheikh Muhammed bin Zayed Road, Dubai. POBox: 1853. UAE +971 4 2301000 masked Program Manager, MOHAP Ministry of Health and Prevention MOHAP, Sheikh Muhammed bin Zayed Road, Dubai. POBox: 1853. UAE +971 4 2301000 ITD.Office@mohap.gov.ae https://www.mohap.gov.ae/ Exchange 2.16.840.1.113883.3.8991 Ext 14 Complete 2.16.840.1.113883.3.8991.1 2020/11/11 12:00:00 2020/11/11 12:00:00 2021/09/02 03:09:36 UV 2.16.840.1.113883.3.8992 apv-rx Apovia Pharmacy Service Arshad Hussain masked Arshad Hussain 313 Henderson Ave Sharon Hill PA 19079 267-300-0018 masked IT Driector Apovia Pharmacy Services 313 Henderson Ave Sharon Hill PA 19079 2677379819 info@apoviarx.com http://www.apoviarx.com Provider Int 3 Complete 2020/11/11 12:00:00 2020/11/11 12:00:00 2020/11/11 08:24:44 UV 2.16.840.1.113883.9.264 medarbor MedArbor Diagnostics Matt Legowski masked Matt Legowski 200 Rittenhouse Circle East Building Suite 1 Bristol, PA 19007 6097035097 masked Operations MedArbor Diagnostics 200 Rittenhouse Circle East Building Suite 1 Bristol, PA 19007 6097035097 mlegowski@medarbor.com https://www.medarbor.com Provider Int 3 Complete 2020/11/11 12:00:00 2020/11/11 12:00:00 2020/11/11 08:33:36 UV 2.16.840.1.113883.3.8993 cvn Cohen Veterans Network Devon Collins masked Devon Collins 72 Cummings Point Road Stamford, CT 06902 203-569-0283 masked SVP, Network Information Systems Cohen Veterans Network 72 Cummings Point Road Stamford, CT 06902 203-569-0280 info@cohenveteransnetwork.org https://www.cohenveteransnetwork.org/ Provider Int 3 Complete 2020/11/11 12:00:00 2020/11/11 12:00:00 2020/11/11 08:36:33 UV 2.16.840.1.113883.3.8994 sbmc-outreachfacility St. Bernards Medical Center - Outreach Josh Melton masked Josh Melton 225 E Washington Jonesboro, AR 72401 870-897-7893 masked CTO St. Bernards Medical Center P.O. Box 4060 Jonesboro, AR 72403 870-207-4100 jmetlon@sbrmc.org https://www.stbernards.info Provider Int 3 Complete 2020/11/12 12:00:00 2020/11/14 12:00:00 2020/11/14 10:52:06 UV 2.16.840.1.113883.3.8995 hoc Heritage OnCare Home Health Krista Upson masked Krista Upson 16934 Frances Street, Suite 200 Omaha, NE 68130 4024034330 masked Administrator Heritage OnCare Home Health 16934 Frances Street, Suite 200 Omaha, NE 68130 4024034330 kupson@heritageoncare.com http://www.heritageoncare.com Provider Int 3 Complete 2020/11/13 12:00:00 2020/11/14 12:00:00 2020/11/14 10:55:24 UV 2.16.840.1.113883.17.8761 wdldfm Family Medicine Woodland WA Cara Simington masked Cara Simington 541-999-7310 masked Family Medicine Woodland 527 2nd St. Woodland, WA 98674 360-414-7867 rcrowe@peacehealth.org Provider Int 17 Complete 2020/11/13 12:00:00 2020/11/14 12:00:00 2020/11/14 11:17:36 UV 2.16.840.1.113883.17.8762 unstsameday Family Medicine Same Day Care - Union Station - Camas, WA Cara Simington masked Cara Simington 541-999-7310 masked Family Medicine Same Day Care 315 NE 192nd Ave Bldg 3 Ste 310 Camas, WA 98607 360-735-8100 rtaylor2@peacehealth.org Provider Int 17 Complete 2020/11/13 12:00:00 2020/11/14 12:00:00 2020/11/14 11:27:58 UV 2.16.840.1.113883.17.8763 rtricot Occupational Therapy - Triangle Center- Longview, WA Cara Simington masked Cara Simington 541-999-7310 masked Occupational Therapy - Triangle Center 1015 Ocean Beach Hwy Longview, WA 98632 360-501-3766 avarney@peacehealth.org Provider Int 17 Complete 2020/11/13 12:00:00 2020/11/14 12:00:00 2020/11/14 02:30:44 UV 2.16.840.1.113883.17.8764 salment Otolaryngology - Salmon Creek - Vancouver, WA Cara Simington masked Cara Simington 541-999-7310 masked Otolaryngology - Salmon Creek 14411 NE 20th Ave STE 101 Vancouver, WA 98686 360-256-4425 rring@peacehealth.org Provider Int 17 Complete 2020/11/13 12:00:00 2020/11/14 12:00:00 2020/11/14 02:38:12 UV 2.16.840.1.113883.9.265 eMed eMed Labs LLC Marco Magistri masked Marco Magistri 7862397843 masked Laboratory Director eMed Labs LLC 7862397843 marco@emed.com Provider Int 3 Complete 2020/11/17 12:00:00 2020/11/18 12:00:00 2020/11/18 10:20:48 UV 2.16.840.1.113883.3.8996 nm-ccdoid Coulee Medical Center Natasha Marchand masked Natasha Marchand Coulee Medical Center 411 Fortuyn Road Grand Coulee, WA 99133 509-633-3758 masked Clinical Informatics Lead Coulee Medical Center 411 Fortuyn Road Grand Coulee, WA 99133 509-633-3758 marchan@cmccares.org https://www.cmccares.org Provider Int 3 Complete 2020/11/17 12:00:00 2020/11/18 12:00:00 2020/11/18 10:37:49 UV 2.16.840.1.113883.3.8997 noterro Noterro Inc. Ryan Barichello masked Ryan Barichello 322-1100 South Service Road, Stoney Creek, Ontario, Canada, L8E 0C5 9055941812 masked CTO Noterro Inc. 322-1100 South Service Road, Stoney Creek, Ontario, Canada, L8E 0C5 9055941812 support@noterro.com https://noterro.com Vendor Int 3 Complete 2020/11/17 12:00:00 2020/11/18 12:00:00 2020/11/18 10:42:36 CA 2.16.840.1.113883.3.8998 pprm Planned Parenthood of the Rocky Mountains Toshiko Langford masked Toshiko Langford 7155 E. 38th Ave Denver, CO 80207 3038137688 masked Director of Impact & Analytics Planned Parenthood of the Rocky Mountains 7155 E. 38th Ave Denver, CO 80207 toshiko.langford@pprm.org https://www.pprm.org Provider Int 3 Complete 2020/11/18 12:00:00 2020/11/18 12:00:00 2020/11/18 10:47:00 UV 2.16.840.1.113883.3.8999 peds5280 Pediatrics 5280 Lindsey Koenig masked Lindsey Koenig 9094 E. Mineral Ave. Suite 120 Centennial, CO 80112 303-779-5437 masked Practice Administrator Pediatrics 5280 9094 E. Mineral Ave. Suite 120 Centennial, CO 80112 303-779-5437 l.koenig@pediatrics5280.com https://pediatrics5280.com/ Provider Int 3 Complete 2020/11/20 12:00:00 2020/11/20 12:00:00 2020/11/20 08:12:42 UV 2.16.840.1.113883.3.9000 dgn Dunklau Gardens Nebraska Art Noble masked Art Noble 825 S 169th St, Omaha, NE 68118 4023547423 masked Senior Application Engineer Dunklau Gardens Nebraska 825 S 169th St, Omaha, NE 68118 4023547423 art.noble@nmhs.org Provider Int 3 Complete 2020/11/20 12:00:00 2020/11/20 12:00:00 2020/11/20 08:23:05 UV 2.16.840.1.113883.3.9001 summitpc Summit Primary Care Nicole Dennis masked Nicole Dennis PO BOX 5300 Colorado Springs, CO 80931-5300 7193008433 masked VP Summit Primary Care 810 E Harvard Ave #310 Denver, CO 80210 7193008433 NICOLED@SUMMITPRIMARY.COM Provider Int 3 Complete 2020/11/20 12:00:00 2020/11/20 12:00:00 2020/11/20 08:26:22 UV 2.16.840.1.113883.3.9002 ufmc University Family Medicine Center, PC Tammy Espinoza masked Tammy Espinoza 4020 Jerry Murphy Rd Pueblo, CO 81001 7195463600 masked Office Manager University Family Medicine Center, PC 4020 Jerry Murphy Road Pueblo, CO 81001 719-546-3600 tammye@ufmcpueblo.com http://www.ufmcpueblo.com Provider Int 3 Complete 2020/11/20 12:00:00 2020/11/20 12:00:00 2020/11/20 08:32:01 UV 2.16.840.1.113883.3.9003 hipeds Highlands Integrative Pediatrics Oumou Diacko masked Bryan Kono Oumou Diacko Highlands Integrative Pediatrics 2650 18th Street, Suite 100 Denver, CO 80211 7205834483 masked Practice Administrator Highlands Integrative Pediatrics Highlands Integrative Pediatrics 2650 18th Street, Suite 100 Denver, CO 80211 7205834470 contactus@hipediatrics.com https://www.hipediatrics.com/ Provider Int 3 Complete 2020/11/20 12:00:00 2020/11/20 12:00:00 2020/11/20 08:35:02 UV 2.16.840.1.113883.3.9004 icmd Integrated Cellular and Molecular Diagnostics Adnan Khan masked Adnan Khan 6305 Ivy Lane, Suite 100, Greenbelt, MD 20770 8445224263 masked President Integrated Cellular and Molecular Diagnostics 6305 Ivy Lane, Suite 100, Greenbelt, MD 20770 8445224263 adnan.khan@icmdiagnostics.com https://icmdiagnostics.com/ Provider Int 3 Complete 2020/11/22 12:00:00 2020/11/26 12:00:00 2020/11/26 08:51:26 UV 2.16.840.1.113883.3.9005 boonehealthMO Boone Health, Inc Wes Seidt masked Wes Seidt 1600 E Broadway Columbia, MO 65201 5736731216 masked IS Manager Boone Health, Inc 1600 E Broadway Columbia, MO 65201 5736731216 wesley.seidt@bjc.org http://boone.health Provider Int 3 Complete 2020/11/23 12:00:00 2020/11/26 12:00:00 2020/11/26 08:52:47 UV 2.16.840.1.113883.17.8765 ugpfm Family Medicine - United General - Sedro-Woolley,WA Cara Simington masked Cara Simington 541-999-7310 masked Family Medicine - United General 1990 Hospital Dr Sedro Woolley, WA 98284 360-855-1411 cboe@peacehealth.org Provider Int 17 Complete 2020/11/25 12:00:00 2020/11/26 12:00:00 2020/11/26 09:20:35 UV 2.16.840.1.113883.17.8766 fshraudio Audiology - Fishers Landing - Vancouver WA Cara Simington masked Cara Simington 541-999-7310 masked Audiology - Fishers Landing 1405 SE 164th Ave STE 102 Vancouver, WA 98683 360-256-4425 rring@peacehealth.org Provider Int 17 Complete 2020/11/25 12:00:00 2020/11/26 12:00:00 2020/11/26 09:24:22 UV 2.16.840.1.113883.17.8767 floderm Dermatology - 0390 - Florence OR Cara Simington masked Cara Simington 541-999-7310 masked Dermatology - 0390 390 9th Street Florence, OR 97439 541-902-6061 cpayne@peacehealth.org Provider Int 17 Complete 2020/11/25 12:00:00 2020/11/26 12:00:00 2020/11/26 09:28:28 UV 2.16.840.1.113883.17.8768 wiecdc Williamsburg Infant & Early Childhood Development Center, Inc. Aaron Kohn masked Aaron Kohn 22 Middleton Street Brooklyn, NY 11206 718-303-9400 x 435 masked Executive Director Williamsburg Infant & Early Childhood Development Center 22 Middleton Street Brooklyn, NY 11206 718-303-9400 akohn@eislaasois.org https://www.eislaasois.org Provider Int 17 Complete 2020/11/26 12:00:00 2020/11/26 12:00:00 2020/11/26 09:35:28 UV 2.16.840.1.113883.4.976 babylonhealth Babylon Health Oliver Flynn masked Oliver Flynn +44(0)3302 231 008 masked Babylon Health Ltd Babylon Health Ltd. 60 Slone Square, London SW3 3DD +44(0)3302 231 008 Oliver.Flynn@babylonhealth.com Vendor Int 3 Complete 2020/11/30 12:00:00 2020/11/30 12:00:00 2020/11/30 08:58:09 UV 2.16.840.1.113883.3.9006 hstpathways HST Pathways OID Richard Lang masked Richard Lang 8002904078 masked HST Pathways 3675 Mt. Diablo Blvd Lafayette, CA 94549 USA 8002904078 nwadmin@hstpathways.com https://www.hstpathways.com Vendor Int 3 Complete 2020/11/30 12:00:00 2020/11/30 12:00:00 2020/11/30 09:01:11 UV 2.16.840.1.113883.17.8769 mdi Mercy Drive, Inc. Amit Malla masked Amit Malla 72-35 112th Street, PR1 Forest Hills, NY 11375 7182759321 masked Chief Director of Programs Mercy Drive, Inc. 72-35 112th Street, PR1 Forest Hills, NY 11375 7187932158 a.malla@mercydriveinc.org http://www.mercydriveinc.org Provider Int 17 Complete 2020/11/30 12:00:00 2020/11/30 12:00:00 2020/12/01 04:27:02 UV 2.16.840.1.113883.3.9007 momcard Medical Offices of Manhattan Iqbal Chaklader masked Iqbal Chaklader 201 East 65th Street NY, NY 10065 9177691844 masked IT Admin Medical Offices of Manhattan 201 East 65th Street NY, NY 10065 2128794700 iqbal@momnyc.com https://www.medicalofficesofmanhattan.com Provider Int 3 Complete 2020/12/01 12:00:00 2020/12/04 12:00:00 2020/12/04 09:34:18 UV 2.16.840.1.113883.3.9008 a123 Ahivim Joel Graus masked Joel Graus Joel Graus 15 Adelake Fareway Monroe, NY 10950 8457747000 masked Ahivim 15 Adelake Fareway Monroe, NY 10950 8457747000 joel@ahivim.org http://ahivim.org Provider Int 3 Complete 2020/12/01 12:00:00 2020/12/04 12:00:00 2020/12/04 09:38:56 UV 2.16.840.1.113883.3.9009 pvp Park View Pediatrics Terrie Brown masked Terrie Brown 6179 S Balsam Way #205 Littleton, CO 80123 303-972-2000 masked OM Park View Pediatrics 6179 S Balsam Way #205 Littleton, CO 80123 303-972-2000 terrie@pvpedsco.com https://parkviewpediatricsco.com/ Provider Int 3 Complete 2020/12/03 12:00:00 2020/12/04 12:00:00 2020/12/04 09:41:42 UV 2.16.840.1.113883.17.8770 hcs Human Care Services for Families and Children INC Raizy Pinkasovits masked Raizy Pinkasovits 1042 38th Street Brooklyn, NY 11219 718-854-2747 masked Director Human Care Services For Famlies and Children INC 1042 38th Street Brooklyn, NY 11219 718-854-2747 r.pinkasovits@hcyny.org http://hcsny.org Provider Int 17 Complete 2020/12/04 12:00:00 2020/12/04 12:00:00 2020/12/04 09:47:21 UV 2.16.840.1.113883.9.266 darIG Diagnostic Audiology Reporting IG Craig Newman masked Craig Newman 3520 Green Court, Suite 300Ann Arbor, MI 48105 +1 734 474 8891 masked HL7 Public Health Work Group 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 734 677 7777 hq@hl7.org HL7 body Int 9 Complete 2020/12/04 12:00:00 2021/11/30 12:00:00 2021/11/30 11:17:28 UV 2.16.840.1.113883.3.9010 agp Aggie Pediatrics, LLC dba The Children's Health Place Abe Herrera masked Abe Herrera Abe Herrera 1610 29th Ave Place Suite 101 Greeley, CO 80634 9703562600 masked President Aggie Pediatrics, LLC dba The Children's Health Place 1610 29th Ave Place Suite 101 Greeley, CO 80634 9703562600 aherrera@thechildrenshealthplace.com http://www.thechildrenshealthplace.com Provider Int 3 Complete 2020/12/04 12:00:00 2020/12/04 12:00:00 2020/12/04 10:13:51 UV 2.16.840.1.113883.3.9011 ppp Peak Pediatrics, LLC Brian Gablehouse masked Brian Gablehouse 3555 Lutheran Pkwy #340 Wheat Ridge, CO 80033 3039966005 masked MD/Owner Peak Pediatrics 3555 Lutheran Pkwy #340 Wheat Ridge, CO 80033 3039966005 Brian.gablehouse@peakpediatrics.com http://www.peakpediatrics.com Provider Int 3 Complete 2020/12/07 12:00:00 2020/12/09 12:00:00 2020/12/09 10:27:21 UV 2.16.840.1.113883.3.9012 aditxtscore AditxtScore Division Sarah Oatts masked Zach Hoefner Thad Parker 737 North 5th, Suite 200, Richmond, VA 23219 (804) 613-3001 masked Director of Laboratory Systems and Production Aditxt, Inc. 737 North 5th, Suite 200, Richmond, VA 23219 (804) 613-3001 lis@aditxt.com https://aditxt.com/ Provider Int 3 Complete 2020/12/07 12:00:00 2020/12/09 12:00:00 2023/03/10 02:11:38 UV 2.16.840.1.113883.17.8771 rayimofhudsonvalley Rayim of Hudson Valley Malky Lipschitz masked Malky Lipschitz 2 Van Buren Drive, Monroe, NY 10950 8457827700 masked Intake Director Rayim of Hudson Valley 2 Van Buren Drive, Monroe, NY 10950 8457827700 ext 210 reinhorn@rayim.org http://www.rayim.org Provider Int 17 Complete 2020/12/08 12:00:00 2020/12/09 12:00:00 2020/12/09 10:39:00 UV 2.16.840.1.113883.3.9013 solvista Solvista Health Solvista Health Clinic masked Crystal Rider 3225 Independence Road Canon City, CO 81212 7192752351 masked Med & Psych Clinic Supervisor Solvista Health 3225 Independence Road Canon City, CO 81212 7192752351 crystalr@solvistahealth.org https://www.solvistahealth.org Provider Int 3 Complete 2020/12/08 12:00:00 2020/12/09 12:00:00 2020/12/09 10:53:50 UV 2.16.840.1.113883.3.9014 kpininja KPI Ninja Naren Parimi masked Vijay Musunuru 4026136753 masked chief product officer KPI Ninja 2900 S 70th St STE#260 Lincoln, NE 68506 info@kpininja.com Vendor Int 3 Complete 2020/12/09 12:00:00 2020/12/09 12:00:00 2020/12/09 10:57:54 UV 2.16.840.1.113883.3.9015 pahr-ar Park Avenue Healthcare and Rehabilitation Wende McNeal masked Wende McNeal 520-382-1235 masked Park Avenue Healthcare and Rehabilitation 2001 N Park Ave Tucson, AZ 85719 520-382-1235 wMcNeal@EnsignServices.net https://parkavenuehealthcare.com/ Provider Int 3 Complete 2020/12/09 12:00:00 2020/12/09 12:00:00 2020/12/09 11:09:42 UV 2.16.840.1.113883.3.9016 cCCS Cost Effective Computers Ross Maret masked Ross Maret 2955 C Cleveland Hwy Dalton, GA 30721 706-259-6091 masked President Cost Effective Computers 2955 C Cleveland Hwy Dalton, GA 30721 706-259-6091 quickrx@quickrx.net http://www.quickrx.net/ Vendor Int 3 Complete 2020/12/09 12:00:00 2020/12/09 12:00:00 2020/12/09 11:14:26 UV 2.16.840.1.113883.3.9017 doc Denver Osteopathic Clinic Khoi Nguyen masked Khoi D Nguyen 1770 S Federal Blvd Denver, CO 80219 3039750696 masked President Denver Osteopathic Clinic 1770 S Federal Blvd Denver, CO 80219 3039750696 denost1770@comcast.net https://denostclinic.com/ Provider Int 3 Complete 2020/12/10 12:00:00 2020/12/14 12:00:00 2020/12/14 08:49:36 UV 2.16.840.1.113883.3.9018 naim Ninth Avenue Internal Medicine, LLC Rita O'Riley masked Rita O'Riley 4500 E. 9th Avenue Suite 140 Denver, CO 80220 3033942152 masked Office Manager Ninth Avenue Internal Medicine, LLC 4500 East 9th Avenue Suite 140 Denver, CO 80220 3033942152 nineim@comcast.net https://www.nineim.com Provider Int 3 Complete 2020/12/10 12:00:00 2020/12/14 12:00:00 2020/12/14 08:52:04 UV 2.16.840.1.113883.3.9019 hbshie HI-BRIDGE Health Information Exchange Cameron Fletcher masked Carmen Hughes Cameron Fletcher 224 Harrison St. Suite 600B Syracuse, NY 13202 315-935-9742 masked Senior Engineer HI-BRIDGE Health Information Exchange 720 Westview Dr. SW NCPC Bldg, Suite 315 Atlanta, GA 30310 404-756-8801 chughes@msm.edu https://hibridgehie.org Exchange Int 3 Complete 2020/12/10 12:00:00 2020/12/14 12:00:00 2020/12/14 08:55:13 UV 2.16.840.1.113883.3.9020 capitaldx Capital Diagnostics Ramneesh Bhatnagar masked Ramneesh Bhatnagar 7034245604 masked Capital Diagnostics 14201 Park Center Dr Laurel, MD 20707 7034245604 remivirk@gmail.com Provider Int 3 Complete 2020/12/11 12:00:00 2020/12/14 12:00:00 2020/12/14 09:22:41 UV 2.16.840.1.113883.17.8772 ny-ezra-care NY Ezra Care Israel Benedek masked Israel Benedek 1527 60th St Brooklyn, NY 11219 7183366073 masked CEO NY Ezra Care llc 1527 60 St Brooklyn, NY 11219 7183366073 ibenedek@nyezracare.org https://www.nyezracare.org Provider Int 17 Complete 2020/12/12 12:00:00 2020/12/14 12:00:00 2020/12/14 09:27:18 UV 2.16.840.1.113883.3.9021 douthitfamilymedicine Douthit Family Medicine PC John Douthit masked John Davey Douthit, Jr 9981 N. Washington St., #24 Thornton, CO 80229 3034518069 masked D.O. Douthit Family Medicine PC 9981 N. Washington St., #24 Thornton, CO 80229 3034518069 johndavey@att.net Provider Int 3 Complete 2020/12/13 12:00:00 2020/12/14 12:00:00 2020/12/14 09:33:46 UV 2.16.840.1.113883.17.8773 tha-EMR Travel Health America Electronic Medical Record System Steven Lester masked Steven Eugene Lester PO Box 340 Bismarck, ND 58502-0340 USA 701-226-3142 masked CEO / Owner Travel Health America Travel Health America PO Box 340 Bismarck, ND 58502-0340 972-812-0030 slester@travelhealthamerica.com Vendor Int 17 Complete 2020/12/13 12:00:00 2020/12/14 12:00:00 2020/12/14 09:37:37 UV 1.3.6.1.4.1.41179.2.5 id-DirectTrustCat5 DirectTrust Non Declared Stephen Weiss masked Stephen M Weiss Stephen Weiss 1629 K Street Suite 300 Washington, DC 20006 5167826305 masked Managing Director directtrust.org, Inc. 1629 K Street Suite 300 Washington, DC 20006 stephen.weiss@directtrust.org https://www.directtrust.org SDO 1.3.6.1.4.1 Ext 4 Complete 1.3.6.1.4.1.41179.2.5 2020/12/14 12:00:00 2020/12/14 12:00:00 2020/12/14 09:45:35 UV 2.16.840.1.113883.3.9022 marcalerte MARC ALERTE Marc Alerte masked MARC ALERTE 1388 ST JOHNS PLACE, BROOKLYN, NY 11213 7184672266 masked DOCTOR MARC ALERTE 1388 ST JOHNS PLACE, BROOKLYN, NY 11213 7184672266 MARCALERTEALERTE@AOL.COM Provider Int 3 Complete 2020/12/14 12:00:00 2020/12/14 12:00:00 2020/12/14 09:58:59 UV 2.16.840.1.113883.3.9023 dhhg-hl7 Dorado Health OID Root Francisco Caceres masked Francisco Caceres Carr 100 Centro Int de Mercadeo Suite 508 Guaynabo, PR 00969 7877746558 masked CIO Dorado Health Inc. Carr 100 Centro Int de Mercadeo Suite 508 Guaynabo, PR 00969 7877746558 fcaceres@mmc-pr.com Provider Int 3 Complete 2020/12/15 12:00:00 2020/12/16 12:00:00 2020/12/16 10:57:28 UV 2.16.840.1.113883.9.267 hl7-LabCollector-LIMS AgileBio LabCollector LIMS Pierre Rodrigues masked Pierre Rodrigues AgileBio LLC 5473 Kearny Villa Rd, Ste 255 San Diego, CA 92123 +13473681315 masked CEO AgileBio LLC 5473 Kearny Villa Rd, Ste 255 San Diego, CA 92123 +13473681315 contact@agilebio.com https://agilebio.com Vendor Int 3 Complete 2020/12/16 12:00:00 2020/12/16 12:00:00 2020/12/16 11:14:25 UV 2.16.840.1.113883.3.9024 vauro Virginia Urology Gabriel Nugent masked Gabriel L Nugent Gabriel L Nugent Virginia Urology 9101 Stony Point Drive Richmond, VA 23235 8042827600 masked Director of Information Systems Virginia Urology 9101 Stony Point Drive Richmond, VA 23235 8043309105 glnugent@uro.com https://www.uro.com/ Provider Int 3 Complete 2020/12/16 12:00:00 2020/12/16 12:00:00 2020/12/16 11:16:15 UV 2.16.840.1.113883.3.9025 azs Northwest Medical Center Sahuarita Brad Booth masked Brad Booth 6200 N La Cholla Blvd, Tucson, AZ 85741 (520) 469-8767 masked IT Director Northwest Medical Center Sahuarita 16260 S Rancho Sahuarita Blvd, Sahuarita, AZ 85629 (520) 416-7100 Brad.Booth@northwestmedicalcenter.com https://www.healthiertucson.com/ Provider Int 3 Complete 2020/12/16 12:00:00 2020/12/16 12:00:00 2020/12/16 11:26:24 UV 2.16.840.1.113883.3.9026 linclmep Lincoln Medical Education Partnership Michael Almond masked Michael Almond 4600 Valley RD Lincoln, NE 68510 4023276803 masked CFO & Practice Administrator Lincoln Medical Education Partnership 4600 Valley RD Lincoln, NE 68510 4023276803 malmond@lmep.com https://lmep.com Academic Int 3 Complete 2020/12/17 12:00:00 2020/12/19 12:00:00 2020/12/19 11:41:40 UV 2.16.840.1.113883.3.9027 evgpeds Evergreen Pediatrics, LLC Kenneth Kutalek masked Kenneth Kutalek 30960 Stagecoach Blvd Ste 120 Evergreen, CO 80439 3039461207 masked Owner Evergreen Pediatrics 30960 Stagecoach Blvd Ste 120 Evergreen, CO 80439 3036746671 ken.kutalek@gmail.com Provider Int 3 Complete 2020/12/17 12:00:00 2020/12/19 12:00:00 2020/12/19 11:49:26 UV 2.16.840.1.113883.3.9028 wnybc Western New York BloodCare Laurel Reger masked Laurel Reger 1010 Main St. Suite 300 Buffalo, NY 14202 716 896-2470 masked Executive Director Western New York BloodCare 1010 Main St, Suite 300 Buffalo, NY 14202 716 896-2470 contactus@wnybloodcare.org https://www.wnybloodcare.org Provider Int 3 Complete 2020/12/17 12:00:00 2020/12/19 12:00:00 2020/12/19 11:59:07 UV 2.16.840.1.113883.17.8774 predictiveLabsInc Predictive Laboratories Inc Taylor Huckstep masked Taylor Huckstep 3852901911 masked Sr. IT Director Predictive Technology Group thuckstep@predictivelabs.com Provider Int 17 Complete 2020/12/19 12:00:00 2020/12/20 12:00:00 2020/12/20 12:08:33 UV 2.16.840.1.113883.3.9029 dha-dxb Dubai Health Authority, Dubai, UAE Gibin Jacob masked Lathika Sowmini Rani DHA, Central Service Complex&#8203; 36, Sheikh Khalifa Bin Zayed Road&#8203; G Floor&#8203; Al Jafiliya, Bur Dubai, Dubai, UAE 042197046 masked Senior Systems Analyst Dubai Health Authority Dubai Health Authority Building, Al Maktoum Bridge Street, Bur Dubai Area 4545, UAE. 800342342 wasselsotak@dha.gov.ae https://www.dha.gov.ae Govt body Int 3 Complete 2020/12/21 12:00:00 2020/12/21 12:00:00 2020/12/21 09:40:44 UV 2.16.840.1.113883.3.9030 nabidh-dxb NABIDH-Dubai Health Information Exchange Gibin Jacob masked Lathika Sowmini Rani DHA, Central Service Complex&#8203; 36, Sheikh Khalifa Bin Zayed Road&#8203; G Floor&#8203; Al Jafiliya, Bur Dubai, Dubai, UAE 042197046 masked Senior Systems Analyst Dubai Health Authority Dubai Health Authority Building, Al Maktoum Bridge Street, 800342342 Bur Dubai Area 4545, UAE. 800342342 wasselsotak@dha.gov.ae https://www.dha.gov.ae/ Govt body 2.16.840.1.113883.3.9029 Int 3 Complete 2020/12/21 12:00:00 2020/12/21 12:00:00 2020/12/21 09:47:08 UV 2.16.840.1.113883.3.9031 dga Dekalb Gastroenterology Associates OID Root Barbara Thompson masked Barbara Thompson Barbara Thompson 2675 N Decatur Rd., Suite 506 Decatur, GA 30033 4045087676 masked Practice Administrator Dekalb Gastroenterology Associates 2675 N Decatur Rd., Suite 506 Decatur, GA 30033 4045087676 barb.thompson@dekalbgastro.com Provider Int 3 Complete 2020/12/21 12:00:00 2020/12/21 12:00:00 2020/12/21 09:52:13 UV 2.16.840.1.113883.3.9032 esrhs Eastern Shore Rural Health System, Inc. Michael Zodun masked Michael 20280 Market Street Onancock, VA 23417 7574140400 masked Chief Information Officer Eastern Shore Rural Health System, Inc. 20280 Market Street Onancock, VA 23417 7574140400 mzodun@esrh.org https://www.esrh.org Provider Int 3 Complete 2020/12/22 12:00:00 2020/12/23 12:00:00 2020/12/23 09:36:31 UV 2.16.840.1.113883.3.9033 umcobgyn UMC OBGYN West Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 160 Lubbock TX 79407 806-761-0333 masked Director UMC Physicians 4403 6th Street Lubbock TX 79415 806-791-1122 yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2020/12/22 12:00:00 2020/12/23 12:00:00 2020/12/23 09:41:20 UV 2.16.840.1.113883.3.9034 vmd-mi-oid VillageMD Michigan OID VillageMD Michigan masked VillageMD Michigan 312.465.7900 masked VillageMD Michigan 35055 W. 12 Mile Road Suite 250 Farmington Hills, MI 48331 dataops@villagemd.com Exchange Int 3 Complete 2020/12/22 12:00:00 2020/12/23 12:00:00 2020/12/23 09:44:00 UV 2.16.840.1.113883.3.9035 nmmc Northern Maine Medical Center Adam Landry masked Adam Landry 194 East Main Street Fort Kent, ME 04743 2078341303 masked Director of Information Systems Northern Maine Medical Center 194 East Main St Fort Kent, ME 04743 2078343155 adam.landry@nmmc.org https://www.nmmc.org Provider Int 3 Complete 2020/12/23 12:00:00 2020/12/23 12:00:00 2020/12/23 10:20:04 UV 2.16.840.1.113883.3.9036 aMGMedicalGroup AMG Medical Group John Martinez masked John Martinez 4900 Hopyard Suite 100 West Pleasanton, CA 94588 916-235-3434 masked President AMG Medical Group 4900 Hopyard Suite 100 West Pleasanton, CA 94588 916-235-3434 drjohn.m.martinez@gmail.com https://amgtelehealth.com Provider Int 3 Complete 2020/12/23 12:00:00 2020/12/23 12:00:00 2020/12/23 10:23:49 UV 2.16.840.1.113883.9.268 hchsoid Harlan County Health System Stacy Neubauer masked Stacy Neubauer Danielle Landen 717 N Brown ST Alma, NE 68920 3089283006 masked Clinical Operations Lead Harlan County Health System 717 N. Brown St. Alma, NE 68920 3089283006 dlanden@harlancohealth.org Provider Int 3 Complete 2020/12/28 12:00:00 2020/12/30 12:00:00 2020/12/30 08:04:01 UV 2.16.840.1.113883.9.269 qualitox QualiTox Laboratories Brittany Hartwick masked Lana Kolesnikova Brittany Hartwick QualiTox Laboratories 1556 Island Avenue McKees Rocks, PA 15136 4124585431 masked Operations Manager QualiTox Laboratories 4124585431 brittany.hartwick@qualitoxlab.com https://www.qualitoxlab.com/ Provider Int 3 Complete 2020/12/29 12:00:00 2020/12/30 12:00:00 2020/12/30 08:11:05 UV 2.16.840.1.114222.4.1.237963 sycfammed Brian Carreon, M.D., P.A. dba SycamoreFamily Medicine Brian Carreon masked Brian Carreon 8118 CR 5700 Shallowater, TX 79363 8068324566 masked owner/M.D. Brian Carreon, M.D., P.A. dba Sycamore Family Medicine 1502 12th St, Suite A Shallowater, TX 79363 8068324566 b.carreon@sycamorefamilymedicine.com Provider Ext 3 Complete 2.16.840.1.114222.4.1.237963 2020/12/30 12:00:00 2020/12/30 12:00:00 2020/12/30 09:01:34 UV 2.16.840.1.114222.4.1.237965 lubbockgastro Lubbock Gastroenterology and Liver Associates PLLC Bryan Williams masked Rafiul Sameer Islam MD Rafiul Sameer Islam MD 4505 82nd St Ste 5 Lubbock, TX 79424 8066964440 masked Owner and Physician Lubbock Gastroenterology & Liver Associates PLLC 4505 82nd St Ste 5 Lubbock, TX 79424 8066964440 sameer.islam.md@gmail.com http://lubbockgastro.com Provider 2.16.840.1.114222.4.1.237965 Ext 3 Complete 2.16.840.1.114222.4.1.237965 2020/12/30 12:00:00 2020/12/30 12:00:00 2020/12/30 09:09:06 UV 2.16.840.1.113883.3.9037 shs-smartcare Streamline HealthCare Solutions Marcy Hutchinson masked Marcy Hutchison 1 Trans AM Plaza Drive Suite 5820 Oak Brook Terrace, IL 60181 877-467-4741 masked Director of Product Management Streamline HealthCare 1 Trans AM Plaza Drive Suite 5820 Oak Brook Terrace, IL 60181 877-467-4741 marcy.hutchison@streamlinehealthcare.org https://streamlinehealthcare.com/contact-us/ Vendor Int 3 Complete 2021/01/04 12:00:00 2021/01/07 12:00:00 2021/01/18 05:19:37 UV 2.16.840.1.113883.3.9038 anpath Annapath, Inc Craig Zwobot masked Craig Zwobot 3013256100 masked President Annapath, Inc 4801 Tesla Dr Suite H, Bowie, MD 20715 3013256100 zwobotc@annapath.com Provider Int 3 Complete 2021/01/04 12:00:00 2021/01/07 12:00:00 2021/01/07 10:31:30 UV 2.16.840.1.113883.3.9039 cpmp Central Park Medical Practice PC Shahnoz Rustamova masked Shahnoz Rustamova 134 West 58th Str suite 102 NY, NY 10019 2129740490 masked Provider/ President Central Park Medical Practice PC 134 West 58th Str suite 102 NY, NY 10019 2129740490 olga@centralparkobgyn.com Provider Int 3 Complete 2021/01/05 12:00:00 2021/01/07 12:00:00 2021/01/07 10:34:39 UV 2.16.840.1.113883.3.9040 bingYWCA YWCA Binghamton Ken Green masked Ken E Green 33 Lewis Road Binghamton, NY 13905 6072402586 masked IT Program Manager YWCA Binghamton 80 Hawley St. Binghamton, NY 13901 607 772-0340 ccoppens@ywcaofbinghamton.org https://ywcabinghamton.org/ Vendor Int 3 Complete 2021/01/05 12:00:00 2021/01/07 12:00:00 2021/01/07 10:40:45 UV 2.16.840.1.113883.3.9041 chcg-001 CharterHCG OID Daniel Hodous masked Matt Shane Matthew Shane 9660 Haven Ave #203 Rancho Cucamonga, CA 91730 6262907961 masked Director of Ops Charter Healthcare Group 9660 Haven Ave #203 Rancho Cucamonga, CA 91730 8884042427 danielhodous@charterhcg.com http://www.charterhcg.com Provider Int 3 Complete 2021/01/06 12:00:00 2021/01/07 12:00:00 2021/01/07 10:42:36 US 2.16.840.1.113883.3.9042 mpp Maryland Partnership for Prevention Tiffany Tate masked Tiffany A Tate Tiffany A Tate 10821 Red Run Blvd, #702 Owings Mill, MD 21117 4109024677 masked Executive Director Maryland Partnership for Prevention 10821 Red Run Blvd, #702 Owings Mill, MD 21117 4109024677 tiffany.tate@immunizemaryland.org Vendor Int 3 Complete 2021/01/06 12:00:00 2021/01/07 12:00:00 2021/01/07 10:46:12 UV 2.16.840.1.113883.3.9043 sggi Surgery Group of Grand Island Brandi Cornwell masked Brandi Cornwell 820 N Alpha Street Grand Island, NE 68803 3083847200 masked Practice Manager Surgery Group of Grand Island 820 N Alpha Street Grand Island, NE 68803 3083847200 info@surgerygroupgi.com https://www.surgerygroupgi.com/ Provider Int 3 Complete 2021/01/07 12:00:00 2021/01/07 12:00:00 2021/01/07 10:57:59 UV 2.16.840.1.113883.3.9044 hhmijan Howard Hughes Medical Institute - Janelia Research Campus Meghan Beamish masked Meghan Beamish 19700 Helix Drive Ashburn, VA 20147 5715773847 masked Manager, Janelia Administrative Operations Howard Hughes Medical Institute - Janelia Research Campus 19700 Helix Drive Ashburn, VA 20147 5712094200 beamishm@janelia.hhmi.org https://www.janelia.org/ Academic Int 3 Complete 2021/01/07 12:00:00 2021/01/07 12:00:00 2021/01/07 11:10:56 UV 2.16.840.1.113883.3.9045 sdmg Slocum-Dickson Medical Group, PLLC Michael Petucci masked Michael Petucci Slocum Dickson Medical Group, PLLC 1729 Burrstone Road New Hartford, NY 13413 315-798-1739 masked Director of Information Technology Slocum Dickson Medical Group, PLLC 1729 Burrstone Road New Hartford, NY 13413 315-798-1500 mpetucci@sdmg.com https://sdmg.com Provider Int 3 Complete 2021/01/08 12:00:00 2021/01/17 12:00:00 2021/01/17 01:38:58 UV 2.16.840.1.113883.3.9046 svhc13045 Seven Valleys Health Coalition Jackie Leaf masked Jackie Leaf Jackie Leaf 10 Kennedy Parkway Cortland, NY 13045 6077564198 masked Executive Director Seven Valleys Health Coalition 10 Kennedy Parkway Cortland, NY 13045 6077564198 jackie@sevenvalleyshealth.org https://www.sevenvalleyshealth.org Provider Int 3 Complete 2021/01/11 12:00:00 2021/01/17 12:00:00 2021/01/17 01:42:03 UV 2.16.840.1.113883.3.9047 drtushla Scott Tushla Family Practice Scott Tushla masked Scott Tushla 719-418-5505 masked MD Scott Tushla Family Practice 719-418-5505 sjtushla@gmail.com Provider Int 3 Complete 2021/01/11 12:00:00 2021/01/17 12:00:00 2021/01/17 01:50:00 UV 2.16.840.1.113883.3.9048 hGaC-2021 HealtHIE Georgia Corporation Neal Miller masked Mark Renfro Mark Renfro 706-782-0764 masked Executive Director HealtHIE Georgia Corporation Clayton, GA 30525 7067820764 Mark.renfro@healthiegeorgia.org https://healthiega.org/ Exchange Int 3 Complete 2021/01/11 12:00:00 2021/01/17 12:00:00 2021/01/17 01:56:08 UV 2.16.840.1.113883.3.9049 intrahealth-org IntraHealth International, Inc. Luke Duncan masked Luke Duncan 6340 Quadrangle Drive Suite 200 Chapel Hill, NC 27517 9193139621 masked Assistant Director, Digital Health IntraHealth International, Inc. 6340 Quadrangle Drive Suite 200 Chapel Hill, NC 27517 9193139600 lduncan@intrahealth.org https://intrahealth.org Vendor Int 3 Complete 2021/01/11 12:00:00 2021/01/17 12:00:00 2021/01/17 01:59:54 UV 2.16.840.1.113883.3.9050 iab I Am Boundless, Inc. Samantha Ayer masked Samantha Ayer 445 E. Dublin Granville Rd. Ste G Worthington, OH 43085 419-346-7301 masked Health Information Manager I Am Boundless, Inc. 445 E. Dublin Granville Rd. Ste G Worthington, OH 43085 614-844-3800 sayer@iamboundless.org https://iamboundless.org/ Provider Int 3 Complete 2021/01/12 12:00:00 2021/01/17 12:00:00 2021/01/17 02:08:18 UV 2.16.840.1.113883.9.270 fdihb FortDefianceIndianHospitalBoard Caroline Yazzie masked Caroline Yazzie PO Box 649 Corner of Route N12 and N7 Fort Defiance, AZ 86504 928-729-8082 masked Director of Revenue Generation Fort Defiance Indian Hospital Board, Inc. PO Box 649 Corner of Route N12 and N7 Fort Defiance, AZ 86504 928-729-8000 caroline.yazzie@fdihb.org http://www.fdihb.org Provider Int 3 Complete 2021/01/12 12:00:00 2021/01/17 12:00:00 2021/01/17 02:13:23 UV 2.16.840.1.113883.3.9051 qcmd QwikCareMD Joseph Kaufman masked Joseph Kaufman 5799 Stetson Hills Blvd., #100 Colorado Springs, CO 80917 7194712273 masked Chief Operating Officer QwikCareMD 5799 Stetson Hills Blvd., #100 Colorado Springs, CO 80917 7194712273 info@qwikcaremd.com https://www.qwikcaremd.com Provider Int 3 Complete 2021/01/12 12:00:00 2021/01/17 12:00:00 2021/01/17 02:28:15 UV 2.16.840.1.113883.3.9052 giclinic Grand Island Clinic Alberto Solache masked Summer Tophoj 2444 West Faidley Avenue Grand Island, Nebraska 68803 3083821100 masked DON Grand Island Clinic 2444 West Faidley Avenue Grand Island, Nebraska 68803 13083821100 stophoj@grandislandclinic.net https://www.grandislandclinic.net Provider Int 3 Complete 2021/01/14 12:00:00 2021/01/17 12:00:00 2021/01/17 02:42:54 UV 2.16.840.1.113883.3.9053 hlnconsulting OID root for HLN Consulting Daryl Chertcoff masked Daryl Chertcoff 310-439-8609 masked Project Manager HLN Consulting, LLC 9 Pemberly Mission Viejo, CA 92692 858-538-2220 info@hln.com https://www.hln.com Vendor Int 3 Complete 2021/01/14 12:00:00 2021/01/17 12:00:00 2021/01/17 02:46:52 UV 2.16.840.1.113883.17.8775 caremerge Caremerge Genaro Garza masked Genaro Garza 100 S. Wacker Drive Suite 1650, Chicago, IL 60606 888-996-6993 masked Integrations Project Manager Caremerge 100 S. Wacker Drive Suite 1650, Chicago, IL 60606 (888) 996-6993 devops@caremerge.com https://caremerge.com Vendor Int 17 Complete 2021/01/14 12:00:00 2021/01/17 12:00:00 2021/01/17 02:53:00 UV 2.16.840.1.113883.17.8776 eCHT Ellume COVID-19 Home Test Alan Fox masked Alan Fox 57 Didsbury Street, East Brisbane, Australia +61 7 3393 1448 masked Ellume Limited 57 Didsbury Street, East Brisbane, Australia +61 7 3393 1448 info@ellumehealth.com https://www.ellumehealth.com Vendor Int 17 Complete 2021/01/15 12:00:00 2021/01/17 12:00:00 2021/01/17 02:57:30 UV 2.16.840.1.113883.3.835.100 nlh-org NathanLittauerHospitalOIDExp Brian Evans masked Brian Evans 99 E. State St. Gloversville, NY 12078 518-773-5585 masked CIO Nathan Littauer Hospital 99 E. State St. Gloversville, NY 12078 518-773-5585 bevans@nlh.org https://www.nlh.org Provider 2.16.840.1.113883.3.835 Ext 14 Complete 2.16.840.1.113883.3.835.100 2021/01/15 12:00:00 2021/01/17 12:00:00 2021/01/17 03:15:40 UV 2.16.840.1.113883.3.9054 hallmedical Hall Medical Jeanne Hall masked Jeanne Hall Jeanne Hall 3190 S Wadsworth Blvd Suite 250 Lakewood, CO 80227 3039040976 masked Physician Jeanne Hall 3190 S Wadsworth Blvd Suite 250 Lakewood, CO 80227 (303)904-0976 drjeannehall@yahoo.com Provider Int 3 Complete 2021/01/15 12:00:00 2021/01/17 12:00:00 2021/01/17 03:34:06 HallMedical UV 2.16.840.1.113883.3.9055 myccmc Copiah County Medical Center Michael Lee masked Michael Lee 27190 Highway 28 Hazlehurst, MS 39083 601-574-7280 masked IT Director Copiah County Medical Center 27190 Highway 28 Hazlehurst, MS 39083 601-574-7200 mlee@copiahhealth.org http://myccmc.org Provider Int 3 Complete 2021/01/15 12:00:00 2021/01/17 12:00:00 2021/01/17 03:39:39 UV 2.16.840.1.113883.3.9056 seqster-root Seqster Xiang Li masked Xiang Li Xiang Li 8585006233 masked CTO Seqster PDM, Inc. xiang@seqster.com https://seqster.com Vendor Int 3 Complete 2021/01/17 12:00:00 2021/01/17 12:00:00 2022/12/19 04:17:38 UV 2.16.840.1.113883.3.9057 relaymed Relaymed Neil Farish masked Neil Farish 1164 Solana Avenue Winter Park, FL 32789 407-545-8252 masked CEO Relaymed 1164 Solana Avenue Winter Park, FL 32789 800-821-2936 hello@relaymed.com https://relaymed.com/ Vendor Int 3 Complete 2021/01/18 12:00:00 2021/01/20 12:00:00 2021/01/20 09:21:06 UV 2.16.840.1.113883.3.9058 scl Soft Cell Labs Lisa Justesen masked Lisa Justesen (435) 628-2215 masked Soft Cell Labs 4616 Beehive Drive Unit 4 St. George, UT 84790 (435) 628-2215 admin@softcelllabs.com https://www.softcelllabs.com/ Provider Int 3 Complete 2021/01/18 12:00:00 2021/01/20 12:00:00 2021/01/20 09:25:50 UV 2.16.840.1.113883.3.9059 microgenhealth2021 Microgen Health INC Srikanth Vijjamarri masked Srikanth Vijjamarri 5717751973 masked Clinical Scientist and Technologist Microgen Health INC 14225 Sullyfield Circle, Suite E, Chantilly, Virginia 20151 5717751973 accounts@microgenhealth.com https://microgenhealth.com/ Provider Int 3 Complete 2021/01/19 12:00:00 2021/01/20 12:00:00 2021/01/20 09:30:39 UV 2.16.840.1.113883.3.9060 adl Accurate Diagnostic Labs, Inc. Bhavesh Patel masked Bhavesh Patel 3000 Hadley Road, 3rd Floor, South Plainfield, NJ 07080 732-354-2069 masked IT Director Accurate Diagnostic Labs, Inc. 3000 Hadley Road, 3rd Floor, South Plainfield, NJ 07080 732-839-3300 it@accuratediagnosticlabs.com https://accuratediagnosticlabs.com/ Provider Int 3 Complete 2021/01/19 12:00:00 2021/01/20 12:00:00 2021/01/20 09:36:00 UV 2.16.840.1.113883.17.8777 laclfm Family Medicine Lacamas Cara Simington masked Cara Simington 541-999-7310 masked Family Medicine Lacamas 2340 NE 3rd Ave Camas, WA 98607 360-735-8100 rtaylor2@peacehealth.org Provider Int 17 Complete 2021/01/19 12:00:00 2021/01/20 12:00:00 2021/01/20 09:46:55 UV 2.16.840.1.113883.3.9061 caparc Casas Adobes Post Acute Rehabilitation Center Ally Kovac masked Thomas Welker 520-297-8311 masked Casas Adobes Post Acute Rehabilitation Center 1919 W Medical St Tucson, AZ 85704 520-297-8311 twelker@EnsignServices.net https://www.casasadobesrehab.com/ Provider Int 3 Complete 2021/01/20 12:00:00 2021/01/20 12:00:00 2021/01/20 09:49:45 UV 2.16.840.1.113883.3.9062 iddc Iowa Digestive Disease Center Jonathan Schultz masked Meridith Westbrook 1378 NW 124th St Clive, IA 50325 515-288-6097 masked CEO Iowa Digestive Disease Center 1378 NW 124th St Clive, IA 50325 515-288-6097 iddc@iddc.net https://www.iddc.net Provider Int 3 Complete 2021/01/20 12:00:00 2021/01/20 12:00:00 2021/01/20 09:55:27 UV 2.16.840.1.113883.3.9063 pax Pro-GeneX Laboratories, Inc. Robert Rupard masked Robert Rupard 999 Chestnut Street Gainesville, GA 30501 404-419-7915 masked COO Pro-GeneX Laboratories, Inc. 999 Chestnut Street Gainesville, GA 30501 404-419-7915 robbie@pro-genex.com https://Pro-GeneX.com Provider Int 3 Complete 2021/01/20 12:00:00 2021/01/20 12:00:00 2021/01/20 10:22:54 UV 2.16.840.1.113883.3.9064 bsh Bluestem Health Shane Ludwig masked Brent Page 1021 N 27th St Lincoln, NE 68503 402-476-1455 masked Information Technology Director Bluestem Health 1021 N 27th St Lincoln, NE 68503 402-476-1455 bpage@bluestemlincoln.com https://www.bluestemlincoln.com Provider Int 3 Complete 2021/01/20 12:00:00 2021/01/20 12:00:00 2021/01/20 10:25:51 UV 2.16.840.1.113883.3.9065 emgenex Emgenex Binoy Cherian masked Binoy Cherian 100 Princeton South Corp Ctr. Suite 100 Ewing, NJ 08628 6092351600 masked CEO Emgenex 100 Princeton South Corp Ctr. Suite 100 Ewing, NJ 08628 6092351600 it@emgenex.com https://www.emgenex.com Vendor Int 3 Complete 2021/01/20 12:00:00 2021/01/20 12:00:00 2021/01/20 10:32:59 UV 2.16.840.1.113883.3.9066 mmo Monarch Molecular Harold Riethman masked Peter Mollica 7576835393 masked Technical Supervisor, Monarch Molecular Old Dominion University Monarch Molecular Old Dominion University 4111 Monarch Way Norfolk, VA 23508 7576835393 pmollica@odu.edu Academic Int 3 Complete 2021/01/21 12:00:00 2021/01/26 12:00:00 2021/01/26 07:10:08 UV 2.16.840.1.113883.3.9067 enzo Enzo Clinical Labs, Inc. Richard Paladino masked Richard Paladino Richard Paladino 60 Executive Blvd. Farmingdale, NY 11735 5164173770 masked Senior Director of Global IT Enzo Clinical Labs, Inc. 60 Executive Blvd. Farmingdale, NY 11735 6317555500 RPaladino@Enzo.com https://www.enzoclinicallabs.com/ Exchange Int 3 Complete 2021/01/22 12:00:00 2021/01/26 12:00:00 2021/01/26 07:16:33 EnzoOID UV 2.16.840.1.113883.3.9068 ceh Cabot Emergency Hospital Nicole Torres masked Nicole Torre Nicole Torres 212 Willie Ray Dr. Cabot, AR 72023 5013339115 masked CNO Cabot Emergency Hospital 212 Willie Ray Dr. Cabot, AR 72023 5013339110 info@caboter.com https://caboter.com/ Provider Int 3 Complete 2021/01/22 12:00:00 2021/01/26 12:00:00 2021/01/26 07:19:07 UV 2.16.840.1.113883.3.9069 siparadigm siParadigm Diagnostic Informatics Omar Farag masked Omar Farag Omar Farag 25 Riverside Dr, Suite 2 Suite 2 Pine Brook, NJ 07058 2015999044 masked siParadigm Diagnostic Informatics omar.farag@siparadigm.com https://www.siparadigm.com/ Provider Int 3 Complete 2021/01/25 12:00:00 2021/01/26 12:00:00 2021/01/26 07:23:24 UV 2.16.840.1.113883.3.9070 xuc Xcel Urgent Care Ziad Akl masked Ziad Akl 3517 S Jefferson Street Falls Church, VA 22041 2025218120 masked Xcel Urgent Care 3517 S Jefferson Street Falls Church, VA 22041 8449235227 drakl@xcelurgentcare.com Provider Int 3 Complete 2021/01/25 12:00:00 2021/01/26 12:00:00 2021/01/26 07:27:37 UV 2.16.840.1.113883.3.9071 ecl-hl7 Empire City Laboratories Inc. Imtiaz Dharamsey masked Imtiaz Dharamsey Empire City Laboratories, Inc. 229 49th Street Brooklyn, NY 11220 Phone: 718-788-3840 ext. 732 718-788-3840 masked Head of IT Empire City Laboratories Inc. Empire City Laboratories, Inc. 229 49th Street Brooklyn, NY 11220 Phone: 718-788-3840 ext. 732 7187883840 michael@empirecitylabs.com http://www.empirecitylabs.com Provider Int 3 Complete 2021/01/26 12:00:00 2021/01/27 12:00:00 2021/01/27 08:58:06 UV 2.16.840.1.113883.3.9072 sherman Sherman Abrams Labs Ikey Klagsbald masked Ikey Klagsbald 718-435-7200 #8003 masked Sherman Abrams Labs 63 Flushing Ave, Building 292, Brooklyn, NY 11205 718-435-7200 info@shermanabramslab.com https://shermanabrams.com/ Provider Int 3 Complete 2021/01/26 12:00:00 2021/01/27 12:00:00 2021/01/27 09:01:18 UV 2.16.840.1.113883.3.9073 sfp14 Sunflower Pediatrics, PC Veena Mathad masked Veena Mathad 12500 West 58th Ave Suite 233 Arvada, CO 80002 720-536-5282 masked Dr Sunflower Pediatrics, PC 12500 West 58th Ave Suite 233 Arvada, CO 80002 720-536-5282 sunflowerpediatrics@gmail.com https://www.sunflowerpeds.com Provider Int 3 Complete 2021/01/26 12:00:00 2021/01/27 12:00:00 2021/01/27 09:05:39 UV 2.16.840.1.113883.3.8589.4.1.16 fulgentgenetics Fulgent Genetics Sarah Lau masked Tony Chang Tony Chang 4399 Santa Anita Ave, El Monte, CA 91731 626-350-0537 masked Director of Interfaces Fulgent Genetics 4399 Santa Anita Ave, El Monte, CA 91731 626-350-0537 tchang@fulgentgenetics.com https://www.fulgentgenetics.com Vendor 2.16.840.1.113883.3.8589 Ext 17 Complete 2.16.840.1.113883.3.8589.4.1.16 2021/01/26 12:00:00 2021/01/27 12:00:00 2025/10/17 01:06:20 UV 2.16.840.1.113883.3.9074 owlpractice Owl Practice Inc. Cyrus Bakhtiyari masked Cyrus Bakhtiyari 889 Broadview Ave, Toronto, Ontario, M4K 2P9 6478381797 masked CTO Owl Practice Inc. accounts@owlpractice.ca https://owlpractice.ca Vendor Int 3 Complete 2021/01/27 12:00:00 2021/01/27 12:00:00 2021/01/27 09:26:34 UV 2.16.840.1.113883.3.9075 hM Humana Military Healthcare Services Jude Stegman masked Casey Western 800.444.5445 masked Associate Director Humana Military Healthcare Services 502.318.0560 philwhite@humana.com https://www.humanamilitary.com Payor Int 3 Complete 2021/01/27 12:00:00 2021/01/27 12:00:00 2025/04/07 10:38:51 UV 2.16.840.1.113883.3.9076 pltrivr Platte River Medical Clinic Ellen Stockton masked Ellen Stockton 2801 Purcell St Brighton, CO 80601 3036599700 masked Director of Finance Advanced Urgent Care and Occupational Medicine 2801 Purcell St Brighton, CO 80601 3036599700 ellen.euser@platterivermed.com https://www.platterivermed.com Provider Int 3 Complete 2021/01/27 12:00:00 2021/01/27 12:00:00 2021/01/27 09:56:00 UV 2.16.840.1.113883.3.9077 apex Apex Laboratory, Inc Robert Marshall masked Robert Marshall 6317533900 masked Apex Laboratory, Inc 110 Central Ave Farmingdale, NY 11735 6317533900 rmarshall@apexlabinc.com Provider Int 3 Complete 2021/01/28 12:00:00 2021/01/28 12:00:00 2021/01/28 08:27:42 UV 2.16.840.1.113883.3.9078 doctorsdata Doctor's Data, Inc. William Gubbins masked William Gubbins William Gubbins 3755 Illinois Ave St. Charles, IL 60174 6303778139 masked IT Director Doctor's Data, Inc. 3755 Illinois Ave St. Charles, IL 60174 6303778139 bgubbins@doctorsdata.com https://www.doctorsdata.com Vendor Int 3 Complete 2021/01/28 12:00:00 2021/01/28 12:00:00 2021/01/28 08:36:34 UV 2.16.840.1.113883.3.9079 ammon Ammon Analytical Labs Kimu Theodore masked Seth Berman Kimu Theodore 35 East Blancke Street Linden, NJ 07036 908-862-4404 masked Ammon Analytical Labs 35 East Blancke Street Linden, NJ 07036 908-862-4404 clientservices@ammonlabs.com https://www.ammonlabs.com Provider Int 3 Complete 2021/02/01 12:00:00 2021/02/02 12:00:00 2021/02/02 08:15:44 UV 2.16.840.1.113883.3.9080 apppc Aspen Park Pediatrics PC Carol Turner masked Carol Turner 25797 Conifer Rd Suite B110 Conifer, Colorado 80433 303-838-3355 masked Aspen Park Pediatrics PC 25797 Conifer Rd Suite B110 Conifer, Colorado 80433 303-838-3355 cturner@aspenparkpediatrics.com Provider Int 3 Complete 2021/02/02 12:00:00 2021/02/02 12:00:00 2021/02/02 08:20:25 UV 2.16.840.1.113883.3.9081 domdiag Dominion Diagnostics David Molusis masked David J Molusis 211 Circuit Drive North Kingstown, RI 02852 401-667-0887 masked Vice President, Information Technology Dominion Diagnostics 211 Circuit Drive North Kingstown, RI 02852 401-667-0887 dmolusis@dominiondiagnostics.com https://www.dominiondiagnostics.com Provider Int 3 Complete 2021/02/02 12:00:00 2021/02/04 12:00:00 2021/02/04 09:52:49 UV 2.16.840.1.113883.3.9082 caredx CareDx,Inc Brooke Kirby masked Lori Wilson Brooke Kirby 10202 F St, Omaha, NE 68127 415-287-2300 masked Senior Product Manager CareDx 1 Tower Pl, 9th Floor South San Francisco, CA 94080 415-287-2300 customercare@caredx.com http://www.caredx.com Vendor Int 3 Complete 2021/02/03 12:00:00 2021/02/04 12:00:00 2021/02/04 09:55:37 2.3 UV 2.16.840.1.113883.3.6056.100.3 hsxsepamarketstreet HealthShare Exchange MarketStreet Brian Wells masked Brian Wells American College of Physicians Building 190 N. Independence Mall West, Suite 701 Philadelphia, PA 19106 215-796-4622 masked VP / CTO / CISO HealthShare Exchange American College of Physicians Building 190 N. Independence Mall West, Suite 701 Philadelphia, PA 19106 855-479-7372 support@healthshareexchange.org https://www.healthshareexchange.org/ Exchange 2.16.840.1.113883.3.6056 Ext 14 Complete 2.16.840.1.113883.3.6056.100.3 2021/02/03 12:00:00 2021/02/04 12:00:00 2021/02/04 10:11:26 UV 2.16.840.1.113883.17.8778 welcomehome WelcomeHome Software Ryan Winograd masked Ryan Winograd ATTN: WelcomeHome Software 3423 Piedmont Rd NE Atlanta, GA 30305 7138054383 masked CTO WelcomeHome Software ATTN: WelcomeHome Software 3423 Piedmont Rd NE Atlanta, GA 30305 (800) 980-8661 support@welcomehomesoftware.com https://welcomehomesoftware.com Vendor Int 17 Complete 2021/02/03 12:00:00 2021/02/04 12:00:00 2021/02/04 10:15:49 UV 2.16.840.1.113883.3.9083 pomeloHealth Pomelo Health Julien Klang masked Julien Klang 514-686-8336 masked Director of Engineering Pomelo Health 1396 Saint-Patrick St. #100 Montreal, Quebec H3K 1A6 +1 888-420-8584 ju@pomelohealth.io Vendor Int 3 Complete 2021/02/03 12:00:00 2021/02/04 12:00:00 2021/02/04 10:24:56 UV 2.16.840.1.113883.3.9084 crl Clinical Reference Laboratory Tara Newberry masked Amy Schultze Amy Schultze 9136932563 masked Senior Manager, Quality Management Clinical Reference Laboratory, INC 8433 Quivira Rd Lenexa, Kansas 66215 9136932563 StateReporting@crlcorp.com Vendor Int 3 Complete 2021/02/05 12:00:00 2021/02/08 12:00:00 2021/02/08 10:23:29 UV 2.16.840.1.113883.3.9085 omniadx Omnia Diagnostic Services, LLC Rossanna Camurungan masked Rossanna Camurungan One Duncan Drive, Cranbury, NJ 08512 7327185068 masked Lab manager Omnia Diagnostic Services, LLC One Duncan Drive Cranbury, NJ 08512 6096424033 rcamurungan@omniadx.com https://omniadx.com Exchange Int 3 Complete 2021/02/05 12:00:00 2021/02/08 12:00:00 2021/02/08 10:31:14 UV 2.16.840.1.113883.3.9086 cgmhs Cooper Green Mercy Health Services Authority Affiliate of UAB Health System Brian Bishop masked Brian Bishop General Services Building 401 619 19th Street South Birmingham, Alabama 35249-6529 205-934-0812 masked Director Operations and Interface - Hospital Cooper Green Mercy Health Services Authority Affiliate of UAB Health System Cooper Green Mercy Health Services 1515 6th Avenue South Birmingham, Alabama 35233 205-975-5771 tcollier@uabmc.edu https://coopergreen.org/ Provider Int 3 Complete 2021/02/05 12:00:00 2021/02/08 12:00:00 2021/02/08 10:34:18 UV 2.16.840.1.113883.3.9087 accessdx Access DX Laboratory, LLC Victor Trevino masked Victor I Trevino 4035 Willowbend Blvd. Ste 400 Houston, TX 77025 United States +1-346-415-4307 masked Access DX Laboratory 4035 Willowbend Blvd. Ste 400 Houston, TX 77025 United States victor.trevino@accessdxlab.com https://accessdxlab.com Provider Int 3 Complete 2021/02/08 12:00:00 2021/02/08 12:00:00 2022/10/25 03:09:41 US 2.16.840.1.113883.3.9088 lhhsOID lhhsOID Shannan Landreth masked Shannan Landreth 131 Hospital Dr. Salem, KY 42078 270-988-7277 masked CIO Livingston Hospital and Healthcare Services 131 Hospital Dr. Salem, KY 42078 270-988-7277 slandreth@lhhs.org http://www.lhhs.org Provider Int 3 Complete 2021/02/08 12:00:00 2021/02/08 12:00:00 2021/02/08 11:17:02 UV 2.16.840.1.113883.3.9089 pathline Pathline Labs Wajid Ullah masked IT Group 535 East Crescent Avenue, Ramsey, NJ 07446 2016617280 masked IT Group Pathline Labs 535 East Crescent Avenue, Ramsey, NJ 07446 2016617280 ITGroup@pathlinelabs.com Provider Int 3 Complete 2021/02/08 12:00:00 2021/02/08 12:00:00 2021/02/08 11:19:51 UV 2.16.840.1.113883.3.9090 mld MedLabs Diagnostics Saiyada Islam masked Saiyada Islam 9737375473 masked Lead Interface Engineer MedLabs Diagnostics 85 Horsehill Road Cedar Knolls, NJ 07927 973-731-2900 sislam@medlabsdiagnostics.com Provider Int 3 Complete 2021/02/09 12:00:00 2021/02/10 12:00:00 2021/02/10 06:55:22 UV 2.16.840.1.113883.17.8779 lifescanlabsofillinois Lifescan Labs of Illinois Skokie Location Daniel Funk masked Daniel J. Funk 5255 Golf Road Skokie, IL 60076 847-423-8300 masked CIO Lifescan Labs of Illinois 5255 Golf Road Skokie, IL 60076 847-423-8300 oid@lifescanlab.com http://www.lifescanlab.com Provider Int 17 Complete 2021/02/10 12:00:00 2021/02/12 12:00:00 2021/02/12 10:31:46 UV 2.16.840.1.113883.3.9091 fscc Family Services of Chemung County, Inc. David Shapiro masked cshanahan@familyservices.cc David Shapiro 1019 East Water Street, Elmira, NY 14901 607-733-5696 masked CEO Family Services of Chemung County Inc. 1019 East Water Street, Elmira, NY 14901 607-733-5696 dshapiro@familyservices.cc Provider Int 3 Complete 2021/02/10 12:00:00 2021/02/12 12:00:00 2021/02/12 10:57:41 US 2.16.840.1.113883.3.9092 cfoms Center for Oral & Maxillofacial Surgery David Nye masked m.towns@cfoms.com David Nye 1907 Pawnee Street Aiken, SC 29801 18037619031 masked Administrator Center for Oral & Maxillofacial Surgery 7011 Evans Town Center Blvd Evans, GA 30809 706-724-8735 d.nye@cfoms.com http://www.cfoms.com Provider Int 3 Complete 2021/02/11 12:00:00 2021/02/12 12:00:00 2021/02/12 11:06:50 UV 2.16.840.1.113883.3.835.200 nlh-org-gpcc NathanLittauerHospitalOIDExpGPCC Brian Evans masked Brian Evans 99 E State St. Gloversville, NY 12078 518-773-5585 masked CIO Nathan Littauer Hospital 99 E. State St. Gloversville, NY 12078 518-773-5585 bevans@nlh.org https://www.nlh.org Provider 2.16.840.1.113883.3.835 Ext 14 Complete 2.16.840.1.113883.3.835.200 2021/02/12 12:00:00 2021/02/12 12:00:00 2021/02/12 11:22:26 UV 2.16.840.1.113883.3.9093 ccmcks Clay County Medical Center Root Christopher Wolf masked Christopher Wolf 617 Liberty St Clay Center, KS 67432 785-632-2144 masked IT Director Clay County Medical Center 617 Liberty St Clay Center, KS 67432 785-632-2144 hl7manager@ccmcks.org http://www.ccmcks.org Provider Int 3 Complete 2021/02/12 12:00:00 2021/02/12 12:00:00 2021/02/12 11:28:16 UV 2.16.840.1.113883.3.9094 umcobgyne UMC Obstetrics and Gynecology East Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 160 Lubbock, TX 79407 806-761-0333 masked Director, Business Services UMC Health System 808 Joliet Ave #210 Lubbock, TX 79415 806-61-0432 yvette.hinojosa@umchealthsystem.com https://umchealthsystem.com Govt body Int 3 Complete 2021/02/15 12:00:00 2021/02/19 12:00:00 2021/02/19 10:00:53 UV 2.16.840.1.113883.3.9095 el-md Elliot Lederman Elliot Lederman masked Elliot Lederman 7188775716 masked Elliot Lederman 1013 Avenue J Suite A1 Brooklyn, New York 11230 7188775716 jvermeer18@yahoo.com Provider Int 3 Complete 2021/02/16 12:00:00 2021/02/19 12:00:00 2021/02/19 10:04:24 UV 2.16.840.1.113883.3.9096 lwdmc Lakewood Medical Center Do Bui masked Do Bui 1700 Wadsworth Blvd Lakewood, CO 80214 303-238-1488 masked Practrice Manager Lakewood Medical Center 1700 Wadsworth Blvd Lakewood, CO 80214 303-238-1488 lakewoodmc@gmail.com Provider Int 3 Complete 2021/02/16 12:00:00 2021/02/19 12:00:00 2021/02/19 10:06:32 UV 2.16.840.1.113883.17.8780 rvsuaudio Audiology River Suites Longview WA Cara Simington masked Cara Simington 5419997310 masked PeaceHealth Medical Group 1801 1st Ave STE 3A Longview, WA 98632 3606364469 flockman@peacehealth.org Provider Int 17 Complete 2021/02/16 12:00:00 2021/02/19 12:00:00 2021/02/19 10:27:13 UV 2.16.840.1.113883.3.9097 rym000 RYMEDI INC David Stefanich masked David Stefanich 655 South Main second floor Greenville, SC 29601 8644198211 masked CEO RYMEDI INC 655 South Main second floor Greenville, SC 29601 8644198211 dstefanich@rymedi.com https://www.rymedi.com Vendor Int 3 Complete 2021/02/16 12:00:00 2021/02/19 12:00:00 2021/02/19 10:52:12 UV 2.16.840.1.113883.3.9098 swift Swift Medical Justin Allport masked Justin Allport +1 888-755-2565 masked Chief Engineer Swift Medical 1 Richmond St W, Toronto, ON M5H 3W4 +1 888-755-2565 justin.allport@swiftmedical.com https://swiftmedical.com/ Vendor Int 3 Complete 2021/02/17 12:00:00 2021/02/19 12:00:00 2021/02/19 10:59:13 UV 2.16.840.1.113883.3.9099 rvfm8080 Ranchview Family Medicine Mark Feddor masked Mark Feddor 8080 park meadows dr ste 100 Lone Tree, CO 80124 303-346-8828 masked Office Manager Ranchview Family Medicine 8080 park meadows dr ste 100 Lone Tree, CO 80124 303-346-8828 accountsreceiveable@ranchviewfamilymedicine.com https://www.ranchviewfamilymedicine.com/ Provider Int 3 Complete 2021/02/18 12:00:00 2021/02/19 12:00:00 2021/02/19 11:02:11 UV 2.16.840.1.113883.17.8781 awoc-kpco Kaiser Permanente of Colorado-Amwell Virtual Care Sarmistha Samantaray masked Sarmistha Samantaray 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 masked American Well 75 State Street, 26th Floor Boston, MA 02109 617.204.3500 sarmistha.samantaray@amwell.com Vendor 2.16.840.1.113883.3.634 Int 17 Complete 2021/02/22 12:00:00 2021/02/23 12:00:00 2021/02/23 09:36:06 UV 2.16.840.1.113883.3.9100 ehs Effingham Health System Sonia Hood masked Sonia Hood 459 Highway 119 S Springfield, GA 31329 9127540385 masked Manager, IT Technical Services Effingham Health System 459 Highway 119 S Springfield, GA 31329 9127546451 sonia.hood@effinghamhospital.org https://www.effinghamhealth.org/ Provider Int 3 Complete 2021/02/22 12:00:00 2021/02/23 12:00:00 2021/02/23 09:45:41 UV 2.16.840.1.113883.3.9101 nhpc New Horizons Primary Care Shrikantha Prabhu masked Shrikantha Prabhu 14707 E 2nd Ave Ste 150 Aurora, CO 80011 7204008935 masked New Horizons Primary Care PC 14707 E 2nd Ave Ste 150 Aurora, CO 80011 7204008935 admin@nhpc.us https://www.nhpc.us Provider Int 3 Complete 2021/02/22 12:00:00 2021/02/23 12:00:00 2021/02/23 09:52:49 UV 2.16.840.1.113883.3.9102 nassim26 Roland Nassim Roland Nassim masked Roland Nassim 1000 Northern Blvd #375, Great Neck, NY 11021 5167733942 masked Provider Roland Nassim 1000 Northern Blvd #375, Great Neck, NY 11021 5167733942 drnassim1@aol.com Provider Int 3 Complete 2021/02/23 12:00:00 2021/02/23 12:00:00 2021/02/23 09:58:32 UV 2.16.840.1.113883.3.9103 kag Kids Are Great Pediatrics Joanni Perez masked Joanni Perez 320 Fontanero St Suite 308 Colorado Springs, CO 80907 719-577-4200 masked Practice Manager Kids Are Great Pediatrics 320 Fontanero St Suite 308 Colorado Springs, CO 80907 719-577-4200 Kidsaregreatpediatrics@gmail.com https://kidsaregreatpediatrics.com Provider Int 3 Complete 2021/02/24 12:00:00 2021/02/24 12:00:00 2021/02/24 08:12:13 UV 2.16.840.1.113883.3.9104 cors Donor Alliance Steve Selby masked Steve Selby 200 Spruce Street Suite 200 Denver, Colorado 80230 +1303-329-4747 masked Director of Information Systems Donor Alliance 200 Spruce Street Suite 200 Denver, Colorado 80230 303-329-4747 sselby@donoralliance.org http://www.donoralliance.org/ Provider Int 3 Complete 2021/02/24 12:00:00 2021/02/24 12:00:00 2021/02/24 08:17:32 UV 2.16.840.1.113883.3.9105 iConnect iConnect Consulting Inc Andrew Sinyaver masked Andrew Sinyaver 715 32nd Ave San Francisco, CA 94121 9543361484 masked CEO iConnect Consulting 715 32nd Ave San Francisco, CA 94121 4157355540 andrew@iconnectconsulting.com https://www.iconnectconsulting.com Vendor Int 3 Complete 2021/02/25 12:00:00 2021/02/27 12:00:00 2021/02/27 02:01:54 UV 2.16.840.1.113883.3.9106 sedp Southeast Denver Pediatrics Angel Brewer masked Angel Brewer 2121 S Oneida St Ste 200 Denver, Colorado 80224 303-757-8018 masked Billing Manager Southeast Denver Pediatrics 2121 S Oneida St Ste 200 Denver, Colorado 80224 303-757-6418 lmaxwell@southeastdenverpediatrics.com https://www.southeastdenverpediarics.com Provider Int 3 Complete 2021/02/26 12:00:00 2021/02/27 12:00:00 2021/02/27 02:05:06 UV 2.16.840.1.113883.3.9107 sameday Quickmed Diagnostic Inc Charlotte Smith masked Patrick Emad Charlotte Smith 3014485619 masked Quickmed Diagnostic Inc 1981 Chain Bridge Rd McLean, VA 22102 5717239007 vaccines@sameday-testing.com Provider Int 3 Complete 2021/02/26 12:00:00 2021/02/27 12:00:00 2021/02/27 02:12:29 UV 2.16.840.1.113883.3.9108 muOID MarymountUniversityOID Carl Whitman masked Carl Whitman 2807 North Glebe Road Arlington, VA 22207 703-526-6901 masked Chief Information Officer Marymount University 2807 North Glebe Road Arlington, Virginia 22207 703-522-5600 ITS@marymount.edu https://www.marymount.edu Academic Int 3 Complete 2021/02/26 12:00:00 2021/02/27 12:00:00 2021/02/27 02:27:01 UV 2.16.840.1.113883.3.9109 imac-project Internal Medicine and Associates of Colorado Springs PC Maria Figueroa masked Maria Figueroa 2920 n Cascade Ave 2nd Floor Colorado Springs, CO 80907 7192270027 masked Internal Medicine and Associates of Colorado Springs PC 2920 n Cascade Ave 2nd Floor Colorado Springs, CO 80907 7192270027 SVVMD@YAHOO.COM Provider Int 3 Complete 2021/03/01 12:00:00 2021/03/04 12:00:00 2021/03/04 10:45:23 UV 2.16.840.1.113883.3.9110 adl3520 ATLANTIC DIAGNOSTICS LABORATORIES, LLC Stephanie Colfer masked Stephanie Colfer Stephanie Colfer 3520 Progress Dr. Bensalem, PA 19020 2675252470 masked Director of IT and Client Services ATLANTIC DIAGNOSTICS LABORATORIES, LLC 3520 Progress Dr. Bensalem, PA 19020 2675252470 techsupport@adllab.net https://atlanticdiagnosticlaboratories.com/ Provider Int 3 Complete 2021/03/01 12:00:00 2021/03/04 12:00:00 2021/03/04 10:53:09 UV 2.16.840.1.113883.3.9111 xcl4825 XERON CLINICAL LABORATORIES Stephanie Colfer masked Stephanie Colfer 3520 Progress Dr. Suite C Bensalem, PA 19020 2675252470 masked Director of IT and Client Services XERON CLINICAL LABORATORIES 48-25 36th Street, Long Island City, NY 11101 2675252470 techsupport@XERONLABS.COM https://www.xeronlabs.com/ Provider Int 3 Complete 2021/03/01 12:00:00 2021/03/04 12:00:00 2021/03/04 10:55:37 UV 2.16.840.1.113883.3.9112 idx Interpace Biosciences Daniel Sebastian masked Keith Haugh Daniel Sebastian 4122246100 masked Interpace Biosciences 2515 Liberty Ave Pittsburgh, PA 15222 4122246100 registration@interpace.com https://www.interpace.com/ Provider Int 3 Complete 2021/03/02 12:00:00 2021/03/04 12:00:00 2021/03/04 11:01:56 UV 2.16.840.1.113883.3.9113 coha Columbus Oncology Associates, Inc Jason Vinskovich masked Jason Vinskovich 810 Jasonway Ave Ste A Columbus, OH 43214 6144423133 masked Director of Business Operations Columbus Oncology Associates, Inc 810 Jasonway Ave Ste A Columbus, OH 43214 6144423130 jvinskovich@coainc.cc https://www.coainc.net/ Provider Int 3 Complete 2021/03/02 12:00:00 2021/03/04 12:00:00 2021/03/04 11:06:09 UV 2.16.840.1.113883.3.9114 fcyc Fort Collins Youth Clinic Larry Mortensen masked Larry Mortensen 1214 Oak Park Drive Fort Collins, CO 80525 9702679510 masked Administrator Fort Collins Youth Clinic 1214 Oak Park Dr Fort Collins, CO 80525 9702679510 lmortensen@youthclinic.com https://www.youthclinic.com Provider Int 3 Complete 2021/03/03 12:00:00 2021/03/04 12:00:00 2021/03/04 11:11:54 UV 2.16.840.1.113883.17.8782 emenuchoice eMenuCHOICE Matt Stenerson masked Matt Stenerson 1415 Almond Ave St. Paul, MN 55108 9526076170 masked President & CTO eMenuCHOICE 1415 Almond Ave St. Paul, MN 55108 9526076170 admin@emenuchoice.com https://emenuchoice.com Vendor Int 17 Complete 2021/03/03 12:00:00 2021/03/04 12:00:00 2021/03/04 11:18:01 UV 2.16.840.1.113883.3.9115 alteonhealth Alteon Health John Hendrock masked John Hendrock 5700 Darrow Rd Suite #106 Hudson, OH 44236 (216) 352-5984 masked Director IT; Business Applications and Integrations Alteon Health 12420 Milestone Center Dr., Suite 200 Germantown, MD 20876 (240) 686-2300 john.hendrock@alteonhealth.com http://www.alteonhealth.com Provider Int 3 Complete 2021/03/03 12:00:00 2021/03/04 12:00:00 2021/03/04 11:23:30 UV 2.16.840.1.113883.3.9116 centerslab Centers Laboratory Oluwafemi Odukoya masked Oluwafemi Odukoya 1412 Bay Ridge Avenue Brooklyn, NY 11219 7188375222 masked Quality System Manager Centers Laboratory 1412 Bay Ridge Avenue Brooklyn, NY 11219 7188375222 oodukoya@centerslab.net https://centerslab.com/ Provider Int 3 Complete 2021/03/03 12:00:00 2021/03/04 12:00:00 2021/03/04 11:38:54 UV 2.16.840.1.113883.3.9117 cfm Cornerstone Family Practice Andrea Baum masked Andrea Baum 1411 S. Potomac St. # 300 Aurora, CO 80012 303-531-4910 masked Cornerstone Family Practice 1411 S. Potomac St. # 300 Aurora, CO 80012 303-531-4910 abaum@cornerstone-fp.com http://www.cornerstone-fp.com Provider Int 3 Complete 2021/03/04 12:00:00 2021/03/04 12:00:00 2021/03/04 11:45:17 UV 2.16.840.1.113883.3.9118 hQE HealthQuest Esoterics Ryan Brodsky masked Ryan Brodsky 6 Bendix, Irvine, CA 92618 9492422260 masked HealthQuest Esoterics 6 Bendix, Irvine, CA 92618 9492422260 it@hqesoterics.com Vendor Int 3 Complete 2021/03/04 12:00:00 2021/03/04 12:00:00 2021/03/04 11:55:17 UV 2.16.840.1.113883.3.9119 pscmh Park Slope Center for Mental Health Inc. Peter Matulich masked Christine Kajetzke 348 13TH STREET SUITE 203 BROOKLYN, NY, 11215 (718)788-2461 masked Executive Director Park Slope Center for Mental Health Inc. ckajetzke@pscmh.org http://www.parkslopecenter.org/ Provider Int 3 Complete 2021/03/05 12:00:00 2021/03/06 12:00:00 2021/03/06 01:24:51 US 2.16.840.1.113883.9.271 primaryHealth Primary Health OID Samuel Sohn masked Samuel Sohn 8475132016 masked Software Engineer Primary Health 595 Pacific Ave Fl 4 San Francisco, CA 94133 8475132016 support@primarybio.com https://primary.health/ Vendor Int 3 Complete 2021/03/07 12:00:00 2021/03/10 12:00:00 2021/03/10 06:51:53 UV 2.16.840.1.113883.17.8783 crdx SchoolCare, Inc. Leslie Carr masked Brett Shamosh 97 Hopkins Court Mahwah, NJ 07430 9734247077 masked CEO SchoolCare, Inc. 97 Hopkins Court Mahwah, NJ 07430 9734247077 Leslie@schoolcare.com https://www.schoolcare.com Vendor Int 17 Complete 2021/03/09 12:00:00 2021/03/10 12:00:00 2021/03/10 06:55:46 UV 2.16.840.1.113883.3.9120 lccc La Canada Care Center Ally Kovac masked Michael Bostwick 801-941-0139 masked La Canada Care Center 7970 North La Canada Drive Tucson, AZ 85704 801-941-0139 Mbostwick@EnsignServices.net https://lacanadacarecenter.com/ Provider Int 3 Complete 2021/03/09 12:00:00 2021/03/10 12:00:00 2021/03/10 07:02:23 UV 2.16.840.1.113883.17.8784 nihd Northern Inyo Healthcare District Dee Booth masked Bryan Harper Bryan Harper 150 Pioneer Ln Bishop, CA 93514 760-873-5811 masked ITS Director/CISO Northern Inyo Healthcare District 150 Pioneer Ln Bishop, CA 93514 760-873-5811 nih.it@nih.org http://www.nih.org Provider Int 17 Complete 2021/03/10 12:00:00 2021/03/11 12:00:00 2021/03/11 06:38:47 UV 2.16.840.1.113883.3.9121 chemisys Chemisys Ahmed Kamel masked Ahmed Kamel 17-01 Pollitt Dr Fair Lawn, NJ 07410 9739535337 masked Chemisys 17-01 Pollitt Dr Fair Lawn, NJ 07410 19739535337 ahmedfkamel@hotmail.com Provider Int 3 Complete 2021/03/10 12:00:00 2021/03/11 12:00:00 2021/03/11 06:42:27 UV 2.16.840.1.113883.3.9122 lchnh2 Lincoln Community Hospital and Nursing Home Linda Messer masked Linda Messer PO Box 248 Hugo, CO 80821 7197400472 masked Clinical Informatics Director Lincoln Community Hospital and Nursing Home PO Box 248 Hugo, CO 80821 7197432421 lmesser@lchnh.com Provider Int 3 Complete 2021/03/10 12:00:00 2021/03/11 12:00:00 2021/03/11 06:47:34 UV 2.16.840.1.113883.4.977 hascCenter Hasc Center Inc. Samuel Kahn masked smetzger@hasccenter.org Samuel Kahn 16462855300 masked Hasc Center Inc. 5601 First Avenue Brooklyn, NY 11220 16462855300 skahn@hasccenter.org Provider Int 3 Complete 2021/03/11 12:00:00 2021/03/12 12:00:00 2021/03/12 10:06:04 US 2.16.840.1.113883.3.9123 tnc The Nord Center Jack Holt masked Jack Holt 6140 S. Broadway Lorain, OH 44053 440-204-4131 masked Director of Information Technology The Nord Center 6140 S. Broadway Lorain, OH 44053 440-233-7232 ITServices@NordCenter.org https://www.nordcenter.org/ Provider Int 3 Complete 2021/03/11 12:00:00 2021/03/12 12:00:00 2021/03/12 10:11:17 UV 2.16.840.1.113883.3.9124 carmelprescriptionshop Carmel Prescription Shop Saumiin Calcuttawala masked Saumiin Calcuttawala 1001 W Main Street Carmel, IN 46032 3176887050 masked Owner Carmel Prescription Shop 1001 W Main Street Carmel, IN 46032 3176887050 carmelprescriptionshop@gmail.com https://www.carmelprescriptionshop.com Provider Int 3 Complete 2021/03/11 12:00:00 2021/03/12 12:00:00 2021/03/12 10:15:43 UV 2.16.840.1.113883.3.9125 lightspeedhealth LightSpeed Health Ryan Hyde masked Golden Murray Ryan Hyde 1601 N State St #1a Lehi, UT 84043 801 960-0611 masked CEO LightSpeed Health 1601 N State St #1a Lehi, UT 84043 801 960-0611 info@lightspeedhealth.com https://lightspeedhealth.com/ Vendor Int 3 Complete 2021/03/12 12:00:00 2021/03/12 12:00:00 2021/03/12 10:23:07 UV 2.16.840.1.113883.3.9126 bcbsms Blue Cross & Blue Shield of Mississippi Ashley Eaves masked Stephenie Kemp 6012590775 masked eConnectivity & Innovation Manager Blue Cross & Blue Shield of Mississippi 3545 Lakeland Drive, Flowood, MS 39232 601-664-4590 HSI_Admin@bcbsms.com Payor Int 3 Complete 2021/03/16 12:00:00 2021/03/17 12:00:00 2021/03/17 07:45:31 UV 2.16.840.1.113883.17.8785 cspkbh Behavioral Health Cascade Park Vancouver WA Cara Simington masked Cara Simington 5419997310 masked Behavioral Health Cascade Park Vancouver WA 201 NE Park Plaza Dr Vancouver, WA 98684 3604142236 cmoreno@peacehealth.org Provider Int 17 Complete 2021/03/16 12:00:00 2021/03/17 12:00:00 2021/03/17 07:58:52 UV 2.16.840.1.113883.3.9127 bma Berryville Medical Associates, PLC Jennifer Silcott masked Jennifer Silcott Jennifer Silcott 115 S. Church St. Berryville, VA 22611 5409554811 masked Practice Administrator Berryville Medical Associates 115 S. Church St. Berryville, VA 22611 5409554811 jmiller@berryvillemedical.com http://www.berryvillemedical.com Provider Int 3 Complete 2021/03/16 12:00:00 2021/03/17 12:00:00 2021/03/17 08:06:51 UV 2.16.840.1.113883.3.9128 gmp Green Mountain Pediatrics Francine Paston masked Bev Haynes 255 Union Blvd. Lakewood, Colorado 80228 303-936-7415 masked Office Manager Green Mountain Pediatrics 255 Union Blvd. Lakewood, Colorado 80228 303-936-7415 grnmtpeds255@yahoo.com Provider Int 3 Complete 2021/03/16 12:00:00 2021/03/17 12:00:00 2021/03/17 08:11:24 UV 2.16.840.1.113883.3.5766.12 n-arh-inc Our Lady Of the Way Appalachian Regional Healthcare Inc Andrew Deters masked Andrew Deters 2260 Executive Dr Lexington, KY 40505 8592262689 masked Senior Project Manager Appalachian Regional Healthcare, Inc. 2260 Execitive Dr Lexington, KY 40505 8592262689 adeters@arh.org http://www.arh.org Provider 2.16.840.1.113883.3.5766 Ext 14 Complete 2.16.840.1.113883.3.5766.12 2021/03/18 12:00:00 2021/03/19 12:00:00 2021/03/19 07:06:16 UV 2.16.840.1.113883.3.5766.13 bv-arh-inc Barbourville Appalachian Regional Healthcare Inc Andrew Deters masked Andrew Deters 2260 Executive Dr Lexington, KY 40505 8592262689 masked Senior Project Manager Appalachian Regional Healthcare, Inc. 2260 Executive Dr Lexington, KY 40505 8592262689 adeters@arh.org http://www.arh.org Provider 2.16.840.1.113883.3.5766 Ext 14 Complete 2.16.840.1.113883.3.5766.13 2021/03/18 12:00:00 2021/03/19 12:00:00 2021/03/19 07:14:45 UV 2.16.840.1.113883.3.9129 chocedingerpeds CHOC Edinger Peds eCW Neil Garde masked Neil Garde 1201 W. La Veta Ave. Orange, CA 92868 9494134473 masked Director CHOC Children's Hospital 1201 W. La Veta Ave. Orange, CA 92868 7149973000 ngarde@choc.org Provider Int 3 Complete 2021/03/18 12:00:00 2021/03/19 12:00:00 2021/03/19 07:18:34 UV 2.16.840.1.113883.3.9130 choctotalpeds CHOC Total Peds Office Practicum Neil Garde masked Neil Garde 1201 W. La Veta Ave. Orange, CA 92868 7145094817 masked Diector CHOC Children's Hospital 1201 W. La Veta Ave. Orange, CA 92868 7149973000 ngarde@choc.org Provider Int 3 Complete 2021/03/18 12:00:00 2021/03/19 12:00:00 2021/03/19 07:34:01 UV 2.16.840.1.113883.3.9131 chocpremierpeds CHOC Premier Peds Office Practicum Neil Garde masked Neil Garde 1201 W. La Veta Ave., Orange, CA 92868 7145094817 masked Director CHOC Children's Hospital 1201 W. La Veta Ave., Orange, CA 92868 7149973000 ngarde@choc.org Provider Int 3 Complete 2021/03/18 12:00:00 2021/03/19 12:00:00 2021/03/19 07:36:45 UV 2.16.840.1.113883.3.9132 ncsu NC State University Student Health Services Fred Eaker masked Amy Johnson Amy Johnson 2815 Cates Avenue Campus Box 7304 Raleigh, NC 27695-7304 919-515-2193 masked Clinical Informatics Coordinator NC State University Student Health Services 2815 Cates Avenue Campus Box 7304 Raleigh, NC 27695-7304 919-515-2563 healthypack@ncsu.edu https://healthypack.dasa.ncsu.edu/ Academic Int 3 Complete 2021/03/19 12:00:00 2021/03/19 12:00:00 2021/03/19 07:39:31 UV 2.16.840.1.113883.3.9133 wtcop Wellsprings Therapy Center of Phoenix Ally Kovac masked Miguel S Delgado (602) 313-6001 masked Manager Wellsprings Therapy Center of Phoenix 3008 N. 3rd Street Phoenix, AZ 85012 (602) 313-6001 miguel.sdelgado@wellspringsofphoenix.com https://www.wellspringstherapy.com/ Provider Int 3 Complete 2021/03/19 12:00:00 2021/03/19 12:00:00 2021/03/19 07:50:33 UV 2.16.840.1.113883.3.9134 mesacpa Citadel Post Acute Ally Kovac masked Terry Speth 480-832-5555 masked Executive Director Citadel Post Acute 5121 E Broadway Road Mesa, AZ 85206 480-832-5555 TSpeth@EnsignServices.net https://citadelpostacute.com/ Provider Int 3 Complete 2021/03/19 12:00:00 2021/03/19 12:00:00 2021/03/19 07:54:56 UV 2.16.840.1.113883.3.9135 vla-idr-21 Vertical Lab Automation Infectious Disease Reporting 2021 Jorian Merrill masked Jorian Merrill 31 Acacia Tree Ln Irvine, CA 92612 4803694712 masked Managing Partner Vertical Lab Automation Infectious Disease Reporting 2021 31 Acacia Tree Ln Irvine, CA 92612 4803694712 jorian@verticalautomate.com Vendor Int 3 Complete 2021/03/21 12:00:00 2021/03/24 12:00:00 2021/03/24 09:43:46 UV 2.16.840.1.113883.17.8786 watershedHealth Watershed Health Lisa Stanley masked Lisa Stanley 800 W Commerce Rd Suite 201 New Orleans, LA 70123 504-930-4501 masked COO Watershed Health 800 W Commerce Rd Suite 201 New Orleans, LA 70123 504-930-4501 support@watershedhealth.com https://www.watershedhealth.com Exchange Int 17 Complete 2021/03/22 12:00:00 2021/03/24 12:00:00 2021/03/24 09:50:20 UV 2.16.840.1.113883.3.9136 rrfm Rocky Run Family Medicine, INC Gary Markin masked ALLEGIANCEMD SOFTWARE, INC Gary Markin 7032662442 masked MANAGER ALLEGIANCEMD SOFTWARE, INC 6914 SOUTH YORKTOWN AVE SUITE 200 TULSA, OK 74136 800-868-1923 EDI@ALLEGIANCEMD.COM http://allegiancemd.com Vendor Int 3 Complete 2021/03/22 12:00:00 2021/03/24 12:00:00 2021/03/24 10:19:55 UV 2.16.840.1.113883.3.9137 ffm Franktown Family Medicine Reiner Kremer masked Reiner Kremer 7601 Burning Tree Drive Suite 201 Franktown, CO 80116 303-688-1111 masked Owner Franktown Family Medicine 7601 Burning Tree Drive Suite 201 Franktown, CO 80116 303-688-1111 drrkremer@msn.com https://www.FranktownFamilyMedicine.com Provider Int 3 Complete 2021/03/23 12:00:00 2021/03/24 12:00:00 2021/03/24 10:24:44 UV 2.16.840.1.113883.3.9138 ahcfwmc Adventist Fort Washington Medical Center Lynn Hickey masked Julie Vick 820 West Diamond Ave Suite 400 Gaithersburg, MD 20878 301-315-3239 masked AVP Programs Adventist Fort Washington Medical Center Fort Washington Medical Center 11711 Livingston Rd Fort Washington, MD 20744 301-315-3239 jvick@adventisthealthcare.com Provider Int 3 Complete 2021/03/23 12:00:00 2021/03/24 12:00:00 2021/03/24 10:33:00 UV 2.16.840.1.113883.3.9139 inovia Inovia Pharmacy Amer Jawich masked Inovia Pharmacy 9902 Brimhall rd ste 100 Bakersfield, CA 93312 6618297861 masked Inovia Pharmacy 9902 Brimhall rd ste 302 Bakersfield, CA 93312 6618297861 aj@inovia.ph https://www.inovia.ph Provider Int 3 Complete 2021/03/23 12:00:00 2021/03/24 12:00:00 2021/05/24 03:15:33 UV 2.16.840.1.113883.3.906.13.1 oBaptistSalesforce Baptist Health Salesforce Mandi Makofka masked Mandi Makofka 3563 Philips Hgwy, Bldg F Suite 604, Jacksonville, FL 32207 904-202-0767 masked Manager, IS Clinical Technologies Baptist Health 800 Prudential Drive, Jacksonville, FL 32207 904-202-2000 MDMteam@bmcjax.com https://www.baptistjax.com/ Provider 2.16.840.1.113883.3.906 Ext 14 Complete 2.16.840.1.113883.3.906.13.1 2021/03/24 12:00:00 2021/03/24 12:00:00 2021/03/24 10:49:01 UV 2.16.840.1.113883.3.906.14.1 oBaptistOrderFacilitator Baptist Health Order Facilitator Mandi Makofka masked Mandi Makofka 3563 Philips Hgwy, Bldg F Suite 604, Jacksonville, FL 32207 904-202-0767 masked Manager, IS Clinical Technologies Baptist Health 800 Prudential Drive, Jacksonville, FL 32207 904-202-2000 MDMteam@bmcjax.com https://www.baptistjax.com/ Provider 2.16.840.1.113883.3.906 Ext 14 Complete 2.16.840.1.113883.3.906.14.1 2021/03/24 12:00:00 2021/03/24 12:00:00 2021/03/24 10:54:36 UV 2.16.840.1.113883.3.9140 tdmed TDMed-SEHR-RootOID Kiet Tran masked Kiet Tran 441/12 Nguy&#7877;n &#272;&#236;nh Chi&#7875;u Street, Ward 5, District 3, Ho Chi Minh City, Vietnam +84773323858 masked TDMedical 441/12 Nguy&#7877;n &#272;&#236;nh Chi&#7875;u Street, Ward 5, District 3, Ho Chi Minh City, Vietnam hcit@tdmed.com.vn Prof Soc Int 3 Complete 2021/03/25 12:00:00 2021/03/25 12:00:00 2021/03/25 09:47:33 UV 2.16.840.1.113883.3.9141 genesisdxOID OID for Genesis Diagnostics Curtis Kieser masked Curtis Kieser 2154319745 masked Genesis Diagnostics 900 Town Center Dr, Langhorne, PA 19047 2672122000 itsupport@genesisdx.com Vendor Int 3 Complete 2021/03/25 12:00:00 2021/03/25 12:00:00 2021/03/25 09:51:17 UV 2.16.840.1.113883.3.9142 pacc Pediatrics at Cherry Creek Vicky Lubthisophon masked Vicky Lubthisophon 300 S. Jackson St. Ste. 300 Denver, CO 80209 3033779663 masked Pediatrics at Cherry Creek 300 S. Jackson St. Ste. 300 Denver, CO 80209 3033779663 billing@pediatricsatcherrycreek.com Provider Int 3 Complete 2021/03/29 12:00:00 2021/03/31 12:00:00 2021/03/31 08:51:47 UV 2.16.840.1.113883.9.272 rMHCPEDS Rocky Mountain Health Centers Pediatrics Alison Thaler masked Alison Thaler 14001 E Iliff Ave suite 210 Aurora, CO 80014 3039969601 masked Operational Manager Rocky Mountain Health Centers Pediatrics 14001 E Iliff Ave suite 210 Aurora, CO 80014 3039969601 kmourani@rmhcpeds.com https://rmhcpeds.com/ Provider Int 3 Complete 2021/03/30 12:00:00 2021/03/31 12:00:00 2021/03/31 08:47:30 UV 2.16.840.1.113883.3.9143 neha-cy National eHealth Authority of Cyprus Christos Schizas masked Christos N. Schizas 1 Prodromou & 17 Chilonos, 1448 Nicosia, Cyprus 22605415 masked Chairman of the National eHealth Authority of Cyprus National eHealth Authority of Cyprus 1 Prodromou & 17 Chilonos, 1448 Nicosia, Cyprus 22605736 schizas@ucy.ac.cy Govt body Int 3 Complete 2021/03/31 12:00:00 2021/03/31 12:00:00 2021/03/31 09:01:02 UV 2.16.840.1.113883.17.8787 card59923 Center for Asbestos Related Disease Solomon Alcain masked Solomon Alcain Jr 214 East 3rd Street Libby, MT 59923 4062939274 masked IT Manager Center for Asbestos Related Disease 214 East 3rd Street Libby, MT 59923 4062939274 salcain@libbyasbestos.org https://libbyasbestos.org/ Provider Int 17 Complete 2021/03/31 12:00:00 2021/03/31 12:00:00 2021/03/31 09:55:53 IKEv2 US 2.16.840.1.113883.3.9144 catholicharities Catholic Charities Trenton Elizabeth Luciano masked Elizabeth Luciano 3100 Princeton Pike, Lawrenceville, NJ 08648 609-394-3202 x 2106 masked Director of Information Management Catholic Charities Trenton 3100 Princeton Pike, Lawrenceville, NJ 08648 609-394-3202 x 2106 ealuciano@cctrenton.org https://mx.cctrenton.org Exchange Int 3 Complete 2021/04/01 12:00:00 2021/04/08 12:00:00 2021/04/08 12:25:41 UV 2.16.840.1.113883.3.9145 sLA201K S.L.A. Associates, LLC dba IDCC Health Services Stephen Gersten masked Stephen Gersten 1623 Kings Highway Brooklyn, NY 11229 9292737601 masked CEO SLA Associates, LLC dba IDCC Health Services 1623 Kings Highway Brooklyn, NY 11229 9292737601 atejada@interborough.org Provider Int 3 Complete 2021/04/05 12:00:00 2021/04/08 12:00:00 2021/04/08 12:32:58 UV 2.16.840.1.113883.3.9146 hopital-Foch Hopital Foch France Philippe Boulogne masked S. Neveu Direction des syst&#232;mes d'information Hopital FOCH 40 Rue Worth 92150 Suresnes France +33146252213 masked IT Project lead Hopital FOCH Hopital FOCH 40 Rue Worth 92150 Suresnes France +33146252000 s.neveu@hopital-foch.com https://www.hopital-foch.com/ Provider Int 3 Complete 2021/04/07 12:00:00 2021/04/08 12:00:00 2021/04/08 12:37:15 FR 2.16.840.1.113883.3.9147 mvp MVP Health Plan, Inc. Mark DiBattista masked Mark DiBattista 625 State St Schenectady, NY 12305 5185068806 masked IT Manager MVP Health Plan, Inc. 625 State St Schenectady, NY 12305 (800) 777-4793 esupport@mvphealthcare.com https://www.mvphealthcare.com/ Payor Int 3 Complete 2021/04/07 12:00:00 2021/04/08 12:00:00 2021/04/08 12:45:17 US 2.16.840.1.113883.3.9148 dwp Denver West Pediatrics Mary Morin masked Mary Morin 13772 Denver West Pkwy Suite 250 Lakewood, CO 80401 303-216-0333 masked Denver West Pediatrics, P.C. 13772 Denver West Pkwy Suite 250 Lakewood, CO 80401 303-216-0333 dwpmary@fortisusa.net Provider Int 3 Complete 2021/04/07 12:00:00 2021/04/08 12:00:00 2021/04/08 12:49:15 UV 2.16.840.1.113883.3.9149 pwnhealth PWN Health Lora Baker masked Letitia Shotlow 123 W 18th St, New York, NY 10022, United States 480-779-9567 masked Sr. Product Manager PWN Health 123 W 18th St, New York, NY 10022, United States (888) 362-4321 lshotlow@pwnhealth.com https://www.pwnhealth.com Vendor Int 3 Complete 2021/04/08 12:00:00 2021/04/08 12:00:00 2021/04/08 08:59:13 UV 2.16.840.1.113883.3.9150 dcDOC DC Department of Corrections Manish Mittal masked Manish Mittal 1901 D Street SE Washington DC 20003 USA 2025237105 masked IT Specialist DC Department of Corrections 1901 D Street SE Washington DC 20003 USA 2025237105 Manish.Mittal@dc.gov https://doc.dc.gov Provider Int 3 Complete 2021/04/08 12:00:00 2021/04/08 12:00:00 2021/04/08 09:05:30 UV 2.16.840.1.113883.9.273 metrolabserv Metropolitan Laboratory Services, Inc Carla Vasquez masked Carla Jose Vasquez 12011 Lee Jackson Memorial Hwy, Suite 200 Fairfax, VA 22033 5713960617 masked Laboratory Manager Metropolitan Laboratory Services, Inc. 12011 Lee Jackson Memorial Hwy, Suite 200 Fairfax, VA 22033 571-386-1998 CVasquez@mirascientific.com Provider Int 3 Complete 2021/04/08 12:00:00 2021/04/08 12:00:00 2021/04/08 09:10:01 UV 2.16.840.1.113883.3.9151 uniVT Unilever Vermont Katherine Allison masked Christian Kriebel 925 North Point Pkwy # 160 Alpharetta, GA 30005 United States 850 212 9933 masked IT/Submitter Healthcare IT Leaders 925 North Point Pkwy # 160 Alpharetta, GA 30005 United States 7706333536 bob.bailey@healthcareitleaders.com Provider Int 3 Complete 2021/04/08 12:00:00 2021/04/08 12:00:00 2021/04/08 09:18:57 UV 2.16.840.1.113883.3.9152 oms Objective Medical Systems, LLC Anand Aravind masked Anand Aravind Objective Medical Systems, LLC 7910 Main St Suite 425 Houma, LA 70360 4045209541 masked V.P Operations Objective Medical Systems,LLC 7910 Main St Suite 425 Houma, LA 70360 4045209541 contactus@omscardio.com https://objectivemedicalsystems.com/ Vendor Int 3 Complete 2021/04/09 12:00:00 2021/04/09 12:00:00 2021/04/09 07:32:13 UV 2.16.840.1.113883.3.9153 curvehealth Curve Health Cheryl Porro masked Dawn Fosah 2121 Biscayne BLVD #1037 Miami, FL 33137 816-739-5912 masked Director of Engineering Curve Health 2121 Biscayne BLVD #1037 Miami, FL 33137 833-824-2878 dawn@curvehealth.com https://www.curvehealth.com/ Provider Int 3 Complete 2021/04/09 12:00:00 2021/04/09 12:00:00 2021/04/09 07:39:10 UV 2.16.840.1.113883.3.9154 massago Massago Allan Skok masked Allan Skok 2 Orchard Heights Blvd. Unit 26 Aurora, Ontario. L4G 3W3 Canada 416-891-8164 masked CEO Massago 2 Orchard Heights Blvd. Unit 26 Aurora, Ontario. L4G 3W3 Canada 416-640-2431 support@massago.ca https://massago.ca/ Vendor Int 3 Complete 2021/04/12 12:00:00 2021/04/14 12:00:00 2021/04/14 11:08:56 CA 2.16.840.1.113883.4.978 sisselman Sisselman Medical Group, PC Blake Head masked Blake Head 1 Virginia Ave Suite 500 Indianapolis, IN 46204 3176878119 masked SVP Product iSalus Healthcare 1 Virginia Ave Suite 500 Indianapolis, IN 46204 317-275-3951 support@isalushealthcare.com http://www.isalushealthcare.com Vendor 2.16.840.1.113883.3.3680 Int 4 Complete 2021/04/13 12:00:00 2021/04/14 12:00:00 2021/04/14 11:13:45 UV 2.16.840.1.113883.3.9155 dhs Devoted Health Services Katya Melychev masked Katya Melychev 857-919-1993 masked Devoted Health Services 221 Crescent Street, Suite 202 Waltham, MA 02453 857-919-1993 edi@devoted.com Payor Int 3 Complete 2021/04/14 12:00:00 2021/04/14 12:00:00 2021/04/14 11:21:41 UV 2.16.840.1.113883.3.9156 dmg Devoted Medical Group Katya Melychev masked Katya Melychev 857-919-1993 masked Devoted Medical Group 221 Crescent Street, Suite 202 Waltham, MA 02453 617-958-1611 edi@devoted.com Provider Int 3 Complete 2021/04/14 12:00:00 2021/04/14 12:00:00 2021/04/14 11:24:36 UV 2.16.840.1.113883.3.9157 arvpeds Arvada Pediatric Associates Veronica Spence masked Veronica Spence 8030 Lee Drive, Arvada, CO 80005 3034216873 masked Practice Administrator Arvada Pediatric Associates 8030 Lee Drive, Arvada, CO 80005 3034216873 veronicaspence@outlook.com https://www.arvadapeds.com Provider Int 3 Complete 2021/04/14 12:00:00 2021/04/14 12:00:00 2021/04/14 11:32:32 UV 2.16.840.1.113883.3.9158 fairchildmedicalclinics Fairchild Medical Clinics OID Root Chelsie Burt masked Paulette Adams 475 Bruce St., Yreka, CA 96097 5308423507 masked Director of Clinics Fairchild Medical Clinics 475 Bruce Street, Yreka, CA 96097 5308423507 cburt@fairchildmed.org https://www.farichildmed.org Provider Int 3 Complete 2021/04/14 12:00:00 2021/04/14 12:00:00 2021/04/14 11:41:54 UV 2.16.840.1.113883.3.9159 amx-oid-root ArborMetrix Colin Wearring masked Colin Wearring Colin Wearring 339 E Liberty St Suite #210 Ann Arbor, MI 48104 7347488202 masked Chief Product Officer ArborMetrix 339 E Liberty St Suite #210 Ann Arbor, MI 48104 (734) 661-7944 support@arbormetrix.com https://www.arbormetrix.com/ Vendor Int 3 Complete 2021/04/15 12:00:00 2021/04/19 12:00:00 2021/04/19 10:23:53 UV 2.16.840.1.113883.3.9160 hskmemhosp Haskell Memorial Hospital Shawn Garrett masked Shawn Garrett 1 North Avenue N P.O. Box 1117 Haskell, TX 79521 19408642621331 masked IT Administrator Haskell Memorial Hospital 1 North Avenue N P.O. Box 1117 Haskell, TX 79521 19408642621331 Info@hmhhealth.org https://haskellmemorialhospital.com/ Provider Int 3 Complete 2021/04/16 12:00:00 2021/04/19 12:00:00 2021/04/19 10:27:43 UV 2.16.840.1.113883.3.9161 bentonpeds Bentonville Pediatrics Jason Foster masked Elizabeth Garcia 2719 SE I ST BENTONVILLE, AR 72712 14792735437 masked Bentonville Pediatrics 2719 SE I ST BENTONVILLE, AR 72712 4792735437 Egarcia@bentonvillepediatrics.net Provider Int 3 Complete 2021/04/19 12:00:00 2021/04/19 12:00:00 2021/04/19 10:31:52 UV 2.16.840.1.113883.3.9162 pa Pediatric Associates Adam Baraka masked Adam Baraka 9611 W Broward Blvd. Plantation, FL 33324 (954) 424-7000 856-220-6836 masked Data Integration Manager Pediatric Associates 9611 W Broward Blvd. Plantation, FL 33324 (954) 424-7000 abaraka@pediatricassociates.com Provider Int 3 Complete 2021/04/19 12:00:00 2021/04/19 12:00:00 2021/04/19 10:38:12 UV 2.16.840.1.113883.3.9163 biq BurstIQ, Inc Tyson Henry masked Tyson Henry 3517 Brighton Blvd Ste 610 Denver, CO 80126 8883557345 masked CTO BurstIQ, Inc 3517 Brighton Blvd Ste 610 Denver, CO 80126 8883557345 info@burstiq.com https://www.burstiq.com Vendor Int 3 Complete 2021/04/19 12:00:00 2021/04/19 12:00:00 2021/04/19 10:46:37 UV 2.16.840.1.113883.3.9164 prime-plc Prime Direct Primary Care, PLC Kathryn Dreger masked Kathryn Dreger 1715 N GEORGE MASON DR STE 306 Arlington, VA 22205 703-276-0630 masked MD/Owner Prime Direct Primary Care, PLC 1715 N GEORGE MASON DR STE 306 Arlington, VA 22205 703-276-0630 prime@prime-plc.com http://www.prime-plc.com/ Provider Int 3 Complete 2021/04/22 12:00:00 2021/04/22 12:00:00 2021/04/22 10:37:00 UV 2.16.840.1.113883.3.9165 rghnmoid Roosevelt General Hospital OID Laney Shutler masked Laney Shutler 42121 US Hwy 70 Portales, NM 88130 5753563402 masked Director of Quality Management Roosevelt General Hospital 42121 US Hwy 70 Portales, NM 88130 5753591800 registry@myrgh.org https://www.myrgh.org Provider Int 3 Complete 2021/04/22 12:00:00 2021/04/22 12:00:00 2021/04/22 10:49:08 UV 1.3.6.1.4.1.6774.1000.2 uvacovidseq-oid 1.3.6.1.4.1.6774.1000.uvacovidseq Ron Hutchins masked Ron Hutchins Rodunda University Ave. Charlottesville, VA 22903 434-924-8748 masked VP-IT University of Virginia Rotunda University Ave Charlottesville, VA 22903 434-924-8748 vpit@virginia.edu https://www.virginia.edu Academic 1.3.6.1.4.1.6774 Ext 14 17 Complete 1.3.6.1.4.1.6774.1000.2 2021/04/26 12:00:00 2021/04/28 12:00:00 2021/04/28 09:02:30 UV 2.16.840.1.113883.3.9166 fraser Fraser Matthew Chiodo masked Matthew Chiodo 2400 W 64th St Richfield, MN 55423 16127285346 masked Vice President IT Fraser 2400 W 64th St. Richfield, MN 55423 16128611688 mattc@fraser.org http://www.fraser.org Provider Int 3 Complete 2021/04/27 12:00:00 2021/04/28 12:00:00 2021/04/28 09:15:09 UV 2.16.840.1.114222.4.1.238270 tgh-ENDV TGH Endeavor Angela Pak masked Tshaka Cunningham Angela Pak Endeavor Lab 11100 Endeavor Ct Manassas, VA 20109 540-359-1584 masked Laboratory Technician TruGenomix, Inc. TruGenomix, Inc. 155 Gibbs St. Rockville, MD 20850 +1(301) 674-3253 tshaka.cunningham@trugenomix.com https://trugenomix.com/ Vendor Ext 17 Complete 2.16.840.1.114222.4.1.238270 2021/04/29 12:00:00 2021/04/29 12:00:00 2021/04/29 06:17:33 UV 2.16.840.1.113883.3.9167 glsa Great Lakes Surgical Associates Susan Lougen masked Susan Lougen 160 East Avenue Lockport, New York 14094 7164346142 masked Great Lakes Surgical Associates 160 East Avenue Lockport, New York 14094 7164346142 GreatLakesSurgery@Yahoo.com https://greatlakessurgery.com Provider Int 3 Complete 2021/04/29 12:00:00 2021/04/29 12:00:00 2021/04/29 06:22:10 UV 2.16.840.1.113883.3.9168 connie CONNIE Dianna Hicks masked Jenn Searls 400 Farmington Avenue Farmington, CT 06032 888-783-4410 masked CEO CONNIE 400 Farmington Avenue Farmington, CT 06032 888-783-4410 info@conniect.org https://conniect.org/ Vendor Int 3 Complete 2021/04/29 12:00:00 2021/04/29 12:00:00 2021/04/29 06:26:46 UV 2.16.840.1.113883.3.9169 falkondata falkondata Prasenjit Satpathy masked Arman Samani 2137 E Alta Canyon Dr, Sandy, UT 84093 6158122442 masked Board Falkondata pra@falkondata.com Vendor Int 3 Complete 2021/05/01 12:00:00 2021/05/04 12:00:00 2021/05/04 08:30:06 UV 2.16.840.1.113883.3.9170 hSC-SES Hebrew Senior Care Fred Montanari masked Fred Montanari 1 ABRAHMS BLVD West Hartford, CT 06117 8605233939 masked Hebrew Senior Care 1 ABRAHMS BLVD West Hartford, CT 06117 fmontanari@hebrewseniorcare.org http://www.hebrewseniorcare.org Provider Int 3 Complete 2021/05/04 12:00:00 2021/05/04 12:00:00 2021/05/04 08:39:50 UV 2.16.840.1.113883.3.23.3.18 chbostonweymouth Boston Children's Physicians Weymouth Brad McDonald masked Brad McDonald Brad McDonald 300 Longwood Avenue Boston, MA 02115 617-355-6000 masked Director of Core Clinical Applications Boston Children's Hospital 300 Longwood Avenue Boston, MA 02115 6173556000 Brad.McDonald@childrens.harvard.edu Provider 2.16.840.1.113883.3.23 Ext 4 Complete 2.16.840.1.113883.3.23.3.18 2021/05/04 12:00:00 2021/05/04 12:00:00 2021/05/04 08:42:05 UV 2.16.840.1.113883.3.9171 nycdohmh New York City Department of Health and Mental Hygiene Rachel Corrado masked Emily Martinez Emily Martinez Gotham Center 42-09 28th Street, 5th Floor Long Island City, NY 11101 347-396-4849 masked Interoperability Specialist New York City Department of Health and Mental Hygiene Gotham Center 42-09 28th Street, 5th Floor Long Island City, NY 11101 (212) 639-9675 emartinez1@health.nyc.gov https://www1.nyc.gov/ Govt body Int 3 Complete 2021/05/05 12:00:00 2021/05/06 12:00:00 2021/05/06 07:07:01 UV 2.16.840.1.113883.3.9172 patagoniahealthinc Patagonia Health Harbi Dhanjal masked Harbi Dhanjal 15100 Weston Parkway, Unit 204 Cary, NC 27513 9842415312 masked Patagonia Health 15100 Weston Parkway, Unit 204 Cary, NC 27513 9192384780 customersupport@patagoniahealth.com https://patagoniahealth.com/ Vendor Int 3 Complete 2021/05/05 12:00:00 2021/05/06 12:00:00 2021/05/06 07:11:15 UV 2.16.840.1.113883.3.9173 fpgi Family Practice of Grand Island, P.C. Matt Hoffman masked Matthew Hoffman 3563 Prairieview Street Ste 300 Grand Island, NE 68803 308-381-0162 masked IT Family Practice of Grand Island, P.C. 3563 Prairieview Street Ste 300 Grand Island, NE 68803 308-381-0162 it@familypracticegi.com https://familypracticegi.com Provider Int 3 Complete 2021/05/06 12:00:00 2021/05/11 12:00:00 2021/05/11 07:05:32 UV 2.16.840.1.113883.17.8788 ref-att Refyne Attachment Chris Anderson masked dl_esmd@vynecorp.com Carla Schill 100 Ashford Center North Suite 300 Dunwoody, GA 30338 800-864-2378 masked Project Manager Vyne Medical 100 Ashford Center North Suite 300 Dunwoody, GA 30338 800-864-2378 dl_esmd@vynecorp.com https://vynemedical.com/ Vendor Int 17 Complete 2021/05/10 12:00:00 2021/05/11 12:00:00 2021/05/11 07:09:51 UV 2.16.840.1.113883.3.9174 dag Dermatology Associates of Georgia OID Root Debra Mollohan masked Debra Mollohan 4043214600 masked Administrator Dermatology Assc. of Georgia, LLC 1951 Clairmont Road Decatur, GA 30033 4043214600 debram@dermga.com https://dermga.com Provider Int 3 Complete 2021/05/10 12:00:00 2021/05/11 12:00:00 2021/05/11 07:11:46 UV 2.16.840.1.113883.3.9175 theRichlandHospital The Richland Hospital Luke Moerer masked Jerry Cooper Luke Moerer 6086476321 masked The Richland Hospital luke.moerer@richlandhospital.com https://richlandhospital.com Provider Int 3 Complete 2021/05/11 12:00:00 2021/05/11 12:00:00 2021/05/11 07:26:28 UV 2.16.840.1.113883.3.9176 axis Axis Health System Chuck Southcotte masked Chuck Southcotte 185 Suttle Drive Durango, CO 81301 19703352212 masked Sr. Director IT Axis Health System 185 Suttle Drive Durango, CO 81301 19703352212 csouthcotte@axishealthsystem.org https://www.axishealthsystem.org/ Provider Int 3 Complete 2021/05/11 12:00:00 2021/05/11 12:00:00 2021/05/11 07:30:26 UV 2.16.840.1.113883.3.9177 rmchcscernerEHR RMCHCS Cerner David Hodges masked David Hodges 5057267058 masked CIO RMCHCS 1901 Red Rock Drive Gallup, New Mexico 87301 505-863-7154 kluther@rmchcs.org Prof Soc Int 3 Complete 2021/05/12 12:00:00 2021/05/12 12:00:00 2021/05/12 11:30:55 UV 2.16.840.1.113883.3.9178 mbfnp Mark Baravik FNP LLC Family Practice Mark Baravik masked Mark Baravik 13710 E Rice PL Aurora, CO 80015 3035365020 masked Owner Mark Baravik FNP LLC Family Practice 13710 E Rice PL Aurora, CO 80015 303-536-5020 mb740@msn.com https://www.advancedhealthsolutionsusa.com Provider Int 3 Complete 2021/05/12 12:00:00 2021/05/12 12:00:00 2025/06/03 10:41:58 UV 2.16.840.1.113883.4.979 conversa-health Conversa Health Cameron Ough masked Cameron Ough 734 NW 14th Avenue Portland, OR 97209 5036547306 masked Chief Technology Officer Conversa Health cam@conversahealth.com https://conversahealth.com Vendor Int 3 Complete 2021/05/12 12:00:00 2021/05/12 12:00:00 2021/05/12 11:44:50 UV 2.16.840.1.113883.3.9179 medical-center-hospital Medical Center Hospital Clemens Pangan masked Clemens Pangan 500 W. 4th St. Odessa, TX 79761 4326401476 masked Integration Architect Medical Center Hospital 500 W. 4th St. Odessa, TX 79761 4326401476 cpangan@echd.org https://www.mchodessa.com/ Provider Int 3 Complete 2021/05/12 12:00:00 2021/05/12 12:00:00 2021/05/12 11:49:00 UV 2.16.840.1.113883.3.9180 umcpag2 UMC Physicians Advanced Gastro 2 Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Parkway Suite 160 Lubbock, TX 79409 806-761-0333 masked Director, Business Services UMCP Advanced Gastro 2 3502 9th Street Suite 240 Lubbock, TX 79415 806-761-0521 yvette.hinojosa@umchealthsystem.com https://www.umchealthsystem.com Govt body Int 3 Complete 2021/05/12 12:00:00 2021/05/12 12:00:00 2021/05/12 11:56:07 UV 2.16.840.1.113883.3.9181 ppgh Palo Pinto General Hospital Allison Yowell masked Chasity Wilcox Shane Coleman 400 SW 25th Ave, Mineral Wells, TX 76067 9403257891 masked COO/CIO Palo Pinto General Hospital 400 SW 25th Ave, Mineral Wells, TX 76067 9403257891 scoleman@ppgh.com https://ppgh.com/ Provider Int 3 Complete 2021/05/12 12:00:00 2021/05/13 12:00:00 2021/05/13 12:00:59 UV 2.16.840.1.113883.3.9182 amaveca-salud Amaveca Salud S.L Mariano L&#243;pez masked Juan Carlos Martin Afan de Rivera C/ Pontevedra, 1 14900 Lucena (C&#243;rdoba) 957136146 masked CEO Amaveca Salud S.L C/ Pontevedra, 1 14900 Lucena (C&#243;rdoba) 610113859 mariano.lopez@grupoviatek.com https://www.amavecasalud.es Provider Int 3 Deprecated 2021/05/13 12:00:00 2021/05/13 12:00:00 2021/06/04 08:17:57 UV 2.16.840.1.113883.3.9183 tPrM Ted J Puls MD PC Renee Espinoza-Atencio masked Renee Espinoza-Atencio 1619 N Greenwood #208 Pueblo, CO 81003 17195614336 masked Ted Puls MD PC 1619 N Greenwood #208 Pueblo, CO 81003 17195614336 pulsmdmannmd@msn.com Provider Int 3 Complete 2021/05/14 12:00:00 2021/05/15 12:00:00 2021/05/15 12:34:39 UV 2.16.840.1.113883.3.9184 rmt Rocky Mountain Internal Medicine Firouz Karimov masked Firouz Karimov 1360 S. Potomac St., Aurora, CO 80012 7202482005 masked Director of Operations Rocky Mountain Internal Medicine 1360 S. Potomac St., Aurora, CO 80012 3033375575 fkarimov@rmimpc.com http://www.rmimpc.com Provider Int 3 Complete 2021/05/17 12:00:00 2021/05/20 12:00:00 2021/05/20 10:40:26 UV 2.16.840.1.113883.3.9185 wa-01 Washsense Clinical Vincent Fusca masked Vincent Fusca 60 Park Street, Springfield, VT 05156 8022491890 masked CRO Washsense Inc. 60 Park Street, Springfield, VT 05156 8008033309 info@washsense.com https://www.washsense.com/washsense/ Vendor Int 3 Complete 2021/05/17 12:00:00 2021/05/20 12:00:00 2021/05/20 10:45:04 UV 2.16.840.1.113883.17.8789 svhs Valley Health Specialty Hospital OID Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 16103824375 masked Manager - Interfaces Valley Health Specialty Hospital 656 West Patrick Lane, Las Vegas, NV 89148 (702) 777-7100 alesia.childs@uhsinc.com https://valleyhealthspecialty.com/ Provider Int 17 Complete 2021/05/19 12:00:00 2021/05/20 12:00:00 2021/05/20 10:50:01 UV 2.16.840.1.113883.3.9186 wcdhd West Central District Health Department Shannon Vanderheiden masked Shannon Vanderheiden 1225 S Poplar Suite 100 North Platte, NE 69101 308-696-1201 masked Executive Director West Central District Health Department 1225 S Poplar Suite 100 North Platte, NE 69101 308-696-1201 vanderheidens@wcdhd.org Provider Int 3 Complete 2021/05/19 12:00:00 2021/05/20 12:00:00 2021/05/20 10:54:30 UV 2.16.840.1.113883.3.9187 brightree-llc Brightree OID John Daniels masked Harold Lownds 125 Technology Pkwy, Peachtree Corners, GA 30092 678.243.1800 masked Brightree LLC 125 Technology Pkwy, Peachtree Corners, GA 30092 678.243.1800 hl7@brightree.com https://www.brightree.com Exchange Int 3 Complete 2021/05/21 12:00:00 2021/05/21 12:00:00 2021/05/21 10:47:24 UV 2.16.840.1.113883.3.9188 chaudhuriHealthix Chaudhuri & Chaudhuri for Healthix Prashant Patel masked Jayanta Chaudhuri Prashant Patel 516 242 6153 masked EMR Consultant Chaudhuri & Chaudhuri 4525 Witmer Road Niagara Falls, NY 14305 7168034867 jayantachaudhuri@hotmail.com Provider Int 3 Complete 2021/05/21 12:00:00 2021/05/21 12:00:00 2021/05/21 10:53:21 UV 2.16.840.1.113883.3.9189 truthPharm TruthPharm Kenneth Green masked Ken E Green 33 Lewis Rd Binghamton, NY 13901 6072402586 masked IT Program Manager Truth Pharm 49 Pine St Suite 6 Binghamton, NY 13901 60724963016 info@truthpharm.org https://truthpharm.org/ Provider Int 3 Complete 2021/05/21 12:00:00 2021/05/21 12:00:00 2021/05/21 11:00:26 UV 2.16.840.1.113883.3.9190 apuu Adult & Pediatric Urology, PC Donna Ring masked Donna Ring 10707 Pacific St Ste 101 Omaha, NE 68114 402-399-7820 masked Clinical Operations Manager Adult & Pediatric Urology, PC 10707 Pacific St. Ste 101 Omaha, NE 68114 402-397-7989 information@adultpediatricuro.com https://adultpediatricuro.com/ Provider Int 3 Complete 2021/05/24 12:00:00 2021/05/25 12:00:00 2021/05/25 11:57:41 UV 2.16.840.1.113883.3.9191 hRFMCO Highlands Ranch Family Medicine Dahlia Ferrer masked Dahlia Ferrer 720-328-6147 masked Administrator Highlands Ranch Family Medicine 537 W Highlands Ranch Pkwy #102, Highlands Ranch, CO 80129 720-328-6147 ferrer_dahlia@yahoo.com Provider Int 3 Complete 2021/05/24 12:00:00 2021/05/26 12:00:00 2021/05/26 12:09:40 UV 2.16.840.1.113883.3.9192 fMRockies Family Medicine of the Rockies Dahlia Ferrer masked Dahlia Ferrer 303-369-7752 masked Administrator Family Medicine of the Rockies 10650 E Garden Dr #104, Aurora, CO 80012 3033697752 ferrer_dahlia@yahoo.com Provider Int 3 Complete 2021/05/24 12:00:00 2021/05/26 12:00:00 2021/05/26 12:16:33 UV 2.16.840.1.113883.3.9193 arthurcenter East Central Missouri Behavioral Health Services Inc. Darin Hobbs masked Darin Hobbs 340 Kelley Parkway Mexico, MO 65265 5737211768 masked Information Technology Manager East Central Missouri Behavioral Health Services Inc. 340 Kelley Parkway Mexico, MO 65265 573-581-1196 dhobbs@arthurcenter.com https://arthurcenter.com Provider Int 3 Complete 2021/05/25 12:00:00 2021/05/26 12:00:00 2021/05/26 12:26:44 UV 2.16.840.1.113883.3.9194 srmc-usvi Schneider Regional Medical Center Keith Abraham masked Keith Abraham 9048 Sugar Estate St. Thomas, USVI 00802 3406907713 masked Assistant Director of Information Services Schneider Regional Medical Center 9048 Sugar Estate St. Thomas, USVI 00802 3407768311 klabraham@srmedicalcenter.org https://www.srmedicalcenter.org Provider Int 3 Complete 2021/05/25 12:00:00 2021/05/26 12:00:00 2021/05/26 12:35:06 UV 2.16.840.1.113883.3.9195 msci Cutaneous Oncology Services LLC dba The Melanoma And Skin Cancer Institute Ryan Weight masked Ryan Weight 499 E Hampden Avenue Suite 130 Englewood, CO 80113 7203168091 masked Owner/Member Cutaneous Oncology Services LLC dba The Melanoma And Skin Cancer Institute 499 E Hampden Avenue Suite 130 Englewood, CO 80113 7203168091 ryan.weight@theskincancerinstitute.com Provider Int 3 Complete 2021/05/26 12:00:00 2021/05/26 12:00:00 2021/05/26 08:36:50 UV 2.16.840.1.113883.3.9196 pennStateHPD Penn State Health Hampden Medical Center OID Root Laurence Goolsby masked Darrell Walter 500 University Drive Hershey, PA 17033 717-531-0003 x284270 masked Senior Director, Data Officer Penn State Health 500 University Drive Hershey, PA 17033 800-243-1455 dwalter1@pennstatehealth.psu.edu https://www.pennstatehealth.org/ Provider Int 3 Complete 2021/05/27 12:00:00 2021/05/28 12:00:00 2021/05/28 09:23:27 UV 2.16.840.1.113883.17.8790 ctcCommunicationsCorp CTC Communications Corporation Brian Wong masked Brian Wong 2110 Matheson Blvd East, Suite 200, Mississauga, ON L4W 5E1 905-712-3636 masked IT Manager CTC Communications Corporation 2110 Matheson Blvd East, Suite 200, Mississauga, ON L4W 5E1 905-712-3636 bwong@ctccomm.com https://ctccomm.com Vendor Int 17 Complete 2021/05/31 12:00:00 2021/05/31 12:00:00 2021/05/31 05:29:02 UV 2.16.840.1.113883.3.9197 gits GuaranteedITSolutions Julie Olender masked Julie Olender 319 NE 14 Ave 202 Hallandale Beach, FL 33009 6462695705 masked GuaranteedITSolutions 319 NE 14 Ave 202 Hallandale Beach, FL 33009 6462695705 julie.olender@accureference.com Vendor Int 3 Complete 2021/06/02 12:00:00 2021/06/04 12:00:00 2021/06/04 08:37:23 UV 2.16.840.1.113883.4.980 oasisbhaz Oasis Behavioral Health Robert Webb masked Robert Webb 2190 North Grace Blvd Chandler, AZ 85225 4803885650 masked Director of Business Development Oasis Behavioral Health 2190 North Grace Blvd, Chandler, AZ 85296 480-917-9301 Robert.Webb@obhhospital.com https://www.obhhospital.com Provider Int 3 Complete 2021/06/03 12:00:00 2021/06/04 12:00:00 2021/06/04 08:55:30 UV 2.16.840.1.113883.17.8791 anaccar ANAC Cardiology Anacotes WA Cara Simington masked Cara Simington 541-997-1496 masked ANAC Cardiology Anacotes WA 1017 20th st. Anacortes, WA 98221-2505 360-734-2700 lbosman@peacehealth.org Provider Int 17 Complete 2021/06/03 12:00:00 2021/06/04 12:00:00 2021/06/04 09:04:09 UV 2.16.840.1.113883.3.9198 snellsELR Snell's Pharmacy Shop Electronic Laboratory Reporting Benjamin Snell masked Benjamin Snell 1015 E. Young St. Pocatello, ID 83201 208-232-0049 masked Owner Ed Snell's Pharmacy Shop 1015 E. Young St. Pocatello, ID 83201 208-232-0049 bens@edsnellspharmacy.com https://www.edsnellspharmacy.com Provider Int 3 Complete 2021/06/03 12:00:00 2021/06/04 12:00:00 2021/06/04 08:44:56 UV 2.16.840.1.113883.3.9199 chgj Community Hospital, Grand Junction Colorado Jeremiah Klein masked Colorado West Healthcare Systems, DBA Community Hospital Jeremiah Klein 2351 G Road Grand Junction, CO 81505 9706443500 masked Interface Engineer Colorado West Healthcare Systems, DBA Community Hospital 2351 G Road Grand Junction, CO 81505 9706443500 ithelpdesk@gjhosp.org https://yourcommunityhospital.com/ Provider Int 3 Complete 2021/06/04 12:00:00 2021/06/04 12:00:00 2021/06/04 08:46:28 UV 2.16.840.1.113883.17.8792 crmc Crockett Medical Center Interface Systems IT Manager masked Capstone Works 715 Discovery Blvd Suite 101 Cedar Park, TX 78613 512-343-8891 masked IT Company Crockett Medical Center 1100 E Loop 304 Crockett, TX 75835 936-546-3891 d.curry@crockettmedicalcenter.com Provider Int 17 Complete 2021/06/04 12:00:00 2021/06/04 12:00:00 2021/06/04 09:08:29 UV 2.16.840.1.113883.3.9200 oms-evc Office Management Solution Inc Renji Mathew masked Renji Mathew 13330 Lanoue St, Windsor, ON N8N 5E1 519 962 9057 ex 104 masked OMS Inc 13330 Lanoue St, Windsor, ON N8N 5E1 519 962 9057 info@evisioncare.com https://www.evisioncare.com Provider Int 3 Complete 2021/06/07 12:00:00 2021/06/10 12:00:00 2021/06/10 12:05:34 CA 2.16.840.1.113883.3.9201 aravaconnectivity Arthritis and Rheumatism Associates, P.C. Ana ReyesCartagena masked Anne Wellington Goldsmith 8270 Willow Oaks Corporate Drive Suite 150 Fairfax, VA 22031 3019427600 masked Chief Operations Officer Arthritis and Rheumatism Associates, P.C 8270 Willow Oaks Corporate Drive Suite 150 Fairfax, VA 22031 301-942-7600 awellington@arapc.com http://www.arapc.com Provider Int 3 Complete 2021/06/07 12:00:00 2021/06/10 12:00:00 2021/06/10 12:08:30 UV 1.2.392.200036.9111.370 jp-GEHCD GE Healthcare Japan HCD Object for OID Registration Sites Chika Yoshimura masked Kazuhiko Chiba 08031549340 masked ?wainet japan gehcj-support-awainet@ge.com Vendor Ext 3 Complete 1.2.392.200036.9111.370 2021/06/07 12:00:00 2021/06/10 12:00:00 2021/06/10 12:22:38 UV 2.16.840.1.113883.3.9202 cma CHILDREN'S MEDICAL ASSOCIATES OF NORTHERN VIRGINIA, P.C. Gabriel Snead masked Gabriel Snead 4148 Mendenhall Oaks PKWY High Point, NC 27265 8668746339 masked CHILDREN'S MEDICAL ASSOCIATES OF NORTHERN VIRGINIA, P.C. 6303 Little River Turnpike, #300 Alexandria, VA 22312 7039148989 cmanvala@aol.com https://www.cmanva.com/ Provider Int 3 Complete 2021/06/09 12:00:00 2021/06/10 12:00:00 2021/06/10 12:11:48 US 2.16.840.1.113883.3.9203 sCMH2 Sullivan County Memorial Hospital Vern Johnson masked Vern Johnson 630 W. 3rd St. Milan, MO 63556 660-265-4212 masked IT Director Sullivan County Memorial Hospital 630 W. 3rd St. Milan, MO 63556 660-265-4212 vernjohnson@scmhospital.org https://scmhospital.org Provider Int 3 Complete 2021/06/10 12:00:00 2021/06/12 12:00:00 2021/06/12 12:24:15 UV 2.16.840.1.113883.3.9204 miumapeds Miu K. MA, MD Owen Carey masked Owen J Carey 1945 Morris Ave Suite 11 Union, NJ 07083 2016590316 masked Director of IT Miu K. MA, MD 128 Mott Street Suite 603 New York, NY 10013 2127322638 mkm123456@yahoo.com Provider Int 3 Complete 2021/06/10 12:00:00 2021/06/12 12:00:00 2021/06/12 12:28:11 UV 2.16.840.1.113883.3.9205 empi Civica EMPI Cindy Treadwell masked Landon Wright 318-998-2705 masked IT Chief Information Officer Vantage Health Plan 130 Desiard Street Suite 300 Monroe, LA 71201 (318) 361-0900 ctreadwell@vhpla.com https://vantagehealthplan.com Provider Int 3 Complete 2021/06/10 12:00:00 2021/06/12 12:00:00 2021/06/12 12:35:17 UV 2.16.840.1.113883.3.9206 zus Zus Health Evan Grossman masked Evan Grossman 101 Walnut St Zeus c/o Firefly 6174294843 masked COO Zus Health 101 Walnut St Zeus c/o Firefly 6174294843 egrossman@usa.net Vendor Int 3 Complete 2021/06/10 12:00:00 2021/06/12 12:00:00 2021/06/12 12:47:01 UV 2.16.840.1.113883.3.9207 swissRe Swiss Re Identifier Jolee Crosby masked Jolee Crosby Attn: Swiss Re 175 King St Armonk, NY 10504 9148288335 masked Head Global L&H UW & Medical, Managing Director Swiss Re Attn: Swiss Re 175 King St Armonk, NY 10504 9148288335 erin_mcclintock@swissre.com https://www.swissre.com/ Vendor Int 3 Complete 2021/06/15 12:00:00 2021/06/16 12:00:00 2021/06/16 11:45:04 UV 2.16.840.1.113883.3.9208 tcmh-rhc Throckmorton County Memorial Hospital & Rural Health Clinic Karla Benson masked Karla Benson 9408492151 masked Throckmorton County Memorial Hospital PO Box 729 Throckmorton, TX 76483 9408492151 kbenson@throckmortonhospital.com Provider Int 3 Complete 2021/06/16 12:00:00 2021/06/16 12:00:00 2021/06/16 11:51:53 UV 2.16.840.1.113883.3.9209 ab-Bluecross Alberta Blue Cross Ronald Padayas masked Ronald Padayas 10009-108 Street Edmonton, Alberta T5J 3C5 7804987325 masked IT Director - Claims & Enterprise Applications Alberta Blue Cross 10009-108 Street Edmonton, Alberta T5J 3C5 7804987325 rpadayas@ab.bluecross.ca Payor Int 3 Complete 2021/06/16 12:00:00 2021/06/16 12:00:00 2021/06/16 11:55:32 UV 2.16.840.1.113883.3.9210 cnguidance CN Guidance Ronaldo Landas masked Ronaldo Landas 950 South Oyster Bay Road, Hicksville, NY 11801 5168226111 masked CN Guidance 950 South Oyster Bay Road, Hicksville, NY 11801 5168226111 rlandas@centralnassau.org https://www.centralnassau.org Provider Int 3 Complete 2021/06/16 12:00:00 2021/06/17 12:00:00 2021/06/17 12:06:35 UV 2.16.840.1.113883.3.9211 pinrheart Pioneer Heart Institute Five Nines masked Brett Faulder 6940 Van Dorn St #201, Lincoln, NE 68506 402-486-7402 masked I.T. Pioneer Heart Institute 6940 Van Dorn St #201, Lincoln, NE 68506 (402) 413-6363 jmendoza@pioneerheart.com https://pioneerheart.com/ Provider Int 3 Complete 2021/06/17 12:00:00 2021/06/18 12:00:00 2021/06/18 10:04:04 UV 2.16.840.1.113883.3.9212 slhsbsp Saint Luke's Bishop Spencer Place Lindsey McFetridge masked Lindsey McFetridge 901 E. 104th St. Kansas City, MO 64131 8165999346 masked Director, Information Services Saint Luke's Bishop Spencer Place 4301 Madison Ave, Kansas City, MO 64111 8169314277 https://bishopspencerplace.org/connect-with-us/contact/ https://bishopspencerplace.org Provider Int 3 Complete 2021/06/17 12:00:00 2021/06/18 12:00:00 2021/06/18 10:06:59 UV 2.16.840.1.113883.3.9213 kthfs Klamath Tribal Health & Family Services Jim Miller masked Jim Miller 3949 S 6th St Klamath Falls, OR 97603 541-882-1487, ext 340 masked EHR Coordinator Klamath Tribal Health & Family Services 3949 S 6th St Klamath Falls, OR 97603 541-882-1487 Jim.Miller@klm.portland.ihs.gov Govt body Int 3 Complete 2021/06/18 12:00:00 2021/06/18 12:00:00 2021/06/18 10:10:30 UV 2.16.840.1.113883.3.9214 scch-mu-oid SCCH MU OID Hap Beckes masked Hap Eric Beckes 2200 N Section Street PO Box 10 Sullivan, IN 47882 8122682641 masked Sullivan County Community Hospital 2200 N Section Street PO Box 10 Sullivan, IN 47882 8122684311 administrator@schosp.com http://www.schosp.com Provider Int 3 Complete 2021/06/21 12:00:00 2021/06/23 12:00:00 2021/06/23 12:17:37 UV 2.16.840.1.113883.17.8793 flnoaud FLNO Audiology - Vancouver, WA Cara Simington masked Cara Simington 5419971496 masked PeaceHealth Medical Group 417 SE 164th Ave STE 300 Vancouver, WA 98683 360-256-425 flockman@peachealth.org Provider Int 17 Complete 2021/06/21 12:00:00 2021/06/23 12:00:00 2021/06/23 12:31:12 UV 2.16.840.1.113883.17.8794 flnoent FLNO Otolaryngology Vancouver WA Cara Simington masked Cara Simington 5419971496 masked PeaceHealth Medical Group 417 SE 164th Ave STE 300 Vancouver, WA 98683 360-256-4425 FLockman@peacehealth.org Provider Int 17 Complete 2021/06/21 12:00:00 2021/06/23 12:00:00 2021/06/23 12:38:21 UV 2.16.840.1.113883.3.9215 cphs ChesPenn Health Services Howard Hudson masked Karen Breitmayer 1510 Chester Pike Suite 200 Eddystone, PA 19022 610-485-3800 masked Director of Grants, Data and Project Management ChesPenn Health Services 1510 Chester Pike Suite 200 Eddystone, PA 19022 610-485-3800 kbreitmayer@chespenn.org http://www.chespenn.org Provider Int 3 Complete 2021/06/22 12:00:00 2021/06/23 12:00:00 2021/06/23 12:47:52 UV 2.16.840.1.113883.3.9216 mondo Mondo Disease Ontology (Mondo) Nicole Vasilevsky masked Davera Gabriel Nicole Vasilevsky 5038066900 masked Visiting Associate Research Professor University of Colorado 1635 Aurora Ct, Aurora, CO 80045 808-391-5378 audrey.wen@CUAnschutz.edu Academic Int 3 Complete 2021/06/22 12:00:00 2021/06/23 12:00:00 2021/06/23 01:12:53 UV 2.16.840.1.113883.3.9217 atc-flag Aspire Transitional Care Ally Kovac masked Paula Reese 605-626-1545 masked Aspire Transitional Care 1521 N Pine Cliff Drive Flagstaff, AZ 86001 605-626-1545 paula.reese@thegoodmangroup.com https://aspiretransitionalcare.org/ Provider Int 3 Complete 2021/06/23 12:00:00 2021/06/23 12:00:00 2021/06/23 07:13:39 UV 2.16.840.1.113883.3.9218 tphar The Peaks Health and Rehabilitation Ally Kovac masked Paula Reese 605-626-1545 masked The Peaks Health and Rehabilitation 3150 North Winding Brook Road Flagstaff, AZ 86001 605-626-1545 paula.reese@thegoodmangroup.com https://thepeaks.org/ Provider Int 3 Complete 2021/06/23 12:00:00 2021/06/23 12:00:00 2021/06/23 07:18:21 UV 2.16.840.1.113883.3.9219 hpw-wyoming Hospital Pharmacy West Medical Laboratory Matthew Meyer masked Hospital Pharmacy West Matthew Meyer 1333 W 5th Street STE 107 Sheridan, WY 82801 3076733188 masked Owner/PIC/Lab Director Hospital Pharmacy West 1333 W 5th Street STE 107 Sheridan, WY 82801 3076733188 hospitalpharmacywest1@gmail.com https://www.hpwest.org Provider Int 3 Complete 2021/06/24 12:00:00 2021/06/25 12:00:00 2021/06/25 09:56:28 UV 2.16.840.1.113883.3.9220 nycremsco Regional EMS Council of NYC Inc. Joseph Raneri masked Joseph Raneri 475 Riverside Drive Suite 1929 New York, NY 10115 2128702301 masked Data Integration Coordinator Regional EMS Council of NYC Inc. 475 Riverside Drive Suite 1929 New York, NY 10115 2128702301 jraneri@nycremsco.org https://www.nycremsco.org Provider Int 3 Complete 2021/06/24 12:00:00 2021/06/25 12:00:00 2021/06/25 10:06:10 UV 2.16.840.1.113883.3.9221 dfdrmc DFD Russell Medical Center Anna Rodrigue masked Anna Rodrigue DFD Russell Medical Center 180 Church Hill Road Leeds, ME 04263 207-524-3501 masked Director of IT DFD Russell Medical Center 180 Church Hill Road Leeds, ME 04263 207-524-3501 administration@dfdrussell.org https://www.dfdrussell.org Provider Int 3 Complete 2021/06/29 12:00:00 2021/06/30 12:00:00 2021/06/30 10:15:54 UV 2.16.840.1.113883.17.8795 nnsmc Northern Nevada Sierra Medical Center OID Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Manager - Interfaces Northern Nevada Sierra Medical Center 625 Innovation Dr Reno, NV 89511 (775) 331-7000 alesia.childs@uhsinc.com https://www.nnmc.com Provider Int 17 Complete 2021/06/30 12:00:00 2021/06/30 12:00:00 2021/06/30 10:25:57 UV 2.16.840.1.113883.3.9222 osghd OSGHD Benjamin Cobb masked Benjamin Cobb 9723527156 masked OSG operations@osgcorp.com Vendor Int 3 Complete 2021/07/01 12:00:00 2021/07/09 12:00:00 2021/07/09 04:13:19 UV 2.16.840.1.113883.3.9223 amador Amador Health Center Ronald Fitzherbert masked Ronald Fitzherbert P.O. Box 2243 Las Cruces, NM 88004-2243 575-527-5482 masked Compliance Officer Amador Health Center 999 W. Amador Ave., Suite A Las Cruces, NM 88005 575-527-5482 itadmin@amadorhealthcenter.org https://amadorhealth.og Provider Int 3 Complete 2021/07/01 12:00:00 2021/07/09 12:00:00 2021/07/09 04:14:46 UV 2.16.840.1.113883.3.9224 crw-oid Crossroads OID Root Teresa Bendokas-Henfeld masked Teresa Bendokas-Heinfeld 2077739931 masked Director of Systems and Technology Crossroads 71 US Route 1 Suite E Scarborough, ME 04074 2077739931 it@crossroadsme.org https://crossroadsme.org/ Provider Int 3 Complete 2021/07/06 12:00:00 2021/07/09 12:00:00 2021/07/09 04:25:59 UV 2.16.840.1.113883.3.9225 sparcc Spine, Pain & Rehabilitation Center of Colorado Drew Ramos masked Drew/Gin-Ming Hsu 2480 S Downing St. #210 Denver, CO 80210 3032827772 masked Manager Spine, Pain & Rehabilitation Center of Colorado 2480 S Downing St #210 Denver, CO 80210 3032827772 manager@sparcofcolorado.com https://sparcofcolorado.com Provider Int 3 Complete 2021/07/06 12:00:00 2021/07/09 12:00:00 2021/07/09 04:29:57 UV 2.16.840.1.113883.3.9226 sechd Southeast Colorado Hospital District Chris Westphal masked Chris Westphal 373 E 10th Ave. Springfield, CO 81073 719-523-2024 masked IT Director Southeast Colorado Hospital District 373 E 10th Ave. Springfield, CO 81073 719-523-4501 cwestphal@sechosp.org https://www.sechosp.org/ Provider Int 3 Complete 2021/07/07 12:00:00 2021/07/09 12:00:00 2021/07/09 04:35:16 UV 2.16.840.1.113883.3.9227 hopeclinic Hope Clinic Root OID Sam Lock masked Sam Lock 3650 N Hwy 77, Waxahachie, TX 75165 8005602485 masked IT Support Hope Clinic 411 E Jefferson St., Waxahachie, TX 75165 9729232440 gphillips@call4hope.org https://www.call4hope.org Provider Int 3 Complete 2021/07/09 12:00:00 2021/07/10 12:00:00 2021/07/10 11:45:12 UV 2.16.840.1.113883.3.9228 bfhc Bandera Family Health Care Imelda Higle masked Imelda Higle 7579 N. Loop 1604 W. San Antonio, Texas 78249 2107930333 masked Executive Assistant Bandera Family Health Care 7579 N. Loop 1604 W San Antonio, Texas 78249 2102184918 drzayas@banderafamily.com https://banderafamily.com Provider Int 3 Complete 2021/07/09 12:00:00 2021/07/10 12:00:00 2021/07/10 11:47:57 UV 2.16.840.1.113883.3.9229 lead-out-root Lead Out Software root OID Wesley Hull masked Wesley Hull 770-919-5335 masked Lead Out Software 935 Forrest Street Suite A Roswell, GA 30075 770-919-5335 support@leadoutsoftware.com https://www.leadoutsoftware.com Vendor Int 3 Complete 2021/07/12 12:00:00 2021/07/12 12:00:00 2021/07/12 10:25:22 UV 2.16.840.1.113883.3.9230 capc-p Colorado Adult Primary Care Christopher Trujillo masked Christopher Trujillo 111 W. Evans Ave Pueblo, CO 81004 7195421000 masked CEO, NP Chris Trujillo, INC DBA Colorado Adult Primary Care 111 W. Evans Ave Pueblo, CO 81004 7195421000 chrisdtrujillo@comcast.net Provider Int 3 Complete 2021/07/13 12:00:00 2021/07/13 12:00:00 2021/07/13 10:10:36 UV 1.3.6.1.4.1.34537 conehealth The Moses H. Cone Memorial Hospital Operating Corporation. Dee Davis masked James Waite Dee Tastet-Davis c/o ITS Integration 1200 N. Elm Street Greensboro, NC 27401 3368402000 masked Systems Manager, Integration The Moses H. Cone Memorial Hospital Operating Corporation c/o ITS 1200 N. Elm Street Greensboro, NC 27401 3368402000 interface.support@conehealth.com http://www.conehealth.com Provider Ext 3 Complete 1.3.6.1.4.1.34537 2021/07/13 12:00:00 2021/07/13 12:00:00 2021/07/13 10:17:16 US 2.16.840.1.113883.3.9231 ppaar Peoria Post Acute and Rehabilitation Ally Kovac masked Josh Bigoss 949-444-6777 masked Peoria Post Acute and Rehabilitation 13215 North 94th Drive Peoria, AZ 85381 949-444-6777 JBigoss@EnsignServices.net http://peoriapostacute.com/ Provider Int 3 Complete 2021/07/14 12:00:00 2021/07/15 12:00:00 2021/07/15 11:10:21 UV 2.16.840.1.113883.3.9232 lpparc Lake Pleasant Post Acute Rehabilitation Center Ally Kovac masked Josh Bigoss 949-444-6777 masked Lake Pleasant Post Acute Rehabilitation Center 20625 N Lake Pleasant Rd Peoria, AZ 85382 949-444-6777 JBigoss@EnsignServices.net https://www.lakepleasanthealthcare.com/ Provider Int 3 Complete 2021/07/14 12:00:00 2021/07/15 12:00:00 2021/07/15 11:13:10 UV 2.16.840.1.113883.3.9233 rvpaar Rio Vista Post Acute and Rehabilitation Ally Kovac masked Josh Bigoss 949-444-6777 masked Rio Vista Post Acute and Rehabilitation 10323 W Olive Ave Peoria, AZ 85345 949-444-6777 JBigoss@EnsignServices.net https://riovistapa.com/ Provider Int 3 Complete 2021/07/14 12:00:00 2021/07/15 12:00:00 2021/07/15 11:15:01 UV 2.16.840.1.113883.3.9234 rrh3251 Rock Regional Hospital Lori Tackett masked Lori Tackett Lori Tackett 3251 N Rock Rd. Derby, KS 67037 3164252400 masked RN CNO Rock Regional Hospital 3251 N. Rock Rd. Derby, KS 67037 3164252400 LTackett@RRHDerby.com https://rockregionalhospitalderby.com/ Provider Int 3 Complete 2021/07/14 12:00:00 2021/07/15 12:00:00 2021/07/15 11:24:37 UV 2.16.840.1.113883.3.9235 nmmarc North Mountain Medical & Rehab Center Ally Kovac masked Josh Bigoss 949-444-6777 masked North Mountain Medical & Rehab Center 9155 N 3rd St Phoenix, AZ 85020 949-444-6777 JBigoss@EnsignServices.net https://www.northmountain.net/ Provider Int 3 Complete 2021/07/14 12:00:00 2021/07/15 12:00:00 2021/07/15 11:28:45 UV 2.16.840.1.113883.3.9236 shc-paz Suncrest Health Care Ally Kovac masked Samantha Fairley 602-305-7134 masked Suncrest Health Care 2211 East Southern Avenue Phoenix, AZ 85040 602-305-8862 sfairley@suncresthealthcareinc.com http://www.suncresthealthcareinc.com/home.html Provider Int 3 Complete 2021/07/14 12:00:00 2021/07/15 12:00:00 2021/07/16 10:26:57 UV 2.16.840.1.113883.3.9237 smchc-data SMCHC HIE OID Chris Miller masked Chris Miller 1137 Independence Drive West Plains, MO 65775 USA 4172558464 masked IT Systems Operations Manager Southern Missouri Community Health Center (SMCHC) 1137 Independence Drive West Plains, MO 65775 USA 4172558464 contact@smchc.org https://www.smchc.org/ Provider Int 3 Complete 2021/07/14 12:00:00 2021/07/15 12:00:00 2021/07/15 11:46:15 UV 2.16.840.1.113883.3.9238 renaissanceNEUROMOBII DHR Health Neuroscience Institute Neurology OID Root Marie Rios masked Josefina Castillo 2821 Michael Angelo Drive, Ste 200 Edinburg, TX 78539 956-662-9043 masked Office Manager DHR Health Neuroscience Institute Neurology 2821 Michael Angelo Drive, Ste 200 Edinburg, TX 78539 956-362-8100 josef.castillo@dhr-rgv.com Provider Int 3 Complete 2021/07/16 12:00:00 2021/07/16 12:00:00 2021/07/16 10:12:33 UV 2.16.840.1.113883.3.9239 mc-root-OID MedCurrent Root OID Hasan Dharamshi masked Hasan Dharamshi 350 Bay Street Suite 1300 Toronto, Ontario, Canada M5H 2S6 18553793380 masked COO MedCurrent Corporation 350 Bay Street Suite 1300 Toronto, Ontario, Canada M5H 2S6 18553793380 Hasan.dharamshi@medcurrent.com https://www.medcurrent.com Vendor Int 3 Complete 2021/07/19 12:00:00 2021/07/21 12:00:00 2021/07/21 11:15:20 UV 2.16.840.1.113883.3.9240 srd-1 Savannah River Dermatology, LLC Tammy Covington masked Tammy Covington Tammy Covington 575 Furys Ferry Rd Martinez, GA 30907 7066917079 masked Savannah River Dermatology, LLC 7066917079 tammy@srderm.com https://www.srderm.com Provider Int 3 Complete 2021/07/19 12:00:00 2021/07/21 12:00:00 2021/07/21 11:20:00 UV 2.16.840.1.113883.3.9241 petal Petal IT Petal masked Mathieu Cantin 5819822493 masked Chapter Lead DevOps Petal 350 Charest E Blvd, 3rd Floor, Quebec City, Quebec G1K 3H5 1-888-949-8601 it@petalmd.com https://www.petal-health.com Provider Int 3 Complete 2021/07/19 12:00:00 2021/07/21 12:00:00 2021/07/21 11:30:18 UV 2.16.840.1.113883.3.9242 dodd Ohio Department of Developmental Disabilities Kim Lewis masked Edward Carr 30 E. Broad St., 12th Floor Columbus, Ohio 43215 614-466-2201 masked CIO Ohio Department of Developmental Disabilities 30 E. Broad St., 12th Floor Columbus, Ohio 43215 614-466-2809 Kim.Lewis@dodd.ohio.gov Govt body Int 3 Complete 2021/07/20 12:00:00 2021/07/21 12:00:00 2021/07/21 11:28:54 UV 2.16.840.1.113883.3.9243 usqhin USQHIN Object Identifier Doug Dietzman masked USQHIN Help Desk United States QHIN (USQHIN): 5222 33rd St SE, Grand Rapids, MI 49512 833-792-0582 masked Help Desk USQHIN United States QHIN (USQHIN): 5222 33rd St SE, Grand Rapids, MI 49512 833-792-0582 info@usqhin.org https://usqhin.org/ Exchange Int 3 Complete 2021/07/20 12:00:00 2021/07/21 12:00:00 2021/07/21 11:34:54 UV 2.16.840.1.113883.3.239.23.6465 ca-on-chiropracticassoc Ontario Chiropractic Association Joan Harper masked Iqbal Sian 70 University Ave., Ste. 201, Toronto, ON M5J 2M4 647-402-2258 masked OCA Aspire Manager Ontario Chiropractic Association 70 University Ave., Ste. 201, Toronto, ON M5J 2M4 Tel: 416-860-0070 | Toll-free: 1-877-327-2273 oca@chiropractic.on.ca https://chiropractic.on.ca Vendor 2.16.840.1.113883.3.239 Ext 4 Complete 2.16.840.1.113883.3.239.23.6465 2021/07/21 12:00:00 2021/07/21 12:00:00 2021/07/21 11:50:15 UV 2.16.840.1.113883.3.9244 truveta Truveta Senthil Nachimuthu masked Jono Luk Senthil Nachimuthu PO Box 572592 Salt Lake City, UT 84157 USA 18014384044 masked Sr Director of Clinical Informatics Truveta jonol@truveta.com https://www.truveta.com Vendor Int 3 Complete 2021/07/21 12:00:00 2021/07/21 12:00:00 2021/07/21 11:55:10 UV 2.16.840.1.113883.3.9245 pchhc Physicians Choice Home Health Care Laura Warren masked Laura Warren 8212 F Street Omaha, NE 68127 4023312273 masked Administrator Physicians Choice Home Health Care 8212 F Street Omaha, NE 68127 4023312273 lwarren@pchhc.com Provider Int 3 Complete 2021/07/23 12:00:00 2021/07/23 12:00:00 2021/07/23 11:41:14 UV 2.16.840.1.113883.3.9246 upc Urology, P.C. Jenna Stratman masked Jenna Stratman 5500 Pine Lake Rd Lincoln, NE 68516 402-489-8888 masked Urology, P.C. 5500 Pine Lake Rd Lincoln, NE 68516 402-489-8888 jennas@lincolnurologypc.com Provider Int 3 Complete 2021/07/26 12:00:00 2021/07/26 12:00:00 2021/07/26 09:45:41 UV 2.16.840.1.113883.3.9247 rwf Rural Wellness Fairfax Hospital Reid Howle masked Reid Howle 14201 Wireless Way, OKC, OK 74134 4054383776 masked IT / Interfaces Rural Wellness Fairfax 40 Hospital Rd, Fairfax, OK 74637 4054383776 rhowle@avemhealth.com http://www.fairfaxcommunityhospital.com/ Provider Int 3 Complete 2021/07/26 12:00:00 2021/07/26 12:00:00 2022/01/21 12:05:33 UV 2.16.840.1.113883.3.9248 kchd Kiowa County Hospital District Renay Crain masked Renay Crain 7194385401 masked QI/Risk Management Kiowa County Hospital District 1208 Luther St Eads, CO 81036 7194385401 renay.crain@kchd.org http://kchd.org Provider Int 3 Complete 2021/07/26 12:00:00 2021/07/26 12:00:00 2021/07/26 09:56:23 UV 2.16.840.1.113883.3.9249 ajmchc Annie Jeffrey Memorial County Health Center Marcus Augustin masked Marcus Augustin PO Box 428 Osceola, NE 68651 402-747-2031 masked CFO Annie Jeffrey Memorial County Health Center marcus.augustin@ajhc.org Govt body Int 3 Complete 2021/07/28 12:00:00 2021/07/29 12:00:00 2021/07/29 10:37:43 UV 2.16.840.1.113883.3.9250 shmIRC Frontline Education - Student Health Management Stephanie Gorham masked Stephanie Gorham Stephanie Gorham 1400 Atwater Drive Malvern, PA 19355 (248) 960-8906 masked Frontline Education 1400 Atwater Drive Malvern, PA 19355 (248) 960-8906 support@Frontlineed.com Vendor Int 3 Complete 2021/07/29 12:00:00 2021/07/29 12:00:00 2021/07/29 10:50:40 UV 2.16.840.1.113883.3.9251 setworks SETWorks Johnathan Theiss masked Johnathan Theiss 1-903-354-5567 masked Engineering Manager SETWorks devteam@setworks.com https://www.setworks.com Provider Int 3 Complete 2021/07/29 12:00:00 2021/07/29 12:00:00 2021/07/29 10:52:59 UV 2.16.840.1.113883.3.9252 hapi Human API Kellin Rowlands masked Kellin Rowlands 951 Mariners Island Blvd., Suite 300 San Mateo, CA 94404 607-435-1435 masked Strategic Partnership Manager Human API 951 Mariners Island Blvd., Suite 300 San Mateo, CA 94404 (650)-542-9800 kellin@humanapi.co https://www.humanapi.co/ Vendor Int 3 Complete 2021/07/29 12:00:00 2021/07/29 12:00:00 2021/07/29 10:57:35 UV 2.16.840.1.113883.3.9253 otec Oregon Trail Eye Center OID Root Clark Gustafson masked Clark Gustafson 329 West 40th Street Scottsbluff, NE 69361 308-635-3911 masked RN, I.T. Director Oregon Trail Eye Center 329 West 40th Street Scottsbluff, NE 69361 308-635-3911 cgustafson@otecenter.org https://www.oregontraileyecenter.com Provider Int 3 Complete 2021/07/30 12:00:00 2021/07/31 12:00:00 2021/07/31 06:57:16 UV 2.16.840.1.113883.3.9254 unionhealth Union Health Inc Tiffany Bennett masked Tiffany Bennett 1606 N 7th St Terre Haute, IN 47804 8122384725 masked System Director IS Union Hospital, Inc 1606 N 7th St Terre Haute, IN 47804 8122384725 tbennett@uhhg.org https://myunionhealthportal.org/ Exchange Int 3 Complete 2021/07/30 12:00:00 2021/07/31 12:00:00 2021/07/31 07:09:33 UV 2.16.840.1.113883.3.9255 trinityhealthwareOID Trinity Healthware Santosh Jami masked Shawn Cain 2101 Rexford Rd Ste 168W, Charlotte, NC 28211 704-776-6665 masked CIO Trinity Healthware 2101 Rexford Rd Ste 168W, Charlotte, NC 28211 704-776-6665 scain@tryondirect.com https://www.tryondirect.com/ Vendor Int 3 Complete 2021/07/31 12:00:00 2021/08/04 12:00:00 2021/08/04 10:39:34 UV 2.16.840.1.113883.3.9256 mdiho Mount Desert Island Hospital Will Houston masked Will Houston 10 Wayman Ln Bar Harbor, Maine 04609 2078018792 masked Network Security Mount Desert Island Hospital 10 Wayman Ln Bar Harbor, Maine 04609 2078018792 will.houston@mdihospital.org https://www.mdihospital.org Provider Int 3 Complete 2021/08/02 12:00:00 2021/08/04 12:00:00 2021/08/04 10:48:40 UV 2.16.840.1.113883.3.9257 chgjmg Community Medical Group, Grand Junction Colorado Jeremiah Klein masked Colorado West Healthcare Systems, DBA Community Hospital Jeremiah Klein 2351 G Road Grand Junction, CO 81505 9706443500 masked Interface Engineer Colorado West Healthcare Systems, DBA Community Hospital 2351 G Road Grand Junction, CO 81505 9706443500 ithelpdesk@gjhosp.org https://yourcommunityhospital.com/ Provider 2.16.840.1.113883.3.9199 Int 3 Complete 2021/08/02 12:00:00 2021/08/04 12:00:00 2021/08/04 11:09:13 UV 2.16.840.1.113883.3.9258 bchc838 Berks Community Health Center Michael Rossi masked Michael Rossi 645 Penn Street, Suite 301 Reading, PA 19601 6109884838 masked CFO Berks Community Health Center 645 Penn Street, Suite 301 Reading, PA 19601 6109884838 mrossi@berkschc.org Provider Int 3 Complete 2021/08/03 12:00:00 2021/08/04 12:00:00 2021/08/04 11:21:07 UV 2.16.840.1.113883.3.9259 ami Advanced Medical Imaging Advanced Medical Imaging masked Darrin Stoll Advanced Medical Imaging ATTN: Darrin Stoll 7601 Pioneers Blvd Lincoln, NE 68506 402-484-4846 masked Clinical Workflow Director Advanced Medical Imaging 7601 Pioneers Blvd Lincoln, NE 68506 402-484-6677 support@amimaging.com https://amimaging.com Provider Int 3 Complete 2021/08/03 12:00:00 2021/08/04 12:00:00 2021/08/04 11:27:19 UV 2.16.840.1.113883.3.9260 mnm Medicare Network Management Farah Handley masked Farah Handley 4077295178 masked COO Medicare Network Management 4414 Centerview Drive, Suite# 264 San Antonio, TX 78228 4077295178 fpryor@fpmmso.com Provider Int 3 Complete 2021/08/03 12:00:00 2021/08/04 12:00:00 2021/08/04 11:43:07 UV 2.16.840.1.113883.3.9261 kesc Kearney Eye Surgical Center, Inc. Serena Phillips masked Jeff Derr 308-237-0684 masked IT Kearney Eye Surgical Center, Inc. 411 W. 39th St. Kearney, NE 68845 308-865-2759 kearneyeye@kearneyeye.com https://www.kearneyeye.com Provider Int 3 Complete 2021/08/04 12:00:00 2021/08/04 12:00:00 2021/08/04 11:50:55 UV 2.16.840.1.113883.3.9262 pluto-health Pluto Health Organizational Identifier System Guru Kora masked Guru Kora 1140 Snyder Ridge Ln Knoxville, TN 37932 8653354489 masked CTO Pluto Health Inc. https://www.pluto.health/contact https://www.pluto.health Vendor Int 3 Complete 2021/08/06 12:00:00 2021/08/07 12:00:00 2021/08/07 04:16:28 UV 2.16.840.1.113883.3.9263 hhcsi Henderson Health Care Robert Masat masked Robert Masat 1621 Front Street Henderson, NE 68371 402-723-4512 x-4016 masked IT Director Henderson Health Care 1621 Front Street Henderson, NE 68371 402-723-4512 licensing@hendersonhealth.org https://www.hendersonhealthcare.org Provider Int 3 Complete 2021/08/06 12:00:00 2021/08/07 12:00:00 2021/08/18 02:24:02 UV 2.16.840.1.113883.3.9264 lawndale LCHC Hospital Connect LCHC Tech Contact masked Rachel Herter Lawndale Christian Health Center 3860 W Ogden Ave Chicago, IL 60623 8725883105 masked VP, Health Information Technology Lawndale Christian Health Center 3860 W Ogden Ave Chicago, IL 60623 8725883170 emrhelp@lawndale.org https://www.lawndale.org Provider Int 3 Complete 2021/08/06 12:00:00 2021/08/07 12:00:00 2021/08/07 04:25:28 UV 2.16.840.1.113883.3.9265 pspc Pathology Services, P.C. Dianna Brouillette masked Dianna Brouillette 308-532-4700 masked General Manager Pathology Services, P.C. 1931 West A, North Platte, NE 69101 3085324700 djb@pathologyservices.com https://www.pathologyservices.com Provider Int 3 Complete 2021/08/09 12:00:00 2021/08/11 12:00:00 2021/08/11 10:30:41 UV 2.16.840.1.113883.3.23.3.19 chbostonwalthampsych Boston Children's Hospital Waltham Psychiatric Brad McDonald masked Brad McDonald Brad McDonald 300 Longwood Avenue Boston, MA 02115 6173556000 masked Director of Core Clinical Applications Boston Children's Hospital 300 Longwood Avenue Boston, MA 02115 617-355-6000 brad.mcdonald@childrens.harvard.edu https://www.childrenshospital.org/ Provider 2.16.840.1.113883.3.23 Ext 4 Complete 2.16.840.1.113883.3.23.3.19 2021/08/10 12:00:00 2021/08/11 12:00:00 2021/08/11 10:37:24 UV 2.16.840.1.113883.3.9266 cfhc1 Choice Family Health Care Ryan King masked Ryan King Choice Family Health Care 217 E. Stolley Park Rd. Ste. E Grand Island, NE 68801 3083847625 masked Choice Family Health Care 217 E. Stolley Park Rd. Ste. E Grand Island, NE 68801 3083847625 rking@choicefamilyhealthcare.org Provider Int 3 Complete 2021/08/10 12:00:00 2021/08/11 12:00:00 2021/08/11 10:40:54 UV 2.16.840.1.113883.3.9267 wyo-pvhc Powell Valley Healthcare Josh Baxter masked Josh Baxter 777 Ave. H Powell, WY 82435 13077547797 masked IT Director Powell Valley Healthcare 777 Ave. H Powell, WY 82435 13077542267 noc@pvhc.org https://www.pvhc.org Provider Int 3 Complete 2021/08/10 12:00:00 2021/08/11 12:00:00 2021/08/11 10:47:58 UV 2.16.840.1.113883.9.274 novillus Novillus LLC Anna Hegedus masked Brent Zenobia Brent Zenobia 1800 SW 1st Ave Suite #110 Portland, Oregon 97201 (971) 254-8191 masked Chief Strategist Novillus LLC 1800 SW 1st Ave Suite #110 Portland, Oregon 97201 (971) 254-8191 info@novillus.com https://www.novillus.com Vendor Int 3 Complete 2021/08/10 12:00:00 2021/08/11 12:00:00 2021/08/11 10:58:34 UV 2.16.840.1.113883.3.9268 hLTX-cbo1 Healthix Inc Javon Parris masked Javon Parris 551 North Country Road, St. James, NY 11780 646-3153383 masked PM Healthix 551 North Country Road, St. James, NY 11780 1-877-695-4749 jparris@healthix.org http://www.Healthix.org Exchange Int 3 Complete 2021/08/11 12:00:00 2021/08/11 12:00:00 2021/08/11 11:06:45 UV 2.16.840.1.113883.3.9269 mlhc Mega Lab-Health Care Svc Michael Olatunji masked Michael Olatunji 1950 Opitz Blvd. Woodbridge, VA 22191 5712784271 masked Chief Executive Officer Mega Lab-Health Care Svc 1950 Opitz Blvd. Woodbridge, VA 22191 5712851857 michael@megalabservices.com https://www.megalabservices.com Provider Int 3 Complete 2021/08/11 12:00:00 2021/08/11 12:00:00 2021/08/11 11:11:59 UV 2.16.840.1.113883.3.9270 cMA-HH01 Heilo Health Jennifer Robinson masked Jennifer Robinson 268 Genesee St. Utica, NY 13502 315-927-2865 masked Technical Training & Communications Coordinator Helio Health 1213 Court St Suite 100, Utica, NY 13502 315-624-9835 jennifer.robinson@cnyhealthhome.net https://www.helio.health/ Provider Int 3 Complete 2021/08/11 12:00:00 2021/08/11 12:00:00 2021/08/11 11:22:08 UV 2.16.840.1.113883.3.9271 mph Middle Park Health Kayla Ray masked Kayla Ray 214 S 4th Street PO BOX 399 Kremmling, CO. 80459 9707243163 masked Director of Quality, Risk, Infection Prevention Middle Park Health Middle Park Health ATTN Kayla Ray PO BOX 399 Kremmling, CO 80459 9708875800 kray@middleparkhealth.org https://middleparkhealth.org/ Provider Int 3 Complete 2021/08/12 12:00:00 2021/08/17 12:00:00 2021/08/17 06:37:17 UV 2.16.840.1.113883.3.9272 bmhosp Brodstone Healthcare Tim Hiatt masked Tim Hiatt 520 E 10TH ST Superior, NE 68978-1225 4022071520 masked CIO Brodstone Healthcare 520 E 10th ST Superior, NE 68978-1225 4028793281 thiatt@brodstone.org https://www.brodstonehospital.org/ Provider Int 3 Complete 2021/08/16 12:00:00 2021/08/17 12:00:00 2022/04/07 05:08:11 UV 2.16.840.1.113883.3.9273 efp Edgewood Family Physicians Julie Huffman masked Julie Huffman 5200 S 56th St, Ste 2 Lincoln, NE 68516 402-421-6200 masked Practice Administrator Edgewood Family Physicians PC 5200 S 56th St, Ste 2 Lincoln, NE 68516 402-421-6200 fax@efppc.com https://www.efppc.com Provider Int 3 Complete 2021/08/16 12:00:00 2021/08/17 12:00:00 2021/08/17 06:46:27 UV 2.16.840.1.113883.3.9274 foothold-care-management-hvc Foothold Care Management serving Hudson Valley Care Ryan Harris masked Ryan Harris 36 E 12th Street 5th Floor New York, NY 10003 3476220193 masked Director of Client Services Foothold Technology 36 E 12th Street 5th Floor New York, NY 10003 2127801450 fcm-support@footholdtechnology.com https://footholdtechnology.com/ Vendor Int 3 Complete 2021/08/16 12:00:00 2021/08/17 12:00:00 2021/08/17 06:53:47 UV 2.16.840.1.113883.3.9275 posc Panorama Orthopedics OID Root Chris Francis masked Chris Francis 660 Golden Ridge Road Suite 250 Golden, CO 80401 303-274-7325 masked IT Director Panorama Orthopedics & Spine Center 660 Golden Ridge Road Suite 250 Golden, CO 80401 3032331223 cfrancis@panoramaortho.com https://www.panoramaortho.com/ Provider Int 3 Complete 2021/08/16 12:00:00 2021/08/17 12:00:00 2021/08/17 06:59:06 UV 2.16.840.1.113883.3.9276 renaissancePhysMedHRL DHR Health - Physical Medicine and Rehabilitation HRL OID Root Marie Rios masked Reyna Espinoza 5505 S. Expressway 77 Ste 200 Harlingen, TX 78550 9563626900 masked Office Manager DHR Health - Physical Medicine and Rehabilitation 5505 S. Expressway 77 Ste 200 Harlingen, TX 78550 9563626900 he.espinoza@dhr-rgv.com Provider Int 3 Complete 2021/08/16 12:00:00 2021/08/17 12:00:00 2021/08/17 07:17:43 UV 2.16.840.1.113883.3.9277 renaissanceNEUROPEDI DHR Health Neuroscience Institute Neurology Pediatrics OID Root Marie Rios masked Josefina Castillo 2821 Michael Angelo Drive, Ste 302 Edinburg, TX 78539 9563628300 masked Office Manager DHR Health Neuroscience Institute Neurology Pediatrics 2821 Michael Angelo Drive, Ste 302 Edinburg, TX 78539 9563628300 josef.castillo@dhr-rgv.com Provider Int 3 Complete 2021/08/16 12:00:00 2021/08/17 12:00:00 2021/08/17 07:36:47 UV 2.16.840.1.113883.3.9278 lchd Lynn County Healthcare System Casey McLelland masked Casey McLelland 2600 Lockwood Tahoka, TX 79373 8069984533 ext 423 masked Clinical IT Lynn County Healthcare System 2600 Lockwood Tahoka, TX 79373 8069984533 itsupport@lchdhealthcare.org https://www.lchdhealthcare.org Provider Int 3 Complete 2021/08/16 12:00:00 2021/08/17 12:00:00 2021/08/17 07:39:02 UV 2.16.840.1.113883.3.9279 micrima Micrima Ltd Root Organisational OID Harvey Shields masked Harvey Shields Micrima Two Glass Wharf Temple Quay Bristol BS2 0ZX +44 1172 510 032 masked Software Development Manager Micrima Ltd Micrima Two Glass Wharf Temple Quay Bristol BS2 0ZX +44 1172 510 032 adrian.waller@micrima.com https://www.micrima.com Vendor Int 3 Complete 2021/08/17 12:00:00 2021/08/17 12:00:00 2021/08/17 07:47:29 UV 2.16.840.1.113883.3.9280 ahp Avem Health Partners Reid Howle masked Reid Howle 14201 Wireless Way Oklahoma City, OK 74134 4054383777 masked IT/Interfaces Avem Health Partners 14201 Wireless Way Oklahoma City, OK 74134 4054383777 rhowle@AvemHealth.com https://www.Avemhealth.com Provider Int 3 Complete 2021/08/17 12:00:00 2021/08/17 12:00:00 2022/01/21 11:59:24 UV 2.16.840.1.113883.3.9281 laihc LifeArts Integrated Health Center, PC Julie Howard masked Julie Howard 4022962196 masked LifeArts Integrated Health Center, PC 306 N 7th St Plattsmouth, NE 68048 4022962196 julie.howard@lifeartsihc.com Provider Int 3 Complete 2021/08/18 12:00:00 2021/08/18 12:00:00 2021/08/18 10:15:07 UV 2.16.840.1.113883.3.9282 pcfm Prairie Creek Family Medicine David Tompkins masked David Tompkins 1356 126th Rd Stromsburg, NE 68666 402-764-2491 masked Clinic Manager Prairie Creek Family Medicine 1356 126th Rd Stromsburg, NE 68666 402-764-2491 prairiecreek@windstream.net http://www.prairiecreekfm.com Provider Int 3 Complete 2021/08/18 12:00:00 2021/08/18 12:00:00 2021/08/18 10:17:16 UV 2.16.840.1.113883.4.981 omnimed Omnimed Joan Harper masked Martin Pellerin 160 Pope, Cookshire-Eaton, Qu&#233;bec, Canada, J0B 1M0 1 888 780-6081 masked Omnimed 160 Pope, Cookshire-Eaton, Qu&#233;bec, Canada, J0B 1M0 1 888 780-6081 support@omnimed.com Vendor Int 4 Complete 2021/08/18 12:00:00 2021/08/18 12:00:00 2021/08/18 10:29:52 CA 2.16.840.1.113883.3.9283 morrillcoems Morrill County Community Hospital Lori Shengle masked Lori Shengle 1313 S St. Bridgeport, NE 69336 308-262-1616 masked IT Director Morrill County Community Hospital 1313 S St Bridgeport, NE 69336 308-262-1616 shenglel@morrillcountyhospital.org Provider Int 3 Complete 2021/08/18 12:00:00 2021/08/18 12:00:00 2021/08/18 10:31:39 UV 2.16.840.1.113883.3.9284 mlrdfmhsp Millard Family Hospital LLC Susie Williamson masked Susie Williamson 1464 E. Whitestone Blvd Suite 1101 Cedar Park, Texas 78613 5126865351 masked VP Finance Millard Family Hospital LLC 14404 Stony Brook Blvd Omaha, NE 68137-2613 5126865351 swilliamson@familyemergencyroom.com https://familyhospitalnebraska.com/locations/ Provider Int 3 Complete 2021/08/18 12:00:00 2021/08/18 12:00:00 2021/08/18 10:43:24 UV 2.16.840.1.113883.3.9285 rchbassett Rock County Hospital Calvin Alder masked Calvin Alder 102 E South Street Bassett, NE 68714 4026843366 masked IT Director Rock County Hospital 102 E South Street Bassett, NE 68714 4026843366 calder@rockcountyhospital.com https://www.rockcountyhospital.com Provider Int 3 Complete 2021/08/18 12:00:00 2021/08/18 12:00:00 2021/08/18 10:51:05 UV 2.16.840.1.113883.3.9286 ypilis Yellowstone Pathology Institute LIS Sid Harder masked Sid Harder 2900 12th Avenue North, Suite 295W Billings, MT 59101 4068603984 masked Software Engineer Yellowstone Pathology Institute 2900 12th Avenue North, Suite 295W Billings, MT 59101 4062386360 sid.harder@ypii.com https://www.yellowstonepathology.com Provider Int 3 Complete 2021/08/18 12:00:00 2021/08/18 12:00:00 2021/08/18 10:58:11 UV 2.16.840.1.113883.3.9287 wcch Webster County Community Hospital WCCH IT masked IT Staff 402-746-5600 masked Webster County Community Hospital 621 N Franklin St PO Box 465 Red Cloud, NE 68970 402-746-5600 itstaff@websterhospital.org Provider Int 3 Complete 2021/08/18 12:00:00 2021/08/18 12:00:00 2021/08/18 11:04:10 UV 2.16.840.1.113883.3.9288 mcobgyn Mid-City OBGYN, PC Lynette Barnes Vaughn masked Lynette M Barnes Vaughn 7205 West Center Road #200 Omaha, NE 68124 4023976600 masked Business Manager Mid-City OBGYN, PC 7205 West Center Road #200 Omaha, NE 68124 4023976600 lbarnes@midcityobgyn.com https://midcityobgyn.com/ Provider Int 3 Complete 2021/08/18 12:00:00 2021/08/18 12:00:00 2021/08/18 11:11:13 UV 2.16.840.1.113883.3.9289 dech-04654 Down East Community Hospital Jeremy Look masked Jeremy Look 11 Hospital Drive Machias, ME 04654 207-255-3356 masked Director of Information Technology Down East Community Hospital 11 Hospital Drive Machias, ME 04654 207-255-3356 jlook@dech.org https://www.dech.org Provider Int 3 Complete 2021/08/19 12:00:00 2021/08/19 12:00:00 2021/08/19 10:33:27 UV 2.16.840.1.113883.3.9290 dascena Dascena Inc. Admin Dascena masked Qingqing Mao 12333 Sowden Rd Ste B PMB 65148 Houston, TX 77080 4158051725 masked Head of Data Science and Engineer Dascena admin@dascena.com https://www.dascena.com Provider Int 3 Complete 2021/08/20 12:00:00 2021/08/20 12:00:00 2021/08/20 10:45:53 UV 2.16.840.1.113883.3.9291 equitablelife Equitable Life of Canada Matthew Jackson masked Matthew Jackson Equitable Life of Canada 1 Westmount Road North Waterloo ON N2J 4C7 Canada 226-220-7682 masked AVP Group Information Technology Equitable Life of Canada - Group Information Technology Equitable Life of Canada 1 Westmount Road North Waterloo ON N2J 4C7 Canada 1.800.722.6615 groupitprodsupport@equitable.ca http://www.equitable.ca Payor Int 3 Complete 2021/08/23 12:00:00 2021/08/25 12:00:00 2021/08/25 10:04:45 UV 2.16.840.1.113883.3.9292 azh Northwest Medical Center Houghton Brad Booth masked Brad Booth 6200 N La Cholla Blvd, Tucson, AZ 85741 (520) 469-8767 masked IT Director Northwest Medical Center Houghton 2200 S. Houghton Road, Tucson, AZ 85478 (520) 543-6100 Brad.Booth@northwestmedicalcenter.com https://www.healthiertucson.com/ Provider Int 3 Complete 2021/08/24 12:00:00 2021/08/25 12:00:00 2022/06/03 07:18:56 UV 2.16.840.1.113883.4.349.6982411 ehr-GOV-facility-ID OID authority for Federal Facility Identifiers needed for the EHR Modernization Ioana Singureanu masked Ioana Singureanu 360 Central Avenue Suite 970 St. Petersburg, FL 33701 727.378.9006 masked Chief Innovation Officer, Lead Standards Architect Mr. Christopher Shawn, VHA Office of Health Informatics (105) 810 Vermont Ave. NW Washington, DC 20420 Phone: 202-461-7000 Christopher.Shawn2@va.gov Govt body 2.16.840.1.113883.4.349 Ext 14 3 Complete 2.16.840.1.113883.4.349.6982411 2021/08/25 12:00:00 2021/08/25 12:00:00 2021/08/25 10:25:20 US 2.16.840.1.113883.3.9293 ch Craig Hospital Chris Watkins masked Chris Watkins 3425 S Clarkson St Englewood, CO 80113 3037898520 masked Director of IT Craig Hospital 3425 S Clarkson St Englewood, CO 80113 3037898000 servicedesk@craighospital.org http://www.craighospital.org Provider Int 3 Complete 2021/08/27 12:00:00 2021/08/27 12:00:00 2021/08/27 08:15:30 UV 2.16.840.1.113883.3.9294 lscnesh Nebraska Surgery Center Kimberly McCarty masked Kimberly Hilzer 1710 S. 70th street Lincoln, NE 68510 4024840901 masked Health Applications Supervisor Lincoln Surgical Hospital 1710 S. 70th street Lincoln, NE 68510 4024840901 khilzer@lincolnsurgery.com https://lincolnsurgery.com/ Provider Int 3 Complete 2021/08/27 12:00:00 2021/08/27 12:00:00 2025/11/11 02:05:01 UV 2.16.840.1.113883.3.9295 bvwhc Boulder Valley Women's Health Center Cynthia Molina masked Cynthia 2855 Valmont Rd. Boulder, CO 80301 7205455157 masked Chief Executive Officer Boulder Valley Women's Health Center 2855 Valmont Rd. Boulder, CO 80301 303-440-8769 info@bvwhc.org https://www.boulderwomenshealth.org/ Provider Int 3 Complete 2021/08/30 12:00:00 2021/08/30 12:00:00 2021/08/30 08:47:42 UV 2.16.840.1.113883.3.9296 tpa-tempe Tempe Post Acute Ally Kovac masked Josh Bigoss 949-444-6777 masked Tempe Post Acute 6100 S Rural Rd Tempe, AZ 85283 949-444-6777 JBigoss@EnsignServices.net https://tempepostacute.com/ Provider Int 3 Complete 2021/08/30 12:00:00 2021/08/30 12:00:00 2021/08/30 08:50:36 UV 2.16.840.1.113883.3.9297 sharc-saz Surprise Health & Rehabilitation Center Ally Kovac masked Josh Bigoss 949-444-6777 masked Surprise Health & Rehabilitation Center 14660 W Parkwood Dr. Surprise, AZ 85374 949-444-6777 JBigoss@EnsignServices.net https://surprisehealthcare.com/ Provider Int 3 Complete 2021/08/30 12:00:00 2021/08/30 12:00:00 2021/08/30 08:52:08 UV 2.16.840.1.113883.3.9298 amhar-maz Alta Mesa Health and Rehabilitation Ally Kovac masked Josh Bigoss 949-444-6777 masked Alta Mesa Health and Rehabilitation 5848 E University Drive Mesa, AZ 85205 949-444-6777 JBigoss@EnsignServices.net https://altamesarehab.com/ Provider Int 3 Complete 2021/08/30 12:00:00 2021/08/30 12:00:00 2021/08/30 09:01:27 UV 2.16.840.1.113883.3.9299 amisurg Advanced Medical Imaging Surgery Center Darrin Stoll masked Darrin Stoll 7601 Pioneers Blvd Lincoln, NE 68506 4024844846 masked Clinical Workflow Director Advanced Medical Imaging Surgery Center Advanced Medical Imaging Surgery Center 7555 Pioneers Blvd Lincoln, NE 68506 402-261-1085 it@amimaging.com https://amimaging.com/surgery-center/ Provider Int 3 Complete 2021/09/01 12:00:00 2021/09/01 12:00:00 2021/09/01 11:14:05 UV 2.16.840.1.113883.3.9300 northsidehospital-GA Northside Hospital - Georgia Valerie Thomason masked Greg Moritz 404-851-8883 masked Northside Hospital 1000 Johnson Ferry Road NE Atlanta, GA 30342 404-851-8883 IS-HelpDesk@northside.com https://www.northside.com/ Provider Int 3 Complete 2021/09/01 12:00:00 2021/09/01 12:00:00 2022/12/05 09:22:13 UV 2.16.840.1.113883.3.9301 smc1908 Skyline Medical Center Sheri Kinser masked Sheri Kinser 1908 N 203rd St., Suite 2 Elkhorn, NE 68022 402-289-4031 masked Supervisor Skyline Medical Center 1908 N. 203rd St., Suite 2 Elkhorn, NE 68022 402-289-4031 skylinemedcenter@yahoo.com Provider Int 3 Complete 2021/09/01 12:00:00 2021/09/01 12:00:00 2021/09/01 11:23:58 UV 2.16.840.1.113883.3.9302 nbcmdpllc Newton B. Coutinho MD PLLC Sherri Madzelonka masked Sherri Madzelonka 2419 Mullan Rd Ste A Missoula, MT 59808 4065411400 masked Newton B. Coutinho MD PLLC 2419 Mullan Rd Ste A Missoula, MT 59808 4065411400 smadzelonka@missoulacardiology.com Provider Int 3 Complete 2021/09/02 12:00:00 2021/09/04 12:00:00 2021/09/04 10:41:59 UV 2.16.840.1.113883.3.9303 cpar-caz Chandler Post Acute & Rehabilitation Ally Kovac masked Josh Bigoss 949-444-6777 masked Chandler Post Acute & Rehabilitation 2121 W Elgin Street Chandler, AZ 85224 949-444-6777 JBigoss@EnsignServices.net https://chandlerpostacute.com/ Provider Int 3 Complete 2021/09/03 12:00:00 2021/09/04 12:00:00 2021/09/04 10:44:32 UV 2.16.840.1.113883.3.9304 csua-oid Colorado Springs Urological Associate OID for CORHIO Dave Garrett masked Dave Garrett Dave Garrett 1644 Medical Center Point Suite 200 Colorado Springs, CO 80907 5599728673 masked CEO Colorado Springs Urological Associate 1644 Medical Center Point Suite 200 Colorado Springs, CO 80907 719 6341994 dgarrett@cocsua.com Provider Int 3 Complete 2021/09/07 12:00:00 2021/09/10 12:00:00 2021/09/10 09:12:19 UV 2.16.840.1.113883.3.9305 dacdenver Denver Arthritis Clinic Carol Rendon masked Carol Rendon 200 Spruce Street #100 Denver, CO 80230 303-302-7350 masked Office Manager Denver Arthritis Clinic 200 Spruce Street #100 Denver, CO 80230 303-394-2828 crendon@dacdenver.com https://www.dacdenver.com Provider Int 3 Complete 2021/09/08 12:00:00 2021/09/10 12:00:00 2021/09/10 09:20:02 UV 2.16.840.1.113883.3.9306 pms Presbyterian Medical Services Gisela Gomez masked Gisela Bartolome Gomez 1422 Paseo Peralta, Santa Fe, NM 87501 5058203489 masked CIO Presbyterian Medical Services 1422 Paseo Peralta, Santa Fe, NM 87501 5058203489 gisela.bartolomegomez@pmsnm.org http://www.pmsnm.org/ Provider Int 3 Complete 2021/09/08 12:00:00 2021/09/10 12:00:00 2021/09/10 09:22:15 UV 2.16.840.1.113883.3.9307 axxess Axxess Technology Solutions Inc. Andrew Olowu masked Andrew Olowu 16000 Dallas Parkway Suite 700N Dallas, TX 75248 2145757711 masked CTO Axxess Technology Solutions Inc. 16000 Dallas Parkway Suite 700N Dallas, TX 75248 2145757711 aolowu@axxess.com https://axxess.com Vendor Int 3 Complete 2021/09/09 12:00:00 2021/09/10 12:00:00 2021/09/10 09:25:50 UV 2.16.840.1.113883.3.9308 swchc-ar Sun West Choice Healthcare and Rehabilitation Ally Kovac masked Josh Bigoss 949-444-6777 masked Sun West Choice Healthcare and Rehabilitation 14002 Meeker Boulevard Sun City West, AZ 85375 949-444-6777 JBigoss@EnsignServices.net https://sunwestchoice.com/ Provider Int 3 Complete 2021/09/09 12:00:00 2021/09/10 12:00:00 2021/09/10 09:28:43 UV 2.16.840.1.113883.3.9309 oloah Our Lady of the Angels Hospital Craig Minnick masked Craig Minnick Franciscan Missionaries of Our Lady Health System 5959 S. Sherwood Forest Blvd. | Baton Rouge, LA 70816 (225) 526-4341 22552614341 masked Mgr Our Lady of the Angels Hospital 433 Plaza Street Bogalusa, Louisiana 70427 225-526-4341 craig.minnick@fmolhs.org https://oloah.org/ Provider Int 3 Complete 2021/09/10 12:00:00 2021/09/10 12:00:00 2021/09/10 09:39:01 UV 2.16.840.1.113883.3.9310 hfb Hospital Felix Bulnes Santiago Galaz masked Santiago Galaz Santiago Galaz Dos Sur 7660 villa parque tobalaba +5694297675 masked technical support ECM INGENIERIA Eliodoro Ya&#241;ez 1890, Providencia, Santiago, Chile 225555550 santiago.galaz@ecm.cl Provider Int 3 Complete 2021/09/13 12:00:00 2021/09/17 12:00:00 2021/09/17 10:26:22 UV 2.16.840.1.113883.9.275 ePOLST-CDA-IG ePOLST: Portable Medical Orders Diana Wright masked Diana Wright Lantana Consulting Group PO Box 177 East Thetford, VT 05043 (714) 232-8679 masked Analyst HL7 Structured Documents Work Group Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA (734) 677-7777 hq@HL7.org https://www.hl7.org HL7 body Int 3 Complete 2021/09/14 12:00:00 2021/11/30 12:00:00 2021/11/30 11:04:56 US 2.16.840.1.113883.17.8796 phpid Pharmaceutical Product Identifier Mats Jonsson masked Mats Jonsson +4618656060 masked Uppsala Monitoring Centre Box 1051 SE-75140 Uppsala Sweden +4618656060 info@who-umc.org https://www.who-umc.org/ SDO Int 17 Complete 2021/09/15 12:00:00 2021/09/17 12:00:00 2021/09/17 10:36:19 UV 2.16.840.1.113883.3.9311 yvm Yakima Valley Memorial Shannon Granlund masked Shannon Granlund 2811 Tieton Ave Yakima, WA 98902 5099493614 masked Manager, Information Systems Clinical Applications Yakima Valley Memorial 2811 Tieton Ave Yakima, WA 98902 509-249-5029 shannongranlund@yvmh.org https://www.yakimamemorial.org/ Provider Int 3 Complete 2021/09/16 12:00:00 2021/09/17 12:00:00 2021/09/17 10:42:11 UV 2.16.840.1.113883.3.9312 ccmsd Crook County Medical Services District Dan Qualkinbush masked Dan Qualkinbush Crook County Medical Services 713 oak Street PO Box 517 Sundance, WY 82729 3072833501 masked IT Administrator Crook County Medical Services District Crook County Medical Services 713 Oak Street PO Box 517 Sundance, WY 82729 3072833501 administrator@ccmsd.net https://www.ccmsd.org/ Provider Int 3 Complete 2021/09/16 12:00:00 2021/09/17 12:00:00 2021/09/17 10:45:32 UV 2.16.840.1.113883.3.9313 on-HIGM Hospital Oncologico Dr. Isaac Gonzalez Martinez Ricardo Laporte masked Hospital Oncologico Dr. Isaac Gonzalez Martinez Hospital Oncologico Dr. Isaac Gonzalez Martinez Bo Monacillos Centro Medico San Juan PR 00935 787-763-4149 x1001 masked Hospital Oncologico Dr. Isaac Gonzalez Martinez it@oncologicopr.org https://www.ligacancerpr.org/ Provider Int 3 Complete 2021/09/17 12:00:00 2021/09/17 12:00:00 2021/09/17 10:52:45 UV 2.16.840.1.113883.3.9314 scracc Sabino Canyon Rehab & Care Center Ally Kovac masked Josh Bigoss 949-444-6777 masked Sabino Canyon Rehab & Care Center 5830 East Pima Street Tucson, AZ 85712 949-444-6777 JBigoss@EnsignServices.net https://sabinocanyoncare.com/ Provider Int 3 Complete 2021/09/20 12:00:00 2021/09/21 12:00:00 2021/09/21 08:46:24 UV 2.16.840.1.113883.3.9315 spparc-sda Shea Parc Post Acute Rehabilitation Center Ally Kovac masked Josh Bigoss 949-444-6777 masked Shea Parc Post Acute Rehabilitation Center 11150 North 92nd Street Scottsdale, AZ 85260 949-444-6777 JBigoss@EnsignServices.net https://sheaparc.com/ Provider Int 3 Complete 2021/09/20 12:00:00 2021/09/21 12:00:00 2021/09/21 08:48:00 UV 2.16.840.1.113883.3.9316 cpaar-taz Catalina Post Acute and Rehabilitation Ally Kovac masked Josh Bigoss 949-444-6777 masked Catalina Post Acute and Rehabilitation 2611 North Warren Avenue Tucson, AZ 85719 949-444-6777 JBigoss@EnsignServices.net https://catalinacare.com/ Provider Int 3 Complete 2021/09/20 12:00:00 2021/09/21 12:00:00 2021/09/21 08:57:19 UV 2.16.840.1.113883.3.9317 dhcc-az Desert Haven Care Center Ally Kovac masked Jayson Hunt 602-956-8000 masked Desert Haven Care Center 2645 E. Thomas Rd. Phoenix, AZ 85016 602-956-8000 jhunt@phxcoxmail.com https://www.dhccaz.com/ Provider Int 3 Complete 2021/09/20 12:00:00 2021/09/21 12:00:00 2021/09/21 08:58:48 UV 2.16.840.1.113883.3.9318 tricitymh Tri-City Mental Health OID Root Ken Riomales masked Ken Riomales 1717 N. Indian Hill Blvd., Ste. B Claremont, CA 91711 (909) 623-6131 masked Chief Information Officer Tri-City Mental Health 1717 N. Indian Hill Blvd., Ste. B Claremont, CA 91711 (909) 623-6131 it@tricitymhs.org Provider Int 3 Complete 2021/09/21 12:00:00 2021/09/21 12:00:00 2021/09/21 09:06:34 UV 2.16.840.1.113883.3.9319 pacificaHospital Pacifica Hospital of the Valley Mubashir Hashmi masked Mubashir Hashmi 9449 San Fernando Road Sun Valley, CA 91352 18183245306 masked IT Manager Pacifica Hospital of the Valley 9449 San Fernando Road Sun Valley, CA 91352 mhashmi@pacificahospital.com https://pacificahospital.com Provider Int 3 Complete 2021/09/21 12:00:00 2021/09/21 12:00:00 2021/09/21 09:12:44 UV 2.16.840.1.113883.3.9320 switchhealth Switch Health Cyrus Bakhtiyari masked Cyrus Bakhtiyari 4230 Sherwoodtowne Blvd Suite 100, Mississauga, ON L4Z 2G6 6479771030 masked CTO Switch Health cyrus@switchhealth.ca https://switchhealth.ca Vendor Int 3 Complete 2021/09/21 12:00:00 2021/09/21 12:00:00 2021/09/21 09:22:19 UV 2.16.840.1.113883.3.9321 ahp-wrmc Washington Regional Medical Center Russell Anduza masked Russell Anduza 500 N Central Expressway, Suite 175, Plano, TX 75074 352-552-4599 masked Director of Corporate IT Washington Regional Medical Center 958 US Hwy 64 East Plymouth, NC 27962 252-793-4135 randuza@affinity-hp.net https://www.washingtonregionalmedical.org/ Provider Int 3 Complete 2021/09/22 12:00:00 2021/09/24 12:00:00 2021/09/24 07:51:12 UV 2.16.840.1.113883.3.9322 bearmri Bear MRI and Imaging Center Andy Gillan masked Steve MIlls Steve Mills 101 Becks Woods Drive Suite 103 Bear, DE 19701 302-843-4500 masked IT Admin Bear MRI and Imaging Center 101 Becks Woods Drive Suite 103 Bear, DE 19701 302-843-4500 info@bearmri.com https://www.bearmri.com/ Provider Int 3 Complete 2021/09/22 12:00:00 2021/09/24 12:00:00 2021/09/24 08:00:03 US 2.16.840.1.113883.3.9323 rcmhmo Ray County Memorial Hospital Robert Larson masked Robert Larson Ray County Memorial Hospital 904 Wollard Blvd Richmond, MO 64085 816-470-7334 masked IT Director Ray County Memorial Hospital 904 Wollard Blvd Richmond, MO 64085 816-470-7334 robert.larson@rayhealthcare.org http://www.rayhealthcare.org Provider Int 3 Complete 2021/09/24 12:00:00 2021/09/24 12:00:00 2023/12/19 11:35:40 UV 2.16.840.1.113883.3.9324 ahh-phxaz Apex Home Health Ally Kovac masked Tricia Garcia 623-231-2451 masked Apex Home Health 21410 N 19th Ave, Suite 126, Phoenix, AZ 85027 623-231-2451 tgarcia@apexhhaz.com https://apexhhaz.com/ Provider Int 3 Complete 2021/09/27 12:00:00 2021/09/29 12:00:00 2021/09/29 07:07:18 UV 2.16.840.1.113883.3.9325 mg-snalf Maryland Gardens Skilled Nursing & Assisted Living Facility Ally Kovac masked Heather Kies 602-265-7484 masked Maryland Gardens Skilled Nursing & Assisted Living Facility 31 West Maryland Ave Phoenix, AZ 85013 602-265-7484 mdgmds@windsorcares.com https://www.windsormarylandgardens.com/ Provider Int 3 Complete 2021/09/27 12:00:00 2021/09/29 12:00:00 2021/09/29 07:11:12 UV 2.16.840.1.113883.3.9326 qhchealth Quality Home Health Care Ally Kovac masked Amanda Meyers 602-266-2203 masked Quality Home Health Care 1112 East Washington Street Phoenix, AZ 85034 602-266-2203 ameyers@qhchealth.com https://www.qhchealth.com/ Provider Int 3 Complete 2021/09/27 12:00:00 2021/09/29 12:00:00 2021/09/29 07:13:25 UV 2.16.840.1.113883.3.9327 rwgch Regional West Garden County Hosptial Regional West Garden County masked Anita Schanaman Regional West Heath Services Anita Schanaman 3911 Avenue B Scottsbluff, NE 69357 308-630-1183 masked IT Manager Regional West Garden County 1102 W 2nd St Oshkosh, NE 69154 308-772-3283 Anita.schanaman@rwmc.net Provider Int 3 Complete 2021/09/28 12:00:00 2021/09/29 12:00:00 2021/09/29 07:16:43 UV 2.16.840.1.113883.3.9328 ucnt-hasa-exchange UCNT Registration for HASA HL7 Exchange Kevin Nyaribo masked Kevin Nyaribo 8230 Walnut Hill Lane Suite 700 Dallas, Texas 75231 7632329870 masked Director IT Urology Clinics of North Texas 8230 Walnut Hill Lane Suite 700 Dallas, Texas 75231 2145802266 knyaribo@urologyclinics.com https://urologyclinics.com Provider Int 3 Complete 2021/09/28 12:00:00 2021/09/29 12:00:00 2021/09/29 07:25:38 UV 2.16.840.1.113883.3.9329 asterian Root OID for Asterian Richard Williams masked Richard Williams 1314 Deans Drive Huntsville, AL 35802 2563615720 masked Exec VP Asterian 755 Grand Blvd STE B-105 PMB#107 Miramar Beach, FL 32550 877-869-2746 info@asterian.com https://asterian.com Vendor Int 3 Complete 2021/09/28 12:00:00 2021/09/29 12:00:00 2021/09/29 07:28:27 UV 2.16.840.1.113883.3.9330 nrhdtx NRHDOID Rodney Rees masked Rodney Rees 7821 State Hwy 153 Winters, TX 79567 3252013113 masked IT Director North Runnels County Hospital 7821 State Hwy 153 Winters, TX 79567 3257544553 itservices@nrhd.org https://northrunnelsmedicalcenter.com/ Provider Int 3 Complete 2021/09/28 12:00:00 2021/09/29 12:00:00 2021/09/29 07:34:00 UV 2.16.840.1.113883.3.9331 colnspyct Colonoscopy Center Sue Kingslan masked Sue Kingslan 9850 Nicholas St Suite 100 Omaha, NE 68114 402-392-6448 masked Operations Manager MPC Colon Rectal Surgery/Colonoscopy Center 9850 Nicholas St Suite 100 Omaha, NE 68114 402-392-6448 susan.kingslan@nmhs.org Provider Int 3 Complete 2021/09/28 12:00:00 2021/09/29 12:00:00 2021/09/29 07:48:44 UV 2.16.840.1.113883.3.9332 dcnc-caz Desert Cove Nursing Center Ally Kovac masked Josh Bailey 423-473-5832 masked Desert Cove Nursing Center 1750 W. Frye Road Chandler, AZ 85224 423-473-5832 Joshua_Bailey@lcca.com https://lcca.com/locations/az/desert-cove/ Provider Int 3 Complete 2021/09/29 12:00:00 2021/09/29 12:00:00 2021/09/29 07:50:51 UV 2.16.840.1.113883.3.9333 hhcc-gaz Heritage Health Care Center Ally Kovac masked Josh Bailey 423-473-5832 masked Heritage Health Care Center 1300 South Street Globe, AZ 85501 423-473-5832 Joshua_Bailey@lcca.com https://lcca.com/locations/az/heritage-globe/ Provider Int 3 Complete 2021/09/29 12:00:00 2021/09/29 12:00:00 2021/09/29 07:54:08 UV 2.16.840.1.113883.3.9334 mcnc-maz Mi Casa Nursing Center Ally Kovac masked Josh Bailey 423-473-5832 masked Mi Casa Nursing Center 330 S. Pinnule Circle Mesa, AZ 85206 423-473-5832 Joshua_Bailey@lcca.com https://lcca.com/locations/az/mi-casa/ Provider Int 3 Complete 2021/09/29 12:00:00 2021/09/29 12:00:00 2021/09/29 08:05:07 UV 2.16.840.1.113883.3.9335 lcca-ng Life Care Center of North Glendale Ally Kovac masked Josh Bailey 423-473-5832 masked Life Care Center of North Glendale 13620 N. 55th Avenue Glendale, AZ 85304 423-473-5832 Joshua_Bailey@lcca.com https://lcca.com/locations/az/north-glendale/ Provider Int 3 Complete 2021/09/29 12:00:00 2021/09/29 12:00:00 2021/09/29 08:07:40 UV 2.16.840.1.113883.3.9336 lcca-pv Life Care Center of Paradise Valley Ally Kovac masked Josh Bailey 423-473-5832 masked Life Care Center of Paradise Valley 4065 E. Bell Road Phoenix, AZ 85032 423-473-5832 Joshua_Bailey@lcca.com https://lcca.com/locations/az/paradise-valley/ Provider Int 3 Complete 2021/09/29 12:00:00 2021/09/29 12:00:00 2021/09/29 08:11:43 UV 2.16.840.1.113883.3.9337 pcc-paz Payson Care Center Ally Kovac masked Josh Bailey 423-473-5832 masked Payson Care Center 107 E. Lone Pine Drive Payson, AZ 85541 423-473-5832 Joshua_Bailey@lcca.com https://lcca.com/locations/az/payson/ Provider Int 3 Complete 2021/09/29 12:00:00 2021/09/29 12:00:00 2021/09/29 08:19:42 UV 2.16.840.1.113883.3.9338 lcca-sdaz Life Care Center of Scottsdale Ally Kovac masked Josh Bailey 423-473-5832 masked Life Care Center of Scottsdale 9494 E. Becker Lane Scottsdale, AZ 85260 423-473-5832 Joshua_Bailey@lcca.com https://lcca.com/locations/az/scottsdale/ Provider Int 3 Complete 2021/09/29 12:00:00 2021/09/29 12:00:00 2021/09/29 08:21:48 UV 2.16.840.1.113883.3.9339 lcca-sv Life Care Center of Sierra Vista Ally Kovac masked Josh Bailey 423-473-5832 masked Life Care Center of Sierra Vista 2305 E. Wilcox Drive Sierra Vista, AZ 85635 423-473-5832 Joshua_Bailey@lcca.com https://lcca.com/locations/az/sierra-vista/ Provider Int 3 Complete 2021/09/29 12:00:00 2021/09/29 12:00:00 2021/09/29 08:25:25 UV 2.16.840.1.113883.3.9340 lcca-taz Life Care Center of Tucson Ally Kovac masked Josh Bailey 423-473-5832 masked Life Care Center of Tucson 6211 N. La Cholla Blvd. Tucson, AZ 85741 423-473-5832 Joshua_Bailey@lcca.com https://lcca.com/locations/az/tucson/ Provider Int 3 Complete 2021/09/29 12:00:00 2021/09/29 12:00:00 2021/09/29 08:32:32 UV 2.16.840.1.113883.3.9341 lcca-yaz Life Care Center of Yuma Ally Kovac masked Josh Bailey 423-473-5832 masked Life Care Center of Yuma 2450 S. 19th Avenue Yuma, AZ 85364 423-473-5832 Joshua_Bailey@lcca.com https://lcca.com/locations/az/yuma/ Provider Int 3 Complete 2021/09/29 12:00:00 2021/09/29 12:00:00 2021/09/29 08:37:50 UV 2.16.840.1.113883.3.9342 gss-pv Good Samaritan Society - Prescott Valley Ally Kovac masked Trevor Guthmiller 928-759-6541 masked Good Samaritan Society - Prescott Valley 3380 N. Windsong Drive Prescott Valley, AZ 86314 928-759-6541 tguthmi2@good-sam.com https://www.good-sam.com/locations/prescott-valley Provider Int 3 Complete 2021/09/29 12:00:00 2021/09/29 12:00:00 2021/09/29 08:51:22 UV 2.16.840.1.113883.3.9343 corn Cornerstone Care, Inc. Cathie Strope masked Cathie Strope 724-947-2255 masked Chief Quality Officer Cornerstone Care, Inc 7 Glassworks Road Greensboro, PA 15338 724-943-3308 corporate@cornerstonecare.com https://cornerstonecare.com/ Provider Int 3 Complete 2021/09/29 12:00:00 2021/09/29 12:00:00 2021/09/29 08:59:04 UV 2.16.840.1.113883.3.9344 brooklynfamilymedical Brooklyn Family Medical Associates Orrin Lippoff masked Orrin Lippoff MD 8210 18th avenue Brooklyn Family Medical Office 17183316600 masked Brooklyn Family Medical Associates 8210 18th Avenue Brooklyn, NY 11214 9173013300 orrin55@aol.com Provider Int 3 Complete 2021/10/01 12:00:00 2021/10/08 12:00:00 2021/10/08 07:22:23 UV 2.16.840.1.113883.3.9345 swmpc Saboor Waizun Medical PC Inamulhaque Saboor masked Inamulhaque Saboor 486 McDonald Ave, Brooklyn, NY 11218 646-623-2745 masked MD/Physician Saboor Waizun Medical PC 486 McDonald Ave, Brooklyn, NY 11218 718-247-7226 medsina167@gmail.com Provider Int 3 Complete 2021/10/02 12:00:00 2021/10/08 12:00:00 2021/10/08 07:35:49 UV 2.16.840.1.113883.9.276 programica Programica inc. Michel Gagn&#233; masked Michel Gagn&#233; 260 rue Champagne Drummondville, QC Canada, J2C 7M3 1-866-580-8356 masked Owner Programica info@programica.ca https://www.programica.ca Vendor Int 3 Complete 2021/10/04 12:00:00 2021/10/08 12:00:00 2021/10/08 07:43:07 UV 2.16.840.1.113883.3.9346 fmhlthsrv Family Health Services Inc Jody Yank masked Jody Yank 509 Broadway Tecumseh, NE 68450 4023352988 masked Executive Director Family Health Services, Inc. 509 Broadway Tecumseh, NE 68450 4023352988 jody.yank@fhsi.org Provider Int 3 Complete 2021/10/04 12:00:00 2021/10/08 12:00:00 2021/10/08 07:47:20 UV 2.16.840.1.113883.11.19752 hl7formatcodesvs HL7 FormatCodes value set William Ted Klein masked Lisa Nelson HL7 International Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 +1 (734) 677-7777 masked Structured Documents WorkGroup Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 +1 (734) 677-7777 hq@hl7.org HL7 body Int 11 Complete 2021/10/04 12:00:00 2021/11/06 12:00:00 2021/11/06 11:46:07 UV 2.16.840.1.113883.17.8797 hhn Henderson Hospital Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Manager - Interfaces Henderson Hospital 1050 W. Galleria Drive Henderson, NV 89011 (702)963-7000 alesia.childs@uhsinc.com https://www.hendersonhospital.com/ Provider Int 17 Complete 2021/10/05 12:00:00 2021/10/08 12:00:00 2021/10/08 08:14:43 UV 2.16.840.1.113883.17.8798 csr Cornerstone Regional Hospital OID Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Manager - Interfaces Cornerstone Regional Hospital 2302 Cornerstone Blvd. Edinburg, TX 78539 (956)618-4444 alesia.childs@uhsinc.com https://cornerstoneregional.com/ Provider Int 17 Complete 2021/10/05 12:00:00 2021/10/08 12:00:00 2021/10/08 08:17:46 UV 2.16.840.1.113883.17.8799 apan Aiken Professional Association Neuroscience OID Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Manager - Interfaces Aiken Professional Association Neuroscience 410 University Parkway Suite 1520 Aiken, SC 29801 (803)502-8400 alesia.childs@uhsinc.com https://www.aikenphysicians.com/locations/aiken-physicians-alliance-neuroscience Provider Int 17 Complete 2021/10/05 12:00:00 2021/10/08 12:00:00 2021/10/08 08:21:34 UV 2.16.840.1.113883.17.8800 scaik The Surgery Center of Aiken OID Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Manager - Interfaces The Surgery Center of Aiken 4211 Trolley Line Road Aiken, SC 29801 16103824375 alesia.childs@uhsinc.com https://www.aikenregional.com/services/surgical-services/surgery-center-aiken Provider Int 17 Complete 2021/10/05 12:00:00 2021/10/08 12:00:00 2021/10/08 08:25:05 UV 2.16.840.1.113883.3.4059.114503531.1 apapcs Aiken Physicians Alliance Primary Care Southside Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Manager - Interfaces Aiken Physicians Alliance Primary Care Southside 420 Society Hill Drive, Suite 200, Aiken, SC 29803 (803)649-7266 alesia.childs@uhsinc.com https://www.aikenphysicians.com/locations/primary-care-southside Provider Ext 17 Complete 2.16.840.1.113883.3.4059.114503531.1 2021/10/05 12:00:00 2021/10/08 12:00:00 2021/10/08 08:30:43 UV 2.16.840.1.113883.3.9347 trimedtech TriMed Technologies Corp. Timothy Martin masked Timothy Martin 4048 Mendenhall Oaks Parkway High Point, NC 27265 866-874-6339 masked Owner TriMed Technologies Corp 4048 Mendenhall Oaks Parkway High Point, NC 27265 866-874-6339 support@trimedtech.com https://www.trimedtech.com Provider Int 3 Complete 2021/10/06 12:00:00 2021/10/08 12:00:00 2021/10/08 08:36:02 US 2.16.840.1.113883.3.9348 ocllis OCL LIS OID Frank Perez masked Frank Perez 1428 Bluestem Ln Minooka, IL 60447 8157154485 masked President OCL LIS 1428 Bluestem Ln Minooka, IL 60447 8152642189 admin@ocllis.net https://ocllis.us Provider Int 3 Complete 2021/10/10 12:00:00 2021/10/11 12:00:00 2021/10/11 04:47:03 UV 2.16.840.1.113883.3.9349 pfmc Peninsula Family Medical Center LLP Cindy Hart masked Cindy Hart Peninsula Family Medical Center 4700 PT FOSDICK DR NW SUITE 220 GIG HARBOR, WA 98335-1706 2538513989 masked Business Manager Peninsula Family Medical Center LLP 4700 PT FOSDICK DR NW SUITE 220 GIG HARBOR, WA 98335-1706 2538515121 cindyh@peninsulafamilymedical.com https://peninsulafamilymedical.com Provider Int 3 Complete 2021/10/11 12:00:00 2021/10/13 12:00:00 2021/10/13 10:15:13 UV 2.16.840.1.113883.3.9350 blountmemorial Blount Memorial Hospital Adney Cross masked Adney Cross 907 East Lamar Alexander Pkwy Maryville, TN 37804 8659775652 masked Blount Memorial Hospital 907 East Lamar Alexander Pkwy Maryville, TN 37804 8659775652 interfaceadmins@bmnet.com https://blountmemorial.org/ Provider Int 3 Complete 2021/10/13 12:00:00 2021/10/13 12:00:00 2021/10/13 10:22:42 UV 2.16.840.1.113883.3.9351 mchealthclinics Med Center Health Clinics Mark Hanson masked Mark Hanson 800 Park St Bowling Green, KY 42101 270-796-2561 masked Sr. Clinical Informatics Specialist Med Center Health Clinics 800 Park St Bowling Green, KY 42101 hansmh@mchealth.net https://medcenterhealth.org Provider Int 3 Complete 2021/10/13 12:00:00 2021/10/13 12:00:00 2021/10/13 10:31:21 UV 2.16.840.1.113883.3.9352 rMP Rocky Mountain PACE Jason Madwell masked Jason Madwell 2502 E. Pikes Peak Ave, Suite 100 Colorado Springs, CO 80909 719-491-4445 masked HIMS Manager Rocky Mountain PACE 2302 E. Pikes Peak Ave, Suite 100 Colorado Springs, CO 80909 719-314-2327 jmadwell@rmhcare.org https://www.rmhcare.org Provider Int 3 Complete 2021/10/14 12:00:00 2021/10/14 12:00:00 2021/10/14 09:07:07 UV 2.16.840.1.113883.3.9353 ash-qm American Society of Hematology Quality Measures Kailee Boedeker masked Emily Cahill Emily Cahill 202 7760544 masked American Society of Hematology 2021 L St NW #900 Washington, DC 20036 2027760544 quality@hematology.org Prof Soc Int 3 Complete 2021/10/14 12:00:00 2021/10/14 12:00:00 2021/10/14 09:14:58 UV 2.16.840.1.113883.3.9354 eCVA Eye Care & Vision Associates Tammie Cook masked Tammie Cook 811 Maple Road Williamsville, NY 14221 7166318888 masked Health Information & Coding Manager Eye Care & Vision Associates 811 Maple Road Williamsville, NY 14221 7166318888 tzadzilka@ecvaeyecare.com Provider Int 3 Complete 2021/10/18 12:00:00 2021/10/19 12:00:00 2021/10/19 11:15:50 UV 2.16.840.1.113883.3.9355 cascade-oid Cascade Medical OID Kimberly Smith masked Kim Smith 817 Commercial St, Leavenworth, WA 98826 5096616223 masked Project Manager Cascade Medical 817 Commercial St, Leavenworth, WA 98826 509 548 5815 ITinfo@cascademedical.org https://cascademedical.org/ Exchange Int 3 Complete 2021/10/19 12:00:00 2021/10/19 12:00:00 2021/10/19 11:18:36 UV 2.16.840.1.113883.3.9356 pvracc Palm Valley Rehabilitation and Care Center, LLC Ally Kovac masked John Minor 310-860-2259 masked Palm Valley Rehabilitation and Care Center, LLC 13575 West McDowell Road Goodyear, AZ 85395 310-860-2259 jminor@snfmgt.com https://www.windsorpalmvalley.com/ Provider Int 3 Complete 2021/10/19 12:00:00 2021/10/19 12:00:00 2021/10/19 11:23:48 UV 2.16.840.1.113883.3.9357 rdgcrst Ridgecrest Healthcare Ally Kovac masked John Minor 310-860-2259 masked Ridgecrest Healthcare 16640 N 38th St Phoenix, AZ 85032 310-860-2259 jminor@snfmgt.com https://windsorridgecrest.com/ Provider Int 3 Complete 2021/10/19 12:00:00 2021/10/19 12:00:00 2021/10/19 11:31:35 UV 2.16.840.1.113883.3.9358 vpi Virginia Physicians, Inc. Susie Lawson masked Susie Lawson Susie Lawson 8048361136 masked Laboratory Information System Admin Virginia Physicians, Inc. 4900 Cox Road, Suite 150 Glen Allen, VA 23060 8048361136 slawson@vaphysicians.com https://vaphysicians.com Provider Int 3 Complete 2021/10/20 12:00:00 2021/10/23 12:00:00 2021/10/23 09:28:14 UV 2.16.840.1.113883.3.9359 connective Connective Health, Inc Ryan Hess masked Adam Lanners Ryan Hess 348 Cambridge Road, Woburn, MA 01801 6177772263 masked CEO Connective Health, Inc. 348 Cambridge Road, Woburn, MA 01801 6177772263 adam.lanners@connectivehealth.io https://www.connectivehealth.io Exchange Int 3 Complete 2021/10/21 12:00:00 2021/10/23 12:00:00 2021/10/23 09:34:03 UV 2.16.840.1.113883.3.9360 foothold-care-management-cny Foothold Care Management serving Central New York Health Home Ryan Harris masked Ryan Harris 36 E 12th Street 5th Floor New York, NY 10003 3476220193 masked Director of Client Services Foothold Technology 36 E 12th Street 5th Floor New York, NY 10003 2127801450 fcm-support@footholdtechnology.com https://footholdtechnology.com/ Vendor Int 3 Complete 2021/10/22 12:00:00 2021/10/23 12:00:00 2021/10/23 09:40:35 UV 2.16.840.1.113883.3.9361 fronteraDelRio Frontera Pediatrics, PA Doena Faz masked Doena G Faz 109 W. Martin St. Del Rio, Texas 78840 18304882188 masked Frontera Pediatrics, PA 109 W. Martin St. Del Rio, Texas 78840 18304882188 fronterapediatric002@gmail.com Provider Int 3 Complete 2021/10/22 12:00:00 2021/10/23 12:00:00 2021/10/23 09:45:52 US 2.16.840.1.113883.3.9362 evernorth Evernorth Patrick Haren masked Ashley Maples Patrick Haren +1(804)904-6274 masked Evernorth One Express Way, St. Louis, MO 63121 1-800-282-2881 media@evernorth.com https://www.evernorth.com/ Vendor Int 3 Complete 2021/10/26 12:00:00 2021/10/26 12:00:00 2021/10/26 09:53:14 UV 2.16.840.1.113883.3.9363 b10 BASE10 Genetics Daniel Wood masked BASE10 Genetics 70 E. Lake St. Suite 226 Chicago, IL 60601 1 (866) 710-1018 masked BASE10 Genetics 70 E. Lake St. Suite 226 Chicago, IL 60601 1 (866) 710-1018 info@base10genetics.com https://home.base10genetics.com/index Vendor Int 3 Complete 2021/10/26 12:00:00 2021/10/26 12:00:00 2021/10/26 09:57:57 UV 2.16.840.1.113883.3.9364 hennhealthcare Hennepin Healthcare Linnea Ziebell masked Linnea Ziebell 701 Park Ave, Minneapolis, MN 55415 612-873-3083 masked Laboratory Systems Analyst Hennepin Healthcare 701 Park Ave, Minneapolis, MN 55415 612-873-3083 linnea.ziebell@hcmed.org https://www.hennepinhealthcare.org/ Provider Int 3 Complete 2021/10/27 12:00:00 2021/10/28 12:00:00 2021/10/28 08:38:25 UV 2.16.840.1.113883.3.9365 sage SAGE Counseling, Inc. Tewodros Teklearegay masked Charles Hursh Tewodros Teklearegay 1830 S Alma School Rd Suite 101 Mesa, AZ 85210 14806493352 masked IT Director SAGE Counseling, Inc. 1830 S Alma School Rd Suite 101 Mesa, AZ 85210 4806493352 admin@sagecounseling.net https://www.sagecounseling.net Provider Int 3 Complete 2021/10/29 12:00:00 2021/10/29 12:00:00 2021/10/29 11:11:04 UV 2.16.840.1.113883.3.9366 continuumcrm ContinuumCRM Tod Madderra masked Tod Madderra Tod Madderra 6340 Sugarloaf Pkwy Suite 200 Duluth, GA 30097 678.571.3451 masked Continuum CRM 6340 Sugarloaf Pkwy Suite 200 Duluth, GA 30097 800-570-6030 support@continuumcrm.com Vendor Int 3 Complete 2021/11/01 12:00:00 2021/11/04 12:00:00 2021/11/04 08:18:17 UV 2.16.840.1.113883.3.9367 mca MedCenter Health Medical Center Albany Mark Hanson masked Mark Hanson 800 Park Ave Bowling Green, KY 42101 270-796-2561 masked MedCenter Health Albany 800 Park Ave Bowling Green, KY 42101 270-796-2561 hansmh@mchealth.net http://medcenterhealth.org Provider Int 3 Complete 2021/11/02 12:00:00 2021/11/04 12:00:00 2021/11/04 08:27:02 UV 2.16.840.1.113883.9.277 detainEMR DetainEMR AIMM Team masked Advanced Inmate Medical Management 720 Cool Springs Blvd Franklin, TN 37067 3096919300 masked Advanced Inmate Medical Management 720 Cool Springs Blvd Franklin, TN 37067 3096919300 admin365@detainemr.com https://detainemr.com Vendor Int 3 Complete 2021/11/02 12:00:00 2021/11/04 12:00:00 2021/11/04 08:34:03 UV 2.16.840.1.113883.3.9368 medone-oid MedOne Hospital Physicians OID Thomas Deliduka masked Brian Shea 6142556938 masked CIO MedOne Hospital Physicians 3525 Olentangy River Road Suite 4330 Columbus, OH 43214 6142556938 bshea@medonehp.com https://medonehp.com Provider Int 3 Complete 2021/11/03 12:00:00 2021/11/04 12:00:00 2021/11/04 08:41:33 UV 2.16.840.1.113883.3.9369 primarybio Primary Diagnostics Inc. Andrew Nguyen masked Andrew Kobylinski 595 Pacific Ave Floor 4 San Francisco, CA 94133 18559703223 masked CEO Primary Diagnostics Inc. 595 Pacific Ave Floor 4 San Francisco, CA 94133 18559703223 andrew@primarybio.com https://primary.health/ Vendor Int 3 Complete 2021/11/03 12:00:00 2021/11/04 12:00:00 2021/11/04 08:49:27 UV 2.16.840.1.113883.3.9370 nyul NYU Langone Health Jacqueline Betro masked Jacqueline Betro 227 East 30th Street New York, NY 10016 332 323 2607 masked Project Manager NYU Langone Health 227 East 30th Street New York, NY 10016 jacqueline.betro@nyulangone.org Academic Int 3 Complete 2021/11/03 12:00:00 2021/11/04 12:00:00 2021/11/04 08:53:37 UV 2.16.840.1.113883.3.9371 ttbh Tropical Texas Behavioral Health Joe Casas masked Joe Casas 1901 S 24th Ave Edinburg, TX 78539 19562897124 masked Tropical Texas Behavioral Health 1901 S 24th Ave Edinburg, TX 78539 19562897124 joecasas@ttbh.org http://www.ttbh.org Provider Int 3 Complete 2021/11/05 12:00:00 2021/11/06 12:00:00 2021/11/06 11:18:08 UV 2.16.840.1.113883.3.9372 a-NWPNWL Northwest Pathology / Northwest Laboratory Sean McPhillips masked Sean McPhillips 3548 Meridian Street, Suite 101 Bellingham, WA 98225 360-527-4542 masked Integration Specialist Northwest Pathology / Northwest Laboratory 3548 Meridian Street, Suite 101 Bellingham, WA 98225 360-527-4542 Sean.McPhillips@NWPathology.com https://www.nwpathology.com/ Provider Int 3 Complete 2021/11/05 12:00:00 2021/11/06 12:00:00 2021/11/06 11:22:20 UV 2.16.840.1.113883.3.9373 mghpr-humacao Hospital Menonita Humacao OID Emmanuel Miranda masked Daniza Morales PO Box 1650 Cidra, PR 00739-1650 7874341700 masked Chief Information Officer Hospital Menonita Humacao Avenida Font Martello Numero 300 Humacao, PR 00792 (787) 852-0505 dmorales@mghpr.org https://sistemamenonita.com/ Provider Int 3 Complete 2021/11/05 12:00:00 2021/11/06 12:00:00 2021/11/06 11:28:42 UV 2.16.840.1.113883.3.9374 cancer-insights Vizlitics Inc Tarun Kumar masked Tarun Kumar 32 Random Farms Circle, Chappaqua, NY 10514 9147193094 masked CEO Vizlitics Inc 32 Random Farms Circle, Chappaqua, NY 10514 9147193094 tarun@vizlitics.com https://www.cancerinsights.com Vendor Int 3 Complete 2021/11/08 12:00:00 2021/11/11 12:00:00 2021/11/11 12:48:01 UV 2.16.840.1.113883.3.9375 nCL NorthShore Clinical Laboratories, Inc. Omar Hussain masked Omar Hussain 4751 N Kedzie Ave Chicago, IL 60625 773-570-6510 masked Co-Owner Northshore Clinical Laboratories, Inc. 4751 N Kedzie Ave Chicago, IL 60625 773-570-6510 omar@northshoreclinical.com http://www.northshoreclinical.com Provider Int 3 Complete 2021/11/08 12:00:00 2021/11/11 12:00:00 2021/11/11 12:52:10 UV 2.16.840.1.113883.3.9376 peach-state-health-plan Peach State Health Plan Mitabh Patel masked Mitabh Patel 1100 Circle 75 Parkway Suite 1100 Atlanta, GA 30339 6785562380 masked Sr. Director, Operations Peach State Health Plan 1100 Circle 75 Parkway Suite 1100 Atlanta, GA 30339 6785562300 mitabh.a.patel@centene.com https://www.pshpgeorgia.com/ Payor Int 3 Complete 2021/11/08 12:00:00 2021/11/11 12:00:00 2021/11/11 12:57:10 UV 2.16.840.1.113883.3.9377 hbg Health Brigade Polly Foster masked Polly Foster 8047165800 masked Health Brigade 1010 N. Thompson Street, Richmond, VA 23230 8043586343 info@healthbrigade.org Provider Int 3 Complete 2021/11/09 12:00:00 2021/11/11 12:00:00 2021/11/11 01:00:41 UV 2.16.840.1.113883.3.9378 spartanburgneph Spartanburg Nephrology Associates Tina Cohen masked Tina Cohen 322 North Pine Street Spartanburg, SC 29302 864-582-5099 masked IT Support Spartanburg Nephrology Associates 322 North Pine Street Spartanburg, SC 29302 864-582-5099 tcohen@spneph.com Provider Int 3 Complete 2021/11/10 12:00:00 2021/11/11 12:00:00 2021/11/11 01:15:48 UV 2.16.840.1.113883.3.9379 foothold-care-management-northwell Foothold Care Management serving Northwell Health Home Ryan Harris masked Ryan Harris 36 E 12th Street 5th Floor New York, NY 10003 3476220193 masked Director of Client Services Foothold Technology 36 E 12th Street 5th Floor New York, NY 10003 2127801450 fcm-support@footholdtechnology.com https://footholdtechnology.com/ Vendor Int 3 Complete 2021/11/11 12:00:00 2021/11/12 12:00:00 2021/11/12 09:05:40 UV 2.16.840.1.113883.3.9380 wbrh-1500 William Bee Ririe Hospital Frank Ruvolo masked Frank Ruvolo 1500 Avenue H, Ely, Nevada 89301 5057958385 masked CIO William Bee Ririe Hospital 1500 Avenue H, Ely, Nevada 89301 7752893004 it@wbrhely.org https://www.wbrhely.org Provider Int 3 Complete 2021/11/12 12:00:00 2021/11/12 12:00:00 2021/11/12 09:24:31 UV 2.16.840.1.113883.3.9381 oakstreethealth Oak Street Health Interface Exchange William Diaz masked William Diaz 30 W Monroe St, Chicago, IL 60603 7736101391 masked Director, Data Engineering Oak Street Health 30 W Monroe St, Chicago, IL 60603 7736101391 will.diaz@oakstreethealth.com https://www.oakstreethealth.com/ Exchange Int 3 Complete 2021/11/12 12:00:00 2021/11/12 12:00:00 2021/11/12 09:14:26 US 2.16.840.1.113883.3.9382 zc Zepf Center Samantha Ayer masked Samantha Ayer 6605 West Central Ave. Toledo, OH 43620 4198417701 masked Health Information Manager Zepf Center 6605 West Central Ave. Toledo, OH 43620 4198417701 sayer@zepfcenter.org https://www.zepfcenter.org Provider Int 3 Complete 2021/11/16 12:00:00 2021/11/17 12:00:00 2021/11/17 07:52:15 UV 2.16.840.1.113883.17.8801 awoc-bayh Bayhealth-Amwell Virtual Care Julie Koh masked julie.koh@amwell.com Julie Koh 5743871790 masked Amwell 75 State Street 26th Floor Boston, MA 02109 1 (855) 635-1393 TS.Leadership@amwell.com Vendor Int 17 Complete 2021/11/16 12:00:00 2021/11/17 12:00:00 2021/11/17 07:59:56 UV 2.16.840.1.113883.3.9383 barlowrespiratoryhospital Barlow Respiratory Hospital Randeep Sachdeva masked Randeep Sachdeva 2000 Stadium Way Los Angeles, CA 90026 213-250-4200 masked Barlow Respiratory Hospital 2000 Stadium Way Los Angeles, CA 90026 213-250-4200 rsachdeva@barlowhospital.org https://www.barlowhospital.org Provider Int 3 Complete 2021/11/17 12:00:00 2021/11/17 12:00:00 2021/11/17 08:04:39 UV 2.16.840.1.113883.3.9384 tcc Tri County Care Balakumar Balasubramanian masked Balakumar Balasubramanian 400 Freedom Business Center Drive King Of Prussia, PA 19406 6106876080 masked Project Manager Tri County Care 286 Washington Ave Suite 101 Albany, NY 12203 844.504.8400 j.zelik@tricountycare.org https://www.tricountycare.org/ Provider Int 3 Complete 2021/11/17 12:00:00 2021/11/17 12:00:00 2021/11/17 08:15:19 UV 2.16.840.1.113883.3.9385 acany Advance Care Alliance Balakumar Balasubramanian masked Balakumar Balasubramanian 400 Freedom Business Center Drive King of Prussia, PA 19406 6106876080 masked Project Manager Advance Care Alliance 1410 Broadway, 2nd Floor New York, NY 10018 1-833-692-2269 cordelia.nervi@myacany.org https://acany.org/ Provider Int 3 Complete 2021/11/17 12:00:00 2021/11/17 12:00:00 2021/11/17 08:20:22 UV 2.16.840.1.113883.3.9386 ecmh El Campo Memorial Hospital Logan Thurmond masked Logan Thurmond 303 Sandy Corner Road, El Campo Texas, 77437 979-543-6251 masked IT Director El Campo Memorial Hospital 303 Sandy Corner Road, El Campo Texas, 77437 979-543-6251 it@ecmh.org Vendor Int 3 Complete 2021/11/17 12:00:00 2021/11/17 12:00:00 2021/11/17 08:25:11 UV 2.16.840.1.113883.9.278 ppl-Covidtesting Texas A&M Veterinary Diagnostic Laboratory Heidi Dorman masked Heidi Dorman 3501 Soncy Ste. 116 Amarillo, TX 79119 8063502553 masked Clinical Systems Administrator Texas A&M Veterinary Diagnostic Laboratory 3209 Russell Long Blvd Canyon, TX 79016 8063502553 dormanh@amapath.com Provider Int 3 Complete 2021/11/17 12:00:00 2021/11/17 12:00:00 2021/11/17 08:34:00 UV 2.16.840.1.113883.3.9387 nso NeurosurgeryOne Debbie Hayes masked Debbie Hayes 303-459-6745 masked Business Manager NeurosurgeryOne, Inc 7780 S Broadway, Suite 350 Littleton, CO 80122 720-638-7500 dhayes@eidebailly.com Provider Int 3 Complete 2021/11/18 12:00:00 2021/11/18 12:00:00 2021/11/18 09:28:49 UV 2.16.840.1.113883.3.9388 whg Womens Health Group Women's Group masked Women's Health Group Operations 9195 Grant St. Thornton, CO 80229 303) 280-2229 masked Women's Health Group 9195 Grant St. Thornton, CO 80229 3032802229 helpdesk@whg-pc.com Provider Int 3 Complete 2021/11/18 12:00:00 2021/11/18 12:00:00 2021/11/18 09:33:17 UV 2.16.840.1.113883.3.9389 imz-reg-number Michael Cohen, MD Michael Cohen masked Michael Cohen 24 Onville Road #205 Stafford, VA 22556 5406580825 masked Physician Michael Cohen, MD 24 Onville Road #205 Stafford, VA 22556 7038633984 capzfan@gmail.com https://michaelcohenmd.com Provider Int 3 Complete 2021/11/20 12:00:00 2021/11/20 12:00:00 2021/11/20 11:07:08 UV 2.16.840.1.113883.3.9390 cogency COGENCY Mohsin Sardar masked Mohsin Sardar 80 Maiden Ln, 3rd Floor, Suite #305 New York, NY 10038 5164764715 masked IT Director COGENCY 80 Maiden Lane 3rd Floor, Suite #305 New York, NY 10038 5164764715 msardar@cogencyipa.com https://www.cogencyipa.com/ Provider Int 3 Complete 2021/11/22 12:00:00 2021/11/25 12:00:00 2021/11/25 09:56:06 UV 2.16.840.1.113883.4.982 ca-mb-cphm-pcyln College of Pharmacists of Manitoba Pharmacy License Number Joan Harper masked Marc L'Arrivee Shared Health 900-330 Portage Ave., Winnipeg, MB R3C 0C4 204-926-9096 masked Information Standards Specialist | Digital Health College of Phamacists of Manitoba College of Pharmacists of Manitoba 200 Tache Avenue, Winnipeg, MB R2H 1A7 204-233-1411 info@cphm.ca https://cphm.ca/ Prof Soc Int 4 Complete 2021/11/26 12:00:00 2021/11/30 12:00:00 2021/11/30 08:47:06 CA 2.16.840.1.113883.3.9391 cozeva Applied Research Works, Inc Madhurima Dhar masked Amitava Maulik Amitava Maulik 39300, Civic Center Dr #180, Fremont, CA 94538 1 (877) 862-7048 masked CTO Applied Research Works, Inc 39300, Civic Center Dr #180, Fremont, CA 94538 1 (877) 862-7048 info@cozeva.com https://corp.cozeva.com/ Vendor Int 3 Complete 2021/11/30 12:00:00 2021/11/30 12:00:00 2021/11/30 08:52:24 UV 2.16.840.1.113883.3.9392 heartMinistryCenter Heart Ministry Center Stephanie Heimann masked Stephanie Heimann 2222 Binney Street Omaha, NE 68110 402-451-2321 masked Healthcare Director Heart Ministry Center 2222 Binney Street Omaha, NE 68110 402-451-2321 stephanie@heartministrycenter.com https://heartministrycenter.org/ Provider Int 3 Complete 2021/12/01 12:00:00 2022/08/30 12:00:00 2022/08/30 12:42:36 UV 2.16.840.1.113883.3.9393 smpc Southern Michigan Pain Consultants Root OID Matthew Doak masked Devinn Rathburn Matthew Doak 5555 Glenwood Hills Pkwy SE Suite #2 Grand Rapids, MI 49512 6169403520 masked IT Systems Engineer Southern Michigan Pain Consultants 3770 Glenkerry Ct Portage, MI 49024 2693292887 drathburn@procarepain.com https://www.southernmichiganpain.com Provider Int 3 Complete 2021/12/02 12:00:00 2021/12/07 12:00:00 2021/12/07 09:37:55 UV 2.16.840.1.113883.3.9394 vadoc virginia-department-of-corrections Wayne Clarke masked Wayne Clarke 6900 Atmore Drive Richmond, VA 23225 8047730851 masked Application Development Manager Virginia Department of Corrections 6900 Atmore Drive Richmond, VA 23225 8046743000 webmaster@vadoc.virginia.gov https://vadoc.virginia.gov/ Govt body Int 3 Complete 2021/12/02 12:00:00 2021/12/07 12:00:00 2021/12/07 09:41:28 UV 2.16.840.1.113883.3.9395 cfmc Cumberland Family Medical Center Kyle Loy masked Kyle Loy 404 Steve Dr. Russell Springs, KY 42642 270-250-2589 masked IT Coordinator Cumberland Family Medical Center 404 Steve Dr. Russell Springs, KY 42642 270-858-6655 kloy@cfmcky.com http://cumberlandfamilymedical.com/ Provider Int 3 Complete 2021/12/07 12:00:00 2021/12/07 12:00:00 2021/12/07 09:43:41 UV 2.16.840.1.113883.3.9396 firstcrmed First Care Medical PC Peggy Dobish masked Peggy K Dobish 2605 2nd Ave Kearney, NE 68847 308-236-7016 masked Clinic Administrator First Care Medical PC 2605 2nd Ave Kearney, NE 68847 308-236-7016 pdobish@firstcarekearney.com Provider Int 3 Complete 2021/12/08 12:00:00 2021/12/08 12:00:00 2021/12/08 10:43:14 UV 2.16.840.1.113883.3.9397 rmpcc Rocky Mountain Primary Care Clinic Melissa Caporicci masked Melissa Caporicci 131 South Main Street Ste 101 Pueblo, CO 81003 17192502781 masked Office Manager Rocky Mountain Primary Care Clinic 131 South Main Street Pueblo, CO 81003 7199249398 rmpccmanager@gmail.com Provider Int 3 Complete 2021/12/08 12:00:00 2021/12/08 12:00:00 2021/12/08 10:47:09 UV 2.16.840.1.113883.3.9398 ichc Inner City Health Center Andrea Cortez masked Andrea Cortez 3800 York Street Denver, CO 80205 7208335039 masked COO Inner City Health Center 3800 York Street Denver, CO 80205 3032961767 andreac@innercityhealth.org https://innercityhealth.org/ Provider Int 3 Complete 2021/12/09 12:00:00 2021/12/18 12:00:00 2021/12/18 05:37:55 UV 2.16.840.1.113883.17.8802 sjch-1 San Jorge Children's Hospital Samuel Castillo masked Samuel Castillo San Jorge Children's Hospital 252 San Jorge Street San Juan, PR 00912 787-727-1000 masked CIO San Jorge Children's Hospital 252 San Jorge Street San Juan, PR 00912 787-727-1000 scastillo@sanjorgepr.com http://www.sanjorgechildrenshospital.com Provider Int 17 Complete 2021/12/09 12:00:00 2021/12/18 12:00:00 2021/12/18 05:42:46 PR 2.16.840.1.113883.3.9399 pjhs PUSAT JANTUNG HOSPITAL SERDANG Lye Hin Khoo masked SHAHRIR.JUNUS@GE.COM SHAHRIR JUNUS Level 38, Nu Tower 2 203, Jalan Tun Sambathan KL Sentral 50740 Kuala Lumpur, Malaysia +60122168703 masked SERVICE ENGINEER PUSAT JANTUNG HOSPITAL SERDANG Jalan Jasmin, 43400 Serdang, Selangor, Malaysia +60389475555 hazmen@moh.gov.my Govt body Int 3 Complete 2021/12/09 12:00:00 2021/12/18 12:00:00 2021/12/18 05:48:22 UV 2.16.840.1.113883.3.5958.1000 cvsHealth-CQ-Implementer CVS Health Carequality Implementer Doris Arnold masked James D. Murray CVS Health One CVS Drive Woonsocket, RI 02895 401-408-5344 masked VP, Clinical Informatics and Interoperability CVS Health CVS Health One CVS Drive Woonsocket, RI 02895 401-765-1500 James.Murray@CVSHealth.com Provider 2.16.840.1.113883.3.5958 Ext 14 Complete 2.16.840.1.113883.3.5958.1000 2021/12/10 12:00:00 2021/12/18 12:00:00 2021/12/18 05:52:04 UV 2.16.840.1.113883.3.9400 northtowns Safire of Northtowns Saul Feintuch masked Saul Feintuch 17188095779 masked Regional Administrator Safire of Northtowns 6085 Strickland Avenue Brooklyn, NY 11234 17188095779 sapphirewonderful@gmail.com Provider Int 3 Complete 2021/12/10 12:00:00 2021/12/18 12:00:00 2021/12/18 06:14:04 UV 2.16.840.1.113883.3.9401 wms Williamsville Suburban Care Center Saul Feintuch masked Saul Feintuch 6085 Strickland Avenue Brooklyn, NY 11234 7186977523 masked Williamsville Suburban Care Center 6085 Strickland Avenue Brooklyn, NY 11234 17188095779 sapphirewonderful@gmail.com Provider Int 3 Complete 2021/12/10 12:00:00 2021/12/18 12:00:00 2021/12/18 06:18:50 UV 2.16.840.1.113883.3.9402 southtowns Safire of Southtowns Care Center Saul Feintuch masked Saul Feintuch 6085 Strickland Avenue Brooklyn, NY 11234 7188095779 masked Safire of Southtowns Care Center 6085 Strickland Avenue Brooklyn, NY 11234 17188095779 sapphirewonderful@gmail.com Provider Int 3 Complete 2021/12/10 12:00:00 2021/12/18 12:00:00 2021/12/18 06:26:18 UV 2.16.840.1.113883.3.9403 vabchcsb Virginia Beach Community Services Board Root OID Grady Bird masked Grady L. Bird 4801 Columbus Street Suite 301 Virginia Beach, VA 23462 (757) 385-1707 masked Health & Human Services IT Solutions Manager Virginia Beach Department of Human Services 3432 Virginia Beach Boulevard Virginia Beach, VA 23452 (757) 385-3200 VirginiaBeachCSB@vbgov.com https://www.vbgov.com/government/departments/human-services/Pages/default.aspx Provider Int 3 Complete 2021/12/10 12:00:00 2021/12/18 12:00:00 2021/12/18 06:28:17 UV 2.16.840.1.113883.3.9404 avaneer Health Utility Network, Inc. d/b/a Avaneer Health Gary Word masked Gerald Bortis Gary Word 2001 Spring Rd Ste 220 Oak Brook, IL, 60523-3918 +1.331.272.2121 masked VP Health Utility Network, Inc. d/b/a Avaneer Health 2001 Spring Rd Ste 220 Oak Brook, IL, 60523-3918 support@avaneerhealth.com https://avaneerhealth.com Exchange Int 3 Complete 2021/12/10 12:00:00 2021/12/18 12:00:00 2023/02/15 03:22:12 UV 2.16.840.1.113883.3.9405 pmc-ak Petersburg Medical Center Jill Dormer masked Matt Pawuk Jill Dormer PO Box 589 103 Fram Street Petersburg, AK 99833 907-772-4291 masked Petersburg Medical Center PO Box 589 103 Fram Street Petersburg, AK 99833 907-772-4291 mpawuk@pmc-health.org Provider Int 3 Complete 2021/12/14 12:00:00 2021/12/18 12:00:00 2021/12/18 06:34:23 UV 2.16.840.1.113883.4.983 vwh Vera Whole Health Jeff Holmes masked Jeff Holmes 1201 2nd Ave, Suite 1400 Seattle, WA 98101 4259050169 masked Business Systems Analyst Vera Whole Health 1201 2nd Ave, Suite 1400 Seattle, WA 98101 206395-7870 info@verawholehealth.com Provider Int 3 Complete 2021/12/15 12:00:00 2021/12/18 12:00:00 2021/12/18 06:41:42 UV 2.16.840.1.113883.3.5958.1000.100 cvsHealth-CQ-Specialty CVS Health Specialty Pharmacy Doris Arnold masked James D. Murray CVS Health One CVS Drive Woonsocket, RI 02895 401-408-5344 masked VP, Clinical Informatics and Interoperability CVS Health CVS Health One CVS Drive Woonsocket, RI 02895 401-765-1500 James.Murray@CVSHealth.com Provider 2.16.840.1.113883.3.5958 Ext 14 Complete 2.16.840.1.113883.3.5958.1000.100 2021/12/15 12:00:00 2021/12/18 12:00:00 2021/12/18 06:50:10 UV 2.16.840.1.113883.3.9406 wcbh West Central Behavioral Health Shawn Cornell masked West Central Behavioral Health Shawn Cornell 85 Mechanic Street Rivermill Suite C2-1 Box A-10 Lebanon, NH 03766 603-448-0126 masked Director of Information Technologies West Central Behavioral Health 85 Mechanic Street Rivermill Suite C2-1 Box A-10 Lebanon, NH 03766 603-448-0126 IT@wcbh.org https://www.wcbh.org Provider Int 3 Complete 2021/12/16 12:00:00 2021/12/18 12:00:00 2021/12/18 06:57:09 US 2.16.840.1.113883.4.984 toxilab Quantum Mechanic, Inc./ Toxilab John Wolf masked John Wolf QUANTUM MECHANIC, INC / TOXILAB PO BOX 931 GETZVILLE, NY 14068 855.723.7626 masked Quantum Mechanic, Inc. QUANTUM MECHANIC, INC / TOXILAB PO BOX 931 GETZVILLE, NY 14068 855.723.7626 info@qmco.com https://toxilab.com Vendor Int 3 Complete 2021/12/17 12:00:00 2021/12/18 12:00:00 2021/12/18 07:00:36 UV 2.16.840.1.113883.3.9404.2 avaneer-person-id Avaneer Person ID Gary Word masked Gerald Bortis Gary Word 2001 Spring Rd Ste 220 Oak Brook, IL, 60523-3918 13312722121 masked VP Innovation and Lab Health Utility Network, Inc. d/b/a Avaneer Health 2001 Spring Rd Ste 220 Oak Brook, IL, 60523-3918 support@avaneerhealth.com https://avaneerhealth.com Exchange 2.16.840.1.113883.3.9404 Ext 4 Complete 2.16.840.1.113883.3.9404.2 2021/12/20 12:00:00 2021/12/22 12:00:00 2021/12/22 04:30:13 UV 2.16.840.1.113883.3.9407 cmp Citizens Medical Professional Katie Smith masked Katie Smith 2701 Hospital Drive Victoria, TX 77901 3615741706 masked IT Systems Analyst Citizens Medical Professional 2701 Hospital Drive Victoria, TX 77901 3615739181 rwitte@cmcvtx.org http://www.citizensmedicalcenter.org Provider Int 3 Complete 2021/12/21 12:00:00 2021/12/22 12:00:00 2021/12/22 07:43:11 UV 2.16.840.1.113883.3.9408 ws-REGTESTING WAQAR TESTING OBJECT FOR OID REGISTRATION Eric Courtney masked ERIC COURTNEY 1351 W President George Bush Hwy, Richardson, TX 75080 4699108800 masked DIRECTOR OF FINANCE Eminent Medical Center 1351 W President George Bush Hwy, Richardson, TX 75080 4699108800 ECOURTNEY@EMINENTMEDICALCENTER.COM https://www.eminentmedicalcenter.com/ Provider Int 3 Complete 2021/12/21 12:00:00 2021/12/22 12:00:00 2021/12/22 07:54:49 UV 2.16.840.1.113883.3.9409 lacasa La Casa - Greenway Gisela Gomez masked Gisela Bartolome Gomez 1422 Paseo Peralta Santa Fe, NM 87501 5056703715 masked CIO Presbyterian Medical Services 1422 Paseo Peralta Santa Fe, NM 87501 5058203489 gisela.bartolomegomez@pmsnm.org http://www.pmsnm.org/ Provider 2.16.840.1.113883.3.9306 Int 3 Complete 2021/12/21 12:00:00 2021/12/22 12:00:00 2021/12/22 07:57:57 UV 2.16.840.1.113883.3.9410 hidalgo Hidalgo - eCW Gisela Gomez masked Gisela Bartolome Gomez 1422 Paseo Peralta Santa Fe, NM 87501 5058203489 masked CIO Presbyterian Medical Services 1422 Paseo de Peralta Santa Fe, NM 87501 5058203489 gisela.bartolomegomez@pmsnm.org http://www.pmsnm.org/ Provider 2.16.840.1.113883.3.9306 Int 3 Complete 2021/12/21 12:00:00 2021/12/22 12:00:00 2021/12/22 08:20:03 UV 2.16.840.1.113883.3.9411 lafamilia La Familia - eCW Gisela Gomez masked Gisela Bartolome Gomez Gisela Bartolome Gomez 1422 Paseo Peralta Santa Fe, NM 87501 5058203489 masked CIO Presbyterian Medical Services 1422 Paseo Peralta Santa Fe, NM 87501 5058203489 gisela.bartolomegomez@pmsnm.org http://www.pmsnm.org/ Provider 2.16.840.1.113883.2.9306 Int 3 Complete 2021/12/21 12:00:00 2021/12/22 12:00:00 2021/12/22 08:23:42 UV 2.16.840.1.113883.3.9412 abqhomeless Albuquerque for the homeless - eCW Gisela Gomez masked Gisela Bartolome Gomez 1422 Paseo Peralta Santa Fe, NM 87501 5058203489 masked CIO Presbyterian Medical Services 1422 Paseo de Peralta Santa Fe, NM 87501 5058203489 gisela.bartolomegomez@pmsnm.org http://www.pmsnm.org/ Provider 2.16.840.1.113883.3.9306 Int 3 Complete 2021/12/21 12:00:00 2021/12/22 12:00:00 2021/12/22 08:26:33 UV 2.16.840.1.113883.3.9413 swcare South West Care - Athena Gisela Gomez masked Gisela Bartolome Gomez 1422 Paseo Peralta Santa Fe, NM 87501 5058203489 masked CIO Presbyterian Medical Services 1422 Paseo de Peralta Santa Fe, NM 87501 5058203489 gisela.bartolomegomez@pmsnm.org http://www.pmsnm.org/ Provider 2.16.840.1.113883.3.9306 Int 3 Complete 2021/12/21 12:00:00 2021/12/22 12:00:00 2021/12/22 08:29:18 UV 2.16.840.1.113883.3.9414 mercyOneHouse-of-Mercy MercyOne House of Mercy Lynn McCormick masked Lynn McCormick 1409 Clark Street, Des Moines IA 50314 515-643-6512 masked Manager Operations MercyOne House of Mercy 1409 CLark Street, Des Moines IA 50314 515-643-6500 RPeterson@mercydesmoines.org https://www.mercyone.org/desmoines/house-of-mercy/ Provider Int 3 Complete 2021/12/22 12:00:00 2022/03/19 12:00:00 2022/03/19 06:59:30 UV 2.16.840.1.113883.3.9415 medallies MedAllies OID Root Savitha Venkat masked Grace Schreur Savitha Venkat 300 Westage Business Center Drive, Suite 320 Fishkill, NY 12524 913-633-6784 masked Director of Product MedAllies 300 Westage Business Center Drive, Suite 320 Fishkill, NY 12524 845.896.0191 info@medallies.com https://www.medallies.com/ Vendor Int 3 Complete 2021/12/22 12:00:00 2021/12/22 12:00:00 2021/12/22 08:36:45 UV 2.16.840.1.113883.3.9416 lacasaBH La Casa BH - NGE Gisela Gomez masked Gisela Bartolome Gomez 1422 Paseo de Peralta, Santa Fe, NM 87501 5058203489 masked CIO Presbyterian Medical Services 1422 Paseo de Peralta, Santa Fe, NM 87501 5058203489 gisela.bartolomegomez@pmsnm.org http://www.pmsnm.org/ Provider 2.16.840.1.113883.3.9306 Int 3 Complete 2021/12/27 12:00:00 2021/12/27 12:00:00 2021/12/27 02:58:58 UV 2.16.840.1.113883.3.9417 glbhc Great Lakes Bay Health Centers Alex Wagner masked Brian Andrzejewski Brian Andrzejewski 989-759-6400 masked Great Lakes Bay Health Centers 989-759-6400 contact@glbhealth.org Provider Int 3 Complete 2021/12/28 12:00:00 2021/12/29 12:00:00 2021/12/29 02:06:43 UV 2.16.840.1.113883.17.8803 eon Eon Lisa Heck masked Aki Alzubaidi Aki Alzubaidi (702) 300-5056 masked co-CEO Eon 400 South Colorado Blvd #380, Glendale, CO 80246 (303) 578-8393 success@eonhealth.com https://eonhealth.com/ Vendor Int 17 Complete 2022/01/07 12:00:00 2022/01/11 12:00:00 2022/01/11 11:04:17 UV 2.16.840.1.113883.3.9418 nemo Northeast Missouri Health Council Trevor Estes masked IT Dept 1416 Crown Drive, Kirksville, MO 63501 (660) 627-2229 masked Northeast Missouri Health Council 1416 Crown Drive, Kirksville, MO 63501 (660) 627-2229 itteam@nmhcinc.org https://www.nemohealthcouncil.com/ Provider Int 3 Complete 2022/01/07 12:00:00 2022/01/11 12:00:00 2022/01/11 11:07:32 UV 2.16.840.1.113883.3.9419 ihealth iHealth Labs Xiaofeng Guo masked Xiaofeng Guo 120 San Lucar Ct, Sunnyvale, CA 94086 8558167705 masked CTO iHealth Labs 8558167705 xiaofeng@ihealthlabs.com https://ihealthlabs.com/ Vendor Int 3 Complete 2022/01/07 12:00:00 2022/01/11 12:00:00 2022/01/11 11:12:03 UV 2.16.840.1.113883.3.9420 embodia Embodia Inc. Elie Afif masked Elie Afif +1(647) 576-7021? masked Embodia Inc. 10 Dundas Street East Suite 600 Toronto, ON M5B 2G9, Canada support@embodiaapp.com https://embodiaapp.com Vendor Int 3 Complete 2022/01/10 12:00:00 2022/01/11 12:00:00 2022/01/11 11:23:05 CA 2.16.840.1.113883.3.9421 otc-monograph-id OTC Monograph ID William Hess masked William Albert Hess Food and Drug Administration Data Standards Advisory Board 10903 New Hampshire Ave WO32-Room 2261 Silver Spring, MD 20993-0002 United States of America 301-796-8494 masked Pharmacist Food and Drug Administration Food and Drug Administration Data Standards Advisory Board 10903 New Hampshire Ave WO32-Room 2261 Silver Spring, MD 20993-0002 United States of America 301-796-8494 william.hess@fda.hhs.gov https://www.fda.gov/ Govt body 2.16.840.1.113883.3.24 Int 3 Complete 2022/01/11 12:00:00 2022/01/11 12:00:00 2022/01/11 11:26:57 UV 2.16.840.1.113883.3.9422 rhcc-OID Rosebud Community Hospital, INC DBA Rosebud Health Care Center Mindy Price masked Mindy Price 383 North 17th Ave PO Box 268 14063464259 masked CEO Rosebud Community Hospital, INC DBA Rosebud Health Care Center 383 North 17th Ave Forsyth, MT 59327 14063464259 mprice@rosebudhealthcare.com https://www.rosebudhcc.org/ Provider Int 3 Complete 2022/01/12 12:00:00 2022/01/15 12:00:00 2022/01/15 08:35:56 UV 2.16.840.1.113883.3.9423 unit387 Unit 387 Ryan Tate masked Meredith Manak 12 Cochran Creek Ct Dallas, TX 75220 214-478-8802 masked CEO Unit 387, LLC meredith@unit387.com https://www.unit387.com Vendor Int 3 Complete 2022/01/18 12:00:00 2022/01/22 12:00:00 2022/01/22 08:34:39 UV 2.16.840.1.113883.9.279 sr SafeRestart Keith Finch masked Keith Finch 6363 S Fiddlers Green Circle, 14th Floor Greenwood Village, CO 80111 877.244.4890 masked Global Medical Response 6363 S Fiddlers Green Circle, 14th Floor Greenwood Village, CO 80111 877.244.4890 clinicalinformatics@gmr.net Provider Int 3 Complete 2022/01/18 12:00:00 2022/01/22 12:00:00 2022/01/22 08:43:27 UV 2.16.840.1.113883.3.9424 seekaz S.E.E.K. Arizona, LLC Kathy Kelley masked Kathy Kelley 1830 S Alma School Rd #130 Mesa, AZ 85210 4809020771x106 masked CFO S.E.E.K. Arizona, LLC 1830 S Alma School Rd #130 Mesa, AZ 85210 4809020771x106 accounting@seekarizona.org https://seekarizona.org/ Provider Int 3 Complete 2022/01/19 12:00:00 2022/01/22 12:00:00 2022/01/22 08:46:37 UV 2.16.840.1.113883.3.9425 clx Clinix Health Services of Colorado Keri Straub masked Keri Straub 7030 S Yosemite St Centennial, CO 80112 3039963209 masked IT Coordinator Clinix 7030 S Yosemite St Centennial, CO 80112 3037219984 keris@clinixusa.com https://www.clinixusa.com Provider Int 3 Complete 2022/01/21 12:00:00 2022/01/22 12:00:00 2022/01/22 08:57:11 UV 2.16.840.1.113883.3.9426 optistore OptiStore ONE by Deen and Associates Software Architects Inc. Mubeen Deen masked Mubeen 1-877-448-5427 masked Director OptiStore ONE by Deen and Associates Software Architects Inc. 35 Pinto Drive Toronto, ON M2J 3T9 CANADA 416455197 mubeen@deenandassociates.com https://www.optistore.ca Vendor Int 3 Complete 2022/01/24 12:00:00 2022/01/24 12:00:00 2022/01/24 10:09:38 UV 2.16.840.1.113883.17.8804 reopen-diagnostics Reopen Diagnostics LLC Dave Hunt masked CJ Ener Dave Hunt PRL NYC 45-18 Ct Square W Long Island City, NY 11101 8163013646 masked Sr Product Manager Reopen Diagnostics LLC PRL NYC 45-18 Ct Square W Long Island City, NY 11101 888-672-3144 cs@reopenlabs.com https://pandemicresponselab.com/ Provider Int 17 Complete 2022/01/24 12:00:00 2022/01/24 12:00:00 2022/01/24 10:23:53 UV 2.16.840.1.113883.3.9427 samc-2022 St. Anthony Medical Clinic Kathleen OConnor masked Kathleen O'Connor 150 Golden Gate Avenue San Francisco, CA 94102 7073036424 masked Clinic Director St. Anthony Foundation 150 Golden Gate Avenue San Francisco, CA 94102 4155922711 koconnor@stanthonysf.org Provider Int 3 Complete 2022/01/25 12:00:00 2022/01/30 12:00:00 2022/01/30 10:25:47 UV 2.16.840.1.113883.3.9428 afm Arbor Family Medicine, PC Rachel Ballard masked Jeanne Buscietta Rachel Ballard 3655 E. 104th Ave Suite A Thornton, CO 80233 720-519-2800 masked Operations Manager Arbor Family Medicine, PC 3655 E. 104th Ave Suite A Thornton, CO 80233 3032548500 rdb@arborfamily.com https://www.arborfamily.com Provider Int 3 Complete 2022/01/28 12:00:00 2022/01/30 12:00:00 2022/01/30 10:29:22 UV 2.16.840.1.113883.3.9429 accreon Accreon Consulting Ray Basque masked Doug Stewart 20 Park Plaza, Suite 401 Boston, MA 02116 506-452-0551 masked Director of Operations Accreon Consulting 20 Park Plaza, Suite 401 Boston, MA 02116 506-452-0551 ahc.support@Accreon.com https://accreon.com/ Vendor Int 3 Complete 2022/01/28 12:00:00 2022/01/30 12:00:00 2022/01/30 10:32:01 UV 2.16.840.1.113883.3.9430 omp Owensboro Medical Practice Ajit Gala masked Nilesh Sangoi 2706916232 masked CFO Owensboro Medical Practice 1200 Breckenridge Street, Owensboro, KY 42303 2706838672 itemail@drvora.com https://owensboromedical.com/ Provider Int 3 Complete 2022/01/31 12:00:00 2022/01/31 12:00:00 2022/01/31 08:26:01 UV 2.16.840.1.113883.3.9431 pointnclick Point and Click Solutions Inc Brian Reynolds masked dtan@pointnclick.com Brian Reynolds 6 Lincoln Knoll Lane, Suite 101 Burlington, MA 01803 781-272-9800 masked Lead Applications Specialist Point and Click Solutions, Inc. 6 Lincoln Knoll Lane, Suite 101 Burlington, MA 01803 781-272-9800 info@pointnclick.com https://www.pointnclick.com Vendor Int 3 Complete 2022/02/02 12:00:00 2022/02/03 12:00:00 2022/02/03 09:11:09 UV 2.16.840.1.113883.3.9432 nj-INCK NJINCK Project Interoperability Allison Romeo masked Allison Romeo Children's Health Ventures 23 Main Street, D1 Holmdel, NJ 07733 732-810-2224 masked Children's Health Ventures 23 Main Street, D1 Holmdel, NJ 07733 732-810-2224 allison.romeo@vnahg.org Provider Int 3 Complete 2022/02/02 12:00:00 2022/02/03 12:00:00 2022/02/03 09:16:26 UV 2.16.840.1.113883.3.9433 azuraNCSAS Azura Vascular Care OID NC Jim Anderson masked Tanya Martin Jim Anderson 485 Green Valley Rd. York, PA 17403 484-913-2662 masked Manager Applications Azura Vascular Care 52 E Swedesford Rd. Malvern, PA 19355 484-913-2662 jim.anderson@azuracare.com Provider Int 3 Complete 2022/02/03 12:00:00 2022/02/03 12:00:00 2022/02/03 09:18:05 UV 2.16.840.1.113883.3.9434 fFRHPA F. READ HOPKINS PEDIATRIC ASSOCIATES INC. Angie Hawkins masked Angela P Hawkins 1212 McConville Road Lynchburg, VA 24502 4342378886 masked Administrator F. READ HOPKINS PEDIATRIC ASSOCIATES INC. 1212 McConville Road Lynchburg, VA 24502 4342378886 ahawkins@hopkinspediatrics.com https://www.hopkinspediatrics.com Provider Int 3 Complete 2022/02/03 12:00:00 2022/02/03 12:00:00 2022/02/03 09:20:34 UV 2.16.840.1.113883.3.9435 sap Sapphire Pediatrics Ashley Elliott masked Ashley Elliott 4500 E. 9th Ave, Suite 300 Denver, CO 80220 720-941-1778 masked Practice Manager Sapphire Pediatrics 4500 E. 9th Ave, Suite 300 Denver, CO 80220 720-941-1778 aelliott@sapphirepediatrics.com https://www.sapphirepediatrics.com Provider Int 3 Complete 2022/02/03 12:00:00 2022/02/03 12:00:00 2022/02/03 09:25:23 UV 2.16.840.1.113883.9.280 cahepfmc CAHEPFMC Alok Sarwal masked Alok Sarwal 5250 Leetsdale Dr. Suite 110 Denver, CO 80246 3035217641 masked Executive Director Family Medicine Clinic for Health Equity 5250 Leetsdale Dr. Suite 110 Denver, CO 80246 13039540058 fmc@cahep.org https://www.cahep.org Provider Int 3 Complete 2022/02/04 12:00:00 2022/02/10 12:00:00 2022/02/10 10:23:44 US 2.16.840.1.113883.3.9436 jcma-corp-root jcma corp root identifier Corey Palermo masked Jon Cohen Jon Cohen JCM Analytics 404 Hunt Street Suite 300 Durham, NC 27701 202-699-0187 masked Chief Statistician JCM Analytics 404 Hunt Street Suite 300 Durham, NC 27701 919-973-6958 accounting@jcma-llc.com https://jcma-llc.com/ Vendor Int 3 Complete 2022/02/07 12:00:00 2022/02/10 12:00:00 2022/02/10 10:25:53 UV 2.16.840.1.113883.3.9437 crossroadsmaine Crossroads for Women Samuel Fessman masked Samuel Fessman 71 US Route 1 Suite E Scarborough, ME 04074 2073035571 masked Admissions and Electronic Systems Manager Crossroads 71 US Route 1 Suite E Scarborough, ME 04074 2077739931 sfessman@crossroadsme.org http://crossroadsme.org/ Provider Int 3 Complete 2022/02/08 12:00:00 2022/02/10 12:00:00 2022/02/10 10:29:01 UV 2.16.840.1.113883.3.9438 hEalthy-F05 Healthy Futures, P.C. Margie Andersohn masked Margie Andersohn Margie Andersohn 300 E Hampden Ave Ste201 Englewood, CO 80113 3039917700 masked Practice Manager Healthy Futures, P.C. 300 E Hampden Ave Ste201 Englewood, CO 80113 3039917700 healthyfutures05@gmail.com Provider Int 3 Complete 2022/02/11 12:00:00 2022/02/12 12:00:00 2022/02/12 03:34:38 UV 2.16.840.1.113883.3.9439 stvh Strive Health Jonathan Weaver masked Gabe Stapleton 1600 Stout Street Suite 2000 Denver, CO 80202 9372128700 masked Director of Security Strive Health 1600 Stout Street Suite 2000 Denver, CO 80202 7202045760 security@strivehealth.com https://strivehealth.com Provider Int 3 Complete 2022/02/11 12:00:00 2022/02/12 12:00:00 2022/02/12 03:38:01 UV 2.16.840.1.113883.3.9440 pANC2022 Quality Measures to Colorado APM via CORHIO Ellen Roach masked Ellen Roach 1330 Oakridge Drive Suite 100 Fort Collins, CO 80525 9704844871 masked Practice Manager Pediatric Associates of Northern Colorado 1330 Oakridge Drive Suite 100 Fort Collins, CO 80525 9704844871 ellen@pediatricassociatesnc.com Provider Int 3 Complete 2022/02/14 12:00:00 2022/02/22 12:00:00 2022/02/22 09:47:24 UV 2.16.840.1.113883.3.9441 vitalcheck VitalCheck Wellness Lev Ratinov masked Amir Mansour 241 W 37th Street, Suite 402, New York, NY 10018 6464507751 masked CEO VitalCheck Wellness 241 W 37th Street, Suite 402, New York, NY 10018 6464507751 info@getvitalcheck.com https://www.getvitalcheck.com/ Vendor Int 3 Complete 2022/02/15 12:00:00 2022/02/22 12:00:00 2022/02/22 09:50:21 US 2.16.840.1.113883.3.9442 pscp Pueblo Steel City Pediatrics Jacqueline Simony masked Jacqueline Simony 3934 Sandalwood Lane Pueblo, CO 81005 7197669398 masked Practice Manager Steel City Pediatrics 3934 Sandalwood Lane Pueblo, CO 81005 7197669398 manager@steelcitypediatrics.com Provider Int 3 Complete 2022/02/16 12:00:00 2022/02/22 12:00:00 2022/02/22 09:53:45 UV 2.16.840.1.113883.3.9443 pch1 Phillips County Hospital Dennis Robinson masked Dennis Robinson 311 S. 8th Ave E Malta, MT 59538 4066545040 masked Director of Information Technology Phillips County Hospital 311 S. 8th Ave E Malta, MT 59538 4066541100 drobinson@pchospital.us Provider Int 3 Complete 2022/02/16 12:00:00 2022/02/22 12:00:00 2022/02/22 09:56:05 UV 2.16.840.1.113883.3.9444 medchart Medchart, Inc. Luca Gobbi masked Luca Gobbi 888-399-7789 masked Medchart, Inc. Medchart, Inc. 215 S. Denton Tap Rd, Suite 290 Coppell, TX 75019 contact@medchart.com https://medchart.com Vendor Int 3 Complete 2022/02/16 12:00:00 2022/02/22 12:00:00 2022/02/22 10:00:11 UV 2.16.840.1.113883.3.9445 rfgh Redington Fairview General Hospital Robert Godin masked Brittney Lichtenfels Redington Fairview General Hospital PO Box 468 Skowhegan, Maine 04976 207-858-8308 masked Data Integrations Specialist Redington Fairview General Hospital PO Box 468 Skowhegan, Maine 04976 207-474-5121 csteward@rfgh.net https://www.rfgh.net Provider Int 3 Complete 2022/02/18 12:00:00 2022/02/22 12:00:00 2022/02/22 10:03:46 UV 2.16.840.1.113883.3.9446 drfm Desert River Family Medicine LLC Ryan Rahman masked Tara Robicheaux 712 Macon Ave Canon City, CO 81212 719-285-8890 masked Office Manager Desert River Family Medicine LLC 712 Macon Ave Canon City, CO 81212 7192858890 info@desertrivermed.com https://www.desertrivermed.com/ Provider Int 3 Complete 2022/02/22 12:00:00 2022/02/22 12:00:00 2022/02/22 10:26:53 UV 2.16.840.1.113883.3.9447 stationmd StationMD Bruce Kulback masked Bruce Kulback 515 Valley St, Suite 203 Maplewood, NJ 07040 USA +1-908-663-2929 x816 masked Chief Information & Security Officer StationMD 515 Valley St, Suite 203 Maplewood, NJ 07040 USA +1-908-663-2929 techsupport@stationmd.com https://stationmd.com Provider Int 3 Complete 2022/02/22 12:00:00 2022/02/22 12:00:00 2022/02/22 10:30:23 UV 2.16.840.1.113883.3.9448 iLIMS Interpath Laboratory Adam Sieders masked Adam Sieders 2460 SW Perkins Ave. P.O. Box 1208 Pendleton, Oregon 97801 541-278-4762 masked Director of Information Systems Interpath Laboratory, Inc 2460 SW Perkins Ave. P.O. Box 1208 Pendleton, Oregon 97801 541-276-6700 interfaces@interpathlab.com https://www.interpathlab.com/ Provider Int 3 Complete 2022/02/22 12:00:00 2022/02/22 12:00:00 2022/02/22 10:34:28 UV 2.16.840.1.113883.17.8805 docbuddy DocBuddy Inc Jared Cobb masked Andy D'Agostino 5860 South Clayton Court Greenwood Village, CO 80121 17202192942 masked CEO DocBuddy Inc 5860 South Clayton Court Greenwood Village, CO 80121 17202192942 support@docbuddy.com https://docbuddy.com Vendor Int 17 Complete 2022/02/23 12:00:00 2022/02/26 12:00:00 2022/02/26 09:06:33 US 2.16.840.1.113883.3.9449 hPCB Hospice and Palliative Care Buffalo Jennifer Valentine masked Jennifer Valentine 225 Como Park Buffalo, NY 14227 7169010237 masked Director of Operations Hospice and Palliative Care Buffalo 225 Como Park Buffalo, NY 14227 7169010237 jvalentine@palliativecare.org https://www.hospicebuffalo.com Provider Int 3 Complete 2022/02/23 12:00:00 2022/02/26 12:00:00 2022/02/26 09:10:42 UV 2.16.840.1.113883.3.9450 dhc Doral Health Connect David Lipschitz masked Gaurang Joshi David Lipschitz 1797 Pitkin Ave, Brooklyn, NY, 11212 9173646218 masked CEO Doral Health Connect 1797 Pitkin Ave, Brooklyn, NY, 11212 7183672555 gjoshi@doralhw.org https://doralhealthconnect.com Provider Int 3 Complete 2022/02/24 12:00:00 2022/02/26 12:00:00 2022/02/26 09:15:41 UV 2.16.840.1.113883.3.9451 pathways-AZ Pathways of Arizona Pam Ocasek masked Pamela Ocasek 1161 N El Dorado Place Suite 103 Tucson, AZ 85715 15202452772 masked Sr IT Director Pathways of Arizona 1161 N El Dorado Place Suite 103 Tucson, AZ 85715 5207487108 ptw_az_hie_oid@pathways.com Provider Int 3 Complete 2022/02/28 12:00:00 2022/02/28 12:00:00 2022/02/28 09:30:56 UV 2.16.840.1.113883.3.9452 occllc Orthopedic Centers of Colorado Hannah Olson masked Hannah Olson 8101 East Lowry Blvd Suite #120 Denver, Colorado 80230 7208656074 masked VP Clinical Operations Orthopedic Centers of Colorado 8101 East Lowry Blvd Suite #120 Denver, Colorado 80230 7208656075 hannah.olson@occ-ortho.com https://www.occ-ortho.com Provider Int 3 Complete 2022/02/28 12:00:00 2022/02/28 12:00:00 2022/02/28 09:35:32 UV 2.16.840.1.113883.3.9453 gorendezvous GOrendezvous Philippe Papillon masked Philippe Papillon 1 (866) 506-1010 masked Co-CEO GOrendezvous questions@gorendezvous.com https://www.gorendezvous.com Vendor Int 3 Complete 2022/03/03 12:00:00 2022/03/08 12:00:00 2022/03/08 09:54:38 UV 2.16.840.1.113883.3.9454 hirvcmcallensuite9 DHR Health Heart Institute (VC Suite 9) OID Root Benjamin Gallegos masked Francisco J. Muniz 1200 E Savannah Ave Suite 9 McAllen, TX 78516 (956) 362-8402 masked Practice Manager DHR Health Heart Institute (VC Suite 9) 1200 E Savannah Ave Suite 9 McAllen, TX 78516 (956) 362-8400 f.muniz@dhr-rgv.com Provider Int 3 Complete 2022/03/04 12:00:00 2022/03/08 12:00:00 2022/03/08 09:56:56 UV 2.16.840.1.113883.3.9455 medrex MedRex Efraim Lemberger masked Efraim Lemberger 971 Route 45 Pomona, NY 10970 SW# 112 8453043283 masked DESG Software, LLC 971 Route 45 Pomona, NY 10970 SW# 112 8454459016 el@eandisoftware.com http://www.eandisoftware.com Vendor Int 3 Complete 2022/03/08 12:00:00 2022/03/08 12:00:00 2022/03/08 09:59:22 UV 2.16.840.1.113883.3.9456 yvma Yampa Valley Medical Associates PC Matthew Walton masked Matthew Walton 940 Central Park Drive Suite 100 Steamboat Springs, CO 80487 970-875-1673 masked Practice Adminstrator Yampa Valley Medical Associates PC 940 Central Park Drive Suite 100 Steamboat Springs, CO 80487 970-879-3327 payable@yvma.com https://yvma.com Provider Int 3 Complete 2022/03/08 12:00:00 2022/03/08 12:00:00 2022/03/08 10:06:19 UV 2.16.840.1.113883.3.9457 carespan CareSpan Justin Ho masked Doug Wolfgram 9494333641 masked CareSpan, Inc. dev@carespanhealth.com https://www.carespanhealth.com Vendor Int 3 Complete 2022/03/09 12:00:00 2022/03/09 12:00:00 2022/03/09 10:04:06 UV 2.16.840.1.113883.3.9458 integrated-wc Integrated Wound Care Diane Lusas masked Diane Lusas 492-C Cedar Lane, Suite 514 Teaneck, NJ 0766 203-206-3453 masked Medical Director Integrated Wound Care 492-C Cedar Lane, Suite 514 Teaneck, NJ 07666 201-270-9103 it@integratedwc.com https://www.integratedwc.com Vendor Int 3 Complete 2022/03/09 12:00:00 2022/03/09 12:00:00 2022/03/09 10:08:10 US 2.16.840.1.113883.17.8806 kmc-cah Kirby Medical Center Scott Rascher masked Scott Rascher 1000 Medical Center Dr Monticello, IL 61856 2177621591 masked Director of Clinical Informatics Kirby Medical Center 1000 Medical Center Dr Monticello, IL 61856 2177622115 kirby@kirbyhealth.org https://www.kirbyhealth.org/ Provider Int 3 Complete 2022/03/10 12:00:00 2022/03/10 12:00:00 2022/03/10 08:29:46 UV 2.16.840.1.113883.3.9459 abcbs Arkansas Blue Cross and Blue Shield Jim Adamson masked Jim Adamson 601 S. Gaines ST Little Rock, AR 72201 5013786604 masked Business Transformation Manager Arkansas Blue Cross and Blue Shield 601 S. Gaines ST Little Rock, AR 72201 5013786604 jsadamson3@arkbluecross.com https://www.arkbluecross.com Payor Int 3 Complete 2022/03/10 12:00:00 2022/03/10 12:00:00 2022/03/10 09:10:19 US 2.16.840.1.113883.3.9460 co-hl7hub CareOptimize Eric Cuchel masked megan.halligan@careoptimize.com Eric Cuchel 1000 NW 57th Court, Suite 400 Miami, FL 33126 8559378475 masked CareOptimize 1000 NW 57th Court, Suite 400 Miami, FL 33126 8559378475 info@careoptimize.com https://careoptimize.com/ Vendor Int 3 Complete 2022/03/14 12:00:00 2022/03/15 12:00:00 2022/03/15 08:44:54 UV 2.16.840.1.113883.3.9461 yaicma YAI, Inc. as Care Management Agency (CMA) Jonice Mendoza-Willis masked Lana Small 220 E 42nd Street, 8th Floor New York, NY 10017 212-273-6501 masked Regional Deputy Director Young Adult Institute, Inc. 220 E 42nd Street, 8th Floor New York, NY 10017 212-273-6100 communications@yai.org https://www.yai.org/ Provider Int 17 Complete 2022/03/14 12:00:00 2022/03/15 12:00:00 2022/03/15 08:47:28 UV 2.16.840.1.113883.3.9462 ppn Patient Physician Network (PPN) Paul Moore masked Paul Paul Moore 2701 W. Plano Parkway, Ste 650, Plano, TX 75075 9726127273 masked Information Specialist Patient Physician Network (PPN) 2701 W. Plano Parkway, Ste 650, Plano, TX 75075 9726127273 pmoore@drppg.com https://www.ppnhco.com/ Provider Int 3 Complete 2022/03/16 12:00:00 2022/03/16 12:00:00 2022/03/16 06:37:07 UV 2.16.840.1.113883.3.9463 sierra-nevada-specialty-care Sierra Nevada Specialty Care Amanda Robbins masked Amanda Robbins 670 Sierra Rose Dr Reno, NV 89511 775-657-0091 masked Office Manager Sierra Nevada Specialty Care 670 Sierra Rose Dr Reno, NV 89511 775-322-4550 info@nvspecialtycare.com https://nvspecialtycare.com/ Provider Int 3 Complete 2022/03/17 12:00:00 2022/03/19 12:00:00 2022/03/19 06:47:56 US 1.3.6.1.4.1.40424 tjsch TJ Samson Community Hospital OID Thomas Bartley masked Thomas Bartley 1301 North Race Street Glasgow, KY 42141 270-659-3337 masked T.J. Samson Community Hospital 1301 North Race Street Glasgow, KY 42141 270-651-4444 tbartley@tjsamson.org Provider 1.3.6.1.4.1.40424 Ext 3 Complete 1.3.6.1.4.1.40424 2022/03/18 12:00:00 2022/03/19 12:00:00 2022/03/23 10:08:27 UV 2.16.840.1.113883.3.9464 chnmc Colorado Health Network, Inc. Lili Carrillo masked Lili Carrillo 6260 E. Colfax Ave. Denver, CO 80220 303-962-5317 masked Clinical Services Officer Colorado Health Network, Inc. 6260 E. Colfax Ave. Denver, CO 80220 303-962-5317 lili.carrillo@coloradohealthnetwork.org https://coloradohealthnetwork.org/ Provider Int 3 Complete 2022/03/22 12:00:00 2022/03/25 12:00:00 2022/03/25 09:16:47 UV 2.16.840.1.113883.3.9465 gulfcoasthc Gulf Coast Health Center Caleb Charles masked Caleb Charles 2548 Memorial Blvd, Port Arthur, Texas 77640 4099996561 masked IT Manager Gulf Coast Health Center 2548 Memorial Blvd, Port Arthur, Texas 77640 4099831161 IT@gulfcoasthc.org https://gulfcoasthc.org/ Provider Int 3 Complete 2022/03/23 12:00:00 2022/03/25 12:00:00 2022/03/25 09:18:39 UV 2.16.840.1.113883.3.9466 cvp Centennial Valley Pediatrics Nancy McKelvie masked Nancy McKelvie 400 S. McCaslin Blvd., Suite 103 Louisville, CO 80027 303-666-7337 masked LPN/Quality Coordinator Centennial Valley Pediatrics 400 S. McCaslin Blvd., Suite 103 Louisville, CO 80027 and 469 State Highway 7, Suite 300 Broomfield, CO 80023 303-666-7337 info@cvpeds.com https://www.cvpeds.com Provider Int 3 Complete 2022/03/24 12:00:00 2022/03/25 12:00:00 2022/03/25 09:24:26 UV 2.16.840.1.113883.3.9467 udhealth UD Health Clinic LLC Jed Castellucci masked Jed Castellucci 302-831-2705 masked UD Health Clinic LLC jedc@udel.edu Academic Int 3 Complete 2022/03/24 12:00:00 2022/03/25 12:00:00 2022/03/25 09:38:32 UV 2.16.840.1.113883.3.9468 fcsw Family Care Southwest, P.C. Kathleen Jorgensen masked Seth Everson 6169 S Balsam Way, Suite 250 Littleton, CO 80123 720-386-5940 masked IT Coordinator Family Care Southwest, P.C. 6169 S Balsam Way, Suite 250 Littleton, CO 80123 303-933-4555 kjorgensen@familycaresw.com https://portal.familycaresw.com Provider Int 3 Complete 2022/03/25 12:00:00 2022/03/25 12:00:00 2022/03/25 09:41:22 UV 2.16.840.1.113883.3.9469 chs-FLPN Physicians Regional Medical Center-North Gary White masked Gary White 1285 Creekside Blvd Naples, FL 34109 239-348-4165 masked IT Manager Physicians Regional Medical Center - North 1285 Creekside Blvd Naples, FL 34109 239-260-6631 gary_white@chs.net https://www.physiciansregional.com/physicians-regional-medical-center-north Provider Int 3 Complete 2022/03/29 12:00:00 2022/03/30 12:00:00 2022/03/30 09:14:48 UV 2.16.840.1.113883.3.9470 mcmc-hl7-oid Miners Colfax Medical Center David Shaver masked Dave Shaver 203 Hospital Drive Raton, New Mexico 87740 575-445-7871 masked IT Director Miners Colfax Medical Center 203 Hospital Drive Raton, New Mexico 87740 575-445-3661 dshaver@minershosp.com https://www.minershosp.com Provider Int 3 Complete 2022/03/29 12:00:00 2022/03/30 12:00:00 2022/03/30 09:30:02 US 2.16.840.1.113883.3.9471 ncbi-taxonomy NCBI Taxonomy Liz Amos masked Conrad Schoch 45 Center Drive Building 45 Bethesda, MD 20892 3014021502 masked NCBI Taxonomy Team Lead & Curator for fungi U.S. National Library of Medicine National Center for Biotechnology Information National Library of Medicine 8600 Rockville Pike Bethesda, MD 20892 301-594-5983 custserv@nlm.nih.gov https://ncbi.nlm.nih.gov/Taxonomy/Browser/wwwtax.cgi Govt body Int 3 Complete 2022/03/30 12:00:00 2022/03/30 12:00:00 2022/03/30 09:33:24 UV 2.16.840.1.113883.3.9472 whamc Whitman Hospital & Medical Clinics Navin Adhikary masked Navin Adhikary 1200 W Fairview St Colfax, WA 99111 5093975739 masked Informatics Analyst Whitman Hospital & Medical Clinics 1200 W Fairview St Colfax, WA 99111 5093975755 Abby.Smith@whmc.org https://www.whmc.org/ Provider Int 3 Complete 2022/03/30 12:00:00 2022/03/30 12:00:00 2022/03/30 09:35:51 UV 2.16.840.1.113883.3.9472.101 wgi Whitman Gastroenterology Navin Adhikary masked Navin Adhikary 1200 W Fairview St Colfax, WA 99111 5093975739 masked Informatics Analyst Whitman Hospital & Medical Clinics 1200 W Fairview St Colfax, WA 99111 5093975739 Abby.Smith@whmc.org https://www.whmc.org/ Provider 2.16.840.1.113883.3.9472 Ext 14 Complete 2.16.840.1.113883.3.9472.101 2022/03/30 12:00:00 2022/03/30 12:00:00 2022/03/30 09:46:17 UV 2.16.840.1.113883.3.9473 ohqa One Health Quality Alliance Lynn Hickey masked Charity Dorazio Charity Dorazio 820 West Diamond Ave Suite 400 Gaithersburg, MD 20878 301-315-3304 masked AVP, Clinical Systems and Integrations One Health Quality Alliance 820 West Diamond Ave Suite 600 Gaithersburg, MD 20878 3013153447 BCourtney@adventisthealthcare.com Provider Int 3 Complete 2022/03/30 12:00:00 2022/03/30 12:00:00 2022/03/30 09:56:16 UV 2.16.840.1.113883.3.9474 apexfmc Apex Family Medical Clinic Joy Gaston masked Joy L Gaston 5206 W Village Pkwy Ste 10 Rogers, AR 72758 18704217007 masked Office Manager Apex Family Medical Clinic 5206 W Village Pkwy Ste 10 Rogers, AR 72758 18704217007 manager@apexfamilymedicalclinic.com https://www.apexfamilymedicalclinic.com Provider Int 3 Complete 2022/03/30 12:00:00 2022/03/30 12:00:00 2022/03/30 09:59:16 US 2.16.840.1.113883.3.9475 trhs-4750 Trinity Regional Hospital Sachse Jason Birdwell masked Jason Birdwell 4750 President George Bush Highway Sachse, Texas 75048 2145361512 masked IT Support Lead Trinity Regional Hospital Sachse 4750 President George Bush Highway Sachse, Texas 75048 469-962-2100 mark.slater@trinitysachse.com https://www.trinitysachse.com Provider Int 3 Complete 2022/03/31 12:00:00 2022/04/04 12:00:00 2022/04/04 11:03:48 UV 2.16.840.1.113883.3.9476 ortho-Alaska-llc OrthoAlaska LLC Daniel Inscore masked Daniel Inscore 3801 Lake Otis Parkway Suite 300 Anchorage, AK 99508 9072495560 masked EHR Administrator OrthoAlaska LLC 3801 Lake Otis Parkway Suite 300 Anchorage, AK 99508 9072495560 dinscore@opaak.com Prof Soc Int 3 Complete 2022/04/01 12:00:00 2022/04/04 12:00:00 2022/04/04 11:08:02 UV 2.16.840.1.113883.3.9477 poss Pediatrics of Steamboat Springs Nathan Stack masked Nathan Stack 940 Central Park Dr, suite 201 Steamboat Springs, CO 80487 307-315-7646 masked Practice Manager Pediatrics of Steamboat Springs 940 Central Park Dr, suite 201 Steamboat Springs, CO 80487 9708711900 Nathan@pediatricsofsteamboat.com Provider Int 3 Complete 2022/04/04 12:00:00 2022/04/04 12:00:00 2022/04/04 11:11:50 UV 2.16.840.1.113883.3.9478 cfmh-Montana Center for Mental Health Richard Moog masked Richard Moog PO Box 3089 Great Falls, MT 59403 4067919610 masked Chief Financial Officer Center for Mental Health PO Box 3089 Great Falls, MT 59403 4067612100 admin@center4mh.org http://www.center4mh.org Provider Int 3 Complete 2022/04/05 12:00:00 2022/04/05 12:00:00 2022/04/05 10:19:18 UV 2.16.840.1.113883.3.9479 shcpc Sunrise Healthcare PC Grace Nweke masked Grace Nweke 4020 Palmer Park Blvd #101B Colorado Springs, CO 80909 7195779977 masked Physician Sunrise Health Care P.C 4020 Palmer Park Blvd Colorado Springs, CO 80909 7195779977 gnweke2007@yahoo.com https://www.sunrisehlthcare.com/ Provider Int 3 Complete 2022/04/06 12:00:00 2022/04/10 12:00:00 2022/04/10 07:46:24 UV 2.16.840.1.113883.3.9480 concerto ConcertoCare David Attkisson masked David Attkisson 400 W Cummings Park, Woburn, MA 01801 9493794724 masked Sr. Director, Data Management ConcertoCare 400 W Cummings Park, Woburn, MA 01801 8775971440 it@concertocare.com https://www.concertocare.com Provider Int 3 Complete 2022/04/08 12:00:00 2022/04/10 12:00:00 2022/04/10 07:51:55 UV 2.16.840.1.113883.3.9481 adi Arbor Diagnostics, Inc Rafael Blanco masked EMR Support 1801 Royal Lane Suite 805 Dallas, TX 75229 4698864700 masked EMR Support Arbor Diagnostics, Inc 1801 Royal Lane Suite 805 Dallas, TX 75229 4698864700 info@arbordiagnostics.org http://www.arbordiagnostics.org Provider Int 3 Complete 2022/04/08 12:00:00 2022/04/10 12:00:00 2022/04/10 07:56:50 UV 2.16.840.1.113883.3.9482 trkhie Kentucky Health Information Exchange Stephen Setteducati masked mschultz@tnretina.com Michelle Schultz 345 23rd Avenue, Suite 350 Nashville, Tennessee 32703 United States (615) 983-6000 masked Administrator Tennessee Retina 345 23rd Avenue, Suite 350 Nashville, Tennessee 32703 United States (615) 983-6000 mschultz@tnretina.com https://www.tnretina.com Exchange Int 3 Complete 2022/04/08 12:00:00 2022/04/10 12:00:00 2022/04/10 08:07:36 UV 2.16.840.1.113883.3.9483 chpc Chautauqua Hospice and Palliative Care CHPC Submitter masked CHPC Contact 20 W Fairmount Ave Lakewood, NY 14750 716-338-0033 masked Chautauqua Hospice and Palliative Care 20 W Fairmount Ave Lakewood, NY 14750 716-338-0033 chpcoidinfo@chpc.care https://chpc.care Provider Int 3 Complete 2022/04/12 12:00:00 2022/04/17 12:00:00 2022/04/17 07:28:46 UV 2.16.840.1.113883.3.9484 iMHCC Memorial Hospital of Carbon County Matt Brooke masked Matthew Brooke 2221 Elm Street Rawlins, WY 82301 307-324-8296 masked IT Director Memorial Hospital of Carbon County 307-324-8296 mbrooke@imhcc.com http://www.imhcc.com Provider Int 3 Complete 2022/04/13 12:00:00 2022/04/17 12:00:00 2022/04/17 07:33:10 UV 2.16.840.1.113883.3.9485 loa Longview Orthopedic Associates, PLLC Shawnna Riedweg masked Shawnna Riedweg 625 9th Ave STE 210 Longview, WA 98632 360-501-3440 masked Operations Manager Longview Orthopedic Associates, PLLC 625 9th Ave STE 210 Longview, WA 98632 360-501-3400 bonedoc@psilongview.com https://www.longvieworthopaedic.com/ Provider Int 3 Complete 2022/04/14 12:00:00 2022/04/17 12:00:00 2022/04/17 07:46:21 UV 2.16.840.1.113883.3.9486 majeed Salamat Majeed Salamat Majeed masked Salamat Majeed 169-11 Highland Avenue, Queens, NY 11432 5163436582 masked Provider Salamat Majeed 169-11 Highland Avenue, Queens, NY 11432 5163436582 Doctormajeed@gmail.com Provider Int 3 Complete 2022/04/14 12:00:00 2022/04/17 12:00:00 2022/04/17 07:50:30 UV 2.16.840.1.113883.9.281 sogiComponent Sexual Orientation and Gender Identity Guidance Component Hans Buitendijk MSc masked Hans Buitendijk 6102192087 masked HL7 International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 7346777777 hq@hl7.org https://www.hl7.org HL7 body Int 9 Complete 2022/04/18 12:00:00 2022/04/20 12:00:00 2022/04/20 09:07:14 UV 2.16.840.1.113883.17.9462 awoc-rwjb RWJ Barnabas Health - Amwell Virtual Care Julie Koh masked Julie Koh 5743871790 masked Amwell 75 State Street 26th Floor Boston, MA 02109 18556351393 TS.Leadership@amwell.com Vendor Int 17 Complete 2022/04/18 12:00:00 2022/04/20 12:00:00 2022/04/20 09:14:11 UV 2.16.840.1.113883.3.9487 cm-jfacnj JFS OID for Cerner Millenium CBH Theodore Bolich masked Theodore Todd Bolich 607 N. Jerome Ave Margate, NJ 08402 6098221108141 masked Director of IT Jewish Family Service of Atlantic and Cape May Counties 607 N. Jerome Ave Margate, NJ 08402 6098221108 jfs-helpdesk@jfsatlantic.org https://www.jfsatlantic.org/ Provider Int 3 Complete 2022/04/20 12:00:00 2022/04/20 12:00:00 2022/04/20 09:19:55 UV 2.16.840.1.113883.3.9488 tvfi The Verland Foundation, Inc Gina Volpe masked Gina Volpe 212 Iris Rd Sewickley, PA 15143 4127412375 masked EHR Project Manager The Verland Foundation, Inc. 212 Iris Rd Sewickley, PA 15143 4127412375 gvolpe@verland.org https://www.verland.org/ Provider Int 3 Complete 2022/04/21 12:00:00 2022/04/22 12:00:00 2022/04/22 07:40:55 UV 2.16.840.1.113883.3.9489 mrcohosp Morris County Hospital Ron Christenson masked Ron Christenson 600 N. Washington Street Council Grove, KS 66846 620-767-6811 masked CFO Morris County Hospital 600 N. Washington Street Council Grove, KS 66846 620-767-6811 rchristenson@mrcohosp.com Provider Int 3 Complete 2022/04/26 12:00:00 2022/04/27 12:00:00 2022/04/27 08:10:54 UV 2.16.840.1.113883.3.9490 hrrmc Heart of the Rockies Regional Medical Center Jesse Kaisner masked Jesse Kaisner 1000 Rush Dr. Salida, CO 81201 7195302221 masked Information Systems Manager Heart of the Rockies Regional Medical Center 1000 Rush Dr. Salida, CO 81201 7195302220 jesse.kaisner@hrrmc.net https://www.hrrmc.com/ Provider Int 3 Complete 2022/04/27 12:00:00 2022/04/27 12:00:00 2022/04/27 08:13:47 UV 2.16.124.10.101.1.60.100 ca-qcNAM Quebec, Canada Personal Health Number Joan Harper masked Maxime Morneau Minist&#232;re de la sant&#233; et des services sociaux, 4e &#233;tage - Bureau 425, 1075 Chemin Ste-Foy, Qu&#233;bec, QC G1S 2M1 1-418-266-4566 masked Minist&#232;re de la Sant&#233; et des Services sociaux du Qu&#233;bec Minist&#232;re de la sant&#233; et des services sociaux, 4e &#233;tage - Bureau 425, 1075 Chemin Ste-Foy, Qu&#233;bec, QC G1S 2M1 1-418-266-4566 OID.SSSS@msss.gouv.qc.ca http://www.msss.gouv.qc.ca/ Govt body 2.16.124.10.101.1.60 Ext 4 Complete 2.16.124.10.101.1.60.100 2022/04/28 12:00:00 2022/04/29 12:00:00 2022/06/21 03:50:58 UV 2.16.840.1.113883.3.9491 cvim Cellview Imaging Inc. Farideh Imani masked Farideh Imani 10 Kodiak Crescent Suit 120 Toronto, Ontario, M3J 3G5, CANADA 14379159462 masked RA/QA Manager Cellview Imaging Inc. 10 Kodiak Crescent Suit 120 Toronto, Ontario, M3J 3G5, CANADA 437-216-6925 sshapiro@cellviewimaging.com http://www.cellviewimaging.com Provider Int 3 Complete 2022/05/02 12:00:00 2022/05/08 12:00:00 2022/05/08 08:57:16 UV 2.16.840.1.113883.3.9492 slhg Skylight Health Group Christopher Smith masked Christopher Smith 3100 N Academy Blvd Unit 211 Colorado Springs, CO 80917, United States 6472176227 masked VP Digital Health Skylight Health Group Colorado Springs 3100 N Academy Blvd Unit 211 Colorado Springs, CO 80917, United States 6472176227 christopher.smith@skylighthealthgroup.com https://skylightcosprings.com/?gclid=CjwKCAjwgr6TBhAGEiwA3aVuIUFk8aDWfl_UZ_XLeHReUFraZuUCMmLvv0RAFoy4vQ19skki7bK6CBoCKNsQAvD_BwE Provider Int 3 Complete 2022/05/02 12:00:00 2022/05/08 12:00:00 2022/05/08 09:01:09 UV 2.16.840.1.113883.3.9493 aliusHealth-43062 Alius Health, LLC Robyn Satterfield masked Tim Thackaberry PO Box 1710 Westerville, Ohio 43086 740-661-4463 masked CIO Alius Health, LLC PO Box 1710 Westerville, Ohio 43086 740-661-4463 rsatterfield@aliushealth.com https://www.aliushealth.com Vendor Int 3 Complete 2022/05/02 12:00:00 2022/05/08 12:00:00 2022/05/08 09:13:28 UV 2.16.840.1.113883.3.9494 okemos-emergency-center Sparrow Emergency Center Okemos Karen Furman masked Karen Furman 1215 E. Michigan Ave Lansing, MI 48912 5173327045 masked Interface Programmer Sparrow Emergency Center Okemos 1215 E. Michigan Ave Lansing, MI 48912 5173327045 karen.furman@sparrow.org https://sparrow.org Provider 2.16.840.1.113883.3.3991.1 Int 3 Complete 2022/05/09 12:00:00 2022/05/12 12:00:00 2022/05/12 09:48:30 UV 2.16.840.1.113883.3.9495 dcdc Delaware Center for Digestive Care Olga Brooks masked Olga Brooks Delaware Center for Digestive Care Attn Olga Brooks CAO 75 D Omega Dr Newark, DE 19713 302-565-6596 x5815 masked Delaware Center for Digestive Care Attn Olga Brooks CAO 75 D Omega Dr Newark, DE 19713 302-565-6596 x5815 acmaildcdc@jonesitech.com https://www.delawarecenterfordigestivecare.com/ Provider Int 3 Complete 2022/05/11 12:00:00 2022/05/12 12:00:00 2022/05/12 09:54:41 UV 2.16.840.1.113883.3.9496 cch-840 Cornwall Community Hospital Mario Alibrando masked Mario Alibrando 840 McConnell Avenue Cornwall, Ontario K6H 5S5 613-938.4240 masked Director Information Technology & Clinical Informatics Cornwall Community Hospital 840 McConnell Avenue Cornwall, Ontario K6H 5S5 613-938-4240 mario.alibrando@cornwallhospital.ca https://www.cornwallhospital.ca Provider Int 3 Complete 2022/05/12 12:00:00 2022/05/12 12:00:00 2022/05/12 09:59:21 UV 2.16.840.1.113883.3.9497 umcfam UMC Family at 98th & Frankford Yvette Hinojosa masked Yvette Hinojosa 8067610322 masked Director, Business Services UMC Family at 98th & Frankford 9615 Frankford Avenue Lubbock, TX 79424 8067610267 yvette.hinojosa@umchealthsystem.com https://www.umchealthsystem.com Govt body Int 3 Complete 2022/05/12 12:00:00 2022/05/12 12:00:00 2022/05/12 10:23:58 UV 2.16.840.1.113883.3.9498 umcpedi UMC Children's at 908th & Frankford Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Building Suite 160 Lubbock, TX 79407 18067610322 masked Director, Business Services UMC Children's @ 98th & Frankford 9615 Frankford Avenue Lubbock, TX 79424 8067610265 yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2022/05/12 12:00:00 2022/05/12 12:00:00 2022/05/12 10:29:34 UV 2.16.840.1.113883.3.9499 drivethru 98th & Frankford Drive Thru Clinic Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Building Suite 160 Lubbock, TX 79407 18067610322 masked Director, Business Services 98th & Frankford Drive Thru Clinic 9615 Frankford Ave Lubbock, TX 79424 8067610269 yvette.hinojosa@umchealthsystem.com http://www.umchealthsystem.com Govt body Int 3 Complete 2022/05/12 12:00:00 2022/05/12 12:00:00 2022/05/12 10:33:57 UV 2.16.840.1.113883.3.9500 wheeler Wheeler Clinic, Inc. Daniel Herens masked Daniel Herens 74 East Street Plainville, CT 06062 8604367448 masked Wheeler Clinic, Inc dherens@wheelerclinic.org https://www.wheelerclinic.org Provider Int 3 Complete 2022/05/13 12:00:00 2022/05/14 12:00:00 2022/05/14 11:22:49 UV 2.16.840.1.113883.3.9501 c0location Care on Location PC Jonathon Savage masked Jonathon Savage 1123 S Corona St. Denver, CO 80210 3037776004 masked CEO Care on Location PC 1615 California St. STE 601 Denver, CO 80202 720-778-0005 info@careonlocation.com https://careonlocation.com Provider Int 3 Complete 2022/05/18 12:00:00 2022/05/19 12:00:00 2022/05/19 09:41:57 UV 2.16.840.1.113883.17.9463 apapalpeds Aiken Palmetto Pediatrics Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Manager - Interfaces Aiken Palmetto Pediatrics 60 Physician Dr Ste 100 Aiken, SC 29801 (803) 641-5437 Alesia.Childs@uhsinc.com https://www.aikenregional.com/services/palmetto-pediatric-center Provider Int 17 Complete 2022/05/19 12:00:00 2022/05/19 12:00:00 2022/05/19 09:47:40 UV 2.16.840.1.113883.17.9464 apaprimarymedpark Aiken Professional Association Primary Care Medical Park Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Manager - Interfaces Aiken Professional Association Primary Care Medical Park 121 Aurora Place Suite B Aiken, SC 29801-5312 (803)306-7733 alesia.childs@uhsinc.com https://www.aikenphysicians.com Provider Int 17 Complete 2022/05/19 12:00:00 2022/05/19 12:00:00 2022/05/19 09:55:50 UV 2.16.840.1.113883.17.9465 wrmphyucpalomino Wellington Physicians Urgent Care at Palomino Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Manager - Interfaces Wellington Physicians Urgent Care at Palomino 3319 S State Road 7 Suite 102 Wellington, FL 33449-8099 (561)333-4000 alesia.childs@uhsinc.com https://www.urgentcarewellington.com/locations/palomino-park Provider Int 17 Complete 2022/05/19 12:00:00 2022/05/19 12:00:00 2022/05/19 10:01:56 UV 2.16.840.1.113883.17.9466 mpamucbradenton Manatee Urgent Care Bradenton Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Manager - Interfaces Manatee Urgent Care Bradenton 4647 Manatee Ave W Bradenton, FL 34209-3816 (941)745-5999 alesia.childs@uhsinc.com https://www.manateeurgentcare.com Provider Int 17 Complete 2022/05/19 12:00:00 2022/05/19 12:00:00 2022/05/19 10:05:49 UV 2.16.840.1.113883.17.9467 mparyeroad Manatee Physician Alliance Rye Road Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Manager - Interfaces Manatee Physician Alliance Rye Road 1854 Rye Road East Unit E Bradenton, FL 34212-9038 (941)216-3939 alesia.childs@uhsinc.com https://manateephysicianalliance.com/locations/lakewood-ranch-primary-care/ Provider Int 17 Complete 2022/05/19 12:00:00 2022/05/19 12:00:00 2022/05/19 10:09:26 UV 2.16.840.1.113883.17.9468 mpapc Manatee Physician Alliance Primary Care Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Manager - Interfaces Manatee Physician Alliance Primary Care 5225 Manatee Ave West Bradenton, FL 34209-3742 (941)708-8081 alesia.childs@uhsinc.com https://manateephysicianalliance.com Provider Int 17 Complete 2022/05/19 12:00:00 2022/05/19 12:00:00 2022/05/19 10:14:32 UV 2.16.840.1.113883.17.9469 mpanorthriver Manatee Physician Alliance North River Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Manager - Interfaces Manatee Physician Alliance North River 606 4th Ave West Palmetto, FL 34221-5226 (941)722-7785 alesia.childs@uhsinc.com https://manateephysicianalliance.com Provider Int 17 Complete 2022/05/19 12:00:00 2022/05/19 12:00:00 2022/05/19 10:17:49 UV 2.16.840.1.113883.17.9470 mpalwrlorraine Manatee Physician Alliance Lakewood Ranch Lorraine Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Manager - Interfaces Manatee Physician Alliance Lakewood Ranch Lorraine 14616 State Road 70 EastLakewood Ranch,FL 34202-8413 (941)909-7755 alesia.childs@uhsinc.com https://manateephysicianalliance.com Provider Int 17 Complete 2022/05/19 12:00:00 2022/05/19 12:00:00 2022/05/19 10:29:14 UV 2.16.840.1.113883.17.9471 mpadrsofmmh Manatee Physician Alliance Doctors of Manatee Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Manager - Interfaces Manatee Physician Alliance Doctors of Manatee 1720 Manatee Ave East Bradenton, FL 34208-1452 (941)216-2878 alesia.childs@uhsinc.com https://manateephysicianalliance.com Provider Int 17 Complete 2022/05/19 12:00:00 2022/05/19 12:00:00 2022/05/19 10:35:14 UV 2.16.840.1.113883.17.9472 mpalwrmgcenterpoint Manatee Physician Alliance Lakewood MG - Center Point Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Manager - Interfaces Manatee Physician Alliance Lakewood MG - Center Point 6600 University Parkway Suite 201 Lakewood Ranch,FL 34240-9041 (941)782-9456 alesia.childs@uhsinc.com https://manateephysicianalliance.com Provider Int 17 Complete 2022/05/19 12:00:00 2022/05/19 12:00:00 2022/05/19 10:48:42 UV 2.16.840.1.113883.17.9473 mpalwrmgwaterside Manatee Physician Alliance Lakewood MG - Waterside Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Manager - Interfaces Manatee Physician Alliance Lakewood MG - Waterside 1561 Lakefront Drive Units 200-202 Sarasota, FL 34240-1637 (941)867-2424 alesia.childs@uhsinc.com https://manateephysicianalliance.com/ Provider Int 17 Complete 2022/05/19 12:00:00 2022/05/19 12:00:00 2022/05/19 10:50:55 UV 2.16.840.1.113883.3.9502 fbhwa-org Frontier Behavioral Health Gordon Cooper masked Paul Arguinchona 103 E First Ave. Spokane, WA 99202 509-458-7452 masked Chief Information Officer Frontier Behavioral Health 103 E First Ave. Spokane, WA 99202 parguinchona@fbhwa.org https://fbhwa.org Provider Int 3 Complete 2022/05/19 12:00:00 2022/05/19 12:00:00 2022/05/19 11:01:00 UV 2.16.840.1.113883.3.9503 chg St. Vincent General Hospital District Ruth Hart masked Marcia Jennings Ruth Hart 822 W. 4th Leadville, CO 80461 17194867165 masked Clinic Manager St. Vincent General Hospital District 822 W. 4th Leadville, CO 80461 719-486-0230 ruth.hart@svghd.org https://www.stvincent.health/ Provider Int 3 Complete 2022/05/23 12:00:00 2022/05/26 12:00:00 2022/05/26 07:39:18 UV 2.16.840.1.113883.3.9504 bwell b.well Connected Health Imran Qureshi masked Imran Qureshi 408-6599064 masked CIO b.well Connected Health 5996 Calvert Way, Eldersburg, MD 21784 imran.qureshi@icanbwell.com https://www.icanbwell.com/ Vendor Int 3 Complete 2022/05/24 12:00:00 2022/05/26 12:00:00 2022/05/26 07:41:29 UV 2.16.840.1.113883.17.9474 apapulmonaryassoc Aiken Pulmonary Associates Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Manager - Interfaces Aiken Pulmonary Associates 68 Physician Dr Aiken, SC 29801-6388 (803)643-1090 alesia.childs@uhsinc.com https://www.aikenphysicians.com/pulmonology Provider Int 17 Complete 2022/05/25 12:00:00 2022/05/26 12:00:00 2022/05/26 07:48:44 UV 2.16.840.1.113883.3.9505 promise Promise Healthcare Alan Mendoza masked Ryan Roark Alan Mendoza 819 Bloomington Road Champaign, IL 61820 217-356-1558 masked Health Information Systems Administrator Promise Healthcare 819 Bloomington Road Champaign, IL 61820 217-356-1558 amendoza@promisehealth.org https://www.promisehealth.org Provider Int 3 Complete 2022/05/25 12:00:00 2022/05/26 12:00:00 2022/05/26 07:56:28 UV 2.16.840.1.113883.3.9506 ldp Legacy Developmental Pediatrics, PLLC Dawn Conwright masked Dawn Conwright 2505 79th Street Unit B Lubbock, Texas 79423 806-577-1522 masked Nurse Practitioner Legacy Developmental Pediatrics, PLLC 2505 79th Street Unit B Lubbock, Texas 79423 dconwright@outlook.com Provider Int 3 Complete 2022/05/26 12:00:00 2022/05/26 12:00:00 2022/05/26 08:03:46 UV 2.16.840.1.113883.3.9507 rccWD-OID Regent Care Center of The Woodlands - OID Audrey Coaxum masked Paul Igo 2302 Postoffice Street, Suite 402 Galveston, Texas 77550 281-545-2240 masked IT Security Officer Regent Care Center of The Woodlands 10450 Gosling Road Spring, Texas 77381-3596 281-296-9234 paul_e@ondatacorp.com https://regentcare-thewoodlands.com/ Provider Int 3 Complete 2022/05/31 12:00:00 2022/05/31 12:00:00 2022/05/31 09:53:53 UV 2.16.840.1.113883.3.9508 mci Midwest Cardiovascular Institute Nick Benoit masked Nick Benoit Nick Benoit 225 Dunn St Houma, LA 70360 9858768336 masked Director of Clinical Information Systems Midwest Cardiovascular Institute 801 S Washington St 4th Floor, Naperville, IL 60540 (630) 600-0700 nick.benoit@cardio.com Provider Int 3 Complete 2022/06/01 12:00:00 2022/06/06 12:00:00 2022/06/06 09:47:20 UV 2.16.840.1.113883.3.9509 premier-hn Premier Health Network Cindy McClattie masked Cindy McClattie 7068427577 masked Business Manager Premier Health Network 818 St. Sebastian Way Suite 308 Augusta, GA 30909 7067748080 cmclattie@premierhn.net Provider Int 3 Complete 2022/06/08 12:00:00 2022/06/14 12:00:00 2022/06/14 09:49:42 UV 2.16.840.1.113883.3.9510 michaelyoung Dr Michael Young/Summit Health Michael Young masked Julie Gamboa RN Julie Gamboa 6179 S. Balsam Way Ste 210 Littleton, CO 80123 303-347-2000 masked RN Michael Young/Summit Health 6179 S. Balsam Way Ste 210 Littleton, CO 80123 303-347-2000 michaelyoung@summithealth.one https://www.mdvip.com/doctors/michaelyoungmd?utm_campaign=listing&st-t=rep_&utm_source=google&utm_medium=organic Provider Int 3 Complete 2022/06/08 12:00:00 2022/06/14 12:00:00 2022/06/14 09:52:31 UV 2.16.840.1.113883.2.52 hl7Portugal HL7 Portugal William Ted Klein masked Antonio Martins Antonio Martins Estrada de Alfragide, Lote 107 Edif&#237;cio A2 2616-008 Alfragide Lisboa +351 919 247 574 masked Affiliate Chair HL7 Portugal Estrada de Alfragide, Lote 107 Edif&#237;cio A2 2616-008 Alfragide Lisboa +351 919 247 574 antonio.martins@hl7.pt http://www.hl7.pt HL7 body 2.16.840.1.113883 Int 2 Complete 2022/06/09 12:00:00 2022/06/14 12:00:00 2022/06/14 10:02:19 UV 2.16.840.1.113883.3.9511 crisoidint01 Columbia Radiology Imaging Services Internal OID Christopher Allen masked Christopher Allen 311 N Keene St Columbia, Missouri 65201 USA 5734421788 masked Chief Information Officer Columbia Radiology Imaging Services LLC 311 N Keene St Columbia, Missouri 65201 USA 5734421788 support@aradiology.com https://aradiology.com Provider Int 3 Complete 2022/06/09 12:00:00 2022/06/14 12:00:00 2022/06/14 10:07:12 UV 2.16.840.1.113883.3.9512 sunrise Sunrise Treatment Center Lucas Brashear masked Lucas Brashear C/O Lucas Brashear 6460 Harrison Avenue Suite 300 Cincinnati, OH 45247 5139414999 masked EHR Analyst Sunrise Treatment Center 6460 Harrison Avenue Suite 300 Cincinnati, OH 45247 5139414999 lucas.brashear@sunriseTreatmentCenter.net Provider Int 3 Complete 2022/06/13 12:00:00 2022/06/14 12:00:00 2022/06/14 10:09:09 UV 2.16.840.1.113883.3.9513 hmgec Hampden Medical Group BJ Hubbard masked BJ Hubbard 221 E Hampden Ave Englewood, CO 80113 303-618-1904 masked PM Hampden Medical Group 221 E Hampden Ave Englewood, CO 80113 3037892251 BJHU@HAMPDENMEDICALGROUP.COM https://www.hampdenmedicalgroup.com/ Provider Int 3 Complete 2022/06/13 12:00:00 2022/06/14 12:00:00 2022/06/14 10:11:22 UV 2.16.840.1.113883.3.9514 emc Evans Medical Center Ramin Vatan masked Ramin Vatan 4700 E Iliff Ave, Denver, CO 80222 303-335-0062 masked CEO Evans Medical Center 4700 E Iliff Ave, Denver, CO 80222 303-335-0062 info@evansmedicalcenter.com Provider Int 3 Complete 2022/06/14 12:00:00 2022/06/14 12:00:00 2022/06/14 10:14:52 UV 2.16.840.1.113883.3.9515 vpac-viis Virginia Pediatric and Adolescent Center, P.C Rick Christensen masked Rick Christensen 8316 Traford Lane, Ste 1 Ste 1 Springfield, VA 22152 7035843600 masked Virginia Pediatric and Adolescent Center, P.C 8316 Traford Lane, Ste 1 Ste 1 Springfield, VA 22152 7035843600 rick@vpacmd.com Provider Int 3 Complete 2022/06/14 12:00:00 2022/06/14 12:00:00 2022/06/14 10:19:10 UV 2.16.840.1.113883.3.9516 renaissanceVCMedpoint Heart Institute at Renaissance-VC Medpoint OID Root Benjamin Gallegos masked Francisco J. Mu&#241;iz 1200 E Savannah Ave Ste 21 McAllen, TX 78503 956-310-3880 masked Office Manager Heart Institute at Renaissance-VC Medpoint 1200 E Savannah Ave Ste 21 McAllen, TX 78503 956-362-8400 f.muniz@dhr-rgv.com Provider Int 3 Complete 2022/06/14 12:00:00 2022/06/14 12:00:00 2022/06/14 10:28:13 UV 2.16.840.1.113883.3.9517 ppMarMonte Planned Parenthood Mar Monte Russell Flewellen masked Russell Phillip Flewellen III 1691 The Alameda, San Jose, CA 95126 USA 4083869015 masked Sr Director of Clinical Application and Business Intelligence Planned Parenthood Mar Monte 1691 The Alameda, San Jose, CA 95126 USA (408) 287-7526 NGHelpdesk@ppmarmonte.org https://www.plannedparenthood.org/planned-parenthood-mar-monte Provider Int 3 Complete 2022/06/14 12:00:00 2022/06/14 12:00:00 2022/06/14 10:32:28 UV 2.16.840.1.113883.3.9518 dhchd Dallam Hartley Counties Hospital District Travis Welch masked Travis Welch 1411 Denver Ave Dalhart, TX 79022 8062683403 masked CIO Dallam Hartley Counties Hospital District 1411 Denver Ave Dalhart, TX 79022 8062444571 travisw@dhchd.org https://www.dhchd.org Provider Int 3 Complete 2022/06/15 12:00:00 2022/06/15 12:00:00 2022/06/15 08:00:55 UV 2.16.840.1.113883.3.9519 wyndfammed Wyndhurst Family Medicine Wanda Essex masked Wanda Essex Wanda Essex 102 ARCHWAY CT Lynchburg, VA 24502 4342373664 masked Office Coordinator Wyndhurst Family Medicine 102 Archway Ct Lynchburg, VA 24502 4342373664 wessex@wyndhurstmed.com https://www.wyndhurstmed.com/ Provider Int 3 Complete 2022/06/16 12:00:00 2022/06/17 12:00:00 2022/06/17 03:51:40 UV 2.16.840.1.113883.3.9520 dnmd Dinh Nguyen MD Dinh Nguyen masked Dinh Nguyen MD 633 S FEDERAL BLVD STE 201 Denver, CO 80219 303-935-3566 masked Dinh Nguyen MD 633 S Federal Blvd Ste 201 Denver, CO 80219 3039353566 dvnguyenmd@gmail.com Provider Int 3 Complete 2022/06/17 12:00:00 2022/06/17 12:00:00 2022/06/17 03:56:20 UV 2.16.840.1.113883.11.19753 uscore-cc US Core Condition Codes William Ted Klein masked Rob McClure Robert McClure +13039266771 masked Contractor HL7 - US Realm Steering Committee/Structured Documents WG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 1 (734) 677-7777 hq@HL7.org HL7 body 2.16.840.1.113883 Int 11 Complete 2022/06/17 12:00:00 2022/07/30 12:00:00 2022/07/30 06:01:08 US 2.16.840.1.113883.3.9521 pthc Peach Tree Health Sarbjit Gill masked Sarbjit Gill 1114 Yuba Street, Marysville, CA 95901 5307493242 ext 1010 masked EHR Program Manager Peach Tree Health 1114 Yuba Street, Marysville, CA 95901 5304159401 sgill@pickpeach.org Provider Int 3 Complete 2022/06/20 12:00:00 2022/06/22 12:00:00 2022/06/22 10:33:14 UV 2.16.840.1.113883.3.9522 mrh-moab Moab Regional Hospital Michael Foster masked Michael Foster 450 Williams Way Moab, UT 84532 USA 1-435-719-3610 masked Director of Information Services Moab Regional Hospital 450 Williams Way Moab, UT 84532 USA 1-435-719-3500 infosys@mrhmoab.org https://mrhmoab.org Provider Int 3 Complete 2022/06/21 12:00:00 2022/06/22 12:00:00 2022/06/22 10:37:03 UV 2.16.840.1.113883.3.9523 boonemedicalgroupMO Boone Medical Group Wes Seidt masked Wes Seidt 1600 E Broadway Columbia, MO 65201 573-815-3740 masked IS Manager Boone Medical Group 1600 E Broadway Columbia, MO 65201 573-815-3740 ws.seidt@gmail.com http://boone.health Provider Int 3 Complete 2022/06/23 12:00:00 2022/06/25 12:00:00 2022/06/25 07:05:06 UV 2.16.840.1.113883.3.9524 ichn iCare Health Network Caleb Wright masked Caleb S Wright 341 Bidwell Street Manchester, CT 06040 8609771199 masked IT Manager iCare Health Network 341 Bidwell Street Manchester, CT 06040 8605702140 CalebW@icarehn.com https://www.icarehn.com Provider Int 3 Complete 2022/06/23 12:00:00 2022/06/25 12:00:00 2022/06/25 07:23:27 UV 2.16.840.1.113883.3.9525 umcfm UMC Family Medicine 69th & Slide Yvette Hinojosa masked Yvette Hinojosa 5219 City Bank Building Suite 160 Lubbock, TX 79407 18067610322 masked UMC Family Medicine at 69th & Slide 6809 Slide Road Suite J Lubbock, TX 79424 8067949378 yvette.hinojosa@umchealthsystem.com Govt body Int 3 Complete 2022/06/24 12:00:00 2022/06/25 12:00:00 2022/06/25 07:26:31 UV 2.16.840.1.113883.3.9526 ttpIntMedSpecClinic TTP - Internal Medicine Specialty Clinic Rae Rodriguez masked Rae Ann Rodriguez 3601 4th street MS 8352 Lubbock, TX 79430 806-7434357 masked Clinical Informatics Coordinator TTP - Internal Medicine Specialty Clinic 3601 4th street MS 8352 Lubbock, TX 79430 806-743-3150 RaeAnn.Rodriguez@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2022/06/27 12:00:00 2022/06/27 12:00:00 2022/06/27 06:42:49 UV 2.16.840.1.113883.3.9527 ttppedispecpavclinic TTP - Pediatrics Specialty Pavilion Clinic Rae Rodriguez masked Rae Ann Rodriguez 3601 4th street stop 8352 Lubbock, TX 79416 806-743-2493 masked Clinical Informatics Coordinator TTP - Pediatrics Specialty Pavilion Clinic 3601 4th street stop 8352 Lubbock, TX 79416 806-743-7337 RaeAnn.Rodriguez@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2022/06/27 12:00:00 2022/06/27 12:00:00 2022/06/27 06:49:52 UV 2.16.840.1.113883.3.9528 fCHD Fairfax County Health Department Epifanio Clarin masked Noel Clarin 10777 Main Street Fairfax, VA 22030 703-246-8462 masked Informatics and IT Manager Fairfax County Health Department 10777 Main Street Fairfax, VA 22030 703-246-2411 HDIT@fairfaxcounty.gov https://www.fairfaxcounty.gov/health Govt body Int 3 Complete 2022/06/28 12:00:00 2022/06/28 12:00:00 2022/06/28 06:30:12 UV 2.16.840.1.113883.3.9529 mdrevolutionCDA MD Revolution Michael Moore masked Michael Moore Michael Moore 505 Lomas Santa Fe Drive, Solana Beach, CA 92075 6198074007 masked MD Revolution 505 Lomas Santa Fe Drive, Solana Beach, CA 92075 6198074007 michael.moore@mdrevolution.com https://mdrevolution.com Provider Int 3 Complete 2022/06/28 12:00:00 2022/06/28 12:00:00 2022/06/28 06:35:07 UV 2.16.840.1.113883.3.303.999.1 apaurology Aiken Professional Association Urology OID Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Manager - Interfaces Aiken Professional Association Urology 770 Medical Park Dr Aiken, SC 29801-6307 (803) 649-3903 alesia.childs@uhsinc.com https://www.aikenphysicians.com/ Provider Ext 17 Complete 2.16.840.1.113883.3.303.999.1 2022/06/30 12:00:00 2022/06/30 12:00:00 2022/06/30 09:44:34 UV 2.16.840.1.113883.3.303.999.4 apaaurorapavbh Aurora Pavilion Behavioral Health Services OID Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Manager - Interfaces Aurora Pavilion Behavioral Health Services 655 Medical Park Drive Aiken, SC 29801 (803)641-5900 alesia.childs@uhsinc.com https://www.aikenregional.com/services/behavioral-health-services Provider Ext 17 Complete 2.16.840.1.113883.3.303.999.4 2022/06/30 12:00:00 2022/06/30 12:00:00 2022/06/30 09:48:08 UV 2.16.840.1.113883.3.303.999.6 apaobgyn Aiken Professional Association OB/GYN OID Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Manager - Interfaces Aiken Professional Association OB/GYN 121 Aurora Place Suite B Aiken, SC 29801 (803)306-7733 alesia.childs@uhsinc.com https://www.aikenphysicians.com/locations/primary-care-medical-park Provider Ext 17 Complete 2.16.840.1.113883.3.303.999.6 2022/06/30 12:00:00 2022/06/30 12:00:00 2022/06/30 09:50:27 UV 2.16.840.1.113883.3.303.999.7 apaortho Aiken Professional Association Orthopedics OID Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Manager - Interfaces Aiken Professional Association Orthopedics 191 Centre South Blvd. Suite 30 Aiken, SC 29803 (803)761-9191 alesia.childs@uhsinc.com https://www.aikenphysicians.com Provider Ext 17 Complete 2.16.840.1.113883.3.303.999.7 2022/06/30 12:00:00 2022/06/30 12:00:00 2022/06/30 09:54:14 UV 2.16.840.1.113883.3.303.999.8 apallcorg Aiken Professional Association, LLC OID Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Manager - Interfaces Aiken Professional Association, LLC 30 Physician Dr Aiken, SC 29801 (803) 226-0589 alesia.childs@uhsinc.com https://www.healthcare4ppl.com/medical-group/south-carolina/aiken/aiken-professional-association-llc-0446430805 Provider Ext 17 Complete 2.16.840.1.113883.3.303.999.8 2022/06/30 12:00:00 2022/06/30 12:00:00 2022/06/30 09:57:53 UV 2.16.840.1.113883.3.4046.114503531.1 apactrdiglvrdisease Center for Digestive and Liver Disease OID Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Manager - Interfaces Center for Digestive and Liver Disease 48 Physician Drive Aiken, SC 29801 (803)226-0073 alesia.childs@uhsinc.com https://www.aikenphysicians.com Provider Ext 17 Complete 2.16.840.1.113883.3.4046.114503531.1 2022/06/30 12:00:00 2022/06/30 12:00:00 2022/06/30 10:02:51 UV 2.16.840.1.113883.3.4047.11.1 apasurgassoc Aiken Surgical Associates OID Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Manager - Interfaces Aiken Surgical Associates 410 University Parkway Suite 2310 Aiken, SC 29801 (803)648-1318 alesia.childs@uhsinc.com https://www.aikenphysicians.com Provider Ext 17 Complete 2.16.840.1.113883.3.4047.11.1 2022/06/30 12:00:00 2022/06/30 12:00:00 2022/06/30 10:08:29 UV 2.16.840.1.113883.3.4050.114503531.1 apaprimarygranitevl Aiken Professional Association Primary Care at Graniteville OID Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Manager - Interfaces Aiken Professional Association Primary Care at Graniteville 124 Bettis Academy Rd Graniteville, SC 29829 (803)392-3724 alesia.childs@uhsinc.com https://www.aikenphysicians.com/ Provider Ext 17 Complete 2.16.840.1.113883.3.4050.114503531.1 2022/06/30 12:00:00 2022/06/30 12:00:00 2022/06/30 10:17:39 UV 2.16.840.1.113883.3.4072.114503531.1 apacarohrtvasc Carolina Heart and Vascular OID Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Manager - Interfaces Carolina Heart and Vascular 137 Miracle Drive, NW Aiken, SC 29801 (803)641-4874 alesia.childs@uhsinc.com https://www.aikenphysicians.com Provider Ext 17 Complete 2.16.840.1.113883.3.4072.114503531.1 2022/06/30 12:00:00 2022/06/30 12:00:00 2022/06/30 10:24:27 UV 2.16.840.1.113883.3.9530 fdabest-pilot-nonprod FDA BEST Platform NON-PROD Lance Jones masked Hussein Ezzeldin Food and Drug Administration 10903 New Hampshire Ave Silver Spring, MD 20993-0002 240-402-8629 masked Senior Staff Fellow FDA Food and Drug Administration 10903 New Hampshire Ave Silver Spring, MD 20993-0002 1-888-463-6332 ocod@fda.hhs.gov https://www.fda.gov/ Govt body Int 3 Complete 2022/07/01 12:00:00 2022/07/04 12:00:00 2024/06/11 11:47:37 UV 2.16.840.1.113883.3.9531 fdabest-pilot-prod FDA BEST Platform Pilot PROD Lance Jones masked Hussein Ezzeldin Food and Drug Administration 10903 New Hampshire Ave Silver Spring, MD 20993-0002 240-402-8629 masked Senior Staff Fellow FDA Food and Drug Administration 10903 New Hampshire Ave Silver Spring, MD 20993-0002 1-888-463-6332 ocod@fda.hhs.gov https://www.fda.gov/ Govt body Int 3 Complete 2022/07/01 12:00:00 2022/07/04 12:00:00 2024/06/11 11:53:03 UV 2.16.840.1.113883.3.9532 cmc-ehr-oid Caribou Medical Center EHR OID Gavin Hyde masked Gavin Hyde 300 S. 3rd W. Soda Springs, Idaho 83276 208-547-3341 masked Caribou Medical Center 300 S. 3rd W. Soda Springs, Idaho 83276 208-547-3341 ghyde@cariboumc.org Provider Int 3 Complete 2022/07/05 12:00:00 2022/07/06 12:00:00 2022/07/06 07:27:37 UV 2.16.840.1.113883.3.9533 brc Bluegrass Retina Consultants Shannon Mettey masked Shannon Mettey 3290 Blazer Parkway, 100 Lexington, KY 40509 859-264-0445 masked COO Bluegrass Retina Consultants 3290 Blazer Parkway, 100 Lexington, KY 40509 859-264-0445 smettey@bluegrassretina.com https://www.bluegrassretina.com/ Provider Int 3 Complete 2022/07/05 12:00:00 2022/07/06 12:00:00 2022/07/06 07:30:05 UV 2.16.840.1.113883.3.9528.100 fCHD-EHR Fairfax County Health Department EHR Epifanio Clarin masked Noel Clarin 10777 Main Street Fairfax, VA 22030 703-246-8462 masked Informatics and IT Manager Fairfax County Health Department 10777 Main Street Fairfax, VA 22030 703-246-2411 HDIT@fairfaxcounty.gov https://www.fairfaxcounty.gov/health Govt body 2.16.840.1.113883.3.9528 Ext 14 Complete 2.16.840.1.113883.3.9528.100 2022/07/06 12:00:00 2022/07/06 12:00:00 2022/07/06 07:33:49 UV 2.16.840.1.113883.3.9534 circuloRootOID Circulo Health - Root OID Amy Workman masked interoperability@circulohealth.com Amy Workman 875 N High St Suite #200 Columbus, OH 43215 380-800-1099 masked Engineering Manager, Interoperability Circulo Health 875 N High St Suite #200 Columbus, OH 43215 380-800-1099 interoperability@circulohealth.com https://www.circulohealth.com/ Provider Int 3 Complete 2022/07/06 12:00:00 2022/07/06 12:00:00 2022/07/06 07:38:45 UV 2.16.840.1.113883.17.9475 awoc-cone Cone-Amwell Virtual Care Seunghee Koh masked Julie Koh 5743871790 masked Amwell 75 State Street 26th Floor Boston, MA 02109 18556351393 TS.Leadership@amwell.com Vendor Int 17 Complete 2022/07/07 12:00:00 2022/07/09 12:00:00 2022/07/09 09:46:37 UV 2.16.840.1.113883.3.5766.14 p-arh-inc Paintsville Appalachian Regional Healthcare Inc Andrew Deters masked Andrew Deters 2285 Executive Dr Lexington, KY 40505 859-226-2689 masked Director of Infrastructure and Data Centers Appalachian Regional Healthcare, Inc. 2285 Executive Dr Lexington, KY 40505 8592262440 adeters@arh.org http://www.arh.org Provider 2.16.840.1.113883.3.5766 Ext 14 Complete 2.16.840.1.113883.3.5766.14 2022/07/11 12:00:00 2022/08/30 12:00:00 2022/08/30 12:22:07 UV 2.16.840.1.113883.10.15 sexAndGenderUsingCDA Sex and Gender Representation Using CDA William Ted Klein masked Rob McClure Rob McClure +13039266771 masked Contractor HL7 - US Realm Steering Committee/Structured Documents WG Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 1 (734) 677-7777 hq@HL7.org http://www.hl7.org HL7 body 2.16.840.1.113883 Int 10 Complete 2022/07/13 12:00:00 2022/07/16 12:00:00 2022/07/16 08:43:48 UV 2.16.840.1.113883.3.9535 oidhl7 WISHIN and CommonWell Heather DeNucci masked Travis Thorp 1110 7th Avenue Cumberland, WI 54829 715-822-7484 masked IT Manager WISHIN and CommonWell 1110 7th Avenue Cumberland, WI 54829 715-822-7486 hdenucci@cumberlandhealthcare.com https://cumberlandhealthcare.com Provider Int 3 Complete 2022/07/13 12:00:00 2022/07/16 12:00:00 2022/07/16 08:50:16 UV 2.16.840.1.113883.3.9536 jaeyongleeDO Jae Yong Lee DO LLC Jae Lee masked Jae Yong Lee 14100 E Arapahoe Rd Suite 370 Centennial, CO 80112 13036993197 masked Owner/physician Jae Yong Lee 14100 E Arapahoe Rd Suite 370 Centennial, CO 80112 13036993197 jaelee_99@yahoo.com Provider Int 3 Complete 2022/07/16 12:00:00 2022/07/16 12:00:00 2022/07/16 09:01:49 UV 2.16.840.1.113883.3.9537 mother-goose Mother Goose Health Ken Levey masked Ken Levey 90 MAIDEN LN FL New York, NY 10038 9175666543 masked Mother Goose Health 90 MAIDEN LN FL New York, NY 10038 9175666543 ken@mothergoosehealth.com https://www.mothergoosehealth.com Vendor Int 3 Complete 2022/07/18 12:00:00 2022/07/20 12:00:00 2022/07/20 09:25:28 UV 2.16.840.1.113883.11.19754 genderIdentity Gender Identity William Ted Klein masked Rob McClure Rob McClure 3039266771 masked TBD Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 11 Complete 2022/07/19 12:00:00 2022/07/30 12:00:00 2022/07/30 05:23:03 UV 2.16.840.1.113883.11.19755 personalPronouns Pronouns William Ted Klein masked Rob McClure Rob McClure 3039266771 masked Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 11 Complete 2022/07/19 12:00:00 2022/07/30 12:00:00 2022/07/30 05:37:03 UV 2.16.840.1.113883.11.19756 icaoSex nternational Civil Aviation Organization Sex William Ted Klein masked Rob McClure Rob McClure 3039266771 masked Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 11 Complete 2022/07/19 12:00:00 2022/07/30 12:00:00 2022/08/02 06:49:55 UV 2.16.840.1.113883.6.348 icaoSex International Civil Aviation Organization Sex William Ted Klein masked Rob McClure Rob McClure 3039266771 masked TBD International Civil Aviation Organization (ICAO) International Civil Aviation Organization (ICAO) 999 Robert-Bourassa Boulevard, Montr&#233;al, Qu&#233;bec H3C 5H7, Canada +1 514-954-8219 icaohq@icao.int https://www.icao.int/Pages/default.aspx Prof Soc Int 6 Complete 2022/07/19 12:00:00 2023/02/28 12:00:00 2023/03/01 03:27:01 UV 2.16.840.1.113883.3.9538 medinahealth Medina Healthcare System Eli Lainhart masked Eli Lainhart 3100 Ave E Hondo, TX 78861 8304267438 masked IT Director Medina Healthcare System 3100 Ave E Hondo, TX 78861 8304267700 eli.lainhart@medinahospital.net Provider Int 3 Complete 2022/07/20 12:00:00 2022/07/20 12:00:00 2022/07/20 09:31:08 UV 2.16.840.1.113883.3.9539 plutohealth Pluto Health Organizational OID Guru Kora masked Guru Kora 600 Park Offices Drive, Suite 300 Durham, NC 27709 8653354489 masked CTO Pluto Health ghkora@gmail.com https://www.pluto.health Provider Int 3 Complete 2022/07/25 12:00:00 2022/07/26 12:00:00 2022/07/26 10:05:09 UV 2.16.840.1.113883.3.9540 k-po KUMAR PHYSICIAN OFFICE, P.C. Manish Kumar masked Manish Kumar 9173408274 masked MD KUMAR PHYSICIAN OFFICE, P.C. 250 12 Hillside Ave Suite B Bellerose, NY 11426 7184700126 kumarphysicianoffice@yahoo.com Provider Int 3 Complete 2022/07/25 12:00:00 2022/07/26 12:00:00 2022/07/26 10:15:20 UV 2.16.840.1.113883.3.9541 binxhealth binx health Alex Kramer masked Alex Kramer 245 First St, Riverview II, 18th Floor Cambridge, MA 02142 844-692-4691 masked binx health, Inc 245 First St, Riverview II, 18th Floor Cambridge, MA 02142 844-692-4691 support@mybinxhealth.com https://mybinxhealth.com Provider Int 3 Complete 2022/07/26 12:00:00 2022/07/26 12:00:00 2022/07/26 10:18:59 UV 2.16.840.1.113883.3.9542 mch59872 Mineral Community Hospital Stacy Conrow-Ververis masked Stacy Conrow-Ververis PO Box 66 Superior, MT 59872 4068224841 masked CFO Mineral Community Hospital PO Box 66 Superior, MT 59872 4068224841 stacy@mchospital.net https://www.mineralcommunityhospital.com Provider Int 3 Complete 2022/07/26 12:00:00 2022/07/26 12:00:00 2022/07/26 10:23:48 UV 2.16.840.1.113883.3.9543 cihc2022 Colorado In-home Counseling Debbie Leone masked Debbie Leone 2200 Paseo Verde Pkwy Suite 190 Henderson, NV 89052 833-719-0886 masked COO Colorado In-Home Counseling 833-719-0886 dleonemail@yahoo.com https://bhs.health Provider Int 3 Complete 2022/07/26 12:00:00 2022/07/26 12:00:00 2022/07/26 10:29:17 UV 2.16.840.1.113883.17.9476 clearly Clearly company registration Alessandro Cometti masked Justin Asgarpour Justin Asgarpour 2200-401 W Georgia St, V6B 5A1, Vancouver, Canada +18664142326 masked Chief Vision and Mission Officer EssilorLuxottica Canada Inc. - Clearly division 2200-401 W Georgia St, V6B 5A1, Vancouver, Canada +18664142326 customerservice@clearly.ca https://clearly.ca Provider Int 17 Complete 2022/07/26 12:00:00 2022/07/26 12:00:00 2022/07/26 10:41:29 UV 2.16.840.1.113883.3.9544 ach-02 Allendale County Hospital Tammy Smith masked Tammy Smith 1787 Allendale Fairfax Hwy Allendale County Hospital 8036323311 masked Allendale County Hospital PO Box 218 Fairfax, SC 29827 8036323311 tammys@achospital.org Provider Int 3 Complete 2022/07/28 12:00:00 2022/07/28 12:00:00 2022/07/28 11:06:08 UV 2.16.840.1.113883.3.9545 bhha Big Horn Hospital Association Misty Zink masked Misty Zink 17 N. Miles Ave. Hardin, MT 59034 406-665-2310 masked HIM Director Big Horn Hospital Association 17 N Miles Ave. Hardin, MT 59034 406-665-2310 mzink@bighornhospital.org https://www.bighornhospital.org/ Provider Int 3 Complete 2022/07/28 12:00:00 2022/07/28 12:00:00 2022/07/28 11:11:04 UV 2.16.840.1.113883.3.9546 healthierhere HealthierHere Thuy Hua-Ly masked Robert Cothren 925-934-2280 masked HealthierHere 1000 Second Ave., Suite 1730 Seattle, WA 98104 206-413-7748 info@healthierhere.org https://www.healthierhere.org/ Exchange Int 3 Complete 2022/07/28 12:00:00 2022/07/28 12:00:00 2022/07/28 11:17:38 UV 2.16.840.1.113883.3.9547 svghd St. Vincent General Hospital District Ruth Hart masked Ruth L Hart 735 US Hwy 24 South Leadville, CO 80461 17194867165 masked Clinic Manager St. Vincent General Hospital District 816 W Fourth Street Leadville, CO 80461 17194860230 ruth.hart@svghd.org https://stvincent.health/ Provider Int 3 Complete 2022/07/29 12:00:00 2022/07/30 12:00:00 2022/07/30 05:20:25 UV 2.16.840.1.113883.3.9548 scmcOID Sevier County Medical Center OID Jennifer McKnight masked Lori House Sevier County Medical Center 960 Hwy 71 N DeQueen, AR 71832 870-642-6420 masked IT Application Specialist Sevier County Medical Center 960 Hwy 71 N DeQueen, AR 71832 870-642-6420 jennifer.mcknight@seviercountymedical.com https://www.seviercountymedical.com/ Provider Int 3 Complete 2022/08/01 12:00:00 2022/08/03 12:00:00 2022/08/03 11:27:29 UV 2.16.840.1.113883.3.9549 hirrghsmission HIR RGHS Mission OID Root Benjamin Gallegos masked Jeanette Garcia 956-362-8747 masked HIR-RGHS Mission 2121 East Griffin Parkway, Suite 16 Mission, TX 78572 956-362-8747 jea.garcia@dhr-rgv.com Provider Int 3 Complete 2022/08/01 12:00:00 2022/08/03 12:00:00 2022/08/03 11:33:30 UV 2.16.840.1.113883.11.19757 rsgField Recorded sex or gender field William Ted Klein masked Rob McClure Rob McClure 3039266771 masked Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA +1 (734) 677-7777 hq@hl7.org http://www.hl7.org SDO 2.16.840.1.113883 Int 11 Complete 2022/08/01 12:00:00 2022/08/03 12:00:00 2022/08/03 11:44:14 UV 2.16.840.1.113883.3.9550 gacs Gastroenterology Associates of Colorado Springs Irene Moreno masked Irene Moreno 1699 Medical Center Point Colorado Springs, CO 80907 7193872113 masked Office Liaison Gastroenterology Associates of Colorado Springs 1699 Medical Center Point Colorado Springs, CO 80907 7193872113 imoreno@gacsonline.com https://www.gacsonline.com/ Provider Int 3 Complete 2022/08/02 12:00:00 2022/08/03 12:00:00 2022/08/03 11:54:42 UV 2.16.840.1.113883.3.9551 trh-wyo South Big Horn County Hospital District dba Three Rivers Health Rick Schroeder masked Rick Schroeder 388 US Hwy 20 South Basin, WY 82410 13075681426 masked Interim CEO South Big Horn County Hospital District dba Three Rivers Health 388 US Hwy 20 South Basin, WY 82410 307-568-3311 info@trhealth.com https://www.trhealth.com Provider Int 3 Complete 2022/08/02 12:00:00 2022/08/04 12:00:00 2022/08/04 12:12:00 UV 2.16.840.1.113883.3.9552 chcy Community Health Center of Yavapai Willa Miller masked Pat Galassi Willa Miller 1090 Commerce Drive, Prescott, AZ 86305 9284425911 masked Assistant Director Community Health Center of Yavapai sharon.rickman@yavapaiaz.gov https://www.yavapaiaz.gov Provider Int 3 Complete 2022/08/03 12:00:00 2022/08/04 12:00:00 2022/08/04 12:21:54 UV 2.16.840.1.113883.3.9553 doral Doral Health and Wellness Sam Christie masked Sam Christie 1797 Pitkin Avenue Brooklyn, NY 11212 919-272-1368 masked CTO Doral Health and Wellness 1797 Pitkin Avenue Brooklyn, NY 11212 718-367-2555 info@doralhw.org http://www.DoralHW.org Provider Int 3 Complete 2022/08/08 12:00:00 2022/08/10 12:00:00 2022/08/10 08:45:36 UV 2.16.840.1.113883.3.9554 ttpccvhswclinic TTP - CCVH Southwest Clinic Rae Rodriguez masked Rae Ann Rodriguez 3601 4TH street MS8352 Lubbock, TX 79416 806-743-2493 masked Clinical Informatics Coordinator TTP - CCVH Southwest Clinic 3601 4TH street MS8352 Lubbock, TX 79416 806-743-1501 RaeAnn.Rodriguez@ttuhsc.edu https://www.texastechphysicians.com/Lubbock Academic Int 3 Complete 2022/08/08 12:00:00 2022/08/10 12:00:00 2022/08/10 08:47:56 UV 2.16.840.1.113883.3.9555 ttpurologyswclinic TTP - Urology Southwest Clinic Rae Rodriguez masked Rae Ann Rodriguez 3601 4th street stop 8352 Lubbock, TX 79416 806-743-2493 masked Clinical Informatics Coordinator TTP - Urology Southwest Clinic 3601 4th street stop 8352 Lubbock, TX 79416 806-743-1810 RaeAnn.Rodriguez@ttuhsc.edu https://www.texastechphysicians.com/Lubbock Academic Int 3 Complete 2022/08/08 12:00:00 2022/08/10 12:00:00 2022/08/10 08:53:54 UV 2.16.840.1.113883.17.9477 awoc-dhmp Denver Health Medical Plan-Amwell Virtual Care Seunghee Koh masked Julie Koh 75 State St 26th floor, Boston, MA 02109 5743871790 masked Amwell 75 State St 26th floor, Boston, MA 02109 5743871790 julie.koh@amwell.com Vendor Int 17 Complete 2022/08/09 12:00:00 2022/08/10 12:00:00 2022/08/10 09:02:55 UV 2.16.840.1.113883.3.9556 foothold-care-management-skyward Foothold Care Management serving Skyward Health Ryan Harris masked Ryan Harris 36 E 12th Street 5th Floor New York, NY 10003 3476220193 masked Director of Client Services Foothold Technology 36 E 12th Street 5th Floor New York, NY 10003 2127801450 fcm-support@footholdtechnology.com https://footholdtechnology.com/ Vendor Int 3 Complete 2022/08/10 12:00:00 2022/08/10 12:00:00 2022/08/10 09:14:36 UV 2.16.840.1.113883.3.9557 foothold-care-management-ccf Foothold Care Management serving Collaborative for Children and Families Ryan Harris masked Ryan Harris 36 E 12th Street 5th Floor New York, NY 10003 3476220193 masked Director of Client Services Foothold Technology 36 E 12th Street 5th Floor New York, NY 10003 2127801450 fcm-support@footholdtechnology.com https://footholdtechnology.com/ Vendor Int 3 Complete 2022/08/10 12:00:00 2022/08/10 12:00:00 2022/08/10 09:22:00 UV 2.16.840.1.113883.3.9558 andrewfagelmanmd Andrew Fagelman, MD, PLLC Andrew Fagelman masked Andrew Fagelman 917-513-7250 masked Andrew Fagelman, MD, PLLC 155 Spring Street 4th Floor NY, NY 10012 212-343-0080 sohohealthny@gmail.com Provider Int 3 Complete 2022/08/11 12:00:00 2022/08/11 12:00:00 2022/08/11 07:45:22 UV 2.16.840.1.113883.3.9559 mcp-justicetohealth Mission Critical Partners Justice to Health Richard McCoy masked Richard McCoy 1801 California St 24th floor Denver, CO 80202 7209266139 masked Sr Program Manager Mission Critical Partners 690 Gray's Woods Blvd. Port Matilda, PA 16870 888.862.7911 rickmccoy@missioncriticalpartners.com https://www.missioncriticalpartners.com/ Vendor Int 3 Complete 2022/08/11 12:00:00 2022/08/11 12:00:00 2022/08/11 07:53:11 UV 2.16.840.1.113883.3.9560 fcphd Ferry County Health James Davidson masked James Davidson 36 Klondike Rd Republic, Washington 99166 5097758301 masked CIO Ferry County Health 36 Klondike Rd Republic, Washington 99166 5097753333 james.davidson@fcphd.org https://www.fcphd.org Provider Int 3 Complete 2022/08/16 12:00:00 2022/08/16 12:00:00 2022/08/16 11:10:47 UV 2.16.840.1.113883.3.9561 hlw Healow Ayres Fortes masked Rakhee Langer Ayres Fortes 2 Technology Drive Westborough, MA 01581 508-439-1985 masked Interoperability Manager Healow 2 Technology Drive Westborough, MA 01581 508-475-0600 ayres.fortes@healow.com https://healow.com/apps/jsp/webview/index.jsp Vendor Int 3 Complete 2022/08/16 12:00:00 2022/08/16 12:00:00 2022/08/16 11:14:15 UV 2.16.840.1.113883.3.9559.1.1 hsk Health Secure - Kandiohyi Richard McCoy masked Richard McCoy 1801 California st 24 floor Denver, CO 80202 7209266139 masked Sr Program Manager Mission Critical Partners 690 Gray's Woods Blvd Port Matilda, PA 16870 888.862.7911 rickmccoy@missioncriticalpartners.com https://www.missioncriticalpartners.com Vendor 2.16.840.1.113883.3.9559 Ext 14 Complete 2.16.840.1.113883.3.9559.1.1 2022/08/16 12:00:00 2022/08/16 12:00:00 2022/08/16 11:18:49 UV 2.16.840.1.113883.3.9562 tm-OID Liberty Resources Inc Trina Mettler masked David Harris Trina Mettler 6723 Towpath Road East Syracuse, NY 13057 315 425-1004 x1602 masked HIT Project Manager Liberty Resources Inc 1045 James Street Syracuse, NY 13203 315 425-1004 tmettler@liberty-resources.org https://www.liberty-resources.org Provider Int 3 Complete 2022/08/16 12:00:00 2022/08/16 12:00:00 2022/08/16 11:22:10 UV 2.16.840.1.113883.3.9563 pchcare Penobscot Community Health Care Jason Lewis masked Jason Lewis 207-992-9200 x1409 masked Director of IT Infrastructure and Security Penobscot Community Health Care 103 Maine Ave Bangor, ME 04401 207-992-9200 jlewis@pchc.com https://pchc.com Provider Int 3 Complete 2022/08/17 12:00:00 2022/08/20 12:00:00 2022/08/20 01:13:44 UV 2.16.840.1.113883.3.9564 orthoarizona OrthoArizona David Blake masked David Blake 3033 N 44th Street Phoenix, AZ 85018 602.648.5431 masked Chief Information Officer OrthoArizona 3033 N 44th Street Phoenix, AZ 85018 602.648.5431 dblake@orthoarizona.org https://www.orhotArizona.org Provider Int 3 Complete 2022/08/23 12:00:00 2022/08/23 12:00:00 2022/08/23 02:45:01 UV 2.16.840.1.113883.3.9565 proclaimpartners ProClaimPartners Jonathan Duvall masked Jonathan Walker Duvall 6650 Sugarloaf Parkway, Suite 400 Duluth, GA 30097 5616999226 masked Sr. Director of Product Management ProClaim Partners, LLC 6650 Sugarloaf Parkway, Suite 400 Duluth, GA 30097 5616999226 support@proclaimpartners.com https://www.primecaretech.com/contact-us-prime-care-technologies Vendor Int 3 Complete 2022/08/24 12:00:00 2022/08/24 12:00:00 2022/08/24 12:15:04 US 2.16.840.1.113883.3.9566 proclaimpartnerstest ProClaimPartners-Test Jonathan Duvall masked Jonathan Walker Duvall 6650 Sugarloaf Parkway, Suite 400 Duluth, GA 30097 5616999226 masked Sr. Director of Product Management ProClaim Partners, LLC 6650 Sugarloaf Parkway, Suite 400 Duluth, GA 30097 5616999226 support@proclaimpartners.com https://www.primecaretech.com/snf-revenue-cycle-management-primeclaims-ltc Vendor Int 3 Complete 2022/08/24 12:00:00 2022/08/24 12:00:00 2022/08/24 12:20:45 US 2.16.840.1.113883.3.9567 lacdmh Los Angeles County Department of Mental Health Juan Fermin masked William Griffin Juan J. Fermin Jr. 510 Vermont Ave Los Angeles, CA 90020 2138404359 masked Enterprise Architect Los Angeles County Department of Mental Health 510 Vermont Ave Los Angeles, CA 90020 2133511335 Integration_Team@dmh.lacounty.gov http://dmh.lacounty.gov Govt body Int 3 Complete 2022/08/24 12:00:00 2022/08/24 12:00:00 2022/08/24 02:38:41 UV 2.16.840.1.113883.9.282 genderHarmonyProfileComponent Gender Harmony Pre-Adoption Profile Component Ulrike Merrick masked Ulrike Merrick Po Box 1030, Wilton, CA 95693 9162160052 masked HL7 V2 Management Health Level Seven International 3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104 USA 1 (734) 677-7777 HQ@hl7.org https://www.hl7.org/Special/committees/v2management/index.cfm SDO Int 9 Complete 2022/08/24 12:00:00 2022/08/25 12:00:00 2022/08/25 04:46:24 UV 2.16.840.1.113883.3.9568 docsnap Docsnap Identifier Robert Carter masked Anthony Mari Robert Carter 800 Battery Ave. SE Suite 100/3104 Atlanta, GA 30339 18443627627 masked Chief Technology Officer Docsnap 800 Battery Ave. SE Suite 100/3104 Atlanta, GA 30339 844-362-7627 custodian@docsnap.com https://docsnap.com Exchange Int 3 Complete 2022/08/25 12:00:00 2022/08/25 12:00:00 2022/08/25 04:55:16 UV 2.16.840.1.113883.3.9569 wish-cerner Wishek Hospital integration to Cerner Jeremy Rohr masked Kari Buchholz PO Box 647 Wishek, ND 58495 United States of America +1(701)452-2326 masked Director HIM, Billing, Insurance Processing South Central Health PO Box 647 Wishek, ND 58495 United States of America +1(701)452-2326 jeremyr@schealthnd.com https://www.schealthnd.com Provider Int 3 Complete 2022/08/25 12:00:00 2022/08/25 12:00:00 2022/08/25 05:03:46 UV 2.16.840.1.113883.3.9570 milfordgastro Milford Gastroenterology Associates Matthew Mucci masked Brian Heaton Milford Gastroenterology Associates 215 West St Milford, MA 01757 508.478.6363 masked Programmer Analyst Milford Regional Medical Center 14 Prospect St Milford, MA 01757 mmucci@milreg.org https://www.milfordregional.org/ Provider 2.16.840.1.113883.3.810 Int 3 Complete 2022/08/26 12:00:00 2022/08/26 12:00:00 2022/08/26 01:50:18 UV 2.16.840.1.113883.3.9571 ronburley1068 Dr. Ronnelle Burley MD, PA Ronnelle Burley masked Ronnelle Burley 3702 22nd Place Lubbock, TX 79410 8069283312 masked physician, owner Ronnelle Burley, MD, PA 3706 22nd Place Lubbock, TX 79410 8069283312 rburley@rburleyobgyn.com Provider Int 3 Complete 2022/08/29 12:00:00 2022/08/29 12:00:00 2022/08/29 08:59:18 UV 2.16.840.1.113883.3.9572 kaufmannclinic The Kaufmann Clinic, Inc Perry Westberry masked Perry M Westberry 904 Summit Park Trail McDonough, GA 30253 404-683-0978 masked The Kaufmann Clinic, Inc 550 Peachtree St NE Suite 1700 Atlanta, GA 30308 ATTN: Janet Grimmette 404-881-9727 perrywespa@gmail.com Provider Int 3 Complete 2022/08/29 12:00:00 2022/08/29 12:00:00 2022/08/29 09:05:38 UV 2.16.840.1.113883.3.9573 alayacare Alayacare.inc Tia Liu masked Nicole Bright 4200 boul. St. Laurent, Suite 800 Montr&#233;al, QC, Canada H2W 2R2 1 (855) 858-5214 masked Senior Product Manager Alayacare.inc 4200 boul. St. Laurent, Suite 800 Montr&#233;al, QC, Canada H2W 2R2 1 (855) 858-5214 support@alayacare.com https://www.alayacare.com Vendor Int 3 Complete 2022/08/30 12:00:00 2022/08/30 12:00:00 2022/08/30 11:55:40 UV 2.16.840.1.113883.3.9574 rtms Real Time Medical Systems OID Jeffrey Rudesyle masked Christopher Miller 7249770199 masked Chief Technology Officer Real Time Meddical Systems 901 Elkridge Landing Rd, Linthicum Heights, MD 21090 (888) 546-9786 cmiller@realtimemed.com Vendor Int 3 Complete 2022/08/30 12:00:00 2022/08/30 12:00:00 2022/08/30 05:22:06 UV 2.16.840.1.113883.17.9478 cLL-CF Chai Lifeline Children's Fund, Inc. Esther Bergman masked Mordechai Gobioff Esther Bergman 151 West 30th Street, 7th Floor, New York, NY 10001 917-575-7625 masked Chief Financial Officer Chai Lifeline Children's Fund, Inc. 151 West 30th Street, 7th Floor, New York, NY 10001 917-575-7625 EBergman@chailifeline.org https://www.chailifeline.org/ Provider Int 17 Complete 2022/08/31 12:00:00 2022/08/31 12:00:00 2022/08/31 12:31:29 UV 2.16.840.1.113883.3.9575 ttp-advancedgiclinic TTP- Advanced GI Clinic Rae Rodriguez masked RaeAnn Rodriguez 3601 4th street MS 8352 Lubbock, TX 79430 806-743-2493 masked Unit Manager Texas Tech Physicians- Advanced GI Clinic 3601 4th street MS 8352 Lubbock, Texas 79430 806-743-2236 RaeAnn.Rodriguez@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2022/09/02 12:00:00 2022/09/09 12:00:00 2022/09/09 06:25:22 UV 2.16.840.1.113883.3.9576 oid-cfp-docs Countryside Family Practice OID Linda Spencer masked Linda Spencer Countryside Family Practice 8255 East Main Street P. O. Box 337 Marshall, VA 20115 5403641581 masked Practice Administrator Countryside Family Practice 8255 East Main Street P. O. Box 337 Marshall, VA 20115 5403641581 lspencer@cfpdocs.com http://www.cfpdocs.com Provider Int 3 Complete 2022/09/09 12:00:00 2022/09/09 12:00:00 2022/09/09 06:30:28 99OID UV 2.16.840.1.113883.17.9479 domaonline DOMA Technologies, LLC Chandler Pitcher masked Chandler Pitcher Chandler Pitcher 841 Seahawk Circle Virginia Beach, VA 23452 7573064920 masked DOMA Technologies, LLC itservices@domaonline.com https://www.domaonline.com Vendor Int 17 Complete 2022/09/13 12:00:00 2022/09/14 12:00:00 2022/09/14 12:41:22 UV 2.16.840.1.113883.3.9577 sbspeds Step By Step Pediatrics Ashraf Abdel-Azeem masked Ashraf Abdel-Azeem 3035 South Parker Road, Suite 555 Aurora, CO 80014 303-338-5437 masked MD Step By Step Pediatrics 3035 South Parker Road Suite 555 Aurora, CO 80014 303-338-5437 stepbystepazeem@gmail.com Provider Int 3 Complete 2022/09/13 12:00:00 2022/09/14 12:00:00 2022/09/14 12:48:57 UV 2.16.840.1.113883.3.9578 prominis Prominis Medical Services Ron Carson masked Ron Carson 251 Little Falls Dr Wilmington, DE 19808 9413501650 masked Prominis Medical Services 6451 Central Ave Glendale, NY 11385 7186876161 fenyves@prominis.com https://www.prominis.com Provider Int 3 Complete 2022/09/15 12:00:00 2022/09/16 12:00:00 2022/09/16 09:42:35 UV 2.16.840.1.113883.3.9579 champs CHAMPIONS FAMILY MEDICAL RICHARD LANE masked RICHARD LANE 7194069304 masked CHAMPIONS FAMILY MEDICAL 415 N GRAND AVENUE PUEBLO, CO 81003 7199248448 RLANE@DDMKTG.COM Provider Int 3 Complete 2022/09/15 12:00:00 2022/09/16 12:00:00 2022/09/16 09:52:13 UV 2.16.840.1.113883.3.9580 sedgwickhc Sedgwick County Health Center Edward Goshe masked Edward N Goshe III Karla Dunker 900 Cedar Street Julesburg, CO 80737 9704743323 masked CFO Sedgwick County Health Center 900 Cedar Street Julesburg, CO 80737 9704743323 kdunker@schealth.org Govt body Int 3 Complete 2022/09/16 12:00:00 2022/09/16 12:00:00 2024/09/12 01:04:46 UV 2.16.840.1.113883.17.9480 mshpc Main Street Health Amy Gleason masked Phil Loverde Amy Gleason 926 Main Street Nashville, TN 37201 813-995-1652 masked Chief Product Officer Main Street Health 926 Main Street Nashville, TN 37201 (615) 739-5017 agleason@mainstreetruralhealth.com https://www.mainstreetruralhealth.com/ Provider Int 17 Complete 2022/09/16 12:00:00 2022/09/16 12:00:00 2022/09/16 01:03:06 UV 2.16.840.1.113883.4.8136 cthospice The Connecticut Hospice Inc. James Barone masked James Barone 100 Double Beach Rd, Branford, CT 06405 2033157508 masked Infection Control The Connecticut Hospice Inc. 100 Double Beach Rd, Branford, CT 06405 2033157500 HR@hospice.com Provider Int 4 Complete 2022/09/19 12:00:00 2022/09/22 12:00:00 2022/09/22 06:07:43 US 2.16.840.1.113883.3.9581 mhs1 Milton Hershey School Victor Fleming masked Victor Fleming Health Center 1201 Homestead lane Hershey, PA 17033 717-520-2182 masked Director of Student Health Services Systems Milton Hershey School Health Center 1201 Homestead lane Hershey, PA 17033 717-520-2180 flemingv@mhs-pa.org https://www.mhskids.org/ Provider Int 3 Complete 2022/09/20 12:00:00 2022/09/22 12:00:00 2022/09/22 06:15:13 MHS UV 2.16.840.1.113883.3.9582 corp-314e 314e Corporation Amritanshu Palaria masked Abhishek Begerhotta 6701 Koll Center Pkwy #340 Pleasanton, CA 94566 United States +1 510-364-7750 masked CEO 314e Corporation 6701 Koll Center Pkwy #340 Pleasanton, CA 94566 United States +1 510-371-6736 abhishek@314ecorp.com https://www.314e.com Vendor Int 3 Complete 2022/09/26 12:00:00 2022/09/27 12:00:00 2022/09/27 09:46:40 UV 2.16.840.1.113883.17.9481 domaonline-subtype DOMA Technologies, LLC OID SubType Chandler Pitcher masked Chandler Pitcher IT Services 585 London Bridge Road Virginia Beach, VA 23454 7573064920 masked CIO DOMA Technologies, LLC 585 London Bridge Road Virginia Beach, VA 23454 7573064920 info@domaonline.com https://www.domaonline.com Vendor 2.16.840.1.113883.17.9479 Int 17 17 Complete 2022/09/27 12:00:00 2024/12/31 12:00:00 2025/01/06 10:42:37 UV 2.16.840.1.113883.3.6865.1001 aetna-cts CVS Health Clinical Trial Services Vaibhav Sharma masked Vaibhav Sharma 151 Farmington Ave Hartford, CT 06156 8607131273 masked Aetna Insurance Company 151 Farmington Ave Hartford, CT 06156 800-872-3862 bhatias@aetna.com https://www.aetna.com Payor 2.16.840.1.113883.3.6865 Ext 14 Complete 2.16.840.1.113883.3.6865.1001 2022/09/27 12:00:00 2022/09/29 12:00:00 2022/09/29 09:39:04 UV 2.16.840.1.113883.3.9583 ia-cracmh Crawford County Memorial Hospital Angie Andersen masked Angie Andersen 100 Medical Parkway Denison, IA 51442 7122652564 masked IT Director Crawford County Memorial Hospital 100 Medical Parkway Denison, IA 51442 7122652500 itrequest@ccmhia.com https://www.ccmhia.com/ Provider Int 3 Complete 2022/09/28 12:00:00 2022/09/29 12:00:00 2022/09/29 09:45:37 UV 2.16.840.1.113883.3.9584 ccfhs Clinica Family Health Isaac Dominguez masked Isaac Dominguez 7205253605 masked EHR Specialist Clinica Family Health 1735 S. Public Road Suite 205 Lafayette, CO 80026 3036504460 idominguez@clinica.org https://www.clinica.org/ Provider Int 3 Complete 2022/09/30 12:00:00 2022/09/30 12:00:00 2022/09/30 04:12:37 UV 2.16.840.1.113883.3.9585 myHS Cleverex Systems, Inc. Sari Schray masked Sari Schray 1801 Robert Fulton Dr #500 Reston, VA 20191 202-798-5745 masked Project Director Cleverex Systems, Inc. 1801 Robert Fulton Dr #500 Reston, VA 20191 202-888-6180 support@myheadstart.com https://cleverex.com/ Vendor Int 3 Complete 2022/10/03 12:00:00 2022/10/08 12:00:00 2022/10/08 08:22:42 UV 2.16.840.1.113883.17.9482 aikerswtwtr ER at Sweetwater Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610) 382-4375 masked Manager - Interfaces ER at Sweetwater 160 Austin Graybill Road North Augusta, SC 29860 (803) 613-3600 alesia.childs@uhsinc.com https://www.aikenregional.com/services/emergency-services/er-at-sweetwater Provider Int 17 Complete 2022/10/03 12:00:00 2022/10/08 12:00:00 2022/10/08 08:27:29 UV 2.16.840.1.113883.3.9586 cnc Comprehensive Neurological Consultants Cindy Overman masked Wendy Bottorff Cindy Overman 9155 SW Barnes Rd, Suite 210 Portland, OR 97225 50354635034 masked Office Manager Comprehensive Neurological Consultants 9155 SW Barnes Rd, Suite 210 Portland, OR 97225 5035463503 coverman@compneurosurg.com Provider Int 3 Complete 2022/10/04 12:00:00 2022/10/08 12:00:00 2022/10/08 08:30:38 UV 2.16.840.1.113883.3.9587 heal Heal Doctors Adam Bayaa masked Adam Bayaa 4553 Glencoe Ave Suite 320 Marina Del Rey, CA 90292 3108448448 masked VP of IT/ Security Officer Heal Doctors 4553 Glencoe Ave Suite 320 Marina Del Rey, CA 90292 8446444325 security@heal.com https://heal.com Provider Int 3 Complete 2022/11/04 12:00:00 2022/11/08 12:00:00 2022/11/08 07:34:39 UV 2.16.840.1.113883.3.9588 cares1970 CARES Pearl Ratz masked CARES 465 Grand Street New York, NY 10002-4800 2124201970 masked Clinic Administrator CARES 465 Grand Street New York, NY 10002-4800 12124201970 rbenasaraf@caresnys.org https://caresnys.org Provider Int 3 Complete 2022/11/07 12:00:00 2022/11/08 12:00:00 2022/11/08 07:42:59 UV 2.16.840.1.113883.3.9589 chp2014 Catalytic Health Partners, Inc Susan Cordts masked Susan Cordts 3050 W Agua Fria Freeway, Suite 150 Phoenix, AZ 85027 602-332-3363 masked CEO Catalytic Health Partners, Inc 3050 W Agua Fria Freeway, Suite 150 Phoenix, AZ 85027 602-332-3363 scordts@catalytichealthpartners.com Provider Int 3 Complete 2022/11/07 12:00:00 2022/11/08 12:00:00 2022/11/08 07:47:48 UV 2.16.840.1.113883.3.9590 wlmh Hospital Authority of Wilkes County DBA Wills Memorial Hospital Kimberly Grotz masked Jessica Quattlebaum 120 Gordon Street Washington, GA 30673 7066782151 masked Clinical Informaticist Hospital Authority of Wilkes County DBA Wills Memorial Hospital 120 Gordon St Washington, GA 30673 706-678-2151 kgrotz@willsmemorialhospital.com https://www.willsmemorialhospital.com Provider Int 3 Complete 2022/11/07 12:00:00 2022/11/08 12:00:00 2025/01/03 12:49:47 UV 2.16.840.1.113883.3.9591 wrshealth-root WRS Health Clarisse Sy masked Clarisse Sy 2004 NY-17M Goshen, NY 10924, USA 8669774367 masked WRS Health 2004 NY-17M Goshen, NY 10924, USA 8669774367 hl7@wrshealth.com https://www.wrshealth.com/ Provider Int 3 Complete 2022/11/08 12:00:00 2022/11/08 12:00:00 2023/10/25 06:58:38 UV 2.16.840.1.113883.3.9592 chHL73xOID HL7 v3.x OID used by Cottage Hospital Rick Frederick masked Rick Frederick 90 Swiftwater Rd Swiftwater Road Woodsville, NH 03785 6037479705 masked CIO Cottage Hospital PO Box 2001 Swiftwater Road Woodsville, NH 03785 6037479700 rick@cottagehospital.org https://www.cottagehospital.org/ Provider Int 3 Complete 2022/11/08 12:00:00 2022/11/08 12:00:00 2022/11/08 08:12:01 UV 2.16.840.1.113883.3.9593 noxmed OID Root for Noxubee Medical Complex Drew Holdiness masked Drew Holdiness 78 Hospital Rd. Macon, MS 39341 6627884345 masked IT Director Noxubee Medical Complex 78 Hospital Rd. Macon, MS 39341 6627264231 drew.holdiness@ngcah.com https://www.ngcah.com Provider Int 3 Complete 2022/11/08 12:00:00 2022/11/08 12:00:00 2022/11/08 08:21:48 UV 2.16.840.1.113883.3.9594 simplyBenefits Simply Benefits Jarrod Reimann masked Jarrod Reimann Simply Benefits 460 Doyle Avenue, Suite 601 Kelowna, BC V1Y 0C2 778-484-9815 masked Technical Product Manager Simply Benefits Simply Benefits 460 Doyle Avenue, Suite 601 Kelowna, BC V1Y 0C2 877-815-7751 product@simplybenefits.ca https://www.simplybenefits.ca/ Payor Int 3 Complete 2022/11/08 12:00:00 2022/11/08 12:00:00 2022/11/08 08:26:06 UV 2.16.840.1.113883.3.9595 mipafamily MIPA Family Care Annette Thomas masked Annette Thomas 1069 Delaware Ave Marion Ste. 205 Marion, OH 43302 7407515353 masked Office Manager MIPA Family Care 1069 Delaware Ave Marion Ste. 205 Marion, OH 43302 7402233496 a.thomas@mipallc.com http://www.mipallc.com/ Provider Int 3 Complete 2022/11/08 12:00:00 2022/11/08 12:00:00 2022/11/08 08:31:06 UV 2.16.840.1.113883.3.9596 nch-cah Norton County Hospital Klare Bliss masked Klare Bliss 102 East Holme Street P.O. Box 250 Norton, KS 67654 7858773351 masked Chief Information Officer Norton County Hospital 102 East Holme Street P.O. Box 250 Norton, KS 67654 7858773351 itadmin@ntcohosp.com http://www.ntcohosp.com/ Provider Int 3 Complete 2022/11/10 12:00:00 2022/11/10 12:00:00 2022/11/10 04:48:56 UV 2.16.840.1.113883.3.9597 f-FM Florissant Family Medicine Deanna McNulty masked Deanna McNulty PO Box 189 Florissant, CO 80816 7198391923 masked DNP, FNP-C Florissant Family Medicine PO Box 189 Florissant, CO 80816 7198391923 doctord@florissantfm.com https://www.florissantfm.com Provider Int 3 Complete 2022/11/10 12:00:00 2022/11/10 12:00:00 2022/11/10 04:53:51 UV 2.16.840.1.113883.3.9598 aspenchs Community Health Services Logan Hood masked Logan Hood 0405 Castle Creek Road Suite 201 Aspen, CO 81611 9709205423 masked Executive Director Community Health Services, Inc 0405 Castle Creek Road Suite 201 Aspen, CO 81611 19709205423 logan.hood@aspencommunityhealth.org https://aspencommunityhealth.org/ Provider Int 3 Complete 2022/11/16 12:00:00 2022/11/22 12:00:00 2022/11/23 04:01:10 UV 2.16.840.1.113883.3.9599 marshallhealth University Physicians & Surgeons, Inc., dba Marshall Health Adam Cremeans masked Michael McCarthy Michael McCarthy 1600 Medical Center Drive Huntington, WV 25701 304-691-1748 masked Chief Information Officer University Physicians & Surgeons, Inc., dba Marshall Health 1600 Medical Center Drive Huntington, WV 25701 304-691-1748 ditmi@marshall.edu https://marshallhealth.org Provider Int 3 Complete 2022/11/17 12:00:00 2022/11/22 12:00:00 2022/11/23 04:02:52 UV 2.16.840.1.113883.3.9600 dhrHVS DHR Health Heart Institute (HVS) OID Root Benjamin Gallegos masked Alba N. Salinas 4316 N McColl Rd, McAllen, TX 78504 9563628823 masked DHR Health Heart Institute (HVS) 4316 N McColl Rd, McAllen, TX 78504 9563628823 alba.salinas@dhr-rgv.com Provider Int 3 Complete 2022/11/22 12:00:00 2022/11/22 12:00:00 2022/11/23 04:20:13 UV 2.16.840.1.113883.3.9601 clinicMSC305A DHR Brownsville Multispecialty MOB 2 OID Root Benjamin Gallegos masked Rosalinda Coronado 4770 Expressway 83 Ste. 305ABrownsville, TX78526 9563623984 masked Office Manager DHR Brownsville Multispecialty MOB 2 4770 Expressway 83 Ste. 305ABrownsville, TX78526 9563623984 ro.coronado@dhr-rgv.com Provider Int 3 Complete 2022/11/22 12:00:00 2022/11/22 12:00:00 2022/11/23 04:22:31 UV 2.16.840.1.113883.3.9602 dhcc Desert Highlands Care Center Jeromy Jordan masked Derrick Pullen Jeromy Jordan 731 N. Main Sikeston, MO 63801 573-475-1999 masked VP of IT Desert Highlands Care Center 1081 Kathleen Kingman, AZ 86401 928-753-5580 adm@deserthighlandscc.com https://www.deserthighlandscc.com/ Provider Int 3 Complete 2022/11/22 12:00:00 2022/11/22 12:00:00 2022/11/23 04:28:57 UV 2.16.840.1.113883.3.9603 hnc Havasu Nursing Center Jeromy Jordan masked Derrick Pullen Jeromy Jordan 731 N. Main Sikeston, MO 63801 573-475-1999 masked VP of IT Havasu Nursing Center 3576 Kearsage Lake Havasu City, AZ 86406 928-453-1500 adm@havasunursingcenter.com https://www.havasunursingcenter.com/ Provider Int 3 Complete 2022/11/22 12:00:00 2022/11/22 12:00:00 2022/11/23 04:31:02 UV 2.16.840.1.113883.3.9604 mvm Mountain View Manor Jeromy Jordan masked Derrick Pullen Jeromy Jordan 731 N. Main Sikeston, MO 63801 573-475-1999 masked VP of IT Mountain View Manor 1045 Sandretto Drive Prescott, AZ 86305 928-778-4837 adm@mtviewmanor.com https://www.mtviewmanor.com/ Provider Int 3 Complete 2022/11/22 12:00:00 2022/11/22 12:00:00 2022/11/23 04:32:52 UV 2.16.840.1.113883.3.9605 ync Yuma Nursing Center Jeromy Jordan masked Jeromy Jordan 731 N. Main Sikeston, MO 63801 573-475-1999 masked VP of IT Yuma Nursing Center 1850 West 25th St. Yuma, AZ 85364 928-726-6700 adm@yumanursingcenter.com https://www.yumanursingcenter.com/ Provider Int 3 Complete 2022/11/22 12:00:00 2022/11/22 12:00:00 2022/11/23 04:35:43 UV 2.16.840.1.113883.3.9606 edupoint Edupoint OID Christine Baumann masked Noam Luft 1955 S. Val Vista Dr. Mesa, AZ 85204 4806337500 masked CTO Noam Luft 1955 S. Val Vista Dr. Mesa, AZ 85204 4806337500 nluft@edupoint.com http://www.edupoint.com Vendor Int 3 Complete 2022/11/22 12:00:00 2022/11/22 12:00:00 2022/11/23 04:42:06 US 2.16.840.1.113883.3.9607 summithealth Summit Health Jian Guo masked Jian Guo Summit Health 121 Chanlon Road, New Providence, NJ 07974 7327815768 masked Summit Health 121 Chanlon Road, New Providence, NJ 07974 7327815768 jguo@summithealth.com Provider Int 3 Complete 2022/11/28 12:00:00 2022/11/28 12:00:00 2022/11/29 12:11:55 UV 2.16.840.1.113883.17.9483 gonzaba Gonzaba Medical Group Jason Munsterteiger masked Jason Munsterteiger 2108904889 masked IT Operations Manager Gonzaba Medical Group 720 Pleasanton Road San Antonio, Texas 78214 2109213800 gmghelpdesk@gonzaba.com Provider Int 17 Complete 2022/12/01 12:00:00 2022/12/07 12:00:00 2022/12/07 06:01:00 UV 2.16.840.1.113883.3.9608 okmh Otto Kaiser Memorial Hospital Tara Elliott masked Tara Elliott 3349 S Highway 181 Kenedy, TX 78119 8305834554 masked Clinical IT Analyst Otto Kaiser Memorial Hospital 3349 S Highway 181 Kenedy, TX 78119 8305833401 tara.elliott@okmh.org http://www.okmh.org/ Provider Int 3 Complete 2022/12/01 12:00:00 2022/12/07 12:00:00 2022/12/07 06:19:24 US 2.16.840.1.113883.17.9484 jdhs-GA Jeff Davis Hospital Betty Carey masked Betty Carey 912-4038695 masked IT Manager Jeff Davis Hospital it@jeffdavishospital.com https://www.jeffdavishospital.org/ Provider Int 17 Complete 2022/12/06 12:00:00 2022/12/07 12:00:00 2022/12/07 06:08:38 US 2.16.840.1.113883.3.9609 ghc-oid Gifford Healthcare Kevin Conroy masked Kevin E Conroy 44 South Main Street Randolph, VT 05060 802 728-2196 masked Director IT Gifford Healthcare 44 South Main Street Randolph, VT 05060 802 728-7000 kconroy@giffordhealthcare.org https://giffordhealthcare.org/ Provider Int 3 Complete 2022/12/06 12:00:00 2022/12/07 12:00:00 2022/12/07 06:24:51 UV 2.16.840.1.113883.3.9610 nephAssocKC Nephrology Associates M.D., P.C. Michael Pence masked Michael Pence 2790 Clay Edwards Dr. STE 410 North Kansas City, MO 64116 816-474-9353 masked Practice Administrator Nephrology Associates M.D., P.C. 2790 Clay Edwards Dr. STE 410 North Kansas City, MO 64116 816-474-9353 smithaj@nephkc.com Provider Int 3 Complete 2022/12/08 12:00:00 2022/12/08 12:00:00 2022/12/09 01:15:01 UV 2.16.840.1.113883.3.9611 ttp-urologycovclinic TTP - Urology Covenant Clinic Rae Rodriguez masked Rae Rodriguez 3601 4th street MS 8352 Lubbock, TX 79430 8067432493 masked Clinical Informatics Coordinator Texas Tech Physicians Urology Covenant Clinic 4102 24th St, Suite 508, Lubbock, TX 79410 806-743-1810 RaeAnn.Rodriguez@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2022/12/12 12:00:00 2022/12/13 12:00:00 2022/12/13 10:29:08 UV 2.16.840.1.113883.3.9612 pedsplus Pediatrics Plus, PC Pediatrics PC masked Pediatrics Plus, PC 13 Peck St North Haven, CT 2032394627 masked Trimed Technologies 4148 Mendenhall oaks High Point, NC 27265 8668746339 support@trimedtech.com https://www.trimedtech.com Vendor 2.16.840.1.113883.3.9347 Int 3 Complete 2022/12/13 12:00:00 2022/12/13 12:00:00 2022/12/13 10:31:30 UV 2.16.840.1.113883.3.9613 sjhUCHCHL7 Uptown CHC HL7 Cherise Callighan masked Cherise Callighan 1960 N Ogden St, Suite 300 Denver, CO 80218 303-318-2505 masked CEO Uptown CHC cherise.callighan@uptownchc.org Provider Int 3 Complete 2022/12/13 12:00:00 2022/12/13 12:00:00 2022/12/13 10:40:32 UV 2.16.840.1.113883.3.9614 bvrc Buena Vista Recovery Center Anthony Renello masked Anthony Renello 8171 E Indian Bend Rd #101 Scottsdale, AZ 85250 4806068602 masked Chief Clinical & Compliance Officer Buena Vista Recovery Center 8171 E Indian Bend Rd #101 Scottsdale, AZ 85250 4806068602 compliance@buenavistarecovery.com https://www.buenavistarecovery.com Provider Int 3 Complete 2022/12/13 12:00:00 2022/12/13 12:00:00 2022/12/13 11:06:02 0396 UV 2.16.840.1.113883.3.9615 mhhc Morris Heights Health Center Steven Thorne masked Steven Thorne 85 W. Burnside Ave. Bronx, NY 10453 718-483-1223 masked Director, Health Information Technology Morris Heights Health Center 85 W. Burnside Ave. Bronx, NY 10453 718-716-4400 sthorne@mhhc.org Provider Int 3 Complete 2022/12/14 12:00:00 2022/12/14 12:00:00 2022/12/15 02:35:17 UV 2.16.840.1.113883.3.9056.1001 seqster-timsayed Dr. Hatem Sayed, MD Xiang Li masked Dr. Tim Sayed, MD Xiang Li 7310 Miramar RD #430 San Diego, CA 92011 8585006233 masked CTO Dr. Hatem Sayed, MD 4510 Executive Dr., Suite 210, Second Floor, San Diego, CA 92121 8585006233 xiang@seqster.com https://www.timsayedmd.com/about Provider 2.16.840.1.113883.3.9056 Ext 14 Complete 2.16.840.1.113883.3.9056.1001 2022/12/19 12:00:00 2022/12/20 12:00:00 2022/12/21 01:52:50 UV 2.16.840.1.113883.3.9616 ghg Goodness Health group Micah Huntzinger masked Micah Huntzinger 1441 little raven st Denver, CO 80202 7036630272 masked President Goodness Health LLC Micah@goodnesshealthgroup.com https://www.goodnesshealthgroup.com Provider Int 3 Complete 2022/12/20 12:00:00 2022/12/20 12:00:00 2022/12/21 01:59:21 UV 2.16.840.1.113883.3.9528.200 fCHD-ELR Fairfax County Health Department ELR Epifanio Clarin masked Noel Clarin 10777 Main Street Fairfax, VA 22030 703-246-8462 masked Informatics and IT Manager Fairfax County Health Department 10777 Main Street Fairfax, VA 22030 703-246-2411 HDIT@fairfaxcounty.gov https://www.fairfaxcounty.gov/health Govt body 2.16.840.1.113883.3.9528 Ext 14 Complete 2.16.840.1.113883.3.9528.200 2022/12/21 12:00:00 2022/12/21 12:00:00 2022/12/21 09:48:02 UV 2.16.840.1.113883.3.9617 pcah Freudenthal Primary Care at Home Joe Freudenthal masked Joe Freudenthal 2425 North Woodbine Road Suite A Saint Joseph, MO 64506 816-617-2112 masked President/Owner Freudenthal Primary Care at Home 2425 North Woodbine Road Suite A Saint Joseph, MO 64506 816-569-9938 joe.freudenthal@freudenthalhh.com http://www.freudenthalhh.com Provider Int 3 Complete 2022/12/23 12:00:00 2022/12/23 12:00:00 2022/12/24 01:43:36 UV 2.16.840.1.113883.3.9618 digitalhieinc Digital HIE Inc Jhansi Laxmi Adusumilli masked Jhansi Laxmi Adusumilli 46191 Westlake Dr, Suite#202, Potomac Falls, VA 2016 7036357424 masked Digital HIE Inc 46191 Westlake Dr, Suite#202, Potomac Falls, VA 2016 7036357424 jhansi@digitalhie.com https://www.digitalhie.com Vendor Int 3 Complete 2022/12/24 12:00:00 2022/12/27 12:00:00 2022/12/28 03:46:09 UV 2.16.840.1.113883.3.9619 prfi-2023 Puerto Rican Family Institute Barbara Bonhomme masked Barbara Bonhomme 12 Park Street lower level Brooklyn, NY 11206 7185961320 masked Program Director for HHSC & HBCI Puerto Rican Family Institute 145 west 15th street 2nd floor Brooklyn, NY 10011 2129246320 bbonhome@prfi.olrg Provider Int 3 Complete 2022/12/28 12:00:00 2022/12/30 12:00:00 2022/12/30 11:47:31 UV 2.16.840.1.113883.3.9620 aasp Aaspire, LLC Cheryl Nachtrieb masked Cheryl Nachtrieb 7625 W 92nd Ave Westminster, CO 80021 3032546131 masked Contact for Aaspire - IT Manager Aaspire, LLC 7625 W 92nd Ave Westminster, CO 80021 3032546131 cnachtrieb@rockymountainprimarycare.com Provider Int 3 Complete 2022/12/29 12:00:00 2022/12/30 12:00:00 2022/12/30 11:52:25 UV 2.16.840.1.113883.3.9621 metriport Metriport Dima Goncharov masked Metriport +1 415-941-3282 masked Metriport hello@metriport.ai https://metriport.com/ Vendor Int 3 Complete 2022/12/29 12:00:00 2022/12/30 12:00:00 2022/12/30 12:00:23 UV 2.16.840.1.113883.4.8137 chcelr-oid Carteret County General Hospital Kim Maples masked Kim Maples Carteret Health Care 3500 Arendell Street Morehead City, NC 28557 252-499-6715 masked IT Applications Manager Carteret County General Hospital 3500 Arendell Street Morehead City, NC 28557 2524996000 ishelp@carterethealth.org Provider Int 3 Complete 2023/01/02 12:00:00 2023/01/04 12:00:00 2023/01/04 10:34:42 UV 2.16.840.1.113883.3.9622 riverspring-CHHA RiverSpring CHHA David Finkelstein masked David Finkelstein 5901 Palisade Avenue Bronx, NY 10471 718-581-1576 masked CIO RiverSpring CHHA 94 West 225th Street, 2nd Floor Bronx, NY 10463 212-249-0500 mary.queally@riverspring.org https://www.riverspringliving.org Provider Int 3 Complete 2023/01/03 12:00:00 2023/01/04 12:00:00 2023/01/04 10:40:23 UV 2.16.840.1.113883.3.9623 naranw Native American Rehabilitation Association of the Northwest Kellen Bloch masked Kellen Bloch 971-277-1908 masked NARA NW 1776 SW Madison St Portland, OR 97205 +1 503-224-1044 itops@naranorthwest.org https://www.naranorthwest.org Provider Int 3 Complete 2023/01/11 12:00:00 2023/01/11 12:00:00 2023/01/12 04:24:03 UV 2.16.840.1.113883.3.9624 shs-smg Southwest Health System, Inc. Shelley Jordan masked Shelley Jordan 1311 North Mildred Rd Cortez, CO 81321 9705642379 masked IT Coordinator Southwest Health System, Inc. 1311 North Mildred Rd Cortez, CO 81321 970-565-6666 helpdesk@swhealth.org https://www.swhealth.org Provider Int 3 Complete 2023/01/11 12:00:00 2023/01/11 12:00:00 2023/01/12 04:31:20 UV 2.16.840.1.113883.3.9625 ujchasc United Jewish Council of the East Side Home Attendant Service Corp Betsy Jacobson masked Rochel Abramowitz UJCES Home Attendant Service Corp. 500 A Grand Street New York, NY 10002 212-460-5730 masked United Jewish Council of the East Side Home Attendant Service Corp UJCES Home Attendant Service Corp. 500 A Grand Street New York, NY 10002 212-460-5730 amalek@ujchasc.org https://www.ujces.org Provider Int 3 Complete 2023/01/12 12:00:00 2023/01/13 12:00:00 2023/01/13 04:44:06 UV 2.16.840.1.113883.3.9626 tbh The Bellevue Hospital Kim Stults masked Kim Stults 1400 West Main St Bellevue, Ohio 44811 419-483-4040 masked Director The Bellevue Hospital 1400 West Main St Bellevue, Ohio 44811 419-483-4040 kstults@bellevuehospital.com https://www.bellevuehospital.com/ Provider Int 3 Complete 2023/01/13 12:00:00 2023/01/13 12:00:00 2023/01/13 05:20:33 UV 2.16.840.1.113883.3.9627 waynegeneralhospital Wayne General Hospital Robert Slay masked Robert Slay 950 Matthew Dr Waynesboro, MS 39367 6017357129 masked I.T. Director Wayne General Hospital 950 Matthew Dr Waynesboro, MS 39367 6017355151 astreet@waynegeneralhospital.org https://www.waynegeneralhospital.org Provider Int 3 Complete 2023/01/20 12:00:00 2023/01/20 12:00:00 2023/01/21 01:17:20 UV 2.16.840.1.113883.3.9628 mhg-ROOT Gonzales Healthcare Systems Chad Smith masked Chad Smith 830-672-7581 masked Director of Information Technology Gonzales Healthcare Systems 1110 N. Sarah Dewitt Dr. Gonzales, TX 78629 830-672-7581 IT@gonzaleshealthcare.com Provider Int 3 Complete 2023/01/20 12:00:00 2023/01/20 12:00:00 2023/01/21 01:27:37 UV 2.16.840.1.113883.17.9485 mamucch Cedar Hill Urgent Care OID Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Manager - Interfaces Cedar Hill Urgent Care 2228 Martin Luther King Jr. Avenue SE Washington, DC 20020 (202)715-4444 alesia.childs@uhsinc.com https://urgentcarecedarhill.com Provider Int 17 Complete 2023/01/25 12:00:00 2023/01/26 12:00:00 2023/01/26 10:22:21 UV 2.16.840.1.113883.3.9629 njh National Jewish Health Laszlo Pook masked Laszlo Pook 1400 Jackson St. Denver, CO 80206 303-398-1950 masked CIO Laszlo Pook 1400 Jackson St. Denver, CO 80206 3033981950 istcontracts@njhealth.org https://www.nationaljewish.org/home Provider Int 3 Complete 2023/01/26 12:00:00 2023/01/26 12:00:00 2023/01/26 10:27:05 UV 2.16.840.1.113883.3.9630 lfp Lakewood Family Practice Hemamalini Achuthan masked Mila Muniz 8015 W Alameda Ave suite 150, Lakewood, CO 80226 303-202-0927 masked C-MA/ Integration Manager Lakewood Family Practice 8015 W Alameda Ave suite 150, Lakewood, CO 80226 303-202-0924 milacsharp@gmail.com https://lakewoodfamilypractice.com/ Provider Int 3 Complete 2023/01/26 12:00:00 2023/01/26 12:00:00 2023/01/26 10:42:45 UV 2.16.840.1.113883.3.9631 m3-Meridian Meridian Medical Management Angelo Perrotta masked Angelo Perrotta 1095 Day Hill Road, Windsor, CT 06095 860-925-6314 masked V.P. Engineering Meridian Medical Management 1095 Day Hill Road, Windsor, CT 06095 855-499-9333 angelo.perrotta@m3meridian.com https://www.m3meridian.com/ Vendor Int 3 Complete 2023/01/27 12:00:00 2023/01/27 12:00:00 2023/01/28 12:25:15 UV 2.16.840.1.113883.3.9632 hhd Haxtun Hospital District Haxtun Health masked Jacquelynn Delaney 235 W Fletcher st, Haxtun, CO 80731 970-774-6123 ext 1507 masked Director of Quality/Infection Control Haxtun Hospital District 235 W Fletcher st, Haxtun, CO 80731 9707746123 support@haxtunhealth.org https://haxtunhealth.org/ Provider Int 3 Complete 2023/01/27 12:00:00 2023/01/27 12:00:00 2023/01/28 12:42:20 UV 2.16.840.1.113883.9.283 mcho-MN Madelia Health Brandon Provo masked Brandon Provo 121 Drew Ave SE, Madelia, MN 56062 5076425200 masked Clinical Informatics Specialist Madelia Health 121 Drew Ave SE, Madelia, MN 56062 5076425200 bprovo@madeliahealth.org https://www.madeliahealth.org/ Provider Int 3 Complete 2023/02/01 12:00:00 2023/02/04 12:00:00 2023/02/05 12:35:29 UV 2.16.840.1.113883.3.9633 vascular-surgery Society for Vascular Surgery Carrie Mcgraw masked Carrie Mcgraw 9400 West Higgins Road Suite 315 Rosemont, IL 60018 312-334-2398 masked Quality Improvement and Practice Manager Society for Vascular Surgery 9400 West Higgins Road Suite 315 Rosemont, IL 60018 312-334-2300 vascular@vascularsociety.org https://vacular.org Prof Soc Int 3 Complete 2023/02/03 12:00:00 2023/02/04 12:00:00 2023/02/05 01:05:52 UV 2.16.840.1.113883.3.9634 opt-med-grp Optimum Medical Group Keegan Ziemba masked Keegan Ziemba 4445 Corporate Ln Suite 264 Virginia Beach, VA 23462 5615562656 masked Medical Director, Optimum Medical Group, P.C. Optimum Medical Group, P.C. hello@indexclinic.com Provider Int 3 Complete 2023/02/07 12:00:00 2023/02/07 12:00:00 2023/02/08 02:16:06 UV 2.16.840.1.113883.3.9635 schAone Sunrise Community Health Brad Keil masked Brad Keil 2930 11th Avenue Evans, CO 80620 970-350-4603 masked IT Director Sunrise Community Health 2930 11th Ave, Evans, CO 80620 970-350-4606 bkeil.alliance@nocoha.org https://www.sunrisecommunityhealth.org/ Provider Int 3 Complete 2023/02/07 12:00:00 2023/02/07 12:00:00 2023/02/08 02:27:17 UV 2.16.840.1.113883.3.9636 acph Arapahoe County Public Health Makena Slater masked Makena Slater 303-809-5332 masked Clinical Nurse Informaticist Arapahoe County Public Health 6162 South Willow Drive, Suite 100 Greenwood Village, CO 80111 303-809-5332 nursingoperations@arapahoegov.com https://www.arapahoegov.com/2250/Public-Health Govt body Int 3 Complete 2023/02/09 12:00:00 2023/02/09 12:00:00 2023/02/10 03:21:43 UV 2.16.840.1.113883.3.9637 cmha Coryell Health Mecca Starkey masked Mecca Starkey 1507 West Main Street Gatesville, Texas 76528 254-248-6273 masked Health Information Administrator Coryell County Memorial Hospital Authority 1507 West Main Street Gatesville, Texas 76528 254-865-8251 hl7@coryellhealth.org https://www.coryellhealth.org Provider Int 3 Complete 2023/02/13 12:00:00 2023/02/14 12:00:00 2023/02/14 05:27:07 UV 2.16.840.1.113883.17.9486 xAASM-2510 American Academy of Sleep Medicine Diedra Gray masked sthomas@aasm.org Diedra Gray 2510 N. Frontage Rd. Darien, IL 60561 6307379700 masked Director of Health Policy American Academy of Sleep Medicine 2510 N. Frontage Rd. Darien, IL 60561 6307379700 registry@aasm.org https://aasm.org Prof Soc Int 17 Complete 2023/02/14 12:00:00 2023/02/14 12:00:00 2023/02/15 12:45:03 UV 2.16.840.1.113883.3.9638 kcks Kearny County Hospital Tony Salcido masked Tony Salcido 500 E Thorpe St Lakin, Kansas 67860 620-355-7111 masked IT Director Kearny County Hospital 500 E Thorpe St Lakin, Kansas 67860 620-355-7111 it@kearnycountyhospital.com https://www.kearnycountyhospital.com Provider Int 3 Complete 2023/02/15 12:00:00 2023/02/16 12:00:00 2023/02/16 03:27:08 UV 2.16.840.1.113883.3.9639 ttp-orthohwclinic TTP - Ortho HW Clinic Rae Rodriguez masked Rae Rodriguez 3601 4th street MS 8352 Lubbock, TX 79430 8067432493 masked Clinical Informatics Coordinator Texas Tech Physicians Ortho HW Clinic 11011 Slide Rd Lubbock, Texas 79424 8067434263 RaeAnn.Rodriguez@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2023/02/16 12:00:00 2023/02/16 12:00:00 2023/02/16 08:31:06 UV 2.16.840.1.113883.3.9640 ttp-surgeryhwclinic TTP - Surgery HW Clinic Rae Rodriguez masked Rae Rodriguez 3601 4th street MS 8352 Lubbock, TX 79430 8067432493 masked Clinical Informatics Coordinator Texas Tech Physicians Surgery HW Clinic 11011 Slide Rd Lubbock, Texas 79424 8067432373 RaeAnn.Rodriguez@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2023/02/16 12:00:00 2023/02/16 12:00:00 2023/02/16 08:39:22 UV 2.16.840.1.113883.3.9641 ttp-familymedhwclinic TTP - Family Medicine HW Clinic Rae Rodriguez masked Rae Rodriguez 3601 4th street MS 8352 Lubbock, TX 79430 8067432493 masked Clinical Informatics Coordinator Texas Tech Physicians Family Medicine HW Clinic 11011 Slide Rd Lubbock, Texas 79424 8067432757 RaeAnn.Rodriguez@ttuhsc.edu http://www.texastechphysicians.com/lubbock Academic Int 3 Complete 2023/02/16 12:00:00 2023/02/16 12:00:00 2023/02/16 08:54:31 UV 2.16.840.1.113883.3.9642 keefemh Keefe Memorial Hospital Eric LaRochelle masked Eric LaRochelle 602 N 6th St W, Cheyenne Wells, CO 80810 303-756-9401 masked CIO Keefe Memorial Hospital 602 N 6th St W, Cheyenne Wells, CO 80810 (719) 767-5661 elarochelle@keefemh.org https://keefemh.org/ Provider Int 3 Complete 2023/02/18 12:00:00 2023/02/22 12:00:00 2023/02/22 01:45:10 UV 2.16.840.1.113883.3.9643 bmh-inc Breckinridge Health Inc Breckinridge Memorial Hospital masked Angela Portman Brett Elder 1011 Old Hwy 60 Hardinsburg, KY 40143 270-756-6635 masked IT Director Breckinridge Health Inc. 1011 Old Hwy 60 Hardinsburg, KY 40143 270-756-7000 OID@breckhealth.org http://breckinridgehealth.org/ Provider Int 3 Complete 2023/02/21 12:00:00 2023/02/22 12:00:00 2023/02/22 01:52:11 UV 2.16.840.1.113883.3.9644 wwcobgyn Westside Women's Care Myra Gurich masked Myra Gurich 7950 Kipling St Ste 201 Arvada, CO 80005 3034246466 masked Practice Manager Westside Women's Care 7950 Kipling St Ste 201 Arvada, CO 80005 3034375838 myra@wwcmd.com Provider Int 3 Complete 2023/02/23 12:00:00 2023/02/23 12:00:00 2023/02/23 09:09:56 UV 2.16.840.1.113883.17.9487 lvhcpall LVHC Palliative Care - Longview HomeCare - Longview, WA Josh Perkins masked Josh Perkins 1115 SE 164th Ave, Vancouver, WA 98683 800-452-1425 masked System Applications Supervisor - Ambulatory Longview HomeCare Peacehealth 821 Washington Way, Longview, WA 98632-4027 800-452-1425 jperkins@peacehealth.org https://www.peacehealth.org/shared-services-center?utm_source=gbp&utm_medium=organic&utm_content=SYS01&utm_campaign=gmb Provider Int 17 Complete 2023/02/24 12:00:00 2023/02/27 12:00:00 2023/02/27 04:33:48 UV 2.16.840.1.113883.3.9645 savorhealth Savor Health Organizational OID Marissa Buchan masked Susan Bratton Susan Bratton 590 Madison Avenue, Fl 21 New York, NY 10022 212-300-7959 masked CEO Savor Health LLC 590 Madison Avenue, Fl 21 New York, NY 10022 888-721-1041 info@savorhealth.com https://savorhealth.com/ Exchange Int 3 Complete 2023/02/27 12:00:00 2023/02/27 12:00:00 2023/02/27 04:53:32 UV 2.16.840.1.113883.3.9646 chartrequest chartrequest Chris Carter masked Chris Carter 1799 Briarcliff Rd NE FRNT 133237 Atlanta, GA 30333 888-895-8366 masked Head of Product ChartRequest 1799 Briarcliff Rd NE FRNT 133237 Atlanta, GA 30333 8888958366 accounts@chartrequest.com https://www.chartrequest.com Exchange Int 3 Complete 2023/02/27 12:00:00 2023/02/27 12:00:00 2023/02/27 05:02:16 US 2.16.840.1.113883.3.9647 mdsynergy MD Synergy Solutions, LLC Pushpa Thillai masked Pushpa Thillai 4500 Park Granada, Suite #202 Calabasas, CA 91302 8189143456 masked Product Manager MD Synergy Solutions, LLC 4500 Park Granada, Suite #202 Calabasas, CA 91302 8189143456 support@mdsynergy.com https://www.mdsynergy.com Vendor Int 3 Complete 2023/02/27 12:00:00 2023/02/27 12:00:00 2023/02/28 03:42:53 UV 2.16.840.1.113883.3.9648 mbcichc Root OID for MS Band of Choctaw Indians Choctaw Health Center Beverly Terry masked Beverly Terry 210 Hospital Circle Choctaw, MS 39350 6013894293 masked Clinical Implementation Project Specialist MS Band of Choctaw Indians Choctaw Health Center 210 Hospital Circle Choctaw, MS 39350 6013894250 mary.harrison@choctaw.org https://choctawhealthcenter.org Provider Int 3 Complete 2023/03/03 12:00:00 2023/03/08 12:00:00 2023/03/08 08:37:31 UV 2.16.840.1.113883.17.9488 macaph MacArthur Building - PeaceHealth - Vancouver, WA Josh Perkins masked Josh Perkins 1115 SE 164th AVE, Vancouver, WA 98683 1-800-452-1425 masked System Applications Supervisor - Ambulatory MacArthur Building - PeaceHealth 5400 MacArthur BlVD, Vancouver, WA 98661-7049 1-800-452-1425 jperkins@peacehealth.org https://www.peacehealth.org/shared-services-center Provider Int 17 Complete 2023/03/15 12:00:00 2023/03/16 12:00:00 2023/03/16 04:52:02 UV 2.16.840.1.113883.17.9489 rhhsph Ray Hickey Hospice House - PeaceHealth - Vancouver, WA Josh Perkins masked Josh Perkins 1115 SE 164th Ave, Vancouver, WA 98683 800-452-1425 masked Systems Application Supervisor - Ambulatory Ray Hickey Hospice House - PeaceHealth 2112 E Mill Plain BLVD, Vancouver, WA 98661 1-800452-1425 jperkins@peacehealth.org https://www.peacehealth.org/shared-services-center Provider Int 17 Complete 2023/03/15 12:00:00 2023/03/16 12:00:00 2023/03/16 04:54:27 UV 2.16.840.1.113883.3.9649 osm Orthopedic & Sports Medicine Center of OR LLC Kathy Brown masked Kathy Brown 1515 NW 18th ave #300 Portland, OR 97209 5032248399 masked Orthopedic & Sports Medicine Center of OR LLC 1515 NW 18th ave #300 Portland, OR 97209 5032248399 admin@orthosportsmed.com http://www.orthosportsmed.com Provider Int 3 Complete 2023/03/16 12:00:00 2023/03/16 12:00:00 2023/03/16 05:06:37 UV 2.16.840.1.113883.17.9490 whhsiphspc Whatcom IP Hospice - PeaceHealth - Bellingham, WA Josh Perkins masked Josh Perkins 1115 SE 164th Ave, Vancouver, WA 98683 800-452-1425 masked Systems Application Supervisor - Ambulatory Whatcom Inpatient Hospice 2800 Douglass Ave, Bellingham, WA 98225-6930 800-452-1425 jperkins@peacehealth.org https://www.peacehealth.org/shared-services-center Provider Int 17 Complete 2023/03/16 12:00:00 2023/03/18 12:00:00 2023/03/19 12:51:15 UV 2.16.840.1.113883.3.9650 bhfairmount Fairmount Behavioral Health System OID Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director - Interfaces Fairmount Behavioral Health System 561 Fairthorne Ave. Philadelphia, PA 19128 215-487-4000 alesia.childs@uhsinc.com https://fairmountbhs.com/ Provider Int 3 Complete 2023/03/17 12:00:00 2023/03/18 12:00:00 2023/03/19 12:56:29 UV 2.16.840.1.113883.3.9651 bhfriends Friends Hospital OID Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces Friends Hospital 4641 Roosevelt Blvd Philadelphia, PA 19124 800-889-0548 alesia.childs@uhsinc.com https://friendshospital.com/ Provider Int 3 Complete 2023/03/17 12:00:00 2023/03/18 12:00:00 2023/03/19 12:59:05 UV 2.16.840.1.113883.3.9652 bhbrkgln Brooke Glen Behavioral Health Hospital OID Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces Brooke Glen Behavioral Health Hospital 7170 Lafayette Ave Fort Washington, PA 19034 800-256-5300 alesia.childs@uhsinc.com https://brookeglenhospital.com/ Provider Int 3 Complete 2023/03/17 12:00:00 2023/03/18 12:00:00 2023/03/19 01:04:10 UV 2.16.840.1.113883.3.9653 bhhampton Hampton Behavioral Health Center OID Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces Hampton Behavioral Health Center 650 Rancocas Rd Westampton, NJ 08060 800-603-6767 alesia.childs@uhsinc.com https://hamptonhospital.com/ Provider Int 3 Complete 2023/03/17 12:00:00 2023/03/18 12:00:00 2023/03/19 01:10:26 UV 2.16.840.1.113883.3.9654 bhhorsham Horsham Clinic OID Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces Horsham Clinic 722 E Butler Pike Ambler, PA 19002 215-643-7800 alesia.childs@uhsinc.com https://horshamclinic.com/ Provider Int 3 Complete 2023/03/17 12:00:00 2023/03/18 12:00:00 2023/03/19 01:14:54 UV 2.16.840.1.113883.3.9655 dhlprovidencehlthctr Doctor's Hospital Providence Health Center OID Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces Doctor's Hospital Providence Health Center 230 Calle del Norte Laredo, TX 78041 956-693-5000 alesia.childs@uhsinc.com https://www.doctorshosplaredo.com/ Provider Int 3 Complete 2023/03/17 12:00:00 2023/03/18 12:00:00 2023/03/19 01:35:35 UV 2.16.840.1.113883.3.9656 mpagensurg Manatee Physician Alliance General Surgery OID Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces Manatee Physician Alliance General Surgery 232 Manatee Ave E Bradenton, FL 34208 941-254-4957 alesia.childs@uhsinc.com https://manateephysicianalliance.com/services Provider Int 3 Complete 2023/03/20 12:00:00 2023/03/20 12:00:00 2023/03/20 06:59:56 UV 2.16.840.1.113883.3.9657 mpagensurglwrmg Manatee Physician Alliance Lakewood MG - General Surgery OID Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces Manatee Physician Alliance Lakewood MG - General Surgery 8340 Lakewood Ranch Blvd Ste 290 Lakewood Ranch, FL 34202 941-254-6767 alesia.childs@uhsinc.com https://manateephysicianalliance.com Provider Int 3 Complete 2023/03/20 12:00:00 2023/03/20 12:00:00 2023/03/20 07:06:53 UV 2.16.840.1.113883.3.9658 mpalwrobgyn Manatee Physician Alliance Lakewood OB/GYN OID Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces Manatee Physician Alliance Lakewood OB/GYN 6600 University Pkwy Ste 201 Lakewood Ranch, FL 34240 941-782-9456 alesia.childs@uhsinc.com https://manateephysicianalliance.com/ Provider Int 3 Complete 2023/03/20 12:00:00 2023/03/20 12:00:00 2023/03/20 07:10:05 UV 2.16.840.1.113883.3.9659 mpaneuro Manatee Physician Alliance Neurology OID Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces Manatee Physician Alliance Neurology 200 3rd Ave W Ste 110 Bradenton, FL 34205 941-746-3115 alesia.childs@uhsinc.com https://manateephysicianalliance.com/ Provider Int 3 Complete 2023/03/20 12:00:00 2023/03/20 12:00:00 2023/03/20 07:13:50 UV 2.16.840.1.113883.3.9660 mpaortho Manatee Physician Alliance Orthopedics OID Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces Manatee Physician Alliance Orthopedics 316 Manatee Ave W Bradenton, FL 34205 941-748-2277 alesia.childs@uhsinc.com https://manateephysicianalliance.com/ Provider Int 3 Complete 2023/03/20 12:00:00 2023/03/20 12:00:00 2023/03/20 07:31:31 UV 2.16.840.1.113883.3.9661 mpasurg Manatee Physician Alliance Surgical OID Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces Manatee Physician Alliance Surgical 232 Manatee Ave E Bradenton, FL 34208 941-254-4957 alesia.childs@uhsinc.com https://manateephysicianalliance.com Provider Int 3 Complete 2023/03/20 12:00:00 2023/03/20 12:00:00 2023/03/20 07:35:34 UV 2.16.840.1.113883.3.9662 mpawomenonc Manatee Physician Alliance Women's Oncology OID Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-3824375 masked Assistant Director - Interfaces Manatee Physician Alliance Women's Oncology 3425 University Pkwy Ste 102 Sarasota, FL 34243 941-746-7507 alesia.childs@uhsinc.com https://manateephysicianalliance.com Provider Int 3 Complete 2023/03/20 12:00:00 2023/03/20 12:00:00 2023/03/20 07:41:43 UV 2.16.840.1.113883.3.9663 wpaintmed Wellington Center of Internal Medicine OID Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces Wellington Center of Internal Medicine 10111 Forest Hill Blvd. Suite 231 Wellington, FL 33414 561-798-8500 alesia.childs@uhsinc.com https://www.wellingtonregional.com/ Provider Int 3 Complete 2023/03/20 12:00:00 2023/03/20 12:00:00 2023/03/20 07:49:58 UV 2.16.840.1.113883.3.9664 wmc-colorado Westminster Medical Clinic Justin Barba masked Justin Barba 8601 Turnpike Drive, Suite 200 Westminster, CO 80031 3034287449 masked Director of Operations and Technology Westminster Medical Clinic 8601 Turnpike Drive, Suite 200 Westminster, CO 80031 3034287449 jbarba@westminstermedicalclinic.com https://www.westminstermedicalclinic.com Provider Int 3 Complete 2023/03/20 12:00:00 2023/03/20 12:00:00 2023/03/20 08:16:48 UV 2.16.840.1.113883.3.9665 pairteam Pair Team Andres Calabrese masked Cassie Choi 1459 18th St #206, San Francisco, CA 94107 415-580-0806 masked Chief Operating Officer Pair Team, Inc. 1459 18th St #206, San Francisco, CA 94107 415-580-0806 admin@pairteam.com https://pairteam.com Provider Int 3 Complete 2023/03/20 12:00:00 2023/03/20 12:00:00 2023/03/20 09:25:52 UV 2.16.840.1.113883.3.9666 longhealth Long Health Rohit Patil masked Rohit Patil 3094 Allenwood Dr, San Jose, CA 95148 4086738215 masked CEO Long Health 3094 Allenwood Dr, San Jose CA 95148 4086738215 rohitrpatil@longhealth.io https://longhealth.io Vendor Int 3 Complete 2023/03/21 12:00:00 2023/03/22 12:00:00 2023/03/22 10:11:57 UV 2.16.840.1.113883.3.9667 dhrHealthAdvancedEndoscopyInstitute DHR Health Advanced Endoscopy Institute Benjamin Gallegos masked Gilbert Ybarra 1100 E. Dove Ave Ste 200 McAllen, TX 78504 956-362-8043 masked Practice Manager DHR Health Advanced Endoscopy Institute 1100 E. Dove Ave Ste 200 McAllen, TX 78504 956-362-8840 gi.ybarra@dhr-rgv.com Provider Int 3 Complete 2023/03/22 12:00:00 2023/03/22 12:00:00 2023/03/22 10:16:18 UV 2.16.840.1.113883.3.9668 sp Seaford Pediatrics David Meckes masked David Meckes David Meckes 2245 Jackson Ave Seaford, New York 11783 5168265900 masked Seaford Pediatrics 2245 Jackson Ave Seaford, New York 11783 5168265900 drdlmdo@iCloud.com Provider Int 3 Complete 2023/03/23 12:00:00 2023/03/24 12:00:00 2023/03/25 03:09:35 UV 2.16.840.1.113883.3.9669 hoh-mrnpool Dr. Horacio E. Oduber Hospital John Tromp masked John Tromp Dr. Horacio E. Oduber Boulevard #1 Oranjestad, Aruba +2975274167 masked Integration Architect Dr. Horacio Oduber Hospital Dr. Horacio E. Oduber Boulevard #1 Oranjestad, Aruba +2975274000 info@hoharuba.com https://www.arubahospital.com/ Provider Int 3 Complete 2023/03/23 12:00:00 2023/03/24 12:00:00 2023/03/25 03:19:54 UV 2.16.840.1.113883.17.9491 manhattansurgical Manhattan Surgical Hospital Sandra Horton-Smith masked Sandra J Horton-Smith 1829 College Ave. Manhattan, KS 66502 7857762574 masked Manhattan Surgical Hospital 1829 College Ave. Manhattan, KS 66502 7857765100 shortonsmith@manhattansurgical.com https://www.manhattansurgical.com/ Provider Int 17 Complete 2023/03/27 12:00:00 2023/03/27 12:00:00 2023/03/27 09:33:13 UV 2.16.840.1.113883.3.9670 lprh La Paz Regional Hospital Calvin Gorschboth masked Calvin Gorschboth 1200 W MOHAVE RD, Parker, AZ 85344 9286697441 masked I.T. Director La Paz Regional Hospital 1200 W MOHAVE RD, Parker, AZ 85344 9286697441 techsupport@lapazhospital.org https://www.lapazhospital.org Provider Int 3 Complete 2023/03/27 12:00:00 2023/03/27 12:00:00 2023/03/27 09:39:55 UV 2.16.840.1.113883.3.9671 clhealth CenterLight Health System Justin Walter masked Justin Walter 136-65 37th Ave. Flushing, NY 11354 833-252-2737 masked VP of Business Intelligence & Technology CenterLight Health System 136-65 37th Ave. Flushing, NY 11354 833-252-2737 isbusinessops@centerlight.org https://www.centerlighthealthcare.org/ Payor Int 3 Complete 2023/03/28 12:00:00 2023/03/28 12:00:00 2023/03/28 06:47:12 UV 2.16.840.1.113883.3.9672 edie-windsor Edie Windsor Healthcare Center Alison Calderon masked Alison Calderon 240 Meeting House Lane Southampton, NY 11968 6317268503 masked Edie Windsor Healthcare Center 182 W. Montauk Hwy. Bldg B Suite D Hampton Bays, NY 11946 6317268503 alison.calderon@stonybrookmedicine.edu Provider Int 3 Complete 2023/03/31 12:00:00 2023/04/06 12:00:00 2023/04/06 01:40:20 UV 2.16.840.1.113883.9.284 podc01 Connie Interface Cristina Rus masked Charlton O'Neal 830-205-3588 masked Charlton O'Neal 424 East 4th Street Suite #300 Royal Oak, MI 48067 830-205-3588 coneal@triarqhealth.com Provider Int 3 Complete 2023/04/03 12:00:00 2023/04/06 12:00:00 2023/04/06 01:51:03 UV 2.16.840.1.113883.3.9673 dhrhealthgastromission DHR Health Gastroenterology (Mission) OID Root Benjamin Gallegos masked Lee Munoz 2121 E. Griffin Parkway, Suite 16 Mission, TX 78572 9563622677 masked Practice Manager DHR Health Gastroenterology (Mission) 2121 E. Griffin Parkway, Suite 16 Mission, TX 78572 956-362-3636 l.munoz@dhr-rgv.com Provider Int 3 Complete 2023/04/03 12:00:00 2023/04/06 12:00:00 2023/04/06 02:23:56 UV 2.16.840.1.113883.3.9674 heartinstituteatrenaissancevcedinburg Heart Institute at Renaissance-VC Edinburg OID Root Benjamin Gallegos masked Francisco J. Muniz 520 S. Closner, Edinburg, TX 78539 956-362-8402 masked Practice Manager Heart Institute at Renaissance-VC Edinburg 520 S. Closner, Edinburg, TX 78539 956-362-8560 f.muniz@dhr-rgv.com Provider Int 3 Complete 2023/04/03 12:00:00 2023/04/06 12:00:00 2023/04/06 02:31:10 UV 2.16.840.1.113883.3.9675 heartinstituteatrenaissancevcmission Heart Institute at Renaissance-VC Mission OID Root Benjamin Gallegos masked Francisco J. Muniz 909 Business Park Drive, Suite 5 Mission, TX 78572 956-362-8402 masked Practice Manager Heart Institute at Renaissance-VC Mission 909 Business Park Drive, Suite 5 Mission, TX 78572 956-362-8265 f.muniz@dhr-rgv.com Provider Int 3 Complete 2023/04/03 12:00:00 2023/04/06 12:00:00 2023/04/06 02:34:16 UV 2.16.840.1.113883.3.9676 heartinstituteatrenaissancectsurgerymedpoint Heart Institute at Renaissance-CT Surgery Medpoint OID Root Benjamin Gallegos masked Lidia Calvo 1200 E. Savannah Avenue, Suite 20, McAllen, TX 78503 956-362-8570 masked Office Manager Heart Institute at Renaissance-CT Surgery Medpoint 1200 E. Savannah Avenue, Suite 20, McAllen, TX 78503 956-362-8550 l.calvo@dhr-rgv.com Provider Int 3 Complete 2023/04/03 12:00:00 2023/04/06 12:00:00 2023/04/06 02:47:06 UV 2.16.840.1.113883.3.9677 multispecialtyclinicriograndecityII Multispecialty Clinic Rio Grande City II Root OID Benjamin Gallegos masked Brenda Garza De Gonzalez 2795 Pharmacy Road, Rio Grande City, TX 78582 956-362-3936 masked Office Manager Multispecialty Clinic Rio Grande City II 2795 Pharmacy Road, Rio Grande City, TX 78582 956-362-3930 b.garzadegonzalez@dhr-rgv.com Provider Int 3 Complete 2023/04/03 12:00:00 2023/04/06 12:00:00 2023/04/06 02:51:30 UV 2.16.840.1.113883.3.9678 multispecialtyclinicriograndecity Multispecialty Clinic Rio Grande City OID Root Benjamin Gallegos masked Brenda I. Garza 201 N. FM 3167, Suite 106, Rio Grande City, TX 78582 956-362-3936 masked Office Manager Multispecialty Clinic Rio Grande City 201 N. FM 3167, Suite 106, Rio Grande City, TX 78582 956-362-3920 b.garzadegonzalez@dhr-rgv.com Provider Int 3 Complete 2023/04/04 12:00:00 2023/04/06 12:00:00 2023/04/06 02:54:04 UV 2.16.840.1.113883.3.9679 neurosurgeryinstituteatrenaissance Neurosurgery Institute at Renaissance OID Root Benjamin Gallegos masked Yesika Y. Yerena 5519 Doctor's Dr, Edinburg, TX 78539 956-362-8522 masked Office Manager Neurosurgery Institute at Renaissance 5519 Doctor's Dr, Edinburg, TX 78539 956-362-8500 yy.yerena@dhr-rgv.com Provider Int 3 Complete 2023/04/04 12:00:00 2023/04/06 12:00:00 2023/04/06 03:01:27 UV 2.16.840.1.113883.3.9680 oncologyinstituteatrenaissance Oncology Institute at Renaissance OID Root Benjamin Gallegos masked Lydia F. Molina 2717 Michael Angelo Drive, Ste. 200 Edinburg, TX 78539 956-362-2262 masked Practice Manager Oncology Institute at Renaissance 2717 Michael Angelo Drive, Ste. 200 Edinburg, TX 78539 956-362-2250 ly.molina@dhr-rgv.com Provider Int 3 Complete 2023/04/04 12:00:00 2023/04/06 12:00:00 2023/04/06 03:19:09 UV 2.16.840.1.113883.3.9681 dhrhealthphysicalmedicineandrehabilitationmcallen DHR Health-Physical Medicine and Rehabilitation-McAllen OID Root Benjamin Gallegos masked Maria E. Martinez 1200 E. Savannah Ave. Suite 10 McAllen, Texas 78503 956-362-8733 masked Practice Manager DHR Health-Physical Medicine and Rehabilitation-McAllen 1200 E. Savannah Ave. Suite 10 McAllen, Texas 78503 956-362-6680 mh.martinez@dhr-rgv.com Provider Int 3 Complete 2023/04/04 12:00:00 2023/04/06 12:00:00 2023/04/06 03:45:53 UV 2.16.840.1.113883.3.9682 dhrhealthsurgeryinstitutedove DHR Health Surgery Institute-Dove OID Root Benjamin Gallegos masked Priscilla De La Cruz 1100 E Dove Avenue, Suite 300 McAllen, TX 78504 956-362-8158 masked Practice Manager DHR Health Surgery Institute-Dove 1100 E Dove Avenue, Suite 300 McAllen, TX 78504 956-362-8170 p.delacruz@dhr-rgv.com Provider Int 3 Complete 2023/04/04 12:00:00 2023/04/06 12:00:00 2023/04/06 03:48:06 UV 2.16.840.1.113883.3.9683 royal1 Royal Care Certified Christie Leung masked Christie Leung 3050 Whitestone Expressway Suite 304 Flushing, NY 11354 7184751000 masked System Admin Royal Care Certified 3050 Whitestone Expressway, Suite 304, Flushing, NY 11354 7184751000 intake@royalcertified.nyc Provider Int 3 Complete 2023/04/04 12:00:00 2023/04/06 12:00:00 2023/04/06 03:55:25 UV 2.16.840.1.113883.3.9684 dhrhealthveininstitutedove DHR Health Vein Institute-Dove OID Root Benjamin Gallegos masked Minerva G. Barreiro 1100 E Dove Avenue, Suite 301, McAllen, TX 78504 956-362-8698 masked Office Manager DHR Health Vein Institute-Dove 1100 E Dove Avenue, Suite 301, McAllen, TX 78504 956-362-8690 m.barreiro@dhr-rgv.com Provider Int 3 Complete 2023/04/04 12:00:00 2023/04/06 12:00:00 2023/04/06 04:11:54 UV 2.16.840.1.113883.3.9685 dhrhealthwomensinstitutegynonc DHR Health Women's Institute-Gyn Onc OID Root Benjamin Gallegos masked Kate Rodriguez 2821 Michael Angelo Dr., Ste. 303 Edinburg, TX 78539 956-362-2347 masked Clinic Manager DHR Health Women's Institute-Gyn Onc 2821 Michael Angelo Dr., Ste. 303 Edinburg, TX 78539 956-362-2465 kat.rodriguez@dhr-rgv.com Provider Int 3 Complete 2023/04/04 12:00:00 2023/04/06 12:00:00 2023/04/06 04:14:04 UV 2.16.840.1.113883.3.9686 dhrhealthclinicnolana DHR Health Clinic-Nolana OID Root Benjamin Gallegos masked Revi Pillai 801 E Nolana Ave Ste 2 McAllen, TX 78504 956-362-8321 masked Senior Director DHR Health Clinic-Nolana 801 E Nolana Ave Ste 2 McAllen, TX 78504 956-687-1177 r.pillai@dhr-rgv.com Provider Int 3 Complete 2023/04/04 12:00:00 2023/04/06 12:00:00 2023/04/06 04:20:29 UV 2.16.840.1.113883.3.9687 ams ADULT MEDICINE SPECIALISTS Vera Ortegon masked Vera Ortegon 314 West 16th Street Pueblo, CO 81003 7195463511 masked Administrator ADULT MEDICINE SPECIALISTS 314 West 16th Street Pueblo, CO 81003 7195463511 adultmed@comcast.net http://AMSPueblo.com Provider Int 3 Complete 2023/04/04 12:00:00 2023/04/06 12:00:00 2023/04/06 04:29:23 UV 2.16.840.1.113883.3.9688 publicconsultinggroup-OID Public Consulting Group William Ayers masked William Ayers 22 Rugby Knoll Dr 8285060082 masked Public Consulting Group 148 State Street 10th Floor Boston, Massachusetts 02109-2589 (800) 210-6113 bayers@pcgus.com Vendor Int 3 Complete 2023/04/06 12:00:00 2023/04/06 12:00:00 2023/04/06 04:32:35 UV 2.16.840.1.113883.3.9689 lidc Lexington Infectious Disease Consultants Drew McIntire masked Drew McIntire 1720 Nicholasville Rd., Suite 602 Lexington, KY 40503 8592774005 masked IT Administrator Lexington Infectious Disease Consultants 1720 Nicholasville Rd., Suite 602 Lexington, KY 40503 8592774005 support@lexidc.com Provider Int 3 Complete 2023/04/06 12:00:00 2023/04/06 12:00:00 2023/04/06 04:48:41 UV 2.16.840.1.113883.17.9492 rmclphmg Rimland Clinic - PeaceHealth Josh Perkins masked Josh Perkins 1115 SE 164th Ave, Vancouver, WA 98683 1-800-452-1425 masked System Application Supervisor RMCL Behavioral Health - PeaceHealth 2211 Rimland Dr., Bellingham, WA 98226-5664 1-800-452-1425 jperkins@peacehealth.org https://www.peacehealth.org/shared-services-center Provider Int 17 Complete 2023/04/07 12:00:00 2023/04/07 12:00:00 2023/04/08 01:08:01 UV 2.16.840.1.113883.17.9493 swhhph SWHH Home Health - Vancouver, WA Josh Perkins masked Josh Perkins 1115 SE 164th Ave, Vancouver, WA 98683 800-452-1425 masked System Applications Supervisor Southwest Home Health - PeaceHealth 5400 MacArthur BLVD, Vancouver, WA 98661-7049 800-452-1425 jperkins@peacehealth.org https://www.peacehealth.org/shared-services-center Provider Int 17 Complete 2023/04/07 12:00:00 2023/04/07 12:00:00 2023/04/08 01:11:12 UV 2.16.840.1.113883.17.9494 swhspcph Southwest Hospice - Vancouver, WA - PeaceHealth Josh Perkins masked Josh Perkins 1115 SE 164th Ave, Vancouver, WA 98683 800-452-1425 masked System Application Supervisor Southwest Hospice - PeaceHealth 5400 MacArthur BLVD, Vancouver, WA 98661-7049 800-452-1425 jperkins@peacehealth.org https://www.peacehealth.org/shared-services-center Provider Int 17 Complete 2023/04/07 12:00:00 2023/04/07 12:00:00 2023/04/08 01:17:20 UV 2.16.840.1.113883.17.9495 squalpkwobgyn Squalicum Parkway OB/GYN - Bellingham - PeaceHealth Josh Perkins masked Josh Perkins 1115 SE 164th Ave, Vancouver, WA 98683 800-452-1425 masked System Application Supervisor Squalicum PKWY OB/GYN - PeaceHealth 3200 Squalicum Pkwy, Bellingham, WA 98225-1932 800-452-1425 jperkins@peacehealth.org https://www.peacehealth.org/shared-services-center Provider Int 17 Complete 2023/04/07 12:00:00 2023/04/07 12:00:00 2023/04/08 01:23:57 UV 2.16.840.1.113883.17.9496 hspchcsw SW Hospice and Home Care - Vancouver, WA - PeaceHealth Josh Perkins masked Josh Perkins 1115 SE 164th Ave, Vancouver, WA 98683 800-452-1425 masked System Applications Supervisor SW Hospice and Homecare 5400 MacAurthur BLVD 800-452-1425 jperkins@peacehealth.org https://www.peacehealth.org/shared-services-center Provider Int 17 Complete 2023/04/07 12:00:00 2023/04/07 12:00:00 2023/04/08 01:49:45 UV 2.16.840.1.113883.17.9497 whatcomhh Whatcom Home health - Bellingham, Wa- PeaceHealth Josh Perkins masked Josh Perkins 1115 SE 164th Ave, Vancouver, WA 98683 800-452-1425 masked System Applications Supervisor Whatcom Home health - Peace Health 800 E Chestnut ST STE 200 800-452-1425 jperkins@peacehealth.org https://peacehealth.org/shared-services-center Provider Int 17 Complete 2023/04/07 12:00:00 2023/04/07 12:00:00 2023/04/08 01:54:54 UV 2.16.840.1.113883.3.9690 cps-e Copper Springs East Ruth Bailey masked Ruth Bailey 3755 S Rome St. Gilbert, AZ 85297 4807299300 masked DQS Copper Springs East 3755 S. Rome St. Gilbert, AZ 85297 4807299300 ruthbailey@spsh.com https://coppersprings.com/locations/gilbert-az/ Provider Int 3 Complete 2023/04/10 12:00:00 2023/04/10 12:00:00 2023/04/10 08:39:41 UV 2.16.840.1.113883.3.9691 coppersprings Copper Springs Hospital Deon Phillips masked jessicablack@spsh.com Deon Phillips 10550 W. McDowell Road Avondale, AZ 85392 480-565-3035 masked Director of Quality and Risk Copper Springs Hospital 10550 W. McDowell Road Avondale, AZ 85392 480-565-3035 deonphillips@spsh.com https://coppersprings.com/ Provider Int 3 Complete 2023/04/10 12:00:00 2023/04/10 12:00:00 2023/04/10 08:50:52 UV 2.16.840.1.113883.3.9692 awrc Arizona Women's Recovery Center Geri Koziba masked Geri L. Koziba 4201 N 16th St Ste 140, Phoenix, AZ 85016 6022646214 masked EHR/Billing Administrator Arizona Women's Recovery Center 4201 NN 16th St Ste 140, Phoenix, AZ 85016 6022646214 beverlyw@azwomensrecoverycenter.org https://azwomensrecoverycenter.org Provider Int 3 Complete 2023/04/10 12:00:00 2023/04/10 12:00:00 2023/04/10 08:54:42 UV 2.16.840.1.113883.17.9498 whhsph Whatcom Hospice House - PeaceHealth Josh Perkins masked Josh Perkins 1115 SE 164th Ave, Vancouver, WA 98683 800-452-1425 masked System Application Supervisor Whatcom Hospice House - PeaceHealth 2899 Douglas Ave, Bellingham, WA 98225-6930 800-452-1425 jperkins@peacehealth.org https://www.peacehealth.org/shared-services-center Provider Int 17 Complete 2023/04/10 12:00:00 2023/04/10 12:00:00 2023/04/10 09:08:23 UV 2.16.840.1.113883.17.9499 whsph Whatcom Hospice - Bellingham, WA - Peacehealth Josh Perkins masked Josh Perkins 1115 SE 164th Ave, Vancouver, WA 98683 800-452-1425 masked System Application Supervisor Whatcom Hospice 2800 Douglas Ave, Bellingham, WA 98225-6930 800-452-1425 jpekrins@peacehealth.org https://www.peacehealth.org/shared-services-center Provider Int 17 Complete 2023/04/10 12:00:00 2023/04/10 12:00:00 2023/04/10 09:16:15 UV 2.16.840.1.113883.17.9500 whhsip Whatcom Inpatient Hospice - PeacehHealth Josh Perkins masked Josh Perkins 1115 SE 164th Ave, Vancouver, WA 98683 800-452-1425 masked System Application Supervisor Whatcom IP Hospice 2800 Douglas Ave, Bellingham, WA 98225-6930 800-452-1425 jperkins@peacehealth.org https://www.peacehealth.org/shared-services-center Provider Int 17 Complete 2023/04/10 12:00:00 2023/04/10 12:00:00 2023/04/10 09:24:15 UV 2.16.840.1.113883.3.9693 imageMoverMD ImageMoverMD Brett Young-Moxon masked Brett Young-Moxon 2858 University Ave #265 Madison, WI 53705 608 620 4980 masked Director of Product ImageMoverMD 2858 University Ave #265 Madison, WI 53705 608 620 4980 info@imagemovermd.com https://imagemovermd.com Vendor Int 3 Complete 2023/04/11 12:00:00 2023/04/11 12:00:00 2023/04/11 10:13:53 UV 2.16.840.1.113883.3.9694 staloisius SMP Health St. Aloisius Mary Beth Coombs masked Mary Beth Coombs 325 Brewster Street East Harvey, ND 58341 701-324-4651 masked RN, Informatics Specialist SMP Health St. Aloisius 325 Brewster Street East Harvey, ND 58341 701-324-4651 mcoombs@staloisius.com https://smphealth.org/staloisius/ Provider Int 3 Complete 2023/04/11 12:00:00 2023/04/11 12:00:00 2023/04/12 07:56:53 UV 2.16.840.1.113883.3.9695 wo Western Orthopaedics Kara Schlieper masked Kara Schlieper 1830 Franklin St Suite 450 Denver, CO 80218 303-321-1333 masked Project Manager Western Orthopaedics 1830 Franklin St Suite 450 Denver, CO 80218 303-321-1333 kschlieper@western-ortho.com https://www.western-ortho.com/ Provider Int 3 Complete 2023/04/11 12:00:00 2023/04/11 12:00:00 2023/04/12 12:16:42 UV 2.16.840.1.113883.3.9696 esch Excelsior Springs Hospital OID Root Angela Riley masked Penny Dodson Angela Riley 1700 Rainbow Blvd. Excelsior Springs, MO 64024 8166292773 masked IT Manager Excelsior Springs Hospital 1700 Rainbow Blvd. Excelsior Springs, MO 64024 8166306081 ariley@esmc.org https://www.eshospital.org/ Provider Int 3 Complete 2023/04/12 12:00:00 2023/04/12 12:00:00 2023/04/12 10:53:27 UV 2.16.840.1.113883.4.8138 prasem Puerto Rico Medical Services Administration Gloria Cordero Cancel masked Luis A. Tatis Morales Jose M. Garcia Rodriguez The Puerto Rico Medical Services Administration Dr. Jose Celso Barbosa San Juan, PR 00921 CMS Certification Number: 400127 787-777-3535 x.2700 masked Information Technology Director Puerto Rico Medical Services Administration 787-777-3535 x.2700 dtimanagement@asem.pr.gov https://www.asem.pr.gov/ Govt body 2.16.840.1.113883 Int 4 Complete 2023/04/12 12:00:00 2023/04/14 12:00:00 2023/04/14 11:40:52 UV 2.16.840.1.113883.3.9697 scottcohosp Scott county Hospital LaDonna McKinney masked LaDonna McKinney 201 Albert Avenue Scott City, Kansas 67871 620-872-5811 masked IT Director Scott County Hospital 201 Albert Avenue Scott City, Kansas 67871 620-872-5811 ladonnam@scotthospital.net https://www.scotthospital.net Provider Int 3 Complete 2023/04/12 12:00:00 2023/04/12 12:00:00 2023/04/12 10:57:33 UV 2.16.840.1.113883.3.9698 wvmh Veterans Memorial Hospital Waukon Jonathan Buhl masked Jonathan Buhl 40 1st St SE Waukon, IA 52172 563-568-3411 masked Information Technology Manager Veterans Memorial Hospital 40 1st St SE Waukon, IA 52172 563-568-3411 network.admin@vmhospital.com http://veteransmemorialhospital.com Provider Int 3 Complete 2023/04/12 12:00:00 2023/04/12 12:00:00 2023/04/12 10:59:55 UV 2.16.840.1.113883.3.9699 powerschool PowerSchool Root OID Cindy Zakrzewski masked Chris Kopacko Chris Kopacko PowerSchool, LLC 150 Parkshore Drive Folsom, CA 95630 732-299-1104 masked VP of Engineering Powerschool, LLC PowerSchool, LLC 150 Parkshore Drive Folsom, CA 95630 877-873-1550 sales@powerschool.com https://www.powerschool.com Vendor Int 3 Complete 2023/04/13 12:00:00 2023/04/14 12:00:00 2023/04/14 11:30:24 UV 2.16.840.1.113883.3.9700 onepeakmedical OnePeak Medical OID Root Jacob Thompson masked Jacob Thompson 2950 E Barnett Rd Medford, OR 97504 541-284-8882 masked IT Director OnePeak Medical 2950 E Barnett Rd Medford, OR 97504 541-210-8721 it@peakmanagementgroups.com http://www.onepeakmedical.com Provider Int 3 Complete 2023/04/14 12:00:00 2023/04/14 12:00:00 2023/04/14 11:35:29 UV 2.16.840.1.113883.3.9701 assuta Assuta Miel Dabush masked Miel Dabush tlv israel 972547657502 masked Assuta mield@assuta.co.il https://assuta.co.il Provider Int 3 Complete 2023/04/16 12:00:00 2023/04/18 12:00:00 2023/04/18 10:32:49 UV 2.16.840.1.113883.3.9702 star S.T.A.R. Stand Together and Recover Centers Inc Melissa Martin masked Suzanne Legander Melissa Martin 77 E. Columbus Phoenix, AZ 85012 602-231-0071 masked Billing Manager Stand Together and Recover Centers 77 E. Columbus Phoenix, AZ 85012 602-231-0071 SuzanneL@thestarcenters.org https://www.thestarcenters.org Provider Int 3 Complete 2023/04/17 12:00:00 2023/04/18 12:00:00 2023/04/18 10:36:13 UV 2.16.840.1.113883.3.9703 srcII Scottsdale Recovery Center Katie Goodwin masked Katie Goodwin 480-699-9044 masked Scottsdale Recovery Center PO BOX 5943 Scottsdale, Arizona 85261 480-466-7773 Accounting@scottsdalerecovery.com Provider Int 3 Complete 2023/04/18 12:00:00 2023/04/19 12:00:00 2023/04/19 05:15:32 UV 2.16.840.1.113883.3.1157.13.1 rwjbhcomm RWJBH Community Partners Missy Kenney masked Samantha Oliner Samantha Oliner 7322334383 masked Director IT&S Data and Analytics RWJBarnabas Health 95 Old Short Hills Rd West Orange, NJ 07052 7322726835 https://www.rwjbh.org/ https://www.rwjbh.org/ Provider 2.16.840.1.113883.3.1157 Ext 3 Complete 2.16.840.1.113883.3.1157.13.1 2023/04/19 12:00:00 2023/04/19 12:00:00 2023/04/19 05:21:37 UV 2.16.840.1.113883.3.9704 bih-OID Denova OID Briana Brown masked itscommunications@baylesshealthcare.com Briana Brown 3101 N Central Ave Ste 550 Phoenix, AZ 85022 602-341-5557 masked Chief Information Officer Denova Collaborative Health 3101 N Central Ave Suite 500 Phoenix, AZ 85022 602-230-7373 bbrown@denova.com https://www.denova.com/ Provider Int 3 Complete 2023/04/19 12:00:00 2023/04/19 12:00:00 2023/12/20 03:51:53 UV 2.16.840.1.113883.3.9705 hrh-HawardenRegionalHospital Hawarden Regional Hospital Kevin Smith masked Jayson Pullman Jayson Pullman Hawarden Regional Hospital 1111 11th Street Hawarden, IA 51023 712-551-3100 masked CEO, Administrator Hawarden Regional Hospital 1111 11th Street Hawarden, IA 51023 712-551-3100 pullmanj@mercyhealth.com https://www.hawardenregionalhealthcare.com/ Provider Int 3 Complete 2023/04/20 12:00:00 2023/04/20 12:00:00 2023/04/20 05:20:23 UV 2.16.840.1.113883.3.9706 cerealcitypeds Cereal City Pediatrics, PC Chasity Barnum masked Timothy White Chasity Barnum 4520 Beckley Rd Battle Creek, MI 49015 269-969-8723 masked Practice Manager Cereal City Pediatrics, PC 4520 Beckley Rd Battle Creek, MI 49015 269-969-8723 whitet@cerealcitypeds.com https://cerealcitypeds.com Provider Int 3 Complete 2023/04/21 12:00:00 2023/04/21 12:00:00 2023/04/22 12:57:42 US 2.16.840.1.113883.3.9707 mchcs Madison County Health Care System Daniel VandenBosch masked Daniel VandenBosch 300 West Hutchings Street Winterset, IA 50273 515-462-5204 masked Chief Information Officer Madison County Health Care System 300 West Hutchings Street Winterset, IA 50273 515-462-2373 IT@madisonhealth.com https://www.madisonhealth.com Provider Int 3 Complete 2023/04/21 12:00:00 2023/04/21 12:00:00 2023/04/22 01:05:17 US 2.16.840.1.113883.3.9708 mikid MIKID- Mentally Ill Kids In Distress Jennifer Diaz-Montano masked Jennifer Diaz-Montano 7816 N 19th Ave Phoenix, AZ 85021 602-253-1240 masked Director of Health Information MIKID- Mentally Ill Kids In Distress 7816 N 19th Ave Phoenix, AZ 85021 602-253-1240 jenniferd@mikid.org https://www.mikid.org/ Provider Int 3 Complete 2023/04/21 12:00:00 2023/04/21 12:00:00 2023/04/22 01:09:57 UV 2.16.840.1.113883.3.9709 dthc-paz Desert Terrace Healthcare Center Amy Riter masked Lisa Leveque 480-313-1429 masked Desert Terrace Healthcare Center 2509 North 24th Street Phoenix, AZ 85008 602-273-1347 lleveque@ensignservices.net https://desertterrace.net/ Provider Int 3 Complete 2023/04/21 12:00:00 2023/04/21 12:00:00 2023/04/22 01:16:50 UV 2.16.840.1.113883.3.9710 ehrc-aaz Estrella Health and Rehabilitation Center Amy Riter masked Lisa Leveque 480-313-1429 masked Estrella Health and Rehabilitation Center 350 East La Canada Blvd Avondale, AZ 85323 623-932-2282 lleveque@ensignservices.net https://estrellahealthandrehab.com/ Provider Int 3 Complete 2023/04/21 12:00:00 2023/04/21 12:00:00 2023/04/22 01:22:50 UV 2.16.840.1.113883.3.9711 cpacr-paz Camelback Post Acute Care and Rehabilitation Amy Riter masked Lisa Leveque 480-313-1429 masked Camelback Post Acute Care and Rehabilitation 4635 North 14th Street Phoenix, AZ 85014 602-264-9039 lleveque@ensignservices.net https://camelbackrehab.com/ Provider Int 3 Complete 2023/04/21 12:00:00 2023/04/21 12:00:00 2023/04/22 01:28:42 UV 2.16.840.1.113883.3.9712 vmpcr-taz Villa Maria Post Acute and Rehabilitation Amy Riter masked Lisa Leveque 480-313-1429 masked Villa Maria Post Acute and Rehabilitation 4310 East Grant Road Tucson, AZ 85712 520-323-9351 lleveque@ensignservices.net https://ensigngroup.net/ Provider Int 3 Complete 2023/04/21 12:00:00 2023/04/21 12:00:00 2023/04/22 01:38:57 UV 2.16.840.1.113883.3.9713 dbhrc-maz Desert Blossom Health and Rehabilitation Center Amy Riter masked Lisa Leveque 480-313-1429 masked Desert Blossom Health and Rehabilitation Center 60 South 58th Street Mesa, AZ 85206 480-832-3903 lleveque@ensignservices.net https://desertblossomrehab.com/ Provider Int 3 Complete 2023/04/21 12:00:00 2023/04/21 12:00:00 2023/04/22 01:45:06 UV 2.16.840.1.113883.3.9714 mppa-maz Mission Palms Post Acute Amy Riter masked Lisa Leveque 480-313-1429 masked Mission Palms Post Acute 6461 East Baywood Avenue Mesa, AZ 85206 480-832-5160 lleveque@ensignservices.net https://missionpalmspa.com/ Provider Int 3 Complete 2023/04/21 12:00:00 2023/04/21 12:00:00 2023/04/22 01:54:56 UV 2.16.840.1.113883.3.9715 hparc-gaz Horizon Post Acute and Rehabilitation Center Amy Riter masked Lisa Leveque 480-313-1429 masked Horizon Post Acute and Rehabilitation Center 4704 West Diana Avenue Glendale, AZ 85302 623-247-3949 lleveque@ensignservices.net https://horizonglendale.com/ Provider Int 3 Complete 2023/04/21 12:00:00 2023/04/21 12:00:00 2023/04/22 02:01:10 UV 2.16.840.1.113883.3.9716 gchrc-paz Granite Creek Health and Rehabilitation Center Amy Riter masked Lisa Leveque 480-313-1429 masked Granite Creek Health and Rehabilitation Center 1045 Scott Drive Prescott, AZ 86301 928-778-9603 lleveque@ensignservices.net https://granitecreekrehab.com/ Provider Int 3 Complete 2023/04/21 12:00:00 2023/04/21 12:00:00 2023/04/22 02:09:38 UV 2.16.840.1.113883.3.9717 psrc-taz Pueblo Springs Rehabilitation Center Amy Riter masked Lisa Leveque 480-313-1429 masked Pueblo Springs Rehabilitation Center 5545 East Lee Street Tucson, AZ 85712 520-296-2306 lleveque@ensignservices.net https://pueblosprings.com/ Provider Int 3 Complete 2023/04/21 12:00:00 2023/04/21 12:00:00 2023/04/22 02:18:43 UV 2.16.840.1.113883.3.9718 curis Curis Medical PLLC Grant Louis masked Grant Louis 4 West Red Oak Lane Suite 104 West Harrison, NY 10604 312 833 6458 masked COO Curis Medical PLLC 4 West Red Oak Lane Suite 104 West Harrison, NY 10604 9147196080 info@curispartners.com http://www.curispartners.com Provider Int 3 Complete 2023/04/24 12:00:00 2023/04/24 12:00:00 2023/04/24 05:13:35 UV 2.16.840.1.113883.3.9719 mmhc-inc Mohave Mental Health Clinic, Inc Roy Heisner masked Roy Heisner 3505 Western Ave Suite A 9286815577 masked IS Manager/HIPAA Security Officer Mohave Mental Health Clinic, Inc 3707 Stockton Hill Road Suite B Kingman, AZ 86409 9286815577 rheisner@mmhc-inc.org https://www.mmhc-inc.org Provider Int 3 Complete 2023/04/24 12:00:00 2023/04/24 12:00:00 2023/04/24 05:17:44 UV 2.16.840.1.113883.3.9720 aahksqm American Association of Hip and Knee Surgeons Joshua Kerr masked Joshua Kerr 9400 West Higgins Road &#8211; Suite 230, Rosemont, Illinois 60018-4976 847-698-1200 masked Deputy Executive Director American Association of Hip and Knee Surgeons 9400 West Higgins Road &#8211; Suite 230, Rosemont, Illinois 60018-4976 jkerr@aahks.org https://www.aahks.org Prof Soc Int 3 Complete 2023/04/24 12:00:00 2023/04/24 12:00:00 2023/04/24 05:25:08 UV 2.16.840.1.113883.3.9721 vhb Valley Hospital Rowena Stephan masked Patricia Ware Rowena Stephan 3550 East Pinchot Ave. Phoenix, AZ 85018 6029523910 masked CFO Valley Hospital 3550 East Pinchot Ave. Phoenix, AZ 85018 6029523900 rowena.stephan@uhsinc.com Provider Int 3 Complete 2023/04/24 12:00:00 2023/04/25 12:00:00 2023/04/25 12:46:29 UV 2.16.840.1.113883.3.9722 wygc-PH2 West Yavapai Guidance Clinic dba Polara Health Alisa Montgomery masked Alisa Montgomery 3343 N Windsong Dr Prescott Valley, AZ 86314 9283505391 masked Chief Quality Officer West Yavapai Guidance Clinic dba Polara Health 3343 N Windsong Dr Prescott Valley, AZ 86314 9284455211 a.montgomery@polarahealth.com http://www.polarahealth.org Provider Int 3 Complete 2023/04/24 12:00:00 2023/04/25 12:00:00 2023/04/25 12:49:58 UV 2.16.840.1.113883.3.9723 encompasshealth Encompass Health Corporation Tracy Foy masked dataquaility@encompasshealth.com Tracy Foy Encompass Health Corporation 9001 Liberty Parkway Birmingham, AL 35242 2059705739 masked Vice President, Information Technology Group Encompass Health Corporation Encompass Health Corporation 9001 Liberty Parkway Birmingham, AL 35242 2059705739 dataquaility@encompasshealth.com http://www.encompasshealth.com Provider Int 3 Complete 2023/04/25 12:00:00 2023/04/25 12:00:00 2023/04/25 05:28:49 UV 2.16.840.1.113883.3.9724 csu Chinle Service Unit Stephen Neal masked Chelsea Jones Chelsea Jones Hwy 191 PO drawer Chinle, AZ 86503 9286747001 masked Informatics Chinle Service Unit Hwy 191 PO drawer Chinle, AZ 86503 0019286747001 stephen.neal@ihs.gov https://home.ihs.gov/chinle/ Govt body Int 3 Complete 2023/04/25 12:00:00 2023/04/25 12:00:00 2023/04/25 01:34:53 UV 2.16.840.1.113883.3.9725 tcrhcc Tuba City Regional Health Care Corporation Shawn Davis masked valerie.elkriver@tchealth.org Shawn Davis 3008 E. Birch Ave. Tuba City, Arizona 86045 9282832062 masked CIO Tuba City Regional Health Care Coporation 3008 E. Birch Ave. Tuba City, Arizona 86045 9282832501 shawn.davis@tchealth.org https://tchealth.org Provider Int 3 Complete 2023/04/25 12:00:00 2023/04/25 12:00:00 2023/04/25 10:17:39 UV 2.16.840.1.113883.3.9726 havenPHX Haven Behavioral Hospital of Phoenix Barbara Fanning masked Barbara Fanning 1201 S. 7th Ave, Suite 200 Phoenix, AZ 85007 6023205730 masked Director, Business Development Haven Behavioral Hospital of Phoenix 1201 S. 7th Ave, Suite 200 Phoenix, AZ 85007 623-236-2000 bfanning@havenllc.com https://www.havenofphoenix.com/ Provider Int 3 Complete 2023/04/25 12:00:00 2023/04/25 12:00:00 2023/04/25 10:22:29 UV 2.16.840.1.113883.3.9727 tmc-az Tucson Medical Center Amanda Klopp masked Amanda Klopp 5301 E Grant Road Tucson, AZ 85712 520-324-1628 masked Chief Nursing Information Officer & Applications Officer Tucson Medical Center 5301 E Grant Road Tucson, AZ 85712 520-327-5461 ISServiceDesk@tmcz.com https://www.tmcaz.com Provider Int 3 Complete 2023/04/25 12:00:00 2023/04/26 12:00:00 2023/04/26 04:00:18 UV 2.16.840.1.113883.3.9728 nsr NorthSight Recovery LLC Celeste Allen masked Evan Schlack (602) 463-5738 masked Chief Operating Officer NorthSight Recovery LLC 1440 E Southern Ave. Tempe, AZ 85282 800.905.6419 info@northsightrecovery.com https://www.northsightrecovery.com/ Provider Int 3 Complete 2023/04/26 12:00:00 2023/04/26 12:00:00 2023/04/26 04:05:11 UV 2.16.840.1.113883.3.9729 oh4414 Open Hearts Family Wellness Shannon Nordahl masked Shannon Nordahl 4414 N 19th Ave Phoenix, AZ 85015 6022855550 masked Director of Business Integrity Open Hearts Family Wellness 4414 N 19th Ave Phoenix, AZ 85015 16022855550 snordahl@openheartsaz.org https://www.openheartsaz.org Provider Int 3 Complete 2023/04/26 12:00:00 2023/04/26 12:00:00 2023/04/27 01:36:38 UV 2.16.840.1.113883.3.9730 gg Grossman & Grossman Ltd Samantha Bradley masked Samantha Bradley 1300 N. 12th Street, Suite 550, Phoenix, AZ 85006 6232130099 masked Admin Assistant Grossman & Grossman Ltd 1300 N. 12th Street, Suite 550, Phoenix, AZ 85006 6232130099 samanthab@grossmantherapy.com Provider Int 3 Complete 2023/04/26 12:00:00 2023/04/26 12:00:00 2023/04/27 01:44:34 UV 2.16.840.1.113883.3.9731 mvmedcenter Madison Valley Medical Center Charles Able masked Charles Able 305 North Main Street Ennis, MT 59729 406-682-6609 masked COO Madison Valley Medical Center 305 North Main Street Ennis, MT 59729 (406) 682-6862 info@mvmedcenter.org https://www.mvmedcenter.org Provider Int 3 Complete 2023/04/26 12:00:00 2023/04/26 12:00:00 2023/04/27 01:48:56 UV 2.16.840.1.113883.3.9732 atp Aurora Behavioral Health - Tempe LLC Chelsea Vickers masked Chelsea Vickers 4203455442 masked COO Aurora Behavioral Health - Tempe LLC 6350 S. Maple Ave Tempe, AZ 85283 4203455442 chelsea.vickers@aurorabehavioral.com Provider Int 3 Complete 2023/04/26 12:00:00 2023/04/26 12:00:00 2023/04/27 01:54:32 UV 2.16.840.1.113883.3.9733 agd Aurora Behavioral Health Systems LLC Chelsea Vickers masked Chelsea Vickers 6015 W. Peoria Ave Glendale, AZ 85302 6029895373 masked COO Aurora Behavioral Health Systems LLC 6015 W. Peoria Ave Glendale, AZ 85302 4203455442 chelsea.vickers@aurorabehavioral.com Provider Int 3 Complete 2023/04/26 12:00:00 2023/04/26 12:00:00 2023/04/27 02:03:08 UV 2.16.840.1.113883.3.9734 lc4kc Life Coaching 4 Kids Center Michaesha Hinton masked Michaesha Hinton 10147 W Grand Ave STE B5 Sun City, AZ 85051 6234404083 masked Executive Director Life Coaching 4 Kids Center 10147 W Grand Ave STE B5 Sun City, AZ 85051 6234404083 info@lifecoaching4kidscenter.com http://www.lifecoaching4kidscenter.com Provider Int 3 Complete 2023/04/26 12:00:00 2023/04/26 12:00:00 2023/04/27 02:06:29 UV 2.16.840.1.113883.3.9735 mind24-7 Mind 24-7 Practice, LLC Ann Farmer masked Ann Farmer 1465 N Scottsdale Rd #400 Scottsdale, AZ 85257 8446463247 masked CFO Mind 24-7 Practice, LLC 1465 N Scottsdale Rd #400 Scottsdale, AZ 85257 8446463247 afarmer@mind24-7.com https://www.mind24-7.com/ Provider Int 3 Complete 2023/04/26 12:00:00 2023/04/26 12:00:00 2023/04/27 02:10:06 UV 2.16.840.1.113883.3.9736 ths Touchstone Health Services Erick Dameron masked Erick Dameron 15810 N 35th Ave Phoenix, AZ 85053 6028035202 masked Chief Information Officer Touchstone Health Services 15810 N 35th Ave Phoenix, AZ 85053 866-207-3882 Compliance@touchstonebh.org https://touchstonehs.org Provider Int 3 Complete 2023/04/26 12:00:00 2023/04/26 12:00:00 2023/04/27 02:17:04 UV 2.16.840.1.113883.3.9737 mMH-5676640 Mosaic Mental Health Mayra Estrada-Cruz masked Musa Scott Musa Scott 5676 Riverdale Ave, Suite 202 Bronx, NY 10471 7187965300 masked Associate Director, Information Technology Mosaic Mental Health 5676 Riverdale Ave, Suite 202 Bronx, NY 10471 7187965300 mestrada@mosaicmh.org Provider Int 3 Complete 2023/04/27 12:00:00 2023/04/27 12:00:00 2023/04/27 05:56:50 UV 2.16.840.1.113883.3.9738 dshc Destiny Springs HealthCare Christina Dunham masked Christina Dunham 17300 N. Dysart Road Surprise, AZ 85378 623-233-3000 masked HIMS Manager Destiny Springs Health Care 17300 N. Dysart Road Surprise, AZ 85378 623-233-3000 medicalrecords@destinysprings.com http://destinyspringshealthcare.com Provider Int 3 Complete 2023/04/27 12:00:00 2023/04/27 12:00:00 2023/04/27 06:02:07 UV 2.16.840.1.113883.3.9739 ppc Phoenician Medical Center Anupam Ahlawat masked anupam 1343 N Alma School Road, Suite 160, Chandler, AZ 85224 4804447447 masked VP OPerations Phoenician Medical Center 1343 N Alma School Rd, Suite 160, Chandler, AZ 85224 4809631853 info@phoenicianmedical.com https://phoenicianmedical.care/ Provider Int 3 Complete 2023/04/27 12:00:00 2023/04/27 12:00:00 2023/04/27 06:08:11 UV 2.16.840.1.113883.3.9740 crmyu Crossroads Mission Thana Chiu masked Thana Chiu PO Box 1161 Yuma, AZ 85366 19283288617 masked Data Entry Coordinator Crossroads Mission PO Box 1161 Yuma, AZ 85366 19287839362 cacosta@crossroadsmission.org https://crossroadsmission.org Provider Int 3 Complete 2023/04/27 12:00:00 2023/04/27 12:00:00 2023/04/27 06:25:56 UV 2.16.840.1.113883.3.9741 recovia Recovia, LLC Zane Richards masked David Luksenburg 480-712-4600 masked Director of Contracting & Strategic Accounts Recovia, LLC PO Box 20216 Phoenix, AZ 85036 480-712-4600 credentialing@recovia.com http://recovia.com Provider Int 3 Complete 2023/04/27 12:00:00 2023/04/27 12:00:00 2023/04/28 12:53:11 UV 2.16.840.1.113883.3.9742 pEpofAZ People Empowering People of AZ, Inc. Debra Hunter masked Debra Hunter 2066 W Apache Trail Apache Junction, AZ 85120 4809993323 masked Clinical Support Liaison People Empowering People of AZ, Inc. 2066 W Apache Trail Apache Junction, AZ 85120 4809993323 qualitymanagement@pepofaz.com https://pepofaz.com/ Provider Int 3 Complete 2023/04/27 12:00:00 2023/04/27 12:00:00 2024/08/28 05:00:44 UV 2.16.840.1.113883.3.9743 dehp Dehp LLC dba Dehp Therapeutic Josette Sullins masked Josette Sullins 6025667627 masked CEO/ADMIN Dehp LLC dba Dehp Therapeutic 3800 N. Central Ave #1010 Phoenix, AZ 85012 6025667627 admin@dehpcare.com http://dehpcare.com Provider Int 3 Complete 2023/04/27 12:00:00 2023/04/27 12:00:00 2023/04/28 01:09:06 UV 2.16.840.1.113883.3.9744 sem Select Medical Corporation Ashley Confer masked Shawn Seward Shawn Seward 4714 Gettysburg Rd. Mechanicsburg, PA 17055 480-628-3905 masked Manager, Integration Services Select Medical 4714 Gettysburg Rd. Mechanicsburg, PA 17055 480-628-3905 sseward@selectmedical.com https://www.selectmedical.com/ Provider Int 3 Complete 2023/04/28 12:00:00 2023/04/28 12:00:00 2023/04/28 07:55:35 UV 2.16.840.1.113883.3.9745 ter Terros Health Demond Love masked Miriam Pederson Miriam Pederson 3003 N Central Ave Suite #400 Phoenix, AZ 85012 6026491105 masked Director of Informatics Terros Health 3003 N Central Ave Suite #400 Phoenix, AZ 85012 6026856134 Saffron.Carew@terroshealth.org Provider Int 3 Complete 2023/04/28 12:00:00 2023/04/28 12:00:00 2023/04/28 08:09:59 UV 2.16.840.1.113883.3.9746 qrbh Quail Run Behavioral Health Daniel Faught masked Daniel Faught (602) 455-5768 masked Chief Financial Officer Quail Run Behavioral Health 2545 W Quail Ave. Phoenix, AZ 85027 (602) 455-5700 dhann.faught@uhsinc.com https://quailrunbehavioral.com Provider Int 3 Complete 2023/04/28 12:00:00 2023/04/28 12:00:00 2023/04/28 08:17:26 UV 2.16.840.1.113883.3.9747 b-T-C-23 Boswell Transitional Care Jesse Hintz masked Jesse Hintz 10601 W Santa Fe Dr Sun City, AZ 85351 6237037338 masked CEO Boswell Transitional Care 10601 West Santa Fe Dr Sun City, AZ 85351 6238327000 jhintz@cascadiahc.com Provider Int 3 Complete 2023/04/28 12:00:00 2023/04/28 12:00:00 2023/04/28 08:30:17 UV 2.16.840.1.113883.3.9748 warmc Western Arizona Regional Medical Center Brianna Holmes masked Brianna Holmes 2735 Silver Creek Rd Bullhead City, AZ 86442 928-704-6795 masked Patient Access Director Western Arizona Regional Medical Center 2735 Silver Creek Rd Bullhead City, AZ 86442 928-763-2273 brianna_holmes@chs.net Provider Int 3 Complete 2023/04/28 12:00:00 2023/04/28 12:00:00 2023/04/28 10:30:03 UV 2.16.840.1.113883.3.9749 lpcs Lifeline Professional Counseling Services Patti Gillespie masked Roxanne DalPos 335 N Alma School Road, Suite E, Chandler, AZ 85224 480-203-8414 masked CEO Owner Lifeline PCS 335 N Alma School Road, Suite E, Chandler, AZ 85224 480-641-1165 roxanne@lifelinepcs.com https://lifelinepcs.com/#home Provider Int 3 Complete 2023/04/28 12:00:00 2023/04/28 12:00:00 2023/04/29 01:09:08 UV 2.16.840.1.113883.3.9750 azitts Arizona Integrated Telepsychiatry and Telemedicine Services LLC Mariam Kimani masked Mariam Kimani 2735 E Main street suite 2&3 Mesa, AZ 85213 4802742349 masked Administrator Arizona Integrated Telepsychiatry and Telemedicine Services LLC 2735 E Main street suite 2&3 Mesa, AZ 85213 4802742349 Mkimani@azitts.com https://www.azitts.com Provider Int 3 Complete 2023/04/28 12:00:00 2023/04/28 12:00:00 2023/04/29 01:23:03 UV 2.16.840.1.113883.3.9751 dg6150 Devon Gables Rehabilitation Center Heather Friebus masked Heather Friebus 520-906-1538 masked Administrator Devon Gables Rehabilitation Center 6150 E. Grant Rd. Tucson, AZ 85712 5202966181 hfriebus@devongables.com https://www.devongables.com Provider Int 3 Complete 2023/04/28 12:00:00 2023/04/28 12:00:00 2023/04/29 01:29:21 UV 2.16.840.1.113883.3.9752 seneca Seneca Healthcare District (SHD) Takara Trumpf masked Seneca Healthcare District 130 Brentwood Drive, PO BOX 737, Chester, CA 96020 18332273743 masked Director IT/Clinical Informatics Seneca Healthcare District 130 Brentwood Drive, PO BOX 737, Chester, CA 96020 1-833-227-3743 ttrumpf@senecahospital.org https://senecahospital.org Provider Int 3 Complete 2023/04/28 12:00:00 2023/04/28 12:00:00 2023/04/29 01:44:09 UV 2.16.840.1.113883.3.9753 snb Sonora Behavioral Health Hospital Joseph Ponessi masked Joseph Ponessi 6050 N. Corona Rd. Tucson, AZ 87504 6096173822 masked CFO Sonora Behavioral Health Hospital 6050 N. Corona Rd. Tucson, AZ 87504 6096173822 joe.ponessi@sonorabehavioral.com https://www.sonorabehavioral.com Provider Int 3 Complete 2023/05/01 12:00:00 2023/05/03 12:00:00 2023/05/03 07:53:27 UV 2.16.840.1.113883.3.9754 rh Resilient Health Kimberly Quiros masked Kimberly Quiros 2255 W. Northern Avenue Phoenix, AZ 85021 602-995-1767 masked COO PSA Behavioral Health Agency - DBA: Resilient Health 2255 W. Northern Avenue Phoenix, AZ 85021 602-995-1767 kimberly.quiros@rhaz.org https://resilienthealthaz.org Provider Int 3 Complete 2023/05/01 12:00:00 2023/05/03 12:00:00 2023/05/03 08:00:47 UV 2.16.840.1.113883.3.9755 chdfs CHDFS David Tavarez masked David Tavarez 307 West 38th Street, 6th Floor New York, NY 10018 2126954564 ext. 375 masked QA/QI Director CHDFS 307 West 38th Street, 6th Floor New York, NY 10018 2126954564 dtavarez@chdfs.org http://www.chdfs.org/ Provider Int 3 Complete 2023/05/01 12:00:00 2023/05/03 12:00:00 2023/05/03 08:07:27 UV 2.16.840.1.113883.3.9756 eCareCenter Equality Care Center Hector Reyes masked Hector Reyes 3306 W. Roosevelt St. Phoenix, AZ 85009 602-889-9401 masked Senior Director Clinic Equality Care Center 3306 W. Roosevelt St. Phoenix, AZ 85009 602-889-9401 hreyes@equalityhealth.com https://www.equalitycarecenter.com Provider Int 3 Complete 2023/05/01 12:00:00 2023/05/03 12:00:00 2023/05/03 08:24:09 UV 2.16.840.1.113883.3.9757 cplc Chicanos Por La Causa Dustin Buschow masked Kelly Harshberger 1112 East Buckeye Road Phoenix, Arizona 85034 (602) 257-0700 masked VP of IHHS Chicanos Por La Causa 1112 East Buckeye Road Phoenix, Arizona 85034 (602) 257-0700 legal@cplc.org https://cplc.org Provider Int 3 Complete 2023/05/01 12:00:00 2023/05/03 12:00:00 2023/05/03 08:27:08 UV 2.16.840.1.113883.3.9758 immanuel Immanuel Caring Ministries Barbara Nielsen masked Barbara Nielsen 11301 North 99th Avenue Peoria, AZ 85345 4802775856 masked Sr. Director of Finance Immanuel Caring Ministries 11301 North 99th Avenue Peoria, AZ 85345 623-977-8373 Bnielsen@immanuelcares.com Provider Int 3 Complete 2023/05/04 12:00:00 2023/05/05 12:00:00 2023/05/06 12:45:21 UV 2.16.840.1.113883.3.9759 wch50060 Wayne County Hospital Wesley Shanks masked Wesley Shanks 417 S East St Corydon, IA 50060 6418722260 masked IT Director Wayne County Hospital 417 S East St Corydon, IA 50060 6418722260 wshanks@waynecountyhospital.org http://www.waynecountyhospital.org Provider Int 3 Complete 2023/05/05 12:00:00 2023/05/05 12:00:00 2023/05/06 12:49:25 UV 2.16.840.1.113883.3.9760 dhrhealthtraumareconstructivesurgeryinstitute DHR Health Trauma Reconstructive Surgery Institute OID Root Benjamin Gallegos masked Brianna L. Tapia 5111 S McColl Rd, Edinburg, TX 78539 9563628164 masked Practice Manager DHR Health Trauma Reconstructive Surgery Institute 5111 S McColl Rd, Edinburg, TX 78539 9563628850 b.tapia@dhr-rgv.com Provider Int 3 Complete 2023/05/05 12:00:00 2023/05/05 12:00:00 2023/05/06 12:59:22 UV 2.16.840.1.113883.3.9761 plazahc Plaza Healthcare Jacklin Lewis masked Jacklin Lewis 1475 N. Granite Reef Scottsdale, AZ 85257 6027140713 masked CIO Plaza Health Care 1475 N. Granite Reef Scottsdale, AZ 85257 4809901904 jlewis@hqmg.com https://www.plazahealthcare.com/ Provider Int 3 Complete 2023/05/05 12:00:00 2023/05/05 12:00:00 2023/05/06 01:03:37 UV 2.16.840.1.113883.3.9762 fsa Family Service Agency Vern Brown masked June Hobby June Hobby 10220 N 31st Ave., Suite 103 Phoenix, AZ 85051 602-863-1862 masked Medical Records/Digital Media Manager Family Service Agency 10220 N 31st Ave., Suite 103 Phoenix, AZ 85051 602-863-1862 june.hobby@fsaphoenix.org http://www.fsaphoenix.org Provider Int 3 Complete 2023/05/05 12:00:00 2023/05/05 12:00:00 2023/05/06 01:07:53 UV 2.16.840.1.113883.3.9763 ccare Creative Care Inc Michelle Miller masked Michelle Miller 1099 Sunrise Ave, Kingman, AZ 86401 9287184852 masked IT Director Creative Care 1099 Sunrise Ave, Kingman, AZ 86401 9287184852 mmiller@creativecare.cc https://www.creativecare.cc Provider Int 3 Complete 2023/05/05 12:00:00 2023/05/05 12:00:00 2023/05/06 01:17:09 UV 2.16.840.1.113883.3.9764 smpstkateri SMP Health - St. Kateri Gabby Wilkie masked pwilkie@pmc-rolla.com Paula Wilkie PO BOX 759 ROLLA, ND 58367 7014773161 masked CFO SMP Health - St. Kateri PO BOX 759 ROLLA, ND 58367 7014773161 pwilkie@pmc-rolla.com https://smphealth.org/stkateri/ Provider Int 3 Complete 2023/05/08 12:00:00 2023/05/09 12:00:00 2023/05/10 03:18:04 UV 2.16.840.1.113883.3.9765 standrews SMP Health - St. Andrew's Bill Dawson masked Bill Dawson 316 Ohmer St. Bottineau, ND 58318 701-228-9300 masked IT Director SMP Health - St. Andrew's 316 Ohmer St. Bottineau, ND 58318 701-228-9300 IT@stahc.net https://smphealth.org/standrews/ Provider Int 3 Complete 2023/05/09 12:00:00 2023/05/09 12:00:00 2023/05/10 03:21:23 UV 2.16.840.1.113883.3.9766 acc Archstone Care Center Maurine Salcido masked Maurine Salcido 1980 W Pecos Rd Chandler AZ 85224 4808211268 masked Director of Medical Records Archstone Care Center 1980 W Pecos Rd Chandler AZ 85224 4808211268 adunlap@archstonecare.com https://archstonecare.com/ Provider Int 3 Complete 2023/05/10 12:00:00 2023/05/11 12:00:00 2023/05/12 01:19:06 UV 2.16.840.1.113883.3.9767 ctfs Changing Tides Family Services Connie Sundberg masked Connie Sundberg 2259 Myrtle Ave Eureka, CA 95501 7074448293 masked Deputy Director Changing Tides Family Services 2259 Myrtle Ave Eureka, CA 95501 7074448293 info@changingtidesfs.org https://www.changingtidesfs.org Provider Int 3 Complete 2023/05/11 12:00:00 2023/05/11 12:00:00 2023/05/12 01:30:42 UV 2.16.840.1.113883.3.9768 vpbs ViaQuest Psychiatric and Behavioral Solutions Ann Nash masked Andrew Nash Ann Nash 525 Metro Place North Suite 300 Dublin, Ohio 43017 614-339-1648 masked Vice President of Behavioral Health ViaQuest Psychiatric and Behavioral Solutions 525 Metro Place North Suite 300 Dublin, Ohio 43017 ann.nash@viaquestinc.com Provider Int 3 Complete 2023/05/15 12:00:00 2023/05/17 12:00:00 2023/05/18 03:41:50 UV 2.16.840.1.113883.3.5958.1000.300 cvsHealth-CQ-Retail CVS Health Retail Pharmacy Doris Arnold masked James D. Murray CVS Health One CVS Drive Woonsocket, RI 02895 401-408-5344 masked VP, Clinical Informatics and Interoperability CVS Health CVS Health One CVS Drive Woonsocket, RI 02895 401-765-1500 James.Murray@CVSHealth.com Provider 2.16.840.1.113883.3.5958 Ext 14 Complete 2.16.840.1.113883.3.5958.1000.300 2023/05/15 12:00:00 2023/05/17 12:00:00 2023/05/18 03:45:36 UV 2.16.840.1.113883.3.9769 sands Sandstone Healthcare Group Gladys Ventura masked Gladys Ventura 630-398-1596 masked VP of Informatics & Education Sandstone of Tucson Rehab Centre 2900 East Milber Street Tucson, AZ 85714-2097 (520) 294-0005 gventura@elevatecare.com https://sandstonehc.com/locations/tucson/ Provider Int 3 Complete 2023/05/16 12:00:00 2023/05/17 12:00:00 2023/05/18 03:49:25 UV 2.16.840.1.113883.3.9770 dhccaz Desert Haven Care Center Jayson Hunt masked Jayson Hunt 2645 East Thomas Rd Phoenix, AZ 85016 6029568000 masked Administrator SRCV-HAVEN, LLC dba Desert Haven Care Center 2645 East Thomas Rd Phoenix, AZ 85016 6029568000 jayson.hunt@dhccaz.com Provider Int 3 Complete 2023/05/16 12:00:00 2023/05/18 12:00:00 2023/05/18 04:00:10 UV 2.16.840.1.113883.3.9771 ttp-enthwclinic TTP - ENT HW CLINIC Rae Rodriguez masked Rae Rodriguez 3601 4th street MS 8352 Lubbock, TX 79430 8067432493 masked Clinical Informatics Coordinator Texas Tech ENT HW Clinic 11011 Slide Rd Lubbock, TX 79424 8067433277 RaeAnn.Rodriguez@ttuhsc.edu https://www.texastechphysicians.com/lubbock/ Academic Int 3 Complete 2023/05/17 12:00:00 2023/05/18 12:00:00 2023/05/18 04:04:08 UV 2.16.840.1.113883.3.9772 ttp-urologyhwclinic TTP - Urology HW Clinic Rae Rodriguez masked Rae Rodriguez 3601 4TH Street MS8352 Lubbock, TX 79430 8067432493 masked Clinical Informatics Coordinator Texas Tech Urology HW Clinic 11011 Slide Rd Lubbock, TX 79424 8067431810 RaeAnn.Rodriguez@ttuhsc.edu https://www.texastechphysicians.com/lubbock/ Academic Int 3 Complete 2023/05/17 12:00:00 2023/05/18 12:00:00 2023/05/18 04:09:41 UV 2.16.840.1.113883.3.9773 ttppmandrclinic TTP - PM&R Clinic Rae Rodriguez masked Rae Rodriguez 3601 4th street MS 8352 Lubbock, TX 79430 8067432493 masked Clinical Informatics Coordinator Texas Tech PM & R Clinic 3601 4th St., 3rd floor, Rm 3A105, MS8321 Lubbock, TX 79430 806-743-2391 RaeAnn.Rodriguez@ttuhsc.edu https://www.texastechphysicians.com/lubbock/ Academic Int 3 Complete 2023/05/17 12:00:00 2023/05/18 12:00:00 2023/05/18 04:13:42 UV 2.16.840.1.113883.3.9774 ttp-internalmedsouthwestclinic TTP - Internal Med Southwest Clinic Rae Rodriguez masked Rae Rodriguez 3601 4th street MS8352 Lubbock, TX 79430 8067432493 masked Clinical Informatics Coordinator Texas Tech Internal Med Southwest Clinic 4004 82nd Street Lubbock, Texas 79423 743-3150 RaeAnn.Rodriguez@ttuhsc.edu https://www.texastechphysicians.com/lubbock/ Academic Int 3 Complete 2023/05/17 12:00:00 2023/05/18 12:00:00 2024/02/16 12:43:52 UV 2.16.840.1.113883.3.9775 ttp-internalmedicinehwclinic TTP - Internal Medicine HW Clinic Rae Rodriguez masked Rae Rodriguez 3601 4TH STREET MS8352 LUBBOCK, TX 79430 8067432493 masked Clinical Informatics Coordinator Texas Tech Internal Medicine HW Clinic 11011 Slide Rd Lubbock, TX 79424 806-743-3150 RaeAnn.Rodriguez@ttuhsc.edu https://www.texastechphysicians.com/lubbock/ Academic Int 3 Complete 2023/05/17 12:00:00 2023/05/18 12:00:00 2023/05/18 04:28:24 UV 2.16.840.1.113883.3.9776 ttp-ccvhhwclinic TTP - CCVH HW Clinic Rae Rodriguez masked Rae Rodriguez 3601 4th street MS 8352 Lubbock, TX 79430 8067432493 masked Clinical Informatics Coordinator Texas Tech CCVH HW Clinic 11011 Slide Rd Lubbock, TX 79430 806-743-1501 RaeAnn.Rodriguez@ttuhsc.edu https://www.texastechphysicians.com/lubbock/ Academic Int 3 Complete 2023/05/17 12:00:00 2023/05/18 12:00:00 2023/05/18 04:35:14 UV 2.16.840.1.113883.3.9777 mmhd Mayers Memorial Healthcare District OID Registration Rachel Morris masked Jeff Miles 43563 Highway 299E Fall River Mills, CA 96028 5303365511 masked IT Manager Mayers Memorial Healthcare District 43563 Highway 299E Fall River Mills, CA 96028 5303365511 IT2@mayersmemorial.com https://www.mayersmemorial.com/ Provider Int 3 Complete 2023/05/17 12:00:00 2023/05/18 12:00:00 2023/05/18 04:40:54 UV 2.16.840.1.113883.3.9778 clear-secure-inc Clear Secure, Inc. Noah Weinthal masked Nick Peddy 85 Tenth Avenue FL 10 c/o CLEAR New York, NY 10011 6467231404 masked Chief Technology Officer Clear Secure, Inc. 85 Tenth Avenue FL 10 c/o CLEAR New York, NY 10011 6467231404 healthcare@clearme.com Vendor Int 3 Complete 2023/05/17 12:00:00 2023/05/18 12:00:00 2023/05/18 04:47:04 UV 2.16.840.1.113883.3.9779 christiancare Christian Care Companies Angela Dickerson masked Angela Dickerson 2400 W DUNLAP AVE, Suite 250 Phoenix, AZ 85021 6024435435 masked Executive Administrative Assistant Christian Care Companies 2400 W. Dunlap Avenue Suite 250 Phoenix, AZ 85021 6024435435 Angie.Dickerson@Christiancare.org https://christiancare.org Provider Int 3 Complete 2023/05/17 12:00:00 2023/05/18 12:00:00 2023/05/18 04:49:42 UV 2.16.840.1.113883.3.9780 hhg Haven Health Group, LLC Ryan West masked Ryan West 535 West 500 South #4 Bountiful, Utah 84010 801-296-5122 masked CTO Haven Health Group, LLC 275 E. Rivulon Blvd Suite 201 Gilbert, AZ 85297 480-935-4300 crwest@hgmgt.com http://www.havenhg.com Provider Int 3 Complete 2023/05/17 12:00:00 2023/05/18 12:00:00 2023/05/18 04:54:23 UV 2.16.840.1.113883.17.9501 hmh Horn Memorial Hospital Robbie Todd masked Robbie Todd 701 E 2nd St Ida Grove, IA 51445 712-364-3311 masked IT Department Horn Memorial Hospital 712-364-3311 itdept@hornmemorialhospital.org https://www.hornmemorialhospital.org/ Provider Int 17 Complete 2023/05/18 12:00:00 2023/05/19 12:00:00 2023/05/20 01:01:40 UV 2.16.840.1.113883.3.9781 mgpa Maryland Gardens Post Acute Keith Carroll masked Maryland Gardens Post Acute 31 West Maryland Ave, Phoenix, AZ 85013 6022657484 masked Administrator Maryland Gardens Post Acute 31 West Maryland Ave, Phoenix, AZ 85013 6022657484 keith.carroll@marylandgardenspa.com https://marylandgardenspa.com/ Provider Int 3 Complete 2023/05/18 12:00:00 2023/05/19 12:00:00 2023/05/20 01:05:16 UV 2.16.840.1.113883.3.9782 rpa Ridgecrest Post Acute Scott Brenay masked Scott Brenay 16640 N 38th St Phoenix, AZ 85032 6024826671 masked Administrator Ridgecrest Post Acute 16640 N 38th St Phoenix, AZ 85032 6024826671 scott.brenay@ridgecrestpa.com https://ridgecrestpa.com/ Provider Int 3 Complete 2023/05/19 12:00:00 2023/05/19 12:00:00 2023/05/20 01:09:17 UV 2.16.840.1.113883.3.9783 pvpa Palm Valley Post Acute Terry Speth masked Terry Speth 13575 West McDowell Road Goodyear, AZ 85395 623-536-9911 masked Administrator Palm Valley Post Acute 13575 West McDowell Road Goodyear, AZ 85395 623-536-9911 terry.speth@palmvalleypa.com https://palmvalleypa.com Provider Int 3 Complete 2023/05/19 12:00:00 2023/05/19 12:00:00 2023/05/20 01:14:18 UV 2.16.840.1.113883.3.9784 oldpcs Old Pueblo Community Services Philip Pierce masked Philip Pierce 4501 E 5th St Tucson, AZ 85711 520-546-0122 masked QM EHR Manager Old Pueblo Community Services (OPCS) 4501 E 5th St Tucson, AZ 85711 520-546-0122 qm@helptucson.org https://helptucson.org/ Provider Int 3 Complete 2023/05/19 12:00:00 2023/05/19 12:00:00 2023/05/20 01:27:39 UV 2.16.840.1.113883.3.9785 elev8centers elev8Centers Jamie Schwartz masked Jamie Schwartz 151 West 136th Street New York, NY 10030 6468190824 masked Executive Director elev8Centers 151 west 136th Street New York, NY 10030 6468190824 jamie.schwartz@elev8centers.com https://elev8centers.com Provider Int 3 Complete 2023/05/24 12:00:00 2023/05/31 12:00:00 2023/05/31 11:52:59 UV 2.16.840.1.113883.3.9786 hnr-scmc HonorHealth Sonoran Crossing Medical Center Shane Bagley masked Joel Vignaroli Shane Bagley 2500 W Utopia Rd Phoenix, AZ 85027 16236834144 masked Data Integration Analyst III HonorHealth Sonoran Crossing Medical Center 33400 N. 32nd Avenue Phoenix, AZ 85085 16236835000 epicinterface@HonorHealth.com http://www.HonorHealth.com Provider Int 3 Complete 2023/05/24 12:00:00 2023/05/31 12:00:00 2023/06/01 12:01:06 UV 2.16.840.1.113883.3.9787 imhdcepn Intermountain Denver EPN Clinics Angela Mares masked Steve.Neary@imail.org Steve Neary 500 Eldorado Blvd Broomfield, CO 80010 4066974637 masked Integration Developer Intermountain Denver EPN Clinics 500 Eldorado Blvd Broomfield, CO 80010 4066974637 Steve.Neary@imail.org https://intermountainhealthcare.org Provider Int 3 Complete 2023/05/24 12:00:00 2023/05/31 12:00:00 2023/06/01 12:03:59 UV 2.16.840.1.113883.3.9788 hhrf Helping Hearts Residential Facilities Teresa Hoffmeyer masked Teresa Hoffmeyer 1500 E. Thomas Rd. Suite 104 Phoenix, AZ 85014 602-399-2528 masked Vice President of Clinical Operations Helping Hearts Residential Facilities 1500 E. Thomas Rd. Suite 104 Phoenix, AZ 85014 602-399-2528 thoffmeyer@hhrfaz.com https://www.hhrfaz.com Provider Int 3 Complete 2023/05/26 12:00:00 2023/05/31 12:00:00 2023/06/01 12:07:31 UV 2.16.840.1.113883.3.9789 appmaxcare Appmax Technologies Inc Malaykumar Patel masked Malaykumar Patel 135 Morningside Dr Georgetown, ON L7G 0M3 Canada 4168994008 masked Managing Director Appmax Technologies Inc. 135 Morningside Dr Georgetown, ON L7G 0M3 Canada 4168994008 malayspatel@gmail.com https://appmaxcare.com/ Vendor Int 3 Complete 2023/05/29 12:00:00 2023/05/31 12:00:00 2023/06/01 12:12:50 UV 2.16.840.1.113883.3.9790 ajhc Apache Junction Health Center Rey Mangahas masked Ian Gatchell 2012 W Southern Avenue Apache Junction, AZ 85120 4356695414 masked Operations Manager Apache Junction Health Center 2012 W Southern Avenue Apache Junction, AZ 85120 4809830700 ian.gatchell@pacs.com http://www.apachejunctionhc.com Provider Int 3 Complete 2023/05/30 12:00:00 2023/05/31 12:00:00 2024/01/18 12:37:39 UV 2.16.840.1.113883.3.9791 cynchealth-ia Iowa Health Information Network DBA CyncHealth Iowa David Baker masked Jaime Bland PO Box 27842 Omaha, NE 68127 866-978-1799 masked Chief Executive Officer Iowa Health Information Network DBA CyncHealth Iowa 866-978-1799 support@cynchealth.org https://cynchealth.org/about/iowa/ Exchange Int 3 Complete 2023/05/31 12:00:00 2023/05/31 12:00:00 2023/06/01 12:29:07 UV 2.16.840.1.113883.3.9792 selfii Selfii Jami Young masked Jeff Grant masked Selfii support@selfii.com Exchange Int 3 Complete 2023/05/31 12:00:00 2023/05/31 12:00:00 2025/01/15 07:05:35 UV 2.16.840.1.113883.17.9502 hscrc Maryland Health Services Cost Review Commission Dianne Feeney masked Dianne Feeney HSCRC 4160 Patterson Ave Baltimore MD, 21215 4107642605 masked Associate Director Quality Initative Maryland Health Services Cost Review Commission HSCRC 4160 Patterson Ave Baltimore MD, 21215 4107642605 dianne.feeney@maryland.gov https://hscrc.maryland.gov/ Govt body Int 17 Complete 2023/05/31 12:00:00 2023/05/31 12:00:00 2023/06/01 12:49:10 US 2.16.840.1.113883.3.9793 rIM Rim Country Rehab, Inc. Tabitha Meyer masked Deanna Bauer Deanna Bauer 807 W Longhorn Rd Payson, AZ 85541 928-474-1120 masked Business Manager Rim Country Rehab, Inc. 807 W Longhorn Rd Payson, AZ 85541 928-474-1120 tmeyer@rimcountryhealth.com Provider Int 3 Complete 2023/05/31 12:00:00 2023/05/31 12:00:00 2023/06/01 12:55:24 UV 2.16.840.1.113883.3.9794 vcusod Virginia Commonwealth University School of Dentistry Michael Talley masked Michael Talley 520 N. 12th Street Richmond, Virginia 23298-0566 (804) 828-5270 masked Director, Applications and Infrastructure Virginia Commonwealth University School of Dentistry 520 N. 12th Street Richmond, Virginia 23298-0566 (804) 828-5270 talleymw@vcu.edu https://dentistry.vcu.edu Provider Int 3 Complete 2023/06/02 12:00:00 2023/06/07 12:00:00 2023/06/07 11:43:15 UV 2.16.840.1.113883.3.9795 ahcr Allegiant Healthcare Inge Duran masked Inge Duran 7255 E Broadway Rd, Mesa, AZ 85208 4804898218 masked Director of Finance Allegiant Healthcare 7255 E Broadway Road, Bldg 7 Mesa, AZ 85208 14809818844 iduran@allegianthcr.com https://www.allegianthcr.com Provider Int 3 Complete 2023/06/02 12:00:00 2023/06/07 12:00:00 2023/06/07 11:47:13 UV 2.16.840.1.113883.3.368.1022 chr Collaborative Health Record Joan Harper masked Sean Vogel 5090 Explorer Drive Mississauga, Ontario L4W 4X6 250-717-4527 masked Telus Health Solutions 5090 Explorer Drive Mississauga, Ontario L4W 4X6 905-602-7350 anne.belford@telus.com http://www.telus.com Vendor 2.16.840.1.113883.3.368 Ext 4 Complete 2.16.840.1.113883.3.368.1022 2023/06/05 12:00:00 2023/06/07 12:00:00 2023/06/07 11:58:28 UV 2.16.840.1.113883.3.9796 imahealthcare Internal Medicine Associates, LTD Kathleen Barrows masked Kathleen Barrows 4450 31st Ave S Suite 102 Fargo, ND 58104 7015414710 masked ima Healthcare 4450 31st Ave S Ste 102 Fargo, ND 58104 17015414710 info@imahealthcare.com https://www.imahealthcare.com Provider Int 3 Complete 2023/06/05 12:00:00 2023/06/07 12:00:00 2023/06/08 12:08:20 UV 2.16.840.1.113883.3.9797 hrs Health Recovery Services, Inc. Regina Smith masked Regina Smith PO Box 724 Athens, Ohio 45701 7405926724 masked CFO Health Recovery Services, Inc. PO Box 724 Athens, Ohio 45701 7405926724 rsmith@hrs.org https://www.hrs.org Provider Int 3 Complete 2023/06/07 12:00:00 2023/06/07 12:00:00 2023/06/08 12:15:54 UV 2.16.840.1.113883.3.9798 ephc-oid Eastern Plumas Health Care CA Joanna Garneau masked Joanna Garneau 500 1st Avenue Portola, CA 96122 530-832-8832 masked Program Manager Eastern Plumas Health Care 500 1st Avenue Portola, CA 96122 530-832-6500 oid@ephc.org https://ephc.org Provider Int 3 Complete 2023/06/07 12:00:00 2023/06/07 12:00:00 2023/06/08 12:24:36 UV 2.16.840.1.113883.3.9799 snf Desert Peak Care Center Jules Wentzel masked Jules Wentzel 8825 S 7th St Phoenix, AZ 85042 6022436121 masked Business Office Director Desert Peak Care Center 8825 S 7th St Phoenix, AZ 82042 602-243-6121 jmacallister@desertpeakcc.com Provider Int 3 Complete 2023/06/08 12:00:00 2023/06/13 12:00:00 2023/06/14 02:49:16 UV 2.16.840.1.113883.17.9503 infohandler InfoHandler.com Megan DeLuca masked Steve Daugherty Megan DeLuca 6409 Fayetteville Rd. Ste 120-309, Durham, NC 27713 (800) 942-9432 masked VA customer representative InfoHandler.com 6409 Fayetteville Rd. Ste 120-309, Durham, NC 27713 (800) 942-9432 mdeluca@infohandler.com http://infohandler.com Vendor Int 17 Complete 2023/06/09 12:00:00 2023/06/13 12:00:00 2023/06/14 03:00:28 UV 2.16.840.1.113883.3.9800 vivliohealth Vivlio Health Samuel Lambert masked Samuel S Lambert 690 Miami Circle NE Suite 575 Atlanta, GA 30324 770-820-2097 masked CTO Vivlio Health Inc. 690 Miami Circle NE Suite 575 Atlanta, GA 30324 404-777-5772 slambert@vivliohealth.com https://www.vivliohealth.com Vendor Int 3 Complete 2023/06/13 12:00:00 2023/06/13 12:00:00 2023/06/14 03:07:35 UV 2.16.840.1.113883.3.9801 innovar Innovar Healthcare Daniel Svanstedt masked lbittle@innovarhealthcare.com Loyd Bittle 1403 Morningview Drive Prattville, AL 36067 3344142283 masked CEO Innovar Healthcare 445 Dexter Ave Ste 4050 Montgomery, Alabama 36104 3344142283 support@innovarhealthcare.com Vendor Int 3 Complete 2023/06/15 12:00:00 2023/06/15 12:00:00 2023/06/15 10:16:56 UV 2.16.840.1.113883.3.9802 behc Bristow Endeavor Healthcare LLC Jason Poulin masked Jason Poulin 3029 W Main St. Jenks, OK 74037 918-701-2300 masked Director IT/Project Mgmt Bristow Endeavor Healthcare LLC 3029 W Main St Jenks, OK 74033 9187012300 jpoulin@behc.org https://corejenks.com Provider Int 3 Complete 2023/06/21 12:00:00 2023/06/22 12:00:00 2023/06/22 11:20:58 UV 2.16.840.1.113883.3.9803 awm Associates for Women's Medicine PLLC Eric Rosenberger masked Eric Rosenberger 792 N Main St Suite 100A North Syracuse, NY 13212 3157010696 masked IT Manager Associates for Women's Medicine PLLC 792 N Main St Suite 100A North Syracuse, NY 13212 3154222222 erosenberger@afwomensmed.com Provider Int 3 Complete 2023/06/21 12:00:00 2023/06/22 12:00:00 2023/06/22 11:23:06 UV 2.16.840.1.113883.9.218.10.1 chl Concord Hospital - Laconia Adam Mark masked Dan Venecek Dan Venecek 250 Pleasant Street Concord, NH 03301-2598 (603) 227-7000 xt 81113 masked Director, ITS Project Management Concord Hospital - Laconia 80 Highland St Laconia, NH 03246 (603) 227-7000 dvenecek@crhc.org Provider Ext 2.16.840.1.113883.9.218 3 Deprecated 2.16.840.1.113883.9.218.10.1 2023/06/22 12:00:00 2023/06/27 10:16:31 UV 2.16.840.1.113883.9.219.10.1 chf Concord Hospital - Franklin Adam Mark masked Dan Venecek Dan Venecek 250 Pleasant Street Concord, NH 03301-2598 (603) 227-7000 xt 81113 masked Concord Hospital - Franklin 15 Aiken Avenue Franklin, NH 03235 (603) 227-7000 dvenecek@crhc.org Provider Ext 2.16.840.1.113883.9.219 3 Deprecated 2.16.840.1.113883.9.219.10.1 2023/06/22 12:00:00 2023/06/27 10:21:45 UV 2.16.840.1.113883.3.9804 aal-gaz Amarsi Assisted Living Amy Riter masked Lisa Leveque 480-313-1429 masked Amarsi Assisted Living 5125 North 58th Avenue Glendale, AZ 85301 623-915-5720 lleveque@ensignservices.net https://amarsial.com/ Provider Int 3 Complete 2023/06/22 12:00:00 2023/06/22 12:00:00 2023/06/22 11:27:11 UV 2.16.840.1.113883.3.9805 dmsl-taz Desert Marigold Senior Living of Tempe Amy Riter masked Lisa Leveque 480-313-1429 masked Desert Marigold Senior Living of Tempe 601 East Westchester Drive Tempe, AZ 85283 480-831-8660 lleveque@ensignservices.net https://desertmarigoldliving.com/ Provider Int 3 Complete 2023/06/22 12:00:00 2023/06/22 12:00:00 2023/06/22 11:30:07 UV 2.16.840.1.113883.3.9806 tcalf-maz The Citadel Assisted Living Facility Amy Riter masked Lisa Leveque 480-313-1429 masked The Citadel Assisted Living Facility 520 South Higley Road Mesa, AZ 85206 480-832-7600 lleveque@ensignservices.net https://citadelretirement.com/ Provider Int 3 Complete 2023/06/22 12:00:00 2023/06/22 12:00:00 2023/06/22 11:34:36 UV 2.16.840.1.113883.3.9807 tgaaislc-maz The Groves Assisted and Independent Senior Living Community Amy Riter masked Lisa Leveque 480-313-1429 masked The Groves Assisted and Independent Senior Living Community 5848 East University Drive Mesa, AZ 85205 480-981-0098 lleveque@ensignservices.net Provider Int 3 Complete 2023/06/22 12:00:00 2023/06/22 12:00:00 2023/06/22 11:38:33 UV 2.16.840.1.113883.9.285 bvhHL7 Beaver Valley Hospital HL7 Walt Kerksiek masked Tyler Moss Walt Kerksiek 1109 north 100 W PO Box 1670 Beaver, Utah 84713 4354387191 masked CIO Beaver Valley Hospital tmoss@beaverhospital.net Provider Int 3 Complete 2023/06/22 12:00:00 2023/06/22 12:00:00 2023/06/22 11:50:16 UV 2.16.840.1.113883.3.9808 wcoc Winslow Campus of Care Gary Olson masked Gary Olson 826 W. Desmond St. Winslow, AZ 86047 19282894678 masked Administrator Winslow Campus of Care 826 W. Desmond St. Winslow, AZ 86047 19282894678 golson@winslowcc.com https://www.winslowcc.com Provider Int 3 Complete 2023/06/26 12:00:00 2023/06/26 12:00:00 2023/06/26 11:54:44 UV 2.16.840.1.113883.3.9809 pineville Pineville Community Health Center Brian Brown masked Brian Brown 850 Riverview Ave. Pineville, KY 40977 6066544756 masked Network Administration Pineville Community Health Center 850 Riverview Ave. Pineville, KY 40977 6063373051 info@pinevillehospital.org https://www.yourhometownhospital.org Provider Int 3 Complete 2023/06/28 12:00:00 2023/06/28 12:00:00 2023/06/28 11:42:45 UV 2.16.840.1.113883.3.9810 thepedctr The Pediatric Center, PLLC Judy Dietz masked Judy Dietz 4745 Arapahoe Ave. Suite 310 Boulder, CO 80303 3034422913 masked Administrator The Pediatric Center, PLLC 4745 Arapahoe Ave. Suite 310 Boulder, CO 80303 303-442-2913 jdietz@thepediatriccenter.net https://thepediatriccenter.net Provider Int 3 Complete 2023/06/28 12:00:00 2023/06/28 12:00:00 2023/06/28 11:47:47 UV 2.16.840.1.113883.3.9811 capwn Community Action Health Center Kimberly Kimmel masked Kimberly Kimmel 975 Crescent Dr., Gering, NE 69341 3086332470 masked Health information system manager Community Action Health Center 975 Crescent Dr., Gering, NE 69341 3086322540 kkimmel@capwn.org https://capwn.org/ Provider Int 3 Complete 2023/06/28 12:00:00 2023/06/28 12:00:00 2023/06/28 11:55:40 UV 2.16.840.1.113883.3.9812 tcci Transitions Healthcare Mark Sarinopoulos masked Mark Sarinopoulos Transitions Healthcare 424 Kimbark St, Longmont, CO 80501 3034275302 masked Owner - Medical Director Transitions Healthcare 424 Kimbark St, Longmont, CO 80501 3034275302 msarinopoulos@transitionshp.com http://www.mytransitionscare.com Provider Int 3 Complete 2023/06/28 12:00:00 2023/06/28 12:00:00 2023/06/29 12:08:59 UV 2.16.840.1.113883.3.9813 healthyio Healthy.io Talya Sassoon masked Talya Sasson 120 Causeway Street, Suite 307 Boston, MA 02114, USA +1-617-820-0708 masked Head of product, US Healthy.io 120 Causeway Street, Suite 307 Boston, MA 02114, USA +1-844-688-5055 info-us@healthy.io https://healthy.io/ Vendor Int 3 Complete 2023/06/29 12:00:00 2023/06/29 12:00:00 2023/06/29 10:35:39 UV 2.16.840.1.113883.3.9814 urbR Urban Recovery Kai Funderburg masked Kai Funderburg Urban Recovery 411 Van Brunt St Brooklyn, NY 11231 4845151070 masked Executive Director Urban Recovery 411 Van Brunt St Brooklyn, NY 11231 646-960-6656 k.funderburg@urbanrecovery.com http://Urbanrecovery.com Provider Int 3 Complete 2023/06/30 12:00:00 2023/06/30 12:00:00 2023/07/01 12:38:50 UV 2.16.840.1.113883.3.9815 naco Lion Star Nacogdoches Hospital Sean Lawrence masked Sean Lawrence 1204 N Mound Street Nacogdoches, TX 75961 9365694627 masked System Administator Lion Star Nacogdoches Hospital 1204 N Mound Street Nacogdoches, TX 75961 936544611 lawrencs@nacmem.org Provider Int 3 Complete 2023/07/03 12:00:00 2023/07/05 12:00:00 2023/07/05 11:39:10 UV 2.16.840.1.113883.3.9816 sdcmh Sarah D. Culbertson Memorial Hospital Kim Taylor masked Kim Taylor 238 S. Congress St Rushville, IL 62681 2173225263 masked Manager of Clinical Informatics Sarah D. Culbertson Memorial Hospital 238 S. Congress St. Rushville, IL 62681 2173224321 helpdesk@sdcmh.org https://cmhospital.com/ Provider Int 3 Complete 2023/07/05 12:00:00 2023/07/05 12:00:00 2023/07/05 11:43:04 UV 2.16.840.1.113883.9.286 npvmc North Platte Valley Medical Center EvaMarie Popelka masked EvaMarie Popelka North Platte Valley Medical Center 1300 N Bridge Ave Saratoga, WY 82331 3072275961 masked COO North Platte Valley Medical Center 1300 N Bridge Ave Saratoga, WY 82331 4066729795 EMariePopelka@npvmc.org https://npvmc.org/ Provider Int 3 Complete 2023/07/05 12:00:00 2023/07/31 12:00:00 2023/08/01 01:34:50 US 2.16.840.1.113883.3.9817 gnchc Good Neighbor Community Health Center Chad Swantek masked Chad Swantek 4321 41th St Columbus, NE 68601 4025627500 masked IT Good Neighbor Community Health Center 4321 41th St Columbus, NE 68601 4025627500 jschenck@ecdhd.ne.gov https://goodneighborcommunityhealthcenter.com/ Provider Int 3 Complete 2023/07/07 12:00:00 2023/07/08 12:00:00 2023/07/09 01:15:29 UV 2.16.840.1.113883.3.9818 fpa433 Family Practice Associates John Wynn masked John Wynn III 433 Summit Boulevard Suite 201 Broomfield, CO 80021 3036739090 masked Practice manager Family Practice Associates 433 Summit Boulevard Suite 201 Broomfield, CO 80021 3036739090 john.wynniii@ourfpa.com https://www.ourfpa.com/ Provider Int 3 Complete 2023/07/07 12:00:00 2023/07/08 12:00:00 2023/07/09 01:24:06 UV 2.16.840.1.113883.3.9819 cCfm Coal Creek Family Medicine Audrey Martinez masked Audrey Martinez 1044 S 88th St Louisville, CO 80027 17204361871 masked Practice Manager Coal Creek Family Medicine 1044 S 88th St Louisville, CO 80027 3036667119 audrey.m@coalcreekfamilymedicine.com Provider Int 3 Complete 2023/07/07 12:00:00 2023/07/08 12:00:00 2023/07/09 01:27:02 UV 2.16.840.1.113883.3.9820 cSOOID2023 Center for Spine and Orthopedics Curtis Stepan masked Curtis Stepan 9005 Grant St. Suite 200 Thornton, CO 80229 3036454098 masked CEO Center for Spine and Orthopedics 9005 Grant St., Suite 200 Thornton, CO 80229 3036454098 stepanc@centerforspineandortho.com Provider Int 3 Complete 2023/07/10 12:00:00 2023/07/15 12:00:00 2023/07/15 11:46:04 UV 2.16.840.1.113883.3.9821 camcare-health CAMcare Health Corporation Glenn Hutton masked Glenn Hutton 817 Federal St Camden, NJ 08103 856 602 4719 masked SVP - Information Technology CAMcare Health Corporation 817 Federal St Camden, NJ 08103 18566024719 ghutton@camcare.net https://www.camcare.net/ Provider Int 3 Complete 2023/07/12 12:00:00 2023/07/15 12:00:00 2023/07/15 11:54:08 US 2.16.840.1.113883.3.9822 hmcla Lasalle Parish Service District No. 1 dba Hardtner Medical Center Shane Davis masked Shane Davis 1102 N. Pine Rd Olla, Louisiana 71465 3184953131 masked Hardtner Medical Center 1102 N. Pine Rd Olla, Louisiana 71465 3184953131 sdavis@hardtnermedical.com https://www.hardtnermedical.com Govt body Int 3 Complete 2023/07/17 12:00:00 2023/07/19 12:00:00 2023/07/20 12:01:43 UV 2.16.840.1.113883.3.9823 fch-DirectMessaging Faith Community Hospital Kristin Raggio masked Kristin Raggio 215 Chisholm Trail Jacksboro, TX 76458 6825839426 masked Director of Clinical Informatics Faith Community Hospital 215 Chisholm Trail Jacksboro, TX 76458 9405676633 kraggio@fchtexas.com https://www.fchtexas.com Provider Int 3 Complete 2023/07/18 12:00:00 2023/07/19 12:00:00 2023/07/20 12:03:29 UV 2.16.840.1.113883.3.9824 eyefinityInc Eyefinity, Inc. Michael Allen masked Michael Allen 3333 Quality Drive, Rancho Cordova, CA 95670 4023202054 masked Sr Manager, Engineering Eyefinity 3333 Quality Drive, Rancho Cordova, CA 95670 8008527600 michael.allen@eyefinity.com https://www.eyefinity.com/ Vendor Int 3 Complete 2023/07/18 12:00:00 2023/07/19 12:00:00 2023/07/20 12:08:53 UV 2.16.840.1.113883.3.9825 rhfp Restore Health Family Practice Aleathia Ware masked Monique Sharpe Monique Sharpe Restore Health Family Practice 1235 Lake Plaza Drive #220 Colorado Springs, CO 80906 719-292-5051 X109 masked Admin Assistant Restore Health Family Practice 1235 Lake Plaza Drive #220 Colorado Springs, CO 80906 719-292-5051 acw@restorehealthfamilypractice.org https://www.restorehealthfamilypractice.org Provider Int 3 Complete 2023/07/18 12:00:00 2023/07/20 12:15:09 UV 2.16.840.1.113883.3.9826 ttp-psychhwclinic TTP - Psych HW Clinic Rae Rodriguez masked Rae Rodriguez 3601 4th street MS 8352 Lubbock, TX 79430 8067432493 masked Clinical Informatics Coordinator Texas Tech Psych HW Clinic 11011 Slide Rd Lubbock, TX 79430 806-743-2820 RaeAnn.Rodriguez@ttuhsc.edu https://www.texastechphysicians.com/lubbock/ Academic Int 3 Complete 2023/07/20 12:00:00 2023/07/20 12:00:00 2023/07/21 12:55:22 UV 2.16.840.1.113883.3.9827 amm-HL7-main-OID Atlantic Medical Management Alec Menconi masked David Sechrist 124 Towerview Ct Cary, NC 27513 9103530581 masked IT Director Atlantic Medical Management 124 Towerview Ct Cary, NC 27513 9103530581 dsechrist@ammhealthcare.com https://ammhealthcare.com/ Provider Int 3 Complete 2023/07/20 12:00:00 2023/07/20 12:00:00 2023/07/21 01:01:15 UV 2.16.840.1.113883.3.9828 nccny Neighborhood Counseling Center Peter Matulich masked Lorraine Galbo 7701 13th Avenue Brooklyn, NY 11228 (718) 232-1351 masked Neighborhood Counseling Center 7701 13th Avenue Brooklyn, NY 11228 admin@nccny.com https://www.nccny.com Provider Int 3 Complete 2023/07/21 12:00:00 2023/07/21 12:00:00 2023/07/22 02:33:54 UV 2.16.840.1.113883.3.9829 counselingMOB2 DHR Health Counseling and Psychiatry Center MOB 2 Benjamin Gallegos masked Sergio Salinas 2821 Michael Angelo Drive Ste 200 Edinburg, TX 78539 956-638-5265 masked Office Manager DHR Health Counseling and Psychiatry Center MOB 2 2821 Michael Angelo Drive Ste 200 Edinburg, TX 78539 956-638-5265 ser.salinas@dhr-rgv.com Provider Int 3 Complete 2023/07/24 12:00:00 2023/07/26 12:00:00 2023/07/27 01:46:03 UV 2.16.840.1.113883.3.9830 ct-doc-ehr State of Connecticut, Department of Correction Electronic Health Record Daniel Wrobel masked Daniel Wrobel 24 Wolcott Hill Rd. Wethersfield, CT 06109 8606926811 masked State of Connecticut, Department of Correction 24 Wolcott Hill Rd. Wethersfield, CT 06109 8606926811 daniel.wrobel@ct.gov https://portal.ct.gov/DOC Govt body Int 3 Complete 2023/07/26 12:00:00 2023/07/26 12:00:00 2023/07/27 01:49:44 UV 2.16.840.1.113883.3.9831 gsh-bak Good Samaritan Hospital Jose Perez masked Frank Moreno Frank Moreno 901 Olive DR, Bakersfield, CA 93308 661-215-7700 masked IT Manager Good Samaritan Hospital 901 Olive Dr, Bakersfield, CA 93308 661-215-7500 it@goodsamhospital.com https://www.goodsamhospital.com/ Provider Int 3 Complete 2023/07/27 12:00:00 2023/07/27 12:00:00 2023/07/27 09:22:49 UV 2.16.840.1.113883.3.9832 mdmInsurance MDM Insurance Services Inc. Ron Stubbington masked Ron Stubbington PO Box 970 Guelph, ON N1H 6N1 519-837-1531 masked Director - IT Operations MDM Insurance Services Inc. PO Box 970 Guelph, ON N1H 6N1 519-837-1531 ron@mdm-insurance.com https://www.mdm-insurance.ca Payor Int 3 Complete 2023/07/27 12:00:00 2023/07/27 12:00:00 2023/07/27 09:26:23 UV 2.16.840.1.113883.3.9833 yes Youth Enrichment Services Maria Olsen masked Mike McGrath Maria Olsen 13 McWhorter Street Brentwood, NY 11717 6312314333 masked Clinical Director Youth Enrichment Services Mental Health Clinic 13 McWhorter Street Brentwood, NY 11717 6312314333 mariaq@yesnews.net https://www.yesnews.org Provider Int 3 Complete 2023/07/28 12:00:00 2023/07/30 12:00:00 2023/07/30 04:07:56 UV 2.16.840.1.113883.3.9834 ensoftek-drcloudehr DrCloudEHR Ramesh Nagul masked EnSoftek Ramesh Nagul 735 SW 158th Ave Beaverton, OR 97006 5036431226 masked Chief Product and Technology Officer EnSoftek Inc 735 SW 158th Ave Beaverton, OR 97006 5036431226 info@drcloudehr.com https://www.drcloudehr.com Vendor Int 3 Complete 2023/07/31 12:00:00 2023/07/31 12:00:00 2023/08/01 01:26:19 UV 2.16.840.1.113883.3.9835 mghpr-ponce Hospital General Menonita Ponce OID Emmanuel Miranda masked D&#225;niza Morales Daniza Morales PO Box 1650 Cidra, PR 00739-1650 7874341700 masked Chief Information Officer Hospital Menonita Ponce Calle Acerola CARR PR 506 KM 1.0 Coto Laurel, PR 00780 (787)848-2100 dmorales@mghpr.org https://sistemamenonita.com/ Provider Int 3 Complete 2023/08/03 12:00:00 2023/08/08 12:00:00 2023/08/08 11:13:30 UV 2.16.840.1.113883.3.9836 sf SimpliFed Gaj Sunthara masked Gaj Sunthara 1-888-458-1364 masked SimpliFed 314 E State Street, Ithaca, NY 14850 1-888-458-1364 team@simplifed.us https://www.simplifed.com Provider Int 3 Complete 2023/08/08 12:00:00 2023/08/08 12:00:00 2023/08/08 11:15:44 UV 2.16.840.1.113883.3.9837 pikevilleMedCenter Pikeville Medical Center Rusty Shanklin masked Rusty Shanklin 911 bypass Rd Pikeville, KY 41501 606 430 4362 masked Director, IT Pikeville Medical Center rusty.shanklin@pikevillehospital.org Provider Int 3 Complete 2023/08/08 12:00:00 2023/08/08 12:00:00 2023/08/08 11:21:56 UV 2.16.840.1.113883.3.9838 slmcqc St. Luke's Medical Center - Quezon City Myra Michelle Cruz masked Roselie Callo 19 Laguna, San Francisco del Monte, Quezon City, 1105 Metro Manila +639178803633 masked Service Engineer St. Luke's Medical Center - Quezon City 279 E Rodriguez Sr. Ave, Quezon City, 1112 Metro Manila (02) 8723 0101 pacs@medequal.com Academic Int 3 Complete 2023/08/11 12:00:00 2023/08/11 12:00:00 2023/08/22 04:20:45 UV 2.16.840.1.113883.3.9839 east-lyme-peds-niantic-ct East Lyme Pediatrics Practice Joel Williams masked Joy Morton 170 Flanders Rd. Niantic, CT 06357 860-739-7444 masked Office Manager East Lyme Pediatrics 170 Flanders Rd. Niantic, CT 06357 860-739-7444 elpc.manager@hotmail.com https://elpediatric.com Provider Int 3 Complete 2023/08/16 12:00:00 2023/08/21 12:00:00 2023/08/21 11:19:26 US 2.16.840.1.113883.3.9840 cch-cerner Columbus Community Hospital to Oracle Cerner Integration Ashley Mathis masked Ashley Mathis 1(979)493-7565 masked Director Quality and IT Columbus Community Hospital 110 Shult Drive Columbus, TX 78934 1(979)732-2371 info@columbusch.com https://www.columbusch.com Provider Int 3 Complete 2023/08/17 12:00:00 2023/08/21 12:00:00 2023/08/21 11:23:23 UV 2.16.840.1.113883.3.9841 apka ApkaMD Leo Obrique masked Leo Obrique 3175619125 masked CTO Softbir 3175619125 leo@softbir.com https://softbir.com Vendor Int 3 Complete 2023/08/17 12:00:00 2023/08/21 12:00:00 2023/08/21 11:27:40 UV 2.16.840.1.113883.3.9842 rl Retina Labs Hamid Fotuhi masked Hamid Fotuhi 555 Marriott Drive, 3rd floor Nashville, TN 37214, USA 866-344-2692 masked VP/CTO Retina Labs 555 Marriott Drive, 3rd floor Nashville, TN 37214, USA 866.344.2692 yunlongzuo@retina-labs.com https://www.retina-labs.com Vendor Int 3 Complete 2023/08/17 12:00:00 2023/08/21 12:00:00 2023/08/21 11:30:42 UV 2.16.840.1.113883.3.9843 lmphw Louisville Metro Public Health and Wellness Jemario Washington masked Jemario Washington 400 East Gray Street Louisville, KY 40202 502-572-8810 masked IT Services Manager Louisville Metro Public Health and Wellness 400 East Gray Street Louisville, KY 40202 502-574-6520 jemario.washington@louisvilleky.gov https://www.louisvilleky.gov Govt body Int 3 Complete 2023/08/23 12:00:00 2023/08/23 12:00:00 2023/08/23 09:38:21 UV 2.16.840.1.113883.3.9844 sbm St. Bernard Hospital Eric Arevalo masked Eric Arevalo 326 West 64th Street Chicago, IL 60621 7739624032 masked St. Bernard Hospital 326 West 64th Street Chicago, IL 60621 7739623900 InformationSystems@stbh.org https://www.stbh.org Provider Int 3 Complete 2023/08/23 12:00:00 2023/08/23 12:00:00 2023/08/23 09:41:58 UV 2.16.840.1.113883.3.9845 docclik Doc Clik Inc. Peter El-koreh masked Mark Moubarak 069 - 110 Didsbury Rd., Kanata, ON, K2T 0C2 5142203836 masked CEO Doc Clik Inc. 069 - 110 Didsbury Rd., Kanata, ON, K2T 0C2 4164003684 dev@docclik.com https://www.docclik.com Vendor Int 3 Complete 2023/08/24 12:00:00 2023/08/24 12:00:00 2023/08/25 03:41:09 UV 2.16.840.1.113883.3.9846 prvev Purview Expert View Case Leslie Trachtman masked Leslie Trachtman 115 West Street Suite 301 Annapolis, MD 21401 (800) 501-1537 masked Managing Director Purview, Nimble Co LLC 115 West Street Suite 301 Annapolis, MD 21401 (800) 501-1537 les@purview.net https://www.purview.net Vendor Int 3 Complete 2023/08/24 12:00:00 2023/08/24 12:00:00 2023/08/25 03:46:48 UV 2.16.840.1.113883.17.9504 kcare KCare Pauline Tan masked Mike Alexander Mike Alexander 10900 Stonelake Blvd. Suite 100 Austin, TX 78759 800-913-9883 masked Chief Operating Officer KCare 10900 Stonelake Blvd. Suite 100 Austin, TX 78759 800-913-9883 hello@k-care.com https://www.k-care.com/ Vendor Int 3 Complete 2023/08/25 12:00:00 2023/08/26 12:00:00 2023/09/05 05:27:39 UV 2.16.840.1.113883.3.9847 tRCNY Resource Center NY Joshua Straight masked Joshua Straight 200 Dunham Avenue Jamestown, NY 14701 716-661-4777 masked Assistant Director of IT Chautauqua County Chapter of NYSARC, dba The Resource Center 200 Dunham Avenue Jamestown, NY 14701 7166611466 joshua.straight@resourcecenter.org https://resourcecenter.org/ Provider Int 3 Complete 2023/08/28 12:00:00 2023/08/28 12:00:00 2023/08/29 01:53:36 UV 2.16.840.1.113883.9.287 prdx Precision Diagnostics Laboratory Ann South masked Ann Marie South 4215 Sorrento Valley Blvd San Diego, CA 92121 828-252-2642 masked Associate Director of Interoperability Precision Diagnostics Laboratory 4215 Sorrento Valley Blvd San Diego, CA 92121 ann.south@precisiondxlab.com https://www.precisiondxlab.com/ Vendor Int 3 Complete 2023/08/28 12:00:00 2023/08/28 12:00:00 2023/08/29 02:04:57 UV 2.16.840.1.113883.3.9848 cosm-prod-listing-num Cosmetic Product Listing Number William Hess masked William Albert Hess United States Food and Drug Administration WO32, Rm2261 10903 New Hampshire Ave Silver Spring, MD 20993 12409976851 masked Pharmacist United States Food and Drug Administration WO32, Rm2261 10903 New Hampshire Ave Silver Spring, MD 20993 12409976851 william.hess@fda.hhs.gov https://www.fda.gov Govt body 2.16.840.1.113883.3.24 Int 3 Complete 2023/08/29 12:00:00 2023/08/29 12:00:00 2023/08/29 10:51:03 UV 2.16.840.1.113883.3.9849 ap Agave Pediatrics Christine Cheaney masked Karin Moreno 3575 W. Deer Valley Rd., Ste 100 Glendale, AZ 85308 4805855200 masked Credentialing Agave Pediatrics 7010 E. Chauncy Ln., Ste 225 Phoenix, AZ 85054 4805855200 info@agavepediatrics.com https://www.agavepediatrics.com Provider Int 3 Complete 2023/08/29 12:00:00 2023/08/29 12:00:00 2023/08/29 08:53:58 UV 2.16.840.1.113883.3.9850 pvillehosp Pinckneyville Community Hospital Jeff Roberts masked Jeff Roberts 5383 State Route 154 Pinckneyville, IL 62274 618-357-5957 masked IT Manager Pinckneyville Community Hospital 5383 State Route 154 Pinckneyville, IL 62274 618-357-2187 InformationSystems@pvillehosp.org https://pvillehosp.org/ Govt body Int 3 Complete 2023/08/30 12:00:00 2023/08/30 12:00:00 2023/08/31 12:11:47 UV 2.16.840.1.113883.3.9851 umcpifhwh UMC Family and Internal Medicine at Health & Wellness Hospital Marco Guardiola masked Marco Guardiola 5219 City Bank Parkway STE 160 Lubbock, TX 79409 806-761-0333 masked Managing Director of Business Services UMC Family and Internal Medicine at Health & Wellness Hospital 11011 Slide Rd. STE 2140W Lubbock, TX 79424-2274 806-472-6699 marco.guardiola@umchealthsystem.com https://www.umchealthsystem.com Govt body Int 3 Complete 2023/08/31 12:00:00 2023/08/31 12:00:00 2023/08/31 10:23:13 UV 2.16.840.1.113883.3.9852 revdoc RevDoc Salome Isbell masked Mitchel Pirtle 8333795678 masked CTO RevDoc, LLC P.O. Box 18131 Tampa, FL 33679 8333795678 sisbell@revdoc.com https://www.revdoc.com Vendor Int 3 Complete 2023/09/01 12:00:00 2023/09/06 12:00:00 2023/09/07 03:45:25 UV 2.16.840.1.113883.3.9853 cinq-oid CINQCARE Roan Reynolds masked Roan Reynolds 564 Niagara Street Building 2 Buffalo, NY 14201 (716) 247-5282 masked CSO CINQCARE LLC INC 564 Niagara Street Building 2 Buffalo, NY 14201 (716) 247-5282 roan.reynolds@cinq.care https://cinq.care Provider Int 3 Complete 2023/09/05 12:00:00 2023/09/06 12:00:00 2023/09/07 03:50:39 UV 2.16.840.1.113883.3.9854 wmcwv Weirton Medical Center Cristen Nopwaskey masked Cristen Nopwaskey 304-797-6578 masked Chief Information Officer Weirton Medical Center 601 Colliers Way, Weirton, WV 26062 304-797-6000 cristen.nopwaskey@weirtonmedical.com Provider Int 3 Complete 2023/09/06 12:00:00 2023/09/06 12:00:00 2023/09/07 03:54:07 UV 2.16.840.1.113883.3.9855 cqch-RootAuthorityFunction-az CQCH Root Authority-Arizona Randall Nielsen masked Eva Delany Randall Nielsen 520-432-5383 masked Information Technology Manager Bisbee Hospital Association Copper Queen Community Hospital 101 Cole Ave. Bisbee, AZ 85603 520-432-5383 rnielsen@cqch.org https://cqch.org Provider Int 3 Complete 2023/09/06 12:00:00 2023/09/07 12:00:00 2023/09/07 04:05:17 US 2.16.840.1.113883.3.9856 gioid Global Instrumentation Root OID James DeMaso masked James DeMaso 7010 Fly Road Ste 5 East Syracuse, New York 13057-9681 315-682-0272 x111 masked President Global Instrumentation, LLC 7010 Fly Road Ste 5 East Syracuse, New York 13057-9681 315-682-0272 x111 jimdemaso@msn.com https://www.globalinstrumentation.com Vendor Int 3 Complete 2023/09/07 12:00:00 2023/09/07 12:00:00 2023/09/07 10:24:18 UV 2.16.124.7.101.20.7.11 ca-nsCDNID Nova Scotia College of Dietitians and Nutritionists Joan Harper masked Chuntang Liu 769-1276 South Park St, Halifax, NS B3H 2Y9 902-402-8618 masked Senior System Analyst Nova Scotia Health Nova Scotia Health 769-1276 South Park St, Halifax, NS B3H 2Y9 902-717-0658 marka1.ralph@nshealth.ca https://www.nshealth.ca/ Govt body 2.16.124.7.101.20 Ext 4 4 Complete 2.16.124.7.101.20.7.11 2023/09/08 12:00:00 2023/09/10 12:00:00 2023/09/11 01:34:21 CA 2.16.840.1.113883.3.9857 tgcinc The Guidance Center, Inc. Devon Forrest masked Devon Forrest 2187 N Vickey Street Flagstaff, AZ 86004 928-527-1899 masked CEO The Guidance Center, Inc. 2187 N Vickey Street Flagstaff, AZ 86004 928-527-1899 itsadmin@tgcaz.org https://www.tgcaz.org Provider Int 3 Complete 2023/09/11 12:00:00 2023/09/11 12:00:00 2023/09/11 11:45:00 UV 2.16.840.1.113883.3.9858 rpmd Rajiv Parikh MD PC Sunita Parikh masked rajivparikh@hotmail.com Sunita Parikh 1964 E Baseline Road, Tempe, AZ 85283 4802508160 masked Office Manager Rajiv Parikh MD PC 1964 E Baseline Road #103, Tempe, AZ 85283 4808971725 parikh2004@gmail.com https://www.docparikh.com Provider Int 3 Complete 2023/09/11 12:00:00 2023/09/11 12:00:00 2023/09/11 11:51:40 UV 2.16.840.1.113883.3.9859 sbmchdcda MANIFEST MX- CCDA Patrick Miller masked PATRICK MILLER 29101 HOSPITAL RD PO BOX 70 LAKE ARROWHEAD, CA 92352 909-205-3935 masked IT MANAGER/ISO SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT 29101 HOSPITAL RD PO BOX 70 LAKE ARROWHEAD, CA 92352 909-205-3935 PATRICK.MILLER@MCHCARES.COM Provider Int 3 Complete 2023/09/13 12:00:00 2023/09/14 12:00:00 2023/09/14 04:00:12 UV 2.16.840.1.113883.3.9860 wfccova WorkersFirst Clinics and Connect Virginia HM Madden masked HM Madden 6477 College Park Sq Suite 306 Virginia Beach, VA 23464 United States 757 608 2760 masked Chief Operations Officer WorkersFirst Clinics PO Box 1554 Williamsburg, VA 23187 United States of America 757 608 2760 harmony.madden@workersfirstclinics.com http://www.workersfirstclinics.com/ Provider Int 3 Complete 2023/09/14 12:00:00 2023/09/14 12:00:00 2023/09/14 11:08:34 UV 2.16.840.1.113883.3.9861 pleaspeds Pleasant Pediatrics Prasad Ravi masked Prasad Ravi 6233223380 masked Pleasant Pediatrics 6233223380 ravip@pleasantpediatrics.com Provider Int 3 Complete 2023/09/14 12:00:00 2023/09/14 12:00:00 2023/09/14 11:12:19 UV 2.16.840.1.113883.3.9862 hgho Hamilton County Hospital District Chad Reinert masked Chad Reinert 400 N Brown St Hamilton, TX 76531 2543861930 masked Director of Information Technology Hamilton County Hospital District 400 N Brown St Hamilton, TX 76531 2543861950 creinert@hamiltonhospital.org http://www.hamiltonhospital.org Provider Int 3 Complete 2023/09/14 12:00:00 2023/09/18 12:00:00 2023/09/18 11:23:45 UV 2.16.840.1.113883.3.9863 vhieco Velatura HIE Corporation Alan Gregory masked Marty Woodruff Richard Fish 1760 Abbey Road Suite 200 Lansing, MI 48833 517-305-2470 masked Chief Operating Officer Velatura HIE Corporation 1760 Abbey Road Suite 200 Lansing, MI 48833 517-305-2470 katie.goulette@velatura.org https://velatura.org/velatura-hie/ Exchange Int 3 Complete 2023/09/15 12:00:00 2023/09/18 12:00:00 2025/07/21 04:34:57 UV 2.16.840.1.113883.3.9864 bcbssc BlueCross BlueShield of South Carolina Robert Root masked autumne.smith@bcbssc.com Robert Root I-20 @ Alpine Road, Columbia SC, 29219 8032649129 masked AVP BlueCross BlueShield of South Carolina I-20 @ Alpine Road, Columbia SC, 29219 8032649129 robert.root@bcbssc.com https://www.southcarolinablues.com/web/public/brands/sc/ Payor Int 3 Complete 2023/09/18 12:00:00 2023/09/18 12:00:00 2023/09/18 11:38:08 UV 2.16.840.1.113883.3.9865 modo-cerner Modoc Medical Center to Oracle Cerner Integration Andreas Camacho masked Andreas Camacho PO Box 190, Alturas, CA 96101 5307088814 masked IT Director Modoc Medical Center PO Box 190, Alturas, CA 96101 5307088800 its@modocmedicalcenter.org http://www.modocmedicalcenter.org Provider Int 3 Complete 2023/09/20 12:00:00 2023/09/20 12:00:00 2023/09/20 10:27:48 UV 2.16.840.1.113883.3.9866 jch Jersey Community Hospital Shane Winters masked Shane Winters 400 Maple Summit Road Jerseyville, IL 62052 6184988388 masked Director of IT Jersey Community Hospital 400 Maple Summit Road Jerseyville, IL 62052 6184986402 swinters@jch.org https://www.jch.org/ Govt body Int 3 Complete 2023/09/21 12:00:00 2023/09/21 12:00:00 2023/09/21 10:51:32 UV 2.16.840.1.113883.3.9867 sc-bh Siskiyou County Behavioral Health Mark Halsebo masked Mark Halsebo 530-841-4100 masked BHB Information systems supervisor Siskiyou County Behavioral Health 2060 Campus Drive Yreka, CA 96097 530-841-4100 BHSinfo@co.siskiyou.ca.us Govt body Int 3 Complete 2023/09/22 12:00:00 2023/09/23 12:00:00 2023/09/24 12:53:50 UV 2.16.840.1.113883.3.9868 upo Unite Planning Organization Peter Matulich masked aharris@upo.org Althea Harris 301 RHODE ISLAND AVENUE, NW WASHINGTON, DC, 20002 (202)682-6597 masked Unite Planning Organization aharris@upo.org https://www.upo.org/ Provider Int 3 Complete 2023/09/25 12:00:00 2023/09/25 12:00:00 2023/09/26 12:21:59 UV 2.16.840.1.113883.17.9505 phfammed Pleasant Hill Family Medicine - PHMG - PeaceHealth Josh Perkins masked Josh Perkins 1115 SE 164th Ave, Vancouver, WA 98683 800-452-1425 masked TSP Supervisor - Ambulatory Applications Pleasant Hill Clinic Peacehealth 35859 Highway 58, OR 97455-8651 800-452-1425 jperkins@peacehealth.org https://www.peacehealth.org/shared-services-center Provider Int 17 Complete 2023/09/25 12:00:00 2023/09/25 12:00:00 2023/09/26 12:27:05 UV 2.16.840.1.113883.3.9869 mchc-KY Mountain Comprehensive Health Corporation Isaac Fields masked Isaac Fields 226 Medical Plaza Lane Whitesburg, KY 41858 6066334823 masked System Administrator Mountain Comprehensive Health Corporation 226 Medical Plaza Lane Whitesburg, KY 41858 6066334823 HL7info@mtncomp.org https://www.mchcky.org Provider Int 3 Complete 2023/09/26 12:00:00 2023/09/29 12:00:00 2023/09/29 10:31:55 UV 2.16.840.1.113883.3.9870 prognoCIS PrognoCIS by Bizmatics Prasanna Dharmadhikari masked Prasanna Dharmadhikari 2429 Military Road Suite 300, Niagara Falls, NY 14304 4088733034 masked Development Director Bizmatics Inc 2429 Military Road Suite 300, Niagara Falls, NY 14304 408.873.3030 support@bizmaticsinc.com https://prognocis.com Vendor Int 3 Complete 2023/09/29 12:00:00 2023/09/29 12:00:00 2023/09/29 10:40:38 UV 2.16.840.1.113883.3.9871 mcg003 Montgomery County Government Suresh Meduri masked Suresh Meduri 401 Hungerford Dr Rockville, MD 20850 7035097730 masked Senior IT Specialist Montgomery County 401 Hungerford Dr Rockville, MD 20850 2407772900 suresh.meduri@montgomerycountymd.gov https://montgomerycountymd.gov/ Govt body Int 3 Complete 2023/10/03 12:00:00 2023/10/03 12:00:00 2023/10/04 03:53:19 UV 2.16.840.1.113883.17.9506 qrda eCQM QRDA III Kristine Gates masked Ron Gowen 36 East 1020 North Farmington, UT 84025 6236283184 masked CTO Health Endeavors LLC 36 East 1020 North Farmington, UT 84025 6236283184 corp@healthendeavors.com https://healthendeavors.com/ Vendor Int 17 Complete 2023/10/04 12:00:00 2023/10/09 12:00:00 2025/05/28 03:05:40 UV 2.16.840.1.113883.3.9872 dhrhealthsportsmedicine DHR Health Sports Medicine OID Root Benjamin Gallegos masked Carlos A. Lopez Jr. 1000 E. Dove Ave. Ste. 200 McAllen, TX 78504 9563623535 masked DHR Health Sports Medicine Office Manager DHR Health Sports Medicine 1000 E. Dove Ave. Ste. 200 McAllen, TX 78504 9563628890 carlo.lopez@dhr-rgv.com Provider Int 3 Complete 2023/10/05 12:00:00 2023/10/09 12:00:00 2023/10/09 06:04:03 UV 2.16.840.1.113883.3.9873 cmhinc-23 Community Memorial Healthcare INC Daniel Fehr masked Mark Burnley Mark Burnley 708 N 18th St Marysville, KS 66508 7855624587 masked IT/IS Community Memorial Healthcare 708 N 18th St Marysville, KS 66508 7855622311 msburnley@cmhcare.com https://www.cmhcare.org Provider Int 3 Complete 2023/10/09 12:00:00 2023/10/09 12:00:00 2023/10/09 06:06:20 UV 2.16.840.1.113883.3.9874 mdn MY DR NOW Glenn Jones masked Glenn Jones 261 N Roosevelt Ave., Chandler, AZ 85226 4805163921 masked Business Development MY DR NOW 261 N Roosevelt Ave., Chandler, AZ 85226 4806778282 glenn.jones@mydrnow.com https://mydrnow.com/ Provider Int 3 Complete 2023/10/09 12:00:00 2023/10/09 12:00:00 2023/10/10 02:08:42 UV 2.16.840.1.113883.4.8139 ca-AvaInd Ava Industries, Canada Joan Harper masked Matt Henschke 824 49 Ave SW Calgary AB T2S 1G9 (587) 606-0063 masked CEO Ava Industries Ltd. 824 49 Ave SW Calgary AB T2S 1G9 (587) 606-0063 emr-support@avaindustries.ca https://www.avaindustries.ca Vendor Int 4 Complete 2023/10/10 12:00:00 2023/10/12 12:00:00 2023/10/13 01:02:52 CA 2.16.840.1.113883.3.9875 sws-001 Southwest Medical Center Dana Olson masked Dana Olson 315 W 15th Street Liberal, KS 67901 6206296324 masked Director of MIS Southwest Medical Center 315 W 15th Street Liberal, KS 67901 6206241651 dolson@swmedcenter.com https://www.swmedcenter.com/ Provider Int 3 Complete 2023/10/13 12:00:00 2023/10/13 12:00:00 2023/10/13 09:26:39 UV 2.16.840.1.113883.3.9876 azliver Arizona Liver Health Joel Lehr masked Joel Lehr 2201 W Fairview Street Suite 9 Chandler, AZ 85224 4806054446 masked IT Manager Arizona Liver Health 2201 W Fairview Street Suite 9 Chandler, AZ 85224 4804704000 systems@azliver.com https://www.azliver.com Provider Int 3 Complete 2023/10/13 12:00:00 2023/10/13 12:00:00 2023/10/13 09:31:53 UV 2.16.840.1.113883.3.9877 ctc Circle The City Jason Suttor masked Jason Suttor 602.776.0776 masked CTO Circle The City 300 W. Clarendon Ave, Suite 200 Phoenix, AZ 85013 602.776.0776 itlicense@circlethecity.org https://circlethecity.org/ Provider Int 3 Complete 2023/10/16 12:00:00 2023/10/16 12:00:00 2023/10/17 01:34:54 UV 2.16.840.1.113883.3.9878 umcpnhwh UMC Neurosurgery at Health and Wellness Hospital Marco Guardiola masked Marco Guardiola 5219 City Bank Parkway STE 160 Lubbock, TX 79409 806-761-0333 masked Managing Director of Business Services UMC Neurosurgery at Health and Wellness Hospital 11011 Slide Rd. STE 2170W Lubbock, TX 79424-2274 806-472-6696 marco.guardiola@umchealthsystem.com https://www.umchealthsystem.com Govt body Int 3 Complete 2023/10/16 12:00:00 2023/10/16 12:00:00 2023/10/17 01:36:35 UV 2.16.840.1.113883.3.9879 meadowbrook-7901 Meadowbrook ASC Tia Sparks masked Tia Sparks 8133611242 masked Meadowbrook ASC 865 Merrick Avenue, Suite 150N Westbury, NY 11590 8133611242 Tia.sparks@surgerypartners.com https://surgerypartners.com/ Provider Int 3 Complete 2023/10/17 12:00:00 2023/10/18 12:00:00 2023/11/15 04:31:41 UV 2.16.840.1.113883.3.9880 dmoh Devoted Medical Group Ohio Lindsay Mello masked Lindsay Mello 617-694-6616 masked Devoted Health Services 221 Crescent Street, Suite 202 Waltham, MA 02453 617-694-6616 DataAcquisition@devoted.com Payor 2.16.840.1.113883.3.9155 Int 3 Complete 2023/10/17 12:00:00 2023/10/18 12:00:00 2023/10/19 12:46:25 UV 2.16.840.1.113883.3.9881 usfhpny US Family Health Plan NY Ryan Pirchio masked Ryan Pirchio 2123564986 masked CIO St. Vincent Catholic Medical Centers 530 7th Avenue 10th Floor New York, NY 10018 8002414848 usfamily@svcmcny.org Payor Int 3 Complete 2023/10/18 12:00:00 2023/10/18 12:00:00 2023/10/19 12:49:11 UV 2.16.840.1.113883.3.9882 gcgh-OID Greene County General Hospital Dylan Morris masked Dylan Morris 1185 N 1000 W Linton, IN 18126992574 masked IT Director Greene County General Hospital 1185 N 1000 W Linton, IN 8128472281 dylan.morris@mygcgh.org Provider Int 3 Complete 2023/10/18 12:00:00 2023/10/18 12:00:00 2023/10/19 12:57:53 UV 2.16.840.1.113883.3.9883 aslh Acadia St. Landry Hospital Amanda Caffey masked Michael Lejeune Amanda L Caffey 810 South Broadway Street Church Point, LA 70525 (337)684-4266 masked Clinical IT Acadia St. Landry Hospital 810 South Broadway Street Church Point, LA 70525 (337)684-5435 acaffey@aslh.org https://www.aslh.org Provider Int 3 Complete 2023/10/19 12:00:00 2023/10/21 12:00:00 2023/10/22 12:19:52 UV 2.16.840.1.113883.3.9884 rf360 Radflow 360 Danny Rackow masked Danny Rackow 6710 Kester Ave. Van Nuys, CA 91405 8189077723 masked IT Radflow 360 6710 Kester Ave. Van Nuys, CA 91405 8189077723 danny@radflow360.com https://www.radflow360.com Vendor Int 3 Complete 2023/10/23 12:00:00 2023/10/24 12:00:00 2023/10/25 12:37:18 US 2.16.840.1.113883.17.9507 prmc Pratt Regional Medical Center Dustin Newby masked Dustin Newby 200 Commodore St Pratt, KS 67124 6204501478 masked IT Director Pratt Regional Medical Center 200 Commodore St Pratt, KS 67124 6206727451 dnewby@prmc.org Provider Int 17 Complete 2023/10/24 12:00:00 2023/10/24 12:00:00 2023/10/25 12:41:20 US 2.16.840.1.113883.3.9885 bswtsjh Baylor Scott & White Texas Spine & Joint Hospital Kelcey Mathis masked Kelcey Mathis 9035253484 masked Director of Infection Prevention & Employee Health Baylor Scott & White Texas Spine & Joint Hospital 1814 Roseland Blvd. Tyler, Texas 75701 9036815774 kelcey.mathis@tsjh.org Provider Int 3 Complete 2023/10/24 12:00:00 2023/10/24 12:00:00 2023/10/25 12:47:43 UV 2.16.840.1.113883.3.9886 irh Izard Regional Hospital Tony Thompson masked wcooper@izardregionalhospital.com Izard Regional Hospital 870-297-3726 masked administrator Izard Regional Hospital PO Box 438 Calico Rock, AR 72519 872973726 tthompson@boavidahealthcare.com Provider Int 3 Complete 2023/10/25 12:00:00 2023/10/25 12:00:00 2023/10/25 11:34:11 UV 2.16.840.1.113883.3.9887 scmh78582 Starr County Memorial Hospital Lutano Villarreal masked Lutano Villarreal 128 N FM 3167 Rio Grande City, TX 78582 9563706015 masked Clinical Operations Director Starr County Memorial Hospital 128 N FM 3167 Rio Grande City, TX 78582 19564875561 thmunoz@starrcountyhospital.com Govt body Int 3 Complete 2023/10/26 12:00:00 2023/10/26 12:00:00 2023/10/27 01:55:34 UV 2.16.840.1.113883.9.288 inv INVITAE LABS Nicole Dais masked Nicole Dais 1400 16th St, San Francisco, CA 94103 (415) 374-7782 masked Software Solutions Engineer Invitae 1400 16th St, San Francisco, CA 94103 (415) 374-7782 s3-sales-nav@invitae.com https://www.invitae.com Vendor Int 3 Complete 2023/10/30 12:00:00 2023/11/01 12:00:00 2023/11/01 09:11:16 UV 2.16.840.1.113883.3.9888 amc-AshleyMedicalCenter Ashley Medical Center Linda Pfeifle masked Linda Pfeifle Ashley Medical Center 612 Center Avenue North PO Box 450 Ashley, ND 58413 7012885266 masked EMR Coordinator Ashley Medical Center 612 Center Avenue North PO Box 450 Ashley, ND 58413 7012883433 lmpfeifle@yahoo.com https://www.amctoday.org/ Provider Int 3 Complete 2023/11/02 12:00:00 2023/11/08 12:00:00 2023/11/08 09:39:19 UV 2.16.840.1.113883.3.9889 oasis Lana Boter Lana Boter masked Lana Boter 161 Madison Ave, Ste 9SW New York, NY 10016 212-213-1123 masked M.D. Lana Boter 161 Madison Ave, Ste 9SW New York, NY 10016 212-213-1123 lboter@nyc.rr.com Provider Int 3 Complete 2023/11/02 12:00:00 2023/11/08 12:00:00 2023/11/08 09:44:18 UV 2.16.840.1.113883.3.9890 trc The Recovery Center Kimberly Friesner masked Kimberly Friesner 201 S Columbus St Lancaster, Ohio 43130 7406874500 masked Business Office Manager The Recovery Center 201 S Columbus St Lancaster, Ohio 43130 7406874500 tfarrar@therecoverycenter.org http://therecoverycenter.org/ Provider Int 3 Complete 2023/11/06 12:00:00 2023/11/08 12:00:00 2023/11/08 09:55:54 UV 2.16.840.1.113883.3.9891 lakesregional-EHR Lakes Regional Community Center Lawrence Jonczak masked Lawrence Jonczak Lakes Regional Community Center 400 Airport Road Terrell, Texas 75160 2145434659 masked Lakes Regional Community Center 400 Airport Road Terrell, Texas 75160 972-388-2000 X1199 larryj@lakesregional.org https://www.lakesregional.org Provider Int 3 Complete 2023/11/07 12:00:00 2023/11/08 12:00:00 2023/11/08 10:02:49 UV 2.16.840.1.113883.15.1150 mdn Meridian Analytics Predictive Model Paulo Pinho masked Jacob Dodd 120 Vantis, Suite 130 Aliso Viejo, CA 92656 562-631-0393 masked Lead Data Scientist Meridian Analytics 120 Vantis, Suite 130 Aliso Viejo, CA 92656 949-272-2000 jdodd@meridian-analytics.com https://www.meridian-analytics.com Vendor Int 17 15 Complete 2023/11/09 12:00:00 2023/12/10 12:00:00 2023/12/10 08:17:45 V2.5 UV 2.16.840.1.113883.3.9892 ccc-upr Hospital Centro Comprensivo de C&#225;ncer UPR Marcos Gonzalez masked Janet Rios Colon PO BOX 363 027 San Juan PR 00936 (787) 936-1477 masked CIO Hospital Centro Comprensivo de C&#225;ncer UPR PO BOX 363 027 San Juan PR 00936 787 936-1477 jrios@cccupr.com Exchange Int 3 Complete 2023/11/10 12:00:00 2023/11/10 12:00:00 2023/11/10 05:59:44 UV 2.16.840.1.114222.4.1.7028 ascentisthospital Ascentist Hospital Amy Kinkade masked Amy Kinkade 5001 College Boulevard 9134842993 masked Doctors Hospital Llc 913-529-1801 amy.kinkade@ascentist.com https://www.ascentist.com/ Provider Ext 3 Complete 2.16.840.1.114222.4.1.7028 2023/11/10 12:00:00 2023/11/15 12:00:00 2023/11/16 02:23:07 UV 2.16.840.1.113883.3.9893 mdh Mason district hospital Emma Fanter masked Mason District Hospital 615 N Promenade St Havana, IL 62644 3095438460 masked Clinical Informatics Specialist Mason District Hospital 615 N Promenade St Havana, IL 62644 3095438460 e-fanter@masondistricthospital.org https://www.masondistricthospital.org/ Provider Int 3 Complete 2023/11/15 12:00:00 2023/11/15 12:00:00 2023/11/16 02:27:55 UV 2.16.840.1.113883.14.1002 iraancpsi Iraan General Hospital District CPSI Jason Rybolt masked Naomi Espinosa Naomi Espinosa 600 Highway 349 North PO Box 665 Iraan, Texas 79744 432-639-3488 masked IT Administrator Iraan General Hosptial District 600 Highway 349 North PO Box 665 Iraan, Texas 79744 432-639-2575 wnall@igh-hospital.com https://www.igh-hospital.com Provider Int 3 Complete 2023/11/15 12:00:00 2023/11/28 12:00:00 2024/12/24 12:57:22 UV 2.16.840.1.113883.3.9894 ksrc Kansas Surgery and Recovery Center Nick Riedel masked Nick Riedel 2770 N Webb Rd Wichita, KS 67226 13166304215 masked IT Manager Kansas Surgery and Recovery Center 2770 N Webb Rd Wichita, KS 67226 13166340090 info@ksrc.org https://kansas.surgery Provider Int 3 Complete 2023/11/15 12:00:00 2023/11/15 12:00:00 2023/11/16 02:31:25 UV 2.16.840.1.113883.3.9895 odyshouse Odyssey House Kate Coy masked Clark Holzworth 117 W. 400 S. Salt Lake City, UT 84101 435-730-4583 masked IT Manager Odyssey House 117 W. 400 S. Salt Lake City, UT 84101 801-322-3222 kcoy@odysseyhouse.org https://www.odysseyhouse.org Provider Int 3 Complete 2023/11/15 12:00:00 2023/11/15 12:00:00 2023/11/16 02:36:46 UV 2.16.840.1.113883.3.9896 frc Foothills Rehabilitation Center Rhonda Espinoza masked Rhonda Espinoza 2250 N. Craycroft Rd Tucson, AZ 85712 5207338889 masked Administrator Foothills Rehabilitation Center 2250 N. Craycroft Rd Tucson, AZ 85712 5207338889 administrator@foothillsrehabcenter.com https://foothillsrehabcenter.com Provider Int 3 Complete 2023/11/16 12:00:00 2023/11/16 12:00:00 2023/11/17 02:34:56 UV 2.16.840.1.113883.3.9897 pchosp1542 Putnam County Hospital Crista Miler masked Jon Hull Crista Miller 1542 South Bloomington St., Greencastle, IN 46135 17653017651 masked Clinical IT Coordinator Putnam County Hospital 1542 South Bloomington St., Greencastle, IN 46135 17653017651 info@pchosp.org https://www.pchosp.org Provider Int 3 Complete 2023/11/17 12:00:00 2023/11/17 12:00:00 2023/11/18 12:39:21 UV 2.16.840.1.113883.3.9898 monroecountyhospital Monroe County Hospital Candice Harrison masked Candice Harrison 2016 South Alabama Avenue Monroeville, AL 36460 2517437414 masked Clinical Informatics Monroe County Hospital 2016 South Alabama Avenue Monroeville, AL 36460 251-575-3111 charrison@mchcare.com http://www.mchcare.com Provider Int 3 Complete 2023/11/20 12:00:00 2023/11/21 12:00:00 2023/11/22 02:24:49 UV 2.16.840.1.113883.3.9899 kvhd Kern Valley Healthcare District Cary Zuber masked Dena Griffith Cary Zuber 6412 Laurel Ave. Lake Isabella, CA 93240 7603796604 masked CIO Kern Valley Healthcare District 6412 Laurel Ave. Lake Isabella, CA 93240 7603792681 caryzuber@kvhd.org https://www.kvhd.org Govt body Int 3 Complete 2023/11/20 12:00:00 2023/11/21 12:00:00 2023/11/22 02:29:11 UV 2.16.840.1.113883.3.9900 choctawmemorialhospital Choctaw Memorial Hospital Stormy Tollison masked Alisha Dickerson 1405 E. Kirk St Hugo, OK 74743 580-317-9513 masked IT Director Choctaw Memorial Hospital 1405 E. Kirk St Hugo, OK 74743 580-317-9500 n.rowland@choctawmemorial.com https://www.choctawmemorial.com Provider Int 3 Complete 2023/11/21 12:00:00 2023/11/21 12:00:00 2023/11/22 02:37:15 UV 2.16.840.1.113883.3.9901 gr-CRHfinal Crescent Regional Hospital Gloria Russak masked Gloria Russak 8178071411 masked Manager Clinical IT Crescent Regional Hospital 4692975321 gloriawebb@cmclancaster.com Provider Int 3 Complete 2023/11/21 12:00:00 2023/11/21 12:00:00 2023/11/22 02:41:34 UV 2.16.840.1.113883.9.289 carlinville Carlinville Area Hospital Robin Beckham masked Sean Hicks Sean Hicks 20733 N. Broad St, Carlinville, IL 62626 2178543141 masked Informatics Manager Carlinville Area Hospital 20733 N. Broad St, Carlinville, IL 62626 2178543141 it@cahcare.com https://www.cahcare.com Provider Int 3 Complete 2023/11/21 12:00:00 2023/11/21 12:00:00 2023/11/22 03:03:12 UV 2.16.840.1.113883.3.9902 electra-memorial-hospital Electra Memorial Hospital Brandon Huffstutler masked Brandon Huffstutler PO Box 1112 Electra, TX 76360 940-495-5221 masked Chief Information Officer Electra Memorial Hospital PO Box 1112 Electra, TX 76360 940-495-3981 emh@electrahospital.com https://electrahospital.com Provider Int 3 Complete 2023/11/21 12:00:00 2023/11/21 12:00:00 2023/11/22 03:06:21 UV 2.16.840.1.114222.4.1.7611.1 hcmcHL7 Holy Cross Medical Center Rosemary Hammer masked Holy Cross Medical Center 1397 Weimer Rd Taos, NM 87571 (575)737-3342 masked Senior Applications Engineer Holy Cross Medical Center 1397 Weimer Rd Taos, NM 87571 (575)758-8883 rhammer@taoshospital.org https://holycrossmedicalcenter.org Provider 2.16.840.1.114222.4.1.7611 Ext 3 Complete 2.16.840.1.114222.4.1.7611.1 2023/11/22 12:00:00 2023/11/24 12:00:00 2023/11/25 12:32:13 UV 2.16.840.1.113883.17.9508 unifiMD UnifiMD Electronic Medical Records Carey Penna masked Carey Penna 1497 North Main Street Palmer, MA 01069 800-250-8687 masked Complete HealthCare Solutions, Inc 1497 North Main Street Palmer, MA 01069 800-250-8687 support@mailchs.com https://unifimd.com/ Vendor Int 17 Complete 2023/11/22 12:00:00 2023/11/24 12:00:00 2023/11/25 12:35:41 UV 2.16.840.1.113883.3.9903 hrh-HILL Hill Regional Hospital Rachel Hack masked Rachel Hack 101 Circle Drive Hillsboro, TX 76645 2545808782 masked Clinical IT Hill Regional Hospital 2545808782 rhack@hillrh.com https://www.hillregionalhospital.com/ Provider Int 3 Complete 2023/11/22 12:00:00 2023/11/24 12:00:00 2023/11/25 12:45:02 UV 2.16.840.1.113883.3.9904 agh-cpsi Artesia General Hospital Eric Jimenez masked Eric Jimenez 702 North 13th Street Artesia, NM 88210 15757368202 masked CIO Artesia General Hospital 702 North 13th Street Artesia, NM 88210 5757483333 ejimenez@artesiageneral.com https://artesiageneral.com Provider Int 3 Complete 2023/11/27 12:00:00 2023/11/28 12:00:00 2023/11/29 04:01:25 UV 2.16.840.1.113883.3.9905 esh Eureka Springs Hospital Simon Larson masked Simon Larson 24 Norris St Eureka Springs, AR 72632 4792253471 masked Eureka Springs Hospital 24 Norris St Eureka Springs, AR 72632 4792537400 IT@eurekaspringshospital.com https://eurekaspringshospital.com Provider Int 3 Complete 2023/11/28 12:00:00 2023/11/28 12:00:00 2023/11/29 04:06:34 UV 2.16.840.1.113883.3.839.4 eh-mcf Emanate Health - Medical Care Foundation Tito Perez masked Tito T Perez 1041 W. Badillo St. Ste 210 Covina, CA 91722 6267324156 masked Corporate Director Enterprise Applications Emanate Health 1041 W. Badillo St. Ste 210 Covina, CA 91722 6267324100 tperez@emanatehealth.org https://emanatehealth.org Provider 2.16.840.1.113883.3.839 Ext 17 Complete 2.16.840.1.113883.3.839.4 2023/11/28 12:00:00 2023/11/28 12:00:00 2023/11/29 04:23:38 UV 2.16.840.1.113883.3.9906 clifton-fine Clifton-Fine Hospital Rodney Teribury masked Rodney Teribury 1014 Oswegatchie Trail Road Star Lake, NY 13690 3158488033 masked CIO Clifton-Fine Hospital 1014 Oswegatchie Trail Road Star Lake, NY 13690 3158483351 support@cfhis.org https://www.cliftonfinehospital.org Provider Int 3 Complete 2023/11/28 12:00:00 2023/11/28 12:00:00 2023/11/29 04:15:43 UV 2.16.840.1.113883.3.9907 entspecialtycare ENT SPECIALTY CARE Clarisse Sy masked Clarisse Sy 8669774367 masked Product Owner WRS HEALTH 8669774367 cmasa@wrshealth.com https://www.wrshealth.com/ Provider 2.16.840.1.113883.3.9591 Int 3 Complete 2023/11/29 12:00:00 2023/11/29 12:00:00 2023/11/30 03:21:11 UV 2.16.840.1.113883.3.9908 eCR-MCBOH McBride Orthopedic Hospital eCR Ronnie Green masked Ronnie Green 9600 Broadway Ext Oklahoma City, OK 73114 4052309398 masked Director of IT McBride Orthopedic Hospital 9600 Broadway Ext Oklahoma City, OK 73114 4052309000 rgreen@mcboh.com https://mcboh.com/ Provider Int 3 Complete 2023/11/29 12:00:00 2023/11/29 12:00:00 2023/11/30 03:23:26 UV 2.16.840.1.113883.3.9909 mc-chs Maricopa County Correctional Health Services (CHS) Noe Sanchez masked Noe Sanchez 234 N. Central Avenue, Suite 5000 Phoenix, AZ 85004 602-506-5535 masked Maricopa County Correctional Health Services (CHS) 234 N. Central Avenue, Suite 5000 Phoenix, AZ 85004 602-506-5535 N.Sanchez@maricopa.gov Govt body Int 3 Complete 2023/11/29 12:00:00 2023/11/29 12:00:00 2023/11/30 03:28:11 UV 2.16.840.1.113883.3.9910 chs-oid-23 CobaltHealthSolutions Kelly McLaughlin masked Kelly McLaughlin 10740 Nall, Suite 100 Overland Park, Kansas 66211 6202033673 masked Systems Administrator Cobalt Health Solutions 10740 Nall, Suite 100 Overland Park, Kansas 66211 6202033673 kelly.mclaughlin@cobaltmedplans.com https://cobalths.com Vendor Int 3 Complete 2023/11/30 12:00:00 2023/12/05 12:00:00 2023/12/06 12:49:45 UV 2.16.840.1.113883.9.290 phs-inc Piedmont Health Services, Inc Jen Sosa masked Jen Sosa 88 Vilcom Center Drive, Suite 110 Chapel Hill, NC 27514 919-537-7491 masked CIO Piedmont Health Services, Inc 88 Vilcom Center Drive, Suite 110 Chapel Hill, NC 27514 919-933-8494 phs@pc-net.com https://www.piedmonthealth.org Provider Int 3 Complete 2023/12/01 12:00:00 2023/12/05 12:00:00 2023/12/06 12:56:39 UV 2.16.840.1.113883.3.9911 bvh Bella Vista Hospital Roberto Torres masked Roberto Torres Carr. 349 km. 2.7 Cerro Las Mesas Mayaguez, P.R. 00680 787-834-6000 masked IT Director Bella Vista Hospital Carr. 349 km. 2.7 Cerro Las Mesas Mayaguez, P.R. 00680 7878346000 r.torres@bvhpr.org https://bvhpr.org Provider Int 3 Complete 2023/12/04 12:00:00 2023/12/05 12:00:00 2023/12/06 01:20:40 PR 2.16.840.1.113883.3.9912 om Optima Medical Luke Grogul masked Luke Grogul 1355 N Scottsdale Rd Suite 240 Scottsdale, AZ 85257 6314825778 masked IT Optima Medical 1355 N Scottsdale Rd Suite 240 Scottsdale, AZ 85257 6314825778 lgrogul@optimamedicalaz.com https://optimamedicalaz.com/ Provider Int 3 Complete 2023/12/04 12:00:00 2023/12/05 12:00:00 2023/12/06 01:25:33 UV 2.16.840.1.113883.3.9913 girard-medical-center Girard Medical Center Janna Sartin masked Janna Sartin Girard Medical Center 302 North Hospital Drive Girard, KS 66743 620-249-1112 masked Clinical Informatics Girard Medical Center 302 North Hospital Drive Girard, KS 66743 620-724-8291 rduling@girardmedicalcenter.com https://www.girardmedicalcenter.com/ Payor Int 3 Complete 2023/12/04 12:00:00 2023/12/05 12:00:00 2023/12/06 02:18:13 UV 2.16.840.1.113883.3.9914 ecmcks Edwards County Medical Center ECMCKS Alisha Herrmann masked Alisha Herrmann 620 W 8th St, Kinsley, KS 67547 6206593621 masked CIO/COO Edwards County Medical Center 620 W 8th St, Kinsley, KS 67547 6206593621 aherrmann@edcomed.com https://www.edcomed.com Provider Int 3 Complete 2023/12/04 12:00:00 2023/12/05 12:00:00 2023/12/06 02:26:14 UV 2.16.840.1.113883.3.9915 iph Innovative Precision Health Andrew Gillan masked Suryansh Gupta Suryansh Gupta 591 Collaboration Way, Suite 201 Newark, DE 19713 888-203-6378 masked Vice President of Engineering Innovative Precision Health 591 Collaboration Way, Suite 201 Newark, DE 19713 888-203-6378 sury@iph.ai https://iph.ai/ Vendor Int 3 Complete 2023/12/04 12:00:00 2023/12/05 12:00:00 2023/12/06 02:38:47 UV 2.16.840.1.113883.3.9916 ochcares Ohio County Healthcare Jonathan Shrewsbury masked Jonathan 1211 Old Main Street, Hartford, KY 42347 (270) 298-5475 masked IT Director Ohio County Healthcare 1211 Old Main Street, Hartford, KY 42347 (270) 298-7411 it@ochcares.com https://www.ochcares.com Provider Int 3 Complete 2023/12/05 12:00:00 2023/12/05 12:00:00 2023/12/06 02:51:13 UV 2.16.840.1.113883.3.9917 srpa Sandridge Post Acute Erin Lincoln masked Erin Lincoln 255 W. Brown Road, Mesa, AZ 85201 480-833-3988 masked Administrator Sandridge Post Acute 255 W. Brown Road, Mesa, AZ 85201 480-833-3988 erin.lincoln@sandridgepa.com Provider Int 3 Complete 2023/12/05 12:00:00 2023/12/05 12:00:00 2023/12/06 02:55:16 UV 2.16.840.1.113883.3.9918 absh Abstractive Health Ritika Poddar masked Ritika Poddar 6092165800 masked Abstractive Health 333 E 56th St Apt 7N New York, NY 10022 USA 9379742667 vince@abstractivehealth.com https://abstractivehealth.com Vendor Int 3 Complete 2023/12/05 12:00:00 2023/12/05 12:00:00 2023/12/06 03:02:37 UV 2.16.840.1.113883.3.9919 mocohd Morrow County Health District Heppner Oregon Jamie Houck masked Jamie Houck 564 E. Pioneer Drive Heppner, OR 97836 541-676-9133 masked Clinical Informatics Director Morrow County Health District 564 E. Pioneer Drive Heppner, OR 97836 541-676-9133 jamieh@mocohd.org Provider Int 3 Complete 2023/12/06 12:00:00 2023/12/06 12:00:00 2023/12/07 12:23:28 UV 2.16.840.1.113883.3.9920 ioshealth Institute for Orthopaedic Surgery Jaime Welsch masked Chad Stewart 801 Medical Drive, Lima, Ohio 45804 419-224-7586 masked Admin Director Institute for Orthopaedic Surgery 801 Medical Drive, Lima, Ohio 45804 419-224-7586 jwelsch@ioshospital.com Provider Int 3 Complete 2023/12/06 12:00:00 2023/12/06 12:00:00 2023/12/07 12:27:21 UV 2.16.840.1.113883.3.9921 sth Stellis Health, PA Gina Robeck masked Jodi Painschab Gina Robeck 1700 Highway 25 North Buffalo, MN 55313 763-684-3707 masked Quality Improvement Specialist Stellis Health, PA 1700 Highway 25 North Buffalo, MN 55313 763-682-1313 gina.robeck@stellishealth.com https://stellishealth.com/ Provider Int 3 Complete 2023/12/07 12:00:00 2023/12/07 12:00:00 2023/12/08 02:28:35 US 2.16.840.1.113883.3.9922 scpa Sun City Post Acute Scott Osterneck masked Scott Osterneck 9940 W Union Hills Dr Sun City, AZ 85373 6239330022 masked Administrator Sun City Post Acute 9940 W Union Hills Dr Sun City, AZ 85373 6239330022 scott.osterneck@suncitypa.com https://suncitypa.com/ Provider Int 3 Complete 2023/12/08 12:00:00 2023/12/10 12:00:00 2023/12/10 07:40:14 UV 2.16.840.1.113883.3.9923 ccp-Cardiovascular Hospital Cardiovascular de Puerto Rico y del Caribe Warker Rivas Cuba masked Warker Rivas Cuba 787-3445851 masked IT Director Hospital Cardiovascular de Puerto Rico y del Caribe P.O Box 366528 San Juan, PR 00936-6528 787-754-8500 wrivas@cardiovascular.pr.gov Exchange Int 3 Complete 2023/12/11 12:00:00 2023/12/13 12:00:00 2023/12/14 04:04:16 PR 2.16.840.1.113883.17.9509 findhelp findhelp organization identifier Erine Gray masked Erine Gray 3616 Far West Blvd, Suite 117-454 Austin, TX 78731 512-717-0518 masked findhelp 3616 Far West Blvd, Suite 117-454 Austin, TX 78731 hl7@findhelp.com https://company.findhelp.com/ Vendor Int 17 Complete 2023/12/12 12:00:00 2023/12/13 12:00:00 2023/12/14 04:07:57 UV 2.16.840.1.113883.9.291 ccphd Chambers County Public Hospital District #1 Collier Farnell masked Britney Strickland Britney Strickland 200 Hospital Dr. #398 Anahuac, TX 77514 409-267-2909 masked HIM Director Chambers County Public Hospital District #1 200 Hospital Dr. #398 Anahuac, TX 77514 409-267-2909 bstrickland@chambershealth.org Provider Int 3 Complete 2023/12/12 12:00:00 2023/12/13 12:00:00 2023/12/14 04:13:56 UV 2.16.840.1.113883.3.9924 healthnet Health Net of California - Registration - Authority Trish Pittman masked Chris Hively 4201 E Commerce Way, Sacramento, CA 95834 209-996-1680 masked Director Delivery Systems Operations & Performance Management Health Net of CA 4201 E Commerce Way, Sacramento, CA 95834 1-800-327-0502 hnca_adt_ehr_data_exchange_team@healthnet.com Payor Int 3 Complete 2023/12/12 12:00:00 2023/12/13 12:00:00 2023/12/14 04:25:39 UV 2.16.840.1.113883.3.9925 ps-id PracticeSuite Vinod Nair masked Vinod Nair PO Box 48347 Tampa, FL 33646 8136072800 masked PracticeSuite Inc PO Box 48347 Tampa, FL 33646 8136072800 ehrinfo@practicesuite.com https://practicesuite.com/ Vendor Int 3 Complete 2023/12/13 12:00:00 2023/12/13 12:00:00 2023/12/14 04:30:55 UV 2.16.840.1.113883.3.9926 ngRFP Riverside Family Physicians, APMC Harneel Sandhu masked DrBMahdi@famdoc.org Harneel Sandhu 3400 Central Avenue #235, Riverside, CA 92506 7144019378 masked Director of Business Development Riverside Family Physicians, APMC 3400 Central Avenue #235, Riverside, CA 92506 9517816335 hsandhu@famdoc.org Provider Int 3 Complete 2023/12/14 12:00:00 2023/12/18 12:00:00 2023/12/19 01:12:49 UV 2.16.840.1.113883.3.9927 lmh-OID Lindsay Municipal Hospital Valerie Hamilton masked Lindsay Municipal Hospital PO Box 888 Lindsay, OK 73052-0888 405-756-1404 masked Lindsay Municipal Hospital PO Box 888 Lindsay, OK 73052-0888 405-756-1404 vhamilton@lindsaymunicipalhospital.com Provider Int 3 Complete 2023/12/19 12:00:00 2023/12/20 12:00:00 2023/12/21 01:42:12 UV 2.16.840.1.113883.3.9928 alh-2 Athens-Limestone Hospital Kim Hoback masked Kim Hoback Athens-Limestone Hospital 700 W Market St Athens, AL 35611 2562339117 masked Information Services Athens Limestone Hospital 700 W Market St Athens, AL 35611 2562339292 kim.hoback@alhnet.org http://www.athenslimestonehospital.com Provider Int 3 Complete 2023/12/20 12:00:00 2023/12/20 12:00:00 2024/07/11 11:56:59 UV 2.16.840.1.113883.3.9929 touchette-Regional-Hospital Touchette Regional Hospital Catherine Harris masked Jillian Hartsoe Jillian Hartsoe Touchette Regional Hospital IT Department 5900 Bond Ave. Centreville, IL 62207 6182788789 masked Analyst Manager Touchette Regional Hospital 5900 Bond Ave. Centreville, IL 62207 6183323060 helpdesk@touchette.org https://www.touchette.org Provider Int 3 Complete 2024/01/08 12:00:00 2024/01/09 12:00:00 2024/01/10 01:56:16 UV 2.16.840.1.113883.3.9930 ss-llc CCDA Exchange Interface Nicole Dick masked Summit Surgical 1818 E 23rd Avenue Hutchinson, KS 67502 6206634800 masked Summit Surgical 1818 E 23rd Avenue Hutchinson, KS 67502 6206634800 ndick@summitks.com https://summitks.com/ Provider Int 3 Complete 2024/01/08 12:00:00 2024/01/09 12:00:00 2024/01/10 02:09:21 US 2.16.840.1.113883.3.9931 clinicsoftware clinicsoftware Alexandru Stefan Tacica masked Alexandru Stefan Tacica Delaware, 651 N Broad St, Suite 206, Middletown, zip code 19709, New Castle +1 734 593 1100 masked CEO Alexandru Stefan Tacica Delaware, 651 N Broad St, Suite 206, Middletown, zip code 19709, New Castle +1 734 593 1100 a@clinicsoftware.com https://clinicsoftware.com/ Provider Int 3 Complete 2024/01/09 12:00:00 2024/01/09 12:00:00 2024/01/10 02:27:10 UV 2.16.840.1.113883.3.9932 ilumed-HIE Ilumed HIE Feed Andrea Thomas masked Andrea Thomas 775 W. Indiantown Rd., Suite 4 Jupiter, FL 33458 7279190028 masked SVP of IT Operations Ilumed, LLC 775 W. Indiantown Rd., Suite 4 Jupiter, FL 33458 7279190028 athomas@ilumed.com https://ilumed.com Payor Int 3 Complete 2024/01/10 12:00:00 2024/01/13 12:00:00 2024/01/13 11:23:04 UV 2.16.840.1.113883.3.9933 rMEC Rice Medical Center Dina Hermes masked sspanihel@ricemedicalcenter.net Dina Hermes 600 S. Austin Rd Eagle Lake, Texas 77434 9792345571 masked CFO CAHRMC dba Rice Medical Center 600 S. Austin Rd Eagle Lake, Texas 77434 600 S. Austin Rd Eagle Lake, Texas 77434 sspanihel@ricemedicalcenter.net https://ricemedicalcenter.net Exchange Int 3 Complete 2024/01/10 12:00:00 2024/01/13 12:00:00 2024/01/13 11:25:19 UV 2.16.840.1.114222.4.1.85210 rrhks Russell Regional Hospital Louis Lix masked Louis Lix 200 S Main St Russell, KS 67665 7854833131 masked IT Technician Russell Regional Hospital 200 S Main St Russell, KS 67665 7854833131 isteam@russellhospital.org https://www.russellhospital.org Provider Ext 3 Complete 2.16.840.1.114222.4.1.85210 2024/01/11 12:00:00 2024/01/13 12:00:00 2024/01/13 11:28:19 UV 2.16.840.1.113883.3.9934 obhg Ob Hospitalist Group Shelly Erickson masked Shelly Erickson 777 Lowndes Hill Road, Building 1, Greenville, SC 29607 8649083722 masked Director of EIMS Ob Hospitalist Group 777 Lowndes Hill Road, Building 1, Greenville, SC 29607 800.967.2289 serickson@obhg.com https://www.obhg.com Exchange Int 3 Complete 2024/01/12 12:00:00 2024/01/13 12:00:00 2024/01/13 11:29:41 UV 2.16.840.1.113883.3.9935 cyno Cyno Joshua Dyck masked Joshua Dyck 1483 Thorburn Rd Portugal Cove-St Philips' Newfoundland & Labrador A1M1J6 Canada 9053215022 masked Chief Technology & Security Officer Cyno 1483 Thorburn Rd Portugal Cove-St Philips' Newfoundland & Labrador A1M1J6 Canada +19053215022 josh@cyno.com https://www.cyno.com Vendor Int 3 Complete 2024/01/12 12:00:00 2024/01/13 12:00:00 2024/01/13 11:43:30 UV 2.16.840.1.113883.3.9936 clmh Clinch Memorial Hospital Philip Dowd masked Victor Manabat Philip Dowd 1050 Valdosta Hwy Homerville, GA 31501 912 470 2576 masked IT Manager Clinch Memorial Hospital 1050 Valdosta Hwy Homerville, GA 31501 9124875211 it@clinchmh.org https://clinchmh.org Provider Int 3 Complete 2024/01/12 12:00:00 2024/01/13 12:00:00 2024/01/13 11:51:19 UV 2.16.840.1.113883.3.9937 refocusOID1 ReFocus OID Rabia Hamid masked Rabia Hamid 87 Grandview Avenue Waterbury, CT 06708 2034651417 masked Director of Quality, Safety, and Compliance ReFocus 87 Grandview Avenue Waterbury, CT 06708 rabia.hamid@refocuseye.com Provider Int 3 Complete 2024/01/12 12:00:00 2024/01/13 12:00:00 2024/01/13 11:58:01 UV 2.16.840.1.113883.3.9938 conchocohsp-PI Concho County Hosp PI-eCR Deborah Fort masked Deborah Fort P.O. Box 987 Eden, TX 76837 325-869-5911 masked Administrative Support Concho County Hospital P.O. Box 987 Eden, TX 76837 3258695911 info@conchoch.com Provider Int 3 Complete 2024/01/16 12:00:00 2024/01/16 12:00:00 2024/01/17 03:32:28 UV 2.16.840.1.113883.3.9939 ghmh Grove Hill Memorial Hospital Teddy Busby masked Teddy Busby 295 S Jackson St Grove Hill, AL 36451 2512754016 masked Clinical IT Grove Hill Memorial Hospital 295 S Jackson St Grove Hill, AL 36451 2512753191 tbusby@gh-health.org https://gh-health.org Provider Int 3 Complete 2024/01/18 12:00:00 2024/01/19 12:00:00 2024/01/20 04:05:31 UV 2.16.840.1.113883.3.9940 afc-D2024 AFC Urgent Care Denver Ashley Theran masked Ashley Theran 3800 Irving Street Denver, CO 80211 303-757-1500 ext.9 masked CFO Urgent Care Solutions Glendale, PC 303-757-1500 ext.9 atheran@afcdenver.com https://www.afcdenver.com Provider Int 3 Complete 2024/01/19 12:00:00 2024/01/19 12:00:00 2024/01/20 04:10:30 UV 2.16.840.1.113883.3.9941 clay-Co-Hospital-AL Clay County Hospital-AL Kathy Jackson masked Kathy Jackson 83825 Highway 9, PO Box 1270, Ashland, Alabama 36251 2563541264 masked IT-IS Director Clay County Hospital 83825 Highway 9, PO Box 1270, Ashland, Alabama 36251 2563542131 kjackson@clayhosp.org http://www.clayhosp.org Provider Int 3 Complete 2024/01/19 12:00:00 2024/01/19 12:00:00 2024/01/20 04:16:11 UV 2.16.840.1.113883.3.9942 august August Schools Jake Lerner masked Aaron Hammond Jake Lerner 215.515.4773 masked August Schools 336 W 37th St, New York, NY 10018 215.515.4773 aaron@augustschools.com https://augustschools.com/ Vendor Int 3 Complete 2024/01/22 12:00:00 2024/01/24 12:00:00 2024/01/25 03:34:00 UV 2.16.840.1.113883.17.9510 mpalwrcar MPA Cardiology Lakewood Ranch Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director - Interfaces MPA Cardiology Lakewood Ranch 8340 Lakewood Ranch Blvd Ste 290, Lakewood Ranch, FL 34202 (941) 556-8930 alesia.childs@uhsinc.com https://bradentoncardiology.com/ Provider Int 17 Complete 2024/01/22 12:00:00 2024/01/24 12:00:00 2024/01/25 03:38:32 UV 2.16.840.1.113883.17.9511 mpalwrmedgrp Manatee Physician Alliance Lakewood Ranch Medical Group Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director - Interfaces Manatee Physician Alliance Lakewood Ranch Medical Group 1854 Rye Road East Bradenton, FL 34212 (941)216-3939 alesia.childs@uhsinc.com https://lakewoodranchmedicalgroup.com/ Provider Int 17 Complete 2024/01/22 12:00:00 2024/01/24 12:00:00 2024/01/25 03:42:09 UV 2.16.840.1.113883.17.9512 apaneuro Aiken Professional Association Neuroscience Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director - Interfaces Aiken Professional Association Neuroscience 302 University Pkwy Aiken, SC 29801 (803) 226-0589 alesia.childs@uhsinc.com https://aikenphysicians.com/services/neurology/ Provider Int 17 Complete 2024/01/22 12:00:00 2024/01/24 12:00:00 2024/01/25 03:45:11 UV 2.16.840.1.113883.17.9513 cfb Central Florida Behavorial Hospital Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director - Interfaces Central Florida Behavorial Hospital 6601 Central Florida Pkwy Orlando, FL 32821 (407)370-0111 alesia.childs@uhsinc.com https://centralfloridabehavioral.com/ Provider Int 17 Complete 2024/01/22 12:00:00 2024/01/24 12:00:00 2024/01/25 03:49:59 UV 2.16.840.1.113883.17.9514 bhubc University Behavioral Center Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director - Interfaces University Behavioral Center 2500 Discovery Dr, Orlando, FL 32826 &#183; (407) 281-7000 alesia.childs@uhsinc.com https://universitybehavioral.com/ Provider Int 17 Complete 2024/01/22 12:00:00 2024/01/24 12:00:00 2024/01/25 03:52:35 UV 2.16.840.1.113883.17.9515 txneurorehab Texas NeuroRehab Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director - Interfaces Texas NeuroRehab 1106 West Dittmar Rd Austin, TX 78745 (800) 252-5151 alesia.childs@uhsinc.com https://texasneurorehab.com/ Provider Int 17 Complete 2024/01/22 12:00:00 2024/01/24 12:00:00 2024/01/25 03:59:44 UV 2.16.840.1.113883.17.9516 bhftlauoakprk Fort Lauderdale Behavioral Health Center (Oakland Park) Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director - Interfaces Fort Lauderdale Behavioral Health Center (Oakland Park) 5757 North Dixie Hwy Oakland Park, FL 33334 (800) 585-7527 alesia.childs@uhsinc.com https://ftlauderdalebehavioral.com/ Provider Int 17 Complete 2024/01/22 12:00:00 2024/01/24 12:00:00 2024/01/25 04:10:23 UV 2.16.840.1.113883.17.9517 bhcshstu Coral Shores Behavioral Health Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director - Interfaces Coral Shores Behavioral Health 5995 SE Community Dr Stuart, FL 34997 (772) 403-4000 alesia.childs@uhsinc.com https://coralshoresbehavioral.com/ Provider Int 17 Complete 2024/01/22 12:00:00 2024/01/24 12:00:00 2024/01/25 04:25:02 UV 2.16.840.1.113883.17.9518 bhwndmr Windmoor Healthcare Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director - Interfaces Windmoor Healthcare 11300 US Highway 19 North Clearwater, FL 33764 (727) 541-2646 alesia.childs@uhsinc.com https://windmoor.com/ Provider Int 17 Complete 2024/01/22 12:00:00 2024/01/24 12:00:00 2024/01/25 04:34:10 UV 2.16.840.1.113883.17.9519 bhpiw Psychiatric Institute of Washington Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director - Interfaces Psychiatric Institute of Washington 4228 Wisconsin Avenue Northwest, Washington, DC 20016 (202) 885-5600 alesia.childs@uhsinc.com https://psychinstitute.com/ Provider Int 17 Complete 2024/01/22 12:00:00 2024/01/24 12:00:00 2024/01/25 04:36:55 UV 2.16.840.1.113883.17.9520 whh West Henderson Hospital Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director - Interfaces West Henderson Hospital Southwest Corner of Raiders Parkway and St Rose Parkway 1155 Raiders Way Henderson, NV 89052 alesia.childs@uhsinc.com https://www.valleyhealthsystemlv.com/our-facilities/west-henderson-hospital Provider Int 17 Complete 2024/01/22 12:00:00 2024/01/24 12:00:00 2024/01/25 04:41:03 UV 2.16.840.1.113883.3.9943 robovision Robovision Maarten De Meyer masked Maarten De Meyer +32476420038 masked Health Informatics Specialist Robovision BV Foreestelaan 88 9000 Gent Belgium +32498900909 info@robovision.ai https://robovision.ai/ Vendor Int 3 Complete 2024/01/26 12:00:00 2024/01/26 12:00:00 2024/01/27 12:41:46 UV 2.16.840.1.113883.3.9944 hgp Health Group Providers Debbie Leone masked Debbie Leone 2200 Paseo Verde Pkwy Suite 190 Henderson, NV 89052 8134222905 masked SVP Operations Health Group Providers 1500 N Priest Dr Suite 109 Tempe, AZ 85228 833-719-0886 debbiel@behavioralhealthsolutions.info https://bhs.health/ Provider Int 3 Complete 2024/01/26 12:00:00 2024/01/26 12:00:00 2024/01/27 12:45:05 UV 2.16.840.1.113883.3.9945 orthoalliance OrthoAlliance Todd Holaday masked Todd Holaday 3600 W Bethel Ave Muncie, IN 47304 7657483437 masked Director of IT Business Applications OrthoAlliance 50 E Business Way Suite 200 Cincinnati, OH 45241 7657483437 tholaday@orthoalliance.com https://orthoalliance.com/ Provider Int 3 Complete 2024/01/26 12:00:00 2024/01/26 12:00:00 2024/01/27 12:48:42 UV 2.16.840.1.113883.6.349 cms-hcc CMS Hierarchical Condition Categories Jessica Bota masked Matt Szczepankiewicz (Epic) HL7 Terminology Services Management Group (TSMG) (734) 677-7777 masked Centers for Medicare and Medicaid Services U.S. Centers for Medicare & Medicaid Services 7500 Security Boulevard Baltimore, MD 21244 877-267-2323 https://www.cms.gov/about-cms/contact/cms https://www.cms.gov/medicare/payment/medicare-advantage-rates-statistics/risk-adjustment Govt body Int 6 Complete 2024/01/26 12:00:00 2024/01/26 12:00:00 2024/01/27 01:06:31 US 2.16.840.1.113883.17.9521 riceland-medical-center-538 RMC OID Kellie Hundley masked Christina Pate 538 Broadway Winnie, TX 77665 409-296-6000 ext 428 masked RN Riceland Medical Center 538 Broadway Winnie, TX 77665 409-296-6000 cpate@ricelandhealthcare.com Provider Int 17 Complete 2024/01/26 12:00:00 2024/01/26 12:00:00 2024/01/27 01:11:41 UV 2.16.840.1.113883.3.9946 swpa Silverwood Post Acute Ryan Turley masked Ryan Turley 15810 S. 42nd St Phoenix, AZ 85048 480-543-9498 masked Administrator Silverwood Post Acute 15810 S. 42nd St Phoenix, AZ 85048 4807590358 ryan.turley@silverwoodpa.com Provider Int 3 Complete 2024/01/26 12:00:00 2024/01/26 12:00:00 2024/01/27 01:16:41 UV 2.16.840.1.113883.3.9947 bi Banner Imaging Josh Acord masked Josh Acord 1441 N. 12th St. Phoenix, AZ 85006 (480) 414-2770 masked IT Consultant Banner Health System 1441 N. 12th St. Phoenix, AZ 85006 (602) 747-4000 joshua.acord@bannerhealth.com http://www.bannerhealth.com Provider Int 3 Complete 2024/01/29 12:00:00 2024/01/30 12:00:00 2024/01/31 01:26:27 UV 2.16.840.1.113883.3.9948 prairielakesrootOID Prairie Lakes Healthcare System (PLHS) root OID Caitlin Broek masked Caitlin Broek 401 9th Ave NW Watertown, SD 57201 605-882-7989 masked Applications Manager Prairie Lakes Healthcare System 401 9th Ave NW Watertown, SD 57201 605-882-7000 it@prairielakes.com https://www.prairielakes.com/ Provider Int 3 Complete 2024/01/30 12:00:00 2024/01/30 12:00:00 2024/01/31 01:30:12 UV 2.16.840.1.113883.3.9949 wghospital Wilbarger County Hospital District Rojelio Rodriguez masked Rojelio Rodriguez 920 Hillcrest Dr. Vernon, TX 76384 19405532808 masked IT Systems Director Wilbarger County Hospital District 920 Hillcrest Dr. Vernon, TX 76384 9405529351 RRodriguez@wghospital.com https://wghospital.com Provider Int 3 Complete 2024/01/31 12:00:00 2024/01/31 12:00:00 2024/02/01 02:59:12 UV 2.16.840.1.113883.3.9950 samaritandh Samaritan Daytop Health Jeffrey Prevet masked Adam Cifka Jeffrey Prevet 138-02 Queens Boulevard Briarwood, NY 11435 7182062000 masked CIO Samaritan Daytop Health 138-02 Queens Boulevard Briarwood, NY 11435 7182062000 jeffrey.prevet@samaritanvillage.org https://samaritandaytophealth.org Provider Int 3 Complete 2024/02/01 12:00:00 2024/02/02 12:00:00 2024/02/03 12:41:05 UV 2.16.840.1.113883.3.9951 modulemd ModuleMD Haroon Sheik masked ModuleMD Haroon Sheik ModuleMD 8359 Office Park Drive Grand Blanc, MI 48439 2484958072 masked Software Engineering Manager ModuleMD 8359 Office Park Drive Grand Blanc, MI 48439 877-347-7978 sheik.rashed@modulemd.com https://modulemd.com Exchange Int 3 Complete 2024/02/01 12:00:00 2024/02/02 12:00:00 2024/02/03 12:45:27 UV 2.16.840.1.113883.3.9952 nwra NW Rheumatology Associates, PC Anika Foster Powell masked Anika Foster Powell 9555 SW Barnes Rd Suite 150 Portland, OR 97225 United States (503) 297-3384 masked Operations Manager NW Rheumatology Associates, PC 9555 SW Barnes Rd Suite 150 Portland, OR 97225 United States (503) 297-3384 apowell@nwramail.com https://nwrheumatology.org/ Provider Int 3 Complete 2024/02/01 12:00:00 2024/02/02 12:00:00 2024/02/03 01:00:09 UV 2.16.840.1.113883.3.9953 contexture Contexture Myriah Vandre masked Contexture 2000 S. Colorado Blvd. Tower 1, Ste. 12000 Denver, CO 80222 844-279-7120 masked VP. Integration Contexture 2000 S. Colorado Blvd. Tower 1, Ste. 12000 Denver, CO 80222 844-279-7120 myriah.vandre@contexture.org https://contexture.org/ Exchange Int 3 Complete 2024/02/05 12:00:00 2024/02/07 12:00:00 2024/02/07 12:54:27 UV 2.16.840.1.113883.3.9954 cohcpf Colorado Department of Health Care Policy & Financing Tracy McDonald masked Myriah Vandre Tracy McDonald 303 East 17th Ave, Suite 1100 Denver, CO 80203 303-866-4937 masked Health IT Unit Supervisor Colorado Department of Health Care Policy & Financing 303 East 17th Ave, Suite 1100 Denver, CO 80203 303-866-2993 tracy.mcdonald@state.co.us https://hcpf.colorado.gov/ Govt body Int 3 Complete 2024/02/05 12:00:00 2024/02/07 12:00:00 2024/02/07 12:57:35 UV 2.16.840.1.113883.3.9955 cdtc Court Diagnostic & Treatment Center Renee Palacios masked Renee Palacios 1946 N. 13th Street Suite 230 Toledo, OH 43604 4192448624 masked Executive Director Court Diagnostic & Treatment Center 1946 N. 13th Street Suite 230 Toledo, OH 43604 4192448624 rpalacios@courtdiagnostic.com https://courtdiagnostic.com/ Provider Int 3 Complete 2024/02/08 12:00:00 2024/02/08 12:00:00 2024/02/09 03:46:39 UV 2.16.840.1.113883.3.9956 hb-OID HelixBeat OID Shanmugam Kumar masked Shanmugam Kumar 1714 S Hubert Ave Tampa, FL 33629 817-733-5012 masked CEO HelixBeat 1714 S Hubert Ave Tampa, FL 33629 2036586550 shan.kumar@helixbeat.com https://www.helixbeat.com Vendor Int 3 Complete 2024/02/08 12:00:00 2024/02/08 12:00:00 2024/02/09 03:50:45 UV 2.16.840.1.113883.3.9957 bmcllp Broadway Medical Clinic LLP Paul White masked Paul White 4212 NE Broadway Portland, OR 97213 503-331-7691 masked IT Manager Broadway Medical Clinic LLP 4212 NE Broadway Portland, OR 97213 503-249-8787 comments@bmcllp.net https://broadwaymedicalclinic.com/ Provider Int 3 Complete 2024/02/08 12:00:00 2024/02/08 12:00:00 2024/02/09 04:04:56 UV 2.16.840.1.113883.3.9958 maxrte maxRTE Carla Larin masked Gabriel Gonzalez Carla Larin 1-800-584-5545 masked CEO maxRTE 1-800-584-5545 edisupport@hfmi.com https://maxrte.com/ Exchange Int 3 Complete 2024/02/09 12:00:00 2024/02/11 12:00:00 2024/02/11 07:17:29 UV 2.16.840.1.113883.3.9959 stonecrest Stonecrest Family Medicine, PLLC Lindy Oechslin masked Lindy Oechslin 101 Stonecrest Rd, Ste 3 Shelbyville, KY 40065 5026335565 masked Administrator Stonecrest Family Medicine, PLLC 101 Stonecrest Rd, Ste 3 Shelbyville, KY 40065 5026335565 lindy@stonecrestmed.com Provider Int 3 Complete 2024/02/12 12:00:00 2024/02/12 12:00:00 2024/02/13 01:55:25 UV 2.16.840.1.113883.3.9960 commonwell-v2 CommonWell Health Alliance Stephanie Adams masked Liz Buckle Liz Buckle 75 Arlington Street, Suite 500, Boston, MA 02116 304-488-2291 masked Director of Product CommonWell Health Alliance 75 Arlington Street, Suite 500, Boston, MA 02116 304-488-2291 liz@commonwellalliance.org https://www.commonwellalliance.org Exchange Int 3 Complete 2024/02/12 12:00:00 2024/02/12 12:00:00 2024/02/13 01:59:41 UV 2.16.840.1.113883.3.9961 nhtc New Hope Treatment Center Balakumar Balasubramanian masked keltonn 7515 Northside Drive, North Charleston, SC 29420 (800) 776-6482 masked Project Manager New Hope Treatment Center 7515 Northside Drive, North Charleston, SC 29420 (800) 776-6482 keltonn@newhopetreatment.com https://www.newhopetreatment.com/ Provider Int 3 Complete 2024/02/13 12:00:00 2024/02/14 12:00:00 2024/02/14 11:54:47 UV 2.16.840.1.113883.3.9962 solace Solace Health Medical Group Inc Aaron Silverstein masked Aaron Silverstein 311 Fuller St Redwood City, CA 94063 5163597784 masked Product Manager Solace Health Medical Group aaron.b.silverstein@gmail.com https://www.solace.health/ Provider Int 3 Complete 2024/02/13 12:00:00 2024/02/14 12:00:00 2024/02/14 12:02:06 UV 2.16.840.1.113883.3.9963 acuityhealth01 Acuity.health Inc Srinivas Nimmagadda masked Srinivas Nimmagadda 615-415-7525 masked CEO Dhaval Desai 10800 Alpharetta Hwy, Ste 208 Roswell, GA 30076 4049194193 dhaval.desai@arihanthealthtech.com Vendor Int 3 Complete 2024/02/15 12:00:00 2024/02/16 12:00:00 2024/02/16 01:27:38 UV 2.16.840.1.113883.3.9056.1002 seqster-parkinsonssiliconvalley Dr. Salima Lydia Brillman Xiang Li masked Dr. Salima Lydia Brillman Xiang Li 7310 Miramar RD #430 San Diego, CA 92011 8585006233 masked CTO Parkinson's Disease and Movement Disorders Center of Silicon Valley 512 Hamilton Avenue, Palo Alto, California 94301, United States drbrillman@pdmdc-siliconvalley.com https://parkinsonssiliconvalley.com/home Provider 2.16.840.1.113883.3.9056 Ext 14 Complete 2.16.840.1.113883.3.9056.1002 2024/02/20 12:00:00 2024/02/21 12:00:00 2024/11/14 02:34:54 UV 2.16.840.1.113883.3.9964 dhrhealthmultispecialtyclinicpenitas DHR Health Multispecialty Clinic-Penitas OID Root Benjamin Gallegos masked Rosalinda Coronado 1000 E Expressway 83, Ste 5B La Joya, TX 78560 9563621387 masked Director DHR Health Multispecialty Clinic-Penitas 1000 E Expressway 83, Ste 5B La Joya, TX 78560 9563625870 ro.coronado@dhr-rgv.com Provider Int 3 Complete 2024/02/21 12:00:00 2024/02/21 12:00:00 2024/02/22 12:09:42 UV 2.16.840.1.113883.4.8140 bto BillionToOne Brian Coleman masked Brian Coleman (650) 460-2551 masked BillionToOne 1035 O'Brien Drive Menlo Park, CA 94025 (650) 460-2551 emr@billiontoone.com https://billiontoone.com/ Vendor Int 3 Complete 2024/02/26 12:00:00 2024/02/26 12:00:00 2024/02/27 03:18:11 UV 2.16.840.1.113883.3.9965 virginiatech Virginia Tech Andrew Sinclair masked Tanya Young Andrew Sinclair 895 Washington ST SW Suite 204 Blacksburg, VA 24061 5402316444 masked Systems Manager Virginia Tech 895 Washington ST SW Suite 204 Blacksburg, VA 24061 5402316444 asinc85@vt.edu https://www.vt.edu Provider Int 3 Complete 2024/02/28 12:00:00 2024/02/28 12:00:00 2024/02/29 04:02:28 UV 2.16.840.1.113883.3.9966 dhrbrownsvillemultispecialtymob3 DHR Brownsville Multispecialty MOB 3 OID Root Benjamin Gallegos masked Rosalinda Coronado 4770 N. Expressway 83, Ste 202 Brownsville, TX 78526 (956)362-3984 masked Director DHR Brownsville Multispecialty MOB 3 4770 N. Expressway 83, Ste 202 Brownsville, TX 78526 956-362-5900 ro.coronado@dhr-rgv.com Provider Int 3 Complete 2024/02/28 12:00:00 2024/02/28 12:00:00 2024/02/29 04:08:51 UV 2.16.840.1.113883.3.9967 ttp-counselingcenter TTP - Counseling Center Clinic Rae Rodriguez masked Rae Rodriguez 3601 4th street ms 8352 Lubbock, TX 79430 806-743-2493 masked Clincal Informatics Coordinator Texas Tech Counseling Center 3601 4TH STREET MS 8119 Lubbock, TX 79430 806-743-1327 RaeAnn.Rodriguez@ttuhsc.edu https://www.texastechphysicians.com/lubbock/ Academic Int 3 Complete 2024/02/29 12:00:00 2024/02/29 12:00:00 2024/03/01 04:36:58 UV 2.16.840.1.113883.3.9968 sgcmhexp Ste Genevieve County Memorial Hospital Judy Schmieder masked Judy M Schmieder 800 Ste Genevieve Drive Ste Genevieve, MO 63670 573-883-4479 masked Director of Clinical Informatics Ste Genevieve County Memorial Hospital 800 Ste Genevieve Drive Ste Genevieve, MO 63670 573-883-4479 jschmieder@sgcmh.org http://www.stegenevievehospital.org Provider Int 3 Complete 2024/02/29 12:00:00 2024/02/29 12:00:00 2024/03/01 04:40:13 UV 2.16.840.1.113883.3.9969 nwchd-eCR North Wheeler County Hospital District Electronic Case Reporting Jace Henderson masked Jace Henderson Box 1030 901 S. Sweetwater St. Wheeler, TX 79096 8068265581 masked CFO North Wheeler County Hospital District Box 1030 901 S. Sweetwater St. Wheeler, TX 79096 8068265581 jaceh@parkviewhosp.org Provider Int 3 Complete 2024/03/01 12:00:00 2024/03/06 12:00:00 2024/03/06 05:08:29 UV 2.16.840.1.113883.3.9970 develo Develo Inc. Han Ke masked Han Ke 9174203976 masked Develo Inc. info@getdevelo.com Vendor Int 3 Complete 2024/03/03 12:00:00 2024/03/06 12:00:00 2024/03/06 05:11:00 UV 2.16.840.1.113883.3.9971 fhp Fall Hill Pediatrics Claudia Sussdorf masked Devon Ward 1123 Heatherstone Dr Fredericksburg, VA 22407 5408992555 masked LPN Fall Hill Pediatrics 1123 Heatherstone Drive Fredericksburg, VA 22407 5408992555 nursesline@fallhillpediatrics.net Provider Int 3 Complete 2024/03/06 12:00:00 2024/03/08 12:00:00 2024/03/09 12:43:13 UV 2.16.840.1.113883.3.9972 cpa-Abilene CLINICAL PATHOLOGY ASSOCIATES ABILENE Steven Van Cleave masked Steven Van Cleave Clinical Pathology Associates 1150 North 18th STE 102 Abilene, TX 79601 325-670-6522 masked Technical Operations Manager Clinical Pathology Associates 1150 North 18th STE 102 Abilene, TX 79601 325-670-6522 vince@clinpathabilene.com https://www.clinicalpathologyassociates.com Provider Int 3 Complete 2024/03/07 12:00:00 2024/03/08 12:00:00 2024/03/09 12:47:37 UV 2.16.840.1.113883.3.9973 keatEHR Keat eHealth Maria Eugenia Hernandez masked Maria Eugenia Hernandez +525518259644 masked Administrative Director Keat Avenida Doctor Ignacio Morones Prieto 13, Colonia Doctores, 06720, Cuauht&#233;moc, CDMX, M&#233;xico +525552893894 digital@keat.mx https://keat.mx/ Provider Int 3 Complete 2024/03/07 12:00:00 2024/03/08 12:00:00 2024/03/09 12:54:01 UV 2.16.840.1.113883.3.9974 accucare Accucare Urgentcare Lidoush Shabani masked Lidoush Shabani 7041 N 35th Ave Phoenix, AZ 85051 4805161113 masked Office Manager Lidoush Shabani 7041 N 35th Ave Phoenix, AZ 85051 480-5161113 lidoushafl@aol.com Provider Int 3 Complete 2024/03/10 12:00:00 2024/03/10 12:00:00 2024/03/10 11:29:01 UV 2.16.840.1.113883.3.9975 mowllc Mowery Clinic, LLC Randy Paden masked Randy Paden 737 E CRAWFORD ST Salina, KS 67401 7858277261 masked IT Director Mowery Clinic LLC rpaden@moweryclinic.com https://moweryclinic.com Provider Int 3 Complete 2024/03/12 12:00:00 2024/03/12 12:00:00 2024/03/13 12:37:20 UV 2.16.840.1.113883.3.40.2.14 ca-bc-license-pharmacist College of Pharmacists of British Columbia, Canada Anil Patel masked Mukesh Kashyap 1483 Douglas St., Victoria, BC, Canada 778.974.2701 masked Senior Business Analyst BC Ministry of Health 1483 Douglas St., Victoria, BC, Canada 778.974.2701 HISSupport@gov.bc.ca https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/health-information-standards Govt body Ext 4 4 Complete 2.16.840.1.113883.3.40.2.14 2024/03/12 12:00:00 2024/03/15 12:00:00 2024/03/16 02:28:21 CA 2.16.840.1.113883.3.9976 mmcpl Memorial Medical Center Jenise Svetlik masked Memorial Medical Center Jenise Svetlik 815 N Virginia Port Lavaca, Texas 77979 3615526713 masked MSN, RN, Clinical IT Specialist Memorial Medical Center 815 N Virginia Port Lavaca, Texas 77979 3615526713 jsvetlik@mmcportlavaca.com https://r.search.yahoo.com/_ylt=Awrigwp6gPBlGwQAEytXNyoA;_ylu=Y29sbwNiZjEEcG9zAzEEdnRpZAMEc2VjA3Ny/RV=2/RE=1711469947/RO=10/RU=https%3a%2f%2fwww.mmcportlavaca.com%2f/RK=2/RS=bz6JI6.ZmAsjJZRLgxupu5yaBCA- Provider Int 3 Complete 2024/03/12 12:00:00 2024/03/12 12:00:00 2024/03/13 12:39:49 UV 2.16.840.1.113883.4.8141 caCHI-eRx-OH Canada Health Infoway PrescribeIT Vendor - Oracle Health Anil Patel masked Vania Granese 150 King St. W., Suite 1100, Toronto ON, M5H 1J9 (416) 886-4967 masked Senior Manager, Point of Service Vendors Canada Health Infoway 150 King St. W., Suite 1100, Toronto ON, M5H 1J9 (416) 886-4967 product-management@prescribeit.ca https://www.infoway-inforoute.ca/en/ Vendor Ext 4 4 Complete 2.16.840.1.113883.4.8141 2024/03/12 12:00:00 2024/03/15 12:00:00 2024/03/16 02:31:57 CA 2.16.840.1.113883.4.8142 beyondlucid Beyond Lucid Technologies, Inc. - Prehospital Health Information Exchange Jonathon Feit masked Jonathon Feit 27 Woodranch Circle Danville, CA 94506 6506483727 masked Co-Founder & Chief Executive Beyond Lucid Technologies, Inc. 27 Woodranch Circle Danville, CA 94506 6506483727 jonathon.feit@beyondlucid.com http://www.beyondlucid.com Exchange Int 3 Complete 2024/03/13 12:00:00 2024/03/15 12:00:00 2024/03/16 02:37:39 UV 2.16.840.1.113883.4.8143 ca-nuPLN Nunavut Pharmacy Licence Number Anil Patel masked Krista Topilak P.O. Box 1000 Station 200, Iqaluit, Nunavut X0A 0H0 867-982-7668 masked Coordinator, Professional Licensing Department of Health, Government of Nunavut P.O. Box 1000 Station 200, Iqaluit, Nunavut X0A 0H0 867-982-7668 info@gov.nu.ca https://www.gov.nu.ca/health/ Govt body Ext 4 4 Complete 2.16.840.1.113883.4.8143 2024/03/15 12:00:00 2024/03/15 12:00:00 2024/03/16 02:41:45 CA 2.16.840.1.113883.17.9522 mdcopsvcsmmh MDC Outpatient Services Center at Manatee Memorial Hospital Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director - Interfaces MDC Outpatient Services Center at Manatee Memorial Hospital 250 Second St. East Bradenton, FL 34208 (941)747-3034 alesia.childs@uhsinc.com https://manateediagnostic.com/ Provider Int 17 Complete 2024/03/15 12:00:00 2024/03/15 12:00:00 2024/03/16 02:44:08 UV 2.16.840.1.113883.17.9523 mdcpointew MDC Pointe West Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director - Interfaces MDC Pointe West 2301 60th St Ct W Ste C Bradenton, FL 34209 (941)747-3034 alesia.childs@uhsinc.com https://manateediagnostic.com/ Provider Int 17 Complete 2024/03/15 12:00:00 2024/03/15 12:00:00 2024/03/16 03:21:56 UV 2.16.840.1.113883.17.9524 mdcparrish MDC Parrish Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director - Interfaces MDC Parrish 11255 US Hwy 301 North #105 Parrish, FL 34219 (941)747-3034 alesia.childs@uhsinc.com https://manateediagnostic.com/ Provider Int 17 Complete 2024/03/15 12:00:00 2024/03/15 12:00:00 2024/03/16 03:25:46 UV 2.16.840.1.113883.17.9525 mdcrvrside MDC Riverside MRI Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director - Interfaces MDC Riverside MRI 300 Riverside Drive East, Suite 1400 (1st Floor) Bradenton, FL 34208 (941)747-3034 alesia.childs@uhsinc.com https://manateediagnostic.com/ Provider Int 17 Complete 2024/03/15 12:00:00 2024/03/15 12:00:00 2024/03/16 03:28:43 UV 2.16.124.10.101.1.60.4.1403.1 ca-cliniciel OID pour identifier Cliniciel comme FAL Anil Patel masked Raymond Loyer 102-28 ch. de la C&#244;te St-Louis O, Blainville, QC, Canada J7C 1B8 1 877 644-4545 masked Pr&#233;sident Directeur G&#233;n&#233;ral / CEO Minist&#232;re de la Sant&#233; et des Services sociaux 102-28 ch. de la C&#244;te St-Louis O, Blainville, QC, Canada J7C 1B8 1 877 644-4545 rloyer@cliniciel.com https://www.msss.gouv.qc.ca/ Govt body Ext 4 4 Complete 2.16.124.10.101.1.60.4.1403.1 2024/03/15 12:00:00 2024/03/15 12:00:00 2024/03/16 03:31:23 CA 2.16.840.1.113883.17.9526 apafmpcc Aiken Professional Association Family Medicine Residency Continuity Clinic Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director - Interfaces Aiken Professional Association Family Medicine Residency Continuity Clinic 4211 Trolley Line Road Aiken, SC 29801-2749 (803)306-7733 alesia.childs@uhsinc.com https://aikenphysicians.com/ Provider Int 17 Complete 2024/03/15 12:00:00 2024/03/15 12:00:00 2024/03/16 03:34:38 UV 2.16.840.1.113883.17.9527 apaimcc Aiken Professional Association Internal Medicine Continuity Clinic Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director - Interfaces Aiken Professional Association Internal Medicine Continuity Clinic 121 Aurora Place Suite B Aiken, SC 29801-5312 (803)599-8599 alesia.childs@uhsinc.com https://aikenphysicians.com/ Provider Int 17 Complete 2024/03/15 12:00:00 2024/03/15 12:00:00 2024/03/16 03:37:49 UV 2.16.840.1.113883.17.9528 apaim Aiken Professional Association Internal Medicine Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 16103824375 masked Assistant Director - Interfaces Aiken Professional Association Internal Medicine 102 Summerwood Way Aiken, SC 29803-7704 (803)649-5300 alesia.childs@uhsinc.com https://aikenphysicians.com/ Provider Int 17 Complete 2024/03/15 12:00:00 2024/03/15 12:00:00 2024/03/16 03:44:25 UV 2.16.840.1.113883.3.9977 apaorthsprtsmed Aiken Professional Association Orthopedics and Sports Medicine Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director - Interfaces Aiken Professional Association Orthopedics and Sports Medicine 191 Centre South Boulevard Suite 30 Aiken, SC 29803-6313 (803)761-9191 alesia.childs@uhsinc.com https://aikenphysicians.com/ Provider Int 3 Complete 2024/03/18 12:00:00 2024/03/23 12:00:00 2024/03/24 02:41:46 UV 2.16.840.1.113883.3.9978 sci-root-oid St. Christopher's Inn - Root OID Brian Palmer masked Brian Palmer 21 Franciscan Way Garrison, NY 10524 845-690-1094 masked Director of Information Technology St. Christopher's Inn 21 Franciscan Way Garrison, NY 10524 8453351000 SCIInfo@AtonementFriars.org https://stchristophersinn-graymoor.org/ Provider Int 3 Complete 2024/03/19 12:00:00 2024/03/23 12:00:00 2024/03/24 02:46:07 UV 2.16.840.1.113883.3.9979 cwv Community Wellness Ventures Rod Wiliams masked Rod Wiliams, PhD 1930 Martin Luther King Jr Ave SE Washington, DC 20020 12029189644 masked COO Community Wellness Ventures 1930 Martin Luther King Jr Ave SE Washington, DC 20020 202-450-5822 rwilliams@cwellnessv.com https://www.cwellnessv.com Provider Int 3 Complete 2024/03/20 12:00:00 2024/03/23 12:00:00 2024/03/24 03:12:37 UV 2.16.840.1.113883.3.9980 parkerpeds Parker Pediatrics and Adolescents Brian Stanga masked Brian Stanga, MD 10371 S PARKGLENN WAY SUITE 100 PARKER, CO 80138 13038412905 masked Parker Pediatrics and Adolescents 10371 S PARKGLENN WAY SUITE 100 PARKER, CO 80138 13038412905 bstanga@hotmail.com Provider Int 3 Complete 2024/03/21 12:00:00 2024/03/23 12:00:00 2024/03/24 03:22:28 UV 2.16.840.1.113883.17.9529 kits KITS Registration Jeffin Joseph masked Jean-Francois Jupille Jean-Francois Jupille 510-510 Seymour St, Vancouver, BC V6B 3J5, Canada +1833487548 masked Director, KITS Experience KITS.COM TECHNOLOGIES INC. 510-510 Seymour St, Vancouver, BC V6B 3J5, Canada +1833487548 service@kits.com https://www.kits.ca/ Provider Int 17 Complete 2024/03/21 12:00:00 2024/03/23 12:00:00 2024/03/24 03:27:19 UV 2.16.840.1.113883.3.9981 hh03894 Huggins Hospital Paula Perry masked Paula Perry 240 S. Main Street Wolfeboro, NH 03894 60356967696 masked Director of IT Huggins Hospital 240 S. Main Street Wolfeboro, NH 03894 6035697500 pperry@hugginshospital.org Provider Int 3 Complete 2024/03/26 12:00:00 2024/03/28 12:00:00 2024/03/28 04:14:53 UV 2.16.840.1.113883.3.9982 hamaspikhci Hamaspik Choice, Inc., Hamaspik, Inc. Emily Manning masked Emily Manning 58 Rt. 59, Suite 1, Monsey, NY 10952 845-608-0568 masked Chief Technology Officer Hamaspik Choice, Inc., Hamaspik, Inc. emanning@hamaspikchoice.org https://www.hamaspik.com/ Payor Int 3 Complete 2024/03/26 12:00:00 2024/03/28 12:00:00 2024/03/28 04:19:36 UV 2.16.840.1.113883.3.9983 atg Advanced Technologies Group, LLC Atul Gupta masked Kate Kempers 1601 48th Street, Ste 220 West Des Moines, IA 50266 515-273-5391 masked Asst Vice President Advanced Technologies Group, LLC info@a-t-g.com https://www.a-t-g.com Vendor Int 3 Complete 2024/03/29 12:00:00 2024/03/31 12:00:00 2024/04/01 01:38:29 UV 2.16.840.1.113883.3.9984 bcfwcOID Beloved Community Family Wellness Center Karen Owens masked B. Marie Webb 6821 S. Halsted Chicago, IL 60621 773-651-3629 masked EMR Manager Beloved Community Family Wellness Center 6821 S. Halsted Chicago, IL 60621 773-651-3629 bmwebb@bcfwc.org https://www.bcfwc.org Govt body Int 3 Complete 2024/04/03 12:00:00 2024/04/06 12:00:00 2024/04/06 06:23:00 UV 2.16.840.1.113883.3.9985 uchcaz United Community Health Center - Maria Auxiliadora, Inc. Heidi Huebner masked Heidi Huebner 1260 S Campbell Road Green Valley, AZ 85614 520-407-5612 masked United Community Health Center - Maria Auxiliadora, Inc. 1260 S Campbell Road Green Valley, AZ 85614 520-407-5612 hhuebner@uchcaz.org https://www.uchcaz.org Provider Int 3 Complete 2024/04/04 12:00:00 2024/04/06 12:00:00 2024/04/06 06:26:40 UV 2.16.840.1.113883.3.9986 shomed West Shoshone Hospital District #1 DBA Shoshone Medical Center Russell Allred masked Russell Allred 25 Jacobs Gulch Kellogg, Idaho 83837 208-784-1221 masked Shoshone Medical Center 25 Jacobs Gulch Kellogg, Idaho 83837 208-784-1221 isdept@shomed.org https://www.shoshonehealth.com Provider Int 3 Complete 2024/04/04 12:00:00 2024/04/06 12:00:00 2024/04/06 06:32:24 Table 0396 US 2.16.840.1.113883.3.9987 marsoid Marshall Co Hospital KHIE Gregory Vaught masked Gregory S Vaught 615 Old Symsonia Rd. Benton, KY 42025 2702526600 masked Information Technology Director Marshall County Hospital 615 Old Symsonia Rd. Benton, KY 42025 2705274825 greg.vaught@marshallhospital.net https://www.marshallcountyhospital.org Provider Int 3 Complete 2024/04/09 12:00:00 2024/04/10 12:00:00 2024/04/10 11:25:47 UV 2.16.840.1.113883.3.9988 amfgastro AMF Gastroenterology, Inc. Rushda Mumtaz masked Rushda Mumtaz 6023097716 masked President AMF Gastroenterology, Inc. 1310 N. 24th street, Suite 100 Phoenix, AZ 85008 6022546101 amfgastroenterology@gmail.com Provider Int 3 Complete 2024/04/12 12:00:00 2024/04/14 12:00:00 2024/04/15 01:43:07 UV 2.16.840.1.113883.3.9989 nashvillegeneral Nashville General Hhospital Melinda Stilz masked matthew.greer@nashvilleha.org Melinda Stilz 1818 Albion Street Nashville, TN 37208 6156046821 masked Project Manager Nashville General Hospital 1818 Albion Street Nashville, TN 37208 6153414000 informationtechnology@nashvilleha.org https://nashvillegeneral.org Govt body Int 3 Complete 2024/04/16 12:00:00 2024/04/20 12:00:00 2024/04/20 05:18:53 UV 2.16.840.1.113883.3.9990 nCTC NaphCare TechCare Jason Douglas masked Jason Douglas 2090 Columbiana Rd Suite 4000 Birmingham, AL 35216 205-536-8445 masked CTO NaphCare jdouglas@naphcare.com http://www.naphcare.com Vendor Int 3 Complete 2024/04/17 12:00:00 2024/04/20 12:00:00 2024/04/20 05:22:28 UV 2.16.840.1.113883.3.9991 pvh-blytheca Palo Verde Hospital Reepak Gugga masked Jason Osborne Reepak Gugga 250 N. First St. Blythe, CA 92225 760-921-5164 masked I.T. Manager Palo Verde Hospital 250 N. First St. Blythe, CA 92225 760-922-4115 ithelp@paloverdehospital.org https://www.paloverdehospital.org Provider Int 3 Complete 2024/04/17 12:00:00 2024/04/20 12:00:00 2024/04/20 05:25:43 UV 2.16.840.1.113883.3.9992 oVL VALLEYLIFE Jennifer Baier masked Jennifer Baier 1142 W Hatcher Rd Phoenix, AZ 85021 6022166393 masked Director, Vocational & Employment Services VALLEYLIFE 1142 W Hatcher Rd Phoenix, AZ 85021 6022166393 jbaier@valleylifeaz.org http://www.valleylifeaz.org Provider Int 3 Complete 2024/04/22 12:00:00 2024/04/26 12:00:00 2024/04/26 10:24:58 UV 2.16.840.1.113883.3.9993 searhc HL7 Objects associated with the Southeast Alaska Regional Health Consortium (SEARHC) Wade Parrish masked richard@searhc.org Wade Parrish 222 Tongass Drive Sitka, Alaska 99835 9079668305 masked Manager, Applications and Integration Southeast Alaska Regional Health Consortium 222 Tongass Drive Sitka, Alaska 99835 907-966-2411 webmaster@searhc.org http://www.searhc.org Provider Int 3 Complete 2024/04/24 12:00:00 2024/04/26 12:00:00 2024/04/26 10:30:07 UV 2.16.840.1.113883.3.9994 afptfp Alia Family Practice DBA Tempe Family Practice Joseph Alia masked Rene Bazzar 6655 S. Rural Rd Suite 3 Tempe, AZ 85283 6023001498 masked Office Manager Alia Family Practice DBA Tempe Family Practice 6655 S Rural Rd Suite 3 Tempe, AZ 85283 4808310600 dralia@tempefamilypractice.org Provider Int 3 Complete 2024/04/24 12:00:00 2024/04/26 12:00:00 2024/04/26 10:53:18 UV 2.16.840.1.113883.3.9995 kyreneIM Kyrene Internal Medicine Dorette Oppong-Takyi masked Dorette Oppong-Takyi 4545 E Chandler Blvd, Suite 201 Phoenix, AZ 85048 4805984145 masked Practice Administrator Kyrene Internal Medicine PLLC 4805984145 dorette@kyreneinternalmedicine.com https://www.kyreneinternalmedicine.com Provider Int 3 Complete 2024/04/26 12:00:00 2024/04/30 12:00:00 2024/05/01 12:21:45 UV 2.16.840.1.113883.3.9996 aM_Nutrition_Services AM Nutrition OID Registration Stuart Foster masked Amy McCallister Stuart Foster 18001 N 79th Ave Ste A12 Glendale, AZ 85308 4805539331 masked COO AM Nutrition Services 18001 N 79th Ave Ste A12 Glendale, AZ 85308 4805539331 s.foster@amnutritionservices.com www.amnutritionservices.com Vendor Int 3 Complete 2024/04/30 12:00:00 2024/04/30 12:00:00 2024/05/01 12:32:53 UV 2.16.840.1.113883.3.9997 pHXHRT Phoenix Heart PLLC Diane Legum masked Diane Legum 5859 W. Talavi Blvd, #100 Glendale, AZ 85306 4802151778 masked Associate Administrator Phoenix Heart PLLC 5859 W. Talavi Blvd, #100 Glendale3, AZ 85306 6022987777 dlegum@phoenixheart.com https://www.phoenixheart.com/ Provider Int 3 Complete 2024/05/02 12:00:00 2024/05/08 12:00:00 2024/05/09 01:05:04 UV 2.16.840.1.113883.3.9998 medcure Med Cure Internal Medicine Priscilla Matos masked Med-Cure Internal Medicine 1325 N Litchfield Rd Ste # 110 Goodyear, AZ 85395 6239359494 masked Med-Cure Internal Medicine 1325 N Litchfield Rd Ste #110 Goodyear, AZ 85395 6239359494 medcureim@gmail.com https://www.med-cure.org/ Provider Int 3 Complete 2024/05/07 12:00:00 2024/05/08 12:00:00 2024/05/09 01:10:36 UV 2.16.840.1.113883.3.9999 digestivehealth Digestive Health Clinic, LLC Patrick Thomas masked Patrick Thomas 6259 W. Emerald Street Boise, ID 83704 (208) 489-1922 masked Director of IT Digestive Health Clinic, LLC 6259 W. Emerald Street Boise, ID 83704 (208) 489-1900 infotech@boisegi.com https://digestivehealthclinic.com/ Provider Int 3 Complete 2024/05/07 12:00:00 2024/05/08 12:00:00 2024/05/09 01:13:03 UV 2.16.840.1.113883.3.10000 cei-OID1 Cincinnati Eye Institute OID Brooke Flint masked Brooke Flint 1945 CEI Dr. Cincinnati, OH 45242 937-728-2186 masked Cincinnati Eye Institute 1945 CEI Dr. Cincinnati, OH 45242 (513) 984-5133 bflint@cvphealth.com Prof Soc Int 3 Complete 2024/05/08 12:00:00 2024/05/08 12:00:00 2024/05/09 01:17:44 UV 2.16.840.1.113883.3.10001 hcmh1 HARDEMAN COUNTY MEMORIAL HOSPITAL Cathi Laughery masked CATHI LAUGHERY 402 MERCER ST QUANAH, TX 79252 9406632795 masked CLINICAL IT HARDEMAN COUNTY MEMORIAL HOSPITAL 402 MERCER QUANAH, TX 79252 9406632795 CATHI.LAUGHERY@HCMHOSP.COM Exchange Int 3 Complete 2024/05/08 12:00:00 2024/05/08 12:00:00 2024/05/09 01:32:18 UV 2.16.840.1.113883.3.10002 gCFM Grand Canyon Family Medicine Teri Adams masked Grand Canyon Family Medicine 3960 E Riggs Rd. STE 1 Chandler, AZ 85249 4807864441 masked Wellness Coordinator Grand Canyon Family Medicine 3960 E Riggs Rd. STE 1 Chandler, AZ 85249 4807864441 teri@azgcfm.com Provider Int 3 Complete 2024/05/08 12:00:00 2024/05/08 12:00:00 2024/05/09 01:39:06 UV 2.16.840.1.113883.3.10003 drh-tx Dimmit Regional Hospital OID Kenneth Pierce masked Kenneth Pierce 704 Hospital Dr, Carrizo Springs, TX 78834 8308762424 masked IT Systems Lead Dimmit Regional Hospital 704 Hospital Dr, Carrizo Springs, TX 78834 8308762424 kpierce@dimmitregional.com https://www.dimmitregionalhospital.com/ Provider Int 3 Complete 2024/05/09 12:00:00 2024/05/09 12:00:00 2024/05/10 01:00:30 UV 2.16.840.1.113883.3.9056.1003 seqster-boroneuro BoroNeuro Specialty Care Xiang Li masked Dr. Jill Farmer Xiang Li 7310 Miramar RD #430 San Diego, CA 92126 8585006233 masked CTO BoroNeuro Specialty Care jillfarmer@boroneuro.com https://www.boroneuro.com Provider 2.16.840.1.113883.3.9056 Ext 14 Complete 2.16.840.1.113883.3.9056.1003 2024/05/10 12:00:00 2024/05/13 12:00:00 2024/11/14 02:35:33 UV 2.16.840.1.113883.3.9056.1004 seqster-alexandershtilbans Dr. Alexander Shtilbans Xiang Li masked Alexander Shtilbans MD, PhD, MS Xiang Li 7310 Miramar RD #430 San Diego, CA 92126 8585006233 masked CTO Alexander Shtilbans MD, PhD, MS ShtilbansA@HSS.EDU https://www.hss.edu/physicians_shtilbans-alexander.asp Provider 2.16.840.1.113883.3.9056 Ext 14 Complete 2.16.840.1.113883.3.9056.1004 2024/05/10 12:00:00 2024/05/13 12:00:00 2024/11/14 02:35:58 UV 2.16.840.1.113883.3.10004 wkh Willis Knighton Health Colton Williamson masked Colton Williamson 318-212-4765 masked System Analyst Manager Willis Knighton Health 2600 Greenwood Rd Shreveport, LA 71103 318-212-4000 cwilliam10@wkhs.com https://www.wkhs.com Provider Int 3 Complete 2024/05/10 12:00:00 2024/05/13 12:00:00 2024/05/13 11:00:01 UV 2.16.840.1.113883.3.10005 oasis-1425 Children's Oasis Pediatrics Jannie Steadman masked Jannie Steadman 1425 W Elliot Road, Suite 204 Gilbert, AZ 85233 480-792-1012 masked Office Manager Children's Oasis Pediatrics 1425 W Elliot Road Suite 204 Gilbert, AZ 85233 480-792-1012 childrensoasispeds.js@gmail.com https://www.childrensoasispediatrics.com Provider Int 3 Complete 2024/05/15 12:00:00 2024/05/18 12:00:00 2024/05/18 05:28:53 UV 2.16.840.1.113883.3.10006 msp-peds Bethesda Pediatrics of Queen Creek Elmer Portillo masked Elmer Portillo 22707 South Ellsworth Road Suite H 101 Queen Creek, AZ 85142 602-531-0302 masked CFO Bethesda Pediatrics of Queen Creek PLLC 22707 South Ellsworth Road Suite H 101 Queen Creek, AZ 85142 480-792-9200 portillo.2744@gmail.com Provider Int 3 Complete 2024/05/16 12:00:00 2024/05/18 12:00:00 2024/05/18 05:31:02 UV 2.16.840.1.113883.4.8144 fusionEHR FusionEHR Phil Wyatt masked Phil Wyatt 732.218.5705 masked Product Manager Fusion 10 Woodbridge Center Drive, 2nd Floor Woodbridge, NJ 07095 732.218.5705 compliance@fusionmgt.com https://fusionehr.com/ Vendor Int 4 Complete 2024/05/17 12:00:00 2024/05/18 12:00:00 2024/05/18 05:34:27 UV 2.16.840.1.113883.3.10007 root-1health 1health.io Chris Hill masked Dejan Nenov Chris Hill 15316 S Indian Boundary Line Rd, Plainfield, IL 60544 6308819514 masked Head of Product 1health.io 201 Spear St Ste 1100 San Francisco, CA 94105 8557818227 software.licensing@1health.io https://www.1health.io Exchange Int 3 Complete 2024/05/21 12:00:00 2024/05/22 12:00:00 2024/05/22 11:37:32 1healthRoot UV 2.16.840.1.113883.3.10008 wmh-monahanstexas Ward Memorial Hospital Brandy Wolf masked Brandy Wolf 406 S Gary Monahans, TX 79756 4329432511 masked Clinical Informatics Ward Memorial Hospital 406 S Gary Monahans, TX 79756 4329432511 bwolf@wardmemorial.com Govt body Int 3 Complete 2024/05/21 12:00:00 2024/05/22 12:00:00 2024/05/22 11:40:28 UV 2.16.840.1.113883.3.10009 trackmy TrackMy Solutions, Inc Kyle Peterman masked Kyle Peterman 141 Lost Lake Dr Saint Augustine, FL 32086 913-515-0171 masked Chief Information Officer TrackMy Solutions, Inc 8700 Monrovia Suite 301 Lenexa, KS 66215 913-515-0171 kyle.peterman@trackmysolutions.us https://trackmysolutions.us/ Vendor Int 3 Complete 2024/05/22 12:00:00 2024/05/22 12:00:00 2024/05/22 11:48:06 UV 2.16.840.1.113883.3.10010 oim2620 Olympic Internal Medicine, Inc., P.S. Jennifer Frey masked Jennifer Frey Olympic Internal Medicine 2620 Wheaton Way Bremerton, WA 98310 3603773923 masked Olympic Internal Medicine, Inc., P.S. 2620 Wheaton Way Bremerton, WA 98310 3603773923 jfrey@olympicinternalmed.com https://olympicinternalmed.com/ Provider Int 3 Complete 2024/05/23 12:00:00 2024/05/25 12:00:00 2024/05/25 11:46:55 UV 2.16.840.1.113883.3.10011 dhroncologyradiology DHR Oncology Radiology Benjamin Gallegos masked Lydia F. Molina 2717 Michael Angelo Dr. Edinburg, TX 78539 19563622262 masked Practice Manager DHR Oncology Radiology 2717 Michael Angelo Dr. Edinburg, TX 78539 19563622262 ly.molina@dhr-rgv.com Int 3 Complete 2024/05/24 12:00:00 2024/05/25 12:00:00 2024/05/25 11:51:08 UV 2.16.840.1.113883.3.10012 afcpc-4120 ALLFAMILYCAREPC Jyoti Singh masked ALLFAMILYCAREPC 4120 N 108TH AVE SUITE 116 PHOENIX, AZ 85037 623-872-1818 masked ALLFAMILYCAREPC 4120 N 108TH AVE SUITE 116 PHOENIX, AZ 85037 602-617-5899 allfamilycarepc@yahoo.com Provider Int 3 Complete 2024/05/30 12:00:00 2024/05/31 12:00:00 2024/06/01 03:11:44 UV 2.16.840.1.113883.3.10013 lambhc Lamb Healthcare Center Amber Rangel masked Amber Rangel 8063856411 masked Lamb Healthcare Center 1500 South Sunset Ave, Littlefield, TX 79339 8063856411 arangel@lambhc.org Provider Int 3 Complete 2024/05/31 12:00:00 2024/05/31 12:00:00 2024/06/01 03:19:14 UV 2.16.840.1.113883.3.10014 bone-and-joint-clinic Bone & Joint Clinic, SC Justin Graff masked Brent Turner Justin Graff 400 Westwood Drive Wausau, WI 54401 7153930453 masked Director of IT Bone & Joint Clinic, SC 225000 Hummingbird Road Wausau, WI 54401 800-445-6442 Info@bonejoint.net https://bonejoint.net Int 3 Complete 2024/06/03 12:00:00 2024/06/04 12:00:00 2024/06/05 02:01:42 UV 2.16.840.1.113883.3.10015 medicalAssocofSWVA Medical Associates of Southwest Virginia Amber Delph masked Medical Associates of Southwest Virginia Amber N Delph 5409511462 masked Practice Manager Medical Associates of Southwest Virginia 810 Hospital Drive, Blacksburg, VA 24060 5409513311 adelph@maswva.com Provider Int 3 Complete 2024/06/03 12:00:00 2024/06/04 12:00:00 2024/06/05 02:04:11 UV 2.16.840.1.113883.3.10016 rAB Rheumatology Associates of Baltimore LLC Ann Marslett masked Ann M Marslett 1220 B. East Joppa Road Suite 310 Baltimore, MD 21286 4104941888 masked Administrator Rheumatology Associates of Baltimore LLC 1220 B East Joppa Road Suite 310 Baltimore, MD 21286 4104941888 amarslett@rheumatology-associates.com Provider Int 3 Complete 2024/06/05 12:00:00 2024/06/07 12:00:00 2024/06/08 03:58:00 UV 2.16.840.1.113883.3.10017 akdhc AKDHC, LLC Rohan Gray masked Karen Dutton Karen Dutton 3333 E. Camelback Rd Suite 180 Phoenix, AZ 85018 (602) 997-0484 x3005 masked Clinical Informatics Manager/Privacy Officer AKDHC, LLC 3333 E. Camelback Rd Suite 180 Phoenix, AZ 85018 (602) 997-0484 akdhcdomains@akdhc.com www.akdhc.com Provider Int 3 Complete 2024/06/05 12:00:00 2024/06/07 12:00:00 2024/06/08 03:59:54 US 2.16.840.1.113883.3.10018 cchPI-OID Comanche County Hospital OID for PI Suzie Girk masked Lisa Brooks Suzie Girk 202 S. Frisco Coldwater, KS 67029 620-582-2144 masked IT Comanche County Hospital 202 S. Frisco Coldwater, KS 67029 620-582-2144 lbrooks@comanchech.com www.comanchecountyhospital.com/ Provider Int 3 Complete 2024/06/06 12:00:00 2024/06/08 12:00:00 2024/06/08 04:04:39 UV 2.16.840.1.113883.3.10019 mYN MyndYou Tyler Jackson masked Ruth Baruchi Itay Baruchi 6466205773 masked CTO MyndYou 6466205773 itay@myndyou.com Vendor Int 3 Complete 2024/06/10 12:00:00 2024/06/11 12:00:00 2024/06/12 03:12:16 UV 2.16.840.1.113883.3.10020 mcCall McCall Behavioral Health Network Shalyn Sheldon masked Shalyn Sheldon 58 High Street Torrington, CT 06790 8604962100 masked Sr. Director of Administration & Accreditation McCall Behavioral Health Network 58 High Street Torrington, CT 06790 860-496-2100 Shalyn.sheldon@mccallbhn.org www.mccallbhn.org Provider Int 3 Complete 2024/06/11 12:00:00 2024/06/11 12:00:00 2024/06/12 03:19:05 UV 2.16.840.1.114222.4.3.22.42.22.1 chRMC Childress Regional Medical Center Gerardo Garcia masked Gerardo Garcia 901 Hwy 83 N Childress, TX 79201 9409379251 masked Childress Regional Medical Center 901 Hwy 83 N Childress, TX 79201 9409379251 ggarcia@childresshospital.com Govt body Ext 3 Complete 2.16.840.1.114222.4.3.22.42.22.1 2024/06/11 12:00:00 2024/06/11 12:00:00 2024/06/12 03:41:30 UV 2.16.840.1.113883.3.10021 vHI Virginia Health Information Kelly Richards masked Kelly Richards 102 N. 5th St. Richmond, VA 23219 804-612-8181 masked Manager Virginia Health Information 102 N. 5th St. Richmond, VA 23219 804-643-5573 kelly@vhi.org www.vhi.org Exchange Virginia Health Information Int 3 Complete 2024/06/13 12:00:00 2024/06/16 12:00:00 2024/06/17 02:59:28 UV 2.16.840.1.113883.9.292 wchcWesley Wesley Community & Health Centers Brittnie Montano masked Jason Rentscheler Brittnie Montano 1300 SOUTH 10TH STREET PHOENIX, AZ 85034 602-368-9890 masked HIT Optimization and Training Specialist Wesley Community & Health Centers 1300 SOUTH 10TH STREET PHOENIX, AZ 85034 (602) 257-4323 jrentscheler@wesleychc.org https://wesleychc.org/ Provider Int 3 Complete 2024/06/13 12:00:00 2024/06/16 12:00:00 2024/06/17 03:05:41 UV 2.16.840.1.113883.3.10022 tRHMI Three Rivers Health Hospital John Swartz masked John Swartz Beacon Health Systems 3245 Health Drive 46530 574-647-4991 masked System Analyst II Three Rivers Health Hospital 701 S Health Pkwy Three Rivers, MI 49093 269-278-1145 dparks@beaconhealthsystem.org Provider Int 3 Complete 2024/06/18 12:00:00 2024/06/19 12:00:00 2024/06/19 11:53:36 UV 2.16.840.1.113883.3.10023 jacksonMed Jackson Medical Center B.J. Garrick masked B.J. Garrick 220 Hospital Dr., Jackson, AL 36545 2512461113 masked Director, Information Technology Jackson Medical Center 220 Hospital Dr., Jackson, AL 36545 2512469021 bj.garrick@jmc.org https://www.jmc.org Provider Int 3 Complete 2024/06/18 12:00:00 2024/06/19 12:00:00 2024/06/19 11:55:42 UV 2.16.840.1.113883.3.10024 gFMA GFMA ACQ LLC Christina Mulkey masked Christina Mulkey 3885 Upham St Ste 100, Wheat Ridge, CO 80033 8505729069 masked Owner GFMA ACQ LLC 3885 Upham St Ste 100, Wheat Ridge, CO 80033 3037420086 christina@gfmacolorado.com www.gfmacolorado.com Provider Int 3 Complete 2024/06/18 12:00:00 2024/06/19 12:00:00 2024/06/20 12:03:15 UV 2.16.840.1.113883.3.10025 mMH1949 Mizell Memorial Hospital Jana Wyatt masked Elizabeth Cook 334-493-3541, ext 1301 masked IT Director Mizell Memorial Hospital 334-493-3541 jwyatt@mizellmh.com https://www.mizellmh.com Provider Int 3 Complete 2024/06/20 12:00:00 2024/06/20 12:00:00 2024/06/20 09:41:22 UV 2.16.840.1.113883.3.10026 foothold-care-management-cinq Foothold Care Management serving CINQCare Ryan Harris masked Ryan Harris 36 E 12th Street 5th Floor New York, NY 10003 3476220193 masked Director of Client Services Foothold Technology 36 E 12th Street 5th Floor New York, NY 10003 2127801450 fcm-support@footholdtechnology.com https://footholdtechnology.com/ Vendor Int 3 Complete 2024/06/24 12:00:00 2024/06/25 12:00:00 2024/06/25 12:10:29 UV 2.16.840.1.113883.3.10027 hchKS Hillsboro Community Hospital Mark Rooker masked Mark Rooker 101 Industrial Rd Hillsboro, KS 67063 6209473114 masked CEO Hillsboro Community Hospital 101 Industrial Rd Hillsboro, KS 67063 6209473114 ceo@hillsborohospital.com https://www.hillsborohospital.com/ Provider Int 3 Complete 2024/06/24 12:00:00 2024/06/25 12:00:00 2024/06/25 12:20:12 UV 2.16.124.10.101.1.60.4.9.2 ca_Ofys Logiciel Info-Data inc. Anil Patel masked Steeve St-Laurent Logiciels Info-Data inc. 494, rue du Commodore L&#233;vis, QC, G7A 4Y8 418-265-1067 masked Programmeur chez infodata Dr Patrice Drolet Logiciels Info-Data inc. 494, rue du Commodore L&#233;vis, QC, G7A 4Y8 1-581-700-0395 pdrolet@infodata.ca https://infodata.ca/InfoData/fr/ Vendor Ext 4 4 Complete 2.16.124.10.101.1.60.4.9.2 2024/06/26 12:00:00 2024/06/27 12:00:00 2024/06/27 09:53:49 CA 2.16.840.1.113883.3.10028 oid-CCC Cactus Children's Clinic, PC Debbie Bailey masked Sangeeta Ojha Debbie Bailey 5940 W. Union Hills Dr Suite D100 Glendale, AZ 85308 6029782911 masked Office Manager Cactus Children's Clinic, PC 5940 W. Union Hills Dr Suite D100 Glendale, AZ 85308 6029782500 dbailey@cactuschildrens.com www.cactuschildrens.com Provider Int 3 Complete 2024/06/26 12:00:00 2024/06/27 12:00:00 2024/06/27 10:00:59 UV 2.16.840.1.113883.4.8145 emcoid Evergreen Medical Center Thomas Peters masked Elizabeth Ivey Thomas Peters 101 Crestview Street Evergreen, AL 36033 2515780280 masked Director Of IT Evergreen Medical Center 101 Crestview Street Evergreen, AL 36033 2515782480 tpeters@evergreenmedical.org https://evergreenmedical.org Provider Int 3 Complete 2024/06/27 12:00:00 2024/06/27 12:00:00 2024/06/27 10:07:34 US 2.16.840.1.113883.3.10029 seymourHospitalOID Seymour Hospital Jonathan Witt masked Jonathan Witt 200 Stadium Dr Seymour, TX 76380 9408895572 masked IT Seymour Hospital 200 Stadium Dr Seymour, TX 76380 9408895572 jwitt@seymourtexas.net seymourhospital.com Provider Int 3 Complete 2024/06/27 12:00:00 2024/06/27 12:00:00 2024/06/27 10:15:31 UV 2.16.840.1.113883.3.10030 ims-AZ Integrated Medical Services Dan Iantorno masked Gyann Phillips Dan Iantorno 3815 E. Bell Rd Suite 2200 Phoenix, AZ 85032 773-398-8780 masked CIO Services Integrated Medical Services (IMS) 3815 E. Bell Rd Suite 2200 Phoenix, AZ 85032 602-579-3778 gyann.phillips@imsaz.com www.imsaz.com Provider Int 3 Complete 2024/06/27 12:00:00 2024/06/27 12:00:00 2024/06/27 10:44:13 UV 2.16.840.1.113883.3.10031 rEACHckd REACH Kidney Care Haley Wood masked Rick Craven Pramen Applasamy 3127562985 masked IT Manager Dialysis Clinic Inc 1633 Church Street, Suite 500 Nashville, TN 37203 6153273061 haley.wood@reachkidneycare.org dciinc.org Provider Int 3 Complete 2024/06/28 12:00:00 2024/07/10 12:00:00 2024/07/11 03:06:22 UV 2.16.840.1.113883.3.10032 sMC-SMCC Seton and Coastside Medical Center Seton Medical Center masked Seton Medical Center 1900 Sullivan Ave Daly City, CA 94015 6509915816 masked Seton Medical Center 1900 Sullivan Ave Daly City, CA 94015 (650) 992-4000 brandon.chan@ahmchealth.com Provider Int 3 Complete 2024/07/02 12:00:00 2024/07/10 12:00:00 2024/07/11 03:08:30 UV 2.16.840.1.113883.3.10033 vAULT VAULT Technologies Joseph Austin masked Joseph Austin 1 Reservoir Circle Suite 101 Pikesville, MD 21208-6392 United States (888) 862-2920 Ext. 2 masked Director of Product Management VAULT Technologies 1 Reservoir Circle Suite 101 Pikesville, MD 21208-6392 United States (888) 862-2920 Isay.Sosa@vaulttechinc.com Vendor Int 3 Complete 2024/07/03 12:00:00 2024/07/10 12:00:00 2024/07/11 03:10:42 US 2.16.840.1.113883.3.10034 drKnow Dr. Know, LLC Root OID for Health Information Systems Ben Callister masked Ben Callister 386 Raintree Drive Hendersonville, TN 37075 615-265-1046 masked Dr. Know, LLC 386 Raintree Drive Hendersonville, TN 37075 615-265-1046 accounts@doc-know.com https://www.doc-know.com Vendor Int 3 Complete 2024/07/08 12:00:00 2024/07/10 12:00:00 2024/07/11 03:14:34 UV 2.16.840.1.113883.3.10035 olvhs OLV Human Services Sheila Hunt masked sfowler@olvhs.org Sheila Hunt 790 Ridge Road Lackawanna, NY 14215 7168289699 masked Chief Program Officer OLV Human Services 790 Ridge Road Lackawanna, NY 14215 7168289699 shunt@olvhs.org www.olvhs.org Provider Int 3 Complete 2024/07/09 12:00:00 2024/07/10 12:00:00 2024/07/11 03:20:21 Table 0396 UV 2.16.840.1.113883.3.10036 invaryant Invaryant, Inc. Kelly McCutchen masked Sam 4555 Mansell Road, Suite 200 Alpharetta, GA 30022 6786530076 masked Invaryant, Inc. 4555 Mansell Road, Suite 200 Alpharetta, GA 30022 6786530076 info@invaryant.com Vendor Int 3 Complete 2024/07/10 12:00:00 2024/07/10 12:00:00 2024/07/11 03:23:48 UV 2.16.840.1.113883.3.10037 tl-fnp TL Family Nurse Practice LLC Tara Begay masked Tara Begay Main Office (Metro) 3201 W Peoria Ave Suite A105 Phoenix, AZ 85029 6029183225 masked TL Family Nurse Practice LLC 3201 W Peoria Ave STE A105 Phoenix, AZ 85029 6029183225 tara@tlfamilynursepractice.org www.tlfamilynursepractice.org Provider Int 3 Complete 2024/07/10 12:00:00 2024/07/10 12:00:00 2024/07/11 03:27:40 UV 2.16.840.1.113883.3.10038 lghJenaLA Hospital Service District #2 of LaSalle Parish dba LaSalle General Hospital Tracy Thacker masked Tracy Thacker 3189929200 masked LaSalle General Hospital PO Box 2780, Jena, LA 71342 187 Ninth Street, Jena, LA 71342 3189929200 tthacker@lgh-jena.org https://lasallegeneralhospital.com Govt body Int 3 Complete 2024/07/10 12:00:00 2024/07/10 12:00:00 2024/07/11 03:36:39 UV 2.16.840.1.113883.3.10039 decaturhealth Decatur Health Alicia Oien masked Alicia Oien 810 West Columbia Street PO Box 268 Oberlin, KS 67749 7854752208 masked Decatur Health 810 West Columbia Street PO Box 268 Oberlin, KS 67749 7854752208 aoien@decaturhealth.org Provider Int 3 Complete 2024/07/10 12:00:00 2024/07/10 12:00:00 2024/07/11 03:47:11 UV 2.16.840.1.113883.9.293 sNCLA Southeast Neuroscience Center LLC Esthee Van Staden masked drgervais@seneuro.org Donald S. Gervais Jr. MD 128 Neuroscience Ct, Gray, LA 70359 9859173007 masked Managing Partner Southeast Neuroscience Center LLC 128 Neuroscience Ct, Gray, LA 70359 9859173007 drgervais@seneuro.org www.seneuro.org Provider Int 3 Complete 2024/07/11 12:00:00 2024/07/12 12:00:00 2024/07/13 12:33:29 UV 2.16.840.1.113883.3.10040 ngT Nightingale Technology Jake Halpert masked Jake Halpert 901 N Glebe Rd Ste 500 Arlington, VA 22203 +1 703-337-1601 masked Support Nightingale Technology 901 N Glebe Rd Ste 500 Arlington, VA 22203 +1 703-337-1601 support@nightingale.tech nightingale.tech Vendor Int 3 Complete 2024/07/11 12:00:00 2024/07/12 12:00:00 2024/07/13 12:37:04 UV 2.16.840.1.113883.3.10041 firenotebase FireNote OID Base Robb Rich masked Robb Rich 21 N Fisher Park Way Eagle, ID 83616 208-370-7239 masked Unified Health Technology, LLC rrich@unified.health https://unified.health Vendor Int 3 Complete 2024/07/11 12:00:00 2024/07/12 12:00:00 2024/07/13 12:41:10 UV 2.16.840.1.113883.3.10042 ttp-memorycare TTP - Memory Care Clinic Rae Rodriguez masked Rae Ann Rodriguez 3601 4TH Street MS 8352 Lubbock, Texas 79430 806-743-2493 masked Clincal Informatics Coordinator Texas Tech Memory Clinic 6630 Quaker Ave, Suite G Lubbock, TX 79413 806-834-5884 RaeAnn.Rodriguez@ttuhsc.edu https://www.texastechphysicians.com/lubbock/ Academic Int 3 Complete 2024/07/16 12:00:00 2024/07/16 12:00:00 2024/07/17 03:53:19 UV 2.16.840.1.113883.3.10043 cca-HL7 Community Care Alliance Woonsocket OID Daniel Stephens masked cpham@communitycareri.org Daniel Stephens 68 Cumberland St. Woonsocket, RI 02895 4016607307 masked EHR Coordinator Community Care Alliance 68 Cumberland St. Woonsocket, RI 02895 4012357000 ehr.helpdesk@communitycareri.org www.communitycareri.org Provider Int 3 Complete 2024/07/16 12:00:00 2024/07/16 12:00:00 2025/10/17 04:31:20 US 2.16.840.1.113883.3.10044 flexCare FlexCare Lee Shoemake masked Lee Shoemake 3340 Peachtree Road, NE Suite 1525 Atlanta, GA 30326 404-846-4100 masked Founder & CEO FlexCare, LLC 3340 Peachtree Road, NE Suite 1525 Atlanta, GA 30326 404-846-4100 support@flexcare.com www.flexcare.com Provider Int 3 Complete 2024/07/17 12:00:00 2024/07/18 12:00:00 2024/07/18 11:29:20 UV 2.16.840.1.113883.9.294 tBH-HL7 Thrive Behavioral Health Barbara Dalton masked Barbara Dalton 2756 Post Rd suite 104 Warwick, RI 02886 401-691-6000 masked IT Manager Thrive Behavioral Health 2756 Post Rd Warwick, RI 02886 401-691-6000 mis@thrivebhri.org https://www.thrivebhri.org/ Provider Int 3 Complete 2024/07/17 12:00:00 2024/07/18 12:00:00 2024/07/18 11:35:34 US 2.16.840.1.113883.3.10045 crh2024 Clinton Regional Hospital Brenda Jennings masked Brenda Jennings PO Box 1567 100 N 30th Clinton, OK 73601 5805475128 masked Quality/Infection Control Director Clinton Regional Hospital PO Box 1567 100 Nth 30th Clinton, OK 73601 5805475128 brenda.jennings@crhaok.com https://clinton-regional-hospital.squarespace.com/home Provider Int 3 Complete 2024/07/18 12:00:00 2024/07/18 12:00:00 2024/07/18 11:40:25 UV 2.16.840.1.113883.3.10046 mytelemedicine MyTelemedicine Alexandru Trican masked Alexandru Trican 610 Elm St Suite 710 McKinney, Texas 75069 8006115601 masked Chief Security Officer, Privacy Officer MyTelemedicine, Inc 610 Elm St Suite 710 McKinney, Texas 75069 8006115601 support@mytelemedicine.com www.mytelemedicine.com Provider Int 3 Complete 2024/07/19 12:00:00 2024/07/20 12:00:00 2024/07/20 12:03:13 UV 2.16.840.1.113883.4.8146 wCHS Winnebago Comprehensive Healthcare System Austin Schanzenbach masked Austin Schanzenbach 225 S Bluff St. Winnebago, NE 68071 6053809979 masked Chief Transformation Officer Winnebago Comprehensive Healthcare System 225 S Bluff St. Winnebago, NE 68071 402-745-3950 wchsadministration@wchs.health https://winnebagohealth.com/ Int 3 Complete 2024/07/24 12:00:00 2024/07/26 12:00:00 2024/07/27 12:08:21 UV 2.16.840.1.113883.4.391.1000.330814 lfv Lifeview Healthcare Mohan Gounder masked Mohan Gounder 3200 West End Ave Suite 500 Nashville, TN 37203 6158810964 masked Chief Medical Officer Lifeview Healthcare mohan.gounder@lifeview.health Provider Ext 3 Complete 2.16.840.1.113883.4.391.1000.330814 2024/07/24 12:00:00 2024/07/26 12:00:00 2024/07/27 12:19:15 UV 2.16.840.1.113883.3.9056.1005 seqster-henryjacotin Dr. Henry Jacotin Xiang Li masked Dr. Henry Jacotin Xiang Li 7310 Mirmar RD #430 San Diego, CA 92126 8585006233 masked CTO Dr. Henry Jacotin xiang@seqster.com Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1005 2024/07/24 12:00:00 2024/07/26 12:00:00 2024/11/14 02:36:34 UV 2.16.840.1.113883.3.10047 drCare Doctors Care Colorado Alisa Spilman masked Alisa Marie Spilman 609 W Littleton Blvd, Ste 100, Littleton, CO 80120 3037301313 masked COO Doctors Care 609 W Littleton Blvd, Ste 100, Littleton, CO 80120 3037301313 aspilman@doctorscare.org www.doctorscare.org Provider Int 3 Complete 2024/07/25 12:00:00 2024/07/26 12:00:00 2024/07/27 12:37:03 UV 2.16.840.1.113883.3.10048 dhrBrownsvilleMOB4 DHR Brownsville Multispecialty MOB 4 OID Root Diego Nino masked Rosalinda Coronado 4770 Expressway Suite 301 Brownsville, TX 78526 956-362-1387 masked Clinic Manager DHR Brownsville Multispecialty MOB 4 4770 Expressway Suite 301 Brownsville, TX 78526 956-362-5870 ro.coronado@dhr-rgv.com Provider Int 3 Complete 2024/07/26 12:00:00 2024/07/26 12:00:00 2024/07/27 12:40:41 UV 2.16.840.1.113883.3.10049 rellik Rellik OID Roger Killer masked Roger Killer 28081 Marguerite Pkwy #3118 Mission Viejo, CA 92690 9495351199 masked Rellik Healthcare Technologies LLC it@rellik.ai https://www.rellik.ai Vendor Int 3 Complete 2024/07/29 12:00:00 2024/07/29 12:00:00 2024/07/30 01:47:10 UV 2.16.840.1.113883.3.10050 glp Garcia Life Partners Ltd. Bernardino Garcia masked Robyn Garcia Bernardino Garcia 5101 S Kildare Ave, Chicago, IL 60632 7082037053 masked Manager Garcia Life Partners Ltd. 5101 S Kildare Ave, Chicago, IL 60632 7737355600 support@garcialifepartners.com Provider Int 3 Complete 2024/07/29 12:00:00 2024/07/29 12:00:00 2024/07/30 02:02:00 UV 2.16.840.1.113883.3.10051 scsh-NOLA St. Charles Surgical Hospital Center for Restorative Breast Surgery Jodi Morgan masked Tara Roberts Jodi Morgan 1717 St. Charles Avenue New Orleans, LA 70130 5048627024 masked Director of Clinical Informatic and Technology St. Charles Surgical Hospital 1717 St. Charles Avenue New Orleans, LA 70130 504-529-6684 tara.roberts@scsh.com https://www.scsh.com/ Provider Int 3 Complete 2024/07/30 12:00:00 2024/07/30 12:00:00 2024/07/31 12:43:52 UV 2.16.840.1.113883.3.10052 mcdublin Medical Center LLP Nannette Mayo masked Brad Smith Nannette Mayo 908 HILLCREST PKWY DUBLIN, GA 31021 4782727411 masked CFO Medical Center LLP 908 HILLCREST PKWY DUBLIN, GA 31021 4782727411 nmayo@dublinmedicalcenter.com www.dublinmedicalcenter,com Provider Int 3 Complete 2024/07/31 12:00:00 2024/07/31 12:00:00 2024/08/01 02:42:49 UV 2.16.840.1.113883.4.8147 ca-CECIS Central East Clinical Information System (CECIS) Anil Patel masked Adrian Macedonio 1371 Neilson Rd, Scarborough, ON M1B 4Z8, Canada 416-431-8200 masked Interface Analyst Central East Hospital Cluster (CEHC) 1371 Neilson Rd, Scarborough, ON M1B 4Z8, Canada 416-431-8200 amacedonio@shn.ca https://www.shn.ca/ Govt body Ext 4 4 Complete 2.16.840.1.113883.4.8147 2024/08/01 12:00:00 2024/08/06 12:00:00 2024/08/07 12:41:07 CA 2.16.840.1.113883.3.10053 sharma Anupama Sharma M.D. INC Michelle Hickson masked Anupama Sharma M.D. Michelle Hickson 17259 Jasmine St, Suite B, Victorville, CA 92395 7609512001 masked Anupama Sharma M.D. 17259 Jasmine St, Suite B, Victorville, CA 92395 7602414929 radiantmedgroup@yahoo.com radiantmedicalgroup.com Provider Int 3 Complete 2024/08/01 12:00:00 2024/08/06 12:00:00 2024/08/07 12:47:14 UV 2.16.840.1.113883.3.10054 townsen Townsen Memorial Hospital Brandon Aschkar masked Brandon Aschkar 2149343934 masked EHR Analyst Townsen Memorial Hospital 1475 FM 1960 Bypass RD E, Humble Texas 77338 2813699001 brandon.aschkar@townsenhospital.com Provider Int 3 Complete 2024/08/06 12:00:00 2024/08/06 12:00:00 2024/08/07 12:50:04 UV 2.16.840.1.113883.3.10055 can-Peds Canyon Pediatrics 2024 Richard Brubaker masked Richard Brubaker 2451 E Baseline Rd #130 Gilbert, AZ 85234 4807767155 masked CEO Canyon Pediatrics 2451 E Baseline Rd #130 Gilbert, AZ 85234 4805072199 info@canyonpeds.com www.canyonpeds.com Provider Int 3 Complete 2024/08/06 12:00:00 2024/08/06 12:00:00 2024/08/07 12:56:13 UV 2.16.840.1.113883.3.10056 huc-CTX HealthyU Family Medicine Shane Speirs masked Mitch Irvine +1 602-491-0703 masked Director, Technology HealthyU Family Medicine, LLC 840 E. McKellips Rd STE 105 Mesa, AZ 85203 +1 602-491-0703 shane.speirs@healthyuclinics.com www.healthyuclinics.com Provider Int 3 Complete 2024/08/07 12:00:00 2024/08/07 12:00:00 2024/08/07 10:17:01 UV 2.16.840.1.113883.3.10057 bleckley Bleckley Memorial Hospital Scott Wynne masked Scott Wynne 145 E Peacock St Cochran, GA 31014 4789346211 masked CIO Bleckley Memorial Hospital 145 E Peacock St Cochran, GA 31014 4789346211 scott.wynne@bleckleymemorial.com bleckleymemorial.com Provider Int 3 Complete 2024/08/07 12:00:00 2024/08/07 12:00:00 2024/08/07 10:20:55 UV 2.16.840.1.113883.3.10058 taylor Taylor Regional Hospital Scott Wynne masked Scott Wynne 222 Perry Hwy Hawkinsville, GA 31036 4787830200 masked CIO Taylor Regional Hospital 222 Perry Hwy Hawkinsville, GA 31036 4787830200 scott.wynne@taylorregional.org taylorregional.org Provider Int 3 Complete 2024/08/07 12:00:00 2024/08/07 12:00:00 2024/08/07 10:23:26 UV 2.16.840.1.113883.3.10059 uToledoHealth University of Toledo Medical Center John Cavins masked Keith Grindle John Cavins University of Toledo 2801 West Bancroft St. Toledo, OH 43606 4195303986 masked Sr. Director of Enterprise Business Systems University of Toledo 2801 West Bancroft St. Toledo, OH 43606 4195302400 john.cavins@utoledo.edu http://www.utoledo.edu Provider Int 3 Complete 2024/08/08 12:00:00 2024/08/13 12:00:00 2024/08/14 12:58:37 UV 2.16.840.1.113883.3.10060 abcbs-ar Arkansas Blue Cross and Blue Shield Christopher Morris masked Christopher Morris 601 S. Gaines ST Little Rock, AR 72201 501-294-0937 masked Senior Developer Arkansas BlueCross BlueShield 601 S. Gaines ST Little Rock, AR 72201 501-294-0899 #40937 EnterpriseIntegrationPlatforms@arkbluecross.com https://www.arkansasbluecross.com/ Payor Int 3 Complete 2024/08/12 12:00:00 2024/08/13 12:00:00 2024/08/14 01:06:29 US 2.16.840.1.113883.3.10061 ogh-tx Ochiltree General Hospital Ron Bishop masked Ron Bishop 8064353606 masked Ochiltree General Hospital 3101 S Garrett Dr, Perryton, TX 79070 8064353606 rbishop@oghtx.com https://www.ochiltreehospital.com/ Provider Int 3 Complete 2024/08/13 12:00:00 2024/08/13 12:00:00 2024/08/14 01:10:30 UV 2.16.840.1.113883.3.10062 dCH31023 Dodge County Hospital Celia Covington masked Chandler Carey Dodge County Hospital 901 Griffin Ave Eastman, GA 31023 478-448-4366 masked IT DIrector Dodge County Hospital 901 Griffin Ave. Eastman, GA 31023 478-448-4366 ccarey@dodgecountyhospital.com https://www.dodgecountyhospital.com/ Provider Int 3 Complete 2024/08/13 12:00:00 2024/08/13 12:00:00 2024/08/14 01:15:27 UV 2.16.840.1.113883.3.10063 nmh-HL7 Newport Mental Health Cynthia Wheeler masked Cynthia Wheeler 42 Valley Road Middletown, RI 02842 4018161213 masked Chief Quality Officer Newport County Community Mental Health Center 42 Valley Road Middletown, RI 02842 4018461213 info@newportmh.org newportmentalhealth.org Provider Int 3 Complete 2024/08/13 12:00:00 2024/08/13 12:00:00 2024/08/14 01:30:17 US 2.16.840.1.113883.3.10064 wiregrassMC Wiregrass Medical Center Thomas Garske masked Thomas Garske 1200 W. Maple Ave. Geneva, AL 36340 3342483211 masked IT Director Wiregrass Medical Center 1200 W. Maple Ave. Geneva, AL 36340 3342483211 garsket@wiregrassmedicalcenter.org Int 3 Complete 2024/08/14 12:00:00 2024/08/15 12:00:00 2024/08/15 11:04:18 UV 2.16.840.1.113883.3.10065 evioPharmacySolutions Evio Pharmacy Solutions Eric Sipe masked Rob Hubert Rob Hubert 3800 Buchtel Boulevard Denver, CO 80210 314-913-4546 masked Head of Technology Evio Pharmacy Solutions, LLC 3800 Buchtel Boulevard Denver, CO 80210 rob@evio.com evio.com Vendor Int 3 Complete 2024/08/14 12:00:00 2024/08/15 12:00:00 2024/08/15 11:08:58 US 2.16.840.1.113883.3.10066 cority Cority-Lab Milad Mohammadi masked Milad Mohammadi 250 Bloor St E 9th Floor, Toronto, ON M4W 1E6 4163888772 masked Sr. Director of Technical Services Cority Software Inc 250 Bloor St E 9th Floor, Toronto, ON M4W 1E6 1 800-276-9120 milad.mohammadi@cority.com https://www.cority.com/ Vendor Int 3 Complete 2024/08/16 12:00:00 2024/08/17 12:00:00 2024/08/17 05:33:26 US 2.16.840.1.113883.3.10067 jchd Jackson County Hospital District Mark Mozisek masked Mark Mozisek 1013 S Wells St Edna, TX 77957 361-782-7825 masked IT Director Jackson County Hospital District 1013 S Wells St Edna, TX 77957 361-782-7800 mark@jchd.org www.jchd.org Provider Int 3 Complete 2024/08/20 12:00:00 2024/08/22 12:00:00 2024/08/22 09:48:26 UV 2.16.840.1.113883.3.10068 clhc County Line Health Clinic Shelby Casper masked Shelby Casper PO Box 157 Wiley, CO 81092 7198294030 masked Owner/ Family Nurse Practitioner County Line Health Clinic PO Box 157 Wiley, CO 81092 7198294030 scasper@countylinehealthclinic.com Provider Int 3 Complete 2024/08/21 12:00:00 2024/08/22 12:00:00 2024/08/22 09:55:43 UV 2.16.840.1.113883.3.10069 ihpri Integrated Healthcare Partners OID Root Barry Leonard masked Dylan Holm Integrated Healthcare Partners PO Box 412 Wakefield, RI 02879 7745450542 masked Data Analyst Integrated Healthcare Partners Integrated Healthcare Partners PO Box 412 Wakefield, RI 02879 7745450542 dholm@ihpaco.org Provider Int 3 Complete 2024/08/27 12:00:00 2024/08/28 12:00:00 2024/08/28 10:25:30 UV 2.16.840.1.113883.3.10070 ca-SVMS SacValley MedShare John Helvey masked John Helvey 2485 Notre Dame Blvd Suite 370 #20 Chico, CA 95928 5304874997 masked Chief Executive Officer SacValley MedShare 2485 Notre Dame Blvd Suite 370 #20 Chico, CA 95928 5304874997 john.helvey@sacvalleyms.org www.sacvalleyms.org Exchange Int 3 Complete 2024/08/27 12:00:00 2024/08/28 12:00:00 2024/08/28 10:30:06 UV 2.16.840.1.113883.3.10071 lcmh Lawrence County Memorial Hospital Jill Karkiewicz masked Meghan Waldrop Jill Karkiewicz 2200 State Street Lawrenceville, Illinois 62439 6189432045 masked Chief Information Officer Lawewnce Country Memorial Hospital 2200 State Street Lawrenceville, Illinois 62439 6189431000 jkarkiewicz@lcmhosp.org https://www.lcmhosp.org Provider Int 3 Complete 2024/08/28 12:00:00 2024/08/28 12:00:00 2024/08/29 12:30:11 UV 2.16.840.1.113883.3.10072 calliepeds Callie Pediatrics in Tucson, Arizona Mary Beth Callie masked Mary Beth Callie, PhD 6636 E Carondelet Drive Tucson, AZ 85710 520-298-3383 masked Integrated & Whole Person Care Director Callie Pediatrics 6636 E Carondelet Drive Tucson, AZ 85710 520-298-3383 acallie@calliepeds.com https://www.calliepeds.com/ Provider Int 3 Complete 2024/08/28 12:00:00 2024/08/28 12:00:00 2024/08/29 12:36:25 UV 2.16.840.1.113883.3.10073 mec-OID Medical Eye Center Dave Collie masked Dave Collie 1333 E Barnett Rd Medford, OR 97504 541 618 1442 masked IT Manager Medical Eye Center 1333 E Barnett Rd Medford, OR 97504 541 779 4711 administrator@medicaleyecenter.com https://www.medicaleyecenter.com/ Provider Int 3 Complete 2024/09/03 12:00:00 2024/09/05 12:00:00 2024/09/05 10:13:36 UV 2.16.840.1.113883.3.10074 rMGLLC Regional Medical Group LLC Susan Cassidy masked Susan Cassidy 4512 Kirkwood Hwy Ste 202, Wilmington, DE 19808 302-993-7890 masked Administrator Regional Medical Group LLC 4512 Kirkwood Hwy Ste 202, Wilmington, DE 19808 302-993-7890 suscassidy@verizon.net Provider Int 3 Complete 2024/09/03 12:00:00 2024/09/05 12:00:00 2024/09/05 10:18:52 UV 2.16.840.1.113883.3.10075 az-gyn Kelly H Roy MD PC dba Arizona Gynecology Consultants James Calligan masked James Calligan 7330 N 16th St, B101 Phoenix, AZ 85020 602-773-2417 masked President Kelly H Roy MD PC dba Arizona Gynecology Consultants 602-358-8588 jcalligan@azgyn.com www.azgyn.com Provider Int 3 Complete 2024/09/03 12:00:00 2024/09/05 12:00:00 2024/09/05 10:25:12 UV 2.16.840.1.113883.3.10076 cCDC1 COMMUNITY_CONNECTIONS_DC Joseph Cullinan masked JOSEPH CULLINAN 801 PENNSYLVANIA AVE SE STE 201 WASHINGTON, DC 20003 202-281-2930 masked CHIEF ADMIN OFFICER COMMUNITY CONNECTIONS 801 PENNSYLVANIA AVE SE STE 201 WASHINGTON, DC 20003 202-546-1512 INFO@CCDC1.ORG Provider Int 3 Complete 2024/09/03 12:00:00 2024/09/05 12:00:00 2024/09/06 01:03:48 UV 2.16.840.1.113883.3.10077 crenshawCommunityHospital Crenshaw Community Hospital Eric Jernigan masked Crenshaw Community Hospital 101 Hospital Drive Luverne, AL 36049 334-335-3374 masked CEO Crenshaw Community Hospital 101 Hospital Drive Luverne, AL 36049 334-335-3374 dhughes@crenshawcommunityhospital.com https://crenshawcommunityhospital.com/ Provider Int 3 Complete 2024/09/03 12:00:00 2024/09/05 12:00:00 2024/09/05 11:58:33 UV 2.16.840.1.113883.17.9530 absoluteCare AbsoluteCare Jim DiJoseph masked Jim DiJoseph 10175 Little Patuxent Parkway, Suite 800 Columbia, Maryland 21044 4432759658 masked Sr. Director of Information Technology AbsoluteCare 10175 Little Patuxent Parkway, Suite 800 Columbia, Maryland 21044 HL7@absolutecare.com https://www.absolutecare.com/ Provider Int 17 Complete 2024/09/04 12:00:00 2024/09/05 12:00:00 2024/09/05 12:00:48 UV 2.16.840.1.113883.3.10078 lfvTele Lifeview Healthcare Telemedicine Mohan Gounder masked Mohan Gounder 615-881-0964 masked Chief Medical Officer Lifeview Healthcare Telemedicine mohan.gounder@lifeview.health https://lifeview.health Provider Int 3 Complete 2024/09/04 12:00:00 2024/09/05 12:00:00 2024/09/05 12:04:15 UV 2.16.840.1.113883.3.10079 cTCMH Carnegie Tri-County Municipal Hospital Tim Hopen masked Nathan Richmond PO Box 97 Carnegie, OK 73015 5806541050 masked CEO Carnegie Tri-County Municipal Hospital PO Box 97 Carnegie, OK 73015 5806541050 ap@ct-cmh.com Provider Int 3 Complete 2024/09/05 12:00:00 2024/09/05 12:00:00 2024/09/06 01:00:22 UV 2.16.840.1.113883.3.10080 meiger MJ General Ernest Igwacho masked Ernest Igwacho 2026507800 masked MJ General LLC migwacho@meigerhealth.com Provider Int 3 Complete 2024/09/10 12:00:00 2024/09/11 12:00:00 2024/09/12 03:19:09 UV 2.16.840.1.113883.3.10081 ffp-2345 Family First Physicians, PLLC Matthew Germaine masked Matthew Germaine 480-893-2345 masked Practice Manager Family First Physicians, PLLC 480-893-2345 admin@familyfirstphysicians.com www.familyfirstphysicians.com Provider Int 3 Complete 2024/09/11 12:00:00 2024/09/11 12:00:00 2024/09/12 03:23:50 UV 2.16.840.1.113883.3.10082 mort Morton County Healthcare System Marco Medina masked Marco Medina 445 Hilltop PO Box 937 Elkhart, KS 67950 6206972141 masked IT Director Morton County Healthcare System 445 Hilltop PO Box 937 Elkhart, KS 67950 6204972141 itsupport@mchswecare.com www.mchswecare.com Provider Morton County Healthcare System Int 3 Complete 2024/09/12 12:00:00 2024/09/13 12:00:00 2024/09/13 11:11:13 UV 2.16.840.1.113883.3.10083 sedgwickcohc Sedgwick County Health Center Karla Dunker masked Karla Dunker 970-474-3323 masked CFO Sedgwick County Health Center 900 CEDAR ST JULESBURG, COLORADO 80737 970-474-3323 kdunker@schealth.org schealth.org Govt body Int 3 Complete 2024/09/12 12:00:00 2024/09/13 12:00:00 2024/09/13 11:13:36 UV 2.16.840.1.113883.3.10084 crittenden Crittenden Community Hospital Angela Thomas masked Shawn Bright Angela Thomas 5732473225 masked VP Clinical Services Crittenden Community Hospital 520 W. Gum Marion, Kentucky 42064 270-965-5281 sbright@crittendenhospital.com Provider Int 3 Complete 2024/09/13 12:00:00 2024/09/13 12:00:00 2024/09/13 11:22:51 UV 2.16.840.1.113883.3.10085 drumrightRegional Drumright Regional Hospital Angela Thomas masked Angela Thomas 5732473225 masked VP Clinical Services Drumright Regional Hospital 610 W. Bypass Drumright, OK 74030 (918) 382-2300 athomas@ruralhospital.net Provider Int 3 Complete 2024/09/13 12:00:00 2024/09/13 12:00:00 2024/09/13 11:33:17 UV 2.16.840.1.113883.3.10086 crosby Crosby Health HL7 Messaging OID Louis Ciano masked Louis Ciano 350 7th Ave, Suite 600, New York, NY 10001 704-807-4155 masked COO Crosby Health 350 7th Ave, Suite 600, New York, NY 10001 admin@crosbyhealth.com https://www.crosbyhealth.com/ Vendor Int 3 Complete 2024/09/14 12:00:00 2024/09/17 12:00:00 2024/09/17 10:28:59 UV 2.16.840.1.113883.3.10087 sacheart Sacramento Heart and Vascular Medical Associates Michael Cesario masked Sana Khan Michael Cesario 500 University Ave, Sacramento, CA 95825 9168302080 masked IT Administrator Sacramento Heart and Vascular Medical Associates 500 University Ave, Sacramento, CA 95825 9168302000 helpdesk@sacheart.com www.sacheart.com Provider Int 3 Complete 2024/09/16 12:00:00 2024/09/17 12:00:00 2024/09/17 10:31:43 UV 2.16.840.1.113883.3.10088 ali-med Alliance Medical Clinic Alicia Baer masked Alicia Baer 1-623-505-6565 masked Alliance Medical Clinic 42104 N. Venture Dr Suite D118 Anthem, AZ 85086 1-623-505-6565 alicia@alliancemedicalclinic.com www.alliancemedicalclinic.com Provider Int 3 Complete 2024/09/17 12:00:00 2024/09/17 12:00:00 2024/09/17 10:37:33 UV 2.16.840.1.113883.3.10089 car-sol Cardiac Solutions Laurynn Irsik masked Christine Onstott Joseph A Caplan MD PC , dba Cardiac Solutions 13460 North 94th Drive J1, Peoria AZ 85381 623-876-8816 masked Joseph A Caplan MD PC dba Cardiac Solutions 13460 N 94th Drive J1, Peoria, AZ 85381 623-876-8816 COnstott@cardiacsolutions.net Provider Int 3 Complete 2024/09/17 12:00:00 2024/09/17 12:00:00 2024/09/17 11:02:57 UV 2.16.840.1.113883.3.10090 id-PMG Premier Medical Group OID registration Catherine Reyes masked Catherine Reyes 5005 S. Ash Ave, Ste A-2 Tempe, AZ 85282-0000 4808383100 masked Office Manager Premier Medical Group 5005 S. Ash Ave, Ste A-2 Tempe, AZ 85282-0000 4808383100 creyes@pmgarizona.com www.pmgarizona.com Provider Int 3 Complete 2024/09/18 12:00:00 2024/09/18 12:00:00 2024/09/19 12:33:25 UV 2.16.840.1.113883.3.10091 careChain MultiCIM Technologies Alain Savard masked Paul Santaguida Alain Savard MultiCIM Technologies inc. 5296 Mariette ave Montreal, Quebec, Canada H4V 2G4 514 633 6401 masked Consultant MultiCIM Technologies inc. 5296 Mariette Ave Montreal, Quebec, Canada H4V 2G4 514 633 6401 support@multicim.com www.multicim.com Provider Int 3 Complete 2024/09/18 12:00:00 2024/09/18 12:00:00 2024/09/19 12:42:38 UV 2.16.840.1.113883.3.10092 t-n-c Tallahassee Neurological Clinic Michael Zavolas masked Michael Zavolas 1401 Centerville Road Suite 300 Tallahassee, FL 32308 8508775115 masked IT Director Tallahassee Neurological Clinic 1401 Centerville Road Suite 300 Tallahassee, FL 32308 8508775115 mdz@tnc-neuro.com tnc-neuro.com Provider Int 3 Complete 2024/09/19 12:00:00 2024/09/19 12:00:00 2024/09/20 02:14:37 UV 2.16.840.1.113883.3.10093 shaco Stellar Health ACO Christy Shamblin masked Daniel Lithwick 215 Park Avenue South, Floor 17 New York, NY 10003 (347) 716-9022 masked VP of ACO Stellar Health ACO 215 Park Avenue South, Floor 17 New York, NY 10003 (929) 382-4886 shaco@stellar.health https://stellar.health/aco-public-reporting/ Provider Int 3 Complete 2024/09/19 12:00:00 2024/09/19 12:00:00 2024/09/20 02:16:54 UV 2.16.840.1.113883.3.10094 tpfm Three Peaks Family Medicine LLC Lauren Kolfenbach masked Lauren Kolfenbach 98 Wadsworth Blvd Unit 120 Lakewood, CO 80226 720-603-4615 masked Clinical Director Three Peaks Family Medicine LLC lauren.fm@threepeakscare.com Provider Int 3 Complete 2024/09/20 12:00:00 2024/09/26 12:00:00 2024/09/26 11:28:38 UV 2.16.840.1.113883.3.10095 swhd Southwest Human Development Otto Reemelin masked Otto Reemelin 2850 N. 24th Street Phoenix, AZ 85008 6028097281 masked CIO Southwest Human Development 2850 N. 24th Street Phoenix, AZ 85008 602-633-8691 appadmin@swhd.org www.swhd.org Provider Int 3 Complete 2024/09/21 12:00:00 2024/09/26 12:00:00 2024/09/26 11:31:07 UV 2.16.840.1.113883.3.10096 lmcheCr Lake Martin Community Hospital Marsha Parkman masked Marsha Parkman 201 Mariarden Rd Dadeville, AL 36853 2568257821 masked Administrator Lake Martin Community Hospital 201 Mariarden Rd Dadeville, AL 36853 2568257821 mparkman@ivycreekhealth.com ivycreekhealth.com Provider Lake Martin Community Hospital Int 3 Complete 2024/09/24 12:00:00 2024/09/26 12:00:00 2024/09/26 11:37:52 UV 2.16.840.1.113883.3.10097 echeCr Elmore Community Hospital Marsha Parkman masked Marsha Parkman 2568257821 masked Administrator Elmore Community Hospital 500 Hospital Drive Wetumpka, AL 36092 3345674311 mparkman@ivycreekhealth.com ivycreekhealth.com Provider Elmore Community Hospital Int 3 Complete 2024/09/24 12:00:00 2024/09/26 12:00:00 2024/09/26 11:39:55 UV 2.16.840.1.113883.17.9531 dmfd Daisy Mountain Fire District Tiffany Marik masked Dan Jarrett 41018 N. Daisy Mountain Dr Anthem, AZ 85086 623-465-7400x114 masked Assistant Chief Daisy Mountain Fire District 41018 N. Daisy Mountain Dr Anthem, AZ 85086 623-465-7400 fire.admin@dmfd.org daisymountainfire.org Govt body Int 17 Complete 2024/09/25 12:00:00 2024/09/26 12:00:00 2024/09/26 11:43:57 UV 2.16.840.1.113883.3.10098 walmartCAHealth Walmart Canada Corp Chintankumar Kakadiya masked Chintankumar Kakadiya 4372996394 masked Associate Product Manager Walmart Canada Corp chintankumar.kakadiya@walmart.com https://www.walmartcanada.ca/contact-us Prof Soc Int 3 Complete 2024/09/25 12:00:00 2024/09/26 12:00:00 2024/09/26 11:46:21 UV 2.16.840.1.113883.3.10099 wchnh Washington County Hospital and Nursing Home Nicki McKee masked Nicki McKee 14600 ST. STEPHENS AVENUE CHATOM, AL 36518 2518472223 masked RN, DON Washington County Hospital and Nursing Home 14600 ST. STEPHENS AVENUE CHATOM, AL 36518 2518472223 nmckee@wchnh.org Provider Int 3 Complete 2024/09/25 12:00:00 2024/09/26 12:00:00 2024/09/26 11:58:18 US 2.16.840.1.113883.3.10100 sfmd-oid Superstition Fire and Medical District - Admin William Warren masked William Warren 480-290-1375 masked Transport Services Director Superstition Fire and Medical District 565 N Idaho Rd. Apache Junction, AZ 85119 USA +1 480-982-4440 ext 106 billy.warren@sfmd.az.gov https://sfmd.az.gov/ Exchange Int 3 Complete 2024/09/26 12:00:00 2024/09/26 12:00:00 2024/09/27 12:02:55 UV 2.16.840.1.113883.3.10101 qc-FMD Queen Creek Fire and Medical Dept Brittany Cupps masked Brittany Cupps 22358 S Ellsworth Rd Queen Creek, Arizona 85142 4803583367 masked EMS - Program Manager Queen Creek Fire and Medical Dept 22358 S Ellsworth Rd Queen Creek, Arizona 85142 4803583360 angie.white@queencreekaz.gov Provider Int 3 Complete 2024/09/26 12:00:00 2024/09/26 12:00:00 2024/09/27 12:05:44 UV 2.16.840.1.113883.3.10102 dchohd Doctors Center Hospital Orlando Health-Dorado Jonathan Rivera Rosario masked prios@dchpr.com Jonathan Rivera Rosario #900 carretera 696 Dorado 00646 7874158363 masked IT Director Doctors Center Hospital Orlando Health-Dorado 7876255050 jrivera@dchoh.com https://doctorscenterhospital.com/localizaciones/dorado-2/ Provider SHC Owner, LLC Int 3 Complete 2024/09/30 12:00:00 2024/09/30 12:00:00 2024/10/01 12:37:18 PR 2.16.840.1.113883.4.8148 ca-PEI-PHARM-LN Prince Edward Island College of Pharmacy Pharmacist License Number Anil Patel masked Michelle Wyand PEI College of Pharmacy Unit 1, 45 Paramount Drive Charlottetown, PEI, Canada C1E 0C6 902-628-3561 masked Registrar Prince Edward Island College of Pharmacy Unit 1, 45 Paramount Drive Charlottetown, PEI, Canada C1E 0C6 902-628-3561 info@pepharmacists.ca https://pepharmacists.ca/ Prof Soc Ext 4 4 Complete 2.16.840.1.113883.4.8148 2024/09/30 12:00:00 2024/09/30 12:00:00 2024/10/01 12:41:20 CA 2.16.840.1.113883.4.8149 ca-PEI-PLN Prince Edward Island College of Pharmacy Pharmacy License Number Anil Patel masked Michelle Wyand PEI College of Pharmacy Unit 1, 45 Paramount Drive Charlottetown, PEI, Canada C1E 0C6 902-628-3561 masked Registrar Prince Edward Island College of Pharmacy Unit 1, 45 Paramount Drive Charlottetown, PEI, Canada C1E 0C6 902-628-3561 info@pepharmacists.ca https://pepharmacists.ca/ Prof Soc Ext 4 4 Complete 2.16.840.1.113883.4.8149 2024/09/30 12:00:00 2024/09/30 12:00:00 2024/10/01 12:44:16 CA 2.16.840.1.113883.3.10103 rmc-ecreporting Richardson Medical Center Michael Boudreaux masked Joanna Pierce 3187288391 masked Richardson Medical Center 3187284181 rmcadmin@richardsonmed.org Provider Int 3 Complete 2024/10/01 12:00:00 2024/10/06 12:00:00 2024/10/06 06:36:24 UV 2.16.840.1.113883.3.10104 avfd Avra Valley Fire District Avra Valley Fire District masked rklein@avfire.org Lorrie Palmquist Avra Valley Fire District 15790 W Silverbell Road Marana, AZ 85653 520-6823255 masked Finance-Admin Manager Avra Valley Fire District Avra Valley Fire District 15790 W Silverbell Road Marana, AZ 85653 520-682-3255 lpalmquist@avfire.org avfire.org Provider Int 3 Complete 2024/10/01 12:00:00 2024/10/06 12:00:00 2024/10/06 06:43:17 UV 2.16.840.1.113883.3.10105 fryfiredistrict Fry Fire District Mark Savage masked Mark Savage Fry Fire District 4817 S. Apache Avenue Sierra Vista, AZ 85650 15206786745 masked Fire Chief Fry Fire District Fry Fire District 4817 S. Apache Avenue Sierra Vista, AZ 85650 15203783276 msavage@fryfiredistrict.com www.fryfiredistrictaz.gov Govt body Int 3 Complete 2024/10/07 12:00:00 2024/10/07 12:00:00 2024/10/08 01:44:30 UV 2.16.840.1.113883.3.10106 tpfd Three Points Fire District Three Points Fire District masked Monica Milburg 10351 S Sasabe Hwy, Tucson, AZ 85736 520-822-1086 masked Administrative Manager Three Points Fire District 10351 S Sasabe Hwy, Tucson, AZ 85736 520-822-1086 tpfd@threepointsfire.org threepointsfire.org Provider Int 3 Complete 2024/10/07 12:00:00 2024/10/07 12:00:00 2024/10/08 01:47:18 UV 2.16.840.1.113883.17.9532 prmh Prague Regional Memorial Hospital Shaelene Fipps masked Leslie Harrison 1322 Klabzuba Ave, Prague, OK 74864 4053805576 masked Quality Manager Prague Regional Memorial Hospital 1322 Klabzuba Ave, Prague, OK 74864 405-567-4922 sfipps@pragueregional.com https://prague.hospital/ Provider Int 17 Complete 2024/10/07 12:00:00 2024/10/07 12:00:00 2024/10/08 01:56:25 UV 2.16.840.1.113883.3.10107 noconagh Nocona General Hospital Todd Sutton masked Todd Sutton 940-825-3235 masked Nocona General Hospital 100 Park Rd Nocona, TX 76255 940-825-3235 NGH@noconageneral.com www.noconageneral.com Provider Int 3 Complete 2024/10/08 12:00:00 2024/10/09 12:00:00 2024/10/09 11:59:10 UV 2.16.840.1.113883.3.10108 nw-fd Northwest Fire District OID Northwest Fire District Northwest Fire District masked Brad Bradley Shawn Twilling 13535 N. Marana Main Street, Marana, AZ 85653 520-887-1010 masked Division Chief of EMS Northwest Fire District 13535 N. Marana Main Street, Marana, AZ 85653 5208811010 EMSDivision@nwfdaz.gov https://nwfdaz.gov/ Provider Int 3 Complete 2024/10/08 12:00:00 2024/10/09 12:00:00 2024/10/10 12:05:22 UV 2.16.840.1.113883.3.10109 mmh91016 MONROVIA MEMORIAL HOSPITAL Francisco Rodriguez masked FRANCISCO RODRIGUEZ 323 S. HELIOTROPE AVE MONROVIA, CA 91016 6264089840 masked Director of Plant Operations MONROVIA MEMORIAL HOSPITAL 323 S. HELIOTROPE AVE MONROVIA, CA 91016 6264089800 KEVINS@MMHOSP.COM monroviamemorial.com Prof Soc Int 3 Complete 2024/10/09 12:00:00 2024/10/09 12:00:00 2024/10/10 12:11:34 UV 2.16.840.1.113883.17.9533 bsmc Big Sandy Medical Center Stuart Conner masked Stuart Conner 166 Montana Ave, Big Sandy, MT 59520 406-378-2188 masked Director of Information Systems Big Sandy Medical Center 166 Montana Ave, Big Sandy, MT 59520 406-378-2188 sconner@bsmc.org https://www.bsmc.org Provider Int 17 Complete 2024/10/09 12:00:00 2024/10/09 12:00:00 2024/10/10 12:30:02 UV 2.16.840.1.113883.3.10110 chr Cedar Hill Regional Hospital Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces Cedar Hill Regional Medical Center 1200 Pecan Street SE Washington, DC 20032 alesia.childs@Uhsinc.com https://cedarhillregional.com/ Provider Int 17 3 Complete 2024/10/10 12:00:00 2024/10/10 12:00:00 2024/10/11 12:23:36 UV 2.16.840.1.113883.3.10111 lvdsmgsurgweightcontrlctr DSMG Surgical Weight Control Center Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces DSMG Surgical Weight Control Center 2850 W Horizon Ridge Pkwy Suite 100 Henderson, NV 89052-4395 610-382-4375 alesia.childs@uhsinc.com https://valleyhealthphysicians.com Provider Int 17 3 Complete 2024/10/10 12:00:00 2024/10/10 12:00:00 2024/10/11 12:26:01 UV 2.16.840.1.113883.3.10112 lvjacobsmed LV Jacobs Medical Associates Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces LV Jacobs Medical Associates 1389 Galleria Drive Suite 100 Henderson, NV 89014-6686 610-382-4375 alesia.childs@uhsinc.com https://valleyhealthphysicians.cm Provider Int 17 3 Complete 2024/10/10 12:00:00 2024/10/10 12:00:00 2024/10/11 12:29:24 UV 2.16.840.1.113883.3.10113 lvmggi LVMG GI Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces LVMG GI 825 N Gibson Road Suite 201 Henderson, NV 89011-1708 610-382-4375 alesia.childs@uhsinc.com https://valleyhealthphysicians.com Provider Int 17 3 Complete 2024/10/10 12:00:00 2024/10/10 12:00:00 2024/10/11 12:34:27 UV 2.16.840.1.113883.3.10114 lvmggvobgyn LVMG Green Valley OBGYN Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces LVMG Green Valley OBGYN 100 N Green Valley Pkwy #345 Henderson, NV 89074-7705 610-382-4375 alesia.childs@uhsinc.com https://valleyhealthphyscians.com Provider Int 17 3 Complete 2024/10/10 12:00:00 2024/10/10 12:00:00 2024/10/11 12:37:07 UV 2.16.840.1.113883.3.10115 lvcentfm LV Centennial FM Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces LV Centennial FM 6850 N Durango Drive Suite 208 Las Vegas, NV 89149-4596 610-382-4375 alesia.childs@uhsinc.com https://valleyhealthphyscians.com Provider Int 17 3 Complete 2024/10/10 12:00:00 2024/10/10 12:00:00 2024/10/11 12:44:51 UV 2.16.840.1.113883.3.10116 lvmgcentocchealth LVMG Centennial OccHealth Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces LVMG Centennial OccHealth 6850 N Durango Drive Suite 208 Las Vegas, NV 89149-4596 610-382-4375 alesia.childs@uhsinc.com https://valleyhealthphysicians.com Provider Int 17 3 Complete 2024/10/10 12:00:00 2024/10/10 12:00:00 2024/10/11 12:58:43 UV 2.16.840.1.113883.3.10117 lvcvtsvmob LV CVT Spring Valley MOB Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces LV CVT Spring Valley MOB 5380 S Rainbow Blvd Suite 110 Las Vegas, NV 89118-1880 610-382-4375 alesia.childs@uhsinc.com https://valleyhealthphysicians.com Provider Int 17 3 Complete 2024/10/10 12:00:00 2024/10/10 12:00:00 2024/10/11 01:00:39 UV 2.16.840.1.113883.3.10118 lvsvcvttwo LV Spring Valley CVT 2 Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces LV Spring Valley CVT 2 5380 S Rainbow Blvd Suite 330 Las Vegas, NV 89118-1878 610-382-4375 alesia.childs@uhsinc.com https://valleyhealthphysicians.com Provider Int 17 3 Complete 2024/10/10 12:00:00 2024/10/10 12:00:00 2024/10/11 01:09:49 UV 1.3.6.1.4.1.43635.2.1053 exp-practice-MD014 ExpressCare John Thomalla masked Dr. Jonathan Thierman 10090 Red Run Boulevard 3rd floor West Owings Mills, MD 21117 410-601-5940 masked CEO Practice Velocity 8777 Velocity Dr Machesney Park, IL 61115 815-544-7480 john.thomalla@experityhealth.com https://www.experityhealth.com/ Vendor 1.3.6.1.4.1.43635 Ext 13 3 Complete 1.3.6.1.4.1.43635.2.1053 2024/10/10 12:00:00 2024/10/10 12:00:00 2024/10/11 01:22:36 UV 2.16.840.1.113883.3.10119 lvmggensurggme LVMG General Surgery GME Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces LVMG General Surgery GME 5320 S Rainbow Blvd Las Vegas, NV 89118-1896 610-382-4375 alesia.childs@uhsinc.com https://valleyhealthphysicians.com Provider Int 17 3 Complete 2024/10/10 12:00:00 2024/10/10 12:00:00 2024/10/11 01:25:07 UV 2.16.840.1.113883.3.10120 lvmggensurggmehend LVMG General Surgery GME Henderson Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces LVMG General Surgery GME Henderson 825 N Gibson Road Suite 201 Henderson, NV 89011-1708 610-382-4375 alesia.childs@uhsinc.com https://valleyhealthphysicians.com Provider Int 17 3 Complete 2024/10/10 12:00:00 2024/10/10 12:00:00 2024/10/11 01:31:56 UV 2.16.840.1.113883.3.10121 lvmgimccgme LVMG IM CC GME Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces LVMG IM CC GME 5320 S Rainbow Blvd Suite 302 Las Vegas, NV 89118-1896 610-382-4375 alesia.childs@uhsinc.com https://valleyhealthphyscians.com Provider Int 17 3 Complete 2024/10/10 12:00:00 2024/10/10 12:00:00 2024/10/11 01:39:18 UV 2.16.840.1.113883.3.10122 lvmgsvfmgme LVMG Spring Valley Family Medicine GME Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces LVMG Spring Valley Family Medicine GME 5320 S Rainbow Blvd Suite 302 Las Vegas, NV 89118-1896 610-382-4375 alesia.childs@uhsinc.com https://valleyhealthphysicians.com Provider Int 17 3 Complete 2024/10/10 12:00:00 2024/10/10 12:00:00 2024/10/11 01:44:30 UV 2.16.840.1.113883.3.10123 lvmgsvprimcare LVMG Spring Valley Primary Care Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces LVMG Spring Valley Primary Care 5380 S Rainbow Road Suite 330 Las Vegas, NV 89118-1880 610-382-4375 alesia.childs@uhsinc.com https://valleyhealthphysicians.com Provider Int 17 3 Complete 2024/10/10 12:00:00 2024/10/10 12:00:00 2024/10/11 01:53:40 UV 2.16.840.1.113883.3.10124 lvmgpcwhend LVMG PC W Henderson Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces LVMG PC W Henderson 866 Seven Hills Drive Suite 201 Henderson, NV 89052-4376 610-382-4375 alesia.childs@uhsinc.com https://valleyhealthphysicians.com Provider Int 17 3 Complete 2024/10/10 12:00:00 2024/10/10 12:00:00 2024/10/11 01:56:31 UV 2.16.840.1.113883.3.10125 lvmggensurggmecent LVMG General Surgery GME Centennial Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces LVMG General Surgery GME Centennial 6850 N Durango Drive Suite 208 Las Vegas, NV 89149-4596 610-382-4375 alesia.childs@uhsinc.com https://valleyhealthphysicians.com Provider Int 17 3 Complete 2024/10/10 12:00:00 2024/10/10 12:00:00 2024/10/11 02:26:53 UV 2.16.840.1.113883.3.10126 lvmgjmaocchealth LVMG JMA OccHealth Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces LVMG JMA OccHealth 1389 Galleria Drive Suite 100 Henderson, NV 89014-6686 610-382-4375 alesia.childs@uhsinc.com https://valleyhealthphysicians.com Provider Int 17 3 Complete 2024/10/10 12:00:00 2024/10/10 12:00:00 2024/10/11 02:31:18 UV 2.16.840.1.113883.3.10127 lvmggensurghend LVMG General Surgery at Henderson Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces LVMG General Surgery at Henderson 825 N Gibson Road Suite 201 Henderson, NV 89011-1708 610-382-4375 alesia.childs@uhsinc.com https://valleyhealthphyscians.com Provider Int 17 3 Complete 2024/10/10 12:00:00 2024/10/10 12:00:00 2024/10/11 02:36:17 UV 2.16.840.1.113883.3.10128 lvmgmvpgpulm LVMG MVPG Pulm Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces LVMG MVPG Pulm 330 S Iola Lane Suite 200 Pahrump, NV 89048-5373 610-382-4375 alesia.childs@uhsinc.com https://valleyhealthphysicians.com Provider Int 17 3 Complete 2024/10/10 12:00:00 2024/10/10 12:00:00 2024/10/11 02:42:29 UV 2.16.840.1.113883.17.9534 mmc-WhiteSulphur Mountainview Medical Center Zoe Obert masked zchandler@mvmc.org Mountainview Medical Center 16 W Main St White Sulphur Springs, MT 59645 4065473321 masked Quality Coordinator Informatics RN Mountainview Medical Center 16 W Main Street White Sulphur Springs, MT 59645 4065473321 zobert@mvmc.org Provider Int 17 Complete 2024/10/10 12:00:00 2024/10/10 12:00:00 2024/10/11 02:47:17 UV 2.16.840.1.113883.4.8150 ca-CRNMPEI College of Registered Nurses & Midwives of Prince Edward Island Anil Patel masked Melissa Panton Unit 1, 45 Paramount Dr., Charlottetown, PEI, Canada C1E 0C6 902-368-3765 masked Chief Executive Officer and Registrar The College of Registered Nurses and Midwives of PEI (CRNMPEI) Unit 1, 45 Paramount Dr., Charlottetown, PEI, Canada C1E 0C6 902-368-3764 info@crnpei.ca https://crnpei.ca/ Prof Soc Ext 4 4 Complete 2.16.840.1.113883.4.8150 2024/10/10 12:00:00 2024/10/10 12:00:00 2024/10/11 02:59:06 CA 2.16.840.1.113883.3.10129 auxipr Hospital Espanol Auxilio Mutuo De Puerto Rico Claribel Casillas masked Claribel Casillas Castro Ave. Ponce De Leon #715 Pda. 37.5 San Juan, P.R. 00918 7877582000 masked Clinical Systems Analyst Hospital Espanol Auxilio Mutuo De Puerto Rico Ave. Ponce De Leon #715 Pda. 37.5 San Juan, P.R. 00918 787-758-2000 ccastro@auxiliomutuo.com www.auxiliomutuo.com Exchange Int 3 Complete 2024/10/14 12:00:00 2024/10/14 12:00:00 2024/10/14 10:02:11 UV 2.16.840.1.113883.3.10130 mvgc Maumee Valley Guidance Center Kim Grimes masked Kim Grimes 211 Biede Ave Defiance, OH 43512 419-785-3800 masked CFO Maumee Valley Guidance Center 211 Biede Ave Defiance, OH 43512 419-782-8856 mvgccfo@mvgcohio.org www.maumeevalleyguidancecenter.org Provider Int 3 Complete 2024/10/15 12:00:00 2024/10/16 12:00:00 2024/10/16 10:41:45 UV 2.16.840.1.113883.3.10131 acadia-bh Acadia Healthcare Root OID Paul Currie masked Paul S Currie 6100 Tower Circle Suite 1000 Franklin, TN 37067 6155790826 masked VP Enterprise Architecture Acadia Healthcare 6100 Tower Circle Suite 1000 Franklin, TN 37067 (615) 861-6000 paul.currie@acadiahealthcare.com www.acadiahealthcare.com Provider Int 3 Complete 2024/10/16 12:00:00 2024/10/16 12:00:00 2024/10/16 10:44:26 UV 2.16.840.1.113883.3.10132 glenRoseMed Glen Rose Medical Center Kerry Hancock masked Kerry Hancock 254-898-8315 masked IT Glen Rose Medical Center 1021 Holden St PO Box 2099 Glen Rose, TX 76043 254-897-2215 itdept@grmf.org www.glenrosemedicalcenter.com Provider Int 3 Complete 2024/10/17 12:00:00 2024/10/17 12:00:00 2024/10/18 02:38:02 UV 2.16.840.1.113883.3.10133 fhc Frederiksted Health Care Inc. Jelesmaire Woods masked Jelesmaire Woods P.O. Box 1198 Frederiksted, Saint Croix 00820 3407720260 masked Director Revenue Frederiksted Health Care Inc. P.O. Box 1198 Frederiksted, Saint Croix 00820 3407720260 jwoods@fhc-inc.net fhc-inc.net Provider Int 3 Complete 2024/10/17 12:00:00 2024/10/17 12:00:00 2024/10/18 02:42:15 UV 2.16.840.1.113883.3.10134 tem-ems Tempe Fire Medical Rescue Kevin Bailey masked Kevin Bailey P.O. Box 5002, Mail Stop 17-1 Tempe, Arizona 85280 4808587213 masked Deputy Fire Chief Tempe Fire Medical Rescue P.O. Box 5002, Mail Stop 17-1 Tempe, Arizona 85280 4808587200 kevin_bailey@tempe.gov www.tempe.gov Govt body Int 3 Complete 2024/10/17 12:00:00 2024/10/17 12:00:00 2024/10/18 02:53:55 UV 2.16.840.1.113883.3.10135 lauderdaleCommunity Lauderdale Community Hospital Angela Thomas masked Angela Thomas 5 Westwood Dr. Salem, MO 65560 5732473225 masked VP Clinical Services Lauderdale Community Hospital 340 Asbury Ave Ripley, Tennessee 38063 (731) 221-2200 athomas@ruralhospital.net Provider Int 3 Complete 2024/10/18 12:00:00 2024/10/18 12:00:00 2024/10/18 11:25:47 UV 2.16.840.1.113883.3.10136 rppa-paz River Park Post Acute Amy Riter masked Lisa Leveque 480-313-1429 masked River Park Post Acute 2555 North Price Road Chandler, AZ 85224-1686 480-345-7171 lleveque@ensignservices.net https://riverparkpostacute.com/ Provider Int 3 Complete 2024/10/18 12:00:00 2024/10/18 12:00:00 2024/10/18 11:28:39 UV 2.16.840.1.113883.3.10137 wog-paz Wellsprings of Gilbert Amy Riter masked Lisa Leveque 480-313-1429 masked Wellsprings of Gilbert 3319 South Mercy Road Gilbert, AZ 85297-0400 480-729-6500 lleveque@ensignservices.net https://wellspringsgilbert.com/ Provider Int 3 Complete 2024/10/18 12:00:00 2024/10/18 12:00:00 2024/10/18 11:33:46 UV 2.16.840.1.113883.3.10138 seiling Seiling Municipal Hospital Rachel Farrow masked Rachel Farrow (580) 922-7361 masked Seiling Municipal Hospital rfarrow@chmcok.com https://www.seilingmunicipalhospital.org/ Provider Int 3 Complete 2024/10/18 12:00:00 2024/10/21 12:00:00 2024/10/21 10:47:20 UV 2.16.840.1.113883.3.10139 elbertMemorialHospital Hospital Authority of Elbert-Elberton County dba Elbert Memorial Hospital Neal Miller masked Renee Mann Renee Mann Elbert Memorial Hospital 4 Medical Drive Elberton, GA 30635-1897 706-213-2505 masked Clinical Informatics Director Elbert-Elberton County dba Elbert Memorial Hospital 4 Medical Drive Elberton, GA 30635-1897 706-213-2505 rmann@emhcare.net www.emhcare.net Provider Int 3 Complete 2024/10/21 12:00:00 2024/10/21 12:00:00 2024/10/21 10:29:32 US 2.16.840.1.113883.3.10140 emc-echa Emanuel County Hospital Authority DBA Emanuel Medical Center Neal Miller masked Tony Waters Tony Waters Emanuel Medical Center 117 Kite Rd, Swainsboro, GA 30401 (478)289-1374 masked IT Director Emanuel Medical Center 117 Kite Rd, Swainsboro, GA 30401 (478)289-1374 twaters@emanuelmedical.org www.emanuelmedical.org Provider Int 3 Complete 2024/10/21 12:00:00 2024/10/21 12:00:00 2024/10/21 10:36:22 US 2.16.840.1.113883.3.10141 ccgh Coal County General Hospital Jessica Partin masked Jessica Partin 5809272327 masked RN/CNO Coal County General Hospital 6 N Covington St Coalgate, OK 74538 5809272327 j.partin@ccghospital.com ccghospital.com Prof Soc Int 3 Complete 2024/10/22 12:00:00 2024/10/23 12:00:00 2024/10/24 12:13:08 UV 2.16.840.1.113883.3.10142 fser Fort Smith ER & Hospital Crystal Restine masked Crystal Restine 4701 Phoenix Ave, Fort Smith, AR 72903 479-974-9412 masked Chief Nursing Officer Fort Smith ER & Hospital 4701 Phoenix Ave, Fort Smith, AR 72903 479-974-9403 info@fortsmithhospital.com fortsmithhospital.com Provider Int 3 Complete 2024/10/22 12:00:00 2024/10/23 12:00:00 2024/10/24 12:18:51 UV 2.16.840.1.113883.3.10143 olneyhh Olney Hamilton Hospital Stasha Siegert masked Stasha Siegert PO Box 158 Olney, TX 76374 9405645521 masked COO/CFO Olney Hamilton Hospital District PO Box 158 Olney, TX 76374 9405645521 admin@olneyhh.com www.olneyhamiltonhospital.com Provider Int 3 Complete 2024/10/23 12:00:00 2024/10/23 12:00:00 2024/10/24 12:22:25 UV 2.16.840.1.113883.3.10144 chwv Clinica Hispana Of West Valley, PLLC Perminder Vaid masked Clinica Hispana of West Valley, PLLC 6524 West Indian School Road, Suite # C Phoenix, AZ 85033 6235708814 masked MD Clinica Hispana of West Valley, PLLC 6524 West Indian School Road, Suite # C Phoenix, AZ 85033 6235708814 vaidp@yahoo.com www.clinicahispanaofwestvalley.com Provider Int 3 Complete 2024/10/24 12:00:00 2024/10/25 12:00:00 2024/10/26 12:06:32 UV 2.16.840.1.113883.3.10145 got2 Got2 complete practice management and EHR system for healthcare including eyecare Vipul Katyal masked Vipul Katyal 4015263625 masked VIPUL KATYAL 4015263625 vipul@kandooit.co Vendor Int 3 Complete 2024/10/25 12:00:00 2024/10/25 12:00:00 2024/10/26 12:30:41 UV 2.16.840.1.113883.3.10146 kchd-oid Knox County Hospital District Brandon Gray masked Brandon Gray 701 SE 5th St Knox City, TX 79529 9406573535 masked Business Office Manager KNOX COUNTY HOSPITAL DISTRICT 701 SE 5th St Knox City, TX 79529 9406573535 stephen.kuehler@knoxhospital.org Provider Int 3 Complete 2024/10/28 12:00:00 2024/10/28 12:00:00 2024/10/28 11:12:01 UV 2.16.840.1.113883.3.9056.1006 seqster-pamelaralls Dr. Pamela Ralls Xiang Li masked Dr. Pamela Ralls Xiang Li 7310 Miramar Rd #430 San Diego, California 92126 8585006233 masked CTO Dr. Pamela Ralls Carroll County Memorial Hospital, 309 11th street Carrollton, KY 41008 pamelar@ccmhospital.org https://www.carrollcountyhospital.org/ Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1006 2024/10/28 12:00:00 2024/10/28 12:00:00 2024/11/14 02:37:03 UV 2.16.840.1.113883.3.9056.1007 seqster-chriswilson Chris Wilson, MD Xiang Li masked Chris Wilson, MD Xiang Li 7310 Miramar Rd #430 San Diego, California 92126 8585006233 masked CTO Chris Wilson, MD American Health Network 8607 E US 36 Avon, IN 46123 Chris_Wilson@ahni.com https://www.optum.com/en/care.html Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1007 2024/10/28 12:00:00 2024/10/28 12:00:00 2024/10/28 11:18:06 UV 2.16.840.1.113883.3.9056.1008 seqster-ehabsorial Ehab Sorial, MD Xiang Li masked Ehab Sorial, MD Xiang Li 7310 Miramar Rd #430 San Diego, California 92126 8585006233 masked CTO Ehab Sorial, MD esorial@neccr.com https://www.prima-care.com Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1008 2024/10/28 12:00:00 2024/10/28 12:00:00 2024/10/28 11:40:37 UV 2.16.840.1.113883.3.9056.1009 seqster-rehabneuro Belinda Savage-Edwards, MD, FAAN, AQH Xiang Li masked Belinda Savage-Edwards, MD, FAAN, AQH Xiang Li 7310 Miramar Rd #430 San Diego, California 92126 8585006233 masked CTO Belinda Savage-Edwards, MD, FAAN, AQH bsavage-edwards@rehabneuro.us https://rehabneuro.us/ Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1009 2024/10/28 12:00:00 2024/10/28 12:00:00 2024/10/28 11:53:01 UV 2.16.840.1.113883.3.9056.1010 seqster-dominion Richard A. Jackson, MD Xiang Li masked Richard A. Jackson, MD Xiang Li 7310 Miramar Rd #430 San Diego, California 92126 8585006233 masked CTO Richard A. Jackson, MD physicians@dominionmedicalinc.com www.dominionmedicalinc.com Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1010 2024/10/28 12:00:00 2024/10/28 12:00:00 2024/10/28 11:55:32 UV 2.16.840.1.113883.3.10147 medweb Nexsys Electronics Inc dba Medweb Angie Fong masked aeshete@medweb.com Addisalem Eshete 800 Airport Blvd. Suite 318 Burlingame, CA 94010 415-541-9980 masked HL7 Support Nexsys Electronics Inc dba Medweb 800 Airport Blvd. Suite 318 Burlingame, CA 94010 415-541-9980 support@medweb.com https://medweb.com Provider Int 3 Complete 2024/10/28 12:00:00 2024/10/28 12:00:00 2024/10/29 12:05:30 UV 2.16.840.1.113883.3.10148 care Carelock LLC Brooke Johnston masked Brooke Johnston 2920 E Mohawk Lane, STE 101, Phoenix, AZ 85050 6232109045 masked Carelock LLC 4806813450 brooke@carelock.com https://carelock.com/ Provider Int 3 Complete 2024/10/28 12:00:00 2024/10/28 12:00:00 2024/10/29 12:13:10 UV 2.16.840.1.113883.3.10149 azh-vascular Az Heart and Vascular Clinic Cindy Roseberry masked Cindy Roseberry 480-781-0250 masked Az Heart and Vascular Clinic 6316 W UNION HILLS DR STE 210 GLENDALE, AZ 85308 480-785-2800 info@azheartandvascular.com Provider Int 3 Complete 2024/10/29 12:00:00 2024/10/29 12:00:00 2024/10/30 12:24:05 UV 2.16.840.1.113883.3.10150 mg-pp Mercy Grace Private Practice Michelle Reyes masked Olanrewaju Ijaola Michelle Reyes 480-745-3704 masked Office Manager Mercy Grace Private Practice 1720 E Boston ST. Gilbert, AZ 85295 480-745-3702 info@mgppaz.com Provider Int 3 Complete 2024/10/29 12:00:00 2024/10/29 12:00:00 2024/10/30 12:31:50 UV 2.16.840.1.113883.3.10151 chr-all Center for Health and Recovery Tara Sang masked Tara Sang 1950 W Heatherbrae Dr. Ste 1 Phoenix, AZ 85015 6022467607 ext. 2138 masked Director of Quality and Compliance Center for Health and Recovery 1950 W Heatherbrae Dr. Ste 5 Phoenix, AZ 85015 6022467607 Info@azchr.org Provider Int 3 Complete 2024/10/30 12:00:00 2024/10/31 12:00:00 2024/11/01 12:27:12 UV 2.16.840.1.113883.3.10152 bvchd Bear Valley Community Healthcare District Jon Booth masked Jon C Booth P.O. Box 1649 41870 Garstin Dr Big Bear Lake, CA 92315 9098788292 masked Director of Information Technology Bear Valley Community Healthcare District P.O. Box 1649 41870 Garstin Dr Big Bear Lake, CA 92315 909-866-6501 IT@bvchd.com https://www.bvchd.com Govt body Int 3 Complete 2024/10/30 12:00:00 2024/10/31 12:00:00 2024/11/01 12:32:43 UV 2.16.840.1.113883.3.10153 vvfd Verde Valley Fire District William Boler masked William Boler Verde Valley Fire District 2700 E. Godard Road Cottonwood, AZ 86326 928-634-2578 masked EMS Verde Valley Fire District bboler@verdevalleyfire.org www.verdevalleyfire.org Provider Int 3 Complete 2024/10/31 12:00:00 2024/10/31 12:00:00 2024/11/01 01:04:58 UV 2.16.840.1.113883.3.10154 vmd-az Village Medical Arizona Kevin Curwick masked Kevin Curwick 3003 N Central Ave Suite 1200, Phoenix, AZ 85012 480-716-5557 masked COO Village Medical Arizona 3003 N Central Ave Suite 1200, Phoenix, AZ 85012 480-716-5557 kcurwick@villagemd.com villagemd.com Provider Int 3 Complete 2024/10/31 12:00:00 2024/10/31 12:00:00 2024/11/01 01:13:12 UV 2.16.840.1.113883.3.10155 af-ma Arizona Fire & Medical Authority Chris Barden masked Nick Ells Nick Ells 623-544-5400 masked EMS Chief Arizona Fire & Medical Authority 18818 N. Spanish Garden Dr. Sun City West, AZ 85375 USA 623-544-5400 info@afma.az.gov Provider Int 3 Complete 2024/10/31 12:00:00 2024/10/31 12:00:00 2024/11/01 02:45:23 UV 2.16.840.1.113883.3.10156 pal-snf The Rehabilitation Center at Palazzo Chuck Kerby masked Chuck Kerby 602-433-6433 masked Executive Director The Rehabilitation Center at Palazzo 6250 N. 19th Ave Phoenix, AZ 85015 602-433-6300 concierge@palazzohealthcare.com Provider Int 3 Complete 2024/10/31 12:00:00 2024/10/31 12:00:00 2025/02/04 12:21:10 UV 2.16.840.1.113883.3.10157 cambia-ehealthexchange Cambia ehealthexchange Ravindra Kondiparthi masked Ravindra Kondiparthi 200 SW Market St, 11th floor Portland, OR 97201 5032255161 masked Software Engineering Manager Cambia Health Solutions 200 SW Market St, 11th floor Portland, OR 97201 (503) 721-7135 Srihari.Muthyala@cambiahealth.com https://cambiahealth.com/ Payor Int 3 Complete 2024/11/01 12:00:00 2024/11/03 12:00:00 2024/11/04 01:05:47 UV 2.16.840.1.113883.3.10158 pmel NeuroPsychiatric Hospitals Paul Hazelwood masked Paul Hazelwood 112 W. Jefferson Blvd. Suite 600 South Bend, Indiana 46601 317-677-4181 masked Chief Information Officer NeuroPsychiatric Hospitals 112 W. Jefferson Blvd. Suite 600 South Bend, Indiana 46601 574-277-2630 paul.hazelwood@n-p-h.net https://www.neuropsychiatrichospitals.net/ Provider Int 3 Complete 2024/11/01 12:00:00 2024/11/03 12:00:00 2024/11/04 01:07:34 UV 2.16.840.1.113883.4.8151 ca_Altera Altera Digital Health Inc Anil Patel masked Brian Beaman 222 Merchandise Mart Plaza 20th Floor Suite 2024 Chicago, IL 60654 USA 1-317-473-2087 masked Altera Digital Health Inc 222 Merchandise Mart Plaza 20th Floor Suite 2024 Chicago, IL 60654 USA 1-877-9-258372 interopportfolioleaders@alterahealth.com https://www.alterahealth.com Vendor Ext 4 4 Complete 2.16.840.1.113883.4.8151 2024/11/01 12:00:00 2024/11/03 12:00:00 2024/11/04 01:09:38 CA 2.16.840.1.113883.3.10159 hlrcc The Harold Leever Regional Cancer Center Tom Belzek masked gary.ulrich@elekta.com Tom Belzek 1075 Chase Parkway Waterbury, CT 06708 8607125139 masked Finance Director The Harold Leever Regional Cancer Center 1075 Chase Parkway Waterbury, CT 06708 8607125139 Tbelzek@LeeverCancerCenter.org www.leevercancercenter.org Provider Int 3 Complete 2024/11/04 12:00:00 2024/11/08 12:00:00 2024/11/08 05:08:08 UV 2.16.840.1.113883.3.10160 grfd Golder Ranch Fire District Jason Taylor masked Jason Taylor 1600 E Hanley Blvd, Tucson, AZ 85737 5204019917 masked EMS Division Chief Golder Ranch Fire District 1600 E Hanley Blvd, Tucson, AZ 85737 5208259001 grfdaz.gov https://grfdaz.gov/ Govt body Int 3 Complete 2024/11/04 12:00:00 2024/11/08 12:00:00 2024/11/08 05:12:53 UV 2.16.840.1.113883.3.9056.1011 seqster-mitchcornett Dr. Mitch Cornett Xiang Li masked Dr. Mitch Cornett Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 masked CTO Dr. Mitch Cornett American Health Network 8607 E US 36 Avon, IN 46123 Mitch_Cornett@ahni.com https://www.ahni.com/about/about-us.html Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1011 2024/11/05 12:00:00 2024/11/07 12:00:00 2024/11/08 04:44:39 UV 2.16.840.1.113883.3.9056.1012 seqster-jonathancondit Dr. Jonathan Condit Xiang Li masked Dr. Jonathan Condit Xiang Li 7310 Miramar Rd #430 San Diego, California 92126 masked CTO Dr. Jonathan Condit American Health Network 3631 N Morrison Rd Muncie, IN 47304 Jonathan_Condit@ahni.com https://www.ahni.com/about/about-us.html Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1012 2024/11/05 12:00:00 2024/11/07 12:00:00 2024/11/08 04:46:12 UV 2.16.840.1.113883.3.9056.1014 seqster-meghanriddle Dr. Meghan Riddle Xiang Li masked Dr. Meghan Riddle Xiang Li 7310 Miramar Rd #430 San Diego, California 92126 8585006233 masked CTO Dr. Meghan Riddle 45 Blackstone Blvd, Providence, RI 02906 mriddle@carene.org https://www.butler.org/memoryandaging/meet-meghan-riddle-md-associate-director-memory-and-aging-program Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1014 2024/11/05 12:00:00 2024/11/07 12:00:00 2024/11/08 04:52:41 UV 2.16.840.1.113883.3.9056.1015 seqster-jonathangarza Dr. Jonathan Garza Xiang Li masked Dr. Jonathan Garza Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 8585006233 masked CTO Dr. Jonathan Garza 2727 W. Holcombe Blvd., Houston, TX 77025 Jonathan.Garza@kelsey-seybold.com https://www.kelsey-seybold.com/find-a-houston-doctor/jonathan-garza-neurologist Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1015 2024/11/05 12:00:00 2024/11/07 12:00:00 2024/11/08 04:57:12 UV 2.16.840.1.113883.5.1151 ca-hc-dpd-schedule Health Canada Drug Product Database - Schedule Anil Patel masked Daniel Buijs Health Canada Address Locator 1801B Ottawa, Ontario K1A 0K9 Canada 1-613-957-2991 masked Manager Health Canada, Health Products and Food Branch Address Locator 1801B Ottawa, Ontario K1A 0K9 Canada 1-613-957-2991 pharma_drug_enquiries-renseignements_medicaments_pharma@hc-sc.gc.ca https://www.canada.ca/en/health-canada/services/drugs-health-products/drug-products/drug-product-database.html Govt body Ext 6 6 Complete 2.16.840.1.113883.5.1151 2024/11/05 12:00:00 2024/12/31 12:00:00 2024/12/31 11:36:45 UV 2.16.840.1.113883.3.10161 org-rxnt Networking Technology Inc dba RXNT RXNT Tech masked Thomas Kavukat 1449 Whitehall Rd Annapolis, MD 21409 410-626-2008 masked CTO Networking Technology Inc dba RXNT 1449 Whitehall Rd Annapolis, MD 21409 410-626-2008 samip@rxnt.com https://www.rxnt.com/ Vendor Int 3 Complete 2024/11/06 12:00:00 2024/11/08 12:00:00 2024/11/08 05:23:33 UV 2.16.840.1.113883.3.10162 gReddyCardio Geetha M Reddy MD FACC Geetha Reddy masked Geetha M Reddy MD 1880 W Winchester Rd, Suite 207 Libertyville, IL 60048 847-816-3703 masked Practice Office Manager Geetha M Reddy MD FACC 1880 W Winchester Rd, Suite 207 Libertyville, IL 60048 847-816-3703 cnesterowicz.grcardiology@gmail.com Provider Int 3 Complete 2024/11/07 12:00:00 2024/11/08 12:00:00 2024/11/08 05:29:12 UV 2.16.840.1.113883.3.9056.1013 seqster-kristigeorge Dr. Kristi George Xiang Li masked Dr. Kristi George Xiang Li 7310 Miramar Rd #430 San Diego, California 92126 masked CTO Dr. Kristi George Josephson Wallack Munshower (JWM) Neurology, P.C., 7250 Clearvista Dr. Suite 225, Indianapolis, IN 46256 kristikgeorge@gmail.com https://www.jwmneuro.com/physicians/kristi-k-george/ Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1013 2024/11/07 12:00:00 2024/11/07 12:00:00 2024/11/08 04:48:10 UV 2.16.840.1.113883.3.10163 ovhc-scot Rehab at Scottsdale Village Square Deedee Ramon masked Rehab at Scottsdale Village Square 2620 North 68th Street Scottsdale, AZ 85257 4809466571 masked Administrator Rehab at Scottsdale Village Square 2620 North 68th Street Scottsdale, AZ 85257 4809466571 administrator@scottsdalevillagerehab.com Provider Int 3 Complete 2024/11/08 12:00:00 2024/11/11 12:00:00 2024/11/11 08:01:45 UV 2.16.840.1.113883.3.10164 nephassoc Nephrology Associates PC Janice Arnold masked Janice Arnold 7 Cambridge Drive Suite 201 Trumbull, CT 06611 2033350195 masked manager Nephrology Associates, PC 203-335-0195 janice@nephrologyassoc.net nac.medtrio.com Provider Int 3 Complete 2024/11/11 12:00:00 2024/11/11 12:00:00 2024/11/11 08:10:48 UV 2.16.840.1.113883.3.10165 conferMED ConferMED Michael Malchiodi masked daren.anderson@confermed.com Michael Malchiodi, Eugene Marsh 631 Main St. Middletown, CT 06023 860 323-0172 masked ConferMED Oversight Team ConferMED 631 Main St. Middletown, CT 06023 860 323-0172 daren.anderson@confermed.com confermed.com Provider Int 3 Complete 2024/11/11 12:00:00 2024/11/11 12:00:00 2024/11/11 08:25:27 UV 2.16.840.1.113883.3.10166 cty-sur City of Surprise - Fire/Medical Christopher Becker masked Christopher Becker 16000 N. Civic Center Plaza Surprise, AZ 85374 623-222-7549 masked Security Engineer (Information Technology) City of Surprise - Fire/Medical 16000 N. Civic Center Plaza Surprise, AZ 85374 623-222-1000 christopher.becker@surpriseaz.gov https://www.surpriseaz.gov Govt body Int 3 Complete 2024/11/12 12:00:00 2024/11/16 12:00:00 2024/11/17 02:50:08 UV 2.16.840.1.113883.3.10167 tippahHospital Tippah County Hospital Brad Needham masked Brad Needham 1005 City Avenue North Ripley, MS 38663 662-512-3458 masked IT Director Tippah County Hospital 1005 City Avenue North Ripley, MS 38663 662-837-9221 bradn@tc-hs.org www.tippahcountyhospital.com Provider Int 3 Complete 2024/11/12 12:00:00 2024/11/16 12:00:00 2024/11/17 02:53:23 US 2.16.840.1.113883.3.10168 mfmd-ems Mesa Fire and Medical Department EMS OID Richard Harless masked Richard Harless 3260 N 40th Street, Mesa, AZ 85215 480-644-4492 masked EMS Captain Mesa Fire and Medical Department 13 W. 1st Street Mesa, AZ 85201 480-644-2101 mfmdems@mesaaz.gov fire.mesaaz.gov Govt body Int 3 Complete 2024/11/12 12:00:00 2024/11/16 12:00:00 2024/11/17 02:55:25 UV 2.16.840.1.113883.3.10169 bhs-bfs Berkshire Faculty Services Damian Shepard masked Damian Shepard 725 North St Pittsfield, MA 01201 4136645153 masked IT Integration Engineer Berkshire Faculty Services 725 North St Pittsfield, MA 01201 413-447-2000 dshepard@bhs1.org http://www.berkshirehealthsystems.org Provider Int 3 Complete 2024/11/14 12:00:00 2024/11/16 12:00:00 2024/11/17 02:59:50 UV 2.16.840.1.113883.3.10170 scaapex SCA Apex Cardiology Main Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces SCA Apex Cardiology Main 2250 S. Main Street Suite 201 Corona, CA 92882 610-382-4375 alesia.childs@uhsinc.com https://swhapexheart.com Provider Int 3 Complete 2024/11/14 12:00:00 2024/11/16 12:00:00 2024/11/17 03:04:37 UV 2.16.840.1.113883.3.9056.1016 seqster-melissachampeseagle Dr. Melissa Champe-Seagle Xiang Li masked Dr. Melissa Champe-Seagle Xiang Li 7310 Miramar Rd #430 San Diego, California 92126 8585006233 masked CTO Dr. Melissa Champe-Seagle Piedmont HealthCare, 375 Hospital Street, Suite 200, Mocksville, NC 27028 melissa.seagle@piedmonthealthcare.com https://piedmonthealthcare.com/location/phc-melissa-champe-seagle-md-internal-medicine/ Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1016 2024/11/14 12:00:00 2024/11/16 12:00:00 2024/11/17 03:08:39 UV 2.16.840.1.113883.3.9056.1017 seqster-brianwebster Dr. Brian Webster Xiang Li masked Dr. Brian Webster Xiang Li 7310 Miramar Rd #430 San Diego, California 92126 8585006233 masked CTO Dr. Brian Webster Wilmington Health, 1124 Gallery Park Blvd, Wilmington, North Carolina 28412 bwebster@wilmingtonhealth.com https://www.wilmingtonhealth.com/ Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1017 2024/11/14 12:00:00 2024/11/16 12:00:00 2024/11/17 03:14:34 UV 2.16.840.1.113883.3.9056.1018 seqster-talessapowell Dr. Talessa Powell Xiang Li masked Dr. Talessa Powell Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 8585006233 masked CTO Dr. Talessa Powell American Health Network, 8607 E US 36, Avon, IN 46123 Talessa_Powell@ahni.com https://www.ahni.com/about/about-us.html Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1018 2024/11/14 12:00:00 2024/11/16 12:00:00 2024/11/17 03:18:05 UV 2.16.840.1.113883.3.9056.1019 seqster-gretchencrook Dr. Gretchen Crook Xiang Li masked Dr. Gretchen Crook Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 8585006233 masked CTO Dr. Gretchen Crook Austin Regional Clinic Four Points 11714 Wilson Parke Ave. Suite 150 Austin, TX 78726 gcrook@austinregionalclinic.com https://www.austinregionalclinic.com/clinics/four-points Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1019 2024/11/14 12:00:00 2024/11/16 12:00:00 2024/11/17 03:33:04 UV 2.16.840.1.113883.3.9056.1020 seqster-sanjeevzutshi Dr. Sanjeev Zutshi Xiang Li masked Dr. Sanjeev Zutshi Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 8585006233 masked CTO Dr. Sanjeev Zutshi Millennium Physicians Group, 2343 Aaron St. Port Charlotte, FL 33952 Sanjeev.Zutshi.Research@mpgus.com https://millenniumphysician.com/ Provider 2.16.840.1.113883.3.9056 Ext 14 3 Complete 2.16.840.1.113883.3.9056.1020 2024/11/14 12:00:00 2024/11/16 12:00:00 2024/11/17 03:36:56 UV 2.16.840.1.113883.3.9056.1021 seqster-mrinaliniprasanna Dr. Mrinalini Prasanna Xiang Li masked Dr. Mrinalini Prasanna Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 8585006233 masked CTO Dr. Mrinalini Prasanna Atrius Health 133 Brookline Avenue, Boston, MA 02215 Mrinalini_Prasanna@atriushealth.org https://www.atriushealth.org/clinicians/Mrinalini-Prasanna-14109 Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1021 2024/11/14 12:00:00 2024/11/16 12:00:00 2024/11/17 03:39:30 UV 2.16.840.1.113883.3.9056.1022 seqster-davidlindstrom Dr. David Lindstrom Xiang Li masked Dr. David Lindstrom Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 8585006233 masked CTO Dr. David Lindstrom Western Washington Medical Group, 12728 19th Ave SE #300 Everett, WA 98208 dlindstrom@wwmedgroup.com https://www.wwmedgroup.com/primary-care/everett-family-medicine/ Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1022 2024/11/14 12:00:00 2024/11/16 12:00:00 2024/11/17 03:44:46 UV 2.16.840.1.113883.3.9056.1023 seqster-gerihart Dr. Geri Hart Xiang Li masked Dr. Geri Hart Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 8585006233 masked CTO Dr. Geri Hart Hutchinson Clinic, 2101 N Waldron Street, Hutchinson, KS 67502 hartg@hutchclinic.com https://www.hutchclinic.com/ Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1023 2024/11/14 12:00:00 2024/11/16 12:00:00 2024/11/17 03:48:29 UV 2.16.840.1.113883.3.10171 vvac Verde Valley Ambulance Company Dave Guth masked Dave Guth P.O. Box 1477 395 W. Mingus Ave Cottonwood, AZ 86326 9286347750 masked EMS Chief Verde Valley Ambulance Company P.O. Box 1477 395 W. Mingus Ave Cottonwood, AZ 86326 9286347750 emschief@verdevalleyambulance.com www.verdevalleyambulance.com Provider Int 3 Complete 2024/11/18 12:00:00 2024/11/19 12:00:00 2024/11/20 12:33:10 UV 2.16.840.1.113883.3.10172 clinicsense ClinicSense Daniel Ruscigno masked Daniel Ruscigno 21 Thorncrest Road Toronto, ON, Canada M9A 1R8 4165462251 masked President ClinicSense info@clinicsense.com clinicsense.com Vendor Int 3 Complete 2024/11/19 12:00:00 2024/11/19 12:00:00 2024/11/20 12:37:00 UV 2.16.840.1.113883.3.10173 bd-med B&D Medical, PLC Robin Bibb masked Adam Globerson Robin Bibb 17792 N 93rd Way Scottsdale, AZ 85255 6025311201 masked owner B&D Medical, PLC 6501 E Greenway Pkwy #103-449 Scottsdale, AZ 85254 6026449590 info@bzm-az.com Provider Int 3 Complete 2024/11/20 12:00:00 2024/11/20 12:00:00 2024/11/21 12:22:34 UV 2.16.840.1.113883.3.10174 dvh Desert View Hospital Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces Desert View Hospital 360 S. Lola Lane Pahrump, NV 89048 775-751-7500 alesia.childs@uhsinc.com https://desertviewhospital.com Provider Int 3 Complete 2024/11/20 12:00:00 2024/11/20 12:00:00 2024/11/21 12:26:36 UV 2.16.840.1.113883.3.10175 abmm Alan B Miller Medical Center Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces Alan B Miller Medical Center Pasteur Blvd Palm Beach Gardens, FL 33418 alesia.childs@uhsinc.com Provider Int 17 3 Complete 2024/11/20 12:00:00 2024/11/20 12:00:00 2024/11/21 12:30:09 UV 2.16.840.1.113883.3.10176 tmcbh Texoma Medical Center - Bonham Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces Texoma Medical Center - Bonham 504 Lipscomb St Bonham, TX 75418 903-583-8585 alesia.childs@uhsinc.com https://tmcbonham.com Provider Int 17 3 Complete 2024/11/20 12:00:00 2024/11/20 12:00:00 2024/11/21 12:33:08 UV 2.16.840.1.113883.3.10177 tbwmv Thousand Branches Wellness - Mission Valley Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces Thousand Branches Wellness - Mission Valley 3838 Camino Del Rio North Suite 380 San Diego, CA 92108 619-202-8586 alesia.childs@uhsinc.com https://thousandbrancheswellness.com Provider Int 17 3 Complete 2024/11/20 12:00:00 2024/11/20 12:00:00 2024/11/21 12:36:10 UV 2.16.840.1.113883.3.10178 tbwcl Thousand Branches Wellness - Chicago Loop Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces Thousand Branches Wellness - Chicago Loop 223 W. Jackson Blvd Chicago, IL 60606 312-586-9223 alesia.childs@uhsinc.com https://thousandbrancheswellness.com Provider Int 3 Complete 2024/11/20 12:00:00 2024/11/20 12:00:00 2024/11/21 12:43:22 UV 2.16.840.1.113883.3.10179 tbwah Thousand Branches Wellness - Arden Hills Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces Thousand Branches Wellness - Arden Hills 6 Pine Tree Dr. Suite 290-295 Arden Hills, MN 55112 651-409-4099 alesia.childs@uhsinc.com https://thousandbrancheswellness.com Provider Int 3 Complete 2024/11/20 12:00:00 2024/11/20 12:00:00 2024/11/21 12:47:59 UV 2.16.840.1.113883.3.10180 tbwhnl Thousand Branches Wellness - Houston North Loop Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces Thousand Branches Wellness - Houston North Loop 1415 North Loop West Suite 305 Houston, TX 77008 832-431-5599 alesia.childs@uhsinc.com https://thousandbrancheswellness.com Provider Int 3 Complete 2024/11/20 12:00:00 2024/11/20 12:00:00 2024/11/21 12:55:08 UV 2.16.840.1.113883.3.10181 wcp-HIE WEE CARE PEDIATRICS AZ HIE OID Mikael Payan masked Wee Care Pediatrics 480-244-5373 masked Wee Care Family Clinic Corp DBA Wee Care Pediatrics 2017 E Adobe St Mesa, AZ 85213 480-244-5373 info@weecare4kids.com Provider Int 3 Complete 2024/11/21 12:00:00 2024/11/23 12:00:00 2024/11/24 04:01:08 UV 2.16.840.1.113883.3.9056.1024 seqster-hemantpandey Dr. Hemant Pandey Xiang Li masked Dr. Hemant Pandey Xiang Li 7310 Miramar Road #430 San Diego, CA 92126 8585006233 masked CTO Dr. Hemant Pandey Brain and Spine Center 4045 W Chandler Blvd Chandler, AZ 85226 drpandey@brainandspineaz.com https://brainandspineaz.com/meet-the-team/ Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1024 2024/11/23 12:00:00 2024/11/23 12:00:00 2024/11/24 04:06:44 UV 2.16.840.1.113883.3.10182 tuhwf Temple Women and Families Shaun Walsh masked Shaun Walsh 1331 E Wyoming Ave, Philadelphia, PA 19124 267-615-3200 masked AVP IT Applications Temple Women and Families 1331 E Wyoming Ave, Philadelphia, PA 19124 (800) 836-7536 Shaun.Walsh@tuhs.temple.edu https://www.templehealth.org/locations/temple-women-and-families Provider Int 3 Complete 2024/11/25 12:00:00 2024/11/26 12:00:00 2024/11/26 12:40:35 UV 2.16.840.1.113883.3.10183 dal Dalton Medical Assoicates Damian Shepard masked Damian Shepard 33 North St Dalton, MA 01226 4136645153 masked IT Integration Engineer Dalton Medical Assoicates 33 North St Dalton, MA 01226 413-684-2110 dshepard@bhs1.org Provider Int 3 Complete 2024/11/25 12:00:00 2024/11/26 12:00:00 2024/11/26 12:44:31 UV 2.16.840.1.113883.3.10184 sur Suburban Internal Medicine Damian Shepard masked Damian Shepard 710 Stockbridge Road Lee, MA 01238 4136645153 masked IT Integration Engineer Suburban Internal Medicine 710 Stockbridge Road Lee, MA 01238 413-243-0122 dshepard@bhs1.org Provider Int 3 Complete 2024/11/25 12:00:00 2024/11/26 12:00:00 2024/11/26 12:48:10 UV 2.16.840.1.113883.3.10185 pedapl Pediatric Associates Prof., LLC Rebecca Jenkins masked Amber Hickert Rebecca Jenkins 947 S. 5th St, Montrose, CO 81401 970-249-2421 masked Coordinator Pediatric Associates Prof., LLC 947 S. 5th St., Montrose, CO 81401 970-249-2421 rebecca@thepediatricassociates.com https://www.thepediatricassociates.com/ Provider Int 3 Complete 2024/11/25 12:00:00 2024/11/26 12:00:00 2024/11/26 12:55:30 UV 2.16.840.1.113883.3.10186 goldenPlains Golden Plains Community Hospital Mickey Dunigan masked Mickey Dunigan Chief Information Officer Golden Plains Community Hospital 100 Medical Drive Borger, TX 79007 806-467-5731 masked Chief Information Officer Golden Plains Community Hospital 100 Medical Drive Borger, TX 79007 806-467-5700 it@goldenplains.org https://goldenplains.org Provider Int 3 Complete 2024/11/26 12:00:00 2024/11/27 12:00:00 2024/11/27 11:34:26 UV 2.16.840.1.113883.4.8152 dicomserver DicomServer by Best Equipos Medicos SA de CV MANUEL SOLIS AGUERO masked DOUGLAS F YAU QUAN MANUEL SOLIS AGUERO 363 N SAM HOUSTON PARKWAY E 1100 HOUSTON, TX, USA, 77060 3468739024 masked GENERAL MANAGER DicomServer, LLC manuel@dicomserver.com www.dicomserver.com Vendor Int 3 Complete 2024/11/26 12:00:00 2024/11/27 12:00:00 2025/11/29 03:26:13 UV 2.16.840.1.113883.3.10187 calc Calcium LLC Calcium LLC masked Reynaldo Villar P O Box 1506, Palatine, IL 60078 6305370364 masked Managing Partner - Marketing Calcium LLC P O Box 1506, Palatine, IL 60078 6305370364 hcmfainternal@calciumhealth.com www.calciumhealth.com Vendor Int 3 Complete 2024/11/29 12:00:00 2024/12/04 12:00:00 2024/12/04 11:42:50 UV 2.16.840.1.113883.3.10188 tub-fir Tubac Fire District Bianca Hamric masked Fire Chief Ben Guerrero Tubac Fire District 5203982255 masked Tubac Fire District P.O. Box 2881 Tubac, AZ 85646 5203982255 bhamric@tubacfire.org Govt body Int 3 Complete 2024/12/03 12:00:00 2024/12/04 12:00:00 2024/12/04 11:45:10 UV 2.16.840.1.113883.3.10189 vtl Vitalant OID Cheryl Aloia masked Cheryl Aloia 9305 East Via de Ventura Scottsdale, Arizona 85258 5613015661 masked VP, Enterprise Data and Integrations Vitalant 9305 East Via de Ventura Scottsdale, AZ 85258 (877) 258-4825 caloia@vitalant.org https://www.vitalant.org/ Provider Int 3 Complete 2024/12/03 12:00:00 2024/12/04 12:00:00 2024/12/04 11:47:42 UV 2.16.840.1.113883.3.10190 gfd-ems Gilbert Fire and Rescue Department Shannon Hipsley masked Gilbert Fire and Rescue Department 6860 S Power Rd, Gilbert, AZ 85297 4802716665 masked Privacy and Compliance Officer Gilbert Fire and Rescue Department 6860 S Power Rd, Gilbert, AZ 85297 4805036300 fire@gilbertaz.gov https://www.gilbertaz.gov/home Govt body Int 3 Complete 2024/12/04 12:00:00 2024/12/04 12:00:00 2024/12/05 12:02:34 UV 2.16.840.1.113883.3.10191 bcbs-AZ Blue Cross Blue Shield of Arizona Brandon Ching masked Blue Cross Blue Shield of Arizona 602-864-4400 masked Blue Cross Blue Shield of Arizona 8220 N 23rd Ave Phoenix, AZ 85021 602-864-4400 ProsanoIT@azblue.com www.azblue.com Provider Int 3 Complete 2024/12/11 12:00:00 2024/12/12 12:00:00 2024/12/13 12:39:18 UV 2.16.840.1.113883.3.10192 eHealthIPA Emerest Health IPA Meir Naiman masked Meir Naima 6619 13th Ave. Brooklyn, NY 11219 3474953147 masked Emerest Health IPA 6619 13th Ave. Brooklyn, NY 11219 mnaiman@emerest.com https://www.emerest.com/connect/ Provider Int 3 Complete 2024/12/11 12:00:00 2024/12/12 12:00:00 2024/12/13 12:43:44 UV 2.16.840.1.113883.3.10193 ua-den Urology Associates, PC Holly Harmon masked Urology Associates, PC +1 303-733-8848 masked Urology Associates, PC 7720 S Broadway Ste. 500 Littleton, CO 80122 USA +1 303-733-8848 uait@uradenver.com https://www.denverurology.com/ Provider Int 3 Complete 2024/12/12 12:00:00 2024/12/12 12:00:00 2024/12/13 12:49:15 UV 2.16.840.1.113883.3.10194 rm Rivia Mind Lindsey Sussman masked Rivia Mind 274 Madison Ave Suite 1501 New York, NY 10016 2122031773 masked Rivia Mind 274 Madison Ave Suite 1501 New York, NY 10016 2122031773 info@riviamind.com Provider Int 3 Complete 2024/12/13 12:00:00 2024/12/15 12:00:00 2024/12/16 01:09:11 US 2.16.840.1.113883.3.10195 atlasChiroSys Atlas Chiropractic System Inc Crystal Bartlett masked Crystal Bartlett 30 Brock St E Tillsonburg, ON Canada N4G 1Z5 8667628527 masked Programmer Atlas Chiropractic System Inc 30 Brock St E Tillsonburg, ON Canada N4G 1Z5 8667628527 Vendor Int 3 Complete 2024/12/13 12:00:00 2024/12/15 12:00:00 2024/12/16 01:15:05 UV 2.16.840.1.113883.3.9056.1025 seqster-samatakamireddy Dr. Samata Kamireddy Xiang Li masked Dr. Samata Kamireddy Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 8585006233 masked Dr. Samata Kamireddy Atlanta, GA xiang@seqster.com Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1025 2024/12/16 12:00:00 2024/12/19 12:00:00 2024/12/20 02:01:58 UV 2.16.840.1.113883.3.10196 shhc Squirrel Hill Health Center Jeff Sarabok masked RBlair@squirrelhillhealthcenter.org Jeff Sarabok 4516 Browns Hill Road Pittsburgh, PA 15217 7248163824 masked Director of Clinical Informatics Squirrel Hill Health Center 4516 Browns Hill Road Pittsburgh, PA 15217 4124227442 info@squirrelhillhealthcenter.org https://squirrelhillhealthcenter.org/ Provider Int 3 Complete 2024/12/19 12:00:00 2024/12/19 12:00:00 2024/12/20 02:07:25 UV 2.16.840.1.113883.3.2402.200.6988 physicians-computer-company-clients-altp Physician's Computer Company (PCC) Clients Altitude Pediatrics Romni Palmer masked Romni Palmer 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 masked Interoperability Implementation Physician's Computer Company 20 Winooski Falls Way, Suite 7 Winooski, VT 05404 802-846-8177 info@pcc.com https://www.pcc.com/ Vendor 2.16.840.1.113883.3.2402 Ext 17 Complete 2.16.840.1.113883.3.2402.200.6988 2024/12/20 12:00:00 2024/12/22 12:00:00 2024/12/23 03:52:59 UV 2.16.840.1.113883.3.10197 rdh-co Rangely District Hospital Daniel Moran masked Rangely District Hospital 225 Eagle Crest Drive Rangely, CO 81648 19706755011 masked IT Support Rangely District Hospital 225 Eagle Crest Drive Rangely, CO 81648 19706755011 ITSupport@rdhosp.org https://www.rangelyhospital.com/ Provider Int 3 Complete 2024/12/24 12:00:00 2024/12/24 12:00:00 2024/12/24 10:25:14 UV 2.16.840.1.113883.3.10198 pylonixinc PYLONIX, INC Ebad Mobaligh masked Ebad Mobaligh 11501 Dublin Blvd #200 Dublin CA 94568 4156405552 masked PYLONIX, INC 11501 Dublin Blvd #200 Dublin CA 94568 4156405552 ebad.mobaligh@pylonix.com PYLONIX.COM Vendor Int 3 Complete 2024/12/24 12:00:00 2024/12/24 12:00:00 2024/12/24 10:31:03 UV 2.16.840.1.113883.3.10199 ped-arb Pediatric Associates - Arbor Carlos Garcia masked Carlos Garcia 17241 NW 53 CT Miami Gardens, FL 33055 3059154802 masked Enterprise Application Manager Pediatric Associates Holding Company LLC 900 South Pine Island Rd, Plantation, FL 33324 9549676400 carlos.garcia@pediatricassociates.com pediatricassociates.com Provider Int 3 Complete 2024/12/27 12:00:00 2024/12/31 12:00:00 2024/12/31 11:08:30 UV 2.16.840.1.113883.4.8153 careconnectors-OID Care Connectors OID Vinod Kannarkat masked Vinod Kannarkat 310 927 0919 masked Chief medical officer Care Connectors Medical Group 4695 MacArthur Court, Newport Beach, CA 92660 310 927 0919 vinod.kannarkat@myccmg.com www.myccmg.com Provider Int 3 Complete 2024/12/31 12:00:00 2024/12/31 12:00:00 2024/12/31 11:59:23 UV 2.16.840.1.113883.3.10200 edvakhealth Edvak Technologies Inc Laxmi Narayan Reddy Mallreddy masked Vamsi Edara Vamsi Edara 1001 Texas St, Suite 1025 Houston, TX 77060 +1 (315) 327 8017 masked Director Edvak Technologies Inc 1001 Texas St, Suite 1025 Houston, TX 77060 +1 (832) 917-0909 edara@edvak.com http://www.edvak.com/ Vendor Int 3 Complete 2025/01/06 12:00:00 2025/01/07 12:00:00 2025/01/08 04:29:06 UV 2.16.840.1.113883.3.10201 peo-fire City of Peoria Fire-Medical Joy Dalmolin masked Joy Dalmolin 8401 W Monroe St Peoria, AZ 85345 623-773-7903 masked City of Peoria 8401 W Monroe St Peoria, AZ 85345 623-773-7279 justin.gorospe@peoriaaz.gov https://www.peoriaaz.gov/ Govt body Int 3 Complete 2025/01/08 12:00:00 2025/01/08 12:00:00 2025/01/09 03:57:13 UV 2.16.840.1.113883.3.10202 pawclinic Pawnee Clinic Oklahoma Reid Howle masked Reid Howle (918) 642-3291 masked Interface Developer Pawnee Clinic 535 6th Street Pawnee, OK 74058 9187623942 severhart@avemhealth.com Provider Int 3 3 Complete 2025/01/08 12:00:00 2025/01/08 12:00:00 2025/01/09 04:00:53 UV 2.16.840.1.113883.3.10203 rwfclinic Rural Wellness Fairfax Clinic Reid Howle masked Reid Howle +19186423291 masked Rural Wellness Fairfax Clinic 40 Hospital Rd, Fairfax, OK 74637 +19186423291 rhowle@avemhealth.com https://rwfairfax.com/ Provider Int 3 3 Complete 2025/01/08 12:00:00 2025/01/08 12:00:00 2025/01/09 04:07:14 UV 2.16.840.1.113883.3.10204 dchb-oid Doctors' Center Hospital Bayamon Pedro Rios masked Pedro Rios Calle J Num 9 Extension Hermanas Davila Bayamon, PR 00960 787-621-3322 x 1017 masked IT Director Doctors' Center Hospital Bayamon Calle J Num 9 Extension Hermanas Davila Bayamon, PR 00960 787-622-5420 administrator@dchpr.com http://www.tuhospitalfamiliar.com Provider Int 3 Complete 2025/01/09 12:00:00 2025/01/11 12:00:00 2025/01/11 07:49:56 UV 2.16.840.1.113883.3.10205 dchc-oid Doctors' Center Hospital Carolina Pedro Rios masked Pedro Rios Edif. Jesus T. Pineiro C.Fdez Juncos, Molinillo Carolina, PR 00985 787-621-3322 x 1017 masked IT Director Doctors' Center Hospital Carolina Edif. Jesus T. Pineiro C.Fdez Juncos, Molinillo Carolina, PR 00985 787-626-3322 administrator@dchpr.com http://www.tuhospitalfamiliar.com Provider Int 3 Complete 2025/01/09 12:00:00 2025/01/11 12:00:00 2025/01/11 07:52:35 UV 2.16.840.1.113883.3.10206 dcms-oid Doctors' Center Hospital San Juan Pedro Rios masked Pedro Rios PO Box 11338 San Juan, PR 00910 787-621-3322 x 1017 masked IT Director Doctors' Center Hospital San Juan PO Box 11338 San Juan, PR 00910 787-999-7620 administrator@dchpr.com http://www.tuhospitalfamiliar.com Provider Int 3 Complete 2025/01/09 12:00:00 2025/01/11 12:00:00 2025/01/11 07:58:56 UV 2.16.840.1.113883.3.10207 cedar-point Cedar Point Health Bryce Lokey masked Cedar Point Health, LLC 2303 South Townsend Ave Montrose, Colorado 81401 9702497751 masked Director of Operations Cedar Point Health 2303 South Townsend Avenue Montrose, Colorado 81401 +19702497751 lokey@cedarpointhealth.com cedarpointhealth.com Provider Int 3 Complete 2025/01/09 12:00:00 2025/01/11 12:00:00 2025/01/11 08:03:23 UV 2.16.840.1.113883.3.10208 hpupm HOSPITAL SULTAN ABDUL AZIZ SHAH UPM Lye Hin Khoo masked SHAHRIR.JUNUS@GEHEALTHCARE.COM SHAHRIR JUNUS Suite 1A-1, Level 1, Block 1A,, Plaza Sentral, Jalan Stesen Sentral 5, Kuala Lumpur Sentral Kuala Lumpur; Federal Territories; Postal Code: 50470 +60122168703 masked SERVICE ENGINEER HOSPITAL SULTAN ABDUL AZIZ SHAH UPM Persiaran Mardi - Upm, 43400 Serdang, Selangor, Malaysia +0397695500 amiruazrie@upm.edu.my Govt body Int 3 Complete 2025/01/10 12:00:00 2025/01/11 12:00:00 2025/01/11 08:12:09 UV 2.16.840.1.113883.3.10209 djs-pll Daniela Schupp MD PhD PLLC Daniela Schupp masked Daniela J. Schupp MD +1 970-210-0357 masked managing member Daniela J. Schupp MD PhD, PLLC 525 North Ave, Grand Junction, CO Grand Junction, CO 81501 +1 970-986-4418 schuppd2@gmail.com Provider Int 3 Complete 2025/01/10 12:00:00 2025/01/11 12:00:00 2025/01/11 08:57:58 UV 2.16.840.1.113883.3.10210 yocierge YoCierge, Inc Tiffanny Anghel masked George Bessenyei George Bessenyei 200 Eagle Rd Suite 10 Wayne, PA 19087 8622090195 masked YoCierge 200 Eagle Rd Suite 10 Wayne, PA 19087 5614448180 gb@yocierge.com www.yocierge.com Exchange Int 3 Complete 2025/01/14 12:00:00 2025/01/15 12:00:00 2025/01/16 01:48:09 UV 2.16.840.1.113883.3.10211 drl-ufm DR. LU FAMILY MEDICINE, PROF. LLC Honglan Lu masked Honglan Lu 2525 N. 8th ST, STE 104 Grand Junction, CO 81501 9702411370 masked Physician DR. LU FAMILY MEDICINE, PROF. LLC 2525 N. 8th ST, STE 104 Grand Junction, CO 81501 9702411370 honglan_lu@yahoo.com Provider Int 3 Complete 2025/01/14 12:00:00 2025/01/15 12:00:00 2025/01/16 01:51:16 UV 2.16.840.1.113883.3.9056.1026 seqster-brandennago Dr. Branden Nago Xiang Li masked Dr. Branden Nago Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 8585006233 masked CTO Dr. Branden Nago Polyclinic Madison Center 904 7th Ave Seattle, WA 98104 branden.nago@polyclinic.com https://www.polyclinic.com/locations-nav/providers/wa/braden-nago-md/1316018344.html Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1026 2025/01/14 12:00:00 2025/01/15 12:00:00 2025/01/16 01:58:09 UV 2.16.840.1.113883.3.10212 uncch The University of North Carolina at Chapel Hill Anita Walden masked Melissa Haendel Melissa Haendel 104 Airport Drive, Suite 2200, Campus Box 1350, Chapel Hill, NC 27599 5034075970 masked Professor University of North Carolina at Chapel Hill 104 Airport Drive, Suite 2200, Campus Box 1350, Chapel Hill, NC 27599 OSPContracting@unc.edu www.unc.edu Academic Int 3 Complete 2025/01/16 12:00:00 2025/01/17 12:00:00 2025/01/18 02:47:21 UV 2.16.840.1.113883.3.10213 hopewest-pace HopeWest PACE Cody Hill masked Cody Hill 2754 Compass Dr. Grand Junction, CO 81506 9702484408 masked Clinical Technology Coordinator HopeWest PACE 2754 Compass Dr. Grand Junction, CO 81506 9702557223 chill@hopewestco.org Provider Int 3 Complete 2025/01/17 12:00:00 2025/01/17 12:00:00 2025/01/18 02:51:54 UV 2.16.840.1.113883.17.9535 lenscraftersca lenscrafters company registration Salman Hameed masked Salman Hameed 969 Robson St Vancouver, BC V6Z 2V7, Canada 2142053068 masked Sr Director IT LensCrafters Canada 969 Robson St Vancouver, BC V6Z 2V7, Canada 2142053068 salman.hameed@essilor.ca https://www.lenscrafters.ca/ Provider Int 17 Complete 2025/01/20 12:00:00 2025/01/21 12:00:00 2025/01/22 01:00:47 UV 2.16.840.1.113883.3.10214 ent-Harlingen DHR Health Ear, Nose and Throat Institute Harlingen Root Cristian Gallardo masked Sonia L Hernandez 510 Victoria LN. Ste 5 Harlingen, TX 78550 956-362-8927 masked Practice Manager DHR Health Ear, Nose and Throat Institute Harlingen 510 Victoria LN. Ste 5 Harlingen, TX 78550 9563628920 Sonia.Hernandez3@dhr-rgv.com Provider Int 3 Complete 2025/01/20 12:00:00 2025/01/21 12:00:00 2025/01/22 01:05:52 UV 2.16.840.1.113883.3.10215 ent-Brownsville DHR Health Ear, Nose and Throat Institute Brownsville Root Cristian Gallardo masked Sonia L Hernandez 4770 N. EXPWY 77/83 Suite 304 Brownsville, TX 78526 9563628927 masked Practice Manager DHR Health Ear, Nose and Throat Institute Brownsville 4770 N. EXPWY 77/83 Suite 304 Brownsville, TX 78526 9563628950 Sonia.Hernandez3@dhr-rgv.com Provider Int 3 Complete 2025/01/20 12:00:00 2025/01/21 12:00:00 2025/01/22 01:08:37 UV 2.16.840.1.113883.3.10216 ent-McAllen DHR Health Ear, Nose and Throat Institute McAllen Root Cristian Gallardo masked Eva Gomez 2101 S Cynthia St. Plex A McAllen, TX 78503 9563627033 masked Practice Manager DHR Health Ear, Nose and Throat Institute McAllen 2101 S Cynthia St. Plex A McAllen, TX 78503 9563627020 Eva.Gomez@dhr-rgv.com Provider Int 3 Complete 2025/01/20 12:00:00 2025/01/21 12:00:00 2025/01/22 01:12:20 UV 2.16.840.1.113883.3.10217 liver-Specialty DHR Health Transplant Institute Liver Specialty Center Root Cristian Gallardo masked Gilbert Ybarra 1100 E Dove Ave Ste 202 McAllen, TX 78504 9563101125 masked Practice Manager DHR Health Transplant Institute Liver Specialty Center 1100 E Dove Ave Ste 202 McAllen, TX 78504 9563622410 gi.ybarra@dhr-rgv.com Provider Int 3 Complete 2025/01/20 12:00:00 2025/01/21 12:00:00 2025/01/22 01:14:09 UV 2.16.840.1.113883.3.10218 aucom Advanced Urgent Care & Occupational Medicine Sara Rodriguez masked Sara Rodriguez 3036599700 masked Operations Manager Advanced Urgent Care & Occupational Medicine 2801 Purcell St Brighton, CO 80601 3036599700 srodriguez@advurgent.com Provider Int 3 Complete 2025/01/20 12:00:00 2025/01/21 12:00:00 2025/01/22 01:26:49 UV 2.16.840.1.113883.3.10219 ati-PhysicalTherapy ATI Physical Therapy John Bonnike masked John Bonnike 2001 Butterfield Road, Suite 1600 Downers Grove, Illinois 60515-1211 (331) 273-4787 masked IT Director ATI Physical Therapy 2001 Butterfield Road, Suite 1600 Downers Grove, Illinois 60515-1211 630-296-2222 partneritsupport@atipt.com https://www.atipt.com/ Provider Int 3 Complete 2025/01/23 12:00:00 2025/01/28 12:00:00 2025/01/29 04:01:51 US 2.16.840.1.113883.3.10220 wfphS7 WestFelicianaHospital IT Department masked Denise Paul 5266 Commerce Street, PO Box 368 St. Francisville, LA 70775 225-784-3464 masked IT Director West Feliciana Hospital 5266 Commerce Street, PO Box 368 St. Francisville, LA 70775 225-635-3811 itdept@wfph.org https://wfph.org Govt body Int 3 Complete 2025/01/27 12:00:00 2025/01/28 12:00:00 2025/01/29 04:05:53 UV 2.16.840.1.113883.3.10221 ct CASA-Trinity, Inc. Kristyn O'Rourke masked Kristyn O'Rourke 4612 Millennium Drive Geneseo, NY 14454 6074819773 masked Senior Director of Healthcare Compliance, Training, and Data Integrity CASA-Trinity, Inc. 4612 Millennium Drive Geneseo, NY 14454 5854432018 corporatecompliance@casa-trinity.org www.casa-trinity.org Provider Int 3 Complete 2025/01/28 12:00:00 2025/01/28 12:00:00 2025/01/29 04:13:00 UV 2.16.840.1.113883.3.10222 tmf-md Timber Mesa Fire and Medical District Devin Wood masked Devin Wood 3561 E Deuce of Clubs ShowLow, AZ 85901 928 537 5100 masked EMS Captain Timber Mesa Fire and Medical 3561 E Deuce of Clubs ShowLow, AZ 85901 928 537 5100 dwood@timbermesafire.org Govt body Int 3 Complete 2025/02/03 12:00:00 2025/02/05 12:00:00 2025/02/05 11:59:53 UV 2.16.840.1.113883.3.10223 gmn Grand Mesa Nephrology Sena Bowman masked Sena Bowman 19702550919 masked Practice Manager Grand Mesa Nephrology 2748 Crossroads Blvd. Grand Junction, CO 81506 19702550919 sbowman.gmn@gmail.com Provider Int 3 Complete 2025/02/04 12:00:00 2025/02/05 12:00:00 2025/02/06 12:02:07 UV 2.16.840.1.113883.3.10224 colHEALTH CollaborateHealth Osama Alshaykh masked Osama Alshaykh 1791 O G Skinner Drive, Suite C, West Point, GA 31833 +1-858-361-9043 masked CTO Board member collaboratehealth 1791 O G Skinner Drive, Suite C, West Point, GA 31833 +1-858-361-9043 osama@collaboratehealth.com https://collaboratehealth.com Int 3 Complete 2025/02/04 12:00:00 2025/02/05 12:00:00 2025/02/06 12:14:07 UV 2.16.840.1.113883.3.10225 smcExpTrav SMC Expanse Traverse Brian Richey masked Brian Richey 812-524-3312 masked IT Director - Informatics Schneck Medical Center 411 W Tipton St, Seymour, IN 47274 (812) 522-2349 mis@schneckmed.org Provider Int 3 Complete 2025/02/05 12:00:00 2025/02/05 12:00:00 2025/02/06 12:23:02 UV 2.16.840.1.113883.3.10226 mh-HL Marillac Clinic Inc Jeremy Carroll masked Jeremy Carroll 2333 N. 6th Street, Grand Junction, CO 81501 +19702542272 masked COO Marillac Clinic Inc 2333 N. 6th Street, Grand Junction, CO 81501 +19702542272 admin@marillachealth.org Provider Int 3 Complete 2025/02/05 12:00:00 2025/02/05 12:00:00 2025/02/06 12:27:47 UV 2.16.840.1.113883.3.10227 tmc-thd Telluride Hospital District OID System Administrator masked Shayni Saftler Shayni Saftler PO BOX 1229 TELLURIDE, CO 81435 +1 9707283848 masked Informaticist Telluride Hospital District PO BOX 1229 TELLURIDE, CO 81435 +1 9707283848 sysadmin@tellmed.org https://tellmed.org Provider Int 3 Complete 2025/02/05 12:00:00 2025/02/05 12:00:00 2025/02/06 12:36:34 UV 2.16.840.1.113883.4.8154 akidzclinicOID A Kidz Clinic OID Diane Dockter masked tiare.elazzouzi@deltaschools.com Diane Dockter 360 E 8th St, Delta, CO 81416 9708742753 masked Executive A Kidz Clinic 360 E 8th St, Delta, CO 81416 9708742753 akidzclinic@deltaschools.com https://kidZclinic.deltaschools.com Provider Int 3 Complete 2025/02/05 12:00:00 2025/02/05 12:00:00 2025/02/06 12:47:23 0396 UV 2.16.840.1.113883.3.10228 tuc-phy Tucson Independent Physicians and Surgeons Rebecca Durham masked Arizona Community Surgeons 8340 N Thornydale Suite 110, #169 Tucson, AZ 85741 520-843-1443 masked Arizona Community Surgeons 520-750-7160 rdurham@acs-specialists.com Provider Int 3 Complete 2025/02/06 12:00:00 2025/02/08 12:00:00 2025/02/09 03:39:10 UV 2.16.840.1.113883.3.10229 all-val All Valley Women's Care Angie Nickamin masked Angie Nickamin 9706182717 masked All Valley Women's Care 970-927-1717 nickamin66@gmail.com Provider Int 3 Complete 2025/02/06 12:00:00 2025/02/08 12:00:00 2025/02/09 03:43:24 UV 2.16.840.1.113883.3.10230 phsoh1 Primary Health Solutions Dennis Strothman masked Dennis Strothman 300 High Street 4th floor Hamilton, Ohio 45011 513-454-1460 ext 1230 masked Director of Information Technology Primary Health Solutions 300 High Street 4th floor Hamilton, Ohio 45011 513-454-1460 technology@myprimaryhealthsolutions.org myprimaryhealthsolutions.org Provider Int 3 Complete 2025/02/07 12:00:00 2025/02/08 12:00:00 2025/02/09 03:50:18 UV 2.16.840.1.113883.3.10231 id-ORtesting South Routt Medical Center Health Service District Tina Holliday masked Tina Holliday PO Box 8 Oak Creek, CO 80467 970-736-8118 masked Clinical Office Mgr South Routt Medical Center Health Service District PO Box 8 Oak Creek, CO 80467 970-736-8118 tina@southrouttmedical.com southrouttmedical.com Provider Int 3 Complete 2025/02/10 12:00:00 2025/02/10 12:00:00 2025/02/11 01:43:40 UV 2.16.840.1.113883.3.10232 aur-DJP Dinosaur Junction Pediatrics Aurelio Etcheverry masked Crystal Cameron 1190 Bookcliff Ave #104 Grand Junction, Colorado 81501 970-242-7060 masked Office Manager Dinosaur Junction Pediatrics 1190 Bookcliff Ave #104 Grand Junction, Colorado 81501 9702427060 dinopeds@yahoo.com Provider Int 3 Complete 2025/02/10 12:00:00 2025/02/10 12:00:00 2025/02/11 01:47:32 UV 2.16.840.1.113883.3.9056.1027 seqster-anelyssadabreu Dr. Anelyssa D'Abreu Xiang Li masked Dr. Anelyssa D'Abreu Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 8585006233 masked CTO Dr. Anelyssa D'Abreu University of Virginia Adult Neurology: Memory Division, Primary Care Center, 4th Floor, 1221 Lee Street Charlottesville, Virginia 22903 AD9RN@uvahealth.org https://uvahealth.com/locations/Adult-Neurology-Clinic-5597175 Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1027 2025/02/10 12:00:00 2025/02/10 12:00:00 2025/02/11 01:51:19 UV 2.16.840.1.113883.3.9056.1028 seqster-teganmccormick Dr. Tegan McCormick Xiang Li masked Dr. Tegan McCormick Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 8585006233 masked CTO Dr. Tegan McCormick Christie Clinic 1801 W. Windsor, Champaign, IL 61822 temccormick@christieclinic.com https://www.christieclinic.com/ Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1028 2025/02/10 12:00:00 2025/02/10 12:00:00 2025/02/11 01:57:26 UV 2.16.840.1.113883.3.10233 msrmc HL7 Objects associated with Mat-Su Regional Medical Center Richard Fogel masked Richard Fogel Mat-Su Regional Medical Center 2500 S. Woodworth Lp. Palmer, Alaska 99645 907-861-6907 masked Director Information Services Mat-Su Regional Medical Center 2500 S. Woodworth Loop Palmer, Alaska 99645 907-861-6000 webmaster@msrmc.com https://www.matsuregional.com Provider Int 3 Complete 2025/02/10 12:00:00 2025/02/10 12:00:00 2025/02/11 02:05:24 UV 2.16.840.1.113883.3.10234 healthEx HDX Labs Inc. (dba HealthEx) Anand Raghavan masked Anand Raghavan 5102131402 masked Co-founder and CTO HDX Labs, Inc. (dba HealthEx) 2325 3rd St Suite 410, San Francisco, CA 94107 contact@healthex.io https://www.healthex.io Vendor Int 3 Complete 2025/02/12 12:00:00 2025/02/15 12:00:00 2025/02/16 01:54:11 UV 2.16.840.1.113883.3.10235 eCCHC Erie County Community Health Center Joseph Palmucci masked Joseph Palmucci 5678675116 masked CFO Erie County Community Health Center 420 Superior Street Sandusky, OH 44870 4196265623 jpalmucci@echdohio.org www.echdohio.org Govt body Int 3 Complete 2025/02/12 12:00:00 2025/02/15 12:00:00 2025/02/16 01:57:25 UV 2.16.840.1.113883.3.10236 alphath Alphath Oumkaltoum EL MASLOHI masked SEBTI Abdelkarim Oumkaltoum EL MASLOHI 15 Quai de la Gare d'Eau 69009 Lyon FRANCE +33664275773 masked CEO Alphath 15 Quai de la Gare d'Eau 69009 Lyon FRANCE +33664275773 support@alphath.com https://www.alphath.com/ Provider Int 3 Complete 2025/02/13 12:00:00 2025/02/15 12:00:00 2025/02/16 02:02:18 UV 2.16.840.1.113883.3.3991.1110 charlotte-obgyn UM Health-Sparrow Charlotte OBGYN Brian Upton masked Brian Upton 1215 E Michigan Ave Lansing, MI 48912 5173327063 masked Interface Developer UMH Sparrow 1215 E Michigan Ave Lansing, MI 48912 5173641000 itinterfaceanalysts@sparrow.org http://www.sparrow.org Provider 2.16.840.1.113883.3.3991 Ext 17 17 Complete 2.16.840.1.113883.3.3991.1110 2025/02/14 12:00:00 2025/02/15 12:00:00 2025/02/16 02:12:28 UV 2.16.840.1.113883.3.10237 lc-mc Lake Fork Health Services District dba Lake City Area Medical Center Rachel Moore masked Rachel Moore 700 N. Henson St, Lake City, CO 81235 9709442331 masked Executive Director Lake Fork Health Services District dba Lake City Area Medical Center PO Box 999, Lake City, CO 81235 9709442331 lcmedcenter@lcamc.net lcamc.net Int 3 Complete 2025/02/18 12:00:00 2025/02/19 12:00:00 2025/02/20 01:12:09 UV 2.16.840.1.113883.3.10238 snc1 Safety Net Connect Chris Cruttenden masked Maggie Calles 101 Academy Way, Suite 100, Irvine, CA 92617 949-399-5380 masked Senior Project Manager Safety Net Connect 101 Academy Way, Suite 100, Irvine, CA 92617 949-399-5380 ccruttenden@netchemistry.com www.safetynetconnect.com Vendor Int 3 Complete 2025/02/19 12:00:00 2025/02/19 12:00:00 2025/02/20 01:18:11 UV 2.16.840.1.113883.3.10239 pri-amb Maricopa and Yavapai Priority Ambulance Nick Graham masked Nick Graham 8501 E Princess Dr Scottsdale, AZ, 85255-5480 615-566-6295 masked Maricopa and Yavapai Priority Ambulance itapplications@priorityambulance.com Provider Int 3 Complete 2025/02/20 12:00:00 2025/02/23 12:00:00 2025/02/24 03:58:29 UV 2.16.840.1.113883.3.10240 indx-ccd Intelligentdx Object for CCD Ajay Shukla masked Ajay Shukla 503-513, Wakad Business Bay, Behind Tip Top Hotel, Office Mumbai Bangalore Highway, Wakad, Pune 411057 State - Maharashtra Country - India +919021217110 masked Director Intelligentdx Pvt. Ltd. 503-513, Wakad Business Bay, Behind Tip Top Hotel, Office Mumbai Bangalore Highway, Wakad, Pune 411057 State - Maharashtra Country - India +919021217110 ashukla@intelligentdx.com https://intelligentdx.com/ Vendor Int 3 Complete 2025/02/25 12:00:00 2025/02/25 12:00:00 2025/02/25 11:46:56 UV 2.16.840.1.113883.3.9056.1029 seqster-reginaberkovich Dr. Regina Berkovich Xiang Li masked Dr. Regina Berkovich Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 8585006233 masked CTO Dr. Regina Berkovich 8727 Beverly Blvd. Suite B West Hollywood, CA 90048 Rberkovi@usc.edu https://www.reginaberkovichmd.com/ Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1029 2025/02/25 12:00:00 2025/02/25 12:00:00 2025/02/25 11:49:31 UV 2.16.840.1.113883.3.9056.1030 seqster-barrysinger Dr. Barry Singer Xiang Li masked Dr. Barry Singer Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 8585006233 masked CTO Dr. Barry Singer MS Center for Innovations in Care 3009 N. Ballas Road Suite 105 Saint Louis, MO 63131 bnvsinger@earthlink.net https://www.bjcmedicalgroup.org/Find-a-Location/MS-Center-for-Innovations-in-Care?utm_source=google&utm_medium=organic&utm_campaign=yext&utm_content=gmb Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1030 2025/02/25 12:00:00 2025/02/25 12:00:00 2025/02/25 11:54:12 UV 2.16.840.1.113883.3.9056.1031 seqster-jacquelinerosenthal Dr. Jacqueline Rosenthal Xiang Li masked Dr. Jacqueline Rosenthal Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 8585006233 masked CTO Dr. Jacqueline Rosenthal Andrew C Carlos MS Institute at Shepherd Center 2020 Peachtree Road NW Atlanta, GA 30309-1465 Jacqueline.Rosenthal@shepherd.org https://www.shepherd.org/programs/outpatient/multiple-sclerosis Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1031 2025/02/25 12:00:00 2025/02/25 12:00:00 2025/02/25 11:59:34 UV 2.16.840.1.113883.3.10241 smfp Stoney Mesa Family Practice Michelle Purvis masked Michelle Purvis Stoney Mesa Family Practice 1722 Hillcrest Drive Delta, CO 81416 970-874-5061 masked MD and owner Stoney Mesa Family Practice 1722 Hillcrest Drive Delta, CO 81416 970-874-5061 michellepurvismd@gmail.com Provider Int 3 Complete 2025/02/25 12:00:00 2025/02/25 12:00:00 2025/02/26 12:07:31 UV 2.16.840.1.113883.3.9056.1032 seqster-barryhendin Dr. Barry Hendin Xiang Li masked Dr. Barry Hendin Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 8585006233 masked CTO Dr. Barry Hendin AZ Integrated Neuro Spine & Pain 4444 N 32nd Suite #220 Phoenix, AZ 85018 bhendin@pnal.net https://integratedmscenter.com/ Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1032 2025/02/25 12:00:00 2025/02/25 12:00:00 2025/02/26 12:13:29 UV 2.16.840.1.113883.3.9056.1033 seqster-ninabozinov Dr. Nina Bozinov Xiang Li masked Dr. Nina Bozinov Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 8585006233 masked CTO Dr. Nina Bozinov Kootenai Health 700 West Ironwood Dr, #158 Coeur d'Alene, ID 83814 ninabozinov@gmail.com https://www.kh.org/neurology/ Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1033 2025/02/25 12:00:00 2025/02/25 12:00:00 2025/02/26 12:19:40 UV 2.16.840.1.113883.3.9056.1034 seqster-annetteokai Dr. Annette Okai Xiang Li masked Dr. Annette Okai Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 8585006233 masked CTO Dr. Annette Okai North Texas Institute of Neurology 5150 Warren Pkwy Bldg 8 Frisco, TX 75034 aokaimd@ntinh.com https://ntinh.com/ Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1034 2025/02/25 12:00:00 2025/02/25 12:00:00 2025/02/26 12:32:49 UV 2.16.840.1.113883.3.9056.1035 seqster-mitziwilliams Dr. Mitzi Williams Xiang Li masked Dr. Mitzi Williams Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 8585006233 masked CTO Dr. Mitzi Williams Joi Life Wellness Group&#8482;&#65039; 3016 Atlanta Rd. SE Suite 150 Smyrna, GA 30080 Mitzijwilliamsmd@gmail.com https://joilifewellness.com/ Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1035 2025/02/25 12:00:00 2025/02/25 12:00:00 2025/02/26 12:40:15 UV 2.16.840.1.113883.3.9056.1036 seqster-arunnagaraj Dr. Arun Nagaraj Xiang Li masked Dr. Arun Nagaraj Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 8585006233 masked CTO Dr. Arun Nagaraj Texas Neurology 6080 N Central Expy, Ste 100 Dallas, TX 75206 anagaraj@texasneurology.com https://texasneurology.com/index.asp Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1036 2025/02/25 12:00:00 2025/02/25 12:00:00 2025/02/26 12:51:32 UV 2.16.840.1.113883.3.10242 nypc2 New York Proton Center Glyn Thomas masked khans@nyproton.com Glyn Thomas 225 E 126th Street New York, NY 10035 7328017528 masked Senior Director of Information Systems New York Proton Center 225 E 126th Street New York, NY 10035 833-697-7686 gthomas@nyproton.com https://www.nyproton.com Provider Int 3 Complete 2025/02/26 12:00:00 2025/02/26 12:00:00 2025/02/26 11:08:01 UV 2.16.840.1.113883.3.10243 everest-Rehab Everest Rehab Hospitals Adam Davis masked Adam Davis 5100 Belt Line Rd Suite 310 Dallas, TX 75254 4697440164 masked VP of IT Everest Rehab Hospitals 5100 Belt Line Rd Suite 310 Dallas, TX 75254 4697440164 adavis@everestrehab.com http://www.everestrehab.com Provider Int 3 Complete 2025/02/27 12:00:00 2025/02/27 12:00:00 2025/02/28 04:26:34 UV 2.16.840.1.113883.3.9056.1037 seqster-fernandocuascut Dr. Fernando Cuascut Xiang Li masked Dr. Fernando Cuascut Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 8585006233 masked CTO Dr. Fernando Cuascut Baylor Medicine 7200 Cambridge Street Houston, TX 77030 Fernando.Cuascut@bcm.edu https://www.bcm.edu/healthcare/specialties/neurology Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1037 2025/02/27 12:00:00 2025/02/27 12:00:00 2025/02/28 04:31:37 UV 2.16.840.1.113883.3.10244 nwLabs North West Labs Alvin Konja masked Alvin Konja 29580 Northwestern Hwy. Suite 102 Southfield, MI 48034 2487553451 masked Partner North West Labs 29580 Northwestern Hwy. Suite 102 Southfield, MI 48034 2483016917 alvinkonja@nwlabs.com www.nwlabs.com Provider Int 3 Complete 2025/02/27 12:00:00 2025/02/27 12:00:00 2025/02/28 04:40:00 UV 2.16.840.1.113883.3.10245 regen ReGen Clinic Kathleen Wilson masked Kathleen Wilson 106 Lorey Drive Grand Junction, CO 81505 970-236-1001 masked Doctor of Nurse Practice, Clinic Owner ReGen Clinic 106 Lorey Drive, Grand Junction, CO 81505 970-236-1001 kathleenwilson550@gmail.com https://regenclinicgj.com/ Provider 1753373622 Int 3 Complete 2025/03/05 12:00:00 2025/03/08 12:00:00 2025/03/08 05:53:49 UV 2.16.840.1.113883.3.10246 nvh North Valley Hospital Kelsey Lawson masked Kelsey Lawson 203 S Western Ave Tonasket, WA 98855 5094863132 masked Informatics Program Manager North Valley Hospital 203 S Western Ave Tonasket, WA 98855 5094862141 kelseylawson@nvhospital.org https://www.nvhospital.org/ Provider Int 3 Complete 2025/03/05 12:00:00 2025/03/08 12:00:00 2025/03/08 05:57:26 UV 2.16.840.1.113883.17.9536 slmc St Luke's Medical Clinic Patricia Lipinski masked Patricia Therese Lipinski St Luke's Medical Clinic 1101 Oakridge Dr., Ste. B Fort Collins, CO 80525 9702231199 masked CEO/FNP St Luke's Medical Clinic 1101 Oakridge Dr., Ste. B Fort Collins, CO 80525 9702231199 patricia.lipinski@stlukesmc.org www.stlukesmedicalclinic.org Provider Int 17 Complete 2025/03/06 12:00:00 2025/03/08 12:00:00 2025/03/08 06:01:31 UV 2.16.840.1.113883.3.10247 gwch Greenwood Count Hospital Joy Broyles masked Joy Broyles 100 West 16th Street, Eureka, KS 67045 6205837451 masked Greenwood County Hospital 100 West 16th Street, Eureka, KS 67045 6205837451 sdickerson@gwch.org Provider Int 3 Complete 2025/03/06 12:00:00 2025/03/08 12:00:00 2025/03/08 06:07:11 UV 2.16.840.1.113883.3.10248 vir-gj Vascular Institute of the Rockies (GJ) Kayla Hopkins masked Vascular Institute of the Rockies 360 West Park Dr. Ste 101B Grand Junction, CO 81505 970-852-4847 masked Director of Operations (GJ) Vascular Institute of the Rockies 360 West Park Dr. Ste 101B Grand Junction, CO 81505 1-970-852-4847 kayla@vascularinstitute.com Provider Int 3 Complete 2025/03/06 12:00:00 2025/03/08 12:00:00 2025/03/08 06:11:16 UV 2.16.840.1.113883.3.10249 ppa-Solutions PPA Solutions Root OID Jason Colquitt masked Jason Colquitt 1696 N Highway 113 Carrollton, GA 30117 6174178265 masked CEO PPA Solutions, LLC jason@ppa-solutions.com Vendor Int 3 Complete 2025/03/07 12:00:00 2025/03/08 12:00:00 2025/03/08 06:15:17 UV 2.16.840.1.113883.3.10250 pla-val Plateau Valley Hospital District Jessi Clark masked Jessi Clark 58128 Hwy 330 Collbran, CO 81624 9704870211 masked District Administrator Plateau Valley Hospital District 58128 Hwy 330 Collbran, CO 81624 9704870211 jclark@pvhealth.com www.pvhealth.com Provider Int 3 Complete 2025/03/07 12:00:00 2025/03/08 12:00:00 2025/03/08 06:20:46 UV 2.16.840.1.113883.3.10251 all-ast Allergy and Asthma Center of Western Colorado David Scott masked Heather Killian 1120 Wellington Avenue Grand Junction, CO 81501 970-241-0170 masked Office Manager Allergy and Asthma Center of Western Colorado 1120 Wellington Avenue, 2nd Floor, Grand Junction, CO 81501 970-241-0170 scottmd@allergywest.org www.allergywesterncolorado.com Provider Int 3 Complete 2025/03/07 12:00:00 2025/03/08 12:00:00 2025/03/08 06:33:44 UV 2.16.840.1.113883.3.10252 veradigm-View Veradigm View Brennon Bohol masked danny.wise@veradigm.com Brennon Bohol 222 W Merchandise Mart Plaza, Chicago, IL 60654, United States 910-297-8806 masked Sr. Technical Program Manager Veradigm 222 W Merchandise Mart Plaza, Chicago, IL 60654, United States (800) 334-8534 brennon.bohol@veradigm.com https://veradigm.com/ Vendor Int 3 Complete 2025/03/10 12:00:00 2025/03/11 12:00:00 2025/03/12 01:11:32 UV 2.16.840.1.113883.3.10253 djb-md David J Borchers MD PC Marcey Robinson masked Marcey Robinson 100 Elk Run Drive, Suite 101, Basalt, CO 81621 1 970-927-0752 masked Practice Manager/IT David J Borchers MD PC 100 Elk Run Drive, Suite 101, Basalt, CO 81621 1 970-927-8181 office@davidborchersmd.com Provider Int 3 Complete 2025/03/11 12:00:00 2025/03/11 12:00:00 2025/03/12 01:14:44 UV 2.16.840.1.113883.9.295 turningPointNHSNHL7 Turning Point NHSN HL7 OID Lauren Brown masked Lauren Brown 6103824676 masked Director, Regulatory Program Turning Point NHSN 3015 Veterans Parkway South Moultrie, GA 31788 229-985-4815 Ext 1245 Tommy.Sullivan@uhsinc.com Vendor Int 3 Complete 2025/03/12 12:00:00 2025/03/15 12:00:00 2025/03/15 04:34:16 UV 2.16.840.1.113883.3.10254 aimc Aspen Internal Medicine Consultants LaMae Turk masked LaMae Turk 7012698101 masked Office Manager Aspen Internal Medicine Consultants 225 N. Mill Street, Suite #116 Aspen, CO 81611 970-544-1234 aspeninternalmed@gmail.com https://www.aspeninternalmedicineconsultants.com/ Provider Int 3 Complete 2025/03/12 12:00:00 2025/03/15 12:00:00 2025/03/15 04:41:49 UV 1.3.6.1.4.1.43635.2.738 exp-practice-UCMC Priority Urgent Care John Thomalla masked Daksh Rampal, MD 105 West Road Ellington, CT 06029 860-454-0678 masked Medical Director Practice Velocity 8777 Velocity Dr Machesney Park, IL 61115 815-544-7480 john.thomalla@experityhealth.com https://www.experityhealth.com/ Vendor 1.3.6.1.4.1.43635 Ext 13 3 Complete 1.3.6.1.4.1.43635.2.738 2025/03/13 12:00:00 2025/03/15 12:00:00 2025/03/15 04:51:06 UV 2.16.840.1.113883.3.10255 bcbswy Blue Cross Blue Shield of Wyoming Amy Scharaswak masked Amy Scharaswak 4000 House Ave Cheyenne, WY 82001 307-823-6100 masked Director of Population Health Blue Cross Blue Shield of Wyoming 4000 House Ave Cheyenne, WY 82001 307-823-6100 amy.scharaswak@bcbswy.com https://www.bcbswy.com Payor Int 3 Complete 2025/03/13 12:00:00 2025/03/15 12:00:00 2025/03/15 04:58:45 UV 2.16.840.1.113883.3.10256 milanEyeCenter Milan Eye Center Janakkumar Pandya masked Janakkumar Pandya 1034 Haw Creek Circle, Suite 100 Cumming, GA 30041 6783812020 masked VP Of Operations Milan Eye Center 1034 Haw Creek Circle, Suite 100 Cumming, GA 30041 6783812020 jpandya@physiciandirected.com www.milaneyecenter.com Provider Int 3 Complete 2025/03/14 12:00:00 2025/03/15 12:00:00 2025/03/15 05:05:46 UV 2.16.840.1.113883.3.10257 allianceHealthNHSNHL7 Alliance Health Center NHSN HL7 OID Lauren Brown masked Lauren Brown 367 S Gulph Road King of Prussia, PA 19406 6103824676 masked Director, Regulatory Program Alliance Health Center 5000 Highway 39 North, Meridian, MS 39301 601-581-9921 Miranda.Thompson@uhsinc.com Vendor Int 3 Complete 2025/03/18 12:00:00 2025/03/20 12:00:00 2025/03/20 11:48:08 UV 2.16.840.1.113883.3.10258 duPageEye DuPage Eye Center Beth Kaleta masked Beth Kaleta 1001 Ogden Ave. #103, Downers Grove, IL 60515 630-963-3937 masked Practice Administrator DuPage Eye Center 1001 Ogden Ave. #103, Downers Grove, IL 60515 630-963-3937 dupageeyecenter@sbcglobal.net Provider Int 3 Complete 2025/03/18 12:00:00 2025/03/20 12:00:00 2025/03/20 11:51:15 UV 2.16.840.1.113883.4.8155 axium Axium Mehdi Sahlaei masked Doreen Xue 10172 152A Street, 3rd Floor, Surrey, BC, Canada V3R 1J7 778-262-1400 masked Software Engineering Manager Axium 10172 152A Street, 3rd Floor, Surrey, BC, Canada V3R 1J7 778-262-1400 rick.gay@henryscheinone.com Provider Int 4 Complete 2025/03/19 12:00:00 2025/03/20 12:00:00 2025/03/20 11:57:41 UV 2.16.840.1.113883.3.10259 mbhci Meridian Healthcare Melisa Urrutia masked Melisa Urrutia 1565 SW Williston Road, Gainesville, FL 32608 352-374-5600 8988 masked Meridian Healthcare 1565 SW Williston Road, Gainesville, FL 32608 352-374-5600 melisa_urrutia@mbhci.org www.mbhci.org Provider Int 3 Complete 2025/03/20 12:00:00 2025/03/20 12:00:00 2025/03/21 12:01:14 UV 2.16.840.1.113883.3.10260 mo_DMH Missouri Department of Mental Health Michael Moran masked Michael Moran 1706 E Elm Street, Jefferson City, Missouri 65101 8164825778 masked Business Architect Missouri Department of Mental Health 1706 E Elm Street, Jefferson City, Missouri 65101 (573) 751-4122 EHR.Project@dmh.mo.gov https://dmh.mo.gov/ Govt body Int 3 Complete 2025/03/20 12:00:00 2025/03/20 12:00:00 2025/03/21 12:05:20 UV 2.16.840.1.113883.3.10261 plc Penny Lane Centers Phillip Mix masked Phillip Mix 10526 Dubnoff Way North Hollywood, CA 91606 8188923423 masked Sr Director of Tchnology Penny Lane Centers 10526 Dubnoff Way North Hollywood, CA 91606 8188923423 pmix@pennylane.org pennylane.org Payor Int 3 Complete 2025/03/20 12:00:00 2025/03/20 12:00:00 2025/03/21 12:11:41 UV 2.16.840.1.113883.3.9056.1038 seqster-aamerhabib Dr. Aamer Habib Xiang Li masked Dr. Aamer Habib Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 8585006233 masked CTO Dr. Aamer Habib Christie Clinic 101 W University Ave Champaign, IL 61820 ahabib@christieclinic.com https://www.christieclinic.com/ Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1038 2025/03/20 12:00:00 2025/03/20 12:00:00 2025/03/21 12:19:03 UV 2.16.840.1.113883.3.9056.1039 seqster-ryansdrake Dr. Ryan S. Drake Xiang Li masked Dr. Ryan S. Drake Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 8585006233 masked CTO Dr. Ryan S. Drake NeuroCare Center 4048 Dressler Rd, NW Canton, Ohio 44718 rsddo@neurocarecenter.com https://www.neurocarecenter.com Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1039 2025/03/20 12:00:00 2025/03/20 12:00:00 2025/03/21 12:25:51 UV 2.16.840.1.113883.3.10262 gnmh Greater Nashua Mental Health Jennifer Powell masked Jennifer Powell 100 West Pearl Street, Nashua, NH 03060 603-889-6147 masked IT Director Greater Nashua Mental Health powellj@gnmhc.org Provider Int 3 Complete 2025/03/21 12:00:00 2025/03/25 12:00:00 2025/03/26 01:09:43 UV 2.16.840.1.113883.3.10263 rcfbh Regional Center for Border Health Philip Gladney masked Philip Gladney (928)315-7910 masked Regional Center for Border Health (RCFBH) 950 A Main St, Somerton, AZ 85350 (928)315-7910 pgladney@rcfbh.org https://www.rcfbh.org/ Provider Int 3 Complete 2025/03/21 12:00:00 2025/03/25 12:00:00 2025/03/26 01:13:44 UV 2.16.840.1.113883.3.10264 gvs-ctr Grand Valley Surgical Center Mardi Morris masked Mardi Morris 710 Welllington Ave, #21 Grand Junction, CO 81501 970-298-7822 masked Administrator Grand Valley Surgical Center 710 Welllington Ave, #21 Grand Junction, CO 81501 +1-970-298-7800 mardi.morris@imail2.org www.gvsc1.com Provider Int 3 Complete 2025/03/24 12:00:00 2025/03/25 12:00:00 2025/03/26 01:17:51 UV 2.16.840.1.113883.3.10265 ammonoosuc Ammonoosuc Community Health Services Joshua Tilson masked Joshua Tilson 25 mt Eustis Rd., Littleton, NH 023561 6039919830 masked IT Manager Ammonoosuc Community Health Services 25 Mt Eustis Rd., Littleton, NH 023561 6034442464 joshua.tilson@achs-inc.org https://www.ammonoosuc.org/ Provider Int 3 Complete 2025/03/25 12:00:00 2025/03/25 12:00:00 2025/03/26 01:25:24 UV 2.16.840.1.113883.3.10266 hkp Happy Kids Pediatrics Marco Carrasco Jr masked Marco A Carrasco Jr Happy Kids Pediatrics 1345 E Main St #103 Mesa, AZ 85203 480-284-5829 masked Senior Project Manager Happy Kids Pediatrics 1345 E Main St #103 Mesa, AZ 85203 480-223-0290 billinghkp@gmail.com https://hkpeds.com/ Provider Int 3 Complete 2025/03/25 12:00:00 2025/03/25 12:00:00 2025/03/26 01:33:47 UV 2.16.840.1.113883.3.10267 mtn-wst Mountain West Dermatology Jade Maxwell masked Jade Maxwell 2655 Little Bookcliff Drive Grand Junction, CO 81501 9702427273 masked Administrative Assistant Mountain West Dermatology 2655 Little Bookcliff Drive Grand Junction, CO 81501 9702427273 jadem@mtwderm.com Provider Int 3 Complete 2025/03/26 12:00:00 2025/03/27 12:00:00 2025/03/28 01:33:25 UV 2.16.840.1.113883.3.10268 con-txr Phoenix Family Medical Care Josef Khalil masked Sarah Nelson 6023884299 masked Practice Admin Phoenix Family Medical Care 6023884299 snelsonpfmc@outlook.com Provider Int 3 Complete 2025/03/27 12:00:00 2025/03/27 12:00:00 2025/03/28 01:36:24 UV 2.16.840.1.113883.3.10269 fishercohospdist Fisher County Hospital District Caleb White masked lmartinez@fishercountyhospital.com Caleb White 774 St Hwy 70 N Rotan, TX 79546 3257352256 masked Fisher County Hospital District 774 St Hwy 70 N Rotan, TX 79546 3257352256 caleb@fishercountyhospital.com fishercountyhospital.com Govt body Int 3 Complete 2025/03/27 12:00:00 2025/03/27 12:00:00 2025/03/28 01:40:59 UV 2.16.840.1.113883.3.10270 umc Uncompahgre Medical Center Vince Church masked Tricia L Lippert 1350 S Aspen Street, PO Box 280 Norwood, Colorado 81423 9703270537 masked Comptroller Uncompahgre Medical Center 1350 S Aspen Street, PO Box 280 Norwood, Colorado 81423 9703270537 tlippert@umclinic.org www.umclinic.org Provider Int 3 Complete 2025/03/27 12:00:00 2025/03/27 12:00:00 2025/03/28 01:52:01 UV 2.16.840.1.113883.3.10271 hov Hospice of the Valley Devin Ladle masked Devin Ladle 1510 E Flower Street Phoenix, AZ 85014 (602) 636-6308 masked Director, Application Development and Support Hospice of the Valley 1510 E Flower Street Phoenix, AZ 85014 (602) 530-6900 helpdesk@hov.org www.hov.org Provider Int 3 Complete 2025/03/27 12:00:00 2025/03/27 12:00:00 2025/03/28 01:59:10 UV 2.16.840.1.113883.3.10272 bci Basin Clinic Inc Christina Pierce masked Christina Pierce 421 W Adams Street, PO Box 340 Naturita, CO 81422 9708652665 masked Executive Director Basin Clinic Inc. 421 W Adams Street, PO Box 340 Naturita, CO 81422 info@basinclinic.org www.basinclinic.org Provider Int 3 Complete 2025/03/28 12:00:00 2025/03/31 12:00:00 2025/03/31 11:42:50 UV 2.16.840.1.113883.3.10273 aztute Aztute Root OID Sameer Wahab masked Sameer Wahab 11710 Plaza America Drive Suite 2000 Reston, VA 20190 United States of America 7034292504 masked CEO Aztute Corporation 11710 Plaza America Drive Suite 2000 Reston, VA 20190 United States of America 6472947323 SAMMY@AZTUTE.COM AZTUTE.COM Vendor Int 3 Complete 2025/03/29 12:00:00 2025/03/31 12:00:00 2025/03/31 11:51:15 UV 2.16.840.1.113883.3.10274 mfh-gws Mountain Family Health Centers Elaena Price masked Elaena Price 2802 Grand Ave, Glenwood Springs, CO 81601 19704242771 masked Director of Health Information Mountain Family Health Centers 2802 Grand Ave, Glenwood Springs, CO 81601 19709452840 eprice@mountainfamily.org https://mountainfamily.org Provider Int 3 Complete 2025/03/31 12:00:00 2025/03/31 12:00:00 2025/03/31 11:57:11 UV 2.16.840.1.113883.3.10275 ffc-FelizFamilyCare Feliz Family Care Marco Carrasco Jr masked Marco Carrasco Jr Feliz Family Care 1345 E Main St #100 Mesa, AZ 85203 480-264-3711 masked Feliz Family Care 1345 E Main St #100 Mesa, AZ 85203 480-264-3711 marco@felizcarecenters.com https://felizfamilycare.com/ Provider Int 3 Complete 2025/03/31 12:00:00 2025/03/31 12:00:00 2025/04/01 12:03:33 UV 2.16.840.1.113883.3.10276 afm-phx American Family Medicine Daniela Bulmini masked Daniela Bulmini 1514 W Thomas Rd, Phoenix, AZ 85015 6233969970 masked Office Manager American Family Medicine 1514 W Thomas Rd, Phoenix, AZ 85015 6022835732 managerafmthomas@gmail.com https://www.americanfamilymedicine.com/ Provider Int 3 Complete 2025/03/31 12:00:00 2025/03/31 12:00:00 2025/04/01 12:18:50 UV 2.16.840.1.113883.3.10277 tr ThetaRho Ramani Narayan masked Ramani Narayan 4701 Patrick Henry Drive, Santa Clara, CA 95054 4083860844 masked COO ThetaRho 4701 Patrick Henry Drive, Santa Clara, CA 95054 4083860844 nara@thetarho.ai https://thetarho.ai Vendor Int 3 Complete 2025/03/31 12:00:00 2025/04/04 12:00:00 2025/04/05 02:58:12 UV 2.16.840.1.113883.3.10278 ph-Hlt Panoramic Health Tulley Orzech masked Tulley Orzech 850 W. Rio Salado Pkwy. Suite 201 Tempe, AZ 85281 7205303139 masked VP, Technology Product Panoramic Health 850 W. Rio Salado Pkwy. Suite 201 Tempe, AZ 85281 6026383180 info@panoramichealth.com panoramichealth.com Provider Int 3 Complete 2025/03/31 12:00:00 2025/04/04 12:00:00 2025/04/05 03:03:01 UV 2.16.840.1.113883.3.10279 kad-son Kadison Medical Group Paula Kadison masked Mon Schube 100 E Main Street Suite 2, Aspen, CO 81611 9704529973 masked Medical Practice Manager Kadison Medical Group 100 E Main Street Suite 2, Aspen, CO 81611 9704529973 kadisonmedgroup@gmail.com Provider Int 3 Complete 2025/04/01 12:00:00 2025/04/04 12:00:00 2025/04/05 03:06:47 UV 2.16.840.1.113883.3.10280 is-mt It Starts With Me Health Douglas Wissenbach masked Douglas-Wissenbach 406-532-7086 masked It Starts With Me Health douglas-wissenbach@itstartswithme.com Provider Int 3 Complete 2025/04/02 12:00:00 2025/04/04 12:00:00 2025/04/05 03:15:34 UV 2.16.840.1.113883.3.10281 oaz-crp Orthopedic Specialists of North America dba OrthoArizona Albert Munoz masked Albert Munoz 3033 N 44th St Suite 360 Phoenix, AZ 85018 6026485426 masked Director of IT Orthopedic Specialists of North America dba OrthoArizona 3033 N 44th St Suite 360 Phoenix, AZ 85018 16027723800 itsupport@orthoarizona.org https://www.orthoarizona.org/ Provider Int 3 Complete 2025/04/02 12:00:00 2025/04/04 12:00:00 2025/04/05 03:19:45 UV 2.16.840.1.113883.3.10282 id-MVFP MidValley Family Practice, PC Kristin Boronski masked Jacquline Mote 1450 E. Valley Rd. Ste 102 Basalt, CO 81621 9707790490 masked MidValley Family Practice, PC 1450 E. Valley Rd, ste 102 Basalt, CO 81621 9709274666 kboronski@mvfpsportsmed.com www.midvalleyfamilypractice.org Provider MidValley Family Practice Int 3 Complete 2025/04/03 12:00:00 2025/04/04 12:00:00 2025/04/05 03:28:02 UV 2.16.840.1.113883.3.9056.1040 seqster-carlosalbertoperez Dr. Carlos Alberto Perez Xiang Li masked Dr. Carlos Alberto Perez Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 8585006233 masked CTO Dr. Carlos Alberto Perez Maxine Mesinger MS Comprehensive Care Center (Clinic) Baylor College of Medicine Medical Center 7200 Cambridge St Ste 9A Houston TX 77030-2703 Carlos.Perez@bcm.edu https://www.bcm.edu/people-search/carlos-perez-86956 Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1040 2025/04/03 12:00:00 2025/04/04 12:00:00 2025/04/05 03:32:15 UV 2.16.840.1.113883.3.10283 evd Evidenze Group Pau Faner Canet masked Evidenze Group Ptge. Ferrer i Vidal, 8. 08005 Barcelona 34933511615 masked IT Director Evidenze Group pau.f@evidenze.com https://evidenze.com/ Provider Int 3 Complete 2025/04/04 12:00:00 2025/04/04 12:00:00 2025/04/05 03:40:45 ES 2.16.840.1.113883.17.9537 frontier-Health Frontier Health Richard Broadwater masked Richard Broadwater 1167 Spratlin Park Drive Gray, TN 37615 423-467-3660 masked CIO Frontier Health 1167 Spratlin Park Drive Gray, TN 37615 423-467-3600 fhadmin@frontierhealth.org www.frontierhealth.org Provider Int 17 Complete 2025/04/04 12:00:00 2025/04/04 12:00:00 2025/04/05 03:52:03 UV 2.16.840.1.113883.3.10284 id-MRH Memorial Regional Health Keith Velardo masked Keith A. Velardo 750 Hospital Loop Craig, CO 81625 9708262181 masked IT Director Memorial Regional Health 750 Hospital Loop Craig, CO 81625 9708249411 keith.velardo@memorialrh.org Provider Int 3 Complete 2025/04/04 12:00:00 2025/04/04 12:00:00 2025/04/05 03:57:26 UV 2.16.840.1.113883.3.9056.1041 seqster-jialin Dr. Jia Lin Xiang Li masked Dr. Jia Lin Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 8585006233 masked CTO Dr. Jia Lin The University of Texas Health Science Center at Houston 6410 Fannin St, Ste 1014 Houston, TX 77030-5301 Jia.Lin@uth.tmc.edu https://www.utphysicians.com/provider/jia-lin/ Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1041 2025/04/04 12:00:00 2025/04/05 12:00:00 2025/04/05 04:03:13 UV 2.16.840.1.113883.3.10285 techbd Technology By Design Drew McNichol masked Patrick Johnson 99 Washington Ave, Suite 1750 Albany, NY 12210 7169826294 masked Director of Engineering Technology By Design, Inc. 99 Washington Ave, Suite 1750 Albany, NY 12210 7163744832 drew.mcncihol@techbd.org techbd.org Exchange Int 3 Complete 2025/04/04 12:00:00 2025/04/05 12:00:00 2025/04/05 04:12:05 UV 2.16.840.1.113883.3.10286 rvfhc River Valley Family Health Centers Jessica Ruiz masked kdemos@rivervalleyfhc.com Jessica Ruiz 1010 S Rio Grand Montrose, CO 81401 970-263-1718 masked Systems Manager River Valley Family Health Centers 1010 S Rio Grand Montrose, CO 81401 9704973333 jruiz@rivervalleyfhc.com https://rivervalleyfhc.com/ Provider Int 3 Complete 2025/04/07 12:00:00 2025/04/10 12:00:00 2025/04/11 12:21:58 UV 2.16.840.1.113883.3.10287 pfm Peak Family Medicine Jason Adragna masked Jason Adragna 1550 Niagara Rd, Montrose, CO 81401 9707650287 masked IT Director Peak Family Medicine 1550 Niagara Rd, Montrose, CO 81401 9704974921 jasona@peakpros.org https://www.peakpros.org Provider Int 3 Complete 2025/04/07 12:00:00 2025/04/10 12:00:00 2025/04/11 12:24:21 UV 2.16.840.1.113883.3.10288 sju San Juan Urology Associates Jason Adragna masked Jason Adragna 1550 Niagara Rd, Montrose, CO 81401 9707650287 masked IT Director San Juan Urology Associates 630 E Star Ct, Montrose, CO 81401 9702492291 jasona@peakpros.org https://www.sanjuanuro.com/ Provider Int 3 Complete 2025/04/07 12:00:00 2025/04/10 12:00:00 2025/04/11 12:31:06 UV 2.16.840.1.113883.3.10289 goodSamaritanClinic Good Samaritan Clinic of Western Colorado Elaine Taylor masked Elaine Taylor 402 Grand Avenue, Grand Junction, CO 81501 9707126518 masked Executive Director Good Samaritan Clinic of Western Colorado 402 Grand Avenue, Grand Junction, CO 81501 9707126518 goodsamaritangj@gmail.com www.goodsamaritangj.org Provider Int 3 Complete 2025/04/08 12:00:00 2025/04/10 12:00:00 2025/04/11 12:36:44 UV 2.16.840.1.113883.3.10290 hps High Point Surgery Jason Adragna masked Jason Adragna 1550 Niagara Rd, Montrose, CO, 81401 9707650287 masked IT Director High Point Surgery 630 E Star Ct, Montrose, CO, 81401 9704977925 jasona@peakpros.org https://www.highpointsurgery.com/ Provider Int 3 Complete 2025/04/08 12:00:00 2025/04/10 12:00:00 2025/04/11 12:44:02 UV 2.16.840.1.113883.3.10291 mr Montrose Rheumatology Jason Adragna masked Jason Adragna 1550 Niagara Rd, Montrose, CO 81401 9707650287 masked IT Director Montrose Rheumatology 630 E Star Ct, Montrose, CO 81401 9704977700 jasona@peakpros.org https://www.montroserheumatology.com/ Provider Int 3 Complete 2025/04/08 12:00:00 2025/04/10 12:00:00 2025/04/11 01:05:10 UV 2.16.840.1.113883.3.10292 gj-gastro Grand Junction Gastroenterology Tara Jacobson masked Tanner Hays Tara Jacobson 1035 Wellington Avenue Grand Junction, CO 81501 9702426600 masked Practice Administrator Grand Junction Gastroenterology 1035 Wellington Avenue Grand Junction, CO 81501 9702576902 tjacobson@gjgastro.com gjgastro.com Provider Int 3 Complete 2025/04/11 12:00:00 2025/04/18 12:00:00 2025/04/18 10:29:36 UV 2.16.840.1.113883.3.10293 solv Solverein, Inc Bruce Beckley masked Bruce J Beckley 6155965221 masked Chief Technology Officer Solverein, Inc 6155965221 brucebeckley@solverein.io Vendor Int 3 Complete 2025/04/11 12:00:00 2025/04/18 12:00:00 2025/04/18 10:31:04 UV 2.16.840.1.113883.3.9056.1042 seqster-jeremypruzin Dr. Jeremy Pruzin Xiang Li masked Dr. Jeremy Pruzin Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 8585006233 masked CTO Dr. Jeremy Pruzin Banner Alzheimer's Institute 901 E Willetta St Phoenix, AZ 85006 Jeremy.pruzin2@bannerhealth.com https://www.bannerhealth.com/locations/phoenix/banner-alzheimers-institute?y_source=1_MTE5MDcyOTktNzE1LWxvY2F0aW9uLndlYnNpdGU%3D Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1042 2025/04/14 12:00:00 2025/04/18 12:00:00 2025/04/18 10:33:56 UV 2.16.840.1.113883.3.10294 amc-pc Aspen Medical Care, P.C. Bryan Gieszl masked Bryan Gieszl Aspen Medical Care 101 Founder's Place Suite 109 Aspen, CO 81611 USA 9709200104 masked partner Aspen Medical Care 101 Founder's Place Suite 109 Aspen, CO 81611 USA +1 9709200104 b.bielinski@aspenmedicalcare.com https://www.aspenmedicalcare.com/ Provider Int 3 Complete 2025/04/14 12:00:00 2025/04/18 12:00:00 2025/04/18 10:40:09 UV 2.16.840.1.113883.3.10295 co-oto Colorado West Otolaryngology Peter Hall masked Peter Hall 2515 Foresight Cir Suite 200 Grand Junction, CO 81505 9705490964 masked Administrator Colorado West Otolaryngology 2515 Foresight Cir Suite 200 Grand Junction, CO 81505 9702452400 accounting@cwoto.com https://cwoto.com/ Provider Int 3 Complete 2025/04/15 12:00:00 2025/04/18 12:00:00 2025/04/18 10:57:12 UV 2.16.840.1.113883.3.10296 mCClinic Mason City Clinic P.C. Scott Oge masked Dana Young 250 S Crescent Drive, Mason City, Iowa 50401 641-494-5200 masked Administrator Mason City Clinic 250 S Crescent Drive, Mason City, Iowa 50401 641-494-5200 mis@mcclinic.com mcclinic.com Provider Mason City Clinic Int 3 Complete 2025/04/16 12:00:00 2025/04/18 12:00:00 2025/04/18 11:01:48 US 2.16.840.1.113883.9.296 aspire-rhs Aspire Rural Health System Matthew Thomson masked Nicole Hedeen 4675 Hill Street Cass City, MI 48726 989-912-6716 masked Director of Quality Aspire Rural Health System 4675 Hill Street Cass City, MI 48726 989-789-0175 it.support@aspirerhs.org https://aspirerhs.org Provider Int 3 Complete 2025/04/16 12:00:00 2025/04/18 12:00:00 2025/04/18 11:06:28 UV 2.16.840.1.113883.3.10297 ecp-co Eagle County Paramedic Services Dana Query masked Myles Sibley 1055 Edwards Village Blvd. Edwards, CO 81632 970 569 4271 masked Clinical Manager Eagle County Paramedic Services 1055 Edwards Village Blvd. Edwards, CO 81632 970 926 5270 administrator@ecparamedics.com eaglecountyparamedics.com Govt body Int 3 Complete 2025/04/18 12:00:00 2025/04/18 12:00:00 2025/04/18 11:20:22 UV 2.16.840.1.113883.4.8156 ca-nwtCANNN The College and Association of Nurses of the Northwest Territories and Nunavut Anil Patel masked Megan Wood PO Box 2757 Yellowknife, NT X1A 2R1 Canada 867-688-8255 masked Chief Executive Officer & Registrar The College and Association of Nurses of the Northwest Territories and Nunavut PO Box 2757 Yellowknife, NT X1A 2R1 Canada 867-688-8255 megan.wood@cannn.ca https://cannn.ca/ Prof Soc Ext 4 0 Complete 2.16.840.1.113883.4.8156 2025/04/22 12:00:00 2025/04/22 12:00:00 2025/04/23 12:15:29 CA 2.16.840.1.113883.3.10298 novomediciPLLC Novomedici PLLC Mary Porter masked Mary Porter 1508 E Skyline Dr. #600 Ogden, UT 84405 3856267407 masked Novomedici Account Manager Novomedici PLLC 1508 E Skyline Dr. #600 Ogden, UT 84405 3857151156 support@novomedici.com https://www.novomedici.com/ Vendor Int 3 Complete 2025/04/24 12:00:00 2025/04/27 12:00:00 2025/04/28 02:37:10 UV 2.16.840.1.113883.3.10299 agilon_health Agilon Health, Inc. &#8211; Healthcare Data Exchange Identifier Patrick Carter masked Patrick Carter 440 Polaris Parkway, Suite 550 Columbus, OH 43082 9103389232 masked Director of Product Management Agilon Health, Inc 440 Polaris Parkway, Suite 550 Columbus, OH 43082 media@agilonhealth.com https://agilonhealth.com Vendor Int 3 Complete 2025/04/25 12:00:00 2025/04/27 12:00:00 2025/04/28 02:44:26 UV 2.16.840.1.113883.3.10300 co-surgaff COLORADO SURGICAL AFFILIATES, LLC Emily Barnett masked Emily Barnett 2373 G Road Ste 200 Grand Junction, CO 81505 9702433061 masked IT Director COLORADO SURGICAL AFFILIATES 9702433061 khussey@csagj.com westerncoloradourology.com Exchange Int 3 Complete 2025/04/29 12:00:00 2025/04/30 12:00:00 2025/05/01 01:36:01 UV 2.16.840.1.113883.3.10301 bambooHealth Bamboo Health OID Jeffrey Cowan masked Jeffrey Cowan 9901 Linn Station Rd Suite 500 Louisville, KY 40223, USA 2079305487 masked Director of Product Bamboo Health 9901 Linn Station Rd Suite 500 Louisville, KY 40223, USA 5025096017 JCOWAN@BAMBOOHEALTH.COM bamboohealth.com Vendor Int 3 Complete 2025/04/29 12:00:00 2025/04/30 12:00:00 2025/05/01 01:42:37 UV 2.16.840.1.113883.3.10302 c3hie-cs2315 C3HIE - CS2315 Leon Calhoun masked Leon Calhoun 708 S. 1st Street Muleshoe, TX 79347 806-272-4524 masked Muleshoe Area Hospital District 708 S. 1st Street Muleshoe, TX 79347 1-806-272-4524 lcalhoun@mahdtx.org https://muleshoehospital.com Provider Muleshoe Area Hospital District Int 3 Complete 2025/04/30 12:00:00 2025/04/30 12:00:00 2025/05/01 01:46:59 UV 2.16.840.1.113883.3.10303 eCGJ Endoscopy Center of Grand Junction, LLC BrieAnna Springer masked BrieAnna Springer 1035 Wellington Ave, Suite 102, Grand Junction, CO 81501 970-257-6932 masked Administrator Endoscopy Center of Grand Junction 1035 Wellington Ave, Suite 102, Grand Junction, CO 81501 970-257-6915 bspringer@uspi.com Provider Int 3 Complete 2025/05/05 12:00:00 2025/05/09 12:00:00 2025/05/10 01:48:39 UV 2.16.840.1.113883.3.10304 oneida Oneida Nation Terry VanWychen masked Oneida Nation 525 Airport Dr Oneida, WI 54155 9208694843 masked Business System Analyst Oneida Nation 525 Airport Dr Oneida, WI 54155 9208694843 tvanwych@oneidanation.org https://oneida-nsn.gov Provider Int 3 Complete 2025/05/07 12:00:00 2025/05/09 12:00:00 2025/05/10 01:52:55 UV 2.16.840.1.113883.4.8157 ssl Sisters Supportive Living Amanda Gibson masked Amanda Gibson 510 Ryan Street, Boonville, MO 65233 660-537-0055 masked Owner/PM Sisters Supportive Living Sisters Supportive Living 510 Ryan Street, Boonville, MO 65233 660-882-2535 amanda@sisterssupportiveliving.com Provider Int 4 Complete 2025/05/07 12:00:00 2025/05/09 12:00:00 2025/05/10 01:59:21 UV 2.16.840.1.113883.3.10305 sSO-C.surg.400 Surgical Specialists of Colorado Robin Assmus masked Robin Assmus 400 Indiana St Suite 200 Golden, CO 80401 3039408200 masked RN COO Surgical Specialists of Colorado 4350 Wadsworth Blvd Suite 401 Wheat Ridge, CO 80033 3039408200 rassmus@ssoc.com https://ssoc.com/ Provider Int 3 Complete 2025/05/09 12:00:00 2025/05/09 12:00:00 2025/05/10 02:05:12 UV 2.16.840.1.113883.3.10306 nhcsbc Northside Health Center Jennifer Suchon masked Jennifer Suchon PO Box 10,000 Montrose, CO 81402 970-240-6438 masked Clinic Director Northside Health Center 528 N. Uncompahgre Avenue Montrose, CO 81401 jennifer.suchon@mcsd.org Provider Int 3 Complete 2025/05/12 12:00:00 2025/05/18 12:00:00 2025/05/18 11:39:08 UV 2.16.840.1.113883.3.10307 esi-60068 Eye Specialists of Illinois Alvaro Campos masked Alvaro Campos 444 N Northwest HWY STE 360 Park Ridge, IL 60068 3123409171 masked Practice Administrator Eye Specialists of Illinois 444 N Northwest HWY STE 360 Park Ridge, IL 60068 3123409171 acampos@eyespec.net Provider Int 3 Complete 2025/05/12 12:00:00 2025/05/18 12:00:00 2025/05/18 11:43:00 UV 2.16.840.1.113883.3.10308 nwco-health Northwest Colorado Health Jennifer Earls masked Jennifer Earls 970-871-7683 masked ISS Northwest Colorado Health 940 Central Park Drive Ste 101 Steamboat Springs, CO 80487 +1 970-879-1632 info@northwestcoloradohealth.org www.northwestcoloradohealth.org Provider Int 3 Complete 2025/05/14 12:00:00 2025/05/18 12:00:00 2025/05/18 11:47:24 UV 2.16.840.1.113883.3.10309 newFreedom New Freedom Ops LLC Michelle Green masked Michelle Green 10851 N Black Canyon Highway, Suite 400 Phoenix, AZ 85029 6026221178 masked Compliance Director New Freedom Ops LLC 10851 N Black Canyon Highway, Suite 400 Phoenix, Arizona 85029 6026221178 compliance@newfreedomaz.com newfreedomaz.com Provider Int 3 Complete 2025/05/15 12:00:00 2025/05/18 12:00:00 2025/05/18 11:56:03 UV 2.16.840.1.113883.3.10310 dcph Delta County Public Health Jacqueline Davis masked Jacqueline Davis 255 West 6th Street Delta, Colorado 81416 9708742165 masked Public Health Director Delta County Public Health 255 West 6th Street Delta, Colorado 81416 9708742165 jadavis@deltacountyco.gov https://www.deltacountyco.gov/486/Public-Health Govt body Int 3 Complete 2025/05/16 12:00:00 2025/05/18 12:00:00 2025/05/19 12:01:39 UV 2.16.840.1.113883.3.9056.1043 seqster-danielcohen Dr. Daniel Cohen Xiang Li masked Dr. Daniel Cohen Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 8585006233 masked CTO Dr. Daniel Cohen Sentara Neurology Specialists, 301 Riverview Ave, Suite 202A Norfolk, VA 23510 dacohen@sentara.com https://www.sentara.com/find-a-doctor-or-provider/Cohen-Daniel-55768 Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1043 2025/05/16 12:00:00 2025/05/18 12:00:00 2025/05/19 12:16:07 UV 2.16.840.1.113883.3.10311 wsfm Western Slope Family Medicine Corenna Howard masked Corenna Howard 207-315-1595 masked CEO Western Slope Family Medicine 1804 E Pavilion Pl Montrose, CO 81401 970-249-6670 choward@wsfmed.com www.wsfmed.com Provider Int 3 Complete 2025/05/18 12:00:00 2025/05/21 12:00:00 2025/05/22 01:50:09 UV 2.16.840.1.113883.3.10312 affectTherapeutics Affect Therapeutics, Inc. Breanna Mullings masked Breanna Mullings 9515145420 masked Compliance Affect Therapeutics, Inc. 1640 Boro Place, 4th Fl McLean, VA 22102 compliance@affecttherapeutics.com www.affecttherapeutics.com Provider Int 3 Complete 2025/05/19 12:00:00 2025/05/21 12:00:00 2025/05/22 02:00:09 UV 2.16.840.1.113883.3.10313 cbfpd Crested Butte Fire Protection District Sean Caffrey masked Annie Tunkey Sean Caffrey 306 Maroon Ave Crested Butte, CO 81224 970-349-5333 masked CEO Crested Butte Fire Protection District 970-349-5333 office@cbfpd.org cbfpd.org Provider Int 3 Complete 2025/05/19 12:00:00 2025/05/21 12:00:00 2025/05/22 02:04:47 UV 2.16.840.1.113883.3.10314 glenwoodmed Glenwood Medical Associates Bruce Lewis masked Rachel Rippy Bruce Lewis 1830 Blake Ave Ste 102 Glenwood Springs, CO 81601 9709458503 masked Director of Information Services Glenwood Medical Associates 1830 Blake Ave Ste 102 Glenwood Springs, CO 81601 9709458503 administrator@glenwoodmedical.com https://www.glenwoodmedical.com Provider Int 3 Complete 2025/05/20 12:00:00 2025/05/21 12:00:00 2025/05/22 02:13:18 UV 2.16.840.1.113883.3.10315 ryd Ryder Memorial Hospital OID Samuel Del Valle masked Samuel Del Valle PO Box 859 Humacao, PR, PR 00792-0859 7872463900 masked IT Director Ryder Memorial Hospital PO Box 859 Humacao, PR, PR 00792-0859 7878520768 sdelvalle@hryder.org www.hospitalryder.org Provider Sistemas de Informaci&#243;n Int 3 Complete 2025/05/20 12:00:00 2025/05/21 12:00:00 2025/05/22 02:17:33 UV 2.16.840.1.113883.3.10316 odofficepro ODOfficePro - SpinnakerWare Inc. Heather Kirk masked Heather Kirk 42 - 22 Spring Creek Drive Waterdown, ON L8B 1V7 1-855-470-2556 masked President SpinnakerWare Inc. 42 - 22 Spring Creek Drive Waterdown, ON L8B 1V7 1-855-470-2556 heatherK@spinnakerWare.com www.spinnakerware.com Provider Int 3 Complete 2025/05/21 12:00:00 2025/05/21 12:00:00 2025/05/22 02:26:35 UV 2.16.840.1.113883.3.10317 cimpar CIMPAR/Reya Frank Nash masked Frank Nash 501 W North Ave, Suite 202, Melrose Park, IL 60160 708-486-2700 masked CTO CIMPAR/Reya 501 W North Ave, Suite 202, Melrose Park, IL 60160 708-486-2700 fnash@cimpar.com https://www.cimpar.com/what-we-do/ Provider Int 3 Complete 2025/05/22 12:00:00 2025/05/24 12:00:00 2025/05/24 10:17:54 UV 2.16.840.1.113883.3.10318 via-lin Via Linda Behavioral Hospital Leanne Krush masked Leanne Krush 9160 East Horeshoe Road Scottsdale, AZ 85258 480-476-7124 masked Chief Financial Officer Via Linda Behavioral Hospital 480-476-7000 vialindaintake@uhsinc.com https://vialindabehavioral.com Provider Int 3 Complete 2025/05/23 12:00:00 2025/05/24 12:00:00 2025/05/24 10:24:30 UV 2.16.840.1.113883.3.10319 hunt.al.aco.members Huntsville Hospital Health System ACO Members Allen Daniels masked Allen Daniels Huntsville Hospital 101 Sivley Road Huntsville, AL 35801 2562652237 masked Regulatory Lead Huntsville Hospital Health System 101 Sivley Road Huntsville, AL 35801 allen.daniels@hhsys.org Provider Int 3 Complete 2025/05/26 12:00:00 2025/05/26 12:00:00 2025/05/26 05:18:41 UV 2.16.840.1.113883.3.10320 altP Altitude Pediatrics Mary Willy masked Mary Willy Altitude Pediatrics 360 West Park Drive, Suite 201 Grand Junction, Colorado 81505 9706097337 masked Pediatrician/Owner Altitude Pediatrics, LLC 360 West Park Drive, Suite 201 Grand Junction, Colorado 81505 970-609-7337 mwilly@altitudepediatrics.com altitudepediatrics.com Provider Int 3 Complete 2025/05/27 12:00:00 2025/05/29 12:00:00 2025/05/30 02:06:28 UV 2.16.840.1.113883.3.10321 ortho-northeast Orthopaedics NorthEast Mike Baeske masked Mike L Baeske 5050 North Clinton Street, Fort Wayne, IN 46825 2604082381 masked IT Department Supervisor Ortho NorthEast 5050 North Clinton Street, Fort Wayne, IN 46825 2604848551 techsupport@orthone.com https://www.orthone.com/ Provider Int 3 Complete 2025/05/27 12:00:00 2025/05/29 12:00:00 2025/05/30 02:10:19 UV 2.16.840.1.113883.3.10322 bcsc Black Canyon Surgical Center Dan Soderlind masked Black Canyon Surgical Center Dan Soderlind Black Canyon Surgical Center 611 E Star Ct, STE C Montrose, CO 81401 9702496971 masked Black Canyon Surgical Center 611 E Star Ct, STE C Montrose, CO 81401 9702496971 dsoderlind@cobcsc.com www.blackcanyonsurgicalcenter.com Provider Int 3 Complete 2025/05/27 12:00:00 2025/05/29 12:00:00 2025/05/30 02:21:09 UV 2.16.840.1.113883.3.10323 aGFP-CTX Aspen Grove Family Practice Margaret Lehr masked Margaret Lehr 3096 I-70 BUSINESS LOOP, SUITE D Grand Junction, Colorado 81504 9703142805 masked Owner/Provider Aspen Grove Family Practice 3096 I-70 BUSINESS LOOP, SUITE D Grand Junction, Colorado 81504 9703142805 margaret@aspengrovefamilypractice.com Provider Int 3 Complete 2025/06/01 12:00:00 2025/06/05 12:00:00 2025/06/06 12:08:46 UV 2.16.840.1.113883.3.9056.1044 seqster-robertoacruz Dr. Roberto A. Cruz Xiang Li masked Dr. Roberto A. Cruz Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 8585006233 masked CTO Dr. Roberto A. Cruz DHR Health Neurology Institute 2108 South M Street, Suite 4 McAllen, TX 78503 rob.cruz@dhr-rgv.com https://dhr-rgv.com/physicians/r-alejandro-cruz-md/ Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1044 2025/06/05 12:00:00 2025/06/05 12:00:00 2025/06/06 12:13:00 UV 2.16.840.1.113883.3.10324 allervie AllerVie Health AllerVie Health masked Casey Porter 2500 Legacy Drive Suite 200 Frisco, TX 75034 4692098363 masked IT Manager AllerVie Health 2500 Legacy Drive Suite 200 Frisco, TX 75034 4692098363 cporter@allervie.com www.allervie.com Prof Soc Int 3 Complete 2025/06/05 12:00:00 2025/06/05 12:00:00 2025/06/06 12:20:53 UV 2.16.840.1.113883.9.297 hrmcar Helena Regional Medical Center Neal Miller masked Neal Miller 706-974-4060 masked VP Phillips Hospital Co., LLC DBA Helena Regional Medical Center 1801 Martin Luther King Jr Dr Helena, AR 72390 neal.miller@phgtech.com Provider Int 3 Complete 2025/06/12 12:00:00 2025/06/15 12:00:00 2025/06/16 02:53:34 US 2.16.840.1.113883.3.10325 docNOWEHR Doctornow Inc. &#8211; EHR Vendor for CommonWell HIE Integration Asim Ranjha masked Asim Ranjha 12543 NE 7th PL, Bellevue, WA 98005 4255020865 masked CTO Doctornow Inc 2265 116th Ave NE Bellevue, WA 98004 4255020865 asim.ranjha@docnow.ai https://doctornow.io Vendor Int 3 Complete 2025/06/12 12:00:00 2025/06/15 12:00:00 2025/06/16 02:57:43 UV 2.16.840.1.113883.3.10326 pog Parkview Orthopaedic Group Jeremy Pinkowski masked Parkview Orthopaedic Group Jeremy Pinkowski 7089232521 masked Operations Manager Parkview Orthopaedic Group 7600 W College Dr 3rd Floor Palos Heights, IL 60463 7089232521 jepinkowski@parkviewortho.com Provider Int 3 Complete 2025/06/12 12:00:00 2025/06/15 12:00:00 2025/06/16 03:02:32 UV 2.16.840.1.113883.3.10327 remitz Remitz Inc. Emily Coward masked David Preiner David Preiner 53 Calle Las Palmeras Ste 601 San Juan, Puerto Rico 00901-2410 937-209-2158 masked Remitz Management Team Remitz Inc. 53 Calle Las Palmeras Ste 601 San Juan, Puerto Rico 00901-2410 937-209-2158 carequalitysupport@remitz.com https://www.remitz.com/ Vendor Int 3 Complete 2025/06/13 12:00:00 2025/06/15 12:00:00 2025/10/22 05:58:53 UV 2.16.840.1.113883.3.10328 cscpa Carolina Specialty Care, PA Tim Spencer masked Tim Spencer 293 Old Mocksville Road, Statesville, NC 28625 7048728711 masked CTO Carolina Specialty Care, PA 7048728711 tim@carolinasplycare.com https://carolinaspecialtycare.com/ Provider Int 3 Complete 2025/06/18 12:00:00 2025/06/19 12:00:00 2025/06/19 12:38:47 UV 2.16.840.1.113883.3.10329 healthierLifeTechnologyInc Healthier Life Technology Inc Andres Jimenez masked Andres Jimenez 100 Centershore Rd Centerport, NY 11722 2146791220 masked CEO Healthier Life Technology Inc 100 Centershore Rd Centerport, NY 11721 2146791220 aj@healthier.clinic Provider Int 3 Complete 2025/06/18 12:00:00 2025/06/19 12:00:00 2025/06/19 12:42:43 UV 2.16.840.1.113883.3.10330 smhdaspermont Stonewall Memorial Hospital District Cody Hall masked Cody Hall 821 N Broadway St, Aspermont, TX 79502 940-989-3551 Ext. 101 masked Director of Health Informatics/Internet Technology Stonewall Memorial Hospital District 821 N Broadway St, Aspermont, TX 79502 940-989-3551 Ext. 101 cody.hall@stonewallhospital.org https://www.stonewallhospital.org Provider Int 3 Complete 2025/06/19 12:00:00 2025/06/19 12:00:00 2025/06/19 03:48:46 US 2.16.840.1.113883.3.10331 mrc Methodist Rehabilitation Center (Mississippi) Dave Jarvis masked Arash Sepehri Dave Jarvis 9037148534 masked Integration Specialist Methodist Rehabilitation Center (Mississippi) 1350 East Woodrow Wilson Jackson, Mississippi 39216 (601) 981-2611 (601) 981-2611 admin@mmrcrehab.org https://www.methodistonline.org/ Provider Int 3 Complete 2025/06/24 12:00:00 2025/06/24 12:00:00 2025/06/25 01:53:14 UV 2.16.840.1.113883.3.9056.1045 seqster-nataliagonzalezcaldito Dr. Natalia Gonzalez Caldito Xiang Li masked Dr. Natalia Gonzalez Caldito Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 8585006233 masked CTO Dr. Natalia Gonzalez Caldito Hawaii Pacific Neuroscience, LLC 2230 Liliha Street #104 Honolulu, Hawaii 96817 ngonzalez@hawaiineuroscience.com https://hawaiineuroscience.com/ Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1045 2025/06/24 12:00:00 2025/06/24 12:00:00 2025/06/25 01:58:44 UV 2.16.840.1.113883.3.10332 unifyHealth Unify Health LLC Cameron Fietz masked Cameron Fietz 7014 E Camelback Rd Scottsdale, AZ 85251 United States 877-468-6439 masked President Unify Health LLC info@unify.health Unify.Health Vendor Int 3 Complete 2025/06/24 12:00:00 2025/06/24 12:00:00 2025/06/25 02:04:14 UV 2.16.840.1.113883.3.10333 clv-Hlg Calvary Healing Center Nicole Freitas masked Nicole Freitas 720 E Montebello Ave, Phoenix, AZ 85014 602-279-1468 masked Business Office Director Calvary Healing Center 720 E Montebello Ave, Phoenix, AZ 85014 602-279-1468 calvaryintake@uhsinc.com https://calvarycenter.com Provider Int 3 Complete 2025/06/24 12:00:00 2025/06/24 12:00:00 2025/06/25 02:09:04 UV 2.16.840.1.113883.3.9056.1046 seqster-kennethasantiago Dr. Kenneth A Santiago, MD Xiang Li masked Dr. Kenneth A Santiago, MD Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 8585006233 masked CTO Dr. Kenneth A Santiago, MD Senior Care of Marion 2770 SOUTH HWY 501 MARION, SC 29571 patients@scomsc.com https://scomsc.com/ Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1046 2025/06/25 12:00:00 2025/06/25 12:00:00 2025/06/25 10:53:47 UV 2.16.840.1.113883.3.10334 webpt WebPT Andrew Fagan masked Andrew Fagan 4053174000 masked Director of Technical Product Management WebPT andrew.fagan@webpt.com https://www.webpt.com/ Vendor Int 3 Complete 2025/06/27 12:00:00 2025/06/29 12:00:00 2025/06/29 05:31:29 UV 2.16.840.1.113883.3.9056.1047 seqster-leorahfreeman Dr. Leorah Freeman Xiang Li masked Dr. Leorah Freeman Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 8585006233 masked CTO Dr. Leorah Freeman UT Health Austin Multiple Sclerosis and Neuroimmunology Center Health Transformation Building, 7th Floor 1601 Trinity Street, Bldg. A, Austin, TX 78712 Leorah.freeman@austin.utexas.edu https://uthealthaustin.org/clinics/mulva-clinic-for-the-neurosciences/multiple-sclerosis Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1047 2025/07/02 12:00:00 2025/07/03 12:00:00 2025/07/03 05:25:41 UV 2.16.840.1.113883.3.10335 advantmed ADVANTMED LLC Ashish Jain masked ashish.jain@advantmed.com ADVANTMED LLC 17981 Sky Park Circle, Building 39/Suite B & C, Irvine, CA 92614 9492763733 masked ADVANTMED LLC 17981 Sky Park Circle, Building 39/Suite B & C, Irvine, CA 92614 9492763733 ftp-support@advantmed.com www.advantmed.com Vendor Int 3 Complete 2025/07/03 12:00:00 2025/07/09 12:00:00 2025/07/10 01:55:59 UV 2.16.840.1.113883.17.9538 chadtest Chad Test OID Chad Neale masked Chad A Neale 3042822569 masked Sr Application Developer Chad Neale 123 Street Dyatona Beach Shores FL, 32118 chad@hl7.org Professional Society Ext 17 Complete 2025/07/09 12:00:00 2025/07/11 12:00:00 2025/09/04 12:13:06 UV 2.16.840.1.113883.3.10336 gti Genetic Technological Innovations, LLC Kailah Goers masked Kailah J Goers 7859 Walnut Hill Lane SUITE 350 5625768686 masked Compliance Officer Genetic Technological Innovations, LLC 5625768686 kailahgoers@gmail.com https://www.gtilaboratories.com/ Provider Int 3 Complete 2025/07/11 12:00:00 2025/07/12 12:00:00 2025/07/12 11:11:23 UV 2.16.840.1.113883.17.9539 chadtest2 Chad Test OID2 Chad Neale masked Chad Neale 3845 S Atlantic Ave Unit 11 Daytona Beach Shores, FL 32118 3042822569 masked Chad Neale 3845 S Atlantic Ave Unit 11 Daytona Beach Shores, FL 32118 3042822569 chad.a.neale@gmail.com Professional Society Int 17 17 Pending 2025/07/11 12:00:00 2025/09/04 12:22:21 UV 42a5b0cb-437d-4e74-9d71-6bd552685961 chadtest3 Chad Test OID3 Chad Neale masked Chad Neale 3845 S Atlantic Ave Unit 11 3042822569 masked Sr Application Developer Chad Neale chad+oid1@hl7.org https://dev3.hl7.org Government body Ext 17 Pending 42a5b0cb-437d-4e74-9d71-6bd552685961 2025/07/14 12:00:00 2025/07/14 06:54:40 UV 2.16.840.1.113883.3.10337 tchospitaldistrict Tyler County Hospital District James Stevens masked James Stevens 1100 W. Bluff St Woodville, TX 75979 4092836403 masked CIO Tyler County Hospital District 1100 W. Bluff St Woodville, TX 75979 4092836403 jstevens@tchospital.us tchospital.us Govt body Int 3 Complete 2025/07/14 12:00:00 2025/07/14 12:00:00 2025/07/15 03:15:46 UV 2.16.840.1.113883.14.1003 chadtest4 Chad Test OID4 Chad Neale masked Jonesy 555-555-5555 masked Chad Neale 987 Mud Lane, Fairmont WV 26554 555-555-5555 chad+oid2@hl7.org Provider Int 14 Pending 2025/07/14 12:00:00 2025/07/14 09:25:07 UV 2.16.840.1.113883.3.10338 acaz Axiom Care Jacob Woody masked Jacob Woody 3030 N Central Ave, Ste 506 Phoenix, AZ 85012 6028750401 masked IT Manager Axiom Care 3030 N Central Ave, Ste 506 Phoenix, AZ 85012 6026268112 info@axiomcareofaz.com https://www.axiomcareofaz.com/ Provider Int 3 Complete 2025/07/14 12:00:00 2025/07/14 12:00:00 2025/07/15 03:22:21 UV 2.16.840.1.113883.3.10339 rookscountyhealthcenter Rooks County Health Center OID Steve Law masked Steve Law PO Box 389 1210 N Washington St Plainville, KS 67663 785-688-4422 masked IT Director Rooks County Healthcenter 785-434-4553 it@rch.health www.rookscountyhealthcenter.com Provider Int 3 Complete 2025/07/16 12:00:00 2025/07/16 12:00:00 2025/07/17 02:20:52 UV 2.16.840.1.113883.3.10340 townDrug Town Drug Pharmacy John Navarra masked John Navarra 501 W 113th St, NY NY 10025 212-678-0636 masked President Town Drug Pharmacy 501 W 113th St. NY, NY 10025 212-678-0636 town_drug@yahoo.com Provider Int 3 Complete 2025/07/16 12:00:00 2025/07/16 12:00:00 2025/07/17 02:25:24 UV 2.16.840.1.113883.6.350 uspsStateCodes USPS State Codes Jessica Bota masked HL7 Terminology Services Management Group (TSMG) (734) 677-7777 masked United States Postal Service 800-275-8777 unknown@us.gov http://www.usps.com/ Govt body Int 6 Complete 2025/07/16 12:00:00 2025/07/16 12:00:00 2025/07/17 02:31:50 UV 2.16.840.1.113883.17.9540 chadelvis Chad Elvis Test Ignore Chad Neale masked Elvis Presley 1977 Blue Swede Dr Memphis TN 555-222-3333 masked The King Elvis Presley 3845 S Atlantic Ave Daytona Beach Shores FL 555-222-3333 chad@hl7.org Professional Society Int 17 17 Pending 2025/07/17 12:00:00 2025/07/17 02:01:25 UV 2.16.840.1.113883.3.10341 ancrhsp Anchor Hospital Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director Anchor Hospital 5454 Yorktowne Dr Atlanta, GA 30349 (678)251-3200 https://anchorhospital.com/ Provider Int 3 Complete 2025/07/17 12:00:00 2025/07/17 12:00:00 2025/07/18 12:35:44 UV 2.16.840.1.113883.3.10342 smtrdg SummitRidge Hospital Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director SummitRidge Hospital 250 Scenic Highway South Lawrenceville, GA 30046 (678) 442-5800 https://summitridgehospital.net/ Provider Int 3 Complete 2025/07/17 12:00:00 2025/07/17 12:00:00 2025/07/18 12:39:43 UV 2.16.840.1.113883.3.10343 pchfrd Peachford Behavioral Health System Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director Peachford Behavioral Health System 2151 Peachford Rd Atlanta, GA 30338 (770) 455-3200 https://peachford.com Provider Int 3 Complete 2025/07/17 12:00:00 2025/07/17 12:00:00 2025/07/18 12:44:58 UV 2.16.840.1.113883.3.10344 wrmctrintrnalmed Wellington Center Of Internal Medicine Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director Wellington Center Of Internal Medicine 10131 Forest Hill Blvd Ste 100A West Palm Beach, FL 33414 (561) 753-8366 https://www.wellingtoninternalmedicinegroup.com/ Provider Int 3 Complete 2025/07/17 12:00:00 2025/07/17 12:00:00 2025/07/18 12:49:12 UV 2.16.840.1.113883.3.10345 quailrnbh Quail Run Behavioral Health Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director Quail Run Behavioral Health 2545 W Quail Ave Phoenix, AZ 85027 (844) 772-7771 https://quailrunbehavioral.com/ Provider Int 3 Complete 2025/07/17 12:00:00 2025/07/17 12:00:00 2025/07/18 12:58:32 UV 2.16.840.1.113883.3.10346 palovrdebh Palo Verde Behavioral Health Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director Palo Verde Behavioral Health 2695 N Craycroft Rd Tucson, AZ 85712 (520) 322-2888 https://paloverdebh.com Provider Int 3 Complete 2025/07/17 12:00:00 2025/07/17 12:00:00 2025/07/18 01:01:24 UV 2.16.840.1.113883.3.10347 vlyhospbh Valley Hospital Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director Valley Hospital 3550 E Pinchot Ave Ste 2 Phoenix, AZ 85018 (602) 952-3939 https://valleyhospital-phoenix.com/ Provider Int 3 Complete 2025/07/17 12:00:00 2025/07/17 12:00:00 2025/07/18 01:06:14 UV 2.16.840.1.113883.3.10348 vialndabh Via Linda Behavioral Hospital Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director Via Linda Behavioral Hospital 9160 E Horseshoe Road Scottsdale, AZ 85258 (480) 476-7000 https://vialindabehavioral.com/ Provider Int 3 Complete 2025/07/17 12:00:00 2025/07/17 12:00:00 2025/07/18 01:10:39 UV 2.16.840.1.113883.3.10349 trnptbh Turning Point Care Center Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director Turning Point Care Center 3015 Veterans Pkwy S Moultrie, GA 31788 (229) 404-5565 https://turningpointcare.com/ Provider Int 3 Complete 2025/07/17 12:00:00 2025/07/17 12:00:00 2025/07/18 01:15:10 UV 2.16.840.1.113883.3.10350 hrtgrvbh Hartgrove Behavioral Health System Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director Hartgrove Behavioral Health System 5730 W Roosevelt Rd Chicago, IL 60644 (773) 413-1700 https://hartgrovehospital.com Provider Int 3 Complete 2025/07/17 12:00:00 2025/07/17 12:00:00 2025/07/18 01:20:13 UV 2.16.840.1.113883.3.10351 grfldprkbh Garfield Park Behavioral Hospital Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director Garfield Park Behavioral Hospital 520 N Ridgeway Ave Chicago, IL 60624 (773) 265-3700 https://garfieldparkhospital.com Provider Int 3 Complete 2025/07/17 12:00:00 2025/07/17 12:00:00 2025/07/18 01:28:43 UV 2.16.840.1.113883.3.10352 grnthlsbh Granite Hills Hospital Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director Granite Hills Hospital 1706 South 68th St West Allis, WI 53214 (414) 667-4800 https://granitehillshospital.com/ Provider Int 3 Complete 2025/07/17 12:00:00 2025/07/17 12:00:00 2025/07/18 01:33:19 UV 2.16.840.1.113883.3.10353 rvredgbh Riveredge Hospital Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director Riveredge Hospital 8311 Roosevelt Rd Forest Park, IL 60130 (708) 771-7000 https://riveredgehospital.com Provider Int 3 Complete 2025/07/17 12:00:00 2025/07/17 12:00:00 2025/07/18 01:39:24 UV 2.16.840.1.113883.3.10354 strmwdbh Streamwood Behavioral Healthcare System Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director Streamwood Behavioral Healthcare System 1400 E Irving Park Rd Streamwood, IL 60107 (630) 837-9000 https://streamwoodhospital.com/ Provider Int 3 Complete 2025/07/17 12:00:00 2025/07/17 12:00:00 2025/07/18 01:46:50 UV 2.16.840.1.113883.3.10355 lnclnpriebhc Lincoln Prairie Behavioral Health Center Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 (610)382-4375 masked Assistant Director Lincoln Prairie Behavioral Health Center 5230 South 6th Street Frontage Road East Springfield, IL 62703 (217) 585-1180 https://lincolnprairiebhc.com/ Provider Int 3 Complete 2025/07/17 12:00:00 2025/07/17 12:00:00 2025/07/18 01:57:13 UV 2.16.840.1.113883.9.298 cam Cape Ann Medical Shawn Pawson masked Eric Brosch Shawn Pawson 1 Blackburn Drive Gloucester, MA 01930 9782811500 masked President, Cape Ann Medical Cape Ann Medical 1 Blackburn Drive Gloucester, MA 01930 9782811500 spawson@capeannmed.com Provider Int 3 Complete 2025/07/18 12:00:00 2025/07/19 12:00:00 2025/07/19 09:57:23 Athena UV 2.16.840.1.113883.3.9056.1048 seqster-saraqureshi Dr. Sara Qureshi Xiang Li masked Dr. Sara Qureshi Xiang Li 7310 Miramar Rd #430 San Diego, CA 92126 masked CTO Dr. Sara Qureshi Billings Clinic 2800 10th Ave. N., Billings, MT 59101 squreshi@billingsclinic.org https://www.billingsclinic.com/services-specialties/neurosciences/neurology/ms-center/ Provider 2.16.840.1.113883.3.9056 Ext 14 14 Complete 2.16.840.1.113883.3.9056.1048 2025/07/21 12:00:00 2025/07/21 12:00:00 2025/07/22 01:13:57 UV 2.16.840.1.113883.3.10356 sierraVistaHospital Sierra Vista Hospital David Dow masked ming.huang@svhnm.org Ming Huang Sierra Vista Hospital Attn: Ming Huang 800 E. 9th Ave Truth or Consequences, NM 87901 5758942111 masked CFO Sierra Vista Hospital 800 E. 9th Ave Truth or Consequences, NM 87901 5758942111 ming.huang@svhnm.org Provider Int 3 3 Complete 2025/07/22 12:00:00 2025/07/23 12:00:00 2025/07/24 01:27:37 UV 2.16.840.1.113883.3.10357 ocfmh-mhh Office of Civil and Forensic Mental Health - Mental Health Hospitals Mark Rechtin masked Mark Rechtin 1600 W. 24th Street Pueblo, CO 81003 (719) 470-1354 masked EHR Development Team Supervisor Colorado Mental Health Hospitals - OCFMH 1600 W. 24th Street Pueblo, CO 81003 (719) 546-4000 mark.rechtin@state.co.us Govt body Int 3 Complete 2025/07/22 12:00:00 2025/07/23 12:00:00 2025/07/24 01:29:41 UV 2.16.840.1.113883.3.10358 emblem_pennant Emblem Home Health Krista Myer masked Krista Myer 13385 S. Moonlight Rd 8172477228 masked Product Manager of Interops Pennant Services 7440 Creek Rd STE 100, Midvale, UT 84047 (208) 401-1400 krista.myer@pennantservices.com Provider Int 3 Complete 2025/07/22 12:00:00 2025/07/23 12:00:00 2025/07/24 01:42:41 UV 2.16.840.1.113883.3.10359 hdamas Hospital Damas Inc Javier Negron masked Javier Negron 2213 Ponce Bypass Ponce, Puerto Rico 00717 7878408686 masked Hospital Damas Inc. 2213 Ponce By Pass Ponce, Puerto Rico 00717 787-840-8686 administracion@hospitaldamas.com Provider Int 3 Complete 2025/07/23 12:00:00 2025/07/23 12:00:00 2026/04/15 10:37:41 UV 2.16.840.1.113883.3.10360 smartCareHIE SmartCare HIE Savanna Smith masked Savanna Smith 515 W Main St, Leesburg, FL 34748 3523157544 masked Lead EMR Specialist LifeStream Behavioral Center PO Box 491000, Leesburg, FL 34749 352-315-7500 shoffman@lsbc.net www.LSBC.net Provider Int 3 Complete 2025/07/29 12:00:00 2025/07/30 12:00:00 2025/07/31 02:05:26 UV 1.3.6.1.4.1.12999 erictest Eric Test OID Redesign Eric Schmitt masked Eric Schmitt 333-555-6666 masked Eric Schmitt eric@hl7.org Academic Ext 17 17 Pending 1.3.6.1.4.1.12999 2025/07/29 12:00:00 2025/07/29 06:32:42 UV 2.16.840.1.113883.3.10361 msnllc MSN Healthcare Solutions LLC Matt Dietz masked Matt Dietz 2357 Warm Springs Rd Ste 4001 Columbus, GA 31904 7064427155 masked Ops Manager MSN Healthcare Solutions LLC 2357 Warm Springs Rd Ste 4001 Columbus, GA 31904 706-653-1102 ext 52138 jbrewer@msnllc.com https://msnllc.com/ Vendor Int 3 Complete 2025/08/01 12:00:00 2025/08/04 12:00:00 2025/08/05 02:49:05 UV 2.16.840.1.113883.3.10362 src1 Sanctuary Recovery Centers Elyssa Fischer masked Elyssa Fischer 11645 N Cave Creek Rd Phoenix, AZ 85020 6232002838 masked Billing Manager Sanctuary Recovery Centers 11645 N Cave Creek Rd. Phoenix, AZ 85020 6232002838 efischer@sanctuaryrecoverycenters.com www.sanctuaryrc.com Provider Int 3 Complete 2025/08/01 12:00:00 2025/08/04 12:00:00 2025/08/05 02:53:00 UV 2.16.840.1.113883.3.10363 colib Colib Francois Laruaz masked Francois Laruaz P.O. 1721, Squamish, V8B 0B2, BC, Canada +1 (438) 230 4039 masked CTO Colib support@colib.io https://www.colib.io Vendor Int 3 Complete 2025/08/04 12:00:00 2025/08/04 12:00:00 2025/08/05 03:00:26 UV 2.16.840.1.113883.3.10364 companyon CompanyOn Luis Lopez masked Javier Otero 1077 Mountain HwyNorth, Vancouver, BC Canada V7J 2L8 6048290052 masked CEO ConceptualShift Solutions Inc 1077 Mountain HwyNorth, Vancouver, BC Canada V7J 2L8 6048290052 info@companyonapp.com companyonapp.com Vendor Int 3 Complete 2025/08/05 12:00:00 2025/08/06 12:00:00 2025/08/07 01:52:38 UV 2.16.840.1.113883.3.8400.1001 nyqc2019h NewYork Quality Care Healthix Mikhail Perepelyuk masked Mikhail Perepelyuk 575 Lexington Ave, 11th Floor, NY, NY 10022 3475347314 masked NewYork Quality Care mip7021@nyp.org Provider 2.16.840.1.113883.3.8400 Ext 14 Complete 2.16.840.1.113883.3.8400.1001 2025/08/08 12:00:00 2025/08/11 12:00:00 2025/08/11 04:53:36 UV 2.16.840.1.113883.3.10365 aretihealth Areti Health Corporation Joshua Ransom masked Joshua Ransom 2885 Churchill Drive Hillsborough, CA 94010 973-979-2075 masked Chief Strategy Officer Areti Health Corporation 2885 Churchill Drive Hillsborough, CA 94010 650-793-4116 ilya.gluhovsky@aretihealth.com https://www.aretihealth.com/ Vendor Int 3 Complete 2025/08/11 12:00:00 2025/08/11 12:00:00 2025/08/12 12:00:14 UV 2.16.840.1.113883.3.10366 icp Innovation Care Partners Diego Hacey masked Kena Taylor 8901 E Mountain View Rd UNIT 200, Scottsdale, AZ 85258 480.933.5070 masked Chief Information Officer Innovation Care Partners 8901 E Mountain View Rd UNIT 200, Scottsdale, AZ 85258 480-696-4020 dataintegrationinteroperabilityteam@icphealth.com www.icphealth.com Provider Int 3 Complete 2025/08/12 12:00:00 2025/08/14 12:00:00 2025/08/14 10:47:36 UV 2.16.840.1.113883.3.10367 doctronicMedAlliesQHIN Doctronic MedAllies QHIN Thomas Foley masked Matt Pavelle 1460 Broadway New York, NY 10036 2122875613 masked Co-CEO and Co-Founder Doctronic Inc. 4153402274 info@doctronic.ai https://www.doctronic.ai/ Provider Int 3 Complete 2025/08/13 12:00:00 2025/08/14 12:00:00 2026/02/10 11:48:48 UV 2.16.840.1.113883.3.10368 adherehealth AdhereHealth Solutions LLC Shannon Curry masked Shannon Curry 1005 17th Ave. S. Suite 605 Nashville, TN 37212 6159830488 masked Director Enterprise Project Management AdhereHealth Solutions LLC 1005 17th Ave. S. Suite 605 Nashville, TN 37212 6153460880 ahstakeholders@adherehealth.com https://adherehealth.com/ Vendor Int 3 Complete 2025/08/19 12:00:00 2025/08/21 12:00:00 2025/08/21 10:43:29 UV 2.16.840.1.113883.3.10369 res-Dia Resolve Diamondback Julia Divino masked Julia Divino 3000 N 91st Ave Phoenix, AZ 85037 6233032882 masked Medical Records Director Resolve Diamondback 3000 N 91st Ave Phoenix, AZ 85037 6233032882 jdivino@diamondbackhealth.com https://diamondbackhealth.com/ Provider Int 3 Complete 2025/08/19 12:00:00 2025/08/21 12:00:00 2025/08/21 10:48:12 UV 2.16.840.1.113883.3.10370 sfaco Sunflower ACO Crystal Eubanks masked Crystal Eubanks 3350 SW 148th Ave Suite 202 Miramar, FL 33027 7274209379 masked Sunflower ACO 3350 SW 148th Ave Ste 202 Miramar, FL 33027 7274209379 ceubanks@valueservicesmgmt.com Provider Int 3 Complete 2025/08/20 12:00:00 2025/08/21 12:00:00 2025/08/21 10:55:00 UV 2.16.840.1.113883.3.10371 ash305 Arkansas State Hospital Tina Grissom masked Tina M. Grissom 305 South Palm Street Little Rock, AR 72205 501-665-2004 masked IT Manager Arkansas State Hospital 305 South Palm Street Little Rock, AR 72205 tina.grissom@dhs.arkansas.gov Provider Int 3 Complete 2025/08/21 12:00:00 2025/08/21 12:00:00 2025/08/21 11:09:28 UV 2.16.840.1.113883.3.10372 sun-city-test Sun City Fire Test Chad Neale masked Chad Neale 3845 S Atlantic Ave Unit 11 3042822569 masked Chad Neale 3845 S Atlantic Ave Unit 11 3042822569 chad@hl7.org Government body Int 3 Pending 2025/09/04 12:00:00 2025/09/04 06:27:18 US 2.16.840.1.113883.3.10373 chrr-paz Citrus Heights Respiratory and Rehabilitation Amy Riter masked Lisa Leveque 480-313-1429 masked Citrus Heights Respiratory and Rehabilitation 3130 E Broadway Rd Mesa, AZ 85204 4809247777 lleveque@ensignservices.net https://citrusheightsrehab.com/ Provider Ext 3 Complete 2025/09/04 12:00:00 2025/09/04 12:00:00 2026/02/05 09:11:13 UV 2.16.840.1.113883.3.10374 spa-az Springdale Post Acute Amy Riter masked Lisa Leveque 480-313-1429 masked Springdale Post Acute 7255 E Broadway Rd Mesa, AZ 85208 4809818844 lleveque@ensignservices.net https://springdalevillagepostacute.com/ Provider Ext 3 Complete 2025/09/04 12:00:00 2025/09/04 12:00:00 2025/09/05 12:15:05 UV 2.16.840.1.113883.3.10375 sun-city-fire Sun City Fire and Medical Dept. Kyle Henson masked Kyle Henson 18602 North 99th Avenue, Sun City, AZ 85373, USA 6239742321 masked EMS Division Chief Sun City Fire & Medical Dept. 18602 North 99th Avenue, Sun City, AZ 85373, USA 6239742321 khenson@scfmd.az.gov www.scfmd.az.gov Government body 2126225786 Ext 3 Complete 2025/09/04 12:00:00 2025/09/04 12:00:00 2025/09/04 11:35:11 US 2.16.840.1.113883.3.10376 ecdohclinic Erie County Department of Health Clinic Elizabeth Terranova masked Elizabeth Terranova 608 William St. Buffalo, NY 14206 7168584977 masked Erie County Department of Health Clinic 608 William St. Buffalo NY 14206 716-858-7687 elizabeth.terranova@erie.gov Provider Int 3 Complete 2025/09/10 12:00:00 2025/09/11 12:00:00 2025/09/12 03:54:47 UV 2.16.840.1.113883.3.10377 entofsect Ear, Nose & Throat Associates of Southeastern CT, P.C. Kimberly Carr masked Kimberly Carr 201 Boston Post Rd Waterford, CT 06385 8604420407 masked Practice Manager Nextech Corporate Center III 4221 W. Boy Scout Blvd Suite 350 Tampa, FL 33607 8666544396 srssupport@nextech.com nextech.com Vendor Int 3 Complete 2025/09/12 12:00:00 2025/09/15 12:00:00 2025/09/16 01:39:22 UV 2.16.840.1.113883.3.10378 speds Skyline Pediatrics Brice Kopas masked Brice Kopas 4930 N 1st Ave Tucson, AZ 85718 5205773333 masked MD Skyline Pediatrics 4930 N 1st Ave Tucson, AZ 85718 520-577-3333 bkopas@skylinepeds.com https://www.skylinepediatric.com/ Provider Int 3 Complete 2025/09/12 12:00:00 2025/09/15 12:00:00 2025/09/16 01:47:57 UV 2.16.840.1.113883.3.9528.300 fCHD-EDSS Fairfax County Health Department EDSS Epifanio Clarin masked Noel Clarin 10777 Main Street Fairfax, VA 22030 703-246-8462 masked Informatics and IT Director Fairfax County Health Department 10777 Main Street Fairfax, VA 22030 703-246-2411 HDIT@fairfaxcounty.gov https://www.fairfaxcounty.gov/health Government body 2.16.840.1.113883.3.9528 Ext 14 14 Complete 2.16.840.1.113883.3.9528.300 2025/09/16 12:00:00 2025/09/23 12:00:00 2025/09/24 01:16:36 UV 2.16.840.1.113883.3.10379 genzeon-cms Genzeon Services For CMS Vikram Pendli masked Vikram Pendli 559 W Uwchlan Ave Suite 120 Exton, PA 19341 4847139033 masked CTO Genzeon vikram.pendli@genzeon.com www.genzeon.com Vendor Int 3 Complete 2025/09/16 12:00:00 2025/09/21 12:00:00 2025/09/22 12:16:02 US 2.16.840.1.113883.3.10380 genhealth GenHealth Root OID Albert Seeley masked ricky@genhealth.ai Albert Seeley GenHealth, Inc. 520 Lewis Street NW Vienna, VA 22180 617-285-9530 masked Head of Security and Platform Engineering GenHealth, Inc. GenHealth, Inc. 520 Lewis Street NW Vienna, VA 22180 617-939-9897 hl7@genhealth.ai https://genhealth.ai Vendor Int 3 Complete 2025/09/17 12:00:00 2025/09/21 12:00:00 2025/09/22 12:20:48 US 2.16.840.1.113883.4.8158 leaporbitca Leap Orbit vendor OID for Canada Anil Patel masked Mrinal Bhasker 7067 Columbia Gateway Drive, Ste 190, Columbia, MD 21046 1-425-830-1417 masked Partner Leap Orbit LLC 7067 Columbia Gateway Drive, Ste 190, Columbia, MD 21046 443-753-4164 support@leaporbit.com https://www.leaporbit.com Vendor 2.16.840.1.113883 Ext 4 0 Pending 2.16.840.1.113883.4.8158 2025/09/18 03:57:30 CA 2.16.840.1.113883.3.10381 allmedofLA Allmed Of Los Angeles, INC Mayuri Patel masked Mayuri Patel 11001 Main St, Suite 301 E, El Monte, CA 91731 323 810 1782 masked Admin Allmed Of Los Angeles, INC 11001 Main St, Suite 301 E, El Monte, CA 91731 323 810 1782 mayurip@meditab.com Provider Int 3 Complete 2025/09/18 12:00:00 2025/09/21 12:00:00 2025/09/22 12:28:23 UV 2.16.840.1.113883.6.8159 ca-communicationbarrier Communicationbarrier Anil Patel masked Anil Patel 150 King St. W., Suite 1100 Toronto, ON, M5H 1J9 (416) 886-4967 masked Standards Manager Canada Health INfoway 150 King St. W., Suite 1100 Toronto, ON, M5H 1J9 (416) 886-4967 standards@infoway-inforoute.ca https://www.infoway-inforoute.ca/en/ Government body 2.16.840.1.113883 Ext 0 6 Pending 2.16.840.1.113883.6.8159 2025/09/23 12:00:00 2025/09/24 01:27:50 CA 2.16.840.1.113883.6.8160 ca-messagechangereasoncode MessageChangeReasonCode Anil Patel masked Anil Patel 150 King St. W., Suite 1100 Toronto, ON, M5H 1J9 (416) 886-4967 masked Standards Manager Canada Health Inofway 150 King St. W., Suite 1100 Toronto, ON, M5H 1J9 (416) 886-4967 standards@infoway-inforoute.ca https://www.infoway-inforoute.ca/en/ Government body 2.16.840.1.113883 Ext 0 6 Pending 2.16.840.1.113883.6.8160 2025/09/22 06:42:19 UV 2.16.840.1.113883.6.8161 ca-messageeventcode MessageEventCode Anil Patel masked Anil Patel 150 King St. W., Suite 1100 Toronto, ON, M5H 1J9 (416) 886-4967 masked Standards Manager Canada Health Infoway 150 King St. W., Suite 1100 Toronto, ON, M5H 1J9 (416) 886-4967 standards@infoway-inforoute.ca https://www.infoway-inforoute.ca/en/ Government body 2.16.840.1.113883 Ext 0 6 Pending 2.16.840.1.113883.6.8161 2025/09/22 06:47:25 UV 2.16.840.1.113883.6.8162 ca-preferencetypecode PreferenceTypeCode Anil Patel masked Anil Patel 150 King St. W., Suite 1100 Toronto, ON, M5H 1J9 (416) 886-4967 masked Standards Manager Canada Health Infoway 150 King St. W., Suite 1100 Toronto, ON, M5H 1J9 (416) 886-4967 standards@infoway-inforoute.ca https://www.infoway-inforoute.ca/en/ Government body 2.16.840.1.113883 Ext 0 6 Pending 2.16.840.1.113883.6.8162 2025/09/22 06:52:06 UV 2.16.840.1.113883.6.8163 ca-referralbusinessstatus ReferralBusinessStatus Anil Patel masked Anil Patel 150 King St. W., Suite 1100 Toronto, ON, M5H 1J9 (416) 886-4967 masked Standards Manager Canada Health Infoway 150 King St. W., Suite 1100 Toronto, ON, M5H 1J9 (416) 886-4967 standards@infoway-inforoute.ca https://www.infoway-inforoute.ca/en/ Government body 2.16.840.1.113883 Ext 0 6 Pending 2.16.840.1.113883.6.8163 2025/09/22 06:56:58 UV 2.16.840.1.113883.6.8164 ca-referralcommunicationcategory ReferralCommunicationCategory Anil Patel masked Anil Patel 150 King St. W., Suite 1100 Toronto, ON, M5H 1J9 (416) 886-4967 masked Standards Manager Canada Health Infoway 150 King St. W., Suite 1100 Toronto, ON, M5H 1J9 (416) 886-4967 standards@infoway-inforoute.ca https://www.infoway-inforoute.ca/en/ Government body 2.16.840.1.113883 Ext 0 6 Pending 2.16.840.1.113883.6.8164 2025/09/22 07:01:28 UV 2.16.840.1.113883.6.8166 ca-taskcode TaskCode Anil Patel masked Anil Patel 150 King St. W., Suite 1100 Toronto, ON, M5H 1J9 (416) 886-4967 masked Standards Manager Canada Health Infoway 150 King St. W., Suite 1100 Toronto, ON, M5H 1J9 (416) 886-4967 standards@infoway-inforoute.ca https://www.infoway-inforoute.ca/en/ Government body 2.16.840.1.113883 Ext 0 6 Pending 2.16.840.1.113883.6.8166 2025/09/22 07:13:27 UV 2.16.840.1.113883.6.8165 ca-referralstatusreason ReferralStatusReason Anil Patel masked Anil Patel 150 King St. W., Suite 1100 Toronto, ON, M5H 1J9 apatel@infoway-inforoute. masked Standards Manager Canada Health Infoway 150 King St. W., Suite 1100 Toronto, ON, M5H 1J9 (416) 886-4967 standards@infoway-inforoute.ca https://www.infoway-inforoute.ca/en/ Government body 2.16.840.1.113883 Ext 0 6 Pending 2.16.840.1.113883.6.8165 2025/09/22 07:18:38 UV 2.16.840.1.113883.3.10382 imgnped Imagine Pediatrics Michael Renner masked Michael Renner 220 Athens Way Ste 240 Nashville, TN, US 37228 3307040773 masked Staff Data Product Manager Imagine Pediatrics data-eng@imaginepediatrics.org https://www.imaginepediatrics.org/ Provider Int 3 Complete 2025/09/22 12:00:00 2025/09/23 12:00:00 2025/09/24 01:49:53 UV 2.16.840.1.113883.3.10383 mhsi-2025 Marias Healthcare Services inc Jamie Brownell masked Jamie F Brownell 1950 W Roosevelt Hwy, Shelby, MT 59474 4064343110 masked CEO Marias Healthcare Services Inc 1950 W Roosevelt Hwy, Shelby, MT 59474 jbrownell@mhsihealth.org https://mariashealth.org/ Provider Int 3 Complete 2025/09/22 12:00:00 2025/09/23 12:00:00 2025/09/24 01:56:39 UV 2.16.840.1.113883.3.10384 phcste18 Precision Health Center Leanne Chen masked Jimmy Ung 709 North Hill St. Ste 18, Los Angeles, CA 90012 2136870888 masked CEO Precision Health Center 709 North Hill St. Ste 18, Los Angeles, CA 90012 2136870888 leanne@precisionhc.org https://www.precisionhc.org/ Provider Int 3 Complete 2025/09/23 12:00:00 2025/09/23 12:00:00 2025/09/24 02:02:24 UV 2.16.840.1.113883.17.9541 chadtest6 Chad Test OID Chad Neale masked Chad Neale 3845 S Atlantic Ave Unit 11 3042822569 masked Chad Neale 3845 S Atlantic Ave Unit 11 3042822569 chad.a.neale@gmail.com HL7 body Chad Neale Int 17 Pending 2025/09/24 12:00:00 2025/09/24 03:45:35 UV 2.16.840.1.113883.3.10385 flexpa Flexpa Joshua Kelly masked Joshua Kelly 7076544982 masked Flexpa USA Inc. 2261 Market St No. 4677 San Francisco, CA 94114 7076544982 josh@flexpa.com https://www.flexpa.com Vendor Int 3 Complete 2025/09/25 12:00:00 2025/09/28 12:00:00 2025/09/29 02:04:07 UV 2.16.840.1.113883.3.10386 smhtx Stephens Memorial Hospital District Bobby Thompson masked Bobby Thompson 254-559-2241 masked Director of Information Technology Stephens Memorial Hospital District 200 South Geneva Street Breckenridge, TX 76424 254-559-2241 IT@smhtx.com https://www.smhtx.com/ Provider Int 3 Complete 2025/09/25 12:00:00 2025/09/28 12:00:00 2025/09/29 09:05:54 UV 2.16.840.1.113883.3.10387 rhg-cntx RHG Athena OID for Contexture Alana Hutcherson masked Jennifer.Putnam@reveremedical.com Jennifer Putnam 40 Burton Hills Blvd Suite #370 Nashville, TN 37064 629-257-5984 masked Director of Product RHC Group Management, LLC DBA Revere Medical 40 Burton Hills Blvd Suite #370 Nashville, TN 37064 data.notifications@reveremedical.com https://www.reveremedical.com/ Provider Int 3 Complete 2025/09/30 12:00:00 2025/09/30 12:00:00 2025/10/01 01:30:45 UV 2.16.840.1.113883.3.10388 kALMI Beacon Kalamazoo John Swartz masked John Swartz Beacon Health Systems 3245 Health Drive, Granger, IN 46530 5746474991 masked System Analyst II Beacon Kalamazoo 1521 Gull Road Kalamazoo, MI 49048-1640 269-226-7000 jswartz@beaconhealthsystem.org Provider Int 3 3 Complete 2025/09/30 12:00:00 2025/09/30 12:00:00 2025/10/01 01:37:47 UV 2.16.840.1.113883.3.10389 dOWMI Beacon Dowagiac John Swartz masked John Swartz Beacon Health Systems 3245 Health Drive, Granger, IN 46530 574-647-4991 masked System Analyst II Beacon Dowagiac 420 West High St Dowagiac, MI 49047-1943 269-782-8681 jswartz@beaconhealthsystem.org Provider Int 3 3 Complete 2025/09/30 12:00:00 2025/09/30 12:00:00 2025/10/01 01:51:10 UV 2.16.840.1.113883.3.10390 aLGMI Beacon Allegan John Swartz masked John Swartz Beacon Health Systems 3245 Health Drive, Granger, IN 46530 574-647-4991 masked System Analyst II Beacon Allegan 555 Linn St Allegan, MI 49010-1524 269-673-8424 jswartz@beaconhealthsystem.org Provider Int 3 3 Complete 2025/09/30 12:00:00 2025/09/30 12:00:00 2025/10/01 01:58:00 UV 2.16.840.1.113883.3.10391 bPWMI Beacon Plainwell John Swartz masked John Swartz Beacon Health Systems 3245 Health Drive, Granger, IN 46530 574-647-4991 masked System Analyst II Beacon Plainwell 411 Naomi St Plainwell, MI 49080-1222 269-685-0700 jswartz@beaconhealthsystem.org Provider Int 3 3 Complete 2025/09/30 12:00:00 2025/09/30 12:00:00 2025/10/01 02:06:30 UV 2.16.840.1.113883.3.10392 id-cmd CirrusMD Object for OID Registration CirrusMD Ops masked CirrusMD 3000 Lawrence St. Denver, CO 80205 18004494512 masked CirrusMD 3000 Lawrence St. Denver, CO 80205 18004494512 ean-hibian@cirrusmd.com https://www.cirrusmd.com/ Provider Int 3 Complete 2025/10/02 12:00:00 2025/10/06 12:00:00 2025/10/06 08:18:38 UV 2.16.840.1.113883.3.10393 pCP3150 Primary Care Partners, Inc. Michael Miller masked Michael Miller PO Box 10700, Grand Junction, CO 81502 9702542625 masked IT Director Primary Care Partners, Inc PO Box 10700, Grand Junction, CO 81502 9702542625 mmiller@pcpgj.com Provider Int 3 Complete 2025/10/06 12:00:00 2025/10/06 12:00:00 2025/10/06 08:22:07 UV 2.16.840.1.113883.13.291 tekmir Tekmir Solutions Sean Duddy masked Sean Duddy 1713 N Campbell Ave, Apt 2 Chicago, IL 60647 734-272-8131 masked Managing Member Tekmir Solutions LLC 6375 Penn Ave., Suite B #1015 Pittsburgh, PA 15206 734-272-8131 sean@tekmir.ai https://www.tekmir.ai/ Vendor Int 3 Complete 2025/10/07 12:00:00 2025/10/07 12:00:00 2025/10/08 09:51:10 UV 2.16.840.1.113883.3.10394 adamsbridge AdamsBridge Global John Keville masked John Keville 3200 West End Avenue Nashville, TN 37203 4349892088 masked AdamsBridge Global 3200 West End Avenue Nashville, TN 37203 615-522-5014 john.keville@adamsbridge.com https://www.adamsbridge.com Vendor Int 3 Complete 2025/10/07 12:00:00 2025/10/07 12:00:00 2025/10/07 08:30:40 UV 2.16.840.1.113883.3.10395 kokomo247 Kokomo24/7 Daniel Lee masked Daniel Lee 400 Skokie Blvd. Ste 240 Northbrook, IL 60062 1-847-274-0288 masked CEO Kokomo Solutions, Inc. 400 Skokie Blvd. Ste 240 Northbrook, IL 60062 1-877-565-6668 info@kokomo247.com https://www.kokomo247.com Vendor Int 3 Complete 2025/10/07 12:00:00 2025/10/07 12:00:00 2025/10/07 08:39:55 UV 2.16.840.1.113883.3.10396 mdWellness1 Maryland Wellness LLC Daniel Paick masked Maryland Wellness LLC 4128 Hayward Ave, Baltimore, MD 21215 4106840364 masked Senior Director Finance Maryland Wellness LLC accounting@mdwellness.org https://mdwellness.org/ Provider Int 3 Complete 2025/10/08 12:00:00 2025/10/09 12:00:00 2025/10/09 06:56:15 UV 2.16.840.1.113883.3.10397 humata-health Humata Health Patrick Shine masked Philip Fibiger 4074878991 masked CTO Humata Health 1200 Whitesell Dr Winter Park, FL 32789 4074878991 philip@humatahealth.com https://www.humatahealth.com/ Vendor Int 3 Complete 2025/10/09 12:00:00 2025/10/09 12:00:00 2025/10/09 07:08:46 UV 2.16.840.1.113883.3.10398 swordhealth-ca-root Sword Health Canadian Root OID Jos&#233; Fernandes masked Jos&#233; Fernandes Av. de Sid&#243;nio Pais 153 Edif&#237;cio A, Piso 5, 4100-467 Porto, Portugal 00351910191902 masked Associate General Manager - International Sword Health j.fernandes@swordhealth.com https://swordhealth.com/ Vendor Int 3 Complete 2025/10/10 12:00:00 2025/10/10 12:00:00 2025/10/10 11:15:12 CA 2.16.840.1.113883.3.10399 credo Credo Avishaan Sethi masked Carm Huntress 6173069636 masked CEO Credo product@credohealth.com https://www.credohealth.com/ Provider Int 3 Complete 2025/10/10 12:00:00 2025/10/10 12:00:00 2025/10/10 11:24:51 UV 2.16.840.1.113883.3.10400 virtixhealth Virtix Health OID Chuck Feltner masked Chuck Feltner Virtix Health LLC 13835 N. Tatum Boulevard Suite 9277 Phoenix, AZ 85032 9725718781 masked Principal Software Engineer Virtix Health LLC 13835 N. Tatum Boulevard Suite 9277 Phoenix, AZ 85032 8004600408 chuck.feltner@virtixhealth.com https://virtixhealth.com/ Vendor Int 3 Complete 2025/10/14 12:00:00 2025/10/15 12:00:00 2025/10/15 04:36:32 UV 2.16.840.1.113883.3.10401 cohere-health Cohere Health Margret Mellon masked Mike Sobolewski Mike Sobolewski Cohere Health 226 Causeway Street Suite 403 Boston, MA 02114 8332830033 masked Senior Director, Product Management Cohere Health support@coherehealth.com https://www.coherehealth.com/ Vendor Int 3 Complete 2025/10/15 12:00:00 2025/10/15 12:00:00 2025/10/15 04:45:10 US 2.16.840.1.113883.3.10394.1.1 adamsbridge-documentid AdamsBridge Global Document OID John Keville masked John Keville 3200 West End Avenue Nashville, TN 37203 615-522-5014 masked Director of Platform Development AdamsBridge Global 3200 West End Avenue Nashville, TN 37203 615-522-5014 john.keville@adamsbridge.com https://www.adamsbridge.com Vendor 2.16.840.1.113883.3.10394 Ext 14 Complete 2.16.840.1.113883.3.10394.1.1 2025/10/15 12:00:00 2025/10/15 12:00:00 2025/10/15 05:54:22 UV 2.16.840.1.113883.3.10402 nsp Northshore Pediatrics Eric Brosch masked David Smith North Shore Pediatrics, PC 480 Maple Street, Suite 3A Danvers, MA 01923 978-406-4234 masked Practice Administrator Northshore Pediatrics, PC 480 Maple Street, Suite 3A Danvers, MA 01923 978-406-4234 dsmith@northshorepeds.com www.northshorepeds.com Provider Int 3 Complete 2025/10/15 12:00:00 2025/10/15 12:00:00 2025/10/15 09:23:31 UV 2.16.840.1.113883.3.10403 pphc01 Personal Physicians Healthcare Eric Brosch masked Julie Pivor Wolbarst Personal Physicians HealthCare 1244 Boylston Street, Suite 306 Chestnut Hill, MA 02467 617-731-0058 masked Executive Director Personal Physicians Healthcare 1244 Boylston Street, Suite 306 Chestnut Hill, MA 02467 617-731-0058 jpivor@personalphysicians.net https://www.personalphysicians.net/ Provider Personal Physicians Healthcare Int 3 Complete 2025/10/15 12:00:00 2025/10/15 12:00:00 2025/10/15 09:31:54 UV 2.16.840.1.113883.17.9542 safy Specialized Alternatives for Families and Youth Paul Radabaugh masked Paul Radabaugh 10100 Elida Rd Delphos, Ohio 45833 4192307698 masked MIS Director SAFY of America 10100 Elida Rd Delphos, Ohio 45833 419-695-8010 support@safy.org www.safy.org Provider Int 17 Complete 2025/10/16 12:00:00 2025/10/21 12:00:00 2025/10/21 02:05:18 UV 2.16.840.1.113883.9.299 zyter Zyter Jaishankar Padmanabhan masked Harsha Arcot Jaishankar Padmanabhan 2058865044 masked VP Cloud Platform Engineering & Operations Zyter Inc. 2600 Tower Oaks Blvd, Suite 700, Rockville, MD 20852 jaishankar.padmanabhan@zyter.com Vendor Int 3 Complete 2025/10/17 12:00:00 2025/10/21 12:00:00 2025/10/21 02:33:47 US 2.16.840.1.113883.3.10404 ych Yoakum County Hospital Todd Carrillo masked Todd Carrillo 806 215-4573 masked COO Yoakum County Hospital 412 Mustang Denver City, TX 79323 806 215-4573 tcarrillo@ych.us www.ych.us Government body Int 3 Complete 2025/10/22 12:00:00 2025/10/23 12:00:00 2025/10/24 12:32:30 UV 2.16.840.1.113883.9.300 gmg Graybill Medical Group Jamie Reddick masked Jamie Reddick 225 E Second Avenue Suite 210, Escondido, CA 92025 760-291-6700 masked Chief Operating Officer Graybill Medical Group 225 E Second Avenue Suite 210, Escondido, CA 92025 760-291-6700 jamie.reddick@gbmg.org www.graybill.org Provider Int 3 Complete 2025/10/27 12:00:00 2025/10/28 12:00:00 2025/10/28 11:07:36 UV 2.16.840.1.113883.3.10405 nmh-hie Newport Mental Health HIE Cynthia Wheeler masked Cynthia Wheeler 42 Valley Road Middletown, RI 02842 4018461213 masked Chief Quality Officer Newport Mental Health 42 Valley Road Middletown, RI 02842 4018461213 cwheeler@newportmh.org Provider Int 3 Complete 2025/10/29 12:00:00 2025/10/31 12:00:00 2025/10/31 07:46:43 US 2.16.840.1.113883.4.8159 svwc SVWC Organizational OID Root Damian Nita masked Damian Nita 300 Westminster Canterbury Dr Winchester, VA 22603 540-665-5701 masked Associate Network Administrator Shanandoah Valley Westminster Canterbury 300 Westminster Canterbury Dr Winchester, VA 22603 5406650156 dnita@svwc.org www.svwc.org Provider Int 3 Complete 2025/10/30 12:00:00 2025/10/31 12:00:00 2025/10/31 07:58:55 UV 2.16.840.1.113883.6. ca-CTAS Canadian Triage and Acuity Scale Anil Patel masked Anil Patel 150 King St. West Toronto, ON Canada M5H 1J9 437-236 -9374 masked Standards Manager Anil Patel 09-350 Sparks St, Ottawa, ON K1R 7S8, Canada 1-(613) 523-3343 apatel@infoway-inforoute.ca https://ctas-phctas.ca/ Professional Society 2.16.840.1.113883.6. Ext 6 6 Rejected 2.16.840.1.113883.6. 2026/03/24 03:23:59 CA 2.16.840.1.113883.3.10406 aphcv Asian Pacific Health Care Venture, Inc. IT Department APHCV masked San Kim 4216 Fountain Ave Los Angeles, CA 90027 3233003811 masked ITIM Director Asian Pacific Health Care Venture, Inc. 4216 Fountain Ave., Los Angeles, CA 90027 3236443880 itoperation@aphcv.org https://www.aphcv.org Provider Int 3 Complete 2025/11/03 12:00:00 2025/11/06 12:00:00 2025/11/06 05:58:20 UV 2.16.840.1.113883.3.10407 nsr-hl7 NorthSight Recovery Jeremy Bloom masked Jeremy Bloom 1440 E. Southern Ave., Tempe, AZ 85282 480-544-0283 masked President/CEO NorthSight Recovery 1440 E. Southern Ave., Tempe, AZ 85282 1-800-905-6419 info@northsightrecovery.com https://www.northsightrecovery.com/ Provider Int 3 Complete 2025/11/05 12:00:00 2025/11/06 12:00:00 2025/11/06 06:05:27 UV 2.16.840.1.113883.3.10408 atticor Atticor Root Tim Cardwell masked Tim Cardwell 2173900045 masked Atticor 150 North Riverside Suite 4100 Chicago, IL 60606 2173900045 contact@atticor.ai https://atticor.ai/ Vendor Int 3 Complete 2025/11/05 12:00:00 2025/11/06 12:00:00 2025/11/06 06:14:26 US 2.16.840.1.113883.3.10409 huhosp-oid Howard University Hospital Corp OID Bethann Davis masked Bethann Davis 2041 Georgia Avenue Washington, DC 20060 2028657579 masked Manager: Clinical Applications Howard University Hospital Corp badavis@huhosp.org https://www.huhealthcare.com/ Provider 2.16.840.1.113883.3.10409 Int 3 Complete 2025/11/06 12:00:00 2025/11/06 12:00:00 2025/11/26 02:28:52 UV 2.16.840.1.113883.17.9543 pmc-0202 Preferred Management Corporation Laura Bass masked Laura Bass 936-465-4027 masked Clinical Informatics Preferred Management Corporation 120 W MacArthur Ste 121 Shawnee, OK 74804 405-878-0202 laura@pm-hs.com https://pm-hs.com/ Provider Int 17 Complete 2025/11/06 12:00:00 2025/11/12 12:00:00 2025/11/12 04:48:26 UV 2.16.840.1.113883.3.10410 zynix Zynix AI Gautamdev Chowdary masked Gautamdev Chowdary 4808457571 masked CTO Zynix AI 3535 Little Rd, Trinity, Florida, 36455 gautam@zynix.ai https://www.zynix.ai Vendor Int 3 Complete 2025/11/10 12:00:00 2025/11/12 12:00:00 2025/11/12 05:08:57 UV 2.16.840.1.113883.3.10411 samsung Samsung Electronics Co.,LTD. BoRam Bae masked BoRam Bae 8201082261062 masked Head of Product Samsung Electronics Co.,LTD. 129 Samsung-ro, Yeongtong-gu, Suwon-si, Gyeonggi-do, Republic of Korea boram.bae@samsung.com https://www.samsung.com/sec/ Vendor Int 3 Complete 2025/11/12 12:00:00 2025/11/12 12:00:00 2025/11/12 05:28:26 UV 2.16.840.1.113883.3.10412 nexus-md Nexus-MD Inc Ali Bakhshinejad masked Ali Bakhshinejad 510C E EL CAMINO REAL, Suite 70266, Sunnyvale, CA 94087 4144695111 masked CEO Nexus-MD Inc 510C E EL CAMINO REAL, Suite 70266, Sunnyvale, CA 94087 support@nexus-md.com https://www.nexus-md.com Vendor Int 3 Complete 2025/11/13 12:00:00 2025/11/16 12:00:00 2025/11/17 12:39:23 UV 2.16.840.1.113883.3.19.2.3.000103 ca-abQCS-invalid Quikcard Solutions Alberta Anil Patel masked Alan Tsang 200, 17010-103 Ave, Edmonton, AB, T5S 1K7 780-702-3441 masked Chief Executive Officer Quikcard Solutions Inc. 200, 17010-103 Ave, Edmonton, AB, T5S 1K7 780-426-7526 sysadmin@quikcard.com www.quikcard.com Payor HL7 Canada Ext 3 3 Rejected 2.16.840.1.113883.3.19.2.3.000103 2025/11/16 12:00:00 2026/03/24 03:27:16 CA 2.16.840.1.113883.3.10413 retrieve-medical-inc Retrieve Medical, Inc. Jason Pottinger masked Chris Orlando Chris Orlando 6 Otis Place, Verona, New Jersey, 07044 USA 2019930714 masked CTO Retrieve Medical, Inc. 376 Main Street Suite 100, Bedminster, NJ 07921 6477710146 jpottinger@retrievemedical.com www.retrievemedical.com Vendor Int 3 Complete 2025/11/14 12:00:00 2025/11/16 12:00:00 2025/11/17 01:03:35 UV 2.16.840.1.113883.3.10414 legent-Tomball Legent North Houston Surgical Hospital Amanda Anderson masked Valerie Leal Amanda Anderson 24429 State Hwy 249 Tomball, TX 77375 3465474981 masked Materials Manager Legent North Houston Surgical Hospital 24429 State Hwy 249 Tomball, TX 77375 3465474981 aanderson@legenthealth.com www.legenthealthservices.com Provider Int 3 Complete 2025/11/14 12:00:00 2025/11/16 12:00:00 2025/11/17 01:17:07 UV 2.16.840.1.113883.9.301 bcl Biotech Clinical Laboratories, Inc. Mike DuPuis masked Giovanni Khalifeh Mike DuPuis 25775 Meadowbrook Novi, MI 48375 248-912-1700 masked IT Director Biotech Clinical Laboratories, Inc. 25775 Meadowbrook Novi, MI 48375 248-912-1700 gkhalifeh@biotechclinical.com https://www.biotechclinical.com Provider Int 3 Complete 2025/11/18 12:00:00 2025/11/22 12:00:00 2025/11/22 11:58:50 US 2.16.840.1.113883.3.10415 com-hea Complete Health Tekea Gilbert masked Tekea Gilbert 841 Prudential Dr Jacksonville, FL 32207 6787641208 masked Complete Health 841 Prudential Dr Jacksonville, FL 32207 tekea.gilbert@completehealth.com https://completehealth.com/ Provider Int 3 Complete 2025/11/19 12:00:00 2025/11/22 12:00:00 2025/11/23 12:10:58 UV 2.16.840.1.113883.3.10416 ruby-med-pc Ruby Medical PC Kristofer Smith masked Kristofer Smith 12 W 120th Street New York, NY 10027 5166400360 masked President Ruby Medical PC kris.smith@goruby.com Provider Int 3 Complete 2025/11/19 12:00:00 2025/11/22 12:00:00 2025/11/23 12:24:06 UV 2.16.840.1.113883.17.9544 aadj American Association Of Disability Justice Brad Cassity masked Brad Cassity 1916 Insurance Branch Way, Belleville, IL 62221 3852320699 masked CTO American Association Of Disability Justice 1916 Insurance Branch Way, Belleville, IL 62221 3852320699 brad@disabilitypartnership.com https://www.aadj.org Vendor Int 17 Complete 2025/11/21 12:00:00 2025/11/22 12:00:00 2025/11/23 12:32:59 UV 2.16.840.1.113883.4.8160 edgemere-103 Edgemere Estates Nursing Facility Tony Wilkins masked vramakrishnan@cantexcc.com Tony Wilkins 1 469-963-1189 masked CIO & CISO Cantex Continuing Care Network LLC twilkins@cantexcc.com https://cantexcc.com/ Provider Int 4 Complete 2025/11/25 12:00:00 2025/11/26 12:00:00 2025/11/26 11:31:57 UV 2.16.840.1.113883.3.10417 guavahealth Guava Health, Inc. Awadi Rathugamage masked Guava Team 805-229-1101 masked Guava Health, Inc. hello@guavahealth.com https://guavahealth.com/ Vendor Int 3 Complete 2025/11/25 12:00:00 2025/11/26 12:00:00 2025/11/26 11:49:22 UV 2.16.840.1.113883.3.10418 predoc MEMR INC. Ethan Brown masked Alex Daniels 5523 Sunstar Court Charlotte, NC 28226 7047732138 masked Founder & CTO MEMR INC. alex@predoc.ai https://predoc.ai Vendor Int 3 Complete 2025/11/26 12:00:00 2025/11/26 12:00:00 2025/11/26 11:55:16 UV 2.16.840.1.113883.4.8161 clearchartaI ClearChartAI Nicholas Davis masked Nicholas Davis 9830 S 11st., Phoenix, AZ 85042 5302608027 masked CEO and Founder ClearChartAI, Inc. 9830 S 11st., Phoenix, AZ 85042 530-260-8027 nicholas@clearchartai.io www.clearchartai.io Vendor Int 3 Complete 2025/11/26 12:00:00 2025/11/26 12:00:00 2025/11/27 12:05:18 UV 2.16.840.1.113883.3.10419 brightlight Brightlight Health Sergio Peterson masked Sergio Peterson 5108224089 masked Brightlight Health Suite 10 1000 Windmill Rd. Dartmouth, Nova Scotia, Canada B3B 1L7 9022096584 info@brightlight.ai https://www.brightlight.health/ Vendor Int 3 Complete 2025/11/26 12:00:00 2025/11/29 12:00:00 2025/11/29 11:55:26 CA 2.16.840.1.113883.17.9545 fbpg-ch-gen-surg Foggy Bottom CH General Surgery Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces Foggy Bottom CH General Surgery 1200 Pecan Street SE 3rd Floor Washington, DC 20032-2652 771-444-6146 alesia.childs@uhsinc.com foggybottomclinic.com Provider Int 17 Complete 2025/12/07 12:00:00 2025/12/13 12:00:00 2025/12/13 11:08:07 UV 2.16.840.1.113883.17.9546 fbpg-ch-obgyn Foggy Bottom CH OB GYN Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces Foggy Bottom CH OB GYN 1200 Pecan Street SE 3rd Floor Washington DC, 20032-2652 771-444-6146 alesia.childs@uhsinc.com foggybottomclinic.com Provider Int 17 Complete 2025/12/07 12:00:00 2025/12/13 12:00:00 2025/12/13 11:10:53 UV 2.16.840.1.113883.17.9547 fbpg-ch-pcp Foggy Bottom CH Primary Care Physicians Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces Foggy Bottom CH Primary Care Physicians 1200 Pecan Street SE 3rd Floor Washington DC 20032-2652 771-444-6146 alesia.childs@uhsinc.com foggybottomclinic.com Provider Int 17 Complete 2025/12/07 12:00:00 2025/12/13 12:00:00 2025/12/13 11:17:33 UV 2.16.840.1.113883.17.9548 fbpg-ch-ortho Foggy Bottom CH Ortho Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces Foggy Bottom CH Ortho 1200 Pecan Street SE 3rd Floor Washington DC, 20032-2652 771-444-6146 alesia.childs@uhsinc.com foggybottomclinic.com Provider Int 17 Complete 2025/12/07 12:00:00 2025/12/13 12:00:00 2025/12/13 11:20:23 UV 2.16.840.1.113883.17.9549 fbpg-ch-gi Foggy Bottom CH GI Alesia Childs masked Alesia Childs 1200 Pecan Street SE Washington DC, 20032-2652 610-382-4375 masked Assistant Director - Interface Foggy Bottom CH GI 1200 Pecan Street SE 3rd Floor Washington, DC 20032-2652 771-444-6146 alesia.childs@uhsinc.com foggybottomclinic.com Provider Int 17 Complete 2025/12/07 12:00:00 2025/12/13 12:00:00 2025/12/13 11:25:30 UV 2.16.840.1.113883.17.9550 fbpg-ch-plastics Foggy Bottom CH Plastics Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces Foggy Bottom CH Plastics 1200 Pecan Street SE Washington, DC 20032-2652 610-382-4375 alesia.childs@uhsinc.com foggybottomclinic.com Provider Int 17 Complete 2025/12/07 12:00:00 2025/12/13 12:00:00 2025/12/13 11:31:51 UV 2.16.840.1.113883.17.9551 fbpg-ch-hand Foggy Bottom CH Hand Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces Foggy Bottom CH Hand 1200 Pecan Street SE Washington, DC 20032-2652 771-444-6146 alesia.childs@uhsinc.com foggybottomclinic.com Provider Int 17 Complete 2025/12/07 12:00:00 2025/12/13 12:00:00 2025/12/13 11:38:46 UV 2.16.840.1.113883.3.10420 google-health Google Health Paul Cho masked Paul Cho 6503338601 masked Google 1600 Amphitheatre Pkwy, Mountain View, CA 94043 paulcho@google.com Vendor Int 3 Complete 2025/12/09 12:00:00 2025/12/13 12:00:00 2025/12/13 11:49:49 UV 2.16.840.1.113883.3.10421 legentplano Legent Hospital for Special Surgery-Plano Zameer Azam masked Valerie Leal 4090 Mapleshade LN Suite 220 Plano, TX 75093 3615633422 masked Clinical Informatics Nurse Manager Legent Hospital for Special Surgery 4090 Mapleshade LN Suite 220 Plano, TX 75093 9722651050 applano@legenthealth.com https://www.legenthealth.com/ Provider Int 3 Complete 2025/12/15 12:00:00 2025/12/17 12:00:00 2025/12/18 02:17:25 UV 2.16.840.1.113883.3.10422 biomech BioMech Health Christopher Campanella masked Christopher Campanella 4014811443 masked BioMech Health 13550 Waterford Place Midlothian, VA 23112 8662469999 customerservice@biomech.us https://www.biomechhealth.com/ Vendor Int 3 Complete 2025/12/16 12:00:00 2025/12/17 12:00:00 2025/12/18 02:40:02 UV 2.16.840.1.113883.3.10423 amsp Hospital Auxilio Mutuo San Pablo Angel Torres Mercado masked Angel Torres Mercado Urb Santa Cruz Calle Santa Cruz #70 Bayamon PR 00960 7876204747 masked IT Manager Hospital Auxilio Mutuo San Pablo Urb Santa Cruz Calle Santa Cruz #70 Bayamon PR 00960 7876204747 aftorres@auxiliomutuo.com www.auxiliosanpablo.com Exchange Int 3 Complete 2025/12/17 12:00:00 2025/12/17 12:00:00 2025/12/18 02:46:09 UV 2.16.840.1.113883.3.10424 rcc-paz Resolve Harmony Center Todd Corless masked Samantha Fairley 6023057134 masked Business Office Manager Resolve Harmony Center, LLC 2211 E. Southern Ave Phoenix, AZ 85040 602-305-7134 TCorless@resolveharmony.com www.resolveharmonycenter.com Provider Int 3 Complete 2025/12/17 12:00:00 2025/12/17 12:00:00 2025/12/18 02:55:14 UV 2.16.840.1.113883.4.8162 psychPlus PsychPlus Identification OID Peter Berkman masked PsychPlus 7877 Willow Chase Blvd Houston, Texas 77070-5934 832-869-4818 masked Chief Technology Officer PsychPlus 7877 Willow Chase Blvd Houston, Texas 77070-5934 832-869-4818 domain-admins@psychplus.com https://psychplus.com Provider Int 4 Complete 2025/12/18 12:00:00 2025/12/18 12:00:00 2025/12/19 03:15:23 UV 2.16.840.1.113883.17.9552 magnoliA3 Mr. Dewarrent Lee Brantley Dewarrent Brantley masked dewarrentbrantley @yahoo.com Magnolia Rehabilitation Services Inc 4005 Lakeshore Drive Shreveport Louisiana 71109 3188409074 masked President Mr. Dewarrent Lee Brantley 4005 Lakeshore Drive Shreveport Louisiana 71109 3188409074 dewarrentbrantley@yahoo.com dewarrentbrantley@yahoo.com Provider Magnolia Rehabilitation Services Inc Int 17 Complete 2025/12/29 12:00:00 2025/12/30 12:00:00 2025/12/30 08:20:44 UV 2.16.840.1.113883.3.10425 docvilla DocVilla OID Bryan Smith masked Bryan Smith 9173454532 masked Senior Product Manager DocVilla support@docvilla.com https://www.docvilla.com/ Vendor Int 3 Complete 2025/12/30 12:00:00 2025/12/30 12:00:00 2025/12/30 08:21:07 UV 2.16.840.1.113883.13.292 amhne Antelope Memorial Hospital Savannah Henn masked George Edwards 102 W 9th Street Neligh NE 68756 4028876398 masked IT Director Antelope Memorial Hospital 102 W 9th Street Neligh NE 68756 4028874151 gedwards@amhne.org Provider Int 13 Complete 2025/12/31 12:00:00 2025/12/31 12:00:00 2025/12/31 04:13:29 UV 2.16.840.1.113883.3.10426 legent-carrollton Legent Orthopedic Hospital Carrollton Tiffany Maynard masked Valerie Leal 4100 Mapleshade Ln 3615633422 masked Clinical Informatics Manager Legent Orthopedic Hospital - Carrollton 1401 E Trinity Mills, Carrollton, Texas, 75006 9728100700 tiffany.maynard@legenthealth.com Provider Legent Orthopedic Hospital Int 3 Complete 2026/01/05 12:00:00 2026/01/05 12:00:00 2026/01/05 07:09:55 UV 2.16.840.1.113883.3.10427 farnham-Inc Farnham Family Services Robert Wynn masked Rob Wynn 3156020313 masked IT Manager Farnham Family Services Farnham Family Service 283 W 2nd st. Oswego, NY 13126 3153424489 ir@farnhaminc.org https://www.farnhaminc.org/ Provider Int 3 Complete 2026/01/08 12:00:00 2026/01/08 12:00:00 2026/01/08 05:31:54 UV 2.16.840.1.113883.3.10428 solverahealth Solvera Healthcare Center Inc Patrick Caplis masked Patrick Caplis 3525 N University St 3094539052 masked CEO Solvera Healthcare Center Inc PO BOX 9727 Peoria, IL 61612 3098869172 it@solverahealth.com www.solverahealth.com Provider Int 3 Complete 2026/01/09 12:00:00 2026/01/09 12:00:00 2026/01/09 03:26:36 UV 2.16.840.1.113883.3.10409.1001 fpphu-invalid Faculty Practice Plan Howard University Robin Miller masked Olga.Osaghae@howard.edu Robin 2041 Georgia Ave NW, Suite 3400, Washington DC 20060 2028651453 masked Director, Clinical Operations Robin Miller 2041 Georgia Ave NW, Washington DC 20060 2028651453 robmiller@howard.edu Provider 2.16.840.1.113883.3.10409 Ext 14 Rejected 2.16.840.1.113883.3.10409.1001 2026/01/14 12:00:00 2026/01/15 01:44:33 UV 2.16.840.1.113883.3.10429 cim-cif CITIZENS INTEGRATED FAMILY PRACTICE Noah Sang masked Noah K Sang 4804061132 masked CITIZENS INTEGRATED FAMILY PRACTICE 288 N Ironwood Dr Ste 112, Apache Junction AZ. 85120 4809921455 info@cimsaz.com Provider Int 3 Complete 2026/01/14 12:00:00 2026/01/15 12:00:00 2026/01/15 02:04:46 UV 2.16.840.1.113883.9.302 smg1 Seoul Medical Group Robert Florescu masked Robert Florescu 5000 Airport Plaza Drive, Long Beach, CA, 90815 2018884553 masked CIO AMM 5000 Airport Plaza Drive, Long Beach, CA, 90815 2018884553 robertflorescu@amm.cc Exchange Int 9 9 Complete 2026/01/14 12:00:00 2026/01/15 12:00:00 2026/01/15 02:09:03 UV 2.16.840.1.113883.3.10409.1 fpphu Faculty Practice Plan Howard University Robin Miller masked Olga.Osaghae@howard.edu Robin 2041 Georgia Ave NW, Suite 3400, Washington DC 20060 2028651453 masked Director, Clinical Operations Robin Miller 2041 Georgia Ave NW, Suite 3400, Washington DC 20060 2028651453 robmiller@howard.edu HL7 body 2.16.840.1.113883.3.10409 Ext 14 Complete 2.16.840.1.113883.3.10409.1 2026/01/15 12:00:00 2026/01/16 12:00:00 2026/01/16 06:40:43 UV 2.16.840.1.113883.4.8163 vfmc Valley Forge Medical Center & Hospital Neil Altusky masked Meher Kotha 850 Towbin Ave 7165909833 masked Director of AI and Automation Avenues Recovery Medical Center at Valley Forge mkotha@lhsus.com https://www.vfmc.net/ Provider Int 4 Complete 2026/01/15 12:00:00 2026/01/16 12:00:00 2026/01/16 08:04:13 UV 2.16.124.4.101.35.4.9 nbmln NB Midwife License Number Anil Patel masked Colin Hattie HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada 506-292-6160 masked Senior technical Program Manager New Brunswick Department of Health HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada (506) 453-2279 dh-ms@gnb.ca http://www.gnb.ca/ Government body 2.16.124.4.101.35 Ext 4 4 Complete 2.16.124.4.101.35.4.9 2026/01/20 12:00:00 2026/01/20 05:09:48 CA 2.16.124.4.101.35.4.11 nbpodln NB Podiatrist License Number Anil Patel masked Colin Hattie HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada 506-292-6160 masked Senior Technical Program Manager New Brunswick Department of Health HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada (506) 453-2279 dh-ms@gnb.ca http://www.gnb.ca/ Government body 2.16.124.4.101.35 Ext 4 4 Complete 2.16.124.4.101.35.4.11 2026/01/20 12:00:00 2026/01/20 05:11:06 CA 2.16.124.4.101.35.4.12 nbvlmln NB Veterinary Medical Association License Number Anil Patel masked Colin Hattie HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada 506-292-6160 masked Senior Technical Program Manager New Brunswick Department of Health HSBC Place P. O. Box 5100 Fredericton, NB E3B 5G8 Canada (506) 453-2279 dh-ms@gnb.ca http://www.gnb.ca/ Government body 2.16.124.4.101.35 Ext 4 4 Complete 2.16.124.4.101.35.4.12 2026/01/20 12:00:00 2026/01/20 05:12:18 CA 2.16.840.1.113883.3.10430 nbhh Northbrook Behavioral Health Hospital Brianna Bangle masked Brianna Bangle 425 Woodbury-Turnersville Rd Blackwood, NJ 08012 856-374-6718 masked Director of Health Information Management Services Northbrook Behavioral Health Hospital 425 Woodbury-Turnersville Rd Blackwood, NJ 08012 8563746718 brianna.bangle@northbrookbhh.com Provider Int 3 Complete 2026/01/23 12:00:00 2026/01/23 12:00:00 2026/01/23 05:08:41 US 2.16.840.1.113883.3.10431 tortflow TortFlow AI Samir Ghia masked Samir Ghia 15169 N Scottsdale Rd Suite 205 Scottsdale, AZ 85254-2699 610-730-6229 masked President TortFlow AI, Inc. 15169 N Scottsdale Rd Suite 205 Scottsdale, AZ 85254-2699 support@tortflow.ai https://tortflow.ai Vendor Int 3 Complete 2026/01/27 12:00:00 2026/01/28 12:00:00 2026/01/28 01:52:35 UV 2.16.840.1.113883.3.10432 umchealth United Medical Centers Eric Rodriguez masked Eric Rodriguez 2525 N. Veterans Blvd Eagle Pass, TX. 78852 830-352-4807 masked EHR Clinical Specialist United Medical Centers 2525 N. Veterans Blvd Eagle Pass, TX. 78852 8307735358 erodriguez@umchealth.org www.umchealth.com Provider Int 3 Complete 2026/01/28 12:00:00 2026/01/29 12:00:00 2026/01/29 02:13:51 UV 2.16.840.1.113883.3.10433 oxf Reliable Health Benjamin Gross masked Benjamin Gross 9175665907 masked Reliable Health 2610 Nostrand Avenue 718-338-2400 anussbaum@reliablehealth.com Vendor Int 3 Complete 2026/02/02 12:00:00 2026/02/02 12:00:00 2026/02/02 08:43:51 UV 2.16.840.1.113883.3.10434 feno Feno Labs, Inc. Hans Michaelsen masked Hans Michaelsen 10395 Jefferson Blvd Culver City CA 90232 3103399312 masked CTO Kenneth Brown 10395 Jefferson Blvd Culver City CA 90232 hans@feno.co https://feno.co Vendor Int 3 Complete 2026/02/04 12:00:00 2026/02/05 12:00:00 2026/02/05 05:38:30 US 2.16.840.1.113883.3.10435 seniorpsychcare Senior PsychCare John Penrod masked John Penrod 4635 Southwest Frwy, Suite 635 2814674996 masked IT Director Senior PsychCare 4635 Southwest Frwy, Suite 635 713-850-0049 jpenrod@spchealth.com spchealth.com Provider Int 3 Complete 2026/02/05 12:00:00 2026/02/05 12:00:00 2026/02/05 03:31:06 UV 2.16.840.1.113883.3.10436 srcc-az Santa Rosa Care Center Amy Riter masked Lisa Leveque 480-313-1429 masked Santa Rosa Care Center 1650 N Santa Rosa Ave Tucson, AZ 85712 5207951610 lleveque@ensignservices.net https://santarosacarecenter.com/ Provider Int 3 Complete 2026/02/05 12:00:00 2026/02/06 12:00:00 2026/02/06 01:39:16 UV 2.16.840.1.113883.3.10437 agpa-az Agave Grove Post Acute Amy Riter masked Lisa Leveque 480-313-1429 masked Agave Grove Post Acute 8641 N 67th Ave Glendale, AZ 85302 6239399475 lleveque@ensignservices.net https://agavegrovepostacute.com/ Provider Int 3 Complete 2026/02/05 12:00:00 2026/02/06 12:00:00 2026/02/06 01:39:46 UV 2.16.840.1.113883.3.10438 arkanaLabs Arkana Laboratories - Nephropathology Associates, PLC Whitney Tidwell masked Whitney Tidwell 10810 Executive Center Dr, Ste 100 5016042695 masked Arkana Labs 10810 Executive Center Dr, Ste 100 5016042695 Arkana-OID@arkanalabs.com Provider Int 3 Complete 2026/02/06 12:00:00 2026/02/06 12:00:00 2026/02/06 08:14:27 MSH-4 UV 2.16.840.1.113883.3.10439 hpmh High Plains Mental Health Center Naomi Kitzis masked Naomi Kitzis 208 E 7th St, Hays, KS 67601 785-628-2871 masked Director of Data and Reports High Plains Mental Health Center 208 E 7th St, Hays, KS 67601 785-628-2871 0-EHR_Team@hpmh.com https://hpmhc.com Provider Int 3 Complete 2026/02/06 12:00:00 2026/02/06 12:00:00 2026/02/06 09:32:51 UV 2.16.840.1.113883.3.10440 bayinternists Bay Internists, Inc. Jennifer Hodges masked Jennifer D Hodges 804-436-3645 masked Practice Administrator Bay Internists, Inc. 107 DMV Drive PO Box 1599 Kilmarnock, VA 22482 804-435-3103 jenniferhodges@bayinternists.org bayinternistsva.com Provider Int 3 Complete 2026/02/09 12:00:00 2026/02/09 12:00:00 2026/02/09 04:27:00 UV 2.16.840.1.113883.3.10441 hsa-hos Healthcare Systems of America Sean Speer masked brian.blackwell@hsahospitals.com Sean Speer Healthcare Systems of America 2001 W 68 Street Hialeah, FL 33016 6233859433 masked Director of Integration Healthcare Systems of America Healthcare Systems of America 2001 W 68 Street Hialeah, FL 33016 6233859433 sean.speer@hsahospitals.com https://hsahospitals.com/ Provider Int 3 Complete 2026/02/10 12:00:00 2026/02/11 12:00:00 2026/02/11 01:38:21 UV 2.16.840.1.113883.3.10442 ugh Union General Hospital Mark Thrift masked Mark Thrift 901 James Ave Farmerville, LA 71241 318-368-6518 masked IT Director Union General Hospital 901 James Ave Farmerville, LA 71241 318-368-9751 IT@uniongen.org https://www.uniongen.org/ Provider Int 3 Complete 2026/02/11 12:00:00 2026/02/12 12:00:00 2026/02/12 01:47:29 UV 2.16.840.1.113883.3.10443 hopkins-center Hopkins Center for Rehabilitation & HC Ari Donowitz masked Ari Donowitz 155 Dean Street Brooklyn, NY 11217 7186946700 masked Administrator Ari Donowitz 155 Dean Street Brooklyn, NY 11217 7186946700 adonowitz@hopkinscenter.com www.hopkinscenter.com Provider Int 3 3 Complete 2026/02/19 12:00:00 2026/02/19 12:00:00 2026/02/19 09:33:51 UV 2.16.840.1.113883.3.10444 silverhillhospital Silver Hill Hospital Adam Souvigney masked Melissa Hall Melissa Hall 700 NW 165th Court Rd 8665424455 masked Director of Information Technology Silver Hill Hospital 208 Valley Rd, New Canaan, CT 06840 8665424455 Adam.Souvigney@gmail.com https://silverhillhospital.org/ Provider Int 3 3 Complete 2026/02/20 12:00:00 2026/02/23 12:00:00 2026/02/23 02:33:09 UV 2.16.840.1.113883.3.10445 banner-health Banner Health System Steve Drozdowski masked Steve Drozdowski Banner Corporate Center Phoenix Plaza 2901 N Central Ave #160 Phoenix, AZ 85012 4804587297 masked IT Architect Banner Health Banner Corporate Center Phoenix Plaza 2901 N Central Ave #160 Phoenix, AZ 85012 833-252-5535 support@bannerhealth.com https://www.bannerhealth.com/ Provider Int 3 3 Complete 2026/02/20 12:00:00 2026/02/23 12:00:00 2026/02/23 02:34:35 UV 2.16.840.1.113883.3.10446 signifyhealth Signify Health Shannon Hayes masked Shannon Hayes 10167 Sweetgrass Cir Naples, FL 34104 3026689533 masked Director, Data Product Signify Health 4055 Valley View Ln Dallas, TX 75244 1-855-984-5121 memberservices@signifyhealth.com Vendor Int 3 Complete 2026/02/24 12:00:00 2026/02/24 12:00:00 2026/02/24 04:42:20 UV 2.16.840.1.113883.3.10447 optumserve Optum Serve Oliver Stohr masked Oliver Stohr 1 Optum Circle, Eden Prairie, MN 55344 3015295265 masked Director of Software Engineering Optum Serve, LLC 328 Front Street South, La Crosse, WI 54601 oliver.stohr@optum.com http://www.optum.com/ Vendor Int 3 Complete 2026/02/24 12:00:00 2026/02/24 12:00:00 2026/02/24 08:15:26 UV 2.16.840.1.113883.3.10448 generalsleep General Sleep Corporation Peter Jensen masked Peter Jensen 26250 Euclid Avenue, Suite 709 Cleveland, Ohio 44132 7347175224 masked Engineer General Sleep Corporation 26250 Euclid Avenue, Suite 709 Cleveland, Ohio 44132 8883304424 support@generalsleep.com https://generalsleep.com Vendor Int 3 Complete 2026/02/24 12:00:00 2026/02/24 12:00:00 2026/02/24 08:20:32 UV 2.16.840.1.113883.4.8164 mokbelhealth MokbelHealth Walid Bezzaoui masked Walid Bezzaoui 4388208617 masked CTO MokbelHealth 1066 rue bellevue, L'ile-bizard QC H9C 3B3, Canada 4388208617 walid.b@mokbelhealth.com https://www.mokbelhealth.com/ Vendor Int 4 Complete 2026/02/24 12:00:00 2026/02/25 12:00:00 2026/02/25 02:40:50 UV 2.16.840.1.113883.3.10449 ocr Orthopaedic & Spine Center of the Rockies Jeff Junker masked Jeff Junker 2500 East Prospect Road Fort Collins, CO 80525 970-493-0112 masked Director of Information Technology Jeff Junker 2500 East Prospect Road Fort Collins, CO 80525 jjunker@orthohealth.com https://www.orthohealth.com Provider Int 3 Complete 2026/02/25 12:00:00 2026/02/25 12:00:00 2026/02/25 09:03:28 UV 2.16.840.1.113883.9.303 synergypharmacy-invalid Workers First Pharmacy Services, LLC dba Synergy Pharmacy Apral Jones masked Apral Jones 207 West 4th Street Suite B Bridgeport, PA 19405 4843284700 masked Pharmacist Workers First Pharmacy Services, LLC dba Synergy Pharmacy 207 West 4th Street Suite B Bridgeport, PA 19405 4843284700 ajones@healwellrx.com www.synergyscripts.com Provider Int 9 Rejected 2026/02/25 12:00:00 2026/02/25 09:12:32 UV 2.16.840.1.113883.4.8165 synergypharmacy Workers First Pharmacy Services LLC dba Synergy Pharmacy Apral Jones masked Apral Jones 207 West 4th Street Suite B Bridgeport, PA 19405 4843284700 masked Pharmacist Workers First Pharmacy Services LLC dba Synergy Pharmacy 207 West 4th Street Suite B Bridgeport, PA 19405 4843284700 ajones@healwellrx.com www.synergyscripts.com Provider Int 4 Complete 2026/02/27 12:00:00 2026/02/27 12:00:00 2026/02/27 08:07:20 UV 2.16.840.1.113883.3.1076.7 wrhsclin White River Health Clinic James Henson masked wevans@whiteriverhealth.org Larry Henson 1710 Harrison Street Batesville, AR. 72501 8702621811 masked Assistant Director of Information Systems White River Health System 1710 Harrison Street Batesville, AR. 72501 8702621200 wevans@whiteriverhealth.org https://whiteriverhealth.org/ Provider 2.16.840.1.113883.3.1076 Ext 14 Complete 2.16.840.1.113883.3.1076.7 2026/03/03 12:00:00 2026/03/03 12:00:00 2026/03/03 04:27:25 UV 2.16.840.1.113883.3.10450 mpa Hospital Pavia Caguas Angel Pagan Navedo masked Angel Vazquez Flores Angel L Pagan Navedo 100 Ave. Munoz Marin 787-239-1027 masked IT Director HOSPITAL PAVIA CAGUAS 100 Ave. Munoz Marin 787-653-3434 angel.pagan@hospitalpaviacaguas.com www.Hospitalpaviacaguas.com Provider Int 17 3 Complete 2026/03/05 12:00:00 2026/03/05 12:00:00 2026/03/05 02:13:26 UV 2.16.840.1.113883.3.10451 newcarlton405 New Carlton Rehab Isaac Ginsberg masked Isaac Ginsberg 405 Carlton Ave 7325692772 masked Administrator Isaac Ginsberg 405 Carlton Ave Brooklyn, Ny 11238 7325692772 yginsberg@carltonnh.com Provider Int 3 Complete 2026/03/09 12:00:00 2026/03/09 12:00:00 2026/03/09 05:17:53 UV 2.16.840.1.113883.3.10452 cushla Cushla Health Systems Inc Richard Egan masked Richard Egan 13025521239 masked CEO Cushla Health Systems 251 Little Falls Drive Wilmington New Castle Delaware 19808 USA 13025521239 info@cushla.io https://cushla.io Vendor Int 3 Complete 2026/03/11 12:00:00 2026/03/11 12:00:00 2026/03/11 03:27:50 UV 2.16.840.1.113883.3.10453 zus-health Zus Health Tim Gorton masked Anusha Tomar 617-925-3848 masked VP of Product Management Zus Health, Inc. atomar@zushealth.com https://www.zushealth.com Vendor Int 3 Complete 2026/03/11 12:00:00 2026/03/11 12:00:00 2026/03/12 02:57:36 UV 2.16.840.1.113883.3.10394.9 abg-technical-namespace AdamsBridge Global John Keville masked John Keville 3200 West End Avenue Suite 500, Nashville TN 37203 615-522-5014 masked Director of Platform Development AdamsBridge Global 3200 West End Avenue Suite 500, Nashville TN 37203 615-522-5014 john.keville@adamsbridge.com https://www.adamsbridge.com Vendor 2.16.840.1.113883.3.10394 Ext 17 Complete 2.16.840.1.113883.3.10394.9 2026/03/12 12:00:00 2026/03/12 12:00:00 2026/03/12 08:50:01 UV 2.16.840.1.113883.3.10454 lifeview-root Lifeview Healthcare Root Object Identifier (Registration Authority) Yuva Vinod masked sam.ochoa@adamsbridge.com Yuva Vinod 3200 West End Ave Suite 500 Nashville, TN 37203 615-270-1562 masked Manager Lifeview Healthcare credentialing@lifeview.health www.lifeview.health Provider Int 3 Complete 2026/03/12 12:00:00 2026/03/12 12:00:00 2026/03/12 08:50:57 UV 2.16.840.1.113883.3.10454.2.1 lifeview-mpi Lifeview Healthcare Enterprise Patient Identifier (MPI) yuva vinod masked yuva 615-270-1562 masked Admin Lifeview Health 3200 West End Ave, Suite 500 Nashville, TN 37203. 615-270-1562 yuva.vinod@lifeview.health www.lifeview.health Provider 2.16.840.1.113883.3.10454 Ext 17 Complete 2.16.840.1.113883.3.10454.2.1 2026/03/13 12:00:00 2026/03/13 12:00:00 2026/03/13 02:44:25 UV 2.16.840.1.113883.3.10454.3.1 lifeview-documents Lifeview Healthcare Enterprise Patient Identifier (MPI) yuva vinod masked yuva 3200 West End Ave, Suite 500 Nashville, TN 37203. 615-270-1562 masked Admin lifeview healthcare 3200 West End Ave, Suite 500 Nashville, TN 37203. 615-270-1562 yuva.vinod@lifeview.health www.lifeview.health Provider 2.16.840.1.113883.3.10454 Ext 17 Complete 2.16.840.1.113883.3.10454.3.1 2026/03/13 12:00:00 2026/03/13 12:00:00 2026/03/13 02:43:51 UV 2.16.840.1.113883.3.10455 heartandhealth Heart and Health Medical Alex Leyberman masked Alex Leyberman 1 Center Lane Levittown, NY 11756 7189092284 masked COO Heart and Health Medical 1 Center Lane Levittown, NY 11756 5168787899 COO@heartandhealth.com Provider Int 3 Complete 2026/03/16 12:00:00 2026/03/16 12:00:00 2026/03/16 07:33:49 UV 2.16.840.1.113883.3.10456 fhcsd Family Health Centers of San Diego Baldeep Sangha masked Andres Gutierrez Baldeep Sangha 5160 Federal Blvd San Diego, CA 92105 6195152300 masked Cloud Architect Family Health Centers of San Diego 823 Gateway Center Way San Diego, CA 92102 619-515-2300 andresg@fhcsd.org https://www.fhcsd.org/ Provider Int 3 Complete 2026/03/16 12:00:00 2026/03/17 12:00:00 2026/03/17 01:36:59 UV da97a30f-7dbe-482e-af11-f38f3ac83a74 texaschildrens-healthplan-ccda-invalid Texas Children's Health Plan Requesting Entity for C-CDA Document Generation Kenya Moton masked Kenya Moton EDI Department 832-828-1052 masked Manager, EDI Programming & System Integration Texas Children's Health Plan 6330 W Loop South Bellaire, Texas 77401 1-800-990-8247 EDIOperations@texaschildrens.org https://www.texaschildrenshealthplan.org/ Payor Ext 17 Rejected da97a30f-7dbe-482e-af11-f38f3ac83a74 2026/03/17 12:00:00 2026/03/18 12:57:26 UV 2.16.840.1.113883.17.9553 texaschildrens-healthplan-oid Texas Children's Health Plan Requesting Entity for C-CDA Document Generation Kenya Moton masked Atif Ikbal - amiqbal@texaschildrens.org Kenya Moton EDI Department 832-828-1052 masked Manager, EDI Programming & System Integration Texas Children's Health Plan 6330 W Loop South Bellaire, Texas 77401 1-800-990-8247 EDIOperations@texaschildrens.org https://www.texaschildrenshealthplan.org/ Payor Int 17 Complete 2026/03/18 12:00:00 2026/03/18 12:00:00 2026/03/18 06:27:24 UV 2.16.840.1.113883.3.10457 humetrix Humetrix Christopher Burrow masked bexperton@humetrix.com Christopher R Burrow 1155 Camino Del Mar PMB 503 858 259 8987 masked EVP, Chief medical Officer Humetrix 1155 Camino Del Mar PMB 503 858 259 8987 cburrow@humetrix.com www.humetrix.com Vendor Int 3 Complete 2026/03/18 12:00:00 2026/03/18 12:00:00 2026/03/18 09:17:40 US 2.16.840.1.113883.3.10458 csp Colstrip Medical Center John Poole masked John Poole P.O. Box 1858 Colstrip, MT 59323 4067490658 masked Administrator John Poole P.O. Box 1858 Colstrip, MT 59323 4067490658 john.poole@colstripclinic.com www.colstripclinic.com Provider Int 3 Complete 2026/03/19 12:00:00 2026/03/19 12:00:00 2026/03/19 06:52:04 UV 2.16.840.1.113883.3.10459 welldoc Welldoc, Inc. John Kim masked John Kim 10221 Wincopin Circle STE 150, Columbia, MD 21044 4436923115 masked Sr. Director Client Support and Engagement Welldoc, Inc. 10221 Wincopin Circle STE 150, Columbia, MD 21044 4436923100 HL7Account@welldocinc.com welldoc.com Vendor Int 3 3 Complete 2026/03/20 12:00:00 2026/03/20 12:00:00 2026/03/20 07:34:48 US 2.16.840.1.113883.3.10460 rubyValleyMedicalCenter Ruby Valley Medical Center Jim Campbell Jim Campbell masked Jim Campbell 321 Madison ST. Sheridan, MT 59749 406-842-5453 masked IT Director Jim Campbell 321 Madison ST. Sheridan, MT. 59749 406-842-5453 jcampbell@rvmc.org https://www.rvmc.org Provider Ruby Valley Medical Center Int 3 Complete 2026/03/23 12:00:00 2026/03/23 12:00:00 2026/03/23 08:35:39 UV 2.16.840.1.113883.3.19.2.3.103 ca-abQCS Quickcard Solutions Alberta Anil Patel masked Alan Tsang 200, 17010-103 Ave, Edmonton, AB, T5S 1K7 780-702-3441 masked Chief Executive Officer Quikcard Solutions Inc. 200, 17010-103 Ave, Edmonton, AB, T5S 1K7 780-426-7526 sysadmin@quikcard.com www.quikcard,com Payor 2.16.840.1.113883 Ext 3 3 Complete 2.16.840.1.113883.3.19.2.3.103 2026/03/24 12:00:00 2026/03/24 12:00:00 2026/03/24 03:48:14 CA 2.16.840.1.113883.3.10461 fitonhealth fitonhealth.com Russell Cook masked Russell Cook 382 NE 191st St #96128 Miami, FL 33179 4155458870 masked Co-President FitOn Health 382 NE 191st St #96128 Miami, FL 33179 8133923333 admin@fitonhealth.com https://www.fitonhealth.com Vendor Int 3 Complete 2026/03/24 12:00:00 2026/03/25 12:00:00 2026/03/25 12:49:33 UV 2.16.840.1.113883.17.9554 spineteamtexas Spine Team Texas Don Jennings masked Kami Frese Kami Frese 1545 E Southlake Blvd Suite 100 Southlake, TX 76092 817-442-9300 masked Director Of Administration Spine Team Texas 1545 E Southlake Blvd Suite 100 Southlake, TX 76092 8174429300 support@nctnet.net www.spineteamtexas.com Provider Int 17 17 Complete 2026/03/25 12:00:00 2026/03/26 12:00:00 2026/03/26 01:51:49 US 2.16.840.1.113883.3.10462 cortexedi Cortex EDI, Inc Galit Nachshon masked Galit Nachshon 7143420075 masked Cortex EDI 7145298560 galit@cortexedi.com www.cortexedi.com Exchange Int 3 Complete 2026/03/26 12:00:00 2026/03/26 12:00:00 2026/03/26 07:18:36 UV 2.16.840.1.113883.3.10463 lnh3 Laconia Nursing Home Shmuel Berger masked Shmuel Berger 1050 East 230th Street 9176971291 masked LNHA Shmuel Berger 1050 East 230th Street 9176971291 smberger@laconianursinghome.com Provider Int 3 Complete 2026/03/30 12:00:00 2026/03/31 12:00:00 2026/03/31 01:46:24 UV 2.16.840.1.113883.3.10464 healthpointM42 HealthpointM42 OID Root healthpoint hospital masked n.venkata@healthpoint.ae Santhosh Prabhakar Healthpoint, PO Box 112308,&#160;Abu Dhabi,&#160;United Arab Emirates 097155708 0494 masked Senior Manager, IT Infrastructure & Operations Healthpoint Hospital Healthpoint, PO Box 112308,&#160;Abu Dhabi,&#160;United Arab Emirates 097155708 0494 s.prabhakar@healthpoint.ae https://healthpoint.ae/ Provider Int 3 Complete 2026/04/01 12:00:00 2026/04/01 12:00:00 2026/04/01 12:46:06 UV 2.16.840.1.113883.4.8166 optopro Optopro Farooq Rafiq Mohammed masked Farooq Rafiq Mohammed 1 Owl Perch Crt 4372540704 masked Optopro optopro.ca@gmail.com www.optopro.ca Vendor Int 4 Complete 2026/04/01 12:00:00 2026/04/01 12:00:00 2026/04/01 02:26:23 UV 2.16.840.1.113883.4.8167 catalystmedtech CatalystMedTech Diana Solis masked Diana 13100 Gregg St. Suite A Poway, CA 92064 8584427965 masked Principal Software Engineer Catalyst MedTech 13100 Gregg St. Suite A Poway, CA 92064 1-800-856-1671 dsolis@catalystmedtech.com https://catalystmedtech.com/ Vendor Int 4 Complete 2026/04/03 12:00:00 2026/04/06 12:00:00 2026/04/06 12:51:04 UV 2.16.840.1.113883.3.10465 noom Noom, Inc. Jessica De Jesus masked Jessica De Jesus 3 Pinecrest Rd, Valley Cottage, NY 10989 7187578573 masked Director of Product Noom 1 Palmer Square, Suite 441, Princeton, NJ 08542 8882665071 support@noom.com Vendor Int 3 Complete 2026/04/06 12:00:00 2026/04/07 12:00:00 2026/04/07 01:05:09 UV 2.16.840.1.113883.3.10466 rph RiverPeak Health Parker Dennison masked Parker Dennison 2505 N Federal Blvd, Riverton, WY 82501 3608197566 masked Administrative Fellow RiverPeak Health 2505 N Federal Blvd, Riverton, WY 82501 3078409503 riverpeakhealth@gmail.com https://riverpeakhealth.org/contact Provider Int 3 Complete 2026/04/09 12:00:00 2026/04/09 12:00:00 2026/04/09 06:59:55 UV 2.16.840.1.113883.3.10467 epmclinic Eastern Plains Medical Clinic Kelli Zearing masked Kelli Zearing 560 Crystola Street Calhan, CO 80808 719-347-0100 masked Operations Manager Eastern Plains Medical Clinic 560 Crystola Street Calhan, CO 80808 719-347-0100 kelli@easternplainsmedicalclinic.com www.easternplainsmedicalclinic.com Provider Int 3 Complete 2026/04/14 12:00:00 2026/04/15 12:00:00 2026/04/15 12:46:03 UV 2.16.840.1.113883.3.10468 mhscc Mental Health Services for Clark & Madison Counties Renee Stratton masked Renee Stratton 474 N Yellow Spring St Springfield Oh 45402 9376293020 masked MIS Coordinator Mental Health Services for Clark and Madison Counties 474 N Yellow Springs St Springfield Oh 45502 937-399-9500 renee.stratton@mhscc.org Provider Int 3 Complete 2026/04/15 12:00:00 2026/04/16 12:00:00 2026/04/16 12:51:10 UV 2.16.840.1.113883.3.10469 synchronize Synchronize Health Matthew Mazur Jr. masked Steve 8447558058 masked IT Director Synchronize Health 931 Village Blvd Ste 490 West Palm Beach, FL 33409 8447558058 steve@synchronize.health synchronize.health Vendor Int 3 Complete 2026/04/15 12:00:00 2026/04/16 12:00:00 2026/04/16 12:52:20 US 2.16.840.1.113883.3.10470 datavant Datavant Root OID Brian Malachowski masked Brian Malachowski 2222 W. Dunlap Ave Suite 250 Phoenix, AZ 85021 800-367-1500 masked Interoperability Product Manager Datavant 2222 W. Dunlap Ave Suite 250 Phoenix, AZ 85021 800-367-1500 brian.malachowski@datavant.com Vendor Int 3 Complete 2026/04/17 12:00:00 2026/04/17 12:00:00 2026/04/17 08:16:14 UV 2.16.840.1.113883.3.10471 mul-hea Mulberry Health Joseph Furtado masked Christy Furtado Joseph Furtado 63 S Rockford Dr Suite 240 Tempe, AZ 85288 4804309737 masked CEO/Founder Mulberry Medical LLC 63 S Rockford Dr Suite 240 Tempe, AZ 85288 6232202601 joseph@mulberrymedical.net mulberrymedical.net Provider Int 3 Complete 2026/04/20 12:00:00 2026/04/20 12:00:00 2026/04/20 03:54:27 UV 2.16.840.1.113883.3.10472 layla Layla Care Raul Rupsingh masked cenxiao.z@layla.care Raul Rupsingh 1187A King Street West Toronto ON 6475378727 masked CTO Layla Care 1187A King Street West Toronto ON 6473744210 raul@layla.care layla.are Provider Int 3 Complete 2026/04/20 12:00:00 2026/04/20 12:00:00 2026/04/20 09:31:27 UV 2.16.840.1.113883.3.10473 sekmhc Southeast Kansas Mental Health Center Michelle Hoag masked Amber Morrison Amber Morrison 1106 South Ninth Humboldt, KS 66748 620-365-8641 masked Chief Financial Officer Southeast Kansas Mental Health Center 1106 South Ninth Humboldt, KS 66748 620-365-5717 dwright@sekmhc.org https://www.sekmhc.org Provider Int 3 Complete 2026/04/22 12:00:00 2026/04/22 12:00:00 2026/04/22 07:52:13 UV 2.16.840.1.113883.3.10474 consolidate-health Consolidate Health Vinu Natarajan masked Vinu Natarajan 3300 Dallas Parkway Plano, TX 75093 4072475096 masked CEO Consolidate Health, Inc. developers@consolidate.health https://consolidate.health Vendor Int 3 Complete 2026/04/23 12:00:00 2026/04/24 12:00:00 2026/04/24 12:41:52 UV 2.16.840.1.113883.3.10475 lOSH-Bellaire Legent orthopedic and Spine Bellaire Norma Gomez masked Norma 2813894958 masked Materials Manager Valerie Leal 4801 Bissonnet Street Bellaire Texas 77083 3615633422 Valeal@legenthealth.com www.legenthealthservices.com Provider Int 3 Complete 2026/04/28 12:00:00 2026/04/28 12:00:00 2026/04/28 03:38:37 UV 2.16.840.1.113883.3.10476 mrha Mandaya Hospital Group Lye Hin Khoo masked ahmad.fauzi@gehealthcare.com Vicly Rudenko 02150928888 masked Mandaya Royal Hospital Metland Cyber City, Jl. Tol Jkt - Tangerang Lot. C, RT.001/RW.002, Parung Jaya, Kec. Karang Tengah, Kota Tangerang, Banten 15159, Indonesia 02150928888 vicly.rudenko@mandayamedical.group Provider Int 3 Complete 2026/04/30 12:00:00 2026/04/30 12:00:00 2026/04/30 01:49:44 UV 584951386 chn-ped-invalid Chandler Pediatrics Jennifer Duran masked Jennifer Duran 1850 W Frye Rd Ste 102, Chandler, AZ 85224 480-782-5575 masked Office Manager Chandler Pediatrics 1850 W Frye Rd Ste 102, Chandler, AZ 85224 480-782-5575 j.duran@chandlerpediatrics.com www.chandlerpediatrics.com Provider Ext 3 Rejected 584951386 2026/05/04 12:00:00 2026/05/05 01:07:04 UV 2.16.840.1.113883.3.10477 onverahealth Onvera Health, Inc. Ibrahim Ali masked IBRAHIM ALI 5410 ROSEHAVEN CT. SUGAR LAND, TEXAS. 77479 2144630278 masked Founder Onvera Health, Inc. Legalinc Corporate Services Inc. 131 Continental Dr Suite 305 Newark, DE 19713 US integration@onverahealth.com onverahealth.com Vendor Onvera Health, Inc. Int 3 3 Complete 2026/05/05 12:00:00 2026/05/05 12:00:00 2026/05/05 08:58:21 US 2.16.840.1.113883.3.10478 san Sansio, Inc. Duluth Kris Ruhl masked Kris Ruhl 1330 E. Superior Street, Suite 201 Duluth, MN 55805 5174030201 masked Director Sansio, Inc. 1330 E. Superior Street, Suite 201 Duluth, MN 55805 2186257000 productteam@sansio.com Exchange Int 3 Complete 2026/05/05 12:00:00 2026/05/06 12:00:00 2026/05/06 12:26:26 UV 2.16.840.1.113883.3.10479 chn-ped Chandler Pediatrics Jennifer Duran masked Jennifer Duran 1850 W Frye Rd Ste 102 Chandler, AZ 85224 4807825575 masked Chandler Pediatrics 1850 W Frye Rd Ste 102 Chandler, AZ 85224 4807825575 info@chandlerpediatrics.com www.chandlerpediatrics.com Provider Int 3 Complete 2026/05/06 12:00:00 2026/05/06 12:00:00 2026/05/06 06:02:31 UV 2.16.840.1.113883.17.9555 ignia Ignia Practice Management Platform James Jang masked James Jang 4163206276 masked CTO Ignia Health Inc james@getignia.com https://www.getignia.com/ Vendor Int 17 Complete 2026/05/12 12:00:00 2026/05/12 12:00:00 2026/05/12 07:00:00 N/A UV 2.16.840.1.113883.3.10480 regencysh Regency Specialist Hospital LYE HIN KHOO masked shahrir.junus@gehealthcare.com Kat Kian Ching 6073817700 masked Regency Specialist Hospital 1, Jln Suria, Bandar Baru Seri Alam, 81750 Masai, Johor Darul Ta'zim, Malaysia 6073817700 kat.kian.ching@regencyspecialist.com Provider Int 3 Complete 2026/05/13 12:00:00 2026/05/14 12:00:00 2026/05/14 01:12:39 UV 2.16.840.1.113883.3.10481 one-to-one-health One to One Health Tim Ritzema masked Tillman Endsley Tim Ritzema 1110 Market Street, Suite 502 Chattanooga, TN 37402 4236532266 masked PSE One to One Health 1110 Market Street, Suite 502 Chattanooga, TN 37402 4236029530 hello@121.health https://onetoonehealth.com Provider Int 3 Complete 2026/05/14 12:00:00 2026/05/14 12:00:00 2026/05/14 06:50:45 UV 2.16.840.1.113883.4.985 caNVC tradename IA Tradename immunizing agent Anil Patel masked Public Health Agency of Canada 785 Carling Ave, Ottawa, ON K1Z 2K4. Canada 1-844-280-5020 masked Public Health Agency of Canada 785 Carling Ave, Ottawa, ON K1Z 2K4. Canada 1-844-280-5020 NVC-CNV@phac-aspc.gc.ca https://www.canada.ca/en/public-health.html Government body 2.16.840.1.113883.4 Ext 4 4 Complete 2.16.840.1.113883.4.985 2026/05/15 12:00:00 2026/05/15 09:30:34 CA 2.16.840.1.113883.4.986 caNVC Generic IA Generic immunizing agent Anil Patel masked Public Health Agency of Canada 785 Carling Ave, Ottawa, ON K1Z 2K4 Canada 1-844-280-5020 masked Public Health Agency of Canada 785 Carling Ave, Ottawa, ON K1Z 2K4 Canada 1-844-280-5020 NVC-CNV@phac-aspc.gc.ca https://nvc-cnv.canada.ca/en/vaccine-catalogue Government body Ext 4 4 Complete 2.16.840.1.113883.4.986 2026/05/15 12:00:00 2026/05/15 09:31:19 CA 2.16.840.1.113883.4.987 caNVC VP Disease Vaccine-preventable disease Anil Patel masked Public Health Agency of Canada 785 Carling Ave, Ottawa, ON K1Z 2K4 Canada 1-844-280-5020 masked National Vaccine Catalogue Team Public Health Agency of Canada 785 Carling Ave, Ottawa, ON K1Z 2K4 Canada 1-844-280-5020 NVC-CNV@phac-aspc.gc.ca https://nvc-cnv.canada.ca/en/vaccine-catalogue Government body Ext 4 4 Complete 2.16.840.1.113883.4.987 2026/05/15 12:00:00 2026/05/15 09:32:07 CA 2.16.840.1.113883.4.988 caNVC VLot Vaccine lot Anil Patel masked Public Health Agency of Canada 785 Carling Ave, Ottawa, ON K1Z 2K4. Canada 1-844-280-5020 masked National Vaccine Catalogue Team Public Health Agency of Canada 785 Carling Ave, Ottawa, ON K1Z 2K4. Canada 1-844-280-5020 NVC-CNV@phac-aspc.gc.ca https://nvc-cnv.canada.ca/en/vaccine-catalogue Government body Ext 4 4 Complete 2.16.840.1.113883.4.988 2026/05/15 12:00:00 2026/05/15 09:33:16 CA 2.16.840.1.113883.4.989 caNVC MAH Market authorization holder Anil Patel masked Public Health Agency of Canada 785 Carling Ave, Ottawa, ON K1Z 2K4 1-844-280-5020 masked National Vaccine Catalogue Team Public Health Agency of Canada 785 Carling Ave, Ottawa, ON K1Z 2K4. Canada 1-844-280-5020 NVC-CNV@phac-aspc.gc.ca https://nvc-cnv.canada.ca/en/vaccine-catalogue Government body Ext 4 4 Complete 2.16.840.1.113883.4.989 2026/05/15 12:00:00 2026/05/15 09:34:08 CA 2.16.840.1.113883.4.990 caNVC AgIgAT Antigen / Immunoglobulin / Antitoxin Anil Patel masked Public Health Agency of Canada 785 Carling Ave, Ottawa, ON K1Z 2K4. Canada 1-844-280-5020 masked National Vaccine Catalogue Team Public Health Agency of Canada 785 Carling Ave, Ottawa, ON K1Z 2K4. Canada 1-844-280-5020 NVC-CNV@phac-aspc.gc.ca https://nvc-cnv.canada.ca/en/vaccine-catalogue Government body Ext 4 4 Complete 2.16.840.1.113883.4.990 2026/05/15 12:00:00 2026/05/15 09:35:25 CA 2.16.840.1.113883.4.991 caNVC FcstStatus Forecast status Anil Patel masked Public Health Agency of Canada 785 Carling Ave, Ottawa, ON K1Z 2K4. Canada 1-844-280-5020 masked National Vaccine Catalogue Team Public Health Agency of Canada 785 Carling Ave, Ottawa, ON K1Z 2K4. Canada 1-844-280-5020 NVC-CNV@phac-aspc.gc.ca https://nvc-cnv.canada.ca/en/vaccine-catalogue Government body Ext 4 4 Complete 2.16.840.1.113883.4.991 2026/05/15 12:00:00 2026/05/15 09:36:46 CA 2.16.840.1.113883.4.992 caNVC HCPOcc Immunization healthcare provider occupation Anil Patel masked Public Health Agency of Canada 785 Carling Ave, Ottawa, ON K1Z 2K4 Canada 1-844-280-5020 masked National Vaccine Catalogue Team Public Health Agency of Canada 785 Carling Ave, Ottawa, ON K1Z 2K4 Canada 1-844-280-5020 NVC-CNV@phac-aspc.gc.ca https://nvc-cnv.canada.ca/en/vaccine-catalogue Government body Ext 4 4 Complete 2.16.840.1.113883.4.992 2026/05/15 12:00:00 2026/05/15 09:37:44 CA 2.16.840.1.113883.4.993 caNVC AdminRoute Immunization route of administration Anil Patel masked Public Health Agency of Canada 785 Carling Ave, Ottawa, ON K1Z 2K4 Canada 1-844-280-5020 masked National Vaccine Catalogue Team Public Health Agency of Canada 785 Carling Ave, Ottawa, ON K1Z 2K4 Canada 1-844-280-5020 NVC-CNV@phac-aspc.gc.ca https://nvc-cnv.canada.ca/en/vaccine-catalogue Government body Ext 4 4 Complete 2.16.840.1.113883.4.993 2026/05/15 12:00:00 2026/05/15 09:38:19 CA 2.16.840.1.113883.4.994 caNVC ProdStatus Product status Anil Patel masked Public Health Agency of Canada 785 Carling Ave, Ottawa, ON K1Z 2K4 Canada 1-844-280-5020 masked National Vaccine Catalogue Team Public Health Agency of Canada 785 Carling Ave, Ottawa, ON K1Z 2K4 Canada 1-844-280-5020 NVC-CNV@phac-aspc.gc.ca https://nvc-cnv.canada.ca/en/vaccine-catalogue Government body Ext 4 4 Complete 2.16.840.1.113883.4.994 2026/05/15 12:00:00 2026/05/15 09:39:06 CA 2.16.840.1.113883.4.995 caNVC AdminGender Administrative gender Anil Patel masked Public Health Agency of Canada 785 Carling Ave, Ottawa, ON K1Z 2K4 Canada 1-844-280-5020 masked National Vaccine Catalogue Team Public Health Agency of Canada 785 Carling Ave, Ottawa, ON K1Z 2K4 Canada 1-844-280-5020 NVC-CNV@phac-aspc.gc.ca https://nvc-cnv.canada.ca/en/vaccine-catalogue Government body Ext 4 4 Complete 2.16.840.1.113883.4.995 2026/05/15 12:00:00 2026/05/15 09:39:51 CA 2.16.840.1.113883.4.996 caNVC AnatSite Immunization administration anatomical site Anil Patel masked Public Health Agency of Canada 785 Carling Ave, Ottawa, ON K1Z 2K4 Canada 1-844-280-5020 masked National Vaccine Catalogue Team Public Health Agency of Canada 785 Carling Ave, Ottawa, ON K1Z 2K4 Canada 1-844-280-5020 NVC-CNV@phac-aspc.gc.ca https://nvc-cnv.canada.ca/en/vaccine-catalogue HL7 body Ext 4 4 Complete 2.16.840.1.113883.4.996 2026/05/15 12:00:00 2026/05/15 09:40:13 CA 2.16.840.1.113883.4.997 caNVC RptSource Immunization reporting source Anil Patel masked Public Health Agency of Canada 785 Carling Ave, Ottawa, ON K1Z 2K4 Canada 1-844-280-5020 masked National Vaccine Catalogue Team Public Health Agency of Canada 785 Carling Ave, Ottawa, ON K1Z 2K4 Canada 1-844-280-5020 NVC-CNV@phac-aspc.gc.ca https://nvc-cnv.canada.ca/en/vaccine-catalogue Government body Ext 4 4 Complete 2.16.840.1.113883.4.997 2026/05/15 12:00:00 2026/05/15 09:40:35 CA 2.16.840.1.113883.4.8168 shalomhouse-ehr Shalom House EHR Namespace Abigail Spadone masked Abigail Spadone 2072453501 masked Shalom House 106 Gilman St. Portland, ME 04102 2078741080 generalmail@shalomhouseinc.org https://www.shalomhouseinc.org Provider Int 4 Complete 2026/05/19 12:00:00 2026/05/19 12:00:00 2026/05/19 05:06:53 UV 2.16.840.1.113883.3.10482 expressImaging Express Imaging Services, LLC Lucas Olivo masked Lucas Olivo 626 808 1079 masked Software Developer Express Imaging Services 1805 W 208th St, Suite 202, Torrance, CA 90501 8888468804 anhle@expressimagingservices.com Vendor Int 3 Complete 2026/05/20 12:00:00 2026/05/21 12:00:00 2026/05/21 04:16:32 UV 2.16.840.1.113883.3.10483 fcmc-preston-id Franklin County Medical Center Jon Winn masked schristensen@fcmc.org Jon Winn 44 N 1st E Preston, ID 83263 208-852-0137 masked IT Director Franklin County Medical Center 44 N 1st E Preston, ID 83263 208-852-0137 it@fcmc.org https://fcmc.org Provider Int 3 Complete 2026/05/21 12:00:00 2026/05/22 12:00:00 2026/05/22 01:42:01 US 2.16.840.1.113883.3.10484 foothold-care-management-pathways Foothold Care Management serving Pathway Home Ryan Harris masked Ryan Harris 1333 N. California, Suite 448 Walnut Creek, CA 94596 3476220193 masked Senior Customer Success Manager Radicle Health 1333 N. California, Suite 448 Walnut Creek, CA 94596 347-622-0193 rharris@radicle-health.com https://radicle-health.com/ Vendor Int 3 Complete 2026/05/22 12:00:00 2026/05/22 12:00:00 2026/05/22 01:52:34 UV 2.16.840.1.113883.3.10485 cellnetix CellNetix Pathology and Laboratories Bryce Berg masked CellNetix Pathology and Laboratories 12501 E. Marginal Way S. Suite 200 Tukwila, WA 98168 8443444209 masked CellNetix IT CellNetix Pathology and Laboratories 12501 E. Marginal Way S. Suite 200 Tukwila, WA 98168 8443444209 HelpDesk@cellnetix.com https://cellnetix.com/ Vendor Int 3 Complete 2026/05/22 12:00:00 2026/05/22 12:00:00 2026/05/22 08:57:17 UV 2.16.840.1.113883.3.10486 dot-dka Dorothy Kret & Associates Raeleen Francisco masked Anna Santa Cruz Anna Santa Cruz 1502 E Broadway Blvd. Tucson, AZ 85719 5204099172 masked CCM Dorothy Kret & Associates 1502 E Broadway Blvd. Tucson, AZ 85719 520-790-7677 rfrancisco@dkajobs.com https://www.dkajobs.com/ Provider Raeleen Francisco Int 3 Complete 2026/05/28 12:00:00 2026/06/01 12:00:00 2026/06/01 01:31:28 UV 2.16.840.1.113883.3.10487 turbovetsOID TurboVets OID Joshua Cotten masked Joshua Cotten 2148420585 masked Deputy Director of Operations TurboVets 5665 Dallas Parkway, #200 Frisco, Texas 76051 2148420585 josh@turbovets.com https://www.turbovets.com/ Provider Int 3 Complete 2026/06/02 12:00:00 2026/06/03 12:00:00 2026/06/03 12:35:01 UV 2.16.840.1.113883.3.10488 medblocks Medblocks Inc. Sidharth Ramesh masked Sidharth Ramesh 8 The Green, #12520 Dover, DE 19901 3022139298 masked CEO, Medblocks Medblocks Inc. 8 The Green, #12520 Dover, DE 19901 support@medblocks.com https://medblocks.com Vendor Int 3 3 Complete 2026/06/05 12:00:00 2026/06/05 12:00:00 2026/06/05 06:41:31 UV 2.16.840.1.113883.17.9556 cfgc8550-1 CHILDANDFAMILYGUIDANCECENTER Child and Family Guidance Center masked Alex Zuno Alex Zuno 8550 Balboa Blvd, Suite 150, Northridge, CA 91325 8187395121 masked Systems Administrator Child and Family Guidance Center 8550 Balboa Blvd, Suite 150, Northridge, CA 91325 8187395123 helpdesk@childguidance.org https://childguidance.org Provider Int 17 Complete 2026/06/05 12:00:00 2026/06/08 12:00:00 2026/06/08 12:36:07 UV 2.16.840.1.113883.17.9557 cap-dig-lab Capital Digestive Care Laboratory Becky Cushing masked Becky Cushing 11921 Bournefield Way Suite 100 6177337663 masked VP, Informatics Capital Digetive Care Laboratory 11921 Bournefield Way, Suite 100 Silver Spring, MD 20904 4439550471 lis@capitaldigestivecare.com Vendor Int 17 17 Complete 2026/06/09 12:00:00 2026/06/09 12:00:00 2026/06/09 05:31:59 UV 2.16.840.1.113883.4.8169 neuraly Neuraly Inc. Eling Wong masked dto@neuralymed.com Eling Wong Neuraly, Inc. 704 Quince Orchard Rd, Suite 320 Gaithersburg, MD 20878 3018734431 masked Director, Clinical Operations Neuraly, Inc. Neuraly, Inc. 704 Quince Orchard Rd, Suite 320 Gaithersburg, MD 20878 240-937-5880 info@neuralymed.com www.neuralymed.com Vendor Int 4 Complete 2026/06/09 12:00:00 2026/06/09 12:00:00 2026/06/09 05:32:34 UV 2.16.840.1.113883.17.9558 scaprmfammedctr IPM SCA Palmdale Family Med Clinic Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 6103824375 masked Assistant Director - Interfaces IPM SCA Palmdale Family Med Clinic 38660 Medical Center Drive Suite A-300 Palmdale, CA 93551 661-524-7774 alesia.childs@uhsinc.com https://swhpalmdaleregional.com Provider Int 17 Complete 2026/06/10 12:00:00 2026/06/10 12:00:00 2026/06/10 07:00:42 UV 2.16.840.1.113883.17.9559 apaprimcaremidvly APA Primary Care Midland Valley Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 6103824375 masked Assistant Director - Interfaces APA Primary Care Midland Valley 110 Sasanqua Dr. Graniteville, SC 29829 803-594-2272 alesia.childs@uhsinc.com https://aikenphysicians.com/ Provider Int 17 Complete 2026/06/10 12:00:00 2026/06/11 12:00:00 2026/06/11 12:17:48 UV 2.16.840.1.113883.17.9560 lvmgssumprimcare APA Primary Care Midland Valley Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 6103824375 masked Assistant Director - Interfaces LVMG South Summerlin Primary Care 10290 West Flamingo Road Suite 105 Las Vegas, NV 89135 702-329-1156 alesia.childs@uhsinc.com https://valleyhealthphysicians.com/locations/south-summerlin-primary-care Provider Int 17 Complete 2026/06/11 12:00:00 2026/06/11 12:00:00 2026/06/11 05:44:43 UV 2.16.840.1.113883.4.8170 aaneelconnect AaNeel Infotech Upendra Patel masked Bhavin Chitaliya 7869668518 masked Chief Product Officer AaNeel Infotech, LLC 6650 bhavin@aaneel.com https://www.aaneel.com Vendor Int 4 Complete 2026/06/11 12:00:00 2026/06/11 12:00:00 2026/06/11 06:59:45 UV 2.16.840.1.113883.4.8171 heali Health Empowerment Alliance of Long Island David Saget masked David Saget 110 Walt Whitman Road, Suite 101, Huntington Station, NY 11746 5164831110 masked Health Empowerment Alliance of Long Island 110 Walt Whitman Road, Suite 101 Huntington Station, NY 11746 516-505-4434 heal@hwcli.com Vendor Int 4 Complete 2026/06/12 12:00:00 2026/06/15 12:00:00 2026/06/15 01:21:19 UV 2.16.840.1.113883.3.10489 mabh Marshall Browning Hospital Dakota Behm masked Dakota Behm 900 N. Washington St., Du Quoin, IL 62832 6185422146 masked IT Department Marshall Browning Hospital 900 N. Washington St., Du Quoin, IL 62832 618-542-2146 itdepartment@mbhdq.com Provider Int 3 Complete 2026/06/17 12:00:00 2026/06/17 12:00:00 2026/06/17 01:43:20 UV 2.16.840.1.113883.3.10490 dvg-eyeq Doctors Vision Group Management Corp. (EyeQ EMR) Gabe Traczuk masked Gabe Traczuk 148 York St London, ON N6A 1A9 Canada 855-376-7676 masked Chief Information Officer Doctors Vision Group Management Corp. 148 York St London, ON N6A 1A9 Canada 855-376-7676 gabe@doctorsvisiongroup.com https://doctorsvisiongroup.com Vendor Int 3 Complete 2026/06/17 12:00:00 2026/06/17 12:00:00 2026/06/17 08:19:51 CA 2.16.840.1.113883.4.998 caIMIIS Insight Medical Imaging Information System Anil Patel masked Jason Bath #200, 4207-98 St. NW, Edmonton, AB T6E5R7. Canada 780-486-7957 masked Insight Medical Imaging #200, 4207-98 St. NW, Edmonton, AB T6E5R7. Canada 780-489-7851 helpdesk@insightimaging.ca https://x-ray.ca Vendor 2.16.840.1.113883.4 Ext 4 4 Complete 2.16.840.1.113883.4.998 2026/06/19 12:00:00 2026/06/19 02:20:58 CA 2.16.840.1.113883.3.10491 id-CCS Complex Care Solutions Anand Prasad Pooguri masked leigh.regan@complexcaresolutions.com Complex Care Solutions 535 Marriott Drive, Suite 230, Nashville, TN 37214 2019181170 masked Product Manager Complex Care Solutions 535 Marriott Drive, Suite 230, Nashville, TN 37214 leigh.regan@complexcaresolutions.com Provider Int 3 Complete 2026/06/19 12:00:00 2026/06/22 12:00:00 2026/06/22 12:42:04 UV 2.16.840.1.113883.3.10492 fyihealthgroup FYi Holdings LP Emmanuel Bui masked Emmanuel Bui 300-2424 4th Street SW Calgary, AB T2S 2T4 5147564931 masked Senior Director, IT FYi Holdings LP 300-2424 4th Street SW Calgary, AB T2S 2T4 4032342020 support@fyidoctors.com https://fyihealthgroup.com/ Provider Int 3 Complete 2026/06/22 12:00:00 2026/06/22 12:00:00 2026/06/22 06:21:27 CA 2.16.840.1.113883.4.8172 spectramedix SpectraMedix Sathyaji Raja NARAYANA RAO masked ramya.khasnis@spectramedix.com Sathyaji Raja Narayana Rao 6093367733 masked AVP Software Engineering SpectraMedix sathyaji.raja@spectramedix.com https://www.spectramedix.com/ Vendor Int 4 Complete 2026/06/22 12:00:00 2026/06/23 12:00:00 2026/06/23 01:51:24 US 2.16.840.1.113883.3.10493 cofactorai Cofactor AI Juan Lozano masked Juan Lozano 215 N Peoria St STE 8, Chicago, IL 60607 4093927324 masked CTO Cofactor AI, Inc 215 N Peoria St STE 8, Chicago, IL 60607 hello@cofactorai.com https://cofactorai.com Vendor Int 3 Complete 2026/06/22 12:00:00 2026/06/23 12:00:00 2026/06/23 01:52:18 US 2.16.840.1.113883.3.10494 veda-dme-solutions Veda DME Solutions Organizational OID Jennifer Rodriguez masked Jeff King 488 Highview Ln #501, Anna TX 75049 469-500-7747 masked CEO Veda DME Solutions king@vedadme.com https://www.vedaai.net/ Vendor Int 3 Complete 2026/06/22 12:00:00 2026/06/23 12:00:00 2026/06/23 01:56:02 UV 2.16.840.1.113883.3.10495 ecx EyecareX Justin Asgarpour masked parminder@eyecarex.com Justin Asgarpour 1985 Alberni Street, 301 Vancouver, BC V6G0A2 Canada 236-334-1254 masked CEO EyecareX Technologies Inc 1985 Alberni Street, 301 Vancouver, BC V6G0A2 Canada 236-334-1254 justin@eyecarex.com https://www.eyecarex.com/ Vendor Int 3 Complete 2026/06/23 12:00:00 2026/06/23 12:00:00 2026/06/23 02:27:55 UV 2.16.840.1.113883.3.10496 mdr-hcid MyDigirecords Home Community ID FNU ASHLEY masked FNU Ashley 14305 Outlook Rd. Overland Park Kansas 66223 9132727607 masked Lead Engineer MyDigirecords 14305 Outlook Rd., Overland Park, Kansas 66223 support@mydigirecords.com https://mydigirecords.ai/ Vendor Int 3 Complete 2026/06/23 12:00:00 2026/06/23 12:00:00 2026/06/23 06:09:13 UV 2.16.840.1.113883.3.10497 fvt Friendship Village of Tempe Shanice Wilson masked Shanice 2525 East Southern Ave, Tempe, AZ 85282 4808313271 masked Admissions Manager Friendship Village of Tempe 2645 East Southern Ave, Tempe, AZ 85282 4808318100 roedermatt@friendshipvillageaz.com https://www.friendshipvillageaz.com Provider Int 3 Complete 2026/06/23 12:00:00 2026/06/23 12:00:00 2026/06/23 09:06:04 UV 2.16.840.1.113883.3.10498 shasta-srmc Shasta Regional Medical Center Jazz Sorensen masked Jazz Sorensen 1100 Butte Street Redding, CA 96001 5302448397 masked IT Manager Shasta Regional Medical Center 1100 Butte Street Redding, CA 96001 530-244-5400 srmc-Administration@primehealthcare.com https://shastaregional.com/ Provider Int 3 Complete 2026/06/23 12:00:00 2026/06/23 12:00:00 2026/06/24 01:59:29 UV 2.16.840.1.113883.4.8173 chadtest4 Chad Test From Admin Chad Neale masked Chad Neale 143 Reading Ave 3042822569 masked Chad Neale 143 Reading Ave 3042822569 chad.a.neale@gmail.com Vendor Int 4 Retired 2026/06/24 05:38:57 UV 2.16.840.1.113883.3.10499 ehmc Encino Hospital Medical Center Martin Cordova masked Martin Cordova 16237 Ventura Blvd, Encino CA 91436 310 910 2851 masked IT Director Martin Cordova 16237 Ventura Blvd, Encino CA 91436 310 910 2851 mcordova@primehealthcare.com https://encinomed.org/ Provider Int 3 3 Complete 2026/06/24 12:00:00 2026/06/25 12:00:00 2026/06/25 05:58:49 UV 2.16.840.1.113883.3.10500 shermanoaks Sherman Oaks Hospital Martin Cordova masked Lakshmana Chandu Martin Cordova 4929 Van Nuys Blvd, Sherman Oaks CA 91403 310 910 2851 masked IT Director Martin Cordova 4929 Van Nuys Blvd, Sherman Oaks CA 91403 310 910 2851 mcordova@primehealthcare.com https://shermanoakshospital.org/ Provider Int 3 3 Complete 2026/06/24 12:00:00 2026/06/25 12:00:00 2026/06/25 05:59:12 UV 2.16.840.1.113883.3.10501 smil Southwest Medical Imaging Mel Wagner masked Mel Wagner 9700 N. 91st Street, C-200, Scottsdale, AZ 85258 6025216374 masked Senior HL7 Interface Developer Southwest Medical Imaging helpdesk@esmil.com Provider Int 3 Complete 2026/06/24 12:00:00 2026/06/25 12:00:00 2026/06/25 06:00:53 UV 2.16.840.1.113883.17.9561 pcs-swr Patient Centric Solutions Software Nancy Lush masked markw@patientCentricSolutions.com Nancy Lush 28 NARRAGANSETT AVE PO Box 651 Jamestown, RI 02835 4019659347 masked President Patient Centric Solutions, Inc 28 NARRAGANSETT AVE PO Box 651 Jamestown, RI 02835 4014239111 nlush@PatientCentricSolutions.com www.PatientCentricSolutions.com Vendor Int 17 Complete 2026/06/24 12:00:00 2026/06/25 12:00:00 2026/06/25 06:01:29 UV 2.16.840.1.113883.4.8174 lanesla-fhir-ehr LANESLA FHIR Integration Conformance Profile for Enhance Care JONATHAN THOMPSON masked JONATHAN THOMPSON 6080 CENTER DRIVE STE 600 LOS ANGELES, CA 90045 323-600-8808 masked PROJECT MANAGER J THOMPSON API@ENHANCE.CARE API@ENHANCE.CARE Vendor Int 4 4 Complete 2026/06/29 12:00:00 2026/06/29 12:00:00 2026/06/29 05:52:18 US 2.16.840.1.113883.3.10502 drlawrenceglaubiger Dr Lawrence Glaubiger Debbie Hughes masked Dana Warren 146 Hazard Avenue #203 Enfield, CT 06082 8609303051 masked Office Manager Lawrence Glaubiger, MD 146 Hazard Avenue #203 Enfield, CT 06082 8609303051 danawarren124@gmail.com http://drglaubiger.com Provider Int 3 Complete 2026/06/29 12:00:00 2026/06/29 12:00:00 2026/06/29 06:50:46 UV 2.16.840.1.113883.17.9562 fbpg-ch-car-surg Foggy Bottom Physician Group CH Cardiac Surgery Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 6103824375 masked Assistant Director - Interfaces Foggy Bottom Physician Group CH Cardiac Surgery 1200 Pecan Street SE, 3rd Floor Washington, DC 20032-2652 771-444-6146 alesia.childs@uhsinc.com http://foggybottomclinic.com Provider Int 17 Complete 2026/06/30 12:00:00 2026/06/30 12:00:00 2026/06/30 05:52:49 UV 2.16.840.1.113883.17.9563 fbpg-ch-car Foggy Bottom Physician Group CH Cardio Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 6103824375 masked Assistant Director - Interfaces Foggy Bottom Physician Group CH Cardio 1200 Pecan Street SE, 3rd Floor Washington, DC 20032-2652 771-444-6146 alesia.childs@uhsinc.com http://foggybottomclinic.com Provider Int 17 Complete 2026/06/30 12:00:00 2026/06/30 12:00:00 2026/06/30 05:53:18 UV 2.16.840.1.113883.17.9564 fbpg-ch-neph Foggy Bottom Physician Group CH Nephrology Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 6103824375 masked Assistant Director - Interfaces Foggy Bottom Physician Group CH Nephrology 1200 Pecan Street SE 3rd Floor Washington, DC 20032-2652 771-444-6146 alesia.childs@uhsinc.com http://foggybottomclinic.com Provider Int 17 Complete 2026/06/30 12:00:00 2026/06/30 12:00:00 2026/06/30 05:53:41 UV 2.16.840.1.113883.17.9565 fbpg-ch-neuro Foggy Bottom Physician Group CH Neurology Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 6103824375 masked Assistant Director - Interfaces Foggy Bottom Physician Group CH Neurology 1200 Pecan Street SE 3rd Floor Washington, DC 20032-2652 771-444-6146 alesia.childs@uhsinc.com http://foggybottomclinic.com Provider Int 17 Complete 2026/06/30 12:00:00 2026/06/30 12:00:00 2026/06/30 05:53:58 UV 2.16.840.1.113883.17.9566 fbpg-ch-pod Foggy Bottom Physician Group CH Podiatry Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 6103824375 masked Assistant Director - Interfaces Foggy Bottom Physician Group CH Podiatry 1200 Pecan Street SE 3rd Floor Washington, DC 20032-2652 771-444-6146 alesia.childs@uhsinc.com http://foggybottomclinic.com Provider Int 17 Complete 2026/06/30 12:00:00 2026/06/30 12:00:00 2026/06/30 05:54:24 UV 2.16.840.1.113883.17.9567 fbpg-ch-psych Foggy Bottom Physician Group CH Psychiatry Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 6103824375 masked Assistant Director - Interfaces Foggy Bottom Physician Group CH Psychiatry 1200 Pecan Street SE 3rd Floor Washington, DC 20032-2652 771-444-6146 alesia.childs@uhsinc.com http://foggybottomclinic.com Provider Int 17 Complete 2026/06/30 12:00:00 2026/06/30 12:00:00 2026/06/30 05:54:41 UV 2.16.840.1.113883.17.9568 fbpg-ch-urol Foggy Bottom Physician Group CH Urology Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 6103824375 masked Assistant Director - Interfaces Foggy Bottom Physician Group CH Urology 1200 Pecan Street SE 3rd Floor Washington, DC 20032-2652 771-444-6146 alesia.childs@uhsinc.com http://foggybottomclinic.com Provider Int 17 Complete 2026/06/30 12:00:00 2026/06/30 12:00:00 2026/06/30 05:54:59 UV 2.16.840.1.113883.17.9569 mspa-lwr-ortho Manatee Specialty Physician Alliance LWR Ortho Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 6103824375 masked Assistant Director - Interfaces Manatee Specialty Physician Alliance LWR Ortho 6310 Health Park Way Suite 200 Bradenton, FL 34202 771-444-6146 alesia.childs@uhsinc.com https://manateephysicianalliance.com/ Provider Int 17 Complete 2026/06/30 12:00:00 2026/06/30 12:00:00 2026/06/30 05:55:18 UV 2.16.840.1.113883.3.10503 cfd-ems Chandler Fire Department Derek Jordan masked Chandler Fire Department 151 E Boston St, Chandler, AZ 85225 4807823084 masked Ambulance Transportation Manager Chandler Fire Department 151 E Boston St, Chandler, AZ 85225 4807822120 chandlerfire@chandleraz.gov https://www.chandleraz.gov/residents/fire Government body Int 3 Complete 2026/06/30 12:00:00 2026/06/30 12:00:00 2026/06/30 08:39:39 UV 2.16.840.1.113883.3.10504 dths-tx HL7 Objects associated with DeTar Healthcare System Randall Walker masked Randall Walker DeTar Healthcare System 506 East San Antonio Victoria, TX 77901 361-571-6833 masked Director of Information Systems DeTar Healthcare System DeTar Healthcare System 506 East San Antonio Victoria, TX 77901 361-575-7441 webmaster@detar.com https://www.detar.com Provider Int 3 Complete 2026/07/01 12:00:00 2026/07/01 12:00:00 2026/07/01 09:01:26 UV 2.16.840.1.113883.4.999 solisCV Organization Root OID for Canadian Pharmacy Management System HL7 Messaging Anil Patel masked Helen Wu Lakhbir Chatha Unit 2A, 61 Industry St, York, ON M6M 4L5. Canada 905-399-5008 masked Technology Leader Solis Healthcare Solutions Inc. Unit 2A, 61 Industry St, York, ON M6M 4L5. Canada 416-464-6349 asilva@s.healthcare https://s.healthcare/ Vendor Ext 4 4 Complete 2.16.840.1.113883.4.999 2026/07/06 12:00:00 2026/07/06 05:28:53 CA 2.16.840.1.113883.3.10505 saunified S&A Unified Home Care, Inc. - Organization Root OID Ruth Shamaev masked Dmitrii Izrailit 646-508-6330 masked Chief Technology Officer S&A Unified Home Care, Inc. 2729 Coney Island Ave, Brooklyn, NY 11235 718-980-6100 dmitriii@saunified.com Provider Int 3 Complete 2026/07/07 12:00:00 2026/07/07 12:00:00 2026/07/07 07:11:32 US 2.16.840.1.113883.3.10506 wholeview-wellness Wholeview Wellness Sarah Church masked Sarah Church Wholeview, 369 Lexington Ave., Ste 14A, New York, NY 10017 9177769929 masked CEO/Founder Wholeview Wellness Wholeview, 369 Lexington Ave., Ste 14A, New York, NY 10017 212-204-8430 info@wholeview.co https://wholeview.co/ Provider Int 3 Complete 2026/07/07 12:00:00 2026/07/08 12:00:00 2026/07/08 12:28:13 UV 2.16.840.1.113883.3.10507 harlingen-medical-center Harlingen Medical Center Hospital Miguel Hernandez masked Lsilva4@primehealthcare.com Miguel 5501 S Expressway 77 Harlingen, TX 78550 9653651015 masked HMC - Information Systems Manager Harlingen Medical Center 5501 S Expressway 77 Harlingen, TX 78550 9653651015 mhernandez23@primehealthcare.com https://harlingenmedicalcenter.com/ Provider Int 3 3 Complete 2026/07/08 12:00:00 2026/07/08 12:00:00 2026/07/08 09:03:51 US 2.16.840.1.113883.3.10508 apo Anaheim Community Hospital Courtney Jones masked Courtney Jones 3350 W Ball Rd., Anaheim, CA 92804 714-243-9182 masked Regional HIM Director Courtney Jones 3350 W Ball Rd., Anaheim, CA 92804 714-243-9000 roi@anaheimcommunityhospital.com https://www.anaheimcommunityhospital.com/ Provider Anaheim Community Hospital Int 3 Complete 2026/07/10 12:00:00 2026/07/13 12:00:00 2026/07/13 12:31:50 UV 2.16.840.1.113883.4.8175 schr-asc Dry Creek Surgery Center jena humer masked Jena Humer 3037920777 masked CEO Surgery Center of Highlands Ranch 9051 SSG Chris Falkel Drive Suite 400 Highlands Ranch, CO 80129 303-792-0777 schighlandsranch@scasurgery.com https://surgerycenterofhighlandsranch.com/ Provider https://surgerycenterofhighlandsranch.com/ Int 4 Complete 2026/07/14 12:00:00 2026/07/15 12:00:00 2026/07/15 12:50:02 UV 2.16.840.1.113883.3.10509 flt-irn Flatiron Internal Medicine Chip Webb masked Chip Webb 90 Health Park Dr Suite 320 Louisville, CO 80027 3036667560 masked Practice Manager Chip Webb 90 Health Park Dr Suite 320 Louisville, CO 80027 3036667560 chip.webb@flatironinternalmed.com www.flatironinternalmed.com Provider Int 3 Complete 2026/07/17 12:00:00 2026/07/17 12:00:00 2026/07/17 04:27:48 UV 2.16.840.1.113883.4.8176 snhc Santo Nino Health Center Gerry Gainford masked Mariette Aroutiounian 14427 Chase St #100, Panorama City, CA 91402 8188307751 masked Vice President, Clinic Operations Santo Nino Health Center 14427 Chase St #100, Panorama City, CA 91402 8188307751 info@santoninohc.org https://santoninohc.org Provider Int 4 Complete 2026/07/17 12:00:00 2026/07/17 12:00:00 2026/07/17 06:06:20 UV 2.16.840.1.113883.17.9570 abq-ER0-1 Albuquerque ER and Hospital Loren Connell masked Kim Valerio Loren Connell 9310 Coors Blvd NW, Albuquerque, NM 5052642633 masked Director of Radiology Albuquerque ER and Hospital 9310 Coors Blvd NW, Albuquerque, NM 87114 5054311900 lconnell@abqhospital.com https://abqhospital.com/ Provider Int 17 Complete 2026/07/17 12:00:00 2026/07/17 12:00:00 2026/07/17 06:18:33 UV 2.16.840.1.113883.4.1000 NXG NexgenRx Anil Patel masked A Munroe 191 The West Mall Suite 905, Toronto, ON, M9C 5K8. Canada 416-695-3393 masked VP Operations NexgenRx 191 The West Mall Suite 905, Toronto, ON, M9C 5K8. Canada 416-695-3393 amunroe@nexgenrx.com https://www.nexgenrx.com/contact-us/ Vendor HL7 Canada Ext 4 4 Complete 2.16.840.1.113883.4.1000 2026/07/21 12:00:00 2026/07/21 07:04:08 CA 2.16.840.1.113883.3.10510 recordsflow RecordsFlow TEFCA_CLEAR OID Dustin Wienecke masked Dustin Wienecke PO Box 117 West Linn, OR 97068 5034006877 masked CEO RecordsFlow dustin@recordsflow.com https://www.recordsflow.com/ Vendor Int 3 3 Complete 2026/07/23 12:00:00 2026/07/23 12:00:00 2026/07/23 05:41:51 UV 2.16.840.1.113883.3.10511 jhp-payer Jefferson Health Plans Todd Preston masked Todd Preston 7152077515 masked AVP - Health Plan Applications Jefferson Health Plans 1101 Market Street, Suite 3000, Philadelphia, PA 19107 interoperability@jeffersonhealthplans.com https://www.jeffersonhealthplans.com Payor Int 3 Complete 2026/07/23 12:00:00 2026/07/23 12:00:00 2026/07/23 06:13:47 UV 2.16.840.1.113883.3.10512 baldwin-health HL7 Objects associated with Baldwin Health Brian Kachnic masked Brian Kachnic Baldwin Health 1613 N McKenzie St, Foley, AL 36535 2519493487 masked Director of Information Systems Baldwin Health 1613 N McKenzie St, Foley, AL 36535 2519493400 webmaster@baldwinhealth.com https://www.baldwinhealth.com/ Provider Int 3 Complete 2026/07/24 12:00:00 2026/07/24 12:00:00 2026/07/24 05:02:44 UV 2.16.840.1.113883.3.90021 eVeroRoot-invalid eVero Corporation Root OID Namespace Peter Williams masked Compliance Department eVero Corporation 48 South Service Road Suite 300 Melville NY 11747 516 747 4200 masked Compliance Officer eVero Corporation 48 South Service Road Suite 300 Melville NY 11747 Compliance@evero.com https://www.wvero.com Vendor Ext 14 Rejected 2.16.840.1.113883.3.90021 2026/07/27 12:00:00 2026/07/28 01:03:47 UV 2.16.840.1.113883.3.10513 eVeroRoot eVero Corporation Root OID Namespace Compliance Department masked Compliance Department 48 South Service Road Suite 300 Melville NY 11747 5167474200 masked Compliance Department eVero Corporation 48 South Service Road Suite 300 Melville NY 11747 5167474200 compliance@evero.com https://www.evero.com Vendor Int 3 Complete 2026/07/29 12:00:00 2026/07/29 12:00:00 2026/07/29 08:31:43 UV 2.16.840.1.113883.3.10514 aca-ny Advance Care Alliance Compliance Department masked Compliance Department 48 South Service Road Suite 300 Melville NY 11747 5167474200 masked Compliance Department Advance Care Alliance 1410 Broadway, 2nd Floor New York, NY 10018 1-833-692-2269 cordelia.nervi@myacany.org https://acany.org/ Provider Int 3 Complete 2026/07/31 12:00:00 2026/07/31 12:00:00 2026/07/31 06:00:59 UV 2.16.840.1.113883.3.10515 gb-fr Gila Bend Fire Rescue Cody Jordan masked Arelia Henry PO Box A Gila Bend, AZ 85337 602-909-3644 masked EMS Chief Gila Bend Fire Rescue 318 W Papago Gila Bend, AZ 85337 1-928-683-2370 ahenry@gilabendaz.org gilabendaz.org Provider Int 3 Complete 2026/07/31 12:00:00 2026/07/31 12:00:00 2026/07/31 06:47:33 UV 2.16.840.1.113883.3.10516 sagis-dx Sagis, PLLC Organizational Root OID Sagis Admin masked Lynn Brock 4131 Directors Row, Houston, TX 77092 8776972447 masked Chief Innovation Officer Sagis, PLLC 4131 Directors Row, Houston, TX 77092 8776972447 zadmin@sagisdx.com https://www.sagisdx.com Provider Int 3 Complete 2026/07/31 12:00:00 2026/07/31 12:00:00 2026/07/31 08:16:28 US 2.16.840.1.113883.3.10517 select-health Select Health OID Gene Ushinsky masked Gene Ushinsky 5381 S Green St Murray, UT 84123 8014427885 masked IT Operations Manager Select Health 5381 S Green St Murray, UT 84123 8014427885 gene.ushinsky@selecthealth.org https://selecthealth.org/ Payor Int 3 Complete 2026/08/03 12:00:00 2026/08/03 12:00:00 2026/08/03 07:39:08 UV 2.16.840.1.113883.3.10518 tc-hc Tepeyac Community Health Center Nick Lacey masked it@tepeyachealth.org Nick Lacey 2101 48th Ave Denver CO 80216 720-274-2931 masked IT Sr. Manager Tepeyac Community Health Center 2101 48th Ave Denver CO 80216 1-303-458-5302 it@tepeyacheatlh.org tepeyachealth.org HL7 body Int 3 Complete 2026/08/05 12:00:00 2026/08/05 12:00:00 2026/08/05 06:39:45 UV 2.16.840.1.113883.3.10519 synexar synexar, Inc Raghuram Vadapally masked ssanghi@synexar.ai Raghuram Vadapally 5017 Buchanan Avenue Frisco,Texas 75033 7326901569 masked CEO & CTO Synexar, Inc 5900 Balcones Drive Suite 100 Austin, Texas 78731 rvadapally@synexar.ai https://synexar.net Vendor Int 3 Complete 2026/08/05 12:00:00 2026/08/06 12:00:00 2026/08/06 12:35:26 UV 2.16.840.1.113883.17.9571 apn ADVANTMED PROVIDER NETWORK Ravi Sharma masked Ravi Sharma 17981 Sky park Cir, Apt.39. Irvine. CA. 92614. US 800-698-1690 masked Interoperability Manager ADVANTMED PROVIDER NETWORK 17981 Sky park Cir, Apt.39. Irvine. CA. 92614. US 800-698-1690 ravi.sharma@advantmed.com https://www.advantmed.com/for-providers/health-assessments Provider Int 17 17 Complete 2026/08/07 12:00:00 2026/08/07 12:00:00 2026/08/07 12:42:41 US 2.16.840.1.113883.17.9572 fbpg-ch-vas-sur Foggy Bottom CH Vascular Surgery Alesia Childs masked Alesia Childs 367 South Gulph Road King of Prussia, PA 19406 610-382-4375 masked Assistant Director - Interfaces Foggy Bottom CH Vascular Surgery 1200 Pecan Street SE 3rd Floor Washington, DC 20032-2652 771-444-6146 alesia.childs@uhsinc.com foggybottomclinic.com Provider Int 17 Complete 2026/08/11 12:00:00 2026/08/11 12:00:00 2026/08/11 07:47:50 UV 2.16.840.1.113883.3.10520 eloh East Liverpool City Hospital Stacey Swiger masked Stacey Swiger 330-386-3187 masked Applications Analyst East Liverpool City Hospital 425 West Fifth Street East Liverpool, OH 43920 330-385-7200 eloh_it_all@primehealthcare.com https://elch.org/ Provider Int 3 Complete 2026/08/12 12:00:00 2026/08/12 12:00:00 2026/08/12 02:45:16 UV 2.16.840.1.113883.3.10521 aitrcm Automated Integration Technologies LLC RAYMOND SANDERS masked RAYMOND SANDERS 20540 HWY46 W, Ste. 115 #241 Spring Branch TX 78070 4103870742 masked Project Manager Automated Integration Technologies LLC 20540 HWY46 W, Ste. 115 #241 Spring Branch TX 78070 4103870742 support@aitrcm.com www.aitrcm.com Vendor Int 3 Complete 2026/08/13 12:00:00 2026/08/13 12:00:00 2026/08/13 08:57:02 US 2.16.840.1.113883.3.10522 distortho DistrictOrthopaedics Michael Perkins masked Michelle Bragg Michael Perkins 5454 Wisconsin Ave #1000, Chevy Chase, MD 20815 7039279757 masked Network Engineer Michael Perkins 5454 Wisconsin Ave #1000, Chevy Chase, MD 20815 301-882-2000 mperkins@districtortho.com www.districtortho.com Provider Int 4 3 Complete 2026/08/14 12:00:00 2026/08/14 12:00:00 2026/08/14 02:32:03 UV 2.16.840.1.113883.3.10523 ardas-family-med Ardas Family Medicine Jan Kalkus masked Jan Kalkus 719-287-3758 masked Clinic Manager / IT Services Ardas Family Medicine 10180 East Colfax Ave Suite 150 Aurora, CO 80010 303-900-8639 welcome@ardasclinic.com http://ardasclinic.com Provider Int 3 3 Complete 2026/08/14 12:00:00 2026/08/14 12:00:00 2026/08/14 05:12:33 UV 2.16.840.1.113883.3.10524 circadia-validation-esMD-gateway Circadia-Validation-esMD-Gateway Mahmoud ElGammal masked Michal Maslik Michal Maslik 507 S Douglas St 3RD FLOOR, El Segundo, CA 90245 8009855596 masked CTO Circadia Health 507 S Douglas St 3RD FLOOR, El Segundo, CA 90245 8009855596 michal@circadia.health https://circadiahealth.com/ Vendor Int 3 Complete 2026/08/14 12:00:00 2026/08/17 12:00:00 2026/08/17 12:42:59 UV 2.16.840.1.113883.3.10525 circadia-production-esMD-gateway Circadia-Production-esMD-Gateway Mahmoud ElGammal masked Michal Maslik Michal Maslik 507 S Douglas St 3RD FLOOR, El Segundo, CA 90245 8009855596 masked CTO Circadia Health 507 S Douglas St 3RD FLOOR, El Segundo, CA 90245 8009855596 michal@circadia.health https://circadiahealth.com/ Vendor Int 3 Complete 2026/08/14 12:00:00 2026/08/17 12:00:00 2026/08/17 12:43:35 UV 2.16.840.1.113883.3.10526 asc-den ALLWays Supportive Care Katie Birks masked The Holding Group, LLC DBA ALLWays Supportive Care 720-295-1844 masked The Holding Group, LLC DBA ALLWays Supportive Care 2590 Welton Street, Suite 200 Denver, CO 80205 720-295-1844 katie@allwayssupportivecare.com Provider Int 3 Complete 2026/08/17 12:00:00 2026/08/17 12:00:00 2026/08/17 08:22:25 UV 2.16.840.1.113883.3.10527 ipro Island Peer Review Organization, Inc. (IPRO) Collin York masked Matt Roberts 5163267767 masked IPRO 300 Jericho Quadrangle, Suite 300 Jericho, NY 11753 51563267767 info@ipro.org https://www.ipro.org Vendor Int 3 Complete 2026/08/18 12:00:00 2026/08/18 12:00:00 2026/08/18 06:58:46 US 2.16.840.1.113883.3.10528 mPowerMe MPowerMe.app Behavioral Health Application Bethany Russell masked Dr. Bethany Russell 44177 Kelly Drive Bethany R. Russell, Ph.D. & Associates, P.A. Babcock Ranch, Florida 33982 USA 2394271635 masked Clinical Director Bethany R. Russell, Ph.D. & Associates, P.A. / MPowerMe.app drbethany@russellmentalhealth.com https://MPowerMe.app Provider Int 3 Complete 2026/08/20 12:00:00 2026/08/20 12:00:00 2026/08/20 03:34:33 UV 2.16.840.1.113883.4.8177 aaneelconnectsandbox AaNeel Infotech OID Namespace Sandbox Upendra Patel masked AaNeel Infotech, LLC 16606 Hutchison Road, Odessa FL 33556 7869668518 masked CPO AaNeel Infotech, LLC contact@aaneel.com https://www.aaneel.com Vendor Int 4 Complete 2026/08/24 12:00:00 2026/08/25 12:00:00 2026/08/25 12:50:14 UV 2.16.840.1.113883.3.10529 id-AHP After Hours Pediatrics Ian Vanderwoude masked Ian Vanderwoude 5904 Holly Ave NE Albuquerque, NM 87113 5059987097 masked Chief Operations Officer After Hours Pediatrics 5904 Holly Ave NE Albuquerque, NM 87113 5052982505 ianv@ahpeds.com https://www.after-hours-pediatrics.com/ Provider Int 3 Complete 2026/08/26 12:00:00 2026/08/26 12:00:00 2026/08/26 04:39:41 UV 2.16.840.1.113883.3.10530 wso Western Slope Orthopaedics Jarod Henry masked Jarod Henry 910 S. 4th St. Montrose, CO 81401 9702522587 masked Director Western Slope Orthopaedics 910 S. 4th St Montrose, CO 81401 9702496641 jhenry@montrosehealth.com Provider Int 3 Complete 2026/08/27 12:00:00 2026/08/27 12:00:00 2026/08/27 03:44:29 UV 2.16.840.1.113883.3.10531 dc-health-dept DC Department of Health Troy Evans masked Troy Evans 2201 Shannon Place, SE, Suite 421 Washington, DC 20020 202-553-8170 masked Chief Information Technology Officer DC Department of Health 2201 Shannon Place, SE Washington, DC 20020 202-442-5955 doh@dc.gov https://dchealth.dc.gov/ Government body Int 3 3 Complete 2026/08/28 12:00:00 2026/08/28 12:00:00 2026/08/28 03:41:59 UV 2.16.840.1.113883.3.10532 gplab Greenville Pathology William Ballance masked William Ballance 252-561-7992 masked Greenville Pathology 2515 Bowman Gray Drive Greenville North Carolina 27834 USA 252-561-7992 wb3@greenvillepathology.com Provider Int 3 Complete 2026/09/04 12:00:00 2026/09/04 12:00:00 2026/09/04 05:25:03 UV 2.16.840.1.113883.4.8178 meaecare MeaeCare Ahmed Ghoneim masked Ahmed Ghoneim 2501 Pullman St, STE 250 Santa Ana, California 92705 9498615861 masked CTO MeaeCare 2501 Pullman St, STE 250 Santa Ana, California 92705 8885754568 info@meaecare.com meaecare.com Vendor Int 4 Complete 2026/09/08 12:00:00 2026/09/09 12:00:00 2026/09/09 12:49:24 UV 2.16.840.1.113883.17.9573 lasvegasrecoveryhospital Las Vegas Recovery Hospital LLC Meher Kotha masked Meher 850 TOWBIN AVE, LAKEWOOD, NJ 08701 7165909833 masked Director of AI and Automation Las Vegas Recovery Hospital 102 E. Lake Mead Pkwy 3rd and 4th Floor, 1990 Tower, Henderson, NV 89015 702-941-4673 mkotha@lhsus.com www.lvrhn.com Provider Int 17 Complete 2026/09/09 12:00:00 2026/09/09 12:00:00 2026/09/09 05:08:58 US 2.16.840.1.113883.3.10533 sunstone-medical-tx Sunstone Medical TX, PLLC Cameron Pearson masked Cameron Pearson 8080 Westpark Drive STE 49298 Houston, TX 77063 401-477-3172 masked Chief Administrative Officer Sunstone Medical TX, PLLC 8080 Westpark Drive STE 49298 Houston, TX 77063 888-413-3711 admin@sunstoneclinical.com Domain sunstoneclinical.com - Website Coming Soon Provider Int 3 Complete 2026/09/09 12:00:00 2026/09/09 12:00:00 2026/09/09 08:36:45 UV 2.16.840.1.113883.3.6308.1.1 ncpt Nutrition Care Process Terminology Jessica Bota masked Academy of Nutrition and Dietetics 120 South Riverside Plaza, Suite 2190, Chicago, IL 60606-6995, USA 800-877-1600 masked Academy of Nutrition and Dietetics 120 South Riverside Plaza, Suite 2190, Chicago, IL 60606-6995, USA 800-877-1600 ncp@eatright.org https://www.eatright.org Professional Society 2.16.840.1.113883.3.6308 Ext 6 Complete 2.16.840.1.113883.3.6308.1.1 2026/09/11 12:00:00 2026/09/11 03:15:25 UV 2.16.840.1.113883.3.10534 bmcNorth-1 BMC North Hospital Balaji Kolla masked kharrington@BMCHospitals.care Balaji Kolla 510 W Tidwell Rd, Houston, TX77091 2816188500 masked IT Director BMC North Houston 16750 Red Oak Dr, Houston, TX 77090 2814537110 kharrington@BMCHospitals.care Provider Int 3 3 Complete 2026/09/15 12:00:00 2026/09/15 12:00:00 2026/09/15 06:59:51 UV 2.16.840.1.113883.4.8179 docket Docket Health, Inc. Joe MacInnes masked Joe MacInnes 5175540024 masked Senior Software Engineer Docket Health, Inc. 6 Oxford Rd. Southport, CT 06890 2032735368 info@dockethealth.com https://dockethealth.com Vendor Int 4 Complete 2026/09/15 12:00:00 2026/09/16 12:00:00 2026/09/16 12:42:57 UV 2.16.840.1.113883.3.10535 frc-frc Faithland Recovery Center LLC Vaun Williams masked Vaun Williams 4425 West Olive Ave Suite 140 Glendale, AZ 85302-3844 6023501166 masked CEO Faithland Recovery Center LLC 4425 West Olive Ave Suite 140 Glendale 4807644887 vwilliams@faithlandrecoverycenter.com www.faithlandrecoverycenter.com Provider Int 3 Complete 2026/09/16 12:00:00 2026/09/21 12:00:00 2026/09/21 12:56:55 UV 2.16.840.1.113883.17.9574 visionx VisionX Eyecare Practice Betty Barrs masked Betty Barrs 13555 N Stemmons Fwy, Dallas, TX 75234 214-496-4000 masked Product Manager Essilor of America, dba Helix Customersupport@visionweb.com https://www.visionx.solutions/ Vendor Int 17 Complete 2026/09/16 12:00:00 2026/09/21 12:00:00 2026/09/21 12:58:03 US 2.16.840.1.113883.4.504.100 southcountyhealth-medicalgroup South County Health Medical Group Michael Wolfe masked Michael Wolfe South County Health 100 Kenyon Avenue Wakefield, RI 02879-4216 4017888620 masked Analyst, Interoperability South County Health South County Health 100 Kenyon Avenue Wakefield, RI 02879-4216 4017881475 anmathieu@southcountyhealth.org https://www.southcountyhealth.org/ Provider 2.16.840.1.113883.4.504 Ext 4 14 Complete 2.16.840.1.113883.4.504.100 2026/09/18 12:00:00 2026/09/21 12:00:00 2026/09/21 01:06:00 UV 2.16.840.1.113883.9.304 smcrec SMC Recovery Christine Stevens masked Christine Stevens 10207 N Scottsdale Rd 4802232546 masked CEO Christine Stevens 10207 N Scottsdale Rd, Scottsdale AZ 85253 4802232546 christine.s@smcrecoveryaz.com Provider Int 9 Complete 2026/09/21 12:00:00 2026/09/22 12:00:00 2026/09/22 01:11:25 UV 2.16.840.1.113883.6.166 ca-admit-source AdmitSourceCode Anil Patel masked Connected Care 250 Albert St, Ottawa, ON K1A 0T6 Canada 1-613-241-7860 masked Canadian Institute for Health Information (CIHI) 250 Albert St, Ottawa, ON K1A 0T6 Canada 1-613-241-7860 ConnectedCare@cihi.ca https://www.cihi.ca/en Government body HL7 Canada Ext 6 6 Complete 2.16.840.1.113883.6.166 2026/09/22 12:00:00 2026/09/22 12:00:00 2026/09/22 05:36:20 CA 2.16.840.1.113883.6.167 ca-hospital-service HospitalServiceCode Anil Patel masked Connected Care 250 Albert St, Ottawa, ON K1A 0T6 Canada 1-613-241-7860 masked Canadian Institute for Health Information (CIHI) 250 Albert St, Ottawa, ON K1A 0T6 Canada 1-613-241-7860 ConnectedCare@cihi.ca https://www.cihi.ca/en Government body HL7 Canada Ext 6 6 Complete 2.16.840.1.113883.6.167 2026/09/22 12:00:00 2026/09/22 12:00:00 2026/09/22 07:11:19 CA 2.16.840.1.113883.6.168 ca-disposition DispostionCode Anil Patel masked Connected Care 250 Albert St, Ottawa, ON K1A 0T6 Canada 1-613-241-7860 masked Canadian Institute for Health Information (CIHI) 250 Albert St, Ottawa, ON K1A 0T6 Canada 1-613-241-7860 ConnectedCare@cihi.ca https://www.cihi.ca/en Government body HL7 Canada Ext 6 6 Complete 2.16.840.1.113883.6.168 2026/09/22 12:00:00 2026/09/22 12:00:00 2026/09/22 07:05:03 CA 2.16.840.1.113883.3.10536 medoauth MedOauth stephen ward masked stephen ward 895 W Tyson Chandler AZ 85225 6024817070 masked CEO Medoauth 895 W Tyson Chandler AZ 85225 6024817070 stephen@medoauth.com https://medoauth.com Exchange Int 3 Complete 2026/09/22 12:00:00 2026/09/22 12:00:00 2026/09/22 07:47:32 US 2.16.840.1.113883.3.10537 acrmc Adams County Regional Medical Center Jared McLaughlin masked Jared McLaughlin 230 Medical Center Drive Seaman Ohio 45679 9373863777 masked I.T Manager Adams County Regional Medical Center 230 Medical Center drive Seaman Ohio 45679 9373863400 jcmclaughlin@acrmc.com https://acrmc.com/ Provider Int 3 Complete 2026/09/28 12:00:00 2026/09/28 12:00:00 2026/09/28 07:06:51 UV 2.16.840.1.113883.3.10538 pyt-hsd Pascua Yaqui Tribe Sergio Molina masked Sergio 7490 S Camino de Oeste 5207533221 masked Sr Systems Administrator Pascua Yaqui Tribe 7490 S Camino de Oeste 520-879-6000 sergio.molina@pascuayaqui-nsn.gov pythealth.org Provider Int 3 Complete 2026/09/30 12:00:00 2026/10/01 12:00:00 2026/10/01 12:46:17 UV 2.16.840.1.113883.3.10539 arbh Agave Ridge Behavioral Hospital Mythea Lacy masked Mythea Lacy Agave Ridge Behavioral Hospital 3322 S Ellsworth Rd Mesa, AZ 85212 4807800211 masked CEO Mythea Lacy - Agave Ridge 3322 S Ellsworth Rd Mesa, AZ 85212 4807800211 mythea.lacy@agaveridgebh.com https://www.agaveridgebehavioral.com Provider Int 3 Complete 2026/09/30 12:00:00 2026/10/01 12:00:00 2026/10/01 12:47:22 UV 2.16.840.1.113883.3.10540 develophealth Develop Health, LLC Marc Valer Serra masked Marc Valer 611 Santa Cruz Ave, Suite 201 4087968070 masked Head of Product Develop Health, LLC 611 Santa Cruz Ave, Suite 201 Menlo Park, CA 94025 6503744543 support@develophealth.ai https://www.develophealth.ai/ Vendor Int 3 Complete 2026/10/02 12:00:00 2026/10/02 12:00:00 2026/10/02 07:03:27 US 2.16.840.1.113883.3.10541 lmchosp LMC Hospital byong lee masked BC Lee 701 McClintic Dr. Groesbeck, TX 76642 2547165035 masked CIO LMC Hospital 701 McClintic Dr. Groesbeck, TX 76642 1-254-729-3281 bclee@lmchospital.com https://groesbeckhospital.com Provider Int 3 Complete 2026/10/06 12:00:00 2026/10/06 12:00:00 2026/10/06 03:30:19 UV 2.16.840.1.113883.17.9575 bmcB-1626 BMC Baytown Hospital Balaji Kolla masked Balaji Kolla 1626 W Baker Rd, Baytown, TX 77521 7177750257 masked IT Director Kimberly Harrington 1626 W Baker Rd, Baytown, TX 77521 4408122817 kharrington@BMCHospitals.care https://bmchospitals.care/bmc-baytown-hospital-location/ Provider Int 17 Complete 2026/10/08 12:00:00 2026/10/09 12:00:00 2026/10/09 01:25:10 UV 2.16.840.1.113883.17.9576 ihh-510 Independence Heights Hospital Balaji Kolla masked Balaji Kolla 510 W Tidwell Rd, Houston, TX 77091 7177750257 masked IT Director Kimberly Harrington 510 W Tidwell Rd, Houston, TX 77091 4408122817 kharrington@BMChospitals.care https://bmchospitals.care/independence-heights-hospital/ Provider Int 17 Complete 2026/10/08 12:00:00 2026/10/09 12:00:00 2026/10/09 01:25:36 UV 2.16.840.1.113883.17.9577 wchh-6011 West Chase Houston Hospital Balaji Kolla masked Balaji Kolla 6011 W Sam Houston Pkwy S, Houston TX 77072 7177750257 masked IT Director Kimberly Harrington 6011 W Sam Houston Pkwy S, Houston TX 77072 440-812-2817 kharrington@BMCHospitals.care Payor Int 17 Complete 2026/10/08 12:00:00 2026/10/09 12:00:00 2026/10/09 01:26:05 UV 2.16.840.1.113883.3.10542 hermes Hermes Health Alejandro Zamorano masked Alejandro Zamorano 1515 Dove Ct, Pasadena, CA, 91107 12026435813 masked CEO Hermes Health integrations@hermeshealth.com Vendor Int 3 Complete 2026/10/08 12:00:00 2026/10/09 12:00:00 2026/10/09 01:26:48 UV 2.16.840.1.113883.4.8180 workersFirstcs Workers First Clinical Services, LLC Apral Jones masked Apral Jones 207 West 4th Street Suite B Bridgeport, PA 19405 6232613711 masked Pharmacist Workers First Clinical Services, LLC 207 West 4th Street Suite B Bridgeport, PA 19405 2675012619 ajones@healwellrx.com https://www.workersfirstclinical.com Provider Int 4 Complete 2026/10/09 12:00:00 2026/10/12 12:00:00 2026/10/12 12:48:52 UV 2.16.840.1.113883.4.1001 syncedHealth Synced Health Inc.Organizational Vendor Object Identifier Anil Patel masked Jacky Leung 32 Wellington St E., Toronto, ON, M5E 1C6 Canada +1 (416) 802-2828 masked Founder Synced Health Inc. 32 Wellington St E., Toronto, ON, M5E 1C6 Canada +1 (416) 802-2828 admin@synced.health https://www.synced.health/ Vendor Ext 4 4 Complete 2.16.840.1.113883.4.1001 2026/10/13 12:00:00 2026/10/13 12:00:00 2026/10/13 05:54:29 UV 2.16.840.1.113883.3.10543 anchor Anchor Health Joseph Eckstein masked Joseph Eckstein 3477531800 masked Admin Anchor Health 46 Cook St Brooklyn, NY 11206 7183074800 admin.cma@anchorhc.org Provider Int 3 Complete 2026/10/13 12:00:00 2026/10/13 12:00:00 2026/10/13 07:43:26 UV 2.16.840.1.113883.3.10544 ahrcnyc AHRC NYC Irvin Rodriguez masked Irvin Rodriguez 83 Maiden Lane New York, NY 10038 6465747298 masked Chief Information Officer AHRC NYC 83 Maiden Lane New York, NY 10038 6465747298 irvin.rodriguez@ahrcnyc.org www.ahrcnyc.org Provider Int 3 Complete 2026/10/13 12:00:00 2026/10/13 12:00:00 2026/10/13 07:44:01 UV 2.16.840.1.113883.3.10545 antaeus-health Antaeus Health, Inc. Organizational Root OID Patrick Spieker masked Patrick Spieker 1107 Hyak Place Fox Island, Washington 98333 2535493755 masked Co-founder & CEO Antaeus Health, Inc patrick@antaeus.health https://antaeus.health Vendor Int 3 Complete 2026/10/20 12:00:00 2026/10/21 12:00:00 2026/10/21 12:44:59 UV 2.16.840.1.113883.3.10546 ahivim Ahivim Duvid Weiss masked Duvid Weiss 4 Corporate Dr Central Valley NY 10917 8457128019 masked HR Ahivim 4 Corporate Dr centrall valley ny 10917 8457747000 duvidweiss5@gmail.com Provider Int 3 Pending 2026/10/21 12:00:00 2026/10/21 02:38:12 UV